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'I COMMONWEALTH OF PENNSYLVANIA
Q. H 063620 DEPARTMENT OF REVENUE
OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
------------------TWEN'1"Y -NIlOS HUNDRED THIRTY I: 75/l00-----------~01Iars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
RECEIVED
From:
Comaonwea1th National Bank
2 9', Tax on $
~ress
1 Horth Hanover street
6 % Tax on $
Car11ale,Pa.
11013
1 5 % Tax 0 n $
e No.
21-18-483
Date of Death 8-6-1918
$
$
$
uale of Payment November 6.1978
0/, 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
Name of Decedent
HARRY F. RUBERT
County
Cumberland
Remarks:
PAID 01f ACCOUNT
lYOO ~ ~ [L~ @@ lY~
$
$
$
3,085.00
$
154.25
$
SEA L
TOTAL AMOUNT PAID.
)
$
.'"
\
2.930.~5
\
J
aTE: Thil Triplicate Receipt to be retained for audit purpolel.
Received by
NOTE, In accepting Ihe transfer inheritance tax on future estates, prior to the deolh of the life
'enonl or lenonl for yeors, os evidenced by this receipl, it is understood Ihot the Commonwealth sholl
not be precluded or prevented from hereafter assessing odditionol inheritance lox at the deolh of the
life tenant 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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