HomeMy WebLinkAbout10-19-79
'EV-483 (8-78)
LOMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
I () -- /j7- - f
DATE: / (5 - /~"- 79
EST ATE OF: .;C" L cue en <,", C:-;- R,def.h) <-' ;2-
_, FILE NO: :J-f- 7 g> Lft.;F
___ ---_____________________ ____________ -~~~~~~~~~~~~______3i~~:7!________ ______
~. DETERMINATION:
Taxable estate based upon:
~; United States Estate Tax Return (Form 706)
Th,e communication 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)
'. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
'. NOrmlJI inheritance tax paid to other States or
Tl~rritories of the United St.:Jtes (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)
"to:
-- C'
$
$
-0
,- 0 ,-
$
$
---, c--
$
G
$
-- v
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
Am,ount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7) .~ ~ I $
Determination prepared byYC2-c:~C)d4&<--f<.-
Date: ",/ /c - /9 - '79
/
___ _ ",r--__ ___....._ __ ________ ______________________ ---- ------ ------ ----- ---- ---- -. -- --------- - ---
$
~~.
E. ASSESSMENT:
Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
i. Less credits:
DATE OF PAYMENT
$
AMOUNT PAID
INT EREST
($ )
($ )
($ )
CREDIT
=
=
=
Bal,once of Pennsylvania estate tax due
$
Ir:terest 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