HomeMy WebLinkAbout05-04-83
REV-517 EX+ (3-81)
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APPLICATION TO
TRANSFER SECURITIES
FILE NUMBER: 21-78-463
COUNTY CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIDENT DECEDENT
L
STATE
PENNSYLVANIA
NOTE: THIS APPLICATION MUST BE FILED IN TRIPLICATE WITH THE,REGISTER OF WILLS FOR THE
COUNTY IN WHICH THE DECEDENT RESIDED AT THE TIME OF DEATH.
Name of Decedent:
MARY ELIZABETH HOUfES
DATE May 2, 1983
Date of Death: July 28, 1978 County: Cumberland
Address of
Decedent: 137 East Park Street
Carlisle.
(CITY. BOROUGH)
PA
(STATE)
17013
(ZIP COOE)
DESCRIPTION OF SECURITI ES:
1. Stocks 8.
100
(NUMBER OF SHARES)
~~2.80 Preferred
(CLASS OF STOCK)
c.
Atlantic Richfield Company
(NAME OF ISSUING COMPANY)
d. Unknown -- Lost Ctf.
(DATE OF IS5UANCE)
(Ctf. No. CX 27098)
e. $ 5 900 00
(DATE OF DEATH
TOTAL MARKET VALUE)
2. Bonds 8.
(FACE AMOUNT)
b.
(INTEREST RATE)
c.
(MATURITY DATE)
a.
(NAME OF ISSUING COMPANY)
e.
(DATE OF ISSUANCE)
f.
(DATE OF DEATH
TOTAL MARKET VALUE)
he securities are registered as follows: M3.rion David Iblnes and Ma
(NAME OR NAMES IN WHICH CE
Ime of Applicant:
fdress of
)plicant:
WIILIAM F. MARrSON, P. C., Attorneys fot
the Estate of M3.ry Elizabeth Ib1mes
Ten Fast High Street. P.O. BOX L
Carlisle. PA 17013
Imy, BOROUGH' ISTATE) eZOP CODE' I
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CONSENT TO TRANSFER SECURITIES
1
I hereby consent to the transfer of the above securities and waive the filing of a certificate certifying to the
!yment of the transfer Inheritance Tax.
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