HomeMy WebLinkAbout11-28-78
,EV-483 (8-76:1
cOMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
"0:
DATE: /1-.2.,,(-1'1
;~Z: ~~:OF: .~1!~/I~~'~_-:Td oc-H-;
COUNTY OF: ~ 1m if< it! d II J J
DATE OF DEATH: IP-Lj- -7?
---------~-------------------------------------------------------------------------------
J. DETERMINATION:
Taxable estate ba sed upon:
ThE! United States Estate Tax Return (Form 706)
,/"rhl~ communication from the Federal Government
c(mfirming the acceptance of or changes to the
Federal Estate Tax Return
Amount of credit for State death taxes (as verified)
). Penns,ylvania inheritance tax assessed
(excluding any discount and/or interest)
-. Normed inheritance tax paid to other States or
T e'rritories of the United States (excluding
an'y 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)
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
'.
Am()unt of Pennsylvania estate tax assessed on determination
dated /0-1-17
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
'.,,'1.
Determination prepared by:
Date:
$ I {. c f !,!;-: ~.j-
$ .5"7.3 . 01-
$ 7; .31 (), 4-1
$ 0
$ ~ .:1 1 t, If If"
$ ()
$
o
$
o
A;;~:; ;::;1;1 1'/'.' id ~j j
--- - ...-- -- --.- - -------- ------------------ ----- ---- ------------ ----- ---- ---- ~ -- ------- -- - ---
B. ASSESSMENT:
!. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
? Less credits:
DATE OF PAYMENT
INTEREST
($ )
($ )
($ )
AMOUNT PAID
'i. Bal(lnce of Pennsylvania estate tax due
Interest is due at the rate of six (6) percent per annum from
$
CREDIT
=
=
=
$
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAl.,TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS