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/I!' RCC412117l COMMONWEALTH OF PENNSYLVANIA
UNo.H 063415 DEPARTMENT OF REVENUE
~ OFFICIAL RECEIPT- PENNSYLVANIA INHERITANCE AND ESTATE TAX
I~
i RECEIVErr--------------------iJ...tW.1:.6Iilf BtJNDRED
'I
DOLtlJtS--------------
-----'dollors
representing Pennsylvonia Inheritan e or
Estate Tax due from the following es ote:
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~ F.
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"1 / ess
William A.. JCramer II Esq.
~ IrVine Row
2 % Tax on $
$
6% Tax an $
$
File No.
carllS]', .Pa. 11013
21-78-622 Dale of Death ll-8-197
15lfo Tax on $
$
Date of Payment
February 7.1.979
% Tax an $
Estate Tox, Act of
May 7, 1927
$
$
.~
'I Co...,ty
Cumberland
TOTAL TAX CREDIT
less five percentum of tax if
paid within three months after
date of death
Plus interest at the rate of
_%from
to
$
2,000.00
Name of Decedent
MARY L. SHOEMAKER
$
100.00
RI ks:
PAID 01!1 ACCOUNT.
$
i
uill ~ ~ [L~ @illurn
SEA L
TOTAL AMOVI~T PAID
$
1 900.00
NOTE: This Triplicate Receipt to be rstained for audit purposes.
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Ri hs.rd (~~na.ltH'
Register of 11
(Title)
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Received by
NOTE: In accepting tne transfer inheritance to)( on future estates. prior to the deolh of the life
tenant or tenonl for years, os evidenced by tnis receipt, II is understood tnot the Commonwealth sholl
not be precluded or prevented from hereafter assessing additional inheritance lox 01 Ihe death of the
life lenanl or tenant for years whenever It appears thai sucn addilional lox may be leQolly due and
colledlble for any reason whatsoever. .
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