HomeMy WebLinkAbout10-31-79
REV"483 (8-78)
COMMONWEAL TH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
BUREAU OF FIELD OPE RA TIONS
INHERITANCE TAX SECTION
OFFICIAL NOTICE OF DETERMINATION
AND ASSESSMENT OF PENNSYLVANIA
ESTATE TAX
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TO:
DATE: ~O - 3/-79'
ESTATE OF: I Alle{ G. w.-
FILE NO: .;;u- 7~- ~Z.I 'oJ c:.
COUNTY OF: Cu}, e/ /1..-. .L
DATE OF DEATH: c:;Jc.f.",l.~ 78
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t.. DETERMINATION:
1. Taxable estate based upon:
~ited States Estate Tax Return (Farm 706)
The communication from the Federal Government
confirming the acceptance of or changes to the
Federal Estate Tax Return
2. Amount 01 credit Iar State death taxes (as veri lied)
3. Pennsylvania inheritance tax assessed
(excluding any discount andlor interest)
4. Normal inheritance tax paid to other States or
Territories 01 the United States (excluding
any di scount andlor interest}
5. Total inheritance tax credits (line item 3 plus line item 4)
6. Total liability lor Pennsylvania estate tax (line item 2
minus line item 5)
NOTE: Complete line items 7 and 8 ONL Y when determination
is based an 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)
8.
Determination prepared by:
Date:
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B. ASSESSMENT:
1. Pennsylvania Estate Tax reflected an:
line item A (6)
line item A (8)
2. Less credits:
DATE OF PAYMENT
INTEREST
($ I
($ )
($ )
AMOUNT PAID
3. Balance of Pennsylvania estate tax due
Interest is due at the rate of six (6) percent per annum from
$ /41 ;23,).f(7
$ ,Sn 8 ,
$/~,;l6/ 3/
- c:.
$ leg .J.?I.SI
$
$ ,.-- 0 .--
$
$
CREDIT
=
=
=
$
to the date 01 payment.
Assessment prepared by:
AGENT FOR THE COMMONWEAL TH
Date:
SEE REVERSE SIDE FOR INSTRUCTIONS