HomeMy WebLinkAbout03-06-79
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.\;, RCC412m) COMMONWEALTH OF PENNSYLVANIA
U No.!-l 063466 DEPARTMENT OF REVENUE
=, OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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'w RECEIVED ________________-STy T'RnTMA1f1l
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From: (Jane E. Graf'fam ) 2%Tax on $ $
Alss ?3 V".t-. Main Slt.r..t. 6%Tox on $ $
S.1remanltown.P&. 17011 15o/cTaxon $ $
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I File No. 2'-78-98 Dote of Death 7-26-1978 % Tax on $ $
, Estate T ox, Act of
, Date of Payment Ma!'C! h 6.1979 May 7, '927
$
I 6,
Nome of Decedent JOHN If. G~1l1P.K TOT AL TAX CREDIT $
less five percentum of tax if
, County Cumlu,,..' IIln" paid within three months after
,
,
I date of death $
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I Plus interest at the rate of
, _%from
, PAID ON ACCOUNT.
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10 $
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TOTAL AMOUNT PAID
()'W 1fl1Nn'R1m 'J'WF.lI'J'y-tj:!~wr Al5'/' OO.......ollors
representing Pennsylvania Inheritance or
Ell T d f Ih f II sial
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128.51
'[]'OO~~[L~@&'[]'~
SEA L
/ I $ 1 ~R a:;1
t ~A'1J,\ \
(Sign/ifnolure C
Richard E. Bon
B.I'-.~ n .
(T'lle)
NOTE: This Triplicate Receipt to be retained for audit purposes.
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Received by
NOTE: In accepllng Ihe Iransfer inherilance lax on future esloles, prior 10 Ihe deolh of the life
lenonl or tenant for years, os evidenced by this receipt, it is underslood thaI the Commonweolth sholl
not be precluded or prevented from hereafter assessing additional inheritan(l~ tax at the death of Ihe
II/e tenant or lenant for years whenever il appears Ihat such additional tax may be legally due and
collectible for any reason whatsoever.
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