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EV-483 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
c--/J'I- J/
10:
DATE:
ESTATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
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i. DETEIRMINATION:
Taxclble estate based upon:
The United States Estate Tax Return (Form 706)
The communication from the Federal Government
.confirming the acceptance of or changes to the
Federal Estate Tax Return
AmolLlnt of credit for State death taxes (as verified)
Pennsylvania inheritance tax assessed
(E1xcluding any discount and/or interest)
Normal inheritance tax paid to other States or
Territories of the United St\ltes (excluding
any di scount and/or interest)
Total inheritance tax credits (line item 3 plus line item 4)
Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
:l.
'I.
5.
J.
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
7
, .
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
-';.
Determination prepared by:
Date:
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$3 T='-I J f $. 13
$ ;1950\ 5(~
$ 4-1, 17fl.DS"
$ ()
$ 4~ 77 ()~ oS-
$ 0
$
$
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B. ASSESSMENT:
Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
~.:. Less credits:
DATE OF PAYMENT
INTEREST
($ )
($ )
($ )
AMOUNT PAID
"':'
~.." .
Bal'once of Pennsylvania estate tax due
Ir.terest is due at the rate of six (6) percent per annum from
$
CREDI T
=
=
=
$
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAL TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS