HomeMy WebLinkAboutOC1971-1143 - ESTATE OF SCHLUTZRcc-n (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
I,~
\
APPLICATION F~~D..CONSENT
TO TRA.NSfEIf'SECURITIESREGISr.~Rt1:riN THE NAME
OF"A RESiDENT DECEDENT
l
J
DATE ,.:..II}"..I IN"'!APPLICATION (MUST BE FILED IN TRiPLICATE).....rt"''''V '•;I
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:
(a)SOShrll~(b)Ufd-l,nMS ~CO.It-,1c (c)(Ot'1MOA.J
(NOTE:In describing securities enter in (a),a'b CNe,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 ?t1 Sr,;)'"!(j10,and having a TOTAL MARKET VAILUE OF $_
(Date)
as of the date of death of the decedent,JDliAJ 5C,HLwTZ ,on_f~?..2.·-lH;=...·~e~fi-'+V~::.-7f-'-1--
(Name of Decedent)(Date of cfeath)
who was late of R tilt \QAt...}Qt.,)S'Bu12.(.,(,S,;?ll ),,
(Street and Number)(Post Office)(County)(State)
The securities are registered as follows:JO}'I-J 'S(J4 lui z.?MfR\!1-1,~·I·I(liT"}{,,,
(Name or names in whi'ch c~rtjficatel are registered)/
ADMINISTRATOR)MAI2tl Ii .Stl·llui2,.i<~#,(PM"'rv<f!!uO',...PA ni?/lE'X'~):-----!........:.....-(-N-am-f-e )----:.~~.cl.!....--=...::~!!:.,--~-=--!...-f'"")~(A£dd~~e=ss!...,,:j~~-C..L[')~·~I~~"'-'--~
NAME OF APPLICANT Ir?t-K'JJ.I ~.f fAY nih.¥
_...."....3 ./\<"~_I'.1
COUNTY FILE NUMBER ~>11 ADDRESS OF APPLICANT &£..'hb h~~o f r 1"'1 KtJ)I-
BUREAU FILE NUMBER ~~SIGNATURE OF APPLICANT {lOot v II J (./~~~PA'
.NOTICE:IF YOU FAIL TO PROPERLY FILL IN ANY.PORTION OF THIS APPLICAno~,)ITWILL NofBE~
CONSIDERED COMPLETE AND WILL BE RETURNED TO YOU FOR COMPLETION.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES
DATE_15 Nov.1971
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.
r the Secretary of Revenue
"
(Signature)
Register of Wills Washington
{Title}(County)
RCC-72 (9-68)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
APPLICATION FOR AND CONSENT
TO T,RANSFER SECURITIES
REGISTERED IN THE NAME
OF A RBH)EMT DECEDENT
J
DATE I~Nor ,a]1•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 Associalion located in Pennsylvania:
(a)d OO ShC\rin(b)Gb-,etH t>e JPLort1n,rf'Uc (c)(OIA~OtJ
(NTE:In describing securities enter in (a),ab (](e,either t~e 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 r~gistered bonds.)
(State)(County)
who was late of R u tit f CA t\10"JC~"'Pi 00 /.....fA·(IJ?J1 7)
(Street and Number)(Post Office)
-ISSUED ON '..10 Nt"/1 h{'.),and having a TOTAL MARKET VAilUE OF $_
(Date)-.._1"':2 M Ir~7asofthedateofdeathofthedecedent,•...10 N ,".J ~fi t V I z..,on .v Pt/·'1 I
(Name of Decedent)(Date of death)
Pp..
The securities are registered as follows:.JOIi N $(HtufZ c'/\,'Jp.Q tI J.I.Sc fiLl)'2 t,.t...-f
(N .h'~h 'f'I .d)Iarneornames1MWfCcertlIcatesarereglstere
ADMINISTRATOR)MPlllI}1·1.ScHLvTZ,.12iStt ,(AAkJJJ5EUPu.-PP 1;;"3'/
~~R)I (Name)'.J(Address)--r::,,-
NAME OF APPLICANT \Y"~11)J......IfH L.'-"f ."
COUNTY FILE NUMBER_~1-"~.\~"t:>ADDRESS OF APPLICANT 'YIAJb lAW"FiN .1:S i pt-.f),~~f/~.
BUREAU FILE NUMBER ~SIGNATURE OF APPLICANT Ir~~,/it,flifl
NOTICE:IF YOU FAil TO PROPERLY Fill IN ANY PORTION OF THIS APPLICATION,TWill NOT "Bi"
CONSIDERED COMPLETE AND Will BE RETURNED TO YOU FOR COMPlETI N.
COMMONWEALTH OF PENNSYLVANIA -DEPARTMENT OF REVENUE
CONSENT TO TRANSFER SECURITIES 15DATE Nov.1971
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 Aptil 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.
Register of Wills Washington
(Title)(County)
Sign,ecretary of Revenue
(Signature)