HomeMy WebLinkAbout94-01078
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
'OR DATIS O. DIATH Ann 12/31/91 CHICK HIR[
I' A SPOUSAL 0
POVIR" CAlDIT IS CLAIMID
ml NUMII.
Iii
~
..
COMMONWeALTH O' PlHHsnVANIA
DIPAUMlNT O' AIVINUl
HA.lllfJlli, ~~or, ,,""ll
D N' NAM I\A . II . AN MIDDI
Stra:l:lbur er
SIAL II UI"., NU""I"
1 59-09-0532
D""O' DI" H
11-21-91.
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INII"tl
I" APf\iC.ItU,aUI'fl'flHQ lfOUU a H.w'Il\AIt. "I" ',,"0 1\110"" tH"'.\1
Stra:l:lburGer, llermnn R.
H'
COUNTY COOl
M l A I
YIAR
HUMIU
23 North Prince Street
Shipl'on3bur". Pa. 17257
c.... Cumhflrlnnrl
AMOUH IICII'iID In IHI au TIOHII
DA 10' III.lH
10-15-05
~1.
o ~,
Original R.lurn
Umll.d Eatal.
o 2. Suppl.m.ntal R.turn
o 3. R.malnd., R.turn
Ifor dol.. 0' d.olh prior 10 12.13.B2)
05. fed.ral E.tat. TaK Return R.qulr.d
o 6. O.ced.nt Ol.d T ..lat.
IAlloch copy 0/ Willi
ALtiCORRISPONDINCl'AND CON.IDENT
H....
John E. McCann
U'HOH NUMIU
717 532-1.1.28
o 40. '"Iur. tnt.,..t Campram/..
Ifor dol.. 0' d.alh oh.. 12.12.B21
o 7. Dec.d.nl Maln/aln.d a L1'ilng Trull
IAlloch copy 0 Trulll
I,'J I ~RMAnON.. U
COM l 1 IUH ADD
11029 llurley Drive
Shippon:lburs, Fa.
Ol.caunl
+ +356.35
If L1n. 1911 great.r Ihan L1n. 18. .nl.r the dIK.r.nc. on lIn. 20. Thl.l. Ih. OVERPAYMENT.
Ii! 0
~
I
1. R.al E,lol. ISchodul. AI
2, Slack, and Bond. (Sch.dul. 81
3, Clollly H.ld SlocklPortn.nhlp Inlm.IISch.dul. q
~. Mortgog.. and NaIll Roe.lyobl. ISch.dul. 01
.5. Caah. 8an~ a.poll" & Mlacellon.oua h,.anal Prap.rty
ISch.dul. EI
6. Jolnlly Own.d Prop.rty ISchodul. F)
7. TronlflnISch.dul. OIISch.dul. II
B. Tolal Gran Au." (tolallln.. 1.7)
9. Fun.ral bp.n.... Admlnlmatly. COlli. Mhullan,oul
Exp.n... ISch.dul. HI
10. D.b". Mortgog. lIoblllll... lI.n'ISchodul. II
11. TOlol D.duc1'on.I'olallln.. 9 & 101
12. H., Volu. of E.lol.llln. B mlnu. lIn. 111
13. Charltabl. and Goyernm.nlal a.quIII' (Sch.dul. J)
14. N., Valu. Sub.et fa Tax (lIn. 12 mlnu. lIn. 13)
15. Spou.al Tran.',,, (for dot.. of d.alh ah.r 6.30.9.4)
5.. In'INetlana for Ar,pllcabl. Perunlog. an R.'i''''
Sid.. (Includ. 'ialu.. rom Sch.dul. K or Sch.dul. M.)
16. Amounl a. lIn. 1.& taKabl. at 6% ral.
(Includ. yalu.. from Sch.dul. K or Sch.dul. M.)
17. Amount of lIn. 1.& laxabl. at 15% rol.
(lndud. 'ialu.. from Sch.dul. K or Sch.dul. M.I
lB. Pr/nclpaf lax due (Add tax from lIn.. U. 16 and 17.)
