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IJE'I'ITION I"OI~ IJIWUATE nnll GRANT OF LETTERS
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OAnl ()to' IJltl~sONA(, RElJRESENTATIVE
COI\lMONWEAI,TII OF I'ENNSYLV ANIA l. ~tl
COli Nn' OF Q,\j-V\:\..6~&_b._t\..tL-.__ .J
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LAS~ W~LL AND ~mS~AMEN~
OF
RAYMOND D. GARRETSON
I, Raymond D. Gartotson oft-he Borough of Camp Hill, Cumbe~-
lanQ Coun!:y, P.ennsy1vania, decl.a:r.e this t.o be my I,ast Will and
Testamel'd:, hereby reVOking any w.L11 previously made by me.
I ~ I direct the ptlyment of all my .just debts and
fl1neralexpenses out. of my estate tiS soon tiS may be tJt'aotioable
after my deat.h.
II M I devise and bequeath all of my estate of every,
nature and whereVel" situate unto. my wife, Helen C. Garr,etsoll.
II.1 M Should my wife p~edeoease me, then I devise
and beqUeat.h all of my estate of whatever nature an~ whe:t:ever
s1 tuate, in equal shares to my wife I s four ohildren, ~imothy D.
'Warrenfeltz, Rodney B. Warrenfeltz, William H. Myers and Sandra
D. Mercer. ShOUld any oe my wi fe I 8 ohUdren predecease me, then
I qevise al1d bequeath his or her share to hh or her issue, if
..
any, and, if not, to mysCl!d wife I s other ohildren or their .issue
a~ the cass may. be. The share of any benefioiary who is ,under
the age of 23 years shall be held in trust by my trustee herein-
after named under the oonditions and provisions set .forth below.
IV - The said .trustee shall hold as a separate .trust
..
the share of any benefioiary under the age of 23 years and" shall
hav~ the right to use the inoome and principal for the health,
welfare, maintenance, support andeduoation for the said benefi-
ciary. When eaoh su~h benefioiary attains the age of 23 years,.
the trust shall ~erminate and his or her share of the trust,
ino1uding prinoipal and inoome acoumulation, shftll be distributed
^11lO~D, aUKn . MYI.nY to him or her.
,'\i'WkNI,\',", A'" I,AW
'lot MAI~1r un';:
, CAWillilUj '1IN""nutU4 11011
..
Should he or ~he die prior to attaining the age
;,
!?age 1 ..
',\.NQLt>. IU~n II ft^Yl.RI'
^"(IItNl,\'~ Ai' I,A\\'
tit; MAn'" ..tn,
tAN, un.l., ~IlHHnl VAt."" 1101 i
of 23 year.~, then, upon that death, his,o~ her. sh~r.e shall Qe
,
distributed to his or her issue, if any, and,' otherwi!js to the
ot,her le9e1tees all set ;forth in the l?aragraph set forth immedhtely
pr.eoeding this one, exoept that if any benefioiary hM a share
in trust, his or her share of a deoeased benefioia~y shall be
added to it:
v - The trust shallhllve, in addition to other powers,
the' follewi/lg I
^. The prinoipal and inoome of this trust shall
be free from antioipation, assignment, pledge or obligation of
any beneficiary and shall not be subj eot t.e any exeoutiol\ or
attachment or to voluntary or il1vo1untar.y alienatlon.
,
B. To purohase or'otherwisEl aoquire and to retain,
whether originally a part of the trust ,l!lstate or subsequently
acquirea, any and all stooks, bonds, notes or other seaurities~ or
any variety of real or personal, property, incluMng stook,a or
interests in investment trusts and oommon trust funds, as ii: may
deem advisable, whether or not sueh investmonts be of the Qharao-
ter permissible for investments byfiduoiaries or be unsecured,
unproductive, underpreductive or of a wasting nature. InvestmGnts
need not ba~iversified and may be made or retained with a view
to a possible inorease in value. The trustee may at any time
'rendel;' liquid the tl;'ust estate, in whole or in part , and hold
oash or readi1ymar~etable seourities of little or, no yield for.
suohperiod as it may deem advisable.
Trustee does have ,thl~
I
additional authorii:y tQ inVest in any variable demand promissory
not!') or other short term investment vehicle seleoted py,trUstee.
