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U COMMONWEALTH OF PENNSYLVANIA
... i. ... . DEPARTMENT OF REVENUE
LRECEIPTa PENNSYLVANIA INHERITANCE AND ESTATE TAX
..._---'fZII ltVII.,.n
5-11-19T8
Date of Death
..~ 11,19T9
CLYDB a. vouar.-.
C....1ancl
D[p~D@ffilY[g SEAL
. .' R....pt to bot retained for audit purpoaas.
!RIIff~ .26/100----------------
dollors
representing Pennsylvonia Inheritance or
Estate Tax due from the following estate:
2 % Tax on $
$
$
$
$ I
$
$ 1,031.16
6%Taxon $
15"0 Tax on $
% Tax on $
Estate Tax, Act of
May 7, 1927
TOTAL TAX CREDIT
Less five percentum of tax If
paid within three months after
date of death
Plus interest at the rate of
_ % from
to
$
$
TOTAL AMOUNT PA
1,0..26
Received by
the tran,f.r inheritance tax on future .states, prior to the death of the life
'yeors, 01 evidenced by this receipt, It Is understood thai the Commonwealth shall
Of prevented from hereafter as,easing additional Inheritance tox at the death of the
for Ylar. whlnever It appears thot such additional tax may be legally due and
n what.o.....r.