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LAS'[' \VI 1,1. ANI) 'l'I1S'I'M I1lN'I'
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m!On(1IL~.....Jill.n'l' , .m.
I I (lOO1'go IV, Koot:, .11'., of the Ilorough of Sh1l'olllllnstown, County of
, ,
CUlllborlulld nnd Stnte of ponnsyl vllnln, bolng of soundmlnd und momory, do IIIl1ko,
pubJ.ish und, doclnre thls' my, Lust IVlll 11I1d 'l'ostnmol1t, h01'oby rovokinH IIny und ,1111
wU1s by 11\0 hli'1'oto'f'Ol'O, mudo,
PTltST I I' dI1'oct thllt 11'11 lilY Juatdohts untl rUllOI'II 1 OXP0l1S0S bo pillet
hy lilY ExocutrIx, h01'o:1nnftor numod, liS soon flS posa:lhlo u I' to I' my ~loce(lso.
SI1CONIlI I givo IInd boquouth tlHl Slun of' 'I'\\\), 'I'housund ($2.000,00)
lJoll.al's to my friond, Jacques Q, PoUwo1101', 'prosently r9sWing ,ut :104 IVost
Courtland, Avenuli', Shlromnnstown, Po, 17011.
'[HInDI 1 glve and'boquonth tho ,Slun of 'Ii~o ThoUsnnd ($2,0'00,00)
Do11ors to nobert Il. Rosenbergor, prosently 1'0sldillg at 5814 Candlt! Light
Drive; Cllnq) lUll, Po. 17011.
POUnTIl1 I give und l,oquoath tho sum of 1i~0 '/11Ol1sand ($2,000.00)
Dollars to St, ,Iohn I s Luthernn Church, 8hi l'elllUnS town, Clunhol'lund County,
,pa., to be used for ~enera1 church purposos,
P,If1'l'H: All the rl,'lst, reslfluo and rell\ailtder of lilY estate, whether
, . . ,
roaI, personal or mixed, 1 'giVe, deviso nnd bequenth to lilY wifo, ,Jonn D. Keet,
pl'oVlding she'shnU surv,lvo my death by sixty (60) clays.
SIX'IHI Should my wl.fe, ,Jeun D. Keet, prodoceaso me 01' fail to survive
Irty,c1eath by sIxty (60)duys, then I gIve, deviso and bequeath said l'li'sidue nnd
l'ema.indor of myest!lte as fOUOWlll,
(a) One-fourth (1/4) thoroof,. I give, and bequeath to my nj.oce,
Terry SI Hoffil1an, presontly residing Ilt 114 South Broad ,Stroet, Mechnnicsburg,
,Pa, 17(JS5.
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(b) One-fourth (1/4) thoroof, I glve nnd boquenthto l1\yniece,
Miss Knthy A, Ke\lt, presently roslcHng fit 703 Broad Stroet, ~klChul1icsburg, fin, 17055.
" , " "
(c) One.'fourth (1/4) theroof, I give nnd bequenth to my nephew,
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WilUmn K. Keet, presently rosiding at :31 Church Roud,~klcl1Unicaburg, Pa.p055.
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(el) One-fourth (1/4)thoroof, I !'live und bequeath !to 11\Y nophew,
,James 11. 1<oot, p~\lsel,ltly rOsidlng at 703 1l1'0ad Stroet, ,Mtichllnicsbul'!h flat ,,17055.
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OATH m' PIIRSONA1, Rt:I'Rt:st:NTATIVE
COMMONWEALTI-I OF I'UNNSYLVANIA 881
COUNTY OF CUMDERI.ANI)
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Dofore 11'10, tho l~oglRlor for tho Probnto of Wills IInd granting of Letters of Administration In' and for the County of
Cumborlandl personally cllmo ,1nAn n. KM!'
who, being duly 'on.n""l
,do G'R doposo and say that as
mvArnlt.Y'i \l
of tho last Will and Tostamont of
, ,
She
r...r.v'\1"q~ '1(. 1<r-'lr~f. rill".
deceased
,
will well and,truly admlnlstor tho goods IInd challols, rights and credits t;lf said deceased aQoordlngto law, And'
, also will dlllsontlY'compl~ with tho Ilrovlslons of the law rolatlng to Transfor Inheritances. lM'l,.n and subsorlbed before me.
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p'ebrua~y 24 .o\,D" 1!Il..!.- ) '/
Resister
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DECREE
Do It rememborod that on the 26th day of p'ebruary AD l.Al th b d d
I , "v: ,ere was pro ate an
it 1.'1:;
aeorge 1<.l<eet, ~r.
late of
recorded the hut Will and Tostamont of
,
Sh!remanl,town
, Cumberland County, Pennsylvania,
Jean D. J(eet
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Deooalod, Loltors Teltamentary were, granted to
Witness my hand and offlolnl soal' iho daynnd yoar ~'fotosald,
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Resister
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COMMOflWL^L III ~r I'1'.lItliVLVANIA
OUI'AIl1'MUHY Of' RUVllHUB
, rRAHirUIllHtlllRIYAHCn YAX
\
AUIDnHY O')CSDllHY
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eltut. 0/
LQlt oddr...
iCITYI
,
alID}~GI~ J{.
1i~1'1i;;lili'^N("1.: I AX 1\(.1 UI\I\
FOR INSOLVElNT ElSTATES
(Instructions on Rovorso Sldo) ,
6ol. BHactrix<') Adm.
JEAN D.
Noma .
i95~07~1239
COUHTY HO,
''I'"rUHO.
1{)~1i1111" .Tn
Oth.r
KfCIn'
3nO I.I",,\: C'~loItttMiI
, 'I, AUT
21~81~~{12
Shi'reffi'.lnstolm, P(!l'\l"lsvl'i,ania lZOl~" &
, IUAUI. 111~1 ~
Social Socvrlty No,
Addro.. 300 Weat Courtland
IITAUTI
ShiramanptOWn, Pennsylvania 17011'
IC.J1VI IITAUt , ' , mPI
Undor punultlol of porlary, I deolera thlt I hlYl aMomlnod Ihll ralum and
\0 tho bo" of my kAOWlodgl and bolli' It II \rUI, corrlc! and oomplol",
Pato 0/ D"ath Flilbn Ill>:)' 7" 1 CJR1
Soolal Seaurlty Mo. 195~07~1247
TYPs OP "un
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5/19/81
2/27/81
2/11/81
2/2~/8l
2/26/81
3/27/81
O~'IC:IAL
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OUIURIPTIOH
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UITIM"TUO MARKU
VALIJs ' ,
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'=~rE:!~3A~~~~!lt~~~~~~i~~j:,I,
K, Keet,Jl;'",~te 9f death'balangel, '
J ',d II II ;\,' Ii, I,~ I!j I :'rii ;11,
",':'!:I,\I ',:, ';'-JliUl!it!;'J~""
t!,;',I," 1:,:',-,', I'j;)\'J.l.i1i\\:,;t
,1'" i', ~"r; I,ll ',hq/!.tl,,,I!II'j
'0,:)" ,I;' ~
, $ ",:374'O,.2~;;,;;,,"
"'!: ,,'1: ,,/,,1
',j ';-r! 'i;~ '>>"',:,-1
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, TOTAL. .3 0, ~,,g
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I do h.r.by urtl/y that the ObdV. ol~'" war~QPpral"d In ooc.rdand' with Pennlylvanla luw.
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AKi&18t.~t1 }WbAJJ)(} )
HAMs OPPAYU
NATUAll O~ oLAIM
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Jean D. I<eet,' surViving Spou e
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Myera-Hall, 'Funeral Bane
Rev ,DeFrelm& Pat I<auffrran
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Register' of Willa'
Cunbel;'~and Law' Journal "
West Shol:e Tilrea'
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Family Exempttc;m ! 11
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Burial Expense" ':',''''
,I',",' ! "'-,'
" . Honorarium
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Probate Feea
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'Advertiaing'H., \,
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TOTAL.
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O'O~'VlllNI A....OW~O
~ka.~ ' ct ,~u.t~;
"UOI UN 0' '111..10
K
AMOUH'l' CLAIMBD
,~ 2000,00.
2605.00
75,00
,14.00
l~,OO
G,25,
4718,25
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, ' ' INSTRUCTIONS "
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'tV P E 01' MSn .. I ndl ~ol~ vihethe, the OIut t. reolo.tote, pe",anol property, tl'lln,le, or lotnlly.ownlld.
DESCRIPTION.. 1:;111 all one" OWned ,alety by Ihedooedonl 0' owned lolnlly with onatho' party cH por',\e. " tenanllln
aammol\ or 01 tolnl tenont. with right 01 lurvlvor.hlp at tho tlmo al,da.lh, Inoludo ,tho dooed.nt Ip.roontag. 01 ownDflhlp,
tho,nama (.) and r.latlon.htp to tho du.dent 01 tho .urvlvlng iolnt ownof' .nd th.,..tlm.tod morket v.lue 01 tho d.qodont'l
Intoro.t.. 01 tho d.to .f do.th. Inalud. Int.notbl. per.onal property tlllod In tho namo,af Ih. d,oadonl but payablo at daath
to anathar party ar/arll.. Inoludtng but' not Ilmltod tD'I'.O;O, U,S, Savlngalland. ond lonlatlvotrult aOODunll. I"I.t any
praparty tran.larrD bytha,docodollt within Iwa yaan of doath for whlah ho/.ho did not rocolvovatuablo and adoquato
.0n.1 daratlan. ' '
Ouarlbo all roal ..totoIOQ.t.d hi Ponn.ylvanla by lot anel bloak numbar, .troot addr.n, numbor of aCrO' .nd Inalud. a
, gonoral c1a.crlrtlon 0,1 tho lond dnd bulld,lng.. ^I '0, Inoludo Iho book and pogO number In whloh tho d.ad I. raaordod and tho
OKaat tlllo aa ndlcaloel on tho d..d." ' '
DEB 5 ..Un.att.fl.d Ilabll,ltlnlnourrod by,th. d.oodonl prlo' 10 ht./hor do.th .re d.duollbte agaln.t
I./hor I'Kablo 0.1010, In oddlllon to d.b" Incu,r,rod by tho d.oodont, oth.r lIoma..ro clalmablo Inoludlno tho COIl of
aclmlnl.tratlaniattcrnoy I.DI',fld.oIOfY I..,., lunoral and burla,l oxpanlD' Including tho ca.I cf n Uurlallct, tcn,b.tano or
grava markar. LI.t tho dato on which oach dobt Wa' Incurrad and(arpald and tho ndmo' 01 odah payoo, Provldo a brl.f
aKplanatlcn 01 the nature a' aach dobt,clalmod .nd the amount baing ol.lm.d,
Evldanc. tc auppart, the doc.d.nt', or th...tal.'. liability ,'or tho d.b" bO,lng olalm.d .hould ,b.att.ohod 10 Ihl. r.tu'n
A family exompllon may ba olalm.d by a apoulO 01 a d.ccd.nl who dl.d damloll.d In Ponnlylvanlo, If Ih.r.la no .pau..,'
or If tho .paUID hOl farlolt.d hl./h.r rlOhh, thon any child of tho dooodanl who I. d mumber of tho .am. hau.ohold aan alalm
tho owcmptlan, In tho ovonl th.ro,l. no ,uch .paUID or ohild, tho oxomptlancan bo ololmod by 0 paronl or parantl who ora
mombar. 01 tlio aamo hauIDhald a. Iho'dacadant. '
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, ItlPORMATIOH
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~L~~~:d~R PILING... Th. ietym II 10 be 111.d In dupllcale with Ihe Revlltor ef, Will. ~f .the eaunty whe'eln,tho d.udenl
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TtME POR PILtNG," Tho rotu'n I. due nIno month. aftor tho doaodont'. dooth, unlo.. on exton.lon la, f111~g h.. boon appll.
tQr and grantad ay tho haretaW 01 Rovenue within Iho nlno.manth porlod. '
EAtl.URE TO PIl.e RaTURH ,:"Sootlan 191 of Iha 1961 Statula pravldo. thatli I "any perlan who willfully loll. to fllo a
r.1Ur~ or ath.r raplHf raqulred of him ,ha I,bo paraanallyllablo. , .ta a penally 01 25%,nl tho tax ultlmotoly found. to bo
duo or $',000 whlahovarl. tho Iou to bo roa/.vorod by tho Oopartmanl 01 Ravonuo a. dab" of IIkci amaunl ora raaover.blo
by law," ' ,
,~.9..!!1J. Peel paid 10 on .otate repre.e"f~tIV'1 namely, an el<ecutor Clr admlnl.I,ota'l for .ervtces porformed In ad,
I 'f','1 1\, ' ',I "\"'1"'1., I ;.\1\ Unn; '1hnltd hf' f"ni'lll. I
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lAST IV r 1.1. ANi) 'l'IJS'lWnlN'I'
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QIlOllGli K. K1.111'i' , .illh
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I, rJeol'Ho W. 1<0b1:, ,11'" ~'f tho H01'01lgh ,of. Shh'omnnRCO\~n, County or:
C\lmbol'l11nc\und S1:utl'l of. Ponl1HylvlI111u, IlOl1111 of Bouncl, mind unci momory, do muke,
puhliali unci cloclnl'o 1:hiH my l,ust Win unci Tnstumont, hereby revoking uny nnd u11
wills by mehoretOrol'e mnde,.
FmST: J tu'rGet thut u.ll my just clebts nnd f:~lnornl I'lXp0l1S01l be pnid
hy my Flxocutdx, hOl'oJnni:tcn' numad, lIll HOpl1 UIl posHible uft.er my doceuso,'
SI1COND: I gl.vo uncI, bequouth tho~LlIl\' of: 'l'\;'O 1110usapd ($2,UOO.OO)
Dol.1nl's to my fl':loncl, Jucques q. ,PollwoJ.1ol', presontly Nsi\1inl\ nt :\04 Weat
Courtlil1lcl Avenue, Shl.romnllstown, Pn. 170l:l.
THIRD: J give nnd bequeath !theHUl]1 of Two Thousnnd ($2,000,00)
,Dollurs to Robeli. B: Rosenherger, prosently roal.ding at 3814 Cundle Light
Drive, qump Hill, Pu. 17011,
FOtJR'lHI I givo und beqllonth tho 81ml of T\~o ThOUSand ($2,000.00)
DOllars to St. ,10hn I s Lut})Ol'E111 Chlll'ch, Shi 1'0mUl\a tOWIl, ClUubel'lnlld COIUlty,
Pa., to bo usod :f:0l'gcnol'u1 chul'chpurposC:ls,
f1I1l']'Ii: Ml tho rest, rosidue hnd l'omaIndor of my oatnte, whethl'll'
'l"C:la1, ner~onnl, or1m:lxC:ld, I gIve, dovise und Ileqlla~lth to my wl.tC:l, Jonn D. Kaot,
"
prqvidinll sho ,shall survivo my c!onth by sixty (60) duya.
SIX'll!: Shou:Ld my wi:f:e, ,JocUl D, J(eot, pre doc ease me 01' fnil tosurvi vo
Iny clonth by sixty (60) clnys, thC:ll\'I give, deviso alld bequeath add residue an~\
romn:tneler of: my eHtnto us follows:
(nJ Ono-fourth (1/4) thoroof, I givo und beqll(luth to my n1.oco,
Torry S, Hoffman, 'presently r'ilsiding at 1.14 South Broad Stroat, Mochnnicllblll'g,
Pll. 17055,
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(Il) Olle..foUl.tll l1/4) thol'oof, I !iivd uncl boqllonth to my nleco,
~UllA ~l'th)', A.!\N1t, J)1't1tl(\lltly 'l'mddll1l\ Ill' 70:1 11 I'ntl f,l IH:I'\IOI'" ~1Hc:hlll1lul,hln'Ii, Ptl, '/70nn.
(t') Ollll,',I'IIIII'I,11 (1/'1) t "(!I't'ol', :i ll'ivtl ulld l1(1i,II\11I1:11 to IIIY'l1ophuw,
"
WI n 111111 II, I\IWI',!"I'I'I',(\!III)' 1'\\llldlllll "I :\1 1:11111,,\'1\ 1111/111, ~'lul'llIllIlHilll1l1'jI" PII'o' 1'/11111\,
Id)'llllfl l'IlI'I'I,,'II/'11 11i"':j'fll', I, 1\lvI' ,'11111 IiI"III"lIllr 111 lilY II"pl!(l\V,
.111I11011 /I, 1I(,ot" PI't\AUl\tly l'oll.idln!'. Ill' '/0:\ Ill'Qlld H(;I'O,lll', Mochllllll.!llh\II'I1, 1111,,1'/055,
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COMMONWEALTH OF PENNSVLVANtA
OEPARTMENT OF REVUNUE
BUREAU OF llXAMtNATION
OFFICIAL NOTIIlE OF
INHERITANCE TAX
ASSESSMENT
*'
COUNTY FILE NO:
/V
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DATE ),:(;'/() "~';~~) />'-;V/;
ESTATE ,:! i ((/~((",'Z/I'/ //;;~e' l("~.z:J),'
FIL.E NO,"- ,,} / . ./ ,-~! F-~ i ./ ,14"
COUNTY ( /(/1'1 ~ft'-c?'a,.k,.(~__
. ,,'II '.
DATE OF DEATH',,/(/i.( {'(.fll I /.'%f/,
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(?~i(lI) 'if, ,.,:.t.f / {~'(I(IJ,O~,e'J'('(,.//
,I//'/l.trJI\,,;i( ..i~:;' (' ),'// /'1,/,///
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Appralud Wluoof Ealnlo:
Rani allate
Perlonal properlY
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J61nliy Hold ProporlY/Traneferl
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TOIII ApproVld Qaducllonl
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Cloer Vetua of 811atl
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Lou: Approved Cherlleblo 8xemptlonl
Amount Texeble (!jl 6'1(, ROle
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'l~,ff,'t,,,t ,:;,Y,xi,=:i
tOK due ,i -"....,~~j
TOTAL peNNSYL~ANIA I~HERITANCV~~ Ol.J(h~<~).t;1"i;,-t //~!:~ P:;,.,I
.-.'-'-'-..........-,..:..~_......
CI..r Value 01, 811ele Subjeolla Tax
.
Amount Tueble $16'1(, Rdte
. . . . . . A flvo peraont dlloount totetlng ·
will be grented II the Inherltenoe Tax II pold by --
Loal Crodltl:
DATE OF PAVMeNT
, AMOUNT PAID DISOOUNT INTEReST TAX CR8DIT
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--
+ .
+ .
--
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Intofoat .aaorue8 el the rale 01 81x (61 poroonl por onnum
on tha unpaid belonoe of Inharltonco Tex frorn _ ' /
10 dllo of paymant, In\or08t lJUo If pold hy__________ - 18 / I ..J: :)1 ) ,/'j -~-l.
