HomeMy WebLinkAbout11-06-78
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COMMO'NWEAL 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 tile transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
camnon, certificate
(a) 36 shares (b) r.anmonwea1th National R:mk (c) no 1%1 (3(1 "lulrf~C:;)
(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.)
DATE November 6. 1978
ISSUED ON 1/2/70
, and having a TOTAL MARKET V AtUE OF $ 1 ,260.00
(Dote)
as of the date of death of the decedent, Mary E. Stansfield
(Nome of Decedent)
on 9/29/78
,
(Dote of death)
who was late of IS East Main Street
(Street and Number)
Shiremanstam
Cumberland
Penna.
(Post Office)
(County)
(State)
The securities are registered as follows: Mary E. Stansfield
C. Herman Stansfield
~ Charels E. Stansfield
EXECUTOR} (Nome)
(Nome or names in wh Ich certificates ore registered)
96 South Market Street, Shiremanstown, Penna. 17011
299 East Green Street, Shiremanstown, Penna. 17011
(Address)
NAME OF APPLICANT Vera 1. Whis 1er
COUNTY FILE NUMBER 21-78-562 ADDRESS OF APPLICANT 13 East Main Street, Shiremanstown,
Penna. 17011
BUREAU FILE NUMBER SIGNATURE OF APPLICANT z)-'!A:A;L.;r: z:,~4.--
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 (]V I $1-. tf>t?r
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 Consenf to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
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COMMQNWEAL~H 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 Calsent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
DA TE Nmremher n, 197R
(a) 36 shares (b) Camnmwealth National Bank (c)camnon, certificate no. S331]
(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 3/26/73 , and having a TOTAL MARKET VAtUE OF $1,260.00
(Date)
as of the date of death of the decedent, Mary E. Stansfield , on 9/29/78
(Name of Decedent) (Date of death)
who was late of 15 East Main Street
(Street and Number)
Shiremans t CMl
(Post Office)
Cumberland
(County)
Penn a.
(State)
The securities are registered as follows: Mary E. Stansfield
(Name or names in which certificates are registered)
C. Heman Stansfield
~ Charles E. Stansfield
EXECUTOR) (Name)
96 South Market Street, ShiremanstCMl, Penna. 17011
299 East Green Street, Shiremanstown, Penna. 17011
(Address)
NAME OF APPLICANT Charles E. Stansfield
COUNTY FILE NUMBER 21-78-562
ADDRESS OF APPLICANT 299
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NO
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES en
DATE 111'./ If.-19'?~
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 Consenf to Transfer the herein described property operates only in reference to the estate of the
above-named Decedent.
Signed for the Secretary of Revenue
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. <T' :'r OF WIltS
. ".n C'-.:"i'fll .
(1',o!e) . (Countv)
I\'~~ (19'-661'
COMMONWEAl. 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 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 November 6, 1978
(a) 36 shares (b) Camnonwealth National Bank (c) common, certificate no.S33lJ
(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 3/26/73
, and having a TOTAL MARKET VAtUE OF $ 1,260.00
(Date)
as of the date of death of the decedent, Mary E. Stansfie ld
(Name of Decedent)
, on 9 /29 /7 8
(Date of death)
who was late of 15 East Main Street
(Street and Number)
Shiremanstown
Cumberland
Penn a.
(Post Office)
(County)
(State)
The securities are registered as follows: Mary E. Stansfield
C. Heman Stansfie ld
~Charles E. Stansfield
EXECUTOR) (Name)
(Name or names in whIch certificates are regIstered)
96 Sooth Market Street, ShiremanstCMl, Penna. 17011
299 East Green Street, ShiremanstCMl, Penna. 17011
(Address)
NAME OF APPLICANT C. Heman Stansfie ld
COUNTY FILE NUMBER 21-78-562 ADDRESS OF APPLlCAN~6 Sooth Market St
BUREAU FILE NUMBER SIGNATURE OF APPLlCANT'Lf ~ '.
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, IT WILL NOT
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES ~ I.
DATE '(]V J'f ~"l1'
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.
m ';":d~g'~1~W~tI
FLi;;qrg OF WiiJ.3
{T,'....\LiJ't"'J;l '~~jjlT (Countv)
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COMMON'WEAL 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 0 Pennsylvania
Corporation or a National Banking Association located in Pennsylvania: common, certificate no. 196]
35 shares; common, certifi-
(a) 36 shares (b) Carnnonwealth National Bank (c) (,:JtP. no SQ,l, 1 sn:Jrp.
(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.)
DATE November 6, 1978
ISSUED ON 1/2 /70; 3/4/70
(Date)
as of the date of death of the decedent,
, and having a TOTAL MARKET V AILUE OF $ 1.260.00
Mary E. Stansfield
(Name of Decedent)
, on
9/29/78
(Date of death)
who was late of 15 East Main Street
(Street and Number)
Shiremanstown
Ctnnber1and
Penna.
(Post Office)
(County)
(State)
The securities are registered as follows: Mary E. Stansfield
C. Heman Stansfield
~ Charles E. Stansfield
EXECUTOR) (Name)
(Name or names in whl'ch certificates ore registered)
96 South Market Street, Shiremanstown, Penna. 17011
299 East Green Street, Shiremanstown, Penna. 17011
(Address)
NAME OF APPLICANT Harold W. Stansfield
COUNTY FILE NUMBER 21-78-562
ADDRESS OF APPLICANT R.D.
BUREAU FILE NUMBER SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS
CONSIDERED COMPLETE AND WILL BE RETURNED TO YO
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES "
DATE N. /9-_ M'1Y
.
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 Secretory of Revenue
(Signature)
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