HomeMy WebLinkAbout94-00300
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1!V.1500IX> 111.911 1-/ " .,!(.'/. . :/ 'OUIAIUO'OIAIHAnlR 12/31191 CHICKHlnl
, . H ~ INHERITANCE TAX RETURN ~o~:=~y mon II CLAIMIO [J
~<I(;";!' RESIDENT DECEDENT iiii Nii/,iiii----------..----.d ..
COMMONWfAWIOIffNNlllVANIA (TO BE FILED IN DUPLICATE 0/ 1,/ ..Joe)
olmb~WWJ~\V'NU' WITH REGISTER OF WILLS) cO'u""N1Y CODE f
llARRIIIURO, fA 11121.0601 YEAR
milmrrfjnlrffffi~ljni~ANri1.110Dli INIlIAlr "ii"CfDIN"I'C~mtnuomr
I COOK, Carde E. I Roul:hpoint: Ilrivo
10<:1.1 !!CIII'IY HlJM!!! no. u.. "--'IOAf! 61 bum -"Ibm 01 Ilim ---. Mac han ic s bu rg, I' ^ I 7 () 5 5
204-03-2906 12/30/93 02/25/05 Cumberland
__~~ __+_ __. _ _ ___ _ ~ ___ u_______ _.__ _. __ _ ~~ ______ ~v_n'l____._ _____ ________ ~_ _ _ . _ ___n_._ ______
~ X"l1. O"g'nal Relum I 1 2, Supplemenlal Relum (.13, Remainder Relu,n
:!i~ Ifo, dalOl of clea'h prior '012.13.821
~f U 4, lImlled Ellale [140, Fulure InlerOlI Comp,amllO (.15. red era I E,'ole laK
02 Ifor do'OI of dealh aft" 12.12.821 Rolum Requlrod
2:;1 X!I 6. Docedonl Died 10110le L.I 7. Dmden' Molnlolned a lI'lng l,ull .9_ 8. 10101 Number of Safe Depolil80KOI
_.3...-._ _~~uch capr of W'!!L___.____~?'-~.l'y. of l,u.l) .
ALL CORRUPONDINCI AND CONfiDeNTIAL TAX INFORMATION SHOULD BI DIRICTlD TO.
mm- =r'mfl');11JrnRlA51iffiT
J^MES D. BOG^R, ESQUlIlE 5 West Main street
mmR5NlTlUi,im'----" Shiremanst:own, I'^ 17011
717..J 737.8761
.'.. - 0('1
1. Real E,'ole ISchedule AI ( 1) "_.mnn~"'___'~___ (~ .
2. Slack! and 8and'ISch.dule BI ( 21..._.._........._.__
3, ClolOly Held SlockIPa"nOllhlp Inl.rOlI ISchedule C) I 3) ..__._____....__..._.___
4, Marlgogo. and NalOl Rocel,able ISchedule D) ( 4) .______.....~_.____
5. Ca.h, Bank Depo.lt. & Mllcellaneou. Pe..onal Properly( 51 ~_.
ISchedule EI
6. Jolnlly Owned Proper'y (Schedule F) ( 61_~.Q.L.5..~1. 3~_.
'l~ . ' " .,
7, T .anlfOll ISchedulo GI (Schedul. II ,( 7) ._-~-----....---- . , B 0 , 55 1 . 39
B, 10101 G'OIl AIIOI. l'ololllnOl 1.71 ( 8) _____..__..
9. Funeral EKpe"OI. Admlnltlrall" Co.lI, Mlteellaneou. I 91 __~.:!.O 6 -2.~___
EKpenlOt ISchedule HI
10, O.bll, MorloagolloblllllOl, lie" ISchedulel) (10) _~!.~ .58
11. 10'01 D.ducllon. (lolalllnOl 9 & 101
12, Nel Valuo 0' E,'ale (line 8 mlnulllne 11)
13. Charlloble and Governmenlal 8equo", (Schedule JI
14. Nel Value S~l1e.5!_'~!<'.,,-llIn. 12 mlnu.line 131
15. Amounl of line 14 laKable a' 6% role
(Include valuOl from Schedule K 0' Schedule M.)
