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HomeMy WebLinkAbout81-00190 ~ , r '! t-, ,j " " " ., " 'I, .i' '" ,. ,,' " " i , ~ I " I,' ,I ;" , " " " I /' " " m I I. ,. "'i' . . - 0 ] ,. ~ M .. " , 21.81 1\I':ClIwn;1I <)II \l'11,1.~ (W 190 Oumberland ""I'!"'''''''''''''''''''''''''''''''' (:<HIN'I'Y , NO. I'WI'I'I'lIlN 1"011 1'11011,\'1'1'; OF \1'11.1. AND I.I':'I'TI(IIH :(W i\()~IINIH.'I'\\"'1'I(lK 1:1'''1 TI':~TA~II';NTO ANNI':XO I,I':'I"I'IWS 010' AI1MINIHTIII\'I'IONIJIo: liON IS NON 1.1'~TTI';I\H Clio' i\h""NIHTIII\TION 111': ItllNI~ NONfll'M TI';S'I'AMI':NTO ANNEXO . III tlH' g"IIIII' (II ,.,,,,~,,,,,,~,~,Y~,,,9.9n,~,",r.'''''';''';''''''''':1 II(t('(llUl!CI, 1'''111100''''('' J, III",~H,~ Ihlll, liaze 1 tI;~-(fi11a91'iei:"-"" ",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,""'''''''''''''''''''''''''''':"""""""""""""""';""'"'''''''''''''';!'I1'''''P!'''''"",,,..,,, I. '. 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WIlN wns 5, (WIIIOI'" cI""""I1II1,II11" 1<"1111") D"",0I1""1 11'11.' 11111 II1l1nl,," "II<I II 0111"1 II'II~ 11111 horn to Ill' IIdopl"d hy ,1"",,<1,,"1 nH"r oXII"ullllll IIf Ihe! 11'111 (nllllll'l"'II' nl'I'""II111 I, nl1,,~,," 'I""IN") lIOr 11'1" el"dodolll dtvoroe,,1 from nl'plll',,"ll1ftur ,'''OIlullou or 11'111 nllll nl "olllh, (j, Th" ~"Id cI"",,,h'lIt Wi" 1"""'.,,,d or Oond" (;111I11<'11, IIlghl' nlld Crodit, In clho oMllmnti,d vnhl(l or $".,.,,,,...~.L~,~~.t..9glld or Otlol 'gslnhl, In tho l'stlllllll(!d \'1\11111 or $",j;""",~~~,"'",u" lIH IHiM ll!I cnn hll IIlw(lrtnll1(!(l. Tlmt tlw slllcl n(lllll'~sl!ltll III so fill' Its. kllnWIL Is liWlltod. III "",,,,,,,,,,,j,,,',,,,,,q,,,,h';I!,.(,i,i'''' , ,,,,,,~~.".~~:t,~~,~,,,,,,,,:,,,,,,,,,,,,,,,,,,,,',,,, ".,,'1""""'''''''''''''' . , ",,,,,,,,,,,,,.1,,,,,,,,,,,,,,,,,,:,,,,,,,,,,,;,_',,,_-,;-10"';;'1,1,:"",:",",....\''.'1.:'''''''''''''''':''''',.'...,''';''''''''',,,,,.,,,,ii,,,,""""'~''''''''''''''''''','''''''';.'''''''''H'''' 7,{Wh,;rIlM,;,\'h'ul' ,"od 11110'1111" n' 10 nil)' pllrtllln or Ihl.. ,"1111<'), 1'"llllmwr II(\II( II propllr '''ilr"h hlIN n,o,.,rlllhl"cI Ihlll lhlUNhlll.1 \VI" "!I'(1I1',.d hy Ih,' rlll1l1l1'll~'"I1I1l,'d I'"r""n, 'lIIl1l,INIln <1I,'trlhlllloll ,"",Ior Ih" 11I11I,lnl" ""I III 11147, Nnll"'. IS i !S 1I,,11111,,",hll' H,,~ldoll(J" ";",,,~!~~,l.,,tf,t,,,,,~~llMg,hl:r,,,,,,..,.~,,,,',~~.;,~.C?,[~".~~",,,,,lU?~,,.~,,,,,,,g.'mJ?.I::-,~,~l,,,,,,~~ . :1I"~t~~"~""~'~'~~'*'!~"',.~M."l).!