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Est. of JllH'iE!t 1... f1nmdx
CUf'l'l~)or land CC'>lH:ty
JamesA. P.,.snnix, p\dcntnt strl:}tor
Docket No. 1.- l4,,' ",
IN RE:
PETITION FOR REFUND of Transfer Inheritance Tax.
AND NOW TO WIT
A. D. 19
, I certify
that the following is the action of the Board of Finance and Revenue
of the Commonwealth of Pennsylvania in this matter:
"And now to wit
fecruar,/ ~.;f",
A. D. 19
Refund is hereby granted in the amount of $ ?..l..ll
;"-:"~, . --.. '-""'t,~::
BY ORDER OF THE BOARD OF FINANCE AND REVENUE
State Treasurer, Chairman
Attorney General
Secretary of the Commonwealth
Auditor General
Secretary of Revenue
~TTEST~ 000.0 Q 0 0 . 0 0 . . ~ . . . 0 0 0 0 0 0 0 0 0 0 ~ coo 0 0 0 0 0 0 . 0 0 0 0 0 0 0 0 0 0 0 0 0 Q 0 . . . 0 0 0 0 0 0 0
Secretary, Board of Finance and Revenue
iv1ailed to: t..iIJll [... Skelly, Attys. (!It L$-J
. O. tiox 11 ,}t
r<;rr f st,ur . \">e. 1 71
'L',: ~nHrd 1... C~nnell, Es<:.
on
IfClf \/'"'0' ("""
ESTATEOFJAN~~T L. MANAlI X
COUNTY OF e Llm~~."'-LANb
DATE OF APPRAISEMENT 10_1 to / 7'
I
9-/2-71
STATE FILE # ~, 78- ()(.,ss
DOCKET # , <.( 7 S;l
RE AL PROPERTY
PE RSONAL PROPERTY
TRANSFERS
JOINTL Y OWNED PROPERTY
GROSS ASSETS
$ .s-, S CX) . (X)
SCD.OO
_.0
-c;)
~ OCY).CJO
I
LESS DEBTS AND DEDUCTIONS
7~S4.0~
CLEAR VALUE
~"'-'O~
TAX @
%
--~ -
-----~,-.__...._---_..._._--_._-_. ----,-._-----~
LESS 5% DISCOUNT ON $._______.________________
PLUS 6% INTEREST
.---- .---.--.-.-.-.--....-.-.-.....-- ._-"- .,~--_..~-- -----.--.-,-.
FROM:
NET TAX DUE
LESS RECEIPT # ____
DATED: _
TO:
- " _.
C' r, 0 j
-.. l~.c.'J~______
REFUND DUE
$___lg~.8L-__
CALCULATED BY: C. Wit....; M.f:l..
REFUND CLAIMED: S 'i :J. i I
..l/ ;26/ ~O
, I
REFUND DETERMINED: $ /8';;). . g I
DATE: