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Home My WebLink About96-00806 rulale of .CASPEH ~~~,~~~~~LN(~_ also kllOH'1I a.' .__ l'ETITION FOIlI'HOIJATlS and CHANT OF LEITEHS c) I-=. ({ iL' - 80Co,__ No, To: --,----,---- Regisler of WileJ~\3~lh,AND Deceased. Coullty of !n lhe Social Securlly No. _.172 - 3 2, -19 45 CommOllwealih of Pennsylvania The petllloll of tlie ulldersiglled respectfully represellts tliat: alternate Cy.~\!f ~ltitt'.\l.!le}.lS)" \l'11ll Ls/_ 18 yenrs or age or older all the execut or IlIl~71'lii'l wi t'of'1j\'e' auove decedelll, daltd May 8, alld codicil(s) oatcd Oct()bor), 1990 rwned , 19_ Pauline A. MehrinCl,_dccedenlls wifp dnrl rlppninif:rl RXAr'11t-r1V rAnnl1n("l(.V'1 in favor of Randlci L. F'1nkf~'nh-lnrlpr ('lrlle IcIC\':1nl dIClllll~llIHtCi, (.g. ItIIU1l(:ltllloll, uc,llh of c~ccul(lr. eolc,) Decedenl \l'lIS dOlllicilcd nl dealll ill _ Cumberland County, Pennsylvania, with Ii is lasl family or prillclpal residellce at 60 North 8th Street Lemoyne B(Jrou9lL (lis~ I\~rccl, llUfllUN, 'J'wp, or U010,I Decedwl,lhell 94 )'''rs of age, died f\1'gi'!'lt' 2/ ,19Q/\ __, at. F'or8Rt rrlrk Hf1i-11 th r,(:..ntpr , Except as follows, tle"dClII old 1I0tl1larry, \l'as 1I0t oivoreed Hlld oid not have a child born or adopted arter e~eeutlon of llie lI'ill offereo for probale; \l'as lIotllie I'lctlm of a killing and was nel'er adjudicated IlIcompetent: Decedellt at uealli o\l'lIed properly lI'ilh c~llnlOted I'alues as folloll's: (If domiciled In Pa.) All persollnl properly (Ir not domiciled In Pa.) Personnl properly in Pennsylvania (If not domiciled In Pa.) Persollal properly In Coullty , Vnlue of real eslale III PeflIIS)'ll'anla sltualed as follo\l's: $ 1,225,000.00 $ $ S -0- WHEREFORE, petltloner(s) respectfully request(s) the probate of the last will and codlcll(s) presenled herewith and llie gral\( of letters testamental>' (lc.5lam~n{arYi admlnlstrallon c.t...; administratIon d,b.n.e.t..,) theron. i "'- H ]:~ l~ Iii /-~) ," /'-; , \ ~~fll A/'J',.xY <-L - .l..'1L',-,~01_'\, ROntl1d L.. Finkenbinder 215 West L.isburn Road, Box 65 Bowmansda1e. PA 17008 - OATIl OF PEHSONAL HEPUESENTATlVE COMMONWEALTH OF PENNSYLVAN.IA L ss COUNTY OF CllMlllmLAt~f) J . Tlie petltloncr(s) abol'r.llallled slI'enr(s) or affirrll(s) that the slntements In the foregoing petlllon are tlue and corr<ctlo llie b..lt of llie kllo\\'ledge allu belief of Jl'lilioo,,(~) anlllhnt as personal represen- lallve(s) of the obove d".dellt p'lilloller(s) \1'111 11'.11 fod truly admlnis.ter 1)le ~state according to law. , ,I >11 . ( ''''1 f. / / Sworn 10 or affirllll;d "lid ,ubscrlbcd .::LLL.,,~.~iJ..__~: 'I ( .. t, " f 0,'-- before me this OO-.J.~~------ c1ar of f -. ~~!.l!..ll!!.hJ':.i.ul:;, 'nil i u~l<'r ~. 7lPr:;;~(~Ci 1 ~flll{ --,,--/ ~l ?~I i...+-----. --.,-----.--- ~ .~ " I!.:J..!..'.+LLJ~" i-LD;\ '1:4/--'--- _ _______ ~ ARYl C II W " IIrg/Jlcr: ..:....'__,_,,____._,~_.______.____"u_ :s: ,\ :" \- \ ,) IIII'. I', I'. I (I r 11\ Ih,11 (Ill' 1111'1111\,11 HlIl I, ". ,Ii 1(1)',1',11,11 'III(' illl.!',I!l.!1 (('I I dlt ,III hl'l( ,1'1\('11 I', ("I I Ii II" "'I '.', ill Ill' 1II1 '.'. ,II i( ,I I" I" ,1.;1' ,111(1111,111 "'Ii 111,11 ,( I Iii It .111 ,t1 ,k.1l11 ,1111\ \ i I ,t I I~I" ,I I., ( !III' I I'll I';' II i.111!1I1 t dB II' lill,,1 "'Iill 1111' ,1\ h.c fill tld~ (('f(ifil,l((', }/.(\(J WAI'iNING: It Is IIlogalto duplicate this copy by photostat N photograph, /J)14V ;:?{i~;tl. ;;<r_ IIJi ,II I{('~:isl I ,II No, ';liiil"'H'~I'i',~~, ",';((\>.\1~. G.F ff~'\ l'lIl/.;..:,...,.':~*~t1' ~" ... '?a .... - ,.. * . .,~\ *1 'iiJl. '), ,'" '/;<''1/ "'1"';' (~" i'.ffFrif~\ ~,"l .'.l1/iilPJJY AlJO ,2 8 1~96 Dille: 3782779 COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH. VITAL RECORDS CERTIFICATE OF DEATH NAMEOfi)i;CE!:>ENTII.ot M<ld<tI.II) 1. Dhsper C. B. Mohri ng AOE(t.utlloo-hl.l,) UNOEAlnAR UNOEAI OAV 'i;iqnllll o.y.:-- HOUfl '~Mlnl,(," ." ., Male ltAflflUNUIoIBfA 80CIAl llECURIN NUMBEfl 1 1'12 -)2 - 1945 DAIEOf'OCAHt(M<H\UI Dd~";'~-- . 8-22-1996 ,,, DAl'li!OF 8lRTU \M",~.lldy.r't,"ll 6-2'1-1902 BIATHPLACf!(C4yal-.l GlaluVlI,)I~"C""r.Io,1 !.'lACEOI-' DC:.ATH(Ctlorlo ""","''<I - iOtI!...ln/l.'II)rnIOI1r~I>OI ~J 110b\PHAl' 1~1"l\I[J EfVOuIPlI..nl[] ;t;1'~~r'I" [ 94 lIarrJ sburg COUNTYOf'blA1~1 (;IT ,BORO.1WP OOATtl Cumberland Carlisle rAClllTYNAMIi [II fl<)l ~'foI~'~OOf1, g';'1iI 'It.~ .",J I.....nb..) 10f',or p,j~k. !$A.T/{ CE/V7'/i.,<, flAC!:'~m4IrM;tnj""'"I,llIack,Whlll,IIC [5"",,11) White .. r'ECECiEN!,SUSU^l.OCC~K)N (O'Ylh'l'~ l'<<kl"'1"''''''~l\Itll<lIl d\'ffl!o;'b'fe'i:\t''''' State 11.t.....- . 0.- OECEOENT'&IoIAllINOAllOflEliO(Sllo....Cttyl1cl'l'<O,Sl.illij,l'llCodlIf 60 Nor lh 8th St J."moYlio, l'u 1 '1011) MINOOl' USlN oueTAv ve, olA~f~~b~~ J;N ""rJ ..f!'l Paulino Zimmorman " OOHEF\"i)NAMElf~:;;;;;"foIl Cumberland _ ~~~~'IfT'8fOUCATION M'::~l,~~r:.~~~'~ Eltm.nl.fYIStcoldNf OIvO(Cld [9fiOCf~) , (0 I~) I::: ~ j14<.11 1)2 Marrlea Di<l Ho.D YlI.Otc~nl~VN", "'-- INIIIII iowlllhip? l'd[~ ~h=alnl~~II~:QI__ Lemoy,ne t.lOltlffl'S NAME II"ISL M"kIe, MD'JonSi''''l\rI'QI Margaret INFORMANT~ MAllllf9 bDOf11l118 (511"1 r.~yr1l1WU SI818.l'\lCO(~) Hox b, Howmanedule 1 '1008 P~Cf! Of' OISPOSlllOlf, N'llI4l1l C.mlllly, Cllm.llIl'f lOO"TIQN CI~I1owM. SI'iI.lip C<<II OIC/lhtlrl&.CI IIUAVIVING 6POU6E 11,,.,dQ\I"IiI""'"k,"""",,,, Pa nt-,Coun 11..,___.- INFOfIIoIANl'S NAM~ (T,fl'~I"i'") Unk Ronald L. FInkenbinder MEmoo Of' OiSPOSlflON OAfE Of DISPOSITION lIu',aI pq C'I'"'I"'" I.] n.movlllrQm SIlI.Ll . (lAwUI (loll IM'I ~"'hOO( I Olt>fI(;,I......IIL.__._.._.__._fJ 8-26-1996 alt.. l.!!L..- SION.(IUfll Of' fur JUl SEAvK:f l.lCfN\lef OR rEflSOH ACflNO AI SUCH JUCiNfl{ tf!Jr'" 8 .rU~./ (22:1!. .-..-/ _~ u, 222 L Compltl. .ml23uon/y..htnC>lf1!fyirog / In bllllllm~lo~.dllIhocr"'ll<llllhlllfTM,dI..'ndpj.ull.'iId plil'IcWl" .....1.....bI<t 111"ll4IlIIlII'lhlo 1~11i'.'~~.. u'~Jl\ItI) ." A ~ utlllycl"U{ljc:kttlh ~. \.{ .-' Q.:._. v:'Jo.-<-~ l(_lH~muJlbleornpltlt<lbr llMf!OFDli!AfH ~ Aff!PRONOUNCfDOUOIMOIllho-,I'MI) plfl<ln"llOpoI?ll<Jun<:IIOOllh ,:) l,.J t T 2' I'" - (;U7{c.{> -., / rt. Enllll/'IQilol..",. ifljUlll'OltOflll)ltCllilJl'I'/Ihio:/l"lIIIIllllto.llh OoMlnllllhl mo<JI~,IUl:h" ClldI"lJoIlllfl!t.11X) ""M"I\Q:ko,/l"fll'~\I!1 Aj)pro..mal. lilfu'~Ii>I>lIt'''''onll<:hll.... ,nlllVllbOlWHIl , f ' .;. iOO""~""" L_. -P~~{tk~~--' -~r1---"--'---I~ --..-----.... I :~~:.::;~-".~':"~"~ ~=r-"- =--=~~_~n~_ w~nEAUl0l'9yFIN(Y'O';CI. MANNtllOf.OEAlIl PATE Of IN,.Junv 'IMEOfINJUlly IfUlJRY"TVvQltl\? DucniiiEfiowiNruhyOcCllilii~'.--. A.\lAIl....Sllrnlofl10 iM,",Ut.IM11lH'1 COMl'll:1I0NIlfCAI/$l! OfIJf:Afll'l E. Harrisburg Cemetery lId Harrisburg, PEl. NAME AND ~OOA(SS Of FACILitY MueBelman F. H, 324 Hummel Ave Lemoyno I'a I ICEtlSE1f1lMlJEA OATE810NEO ,) ,I '} a ( , '7 /t L- IM,"~h 0'1, \I,~'i trv .. '{ ..J v CILj<-"td L}, /1'1, ~8C~8 'nIlFEAREOTO'-410tCAl E.lI.AMINtAIC ONEA? WiLl tloit:'r I'AI'lTII: Othtfl-lQtlllli:lnI~hOIllQQt'I"blllll'llIOduillbtJl OO/,..u.~lnlhlul'l<Wltri"llQI"""""'lnf'MHI U 1:1 (.1 ~cfofT,.wunY 1~mt-:-"lm~~.--:ri(lo;;:o~'i.~" I>mk.ng.IIQ(SI"""lyJ Jail If *Cllr ci'iiiinillllCh...,.",''1111 - 'CIATl'Y11fO 'UYIIC1AH (l'lly". ..'" .,It/I""" 0:'"'' u111.~U, wf.", 1I<AI'.. ,'1,,10:0"" h"II~0I~M'~1~111'1'l11i ~"'l CW1l>ltllOklllUln l.fl 'Q"".....lo'my~no........, IIIII11DC1'Ufll'dlhtlktIfltWUMl'JINl"'IIlMIII".lttI..,."...,.,.,.,."",.,...,.,... Nllu"l Ill/ II II Ilomo:'<lI 'I'f' [1 NQ iQh_ ___...__ m_~_~__~_ tOO~TION\!l"M\ C~,"""'f\ S1~l<lf AQ('IoIIIM "'I\do!IIII,wnl'll.IIOM "'1[1 "" [J 8uICkll CcI,IldIlll'Wd"'lm""d . 'fIONOUMC1MO AND ctAH' YIH4 "IIVlICIAN If1'1"""ldh 1~'M""'_ ~'IIlladlh II/k!rl'!.ll"'4l (0 u...... I~ lkool1t'l T.........' Milly .110.....,.. OHU\ ouufflld .,....,..... ..... MIl plIoI, filii M IoVll<<UM(IIif'd IMfInII M ....'Id ' I. IIONIJU1 DTl1LIOff.~Af/:.;'! I'/.. ~~~~~IM~,gf.~~-l!~lniiJ'~'iil-fi;;--~"ti'.' 111",!Jl<i{1.l7fq~-~u_~r,;'O',)'< '14> NAM[AN[)AOO"ES!iOfP.,"""'~tO(;i')MP~' Wf;IU9 orttJ'ir 1111'11 nIT~".od'II"1 a (// q, re, ;L/I1? /)Q I J A\"W4/"w XU ~,.- (: LUI I'J(, /2 I/Ill) " om.-iilTGi~(..", I~I, ~I--------'-_._----- 'WlOICAtllUMIHIWCOMDHl1'I On 1111 bill. 01 ulm!n'ilon .f\dIOlln~'lllf-Ilkln, In my OfIlnlon. .....1'1 OCl$Ulltd.l 11'1, 111M, d.t" It>d plllIl, IIId llu. 10 thl! uUIIII,.nd 1111II1ft1ll1"lllt"'.,."..."",." ,..,...,'"....""""...,.,.".""....",....,. ............"".... '.,.".,. -lifolililAA'AIKiN~;URi~N(INIJMI""ijif--. ----"--- -dhL /.// _'Z';;; . -,,6:::___-._ -._. blJ l16d II Il, Q'4-7n ~ 4~._ .:} , , L'i..L. ~__..._. Casper.W Article shall be sold at private sale and the proceeds distributed as part of the residue of my Estate. In the event my stepson, RONALD L. FINKENBINDER, is not living on the thirty-first p1st) .day following my death, I give and bequeath the same unto my daughter-in-law, PATRICIA C, FINKENBINDER, n she is then living, with the suggestion that she 'distribute the sarne in the sarne fashion heretofore set forth, ARTICLE II I I give, devise and bequeath all the rest, residue and rernainder of rny Estate, of whatever nature and wherever situate, unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, Trustee under Revocable Living I'rust Agreement dat~d )L'IA"'1 .8"" , 1989. ARTICLE IV In the event said Trust, referred to in Article IV hereof, is no longer in existence at the time of my decease, and in the event rny wife, PAULINE A. MEHRING, is living on the thirty-first (31st) day following my death, and if the federal estate tax due because of my death will be reduced by making this gift for her benefit, I devise and bequeath unto DAUPHIN DEPOSIT BANK and TRUST COMPANY, in TRUST, the least amount (based upon the values as finally determined for federal e.t~te tax purposes) as shall be needed for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after .full use of all other deductions and credits allowable in calculating the federal est.ate tax, except that such arnount shall be calculated wHhout regard to the augmenting of my taxable estate by reason of generation-skipping transfers and without regard for any credit for state death taxes that would not otherwise be payable, Accordingly I direct that, A, If the marital deduction or any similar benefit is allowable with respect to any property, including property held by entireties, which my wife has received prior to my death or at my death will receive otherwise -2- Cnsper.W from time to time including the entire exhaustion of princJpal, r. If my wife. PAULINE A. MEHRING shall faJl. either wholly or in part. to exercise effectively the power of appointment created ,in the preceding Paragraph F, the unappoJnted pdndpal shall be added to. and thereaftpr treated as a part of, the principal of fTIY residuary estate passing unde,' Article VI hereof, provided that the Trustee shall first deduct and pay to the personal representat Ive of my wife's estate an amount. equal to the increase in federal Clnd slate dtHlth tAxes and any inctea~;ed ac1ndnistrflf1.',);1 expenses which her estate w111 have t.o pay because of the inclusion of the principal of this Trust in her estate fo~ tax Dr administration purposes, J. If any provision of my Will shall resul I', in depriving my estate of tht> marital deduction for federal estate tax purposes, such provision is hereby revoked and my Will shall be read as if any portion thereof inconsistent with the allowance of the marJtal deduction fbr federal est.ate tax purposes is null and void, ARTICLE V In the event the Trust, referred to in Article III hereof, is no longer In existence at the time of my decease, and in the event. my wife, PAULIN,: A, MEHRING, Js living on the thirty-first (31st) day following my death. I gIve. devise and bequeath all rest., residue and remainder of my !~state of whatever nature and wherever situate, including any property over which I shall have a power of appointment other than such power given t.o me in any will or inter vivos trust of my wife, unto DAUPHIN DEPOSIT BANK AND TRUST COMPANY, in TRUST. for t.he following uses and purposes. A. 1'0 pay t.he net income t.herefrom t.o my wHe, PAULINE A, MEHRING, for and during her lifetime, In monthly inst.allments, B. As much of the principal of this trust as 'frustee In its sole discretion may think advisahle for t.he support of my wJfe or during illn".s -It - Casper.W bequeath all the rest, residue and HOSPITAl" Camp Hill, Pennsylvania, equipment for said HospHal. remainder of my estate unto HOLY SPIRIT t.o be used only fN the acquisition of ARTlCI,E Vl II J direct t.hat all est.ate, inherit.ance, legacy, succession or transfer taxes (including any interest. and or the federai government property taxable under such payable by my estat.e or by any recipient. of such property, shali be paid by illY Executor or Execut.ors out. of my residuary est.ate (described in ArtJ.cle VI or Articles VII and VIll as the case may be) as part of the expenses of administration thereof without apportionment and with no right to reimbursc'ment. from any recipient bf any such property. penalties thereon) imposed by the iaws of any stRle now or hereafler In fo rc e with respect to a 1 J laws by reason of my deat.h, whether such taxe s be ARTICl.E IX I name, constitut.e and appoint my wife, PAULIN8 A, M81'iRING, t.o be the Executrix of this, my Last. Will and Testament, If she shall not survive me or for any reason be unwilling or unable to qualify, or having qualified as Executrix, shall die, resign or be removed, I name, c()n~tlt.ute and appoInt RONALD L. nNKENBINDER to be Execut.or of thIs Wlll, In the event. that. RONALD L. FINKENBINDER fA il s to qUA I lfy 0'1' ceases to so an, I name, cons t it. n t e and appoint DAUPHIN DEPOSIT BANK AND 'fRUST COMPANY AltemAte Executor to complete the adminlstrat.ion of my Estate, ARTICLE X I nAme, constitute and appoInt. DAUPllIN DI~POSJT BANK AND TRUST COMPANY, Harrisburg, Pennsylvania, guardIAn of any property which passes under thIs Wi 11 or otherwIse to a minor wlth respect t.o whIch I alll authorIzer! to appoint a guardian and have not otherwise sp~clflcally done so, provided t.hat lids appoint.m~nt of a gURrdian shall not supers~d. the right of any fiducIary in Its -] - I, I fOR DAHS Of DIATH AnlR 12/3 H91 CHICK HIRI ~ INH~:JJ~ENN~E ~Ei:~~l~~RN 1~~:~~OtW'DIT IS ClAIMIC [, . COMM(JNW[A,H,OfPfN"",YANIA (TO BE FILED IN DUPLICATE I 2_1~'lf)-OHO() DfJ>AIl.TMENT N R!VfNUf - HmlsfJn. ~~o~\".'601 WITH REGISTER OF WILLS) ,COUNTY CODI._ YEAR NUMBER O!.C1O!~~~~~I~~~';"~~~~:~IH~~.II~~;':~~' -... .-----.~- n_.liif((,o"'J~~\f~-^~"I~ ~-t r:'pt----..---- 50CIAtS'fCUNlTY NUMBER JDAH m DEAHl j()IIH 0' BI~'H r,pmoyne, I ^ ] 704.i 172-32-1945 8/22/96 6/27/02 Co",, CllMBI<:IH,TlND I" ";~~']'~~~'~':' \ ~~~;;~'~'~";;~"" ';::"...__F~i' ~}.u~~;~;:L~_. t'O-U;I':::~'~~E~';~~::i~'~~=~=_~. l[] ,. Original Return [.J 2 Supplemontal Relvrn [J 3. Remo:nder Relurn (lor dalol of doath prior 10 12.13.82j [J 4, limited E,lote [J .:lo. Futuro Inlore$1 Compromil& :fQl5. Federal estale Tax Return Required (for datul 01 death oller 12.12.B2) ~J 6. Decedenl Died Tetlate 0 7. Decedent Mainlained 0 living 'Trust (Alloch copy of Will) (Al1och copy or Trust) ALL CORRESPONDENCE AND CONFIDENTlA-CTAX INFORMATION SHOULD BE -DIRECTED TOI NAME - COMPLETE M~.ILlNO ADDRH5 F.dmund G. Myers, Kqq. Johnson, Duffie, stewart & Weidner [WHO,,' HU"'" .----.--.- 301 Market St., P. O. Rox 109 .___ ~1? 761-4540 ___._.- . , ..PJ\ 17041 01Ol) + .--------_.~ +.. If Line 1911 greoler than line HI, tllller 11.8 differflnce on Unb 20. Thl1 h Ihtr OVERPAYMENT, Ii1IO If line IB is grl'loter than line lQ, enler Iho diffl (once on lino 21. This is the TAX DUE. A. Enter the inleresl on the balance due on Lino 21 A. B. Enter the tolol of line 21 ond 21 A on line 21 B. This is Ihe BALANCE DUE. Malet, C~.~~ Pavable to: ~t~.~'t.r of Will" .AS_tnt __ ~,.. BE SURE fa ANSWER ALL QUESTIONS ON REVEllSE SIDE AND TO RECHECK MATH -<(--0( Under per,ohiel ClI perjury, I declare tho..lt I hoye examIned Ihis return, including accompanying Ichedules and statflmenll, and 10 the bel' of my knowledge and beliClf, il it hue, correct and complelll. I cle~lare thaI all rool flttole hen boen roponed at Irue market value. Declaration 01 preparer other thon the perianal reprotenlalive is ~Od on alllnlormation or "*!'.htc~ preparer has any knowledge, GN~E Of PEII:!.~.N R~_CW:lelE tOR 'Ill ,0 REtUR:-, '''---;A~6DRT~-71'r;-1V('frnmmrn 1~()n(r;'--nox-f)T) DA.H,? ~'-If~,-;.:;__m~___- ~~,~(m;; lV' t; '~:N' ~'l; I ~:"D~""~'~\i~~;,~.~;~:~ (' ~I J:!'... ;, ~~~~\-1-;;;-1()'~--'------- DAi,.-----.~--.--.~ ._.!.""".A.c...:.:.::__...___.._... __..... ..._JL'In< lVl1(:l_l'..^_.U (~1.}::-()lJ){1..n___.__.___.". .__.._. __ .2!~_'.!.L... ;[v.\5D0EJ:;+ (74JI .... il; "' w u w "' w .... :.:~~ frlfp :1:"''' ucc..J 0, '" 0- << ..... "':z Ww "'"' "':z Sir 1. 2, 3, 4, 5, z: '" 6, 5 7, ~ B, << u 9, w '" 10, 11. 12, 13. 14, 15. 16. 17, :z " !.i lB, .... 19, ::> 0- :E '" u >< 20, << .... 21. / /, keel Ellate (Schfldule Al S(oc.\ ond Bond. ISchedule BI Clouly Held Slock/Partnership Intereit (Schedule q Mortgogei and Notes Receivable (Schedule D} Ccuh, Bank Deposits & Miscellaneous Personal Property ISchedule EI Jointly Owned PrOpflrty (Schedule F) TrQnll", ISchedule 0) (Schedule II T alai Gran AHels (Iotal Lines 1.7) Funeral Expenses, Auministratiye Costs, Miscelloneous Expenses (Schedule H) Debls, Morlgage Liabilities, liens (Schedule I) Total Deductions (10101 lines 9 & 101 Nel Value 01 Eslote lllne a mlnu. Line 11) Charltoble and Governmetltal Bequests (Schedule J) Not Value Subject to lox (Line' 12 minul Line 13) Spousal Transfers (for doles of deolh ofter 6.30.94) Soe Instructions for Applkohlll Percentage on Re....erse Side. (lndud, valuos from Schedule K or Schedule M.I Amount of Line 14 laxable at 6% rtlle (Include volues from Sch(ldule K or Schedule M.l Amounl of line 14 toxoble 011.5% role llnclude voluet from Schedule K or Schedule M,l Principol tax due (Add lox /rom linos 15, 16 and 17,) Credils Spousal Peverly Credit Prior Payments I ") } I /, __ 8 Totol Number 01 Safe Depo$il Bo"es ( 1 ) _,__.____,._____._'. 121 - 13) ( 4 ) (SI-1r.233,148.29 16 ) 171 5 , 23.9,..&3__ (8) 1,238,387.92 (9) . (101 33,195.20 82.66 1111 33,277.86 (121 ~205,1l0.06 113) -0- 1141 1,205,110.06 I1SI ' 1,199,870.43 X,_= -0- 1161 5,239.63 x ,06 1:1 314.38 -------- 117) __x ,IS = -0- (IB) _____...3lA..3B.~__. Dllcount Inleresl -.0- (191 (20) 121)_._~~.lL_..___ (21A) ____-0-______.__ 12181 .__,. 114 1R ._,_._ Check he,e if you me requesting Q refund of you, ovcrptiymenl. (All property lolnli;:ow~.d with the R1Bhl ~ Svrvl~;;~hlp m'ult b. dhcla-.~i~;;-S~h.dule F)'.'"'-~.~. ..- - --_.__.__...._..~---_..._----- l :As:.;~#i{~~~~;N~ 1__ _ PI..., 'd"' ',lIT'_ _ "..---.-----fiT"E'.-NUMBER ------" MEIIHING, CASPI'~H C. 11. 21-96-0806 R[Y,150B lX+ l}.Ilj ~t~}l\ '-'j.(~IN- COMMONW!ALTH OF PENN5'tlVANIA INHERITANCI TAX AnURN _ RESIDIN.!..DlctDENT ESTATE OF ITEM NUMBER DESCRIPTION VALUE AT DATE OF DEATH 1. Hevocable Living 'l'rust- Casner: C. B. Mehring , Settlor, Dauphin Deposit Bank and 'j'rust Company, ~'rustee, dated May 8, 1989, consisting of: $10,000 Bond - Bf:~rmudian springs PA School Distriot Maturity: 2/15/2001 - 4.250% (d 99.274 Accrued interest - $30,000 Bond - Franklin PA Regional School District Maturity: 10/1/1998 - 5.200% @100. 097 Accrued interest - 9,927.40 8.26 30,029.10 611.00 $5,000 Bond - Hempfield PA School District Lancaster County Maturity: 10/15/1998 - 6.550% @ 100.3335 Accrued interest - $5,000 Bond - Otto Eldred PA School District Maturi ty: 9/1/1997 -- 5.60% @ 100.8005 Accrued interest - $25,000 Bond - Pennsylvania Convention Center Auth. Rev. Maturity: 9/1/1997 - 6.40% @ 102.5985 Accrued interest - $15,000 Bond - Pennsylvania Convention Center Auth . Rev . Maturity: 9/1/1999 - 6.50% @ 106.381 Accrued interest - $30,000 Bond - Pennsylvania Housing Financial Agency Maturity: 7/l!1998 - 5.00% @ 101.357 Accrued interest - $15,000 Bond - Pennsylvania St. Maturity: 10/15/1998 - 5.40% Accrued interest - $25,000 Bond - Pennsylvania St. Maturity: 6/15/2002 - 5.00% Accrued interest - $30,000 Bond - Pennsylvania St. Maturity: 12/15/1997 - 6.10% Accrued interest - $30,000 Bond - Pennsylvania St. Maturity: 11/15/1997 - 5.40% Acorued interest - 5,016.68 115.53 5,040.03 133.00 25,649.63 760.00 15,957.15 463.13 30,407.10 212.50 15,024.45 285.75 25,465.25 232.64 30,659.10 340.58 30,533.70 436.50 $20,000 Bond - Phil adelphia PA Water & Wastewater Rev. Maturity: 6/15/2002 - 5.00% Accrued interest Sub-total fran additional sheet TOTAl. (AI,_~_!nter on line 5, Re~~lot1on 20,290.60 186.11 985,363.10 --~_._.._.. S 1,233,148.29 ._--_.._._-~-~..----- IAtlach additIonal 8V~" )( 11" .heer, 1f more 1paCft h noeded,l HEURING. TRU ITEM THREE. Dispositive Provisions After my Death. Upon my death while the Trust continues, the Trustee shall be permitted and directed to distribute to the Executor of my Estate any funds necessary to pay and discherge any admin.istrative expenses, taxes or any other debt or liability of my estete or which may be necessary to be paid to my executor in order conclude administration of my estate, such funds to be paid prior to distribution of the trust in accordance herewith and provided fLlrther that such funds shall be payable out of, allocated to or chargeable only against the distributions directed under Paragraphs Band/or C of ITEH THREE. I direct that my Trustea shall distribute the then-remaining principal and any income accumulated thereon combined with any other assets which, by my Last Will and Testament dated , 1989 have been delivered or paid to Trustee in accordance therewith as followsl A. In the event my wife, PAULINE A. MEHRING, is living on the thirty-first (31st) day following my death, and if the federal estate tax due because of my death wJlI be reduced by making this gift for her benefit, 1 direct that my Trustee retain, in TRUST, however, for my wife's benefit, the least amount (based upon the values as finally determined for federal estate tax purposes) as shall be naeded for the federal estate tax unlimited marital deduction to reduce the federal estate tax to the lowest possible figure after full use of all other deductions and credits allowable in calculating the federal estate tax, except that such amount shall be calculated without regat"d to the augmenting of my taxable estate by reason of generation-skipping transfers and without regard for any credit fot" state death taxes that would not otherwise be payable. Accordingly, I direct thatl 1. If the marital deduction 0[' any similar benefit is allowable with respect to any property, including property held by entireties, which my husband has received prior to my death or at my death will receive otherwise and pursuant to this ITEM 3, Paragraph A, the value of such property shall be taken into consideration in calculating the size of the gift under this ITEM THREE, Paragraph A. 2. No property ineligible for the marital 'deduction or any similar benefit shall be distributed to this gift for my wife, PAULINE A. MEHRING, pursuant to this ITEM THREE, Paragraph ^. 'MEHRING. TRU 3. Either cash or investments or both may be allocated to this gift under this ITEM THREE, Paragraph A. 4. Any property allocated ut~er this ITIM THREE, paragraph A in kind shall be valued at the value at which it is finally included in my gross estate for federal estate tax purposes, provided that the aggregate market. value thereof on the date of allocation (plus the value is finally determined for federal estate tax purposes of aU other property qualifying for the marital deduction) is at least equal to the dollar value of the marital deduction as finally determined for federal estate tax purposes. 5. My wife, PAULINE A. MEHRING, shall be paid the entire income from the principal in such periodic installments as the Trustee shall find convenient, but at least as .often as quarter-annually. 6. My wife, PAULINE A. MEHRING, is hereby given a power to appoint by Will to her estate or to others, in such manner and for such estates as she may appoint, oxer.'cisable only by specific reference by her alone and in all events over the principal of this Trust. 7. As much of the principal of this Trust as the Trustee may from time to time think advisable for the support of my wife or during illness or emergency shall either be paid to her or else applied directly for her benefit by the Trustee. 8. In addition to the above provisions, my wife, PAULINE A. MEHRING, shall have the power to withdraw such amounts from principal as she shall desira from tima to tima including tha entire exhaustion of principal. 9. If my wife, PAULINE A. MEHRING, shall fail, either wholly or in part, to axercise effectively the power of appointment creeted in the preceding Section 6, the unappointed principal shall ba added to, and thereafter treated as a part of, the Trust estate passing under MEHRING.TRU i , I I I i I I I i I I I .1 i I I I J l1'EM THREE, P~r~gr~ph a hereof, provided that the Trustee shall first deduct and pey to the personal representative of my wife's estate an amount equal to the increase in federal and state death taxes and any increased administration expenses which her estate will have to pay because of the inclusion of the principal of this Trust in her estate for tax or administration purposes. 10. If any provision of this Trust shall result in depriving my estate of the marital deduction for federal estate tax purposes, such provision is hereby revoked and this Trust shall be read as if any portion thereof inconsistent with the allowance of the marital deduction for federal estate tax purposes is null and void. 8. In the event my wife, PAULINE A. MEHRING, is lIving on the thirty-first (31st) day following my death, 1 direct that my Trustee shall retain in separate TRUST, the balance of the then-remaining principal, income accumulated thereon, and any other assets which, by my Last Will end Testament, have been delivered or paid to Trustee, for the following uses and purposes. 1. To pay the net .income therefrom to my wife, PAULINE A. MEHRING, for and during her lifetime, in such periodic installments al) my Trustee shall find convenient, but at least as often as quarter annua lly. 2. As much of the principal of this trust as Trustee 1.11 its sole discretion may think advisable for the support of my wIfe or during illneSS or emergency, shall either be paid to her or else applied directly for her benefit by the Trustee after taking into account her other readily available assets and sources of income and suppoit. 3. My Trustee may apply the net income of this Trust for the support of my wife, PAULINE A. MEHRING, should she by reason of age, illness or other cause in the opinIon of the Trustee be incapable of disbursing it. MEHRING.TRU In the event that any of these beneficiarias, RITA HUDZINSKI, NEVIN MOHLER, LARRY MOHLER, EVELYN F. (IEAGY, GOLDIE. MOHLER, and WENDY ANN CAJ.1PBELL is not living at the time for distribution, I direct. t.hat such beneficiary's share shall be dist.ribut.ed in accordance wit.h It.em III, Paragraph C, SecLion 2 hereof. f. In the event that any of the beneficiades named in ITEH III, Paragraph C, Subparagraph 1, Sections a-e, of this Trust shall have received a distribution as a beneficiary under the Will or any Trust created by my wife, PAULINE A. HEURING, I direct that the distribution set forth herein shall be reduced by such amount. 2. The entire balance of the then-remaining principal and any income accumulated thereon, I direct that my 'fruDtee distribute unto my stepson, RONALD L. FINKENBINDER, and unto my stepgrandchildren named as follows: THOMAS CHARLES FINKENBINDER, JODY BE'ffl FLEMING and LINDA JO NEL FORTNEY, in equal shares per capita, but the issue of any of said beneficiaries who predecease me shall receive the share of such deceased beneficiary by represent.ation per stirpes. 3. In the event I am not survived by my stepson or any of my stepgrandchildren above-.named in ITEH THREE, Paragraph C, Subparagraph 2, or their issue, I direct. t.hat my Trustee distribute the balance of the then-remaining principal and any income accumulated thereon, unto HOLY SPIRIT HOSPITAL, Camp Hill, Pennsylvania, to be used only for the acquisition of equipment for said hospital, at which time this Trust shall termInate. ITEM FOUR. Right t.o Revoke and Amend. I reserve the right to revoke or amend this 1'rust, in whole or in part, at any time and from time to time by an instrument in writing, delivered to the Trustee and intended to take effect during my lifetime; except that the duties, powers and liabilit.ies of the Trustee shall not be changed without its written consent, The Trustee reserves the right, at any time upon thirty (30) days advance written notice t.o me, to resign the Trust Ilnd delIver the Trust. Est.llt.e to me, after deductinr. therefrom its fees and any expenses then due and payable. "V."'Ol<'I'.") '~,~ ~i SCHEDULE G l___ 'OMM.ONW"~"I Of "NNSYlVANIA TRANSFERS INHutlTANCI 'AX InUIiIN .... . ...__.~".CO-'NT.OIC~!,"-- _.____.__._ PLEASE PRINT OR TYPE ESTATEl:fF'---'--- '-'-- -'~~-'TiLENUMBER .._-=~~==,===~C"' .. MEHRING, ~ASPER C. B. 21-96-0806 -'--.---.--- - !f1.I.~.~c:HWU.L.~~~ST BE C~p~mD AND FILED IF THE ANSWER TO ANY OF THE QUESTIONS ON THE REVERSE SIDE OF THE COVER SHEET IS YE'S' I1'EM I DESCRIPnON OF PROPERTY TOTAL VA~UE DECO. DOLLAR VALUE '. .~~8~_I::!-::'0~1~~~~':::'::~'I:::hiP~::'~~:: d:: ollroo.'", EXCLUSION OF ASSET '~h-e-- OF 1%1~~WT~:..__ Mehring, husband and wife, to Ronald L. Finkenbinder and Patricia C. Finkenbinder, husband and wife: June 1996 - Total Gift - $12,566.25 One-half by decedent - $6,283.13 One-half to Ronald L. Finkenbinder One-half to Patricia C. Finkenbinder 3,000.00 3,000.00 3,141.57 3,141.56 141. 57 141. 56 2. Casper C. B. Mehring and Pauline A. Mehring, husband and wife to Ronald L. Finkenbinder and Patricia C. Finkenbinder, husband and wife: ~u1y 1996 - Total Gift - $9,000.00 One-half by decedent - $4,500.00 One-half to Ronald L. Finkenbinder One-half to patricia C. Finkenbinder 3. Casper C. B. Mehring and Pauline A. Mehring, husband and wife to Ronald L. Finkenbinder and patricia C. Finkenbinder, husband and wife: * November, 1995 - Total G1ft- $12,913.00 One-half by decedent - ~6,456.50 One-half to Ronald L. Finkenbinder One-half to Patricia C. Finkenbinder 2,250.00 2,250.00 2,250.00 2,250.00 . 3,000.00 3,000.00 3,228.25 3,228.25 228.25 228.25 4. Casper C. B. Mehring an d Pauline A. Mehring, husband and wi fe. July 1996 - Total Gift - $27,000.00 One-half by decedent - $13,2.20.00 . To: Jody and Cole Fleming, husband and 3,000.00 2,250.00 -0- wife. 3,000.00 2,250.00 -0- Thomas and Kris Finkenb inder, husband 3,000.00 2,250.00 -0- and wife 3,000.00 2,250.00 -O- Linda and 18s Fortney, husband and 3,000.00 2,250.00 -0- wife 3,000.00 2,250.00 -0- __I -- '-_ TOTAL (Ailo onlor on II" 7. Rt<ooil,lollon) S 5,239.63 (11 mort .poce t. n"c1,-:I, In.." ocJelillollc' ,hllk 01 .om. 11u.) AI. 1~111~. I1.Ul ESTATE OF ITEM NUMBER . , J SCHEDULE H J FUNERAL EXPENSES, ADMINISTRATIVE COSTS AND MISCELLANE~U~~~PENSE..~_.. Plea".. Print .o.r. T~pe_ .... r:ILE NUMBER ..---.,- MEHRING, CASPER C. B. 21-96-0806 ------~._._-_._--, --- .-~-,._-- DESCRIPTION AMOUNT ,,~fit>}~ -~~ COMMONWE.....lTH OF PENNSYlVANIA INHERI1ANCE TAX RETURN RESIDENT D[Ct:O[Nf A, Funoral Expense.. 1. 2. Musselman Funeral Home - funeral expenses Gingrich Memorials - gravcmarker 8,029.00 459.40 1. B. Administrative COSlsl 2, 3, 4. C. 1. 2, 3. 4, 5, 6, 7. 8. Ronald L. Finkenbinder 171 - 28 Personal Represenlallve Camml,,'ons Social Security Number of Personal Represenlollve: Veor Comml"lons paid 1997 3946 lo,oon.oo Attorney Fees - Johnson, Duffie, Stewart & Weidner 10,000.00 Family Exemption Claimant Pauline A. Mehring Addre" of Clo1monl at decedenl's deolh SIreet Address Cily Relationship Wife 3,500.00 SIole __ Zip Code Probate Fees - Register of Wills - Cumberland County 924.50 Mlscellaneou. Expense" The Patriot-News Co. - advertising letters 67.10 Cumberland Law Journal - advertising letters GO.OO Register of Wills - file Inventory & Inheritance Tax Return. Chuck Bricker - household goods appraisal 20.00 fiO.OO Reserve for close-out costs 7'j.00 TOTAL IAlso enler on line 9, Recapitulotlonl (II more space Is needed, Insert additional sh.ets 01 sam. ,III,) Hr J')'" 20 S . . ~.-....... \~- ,- .-' l . ',\, '0. ...., .. JOHNSON, DUFFIE, STEWART a WEIDNER P.TTORNEYS "T LAW 301 MARKET STREET P. o. eoX 109 LEMOYNE, PENN9YLV"NIA '7043 felE.' Pi '9Z l'lIIY 23 P~!:"1 Clt-, (., ,lJIl. ,d'i . ," ~irst Class Mail ii- - REGISTER OF WILLS OFFICE CUMaERLAND COUNTY COURTHOUSE 1 CdURTHOUSE SQUARE CARLISLE PA 17013-3387 _~ ___;__,~,=,_o",~~=,_~~~;t''t-_- . -::-:~::~--~- __~--_-:,:,v::"",,~~"'E""''-"'"'--'-'''"-''' , , , 11' ?~_~~~--:';"'f~;,- ,-I",~!:' , \ .' . . ~~', ~ , r i!. . , " . .- t fJ" '. ,...... Y '.1" It. ~ ; ", 1':.' > : .., .... :. -~ ' -.. )1 _, . . T ,... ~ . , ., ,.!,: \ lA, :" -.. ,-1: . , ..of l~" ~;'___~,:.-~ I " ..;:; ., 'ltli ' -" ~ '! -'. .;' . '~ ,1 .t. , . , '\ :.. / -. "'; ~ ., ! ...- ~, r< 'f1 H___ . P""'- ~ 4J ~ 1':---- COMMONWEALTH OF PENNSYLVANIA 'L COUNTY OF CUMBERLAND J ss: Ronald L. Finkenbinder ,aing duly ~worn.. is Executor _ according to law, deposes and says that he of the Estata of Casper C.B. Mehring , f Borouah of I.emo'fne C bid C t P d d d I alo 0 -----~- .----.. 0..-__'0_- _, um ar an oun y, a., acease an t ,ot the ",ithin is on inventory made by Ronald I.. F'inkenbin~~ , the soid Executor ,f the enlire estate of said decaden~, consisling of all the parsonal prop~rly and reol estote, except real eslote outside .',e Commonweolth 01 Pennsylvania, and that the figures opposite each lIem 01 the Inventory represent II's lair value II of the date 01 decedent's death. Sworn to Md subst:rib.d b.fore me, I, ...~. /} ) "1) x' (j . ';;. . . ,.,,~~" (I.'.x. l.1./{,v\./( ( ",/<<,.,", ,/ i! ~.) eUl;ufor . Administrator Ronald L. Finkenbinder 215 West Lisburn Road, Box 65 -",,, """I~ /:J \ 19 97 .~-....." '::' ,-' : ,'--.Q ~ rWIAIIIAL~E L DIANNE LENIG, Nolary Pulilic Lomoyno Borouuh Cumborlanll Co My C~,~~::~~iFxll'r:\~.o.c,~~:~~~. Bowmansda1e, PA 17008 Add".. )a~e 01 Death D.y Month Vu, INSTRUCTIONS An Inventory must b. filed within three months after appointment of personal representatlvo. A supplement Inventory must he filed within thirty days of discovery of additional assets. ), Additional sheets moy be ottaohed as to parson ally or realty See Article IV, Fiduciaries Act of 1949. 0"\ 0 ~I 0 I M <l' 0 ,... ..., .0:: Q) P; .'. ~ . ~ j .,j QJ \(.> ~ q 0 LLl .. >< .. co ~ f- .. 0 0 LLl ~ .. Ei I ... ~ ~ u .. QJ 0 .. \D 0 LIJ 0 Q ." ~ c:: w ~ 0"\ !z jE n. . Ul <: I ..J U. III .l:I .; k .. . ,., U. ..J jj 0 n. QJ 00"\ N LU 0 0( , 8 i: :>.. ~ > Z c:: U ;:;: Z 0 ~ <: C ~ 0 " . >: - VI Z 0 0 c:: re >ll U t)l 0 Z w 0( ... p:) n. e ""0 '0 <: '" r.: . - '0; ::l 0 0 .. Ei ..tl ""0 .... '0 . ~ E ... .! Q rLI P. ~ U u: 0 ..J co . /,', /3/ -I,~ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU 01 INDIVIDUAL TARES INIIIIII IMRI :M( 1IlVISlrHi III p r, ,~t10uO I HMHf I SBUfW, PA ,I 11 ~1I JuO I NOTICE 01 INtn:Hl1ANCf' IAR APPRAISENlNT, AI.LOWANCE OR DISALLOWANCE Of DEDUCTIONS AND ASSESSHENT OllAR DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN "'1 1 . .._.."'. _'_"_.m_ .. .~_..__.J MAKE CHECK PAYABLE AND REMIT PAYMENT TOI REGISTER OF WILLS CUMBERLAND CO CDURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ REU.IN LOWER PORTION FOR YOUR RECORDS .... ilE"li: iSi;7" EX". AFp. [O'F97"'"NOYi BE" OF " YN'HEiixi iIi-fcE. T"A'X"' A"PPR"A"X SEMENi'";. A 1. .Cowili-fcE "(iri ...... m......." DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX CASPER C FILE NO. 21 96"0806 ACN 101 EDMUND G MYERS JOHNSON ETAL. PO 8DX 109 LEMDYNE ESQ PA 17043 ESTATE OF MEHRING TAX RF.TURN WAS I ( I ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE APPRAISED VALUE OF RETURN BASED ONI ORIGINAL RETURN 1. Real Estate (Schedule AJ 2. Stocks and Bonds lSchadule 81 3. Closely Held stock/Padnership Interest (Schedule C) 4, HortgBg8s/Notos Receivable (5chftdule OJ 5, Cash/Bank Depos! t s/H! sc, Perso"31 Property (Schedule E) 6. Jointly Owned Property (Schedule f) 7, Transfers (Schedule OJ 8. Total A~sets 11 "17 - 9 7 I~EHRIN() 08"22"96 21 96-0806 CUMBERLAND 101 ; -~~~~~,~~,~:o~~~l-it.-t~t'l ( X I CHANGED 11) ( 21 ( 31 141 (51 I b I 171 .00 ,00 ,00 .00 1,233,148.29 ,00 5,239.63 (81 APPROVED DEDUCTIONS AND EXEMPTIONS: 9, Funeral E~pens8s/Adm, Costs/Misc. Expenses (Schedule HI 10. Debts/MQrtgage Liabilities/Lions (Schedule II ]1, TotAl Deductions 12, Net Value of Tax Return l!. Charitable/Governmental Bequests) Non-elected ql13 Trusts (Schedule J) 14. Net Value of Est.t. Subject to Tax If an assessment was issued preViously. lines 14. 15 and/or 16. 17 and 18 will reflect figures that include the total of ALL returns assessed to date. ASSESSMENT OF TAX: 15, Amount of Line 14 at Spousal 16. Amount of Un. 14 taxable at 17. Amount of line 14 t.xable at 18, Principal Tax Due TAX CREDITS', [~;g(;"k ::~:~'-:J'.';';.~):'~' ~;- ..:...~~, ..~,) L ' - -L u_ ---L--l 1!-~;}i~1;i:~J:r:;rl =~~. :i ~ . .... TOTAL'DUE ,00 HI ,.----.- ' NOTEI rat. Lineal/Class A rat. Collateral/Class 8 rat. . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST, 33,195,20 82,66 1111 112) liS) 114 ) ( "I 110 I liS) lib) 1171 ,00 5,239,63 ,00 K .00. K .06. X .15. I1BI I. "., <~'l\ ~ .J;" ~"" ' '. "L'l' ,~~,:;'" ':>."~ ("'f J:J!'I;';"~!;' ,"t~ t~ ...., 'jO.'i~""l.ijIo ."'1,1....-" ',' tll;\.1 H 111 1)'.11) CASPER C SEE DATE A TT ACHED 11-17.97 NDTlCE NOTE: To insure proper credit to your accountj submit the upper por'ticn of this form with your tax payment, 1, 238,387,92. B.n] 86 ___-L~205,l10,06 ,00 \,205,110,0~ .00 314,38 ,00 314,38 IF TOTAL DUE IS lESS THAN II, Ne PAYHENT IS REQUIRED. IF TOTAL DUE IS REflECTED AS A "CREDIT" ICRI, YOU HAY BE DUE A REf'UND, SEE REVERSE SIDE OF TIllS f'eRH feR INSTRUCTIONS. I