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HomeMy WebLinkAbout06-27-78 r';~.~.::::..t'!:"!!;'?:~:.:2'~ - - -- - .- - :.~- ~. RCC 4 121771 COMMONWEALTH OF PENNSYLVANIA !~,No,H02 5926 DEPARTMENT OF REVENUE i~ OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX ' iU= ~ ,~ RECEIVED 'I ~i ,11I,--- .. It != From " I - . '0' ".~""; --..--------------SEVENTEEN Farmera Trust COIIIp&ny, dress 1 West High Street Carlis1e,Pa.17013 21-78-112 Date af Death 1-22-197 Date of Payment .June 27,lQ78 Name of Decedent EVELYN J. LACKEY Caunty Cumberland arks: PAID ON ACCOUNT. ", ..., '" """;"- .... - . ... - --- -. -~ ~oo HUNDRED TWEm'Y-EIGH'1' a: ) representing Pennsylvania Inheritance or Estate Tax due from fhe following estate: rl",lIars $ $ $ $ I $ $ ','pR,p $ $ t\ uOOO[Pf10@mu~ SEAL TOTAL AMOUNT PAID (' _ $ '-,~A 3~ NOTE, Thi. T'iplic.t. R.c.ipt to be 'ot.in.d fo, .ud" pu,po.... I I S<', (',' (' " \ Rece,ved by ~ ~ A , ,L.. "- / ;.---- NOTE: In accepting the tran$fer inheritance tax On future estates, prior 10 the death of the 1,16 (Signa~ure t.ooo' 0' Ioooot 10' y.o", 0' ."d.o"d by 10" '.'''pt, ,t " ood""ood thot th, Commoow.ollh ,10011 Richard E. .non oot b. p,.rlod.d o. P'h'o',d "om h...oli.. 0"""09 odd,t,oool ooh."too" '0' ot th, d'oth of th. R....1.t.:r ~,tle u.. hi. t.oool o. t'ooot foe y.o" whoo".. " opp.o" thot ",10 odd,t'oool to, moy b. "90Ily dco ood ... (T collectible for any reason whatsoever. Ijji 2% Tax on $ 6% Tax on s 15% Tax on $ % Tax on 5 Estate Tax, Act of May 7, 1927 TOTAL TAX CREDIT Less five percentum of tox if paid within three months after dote of death Plus interest at the rate of _%from to .-- ""'"'" ~- - -~, . --",._1