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HomeMy WebLinkAbout07-27-09 (3)15056051058 REV-1500 EX (06-05) OFFICIAL USE ONLY PA Department of Revenue County Code Year File Number Bureau of Individual Taxes INHERITANCE TAX RETURN Po Box 2aosol 21 09 0449 Harrisburg, PA 17128-0601 RESIDENT DECEDENT ENTER DECEDENT INFORMATION BELOW Social Security Number Date of Death Date of Birth _ _ _. _. 206-10-9488 ! 05/02/2009 ' 08/29/1918 __ _ - Decedent's Last Name Suffix Decedent's First Name MI Gotshall 'Dorothy M (If Applicable) Enter Surviving Spouse's information Below Spouse's Last Name Suffix Spouse's First Name MI Spouse's Social Security Number THIS RETURN MUST BE FILED IN DUPLICATE WITH THE _ _ REGISTER OF WILLS FILL IN APPROPRIATE OVALS BELOW C!~ 1. Original Retum ~d 2. Supplemental Return :: 3. Remainder Return (date of death prior to 12-13-82) t 4. Limited Estate 4a. Future Interest Compromise (date of ~ 5. Federal Estate Tax Return Required death after 12-12-82) ~ 6. Decedent Died Testate 7. Decedent Maintained a Living Trust U..._ 8. Total Number of Safe Deposit Boxes (Attach Copy of Will) (Attach Copy of Trust) ~ 9. Litigation Proceeds Received 10. Spousal Poverty Credit (date of death 11. Election to tax under Sec. 9113(A) between 12-31-91 and 1-1-95) (Attach Sch. O) CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION ~OULD BE DIR~ED T0: - Name Daytime Telephon~l ear ber ~ ', 'Robert L. Knupp, Esq (717) 238-7151,=° c~~~""~ ~ :FT ~ ~ ./ ~ --t Firm Name (If Applicable) -°'~"" ~'~ """""~""_"" ' REGISTER OF W(tr¢~SE ONLY ' ~ -, 'Knupp Law Offices, LLC ' ~ %~% ~" rC~-si ..- First line of address -~ ~ ~ ! - _~ .. i - ' P.O. Box 630 ', v ~ ' Second line of address _ _ _ __ __ ___ _ 407 North Front Street _.. DATE FILED City or Post Office _ ...State ZIP Code . ............ _.. __.......... __ _ __ Harrisburg ; PA 17108 Correspondent's a-mail address: Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge. SIGNAT~ F PERS N I~ESPON I E F R FILING RETURN c D TE 111/1` Y ~ ~C4.t /~R 1 ADDRESS Elwood Gotshall, Jr., 8 Mir Drive, West Chester, PA 19380 SIG Of'` REPAf~E~ OT AN REPRE;:ENTATIVE DATF,/ ~~ ADDRESS ~ ~ Flowers & Flowers, CPAs, 5775 Allentown Blvd., Suite 102, Harrisburg, PA 17112 PLEASE USE ORIGINAL FORM ONLY Side 1 15056051058 15056051058 15056052059 REV-1500 EX Decedent's Name: Dorothy M Gotshall Decedent's Social Security Number 20610-9488 RECAPITULATION __ 1. Real estate (Schedule A) ............................................ . 1. ', 2. ...................................... Stocks and Bonds (Schedule B) . 2.' 321,236.16 3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) .... . 3. 4. Mortgages & Notes Receivable (Schedule D) ............................ . 4. 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ....... . 5. 190,710.00 6. Jointly Owned Property (Schedule F) Separate Billing Requested ...... . 6. 48,565.14 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property 41 94 (Schedule G) Separate Billing Requested...... .. 7. . 8. Total Gross Assets (total Lines 1-7) .................................. .. 8. ! 560,553.24 9. Funeral Expenses & Administrative Costs (Schedule H) ................. .... 9. , 61,947.46 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............ .... 10. ' 4,005.96 ', 11. Total Deductions (total Lines 9 & 10) ............................... .... 11. ' 65,953.42 12. Net Value of Estate (Line 8 minus Line 11) .......................... .... 12. ' 494,599.82 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) .................... .... 13. 14. Net Value Subject to Tax (Line 12 minus Line 13) .................... .... 14. 494,599.82 TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or __ _ _ _ __ transfers under Sec. 9116 ~,._ .___.~~~.__ _ ... _ . _....... 16. „~...,........ Amount of Line 14 taxable at lineal rate x .0 45 494,599.82 ' 16. , 22 ,256.99 17. Amount of Line 14 taxable at sibling rate X .12 ' .. _ 17. _... . 18. Amount of Line 14 taxable at collateral rate X .15 18. 19. TAX DUE .........................................................19.' 20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 15056052059 Side 2 22,256.99 __ 15056052059 REV-1500 EX Page 3 n.....,.l.. r.+~c• ~`i,rnnlnfn Arlrilrncc• File Number _, 21 ` 09 ~j'~0449 -----'----- -----r---- - -- DECEDENT'S NAME DECEDENT'S SOCIAL SECURITY NUMBER Dorothy M Gotshall 206-10-9488 STREETADDRESS 100 Mt. Allen Drive CITY STATE ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 2 Line 19) (1) 22,256.99 2. CreditslPayments A. Spousal Poverty Credit B. Prior Payments C. Discount 1,112.82 Total Credits (A + B + C) (2) 1,112.82 3. InteresUPenalty if applicable D. Interest E. Penalty Total InteresUPenalty (D + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Fill in oval on Page 2, Line 20 to request a refund. (4) 0.00 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) 21,144.17 A. Enter the interest on the tax due. (5A) B. Enter the total of Line 5 + SA. This is the BALANCE DUE. (58) 21,144.17 Make Check Payable to: REGISTER OF WILLS, AGENT PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred :................................................................................... ....... ^ ^z b. retain the right to designate who shall use the property transferred or its income : ..................................... ....... ^ c. retain a reversionary interest; or ................................................................................................................... ....... ^ ^ d. receive the promise for life of either payments, benefits or care? ............................................................... ....... 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration? ....................................................................................................... ....... ^ 3. Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ....... ....... ^ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ................................................................................................................. ....... ^ 0 IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is three (3) percent [72 P.S. §9116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is zero (0) percent [72 P.S. §9116 (a) (1.1) (ii)]. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is zero (0) percent [72 P.S. §9116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is four and one-half (4.5) percent, except as noted in 72 P.S. §9116(1.2) [72 P.S. §9116(a)(1)], The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is twelve (12) percent [72 P.S. §9116(a)(1.3)]. Asibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. ® ~~ir , . ~°NV~~p~ ~r~~. ~~~ ~a~ a~ ~a~~~ ~ ~~®LU~y ~.~~. LAST ~'~'ILL AND ~I'ESTAMI;It'T OF DOROTHI' M. GOTSILALL L DOROTHI' M, GOTSHALL, of Harrisburg, Dauphin County, Pennsylvania, being of sound and disposing mind, hereby make, publish and declare this my Last VG'ill and Testament, hereby revolting and making void all prior Fills and other testamentary writings at any time heretofore made by me. I. I direct ni3~ Executrix or successor Executor, hereinafter named, to pay all of my just debts, funeral and testamentary expenses as soon as conveniently can be done after my demise. II. I give, devise and bequeath my entire estate of whatsoever kind and wheresoever situate, unto my beloved sons, EL«'OOD Pte. GOTSHA-LL, Vest Chester, Pennsylvania, and RONALD L. GOTTSHALL, Middletown, Pennsylvania, per stirpes, or the survivor of them equall~•, share and share alike. III. Should there be any property of whatsoever kind and wheresoever situate of which Z have the right to dispose at the time of my death, including but not limited to any special or general power of appointment or both, I hereb~~ appoint the same to my legatees set forth in Paragraph II hereof. I~'. Ii is m~~ desire that. m~~ Personal Representative consult with Robert L. Iinupp, Esquire of the lave firm of hnupp, Kodak b', Imblum, I'.C., concerning the settlement of my estate: since he has acted as my legal advisor and is acquainted with my affairs. V. I nominate, constitute and appoint EL~~iJOOD R. GOTSHALL as Executor of this, my Last Will and Testament and further direct that he shall serve without bond. VI. If the said ELWOOD P.. GOTSHALL is for any reason unable or unwilling to serve as Executor of this, my Last V4'ill and Testament, then I nominate, constitute and appoint DAVID L. GOTTSHALL, as successor Executor. He, too, shall serve without bond. VII. Said Executor or successor Executor shall have the power to discharge all the debts, liens and encumbrances upon my estate, as well as any taxes thereon, to pay for the cost of the final disposition of my remains and final illness, if any, to receive any and all commissions and other compeusation for services rendered by me during my lifetime and to perform any and all fiduciary duties authorized by statute. Further, I direct my Executor or successor Executor to preserve my estate and an3~ instructions pertaining to the distribution of the same from any attachment or anticipation while in the hands of my said personal representative, it being my express intent that all legacies shall fre f~ree~ from an}~ attachment or anticipation «~hile in the bands of the accountant for m}~ estate. IN Vt'ITNESS V~'IIEREOF, 1 have to this, ~m~~ Last ~~'iII and Testament, typewritten on t~a~u 4 a es oi' is ~r set m~~ hand and seal at the end thereof this Clay of ~, % ~'~~~~%~~ O p` d I P' ~~ - _, 2004. 1 ~ ~ DOROTI-II' M. GOTSHALL SIGNED, SEALED, PUBLISHED AND DECLARED by the auove-named Testatrix, DOROTHI' M. GOTSHALL, as and for her Last Vi'ill and Testament in the presence of us who. at her request, in her presence and in the presence of each other, all being present at the same time, have hereunto set our hands as witnesses. (SEAL) (SEAL) COMMONVFTEALTH OF PEN!~'SI'LVANIA :SS: COUI~'TY OF DAUPHIN I, DOROTHY M. GOTSHALL, Testatrix, whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last V`'ill. and Testament; that I signed it c~~iilingly; and that T signed it as my free and voluntary act for the purposes therein expressed. Sworn to~nd subscribed before me ~~r~~~ ~~-~ ~ ~~~ ~ .~ ~ _ DORO'I'H`i' M''. GOTS~iALL t his ~ day of P .Q~/ , 2004. ~,t),~,~ (SEAL} Notary Public My Commission Expires: NotarSal Seal ~tnl V, Shay, Notary Public ~ ~artlsbuPg, Daup'in Camiy ~~ ~~1 ~~]ires FeC 26, 2006 w,~,,:..:_:. COA~FM ON~~i'EALTII OF PEI~INSI'L~'ANIA COUf~'TI' OF DAUPHIN :SS: ~~ ~~: ~ , the ~~~itnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to la~i~, do depose and say that we were present and sa~~~ DOROTHI' M. GOTSHALL, Testatrix, sign and execute the instrument as her Last V4'ill and Testament; that she signed willingly and that she executed it as her free. and voluntary act for the purposes therein expressed; that each of us in the hearing and si;ht of the Testatrix signed the P4~i11 as ~t~itness, and that tv the best of our knowledge, the Testatrix was at that time 18 or more years of age, of sound mind and under no co aint or undue influence. C,a~.~ J . ~.~, Sworn to and subscribed before me this ~',_~ day of ~~l/ , 2004. `~ Notary Public My C ' ~ ' Notarial Seal Carol V. Shay, Notary Publr City Of Harrisburg, Dauphin County Nry (,CXTYTYSSIOn Expires Feb. 26, 206 Member, PennsyYvania lssociationOf Notaries (SEAL) REV-1503 EX+ (6-98) SCHEDULE B COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 All aroaertv lointlyowned with right of survivorship must be disclosed on Schedule F. 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O~ S a Z°~ a J .W w ° X~ w 2 = ~ W}° °U w W W a> o 0 0° _~ ~° o a~ W S w 0 ~- ~ x w~~ p ~' U U} Z Z ,~ a p w vi } ~ I O ~ ~ ~ ~O ~ f~ ~D tD V1 O ~ ~ ~ m ~ O O M M O .--i .--I N M N N N~ '-1 V '„ ~~ V N 01 r„~ M ~ i ~ o ,~ ~n h m v N oo rn h oo v h ao 00 ~ oo N h ~~ c o in ~ oo N m m ,--~ m .~ N rn h m m v rn ~p o ,-~ J O ~ i v m ~ v ~ m m ~ m o h ai d' R oo m ~7 oC ~ O s v ~ m N in v i m in .~ m v h .-~ m N o N eo v cc 7 m N rY O O O N tD H lf1 h N .--I N h l!1 Cf V N ~ G N ~ to 1.(1 M lf1 N N ~ V1 L!1 m CO 00 M O dl ~ O lf1 N N r-1 r-I .--I ri cr i .-/ Ifl CO .--1 h N M lf1 C t!1 00 h lJ5 m N h h m .-1 00 O 00 lD tf1 m .-~ O Vl V1 N U'1 ~Y Q1 m h .--i ~ w ~ N h~ N h O N 01 ti l0 O1 m m m~ ~o m V ~ ~~ m N~~ ~n ~n ~ ti m to rn ,~ m N o N m~ m N V O O O N l0 H L/l h N +-1 N h lfl CT V u'1 u1 m V1 N N ~ V1 ul m o0 00 m O 01 V O ~/1 N H .-I .--1 .--I O LIl 00 .--~ h N m V1 V ll'f CO h t!1 m N h h M .--1 O -O ++ '. N N ~ m O 00 l0 V1 N 01 lD m l(1 V 00 ct T e-1 Ql .ti O1 ~ 7 ~ h h l~ m tf1 L!1 h Ln V .--I m e-1 Ql O 00 Ol rl N U N rl N H H r-1 r-1 r-I N r-1 (p Q C C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 .-i O O W iD .-i h 01 N O a' e-+ O m 00 N N m ~--1 ~ ~ ~"~ ~"'~ V' tJ1 M .--I L!1 01 m N N Ol cY O tO h V 00 e-1 O Ql O ~ to h 'ct 00 Q1 N h N ~ Q1 U 0 0 lD O r-1 O h 01 00 ~-+ N .-1 0 0 0 .--~ O O Vi t7 0o h t.n tI1 O m M In O m N~ 0 L!1 m m m .-~ oo ao m m .-~ h oo rn h m m oo ~~ N~ v ~ o a ui is ~ v ~ri v m ~ vi Sri v o .-i ~ ri ~ ~D m N ct ~ t~ ,-~ ~ .--1 N m lO .~ m m O N o0 j m N~ 0 0 0 N lD ti L!1 h N .-7 N h L(1 ~ d' V1 lf1 m tf} N N Cf' Lf1 V1 m o0 00 m O Ol ~ O Ifl N H ri r-1 r-1 Ql 00 O V Q1 Q1 Q1 O1 l0 m lD d' tlt O lD N Q1 00 l0 01 N ~ N Ol lD m 0 0 h~ r1 Q1 .--~ Q1 V O l0 h l11 h N N t0 lD lD M t!7 'c7 h l!1 m '-I N .--I 01 O h 01 O N e-1 ~ ""~ N N i--I ~-1 ri r-I N H ~ U ~ f0 QU C i O1 O O1 h M 00 Q1 O N 00 O Q1 Op N N e1 h h 00 O 01 tf) lD 00 m O .-I m t!1 ~ W N e-i 01 V' lD ~ 00 h ~ lf1 Ln l0 Cr rl 00 d1 N N ~-1 V m 00 l1'1 00 ~n `"t ~ V 00 .-1 eY Ql O H O tD 01 N N O N O m O h cY 00 O O Ol Ql ~ L!1 h ~ h Ql N 00 N CY Q1 U O O tD O rl O t0 Q~ 00 .-t N~ 0 0 0 rl 0 0 .-1 .--I ~-i .--~ ti e-1 ~-1 .-1 rl e-1 ~--I ~-1 H .-i ~ U CJ U W O O d~ W OO h m 01 N V h N M d Q Q U Q U J m W Q W W LL ~ O INL CrJ (;~ Q ~ m O h .-~ V ~ lJ C7 Q O O O o0 00 00 00 00 C7 ~ ll'1 l0 lD v1 Q 01 N r-1 00 ~-1 r-1 ~-1 N N N N N Cr U m o0 Ol N ct u1 t0 C ~ a0 00 00 00 a0 op o0 00 V lD Q1 N o0 m m 01 .-ti h N N N N N N N N M V h h O '-i r-I lD 00 ~--1 N .-i r-I .--~ e-i H .-i ~--~ N O O .1 N m m m m l0 Ol Q1 Q1 O1 01 Ol pl 01 Q1 v .Y N N Q1 ~ N ,~ 'ct V N ~ O ~..~ E ~ ~ ~ ~ N ~ m oo ~ m N ~ o ~ ~ N C v c ~ rn ~ u'1 ~ ~ \ v1 v1 pip ~ .~-i .