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HomeMy WebLinkAbout79-00622 .r ,1<; \\"',;' I. . , ,;'i.,' ,",l} If to" dId' '. ': I , ,. iI:. '. ( Ii", , .'.. , , : " " I "I' l. , ',1 'I , :1', I."., ,'.j, i.~ II t' . ~ql f' 1,,1,., 'rhl:i J ~ :' ,,~ ,:,' -':"t'dt\O " ';\i,.P.~ "", 'j"l.~~i r~':;);'~I'll.l~'.{IU J r .I '. ;-, ~~ I," \ \ 1.11';-'II)Il',' '., 'j ) ~,!H',~;d,,:, In,',' ~; /, '". j, . ',- 'I hi,-{ ,'I' ' I.,,, '," (, -lIll"',;1 r1:!pnrlmt,nt <'if tha TrIM~lH'Y t;\~ I 'J c;/ 1'01\ ' ~ ,.. " " " II fll~(,"'lIly I ilUllhltrl : i ,1 (I..Y,')(l :",1"'1' fil' i,"1 In:': 1\"'>' 1.1', !IC1 t \ (1-':' \:,,111' II'IOtfl\lhf ,,; '1.,Ulfflblil' 2~, j \jl/{J " ',m h,J:'Wllltit! (,\I"IJCI r(lI'llh"n~ Nvmh~,., i.i,III(", Ii] ZMo44-.H:19 1,(" :"~nc" o/.U.lat, 'ru li.turn Utll. I, Ill>t II bill lor lu nu.) lI,i'/,' HH t.l~ L.J in I!a~cwr, " ,';.1, ](1<, .11,," ,""I.'H'OII~ titili r.1U.V be ',' 'I t 't' ' " : , .. I : .\ ,l f"" -i'~' rll.J~" II:~,~' 1 ',',1'1/IJl!'.:'': I ".'1 . l ' I, "'\ ,p~,' - I.f! \"", ;) ,t.11Q lJ~"!\ Cd' 1(, I u .\00 I till', '1'1/ .':U,"I;I 't', , , 1:1 I .. I I I , " . l " .. , , 1'/1,"; , i' , I " ., "" t I'~ !'... ~, h!:-,.I/! \. . '" \ ,; J, lL f.ll " "'! ~ .--'1"-:,', ~~/!~:~;,'J~h'fJ.f.( ,I97C;' ..l(/:'70.. ~ ~.l/' ,I. I. , . r. I'. ::77 ~ ,J:l. . . ':~'" ~ . "....-..;1'-0... P',i":,l(;flrl! ;'t''::fjr''l 1.,oClf.\l.IUJJ ynllr I, "'.. i 'r,r',', "~Illt(l, 1t~,19 J",Uot' ',:\1' "fl'.J lrl lid:) I,t :.h~tl' btu~n r.,C/;.;rpt,IH1 "; ";'.Jli t 16 \l'}ll\;:J' ,VOl! ""VB l-"l,raod. ".lIld'Jr 'W"I.L"I\ '1.I.~)1 61' th,l InLllrnll1 ~\ ' "'"v:, ", ",Ill 11~I'.1 J(I.,V,)l\lI'l I'rooflc.lu rll lppll\lil, i,ll', 1. ';i1'.;, lll:l, I.Ll) rn,"',,1!1 ....'(\089' nr'mo H'H1 j,., ~ ,-' ,\: I,) +,~' :;;;"1' ;,/(,.-1,1, .:;',noo LhtJl'~ 'Nil,l bo .\:; ',I';,',:, !.hfl jl:\I1;O..1,I-1.I" ~h'tlillr t\rnr\' l')[' thf.t r" 1 i,l U\l} I\J'Jrt;I,-ii"(1(, tH1'.1 J'l'..tpr \'Jr .:--". J,,;, /"/ I ' , \ ~ I \ ~')~'.."" \. '\/....' """ (,I ~,.. . \".\\,~,v.;" to ,. 1'-'1'11 " ;',1 I ,,'~ ',~'-I f;11l1 t '-)r f, .0.. '"I 1"IIl' :{~('..f;-,~,' (lh'(, ~r /\'1)" f ":lllh L _..."4" f) .:..~a. " trh 'I'~""l "",h , '\;' .,"t' '--,01 'j' ~', 1',;"'0; , ~, I' ~,. \ ""'1 h, I.. '" , . ~ ; ',," '""ll"lil, ,-, "Y{I . , 'i" Ijl I,\;, <:.IW' ,""" ':"" ,'. ift~V.~U (a-1ft) l;Ot.v.\OHWfiA\. TH Of fllHHSY\.VAHIA '. PfiPARTMllHT Of RllVeHue IlUREAU Of flll\.P Ofl!RATIOHS IHHeRITAtlc;e TAl( 5QCTIOtl OFFICIAL NOTICE OF DETERMINATION ANOASSESSMENT OF PENNSYLVANIA eSTATE TAX ,',';, ifl!1~~,-~~(.f.i/fJ'<~~ _ COUNTY 01"1_ &1. ~/.r.-.c'" -,' , . oATI! 01" PI!ATHI , ..:....-....- - 2.(": '7(;. , <:'-- _ --..-.......-....-..--..--......-..-.... ....................... ----....-..--........ .................. ....-" ...... ...,. _........-..~..- ............, 0--" - 'rOI - : _-.,-..........J .----t---++-- - ~, I,. ,Ol!,TI!RMINATIOth , ' , h Tuoblo o.IQle ba,od uponl ' ", ~Unlled SIQlo' !h'ole T~x RoMn (Porm 706) xlo4"'QommunlQollon Irom Ih. p.dorQ\ Gov.rnm.n' V~;~fliinlnglh. ooooplono, 'of or ~hong..lo 'h. F odllol fhlol' Tax Return , ' Amounl 01 Qlldltfor SIal. dealh lox" (01 vlllfl.d) Ponni'ylvanlo Inh.illon~' 'oX all.ued (oxoludlng onyAllQoun' ond/orlnl.IOlt) 4. ~prmallnhorllono' loX paid 10 olhlll SI~I" or Hullort" of Ih. Unlled,Stol" (.xoludlng esny dll~ounl ond/orln,erolt) fl. Tplallnhlll,jono.,ax ,olldlll (IIn. lIem 3 plul \Ine Ilem 4) , 6. Tolol \Ioblllly forl".nnlylVQnlo o.,o,e 'OM (\Ine lI.m 2 mlnu' \Ine Item &) ........ _c.';J f:- , . $ :: -'4.,J'- '2. 3. " ,.,-..--,'(...1 $- .--. ,. ~(...l _u - $ $ '$ -,t,...I~ , 7. NOn, Complel' \In.lleml 7 and 8,Ol'll.Y whon de'.rmlnollon II baaed on PedllQI Clollng 1..1.111 A~ount ofPennlylvanla ,,'ale 10M au....d on delollnlnatlan , dal.d " ( " " "3F.'.7 <i AddI11on'(,eduol1on) to p01lnlylVQnlo "IQt. IQX (\In. It.m 6 mlnul IIn. lI.m 7) . \.-_ ,_. ' r-- --. fr.$'; ",-- $ 8. O.,ermlna,lon pr'PQlld byl Dalal , ....... ~.... .......... - ...--..- ....... ..---........--- ......--- -----....--- -....-.. ---....- ......--......... .."-- -..- .....-.....--..-....-.. II, ASSE$SMBI'ITI 1, Pennlylvanlo Bllal' ToM ren.ol.d ani \Ino Item" II (6)' " IIno 110111 A (8) 2. I.... oredllll OATEOP' I" AYMEHT $ CRI!P''I' " . IHTBRBST _ ($ I t_ ...........--..- _, ($ I .. IS I .!b1.0UNT PAID :: ~_....,..I"" :: $ .-. -- ,;'-- 3. .........- - Balance of Pennsylvania ellale 10M doe InlerOlI II doe at tho ral', of IlK (6) pllcent per annum fro'ril 10 the date' of 'poyM.nt. Alllellment piepored byl M~1tN'f POR T,HK COMMONWfl",..1'11 Dal" seE ReVERSE SIDE fOR INSTRUCTIONS '-