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,wj..ACC4C21771 COMMONWEALTH OF PENNSYLVANIA
liNO.H063452 DEPARTMENT OF REVENUE
B OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
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I RECEIVED
U
I'
-~
Jtolaert D. aau-
JlUIDlUU) EIGJIl'l'-aU . 65/100-------dollors
representing Pennsylvania Inheritance or
Estote Tax due from the following estote:
....._..............#>A llt .___~.....
.
(..111. M.1tl'Qe1' .. 1U.1.d.re4 A. 8
112 MaI'Ut ftnet
$
$
6%Toxon $
$
Harri._vC.,..
11101
15% Tax on $
$
File No.
n-18..JJao Date of Death 1-10-1918
Name of Decedent
~ 21,lm
lIABIL s. ftRA1'IIl
% Tax On $
Estate Tax. Act of
May 7, 1927
$
Date of Payment
$
~
County
c'.....16DIl
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
$
1.986.~
$
1JOO ~ [p [L~ @ill1Jrn
SEA L
1ft'll.
NOTE: Thl. Trlplice. Receipt to be retelned for eudlt PUrpOl".
Received by
NOTE: In acc.pllng ttl. transf.r intl.rUen,. tax on future estetes, prior to ttle deeth of the life
tenant or tenont for years, as evldenc.d by this receipt, It is understood that the Commonwealth shall
not be precluded or prevented from h.reafter assessing additional inneritance tax at the death of the
life tenant or tenant for yeon whenever It appears that such additional tax may be legally due' and
collectible for any reason whatsoever.
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