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R~V.1543 EX AFP (1.911*
CDHHDNWEAL TIt OF PENNSVLVANIA
DEPAR'MENT Of REVEH\If.
BUREAU Of INDIVIDUAL TAkES
OEPT. U0601
HARRISaURO, PA 17128-0601
/'1 )(If ill
INFORMATION NOTICE
AND
TAXPAYER RESPONSE
FILE NO.
ACN
DATE
n 1(_ II 0,')"
21- 7
93021991
05"13-93
ESTATE OF SNYDER
5,5, NO. 382-03-7533
DA1'E OF DEATH 03-05-93
COUNTY CUMBERLAND
TYPE OF ACCOUNT
~ SAVINGS
X CHECKING
TRUST
CERTIFICATE
REHIT PAVHENT AND FORHS TOI
REG1STER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CHLOE
CARLSON BETTY A
4 HOMESTEAD LN
CAMP HILL PA 17011
DAUPHIN DEPOSIT DK I T hu provldld tho n.partll.nt wHh thl Infor..tlon lhtid bllow which hll bun ulld In oalculatlng th,
pot.ntl,1 tu (fI,.. Th,lr roral'd, IndlcallJ that at thl doath of the IIhov. dlc.d.nt. YOU 111ft II Julnt awnlf/btnlflclary af thll account.
tf YOU f..l 'hll Inforllll110n I, Incarrlc.t, pha.. obtain wrltt.n corrlctlon froll thl financial In.tllutlon, IIttach u copy to 'hll for.
Ind rlturn It ta thl "bo",1 Idd"u. 'hll account II IIlCtlbl. In llOCiordanCI with thl Inhlr1tftnc. TalC Law. of th. COIl",onwlalth af PennlYlYanla.
Quutlona Jlr.1 b. an.....i..J bw .:r.lll.,,, (717) :-:H :IlZ7,
Oltl
E.toblhhld
REVERSE SIDE FOR
03-10-75
FILING AND PAYMENT INSTRUCTIONS
COMPLETE PART 1 BELOW
Aooount No. 0080411185
" " " SEE
^ooount Blhnol 1.056,42
Plrolnt To.lblo X 50 , 000
Anount Subjlot to To. 528,21
To. Rib X ,06
Potlntlol TI. nUl 31. 69
~~ TAXPAYER RESPONSE
[01 FAILUR! TO R!SPOND WILL R!8ULT IN AN OFFICIAL TAX ASSESSMENT BASID OM THIS NOTICI
A. 0 'hi IIbov. Infor..1Ion nnd IIIIC dUI h correct.
1. Vou lay chao.. to ,..tt pav..nt to thl RIgllhr af Wilh, with two copt.. of thlt noticI to abtaln
" dllcount or 81o'0ld Int"ut, or YOU lIay chick bOll "A" IInd retufn Ihls nollcl to thl Rlgllt.,. of
Will. end an offlnla1 a""llIlnt will bl I..u.d by thl PA DIPart'lnt af RIYlnul.
To Inlurl prop" credit to your llCCOll"t, two
(21 copl.. of thl. notlCI IlUlt IICCOIl(lany your
fllIy..nt to thl Rlgl,tlf of will.. Htlk, chick
plYllbh 101 "Rlglat" of Willi, Agtnt",
NOTEI If talC paYIl,nt, orl ~ad. within thr'l
131 1I0nth. of thl dlcrdlnl" dati of death,
you IIIlY d.duct a ~1. dlacount ~f tht tOIC dUI.
Any Inh.rltance talC dUI will blCo.. dlllnqulnt
nln. (9) ..onth. afUr the date of duth.
[CHECK ]
ONE
BLOCK
- ONLY
B. 0 The l'lbOVI IlUlt hu bUll or ~111 bl r.ported llnd talC paid with the Plnnlvlvenla Inherltlnc. TalC r1turn
to bl fllud by thl dteldent's rIPre'lnlatlvl.
C. FZI The ahoy. In'orntlon IHncorrtct tlnd/or debts and dlductlon. were paid by YOU.
P You IIUlt cOIlPlttt PA"T ~Ill/ld/or PART 0 bilow,
If you indjc.~1 I different t.~ rate, pl...1 Rt.t. ~our
rllktlonlhip to dlCldlnt,
OFFICIAL USE ONLY 0 AAF
PA DEPARTMENT OF REVENUE
PART
[3:1
TAX RETURN . COMPUTATION
LINE I, Oltl E.tlbll.hld
2. Account Bl11nOl
5. Plrclnt T.x.bl~
4, Anount Subjlot to To.
S. Olbh and O.ductions
6. Aftount Tlxable
7, To. Rltl
a. hI( DUI
TA~ ON .IOTNT ITRI.l9T ArCOUNT!'l
PAD
1
2
3
4
5
6
1
8
DEBTS AND DEDUCTIONS CLAIMED
~)~ )
.1
.'f,
OF
I
2_
3 X
4_
5
/0
7 X
8
PART
[!]
DATE
PAID
PAYEE
OESCRIPTION
AMOUNT PAID
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TOTAL IEntlr on Llnl 5 of TI. Conputl lonl
. i../
of plrjury, I dlollrl thlt thl
of ~YJknowl.dg. Ind blli,f,
(,.,~~ f. 1/)
flot. I hlY. rlported aboy. ara truI, corract
~OME _~~ ,I" / :J '?;') ,'{
WORK ( )
UMBER
Ind
)b =N. )1"
ATE
,
GENERAL INFORMATION
1. FAILURE TO RESPONO WILL RESULT IN AN OFFICIAL YAK ASSESSHENT with .ppll,.Olo Into,OI' O,"d on Inlorootlon
tub.1t t.d hy 'hI f In.nc 1,1 In. tI tutlen.
t, Inhtrltanc. till beeo... d.llnqu.nt nln. lonlh. a"" the dlcldtnt" dlh of d'"th.
S, A Julnt Iccount II t6Mlblt .y.n thoullh the dlcod.nt', n... "'II IIdd,d III a IIln.r of con....nl.ne..
'l. hcolm', (Including thou h.ld b.tli'un hu.blnd and wlfel which the dle.dlnt put In Joint nllu, within on. y..r prlot to
duttt Ir. fully tlK.bl. .. tran.f.r..
i. Aocount. ..,.bll'hid Jolnth b.twlln hlJ.band and wll. Ilor. than on. yur prior to duth are not talulbll.
6. Account. h.ld by . d.c.d.nt "In trUlt for" enothlf or oth.r" tift IIlCabll fulh.
REPORTING INSTRUCTIONS - PART 1
- TAXPAYER RESPONSE
B~OlK A . If thl Infor..tlon and oOlputatlon In the Mat lei ere corr.ct tlnd dlductlon. are not bllng ollle.d, pile. an "MOO
In block "A" of Ptltt 1 of thl "TaICPI:;o.r R..pon.... tlctlon. Sign two coplu rlnd tublllt th.. with your ch.ck for the 'IOunt of
tile to the Righter of Wille of the county Indicated. the OIPlIrh.nt of Revllnu, will luu. an official a'IIIII'lnt
(for. REV-l~4a EMI upon r.c.lpt of the R.turn 'roe the R.gl,tlr 0' Willi,
Z. BLOCK a . If thl I..et Ip.clfled on thlt notlc. hu bun or will b. "port.d and hI{ paid with the PIMllyhanla Inh.rltanc.
hlC Rtturn fHlLi by the dlced,nt'l rIPrllontat!v., plac. an ">e" In block "8" of Pert 1 of thl "TaICPIYlr RIIPon.... lIotlon. Sign on.
copy and rwtufn to the PA Dlpartl.nt of Rlv.nul, Burlau of Individual T.~'I, Olpt 210601, Harrl.burg, PA 171Za-0601 In the
Inv.lop. provldld.
\. RlnCl( C - If till notlc. Infor...tlon II lncorrlct and/or d.ductlona ",1 blllng chl,.d, ch.ck block "C" and oo.plltl Partl 2 and 3
according to thl Instructlont b.low. Sian two coplu and lub.1t ~h'lI with YOUf chick far the ItIlOullt of hIC: payabl. to thl R.ghter
of Will. of thl county Indlcat.d. Th. PA OIPlrtunt of Alvlnul will IlIu. rm official allllUlnt (for. REV-1S48 un upon rec.lpt
0' thl return 'roe the Righter of WIllt.
