HomeMy WebLinkAbout01-16-79
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~i t' ~Jfl"COMMONWEALTH OF PENNSYLVANIA
I! NO. .; 06 376 8tii~ DEPARTMENT OF REVENUE
= OFFICIAL!itaCEIPT. PENNSYLVANIA INHERITANCE AND ESTA;
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;: RECEIVED
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= F .. Farmers 'h'U&t "'panJ,
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I File No. 21.-78-603
~_~___~~___A..l -~-~~~~O !BOUSAID
DOLLARS------........., .Il."!._~:'...
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
2 % Tax on
$
$
1 West H1Ib .....t
6% Tax on
$
$
,...< '
car11.s1e.Pa.
1.1013
15'i'c Tax on
$
s
Dote of Death
% Tax 0(1 $
Estate Tax. Act of
May 7, 1927
s
Dote of Payment
J8J1'-17 16,1919
GERTR.UJJJI ~,
CUIlberlatd
$
PAID OIl ACCOUft
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
$
.. ....-
Nome of Decedent
:f"
s
....
$
uOO~(P~~@illu[g
5 E A L
TOTAL AMOUNT PAl
NOTE: This Triplicate Receipt to be retained for audit purposes.
Received by
NOTE: In accepting the transfer inheritance tax on future estates. prior to the death of the life
tenant or tenant for years. os evidenced by this receipt, it is understood that the Commonwealth sholl
not be precluded or prevented from hereafter aU'Sling additional inheritance tax at the death of the
life tenant or tenant for years whenever it opp.ors that such additional tax may be legally due and
collectible for any reason whatsoever.