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Home My WebLink About81-00699 OF.Nl!Fll1lAl~I~8 ,....., -~..........~ -,,'~ _....m.. '-"'~'-__'~'-""%~Hf=:':"--:;;-r~j;__ ........ ~"l'=".:::;:;;,;=~~:::~=-:","...~~;:::;.tIL!;j;:.....~....' ...~ ..... ~..""li'=.:=i.= nUI,ATlONHIHI' HUlWIVUP AOP OP I.IPS TO OUOUDHNT DPl,1UDUNT TUNANTQ OR s'rA TU Vus ANNUITANTS Ofl NO AT D&ATH OP ""m_...'."",,,,.,,,,...,_ ~~ ",m."".."",.". .. .~".,,"'_~ .,-9.l\.qJIDSNT +-.~ , 1'l'BllklJ.n.,l3randt ,.C..~1.l.81e ,.RA .... "i.rllbd'QIL-',V~' ,.,., '",.,,~.._,..~..,J't.1ma-.~ _J)aWl. Bl'Btl<lt,_H.w"v.l.U.".~.PA""",.." ",II...."." ,._~,I.I_.. ""_.,,,.,,~,,.. ". II , -Lu.r.v-Dntl$l1.,....Ho.Il"tOAh.Tl.".... II ,..:: m.~" ."'",_,..w".",, _.____-'!...___ JlangoWlllan , .1U~QIl!I_Jn."__,,,~__.__Il&'~nddUYIL 1@r~.""m_.m'_"m"_"_ II Madlin. "elsg.~N.mJ.,l eL~K~_T' ,_.._ ~_"..!I_",".",-... ~_.!I___"_~_._..m"____ ~_~~_ , Oa.rol"Jit.r.h.1.18h~.1!t bUr.S.I"J!A"_~'_""."~_m~~"_ _"I'-,...mn. ._, ,__..__ .___..,_!.!.. B.ri~ ,~, Brandt, Ne~r;;'~lI,,"c'-~L.. .Jl@~.,-!~-_..--".:.- __.__~ r-, "" Na.rlr.r.tslll1th.J_~bJ..Rl!!UUtbUl'lr~ P4.__...~~_,_._.~_ ' , "lh' , , ..KllDn.~~ ,8. ROlar"...NaWYJ.llJl.,_~RA_."~,, __8Q~.,,___. -.:~......,,_~. ',: ' .JlU}8:,~..:~lal'. til!l".dULPA ' II ====._ BUN&FICIAIlI&S AND APDIlP.8SUS IBHua full nani.. "nd addr..,ol uf nil whQ hllyu'IlIlIIlIUrDtt fJlth,r ntteel, cUl,1UIl~"H or n1hor llltflltul INTURUST UP BUNUr'lOIAf\V IN US TATS '" I, , It , 'I' II ~ ~'" 'j'J ,... ~ 0 8 ~ ~ ~ :'! ~ (;1 R ~ 0 II: i= III II, 'ih II S :0 ~ 1iJ ~I' m ~ 'II 0 fi1 ~ -n i i;j, I' f~ 1;;"'_' I~V' ; ...,:,' 1'_1'" o.<ll' #",~, -(l~ ~~ c .... ,-; ..~lj 'r.:~l ~ ~.~ .-j ;.'.l:1i ~~~Jl cr." ~t: ~ :0 ~ :0 I ~ ! hn ~ - fO -' ~- !'J,l ',,1, INFORMATION PLAOE POR FILING - TI10 return Is to 110 1II0dln dUplloato with tho Reulstor afWIII. 01 tho dblln'ty whoreln tho docatlont rosldod, . \ , TIM! FOR FILING --Tho r,oturn I. dllo nino m"nths nftor tho docodom'. <lo"th, IInlos. "n ox tension for IIIlnu 11ns hoon "Pllllod lor and granted hy the,~ecretorV of Rovonuo within tho I\lno,month porlod, , , FAILl)R! TO PIL!, Rl!TURN - Seetion 791'of the lllel St(ltuto provldos that ", , . any perlon who wllllully'lall. tollle Q,rlltllrn or other roport requlrod 01 him, "sllall ho,pursonOlly IInhln , . . to oponolty of 26% of tho tox ultlmatoly lound,to bsduo or $1'.000 Wljlchovor Is tho lossor to ,ho roeovorocl bv tho Dopartll1ont of ,Revonue as debts of like omoUllt oro rocoverahle hy lew," ~ ~ ~ . ~ ~ ~ Q I ~ ill ,. l'I ~ ~ ' . t::\ I III 0 ~ ~ ..... jJ., 0 tI) 0 d ~ .~ ~ ~ :z ~ , . ~ ~ ~ 0 ~ z ~ Q ~ ~. 8 II..