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RECEIVED
_____________________PIVE HlJlO)RED F'IPTY-KIlIE . c;9/100-----------dollars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
From:
of Payment
May. 10,1979
'1" Tax on $
Estate Tax, Act of
May 7, 1927
$
$
$
$ I
$ t~
$ 559.59
Address 116 Kaat Kine street 2 '7" Tax on $
Shi,penabura:,Pa. 17257 6% Tax on $
o. 21-78-571 Date of Death 10-3-1978 15% Tax on $
Name of Decedent KR'II'I:8'r V. Mac.All'l'HUR
Cou nty
Cumberland
TOT AL TAX CREDIT
Less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_ '1" from
to
$
Remarks:
$
urn ~ [P [L~ @fi\ u~
SEA L
TOTAL AMOUNT PAID
$
NOTE: This Triplicate Receipt to be retained for audit purposes.
i
LA)
Richard .s~g'lkl.r.on
aeg1.t.r Of( Wi"-
Title)
Received by
NOTE, In accepting the Iransfer inheritance tax on future estates, prior to the dealh of the life
tenant or tenant for yea,", os evidenced by this receipt, it is understood that the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance tax at the death of the
\life tenant or tenant for years whenever it appears that such additional tax may be legally due and
~Iectible for any reason whatsoever.