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HomeMy WebLinkAbout97-00501 No ? 1 - 97 - "01 . Estate of 1IA.RRlIf1r....J4...- 1(1,~r TIt')} , Deceased DECREE 01<' PROBATI~ AND GRANT 01<' LETTERS AND NOW ,JIINE 10, 19~+-, In consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the Instrument(s) dated Atl'il"st" 21, 1,9.20 described therein be admitted to probate and flied of record as the last will of Ha rr i "t M K.. 11 eT. and Letters TestaRl9Rtary are hereby granted to r:: i 1 h.. r t M K.. 1 Ilu ~ FEElS Probate, Letters, Eltc, ",",',' Short Certlficates( 3) , , , , . , , , . , Renunciation """""".".' X-P~ges JCP. MARY CLEWIS $ $ $ $ 24.00 ;).00 TOTAL _ $ 63.00 "j,., ,J,W~~. ,1.Q, .lQ9.7,... ,j""", 25.00 Q.nn Wj]]jam Q nAni"l~. ~771S ATTORNEY (Sup, Ct. 1.0, No,) QRe W. WiSh ~t., Car)i~l~, PA 17013 ADDRESS Flied (17 241 3631 PHONE \.0 t' it " t~ , ..- ~l (') t.:;J b .j \.0 ' \ I z ~'.:J " ':.' 9' W,t.: <ll GO ct CalJed attorney on 6-10-97, 21 . 97 ..~01 [i'I' 'j;! :1 '[ " ;1 ,I 'l:ll11Ii:l! 'I I ::,":i'"I;,II'1 ' " I: illll!I"lllllllll ' IIIII,! ';i!:I:'u11Illil': 1 " I;i 1.1.. l.il'i...I.I'!'..I.".. illlll.' 1.::,.;1... 'I' 111..1111:: III,' II,~ " I 'I,"~ "I" '\ 1111. I" il 1....1..111.1.1.1111. '. i.....!.., 1..1. i.'. :....i, 1.1.11'.:i 111'11 Ii , i : , ' II ill I Ii ~ 1'1 I ill, 1'1 ' , II; /j1lil,'ili:iIH Illlli"IIII! I' :' 'I 'h)',! i I :il~lill'.'..:...! 1.11.1:\ I.!'.:': I "'\':;'\;:,11111 ';!m.1 il.. 11:."11'1' 11::.11, !II."I I': I"""'~I' 'I I', " , i ',;:1 i': Ii :11 ;:'I,'!!i!1 i iilli :' 1(, , I' ';I , :' :1 'liP I ':d Iii ,: I. \i.I' : : I I! i I, \ Ii' i, ; 1'1 I I I ~ . '; 'i)' I !I:III!IIIII 1:" ! !,~ 1 ! ;;1 ,"I :II! I': I II':!:I "I ' ,: :.'! I.II...I'!:I .::.11'. .'. 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I:.: , I I' I I, I" ~IIIIII' J II ~ I: 1,;1 [J I' fj 1 ;;iil " I' "I i ill I': ' ,a ~ f 11i J I l~ ell J J , I . ., . , 't! V ^ " , ~, I; " " " " , (; " 1 I 'I ,l fll " (, " ,'j (, " " II " , I " " , " " i , " v 'i I ! , f " " , , , " /I , V c " 0 , II A " " f " " "1 ',' " ,I I' I , Ii, , I , , Ii , 'i " ,; 1'- i/ ( , , " [; )I\!I , !J II~ i . I~ I' I~ II Ii II 11..1111 !I II II!:!: I I !.,I 'If:' Vm ;~ I ':f~- F . ,-- I ~ Ul C '_d ~1i t...'~ ClJ."< ~\O ~'~ t-J 1.'1:. 'f ~ 1", t' ~;:: ';>(,L " )--fh '--'_J :c~ ,00 ! J' ---, ,\., , I', , , ,-; $ ~ 'tl ~ n \ I .-l \ , ~ ~ f~ .jJ . . ~ ft . W ,Co, . OJ('/'\ ".jJ k.-l . .... . , ~)( ~ ~ ~1Il .jJO ~ A, . ~ g ~ "e UJ I" iii ~ ..... ..... 8 <.ll 1/1 ~ " ffi ~ ~,c: ('/'\ [:1 E , Ol<ll 0Cl ! ~ s ~ ~ -Ill ~ p.. ('/'\ I iJ iJk' I ~ z zO.l: ... M 0 oS 4J OJ '<I' [ [ 1Il.-l N ~ Will ~ ~.~,-, , .-I r-- lfl\1l~"'" ,0 l=l r-- N au....... c... I' \IIILW;\II^l^"II,I\\ll,I;II~ 1'llllIlIillll\lii-~~) dild'llllldl IN REI ESTATE OF HARRIET M. KELLER, DECEASED, TRUST UNDER WILL IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21-97-0501 DISCLAIMER AND RENUNCIATION I, Gilbert M. Keller, hereby exercise the rights granted to me in Chapter 62 of the Probate, Estates and Fiduciaries Code (the "PEF Code"), and I hereby irrevocably and unqualifiedly disclaim and renounce the power to direct the Trustee to pay to me or to apply out of the principal of the Residuary Trust in each year, including the year 2002, an amount not in excess of. the greater of Five Thousand ($5,000.00) Dollars or five (5%) percent of the then aggregate value of the Trust principal, which power was given to me as set forth in ITEM III(D) of the Last Will and Testament of my wife, Harriet M. Keller, deceased. I further certify that I have not heretofore exercised such power or accepted any such payment or application of principal from the Trustee since the inception of said Trust. IN WITNESS WHEREOF, intending to be legally bound hereby and intending that this Disclaimer and Renunciation shall be filed of record in the Office of the Clerk of the Orphans' Court Division of the Court of Common Pleas of Cumberland County, Pennsylvania, and a copy thereof delivered to Manufacturers and Traders Trust Company, successor Trustee to Farmers Trust Company, of Carlisle, pennsylvania, as provided in Section 6204 of the PEF Code, I have hereunto set my hand and seal, this ;).'7~t, day of March, 2002. ."~AY. >n. fel/?-.. Gilbert M. Keller (SEAL] STATEMENT AND RELEASE KNOW ALL MEN BY THESE PRESENTS, THAT I, GILBBRT M. KBLLER, individually and as Executor of the Estate of Harriet M; Keller, Deceased, late of the Borough of Carlisle, Cumberland County, Pennsylvania, do hereby acknowledge that: WHEREAS Harriet M. Keller, who resided at 336 West South Street, Carli.sle, Cumberland County, Pennsylvania 17013, died on May 25, 1997, survived by her spouse, Gilbert M. Keller, and having left her Last WHl and Testament dated August 21, 1990, which was duly admitted to probate by the Register of Wills of Cumberland County, Pennsylvania, and filed to Estate No. 2197- 0501; WHEREAS by said Last Will and Testament Harriet M. Keller, Testatrix, appointed her husband, Gilbert M. Keller, Executor and sole beneficiary of her entire estate for and during his lifetime; WHEREAS Letters Testamentary were issued by the Cumberland County Register of Wills to Gilbert M. Keller on June 10, 1997, which Letters Testamentary remain in full force and effect; WHEREAS the granting of said Letters Testamentary was properly advertised, with the first complete advertising in the Sentinel newspaper and the Cumberland Law Journal being published on June 20, 1997; WHEREAS all the taxes, debts, and expenses of the Estate known to Executor have been paid as well as the fuhding of the testamentary trust with corporate trustee ; and Executor has neither knowledge of any unpaid claims, absolute or contingent, which may be asserted against the Estate, nor any reason to believe there are any such claims outstanding; WHEREAS a complete Pennsylvania inheritance tax return reflecting all estate receipts, disbursements and amounts for distribution was filed at the Office of the Register of Wills in and for Cumberland County, Pennsylvania on F'ebruary 25, 199B, for which a final approved statement dated September 7, 1998 was issued, a copy of which is a.ppended thereto as Exhibit "A;" WHEREAS a complete united States Estate Tax Return Form 706 was filed with the Internal Revenue Service Center in Philadelphia, pennsylvania, for which a corresponding Estate Tax Closing Letter dated October 15, 1.998 was issued, a copy of which is appended hereto as Exhibit "B;" WHEREAS all the net assets of the Estate, in-kind or in cash, have been distributed or are being distributed to Gilbert M. Keller in full satisfaction of his entitlements, includirtg benefits to him of the Trust Under Will (Trust TIN 23-7930978), all in accordance with aforesaid Last Will; and WHEREAS Gilbert M. Keller, individually and as Executor desires that this Statement and Release make unnecessary the filing of \lny further a.ccounting in the Orphan's Court Division of the Court of Common Pleas of Cumberland County. NOW THEREFORE, intending to be legally bound hereby: 1. I, Gilbert M. Keller, waive the filing of a formal accounting of the administration of said Estate in any Court I .2. Warrant that r am the primary beneficiary and party in interest of this Estate, and am entitled to receive all distributions during my lifetime in accordance with said Last Will and Testament; 3. Declare that I have examined the records of all transactions affecting the Estate as set forth in the relevant accounts aud accounted for in the appropriate tax returns, find them to be true and correct in all particulars, and accept and approve them with the same force and effect as if they had been filed with, audited and confirmed absolutely by a court of competent jurisdiction; 4. Warrant that I know of no outstanding or unsatisfied claims tor which I am responsible as beneficiary or personal representative; and 5. Receipt for the sums and properties distributed tome, and agree to indemnify and hold harmless the Estate (TIN 23. 790059'7) from and agai.nst any claims, liabilities, loss or expenses arising from any cause whatsoever which I may incur as a result of the administration of this Estate and its distribution in accordance with all applicable directives and this Statement and Release. IN WITNESS WHEREOF, with intent to be legally bound hereby, I' have hereunto set my hand and seal. Dated:.Ll ,. 2 ') . 'I,y- j1v-(lok'~17) . l/C:Zco GILBERT M. KELLER (SEAL) Witness: 4 i 'cf'f " J1ttku,:J. U , . _, tffU) , (/ COHHOHWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE .':xillbit "^" JUREAU Of INDIVIDUAL TAME& INHf~ITAHCf TAM OIVlilOH DEPT. 2'1601 ItlAAlalURQj PA l11Zft-ObDI NOTICE OF INHERITANCE TAH APPRAISE"ENT, ALLOWANCE OR DIS~LLONANCE Of DEDUCTIONS AND ASSESSHENT Of TAH DATI ISTATE OF DATI OF DEAl'H FILl! NUMBER COUNT\' ACN WILLIAM S DANIELS ESQ ONE W HIGH ST CARLISLE PA 17013 09"07-1998 KELLER 05-25-1997 21 97-0501 CUMBERLAND 101 L~"~~_~~:ltted It> *' "Y.I"" 1M UP 1"'''1 HARRIET M ._-1 MAKE CHECK PAVABLE AND REMIT PAVMENT Tal REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS. LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ... iiiV:i&'li,-iif-APP-l'o9":m--iioT"ic!"-ciF-iiiiiiifiTAiici-"'"AitXP'PRAisiiiiii'i.-,--AiXciii;,iici-iiii---m----------- DISALLOWANCI! OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF KELLER HARRXET M FILE NO.21 97"0501 ACN 101 DATI 09-07-1998 TAH RETURN NAS, I X) ACCEPTED AS fILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED aNI ORIGINAL RETURN 1. R..l E.t.t. (Sohadula A) 2. Stocke and Bond. (Schedule 8) 5. Clolely l"ld stook/Partnerahip Inter.lt (Soh.dub C) 4. Hortg.~./Not.. R.o.iv~l. (Sohedule b) 6. C..h/Bank Dapodh/Hhc. "..,.Ioflfll Propart)' (Schedul. E) 6. Jointly Owned Property CSohedule f) 1. lranafar* (Sohedule fiI) a. Tot~l A...t. ( ) CHANGED 10.130.00 606J048.DIt .00 .00 18.469.43 .00 3.439.00 CB) el) (2) (5) j4) CB) (6) (7)_ NOTE I To inlur. proper ered! t to your IK>>UOW'lt, .ubIolt the uppe,' portion of th1. fore with your tax pay...,t. 638,086.43 APPROVED DEDUCTIONS AND EXEMPTIONS I 20,390.86 9. Fun.ral Ex,..n.../AdII. CQ.tc/Hho. EXPMl... (Schedul. H) (9) 10. Debh/Hortgege ~lebllltl../Lle". CSohedule I) (10)_ 11. 98Q...Q.Q.. 11. Total Deduction. (11) 12. Het Vel"" cf fe. R.turn (12) 13. Cheritable/Qcverneentel Beq"".t.! Non-elected 9115 Tru.t. CSchedule J) CIS) 14. Het Vel"" cf E.tete SUbj..t tc Tax (14) NOTE I If an a..ItRBllent wa. i..ued prev1au.ly, lin.1I 14, 15 andl'ar 16, 17 and 18 will reflect figura. that includ. the tat.l of ~ r.turn. .......d to d.te. ASSESSMENT OF TAXI 15. A.ouni: of LIM 14 .t SpouI.l rat. (Ui) 16. AMount cf '-Ine 14 h.eble et l.lneel/Cl... A rete (16l 17. A.aunt of Lin. lq taxabl. at Collat.ral/Cla.. 8 r.t. (17) la. Principal Tax Due TAX CREDITS I PAYHENT DATE 08-25-1997 RECEIPT NUIIBER AA211676 DISCOUNT C') INTERHST/PEN PAID Co) 1,145.60 . IF PAID AfTER DATE INDICATED, SEE REVERSE fDR CALCULATION Df ADDITIONAL INTEREST. 231,845.58 381,869.99 .00 M .00. H .06. H .15. ell) n.nO.86 613,715,5L .00 613,115.57 .00 22,912.00 .00 22,912.00 Exhibit. "^" 35,645.60 12,733.60CR .00 12,733 . 6 OCR IF TOTAL DUE IS LESS THAN .1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU IlAV BE DUE A REfUND. SEE REVERSE SIDE OF THIS fORH fOR INSTRUCTIONS.) AHDUHT PAID 34,500.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE . ZOO'd 960Z 'ON XlI/XJ. to:9l 86/Z0/Z1 Exhibit "B" In....... ~ .."'. c.n.... Mld-AtIanCIo Region ~~tof~eT~~ no-23/Jo .... ccr \ 15 - QXLBmRT M. KELLZR 336 W. SOUTH STRBBT ~ISLE, PA 17013 ...... ... HARJUET M. KELLJ!:R a '1 1', MlIIII...... --. 1lI~ 34-S852V ....- MAY 25, 19117 _..~ BARaAM PUNK OIIMMIeT*~ J f. T"-Ift (21.5) '16- 3946 . - ...... T-.1lIMInt ~ (11lla Ie not . &.- .. ... .... ~~ oo~~.\ioa ~t tbt 1.4.~a1 ~a& llab111\~ tor tho abo.. .otato 1. &baWD bolo.. It 40.. 114I\ 1uo1uA. aDF tat.ro.t or lat. pa,..Dt p.naltto. that .., b. obIr.o4. b~t other JIWIIlIlU.. ban bo.a .01ll14,ro4 lA U. OOllpUUlUoa. You 1lha1ll4 bop . GO" at \hie 10".r .. . ,MII ~Il\ roool'l1 boo..... YOUII' .Uorao, MY 1Ie.4 it t.. olD.o tbe 'l'Obe.to p3'0O.o41Ap rOll' 'M ..'a'.. r.bio 1.Uor 11 ..140_0 tJaat tile "."oral tea Ntal'D tor \be oat.\. IIoa .~~r b..n aoooptod .. ti1.4, .1' baa booa ..oep\.4 atto. an a4~ua~a\ tbat ,.u ...... ,.. ftIl1 t. DO\ .. toNal olU1q ....._ai ub4.er ...Uoa 7UJ.. at tlla XA\.1'aal ...._ C.... .. w111 IIOt HOpeD \h18 0.... MwY.ll'. QIIJ.... ItnellllO !'Tooodare 94-68. ",1'04uOO4 _ u.. Hall: at t.bill lotUr. .pplio.. It TOu ba90 aw, qu..tl... ebaut ~. lottoI'. p1.... wrti. or 0.11 tbe poraoa Wba.. - aD4 toloJlbo_ auabol' .... lIha_ .t tho u, or \h1. loUOI'. It '011 tn:'u,. to IUI nUt . .._.u.... aballi Ul10 loU.... ,10... '1'0.14. FOW' Ul.pl&oll. ~... aDd tha 1I08i OlWYoohllt "1M tor IUI \0 ..U it we 0..4 lII441U-.l 1UonmUolI. Pl.... QUaoh \h1. 1Ou... ia IIIIIJ' oorreopoJl4.DOo to Itd, WI id.IlUty FOlD' ..... Keep tlM OOPJ' tor FOW' ....aord.. r.baak ~OU tor poW' oooporetl.D. ltaalo.un I Copy at thl. lotter ~.ro 1'017 "VI. ~ ~.{}:?, . ~ --- . DA...K:,.. ......J.O~; <L- T..~... ...................... _ '" . . . . . . . . . . . .. . . . . .. . ~ . . .. ,!92,800.00 ~ ....... gilt - ~ (for..........,.., 12-31-7e) ............. ~~~,~uu.110 l.Jr*"dad ......................................... O"ecMbS.....,'*- ......... I...................,.. -0-. .0WdIt kIr F-odoI" gift _ (mIgH-. fll'IoI' kt 1-1-77) . . . . . . . . . . . . . . . . .. -0- Q'd1ot~cMedlI__ ............................... -()- cr.cIt for tax on prtar tr'III'wferI ................,......,...... -0- ~ 192,800.00 TOIAI~ ...................... I.........,....... ,.,.......1-6=- ~~lftax .... ,., ......... ............, '0, 'of ....... ,t .... "",' :0- r...