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:r RCC 4'(i;,;'j -- - COMMONWE~LTH ~F PE~-NSY~ANIA
t. NO. H 063588 DEPARTMENT OF REVENUE
a OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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~, --~-~~-~~---~.-!BIRfY-_I11 . 95/l00--~----~--~~~-------~--~---~
i RECEIVED
'1 representing Pennsylvania Inheritance or
; Estate Tax due from the following estate:
~
"
I
File No.
'loa B. B1euoh. Baa..
2%Taxon
$
ress
7 Irvine Row
$
6% Tax on
Carliale,".
17013
15% Tax an
$
21-18-lJ09 Date of Death
6-22-1918
% Tax On $
Estate Tax, Act of
May 7, 1927
April 5,1919
Date of Payment
I'RAIX B. JO.
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus Interest at the rate of
~%frOm tm 1I:1m
Name of Decedent
County
C-berlan4
(.
lrOO ~ [p [L~ @illlr~
SEA L
TOTAL AMOUNT PAID
NOTE: Thll Triplicate Receipt to be reteined far audit purpo...,
Received by
NOTE~ In accepting the tran.t.r Inheritance tox on future estates, prior to the death of the lif,
tenant or tenant for years. as .videnced by this receipt, 11 Is understood thot the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tox at the death of the
11ft tenant or tenant for years whenever It appears that such ,additional tex may be legally due and
~lIectlbl. for any reason whatsoever.
-
dollars
$
$
$
$
I
$
$
39.75
$
$
.20
.95