HomeMy WebLinkAbout05-10-79
\
RCC.49 [B-70 \
C.oMMONWEALTH .oF PENNSYLVANIA '-
DEPARTMENT .oF REVENUE
BUREAU .oF C.oUNTY C.oLLECTI.oNS
INHERIT ANCE TAX DIVISI.oN
HARRISBURG. 17127
.
PENNSYLVANIA ESTATE TAX
DETERMINATION
Dote
Estate 0/: fj) IN!.."..!) 1-1. F:""",-li +/
if
Date 0/ Death
County
Bureou Fi Ie No.
/../3-'7R
(!." nl .A, /f f)/! n;/)
o?/-. 17 R _ f)-I) ,:j /)
.
1. Taxable estote per U. S. Estate Tax Return, Form #706
2. Taxable estote per linal change in Federal Return doted
1/11/1'7
I I
3. Amount 0/ credit lor State death taxes.
As shown on return form or /inal change notice ($~:)'.:tQ.ft"l' )
As verified by computation
4. Penna, Inheritance Tax due and! or poid
$LL..2PI,b-,s-
/
5. Normollnheritance taxes paid to other States
()
6. T otallnheritance tax credits (4 + 5)
7. Total liability /ar Penna. Estate Tax (3 - 6)
8, Less: Previous payments on a/co/ Penna. Estate Tax
Date of payment
Amount 0/ Tax paid
Amount of Interest paid
$
$
9. Balance of Penna. Estate Tax due (7 - 8)
10. Interest due from
@ 6% per annum
to
11. Balance of Penna. Estate Tax and interest due as of
Prepared by ./Ift.:., jiJ
~' /'/) '...J
- -tj(.... t-'/ -:r,l;jjj~' /,...-"1.
ITI ....El (I
Reviewed and approved by
{TITl.E)
(NAME)
.,: I{) 19 17
$ ;:;'IJI~ 7/) /. 1M
$/,'u,.,.,t."..I/4.,)
I 'b..
pfid/
" 'rj~o,If-3
-; -
_ I ~ ~ fl. SS-
12
$ 0
(DATE)