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BUREAU OF INDIVIDUAL TAXES
INHERITANCE TAX DIVISION
PO BOX 2110601
HARRISBURG PA 171211-0601
COMMONWEALTH OF PENNSYLVANIA
DEPA~TMENT OF REVENUE
NOTICE OF DETERMINATION AND
ASSESSMENT OF PENNSYLVANIA
ESTATE TAX BASED ON FEDERAL
ESTATE TAX RETURN
'*
REV-4113 EX AFP (06-0S)
L_
DATE 06-19-2006
ESTATE OF BROSIUS SR DELROY D
DATE OF DEATH 04-17-2005
FILE NUMBER 21 05-0437
COUNTY CUMBERLAND
ACN 201
APPEAL DATE: 08-18-2006
(See reverse side under Objections)
A_ount R..1tted I
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
CLARENCE E ASBURY
MCKONLY . ASBURY
415~ALLOWFIELD RD
CAMP?HILL PA 17011
f\.. ~
REGISTER OF WILLS
[J U\ CUMBERLAND CO COURT HOUSE
c
L .' .... - .... CARLISLE, PA 17013
f~ie: T~sur. ~.op.r crHit to your .ccount, subllit the upper portion of this for. with your t_ p.YII8I"t.
~~!L~~~~J!!~~_~~_______~__~~]~}~_~9~~~_P9~]}9~_!9~_J9~~_!}~~~__~_____________________
REV-483 E~FP (03-05) .. NOTICE OF DETERMINATION AND ASSESSMENT
OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN ..
ESTATE OF BROSIUS SR
DELROY
D FILE NO.21 05-0437
ACN 201
DATE 06-19-2006
ESTATE TAX DETERMINATION
1. Credit For State Death Taxes as Verified
.00
2. Pennsylvania Inheritance Tax Assessed
(Excluding Discount and/or Interest)
60.993.17
3. Inheritance Tax Assessed by Other States
Dr Territories of the United States
(Excluding Discount and/or Interest)
.00
5. Pennsylvania Estate Tax Due
60.993.17
.00
4. Total Inheritance Tax Assessed
TAX CREDITS:
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 .~
FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE ~
DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)