TAX RETURN - PART
2
TAX COMPUTATION
L1HE
1. Ent.r the dati the aocount orlgln.lly wat ettllbll.hod or tltlld In the lIa~ner IICI.tlng at dati of d.ath.
HOf~1 for a dlcad.nt dYing aftlr 121121821 Accounts which the deCldll1t put In Joint na... within onl (1) vur of dllth arll
talCalJI, fully al lranlhrl. tlowlver, th"e I. an IICclu.lon not to elCce"d 15.000 per tran.hru regardl..a of thl ...alul of
the .ccount or thl nUllber of aocountt h.ld.
If a doubl. n.t.rlsk (lUll Itppurl b.fore 'Jour first nail' In the IlIddr... pOfllun of this notlc., the n,ooo 'lCclu.lon
alrudy hit b..n d.ductld frail the account bahne. 81 rtporttd bv the financial Inatltutlun.
2. Ent.r the total balanct of the account Including Interett accruld to the datil of dlath.
5. Th. perc.nt of the aoeou.,t that II tlllCabl. for nch lurvlyor II dlterlllnld III followlI
A. Th. p.rclnt t.lCabll for Joint ....t. I.tabll.hld lor. than ani yoar prior to the d'Cldont'. dlath,
I DJVIDED IV TOUl HUHBER OF
JOINT OWNf,RS
ElCupl., A Joint atilt rtghter.d
DTVIDf.D BV TOTAl HUHBER OF X 100 . PERCENT TAkABlE
SURVIVINO JOINT OWNERS
In thl na.. of thl d.cldlnt IInd two other p.rtont.
1 DIVIDED BV 3 (JOINT OWNERS) nlVIDED BY 2 (SURVIVORS) . .167 X 100 . 16.7% (UXABlE fOR EACH SURVIVOR)
D. Th. p.rc.nt ta~abla for att.tt cr.atld within onl YI.r of Ihl dlcld.n~', d.ath or accounts own.d by the dlcld.nt ~ut h.ld
In truat for another Indl...lduaUt) (trutt b.n.flcllllrlull
1 OJVIDEO BV TOTAl HUHBER OF SURVIVING JOINT
OWHERS OR 'rRUST BENEFICIARIES
K 100 . PERCENT UKABlE
EIC:IlSp1l1 JoJnt account reghtered In the n.... of thl dlcadlnt and two other p.rsoln and IItabllsh.d within ona year of duth by
the d.c.d.nt.
1 DIVIDED IV 2 (SURYIVORS) . .50 X 100 . 50% (UKABlE fOR EACH SURVIVOR)
4. nt. IUunt aubhet to talC (line 41 II det.r.lnad by "ultlpJyJng thl &ccount balanc. (llnl 21 by the perclnt tllClbh Il1n. ]).
5. i:nter the to"l of the d,btl and dlductlont Ilat.n In Part .\.
6. Th. 1I110unt talCabl. (1In. 6) II d.t".!nld by lubtfactlng thl d.bt, and deduotlon. IIJn. 5) fro. thl llIlount lubJICt to talC (lln. 4).
7. Ent.r the npproprl.t. talC: rate (1In. 1) a. dltlr.ln.d bllow.
A. fran,flrs to Iln..l duclnd.ntl Including fllthtr, loth", hutbllnd, wlfl. aon, dllughttr, grandchlldrln, .on-In-llw,
dotuQhttr-ln-law, ,tlpchlld Ind th.lr ll1ul lire 'alCablt at ,lK ptrclnt (6%>.
B. Iren.ftrl to all othors Inoludlng brothtr, gllttr, unci., lIunt, n.ph.w and nl.c. are tillable at flft..n Plrc.nt (IS:':).
