HomeMy WebLinkAbout02-20-04 (2)BUREAU OF INDIVIDUAL TAXES
COMHONHEALTH OF PENNSYLVANIA
DEPARTHENT OF REVENUE
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
SCOTT M DINNER E;~ FEB 20 A11:21
$117 CHESTNUT ST
CAMP HILL L~I~A;'lT,011'L& Court
Cumberland Co., PA
DATE 0Z-16-2004
ESTATE OF HULL
BATE OF DEATH 10-29-2001
FILE NUMBER 21 02-0515
COUNTY CUMBERLAND
ACN 201
A~oun% RemL%%ed
HERBERT L
HAKE CHECK PAYABLE AND REHZT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17015
NOTE: To /nsure proper cred/% %0 your accoun%, submi% the upper pop%ion of %his form w/%h your
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR FILES
REV-483 EX AFP (01-03) xx NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN
ESTATE OF HULL HERBERT L FILE N0.21 02-0515 ACM 201 DATE 02-16-2004
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 Territori'es of the United States
(Excluding Discount and/ar Interest)
4 Total Inheritance Tax Assessed
5 Pennsylvania Estate Tax Due
TAX CREDITS:
128t578.12
.00
98t540.00
128~578 12
.00
PAYMENT RECEIPT DISCOUNT (+)
DATE NUMBER INTEREST/PEN PAID (-) AMOUNT PAID
TOTAL TAX CREDIT I .00
BALANCE OF TAX DUEI ,oo
INTEREST AND PEN. O0
TOTAL DUE O0
~IF PAID AFTER THIS DATE, SEE REVERSE STDE (TF TOTAL DUE TS LESS THAN $1, NO PAYMENT TS REQUTRED
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE TS REFLECTED AS A "CREDIT" (CR)., YOU MAY BE
DUE A REFUND. SEE REVERSE S/DE OF THIS FORM FOR INSTRUCTIONS.)