HomeMy WebLinkAbout05-27-08COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
- F,Fp-TL,CE-OF DETERMINATION AND
BUREAU OF INDIVIDUAL TAxES ~` 'ASSESSMENT OF PENNSYLVANIA
INHERITANCE TAX DIVISION ;. ESTATE 'TAX BASED ON FEDERAL
Po sox zas6sl - ~ -~ ~-~ -E-gTATE TAX RETURN
HARRISBURG PA 17128-0601
2~~~ ~iAY 27 PF9 ! ~ 49
CLERi` C~=
ORPN~~='''~} _~~ ~'JRT
W JEFFREY SIDEBOTT~I~";E$b'~ ~ - ,r~~'., ~'i"~
BARLEY SNYDER
126 E KING ST
LANCASTER PA 17602
REV-483 EX AFP (06-05)
DATE 05-05-2008
ESTATE OF MILLER ROY R
DATE OF DEATH 06-15-2007
FILE NUMBER 21 07-0689
COUNTY CUMBERLAND
ACN 201
APPEAL DATE: 07-04-2008
(See reverse side under Objections)
Amount Remitted
MAKE CHECK PAYABLE AND REMIT PAYMENT T0:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES ~
-----------------------------------------------------------------------------
REV-483 EX AFP (03-05) ** NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN **
ESTATE OF MILLER ROY R FILE N0.21 07-0689 ACN 201 DATE 05-05-2008
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
4. Total Inheritance Tax Assessed
5. Pennsylvania Estate Tax Due
TAX CREDITS:
.oo
96,218.30
.00
96,218.30
.00
PAYMENT
DATE RECEIPT
NUMBER DISCOUNT C+)
INTEREST/PEN PAID (-) AMOUNT PAID
CIF PAID AFTER THIS DATE, SEE REVERSE SIDE
FOR CALCULATION OF ADDITIONAL INTEREST.
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
CIF TOTAL DUE IS LESS THAN S1, NO PAYMENT IS REpUIRED
IF TOTAL DUE IS REFLECTED AS A "CREDIT" CCR), YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)