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Z III
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
-
COUNTY FILE NO:
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DATE
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FILE NO,
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ESTATE
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COUNTY
DATE OF DEATH ';/ I.:t...;./
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Personal Property
$
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$ "'t' ,'/ ,
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$
Jointly Held Property/Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Amount Taxabla @ 6% Rata
$
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$ \ .,t;/f....:!tfiAr(;/('r...(./ ~/ (.. ../
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tax due \.};' ",;>--1:; ,rr'." ,c;0i' '/tf
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
'* '* .. '* '* * A five percent discount totaling $
will be granted if tho Inheritance Tax is paid by
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+
$
$
=
$
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Interest accrues at the rate of six (6) percent per annum
on the unpaid balance of Inheritance Tax from
to date of payment. Interest dll(i- if paid by is, ,'" ~") t//..-----
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE")/i"'$-'J,tf.=('~;C I c) ,.. !
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