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'If ,; . COMMONWEALTH OF PENNSYLVANIA
iJl! ",o.H 06 3117 DEPARTMENT OF REVENUE
i:i ,"', OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
:It
i RECEIVED --...---------------------POR'l'Y-FO'tm a:
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do ors
representing Pennsylvania Inheritance or
Estate T ox due from the following estate:
(.... L. KennedY _Jr. )
2% Tax on
$
$
100 York Road
6 % Tax on
$
$
New Cumberland,Pa.
11070
15<fc Tax on
$
$
No.
21-78-595
Date of Death 4-11-1918
% Tax on $
Estate Tax, Act of
May 7, '927
$
December 22,1918
$
Nome of Decedent VTT..J.TAM L. ICIRlCEDY
County
Cumberland
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
$
44.."
Remarks:
$
PAID Oft ACCOUlI'J.'.
$
uOO~[P[s~@mum
5 E A L
TOTAL AMOUNT PAID
$
NOTE: This Triplicete Receipt to be retained for aUdit purposes.
Received by
NOTE: In occepllng Ihe transfer inheritance tax on future estates, prior to the death of the life
tenant or 'en ant for years, as evidenced by this receipt, it is understood thot the Commonwealth shall
not be prscluded or prevsnted from hereafter assessing additional inheritance tax at the deoth of the
Ilfs tenant or lenant for years whenever it appears thot such additional tax may be legally due and
collectible for any reason whotsoever.
Richard .atXA~eraon
Bestater o~ V11~
(Title)