HomeMy WebLinkAbout02-08-80
REV.5t7 (8.78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERA liONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
,
l__
DATE___ 2/8/80
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
Carporation or a National Banking Association located in Pennsylvania:
SUN OIL COMPANY now $2.25 Cumulative eonv.
(a) 51 (b) mm COMPANY, D'C' _ _ (c)...-Preferred
(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 company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON 9/tl/79
,and having a TOTAL MARKET VA'LUE OF L..2.129 .94
(Date)
as of the date af death of the decedent,
(Name of Decedent)
, on January 31, 1978
(Date of death)
SOOIIA SUSAN BERTRI\M
(Past Office)
curober1,!nd _
(County)
PA.
who was late of 180fl nridcre St.
(Street and Number)
New Cumberland
(State)
The securities are registered as follows: Estate of Sophia SUsan BertrarJL_________________
(Name or names in which certificates are registered)
Kenneth E. Bertram 809 Mtchiqan Ave., Lemovne, Fa. 17043
(Name) (Address)
NAME OF APPLICANT ~FrroJF:p.-&...TmNr",(JN
COUNTY FILE NUMBER 21-78-107 ADDRESS OF APPLICANT? () q,-,v l25, TPT'"n'f"P,?" 17041
BUREAU FILE NUMBER SIGNATURE OF APPLlCANL_~
NOTICE: I F YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS Af'itL~ION, Wit.L NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
H5Ut~xTdi:icmR)
EXECUTOR )
- .--.....----- .-----.. -------------_..- --~.,._--_.-
COMMONWEALTH OF PENNSYL VANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~1 I
- DATE :LhJ. "I__
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
I? ;;--(
Decedent and waive the filing of a certificate certifying to the payment of the transfer inherilollce lax to which
the property of said Decedent is made subject pursaant to the provisions of the Act of June 20, 1919, P.L. 521,
as amended and the Act of Jane 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
above-named Decedent.
. s~gn~JJith i~cr;tary of ~evenue
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