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/ll:i"RCC~12/771 .
Ili.~.'..:".;.:.[]..;;...O..O...1.298 COMMONWEALTH OF PENNSYLVANIA
=: NO~\~ . . DEPARTMENT OF REVENUE
. ;i,%,,~.. OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
W...
! RECEIVED
I(
!~
,~
I
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-
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........
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-11
62/l00------.~"----
dollars
represeflting Pennsylvania Inheritance or
Estate Tax due from the following estate:
..............-..-......-....J.rHREE R't1.ttUH.ED SDa't..EIGllT III
MQ&on a. Ilaftf
Ea.
(MAt'y B. ~Und)
m,
31 South HanOv41' street
C~Utlle;Pa. 11013
21"'18..14
Dole of Death 12..26..19.
File No.
Dole of Poyment K
AprU. 28&1918
NOM. B.. GABLA.ND
Nome of Decedent
County
Culn\)erlAnd
arks:
IYOO~[P[b~@E1IJ~ SEAL
NOTE: This TripllcBte Receipt to be retained for audit purposes.
20/" Tax on
$
$
6% Tox on
$
$
159'" Tax on $
$
% rox 00 S
Estate Tax, Act of
May 7, 1927
$
$
~
~368.621
TOTAL TAX CREDIT
Less five percentum of tox if
'paid within three months after
dote of death
Plus interest at the rote of
_%from
to
$
$
$
TOTAL AMOUNT PAID
Received by
NOTE, In (w:epting the transler inheritance lox on Ivtvre estates, priar 10 the death of the life
tenant or tenanl for years, as evidenced by this receipt, it is vnderslaod thai the Commonweallh sholl
not be precluded ar prevented from hereafter assessing additional inheritance tax (It the death of the
life ienont or tenont for years whenever if oppears fhat such oddi/ianal tox may be legally due and
collectible for any reason whatsoever.
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lU.chard (!ll.no"ff4e~.on
Reg18'tel" otwll1a
(Tulo)
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