HomeMy WebLinkAbout03-11-80
,'EV-483 (8-78)
COMMONWEAL 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
/6 - /J~r--, f
"ro:
~.. '.'" i
DATE: -/ / - J U
ESTATEOF:,/lu 'cJA"..k!. .r//,/t"y
FILE NO: 11 - ~~~p~
COUNTY OF: Ct.<A- "
DATE OF DEATH:' "-SvrJ/ ~ 7R'
--_.. - - - -- ---- ------------- -- .-- ----------- ----- --------- -- --- - --- ---- --- -- ---------- --- --.
t. DETERMINATION:
i. Taxab,tate based upon:
--n;e United States Estate Tax Return (Form 706)
The communication 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)
J. Pennsylvania inheritance tax assessed
(excl udi ng any di scount and/or interest)
1. Normal inheritance tax paid to other States or
Territories of the United States (excluding
any discount and/or interest)
:I. Total inheritance tax credits (line item 3 plus line item 4)
I. Total liability for Pennsylvania estate tax (line item 2
minus line item 5)
$ if ~ L/L/.tJ,r
$ ,/3~ t J..~. YJ-
$ '3/0, Co ,f
$
-,-- L> -
$
/(~7"~ y~
$
- C~
NOTE: Complete line items 7 and 8 ONL Y when determination
is based on Federal Closing Letter
Amount of Pennsylvania estate tax assessed on determination
dated
Addition (reduction) to Pennsylvania estate tax (line item 6 ,,"-'7
m;oo, I;oa item 7) Datam;oa';ao p,apa...! by, ('~~~
Date: ,,' -<'"'~C x6
~~ w 1
-------------------------------------------~~~-----------------------------------------
"
i .
,"
$
B. ASSESSMENT:
i. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8)
;~. Less credits:
DATE OF PAYMENT
$
AMOUNT PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
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 COMMONWEAl.TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS