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HomeMy WebLinkAbout81-00691 I ' I ' !. ,,' " '. "1,, I , , . ' ,~ ' " ,,~ f I , i " '.1 " ,..' " -'I' ~ ' I ~ , , . .' 01: , I w " ~ M I' i " ,I .. - ! ' -,l' i ' \ .,~ JI 10' , ' , ' I" I, I, , " I' f' , ", " :' " ,," 10 " d_ , . "1. '" '1 I.' _,,'f ~,' 'II;~ I, 1II(CHSTI,:?(1 ~a.l (W ,~p.A:a.,mBXt,l}J:m"""" COUNTY NO, I'WI'I'I'ION 110\1 1'\10111\'1'1'; 01" 11'11,1. I\NIl I.wrm\ls ()II I\I>MINlsTI\J\'l'ION CUM 'mWI'AMI(N'I'o I\NNI';XO l.wrmlls ()II APMINIS'I'l\J\'I'ION IJIo; \ION IS NON I.wlynms 011 I\IlMINIS'I'\lI\TION 1)1'; liON IS NON OUM '1'J(S'I'AMI':NTO I\NNI':XO In Ih(l g,.htltl lIe :.".J.l~'~I~~;l;,,,,m,,,~,,.'~~y',9~Qft.,~,,,.,",',,.,,. dU('UlIHl!t1. PotllhnUtr( H) I ",,,,Bt.~,~g,,,,W,,.,,,.M,Q,g9.n,~g~)I',,""";""''''''''''''''''''..,,,,,,,,,,,,il!"""" 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SS ".""~,;,~,~~""~,~",,,~~~,9.~,~~.~,t,f..,,,,,.,,,.,,,,,..,,,,..,,,.."",,,".,,,,,,,.,,,,,,,,,..,,,,.;;"'1',,,,,,....,,..,,,,,,.,,, thu IHJUtloUor(,,) In tlwllhuVCI "1'I'IIc,,\lIoll, holllg cllIl)' ",,,$W,Q1:,\1.,,,,,, IIccurdh'~'lll I,II\' 011)'(0) Ihlllll", ollllomonlo HOI fllrlh Il1lhlol",UlIlil1l1li1lrll" lolhu hll'lllf"",,,Q!!:!,,,,,,,, k'"IWJ"d~II 1I11l1 h"II"I, ,,,,,,,:,JI,\'I.Ql;.o.,,,,,,,,,,,,,,,,,,, ""cI ,"Il.\erlhocllmllll" ",<fs,7.tio , MoGoniga m"'/"?1,N,P.Y.~.\1I~.r",,;)'ii:, '"'''''' 1~.B.l"" "":,/.'~(~",,(!.,r,, , "'''''''ii~.~;;t'~'; Jlllod, November 13, 1981 ".,,,,,,.,.,,,,,,,,,.;.,,,,,.,,,.,,.,,,,,,,,,...,..,,,,,,,,,,,,."""".,..."",."" ."",."....."""""",.."""",...,."".,.",....,""",'10",,,,.,,;,,,,,,,.,, Allo/ll"Y'o NllIl10 1111<1 Alhlrm ~gm.I"J~,t,...,~~~,~,~,9b.1..".1!f,'!f,9.,~,.,""',..,"",.""""'''''''' 1.,...~.h.~,~:n~"'..B.Q.~,"""Q~,r..~.~~,~,~..f""g.~,,..,,,..;! 7 O~, 3 ../".3~/w .3 OATH OF JllmSONAL 1\ElIl\ESENTAl'IVE COM~WNWICAV\'II 011' I'gNNHYLVAN1A l,QUN'I'Y ()\I c\JMlIlml,ANIl ( ss: ,,'HI I 1I..n" It.,,,, oJ" '"~ ""~: 1\1, ~~ '+'~i9.','" l~' ~i I" ~.? ~~~ +,~,~. ~J, ,,,. """ "",.,", It.,;".",.., j"..,." 1"" HI'" It"'" IfI"'''''' iil puUt lonor ( H ) hullt" ~lul)1 1!I''''''''tH'',W!~,t;'Xl'''Ut'U",j;"itH,,,,,,jj;t..,, IH'('Hl'dluJ(tll Inw do ~M""II""'"'' dUllVh'lll\nd Hny thnt t\H tho 'l\tlmluIHt ,,'n" itr;u:t:~"~I~ r)~l'lt! uHtutn of '"'' "J~~",1r,~.t'.,,"\h..J1~~fi'J~l,9,~,/"""IjIl'!i''''i'''' "','II'''''"II'''''II'''III'''''''"''!!I ,j"ill"""""""'I,,,,,,.,,,,.,,."""H,,,,,,,,,j"H""'""".,."."".""..".""",.,...1""',',',,,,,,,,,,,,,""""""""""""""""";"""""""""1,'""...1111"'" (h'('!l\ls(.d """",ll,"",,,,,,,,,,,, \\'11\ \I'(!II,lIld 11'111>' IIdlllllllstol' tlw !lomls IIlId lJ\lIItlllls, rl!lhlH \111(\ crlldltH of Hlllt! dl'ClllIsNI, '1l'1'ill'dlli!l111 111\\", 1\1111 Ills,; will (1II11\"1l11)' I'ompl)' wllh tll(' ptllvlslllllS of tl.IlI IlIw .rollltln" 10 "I'I'lIl1sful' IlIlwl'lhm!~'s, "11\1"",,,,,~~~A::r.\""'!iltlll"""""""";"" Hull "l'\Hiol'l1Jl'd "tjl'nl"-'''tl",W,Q,':(~m.9.~r.;"~,g..",;",,,, A, lJii lU,B.l..", , C:::;A ~'/J Ill,~,dl.ft. - _ 1l~'''''''''1 ""'~';""~~I~~'~'~'~"'I~""""j ""~:"jlll".tll'll" IwfUI'('II11', "U."",....,.,,,,,,,""".,I."'''',',,,,ti,',HI'.'''''''''''''',,,,,,,,"""""""", l\ll~IHh'I' Dl~Cl\EE Ihl It t(mWml)(lI'ud thul 011 till! ''',,'' Jr,3.kh.. "'"'''' " " ". <lilY nf ,.."",~f?:y'~,m~,~,r.tl"'III\t+""1I At 1)'1' 19....~J.q. 1,('tlNs uf Admllllsll'llllllll C. 'I:.I\. III till' ostllll' of ,,,,,,,I1,~,!l,F.,'i!,t.,,,1il,,,,JMI~,9,9~,~,t,,,,,,,,,,,,,,,.,,,,,,, 1t1l111l1."",.,,,,.,.,,,,.i.;,,,i,,,,,,,,,,,,,,,,j'"'';;Il'''''",ij", ''''11' "", ""'''''1'' .,.. lntn of ""~fii,/j1.1:t~T.l,tf;t~fi>J.~h.9""h,,,,,,,,..ttl'"'''It!''''I\jll , O\l1\1horli\lld COIIIII)'. 1'1\III1S)'I\'IIIIIII, (H\COIIS(HI, \VOI'U I-Il'I\lIt(l(l In ";,JS*,~,n,g",Nl"""M!T,~\?,nJ,g,li\l"""",,,,,,,,,,,,, ""';"1111"""";'"''0,,1'''1'''''''''''''''''''''''''''''''''''fj"...",."".,...""",."j"jtH""""...,tI"""""'tt""'''''''''ltI,,,,,~,,,,,..lt,,,,,,,,,,j''ioIIH''llIlll'' '\'Il1lOSS \llyhnlld IIlId olflf\llll sOlllllw till)' IIII() yonl' IIfol'uSllld, ,."".",.,.,.."".'''';ltHjI"""".".,,,,,,..,,,,.,.,,""''''''''''"1111,"."",.''1111 HOllister " " ('r , 0, r?T' " j, """; t:~, r.:, N ....",., r.\,I.l ~ .... 1":4: ~~ I.L..j t' ;.-,," ''::tr "'lli ~ r:'h.l 8'0 .,~U;! !Slit! ;.c;~ Si dO l~tJ;fl/ ~ 94B 1'- " .' Ii >,; '. " ~ - , \!" p ~ F~n' ~~;~ ~I rrt-I ~ III . '7)t!"' ,:Ul In_') til " l',.~n '... ~:\x,; N f; " \~f~ " ., '0::. c-';i , "I.. " -\'11 "I t,' , , ot , :' t ::'" t .'~ .. "~ ,', " p' ,I. f.j ~1 ldJ ,~ ~ ~, @ ,iiJ <il ~ 1>1 8 ~ ..:,; ~ ~ . , OATil lit' SIJIISCIUlIlNli WITNI';SS COMMONWllAl.'l'lI 01" PI1NNSYINANIA!: H~: COUNTY OFCUMUIJRLANIJ " Thl~._ .____ 12tlL".