HomeMy WebLinkAbout08-15-78
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AEPLICAIK.i:i
TO THE PEi;"~J ','
/H,
Corporafion
(a)___
(NOTE:
50 ahs.
h
rcgist;~f,,;,
and mc+ui OJ'
ISSUED ON
as of !hc:
who wos Jotr; ,
A/.)MINIST!1j\ 1,'lj "
~!~V~
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------+..~ ---.----.---.----.-
liON FOR AND CONSENT
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DA TE A'(S'JliJt 1.5. 1978
" ;'i.: J::'f'. I~' TRIP' IrATE)
L.\",,_ 1.0; . L ..., _
Vt,~U!, DEPAI~TMENT OF REVENUE:
f!f€by iT.lde for consent to the transfer of the fol/owing securitie,s of a Pennsylvania
king Associut ion located in Pennsylvania:
, '
;:-' r 1 ~... , ,'"
.~~~an_tJ~J~!.c;1tfie1d_g.Q_"__n_ (c) Co- _
Sf' lFi~ie$ "'1(,"' in (a), r:;b Ole, either the number of shares of stock or the face amount of
~'" ,I][n"" "if>, rS~i'i1g company and in (c) the class of stock or the stated interest rate
The secu(i~;:,~ c i'UJj'1"':('
Ma:nr E.1:1cNalum.,2239_H1l1 Park Co~t. ~L!.IItllr. GAorgia 10011
(I.I;e,'..' (Address)
NAME OF APPLICANT William R. Mark., Attorn~y
COUNT';' F,LE'. f;,(;:~ ::?1~'1r.'1?.3__ ADDRESS OF APPLICANT --1.U-Eut: Jfing ~tr"'At, Shippenaburl.
PA 172.57
BUREAU Fil.E NUMBeR '. ..--.----__SIGNA TURE OF APPLICANT 7.4--1.1.. ..,".. ~<-4_
NOTICE: ;F YO~. F/dllO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
'-~ONSIDE;'1,ED COiAPLETt: AND WILL BE RETURNED TO YOU FOR COMPLETION.
cq, -.t.:; ~,:,:'d
,
$.. f
2.-4-77
, "'Ci.:i r;"..,ing a TOTAL MARKET VAtlUE OF $ $2,437.50
o
, )1 t~.: ceCEde"t, ---llf.y~~L~Eah,,_____
(Name of Decedent)
, on April 14, 1978
(Date of death)
, ,~22 ~... _Pr~.9~_ Stree~hi.pp~I1.))urS
'S.."", "','1 Numb,.,} (Post Office)
CUJIIberlad
(County)
Pe_.vIvani.
(State)
fo I j (""/ s: _ _____ _~~g . Eah
(Name or names in which certificates are registered)
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COi'IM '....'EAL Tii OF PENNSYL VA.NIA - DEPARTMENT OF REVENUE
CO.NSENT TO_TRANSFER SECURITIES DATE,J",.l.c
I hc,€!:;v cow:, "', j' to thl? tfcf1sfer of the above securities now registered in the name of th~d
DeCt;Jent a"d woi\,
the properly nr,,,,)
in9 of 0 certificate certifying to the payment of the transfer inheritance tax to which
(l~ umend{fj ,nd ;h';"cr ,i:,'f, 15,1961, P.L 373, as amended. This is also in accordance with the provisions
''11' rnode subject pursuant to the provisions of the Act of June 20, 1919, P.L 521,
of the Act ot,li,rril ;1, 1<'6, ':':.L. 343.
above-named Dev,rki'L
This (~r'l';;~~,r;~ f' 11 rOilS7'er
herein described property operates only in reference to the estate of the
Signed for the Secretary of Revenue
~:~j;;;~' ('Yi/tr'C'-"f"-~
1 i, Of- WiU.3
(Ti',le) ;..",,3 L",;!;'fIl (County)
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WEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE ~'
CO!<~ENT TOJRANSFER SECURITIES DATE." >P. (f?V
CGn:;'~ll lG the transfer of ;he above securities now registered in the nome of the afo said
eA 1 iON FUR J~ND CONSENT
'fF;;A F SECURITIES
"L.\.:; STEREO IN THE NAME
OF A RESIDENT DECEDENT
:3c. 1
-----....----
APPUCATi"i
~~,..,..-_......_....-_.,
TO THE PENI'.,;Y
--.~ --._-.. ---------..-----------..-----
C'I..,rpOi"'(lf'ic,n ::' C f'r~
i,' F'E FiLED iN TRIPUc..\TEl
'l A~!lA DE? AR1 ,~ENT OF REVENUE:
;" l!elEhy r'lode for consent to the transfer of the following securities of a Pennsylvania
king Associol ion located in Pennsylvania:
DATE AugU8t 15. 1978
(aL_ 50~hares C~B________ (c) Common
(NOTE, h ,I," u' C" ,'. ".it,., <"fe, '" ("), ,b <Ye, eith.. the ""mbe, of sho,es of stock 0' the face amo""t 01
rNII.~lere, q! err" of ;"1.' i:CSi.ing company and in (c) the class of stock or the stated interest rote
and if1'lt", 'i}' '1(1, S ".':i D01'J _)
ISSUED ON 3-26-79, 7-13-71, (;d':cv'r;q a TOTAL MARKET VAtUE OF $ (pi-CO
,'-." ,9-9-71
as 0+ jh rul" :
'i ,c .1." decedent, ----~_:t'~_~. E~h
(Nome of Decedent)
,on April 14. 1978
(Dote of death)
who 'V'JS ICT0 of 22 N. P:r~~~~__~E~~~_~ S~!PP~l!!Iburg
Cuni>erland
Pennsvlvania
(State)
"',e "",d Ncmber)
(Post Office)
(County)
The S!;curd,,,;:;
. "J!'" d', lcd1ow;.
Myra C. Esh
ADMiNISTRA';' r'
~
(Nome or names in which certificates ore registered)
Mary E. McMahan. 2239 Hill Park Court. Decatur, Georgia 30031
~~""E (Address)
NAME OF APPLICANT Wil1:f.Rm R. MJa1"'lo Attorney
COUN;' 'i ,.', LEN L", f. .i?,'- '11t-5_2._ ADDRESS OF APPLICANT 11; iju. KiRQ S....... Sh1pp....l>""g.
BUREAU Fi 'W.Y.8ER__ "-, ---SIGNATURE OF APPLICANT '7({~ ~dL-4
NOTICE: CD "'dl TO "r-(QPEi<LY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE
CO~t5WERED ":'OMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
-_._.._---~_._._-
i h
Deceue,,' ",,' w, ., fi>, , '''9 oj a ce,'ilka'e ce,'ilyi"" to the payment 01 'he t..osfe, i"he,ita"ce tax to which
the prop,'r~}' , ' s
,J r-,
;;,It made subject pursuant to the provisions of the Act of June 20,1919, P.l. 521,
as amend";d ,n"
,: I.'~ 1 (
'Jr.'., L3, 1961, P.L. 373, as amended. This is also in accordance with the provisions
of the Act of PI ,Ii 9' U i P.L. 343.
This " I,)} rmi.;fe; ~he herein described property operates only in reference to the estate of the
ahov'~-numed Df'\.. t.
Signed for the Secretory of Revenue
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(Signature)
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(Title)
(C,sunty)