The URL can be used to link to this page

Home My WebLink About09-06-78 RCC-72 (9-68) COMMOjlWEAL TH OF PENNSYLVANIA .. DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS APPLlCA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) SO (b) e, N r0 .~0-4 1 rf.Lc---F~ (c) 1. 3() !J/1--e ~AAJ f (NOTE: In describing securities enter in (a), ab Ofe, either the number of shares of stock or the fa'~ amount or registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) DATE tf-6.-7~ ISSUED ON , and having a TOTAL MARKET VAilUE OF $ ,96 C!. ()i) as of the date of d(::;h) of the decedent, #ttf.tlucf Itf. ~ , on $-1 S-' ):F (Name of Decedent) (Date of death) who wos lote 0/ l/J!t ~ {lLu.~, r!A'7:., ~ef! (}u..J,,-<-~(I/ !let... (Street and Number) ( ost Office) (County) (State) The securities are registered as follows: lJu"uLlcf 11ft e~4A4-- tLv~1 ~~":/ o~az;~~:~~te~Ji:~ fJ,,-; 17lJ (( , .u - V.....d I c:eJ. .L-v1' '1 I~ J f"'-~ (Name) -' (Addr) YI-1'T'3r NAME OF APPLICANT ))/11/;6 6T (!q-SSs>PS, 'i3J1 &L!\ S/>A:';//)CF/tYZ-() 1//1). - ' / ' l..<)/ S .). A.w r btJ y"it/a-: COUNTY FILE NUMBER i3J-rw--,;?,?~ ADDRESS OF APPLICANT ~:>>II BUREAU FILE NUMBER SIGNATURE OF APPLICANT - ',... .' . 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 COMPLETION. ADMINISTRA TOR) EXECUTOR ) COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES A1 " eX 9? rY DATE~c{), -.I If I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. '* Signed for the Secretary of Revenue B (Title) (County) '-';_41...,.......1 COMMONWEAL TH OF PENNSYLVANIA DWARTMENT OF REVENUE )URIAU OF COUNTY COLI:.ECTIONS APPLICATION FOR AND CONSEN~T" m_____ TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT DATE '* - ~Y~IW,"*,{'l:" !PPLlCA TION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for consent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) tiD ~ (b) j(...2.(1~ _ k,uv~, ~- . (c) (NOTE: In describing securities enter in (a), ab Ole, either the number of shares of stock or the face amount of registered bonds, in (b), the nome of the issuing company and in (c) the class of stock or the stated interest rate and maturity dote of registered bonds.) tj--6' 7 f/ ISSUED ON , and having a TOTAL MARKET V A'LUE OF $ S- SOD. Ov (Date) f1iI. . /1 dl J11 /J as of the date of death of the decedent, hVJ . ~<4- (Name of Decedent) , on r - I'{'-- )~ (Date of death) who was late of l/J (j 6. (!~;"rJcJ~ (Street and Number) &~ ;,kL~ (J~t~A.tJa4'-T!1-- (Post Office) (County) P~L (State) COUNTY FILE NUMBER dl-'? ~-4t 77 ADMINISTRA TOR) EXECUTOR ) NOTICE: COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DA TE&rt ;),)'1 ~- , I hereby consent to the transfer of the above securities now registered in the name of the aforesaid 0.4.-" -- Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act 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 April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. l '*' Sigaed for the Secretary of Revenue B~J ?, Q,..J!!J>.o'--" ~ (Signature) ~ ,. llYCHJ\Rll I!.. JU\'1)rnsnl RFGiSTFR OF Will ~ (Thf.~[flNJO COUNl! (County) , ~~r! , ; ::~ -~~ , ,"4 ::.i r1 ~~~ , ~I':J .oJ -IfCC-72 (9-68) COMM~WEAL TH OF PENNSYLVANIA DEPARTMENT -OF REVENUE B~REAU OF COUNTY COLLECTIONS APPLICATION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a/):)O?) (b) a '''- ~'. ~ \ (e) t 3/, f. 'S!'!~ddQ (NOTE: In describing securities enter in ( , a Ole, either th number of shares of stock or e face amount of registered boods, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate and maturity date of registered bonds.) DATE 'i-6- 7Y ISSUED ON , and having a TOTAL MARKET VAILUE OF $ d 5./ ~- 0 (Date) .,' u /i as of the date of death of the decedent, 11Ct. tlJu # )/1 C'~<J--- , on S-I,S-~ )K" (Name of Decedent) (Date of death) who was late 01 <Jd <( t. (!~m~, ~ /./dI (1"Jd~ t! "- (Street and Number) I ( ost Office) (County) (State) The securities are registered as follows: /!%tILt{ cI 41, d~ ~~ t2r2:' (Name or names in which certificates are r,e,SJis~~e~ (.) . - J CfJ (j C- CU~'Ac;'C~J.. ~+f> 1)4:,.('P //4.. IJtJ / / ADMINISTRATDR) Dd.r> ~ ~ ~3:l, Cf!/, LJJ.il3/~'A~!~ J",.,) EXECUTOR) (Name) ~d ~ / NAME OF APPLICANT <13~ ~~;a)~/tlt./ )-J.-1::::J-J COUNTY FILE NUMBER 0l1-7f-i!.77 ADDRESS OF APPLICANT ~:_~_ ~-__~-~!!!1:{J:()N BUREAU FILE NUMBER SIGNATURE OF APPLlCANT~ ~ 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 COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATEt}rb, d../9'7t I hereby consent to the transfer of the above securities now registered in the name of the aforesaid Decedent and waive the filing of a certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, as amended and the Act of June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. '* Signed for the Secretary of Revenue B (Title) (County)