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HomeMy WebLinkAbout81-00291 " , .IJ, ,'J ~ .,i " " _1"'-' Ii I'" I" " " j I" " I. ,. " , ~ ,I " " I,' '1',- '", "f' .i, " 'i , , , " " , " ", I " " , ,\ I i, , " .'" " " , " , " " " ',' J!,,, :". ,'" ", ," " " , " " " , I, " " ,,' ", 'II "h " ',I I, " ,,, , '/' II " " ,.>1 " " " " ,,' '1. " " , , " " " " ,', " ,.,J. " !' ,: .'.' I, ., J,' " , " ", ). ., ,," " " ..,',' ,d' " ,.; If, " 'i: " .. " ,,;' " " " " Ii' ;, -,.- i' I, If " I ,,' , ", i_. !,' '.'.. " " , " , , ,J J' " " " I' ", , ; ~ r'" ~. -I, " }'! I,i"-'!,- ,'1 ," , " " it. " I' "," I' " ", " " , ,'-' " ,,), .;-",-. i\ " !' .jl' 'i " " P~TITION 1"OR,IJI~OIJAl'ID und GRANT 01<' U~TTlDRS 0.1111/' of -I.IiJJl:..l...fL-,A.,-::J::A;~JA..I......~_. No, __.y I,. i'l :..JEllL_~_ a/,I(} kllUW/I as ;.,bJ.aJUJJ....JfI.4Ir,tt,/:f.(Jit rT'~ . TUI . /.:'1' .i'.fi7 ' .::1. " 'T111"'j(1fl L ... ._'"____~__ Roglstor llf WIIIN for tho , , " DOI'III/sorl, 'C\l~IIIY of ~#hi.,s6~L"/()1' .In ,th~ Soc/al Socurll)' No, ~ i/. ,~ ~ /lot) -.~ .tt.L:.__ coinlllollwoallh of POlIlINYlvanla Thopolltloll of Iho u11l1m,18110d rONpoulfulIy roprONOIIIH Ihllll , VallI' potltlonor(H), whulHlllro 18 YOIllN ul' 1180 Ul' uldor 1111 Iho OXOOUI.QJi. 1I111l10d III tho IIIst will of !ho IIllOVO docodolU, dalod _...:'i.JA.eI:4AL~ '].1. I ,_---,., 19..s:.L alld cudIDII(N) datou ~_'_~-':""'___'-'-_~___"--'" ~,.SJ2,.. F-.l\ i.l!..<<:r., 'IUJ!...-L(!I~....fLJd.1 L t. ~ft!"IJ:I.MJ/H '.&..fA 1J<lI~. "p _/~/l.Y(llilII/D II..<-T'k,,{(, JU..I.. ___. t/" - -.-............ ('IRI~ r~I~YlllIl ~lr~lIl1"llIIICO', 0,8, 1'0"""011111,,", do'Uh"r OH~OIH"t, ~Io,) , OODQdonl \\'lls\lomklled III dOlllh III _~H.iJ3.J:.IU.Il ^'", ._ Con lilY, I'ollnsylvanllli with h '.r.l.. hINt fnmlly or JlrlllolplIl rOH!,19ItCo 1I1_A1(.i(J:l Jl.!.IA.411 hAl/GAl' ul/J!ir ijlt~S/N<; #dh'lS.(1,ltmp #u.;;., 114, U~i,:r~Nl<li~"fI~ 'OJ"'!Y..l.J.lII'). ' f ' r 1!1.1.,"""t, IIHiIllnll', '!'Wl" ",.11""',1 DooodOlll,II.IOH__!l.L.-:... )'Ollrs 01'1180, ulod ___JVtlV{J.IlIf/-(;1I. f(., 19 F? III ~L/J"RI9tJS t(;rfJt.QN IVIU7' k'it.(fJ:.IAI(f ~Q;hl& .. ' BxoO!lllls follQwH, 'lQDOdont did notl1lllrry, waN 1I0t diva rood IInd did 1101 havo a Dhlld born 01' adoplod IIftor exoDullon or Iho will Qfforod fOl'probntol wns nOlthe vlotlm of II killing nnd WIIS novor adJlldlDalod InDompotontl --'- . __ Oocedonl nt dORlh oWllod proporty 11'1111 Q,lllmlllod Vlllllos liS followSl (If domlollod In Po,) , All Jl,orNonnl properly (If not domlDllod .In Pa,) Porsonnl proporly In PonnsYlvnnln (If not domiol,lodln Pn,) POI'Konlll'lrOpCrlY In County ! Valuo of roal eSllllo In 1'0nnsYlvnnln sllulllou lis folloWNI IV!,,;II e $' '2. OOC'l'~! $' " $ $~ WHEREFORE, pOllllunor(s) rospODlfulI~ roquoNI(I) Ihq JlrobnlO, of lho Ills I will IInd oodIDII(s) prosontod horowlth al)~ Iho grllnl of 101l0rs_ n.. 7"" IJ; 01/ "'7";1- 04.y ,. " U"llImCnlllrYI ndmlnllltllu"n c,l,n,llIdmlllllltllll"ll ~,b,lI,o,l,n,) Ihcron, , , J~ il J~ ~'K,,i ~,7~~<!-, ''br:,;,; p~:,:~~" /5i~ I /eldJ~ lL. ~ OATH OF PERSONAL QEPRESENTATIVE CO,MM(),N, WMLTH 011 PI~NNSYLVANrA} as COUNT;VOF Cumber] and . , Tho pollllonor(s) abovo'namod swonr(s) otllfflrm(s) Illnltho stalombnls In tho foregoing polltlon lire l.ruo and D\lrrODI 10 tho bost of Iho, knowlodgo IInd bollof of,polltlonor(s) and thaI as porsonal reproson~ latlvcls) of Iho abovo docodont polillonor(s) will wellaudlruly admlulslor thCoslalo oODordln&' to law, Sw~rn a fI'Irmo,1 rilld, , N;'bS 0" r, I bc,d1,' . A"3J.i,;'''''t2!(,//.(.'YU P, I boforo ,13th ' doyof' _I _ ,i119-li!... _~ , ~, -- . RflRlsler CUl3 \s-' "AHDARD WILl. . . . lAW mo~m 'LAHK Ho. ,. must lIill aub mrstumeut OF ~_...lI1A~,,{,~....I!.t!!...l..~.!:tJ.!!Jr..tf.,~./tf...;'($...f.,.....ti.:.i/(~.... 3ht tIle Ntuut uf ~ltb. !\t\1ttt. . l"r.,A?;/t$J.~...IItV-,'t4.,..tr.(!,.l.u"..l&~r:..t..~ ..of ,.1I:..~.r.1.T.....3.l.i..l.Ik,v;:.(!(..'.!f. I - ,_,..W'..d..t,.....Lc.?f'.,../).:...c./. ............................................... ...................... ........,.,......................~........':.. ".........,....................................~b~lng of sound and disposing mind, m~mory and ttnd~rstandlng, and oapable of ~roeolltlng a lIall~ dood or oontraot, oonsldorlng th~ oertalnty of doatl~ ana tho-unoertalnty of the time. theroof, and bolng doslrous to sottle my worldly afJalrs, and t1lereby be .thebottor preparod to leave tIlls world when It shallploase the Almlohty 10 oall me henoo, do Iloroby mak~, publish and de9lara tills my last Will and Testament, l~ereby revoking and anilulHng cil! ,wills and testamentary. dlsposltlona heretofore made by m8, In wanner .and form follOWing, that Is to say: 3!iWl1t,andprlnolpal1Y, 1 oommlt my aoullnto tllehanda. of Almlollty God, and my bOd!) to the eartl~, to be deoe)ltl!) burled, at the dlaoretlon of my ellleoutfi,./.->l...herehtafterflClmedl and my will Is, that alt myjllst dabtsand jUneral.elllPensea shal! be paid bV mll eroeollt'A,dCherelnafter named etll soon after my deoease as ahal1 bo oonvenlent: . .' , &mlllb. 1 gIve, uevlse andb~queath to.M..'t...J.tiTfI,.~.."MI..l.~..MAt<.7"d.d.............. _.....L..~.~...G..,.C::........E.t.A.(J(.;,.~CI..1!.........~;..I:.:.i:-:........d1..y........fiA...<.T.H..t.y........................ . _ ~ T- ._......p...~.!..Ui.~...I./:;<<.,v.:~... i',.,/?..,1~A.,". ...f' ,....o'.r.lf(i.r:(~I.J..{;, ...f., ... .., ...................,.......,.. ........... .-..._.~~.."...H..4.~.H...... .... ,_.uu "._... <T" ,_". .,.<,......._..., ... . _.... ~.h'" _ ............~. .....".......~......,..., .......,'............. ..._,'......r~.~... ...... .....~...._._... ..~.."........, . ..._. d. .... n 'c"~"" ....U" .... .,,~_,. ..."........ .H.... .,. .+...... .....~.!~.-. ._.UH...... ..n.. ....U.............;. ,...'._'.nc..__........_n._.....".,.--.........- "'. ,...,' .._.C................. ..... ;_"'.....h..~.t.. ......-... ............ .H..... .u...........--..........' .........,..... ... ,._., ,,___....". ..... ..n. .~...... _.. _...."., ,. ,_ __...d.._...~____........ -. 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H J I ! \{ ~ B ~p, ,r, f:1 ) , ~ I; 8 0 r~ f;l , I~ P. ~ ~ I j;;JU ~ ~ ~ \ ~~~ " 0 I~ II ~ ~ . p; '--", , :l ~ ~ ~ " . , , , ' , .. , 1 , . , " Juhe 23, 1983. Carlisle, 'Pennsylvania' MR. o~aRr.NI This is the time and place set for ~ hearing on the incompetency of Made 1\, 'l'roxell, Your Honor, r. 11m appearing for the petitioner, and we are ready to proceed. KENNETH BRUCE QONNER, M,O., called as a witness, being Ursl: duly sworn according to law, testified as' follows I BY MR, O'BRIENI +..........--_...._...--....----~~....._.__....---....._...._-_...- 0 1\ 0 A Q A 0 and YO,ur , Would you state your. I)amei pleaseI' Kenneth Bruce Conher, What is your profession, sir? physician. Where is y,our office located? 355 North 21Bt street, Cam!? Hill. Could you briefly,out'line your educlltionC\l bllckgrounq THE COURTl 'lire you a licensed medical doci;ot, sir? THE WITNESS," Yes, sir, 'l'HE COUR'l', Thllt is sufficient, BY MR. o ',BRIEN I Q Dr. Cohner, is Miss Troxell one ?f your patientsI' H A Yes, sht;! is,', o How long have you been treating Miss Troxell? ,"3- RAYMOND 1\, TROXmLL, called as a witness, being first duly ,Ilworn aooar'~in\l .ta lAW, tcstiHed'as f.allaws I _+~.,.,..~.---.,--.....,..---l'-r--"'.___..""'~~_'___"""'.'_-;;-".__~_.""._.....--... BY MR. O'BttJ:I!lNI Wauld yaustatoyeur name, please? Rflymond A; Trexell. Where de yeu reside, Mr. Trexell? 509 Springhouse Road~ Hampden Township, Camp Hill. Mr. Troxell, wHat is yeur relatienship te Ma~ie Troxell? I am one ef her ycunger brethers. What iaher age presently? Sixty-five in May of this year. H~ve you been in contaot with your sister over the Q A Q A 0 A 0 A 0 years? A Q condition. Yes" I have; thr.ougheut eur 11 ves" Yeu have heard the qecter testify as te her physiofll InYcur epservaticns af har I have you notioed a qeterioraHan in her mental faculties aver the last few year.s? A Very ,l)\uoh so. In faot, we were t:he'ones te, my wife and :r, we were the anes ta cause het' ta gc ta the dootor and be evalua,teq. Q Ware yau instrUmental in pla61ng ~er in 6are, at Blue Ridge !Iaven West Nursing Home /l,lso? A '0 Ye,s I I was, Dapoth you and yaur wHe spend time visi,ting,. with heri' ...5... b ~hAt OAused her to be brought down from Lykens ~o the Villa Teresa Home? A She was deteriorating at the Home. And both my wife' and I would visit har at lenst once 1'1 month on a Sunday. And we oould tell that she progressively WI'IB detoriorating mentAlly and td'some degree physically, becauso she refused to even go eat on her own. And we were finAlly'able to get her A plnoe in the villa T.resa~ And After she was At the Villa Terosn she really became a little aggressive, and in fact deteriorated even more so, to the degree th~t Villa Teresa r'ally didn't want her. We then put her in the Mental Health Unit in the Harrisburg Hospital fol'.' six weeks for observaHon, testing. And this ,is where' the dootors det.rmined ~r diagnosed the Alzhe~mer's pisease. And then we were fortunate really to get her' into' ~lue Ridge Haven West. Q When you .go to visit yoult sister now', does she reoognize ,/ you? " , A No. She really doesn't. I think she reco9nizes perhaps the voice and the namEl, the f alid ly name' 0 f R. 1\. But I don !.treal.lY , know. that she really reoognizes me. Nerther, does she r~oognize mY w\~fe. We are the only ones who do go viait on what you would oall i regular bajis. I have a sister i~ Wisconsin who has~een com~ng onoe f.lY3ar. She really doee not'even know her. Q Is it your opinion that h.r general mental condition has iI' -8- beoome worse over the peri~d o~ a YOl'lr approximately that she has bden in the homo? 1\' Vel:Y lllu\1h so, yes, s i.r, o Is th@re anybbdy now that has a power of attorney for your sIster? 1\ No, 'there isn't. I have my sister J.n l1isoohsin t,ha t .1 spoke about, and I have a brother. in California. When we brought her up here to Pennsylvania from Baltimore, she did hl'lvesense ! enqugh to understand, and we opened a joint aooount. 1\nd! ani 'adminiStering her affairs throuS1h a Joint banking account. ,0 Wus your sister ever married? 1\ No, she was not. 0 Pid she ever have any ohJ.ldrM to your knowtedge? 1\ 'No, she did not, not to my ~,nowle'dge . Q You indicated that there is a sister in Wisoonsin. What is her name? A Martha Marie Troxell Flanigan, Mrs. Flanigan. Q And you have a brother in California? A paniel M. Troxell. o And,yourself? A And myself. o You and your brother and your sister woul'd be her olo~~st heirs, is tha~ correot? A' Yes,'si.r', o poes she have any .broth~rs or. sisters who Are deoeased? ~9- ')< 1\ Yes. We have a brother that died when he wae twenty-one. lIe was the youngeBt bl:oth~r;, IInd we also had a s:l:sterwho died whe,n she was six yea~B old. Q The brother who WaB bwenty"one, was he married? 11 No, he waB not. Q Would your B later, ,for the record,. \,!ouJ;d she be oapable of writing a check? 11 No, sir. Q IB she able to get ,up and out of b8dj I 9uesS physical~y she iB pretty gcod? 11 Able to get up and out of bed, but she spends a gOQd bit of her time in what they call .a geri ohair. She would roam on her own and really ineffeot get lost. She iR not steady on her feet. She oould not go up and down steps on har own. , Q You are h~re today, perBonally, Mr. Troxell, do you have a prefe,rdnoe aB far as the appointmel1t of a guardi.an is ooncerned? Would you, SOOl1er have a 'bank be appointed, ,or would you like to Uddlt;t ;with it yourself? A I haVe had the experience, and I would just as soorido , it mYEl elf . I have the time and will have the time. Q Are. you retired now, sir? ':, ,11 NO. I am retired from the military and will be retiring ,from the State on July 9 of this year. Q What iB your position with the commo'1wealth? -lO- ,,", ,~N Rmf MAR~m A. 1ROXmLL' IN '1'lIm coo R'I' 01' Ca.tMON PLmns 01' C:UMllmRLAND COUN~'Y, pmNNSYLVANIA ORPIIANS' COURT DIVISION NO. 291 ORPHIINS t 19S1 111'1' IDIIVIT . DANImI. M. TRoXmLL, 4000 CUdahy Street, Huntington Park, 011 00255, being duly sworn according to law, deposes and states that on or about June 4, 1981, he received written notice of an Xnoompetency Haaring concerning Marie M. Troxell, that thia wdttan 'notioe was by a ,letter received from Robort L. O'Brien, ms'l', dated June 1, 19tH, whioh leHer stated that an Incompetenoy lIearing in regard to Marie A. Troxell