HomeMy WebLinkAbout94-01088
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I>>ETITION FOR 1>>IWnA TE und GltANT OF LETTEltS
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BIII/" 01 (;tlARLli~ A. GoO>>
111.1'0 k'I<lIl'1I 11.1'
Nu,
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Rcghlcr of Wills for Ihc
, 11<""'11,1"1'11, ('ullllly uf _C1IH'lC" 'J'''oI.D III lhc
Soe/III Srl'llrl/y Nil, _I~j~ - "'LL~ ('ulluuullwclllth uf I'ClIlIsylvlIlIl1I
Thc pClltlollof Ihc IIl1dcrslgllcd rcspcclflllly rcprcsclIls IluII:
YOllr pClltlollcr!s), who Is/_IN YClIrs of IIgc ur oldcr IIl1lhc cxccul.K.I~.
IlIlhc IlIst will of lhc IIbllVC dcccdcm, dill cd f,f!prI!110o!R. :u ......
IIl1d codldl(s) dUlcd "'o!la
lIumcd
, 19J{j_
('IRIC rdruUlI drCIII1l\lnlU'C\. C.l!:. rrllllm:hlllun. deruh 01' c,('('uICIt. CIC,)
DccClldclI1 WIlS domldled III dcmh III eu"'6J:1\1-A""J1
II 1$ IlIsl fllmlly or prlldp"1 rcsldcl5:.Nl,r CA
5':1. ~.J!.TT4NWD~ RW's ut
(Ihl \lreet. IIl11l1bcr und 1Il1l11dpalil)')
('lllllllY, l'cllllsylvlIlllu, with
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Dccclldem, IhclI-,-';1.2__ YCllrs lJ! lIgc, died v Fc.(7~~ I:z. ,19 q4-
al~tU../S"1!. l"'lIi~lrA" ~1t""S". Cv~'i'(\~""b CO; e& .
Exeeplus follows, dccedclIl dld~\l)lmllrry, WIIS 1I0t divorced IInd did 1101 hllve II child borll or IIdopled
lifter execullollof Ihe IIIII0ffcrcd for probme; WIIS 1I01thc vlcllmof II killing IIl1d WIlS IIcvcr IIdjudlealed
IlIcompelelll:
Deeelldelll nt delllh olllled properlY with eSllmlllcd vlIlllCS os follolls:
(If domlellcd III I'll.) All pcrsolllll property
(If 1101 domiciled III I'll.) I'ersolllll properly III l'ellllsylvlIlIllI
(If 1101 domiciled III I'll.) I'ersolllll propcrty In Coumy
Vallie of rcal eslllle In I'cllllsylvlIlIllI
sltullted os follows:
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WHEREfORE, pClltloner!s) respeelfolly
presellled herewith IInd Ihe Sllmlof lellers
theroo,
reqocSI(S) Ihc probule of lhe lost will 1Il1~ iJ I' 'I(n)
-rilZ'rA f'ou"f/J,..ofl'l
(IC\ltUlIt'lUl1r)'; Ullmlnl\lralhll1 \,',1.11.; ndmlnl\lUlllun d.b.n.c.l.a.)
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OATH 01< PEltSONAL REPRESENTATIVE
COMMONWEAI.TH OF"ENNSYI.VANIA } 1:18
COUNTY OF CVM~61ll.,6t.U>
The pelltloner!s) IIbol'e-numed swear(s) llIlIrnrm(s) Ihm Ihe Sllllemcnls In lhe forcgolng petltloll arc
Irue IInd correellolhe heslof Ihe knowlcdge ulld bellcf of pelllloner(s) and lhlll liS persollal represen-
IUllve(s) of the IIbove deeedenl pelllloner(s) will well and truly udmlnlslcr the estllle accord Ins to low.
Sworn to or IIrnrmed and subscribed { ~11 . . ~~.l!. '&~../ I!>
before me Ihis _;:to T' dllY or --1f ~ ..'
J'Jf} ~J'tdQ" F-~ 19,$74f~ il
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N 21 - 94 - IOBB
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Estate of
CHAI(I..I?S A, Gon"D
I Deceased
DECREE OF PROBATE AND GRANT OF LETTERS
AND NOW DECEMBER 29. 19~, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the IlIslrumellt(s) datcd Sil.Prfr... lito( :1.3. 1<11'9
deserlbed therein be admitted to probate and n1ed of record os the lost will of
C,HAItLIS A. Goo:])
-r,,~ rA..." ""roil "
V"Il.IO'N''A la, lSRVlolliR
and Lellers
are hereby graated to
FEES
Probate, Lellers, Etc. .....,... S
Short Certlneates( 3) , . , .. . . . .. S
Renunciation ........,....... S
X-Pages
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50.00
9.00
R....r.:otT' -:r.-'-~ - 7/2.7
ATTORNEY (Sup. el. I,D, No,)
331 ,.J, VI T!- s. ell..." 1-\...., p".
ADDRI!SS
7/7--'3"7.t:f~81
PHONE
Filed
3.UU
5.llll
TOTAL _ S 67.00
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Mailed letters and order to attorney on 12-29-94.
This is HI rerlll)' Ih.1l lhe illrlll'lI1;1tilln hL'fl' ,.;i\'('1I is l"IlI I l'l II)' ('t'l'l(.d Inlll1 .i11 tlri~ill.t1 l(..rtifinlll' ollbllh duly rilt'd wid. me.Hi
1.00.';11Ite~islrar. Till' 01 igin.&Il'crI ificlll' will he Inrwardl:d It I tht' Stall' Vil,11 H,'ulld, ()ftin' lor I1l'I"II1,1 111: 11 1 mil1~.
WARNING: It 's IlIogollo dupllcato Ihls copy by photostat or photograph.
