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Form RCC-60 (11-641
COMMONWEAL.TH OF PENNSYL.VANIA
DEPARTMENT OF REVENUE
HARRISBURG
:( (~ 7 8- 3, 0
CERTIFICATE
UNDER
REVENUE ACT OF 1926
Date ".............."..........August....:tl......19.'7.S.............................
TO THE UNITED STATES COMMISSIONER OF INTERNAL REVENUE:
.
THIS IS TO CERTIFY that in the estate of
Wilbur H. Fought. File No: 21-78-0030
....................................................................................................................-.--.................................................................-....-........
--................-
Cumberland .
late of '-.......................""......_.............................................................__............................................................... County, Pennsylvania,
. ; January 13, 1978
who died _................................._....._..................."..._......___...................................................................._.._. no refund of
inheritance taxes has been authorized by the Department and/or by the Board of Finance and
Revenue of this Commonwealth; and that there is no claim now pending for a refund of such
taxes in said estate.
Subject to additional tax. if any. under the Act of May 7. 1927, as amended.
Total Tax
Imposed
Amount PaId
In Cash
Dale PaId
Dlscoant
Allowed
Intend
Chaqed
$18,191.10
$17,281. 55
3/20/78
$909.55
For
Mil t Lopus
Secretary of Revenue
SEAL
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