~,,,,,,,,,,,,,,,,,~,~,,!!!.~,!'~"'''';''''I;~,l?~,1"?,~",\~,f"",9,~ro~.,,~,~.!'+''r,,,J?~ It I. 2, 0, " ! 4. 5, ,,,,,,,,,,,,,,,,,,'j,.,,,,..I,,:,;:,,\,.,,';;.,.,r,\,.,,,;,,,,,''''",."".""""...."\\,.""""",,,,,'\,,..,,,;.;,,,,,,,,,,,,,,,,1;,.,"'''''''''''''''';1''''''','.''''''';'''''''''''' "i";;;,'""""';'I"\,;,,,,,,: '",,,,,,,,1,,,,,,,,.1""""''''''''''''''1'';''''''''''''''''''''";,,,,,,,,,,,,,,,,,,,,,,,,.,;.,,,,,;,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,;;,,,,, ,,,,,,.,tj;'''''I.,!,;,,i,,,I..,,,,,,,,,,;,,.!,,,,,j,,,,'.'''j,,,..,,"I"'''''''''''''''''.''''''';'''''''''''''';'''''''''''''''''''''''''''''''''''''''~''H''''''''''''''''''''''''';;'''',''"'' o. ..",,,,,,,,,,,,,,,,,,,,,,,.' "'"'''''''''''''''''''''''''''''''''''''''''''''''''''''1'''''';''''''''''"'''''''''''''''':'''''''''''''''''''''''''''''''':''''''''';'''1'''''''''''"ii" 15'IQ """",,,,,,,..,,,,,,,,,,,,,,,,,.,,,,,,,,...,.,,,,,,,',,,,i;'",'''''''''",.."",,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,.,,,.,,,,,,';"""""''''!''''''''''''''''-'''''''''' 111'1'1)' '. Tlwrj,lnr", 1'<>lItItIl\l'I(S) 1'1"1',,"1(1111)' "111'1'11", rill' (I'rohlll" of II", 1I'i11l'l'o'''IIt<,d h"l'Ilwlth "lid ,rur) lit,H(lr!4 nr IIdllllnlslflltloll ;.,,,,,,.of,,,Adrni.nia,t.i: at.ion.".c:;...,,,,~,.,..,A."'1:"r""":"-'!""""""\'"''''""",,; Dnl(l(l: .,,,t.1,~.~~~,;,,* 1.."",,~ 9 B 1,. ; SI~Il(!(h f;lj!./;i;"?';ij,{;,_~.-"f;;;:.:"k;r~-1,-i;;<"';KI~t,'/,;,dll"';"i.".."" ,\ dd ross: i.;~.:~.-i;,;:,~:, ",.':;}!_.,f./'J;;l,., 4;,/t:-~":''''k"''~I/t.;, ,,' ,t,~l' c~.../,,); :>j.{({~. (,,/' /,;(!// 17011 17011 , /ff5J '.~ ~TH OF 1'lmSONAJ. RI~I'RI~HI~NTA'I'IVF: COMMONwBAI,TH OF I'flNNSYJ,VANIA SSI " COUNTY or ClIMIIURI.ANI) ~ --, IIcforo "10, tho Roslslor, forl1icProblllo,of Wills IInd srlllltlllS of I.ollors of Aqllllnlitrntl\111 III IIl1d for thoCoUll\y of C\lmborllllld, 110rsolllllly 01111\0 who, bolnS duly ,do 11011080 nnq SIIY !hllt.n8~ of lholnsl Will IIl1d Tostnmolltllf -, ,- -"- ,,' ---~ docoIIsod - ", _." '-'..- will woll IIl1d ttuly~qmh\1810r the soods IIl1d challols, rlshlsand orodIUof6,~I~deconsed accordltlS to law, And IIlso wlll dIllSo~tlY'~rWllhlhe provisions of lhelllw rolatlns 10 Transfor Inheritances, . '-. and subsorlbed before me. ~'---- . . A.D., 19_, , Roslsler " J ~l IXhi LL It'I as 0 I ~. ~~ 0 ...J J ~ 0\ ...J ~. ~. . .!.4 - a i ~ CXl .a ,... .!.4 ~I l'l , t ~ Jl cl 1Zl1 Z ~ <"I. .a .. l " ~ d ~ 1 z De Itromomhorod thM 011 lhe 19th day of reoorded the IlIst Wllllllld Testlll110llt of N. Faye DECREE March B1 _.A,0,,19 . Ihore was' probated and oonner lalo of , CllmborlandCoUl1ly,ponrisYlvallla, L. Gallaqher East PennsborofTownahip Decensed.Letlors of Adminiatratiot'l, ~'rc'l'llrt11lod 10 Wllllm !llylu\ttd nlld offlelnl scnl tll0 day alldyenr aforesaid, H.azel 19t;('l/~. ,d,.. ~~.. , . . ' . Roslsler TYPE OF ~$lHT e ~ OfPlCIAL US, ONLY - .- _lL~_' A1 '3-lfl~'81 ~ 3-19~'fll 5 '3-2?~',Bl ;! 3-22-' 81 Iij 3-22-' 81 '" .. ~4-1-'81 ~ ~ 5-11-'81 O'flCIAL US, ONLY /1 .....)'J I '),0'" , / COUNTY NO, ,.(/ /. JI/, 1(10 INHERITANce TAX RETURN FOR INSOLVENT ESTATES (Il1strucllol1~ on Rovorso SllIo) STATE NO, IIFV-rll\) InH 0.1\0) , COMMONwe~~ Tli OP peNNIVI,V~NI~ DfP~RTMnNT or REveNue 1R~NlrUR INllaRIT~NCU TAX RallDUNT oaceDENT S.tolo of toI. rAn OONNER Lo.t oddlo" 71 Hilllilte Oircle ~pt 4 Itltl1UI!ll t- 17011 .. ~ Oll.mp Hill, Pl!lnr\a. II< ~ (CITY! IUT A 11\1 1'(,"'1 l:l ~ Cl Maron 5. 1981 Dote 01 Death Social hou,lIy Mo, 172~01-6471 _ ~~f.~' ~enerl\l Sav1n~s & LOQn ASAoo1atio X9~iiS8oij~ dONB ,\At)' t of' N. Fn.,YIl OrJl1ner or Haze ~9 L. Gqn.'1~li"r (stater) ~h<'l(\lr~\1g 0001 . 1 '3'3- OONB Aoo' t of N. Fllye Oonner or Ha,r.e1. L.. Gl\lle.!!;her (slater) ( l Sxoc, (x) Adm, Other S/.!;,/[I! Halel L. Gallagker 174~20..7358 Morna Social Socurlty lola, Add 52 Itrford. HORn' Apt. E ro" (flTUHI'1I Oamp Hill. Penn~. 17011 nalCRIPTlON UlTIMATED MARK T VA~lJa h78'3.5? 1073,70 622.'36 ("! ....~j I r.;-rl ~ :1 1.11 ~ }Fi:; I ~ '1" , "'J' ';-.-." 1./;. '-', ; TOTAL NAMa OP PAvaa' l'IU e l\ a Frank Jackson. M.D. IUldred HIUlhi!ty NATu~a OP C~AIM CB.~~ni~pg~~pr~h Re1mbursement Tel~phone c~lls re death. .' Final, bill l1ght and. neat Final bill uelephone In. Olt.rfl in hOllpi'tal Reimbuuemenu'for money paid Register or Wills , P.P,L. 00. Bell or PAl Community' PhYlialans, Hazel L. Ge.ll!l.gner , John E. Neumyer Funeral Kbm! Brackendorf Memorials Bur1d Date marker for gr~ve TOTAL . -L~ 1f. /,,;'J. "IHlULTIClN9 AL,L.OWEU ' (l, 1tF! 0" W11.L.8 , ) paPA~TMaNT VA~U~T10H (orrICIA~ usa ON~Y) ~ -t,:Q I~~ I7lti '''~', ((~ c.', :-1fI1 u -,t._,'" ,fi I " ~ N ".. ,a ~ o AMOUN,T C~AIMBD ;,'ZO',oo 120.00 25.00 138.00 6.62 :35.00 , l/),OO 987.00 28.00 2 U^ TI, IH~TRUCTIOHS M.U.Jj1 TVPEOF ASSI!T ~ Indl'cato wholhortho "'"0111 roo I 0.1010, porlonul properly, tranalor or lolnlly.uwnod. DESCRIPIIO~ ~ LI,t 011011011 ownod lololy ily Iho docodollt or ownod lolnlly with unothor pu['y or partlol III 10nllll11 In . cammon or 00 01111 tonantl with right ol.urvlvorlhlp lit Iho limo 01 "ollth, IlIcludo Ihu docedelll I percnntll~o 01 oWllo,.hlp, tho nama (0) and rnlallolllhlp 10 tho doco,lenl of Iho ourvlvlng lolnt owno""I"l tho o.llmatod markol ,v~lu"ol tho docodont'. , Inloroll \U of Iho dllto of dOath. IlIcludolnlanglhlo I>OIIonal proporlyllllod In Iho llama 01 tho docodont hut payohlo at deolh to anothor p"rty orlartro, Including hut nalllmltod tn P.O.D, U,S, Snvlngl, Band. <Ind tonlMlvo tru,t IIccounll, I.I,t <lilY proporly tronllorro by tho docodent within Iwe yelltl 01 doa"t for which h%ho ,lid nol rocolvo valunillo dnd <ldoqUalO conoldorollon, ' . Dcocrlho 011 rool utato ,I,ocqtod In Pon~.ylvonlll by 101 and block numhor, .Ircot n,frlroll, numher of ncro. lIIullncludo 0 gouoraldolcrlptlon 01 tho land and building,,, 'Allo, Includo Iho book oncl ,,"VO numbor In which Ihe dood I. rocerdod alld the ..oct title 01 Indlcatod on.tho doad, DEaTS 8. DEDUCTIONS ~ U';~atllflod Ilobllltlol Incurred hy the docudonl p,lor 10 hl./hor doath aro doducllhlo agulnit 11117hor toHuhlo olloto. In uddltl~1I to dehll Incurrad,by Iho docodenl, othor 110m. nro claimable Including Ihll ooal of odmlnllltutlon, ottornoy fooa, fiduciary feo" funoral and hurlnl 010'''0' Inclu.llnv tho COlt 01 ohurlnllol, tomilatono,or gravo morkor, I.lat Ihe data on whlch.oach doht Wo' Incurrod and/or paid IInd tho nomoa of uooh poyoo, Provldoa hrlef oHplonellen of tho nnturo of oach doht. clolmod and Ihoamount holng clalmod Evldonce 10 aupporl thodocodont'l or Iho oal'oto'a Iloillllty for tho dobll bolng clalmod ahould bo attoched tothla roturn , A family oMomptlon may bo clolmod hy a IPOUOO of a doeodont who dlod domlcllod In Ponnlylvanla, If Ihoro II no apoulO, or If Iho OpOUIO hal farfollod hll/~or rlghll, thon any child of tho docodnnt who II' 0 mombor of tho r'OI1lO hpv,ohold can claim tho e.ompllon. In tho ovonl thoro II no luch Ipouoo,or chllcl, tho oHompllon con bo cllllmod by 0 poront or Pllrontl who aro mombor. af Iho lomo houilohold 01 tho doaodont,' ,,' .... m G a: i m z p n ~ ::i ,1; l:l 1Il m ~ ,I " ., ID ~ 'I . III III ~ " ] z ~ :;; 0 m . ~ a ~ ., . ~ N It, . '" !l- . . j il' lh ~ " ,.. 'tI l:l B ~ ~ IS ! i ,. 0 (jl ~ C l:l 1:' 1= m m z llIl ~ ~ i z z !!l ~ ~ 0 p ~ ~ . . z 0 0 0 "11 "11 , 0 z -< ~ -< 5 INFORMA TION PLACE FOR FII.IHG - 'Tho roturn "" to bolllod In dupllcato'wlth'tho Rogl Itor of Willi of tho county whoroln the do~odont roaLdod,. ' .' ' I' r . TIME FOR PII.IHO. -''Tho roturn 10 duo nino .monlhl oltor tho docodont'l dootlt, unl,o..on oHtonllbn lor /lIlng hOI boon'oppllod ~y ,tho Sqcrotary of Rovonuo within thq nlno.month porlod, . . , ' FAILURE TOill.E RETUR~ ~ Soctiol179] of lito 1961SIotuto pravldol that "', ~ .nny pmOIl who willfully folio to 1110 0 r~turn or otlliir roport ,oqu rod o/hlm Iha I bo pUflonally Ilohlo. . .to aponolly of 25% 01 tho la_ ultlmatoly lound to ho duo or $1,000 whlchovor II tho 10.. to bo rocovorod Ity tho Dopartmont of Rovolluo 00 dobll olllko omount ora rocevoroblo by'iow." , ' NOTE: Fees paid to an eltale repre,olltatl~e; namely, an e~ecutor or admlnlolrator, for lorvlcos performed In ad, ministering on eslato II roportoble for Ponnsylvanlo Income To~ purpooos, Thl~ laxablo Incol11e Itom shClud be reported on lorm PA,40,Indlvlduallncomo Tax Return, . lNHlllM,!'lJJOlt TII Il1nllro II/UIIOI 0/01111 10 YOI" 10IOOU"I, Iho '''11I110 of 1110 01l1ll10 el1d 1110 numhol ohollld ho olu"rly "t1nl, 011 Oil 1110 ohook IH mOlloy orrlo" TIIIII oanoal/tlUlll 10 1I11i110 In Ito"OI'loooo willi Goollon '/00 of tllo 10111111101100 el1d EollIl" Too Aol of 1001 1'/2 p,8,n 2~00' 700), To. Iho 011011111101 Il1hOlllonoo II.. Is f10id wllhln Ihloo 131 l11onlho ollm Iho doolh of Iho ,Iooodonl, 0 1III0llllnl 01 IIvo \01 IIoloonlls, 1I1111WIIII (72 11,6. O. 2~06' 7101, II1IWllolH\o TOI, 1111111/ Ihln 10. 011 0 fllllllo,'ntOIO.I, Ie ,1110 01 tl1ll dOlO of Iho dlloodont'e doolhond booomoe IIolll1ouol11 III 1110 011111011011 of I1lno (01.moI11110 1If1l1llhll doolldonl'lI dOOlh (72 P,S. 6 2480.711). Il1hlllllonoo 'rll~ 11/\ II fllllllo '"lolUI I. IIl1yllhlo wllhln Ihloo (31 ~lo11111D aflol Iho lrol1ofc\1 lakoo offool 111 "o88uulon and nlljl'ymolll 0111111 IIlIlIl1oUDl1llholOoflor (72 P,8, Ii 2~06'7121, Oeloulolo 1I11010s1 flom Ihlldollnolllll1l dolll ol1owl1 un Iho fM. 01 11110 form 10 Ihll dolo of ootllollloymonl Using tllO followlno Imolool lobi.: "..._......__..'n"'.~,..,.. ........... .........fot.. ......_..................._ ..._...~_....__......_....___..._.... _ ......_... _....... ......'..__M_....._ __ __ __....__ I molllh 000 4 11I0111110 ,020 7 montll' ,036 10 monlho ,060 ,~ l1Iolltl" .010 U mOl1ll1s ,025 8 monlhs ,040 11 monlhs ,006 3111011111. ,010 6 Illonlhs ,030 9 mOl1lho ,046 12 monllls ;000 I doy. ,000 17 11 dnyo .00100 21 days ,00362 2 doy. ,OOO3~ 12 doyo ,00203 72 days ,00380 3 doy. ,000[11 13 dnys ,00220 23 doyo ,00380' 4 cloy. ' ,00080 14 <Joys ,00237 24 dllys ,00403 o cllYI ,()OOU~ 15 dnyo ,00260 26doyo ,00420 o clOVo ,00101 1 D <Jaya ,00267 26 dol'O ,00437 7 doyO ,00118 17 dnyo ,00204 27 dnyo ,00464 o dOy' ,00130 18 doyl ,00301 28 days ,00471 o dOVe ,001 II? 1 0 doys ,00310 29 doys ,004118 10 days ,00100 20 cloys ,00336 30 <Jayo ,00600 .......... --.- -........"'""' ..-.. -.................... ...-.......... - .._-.- --.... ............ -........ -........ -......-- --.... - - - ......-----.. ---..... Ally I.nrl\' In 11\\010111, 111011111111(1 tllo Commonw'lIIl111 llnel 1110 poreonol rOl'lononlnllvo, 1101 oOllaflod Willi 1110 o"OOSOlOIlI may olilOll1 11101010 wlll1ln el'lv(OOI d.ye ,11h", rooolpl of IlIls Notloo d. provldlld,hy Sootlon 1001111 thllln'"ltllal1l1o allcl 601010'Tn. Ani 011061 (72 r.s, U 24oU,IOO1). Milko olwok or monoy ordor I'oynblo to: "Ro(jlotor of Willa, AoolIl" MIIII to 1110 addross IISl0d holoW: OOMMONweALTH OF PllNNSYLVANIA DBPARTMPNT OF RBVBNue BURHAU OF HlCAMINATION OFFIOIAL NOTIOE OF INHHRITANCB TAX ASSBBSMBNT *' DATE ,:.\(\~~ /0 /fJ if ( ESTATE Y1 )(l..\() 0 ",A)"11,"(! Ch FILE NO, .;{ /. '1 // V; () COUNTY CAJ^rI(;J,~~ , DATE OF OEATH"^N!Ci"1,, 5. ) 9 6/ ,. I ..............-_..!.->.._-.......,~-_........,,--..'"' /y I ~'~ ,)' I ' I [1 0 oou:~ {'Lb NO~ .' '_'11 . TO.~li.;;li~ .;< .1J(, . .t;;:~,~~ki':.' ( c,. )'/[:/j , Apprll,tid ',101110 OIPt'OIUI Real PIIIIO p."onll ProporlY . + Jointly Holl' PropMly/Trnnlforl t Tolal Groll 6mlo . Total Approved CUduollonl . Cle.r \Inluo of bllala . LII" Approvod Charllnblo BKompllonn Clear \Ialoa of SlllIa BubJeol 10 TOK . Amount T&KnblallP 6% Ralo L- 10K duo . Amoo", TaKnblo lIP 18% Rota IOK duo TOTAL PENNSYLVANIA INHERITANCe TAX DUE ' . 31 6', t7 'f , · · · · · · A IIvo por08nl dlnooont 10lnllno . will bo grontod If Iho Inhorllonoo TOK Ie paid by " L... Crodlll. DA T8 OF FA YMHNT 9 .,ID -Sf AMOUNT PAID ,2.ISCOUNT INTERSST TAX CREDIT t 3) 5, 'I (1 + . . " = . 3/5, '/~ + , ~ + " --- Inl.rnt noorulI al Ihe raloof elK (SI. poroonl par annum on Ih6 unpaid bolonoe, oflnhorltonoo TOK fronl to, dllo of pOI'"1enl, Inloronl duo II paid bV ,--.-- 18 , 1 \ '-:1. M BALANoe OF PSNNSYLVANIA INHBRITANOe TAX DUB ~'c~T~i:. 