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BUREAU OF INDIVIDUAL TAX[S
INHERITANCE TAX DIVISION
PO BOX 280601
HARRISBURG PA 17128-0601
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE OF DETERMINATION AND
,/,,: ASSESSMENT OF PENNSYLVANIA
"ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
REV-483 EX AFP (06-05)
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DATE 01-30-2006
ESTATE OF CLECKNER RICHARD W
DATE OF DEATH 12-24-2004
FILE NUMBER 21 05-0040
COUNTY CUMBERLAND
ACN 201
APPEAL DATE: 03-31-2006
(See reverse side under Objections)
Amount Remitted I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
ANN E RHOADS'
CLECKNER & FEAREN
PO BOX 11847
HARRISBURG PA 17108
REGISTER OF WIllS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment.
~~~-~~~~~-~~~~-~~~~--------~---~EJllI1t~9J_~~!9~J)9~_f9~_Y9Y~_f)~~~__~_____________________
REV-483 EX AFP (03-05) .. NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ..
ESTATE OF CLECKNER
RICHARD
W FILE NO.2l 05-0040
ACN 201
DATE 01-30-2006
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
7,371.00
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
56,897.55
3. Inheritance Tax Assessed by Other States
or Territories of the United States
(Excluding Discount and/or Interest)
.00
4. Total Inheritance Tax Assessed
56,897.55
5. Pennsylvania Estate Tax Due
TAX CREDITS:
.00
PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID
DATE NUMBER INTEREST/PEN PAID (-)
TOTAL TAX CREDIT .00
BALANCE OF TAX DUE .00
INTEREST AND PEN. .00
TOTAL DUE .00
-IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED pt
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)