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HomeMy WebLinkAbout94-00274 " ," .;., . ~J" f'.<, II' 'l,' "" ,1..,1.'" "". " . : ~ ,I' , .. " 1',','1,/1 ,,' 'I' , I':).': \, " \1. '('l . , , ," ,,, 1\ \, I""~ , " 1~ ' :, \ , I " ',I",: \' . ::"\ , I' 'I , 'I' " , ., '(. .' , " " " .,', , ,~ ,I' 'I' \,,1 , " , ':" " 'r," 'II '{' , 'I' 1'1' ;, '1', '., I /' ,\'/-)'1 '01'.1 . '" " I" '~,' '" \ I: ", I" \.' .; I".,:, ", ,I 'I' ,,' ", ,',,1'11,; "'I' '1~', ,,' .',.' \ ~ ~ 1" (( ,.,; .,1" '. ,"(', ,', :,:'"., I' . ,,1.\' " '" '.~ " " ',I:. "I', '" , .: ~ ".l\' \' , ,', ~ r :: t: , ',,' /' '. ",,' " " (I , .' ~ \; , . ",; 'L," i, ". .il' ; \ " , ~, 'I ' , . ~.'. ~.\ .j~ .\','..; I: ( , '')',' ,,:, ~ "I ," ) ~, /, j .,'. I ,',~ I,' , ,,' I:' ",', .-t'. : ~ ' , 1'1 ,I, ~,'.( . , " .,' I), ' ,: l. (. ;, I' ',: >: ,\ I ( . ~ , , ';\' 'lO' a, ", '", ,,' " ' ", . " 'J' 'j .t.'t '<l ~)( " ",,' \,' : , ' , ')l"I!, 'Ii' ",I' ;.. ',1 '.1' ',.' :,1, ,. ", , ' " " ' " .,\' '\ ,~. .\~ " ,\ 'I. 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I) j~IJ "I . ".:II!Ci\('\~I/! ;" '\) 'I ~'f 'i:ll\i"t. :~..rH'~~'.' '. \ ",'/.,,:, ";' , " " /, ,I" ,','1\ ',',I' .,11" " '" ;\'r '!:I;"'.' ," " ," I) a ... .,. '&11I'. " " , '" ',' .. :> " ". , ~ .''' ,', :':',"\(;\.'!,i,:: ",,',1' j, , t.". "I ," i ~ ", 'j. " ".t"I. ':j~\ 1 ';' ,j' :d. " .',1,,' " I" "': '1 " " ,1""1).1' ,".j 1 " ,".I, ',! 'I I'," ,", . .... "'1 , I, ',. " ,', ,: 'r I, '-€:. PETITION FOR PROBATE and GRANT OF LETTERS Estate oj G!(i\Cj': L dTlIG!l1C]~__ No, cJ{ /- 9J/-~ also known as To: __.__. Register of Wills for the -> Deceased, County of ClIl :bCil' l.nll<1 In the Social SeclIrlty No, 1 ()?-?~)-lll (,,; Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitloner(s), who Is/arc 18 years of age or older ap the excent In the last will of the above decedent, dnted __-'.!.11nn-,lh and eodlell(s) dated _________.. C .111.1\. fuhil. nin [;)'1\ \;l'l;Jnamed ,19JllL (~lulc Teil'vanl ChClll11S1UIICilS, e.g. rClIlII\\:lallllnt death of eltecutor, ctc,) Deeendent was domiciled nt denth in (JIll 11>'1)'] Ilnd .__ County, Pennsylvania. with te:!'_ last family or princlpul residence nt ~] n :,0 Ill; I, :, (\'I'!: n I; :, tJ'!J (' L , 1,rOClln.lllc~:1)\II'I~. ['1\ __~L.0~:'!) (ll~l street, ntunbcr ilud muru.:ipallty) [11" I' ., '). Deeendent, then _~)__ yenrs of uge, died ,1\"'Dll , at..ll01v i.;lJll'lt :lof:r,I.I;!,l, 01\1!