16. Amounl of line 14 10Kable 01 15% role
(Includ. valuOl from Schedule K or Schedule M.I
17. PrlnclpollaK due (Add laK from lin. 15 and 'ram line 16.1
1 B, Credltl Spou.ol Po,.rly Credit Prior Poronl. Olteoun' InlerOlI
,._..._____ + .1l..!Q_~.57L.5.~.~.'.~! ..___________ {181 ...}..1.!~2~~~__
19. If lin. 18 I. g,oal.r Ihan line 17, enler Ihe difference on line 19. Ihlt It Ihe OVERPAYMENT. {191 .n_....___..._~___._.. ...
-[]
I<lII .0-
20. If line 17 It grealer Ihan line lA, enler Iho dlff...nce on line 20. Thl.l.the TAX DUE. 1201 .._.___._...____~
A. Enler Ihe Inler..' on Ihe bolance due an line 20A, (2M) _._._......
B Enler Ihe 'alai of line 20 ond 20A on line 20B. Ihl.I.,he BALANCE DUE. 12081 .__._.-=-0.0... ....n......
Make Chock Pava~le to. R,gl",r of Will., Aq~n'. ._..__.___.__.___.._
...... 8E SURI TO ANSWIR ALL QUESTIONS ONAEVEiisl SiDe ANDTo.iiecHEcKMATH..----------.
-.----~..__.- -.--- ----.-----:---r
Under penchl.. of perlury, I declare thai I have exomlned lhlt r.lurn, lntludlng accompanying IChedules and Ilatemenll, and 10 lh" bell of my ~,..owledge and beliefj
1I1,'"e, corlOC' end compl,'e. I declore thol 011 reol ..'ale hn. b..n IOpol". "I.'ju, m~lk., ,.Iue" D1\'.,allon of prepn'.. olher Ihon Ihe pe..onol rep,..enlall" It
bated on alllnlotmallon of which preper" hat any knowledge. ~ it C K . e t.. II DC' reI.
!iOTlAmlf~mli1OTl,mrotHim lP~'fj(lfjo UlUifj--.Aiiiii!!!---.25..WOH t:'-M iirE} t1-sF:.----. d____ om---'-'
'-d/t.(~ .t; t <'I...,.' Meclwn.i.csburg, I'^ 17055 3/29/94
!iIDlAfU~r9"hmm Ol~!nn.iflipm!fjfAy,'if._.~nAiiii~mn... ...--_..... -....... .-------..-.. ...-- iim...---..-........
, . Ii v1...'!"'1."~4.{v 5 West: Milin Rt:. 3/29/94
-J^~S"D. .11bP:R-;--I~SQiJni8-.--..-sfl[rol1ii.iiis towii';-ji^--nOn-~-'" .---... .....
115
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v2
NUMRER
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I.
.
z
o
5
E
~
..
, .
2,821.08
(11) ~__.__._.._.__._
(12) -1l.n.9...IL__
(131 ___......:Q.:.____..__.
J141 ... 77, 730 '.?~ . n.
{151. M .06"
(161_....J.J..!_..730 ..3..!...._.M .15"
11,659.55
z
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8
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{171 ..._._.____________...
~1"~""llI'''',W
COMMONWIAUH 0' "NNIYlVANIA
INlllRIlANCE lAX RIlU~N
RIlIDINT DICIDINT
UTAno. C i
arr e E. Cook
SCHEDULE F 1
JOINTLY-OWNED PROPERTY
-=--.- fiiu NuMeIR---------
_____ _I '_..._'__"_ h.____....__
Jeln' ',nan'(lh
NAME
A. Jackie E. lIoerner
___~~DR.ES'-__
25 West: Marble street
Mechanicsburg, P^ 17055
_.-, "
_-!IJ.~T10NSHIP TO.DIC.~I:l~~J_...
Nephew
8, Nancy A. Walter
8 Southpolnt Drive
Mechanicsburg, PA 17055
Niece
C.
Jolntlv-own,d prop.,tVI
,I
0-
ITIM LlTTlR DATI
FOR TOTAL VALUe DECO'S DOLLA
NUMBIR JOINT MADE DESCRIPTION O' PRopeR IV
THNANT JOINT O. ASlIT % INT. DeceDIN
1. B 3/10/9 lIarrIBsllvlngs BBrlk-
Checking Account
No. 18-00006850
Date of Death balance
including intr.
$41,504.07 $41,504.07 1/2 $20,7
2. A 4/06/9 lIarris Savings Bank
Cert. of Deposit
No. 18.66-222072
Date of Death balance
including intr.
$50,244.32 50,244.32 1/2 25,1
3. B 0/25/9 PNC Bank - US Govern-
ment Fund Acct. No.
22796770
Date of D~at:h Market
Value $34,677.19 34,677.19 100 34,6
- l..-_ --.~..-
TOTAL (Aha enter an line 6, Rocapitulallanl S 80,5
R VALUE OF
T'S INTlRIST
52.04
22.16
77.19
51.39
(/llI1ore .paco i. needed inl.,! addillana' .h.." 0/ lome lIu)
-.,l.i,',\ ",I) 'I' i;' .Ii
IUHARRIS"
01 SAVINGS BANK
IInnl- Snl'ill"' (II'I'nlllllll" l'1'lItl't
ll:m Nnrlh I~lh Sln'I'1
1.('I1II1I'III!, 1'1'1111"1'11'1111111 \711,1:1
71717:11.1<1411
71717:1I.IIRr,!1 Fnx
folaroh 16, 1994
James D. Bogar
5 West Hain street
Shiremanstown, PA 17011'
"
'rho inror~llltion which you roqlloC1tcrl on the I\cccunt,(o) of
Deceased _ (!;or.inl S~ourity Humber 204~03~2906
Carrie E. Cook
) is liS tollo"n.
Account
Ownerllhi P
18~00006850 18-66-222072
-
Chocking 5 Yr. Cert.
--
3-10-92 4-6-92
$41,460.34 $50,000.00
-
43.73 244.32
41,504.07 50,244.32
Joint .loi nt
t.ccount Ilumber( 1\)
ClllSll ot ^ccount
till te Opened
Principal Da1ance
Accrued Intereot
Dslance nt
Dote of Death
,
\1
, I
.,
, .
I
I
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't
.
!leme of Joint
Owner. if nny
Dnte OwnnrshiJ1
WBS tstnblinhnd
Nancy A.
Wslter
Jack E.
Hoerner
3~10~92
4-6-92
-
. Additionnl Infor-
mation llel1"nnte~
-
Sincerely,
d~,~ 0/(;,.(...-
Gcetchen L. cale
Custcmer service Technician
lINe: \llIlIk. N..I,
l'~ Ii ( :illti,lI' 1'11..'
I:III11I'"ill,I',I!;111
pNClBANK
JAMES D. BOGAR, ATTY.
5 W. MAIN STREET
SHIREMANSTOWN, PA 17011
RE: CARRIE COOK
U . S. GOV. FUND
PER YOUR REQUEST. TilE JOINT ACCOUNT FOP. CARRIE E. COOK AND NANCY
WALTER HAS THE FOLLOWING ACCOUNT VALUE:
INCEPTION/$15,000 _ PURCHASED 10/25/93 @$10.13 PER SHARE/1460.75 SHARES
ADDITION/$20,005.77 _ PURCHASED 12/10/93 @$10.01 PER SIIARE/1998.576 SHARES
~S OF 12/30/93 _ TOTAL SHARES 3488.651 @$9.94 PER SHARE
MARKET VALUE $34,677.19
CURRENT DIVIDEND IS .058 CENTS PER SHARE PAYABLE MONTHLY.
IFI CAN BE OF FURTHER ASSISTENCE, PLEASE CALL ME'AT (717)7~0-9312.
SINCERELYj,/,--(
, 7')dl/
KAY KISllB"U~
SENIOR ACCT. EXECUTIVE
PROVEST SERVICES
@ PNC BANK
,.
-
LAST WILL A.O TISTA"IIT
II OARRIS 8. coor. , r..ident of CUlbert.nd Oount"
Penn.,hanh. beinS ot 'GURd and dhpo,.lna .ind, 1010r, and
Undult'andtnl. do ..kilt publhh and declare thh tQ be ., LAST IIU,L
..d THSTA"P.HT, horob, rovoklns an, and all HIlle end Codlcllo
prlYiou.l, .ade by .e,
I
I direct tllat ~, debt. and funefal e.p.na.. b. paid .e 800n
after I' dllllth all 11 practicable by I, EUcutor out of ., felidl"'lIr,
..tat" but not frolll an, lIuflh. fundi, denth benefits or insuranc.
proceede which are QUlflrwhe oJCcludeb1e or eu.pt froll "I 8r088
..tate for feder.l 'stat, ,aluatlon or tal purposol.
II
J direct that .11 estat., '"CC888100, l'SlC1, inheritance or
oth.r Lranftfor talos, howoyer designated that ahal1 beeo.. p",abl.
by runoo of II, death In roapect of all prop.rtl cUlllpr1lll1ng "1
afO'1 I.tate for death te. purposes, whnther or not 8uch property
pluu undor thia 1.AST WlI,L" ahall be pald b, Ill, Eur.utor Ollt or
1Il1 ruidulr, oetate, but not frolll an, 1lIl8etfl, funde, death benottt.
"
m, crol. .atate tor federal o~tate valultlon or ta. purpo'DB.
or lnaurance proceoda whlch are otherwlu ue1udable Dr elCo.pt frOI'll
III
t slve and boquelth III of 11I1 furnlturQ to Ill, ailter, AHHA L.
HOERNER, per ~tlrpe8.
"
IV ,
lJ,u'~.,~":'JT'-:-il.~""'~:
J.~
......-. --..' V
sha fInd bequoath the SlUt of TWO TIlOUSAHlJ ($2,000.00)
DOl/LARS to II, Breat-nleco, JII.L HII.I.P.R, per Ittrpes.
VI
All the rut, rUldue find re.ainder of ., propert,. vhethn
real or peraonal, wherover Iltuftto, tncludlns an7 proport, ovor
"
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II,htch I .., hue II pOller of" .ppotnhftnt, l ,he, dev1u, and
blqullth to I' nephe., JAC~IS S, BDSRNRR, per Itl.pee,
VII
I no"""te, conetltute Ind .ppolnt I' nephe., JAOllS B.
IiOSRNSR., to Sxocuto, 01 thh LAST HII,', , t. 'O"e' .lthout bond,
,.
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IN HITNS8S Hllf.RSDP, I, CARRIS' S, COD~, helO eot I' hand ...
,th'lio L~ST HII,', thh "J'" dn, of No;..bor, 19a9.
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j RIY-1547 IX AFP 110-93*
C~ALTH Of PEHHlYLVIHIA
DEPAIIIH!H1 Of REVl!1Ul
IUIIl!AU CI INIlIVIDUAL IAXEI
DEPI. 110m
1WllI1I1lJRO, PI 171l1-0m
ISTATE OF CODK ~ FILl NO.
DATI OF DEATH 1.2-30-93 CDUNTY CUMBERLAND
NOTE I TO INSURE PRD~ER CREDIT TO YOUR ACCOUNT, SUI"IT THE U~PER PORTION Of TIllS fDRH WITH YOUR TAX
~AV"EHT TO THE REOUTER Of WIllS. "AXE CHECK PAYAILE TO "REOISTER Of WILLS, AOEHT"
REMIT PAVMENT Tal
101
NOTICE O~ INHERITANCE TAX
A~~RAISE"EHT, ALLOWANCE DR DIIALLDlIAHCE
0' DeDUCTIONS, AND ASSESSHEHT Of TAX
ACN
DATE 07-25-94
JAMES D BOGAR ESQ
5 W MAIN ST
SHIREMANSTOWN PA 17011
REGISTER DF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
L _.~OlOUnt R..ltted ~
CUT ALONG THIS LINI .... RITAIN LOWER PORTION FOR YOUR RECORDS ....
iliV: i5ii'f" iiC APP"n 1i:93')" "iliifil3 nip-INHiiii;: AiiC'E" TAx" 'A"PPR'A"iiiiHEilr;"AL i:ciwiliiC'E"oli" ..........". - -"-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ISTATE OF COOK CARRIE E FILE NO. 21 94-0300 AtN 101 DATE 07'25-94
TAX RETURN WASI I X J ACCEPTED AS fiLED
RESIRVATIDN CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE DF RETURN BASED ONI ORIGINAL RETURN
I. Re.1 E.t.t. (Sohedul. Al III
2. stack. ~ land. (Schedul. II 121
S. Cla..1y Held Stook/P.rtnorlhip Int.rut CSohedula CI III
4. Hortgaga./Hote. Raeaivabla (Schedule 01 141_
S. Calhllank Dapalit.l"il~. Parlanal Prop.rty ISohedula E) 151
6. Jointly OWned Proparty (Sohedula fl 1'1
7. Tranlfarl ISchedula 01 (71
I. Tot.l A...t.
I CHANDED
-.
.00
.00
.00
.00
.00
80,551.39
.00
CII
80,551. 39
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. funer.1 Expane.I/Adainiltr.tiva Ca.t.1
Hilolllanoou. Expan.a. (Sohedula HI 191
10. Dobtl/HartOOll Liabilltl../Llan. ISchedul. II 1101
II. Total Doduotlan.
12. Hat Value of Tax R.turn
15. Cheritabll/Govarnooantol .....to CSchedula JI
14. Hat Value of E.tat. Subjaot to Tax
NOTII If.n ......M.nt w.. i..u.d pr.v1ou.ly, 11"..
r.fl.ct figur.. that includ. th. total of ALL
ASSESSMENT OF TAXI ---
IS. Aoount of Line 14 taxabl. .t 6% rata liS)
16. Aoount of Line 14 taxabl. at 15% rata (16)
17. Prinoipll T.x Duo
TAX CREDITS I
PAY"ENT RECEIPT DISCOUNT (+ I
DATE NU"IER INTEREST (. I
1.306.50
1.514.58
CUI
0.21
CUI _
(141
2,821.00
77,130,31
.00
77,130.31
14, 15 .nd/or 16 .nd 17 will
r.turn. .......d to dat..
.00 X.06 .
77 ,73.!:l!. X.IS .
C171
.00
11,659.55
l1,65.Lli
AHDUNT PAID
03-30-94
885902
582.98
11,076.57
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
11.659.55
,DO
,DO
,DO
. If PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST.
I If TOTAL DUE IS LESS THAN '1, NO ~AY"ENT IS REQUIRED.
If TOTAL DUE IS REfLECTED AS A "CREDIT" ICRI, YOU HAY IE DUE
A REfUND. SEE REVERSE SIDE Of THIS fOR" fOR INSTRUCTIONS.)
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RElERYAT1DNI e.tet.. of dlGedlnt. dVing on Dr blfar. DIollblr 11, 1~" .. If In~ future Int.r..t In the ..ta.. i. ',,"'flrred
. In po.....lon or enJoYtent toCl... . (00111'.r.l) beneflo!.,.'. of the dtoldlot .ft,r the IMplr,tlon of InY I.ttt. for
11'. or for V.lrt, the C~lth hlrlbv I.,r...lv r...rv.. thl right to IPPr..,. end ...... 'rln'f.r InherltlnGl l.~..
at thl l.wful CI,.. . (col1Itlrl.) rtt. on any .uch future Int.r..t.
P\.lIIPOSE Of
HOTlCIi' To fulflll tho ."",I._t. of hotlon 2140 of tho 1_.lleno. ... Elt.t. 'ax lot, lot ZZ of 1991. 12 P.I.
hotlon 2140.
PAYMENT 1 DetlCh thl top portion of thlt HoUo. end tubllt with your Plveent to thl "..liter of Willi printed on the rlVlr.. dde.
--...... ._ o. .oney o.do. p....,I. to, REGISTER OF MILLS, AOElIT
All PIYMOtt received nll f Int be eppllltd to MY l"tlrl.t which HY be duI with MY r..Jndlr .,UeeI to the tax.