on the Petition of Raymond A. Troxell wae to be held June 23, 1981, at 2 f 30 p.m. in the Cuml:>erland County Court ,lIollse, Court Room 2, Carlisle, pennsylvania, that this notice stated that Mr. Raymond Troxell had agreed to serve as guardiAn of the estate and peraon bf Marie A. TroKell, that as an alternative to Mr,. Troxell serving as guardian of the elltate that Commonwelllth National Bank WIIS willing to serve as guardian of the estate I ~hat sinoethe hearing he has reoeived a oopy of the Petition in 'referenoe to Marie II. Troxell, that he is aware that the Court feels there is the need for. an appointment of a guardian of Marie Troxell' s est~te and person, that he is aware that if he would objeot to the appointment of I,Jr, Raymond M. Troxell as" guardian of the estate of Made A. Troxell that the Court would refuse .to appoint Mr. Raymond T,roxell as guardian of Made II. Troxell's estllte and would appoirlt the COl11J11on- wealth National Bank as lIuardian of her estate, ,that he has no objsotion to the orphans' Court of Cumberlund County, Pennsylvanill, appointing Mr. Raymond M. Troxell, 509 Spdnghouse Road, Camp Hill, Pennsylvania, as guardian of the estate and parson of COMMONWIALTH Oil rlNNSYLVANIA " COUNTY Oil CUM..ItLAND J . . ....._~F'~~_ RAY_ili.fJNPL _A,.... e=r:-f~.':l )\!1;/", ('-. __..__'___~, ___.._~._......-.:L....._ '-''''''''" bolng duly .......~JJj.9.J!,(:~.L~ a~qordln.~ 10 law, dapalOl and toYI Ih.1 ho e_L:;'._:J:JlJJ~~~.L~:,f:!.rp 1'1... __...w.__..l._..._.-_e_.... ..._ _ _......._....._ of tho Ellolo of ."..iZLd.B.11L-.;..L/,,-__:I7~" K,~ ,j.-~_,---~ 101. of _._.". '<!tlrI.I f ;If" L. I.. '0 .." _.____~.---...., Oumborl.ndOaunly, Po"doaea.ed and that the within 11 on Inv.ntarvmado by 'LcRA.VI1t.R.&LL..I1.J._Tt{~,~g~ b.______, tho laid E x. ~ c! q r... R. of I~. onllr,o, OII~lo of told deao, d, onl" danlllllng a', alllho porlanal prap,drty, and re,al ollato, oKaopl re.1 eltolo aU,t, lido Ih. Commonwealth of PonnlylvMla, and Ihallho IIgural appolllo a.ah 110m 0' tho, Invonlary nprolOnt II'. fair valua .. of the doto of deaedonl'l death. .' " ." 19 ._,...J;:~'-".IC>:V'~('r...Q CL.:JA:I)(~~~~__ bu,!., . Mmlnhl'ilo, _ and lubmlbod bo'are mo, ,_A~t.'>'L.fd!Aij.{2,_~f..(~ i;......R?!,4 /) ____ .~g&!1J/:/2fi..h..~...J.~ '.J..7J!.lL-IJ.!!:.5:."I "'d~,OII Dale of Death ~-,-...,j..__a:___.._____~_....d~ ~i IS III f.]JL& D_y Mbnlh 1(137 v.., INSTRUCTIONS I. .An Inventory mUlt be flied within three' manlhl all.r appalntmenl a' perlOnal roprtlOnlotlve, 2. A lupplemont Inventory mUll bo IIled wllhln Ihlrly day. 0' dlloavory a' addl.tlanel OIlth. 3. Additional .hoe" May bo altoohedai to perlOnalty or roalty 4, Soe ArtlolelV, Pldualarl.. Aot of 1949. t' , 1"" , Cl I . N '10 I . . I u. t,i U:! I,{;:I 1';.,1-' ;"\1.1 r~; ti I ;~~ tI~ C/f;j f;:)Ht i,;:'L ~ I T~,j ..Ijl.;l W ~ ~ 1 t; ~I~ j 1 i I , l!5 .j ~I; II; ~ J - "" i ~ ~ ~ J "[Vrl~OO 0:.. 1'.111) /~1; -L'C~ (J ,J,fj~.J ".~,,'.I~:~II INHERITANCE TAX RllTURN 'r~"lWlHl RESIDllNTDllCllDllNT ~OMMONytl\^~lIl Of rINN&YIVAfllA (TO BE FILED IN DUPLICATE U~'~i~!t\ ti1 01 An!N) E w W I _ JLAM~'\BluJi,~1?'JQe~;1! ' ITH REGISTER OF ILLS CO\II~IV CQI1E YEAR NUMBER ~ ' l"rmM!ll'mTflMI1, Mill /i,n fFl1f1A11 . ~-~l;tt.rurtWfCOIJIIf(mDllMIIL .- ,,",' -. - ..- -- ~ -l1hi H I.. "',t1I' " ~. I;"" i>"." ",..,~ ..,..,. _ :~'~;'~~Z;;I~l~'U-~(:nJD~~~;,Ii,~~:t~ r~(";.II~:~~O; RI;,~;~' I 'I ~~ c~~~,7~~;;;~ ~L~~~ ~~~~~,~~!.=~~;l/f :__.. I ~ I, O,lgln<<IR.'u,n I:,J 2, Suppl.monl,,1 R.lu,n II 3. Rom"lndo, R,IU'P ~ ~ (I., d<<I.' .1 d,<<11i p,I., I. 12.\3,021 [] 4, ~Imll.d a.lulo I J 40, FUlu,o Inlo,o.' C;ump,<<m". I.] 5, F.dil,<<1 a.I<<I. T<<M ' .. (fo, d<<lol uf d.<<lh 0(1., 12.12.021 , Roturn Roqulred . '" I8l 6, D.~od.n' Dlod To,'a',. ' [J 7 ,Do~.donl Malnl<<lnod << lIYlnoT,u.' Jl a, T<<lal Numbo, ill Safe 0011.,11 B.... ------ IiC t~~ ~n~C~I~N~,CDN'ID'NTIAUTAAIIltt~IlMAf:~'\, HO,IJLDI,DIIUDTD. ~ I T~~~~B:; Q :V~~~.__~-,._~~~~:.? /:.I::_.__~__._~ 11:;;;;IIN~SX~;;:~cil H ,J ,(~ I; r;~~ A r> ~ (! rtrl'/fli4.,I..I.. ( PII, /7(:lf/ ____ -{"J I? ._J~~'lj.l.: ,~ !._.p;;L:.,~==r"- ",- -- . .,".,,==c.=iJ==<;r1~.- ,,,:r {)rt,:Q i"r~ 1, R.