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MONWEALTH OF PENNSVLV A
8 DEPARTMENT OF REVENUE
OFFICIAL RECEIPT. PENNSYLVANIA INHERITANCE AND ESTATE TAX
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; -------------~EI HUHDRED FIFfY-NINE .
I~, RECEIVED
'I
,,fj,
~, From: wer
~t (Elaine M. Ye1ngat)
= Address Poat Office Box I 125
"',
~f Lemoyne I Pa. 1704 3
if No. 21-78-533 Dole of Deoth 9-16-1978
I , ot Poymeot
Nome of Decedent JOB c. nrRS'r
88/l00~~-~--~-~-~~~~~--
dollars
ohnaon
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
15% Tax on
$
$
$
$
$ ~
$ U
$ 359.88
2 o/c Tax on
$
6% Tax on
$
June 15.1919
o/v Tax on $
Estate Tax, Act of
May 7, 1927
, Cou nty
Cumberland
TOTAL TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rote of
_ % from
to
$
Remarks:
PAID OR ACCOU!f1'.
$
~i
$ J'i9-AA
8_, '
\ ~... /' I
OTE, TN, TO...... R_" .. "" _t,"", ""000 ...'...... :d \ C I /
Received by \ ..If" L I ~
NOTE In accepting the transfer Inherotance tax on future estates, proor to the death of the life -- Si -
tenant or tenant for years, os eVidenced by this receipt, ,t .s understood that the Commonwealth sholl otla.rcl I~ ~ao~
not be precluded or prevented Irom hereafter assessing additional inheritance tax at the death 01 the Reaiater o~ Villa
life tenant or tenont for years whenever it appears that such additional tax may be legally due and (1'11 )
collectible for any reason whatsoever. I e
lJOO ~ [p [L~ @&lJrn
SEA L
TOTAL AMOUNT PAID
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