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HomeMy WebLinkAbout81-00701 , I .1 NO, 21..8'1 '(1(1 IN :I~I~~~'~'~~~ (~,~,~",~~:;.~~~"~,~,,,~~~,I,,~I~~~:!~~ICI>. /./ C 4 ' '" . 'ro ..~'~~';~~:;~~~ ~:;~'~;;;:' '; 'I"';;" '~:;;:;;; ~;:' '~y~-:;; ~'I~'~;:;;:;;;;~"; ;;' ';';;;:' ~';:;;;; ';;;:;;~~:~;;lll h . of 'JZK)'I ,nlll, 'I'ho PollUon of "'" "" ,:$~",r;t"r"~~"",, '(.."""~'-!?' ~,I..7.,~r.;:~_:p"",c..."0.r?"~'J,;";"",~c!.J"""..",,,,,,,,,,.. ,~ 1111101'. "'H Hi Ill" if'" Ill'''''' I'" H.""",,,,,,,,, l'UHpoct ful b' Rho\\'ol h t ha t ,..". ,~'~. ..,4.-,,,(. ,/..,'" I.~~"t"" ,!\r::~ ~ If': tl,l. ;(;.,l. . 'I I I f ~ oJ' ':?"dr to...::'" 'l'oWI\Khlp (' I I I (' I "t t t' I' VI Wll" II rOK con. 0 ,...t1I':1\,r...JI."'~f..."..,..,,,,,...,,,,..,,''''''''-tmramzlr ,'.IIIIUOI' IInc olln ~', nil 0 0 onnK'.-D vlll1hl, 1I11rlll CIU1.ol1 of \Jnltorl SllltllK, I\lJ1W!~IlI.tocl thlK \11'\\ loloKli~to In tho COllnt~' of Ci-IrT,~..ft.~~- ,,,.....,,,,, "".., '"'' '.. '" '..'" Ii, Ilnd Stll tu of ."",., ,,('i:;, f~,!:t. ,a, of, 11'!'c,/,~~,~,,~ ..("" 'J''' ,.. ...", ,.." ", ,;;,..,.., ,.. '.." '.. ,.... ;';'''' on ,tItU'''''IIHIl'".''.....'",.."" thf;l .,..,,,,,id.It-rr.,,,,).....,,j,,,,,,.,, c1n~ of ",."O,GI...~,I:~'''''''"..,.,'' A. ])'1 lo"K,~" IIUho ngo of ",~,y:." .\'OIlI'K, p' 'n . Thllt tho KlIltl ",4,~4->'",:r.":;?,,,,,t:!./.fiI,r,,:r.f.~~""'" 1I0CUHK(lCl, Iurt KlIl'vlvhlK tho followlnll' nllmO(\ wIdow 01' hll~lll\nll, hoil'K Hnd noxt tu kill, tn wit I /, NHmo Helnt.lollKhi)j .1'tIS~,~'(..r~,"@.I~!'(',~~(~L4!" .,j"',.,~'.<'Pcp",.~.'." "';Z;('.~.",.&t:(,,,~g,(,r,.hrr:n~"~ """"""'~cm"t:j,,''''''''..,'' ,.~.lI.~(.;Iii"'..II'OI'~~'.r:,~:~,[~;O ""',..."""~",'!i7,-,,,t,,it,,"" 1111~.<:~~'I...Zit;,,~~1I,4?,r..r:r.~~~JJ.,.t,,',"t0.~~;-~~...""" .11""""'"'''''''''''''1''''''''''''''''''''''''''''''''''''''' """"'"''''''''''''''''''''''''''11''''' "'1'1111>1111111""'"'''''''''''''''''''''''''''''''''''''''' ".".",,,,,,,,,,,,,.,,,,,,,,,,,,,..11.,,,, ,,,,,j,,,,,,,,,,,,",,,,,,,,,,,,,,,,,,,,,,,,!,,,,,,,,,,,,,,,,,,, ~ ~,.'" ( p,^~ -,". ;') '1 " ~, ,... - r..... _ ...._ r- "-- ....-. - . "'iil" *".II}\I?t1 tH~1 -"I",,,!...""III.i'''''''''''''' """""""'11""""""""""""'" / . ( (' ,,' ~ .,'f' ."', c;/ v' ./' ,',- 'J ji' .""""....;}"."'..."""'"''''',:''' """"""""+111"""""'''''''''''''''''''''''''''''''11' .....""",;""/101",".,...".'".,,..,; ROK Irlonco -r'\ '(/ '?fL"I e"4C"'1~'bi, Q.-t 1(" ?;;"'~~ ~'''''~:J'''a~:;' p( (I '.'"'''''''''''''''''' ,,,f.';!,, ,,,,,,E,,,,,,,,,,!,,,~,,,,,, ~ ,,~~.,.