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(ll: '8? ,IW' 1 'I 1'1' '" tl r! tHJi ,nl if INFORMATION Thll delaum.nl II lh. Notio. requlr,.d \0, b. glv.n under S.olleln 709 of lh, Inherllll\o. and EIlIII Tax ACI of 196' 172 P,S', leollon 24851, If Ihe lex, Ie paid within Ihr'e 131 monlhl afler Ih. d.o.dent'1 dealh, . dlloounl of 6% of Ih. IIX p.ld II ,lIow.d, , ,Inh.rlt,nc. Tax D.com",d.llnqu.nl nln. 19) monlh. .ft,r \h. 'deo.d.nl's dlllh, Inl.r..1 II Ohlrg.dll Ih. ' rei. of Ilx 16) Pero.nl per Innum on Ih. Imounl of unp.ld lex, lSEE eXAMPl.E BEl.OWI eXAMPl.E, If I blllno. of I'~ 'dueo! 12,000.00 I. In I dellnqu.nt 1l,lua,f,om 3-3-BO, .nd Plym.nl II !T'.de " on 6-23-60, Ih. Inl"lIll. o.loul.led II Indlo'l.d b.low: --- trap, D.lermln. Ih. rei. of Inl.ree\' frOM Ih. l.bl.b.loW. STIP 2 Mulllply Ihe ,blllnel of IIX due 'by Ih. rala of Inlereal. STlP Q Add Ih. 'Inl"eel 10 Ih. balano. of tl~ du., Inler,., Irom 3-03-8010 a-23-60 ReaUlli In: . 2 Monlhl. .0 1 0 20 DIYI .' + '%9"' RI" of 1I\I.r..1. . , , Blllno. of IlX due flna...QLtill.rel I INTEREST 12,000,00 ~ 01336 I' 26,70 ~r"nf' 01 tlx due u. nl8rell 10 ., ,f,1 pIV1,nl 1+1 IX .n Inl"..1 10 011. 01 Plvm.nl $2,000.00 'I U70 '2,I;)~e, 70 .'--~-----~-~~-----~~------------------~--------~----~----------~-~---- I monlh .005 4 monlhi .020 7 monlhl ,036 1 0 monlhs ,060 , 2 monlhs ,010 6 monlhs .025 e monlha ,040 11 monlhl ,01l15 3 month I ,016 6 monlhl .030 9 monlhi ,046 12 monlhe ,OeD , deV ,000 t7 It daYI ,oo,se 21 ,dayu ,003112 2 diYI ,00034 1 2 d'YI ,00203 ' 22 day. ,00369 3 dlya 'gOOH 1 3 diva .00220 23 daYl ,0038e 4 deya ' ooes 1 4 d'YI ,00237 24 daye ,00403 gdm .000S6 '6 dIva .00260 26 dayi ,00420 d.y. .00101 16 d.v. ,00267 ' 28 d.y. ,00431 7, d'vI ,001 Ie 17 dIVa .00RS4 27 daYI ,004114 8 d'Yl ,00 t38 1 a d'YB .00301 28 d.yi ,00411 9 day, ,00162, 1 9 d'YB .0031S 29 dlYI :8041111 , 0 dlvl ,00169 20 d.yB .00338 30 dlYI ',08QO Any p.iw In Inlerell, Including Ih. Commonweallh and Iha p.rson.1 reprelenl.llve, nol 'eUI f1.d, Wllh lhe " .PPrel,"lT1ent .nd ......m.nl m.y (1)Ie91 Wllhln sl~1V (601 d'YB efter r.oelPI qf Ihla NOllo. elPtelvl~ad ~Y Seollon '1;)01 of the lnherll.noe en~ allllO T.x AOI of ;961 (72 P.S, "9, 24B6 ~'O(1), '" MAKUCH'CK OR MONIV OROIR "AVAI~' TOI "RIOI_TlR O~ WILLI, AG'NT" DaTACH THe 'rop PORTION OF THIUORM AND sU8MIT WITHVOUR PAVMaNT ,TO lHS RSalSTSR OF WI~~8,pO~ THe COUNTY SHOWN ON THe ReveRSE, SEe THe INHERITANCE TAX INSTRUCTION, llOOK FOR ADORess,' , 1/-...,.tj.2 .3 ~V,IM~'" '::~r~*~WN~AlI" IlARRI\~11~8< 11 \110' ~ ~.., INHBRITANce TAX RETURN RESIDeNT DECEDl!NT FII~Numhur 21-81-683 Oucellent'l Addlell 502 Heed St. Car.lisle, l'lI. OBCBII~nl'l NallW 1~~lt, Flnl, anti Mldlll~ Inlllall OE e S 0 McCALIliTIlUL._'l1US..Th R. CAe Soolel8ucurltv Nlllllb~', ] OelB of oeath _ lBO-:.~~:.~,6~2 __~,__ ~~v_ember 7_, 19B1 . CHEOK 1. Ori,~nal RuMn L~J 2,SupplBmunlel h~lurn 0 APPRO, PRIATE SLOOKS ' 17013 3, Rumalnder R,turn 0 4, ~jjn filletu 0 6. PBd,ral BIl'teTaK 0' Rulurn R,qulr'd" B, Oeoed~nt dl~dtelleto r..-' 1. Oeo~dDnl 10, alnteln~d,lIvlnQ '0 B. Tolal Number 01 lule r::-1 (Amch ooPV of Willi ~::L_. 'Irull (Ajteoh cOPV of trulIl dbl'Oll1 hoxaeinVontorl~d LlLJ All carr'lllondBnc~ entloonfld~II11811BX Informlllon Ihould ha dlremd 101 CORRE. ._._-~--_._.__.. SPONOENT Nlme T 'H "i t" h El om . .., e so , 'sq. -- T,I~phonu No, (71 7) 243-1 B 4 7 REOAPIT. ULATION ANO TAl< , oALCU. LATION ---....-. _AlIJIwl~ =-- RI"pltlll.llon 1. Reul SIlItD (Schedule Al 2, Stookl end Bondi (BOhsduln BI , 3. OlolUlV H~id Blook/Pertnenhlp Interelt (Sohedulo 0) 4, ' Mon9BQUlend Nolol (Sch,dul~ 01 6, CUlh S. MllcelleMoulP~nonel Prop~rtv (Suh~d'ule 81 B, Jolnllv Owned Prop~ltv ISchadul~ P) 1, Trandan (SohBdule 01 B. TOIII Orull Am" (to\01 IInUI '1.1) 0, PUMI,I EKpenl8l Admlnlmlllve OOltl/MIICBlllnBoul expenltl (Soh,dule HI 10, Oebtl/MOltQe9U1/~lenl (SChBdulo II 11, Totel Oeductlonl (totelllnUl9 S. 10) 12. Nel Velu~ 01 Eltell (Une B inlnulllna 1 I I 13, Cherltebl~ 8equBI\I (Schedule J) 14, N~I Velue lubllCl 10 leM (UnB 12 mlnulllna 13) ( 11 none ( 2) none (3) none ( 41 none 10) 30,0153,06_ ( 01 ' none (1)_ none ( 01~455.00 (to) 225.30 PlI. 17013 --- SlItu Zlj, f..-, ,f'" '.' I' ~ ; j ~ ; ( J ,~ ('?,t~ : C) ~;"}{;-) ,'0 jl.'j '1 Undlr pe~BIII" of plllurv, I decleru thlll havu mmlned thll rBturn, InoludlnG eccoll\plnVlng Ichudlllo! IndllllUmenll,lndlo Ihe bill of mv knowledgB and blllef,lt I' true, oorreol, end oomplBte. Oeqlelltlon of plepll8r other thIn lha panonllrep,elentltlve II bmd on IlIlnformlUon 01 which pr,per" hll InVkJl ledge, . ' ~" 611 N. Williaml'l Dr. ~ I., C_ . ,Palatine, !1J."inois60067 _ . ,.30 '19B2 8IQ~, U e P8 NAl. RB~Ae aNT GISI ADDRESS 'DATE comput.tl~n of Tex la, . Amounl of line 141lxsblul 6% rill Uncluda vlluel 1'010 SOhedule Kl 10. ,Amounlolllne 14 taXlble 1110% 1I1e (InClude vllulI from OChedule KI 17, Prlnclp~1 teX duu (Idd IB~Jrom IIn~ la plul II~ Irom IInB, ,1B) 1 B" TOfal Prior pavmuntll (.) Amount Plld (bl PIUlOllcDunl (c) MlnullnlUretl_ 10. 8,lance Due (line 11 mlnui line 181 " MIke Cheok PIYBble tOI Reglller of Willi, Agent ~.. PLbASb I\bCHSCK MATH'" (tbl 24,372.76 (tB) none (tal none " 7 Irvine HoW Carliale, PlI. ADDRESE -, --,-,;;..-t~----' '~IJ J).~~-\~ ~ ..-._.._-~.~----------_._-~ 81GNATURE OF PAEPARER OTljER THAN REPRESENTATIVE 17013 j",,.-. ~ :f~ '. ( BI_ 30,osa,06 (1') 5,680,30 (12) 24,372,76 (13) none (14) 24,372.76 x,OB- 1,462.37 x,1a- none mi 1,462.37 (19)_1,462.37 ~ ~~, ,)0 1982