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OFFICli\L NOTICE OF INIIIHI ITANCF
TAX i\I'I'IMISFMI\NT AND ASSI\SSMI1NT
01' ASSETS Nll'l' SlJ II.IE ( 'T
'I'll ,\I)MIN1STI~i\Tl0N
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RCC'l34 l'f'81
l'()~"'NWHAI:1'1\ Ill' l'liNNNY IN ANIA
nlil'ARTMliN1' ()fl RI!VliNlIH
llllRHAIJ OF ClIlINTV C(l\.LI~CTIIINH
INlIliltlTANCli TAl( IIIVIHIIIN
DatOl.
30 ^\II'U 79
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13~ HlddlM'lx,R~,
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County C.,d.nd
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County Fllo No...........L." . Y '<',.
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Buroau File No,... '
WOhav,,' reoo,lvod n"OtlCII"th,oti o. 0 ruult of tho doatl,' 01._-,_ l,' IfrAnk. A,!._cernu.'l
on, J ~ClIlIIb.1' 19.1A I Y\lU oamo Into ownorshlpof corloln proporty 1I0ug' r 9 "hip, w~loh
wal (\lrm.r1y,owned by the ~ooodont,
Undor Ihe Inhorltonce a~d Eslolo Tox Lows 01 tho COl1\monwoalth 01 Ponnsylvanlo, such tronlfors or'e I'oxoblo
and Ihe lIoblllty for the paymont of the Inhorltonco taxdue 15 Imposod upon you, as tronslorot, '
The proporty on which lox i. horoby oBBeBBod consists qfl ,JQtnt ACllo"nt. , 05M03-;11I !l1l90II\: thl
. DAllphin J)apodt lIlItlk /Ind 1'rUlt Cn. 11\ tl\., II",...Q' tho doc(ldCilnt. Qr RiI\:tl'.
---1'lloollnt,Qltlblhhed 6 .January 7'3.
..--.....---'.
oppralaed by the Commonwoolth(ol 01 tho dote of do~t~,ot $
100 % of.thla omountlstaxable atlho roto of., " - %
U,O'l2.l:l
Q.!llGINAL ASSESSMENT AMENDED ASSESSMENT
DATE OF ASSBS$Ml!MT
TAXABLB AMOUMT
LESSl ALLOWED DEBT$
HBT TAXAB\.B AMOUMT
$
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$, .I ~"6it"'}
8'.0 9 t;l,3S,'
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AMOUMT OF TAX DUE
If you poy Ihe above omounl within three (3) months 01 Ihe
dole 01 dooth of tho decodent, or on or ,be/ore '.
. 19~, you may deduct 0 discount of
5% of Ihe omoun t of IQX due.. or .
This tax became delinquent nino (9) months after death
(une year If dooth occurred prior to Decembor 22, 1965
and fifteen monlhs If dOllth occurred on or after
December 22, 1965 but prior to Juno 17,1971) and In
addition 10 tho lOK, alolulory Int,oroat at tho r9jo of 6% ,of
the tax per annum Is 01 BO dUG 05, of .:......J.,.::- I 19 1'1
Inlheomountof k Jf"";J.J,nCf (d.\/.),Gr?J
*1/ Ihe lox Is not paid by the obovo date additional
. Inleresl II duo at the ,rate of 6% per annum until po Id
j'L \., fir(
I
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TOTAL AMOUNT DUE
$
\,]....\'2),L~( S
\,')\) U \ ,..IL.~
(Avb"t for Iho COfTlMlonwoQ Tth)
., I~~!?t -^3
.-I
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APPRAISeOBYI
AssesseD BY:
llnk.,".n.. T.. Appr.".')
INSTRUCTIONS TO TAXPA Y~RS
Moko checkl or monoy ordors payoblo to: To Insure proper credit 10 your account
, this Official Notice musl accompany
your paymonl, Moil or bring It tOI
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<X ,- I ( -vii ,'-( /c'/t y:. /c1 ,. ,';/' \n:.',//
NOTEI Any party In Inlorest who 15 oggrlovod by this nollco may object Illereto wllhll1 slxly dQYs, after rec-elpt 01
saldnollce 01 provided by Soctlon 100101 Iho InhorlloncD and Estate Tax Acl of 1961, 72 P,S. 2485-\001.
QUADRUPLICATe - REGISTER Of WILLS COpY