C. T'O sell, pledge I mortgage, transfer, e)Cohange I
oonvert ,or otherwise dispose of, or grant options with respeot to
'\ ('{ >}),
/
Paljfa :I,
!,
.
. .
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any and'aU I?roper~y at any time ~orminc;ra part of thett"St.
Gstaee in ,~u~h manne~, at sUch time or times " ~qr suoh purp,?sU,
for Buoh prioes and upon suoh terms ,c:!l:'edits and oonditions as
it may deem advisable.
D. To borrow money for any purpose oonneoted with
the prot.eotion, preeervation or improvement of the trust estate
whenever in its judgment adviBable, !lnd as,seourity to mortga'jle
or pledge any real or personal property forming a part of the
trust estate upon suoh terms and oonditions as it may deem
advisable.
E. To vote in person or by general or limited
proxy with respeot to any shares of stook or other seourities held
by HI to oonsent, direotly or through e, oommi.ttee or otner ac;Jent,
to the 'reorganization, oonsolidation, merger, dissolut!onor
liquidation of any oorporation j.n whioh the trust may have any
interest, or to the sale, le~se, pledge or mortgage of any prop-
,erty by or to any suoh oorporationl and to make any payments and
to take any steps which it may deem neoessary to enable it to
.1 .
obtain the benefit of any suoh transaotion.
, F. To hold investments in the name ofa nominee.
G. To pay, compromise, oompound, adjust, submit to
arbitration, sell or release anY olaims or demands of the trust
against others or of others against the trUst,cn suoh terms as,
it may deem advisable, inoluding the aooeptance of deed~of real
property in satisfaot.ion of bonds and"mortgaCjlefJ" and to make a.ny
payments J,n oonneotion therewith which it may deem advisable.
^~tKll.I), U1Kn & ,,^YI,nv
AnIlMNI,"~ Al'.^,,"'
"" MAUln In.1n
tAM' 111&.1., 'trHNiYLVAHIA ,11011
II. '1'0 make distribution of the
trust estate in kind and to oauss any share to
prinoipa1 of the
be ooml?osed of
'} "
//11
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I
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I
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j
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QMhi proper,ty or, untlivided 1!raoUono.1 shares in prope~ty dUl!eren
in k;l.ntll!rom any other share.
I. To e~eoute anti CJ.eliverany anti all instruments
in writin'iJ wh;l.oh it may tleem advisable to parry out any of the
forElr;Joj,ng pOWEll'S. No party to any such instrument in writing
signetl by the trustee shall be obHged to inquirEl into its valid-
i ty, or be bound to see to the appHcl.\tJol'\ by tho trustElEl of any
money or othel:' property paid or deHvered to it by suoh ,party pur-
suant to the ter.ms cf any suoh instrument.
J. To allooate reoeipts anQ expenses to prinoipal
or to inoome or partly to eaoh as saiQ trustee from time to time
thinks proper.
VI - I appoint Cumberland County National Bank anti Trust
Company ol!, cljmp Hill, Cumberland County, Pennsylvania g~ardiE1n of
any,property which passes either undor this will or otherwise to a
minor other .than ohildren of my said wife and with respeot to
, whion I am authorized to appoint a guardian and ha,ve not other-
wise speoifically done so, provided i;hat this appoint.ment of a.
guardian shall liOt apply to property distributab1~ 'under this w;l.ll
to a minor for whom special prov!S;l.on has otherw;l.sebeen made
h~reinl and provided further that ,this appointment of a guardian
~hall not supersede ,the right of any fiduoiary in its disoreUon
to distribute such share to the minor or to anoi;her for the minor'
benefit. Suoh guardian shall have the power to use prino;l.pal as
well as inoome from time to time for the minor's support andedu-
oation (inoluding oollege eduoati.on, both graduate "nd under-
9raduate) without regD.r.d to hia or her parent's ability to provide
for such sUpp<;>rt and education, or to'make payment for these
AaNO!.l\ aUKn . IIAYI,ny
A'1-PKN'I,\'S At I.AW
'I" NAl~rr Ifun
-tA'tili'!tU.4PIitiN,nVANI" 170\'
pUrpt<1f3eS
<")
;),../r.i
without. further respon,sib;\.lity' to, the minor or to the
" .
Page 4
^RNOI,Il, SUK" . "^VU1V
^"tOI\NI,,'S M' I,A'\'
ilM WAI,lr.tnt"w.