~;(-R~i'iTr~:t""Ie.r.f~.;~~~ , ,~f.f:.J€r.~.lf..f:11;r.f:t)1~1I"~':~ /ft (I ,;","I'"..."....".""".."'"I11'H...."'''",."..,,," Ii ""11"""""""""""""""""""""1";"....,..." ":;';""""""""""""""""'"''''''''''''''''""" '.. .1 .'.'.1..".'.'.'.11..1'111.""'.,"...'1""1".'......;...,.,. """''''''''''''''''''''''''''I''''''''''''''''''U''"IIU.II Thnt thoso n\Jove nlll1lod Illolrlllo 1111 of tho 1l0xt of kill, AO fill' IIA Kllown, . ' ' ',',.cr;.- 1'1,10 "11111 c1ocuclout wnH IHlKHO~Kflrlof' POI'KOlli\1 PI'OpO"()' to tho nK!.In1i\(ocl vnlllo !!,f $,,,i,,,.o.,q,,c?<,,,,.,,,,,,, IInel of Ron I J'lKtntn, InK~ IIlOllmlll'llllOn, to tlw lI~lImllt(jd vnhlo of' '$"""t.v.,9...r.!{.,~"..,,, nK ,l\ollr 118 Olin bo l\8oorllltnorl, Thuttho14Utrt (lonl II~Htl\to III 1'40 f,u' uKIH known '1M hwntod In ,,,,,,,,,,~:tI...Cl,,,~~.~;:,,,,,,,,,,..._"'f"""'"'" ,".,...;",,,,,,.,,,..,,,.,.,..,,,,,,,,..,',,.,,,!I,..,,"""/""""""""""""';"""""""""'";""""""",.""."",..;.,..""""",.,.."","""""""""'1 ,Therotol'o, YOllI' IlolltloIlO\'(K) l'oKpoutl'ulll' IIppl)' (InK) 1'01' Lollnl'K of AllmhIIKtl'I\~ioll hI tho l\bovo Illlmod oRleto, Dlltod "".(.lI.~,{,~I:';,:,(y,;~/~.", A, lJ" III. 8.:r.: , Sig\1lltltrO IIIHI Adch'lI~~ d;, h"', .ul (.t" ___ /~6,) . ' ",".,.,..;1',7....'.",,(',...,(.(,: ....f"oM.i'.,..H..~:..~.",."....';j"i"i1".. """,2,r.;.;~"",~,r.tP~fr,Q.""T~,-:;,~~,gt,,,,,,,,,,,, """,~1-r""~'""8..~,,<<;,.,g,,,,,,(.,.?,~,C,(, (If I'nl,llloIlOl'(H) ,..",.",.,..",.."....,;,..,.,."";,.".,,,.,.,,;;""","'_'1.1".,'11"""1;1111 UOMMONWIMlll'1\ 01>' 1'1']NNHYI,Vi\NIi\ l ~~ I COUNTY 0I~CUMHI'1In,i\NIJ f ""." ,(...' ' , 12 n ,,,,,,,,,,,,,,,,..,,,.,,,,,,,,,,,,,!'.~,~,f,':J, ,r:, ,"'"""""" ,;",?.r;?",(..r.l..s:.~",...,:Il,,,,~,,..,.';,,, ",.. ...,,,.,..,.....",'...,,..,..',,,,.. Illlmorl In tho lIbovo IlPllllcllt.!on belnll dnly ..".....::;;;:~~.\..,~:,:1,,'..7".... 1l('(!ol'(1I111l' to IIIII', ~II)' thllt the f/\CIs Hot forth In tho 1I1)lJve IIpplIClIlIoll 111'(' lI'lIo tll tho ho~t Ill' .., c.,l'1c;,'Wr. kllllll'llHllI'o IIncl bullor. ."""""".,,,.,,....,,",,..,,.,.....~.w,gr.o,,.., IInd IIUhHCl'llwd 1 bofore mo, ,..,..,.~9)~,I~.9.~.r...,l~.".,"'~""" ...... A. IJ" IMl...... ..........9l(&w....(!,..:.., ",td&a...?...".."",,,,,.,,...,, f ROllIHtul' "''-'"''''''''''''''''''''''''''''''''''''''''''''''''''''!'''''''''''''''''''''''''"' . vii, ,~dl~,., j.., // ".' 't'''...... t~ .t;\rfr;r;?-..,.. f'"i} ..T-I.t,I.1"'/.c~,~..~tr1',\.nrf" ,., ,"~ ","" """"""".,.",.".",."""..."""",,""""""""".",,,,..,..'''''''illl ..."",.,.."""",,,,,.,,,,,,,,,,,,,,,,,,.,,,,,,.,,,..,,,,,.,,n"".tj,,,,,""'f1U A""",""Gt?&<%~i~;"~~~,,, . \-,~? S ~. "JlJi,co J/~-..::. , /.' ;;J.c;; .- l-J , _ f.' S fy~""" /~-,.~,..j'{,~ ,,q, ("7 r'Q I OATH QF PERSONAL REP~ESENTATIVE () Flied; , ...N9.YA~M!?,:WB"..~~.~"J..~~.~~............""""""". " IIISl COUNTY OF CUMBl')RLAND f <:__n, ' ,. ,. /' 11 '::-..- ,'C /,///(' ,..,J<.,4,".,,(' tltl () ""!!Ii""""'"'''' i.h,1I .,,,..."'i 1l1'im'...........-:n..\,,, "or..,. '" . ,..'rli..-....Ti.....,\ ,..";,,, .....""", '" 11,,,..11'" ...., 11./1111111"11' ""I pe - on(!r." belnl1 duly.""...........I~;;':;"'\';;;';{'''':I."..........,.." I\Ccorcllng to InW~do'?....r...... d(l1o,so IInrl SIIY thllt"llR the ndnlinistrar ;,., 11f1l , I.". ot tho Gatn te of 't.... ,~H,,,\,ti' ,(,,~'" "..(,~,';:~,\.. ,'" ;:~.~, ,,,,';.,;, ,-:.. ,'"" " , ",.." '" "'"'' ,...., n. ...""".., It. COMMONWEAL'l'H OI~ PWNNSYLV ANIA , . .... " ...........1'1".1..1"..""....."".1."""..'"..........."",,"."..1""..,,,,,...,,,.......,,,,,,..,..,,,,,....,,............,,,,,,,,,,,,,.,,,,,,,,....IIi1IHIlIIIIIl!.,..IU" (lsceaRed ......;;1~~:~"...... will woll llnd truly admlnlstol' tho goocls IInd chllttolH, l'hrhts lIncl crodlts of said deCOll80d, according' tolllW, And IIlso, will dlllgontly,comply with the pl'ovl~lol\R of the IllW relating to Trllnsfel' Inhorltances" ,,~- "_n_~ ..e- ~_i ;Fl '(:__-)1 "'1;""1'1111"11""""("_';""""",1"';111"..,., and subRcribod before me, "/2.,N9.X,~mp.,~ r;,."+.~.~,.,,, i?2f~,..,e"I' .. ~1t~:.~;?""..........."..,....,... A.---tJ" lO~*,,,,, V' /' (,' ,( /,. , / , / /:':. ;...j.. .-I_,~l. ,," (-__' 'l_..;l,.F--t:I,t-' '-'.,'H__' II'" '" "1#(' ,'1 ,..~.l, """ '~"" II ~ II ~n",\j;/" '11'11~"'"j"'II'I' "II."I..."j;' """"""""""\;""';"""1,.,...11;1".'11";.."..tl..,'."",....,ii.lll1n"'." DECREE Bo It,romembered thllt on the ,.....}"9.:ti.\1"........,,,.. dllY of ..., JI.mr.f,m);>,fl;r.......".... ""..... A" DOl 1l)"~,J..,, L~tter8 of A{tmtnIRtrntlc~tl in tho e~tl\te of "'''''"J:.,~''1.~ltt.,n"""W.QJ,nf}.f.:,\1~t;\.t,....''''''UI...IH...'',,,.11"''''''''11'''''0; ",ii""'" ,.. III j II ,....",,, '''II """,; II' j"".., ,1\" ""' '" "Ii Il......." ; Into or ,,,j'lI'"'''' Efttl.t" l~~r.u.la,b.c,:t',Qt'..'I\ow.rlS.l:>.i.p..,"ii,H, OUm\lerlllhdCo\jnty, PenllMylvl\nla, decellsad, WOl'e gl'lInted to ...."i?R.I1,1.f!.."}:I,fI.l,T,1I1.9,);W;),,,....,,I,,,,,,,,,,,,,,, Il.H'.j.....ii....'.,,,j'."".IlIl.'j"'.jll'lI.II'.'..''',......,,......",...,.."",..". ,..,'....;;""""'..'""".tl".'.....illIlI.."''''''''''II..'''''".'''''''''jll,lllil. Wltneallmy hand llndoffiollll HOlll tho dllY lIod year /\foreHII~ld ~ ' . df'() , . /. 1',1, , , } t> .J." (I_/~) ~. """,,,......... "~"d,1:I:.""a..,,.., "~:?i.."..,.,,',,.., . f' " Roglster , " 0 'i) (V- I)' / ' ""."'~AA" ':~l,ft{I~t,.. - Dooedent'l Name (LOlt, Flrll, end Middle Initial! Weinsghel! Lewis R. DEOEA8U Sonlal Security Number, ~I Deatb ~..10S_~~~;!239 _~J~c:.::o_~_~,:.....~' 19B1 OHEOK 1, Orl~nal Relllin 0 2,Sullplemyntal Relurn 0 APPRO. PRIATE INHERITANCE TAX Rl!TURN RESIDENT DEOEDENT I -- ~3 'I' ~- Pile Number ,;?/-f3{-, 7al Docedent'l Addreu 743 Elr ford Hand Cump lIi11, Cul]'ber1und County I FA 17011 ~ 3, Remainder Return D 4. Life ElleteD 6, Ped8l81 Eltele TIM 0 Return Requlrad, BLOCKS O. DQCUdant died tOUule D 7, Decedent me Intel nod 0 living D 0, TOlol Number III sofo n (Auachcupy of Willi trult (Aueeh copy 01 truttl dopOll1 bOKOllnvonlorlod LlLJ All corf'lpondonco end oonfldentl.1 tex Information Ihculd bo directed to: OORRE. ____________ ~_____ SPONOBNT Nome l'nlph ...AudtiJL.Pi nqkAY 8< "''''si-,or. _~_ ,~ 3. Pinskey, Esquire 205 Wnlnut Street Telnp~one No. REOAPIT. ULATION AND TAlC OALCU. LATION Stlla lip R,INPllulatlon 1. Reel Eltote (SChedule AI 2. Stookl end sondl (Sehedule sl 3. Chllely Held Stock/Pertnmhlp Intorell (Schedule CI 4, MortOO90l and Notel (Schodule 0) 0, COlh & Mlloellaneuul PenonelPrOporty (Sohoaulo EI O. Jointly Owned Proporty (Schodulo F) 7, Tranafon(Schedule GI 0, Total Groll Allell hotll IIn.. 1-71 O. Punerll EKponlol Admlnlmetlve COIU/MIICollanooUl EKPanlBl (Oehedule H) 10, Oebn/Mort9IgOl/Llanl (Schedulo II 11. Total OsdueUonl hotalllnols& 10) 12, Net Valua of Eltale (IIno S mlnulllno 11) 13, Chlrllable Requem (Sehodulo JI 14, 'Not Voluo lubleCl 10 lOX IIIIlD 12 mlnulllno 13! -0.. (11_ ( 21 ( 31 ( 41 ( 61- ( 61 ( 71 '-Q- -0- -0- 250.00 --0'" -0- 181 250.00 ( 0) g , ~r . 1 5 (lDI-~' 9.78 (111 ~3, 606. 93 (121.:.J,n,356193) (131 ~O- (141 ~O- Oompullllon 01 Tlx 16, Amounlof IIno 14 tmblell8% rote ., (Ineludo valuel from Schedule K! . 10. Amount ofllne 14 taxoblaal16% rile !lncludo voluCl froin SChedule KI 17, PrlnolPel tex duo (aUd lex from IIno 16 plUIllX from 11110101 18. TOll1 PrlorlllymonUI (a) An19unt Plld (b) Plul Ollceunl (c) Mlnullntorolt 10. Ralence Ouelllllo 17, mlnullIno 18) Maka Chock Payoble to: ,Roglltor of Willi, Agont · . · FI.EAU RECHECK MATH · · · (16) -0- x.DO- ..'0- x.U- "O- m) ..0- (l8) _ ~o... 