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----------------------SI~ &
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representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Clare B. Hopple
Marke&.Sauare BU11dinq
2 % Tax on $
Nome of Decedent C't,I\PS HOPPLE.
CLARE HOPPLE.
County ('.....her] ~I'ltl
A/KIA
- ,
SR.
% Tax on $
Eslate Tax, Act of
May 7, 1927
$
$
$
$
$ ~
$ 60.30
$
Mechan1csburg.
Pa.
17055
6%Tox on $
File No. 21 78. 3 'Dote of Death 12-24 1977 15% Tax on $
Date of Payment J\pri1 1, 1980
UPAID ON ACCOUNTu
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months aher
dote of death
Plus interest at the rale of
_%from
10
$
Remarks:
uOO~[p[L~@finr~
5 E A l
TOTAL AMOUNT PAID
$
60.30
,
NOTE: This Triplicate Receipt to be retained toT audit purpose$.
~ ~:~1r/? i~
Haro i!B21u Lane. puty
Reqi$ter of Wills
(Tille)
Received by
NOTE, In accepting the transfer inheritanu tox on future estates, prior to the deolh of fhe life
tenoni or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl
nof be precluded or prevented Irom hereafter Qsseuing additIonal inheritance to)( ot the death of the
life tenant or tenant for years whenever It appeQrs that such additional talC may be legally due and
,collectible for any reason whatsoever.
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