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NO. 21-80
IN ~::~~~~~; (~~,Rd:.~J.,~~.J!~~~,~,I,~,I~~'~~~:'~(~E().
To ""~,~",4".-m",t3~,"""""",..,"""",..,",.,"""",",',"','"
"l'f'
.I.!::"", ,
Register of Wills for lhe Counly of Cumbednncl, in [he Comlllonll'eallh of Pennsylvania,
The Petition of ..,~,~~,q;:l,-<:/,-..:~yU""""'~'/1"""":":;V"~""':""""""""'"
"..,....".",..".",..,.."..",,',.,.,"""""""" respfctfully sholl'elh lhal ~'~"'.""".,~~'~"""'."."."'..""'"
'd t f '2".... ~L J / ~ / ,/ Township (' I' '1' I Co II)' Sl'lle of Pennsyl-
was a rest en 0 . ..i"..~~..r.::~~...""........."...~l1gh ,um WI ,lO( ,UI I "- . .
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on,,4;f.~,~.......... the .........!E..t!..................... day of ....Uf-'r'"~~...................., A. D" 19..f..9...,
at the age of ....~,~, years, J
That the said .~,~;:f!.... .......,;:t."I3,~.~............,....,...., deceased, left surviving the following
named widow or -husband, heirs d next to kin, to wit:
Name
Relationship
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, , l1esidepcj;p A -+- .L~~ <..,
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That those above named include all of the next of kin, so far as known.
0"
The said decedent was possessed of personal property 10 the estimated value of $..L,'?..f?..a..o..::::'......
and of Real Estate, less incumbrance, to the estimated value of $..,&&.+.':;:?:~........, as near as can be
ascertained.
That the said Real Estate in so far as is known is located in ...........................................................,....
........................................................................................................................................................................................
Therefore, your petitioner(s) respectfully apply(ies) for Letters of Administration in the above
named estate,
Dated ...:7!!...q;y.....,/.....,.............., A. 1)" 19.!?.<:'\
Signature and Address
of Petitioner(s)
b~:{:E;;~
..............................."........................................................
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COMMONWEALTH OF PENNSYLVANIA 1
COUNTY OF CUMBERLAND l ss:
Rosemary Harp
.,..".,...,.........""""",.....""..",',....,"',..,"",...",.",.,.",..",......""".."..,.,",..,"""",...,'"""....".."...,.."",....,"",..,.,.. named
in the above application being dul)' ,..............~~,r.,K:I."........,........ according to law, say that the facts set
forth in the above application are true to the best of ..,l.'f!,~..,.. knowledge and belief.
sworn .
,........."...."",..",..,....,..""....,"',..,"',.,' and subScrIbed 1 "',""" '2/ ..',.."..,.",..,., ...'" ,.."'.';T"'.'.,"",....,",..".,"
before me'M 1 0 \ ..)!...4,l:::-:::.,~,!."'~x7."/4.-'.)../."..,',......,.,.. .
..,...'?~......"..~y""..,...""'.......""".... A. Il., 19,e..."." ".,."",.,.."",.,..""".""""".,.,""',..,'"""'..""'...""....":~
0'7; .:;lj,/,t.e,{""'~R;;;;;;;.. ................................................................................~
Filed: ....~~,~~..,..P.~......,l.?,~~..............,............., (om) Atlorney :::tdf!f,;,,~;;~~:apr
~/-Fi'~-If-(J"1 /I-J'.-I .
Es N 21-80 yn
tate o. ,:..............................
BOND
KNOW ALL MEN BY THESE PRESENTS, That wo, .
ROSEMARY HARP
...................................................................................