---. atTY ,.................... I . . . . . . . . . . . . . . . . . . . . . . . . . . , . . ....n ".0. 8n "'. BoI'JMII"" Pill 1101O &.oUw U7(Be) (ROY. ...., OI:B'" Exhibit "B" .."9B6..3.1.I.I.-01 ua~~lu ONW uaAOR 01:5'.1 "6-3B-ZI '()(J ''ra 'lfVI'\II)"'~'11911 ~~~ : COMMON~"ViV^,,,^ DFPAH1Mr:tjl (Jf f1LVrtHH urlll 7BOflO\ HAll 'I ' 11' ~~ OfCWHll"S NAJ.l[ (1M!, r IRBI. ,!Jj()Wfl!Hf INI'I~lllJf;ft ~bl.w. ~Jo'.l. kl \8vwlllll 'I<f)(~~ /<liL LeI{ I I!: d~ 1i~aj :1i z o I=i ~g 1"'0. iii o o 1'J--/,PY /...J' REV~1500 INHERITANCE TAX RETURN RESIDENT DECEDENT c..... " .:ed..(.(J FlE HUMBER :2-./ 9 l- o 0 60 / CooNT1C NU~ ~ !z w o w o w o If " R- I<. 1ft 1'1 DA Tf or lit;., i ~( G(X;IAl SI:ClIHIIV NLtII1Ul OATfOFBIRrt! I '1 L - .7 4 -,!) ~ ,J; 2 ')12$- II <) ? .71 2.11 0 II '7 / 'I (Ir APPlICAll1 n f,URVlViNt1 GPOlJs'rs Nwr IlMiI. f'lIlO!,,\NO ~1I00lE IMlIALI SOCI,l..L SECURI1Y UuMIll:fl [ THIS RETURH MUST BE FILED IH DUPLICATE WITH THE /.< LS 1- L/:fL, c: 1/-/' hI 11-1 C' /1 2. - / (... - ? B ,3 2- _ REGISTER OF WILLS 1, OrigIn/II Relum 0 2, Supplamenlill Return 0 3. Remainder Return (date 01 1!83l!l OliOf Ij:) 12. \ 182) - gJ 4.llmlled Estale 0 4a fulure Inleresl Compromise (d"or",,,,,,,,, rl.r1-621 ~ 5. Fe<leral Estale Tax Rel"m Required .8f 6 Decedent Died Testale (AnN;hCOllyofWl/Il 0 7. Docedenl Malnlalnetl a LIving Trust (Al\al:hcllfIyofTrustl _ 8, Tolal Numl>erol SRfe Depo31t Boxes o 9.lIl~allon Procoods Rocelved 010. Spousal Poverty Cre<lll""ol"'''''et,.., 12.31-91 "d '.'.951 ~11. Eleellon to tax under See 9113(A) ("~'''''O, THIS SECTION MIlST BE COMPLETED, ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO; - NAlJE COMPtElE MAILING ADDRESS W,L-L.,,,..., s. J)/r-N1&IS, t5S" O/VC> C-v, &C;,y FIR~rN,.Wf )Jf~p~ablel ... .. l.-f(.,(lnt;/L ,L ,o"'!N.lcL-.J C412.L-,.~L6/ ,P,q TElEPHONE NUMBER '?-I?- l3 - 383 ( I o u .0-. I 7-0/3 1. Roal Estale (Schedu~ A) (I) 2 S(ocks and Bonds (Schodu~ B) (2) 3 Cklsely Held Corpo(al~n,Partnershlp or Sole.Propllelorshlp (3) 4. Mortgages & NOles Rocelvab~ (SChedule D) (4) 5. Cash, Bank Daposlts & Miscellaneous Personal Properly (5) Z (Sche<lule E) 0 6 Jolnl~ (;'1000 Properly (Scl1e<1u~ F) (6) S 7. Inler.Vivos Trans'ers & Miscellaneous Non.Probate Properly (7) ::l (Schedule G or l) I- A Total Groll A..sts (Iotal LInes 1-7) ~ 0 9. Funeral Expenses & Admlnlslrallve Costa (Schedu~ H) (9) &! 10. Debts 01 Decedenl, Mortgage lIabilllles, & l~ns (Schedu~ I) (10) 11. Total Deductions (Iotal LIlies 9 & 10) IO,/30.0CJ ,tOt. ,0'18.00 , /8,4 ~ C? .4:3 3 ,-4:3 '1 (6) ;:2-0 ,9> '1 0 2>,Cif80 00 ,~J8,OBb .-13 .9-c" 00 (II) 2'7, :3 T 0.8 (, ,tI3,':(-IS.S-:r 12. N.t Valus 01 Estat. (line 6 minus line I I) 13. Chantable and Govemmenlal SequestslSec 9113 Trusts lor which an eleellon 10 tax has nol been m,de (Schedule J) 14. H.t Valus Subject to Tax (line 12 minus line 13) 15. Amounl 01 line 14 taxable 't- S / 8.,d r- F,B al the spousal tax rate I I -, ~ . x ,0 See Instructions on reverse side for applicable percsntage 16. Amounl of line 14 laxable II. .8 / t':J c; a 9 9 x aI6%ffi~ I~ ,0 I 17. Amollnl of line 14 taxablo at 15% rate x (12) (13) (14) - ,6 I S ,1- / ..s-.,y-=r- 0.00 (16) 22,9'/:2..00 .06 (16) (17) (16) 2.2..,"1 ( 2.. =c .15 16 Tax Due 19 > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < Under pooaltiis o/perjury, t declare thaI I ha~o e~amined this return. IIlCludir19 OCcompJllyirg schedules and sl.llomenls, and 10 the 0051 army ~lIoYl'le<lge and belief, it i.~ true, OOHt'C1 and C<lmplole, DeciMatiOn of proDaTor other !!J.~!LlIJ.l!il[lQlli!!Jeo(osontativolsbaso<lonalllnformlllionofwhlt;hDrODale(has~~rnL-.___ SIGNATURE OF PER.SON RESPONSIBLE FOR FILING RETURN ADDRESS DATE 016'.r'l' '?/. 1<.6L-U~rL . 3.7(., C;", S-:"t'y~ S'r; ('"fIUd'!..,;'>1'/ /i'C>/3 -SIGNAI\IfE()fP~EROT-HE.R.TH~.)lE~T1VE "/) ADDRESS. .., , . DATE ---~. L-dc.P{:::C-&........ /1:: c -,....J>.L. c.)/v~ iv, /'/'.0< S;; l 01/2L/S~t? ,Ap1;4>/.1 2 -- Jl S-- - 98 ________._.___.____________.___~_.__ .:.::.::.L:.__ _ ___ ~~'.,.!!<'"". C.mp." Add(;.r...: ..., m._....'_.__, fJiflHI A/lOW !,'; --;. -.' (' ,I L_)'. 'CJ 'f'..<..t c- 'r __~.~..~_._..o____~_/,~-~" \I, "__'_~_:"~4_:"'__~_'~ ,- ell\' ...-~ AJ .).J t" ~ t'. l t''f /.... 4:_ I,.. c.. .~ .__~_.~. ~.,_,~""'_~_"~'_M~_ L': I ~Ol :>l .- , -.-J srmjJ4 .' Tex Payment. and Credit.: I To, Duo IP~o~ 11Ino 161 2. C'odl18lP~ymonl8 A SpoIlUI PovMy Clodll B. P,IO! Paymenls C OII<lOunl (I) 2. '2.. t <J/ 2.... ',f,41....~(, / I SG:J 3/6 Tolal C,odlls (A + B + C) (2) :\ InlerolUPanally If appliooble O.lnla,nsl E Pannlly - T olallnla,esUPenelly ( 0 + E I (3) II line 211 gleeler Ihan line 1 + IIna 3, enter Ihe difference. This Is the OVERPAYMENT. Check box on pege 1 line 19 to rsqUIII e refund (4) II line 1 t IIno 311 grealer Ihen line 2, enter Ihe difference. This Ie Ihe TAX DUE. (5) A Enlel Iha Inle,esl on Ihe ta, due. (M) B. Enler Ihe lolal 01 line 5 t 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT PLEAS!: ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1, Old decedent make a Iransfar and: Yes 8, retain the use or Income of the property transferred; "."........,.,..........".".."".................".." 0 b, retain the right to designata who shall use the property transferred pr Its Income; ""...."",." 0 0, retain a reversionary Interest; or...........,.....,.......".".,.,.""......,............"..........,.....,...."",..."" 0 d. receive the promise for life of either payments, beneflts or cero? ...."......"..."......,..........."..0 2, If death occurred on or before December 12, 19B2. did decedent within two yeara preceding death transfer prcperty without receiving adequate conalderatlon? If death occurred after December 12. 1982, did decedent transler property within one year of death without receiving adequate consideration? ..... ..... ...,... .... ""....""". ,....."...... ...........",. .......... ..",.... ....".." 0 3. Old decedent own an "In truet for" or payable upon death bank account or security at his or her death? ......"...........................".. ....."......... ............................."