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l~iRCC4(21771 COMMONWEALTH OF PENNSYLVANIA
n No.H 063441 . . DEPARTMENT OF. REVENUE
e OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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. RECEIVED
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S CU"11a1. .Jla. 11013
I" n~~_ 6~~1~8
File No. Date of Death
.-.-....
RUIIDRB'D ~-POtJR . 21/100----.........-----
dollars
representing Pennsylvania Inheritance or
Estate Tox due from the following estate:
fuMn ft'Ut C~.
2%Taxon
$
$
1 Wea" JI1eh Street
6% Tox on
$
$
15'1'0 Tax on
$
$
Date of Payment
ft"NU7 -.1919
0/0 Tax o~ $
Estate Tax, Act of
May 7, 1927
$
$
County
c'_....I'" .......
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months alter
date of death
Plus interest at the rate of
_% from
to
$
sM.1T
!'\Iome of Decedent
....... ,. ..1.1.n't
arks:
$
$
lJOO~[P[L~@illlJ~
SEA L
\ ".11
)
NOTE: Th18 Tripllcete RlIClIipt to be ..elned for eUClIt purpoe...
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Received by
NOTE: In accepting the tronsfer Inheritance tax on future litotes. prior to the death of the life
t,nont or t'nont for y.an, 01 ......Id.nced by this r.,.ipt, It Is understood that the Commonwealth shall
not b. precluded or prevented from hereaft.r ollllllng additional inheritance tax at the death of the
11ft tenant or tenont for ylar. when.ver It appears thot such additional tax may be legally due and
collectible for any realon whatloever.