HomeMy WebLinkAbout09-22-78
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I~ RCC4(2/77) COMMONWEALTH OF PENNSYLVANIA
UNoH02S71& .' . ... .... DEPARTMENT OF REVENUE
B . OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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= RECEIVED -'" '-
H
-
Gu'Mr
....1er . AdI,-a
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dollars
representing Pennsylvonio Inheritance or
Estote T ox due from the following estote:
From: ---<...... 0011
Iress a8 &out.Il Piott .....t
.,)
2'1< Tax on $
$
6%Toxon $
$
C&l'11ale..... 11013
21-~1O Dote of Death '-d-l'9T8
15'10 Tox on $
$
Dote of Payment
ae,tenw 11.1918
.. c. COY,..
% Tax On $
Estote Tax, Act of
Moy 7, 1927
$
I
$
County
~,......
TOTAL TAX CREDIT
Less live percentum of tox if
paid within three months after
dote of deoth
Plus interest at the rote of
_%from
to
$
1,0..63
Nome of Decedent
$
,.,c,
Remarks:
PAID 011 AClC~.
lrOOD ~ [L~ @illlrrn
SEA L
TOTAL AMOUNT PAID
$
NOTE: This Triplicate Receipt to be retained for audit purpo8es.
Received by
NOTE: In accepting the tronsfer inheritance tax on future estates, prior to the death of the life
tenant or tenant for years. os evidenced by this receipt, it is understood thot the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tox at the death of the
Ilf. tenant or tenant for years whenever It appears that such additional tax may be legally due and
collectible for any reason whatsoever.
I1cbaM {.,ra......
..ta.... fd Will..
(Title)
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