HomeMy WebLinkAbout12-15-78
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~'.i),1tjr.t~,,:j' COMMONWEALTH OF PENNS,YLVANIA"',
I, NO.nO 6'3 7 0 0 .' DEPARTMENT OF REVENUE " , ',:' , " .
'1~'fs2,c~~~~>>:; . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE'TA'X~'L',
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RECEIVED
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dollors
representing Pennsylvania Inheritance or
....Estate Tax due from the following estate:
Il,I:,
~. From, ..:....JMl:\rC1a. I~MrocZkowBk1)
~ Post ott1ceBoX :/I 845
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.~
Address
2".Toxon $
$
6%Tdxon $
$
No.
Harr1$burs.Pa.
21-78~226
$
17108
15%Toxon $
$
-~
~;",..,
4-28..1918
Dole 01 Death
% Tax an $
Estote Tox, Act of
Moy 7, 1927
e of Payment
December 15.1978
$
#
i
ELEANOR T. l.tcCOMBE
95.87
t
TOTAL TAX CREDIT.
Less Hve- percentum of tax jf
paid within three mOf"lths ofter
date of death
Plus interest at tne rot'e of
_%fro"':l
to
$
Nome of Decedent
to~-nty
Remarks:
Cumberland
......
,~~" .,.
$
PAID oN ACCOt1If1'
$
uOO~[P~~@illug 5 E A L
t'
~,'
TOTAL AMOUNT PAID
OTE: ThI.1I Triplicate R~celpt to be retained for audit purpose.,
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. _ . .' .'- Received Oy -.
'_. "- NOTE: In o'cep~I';\sJ~,..frQ':1If'eLin.he.r,itonc~ tOJlO_on fuiur& eslohls, prior to Ihe d..e~t.h:of thel~fe'-.
~ "., tenont Qr .Ienont 'pr,ye.al.s..,~s: l~~.j~.,,~ce~ 'b.( \fIis' recei~I,. II is .\lnderslood' tho! Ihe Com~nweolth sn'!?",
'^' 4i ',' nof be preclu~e~._ or ,prev~nted from .Jl8'reOf'~?OSM.S5.;l~9 -add)tfonol_'lnheritonce tOJlO. ot)1~'.deolh of the,
t '\)If~ te~Qr'lj or '!e~ci.;'f~/i:(t4. v'eor.i-,wh~ne:.ef,tll o;~_e~ffS thol S'-lch Mdit\or.ol to:lI...mo,y..\;1e. legolly due~ and
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R1 h&X'4(S. B~O\ilriderson
. Register ot-lf1ua,
". ., (Title)
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