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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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FILE NO.
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COUNTY
For County Information purposes only
COUNTY FILE NO: I (j - J /' L; "
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DATE OF
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Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property /Transfers
$ I ') (, () () /) (j
Total Gross Estate
$ j ? C> 0::; 'I t"
Total Approved Deductions
5 ,;)/0 ) U
Clear Value of Estate
$ /)
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Less: Approved Charitable Exemptions
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Clear Value of Estate Subject to Tax
$ ,)
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Amount Taxable @ 6% Rate
$ 1/,
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$
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Amount Taxable @ 15% Rate
TAX DUE $ ./() '7 '::z, S
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AMOUNT PAID
TOTAL PENNSYLVANIA INHERITAN
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DISCOUNT INTEREST
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$ '7 Of) --{L; + $
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TAX CREOn" I",,;
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Less Credits:
DATE OF PAYMENT
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
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$ /'1 ("{,J ~)-<,! ,t !
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annum on the u
to the dat
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Interest will accrue at the rate of six (6) percent per
Inheritance tax from
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SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy