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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TA)(
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-
.......____............. - tlt-~ollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
......... rr ,1.918
% Tax On $
Estate Tax, Act of
May 7, 1927
$
$
$
$ I
$ ~.~
!
$ ,.MII..ft1.
$ 1.8Il,n
rbm:---O-'-u.n a. "Sour)
" ress---' lodh .....1" IV'eet
2 % Tax on $
6%Tax on $
....lit1,. .....
11013
150/0 Tax on $
111-'18"-. Dote of Death.,...ag...l9'r8
IIA.~ _.. K.K14tllA.
~-1aDd
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rote of
_% from
to
$
J!lID . ACOO1J1II.
lYill ~ [p [1~ @illlY~
5 E A L
TE: 111. Triplicate Receipt to be retetned for eudlt purp......
Received by
, NOTE: In accepting tn. tron,f.r inh,rltanee tax on future ..tatls, prior to the death of the life
,; "nOftt or t.nant for Ylan, 01 evidenced by this r"lipt, It II understood that the Commonwealth shall
, J Mt b, .precluded or prevented from hereafter o.....lng additional Inheritance tax at the death of the
111f. t.nant or t,nonl for ylars whenever It appears thot such addltlonal tax may be legally due and
,cOllectible for any realon whatsoever.