HomeMy WebLinkAbout01-23-78
RCC.72 \9~68)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
.
Ii
DAT~~A'3i/97,f
(j .'
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is. hereby made far clllsent to the transfer of the fallowing securities of a Pennsylvania
Corporation ar.a National Banking Assacialian located in Pennsylvania:
(a) 1~6 (b) PHTLADELFIUlIi\ F.LF.CTRIC CO. (c) COMMON
(NOTE: In describing securities enter in (a), ab Ole, either the number of shares of stock or the face omount of
registered bonds, in (b), the name of the issuing com pony ond in (c) the class of stock or the stoted interest rate
ond moturity date of registered bonds.)
9/29j..7):c;~7~c' ,10/3/72--11 10/5/73-8
ISSUED ON~/n~100 ,and having a TOTAL MARKET VAILUE OF $ . ~~457.00
(Date)
as of the date of death of the decedent,
MIRIAM R. GARMAN.
, an
DECEMBER 28,1977
(Name of Decedent)
(Date of death)
who was lote af~7 SOlT')'!! pT'."]' ~T
-
(Street and Number)
~A'RT.T~T.F. PM
(Post Office)
CTTMRF.'RT.A N11
(County)
PENNA
(Stote)
The securities are registered as followsflAY E. GARMAN & MIRIAM R. GARMAN TEN ENT
(Name or names in which certificates are registered)
,J,.r
ADMINISTRA TOR)
EXECUTOR )
NAME OF APPLICANT
(Address)
RAY E. GARMAN
(Name)
COUNTYFILE NUMBER.;( 1-'7 'if- 51
ADDRESS OF APPLICANT 317 SOUTH PITT ST.CARLISLE PA\
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP ICATIO, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPL TlON.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~ d
DATE ~ ;;?'3,A /970
I hereby consent to the transfer of the above securities now registered in the name of th 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 mode subject pursuont to the provisions of the Act of June 20, 1919, P.L. 521,
as amended ond the Act of June 15, 1961, P.L. 373, as amended. 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
nnove-nomed Decedent.
.~
Signed for the Secretary of Revenue
By*nQJ~ ~J~.'"'T \f-'~~
(Signature). .
RIGW,iW E. ANDERSOli1
REGISTER OF WILLS 1 _ /\
(Title) ~~..:~;::~;";i\u l.UU~trc)~nty) /11i1-b" .
,~
~ )OU_E:T 10 -/3(-':2-.