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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRMISFER 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:
Application is hereby made far consent to the transfer of the fallowing securities of a Pennsylvania
Co.poralion or a National Banking Associalion located in Pennsylvania:
DATE June I, 197R
(a) 409 (b) Philadelphia Electric Company (c) common
(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 compan)' and in (c) the closs of stock or the stated interest rate
and maturity dote of registered bonds.l C01211969-0ctober 15, 1973
C342520-July 22, t971 U0082232-0ctober 14 1975
ISSUED ON C382280-June 14 " ann~ving a TOTAL MARKET VA>LUE OF $ 7.375.
(Dote)
as of Ihe dot" of death of the decedent,
Howard G. Plank
(Name of Decedent)
,on March 4. 1978
(Date of death)
L If 3019 Dickinson Street, Camp Hill, Cumberland, Pa.
WnO was ote 0
(Street ond Number)
(Post Office)
(County)
(State)
The securities ore registered os fallows:
Howard G. Plank
(Nome or names in which certificates are registered)
t,UbH,Ht&:kIX~'J(I~ro
co-EXECUTOR )
R. D. #l
East_W~t~rfor~~~ 170?1
.. (Address)
NAME OF APPLICANT Dr. George Plank
. . . 17021
COUNTYFILENUMBER;(/-77~/r;7 _ADDRESS OF APPLICANT R.D.H, East Waterford, Pa.
BUREAU FILE NUMBER. ' SIGNATURE OF APPLlCANT~~J..-::2y9-tlJ;G~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLlCATION~ WILL 'NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
Dr. Georqe Plank
(Nome)
COMMONWEALTH OF PENNSYLVANIA - DEP ARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~
DATE .;!
I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid
, ~ '"If'
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, 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 eslate of the
above-nnrned Decedent.
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Signed for the Secretory of Revenue
B~ <2.. ~Wt1."1 (j..,~ji>1Y\
R1Cf\.51gno .L',ij~RSOff .
REGISTER OF WILLS
, CUMBERIiINO COUNtt
(THie) (County)