HomeMy WebLinkAbout07-02-79
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COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
INHERITANCE TAX DIVISION
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OFFICIAL NOTICE OF
INHERITANCE TAX
ASSESSMENT
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TO: I" i
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DATE
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ESTATE OF J::"'i/./
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FILE NO,
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For County Information purposes only
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COUNTY OF i
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COUNTY FILE NO:
It
DATE OF DEATH_ ;" '7 - 7?
-------------------------------- -- - ---- - -- -- ----- --------- - -- ----- ---
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
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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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$
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Amount Taxable @ 15% Rate
tax due
$
tax due
Less Credits:
DA TE OF PAYMENT
TOTAL PENNSYLVANIA INHERITANCE TAX DUE $
I'V 5 9~-
AMOUNT PAID
DISCOUNT
INTEREST
TAX CREDIT
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$
+ $
$
$ /(s {,,>
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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 annum on the unpaid balance of
') ; to the date of payment,
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Assessed by: I " ", / I ( !
Agent for the Commonwealth
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SEE REVERSE SIDE FOR INSTRUCTIONS
REGISTER OF WILL'S COpy