......., principaL.......,
and Rgym~md..,P9,\.lghE!h..t1.".,Jlg.r.L.E!n.E!...P.9.\1.ghE!!:ty, ...PE!.clIl...$h!:~ciLE!Y..,.Cl.Il<i...,M~J:'y....,...,'"
.........S,h..,Cl~U~Y.,....,..,..................,..,........."........,....."...,., ... .....,...,. .....,.,.., ,...........,..... ,..,. ..,',....,......."., surot.,~,E!,~..,
arc held and firmly bound unto the Commonwealth of Pennsyh'ania, in the sum of Twenty,..Thousand........
i"J),d....O,OLl..Q'O::-,::-,::-.:-:,:-:,:-:,:-:,",",,,:c,~,::-.:-:.::-.~,-Dollars (-$..2.0"..000..,00..), to be paid to the said Commonwealth,
her certain attorney or assigns, to which payment, well and truly to be made, we do bind ourselves, jointly and
severally, and our and each of our heirs, cxecutor~, administrators, suc<.:{'ssors and assigns, firmly, by these presents,
far and in the whale of the said sum,
SEALED and dated the
C} <;1ft.
........................,t(({)..........
.... ......day of .
.,.MIlS.......,.....,.."'........." 19.~.O.,'
WHEREAS, the abovo named ............,..,..,~.Cl,s.!1:.l1,i\.~X...I:!i~~l.'.........
..................................................................--.............................................................................................................................
has or have made, or is or are about to make, application to the Register of \X'ills of Cumberland County,
Pennsylvania, far the grant of letters gr"?cil1l,~l}.~,s,t:,r..Cl.t.,~<:>I.1""".."..."."'''"."''''''''"....,,.,,,,.,,...""..""..""",,.
an the estate of ,,,.,,....,,"p.Q,..J;;.,,J..,,,..f~:i.,L,,..,,,,,, ,,,,,,,..,,,,,,,,,...,,, late of ~:U,ddle,~.ex".'r.own.~.h:i.p..___,
Cumberland County, Pt:n.~_iylvania, deceased:
THE CONDITION OF THIS OBLIGATION is, that if the said personal representative ...""",,, or any of
them shall well and truly administer the said estate accord ing to law. this obligation shall be void as to the personal
representative or representatives who shall so administer th e said estate; but otherwise, it shall remain in force.
SEALED and delil'ered in the presence of
;:;Q.~,::__.ili_~~_
-~#AP'-Y~'J7:'--'---""-'
~-~~------_._--
#it:"Y!=-!l?!1t;}z'!~?_m _.u (SEAL)
~fflJf~~P:r. _m___ (SEAL)
_{tt.}J.Ll.d__4l1J:C~o/'.m_____ (SEAL)
_~~~__~;__~~\Q.~~,__ (SEAL)
u.l.i./.~~~~:/-~/L--'\:) (SEAL)
COMMONWEALTH or PENNSYLVANIA
COUNTY OF ~j{ ss:
P(.'rsOIl4ll1y al'pt';m:d before me, a
,,,Notary Public.."
.... in and for the county and
state, aforesaid ." ~~yrI1o.n,ci" ,11"... J:lC>.1J.g h.~,1:.t.y ..~I.1<;1,.. Mill: L.E!Il.~. "p.9.\1.g beI.t Y.
of '" ...New...GJ.!mbe.rla.n.d... J!A
,."... .S.hr:.Cl.CU ~ 1.'""",......................
..".........andDE!Cln ShJ:',llciJ~Y,,,~11,ci,M~,r.Y,,~, ,,,,,., ""."""
..."...",.....af ,..Ne,w....cumbex,lan.d....,PA,
1
A,~.19 '~Q ~"",,5th . d,,)' of, ,June, . J
of-:.:..-u 71. ~ .., J UJlS W HINEANO, Notary Public
.....".....:.t.:~~mbure .".ll~u,~unCOOllIYIP
II,y~omnItSSlOn hplIl!s July2G,1982
surities an the abol'e bond who being duly swam (affirmed) ",carding 10 law. depose and say Ih"t they each awn Real
Estate worth the whole of the penal sum named in the abo\'e bond, o\'er and abo\'c their debts and the dcbtor's exemption_
~,' 1'~~~rfj,r"'.f!f'C;",,, .."
~. i.~
-";t.i,G....J~~~jt\H.,."...