~-~ 00 ti ~ ~ ~Ql ~ V N o\° T n~ c c a ry~ '-I o0 i--I ~ N~ 01 r ii v~ Z Q `n ~~ o ''' ~~ Z e N oo ~ o N o m ui '~ ~ MO V U U ? U ~f1 ~ ~ ~ F i!1 l0 \ h N ~ N ~o° h p C O O W= a Z H h ~!1 ~ h N Lf) m l0 l0 V1 m C7 O N O t: N= O O H Lm!1 Q Q Z t!'1 O V1 V m W ~7 V h J Z ~n vi to f- in ~n Z ~ O ro N ~ ~ O (~~ ~~ Q w p~ m m m Z Z~ Z Z~ L ~ ~~, N W ~ O = Z W O O N N N Vl N N N to W O L L ~F Q m U U LL LL l7 C7 ~ O ~ ~ ~ ~ ~ ~ ~ > O UJ N ~ y O O L C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 ~ 0 y N a~ C ru 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 to tl) Ul L/1 ~ ~~„t lD lD lD fY1 n n ~ ~ Q~ V ~ ~ w D ~ a SCHEDULE B Stocks & Bonds & Sweep Account Estate of: Dorothy M. Gotshall File Number 21 09 0449 Date of Death: May 2, 2009 PLEASE NOTE: Attached are the Wachovia Securities monthly statements for April and May 2009 to document the Decedent's Date of Death investment holdings. Please note that the Portfolio Detail as listed on the Wachovia April 30, 2009 statement represents the Decedent's Date of Death holdings since there were no investment purchases or sales on the 1st or 2"d of May 2009. This may be verified by examining the Wachovia May 3 1, 2009 statement. (see page 24 of the May 31, 2009 statement) The Wachovia sweep account balance (item 3 of Schedule B) as of the Date of Death may also be verified by examining page 24 of the Wachovia May 31, 2009 statement. ~, o; a~ o~ C J J Q S "': 0 Y -.2 1- '' O ;~ T;'. Q L:i ~ 2 Q N O V 0 0 O ~ O M N O W m J ~ _J Q Z ' Z r~ J O ~ U Q Q Q~ E L Q~ C ~ o o, 0 0 ~ 0 0 0 0 V M N V C7 N ,- ~ ti00~p 0000 p~ Q ~OOMO(+')0 ~ W ~rj 0 0 ~} O a0 O DD } OD .- tD 0 N ~ N N N CD p - N C'!) c1' I~ ~ to ER ~ ~OON0~0 00 O ~pOOt!')O~O I~ ~oooioin~ ~ ~ QI N ~ O N f^; W ~ r cD oo cD p v. ~~ I ~ p O ' r r w - M M ~"1 = ~ fA ~" r.l IM•1 :-; ':~ + ~+ / ~ ~ ~ M ~ N ~ N ~ ~ ~ ~ v a ? ~ ~ 7 r I. ~ '., 4l N ... ~ ro 41 ~ LI ~ ? O~~ ~ C ~ ~ a ro ~ ~ .E~. ~:~- ro m ~ ~s ~~ ~ E ~ ~ v~,~~,~o ro acumro m~L o ~,q` ~~~ d OUcnUCn ~U U O1 ^ w M °' -- co rn o N ~ f~ C o ~ O O O M ~ c!' . 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N u~ M ~ ~ i i c0 V CD cD cD ~ h 1~ O 00 ~ M m M CD O N !D O CD O N Q>tD O tD r ~p Qi ' ~ N I~ I~ O) r M O I L CO tD O o0 r I~ OY ~ O ~ t~ M 01 N M o d t(7 d to '~ N M M ~ ~ O r r cD M N t0 0 ~ ~ ~ I r r ~ N z z z z z z ' 0 ~ N M M ' N 0 V ~V N N 1 ~ T ) O I~~ z z z z z 2 00 di ~ d' f~ Nr ' ai ~ cN,~ ujT I z cD ~ DD (D N V ~n N O ~ ~ ~ ~ ~ 0 r 1 N ~ N 0 N 'J t O ~n rt ~ ° CD M o 0 to N N W 01 T O M tD N !~ N M O N O O O r O O I O O ~ O I I ~ o z =o ~ z ~ a O ~j O O u~ ~ a- ~ ~ > o ~ ~ ~ cn z to ~ cn N to cn cn U cn n- to to cn O to to ~ o o U o Z o ~ oo z o ~ 00 7 0 ¢ 00 Y Q ~ f Q om I-- o z Sao z N T a o N ~ N ~ O ~ 11 N p N r O N O O d N z c0 t0 ~ Z - - O cD J ~ o ~- T J ~ O O W W O Q -- O ~ ~ v lu i v ¢ a ~ O v N v~ N 1 o ~ N ~v = N N OQ v ~ v~ ~ ~ i } di O N N o LL i-- ~ 4 U ' ' W ~ _ ~Z (n J-. . m NIJ .= ww x .~ aa ~~ ~ ~ O ~ QUC7 ~ ~ ~ ¢ r ~~ ' I m o ~ g Oo ~ mmU > > cnom ° ~ ca o O ~ zaz ~ wa o-~ ° ~ za o ~ c~c~a i ° ~c~a cn c.7c~a =?_¢ _ ~ ==aa E-- ==a =a=aa ~E- _cn_c i __aa ~F- N 01 o ~~ ~ o ~' ~'~ 0 ~ J ~ J v a ~, ~ v=i O° ~ O N ~ ~ M ~ g ~".z _ ~ z Q T 0 ~ Q (.~ ^ Gc' Q 0 w W d O' z~ z- d dw _~ Z~ z~ dz I o I cd o m N I ~Y v ~ I ~ N aC J ` z ~ w z~~ F- W O ' m Z O rt O O'f 00 ~ ~ ~ H U ~ d r ~ rt' ct ~ N I. l f ~~I r;i i ~'I T i i i j ~ I j °' o~ I cv o ~o rn, I f ~ ~ I u-> ~ ~ ri et I ~r ~ N i I . ~~! 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U ~ ~ ¢ ~ U w z ¢ U I- m W ~ p) Y I- ++ cD r I~ r O N t() ~ ti ~ O N r In d M may' O O O ~ N V' r a0 d' O <- r (O M M ~n M N O (V M N M M C (~ r 7 d ~~ ~¢ ~ Y C7 7~ om r Od7' ~O r= nm Z w ~~ W O U ~w ?oa LL ~ ms ? ~ O Z ~~ ` ~ w n Z ti d r~ o` c E. o v '0 ~ E ;~ vo s m n v ~ 0 0 0 c ~, c m 3 E ~ N .~ U 01 ~~ m am o o~ ~ ,~ -' J _ OI ~ d ~ a A 0 0 c ~ c v .L m r- m ~ y u E E 8~ m a ~ m ~~ c m o '~ c ~ o ~ c ai o ~N ~N d d n o " a a d T _ c y o v~ a > 5 m° a c o _m a E m $ c m c O O N b vz n ~ '" E r E v U y~ aF o~ ~~ E ~~ v o o„ av L U Vii REV-1508 EX+ (8-98) SCNEDIJLE E p CASH, BANK DEPOSITS, $c MISC. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN PERSONAL PROPERTY RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. ITEM VALUE AT DATE NUMBER DESCRIPTION OF DEATH 1. Wachovia Bank -Custom Checking Acct# 1000635161203 21,325.69 2. Wachovia Bank -High Performance MM Acct# 1010071524481 44,640.59 3. M&T Bank -Market Advantage Acct# 15004200821848 21,988.57 4. Sovereign Bank -Certificate of Deposit # 465106292 including $4.22 accrued interest 15,004.22 5. Sovereign Bank -Certificate of Deposit # 465108116 including $3.17 accrued interest 11,237.36 6. Sovereign Bank -Certificate of Deposit # 465108512 including $4.38 accrued interest 17,204.36 7. Sovereign Bank -Certificate of Deposit # 465109841 including $4.22 accrued interest 15,004.22 8. Sovereign Bank -Certificate of Deposit # 465304871 including $4.12 accrued interest 16,861.97 9. Sovereign Bank -Certificate of Deposit # 765142930 including $3.16 accrued interest 11,238.96 10. M&T Bank -Certificate of Deposit # 31003910723608 15,498.58 11. $100 U.S Savings Bond, Series EE #065260197 EE, Issued 91411984, D.O.D. redemption value 185.48 12. Commonwealth of PA - 2008 Pennsylvania Income Tax refund (received and deposited 514109) 500.00 13. Cash on hand at D.O.D. 20.00 TOTAL (Also enter on line 5, Recapitulation) $ I 190,710.00 (If more space is needed, insert additional sheets of the same size) ~~~`~~°~ Custom Checking Oi 1000635161203 752 3D 0 115 SAFEKE PT Replacement Stacemen*_ 07; DOROTH]' M GOTSHALL 8 MANOR DRZVE PP WEST CHESTEF. PA 193b0 Custom Checking 4,'29/2009 thru 5!21;2005 Account number: 1000635161203 Account owner(s): DOROTH]' M GOTSHALL Account Summary Opening balance 4/24 $15,525.64 Deposits and other credits 2,546.05 r Checks 488.00 - Other withdrawals and service tees 21,587.69 - Closing balance 5/21 $0.00 Deposits and Other Credits i Date Amount Description ~ ~ / ~ ~ 7 C~ ~ ~/~l L ~ ~ I /N 4/30 629.05 AUTOMATED CREDIT PA TREASURY DEPT ANNUITANT ~~~ ~ ~ ~ 420091190597420 CO. ID. 1236003133 090430 PPD i 5/01 _,167.00 AUTOMATED CREDIT US TREASURY 303 SOC SEC 420091185514985 CO. ID. 3031036030 090501 PPD 5!04 500.00 DEPOSIT 0OOD08425125558 5/07 250.00 AVTOMATED CREDIT US TREASURY 303 SSA ERP 420091245456090 CO. ID. 3031036030 090507 PPD Total $2,546.05 Checks Number Amount Date Number Amount Date Number Amount Date 3801 488.00 5/1B Total $488.00 1855065340 Other Withdrawals and Service Fees Date Amount Description 5/11 250.00 ACH RETURN 000001278601141 REASON: GOVT. DEPOSIT PER DEATH NOTIFICATION ORIGINATOR: SSA FOR DATE OF: 05/07/2009 5!12 8.96 AUTOhATED DEBIT VERI20N PAYMENTREC 920091313631826 CO. ID. 9783397101 090512 PPD Other withdrawals and Service Fees continued on next page. 0 UU T WACHOVIA BANY„ N. A. HAFRZSBURG CAF ~ page 1 0_` 3 ~O~D ~~ / u~C~/ ~ `.~. 1 ~ _ ,~ 7 u ~:~ ~- CusLOn~~ Checi;ina 02 1000635161203 752 30 0 115 SAFEKE PT Replacement St.a temen: C7_ Other WiLhdraWill£ dnd SE rV1Ce Fees COZ1L hued Dace Amount Description 5/13 1,007.40 AUTOMATED DEBIT MESSIAH HOME STATEMENTS CO. ID. 231458000 090513 PPD 5; 20 20, 321.33 DEBIT TG CLOSE ACCOUNT ~ O l _S I G~~~ / ~~~ Total $21,587.65 Daily Balance Summary Dates Amoun[ Dates Amount Dates Amount 04/30 20,158.69 05/07 22,075.6S 05/13 26,809.33 OS/0_ / 21,325.69 05/11 21,625.69 05/16 20,321.33 05/09 21,825.69 05/12 21,816.73 05/20 0.00 AS YOU REQUESTED YOUR ACCOUNT IS NOW CLOSED, AND THIS IS THE ni~ioivT. ii 1VU ILYVL NiVl SjU~L'J'11UNS UR Wl`.iH '1'U RBUPN.N THZS ACCOUNT, CALL US AT 800-WACHOVIA (800-922-46841, OF. CONTACT YOUR LOCAL FINANCIAL CENTER. WE APPRECIATE YOUR BUSINESS. 92009132722880: 000758539600000 WACHOVIA BANK, N.A. HARRISBURG CAPITOL page 2 of 3 ADI A625728 TF9G54U2 Account Detail Inquiry CZ120101. 05/27/ ~_ ~; Org: 075 Serv: DDA Acct: 100063516120 Tax id: Memo: ld~ .o ~ 075 DDA 100Ci 635161203 DDCU Opened 01p2~950 Stat: CLOSED Acct Tax Id: 5206109488 Reopened: ~ Br 85396 St: p Fed W%hd Oi 11091995 Closed 05212009 ROS Prev W/hd Jnt/Sgl S DLM 05222009 Services Pers/Com: P Src BAT1645 Secured Mrgr: CORE Legal Titie DOROTHY M GOTSHALL Bank: GU8 /POA ELWOOD R GOTSHALL JR IRA Plan: Primary Address: 8 MANOR DRIVE WEST CHESTER PA 19380 Addr Type: N Command: ADI2 F1=Help F2=Erase F3=Exit F4=Next High Performance Money Market O1 1010071524981 752 30 0 15 SAFEKE PT Replacement Statement DOROTHY M GOTSHALL 8 MANOR DR PB WEST CHESTER PA 19380 h P f Mone Market 4/24/2009 thru 5/21/2009 y~i'~ `D9 075 000000000oooooz Average Interest interest balance earned this statement period $44,639.12 54.76 ~/ ,~ / BJ~u / ~~'~ m Y.._ ~ _~ ~~..~~......._ Y~_~ $40 48 ~ y ~ 0~ r~ Intereat paid this year , /7~~~ ~, ~a f~r ~r Interest Rate Summary R t ~ Dates Rate ~ Dates Rate k Hig er ormance y Account number: 1010071524481 Account owner(s): DOROTHY M GOTSHALL Account Summary Opening balance 4/24 $44,639.12 Intereat paid 4.77 Other withdrawals and service fees 44,643.89 - Closing balance 5/21 $0.00 Deposits and Other Credits Date Amount Description 5/20 4.77 INTEREST FROM 04/29/2009 THROUGH 05/20/2009 Total $4.77 Interest Number of days this statement period 26 Annual percentage yield earned 0.15 ~ Dates a e 9/24 - 5/19 0.15 5/20 - 5/21 0.00 Other Withdrawals and Service Fees Date Amount Description .f ~ 5/20 44,643.89 DSHIT TO CLOSE ACCOUNT /G YS ~'/, ~"~0 /'M Total $44, 643.89 `l / t~~ / Daily Balance Summary Dates Amount Datee Amount Dates 05/20 0.00 AS YOU REQUESTfiD YOUR ACCOUNT IS NOW CLOSSD, AND THIS ZS THE FINAL STATEMENT. ZF YOU HAVE ANY QUESTIONS OR WISH TO REOPEN THIS ACCOUNT, CALL US AT BDO-WACHOVIA (500-922-9684), OR CONTACT YOUR LOCAL FINANCIAL CENTER. WE APPRECIATE YOUR BUSINESS. Amount WACHOVIA BANK, N.A. COLONIAL PARK ' U • V J ~' page 1 of 2 ~~ ~iV/ ~N/ y~G lCr~ ~~~ n '~~ 44 ~ 039 • 12~,+ 1.47 -F 44~640.5~ ~= ~~~~ 000758539900000 ADI A625728 TF9G5402 Account Detail Inquiry CZ120101 05/27/ 13 Org: 075 Serv: DDA Acct: 1010071524481 Tax Id: Memo: Hold: ~ 075 DDA 1010071524481 HPMM Opened 0 07003 Stat: CLOSED Acct Tax Id: 5206109488 Reopened: Br 85399 St: P Fed W/hd 01 03072003 Closed 05212009 ROS Prev W/hd Jnt/Sgl S DLM 05222009 Services Pers/Com: P Src BAT1645 Secured Mrgr: Legal Title DOROTHY M GOTSHALL Bank: 008 /POA ELWOOD R GOTSHALL JR IRA Plan: Primary Address: 8 MANOR DR WEST CHESTER PA 19380 Addr Type: N Command: ADI2 F1=Help F2=Erase F3=Exit F4=Next _. , 7fi0 North Pottstown Pike, Exton, PA 19341 610 363 9070 rnx 610 363 9120 Mav 20. ? 009 Elwood R. Gotshall, Jr., Executor 8 Manor Drive Vilest Chester, PA 19380 RE: Estate of Dorothy M. Gotshall Dear Ivlr. Gotshall, As requested belo~r are listed the accounts held by Dorothy M. Gotshall with M & T Bank. I have calculated the Date of Death balances on each account. Money Market Acct# 15004200821848 $21,988.57 Certificate of Deposit #31003910723608 $15,498.58 Total Date of Death Balances $37,487.15 Please contact me if you have any further questions. I can be reached at 610-363-9070. Sincerely, '~ ~ ~ ~` -~~\ Sits ~ mrt Customer Rep II Exton Branch Sovereign Bank MAl MB3 02-10 Court Ordered Processing P.O. Boy: 84100 Boston, MA 02284 May 22, 2009 Mr. Elwood R. Gotshall Jr. 8 Manor Dr. W . Chester, P A 193 80 Estate of: Dorothy M. Gotshall Date of Death: May 2, 2009 T 1! /1 _ ~_ 1 _ 7 7. Lear ivlr. votsnait: Per your request, enclosed please find the .account information as of date of death for the above-named decedent. Please note the balances do not include .accrued interest. If you should have any further questions, please do not hesitate to tail. Very truly yours, n ~~~~~_ .. Linda Spavento Team Leader Court Order Processing Phone (617) 533-1789 Fax (617) 533-1931 Sovereign $ank ESTATE OF SOCIAL SECURITY #: Dorothy M Gotshall 206-10-9488 DATE OF DEATH: May 2, 2009 ~~~~; - SPA ,~hPG/u~P Jo~~I ~ Account #: 0461075822 Type: Money Market ~ Open date: 1/3/2000 In the name of: Dorothy M Gotshall or Elwood R Gotshall Jr Date of Death Balance: $34,293.41 Int.(YTD) from 1/1/2009 to 4/30/2009 $72.85 Accrued interest to date of death: $1.83 (lthor Infn• Account #: 0465106292 Type: CD Open date: 9/26/1988 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $15,000.00 Int.(YTD) -from 1 /1/2009 to 4/30/2009 $126.88 Accrued interest to date of death: $4.22 Other info: Account#: 0465108116 Type: CD Open date: 8/3/1996 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $11,234.19 Int.(I'T'D) from 1/1/2009 to 4/30/2009 $94.52 Accrued interest to date of death: $3 . ~ 7 Other info: Account #: 0465108512 Type: CD Open date: 1 /31 /1997 In the name of: Dorothy M Gotshall, Elwood R Gotshall 3r POA Date of Death Balance: $17,199.98 Int.(YTD} from 1/1/2009 to 4/30/2009 $130.68 Accrued interest to date of death: $4.38 Other info: Account #: 0465109841 Type: CD Open date: 7/30/1994 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $15,000.00 Int.(YTD) from 1/1/2009 to 4/30/2009. $126.88 Accrued interest to date of death: $4.22 Other info: ~~ f Paae 1 of 2 • r . Sovereign Bank ESTATE OF Dorothy M Gotshall SOCIAL SECURITY #: 206-10-9488 DATE OF DEATH: May 2, 2009 Account #: 0465304871 Type: CD Open date: 12/14/2001 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $16,857.85 Int.(YTD) from 1/1/2009 to 4/30/2009 X123.13 Accrued interest to date of death: $4.12 Other Info: Account#: 0765142930 Type: CD Open date: 11/1/1996 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $11;235.80 Int.(I'TD) from 1/1/2009 to 4/30/2009 X94.54 Accrued interest to date of death: $3.16 Other info: Pape 2 of 2 ~, F-. "^ Q• m lS ~ ~~ " ~~ La ~~ rs~ rr, ~'~ '~' '~` c, ~ ~ U7 ~_ ^' ~ fi3 'w c' Q.i Q-~y' ~r «~ G -^'1 ~' Q r., ri p-, ~ 37 -.. ~~ r G _ v i^ UJ .I~~ ~ IA. `l ~ ,~ ~L- ` ~rf ~ uy~ ~.) i 3..T f,"~~ ~' ~J Cis J '` G r.. ~ CC ~~ ' fi W ~ ~ . ~. ... .` r k'-t r ~ ~. u..... OJ ti7 CCa ~ ~ q ) c. ;..,7 i".t ro ro '' `-' ~~ x lit U , ... I { ~' ~ ~ U5 tom- r•p a,a, ^~+ C 0.) tCt [Ci ~LV'b ~ -' CC Y' ~ ~' 4'~., ~' '^ a ii F-• tl s-. N- ~"^ r-•. ~ ~ r--- u. ~f J ~ ~~ ~ ° ~ ~ ~ ~ ~ ~ ~ !J ~ ~ ~~~~ ~~~~~ 8 ~1:$ 7 5080 ~ i~4i66Y18 ` O i fi 04 1 309 001 00000 ~ y ,<- ~ o a ~' _:.'60 - 1 4 2 ..~ -: 1 i i 313 FUND ncar Jr~rep w6ueraRn ~ . ---- 4"`V, _ . ` fn.. s r'I ~ [4~ 11''~~ :~L`~d~tCwkS~R, ~'A ~= t e . DATE ° ti~R~FIC~iTfIiJN Ak~fPdLABLE -'~'QSIFIVE,~F?AY -~O~E'~D ~> _ ~ , - ~ _ VOID AFi'ER 180 QA~ ~ TO THE ORDER OF ~. - .. ~ #~1''#'ir~~~#k~4 > DOROTHY M GOTSHALL n DLN OBi01Dra60457 REV REFUND ~ 8 MANOR DR WEST CHESTER PA 19380-3932 g /) + ~ ~aaa~~`t~ain~~Rn~~~~~nn'~~~{{~U~'~N~~f~lN~~t~~/~'U~1 EASUFtER OF PENNSYLYANIk -----. ~'S~5564? ln' E:~i31361~, 2 2~. 1 ~ Z i 53~471t' DEPOSIT TICKET Q~casH- a / Q DOROTHY M. GOTSHALL ~ ~ /~3-- O e ~' ~. 5' _ ~ b °y45D0 OXFORD RD. ~~~ m~HARRIS$URG, PA 17109 P ~ b ~,/ (~ ~~-y l ~' L~~ 1 - ~ ` DATE ' ~~ OEPOSfTS MAY l~pT BF~AVAILAB E FOR IMMEDIATE WITHDRAWAL ~~~~~~~ r_ v D ` Q SUB TOTAL - 3 SIGN RERE FOR C~SN REGEIVEV (IF REOVIREOI x BlItC LESS CASH - _ ~ Ribbon x RECEIVED WA~:H4VIA CheClzng ~~ wachovfa.com ~;5-+75D5 259t; 10006 3 5 16 1 20 3~~' ~}i~CN~tj-A ~~h1K , N ~ G05HEN ~.~est Ches7er DS~~ 51T T~ r=~CCT~ 1 xxxx ~5~~ ~0 AM„UNT -in1~~ 11[35 r'!° fsec'osit ~ffECT1VE' D3~e~ C5;0+•`p` j U 0` (9 ~ u~ ~~ ~ ~~ 'S~° 1 Gk ~ ~ ~ ~ ~p fj ~ ~ / 4 G~ ~ ~ v/ ~~ Tha.nl; YOU for Your 5usine~s ~la~.hov i a REV-1509 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE F JOINTLY-OWNED PROPERTY ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G. SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT A• Elwood R. Gotshall 8 Manor Drive, West Chester, PA 19380 Son B' Ronald L. Gottshall 11824 Hearthstone Lane, Middletown, PA 17057 Son C. Alicia B. Titus 1690 Oberlin Road, Middletown, PA 17057 Granddaughter JOINTLY-OWNED PROPERTY: ITEM NUMBER LETTER FOR JOINT TENANT DATE MADE JOINT DESCRIPTION OF PROPERTY INCLUDE NAME OF FINANCIAL INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST DATE OF DEATH VALUE OF DECEDENTS INTEREST ~ • A• $25 Series E Savings Bonds - (Schedule & Copy of Bonds Attached) 10,523.48 50% 5,261.74 2. g. $50 Series E Savings Bonds - (Schedule & Copy of Bonds Attached) 16,816.70 50% 8,408.35 3. g• $50 Series EE Savings Bonds - (Schedule & Copy of Bonds Attached) 3,564.14 50% 1,782.07 4. g, $100 Series EE Savings Bonds - (Schedule & Copy of Bonds Attached) 1,296.72 50% 648.36 5. C. $1000 Series EE Savings Bonds - (Schedule & Copy of Bonds Attached) 3,484,40 50% 1,742.20 6. p, $1000 Series EE Savings Bonds - (Schedule & Copy of Bonds Attached) 4,142.40 50% 2,071.20 7• C. 12!11103 Wachovia Bank -Certificate of Deposit # 247412041980777 11,503.59 50% 5,751.80 8• D. 12111103 Wachovia Bank -Certificate of Deposit # 247412041980770 11,503.59 50% 5,751.80 9• A. 01103100 Sovereign Bank - Prem MM Acct# 461075822 including $1.83 accr. int. 34,295.24 50% 17,147.62 (See Continuation Sheet for Additional Joint Tenant Information) (Issue dates for above Savings Bonds were all 2000 and before. See attached schedules and copies of bonds) TOTAL (Also enter on line 6, Recapitulation) I $ 48,565.14 (If more space is needed, insert additional sheets of the same size) SCHEDULE F (Continued) Jointly-Owned Property Estate of: Dorothy M. Gotshall File Number 21 09 0449 Surviving Joint Tenants Name (Continued) D. David L. Gottshall / 4500 Oxford Road, Harrisburg, PA 17109 /Grandson . ,-«.. ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 1 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $25 U.S. Series E Savings Bonds Decedent Held Jointly with son, Elwood R. Gotshall D.O.D. Redemption Issue Date Bond Number Value 1-May-1974 45140781929E 129.71 1-Jul-1974 45176374400E 130.02 1-Aug-1974 45176405701E 130.02 1-Sep-1974 45192576493E 130.02 1-Oct-1974 45192606630E 130.02 1-Nov-1974 45192633829E 131.26 1-Nov-1974 45192617249E 131.26 1-Dec-1974 45192641803E 131.59 1-Dec-1974 45206912996E 131.59 1-Jan-1975 45206935922E 131.57 1-Jan-1975 45206924980E 131.57 1-Jan-1975 45206941490E 131.57 1-Feb-1975 45206965572E 131.57 1-Feb-1975 45206959388E 131.57 1-Mar-1975 45206974961E 131.57 1-Mar-1975 45227250785E 131.57 1-Apr-1975 45227260102E 131.57 1-Apr-1975 45227269936E 131.57 1-May-1975 45227297931E 132.83 1-May-1975 45227288224E 132.83 1-Jun-1975 45227312064E 133.15 1-Jun-1975 46010046201E 133.15 1-J u1-1975 46010059740E 133.15 1-Jul-1975 46010066906E 133.15 1-Jul-1975 46010073784E 133.15 1-Aug-1975 Q6010087909E 133.15 1-Aug-1975 46010096924E 133.15 1-Sep-1975 46010107850E 133.15 1-Sep-1975 46042176438E 133.15 1-Oct-1975 46042186218E 133.15 1-Oct-1975 46042196290E 133.15 1-Nov-1975 46042222957E 134.46 1-Nov-1975 46042227508E 134.46 1 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $25 U.S. Series E Savings Bonds Decedent Held Jointly with son, Elwood R. Gotshall D.O.D. Redemption Issue Date Bond Number Value 1-Dec-1975 46042236465E 134.75 i-Dec-1975 46042247429E 134.75 1-Jan-1976 46048515494E 134.76 1-Jan-1976 46064671533E 134.76 1-Jan-1976 46064677012E 134.76 1-Feb-1976 46064687175E 134.76 1-Feb-1976 46064699633E 134.76 1-Mar-1976 46064715243E 134.76 1-Mar-1976 46064724094E 134.76 1-Apr-1976 46064736480E 134.76 1-Apr-1976 46084227204E 134.76 1-May-1976 46084239118E 136.04 1-May-1976 46084249667E 136.04 1-Jun-1976 46084271667E 136.34 1-Jun-1976 46084262528E 136.34 1-Jul-1976 46084291399E 136.32 1-Jul-1976 46084281104E 136.32 1-Jul-1976 46093583513E 136.32 1-Aug-1976 46107882687E 136.32 1-Aug-1976 46107894221E 136.32 1-Sep-1976 46107904298E 136.32 1-Sep-1976 46124066502E 136.32 1-Oct-1976 46124072726E 136.32 1-Oct-1976 46124082188E 136.32 1-Nov-1976 46135728842E 137.65 1-Nov-1976 46135739848E 137.65 1-Dec-1976 46135768998E 138.04 1-Dec-1976 46135762230E 138.04 1-Dec-1976 46135745089E 138.04 1-Jan-1977 46135784890E 138.04 1-Jan-1977 46135791476E 138.04 1-Feb-1977 46145851519E 138.04 1-Feb-1977 46145857442E 138.04 2 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $25 U.S. Series E Savings Bonds Decedent Held Jointly with son, Elwood R. Gotshall D.O.D. Redemption Issue Date Bond Number Value 1-Mar-1977 Q6145873085E 138.04 1-Mar-1977 Q6145883626E 138.04 1-Apr-1977 Q6170854323E 138.04 1-Apr-1977 Q6170870132 E 138.04 1-May-1977 Q6170880504E 139.40 1-May-1977 Q6170891333E 139.40 1-Jun-1977 Q6170903969E 139.70 1-Jun-1977 Q6170913166E 139.70 1-Jun-1977 Q6170918987E 139.70 1-Jul-1977 Q6170927350E 139.67 1-Jul-1977 46179253617E 139.67 1-Aug-1977 Q6179265089E 139.67 TOTAL 10,523.48 3 ,~ AT -THE ORIGINAL MATURITY -HEREOF Wlll. ,PAY ~ ,"'- v -_ ~'`~~ ~~ ~` ! ~ c t S S U E D A T:E -~ ~~.~~y,:~~ r,.r WHICN l5 THE FIRST DAY OF .T> ~iet~i'' 3~+~ .. - ~ l MONTH i - - . - - - 1 YfiAR) , - ~~ ~= ~ '~'~ ~' ~'~ ~. ~ ~ ~- ~'-'N lxrc wxouuwu YNN[N A°[NONm or rr{op cr- a.N{NO{o.an{aaw- .. - HTTd ._- - ~[ rNC [urc ralanNxns [w.~ '~~~~: '- ~~[qq TNEIIMII[C [MM[Y~i°[OV[11[a{Y { NPN[C['R°r af+tN,f [N<M. ~-~ ;~~I.~'~ ~ w.aN,N°ro~ ~; Q 514 0 7 81 8 2 9 E _.. ...~.. [ r-,~ -~ .~ .. , ~. zl .~ . ~- ,~ _ . -. ----------------- _--- -!~ ~f. 7l-... -- - --- -- 'i17 THE -ORIfifNAL M ATURtTY ~HERHDF WILL PAY • _ ' V r '^ ISSUE DATE a `~~~~~~ WHICH 15 TiIEF.iRST DAY OF '~ _ _ tMONTYi 1~ ~__~` lY&Aq)-~ a ~- ~' ` ~ <~:~ , .r. ' Y F -' ~ OH' mma°Nmi ~asuo°~a,{µww awco mal°rwlu i[ wuo o°ia'r: ou v~n ' -. - 3[NIaW{N{Oa[aa. ANa OLtNGW{/AM l1YNINf NKY.r°[fw,x[xf rx[MRM ~'~~-~~~~ -. -, ~~~~ taaAW GNO~A[i1T ~ ,~ Q 517 6 3 7 4 4.0 0 . Sn/eHryMMI/n~Yry r y~~~{{ `, AyT ~THE.:ORIG/NAl ~TRTURITY HEREOF WILL PAY -~~ '~ ~~„~~ w '.xR~i'~ ~..i.~~ WH CS S THE F° A DAE OF ~p~~y+,~ IMONTHI _ _ IyfiARI-_ FF[ ~ .~ TL'~~+~-b3iiiT~ 4'~~~ ~.. ~+r~~~ ~iY7Rrn~f~~Jr~~~{ l~ ~'~ iwstOi.NOe°ro:oiNO °r r w r aex~ wc,i {v irNO o~'~i o a: o. - sc: iio:no o.no .x [uvsN[ ou~.c n[u~.for. u,Nix. min<croa ,~~-y~~~~~'~-~ t YIDS ~ ,NCA~uN°..o~N[x,°° P Q 5 17 6 4 0 5 7 01 E .. ~~..~/ AT.:THE pRIGINAL MATURITY HEREOF WILL PAY ~_ _ • ` ~~~~i~~~~~a l S& It E A T-E ; s vwNTV,. ¢_>s'c-`-_R - WHiCfi l5 THL FIHbI UAT OF ;r ' ! ~ "~ ~ ~ _ ` ~ . -(MONTH l _ _ (YE aR1 ~.~ ~ hI U y T jJ I ~ : T ~ ~ J.~~ ~y.~~ 11 .j ]I ~ i. E g y ~~ :~E u~ i,. r;r~~. ~I'ktr , Aso" , ~ ~rP ~ ""~ L~r ~' .t• ..~"~ `~F aNN aDN uw DFN and no K un N~• ~asa F of ..,xoneu.- wD Ne ~ ~ A ~ r aw a [ n ouEV rn- y . ~. sn Top wren, .ND aerrrra[anul aawrxa [Ortar MYN[xi TxGE[Oa. T4~'.~~" ~~~ i [`~A 1NE15VRY YEM.NTYENT r '~-`jI L, J~~~~~~ w s row. ~.s'i,,,y:>m,~ ~ ~ ~ V C V l b ~ ~ ~ t &,~.;. ', .AT 'THE~<QR/OINAL.~MATURITY HEREOF' WIL4 PpY ~Q _.- sy~.l ~~Y~ZE~S ~~'.. To u~w ~ ~. 3 tMONTH3 ~~~~....'(-YEAR} ~_'~~: • • . }f~~~~qq@~;..EE'+~~!~s,s~ ~y~ ~± +¢ ~,.p iAr3lTiaG~~ -e [7n~~ ~efY7~~iT'i~i+ (~L .~N~~Nj ~ ~iiis ~'ii'ri~~ ~~,, `e ~a ~ ~~~ ~+~.r~"Fk~~~E{ ~ . ... MIfaONOO1WIWYNVaaM11NO110YOf icrNmTN.Eiio[Y.~[E~iwCO"Y O«aini:FOw~iA~ TYNONOAa[,aaMllMVaa,aMaraaVa- aaanxaNEennarasn[Nerr [nEaraN. ~~ 3L .~l , TNFaWRYDEMRIMCNf Wa9NIR6[ON ~..~ P o i 19 ~ 6 0 0 6 0 o E ~~ .ArM+9a'atrnrarwy f. ~. AT THE .ORIGINAL MATURITY HEREOF WILL PAY ~ ,~... ~ i'~ .5: ~ Li Ti PiiR ABC M~ -~~U~88 '~ ~~+~ ~n~~arTMa«:~ YNM ~ .oN ~ ~.rarw .Na~.FY. R „~ T scw.eo .na n~[En..xo eeanemaa[a: ioMn . .NU,i;i"`nF`raa; T .' _ ~~~~~ ~ 1PFaSYM D[iNR1MCNT ~ qqqqq .YY WHICH '!5 TH]:;FlRST-DAY OF ISSUE DATE WHICH IS THE FIRST OAY OF _ N©.~_t_ 3 _9~~r i~~ ' C{3~4MQ~~f~7~:L~'H ~.~~~ ~I~ HARit;i-S~~1,~' ~'A fl~~'' i~--<1 ~~4 Q519.2'!~3.38~~E O 51a~ 633 829E_ ~3/. ~ L {~~, y AT-THE ORIGINAL MATURITY .HEREOF WILL PAY ~,~ _~ 1:+,1?7+gl~y~; ~~~~ ~'S:4~~~ WHICH IS THE FIRST UAY OF ... 4i ~; fwx ~'` (MONTHI __ (VEAR)_~ l -.~ >~ wry T1~~~~,{~I~- ~~y ~/ +y y~ ~~~ y $ /!mil/ ~y y~ Iri .~ "_'^ ~ ~ '-6'+R©=#•T''.{Y' 't~Li74;'i. ~®~?F~Y`4~i4"r:(4. ~~iY?0.'V i"C 6Y Ci `,``~~ ~: ~ ~a~~~'>4y ~' ~.F~,f w - lxls wx nluv uxoi vnio o e° s uo s M. f ~ xD-.DYl .NID rtM OxM1xf <CxliOr ilx[•EIOq, y~l~ ~~- ,fin t. ~,~ I! T•EAW f1Y IXMMx[nT 0 PTM ~- --"-_ ~ ~ .y.1~},., ~ ~fxixcTOx ~ ~ ~ 0 ~ 1 ~ 2 b 1 l 2 4 E l."1Clif1 .T ~~~~~~ ~ .icry NNrrrnrrry ~.' ~_ R AT .THE CRt61NAL bIATURiTY :HEREOF WILL PAY ~r.h ~~ ~, ~ - -, •• ., iSSJE D~,T-E WHICH IS THE FIRST UAY OF _ -+ ~~~~.. IMONTMI-~__ _ fYEARI__ 2:. ~"`~`54 r~r ``~• -~ ~~ -~~~~ ~~~~~ ~~~~I~~~~ l ;,r_ ~~~ Talc wxessucuco - r•. f. norm Txrn•x lxecawrtxsxsf nD r. • over rtDV•r .f.- {~~ { ~3,sG.b ~+f. Ef;7f~~ -- - •!xslD weonen.fxo DUwfxr•nul lo. x.rvm Txc•!lo•, 'RR !$ Li7"Eli'®4Tit ~~ r/2riMMf DlYwkIMlM ~ ~..~ Q 5 19 2 6 41 8 0 3 E f~..,,- .Frmvry YW anws~y _,... ~~~~~_~ .. -.. wasMxorox - Ifrm .- 1 .. .- 11 I V 11 i~l 1i i ! i ! `it ri r~~ ~ ~- D~, V~. ~~;.~~..,,U f1~ - AT THE~~ORIGINAL MATURITY HEREOF WILL PAY ~.,~.~'~ ~~ iSSI~E .PATE ~~ ~~ WHICH !S TNE'•F{RST UAY OF _ ~,_ fin. 10 _ Vs. y_ s aa-r II{ I (MONTHII 1YSAR)~~ k, . n.' ~A~ ~i~fA\tA7 ~_fi}':at-'+Yy-~=.'17~p }~ 'Vp FYi31.yi SLtfS~~~ "~ii viv~~~P.GS{3 +~~A~'~''p~.{~p ~^D -. - 1 is~. ~~Vtai iJaPiIF ~7'+~{J 3[LHY7 i7'1~~.7h7 PlG g `` nom, fie q ply (- t -}r~./~ ray ~yn~t y },,~ ~ I~ r~ =~ ' F-t'~~'3"~~f~17 ."~~ i~L. i:I.J~ lr 4J~l~i~7~~7.s {3 ~'r?~. ~: flR P E~#iiN~~fi~~11. ~t . u • ' ~~:#~C}QC3 R GE3~' ~Hi~~L HARf~ISB~RG ~ •R-A ~ P4li~ ~~~ Na i0 -946 JAN~'F?6--~~75 ;. ~~,_-. _~; ~ lwswxD mu a•funw•merm sox lc<`mos xswerxµDlsfvw ~~^~L ~.~L~~L~ 'fN ~{nmTx TlMUI• oxMlalf aTwwo - u vwo ox{ Ir„v .j~ #3 f~ _ .. xwem •xe DnfD.anDllMlllOlMAx. ,p T"~. ~"~ ~w.x /y ,xwvxY°~xTxl"' ... ~ ,~ Q 5 2 0 6 912 9 9 6 E ~{~~~ ^ -, ~ ~ WRixIxOTOM noa.. ' ~ 1A`1/ ilR.{'/) Snrroryoarf y ~.,, ~.~ ~ y. ~ , - - u ~~~~1-'~f -~Ar YHt ~~itlYlril[L MATWRITY HEREOF YJI'~L PA1' ~^-~~..~/~~,..,1 t~~,~` `~ l,~ ISSU'E DATE '- ~i;?F:' - WHICH 15 THE'FIRST. DAY OF. ~n To `I:IIYt~t# ~"~~' ~ k (~AO~ITH (YFA~R? _ _ ~ ~ ' °~ _ NRS ~.t~~Hl'~ :~9-:Y x~D~5r.4A~~. ~D>61~9t-8~6 ,~~ '~ ~~~ =~.~- ~ z~-o~ c~~a~~~,~ ~ fir;- .~ ~`-. - ~ T fn"o n~amm uNbTN iunlollm or rceoxo nc u~NE D[o ANOU[us. ~{ f{ ;~[ ~'y~^ _ fC INOfMO-011t(D.'YI00[W[N[00[MI ~ NO N[fNM OI MWINI IN[~OOB, ~~Q~.-y~'TJ, ~.J'!.T^ ~I_ ~~~.~~ WASNINOTON r- '"`""'""°`"~Y`"T ~--~ ~ Q 5 2 0 6 9 3 5 9` 2 E .filmfi7 NMr/~rvwy ____ _-___ _.~ - 1 -~ ~- ~ AT THE ORIGINAL MATURITY HEREOF'WILL PAY ' fSSUE..AAT-E _.. ~ WHICH IS.THEtiptR57. DAY Of iMOIVTlc II - ~ - - .. 1 T='AR1 ~.~ ~~s #a4 ~.7~Q~9 Gt~l~tlt G jar,:., is _ w"t 7N ~ _ +rc m nic nin~ia~Dµ wa f~ ° ~N Yrr.roRNw~i wu° w r~ ~,i wiv IN ~~~~.L~' +~~ _ .- - ~ ~~ ~ ~ ~ TN WAS INOTONY[YT O[YY[MOf[M.... 11[ttl[IOr ww[NI mG[ID6 }'7 ~~ 5 ~0~ 924 98a E M - _ - ~ J ~ti i~~~~~ . ~~ti„ - - ~- AT THE ~ORIGIHAI~MATWRITY HEREOF WILL PAY _,~ _ ~~. ~ ~~~~~~ ISSUESDfITE WHICH t5 THE:. iRST OAY OF To JA#1! 145 '~I, ^IMONTHI __~~` fYEAft1_- -~ ~~ MRS QtIRt}~'t~3' _119~t~` :~Gfl~Sfi~A`t~. ~t~b~~tJ~i48~ ,,. ,,\` ' ntr L- trn D ~ tal+ift;l~i/NE~ aat-;w:l~ l' iM ,. t~'+ry r 3.~i'fc71T~T•G.TaS!•T e.a w[ ELWC-3Q~ •.~ ~Gt~TS~~i:1 HA~R~`Y S$13R~?,. P~1 - - Pt}~ AFL ~fl -.~,4 ~;r~8 +~~a~:-~r~,s~~:,.;~-t~~~ <;. . W~~ - TN ~N YNR wx~ rtn ~MTro +x' ifrc r.u fl~u~o oe[a ~wousw. [Ed ~-~~~"~ ~- (\~ TNEASOITf DFwRTM[MT ''>y~ ~ ~ n ~('~~ '~^~ (`-'~~~ en7 t. _- AJ~~~~~ ~ sNINDroN `~"'r7'~ / ~~ <I( ~ ~ ~ V ~J I"'f ~ ~ 9 O~ rte... ~~~~ti~~ - ~ ~i-r\,~, AT THE.~ORIGINAL MATUAITYHER.EyO,yF WILL PAY`S ~~ • vAt, - lL7- .. W<` ~ WH CS IrJS H~ F~5 py )~ ' Tc ~T'Ei 3 7'Y;~t ~.• It ^IMONTH-I~ ~l'~YEARI W [NU YONe GYWm We[Y Aun1011tIY OI 1Y HOMO ACT +Af AYdpro ANOWI[ Wh HHI iamm~ll RRM[AN:[OIIpNpNY nuro i. ~R Y[vAU00N I Lv 1N- /y~~>~~ '" YO IYro ANO Obro MO DLUV[RroYIAy LOWIMORL II[IOi IwvY M[rt>1L +~- I SE~RT~:S ~ ` "°'"° "`MT ~° Q 5 2 0 6 9 e 5 5 7 2 E .iirix[ry rarSn.Iwy - AT'THE ~ORIOINAL MAT U.RITV HERROF WILL PAV ~ ~/:~~^ ~~~~` ~[~~~~~j ISSUE DEi-T.E Ala- WHICH IS THE-FIRST DAY OF T_ ~q ~~ IMONTH'1 r-__ 1~AR1 ~. -sty "~F~ ~~~~ ~"~~ ~;~' ,~Aa ~t ~~t~~~'~t~s~ -. TYY YONOYIYtlro YMNY Y1NIpNRY01'.- YOIIp AO[AY AYOIO[p. AMpll Wp• .. _~- •arw nA[nRrrAMO[aNOnNl11Y nASro r. R vnu Ne wue OMIY II oun Ix• ax«Y[o AND OATm: RNOO[tNtR[OYYAN olluroror MTYaxr 1MLR[D0. *l~Y ~~"7[~:7 ~~ . .. . - TR[AYUIn II[wmrclrt ES :_ 1YAYNIN°DN ~~ 0 5 2 0 6 9 5 9 3 8 8 E s rtiary rar iinvay to '\ ~~Z.~\J AT TH6 .ORif.IHAL MATURIT\' HGREOF WILL PAY - ....\~,~,~,~ `~ .. ~' i ~ wmcSSUH FDA pE of _ ~ Ti I~~l•~L ~ ~~~ a ` ~~., (MONTH) _ _ _ I YF4Rj_~~ - ,~°, ~ - ~#~5 Dfl~Q~~~! #1~'!~ i3~~t`#~A~~t ` ZObI£~9rr88 ' • 1 I68U1 G gOENT9 - \ H'Ai~#tiSBtlR~ ~'A ' 17`~~9 G~~Rhi13f~~~ibE. ;L~F € L WL~G~ ` ~k £at~ ~ ~~#l~ L ' se A~~c ~`~~'~i'sy~': ~?a . ~~ Ft~i~ .~C~ t~t~ ~fl 4it88 -blcL~~~~ --~ 1x~YDMDY.4Yl[O YMOlR WTNORDYOI ~ ~~~` ~~-~•~~~,' NOND wR, A[AYWYro.AMOK Wh ~L - ®1- Ri~`O to lN[t .µi r.NO[DNOrtgNt iM\b- d. A ' ~Ll {[ VaL14 ONW lr pyav lN- /u E~~[ /^^`~ ~~i[ T YCMYlD AMO DAi[D. Axo OlLNro[OYYAR I MYMlMT 1MFA[IOY. Rr f ` YTIi~i ! ~f ~~! ~'~ TII[AWRY DEPAR/RCNT J - ~~.RI E S E WASNINDTDN 'r]'`6JnYM`•agFrLa Q 5 2 0 6 9 7 4 9 61 E ..s ~ ~ n ~ ~i J ~°il 1 rl! yi~~,yy _ "\~y~y~~ .-..,..({.y~.'.(~.~p..e.eafs.wn ~~yf 0~ AT'TH~E O~{11'6~1NAL ~MAT'URITY HEREOF'WILL PAY _ '>i",t~3'±q.~"-~~ ~`.S'`.+3:'d~~~~~~~ I S S U;E 'D A E .__ ^i WHICH IS THE FIRST DAY OF T~ _ ~~. .b~~ ~-,.~ „~~ IMONTHI (YEAR1 _~- {' .- ~ ':~~ ~ .fR~yy~y Rte{' ' i ,~x3- ~`~~E ~sA - °~ ~. .~ 1. ~~~ ~ ~"~9 -$ ;~ ~ +~ ~ ' [cr RI xf.11~EpM .MO~ITI-0 xTY'DONO~ACT Af MGeao.wxDlf wf- ` `-~~ ' ~ ~' _ .: --: ~-_ IOK niul f. JT i Ro i1„wlV fix- oum,AxeonMfMpµ - ~~ TRERSUtnoEYRNfYENi ~ ~ [xl~ ERE.OR ~ _ i a WASNINGfON ~.. ~ ~- Q .5 2 2 7 2 5 0 7 8 5 ,E is ~~_`J- t - .MT. TYJC-mR1O1nAL •MATtlRIT~Y ~NCRCOF WILL PAY 1lLy~~ Rrt.~`' • ~ ~ " .: ~' v ~ ~~~~~~E~IF~ •_-: I SS '~ E D ATE - '. ` _ - WHICH IS 4HErf-BST DAY OF ' . . P:. - - . " IMONTHI ___~ (YEAR]-- R~!-~fG =~k ~~~~~?9 - C~MM~1~: ~, P~~.~ ~ ': _ l!$~0~t ~~ ~~T~~i~ ~ l~;R~. Y ~? ~~--y"OW~ 5f1 ~ tx~fq a uwm uxa.~.unnwn or ^•~O11 i xouw e uiaw m ._ e- - - iA + ~: -- - THE tfwNf •xo amnroxs swE v n a x ^cRnao .xo wno. woonnaMO.rex .Y •a acu..pr wxexr Tr~ icsoR. ~y g~y-- +~ "~ • ' r ~~~iL~ I- ~ ~~ 5~~-~5 !~//// ,a~Yµ INfICNT ~. ~~ X 5 2 2 7 2 6 010 2_~ r --~ k s (' 1111yY1f~! ~ ~ . ~r~ ~~~~'~'.S~.sg..y.~~ ~..a.o.y ~ '~ _ ~ ~~^~c~e ba~ l ~ NC,!'-'_~,J °ri' AT THE ORIGINAL MATURITY ~NEREOF WILL PAY ~~~,~~~~yyylll~~~ - "`F~~~~:~~-2~ ~ v+ _ ISSUE DA?E W : .~ _,.;, r • HICH IS THE~sFIRST DRY OF_ . Ta APR $~T'S - IMOhITHi __ (YEARI-~ ~' ~ '.Lti7c~'xr~~'.'eI ~~'~~ - 1~R4~Ax3~'~7T1~,~ \ -, _ X~ - f~~w ~j, I n T~i~ ~it R49 .'IL'. - ~1i'a'FS~CIy ~~ F ~.-''i. ~"~~ 0 ~~4~H`t7tfT~ H - Tx~f .e u sw ~ p w ur oOEV i« seR~eao wxo.ow.m.wxo uuvcxsoiT'Eiw "ue.~o. n..x .xex .oR. ~j~y ~C ' Q~~~~~~7'3 ~'E7-~ - s~~~~~ ~ .NE„w s ~~~ „YENT ~ ~ ~5 2 2 7 2 6 9 9 3 6 E , .x.. . , / 3~, .~Y,~. ( Ti ~~. ~) 't fy` A ( ~ .r. i 5 S'U E . DMA 7rS , WHICH IS-THE•FIRST~DAY~OF ~IMONTHI _ j(YEwR) >Gi... ,: ) 1 ~~~~~~ ._.._- I ..rt~.. ..,' ~~~~Q ~i~~~~ :. Q 5 227 297 931 E - ~~Rlv 4 RTYRI.TY HEREOF .WILL PAY ~y~1~'i'~~~1~~G~r~" ~ i s S U E D-AT•E ~~'- ~~~ "~~` ~' WHICH IS THFuF.jRST~DAY.4F_,^ To _ !~#s~ ~~~~ - ~~~~~ ~~ ~~~~.~ ~ 71![iwertC OotwwN[cww aeurroroerAx ox a ~ o. weusw- A 4~p 'y y~~~ cwisssausror~wi~irr'i uos. KS~~~i.G~~3~L"It••>6~ _ `_ ~~~ G~ 5 227 288 224E .-_-_- - - - -____~_S~f . .. ., ~ _ ~ ~. _. -_. ~~~ AT. T.H.E :CRIGINAL'MAT.URIFY HEREOF WILL PAY ^,~~h A )i~, ~~,'i~~'+~~~ l~-`~ ISSUE D AT E ws '~N~:~t~rrL tii. ...Oi .... WHICH l5 THE-FIRST DAY.OF ~' i 4 '~ - #4~ To ^(MOIJTHI (YEgR) ~ti. ~ ~)~ ~~~ ) j i. ~ t ~ ~i: :~4 ~~ ~ ~., _ _ ~' ~ 3 ~lf~ r ~ ~.~7~ X975 _- ~' P ~ 1 ~ ~ s. - nsw oc..wnaixnor t Jew r As wuocs, ssl. ws- ~. ~~,, ro...>.. r. Rwl ~ .~...... ro..nuac~w.roxri. ,q.,,,...~R.i r,.~~~i,.E.r~g. SE~I-ES ~ rR~s ~` ° ~~~r ~~` ;,.~ Q 5 2 2 7 312 0 6 ~ ~ ..Lf'.', .GtM y Mririv~vry 1is'SQ " 1841~$fR"" .F18:4i~@23a^FiUG9PL:lfl46YW.CP9PL~ixfN[H..vtY^•xrfei _.r __ iI:I~I~Yt~~~~A~+.-+itf.:i11L4e~-r~IDYN~1 1 1! ~ . ~_ s, ~ ._ .• ~.. _.. ~~ ..~.~.),~r......_ __~.... .a :AT THE...OR161NAL ~MATUFITY HEREOF WILL PAV 1~3, /s L' ra a~. 1 ~-~'/~~' `\, -'y -AT_ZHE- D'RiGINAI RgTUR1TY HEREOF WILL pAY ~, ~ ~.` ~~ti 776- BICENTENNIAL 1976 ._, _ - - ~~ -~ ,~ `~'~''~ ~ a _- ! S S U E DATE ~ - p. -~.- = ~ v~'ww+ W r -.~~i..L LAY b~? . _,~ ~a _ - AM 14-1 ~ -.. ~ ~ ~ _ ~ --o - r~ ~t ~. -_ ` , _. - - v_ .. ' Y ~~ 1 yl :• -~' f~~ r , f i~~- m1s~eNpJSSnwevNKauvRwNIKDr 1lbifn~e ~s ~d[N~[ • is sua -- - I~In1f9L' lRi9 iC- - -~[Ct3l3Nf3MNt}eetOND pNISI C t - i'W n- - -~ _ OlR_6J41DD{{fY6N{D~NAN LIONiNG tt6 ~y.YN M N LTD -.. ~. _~ ~_ ~1- ~w~~~ f~CN~~~+l~~~~~ + - 00617 _ _ F n. _ _ _ _ -~ .NirSNIFBION ~ - _ `~~~C. ~)~t .~' ~. ~ ~ ~ - > 3; /~- h_ - - - - - - --~~,3. dr---____ r ~- ~ _ ~j~y~r~ !yf ~ .XIS' Ft' c1~ 111 ~A'aM>~~tr,~wa 'z°s~~ a - '~, >' %~~/ `\-~ AT THE OpI FINAL MATURITY HEREOF WILL .PqY N 177G 91CENTENNIAL 197G ~` q }` r- C s ~,..~ 1 ~ ~~~-~ - ... ~~~~~,~~F~'~ ~in r~`~~~!)~i7~ I S zS U E DATE ='°'.,~.vr~ - Wrgclt ! TNT s7 un:Y~or -. t ~~ ~ ~ - i ~ , - ~ ~~ ..ate - ~.. ~ :~Z L .:' .. I ` .., ~ .. ~ ::::::,, _ _ - !r~'Ix}/VN KTquka UM [11 ruM wN ~(- IOAa `CT ~Y[xP[O .TM 3.W~F TI Ip1QEP:E -EI ~ +mcTo-mT sus ertcaoxa *~m Ii .c . exl -~ a - - - ~_ iseen~ c o.~xaPrmexm~ _ _'~~ ~T11R7'b[MiRMExi r .. i~ ~.Y - ~" - ~ M4 { P (MYx/xr T L1EfOR - _ . _ - _ - j' . - W~-5r'sluHarori...._-'. _..: ~~- '-'-, '- 3-" s-r rPm ~5'C_.: ~ O ~~-~ ~ ~ G 1' ~ ~ ~- I-. m, ~1{P ~~Ct~~-°--• - - - =eeeee.e~we.u.e.e.e.e - ...s... ,......_. - _ ~vx 1 ~f' - ~`.1.~ `4.~.?S`~+.3}'...a.~?;'f`~v: ~.~"v..:iw/ C:, ~..T~:-~Ye~.~.i:.l~~k::: ~'.~ '~ _, O ~ -. -AT~TYlS OR1RfIN21l MATURITY HEREOFy-WILL-PAY ~ l'^. - - 776'81GENTENNIAI t975 `-~i~~~;s~i ~~~~p~~1~~G -qtr.., 1S~SUE DATE ~- y~„ ~-/~,.. WH16H IS'f~ SP DAF OF - :. ~, . . .., ;. tl r~`- y1~ =~ =~_~:'~~' ~~~a~ ray's, t; f. _ H~/ - _ .i '~s~u~es.~ }+ ~ iis ~.yyw.~~ ~... s3 - ..(, -~~ry i _ - - -nrsaesonximltoaeacs ~wn rTll ~ .OM6 }CY }t aaa seas- - -- ~ - _ _ f~~ ~rxc [~.y co sat r.~l ~ 1 eu.M- ~,NQE ~((`_; _ j~s_`l~, €ex o onro.~ a wu two y~+or r• me x~ - _ .~ ' - - - -7`J~~L ~ tt1~-~ -wasR ncro.tn nr _ / !~~..r -:fl ~ 010: Q 9 6 =- 9 ~ ~ ~ _- is,~, ~.s y.. ~ _ _ ~' o --~{ ``~ „~ `/^'~ ^!'~~ -AT 'THE .ORIGINAL ~MATIIRITY HEREOF .WILL -PAY 1 _ - _•-~ 1779 6!CENTENNIP.L 1976 ~' [ - A q •• @ ~ +~`-a'r, F ' T I S SU;E D A7~ - . 7 ~_~~ ..::...5.~~ ~~~iui~ wHlcn ,~ rrt~y~, sr~u~AY c~F I~ATOM1 _ ~.YF.AG~) ~ ~: - _ nuaLLxonx[em~I110[ uclloRla o[ b6N~xr • tx io- ions e 1,,^~ .p~p~.~~~ - ~'`7ceTY6`aNCnwid_osoxm o s-xr rt r l U - u - - - Ita+~-~.1n -IY4~ ,. __ .Y~CRn[D~;MD LIT[ _ OLVKL [D01+1N 9Y•lx0 l[pl>Oi{Alll[Ri I[t[rOR. _ _ __ ~ - _ -~ ~--~I„~~~~_ '-- ~ ~+Y ^-MIWY4f N1non rxr _ r~ ,- ..- - =-- . - -- - - _ ~ ..,...~~ -w Q 6 .D 1.01- (.~ ~ ~ _E_ - ~ ' ~.: -_ , '- . _ -_' _ - =-AT TME--0R161NAL MAT tiRI ~ P- HE6c~1F 7NfCL PAY -~ - ~~`+ "~~J'~~"\„rycY~ ,. ..: _ .- _ 'YsS -DATE _ __ t1N r t776 BICENTENNIAL 7878 _: ,...~ - ~F~CI~ _. ,. lJ-E .:.: .. ~ r - .:. •WH1GH f5 'LHkuFJR3T DA~YOF . - - -..._ ' ~ __ _ _ -`_- __ -IMO-- __, ;: - ~. ~ - _ -.-- - ~~ - - .. ~ ~~ - .,. v~ (R _ _ _ rxISROMOn bplLO~p[R~AUnawno ~ wx A~ txo[o Awuwu.- - ~ INDERENpENBE--f~$(~.-- -~~/ ~soa'Rn[n u ~ oa ~rrrw:. lanxa u 4 xav rxinucR. ~ _ -_ _ _ un ~~~~ _ ~ _ - --- /ate .~ - - AT THE QRIOINAL ~MATUR~TV ~HfiREOF-MVI1:i: PAY ' - - - - " I S;S UE R A~T.~ 1776 BICBN?'ENNIAL 1A76 ' -- ~ ~ _ ~, ~~~~-iE~ - ° __ WHIGN-t~'T@~S•~9RST DAY.OF ~! - .~ - 1 ; ~,I 1 I ~ 1 ~~ i.,a,~ s ~a 4n sL..r~~~ nlb eollaU bWlt9 yxMlr AOlMpxxYau' eex r uwxom,kx Icser J INQFiP~ - ~ `JOTS t3cluuw. ox Doss or. rxlu v on viixulvrn J _ _ _ __ _ ~ ecMemAYHWTao NlD balMxmeE uOxlxO xe: M~aaYx[Xr iNPlamti -.- -'' TAGW/IM.O[/MllblEei '1 _ - ~~ry 1111jjj~~~jjj' L/~/.~~~ rCl ~~ _ ~ -'~~'~~~ Tii-. -W~b111NG10e :. ^ ~~y~C _ ~ ~ - V _I ~ ~ ~ -V ~ ~WeiEU~e~e~WSn MY. .~8.._....-. - -._. _______._.~W._ _._ .. _ -- _ - .-L~3 ~-~ - ~~ WHICM 15.`-THFuR1R5T DkY OF - _ ~ ~j~~ ~3~.~~p i1aOl.T1-i _.- _ R Gam: _-: tiJM~~i!!~.A~R~ -. - n i[iaawxngrfr txFlexl[ seellxnnesirkn eypfq~allseOpaeaeer ~~ ~r 1YA1x1eeieN ~.v. . .^J 1776 BICF ~~ _ INDfiPEF ~-- - eox kLT ke Y1M~ qWa- Rx14 [ MW T If~LYLY~n- //~v,u.~~+orr'xm/{lxr nlfiKeap, Li''1F ~ . + ~ ~~ _ ... .. ~~2 ~~ 2 ~-5 7 -E_ . - - _. _ "/[T TXfi 8i1fGiNAL MA3.URILY F/fiREOP WILL. PAY _ _ .. _ . t97e _. 1 S SUE D A T.E - i0a: 1~--" WHICH-IS Tf7~i~IRST DAY OF - __~, .,, - T -. _ ~. .:.:- - - ~~ -L~~' CAF :~~Y :=~~.~. ~~~~ ,~' ~~~~ ~ _ - MkeexeltlaWax exux klnlloxl-`` •..eOMe CT ~ pAea0. kmu wlM .- v~ +Ils ixcsnluu s roxa n taypAp~. ~ - j ~eouem x: .ekrm ,wo xllvnlm kx iw+xx xa orwvr • uiw0. ~.~~' _.. _ ~ •~F 7ATAexxY#o11xIHL117 .'- _ : _ (~~~ ~ ~ ~~ ~wkenlneron _- ~ A~ r.~~ ~ .-~. ~6_. p a ~ 2 ~--.~ p~g ~ . ~_-_. __-_- - i~~%y~ err `~ ,~ y -.y, _ _ A,'T Tlj,( ~OR_IGIHAL MATURI7Y HPJIEOF :WILL 'PAY ~~/'~-~`, ' - Ulr i~A'PE 1716 BICENTENNIAL 1878 .. 'I 1~ ~~ WHICH IS TH6;PIR5T .DAY OP~_~ i ... ~ y '~ (MONTHI "I YE~,FI _ _ =.~ ..r ~~, i ~ _ PMlpdtdllNafF1YMM1IY dF- ~OMa• tW 1111alltll .w _ ~~J 'la lttlW atitlallNtl tMlld Of..l W4 WIYyM ,[T~a1 ~~~-- ~f INDEF.6NDEIVY.Ft - -sce~-to-dKO;ar+'~ oxcMmm~ ue~..w.M .a:wNCl,~lucacwa "ii - ~= ~ l~ ~~~. -~.- 0 6 0 4 2 3 6 4°6 5-E ..~ . ~:: -- - - _~__ ___.______ - . .. - - --- - ----- /~~- 7~ - - --- - - - ~ ~ ~, 7~ -- _ ,, _ ~Fo'~"',.rv~ i:~~".°y'°~'"~~- _..:,~.," .. t: a aJ W :.'r I ~%~ e = - .' t °~`~, t ~:`e t - . ~~~~ 3 ,._,,~9° e+aNlctanmaneeeeexee~asxa( ~~f$~ .-~ I ~4~t ^~yv,~~~~~J"\,~ AT THE ORIQINAL MATURITY HEREOF WILL PAY - - ~ r --L,w_ ~ . ~i~ 177E RICENT NIAL SBld ~ ~~~~~~~ ('SS-J~ L3ATE fir, I~~}` ~;~ ~~ .an~,.~r~~,.a, ~ _ ~. `,VNICH IS 7-FIE+I~fyyR,,~~~T !SAY "`~~~,~,~ ~" {. (~E;. 1"a Ta IP'~I. ~~ r .. - ' :N,ON N: ~ VF AR i1i s..: ~' fit' +7F~-~ ~G'~` i~i4. ~iil>t~~+c~~?~ .' ..?. i n~ ~ ~~ I " '~ _ ,~j5. .,yL ~i L==_• I~ _. tNl rcxf~umlof t~M)M)a~NOlf 4VM- ~^ ~Rr- F 'Y~~~~`}~ . r' - - X JlOtiOlAt'/f N3 Aa CON IDMf'fT;tFD ~• f 'ate ( ~ - - EIAj 9NCI~RFN~F.!(GE-~HAi.L - .rsNININ ANa~o>uco Iwo n1YlIUpNYa s wtnN N o ~ »uirwi. t~~: ~ - _ ~ s _ L ~/~~~,~1 4 ~!e}P~~!' ~:~iPereN7w o w~fi7rcnr ~ /,,,/''/, L~~~2t~ ~~7~y -ry~~~ _ ~ . F ,. ilsl ~ X41 ~ EI `: A ' WASiNnattlN .. ~i<r~/ cc--~ ~'~:.f~+=_~ P"`r i.b. !- i ~~ ,. .. 1I ~ ----...: _._._.__....__~_.r....~_---~----__ _.__~.-_,.- - --_--- ---- ~ --- ---.--may,-7l~__._ ~~- ., . '~ } ~ ~ it r 1 t l f ['~ t 4.-'~ta ~ - _ ~T ~TI!" GRiGiNAI tkAYl9R1~*Y H$R>:5P WI(.L' .PAV ~./1.5 _ - ~ ` 9R7G _ _ - ~-~~`.~t~': ",N'~~t~.r*P>~` ~a.~ " rs si3E o p.-~' e -`. a i _ i4s ~ a...: ~d `.+e.i.x '~ae.~a~~+.:..+..._.. ~ WH~LN 75 ^FBTK Y`~JR'S t' fin, pfi p`~~ - a. -IMONTHI.~ :-YEAF} u:~l~i~'! - i .... . ,. ; ~ l _ - ~ 1s+~+s.G.~ulNnwifnr fO11O att aN NfIdIMO, AIxMfOF _ . JtN r :'F+' .ale q»9 R _ W'.Tw ~[ r~up+. .oNt A oulr 1»- ~._- S~ _ tCjO£«t O.J1O a11O fidFal7F ~ 'MMMNNf M[N[10N. ~~ - _ ~~~~ t ~ - ~5~'I~Y'+Nf L.I lff711EM1 -_ f ~ +. ~ ~ _ ..__ _ _ _ __ _ ffftlfNNMruttNTlxlx attYtixRRftl 3r•a"inxfi P/ICrPf ~~~~~lf3fFSH.~~~ jt. _.... 1~yJ'~~ ~~u+-'~ - -= A'f. 4liL Saku4lnAL faAS.yi Rf 1 K4kY..x WIL hJY `i.t 1'r~ 9776 BICENTENNIAL 1fl76 _ 8 ^{~w ^ Y ~` { ~ ° a ` xa "~ ~ r ~.5 ,- d _ - u ~~ ~~~=+^~~.. WnILH is 4I1Y51- uAK ur - ~. _ "~n.! ',e` I ~ _ -._ ,' .. -s _/MONTH I..~ l; i'E MI I '~~~~ ._~~ +~~~ ~.i~~~~ iX7ii, ,,'~~i. ~: 2QS~~:kF~!rlESd!~ ~~~, t -,~I __ X g p ~t~f .~~f * f f 7~ ,gyp ~ (~ 4 ' !~_'~r >ti r~`:d ~aZ-5~~is' TA ~" f~ ~ i--A ~~'g i:. ~t{"]5+~~~~~/W..u?~r~A f~°~'` ` ~ ~ $$~~~t- YA I` /~!rs 2~X;yy;LL~~yE.n.;~ .- {q~ !y~ (~ ~xA ~Y ~ ~'1 A y~am.`. r.~ .j(~1 i^ F ~nI{rC'GlOhi~aN 4 - iNiS~P^rt~ ~ ~ff~~1FT~iR~ AMY }j y~y(-~" "~"!°C "~Rjy.~yp~s~..~ ~~.,. r~. ; ~~ 41 __ INi~'.S^I(~~~Fr}C ~. df2 €' h ..~ Li. .tN ++a+. _ x law. _ --- ra.s°"--_ ~ - w.u,n ~roa Mf~~~ l6'-Y~i>~.# ~ L+t-~~L. i.. - ~-._'-.~~•a~.:f^,~'y~--- ~_.. r+r _TK3 th hi.W ]RNf .'.. ~y-~r - _ _ ndaK~st ~~ss'r.~~ckxrx2v,Y~~~A5a9.n+mFe~~~cexs~YS7r'~-n+xc ..rNrysai '~.4;~-~,_ *vr t :.ry.~ rxe~:r~s.'12 ~~s?rFr ~ '~h'+}s- c~c mac. ~~b ~t-~f..i ~~1. ~'~'~) ~/ ~s'rt.. ~.x.~ `~,., ~~.i ~iM ~.~.~~~~~~ "~.y~~s v~rs ~+~ ----- . -_- - -.----- ---- --- - .._-_-_.--_-_ -------- -3y ~---- . ~ - _ - _ -_AT TtfE O~j61TIAL I~ATUIFI'~Y FIEgEO'F iNILL PAY ~ ~~~~'i~ 1776 BICENTENNIAL 1876' _ _ _ ~~~ I;S::SITE DA=TE _ _ +~ WHLCH "I5 7HE..fiik5T- brtY pF .. - - - _ IMaNTNI _ f YEAlC7. -- ~ - - YS _ ~ _ ~-tom:-~~ .~' ' ~.~~~~~-$ ~~, ,~ w _ ~IIlc~enauawaewemAUCxonmer -eoDO •er ia'.raem.,w~awa- -I -_ = s~ ~aormmciwwwocaDD~ona. me oc. +nu c rwo o«< w.,~. _(.~_~#~~3/. LAY _~, _ • ln[AWn~n~MWa1MT unrtnurDY ero a chr ~n[I1erpR rf 79D ~7.7oiti _ - wA>I7•IInB70M ~ ~ .1~ ;1776 61CENTENNiA r+: !•1 1 .,~i .. =1NDF" _ - _---~ .:~_ - -- - ~~:-tls /~y; ?,6~ -_ --~-/~ '_AT- THE OH_181NAL~MAT.URITY ~NE)1EOF~~INILL P.AY te7s'- .. ~ _5 U DA -~-~~-• __ - .. - - - ~~~5~-~~~~A 1 WH CH IS THL-EIBSr D~ OF . _ ,. :.. ~ ~. _ - - .-A 'rte ~~~v+yyy _ .... "- -~ .~y ].~ L ] R (MONTH:) _ _ : v£4R1 '.. ,~kRR ~10~'t,f P~ ~`~ ~ ~ 1T} 9 C t~.l!`~ A3; T~ .~., .~GnaFD FP91DlD ?ND OtuY[WR ~ ~ 4• w6~0 ~~~~~~ _ .~., '~PFA9eRI'tiEnMDt[ni - oIM'M 1 f11[Mp. _ _ _ - `Q 6:064 71._5.2~~E_ =~ N a t v :~ - -- _- ~3y ~ ' . - - = ' .kJ JNE ~R161NAL MATURIFY ~NEA~,Qf -'tnpLL PAY. - - -_ - ~~~ --- __ _ i BICENTENNIAL 1976 _ ,. ~ -I$~-U~ ~DAT~ --~ - - ~~ ~~~ - WHICH IS 7SF5~,fltlST DAK OF r .. ti - _- .. t., --._~ ..~ f _ .. - ~tn~o~i .~FKI 'x~ ~, _-= ~~fCMNnllltr-411mL oCaaK4W Y OLiMnapR or MYp(nt•,MtMWtL _ ,- ~~- _ylYA100k1#_W711M[NT y - _ .: - _ - -IY~iNIMOTOM ~L I~~. ~ '.~ ~`' ~'n /I- ~1 71 !~ a 1776 I.-- - ' AT T`HE QR161NAL MATURITY.NEREOF' WILL PAY`p ~hy~ ~ - ~L°~- ~ j~vJ~ ~~ 15-.SUE-PATE _•-' _ WHICH t Tf)E}.fABST OhY OK-_• - - - - }4 ..n.. t _..-. _ - - - ~ -(IAONi~-(1 -_--l R1~. - ~. 1{ ..- A 1 -- ,A..~+w Isw e - b r .u snp uoissun- sun [o I. An s w< M ion o. snoop. ~Ai~P~•~~i ~ ~i ~ ~,s.AWV~°M ~ ~ `~' . - . ,. _- ~.:y Q 6 0 8 4 ~ 2 ~ 2=0~~ .~=1 .~r~~r ~ - AT THE OR161NALMATURITY HEREOF WILL PAY -~.~ 1776 BICENTENNIAL 1976 ~~u~~~__~ wHCSSUry FIDRsro~oF._,e Ta ~aAi1~ ,,,~,~1'~3-~' ~„ _ _ y Y ~: .. 1)~7~~:': _ - .x! fPNDUL-t[teu [ rrnallm r r.wx we •[r DeD Mwlls, 'IE~*IR~~~~: ~~J~+ 1 ~y[~ .~-.~1T tJ~.r[ertP nlee u1PDD[ ww srr eo. r. r rv -In llf+~? 3~t' -~ - _ ~'~}eERB~Q[ ~[yiF-_ ~[. ~H~x10[P ~,P_!L T[P9MD P[UV[nfoaY tioMNP~ K•MVrInI~INIn[W0. R(J~ ^/ q{ - . i .. ~ F TII[MW sxnbiowlxrrexT r'1/ ~"~~ ~~ ' ~ Q _~ :..0 V i i V ~ ~ ~ ~ - ~.' -. -- -_. ~ __ - I ~~ _ ~f'~~~__ _ ~. _ - _ .AT THE'iS~)dINAL MATAiR17-Y FIERHHF WILL PAY _ 1776 BICENT NIAL 1876- 1 ~~' lS6UE,-~DJrT`E -' „ - - _ __ :~ - ~ WHICH- 15+3~r+61RSr DAY ~OF . - _ _ .. s p ...,, _ 1 .~~ ` 1 _ - - .. tMot~Hi .'t'res4s+). - ~j' ~ .,may ,;. ,`, +~ 7 p p ~-~- >: rva?~ ~~']F9f-Y-~. ~.~'~pp p~~~ ~~~~~-'l JL.ii;~a~-iit ~_ ~^'p ~, ~ ''; r .._ __. . - - nx[}MmnilRllGpatRUVlxellm6t ~LrIP ILer IL[~rtxe[P .umrtw[. L^, ~~rr y~. _ ~ _- ~.lnxa¢nIL'.Ie11Y1An Dalwrall t I: M r~YM1P ox Il. prly fr- ~s~ ~~~ ~ - - - _ _ _ _ YPNrmANRa11Ym axoa[re rPwwr Lwrlnn rMwxnr in[[wF, /ham 'sI{'+1 (TV~S-Y(/~_~L L~11 Q {ham {^~Y '_~(7 ~r^" _ __ _~ _ 7Foyu wlxoiwlRrexr ._ ,. .~C, ~ ~ ~ tJ : V: V-T ~--T-. ~.I ~V-1J J -L - - - ~~/ --_.. ~ ^1 - -. --- -.. - - _ ._. j _ - '_.AT 7NE _CHIGINAL ~MA'LURITV ~NEREOP WILL PAY -- _ ._ .. I /~~ . 1776 BICENT NNIAL 1978 ~ _ _ ~~ ~. - ~~~~~ -_ ti _. _ ~ 1`S S U E; ;DATE . r-~ WHICH 1541Bfi~61k5T DAY OF - ~'~ - ~ ~ r ~i` ~3~f~`i~3 ~-77 ~ Tv - - ~. , ~=4 ~ 6. - 1 (!y~~~{~./~~(~Ye4L- ~j f~ __ _:; _ --- }'~ -f @ IMOI`ITH1 -. IvEAI~)~' ' 7~-~ ~~~ i3 _~~ '° '~ s ~r Y 1~c:~7 l.~fttifli~~~ _ - _ • ~_ ~~.T Ai/~~ 1~ V ~~~v ~ ~ _ ._ ~~ . _: ~ti~Epe'tQeNC~fe(~- ' _ . IINL DMlr I. P {{~~rr~ e..~ ~[~ .n`~~~ o.Y`°: MrM .~~I,~~ ..D.. MLL LID D t [ILUPI~ t _ - - - R~©~~~~~$~~ .~ - _ _ . -, _ ~ f TIIC11fUr1/~[NNfM[!R - f _ ~1.~.~. _..._._..._.__.~._.e---.---- _ _ _,._ _ ... . ~G-~~ - 1 1 ' _-A7 THE..QRIOINAL MATURITY •H EREOF.:W ILL PAY .!1- _/~ /ti.."~rl'\ 1776 BICBNT NNIAL 1976- ~ -t ~ ~ ii ~~d3~~ WHICH IS L~{Q~¢ARST DA1 Of; _•. '~ - + -1 FIONTH I1 - _ ~, f YEAR l ~, ~. 1 - ~~~x~z~©~ ~~~~ ~~~~ I~ti ..:. . 1 =~ - _ 1 I ~~+~ ~~-~~ gyp. ~ ~~.~~ ~. ~. ~[NIYAO}QIYHYyy[D YYA[ ~IRMMNY DI' - r: YOM 4 MI MD[ x0 tY /a ~ ~~ _ qC~ ~ M~TOYMtSUyf-Y Cql rtuf ! r. [VwUq "I DYY~ l~i*NI =. .- - INU6FENe~~ - YYA t fx, ~A~Y[q AxAOttn f YY -unMO [[ Os [MI iM[II[I00. .- .~ ~, ~ ,,~all[I1W111[UFMIRN[Ni /~1~~~ ~ 6 0 8 4 2 6 2 52=8 ~ - - -~i ,}~ (~{ ~ • . = wASxlNeiox „~w C - _ - _ .__-ddb-; ,., _ _ ` "' Ali"~ _ ;,. ;- .}r T.H.c`zt7t[p1NAL M/~TURITY.QENEOF y1RLC enr _~. - _ - - _ _ _ - 7&SU~--DaI-T@ 1776 BtCENT MAL 1876 _ - ' ~ -' -~ .. - . ~ ~ WHICH'IS T.H~'.~1CZ5T UAY OF -- _. [ y~ .To - - _ _ _ _ _ _ r -- - - - i~'Zir• IMONTW.I lI'rOAR) ' i -_ "... .i~~~~ J .. It .- YWFxelmlciW{P4Ax[xyetxexN'[A -~ AoxY w[i n~~rxlWO aADn wY- - .: _ 1(~6PBlIi~ _ 71IOlYllx'YOtF[R'[rYNY [~[ [0~[b ai[rw~a~a cn•.w~Mn°Nitx[-rix woi~ -- _ - ~- - ~ . -3~,~~I.d" - ~~~ _ wwsiNxomx - - ~ 'd~ ~_._ _ Q 6., 0 8:~- 2 ~ _13~ ~9^ . -d-+~- ----- /36:3; ~IflDEPENCFEIIIGE.~9tl. _ _ "~. +mT~~TMC°~uwsAn eoYenlo.asrArca _ FMK im WOOIT[O 1110041v[1m Yr . _ ~+~_ jNCAiypFpEpyRE11ENi ~~~ , - W.VNIN010M - I'S S U E - D•ATiE WHIGHIS _TN6SBIRSTO'AYrpF ~~~ r. -IMONTH1 ~C~Y01.'R~`~"'. .may ,,y ~~~~+~ •~ 'il~~~ ~11L[2~ `~ ~~ ~iOM iCT. Af IYEYpED.AMDli iY4 ~ __ 0I ' l I['vAYO O lY IIOVIYiM~ carer Ylrrar~rYU1Em11. ,k~~ ~609358.3513~E ~~._.__. -- _ ~ , ~T~~ -_-, AT THE. ORIGINAL MATI1RI Tr HEREOF .WILL PAV 1776 BICENTE NIAL 1976 _ _ T r~~~ - {S~ulE=E.QATE: SSfi WHICH IS THF~F t~F' .T DkY?UF .~~ , ~. To ~ ~; ` :_t ~ 1 wry ~,~. - ~lMOf-1Tli~ (~A-t~~l ~ i I. h~{ A ~ ~, -~ ~~ _ ~_ - -~ ~. tw ra an ccut Vro[N AUTNwTT'lGi: ~ e r.;. • uI ncue- - i# '- - _ - ~ a[Cf ra. ,iL [TIME _etON C) IT[e, .+. eal -. .Omr1N- _ .-1NL~'PF,N/[~SyEN1lC l°~~---/w[ _ - { w oho oeim..r! n[ emcreF {owca cn.I r tNC-lauwe. -_ -_ -- _ ...~ . ~ - - -_~~~y. ~ _ ~-~~FeNI110CRIXfMCXT ~ t _ Rel1~ - *k,j~~- - - .~_. '~.~~~y .Q :61~.~-7 9_~-~ ~~~-=E= ~ ~ ~e~ ,~~- I' ~~. -~ .. __ AT THE ORT61NAL'_ MATU RI R .WIL P.AT. -`. t, ^~N ~-~~.~^ TY NE E O i L ~ r ~ ~ f 1 ~ ? ( ~ ~ ~T16 61C NIAL 7W6 - ~~~~~~~~~~~J,~.~1~ f ,ill y 1 - ~I S S if ~ ::= , _ .WHICH IS 7H6n~ST I/RK 9£--~ r _-_ _ - _ µ '~ t3~ ~' ~# ~~.i~1~~~.~ T _- _- _ _ _ ., _ ~ . - _ ~ ACCT ,~ ^73~,~~5~ ~~ . ~ _ , - rNIS.o°NeR c[u o nr eN --~ • o aee- - -- - e...,, {{ _ - NI N. - - _ _ Q 612 4 0 ~ ~ 2 6 _ - ~ ~ ~` . .~ ..r . -~ . ::,. . _ .- - _ 1-/-.S6 ~ ~ `~ .- _ ,_ ,~ ~~\ ~•'~~ ~+AT THE 10 RIOINAL MAT URlTY ~AAHYYE~~N ElO~F Y.'ILL PAY i-', 4`~~L Tl7! BICBNT~NNIAL 197! 'y1r~'il~~' :1 !-~ ,~ri~. I S5 U. F D IA TE -: ,_ ]I- - -~.~~[~~~,~~~E~~i~ WHICH--IS FST DAY~'OF..~• ~ E 'r A _ ~~ 1 _ - __- _ ,~ ~) ~i - - " ~ - ~, ~' .. , ._ _ - _:. _ .-_.. .-_ '- - -- ~iMN~sM3RlWffr-~ er".• ' l•M lcr-i - o ot~ww ;A - _ -' ~ „ N d - _ ~'~~-JRE10 f if11Mi#MiCM iy '11 it IbF; 1 1t10 N {I• i • -~N - ~ - _ - INDFt'~N9ENCE_~1LCl.L - - ac tiY9~x OWIe .vo va.•t w A• uoynw fs ~+. t cmtna `- -~~~ ~ _ ~ ~~ ~~, ~~T = 1 ~ .~~~ ~: Q 612 ~-=-~~3 2 ~~3 ~~ ,~ -;,_~ ----•-~3~-_~~ ~~r~ ~v.._Lr~ - _ - AT Tiff c611161RAL'.'MATURITY.HEREO~_lMILi PAY ~ -- - ~ _ I1 _ ~-~ 176 SICBN7E~NIi4L 1079 '~~ l,A~ iNHICH~`P~_ ST DSIF2-TF -~ -- _ _ _ - ~ .c ~,i ...-. _. ._. .. '.. -.-.. .xr•+...-. _ ...(MOCITH) ..= y`l~Afil~ I ~. _.. _.-.~-.. ___.._ r __ __ - - _ .; - __ _ . -~ :.,- ..- ~ _ ~,~E -~.~ r• - ~ ~-~.~~ -~~-~ _. _ -- ~ 1110<~eaRKPMgC-Gwail iaN6 A i{- . ~~{ _ - _ -=• - ~ifCrtF.1NL1i1fMFMW NNinY01Mi1(Nte ~ wr uit 71Ftl~Y~hO1nYMF i _ _ 'TIJ ~. 6N6~1VCf - _- _~ -~onw YfrW1W #MflinMUO~sin m.lo.~NOwfco o ao a"T_anuurM. - _ `- - , - - - - -.~ - ll[R1i!IA'M11aIrMfNf `T! - _ ' - ti ~ - - _ - -- ~ ~ - 7-e~-~- _ - - AT 'YH_E=:1~~7 BIIyAL.: dfAtURITy 'NERL6F:'yPILL PAY -" 1778 BICE NIAL 197Q _ _ s~G~ wtilcS S U~f DE gF _ .~. To _ .- - et - _ - ..' (MONTHI ~.,~ IrCk7T,1{7 - - ~R~ -~~~~X~:~ ;MAY °tl3~S~H ~ 063 Q9~r-88 ~ . __ ~5n~ Q7f~QRD RL13 ~~~5~ ~, ___ _ b: n .wf a ~ .eN a ..~ ao , ;w~ ~6'>t:~ ~'~~'~~4~ _ - - -'IN~F"~~(GErTL`]r ~iAL"L_ - mnTMwlct cn caafwuuti'rµ rau r inc rw. - - - - _ lK [f t1n :. ---~ ~ _ ~~ARIIIYOVAr1N(MT ~ - - - -= =T~~-~ _ wAilfllitrpn - -: ~ ,~ ~ -Q 61~ 5 ~3 9 .~:?~:8_ E - - ---.- - -: - - - - ----~~7;~~ -- ~-- "- +, ~ _ " AT THC "-.QR161HAL MATURITY HfiREOF WILL .RAY - ~ _, - , iTl6 BICENFfiNN1AL 1876 , . `~~~ I S saUl~, D A TE -: '. .. _ ~ ~ "__._.- _ _WHICH IS~ST.Dkv OF--~ 70 i :D~~Cf ':1 ~3~ 5"~ .pp.ii nnLLJ1 oo ~fMO!'VTH-I-j-~ - '~~1'C'A lil r!1 -~IOIIGIFtl lifuto tl•eu~unneilrtr tlr aeno wcr -xo .wousu•-. _ - - l -~~ nr t W_~n•Cp1MM1 r~ST~1r~ ~o ~•aw • v~ ~onf n eu r rn-.-. Q _ _ -lNQE'~ND@NCE-ffA11. ~~ ioiloo. pxoauti•un s•cc or:.ar•t•r urrop. ^~~~~~~~~ . - ~ ~ -7I1WURrIStIA4xcNt ~ _ _ -- ~=-- ~ = ACT _'[`iif.'6Rt01H,AL MAIL' RITY liHR[CF ~~YY144.RAY- .- - -- _ 1776 fi1CENTENN(Al 1976 - = ~~ _ , I, . 45 5 [I,E D A7•E r - .~.: ' WHICH !S I~IEvF1~5T= D9:Y.OF - - - ~ .._ __ - _.. ._~ 3._. ,7 s - _ - z..~ _ _ _ - =~yR~ ~#bR~3~~-~f NM~1~' =Gt7'~~l~l~~t ~sfi U~k88 ~~~~ i~~C~•-~R~? RG~iA`D r~'.; _ ~Rf~dl~Ui~~R ', BUR ~4~T (~ :: 6~ 1 E3~-ii4-8~ .. ~}~G•= ~,A _~_~i __ --r~ .rttr-'x.'w aiiuu~ mxxx wvm~no ~ •o ~s -•c~u o•iv µs-ouiviF - _,r - _- ~ •clu-FI• x6 in:M xwwt•w uanw •t r•rxwr rHUx» -. - , - • - . -- ~~~777 71r~xrtr ettMRJ~urt 51n~ -=-~~'F~~CJ-~ - ~ ~YSixrNaroH' - _ - ~ . _- ~ _ ,~: ~®r ~ - - - - ._._.W_W__~.._ - - ~ - _ - - _ _ __ r .~. r. ._a..... ~ .,,, - ~~J~,/``_. -.. - AT THE .ORIGINAL MATURITY HEREOF WILL PAY `"~ ~~ 7776 BICENTE NIAL 1878 - 1 - ~1[~~ ' ~ ~'}y LSSUf~;;DAT,-~ - - - - _ ~ '~~•~WHICH IS TH6jYrIR°7 OAY OF ', MR3 .Ot7~iD7`#~' ~MtA!' GD'T~N~t:L 2Db109k8:8 _ ~~t~D DXtF~~tQ. •RC~i Tit-~iA,S~~!t ~I; "' = - ~%iron.ar~a~~,~~a~i.~+ii~i+v4~7>~#1 - _ , ~ A ;~-sty G II~W~~£' , ,' €3R RfN~~~o~~ ~~ , ..1 ~ LIi~~IID - fit, ~1]`~~,t. L Hi~i~i~~'~$~'Ir,~ ~`~~4 ~~ ~ A~ 1MY b11DRIffY Dbo xp+unapmo~" .pMr ON :ws W ENO pZUp-+~ ~p~ ~~~~. .-INOkI'~~1~pENGE fiALL. ~ t rm~rN n cp+ n..ce o rtr~ v a rlr-op I»- ,~,~-~7~~',~37~ != _ _- f ~FM-lo. po r Apq o[we [opY ro.ovn pnRU• [NriN[ rop. . f "311I20gRt M/MrNCpt- WAiN1N6TOH - ~I~~ - .: -~ -_ -*~ ~. /-~ _ `~ _ _ __-AT TM E. QNI¢INAL ~MATURITX :MFR&OF. NDLL 1776 BI4ENTE NIAL 1878' -_ - _• ... _ 1' ft-RI ~8.~r ~:~4 1 ~-3f? 9 ~R •:=; ~ _- wit ~ -~G:~T -~i1f~ - ~-J~ (~-'~~- _ __ ~ 1111lfpN0•_6RE1110 YIWN YIMOIIRr Ois' 1•MON Att.~pt pk INOE'~I~C-AiF" H7[L`I. _ _= taraorNC+tp C4YIpr,ollESr~r[" r u vAy[ -1Cp11pOAN44A77P NOO[WYI[OR IoritlwVO~nE 711VAf11RKEBIiiYYiiflli - Y ~ - " WAfMIlE~7QN - - - ~~ - - ,AV _ ~ _°r, [M~ v WHI~H35~SF DAY LTF ~ -' p.+fa't.7 u ~ It' •V ,.-:, C Q:Ml~J~3k'b~l°~ ~F ~' FMB ~~~~~~~~ 6. _.~ ~ ~- 7 g _147.6_ :-~~ _ , - ~ _ 'AT THE'OR_161NAL-M_iIT.NR(T~V'HEREOF. WII..L PAV , 1778 BICENT NNIAL 1876- - L ~~ {SLUE:: DATE - -`3-./ WHICH. IS THE-FIRST~OAY-.OF ~ - - - ;;h_ -.; ~~ '' - _. .. - ~/ p/~ +~~`.~(~~) `~a (~L p p IMDNTHI __._~_t YEPA1 "__" ~T"fi3-~ ~~~~~~~~~ ~~~~•7 -'R9.©~!7 ~.'S1 ~jW:L~ ~D~~Tdi'~~1~Til'ii ' _ ~ir:~,44- B-D(-~-QRFA. #~Q;~1'll _ TREA~U#~ ~-R `; -' ;Rite°BU•ii~-:-~.,~; -,. 17;~~3~3 C©M~~'~1I`~"~~i - _~ .,, ~ ..: _ ~L~IIi~t? .R ~6DTS~AL~ .- #iA~2~>~t~,5~-U~~~,• F? ~LIR_ AGGi' ~~ L~~s~-`lfl--~J4~88 f~~3-.~~fl~~~T_ _ ~ pf:nlnED AODEW1itW AN~O WWOVE t W~ *~ IIfY\OYIM p(CHM~ ON10.410VtWL •_• '-- ~/,1J1~I~~~-ii "~~711GN1 NINq[MIfY[NT -.. - - /~~,~ Q 6145 X51519 E- /3 S. ~y m~ ~ '-°~-':. ~_ AT T_HR -ORIGINAL-•MATU RITY HEREOF WILL- PAY -•r~ _ ~~~ Iss'ue ~a~re 7778 BIGENT NNIAL 1978 - _ WHICH is THE FIRBT~oAY OF li _ ~o - _. ~ - - o ' .. ..- IMOIiTH-I-~ _lN'EARI I ~ --~oFRS -p~tp'Y =~+iif-'!~' :+~L17~=A~3.. 2-0.61D9~~#3 `' ~r~.AD =fl~FfJi~D '~ - = t~~~`~~' .~ ~i?3A l_~]aD'9 GOM1!~~°`~'~ Ali pit ~'.~(Ati~.~iAlf~l~~ • ` ' ~Lllt~iT it t~T~4iA~..L`,,, _ HAit~~~r~k1R~~'v~` ~, ,. Ij....... I ~ ~ Pl1R /hC'~~` -~IG9.-,. ,~.t~'~~t88 LA M~e~i#Z-:~~~T ~~:~~ - 1M e1ilYYCDNNMRAealOxl O ry ON~AG Af Ml - ~x- Q;I~Ii~~~Y~"P ~~ -- - -- - - YCC 1e4 LTCIIW AN CON NWf JTAf \ er U O -0 - --.. '. ,' _ INGEP,ENI~'SiVCF~.L - - late NDOAILO NeotwrNmwAN u~w rtl orw.wc nlarmp, - - _ - ~ ! 7i1w11Rr awRTllcaT - ' LL^ ` WAfNIN016N _ Q 614 5 8 5 7 4~-2_~ - ` - ._ -~' _ . • C ' :1 .. - - - - ----~~ ~,4 ~- _ f+~ 7 :: __ - ,. - "~ - 1 ~ . - = -_ _; -AT:_SHC ORtWN9~L #IA7`U,RITY WEREOF-WILL PAY -,_, - - - _ -__ - 1.8 S U.E~ D A1T-E -"-_. - _. _ __ ~ ..THE Pl~~i'DAY OEr -- wH cx is 1776 BICENT NNIAL 7976 - ~ _ - ~__ -. .-- '' v x ~ - r - %~~~ T~ _ _ IMOWTWI ,~ - l-YE,y~~ ~ ti =MRS _~Q#~~3~#3~_.:1+I71~~ -GCT~ S#'i~4~L -2Q:b~-89!4k8B `-~ .-~ ;~ ~~~~~ ,„ _ :,_ fa . • - _. _ _ _~uR _~~~~~ ~.,~' ~::~ a-~~s$ ~.=:~~---- rwcwNOacauwtwx wanoPm er ~- lnrfrtx~ACr Af~axwANeuwf- ___ -_ ..~ _- ~_ -. ~'1 _urt-mmcnlws+uNCOxa Nlxin or. o~o wit ~N- Q.~~~'5'.,~~~ --_ _ - - ~ 7pEAfUR(-0OIf111R ~ o[tnrfeca NrC4 Txtx4eL ~ _ - _ __ - _ WAYNNRTGq - ~~- ~ -p--- Q 614 87.3_D8,~~--:.~ L Y- - - AT. T~ ORIGINIAL WATUi11TY HEREOF -'WILL PAY - ' _ : _- - 1778 BICEN NNIAL 197E".--- ~ ; ~ ~" ~ WHICH IS..7~HE EIRST- DAY. OF -.. -. - -. - _ - .. - ~~.•~_.. y ~„ -~ _ _ (MOI~IfHI IvEARI ~ Qtl##~~ lifk~f =GD~~S)d~4i~?t 20~s'i{3?9~88 ,-' `~. rl , :~ E EL-~~1 Ft-=~QT~t~I~LL - . - MARRI-SsBk>~R~a~, ~~ :,. ~; :: • ~ ,_ ~ :,,. + I P~3R A~-G'T NEl 2:05 ~.4-988 A~'1~- ~ ~1.f9~',~~ _ - m..W,..Y.. Q6145883b~fs~ - '' ixseoN as i u w AuNpxNre ox .... --INt]~QfiNQ~IVCEAi~I - sc° i AN oA~eo A oeauuumnrAM° uo nho xnox. - - ^- ~~ - -Ww6XIaplOX f _ _ _ €~_~~NRY~I~NEXT ~'" ,x_ Q 614 >~ 8 ~ 3 6 2 6 E ~• /~~<~ ~ ~- !~+~ r,^v^`,w~ `J - r~I WIrv A~ MAt-IiMITT HEREOF WILL PAY ~ ~°~~ ~ ~~ rc 1778 BICENTE NIAL 1978 _. ~:J~:.f"~, urw~..+ ISSUE :DATE ' R ' HI GH IS THE~FIRST DAY-OF p 1 ~ n riT it ~'~~~ ~'~ ~ -(MONTH 1 _ . , 1-`/EnR~{ - M4R~ =D~RCJftiY M~#'~ DQT;SH~LL 20•bi094~8 ~IA~#23°S$~it~ =#~~14 1~1D~i G©INi!±ICkt.~~~`~!'~i ~i~F =~R P~I~~~~~~~,N~,~A ' ; :~L-ADD R :G[1T5H~4L~L ilF~i-~~~$ll~ G %' R ~:.:.: ; ." o-_ P~tR .A~~T ~~H] ~.D~'-14-~4:8~3 :A ~.-'~'-'_9~~7 _-_ 2 _ - .- i ~DEPEPID6N~E-~A41 ~n] ~ nlli pNO`f IYU[uieCOe YMOMt'I'tf ~ e0 Dut~'`r~ POn`l~~~Wt+~e- R~~ oun~im.r t .ow ~ ` :.water rxcllcrow E ~' r ~ /~ ?~ ~V~~S~~.i. ~~i~. - ... _ ~ Tp [ASURY-[NIMYCXi ~~~~~ wASNlnurox ~:.~ Q 8 17 0 8 5 4 3 2 3 E - - ~ ` ~ ~~ - ~` J~ = AT- THL-@INGtNAL M71TlTR7Y1r M6LfEOF WILE" PAY ~- .. 1776 BICENTE NIAL 1978 ~ I'S_S U.E D A~T E - _ - - - WHICH IS THE+FIRST:DAY.OF- ~ - _ I ~ _:-~ - _ To thtoNfHi _~~,~C4snR3" '~ l~tS F~f11~~TtiY ..MiA~f ~©TS~I~~L ~ 2.0#x-109~-f~8 ,-' ~rS~ID ~]-~f~RD ,-R~Ic~ , Tt~~-~R ;, `E~.[~D- #~ CflT.SM-AL4 Ht'~,~n1~J YP-9~;; _~1~R AGG T NO ~A.6-~ fl-+~~i88 IOEPE IDHNCE 1t7~~ - ~.TM~ncwn ~ ~~ ~µ wuow::i`i is wuo o:olt inuirot. -_ ~ - ~, ~~ Q I 1~~.~ ~ l) ~ _ ~.nwwnNaroi _ _ - -(`~ :~_ ~.~:<<.:_: ~.~~,~ 6 ~ 7.0 8 7 013 ~ ~ - _ - -- - -,r~~-~ ~---=- __ ~' - AT.THE oNL6ffNAL I~TATUp1YV WERFOF WILL nAY ~ ~ F$-QUE. .p A'f' 1778 BICENTENNIAL 17!78 - -~- ., WHIGH.IS ~THE~PIRST DAY: ~F_; MAY .1477 -~ .I. To fdR.~ DOROTHY l19AY GOT.~MALL 2~b1=D~489 ~'~ ` .45013- DX=~t1R{3 -R®a~~.:. T,f~fASt~R~R HARR~SBUR~ -~-A 1?~fl~ Ci~~11~1fl''Rl''~fi~ ... I,I~ill _ E:LI~S]1lD R 1;©~SMA~LL -3~nK~t~i 5t~ux~~ ~+~i~: ~~::~.:~ ~ ;{. °#~tit AGtT Nfl ~fl~'3 f}-9488 MAC ~~-_'~`~~ (gyp y~ (~/~ - M orto a ^srcou Ce wmo mo r ertx~~cr. "wuot oww.ulenwe- ~~ 1 ~ ~$ 8 ~:(.~17T~ - - fIDEPENDENCE=HALL ~.(-s tt m :o o. .eeocwtu'a oiiow:ns`:an..or..au:.xuiro~. ~~- ~,_ ~~~~~~~ - ~ ~~~~~~o~~_ ~. ----Q 6 170 880 504E _.. ~~ ,.,.r~. -- -- .. _- - -_-. _- .. - _ ---_ - ~~ 9 yd 'ti` -AT 'THE ORIOINAL.MATURITY HEREOF WIL~LrPA~Y~; 7776 91GENTENNIAL 1976 y.:~ ` ~ ' '~ TO -- ~_ ISSUE DATE WuuHIaCH IS THH~`.EYIRS-T }OAY-0F. (MONTH) ,... (ti'E.AFCI ~' 1~tR'S I~U,iQ°t~i'Y .~A~ .GOTS~A~.~ 20;b10~i488 - 4~G:0 gip:: ~R ,'D ~~~:~S~IJR;~~~~~, , - - #~11R#dI~f4V~tG':=P~A 171D~+ G01~~114~fi~l'~~t~`?f~M~i 'QF ~R ~~dtE~~~~'~NM~iA: , ~- >Eall~#~I3#3 :R ;'~,S~-~+L~1 N;R?I~.i~f~~~,':P' ~~ ~~~g ~-a gab-,Q-~~e~ ~~-~_~~~ ~~~ /~ _ ~~ ~~ io i~isrinNS Neeowonn D iui[o. ~- Nrv ww~xn ici't~v:~:o otne, wxo~sws- ~ R.7 ~ ~•Q~~ ~~ ~ +~~ - ~~ !•_~'117 ~ wACN N ro N[NTD D[W_ GmF/ uomxciuunw rA c lxuvDa ,~ y- Q 6170 89133-E _ _ I 1778 - -- - =- _AT TNT 17RI61NAL MAT.IfRITY .NE[fEOF W)LI, PAYC-~" ~~~_ l'~ r~ I ,..~ 7976 _-. _ ~ait~i 15:5U.E.. DA7~E " - _ '- ~ - " ~- - ' " - WHICH IS RHE`PIRST DAY OF - 1~ ~~~~F d -G~~`~~~41L 246 i D~~8~3 - -- - t~#tR~~ #'A ,. 17~1iJ4 CD~Ma~3~`~"f~ _ F~1xl;~,L~i7i~-~Ii~,~AA , ~~I..~nuxsu '-~!1[ ~U ~ 3~1s+-3~It ~f~,~(w' ~P'j~ fi!/il'ZR ~: Txa eDNe (rawmw~~A:mnNmo T eewe w[r, u•Nwoi:'~Nenw~ ~f~l-~~7K~~~~rte7L ~ - _ lcr n[mctmM .oNC Cr a rr.vnu e[ wuN rwlr :w- _fON.mr{NP.Mt[0:lu.eMWlll[D.YAN Ili Nt[D/10r NMYlwr 1N[NV11h ~~1R[AWNY'D[MNTN[NT ~ [~ ~~:~--__ .--WA{NIN6TON ._ :. _- ~~/~~~ Q 6 17 0 9 0 3 9 6 9 E ;~ ~ _ _ ~~ ~-/'~-~~' _ -AT 'TNT ORIGINAL M7[T.URITY NEJ_tEOF WILL .PAY 7776 BICENTENNIAL 7876 ~ - - ~ - C:S.St1.E DATE " ~ "~ ~ ~ - ~- ~ ~ ~ ~ ~ WHICN~IS THE F~}~SJ. DRY DF--" To °. .il`i'f~1 i 9~~ . ~' AiQ=~ i7tF]iS3'1Tuv V~_v n.~~rr+.~.",. GAOM(~i -_ -= ri~.R7 [-•fi~. r~uax~ rr~ . nA.~ uv r~`r7.AL'4. ~(ibl.t~5irr$8 ,-~ _ _ !~~~~ flXfl~Rn - RI~~1'D T~~~1.~tJRf~ ~, ~ P~~~'~~N~ A ~, 1 1 I .: £-t~nl~D .It #;i~T`SHI~~.:L H~R~I ~B1~lRGy ,~'.~4 ;...:. . -, ~ -~11R ACCT N10 gab--1~3--~~bs ~ P~:,~39~ ~- -- _... _ ~NYNR eD DatwmewnN wrNOmrvor "'in eDN~•~. asuo owm. ANOawn 1~.7 Cf* - t __ f IDEPENDBNCEHAL7~ Qbi f_.~Q 71 ~Z'.~6-~ - ou _- ~- - ~~ N D[tl NIO DATLO YID C[WLN • Y1 .,' D~O~INa ~anrrorM [ter 6 - - - - ~' - 111GNM`D[MIITMEN[ ~ rMlNI tN[w[ 0 - . ~~~Z=~~ _ _ , _ wA6M~NDTON _ _,~/~-- Q 617.0 9131 ~ _6_E [ __ ~~9~ 7°_ --~ AT-*YWE ORfpIWAL •~MATURITY .W ~ ~ ~ ~ ( ^L`. ~_ - - EREOF '-WILL PAY .: tans a~cerrrE Nta~ ~eie ~~`~~~e.j~' ~~~ FS S U E DATE _. ._ - - GLGl~W~I~..1:1 WHICH IS THE FIRST DAY OF :~ Tv JU~I 1r3.7.~ ~~ (MOIVTH~I _ .. _ (NEAR-I~_ ~~ :ial#~~ Qi3RG1'°HY ~1~Y ~U~':S_hiA;1L 2.0-610488 _ ~4~flfl C3~~DF~D -RL-I~AD:` y'it~L1~U~~tER', H~tRit ~ S BU~t 6 -P tiA ~ i 71~ 9 C OMjMD~~I~"T;~i I;QF D R P~i1Y~lS~6~'~1~;:~, ..:.:. ~I~~Dt~.D- R ~i3T~#i~0.1:=~ +!A#t~t~i ~''i3U~~:~~~ P~~Q ' _ -P IJ R A GD T ~ifl,.,0'`-1 Q-9 4:8.8 ~L~ _ _1.~--`-:3.9 1MISl0NDn uwae YMC~N~MN Nm6~~' x[v xOxw.C • .Y[ND[D. »NDniYf- '"' r,Q~ee~~ww.~ ~.D [ [NY.. . ,[ : e [ ,[ [ t,[n DN,r . DD[.1»- 0.6.17 ~ 91 +f!'9.8 ~':~ - - ~-- ^. ~~- ~ ~f ~~ ~ 6f~r o[W[N~.. [~~ ~[» J [roxQ 61 ~ 0 918 9 8 7 E - ~-` ~.:._._...~._..:_~. ~.~_- u -_~`- ,~a _ - - -/~q, ~,a _-- 1$_S=U.~ DATE - W~~XIyGA IS-*Yt1E~FiK57` DAY OF. - - " To ,. ------------ ~tR~ -f1#~TH~ i+{~ Y :~QT5~13Ai_~#. 2 ~fi ~~Q9~r.S:B " ~ -- ` ~' ;~t~,'t.0i }~~4R+IJp~y QaArd~ +~ }~y"~~C~~~y`~~,1y~3R"fit ~,{ -. Ta4~ 1 ~~Uill G. T'.~l _ ~ ! ~~~~ ~ 1.3,`~'~ki~i~~ LF~d~`~~ 4~~ ~~~~ `i'i 6D?SHAD.: hl~i4~t~.3 ~~i~k~`~''1<; ~t~R ACET fi1t~ ,~~~ (i*-8488 ,:.-: _. _.- .. 7nsaaxosnmDDxwx Ymloxvrer xoxo~n,axxYaxaaenwD- - ~ actt orxc~axs ~NOCwemoxs+r.~[D .n+w.NC wwD ON[rvw[r l»- - -- ~~711usuRioi-~arrrMDDNYtxcow,w uoNlxxwmti'[or nrYd[1NGFlOp. .. - .. YfYIUNOYODi -~/~ -- Q 6170 9.2.7 LSD E ^:w .~. n.N.Yy -- -- LSSUE .DATE rWHICH~IS T:WE=FI^R~SVT~DAY OF IMONTHI--~--~I-vEaR1J' ~~ '1 M[ 1[w:n COx~~ f~ ~xnuiC~YU D D~•+~ DnfV~F {,_-lCxlOf wxD OMLD. xD DIYVIx OYWn Bx[[N[: Dt MYN N[»[r0x ~~ --: F :! ~ ~~~~ Ex. - s ~ ~ ~ 17 9 2 5 3 617 ~E - - ~,[~ /~9, ~ ~ - ~~~-~~.~t~e~, =~~~'~~i~t~~..~, lam-.., - ,.,~ -- ~- - - AT =7~l/E Q~_OIJ~/A4~MAgTURITY NEREGF WILL:PAY. ~~1 ~-ter 1776 BICENTENNIAL 1976. _ - _ -~ .~gf~{~r~-1---~'~ ~ ~SS't1~E ~~A~T'E - _ - "ti1~`~/a~. .d _ WHICH~(!'I!S TM!~E~FIRYS~T OAY OF -- ~,~j ~~'1 .. ~ ~3r"Tr ~~ir~ 41i17~~~'~YrrileY~,,,~~~j~~117~~~~. , '~ _ r ~,~- _ _ - ~~ {!u{o Wocl AUmolm b[,~ - q. wxM~uu oya onwr ,~.~'~,~~ _ ~ -;ClN /. p ItlD W{NGw I/q~ll[c/a~~n^oi !•rYl rln[II[Ig1. _ ^_-.;.~~~~~~ ~ ~ V~ T11lAlY N M6101RIi{IR V-1/ "°"~~ ~ ~~ ~` ~: .~.;~ Q G 179 265 089E ~- 9,~~-- _. ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $50 U.S. Series E Savings Bonds Decedent Held Jointly with son, Ronald L. Gottshall Issue Date 1-Aug-1977 1-Sep-1977 1-Sep-1977 1-Oct-1977 1-Oct-1977 1-Nov-1977 1-Nov-1977 1-Dec-1977 1-Dec-1977 1-Dec-1977 1-Jan-1978 1-Jan-1978 1-Feb-1978 1-Feb-1978 1-Mar-1978 1-Mar-1978 1-Apr-1978 1-Apr-1978 1-May-1978 1-May-1978 1-Jun-1978 1-Jun-1978 1-Jun-1978 1-Jul-1978 1-Jul-1978 1-Aug-1978 1-Aug-1978 1-Sep-1978 1-Sep-1978 1-Oct-1978 1-Oct-1978 1-Nov-1978 1-Nov-1978 Bond Number L2090009639E L2096661754E L2096653842E L2096679323E L2096671265E L2107908417E L2107901341E L2107928932E L2107924430E L2107916780E L2112498210E L2112505206E L2115482633E L2115490318E L2115497208E L2115504372E L2127529831E L2127537442E L2127544098E L2127551550E L2134446933E L2134443498E L2134436127E L2134452675E L2134459801E L2134468002E L2139464514E L2139475617E L2139482968E L2139492023E L2143791522E L2143808696E L2143806265E D.O.D. Redemption Value 279.34 279.34 279.34 279.34 279.34 256.18 256.18 256.90 256.90 256.90 256.90 256.90 256.90 256.90 217.08 217.08 217.08 217.08 213.34 213.34 213.88 213.88 213.88 213.94 213.94 213.94 213.94 213.94 213.94 213.94 213.94 215.96 215.96 1 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $50 U.S. Series E Savings Bonds Decedent Held Jointly with son, Ronald L. Gottshall Issue Date D.O.D. Redemption Bond Number Value 1-Nov-1978 L2143798873E 215.96 1-Dec-1978 L2143814999E 216.54 1-Dec-1978 L2152366574E 216.54 1-Jan-1979 L2152373038E 216.56 1-Jan-1979 L2152380197E 216.56 1-Feb-1979 L2167877316E 216.56 1-Apr-1979 L2167898516E 216.56 1-Feb-1979 L2167870358E 216.56 1-Mar-1979 L2167886828E 216.56 1-Mar-1979 L2167883362E 216.56 1-Apr-1979 L2167904236E 216.56 1-May-1979 L2174893942E 218.66 1-May-1979 L2174899733E 218.66 1-May-1979 L2174903271E 218.66 1-Jun-1979 L2174912539E 214.88 1-Jun-1979 L2174916253E 214.88 1-Jul-1979 L2174925816E 214.88 1-J u I-1979 L2174930131 E 214.88 1-Aug-1979 L2174935169E 214.88 1-Aug-1979 L2174944010E 214.88 1-Sep-1979 L2174950886E 214.88 1-Sep-1979 L2174956114E 214.88 1-Oct-1979 L2174962519E 214.88 1-Oct-1979 L2174968296E 214.88 1-Nov-1979 L2187985639E 216.90 1-Nov-1979 L2187991398E 216.90 1-Nov-1979 L2187995212 E 216.90 1-Dec-1979 L2188000137E 212.66 1-Dec-1979 L2188005818E 212.66 1-Jan-1980 L2188017189E 212.66 1-Jan-1980 L2188012406E 212.66 1-Feb-1980 L2202883730E 212.66 1-Feb-1980 L2202878840E 212.66 2 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $50 U.S. Series E Savings Bonds Decedent Held Jointly w ith son, Ronald L. Gottshall D.O.D. Redemption Issue Date Bond Number Value 1-Apr-1980 L2203570312E 212.66 1-Apr-1980 L2203570313E 212.66 1-Apr-1980 L2203570315E 212.66 1-Apr-1980 L2203570314E 212.66 1-May-1980 L2204598882E 214.82 1-May-1980 L2204604149E 214.82 1-May-1980 L2204609171E 214.82 1-Jun-1980 L2204613644E 210.60 1-Jun-1980 L2204617804E 210.60 TOTAL 16,816.70 3 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $50 U.S. Series EE Savings Bonds Decedent Held Jointly with son, Ronald L. Gottshall D.O.D. Redemption Issue Date Bond Number 1-Jul-1980 L23699546EE 157.74 1-Jul-1980 L23709513EE 157.74 1-Jul-1980 L23709512EE 157.74 1-Aug-1980 L23730044EE 157.74 1-Aug-1980 L23719092EE 157.74 1-Aug-1980 L23730045EE 157.74 1-Sep-1980 L23737561EE 157.74 1-Sep-1980 L23745572EE 157.74 1-Sep-1980 L23745573EE 157.74 1-Oct-1980 L23764755EE 157.74 1-Oct-1980 L23764754EE 157.74 1-Oct-1980 L23755789EE 157.74 1-Oct-1980 L23771627EE 157.74 1-Nov-1980 L31556308EE 144.58 1-Nov-1980 L31556307EE 144.58 1-Nov-1980 L31564664EE 144.58 1-Dec-1980 L31579666EE 141.74 1-Dec-1980 L31573162EE 141.74 1-Dec-1980 L31573163EE 141.74 1-Jan-1981 L31587753EE 141.74 1-Jan-1981 L31587754EE 141.74 1-May-1984 L155312373EE 94.60 1-May-1984 L155312371EE 94.60 1-Dec-1984 L183857035EE 90.94 1-Dec-1984 L183857034EE 90.94 TOTAL 3,564.14 1 ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $100 U.S. Series EE Savings Bonds Decedent Held Jointly with son, Ronald L. Gottshall Issue Date 1-Mar-1984 1-Apr-1984 1-May-1984 1-Sep-1984 1-Feb-1985 1-Jun-1985 1-1u1-1985 Bond Number C65124294EE C65124326EE C65124344EE C72551766EE C77750820EE C80678693EE C89218864EE D.O.D. Redemption Value 191.80 191.80 189.20 185.48 181.88 178.28 TOTAL 1 T-:AT THE C9RISi1NA!•. ~tINATURITY-HE 1778 181CENTENNIAL 1976- _ -. ` .~a _„ a - ea - '~ _ J'~s`r _ _~ ~ ,~,, `` -~ ~J"-' Ll~~ndao~sxr ~ - _ 15tC1sTCLlsiG'- • ~ .'~-~~ `[ s x u auto uNxRAmxopm or - .. Ex,r ~ TD Tx uNa Axp XOxplrgxeeTArtp ror eto Axo pAt[D poEwacpeP _ - TBLAWNY.D[NfRINCNT WASNINOTON t>ti.~ .~ .---- ------ -- ---- ---- -------- -- - - ~ ~.- ~was~r~r .~s-.y =Cry - < '- -..- AT THIE-CRfdINAL.-MATUR77*Y HEREOF WILL ~AY~-~ _~~ .I _ - _ WHICH--IS ~T1~~1[t5Y QAY-O~ " . - - 1Y~ ----- ---_ .: i= ij{~-~'~ ~!;?~;,/y~ 1MONT-Nt _\-11'EAW! ~~. , .- - _ \ _ - ._ - ., - nusuNDSnwmu x Au xoxmor ~ ~ mr sai s os o sv - ~~.~~~~s~ - - . - . L{BER Y'BELL ntcr mensr mxw ox sartp or. rT uo pu ,x- _ soxnto u~D:owrsp, u~onsurExusvu, twxi oxa or ..wrxr Txuwx. - _' ~,- ,S~RIE-. ~` ~~ N~roKENT ~ x .~-~---~~~- L 2 0 9 6 6 C 1 7 5 4 E REDF:WILL PAV - ~.4~~rr ~~ i ~~~ WHICH"IS THE~YTiJRST DAYOF - _ :~:~ ~~ ~~,~'~ ,r -'~~' -A8 1 8 Y iW~~IM~~V~r/°ir- ~.. A O OU ~ ~!:.r~ L 2 0.9.0 0 0 9 6 9 ~E S nM ury WILL PAY ~7~~y -tSSU~~ATE .-' .WHICH Is rr~~P.tAsT. oar oF~r -' u,auco uxote+mxox- or T ~- soxp ACr. AtAaxpep. Axpis sus- l ~~'~ ~ ~~ - LIBERTY-BELL +ierioipxsrtwxs.xpcoxpngx tp or..,r w~u ec vup ox..r vpuc. ,. - u pAxp pertp..xo aEmr,a wAx uox.xc xtnoro. xwtx. ,xaopx 1xGWlri D[{MNTNENi - Y WABNINOTOx - ~~~ S~ERIE_S ~__- _ ~: ~. ~.~.~~~~ L 2 0~9 6 6 5 3 8 4 2 E S...n..r MGr%rvvrvy ~ r-FT ~~ 3v .y~p~` yy .~y4yE ^ IMONTHI ___ '.I YEARI ~. •]:^ ... ~ -. - ;_.. .. wtT: •S YIMpfD. YID It Lpr ' - _ - TNIL bNDI tWWUnO[a AYiND11T/Of~.. •. ..-LIHT~p Tx ~~~~>~~ LIBf"9~_-6~LL TT -- - +[crronl[rt xxs Axpwxprt x sATL" [o ""[ :[•orprnwi~r~ih[n~ron ~~ ~~5~~ ~ a~~W a [xDroxMCnrDD[uvuroi[ ro [ ~. _ ;I~Ns~-~~~~-L 2 096 679 323E ~9 3y---- - Liefyy . _ -1 .---~ -- AT H T E ' f _ fIGINAL M~gT1U~RI~TJy, "~/O _~~ ~ ~ .:j { ~ ~ ~1 :~ `r/~[I~ -; _ _ _. - - - ,-I¢~ -- -_ - THIS pONeu1LL0[p UNptp A1RNOLRYOr~ [[TTa1N drt NlD[On Y - DCq~tp.• DDATLpI ANp OL {xw T I~X T~"f /~f ~ 7 - e • -_ lwsum D[[wrtr[nr I t ~ ir ` ^, [~1~.-7-L ~wAfNINeiDN -- . HEREOF~~WILLPA-Y _V ~ ~~i]~~~-s~~~ 18 S U E D_ q E~ WHICH IS TH E;FfRST DAY~QF. ~~ ~~~~ .. (A[ONTH1 ___ (YgARI ~~~ ~ CMTING STAMP T[Y O CT AS WMO[O. •xpewr- `~~~ k [ v4D ONLY N DYIr iN- - b[IOYtI [ITOr MTYFx[ TNtx[IOL. U/ II J'["""'~"e L 2 U9V V71 2VVE „,~" Snmeryaa,ina[N.r ~ -n ~~~ £: ~~ ,..fir __ - '-= AT TNE=BRIGINAL MATURIT-Y ~FIERE6~A - v,+~'~ _" ti`~~~:1~1 ISSUE DATE g ~ _ _ - ~ WHICH IS TH'c-FtRST~DAY°OF~~ i _ _ ~~ ~ IMONTHf ..-~. (YE'ARI-- i __ '-J B.ERI~eEj-' --- iiomTNi:wxL AIIDOw"I moli°a sry•~o... . r[[ ~ o, •npawuiDLrw D sus. -- - ~ - iN[ApDxT e[MR[M[M pL1OMND xtcnrror x[w[nr TNt•[[Da ~~~~~~Q~~~ -, _ k wwsxlNDioN ,/~ ^ ~[ GI.N. ~~-~`~LJ 10 7 9 0 8 417" -E ~^ ~l ~~5~~~ta a~ -- - _56,/8 i ~o~f_~paarasatowwie+eieRate~a~a~a'a*°°aRatnoo.e.aeaessamopxa.ow .~.~-"•,.•,~•_„___.._._~_~-, ..~. AT THE ORIGINAL MATURITY HEREOF WILL PAY ~-- o ~ _ .~ .. - ~~ - G~7 ,:~ _ _ - ~~ 1R~S AOaID K+SLI[p YNDlRADTMDRRY 6t.~ I - ~ `LH3ER"FY~EI:L c[[RRS.N000.mimns im; °ii - bORNa Rp Allp: AND DIVraM ~VAII - _ -7pCAlURr.O[DAgTM[NT ~. ~ ~~ -_ WASHINGTON '' -k~~~ n ~~. ~~ -A7 THE-0R7GINAl :NIATUR(TC~=1aERE0i.WILI PAY -__ mil' -. - FSSU,E,D.ATE + ~~1.~~ ~ WHICH l_. THE'FI,@ST DAY_OF.' -' To. - Ate. ~ ~9~' 7' M ^~ r(MONTHI -~ -1-vEARI- i _~~ _ Y ~ ~~. 'i'VRi~'a N~.t•R.~• - ~F'+aL'~Y3^Y"~T-VV - ,~ . . E ~"~ ;~~~- 481# ~ ;.,:~ -_ - - r Aox ~~ eN ao Isw~- 1.-i..i, ~~~' -teERTY ~BEI:L ,racrwiiiTt sA °"~aionwxa raD °r LL c - .- _ _ lDRIKD.ARp DAilp, Map paw Rpw'AM' oacRVior Mwatlr ixaacroa. _ ~~ - ~r~~ I~ ~ ~ ~~~~~o M~[NT _ (~ N .~--~.~ ~ L 210 7 9 2 8 ~ 3 2 E S'fil I_ -.. - - - .. .. . -. Smnr~ry //Mnmr y ~ CL"!,6' 1 ~ I.r I ' 1. ~ ~~`~ __ _ ~~ +~~ ..AT 7HE-ORIGINAL MATVRITY :HEREO~AY - - ~~ .... +..~~ ~ WHICS S UHP?F-r1,R5~T D9Y - ..~ - - OF.; - To t~EC ]. ~3~'7 ' .,BUR #w _/MONTl-11 ___ ri'EARI _ =_ iiA#~ ~:. ~ ~.sD~''~&l~+iAl.:t t ~ 9'~ 3 - ~IIrR~~~:S'$~ ,Jf'~r.': -- ~- _.. YNKSONOnlssum uxmR AU i ~wlus~s ANa+Dm, Anors spt• `~~.~~'~-f~"~~~. _, -LIBERTY-BELL x aTO+RC+[RNS•NDCaxoR ° o. c wuD DRa~.r~ .~ u -. bGRiR[p ARD DAi[D. AMp ptWF tD AN [OWE pR[[RA Of MYNL 1 - 5~~~~ES ~~. _ T°~: Np~MOTNM[Ni - ~, ~ i~~y~.,.~~ L 2 10 7 9 2 4 4 3.0E elS _.]4 ~ - _ _. ..-- ._. _ .... .CrcJ°rary /N. Smuuy (vm {~W-~~~~T~~ ~~ ~~l.~i~2 ''~xsi~i °NWLL o AvA p o 1 a LZ.~fl~ +`~'V~~,~ xnRO R[u.n n. •Ar.Riwr rxinvoR. .~K.s ~-~~~~-L 2 10 7 9 01 3 41 E iSS.llE;DAT:E WHICH IS THE FIRST PAY~OF - ~IMONTH)-~ _--1-"V`E~4R~~. . ~~~~`~ ) ,?~ 6.9n 1 e "~ :.~~ ~ ' ~`L ~~~ _ ~-qT THE ".OgIGINgL "/~gTURITY 'HEREOF WILL pqY _ t~ ISSUED {TE '~~~~ WHICHIS TF{E"FIRST. DAY CrF _ To fl>5~ ~1`'~ - y IMONTN 1 ~ ~----(.YE4A 1I { ~ ~~i1~ :IBfiA7Y~6fiLL - - - ~TMls eoxotuawmuiwuwLxgsTr o. `veow qc As uLmao. gaoasec- ~~,~."~, ~j,_i,~tl~ _' . u[LTmaLI[nRxs.wocoROmoxs enLLeo - a uo qxw ~r ouLV w- ~'°'L>~lil ~i4'R - - 3pIHKeANO~WiLp. iLxpeCLN[e{oMgM LLOWI eeCC pV MTNLHI 1x[0.[100. - ~~~-T~~~ _ -. -~L w ININNOIONMLNT I~ I. N~.~-~ ;,,, ~~~- L 2 10 7 916 7 8 -Q -E ~s~, y~ ~( ~r_ ~f AT THE ORIGINAL MATURITY HEREOF WILL PAY - - ~~ WHICH--IS THE F125T OAY .Of ~... _.4,. Tn 1~k~1 19'7 ~ ' ' ? -IMaar~l---== - '„<ARI lA -_ - Pt~t -~~~~ N© fir-~+~1~-9 Fes: ~3~_.~''~, .., _ _ C~.= - - llw wxelrluose uxes~-•urxonmer Im.eoxe •ct •s •xdem •xolssus L~ ~ i~z'!~~'~i~; .: - - - ':,~ ~L1B~6FYBELL ..Ices.. eoxma en vuaan..~.oui.Ix- _, .,_ -~clxem •«o o•no. •xoenlvs mww uosr a c Nlor r•wsxrauaoc ~ - ~.~ ~_= >~~ ae~.lEN. ~1. ~ ,~~.._~.~~L 2 112 4 9 8 210E ~: _ SrcM.ryrNil.leirry _ - ..: .. _ -_ y±. I, _ n . .wr6. y° -- _ _ a -_ -~ ~; 1 _~ ~~~I =- - ~- AT TYIE~9_R101NAL -MATURITY-HEREOF 'WILL PAY' -_. - .. .. -- - - WHICH-i5 TH6.FATi.6.T O'AY AF- ._~ ~~~~'~ ~ w - _ -- ~~ M -,_ -~. -__ . ~ sxnwxeenrlse ulR, AuTNwmo e x __ _ - ~lIeEA'EY~ELL -. - ~- c.ul ocoxoR. cOfionxcnicu.r~or iw` _ _ ssmm •xo wsm.+xoo[uww~v.N. _ c _ _ -_7c;~~;~~ ~ 111FAWRYeW1111yENf !xt x a ru ~ --~~ _ __ __ -: WAfNWpeON ... ~_ -- :.~ . tu.N.:~~-~~~L--2112 5 0 5 2 ~ 6 :E ~, .== --- - - -~ 4T TLyE '~RfGINAL MATEIIRI T~' 1/ERECF _W ILL PIFY. ! S.S UE :DATE WHICHppIS'T~}H6pEIRST DAY~OF - - F~U i,7~~ ~l n+o~H'J~~__~ 'i veaal-~ - - - sa on W:wowna AUrxo mor. xexo •v, a sa ooso.•xo+sw~ ! 'f l Te' NNOML f Oi.-R • W W Ix- :L C J. E~~ E_-.pEA,wb ~.~ N.~~ a.RRI~~•~ ~ N ~.~~. r><~ L 2115 4-8 2 6 3 3 E ______ __ __ _ _ _ - -. _ - .._... __.._,~ .irc.mrorwmnne - ~~G.99 - ~r\ ~ -AT 'THE'ORIG{NAL'MAT 11R7TY-VIEREOF WILL PAY - __ ~5~~ PSSU.E PATE -r - ! WµtCH15 TttE~PIft?i SAY OF'-' [. ` klA~3~i ~ -J~"-~t 1 ~ X09 G (~11+1~4hf11;~~!`'~ ~F, ~_ _ - - MIf fOMa K1YY[D tlDM •UMOMrra wrY f0 0 Gfr•~• fNOf •NQ ffUb ' _lI6E•~TY-~-L~~L -~souico ~xo onm:Awomwwo r D ~1•wnxe xccn•rara ua rxu~rox _F „~.w~~; Nf1EXT ~. rt.:~~---~--~ ~ L 2 115 4 9 0 318 E )1 ! h , •H " _ - ___ ---- -- - --- - _ _ ____ ~.~~ , 1.0.~ - ~ n -_ -.tT__'T'HE=ORIGI/~jAL .MATpRITY AE`pEOF WILL PAY ~~s~~~ a - 1 S-S U E D A T-E -_ ----- ,~..~ 1~ -- - ,: _ __ +w~. __ - ~ ~ - 1y ' -(MONTH"1 ~ JAI YEAfLI M An~wy~~~~j~ icy q~g~~'~~" ~ Jam/ ~.{Y~ r^~~ ~~ 1.-FBE[{^Y [iG~_ - -~ Twpwowoulgamuwuw~urwowmo..N~ ~wow.°nusE~wuuwoax~:'~OOUivis ~~~ ~~~Z{.~~~ - +ferm mcn •w coxenwNf srr -~ -tafwm •wa~w.cu, AwomurfNw~r a aunos Amlfwr rxfuma. . - 711EANIM OIwAfwEM .... - _ ~i`L~~=- _ wA.wle0mn .:.~~~ ~.,~.'-~~~~- L 2115 4 9 7 2 Q 8 E ~i7~~ "~y~~...~"~,/-~lti ~ -- _ •AT l!HE ORIOtHAL~~MATURITY. H6RfiOF .WILL RAY `° _ - ~~ 'WHICH IS'fH&FIRST.OAY"OF '.:(l - ,. _ (MONTH ~ ~`,1 - l 1 - r -' ~ -' 1MItMMpynnWt0Y1iM11~WLIMIIm'.OI. ~ bN FACT. -f WMeRl:Ulen W{. ~ .. ~' L! _ ~_- 'MtfIOhICtR1YF'VroCdLCnNM ~~ItC a,1M1~11LL`Nf~YAYD OMLY-11 WlY IM• _y -^~L`~`M~~~'~~-~~ 111~~1MN~M[o.~tN HLNtI1WM~. LONLNi Mti 0/,IIdNfI1t.11R11LfOR -' -: - u (u. ~; ~~.:~L 2 l 2 ? .5 2 9 8.31 E,~ ~.r~...._.~.._~.-~----~- - .... .... ..... . ... __ _. _._--. .: ;; 3 - - ' ~ ~ ~ .: -ATTN E'ORJ6INALM4„~(f/Rlh\'~HE~iEOF'>WILL-PAY _ ~~ ,.. ~ . . WHICH IS 7NE`>:~IBgT PAY.pF:-• Ta ~ x, ~.. - E-10NTH) ___ tYEARI- ' ~ _ ~ -.. ' -a ~ ... _ - _ ~ \~ ~` - - .. ~. °`~ _'. .- 1LN bNNV tlROVYrRlelll~MV01 -~ wRe AM'Lf WrMNl, AM{n{In•~, _ ~~~ _.'-tiBEFf'Y.-'BELL - - a~roMC n.u,vLemnemovr urtc nwa u.vaeoN Lr anv lN. _ - t~ 10~ ~~JNN Wl11M1Llm{I'M MJ{QLPtOI IpYWtMM1011. ., `- _ v- _. AT T/ENE'ORIGINAL'-MAFURIyyT~'V~~jN fi~REOF -~W)LL PAY yfiMy}~1~ viLFfLY~ 7n ISSUE D.~A T~E WHICH IS THE: F.IR57 DAY OF~ ~, i --- -- (MONTH _ _ t'r'E ARI ~'~ ~ ~':. ~~ - ~`~ - f iMl-WNOIt Ilp11O YNOLII AYMO[IIT'I OI. .WND ACi, JJ AYdYmI D &It• ~i+~Y•^ YICT lJ IxLTLxxLMDCOxpf1D41T1TL0. +_TMnI JLVAYD Ox[v ~I DYly fix- '-LIBER'1'S`"BELL swum awonATLO: MOStunsmmM xe Jaurtwt+L[ttuT *«u[roL. . - . 711FASSICL OloY11UY[IIT -, ~E~~E~ : MAfNIpmCK • N. ~.~~. L 21.2 7 ~ ~ 15 5 0 E ~.~ ~~~~ 3~----_- ;,. '~AT THE ORfGINAL MATURITY- 11ER6Of WILL PAY - ~~--.s-'~~+.~_y`'J,~ ~~ri~\r~.~~- I S.S U E; D A Tf WHICH is THE F[@ST_DAY-Of T~ - ~ ~ „ .. (MONTH) ______ R) = ~~ 1 .~~. ~_ ~, ~ ~ .. ~~~. _;= 1n~L.DxD,L IKY[D YYD[x AY[x09 Or D Ox~x6 •[CDIVw a/v n n[a[ron ~~•~.~- - 5@~~[o AnD[DwTLO~xx00[lrvtnt [ OMW+`LB[~ SERIES ~ MLAw SxDxGiOxL~ ~ [y ~ ~ L 2 13 4 4 4 3 4- ~ 8 E . ~T..~k - _.- - ..: S+rm'ery NiAr imarurr ~/3 8~ ;' ...,, -- - - /3 _ -- ., f~ ~ ...., /'l~~ -__ -- ~ - -AT THE--CRIOINAL~MATURITY H EREOF-:WILL PAY ' ~,.~"~ ~- ~~ ISSUE'DA7E ' - ~ ~ WH1CH 15 THgE~'@BiR~1ST~pAY~AF. y~~ T~1 1 YEAR_I 'f . _- ~_ MIS fOOTH4ruYiiNO xNtunwNmor SON„uci•~vwa mlw uivu•- ~'~ M~~'. _ - -l~B~~~~~~ ~ -... ~ ~IOINL~~~DEOMR Y[N~ [W[MmOY~1N rtNOO[C[IrtOr N~w[Xf tx[n[[o0. -- w„~~~m°~ .N.s~~--~-~~. L 213 4 4 3 61.2 7 E ' - - _ -- -. ryMtNTiwrOry F~~ - 11BEi a1 _ _'~' /3r =~~~ _ _ , _ - ~~ -_ _ - AT 7HE_-OJtIGIKAL~. MATLRI7'.Y HEREOF--WILLL PAY ~~ - _ ~~[~ ISSUE. DATE _ - WHiLC~Hj t5 THE~fIRST DAY OF i _AZSCa - __ _ - ~ (MONTHI _ ~ _ i YEaRt~~ ~~~.~~~ 1 OATIND -ki~ ~-,N OcoN"":osatt N`:.snw .s sus- ~~~~~~ ,. - eu sos oorm,• o[uvu[osY[ ~ n~.~. c.o oN[r ~r~o~vm- - SN NOM W I(/7 ,N[AwANYD[wR[N[M - f• I ,) ~~~:~"~ L 2 13 4 4 5 9 8 01 E _ __ ~..~,w,. ~_ _._ '-. -Src.nryo .' jury . r- - ---~~~, 9 ~-- ~,~ ~ - - - .. ,. ~ . ,, _ ~ w *'~ __ ;, '~ ' ~ ~ ~' ---. --- :AT--7HE :ORIGINAL MAT.U R['fY HEREOF WILL PAY ~~ ~J1 ~~5 wH cl~~+ ~ 1~~~fRS o E. of - To _ aA a!~?.' -- T -_ (~ -: - IMOtJTIi 1 f 1'GA 1 _~ - ~~~ ~ + -.~. >ii.?.9 ~_-` ;: ~~@~pn ~.~~ 'I ' .... { -- -_ .TM Sie suusou oa Now rro ~ e~~~4i Isaae ~~ ~'~~.` LIBERTY 6E~L .~s Ncrm a. x coxomoess rs' or: o-.T .~~ - :-ac o ooewauew u - Y\71;1!a-T Tf./1 T .,o ..e,...... rxa error rwrnarrow. - ~ ) '' Iwr~ j' 17 p -~, H ~~ ~~ ~ WASNINOTON „' W f1 r~-w.-,~ any ~. L 213 4 4 6 jy - - .a.ora-`-°'°""'° - - -- - - `. .:: I' J.•.J.~~.ru.,.~, r -8 O~Q.2 E ~.~ .y,._e.--- - - -- L-IBEI -~ `~r" ~ . -~ ~s__ AT _TFYIF~iRLGITFAL (l~~©wETk Hex~$F`-9vic.€ ~~~~ ` Ire->ex~la ~ ~€~ ~' +,~ .. ._._ -~.satyr.~;-"-a,en._-.w,.ii_...<~yF.A ~ - _ -- - -dq fexo]agwmuxe[1FAUrxorxnm.' -eOM~•er. •V~~Y~r LL? --- unmrNa veru uocox roxssu o r i uer r - _ aen m xo opiw.weoonnmsow eiowraa aicnrr orr WANNMOfOx ~~- I~, ~S~-~ __ - IS~U~ RAT'I: '9 i 19~:~t~2A~i.~2 ~~ L 2 136 464 514 E x~3 9y T.,, _-_- r ~ - - _T_ . _ -_ _ ~~ -- _ - _ _ _ _- AT 7NE ORIGINAL MATpR1Yi[ HE}f.EOL-WILL PAY= ~ - _- -~E~~~~ .~. ._ ISSUE D A T E . --- - - - --- - ~.--._ ~r'~ ~~~~~: ~ "--- WHIfH IC .TNF~FiRST OAY OF.- .~ ,. -R~t ~. 7'sG~tSricTn~i><rl4~~ik.- #t#~iA~n L ;UL37;I:S~iAt.L -_ ~9:~.rt295rZ3 ~~lRr~I~;SU~tG~s%' ~,~?~ __ - - `PUNT-' ~ICG:~ ~~ :1`fl-:Srr$€ ~T__~ ~:~J£ - _ _, r, _ _~; mNa asvr co,~AU wmn ao u: wm:•Nenau- ea '° a.ra ,. rr aa,.:x- L2 ~3 Sys ~~b~1 ~.E .Nrrrrer rNraraea v ~I~-S ~ ._ ~r~xYOao~ LN. - l~ K ~:~~.-~~ L 2 13 9 4 7 5 61 ~ E ~/.3 9~ .~~ - ~_~ ~ ~ ~~~ ,. ,~ r a tssu:E ~~=r :wH(cH (5~'S~E`F4Rs DAY ter -. IIMOh1T/i1- -. '1'vcklil'_ ~~t ~.~1 x,23 •#i ~R~~ .'~~~.~ ~''~: III .~ ,~, x~: ~.. _ ~i _ }y+y Mr tl WI1L 0.f ulMtMO ~MWIS W«- ~~3Z~~~~~V~ ~}~ t[~~`tfM M[M1~~11~ ~MRHt.~~ ltDN1MOT[CI1I10f M [M TXGfIO0. ~gl a..l6ERTY 8Eklt u~ln .Are eom, oww[AUnW _ _ _,,,o~a NYLMT ~ N ~,~~,...,.G~ L 213 9 4 8 2 9-6 8 =E a s ~~.,' sxnlfryaw%M.. r .. _ _ -• _ .~ 1, _. _ __ _ __ AT-fHE ORC6INAL Lie+ _ _ ly -PAT _ -. `~~'=~~'t _._ _...-. .. _.. 'r __ _ i5S1JE DATE _ _ _ - ~~ _ _ _ WHICH JS TH_~FIR57_DAY OFD' 70 - ~~7 ~5?8.~: _ ~ ~~~I- i~9:AY ::ti~~~SJ-1~~:~,:: ~_t}b~:L94fs8 .._ R[f~iA1c~._ L GG:7T.,~1~:L r ~9~.42.5vEs23 H~R~C.ISH#:~iZ~s;,PA_: _ - s~"F3~t AG~~ ` iV~ J~-a~~-- 988 +~ -7y~~~'-j~7!-,_ ~' ~ -x`93' _- - - swtu IS US ro • tlrco torso TC •s s [0r'ii °o's sus- L.21!~r3 17.L~L~~ -~ t~&R'f`YBELi= - ~^`',~7 +~* Tl~p[ ~• oxomoxsn .. as.w- _]~~~~ ~.J IigEA~0.Lx1tNOTOHMCHio o[lNG{uo 4I .- _ ~ Neff~o. Mr.fm sxfnfron. K L ~---~~ ~- L 2 14 3 7 91 5 2 2 -_ __ -_-_ _- - ----------- --- -- ~ i3~ ----- ~~3, y -- ~~~,~. - AT THE ORIGIN,AI MATURITY HEREOF. WILL PAY - 1 ~ _ TD l 1 V.c1 - ' `• 4""- - R - ~ x - ;. - - MIfxD 4 S Sf11[OLVbiO AUlMbxlif'Pi;~ _ -- ^~ - ei Te R Y i DCO J S t l - L_ tBER-TYBE4t_ ;- iLp HP PA[[O.'AN nunu[D r -~ -~ri~~~- ~ iR6.aSYNY-0NGIONMIpT T. Ii83SIIv ~n-~--/ E~ ~; A~ J ~` .,,~ _ ~ `_. _ , ISSUE,DATE walcf: Is THC' Ffasr DAV of (MONTH) __ I`/cAf.1 ~LCx1M0 xI[[1P1 Dr Mrx[n~ tx[x[ID0. - - - ~. ~r .~~----~-~~- L 2 14 3 8 0 8 6 9 6 '~~ -~-_. .Sii ory NNr irvmuiv _., -- - --s'lC'S - _ - - - - ~ -q~-_THE ORti'i1NgL ~.1ATLRISY HEREOF' Wf6L.-PAY - _ - -_ -- - IS.SU,E. DATE -- -- ~ ~ ~ ~ ~ ~ -- -WHICH IS^FMD:~~R$i.DAY pi _ _ ,: - _ ~~ ~~ - ~ - ,yy [{ ~fM~~S6",p~'6LI slM1r 'MlflOxO iH[VLD UxD[R AYTNOIVTY.Oi~ fNl ACT JS AMlMO[Or#xD1iNf• 3 xx.li~ ~~ - - d[[TTOix[n 116AM000Np11MftTAT/ 1 [ALL x[VAYD~OxYIFN[T~lI-- ~°n T~~ w~i - _ xCxlftO lM Al[D,A mxro.r l xl nW:fvxfl[xT-TNa[mr. _ S _= fA[A~ W~MOD10~~~,T ~Y '~ K ~.~~.~~ ~ 21.4 3 8 0 6 2 6 E- ° f<Mxy/NrF : ry .- -.- - ---_. -----_-_ -. __ .____ _ _ __-_ ... _e___~.W _W___.-~_~__ I~ if/~ ~~= -- - _ AT~_F.RE ORIGINAL M0.TLRIfT NEFSlvr ~'illil_rAT ~_._ - - ~/--~y~ ~/ ~~ ~ ~t~~i7~~ ISSEJE DATE _ _ ~s'~~,L't~ J- ~ _ WHICyH~IS`TNE FsI~R57 bAY-OF -- -_ - ~ (MONTH:) ,~~-- ~-f YE1 RBI -. -... ~ _ _-- - ~ --MlffOxb l{~iiu[D Dxe[xaD OMT/.Oi~- O1fv fOxO ACTLS MA t AxDIfiVD- y ~ ~" - ~ ~ ~:~i _ _ J[R10TR[ 1[xxf AxDLONOnroxl3TAl[D [Ot:. R-MILL O[ YAUD'Oxly-li WL[lx- - -~i~,~ - - i[tl0[D DAI[D. AND DllM1lSOfiY L'Nnxo R([[ W MYS1LNT tx[x[IDII s ... ,.[,~.; O 8rotryfl[NT :. ~ ~.~~ L 214.3 ~ 9 8 8 ~ 3 E~ w u-~ fKAHry KN:~mvxry _ _ _ - ~~~ q, ,e. a.c.~~,., .'~ ..lax,. ~ - _. .~. . u u r.; 1 u t. _ iA o. ®._ ~~ ~.~~ 1 ...: " - `:: ~.; ~~''~~+//~~ 0 SAT TR.E-ORIGINAL MAT}1RITV NERfiDF WILL PPY ` ~~~ I5SUE DA.T.E +t. WHIOH IS THE-FIRSi DAY O~ `j - _ - - f MON7H~I ~.iYEAR) '~ ~' -.r = - _ .- ~ ~ ~~ "~ ~ ~ - - ~ ox uwurv oq~AUMOinxar` ~o a~A4n t0 • IfY VHF ~- - _ _. au t Lrtxx6A ntax mwaAa o: m u c w - r - ` ~~ y= ~~~~ ; ~- ie~'ASM xrPMIM[Ni OlVrlx{OAY OPVn xu rw rh [roa -_ ., ~ .. __ _~ ~,~ N -; ~;~ ~. L 214 ~ 81 ~ 9 9-9 E ~ .' _ _ S iMry. N l' ._ _. _~_ . -_ _-.. _ _ ~7/~ -~ St1 ~-- ---•--_ - AT THE ORIGINAL MATURITY HEREOF WILL PAY is ~. _- ~ . --_ ix aaxo aqua -119f37YBELt - - _-`se'acT~"a oo.Yao w ~ ~ ~~~~~V ~ -- 'faE WA6 NOIOaM ~"'a+~ws raw: I 11sYd ISSUE DATE ' I ` Y~MICH I.`, TlIF FI gy p PSi O\Y OF. ~I'~"f ,~ s~ ;~~ k (MJ~ITH1 ITFq { ; 4 ! ' ~~ ~ b ;, :ti 'y xxo~ no ~ aoxw uci w i ocxom.•no lssxa• _ . mi~oaY o covaxo alanro~ wrya~ .xenon. - ~,. N ,~~--En+~~L L 2 15.2 3 7 3 0 3 8 E /~ ~" - `LIBr1 ~, ~,-:-; ~V '" AT -TNE ORIGINAL MATURITY HEfl60F WILL P.AY -- ~,~~ ~l''~ _ _ ISSUE, DATE _ - .~~ WHI.<~Hj IS THE FIRST DAY-OF ~±' - - (MON7H1~-----1 YEARl `~ y r ~il~ ~~~ _ ~ ~~~ ~:;ii ~ ~lanq~a[a1G~ili wxo [~diaOrtbxfl wRa •.. Mart W1t1 ~[v4D eTO. •aV ISfYa- -~~~~~~ ~:_;,; ~ -eea om Aao o•Ym.Aao onmaeonAn cww.xoauxnwn++«er r•"+oiernn. +~i - _ ~~-S ~- TAEW~x~~1,EN1 ~ L 2~ 16 7 8 7 7 316 E ~ l~. N..5.~.._e..~~t.. _ __ .fnmary WU.T.rx.xy --- i~ ..-~ ~, ~ /~rl'~~ ,_ 'AT THE ORIGINAL. MATURITY-HEREOF'~~WIL~~L PAY ,.. l~,•,/-. l~~J` ,.%~ ~V.Y .WHICH IS THE,F'IRST DA'Y-OP ~- ~~ - (MOf-I.THI--_ ~-IY6A'R7 ` J - ~' ~~~;~ ^~ - • ~- rte- ~ ~ - ~~ -~ ; •Ix»Iesttkuu lnax~Lvrxexnrer •eu -•cr-A• aao. x~nwx•- '= LIBERTY BELL - scn:.o n.N AnoewwxNnsuRa •m _~ ~, ~ __. • - 4~~~. .:~ ~~:~ T~WKN M0T NM[xi uuv[•tokrAr•' _• mmxeLL oe xr- xa[rm~ ~ .. ~l .crx[.ry~~„xer~• r[ .. - = Ate=THE*i~i l-l~- - _ e= - _ - `liar i ~.~ _ _ . ,, . _: - - = a[erm xcaxx•-mion _ wXOk AN6OtlkP.'ANI ~~~ 'RRAfI11M DLMRTMLIIT ~ - _ _ - WASNIN0t6M .. _ _ ~ I .~ r I i• R .WHICH IS q•HEaHRSfi DAY-DF~-~ IMCN7W1 I,vEAftl ~ K ~LNtY~wtN ACf: A•[JIpO[•. ANpnJ•M - .. Ana a-+.x[.a[ vwo oxu vw[v rx- - _ MR NO•Wx•l Of MVxtxT lNl•[N0. .. -` - _ ._. _' _ ~_,. ~; N- ~~ : ~~~-L 216 7 8 7 0 3 5 -8 -= ~-LIBEi -, _-__y ~-_- '. ~ -- - - - ~~ _ ) Afi TNE"L1RILitNA1~ MATURITY HEREOF WILL' PAY ~ .__. ~~/- ~ i ~.~ - ~ `~~ ISSUE DATE' -~. _ _ ~~~~` +WHICH IS TH6i~IRST_ DAY pF -_._. - - ~ - .~f ' (MON'TH1 ~ (YEAR) ~~ ' i~^ ~~~ ~ ~ .', ~:X,•~' tee= -=~ _ tx xenuwm • wrrw Aer • e. •xe nsu• - .. _ _ C~I11x[D~k~N Ax CAII x w fM. k O Ox~v • Du[v fix- ~ ~~ .. _ Ax Wko~Y1>ol[Mxl i7N1 [rDrn oxUYrtOr MVxtNI lxu[rox, - ,~ N„o N.LxT ~: N ~.~._~.-~~.L 216 ~ ~8 6 8 2 8 E - di eJIbRW67~t AT THE ORIa1NAL MATU RITY HEREOF 'WILL PAY -- =~=~,8 ~; _ ~,l~~ii't f 5 S U E DATE _ .~ra~../ WHICH IS TNE'•FIRSl UA1 DF :Ta ~a~R ~ (MONTH) ~ _ •-~•I Y£Aft~) ~ •-.' »~ _~. '~I ~rrr ', a~ 111 ~• ~. ltd"~}~I ~ " . l'~ _ r. a, »n'f~xe is lsiuco x ~uMORm - of ee.Aerly AUdwo la [w- ~ ~~ ~~. - TA Tw Xa cnr ..._. ~ ...- _ _ ~~.. - - ~•- s ~ sa fORlf[O'AXO OAT[ .MOD[DyaM1ry IOMN-A[[IIrTO1 TX[IRIOX. ~~ ' v ~~.~~ ~ TREAbU NMetONN[NT .~ 11. ~~ :_ ~„~~~W,~~~-L .21.6 7 8 8 3 3 b 2 E ~- :_ ._ _ -_ _- ~. .~ - -- _ _, _ - - [Ril10MOYIf1Yie VNODL'Aen10MfY Or- TOTw6[NOItMO[rilf NNH 1011 of >Y[NO[O, ANOIf fOM lO LL ~[ vADO OXIT Ir DuIY,X- ~~~~ ~N81~r["pKDV[R[Ory -,. .:- ~ ~~~~.w~~.L 216 7 904 2 3.6E _ . . s.1a.oaw.ma.,y t- :/ - - GS~i~1~ UHERTV--BELL -- iRi:ASUpYD[MI[TYEYi -WA3wINOTON ,V1 ~ ~-~ ... r .; ~:a NqL .MATURIFV- HEREOF =WILL PAY - - -'' _'-`_`-T ~-~ ~~`~ 158 U E D•A-T E~°. WHICk IS T•HE~; FIRST DAY~O F~-' i ..._; -IMONTHI_-___-f vtaq) ~'__ _ ~ -. r ~~~ ` l ~ . ,- _ ~ , . ; - _,i ~~ Yver,-." [Yr ewe AC .Af- AX ~~ ne wr~ u ~o onAA w .. .nor aXT ,X[Xi eti .. ~ K•s~, ~~~L 2174 8.93 942 E -.. --_..___/J /~~ V '4~'~-•#1:i ~`~ i< ~ .... _... T.vaRSa: au~7R~a~~sadsesaawlraR~R1 ~`~'aeq ~ r'~~` Ys g 1 ~, `„~~"~~"l~~ - }~A~T THE ORIGINAL ".MAT.URITY H8R8DF WILL PAY I ~'~~ ~ ~__ ISSUE DA' Eat ~~== ~~..~-~ WHICH IS TH E'Fifl ST DAY.OF 5 :To IMOMTHI __ ('YEAR) :. , +~ -__ y _. ~~4 r, it ~ .~- .. _.. N - -, ~~~!~ s. .; 1- _ _ ,. _r .. ~ f --_ - r , >. P _ _ k ,, _ _. _. a s _ _ _~-._ ~ .dn gNONIYYIe wo[MAVMONrvo1i ~~Irrr~eOllD Att •a Wpme: ANele wra- ~~~ ;' 'r. LIBERTti BELL - .ICCr ~axµn suueoxaraw srn wr..nwl s - -oNCwn: oucreN- - -u espto."AND OtIMN[Oft11N olwMxo actin Oi rMrrcnr iNrrN0. .we ~~`~T~S ~= ~„~~ro~a~ '(~:~K ~~ L 2 17 4 8 9 9 7 3 3 E ~I - A _ _ ~~ _ .~ ~-~ ~ - .~ _ ~~~~ - - AT TN£ ORIGINAL MATUTfITY HfiR60f WILL PAY _. .. .. -__ ,r. - ~~ ~ wHICSSUE fDA-TDE of .. To ,iUN ~9~9 ;; IMONTMI~~_ ~` (YEARI -~--- _ _ -~+IR,S= DE3Rt3~~lY. l9AY G~7S~lt 3Db1.09488 _ 4~fl~ .: ~X F. DRD RfaJ1 D FRE A511itER rr, - - til~~tR'I5.B7RG PA ~7I~~9 con(~i~~~~~' p~ QR PE NN,~~1N ijA RGNA~:i? L G~TT~ti1-lL 1.9.i~i.29b23 HAR~tI ~BURGy,-'P~E- _ = P°UR AGCT Na 12Ob~-1t~-94:88 J~l~L _(~9-~~97~9 ~a roNOnrRUeourow~iiwns '.m solve Aer~ss srcNem.ulenaw ~2 ~.~4~9.~253~9E L,[BEft7YBELL._- seusw.wxoarm,r.omwuoiico sor,rt.~userwsonarrroucriN. RNwnralltcono. nwruraNwna _ - .. tnrwsuNr osA.NTruu :~~~ ~ _ WA6NINrTON •.~ ~' ~~~ ~o~ L 2 17 4 912 5 3 9 E ,-. _ -- - - - --- ~~y ~8 - "i.i®EF :: ~AT .TH E.~OR161NAL-'MATURITY .NEREOF WILL PAY ~~.~ ~~5 ~~r~ `~E*~ ~ j l S'S U'E .DiA `rE WHICH 15 THE'FIR§T OAY OF .~ :To J.~1#Y 1979 ~!1FCS IID#tO~HY .,M~IY .6DTSNALL 2;06: i~9~r88 '~, 45,DD =t~}(''FQit'D ~UA:D ~~i~-AS.t3R~ii~`, ~i A RR'I S18~R G -~A 17:i:#J 9 G i3 M ~4;~tL!~ft -'p PlE~1~1~~~~Is~-,~ RQiNAL°.~ L ~OTTS~i-AL:L 29~~r~i 623 MARYt~ S~1~11~~-,%P.'~1 P.t3R ~tGCT NO <Z,06-~~C3-~~488 ~~:1 _~~ '~.~ . Sie4 MwOnnuuro wxelR.viwwner-, :... rofl.eeNe lLer.xt ulMele,Nweu Ole• - _ ~.:' .LL -~- ~m,ArN[nwnuLetawnax[sGH [or..n.wu.[wuaewar.uewYlw. L21~'?~t~3'f-.~`:~3£ - - KxIW~MeOtl[e:ALle elll[4wpp roueane xl[orf Wlwrr[11FM[xNelL - ~~ .E '~"A1°° .. •• . tu.t~. 3~ ~~ L 217 4.916.2 ~ 3 -E ,~ ~_ ~ d. ., ._ ~ FL a .~ ,AT 7HE ORIGINAL MATURITY HEREOF-WILL PAY __ ~.~ - IS_SUE,DA'T-E ~.' ..u a ~.' ~. ~~ .- .. WHICH JS THE.,FIK5fi UAY~ OF.. - - a ~ f ~ IMOIJTL~iI~~__~ -l VE R1 _~~~g ..~-.~ ~ ,~Q~ifl:T~Y .1r1AY ~t3T5#iALI .24J•6~.~9488 ~<.,. - ~~QQ .C}~~t~RD Rt3AtJ Ti~~AS~I~~~ ~~, ',"{ ;-~f;A~R=RI~B~R•G PA ~7:LD~1 Cft~A~i~~`~`~s~Li'~ 'RO~dALi3 L -~6GTTSHALL i9142~623 MA3tRL,~~S~URG:~ ;~:A PU~t AG:GT Ai>t~ 2:ab-.fit}-9488 Aim,-6p~y.<..~:~~'9_ -- - nnx wswlwmexw..mngnrrer - _ _ ..x..... u.wnie[e..xnn w.. L2.1 ~ 43.25 81 #, ~ - d LIBERTY BELL - am+oYwcnxwx uLecexomex[tons ur. Ic.vu xe rwo oNLr .r euLr IN- _ ,-- eeNefD.NNee1V[p~ANP e[LN'[x[eRMI LLOxlxix4[briar xn.llxl iN[x[IOA _ = SRI ~~~ ~ - ~~I,HT ~ G~. rr..~--~~.L-~~. _ .Naa,.L~ L 217 4.92 5 -8.1=6 -E +- z .; :.~ -.~ ' ~ ~ ~ a ~ ~~ -~~ ~ ~ 'Ii _ - ~ ~.... r. - - _- -AT THE 6.RIGINA4 MA'Ci1RITY--HEREOF".WILL-PAY - = ISSUE DATE .,,xxr1 ._„xj, WHICH 15 THEEIRST DAY.OF ~~ _ _ J UL 19 T'9 -_ - (MDNTN) ,.. NEAR) - , MRS OCfRC3Td~1~ ~+1A1' Gt3T~;HAiL 2~flbi~}3k88 ,..- --.. t ~ ~~A1~ ~X~QRD - Rf3AG ~~t~ ASl3R~R'~, `I~ - - -~iA]RR3 SBURG" ~f-.A ~~:~A9 Ct~f~MQ1~4t'~A~'~'1~i. '4# I~ - - ~~ ~~ - "'OATLNO~T~ ieA _ _ _- ~t~4~AL0 L GffTtS#iAL1 19:~429b2.3 HA~tI SSUR~,;iP~ PIJiZ AGGT NG ~'t3~6-:~0-9~r.88 AL~~_ 14 ~'S rw ~-'= ~~ -- n :..R x.Y.oNeu:Lx.:o`o„'~•';8~,r". L2~"~493~i3i~ - `LIBERTY-9EL-G. - a xi i. oo i[o~~llo~ooLLmiiro.r' roLiownoucunor nnuiswuvox. - :V ._^ '~" ~I ~"~ ["' .~..~~~ L 2 17 4 9 3 0 131. E ~- ~~ I ~ ffi SxWbpiJi (f -~+~ i ~ ~' Y~~, y `!/ ti~F 1 \..i~AT ,~E,NA~~ R~E`+/~1LL,~ Y L~~~a___ [ ~ yt.~ y- ~, .1 n «_ . WHICH IS THE FIRST DAY:OF - To AUK i97~+ r (MONTHI-~__~ (`/EAR1 ~ e4 _ ~ ~Qy~~;y~~~'}q~~ ~i7Ar ~iC1T~1~L~ 2~6~4~8+~1 ; .. t --- [ ::. ~ - t,y~',~7~pi ~Ii~' yyy~3/ ~~ r ~~~r~',>Cil`~` iii ..,,~~;~ a ~ -iii lw~R'~ ~i~19 ~r~ ~~~ \e~~ ~!~ _ ~6; i~tiWr~i.'t~ L ~Ci:~ t~i~~9i~';L l!51.~~4.~3i1~r?3 ~: _ Aix _~~~e a~ MIS xOMDH-x1AU[DONMx YlrxoxlfV01': ~qTY-xOxO C., Af AY[ [D~AMO YJ111M 1~.2.~~t'Si~~i:~t~b~i?~. ~'1.IS~RT B Lam- arD.x[-nxxsANDCONOnro co. or. n [ o I00[riN- -- ~WxID.-ANDDATCO~AND'W[Nlx[DxY IX{OxlxoxlW110I M'MOrt rxuuoN, -_ _- ->te[AxuNV OCwwrrcNt __~~~.. - (~.rr. ~- ~w~ ~. L 217 ~ 9 3 516 ~ E 4 ~: ~._____- ti -_ - _ - -___ zip ~' - -- irAr [o °"w°~u i[ vu'io on'd v Quit°i.N,- IxYAN IDMM611[C[III01 MYNINI TN[N[IOx. - - ~- -~ - ~-~, - - , . ~ _ ~ Fl~~.~~ ~~-L 217 4 ~ ~ 0 8 8 6 E - ~isE~ - _ -, __~I .; _ •.AT THE-ORIGINAL--:MATURITY HEREOF WILL PAY ~`~.F,~~ ~,r~ ~`~l~ f5~sUE.:.DA'TE `~. - 1~..,~ ~ .WHICH IS iNE=Fi (YET DAY~:OF ,~~' To S~~ T1~7~9 ' ' lMONT FII-~__~ (VEAF) .^i` ~#4R;~ ~IRpT.*!~f ~A~f ~D3'S.F~~IIL~. ZDfi1.~0~48:8 h~A~R;~~IS~Ji~IG =~A ~7~;;>i~9 ~DMMD'C~f#;i.~ _ R~~A~1) .~ GDTT~.ti9'~~~. .~9;i42~1b2~ H~A;~~S~~#i~'G~ SPA Ai~t#~ ~t1DD~ .iVD .:~i}b~:~~-94-8.8 ~(T ~~ .~.~l~~~l. ,lnswneuRRVwunn~wmo/ffYOr~~ ~.°nu°:l u~;fa~,.~c:>I;e°,• L~21.7~r~9~ffi.~-;14'x.- .. LL .amro'nr+unc,.NOCa.mlo a -: u 1 - - - ///xaR ~NR DAiLR. •N0./lWMtO/YAM IOWInO /ttRP10t MYYfai lNlaalOA - ~ .. ~I~ ~ E ,a ~D N ~m .~nT ~ N. ~,~...~.-~~ L 2 17 4 9 5 6 11 ~ E s,~,u;rR.;,ra/, 1/~ t:. .~ 5 IaBER - _'~ s _ « ~ a :AT THE~~.O~I GINAL -MATURITY -NEREOF WILL PAY 'I ~~~~~~I[~~ fS!SUE DA"T•E - WHICH IS THE F,IRST_DAY-OF ~-.: _ (MONTH) .. ~ (YEAR( iS D[p'~i~Y d~lA~f -GD-7.s~#;14iL 2S~b~ 09:8+8 k~fl4t F:C~D., ~tO;Afl ~~L~1~~~lJ~fiil~, _ #~~ fs$.t~6 ~,A ~T1t29 tTit~f~lt~~'T~ ~;t3F ~N~1~:~ ~ ' GDTT53~ALL :1 ~9~42~b23 #~A-~ ~$~It.~,,,~' ~~t CDR ALGA' iaia .<.~~3~-1~-9~i8b ~~ 3L.~~~°~9~~. - -, - fxxwxorslawmu/of~NUfno/rtsor~.' .wne Ner, ArN/cnm,ueuw/- ~.~~~b~~9i~ ~; ~; _ ~ .Ieerminen/nsAnowNORlenssuno eor.rtw(u /c wuo oNl~fr Daft fn- ~/CM/mAn/'R11/O.'w//[W/Ila//r Rup/IIR/lLRna M1x11117NUVl°0. 71W WM °LRVITM[M _ . MA.NIx°I°n ~. N .~.-~,~,~ L 2 17 4 9 6 2 519 E ~`~~ Y _ ,_ .. ~ ~ ' ~~ ~ «' R AT THE ORIGINAL MA'EURIT.Y HEREOF 'WILL PAY ~ ~.;~~_ • ~i'~ 15.SUE, DATE -'°' WHICH IS 7NE. F~R`SS DaY OE_~ ~ ' • _ -SRS DOFttJ7H1'_ ,MAX ..CDT~~ALI:. ,24~6~~4$8 -- ~S~DA'-:©XFa~D.,-R, ©A~D T#~E-AS~IRfR ~', fiARR~ 5~3UR•G yPA 1.T~;fl!~ GtI~M~l~~ii~'~r`8 t31F OR P~lai~IS.~ILo1t;A~i~ ,#' R©AiAL~. 1- G~TTS#dAl~k ~9~4,Z9~3 ~AR~~~f3#IJiFtGs ..~~- Pit AGG?::.N~ ~ :28+-9?~88 t~1i;- ~.3.:-~~1~9~ Mle(iO lx[fiu~i.il/R ~A~.~/RxN.R. - .:"~,LL:'y. ~la~ ...eY,y~~. 1.2~+~9b82~bE iLL - - scnuco Ano:oNf ~.no efuvinowN eli howl aicunor Mwi/imuno/, ~~~~ ~ mr~su~°~nuvrxenr ), 1. 6J• ~-P~.-~w.7L. _ UJI~ J~I,.~N.~;~,.~ ~ L 217 4~ E 8 2 9 6 E /~ ~~ ~AT THE ORIGINAL 'MATURITY HEREOF WILL PAY 70 ~1~~ ERTY=HELL - s~~l~s E IS:&UE DATE WHICH IS THE'FIRST DAY~OF _: ~IMONTHI ~__~` (YEAN.I Yr`_ ~~ - ~.~'s~~p~~L 2 187 985 639E A ' = H ~ - T E T 1]RT6INAL MATURI ~ TY HEREOF-WJLL .RAY ~ `~,yJ'\ ~ 15SU'E DA"_T-E _ ~ WHICH IS-Tfl E FIRST OAY LTF l ssjj SMONTHI r-_-~ 4VEyRY ~~~II ~F,F#7~tD A~ T~:EA,S'~':~3k~R ~', ~~.. L Ga~~41 14~429:b~ -#lii~ ~~RG ~~JA-: s ' . TC ~ --_ _ - .L'L -- _- - - T (''~ ~~~ T fiON IffV[DY ONATO D T -. -fCMfLD ~~p OwT[D. MO DlL1Y[N[DfYwN TN1ASYfY O[MMMMT ~: WAiNINOTON ~ ~ fTY fONO wCT, ws wVMDIO. wNDrf SUf- __ _ -" ~-~- fT Y,L.o oxlr N DY ~ ~M~.~~+~ Lc]iT-~~~..ii~~ [C[.n Or MVxlxr lx(w(IOx. -- , / ) _ ff~~ r~ y j I1)fl h~ln I4 W.fI -~. L 218 7 9 91.39-8-- E _ ' M ~L-~~_.....~ ---- .~._.r~_...._ .--- -.. _.. rr , J Sry MGrinvwvy ~~.~~ u ~ ,.1{ - •rfsy r~ysrc. ~ -_.,~-~1 ~~{~ ~ ~1{;I ~ ~wlt~ A i ~~sl '[n~ s~'L~ py~, 1 AT THE ORI[illJAL MATURITY HEREOF WILL P-AY `t~r,~-\ - !~1 f' 7 ~ ~`~'~~~`~ ISSUE D A T E ~ ~~'CS~.S.~~~.''~ia..[~•,r~-..~..~:~~~ WHICH 1S FHE:F-1R57 DAY OF - - ~' 1, ~ ' - ~ (MONTH) ,-__,~~ (l'E4R) s ~ yfl~ R FF~~ ~. ~.yy 3 ~~ +aa+~~ P1 i1. t~ j~~~1\[ .fy; . wwYO OPITV pr 1 ~" - .. NDNI xfsr„ - dBERTY flE44 s;i: ::o["~io":w°ol[rv.Nfofv °io« a~:r~in o:~.,'r~~~~~iar:o: ~71,~~aiaL~ - - p - iNLAfuNYO[vAMNLNT 11,' S~R~ES ~ WABNINOTON ~ 111 ~, ~-P `P...-~~~ ~ 2 18 7 9 9 5 212 E rii .v .._ .