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,~ RCC4121771 COMMONWEALTH OF PENNSYLVANiA
!,lljNoHOO 1183 DEPARTMENT OF REVENUE
,:' OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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;, RECEIVEcr:-------...---TVELVE IIlJJU:JRI:D FIVE " 29/l00.....-...---------------------'"eollars
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I File No. 21-18-130 Dole of Deoi&-2~-] 911
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Ben.1am1n S. Peters.Jr.
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
m " James K. Arnold. Esq..
2% Tox on
$
2109 Market Street
s
6% Tax on
11011
camp Hi11.P&..
15% Tax on
s
Dote of Payment
March 1.1918
% Tox O{l S
Estate T ox, Act of
Moy 7, 1927
Nome 01 Decedent
BElfJAMIN S. PETERS. SR. TOTAL TAX CREDIT
less five percentum of tax if
paid within three me:nths ofter
dote of death
Plus interest ot the rote of
_%fram
CUllberlancS
-. PAID OK ACCOU!l'l'
to
'[fOO~[P[L~@ffi'[f~
NOTE: This Triplicate Receipt to be retained for audit purposes.
5 E A l
TOTAL AMOUNT
Q, '
;
l'
Received by
NOTE, In accepting the transler inheritance tax an future estates, prior to the death 01 the IiI
tenant or lenanl for years, os evidenced by this receipt, it is understood that the Commonwealth shall
nol be precluded or prevented from hereafter assessing additionol inheritance tax at the death of the
life tenant or tenant for years whenever it oppeors thaI such additional tax may be legally due and
collectible for ony reason whatsoever.
'gna1ure.l
. AnCIerson
G~it!tu.
$
$
$
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e
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$
$
$
1,20'5.29
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