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HomeMy WebLinkAbout06-28-79 -,.r~~_7~ ,",_,","" COM/fD"Wf AL TH OF PENNSYLVANIA r f'P'l'.;TMENT o~ REVENUE fK' U,.C l,: COUNTY COLLECTIONS APPLICATION 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: Applicatian is hereby made for Cllnsent to the transfer of the following securities of a Pennsylvonio Corporation or a Notional Bonking Association located in Pennsylvania: DATE June 28. 1979 (a) SO (b) thited Telepbme CaIpany of Penna. (c)4-1/2'%. (Un. Prefenoed (NOTE: In describing securities enter in (a), ab Ole, either the number of shores 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 rote and maturity dote of registered bonds.) ISSUED ON Jaruary 30, 1953 , and having 0 TOTAL MARKET V AilUE OF $ 2,200.00 (Date) os of the dote of death of the decedent, Paul W. Snyder (Name of Decedent) on J\D! 24, 1978 , (Date of death) who was late of 448 North Q>llege Street, earll81e, CUlberl8nd PA (Street and Number) (Past Office) (County) (State) The securities are registered as follows: Paul W . Snyder, Inc. (Name or names in whlch certificates are registered) ~~l~R) Mar1e M. Sayder, 448 N. Q>llege St., earll81e, PA 17013 EXECUTOR) (Name) (Address) NAME OF APPLICANT DBn1el K. Dea%\b~fl 10 Eat H1sh Street COUNTY FILE NUMBER 21-78-333 ADDRESS OF APPLICANT CarHA1e, PA 17013 BUREAU FILE NUMBER SIGNATURE OF APPLICANT ~.MD9 (,c". 0~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT BE r CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE CONSENT TO TRANSFER SECURITIES I ? CI ""'19 DATE Q- (...- \ - l I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid Decedent and waive the filing ofa certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os 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 '* ~ ~:"'d\\1~ . (Signature) iICW\RO ~ lq::r?":~ REGiSTER Of ;;.I.'.S [;U~~:tC~~~.~'.::3 (,'.J ,I 'I 11' above-named Decedent. (Title) (County) QC':C--"'~~- . COMW')I,VdAL TH OF PENNSYLVANIA rEHi;TMENT OF REVENUE B"REAlJ t..' COUNTY COLLECTIONS APPLICATION 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 for censent to the transfer of the following securities of 0 Pennsylvania Corporation or a National Banking Association located in Pennsylvania: DATE JUDe 28, 1979 (0) 60 (b) ttn1t.,t ~IDM ~-''1''(p' of PInna. (c) 4-1/'4 OWl. Prefcnd (NOTE: In describing securities enter in (0), ab Ole, either the number of shores of stock or the face amount of registered bonds, in (b), the nome of the issuing company and in (c) the closs of stock or the stated interest rote and maturity date of registered bonds.) ISSUED ON (8M ad.- aide) , and having 0 TOTAL MARKET V AtUE. OF L2.640.00 (Date) as of the date of death of the decedent, Paul W. :lq&.r (Name of Decedent) , on Jme 24. 1978 (Dote of deoth) who was late of 448 North CoUeae 81.z...-t, earUlle, a--land PA (Street and Number) (Past Office) (County) (State) The securities ore registered as follows: Paul W. ....,~. (Nome or names in whi-ch certificates are registered) k8ll\tH~*f~ EXECUTOR ) Marie M. 1n1dc', 448 N. CoUeae St., earUlle, PA, 17013 (Address) NAME OF APPLICANT DIniel K. ~ft 10 Bat B1ah ......-: COUNTY FILE NUMBER n-78-333 ADDRESS OF APPLICANT earUlle. PA 17013 BUREAU FILE NUMBER SIGNATURE OF APPLICANT 0~ k Vb~ NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT B CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION. (Name) DATE (, ,tCf.-11 I hereby consent to the transfer of the above securities now registered in the nome of the aforesaid COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENU E CONSENT TO TRANSFER SECURITIES Decedent and waive the filing of 0 certificate certifying to the payment of the transfer inheritance tax to which the property of said Decedent is mode subject pursuant to the provisions of the Act of June 20, 1919, P.L. 521, os 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 Consenf to Transfer the herein described property operates only in reference to the estate of the above-named Decedent. By (Slgnoture) RleHI,rm E. M~:1'"<::;~ REGISTER OF WilLS CU:;~G:'::{!J:ND CvlJU1Y (Title) (County) -# . Date - ~f.f1fat4t No. rA 0439 rA 0838 No. of .... 10 SO 3/23/SO l/YJ/S3