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LASTWIU OF LOUise C. COIRA
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I, LOUise C. COIRA, single woman, who now lIve at No. 107 November DrIve,
Camp Hili, Cv.mberl.;md County, Pennsylv\lnla, herebydeqlare thIs to be my Il:nt Will and
revoke 0\1 prior Wills and CodIcils 1'\1.0 de by me,
1. l,bequ8Qth the turn ofPlveHundred ($500.00) Dollars to thll Pastor of
IMt>MCUl.ATE e;:ONCEPTlON CATHOLIC CHURCH"which Is now sllullte on West Water
Stre.t, Lock Haven, Pllnnsylvanla, for masses for the repose of my soul.
2, I bequeath the sum of ,Plve HUl1dred ($500.00) Dollars to the Pastor 9fG90d
, ~ Shepherd Catholic Church, which Is now sltU<:1te <:1t No. 3223 Market Street, Camp Hili I,
J CumberlandCol.mty,pennsylvanla, for mOlles for the repose of my saul.
,~ 3. l,b.queath my diamond <:1nd ruby, ring to my nleco, CHRISTINEDINWOODIE,
," ,~ thllwlf. of John DIowoodle, who lives at' No. 3700 Cooper't Lane, Hyathvlllll, tv\clI'Yland. ,
,J 11m' of. ~ ~:;:: ,my,,,,,,,, ,~".I",'" "m,d 10 "l1lho,'lomobll.whloh I mo, own .t 'h.
.6. The balance of my ,"w.1 ry, furt)lture, household and personal effects', and other
'tangIble personal property of like nature (not IncludIng cash or securities), together with gny
ext$tlng Insural'iOethereon, I beque<:1th to my shter, PAULINE Et COIRA, of No. S3 North
~Irvlllw Street, LC)ck Havlln, Pennsylvanlg, mY$tster, MARIAN Ct, GILLIGAN, of No,
12 East TQwnshlpLlne, Havertown, Pennsylvanlg, gnd my brother, foAolor Generql
40UIS E. COIRA (retIred), of No. 421,Golfcrest Drive, S.:m AntonIo; Texas, to be dlvl,~ed
among them by my Executor with due regard For theIr porsonal preferences, In as nearly
equt;d shares as prac:tl C<:1 I.
6. I devise my Interest In property No. 53 North Fdlrvlew Street, Lock Haven,
PeMsylvonla,tomy,lster, PAVLINE E. COIRA.
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7, I devl.ft cmd bequeath the residue of my estate, of whatever nature ond wherever
sltu<:tte"lncludl,t)S any property over whIch I shall have any power of appolntll1ent ,as'folloWII
one..h~lf share to my sister, PAULINn. tOIRA, on...fpllrth share to my.lster, MARIANC.
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GILLIGAN, and en.-foul'th shaft to my broth.r, Malar General LO,UIS e, COIRA (r.tlred).
8. I direct that ClII taxe, that may be aGluBled In cOnlequenc. of my death, ,
of whatever nature and by whatever lurlsdlctlcn Impoled, shall be paid from my re,lduary
estate as a part of the exponle of the administration of,I11Y estate.
9. Alllnterelts hereunderr whuthor prIncipal, Income or rel11alnder, while
undIstributed and In tho pOllenlo" of any flduolary named herein, and even though vested
or distributable, shall not be subl,",ot to attaohment, ,",xecutlon or sequestration for any
debt, contraot, obligation or liability of any b~neflCllary, and furthermore, shall not be
subleot to pledge, anlgnment, oonveyanceor antI alpatlon.
10. My pllrsonal repres~lI1tatlve, and Its suooer.sors,
shall have the folll'lwlng powers In addition to thOle vested In them by law and by
other provlllons of my Will, applloable to all property, IncludIng property held for
minors, whether princIpal or Inoome, exercllable without court approval, and effectlvl
until aotual dIstrIbution of a II property,
(a). To retain any or all of the ClGletl of my .stat., real or
pellonal, without rel11rd to any prlnolple of diversification or risk.
,
(b). To Invest In all form' of property, IncludIng stooks,
common trult funds and mortgQge InveltmeM, funds, without restrl otlon
to Investment!, authorIzed for PennsylvanIa flduolarles, as they deem
proper, without regard to any prlnolple of dlvelllflcatlon or risk.
(c). To r,palr, alter,' Improve, mortgage or lease for any"
period of time any real pr personal property and to give pptlons for leases.
(d). To ..II at publlo or prIvate lale, to exchangll or to leoll,
fof any period of time, any relll or personal property and to gIve options
for sa les, exohanges or leasea, for suoh prloes and upon suoh terms or
conditions as they deem proper.
(e). To exercise any law-given o~t1on to treat admInIstrative,
expenses either os Inoome tax or 01 estate taK deductlonl, without
regard to ",hllther the expens\ll wefll paid from prlnclpul or Inoome, and
wIthout requiring rlllmbullement. '
, ' ' ((). To compromise anyolalm or oontrovellY wIthout the neceBllty
of Court approvClI. . ,
(g). To make dlltrlbut,lon In cash cr In kind rr partly In loch.
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OATH Of' PER80NALREPRESENTATIVE
COMMONWEALTH or PENNSYLVANIA 851
COUNTY or CUMBERLAND
Boforo mOl lho Resister forlh,O Probale of Willi andsranUna of L~llers of Administration In Rnd fO,r thoCounlr of
cumborland,potsonallrcame(!J"../',4 4\ CI..p.t", I "';~~I &+f;"';IIt?I1..;(Ia~..-li,l. ,~K
who, beIng duly , ,1.10 doposo and say thaI as fy,., .J .J.. . ~
ofthe lasl Will and Teslamonl of .~'~~;'J~~ rt. I &.. I'.,. " docoased
will woll and truly administer Iho aoeds and challols, tights and crodlls of said docoasod accordlna to law. And
and subscribed boforo mo,
also will dlllsonlly Qomply with the proYlslons of the laW rolatlngl!) Transfer Inherltancos,
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'Be II remembered thaI on thO
rel:orded thelas,t Will and Teslamenlof
.' damp Hill
peceasod, I..oltors 'lie~tamente.l:'.Y' wore irantcd ,to
Witness my hand lInd official seallho day and year aforcsllld;
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DECREE
14th day of
LouiBa
Ootobe,r
C. Coira
.A,D..I?~, thoro w-., probated and
lato of
, CUmborland'CounlY, PonnsrlvlIIlla,
Central Counties Bank
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Ij';l~!"lx":",:,, '" ,;"n,", OOI\1MONWIALTH OF peNNSYLVANiA
;'~~IK ',"'Q,O\~P'PIOIA~ AIOIIPf , P.:::~~~:~j:PI~~:~~;ANoeAND BSTATI TAlC
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REC~VED
I FRO
ADDRESS
TAX AT 6%
Oha~l..^. Shatfor, AVP
0/. Cehtr.l Counti.. Dank
lQ4 Halt Main St~.ot
TAX AT 16%,
TAXAT_%
,
LOok Haven, Pl. 17745
'~~eSTATE~FORMATIONT~tra€a~ifr~2i-lrgOl-------
DATE OF DEATH
ESTATE TAX
TOTAL TAX CREDIT
13,l!37..BI)
DATE DF ~A YMENT
U~81"lSU
Dlaembet 21, 1981
I
FILE NUMSER
Ilou!De O.Coit'a
NAMEOFDECEDENT~
Oumbl)';'lant\
m
LESS DISCOUNT
