HomeMy WebLinkAbout10-17-79
RCC-84
(8-77)
COMMONWEALTH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
*'
TO:
DATE
ESTATE OF '
FILE NO.
For County Information purposes only
COUNTY OF
COUNTY FILE NO:
DATE OF DEATH
-------------------------------- -- - - --- - -- ---- -- - ----- ---- - - - -.. - - - - - --
Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held PropertylTransfers
$
Total Gross Estate
$
Total Approved Deductions
Clear Value of Estate
$
/
Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
Amount Taxable @ 6% Rate
$
tax due
$
Amount Taxable @ 15% Rate
,
,
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
DATE OF PAYMENT
Less Credits: /
AMOUNT PAID
DISCOUNT
i
INTEREST
TAX CREDIT
$
+ $
$
= $
+
=
+
BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
(nterest will accrue at the
Inheritance tax from
rate of six (6) percent per annum on the unpaid balance of
to the date of payment.
Assessed by:
Agent forthe Commonwealth
SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy