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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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oars
representing Pennsylvania Inheritance or
Estate Tax due Irom the following estate:
TOTAL TAX CREDIT
less five percentum 01 tax if
paid within three months alter
dote 01 death
Plus interest at the role of
_%Irom
to
20/0 Tax on $
1T15T
6%Taxon $
15% Tax on $
I1-18Alt08
'-16-19"1'8
% Tax on $
Estate Tax, Act of
May 7, 1927
Dole of Death
01"" 10.1.9"1'8
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'AD '* ACCOUft
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SEA l
TOTAL AMOUNT PAID
.. Trlplidete Recttipt to be retained for audit purpo.....
Received by
6,. -;:tn accepting the transfer inheritance tax on future estates, prior to the death of the life
':;ot.-.nant fat years, os evidenced by this receipt, it is understood that the Commonwealth sholl
. ,-"Iuded or pre....ented from hereafter assessing additional inheritance tax at the deoth of the
or t.n~t for years whenever it appears that such additional tax may be legally due and
,r any rlleson whatsoever.
$
$
$
$ I
$ .
$ 18,'" A'"
$ ~'.3T
$