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RC C-49 (S.71l
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF COUNTY COLLECTIONS
INHERITANCE TAX DIVISION
HARRISBURG, 17127
PENNSYLVANIA'ESTATE TAX
DETERMINA TION
Dote
0-4'1- 19 19
Estate of:
Date of Death
Caun ty
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Bureau File No,
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1. Taxable estate per U, S, Eslate Tax Return, Form #706
$.... A4 ...._~...._ tJ /
2, Taxable estate per final change in Federal Return dated
/-,jt,-77
$./U.~/""'/-"1.,1~ ~1/f.jU
3. Amount of credit for State death taxes,
As shown an return form or linal change notice ($ ()
As veri lied by computotian II
4. Penna. I nheri lance Tax due and/or po id
$ S1A <LA-IA'.f ,..ch
5. Normal Inheritance taxes paid to other States
()
6. Total Inheritance tax credits (4 + 5)
II
7. Total liability for Penna. Estate Tax (3 - 6)
D
8. Less: Previous payments on 0/ c of Penna, Estate Tax
'.
Amount of Interest paid
Date of poyment
Amount of Tox paid
$
$
9. Balance of Penna, Estate Tax due (7 - 8)
10. Interest due from
to
_@ 6% per annum
11. Balance of Penna, Estate Tax and interest due as of
$ /1
Prepared by
~ &-U'o;9 'fr,,'-".d~N) / (!J!; ,jJ!J h~' n" AO}I ,I
(NA ITlTL~) V P
Reviewed and approved by
(NAME)
(TITLE)
(DATE)