HomeMy WebLinkAbout07-05-78
1
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ir,. Ace 4,1~{lJJi~~'i', . COMft.i9&~EAqH Of:,,~~!~~''ih\(~~IA
',NO, 02,594 2 .:",?t"i~~!.t~TME~J\OFft~.YI~~i::'i
S .,:tOFFICIAl RECEIPT.' PENNSYLVANIf')Ntt~.~I!A.Nf,E!~NDESTATE TAX
U <,-.-' "kJi'.i;;;':" ,> ,'C_ ""r'-'" -- ">;' ,
. e RECEIVED
II
I
.;.....
-.
DOLtARS------.-.-------..---.~
. dollors
representing Pennsylvania Inheritance or
"Estate Tax due from the following estate:
._____i______......iIiiI'FIPry-NIRE 'HUNDRED
TIIUfl'\ lJumm~l
RD fI: 1 Box 29'7
NMl (!tnnhAr1J1lnd,Pa. 17070
~1-q8-194 Date of Deoth 4-iS-1Q78
Dote of Payment .ruly 5.1978
;,'
~~:
Nome of Decedenl -PAutItm' :r. HUMMEt.
CUlllbel"lancl
(au nty
arks:
~~,
~,
~:'"
PAID ON ACCOUNr.
'i]'OO~[P[L~@ill'i]'~
SEA L
NOTE: This Triplicate Receipt to be retained for audit purposes.
29'G Tox on $
$
$
$
$
$ l
$ 6.210 .<<;2
$ 3l^.5!:>
$ ~
"
"
6 % Tox on $
150/, Tox on $
% Tox On $
Estate lox. Act of
Moy 7, 1927
TOTAL TAX CREDIT
Less five percentum of tox if
paid within three months after
dole of deoth
Plus interest at the rate of
_%from
to
TOTAL AMOUNT PAID
I
I
j!
Received by
NOTE, In accepling the transfer inheritance loll. an fulure eslales, prior to the dealh of 1he life
fenant or tenant for years, a~ evidenced by Ihis receipt, it is understood Ihat the Commonwealth shall
nol be precluded or preven1ed from hereafter assessing oddllional inheritance tax 01 the dealh of Ihe
life tenont or tenonl for years whenever It appears that such additional tax may be legally due and
collectible for any reason whatsoever.
'lWotu~.
Rie lli. A derllon
aeg~.tD'" nf" Y"".
(Tille)