C. If YOU chaflg. the \alC rllt., plea.. tp.olh your "Iatlnn.hlp to the d,clldlnt In the .rlll prov!dld.
a. Th. ftllount 0' talC dUI (llna 8) I. deterllln.d by lIlultlplylng the Itllount talCabh (1In&l 61 by the talC rllt. <1ln. 7>'
CLAIMED DEDUCTIONS - PART 3
OEBTS AND DEDUCTIONS CLAIMED
AllowablD dlbtl IInd dlductlonl ftre dlterlllned a. followal
A. Vou hg.lIv art rupontlbl. for p.Y"lnt, or thl ..tat. tubj.ot to adlllnlttrat10n by I PN.onal r.pru.ntatlv. I. Inau'flchnt
to pay 'hi d.ductlble It....
I. Vou Ictu.lly Pllld the d.bU Ifter d"th 0' thl dlc.dlnt and eln furnhh prOof of paYltnt,
C. D.blt being ehlllld Ilu.t b. It..lud fully In Part 3. If llddltlonll .p.c. I. n..dlld. uti plain paplr a 112" IC 11". Pfoof of
plYI.nt .ay b~ reque.t.d by the PA Ulparllllnt of RIYlnu"
TAXPAYER ASSISTANCE
IF YOU NEED FUR TIlER INFORMATION OR ASSISTANCE, CONTACT ANY
REGISTER OF WILLS, PA DEPARTMENT OF REV~NUE DISTRICT OFFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAXPAYER INQUIRY UNIT IN
HARRISBURG AT (717) 787-8327.
FA1RVIEW VILLAGE NURSING eTR
j80 WOODLAND AVENUE
LEWISBERRY PA 17339
(717) 938-9370
PA rIENTI
SNYDl::R t CHLOE "
BETTY CARLSON
4 HOMESTEAD LANE
CAMP HILL, PA 17011
(717) 761-3818
DATE
02128/93
03/05/93
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1)0326
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DESCRIPTION
~REVIOUS BALANCE
03/,01-03/03/93
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4 H~.te.d Line
oamp Hill; PA 17011
ror runeral of chlol
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snyder, who died on Hlrah 5, 1993.
PRorlSSIONAL SIRVICIS RlNDIRlD,
AND HlRCHANDISI SILICTIOI
FACILITIES, AUTOHOTIVE EQUIfHlNT
un.OO
CASH ADVANCIS I
c.rt~fild copi.. of De.th certifioate
TOTAL
TOTAL CRlOITS
BALANOE DUB
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PlJRP(IIE 01'
NOTICE.
PAYIt!NT'
REFUND ICRII
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To fulfill thti r.qulr'lent. of SeclUon ZUG 0' the InMrUInG. Ind Est.,. TIM Aot, Aot Z2 of 1''11. <12 PIS.
s...llon Zl'OI.
D.tICh 'hi top portlon of thh MoUe. Ind .ubllt with vour plvunt to the Rlght.r of Willi prlnt.d on thl
r.ver.. lid..
.- ~~. chick or .OnlV ord.r p.ylbl. tOI REOISTER OF WILLS, AGENT,
All PIYllnt. r.c.lvld ,hill 'Ir.t be applied to any Int.r'lt which .ay h. du., with any r...lnder appll.d to thl t'M.
It r.fund of . h. or.dlt, which "" not requllt.d on the tll( r.turn, 'I'lY b. r.quI.t.1t bV co.pl.tlnG an "Appl1olUon
for Alfund 0' P.nrllyl...enJ. Inh.rltenc. Ind E.t.t. TalC" (REV-ISU). AppllclUonl Ire Ivell.bl. at the Offlo. 0'
thl Alul.t.r 0' Will., Iny of the 23 Ray.nu. Olltrlot Offlc.. or by c.11lng the IP.o)11 2~.hour an.werlng ..rvlo.
~r' for for.. ordtrlngl In P.nnlylvlnl. l-ftOO-362-2050, out.ld. P.nn.y\...lnl. and within 10c.l
Htlrrllburg .r.. (717) 787.8094, TDDI (711) 112-2252 (Hlldog 11IfI.lred Onlv).
