HomeMy WebLinkAbout97-00244
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CUMBERLAND ,~
R!QII'fER OF WIL1.SOf .....'..'..1...........,.....,..,." CO""" 1
IOND -'NO SURE1V FOR PERSOML REPR2SENrATlVE
KNOW ALL BY TH!SE PRESENTS, Th.t "~~f:Y,~,,,~,t;'.u...~~.lJ1l9.~,-..2!:~~,~_.,,t ""........""......."",,,..,,,...., ......
u prinoIpal(t) and ,..",~.~R~.,~1rr::<<..~~BJl~. ..~..."., ,t.., ..,......., ....., i" ,..,. ..... ....... "..",.,..."..""., _.0.
M .1Itsty (IIIIntl..1 anr hlld ond flrmly bound WltT) lhie ClmmoN...Jth of Penn-vllNlla In tIl, IWlI of ~ll'!,!Q~y.;;XhfW,p.I',ml..
." .."..... dOtl." 1$ 20. OeJO>!.... Do pll.ld to thl CommclnWlalth, for which PA\IIIlIIII w. do blncl OWlIIllaI.lall1llv ""c1._IIII.
tv, out hearl, aacecutou. I:hnlnlltrltton and. .uct.t$tQrt, the condlUonof thls nbllllDt10n being t1Iall(".........I.........;.1,:,.., ,'..
Mary,~..:M.r:\..~,EI.u~9.l!l.:.~.~.~.l!lX,.. 111'111. f1c1uc:.luy caplldly) . .....~.~!~.i~.l~~~.~.t.r.~.~,..... .,.... ..... ,.,........................ ........
.tI...,........".'...........,..,.... oIth. atat. o1.._D~.l!.~~~. ~!.lliam~.........,..".......,...,.....,....,,,......,' ""..,,,, dlClUtd,
or any of d"m. lhall 11I111 and ItlIIy admlnlner the _Ie aceardlnglo law tllen IhIt abllgallon IlI..u b, Yllld ..10 the il4lf'onaJ
IIpru.n~Il\l' or reprnenlaUvu \Yho ohall", .amlnl.lllllha ~tall o.ncI \'1.1 at lb.lr IUllty or IU1I1Iu: but othtttwllllt lhaJl
'amaln In tulllorc,.
Sl .." 11th March 97 .
. ;n.d &led ...~ thIs ..."...,....,..",..... clay of ,................1'."..",........., 19...""".ftll each Intandbl9 to be l.gallY
bound h".by,
1t~'1n~~~~~rii':flt;~J,.".
(Seell
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Ito....,,~ rire Insuranoo Co. IS. II
"'OV-jl/ 'f?{f?::'~'/J"''''''''''' I
..""k:.. ....,,~,...."'..~:;:{,........"I". (StaJ)
William K. Fickel, Attorney-in-Factr.
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HARTFORD FIRE INSURANCE COMPANY
tWt!orV, CCMKilcul
POWF.R OF ATTORN!Y
Know ,II m.n bV th... Pruunll, Thill lhe HARiFORD FIRE INSURANCE COMPAN'(, a 440053
corpor.tion dUly orglH'llUd IIt\dljf IIIR Iltwa 01 tha Slllte of Connecllcul. And having Ila prinCipal offIce lit the City J'
Htl1fmd, County 0' Harllord, Sl/tln of Connuctlcut, does horeby milke, cOrl'JIHute "rid appoint
JAM-FoR R. fH-:KH. ./R. <'lnd/or Wtl.LlAM K. F'lCKEI..
of CARLISLf., PENNSYLVANIA
Itl tru, and lawful AtlOrney(aHn.F'!\c1. wIth lull pONor and authority to alch of Siid AlIornoy(tl.).jn.Fact. in their
..piralo oapaeny il more than one i8 naMod aba...o, to llyn, oxecule and acknowl"dg8 .ny /llId aU bond' and
undertaking. and other writings Obligatory In the nalure the roof (:In bohalf of the Company in ill hUIH1011ft or
gUlflnleeirig the fidelity 01 personll holding placeo 01 PUblic 01 private truit; guaranteeing the perl(,lrmllnQfI 01
CQntr.oto olhnr than In'uranco polloiOS: guarantttttlng the performance 01 1!l8UrllnCfl contracts where surely bonds
Iro accepted by .tRtes and mW1iClnalilies. and ext<luhng or guaranteeing bonds and under1llklng8 required or
permitt6<1 in all actions or procgedinga or by law allowed,
in p,ltnllltie. npt excoeding the sum of TWO ItlINDREO nrn Tllot/BAlm DOLLARS ($2S0,OOO,OO)
O&C It ~::::: ::.:: ':::.:."'.......--- --- ....---- - - --- - ----~........ __....... __ _ _ _ _ _ _ _ _. _ _ __ _ _~'.. __ __ _.. _, .._~._... _ _~ i
and to bind the HARTFORD f=IAE INSURANCE COMPANY thoreby 8S lully and to the sarno 8:'Ctant as H such
bonds and undertakingll and oth6r writings obligatory in the nature thereol were '(jjgned by an ExeculIve Oftlcer of
the HARTFORD FtRE tNSURANCE COMPANY Bnd &iealiltd and aUBBted by one other 01 such Officers, and hereby
r8ufiee and confirms all ttlat it' .aid Allorney(sHn-FaCI may dCJ in pursullncfl hereol,
Thll pO'tfer olltiUorney is grantod by and under authority 01 the following prOlJisions:
{1l By-Lifw8 adopted by the Stockholders of the HARTFORD FIRE INSURANCE COMPANY at a meeting duly
cMlled and held on the 9th day of March. 1971
ARncLE IV
SECTION B Thll Pfuiolln1 or .n\, VICII.f'rll5,dllnl Jcl'ny Wllh .n\, 3eGrelltry or AUIl1anl Sl(lr.1.ry, Ih'll h.~. power and "ulhollty to
a"pOIr'lL tor PU'PO", onl\, 01 ...tcullno and atllllllng boMB and underl.kinOI Ind olher wnllngll oblig.lory ir, the !l.hlrll lhll,.ol,one or mtHQ
Re.!denl Vlct-Prn!dlnl., At81d.nt ""Iala"t Secretarte. and Auorney'-ln.Facl and .1 .n\, lime 10 r.mo.... .fly aUCh ~uldenl V!CfI'P'''IOllnl
R."aem "UIBl.nl Secre1.ry, Of AlIornIJY-ln-Facl and r.~oklllhfl power .nd lIulhorll\, {l1~.n 10 htn\
SECTiON 11. AllornfrYI-ln-Facl Ihall hB~e power aM 'Ulllor!ly. lubitct 10 IN) lerm. .nd IImit"lIon' at Ihll power 01 .llome\, tUUK to
them 10 Ilxecule Ina alll!~er on b4h.U 01 thll Compan\, and to au.ell lhe altlll 01 the Company thereto any Ind .n b(lndl and uMen1klng_ 'nd
OII1,r Hrltlng, Ol:lhOllOIY in !hit nlllvre Ihftr&QI, 11M M\, SUCh Inllrumefll e.eeuled by IInYluch Atlorney.ln.Falit Ih.n bfI .. bindlllQ upon lhe
Comp.ny aD l! ~IQntd by.n E_eCull~$ Ollll;l\t ana ./tatoo and IU"ted by 0n. othef at luch DUlcerfl
(2) EKcerpt from tho Minutes ot a meellng 01 the Board of Directors of the HARTFOAtl FIRE INSURANCE
COMPANY duly called and held on lhe 11th day 01 June, 1976:
RESOLveo: AOMn N I~ Senftr AUIManl V,ce-PrUldent. 9haU have III long ftI he hold. luM olllce I~e I,me powllr " any Vice.
Ptetidenl undet Secllon' 6, 'I aM a at Arllclo IV 01 Ine By-LawI 01 Iho Comp.ny
ThiS power of attorney ili signed and sealed by facsimile undor and by the authority of the fallowing Aesolu-
tlon l1dopted by the Oirectort of the HARTFORD FIRE INSURANCE COMPANY al EI meeting duly called and hold
on the 6lh day of AugUSI, 1916.
ReSOL'/ED. lh.1. wheroat Rotlert N H S,.,Mr. Anlltlnt Vico"PrMidenl. aol!n{l \Vlth .ny Secrellry or "..llIln, Sectellr\" has tne power
end .utnortty. .. ICillg .. hv 11(\)dl lueh office, 10 i1ppolnl by , power of a"otnllY, fOf purpo..' only of 'XKullnQ and .tleltln\} bondS .nd
untlerttklnl,jl .nd omer wntlngs obligatory In the nlltum Ihereol. one or more Rellden1 Vlce-PretIOenll, A8IlIlllnl SlICrelaflll! and Allorne\,"
in.F.~!:
Now, Iheretore, tllll lIon.lur.. 01 such Oflie!lr1 .nd 1t1e l4Ial oj !he Cornpany m.v be alii xed to any such pownr 01 ,"orne\, ot 10 any
cerlill(:llte rel,UnQ Iherelo b\, !,cslmile aM an\, Slle" power 01 aHmneV or cllrtlli,,;,'e be.rlng luch I.rn,imtlfl Ilgnalure~ or racslmlle &e81 ~n.1I bl!I
....lId and binding upon the Compllny aM any ~\JC:h power so ellllculed and certifIed bV faCSimile 'iQnllur.. .nd ,.Cllmlll'l oe.' Shall bil ...lIlld
.nd binding upon the Comp.n.,. In lhll tulum With rll9~o&cllo Iny bond or unOfrnaklng 10 whiCh II IS 1\I.chlld
In Wltneu Whereof, tho HARTFORD FIRE INSURANCE OOMPANV has caused these pl"8ssnts to be signed
by its ASIlstant Vice-President, and lis corporate seal to be htrfllo alUlled, duly atteslftd by lis Secretary, Ihis 10th
day 01 M8rch 1988.
AlIo,t: HARTFORO FIRE IMSURANCE COMPANY
1f:?vI / 7/1
Flooorl J M.lhleu
Secrellr~
STATE OF CONNECTICUT,
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COUNTY OF HARTFORD,
On this 18th day 01 March. A.D_ '1988, before me personally cam9 Robert N H, Sener, to me known, who being by
me duly sworn. did depose and say: lhat he reSides in the County of Harllord, State of Connecticut: that he is the
Alaistant VlctrPre~ident 01 thfl HARTFORD FIRE INSURANCE COMPANY. the corporation described in and which
elC8Cuted the above instrument; thaI he knows the seal ot saId corporation: thai the 118al aUIKed 10 tho Raid
Instrument is such corporate seal: that it was so alflKed by order of the Board of Dlrectora of said corporation 8nd
that he vigned hi! name thereto by like order ,"' "\
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COUNTY OF HARTFORD. ss CER'TIFICATE My Gomrnuillon e_!mHS Alml 1. 199:1
L the lmd&rlli~ned, Assislant Secrelary of lhe HARTFORD FIRE INSURANCE COMPANY, It Connecticut
Oorporation. DO HEREBY CERTIFY that lhe loregoing /lnd attaclled POWER OF ATTORNEY remains in lull forca
and has not been revoked: and lurtharmore, lhAl the Resolutions 01 the Board 01 Directors. set lorlh In the Power
of AHorne)'_ are now in 1L)rce
Signed and seafod at lhe City 01 t-Ianford
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Robftrt N H Sener
AUIM.nl VICI.Pltaldtlll
STATE OF CONNECTICUT,
'orm8.3107.4 (H'I Prmlnd ,n USA
Dated the
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Oh,r1A JOhr,son
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INHERItANCE TAX RETURN
RESIDENT DECEDENT
(TO BE FILED IN DUPLICATE
WITH REGISTER OF WILLS)
YEAR
lOR DAns OP DIATH AfTlR 12/31/91 CHin
" A S"OUSAl
POVIRTY CUD IT IS CLAIMID [)
"LI NUMI..
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COMMONWEAltH Of 'fNNUlVANIA
DlPAjI,TMf:NT OF AtVfNUf
"EPT 210601
HAllf115IWRG, PA 11171.0601
C:EO-iNi7i'NAME 'lA"./IAll. ANDMi1l6u 11.''''':''
WII11amo, Daoklu
1.\1 ~t':':UHI'V NUMeU/O.4ff 0' DEATH
262-42-9571 2/21/97
!1 Original Rllu,n 0 2,
2197-02/.4
COUNTY CODE
/""""' ,<" "..mrn,,,,,
140 N. PILt Street
IDAIIO/IIAIH - CIlr-llole, I'A 17013
I I'll 1'10 Cumberlond
COllnh'
------.
Suppl.m.n101 Return 0 3, Remainder R.fllrn
(far da," of d.alh prior 10 I:,'
o 5, F.rl"al ~Ilal. Tax
R.furn Required
_ 8. Total Number of Sol. Dopo."
(
Cj ,j. Limilld Ellall
o 40. Future lnt.rli' Compromhe
(lor dalll of d.ath alt.. 12,12.821
r 6. oocod.nt Ol.d T.llall 0 7. oocod.nl Malnialn.d a Livlna Trull
(Allach copy of Willi (Allach c~py of TruI'I _-
ALL I:O~r.F.SPONDENCE AND CONFIDENTIAL TAX IN'ORMATION SHOULD BE DIRECTED TO,
NAMf COMPlETf MAIltNG ADDRESS
William A. Duncan I IrvIne Row
CarURle, I'A 17013
h I~ NUM&
717 249-7780
1. Ronl E.tall (Sch.dul. AI (11 43,000.00
", Slock. and Dond. (Sch.dul. 8) ( 2) _.
8, Clolely H.ld Stock/PaNn."hip Intor." (Sch.dulo c) I 3)
4. Mongag.. and NOli, R.colvabl, (Sc".dul. 01 ( 4)
5, Cash, Dank o.pa.itl & Mise.llonooul P."onal Prop.ny( 5) 14.039.59
(Schodulo EI
6. Jointly Own.d Prop.,,>, (Schodule F)
7. Tran.fo" (Sch.duJ. 0) (5chodul. II
8, T 0'01 Grall All", (Iolalllnll 1.7)
9. Funeral Expenll', Adminl.tratlve Co"" Miseol/an,oul I 91 13,904.93
Expon," (Sch.dul. HI
10. oobts, MOrTgng. Uablllll.., lion, (Schedule II
11. Total Deduction. (totalllnll 9 & 10)
12, NIIl Valu. of Ellato (I/ne 8 miou. IIn. 11)
13. Charitablo and Govornmonlol Bequ.". (Schedule J)
,1,j~Yolue Subl'ct to Tax (IIno 12 minu.lino 131
15, Amount allln. 14 taxabl. 01 6% rOil
(Include valulI Irom Sch.dul. K or Schedulo M,)
16. Amount of lin. 14 taxable at 15% ra'.
Ilnclude value. from Schodul. K or Schedule M.I
17. Pri"C1callax duo (Add lax/ram line 15 and 'roM IIno 16.1
118. :r~din Spoulal Poveny Credit Prior Paymonts
+ , +
I~ II I:n" 18 II groator Inan IIn. 17, onllr Ih. differenco on line i9. Thl. I. the OVERPAYMENT,
~~
If !in(l 17 i. greater than line 19, enler ,he difference on line 20, nls is ,he TAX DUE.
,:... r.:11er lhe interes' on ,he uclancfl due on line 20A.
(6)
(7)
2,015.35
( 81
59,054.94
(101
25,278.46
39,183.39
19,871.55
(151
(Ill
(121
(13)
(141 19,871.55
19,871,2L____x ,06.. -h192.29
(161
x .15..
Vl0\
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(17)
lnlerasf
6"y!
(181
(19)
Clle(lcthefO~f'iYQU4.orCfT8questing~Q'refund:of ;your-overpavment.
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(20) \ L ..., L-
120AI , ( ~
(208) -l \")) 2 0
B, C;Mer Iho 10101 of Iln. 20 and 2DA on IIn. 20B. Thi, i, Ihe BALANCE DUE,
Mako Chock Pnyabl. 10: R.gl,'tr 01 Will., Ag.nl
... BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND TO'RECHECK MATH....
.. ~
Undor penairiol or n~qurv, I declare '''011 have uaminfld tnil r,'urn, including ac~ofTlpanyrn9 u:n.dulll and Ilot,""n'l, and 10 the bl., ot my knowledge ono bellI"
t II Iruct, corroc' and (Clmolate, , declare Ihot all rial 8110le has been reported Of Iru" marker value, Oeclorolion of preparef olher than the! pertanal 'flpr~ntlnfOIIYfl
clod on ail inbrtnoll or which pr,pOfflf hOI ony knowledget.
IGNAklE Jr.' ". " "moR filiNG ""URN AOo.RESS. '... .. OAIf(_{ ,) 'j C
, \\~:~UII\' '( Cr~(()ll) ((/\\;,\l'((~lL ~ 11
:(11..:,.( .. REt .(l\ I.. >\DDlllss - DATE--
UV-I.\O'IUfIIU') J
*
COMMONWUlTH or ftfNNSVlVANI,i,
LNHl!NlTANCf TAK RUURN
AfSIQfNT OfCfDENr
mATi"OP-....=----- --
Daokle WillialDll
SCHEDULE F I
JOINTLY.OWNED PROPERTY
---~-------_.__._--==--- PILI NUMIER
2197-0244
Joint I.nonl(o),
NAMI
A, Marva A. Grier
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ADDRISS ___ RILATlONSH~O DECIDI!'lT _
6928 Greenboro I.ane
Ft. Washington, Maryland
20744
Daughter
I.
C,
Jolntly-own.d property I
ITlM LmER DATI
FOR TOTAL VALUE DICD'S DOLLAR VALUE OP
NUMIU JOINT MADE DESCRIPTION OP PROPIRTY OPASSIT %INT, DECEDENT'S INTEREST
TENANT JOINT
-
1. A 5/91 Members 1st Feu Acct 135386-00 4,030.69 1/2 2,015.35
.
"
.
.
TOTAL IA'lo .n'or on lin. 6, RlCopltulo'lonl S 2,015.35
-
(II marl .pocol. n..d.d ;nllrl additional .h.." 0' .om. '/lI)
"\",11111" 1'.1'1
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COMMONWlAlTH 0' IlfNNlnVANIA
INHUITANC! 'AII: ItfWIIN
~IIIDINT DICIDINI
RWlCll' 0 0'
dOBkie Will 111mB
I
J SCHEDULE H
fUNERAL IiXPENSES,
ADMINISTRATIVE COSTS AND
MISCELLANEOUS EXPENSES
... ---
PJ.OI. Print or Typ.
~Na;;mr-
2197~021'4
ITEM
NUMBER
A. Fun.ral Exp.nl..'
B.
4.
C.
1.
2,
3,
4.
5.
6,
7.
8.
DESCRIPTION
AMOUNT
1.
Ewing Brother Funeral lIome
5.580.00
1.
Admlnl.,tratlv. COlt11
I'...onal Repres.ntotly. Com millions
Social S.curlty Numb.r of P.rsonal R.pr.sentatlvel
V.ar Commllllonl pold
2,
Attorney Fe..
Duncan & Otto. P.C.
2.952.75
3. family Exemption
Claimant __ . R.latlonshlp
Addre.. of Claimant at deced.n"s death
Stree' Addrell
City Stat.
Zip Cod.
Probate Fee~ Register of Willa
201.00
Mlle.llan.oul Exp.n'.11
Cumberland Law .Journal
60.00
T.V. Cllblc
28.14
United of Pa phone bill
176.99
Aetna LHe lno. Co. over payment of pension
293.08
J. Rodney Fickel Insurance Agency Administrators Bond
11 0.00
PP It l. Electric Bill
50.45
Anderoon Brooks Trooh Removal
450.00
UGr GOB Bill
21,1. 32
TOTAL (Alro enler on line 9, Recapitulation)
(II more .pac. i. n..d.d, In..rt addUlonalsh..t. of som. .I.e.)
S 13.904.93
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I u"d ]{l'gi\[l;l[', I'h\' OIi~',ill,d '_I'llillt.lll' will Ill' IlHw,lldnl (,) Illl' "Llll' \'11,11 I~n'l/II" t Hili. Ill( IWlllLlIll'1l1 fdlllg
WARNING: It Is IlIogal to dupllcote this copy by photostot 01 photograph,
h.t, /0[' dlis IN[Ulfilll', $.',00
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COMMONWEALTH OF F1~NNSYLVANlA . Oe;p^A1MENT OF HEALTH ~ VITAL RECOROB
CERTIFICATE OF DEATH
67
Williams
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Jan a
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,.l'emale .. 20<._ 'I< _ 9571
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..February 21,1997
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Cumberland Carliele
~",,'au.l,I.f.I.occl,I!.~.!":ia.... !L'" r.!!l!!!.."llf41!!t!Y__ ~ ~a.D~.E~,Df,"',""ll".,'
1~;~fm~:;1:r AMP'Inc. I,,". y.:c):~
11 ~n. ill
OfCrOf/<lUlol.~l"'{l,l,OOf\fUlr.o... Cflflooo<l su.. .",("",,1 OfC(O(~Ta P nsy1 '
140 North })i tt Street ~~~~\.Ct -~,".~IlIt__eJl...... ---YADJ,~_.._ ~....,~
1"carlisloe,Penna.17013 :~~:.r~~~7" .hoC<I<Jn.lr= Cumberland ~, u.~:Nn-':=~oI_.
'It'I..E'rn......t;'.Il""~L.,1 l.IOII1E'r&/jAI,l(I"1I....~...I......!oI"""'1
James Julius Erooka Marv Ma2el\n. -Eurn~
""=""'~I~r~'" An~. Wallace-Grier '~ 692Itar~~.b;;"r~L~~',FOrt Washin~~on. Maryland
M(iflOO"""'5F{)j'''CI'IT~--~ ~.'!ofOISI'OIlI'iOloi IV(;liOl'OI5"(HI'lON'~'/!IlIOlCtml"""C'''''"~~:l.J..-''''''CCI,ie;i;:li.i''. "'"
. ~w Cr_..,..,[J AO"""'".OtI\Sltl.ll .. iMMll\.Dlvl'NrI OIOIl\"~nion Cemetery carlisle, Pennsylvania
'r""'U Or""l~'-.A'~_,~,,,,:========[] ~:~a~ 26,~1997
'1lJ".'Uf1f J>'E""'"nl\v1CElIC(N~UOA"[FI!lOtfl.Cllf<\l.SSUCI-j \ICE'llll'1!"'N N,I,lllf~iibF-;;;:C~'. 'O"U"t1'r1t!TrOV~'!Jlf't:-
..Q. ,<Ju<l219-L_ win Brothers. :l..i.Eilfl.,lDnneVlvAn,a
' <M.......n~""l""l. 111"-1''''' ~ lJ 1Ulf"j", f) llCE~5["'IJU6 IJMESl(jtlli~
~,' ..~:~~"'_..~"'" , 'Uf~ Ju( C!fj'!IJ.'C"~";l:',2/ 9l-
- =~~;=':='::~I;:i;;;"."-'~- :~.~~~.- - ... ~~1[PIlQ"~(l2''''':"I;?II'#I'i - I'{l.! ~ [ .'fnr'f"'5il.i~"U\UI'lfNl:cANEA1 ",,(]
"--."...-.---....-- .._.._]LL__4... .i. 2L._Z1-__"."_ IL
II. n"ll. f"'"' I.... "'"II.' ",,'">f'" ",m","'"_. ~M" (,.,...11"- U"I" "" r." f."" "'. """,. 0' a,">O.I",nn '-'<IOU'" 11'1""''''1'''011. 11l<><'., nW'!I"',', '""";>Ill'....'"
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, .-"""~~~,,;{-~/~~~._._....1+:.~~~_
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:::..-~""",".""jfu,~,~~~;~".e'f ;:~~~:.~.~~~~' ..- --".----------
[M.vmpW7~(i!--...;:;;;;i.ii;'i"r"rT.I;;_---.-...-.----.- O~T Qf''''JUIlV ]'""'.'IoIJUI\Y '~IJAV~l'*"O"'K1 o;SCFlI'EH()l,yI~Il'.YOCl;l,IM'D
_'1.JlIUPFlIOIIJO 1'-4'''''''11I1\'1011
~OI,lO:;:r;~(\I(;.V5( .lj.....1 IlK) "on",,,,. tJ
'M C1 I~
A<<..." [ J ~'N>""'""""101",n i.'J
,~ n, t I '.., I] ...~.... II ~"'~d"'''I>l'''''t!T'''''~ f] ~~u;;v.-.li.o.;;.___..,"'~;i;. '1<1l>/Y,OPfl<. \I. H'I.......... \3i:1ilO"'.'rr~~~---.--_.
!k,.,."".,,,.S,,,,,",1
lt~ n 101 WI
<<~l"IUI,'I"":''''''~,.,,;-----,~-- - - " ---- -.._-~.. -- -- - 1.~.1 ",'~1;:;-..'_1_"".'~". "."'",l)t~ TI~fltif_.""_. /UrJ'."..._.__"'_..
'CUljlfYlOO'IH'K;I~"';P' ,....".'..."i."Jf..,..",,..",., "'.1"'''''' ,.."....'".."'I"'HV.d".'".'~..."'U"l;.'"'j".."lJ' ~.
'.IM ""1 01 "'f OM.._,., 'Ill~ .<<urt... dut '. 'no ""'"I'I'M "'tM,. n .111...
"I'IO""'Ulf(lttQ~NDCllllTlnINQ~11Y1!tI.~""""'""'''''.''J'''''''""",,,,,,,",l,"',"",,,,,,,;,,,,,~,,",, LJf. (/.ilI7:JJ.t i~ , t"i', ~?-
1~ 1"" _101..., k",,*loodt', ~1l1h""w""'lln, 11"'0, "". f"" P'O<I. 'M ~"'I.lko ..UIIIII''''' "oMf' 1I1\.I1t<l ,.... ~:~':5., .1 III Lil,Q7 "':_~.:~:::.~._..:~:__:.:.. ..7...__.,_~__
tl.....[~"Ol AEf>$OI~P BOItWIlOCO"'Pl~lIOClU5f.OIOHT"
il"~'lllf~Oll'jI'\J" ,-/L"',(
.M.OI(:llU....INUIII:OIlO"llft /",1 I~./ fA
Z~~~:~:;I:I:::r:I"."6n .M'o< InV"I,g~I,'Q~'~ "'I Opl~'b", ''''I" 0<<,,",,<1 :Ill.. lun., <lIlt, '"<I pl'~': ~"" d.u~ 10 1111 u~III~~ Ina I, 7" J /I"" :l.r.-I~(i--- ;it /7t!~r
::";;"")~~:"'~':'~;:~~ ..--- ... . .-----...------...-.....:..'. :,:",,=:.,,= "'.::." 1>- '7'" 'l " -1
..--.-__. ___.__<_ ~. .... ___..__l1.1 '~\l~_ "..P.P......c::-'tx\2~~~~'>.Jj:tl______n
Black
"JIlVW at
'~""il'Y'l__.
._"___..._..__1'"1'
Carlisle
'l~T II'
O;MfI'9".....~_"""'~IQ<IIttfI.l;Jul
fW\I...~"'9..lIlt~_O'V'/IO\f'AA'1
GENERAL INFORMATION
1. FAILURE TO RESPOND WILL RESUI.T IN AN OFF1CIAL U)( ASSESSMENT with ftflpllcmbla lutu..t hu.d on !nfor.ation
lub_lttad by tt... 'lnellol.1 lr\ltltutlun,
~. InhsrUanca tiN bactlllu delinquent flirt. lIontllll ..'tar ihlt decadent.!! rlftt. of d."tn,
J. A _101nt a(loount I. tallabl_ IIv.n thollUh thll dac."."t'lI 011118 w~" A,'dad II" II IIIljttar of oon....,.'I.n(l..
fl. Aocounts ttnClludlng thus. held bQtw..n husband thO t4lf.l which the net.dll"t put In joint nil." within OM y..r prior to
d,.th .r. fully t.~.bl. 8. tran.far,.
I. Account. ..tubll.had jointlY b~tw..n husband ~nd wlf. ~ar. thllo onl ~.ar prior to d..th lIrt not t~K.bl..
ii. Aocou.,tt hold bv II d~~,d.nt "In tru.t for" ",',other or other. /'Ira flllI_bl. fully.
REPORTING INSTRUCTIONS
PART
1
- TAXPAVER RESPONSE
1. BLOCk A . If the Infor..Uo" ft,'td (Ia...ut.tlon In tha notlc. "f' corr.Gt and deductlon. lire not b.Jng a1l1..a, plan In "X"
In black "A" of Pari 1 Ilf the "TlIiI<pllv.r Ruponu" notion. Sign hon copln find lub.it th.1ll with 1I0ur ch.ck for the uount of
tIIM to the Rqht.r of WUh of the (Jounty Indlcatld. Thll PA Dllpftrtlllent of Rllvllnull will Inu* an oHlcl.l u....II.nt
(for. Rt:v.,a~. EIU upon receipt of the raturn frOIl thfl Rug:lt;tlr of Wills.
t. MOCK n - If the fIIut spltclH6Id on this notice hI'" bllnn or will b.. repol'led L'Ind tl!\l'. peld with the fllnn.ylvllnia Inhel'itanc.
T'M "'turn fllad by the declllu6mt'l re'lrlll.ntllUVG, phc:. lln ")(" In block "8" of Pllrt 1 of thll "Ttty.pIlYllr M..pon.... 'flctlon. Sign on.
copy IInd return to tho FlA O.pllrtunt of Revenull, Burtlau of Imllvldulll TalC", O.pt Z80601, ttarrltburg, p" 17128-0601 ln thl
.nvelope provldsd.
3. ILOCK C - If thll notlce Inforlletlon I~ incorr.ct end/or deductlono lire bllng c:lallll.d, check black "C" and co~l.t~ Pertl 2 and 3
..ccordlllQl il) tne llll.lruc.lolll' lntlllW. SIIo1I' ,.." ":(JJI~"~ ....1\i "yr....l. th.lR ..la, ,.,,1,- ,;;,,,,;1. ,".;;,' U-,,, ftl.;...W,~ ~f h... i>lI~'or.ltl 1r.. 11",. i1agl$~.;-
of WUls of tho count~ Indluted, Tlla PA nflplrt...nt of Rev.nu. will Issue an oHIchll 1II1.....nt (for. REV~lS4' EIO upon r.c.lpt
of the return froll the Rallhtar of Willi,
TAX RETURN - PART
2
- TAX COMPUTATION
LINE
).. Enter
HOTEl
the dlllltt! th. Account origInallY Wtl. ..t8bl\shed or tItl.d In the I'II!ann.r .dltlnA lit datil of dllllth.
For IIlI dlced.nt dying .ft.r 12/lZ/ftZ: Accounts which the dec~dent put In joInt na.... with!n on. (1) YI.r of dQath IIrl
t.Mabla fully IIN tran.hr.. tl<.lw811.r, 'th.r. III IIn ellclualun not to aMcnd 13,000 p.r tranlf.r.. r.IIArdlu. of the value of
tha account or the nuMb'llr of ettcount. held,
If IIlI double 1I.~.rh'" ("'M) IIIpp..rw btfore your BrIt n..., ln the addr811 portion of thh notlCll, the .3,000 elColullon
.lr.edy ha. b..n deduct.d fro. the ar.~ount blll.ne. III r.ported bV the fInanolal Inltltutlon.
t. Entlr the total balme. of the account including Inter.lt lIoorued to lht dat.. of d8llth.
], Th. plrclnt of thl 1IOcount th~t It taMable for ellch .urvlvor 11 dttorl!l,\ned &Ii followsl
A. rhe percent t~xabl~ for joint IIlISI.tl ..tabllsh.d .01'" than onl yaar prlQr to the dec.d.nt'. doath:
DIVIDED IY "OTAl NUHBf.R OF
JOINT OWNERS
EX'llllPlo: ^ joint IIl1<1t roght.red
DIVIDED BY TOTAL HUMBER Of X 100 PERCENT TAllABlE
SURVIVING JOHH OWNERS
In tha na.. of the decodlnt lIod two oth.r p.rton..
I 01VII)[D BY 3 (.IOIHT OWNERS) DIVIDEtJ BV 2 (SURVIVORS) . .161 )( IDa
16. n. nAXABlE FOR UCli SURVIVOR)
B. Thtlll PtrCllot talf.ablo for ....t. I:ruted within on. ~ellr of the dlcedent.s duth or accountl own.a b~ thtl d.a.d.nt but hllll
In trult for another Indlyl~ual(.) (trult bwn.fJcIL'lrl.l}l
1 DIVIVED BY TOTAL HUHB~R Of SURVIVING JOIHT
OWNER5 OR TRUST ~ENEFICIARIES
X 100
PERCENl TAXABlE
Ex..l.l Joint aMount reght.rad In the n511. of the dec.d.nt and two oth.r person. and utablhhed w!thin on. vnr of d.atn by
the doc.dant.
1 DIVIDEJJ BY 2 (SURVIVORS) . ,SO X 100 ~O% (TAXABLE FOR EACH SURVIYOR)
Ct. The Mlount .lIbjoct to tIIM (11M 4) Is det.rlllnod by .ul~Jllhln" the IIccnunt balanc. (line Z> by the plrunt taxahle (Une 3>-
Ii. Entor the totlll of the dI!Ibh aM deductions Iltted In PIII't 3.
6. Th~ MOunt hx.t)h (llnl 6) Is d.terMlned b~ IiIJbtractlng tho d.bts and dllductlons (line S) fro. the ..ount .ubjOtllt to t8x (11M! 4),
7. Enttr the approprlat. tax rete (llnl 1) a. dot.r_ln.d b.low.
A. For dat.. of de.th occurrlno altar 6/30/94, the tax r.t.. for trlmlfl,.. to IPOUIU tH'. n folloWl1
L Oat.. of duth on or .f'~.r 7/1/9,. end b.for. 1/1/9S tho rah 11 3%.
2. D.t.. af dtlath on or 8Ifter 1I1/9S tranlf.r. to IIpOUI.a will hi tax.d at 0% till( rate.
Hote: For d~t.. of da.th prlbr to 1/1/94 tran.for' to IpOUI.. ar~ taxable at 6%.
I. Tranlfer, to IJnoal de.c.ndarlb Including f.ther, .other, .on, d'Ughter, grllndchlldren, .on-In-law,
dllUlhhr~ln~l.w~ .ttpchlld and thlllr IIlu. fir. tel(abl. at .IM p.rcellt (6%),
C. Tranahra to all oth.r. 1000lOOln" brothar, .Ister, uncll, aUl'lt, n.ph.w and nl.c. arl tIIlIl(ablt lit ~lfte.n p.rcant ClS;().
D. If)lCtll ohanp the tax "eh, pl.... IPtttlh )lour rlhtlonshlp to ~ho dac.d&n~ in thti fir.. provld.d,
a. The llIOunt of hlx du. Olnl 8) 11 rl.tar.lnld bv Multlplylng: thtol II'IlIIIuunt tawable Clln. 6) by thu hM rate Cllna 7),
CLAIMED DEDUCTIONS - PART 3
DEBTS AND OEDUCTIONS CLAIMEO
Allowabl. debt' end d.duotlon. ar. de"r.ln.d .. followl:
A. You h"811V Ire ruponllbh for pay..nt, or the ..tat. lubjllct to IIdlilnl.tratlon by a perloOlll repr...ntIUv. II In.ufflol.,..t
to p.y the doductlhlll It....
.. You actually Plld the debt, aft.r d.ath of the docodo~t and can furnl.h proof of plly..nt.
C. Dett belnll cl.IHd .utt bl U..h:ed fully In Part 3. If additional IIpaCIl 11 n.lded, un ph In pllpor a 112" !( 11". Proof of
ptYlIMt .IY bo r.qu..ttd by thfl PA DilPflrt..nt of A.v~ua.
TAXPAVERASSISTANCE
IF VOll NEED FURTHER INFORMATION OR ASSISTANCE, CONtACTANV
REGISTER OF WULhPA DEPARTMENT OF REVENUE DISTRIcT OfFICE
OR CALL THE BUREAU OF INDIVIDUAL TAXES, TAX PAVER INQUIRV UNIT I"
HARRISBURG Al' (717) 787-11321. TIIII'.(71.7> 772-U52 (HEARING IMpAIRED ONLY>
~~_,-:::".,:_~ AI!1ount _R~,~~lt!!.~,,,"o_. .'nc,...i
I .__.1
MAKE CHECK PAVABLE AND REMIT PAVMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ...
it"EV: iS47 " iiit " A jiji"r 03: m"" NOY i c ii""o F - "INH iiiii f ANeE" T"i. x" liPPH;; is iiHENr; -Ai:. 'i."ci'wAN"c E - iili' - - -" - - - - - -"""""""
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DASKIE FILE NO. 21 97-02,,4 ACN 101
If en essosument was issued prsviously, linss 14, IS .nd/or 16, 17 end 18 will
refle~t figures thet include the tot.l of ~ return. e.se'Bed to date.
ASSESSMENT OF TAXI
15, A~ount of line 14
16. Allount of l.1n. 14
17. Alllount of L in. 14
18. PrJ,ncJ.p.l hx Du.
.--..--.. AHOUNT -;AID-----!
T;T32:.~
i""-"'...m~_l_=-I .1.'-,-,' __~
~r~T~~C~E~i:A:~~p;i~: -.~~. :~~_-__~j~ ~:I
IF TOTAl. DUE IS lESS THAN U, NO PAYHENT IS REQUIRED.
IF TOTAL DUE IS REFLECTEO AS A "CREDIT" (CRI, YOU HAY BE DUE
A REfUND. SEE REVERSE SIDE Of THIS fORM FOR INSTRUCTIONS.)
IJ~ /67- II
BUREAU Of INDIVIDUAL TARES
INH(Kl1lNCI TAl< UIVIS!{lN
OEl'l. 750bOl
liANNISflURO, Pl 1'1126.0(1)1
COMMONWEALTM OF PENNSVLVANIA
DEPARTMENT OF REVENUE
NonCE or INtlERITANCE TAR
APPRAISEMENT, ALLOWANCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT or TAR
WILLiAM A DUNCAN
1 IRVINE ROW
CARLiSLE
DATE
ESTATE OF
DATE OF DEATM
FI L E NUMBER
COUNTY
ACN
PA 17013
ESTATE OF WILLIAMS
TAR RETURN WAS I I X I ACCEPTED AS FUED
RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
I, R..l Estat. (Scheduh Al (II
2. stocks and Bonds ISchedull 8) (21
S, Cl~.lly H.ld stock/PartnDrshlp Int.,.~t (SehMdul. CI 131
4. Mortgagls/Not.s RMc"l1vabh (Schedll.\e OJ (4)
S. Cash/aank Dlposits/Nisc. Parsonal ProPlrty (Schedule E) (SI
b. Jointly Ownld Pr-oPlrty I SchDdul. F) I & I
7. Tran.hrs (Schldule Gl (7)
8. Tohl Asslts
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Funeral Expanses/Ad"" Co.h/Milc. Expanse. (:)chedllle H) (9)
10, Debts/Mortgag. Liabllities/Li.na (Schedull Il (10)
11. Total Deductions
12. N.t ValuI of Tax R.turn
15. Charitabla/Govarn",ent.l Beque.t. ISohodule J)
14. Nat Velu. of E.tate Subj.ct to Tax
NOTE I
at Spou..l
taxable It
hX8bl. .t
r.t.
Lin..l/Cl... A rata
Coll.terll/CI... Brat.
ClSI
Cl61_.
Cl1J
TAX CREDITS:
-~------
PAYHENT
DATE
05-21-97
RECEIPT
NUMBER
AA2i 1334
DISCOUNT I +J
INTEREST/PEN PAID (-I
59.61
.._______-L_
. IF PAID AFTER DATE INDICATED, SEE REVERSE
fOR CALCULATION OF ADDITIONAL INTEREST.
08-11-97
WIL LI AMS
02-21"97
21 97-0244
CUMBERLAND
101
CHANOED
43,000.00
.00
.00
.00
14,039.59
2,015.35
.00
(81
13,904.93
25,278.46
1111
1121
1131
1141
.00
19,871.55
.00
R - 00,
M .06,"
M .15,
I1S1
L~.-'
.. .l ~
l...~...
q. ,. +~t\'
,1. _.'t:\lI"
Ili-II.II, I" 11l.HI
DASKIE
DATE
08-.11- 97
NOTE: To insure proper
cr.d1 t to your .oc:aunt 1
sllbmit the upper portion
of thil form with your
tax payment,
59,054.94
:\Q.1A3 ~Q
19,871.55
.00
19,871 :22.
.00
1,192.29
.00
1,192.29
RES:F.RVATIONI
PURPOSE Of
NOTICE I
PAVH[NTl
REFUNII feRll
OBJECTIONSl
ADHIN
ISTRATIVE
CORRECTIONS I
DISCOUNT I
PENAlTVI
JNTERESTI
0,
~"I
r'l
C.
(
~
t~l
L' !