....0 4. Old decedent own en Individual retirement account, annuity, or other non-probate property?...1Rl ~ ~ o 4, / ..3, 4 c:> ~ , 5 III No l8J [EI ~ I IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN " I' I , ,. '.: .' . ~" . J ,J , , ' 72 P.B. ~9116 (a) (1.1) (I) provided for the reduction of the tax rate Imposed on the net value of transfers to or for the use of the Illrvlvlng spousa from 6% to 3% for dates of death on or atter July 1, 1994 and before .January 1, 1995. n P,S ~0116 (a) (1.1) (II) provided for the reduction of the rate Imposed on the net value of transfera to or for the use of the surviving Ipouse from 3% to 0% for dates of death on or atter January 1, 1995. The statute does not exemet a Iransfer to a surviving spouse from tex, and the statutory requirements for dlscloaure of assets and flllng a tax return are still applicable even If the surviving spouse 'I the only beneficiary. FOR DATES OF DEATH ON OR AFTER JANUARY 1, 1996. Please answer the following question by placing an "x" In the appropriate space. Old Ihe dacadenl create a trual or 81mllar arrangemenl which 18 80lely for Ihe 8urvlvlng 8pouae'8 benefit for hl8 or her enllre 1I1allma7 Ye8 ~ No [] If you answered yes to the above question, the tax on the trust or similar arrangement Is postponed until the death of the second spouse, at which time il will be lully taxable at the rate(s) applicable to the remainder beneficlary(les), Enter the value of the trust on Schedule J, Part II, In order to remove It from the calculation of the tax due In this estale. You may wish to file Schedule 0 In order to make the election available under Section 9113. If the election Is made, the trust or similar arrangement Is taxed In the estate of the flrst decadent spouse, the portion of the trust or similar arrangement which beneflts the surviving spouse Is texed at the zero tax rate. and the remainder is taxed at the rate(s) applicable to the remainder beneflclary(les). If you choose to make the election, you must attach Schedule 0 to a timely,flled tax return, alon9 with Schodule(s) K and/or M In order to show the apportionmsnt of the trust or similar arrangement bstween the surviving epouse and the remainder beneflclary(les). ~I l,~" ~ ~ ... 1'1, ....1 '- ~.J + f.' ~' Ul ~lnS8~ 11'qs II W&~I slq~ JO U01S1^OAd hU' JI 'a 'g8D04~n4 xVi 9~8~S& l'~ep9J ~oJ P&u1w~9~ap hl18u1J S8 u01~onpep Igi1~'W e41 ~o enl'^ ~8110P a4~ o~ 18nba ~s891 ~8 sl u01~onp9p lv~l~'w 94~ ~O~ OU1hJl18nb h~~9do~d ~94io 118 JO sasod~nd X,~ a~8is9 18~9P9J ~O~ P9u1w~9~9P h118U1J S8 an[e^ a4~ snld u01~'ooll' ~o 9i8P 94~ uo JO&~94~ 9nl'^ .a~~8w 9.80a~068 94. ~84~ P9P1^0~d 's9sodAnd x,~ 9~8.S9 18Aapa; AOJ 9~'~sa sso~6 hW u1 pepnlou1 hl18u1J sl i1 4014M ~8 9nl'^ a4~ i8 panle^ aq 1184s pU1~ u1 II Weil s14~ Aapun pa~800118 h~~adoAd hUY '0 'II wa~I s14~ Aapun ~J16 a4~ o~ P0~800118 aq h8W q~oq AO s~uaw~sa^u1 AO qSBO Aaq~13 '0 . II luau slqi oi il!enSAnd 'M3'l'l311 'W .LM3S'lID 'pu8qsnq hW ~oJ iJ16 slq~ oi pa~nq1A~slP aq 11'4s 's~lJau9q A811w1s hue AO 'u01ionpap 18ilA8w 94i AOJ alq10l19u1 h~AadoAd ON 'S . I I wail slq. Aapun .J16 aq~ JO aZ1s aq~ 6u1~'lno18o u1 u01i8Aap1suoo O.ul ua~8. aq 118qs h~Aado~d qons ~o an18^ a4i 'II wa.l slq~ o~ iU8nsAnd u8qi aS1MAaqio a^la09~ 111M qi89p AW iB AO qieap hW o. AOlAd p9^laoaA S8q pueqsnq hW q01qM 'sa1iaAliua hq Plaq hid9do~d OU1pnlou1 'h~AadoAd hU8 o~ ~oads9A qi1M alqeMol18 81 '.lJauaq A811w1s hU8 AO 'uo1ionpap 18i1A8w aq. Jl :y qeq~ i09~lP I 'hl0U1PAOOOY 'alq8hd hq aS1MAa4io .ou PlnoM i8q~ saxI~ q~'ap a.8is AOJ ilpaAo hU8 AOJ pA86aA ~noq.1M PU8 sAaJsuIA. 6ulddl~s-uol.8Aaua6 JO UOS8aA hq a.I+sa alq8x8~ hW JO OU1.uaw6ne aq. o. pA80aA .noq.1M pa.81no18o 9q 118qs .unow8 qons .8q. ~d9oxa 'X8. a.8.sa lBAap9J aq. OU1.81no18o ul alqeMoll' s.lpaAo PU8 suol.onpap Aaq.o 118 JO asn . , depriving my estate of the marital deduction for federal estate tax purposes, such provision is hereby revoked and this Item II shall be read as if any portion thereof inoonsistent with allowanoe of the marital deduction for federal estate tax purposes is null and void. ~TEM III: If my husband, GILBERT M. KELLER, survives me by thirty (30) days, I devise and bequeath the residue of my estate, of every nature and wherever situate, to the Trustee hereinafter named, IN TRUST, for the following uses and purposes: A. To pay the net inoome therefrom to my husband, GILBERT M. KELLER, for and during his lifetime in such periodic installments as my Trustee shall find convenient, but at least as often as quarter-annually. B. As muoh of the principal of this Trust as Trustee, in its sole disoretion, may from time to time think advisable for the support of my husband to maintain him in the station of life to which he is accustomed at my death, shall be either paid to him or else applied directly for his benefit by Trustee after taking into aooount his other readily available assets and souroes of income. C. Trustee may apply the net income of this Trust for the support of my husband, GILBERT M. KELLER, should he by reason of age, illness or any other cause, in the opinion of Trustee, be incapable of disbursing it. D. In addition to the above provisions, my husband shall have the power to direct Trustee to pay to him or to apply out of principal in each year, including the year of my death, an ~ ~ .~ ~ ~ ~ .. amount not in excess of the greater of Five Thousand ($5,000,00) Dollars or five (5%) perce~t of the then aggregate value of the Trust principal. This power is non-oumulative and oan be exercised only by an i.nstrument in writing signed by my husband, and delivered to Trustee. E. Upon the death of my husband, GILBERT M. KELLER, or upon my death should my husband predecease me, the Trustee shall distribute the balanoe of the principal and any aooumulated and undistributed inoome pursuant to the provisions of Item IV herein. ITEM IV: If my husband, GILBERT M. KELI,ER, predeceases me or dies on or before the thirtieth (30th) day following my death, I devise and bequeath all of my estate, of every nature wherever situate in equal shares to such of my children, NANCY K. COXE, CYNTHIA K. LYTTLE, and ALAN G. KELLER, as survive me by thirty (30) days. Should any of my above named ohildren predecease or die on or before the thirtieth (30th) day following my death, I devise and bequeath the share of suon ohild as follows: ten percent (10\) of my distributable estate under this Item IV to said ohild's spouse living on the thirty-first (3Ist) day following my death, and the residue of said child's share to her or his issue, per stirpes, living on the thirty-first day following my death; and should suoh ohild of mine leave no suoh spouse or issue living on the thirty-first (31st) day following my death, I devise and bequeath the share of suoh ohild to my issue, per stirpes, living on the thirty-first (3Ist) day following my death. . . , . ~TEM v: Should any person entitled to a share of my estate not have attained the age of twenty-five (25) year$ at the time of distribution to him or her or, in the opinion of the Trustee, be inoapable of disbursing his or her share because of illness or other cftuse, I devise and bequeath the share of each such issue to the Trustee hereinafter named, IN SEPARATE TRUST, to hold, manage, invest and reinvest the share so received, and the accumulation of income thereon, and to use and apply the income and principal, or so muoh thereof as, in the Trustee's disoretion, may be neoessary or appropriate for such ohild's support and eduoation (including oollege education, both graduate and undergraduate) without regard to his or her parent's ability to provide for such support or education, to make payment for these purposes, without further responsibility, to such child or such ohild's parents or to any person taking care of such ohild. Any principal or inoome not so applied shall be distributed to such child absolutely when he or she attains the age of twenty- five (25) years or becomes competent. If he or she dies before obtaining age twenty-five (25) or before becoming competent, the Trust shall terminate and suoh shares shall be distributed to his or her personal representative! ITEM VI: The interests of the beneficiaries hereunder shall not be subject to anticipation or voluntary or involuntary alienation. ITEM VII: All federal, state and other death taxes payable beoause of my death, with respeot to the property for my gross estate for tax purposes, whether or not passing under this will, J -- II II . . . . . II . . II " APPRAISAL CBRTIPICATE I hereby oertify that upon application for valuation by: THE ESTATE OF HARRIET M. KELLER the undersigned personally inspected the following described property: All that certain tract of land with the improvements thereon erected situate in the Borough of Carlisle, cumberland county, pennsylvania, bounded and described as follows: Beginning at a point on the North side of West South Street at corner of lands now or formerly of. Dickinson School of Law known as 355 West South Street; thence North along lands of 355 West South Street, a distanCe of 152.5 feet to a sixteen foot alley; thence West along said alley, a distance of 23 feet to land noW or formerly of Dickinson School of Law known as 359 West south Street! thence by said land known as 359 West South Street, South a distance of 152.5 feet to West South Street; thence East along said West south Street, a distance of 23 feet to the place of beginning. Said lot having a frontage on West South Street of 23 feet and a uniform depth to the alley aforesaid of 152.5 feet. Being improved with a semi-detached dW0l1in9 house known as and numbered 357 West south Street. To the best of my knowledge and belief the statements contained in this report are true and correct, and that neither the employment to make this appraisal nor the compensation is contingent upon the value reported, and that in my opinion the Market Value as of May 25, 1997 is: ONE HUNDRED AND ONE THOUSAND THREE l~RED DOLLARS $101,300 The property was apprai~ed as a whole, subject to the contingent and limiting conditions outlined herein. ~~~ Larry E. Foote Chief Appraiser ',"', ' SALES COMPARISON ANALYSIS HHlllO fUton! ftnlon 0' nrOnOrllUD HrV moM lJl!I\UUf /lIId [l1C1JClrIIIlIH III 11\1111(11:1 11I1(1 hllvu hUlttl CllI\lIlelorud III UIII tlwkul (1I1111VIlIIl lIul dtlUl1flpllUll Il1ohll.loli n (/(11111/ ;uIIU',;llIllIlll lilllw hi mnrko( HHlCl!l.ll\ to 11'10110 1l0rllll 01 IIIVI\lIlnont lJWlnt!ollllOlwllw\ !llll 1I1111IIHlI /I!\/J OWlIpllrnlJhl plOnorlloll (I n 1I1!Jl1IIiC(HlIlltlll1 hI t1\fl O(Jtllpllfllllltt prupm!y hi 81lnOllOf I<l, or 110010 10I'.1l/,1l,1, tMn. 1t\(J IIllblocl nrOporl'l, n minus (...) Ildl\lstlllonl !s mDdo, lhus rOcJLlcino Iho IHellenlo,t lJlllllO or IlI/l/ioet, II (I !tllJIIlIICIlIlI 1l\lfH III Ihl) eOrTllwultllu is 1I1101l0r to. 0/ 10:,5 l.lvn/III)lp (Iliff lhel SI/b)oCl proporly, II pluS (i) odjUlIlmllllllll mndtl, 11111& hlCrolllllng 11m ilW'Hcl1l0d ...01\10 01 IhllllUlJiucl. COMPAI1AOLE NO. 1 135 W. South Street C a ~lli!J.~,,- . 2 blocks COMPAnAIIIJ NO.2 ..___...r..._'.... ,...._._. .___. 108 W, South Street __4 ~~,H.rliBle 2 blocks COMPAI1AIIL.I' NO :\ .. .~--_. ..,~....__. ...-. 203 Walnut Stre"e .~.~IXJ_ i)}, Ll,:... 2 b locb ~~.I OUlI !2W2-........I:~_ Courthous(! l(j HI.S 'iJESCiili,'il()iiT, I.' \ I ,. ....,_. "I 1l.9.\l~. .. , . ..N.Qnq Npl10 1I~le.o!!;ill~/1'll1l1_ .._ !l.L9LS.:.7.:1:-.n... .J t-.I-.~~. . .-.i.. ._4::.2.::.% .... :....... ....... .4.... HQ.. oenlio" ._ Go.o.sL......_. ...... J).il'LU~.L .........:........._....__ ....s.imil\\.L...... .-i...........-.... iLimi.l.<lI........., lielVlo", _.. n~_?'..I..~2,?'....?.9.~_.)(.H.O.~ ._.. :.......-....__ .19~-X..J.l2~...i...._._... .'... .V'..~..9.U '... T 1I0'iI'/"illl:l '\IIi''','.I.. .... llei'..\ Y.'. 'i.~!I.'.~~.<). .f.::.,~j:.;L.'Yllll.~.9.\:... ...L.O.Q!L, _SjJllU(l.L ._____ :.. ..._. _..... ..... .S.~III U"L. ... 1I01llyol 'clJlI:'IIIICI'O.'!. il r islL..._..._.._. il r i~_Lill!.liQ.,i_..J.....Jl.Q..Q.... ..lliillU'._:... ._..._.... lLi.ml1.iLL. !~..__ ....H_._2l.J!!..I.l..L'i..... 97 years ._.L____....LZlye~rs .....1_....__..___ 91-YJlgDL...:. .CO"dIIIOI~ .....__ Avg-~ooc!.,...":""_ ..ti.m1,l.i!L,_._._I_._.___ ._~~Il.2.\'__:_-(.2.~OOO~.., ..lim.i..:)Ju.,----:--.. l\lJOVC Gr(1(IC ~~~~~~~.:.~l;~ _~~~:~(,I!~~~.:.~~...: ~.:~~t~:~,~...: ~~~~.:~:::.~I_I.j~_: OOOlColllI1 ~. 3 : I 7: 3: I J (2,000) 7: 4 : ILj (3,000) 6 :3 : il; , (I,UOUI .'~s.t'-"'~Q.0!~~.___.J..2~._~:!.I:..-.-J...L210_2LI'!J 9.700 1.756.SqF1i (~.70Ql.. 1.700 Sq.rl~.J2,OI]O) Basoment & finished : , : oom~ Uclaw GW(!ll Full bomt. Si.milar : . Similar: Similar ------..-- -.----....-..-- ----.-~--.-_.--....~,I-.-...-~~- -~--..----'I.----..--.-.-.-.-. ..~.~~--_........ '--'1 I~~C~O""~.~!~IL... AveraRe __ ..Similar ____L___ _Simi1.il.L_._:_..__.___... .~imi laL.... IlcolIr1l)JCooIrr2L._ OilJ!lL........_ E!lJU!!.L.........L._____.___ ..9aa,!lt\!f.~.LctU].Jl_Q.9L.?J.!]1JJ!lL.. _.,. ".'~19_o/f"'tO!L......... J'::'~_~.L. g!l,aK~_ _~.Q.D.~....... .".:__ .f,Q9.9.... ..~.Q.!l~.... .... ...... i. ..?,.QQ.o...... .~.(lne.. ....._... OICIH1$,Pilllo, Porch,balcOllY i Stoop, porchi 'l'wo porehU~i, ".o?'.s..:!~._.._...._. wo.'?.c!...cl.~'S.~'. .... .~.t.O.9.P ......\ ...... ?..QQQ.... .~'!)f'J .....l'.0''-\1, i. .balc:gny.,.. rpOCI~1 Gl\crOY Typica 1. for I : !.~I~!~:~~.:.~.._._ the t"~Bi_q!l..!___ Ji imi l.9.I..__."..._~:__...~_"..~,.._ ...Ji iIJLll.itL_.__m...;........___......_..... .~L)imllUL......n. "opla(00L______ None S imila ~_.._..:....:........ F i re.cl!'c9._.:__\..l,JLOOL S imi liLL........ _...,. Oihsr (e.g, ki\c~wn: , ,luip, rCll1o(!clino) Bdrm. in atti 'None : I 000 ' _____._._____ _--L-_._~__ ~UJ.I~L__._ ~ 15.700 ::J\{I(III 1,111111 I,(!{!I' .'I,WH) $ 105 600. 101 30.0 ;;c: II' 011111""'15 011 Morkol Oala Wi th adjua tmenta. a 1 L~.I~.~~E.~!E.P.arab le sal;."-..i'..r_e__.~.",:E_P.t.~bJ.~._[Q.!:....!b.~ .dlr.~v I "" I , cOIII!)a.'J~.()I1...".'!.~!l"i!l. and confirl\l__~.L(iJlul opin.ion of value.of__!'L!2.!...L300 ._.___...____.._.____ 1':1 . .. . . ._-_._-~._.