HomeMy WebLinkAboutOC1971-0420 - ESTATE OF GOFFORTRcc-n (9-68)
COMMONWEirLTH OF PENNSYLVANIA
"DEPARTMENT OF REVENUE
BUReAU OF COUNTY COLLECTIONS
APPLICATION FOR ~ND :ONSENT
TO TRANSFER S:CURITIES
REGISTERED IN THE NAME
OF A RESIDENT DEC :DENT
I
DATE Apri.l 7,1971
APPLICATION (MUST BE FILED IN TRIPLICATE)
TO THE PENNSYLVANIA DEPARTMENT OF REVENUE:
Application is hereby made for consent to the trJnsfer of the following secU'riti~s of a Pennsylvania
Corporation or a National Banking Association located in Pennsylvania:
(a)100 shares (b)Gulf Oil Corporation (c}_C_o_m_n·_o_n _
(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 t.e stated interest rate
and maturity date of registered bonds.)
ISSUED ON __1_-2_0_-_71 ,and having a TOTAL .~ARKET VAilUE OF $....!$J<....31.±.1..L37'-'.o....L5~0 _
(Name of )eced~nt)
(Date)
as of the date of death of the decedent,_---=J:-o_h_n----'-G_of_f_o_r_t ------,on f.:ebruary 25,1971
(Date of death)
(State)(County)
who was late of_~Rc::.:.~D:....::.-..!.!..#.=.l ---=E~i~g....:..ht__'y'___=F:.....:c....:..u_r \{_a_.s_h_i_n:::::..gt_o_n---=,:.....-_P_er_.n_s-.:y_l_v_a_n_i_a_l...:.S..;:..3..;:..3_0_
(Street and Number)(Post (ffice)
The securities are registered as follows:__J_o_h_n_G_o_f_f_o_r_t_a:.....:n_d_~_r_s_"_H_e_le_n_G_o_f_f_o_r~t _
(Name or names in wh ich certificates are registered)
ADM:~m£ij__....::.M;:....r_s....::..---:....H_el_e_n_G_o_f_f_or_t_,:....,_R_"_D_"---=#....:..:"'_',:...-E_:-...:::g_h_tY:...-F_o_u_r...:.,_P_en_n_s....:..y_l_v_a_:1_ia__l_S_3_3_0 _
x~eRX}(Name)(Address)
SurV1.vor NAME OF APPLICANT }irs.Helen Goff)rt
COUNTY FILE NUMBER 63-71-420 ADDRESS OF APPLICANT~~~~~~-rr~'---"-':o...!----=-<'~O
SameBUREAUFILENUMBER SIGNATURE OF APPLICAN.~
NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY PORTION OF THIS AP LICATION,ITWIL
CONSIDERED COMPLETE AND WILL BE RETURHED -0 YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATEApri1 23rd.1971
I hereby consent to the transfer of the above secu·ities now registered in the narre 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 OI';Iende-d.This is also in accordJnce with the provisions
of the Act of April 9,1929,P.L.343.
,
This Consent to Transfer the herein described pr·)pert:<operates only in reference to the estate of the
above-named Decedent.
Washington(Signature)Register of Wills
retary o.'~'evenue
~~By'_.J..j.J~~~~e-f.V~'L!::!:.~'::::'="":~~
Signed f
(Title)(CoLnty)
jAPPLICATIONFORANDCONSENT
TO TRANSFER SECURITI=S
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 trcnsfer of the following securities of a Pennsylvania
Corporation or a National Banking Association locaTed in Pe1nsylvan a:
,C(~r:.of ~:cDdi:::ial InterE:r'(a)4)stares (b)r'idel~o 3rm.ltn Investors (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 (':)t~e class of stock or the stated intelest rate
and maturity date of registered bonds.)
Rcc-n (9-68)
COMM'ONWEALTH OF PENNSYLVANIA
_DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
(Name of Deceden-)
,Tanllary 1),197~and having a TOTAL MARKET VAtUE OF $970..::...'::..;)0:::..-_
(Date)
as of the date of death of the decedent,__,J_',h~(',('f'",,~_t.,on_i:...~l.:.....r;.....T'U)...,;;aur~;,e...-..:.?-'-S+,-,1",-q~7:..,;;1,--
(Date of death)
ISSUED ON
-'Jashin",ton,PF.J1nS;/li:aD13 15'.30whowo5Iateof_~Ri'--,~:::...j!-•..J.t_l~,_
(Street and Number)
;r\t.v :0'.11'
(Post Office)(County)State>
The securities are registered as follows:__cTO_:_',0_,_o_f_-:::'-,-oY'_-_':_;::_J_l,'l_k_r_s_.,_:_:e_'l_e_n_Jo_:'_.f_o_r_t _
(Home or ncmes i,wh ch certificates are registe",d),
)~)
A.§~~·mHk{.)
survivor
f ~"t ~.-.,-"t ,1 r PelfJ.3:.rJvan'.::l ]')330Mrs.:lelen Go :'01 ,'t•.•:fl.,.::,1.1;['Y ( ,
(Name)(Address)
NAME OF APPLICANT }lrs.:>_en .":'o~';'ort.------'------
COUNTY FILE NUMBER 63-71-420 ADDRESS OF APPUCANT--=..:...R=-.+=--C..-.2......::.~~-;'.,.,-ou_r-:.l_p_e_n_r:s_y,lT"vc...,..nl7'l.:a
BUREAU FILE NUMBER Same SIGNATURE OF .~PPLICAN
NOTICE IF YOU FAIL TO PROPERLY FILL IN ANY PORl'ION OF THIS AP LICATlON,IT WILL
CONSIDERED COMPLETE AND WILL BE RETURNEe·TO "(OU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DE:lARTMENT OF REVENU =
CONSENT TO TRANSFER SECURITIES /J /"{J;'"1"DATE~';:1,~71
hereby consent to the transfer of the above securities now re~istered in the name oj thekf.resaid
Decedent and waive the filing of a certificate certifying to the paynen"of the transfer inheritance tax to which
the property of said Decedent is made subject pursuant to the proy sioils of the Act of June iO,1919~P.L.521,
as amended and the Act of June 15,1961,P.L.373,as amended.This is also in accordance with tte provisiors
of the A::t 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.
We shin.s t on
e ecretary of Revenue
By--i-!-{f~~_-~~
(Signature)
Re,sieter of Wills
(ritlel (County)