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'II '025827 COMMONWEALTH OF PENNSYLVANIA
' ,NO.'l DEPARTMENT OF REVENUE
a OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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'W, RECEIVED
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ID1lmRED EIGB'l'Y FIVE DOLI.Alls-___ fllln1... dollar.
representing Pennsylvania Inheritance or
Estate Tax due from the fol/owing estate:
hnna R. Ritch1e.
( J&IIlee R. HWller. Esq.>.
1 We8t Hish Street
2~ Tax on
$
$
Car1181.e.Pa.
6% Tax on
$
17013
$
F;le No, 21-78-108 Dote of Death, 2-U-1918
15% Tax on $
$
.., 10.1Q78
% Tax on $
Estate Tax, Act of
May 7, 1927
$
Nome of Decedent
NARY E. HEISEY
CUlllberland
$
PAID OH ACComrr.
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
-%from
to
$
t~_...
$
1~.-
uOOO~[LO@mu~
5 E A l
TOTAL AMOUNT P
2.JMdI
NOTE: This Triplicate Receipt to be retained for audit pUrposes.
Received by
NOTE, "O'''PH,. tho "0"1,, i,h.",,,,, 10' a' loto" '''01". p,io, 10 Ih. d.oth of Ih. lif.
'''0", 0' t"o", fa, '"a'", 0' '.'d""d by Ihi, '''''pt, it i, ood""ood thol tho (ommoow.olth ,hall
'01 b. p"dod.d 0, p".'ol.d hom h."olt" o"'''''g oddit'oool loh"itoo" 10' ot tho d'olh ollh.
Iii. "00", 0, t,oool fa, y.o," wh".." it opp.o," Ihol 'oeh odditloool 10' moy b. I.golly do. ood
collectible for Ony reaSon whotsoever.