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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
. PENNSYLVANIA INHERITANCE AND ESTATE TAX
1DlOU8AJlD JI'.u!'I-JOua . 36/1OO--..----......--'7:Iollars
representing Pennsylvania Inheritance or
Estate Tax due from the lollowing estate:
.,. Goo4
2 % Tax on $
$
1u11'~DI
11101
6%Taxon $
$
15'10 Tax on $
$
6-13-1918
Dote 01 Death
% Tax On $
Estate Tax, Act 01
May 7, 1927
$
....17 11.1919
UftD' B. GOOD
$
f
c....1an4
TOT AL TAX CREDIT
Less live percentum 01 tax II
paid within three months alter
dote 01 death
Plus interest at the rote 01
_%Irom
to
$
a.o".36
$
$
SEA L
Receipt to be ret.lned for .UClI1 purpoan.
Received by
~",ptlng the transfer lnherltan'C' tox on future ..totes. prior to the deot" of the life
.,for y.or., al evidenced by this receipt, it Is understood thot the Commonwealth sholl
~...li: lor p.r.".nt.d trom h.reaft.r ou.sslng additional Inh.rltance tax at the death of the
Ilian. for yean wh.n......r It appears .not such additional tax may be legally due and
".Olon whatlo.ver.