..'.1
Lfilt,t.. of d~~~dent"''''Jia on or b"Qt~ Dec'lIIb.r 12, 1982 u if fln~ future Int.rut In the ..tflt. it trnn.f.rnd
In po.....lon orlnjb1~t to CII.' B (0011at.tal) b.n.flol.rJ.. of thl d.o.d.nt .ftlr the .wplratloh 0' Iny ..t.t. for
Ilf. or for Ylar., the Co~onw'llth h.r,by .xpr..,ly r...rvI. thl right to appral.aand a....' tr.n,f.r Inherlt.ncl TaK.,
nt the lawful Cia.. B foolla'.ral \ rat. on Iny ,uQh future Intlrut,
To fulfill th. r.quJrulnh of Section l!11t0 of the InherU"ncI and E:.~ah TIl( Act, Aot I!l of 199!i. 01 P,S.
Sect Ion 9140),
Detach the top port Jon of thl. Notice and sub~lt with your paymlnt to the RegJ,t.r of Wills printed on thl r.~eri' side.
--Heke ch.ck or llIon.v order peYflble tOl REGISTER OF' HILLS, AGENT
A refund of" tal( credit, which Wfl8 not roquRsted on the TalK Rehlrn, IIlay bl requested by completing an "Appllcallon
for Rlfund of Plnn''I1Vlnla JnherltaM. and Eltflte TftK" IREV-1313l. Applications atl Ilvlllhbll l!lt the OffiCI
of th. Relllster of WillS, llny of thl Z! RlvClmlCl Dliitrlot Offices, or by oalllng the special Z4-hour
IIIn.WtrlOIl service numbers for forms orderlngl In Pennsylvania 1-800-36Z-Z0~O, Clut81dll Penn.vlvanlfl i'lnd
within local Uarrhburo ar., (7171 781-80114, '00_ (717) 17Z-ZZSZ (f4urlng ImpllJred OnlYJ.
Any party In Intarut nat "tl.ft.d with the apprrdsoll1lnt, 8l1ow8nc. or disallowance of d.ductlons, or !lUlul..nt
of tal( (Including discount or Intltrutl III shown on this Notlel IIlUlt objlet within stKty 16U, days of rlllOlpt of
thit Nutlce bYI
--wrltten prctut to tha PA Oeplllrtllllnt of RClvonu., Board of Appeals, Oept. 281021, tlarrlaburg, PA 17128-10U, OR
--electl"n to hav.- thl "Ittlr d,"r~ln.d lit audit of the IICCO\.mt of the p.rlonal rlpre..llhtlv., OR
--appul to the Orphanl' Court.
F~tu.I .rrors dl'co~.rld on thl. as......nt should ba .ddressed In wrlt1nll tal PA D.part.lnt of R.venu.,
Bure.u of IndlvlduaI TIll", AnN I Post ...s.....nt R."llw Unit, Olpt, 280601, Hllrrllburg, PA 17128-0601
Phone (717) 787-6505. S.. pagl S OA thl bookllt "Instruotlons for Inheritance TaK Rlturn for I R..ldent
Dlcld.nt~ IR,V~1501l for an .xpl~na1Ion of ftd.lnl.tratlvely corr.ctable Irror..
If anJ' tllK dUill Is paid wlth1n three (!) cal.ndar .onth. aftlr thl d.cldlnt'. dl.th, I five plrClnt ISiO dhcount of
the taK Plld I. Allowed.
The 15% tal( ,."..ty non-partlclpetlon ~n.lty I. oo~putld on the totel 01 thl ~aK Ilnd Int.r..t ......Id, and not
paid blfore January 18, 1996. thll first day after thl end of tho taK allnllty p.rlcd, This non-partlolplltlon
plnalty I. IIPPlellb1. In thti .alll" lIIann.r and In tha the "'.. tl.. periOd fl' YOU would app..l the tlK and lntlrt.t
that has b..n at....lld .. Indloat.d on this notlciI.
lnt.rlst Is chargld beglnninll with flr.t day of dellnqu.no~, or nJnl (9) ~onth. end one 11) dlY frOM the datI of
death, to thl dll" of paya.nt, T'K" whloh lI.ea.. deUnqu.nt blfor. January 1, 1"2 bur Int.rut at thl tlte of
.11I 16%1 plrC!lnt p.r annul calculated fit . dalty rall of .000164. All t'l(n which beca'l d.linqu.nt on and aftlr
January I, ICJU will b.at lnter..t at a rete whlGh w1l1 v"ry fro. calendar Ylnr to (I.lender y.ar with that rat.
announc.d by th_ PA Oepart..nt of Rev.nu.. The applicabll Jnt.rest rat.. fer 1912 thro~lIh lCJ97 arll
'!!!r Inhr"t Rlt. Dallv Intar.U Faotor ~ Inhr..t Ratl! Dally Int.rut FAotor
IUt 20;: .000548 1987 9% ,000247
au 16% .000458 1988'1"1 11% ,000301
1984 11% .000501 1992 9% ,000247
19a'it 13% .0005S6 1993.1994 1% ,00019Z
1986 IDle ,000274 19n~lCJ97 9% .000247
~-Inter..t II oalculahd a. followlI
INTEREST = SA LANCE OF TAX UNFUD X NUNIER OF DAYS DELINQUENT X DAILY INTEREST FACTOR
--Any NotlGI l,.uad aftar the tal( blco~" dellnqu.nt will refleot an Int.r..~ caloulatlon to flft..n (IS) da~'
beyond the dlt. at thl as......nt. If p.y..nt Is III.D. aftlr thl Inter..t co.putatlon data shown on the
NoUel, addlttonlll Intutut IIIust b. calculated.
\
';' ~
-
'"
-~...., ti'2f2t:/5 ..........~ ,-
~
- ~~r-
~ ~ .~~,
~ ~~ f i 1
.~. ~!a '*. a '"
~jissi ~ .....
c
,...
~ uJ vJ~ :::~l;;~iti L/ =- ....
~ ~ ts ";;Yj -:y- ~ lllS 'c:o 0 (g j Q j ! '~
y ~.s~j.5N
b-'9d 0> 'l5 '0 ~ .) g ~ "~
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