HomeMy WebLinkAbout04-07-78
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~. Rec 4 (2177)
141 COMMONWEALTH OF PENNSYLVANiA
~No.H 00 12 4 7 DEPARTMENT OF REVENUE
It . . . OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
m,
(Ilol'Ot~ McDowell)
2%Taxon
$
$
P.O. Bex
125
6% Tax on
$
$
leme,ne. Pe.
17043
15<;', Tax an $
$
File No. 21-78...28
Dale of Deathl.8...1978
% Tax an S
Estate Tax, Act of
May 7, 1927
$
Dale of Payment Ap..i 1 1, 1978
$
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ttpAID ON ACCOUNTlt
TOT AL TAX CREDIT
Less five percentum of tox if
paid within three months after
date of death
Plus, interest at the rate of
_%from
10
S
4..136.64
Name of Decedent ARCHIE F. BURX
, County Ctnbeo1") IInd
S
~1i..8JI
marks:
$
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SEA L
00 00
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NOTE: This Triplicate Receipt to be rqcained for audit purposes.
j!
Received by
NOTE: I" aceepling lne IrC;Jnsfer inheritance lox on future estates. prior to the death of the life
tenant or tenant for years, os evidenced by this receipt. il is understood thol the Commonwealth shall
not be precluded or prevented from hereafter assessing addirional inheritance lox at the death of the
life tenont or tenant far years whenever it appears thot such additional tax may be legally due and
c;oJlecuble lor any reason whatsoever.
(Signature)
Richard E . Andel'8on
aegblle~i1I~ Wills