Loading...
HomeMy WebLinkAbout81-00505 OATH OF StJDSCRlIlING WITNESS COMMONWEALTH OF PENNSYLVANIA I 551 COUNTY OF CUMBERLANO f This ',. ..' 1t'7711,,//r:c.t dey of ." A t?~ I.N;7 . A,O..19 J'I , b. eforeme, Re~lster for th. e. Probate of Wills and IH<<ntln~.!ct cr~ Of/~d~\lrt~tra\lo I al~q for, aJd C u!lIy of C. ~.e.rlan~)ln the Commonwealth of Pennsylvania, personally ca.me . , ' .;:; ,.,.:.> , ;.J j (;A't16 - the subscrlblnll witnesses to the forclIolnlllnstrumenl of \vrltltlg purporting to be Ih~ la~t W\I1 and ns.tument of_ Fi"~A noCl, "<" ,{~U tll", ; Daled_ .Nlq~I/?'. / '(7'J . ,. ........ . .,' - - '.' - - _; - , - - -., - - / - - - - - ...- '. _..; _ .' __ _ _ f late of t't'5?l}l.N'J/;"trl ff..{, C(J~,Q Hi/ . cumberlandCOul1iYPa"deceasedwhobelnadUIY~' ,. - I ac,cor.dln~ tq law, depose and say, that present,and saw and heard the testa '-h,;(i 'FR,f"D/P/f:.'/r' L, :lj~~/I/(.J.,- slwn. seal, publish, pronounce and declare the said Instrument qf wrltlna as ~nd for, ~ I ',5 Testament and Last Will. and et the time of so dqlng II,:r .;,) , was of sound anltdlsposltlS mlttd memory and understandlns. to the best of ,(-:'(/ A."... ,/''"j r'-') , - /' /~;,~'. '~' <</ . '/.,/ .,?, ." ." . '. . '_{,/ ll'.~"/,. _---.,A _ V knowledse, observation and belief, ~1dc ,p/ ~atld subscribed before ~a',f~~ Resister AFFIDAVIT OF DItATH ~~~1~t~N;E~~:~EO:L::NSYLVANIA~' S.SI FtP~J>(?/;'-KK d(1LL..I/r'-S 6t()dh't'r:/ S~ys that as neatly as cart be llscettnlnerj the said decedentf-If'l.7J';"I~K belns duly , L. k't!)6/V/G . . -"',.:i- , tJ1P/U'7JAV the /dr.&. 'dav of . I /2/,'dZio'clock,', ,p M. {3f~JcJlf};/ and subscribed this /,,Pd day of M-/&//.:.5';r' /A" /:/6t/6 r died on , . .; ^.O..19~, ~ ". ~E .,'/.' .1/ . . . 6~qlfUt,~>1(~,~e , .NYl>_ Register 348 . , T~" ~eNlIPIC'ARII!8 ~ * ~r",...._":t-==r.'~~''':::'-'''"+'= .*-...-.*..~.'---=~ ---'""-.."..==-;---- ~]'.~== ReLATl.oNSHIP TO oeoeoeNT SURVIVED AQE .oF LIFE DEceOENT TENANTSOR STATE VES ANNUITANTS' , _hOR~~'hm. ~Abf~NE~~F INTaREsr .oF aENEFICIARV IN ESTATE aENEFIOIARIE~ ANO ADD\,\ESS8a laH\te full namen,nd tddrQue, of uti whnhl1vo an InturoU olther vGued. Clontl"gen' or other ,lnJpruut ,__._ m___.+..'OT.....__..____"' _----.-..-..~-.-T-...~~'...--. ...... n'_ __---..---............-........-.--'.~.-......_-'T7"--"--'--..-.-.---.,~-.~~-. _ __._ .+_~_.~T___"._.~.u_.__ ....~~UT___._._~ _,,~_.__.-_. 4_'__. --~ *__-----.