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il~~:;m;1(~;; " COMMONWEALiH~ PENNSYLVANI~~~0'
", No:M 0 ~ 595 3 ';..;DEP1&M,~~]ZlF REVENffit !/t{
. OFFICIAL RECEIPn-fpENNSYLVANIA INHERITANCE AND. ESTATE TAl<
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RECEIVED
--...--.........-............-Flli'lY-FI'VE -HtJNl)R.EJj' DOLURS.....-....---.....-..----...--- dollars
.
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
JOM E. Slike, EiIlq.~
(Nancy Kautz )
2109 Market Street
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camp B111,pa.
11011., ,
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No. 21..18..210 Dale 01 Death 4..10..1978~
.M.,lO,l_ ,el1 f
Dote of Payment
Name of Decedent
HARRY B. BIPPENSTEEL
Cou nty
Cumberland
arks;
PAID ON ACCOUNT
uOO ~ [F) [L~@illln~
5 E A L '
NOTE: This Triplicate Receipt to be retained for audit purposes.
4j.'
,
oil:
,it
.,
,',<<- ,,!.
29', Tax on $
6%Taxon $
15% Tox on $
$
$
$
$
$ ~
$ ">,78<).47
$ 289.47
% Tox Or;'l S
Eslate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax if
paid. within three -months after
dote 01 death
Plus interest ot the rat'e of
_%from
10
$
TOTAL AMOUN( 10
00.00
Received by
NOTE: In occl!Ipllng the transfer inheritance 10)( on fufure es/o/es;' prior to the death of tho life
lenont orlenont for years, os eYidenced by this receipt, it is understood thaI the Commonwealth sholl
not be precluded - or prevented from t,ereafter assessing odditlol'lOl inheritance to)( at the death of the
life tenanf or lenont for years whenever II appears that svch addilionol 10)( may be legally dve and
o:;allecllble for any reason whatsoeyar.
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