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_-___ .. HUD-lIft SMIltI...aD . 19.1100 -- - ------ dollars
representing ~ennsylvania Inheritance or
~ I. Too. .. Estate Tax due from the following estate:
(Bu'17 VU1aer)
P.O. Iktx I 3-"
8b1....._\II'I.Pa.
RECEIVED-:"---
..
From:
Address
2%Taxon
$
11151
6% Tox on
$
1l-T8.Jaolt Date of Death 7...18t191'8
hM 18.1919
15'10 Tax on $
% Tax on $
Estate Tax, Act of
May 7, '927
of Payment
Name 01 Decedent
r.m.A .ACJf Y.A.'lUID
County
0-....\--'
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate ~f
_ % from A81':l.1 10.1919
to :I'd" 18,1919
Remorks:
PAD D J'UI.L
lrOO ~ [P[L~ @illlr~
SEA L
TOTAL AMOUNT PAID
OTE: This Triplicllte Receipt to be retained for audit pur_.
Received by
NOTE: In accepting the transfer inheritance tox on future estates, prior to the death of the lif.
tenant or tenont for years, as evidenced by this receipt, it is understood that the Commonwealth shall
not be precluded or prevented from hereaher assessing additional inh.ritance lox 01 the death of the
Ilf. tenont or tenant for years wh.n....er it appears that such additional lox may be legally due and
collectible for any reason whatsoever.
$
$
$
$ I
$
$ 1."'.5l
$
$ 1..15