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'\"1' RCC'121171 " COMMONWEALTH OF PENNSYLVANIA
No.H 063643 DEPARTMENT OF REVENUE
a OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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i RECEIVED ----------------'rVD'1'Y IIUlUmKD BJ.1UO"rl .
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OO------------------dollors
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
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I. No.
2'k Tax on $
$
Poa1: 01't1~., Box I 116
6 % Tax on $
$
Sh1PDenaburg. Pa. 17257
15'7c: Tax on $
$
21-78-175 Dote 01 Deoth 2-22-19'78
s
% Tax on S
Estate Tax, Act of
Moy 7, 1927
$
Dote of Payment
November 16.1978
Name of Decedent
~r.T.A B. DORLAP
2.090.71
$
County
CUM'har'An.tt
TOT AL TAX CREDIT
less five percentum of tox if
paid within three months after
dale of dealh
Plus interest at the rate of
_%from
ta
s
$
Remarks:
PAID ON ACCOUlft'.
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NOTE: In ocupting Ihe Ironsf.r Inherllonce lox on fulure eSloles, p'lor 10 Ihe deolh of Ihe life Richard (~~o!AJtla.r.on
I.nonl or tenonl for y.ors, 01 evldenc.d by Ihis r.Uipl, II Is understood thot th. Commonw.alth sholl tWill
nol be precluded or pr.vent.d from h.r.olter asnning odditionollnh.rllonce tall at 11'1. death 01 the Res1.tel" 0 ·
hi. I.nonl or I. non I for y.ors wh.n.....' 11 opp.ors thai such oddilionolloll moy be legally due and (T1IIe)
coll.ctibl. for any r.alon ""Molso.v.r,
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