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HomeMy WebLinkAbout94-00485 ~. f::V/II//! of __Qgf~_L_!.__~p_tt~_______________ II/SO kllOIl'1I (/S ____________.____uu.__ __._________ PETITION I,'OR PROBATE and GRANT OF LETTERS No. __.d(L~fJj_ - Ji!.6- To: Mary C. l,ewis Regisler of Wills for the Couuty of .Cumbex-l-and-- lu the Commonwelllth of I'euusylvanla --;---;----;.-----;--------l.BZ:.T6-;;;T3i 3 I)('('('(/s('d. ,~II('/(//,~(,(,Ilf/IY No. __.__n____'-_____._________ . The pctltiun of the undcrsigucd re:ipcctfully rcpresllllls thaI: Your petltloucr(s), who is/arc- 1M years of age or oldcr authc e,xeeuLQr luthc last will of th~ above dccl-dent, datcd ___ApriL_21_____________ and codlcll(s) dlllcd ____n/a_______________ ____________________.__ named , ILBB._ (~Il\h' Tl'kVilllI dn:llll1'illlIKl''i. t',g. rCllundatloll, death of C\Cl'lllor I ell',) Decendenl was domiciled al dcath In __ Cumber land _ County, Pennsylvania, wllh h...!!l...._last family or principal r~.sidence at _l'..O_~1L.22.7~9.:rlisle. PA (Ii" 'itreel, Illlmher lllld lIIulIl,.'ipalitYl Deeendenl, then ___n___ ycars of agc, died ____n__ut:tgy 9 , 19_~, nl__'l_.A.uMedicllL_center_.___SQ_uthLehanon_T.o.wnahip , !.p.hflnnn r.nllnty. Except ns follows, decedent did not marry, was uot divorccd and did not have a child born or adopted nftcr execlltion of thc will offercd for probate; was nOlthc victim of a killing and was nevcr adjndlcated Incompetelll: -----none-------.----------- ______.____u__ Deeendent at death owncd propcrty with cstlnllltcd valucs ns follows: (If domiciled in I'a.) All pcrsonal property (If not domlcilcd in I'a.) Personal propllrty in Pennsylvnnia (If not domiciled in I'a,) I'ersllnal propcrty In Coullly Valuc of rcal cstate in Pcnnsylvania situaled as follows: ____!l'O_Tl~__h______________u_____________. $__ ,5(2,. OCfL $ $ $ WHEREFORE, petltioner(s) respcctfully request(s) the probate of the last will nnd eodlell(s) presented hcrcwlth and the grunt of lellcrL-t-es-t-<:lmsn-t-<:lry (IC'illlmCIJlnry; ndmllll~lrllli(111 c.I.II,; (l(lmllll~lrnllol1 d,h,n.c.I.II.) 'thcron. ~ 6 "0- .~~ ",t " ~,g ~'iJ .0. U~ :;0 a Vi _-4-ucca.: ~ 4. __._Ger.ald__.Q._Wlll.tz..~.i. ___lOA___Ridga..Road --Annv-i-H-s,--P-A---l-7-1}(H-- ~_-=_~-==fjj - ~~~i.~I.T.'-L~~ ---.------ -_._---...-..-_...---...._._----_._-~.~-----_._------- - -------~-_..-.-._-_._--_._------_._._------~------~. OATH OF PERSONAL REIJRESENTATIVE COMMONWEALTII OIlI'ENNSVl.V ANIA }:,\8 COlJNTY 011 -CUMBERLANO--~------ Thc pctitloner(s) ublOvc-IHlmcd sll'cnr(sl or uffinn(s) thai the statements in the foregoing petition arc trne und corrcct 10 the bcst of thc knowlcdge and belicf of p,'litioncr(s) und thaI liS personal represen- latlve(s) of Ihe ubovc dc'cedcnt petltilOncr(s) will II'cllund trllly administcr Ihe cst ute uccordlng loluw, Sworn to or Iltlirmcd and SUbSClihC(~1 ,~/ /{d'4-i---- '" bcfol c ml' t~~ (I) 26TH dll~ lOl - - __ -7-~ ____ _n__ cia' ~y(~.~I~: pc f.J!!, "'~ .. . ... .......... ........ ....1 I" - l '1 -;)(~( - ~ WAilNtNli: tl t:; tLlI(,AI III ^'tlil till!; "IJt'y "II TO DIJI'I/Cfli'- [1'( 1'1I0tU:,t^1 Oil f'lIlll()(illl\I'11. COMMClNWEAtnt or pr'JUHiYt.VANIA DEPAHTMENT or t1[ALTI( IT Al nrCOfHlS LOCAL REGISTRAR'S CERTIFICATION OF DEATH CERT. NO, 2232420 -~, I~~~;r T~I;~~hcallon Dale Name of Decedent ___________ __u_________m.._ tlfil Male 182-16-1323 May 9, 1994 Sex __________.Soclal Security No,__ .___ _.Date of Death Feb 18 1921 Annville, Penna. Date of Birth __~____L______ un Blrthplaco _ _m_ n____________ Place 01 Death V A Medical Center Lebanon Co. So.Lebanon 'I'wp. -- '~';11111' Ilj;;------ _.~__.h_____H___.. .... '(""'-"'1, ... --- .--------.--..--- ,--" Cd, [l,"'!illlh <If Iv.."ol!lIlJ Race_~:lt:__.occupallon__~~~a~_y');lj]~loyee Armod Forcos? (Yes or NOl____YFE Decodent's Marital Status --.:Hdow~_____. Mnlllng Addross _ P. O. Box 957, Carlisle, Pa. 17013 -/,~;,;,'t;,; .-.. -.. ~-'~oI;,~:;i--'- -~-__m_--"u-----~r1;To~-;-;-- Inlormant _ Ge.ral~_.c:~__~.alt~______m___.. _. Funeral Diroctor__nns_t:v=~_~.._I(r_e~er ____ ~~~e~a~~s~~~~~s~~~t _____~e~:_F_.~._~_618~. Ma~n _S~'_I_ Annville, Pa. 17003 ..._.-.---~-.--._._-~...,.............--_. L. Boltz i.t,lj,ii,;- -.-- ---._- -------------r:\,t. Penns~ !U.lte (d)___ part II: Other Significant Conditions I I I I I (a) -~~~~-~----____________u___ _n_n__ ___n_n______ ___________: I (b) Aortic stenosis : - --_____________n______~_____________.__ , I Congestive Heart Failure . : (c)_______n___________________ _______________:____________________-< . , I I , Interval Between Onset and Death Part I: Immediate Cause --.-...------.-.--..----.-------- _ '__d____________.__.__. __.._._.. ___...____......_______. Acoldent Suicide Manner 01 Death: Natural IX): o o Describe how Injury occurred: Homicide Pending Investigation Could not be Determined [I o o -----.--------.------"----'-- Na e and TllIo of Certifier Karen Clewell m _________________._.__.__ ______________________..___________ A Medi 1 Ce t Leba P. 17042 (M.D., [l.O" CgrgAef';-M,!i,l Address _~____::~____~:'=_____________ _~~~,__ _~'__n_ ________________________________ _ _ This Is to certify thnt tho Information horo givon is corroctly copied from an original certificate of death duly filed with me as Local Registrar. The ,oriV/? certlflcato will boforwarded to the State Vital Records Office for permanent filing, ._L"<':t:..1ft)1A_4:_'.