HomeMy WebLinkAbout09-19-78
RCC~72 (9-68)
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
DATE
9/19/78
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
Corporotion or a National Banking Association located in Pennsylvonia:
(a) 104.h (b) The York Bauk & Tru.t COIIp&DY (c) c__n
(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 name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
varlou. date.
, and having a TOTAL MARKET VA'LUE OF $ 2.314.00
(Date)
as of the date of death of the decedent,
l1iaa I. Krafft
, on
12/16/77
(Name of Decedent)
(Date of death)
who was late of
628 W. It1Dg St.
York
York
(St,eet and Numbe,)
(Past Office)
(County)
Pal
(State)
The securities are registered as follows:
l1iaa E. Krafft
(Name or names in which certificates are registered)
~~~)
CO-EXECUTOR )
C. aary Gart.ide, York, Pa.
The York Bauk & Trust Co., 21 E. Market St., York. Pa. 17401
(Name) (Add,ess)
NAME OF APPLICANT The York Bank & TrwIt Co.
COUNTY FILE NUMBER 21-78-41 ADDRESS OF APPLICANT 21 K. HarDt St.. York, Pa. ,16n1
. _Li/;. AI .., /- AIIdatant
BUREAU FILE NUMBER U-78-41 SIGNA TUR E OF APPLlCAN"f',1YflJ.t-~ / (V . Zt~.f,/;r,7/{ A'TU.t Officer
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.
DATE fjCj)~~-lq?f
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
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
abo,ve-named Decedent.