HomeMy WebLinkAbout12-28-78
ONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
· PENNSYLVANIA INHERITANCE AND ESTATE TAX
,ReCEIVED
...ltIfJiI........IIl....----FOUR HtJNDIUm
OOLI.A1l.S - .....---...---....-.... _....'- ---..,j II
uO ars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
From: --.:..'.........
.. --.....
2 0/. Tax on $
$
6%Taxon $
$
, ".IIIJl.'mr"...17070
15 0/. Tax on $
$
$
21.05
No.~Dot. of Death 10-1-1
of Payment h' ~ 1. ......78
0/" Tax On $
Estate Tax, Act of
May 7, 1927
$
$
Nome Of ,Decedent
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
$
421.05
~ounty 11 alO1l11rAa
- ._.m~l.
lJ' 00 D (P[l:,H @ ill 1Y rn SEA L
TOTAL AMOUNT PAID /
$
~
I
Received by
NOTE. , In acceptl", th,'rantf.r Inh.rltanc. IalC on future estates, prior to the death 01 the life
t,no"t or '-nont for ....ara. 01 .vld.~ b... thl. rec'lpt, it is understood that the Commonwealth shall
not "'"eduded arprev.nted from her,ofter !Iueulng additional inheritance tax at the death of the
'~, "non! or t.nont for ....Orl whenev.r'ltoppeorl that such additional tax may be legally due and
~lldiblllforon...,r,a.on wha,..r~r. .