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IIJI~ RCC412!77l COMMONWEALTH OF PENNSYLVANIA
~1iNO.H 025989 DEPARTMENT OF REVENUE
=i OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
ill,
ii, RECEIVED
~1
illlii
~.
~1
i=; From:
rt ~ress 469 L1nden 81;r.e1o
~.! 2~;;a'Pa. 18102 1O-ll3-1
; , .e No. Date of Death
!7
-
-
____________.J.rWO ku~ 'fHIRl'Y..PIVE
. 32/l00------------~-----.-
dollars
representing Pennsylvania Inheritance or
Estote Tox due from the following estate:
Lanah., J'A,naU " Lanabe, .11ot.78.,
2'1. Tax on
$
$
6% Tax on
$
$
15%Taxon
$
$
Ju.l7 24,1918
'1. Tax On $
Estate Tox, Act of
May 7, 1927
$
~
'4
$
Co u nty
CWDberland
TOT Al TAX CREDIT
less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
$
235.32
CYRIL J. Btttxt\J8
$
D~morks:
PAID 0. ACCOUlft'
uw~[P[L~@ffiu~
5 E A l
$
NOTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepting the transfer inheritance lox on future estates, prior to the death of the life
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenont or tenant for years whenever it appears that such additional tax may be legally due and
collectible for any reason whotsoever.
i,
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