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Ii: 77/100_________________________________ dollars
representing Pennsylvania Inheritance ar
Estate Tax due from the fOllowing estate:
2o/c Tax on
$
HarrisburQ:.Pa.
6% Tax on
17101
$
21-78-111
Dote of Death 1-28-1978
15%Taxon $
te of Payment
June 2Q.IQ7Q
% Tax on S
Estate Tax, Act of
May 7, 1927
Name of Decedent
MlJRTlnf'r MCLEOD
, County
CUmberlAnd
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
}from .;rune 1171979
to oJ"!:!. ~9.1979
Remarks:
PAID IN P'ULL.
I
( .0
urnO[P[lO@mu~
SEA l
NOTE; This Triplicate Receipt to be retained for audit purposes.
,
,
j!
Received by
NOTE: In accepting Ihe transfer inheritance tax on future esloles, priar to the death of the life
tenant or tenant for years, os evidenced by this receipt, it is understood Ihat the Commonwealth sholl
not be preduded or prevented from hereafter aSSessing odditionai inheritance tax at the death of the
life lenont or lenont lor years whenever if appears that such oddilionol lax may be legally due and
collectible for any reason whatsoever.
$
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