HomeMy WebLinkAbout10-01-78
'( E V-48 3 (8-78)
COMMONWEA.L TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RA nONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
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DATE:
ESTATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
,.. DETERMINATION:
Taxable estate based upon:
~nited States Estate Tax Return (Form 706)
ThE! 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
(excludi ng any di scount and/or interest)
Normell inheritance tax paid to other States or
Territories of the United States (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)
t. .
I
,',It>
,
J.
.
.'....
5.
6.
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
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$ / tJ- ~ -f--C" ?-..
$ S7/. '" S-
$ ~ 795:</</
$
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$
$
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7. Amount of Pennsylvania estate tax assessed on determination
dated $
y. Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7) /'---7 p'C?,,////..7/ $
Do'o...;..,;o. "0'0.0<1 b~ A;ada:A
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Date: /' / c:> - (...... ) I' '
---------------------------------------------~------------------------------------------
E. ASSESSMENT:
Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT
INT EREST
($ )
($ )
($ )
AMOUNT PAID
'3. Balance of Pennsylvania estate tax due
Interest is due at the rate of six (6) percent per annum fram
$
CREDIT
=
=
=
$
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAI.TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS