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HomeMy WebLinkAbout08-08-79 REV.517 (8.78) COMMONWEAL TH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF FIELD OPERATIONS 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: Applicotion is hereby made for consent to the transfer of the following securities 0/ a Pennsylvania Corporation or a National Banking Association locoted in Pennsylvania: The Savings and Trust Company (a) 400 (b) ,,1' TrllH 1m", Pcmn",y' v!ll"d '" (c) r.:lpH.A' St.n,",k (NOTE: In describing securities enter in (a), ab CNe, either the number of shares of stock or the face omount of registered bonds, in (b), the nome of the issuing company ond in (c) the class of stock or the stated interest rote and maturity dote of registered bonds.) . Cert.No. 1297-Feb.1,1938j2282..Ju1y 2,1962; . . ISSUED ON 2425;J!eC.20.1963,jand having a TOTAL MARKET VAilUE OF $ 62,000.00 a ate) 2971-Aug.20,1969 " "" as of the date of death of the decedent, M:~xine V. Krapf! ,on Apri 1 5, 197R (Name of Decedent) (Date of death) DATE Allg. ~, '979 who wos late of '315-B Third Street (Street and Number) New Cumberhnd (Post -Office) Cumberland Penna. (County) (State) " The securities are registered as follows: ~laxine V. Krape (Name or names in which certificates are "registered) ADMINISTRATOR) John M. Eakin, r.larket Souare B1d2:.,Mechanicsburf'.:, Penna., 17055 "EXECUTOR) (Nome) (Add,e..) NAME OF APPLICANT .1ohn IV! _ En k:i n "11 7 C' ("'11 "Market S Uare Building COUNTY FILE NUMBER ,c - I) - 0 l ADDRESS OF APPLICANT .' . BUREAU FILE NUMBER SIGNATURE OF APPLICANT NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APP A nON, IT WILL NOT BE CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR PLETION. COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES DATE ~<;f.( /979' I hereby consent to the transfer of the obove securities now registered in the name of the of&esaid Decedent and waive the filin"g 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. S21, 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 Cansent to Transfer the herein described property operates only in reference to the estate <if the above-named Decedent. Signed for the Secretory of Revenue By" Jfl~ ./UIh.{ 8. !:W; /1_oU-f/ _ . ' (SriiH&,u.l;) mmSllft" ~ ji.J ..J.1.i1.uL REGISTER OF WIlli ;-7 CU1!BERlAND COUNTY (Title) (County)