___22_\.:2t~L__1_~~~~ I ". _,I 1I'~I'~I' 11 "I '/'1 ,I 11"-,"';11 111\1"(-1 tl'J May 1 0, 1994 -h--l~iii; ;i;:;-~,~;;j-~.i-Cl~,:.iiilp:li-\T!:l; ----. 159 N. Railroad St.,Palmyra, Pa. 17078 '.!I,"';"II''':I (:,i;'t;;-,;;~,;iii,- f;;-~~l'I~---- . , . .. , " COMMONWEALTH OF PENNSYLVANIA COUNTY OF LEBANON SS: I, DALE L. BOLTZ WHOSE name is signed to the attached or foregoing instrument, having been duly qualified according to law, do herebleacknoweldge that I signed the instrument as my Last WillI that I signed it willingly, and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn and acknowledged before me by Dale L. Boltz, the 'l'estator on this, the ,} '/ff.,day of I..Jjl,(."t , 1988. IYaJi.-(/ !.tt/ (/<y.ll//fl i ) ,X/)I~ Notary publ~ J My Commission Expires: ~J-3-y/ ------------------------------------------------------------------ COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF LEBANON ) We, DARYL J. GERBER AND CHARLENE R. HURST, the witnesses whose names are signed to the attached instrument, being duly qualified according to law, do depose and say that we were present and saw DALE L. BOLTZ sign and execute the instrument as his Last Will; that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in the hearing and sight of the Testator signed the Will as witnesses and that to the best of our knowledge, the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn and subscribed before me by Dale L. Boltz, witnesses, this IF!. day of lip II; I , 1988. c. ('\ ~ \ -.\ \ ~_)j '~1Jv'..l. ~ '\ '~"'lv"''''--- l. ;)/t f. (II il').. ,Y (~/I /1 it ss Notary publ'ic j C'l _ J '__ ) \ My Corom. Exp: /,;; J- (/1 , //;1.1 Ill' H-t' ~ -K'It( t. 1'-1- Witness \. .r " ... ~ ct ",_III u"'" wA.U -00 -..-, "''''Ill '" < I~OO th 117.810 I PILI NUMIIR \ I~'''~''J ',~..:..1 '" ,...;:(.~ COMMONW1AllH 0' PfNNSnvANI.. PfPARIM!Nl 0' II'VfNUl Of Pl. 210601 H....ItIUUAv "A 17111.00('1 INHERITANCE TAX RETURN RESIDENT DECEDENT (TO BE FILED IN DUPLICATE WITH REGISTER OF WILLS) 2194-0485 1994-00485 -, C :: ... Q '" U '" Q .. IN:> '>fAM! IIA' II<J" ANI'M'OUU INIIMI ICOUNTY CODE YEAR N ' M .. DRU~ NUMBeR p.o. BOX 957 I Carlisle, PA 17013 1c..."Cumber land :: 3. Rlmalndlr Rllum (far dGll. of death prior fa 12.13-821 c: 5, Fedlral ellenl Ta. R'lum Required -E 8. TOlal Number af 5afl Otpn,h Ba... Boltz, Dale L. ISO"~I ~t'URlh t'HlMU~ IDA 0' 0 A H . r,l t1 6, .n.or tne ,a.al al lone 20 and 20A an II.. 208, Thilll ,Ilt BALANCE DUE. Mak. ChICk Povebll 101 AIgltt" of Will., A",n' .....nlnlE'JO...tmQ..u. QI/llSTlONSON tiVlttliESlDIMD'TOllIIIllHIICK.u.'H__ -, ,,;,~ ".:;'. , ulnal'... 