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.~.cRCC4(2177J COMMONWEALTH OF PENNSYLVANIA
li~().: 001249 ' DEPARTMENT OF REVENUE
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OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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--...-----_._._.....____FOUR 'Rtl'NnRl1!n RTYfJ1V.1PnTTR k 19'1.nn____________e.&lars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
m,
Il"1fin, II'W1n & II'W1n, A1:tya.
IIII S. Hanover Street
2 % lox on $
$
6%Toxon $
$
CA1'1ia1e, Pa.
11013
15'1.Toxon $
$
File No. 21-78-29
Dote 01 Death ] -9-1916
% lox on $
Estate .Tax, Act of
Moy 7, 1927
$
Dote of Payment
Apl"il 1, 1918
$
I
"PAID ON ACCOUNT"
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months ofter
dote of death
Plus interest at the role of
_%from
to
$
'18A .M>
Nome of Decedent MAll"!" R. ARTRr.1I!V'
County Cumberland
$
24.4)
$
.i
IJ'OO ~ [P[L~@illlJ'~
SEA L
464.19
).
NOTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepting the iransfer inheritance tall on future estates, prior to the death 01 the lile
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl
not be precluded or prevented Irom hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever il appears that such additional tax may be legally due and
collectible for any reason whatsoever.
Rloh~lJ.llrot!Jr:) And son
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