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Fora Lr'H-10 ~ttMeJr
RECEIPT FOR AGwICOtT01l. ~
L`~RITANCE TAX eh,s.~ ~
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- STATE OF TENNFSSEE
DEPARTMENT OF REVENUE
~ Nashville
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Estate of: ~ '
To ='~-''s• ?Sathlesn W. Benson, Extrx. - _ ~ayt,~Pa., ~t. •.Jilcox _
r./o `~r. Pat St Charles ~
attnrn~; at L~~r ' '~a~' lton Coti*~tp
101 uast 5th S~rset
Chattanoo~a. Tennessee 3Th02 11-?-b5
~t Four hundred forty-eight & 02/100----------------~u~ cs ~8.02 ~ ;
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! have been received in full setdement of aU Inheritaaoe Taz, both direct and rnllateral, shown to be due the State oE Tennessee 's~
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j n, ihe sworn Return filed with this Department by the represencative oF the above nac~ed Fsta;,e ~
~ as provided in Section 30-1628, Tennessee Code, this receipt shall be suthority for the Probate Court of the County
~ «•herein said Estate was admiaistered to permit a final settlement or accounting by the aforesaid representative thereof_
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~ Gicen ia duplieate under mr hsnd aad the seal ot this Dspar~eat this. the ~'0 agY o[ '4arch 19 67
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~ COMVIISSIONER OF REVEAiLJE
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~ SEAL B ~ ~
~ j D~rector of Inheritance, Estate & Gif aa Division
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~ INHERI7ANCE TAX CLERK
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