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!II' RCC4(2177l. COMMONWEALTH OF PENNSYLVANIA
~No.H063596 DEPA~TMENT OF REVENUE
" OFFICIAL RE.CEIPT . PENNSYLVANIA INHERITANCE .AND ESTATE TAX
t1
I RECEIVED
U
File No.
-
---------------8XX HUNDRED S~..ty-EIGHT . 94/l00----~----------d
ollars
representing Pennsylvanio Inheritance or
Estate Tax due from the following estote:
Robert J. Yoeua
ss
(H&nY Varner)
Poet Office Boa I 336
6 % Tox on $
2 % Tax on $
$
$
$
$
$ ~
$ 618a~
Sh1.-nalNrg ,h.
21-18..401l Date of Deoth
17251
1-18-19'78
% Tox On $
Estate Tax, Act of
May 7, 1927
15%Taxon $
April 11,1919
Dote of Payment
Name of Decedent
County
1'.IUIA GRACB V.A1lDR,
TOTAL TAX CREDIT
Less live percentum 01 tax il
paid within three months alter
date 01 death
Plus interest at the rate 01
_%Irom
to
$
C'~"rl.A<l
$
lY 00 ~ [p [L~ @ illlY~
NOTE: Thl. Triplicate Receipt to be rlltainlld for audit purpo....
5 E A L
TOTAL AMOUNT PAID
Received by
NOTE: In accepting the tran,f.r inh.rltance tax on future estates, prior to the death of the life
t.nont or f.nan' for yeors, as evidenced by this receipt, it is understood that the Commonwealth shall
not b. precluded or prevented from h.r.aft.r olleSling additional inheritance tax at the death of the
Ilf. tenant or t.nant for y.ars whenever It appears that such additional tax may be legally due and
collectible for any reason whatsoever.
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