\'" 11:1.11, 1'1\ Except as follows, decedent did not marry. was not divorced and did not have a child born or adopted after execution of the will offered for probate; wns not the victim of a killing and was never adjudicated Incompetent: Deeendent at death owned property with estimated values liS follows: (If domiciled In Pn,) All personal property (If not domiciled In Pu,) Personal property in Pennsylvania (If not domiciled in Pa,) Personal properlY in County Value of real estate in Pennsylvania situated as follows: ,199)1, $ $ $ $ ] ,; , 000.00 WHEREFORE, petltioner(s) respectfully request(s) the probate of the last will and codlcll(s) presented herewith and the grant of letters oJ' 1\ dl'll.111 n t1'l\ t: 10 n , C, ~I~. ^. (tesllll1lCnUUYi ndmlnl\lratlon c,t.a,j admlnlsluulon d,b,n,c.l.a.) theron, i '0- '6~ 00: O( o - 'lh, ~'i1 "''' ll'~ 30 i Iii , f) ) , ,Tnl1o A. B1'o\olnl\1<1o 11 21)1 lIo.','osto\oln 1\0111,1 l~A"hnrl t (1,rtbl1't.I(' )IlL- 170{~~ .., _. OATH 01<' PERSONAL REPRESENTATIVE COMMONWEALTH OF PI~NNSYLVANIA }. ss COUNTY OF C,ft,j',i':j.:i,J\i:D The petltioner(s) above-nomed sIVeal'(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petltloner(s) and that as personal represen- tative(s) of the nbove decedent petltioner(s) will wet and truly a~rnl~5}er the estate according to law, Sworn (0 or nffirmed and subscribed f \ . , 6. /J-'u-a.JU'i ././)/' /Jj) t'l beforc.{lIe tl\is __ ,21ST dny of ~ ' OQ' J l\X'p~l '" ,ql?,.',lLc.v I. -I' .. -='"'?1c; 5 - ,,-(;:{ -<: ~ 'L11'"I ,,(,I. JLLLLLl.l "<;{ ~ MARY,C, LEWIS I Register (I _ :E: /3 J tl106.llilHEV 11.13 I~EE Fon nus CEJ\TlFICATE 1300) WAHNING: IT IS lLl.l'OAI. TO /lI.HIIIHI~i COPY 011 TO DUPl.1CATE flY PHOTOSTAT 011 PHOTOOI\/lPII. oe~~~'t1~~nAfnUL~:;riJtm~~~~~06 I.OCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO. 2166441 3 - II - 'If '-'--o-.r.;-;)'T"i;l;-oTrlr;.'ft~iTili(~~T,;;,i /' ~ N,moo' 0""00' ~_"'.~...._ ". . ~.'~L""'<~ m ...._ _ .. . Sex _ i- .soclal' s~':'urlty No) ~i.:,.^.)..' 'F} t, J . Dnto f DOlltl1';IIIi1 ",~.jf.ii 0""",,,, l!fcJ,.i; It, L. B""P,"~_j I~~, if <"---T _ .. .... Place of Deatl1 ." '''''''' .,,'" 1.,-U~_._-..(f~i!"--'- . ,~'l /t.lt~t,;/",(]~,~~t f'ofll1nylvf1nlll Raee {uk f;;- I It?CCupatlo~;~~~i~~;AL~Jl.- 'j ... ^"ioc! For~, (Yos Of N? ..' /!~).~,. . . , Marital Status ~. ..--.. Mallin. g Address .. 'lLf . .. . /1~~i'~:7.J):tI.. .((Lf,,~.~. iI/f. '"~.'" - . Inlerman .. ~tl>t (~.J..."