01 Pt'tur), I DtClare 'not I non IlIIom'Md Ihll ,e'urn, l"ejudl"p occampanV1na "n.aull. Dnd IIOllmt"U, ana 101M bill 01 my .no...ag. and beMl. 'UL corlln and comOl'1t I QUia" 'nal 011 '101 '"D" "01 been repon.o 01 Uue ",oru' YOha [}etlOrotlon ol pr'l)o,..' ot".r ll\on 1M P9NOt101 t.p,....",all'n i\ on all ,tttormclIIon (II W"I(/I prepo,,' nOI any IlPlowieOOI ": lU~1 OJ 'CUON aU'ONiIIH '011 '"INO ~[lU'I. .OD~U,~ k'/ - - ), _<,(/- r ,IV ~~ D l82-16-1323 05/09/94 i 02118/21 i:l Orl~lInol Kllurn :: 2. 5uppllmln'al Rllurn ~~ -, -J Ac, future Inlltlll Compromil! 110, dalll at dla,h ahor 12-12.B21 [I c> olcICllnl Died llllale =- i. D,Cld.nl Maintain.d a Living T rutl lAlla,. 'apy 01 Willi lAlla,. ,apy of Trulll IALl CORRESPONDENCE AND CONFIDENTIAL 'lAX lNFmMATIOtUHOUUleli Dllacnn TO, I NAJA! I COM PUtt MAIUNCt .tlDIU.~ ! Daryl J. Gerber, Esquire 46 E. Main Street / " N NU'" I Palmyra, PA 17078 llmlled EUale ( 71 ~838-5411 ~ Q ~ < -' :> ~ c;: < u '" '" RIal cllalO 15,neeiulO A) ( 11 2. 5,om and bona, 1"neoul. BI I 21 3 CIOIII)' held !:Jlock/hmnerli'llP Inll!rlll (5cn.dule C) (J) .:. Monpapll and Na'., """vabl. I"nldul. DI I AI .\, e.al.. bank Oepa,", & M""lIa..ou, ~II.anat Propenyl .\1 15,nleiu" EI 6. Jalnlly Ow..d ~rap.ny 15,nldule FI I 7, 1 ran,i." 1".ldule GI15,nldul. II 8 lalal Grall A,,", I,a,alltnll '.71 I Q, funerol ExPlnIlH. AamlnllltOIlVI C.OIU, MIIClllaM<Xl1 I 9) E.alnll' I,,,edule HI 110. Dlb... Monpap. l,abllill... lIl.. 15,hldule I) 11. lalal uldu~,.., I,alatl,n., Q & 101 12, Nil Vaiu. 01 ella.. litn. 8 m,nu'it.. 111 13. Charl.ab'" and Gavllnmen,allitqUIIII 15,hodull JI IA. Nil Volu. Sub"" 10 lax (l1n. 12 mlnU. I,ne 131 !loS. Amounl of line lA taKable 01 6% ral. f' ',n,lud. volu., Iram 5,nedul. K 01 5'.ldul. M.) 16. Amoun, 01 It.. tA loxable a, 15% ral. IlnC:lude vOlue~ trom 5cnldule K or ~c"'duje M.l 117 P"n"pal,a, au"IAdd la' Iram Itn. 1.\ and tram Itn. 16.) C.,.dlll Pllor f'cym.nu Ollcaunl -00- -00- -00- -00- 70,739.51 I 61 I 7) -00- -00- ( 81 Q Q':t7 t;n . (101 3,092.73 1111 (12) (13) (1"1 (151 x .06.' 57.709.23 (161_ ~ .15.. ~ Q - :5 :> '" :; o "' " ct - 117) 11& 11Q_ If Itn. 18 II prea.., 'ha.ltn. 17, tnlor tho dlfltrtntt an It.. lQ, Thi. i. 'hI OVIR~AYMINT. I 1lI:J 20. If Itn. 17 II 9realll tnD.ltn. la, """ thl dlfltre... an I,n. 20, Thllll 'no TAX DUE. A. enllr ,,,. Inllr.11 on tn. balanc. au. on Itne 20A. Inlt"lI * (18) 119) Ch"(fl hr.. " yell nu U'CIIII'\tUtrl II "'.11"(\ "I Yhll. ()I/f"')flvmrnl. (20) 12DAI (2081 , ,'J Ii Ii ( I -) I;..: " I j t 2 ' / iI< ' A',. I. /. .' J / 70,7)~.~1 l3,030.23 5","Q~ 23 -00- 57,709.23 -00- 8,656.39 8,656.39 -00- -00- 8,656.39 -uu- 8.656.39 t1ATI (,t .