HomeMy WebLinkAbout02-14-79
RCC-72 (9-681 .
.
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
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
Corporation or a National Banking Association located in Pennsylvania:
DATE February 13. 1979
(a) 100 (b) Pennsylvania Power and Light Company (c) 9.24% Preferred
(NOTE: In describing securities enter in (a), ab (J(e, either the number of shares of stock or the face amount of
registered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V A>LUE OF $10,500.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
, on October 13. 1978
(Date of death)
who was late of 205 Parker Street,
(Street and Number)
Carlisle,
(Post Office)
Cumberland,
(County)
Pennsylvania
(State)
The securities are registered as follows: Mervin G. Coyle
(Name or names in which certificates are registered)
ASMtw l&.ic:iUDR)
EXECUTOR )
William J. Coyle
(Name)
R. D. 6. Carlisle, Fa. 17013
(Address)
NAME OF APPLICANT Tom H. Bietsch, Esq.
COUNTY FILE NUMBER
21-78-591
ADDRESS OF APPLICANT 7 Irvine Row. Carlisle. Pa.
~ )J ~~/~
17013
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.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~) ^ ('J
DATE -l:1lr-. 'r/ 1~7r
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the fi ling 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 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
above-named Decedent.
Signed for the Secretary of Revenue
By.(ftrl<~.JC ~~>:l1-"'~
. '. (SIgnature)
_"'",..., ;;, .~i',l
(Title) (County)
RCC-72 (9-681 .
COMMONWEALTH OF PENNSYL VANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
DATE February 13, 1979
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYL VANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a) 400 (b) Pennsylvania Power & Light Company (c) 4.40% Preferred
(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 name of the issuing company and in (c) the closs of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V AtUE OF $ 18.950.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
, on October 13. 1978
(Date of death)
who was late of
205 Parker Street,
Carlisle,
Cumberland, Pennsylvania
(Street and Number)
(Post Office)
(County)
(State)
The securities are registered as follows:Mervin G. Coyle
(Name or names in which certificates are registered)
~K"~)
EXECUTOR )
William J. Coyle
(Name)
R.D. 6, Carlisle, Pa. 17103
(Address)
NAME OF APPLICANT Tom H. Hietsch. Esq.
ADDRESS OF APPLlCANi Irvine Row. Carlisle, Pa. 17013
~~~
COUNTY FILE NUMBER 21-78-591
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.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~'1. I 11
DATE~(~ 7f
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
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,
as 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
above-named Decedent.
Signed for the Secretary of Revenue
-7
B'
- (Signature)
'Rjl'l~->- ~- 't, ~i~_'t'i'~:-0:)!i
f:':;';..,:<i{ -~)r 3
--hhfe-)"/\) (,,,,;t.h'( (County)
lc~
RCC..7?. 'Q_~,;~
CQMMONW"EAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 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 CQ1sent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
DA TE February 13, 1979
(a) 400 (b) Scott Paper Company (c) Common
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON___
, and having a TOTAL MARKET V A'LUE OF $ 6 ,800.00
(Dale)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
on October 13, 1978
,
(Date of death)
who was late of 205 Parker Street,
(Street and Number)
Carlisle,
(Post Office)
Cumberland, Pennsylvania
(County)
(State)
The securities are registered as follows:
Mervin G. Coy~
(Name or names in which certificates are registered)
..N)M~
EXECUTOR )
William J. Coyle R. D. 6, Carlisle, Pa. 17013
(Name) (Address)
NAME OF APPLICANT Tom H. Bietsch. Esq.
COUNTY FILE NUMBER 21-78-591
ADDRESS OF APPLICANT 7 Irvine Row, Carlisle, Pa. 17013
BUREAU FILE NUMBER SIGNA TUR E OF APPLICANT >:.:J"'-'"' kl k.f.....L t::1:-..(
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 PENNSYL VANIA - DEP ARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES I I / c:
. DA TE -,c ~. Lj - I 1? r
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the fi ling 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,
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
above-named Decedent.