-....._._-------_.~_._~-_._--~_.'-_..~.__._.._.-----.-.--....-- ...----....- ___... ~_'. .....________.__._..~. .., ..~.".___,.~__........._.___....___.~.. ._....~,. ____.., ____.,__...__,~~.____....n'_ ~._, .~.~._______...__.. .._._.~ .~.,,' ,,__ ~~.' w.._._.,.....___.__._n,..____.__ ____~__~..__._._.,._._.___.. .~. ...,_______._n_.____.._ """:".""'. COMMONWEAL Tf! OF PENNSYLVANIA INHERITANCE TAX RETURN . ';N C .NT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY ESTATE OF kEl~l-..fEl:Z1 1-( AI a... (.LI I...-=" I NI. flLF. NUMBER __ ;2/97'- -050L._ Tho schedula musl be comp~led and flied II Iha answar 10 any 01 quasl~ns llhrough 4 on Iha ,",srsa s~a ollha REV.1500 COVER SHEET ~ yes. DESCRiPTION OF PROPERTY ItlClUOl: THE WJ,m Of lHf: TIUH8FIRR !HEIR RH.AiIOlIJHlP TO Of:CU"E~,!.NO tHE PAl( Of lAA'1SfER Al1ACu ACQI'l' OF fHe Dl'ED fOR Rfk eaT>\Ie , 1, )/IZvOeN'Tf'1 c:..- O,,;./f'"n.-4C-'T '# 9''1-t"Jrt8cJ %OF DA TF. OF DEATH DECD'S EXCLUSION TAXABLE VALliE fi.QE.A . T iNTERESL " ICABlP. 3....4.3?,c:O / ()(J ~ '3/48'7,Od ITEM TOTAL (Also anler on line 7, Recapitulation) $ '30, 4 a C}', 00 (If mora space 19 naaded, Insert additional sheels of Ihe same size) SCHEDULE K LIFE EST A TE, ANNUITY & TERM CERTAIN Check Box 4 on Rev.1500 Cover Sheet -- FILE NUMBER /<:: eLL8IJ....,. i'I,(/ rJ..f~!f;'-L_f!.L___._.______._______?-1 7~ - Q,5'O / This schedule is to be used for all single life, joint or successive life estate and term certain calculations, For dates of death prior to 5-1-89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found In IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5 -1.89. Indicate the type of instrument which created the future Interest below and attach a copy to the tax rotum. !Xl Will rJ Intervlvos Deed of Trust [J Other LIFE E~TATE INTER.EST ~ALC_~~TIO~ NEAREST AGE AT DATE OF DEATH ,9.,3 ,~IV"""'I''''. COMMONWIAl HI Of PINNSYlVMjIA IW-If.RlrANCE lAX HElURN RESI[)!:Nr OF.C[{JENT ESTATE OF at / J...... 1" NAME(S) OF LIFE TENA~T~L____. /'7: /.ccLLe/L. DATE OE.!llf3Jl:1. /';;( -J,S--I'!J 1. Value of fund from which life estate Is payable 2. Actuarial factor per appropriate tabie Interest table rate - 031/2% 06% 0 10% [Rj Variable Rate ff, l.. % 3. Value of life estate (Line 1111ultlplled by Line 2) ANNUITY INTEREST CALCULATION NEAREST AGE AT DATE OF DEATH NAME(S) OF ANNUITANT S DATE OF BIRTH TERM OF YEARS LIFE ESTATEIS PAYABLE -~ Lifeor 0 Term of Years _=~- o Life or 0 Term of Yeers .___ o Life or 0 Term of Years _ o Life or 0 Term of Years _~ $..0 ) t3<S'V, 6 7- , :3'1-02. 2_ $ .2 2. L/( 4/81,1, S8 - TERM OF YEARS ANNUITY IS PAYABLE o Life or 0 Term of Years _ o Life or 0 Term of Years _ o Life or 0 Term of Years __ o Life or 0 Term 0' Yeaffi= 1, Value of fund from which annuity Is payable $ 2, Check appropriate block beiow and enter corresponding (number) Frequency of payout - 0 Weekly (52) 0 BI-weekly (26) 0 Monthly (12) o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) 0 Other ( ) 3, Amount of payout per period $ 4, Aggregate annual payment, Line 2 multiplied by Line 3 5, Annuity Factor (see instructions) Interest table rate 031/2% 06% 010% 0 Variable Rate % 6, Adjustment Factor (see Instructions) 7. Value of annuity -If using 31/2%, 6%, 10%, or if variable rate and period payout Is at end of period, calculation Is : Line 4 x Line 5 x Line 6 $ If using variable rate and period payout Is at beginning of period, calculation Is : (Line 4 x Line 5 x Line 6) + Line 3 $ NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity Interest(s) should be reported at the appropriate tax rate on _._ L1nes~5, 16and 17. _____ (If mora 'pace 15 nooded, Inser\ additional sheets 01 Ihe safllO slzel PIJIlI'OSfllF NOTlCEI To fulfill the recr.dt.."tl (If SecUon 214'; (b) of tn. JnherltlnOl and Elt,t. hK Aot, Act 21 of 1".&. (72 P.S. s.oUon 91,41), htectl the tOl> portion of thh NoUCMl Ind sulMllt with your PIYMr1t to tho Rqlst.r of Nilb prJnt.t on the re""r.. litle. ~~ .... ClheOk or ItOOIIY orMr Ply.1e tOI REGISTER OF MILLS, AGENT. PA\1fJHTI REFUHO (~) I A r.fll'ld of . tlX (lr~1t ny be r~.t~ by OCMlpltt1nA an "AppllolUon for R,fund of Pennlvlv.,l. ]nMr1t~ Wld Elt,t. lll(" tREV-13UJ. Applloatlon. .t. 1",.U.l. at ttw Offl~ of the Meght.r of WUh, eny of t~ 2~ R~Yenue Dlstrlot Offlc.. or fr~ the o.part-.nt'. 2~-hour In~rlna ..tvl01 ~r. for for-I ordlrlngl In ~.ylv.nJ. 1~aOD~J6Z-20S0. out.ld8 P,nnlylv.ola end within 10011 Harrl~ra at.. (717) 7e7.aO~, TOO' (717) 77:!-2252 UMIat log l.,..lrltd Only). 08JECTJOHSl Any Pith' In Inter..t l1l)t ..thfled with the III.MIl...nt of h)( I' .tlottn on thh notlos '1)' obJeot wUMn 11xty (60) dayS of recllpt of this Hotlo~ bYI --..rHtM'! prot..t to the PI. o.partMnt uf Re....nue, Board of App..h, Dept, 281021, Hlrrllburg, PI. 17128~l021. OR --.leotlna to ha.... the .att.r det.r.lned at audit of tho p8r'OMl r~ruentetly., OR --Itf)pUJ to the Orph8n.' Court. ADHIH- ISTRATIYE CORRECTIONS, f8Gtual .1"1"01'" dlfCovered on thl. .....--.nt ~hould bQ 8ddra.18d In wrltJng 'tOI PA Oepart-.nt of RaY~1 lureeu of Individual T.~.., .TTNI Po It ....t...nt Ravlew unit, Dept. 280601, ~rrllbura, P. 1112&-0601, Phone (111l 181~6S0S. Se. page S of the bookl.t "In.tructlon. for InherittMtOe Tax R.turn for a R.lldent Decadent" (REV-IS01) for en a~pl~tIOfI of ~inl.tr.tl....I~ oorr80t~le error.. PENALTY, The IS;( t8); ~.ty non-participation PWIalty It caputad on thf, total of tho tali' and Int.,...t .....tad, and not ",.id befora .Mnuary 16, 1996, the flr.t day .Uer the .nd of the tax ......ty period. Thlt non-Participation p.,..lb Is lIPP'la11lble in the .Me MM8r ClOd hi the the .... U.. pa,.jod a. you NOUld~.l the hx and intar..t tm.t hat Men ftu.llsed a. indloahd on thh notice, INTEREST, For data. pf ~th on or after 10-~'91. Penn'Ylvanla E~t.te Tax ba.ed on tho F.der.l E.tet. T.x r.turn becOlNl. delinquent .t the expiration of nine (09) IlOnthll frOll the date of dellth, For data. of death prior to 10-3-91, Penn.ylvanla E.tate Tex baled on the F.a.ral E,t.t. T.1i' return beCOItIl d811nqu.nt at the expjratlon of ehtht..n (181 aonths frOll the dato of death, Taxal whloh beeaM delinquent befora January 1, 1982 bee,. Interut et the rata of sh: (6:0 Pftroent par MlftUI oalculated at a dally rate of .000164, .11 teIC.. which ba'cllle dalinquant on or aft.r .Mol..r" 1, 1982 .,111 MIIr Inter..t at a rat. which will vary fr.,. calandar ye.r to calendllr yellr with that rat. MnOUrlC8d by the PA o.plrtMnt of A.venlN. TM IIPPl!cable inter..t ret.. for 1982 through 1998 lira' Vee, Inh,...t Rat. Dally 1ntel'..t ~'lKltor Vaar Inter'lt Rate Dally Interut hotel" 1982 20i'.: .OOOSU 1987 9% .000241 I'll' 16;: .000456 198a~I9'91 lli'.: ,010301 1984 Hi.: ,000301 '99' 9% .000247 1'115 13% .0005506 )~5~1994 7% ,01l0192 1916 lOlC .000214 1995~1996 9i: ,000241 n lnt.r.. t I, oe1culated al follOMl1 IHTEREST c BALAHCE OF TAX UNPAID X HUNBER OF DAYS DELINqUENT X DAILY INTEREST FACTOR .