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UNo.H 026071 COMMOND~P~~;J::'TOo': ~:V~::U~YLVANIA
B OFFICIAL RECEIPT e PENNSYLVANIA INHERITANCE AND ESTATE TAX
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S RECEIVED __......------'l1I'PLt'~~
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~ From: ---<...lq a. G1.1MrU.)
M
ddress ..' ott1oe .. , "1
cup lIUl,fa. 1T011
a.
Date of Death_ 6-1.1918
ile No. 11-18-319
Date of Payment
Name of Decedent
a. IAJIJ:ID CfTt..Joo--".
County
c.MI'1aa4
Remarks:
PAID .. ACOOUft.
VOO~[p[L~@illVrn
5 E A L
NOTE: This Triplicate Receipt to be retained for audit purpo....
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___ 1ft1'1.&.a8------..--- dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2% Tax on
$
$
6% Tax on
$
$
150/0 Tax on
$
$
% Tax on $
Estate Tax, Act of
May 7, 1927
$
~
$
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
$ . At ,OOO.GO
$
fNlO.M
$
TOTAL AMOUNT PAID
Received by
NOTE: In accepting the transfer inheritance tax on futur. .stotes, prior to the death of the life
tenant or tenant for years, os evidenced by this receipt, it is understood that the Commonweolth shall
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenont or tenant for, years whenever it appears that such additional tax may be legally due and
collectible for any reason whatsoever.
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