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,ll RCC 4(11/78) COMMO F PENN
I~ NOJOO 331& OEPARTMENT OF
:e OFFICIAL RECEIPT · PE ANIA INHE
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'= RECEIVED
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'= Address
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BU1l1DRBD SIX'l'Y-SIX " 43 100-------------dQ'1Tars
representing Pennsylvania Inheritance or
Estate Tax due from the following estate:
Cc-.omMal~ R.~ional Bank
1510 Ce4ar Cliff Drive
2 'Ie Tax on
$
No.
21-78-668 Date of Death 11-13,-197
15% Tax on
$
$
$
$
$
$
$ ~66.4~
I
~~
Cuap Hill,
P..
17011
6% Tax on
$
I Dote of Payment
"'"9'I.~ 10, 1979
9'<> Tax on $
Estate Tax, Act of
May 7, 1927
Name of Decedent
f.-BR G. BIXLBa. B.
I County
t'!.....Na1"land
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
$
I Remarks:
- PAID OK ACCOUIft'-
$
TOTAL AMOUNT PAID $
R.,,;..d by ~1t~A ~ (II' . J--
NOTE: In accepting the transfer inheritance tax on future estates, prior to the death of the life llichahn~re)An4'raon
tenant or tenant for years. os evidenced by this receipt, it is understood that the Commonwealth sholl ·
41,', not be precluded or prevented from hereafter assessing additional inheritance tax at the deoth of the a..,iat.er of willa
I life tenant or tenant for years whenever it appears that such additional tax may be legally due and (Title)
I. collectible for any reason whatsoever.
uOO~[p[L~@flrIT~
566.43
SEA L
NOTE: This Triplicate Receipt to be retained for audit purposes.
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l' arm RG,.t' .10
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v.J'~
~ OFFICE OF THE
REGISTER OF WILLS
OF
r.llmh~r 1rI nd
r~ ,~ _
C, l_
STATEMENT OF DEBTS
AND DEDUCTIONS
DEDUCTIONS ALLOWED IN
, _. r:
..... $.!JjC;9't~"I~
/
...:i(l &.........,;j1/6.1fi
/. /
'I .' .
(!!..,' Li..-/-(./J
THE SUM OF
COUNTY
DATE APPROVED
AND AGENT OF THE COMMONWEALTH
DATE
NO. OF
VOUCHEIIt
Borough of M~~ht'lni~c;hllrg
ESTATE OF Lester G.
DATE OF FILING APPRAISEMENT
?'7\
. U OATS OF DEATH November 13, 1972
NAME OF PAYEE
REMARKS
AMOUNT
8
Dec.
05
Cumberland Law Journal
Register of Wills,
Letters
Feb.
06
06
06
Patriot-News Company
Clyde B. 9ob1e
Letters Testamentar
Statement
19 80
News a er
Insurance Company
Sta tement
Sta t m n
Statement
Form RC C .10
DEDUCTIONS ALLOWED IN
OFFICE OF THE
REGISTER OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
THE SUM OF ............ $
OF
Cumberland
COUNTY
DATE APPROVED ........
AND AGENT OF THE COMMONW5ALTH
Regi.ter of Wills. Age.t
ESTATE OF
Lester G. Bix1er~ Jr.
I.ATE OF
BorouQh of Mechanicsburg
November 13, 1978
DATE OF FII.ING APPRAISEMENT
DATE OF DEATH
DATI!:
NO. OF
VOUCH"",,
NAME OF PAYEE
REMARKS
AMOUNT
6
Master Char e
Au
07
Jose h McGraw Inc.
Homestead Savin s Association
Mar.
11 073 25
231 40
Sue1l n Bixler
Co-Executor Fee
Attorne Fee
Family Exemption
Closing Costs
6 500 00
2,000 00
300 00
Total
57,990 42
COMMONWEALTH OF PENNSYLVANIA }
1 ".
COUNTY OF Cumber and .
We, Su~JlYn Bixler and The Commonwealth National Bank by Robert P~E~~e~R'r1,)(.1C;~A.p~Sr'Wf:\Il:~~d Tax
MY KNOWLEDGE AND BELIEF, THE FOREGOING IS A JUST AND TRU e: srATEMENT OF DEBTS. FUNERAL EXPENSES AND EXPENSES i~ager
ADMINISTRATION SUBMITTED TO THE ESTATE OF Lestpr Go Rixlpr, .1r DECEASED, AS DEDUCTIONS FOR
INHERITANCE TAX PURPOSES.. . ~. .\ (
fll ~~~Uy\.. (L.S.l
SWORN "AND .UBSC,jI:~D ~;~~jEt~:H:: ~7"J / tI DAY OP~e co~nwealth, National Bank
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