HomeMy WebLinkAbout08-06-80
COMMONWEAL TM Of PEr,N5YL \'j:,hl,.
DEPArTMENT tn q~:,vf ' r
BUREAU OF COi..'~l ; \,U:_,~ i!.)t:
APPL leA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME ,
OF A RESIDENT DECEDENT I
_______ __ ___________1
. ~ l"
!
,
'*
~"'-~-_._-'._.-.,"----..__.- ---. - '-"
R c,'~-
APPLICATION (MIiS T BE FiLED IN TRIPLICATE)
TO THE PENNSYL VANIA DEPARTMENT OF REVENUE,
ApP'ication is hereby made for consent to the tronsfer of the following securities of 0 Pennsylvania
Corporation ac 0 NoI,onal Banking Association locoted in Pennsylvonio:
DATE (jug,
in flgn
(0 L____ ! _ (b) 'lhe Penn Central C;(:ll:f'C'rci.t:ionn___ _______ (c) _Comron
(NOTE: h de$cribinlj securities enler in (0), ab Ole, either the nomber of shores of stock or the face amaont of
registered Donde, in (b), II,e norl" ,J the issuing company and in (c) the class of stock or the stated interest rote
and moturity dote 01 registered bOllds.)
ISSUED ON_.JUlJe 2, ,,1980
., and h,mng a TOTAL MARKET VAtUE OF $-LJlll
ID.:,lei
os of the dote 01 deJ.h of the decedrnt,..__:J:vaM. St:J;Qbm_ __________
(Nome of Decedent)
,on NoveniJer 18, 1977
(Dote of death)
who was late of Shi~w:y~hJE-_ ___$I1i~~_ Ctmber1~!l{L_.___. Pennsylvania
(Str<-'e',' ,'~"d Number)
(Post Office)
(County)
(State)
The securities Jre registered us follows: ._.., _..
Earl G. Strohm and John A. Strohm, Co-Executors
(Name or names in which certificates ore registered)
~)
EXECUTOR r
John A. Strohm
Earl G. Strohm
Sh~, I?A 172SJ.-
(Addreu)
NAME OF APPLICANT _~__Hami.1ton c. Davis. Esquire
24 West King St.
COUNTY FILE NU\\BER 21-78-94 ADDRESS OF APPLlCANT____ . ~/~
BUREAU FILE NUMBER H__ __.._.._SIGNATURE OF APPLlCAN _ _~~4( f(-4z//~'
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APP ICATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
(Nome)
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~
. - - DATE \"
I hereby consent to the transfer at the above securities now registered in the nome of the afor soi
Deceden; and waive the filing of a certificate certifying to the payment of the transfer inheritonce tax to which
the prope,ty 01 said Dcci'denl ;s mode subject pursuant to the provisions of the Act of June 20,1919, P.L. 521,
os amended '-'''0 the Act of lune 15,1961, P.L. 373, os amended. This is also in accordance with the provisions
of the Act of April 9, 19;'9, P.L. 343.
Thi'; Cansent to Transfer the herein described property operates only in reference to the estate of the
above..named Decederlf.
.....".
""'.
,. t\
/ '~r,' ' .~ .
Signed for the Secretory of Revenue
By_~a~ CJlp-c, \]
~ .. (5 naMe). j.L.. {/ 6 {f<~--\,
,(,.&12..3-" P^~,D I,UjLJAJ.ar..~~t~~
I -'~q~ ~ounty)