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EN~YLVANIA
EVENUE
VANIA HERITANCE AND ESTATE TAX
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I Iliff........
BTH1ft'-olfE &. 78/100------------------ dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
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R1cbari i~gn~'iI
R.g1.~~~ ft~ Vi".
(Title)
m: --4" r. ......~...)
ress__ 1'1~. UJ .-
rIJ......r1J-.-
. File No,~Date of Death
Date of. Payment --~ .... ....
2%Ta:< on S
6 % Tax on S
15CY~ Tax on $
"l~ Tax o() S
Estate Tax, Act of
May 7, 1927
Name of Decedent
TOT Al TAX CREDIT
Less five percentum of tax if
paid within three mcnths ofter
dote of death
Plus interest ot the rote of
_%from
to
1m TJ "11~'"
...un 111.
TOTAL AMOUNT .PAID
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trilln[Plhn@&'ii'~ 5 e A l
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Received by
. 'NOTE, In -"ng n.. I........,nt..rilclnCO ... on lutu,. ..to'''. p"o' to Ih. d.oth of tho II
lononf 0' tononl fOr ,..... Of ~ b, 11>" ,...tpl, " " unci.nt"d thot ,h. Commocw.ol'h .holl
not' M 'Pf~~ect. or ......,.m.ctffofn h.r.olter.o.....lng addlUonol inneritance tall at the death of the
lit. tenant or;-1Itftal'd.for,'yeors whenev.r II etplleort thotwCh additional tax may be legally due and
cou<<'tts.efor 91:' ;,-".o~ .,.'(.r~
$
$
$
'~'
~
,
,
$
$
$
WT.14
$
15_,6
I
$
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~QL 78