__,.,_.,_""duy .' or,c,,_:,*/It-9'{gmlLqJ:~,~-,______,_.A,I),,19 B~ , buforo lllujRo$lstur for thu i'roblltu of Will. ulld BI'UlIlIllU lullcl'H of Adlllllll~II'IIII\1I11IlUlld for ~1\ld COllllty of Cumborl",ld, In "lite COlllllllln\\'eu\lh of Penllsylvulllu, \1uI'H(\liully clllnL,~Qm.Jt,...ll!1il,,\;J?Qh,.I,'\Jl<Lgl'ln i O~, r~J . Hart 10 ler I '. '- ...----'-~----....,......:...---------'~-- (he subscrlhlllg wllncsse~ tolhu fOl'cgoing 11\~lrlllllcllt nl' wl'lIh.g pllq\OIlll1g 10 ho IIIL hlhl WlIllIlld 'l'o.IUlllollt ol'_~_" Hester E. Hayaook..!...~__~,_,~_, \)lIlod "". _J.I;l,!1~.,.,~_OLJ' 972 I ,_no,__ IlIto of Mecr.haniosJ?~,,,_m___.~,___---'--__c\llilhol'llIlId COllnly I'll" douulIslld who bulng dilly -~- sworn 'accordln8 tolllW, deposo IInd HIIY, 111111 ,..they lI'~re __.pre~oni, 111111 Haw IInd hOllrd .Iho tosht.r ix, Hester m., Hi\yoook, , .___~__,_,~kllln, selll, \1l1bllsh,pl'onol\nco IInd doclllre lIip Bllld Instllllllenl of \\'rllhl8l1H lI1\d 1'01' h,~L_ TcsllIl11enlllnd I,n~l WlIl,lInd IIllhe lil11e 01' SO doln~1e WIIS'OI' sOllndalld dl~\1osll\g mind tl\C\l1ory IInd 1I1ldOl'sllll1dlu8, 1,\\lho hOSllll'~__tlll:li~ knoWledgo, observallQn rmd hollel',.. '~I_ 11, 'SWll:n ,lIl\d slIhHerlbed hefdl'o ,~.t~s& i3-~J.L, 'l'om H. Bietsoh M41A1~ (J" ';~;,-.J, ' --U-{f=7--~r~-~~ Register ~~...~,-r, N~ Janioe m. Hertzler AI,'.'II)A VI1' Oil meATII C.'O,~1~ONWI3A.I....T. Ii pI" PI1NNSYI,VANIA! SSi COUNTY OFCUMIlI1RLANI> \ ~ l<linSL.E!. MOGonit;Jal -~..........._~....~.......-....,----~.....--...- , _,l,belng duly __ .::JnlQrn ~IIYS Ihllt I\S 1I0llrly its clln ho lI~cerllllnellll1\' SIII,I docedent ._,~.._-' Hester _~~, HaY,:.~:'~~__.,,_~_~_~____~dlod 011 l)'riday, ,~_thL-, 30,th _,,,dllY oL_,,~.__~_.?9.1:~,)er ~_,_._____.A,DII19...aL, lit Qr "bOll!: '_L .1'2-,~,___'\'c1(lck, ,1i.._M, 12th ___.....,---._11\1(1 s\lhserlbed Ihls day oL_". Novemj;),eJ:' _,~, ~ t!5tt4.Jk~J - -, .~,.ng m. MoGon gal,. ' sworn " 19...tl.- I b~rore " .~'..' __ t?i!;Ud (!, ~~---_. -,-'-' Register 942 JOllllloll "'. c; ~'-?7? /'~ , '/7"' P ~?{6 tir,'6 ttl~lUOpbW 'rd \;IUn>1 'UIU"^I~IUll.d '~h,no:> IlUUIJoqumo ' 'PlllVDlOjU J"O~, puu ,(up DIIlIIlDVIIlIOIJJO PUll Iltillll ,(IlIVIOUIIM PI POIUIlJII~~,\,J,' OruOl~\1J'+B'fI.q:UltW ,li!,OIl0' 'pnwllnoDCf ~,tnC;1l OlUtl4 \)9W jO .llll~ ){oooRUII 'nt .za,+ssJ[ pUU POlllq9Jd IBM OJoql' 18 61"CI'V"~ .zaQIll9^ON jO ,(up jD IUOIllIlIlO.L P1lI11IIM 11111 0111 pOpJOODJ 4~~ [ 0111 \10 lIUIl pOJoqUID\lIDJ II oq 3toUt:>3(J ~ I 1 f ~ I \D ~ ol\o ; 0 ~ ro ~ 8' Iii' ~ .&' i . ~ 1.-1 I - trl r- ~ r , l.';'~ ~ r- r,O ,-, 1.-1 <"1 ffir 0 c' q .... n ~'i:~' 00 ~ ~ ,.. ~ C7\ ." r~(;I; (/:0 ,4,.,. ,.,~~ ,'lf1i I"" " - ':f? ) . ~I ~ '" N '~I , [ ""';r " >oJ 'I Jill'IIIOll. ......."'-.......,~ , ~" "'- -61 "O'V- . ~ 'O~ OJO)oq POqIJOlq;';~-- '--~~.,~OOUIlIlJOqUI JOJIUIIJ~ OIIlUIlUIOJ Mill 0111 jO l~d~M ,(ldUIDO~IlU08I11P 11IM 01111 PllY 'Mill OIIlUIPJOOOU pOSIlOOOp PI8I)O"'.IiPJJDIt~! IIIlIIIJ '1IOIlUIlO PlJ1U~OIIIU'IIlP\l ,(lnJI pUU 110M 11IM -",- ,~ PO'".~p ? -..... jO IUOIllUIIO~ pUll 11IM 1181 alii JO --: " -..., ___ ---- .. .18 111111 ,(~'.IQ!IOP oP' ~Inp lIuloq'ollM -'~ .................... /_:...-' ...---:-' - OlllllD ,(IIUuofUOd 'pUUIJoqlUlIO ,,_t- ~ ,. ,Jo'~IU1fo:> oql JO) PUIIU, uOIlUml\lI~PV )0 1l01l01 )0 8UIlUOJ! pUO '.IIIM jO OloqOJd alII JOj JOII p"-'''''''- aNV1l1aq~n:> 110 00 Irs VINV ^ 1ASNNadl.to HJ.1VaMNOW~0 3AIlVJ.N:!tS:Uld:oJN 1VNOSll\}dIlO ""''(0 "f' i' t',' " 'l;,J ',", 'I >" , , ,d .... '.Il ~~ ~ ,'_:0 Q. i: or ~i(.',~ \,.'.' 'T':'41 r:.," 'Il, j \1.11<1 i Cl~ ,,;. I~ l,.llA; .~...!;'.1 ~t., ",I ps ~6 It. \, ,...' ''\',1 ~t~ /1 .~,i ',".ii. lAST HILI, AND 'rmSTM1ElNT OF t1PlSTli1R m/UAYclCtaK , '~ii" i' t. ;~H ";\(!:tr\\;',,-_::I-~ir. '" ,--,,1','! I :t, ltmSTElR El.HAYOOOl<, of. the l,1o~Qugh of Carlisle, oumb.~~WiiL:- , ' 1.1_- / loounty, PeMIiy1vanifl, declare thh l.T\.trument to b.,my ~~t Wi.'I.],. J",' !;~ I and T..hment, in m/lllnel' tmd f.om fot'l.owing I ' .,,;t,!l ",' '1'" I t. 1 he~eby exp~essly revoKe aU Wilts and O~ici111 .her-.l~.~i;' I .' , -.-;X---, \il fore made by 'me. '.",,'f"',V,'," 2. I .hereby direot my l'1l:ecutri6es to nay all m" iUl!lt de15ta~rl" l" ~ J . _~ , .- "~" I funelral and administrative expenses out of my .,tate, a. ~n <<lll II p~aot1.oable after m3' death. II 3. 1 give and bequeath the sum of Five lhmdraQ Po11a1:'s Ii ($500.00) to my neioe, Detty Klair, and her husbahd, Ron K1Air, r Ii atld to th~ surviver thereof if eithar are deoeased,. in ap[Jt'eoil1~ .I ~ :i don of the:!.r man$' ldndnoa Res. .. 4. I g1,ve and bequeath the sum of F'ive HUM red Oolla.J:'s i'. (:\>500.00) to 'my friend, l~atricia Kuhn, in appreciation of her , many kindneSBE!!l. 5. I.devise and b<?q\\onth the :remainder of my BS\;,EltEl to'my II . In'other Elnd a:l,El~;C'l'll, Kli.nf\ g. ),loGoni[l/.