Signed for the Secretary of Revenue
BY~~W L ~J.w,~ I~
(Signature)
;iV'
I\~ .',
lfT-if"~Y' ~ ;.,' ,
(County)
RCr.-72 'Q-6Pi)
COMMONW"EAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 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 consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
DA TE Febroary 13. 1979
(a) 500 (b) PPG Industries, Inc. __(c) Common
(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 issuing company and in (c) the closs of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON ______
, and having a TOTAL MARKET VAtUE OF $ 15,375.00
(Date)
as of the dote of death of the decedent,
l-lerviu G. Coyle
(Name of Decedent)
, on
October 13, 1978
(Date of death)
who was late of
205 Parker Street,
Carlisle,
CU1Ilberlaud,
Pennsylvania
(Street and Number)
(Post Office)
(County)
(State)
The securities are registered as follows:
Mervin G. Coyle
(Name or nameS in which certificates are registered)
NAME OF APPLICANT
R. D. 6, Carlisle, Pa. 17013
(Address)
Tom H. Bietsch. Esq.
~
EXECUTOR }
William J. Coyle
(Name)
COUNTY FILE NUMBER 21-78-591 ADDRESS OF APPLICANT 7 Irvine Row, Carlisle, Pa. 17013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ~'~ )J f~A~..bJ~_,
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 '-1 - I 'L! I~
DATE~. -- 17?
I hereby consent to the transfer of the above securities now registered in the name of the 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 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
above-named Decedent.
Signed for the Secretory of Revenue
/;[7 r.'J
BkI\cl~, L. \./vYJ MA<}~
\, (Signature)
f'''!f.l~':\;'t:'!Yl_ T:,. -;' :(,?~
~~il,~i~:i t
~tL~#,~
(County)
C":',~.72 ~()-<5.'?,'
Cj)MMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLlCA TION FOR AND CONSENT
TO TRANSFER SECURITIES
REGISTERED IN THE NAME
OF A RESIDENT DECEDENT
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYL.VANIA DEPARTMENT OF REVENUE:
Application is hereby made for cCllsent to the transfer of the following securities of a Pennsylvania
Corporation or (! National Banking Association located in Pennsylvania:
DATE February 13, 1979
(a) 800 (b) C. H. Masland & Sons (c) Common
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity dote of registered bonds.)
ISSUED ON
, and having 0 TOTAL MARKET V AtUE OF $ 11.250.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
, on
October l3~ 1978
(Date of death)
who was late of 205 Parker Street,
(Street and Number)
Carlisle.
(Post Offi ce)
Cumberland,
(County)
Pennsylvania
(State)
The securities ore registered as follows:
Mervin G. Coyle
(Name or names in which certificates ore registered)
~~~~) William J. Coyle R. D. 6. Carlisle, Pa. 17013
EXECUTOR ) (Name) (Address)
NAME OF APPLICANT Tom H. Bietseh~ Esq.
COUNTY FILE NUMBER 21-78-591 ADDRESS OF APPLICANT 7 Irvine Row. Carlisle, Pa. 17013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT "'--\l- L"'~ I--:.Z J3.,~t"-Li2-..
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 -'Uk I a
DATE - I Y,; ',7r
I hereby consent to the transfer of the above securities now registered in the name of the 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 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
above-named Decedent.
Signed for the Secretary of Revenue
B~. ()''t.\i.~ 8 ltJNlt>\.. fJ, .,
(Signature) (
i; .
'(J!~~d-:t ,~ {,:, ) . ;'V
(County)
RCC-72 19-681
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 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 consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
DATE February 13. 1979
(a) 1000 (b) Pennsylvania Power & Light Cnmmnn (c) Common
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V A>LUE OF $ 21.500.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
, on October 13. 1978
(Date of death)
who was late of
205 Parker Street,
Carlisle,
Cumberland . Pennsylvania
(Street and Number)
(Post Office)
(County)
(State)
The securities are registered as follows:
Mervin G. Coyle
(Nome or names in which certificates are registered)
~~
EXECUTOR )
William J. Coyle
(Name)
R. D. 6, Carlisle, Pa. 17013
(Address)
NAME OF APPLICANT Tom U. Bietsch, Esq.
ADDRESS OF APPLICANT 7 Irvine Row, Carlisle, Pa. 17013
COUNTY FILE NUMBER 21-78-591
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.
~t)~
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES '-/'\ I r II 11 {J
DATE~. r~ ?(
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid
Decedent and waive the fi ling 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 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
above-named Decedent.
