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RECEIVED ________-_______.OD'R B.Um-.1lft 1It.-vJDI .. .&'/lao------------~s
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
... 1417
17011
6% Tax on
$
$
$
$
$ I
$
$ .11..'
$
2% Tax on
$
File No. ~l_"""~. Date of Death a-27-1..78
1Sf{CI Tax on $
Date of Payment
tf....'f:.Y 11.
1180
% Tax 0 n $
Estate Tax, Act of
May 7, 1927
Name of Decedent
nOLft K. .uDY
County ,........r1...
..AJD 011 AQC01J8-
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_ % from
to
$
Remarks:
lYOO~[P[L~@&lY~
SEA L
TOTAL AMOUNT PAID
$
411.47
NOTE: This Triplie8te Receipt to be reteined for audit purposes.
~A'~~'~
IIaJ:OUl1g . ur , D. *1'
...iaa.. of .11 I
(Title)
Received by
NOTE: In accepting the trander inheritance tax an future estates, prior to the death of the Iif.
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever it appears that such additional tax may be legally due and
collectible for any reason whatsoever.