-) 1;- Y'r' 1.1 I . ~ .' . -, ... -- ~ oJ ..". COMMONWEALTH OF PENNSYLVANIA COUNTY OF LEBANON 5S: I, DALE L. BOLTZ WHOSE name ii:i signed to the attached or foregoing instrument, having been duly qualified according to law, do herebleacknoweldge that I signed the instrument as my Lalt WillI that I signed it willingly, and that I signed it almy tree and voluntary act for the purposes thereinexpre...d. Sworn and aCknOWledged before me by Dale L. Boltz, i:he !restator on this, the ;< 'J"da'i of 4rA' 'I' , 1988. Ifd if 4.-tr/ .~. ~. v:;! l Y.r-dt1' - t1l\,/,)UJ Not ry Pubii ell My Commission Expires: 1~.J-91 , . . , II,," ------------------------------------------"----------------------- COMMONWEALTH OF PENNSYLVANIA ) ) SS: COUNTY OF LEBANON ) We, DARYL J. GERBER AND CHARLENE R. HURST, the witnesses whOle names are signed to the attached instrument, being duly qualified according to law, do depose and say that we were pre.ent and saw DALE L. BOLTZ sign and execute the instrument as his La.t Will, that he signed it as his free and voluntary act for the purposes therein expressed, that each cf us in the hearing and sight of the Testator signed the Will as witnesses and that to ~.he best of our knowledge, the Testator was at that time 18 or more years of age, of sound mind and under no constraint or undue influence. Sworn and subscribed witnesses, this ..:!'J#. day of betpr~ me by Dale L. Boltz, 4fl.l",' , 1988. ("~,~~ \ ~J...- - Qtl $ss (' ~ t2 Lb on.{ -iJ \....Jt(# 1-( ,,-t.. Witness ~.,{HiA ~ ,~~ Not ry Pub 1c My Comm. Exp: 1~..E.91 S-~H-,;J. R!V"154)~ AFI' 108.94'. COHHO ALlH OF PENNSVLVANIA OEP THEHT OF R[VEHUE EAU OF INDIYIDUAL TAXES DEP!. 280601 HARRISBURO, PA 1712&-0601 ES T OF BOLTZ DATE OF DEATH 05-09"94 I j .. ,);<1 . .!j~ '1 G NOTICE OF INNERITANCE TAM APPRAISEHENT, ALLOWANCE OR OISALLOWANCE OF OEDUCTIDNS AND ASSESSHENT OF TAM ACN 101 L FILE NO. COUNTY DATE 01-24-95 94-0485 CUMBERLAND NOTE, TO INSURE PROPER CREDIT TO YOUR ACCOUNT, SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAM PAYHENT TO THE REGISTER GF WILLS. HAKE CHECK PAYABLE TO "REGISTER OF WILLS, AGENT" REMIT PAYMENT TO: REGISTER OF WILLS CUMBER~~ CO COURT H~E CARLI sEE, PA ~7 013 ;JJ ill ; (.1 () \ I .,1 () r . AWO; Ro~11~ed CUT ALONG THIS LINE ~ RETAIN LOWER Pt'IlTION FOR YOUR RECORDS -4 .. iiEv: i 5'i7" rCA F ji - (0 ii: 94 Y - NOYIe r"o F - "iNH! if if AiicE - YAx" AP P RA" Iii EifE'N T";" A~1;"~w AN-oC ,(ili - - t~," -"""""..." DISALLOWANCE OF DEDUCTIONS AND ASSESSMEN1' ~i_TAX l..j ) ~-~, ESTATE OF BOLTZ DALE L FILE NO. 21 94-0485 ACN 101 Ul DATE 01-24-95 If an asuessment was issued previously, lines 14, 15 and/or 16, 17 and 18 reflect figures