PLUs__%INTEREST
IFROM. to _._1
657.89
"- ----- -. - - - -. - - - - - ---- - -- - ----- - -- - - - - ------ m
COUNty
POSTMARK DAtE
REMARKS:
lOrAL AMOUNT PAID
12,IlQO,OO
-
~AXD ON AOCOUNT
SEAL
RECEIVED BY
// / ' ,/'/ ~10NATUR~Y' ~. ,
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,1Il'GI!lTt:11 Of' WILl.S
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Thh iI.GII9Q.!YJK~_~_,f.!'RlpLl!!~.!!J>y a_~t.ouJ:tog!!.!l!!l!t!.,. .llJt!Y.)~ll!!L.ili'1-.~nll!lt~,fl!,n loi...ml!!~n hPI bm. dt"I.,~,
POtol ____'__'
Tht oppllontlpn '0' .xomptlon e,Q'nt~,lnod on Iho foto of thl. form hoo bun donlud boeou.. ___
______.--......_________,<__"~________."...._3_~'~ __. _"_.'.,___. "~"'''._T'- .."..___~~...,',--_._,___.. ~,___~._,.._..--_"-.~_+______..__________.,...____._...,.._~
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....-~'.H--'+_T..._'_~.r.._~_.,__....___~.......~_.._.L_-'-_----.----L'_.---.<-_._T__._n.._.'_'_~_"_
HpltI Any'portyln Int.r~It,'lneludlnu Ih.,CoRlmpnwt.lth, .ggri.v.d by Ihl. action may within .IMty (60) don olt"
Iht dot. of Ihll notlco '.orel.. tholr rlghh "f ProtOlt, Holleo, 0' Appoolln oeeordone. with tho provltlont 0' oppileobl.
P.nntylvunlblnh"llQno. and Ihtoto Tox Ach, " ,
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Inv\lntory 01 the real and PQreonal Qetate of
LOUISI)) O. OOIRA
___.__~ deoeaoed
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1. Jewelry
2. Household furni~ure
3. 1977 Buiok ~utomobi1e
4. CerUf1<Hltes of Deposit ~t the l,oeil Ii~ven s~vings & Loan Assoo.
(~) #7400, in the ~mount of. $2,00b.00,With interest ~t 6%,
dated 7/24/76~ to maturl 7/24/82
Aoorued inter.eat on above item
(Q) 117460, in the I\mount of $4,000;00, with :lnterestdl,t 6%,
dated 10/9/76, to mature 10/9/B1
Aoorued interest on I\boVe item
(0) #7724, in the ~mount of $8,000.00, with interest at 6%,
.date~ 7/2/77, to mature 7/2/82
.Aoorued inte1'est on above item
(d) 11966, in the amount of $10,090.00, with interest ~t 15.040%
dated 8/3/81, to mature 2/4/82 .
Aoorued interest on above item
5. Sav1,ngs Aooount 1110074 at the Look Haven Savings & I"o~n ASSM.
Aoorued interest on above item
6,.' ChaokingAooountll00-05033 at Central CounUes Bank
7. Cheek'ing Aoooun t 11006-001517 at CCNa
8. 98 shs.. Tellll.oo, Inc. common stook, @34.125
9. 15 she.. General Motors C01'p. common stock, @56 .125
10. l,liJ,rdo an.d Hummel Figurines
11. 2 US air tiokets
12. State Employes' Retirement System - retirement check dated
9/30/81
13. U. S. Treasury - September /;Iooial seourity oheck
14. Refund of apartment seourity deposit
15. Look Haven Savings & Loan Assooiation - certifioate of depo~it
interest ohecks dated 9/28/81 .
16. Nll.tionwide Insuranoe - refund of premium pel oar insurance
17. Aetna L:t.fe & Casualty - refund of prem:l.um re I apartment
insu~ahoe
18. Travelers ohecks
To'rAL
,.
