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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
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COUNTY FILE NO:
OFFICIAL NonCE OF
INHERITANCE TAX
ASSESSMENT
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FILE NO.
COUNTY OF
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BALANCE OF PENNSnVANI1'NHERITANCE TAXDVE
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Interest will accrue at the rate of six (~) percent per
Inheritance tax from I
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Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property /Transfers
Total Gross Estate
Total Approved Deductions
Clear Value of Estate
Less: Approved Charitable Exemptions
Clear Value of Estate Subject t~ Tax
Amount Taxable @ 6% Rate
Amount Taxable @ 15% Rate
Less Credits:
DATE OF PAYMENT
AMOUNT PAID
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TOTAl PENNSYLVANIA INHERITANCE T, DUE .II~. #ft... C '"
DISCOUNT INTEREST TAX CREDIT
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Assessed by: J " II i ;1 . f' "\ !
Agent .ffr the
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E REVERSE SIDE FOR INSTRUCnONS
R GISTER OF WILL'S COpy