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,_~RCC4(2:771 / COMMONWEALTH OF PENNSYLVANIA
'\~f02589'7 DEPARTMENT OF REVENUE
e... " .. OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
Ij:
Si RECEIVED
If
=
I From:
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---.~.._-----~--FO~ &
Joe w. Tack1tt.
160~---15th St~eet
Hew Cumbol'land;Pa. l1CT70
21-18~63
Dote of Death
9-15...1971
Date of Payment
June 13..19113
JACQuELINE H. SMl'l'H
Name of Decedent
County
Remarks:
Cumberland
lr 00 ~ [p [L~ @illlrrn
5 E A L
NOTE: This Triplicate Receipt to be retain6d for audit purposes.
..;-
-
31J100~---_.-_._-_._-_.__._"----~----
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2%Tox on
$
$
6%Toxon $
$
$
$
$ #
$ 40.31
\5'fcToxon $
% Tax on $
Estate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
less five percentum af tax if
paid within three months oher
dote of death
Plus interest at the rare of
_%from
to
I
$
$
C~.37
TOTAL AMOUNT PAl
$
Received by
NOTE: In accepting the transfer inheritance tox 0" future estates, prior 10 Ihe deoth af tl\e lite
tenant or lenant for years. os evidenced by this receipt, it is understood that the Commonweallh sholl
not be precluded or prevented from herealter assessing additional inheritance tax at Il\e deolh 01 the
Ufe tenon! or tenonl for years. wheMver I' oppeors'lhol such oddi~ionol ~ax may be legally due and
collectible for ony reason whatsoever. ...
L___._,___~
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