10 , 21~ 00
3 ,540 00
3,000 00
2,000 00
1 32
4,000 00
2 63
8,000 00
5 26
10,000 00
24.7 23
33,241 39
20 95
2,440 16
12,546 83
3,344 25
841 88
573 00
716 00
1,371 35
590 40
60 00
210 00
6 00
35 00
200 00
$97.212 65
COMMONWIA\.TH Oil IIINNSY\.VANIA 1
COUNTY Oil IQIIIU1ID CL INTON f
...
g~~~l~:,inu:~n~_f}_e.!:'" .Ass~_~j;a_nt . YicoP:ro.riid~}l~J!..n(J T.r_l1.!!t C~f~~c.~r.c~1.~~i:j;r"":t
bo?n; J;.'y ._____.Iiw,Qtm..___ according to law, dopolal alld uyl thatt he. uUHU1.~._._.\lLH._...!L__u
.!3_Il.n~._.!~_ t!}(;l_.~X.I'!~!.\.1;o.r.. . of the elt.to 0' ._I.'QU~!!"LC.L__~9.:tr!L_.~.___~___
lato of _, j;lllmn .tUU - . 'h -, Cumberl.nd County, Po" d......d ond th.t tho
within lIon Imntory modo by .._gen~!'~,LC9.utrt..ie_I!J3Jlnk__. "',. ...._, tho lald.J~xeoutor._..~
of th. entlro Oltoto of uld decodont, cOnllltlng of all tho pmanol prop'~rly alld real ..I.t., txoapt r..1 ..tota oulllda
Iha Commonwealth cf Ponnlylyanla, ond Ihal tho figura, oppo,lta each Itom of tho Inventory rapruent It'I fair yolua
01 01 tho dato of dOlo do nt', doalh,
Swqrn to
and ,ub,crlbed bofora mo,
xljN~RAL C ,WI
J3Y-C!./I.J-..l
. S..outo, M~
Charles A. Shllffor, Assistant Vioe
..p'rl;l.!!J:.C!~I}J.J!I'!_~Llru~t Of.f i.oer
102~104 Ellst Mllin Street
..ho_q~Jia.Y..~!lLP.A 17745 ,,__~_..___
Add,,,,
17. __1981
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. Notary Public
My Co mmiss1Cln EXPit'esl~tt~ ";'1'. /'?Sy:
. KARIN C, pITNER, Notary Publlo .
LOtk Hav,n, Clinton Ca.. Pt.
. . I#Ii COl1lmllllon bplr" July 26, 1984
Dola of D..th _,,___ .JH1~.__.____..___._____._.Q9..tobr;l.r.._________19B 1____...:..-._.__ --'
D.y , Month y..,
Deoembel'
INSTRUCTIONS
,I, . An Inventory mu,t ba fllad within three month, allar appointment of pmonol repr.untotlva,
2, A ,upplemant Inyantory mUlt bo fllod within thirty daYI of dllcoyary of additional 8IIah,
3. Additional ,h..h may ba altachad aI to /)Drlonalty or roalty
4, ha Artlcla IV, Flduclarl.. Act of I Q4Q,
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Q~NE8UHeRITANce TAX INFORMA.UQ!i
,
Unlallafled IlabllltlOlln~urredby the clacedant prior to hls/har daath ara daductlbla agnlnst hla/har taxabla
ntate. In addition to debts Ihourredby tho dec~dont or ostnia, atharllenu uta claimable Including tho,colt o(
aclmlnlatratlon, attorney (eOl, fiduciary (eOl, funeralund b\'rllll axpllnSlll Including lho cost o(,u,burlllllof, tamb.tona
or grave marker and other r,elated burial expense..., If.,
All debts being ~Ialmed agolnat ano.talclalO sublect to the approval o( tho RlIglstar 01 Wll,ls with whom tho
Inh,rltance Tax Return III fllad. Eyldonce,to support the dacedent's or tho ostata's liability lor lha dabts balnu
claimed should be attached to ,thluchodula,
A family exemption may b, clalmad bya spaun of adacadanl who diad domlcllad In Pannsylvanla, -If tha,rol&
no 'POUIO, or If the spOUse has forf.lt.d his/her rlohts, then any chlldof tho dacedllnt whals Q mombor aftha aamll
hou..h'ald con clolm,th. .x.mptlan, In tho lIvent 1l1era 1& no such spauslI or child, Ihe DXll1T1ptlon ,can bll clal~lod by
o pClrent or Parents who, or. membllrl of the .amahausohold as tho docodonl, Tho family exemption Is ollawablo only
ao,lnsl euots which pau by 0 will or by tho Ponnsylvanla InlOltalo Laws,
NOTI!I Componsallan paid to an eltato repruentollvtl namoly, onoiCecutor or odmlnlstrator, for sorvlces
performed In admlnllterlng onostote Is reportoble forPonnlylyanlolncomo TClX purpOSOl, 'Thil tClxClble InCOl1l0
Item .ho~ld be reported on form PA.40.lndlvlduoll,ncamo Tax Rolurn.
