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HomeMy WebLinkAbout01-29-79 ..-..._ ___ "'-'A. ,iii Ace 4 (2/771 II COMMONWEALTH OF PENNSYLVANIA . NO. H 063780 DEPARTMENT OF REVENUE ; . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX II '" ; II --- -- - - ~ - ...,..... "---"-... - - -....~- '*' RECEIVED -------------------J'OtJR HUJIDR.BD 'l'H.Ilrl'EIlf . 1 lOO----------------dollors representing Pennsylvania Inheritance or Estate Tax due from the following estate: File No. Richard W Cleckner Ea 21'\ Tax on $ $ 6% Tox on $ $ 15o/c Tax on $ 5 % Tax on $ $ Estate Tox, Act of May 7, 1927 $ U / e II ~1l_11 e I I ~1.06 " U North 2nd S1;reet Harr1aburg,Pa. 11101 21-78-172 Dote 01 Deolh ~-~7-1978 Dale of Payment aTJU'lua,.y 22,1Q79 Nome of Decedent R.lRRY o. lPTRRV TOTAL TAX CREDIT $ Less five parcentum of tox if paid withIn three months after dole 01 deolh $ Plus Interest 01 the rote of - 'l.,from n...-".r' 1. ' 918 10 Jan"...." 17.1919 $ Cau nty r!nllthar'.,.-q4 rks: ( .015) 'D'OO~[p[L~@ill'D'rn 5 E A L TOTAL AMOUNT PAID $ b.'l '7 NOTE: Thl. Tri.,k:... R...... t. be ""..- t., .ud. .u,..... . JI 1 f: 0 I I \ Received by . JJ:: L. \ (kxl ~ I r NOTE: In occepllng 11'1. Iranll.r tnM.rilane. lo~ on fulur. e.lor8', proOf 10 th. dealh 01 the iii. R1CM.rcll~notj,jr.B~.raonC 'Inont or 'enonl for yea,., 01 evidenced by thll receipt, II 1$ I,Inderstood thai the Commonwealth sholl . AIICI I'W)t b. precluded or prevented from hereoft.r oueuing additional, inh.rllanCtt tOl< at the dealh 0/ the B...art.ur ot V1.11. lif. 'enont or '.nonl for yeor. whenever II appears Ihol luch addltionol tOIC may b. legally due ond (Title) collectible for Ony r'Olon what.oever.