19. Cr.dlt. Spou.ol POy.rty Credit Prior Paym.nll
_8. Tolal Number of 50ft O.penll 80u.
:
17257
111
121
131
(~ I ~ 5.088.11
IS I
161 19.110.07
171
(91 ';,1.11. ,0
(101
IB I $ 24.198.18
1111 5.1.13.30
1121 11',7I'l.I'8
(131 $ 11:,784.88
llAl
x._-
x .06- S 1.127.09
x .15-
(18) 1.127.09
(191 56.35
1201
1211 1 .070.71.
121A) a
121&1 1.070.71.
~
~
..
fl
l:l
..
20,
Check here if you orc requestmg 0 relund of your overpavmen,r.
I1S1
1161~ 18, 78l. 1'8
(17)
Inter..t
21. If lIn. 18 I. grealer than lIn. 19. .nler the diff.,.nce an lIn. 21. Thl.ls the TAX DUE.
A. Enter ,h.lnter'll on ,h. balance du. on Un. 21A.
B, Enl.. lho 10101 of lIn. 21 and 21 A an lIn. 21 B, Thlt I. ,h. BALANCE DUE.
Malct Ch.c!. 'ayahl. '01 R.gIII.' 0' Will., Ag.n.
'; . - , BI 5URE TO AN5WER ALL QUESTION5 ON REVER5E 51DE AND TO RECHECK MATH ll" '. - O\\.i:llRi. ,,,,,-
Under p.nahl.. of p.rjury. I declare Ihat I hay. ..IlOmin.d Ihlt r.'urn. Including accompanying tch.dul.. and .lat.m.nU. and 10 the b.., of my bowl.dg. and b.ll.f,
II II fru.. correct and campi. I.. I d.clor. Ihat all r.al .1101. haa b..n r.port.a at Iru. marl.t 'ialu.. O.c:Iarallon of pr.par.r oth.r Ihon Ih. p.nonal r.pre..nloIlY, It
baled on all/nformallon of which pr.par.r hat any ~nowl.dg..
IIQHAlUII 0' PlUOH IU,ON'I'U '01 'IUNO InUIH AODU" OAn
(1 / 11029 Hurle' Drive Shhnen:lbur... P~. 172 7 12/27/91..
0' ,ltt AIU or~.. 'HAH 1.,ItUIN'ATI'i1 ADDIIUS 010'1
<: " : 11029 Hurley Drive, Shipl'en:lbure, Pa. 17257 12/27/94
Ad '48 of 1994 provld.. for the reduction of the tax rates Impo..d on the net valu. of trand.r. to or for
the use of the spouse. The rat.s as pr.scrlb.d by the statute will b.,
. 3% (.03) will b. appllcabl. for ..tat.. of dec.den" dying on or aft.r 7/1194 and b.fore 111196
. 2% (.02) will be applicable for .ltat.. of dec.den" dying on or aft.r 1/1/96 and b.fore 1/1197
e 1% (.01) will be applicable for .stat.. of decedent. dying on or after 1/1197 and b.fore 1/1/98
. Spousal transfers occurring on or aft.r 1/1198 will b. ex.mpt from Inheritance tax.
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING A CHECK MARK k) IN THE APPROPRIATE BLOCKS.
YES NO
1. Old decedent make 0 transfer and,
o. retain the ule or Income of the property transferred, .......................................................
x
b. retain the right to designate who shall use the property transferred or Its Income, ...............
x
X
c. retain a reversionary Interelt; or ...................................................................................
d. receive the promise for life of either payments, benefits or care' .......................................
2. If death occurred on or before December 12, 1982, did decedent within two years preceding
death transfer property without receiving adequate consideration' If death occurred after
December 12, 1982, did decedent transfer property within one year of death without receiving
adequate consideration'................................................ 0.0.............................. t o.otIIIO.........
X
X
3. Old decedent own on 'In trust for' bonk account at his or her death'......................................
X
_ IF T~E ~S.WER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOlf,~USrc-CO~ETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
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I~V.ISOIIJ. (1.111
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
.