~~,,,~~.,,c;~~~Q~,~
Sworn 3nd subscribed lx-fore IllC this
.., (Seal)
. (Seal)
.... (Seal)
. ,.... (Seal)
PENNSYLVANIA INHERITANCE TAX GENERAL INFORMATION
1. PERSONS RESPONSIBLE FOR RETURN
SectiDn 701 of the Inheritance and Estate Tax Act of 1961 provides that the following persons shall prepare and file
a return:
a. The personal representative of the estate of the decedent as to property of the decedent administered by him
and such additional property which is Dr may be subject to Inheritance Tax of which he/she shall have or
acquire knowledge;
b. The transferee of property upon the transfer of which Inheritance Tax is or may be imposed by the 1961 Statute,
including a trustee of property transferred in trust, provided that no separate return need be made by the transferee
of property included in the return of a personal representative.
2. PLACE FOR FILING
The return is to be filed in duplicate with the Register of Wills of the county wherein the decedent resided.
3. TIME FOR FILING
The return is due nine months after the decedent's death, unless an extension for filing has been applied for and
granted by the Secretary of Revenue within the nine-month period.
4. FAILURE TO FILE RETURN
Section 791 of the 1961 Statute provides that" . . .any person who willfully fails to file a return or other report
required of him. . .shall be personally liable. . .to a penally of 25% of the tax ultimately found to be due or $1,000
whichever is the lesser to be recovered by the Department of Revenue as debts of like amount are recoverable by
law."
5. TAX RATES
Inheritance Tax is payable at the rate of 6% on transfers to lineal descendants, such as father, mother, husband, wife,
son, daughter, grandchildren, grandparent, son-in-law and daughter-in-law and at the rate of 15% as to all others.
6. PAYMENT OFTAX
The tax assessed on the transfer of property reported in the return is due 9 months after the decedent's death. Interest
at the rate of 6% per annum accrues thereafter until payment is made. All payments received are first applied to any
interest which may be due with any remainder applied to the tax. IF TAX IS PAID WITHIN 3 MONTHS AFTER THE
DECEDENT'S DEATH, A DISCOUNT OF 5% OF THE TAX PAYMENT IS ALLOWED.
All checks should be made payable to the Register of Wills of the county wherein the decedent resided and are
received subject to the fina'l determination of the Department of Revenue.
7. FAILURE TO PAY
The taxes imposed, together with any interest thereon, are a lien upon real property, which lien remains in effect until
the taxes and interest have been paid in full. The taxes may be sued for against any real property in the decedent's
estate or against.any property belonging to a transferee liable for the tax.
8. FILING OF FALSE RETURN
Any person who willfully makes a false return or repDrt required of him shall, in accordance with Section 793 of the
1961 Statute, be guilty of a misdemeanor and, on conviction thereof, shall be sentenced to pay a fine not exceeding
$1,000 or undergo imprisonment not exceeding one year or both.
NOTE: Compensation paid to an estate representative; namely, an executor or administrator, for services performed
in administering an estate is reportable for Pennsylvania Income Tax purposes. This taxable income item should be
reported on form P A-40-lndividuallncome Tax Return.
, .
I]EV-4:)2 EX+ 111-80)
COMMONWEAL TH OF PENNSYLVANIA
OEPARTMENT OF REVENUE
TRANSFER INHERITANCE TAX
RESIOENT DECEDENT
,
SCHEDULE "C"
TRANSFERS
Estate of
Doris J. Fair
INSTRUCTIONS:
1. Answer t:le questions on reverse side.
2. II the answer to any of the questions on the reverse side is "Yes," provide a description of the property transferred per
Schedules "A," "S," or "E," its estimated market value at date of death, dates of transfer, to v.I1om transferred and
relationship of translerres to decedent. Attach a copy of any trust, deed, or instrument relating to the transferred property.
ITEM
NO.
ESTIMATED
MARKET VALUE
DESCRIPTION
1. Savings Account #2-1-812419 $ 2,526.46
First Federal Savings & Loan Assoc. of Harrisbur
Rosemary Harp (Daughter)
Lot 62, Hollow Creek Estates
R.D. #3
Dover, PA. 17351
Account Opened 2-11-80
2. Savings Account #2-36-103565
First Federal Savings & Loan Assoc. Of Harrisbur 1,020.82
Doris J. Fair Trustee for: Crystal Lynn Fisher
(grandaughter)
304 Walnut Lane
Country Manor Trailer Court
R.D. #8
Carlisle, PA. 17036
Account opened 2-11-80
3. Savings Account #2-36-503564 1,020.82
First Federal Savings and Loan Assoc. of Harrisb rg
Doris J. Fair Trustee for: Doris Ann Harp
(grandaughter)
Lot 62, Hollow Creek Estates
R.D. #3
Dover, PA. 17351
Account opened 2-11-80
4.
