HomeMy WebLinkAbout05-18-78
RCC.72 (9-68)
CClMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLlCA TlON FOR AND CONSENT
TO TRANSFER 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 mode for consent to the transfer of the following securities of 0 Pennsylvania
Corporation or 0 Notional Bonking Association located in Pennsylvania:
DATE__M~ 18, 1978
(0) one (]~ (b) Inter-State Milk Producers I Coop. ~dj~~lJt()~~L - ~~;~e
(NOTE: In describing securities enter in (a), ab Ole, either the number of shores '~Ls't;)'ck-or tfl"e' t'a'ie moun 0
registered bonds, in (b), the nome of the issuing com pony and in (c) the closs of stock or the stated interest rot~
ond maturity dote of registered bonds.)
ISSUEDON May 22, 1974
(Oo.e)
os of th~ dote of deoth of the decedent,
, and hoving 0 TOTAL MARKET V A>LUE OF S 1. 00
Chester G. Lebo
, on
2/8/78
(Oat. of death)
(Nome of Decedent)
who wos lote of
(Stre.t and Number)
R. D. 4, Carlisle, Cumberland County, Pa.
(Po..Olllce)
(County)
(Stat.)
The s~curities or~ r~gist~red os follows:
Chester G. Lebo
(Name or name. In which certificate. are registered)
AOO1~
EXECUTGRx )
Esther H. Lebo,
(Nome)
NAME OF APPLICANT
R. D. 4, Carlisle, Pa. 17013
(Address)
'Esther H. Lebo
COUNTY FILE NUMBER
21-78-114
ADDRESS OF APPLICANT R.
D. 4, Box 228, Carlisle,Pa.
C J . J /1 17013
(-<1IJ1..VV -41, ~~
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
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.
COMMONWEAL TH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~.
DA TE 19 /'177
I hereby consent to the tronsfer of th~ obove securities now registered in the nom~ of tH of ores aid
Decedent and waive the fi ling of 0 c~rtjficote certifying to the payment of th~ transfer inheritance tax to which
the property of soid Decedent is made subject pursuant to the provisions of the Act of June 20, 1919, ,P.L. 521,
os amended and the Act of June IS, 1961, P.L. 373, as amended. This is also in accordanc~ with th~ p~ovisions
of the Act of April 9, 1929, P.L. 343.
This Consent to Transfer the her~in describ~d proPerty operat~s only in ref~rence to th~ ~stat.e of the
above.named D~c~dent.
*~
Signed for the Secretary of Revenue
BGlr~~~;\t~.sS~~~~ 1~d~
. \',':us
(Tltl.) , "-'lebun.,)
RCC-n (9-(\Sl
CO':MONW~AL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPlICA TlON FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
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
Corporation or a National Banking Association located in Pennsylvania:
DATE
May Hi, 1978
(a) 31 (b) Lehiqh Valley Cooperative Farmers (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 name of the i$Suing COmpany and in (c) the closs of stock or the stated interest rate
and maturity date of registered bonds.) . ,
3/25/71, 9/25/71, 3/25/72, 9/25/72, 3/25/73, 9/25/73, 3/25/74, and
ISSUED ON 7/31/75 ,and ha,ving a TOTAL MARKET VA'lUE OF S None
(Oo.e)
as of the date of death of the decedent, Chester G. Lebo
(Name of Decedent)
,on 2/8/78
(Date of death)
who was late of
R. D. 4, Carlisle, Cumberland County, Pa.
(Street and Number)
(Post Office)
(County)
(S.o..)
The securities are registered os follows:
Chester G. Lebo
(Name or names In which certificates are registered)
~AAJr~
EXECUTQRrx )
Esther H. Lebo. R. D. 4. Carlisle. Pa. 17013
(Nome) (Address)
NAME OF APPLICANT Esther H. Lebo
.
COUNTY FILE NUMBER 21-78-114 ADDRESS OF APPlICANTR.D. 4. Rox 228. Carlisle. Pa.
C'-HJ y/ 17013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT (LJ~.J ~ ~
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.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~
DATE' \,''01/ /F 197 Y"
I hereby consent to the tronsfer of the above securities now registered in the nome 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 made subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
as a~ended 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
above-named Decedent.
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(Tltl.) (Counly)