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..... .....
11011
Date of. Death 8-1-19?8
_ ..... 19.1m
_J1l I. I.".r
100 ~ [p [L ~ @ lifIT rn
SEA L
te R~pt to be retained for 8udlt purpoua.
2 % Tax on $
6 % Tax 0 n $
,i,
15'10 Tax on $
dollars
representing Pennsylvania Inheritance or
Estate Tax d_ue from the following estate:
$
$
$
$
% Tax 0 {l $
Estate Tax, Act of
May 7, 1927
TOT Al TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_ % from
to
$
$
....!1
s
$
Received by
.ptlng the tranlf.r Inh.rltanc. tax on future e.tate., prior to the death of the life
r y.arl, 01 evidenced by this r.c.lpt, It I. understood that the Commonwealth .hall
. or pr.v.nt.d from h.r.after a.....lng additional Inheritance lox at the death of the
nt for y.ars wh.n.ver it appears thaI luch additional tax may be legally due and
rea.on whatso.v.r.