HomeMy WebLinkAbout11-02-78
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H' COMMONWEALTH OF PENNSYLVANIA
~,No.H063614 DEPARTMENT OF REVENUE
;, OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
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----------------BIGHT HURDRED PIPTY~O & 191100-----------------
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Flower II Johnaon
Att e.
era
2%. Tax on
$
$
ress
poat Oft1ce Box I 125
6% Tox on
$
$
t.emoyne,1'& .
17043
$
$
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Hi
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15o/~ Tax on
21-78-139
2-27-19'78
$
% Tox on S
Estate Tax, Act of
Moy 7, '927
Dote of Death
November 2,19'78
$
Date of Payment
~l'rl A. SANDBERG
852.79
CumberlAnd
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
~
Name of Decedent
$
Cou nty
Remarks:
,
~l
$
PAID ON ACCOUNT.
to
$
'[]'OO~[P[L~@m'[]'~
852.t9
TOTAL AMOUNT PAID
$
(
.cJ.jc
Richard i~m~.on
RegiSter oTlII1u
(Title)
SEA L
TE: Thi. Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepting th., transfer inheritance lax an 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 from hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever it appears that such additional tax may be legolly due and
collectIble fOf any reason whatsoever.