HomeMy WebLinkAbout01-16-79
....,.,i,..,.../. '. ..... COM MONWEA.LTHOF PENNSYLVANIA
1:~()~Ijl,06~3766' DEPARTMENT OF REVENUE
'..~~i,.,,,l';~~i';:".,' OFFICIAL RECEIP.T... P.EN. NSY LVANIAIN..HE. RITANCE A. NO ES.TATE TAX
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~. .--~---~--------~O HUNDRED $~y~t-~~ & 09/100-----~-----_.-
Ii! RECEIVED dollors
~( representIng Pennsylvania Inheritance or
Estate Tax due from the following estate:
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M\ ess
Samuel L. Andes. ESq..
26 South 8th street
2% Tax on $
$
6%Toxon $
$
Lell1Oyne..:Pa. 17043
15'1'0 Tax on $
$
File No.
21-78-231 Dole of Death
3...29..1918
Jam.ul.X7 16.1979
% Tax 00 S
Estate Tox, Act of
May 7, 1927
$
Dote of Payment
$
~
. Cumberland
TOTAL TAX CREDIT
less five percentum of tox if
paid within three months after
dole of death
Plus interest at fh~ rote of
_%from
to
$
271.09
Nome of Decedent
ROY A. J:>.iS,dadfAN
$
ks,
PAID ON ACCOtJN'J1.
$
lJ'OO~[P[L~@illV~ 5 E A l
NOTE: This Triplicate Rectript to be retained for .audit purpot8s.
..
" Received by
NOTE: In o"eptlng Ihe transfer inheritance lax. an future estate;, prior to the death of thll life
tenant or tenant for years, os evidenced by this receipt, \1 Is understood that the Commonwealth sholl
not be preduded or prevented from hereofler as,euing additional inheritance talC ot the deolh of the
life tenant or tel'lOnf for years whenever" appears thol such addil1onol talC may be legally due ond
collectible for any reason whatsoever.
-, -. --
-- . .~'-
iehard j~9n1b'f4e~son
RegU"r of Wills
(Tille)