\l, Ontherintl T.athe Bitt! i,Ol~phe. HilLer, who lire than Hving, share and sha1"~' nUke. [i ' 6. 1 nomi,\'wt.c und al1poi.nt my ElhtC,rsl Catheril\e, Lathe al\~l' Orphp.. H:I,1.lcr, rw n.\w-cul:dc:o.!l ofl this lilY l.as\; Will and Test..-nehl1{ and :[ dirnct thnj: they ser'Ve 1'\8 such without the neoessity of [j,],ing bond or ()I:hcr aecIJr:l.ty. , IN Hl'1'N1~SS VIIP.R1~OF, ;r have hert1\mto set my hand snd sed :2/)~ day of ,Tlmo, 1.972. ' h, th:t.s (S~) ,,)...;'....,.' Ii 1 I /1" JPj/ / ...3 RI'NOOO IX + 10,al) BURIAU OP IXAMINATION peNNBVLVANIA oePARTMeNT op ReveNue p,o, BOX UI7 HARRlsBURO, PA 17108 D.oedln,'1 N.ml (Lilt, Plnl,en~ Mlddl.lnltloll OSTER I!J. OEOIA8IO 8oo111810urllY umblr OetlOfOltlh 274-05-4009 Oot. 30, 19B1 1, Orlglnel R.turn [i] 2, 8uPIII.m.ntel Raturn 0 OHeOK INHeRITANoe TAX RBTURN ReSIDBNT DEOeDEN" file Numbl, 21-81-691 DlOtd.~t'l Addr... 213 West Main st. Meohaniosburg, PA. ,17055 3. Rlmllndar Relu;n 0 APPRO, P"IATI 4, LIf. Elletl D 6, Flderel SlIete Tax 0 Rlturn Requlr.d, , BLOOK8 B, Oooldenl dlld lllletl 7, D.oedlnt maintained .lIvlllU 0 8, Numb.r of Itl. d,polU r:-I (Atl,oh oop of Willi truII (AttlOh 00 01 truIII bomlnv.ntorl.d ' L1...J All oorrtlPQnd.noe .nd oonlldlntlel tlX Inform.llon Ihould b. dlrlOt.d tOI OORRS, 8PONDINT Nem. "SOAPIT, ULATION A~O TAX OALOU, LATION R.eepl\Ulltlon 1, R.pl SllIt. (80hldul. AI 2, 8tookl Ind Bondi (80hedul. B) 3, OIOlllv Hlld 8100k/Partnlnhlp Intaralt (Boltedull 0) 4. Mortuiutl erid Nottl (80hldull 01 6, Ollh & Mllullenaoul Pannnll Prop.rty (80hodula EI B, Jointly Ownod ProperlY (80hedull P) 7, Trlnll.n (8ch.dul. G) 8, Tot.1 GrOll AIIDtI (totel IIntl 1-71 9. Fun.,.1 Explnlll AdmlnlllrellVI OOlll/Mlloellenooul Exp.n'tI (80l1ldulo HI 10, 0lbu/Mort91Utl/Lllnl (80hldulln 11. Tolll Olduotlonl (tolelllntl 9 & 101 12, Not Vllu8 01 Ellet.lIIn. 9 mlnulllna 1 II 13, OhlrUebl1 Oeqlltlu (80hedllll JI 14, Nil Velullublect to tlX (110.12 mlllullln.13) Oomputltlen 01 Tex 16, Amounl 01llna14 tmbl"t B% ret. (16) (lnolud. veluel from 8chodull KI 18, Amounlolllne 14tmbl"t 16% rete (lB) 4. 26B. 22 (lnoludl velutl fromBohldul1 K) 17,Prlnolpll tlx dUI (idd tex Irom line 16 plultox fromll", 10) 19, TOlel Prior peymlnt.1 (el Amollnt Peld 57 5 . 00 (b) Plul Dllftount --10.26 (01 MlnUllnllrlnnOne (181 605. 