HomeMy WebLinkAbout06-13-79
RCC-72 (9-68,1
COMMONWEAL 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
*'
DATE
6/13/79
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:
due 11-1-77
(a) 900 (b) Jamaica Water and Utili ties, Inc. (c) 6.50' Series A Sub Deb
(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 stack or the stoted interest rate
and maturity date of regi stered bonds.)
ISSUED ON
2-20-68
, and hoving a TOTAL MARKET V AILUE OF $
900.00
(Date)
as of the date of death of the decedent,
Elsie K. Gehring
(Name of Decedent)
,on Oct. 7,1978
(Date of death)
who was late of Apt. 4, Bellaire Apts. . 70 W. South St., Carlisle, Cumberland, PA
(Street and Number) (Post Office) (County) (State) 17013
The securities are registered as follows:
Elsie K. Gehring
(Nome or names in which certificates are registered)
~x
EXECUTOR )
Joan G. Lightner, 5301 Carlisle Pike, Mechanicsburg, PA 17055
Philip K. Gehring. 151 City View Dr., Valparaiso, IN 46383
(Name) (Address)
NAME OF APPLICANT James R. Humer
COUNTY FILE NUMBER 21-78- 569 ADDRESS OF APPLICANT
BUREAU FILE NUMBER 2l-78-W SIGNATURE OF APPLICANT
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS P
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU F . R
Carlisle, PA
"~"-.,,J1~,--~ , 17013
CATION, IT WILL NOT BE
OMPLETION.
COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES /.. ) '\ r r J -, Q
DATE~
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 ;s 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
By
above.named Decedent.
RleHM/l) !. ~JlDrnnl
REGISTER OF Wi:JS
(;L::::~;:l':iiJ CJj'ITY
(Title)
(County)