-Any NatJoa J.auad after t~ tali' bMc~1 dellnqulnt will reflect an Int.r..t ,.leuletlon to fifteen (15) ~y. ba~o:ld the data of the ........nt, If p.YtI8f1t II Il8de aUlr the Interalt cOllPUt.Uon d.'te IhOWfI on the Notica, additional Intera.t ~.t be oalculated. Q9-07-1998 KELLER 05-25-1997 21 97-0501 CUMBERLAND 101 Em-----AiIOunrR..Itt~n-- j ====,~..=-,....~--= --~_._--~..~.-_..~----- 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 VOUR RECORDS ~ fiE"y:m""i!X."AFP"iiIF9'iT"iiilficnip"YNHEifii'ANcE-i'iix-i\-PPR'AisEHiii'r;-,H.iiiiiAiicE-iili--------..-------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX HARRIET M FILE NO. 21 97-050.1 ACN 101 If an assessment was issued previOUSly, lines 14, 15 and/or 16, 17 and 18 will ,'efleet 'figures thet inelutle the total of 6J.J.. returns aSlIessed to date. ASSESSMENT OF TAXI IS. AMOunt of line 14 at Spousal rat. (1&) 16. A.aunt of Line 14 taxable .t Lj~.l/Cl.s. A rat. (16l 17. A.aunt of l!n. 14 taxable .t Collaterel/Class Brat. (11) 18. Prinoipal "ax Due TAX CREDITS I PAYNENT DATE 08-25-1997 (' /,\ ,I /', COMMONWEALTH OF PENNSVLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAKES INttt:RIlANCt UK DI\lIGtOH 1)(']11, 2110601 f1ARRISBtJRG, VA I1U8-0601 NOTICE OF INHERITANCE TAK APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDIICTIONS AND ARGESSNENT Of TAK WILLIAM 5 DANIELS ESQ ONE W HIGH ST CARLISLE DATE ESTATE OF DATI OF DEATH FILE NUMIIR COUNTV ACN PA 17013 ESTATE OF KElLER TAK RETURN WAS I I X 1 ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RF.TURN 1. R.~l Elt.t. (Schedule AI 2. Stock. ~d Bonds (So~dul. 8) 3. Clos.ly ~ld stock/Partnership Inter..t (Sohedule C) 4. HortvaaeG/Hot.. Mac.ivable (Schedule DJ Ii. C..h/Bank Depoll1 tc/Hhc. Per.on.l Pr.operty CSchlKkJl. E) 6. Jointly Own()d Prclperty (Sohedule F) 7. Transfers ISchedul. 0) 8. Total A.I.h I CItANGED 11) (21 (3) (4) (5) (6) (7) 10.130.00 606.04L.!!J!.. . Oil .00 18.469.43 .00 3.439.!!Q. (81 APPROVID DEDUCTIONS AND EXEMPTIONS: 9. Funer.l E~p.n..s/A~, Co.t,/Hllc. Expans.. (Sohedule H) 10. Debts/Hartg.g. liablliti../liens (Schedule I) 11. Total D.duoUonll 12. Hat Valu. of Tax R.turn 13. Ch.rit.bl./GoY~r~.nt.l Bequ..t.; Non-alectad 9113 Trust. 14. Net Va_lu. of Ect.t. Subjeot to Tax 20,590.86 (9) 110) 3.980.00 1111 1121 113) 114) (Schedule JI NOTE: 231,845,58 K .00. 381,869,99 K .06.- .00 K ,15. 118) RECEIPT NUNBER AAf1l676 DISCOUNT ('1 INTEREST/PEN PAID (-) 1,145.60 AHOUNT PAID 34,500.00 TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE · IF PAID AfTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. (I *' .IV'lf~' U 'f' Ut'''1 HARIU ET M DATE 09-07-1998 NOTE I To in sura proper oradit to y~r acoount, .ubJolt tIM upper portion of thh for. with your tax p.yaent. 638,086.43 24.370..Jlta.. 613,715.57 .00 613,715.57 .00 22,912.00 ,00 22,912.00 35,645.60 12,733.60CR ,00 12,733.60CR I IF TOTAL DUE IS LESS TitAN .1, NO PAYNENT IS REQUIRED. IF TDTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU NAY BE DUE A REFUND, SEE REVERSE SIDE OF TIllS FORll FOR INSTRUCTIONS, 1 U"\ \"I ,\,.",? ~? .GI' ~ u <v a: ~'R i,,) ,,, -, ~; ~d- t)j RESUVATtOMI Est,t.. of dHedenb d~inll on 01' "for.. DeeMbe,. U. 1982 -- 1'-1 MY fUture Int.t..t In th. ..t.t. 11 trM.ftrtld in po.....ion or ~jo~t to Cllu, ) (coll,taral) banGflcl.ri.. of the decadent .fter tht IxpJratlon of ,"y ..tat. for 11'. vr for y..r., tM C~onw..l..th hlr.t)y .l<pr....h rea.tv.. the rlaht to ItfJPrCllh. .w .u.... trllf'lhr tnhtlrltMQI TQXU at tM lawful Cla.. a (ool1l1ta,.eU f'I't. em any luch futuro Int.rI8t. PIJRt>OSE Of' NOTICE! To fulfill the ,.aqulrHel1ts of Seotion 214D of thl Inhilritanca and Estate Tal< ,I,ot, Act 21 of 199!L (n P,S. $ectlot1 9140). fJAYtEHTI Ibtaoh the top portion of thh Notica and subait with your pa!/..nt to the RIlIlIter of Wills prlntad on thl revlr.. IldI. hKah C1twck or ~OIIY order paYBblv tilt ftEOISTER OF KILLS, AGENT REFt*D (CAl, A refund of II tox crlldlt, which WtlS mlt reqUtl9totl on the Tax Return, MaY be raqualJtad by oOllplaUnll W1 "AppUcation for Refund uf P$OOlylvttnln Inharlhmco Ilnd f.stete Tax" (FcEV-13Ul, AppllcaUDfl' 11I'a bV:tUllbl. ftt the OHloe of thtl Reglltar of Willi, any of the 23 Rellenu. DlstriClt Offici'S, or by COlling thA spaol"l 24-hour enfitflrhm .o,'vloo nUllllbor~ for forlls ordering: In P8nnsylv~n18 1-800-362-2050, outside P.nnsvlvlKlla end within 100al HlIrrhburg ..rall (717) 787-1'I094, TOOl (7)7) 772-2ZS2 Wa8r1nv IlIfIltlrltd Only). OBJECTIONS I Any pliIrty in Intere.t not IIl1thfled wHh tho 8ppr81uaent, lI11owllnc:e or dh;IoUOlolallC. of dtducUvns, or .....sttant of tax (JnoludlllU dllcount or Interest) 85 shown on thh NoUco 'nlst objact wIthin ,hetll (60) dllya of rlKl.lpt of this Notice by I ~~writton prota.t to tho PA DaparhUlIlt of Rftvol\ue, Board of Appeal"" Dept. 281021, Harrh:burll, PA 17128-1021, OR -Malaothm to have the allttar dater.lned 8t audit of the 8CCOunt of the par.onal repre.entIlUvo, OR --spreal to the Orphans' Court. ADltIH ISTRATlYE _eTl,,",,: F."tuel error. dhoovql"ad on this I')Uu5.ent should bIOI addrossod In loiIrJtinll tOI PA llopllrtalt\1t of FiIlYUrlI.M, Bur'.au of IOtIhddual Tftl"ll, A.TTNI Pont AuuuMunt Review Unit, OIlPt. 280601, Ilflrr-isburg, PA 17128-0601 Phono (711) 7&7-6505. SlIe paga S of the tooklet "Instructlol1s for Intmritancu Tflx Return for D Resident DeCl)dent" (REV-IS01) far an Rxp18118t1on of adllJrdstratlvlIlIty corr.dabl" Pl'rors, DISCDUHll If any tax duo Is paid loiIlthln thrue (3) calundllr aonthn llfter th0 decII(t.!mt's dal'lth, a f!va p.rt;ant (5:0 dhcount of tho tax P81d Is 811m4ed, PEM4LTYI Tt'Ma 15% tax Mnesty non-padlolpatlon panalty h: (lOllputad on the totol of the bx and Inter..t a.....5d, Ill1d not paid before J8OO8rll 18, 1996, tho fir,t <.48'1 "Her the end of tho tnx ..nut}' porlod, Thh llon~p"rUclplttion penalty Is appealable in the SHU ..nner and in tha tha s..a tiMe pllriod ., YOU would appelll thtl tax Itf'.d inter..t thet has boen assessed as il'ldlceted on this notice. INTEREST I Intere.t is oharged baQlnnlng with flf"st dfty of do!Jnquenoy, or nll'lll (91 .onths and on4 (1) day frOll the datil of dallth, to tho d.te of pflYlllllnt. T8X8$ which beONe doUflquant beflll'. January I, 1982 hear Intorfl.t at the rat. of Ill< (6:0 percent par II!'\nUIII cl'Ilculatlld lilt 8 dnlly rate of ,000164. All t8XU loiIhlc:h bllc.a dfllInquent On Mld i.\ftar .Im'lu&ry 1, 1982 will bur Inter""st nt 8 rate which ..iii varv frail calCindnr YliUlr' to call1lndar yoar with that I'at. announced by the PA Dupnrt..nt of Revenue. Tho IIpp1!coblo tntal'8ftt rItes fof' lI'tll through 199& .ral !!!r Inter.st Rate Dally It.t.rut Fft(;~.lll: !!!.!r Intorunt Rota .tn.!!L.!!l!.!r.!.!.t~ 1952 Ztii! .00i1548 19ft7 I)" .000247 '. 