bALANOe OF PENNSVLVANIA INHERtTANoe\T~&':;?d-l".C4("C'{ :""" 1, ,!A"~;'
, ,I I } /} '-'r' /
. A880110d by: ,,. ,o' /,' /'./, (:.: ,,/}(;;(t./r.(~
900 lnlotmaurm (1M Rill/ono Sldo' Ao.nllptl~J_C.~- '~,onW'~Uh.. ~- J ./'
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To Inouro propor or ,,<III 10 your III1Olllll'\' 1110 nmn" "f 1110 "slnl" Of III 1110 ","nbor ol1ulll<l 1'0 oIourly prlrll'
od on tl111 chllok or monoy urdor,
Thle oseoumonl Is m"do In "cUOrdlln"" wllh 611!:lIun 708 uf 1110 Inl1ofllonoo on<l eellllo TIIK Aol of
1961 (72 P,9, g 2486.706),
To Ihll oxlonl tI,lIl Inhorllllnoo IIIK I. pllld wllhln "HIIII 131 monll's nflor 1110 dlllllh of Iho <loolldol1l, 0
Weaounl at IIvo (6) pUfoonlls ollowod 172 11,8, Ii ~.406'710),
InhllrllonooToK, oll,o,lhnn InK on 0 fuluro Inlofosl, 1.0 <lUll III II III dolO of Iho dooo<lllnl's dllll,h IIn<l,bucomos
<lellnquenl Ol.lho Oxplfotlon yl nino 101 monlh. liflOr thll <luuodunl'. ,llIlIlh In r.s !i 24U6."/111, InlwHoM.
ToK on n futuro Inloroel Is p.ynblo' wl",ln Ihruu 131 monlh. IIl1ur 11.11 tmnel", IlIk". "If,,!:, In p098osolon ond
onloymenl ond Is dOlh,quonllhorollllllr (72 P,9, ti 240G.7121, Cllloulnlo Inluro.llrum till' <I"lInoll<"11 (lolU shown
on Ih'o fooo of II' Is form to',lh" <11110 ot IIclu,,1 poymunl uelng Ihu 10Ilo\~ln\lIf\luru.t 101>111:
___...__......__ ..._..._......__.. _.;.... __,. __..,..... ~,_.... on _....._....... ......__. H _._. _ H ;_ ,n ~ -.- ..., .....-.. -.. - -- -,..... -- -- - - -.........-
1 monlh ,006 4 momhe ,020 ' ~I ~\Onlh1l .036 ,10 munlhs ,060
2 monlhs ,010 6 monthe ,026 B mOIlIlI. ,040 II monlh. ,066
3 monlhs ,016 6 monlhs ,030 9 rtlunlhu ,046 12 mOlllh. .000
1 dsys .00017 I I days ,00186 21 <loys ,00362
2 dsy8 ,00034 12 dovs .0020:1 22 days ' ,00369
3 dsys, ,00061 13 dllYs ,oono 23 <lays ,00390
4 days ,00066 ,,1 days ,00237 24,davs ,00403
6 dnvs ,00096 I 6 days ,00260 I- 26 day. ,00420
6'devs ,00101 10 day" ,00207 26 days ,00437
7 d8Y8 ,00119 17 days ,00294 27 days ,00464
9d8YS ,00136 10 dsvs ,00301 20 davs ,00471
9 dSYB ,00162 1 9 duyo ,00318 29 dnys ,00498
10 dsys ,00109 20 days ,00336 ' 30doys ,00600
.. _ ___ ___........____ _____.... _,_ __..... _...... _ _';"" _ _... _., .._.... _._ n,_" .....-;..... .:....-......;. - - -'- -....-..-...-- _..- .....
,Any potty In II1\arost, lnallldlng 1I1000ITI01ol1wunl1l1 110(1 Ihu p",slil1nl ruprllBonlutlvo, nol 8allsllod wlll1,
Ih. sssesslT'on\ mov ohlocl Ihurolo wllhln sl~ty (60) day" I1l1or rouull>l' of 11,1. Nolleolle provldod by Boollon
1001 of Ihaloharllaneo'ond eslnto TOK 1101 of 1901 (12 11,6. 0 2466.1001),
Make Ilhoo~ or monoy ordor pllyabloto:
"Rllglstor of Willa, Agont"
Moll to tho ocldroaa IIs\OllllCJlow: