HomeMy WebLinkAbout10-10-79
REV-488 (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
/o--/~,f- J>
DATE. (!if/" 77'
ESTATE OF. 6~~ ~*,,-'l
FILE NO: c.2 - - ~ 0
COUNTY OF: ~b~d
DATE OF DEATH: /
TO:
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A. DETERMINATION:
1.
Taxable estate based upon:
~ United States Estate Tax Return (Farm 706)
r cammunicatian from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
Amount of credit for State death taxes (as verified)
Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
Normal inheritance tax paid to other States or
Territories of the United States (excluding
any di scount and/or interest)
Total inheritance tax credits (line item 3 plus line item 4)
Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
$
$
/~453 Z~2.
~.;:)~ .~ 0
2.
3.
$ 913d, ,Z3
;'
4.
$
~-o
5.
6.
$
$
9;/30, ;2.3
,
-0-
NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal Closing Letter
7.
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
$
-c.J -
8.
Determination prepared by:
Date:
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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
ta the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAL TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS
INSTRUCTIONS
To insure proper credit to your account, the name of the estate and file numb... should be
clearly p'rinted on the check or money order.
This detennination and assessment is made in aa:ordance with Section 421 and Section 732
. of the Inheritance and Estate Tax Act of 1961, 72 P.s. 2485-421, 732.
The estate taX imposed by Section 421 is due at the dote of the decedent'. death but shall
not become delinquent until the expiration of eight.n (18) months after decedent'. death provided
that any estate tax occasioned by a final change in the Federal return or of the tax due thereon
shall not become delinquent until the expiration of 011. (1) manth aft.r the person liable to pay
the tax receives final notice of the increase. Calculate interest from the delinquent cIate shown
on the face of this form to the date of payment using the following intere.t table:
----_._---_..-.;-------------------------------------------------------- -------.
1 month .005 4 month s .020 7 months .035 10 months .050
2 months .010 5 months .025 8 months .040 11 months .055
3 months .015 6 months .030 9 months .045 12 months .060
1 day .00017 11 days .00186 21 doys .00352
2 days .00034 12 days .00203 22 days .00369
3 days .00051 13 days .00220 23 days .00386
4 days .00068 14 days .00231 24 days .00<<)3
5 days .00085 15 days .00250 25 cIa)OS .00420
6 days .00101 16 days .00267 26 clays .00437
7 days .00118 17 days .00284 'Z1 day. .00454
8 days .00135 18 days .0030 1 28 clays .00471
9 days .00152 19 days .00318 '2!J da)'s .00.8
10 days .DO 16.9 20 day. .00335 30 days .00500
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Any party in interest, including the Colllftonwea'th and the p.sonol Npr..entGtive, not
satisfied with the assessment may object thereto within sixty (60) cia,s aft... receipt of this
notice as provided by Section 1001 of the Inh.ritance cmcI Estate Tn Act of 1961(72 P.s.
~ 2485-1001)
. Mak. check or mOftey ord... payabl. tal
"Register of Will., Agent"
Mail to the addr... li.ted betow: