HomeMy WebLinkAbout96-00979
Rh.;;IVED BY / / .':,'1.-) C. . .' .' /. "./
," SIGNATURE ,:' /
,.1_. ,"'0'
MARY C. LEWIS ., ,..
REGISTER OF WILLS
~ -. .-. ~.
:....''''..1'-''1
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT O' REVENUE
OFFICIAL RECEI" . PENNSYLVANIA INHERITANCE AND ESTATE TAX
'*'
DNo. AA 146993
RECEIVED FROM:
I
ACN
ASSESSMENT r:t
CONTROL ~
NUMBER
AMOUNT
PROFESSIONAL ABSTRACT INC
101
':5,C3:;.',1,
3920 MARKET STREET
CAMP HILL, PA 17011
ESTATE INFORMATION:
~ FilE NUMBER
Ii 21-1996-0979
~ NAME OF DECEDENT (LAST]
~ CLAPPER MIRIAM C
~ DATE OF PAYMENT
1M 11/27/96
m POSTMARK DATE
COUNTY
SSN 171-28-4454
(FIRST]
(MI)
CUMBERLAND
DATE OF DEATH
10/2" /95
REMARKS PROFESSIONAL ABGTRAC1' lNC
fa TOTAL AMOUNT PAID
$5,235.44
DO
SEAL
CHECK II t594
REGISTER OF WILLS
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INHERITANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
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fOR OATIS Of OIAIH AnlR 12/31191 CHICK HIRE
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POVIRTY CREOIT IS CLAIMIO I ]
fill NUMBER
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COUNTY CODE
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YEAR
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NUMBER
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{lor dale' of df!olh prior 1012.13.821
Fodf!rol E,lote To.. Relurn Required
.so Fulurl' In!rHO\! Comprami,e
(lor dohn 01 dealh oher 12.12.821
['J 6 D..odo,' D,od Ie.'ol. 7. Doted", Mo"'o,,,d 0 l""9 T,u" _ B 10'01 Numb" 01 Solo Dopo.i' Bo...
IAUoch copy of Will) (^t1och copy 01 Tru'll ._~..___________
ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO:
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Real e'lole (Schedule A)
Sloc.k, and Bonds (Schedulo B)
Clo,ely Held Stock/Porlner,hip Inll!ff!,1 (Schedule C)
Morlgage' and Note, Re(eivoble (Schedule 0)
Co,h, Bonk Deposil' & Miuelloneau, Penonol Properly
ISchodul. EI
Jointly Owned Properly (Schedule F)
Tron,fen (Schedule G) (Schedule L)
Tala I Gran Aneh (10101 Line, 1.7)
Funeral E.-pen,e,. Administroliye Co~ts. Miuelloneou,
E.apen,es (Schedule HI
Debts. Mortgage liobililie" lien, (Sc.hedule II
Tolol Deduction, (total line, 9 & 101
Nel Value of E,totf! (line 8 minus line 11)
Charita hie and Governmental Beque'h (Schedule Jl
Net Value Subject 10 Toll, (line 12 minu, line 1 J)
Spau,al TroMfen (lor dole' of death alter 6.30.9AI
See In,truc.lian, for Ar,plicoble Percentage on Reyer,e
Side, (Include value, rom Schedule K or 5(hedule M_I
Amounl of line 1 A lall,oble at 6% role
(Include value, from Sc.hedule K or 5chedule M,I
Amount of line 14 ta..able 01 15% rote
(Include value, from Schodule K or Sc.hedule M,I
Principal loll, due IAdd tOll, from line, 15, 16 and 17.)
Credits Spou,ol Poverty Credit Prior Poymenh
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Check her. if you are requesting 0 r.fund of your overpayment.
Thi. i. ,ho OVERPAYMENI,
If line 19 i, greater Ihon line 18, enler the difference on line 20.
a[i
If line 18 i, greoler than line 19. entor Iho difference on Line 21 Thi, i, the TAX DUE.
A Ente, Iho inlete" an the balance due on line 21A
B. Enl.r Ihe 10101 of line 21 and 21A on Line 218. Thi' i, Ihe BALANCE DUE.
Mak. Ch,ck POy'oble '0:_ R.~lst.,~~f _Wil.I~., A~._nf"_
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_.___._ ~~. BE SURE TO ANSy/ER ALL QUESTIONS ON REVERSE SIDE AND TO RECHECK IAATH ~ ~
~~der penohio, of perjury. I de(l~re t~t-'I-h;'; ~~'~mi'n~d't-hi, -r~-tu-;n~ incl\Jd~~g ~~~;,;p~~yi-~9~.ch~d~le~ -and -;~le~;;~I;:-~~dl-~lh~-b;;;I -~f ~:; '~~-;;~r;dg;~nd b;!i;J,
III' true. (orre(t and complete. I declare thaI 011 real .\Iole ho, been rcporled 01 true mor~el ..olue OedorOlion of preporer 01 her than the penonol repre'enlolive i,
haled on 011 information of which preparer ho, any knowledge
~NATlJlI( 0' P(R~ON Rf..POt~~I8t( FOR IIIING AllugN-A-riV~-(~~" -_.-. ... --". .- ..,. .------. -. --.. -.-- .--. OATi-~--~.---_.-......_---.-..-,...
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_', UP-
COMMONWEAltH Of PENNSYlVANIA
INHUlIlANCf TAX IInUIIN
IIESIDENT DECEDENT
SCHEDULE F
JOINTLY.OWNED PROPERTY
--~._---~.~_._--~.^- -_.-_._-~
FILE NUMBER
ESTATE OF
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l'v\ IIl..I{)"'~ Q.
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Jolntt.nant(.).
ADDRESS ______.__ __J!.ELATlONSHIP TO DECEDENT
'?) (t~4\<:.\ ,O~ Lt\N':<' So.J
Ct\~(p \\,\.1., \h. \,\),1 -'~\.n_
NAME
A. Ef)"~\I"lO C, ~ll\P{)~l<:'
B'U~-p{'-I :::J. C\.I\\l{'l~R.
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C.
Jolntly-own.d property.
ITEM LETTER DATE
FOR TOTAL VALUE DECD'S DOLLAR VALUE OF
NUMBEI JOINT MADE DESCRIPTION OF PROPERTY OF ASSET % INT. DECEDENT'S INTEREST
TENANT JOINT
1. A~~ 0~~s,o~ lANiI \n9uw .so :\i.8.9.SCJ"tl
CM^f1 ~h\.1.., IX. 1,1)01
I
TOTAL (Also enler on line 6, Recapi.ulo'ion) S W, 50--0 ~
(If more space is needed insert additional sheers of same size'
1I'I,,"t..17.1I\
SCHEDULE H
FUNERAL EXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANE~U~ E'.<P.EN_SES ..... ____ _~loasoPrlnt Dr Typo
J:~~_:~MB~~_-
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COMMONWEAltH OF PfNH~Yl"'AUIA
INHERitANCE t...... Rl TUllt~
RESIDENt OfCfOENI
1.
B.
1.
2.
3,
4,
C.
1.
2,
3,
4,
5.
6.
7,
8,
DESCRtPTION
AMOUNT
ESTATE OF
IRI~~1\ C. C\.AP~
ITEM
NUMBER
A. Funoral Expons..,
Administrative Costs:
Personal Representative Commissions
Sociol Securily Number 01 Personal Repre.enlative,
Vear Commissions paid
Allorney Fee.
Family Exemplian
Claimant
Address 01 Claimant 01 decedent'. deolh
Streel Addre..
Relalionship
City
Slate
Zip Code
Probate Fee.
Mllcellaneoul Expenl":
\1..\\1)\'15 _ C.WNW>151l>':' .,..~ - Fu'lN~ l'b;:IY.l,j)..!.
\\'0'1\,15"
TOTAL (AI.o enter on line 9, Recapilulation)
(If more Ipace II needed, Inlert addltlonallheell 01 lame Ilze.)
s val\.({
IlV.Ul1t.. 11111
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BENEFICIARIES
FILE NUMBER
ESTATE OF
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AMOUNT OR
SHARE OF ESTATE
ITEM
NUMBER
NAME AND ADDRESS OF BENEFICIARY
RELATIONSHIP
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A. Ta..able Beque,',:
1.
N~TJ~ER NAME AND ADDRESS OF BENEFICIARY
AMOUNT OR
SHARE OF ESTATE
B. Charitable and Governmental Beque,',:
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TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS (Al.o onlor on Ii no 13. Rocopilulo.ion)
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Hampden. County
LLOYD E. CLAPPER and mRIAI'I C. CLAPPER, his wife, of the Township of
of Cumberland and State of Pennsylvania, GRANTORS,
A
N
D
LLOYD E. CLAPPER and NIRIAI'I C. CLAPPER, his wife; ED~IUND C. CLAPPER and BETTY J.
CLAPPER, his \~ife, of Neehaniesburg, Pennsylvania, as tenants by the entireties as
between each husband and his wife, and as joint tenants with the right of survivorship
and not as tenants in common as between Lloyd E. Clapper et ux and Edmund C. Clapper
et ux, GRANTEES.
lltihlC99cth, Tltl/I ill "lIl1sid,'mtillll 11/'
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natural love and affection
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ill hI/lid !,I/id, 1111' r,,/,,'i/II IrllI'r"II( is 1t,'r"f,!!a,,/,'II,"d,'d!i/'d, lit,. sai,l 1mlllll/'s du
h,.r,.bl/ [11'1//11 I/lId "fllIl','!!I" tI". .'I/id !irlllll,"'s
the ir
"d,s (Illd ass;allSf
ALL that certain tract of land situate in the Township of Hampden, County of
Cumberland and State of Pennsylvania, more particularly bounded and described as
follows:-
This is III r;e'tif)' th., this b " rrlle wp)' "tlhe ,ewnl whilh i, "" file illlhe PelllS)'I\'"li.,!>i\'i,i"" "r Vil"ll\elllnl, ill .",,,,I.llle
wilh ^C1 66. 1'.1.. ~nl. "ppruVl'J h)' Ihe Gen",,,1 ^ssemhl)'.)lIl1e 2'), I')~.\.
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WARNING: It Is Illegal to duplicate this copy by photostat or photograph.
I'l'C fll' Ihis cerlific"Ie, $~.OO
(j..J-1I~
Ch"r1es H.,Jesle'
SWIC Rl',.;istrar
3850629
MAY131996
Dale
No.
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COMMONWEALTH OF P[NNSYLYANIA. DEPAnTMENT OF HEALTH. VITAL AECORDS
CERTIFICATE OF DEATH
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WARNING: Ills lIIegat to duplicate this copy by photostat or photograph.
Ft'C lor this twtilkarc, 5:1 (X)
C:t.J-1I~
Charles HllrJesrer
Slale Helli",ar
1781061
No.
NOV 19 1990
Dilte
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Sill..
MIOSIU,,".M7
COMMONWEALTH OF PENNSYLVANIA. DEPARTMENT OF HEALTH' VITAL RECORDS
CERTIFICATE OF DEATH
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3800 MARKET ST.
CAMP HILL. PA 17011
717.761-4800
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Convenient locations serving you In Central Pennsylvania
/5:-;'/'/-3
BUREAU Of INDIVIDUAL TA~ES
IHtl[RI1ANC[ fAIl DIVISION
D[Pt. 110'01
HARRISBURC. Pi 1111e-0601
COMMONWEALTM OF PENNSYLVANIA
DEPARTMENT OF REVENUE
NOTICE Of INItERITANCE TAX
APPRAISEHENT. ALLOWANCE OR DISALLOWANCE
Of DEDUCTIONS AND ASSESSHENT Of TAX
EDMUND C CLAPPER
9 CREEKSIDE LN
CAMP HILL
DATE
ESTATE OF
DATE OF DEATH
FILE NUMBER
COUNTY
ACN
PA 17011
03-10-97
CLAPPER
10-24-95
21 96-0979
CUMBERLAND
101
A..ount R...Ubd
c.,
'*
'I"lhl fll" 1l,.'U
MIRIAM
C
MAKE CHECK PAYABLE AND REMIT PAYMENT TO:
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE. PA 17013
CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~
REV:is4i-EX-AFP-nZ:9&'j-iioYicE--ci'F""fNHERiTi.NCE-YAX-APPRAisEHEii:r;-Ai.i"owi.NCE-iili-----------------
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
ESTATE OF CLAPPER MIRIAM C FILE NO. 21 96-0979 ACN 101 DATE 03-10-97
If an assessment was issued previouslY, lines 14, IS and/or 16, 17 and 18 will
reflect figures that include the total of ALL returns assessed to rtate.
ASSESSMENT OF TAX:
15. Anount of line 14 at Spou.al rat.
16. Anount of Lin. 14 taxable at lin..I/Clasl A rat. (16)
17. Anount of Lin. 14 taxable at Collateral/Cia,s 8 rat. f17)
18. Principal Tax Ou.
TAX RETURN WAS: (X) ACCEPTED AS fILED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..l Estoto ISch.dul. A) III
2. Stocks and Bonds (Schedule B) (2)
3. Closely Held stock/Partnership Int.ra.t CSchedule C) (3)
4. Hartg.gas/Not.. Rac.ivable (Schedule OJ (4)
5. Cash/Bank Deposits/Hilc. Parsonal Prop.rty (Sch.dul. E) (5)
6. Jointly ONn.d Prop.rty (Sch.dul. f) (6)
7. Transhrs (Sch.dul. G) (7)
8. Total As..t.
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun.ral Exp.ns.s/Adn. Costs/Hlsc. Exp.ns.. (Sch.dul. H) (9)
10. D.bts/Horto.o. Ll.bl11tl.s/Ll.ns (Schodul. II (10)
11. Total D.ductlons
12. H.t Valu. of Tax R.turn
13. Charltabl./Gov.rnn.ntal a.qu..t, (Sch.dul. J)
14. N.t V.1u. of Est.t. Subj.ct to T..
NOTE:
Il!.)
TAX CREDITS:
PAYHENT
DATE
11-27-96
RECEIPT
NUHBER
AA146993
DISCOUNT (+)
INTEREST I-I
158,02"
) CHANGED
,00
.00
,00
.00
.00
89.500,00
,00_
(81
1,871.15
.00
(11)
(121
(13)
(14)
.00 X .00=
84.628.85 X .06=
.00 X .15=
(1B)
AHOUNT PAID
5.235.44
INTEREST IS CHARGED FROM 11-28-96 TO 03-25-97
AT THE RATES APPLICABLE AS OUTLINED ON THE
REVERSE SIDE OF THIS FORM
TOTAL TAX CREDIT
BALANCE OF TAX DUE
INTEREST AND PEN.
TOTAL DUE
HOTE~ To Inlur. prop.r
cr.dlt to your account,
subnlt th. upp.r portion
of this forn Nlth your
tax p.y...nt.
89.500.00
1.R,1 11;
87.628.85
3.000.00
64.628,85
.00
5.077.43
,00
5.077:43
5,077.42
.01
,00
.01
. If PAID AfTER DATE INDICATED. SEE REVERSE
fOR CALCULATION Of ADDITIONAL INTEREST,
( If TOTAL DUE IS LESS THAN $1. NO PAYHENT IS REQUIRED.
If TOTAL DUE IS REflECTED AS A "CREDIT" (CR). YOU HAY BE DUE
A REfUND, SEE REVERSE SIDE Of TNIS fORH fOR INSTRUCTIONS,)
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RESERVATION I E.t.t.. of d.e.d.nt. dying on or b.for. D.e..b.r 1Z, 1912 -- If .ny futur. Int.r..t In the ..tate I. tran.f,rr.d
In po.....lon or ,nJay..nt to Cl... B (eoISat.rll) b.n.flel.rl.. of th. d.e.dlnt .ftlr tha a~plratlon of any a.t.t. for
life or for y.lr., the Co..onwl.lth haraby l~pr...lY rl.lrv.. the right to appral.. and a..I.. tran.f.r Inh.rltance T.~..
.t tha I.wful CI..s a (eoll.t.raIJ reta on any .ueh futurl Inter..t.
PURPOSE OF
NOTICE,
To fulfill th. r.qulre.ent. of S.etlon ZI~O of the Inh.rlt,ne. and E.tat. T.. Act. Act ZZ of 1991. 7Z P.S.
S.ctlon ll"O.
PAvttENTI
D.taeh the top portion of thl. Notlc. and .ub.lt with your Ply..nt to the R.gl.tlr of wills prlntld on the r.vlrs. sid..
--"Ik. cheek or .on.y ard.r p.yabll tal REGISTER OF HILLS, AGENT
All Ply..nt. r.e.lv.d .hlll first b. appll.d to Iny Int.r..t which .ay b. due with any r...lnd.r appll.d to the t...
REFUND CCA)I A r.fund of . t.. cr.dlt, which w.. not r.qu..t.d on the TI. R.turn, ..y b. r.qu..t.d by eo~letlng en "Application
for R.fund of Penn.ylvanl. Inh.rltanee Ind E.tet. T.~" CREY-ISI3). Application. ar. .vII1.bl. at the Offlc.
of thl R.gl.ter of Will" any of the ZS Revenu. DI.trlct Dfflc.., or by ceiling the .peclel Z4-hour
an.w.rlng ..rvlce ~b.r. for for.. ord.rlngl In P.nn.ylvanl. 1-100-S6Z-Z0S0. outside P.nn.ylvanl. and
within loc.1 H.rrl.burg ar.. (717) 717-1094. TOOt C717l 71Z-ZZSZ CH..rlng IIPllr.d Only).
aBJECTIONS I Any p.rty In Int.re.t not .atlsfl.d with the .ppr.I....nt. allowanc. or dl..llowanc. of d.ductlon.. or ........nt
of t.. (Including dl.count or Inter..tJ .. .hown on this Notlc. IU.t obj.ct within sl.ty (60) dlY' of receipt of
this Notlce bYI
--written prote.t to the PA Dep.rt.ent of Revlnu., Baird of Appeal., aept. ZIIOZI, H.rrl.burg, PA
--.I.ctlon to h'v' thl .,tter det.raln.d at audit of the .ccount of the p.r.onel r.pr...nt.tlve,
--apPI.I to thl Orphan." Court.
17ln-lOll,
OR
OR
ADNIN
ISlRAlIVE
CORRECTIONS!
F.ctu.1 .rror. dl.eov.r.d on this ........nt should b. .ddr....d In writing tal PA a'Plrt..nt of R.v.nu.,
Bur.eu of Individual Te..., ATTNI Po.t A.......nt R.vl.w Unit, a.pt. 210601, Hlrrl.burg, PA 171ZI~0601
Phone (717) 717~6S0S. S.. peg. S of th. bookl.t "In.tructlon. for Inh.rlt.nc. Ta. Return for a Re.ldlnt
Doc.dent" CREY-ISOI) far en ..pl.natlon of adllnl.tr.tlvely corr.ctable .rror..
DISCOUNT!
If any t.. due I. p.ld wlth!~ three CSJ c.l,ndar .onths ,ft.r the dec.d.nt", d..th, . fly. p.rc.nt (S~) dllcount of
the t.. p.ld I. .llowed.
PENALTY I
The ISX t.. .~e.ty non-pertlclpatlon p.n.lty II co.put.d on the total of th. t.. and Int.r..t .......d, end not
p.ld blfor. Janu.ry II. 1996, the flr.t day ,ft.r the end of thl ta. lane.ty p.rlod. Thl. non-p.rtlclp.tlon
p.nelty I. .pp..labl. In the .... ..nn.r and In the the .... tl.. p.rlod a. you would .pp..1 the t.. and Int.r..t
thet h.. b..n .......d .. Indlcat.d on thl. notlc..
INTEREST I
Int.r..t I. ch.rg.d b.glnning with flr.t day of d.llnqu,ney, or nln. (9) .onth. .nd on. CI) day fro. the d.t. of
d..th, to thl d.t. of p.y..nt. Tax.. which b.ca.. d.llnqu.nt be far. J.nuary I, 1982 b.ar Int.r..t at the r.t. of
sl. C6~1 p.rc.nt p.r annUl c.lcul.t.d .t . d.lly rat. of .000164. All t.x.. which b.c", d.llnqu.nt on end .ft.r
Janu.ry I, 1911 will b.ar Int.r..t It . rat. whlLh will v.ry froll c.l.ndar y.ar to c.l.nd.r y..r with th.t r.t.
announc.d by the PA a.part..nt of Rsv,nu.. The appllcabll Int.r..t rat.. far 191Z through 1997 .r.:
'!!!!: Inter..t Rat. aally Inter..t Flletor !!!r Tnter..t Rat. Dally tnter..t Fllctor
nIl In .0005"1 J9a7 'X .000247
1915 16X .ooo~sa 19118-1991 lIX .000301
1914 11~ .ooonl 199Z 'X .000Z47
1915 I3X .00nS6 199]-1994 7X .000192
1986 10:< .000274 1995-1997 'X .000247
--Inter..t 11 celcuht.d .. followlI
INTEREST . BALANCE OF TAX UNPAIO X NU"BER OF OAYS OELINQUENT X OAILY INTEREST FACTOR
--Any Notlc. I..u.d .ft.r the t.. b.co... d.llnqulnt will r.fl.ct ~ Int.r..t c.lcul.tlon to flft..n CIS) dey.
b.yond the d.t. of the ........nt. If p.y..nt I. .ad. .ft.r thl Int.r..t co.put.tlon d.t. shown on the
Notlc., additlon,l Int.r..t lUst b. celcullt.d.
,
,