Signed for the Secretary of
7
B /, -l..
l ~...:_~.....: ;,; (,:,Ai)'
(Title)
(County)
RCC-72 (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 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 consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Associalion located in Pennsylvania:
DATE February 13, 1979
(a) 1400 (b) The Girard Couq>any (c) Common
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V AtUE OF $ 34.300.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
, on October 13, 1978
(Date of death)
who was late of
205 Parker Street,
Carlisle,
Cumberland, Pennsylvania
(Street and Number)
(Post Office)
(County)
(State)
The securities are registered as follows:
Mervin G. Coyle
(Nome or names in which certificates are registered)
~~i~_
EXECUTOR )
R.D. 6, Carlisle, Pa. 17013
(Addres s)
NAME OF APPLICANT Tom H. Bietsch, Esq.
COUNTY FILE NUMBER 21-78-591 ADDRESS OF APPLICANT 7 Irvine Row, Carlisle. Pa. 17013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT -=-~ k~ ~
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.
William J. Coyle
(Name)
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES DATE~ It; (97~
I hereby consent to the transfer of the above securities now registered in the name of the 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 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
above-named Decedent.
(County)
RCC-72 (9-6,~.)
COMMONWFAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF 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 PENNSYL VANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Bonking Association located in Pennsylvania:
DATE February 13, 1979
(at 1520 (b) General Public Utilities Corporation (c) COtlt!()u
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity dute of registered bonds.)
ISSUED ON ___
, and having a TOTAL MARKET V A'LUE OF $ 28,880.00
(Date)
as of the dote of death of the decedent, Me:tvin G. Coyle
(Name of Decedent)
on October 13, 1979
,
(Date of death)
who was late of
205 Parker Street,
Carlisle,
C\mberland ,
Pennsylvania
(Street llnd Number)
(Post Office)
(County)
(State)
The securities are registered as follows:
Mervin G. Coyle
(Name or names in which certificates are registered)
~ tVilliam J. Coyle R. D. 6, Carlisle, Pa. 17013
EXECUTOR) (Name) (Address)
NAME OF APPLICANT Tern H. Bietsch, E.o;q.
COUNTY FILE NUMBER 21-78-591 ADDRESS OF APPLICANT 7 Irvine Pow, Carlisle, Pa. 17013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ~~ )J VL~~
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 PENNSYL V ANI A - DEPARTMENT OF R EVENU E ~
CONSENT TO TRANSFER SECURITIES ~ III 191
DATE 7. '(- r
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid .
Decedent and waive the fi ling 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 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
above-named Decedent.
Signed for the Secretary of Revenue
~~WE.~loMW?~
($.igo~!~,re) ,J . - . "
'i,f':,:t~.~'!
(Titlel:.~;.f.."iti{f (County)
RCC-72 (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLlCA TION 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 Calsent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
DA TE February 13, 1979
(a) 2568 (b) CCNB Corporation (c) Common
(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 issuing company and in (c) the class of stock or the stated interest rate
and maturity date of registered bonds.)
ISSUED ON
, and having a TOTAL MARKET V A'LUE OF $ 30,174.00
(Date)
as of the date of death of the decedent,
Mervin G. Coyle
(Name of Decedent)
on October 13, 1978
,
(Date of death)
who was late of 205 Park~r Street,
(Street and Number)
Carlisle,
(Post Office)
Cu-mberland,
(County)
Pennsylvania
(State)
The securities are registered as follows: Mervin G. Coyle
(Name or names in which certificates are registered)
~.UllCM4t~) lvi111am J. Coyle
EXECUTOR) (Name)
COUNTY FILE NUMBER 21-78-591
R. D. 6, Carlisle, Pa. 17013
(Address)
NAME OF APPLICANT Tom H. B1etsch, ESQ.
ADDRESS OF APPLICANT 7 Irvine Row, Carlisle, Pe.
1.7013
BUREAU FILE NUMBER SIGNATURE OF APPLICANT ~v....., 1J tl~-1;:.~
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 t f
DATE~ /~.~(9~r
I hereby consent to the transfer of the above securities now registered in the name of the aforesaid .
Decedent and waive the fi ling 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 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
above-named Decedent.
Signed for the Secretary of Revenue
Bf, .
~}?-\
(Title)
(County)