-:!'Jj:....,,.__._ Funornl Dlmclor J8 9~tL.. AJ >d~~.{. .~-::--- . ~I~~e~r s~~~~~s~~~t ~_iLi/~_.f!.ld jlLa.~-(.)If (L"'I V:A~,-,. nl I : Inturvnl Untwoon p,,,,, 'mm:fltta1cj~~J<<1~ ... .. .. .10""""'0""". .... , , I . ""'n ...._..... u.... ...+__ _n',___, , I I ".'-"'."'-:';;7"..'-- ......... ./..n.. A.t.J". tLC,-;._7A\'(Hdb-:fI!.--I,,,,-,. c Ibol1ow Injury occurrod: (c) (d) Part II: Otl1er Significant condltlot~l!l~,,:'.( Manner of Death: ' l./ Natural ~omlClde 0 Accident 0 Pending Investigation 0 "'f" .... ..-...,..---....- ............ .., Suicide 0 Could not be Detol'mlnod [J Address.1~ 7t...__l~/.;d___. ,L" This Is to cortlfy thet tile Information 110ro glvnn Is connclly coplnd 110m 11I1 orl\llrlOl cnrllfllllltn(ll deatl1 duly filed wltl1 me as Local Roglstrnr, Tho orlfllnlll cortlflcmto will 1m lorwllrdnd tn tho StAIn Vital Records Office for permanent filing,;, , " '.f.'" ./ , , \ ' :5 - II . ~ t/ . ~ '/ '. I '"ril ItI.VI....,,1 VoI.,1 110_ "II Ihllll.II/-J -~;(fI-;"~I(~l::tiii~li,iI.1;--+- 'It.,,,., [:'\r~'.l"'l/l.~.. ,..,..,'" ""~'I Hi\f'II~bllr:~, f~"..,.,tlr."I,J ('.d, 11.'",,,-," 10,...",1,'1' flil"""'.i'lT1l'iI''''''''''''dU'i''''''''''''ll''. "I""" ':,.,';::. " ".. ., "I'i,/,""\'" ~~~r~""i~l.!\!IPJl.~,,\"~Jt.,~\lrl','r.:'l"'Kil!-:",. " \, I".' 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I ", ,,' ., '~- 0' (';r'-~~i ,?,i,d<;,\~~:::\!"':: 'i" 'ifl;;(':'.::- ;:::'i';;'::;;:~~':i 3-1" I . ;), REY.1147 EX AFP 101.94*, _LTIllll'i'ElItS'ILYAHU IJ(JlAll11EHT Ill' R!V!lU: _ Ill' INDIYIIlUAL TAXES IJ(JlT. 11"11 HARR'IIURQ. PA 17111-0101 Ifr 6 NOTICE OF INHERITANCE TAX APpRAISEHENT, ALLOWANCE OR DISALLOWANCE OF OEOOCTIOHS AHD ASSESSHENT OF TAX ACN 101 DATI 11-14-94 FILE NO. DATI OF DIATH 03-09-94 COUNTY CUHBERLAND NOTE I TO INSURE pROpER CREDIT TO YOUR ACCOUNT, SUlHIT THE UFPER PORTION OF THIS FO~ WITH YOUR TAM pAVHEKT TO THE RE8ISTER OF WILLS. HAKE CHECK PAVAILE TO "RE8ISTER OF WILLS, A8ENT" REMIT PAYMENT TOI J ROBERT STAUFFER ATTV HARKET SQ BLDD HECHANICSBURD PA 17055 REDISTER OF WILLS CUHBERLAND CO COURT HOUSE CARLISLE, PA 17013 'A""""t R..I ttlld - CUT ALONG THII LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iiiW!iri7'" iic"-AFj'-"i i1i-:94Y"iliiYici"-OF"iiiiiiiiifAifci"YAX" A-pjiiiAiiiHiilT~"Ai.rOwAi"ci-ijii......"