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'll' COMMONWEALTH OF PENNSYLVANIA
if! NoH 025881 DEPARTMENT OF REVENUE
e OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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--------------JfHIRTEER
m.nmRED 8EVEltrf-1"IVE . 110 /1008--------- dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Jon .. L4l1l'ever, E.q..
2%Toxon
$
31.7 Third. street
6% Tax on
$
11.... CUllbel'land.. Pa .
11010
2-14-1918
15%Taxon $
21-78-146
Date of Death
% Tox on $
Estate Tax, Act of
May 7, 1927
Date of Payment
June 5.1918
Name of Decedent
AGtmS B. SHIPE
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
County Cumberland
Remarks:
$ 1 '.:I111;"l M
{ )(,' (
,l,t ~ L-'\ ' ~t L L\I{A......---../,
(Slg not.1) rel.
R1chard E. An4erSon
~.&1.~.p nr Wf11.
(Title)
PAID 011 ACCOUlft'
'[]'OO~~[L~@ffiu~
5 E A l
,
TOTAL AMOUNT PAID) !
.I ",J
NOTE: This Triplicate Receipt to be retained for audit purposes.
i~l
Received by
NOTE: In acceptlng the transler innerilonc;e tox on future estates, prior to the death of the lite
tenant or tenont for yeafS, os evidenced by this receipt, it is understood thai the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tox ollhe death of the
life lenonl or tenont for years whenever it appears thai such additional tox moy be legally due and
collectible lor any reason whatsoever.
$
$
$
$ ~
$ II
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,
$ 1.375.00 I
$
$