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lliD'RUCTIONS FOR COMPL~TING SCHJ;QULE "F."
1. If tho family exemption Is bolno c:ICllmod,lndlcoto tho clalmanl'lnamo, addron and hlslhor relationship 10
Ihe, doeedent. .~nter "fClmlly exomptlon"ln Ihe romorks column and tho omount clolmed In the amount column.
~. A.~lgn ,conaocutivenumbors to each l,tO/llllalod. "
3.' Enttr tho dole an whlc:hoaeh debl was Incurrod and/or pold.
4. Bnter tho namos of each payte,
S. ProYlde 0, brief oxplonotlon In the ren,arks column for e,oeh debt elolmod,
6. Entor, the amaunt 01' each debtbolno clalm,od.
7, Tho form must bo slgnod by tho peraon who hos ossumod tho responsibility (or paring the aablS,
IF ADDITIONAL SPACe IS NEceSSARY USE all" x 11" SHEETS,
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LAST WIl.l. OF I.OUISB C I COIRA
I, I.Ou\se c. COlRA, Ilngl~ woman, who now live at No. 107 Navllmbot Drlv"
Comp HtlI,Cumbllrland County, Penruylvonlo, hllrebydecll.lre Ihll to bll my 1011 Will and
revoh all prior Willi Clnd Codlc;lIs mode by me.
,.
1. 1 blquecllh thl lum ofFlv, Hundred ($500.00) Dollon to the POltor of
.' . . ,
IMMACUlATe CONcePTION CATHOI.IC CHURCH, whlchll nowlltuqle on West Water
Str8lt,Lock Haven, Pennsylvanlo, for mass" for the repoll of my 101.11,.
2. I blqulClth th. sum of Plve Hundred ($500.00) Oollon,to thl Pastor of Good
Sheph,rdCathollq Church, w~lch 11 now situate at No. 3223M12rl<etStre.t, Camp HIli,
Cumblrlond Caunty,Pennlylvonla, for mastel for the repose of my soul.
~. 'bequlClth my diamond and tuby rll:lg tc;l my nIece, CHRiSTINE DINWO,ODI8,
'.
,
the wIfe aUohn Dlnwaodle, who. lives at No. 3700Cilop~rls Lone, Hyqttlvllle, Morylcnd.
4. 'dltllelt my e)(ecutor hereInafter l:Iorned to s~lI tho automobile which I l1IQY own at the
lIme of my dececse.
5. The balonce of my lewelry, furnHur., household andp.nonaleffllctJ,and other
tonlllble pIill'lClnal property of like natur. (natlnaludlng CQlh or securltlel), togilh,r with any
.xlstlnglhlurance Ihereon, I bequeath to my lIster, PAULIN e 8. COIM, of No. 53 North
falrvtew Street, Lock Haven, Pennsylvania, my sl,tet, MARIAN C .011.1.1GAN, of No.
