HomeMy WebLinkAbout11-16-78
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III Rce 4 (2/77)
i14; COMMONWEALTH OF PENNSYLVANIA
:Jli NO. H 0 6 3 6 46 DEPARTMENT OF REVENUE
i;i OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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i;, RECEIVED
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Shirema.natown,Pa. 11011
1,1 e No. 21-18-143 Dote of Deoth 2-23-19'78
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HUNDRED SEVEltTY FIVlI: DOLLARS-----dollars
representing Pennsylvania Inherifance or
Estate Tox due from the following estate:
James D
(James R. O'Brien)
2% Tax on
$
$
23 West Main Street
6% Tax on
$
$
15%Tax on
$
$
rilll'AU J. HlUBDX
% Tax 0(1 $
Estate Tax, Act of
May 7, 1927
I
e
$
Dote of Payment _
$
Cumberland
TOTAL TAX CREDIT
less five percentum of tox if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
$
Nome of Decedent
County
Remarks:
$
5.315.00
November 16,1978
$
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PAID ON ACCOUNT.
VOO~[P[L~@illv[g
i
5~375.oo
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Register ot Wille
(Title)
TOTAL AMOUNT PAID
5 E A l
$
OTE: This Triplicate Receipt to be retained for audit purposes.
I
Received by
NOTE: In accepting the transfer inheritance tax on future estates. prior to the death 01 the lile
tenant or tenant for yeors, os evidenced by this receipt, it is understood thot the Commonweolth shall
not b@ precluded or prevented from hereafter assessing additional inheritance lox at the death of the
life tenant or tenant for years whenever It appears that such addilianaltox may be legally due and
collectible for any reason whotsoever.
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