<<I ElI<<le (Schedul. A) ( 1) ,_,_....,,~-f..":...d_. . '.. ' ,lU 2, 510ck. undBond. (S~hodulo Bj ( 21 ....,___" _. ".:.-.. ... ;:\ "'J'\ .\ 3, CI<<.oly Held Slock/~mlno"hlp Inlo,..1 (S~hodulo C) (3) ...._uu.......-:=_".:..._.._,_... 4, M."g~O.1 and N<<I.' Rilc.lv<<blo (S,h.dulo DI 1 41.-",. ._,n,,,.'!: -.,. .5. C<<.h, Bank Di"O.11I & MI"ollanoou. Poilonal P,oll.rly( 51 _...:!'..'J-.,..,:\.LIdLR"". IS~hodul. I ' ' 6, Jolnlly Owned IIroll.rty ISch.dul. PI ( 6)._._______'.:'_..'.',.:::~'_.._._n 7, T,an,f." (S~hodulo G) (Schedulo L) ( 7) _.u...u.._=_;L_::_._...... 8; T.,ol G'OIl .AII." (Iotallln.. 1,71 . '1. FUM,<<lexpon.o., Admlnl",all,o CollI, MI".lIan,oou, ( '1) _;___:!L;~~.k~J,0'.'. u ._m' a,".nl.' iS~hedul. H) , 1 0, D~bll, Mo,tgag. ll<<bIIlH.., 1I0~. (Sch.dulo I) (101 __un__'._'? ,..:..----.- _ 11. T.'al D.du~H.n' (10101 linD, '1 & 10) 12. Nel V<<lu. of 111010 (IIn. 8 mlnullln. 111 13, Ch<<r\l<<bl. ond Govemm.nlal BeqU.'" (Sch.dul. J) 14, Nel V~lue Sub .cl to r<<M (IIn. 12 mlnu.llne 13) 15, A'lIounl of IIn. 14 toxablo ~16% raiD (In~l~d., value"'/om Sch.dul. K a' Sch.doleM,) 16. Amounl of IIn,.' 14 laxabl. <<I 15% '01. Ilncludo v~lu.1 ',om S,h.dule K 0' SI~.dlJl. M.) 17, P'ln~llIilllaM due (Add tax ftO'1' '1In. 15 <<nd f,om line 16',1 I. 18, C,od\l. P,lor Paymenll DII~ou'nl . Inl.,..1 ..___..~...:::_~_ ,.. _~j4':.:U.'-~~_ - ~'_'m::'~::....... \q, If line 10 I. g,.alo, Ihan'lIne 17, .nl.' Iho dlllo,.nce on lin. 1'1; Thl.I. Ihe OVlhPAYMBNT, 110 l'mtI~ltll[I.I...III.Lll.,_I[I\1I..,!'II,~J-,.rn"""II'n_..IIl1I_..'rlll ~'.II'''II~ ' 20, Hllne 171. gteater Ihan lino 10. .n,'.' the' dllfo,.nwon IIno 20, thll" Ih. TAX DUB, A, Inlor Ihelnlo,o.' on Ihobalanco duo,onllno 20A, 0, Inlo, Ihe tolal of II~. 20 <<nd2OA iln IIn.iOB,' Thl,I,'h. ,llALANCI DUB, Mako _ChIck p~vabl',.lo,1 R~olller of Will., Ag.nt \I ~. r:u~,o~~:~~:, ~,n~o:~~~I~lg.Ofl~~~i~~~II~:~~rl ~;~~~:~~~~~,~(:~I~~1 ]C~~~II~~~~~ ~~lu;~~J~~~~~t1~~~~~~~~~~~~ih~'.,~~~t:;~~~I;~~;;~t~~~~J~~t =enalllnl.rmoll.n. which r. a'.,h~:l~~~kn.wJ.~!5.,-. " ' ._ ' ...______ DAn ,I -~----... AlU~~~-0(,I"-.to.'!-I-'<' ...,-;:r., /l,(,'.r'('.'<>"'_~' .rc.>'1 SPf'{1 Nt, /1 <' 115 /; 8~ III,) ,c"f/"/l? H"I-I- 1~, 1l,l.J, /l, I'rs'~' .,.., nnmw6fHrnlJAfIll~llIBIN'^"VE ADlililn c~__._"~,I'--.~__'I~ ~.......-___"_'_'_n "UN ' 1,/,,11 VAl< " ~ i 'ILl NUMBlR (A I-!?/-~;!'c; / '." ( B) ~~~"?/n,rt...B'..?"--___... Ill} .!tj.;H:.bj,'.L_~....__ ( 12}__.c'!'-~/:A!l:.B.:f..7-_.- (13).______::-~.c..-....,.._.... __~---.-_;__---_.-llil .'!!.~__2-jf:E.5'ZH ....' (15) _n~'t....1-.,-;;Al2L8..7.n' x ,06 ,.........:-.1.1.t6.-If.//'" ,,'-" 1161 um...~' .x ,15. -0 - , . U _.~___~_. ~~~~_.._......--...~. .-- _um_"__ 8 I ~'. (171_...~_'!.J.31.~! .;.,!C......_ (18) .......';..._..~_:U.._mm- _ c' ;0.. (1'1) ____!C__.___,-___._._~_...... 1201 __, .1ICkJ.~2..L_ (20A) __.._....~_..:.':_::_~ . :4/'z.:7'7' (20B) ______,.__,___.1... _.il__" .._~._"---,~~_._~...............--~ ~._~.__...~.,.._.---- IIV,llOOI" 118/1 .[ P1L.NUMBIR ~. 'J~'~ "INHERITANCE TAX RETURN /',1/','1'1' 'Jo(1! ..Qd RESIDENT DECEDENT . COM'l!l~Wf^\"1 ()/ PWtl"IY^NIA . (TO BE PILED IN DUPLICATE ) .~, ." ().'( . ,').. 'i!^A'~111L ot In N) I tI^I~I\~UIO ~^ ?1I011',171 WITH REGISTER Of WILLS). cou,."y coDe ,YMR ,.,UI,\IIII .~ ...'- ""." .... '~tr.iiTtt1.Umjli Ifilfi'iJr'~"~~~~.'-'~''"'1InmrNl't'rm#rflrQinmr.-'' ,. '".-- ,.. I,' .-rll,' (.'}I., t: /..~, 'filii ii" r:- (-I, 1 (11""',,1,0',/;,(,1.' /-1.1"" /,1 Il.i 1;' b 'r I(lt!.rlWiAlfVfiilMiIR "...J. ..." .'I,D,AIl,','Ofll.',',.III, , q,',II)~." 01 8IRfII ," . ,',', ~.<' t~: ,'( II (", ',t',H.,/II,,''''H A'" ,Q 0 '2.2)' 1-/(>. .PJ)/.~- /~~(I!',f(1.I'7 /1111'( I.ri 1'1/1. IC""~I'J":~II;;::'~'ll~:/;~ I r I I Orlglno' Rolurn IYI"i Suppl.m.nl<ll R.ty", I I a, ft.molnd., RJ,lu'I' -;- ~&l--- ~~;'~<I~~'.dE:'~'. II 40, fUIU'. Inl8r.11 COl11p'oml'. Lh 1'~;I~~~~~~t'nl:~,:;'IO' to 12.13.021 e l:$ Ifo, dol.1 of d.nlh nlt81 12012.02) R.'U,n R.IIYI,.d [''I 6, Oeced.nl Ol.d Te.llIll/ 1'1 7, O.cnd.nl Molnloln.d 0 Llylng "U" __, g, Tolol Numb., of 50f. 001'0.11 DOXII. " -,-'- rllr- :"oc':.2trJ'~e~I~ND .$.!'NPlDINTIALJk~I~~~~A~;;~)'~~).~!:t~P.TOI ..::::=."._-~==~ '; .~:,:. !I ~Aymt"l/f;fJ ,',/, '7-""t'~lji-/.... II ~ I) 'lL' ,') tlD , SDI1 :;/K/~/C.rr(.'(.'S;:' ,.,l' rID'ff01'IHlUMIIr-----.--<.----- ----- --.... .--'/ , .:-...,__ ~~L?,J~;2,.{.l.:..;:U~_,L.",., " .,u.,.. . .".~o,: /I~;).. ;+, ~~'. ?~.: .1-'0 1 :..~",.=o. c c.. ,1, Reol hlalO (Schedule A) I II 2. 510ckl ond Bond. 15ch.d~l. 0) I 21 . 3. Clu,oly Held 510cklPorlne"hlp Inl.,e.1 (5ch.dul. C) I 31 4. Morlgogo, ol1d Nale. Recelvcrblo 15ch.dule 01 ( 41 5. C(~~h:an~e ~iPO'II' & MI,collonooy. POllonol P'oporlyl 5) ...;1/.3, f(o'l." ?'t 6, Joln'ly Owned P,ape,ty 15ch.dulo P) I 61 . 7, T'on.le" ISchedule 0) 15ch.dule LI ( 71 8. To'al Orou Aue" (lolollln81 1,71 9:fune,al eMp.n,e.. Admlnl,',ollvo Co,". MI,collun.ou. I. 9) e.penll'15chedulo H)' , 10, Deb". MOrlgdg. L1obllltle,. Lien, (5chedule II (101 II, Tolol Oeducll.n. (Iolollln.. 9 & 10) 111) , 12, Nel Voluo 0' 81'al.lllne 8 mlnu. line 111 . (121 :;!~/.',y~~L7'1:; 13. Cha,ltoble and Oove,nmeniol Boque,', (Schodule J) (131... ..,._......." 1~. N.I Value 5ubl.cllo To. (line 12 "!!'l~.'J!~.!.~L~_.,..__-'______,____""._._.J!~L,c:!"~:L!r?.z2.? ."'-.c" 15, Amounl 0' line 14 lo.~ble 01 6% '01. ' (15)-_. $.,:!,d'.~'lL7.._'L,.._".w .06 ..~...:'!.J.;:.,.J'._.j:'.'L.. (In~lud. value, '~om 5chedule K 01 5chedulo M.) 16. Amo~nl of line 14 I.Moble 01 15% 'ole (Includ. volu.d,om 5chedule K 0' 5ch.dul. M,) 17. Prlnclpollo, due (Add lox f,om line 15 and from IIn. 16,1 18.. C,edlll Prior Poymen" OIICounl 19, II IIn. 18 I'J!!.Odl.' Ihnn line 17. e,,'o, ,h.dlff.,ence on line 19, Thll I. Ih. OVeRPAYMBNT. 1I0IltnnAlI1,"....._..It1I_.r......llu,J.~IIIlI.,...,Iri'nnnil:..I,,_....J"lI.~._'11111111 . 20. IIlIno 17" gra,,'., Ihon line 18, eni., Ih. dlffe,.nes on 'line 20, Thl. II Ih. TAX DUe. 120) .. A, enlor Ihe In'.,e.1 on Ihe balance duo an line 20A, 120AI B, Bnler Ihe, 10101 0' line 20 and 20A on line 20B. Thll II Ihe BALANCe Due. 120BI ~_ ' Mako Ch!.1!.!!rablo tal AOVI.,..., Will!.!. Agon.t .___ _...___ _ ___ .",...______ _ . " . R T ,A' R L QUlnION. em"'VIIIIIIID' AND T() RI leI< MATH..... , ' ' , -', Un or p,na lie. 0 p.'lu,y, I oc ate thot I ova uajlllnod 'hi. rolu'n. Including accomp;.;ing IChodul.. and .,alemonll, and 10 I e b..t .f my knowledge and ~.h~~ ~ II truel correcl and <omPle't. I d"c:lare thaI all r.al ..lala hat heen reporled allrve markel value. D.c1arallon of prepuror athar Ihan the pananal roprolonlollvo h . 11~;~!0~,I~~~rS~~I~~!1oN~~~irIT~ kn~.'!!~-'t~mr._._...__u________""~.______...__.__u_. om_n_._-~..... /.:;4Jn'~"""'t. d-,f'/k'ji {A:.. e.-. I .ldtJ,/'^"^,(,lff,,"'" (,II', ('hun H, Lt., (J,1. 17() I( 11i1'I'?~N 2",J,f,"J'" I1llFf.T01llI11rpAJ,.m.~nHi\!n!'Afuf/r;\nvr.- -^d~mr---.---..'u"._-nn-'l.-f-.--- .__.,~._... liAlrtl-..._u...Lu'" I <:: ~ r)t ,1'\ k" ' oJ Ij) II~U /llri I,,;) _,,'I) II:. -;11 ,,' 1'\,' 'I;, ;'.J ._...J. ( 81 4/~; If'" ", 7~ .,"",.. ..1.,....1 116) w ,15. u, - (~ - ... o,tl ,- -_..,....~_..._~. ..-.. --..- 117) . .!/'. (..'1: ,r..,)"'. Inl''',,1 ,~.._..:.-..".:-~h..~~_..:_n__ + _.,."~..,_. .:-,"-',.!.' ..~: (181 (lY) ....(1 .. p - .... (.. ..... s ,* .?? 1i'"f'l. - (I - '~F ~J.<i1.. 1_______.. .._.___.._..~...,,'_._.._____..u.........._.... _,........ ,""'" RIV,114? IX (la-8?) \ CC,lIr,IMQNWf.Ai TIt 0' Pl!NliUYI VA'IIA Ol!rARTMENT 0' ReveNUt nUf\[AlI m INOIl/IPUM TAJlCU p,r. POI( 8321 IU~AAIUURG, PA 17 'url' OU1 NOTlOI or INHERITANOE TAX A N APPRAISSMrNT, A~~OWANOE OR OI8A~~OWANOa 0 or OBOUOTIONS, AND ASSESSMBNT or TAX 101 E&TATI or TROXIllt.L MIIRIIn II rl~a NO, 21 91~0291 DATU Dr OIATH 11~Oe-S7 oOUID'..'L-.Q.UIDllmLilillIL_- NOTII TO INSURI PROPIR CRIOIT TO YOUR AOOOUNT. SUBMIT THIUPPER PORTION or THIS NOTICE WITH YOUR TAX ' PAVMINT TO THS' REaUTlR or WI~~S, MAKI CHEOK PAVAB~E TO "RlanTIR or WI~~S, AaINT" , RBMIT PAVMBNT TO: ' - I' REGISTER OF WILt.S CUMSERt.IINO co COURT HOUSE O/lRt.ISLE, PA 17013 I ,Amounl R,mlll,d 9':11: ~AJ.9~~J:Ii!~ J..IN.B.... _~. !lPT~I~.l,.~vtIiR. ~9131:19~_P_O..R. Y9\,lI3J\B9.9.!\I?~ -~- - - - -. - - -. - -. -, RIV-114? IX (la-S?) NOTIOI or INHIRITANOE TAX APPRAISIMINT, A~~oWANCI OR DISA~~DWANOI Dr OIDUOTIONS AND ASSISSMINT Of TAX " 88TATlO~ ,TROIU!:LL MARIE' A fl~1 NO,21 91-0291 ACN 101 DATI 04-18-8S RAYMOND A TROXELL 509 SPRINGHOUSE RD OAMP HILL PA 17011 TAX RETURN WAS: ( ) AccePTeo AS Fli.eO (X) CHANGeO 8I1IRVATION CONOIRNINa fUTURI INTIBIST . SII REVIRSI APPRAISID VAi.UI Of ReTURN lASED ONI ORIGIN/lL RETURN \, R'II Bill" ISdh,dul, A) ( 1) 2, SIOOKI Ind, Bondi ISoh,dul, B) I 21 3, CloIIIV H,ld Slook/Plrln"lhlp Int"ul ISoh,dul, C) ( 3) 4, Mortglg.IINotu R,,;,lvlbl' ISoh,dul, 0) I 4) 5, Cllh/Blnk O'POIIII/Mllo, P'~Ionll Prop,rlV (Soh,dul, BI ( 5) e', JolntlV OWn,d Prop.rtv (Sohlcul, P) I' S) 7, Trlnlf,rlo (Soh'dul" (J) " ( 1) S, TOIII AII,tl .00 .00' ,00 .00 2,567,OL .00 .00 "I;. " ;..... , ( S) 2,56'1.02 APPROVID DIDUOTIDNS' AND IXIMPTIONS: 9, Pun,r.1 e~p,",u/Admlnlll"t1VI COIII/MIIO'1I1~'OUI I 91 326.15 E~p'nl,'1 (Soh,dul. H) , 10, O,bll/Morlglg. I.llbllltlu/l.l.nl (Soh.cul, Il (10) .00 1" Totll O.dudllonl (11) 12, N.t Vllut of TI~ R.tu,n (12) ,13, Chlrlllblt/Gov.rnmenlal a,quute ISoh,dul, J) (13) 14, N.t ValuI of Eltllt SU~J801 \0 Tlx (14) NOTSI 'If en ,e"'llImant w.. (..~,d pr.vlol,l'lV, 11111. 141 11 end/or lB end 17 wll1 r.fl.ot ftlJllr.. t~et inoluQ.,th. tllhl of ~ r"urn. .......d to det., ASSUSMINT O~ T AX'I Ill, Amount 01 lint 14 tlxlble II e% 11,11, HI; Amount of IIn, 14 ,*xI~I' al 16%' rite 17,Prlnolpll Tlx CU. TAX CRIDITS I' 326.15. 2,240.87 .00 2,240;87 \IBl_ (IS) .00 2,240.87 x,oe- X,15- (17) ~ 336.:1.3 336.13 P A VMeNT OATE 02-,02-98 03-24-89 ReOEIPT NUMBeR 344717 3611371 OISOOUNT ,I+l INTEReST 1-1 6.72 .00 AMOUNT PAlO 127.73 229.llS TOTA~ TAX CRIDIT IAi.ANOI D~ TAX DUI 26.910R INTIRSST 00 * I~ PAID APTEl\ THIS ,O,ATB see ReVERse PORCAi.CUI.ATION , TOTA~ DUI , '" 26 91CR OP AOOITIONAL INTEReST ' , . UP aAI.'ANOB OUE IS I.E$6 THAN ., OR IS REPl.eOTEO AS A ,"CRBOIT" (CR), NO PAYMeNT 16 REOUIReO) . " RBSBRVATIONI B.I'I" of deoodeht. dying on or beloro Deoemb.r 12,1982 -- If .ny luMe,lnl.r..1 In Ihil ..I.to, II Ir.n.l.rr.d In po.....lon or enJoym.nt to CI." B (ooll.l.r.U b.nelIOI.rle. of Ihe d.ood.nl .It.. Iho explr.tlon of .ny nl.le I,or life or lor y..r., Ih. Commonw..llhher.by .xpr."ly r.,erv.. the rlghl 10 .ppr.l.. .nd ."..., tr.n.f.r Inh.rll.no. Tax.. .1 Ihe I.wful el..., 8 (oollale/ll) ral. on .ny .uoh fulur. Inl"..I, PURPOSB O~ NOTICE: ADMIN- ISTRA TIVE CORRBCTIONsl ~.otu.1 ertor. dl.oov.r.d on Ihl. ...."m.nl .hould b. .dd"".d In writing 10: PA Depmm.nl of R.v.nu., fluruu of Indlvldu.IT.xn, ATTN: PO'I A.....m.nl Revl.wUnlt, P,O, Box '8327, H.ltI.bulg, PA 1710&-8327. ' (717)787-8&0&, " ' See p.ge 3 of Ih. booklet "In.lruotlon. for Inh.rlt.noe T.x R.lurn for. Ruld.nt O.oed.nl" (ReV-I &0 nfOI .n expl.n'tlon of .dmlnl.lr.IIV.ly oorr.el.bl. ertor., If .ny I.x du. I. p.ld within three (3) o.l.nd.r menlh. .her the dooed.nl'. dulh, · f Iv. pero.nl '(&11) dl.oounl 0 f Ih. t.x p.ld " .1I0W.d, ", ' Inl.r..I,I. oh"g.d, b.glnnlng wllh ,flr.1 d.y of d.llnqu.noy, or nln' (9l monlh' .nd one (1 l d.y I,om Ih. dlte 'of dUlh, to the dlle Of p.ym.nl, T.X8& whloh b.o.m. d.llnqu.nt b.for. J.nu,.ry, " le82 b..r Int.r"l .llh. r.le 01 .Ix (811l p.reen\' p.r .nhum, o.loullled '1 . d.lly r.t. of ,000 I 84, All IIXsa whloh b.o.m. d.llnqu.nt on .nd .1\er J.nu.ry " 1982 will bur Int.r..1 '1 . rile whloh will v.ry from o.lend.r yur to o.lend.r year with Ih.1 r.t. .nnounoed by Ihe: PA D.p.rlm.nl of ,R.y.nu.. Tho .ppllo.bl. Internl r.I.. for 1982 Ihrough 19S8 .re: PAYMBNT: Re~UNO (CR): 08JeCTIONSI DISCOUNTI INTeReSTI To lulflll tho r.oulr.ni.nt. of S.ollon 1740 of Ih. Inh'rlt.no. .nd e.lIl. T.x AOI,Ao\ 2BB 01 1982(12 p., C,8, S.otlon \ 740), ' D.I.oh tho lOP portion 01 Ihla Nollo. .nd aubmlt wllh your p.ymenl 10 Ih. Regl.l.r of Willa prlnt.d on r.v.r.. ,.Id., _ -M.k. oh.ok or mon.y ordar pily.ble 101 RItQISTIR DF WI~~S I AClINT i All p.ym.ht. r.o.lv.d .h.ll Itr.1 b. .ppll.d to .ny Inl.r..1 whloh m.y b. du., wllh .ny rem.lnder .ppllod to, Ih. IIX, A rolund of '0 IIx or.dll, whloh WI' nol'r.qu.aled on Ih. T.x Relurn,m.y be requ..l.d by oomPI.tlng an "Appllo.llon lor Refund of p.nnaylv.nl. Inherll.noo .nd e.I.I' T.x" (REV- 13131, Applloallon. .re .vall.bl. at the 01110. of Ih. R.glal.r of Willa, .ny of Ih. 24 R.venu. DI8\rlol OHlon, or Hom Ih. D.p"tm.nl" 24-hour ~orm. Drd.rlng t.l.phone IIn.a ,In H""I.bU'9 - (7171787-8094, In Phll.delphl. - (21 Il) 3& I -206&, or In PltllPurgh - (412l &6&-3601, Any p.rly In Internl nol ..II. fled Wllh,th' .ppr.l..m.nl, .1I0w.no. O,r dl..llow.no. of d.duollon., or .a....m.nl of IIX (Inoludlng dl'oounlo,r Inl.r..tl .a ',hown on thl. Nollo. may obj.ot wllhln alxty (60l d.y. of "o.lpl olthl. Notlo. by: ' ' ' --wrlttan protea' \0 the, PA D.partm.nl of' R.v.nu., Bo.rd of Appeal., p,O, Box 8480, H.rrlaburg, PA' , 71 01l~B480, DR --ol.ollon to h.ve the m.tt.r d.t.rmln.d at Ih. ludlt of I~' .ooounl of the perabnal r.pr...nl.llve,OR --.ppeal loth. Orphln.' Court, :!!!!:. In18r..I RI" P,lly Int.rut ~.otor 198& 13% ,0003&8, 19Be 10% ,000274 1987 911 ,000247 '9SB 1111 ,000301 NUMBIR DF,DAVS DILINQUINT X DAI~V INTlRUTPAOTDR Vear In18r.8I R.t. D.llv Inl.r..\ F.olor 19'$2 2011, ,000&48 1983 1 ell ,000439 1984 ,,% ,000301 --lnler8l1 II o.lculat.d aa 'followlI INTIRIST . BALANOI DF TAX UNPAID X ~-Any Nolloe I..u.d .I\.r Ih. ,lex beoom" d.llnqu.nl will r."eol.n Inl.real oalcul.tlonlo flftf.n (1&) d.y. 'b.yond the d.Ie 01 the .a....m.nl, If paym.nt la m.d. .ft.r the Inleru\ oo!"pul.llon dal' .hownon the Nollo., .ddltlon.1 Int.r..t, mull b. o.loulat.d, ,," \ REV-1B47 EX (lZ-87)' CO"MO,,,,,..,,, Of ''"','''',"'' . ~" NOTlOE O~ INtlEflXTANCE TAX ACN ~:~:~'~"~~"'~IV:)'!,:f,"\'^"" "\":~ .:1;" APPRAISEMENT, ALLOWANCE OR OJlALL.OWANCI r,o. bO' bOll ',O~ OEOUCTIONS, ANO AIIUSMENT O~ TAX . ~I~~~URQ, ~ 1110.,8327 --.... _.._ _..._ AT. Q6-0'7-8B UTATE or TROXELL HARlE A ~ILE NO, 21 81~021l1 DAtL~..Qa~e7 __.____._._.__~_..-.--Q~r1..-OlIMBmB"'AHD NOTII TO INSURI PROPIR CRIOIT TO YOUR ACCOUNT, SU8MIT THI UPPIR PORTION O~ THIS NOTIOI WITH YOUR TAX PAYMINT TO THI RIDIST,IR O~ WILLS, MAKE CHICK PAYAIlLI To "REDISTlR O~ WILLs, ,ADINT'" RAYMOND A TROXELL !lOg SPRINGHOllSIil RD CAMP HILL PA 17011 101 RBMIT PAYMBNT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 F~- Amounl Remll~ ~ CUT ALONG THIS LINB ... RBTAIN LOWBR PORTION POR YOUR RBOORDS ..... .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. - .. .. - .. .. - - .. .. .- .. - .. .. - .. .. .. .. .. .. -, - .. ,. " .. .. - .. .. .. ," .. .. .. .. .. .. .. .. ... .. .. .. .. .. .. .. .. T. .. .. .. ' RIV-1B47 IX ,( 12-871 NOTIOI O~ INHERITANCI TAX APPRAIBEMINT, ALLOWANOE OR OISALLOWANOE O~ OEOUOTIONS ANO ASSISSMENT O~ TAX UTATE O~ TROXELL MARIE A ~ILI NO,21 al~02g1 AON 101 OATI 08~07~88 9, Punerel EXPlnall/Admlnlalretlye Coala/Mlacellaneoua Expenall ISohedule, H) ( 9). . 00 10, Debla/MorlQaQe Llabllltlea/Llena (Sohedule j) ( 1 0) _ . 00 11. TOIII Deduotlona 111) 12. Nil Value of T.x Relurn 112) 13, Cherll.ble/Oayernmenlal 8e~ueala ISohedule J) 113) 14. Nel V.lue of S.lall Subiecl 10 T.. (14) NOTE I If.n ......lI1Int w.. illu.d pr.viau.ly, lIn.. 141 lB .nd/or lB .nd 17 wIll r.fl.at figur.. th.t inalud. the tot.l of A~k r.~urn. .......d to dati, ASSISSMINT or, TAXI Ill, Amounl of line 14 la.able .1 611 ral8 16, Amounl o! line 14 le.able al 1 BII rale . 17, Principal T.x Due TAX OllEonS I PAYMENT DATE 02~02~88 03~247.88 TAX RETURN WAS, I ) ACCEPTED AS PILED III...) CHANOED iue.VA'lli!N 'CONCII\tilljILfllI.\lRLllml!ll.L:...IllA...BBVBRSI APPRAIUO VIILUB or RITURN BAllO ONI 1 SUPPLI!lJolI!lNTIIL RETUR~ 1. Rill e.lale (Schedule Al '( 1) __. 2, Slocka and sondi (Schedula BI ( 2) 3. Cloaely Held Slook/Perlnl/ahlp Inlerlll ISphedule C) . I 31 4. MOrlgaQI8//ljoll8 Recely.ble ISuhedule 01 I 41 B, C~ah/Sa~k Depoalla/Mlac, Ptr8o~al Propl/ly ISohedule EI I B) 6, Jointly Owned ProperlY (Schedule P) ( 6) 7, T"na'e" ISchedulo 01 ( 71_ 8. Tolal Auela APPROVIO OIDUOTIONS AND BXEMPTIDNSI 11Bl (161 - ReceiPT NUMBER DISCOUNT 1+1 INTEREST I-l 6.72 .00 344717 36!l371 ~ SEE a~~~HEO~OTIC~~; ~ , 1'.1("', I, I,l! I 'I i ( ;', .'. .00 .00 .00 .00 .00 .00 .00 .'. I. ..1 16) .00 .0'0 .00. .00 2,240.87 .00 2,240.87 X,OS- X.1B- 117) .00 336.13 338.13 AMOUNT PAID 127.73 228.59 TOTAL TAX ORIDIT BALANCB O~ TAfouI 26.lllCR INTBRBST .00 · ~FP:~DI~Ici~~L T~~e~:l.p SEe ReveRSE FOH CALCULATI~N TOTAL DUB .. 2 . IllCR (IF BALANCE DIJE IS LESS THAN 01 OR IS ReFLECTED AS A "CReDIT" (CRI, NO PAYMeNT 16 RSQUIReD)