Savings Account #2-27-308156
First Federal Savings & Loan Assoc. of Harrisbur
Gloria J. Fisher (daughter)
304 Walnut Lane
Country Hanor Trailer Court
R.D. #8
Carlisle, PA. 17036
Account opened 2-27-80
10,198.61
TOT AL
$14,766,71
If additional space is necessary. use 8W' x 11" sheets.
DEPT. VALUATION
{OFFIC'AL USE ONL Yl
QUESTIONS CONCERNING PROPERTY TRANSFERS
I. Did decedent, within two years of death, make any transfer of any material part of his estate without receiving
valuable and adequate consideration? (Answer "Yes" or "No".) Yes
2. Did decedent, within too years of death, transfer property from himself! herself to himself!herself and another party
or parties (including a spouse) in jDint ownership? (Answer "Yes" or "No".) Yes
3, If the answer to one or two above is "Yes" and the transfers are claimed to be nontaxable, provide the following
information:
a. Age of decedent at time of transfer.
b. Copy of death certificate.
c. Affidavit by the attending physician indicating the state or decedent's health at time of transfer.
d. All other information supporting nontaxability of transfer.
4. Did decedent, in his/her lifetime, make any transfer of property without receiving a valuable or adequate consideration
therefor which was to take effect in possession or enjoyment at or after his/her death? (Answer "Yes" or "No".) NO
a. Was there any possibility that the property transferred might return to transferor or his/her estate or be subject
to his/her power of disposition? (Answer "Yes" or "No".)
b. What was the transferee's age at time of decedent's death?
5. Did decedent in his/her lifetime make any transfer withDut receiving a valuable and adequate consideration therefor
under which transferor expressly or impliedly reserves for his/her life or any period which does in fact end before his/her
death: NO
a. The possession or enjoyment of or the right to income from the property transferred? (Answer "Yes" or "No".) -
b. The right to designate the persons WhD shall pDssess or enjoy the property transferred or income therefrom?
(Answer "Yes" or "No".)
6. If the answer to five b. above is "Yes," was the right reserved in decedent alone ( ) or decedent and others ( ).
7, Did decedent in his/her lifetime make a transfer, the consideration for which was transferee's promise to pay income
to or for the benefit or care of transferor? (Answer "Yes" or "No".) NO
8. Did decedent, at any time, transfer property, the bmeficial enjoyment of which was subject to change, because of
a reserved power to alter, amend, or revoke, or which could revert to decedent under terms of transfer or by operation of
law? (Answer "Yes" or "No".) NO
9. If the answer to eight above is "Yes," was the power to alter, amend Dr revoke the interest of the beneficiary reserved
in the decedent alone ( ) or decedent and others ( ).
'.
INSTRUCTIONS FOR COMPLETING SCHEDULE "E"
Schedule "E" must include all property, real and personal, owned by the decedent jointly with another
party or parties as joint tenants with right of survivorship, Both tangible and intangible property are to be
included. List real estate first.
1. Describe all real property as indicated in the instructions for Schedule" A." Describe all personal property
as indicated in the instructions for Schedule "B," Include the name, address and relationship to the
decedent of the co.owner[sl and the date the joint ownership was established,
2. Indicate the total market value of the jointly owned property.
3, Indicate the percentage of the decedent's interest.
4. Indicate the market value of the decedent's interest.
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REV-4B4 EX+ tHO'
File Number
Estate Nome
Dote of Death
Social Security Number
INHERITANCE TAX SUMMARY SHEET
(BUREAU USE ONLY)
21-80-0409
Doris J. Fair
April 20, 1980
209-12-5866
REPORT OF INHERITANCE TAX APPRAISER
rn Original
o Supplemental
o Remainder
I, the undersigned duly appointed Inheritance Tax Appraiser in and lor tho County 01 Cumberland
Pennsylvania, do respectfully report that I nave appraised the real and personal property as reported in tho loregoing
return at the values ..t forth opposite each Item In the last column ta the right in Schedul "A", "8", "C", and "E"
Dated: January 13, 1982
IHVEHTORY
R.ol Property (Sch.dul. A)
Per.onal Property (Schedule B)
Jolnl.Held Property (Schedule E)
Tran.fers (Schedule C)
TOT AL GROSS ASSETS
Len Debt. and Oeductlon.
