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~i RCC4/2/711 COMMONWEALTH OF PENNSYLVANIA
,'NO.fJ 025987 DEPARTMENT OF REVENUE
:' OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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;; RECEIVED
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'10 Brid,. Street
New CUlllber1&nd.P&.
17070
21-78-242
Dote of Oeoth_
4-271'l918
Date of Payment
July 21.1918
Name of Decedenf
EVELYN E. MeELPHATRICK
County
CUlllberlan4
PAID OJ( ACCOUN'l'
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5 E A L
NOTE: This Triplicate Receipt to be retained for auait purposes.
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'MY.'.a'RA________________________....___.._ dollars
representing Pennsylvania Inheritance or
Estate Tox due from the following estate:
29, Tax on
$
$
$
$
$ ~
$ II
$ 11,1578.94
$ 578.94
6%Toxon
$
15% Tax on
$
% Tax on S
Estate Tax, Act of
May 7, 1927
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
$
TOTAL AMOUNT PAt
\",
$ 11 ~_nn
/ \l
\
Received by
NOTE, In accepting the transfer inheritance tall. on future estates, prior to the death of the life
tenant or tenant for years, os 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 lor years whenever it appears thot such additional tax may be legally due and
collectible for any reason whatsoever.