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~N~c~6~b71.208 CO~MOND~P~~J~TO~ ~E~N~~YLVANIA
=1;~~~1i';,f1\ .... OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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;i'RECEiVED
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FI:PrY DOt.I.A!lS--...............--.---....... Ii
. 00 ars
representing Pennsylvania Inheritance or
Estate lox due from the following estate:
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HtJNDRED
WILLIAM P
MAR'l'SON
P.c.
(Hazel L. LYnn)
10 East High street
2%Tox on $
6%Toxon $
car1ialthPA.
17013
15% Tox on $
File No. 21..78..1
Date of Payment
Dote of Deoth 12..20..1971
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$
$
$
$
$ I~
$ 1.000.00
$ 50.00 j
March 15.1978
% fox On $
Estate Tax, Act of
May 7, 1927
Name of Decedent
CLIFFORD C. LYNN
TOTAL TAX CREDIT
less five perc.entum of tox if
paid within three months after
dote of death
Plus interest ot the rate of
_%from
to
Cttmhl!!"" "'1"'"
PAID ON ACCOUNT
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SEA l
NOTE: This Triplicate Receipt to be retained for aUdit purposes.
Received by
NOTE: In accepting the transfer inheritance 10)( on fulure esloles, prior to the de6lh 01 the lile
lenont or tenont for years, as evidenced by this receipt, it is understood thaI the Commonweollh sholl
not be precluded or prevented from hereaffer ossessing additional inherilance tOI{ ot Ihe deoth of the
liFe tenant or tenont for years whenever it appears thot such additional tax moy be legally due and
conectible for any reason whatsoever. ~
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