(SCHEDULE F)
CLEAR VALUE OF ESTATE
OLlIe Estate
o Annuity
FOR USE OF REGISTER ONLY
Tax on S
Tax on $
Tax on $
Tox on $
T ax on $
Exemptions
Total Estate
INHERI
VALUE AS APPRAISED COD~ ADJUSTMENTS
(HARRISBURG USE ONLY)
$ NONE 00+
6 000 00 10+
_ _None 211+
14 766 71 30+
~766__
40-
RATE
FACTOR
91.ll
6%
15%
TOTAl.. TAX
INTEREST FROM
BALANCE
TO
PRINCIPLE
REMAINDER APPRAISEMENT CODE
92+
93-
VALUE
CODE
-
COMPUTATION OF TAX
$
$
$
$
$
$
$
$
TAX CREDIT
$
cO, 05
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6/17/81
\ 5/26/81
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P~INCIPALACCOUNT RECEIPTS
Holy Spirit Hospital - Refund
Proceeds of Sale of 1979 New
Moon Mobile Home #12208795
Total Principal Account Receipts
. PRINCIPAL ACCOUNT DISBURSEMENTS
Country'Manor Sales ~ Care and
maintenance of mobile home
Cumberland Law Journal - estate
notice
cumberland Publisher's, Inc. -
estate notice
Commonwealth National Bank -
checking account charges
Register of wills of cumberland Co. ~
filing inventory
Register of wills of Cumberland Co. -
filing inheritance tax return
Register of Wills of Cumberland Co. -
filing and passing account
Register of Wills of Cumberland Co. -
reserve for filing releases
Rosemary Harp - administratrix
commission
Gregory R. Reed - attorney's fees
Gregory R. Reed - reimbursement for
notary fees, toll calls, postage,
mileage and photocopies
Register of wills of Cumberland Co. -
Agent for Commonwealth of Pennsylvania
inheritance tax, including penalty
Total Principal Account Disbursements
L:~:n 10U i'~~E 554
$ 53.05
6,000.00
. $6,053,05
1,500.00
18.00
21. 50
5.41
5.00
10.00
60.00 ,/
28.00
475.00 '
475.00
50.00'
600.67.'
$2,647.91
"
INCOME ACCOUNT RECEIPTS
6/30/81
Interest rec'd on First Federal
Savings and Loan Account
11/18/81
Interst rec'd on First Federal
Savings and Loan Account
$ 1. 31
1. 42
1. 41
122.89
20.07
32.29
$179.39
7/31/81
Interest rec'd on First Federal
Savings and Loan Account
8/31/81
Interest rec'd on First Federal
Savings and Loan Account
9/01/81
Interest rec'd on Fircc Federal
Savings and Loan AccJunt
9/30/81
Interst rec'd on First Federal
Savings and Loan Account
Total Income Account Receipts
INCOME ACCOUNT DISBURSEMENTS
NONE
RECAPITULATION
Total Princi~a1 Account Receipts $6,053.05
Total Principal Account Disburse-
ments 2,647.91
PRINCIPAL BALANCE FOR DISBURSE-
MENTS 3,405.14
Total Income Account Receipts 179.39
Total Income Account Disbursements 0.00
TOTAL INCOME BALANCE FOR DISBURSE-
MENT 179.39
TOTAL BALANCE FOR DISBURSEMENT $3,584.53
?/~
y ;(tK1c-,.,.<-a<-</ .
ROSEMARY ~p/ ' ,
Executrix
11!i~p. 100 I'm 555
]NFORMATION..
To In.ure proper credit to your account. the nnme of the a.tete and file number should be cleerly print.
ed on the check or monoy order.
