HomeMy WebLinkAbout05-28-80
EV-483 (8-78)
,OMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RA nONS
INHERITANCE TAX SECTION
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OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
DATE:
EST ATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
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DETERMINATION:
Taxable estate based upon:
The United States Estate Tax Return (Form 706)
~he communication from the F,ederal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
., Amount of credit for State death hlxes (as verified)
Pennsylvania inheritance tax asslessed
(excluding any discount and/or' interest)
Normal inheritance tax paid to other States or
Territories of the United States (excluding
allY 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)
$ ya;2/39
$
$
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$
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NOTE: Complete line items 7 and 8 ONLY when determination
is based on Federal CI,)sing Letter
$
Amount of Pennsylvania estate tax assessed on determination
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Addition (reduction) to Pennsylvania estate tax (line item 6
minus line item 7)
$
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E. ASSESSMENT:
Pennsylvania Estate Tax reflected (In:
line item A (6)
line item A (8)
Less credits:
.I..
DATE OF PAYMENT
$
AMOUNT PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
Balance of Pennsylvania estate tax clue
=
$
=
Ir.terest is due at the rate of six (6) percen:t per annum from
to the date of payment.
Assessment prepared by:
Date:
AGENT FOR THE COMMONWEALTH
SEE REVERSE SIDE FOR INSTRUCTIONS