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,141~ RCC4(2177) COMMONWEALTH OF PENNSYLVANIA
!~~No.H 063461 DEPARTMENT OF REVENUE
e: OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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'If! RECEIVED
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11 File No.
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~--~-~~-~~-~-~~~ONl THOUSAID
OOLIARS -......-....-.........---- -- ,.,.......- -.....- "do II a rs
representing Pennsylvania Inheritance or
Estate T ox due from the following estate:
(Hel." K. 8hu1aJ")
2% Tax on
$
$
317 Th1rd stre.~
6% Tax on
$
$
Hew Cumberland_Pa.
11010
15<fv Tax on
$
$
I'
I
Date of Payment
Ya1"f!b 2_1979
% Tax On $
Estate Tax, Act of
May 7, 1927
$
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21-18-593 Date of Death 10-5-1918
$
Name of Decedent
PAUL G. DRADR
County
C..~.1"11Ul4
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
$
1,000.00
$
rks:
PAm OK ACCOUlfr.
$
urn ~ [p [l~ @m u~
SEA l
TOTAL AMOUNT PAID
, ,000.00
NOTE: This Triplicate Receipt to be retained for audit purposas.
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Received by
NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life
tenant or tenant for years, as evidenced by this receipt, it is understood that the Commonwealth shall
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
life tenant or tenant for years whenever It appears that such addHional tax may be legally due and
collectible for any reason whatsoever.