HomeMy WebLinkAbout03-11-80
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COMMON\IV~~LTH OF PENNSYLVANIA
. ... :~~~r~~II!~OF,REV5N~UE ...
OFFICIAL RECEIPT'~PENNSYLVANIA INHERITANCE AND ESTATE TAX
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I,
e, RECEIVED ----------------FORTY
II
R From.
~.I. dress 9321 21k Drive
; Sp~tngEiA1d, VA.
~ File No. 21-79-277
D&vid E. CaBSenS
HUNDRED
~eB SWF.NTV-FOUR & 91/100-------------,.,m~
representing Pennsylvania Inheritance or
Estate Tox due from the following estate:
2%Toxon
$
$
$
$
$ ~
$
$ 4,n')4.93
$
2215:.\
6%Tox on
$
Dote of Death 5-10-1978
15'7(l Tax on
$
Date of Payment
~"rc'l1 11.
1(31)0
% Tax on $
Estate Tox, Act of
May 7, 1927
Name of Decedent
MTt.DR1l!n M_ CASSRNS
County
~I~,",."" ~"d
TOTAL TAX CREDIT
Less five percentum of tox if
poid within three months after
dote of death
Plus inferest ot the rate of
_%from
to
$
Remarks:
"PAID ON ACCOUNT"
'iYOO~~[l~@m'jJ'rn
TOTAL AMOUNT PAID
$
4,074.93
SEA l
NOTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE, In accepting the transf6r inh.ritanc. fax 01'1 futur. 8stOl8S, prior to the death of the lite
tenant or tenant for year$, as evidenced by this receipt, it is understood thai the Commonwealth shall
not be precluded C)r prevented from hereafter assessing addilional inheritance lax at the death of the
Iile tenant or tenanl for years whenever if appears thai such additionol tall: may be legally due and
collectible for any reason whatsoever.