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6%Tax on "I $-------$;.,t it
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Name of Decedent "KUlOLl I..,....a/lLlf I
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Date of Payment ~1'.,1.71 I
48'.'8
41'.58
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"Estate Tax,Act,of~May 7,1921'....·-1;,~,
15%Tax on:$,_....._
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TOTAL TAX'CREDIT
less five percentum of tax if
paid within three months after
date of death
Plus Interest at the rate of--'"'7"from -_
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RCC-49 (8-71),"
COMMONWEALTH OF PENNSYLVANIAI
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION'
HARRISBURG,17127 \
PENNSYLVANIA ESTATE TAX
DETERMINATION IS1
at'!U.S _f-rr.'rot.Ret:Fo R~lrJ6
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Date 'i11a Rc~.?~19-4-7-=='_
H -:1
Estate of:a R(jLJ.L.I:;QRN HoLi)T
Date of Death b.iO .70
County LV fi SW I 1'l'J f(J'r'\1~I)t,.3S"8·S'-bf(1'.~g·~ot.~
Bureau Fi Ie No.b3 .-;I .'130
1.Taxable estate per U.S.Estate Tax Return,Form #706
2.Taxable estate per final change in Federal Return dated
$qs 59/{.7J'
$-------
3.Amount of credit for State death taxes.
As shown on return form or final change notice ($l.f f{'j..5k )
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As verified by computation
4.Penna.Inheritance Tax due and/or paid
5.Normal Inheritance taxes paid to other States
E'M1Itr-TIr;'j
$PR()p~i.r~
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6.Total Inheritance tax credits (4 +5):no t.rr"rc.
7.Total liability for Penna.Estate Tax (3 -6)
8.Less:Previous payments on afc of Penna.Estate Tax
Date of payment Amount of Tax paid Amount of Interest paid
Cj J13/11,.$,-------
9.Balance of Penna.Estate Tax due (7 -8)
10.Interest due from to @6%per annum
11.Balance of Penna.Estate Tax and interest due as of
Prepared by
(TITLE)
(T1TLE)(NAME)
Reviewed and approved by +_llOE'
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