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HomeMy WebLinkAbout11-22-78 r " ~ ~~ II ..~--~ -=.-.;..... -~ ~ ~ -=-- __ RCC 4 (2/77) ~/ COMMONWEALTH OF PENNSYLVANIA I~ NO. H 063654 DEPARTMENT OF REVENUE = OFFICIAL RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX II ~ = RECEIVED II !Ill III -- ~ From:. (.Tudl~ }.fa Boody) .. IJI 1\ t '1ress 2109 Market street II Ill! , li :. n I. I ~ - N02J -7~97 ~, Dote of Payment Bovember 22,1978 I Nom. of Doc.d.", 'I'II1>!I'JO'. E. BOC:lD! ~,' County " Remarks: = '" ~, ! ~ ~ . U ~ -=-- ____ :z:::::m:'.-'-'-..-so:::lII: ~::m=lIl: ~ ~ IIRrJl . ~p~ ~~ :II!Il:IIii:..' HUNDRED SIX'l'Y-SIX . 66/l00---------------d'01Iars representing Pennsylvania Inheritance or Estate Tax due from the following estate: -----~-~---~~-~-~HIRI 20/c Tax on $ $ 6% Tax on $ $ c.mp B111~Pa. · TMOU' '] 17011 8-29-1978 15% Tax on $ $ TOTAL TAX CREDIT $ 1.017.S'a l~ I I~~ ~: ~ Dote of Death % Tax 011 $ Estate Tax, Act of May 7, 1927 $ $ CUIIlbwlancl Less five percentum of tax if paid within three months after date of death Plus interest at the rate of _ % from $ 50.88 PAm ON ACCOUNT. to $ ~! I! I I lYOO ~ (p [L~ @ffilYm SEA L t / v IV S~nature) Richard .t!i. AnffiaOn It.ai.tel" of W . (Title) ....OTE: This Triplicate Receipt to be retained for audit purposes. Received by NOTE In accepting the transfer inheritance tax an future estates, prior to the death of the life 'enont or tenant for years, as evidenced 'by this receipt, it is understood that the Commonweolth sholl not be precluded or prevented from hereafter ossessing additional inheritance tax at the death of the Ilf. tenant or tenant for years whenever it appears that such additional tax may be legally due and collectible for any reason whatsoever.