12 8ast Township LIne, Havertown, pennsylvonla, end my brother, Molor Oenel\;,l
LOUISE. COIRA (retired), of No. 421 Golfcre" Drive, San Antonio, Texas, to be divided
Q'mongthem by my Bxeculor with dueregard for t"lllr penanol preference., In as Marly
equql shores as pracllCCl I.'
6. 'devil. ,my Intere" .In property No. 53 North FalrvleW Street, Lock Haven,
P~nnsylvanta, to my sliter, PAULINE E. COIM.
.,. I devlle and bequeath 'the resIdue of nlY IIlote ~ of whatever nature ahdW~\lrevllr
,ltuatll, Including any property over, whIch I Iholl ~IlV\l any power of oppatnlment I a& fallow&!
..M.~holfihare to my.ht.r, PAUI.INE E ..COlRA/on...fourlh .hore to 11'\Y ..!.ter, MARIAN C.
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GI~~IGAN, and one.fourth lhare to my brother, Molar General LOUIS E. COIRA (retired).
8. I direct that all talllS that moy be allllled In conll!quence of m)'dlOth,
of whatlvlr nature and by whatever ,urlldlatlon Imposed, lhall be pold from my r..lduery
estate ala part of the ,xpenll ~f tnelldmlnhtratlcm of my eltote,
.9. Alllnter'lta hlreu/lder, whether princIpal, Income or remolndtr, while
undlltrlbuted elnd In the pOllen Ion of any fiduciary named herein, ond even though velted
or dlltrlbutable, Ihall not be lublect to attachment, e"loutlen'ol' IIqutltratlon for qny
,
debt, oontraot, obligatIon or \lability of any beneficiary, and furthermore, 1110\1 not be
lublect to pledge, alllgnment, conveyonce or anticipatIon.
10. My plnonal r.presentatlve, and Itlluocellon,
Iholl have the followIng powerl In additIon to tholt'vtlted In them by law and by
other provlllonl of my Will, applicable to all property, Including property held for
mlno..., whether principal or Inccme, ,txercllable without courtapprovol, and effectlvl
until aotu~ldlltrlbutlQn of allpropertYl
(a), ' To retaIn any or all of the allets of my eltate, r,eal or
penol1ol, without regard to any prlnolple of dlvtnlflcotlon or rllk.
(b). Tolnvelt In all forml of property, Including Itocks,
common trult funds and mortgage Inveatment fundi, without rlltrlctlon
to Investments authorized for PennlylvQnla f1duoIQrlll, althey deem
proper, without regard to any prlnclplfl of dlvenlflcatlon or risk. ..
.. (c), To repaIr, alter, Improve, mortgagfl or lealt for any"
period of tIme ony real or perlonol prop\lrty and to give optIons for leoltl,.
(d), To "II ot public or prIvate 10 Ie, to exchllnge or to leoll,
for ony period of tIme, any real or personal property and to glVII optlonl
for 10ltl,lxchangel or leosel, for lu~h prlcel and upon luoh terml or
condltlonl al they deem proper.
(e). To exerel.. any law-given option to treat admlnlltratlve '
expensel either al Income tax oral estate tax. deductions, without
regard to whether the expenlel were paid from prlnolpal or Income, and
without requiring telmburlement. . .
. (f). To eompromhe ony claim ar eontroveny without the necehlty
of Court approva I.
(g), To make dlltrlbutlon In C:Olh or In kInd or portly In loch.
