HomeMy WebLinkAbout10-06-78
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COMMONWEALTH OF PENNSYLVANIA
. DEPARTMENT OF REVENUE
OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
(MUdrec:l Paul.1De Jacoby)
27 hat B11'l\ street
2%Tax on $
6%Taxon $
RECEIVED ----------------TULVE HJ11fl"R1l!n 1'V'lT T .&:as------------------------ dollors
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
C&1"lia1e.Pa.
e No. 21-78-116 Dote of Deoth 2-13-1978
From:
1701'i
15o/cTaxon $
ate of Payment
Oft'tober 6.1978
% Tax on $
Estate Tax, Act of
Moy 7, 1927
Nome of Decedent
.T0H1II .JACOBY.
TOT AL TAX CREDIT
Less five percenturn of tax if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
County
Remarks:
CUlllh.'P1and
uOO~[P[L~@mu~
5 E A L
TOTAL AMOUNT PAl;
OTE: This Triplicate Receipt to be retained for audit purposes.
II
U
Received by
NOTE: In cccepting the trcnsfer inheritance tax on future estctes. prior to the death 01 the life
tencnt or tenant lor years, os evidenced by this receipt. it is understood Iho! the Commonwealth sholl
not be precluded or prevented from hereafter cssessing additional inheritoroce tax at the death of the
IIle tenant or tenant for yeors whenever it appears thot such odditional tax moy be legally due ond
collectible for ony reason whatsoever.
$
$
$
$ ~
$ I~I
$ 1.200.00 I
$
$ ~I
$ l...~OOAao
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