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,~ RCC4121171 COMMONWEALTH OF PENNSYLVANIA
IliNo.H025872 DEPARTMENT OF REVENUE
a OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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". RECEIVED
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------------THIR'l'y-THREE HUNDRED TWENTY-FIVE DOLLARS------------cl'I>llors
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
(Harriett P. a:renneman)
2% Tox on
$
1 West Hi~n Street
$
6%Tax on
Pa.
17013
15%Taxon
$
Dole of Deolh_ 3-::>>-1978
Date of Payment
Ma,. }O, 1978
0/" Tax on S
Estate Tax, Act of
Moy 7, 1927
Name of Decedent
IRl!.'NE D. PIPER
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
~%from
'0
County
Remarks:
CUIIlbep1an4
"PBID ON ACCOUNT"
'IT 00 ~ [p [L ~ @ Li\ ln~
TOTAL AMOUNT PAID
5 E A L
NOTE: This Triplicate Receipt to be retained for audit purposes.
$
$
$
$
~
,~I
$
$
3.S00.00 ,
$
17~.OO
$
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\
$
i;~i
Received by
NOTE: In accepting the transfer inheritance lox on future estales, prior to the death 01 the life
tenont or lenont lor yeors, as evidenced by this receipt, it is understood thai the Commonwealth sholl
nol be precluded or prevented from hereafter assessing additionol inherilonCI:l tax at the death 01 the
life lenant or lenonl for years whenever 11 oppears thaI such additionol tox may be legally due ond
collectible for ony reason whatsoever.
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