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HomeMy WebLinkAbout12-24-78 RCC-72 (6-67) . - APPLlCA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT APPLICATION '*' . . COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS X DATE '~/J. "/71- . 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 Nationol Bonking Association located in Pennsylvania: (a) 338 (b) The Commonwealth National Bank (c) common (NOTE: In describing securities enter in (a), ab Ole, either the number of shares of stack or the face omount of registered bonds, in (b), the name of the issuing com pony and in (c) the class of stock or the stated interest rote and maturity date of registered bonds.) ISSUED ON Jan. 2,1970 ,andhavingaTOTALMARKETVALUEOF$ 10,985.00 (Dato) as of the date of death of the decedent LUCILLE B. SHEAFFER , (Name of Decedent) March 21, 1978 , on (Date of death) 29 Country Club Road, Carlisle, Cumberland who was late of FA (Street and Number) (Post Office) (County) (State) The securities are registered as fallows: Mrs. Lucille B. Sheaffer Robert H. Bowersox (Name or ndmes in which certificates ore registered) 29 Country Club Road, Carlisle, FA (Add,...) Robert H. Bowersox NAME OF APPLICANT Betty Ann Bowersox COUNTY FILE NUMBER 21-78-160 ADDRESS OF APPLlCANT29 Country Club Road, Carlisle X ~-#/ft'<l~ FA BUREAU FILE NUMBER 21-78-160 SIGNATURE OF APPLlCANTy&~AA~J.iI1~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATlbN, IT WILL NaT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. ADMINISTRATOR) Betty Ann Bowersox EXECUTOR) (Namo) COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES ~ DATE {)"" fry '? I hereby consent to the tronsfer of the above securities now registered in the nome of the fores"oit ( Decedent and waive the filing of 0 certificate certifying to the poyment of the transfer inheritance tox to which the property of soid 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 omended. This is also in accordonce 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. *~ B il~r',';J ~ip.<27\~~~ r>:~:SFj{ Or WlI,: '1 (ft~~,.\:"\L.D l...",,1rY (County) RCS:-7:4. 19-ft', APPLlCA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT *' COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS X DATE I. / oJ. vl7'" APPLICATION (MUST BE FILED IN TRIPLICATE) , TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Application is hereby made lor c ansent to the transler 01 the lollowing securities 01 a Pennsylvania Corporation or a National Banking Association located in Pennsylvania: (a) 121 (b) Dauphin Deposit Trust Company (c) common (NOTE: In describing securities enter in (a), ab Ole, either the number 01 shares al stock or the lace amount 01 registered bands, in (b), the name 01 the issuing company and in (c) the closs 01 stock or the stated interest rate and maturity date 01 registered bonds.) ISSUED ON April 13, 1957 ,and having a TOTAL MARKET V AtUE OF $ (Oat.) as 01 the date 01 death 01 the decedent LUC ILLE B. SHEAFFER , 3,811.50 , on March 21, 1978 (Date of death) (Name of Decedent) who was late al 29 Country Club Road, Carlisle Cumberland PA (Street and Number) (Post Office) (County) (Sta..) The securities are registered as lollows: Lucille B. Sheaffer (Name or names in which certificates are registered) Robert H. Bowersox ADMINISTRATOR) Betty Ann Bowersox EXECUTOR) (Nom.) 29 County Club Road, Carlisle, PA (Add....) Robert H. Bowersox NAME OF APPLICANT Betty Ann Bowersox COUNTY FILE NUMBER 21-78-160 ADDRESS OF APPLlCANT29 Country Club Roa,d, Carlisle X ~ 'Ii /p>a<e--o.P;r P A BUREAU FILE NUMBER 21-78-160 SIGNATURE OF APPLICANT X ..:1,:/i;;-/(Ij,'M/~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICAT{ON, IT WILIAlOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYL VANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES 2 DATE h if I hereby consent to the tronsler 01 the above securities now registered in the name 01 th aloresaid 1~-2 r Decedent and waive the /iling 01 a certilicate certilying to the payment 01 the transler inheritance tax to which the property 01 said Decedent is made subject pursuant to the provisions 01 the Act 01 June 20, 1919, P.L. 521, as amended and the Act 01 June 15, 1961, P.L. 373, as amended. This is also in accordance with the provisions 01 the Act 01 April 9, 1929, P.L. 343. This Consent to Tronsler the herein described property operates only in relerence to the estate 01 the above.named Decedent. *' Signed lor the Secretary 01 Revenue ~:':~~~~t:~ c 0W\'11~~f'v) ()~~ ~ ,,;:./ Of WILtS (Tril.