CA...Ui"..........",VAtfIA 170lJ
"
, .~ '.
minor's pal:'ent or to anY person taking oare of the minor. The
,sa!C1guard;anship shall terminate as to eaoh bene~ioiary wh.e~ he
or she reaches the age of 21 years.
VII - All taxes that may be assessed in oonsequenoe ~f,
my death of whatever nature and by whatever juriSdiotionimposed
shall be oonsidered a part of the el<J?ense of the administration of
my estate, and my J?ersortal reJ?resentative shall have tl)e absoiute
power J.n his or her disoretion to J?aythe same at once whether or
not the law under whioh they are impcsed permits the postponement
of. all or part of them to a later time.
VIII - I appoint my wife, Helen C. Garretson, Exeoutrix
of this, my Last will and Testament. Should she fail to qualify
or cease to act as such, then I,appoint'my wife's children,
Rodney B., Warrenfel tz and Sandra D. Merciet', as Coexecutors of this
my Last will and Testament. None of my personal"representativel>
shall be required to post bond in this or any jurisdiotion.
IX - I appoint cumherl~nd County National Bank and
Trust company, Camp Hill, Pennsylvania, Trustee of the trusts
hereinfiliove qreated.
IN WITNESS WHI!)JUDOIl',I have hereunto set my hand and seal
on this,' the JD' day of
, ~
.-? I 1".(, /
r"t" / . -/I
, 1976'.
(SEAL)
signed, ,sealed, published and deolared by RAYMOND D. GAlU~EWS,ON,
Testator therein named, ,on ,this and four (4) other, sheets of paper
as and for his Last Will and Testament in our presenoe, who, in'
his, presence, at his request and in the preaenoe,of each other,
have her.eunto subscribed our' names as attesting witnesses.
) '1..1:. '~ I I ,,' ,.' , (~)
~ li::.~u, ,X, :,' ,~' (Ul ' <-fIt )!i'!t.U,/.I',.J'l~~~' i '1 t,:< ,
, &') '" N ,8 ' , " 1 ," Ad res ( ;,
,..,/ · ,",.,.f, ,', a" /", ", ;.) " ,'< · ,. .d
)- ('a)~,/(,tv~/aiu...-f:~'~ 6//."'''k>', (,.C<",-~"
( Name ~ res1s,
Page 5
Qow
R!V,1l00 l~t 1/.9~1
mil
II
/5~~..;J /6 .~ ~
*
COM'l,~~XIt~~'~, oW&P~rv~~'U~ANIA
IIARMIU~l& ~A ~he,06ol
~
(]...
I
INElOLWNT I~B'!Wrm
J. 'NHmr:~~EJ~~I~VRN ~[~g}::=~:~:'rA~"H~"~'"
, (TO BE PILED IN DUPLICATE n 97 945
WIT~ RllGIST~R _OP WILLS) __ COU~TY COOl 'f AR N,UMal!\
mx NH ,
OAR~'rooN~~nd jD , 3!io. urentwatar. Hoad
IOCIAtllCU IlYNUMIIR -~-.- aA,rot a!A'ftn~-~lilAfloni~--' Camp Hin, I'll 17o.U,
199-14-o.B32 ' 1.0-29-97 2-1-23 Coo"
::~'IC.li1iWo~"':OI'O~::~I~,",~=~:::'~~:li"1 _:lfCCT 111~:::~::~:::::__:'_=[IQU~,~1C!:~'IIII_'.~~'MUC~-
f.li 1. Orlglaal R61~ro [-J 2. $~ppl.m.nlal R.lurn [] ~. R.mqlnder Rel~'n
,. (lor dalOI of doalh prior 10 12.13.82)
[] 4, llmllod 11101. [140. F~lur, InIO'9I1 Comp,oml.. [] $. Fedo,al ellalO'raO ROI~,n R.q~l..d
, (la, dol.. 01 d..lh oller 12.12.821 '
(Jt 6, Pe~edenl,Oled 10,\ 101. [I 7, p.,.donl Maln/qlnod a Living Trull -0.8. ,Tolal Number of 8010 P.pollI Boo..
IAtla~h ~opy of :.vIII) IAtla~b ~opy 0 l'~II)
ALU:ORIIP,Ol'fQiNCI'AND cotmD.NTIAL,TAXiNjiORMATIQN IHO\JL!l.' Ii I\IOTIOTOI, "
OMPlI A1l1HO A'
LiBa l>1ari,~ C~ai Ellquire, 390.1 Market street
ffilPHOHI HUM'" '. ~---------._---'--~ camp Hill, I?A 17o.U-4227
_J___1Y7 1..."..131-0461\ .. - ~ - .. -~~,=-_.",---,-,- ---'=~==~-' ~~-=-~="=.,,
I. Roo I ellal. (8~h.d~lo A)
2, Sto~k'l.lnd Sondl (8ched~lo 8)
3, Clo..ly Held SIo~kIPa'ln."hlp Inl.'OII (8cbed~lo q
4. MorlgogOl and'NoIOl RocelvabloI8~hodul. 01
5. COlh, Bank P.poIIII& MI"ollan.oul Pe"onol P,op.rlY
(S,hed~le el
,6. Jolnlly'Own.d Prop..ly (8~hod~l. fl
7, Tra..fen (8~hod~le 0) (8~hod~lo L)
B, Tolal 0'0" A".II (10101 Line. 1.71
'9, fun.ral eOPOn"I, Admlnlllrall" Calli, Mltc.llan.o~.
eOpenlOl (S~hod~l. HI '
10, Dobll, 'Mo'lgog. LlablllllOl, LI." (S~h.d~le II
1,1, Talal Oed",lIon. (10101 Lln0l9 & 10)
12. Nel Val~o 01 ellale (Llno 8 mlnUllln. 111
13. Charllabl. and Oavernll1.nlal Soquo," (8~hodul. JI
14, NOI Val~e 8~bloclJJ Too (Lln. 12 mln~' Llno \31
15. 8pa~lal Tr.nlfer. (Ier dalOl 01 doalh alt.. 6.31).94)
See In\lr~,~1I0nl fer Appllcablo p",.ntag. on Rover..
Sid., (In~l~do val~.. Irom 8~hod~I.' ~ or8~h.d~l. M,I
16. A"'9~nl 01 L1n. 14 laoablo 01 6% ,ale
(Includo val~.. from 8~hod~l. K or 8~hod~lo M,I
17, Amo~nl 01 Llno 14 laoablo 0115% '01.
(Includo val~OI 'rom 8ch.d~le K er 8~hedulo M.I
18, Principal 100 d~. (Add 100 !tom Llnel 15, 16 and 17.)
19, Cr.dlll 8pe~.al poy.rly C,.dll Prior paymonll
----..-'-.-- + --..-'---' +,..
".'
a...........'~._,
I
.\ ~ : ~~:~~d~:=-~,:::~~,'::::::_=..
(31 ..- None-.,.-___.~______,
( 4 ) ....,l'Ione......,.,___._.._.....__
(5) ,_.?,1!i5_.,a4.~, ",-..
( 61.,_.__AJ,,!?L.-~--.
( 7I"JIlC?ne...-~..---..-
( 9 I ,...2..O'L~~~~?~.-~--,...
(101 .._,__9.,~Jl,_6l...._._.. ,~-~
(111 .3..1.,63~~~___...
(121 tlli, Bo..9..12,I-_.,...,__."
(131, None
(141 (lli,~,.Th)
(81 .._,3.~~2.JL,--.
(1 51 ,_._...._._,_...~._~_,_.c. ___- ._.l'IQIlB____-'_.__ -----'
(16) ____....~.._..,_._.__,...,_..._',.., ~ ,06 .
---- .~-_._-"---....--.-
I
~
(171 ...__...___,_._.,...,........----...~ ,15. ~--....--,..'..-,"---.
(18) ..INSOLVENT
Discount
Inl".11
(191 ----,--,....--------.. ...---
(201 _,_+___..____',....___
20, IIllno, IWrealer Iban Line 18, .nl.. Ih. dllfo"n~. on Lln. 20. Thl. Illho OVIRPAYMINT,
II 0 IIIIIIftTIrI'...I~JII.I.III.61J.,u........IIIIIUI.,... rmntn_T.lIIII~I~"UU "'~'.IIUIII flI
21. II Llno lB II greal.r Ihan L1no 19, enler Ibo dlll...nc. on Lln. 21. Thlt II Ibo TAX PUI, (2\) ___.__.........._c~,_.., ",
A, enler Iho Inl....1 on'lbobulan~o d~o onLln. 21.... (21A) ....,--.---.......-......-........
B. enle,lbo toll" 01 Llno 2\ and 21A on Llno 21B. Thlt Illhe BALANCI DUI, (21a) ....-..,--...,...--,........-......-
M.k. Check P. .ble tal Re IIIer.f Will" Age~! . ..
U!;U. URlTO ANIWIALLQUIITI loll ON,RmmSlDIANI) TO,l\IQHIC:KMAYH; -,--"
Oiider penolll" a p.rl~'y; I d.flqro I 011 hay, ..a",lnod Ihll"I~'n, In~l~dlng accompanying "hod~l.. and .1.I.monll, and 10 tho bOil p ",y knowlodgo ond b.II.1,
il Is IfUII correct and complete; dldar. thai all roal .,'alohal been roporteD 911rve tnaiket value.Oeclarallon of ptaparttr olher tHaf\ Ihe p.ttonal r.p,."nlollve h
~I~~d an ~llnlermal:~io~,~hll~h '.1 o~..~;a~ .n~.!'a.l~~.d~:,..._._..:.___.____ __'__~c-r'- ~__n_____'
~~O'~ Tl1'AH RI~fMaf1VP; ,,~~oo.1i,j~.~.I_Qj:~,I--J~,.~Jf:Lt:lil.c ./.// ";L/f9JY
-_.------------_-.--.--~..-_.
UV,I.IlUt I'.UI
~I~
COMM~~W\A~HIO/A~I.!l~Jl>>,ANiA
I Rlllp~N~ PlclBINT
8CH.DULI H
PUN.RA~ IXPINSlS, ,
ADMINIITRATIVICOITS AND
MlICmANIOUIIXPIN"~
GARRE'l'SON, Rayrrond D.
It 1M
NUMIIR
DISCRIPTlON
A. P"nllallMptns.s'
,1. Myere. HeIrllerFuneral Hare
2. Flowarli
3.
Rolling Green C6I1'Btery
I. Admlnlstra'lv. Cast" N / A
1. Penanal Repre,entatlve Commlnlon.
$qclal Securlly Number Ilf P.r.onal Repre..ntatlvOl -~
Yenr Commlnl,on. paid
2.
3.
4.
C.
1.
2.
3,
4,
S.
6.
7.
8.
Attorney Pe..
Heru:y F. Coyne, Ellquiro
Pamlly exemption
Claimant Helen C. Geu;"I'etacn Relatlon.hlp Wife
Addr... 01 Claimant at decodent'. death
Street Addie.. " 350 Brentwater Road
City Ctvnp Hill State ...2~ Zip Code
_!I,m P!L'!.' or T .
21-97-945
_............~~
<+"0...,..,.-_____.____
17011
AMOUNT
$ 5,930.00
250.00
10,246.00
500.00
3,500.00
Probate Peel 64 . 50
Mlsdllanto"s IMp.nlt"
InhBritanoeTax Return M ~iling Fee 15.00
Legal Advertiaament M Cumberland Law Journal 60.00
Legal Mvertie.ament - Patriot Ne\V6, Weat Edition 52.00
Pcatega 32.00
Mileage for EKBoutrix @ .32/mile 16.00
TOTAL IAllo enler on line 9; Recapltulatlonl $ 20 ,6q5. 50
(II mort sp,:.ctlsn.tdtd, In..,' addlllonal, Ihtt" of lame 111',1
HAKI CHICK PAYAI~I AND RIHIT PAyHINT TOI
REOISTER OF WI~LS
CUMBERLA"P CO COURT H~USE
CARLISLE. PA 1701~
CUT ALONG THZI LXNI ... RITAIN LOlliI' PORTION FOR YOUR RIOORDI.... "
~W: Illi'f"''lf"A~li'~rll':m" "NoVia.- -6~-lN'Hit."ffl1l61-Y~x-,'A'IS., lAfii'HVilt...Atl.'iSiI~1l61~'b'lr-----"'" - - - - - --
DIIA~LOIlANCI OF DIDUCTIONI ANb AIIIIIHINT OF TA~ '
IITATI OF GARRETSON RAVMOND D FI~I 140.21 97-0946 AcN 101 DATI 04-06-08
,