OIACTIOHtI A.,y p.rh In Jnt.r..t not ..thf1ed with the IlPPreh'Mnt, .1I0000enc. or dh.lloNlMe 0' d.ductlon. or ......Hrlt
of till Unoludlnl dhcount or InttrllU n ,hown on thlt Notlc. uy obj.ct Nlthln Ihcty (60) d.y, of rec.lpt 0'
thh Notice bYI
.-wrIUen protut to the PA Oeptrtl."t of R.v.nut, loud 0' APPllh, D.pt. 211021, Hlrrhburg, PA 11121.1021, alii
...llotlng to h..... the ..tter d.ter.lnld at the .udlt 0' the ec:oount 0' the perianal repr..ent.tI...., OR
~~epp..l to the Orphan. I Court
AIlIUK-
lIlRATlVE
CORRECTlOHIo
DISCIlIJNT.
INTEREIT.
Feotu.1 errorl dheover.d on thh ........nt .hould b. addreu.d In writing tOI PA Otp.rt.ent of Rlvenu.,
lur..u 0' Indl...lltull Till", ATTNI ('Io.t A.......nt R....I... Unit, DEPT, 280601, Hlrrllburll, PA 17121.0601
~ (717) 787'6505. S.. pege 5 0' the bookl.t "In.tructlon. for Inh.rltanc. Tlx R.turn 'or a R.old.nt
Dec.dent" (REY-1501) for In 'ICP1In.tlon of Idllnl.tr.tl....ly corr.etabl. .rror..
If Wly t'lIl du. II plld within thr.. (3) c.l.nder IIOnthl Ifttr tht, d.c.d.nt'. d..th, I fI.... p.rolnt (5:()
dJ.count of the tl~ Plld I. alloN.d.
Intlrut I. chergld b.glnnlng ..lth flrlt dlY of d.llnquency, or nln. (9) lonth. end 001 n) day
frol thl dlt. of d..th, to thl d.tl of PIY..nt, Tun which b.c... dellnqu.nt b.for. Janu.ry 1, 1981
be.r Intn.et et the r.t. of .he (6~) perc.nt per annul calcullt.d .t . d.!ly rite of .000164,
All tell.. whloh ble... d.llnquent on or .ftar Jlnuary 1, 1982 will b"r Int.r..t .t . rat. whloh wJ11 v.ry 'rol
ealend.r y.,r to ell.nder y..r with that rlt. Innouna.d by the P' D.part..nt of R.v.nue. The applJalbl.
Intlr..t rltl' 'or 19.1 through 1994 ,r'l
'We Int.rllt Rlt. D.llv Int.r..t Flotor Xur Inter..t bt. D.llv Int.rllt F.ator
1911 m ,000541 1'16 10~ ,ooom
1911 16~ ,000411 1.17 9% ,000"1
1914 m .000101 1911-1991 1l~ ,000101
1915 m ,000156 I99Z .~ ,OOOZH
1991-1"~ n ,ooom
--Int.rut II c.1culet.d ., 'ol1owlI
INTr.REBT . BALANCE OF TAX UNPAID X NU"BER OF OAYB DELINQUENT X DAILY INTEREBT FACTOR
--Any Hotlc. I..Il.d e'ter the tax b.eo... d.llnqu.nt will r.fl.ct 8n Int.rllt c.loul.t1on to 'lft..n (6) d.VI
b,vond the d.t. of the .....I..nt. I' ply..nt " Il.d. ~'tar thl Int.r..t co.put.tlon dlt. shown on th.
Notlco, IdeUtlon.1 InUrllt au.t b. cllcul.t.d.
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PAVHEH11
REFUHO leAl.
REPlV
101
OISCOIJ!lI.
IH1ERES11
D.hch the top portion of thh Hotle. tlnd ,ub.1t with your Ply..nt to the R,ght,r of NUll prlnt.d on
the r'v.r.. .Id..
.. Hlko ch..k .r ..n.. .rd.r p."bll ,., REGISTER OF HILLS, AGENT,
All pIy',nt. r.o.I....d .hlll bl IPpll.d flr.t to Iny Int.r"t which .av b. due with .ny r..~lnd.r Ippll.d to thl t'K.