COMMONWfAUH O. PIHNS'fLV.ANIA
INHllnANCI TAX .nulN
IUIDINT DlelDINT
ESTATE OF
Stra:l3burger, !'.li.ry...
(All prop.rty loln"y.ewn..' with 'h. II,h' of Survlw,.hlp mutt II. dllclol.d .n Sch.dul. P)
VALUE AT
DATE Of DEATH
e 5,088.11
N~~~ER DESCRIPTION
1. S5M Certi1'icate 01' Del:03it 1'rol:l Dauphin Depo:lit Blink
Regi3tered Mary A. Stra33burger Irrevocable Burial Fund
Fogeldanger-Brtoker Funeral Home
TOTAL Allo onlor on IIno 5, Roco
(Ana(h addltlonal8W' )( 11" ,h..III' mort 'poc.11 n..d.d.)
UV.UOOU+ P,UI
SCHEDULE "'" I
JOINTLY.OWNED PROPERTY
PILI NUMBER
COMMONwrAlT~ o. ,(NNSYLVANIA
INHIIUTAN I TAl IlWAN
aUIDIN DICtO NT
ISTATI or
Stra:l:lburger, ~~rj ~.
Join' ,.nan.(.).
NAME
A. J\rlAne D. !.:oCann
ADDRESS
11029 Hurley Drive
5hippen;l:urg, Pa. 17257
RELATIONSHIP TO DECEDENT
Duughter
B. Debbie McCann Le~r
10e Ridenour Street
ClLlrk:lburg, 1\. Va. 26301
Orc.ndllughter
c. John ... HcCnnn
11771 Oehr Road
hayne:lborc, Pa. 17268
Orand:lon "
Joln'ly..wn.d praperty.
ITIM LmER DATI
POR TOTAL VALUE DECO'S DOLLAR VALUE or
NUMBIR JOINT MADI DESCRIPTION or PROPERTY or ASSET '"'INT. DECIDENT'S INTEREST
TINANT JOINT
1. I. 1/2~/eO CheckIng J\ccount #97540765 S 9,940.91 50 S 4,970.46
Dauphin Depo:lit Bank
Harri:lbur{;. 1'0.
2. A 3/4/83 Certificate of DeFo:lit 11,Oee.15 50 5,544.Ce
#427164
9/2/83 Dauphin Depo:lit Bank, Hbg.
3. A. Certificate of Depo:lit 5,039.45 50 2,519.72
#4291E7
3/1./64 Dauphin DepO:lit B~nk, Hbg.
I.. B Certificate of Depo:lit 1,007.26 50 503.63
iW4331.
Daul'hin Depo:lit Eank, Hbg. -
5. 0 3/4/<4 Cert,ificate of Depo:lit 1,007.26 50 503.63
,l43431.2
7/5/91 Dauphin DlJl'o:lit Eank, Hbg.
6. ^ Certificate of De~o:lit 10.137.10 50 5,06e.55
" #433693
Dauphin Cepo:lit B~nk, Hbg.
TOTAL (Alia .n'or on IIn. 6, R.copltulotlon) 519,110.07
(If mort .pace i. n..d.d in..rt additional .h..,. ol.om. sIu}
",,' ;,;.:.",~:-.;,;.':""..,.,.-~ ;"'"" ~~ ,~-.
at'll>lSlllh 17.111
~r!"'~1\
-$ffJ;,.;
COMMONW!AUH 0' 'INNSYLYANIA
INHUltAN(1 'A. lnUlN
USIDIN' DleEDINT
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
Ploa.o Prlnl or T 0
StraJJburger, ll.nry i..
ITEM
NUMBER
A. Funoral Expon.o..
1.
B.
DESCRIPTION
FogelJanger-Brioker Funeral lIomo, Shippen:Jourg. Prof. ServiceJ
Shull-Koontz MemorialJ, Cha~berJburg, Pa. Granite foot marker
Cre:J:Jler '3 Fruit l.brket, Shippen:Jburg. Food b11l for reoeption
at Prinoe St. U. B. Church following funeral :Jervice.
1.
Admlnl'lrallvo Ca.I.,
Po..anal Repro.onlatl.o Camml..lan.
Social Security Numbor of Po..anal Rop,e..nlatl.e,
Voo, Commls.lon. paid
2. Atta,ney Foe.
3. Family Exemption
Claimant Relatlan.hlp
Add,e.. 01 Clalm~nl a' decodenl" dealh
Sl,ee' Add,e..
Slale Zip Code
CI'y
4. Prcbale Fee.
C. MI.collanoouo Expon.o..
1.
2.
3.
4.
5.
6.
7.
8.
TOTAL (AI.o enle, an line 9, Recapitulation)
(II ma,o .poco I. n.oded, In.ort additional .h.ol. 01 .amo .1.0.)
AMOUNT
$ 4,993.40
341.CO
78.90
s
5,413.30
_._' ..-_......4.....^... '....
Y,._".~. . . '
------------------------------------------------
~,..'''-..w:.ti':'....:lc~ --.~:~<1i."-_..:.,,";:;;- " -::.:~';".'.::-;:'" "j":: "',, <,-" -Co? -- '.;-'i' .':<
(l;iJW,;L;i~A,;;~ '0<:2';"2'/18", '4' ;'0'::' ,',i'-COMMONWEALTH OF PENNSYLVANIA
D..o.'", ,,' .'.. ' '
,.~ """ ..",' , , ',:". " , , DIP"R'lMINT OP RIVINUI
~~~,~~ i.~~:'; ;~;/:;'O"ICIAL RICEIPT,. PENNSYLVANIA INHIRITANcl AND ISTATI TAX'
W'
. llI'
.
" . .....
RECEIVED FROMI
I
ACN
ASSESSMENT Il'
CONTROL 1:,1
NUMBER
AMOUNT
ARLENE D. MCCANN
101
.1.070.74
110B9 HURLEY DR.
SHJPPENSBURG. . PA 17e~7
_ 'OlD Hflf ICHO Hflf ..
SSN
IfIRST)
A
1~9-09-0~3B
MI)
m TOTAL AMOUNT PAID
SEAL
CHECK" 1073
RECEIVED BY
(j
REMARKS
ARLENE D. MC CANN
REGISTER OF WILLS
------------------------------------------------.-
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~REV"1547 EX AFP (12-941
COHHOHWUl HI OF PUtHlYlVAHIA *'
DEPAA1HEHI Of A[V[HU[
BUREAU or IHDIVIDUAl "MES
DEPf. IIDUI
IIARRIIlUAG, PA l1UI.aUI
1./
./01,
ACN 101
-"
NOTICE OF INHERITAHCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT DF TAX
DATE 03-20-95
FILE NO.
DATE OF DEATH 11-21-94 COUNTV CUMBERLAND
NOTE, TO INSURE PRDPER CREDIT TO YOUR ACCOUNT. SUBHIT THE UPPER PORTION OF THIS FORH WITH YOUR TAX
PAYHENT TO THE REDISTER OF WILLS. HAKE CItECK PAYAeLE TO "REDISTER OF WILLS. ADENT"
REMIT PAYMENT TO:
JOHN E MCCANN
11 029 HURLEY DR
SHIPPENSBURG PA 17257
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
AMOunt R..ltt.d
l
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR VOUR RECORDS ~
ii'iy: i!;4-j"iX"AW"iiZ":94T"NOYiciUOF""iNHiiiifAHCE" TAx"iippi iliiiiiiiEili'",-"ALi."OWANcE"iilimmm--------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF STRASSBURGER MARY A FILE NO. 21 94-1078 ACN 101 DATE 03-20-95
TAX RETURN WAS, (X l ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL
1. R..l Eat.t. (Sch.duh AJ (1)
2. Stock. and Bond. (Schedule BJ (2)
5. Clo..1~ Hald stock/Partnership Int.r..t (Schedul. C) (3)
4. Horta.D.I/Not.. Receivabl. (Schedule DJ (4)
S. C..h/Bank Dapollt.'Hllc. Parlonal Property (Schadul. E) IS)
6. Jointly Owned Property (Schedule FJ (6)
7. Tranlfar. (Schedule OJ (7)
a. Total Allah
CHANOED
.:1('1
C .-
:1 n'
,~
, .00 cr
,DO ~o
,00 -
.00 --.J
5 .088. II ~~
19.1H'.07 \0
)~;':'_oo 8
(BI
24.198.18
01
.J.J
:11(\1
I? r~
,I",
ij,'(l
APPROVED DEDUCTIONS AND EXEMPTIONS I
9. Funeral Expan.../Ad.. Co.t./Hllc. Expan... (Schedule H) (,)
10. Dabts/Hortglg. liabiliti../Uana CSchedula U 110) .00
11. Total Deductions C11)
12. Nat Value 0' Tax R.turn (12)
IS. Charitabla/Govern..nt.l a.qua.t. (Sch.dull J) CIS)
14. Hat Value of Eat.t. Subjact to T.~ (14)
NOTE: If an assesBment was issued previouslY, lines 14, 15 and~or 16, 17 and 18 will
reflect figureB that include the total of Abb re~urns assessed to date.
ASSESSHENT OF TAX:
IS. A~ount of Lina 14
16. A.aunt of Lina 14
17. A.aunt of Lin. 14
18. Principal T.~ Due
TAX CREDITSl
PAYHENT
DATE
12-27-94
5.413.30
;,413 30
18.784.88
,00
18.784.88
at Spou..l r.t.
tl.able at Lin..l/CI... A ,.at.
tlKable at Coll.t.,..l/Cl... 8 r.t.
.00
18.784.88
.00
.00
1.127.09
.00
1.127.09
IlSl
1l6l
1l7l
X.03.
X .06.
X .15.
I1Bl
RECEIPT
NUHBER
AA022640
DISCOUNT
INTEREST
AHOUNT PAID
(+l
I-I
56.35
1.070.74
. IF PAID AFTER DATE INDICATEO. SEE REVERSE
FOR CALCULATION OF AODITIDNAL INTEREST.
TOTAL TAX CREDIT 1,127.09
BALANCE OF TAX DUE .00
INTEREST .00
TOTAL DUE .OO~
IF TOTAL DUE IS LESS THAN '1, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CRI. YOU HAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS. I
RESERVATION I E.t.tl' of d.cldlnt. dylng on or blfar. Olc..blr ", 1'.' .. If any future lnt.r..t In thl I.t.ta I. tr.n.f.rr.d
In po.....lon Dr .njav..nt to Cl... I (coll,t.r.l) b~flcl.rl.. of the d.cldant Iftlr thl ..plr.tlon of env ..tat. for
llf. or for VI.r" the Cu..onw..lth h.raby ..pra..lv ra.lrv.. the rlGht to .ppr.l.. end ...... tren.f.r Inh.rltancl T....
.t the lawlul CI... I (coll.t.r.l) rat. on any .uch lutur' Int.r..t.
PAVltEKTI
Detach the top portion 01 thl. Hotlc. .nd .ub.lt wlth your Ply..nt to the R.gl.t.r 01 Wlll. prlnt.d on thl r.vlr.. .ld..
."Hake ch.ck Dr .on.v ordar plv.bla tal REGISTER OF HILLS I AGENT
All plv..nt. r.c.lv.d shall Ilr.t be appll.d to any Inter..t whlch a.v be due with anv ra.alnd.r .ppllad to the t...
REFUND (CR)I A r.lund 01 . ta. credit, which wa. not rlqua.t.d on the T.. R.turn, .IY b. r.qu..tad by co.pl.tlnl .n "Appllc.tlon
lor Rafund of Plnn.vlvanla Inh.rltance end E,tate 'a.- (REV"ISI}). APpllc.tlon. .r. av.llabla .t the Ofllc.
01 the Regl.t.r 01 Will., anv 01 the IS Rev.nua Ol.trlct Ol,lce., or bv c.lllng the .p.elal 2'~hour
an.w.rlng ..rYlca nuab.r. for for.' ordarlnll In penn.vlvanl. 1"100~36'-'OSG, out. Ide Pann.ylvanla and
withIn local Harrl.burg ar.. (717) 111"1094, TOOl (117) 112"2152 CH..rlnl llpalr.d Onlv).
To 'ul'lll the rlqUlr...nt. of s.ctlon 1140 of the InherItance and E.tat. T.x Act, Act IZ 0' 1991. 12 P.S.
s.ctlon 214G.
PURPOSE OF
HOTlCE I
'i
t'
OIJECTIONS' Any p.rty In Int.r..t not ..tl.fl.d with the .ppt.l....nt, .110wancI or dl.allowance of d.ductlon., or ........nt
of t.x ClnclUdlng dllcount or Int.r..t) a. .hown on thll Hotle' au.t obJ.ct within .I.ty (60) d.yl of r.c.lpt of
thlt Hotlo. b,n
".wrlttan prot..t to the PA D.parta,nt of R,vanua, ao.rd of ApP..I., D.pt. 211021, Harrllbutg, PA 1112.-1021, OR
....l.ctlon to h.ve tha ..tt.r d.t.talnad at .udlt of the account of thl p.r.onal r.prl..nt.tlv., OR
....Pp..l to the Orphan.' Court.
ADltIN
IITRATlVE
CORRECTIONS I
INTEREST I
Factual arror. dllcover.d on thll ........nt .hould b. addr....d In writing tal Pi D.p.rt.ant of R.vanua,
Bur"u of Individual T..al, ATTNI po.t AI......nt R.vllw Unit, o.pt. ,a0601, Harrl.burg, PA 111'a-0601
Pnon. (111) 71'.6505. S.. P'O' S of the bookl.t "Instruction' for Inh.rltanc. T.M Raturn for. R..ldant
o.c.d.nt" CREY-1SOI) for an ..plan.tlon of .dalnl.tr.tlv.1Y corrlctabl. .rror..
If any t.. due I. p.ld within thr.. CS) cal.ndar aonth. .ft.r the dlc.d.nt'. daath, a fl~. p.rc.nt CSX) dl,count of
thl t'M p.ld I. allow.d.
Int.r.lt II chargad b.glnnlng with flr.t dlV of d.llnqu.ncy, or nln. (9) .onth' and on. (I) dav fro' the d.t. of
d.ath, to the d.t. of p.v..nt. T.... which b.c", d.llnqu.nt b.for. Janulry I, l,a2 b..r Int.r..t .t thl r.t. of
II. C6X) Plrc.nt p.r annul calculat.d It a dally rat. of .000164. All ta... which b'c,,' d.llnquent on and .,t.r
Jenu.rv I, 1'12 will bllr Int.r..t It a r.t. which will vary fro' cII.nd.r y..r to c.l.ndlr y,.r with that rat.
announced by the PA o.partsant of R.vanu., Th. IPpllc.bla Int.r..t rlt.. for 1982 through 1995 ar'l
~ Int.nd Rata Odly Internt F.ctor ~ Int.,..t R.I. D.llv Intar..t F.ctor
"az zoX .OD051t1 19.' 'X .000241
"U 16X .aDDU' "la.I991 llX .OODSOI
"" IIX .000301 1992 'X .000247
1985 nx .000556 1995.1990\ 'X .000192
1986 lOX ,DDOU" 1995 'X .OOD247
".Interllt Is c.lculated .. followlI
DISCOUNTI
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-",
l'
~\
::,'1
~: I
, I
~; I
'~- \
INTEREST . BALANCE OF TAX UNPAID X NUnBER OF DAYB DELINQUENT X DAILY INTEREST FACTOR
--Anv Hotlca I..u.d .ftat the tl. blcoa.. d.llnquent will r.fl.ct .n Int.r..t calcul.tlon to flft.ln CIS) dayl
blyond thl d.t' of thl ........nt. If p.vaant I. .ade aft.r the Int.r..t cOIPut.tlon dlta shown on thl
NOUC" addition. 1 Interllt lIU.t bl ca1cul.tad.