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fI,~~.~~.t>. OFFICIAL RECEIPT.~PENNSYlVANIA INHERITANCE)tNO'e"ihATE TAX
5i RECEIVED --..--.----......----.----SEVENTEEN HUNDRED TEN DOLLA.BS--"-----..--.;...---dollars
II' representing Pennsylvania Inheritance or
= Estate Tax due from the following estate:
~ '"m
ti
I
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rafe of
_%from
to
.
catherine S. BorUllln
2%Toxon
310 B:tldltlt Street
6% Tax on
1'T07O
Mew dUlllbl':i1"1and,Pa.
15%Toxon
21...7s.-2S,
4...18..1918
Dote of Death
%.Tax 0(1 $
Estate Tax, Act of
Moy 7, 1927
Date of Payment
.1111y Ujl978
Nome of Decedent
~Ity 1i:. RBA~
Cumbel'la.lic1
County
arks:
PAID ON ACCOUNl'.
uOO~[P[L~@murn
.
.~
$
$
$
$
$ .
$
$
$
$
$
$
-.
I~
1.800.00
t
90.00
SEA l
TOTAL AMOUNT PAID
/
NOTE: This Triplicate Receipt to be retained for audit purposes.
t
. Received by
NOTE: In accepting the tramler Inheritance lox on future estotes, prior to the death of the life
tenant or tenonl for years, os evidenced by this receipt, It Is understood that the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tax of the death of the
life tenant or tenant for years whenever It appears that such additional tax may be legally due and
collectible lor any reason who1$oever.
Rlcharct . j~n~~e:t80
Red.tel' of Wills
(Title)