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W~~~l7J, . . . COMMONW.EALTH OFPENNSYL.VANIA .
=~b06Ji1'41 . DEp,AR:rMENTOFREVENUE.. ..... ... .
~_[~i:~,' OFFICIAL ~ECEIPT.. ~E~;~i~~L,X~~IAI,NHERITANC;~~~.I\I.P/ESiATE TAX
. 5 RECEIVED ---..............FOtJR
I(
-----.--.-,.,.-------r---~-....--~-----r-
I FI,~.T.!ll!k $I T.III!.'" Kit-zmU1.,.J')
~ A ress 11l) East King street
I
I
Slrl,ppensburs,Pa.
172l)7
File No. 21..78..182 Dote of Death 3..17..1978
Dote of Payment
nA~"'mh",J' ?lj1918
Name 01 Decedent DEU%1I!R.T A. KI'l.'ZMtt.T.1l!R
Cou nty
(!tnnh<>J'J fll'd
.'
Irks,
PAID ON ACCOUN'I'.
.tACEMENT RECEIP'l' FOR II &0 63713
iJ'OO ~ [p [L~ @5:\ iJ'~
SEA L
NOTE: this Triplicate Receipt to be retained far audit purposes.
.;.....
-=0-
..----..----..---........---- dollars
representing Pennsylvania Inheritance or
Estate T ox due from the following estate:
'2%Tax on $
$
6 % Tax on $
$
150/. Tax on $
$
% Tax On $
Estate Tox. Act of
May 7, 1927
$
f
$
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months ofter
date of death
Plus interest at the raf'e of
_%from
to
M2.6lL
$
$
$
,
i
jl
Received by
NOTE: In accepting the tran.fer Inherl1ance tax on fulure estates, prlar to the death of the life
lenanl or tenonl for years, 05 evIdenced by Ihls receipl, II Is understood that the Commonwealth sholl
not be precluded or prevenled from hereafter oueuing additional I'nherllonce tax at the deolh of the
life tenant or lenonl for years whenever It appears that such additional lox may be -legally due ond
collecllble for ony reason whatsoever.
.
~AgiJt~..1"
----.
..............;.;.