~ ..JI.rr (County) RC c..n (60067) ., COMMONWEAL 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 (~/.L'Ihr r . X DATE TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Applicatian is hereby made for consent to the transfer of the following securities af a Pennsylvania Carporation or 0 National Banking Associotion located in Pennsylvonia: (a) 282 (b) Farmers Trust Company (c) common (NOTE: In describing securities enter in (0), ob ",e, either the number of shares of stock or the foce amount of registered bonds, in (b), the name of the issuing compony and in (c) the closs of stock or the stated interest rote and maturity date of registered bonds.) ISSUED ON June 1, 1966 , and hoving 0 TOTAL MARKET VALUE OF $ 9,024.00 LUCILLE B. SHEAFFER March 21, 1978 , on (Dot.) as of the date of death of the decedent, (Name of Decedent) (Date of death) who wos lote of 29 Country Club Road, Carlisle Cumberland PA (Street and Number) (Post Office) (County) (State) The securities ore registered as follows: Mrs. Lucille B. Sheaffer ADMINISTRA TOR) EXECUTOR ) Robert H. Bowersox Betty Ann Bowersox (Name or names in which certificates are registered) 29 Country Club Road, Carlisle, PA (Addr...) KUtJt;K'l' H. tJUWt;!-(:::;ux BETTY ANN BOWERSOX (Harne) NAME OF APPLICANT COUNTY FILE NUMBER 21-78-160 ADDRESS OF APPLICANT 29 Country Club Road,~Carlisle X ~..,J'lI kft'U~'<-rPT P A ~~~~~~ F:;~~UU~:I~RTO 2plR~7p~~~~OFILCII~N:N~U:;R~ro:~~~;I~~~:L~~~ ,f~~~ CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES ~ ~ DATE . If I~ 'I I hereby consent to the tronsfer of the obove securities now registered in the name of th aforesoid r Decedent and waive the fi ling of a certificate certifying to the poyment of the transfer inheritonce tox to which the property of soid 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 IS, 1961, P.L. 373, os omended. This is olso in accordance with the provisions of the Act of April 9, 1929, P.L. 343. This Consent to Transfer the herein described property operotes only in reference to the estate of the obove-named Decedent. *~ Signed for the Secretory of Revenue B~ [' (Signature) , -4 (TI.I.) ,v (County) ~ RCC~71- (9"'-&> , APPLlCA TION FOR AND CONSENT TO TRANSFER SECURITIES REGISTERED IN THE NAME OF A RESIDENT DECEDENT '* COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF COUNTY COLLECTIONS X DATE JJ 1.y/?/-' APPLICATION (MUST BE FILED IN TRIPLICATE) TO THE PENNSYLVANIA DEPARTMENT OF REVENUE: Applicatian is hereby made far consent ta the transfer of the following securities af a Pennsylvania Carporation or a National Banking Assaciation located in Pennsylvania: (a) R (b~he Frog, Switch & Manufacturing Company(c) common (NOTE: In describing securities enter in (a), ab Oie, either the number of shares of stock or the face amaunt of 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.) ISSUED ONJune 10, 1968 , and having a TOTAL MARKET V A>LUE OF $ 896.00 (Dot.) as of the date of death of the decedent, LUC ILLE B. SHEAFFER (Nome of Decedent) ,0nMarch 21, 1978 (Date of death) who was late of 29 Country Club Road, Carlisle Cumberland FA (Street and Number) (Post Office) (County) (Stat.) The securities are registered as follows: Mrs. Lucille B. Sheaffer (Nome or names in which certificates ore registered) ROBERT H. BOWERSOX ADMINISTRATOR) BETTY ANN BOWERSOX EXECUTOR) (Nom.) 29 Country Club Road, Carlisle, FA (Add....)ROBERT H. BOWERSOX NAME OF APPLICANT BETTY ANN BOWERSOX COUNTY FILE NUMBER 21-78-160 ADDRESS OF APPLICANT 29 Country Club Road, Carli~le, )< p;ue~;II /.U'U,e.<oP7 BUREAU FILE NUMBER 21-78-160 SIGNATURE OF APPLICANT x Il.d./fli~/<" '7./ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL N,si BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES ~~ DATE _ If; I hereby consent to the transfer Qf the above securities now registered in the name of th foresaid "77 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 ~~~~~~ ; i .: Ii .~ . (,(Co~hty) BfJY-c~ L (Signohne.) " .. '. (T;t1.)