26 19, DlllriOI Ouelllne n mlnulllnl18) Mlkl Oheak P.yebl. tOI Roullter 01 Willi, Auent · · · PLeA8S REO HECK MATH · · · Tom H. Bietsoh, I!Jsq. Tlliphonl No, (717) 24~-lB47 - o Carlisle 011 17013 Z PAt 81 te (11 nonl'l (21 none (31 n9ne (4) none (5) 7 . 3 32. 60 (01 none (71 none ( 91' 7/ 332 "~O ( 9) 2,77 0.00 (10)_-'.94. :38 (111 ---i' 064. n (121 ,268. (13) none (14) 4.268.22 x,05' x,lS- 640.23 640.23 " (171 09) 34.97 Undlr plnlUl1l 01 plrlury,l deoler. thlt I hevi Ixemlnld thll ratllfn, Inoludlnu Icaomplnvlnu lfthldulolend It.lam.nU, end 10 tho btlt 01 my knowl.dg. end bellll,lt II true, correQt, end complote', Olole,.lIo.n of praplrlr othlr then thl Perlonel rlprtllntllllve II bllld on IlIlnlorllletlon 01 which pllperer htl I eny k "I,dgl. <,. (., I I ' 12 Jeffrey Road .-'" / " ib, )flJ ,/'" ,nil' Meohanicsburg, PA. -11.055 Feb. 17, 1982 S G Re P peRIaNAL Rep e8SNT~ IV 181 AODRES8 DATe , -. I , 'J' ) '--,;/'- /1 ~ IJv....... _ ),)l ~.. ,...J.(V\ 81GNATURe OP PRaPARER OTHeR THAN REPReseNTATIVS 7 Irvine Row c~rlisle, PI\. 17013 ADDnFSS Feb. 17, 1982 DAre , . .IV,Il'.... I',." COMMONweALTH OflPIINNBVLVANIA INHIRITANIlI TAl< ReTURN RIBIDINT DeCIO'NT ISTATe OF ITEM NUMPeR, " 2, 3. 4. , 6., ITIlM NUMI3IlR 1, ......-.- - SCHEDULE "J" aENI!FlclARll!S HES~ER E. HI\YCOCK NAME AND ADDRess OF BENEFICIARY , A, r.Hlble Pequlttll Batty K~air and RonKlair 1002 Roberts Drive M~ohtmiosburg, PA. '17055 Ptltrioh Kuhn R. b, 1, Box 259AB QarClners, 1'1\. 17324 K~in9 E. MoQonig~l ~2 Jeffrey Road Meohaniosburg, PA, 17055 Catherine Lathe , ~~3BLpng Shore Avenue Phi1adelph~a, 1"1\. 19145 Orpha MillElr 119 East High St. Carlisle" PAt 17013 NAME AND ADDRllsS OF BENEJ:ICIARY P, Ch"lt~ble Bequlltll NONm PILE NUMBER 21MB1M691 RELATIONSHIP AMOUNT niece and 500.00 husband 'friend 500,00 " brother 1/3 of residue sister 1/3 of residue sister 1/3 of residue AMOUNT 'l'OTAL OHARITABLE BeO\JIlSTS (AllO enter on line 13, RIlQI I\ulatlon) . '" mu""",,.I, n'fdld In.." .ddllloH.llhltll 01 '''ml 11..1 ....." "1 CI \\ ",; " \' 0(: J;"c , t""'" ~',", ;n~ (~; E1-; l~-!; .' L1ld ~i:~l .~~~! C)f,U ':'1:""::; wit! .~ td[) .~ (.~) R! ;..~ '''g !~,) . ~,. i ~ 1] "l ii-'j ,-'I I --;1 . i~ , " :no , '';: ., .:..;; , INPORMATION Thl. dooum.nl I. the Nollo. r.qulr.d Ie> b. glv.n und.r S8QlIlln 709 III Ih. Inh.rll.no. .nd ell.\. l'Ix Aol 01 196' (72 p,S, lIollon 2465), , ' 11 Ih. I.x II p.ld wllhln Ihree (3) n\llnlhl .lIer Ihe d,o.d.nl'l d'l\h, . dltOllunl of 511 of Ih. I'x p.ld I. .1I0w.d, Inherl\lno. T.x b.oo.m.. d.llnqu.nl nln. 191 monlhl .lIer Ih.d.o.d.nl'l dealh, Inltr..'1 II ohllg,d .1 Ih. rll, of .Ix (61 p.ro.nl p.r .nnum on Ihl' amounl of unp.ld IIX, (SEE sxAMP~E eE~OWI , , eXAMPLQ, 11. b.l.no. Qf lax due 01 U,OOO.OO I. In. d.llnqu.nl II.tU' frOm 3~3~eO, Ind p.vm.nl II midi on 1l~23~eO,lh.lnl.r"111 oeloulll.d II Indlo.l.d b.loWI ' -- In""II"'Om 3"03~eO 10 1l~23~eo R..ulll Inl 2 Monlhl. ,010 . .20 OIVI .' + ,o~m R.I. of Inter"l . ,0 ell.no. of Ilx due ' R.I' l'>' Intf~WRBST ,a,000,00 ~ ' 0 ~33L:.c . 6i111-- BTIP , Add the Inlar..1 to lh. b.l.no. of t.x dU', B.I.no, of \Ix due PIUI Intl"1\ 10 ~t r,f Pllvr. .nl (+1 . .x ,.n . Inler..1 III P.lt 01 Plvmenl 12,000;00 . 26.70 SUP 1 Oet.rmln. the fllt 01 Inl.r..1 .I,om Ihl I.bl. b.IOw, 'TIP a MulllPlv Ih. blllno.. of \IX due bV Ih. filII 01 Inl""l, ' 12.026,70 -~---~---------~-~-~-----~-----~--~----~--------------------~--~----- 1 monlh ,001l 4 monlhl ,O~O 7 monthl .035 I 0 n\onlh. .01l0 2 monlhl ,010 B monlh. ,0 e a monlh' ,040 " monlhl ,Olle . 3 monlhl ,O\B B mOnlh. ,030 9 "'onlhl ;041l 1 2 monlhl ,060 1 ~.V ,000\7. 1 \ d.v. ,001a6 21 dm '80m 2 'V' .00034 I 2 d'vI ,00203 22 d.V. , 8389 3 d'va ,OOOH 13..d'vI ,00220 23 d'vI .0 31le 4 Il'Y': ,0006a \ 4 dav. ,00237 24 dlv' ,004~3 Il d'v' .000B5 11l dlVI ,002BO all dlY. ,00.4 0 6 d'VI ,0010\ I 6 dlVI .002tl7 26 dlVI ,00437 7 d.YI ,00118 17 dlY. .002B4 27 dm :004/j4 8dm ,00l31l 1 8 dlY. ,00301 28 dlv' ,0047' 9 dlYI ,00162 I 9 dlVI ,0031a ' 29 dlVI ,00486 \ 0 dm ,00169 20 d.ye ,00335 30 dlvl .OOBOO ' ---------~--------~-----.-------~------------------------------------- , " . Anv P.tIV Inlnl"'", Inoludlng Ih. Commonw'"lh Ind Ihe pereonll r.p,,"nIIIIV'. nOt ..II'fled wllh the . 'PPrtlllm.nl .nd ......m.nl m.v obJ,ol Wllnln .lxIV IbOl dlv, III.r r,o'lpl of Ihl. NOllo. II p,ovld.d by S,o\lon 100 I 01 the Inherllano. and EIIII' Tlx Ao\ 01 19B' 172 P,S, 110, U8e ~ 100 U. MAKI CHICK DR MONIY OROIR PAVA8~1 T01 "RIOIITIR O~ WIl...., AOINT" DeTACH THe TOP PORTION OP THIS FORM ANO SUBMIT WITH YOUR PAVMeNTTO THE .REGISTQR OF WILLS POR THE COUNTY SHOWN ON Tlie REvellsE, SEE THe INHERITANce TAX INSTRUCTION BOOK FOR APORIae. '