1983 16% .0004]8 1l)88~1991 11% .000301 1'84 111: .000301 1992 9% ,000247 1985 13;: .000356 1993~1994 7% .000192 19&6 10% .000274 1995~1998 9% .000247 uJnt,.rest I. calculated BS follows: INTEREST' BAloANCE OF TAX UNPAIO X NUNBER O~' OAYS DELINqUENT X OAILY INTEREST FACTOR ~.AflY Notice h.ued Ilftllr too tax beCOfiS delinquent will rofl.ct 1111 Intore.t calculation to fift....n (15) day' beyond tho dnt. of tt~ ......aunt. If pey.ont Is _&de .fter the lnterest cORPutatlon dBte .hown ontha Notlca, addJtlonbl inter..t ~.t be cnlcul.t.d, <I ';1 )1 PURPOSE OF NOTICE I PAYMf.NTI ,I I REFUND (CR) I " OBJECTIONSl I I ADHIN- iSTRATlVE CORRECTIOHS I peNALTY, INTERESTl To fulfill the rtqUlr..-nt. of S.~tlon 214& (b) of the InhlrltlnGl eRd E.t.t. T.x Aot, Aot 21 of 1995, (72 P,G, SleUon 914&). DatlOh tht top portion of this Notlol end lub.lt with your P.~t to the Rlgi.tor of WIll. prInted on the ntllr.. side. -- MMe c:shttok or .oney order payable tal REGISTER OF MILLS J AGENT, A refund of . t'M: oredlt ..y b, requutect by oOllflleUl1g an "Appl1oaUon for Rofund of P.nnSYlvanla Inheritance end Est.te lax" (REV-ISIS), APpllcutl~n. ar. available at the affine of the Rlgllter of Will., any of the 2S Rlvlnue Dhtrlct Offloes or frail tllll Depart..nt'. 24-hqur anl...rlng IIrvlo. ~erl fot fora.orderlngl In PennlYlvanla 1-800-36e-2050, out. Ide PennSYlvania and within loaal H.rrl.burg .r.. (117) 787-8094, TOOl (717) 772-2252 (Hearlno Illpalrld Onb), Any plrty In lnt.ra.t not .atl.fled with tho al.n....ot of tax .. .hown on this notlo. ..y obj.ot within .I~ty (60) day. of reoelpt of this Hotloe bYI --writt." protest to the PA o.pa"t..nt of R.vellUl, loard of Appeah, Dept, 211021, H8rrltburg, PA 17128-U21, OR --.I.ctIng 1;0 have thl .atter d,ttralned at audit of the par.onal r.pr...ntaUv., OR --.pp.al to the Orphan,' Court ' Faotual .rror. dlloo"'"'lIId on thll ."U'"lnt llihould bt IIddr....d In writing tell PA D.part..nt of R.....0U8, lur..u of Indl...ldUal T.x." ATTNl Post A.......nt R.vitw Unit, o.pt; 280601, lUIrrhburg, PA 17126-0601, Phone (717) 187-6505. S.e pa.. 5 of the booki.t "In.tructlons for InheritancI T.M: RAturh for a R..ldlnt ole.dtnt.. (REYM1!iOl) for an oM:phnatlon of adlllnlttraUv.ty corr.ct.ble ,,'rtlr., TM IS>: taM: .-na.ty non~partlolpatlon penalty 11 ooaput.d on the total of 1:he t.x and Intlrllt ......ed, and not p.ld blfor. January 18, 1996, thl fir.t day aft.r thl and of tht tlX ..nl.ty p.rlod. Thlft non-participation ptfUllb .. .~alahl. In the .... a.nner and in th8 th8 .811. till. p.riod a. you would IIpp.al the ta)( and Int.rllt that ha. be.n .......d as indicated on this notlc.. Addltlon.1 P.nn.yl....nl. E.tDt. Te~ .ss....d as a r.,ult of a ohengt on th. Faderal E.tate T'M: cloajog I.tt.r btOM.. delinquent at the 'M:'plratlon of OM (1) IIonth frOll the d.t. the final notloe of the lner.... In F.d.ral E,t.h T.M: Is received, TaM" which bee... d.llnquent b.fore January I, 1962 be.r Inter..t .t the r.t. of .Ix (6~) pare.nt ptr ~ Clloulat.d at I d.lly rate of .000164. All taM:a. which baca.. ~llnquent on or .fter January I, 1982 wlllbltr Inhlr..t I:It . I'atl which will var!.' frail o.lendar year to o.lIIOO.r year with that rete .nnounoed by the PA Dep.rt..nt of M.....n~. Th. .pplloable Int.re.t ratt' for 1982 through 1998 ar.l " U!!; IntlrlU Ret. Dally Int.r..t Factor y!!!' ~~ DailY Int.r..t Factor 19112 ZOX .000646 1987 9X ,000247 1983 16X ,0004S6 19l!6~1991 11:<' .000501 1914 11% .000301 1992 9X ,000247 1985 UX .0005&6 1993-1994 n ,000192 1916 10Y. .000274 1991i-1998 9X ,080247 ~~lnttr..t 1. oaloulat.d ., followtl IN'lBREST . 8ALA"CE OF TAX U"PAIO X "U"BBR OF DAYS DBLI"QUBIlT X DAILY I"TERBST FACTOR --Any Notice luuad aftlr the t.ox baaCllI' delinquent will roft.ct .n Int.r..t aaloul.tlcn to flft..n (15) dIY' beyond thl! datt of the .....lIHOt. If p.yant It ..de .ft.r the Int.r..t cOIlpuhtlon d.te ,hewn on the Notlo., .ddltlon.l Int~r..t lIU.t bt a.tculated. flAvttlNTI ht-oh UM top jrortloh of thb HoUce Clnd .alt wHh Your peYlMflt ... Plyabh to tht nan WId Udr... printed on the ttvtr.. licit. If RESIDENT l)ECEOONT lIalee chafok (lr ltfHl.v order PIYable 'lOI REGISTER OF WILLS) AGENT. If NOH-RtSIDEHT DecEDENT lIak. at.-ek or IIf)ney ordtr payable tOI CottMONWEALTfI Of PENNSYLVANIA, ftEFUND (CA)1 A nfund nf . hx credlt, whlctl WftB not r.quootad 01\ the Tl:lx Raturn, IlBY be reque.ted by oOllpleUng M "Application for Refund of PlIInnsylvan18 InhtrltlMl<le IInd Esbrte Tax" (REV.nu), Applications .re IIvaJlabl. at tho Offloe of tn. Replator of WUh, any hf tho 23 Revaf'lllfi DJ'lltriot Offices or frog the nap.rt..nt'. 2.....hour an....rlng ..rvlce IltMb.rs for forlls ordering I In Pllnnsylvenhl 1-1\00-362..2050, outdde Pannsylvania tlnd within ~oa.l Harr15burg area (717) 787.8094, TD"" (717) 772-Zl52 Waeri"\) I_paired onlY), R!PL'" TOl Question. r.gardin" .,'rors cont~ined on this noUclI should be andrftuad tOI p~ DepartllOnt of R8vllmM, lIurlau of Individual Yax.., ATTN: Post Assas'''nt Review Unit, BlIpt. 280601, Harrisburg, PA 17128-0601, phono (717) 7&7~6S0S. DISCOlM'I If any tex due i. paid within three (3) calendar ~onth~ after the decadent.s d8ath, 8 fiV8 percent (5%> dSscount of the ta~ paid i6 allowed. PENAL TV 1 The 15% tax aanesty non-partioipation penalty i~ o~uted on th_ total of the tax and IntQr..t a..e.'ed, and not paid before January 18, 1996, the first day aftar the end of the t8~ allna.ty period. INTEREST 1 Intera.t i. Charged beginning with fir>>t day of delinquenoYI or nine (9) aonths end one (1) day froll the date of deathl to the date of pay.ent. TIl~e. which bK8II' dQUnquent b_fore .lenullry 1, 1982 beflr inta,....t lit the rata 6f alx (6X) peraant per annu. oaloulated at a dlllly rate of .000164. All taxes which beC"B delinquent on end .ft.~ Jenuery 1, 1932 ..Ul bear interest at a rete which will vary frail oehndar year to cal.,..dar yenr with that rete announoed by the VA n.partllant of Revenue. The applicable intereKt rateo for 1982 through 1998 arel Yaar lntere.t Rah Daily IntBl'est Faotor 'taar Interest Rate Daib Intor..t Faotor 1982 20r. .000S't& 1987 9% .OOOl47 198! 16;: .000438 1968-1991 11X .000301 19M 11% .000301 1992 9% .000247 I9IS 13~ .000356 1993~1994 7% .000192 1986 10;': .000274 1995~1996 9~ .000247 ~"I"t'r..t i, naloulat.d .. folloWSl INTEREST = BALANCE or TAX UNPAID X NUNBER or DAYS DELINQUENT X DAILY INTEREST rACTOR ~"AnY Notice JI8ued after the tax b.o~s delinquent wili reflect an lntere.t oalculation t~ flftean (15) ~Y' beyond the dat. of the as.u....nt. If pa~ent is .ade aftGr the ~nt.rBst ooeputation date shown on t~ Notlae, .dditional lnteralt _ust be calculated.