HomeMy WebLinkAbout10-18-79
REV-483 (8-78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
/ c;
//,' -/J/ /- /'
/C .
/CJ -/()--~
/Al..-" L /:.-. ;,;) _ . 21[.;--<:
J.. / - 7P- 'i'V 7
c:.. U /v 6., <'....~c ~>''''- d
...L.(..(.f~~. . / ,/;: /.1'
{/ .
-----------------------------------------------------------------------------------------
TO:
DATE:
ESTATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
A. DETERMINATION:
,
..
Taxable estate based upon:
~:e United States Estate Tax Return (Form 706)
~c:ommunication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
Amount of credit for State death taxes (as verified)
Penn~sylvania inheritance tax assessed
(e,lCcluding any discount and/or interest)
Normlll inheritance tax paid to other States or
TE~rritories of the United States (excluding
any discount 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)
$
--~. ~ .--
$
$
2.
3.
'--"'(,.--'
//3rCJ
$
4.
'-.. '--..--'
$
//3~G
L'
,I.
$
6.
(..... --.
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
"T
".
Amount of Pennsylvania estate tax assessed on determination
dlated / (,' / (~ 79
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
$
(_.I
8.
Determination prepared by:
Date:
------------------------------------------------ -----------------------------------------
B. ASSESSMENT:
L Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8) $
2. Less credits:
DATE OF PAYMENT
AMOUNT PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
=
3. Balance of Pennsylvania estate tax due
$
Interest is due at the rate of six (6) percent per annum from
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAl.TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS