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,II RCC412177l COMMONWEALTH OF PENNSYLVANIA
~j:No,H 063781 DEPARTMENT OF REVENUE
:: OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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;, RECEIVED
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File No.
~-~-~--~~-~--~-aII DOLLAR .
Wenaer J _ler 61 'l'homae J AttY'8. J
8 Borth Queen Street
Laneuter .Pa.
11603
1...21-1918
21-78-50
Dote of Deoth
Dote of Poyment
Jama&17 23.1919
Nome of Decedent RAYIIOJIJ) 'If. aIR. SR.
Cou nty
Ct-'-r11U'\t'1
k orks:
(.01
-
-
10/l00--------~---------~~..--~-
dollors
representing Pennsylvonio Inheritonce or
Estote Tox due from the following estote:
2%Toxon
$
$
6%Toxon
$
$
15% Tox on
$
$
% Tox On $
Estote Tox, Act of
Moy 7, 1927
I
I~
$
$
TOTAL TAX CREDIT
Less five percentum of tox if
poid within three months olter
dote of deoth
Plus interest ot the rote of
}--%from O<Jt~.r !)),1918
to .Tim"....)/' ~1.' 979
1.08
$
$
$
.02
'on!'~~'~~~~!!~_~ TOTAL AMOUNT "~ f7 _~ ( .;: 1:10
Received by LJK.k:AA A ci!L \.
NOTE: In accepting the transfer inheritance tox on future estoles, prior to the death of the Itf~cbaz'cl ~ig~1IAr.l__ I
tenant or tenanl for years, as evidenced by this receipt, It IS understood thot the Commonwealth sholl .. CItJ._
not be precluded or prevented from hereofter assessing additional inheritance tox at the death of the R..tater of Willa
life tenont or tenant for years whenever it appears tho I such additional lax moy be legally due and (Title)
collecUble for ony realon whatsoever.
. I
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