HomeMy WebLinkAbout05-25-79
ICIAL
COMMONWEALTH OF PENNSYLVANIA.
DEPARTMENT OF REVENUE
PT . PENNSYLVANIA INHERITANCE A
RECEIVED
__~~~~-~~~-~~--~~-BIBE
II. 65/100-- -.....--..- ~_....--...... _.....~ .........'.....d II
_ 0 ars
From:
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
21-78-262
Dote of Death
15'f~ Tax on
$
$
$
I
$ I
$ I 1
I
$ U
$
Address
2 '7~ Tax on $
6% Tax on $
of Payment y,.y 25.1979
% Tax on $
Estate Tax, Act of
May 7, 1927
Nome of Decedent BURR Sa _oatS ,SR.
Cou nty CUIIlberlancl
PAm Olf ACCOUN'.r.
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rote of
__% from
to
$
Remarks:
$
~I
I
uOO~[P[L~@ffiu~
SEA L
TOTAL AMOUNT PAID, _, $ '79\AA
I'.Q /
V C.p A~____C~/'~~/
'Rlc bard (~noAHl.r.on
Rell.ter of W1118
(Title)
OTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE In accepting Ihe Iransfer inherilance lox on future estates, prior to the dealh of the life
tenant or lenant for yeors, os evidenced by this receipt, it is understood thot the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tox at the death of the
life tenant or tenont for years whenever it appears that such additional tax may be legally due ond
collectible for any reason whatsoever.
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