HomeMy WebLinkAboutOC1968-1361 - ESTATE OF FILIPPONIRC C•72 (6-67)
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
I
APPLICATION
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
DATE October 15, 1968
Application is hereby made for coosent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
{a) 72 {b) Pittbburgh National Bank {c)_C_o_mm_o_n ____ _
(NOTE: In describing securities enter in (a), abate, 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 May 22, 1964 , and having a TOTAL MARKET VALUE OF $--=..44-=-6=-4::....:•:....:0:...::0 _____ ~
as of the date of d<~;;h> of the decedent, pariaina Filipponi October ?, 1968 ,on ________________ __
(Name of Decedent) (Date of death)
who was lateof ______ ~B~o~x~l~5~7~ __________ S_'l~ov~a_n __________ \,_'u_s_h_i_r~tg~'t_o_r~l _______ P __ e_n_n_a_. __ _
(Street and Number} (Post Office) (County) (State}
The securities are registered as follows: Mrs Pariainr.'\ Filipponi &Felix Filipponi Jt-Ten \'IROS
(Name or names in which certificates are registered)
ADMINISTRATOR) Felix Filippon1 llox 157, ~lov.:.m, Penna.
EXECUTOR ) (Name) . <A~dr_essl i b 3 _ ~ 8' -lj L \ NAME OF APPLICANT_Fe_l_i_x_li_J._J._J.p_p_o_n _____ _
COUNTY FILE NUMBER 1361-1968 ADDRESS OF APPLICANT Box 157, Slovun, Penna.l5078
BUREAU FILE NUMBER Sam~ SIGNATURE OF APPLICANT ..;J.el.;y ~
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS APPLICATION, I~
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE Oct. 16th. 1968
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.
(Signature)
Register of Wills Wlshington
(Title) (County)
I am the attorney of record for t!!e es-
tate or the transferee shown on the
front of this form. I do ~e~ehy person-
ally guarantee the payment. ,.,; Vhin the
time prescribed by law, of nnv PennGyl-
vania inheritance te.::z r!l:~ r:.h rn8:.r .,~ 'lue.
on the transfer of th8 f'"'CTJ.r5.t.iP.:' 1 ; sted
hereon for which a cor:sent to transfer
is ·~ya,n"d. /} /) J. .(). , 1~/!~/t.~ "-6.~.'.-:~~ ..
(Date) (Signature) ·--------
r r ·~r
I '{