----..-..u--.~.--- -~-,+--_.......... ......~-------------- ------- ----- --- --_.....-.------_.._----~~_. ....._-*.--.. -----..~---_. -.--" _.~---.._-......;..-_._.__. -_.~...........-~- -.....-.----+-* -., --~.......--._.._..---.~ _._._"~.,.,.~. ----.... .....---~-_...--...-..,--.~_.~.. --. ..--.----- --.----- .. ~-' ------- ~_...---- - - --"~' !: ~ ~ ~ i m , ~ ~ , ~ lit ~ , , ffi ~ i \' Ci , I \ Ii> " l.i" I" " r:'l' l,,Jld 1",/, b"/ " '~~ t\ ('I h' c ' "". -" ~ i ::J,:i :'_.1 In :~'J :1.. l~',iii d i i 10 ,. I ... INfORMATION II ;-".'f " .' PLAQ',;bl\ ;ILINQ.~ Thetetuth It 10 be flied In dul>lIo'I, 1'1'11" Ih. ReO!,I" 01 WillI of lhe ooUnW wherein Ih, decedent leolded, , ' ' TIMI ;011 rILING ~ The ttlutn I' dUO nln. monlhD ef\ft.lhe deoedenl'l d..lh, Ilnl.., .0. "len.lon fOt 11!lng htt beeh,pplled lot end gttnled by Ih,' 8eolele", , . pi A,yenue wllhln Ihe nlne,monlh petlDd, ,. ,. ,. , ;AILUlI.tO ,,~I AI1UAN _ 8eollDn 791..Df Ihe 1901 81elule ptDyldea thot "", ony pereDn whD Willfully lell'ID 11111 e teturn Dlolhe! tepotlttqulttd of him , i, Ihell ~e peflon.INJleble ' , , to 0 pentlly 0) 26% 01 Ihe tek ultlmol8!y tound ID be duo ot $1,000 whlohever II Ih. leo,er 10 be t.ooyerodbV I.h' Dep.ttm.nl DtRevenue ..,debt. ot like .moun.t ere loooye,obl. by 101'1':' liIOub,TION' '.,. Un.eU.tlld 1I0bllllle. inoUlted bV Ihe deo~,nl ptlDt I~hllih.r, dool" etll d.duollblo ogelnot hlSl"er ImblO !I.lete, Inllddltlon to debl.Inoutfe.d bYlhfd.oed.nt Ot ..Itle, olher Item. eto olel[11oble Includlno t"e ooet ot .dmlnl.\tollan, ollomey 1m, IIduol.r\' leel, tuner.1 and 1>1It1.1 ekpenm Including the ooat 01 e,buII" 101, lomb.lone or gtevo marker, end bl".r lol'nloll bUtlll "penl", ' ;"MILV'I~'MPTIl)N'''' ,A family .kemPllon moy bn 0101111011 hy . oPoI'leol 'B IInce"B'" W"6. died domloilBd In Penn~ylvenla,1f theto I'.no .1>6Ul., ,or If Ihe .pnU.e he, lorfelled hlllhet IIChle' Ihen Bny ohl1d of Ihe d8001l0nl. Who II . membot allho eom" houoth.11I Den 0161m Iho 'kem."on, In Ihe evenl Iherell nof luoh .puuoo Dt ohild,lho .'kempllUl1 ..0. ho olelmod by e I>e,enl ot pet on" who 810 momhet' at Iho ..me I\OulahDIII as Ih. deoedenl, The .f.mlly .. ekempllon II ellowohl. onlY ogeln.1 euol. whl~h po.. hY,e 1'1'111 at hy Ihe PD""lylvo"le Inle.18Ie LewI, ' flliUOIAAV OOMMI8SION .,. Campen.Ollon p~ld 10 a" e.lola ,0pttl.onlellvOi nam.ly, an ekBoUtOt III admlnlt\telat, lor ,,,vice. p.,falmed Ih admlnllletlng en , o"et." topa,lehlo lot po"nlylvenl.l"oomo Tn. putp".... Thl. 10kobleln.om.llom ehoulll he t.po,'olI an Fut[11 PA.,40,lnejlvIUu.llnoome.Tek Relum, , , ... ~', ~ ~, p:; Q J ~ ... t <t ... ...~ 0 ~ f1. &l , g ~ , ~ 0 i 0 :z: 0 ~ ~ i ~ :z: i i,i i ~ ~ ~ ~ ~ ~I ; . . , COMMONWIALTH OF PINNSYLVANIAI COUNTY OF CUMIIRLAHP J SII ..n'_ ,..__rr~~!j,~I~_K! < Col'Lill~ ,"'. .~__ _____'__ _,__,____~~n_____~.,_ ___n_'.._ l?elnlj1 duly ~Worn~n~',_<n _... aooordlnlj1to lew, dopolDl e"d laYI thet ho ..__ifJ,~,____,..__.____,_'_,n_n_ ___~<..~'l!outor~<_..,c___'_uu.___.__,_.., ".I tho ~ltAte of __l-I'.Q.,.cW,Qk L. KOlilnil{ lele of _____.CIIJnpJli:I,:!,..-u-U'",-H. Cumberland OOijnty. Pa" deous.dand thet the 'wllhln.11 an Iny,ntory made by '<_LJ',rJ~c!!,j,$1K,l(l,QQJ,;jJ.I]!!".__ _n.n__~' the laid, Exaoutor '- o. Ph.D'nllre DllIte oluld deoedent, oonlhtlng 01 ell the perlonal prop.,~rty and rOIl .llah, .Mo,pt rOIl esht. OUIs, Ide Ih, Oommqnwulth 01 Pennlylvanla, and that tho IIgurel oppOllte uoH IIDm "I tho Inventory reprelDnt It'. lair value .1 01 tho. date 01 dleedent'. dealh" Fredriok K. 00111n/l ~..""""""""T - _ and lublDrlbed belore m., n,,_~_,'-'~-ih-\,.-.t, h..~,., . 1911./ n_'o:;!'rSal1dNI, Avohua H\l.l'I'1a\Jurs, Pat 17109 ,t,ddrl" ......,.. ..... ,,,tt. ,....."'....... J\tOISl'UR O~ WILLS ,C~M" .R~~^1'l COVI'l., PRIIN^, My commllllon E.p III , .TIlI PI..t MOhd.y In Jnn, 1902, D t f D th I1!Vn. lOth ._' ___^_UB_Url_t____ e I P .. --~.~---~,. ' , ~ M~ 1901 Vur INSTRUCTIONS ,I. An InVentory mu.t ba .lIIed within thr..e month. elter appolntm.nt 01 perlonal repr8lenhtlye, 2, 3. 4, A .upplement Inventory mUlt be flied wllhln thirty dey. 01 diaoovery 01 addllllnal ....Is, Additional .he.1s may be attach.d II tl personelt." or roelty S..Attlela IV, Plduclarl.. Act 011949, R ("I", ~,,;i f'd ~.l.t r'1~1 ,n'n r":~ ;t~?~ /5c.d, , . -"j"1 'j-- !:} _f~ , t ,- " ."'i ], \/ C' ~~ me:! "lei ","1, -ot.;:J -jm -'"1 ,-'I ~ -, , , I ~U ] ! I ".. ~ ~ i. ~ I ~ j VI' J "6 j ~ 1 .." 1. 2, ). 4. ,. 6. 7. a, Invonlorv of tho r\llllllnd p\lreonal estate of Fredric~ L. Koenig P!\l!30NAL l>jtOl>l)!ll'~ Oo.llh in Bank ~. Da.l.phin Dopoait. Hank and Truet 00, Ollah on Hand 1967 Oll,dillao Sedan aedroom Furnit.uvo Living Room Furniture Pinet,t.e fiat Te;!'evillion peraona1 Effect!! Total 1UlA.x, lDSTATEl ..NOW!l _ d\looaeed -. .....-- 4,477 21 100 :\.00 1,00 '0 200 00 200 00 ,llifORMATIQ1L To Inluro propor orodll \0 your oooounl, Iha nomo of Iho ollalo ond 1110 numbor Ihould bo oloorly prlnl, 'old on Iho ohook or monoy ardor, Thll a$Ooaemonl Ie modo In ,wourdonoo wllh Boollon 70B 01 tho Inharllanoo and eelolo Ta~ Aot of 1, ee I (72 P,S, ~ 2~86, 708), To Iho "~Iont Ihat Inhorllenoo 10~ la paid within thrao 13) monlhe allor Iho deelh of Iho dooodenl, e ~!800unl of flvo (61 poroont Ie allowod (72 P,B, 9 2486,7161, Inhorllenoo Ta~, olher Ihan lax on 0 lulurolnlarolt, la duo 01 Iha dalo 01 Ihe deoadonl'l doalh end tiooome. ' dollnq~oni al Iho o~pl'ollori of nino (9) month, aller tho dooodonl'l doolh (72 P,B, ~ 24B6,711). Inharllonoll Te~ on 0 fuluro Inloroll II peyeblo'Wllhln Ihroe (3) monlhl oller tho Irsflalor toke. elfool In poeeenlon end enjoymenl and II dellnquonl Ihoroollor (72 P,S, ~ 2486,712), Caloulale Inloroel lrom Ih~, dollnquonl dolo ehoWn on Iho fooo ollhle form 10 1110 dOlO 01 001\101 peymenluelng Iho lollowlng Inloroal labia: ----..--..---- -,...-.......-.. ....................-- - ...-- _.,.._...._...._---.-~-..... - --- - --- -----...-....- --.. - - "",...-- lmonlh ,,006 4 monlhe .020 7 monlhl ,036 10 monlh8 ,080 2 monthe ,010 6 monlhe .026 B monlhe ,040 11 monlhl ,068 3 mo~lhl ,018 ' 8 monlhl" ,030 9 monlhe ,046 12 monthl .080 1 daye ,000 17 11 daYI ,00196 21 deye ,00362 2 del'l ,00034 12 doyl ,00203 22 claye ,oo~etl 3 daYI ,00061 13 doyl ,00220 23 dnY8 ,00386 4 deye ,0008e 14 doye ,00237 24 dnY8 ,00403 6 del'l ,00066 16daye' ,00250 26 deye ,00420 6 del'l ,00101 16 daYI ,00287 26 deye :00437 7 daye ,0011 a 17 dOl'I ,00284 27 del'l ,00484 6 del" ,00138 18 deye ,00301 28 del'l ,00471 Meye ,OOl~.2 19 daye ,00313 29 del'l ,00489 lOdeI" ,00169 20 dOl'I ,00336 30 deye ,00800 ......._,.0..___...__.... _...."""___.._.... ..._..... ...'... _ _ _ _ _....:.. ~...j4 - - .~'-~ ~--~-------- - -... _......~..._..._. ..,.--,.... Any periI' In Inloroot.. Inoludll19 Iho Commonwoalll, end Ihe poreonal r.,lfoeonlellyo, nol. lelllllod Wllh Iho e8,08lmenl may ob)oot Ihorolo within alxly (601 dOyI aller raoulpl 01 Ihla Nollo~ al provldad by Beall on 1001 ollhe !nherllonoe and e~lalo Tox Aol of 1961 ('IZ P,S, 6 2485,1001). .. Make cheo~ or monoy ardor peyablo to: "Ra(!lsler of Wille, Agenl" Moll to the address list ad balow: INRORMATION To Ineuto propor 0'0<111 10 YOIll ocooun!. Iho nOl11o ul Iho OSlolO and 1110 tHlmbor ,hould bo oloo,ly p,lnl' ed on the cI10nk 0' monoy o,d,o', This o..o"monl Ie modo In ocoordoneo with Soc.llun 700 01 Iho Inholllonoo ond EOIOlo TOK AOI of 1801 172 P,S, 6 24eO,7081, To Iho oKlenl 11101 Inho,lIonno 10K Is I'old WillI In 11\'00 131 monlhe alto, Ihe doolh of Ihe deoodonl, e dleoount olllYo 161 po,oonllo ellowod 172 p,S, 6 24eS'710l, Inho,lIenodTeK, olhol Ihon 10K on 0 IululO Inlo,ool, 10 duo ollho dOlo 01 tho dooodoo"odoolh end booomn dollnquonl 01 tho oKpllollon of nine (91 monllle oftot Iho dooodonl'e doolh 172 P,S, i 2480,711!. Inholllenoe IeK on 0 fulurolnlnroal' Is poyeblo wllhln Ih,oo (31 monlho 01101 Iho Hanhlar lokoo 011001 In. pooo...lon ond enJoymenl and Ie dOllnquonllhoroefto, 172 p,S, 9 2486.7121, Coloulolo Inlo,tl01 ,1">1" Iho dollnqllonl delO ehown on Ihe '000 of Ihle fOlm 10 tl,. dOlO 01 ootual paymont uolng Iho followlnO 11110rnolloblo: ....--..--..""......---...-...""".............-.....--...- - -----....----.............................. ...-...... .....- ....-......--......- ...-....- --- -- 1 month ,000 4 mOl1tho ,020 7 monlhe ,035 10 monlhe .060 2 montho ,010 6 monlhe ,026 8 mOl1lhe ,040 11 mOl1lha ,006 3 monthe ,016 6 monlho ,030 9 monlha .046 12 monlho ,080 1 deve ,00017 11 doyo ,00180 21 dove ,00382 2 deye ,00034 12 deye ,00203 22 deya ,00389 3 deve ,00061 13 deye ,00220 23 deye ,00386 4 doV' ,00088 14 doyo ,00237 24 dove ' ,00403 6' deye ,00086 "15 doyo ,00260 2f',deye ,0\>420 8 deve ,00101 18 dove ,00207 20 dev. ,09431 ?'daVe ,0011e 17 daye ,00204 27 deye ;00484 8 dove ,00130 18deya ,00301 28 deye ,00471 8 dove ,00162 19 del's ,00318 29 dev. ,00488 10 doY' ,00188 20 dovs ,00336 30 daye ,00800 '.......--...--..---...-,- -----..- _._- --- -,- -- -- -- -- - - -........ -- ..-.....--.----.-- - --..-----. --.... 7.... Any parly 1" Intoleet, Including Ih~ commonw.e."I, endlhQ. p~raol1el loploaonlsllvo, nol aOllleflod with tho alsoeemenl may obleQt Ihol~to within slKIV (80) deya efl", roo"lpl of Ihla Nolloe 81 PloVldod by 8eollon 1001 of Ih" Inherl,tenoe end 8"01" reK Ael of 1901 (72 P,S, 9 2486.1001). Mflke check or monay ordar payable to: ':Ragistllr of Wills, Agent" Mall to tho adlfresB IIstt1C1 bolow: j ReV, 11478~ (1-12) BUREAU OF EXAMINATION Nonce or INHeRITANce TAX AssasaMBNT PENNSYLVANIA DEPARTMENT OF REVENUE, ApPRAIseMBNT, A~' OWANoe OR OISA~' OWANC. CONTRO~ NO, 101 P,O, BOX 8327 ,. . .. HARRlsaURG,PA 17106 or oeoucnONS, ANOASI..SMeNT Dr TAX IlATI "TAT! Dr KOlllNHI FRIllOlllRICK 1. rl~e NO, 21 61-0505 DATI or O,ATH OB~lO-~l _ COUNTY PUMBERLAND, NOTII TO INSuRI PROPIR CRIOIT TIl YOUR AOCOUNT aUSMIT THI uppeR PORTION or THtS NOTtOe,WITH YOuR TAX PAYMeNT TO THe R80lSTeR or WI~~S or THe ABove COUNTY, MAKe OHec~S PAyAILI TO RIOISTeR or wt~~S, AOeNT," IrTAx PAYMeNTS ARI MAOI WITHIN ~ MONTHS or THe oaoelllNT'S DAn Dr .IlIATH, AOIlCOU!'lT or a% or THe TAX PAID MAY ae llallUOTeo, rRlllpRICK K COLLINB 627 SANDRA AVlll HeG PA 17109 PLeAse ReTURN THIS PORTION TO ReGISTeR OF WILLS IF PAYMeNT PUE CUT A!.ONQ THIS !.INII .. " ~------------------------~-----~---------~----~------------------~-~-~. NOnOI or INHIRITANce TAX APPRA18eMeN1', A~~ow~oe DR 018A~LOWANlle or IllllUCnaNS ANIl A....aMeNT Ilr TAX ISTATS Ilr KOlllNIG FRIllDERICK L rl~e NO, 21 81.,.0605 ACN 101 OATI . 04-06:-82 TAlLRBTURN ,WASI (K) ACCepTeD AS FI~EO APPRA1'IO VALue or alTATal " R..I e.l.le (Schedule Al 2, Slock. .nd Bond. (schedule PI 3, Clo.tlv Held Slock/P.rlne"hlp !nler..t ISchedule CI 4: Morlg.gU .nd Not.. (Sch'edule, 0) , 6, C..h a.,Mllc'll.necu, Per.on.1 Proper1v'(Schedul. E) 5, Jclntlv Owned Prop,rlv (Schedule P) 7, Tr.n.ter. (Schedule .GI. e, To"'. Gro.. A..el' ) CHANGED .00 .00 .00 .00 5.249.~ .00 .00 ( H. ( 2) ( 3) ( 4) ( 51 ( 5) ( 7) 6,248.19 ( B) APPROVIO IlIIlUCTIONS AND.exIMPTIONSI 9, Funer.lexp.n"./.tIdmlnl.lr.(lve CoI\I/Mi.c.lI.n,cu' &xpenl.. (Schedule HI , 0, Deb\./Morlg.get/~len. (Sch,dule Il " " T~l\,! Deduotlon. \2; Nel V'lu, cl s.t'le , '3, Ch.rlt.bl. !l.Quet" (Schedule J) 14, Net V.lue Sub)eotto T.x , 2,156.22- .00 19) (lll) , 2,156.20 3,092.99 , .00 3,092.99 (11) 1121 (l31 (l41 ' '\- A.....M.NTar TAXI HI, AmQunt 01 i1ne 14 Itk.ble 1\ 5% "Ie 18, AmQunl Of i1n. 14 I.xlble 1\ HI% rl\e I?, Prlnclp.I, Tex Due TAXCtlalllUI ~A"'MeNT ' RBCBIPT DISCOUNT (+1 DATa " INTEReST (~) .00 3.092.519 ~,OS- X.l8- ,117) .00 463,96 463.96 (18) (l81 AMOUNT PAID 463.1M " 02,.04,"62 010808 .00 THIS. ASIlSSSMeNT IS !lASaD ON: ORIGINAl.. RlllTURN NO INTetlllT II OUI IF ~AID IY 06-10-82 IF PAID AFleA I;JA Te 'INDICA'teD eBe ReveRSE FOR INsTRUCTIONS, 'tOT AL TAX CABOIT, 63 , 94 IA~ANQI or TAX QUI .01 ill Ihl.noe. Due i. i'" Ih.n .1,00 nc P'Vl11.nt I. requltedl ReT AIN THIS PORTION FOR YOUR ReCORDS INFORMATION. , Thl. ~ooum'nl' II Ih. Nollo. required to b. given undlr Slotlon 70e 01 tho Inh.rll.nol .nd e.l.1I T.x Aot of 1961 (72 1',$, ,"ollon 24811),' , ' If the t.x II p.ld wllhlh Ihral (3) tnonlhl .ftar thl ~aoedent'I ~..th, a dl.oounl 01 ,B% 01 the t.x p.ld II ,allowld, Inherlllno. T.x blootn.. ~elinqu.nt nlna (9) monthl .ftlr thl dloldant'l dllth, Inllrlll II ah.rged at Ih. r,1I OI:'IIX <6,) P.ro,nl plr .nnum on thl Imount of un~lld t.x, (seE EXAMPLE saLOW) , ,,' ,eXAMPLe,.. If . balanol of t.x due of 82,000,00 II In a dallnqu.nl alalul from 3~3~aO,and p.ym.nt II tnldl on s-23Mao, Ih. Ihtereat I. oeloullled II Indloated below: ITIP 1 Olllrmlne the r,la. Ilf Inlerutlrom the IIbll below, ITII' a Multlplv lh., bll.no. of tax dua bv {hi r.1I Of Inl.r..t, ITlI' a Add Iha Intlr..t to Iha bal.no,. Clf tax dua, 'nltr." from ~~03-S0 10 B*23-aO Rllult. In: . 2 Month.. ,010 20 Om . + '%93~6 Alt. of Inter..t .. . ' " 3 6 a.llnoo of lax due RatBol Int1~n~&ST $2,000,00 x .01336 $ RPO 12,000,0Q. .x n Inter..t \0 Oall of "Iytnant $a,028,70 ~~___~_____~~__~_~____~~____~____~____________M____~___+_______~__~_~~ 1 month ;OOB 4 tnonlhl '820 7 montha ' ,03e 10 nloritha ,0sO 2' month. ,DID B monthl ,2& 8 monthl ,040 II tnontha ,ose 3 tnonth' ,01B 8 tnontha ,030 9 monthl ,041l 12 tn.onthl ,080 1 <laY ,00017 II dlVI ,0018a 21 dav. ' ,003152 2 dlVI ,00034 12 dav., ,00203 22 n.V' ,00~e9 a dlV' .000el la dm ,oo:m ,a3 dlV' ,00 a6 4 daV' ,00088 14 davI ,00231 24 daVI ,08403 B daVI ' ,000alS \ e dlVI :00260 2B dav.. ,0 420' 6 dav. ,00101 \ 6 dlVI ,00281 26 dlvl ,0043 ? 7 cl.VI ,00118 , 7 daVI ,00~84 27 dm ,004'4 8 ciaVI ,001as 18 dlvl ,00 01 as d.VI .004 1 9 ilaVI ,0011l2 1 9 ~avI ,00318 29 dava ,00488 1 0 d.V' ,00189 '20 dm .0033B 30 daVI ,DOll 00 ~___ _~,~_'..:..___.....+..._____...._.... -;:_............... 0.;.__.... ........_... __.... _ _._...;..._...._ _'--: ....___.....__...____.___~-~.......- " Anv partv, In In\.rut,lnoludllie Iha Coh,tnonwhlthand lhl Par.onll rlpretant.llve, not "".III~ With the Ipprll"mlnl .nd ......tn.nt tnav obJlot Within .Ixtv (60) d'vI Iftar reoalpl of thl. Notlol .. provldld bv Stollon 1001 of thl Inhlrltlnol and BIt." Tax Aot of '1961 (12 P,$,hc, 24811 w 100\1., MAI(a, CHIQI( 0" ,MONIYO"IlI" "AYA'~I '1'01 ""IOUTa" OF WX~~I, AOIN'I''' peTAt:i'l THe TOP "O~TION OF THIS FOAM AND SlJBMIT WITH YOUR PAYMeNT TO THe AeOISTeR OF WILLS FOR THe COUNTY 8i'lOWN ON THI RIVERse, SEE THe INHEAIT ANce TAX INSTAUCTION SOOK FOA AODRISS,