HomeMy WebLinkAbout09-28-78
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liiSC412071 COMMONWEALTH OF PENNSYLVANIA
lI~b~Rh25733' DEPARTMENT OF REVENUE
a.ia~&r)J' .' " OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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Mi RECEIVED-~..iIit..-----_...--------'l'HRBE
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Ii Jon P. LaFaver B8' .
~ From -<Forrest E. Coble)
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HUNDRED S~iN'l'!_SmN &: 86/100........-...... dollors
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
317 '1'111r4 street
ress
New Cumberland~Pa.17070
21...78...10
Dote of Deolh 12..27...19
No.
Dote of Payment
S.ptember 26~1978
Name of Decedent
FAANCBS M. COBLE
Cau nty
OrfmI'l81'1AP\,t
Remarks:
1]'00 ~ [p [l~ @ illl1~
5 E A l
NOTE: This Triplicate Receipt to be retai!'1&d for audit purposes.
2%Tox on
$
$
6% Tax on
$
$
.,.....-
15% Tax on
$
$
% Tox on $
Estate Tax, Act of
Moy 7, 1927
~
$
$
TOTAL TAX CREDIT
Less five percentum of tax if
paid withjn three months aher
dote of deolh
Plus interest at the rare of
_%from
10
317;8;\
$
$
$
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Received by
NOTE: In accepting the tranl;fer inheritance talC an future estates. prior to the death of the life
tenon; or tenant for years, os evidenced by this receipt, II Is understood thot the Commonwealth &hall
nol.be precluded or prElvented from hereafjer assessing additional inheritance lalC 01 the deolh of the
life lenanl or lenan; lor years whenever it appears that such addillonal lOll. may be legally due and
colJectlbJe fOT any reason whatsoever.
Richard .in~eraOnj
R~s1$tero~il1S
(Title)