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REV..SI7 18"78}
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD DPERATIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
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APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
ApplicDtion is hereby mDde for coosent tD the tfansfer of the following securities of 0 Pennsylvania
Corporation or 0 National Banking Association located in Pennsylvania:
DATE__o!.l!mmn
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(a) 52 (b) Pennovlvanill Power & Liqht _~O!1!P_lIm~_,___(cl. cQ!'\1'IOn
(NOTE: In describing securities entef in (a), ab (]Ie, either the number of shores of stock or the face amount of
registered bands, in (b), the name of the issuing company and in (c) the class of slack or the stated interest rate
and maturity dote of registered bonds.)
ISSUED ON prior to 1960
(Dale)
os of the dote of death of the decedent,
, and having 0 TOTAL MARKET V HUE OF S 793.00
(Nome of Decedent)
on December 9, 1980
, '
(Date of death)
Nettie R. Keiser
who was late of R. D. 1, Box 143, Cllrli!lle,
Cumberland,
FA.
(Street and Number) (Post CUke) (County) (Stote)
Nettie R, Keiser and Nettie n. Weidner
The securities ore registered os follows: _ldauqhteLof d_e,t::,li!,C!~n_tJ,~jQJ!l.t ten.ant9 with
the right of survivorahip (Name or names in which certificates arc registered)
ADMINISTRA TOR)
EXECUTOR )
No Administration
(Address)
NAME OF APPLICANT Albert L. KniRer
R. '1)."'1, P..o;{ 14 3
COUNTY FILE NUMBER ;;;?I- S'I.:..futADDRESS OF APPLICANT c~rli91~L 1'1\. 17013
BUREAU FILE NUMBER SIGNA TUR E OF APPLICANT ___~ t. ~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPL.ETION.
(Nome)
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE ~
CONSENT TO TRANSFER SECURITIES 'I 7 ,1)(
DATE J?n.2
I hereby consent to the transfer of the above securities now registered in the nome of the nforesaid
Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which
the properly of said Decedent is mode subject pursuant to the provisions of the Acl of June 20, 1919, P.L. 521,
os amended and the Act of June 15, 1961, P.L. 373, os amended. This is also in accordance with the provisions
of the Act of Apfil 9, 1929, P.L. 343,
This Consent to Transfef the ~erein described property operates only in reference to the estate of the
above-named Decedent,
Signed for the Socr";~', c! Revenue
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REV-51Q le-7111
COMMONWEAL TH OF PEIINSYLVAtllA
OEPARTMEIIT OF REVENUE
BUREAU OF FIELD OPERATIONS
TRANSPER INHERITANCE TAX DIVISION
INHERITANCE TAX RETURN
F'OR INSOLVENT ESTATES ONU
OF' RESlDENT DECEDENTS
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COUNTYOF--C~~BEELAND
This return musl bo completed In dotall and filod in duplicate, with tho Rogislor of Wills In tho County whoH thn dtlccdcnt residod within nino
months aftar do to of death, unless on QKlonslon 15 granted by Ihe Soc'(Itory of R"vonUI).
(NAMe)
R. D. 1, Box 143,
_of Carlisle, PA. 17013
( ADOrU':i51
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d 19 I Albert L, Keiser
A mn.No. _ .
Misc.
being cluly sworn ;according III law, deposes nnll says that he is till:
of Ihe estule of__~etti(!__!l-!._~E!.~__s.er ___._.
survi v.ing2Pou~~___.__ __ _._u_
(EXEC., ADM., LEGf.TF.:E, ETC.\
laIc ,,1'_. Migg_1Sl9.<';!1L':r9_\i.Il.~.h,i,p_.__u
ierrv, Ijor~OUGH, OR TOWNSHIP)
deceased, and that the whole or the estate of said decedent, who died on
u December_ 9, ~980
lDATEI
consisted or the assets listed below and thaI .1l1owahlc dehts allll dt.:ductiolls cxcct.:dcd the fair marKel vallie of the assL'ls .1Ild
110 Pennsylvania TranNrcr Inheritance Tax is due.
Sworn and subscribed btdoto mo
~~ day of Janu~~~ lJ,JLL
'::d-~ -r. I-y~~
____~ CJ.~_su.:rJTi.YJrtgSPQ\l_fl.<,;!_
(SIGNATURE) (TITLEl
Type of Asset:
Real Estate, Pers.
Prop",ty, Jointly
Held Prop. or
Transfers
ASSETS
(Attach additional sheels if necessary)
Description of Asset
ESlimolud
Mar~ol
Value
Doportmllnt
Valuation
CAUTION
(Do nol write
in this space)
1. 52 shares of common stock of Pennsylvania
Power & Light Company registered in the names
of decedent and Nettie R. Weidner, daughter
of decedent, as joint tenants with the right
of survivorship. (all share certificates
dated prior to 1960). Value of $15.25vper
share on December 9, 1980, a total of
$793.00; one-half interest thereof being the
sum of
,
$ 396.50
2. Various real and personal property owned by
decedent and Albert L. Keiser, her surviving
spouse as tenants by the entireties.
none
TOTALS
$ 396.50
s'/(,o S-CJi)'"
REPORT OF INIIERITANCE TAX API'Rt\ISER
., the undersigned duly appointed Inheritance T:'lX Appraiser in and fur the abov!: Cllllllly do respectfully report that I hnve
appraised lhe real and personal property as reported in lhe foregoing ..cheduk at Ihe vllllles sct forth opposite each item III
the last column 10 the righl. .--I/~l..a..L::i!ie/~ _____,.____
Dated: 2-25--8-1 (INHERITANCE TAX APPRAI5F.Hl
Nome of Payee
DEBTS AND DEDUCTIONS'
Notur~ of Claim
Amount
Cloimed
Amounl Applovcd
by RlIgislct
Hoffman-Roth Funeral
Home
Carlisle Hospital
Frank S. Bryan, M.D.
Bietsch & Morgentha1
Register of wills
Janice E. Hertzler
Burial Expenses
$3,908.00
Statement
Statement
Attorney Fee
Filing
Notary
228.00
50.00
100.00
3.00
3.00
TOTALS
$4 292.00
REPORT OF TilE REGISTER OF WILLS
lIthe undersigned ollly elcl..~tcd Hegistcr Hf Wills in and fur Ihe above County. do respeclfully reporl Ihal I have .:l1lowed
dcductiuIIs in the amounts sel fmth in Ihe ahuve schedule .IS c);linu:J, L'xccfll \\hcrc I have set forlh:J ~IC;lIL'r (II' lesser alllllUitt
in Ihe- last column hi tl~, . righi, which gre:t1cr m lesser amuunt rcpres'~llIs Iht: sum '1lInwed as a deduction. () ~
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