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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
RCC- 84
(8-77)
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For County Information purPoses only
COUNTY FILE NO: ) 0:' j.5 Co-'-I-
DATE '11U'li ) 3- IL; )~
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ESTATE OF:?:.lc,v-,r'j.<;/ 'f<:!-. l"t ",IJU" - '0'
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FILE NO .;; j ?5:: .), I if C \ ,
COUNTY OF () I.^", \i~_ " ~ f' ~
DATE OF DEATHCtV/J ., II' ILlr)\V
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TO:
---.......---------------------------- --- ----- -------- ---------- --- - ---- ---
Appraised Value of Estate:
Real Estate
Persona I Property
Jointly Held Property /Transfers
$
/5 :::, lj. / }
.
Total Gross Estate
$ i 5-;;So }I
,
? '7 I. 7 '1.5
$ 0"r)~'U ~ J =i V'
-,..
, -
(,V''-..
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
$ ~~0;~r~!!,,)j! --:::; (YL /{)/L
Clear Value of Estate Subject to Tax
Amount Taxable @ 6% Rate
$
tax due
$
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $:7Yl-i:.~~0^ft -),,'-;1 Vi\.
less Credits:
DATE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
$
+ $
$
$
+
=
+
=
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$SJ-.--y~; ~\' .?$} "'7,:~n I V'^
Interest will accrue at the
Inheritance tax from
rate of six .(6) percent per annum on the unpaid balance of
to the dc;{e of panment.
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Assessed by: N T:::> IfJI ( "i
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REGISTER OF WILL'S COPY