'l'his is an (l8) illSolvantestate. (10) -0'" Underpenaltlal of,porjury. I doelere tllat ,I havo examined thll roturn, lnoludlnglcoomnonylng iChedulel ond Itatemonn, and la Ihe, belt af my k~oWledge end bellel, It II true, cerreot, a,nd complete. Ooclaratlon af proper.r olher than Ihs ponollol reptBlenlotlvel1 blled on, alllnformlllon of which prlPlrer hll any knowl,l\De, ", (.), ' " "', "/' ,I / ll_, 4--(Tr\,:'-'" > \\Yt\.\At<<.1-', I () I (). J) "'~-'\.J1.A,Ll(J 4' ,- ---4-./ (1 d' _ ~ 'lIGNATORE OF PERSONAL REPRES"NTATIVElsl AODRESS ' DATB ..'---.---.-.----'------.l'il'l.'!l1rny"-,,-'1"Oln'CIT" ~ H~lph B. PinskeYI E8CJl1ir.~",,~illl:J!=::11iO.l.__ SIGNATURE OF PR~PAR~R OTH~R THAN REPRgSENTATlV~ ADOR~SS COMMONW,ALTH O~ "'NNSYLVANIA COUNTY Oil l'll..n~r'1 tJittel". ' 'V '--'''~._, ~.."~_:,.,"'--,_.~--c..."...~~,.~,,.., ,', S,onJ.a ,.WD.J.nIHme,LJlQ.\'l!a.rJ;}_,__~._.-,~_____" bolnv dulv~.wJ;UiJl__.._.,--.oooQrdlng to low, dapalll olld UYI thot she __~:I,,~. th~__~.~.__u,___ _ AdmJ.nist,kJ\.tJ~j,)L_'.__"".-'._"_m._ a' Iha Elteteof -' Lewip R, WeinIJohe1 ' lete 0' _:ll1a.~.'t;.J?E.l!lI1!3bg,t:() ,WoW,nship" , ._".~.+_..._, Oumberlond Oountv, Po" deoul8d .nd, thlt ,the wlthlh " en Invenlory mede by _"~___"fu11j;!b,.D,,.,.lUn!lkQY,.liJ.llClllil'J;L._, the uld, ,alltQl;'ne;y_. 0' th"n/lra ..I.to 0' lold deoodent, oO"IIIIIn\la' 011 th~ perlan.1 prof1~rtv onr;l reol, e,hte, ,~o'pt rul utoto ouhlde the Commonweolth of Pennlylvonlo, and that the "\lurol oppallte uoh Item a' Ihelnventory reprllent It', folr volue ,. of tho dote of daoedant'. deftth, ,)W4,.q,q 7' ~, _ ond lublorlbed bo'aro Ine, t J III ~~~~r,", ~("" 191'-'3' 24.?P~~, ~/ , , NOl'A~V P ,aI-Ie N, 0QMmI~' tIplft41ulJ 'I, 1183 , !I"'II~I!I',' DIU,phlft CGU~ty, p~, " , ~,,,~-..0.~~._Ro-,,,,lcl..1<l-'" . h.o~tor . Mmlnhtrat., P,O. Eox 386 'J ."..,J.Q'2.JlJ>.!'th M"'.~t ",... Meohanicaburg, PA --.~---~--"_.._. Add,... 17055 ...............<.;..- D,te of Duth 2 October 19B1 P.v Month ....._~-------,.._._-_..-----_._. I'll' INSTRUCTIONS I" An Ihv'ntory mult be W,d ~lthln three monthl ofter oppolntment of porlanol reprelenhtlve" 2. A Iupplement Inventarv mUlt be mad within thirty doy' oldlloovety of oddltlonal o..eh, 3, Addltlon,1 Iheeh moy be Mhched u to perlanolty or rultv '4, S.. Artlole IVI Flduclerlot,Aat of 1949, o:l u.l -;"ll~~' , ,"ql J!!m f;h i'L. I:'! '-1'.1 ..... . ~ III 'OJ '~ - E'i 1 <::l i ~ ] S t'" I I ~ &:"~ .B j 1 .... III (0 IR ~ ,J ~IP f., I . ,U I>. ~ ~ p< j , ~ l +J III ~, ~ ) '1i j ~ ~ J ) RIV. 18471)( (O-sa) BUReAU OP ACCOUNTS seTTLeMeNl peNNSYLVANIA oePARTMeNT OP ReveNue P,O. BOX 2066 HARRISBURG, PA "H15 UTATI O~ WEINSCHll1l.o \..ll1WIS R n~1 NO, 21 81"0701 OATI Ot..Q'ATH 1\)..\)2..81 , ~~ ~QlllirY CUMBJmI,.AIiL~ NOTlI TOJN8URI PROPIR OREon TO YOUR ACCOUNT SUSMn THE UPPIR FORnON O~ THIS NonCI WJTH YOUR TAM PAYMeNT TO THE REQlITlR O~ WILLS O~ THI "IOVI COUNTY. MAKe 'OHECKS PAYASLE TO "ReOXSTlR OP WJLL8, AoeNT" , NOTICI OP INHERITANCE TAX APPRAiseMeNT, A~~OWANce OR DISALLOWANCE O~ DEOUCTION8, AND A'S,S8MINT OP TAX AeN 101 RlIl.oPH II PINSKBlV !lsg PINSKEV & FOSTER 206 WtlL.NUT ST HSG PII 17101 PL~ASE RETURN THIS PORTION TO REGISTER OF WILLS IF PAYMENT DUE Ql,!LAj.9~9.'tHJ~ .l-!ftB... _ ."":. !'~T~I~_lto.'vY~R_ ~91;1,!,19~.p~C!.R. Y9l,,1I;1J~.Iil9f>!'l9~_-:-... -... -" -. -. NOnce Of INHIRnA/'lOI T(IX APPR/llIIMINT, ALLo\olA/'lce OR OIlALLOWA/'lCI Dr OIDUCTlONS AND A8IISI"'.NTOP TAX RIV, 18471X (O-SOI " e~TATI O~ WEINSCHllJL LEWIS R PILI NO.ill 81-0701 ACN 101 OATI 04-04"83 T AX ReTURN W ASI (X I AccePTeo AS PILeD .L.l CHANOEIL IWJWTlON CONCII!l:IWlL.fll!l!$1 INTlIlUL.:.J,U RIVIRII APPRAiseD VALUIO~ RITURN BABIO ONI ORIGINlIL RETURN 1. Realhl.le (Sohedul. Al (11.__ .00 2. Slook. .rid Bondi ISOh.dul. SI 1 21 '.00 3" Clonly Held Slouk/P.rlner,hIP In"'''' (Sch.dul. C) 1 31 .00 4, Morlg,glll .nd No'" (Soh.dul, 01 (, 4) ~ .00 5. Cllh & Mlto.lI.n.ou. Pet.on.1 Ploperly ISoh.dule el ( 51 ' 250.00 G. Joln\ly Own.d Property (Sohedul, FI I GI . 00 7, n'n.f.tl ISohedul. or ( 71 __ .00 8, Tot.1 A..." ( 6) 250. 00 APPRQVIO OEOUC'tIONS AND IlIaMA,TIONS I 9, Pun.r.1 e.p.n.ea/Admll\I.lr'IIV' Co.II/Mlloell.neoul e.p.~...ISoh.dul. HI I 91_~3? 15 I O.O'b\l/Mot (g.gn/l.l.n. (SOh.dul" II ( I 01 ~l!,56g . 78 \1. Toi.1 D.duotlon. I 111 12. Net V.lu. of, T.. Relurn, , 1\2) '\ 3. Ch'rll.l)"iOo~'tnm'nlal a,qUIII.ISeh.dul. JI. (131 14, N.I V,lu. of e.l". Subj'o\ to Ta. (14) NOTal U.n ......"",nt waa pr,vjO~"Y \I.~.d, lIn.. 14, 1& .nd/or 1& .nd 17 wll' r.fl.ot flgur.. th.t Inol~dI the total of Jlll r.turn. .......d to d.tl, ASIISIMINT OP TAXI \ 8, Amount of IIn. 14 11..ble ., 6% r'I' 10. Amount of line 14 ".,bl. aI 15% r.(. , 17, Prlnolp.1 la~ Du, TA~ CRIOtTlI PAYMeNT DATe 33,606.Sl3, _llt_356.93- , " .00 . .00_. (161 1\61___ .~X,06- .00 )(,15- 1171 .00 .00 .00 ReceiPT , # DISCOUNT, 1+) INteReST H . AMOUNT PAID . IF MID APTSR THIS OATS see REVERSE peR CALCULATION OF AOl;lITIONAL INTeReST TOT AI. TAX CReOIT 8Ai.ANCI op' TAlI O'\JI ~- IN1'IRSST 00 TOTAL DUI .00 tll ellena. OUt Ie' leu Ihen $1.00 no p,ym.nt I. t'ou".dl