HomeMy WebLinkAbout10-31-79
,'?EV-483 (8-78)
COMM ONWEAL TH OF PE NNSYL VAN IA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RA TlONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
I (J ~ ,)ff!) .-)_
TO:
DATE:
ESTATE OF:
FILE NO:
COUNTY OF:
DATE OF DEATH:
',;,- -3/ - 7P
Lvi-k'-o?R. C). tt.l'1L Ke K-
~/~ 76' - (pl./ I
"vi b...... ,;:: l .,.-.-~r:f,
~f 2-J-,18
----------------------------------------------------------------------------------------.
/.. DETERMINATION:
1. T a~a~state ba sed upon:
~e United States Estate Tax Return (Form 706)
The communication from the Federal Government
confi rm i ng the acceptance of or changes to the
Federal Estate Tax Return
L Amount of credit for State death taxes (as verified)
3. Pennsylvania inheritance tax assessed
(excluding any discount and/or interest)
4. Normol inheritance tax paid to other States or
Territories of the United States (excluding
any discount and/or interest)
S. 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)
$
$
~ YnX)
-~-
$ .P).';,(\l\;~~t,
$
G. -.
$
_. '---" ~.-
$
_. ,"--,' .-
NOTE: Complete line items 7 and 8 ONLY 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
minus line item 7)
$
(:;
'.'<'.
Determination prepared by.
Date:
1
---- ..-- ----- - -------- ------------------------ -------------------------- --- -------------
B. ASSESSMENT:
I. Pennsylvania Estate Tax reflected on:
line item A (6)
line item A (8) $
2. Less credits:
DATE OF PAYMENT
AMOUNT PAID
INTEREST
($ )
($ )
($ )
CREDIT
=
=
::,. Balance of Pennsylvania estate tax due
=
$
Interest is due at the rate of si x (6) percent per annum from
to the date of payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAl.TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS