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PILI NUMln
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9~Q INHERITANCE TAX RETURN
't\~.;,t' RESIDENT DECEDENT
COMMONW\A'''' 01 """IItVA,,'A (TO B~ fiLED IN DUPLICATE
DI'AI MINI 01 "IVIf4'J1 WI LSI
HA:.~~~~:i:.cl.'?:,~!Vm WITH REGISTER Of L... ~()U.N'.~_~9.0L_
mTlirmTijAMTiiAlrJillT:A,Hi "'ul>il nm'Al1 -.... ..n> ulmml'HoM/illTADOIIll
IIEFFELIIOWEIl ALJlIlEII II, 2275 Rltncr Highway
. Cllrl1ulc, I'A 17103
Il'A" (".,"" .
01-01..1909 CUMBERLAND
('0\11111._ .__._.______
Q
,38"/
94 SJ
YEAR NUM9ER
[J 3. R.malnder R,'urn
(10' dOI...ol d.olh prlo, '0 12.13.B2)
i 1.0 'ululO In'.IO" CompoomllO [J 5. F.derol E"o', To.
(hll d",.. of d.u,h oller 12.12.82) R,'urn R.qulred
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_. ..._._JAII"'''- "'1'1.01 Will) ._ _ .... ..... (A"od, ,opr 01 T".''I.__________
All CORRESPONDENCE AND CONfiDENTIAL TAM INFOMMATION IHOUlD II DIRECTED TO,
N',II' . ._n. ,,_0-.. --......-.. .. .0-_' -- rOMrll1T'M.iljjj~limr
IRWIN, IRWIN. , HC lHlGIlT 60 WEST POKFRET STREET
HlIUIlf,' tlU,,1U ------ CARLISLE. PA 17013
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(8) __85,728.58
D~~ounl
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19. II Itn. 18 h 0""'" ,hUll lin. 17, In'.. th. diK"ence on lin. 19. Thl." th. OVERPAYMENT.
al
20. II I,n. 17 h ore"',, Ih"n lin. 18, In'" ,h. dill."nce an II no 20, Thl, I, th. TAX DUE.
A Inl.. ,h. Inl....' on ,h. Imlnnll due on IIn. 20A,
. Int" tit. ,,,,,,1 "II,n. 20 nnd 20A on IIn. 208. \'hl. " th.IAIANCE DUE,
Mah. Ch..h Payabl. 'I' M'II.ter ., Wllh, A,.n'
L . ~.~ :=:~:_. ." .. IE lURE Tn ANIWlfAii:QUli,iONi-ON REVEUIIIDIAND TO RICHECKMATH.. ,
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bit h tru., CO"UI and 11II'"111.1. I d,d'lf' Ihul all IIal "Inl, hOI bltn "porlld allrul morh' valu.. O.c1aratlon of pr.par., olh., than ,hI ptnonol rept.14nlall't't II
o..d on alllnl'IFmllllnn at whitt, fH'flllll' hut any ~nowl.d".
liON"WI( 01 ".11('" l"'n~'I' II In. ,,,,,,f. 1111I1" ',IMill\l--' DAIl
R. -Ill :/,' ")Jllrll'f>/I11 It/ 2275 Hltnur lIighway, Carlisle, I'A 17013 04-25-94
li!llfnlfrf' ",'li'l ~'II .,;,cfll/lllIllt"IVl . ..-- Amm--- DAIl
J~:A..~~.JlIL~/HhJ,.;~I.).'W"~\ l'III~.'Jk~.~-wur~ 5'1'1I........ r.nmll.... 1>.A un!)
171.-05-2962
~ I. Original R.'a,n
[14 limll.d E.,,,,,
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1249 - 2.35,1
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I. R.ollllnl. (Sch.dul. AI ( 11.-
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3. Clollly H.ld SlocklPo,'ner,I,ip In'er..'ISch.dul. q (31..
4. Marlgog" alld No'" R".I,ohl'ISch.dul. D) ( .,. .. .___ n_______.._
127.20
~. Calh. eonh D.po,It, & MIt<.lIoneou, PI"onal P'operly( 5). . ......_________
(Sch.dul. [)
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7, T,on".IIISch.dul. OIISch.dul. I)
8. Tolol 0'011 A"." (lolollinOl 1.7'
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II. 10101 O.ducl",n. (lo,,,llin.. 9 & 101
12. N., Vol" 01 l,'ol. II,n. 8 mlnUl lin. III
13, Charilohl. and O",ernm.nlolleqa'IlI ISch.dul, JI
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15. Amounl 01 lin. 14 lo,ohl. o'61i. 10" (15) _.__7.i..l!&.55
(Indud. ,nlaOl /r"m S,h.dul. M or S,h.dul. M,I
16. Amnunl of lin. 14 'o,ohl. ", 15% '01.
(Indud. ,,,'u.. I,"m S,her'al. K 01 Sch.dul. M I
17. P,'n.lp"IIC" da'l^"" I", I,,,m Iin. 15 "nd 110m line 16.1
16, (,.dlu P,lor Pnym'nlt
(171
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IC .15 II
Inl.,.1I
Ch ( t,.,. I (JU"If '.llu..luIU lilt unci 01 you, o\lfl'pnvmenl
(18)
(191
(201
(20")
(20B)
10,388.03
75,340.55
75,340.55
4,520.43
4.520.43
226.02
4,294.41
4,2~I,l
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. ' COMMONWlAlTH 0' "NNS'fWAHt4
INHUllANCf tAX IrtUI;N
IUIOIN! OICIOIN!
SCHEDULE "F"
JOINTLY.OWNED PROPERTY
ALFRED H. IIEFFLEBOWER
FlU NUMBER
21..,94
ESTATE OF
Joint I.nan'l')'
NAMI
A. Gary L. Heffelbower
ADDRESS
2275 Ritner Highway
Carlisle, PA 17013
RELA110NSHI~ TO DECEDENT
Son
..Betty L. Heffelbower
2275 Ritner Highway
Carlisle, PA 17013
Daughter
c.
Jolntlv..wn.t1 preportyl
ITIM I LmlM DATE DESCRIPTION OF 'MOPUTY TOTAL VALUE DleD'1 DOLLAR YALUI 0'
NUMB' JOINT MADE OF ASm ~INT. DleEDINT'1 INTEREST
TENANT JOINT
1. A 966-197 Bonds (all attached) 34,968.69 50% 17,484.35
2. B Mellon Bank
5-20-91 182-452601 933.63 50% 466.82
4-04-80 180-410548 10,006.89 11% 5,003.45
5-17-91 18-A63540C 6,003.14 11% 3,001.57
2-08-91 1110-A48570C 5,007.39 11~ 2.503.70
4-07-90 180-895958C 5,006.59 11% 2,503.30
8-03-90 18-091845C 5,007.97 11% 2,503.99
3. B 7-13-87 IDS 20,535.26 50% 10,267.63
4. B 1-03-92 Harris Savings Bank
Acct 17-56-229143 5,233.14 50% 2,616.57
5. B 2-22-80 Rcal Estatc 78,500.00 39,250.00
2275 Ritncr Highway
Carlisle, PA l7013
Deed Book 29-H, Page 279
West Pennsboro Township
.
10TAl (Allo IMer.. IIno 6. hcopllulotlonl I S 85,601. 38
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COMMONWI.l1H 01 P1NNIYL,.W.
INHUn.NCll., !I1UIN
1I1lDlNI DICIDINI
1 SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
- -
~-
PI.a.. Pllnt 01 Typ.
IfillUMllR
L- 21-94
iSlA'" Of
ALFRED H. HEFFELBOWER
DESCRIPTION
ITEM
NUMBER
A. Funeral bpen,'"
1.
I.
1.
2,
3,
. A.
C.
1.
2.
3.
4,
5.
6.
7.
Wayne Noss ~110wers"".."""""""""""""'" t , , . . . , , . . , .
Ewing Brothers Funeral Home,.,....",""""'" t , , . . . , , , . . , , , , . .
Cumberland Vallcy Memorial Gardens, gravc opening",.....,......
Cumberland Valley Memorial Gardcns, Incription.",..............
Luncheon. , . . , , , . , . , . . , . , , , , . . . , t . , . , . . . .... . . . . . . . , . I . t . , , . . . . . . .
Thank you notes and stamps.......,............. ............,~ ....
Bronze Plate, Cumberland Valley Mcmorial Gardens.................
Admlnl,',allve Ca,','
Perianal Reprelentatlve Commllllanl
Social Security Number 01 Perianal Reprelentatlvel
Veor Commllllanl paid
Attorney f... Irwin. Irwin & McKnight...... t . . . . . ... . t . . . . . . . . . . . . . .
Family EKtlnptlan
Claimant Bctty L. ll~ff1ebower Relatlonlhlp
Add"lI 01 Claimant at decedent'l death
Street Add"lI 2275 Ritner Highway
Carlisle
Daughter
Zip Code
17013
City
Stat. P A
Prabote Feel
Mllcellaneou. bpen...'
Register of WillSt Filing Fee..... ......... .......,........ .....,
Steven W. Barrett Real Estate. Appraisal Fee...,..........,......
Charles McCull~. OVersee~for Funeral...................,.......
Clothes donated to Goodwill..,.............................,.....
Long distance phone calls.,., ""'" .......... .........".,.......
Patricia A. Rosendale, Fiduciary Return.,.... ................ ....
Patricia A. Roaendale, 1994 Tax Preparation Fee".,..............
TOTAL (Alia enter on line 9. Recapitulation)
I" ..... ...... It _4.4, ",,,It e441t'-I,,,"', el ..... ~"I
AMOUNT
125.08
4,224.00
500.00
60.00
30.00
20.00
346.75
4,300.00
127.20
25.00
250.00
65.00
20.00
50.00
80.00
50.00
S 10,273.03
REV,UII EX> I/,Ul
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COMMONWEAL TH OF PENNSVL VANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
~STATE OF
SCHEDULE "I"
DEBTS OF DECEDENT,
MORTGAGE LIABIUTIES, AND LIENS
ALFRED H. HEFFELBOWER'
FILE NUMBER
1
21-94
ITEM
NUMBER
-
-r-
DESCRIPTION
-
1.
Big Spring United Methodist Church;.............................
1
AMOUNT
2.
Walnut Bottom Radiology......... .......:.............~..........
15.00 .
3.
Carlisle Imaging Associates.....................................
31. 44
4.
Carlisle Imaging Associates........,.......".........~...........
63.44
5.12
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TOTAL lAllo Inter on Iln, 10, RICIPltulltlon)
.
115.00
,';;1 ..Cf'1 -38/
Inventory of the real and personal estate of
'.
ALFRED H, HEFELLa~
_ deceased
-
1. Real Estste- 2275 Ritner Highway, Carlisle. PA 17013, West I'ennsboro
Township, deeded jointly with the decedent and hie daughter, Betty L.
Heffelbower,date of death appraisal $78,500,00 ~ 2
Deed Book 29-H, Page 229...... 11.1. f I"" II.... t... It'...... t.............,... 39,250 00
2. Bonds - Titl~d Alfred H. Heffelbower or Gary L. Heffelbower. Total date
of death value $34,968.69 ~ 2 (see fttBched).................................. 17,484 35
3. Mellon Bank - All accounts title-jointly with the decedent and his daughter,
Betty L. Heffelbower
TYPEI OPENED DATE OF DEATH VALUE
--
Checking 182-452601 5-20-91 933.63 ~ 2 466 82
Savings 180-410548 4-4-80 10,006.89 ~ 2 5,003 45
CD 18-A63540C 5-17-91 6,003.14 ~ 2 3,001 57
CD 180-Ail8570C 2-8-91 5,007.39 ~ 2 2,503 70
CD 180-095958C 4-7-90 5,006.59 ~ 2 2,503 30
CD 18--091845C 8-3-90 5,007.97 ~ 2 2,503 99
4. IDS - Financial Services
Account 0105 3870 6390 title-jointly with the decedent and his daughter,
Betty L. Heffelbower, total value 9.690 per share X 2,109.621 . 20,442.23
plus 93.03 accrued intereat total value. 20,535.26 t 2....................... 10,267 63
5. Capital Blue &. PA Blue Shield - premium refund................................ 127 20
6. Harris Savings Bank
Account #17-56-229143 opened 11-03-92 title-jointly with the decedent
and his daughter, Betty L. Heffelbower, date of death value 5,233.14 T 2 2,616 57
85,728 58
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REV.l!l47 EX AFP 110.93* I
CO"MOHWEAl HI Of PEHHSVl VAHIA ACN 1 01
OEP'RT'E'l OF REYE'UE I NOTICE OF INHERITANC~ TAX
IUIlEAU OF l'Olutou" lUeS ~ APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
~~:~is;~~~~1 P' 17126-0601 OF DEDUCTIONS, AND ASSESSMENT OF TAX DATE 10 -11- 94
!MfE OF HEmm'Wrr===Arr "=if -- - FILE NO. =WO~81
DAT! OF DEATH 01-24-94 COUNl'Y CUMBERLAND
NOTE I TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT TNE UPPER PORTION OF THI~ FORM WITN YOUR TAX
PAYMENT TO THE REGISTER OF WiLLS. MAKE CHECX PAYABLE TO "REGISTER OF WILLS, AGENT"
REMIT PAYMENT TOI
-
.IRWIN ETAL
60 WEST PDMFRET
CARLISLE
STREET
PA 17013
REGISTER OF WILLS
CUMBERLAND CD COURT
CARLISLE, PA 17013
HOUSE
C _Aoount RloBtl.d
CUT ALOND THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ..
iiIV': i 54"7 " iif" Ai: p.. i lo":m"" NOi'" i lii" "OF ""iN'H!ii if A'N"CE" i' AX" iilipilA i S EHiiii' ~ " "A L r OWANCi" o"Ii""""""".""""".."-
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF HEFFLEBOWER ALFRED H FILE ND. 21 94"0381 ACN 101 DATE 10-lI-94
TAX RETURN WAS, ( X) ACCEPTED AS FILED
I I CHANGED
I"'
RESERVATION CONCERNIND FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN
1. R.II E.hh ISoh.dull AI 1\1
2. stookl Ind Bond. ISohldul1 B) 12)
S. Clollly Hlld Stock/Plrtnlr.hlp Intlrl.t (Sohldoll C) (5)
4, Mortglgl./Notl. Rloll.lbll ISch.dul. D) (4)
S. CI.h/Blnk DlpO.lt./Mllc. Plrlonol Proporty (Schodulo E) (5)
b. JOintly Ownld Proporty (Schoduh F) (bl
7. Trln.flrl (Schodulo 0) (7)
B. Toto! Allole
,00
,00
,00
,00
127,7.0
85.60l.38
.00
IB)
85,728.58
APPROVED DEDUCTIONS AND EXEMPTIONSI
9. Funoro! E,plnu./AdnlnhtrIHuo Cc.I.1
MI.oollonoou. E.pon.o. (Sohodulo H) (9)
10. Dlble/Mortgogo L10blll HoelL Ion. (Schodulo Il llD)
11. Toh1 DoduoHon.
12, Not Voluo a' To. Roturn
IS, Chorlhblo/GoYlrnnonlol Blquoeh (Sahldulo J)
14. N.t Vlluo of E.loh Subj.ot to TI.
10,273.03.
lI5.00
(Il)
112)
lIS)
(14)
10,388,03
75,340.55
,00
75,340,55
11 an allellment wal ilBUBd previoully. linel
reflect figures thst include the total of ALL
ASSESSMENT OF TAX:
IS, Anount of Llno 14 t..obll ot b% rltl
Ib, Alount of Llnl 14 to,"bl" ot 15% rlt.
17, Prlnolpol To. Du.
TAX CREDITS I
PAYMENT
DATE
NOTE I
14, 15 and/or 16 and 17 will
returnl aSlellld to date.
llS)
llb)
75.340.55 H,Db'
,OOK,IS'
117)
4,520.43
.no
4,520.43
RECEIPT
NUMBER
DISCOUNT (+)
INTEREST (.)
AMOUNT PAID
04-23-94
8R5996
226.02
4,294.41
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
4,520.43
.00
,00
,00
, IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTER~ST.
IF TOTAL DUE IS LESS THAN H, 110 PAYMENT IS REQUIRED,
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI, YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
RESERYATlONI
PURPOSE OF
HOTlCE'
PAVIlEHT,
REFUHO (CR),
OIJECTlOHS I
'O"IH
ISTRATIYE
CORRECTlOHS,
DlSCOUHT ,
I"TEREST,
"
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E.I.I" 01 dlo.d.nl. ",Ing .n or blf.re Ooc..b" 12. 1982 -. II .nv lUIure Inl.re.I In Ihl ..1.1. II lren.llrrld
In po.....lon or Inj.v..nl 10 CI... I (0011.1".1) blnlfl.I"I.. 01 Ih. doc.d.nt .H" Ihl ",plr.U.n 01 or,v ..1.1. for
III. or lor v..r.. th. Co..onwl.lth hlr.bv ."rl..IV r...ru.' th. rlghl 10 .ppr.I.1 .nd ...... tr.n.f.r Inhlrll.no. T.'.'
.1 Ih. l.wM CI... I (.011.1"011 r.t. on .nv .uch lotul. Inl""!. .
T. folllll thl r.oulr.,"nt. 01 s.otl.n 2140 of th. Inhlrll.n.1 .nd E.I.t. To' A.I, Aol 22 .f 1991. 72 P.S,
SlcUon 2\40.
O'I.oh Iho to, ,.rUon of Ihle Hollo. .nd .ubol' wllh v.or ,,,..nl to th. Rul.l" 01 Will. prlnlld .n Ihl re.ern .Idl.
..f4.k' chick or lon.v ord.r p.v.bl~ tOI REGISTER OF MILLS, #oOEHT
'II ,.v..nt. r...luld .hlll Ilr.1 b. .pp11.d ,. .nv Inl.r..1 which ..v b. dUI wllh .nv r...lndlr ."II.d 10 Ihl t...
, relund .f . I.. oredll, ,hloh ,.. not reou"lld on thl ,.. R.tu,n. nv bl r.ou..lcd bv co.,I.tlng .n "Appll..Uon
lor Rlfund of Plnn"I..nl. Inherlllnoo .nd E.I.lI T.... (REV-13)!). ,,'llcoU.n..re ..oll.bl. .t th.Olll..
of thl R.gi.t.r of WIlli, any of thl 25 R,y,nuI Olltrlct Offlc." or by calling thl ,plcla' 24.hour
.n","rlng .Ir.lo. nu.b.r. for lor" ord.rlng, In Plnn.vlu.nl. 1..00'36/-/0S., .uI.ldl p.nn.vl..nl. .nd
wlthl" 10cll tlarrhbUrg Ir.. (717) 161-6094. TOOl (lI7) 772-2252 (HI.ring IIp.lr.d OnlY)'
Anv ,.rtv In In,,,..t not ..U.fl.d wllh tho ."r.I....nl, .Ilo,.nca .r dl..II...n.. 01 d.du.tlon., or ........nl
of I.' (In.lodlng discount or Inl.r..l) II .h.,n on thl. ..11" .u.t .bJ..t ,Ithln .I,W (601 d.v' of recII,1 01
thll HoUe. bYI
OR
..wrltt.n 11ro\ll' to thl PA nlpart.,nt of R.v.nuI, Boerd of APP..1t, DEPT. 211021, Hllrrllburll, PA
...\.otlon to hili' thl ..tt.r d.t.r.ln.d at ludlt of thl account of thl plr.cnal r,pr...ntl""'"
..apPI11 to thl Orphan,' Cuyrt,
11121-1021.
OR
Factual Irror. dlsoov.rld on this "'......nt .hould b. addr....d In writing tOI PA Dlpart..nt of RIYlnu"
lur..u of Indlvldu.1 To,... ATTH' Po.1 '.......nt R..I.. Unll, DEPT. z00601, IIml.bure. PA 11128-0601
phon' (711) 787'610S. 5.. pig. 3 of Ih. b.okl.1 "In.lruoll.n. for Inh.rll.n,. T.. R.lurn for 0 RI.ld.nl
D.cldlnt" (RE~.1501) fdr an Ixplanatlon of ad.lnl,tratlY.lY corrletabll Irror"
If .nv h' dUI I. paid within thr.. m ,.und" .onth. .ft" the doc.d.nt', d..lh. · "" ,,,..nt (SX) dho.unl 01
\hl tax paid 1. Illowld,
Inllr..t I. ch.rgld b.glnnln. ,llh flr.I dlV .f d.llnoulnoV. or nln. (91 .onlh. .nd on. (II d.v fro. Ihl d.11 .f
d..th, to thl d.11 .f p"..nl. T.." ,hlch b.o.," dlllnoulnl b.,oro J.nu." I. 1912 b..r Int"II' .t Ihl ret. of
.1. (6Xl ,.ro.nt p.r .nnu. ..Icul.t.u .t I dillY r.l. .f .000164. 'lit.... ,hlch b.Oo" d.llnou.nl .n ond .fl.r
J.nu.rv 1. 1912 ,III bl.r In,,,..1 .1 . ,.to which ,III u.rv fr.. "I.nd" yur to "I.nd.r v..r ,lth Ih.1 rell
announcld by thl PA DIPart.lnt of RIy.nuI, Thl appllclbll Intlrl.t ratl' for 1982 through 1994 Irll
Vllr tntlr..t RaU U,.Uy tnt.rut Flotor ~ tntlrut Rltl CallY tntlrut Flnter
-
1912 20X .000S41 1916 lOX .000274
1913 16X .000438 1987 9;: .000247
191~ lIX .000101 1911-1991 1IX .000301
1915 13X .000316 1992 9;: .aaOZ47
1993-1994 IX .000192
..tnt.rut Is ollculatld .. folloWII
INTEREST . SALANCE OF TAX UNPAID X NUKSER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
.'Anv Hall'. II.uld .fl.r thl t., b.o.... d.llnoulnl .111 rlfl.,t .n Inl"'"" ollcollllon 10 flft..n (15) d.y.
blyond thl dlt. of thl ........nt, If pay..nt I. ~Id. aft.r the Int.r..t co.put.tlon d.t. .hown on th_
Notlo., additional lnt.r"t .u.t bl calculat.d,