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~, RCC..4(2/77) 7 COMMONWEALTH OF PENNSYLVANIA
i~:NO.H02588 OEPARTMENT OF REVENUE
i~ OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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;=: RECEIVED __..._______________-oKLy SIrrY-SBYElt CElfrS------------...------------dollars
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representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2nd Ka"t:t......' _nk Biela.,
2%: Tax on
$
Mechanlcsbur<<.Pa.
17055
6 % Tax on S
15%Taxon $
File No. 21-78-131 Dote of Death
1-7-1978
0/" Tax 01;'1 S
Estate Tax, Act of
May 7. 1927
June 6.1978
Date of Payment
Ul"a H. HORH
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
_%from
to
Nome of Decedent
County
a'....h8p1..nd
uOO~[P[L~@mu~
SEA L
TOTAL AMOUNT PAID ~.
$
$
$
$ ~
$ I~I
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$ 0.67
$
$
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JSill,Poturel
Richard JS. Anderson
Recllter (T~!) WU1I
NOTE: This Triplicate Receipt to be retained for audtt purposes.
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Received by
NOTE, \1'1 occepting the transfer inheritance 10)( on future estotes, prior 10 the dealh 01 the life
tenont or tenant for yeors, os evidenced by this receipt, it is understood thot the Commonwealth shall
not be precluded or prevented from hereafter ossessing additional inheritonce tall ollhe death of the
life tenant or lenonl for years whenever il appears thol such additional tax may be legally due and
collectible for any reason whotsoever.
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