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Pee (or thi, u:rtirlcllU. S2.00
2684175
No,
.________.JI!_~_~_!~,_.___
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COMMONWIALTH OF PENNSYLVANIA' OEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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I, Charles
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Yo<
17,22
Altoona Pa
ITY l'IlIlII~~__II'd~
CarHale
Sutliff Chevrolet
DlCaIrlHT'aWAlL>>tQADClNU""....~....I"'CcMt DlClDIHf"
52 Buttoowood Lane ~~
Carlisle, Pa 17013 ~..-:=--
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6916
OR'Uf'DINlt~o.'''1
., Decenber 12, 1994
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, Ma A. Rohrer
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824 Llsburn Road Camp Hill, Pa 17011
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ner
15 1994
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21 - 94 - 1088
REGISTER OF WILLS 01<' COUNTY
OATH OF SUBSCRIBING WITNESS
codicil
(each) 0 subscribing witness to the will presented herewith, (each) being duly quallned aeeordlng to
low, depose(s) and say(s) that present and sow
the testat , sign the some alld thai signed os n wllness at the
request of testa' In 11- presence and (In the prcsenee of each other) (In the presence of the
other subscribing wltness(es)).
Sworn to or affirmed and subscribed bcforc
me this day of
19_
(Nome)
(Address)
RegIster
(Name)
(A ddress)
REGISTER OF WILLS OF CVM6t=RI..AN.J> COUNTY
OATH OF NON-SUBSCRIBING WITNESS
H4~0~ J. I~~"""'o!:'( ~>V..!J !?ol)/l!l"T ::S.7"'"ruc:..c<"
(each). ~ subscriber hereto, (each) being duly qualined according to low, depose(s) and say(s) that
familiar with Ihe signature of C:IlA,aliS A. Gooll,
emI+eit
will presented hercwlth and
codicil
believes the signature on thc will Is In the hnndwrltlng of
believes Ihe signature of Ihc will presented herewith and that
llellleil
\lelieves the signature on the will Is In the handwrlling of ell SQI...ES A. Go 00)1
to the best of knowledge and bellef.~,c,~ /J (~.
.,...,.-' ,(l?kJ:J{!C' tJ~....v,'~~
Sworn to or affirmed and subscribed before A-6C ....)> ':r. d'(fYN7~"
me this ::2a ,r{, day of (Name)
'-~"o,~W' llfu 19~ ~ /.,. 'IV"'" IV> .4", J'," U;"" 1;'11, /..
( ',Xih1'^ ".~ ,?'l. t::'-:I~ A-~_ ~ressY..-1"""""
A C. LEWIS f ReglsterL U /i'..~ c...,.. lcf,----... .irA cd
(Name)
3~1 AI, ~~~ Sr (04""1' loJll.'-. 1';:)
(Address)
testal
of (one of the subscribing witnesses 10) lhe
that
testa' DIt
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CERTIFICATION OF NOTICE UNDER RULE 5.6(a)
Name of Decedentl
CHARLES A. GOOD
Date of Deathl
December 12, 1994
Will No.
2194-1088
Admin. No,
To the Registerl
I certify that notice of beneficial interest required by
Rule 5.6(a) of the Orphans' Court 1\ules was served on'or mailed to
the rollowing beneficiaries or the above-captioned estate on
January 3, 1995 I
~
Virqinia G. Brvner
Richard D. Good -32841
Address
R?i1 T." j::Ihl1....n 1)1'1 !'lpt 510. ~3mp
Chatham Lane, Franklin Michigan
lIi11, 1'a
48025
17011
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except NONR
Datel January 3, 1995
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/<..:.".~ ;;l~'" /j\ / "1.'.. J.<t-
Signa;ure (,
Name Robert J. Trace, Esq.
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Address 331 N. 28th St
Camp Hill, PA 17011
Telephone(71'll 7':l7-QI;Rl
Capacity:
persona~ Representative
Counsel for personal
representative
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ACN 101 (~
RIV-1607 IX AFP (12.95*
COHMOHWEAlTH OF PENNSYLVANIA
DlPAATftfHT OF REvtNUE
IUREAU Of INDIVIDUAL TAXEI
orp,. ZlD6Ql
HARRISBURG, p, 171'1-0601
INHERITANCE TAX
STATEMENT OF ACCOUNT
DATE 03-18-96
CUT ALONG THIS LINI ~ RETAIN LOWIR PORTION FOR YOUR FILlS .....
iiili: iijifi-ix-"iij.-..iiz:9ifi......-.iii;-iilifiJii'TANC'E-i'Aii'"Si..li'fEH'ENi'-oF.AcciiiiN'fni;..--....._...__......_n-
GOOD CHARLES A FILl NO. 21 94-1088
DATE OF DI!ATH 12-12-94 COUNTY CUMBERLAND
HOTE. TO INSURE PROPER CREDIT TO TOUR ACCOUNT, SUINIT THE UPPER PORTION OF THIS FORN WITH TOUR TAX
PATNENT TD THE ADDRESS SHOWN, NAXE CHECX PAT ABLE AND RENIT PATNEHT TO. "
ROBERT J TRACE ESQ
331 N 28TH ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CD COURT HOUSE
CARLISLE, PA 17013
DATE 03-18-96
PAYMENTS (TAX CREDITS).
PAYMENT
DATE
03-31-95
05-30-95
RECEIPT
NUMBER
AA022995
REFUND
DISCOUNT (+)
INTEREST (-)
.00
.00
2.137.32
1.87-
A.aunt R..Ut.d
ISTATE OF GOOD CHARLES A FILl NO. 21 94-1088 ACN 101
THIS STATENENT IS PROVIDED TO ADVISE OF THE CURRENT STATUS OF THE STATED ACN IN THE NAN ED
ESTATE. SHOWN BELOW IS A SUHHART OF THE PRINCIPAL TAX DUE, APPLIeATIDN OF ALL PATNENTS,
THE CURRENT BALANCE, AND, IF APPLICABLE, A PROJECTED INTEREST FIGURE.
DATE OF LAST ASSESSMENT DR RECORD ADJUSTMENT. 05-30-95
PRINCIPAL TAX DUEL 2,135.45
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUI
INTEREST
TOTAL DUE
2,135.45
.00
.00
.00
. IF PAID AFTER THIS DATE, SEE REVERSE
SIDE FOR CALCULATION OF ADDITIONAL INTEREST.
C IF TOTAL DUE IS LESS THAN .1,
NO PATNENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" ceRI,
TDU KAT BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOR" FDR INSTRUCTIONS.
.
..,.._.....~"
,
'.
5(J
PAYltEHTI
DetKh tM top portion 0' \hit Notlc. W1d luMlt with your paY"f'!t .... PI._.I to the MH WId ICIdr...
printed on the rIYI,... .J~.
If ftllDENT DECEDENT Aka ehHk or __v order ...... tal REGISTER OF WILLS, AGENT.
If NON-RESIDENT DECEDENT uk, checI( or aoney or'" ...,1Ib11 tal CottttONWEALTH Of PENNSYLVANIA.
All pIYMf\h received 1M1l be applied fint to ." lnt.,...t ""'lch IMIV be dull with MY ,....lnder ."lIed to thI tax.
REf\IHD (CAJI A nflnl of . tlM credit, which .... nat ,...,..ted on the Ta" Alturn, -v be requlIItM by cOIlPlaUng ..,
RApp11cltlon for R,fund of P~.ylv.nl. Inherlt~ WId E,tat, riM- (REV-ISIS). ApplIcation. .r. Ivallabl. .t
the a"lcI of the R'I.,tl,. of Willi, .ny of the ts a...nue DI.trlet Offlc.. or fr~ the u.plrt-.nt', Z4-hour
en.verlne ..rvlcl ~r. for lor.. orderlngl In Penn.vlv~l. l-aaa.S6Z-ZD50, out.l~ Penn'rlvenl,
Ind within 10cl1 Harrlsburl .r.. (717) 7'7-1094, lDOI (717) 7fZ-21S1 CHe.rlng 1~.lred only).
REPLV TOI DUIIUon. reg.rdlng arror. cont.ln~ on thlt noUn ahould .. IIddr...'- tOI PA o.p.rtunt of R...,...., Iura....
01 Indlvldu.1 TaM", ATTHI Po.t A.....-.nt Ravlaw unit. Dept. Z10601, Harrl.bura. PA 171'1-0'01. phona
(717) 717-6505.
DISCOUNT. II any taM ~ 1. ~Id within thr.a ()) c.land.r .onth. .,tar the dacadent'. death. . Ilva p.rclnt (5X) dl.count
0' the t'M p.ld I. .Ilowed,
IHTtRflTI Int.r..t I. chlrged beginning with Ilr.t dlY of ~llnquancy, Dr nlna (,) IOnth. and one (I) day 'r~ the d.ta 01
d.lth. to th. dlta 01 Ply.ent. TaM" which bac... dallnquant b,'ora January I. 1'1' be.r Int.r..t at the rat. 01
.1M (6jU p.runt p.r ~ calcuhtlMi at a d.lh ,..t. of .DOOI64. All la.1I which bee... ~llnquent on and alt.r
J~.ry 1. 1'1' will b..r Int.r..t at a rat. ~Ich will v.ry froa c.l~r y..r to calandar y..r with that rlt.
announced by thl PA D.p.rt-.nt 0' A.venua. Tha appllc.bla Int.r..t rata. 'Dr I'IZ through I'" .r'l
V..r lnt.r..t Aata Dilly Int.r..t Factor V_ Int.rllt Alt. Delly Intara.t Factor
1912 ..X .000541 191' 'X .00U"7
1915 I6X .000411 19&1-1991 11X .D0050l
191" IIX .0DDSDl "" OX _000l47
.915 I5X .000556 1m-I'" n .000192
1916 lOX .DODZ14 1995-1996 'X .ODOl"7
--lntarllt I. calculatad I' followlI
INTEREST . BALA/fCE OF TAX UNPAID X NUIIBER OF OA YB aELINQUEHT X DAILY INTEREST FAc:TlIR
--Any Notlcl I..ued a't.r the taM bec~. d.llnquant will ra,lact an Int.rll' calculltlon to fllteen (15) dlY.
blYond thl d.ta 0' the .......ant. If PIYltlnt It __ aft.r the Intarllt cu.putaUon data .howl on the
NoUn. Iddltlon.1 Int.r..t ...,.. b. c.lcul.tad.
.,--.
--......,
!!l!L_-----.- ----.----'--- .------.-------- -.- --- - - - - - -----
.f,f.;",ff".Jt,~;,::~,.~;;;.".,,;.i .........i.. .i. . . I
f'J1N~~.\t%!i:~!""EA.L'I1l0'.,..."5YLVA"'A .a.;,LIIi....,..1 \
~~~)~f!~if~~~.~\.~~ri:".;.K".K.ISTA1IiA>< ~. I
,
I
.',"'" .. ,
D ACN m
RECEIVED FROM. ASSESSMENT AMOUNT
CONTROL
NUM8ER
. ,
TRACE ROBERT J 101 se,137.a
331 N e8TH ST
. CAMP HIl.l. PA 17011 , -
,
E'TATE INfORMATION. 1
fm tilfMIER el_lfifi4-10BS SSN lBfi-1B-bfilb
NAME Of DECEDENT }"'Tl IfIR'TI 110111 -
GOOD CHARl.ES A
. DATE Of PAYMENT
03/31/fi:5 ,
POSTMARK DATE
.- ._^ ,
COUNTY
CUMBERl.AND
DATE Of DEATH \
lene/fi4 .e,137.3
.
\ '
\
I
\
\
e
,~';
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. ',QlDHII;
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OlD Hili ~
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~;;:-
I""
'i1'.
,1'-;
);
L:
!-'
+:
y..
m TOTAL AMOUNT PAID
e
DO
REMARKS
VIRGINIA G BEVNER
c/O ROBERT J TRACE ESO
CHECK" eB3fi
~~.~..,..,_ -ce."''''' ",,... ~ _ _ ~ _ __ ~ ~ - - - - - - - - - - -- - - - -;-.-::::::--:-: - T
Ii , . ~.. ~
-I' "
"'.; .."~\' .
'. .
. ':l ,..... .t,
REGISTER OF WIl.l.S
RECEIVED 8Y} 41' '~ \... . .J: n" .
( "GN.'UR~. l. ) \
MARV C. l.EWIS p.. illJl f,\,' "\
REGISTER OF WIl.l.S
SEAL
tlj.
.~
,
I. . '!
.' ,
ii
,
~, :-.
I' -, ...'
': . t,
.f
I
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f
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..
. ~_. '..' ~.. -- -- ~ ...
"'.-----
I ----.-..*--
-..,. "'I'l
~ "7, }.
-.i
If I',~ 13
E
7'11'
jJ- /- i'
15
~
Q
15"- (, - 13
[Ill NUMBlR
1,\,~9 INHERITANCE TAX RETURN
"~~~.i(\ RESIDENT DECEDENT
COMMONWIA"H O. P1NNIYIVANIA (TO BE FILED IN DUPLICATE
Dfr,U'MENf 0' UV[NU(
HA'M1S~J:bJ~n\"06O' .. . WITH REGISTER OF ~IUSL__, Co,UNTY_COOI _
Iii t;A'M-r \1-'" -~'~-At-H),.\IIjl'lll.'.J.riA.il+':""';";~. -.. . 6fU6flH'SCOMPUH ,a,OOAlU
22 Buttonwood Ln
locr.PI9c?I?r'''UM"rHARLES 'I{}oAII0' orA'H, 10."00.',.1,,---- carlisle, PA 17013
1~_:.-=-~-69 ~~,___ __ __12-12-94 .u_ 8,:,~ 7-2_~'_n' c''''!,<:'l1.-fo!BERLAND
b(J 1. Original RO'urn 1'1 2, S'pplomon'al Ro'urn [I 3, Romalndor Ralurn
(lor da'o. of doa,h prior 10 12,13.82)
IJ 4. L1mltod Ella'o L J 40, ",,,. Inlor..' Campramho 05, Fedorol E,'a'o To.
tfor dalo' 01 death oftor 12.12.02) Return Required
o 6. Docodont Dlod Ta,'ole IJ 7. Dludonl Malntalnod 0 living TruI' Q.S. Total Number of Solo Depollt 00...1
IAllach co y 01 Willi _ J~I~~~PY 01 Trulll
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO.
tmJr. -j;OMPUIl MAlliN" "'DORlU
Robert J. Trace Es. 331 N. 28th St.
mW,ONrmJMn. ~--g----- ---- Camp Hill, PA
( t n '___
aEV-I!OO U'... 112.B81
21--94--1088
~
~i!~
02--
....
..
<(
YI!"R
NUMBER
115
~Q
"z
82
17011
-~Q= .
'1 " 151
I;
:0..11
\,' ~
~.. \.)
..-"
"'. t~.
C'
z
o
3
E
~
..
1. RoalE,'alo(Schodul.A) (11,-.,..,--,..--,-,-,-,-
2, Slach and Band, (Schodulo BI ( 21 n .___....______
3, Cla,oly Hold Slacl/Parlno"hlp In.oro,'(Schedulo C) (3) u____,_. __"n___.___
4, Marlgago. and NOlO' Rocelvablo (Schodula 01 ( 4) ,q"",__u
5, Ca,h, Bonk Dopa,lh & Mlleollanoau. Po "anal Praporly( 51-16,,330.81-.----,-
(Sc.odulo E) ,
b, Jalnlly Ownod Praporty (Schedulo FI
7, Tran.fo" (Schodulo G) (Schodulo LJ
8, T 0101 Gron AllOh (Ia'alllno, 1.7)
9. Funeral hpenl8l, Admlnhtrollve CO~II, MhcellaneouI ( 9) --2,094.46---
hpon... (Schodulo HI
10, Oobh, Marlgago lIabllltle., Lion. (Schodulo II (10) __
II. Tolal OoduCllan, (Ia'alllno. Q & 101
12. Not Value of ellale (line 8 mlnulline 11)
13. Charitable and Gavernmenlal Bequelll (Schedule J)
14. Nel Value Sublect to Tax (line 12 mlnulline 13)
15. Amount of line 14 taxablo 01 6% rote
(Includo valuo. Iram Schodulo K or Schedule M.I
16. Amaunl of line 14 lalCoble 01 15% rate
(Indude value I from Schedule K or Schedule M.)
17. Principal lax due (Add 10lC from line 15 and from line 16.)
18. Credih Prior Poymenh Oilcounl Inlorell
_____~_ + __..______.___~..._ _~_____.m__.._____
19. If line 18 'I 9roaler than line 17, enlor tho djfference on line 19. Thll II Ihe OVERPAYMENT.
Ii!
20. If Iino 17119rooter than line 18, enter tho difference on line 20. Thll i.lho TAX DUE.
A. Enter the lnlerell on the balance due on line 20A.
B, Enlor Ih. 10'01 01 Hn. 20 and 20A an Hno 20B, Thl, I, ,ha BALANCE DUE.
MaSee CheeSe Payable tOI Register of Will., Agent
(20) -2,-135.45----
(20AI ________,___uu_,
(20BI ____'"'''''_____..,
..'
,t.
.0
L>'
~
r ,
'.' "U
'" .',)
:ur'
)>;:t ...
""
~ .~. ()
.;
~_ \J
-';i.;J
v;'. 0
~
( b) _-=--_____
( 7) __u____.
( 8) --L6_,_;3_=lil.,J!L_____
(111 -2,,094,. 46-m- --,-
(121 _1.'1,236,.35____ .
(131 _=-____
(141 __l!l,236 .35,
(151 ____,____=_,,-,..___,__K ,Ob.. ___'on'____'
(lbl.__J.1,,?36,_;3li_,_.,.__K ,15.. _,_2" 1J~L4.5 _h,__.
z
o
8
:>
..
~
o
u
S
(17) _~,~35_~~~_,_,.
u Chock harD if you ora loqucntlng a rofund of yaur overpaymont.
(lB) _2,J.3,7_.32____,____
(lQ) _______..1._87,__,_
... ...BE SURE TO ANSWER ALL QUEsTtONs ON REVERSE SIDE AND TO RECHECK MATH....
Under penclliel of perjury, I declare thai I have uomlned .his return. inciuJing occompanying schedulol and Ilalamentl. and 10 the belt of my Io.nowledge and belief.
it II true, correct and comple'e. I declare thai all reo1ellole hOI bean repo,led at Irue mor....' value. Oeclaration of preporer olh.r Ihon the penanal rept.iOnlotive h
ba.ed on alllnformalion of which preparer hOI any knowledgn.
SIGNATURE 0' PUSON AUPONS1iiITOA 'lUNG RETURN ADOii"fSS"- - bAlE -.
'LL-<-,,~,:.t. )1 f:'. 'm~ ~J..~ II'AlvltA,! JJj) r:.....,. /1".1. 1 ~~/?.r
~= .l"-'-....,.f'--L~'_' .f~-'--il'-. I!""',- _u_fr__T,,",rL-.!_I_B ~_~...2
~luN"',UR~ p" PAllt!! 0 HER I"AN , fN ...IIVE AD ~ DAlE
;,~~ J ~/__,?l~,/{~r! ./t-__t.~~ 1-hILI-8. Y~L9'~~,
H___..-.-.._"""._...
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING A CHECK MARK (...) IN THE
APPROPRIATE BLOCKS.
,y,ES, ~tl,Q
1. Did decedent make a transfer and:
a. retain the use or income of the property transferred, ....................................,..
b. retain the right to designate who shall use the property transferred or its income,
x
c. retain a reversionary interest or .................................."............................1...
x
d, receive the promise for life of either payments, beneFits, or careV .......................
2. If death occurred on or before December 12, 1982, did decedent within two years
preceding death transfer property without receiving adequate considerationV If death
occurred after December 12, 1982, did decedent transfer property within one year of
death without receiving adequate consideration' .................................................
x
x
3. Did docedent own an 'In trust for' bank account at his or her deathV......................
x
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
'"
11"ltoIllt IJ.l7J
SCHEDULE E
CASH, BANK DEPOSITS AND
MISCELLANEOUS
PERSONAL PROPERTY
PI.... Prlnl Dr T .
FILE NUMBER
21 -- 94 -- 1088
lb\t..Q.
~
CllMMOHWlA"H o. PlHHmVAHIA
IMHllnANC. TAlC InUIN
IIIIOINt DICIDINT
ESTATE OF
CHARLES A. GOOD
IAII pr.perty lolntly.ownod with tho Rlgh' .f Survlvo"hlp mull ilo dlul..od on Schodulo 'I
ITEM
NUMBER
VALUE AT
DATE OF DEATH
DESCRIPTION
1.
Meridian Bank-- Checking Acct. $ 32341969
4,330.81
2.
Schult Mobile Home (Condition Fair)
(Sold for $5,000.00)
5,000.00
3.
Chevrolet Coupe 1986 (Fair Condition)
(Sold to sutliff Chevrolet Co for $7,000.00)
7,000.00
$
(AHath addlllonal 8~- x II- ,hoot, If moro 'potol, n"d,d,1
Merldlen
PO Do. 1102
A.ldong, PA tgGOJ
. Meridian
January 18, 1995
TO: Robert J, Trace
, Attorney at Law
ADDRESS: 331 North 28th Street
Camp Hill, PA 17011
RE: Estate of: Charlos A. GODd ll4t~ Donth: Docembor 12, 1994
Accounts nod 8nlnncoB on Rocord liS of Dnto of Denth:
ACCOUNT IJ
ACCOUNT TITLE
DATE
OPENED
DATE
CLOSED
PRINCIPAL
ACCR.
l.tiL....
CK 32341969 Charlos A. Good
Interest paid 01/01/94 to 12/12/94
11/03/83
$68.51
4,326.63
4.18
MERIDIAN BANK
DB/o1g/155
f'\/J.~ ~
Dobbio Mongel '
(610) 655.3352
CK - 'tho eking
SV - Savings
CD - Certificate of DepDsit
XC - Holiday Club
VG - Vacation Club
CL - Commercial Loan
IL - Installment Loan
DB - Discount Brokerage
PL - Plus Loon
PH - Student LDan
SO - Safe Dopoeit
TR - Trust
WL - Will
LT -'Living Trust
MO - Open Line of Credit
MG - Mortgage
LA - AutD Leasing
'r.'..,;y-
jiI'~U.l;i::~r~~7~;';i;...ttiIiil_]1,_l_""v"'~t:;;;(""'''~~~l'l''''~.'\i\.:~~~~"NlO~."".--~~_'l_
UVlllllhl"ll
.
J~ SCHEDULE H j
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
PI.al. Print Dr Typ.
i;
COMMONwEAtm Of 'ENN!l>YlVANIA
INHEanANCf: lAX utUIIN
IIUIDENl DECEDENt
- I FILE NUMBER
ISTAROF
CHARLES A. GOOD 21 -- 94 -- 1088
ITEM DESCRIPTION AMOUNT
NUMBER
A. Funllal Exp.nlll'
1- Myers-Harner Funeral Home $ 1,408.00
B. Admlnlltratlv. CD It..
I. Penanat Represen'atlve CommissIons - - NONE
SDclat Security Number 01 Personal Reproson'a,lvo:
Yoar CDmml..lans pDld
2. AIIDrnoy Fe.. NONE
3, Family e.omptlDn
Clalmanl RolDtlanshlp
Addro.. 01 CIDlmDn' a' docodon"s doath N/A
Stroo' Add,o..
City Stalo Zip Codo
4, Probato F.ol 67.00
C. Mllc.llan,oul Exp.nle..
" Country Manor Ground Rent-Trailer 270.00
2, P P and L Electric service 70.98
3, Gary Benner Cleaning 40.00
4, UGI Gas Bill 40.00
5, P P and L Final Electric Bill 61.48
6, Cumberland Law Journal Advertising Estate 40.00
7. The Sentinel Advertising Estate 72.00
8,
TOTAL (Also onlor on IIno 9. RocapltulDtlon) S 2,094.46
(If molt Ipac. II n..d.d, Inlllt addltlanallh.... of IDm. 1111.)
If' UIU.. 11'1)
~..~.9.
~
COMIIlONW'AIIH 0' .tNNlnVANIA
INN"""NC' '''a .nUIN
'''IDIN'D'C'DIN'
SCHEDULE J
BENEFICIARIES
ESTATE OF
fiLE NUMBER
21--94--1068
CHARLES A. GOOD
ITEM
NUMBER
RELATIONSHIP
AMOUNT OR
SHARE OF ESTATE
NAME AND ADDRESS Of BENEfiCIARY
A, Taxablo Boquo,",
1.
Richard A. Good
32841 Chatham Lane
Franklin, MiChigan
Brother
Chev. auto.
48025
2.
Virginia G. Bryner
824 Lisburn Road
Camp Hill, PA
17011
Slater
Remainder of
Estate
ITEM
NUMBER
NAME AND ADDRESS Of BENEfiCIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental aequelhl
1.
NONE
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (AI.a onlo, on IIno 13, Rocapllulatlanl
(If more apan la n..ded, Inaert addltlonalah..t. of ,a me ,lie)
S
None
//
~. R s 13 - ?lfF {J- /- ~
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
}
PI
V~RGINIA G. BRYNER
b.lng duly sworn ICcDrdlng ID I.w, dapD"s .nd ..ys Ih.t sh. I"
the Executrix Df Ih. estal. Df Charles A. Good
let. Df ______'m ,..Middlesex_,Township-__, Cumberl.nd Counly, Po" d.c....d and that the
within It on Inv.ntDry modo by hI"", the sold Executrix
Df the .nllro eslate Df sold d.cedenl, consisting Df all tho penonal prDp'.rly end r..1 eslale, .xcept r..1 estate Dulslde
Ih. Commonw..lth Df P.nnsylvenla, end Ihal Ih. figures oppDslte uech Item Df the Inv.nlDry repre..nt It's felr velu.
II Df the dote Df d.ced.nt's d..lh,
Sworn to
.nd subscribed b.fDft m.,
F..hrll"ry
14.
19 95
W
.-Jd' .
. . c. I, .
.cl. t {. 1 tI . :_ . J, I ,,~ 'J. A 'I' , I
,) E..c~tor ...,lnlmlnfri tar
"'Ml>^ """"" '"I'
624 Lisburn Road, Camp Hill, Pa.
Dete Df Deeth
TARIft UA1.
M.Yoar1lI T, Fosllr,ltJlary",,*
Camp 11111, PA Cumberland CoiJ1ty
1.1, C"n"III;slon [xpirc\ AuU, 6, 1996
12
Addr...
Day
December
Month
1994
Y..,
INSTRUCTIONS
I. An Inv.ntDry must be fII.d within threo months after appDlntm.nt Df penDn.1 representallve.
2, A supplem.nt Inv.ntDry must bo fIIod withIn thirty days Df discovery Df addlllDnel aueh.
3, AddltlDnel sheeh may be ettach.d as to p.nDnelly Dr roalty
4, Sa. Article IV, FiducIaries Act of 1949.
~ .,;
..
III ~ ~ w
~ ..
to 0 ..
to ~ In 0 u ..
0 0 Cl .. '" ~
w C
..... j; .. ..
I l- ll.. .... LL . ,,; 0.. E
Z 0 ..: 0
qo LL .... ~ 0.. ~
0\ W 0 <( :i-
..... > Z '" Ul
N Z 0 c ~ "
H "
- II) z II
0 III I>:l
Z <( ..: ....
0.. :r: -a
"
U - ..
"C
0 ..
... -a ...
.. E
- .. 0
.. " If 0
.... 0 CD
E.
Inventory 01 the reel and personsl estate 01
CHARLES A. GOOD
deceased
ij
I
~
~
1. Merdian Bank-- Checking Acct # 32341969
2. Schult Mobile Home (Condition Fair) (Sold for $5,000.00)
3. Cevrolet Coupe 1986 -Fair condition) (Sold to Sutliff for
$7,000.00)
4,330. 81
5,000. 0
7,000. . 00
Total
,
16,330. ,'81'
:.'/' '...,
, '.
, ;
t::~
::>0:
"
-~ c-)
'0
-
O.!!l
~,:=
~',.?
:; c_~
""
':"f
N
a..
'J ....
,
T) h.
In .1J
"O'J1
4._
00'
un>
OlD:
a:
i;:;
~
l5l
[I
'C
Q
..0
'::E
<38
1.)- - ~ --I ~')
1- -
~>L
v
, /1iIV"1547 IX AFP (12"941*
f./ u~QHMOtM':'LTH Of PfHHSYLVAHIA
D[PARTtEH' or RfYEtu:
IUREAU DI" INDIVIDUAL TAXEI
DE". ZI"I 1
HARRIlIURG, PA UU'pUIl
NOTICE OF IHHERITANCE TAX
A"PRAISEHEKT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AHO ASSESSHEKT OF TAM
ACN 101
DATI 06-06-95
FILl NO.
DATI OF DIlATH 12-12-94 COUNTY CUMBERLAND
NOTE I TO INSURE PROPER CREon TO YOUR ACCDUHT, SUIHn THE UPPER PORTION OF THIS FORH WITH YOUR TAll
PAVI1EKT TO THE REOISTER DF WILLS. HAXE CHECX PAYABLE TO "REOISTER DF WILLS, AOENT"
REMIT PAYMENT TO:
ROBERT J TRACE ESQ
331 N 2BTH ST
CAMP HILL PA 17011
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
A.o...t R_ltted
CUT ALONG THIS LINI ~ RETAIN LOIIER PORTION FOR YOUR RECORDS ......
ifili:iiiiti"iif-AFP-m-:9C,i-ilorici--cip-i"NiliiiiTANCi-YAX"APiiRAisiiiiil'r;.Ai.rciwANci-iili------......-------
DISALLOIIANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF GOOD CHARLES A FILE NO. 21 94-10BB ACN 101 DATE 06-06-95
TAX RETURN WAS' I X I ACCEPTED AS FILED
I I CHAHOEa
RESERVATION CONCERNING FUTURE INTEREST " SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. Rool Eototo ISchodulo Al III
2. stocko end Bondo ISchedulo II 121
5. Cloooly Hold Stock/Portnorahlp Intoro.t ISchedul. CI 151
4. Hortoooo./Hotoo Rocol.oblo IS~lo 01 141
s. CaahlB.nk Oapa.Sta/HS.a. Parlonal Property (S~l. E) 1&)
6. JointlY Owned Proporty ISchodulo FI 161
7. Tron.foro ISchedul. 01 171
8. Toto1 A...h
.00
.00
.00
.00
16,330.81
.00
.00
181
16,330.81
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fl.l'Mlral E)(per\.../AdII. Coatl/HSIOo b:pen... (SeMdul. Hl (9) 2,094.46
10. Dobh/Hortoop L1oblllUu/Llon. ISchodulo II nOI ,00
11. Totol Deduotion. Ill>>
.\2. Net Value of Tax R.turn (12)
15. CharUabla/Go",arn-nhl Oaqu..h (Schedule .J) (13)
14. Hot Volu. of E.toto Subjoct to To. 1141
NOTEI If 8n 8BBeBBment W8B iBBued previouB1Y, lineB 14, 15 8nd/or 16, 17 8nd 18
reflect figureB th8t include the tot81 of ~ re~urnB 8BB.BBed to date.
ASSESSMENT OF TAX:
15. A.ount of Line 14 at Spou..l ~.t. C1S1
16. A~t of Line 14 taxable at Lineal/Cl... A rat. (16)
17. ~t of Line 14 taxabla .t Coll.taraI/CI... Brat. (17)
18. Prlncipol TOM au.
TAX CREDITS I
PAYHEKT
DATE
03-31-95
05-30-95
? nq4 4~
14,236.35
.00
14.236,35
wUl
,00
.00
14,236.35
X.03.
11.06.
X .1S.
1181
.00
.00
2.135.45
2.135.45
RECEIPT
H\JHIER
AA022995
REFUND
aIseDUHT
INTEREST
1+1
I-I
,00
.00
2.137.32
1.87-
AHOUIIT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST
TOTAL DUE
2.135.45
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL IHTEREST,
IF TOTAL OUE IS LESS THAN U, NO PAYHEKT IS REQUIRED.
IF TOTAL OUE IS REFLECTEa AS A "CREDIT" ICRI, YOU HAY BE OUE
A REFUND. SEE REVERSE SIDE OF THIS FORN FOR INSTRUCTIONS. I
:t1
:o~
I.) (l
"
"
in
~
R!SOYAnDth E.tat.. of dMedenb dying on or before o.c..., 11, 1911 -- If MY future lnter..t In the .....t. I. t,..,lf.rr.
In po.....lon or enJo~t to el... . (colll'.r.l) ~flol.rl.. of ~ dec~t .,t.r the expiration 0' ~y ....t. for
11'. or for yeen, the eo.an.tMlth herebY ..r"lh r...,..,.. \hi rllllht to .."r.'" MIl ...... trenlf.r IntMrltWICII Tu..
It U. ....1\11 CI... . (coUat.raU r.t. on MY euctI 'ulur. Inhr..t.
I'UIl'OK DI'
NOTICE. To fUlfill the r~lr....,h of Section Z14D of the [ntMrUMe. ... E,t.t_ TalC Aot, Aot ZI: of 1"1. 72 P.I.
Section Z140.
PAYttDfTt Detach ttM top portion of thh Notice ... ~It with your p.~t to the Reo..t.r a. WUh prlntlld on the r.....r.. "de.
........ check or ...., order PIV_.' tOt REGISTER OF MILLS, AOEICT
AU ~v-\t. rK8lved ...,11 fint be IIPPUMI to eny Int.rut Wllch ..)' be .. ..lth en)' r_Inder ..,11.. to the tax.
RUl.ICD CCA). A r.hnI of . tu: credit, which .... not r..,..tecl on the 'ax Rltum, uy be r..,e.t1Ml by C04IPl.Ung en "Appllntlon
for Refund of P~.ylv.nl. [~rlt.nc. ... E,t.t, ,.... (RfY-151SJ, App11c.tton. .r. ...IIIbI. .t the a'flc.
0' the Regl.t.r 0' Will., ~v 0' t~ 25 R..~ DI.trlot o,'tc.., or bv cllllng the .,.c1.1 24-hoUr
~~rlng ..rvlc. ~r. 'or 'or.. Or~rlngl In P~.ylv.nll 1-100-56Z-2050, out.ld. penn.vlv.nll ~
withIn IOCIII Hlrrhburg Ir.. (717) 717"1094, TUDI (7171 nZ"2ZS1 (HMrlng fllP.lred Only).
OIJECTlONSI Any ~rty tn Int.r..t net ..t"fled with t~ ...,r......"t, .UIMIWIC. or dl..llOWWlC' a' deduction., or .....~t
0' tu (lnaludlng dhcCU'tt or Inhr..U .. Ihowt on thll HaUc. ....t obJlKt within .bb (60) dlIV' a' r~lpt a'
thll Hatlc. bYI
--wrltt~ prot..t to t~ PI o.p.rt..-.t a' Rw....., ao.rd 0' Appull, Dtlpt. ZlUll, "'rrlaburll, PA l71l1-lOll, OR
--.llKtlon to M.' t~ ..tt.r d.t.r.lned .t IlUCIlt a' the Kca...'" of the per~1 repr..entetlv., OR
--eppul to t~ Orphen.' CCMJrt.
_IN
IITAAnY!
CORRtCTIDHSI
DIICDUNT "
"MMI .rror. dllcav.red an thle ........,t should be eddr...ed In writing tal PA o.plrtMnt 0' Rw.....,
lureeu a' Indl.ldu.l ',x'" ATTNI po.t A.......nt Rwl.w unit, Dept. Z10601, Herrleburll, PA 11121-0'01
Phone (1171 111-6505, ,.. p-ee 5 0' the bookl.t ''In.trUCltlon. for Inherltence 'ex Rdurn 'ar I RIIldent
Decedent" (REV-ISOI) 'or en .xplenetlan af ~Inlltrltlvely correatlbl. .rror..
If eny t.x w. 11 p.ld ..Ithln thr.. (I) ctIlend1r ~th. .,..r the decedent'. delth, . Itve percent (5,1:) dllcount a'
the tax p.ld 11 .UCMfId.
IHTERfSTI
Int.n.t 11 chIrged beGinning ..lth 'Irst _ a' ~l1nquency, or nlM (9) eanth. end OM U) dIIy 'r_ the dIItl of
..th, to the date a' PIYMf'It. Tu.. which btlc-. ~l1nquent be'or. Jenuery I, 1912 beer Int.r..t .t the r.t. a'
.be (61) percent per ...... clleuleted .t . dlIUy nt. a' .000164. All tu.. which bee-. del1nquent on .., .Uer
JwIuIN I, 1911 will beer Intlr..t at . ntl which ..Ill Wry 'r_ cllender y..r to cllender y..r ..Ith thet nt.
ennounced by the PI Deplrt-.nt of Rlvenue. The epp11Clb11 Intlrl.t rete. 'or 1912 through 1995 Irll
~ Int.n.t R... D.lly Int.rl.t FlGtor !!!!' Int.r.st R.t. D.lly Inhr." Factor
I,IZ zax .000541 1..7 OX .000241
.... lOX .oooue 1'''-1''1 IlX .OODSOI
1'" IlX .00OSOI 199. OX .000247
1915 UX .00DS56 1"5"1994 7X .00Dl9l
.... I'X ,OOO174 1995 OX .0DOZ47
ulntlrllt I. c.leulltMl .. 'allows.
INTERESf . IALANCE OF fAX UNPAID X HVnIEI OF DAYI DELINqUENt X DAILY INTERESf FACfDR
__Any Hotlc. Is"" after thl t.. McCMtlI dllI.,..,t ..Ill r.nect en Intlr..t calcul.Uon to flUeen (5) dlyl
be,and tM date of the ..........t. If ~V-\t II ... elt.r thII Intlr..t COIIPUt.Uon dlt. IhoNn on the
Notlc., eddltlonel Int.r..t .u.t be Cllculet~.
,/
o
STATUS REPORT UNDER RULE 6.12
Name of Decedent:
C HIl R~lt.s A. C; 0 D:D
Date of Death: ::PE'c.. /2., "'Jot
Will No.
'2., 'I 't- -, 0 ti' B'
Admin. No.
-
Pursuant to Rule 6,12 of the Supreme Court Orphans'
Court Rules, I report the following with respect to completion of
the administration of the above-captioned estate:
1.
State whether administration of the estate is complete:
Yes ,../ No
2. If the answer is No, state when the personal
representative reasonably believes that the administration will be
complete:
..u
~\
J, If the answer to No. 1 is Yes, state the following:
a. Did the personal repr~entative file a final
account with the Court? Yes No vr.
',.3
b, The separate Orphans' Court No. (if any) for
the personal representative's account iSI
c. Did the personal representative statSl- an
account informally to the parties in interest? Yes v' No
d. Copies of receipts, releases, joinders and
approvals of formal or informal accounts may be filed with the
Cerk of the Orphans' Court and may be attached to this report.
'1
~::& ~.
R...r GIt r J". rl(AC:C:
Name (Please type or print)
;J $, N...2. S ~ 57 CA...,.. H,...., PI'
Address
lrl
D6.te: ~, i~jf;? 9$-
( . ,
. , (. , ;
~
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I"
pi
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'_ ::J
UU
Wl"
cc -
('/1) i'J7-e;!rg,
Te 1. No.
Capacity:
Personal Representative
./" Counsel for personal
representative
(MAH:rmf/AMJ)
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