Thi. essessment is mada in .ccordonce with Saction 7D8 of tha Inharitanca and Estata Tax Act of
1961 (72 P.S, 9 2485.7081,
To the axtent that inharitance tax is paid within thr.e 131 months alter the deeth of the decedent, a
discount of fival5\ percent is allowed 172 P,S, 9 2485.716\,
Inheritanc. Tax, other than tax on a future intarest, is dua at 111e date of tha decedant's death and becomes
delinquent at the expiration 01 nine (9) months alter the decadent's death (72 P,S, 9 2485.711), Inheritance
Tax on e future interest is payable within ,hree 131 months elter the transfer takes effect in possession end
enjoyment and is delinquent thereefter 1"/2 P,S, 9 2485-712), Calculate interost from the delinquent date shown
on the faco 01 this form to the dale of actual payment using lho following interest table:
------------ --" ------ - --------- --- ---- -------- - - - ---- --- -- ------ -- -- - - - -- --
1 month ,005 4 months ,02D 7 months ,D35 lD months ,D50
2 months ,OlD 5 months ,D25 8 months ,040 11 months ,055
3 months ,D15 6 months .03D 9 monthS ,D45 12 months ,06D
1 days ,00017 11 days .00186 21 days ,00352
2 deys ,00034 12 days ,OD203 22 days ,00369
3 days ,00051 '3 doys ,00220 23 days .00386
4 days .00068 14 days ,00237 24 days ,00403
5 days ,00085 15 days ,0025D 25 days ,0042D
6 days ,00101 16 days ,00267 26 days ,00437
7 days ,0011 8 17 days ,00284 27 days ,00454
8 days .00135 18 days ,00301 28 days .00471
9 days ,00152 19 days ,00318 29 days ,00488
. 10 days ,00159 20 days ,00335 30 days ,00500
--------------------- -- - ---- ----- -------- -- -------- - - - - --------- ------
Any party in interest, includillg the Commonwealth and the personal representative, not satisfied with
the assessment may object thereto within sixty (601 days alter receipt ef this Notice as provided by Section
1001 of the Inheritance and Estate Tax Act of 1961172 P,S, 9 2485.1001),
Make check or money order payable to:
"Register of Wills, Agent"
Mail 10 lhe address listed below:
. ... .' . .
GENERAL INHERITANCE TAX INFORMATION
Unsatisfied liabilities incurred by the decedent prior to his/her death are deductible against his/her taxable
estate. In addition to debts incurred by the decedent or estate, other items are claimable including the cost of
administration, attorney fees, fiduciary fees, funeral and burial expenses including the cost of a burial lot, tombstone
or grave marker and other related burial expenses.
All debts being claimed against an estate ale subject to the approval of the Register of Wills with whom the
Inheritance Tax Return is filed. Evidence to support the decedent's or the estate's liability for the debts being
claimed should be attached to this schedule.
A family exemption may be claimed by 0 spouse of 0 decedent who died dOlr,"iled in Pennsylvania. 11 there is
no spouse, or if the spouse has forfeited his/her rights, then any child of the decedent who is 0 member of the same
household can claim the exemption. In the event there is no such spouse or child, the exl/t11ption can be claimed by
a parent or parents who are members of the same household as the decedent. The family exemption is allowable only
against assets which pass by a will or by the Pennsylvania Intestate Lows.
NOTE: Compensation paid to an estate representative; namely, on executor or administrator, for services
performed in administering an estate is reportable far Pennsylvania Income Tax purposes. This taxable income
item should be reported an farm PA.40.lndividuallncame Tax Return.
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INSTRUCTIONS FOR COMPLETING SCHEOULE "F"
1. 11 the family exemption is being claimed, indicate the claimant's name, address and his/her relationship to
the decedent. Enter "family exemption" in the remarks column and the. amount claimed in the amount column.
2. Assign consecutive numbers to each item listed.
3. Enter the date on which each debt was incurred and/or paid.
4. Enter the names of each payee.
5. Provide a brief explanation in the ren,arks column for each debt claimed.
6. Enter the amount of each debt being claimed.
7. The form must be signed by the person who has assumed the responsibility for paying the debts.
IF ADDITIONAL SPACE IS NECESSARY USE BYz" x 11" SHEETS.