HomeMy WebLinkAbout05-18-79
RCC-84
(8-77)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
. OFFft!PAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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ESTATE OF .if /1/
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FilE NO.
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COUNTY OF i: ,,; l
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For County Information purposes only
COUNTY FILE NO:
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DA TE OF DEATH
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Appraised Value of Estate:
Real Estate
Personal Property
Jointly Held Property/Transfers
$
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Total Gross Estate
$
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Total Approved Deductions
2. q 1 '11'1
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Clear Value of Estate
$
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Less: Approved Charitable Exemptions
Clear Value of Estate Subject to Tax
$
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Amount Taxable @ 6% Rate
$
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tax due
$
1-1;" 2 /-
Amount Taxable @ 15% Rate
tax due
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
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less Credits:
DA TE OF PAYMENT
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
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$ 1-12'). t
+ $
$
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BALANCE OF PENNSYLVANIA INHERITANCE TAX DUE
$
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Interest will accrue at the
Inheritance tax from
rate of six (6) percent per
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annum on the unpaid balance of
to the date of payment.
Assessed by:
Agent for the Commonwealth
SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy
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DEDUCTIONS ALLOWED IN
Form RC C -10
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2 92C/. 91
THE SUM OF .., _ _ . . _ _ . . _ $ ....................................... . ...
OFFICE OF THE
REGISTER OF WILLS
STATEMENT OF DEBTS
AND DEDUCTIONS
DATE APPROVED
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OF
Cumberland
COUNTY
AND AGENT OF THE CO~MONWEALTH
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ESTATE OF
John S, Oy!=:e...t
Borough of
October 3, 1978
DATE OF FILING APPRAISEMENT
DATa OF DEATH
DATI!: NO. OF NAME OF PAYEE REMARKS AMOUNT
VOUCH""
George B. Faller - reimbur ;e probate and adv. costs 57 65
Hoffman Funeral Home 1672 32
James V. Dvsert - executor s commission 550 00
GeorlZe B. Faller - attorne it fee 550 00
Estimated additional exnen 3es of administration 100 00
2929 9'1
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Cumberland
James V. Dysert,
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Executor
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF
H&RlI:aV CEItTIN. THAT. TO THE aUT 01"
MY kNOWLEDGIE AND BIELIIEF, THE FORIEGOING .S A JUST AND TRU IE .rATIEMIENT OF DEaT., FUNERAL EXPENSaS AND EXPENsa 01"
ADMINISTRATION .UBMITTED TO THa aeTATE OF John S. D sert
DaCEASED, A. DEDucTIONS FOR
INHERITANCE TAX PURPOSES.
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ORE Ma THI. I J'/ DAY Of'
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