_....."m DISALLOWANCE OF DEDUCTICNs AND ASSIlSSHENT OF TAX ESTATI OF DINDRICH DRACE I FILE NO.21 94-0274 ACN 101 DATI 11-14-94 TAM RETU~ WAS I (X I ACCUPTED AS FILED e) CHANGEO RESIlRVATION CONCERNING FUTURE INTEREST - SII REVIl~SI APPRAISED,YALUE OF RETURN BASED ON, ORIDINAL 1. R..l E.t.t. CSctModul. Al (1) 2. Stooke ond Ilond. (Schedul. HI (2) S. Clc..ly Held Stcck/p.rtnerlhlp Int.r..t (Sc~l. CI eSl 4. Hod_./Het.. R...I.llbl. eSchedul. 01 \41 S, C.lhllonk Del>c.lt./HI.c. p.r.on.l Prcp.rty eSc~l. EI (51 6, Jointly OWned property ISc~l. FI (61 7. Tren.f.r. (SctModul. 81 (71 I. Tobl AII.t. ,DO .00 ,DO .00 15.976.72 .00 .00 III 15,976.72 APPROVED DEDUCTIONS AND EXIHPTION81 9. Funer.l E.pen.../Am.. Co.t./HI.o. E.pen... lSchedUI. HI 10. DeQt./Hort~ Llllbllltl../Llen. ISchedul. II 11, Tot.l Deduction. 12. Het V.l... cf T.. R.turn 11.. Chllrlbbl./8c..rNNlllbl I.......t. (Schedul. JI 14. Net V.l... of E.t.t. Subjoot to T.. NOTlI 19I UOI 5,656.64 360.43 UlI U21 US) 114) ~.n17.n7 9,959,65 .00 9,959.65. If In ........nt w.. 1..u.d pr.v1ou.ly, I1n.. 14, 15 .nd/or 16, 17 .nd 11 will rlflRct f1gur.. th.t 1nclud. the tot.l of Akk r.turn. .......d to d.t.. ASSESSHENT OF TAXI IS, A""""t of Line 14 .t Spou..l r.t. (lSI 16. ~t cf Line 14 t..llbl. .t Lln..l/Cl... A r.t. (16/ 17, A""""t of Line 14 t..llbl. .t Ccll.t.r.l/CI... . r.t. (17/ II, prlnclp.1 Tox Duo TAX CREDITS I pAVHENT DATE oFT9-94 '~K'OO. 9.959,65 K .06. ,00 K .15. 1111 ,00 597,58 .00- 597.58 - RECEIpT NUIIIER HH886316 DISCOUNT INTEREST It I ( -I .00 AttOUKT pAID 591.58 TOTAL TAX CREDZT BALANCE OF TAX DUE INTlREST TOTAL DUE 597.58 .00 .00 .00 . IF pAID AFTER DATE INDICATED, SEE REVERSE FDR CALCULATION OF ADDITIONAL INTEREST, IF lOTAL DUE IS LESS THAN el, NO PAY"ENT IS REQUIRED. IF TOTAL DUE IS REF~ECTED AS A "CREDn" lCR), VDU HAV IE DUE A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I 0(" \.". ",'! ,I) ," ., 'I' " I;' REIIlWATlONI ht,t,. of deoedent. dVint on or ~fClr' OeoeIIbIr 12, lteZ ... 1f MV future lnt.rll' In the ..tlt. 1. trln,'.rred 1n PO'Hllton or enJoYWnt to Cl... . (ooUlt.r,U blnlflohr.u of the dtotdlnt IU.r tM ..pSr.Uon of In~ IItl" for 11'. or for v..r., thl C~lth hlreb~ ~xpr".1Y rtl.rv.. thl rllht to IPPr.l.. end ...... 'rln".r JnhlrltlnOl Taxi' It the lIwful el... . (Cloll1t.'ln r.t. on .nv ,uoh futun lnt.,.lIt. PIJRPOSI! Of NOTICE. To Ivlllll tho ,..,1'_1' .1 loollon Z140 01 lilt 1"""It"," IOd E.t." '1M Aot, Aot II 01 1"1. 72 P.I, Ieollon Z140. PAYMEHT. DetllOh the top portJon of thlt Notla, end IUNlIt with your PIVMnt to the Rttl.tlr of NUll prlnted on thl rlYlr.. I.de. "MIl<. _k 0' _. o'eII, p.....I. too REGISTER OF NILLI, AGENT AU PIV'IIf"ltl reo,lved IhIll flr.t be IPPUed to InV Intlntt Hhlch MY bI duI uUh InV rMllndlr ilPPUed to the tfllC. REFUND (eR)1 A nfWMI of . tlX oredU, Ilhlch W1It not r..,.lttd on the Tax A.tu,.n, MY be rlCll'M.tlld by oOllPlItlntI an "Appllcltlon 'or Rt,\ht of Pannl.lv.,h InheritlnGl Ind E.t". TalC" (REV"1313). App1JeaUonl are lvellltll. It the Offlo. of the Rltht.r of NUh, InV of the ZS RIVInUI Dlltrtot Offlo.., or by cIUlne the IPMtll U"hour In....rl,. MMltO' fUlberl for for.1 orderlnol In PIfYI.ylv.,l. 1.100-S62"Z050, outltde PeMlYlv."l. Ind ollllln 1...1 HI"I...." or.. 1717) 787-1094, TOOl 17I71 772-l!5Z (H..,I... 1....I'1d OnIYI, OIJECTJDHlI Any pub In Intlr..t not ..tllfted with the ~r.II'""t, IIl~WlO' or dh,llowencfl of deductionl, or ..H....,,' of tlX Clnoludlna dllOOU1t or Int.rut) II .hchm on thlt Not1~1 "It obJIOt within Ihcty (60) diu of rec.lpt of thit Hotia. bVI ....wrltttn protllt to the PA DeplrtMnt of R.venue, IoIrd of "",,h, DE:PT. 211021, Hlrrhburll, PA 17UI.IOn, 0" .....110\1011 to hlV. the ..tt.r "t."lned .t aUdit ~f the ItClOot.l1t of thl ptrtnntl repr..-.nt.t1v., OR ....,..1 to thl Orphlnl' Court. _IN ISTRATlI/E CllRRECTlDHS . INTEREST. FMtull .rrort d11OGY1r1d on thh .....lIWlt Ihould be eddr...1d tn wrlU". tOI PA OtPIrtlllnt of R.VInUI, I4JrMU of IndlYtdutl Tuu, AlTHI po.t AlM....,t R.vt... lkIlt, DEPT. Zl0601, HurhtMirll, PA 17121.0601 PhoM (711) 7.7.6105, ... p... S of thl boOkl.t "In.truation. for Inhlrltenc. 'IX R.turn for. Rutdent DIoIdIn'" (REY-1S01) for en I~plln.tlon of ~'nl.trlttY.1Y oorrMt.al. Irrorl. If ."y tllC duI .. p.ld within thrH (5) a.llndtr IIonthl ,fttr thl decedent'. dMth, . fly. Plrclnt (S)() dlHount 0' tho tIM p.ld II 111_. Intlr..t 11 chlr.-d beglmlnt with flrtt dly of delinquency, or "tM (9) eonth. Ind OM (I) dly frOll thl at. of dMth, to thl dlt. of PI,..,t. TI~" Which ~.. dlllnquent bIIfOrl JlnUlrv I, 1912 bur tnt.rllt It thl r.t. of lhe U:O peroent per W'IM a,touletld .t . dllb ret. of .000164. All tlICII whloh bltI... dellnquent on Ind Ift.r JInuIry 1, 191! wUI bIIr lntu..t It I rat. .mIen wlU Ylry frOll c.lender Yllr to olltndlr YHr with thlt rite MYMM.nOId by the PA o.plrtltnt of R.yttlOl. The tppl1ollbl. Inttr..t rlt.. far 1982 through 19M tr.1 DISCOUNT. !!!! Int.rllt Rat. D.llv Int.r..t FlOtor ~ tnt.rllt Rite DillY Int.r..t Factor 1912 20X .000541 1916 lOX .000274 1915 16X ,000451 1917 9X .000247 19M m .000501 19"-1"1 lIX .00asOI 1911 ISX ,000554 1"2 9X .000247 1"5-1994 7l( .000192 ....Int.r..t 11 allcullted .. fOllON'1 IHTERElT . BALANCE OF UX IINl'AID X HI/llIER OF DAYS OELIHQUEHT X DAILY IHTEllElT FACTOI .....AnV HoUo. 1I1Utld I'ter thl tlX btClOMI delinquent w1l1 r.fltot an Inttrut elloul.Uon to f1ftun UI) din bevond the dlt. 0' the ...........t, If P.veent 11 NlCM .ft.r tM lnt.rut OOllpUtlUotl det, INM1 on thl Notle., tddltlonel Intsr..t IUlt be c.lcul.ttd, / '-I - / <J 7 - 1.3 oJ~() INHERITANCE TAX RETURN If~;~':s RESIDENT DECEDENT COMMONWIAlltIOIPIl'!NmVANIA (TO BE FILED IN DUPLICATE 1991,.0(l;l7l, OlPAR1MINI 01 RiV!NUI t - t flARRISfJlclJ~o~12B0601 WITH REGI_~!E_~O~_~I~~_SL COUN~Y CODE -L YEAR _NUMBER 15 --'-mmmiffjii1..TK~rr'iii\'~itju-'i"~ilf""^,I. - ---:1ii!rr~10 C~~~fFarket sOOt. ~ !6c~i\~~~:;,;~J;ihGl'(\oe. ~"r^.i! ill liWii'- -, [b"f 6Q'Rill - - ileohanioshux'g, pJ\ 1705~; c 162~22-1465 3/9/(}l~ l~/2~1.00 _ C,"~I, __.9,u_m1?_eI'_l:.~_~____ _____ _ _______,_ !leI 1. Original Rolurn 11 2, Supplnlllnnlol R.lurn ["I 3, R.molnd" nelurn liar dale. 01 doalh prlol 10 12,13,02) I. I 40, Fulur. Inlnro" (omplomil. I J 5, federol E,'olo To, I'ar dolo. of d.alh "Iter 12,12,021 R,'urn R.qulrtd lKI 6, Omdenl Dlnd Tn,'ol. I. I 7. Ootad.nl Molnloln.d " living Tru,' 1_,0, Talol Number of Safe O.polll Bo,.. ___ ,__IAI~~~Pl~_~II'L______,,____ _!~I~,~h~o_e1~!.'.".~___________ ALL CORRBSPONDINCI AND CONflDINTlAL TAX INFORMATION SHOULD 81 DIRICTID TOI I ~ N^h,1 '-J : ~-o~:;~ "S-~~Uf-~-OI', ~ t ty. " "---I,-w.irln[~.~:;~::t!~~aI'e--131d;~-~"-------" ~ ~ '!lfpiIO'" IH'M'!' Heohanlooburg, PA 17055 u__,_.__, __l.'l),'ll_'IY~",-?973 -- "'----, ----'_-.--_----- "'__,.~_,==~~,:..',======'=t==-== , t!! ~fg 551... ...1Il ... ~ . , '. t PILI NUMIIR State No. 2194-02'7l~ I I 4, Llmll.d E"lIl. 0.00 . 0.00. _Q,O_O Q.,OO :\.5,_976,.72. z o 3 E ~ 1. R.lIl E,'al. ISch.dul. AI ( 11 2, Sloek.ond Band. ISch.dul. 01 ( 21 . 3, Clo..ly H.ld SloekJPorlno"hlp Inlo,..' ISch.dul. CJ (3) 4, MorlgogOl and No'o, r.."lvobl. (Schodulo 01 I 4) , 5, ClI.h, Bonk D.po.I" & Mlleellon.ou. Pallonol Properly I 5) ISd"dul. E I 6, Jolnlly Owned Proporly (5eh.dulo FI 7, T rOnllOl. ISch.dul. GI (Seh.dul. l) B, Tolal Grall An,', IlololllnOl 1.71 9, Funeral hp...a., Admlnlllrotlvo Co.II, Mh"lIaneau. ( 9) _Co,., .. "'____?,'_?.?_~,~.!i:,_ Exp.n.OI (Schodul. HI 10, D.b", Marlgog. lIabllltlOl, L1.n. (Schedul. II (101, _____ "m___3k()~.l~3" 11, T 0101 D.ducllon. (Iololllnol 9 & 101 (II) _._____ ________6,~_?}1.,?.7.. 12, N., Volu. of E,'a', (lin. 6 mlnu. IIna 11) (121 ____..____'-,9_19.5..9_._62_ 13, Chorllabl. and Governm.nlal B.qu.." (Sch.dul. JI (131 ..,__,,__._______,_9_,OQ_ 14, Nol Value Sublecllo To, Ilino 12 ml"u.lln, 131 (14) ,_._noo____, '1.J~,9.~2_ 1~~-~m;:;-,.~,II.. -j'; -;-;,~~bl_;;~;.-;~;~-------'----(isi--:-.===9 ,_9>_9.!Q~~ ,O~-.:--::~=___=:::~_,_ 29J!?_~ (Includ. volu.. from Sch.dul. K or Sch.dul. M.I . 16, Amaunl of Iln. 14 lo,oblo 01 I~% 1010 1161 ,_0.00, )( ,15 = _,_,,_,___,___,__.....-__,Q,..QQ_, I'ndud. valu.. from Schodul. K or Sch.dula M,I 17, Prlncipollo, due (Add 10' Irom lino 15 and from lin. 16,1 I a. Croelltl Prior Pcrymollh Dllcounl .. U.OO + 0.00 0.00 o 00 ,,-,-_. --., -- ,,- ( 61 ( 71._ , 15 976.72 I 01 -,,__, ,,,.- ../....------- z o ~ ... ::I ~ o u ~ (17) - ~9.1~~, Ino";'80 (10) (191 . 0.00 .....-,.-...- ~---_._-- ,__ h()'!_o.O 19, II Ii", 10 h greoler Ihon llno 17, .nlnr 110. c1illeronee on IIn. 19, Thl.l. lion OVERPAYMENT. mil 20, 111111.171. glnolnr Ihon IIno 10. onlor Iho dlll...n" an linn 20, Thh I"h. TAX DUE, A. E/ltnr tho InlerOll on the bolflnce duo on line 20A. CJuJCk luno if you nro requoltlnu CJ rufund of ypur 'over H1vm~lIt. 597.50, .. hD.OO 597..50. (20) . (20AI 12001 . B, Enlor Iho 10101 olllno 20 and 20A on II no 20B, Thl. i1lh. BALANCE DUE, .... __ . Mako ChICk Payobl. 'oIR.~II'.r_of Willi, Agont .. . . '" -------------.---.--..-liiSuliHoANsweRALL QUESTiONS-ON REveRS! SIDI AND TO RIC~IClC MATH... Unci~.,.j-,__;~~Iitjn~- 0; jlnr"jur y, I' duciorn' il~l1l- j ilflvo fI~o~il1,.d 'ihi,' r~i;;;'n, inci,;;iinp O((ompo"yinU .-al~~jullll u~d- ii'Cl'i~~~';,,,~M ~;;-crio-,i;~'h;;I~~~yrn'o~i;iig';71-;;d 1~ii~f; it II IW[I, cort8el nnd (nrllpl'lln. I chJdnrn Illfll (III 'I'ul n'lntflll(l~ bnon rnporloc ullrUD mnr~ol VOlllll. Ooclnrul1on of prernrer oll,nr Ihnn the perton"1 rllp'lIulnlall..,e II b01(1 on olllnfo,rnaliCI/I 01 which fl/"IIU,M 11111 tiny ~nnwlndUn lid-;.(iR!0Ih,-,U "SlOI;iO'i1i.'"';;J"flLi'7. Ai.'O.".\i;;llj, llogontO\'.lri noaci ...' il;.W-'.. . I . /)//. ." Iloolw.nj,oob\U'G, PJ\, 1705:-. 1Y-/5- rl !I , 7'~'f! 0'1\' 1Y! l'Am1. M'["!l1 Harke I; S'lUe.l'8 Bldg. . '. b;.I(I-,- , ,,-, " ",,- P'w.I[k:i#",,,-_ . Hoohl,1,rdosburG,PA TI0,!)5.. .1-./.,;; :'1;1-