HomeMy WebLinkAbout02-21-78
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rRt,c'O~D71145 -- C~MM;~WEALTH OF PE'~'NSYLV~~A
i~,NO,r: DEPARTMENT OF REVENUE
,=' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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a RECEIVED ------------FOUR HUlIDRED F'OR'l'Y-THRU DOLLA.R8-----------__________~lla"
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I File No.
H Date of Payment
--
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Sha1'pe . S~. Atty. 's,__
21ft Tax on
$
$
ress
2'57 Lineo1n way Eaat
6% Tax on
$
$
Ch...h.Z'abura.Pa.
17201
15% Tax on
$
$
21-78-95
Date of Death
5-16-1975
% Tax 0("'1 $
Estate Tax, Act of
May 7, 1927
$
1l'.~""l.'"T ~1,1978
Name of Decedent E'l'HYL RRnnIO ~OER
$
C'whJ""nt
TOTAL TAX CREDIT
less five percentum of tox jf
paid within three mc-nths after
date of death
Plus interest at the rate of
_%from
to
$
4"'.00
arks:
$
PAID ON ACCOUlt'l'.
uOOO[P[l,O@mu~
$
SEA L
TOTAL AMOUNT PAID
NOTE: This Triplicate Receipt to be retained for audit purposes.
~, 1l4".00
I \
,
\
Received by
NOTE: In occepting the transfer inheritance lox on future esloles, prior 10 Ihe death of the life
tenant or lenont lor yeors, os evidenced by this receipt, il is understood Ihot Ihe Commonwealth shall
not be precluded or prevented from hereafter asSessing odditional inheritance lax at the deoth 0/ the
life tenant or tenant for years whenever il appeors that such additional tax moy be legally due ond
collectible for any reason whatsoever.
Rlc~ ~nl aon
Reslater of Willa
(Title)