REfUrCn (CA)1 A rtkRt of . tlX credit, which WI' not ,"""tld on thl 'ex Rlturn, ..y be rtqUt.tld by c_I,Unt In "AppUclt1on
for R.fund of PInn.vlvanla InhlrltlnG. Ind E.t.t. Tlx" (REV-ISIS). Applloltlon. Irl IYllllblQ It thl O'flcl
of thl R~I.t.r 0' Will., any of thl 2S R.vonue DI.trlot Offlc.., or by cll11ng thl .~I.l 24-hour
an.werlnt .lrvlcl nuIbIr. far for.. orderlngl In Penn.ylyanl, 1-800-562.:050, out.lde Penn.Ylvanll and
within 10C11 Harrl.burg .r.. (717) 787-1094, TOOl (717) 772-Z252 (Helrlng IlPllred Only).
OUCUOHSI Any perty In Interllt not 'Ithfled with thl IlPflrlh...,t, 'UOMII'lOI or dl..Uowencl of cNduGtlon., or .........,t
of tlX (lnoludlnt discount or Inter..t) .. .hown on thl. Hotlcl IYlt ObJlOt Mlthln IIJCtv (60) diy, of receipt of
'l1'l1l MoUel bYl
--written pro tilt to the PA o.,ertMnt of MIYIRUI, Board of Appel", DEPT. 211021, Hlrrhburll, PA 17121-1021, OR
--lllOtlon to hlvl thl ..ttar dlterllnect lit ItUdU of thl ICCOW1t of thl PluONll reprlllntlUYI, OR
--eppIIl to thl Orphlnl' Court.
ADltIH
IITAITlYE
C_CTlOHI,
IHltRl!IT,
Feotutl errart dhoovered on thh .........,t should be Iddru.td In writing tal PA DepertHnt of R.YInUI,
aur..... of Indlyldull TIX", AfTNI Pa.t A........,t Rlvlew lk\1t, DEPT. 280601, Hlrrhbura, PA 11121-0601
Phont (717) 781-6505, S.. Peel 5 of thl bOokllt "In.tructlan. far Inhlrlttnel TIM Rlturn for I R..ldent
Dtctdont" (REV-1501) 'or In IKPltnltlon of IdIlnl.trltlvllY carreatlbll Irrcr..
If InY tlX due II Plld within thrll (3) olhodtr IIOnth. .ftlr thl deolcttnt1. Onth, . flvl percent (SX) dltOCM1t of
thl tlM p.ld I. 111~ed.
Interllt II ohIrted betlmll"ll with f1rtt dly of dellnquenoy, or nlntl (9) ROnth. and OM (1) dly froe the det. of
delth, to thl detl 0' Plyaant. 'IXI. which bIG... delinquent blforl JlnUlry 1, 1912 bltr Int.rl.t It thl rlt. of
.he (6X) pera",t Plr annul Clloullted It I dillY tit. of .000164. AU tlXU which bee.. dtllnquent on end Ifter
Janutry 1, 19.1 Mill bI.r Int.r..t It I rlt. which will vlrv fr~ cllender YI.r ta cIltndlr Y.lr with thlt r.tl
InnOUnClId bv the PA o.p.rtaent of RlvlnUI. Th. appllcabll lntlr..t r.tl. for 19.2 throuth 1994 .r.,
DIICOUIlT.
'!!!!: Int"..t R.t. DailY Intlr..t Flator !!!! lnt.r..t A.t. DIllv Intlrl.t FlCltar
1982 20X .000.41 1916 10~ .000174
1911 "X . mOl 1961 9X .000141
19M IIX .DOOm 1981.1991 lU .000101
1911 UX .000156 1992 9X .DOOm
1995.1994 7X .000192
uInter..t II allcullted I. followlI
INTEREST . BALAMCE OF TAX UNPAID X NU"BER DF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any Notla. IlIutd 1ft" the tl)( bMMlI dlllnqu.nt wHI rlUlClt en Intlrllt o.lculltlon to flft"" US) dlv,
beyond thl dltl 0' thl .........,t. If PIYNnt It udI Ifter thl Int.rllt CNPUtltlon eMt. ,hewn on thl
Notlal, Iddltlonel Intlrult IUlt be ollcullted.
\