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COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU ,OF COUNTY COLLECTIONS
INHE~IT ANCE T AX DIVISION
HARRISBURG, 17127
PENNSYLVANIA ESTATE TAX
DETERMfNA nON
Estate of:
Date of Death
Date
0- .I..! 1927
County
Bureau File No.
AI,', i <;" F: ,1.1;, dI/
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I. Taxable estate per U. S. Estate Tax Return, Form #706
2. Taxable estate per final change in Federa/ Return dated
q/'ll '/1
, .
$ 19'-{ !to. (if..
$~,.d:-d' .Il1dl/Af J
, /
3. Amount of credit for Stote death taxes.
As verified by computotion
As shown on return farm or finol change notice ($ _' 'I I 1':/
)
4. Penna. Inheritance Tax due andlor paid
$ ,! q 3(, (~..r.3'
.! /f I. l},f
5. Norma/Inheritance taxes paid to other States
6. Total Inheritance tax credits (4 + 5)
o
7. Total liobility for Penna. Estate Tax (3 _ 6)
,;1~.d(./_
.'-~
......,
8. Less: Previous payments on ole of Penna, Estate Tax
()
Date of payment
Amount of Tax paid
Amount of Interest paid
$
$
9. Balance of Penna, Estate Tax due (7 _ 8)
10. Interest due from
to
(iiJ 6% per annum
II. Balance of Penna. Estate T ox and interest due as of
$ 17
Prepared by -<y-f,,',I,!,(J /,l.,? #'1.,/)
(liNAl,E)
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/eviewed ond approved by
(NAME)
( TITLE)
(DATE)