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4 COMMONWEALTH OF PENNSYLVANIA
6371 DEPARTMENT OF REVENUE
OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE T
----~-----~---~~~_~__~~ RUKDRID BlaRfY ~ 8o/l00-~--, -~---~-~~--
, dollars
representing Pennsylvania Inheritanc'~ or
Estate Tax due from the following estote:
From:
(Ed1th a.Hollinger)
44 Weat Ma1n Street
2 'k Tax on $
21-78-2~ Dote of Death 4-21-1978
December 21,1918
0/" Tax on $
Estate Tax, Act of
May 7, 1927
$
$
$
$ ~
I
$ ..1
$ 280.80 ~
$
6%Tax on $
Mechan1caburg,Pa.
17055
15%Taxon $
Nome of Decedent
CLABA B. JIBWB'.rT,
Cumberland
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rote of
_ % from
to
. Received by
"NOTE: In accepllng the transfer inheritance tax on future estates, prior to the death of the life
twftl or tenant for years, os evidenced by this receipt, it is understood that the Commonwealth sholl
llOtbe precluded or prevented from hereafter assessing additional inheritance tax at the death of the
If!t" tenant or tenant for years whenever it appears that such additional tax may be legally due and
llf"'ctlble for any reason whatsoever.
1t1
Reg1ater
$
lr 00 ~ [p [lJI @ mlr ~
5 E A L
TOTAL AMOUNT PAID