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ESTATE
INWEALTH OF PENNSYLVANIA
'MENT OF REVENUE
J OF EXAMINATION
OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
DATE
.L.
FILE NO.
COUNTY
nount Taxable @ 6% Rate
$ ~y. y.~ DO
tax due
$
I VI ,
nount Taxable @ 15% Rate
tax due
-
.... .J (OTAL PENNSYI:YANIA INHERITANCE;" Tf'X DUE
4J/)J) 3 ,~I,t-?11 oC<> 1- )./f-h; )
( . 01'0)
* * * * * * A five percent discount totaling $
will be granted if the In~eritance Tax is paid by
$ I'l~
r
,
- .,15. I -S,
:redits:
OF PAYMENT
! - PO
AMOUNT PAID DISCOUNT INTEREST TAX ,CREDIT
I
$ I ~ 1..'/ + $ $ .73 = !...JfJ.3?
+ =
+ =
t accrues at the rate of six (6) ~ercent per annum
e unpaid balance of Inheritance 'tax from
!e of payment, Interest due if pllid by
is
kf~~ ~AAI
BAlANCE OF PENNSYLVANIA INHERITANCE TAX DUE
---'1 -,-_...
INFORMATION
To insure proper. credit to your account, the name of the estate and file number should be clearly print-
ed on the check or money order.
This assessment is made in accordance with Section 708 of the Inheritance and Estate Tax Act of
1961 (72 P.S. ~ 2485-708).
To the extent that inheritance tax is paid within three (3) months after the death of the decedent, a
discount of five (5) percent is allowed (72 P.S. ~ 2485-716).
Inheritance Tax, other than tax on a future interest, is due at the date of the decedent's death and becomes
delinquent at the expiration of nine (9) months after the decedent's death (72 P.S. ~ 2485-711). Inheritance
Tax on a future interest is payable within thre'e (3) months after the transfer takes effect in possession and
enjoyment and is delinquent thereafter (72 P.S. ~ 2485-712). Calculate interest from the delinquent date shown
on the face of this form to the date of actual payment using the following interest table:
----------------------------- --- ------------- - - --------------- -- -- - - ----
I month ,005 4 months .020 7 months .035 10 months ,05C
l months .010 5 months .025 8 months .040 11 months .05!
3 months .015 6 months .030 9 months .045 12 months .06C
1 days .00017 11 days .00186 21 days .00352
2 days .00034 12 days .00203 22 days .0036S
3 days .00051 1 3 days .00220 23 days .0038e
4days .00068 14 days .002.37 24 days .00403
5 days .00085 15 days .00250 25 days .0042C
6 days .00101 16 days .00267 26 days .0043i
7 days .00118 17 days .00284 27 days .00454
8 days .00135 18 days .00301 28 days .00471
9 days .00152 19 days .00318 29 days .0048E
10 days .00169 20 days .00335 30 days .005OC
Any party in interest, including the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (60) days affer receipt of this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961 (72 P.S. ~ 2485-1001).
Make check or money order payable to:
"Register of Wills, Agent"
Mail to the address listed below: