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�F.TCA���� � I�' �' i I Ji C�F NU7ICE OF INHERItANCE TAX � pennsylvania
9UREAU qF IN➢IYIDU L ��' �y ���= DEPARTMENTdFREVENUE
PnX9oXT2 0601� DIVISION��41fi`�', � Vf' �.�<<`tjP��DUCTIONS,AAN0�A5SES3MEN7SOFLTAX�pN
�aF REV-1548 E% AFP (12•12)
w�RRiSBWts pA tn28•os07 J4LNTlY NE�D OR TRUST ASSETS
�'?�'t3 J�L 1 U('1 i 5$ nArE o7-ni-zora
ESTATE OF EADS JR JACK C
(;�,�t{�i �r;T DATE OF DEATH 07-16-2Q12
�f�t f�AP3S� COI�;RT COUNTYUMBER CUM6ER�AND
MICHAEL A�ADS���kl��� ��f��� '�r� SSN/DC I91-40-8541
ACN 12143003
110 HIICCREST RD APPEAL BY DATE:08-30-2013
CAMP HILL PA 17011-1905 {SeereversesrdeunderQbfections}
� A�ount Re�ittad "�
MAKE CMECK PAYABLE AND REMIT PAYMENT T8:
, REGISTER 4F WILLS
� � 1 COURTNOUSE SQUARE
�, CAR�ZS�E PA 17Q13
CUT ALON6 THIS LlNE �' R�TAIN I.OWER PORTION FOR YQUR RECURDS F
"-"-"-"-"' '-'--"I'--`--"""-"-"-"'-'.-'---'---'--"
� REY-1546 EX AfP�t 2-123� '. -'^-"-"--"'-"'-'-
' NOTICE Of I�IHERITANCE TAX APPRAISEMENT. AL�4WANCE 4R DZSAI�OWANCE OF
� DEDUCTIONS, �. ANU ASSESSMEN� OF TAX ON JOINTLY HELD OR TRUST ASSETS
' � DATEz 7-01-2013
ESTATE OF: EADS JRI JACK �', C DATE OF DEATN:Q7-16-2012 COUNTY:CUMBERLANd
FItE Nd. : �i ZZ_�}gpg S.SI�,D.C. NO. : 291-40-8541 ACN: 12143003
TAX RETElt�N YtAS: CX) ACCEP7ED AS FI�ED C ) CHANGE�
'� JOTNT OR TRUST ASSET INfORMATION
FINANCIAL INSTITUTION: MEMBERS �ST FCU ACCOl1NT NO. : 343748-11
TYAE OF ACC4UNT: � C 7SAYINGS QXS CHECKZN6 { }TRUST f )TIME CERTIFICATE
DATE ESTABLISHED 1'1-25-20U8 ��
Account Balance � _ j 67,416.69 NOTE: TO ENSItRE PR�FER CREDI7 TO
Perc�ent Taxable X i 0.16b VOUR ACCOUNT. SUBMTT THE
Apount Subject to Tax �� 11 236.34 UPPER P4RTIOH QF THZS NOTICE
pebts and Deductio�ns .00 WTTH YOUR TAX PAYMENT TO THE
Taxable Amaunt 11,23b.34 RE6ZSTER 4F WII�.S AT THE
Tax Rate Y �'' .12 ABOVE ADORESS, MAKE CNECK
Tax Due � 1 348.3b OR MONEY ORDER PAYABLE T0:
"RE6ISTER Of WT�LS, A6ENT."
TAX CREDLTS:
PAYMEN7 RECEZPT DISCOUN7 C+} AMBUNT PpID
DATE MUMBER �NTEREST/PEN PAIO (-)
INTEREST IS CHAR&E�D THROUGH 07- 4-20I3 TO7AL TAX PAYXENT .00
AT THE RATES APPLI�ABLE AS OUTLTINED ON THE SALANCE Of TAX IIUE 1,348.36
REYERSE SIDE OF TH�SS FORM ��, INTEREST AND PEN. 9.29
� � T4TAl DUE 1.357.b5
;
� TF PAID AFTER THZS DAtE, SEE REVERSE 'POR CALCULATI4N 6F ADDITIONAL INTEREST. * ��
IF TOTAI DUE LS REF4ECTED AS A ^CREDI�•' LCR), YOU MAY HE DUE A REFUND.
SEE REVERSE SIDE OF �7HIS FORM FOR INS RUCTIONS.
� PURPbSE OF
X�RCE To fulfill the raquirounts of Sactio� 214U of tha Inha�itance and Ests4a.TU Act,.ACt 23 of 200tl.. O2 P.S.
SaCtion 914pL � .
� PAVNENT� Oetach the ton uortion of this notiee antl subwit with your pay�ant io kha RaYister of Willa orintad on the
rsvarsa s3tle. Mqka chedc o� �omY order p�tabla to+ RopisUr of Yills, Apent.
Feilura to pnY t�a tax� iMOrast �ntl DanaltY tlua Mav �esult in thm filine of a lien in the aporopriata
CountY Or t�e issuan<e at an Urvhin's �ourt CitAtlon.
REFUND fCft)+ A refund of a taz <ratlit> whSeh r�s not �ecu�itad on th� 4au �a4u�n, �sY bc ��OUas4otl dy eo�pl�kinp an
-� ^�pp2icatton fer Refuntl of Pamaylvmia lnharita�ce and Estste T�^ tREY-7333). 8po13cations ara avai�abla frw
. the D�pwrb�nt's Wab ait� qt NM�NY�pY�.54NY.Di.YR aw R�pisUr of Wills or Rwmw Oistriet pffica or frv� !ha
Depart��nY s 24-hour mswsHnp s�rv ue • - • 5d; s�rvieas for taxuav�rs viRh spwiaY haarinp nntl/or
sp�akinp nauds� 1•l68-447-5020 (TT on1Y1.
09JEC7ION5� Aoy vartY in iniar�sY noi sptisf#!d ritM tha anpraiswaat, allwanc� ar tlisallwance of de�iuctions ar assesx�ant nf tez
<lncludfnp tliseount or 3nterosU as shwn on tMS noilca �sY obirct within 80 dpys of t�a deke ofi rwaint nf thfs notita
bY:
. A) Protest to th� PA Moarhant of Rwonuar Baartl of AOnoels EY filinp � nrobxt onlina at
- rrr.bo�wtleF�ns�als.aU�i.oa.us on or bafan tYw �O-d.Y aoYUl v�HOtl axpins.
- 3n ord�r fo�m slwYrenie vrobst tu br ra31d, vqu iuti rscHva s eontlriatirn eru�bar and nrocassetl Cate
fro� 4ha Bos�d of AOY�ela W�6 sitp. You �ev �lso sontl a writtm oro{ast !e P� ��part��nt of Havanue.
6n�rd of �vDrals, pU !wc 2�1021, N�rrisburp. P� 1712PlOZ1. P�titlens �ay�not E� PneE� or
� B> Ela<t to hava the �attar dater�inatl at thc aud3t of t7ro Otrsbnal rootes�ntstive aceount; or
ApIIN- C) AaPael #o t�e OroM1ens• Court.
� Z5T1idT2YE
CORRECTIpMS: Fecfual orrors tl35eovpratl on this assess�ank shoultl b� atltlrassed in writ3np to: PA 6apartnant af Harrnue,
- 6urtau of InUividual Tauas, ATTN� Posk Assemn�ant Raviae OhSt. Pp Box 280601. Nsrrisb�ry. PA 17128-Obpl
� or eall C7171 78T-6505. Saa PaDe 4 of '•Inatruetinnz for Inh�ritanea Tmc Rdturn for a Rrsitle�t DetatlaM^ {RBY-i5tl1>
� for an axolanetion ot �tl�in9atretivaly eorrnetabl� �rrarz.
DIS6UUNT: If aro tu due ia Oaid within threa calontlar �onths aPtar tha tlacatlenk's tleath, a fiva oercant tliscount of tha tas oaid
is al7a(ad.
. . PENAtTY. Tha 15 aarcaht taYC arwstY non-aaMic#pati6n Cenalty Sx coMputed an the tokffi nf tne taX antl intarest assessea and not
paitl �afora Jan. 16� 1996� tha ff�st tlaY after tM enA of tht ta�t a�MStY Mriad. Th35 non•partfcivation
nanaltY is aDp�elatrle i� thq sa�a �snner antl in tha the sa�e t4�a pariod as yau weuld anuael thp tu antl intarest
that has baen assess�d ss indicatad an th9s nnt3ce.
�. ZNTEREST: Intarext is c�arpotl baginnlnp wsth H�st day of Geli�puaney or n3na aonths and one G�r
tro� tha tlata of tlaath to tha tlqto af Dev�ant. Ta�eas whic0 baea�a tlalineuant before Jan. I, 1982,
. baar infarost at tha rata of six prrce�t eor an�w celculetoC et a 6�11v �»te of O.00G144.
. AL1 taotas whie� bacre tlalinqu�nt on ar aH�� Jan. I, 1982 wili bear interdst at a rats vhith varies fro�
year to veer with the tata annou�tad bY th> PA Dtpart�ont of Ravenue. Ratas tor 19l2 throuph 20D6 can ba
� faentl in tha PannsYlvania Rozitlent Instrviction Eook7at C1tEV-150ll, tha PennSYlYania Non-R�Sidcnt ZnstCUCtion
Booklck (REY-1736) or on tha Davert�ent of Rovanu� Wab sita wv.rvr�nua.sGte.na.us.
Fhe applicable intarast e'a{RS f0� 2d97 tfiroUph 8033 e�l:
Intarast Dailv Intermst Da}�y Intqrost Oeily
. Y�ar Rwts Factor Y�ar Rate Factor Y��ar Rata Faeter
200'/ eX .tlp0219 2008 1T. .000192 2009 5X .000137
2078 §X .668k1fl 267k-2673 3X .A$4082
. Interast is caicuiated u fnYTws:
- 3IFTEREST = HAIANCE t3F 7AX IpMAZb X M&li£R 8F LNYS DEIIl�(tEtIT X MIIY ZNTEREST FACT9R
Arri notice i3suetl after ttw tax bacwes Aaiinaue�t uiil reflect an Snterozt calculatlen ta 15 days
� beronA the tlata of tha asspas�mt. If pavROnt is wede aRer t�a intrresi ca�nutation date sha+n on tha
notice, aGGitionnl interost �uzt ba celeu3ataE.