HomeMy WebLinkAboutOC1971-0241 - ESTATE OF PRICEr
RCC-72 (9·68)
. COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
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APPLICATION FOR AND CONSENT
TO TRAN~FER SECURITIES
REGISTERED IN THE NAME
OF lA RESIDENT DECEDENT
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APPLICATION (MUST BE FILED IN TRIPLI~ATE) DATE __ ~~~~-Jan S 1971
TO THE PENNSYLVANIA1;DEPARTMENT OF REVENUE:
Application isihereby mdde for consent to the transfer of the following securities of a Pennsylvania
Corporation or a National Banki~g Association l.ocated ,in. Pennsylvania:
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(a) "MO h (b) (c) Cemmen. ·
(NO: 'n ~escribing securities en er in a , ab 01e, 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 ____ --'--_._, -i and having·.a TOTAL MARKET VA!LUE OF $..:.,3,.,,.--.1...,.5'""0,.,..--,--------
(Date) ___ ,_ ----· ·-:-.. ~~---------. _ --· ...... -.• --
as of th~ date of death of the decedertt, Jbtin~~ P~V~c~ · ·' ' . .. . .. . , on Jun~ l1-. 1 ~ 70 ..
· . · . ame of Decedent) · · ate afdeat )
' ' : · Peters Township
who was late of 2888 Old Washington .Rd , Bridgeville Washington. Pa. 15017
(Street and Nuinber) ' · (Pbst Office) (County) (State)
. . . . . , . Johu ··Pr.i~·e & Mrs Jeanett'e B., Priee' as joiut teuanta.
The securities are regis'tered'as fol'lows: 'with· rt'~ht ef sur•.,ivtu·ship aad aet af& teaaata ia c·om
( ame or names in which certifi,cates are registered) moll
c .
ADMINISTRATOR) None EXECUTOR )----~~~(N_a_m_e_)~~~--.--~~------------~<A~d-dr~es_s_) __________________ _
NAME OF APPLIC~~T Jeanett,e. B. Pr:lee
COUNTY FILE NUMBER 63-71-241 ADDRESS OF APPLICANT 2888 Old Washiagton Rd . Br dgeville Pa 15~17 K
BUREAU FILE NUMBER Same SIGNATURE OF APPLICANT::_,LL.&::::::;~a.....!l:~~::::;L.-ll~~===~o:_._,
NOTICE: IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP CATION, IT WILL NOT BE ·
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU.FOR ·COMPLETION. .
COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
. CONSENT TO TRANSFER SECURITIES
. . . . DATEMarch 8th. 1971
rhe"reby consent to-the tra.nsfe~ of th_e abovesecurities::-no~-·registe.red in the-~ame ~f the -aforesaid
. ! .
Decedent and waive the. filing ·of a certifica-te ce-rtifying to the payment of th.e transfer inherita'nce ta~ to which
the property of said Decedent is made subje'ct 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.
Signe
(Signa~ure)
Register of Wills
(Title) (County)
Washing ton
' 4 ·~"" ' ... ' ...