..2-,
"EOORUf",J
nrrw;,'
'82 ,IIIN...~ 1111 (\
Dl,lih\ utt,l/;!t;
1I1/l'!J(h,',i:', '
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INFORMATION
-.......---
Thl. doo~monl I. 'iho Nolio. roqulrod'io bo gl"en und., Soolion 709 of, Ih. Inhorlt.noo .nd Eallll T.x AOi
of 1961 (?2 p,S, holion 24S5),
If tho ,I.x I. p.ld within th", 131 nlonlh. .ft" Ihe d.olld.nt'.d..th, . dlaooul1\of 511 of Iho IIx p.ld I. 'lIoW.di
, ,. ,
Inh"it.noo T.x. ilaoo",,, d.llnquent nine (91 monlh. ..ft" th. deo.dont'. d..th, Inll'lIl I. ohorgad .t Iho
r.i. of .Ix (61 p"o'pt p" .nnum onlh. .mounl of u"Pald We, Isee EXAMPLe BELOW). '
eXAMPLel If 0 b.l.noo of I.x duo of $2,00,0,00 I. In . dallllqU'ni .i.lul .f'om 3-3-90, .nd p.vman\ Ia nI.da
..on I>-23~90, iholll\"..1 I. o.loul.tod .. Indlaliad, l>olow: ' . '
,up 1
Oelernllno tho "i. of
Int""iftolll Ih. t.bl. bolow,
SUP a
Mulllplv Ih. b.l.noo of
t.x due by ihe "I" of
Inler..t,
a.lenoo of I~.' due
B.ttMl of interlal
INTEREST
," STIP B
Add Iha Inlerlll
to Ih. b.lono. of
"' dlie,
Int"eli' from 3"03"80 to 6-23...90
Ruult.ln:
2 Month.. ,010
20 D.y. . .:!:...:.&Q.:lll
Rite of In","1 . ,0 1 ~f35
$2,000,00
x ,o..tlllL..
$ . 26,70
9.I.noe of IIi< .du.
'~IU' Inl""1 10
~f,f Pl1~oni 1+)
'fO Ix .n
Inl,,"1 10 O.i.
of P'Vnlenl
$2,000,00.
$ 26,70
$2,02e.?0
~--~------'-~~-----'--------~,-~~----'------'-------~---~-----~------~-~---
1 nlOnlh ,001> 4 monlha ,020 7 monlh. ,036 10 nlOnih. ,oeo
2 nlonlhl ,010 I> monlha ,026 8 month. ,040 II nlonlha ,065
3 nlonlh. ,015 6 monlh. ,030 9 month. ,04~ 1 2 nlonlh. ,060
1 d.v ,00017 11 dlV' ,001e6 21 dIVa ,00352
2 dlv' ,00034 1 2 dlVI ,00203 22 d,vI ,00369
3 dlVl ,00051 13 'd'v' ,00220 2::1 dlVI ,00396
4 dlya ,000S8 14 d.ya ,00237 2 4 dIVa ,00403
6 dav. ,00085 15 d.ya ,00260 215 d.v. ,00420
6div, ,0010,1 ' 1 6 d.ya ,00267 2 B dm ,00437
7 d'V' ,00 liS 1 7 d.y. .00294 27 d.v. ,D04S4
9 dm ,00,135, IS .d.va ,D0301 29 d.v. ,004? ,
9 dlY' ,00162 1 9 d.y. ,00319 ,29d.V' ,004S9
1 0 d.y. ,00'69 20 d.y. ,003315 30 diva ,OOSOO
-~--~---~--~---~~------~~--------,----_._-----~--~--~'~~-----------~-~--
Any party in Inl"..t, InOludlng Ihe COnlmorlw8IIth .rldthe oar.on'l "presonl.II"., nOI "iilfl,d With Ih.
'~orll"nlonl ond ......nlenlm.v obl.ol within alxtv (eOI d.v. .fter reoelpl of thl. Nolioo II pro"ldod bv
S~~IIOn"1 001 Of tho Inherll8no~ .nd bailie T'x Aot 01 ,1961 (72 P.S, "0, 249S - '0011.
MN<I OHICK Oil MONev Ollblll PAVABl.I TO I "1I1011UII OP WI~~I i AOINT"
DeTACH THe TOP PORTION OF THIS ~ORM ANb SUDMITWliH YOUR PAYMBNT TO THe REGISTeR OF WILLS FOR
THSOOUNTV SHOWN ON THE ReV~Rse, see THE INHERITANCE TAx INSTRUCTION BOOK FOR AODREss.