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'Ill COMMONWEALTH OF PENNSYLVANIA
: I! NO. HO 2 5 9 0 8 DEPARTMENT OF REVENUE
::: OFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
Ill'
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; RECEIVED
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BURDRED N~i.FIVE & 55/100.....-------
dollars
representing Pennsylvanio InheritancE! or
Estate Tax due from the following estClte:
----~---------_S~r~
E.Robert Elicker, II
Esq. ,
44 w.st Main Street
Mecb&n1ceburg,Pa.
17055
, :
;Ie No. 21-78-151
Date of Death 3-17-19'78
Date of Payment
3une 15.19'78
Name of Decedent GEORGE M. HEC.IlJ!a.('l'.J'R.
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TOTAL AMOUNT PAI;;));7 $~ 1,.195.55
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Received by \. "\.-
NOTE: In accepting the transler inheritance tax on future estates, prior 10 the death of the life Hi h - dIS.!nott.al....
tenont or tenonl lor years, 05 evidenced by this receipt, it is understood that the Commonwealth shall C ar . Al1Uer-eOn
~o, be precluded or pre...ented from hereafter assessing odditionol inheritonctl to~ ot the death of the Be.l.t.... ot Ville
Iile tenon! or tenant lor yeors whene...er it oppeors that such odditionol tax may be legally due ond (T't1 )
collectible for ony reason wholsoe...er. I e
(au nty
Imo,..
CUIlber1and
PAm OR ACCOUlIT.
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5 E A l
NOTE: This Triplicate Receipt to be retained for audit purposes.
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20/<0 Tax on
$
$
6% Tax on
$
$
15%Taxon $
$
% Tax on S
Estate Tox, Act of
May 7, 1927
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,
$
$
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dofe of death
Plus interest ot the rote of
_ % from
1,890.05
$
$
94.50
to
$
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