COMMONWEAU'H OF PENNSYLVANIA
OE'PARTMENT OF REVENUE
BURE·AU OF COUNTY COLLECTIONS ••
DATE APPLICATION (MUST BE Fit.; ED IN TRIPLI9ATE) _. ---:-::J=--a-n--.5~1~97""""'1-
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
. Application is hereby melde for coosentto<the transfer pf the' following securities of a Pennsylvania
Corporation or a National Banki~.g Association located Jn Pennsylvania:
f • h 0 • •
(t1) ': _ _ (b) '_ __ . .·· _. . · (c)-c=~·------
(NoM:O flfillescribing sePurRief,K~~Tn fa,~A8cf~:either the number of shares of sto2f~~e face amount of
· ~egistered bonds, in (b), the name of the issuing company and in (c) the class of stock or the stated interest rate
an~ maturity date of registere~ bo~ds.) .. , ·
~ . ; ... ' ,•
\ ~~~UED ON -·' · , oncl!,aving a.Tp! ALMA!~~~"~~~~~ OF $·-3 ... _ .--'4lHI .• ~t'f!l()r--:-,----'-.;..__:_~;__-
·~ • . . • r· .• : .:(Da.te}. ___ -_ _ . , .... , -· ., _
~---· · -, as of tHe. date of death of the. decedent · . : · .. ··. • ·; ,! · · • on · .. • ·-
·_ \1 ·i·.,.,.~.. -t~~-~.~..,__,;,:, , :. <;,)t ·, -, · .,-4': _ J_ o,.hu. tz:-te1 f'·· · __ d .. ~ '>. >~ ·,, '··v Jun• 17 .. 1C)70 .. _,,_._.,, . \ -,• 11fame o ,Dece_ ent '' ·.' .. ·:. (Dote or·~eot~) :• ·. '
·.-' • _ i . , . . Peters Townabip .,
1
i wh'o was late of 2888 ·o14'-waabtnston Rd Brtda•vi11a Waabinaton Pa. 15017 -~
1 · . _ , ' : (Street and .!'lum~e~) ·. . . . , ., ,:; i<,ro-'t Offi~~~-_ '· . , (County)_ . (State) ,. < ·
1 i, !. -__ ·. · · •• _ · _ .. _ · · . J-ohu ,P,r.ice · ,, lf;rs J.eanett:e B. J~ri~e · a111 joint teaan_~:a ·I
The se<:uriti,es af)e registered-as fol'lows: wi'h riail't,'of ~~urvivo~sbip aad n.,ot as tenants to. .eQ-IIi,
. (Name or names in which'certificotes ore registered) . . ,· taOJl
ADMINISTRATOR):-·-·...,.· -..,.,..-i--·N_o_rt_e..,.......:....,.......,.--'--'___.._:---:--_:___;__ ______ --=--_____ ~
EXECUTOR ) (Nome) (Address) ·
\ NAME OF APPLICANT_-:JJ11eH&H!DHilet-t!:t~t•e__;B~~-r-, -11-t~!-A-------
1 COUNTY FILE NUMBER 63•71-241 ADDRESS OF APPLICA-NT-,_ .. 2=-88 .. 8...-:--0-=-lcl-rro.--:-"-....-::-'"'-h"K"''""---~ \ . . .. . B aevi Same-· · \-,;. BUREAl{ FILE NUMBER .SIGNATURE OF APPLICANT:,·}L-J· .. .&,-~q.a..~~~.x.__.:::+~ ..:......=~-··:.._,_·
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NOTICE:' IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF. THIS AP . CATION, IT WILL NOT BE
CONSIDERED COMPLETE AND WILL BE RETURNED TO. YOU FOR COMPLETION •
. .. COMMONWEALTH OF PENNSYLVANIA-DEPARTMENT OF REVENUE
·''· ·-.. . . CONSENT'TO TRANSFER SECURITIES i
.... ~~;,.,.-~>·~ ·;, ,. .. • .•. . .. DAT~rch 8th.
-.-;-· I hereby consent .to the transfer-ofthe-iibove securities:no~ registered in the name ofthe-~foresaid.
!i·; ~,_,..., . . ; ' ~ , . ~. ,~ . · ~· .. · . 1 , ,• • · . ,: ' ) \ ' ·. ,_; I 1 .. . ( :;
Decedent ana waive the filing of a certificate certifyi·ng to the payment of the transfer inheritance tax to which
. " ,. ' ' ·. ~· ·: i .• . • • ' --. .
the property of said Decedent_.i~ made stbjea pursuant to the provisions of the Act of June 20, 1919, P.L. 521,
·l
1971
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as amen~ed and the Act of June 15, 1961, P.L. 373, as amend~d: This is also in accordance with the provisions
of the Act of April 9, 1929,-P.L 343.
This Consent to Transfer the herein des.cribed property operates only in reference to the estate of the
above-named Decedent.
Sig
· (Signature)
Register of Wills Washington
(Title) (County) ..
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