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~, COMMONWEAL.TH .OFPENNSYLVANIA
"~o,H063530 . DEPAFtTMENT OF REVENUE
a OFF.ICIAL RECEIPT · PENNSVLVANIAINHERITANCE AND ESTATE TAx
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i RECEIVED
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i File No. 21-'78-1123 Date of Death
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____ ,._ .....~ 1lUlIDRJI' oraJ1\fll-8"
. 65/100--...----.......
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
1f1UJ.- P. 1Ca'I't.... p.e.
("'\11 L. BI'1olrMr)
10 Jut B1Ih av.t
2% Tax on
$
$
6% Tax on
$
$
Car11a1e.:P&.
11013
8-1-19T8
% Tax all $
Estate Tax, Act of
May 7, 1927
$
~
150/. Tax on
$
$
$
IIU'eb 23.19"f9
Dote of Payment
Nome of Decedent
1 County
taft B. 81CU~
C8be1'1an4
1,036.65
$
arks:
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rate of
_%from
to
$
$
1100 ~ [p []J @ill1l~
TOTAL AMOUNT PAID
$
NOTE: Thll Triplicate Racelpt to be retained for audit purpo....
SEA L
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Received by
NOTE: In accepting the tran,f.r inheritance tax on future estates, prior to the death of the life
tenant or tenant for years. 01 evidenced by this receipt, It is understood thot tne Commonwealth shall
not b. precluded or prevented from hereofter assessing additional inh.ritance tox at the death of the
llf. t.nant or tenant for years whenever It appears that such additional tax may be legally due and
collectible for any reason whatsoever.
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