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W~~~;'()63547 ... COMMOND~~~J~tlTOo': ~~~N~~YLVANIA .
~'~,,( '<..oFFICIAL RECEIPT' PENNSYLVANIA INHERITANCE AND ESTATE TAX
II
. Ii RECEIVED ........._............----.....-.....---F1F'J.'~ &:
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15/100-------.--~.-~---.--~_.---
dollars
representing Pennsylvania Inheritance or
Estate Tox due from the following estate:
Williu E. Roo't.
2%Tox on
$
$
607 Bennet't Street
6% Tax on
$
$
File No.
21_7H8_2'76
,.. Dote of Death
.17754
5-5..1978
15'!', Tax on $
$
Montoursvil1e.Pa.
$
[I
l
1~).15
1 j
Nome of Decedent
lPI.....h ?9,; '979
IOWA J. CROFf
Iff) Tax 00 $
Estate Tax, Act of
May 7, 1927
$
Date of Payment
$
Cau nty
Cumberland
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
. dote of death
Plus interest at the rare of
_%from
to
$
$
'ITOO~ [p ~~ @ill'ITrn
SEA L
"
NOTE: This Triplicate Receipt to be retaIned for audit purposes.
Received by
NOTE: In accepting the tran5fer inheritance tax an future estates, prior to the death of the lile
tenant or tenant far years, as evidenced by this receipt, II Is understood that the Commonwealth sholl
Ii . not be precluded or prevented from hereafter oueulng additional inheritance tax at the dealh of the
1 life tenant or tenant for years whenever II appears Ihat such addlt10nal tax may be legally due and
collectible for any reason whatsoever.
ichard tiln~l!ei'son,
Register ot Wills
(Title)