TAM RlTURN WAI I I Ie I ACCI~T.D AI FlLID
~IIIRVATION CC~CIRNIRQ ~uTURI INTIR~IT, - III RIVIRII
APPRAIIID VALUI OP RITURN IAIID ONIORIOINAL RETURN
1, R..l 1.1.1. (lohldUl. Al
t, Itook. and lond. CIOh~l. II '
a, Clo..l>> Hald Itook/~.rtnar.htp Inl.r..t C"~l. 01
4, Horl...../Not.. R.o.tvabl. (Ioh.~la DI
I, Oa'h/lank D-,.att./Ht.o, ~.r.on.l Propart>> II.h.dul. II
.. Jolnth O"".d'~ro,,"rl>> (I.hadula FI
1, Tranlf.r. '(aoh.~l. 01
8. Tot.l A...ta
APPROVID DIDUOTIONI AND IXIHPTIONI. ~
20,6h,60
f, Funaral IMIHlII.../AdII,Cllh/HIIO. 1M""'" (Iohadula HI (91
10. \Iabh/H.rt.... LtabUIU../Lt..,. (aohadul. u ClOl 968';/11
,
11, Tot.l \IIdUOUon. (111 ~I . t;!l4 .11
11, NIt vill\lll of TIIleR.turn CUI 111,806, 7S-
lS, Chartt..l./Gov.r"","t.l'IICl\lIIt'J Non-.lllOt... fll1 Tru.h'lIli~l. JI (111 ,00
14. NIl y.lu. of I.ht. lubjllOt I, T'M (141 lB ,806. 7S-
NOTlI If.n ..'''....nt II.. i..u.dprlvi\lul:lIl",Un.. 14, 11 'Ind/ll,r 16, 11 Inri 11 wU:l
, rtf~'llt figur.. ,tn.t ino:lud.th. tot.:l of ~ r,~urn' .......d to d.t..
A.SIIIHINT OF TAX' '
U. AIoouI1t of Llne 14 .t .,..,..1' r.l. CUI ,00 )(,00. ,00
It, AIoouI1t .f Line 14 I.M..l. .t Li""a1/Cl'" A r.t. 1161 ,00)( ,06. ,00
11. ,AIoouI11 of Ltne 14 tl1Cabll .t Coll.l.rll/Ch.. I r.t. C171 ,00 'le ,11. ,00
11, ~"lnotpa1 TIM IIuI 118) .00
TAlC ORIDiTI.
~AVH'HT
" eATI
/!J ~~..2/~ ~ <:?
IURIAU OF INDIYIDUAL TAMIl
lHltUITAHCE TAN PIYlIlPH
P\!PI, 110601
IIAllRIIIUllO, PA 11111'0601
CCHHONIIIA~TH OP PINNIVLYAN1A
DIPARTHINT OP RIVINUI
{.'"
NOTICI a~ INHIRITANCI TAM
A~PRAIIIHINT, ALLaWANCI aR DIIALLOWANCI
CF DlDUCTIONI AND AI'IIIHINT ap TAM
LISA MARIE COYNE ESQ
5901 MARKET ST
CAMP HILL PA 17011
DATI
IITATI OF
DATI OF DIATH
PI~I NUHIIR
COUNTy
ACN
01\-06-98
GARRETSON
10-29-97
21 97-091\8
CUMSER~AND
101
AlIOunl R'I!U~.d
I I CIIANOID
(11
CII
(SI
141
III
161
I1l
.00
.00
.00
,00
2,78&.84
41.B2
.00
(II
RICUPt
NUNIlIR
bllOClUNT (.)
INTI".'T/~IN ~Alb (-)
AHOUIlT ~AID
TOTAL TAlC CRIlDlT
IALANOI OP TAX bUI
INTIRIST AND PIN.
TOTA~ DUI
*
UW.I.., II u, tlt.m
RAyMOND
D
l
NOTII To l"lur. prop.r
.rldll,to ~our ...ount.
.ubltl tha uppar portion
of lht. forI! wtlh your
t'M "~"""t.
2 ,82" , ~6
,00
.00
,00
,00
. ,IF ~Alb AFTIR bATI INDXCATBD, lIB RIVIR'I
~CR CALCULATION aF ADDITICNAL INTIRIIT,
C IF TOTAL OUE II LEIS TIIAN .1, Na PAVHENT II REQUIRED.
IF TaTAL DUE II REFLECTED AI A "CREOIT- ICRI, vau HAV IE DUE
A REFUHD. lEI REYERSE SIDE a~ TillS FaRH FOR INSTRUCTIDWS.)