HomeMy WebLinkAbout10-10-79
REV-483 (8-78)
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPERATIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
, ESTATE TAX
/ (J - /SY'- S-
TO:
DATE:
ESTATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
/~-/tJ~]j?
(!).,lIele< E. l'ur17ff7/AJc-,S
;:).1-7B2'19'~
, c.um6:eeL-~ d. '
YYla.-<- to. 7?
,
-------------------------~--~-------------------~--------~----~---------------------------
A. DETERMINATION:
1.
Taxabl'e estate' bo sed 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 01 credit lor State death taxes (os verified)
Pennsylv~hia inheritance tax assessed
(ex'~luding ~ny ',di'scount arid/or interest) .
Normal inheritance tax' paid to other States or
Territories 01 the United States (excluding
': " any discount and/or interest)
. .-Total inherita~ce tax credits (line ftem 3 plus -line item 4)
Total liability. for Pennsylvania estate taxjline item 2
~inus line item .5)
$
$
1; 9;;2.34
~.::s:>-
2.
3.
$;).791. ;zS-
,
4.
$
- 0,-:-
5.
6,'
$
;2.,7 9/',Aj'-
/
$
-
C) .c--
:.....,
NOTE:, Complete line items 7 and SOl'lL Y when determination
i,s bas,ed on, Federal Clasi~g Letter '
, ,....--
7. ,;;. ~mount of Penns'y:lvania estate tax assessed on determination
:.,' '" dated ' "
'S.:', : Addition '(reduction)' to Pennsylvania 'estate tax (line item 6'
minus line item 7)
$
Determination prepared by:~L f: ~l~ ~
Date: /0 (:;J
/
-------------------~----~---------------~--------------------~7~------~-------------------
B. ASSESSMENT:, '
1. Pennsylv~nia Estate Tax reflect~d'on:
I ine item A (6)
I ine item A (S)
2. Less credits:
DATE OF PAYMENT
"
$
AMOUNT PAID "INTEREST
($) ,
- ($ )
($ )
CREDIT
=
=
3. Balance of Pennsylvania estate tax due
$
Interest is due at the rate of six (6) percent per annum from
to the dote 01 payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAL TH
Date:
\ /
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