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HomeMy WebLinkAbout05-12-78 ---= -=0. , " '.?-'i , , . - - - - - - " ,'!,:o(li'; -~ !...----- ,~, RCC 4 (2/77) II COMMONWEALTH OF PENNSYLVANIA ,~No,!1 0 2 5 8 4 2 DEPARTMENT OF REVENUE ,; OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX :II '" !; RECEIVED '" '=' ~, H !IIi From: I- ~l dc.ss Mal'ket Squlll'e BuUding Ii Fde No ~1.7B-l 38 - - -------------~~ HT1NTlR'RTl (Phyllis V. MoOu1re) M."hll1'l!"RbuPl[, )>8. 170$ Dote of Death 1/:>O/197A Date of Payment ..7 12. 1978 Nome of Decedent WIT.LI AM Ii. J(oGT.tIHB County ('!umb"pl a nit Remarks: I '[[00 ~ [p [L~ @m'[[rn 5 E A L NOTE: This Triplicate Receipt to be retained for audit purposes. - . ""--'" ..."" - ~ ... --~.- -..s. !Hl"'T"{.OIiJi: 1e I~J/l(lo-------------------MlIa" representing Pennsylvania Inheritance or Estate Tax due from the following estate; 20/(; Tax on $ $ 6% Tax on $ $ 15% Tax on $ $ % Tax 0(1 $ Estate Tax, Act of May 7, 1927 ~ '~I $ $ TOT AL TAX CREDIT less five percentum of tax if paid within three months after date of death Plus interest at the rate of _%from to 761.41 I $ $ $ Ii TOTAL AMOUNT PAID 761.l.t.l $ it Received by NOTE: In accepting the transfer inheritance tal< on future estates. prior to the death of the life tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall not be precluded or prevented lram hereafter assessing additional inheritance tax at the death of the life tenant or tenant lor years whenever il oppears that such additional tax may be legally due and collectible for any reason whotsoever. LSilOQatuc.l'l HiohaM 3. Andel'S R.81.te~Tiff~ W111. ----- - - --