A r.fund of a tile cr.dlt, which WI' not r.qu..t.d on the TI1 Rtturn, .ay b. r.q~..t.d by cOllplltlng an
"Application for R.fund of P,nn,ylvlnll Inh.rlt.nc. Ind r..tat. Tlx" (RE~.111S). Appllcltlon. ar. Iv,llabll at
th, OffiCI of the R.ghter of Willi, any of the 24 R.v.nu. Olltrlot OffiCII or frol the O'Plrt..ntl, Zit-hour
For.. Or~.rln9 t.l.phon, Ilnl' In HarrJ.burg (7J7) 781-8094, In Phllld.lphll (2151 560-2065 or In
Plttlburgh (412) 565-3601.
Qu..tlcn, r,glrdlng .rror. oont.ln.d on \hl. notlo. Ihould b. Iddr....d 101 PA D.part',nt of R.....nu., Bur. au
of Indlvldu.1 TaICII, ATTNI POlt "......nt RI...hw Unit, Oept. 230601, Herrhburg, PA 17128-0601, Phon.
17m m'650S.
If any t'l( due I. paid within thr.. (3) cal.nd.r lIonthl ,ft.r the dlc.d,nt', dlath, ~ fl.... p.rc.nt (S~) dl.count
of t~. t'll paid II allowed.
tnt.rllt I. ~h.rg.d big Inning with flrlt dlY of d.1Jnqu.nc~ or nln. (9) lIonth. Ind cne (1) dty fro. the det. of
dllth to the date of p.y..nt. relllu which b.oll" delinqu.nt before JlnulrV I, 1982 bur Ihterut .t the rate of
.h C6X) plro.nt per annue taleuletld It a dailY rat. of .000164. All till II which beea.. d.lInqulnt on end .fter
Janu.ry I, 1982 will b..r Int.r'lt et . rlt. whloh will ....rv fro. callnder y.tr to t.llndar v..r with that rlt,
.nnounc.d by the PA O'Plrt..nt of RevenuI. Th. appllc.bl. Intlr.ut rat'l for 1982 through 1994 Irll
~ Int.r'lt Rlt. Dlllv Inter'lt F.ctoC
:tur
Int.rut Rib
D.llv Int.r'lt Flotor
1912 20~ .000111 1916 10~ ,000214
1911 IU .000411 1917 9% .000247
\91' II~ ,000301 1911'1991 11% ,000301
1911 Il% ,DOOm 1992 9% ,000247
199).1994 7% ,000192
"Intlrllt Je olleul.ttd .. folloN'1
INTEREST . SA LANCE OF TAY. UNPAID X NU"BER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Notlc. 1..Utd I,t.r the till bleO*lI dellnqu.nt will r.fl.ct an Int.r'lt alleul.tlc" to flft.," (IS) dl~1
beyond the dlt. of the 111"'II.nt. If plv..nt II ..d. Ift'r the Int.r'lt COlputltlon dlt. thown on the
HoUe., Iddltlonll l"tlrllt lutt b, cIlcullt.d.
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s',- :J,()(Ifr, I
a AAOlt,2614 COMMONWEALTH OF PENNSYLVANIA
NO. . c;, , DI'ARTMINT O. RIVINUI "
OPIIICIAL RICIIPT . PINNSYLVANIA INHERITANCI AND ISTATI TAX
II~II'I"I""J
.~
, '
",I ,
& ACN m
RECEIVEO FROM: ASSESSMENT AMOUNT
CONTROL
NUMBER
ZULLI FRANCIS A 101 n66. 'Iii
109 LOCUST ST .P.O.
,lox 1121
HARRISBURG PA 17101
- fOlD HUt
ESTATe INFORMATION: J
EJ FilE NUMBER
81-1979-04015 SSN 1915-07-1789
E1 NAME OF DECEDENT IlAST) IFIRST) IMII
REIF FLORENCE L
m OA E OF PAVMENT
EI POSTMAR E
COUNTY IS 119/?..
CUMBERl.AND
DATE OF OEATH
M./J1l/71l m TOTAL AMOUNT PAlO t766.49
REMARKS WIl.LIAM A. ROBINSON / C
SEAL CHECK" 347
REGISTER OF WILLS M~RY V' l.E~
R GIS ER 0 WILLS
\.r,:--'- - -- -- ,~...........-..- ,_. - - -- - -, - - "-, - -- - -- -,-_.- -.. - - -.. -- -, .-, -... - .~~.- -.- - -'- ,- -.;-- .4_ ..-. -- T" -r-".
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