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Form ReG- 60 (11-64)
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COMMONWEAl.TH OF PENNSYl.VANIA
DEPARTMENT OF REVENUE
HARRISBURG
CERTIFICATE
UNDER
REVENUE ACT OF 1926
Date ..No.YI:lll:ber....B.....19.7.8...................................................
TO THE UNITED STATES COMMISSIONER OF INTERNAL REVENUE:
THIS IS TO CERTIFY that in the estate of
Aaron L. Rmk
File No: 21-78-0072
Ctmber1and .
late of ..................................................................................................._.................................................................... County,
Pennsylvama,
. February 7, 1978
who dIed ...m................................................................................_...._..........................................................................................,
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
Impooed
Amounl Paid
In Cash
$40,000.00
Dale PaId
Dlscounl
Allowed
ID_
Ch&qed
On Account
5/5/78
$2,105.26
For
Milt Lepus
Secretary of Revenue
SEAL