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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
FFICIAl RECEIPT · PENNSYLVANIA INHERITANCE AND ESTATE TAX
.".."a . ......................-....NINE HtJNDRID
TWE:L'VE DOLIA.RS -~.._.- ..............-......,-.. -.......
dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
ITrom: 'IU nlIIU~lr'alth Nat10nal Bank,
'.5$~ Hanover Street
.lele.pa. 17013
""'37 Dote of Death 9-4-1918
lecember 4,1918
2 % Tax on $
% Tax 0 n $
Estate Tax, Act of
May 7, 1927
$
$
$
$ ~
$ ~~
Ii
, I
$ 960.00
$ 48.00
6 % Tax 0 n $
15% Tax on $
Name of Decedent
DANIEL L. ELICDR
County
Cumberland
TOT Al TAX CREDIT
Less five percentum of tax if
paid within three months after
dote of death
Plus interest at the rote of
_% from
to
$
>"
Remark.:
1TOO~ [P [L~ @ill U~
SEA l
\
TOTAL AMOUNT PAiD, $ \~12.00
~.." /
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Rtcbard(S~~at~';dir80n
Regtater of'1IIUS
(Title)
I,
I
: ,"*TftpIlMte Receipt to be retained for aUdit purposes.
Received by
NOTE: ,. .1" occe,tIng Ine transfer inneritance tax on future estates, prior to tne death of the life
ItftontQr.;...nt. fOl'; years, os evidenced by tnis receipt, it is understood tnat the Commonwealth shall
~. ....,....lid~:CIIr. prevented from nerealler assessing additional inheritance tax at tne death 0/ the
.If. t,tnont " "nGllt for years whenever it appears that such additional tax may be legally due and
~_l.fo,~ny r~n wnatsoever.