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i"'t{~41'(77). COMMONWEALTH OF PENNSYLVANIA
IlN8~rfO'Ol158 DEPA.RTMENT OF REVENUE
S. .':,lOFFICIAL RECEIPT. PENNSvry'ANIA INHERITANCE AND ESTATE TAX
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1\1 RECEIVED ~....--_..-_---.._......_--...
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(C.B.Hopple)
Market Square Bu11cUng
Mechanicsburg,Pa.
11055
File No, 21"18-3
Dole of Death
12..24..19
Date of Peyment
Pel:lr'Uary 21,1918
CLARE HOPPLE,SR.
Name of Decedent
dlllllbA'I"lltn/1
PAn> ON ACCOUNT
uOO~[P[L~@Uju~
SEA L
NOTE: This Triplieate Receipt to be retBinEtd for audit purposes.
$
$
'$
$
$ ~
$ _.210.52
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w__....___...__..........iM._...__a..... dollars
repre,senling Pennsylvania Inheritance or
Estate Tox due from the following estate:
2%Tox on $
6%Toxon $
15% Tax on $
% Tax on S
Estole Tox, Act of
May 7, J 927
TOTAL TAX CREDIT
less five pen:entum of tax if
paid'within three months after
dole of death
Plus interest at the rare of
_%from
to
$
210.52
$
Received by
NOTE: In accepting the transfer lnheritanc;e tox on fulure es.totes, prior 10 the death of the life
tenon' or f6nanl for yeofs, os evidenced by this receipt. it is understood Ihot the Commonweallh shaH
/1" "nof be prec/udttd or prevented from hereafter assessing additional inheritance lox 01 Ihe death af Ihe
1 life .tenan! or lenont for yeon whenever 11 oppeClrs .thol such additional tOJ; may be !l1golJy due and
colllltcnble for any reason wha'soev6r.
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