'S\1.:~ ./ ) , ,/~,;' ,?,/. / "-, Aeeelnod by:' U:~. .I ",: e ( ,:1-- Boa Inlo,mollon tin "ovorse SldQ Agonl for I,he ommon ll~. '),.J , . ,/ ,< t/ /,;;..... ./ I' ){j' "i,'C r., (, I . f,\ (,I!, I f n \If \,',/11 I .. JNrURMAIlQ!!I. To Ineuro propD', modI! tu vour f10ClCHlIlt, t1UI nllfllll (,f 11m oM/lla jtlnd, Hln "umho, uhould Iw clunrl'l flrlnt< od,on Iho ohook or monay o,do" Thl. oSlo.omonllo nlodo in ooo""lonon with Onollnn 706 IIf 11111 Inho,lIonoo u",1 Oalolo TOK AOI of 1991 (72 P,S, S 2496.7081, To tho OKlont 11'01 Inhorllonoo 10, la fluid willI In Ihroo (ill ,,'onllla uftor ,Ow <loolh 0' 1111I dooo;lonl, 0 dlaoounl q', f1yO 161 poroontloullowot! i'I2 p,n, 9 2406. 'I I 01, Il1horllonoo To'li, Olhor Ihnn InK on 0 fUIU,1I Intor"al, Inllin IIIlho datu ,,' 1110 doond"nl'o doolh ont! booomoa dulluq\IOIII nl Ih. oKpl,nllon of nln. 191 mOnilIa oft or IIw doond",,,'a IloMh 1'/2 P,$, 0 2486, 7111, Il1ho,IIonoo. To. on . fUlur. Inl.rool II pny"hl. wlll1ln Ihroo (:11 monlha oft., Iho Irono'o, IIIkoo "ffoOI In IlOa.oSllon ond onloymont ond la dolinqlJonl 1110'0011", ('/2 p,S, ij 2466, '/121. 0010111010 Inloloal from ilIa <lollnqlio," <Iota ahown on tho '000 of Ihlo form 10 Iho dOlO of'oolunl pflymont uolnu Iho '"llawl"u Inla,aallohlo: ....----..........-- ...--.....---.. ,..__.....~ .....-... ...-+-..,.,...,....-........ -... -......, - -*_.- .. - - -............... -.. -............. ......,_.... - - - -- -- 1 manlh ,006 4 manlha ,020 7 nWIlII\!) ,036 10 monlha ,080 2 monlha ,010 6 monlha .026 o munths ,040 11 monlho ,088 3 montha ,016 6 monlh. ,030 Omuntha ,046 12 monlha ,060 --~.-.,.....~.__.... ,1 daya ,000 17 11 tiny. .00180 21 tiny' ,00362 2 doya ,00034 12 tloy. .00203 22 <loya ,00369 3 doya ,00061 13 iloya ,00220 23 tlnya ,00386 4 doyo ,00099 14 doyo ,0023.7 24 <loya ,00403 6 doya ,00086 16 <lays ,00200 26 doya ,00420 6 daye ,00101 .16 <lOY. ,00207 26 doya ,00437 7 dily. ,00118 17 dny. ,00204 27 tiny. ,00464 9 doya ,00136 18 <lnya ,00301 28 dilya .00471 9 daya ,00162 10 dOY. .00310 29 daya ,004BB 10 doya ,00169 20 tiny. .00336 30 doya ,00600 ..__i~~__:';'__";';' ..._____..._.... _,"""'.... __...... - - - .....~ _._.... _.....;. __'"!__ - _...i,__.__ - - - - .....------.. -...... ...- " Any porlY In In1'eraal, InoludlnO Iho Co,nmonwolIllI, untllha p.raonal ,npr..onlollyo, not ,ollello<l ,,\,1111 tho oaoallmnnl moy oblaol Iho,ulo wllhln ~IKly (601 dnyo nltor reonlpl a' 111ia Nollon na p,oYldod by Bnollon 1001 of Iho Inho,lIoooo anll ealoln Tox Alii 011001112. P,8,9 2MJ6,10011. Mnko uhook or money ordor POYQbl,o 10: . "Roglstor of Willa, Agenl" Moll to tho odrtross ,IISI0d bnlow: