HomeMy WebLinkAbout10-10-79
REV.483 (8.78)
COt.'MONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RA TlONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
/(i ... / ';/ '/ -- cf'
TO:
DATE:
ESTATE OF:
FilE NO:
COUNTY OF:
DATE OF DEATH:
/V'-/tI)- 77
'~'~)~f~L~e od
I~.J r-' '{ c d
J"'A.', ..2f?, 7.f
----------------------------------------------------------------------------------------.
A. DETERMINATION:
1. Taxable estate ba sed upon:
~ United States Estate Tax Return (Farm 706)
~ communication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
2. Amount of credit for State death taxes (as verified)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. Normal inheritance tax paid to other States or
Territories of the United States (excluding
any discount and/or interest)
5. Total inheritance tax credits (line item 3 plus line item 4)
6. Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
$ /1tt~S7
$ __ . t?'i'
$ 22 50? /()
,
-'-~
$
$
,;)..;l, 3 () Ct. I D
$
-- \....~:'
NOTE: Complete line items 7 and 8 ONl Y when detennination
is based on Federal Closing Letter
7.
Amount of Pennsylvania estate tax assessed on determination
doted /0- ! 0- 7C:
Addition (reduction) to Pennsylvan~ estate tax (line item 6
minus line item 7)
$
--_. G ~
8.
Determination prepared by:
Dote:
;'
1.-;' -
R______________________________________________ _________________________________________
B. ASSESSMENT:
1. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8) $
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 date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEALTH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS
-----
INSTRUCTIONS
To insure proper credit to your occount, the nome of the estote ond file number should be
cleorly printed on the check or money order.
This determinotion ond ossessment is mode in accordance with Section 421 and Section 732
of the Inheritonce and Estote Tax Act of 1961, 72 P.S. 2485-421,732.
The estate tax imposed by Section 42] is due at the date of the decedent's death but shall
not become delinquent until the expirotion of eighteen (]8) months ofter decedent's death provided
that any estate tax occosioned by a final change in the Federal return or of the tax due thereon
shall not become delinquent until the expiration of one (1) month after the person liable to pay
the tox receives final notice of the increase. Calculate interest from the delinquent dote shown
on the face of this form to the dote of payment using the following interest table:
----~---------~------------------------------------------------------------------
] month .005 4 month s .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 1] months .055
3 months .()15 6 months .030 9 months .045 ] 2 months .060
] day .00017 Il days .00]86 2] doys .00352
2 days .00034 ] 2 days .00203 22 days .00369
3 days .0005] 13 days .00220 23 doy s .00386
4 days .00068 ]4 doys .00237 24 days .rn0403
5 days .00085 ] 5 days .00250 25 days .00420
6 days .00]01 ]6 doys .00267 26 days .00437
7 days .00118 17 day s .00284 27 doys .00454
8 days .00]35 ]8 days .0030] 28 days .rn047]
9 days .00]52 19 doys .003]8 29 days .00488
]0 days .DO 169 20 doys .00335 30 doys .00500
.---------------------------------------------------------------------------------
Any porty in interest, including the Commonweolth and the personol representative, not
satisfied with the ossessment may object thereto within sixty (60) days after receipt of this
notice as provided by Section ]00] of the Inheritance and Estote Tax Act of ]96] (72 P.S.
~ 2485- ]00])
Make check or money order payable to:
"Register of Wills, Agent"
Moil to the address listed below: