HomeMy WebLinkAbout96-00907
-. .,'
PETITION FOR GRANT OF LETIERS OF AIlMINISTRATION
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Esrare of -L''- .~ --L"-:C'=.-t:J.ur----
alJo kno",,, aJ _.__h__._....._________
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Social Sfl'llflry No. J:t2_.:.J/L 'JJ<!L..Y..----
Register uf Wills fur the
CUUnlY uf in Ihe
('unln1l1n\\ealth of Pennsylvania
The Jlclitiunuf the undersigned re'Jleelfnlly reJlresenl' Ihat:
Yonr Jlelitioner(s). who is/are IR years uf age or ulder, aJlJlllLLS_ for lellers of administralion
._ _._____. on the estate of
(d.h.n.; JlClHh'nh.' lill'; dur:mlc lIh\(,llli;l; dur;lIl1(' IIIHlllfil;lll"
the above decedenl.
Decedenl was domiciled at death in (tit fllf3
II I~ last family or JlrindJlal residence al I..
ith
,1(0 "HI)O~n"
Decedent, then !1.0' years ~f age, died __ CQ.( . ;) ?,
at I-.j='!") d:lLlll\llICi \ 't:l liE 1"'l\\(,'\LlP I I)n. 1:1('1.\.)
Decedenl at death owned properlY wilh estimated values as follows:
(If dOnliciled in "a.) All Jlersonal Jlroperty $
(If not domiciled in Pa,) Per,onal property in Penn'ylvania $
(If nol domiciled in Pa.) Personal proJlerty in Counly $
Value of real estate in Pennsylvania $
situated as follow,:
.19 q 10
(o("\() , ()n
Petilioner __ after a proper ,emch ha~ ascertained Ihal decedent left no will and was survived by
the following spouse (if any) and heir,:
Name
~O!,Ls.:tlll y
Relatiunship
\ ~
Residence
Clf r ,) bLl f5 ft.,
17 II.)..
THEREFORE, Jlctitioner(,) rC'Jleclfully requesHs) the grant of lellers of administration in the
appropriale form 10 Ihe undersigned.
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fORM 93-0. C. DIVISION
IN THE COURT OF COMMON PLEAS
." OF,
CmII3EHLANDCOUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
IN RE: ESTATE
OF No_.2.19,li.9.U.L_........ or..Q.Q.......,...,..._ :0
~ ~ '0 :Urn
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..
GARY E. SHAY I";
...__._..___._____._., l.D
(Doc...4d)
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CLAIM
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To the Clerk or OrphlUl!l' Court Division:
Index and make proper entry in )'our otricial rccor.u or the claim or__...._.__.___.._
NOVUS Services, Inc., [ka Discover Card Services, Inc"
....u-..-..-...--.-.-.---..-u.----..----...--..-..(~.i;~;t)--..----.---.---.----------.-----..-"7
in the amount ~r S.....__?!..?.:::..:.~~.........._.....,......agaillSt the C3lnte or the above named decedent.
This cl,,:im is filed under Section 732 (b) (2) or the FiduciariC3 Act or 1949 "" amended.
TM llllid decedent, who rC3ided at..............~.,_~~!'1m:.~~_=~~":_!.~_.._...._...,...................
Lemoyne, PA 17043 Octob;r 23, 199&
..""......._...._.__....,.....___.__._.___......._............'...died on _.._.....,.__._.........._...._....,................_.......
( Address)
19... .... .......
\V 'tt . r h' I' .
n en notice 0 t IS C 31m W8.3 glven to..._....................__........._............................_...............-:..-...
cath erine E. Shaw, Personal Representative
... . .-...-.----.-...."...".......-.-.--.........--..........-"........_..."._....,....._..,.,....".........,................._.......on
trcnond rt'pu'untati.,t'o it &Q1. or coun...!)
January 28, 1997
.___0__'"
19....__
? A ;/
III v jJUIULL11\'-
,/ (C1alm...l)
L. Gunnell, Authorized Agent
527 South High Street
rnlumbus. OH 43215
(C1a!aw1t'a AddrHa),
CER'rIFICATION OF NOTIC~; UNOEH HUI,E 5,6(a)
Name 0 f Deceden t : {b t< 1'- p., <&jQ L/
Date of Death: /IJ./).?, -Lit"
Will No. Admin, No, ~/t}(,? - ()q()ll
To the Regisler:
I certify that notice of beneficial interest required by
Rule 5,6(a) of the Orphans' Court Rules was served on or mailed to
the following beneficiaries of the above-caplioned estate on
~I c,tl/j' f : Nqr,... -c(' 90 7
Name Address
(JJl Tflfll / IJf
f.' "'00,/
t;a ~Ji1.Jj(/ti/lJY' I1ft//J
JIll"). 1/;./7//<')..
. (J
Notice has now been given to all persons entitled thereto under
Rule 5.6(a) except
Date:
(~r!:, ~J
Signature / / c
Name {J IITII.['/!j.(j'f' r.-SI;o II
(
Address &;,{}4 1 ~\ f.IU) ( !.~/,) n
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Telephone( 1'71 Sy'S~ O~h.U-
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Capacity:
Personal Representative
Counsel for personal
representative
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1.,21 - Cf l, ~.qO '7.1
CLAIM FORM
REGISTER OF WILLS
1 COURT HOUSE SQUARE
~ARU~I:E PA 17013.
ESTATE OF GARY SHAY NO, 0558981044784
Notice of claim by SEARS~4!rCoiigresS St"Salem,MAo1970 In the amIJ1,045,24.
pursuant to section 3384, Probate, Estates, and Fiduciaries Code Laws of 1972, Act No, 104 effective
July 1, 1972 as amended,
Date: SEPTEMBER 10, 1997
TO THE COURTS:
Enter the claim of SEARS, 45 Congress SI.. Salem, MA 01970 , In the amount of
$1,045,24 , against the above entitled Estate. The decedent, who resided at
435 HUMMEL AV died on 10/25/96
Written notice of said claim was given to CATHERINE E SHAY at
(personel represenlalive or his counsel)
273 JOYA CIRCLE HARRISBURG PA 17112 on 09/10/97
(address)
The basis of aforesaid claim is as follows:
Secured Merchandice
SECURITY INTEREST: Sears National Bank
SNB RETAINS A SECURITY INTEREST IN THE SUBJECT MATTER OF THIS AGREEMENT.
Except In the stale of NY, Sears has a security Inlarast undsr tha Un~orm Commsrclal Coda in each item of
marchandlse chsrged to the account, unlass prohlbllad by law, to secure only tha purChase price of Ihatllem
of merchandise, If Ihe cuslomer does not make payments as agreed, the securily Inleresl allows Sears 10
repossess only Ihe merchandise which has not bsen paid for In full. The customer Is responsible for eny loss
or damege to the merchandise unlllthe price Is full paid. Any payments the customer makes will be firsl used
to pay eny unpaid Insurance. Returned Chack, or Finance Charge(s), and Ihen 10 pay for Ihe earliesl charges
on the account, end then to pay for any lala charges. If more than one Ilem Is charged on Ihe same date, Ihe
payment will apply first to the lowest priced lIem(s),
/7 / r /' -// /
~-1~ Ul/'., ~!C"<i.:'?
(NAME)
BARBARA TOBIN-FORBUSH
.J'. .
Claimant
SEARS
45 CONGRESS ST.
SALEH, MA 01970
Declldent's Com lete Address:
~,"lll t All(lW ~;';
on
-I ~,'AlI
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Tax Payments and Credits:
I Ta. Duo (Pago lllO0 lB)
2 CIO'JiIs/Paymonls
A Spousal Po,erty Cre,j,!
8 Pnar Paymenls
C D,scounl
(1)
Tolal Credlls I A. 8. C) (2)
3 InleresUPenally II applicable
D Inlerest
E Penally
TOlallnleresVPenally (D' E) 13)
4, II line 2 is grealer than line 1 -line 3, enlerthe difference, ThlSlSlhe OVERPAYMENT,
Check box on Pagel L1na 19 to requelt a relund (41
5 II line 1 -line 3 is grealerthan IIOe 2, enlerthe difference This iSlhe TAX DUE, 151
A Enler the inlerest on the ta, due, (5AI
8, Enler the tOlal 01 line 5 - 5A, This is the BALANCE DUE, (58)
Make Check Payable to: REGISTER OF WILLS, AGENT
PLEASE ANSWER THE FOLLOWING QUESTIONS
BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1. Did decedent make a transler and: Yes No
a, retain the use or Income 01 the property translerred; ,......,........'....,........,......,......................, 0 0
b, retain the right to designate who shall use the property trenslerred pr Its Income; ....,..'........ 0 0
c, retain a reversionary Interest; or....,..,..................,..,..,........,....,..,..............,....................,......, 0 0
d, receive the promise lor Ille 01 either payments, benefits or care? ....,..,................,..,....'....'.., 0 0
2, II death occurred on or belore December 12, 1982, did decedent within two years
preceding death transler property without receiving adequate consideration? II death occurred
after December 12, 1982, did decedent transler property within one year 01 death without
receiving adequate consideration? ,..",..",.."",..,..,.."""..,...."..",'.."""...."..,'..",....,.......""'..,,.., 0 0
3, Old decedent own an "in trust lor" or payable upon death bank account or security
at his or her death? ....,....,........,....,................,..........................,..,....,..,............'....,..,....,........'.... 0 0
4, Did decedent own an Individual retirement account, annuity, or other non-probate property?.... 0 0
IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES,
YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN
'~l.. rr;.' ~!~'':i:::A#J;;i~. . ./ ~;'( :im1"~~1\;\'~1.~1~iUfi.. ~~ti1:. fiJri' '1,,(/';-="1'\:' :'~;' ":;,.t ~~ ~1r:;JI. .'\ '~m\ ~}",.i~'\~~~h t.1;(j' '\';>:$:t/..'-r.:";t./ >'! ,'"
72 P ,S. ~9116 (a) (1,1) (i) provided lor the reduction 01 the tax rate imposed on the net value 01 translers to or lorthe use olthe
surviving spouse Irom 6% to 3% lor dates 01 death on or after July 1, 1994 and belore January 1, 1995,
72 P,S. ~9116 (a) (1,1) (il) provided lor the reduction 01 the rate Imposed on the net value oltranslers to or lor the use 01 the surviving
spouse Irom 3% to 0% lor dates 01 death on or after January 1, 1995. The statute does not exempt a transler to a surviving spouse
Irom tax, and the statutory requirements lor disclosure 01 assets and filing a lax relurn are still applicable even Illhe surviving spouse
Is Ihe only beneficiary,
FOR DATES OF DEATH ON OR AFTER JANUARY I, 1995" Please answer the lollowing question by placing an 'x" In the
approprlale space,
Old the decedent create a trust or similar arrangoment which Is solely lor the surviving spouso's benefit for his or her entire
lifetime? Yes 0 No 0
II you answered yes to the above question, Ihe lax on Ihe Irust or similar arrangemenl is postponed untillhe death ollhe second
spouse, at which time il will be lully taxable al the ratels) applicable 10 the remainder beneficiary(ies), Enler the value 01 the Irust on
Schedule J, Part II, in order to remove it Irom the calculation of the lax due in Ihis estate, You may wish 10 file Schedule 0 in order to
make Ihe election available under Section 9113, II the election is made, the trust or similar arrangement is taxed in the eslale olthe
first decedent spouse, the portion 01 the lrusl or similar arrangement which benefils Ihe surviving spouse is laxed at the zero tax rate,
and the remainder is laxed at the rale(s) applicable 10 Ihe remainder beneficiary(ies), II you choose 10 make Ihe election, you must
allach Schedule 0 10 a timely-filed lax relurn, along wilh Schedule(s) K andlor M in order 10 show the apportion men I of Ihe trusl or
similar arrangement between Ihe surviving spouse and Ihe remainder beneficiary(ies),
.""',....":'" '*
COf,I.\IONVv!AllHOf P1:NNSYlV,wA
INHERJlANCE lAX RETURN
R I NT flY
ESTATE (2
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
J
J
etJ.(J dl79r t&/~J (G C'A'{(1,(; /;{'ci-;
/9tt 'J/llrt-le
da .th. pmceeds were received by 111. ..Iala All propolly JolnUy-owntd wtth thl right olluNivorlhlp mUll be dllcloltd on Schtdult F,
VALUE AT DATE
OF DEATH
tflLCA.4A.itLLt iU
'f~tJ CJ, tJ 0
DESCRIPTION
ITEM
NUMBER
1.
t;; (Jt) 0
TOTAL (Also enter on line 5, Recapitulation) S ~ ? t90
(If IIlOIO space is needed, insert additional sheets of the same size)
:"'''''''~'''.
COf,lt,l()/M1'A! TlI Of P{tjNSYl VA'''A
INHERITANCE lAX R[lURN
R t , T Nt
ESTATE,9F) C;
{nD. Lrt l.. ,~/)O It
(j' 1/ f
Dtbll 01 decedent mUlt be reported on Schedule!.
ITEM
NUMBER
A, FUNERAL EXPENSES:
1.
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
DESCRIPTION
(}7..i..LJJ.L~-I" t/k-'
~€I?I~UJrYcr
B, ADMINISTRATIVE COSTS:
1, Personal Representative's Commissions
Name 01 Personal Representative (s)
Social Securily Numbe~s) I EIN Number 01 Personal Representative{s)
SlreetAddress
City State Zip
Yea~s) Commission Paid:
2, Allome, Fees
3, Fami~ Exemption: (II decedents address is not Ihe same as claimants, anach explanalion)
Claimant
Slreel Add....
City State Zip
Relationship 01 Claimanl to Decedent
4, Probate Fees
5, Aa:ounfants Fees
6, Tax Retum Prepare(s Fees
7,
FILE NU~R
19~ .() 907
AMOUNT
<# g; fie;. 6) 6
TOTAL (Also enler on line 9, Recapitulation) $
(II more space is needed, Insert additional sheels of Ihe same size)
6Z
I
6. / jy ,- /-~
BUREAU OF INDIVIDUAL TAXES
INHlAIU"'CL fAll DiviSION
D[PI. :lIObOI
liANAISftUAC, flA 111:a'ObOI
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF REVENUE
,-
NOTICE DF INHERITANCE TAX
APPRAISEHENT. ALLDWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSHENT OF TAX
CATHERINE E SHAY
273 JOVA CIR
HARRISBURG
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
05-0(.-98
SHAY
10-23-96
21 96-0907
CUMBERLAND
101
Anount Aanit hd
PA 17112
*
l'l.a., It... I".H.
GARY
E
MAKE CHECK PAYABLE AND REMIT PAYHENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
ifEV: iS47 -EiC" F'P - foF 97-'- -ilfj'r"i tEnOF - YNH Eifi TANCE-i'-AX -jiP"PRAi SEHEilT -'--"L'LOWAtiCE -oli-- - __mm - - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF SHAY GARY E FILE NO. 21 96-0907 ACN 101 DATE 05-04-98
If an assessment was issued previously, lines 14. IS and,or 16, 17 and 18
reflect figures that include the total of ALL returns assessed to date.
ASSESSMENT OF TAX:
IS. Anaunt of Lin. 14 .t Spousal
16. Anou"t of Line 14 taxable .t
17. Anount of lina 14 taxable at
18. Principal rax Dua
TAX RETURN WAS: I X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I Est.t. (Schedule Al
2. stocks and Bonds (Schedule 81
3. Closely Hald stock/Partnership Intere.t (Schedule CJ
4. Hortg.gaI/Nota. Receivable (Schedule DJ
5. Cash/Sank Deposits/Hisc. Parsonal Property ISchedule EJ
6. Jointly Owned P~op.~ty CSch.dul. F)
7. T~ansfe~s CSchedule G)
8. Total Assets
CHANGED
11)
12)
13)
(4)
15)
1&)
17)
.00
,00
.00
,00
500,00
.00
,00
IB)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.~al Expenlel/Adn. COltl/Hisc. Expenses ISchedule H)
10. Debts/Ho~tg.ge Liebl1itJes/LJens ISchedule I)
11. Totel Oeductionl
12. Net Velue of rex Retu~n
13. Ch.~lt.ble/Gove~nn.ntal aequ.sts; Non-elected ~113 T~usts CSchedule J)
14. Net V.lue of Est.te Subject to Tax
19)
110)
3.499,00
,00
111)
112)
113)
114)
NOTE:
~ate
Lin..I/CI.ss A ~at.
Collate~.l/Cl.IS a rate
,00 X ,00=
,00 X ,06:
,00 X ,15=
I1B)
115)
I1bl
117)
TAX CREDITS:
PAYHENT
DATE
DISCDUNT It I
INTEREST/PEN PAID I-I
RECEIPT
NUHBER
AHOUNT PAID
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN. !
TOTAL DUE
NOTE: To insu~e prope~
credit to your account,
sub.it the upper portion
of this fo~n with your
tax pay.ent.
500,00
~,4qq nn
2.999,00-
,00
2.999.00-
will
.00
.00
,00
,00
.00
,00
,00
,00
. IF PAID AFTER DATE INDICATED. SEE REVER~E
FDR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDn" ICRI. YOU HAV BE DUE
A REFUND, SEE REVERSE SIDE OF THIS FORH FOR INSTRUCTIONS.)
no t€ :uifi'
S (I'
::1 -.
rT' "' 0
(~. .9
$ ;/~ n
-<
J,
::!1 ;::;('
:0'- ", fij
)..; ;:: W 2-
.....
RESERVATION: [,tatl' of dlCldlnt, dYing on or bafor. Dlc,.bat 12, l~aZ .. If any future lnterl.t In thl ..lal. I. tran,farrad
In po.....lon or ."Joy..nt to Cia.. a Icol1at.rftl) blneflelarl.. of thl dlcldant .,t.t thl ..plratlon of any ,,'at. for
llf. or for y..t., thl Co..onw..lth hateby '.pr..,ly t...tv.. Ihl right to apprals. and ...... transf.r Inherltanca T....
at thl lawful Cia.. a leol1.t.ral) rala on any such fulur. Inter..t.
PURPOSE or
NOTICE:
To fulfill thl requlta..nt. of Slctlon Zl~D of the InherltanCI and [,tat. Ta. Act, Act 21 0' 1995. (72 P.S.
hctlon 91"01.
PAytfEHT:
Detach the top portion of thl, Hotlcl and lubalt with your pay..nt 10 thl Rlgls'ar 0' Will. prlnt.d on the r.v.r.. ,Id..
"Hake ch.ck or .oney ord.r payabl. tal REGISTER OF MILLS, ACENT
REFUND I CA) r
A r.fund of . tax cr.dlt, which wa. not reque.tld on the fa. R.turn, lay b. r.qu..t.d by cOlpl.tlng an -Application
for A.fund of P.nn,ylvanla Inherltanc. and (.tat. fa." IAEV-I!I!I. Application. are avallabl. at the Offlc.
of the A.gl.t.r of Will., any of thl 23 A.venue Dlltrlct Offlc.., or by c.lllng the .p.clal 24-hour
anlwlrlng 'Irvic. nueberl for for.. ord.rlngl In Plnn.ylvanla 1-800'36Z-2050, out.ld, Plnn.ylvanl. and
within 10cIl tt.rrhburg araa 11111 181'1094, TOOl 11111 112'ZZ52 Ut..rlng IIPalred OnlyJ.
OBJECTIONS I Any p.rty In Int.r.lt not ..tllflld with thl appr.I....nt, allowanc. or dllallowanc. of deductlonl, or all'.I..nt
of ta. I inclUding dllcount or tntere.t) .. Ihown on thl. Notice IUlt Object within .Ikty (601 day. of recllpt of
thh Not Ice by:
--wrltt.n protalt to the PA Depart..nt of A,v.nue, ;~ard of appeall, a.pt. Z11021, Harrisburg, PA
--..ectlon to have the latter d.t.r.ln.d at audit 01 the a'~ount of the p.r.onal repr..entatlv.,
--app.al to thl Orphan.' Court.
I1IZI'1021,
OR
OR
ADHIN
ISfAATIVE
CDAAEClIDN$:
Factual .rror. dl.covlr.d on thl. all....ent .hould b. addre..ed In writing tal PA Depart..nt of Aev.nu.,
Bur.au of Indlvldu.. l...., ATTHI POlt AII.I...nt R.vlew Unit. a.pt. 280601, Harrllburg, PA 11121'0601
Phon. 11111 'll'650S. 5.. page 5 of thl booklat "In.tructlon. for Inhlrltanc. 'a. R.turn for a RI.ld.nt
O.c.d.nt" (REV-ISOI) for an ..planatlon of adllnl.tratlv.lY correctabl. .rror..
DISCOUNT.
If any ta. due I. paid within thr.. 131 cal.ndar lonth. aft.r the d.c.dlnt'. death, a flv. p.rc.nt IS~J dl.count of
the t.. paid 11 al1owld.
PENAllY I
'ha 15~ tax aan..ty non-participation p.nalty I. co.puted on thl tot.1 of the tax and Intarl.t al.I..ld, and not
P.ld b.fore January 18, 1996, the flrlt day aftlr the end of the tax a.n..ty plrlod. lhl. non'partlclpatlon
p.nalty I. appealable In the .a.e lann.r end In the the .... tl.. plrlOd al YOU would appeal the ta. and Intere.t
thet hal beln a.la.led al Indlcat.d on thl. notice,
IN'EREST:
Int.re.t I. chargld bJglnnlng with flrlt dey of d.llnquency, or nln. (9) .onthl and one (II day fro. the data of
d.ath, to the d.t. of p.y.ent. T.... which b.ca.. d.llnqu.nt b.for. January I, 1912 b.ar Int.re.t .t the reta of
,I. 16~J p.rcent per annu. calculated at a dally rata of .000164. All ta... which b.c..e d.llnqu.nt on and .ft.~
January 1, 191Z will bear Int.r..t at a rat. which will vary fro_ cal.ndar y.ar to calendar y.ar with that rat.
announc.d by the PA D.part..nt of R.v.nu.. Th. appllcabl. Int.r..t rat.. for 1982 through 1998 ar.:
~ Inter.. t Rltt. Dally Inter..t facter !!!! Interllt htl 01111'1 Intar..t Fllcter
1911 Za:c .000541 1987 'X .00OZ41
1913 l'~ .000438 1918'1991 11;( .000301
1914 11;(: .000301 1992 'X .OOOZ,.,
1985 U:C .000356 1993'1994 IX .00019Z
1916 10" .000114 1995'I998 'X .000247
uJnter..t Is calculatld .. follow.:
INTEREST . BALANCE OF TAX UNPAID X NUNBER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
..Any Hotlc. I..u.d afl.r the ta. b.co... d.llnqu.nt will r.fl.ct an Int.r..t calculation to flft.en (IS) day.
bayond the date of the a.......nt. If pay..nt I. .ad. eft.r the Inter.lt coeputatlon data shown on the
Hotlc., additional Int.r'lt IUlt be c.lculat.d.