that include the total of A1h returne aSBessed to date. ASSESSMENT OF TAXI 15. Awount of Llno 14 ot Spou.ol roto tIS) 1&, Awount of L1no 14 toXlblo ot L1nool/CIo.. A ,'oto 11&) 17. Awount of Llno 14 to..blo ot Colletorol/Clo.. B roto tl71 11. Prlnolpol Tox Duo DARYL J GERBER ESQ 46 E MAIN ST PALMYRA PA 17078 TAM RETURN WAS I t X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL 1. Rool E.toto (Sohodulo Al 2. stoct" ond Bond. ISchodulo Bl 3. Clol01y Hold Stock/Portnor.hlp Intoro.t (Schodulo C) 4, Hortg.go./Noto. Rooolvoblo (Schodulo D) 5, COlh/S'nk Dopo.lt./HI.c. Por.onol Proporty (Schodulo El &. Jointly Ownod Proporty (Schodulo Fl 7. Trlnlflrl (Schedull 0) 8. Totol A..ot. APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funlral Explnt../Adn, COltl/Hise, Expln... (Sche~ul. Hl 10, Dobt./Hortgogo Llobllltlo./Llon. tSchodulo 11 11. Totol Doductlon. 12. Not Voluo of To. Roturn 13, Ch.rltoblo/Govornwontol Boquo.t. (Schodulo J) 14. Nit Voluo of E.toto Subjoct tu To. NOTE: TAX CREDITS: PAYHENT DATE 10-27-94 RECEIPT NUHBER MM913140 DISCGUNT (' I INTEREST (-) ,00 t91 liD) =1 I CHANGED (1) 12) 131 141 IS) 1&1 17)_ .00 .00 .00 .00 70.739.51 ,00 .00 (8) 70.739.51 9,937.50 3,092.73 (11 ) tl21 1131 1141 13 . 030 n 57,709.23 .00 57,709.23 will .OOM'OO, ,OOM,06, 57 , 709 . 23M . 15. (18) .00 ,00 8,656.39 8,656.39 AHOUNT PAID 8,656.39 TOTAL TAX CREDIT BALANCE OF TAX DUE ._--.--. INTEREST L_ TOT~L -iiUE . IF PAID AFTER DATE INDICATeD, SEE REVERSE FO~ CALCULATION OF ADDITIONAL INTEREST, 8,656,39 ,00 ,00 ,00 IF TOTAL DUE IS lESS THAN 41, NO PAYHENT IS ~fQUIRED. IF TGTAL DUE IS REFLECTED AS A "CREDIT" (CR) , YOU HAY BE DUE A REFUND. SEE REVE~SE SIDE OF THIS FO~H FO~ INST~UCTIONS,I .I I I RESERVATION' PURPOSE OF NOIlCE. PAVNENT, REFUND (CR II OIJECTlONS, ADMIN ISTRAIlVE CORRECIlONS, DISCOUNT' INTEREST, ,. I' E,tat.. of dlCldlnt. dying on o~ before Dlc,.b,r 12, 1982 ~4 If any' '~tur. Int.r..t In thl I.t,t. I, tr~n.f.rr.d ' In po.....lon ,or enjoy.."t to Cl.11 8 (co11ateraU bln,ficl,rI.. of th, dlc.d,nt afhr the IICpJratlon of anY't.t,t, for l1f. or for yaIr., the Co'.on~..lth h'f'bV IMpr..'1y rl'trv,. the right to appr,t.. and ...... tranl'.r Inn.ritancI TINI' at the lawful Cl... e (0011,t.ra1) rat. on Iny lueh future lnt.rl.t. To fulfill the requlr...nt. of SIction 2140 of the Inn.rl\enol and E.t,t. raM Av', Aot 22 of 1991. 12 P.S. S.ot Ion Zll'tO. Oatlch the top portion of this NoUe. and tubalt '11th your Plv..nt to thl Rlght.r of Willi prlntad on th, rav.r.. ,Ida. uHakt chlcl( or lonty ordftr payabl. tal REGISTER OF HILLS, AGENT All Ply..nt. r,o'IYld .hall flr.t bl appllld to any Intlr..t which .ay b. due with any r..alnd.r appll.d to the taM, A r.fund of a ta~ cr.dlt, whlcn wal not requ.ltad on the TaM Alturn, .ay b. r.quI.t.d by cOIPlltlng ,n "Applloatlon for R.fund of P.nn.ylyanla tnh.rltanc. Dnd E.tlt. TaM" (REV-ISIS), Application. arl avall~bll at the Offle. of the A.glltlr of Willi, hny of thl 23 Alvlnul DI.trlct OfficI., or by calling thl 'Plolal 24-hour In.wlrlng 'Irvlol nUlblr, for for.. ordlrlngl tn Plnn.ylyanla 1-800-362-2050, out,ld. P.nnlylvanla and within locll Hlrrllburg arl. (717) 181-8094, TOO. (717) 172-2252 (Hlarlng t.pllrld Only), Any Plrty In Intlr..t not ..tl,fl'd with thl appral....nt, allowancl or dl.'llowanc. of dlductlon., or a"""lnt of taM (Including dlscaunt or InteruU II .hown on thll Hotlc. "u.t objlot wlthJn Ihc\v (60) day. of rec.lpt of thil HoUcl bYI hwrltt.n protllt to thl PA OIPart.lnt'cf R.y.nu., Bctrd of Appult, DEPT. 281021, Uarrltburg, PA 11121.1021, OR M-.l.ctlon to hay. thl ..tt.r d.t.r.lned at audit of thl account of the p.r.onal rlpr"lntatlvl, OR hlPPIII to the Orphanl. Court. Flatull errore dhcCY"ld Of! this a.....,..nt Ihould b. addr....d in writing tal PA OIPutllnt of AIYlnUI, 8uruu of IndlvJdul1 TlMII, ATTNI POlt A'"olllont AIYhw Unit, OEF''' 210601, Htrrhburg, PA I1U6-0601 Phonl (711) 717.650~, S.. paOI S of the bockl.t "In.tructlon. for Inh.rlt,nc. TIM Rtturn for a A.slntnt Dlc.dlnt" (REV.1S011 fcr an IMplanatlon of IdlJnt.tratlYtly corr,etlbll Irrorl, If any taM due 11 p.ld wUhtn thru (11 ClI.nd,r lonth. ,ftlr thl d,cldlnt'l dllth, , flvl perclnt 15:0 dhcount of the tlM paid I. allowld. Intlrl.t I. cherg.d blglnnlno with flr.t day of dlllnqulnoy, or nlnl (9) lonth. Ind on. (1) day fro. the d~tl of dllth, to thl d.tt of pay..nt, TIM" which ble.e. dlllnqulnt blfarl January 1, 1962 blar Int.r..t It thl rats of .Ix (6~) p.relnt Plr InnUI c.lculltld It a dally rat. of .000164, All taM" which bIOI~' dtllnqulnt on and aft.r Jlnu,ry I, 1982 will b..r Int.rl.t .t Ire'. whleh will Ylry frnl a.llnd.r YI'r tQ elllnalr Ylar with thlt rate Innouneld by thl PA Gap.rt..nt of Rav.nu., Tho applloabll Int.r..t ret'l for 1912 through 1995 Ir.1 !!!! Inter..t R.lI Oalh Interllt Flotor !!.!! tnterllt Aata D.lly tnternt Faotar 1982 /O~ .000S41 1911 9~ .000/.1 I9U 16X .0004!1 1911-1991 m .000101 191. 1I~ .000SOI 199/ 9% .000/41 1915 UX .0003S6 199H'" 11 .000l9l 1916 lOX .000/14 1995 9% .000/" ...tntlr..t II celcul.t.d II follow'l INTEREST . SA LANCE or TAN UNPAID N NUHSER OF DAVS DELINQUlWT N DAILV INTEREST FACTOR -.Any Hotloa IllVld .ft.r the tlX bleo... d.llnqulnt will r.fl.et '" lnt.rl.t cllculltlon to flft.ln CIS) alY. blyond the d.t. ef thl ........nt. 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