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!~ RC:4012/277SI 742 COMMONWEALTH OF PENNSYLVANIA
,NO'li DEPARTMENT OF REVENUE
I OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
RECEIVED __._____________-8EVB.R H'tJHIIlID: 'l'1I'E1.fl1:' I: 68-/l.00-----------------cmllars
representing Pennsylvania Inheritance or
Myers. Myen. nower Be JohnSon. Att78., Estate Tax due from the following estate,
From:
(Wilford C. Be Relson A. SOber)
$
$
$
$
$ ~
$ II
720. 68 e
$ dIRJMt
2% Tax on
ress
Post ottice Box # 125
6%Tox on
$
Lemoyne .h.
17043
15% Tax on $
21-78-85
2-2-19'78
% Tax on S
Estate Tax, Act of
May 7, 1927
Dote of Death
Dote of Payment
october 2.1978
Name of Decedent
ARCHIE C. SOBER
Cumberland
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rote of
~%from
to
$
County
ti
$
PAID ON ACCOUlft
uOO~[N1J@illu~
TOTAL AMOUNT PAID ~,~. $ ~O.68
\ WAV/{ \ ,
R1char4(SI..ot~.raon
Register ot Willa
(Tille)
-
5 E A L
OTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepting the transfer inheritance tax on future estates, prior to the deoth of the life
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth shall
not be precluded or pre...ented from hereafter assessing additional inheritance tox at the death of the
life tenant or tenont lor years whenever it appears that such additional lox may be legally due and
collectible for any rea san whatsoe...er.
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