<- •_ _. WWW.ammrmmnryN m 2~ Ate.. Zll , ~l-n - .-. - e rtOAwaut7rt75~gi~~d~e ~~~~;~~~!~siat]sdt'afesmxCReaa1'Jteoenl7srmWfa~a~de;f~1~{lttUp7D6f ~ tF . ~AT THE OR{61NAL MATIIR~TY 'HERHOF -WII:L PAY ^. ~. ... __ r, ~. -., .fi .. ._ . ;. ~ - - - LIBERTY BEhL - ~~~Y~`S " ~td_E OO ;;ytou t rrorr ~„"., m~~x.. !V[O.axDCtLN[ (OIYN( Tn[~8u~v D[MgIMt11T W.s~,°oro~ ~ ~ r ~uu. I rA WW 6~1t1 M01 PAYMtIIf aMG4pA : ~. N.:~~-~~~ L R _ _.. ..._ 218 8 00.013 7 ~E 4~ ~ _._ .. .._ m~eryN rury S.r 6frr 7 _h :1: .y :. ~ {H ~ ~ ;*~°'~ _ -w AT THE.OR161NAL MATURITY HERfiOF-WILL PAY ~~~~~a 0~~ ISSUE DAT-E .WHIfH.IS THE~FIRSi DAYOE.. 7n ~~~ ~'~~8~). 1MCNTHI __~~ (yS,eKl~ ~R_S ~D,T_ti~' ~A.~' ;6Q~~~3~:L ZCi~.s1.Q9ii#s8 #~~~#t# S~UR:G :~~ 171sfl9 GO~a~~~! '~~~~~~~ RL7,MaO.~fl ~ ~~5~9~11~l. 19.~4~9:;~ =k~-~I'~i$t~, ,'~,~t ---- [ ~ e 41X0 D-lN i3[Ve. L)BEFi"Y'BELL ~ - - a[cr N ii' s to fe[q[0 [ ., +r ouly. ~N- DC le[D •NP D Y D lXD-PIIIV eE0HN1 ~~~:~~n~,71~L'1~_ \''- v Y ,( 7 . •. OIIOW MO [ [i[I OF IAWINi 1NG[100. TN[A6U1ry..OE1YRfN[Ni - n WASNINGiON -~wEµ~ ~- ~ SR~IES : :_. ~ NS~ - ~- ~ ''((- /~ ~ }(-~.C-~ 2 ~ 8 8 017 ~Lff L ryNa re[~. ------- - _- -_ - ---- - -- - ~/z - 6~-- - ~_, -- '%AT THE Ef h7.l1JNAL:~MATUMITY :MtgEOF-.WILL PAY --~-a_ - - - .~~3 - 1 C ~~~=~I ~_ ~. _ __ __ - -1 pis mnl~cn~MDeD1nww -rwnn or Im ~oop tt - Dnl iD~ on .~ ._ . -' _ DniDjq Y, yI [ vwYD'o Ir W[v [p- ~:fw o.or o[mnRD rol[OMI D nor rFVArlNOKlow -:111 W U1Ir0[/fNRMtNI WAD FOTOn ,A .• ISSUE DA"?E WHICH IS THE~~FIR51 Dkr Of MONTHI (YEAR1.' ,~;_ 1~E- 7, /,7~ -~L ---- - .AT~-7HEORIGINAL MATURITY .HEREOF WILL PAY ~^,~'~~,~~-'~ J~Tn'tfl~,r~ ~ ISSUE °DATE ~'.?~'~'-~1:'~ riHICH IS THE-FIRST-DArpl - -_. _tS~AONTNI __ ('YEAR)-.. - ". •~ -- 1 - :~ r - .. .. ... .- _ --=~='xl''O'DIt16'D uD<wOlxoxliVO7' tW'- - - ~- ~ `_ _, J[CrM xNC.1[xxfMOCDx/rt10x5 xr~l Ol•R. LL'[VAIID~ 1. lrlx• -~~- ~' ~~ -/Dltl/ NfD Dq[O~wxD D[tN[ PoLLOMIx01RC Ir/W.MYY[III IN[IRIOIL - - --- - ~i /~; ~s___ _-_~-~._t_rs-r -- i _ Ta r:-~ ~ r LtBERTY'BELL- - - -,~~~ -~ _ ------- - ~AT THE GRIOINAL MATURITY HEgEDF WILL PAY ~~~ ISSUE DATE `~ WHICH IS THt'FIRST DAY OF ~~ .~ - „_ ~'`~ _, ~: VIII/•t TMONTM mxupu/ unlo'rtr or oxD uu.us[D .x'nw'- - __~ _ E ini'r'[n wxD DMiD. ulDDnnilim'r~w° uonxalLLi[cinorD DwM•uc.o~. WMHIN/TOx ~~ 'f11EA'URY DEIMIrtNExi . L 2 c. 0 4 5 9 8 8 8 2 .E -- +',~ /"~ ~^."~,; ~AT THE ORI OINAL ;MATU RITV:.HER¢OF :WILL PAY s~~~t ISSUE DATE ..~ WHICH IS THE FIRST-O0.Y.OF ,_y , . 1 ~~~ - _ i i ~_ _~~ - 6b WY9 nl OTNw~E:. nSUYEYY[O, •NDIaaVa• ~ ~a.°~ .. ~~ ~,H3eR7~BEG4 - +annnlcruYS cow aaaranq or. u ooNCYUwcr~ln• '- I ,-'~ - scwNao n onn -ulo xuvuma"N (~imnno aacn LNYY[NI TNEllE100. H@1NWa0oP~lNYad0u0~laEWelee~eYM~memiss~ . ~ ~.,w.~.,s.~u,a.• 1/6~MIµ 9[e NfYENf--._._.~..... ._._ ._. Q ~.,,~ L 2._~. ~ ~~0 414 9. E ~~--~~ i,tBE ~~I _- AT THE ORtO1NAL MRTIJRITY HER¢OF WILL PAY ISSUE DATE ~~ - WHICH IS THf?p.IRST DAY OF _. - . _ _ To - _ ~ _ - ~(MONTHI-- _ --{YEAni ~- ~~~ ~~ _ g:,. Ili 1 i' _. _ ,. _ -. -- ' , rxn wn nusurouNOeN Nmwlnrror rY aano •cr,uu.aoro ouwa- ~~~ - ncrmTNCnmu.nowNOnloYS ar nu or~ KNlaro-.u1D wTw.•NO YEtIVEIIroaYNI NonaiM Or w.winr iMwolL Es E, IND~nMEnr \ ~~~ L 2~ 0 4 6~ 3 6 4 4 E ~, .i G,all)rNr%naI Y ~C.F ~/ 0,-- - J.IeE .i`1_--- AT TNE-ORIGINAL MATURITY FIl:R60F WILL PAY ~~,~-/'~ .=/" ~~~~j I S S U E D'A T.E 31_ ~. J WHiGH IST'HE-FIRST-DAl' OF _ - IMONTHI-~----IYEARI_- ...~. - - `; mis we wwno u.M+eggalemer-~ ~ ~RNMLL :.. ~ tq •ItgBlws- r JR.Tb f{wNtwwpeONgftO1N•~fNt O. 1~. o~t~~N~ _ LL ~ ~-gCIOROAMq t>ratoANPMWWDOI', LLMMIMg11[«I O -tNf TM[RUON. "- ' Y ~~ - ~~ApwA6M111AU~ i~OtN °„T ~~.. L 2 2 0 4 X617 8 0 4 E- - /Q_~~. -_- -. _ =--[~M1F~liA'tEV'~~iFE~WICi~7AV__ ~_.-._. - _--~'z-°`~y'°r"~`y~y`~"awp~'~J - _ -- ---- -- --- - ~ WN]CH IS-.T HE.F IRSTUAY.OF GGG ~~~ 1YY ~ 1Z'~4~ - - _ -. ra __. _O - ARl_- - -- ~~ ~,IM TH 1 VE ~f I;l -~. _~.-~-- _- -- - ; ~ - -~_d_pa7e ,.' ., _ _ ~ Sty _ -- -~-,.~ ~ ~,~ ~ .~-~3~ -~~~~~'T~~;1,. 1. ~'" ~ _ ~~~ '+(`Y.I. - - lllrtWm ¢mu HM as RMOA U nolo;, _ ,~ ~.~ N~.,~ t.. l~ 3 6 9 9 5 4 _6 --- '- --. wn „NwtaN ~r !~ewNr nra~asnn ~ ~ _ ~ `~ r,~-t,~..~J _- _ _::_ AT [Z762MA7URIT ;: B CCOrr~WI 4~ - ..: .. - ~ ~~~~~~~~~3 ISSUE DATE _ - ~ - ~~~ W IIICH IS THE FIRST DAY ,OF I ~~-~ _ v tMONT~iI --, I YEAR? F kR~ ~,, I, .. ~ ~ ~r -_ __ _ ,may\-R ~~~ ~~ ~oH x .~K~E~Ta. E° _ L. 2 3 7 0 9 512E E 5-x=5 ~ ° r~~~~ ; _ _ - =.;~~°~-- ,~or ~... _ ,~~:~ __~ _ _ _ __ - ISSUE D.-i1TE __ -_ _: - _ -. _ _ _.. -.. _,.- -_ _.-___ _ ;, WHI CSI I S.THE fIR~T'OAY:-OF - ~ -- _ - _ -~ - ~r _ - '"``' Ta ~ - - - - ~- --r - .(M N HI IYEAR1 - '~- - ' - ~ ~ - z F - - .~ _ - ~• --- IC -- ~o sswxna Testy •rco a«r\n`~e^''u~'e' xe Eo\j{•~~_.^,`~'r. - _ _ ~' ~'~ "`pTM~'x T µ~ L~ 3 7~ 0 0 4 4 E E IMII~IL~~~ - •lAxei°T T~FwWnY - ~jK~y~~/MVx~ -~ ~- _ _ _ _ - ~ = -. _ _ -_ . - ------ ---------------~----_.._._._..~_._~.~.~.~...M.~.r.,.~__..T l~ ^-" ,- _ - - - - _.- ___=-hTTTM1<MA'IY111~11~~0EWIF.~'klGY :- _ - - - °- - - - '~~••.~~---~~~ ISSUE DATE . . . _ _.. ~ _:_- - -.. _ _ _. - _ --- --.. ~_ ~ - - ~ ._ _ ,._ _.._ _ - A O WHICH~IS TNE.;,F.,I RST O Y F - ~ - Tt ~~ ~~~-~$~-~i$~-~,~r~=~~~~~~r1~-2t~b;l~1~~88 A3.3~ ~98fl k~ . ~"~~ _ _ ~ ~ ~ l IMONTH:I _ _ ,.1 YSAR1~ .. r ` .. ~D~~~~ ~ r ~a~ ~~~a~~~~~~ - - b ~ ° '. ~ ITT ~ ~~ ~~~ = ,1A+s.H...'-: ~.~w~1...~ ` i:zJ - - - o.. m~ eTSewsunr n~ MAix xcr°x -- Sm ryYUrinv yry -- .- ___. _.-. .~.e.5.a.e.eweeuo~taeawoan481e1vLf9RY1 r i ~~~~ lC_.... .,. ~, ~ , _ - _ ~'~_ - ~' '-`~ ~, ~~ AT THEiMKTF1HtIl1CiH¢RfiQF~NJ1l,L.T/1\'~-~'~, - I'SSUE'D;AT:E . -'' - ~°-; ~ ~~ :, ~_ - -- - ---- :WHICH IS:THE: EIRST.DAY'Of _,, - Til 21--~~~~~~-~3~ifl~.~~-~'-~3'S~ti~~~~~~1-2~~a1~?~4.~~ __`_~~I~z .1.~~_~?;:_ ~>R~~I~~~_~il~+ 4#'~' ,~ '~y ' ~~.~??~~D?~ CCIMNJ~I~i:'¢~E~'~~.~ H F >>,I - - .~ _ ~~ L ~~~~~~..s''_y,; ~.~1=~~2~~a2~ ~A~~>5_~3URG`.i?ll - ~, .,~.r,a, " ~~ ~.~.~ woo ioTM~ ,~ ,,nEO~. -~..237~00~5EE ~ _ wux xata+ ~ .Srcnr.ryRNrfiw~r~.. ~ _ -= _ -mom, ~r~t~. = -_ = - -_ ~.5-~ ~-, ~~~ -^ =_ ~ - _ _ ISSUE D;AT$ _ - _ _ - ~~ ~ _ _ _ _ - WHICH IS iHE~F{HSi DAY~OF _ ~ _ _ .. a r ~~~~ '' ~ ~ _ - - .--~ 'C - 4 - -- - - ~ - I ~ ~ ~. __ -4 -. I - - k ~I I'r l~ #G~k~~~i'I~~AMP '~ _ - - -~ ~'. i ~ T ~~E~T _ -'tea .`~•~'L'~ -. .~._ ~.~ _~_ nr:o wuccrmm~rt noon,» uc n~~ - ~_ ___ L237~75.61. E :fw++y4w~imuwy .. - __. _ . - -- -_- - ~~5' ~. ~ R r -_ -_ _ _ ~~1 - a~ .~ - - - ~ _ ~y. _ -- - ~ ~ 1'S S U;E Q-A 7 E -- _ ~ ~ -- - .. -WHICH IS 7HEFIRST-DAY.OF P .;.. -~ ;p.aQ.a*r'~~,yn:_~-~~.~.~~i---.d7f ~~ - e~r~-r~~~L y~~a. ~py~.y ~ .-.. ,- 70 ~- t .3a'F~..:J..T ',L ~i'~d~-~RY'a~_"~Al~~ ~~~ ~.~3'[r~7. t ~ _ G~ t ~ IMDNTH IYE4fjl ~Y~F,I~ --~~Pl~~ ~ ~~ -iG~V~SY s'YT~/(i iii r _ _ -~ ,- ~ossvs _c~'° P TM .a+ nm.~sowo is Ex Eo. Il~us >Eam+ine..c ~~. 3 7 4 5 5 7 2 E _ - L2 E - o IluKC ~dS...m., ...+ _- _ - - _. _vuw na a -. _ , _ - ~ SFnns4 Ntezmai y ~qq R ~~~. 7~ w -- a>s.~sa~ a~{ ~~ ~ :~ ~g _ ~ ~J # ti sL, '.r<,~m'e. , 1 ~ ~~ ~AT THE_MATURITY HEREOF WIL4PAY ~~ r ~,~-.,, - - _~ ISSUE DATE _ ~ ~~ ~' - ,- ~7 -t~n,~-~ap~~~v j `~~ rn _ t n ltG~y~y~.l a,~n WHICH IS-~THSE~FIRSI-DiA7Y DF '- ^ ~_ _7(I L:~"r'aJ~v-';:l'-TA4. -~~•. ~~~E/~ ~i?~-A~ ~ ~~.~ cF+~?G~~~+71 3'~fras ~;L:>r ~ :~fiit~ - 1.,. -IMONT.H)~ _ ~tYEAR1- ~* J3~91°y*`7F"G, E ric ~~i - _ ~? ~, _ .. ~; , -~ ~~ -, ~~ro,~~\ aµ ~°~ - ~~ o,= -~ ,~E, ~ ° Je~3 745 573.EE ~ ~ =:~ ~ _ ~ Mme, _-~ r~ _ _ = - - •-- -----•--~ --- /~-~ ,I+µ~~a - ~ i I s .r~.,,,<,_. _- _ -_ _- ~ gi'7~1' E'K/CFBRFEV9ERE9F~EIItrIs-ChYY- -- _ _ /``-_ -~ iSS:UE Di1;TE WH HIS ?THf'PIRS A -Df - - -- -_ - - ~- ~ _: IMONT.HI~~ -IYEA0.1 .,`' ... ~~ d~,~ 1 ., F ~ ~ -- - -- - ~ _ _ - ~ ~ ~ r '}~9 ~O~l~l!(3~t~il~~1i~~ ,dam _ ~_ 3Y ~¢ ~- :~ _ __. _ - - ~~ _ - -- - . eecmTr x .mvee`.ne-~~uul.aro\r,\. -, - _ _ ~F .Y~a~„~ - - - wwsw:raraar.w .s ~tlrT+rmY '- - ~~;~ ~-.- ~~ - - - .yl~ WHICH IS THE'F1R57 DAY OF ~. - J (1 _ ~ _. ~ ~~' ~~~~"~~- .~~Q~~;k[~:~i~ ~.~ ~ 7-iii! :•_. ~ ..-_ ._ .: ___... , .:: - ~.(MONT H'' _ _ -- I VEARI - _ _ ._.__ d. ,.. ~~ - .f ~~~ -. a Y37~.Q9 -. COi94N~EALF#~' flF . ( - ,~ t __ _ , -_ __ Tx oc ~ eewu o o. .. W.JNF-TaelSt~aY ~SIVM, M _ _ Gray ry_ arY.w~rry -_-_-_- .. -...-.r. _ ~J ~~_ _ .. J _._. /~ ~ "- iA7 ,}' ~,+ .tom. - - ~' I ~ ~ - __... _._ -.-- o ~enrwase~p i~~ ~'SI. \Y~ ~ J ~ a A 7 ~~"~ - _ - _ ~=T~717}ETOKITY'HEHEOF-y/1Lt.RAY - - -- - - ~_ ~ :WHICH IS ITHE;EIRST.~AY-0F ..a~ ~G~ 1 ~~ ; 7 . ~ ~ ~ ~/ - _.. - ~ (MONTHI _ f vE4%ii ~+• ~~~ ~{/ f '' T '+~j~yy~y~yRy~._. _ ~~ I '° _ _ ~~y.,~~~.y~~ R 1y~~~L~i ` `~ f p~ ~,~~ F3 " - .tea ~.o~--x~,s - _ --- D N6RF0 HA~tYE A wrvt~Y ~EIFNYi t[R 'f Kµ1iRDiQ, L ~ 3 7 5:5 7 8 9;E E ~xa,a.t ,~,~.~~::,,~ _ lei ~ w. .._.._'r _--vi-.~n~e~eie~wolu . ...,,-y --•-......x_~._.:.~`- - ' --- ~ - _ E.-'~. -. - ~;5 ~_ _ __ ---- - - - - - - -- - t S8 U E 'D AT E •~. _ -` W H I5. •7}4E;F.1R5- OF ~~1 ; - - ~ ~~ ~ i - - .HIMONT Ff I^ _ _ ~1 YE RV i~ ~~~~ ,~~ T~~fJ Y ~. ~ ~1~~t~ ifs ;_ -._ TX UNDe RuEYDR Yn tt n1uFq ,: ^~ Y~N.a ,~ ~a. L 2 3 7 716 2 ~ :E'-E FT~E#xlRn "1~ '~'~-~-- ~~~~ ~-y ~. ~^°"°="'~E^•~~e~sr~-~ro.>r »o•~c~aewesi~wx3~aa..xes~ss+'~wanacava*tat~?'!~fs•'es~ssrR~_"GS rtsaa;rr:rca;xaa_ 1iq~ ~7~~` ~` -~~~ ..w =~ - - _- .=ATZf~LTA/i'fIlgUYNE2iBDFWLI.LYAY - - _ . , ~~~~ kt ~ - - -. -- ._ - _ .~~~ -. wHICS-S,U E•F~A DE~DF ~ .. ~ _ _- - _ _- ~MONTHT~ ~~ (~~k _ j -:. ~.:- ~ j _ _ >:~•6 „_ ~, .. _ -- ASS 4i'QS=V 6'~ ' - -' _ ~~7!~"~~3~.+~~ - _ ,YY o DY 1RND L.LRIY. FYF.ED. - L 31 5 5 6.3 0 8 E E S RR En px lNeaaC \~ -' tM -~~~ T - ~~ - De iYFMOr Ix[1RWURY ~'E"V'~- Y~-W~~„ ^^ WAYYN4toY Srnnsy WNr Sinvvy ~~~ "'~.~,''"t ,~,~ _~- -~ 'ATHE=MATURIIrY HeRKOF--WILL PAY ~ "~-.r`~.~._~ ~,......r }~yj~~, ~ ~~~ 15SU~ DATE - _ `~.wi..~~..~r..rw~... WHICH IS THE~f'••IRST DAY OF ~ "; _ }}h)r - :~ 7a ~~,~~1,(~2.~":~~f1~i'~~~c~"«~+u~Et~~f#~~-^~(~6r;~.~J~i't~i~ -_ ~1}~,4~~:<~,~i..._ F ~ `~ - ~~1 - yr~ ~,~~y m.y '4lSi~"`3~'~ >r 1 ~yy t - - - --rxc4 0 ~urxo urDnrv wro ncr.•s AE{fxoEO. + rr^ eF _~ _ n cit 5. MllxEeACN MEfiEOF, ~,~ ~ILJ~ ~IC~~ ~ f ~~ AlFAq{N[ Y6 f •tA511 Y `1 • -""~ i7~ _ - ~ - _ _ _ wwrmcrar ~ ~ SrtMerynnarS.wruy nfafro.rwaeea[wreas~r.~ea.•_.s~_+~_.~xu-~z-- ~ _-.. -.. ..-.. _.. _. ._. N - -rte ~~, ,~ruaa~.aok~,'',a"dirtnau~.- >'' -~ ~ `.~ ~i~-~ l~C~~1~ ~~ I - , ~~-~.,~ ~ ATTHE MATVRITY HEREOF WILL PAY -~ ~ ° i a ~~7~~~~,i_ ~ ISSUE D-ATE - ~~°' _ ~ WHICH IS THE'FIRST DAY OF - r=I, - - A ,5 `/~~ ~~--~;I°~~GBEI=~~Q~4$~:~6*;9~D~J8;~6~-,~a~~~iir~,8 '. AEG ?~fl, _h..~. ~~) (-.MOIVTHI _- 112'GF1 ~' ~~ UE3~i{'J~H+Y 'MA3f .~~1:~~3i1~L1 ~2E3.fi~'-~~t~B - = .. ~ ~`' ~~ _ -_ _ ~ ~lC .,~ _ _ y .~ .,~_ L~ ~~{ - a. 'ter ~`'c - - - ~:~~.'~.-~~''~~G ?~, sTiv.~ti - :'TRis o D~ eTxr As AU t:oto, - - ~,; E ex ~ ~~~ L ~ ~. 5 7.316 2 E;E ~~~~~ ~~ - DVARTNf T TR6AW~ .l - ~~wAS x -SrciunryNUrimuuy __ ~~ ___ "~'-~ ~ _ _ '.7" l>- `' - ~ ~ 7SFSHEMMFtiR1TY_HEREOFWl44 PAV ~~,, iw~V, __ -_ 1!SS U E ~D E _ Y - _' -'~ ~ - 'WHICH IS TyE Si DAY OF g ~ r 7r~ L~-_~.~~ -Z d . ~ (~ } .+~ ~~ - Y ~~ .. - ~ '~ .~ . (.MONTH) - - - - - 1 Ys4R1 - ~ X . . ~~ ~ - ~~:~ .--- _ _ - _ ,,.. ~~~~s . . - _- -- TPo, (clop ~ o ~,.~ :rr ....... x - jj ,.. ~ ',7~I~~ ~~ _. ~. nc iAT oorim ~ACKxe o ~.~, ~ ~ r -' _ - - _. MfW~uio ~nEASxRV_- ~~ .. Q,n1 T 5 7 3 ~~- ~.~... ~ 6 3 ~ E 'r~,OL- _ _ _ ~~tO1' - - 1 SnmYry NCfrmwu~ - a -. C,.J. _-_ ____-- --~ y~;~t _ -`. ,aAY'THEiMATflgiTY.~FlEREOF y/lLL~PAY - i SAS U E 'D:A'-'T E g~ - -1YHICH157yE:.~l(t5' SAY>OF f 2~~-1~~~!'~?C~~~1~.8~`~7:~9~~Ifl•~~s~fi~U'9--~12~Jb~.1~~i$ ~aAsil~ :~~~B;I `G ~ _ - __ jt 'Ir ~c,. ~y~,,, - f~IGFITH 1 _ _ ~f vEin'1 ~' _ ~ '~' ~~ Q~RX3~'#iY _~R''llr'.,'~~~LL ~4~6~~J:_88 t ~ 1~ ~ a ~o ,~~ X137. ~~. rw t,' ' ~~~~~~ =~~I~kG - ~ .` ~ jY ~~ µ - T~ iA ED ONTM6 MELNEALO~o~• '..~ ~~~ ~.~ ~ ~f r ~ ~ ~^~ o _ rnaneEiw ti~xusunv - ~ T~rM O'WNr~TiEwr~ __ _ w 1} _ - - - - - ~'o',' .°.tS ~.n_ .. ~.. ~/~ ;. y - =~#'Q~ n ^c[ _ r ~y - ~ ~ - - - • , Fi I ~' - ~"`-'~~~'~~~"• -~ f --:A'h~'ME=MAT~IR~ITYt}IE~REQf~y.WILL'PAV WF•1GH-IS THEFIRST DAY OF _: _. Ti/ DOS`Ot~ M GDt~.~lA3'.I~. _ 20b-~7.t~-~9~88 March, 1,98l~ __ "l~~0 ~ Roan (MONTH) ~;IYP:~R/ . '~ ~~' Harra,sburg, PA 171rJ9 ~l~ ~; -~ IOBUINO./.OEHT~B I - Rranald :~. Gottshall M~~.,~Ple; .. _ +ii.+ ~±.~. rrr. R~~~~ ~ .D~D",."w.RDtD C 6 5 _ .>.~D.,D,~En .nD~,....~F;.R~,~~ 12 4 2 9~ E E S~~I~~ ~~ D w.fYMM 'O~NN.IT, 11."IIIIY, ~,...~.c l N~.a~ .~,.~ .~- I(~ I . T ; 7P.SSLc 1 _;_ .. >... _. T -~II7~~1 - i / - - _ - ` ~- e ~wrtuRrfi?HeP~o~:w~u:rr,v i =_ ._ - ~ -~_"-~° "-_ ~ '~ ~` -.,_: _. - ,_~" To 1~ot~,~thy '5~1. "Po`tYsF~~r 1 °t ~ -2~.6~~ ~-9488 _ ' ' WHICH ISTME pIRST-DAY OF .: ~ ~;.~ 45©E3 Gxf©~'~ ~oo~ Apr I I ] 9,34 - IMONT~- ---^------ 14'EAR ~ ;~ OR . ~ Rine I G L. ~o-Fts't1~ I I ' '°°"'^'°•~°N~ r /~y~{ . S~T~~ r~ ' f -- »~... - _ ~ e i 4t44 ~ -" - ' H wmuwleDrmfwn wnDaxtxFwxxn.or. ~~~~~ ~..r.D~DwR."~"'"a` S~~I~ -~-_ mw«~r~ir~iarac rnurlmr /Vw.cco~ /. ~^ya....~ C 6 512 4 3 2 6 E E .;~ :} ~o I ..."~„r'~/'lU„f ~ __ " " ~.: 7~1'~(E~'ATURFFY-HEREOP.WILLPAY _ ._;.._ ~; - ,- ~~V - WH CS~ISS HE fD S D~E OF _ . . -:: _- _ . , _ _ ? .. _._ - ' - ToDoi'o#h}} N1. ~c~'~sha I'I 2Q6--~'Q-9488 - Ma. ] 984 ,.__..~ ,~ 4°5'~:1~ Ox~fa~t! Road ---- ------ (MONTHI ___ (YE4R1 .. .. C~ar~rts6ut~g, ,PA 3'77Q9 , 1~u1M1L)'`,~ ~~~~'K i Ifl bR - ', IwsulNO ,aoerc-r'e 1 ~fi Ronn 1 ~' Gofi~hs.t~,a 1 I ~-1~'t ~ .1. 198 OATINO 18TAM- ff,'.. c 1DR.WD RR9JFDDRD..- _ Dl,..,.R>~~ D. R wnORrlRrarm TMFTi A LDpl TN4' eia~ S~RI~S ~~ Dvw.ielrtwwoxcioxiwcwwnr N.N.~s[ /' ',%~/~/jkw ^ti7 // C 6 512 4 3 4 4 E E ~~- ':'-G~~i-' :~'~ ., ..~'Pt96^aN7(T4~IMY'-.HBPBA F _ ,~.~ "~ - 1`.5`.5 U.E D A.T:~ -; .. ~ ,.._ - ;. _s_ iVHICH'IS THLFIRS7~DAV of - ~~ ~ ~ODQroti~y a(z~t Qc~~-~f~:a;f f ~Q~6-«~.0-~~:~~4~~8 ~Se~,~~tt .~1~~~~~_ 4x00 Qx~Fard Rmad , p ~ _ __ ~' 16BVIN8-NOENT{. ~ '~ ~ [~ ~ ;~}R Rona-l.d l.. Gottsha l I '~~ P4TIFpd ~ ~~8 .. lf~R1'~3UR~; !~1! Co~tlttl °k ~'$, oVUrn~x~or~ ~neAV~.r .fiiMryR'arlnar~ _. ~ f7 L~ 11 C - ~~--~ -o-- _. _ - _. ~ .. ~. : ' _ r. -- - -,w.,: TY - - - wHme is THEu~trsT oex.:oF -;:_ ::: To D~rcai 1~~f~,51~i}FI .~Q6 r~10 988 Dec 1.984 ~ ~r~ R~ " ,, ,, ~~~ 'kart°~.b,~iT~.~_',}~A ',179-09 IBBUIMO AOEIy 1"6 II - D E~~ ' d ~- i ~ m uw +u~wor. - _ ~;,~o. ~ ~ ~ +~f44 E.: E 18 3 8 7 0.~ 4 E Ww_ v 3'.rme.ry rw .. _ ® -.._.__ _.._.._~. ~...._.-. __ ~ 11 3_ _.. ArrH~ MAtS~![41'YiN~g6OFwyW.-Av .. _s~'~ 7o Dor^.o~' key . M. Go~.S h a I. I 2 Q6- l 0-9488 450 Dxfiprd Rogd liar-ri~,burg, PA 17909 1 uf~, f~on~ld ~attshall 1 ~ .. "`:.~yo . w w.roF._ ® _ .-: w,uxurcimi -Gf'w1'OYprTiti.y WHICH-15 THPFiRST;DAY-OF Fsb_ 19_85,_.__._ ~.~~,s~W~ `~ ..CATiM[i.,HTAti1P/~~ C77 750 820 EE / / {/ f /' ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $1000 U.S. Series EE Savings Bonds Decedent Held Jointly with granddaughter, Alicia B. Gottshall D.O.D. Redemption Issue Date Bond Number Value 1-Aug-1993 M59829696EE 958.4(1 1-Jan-1995 M64824379EE 896.0(1 1-Jan-1996 M62884999EE 822.8(1 1-Aug-1997 M70394598EE 807.2(1 TOTAL 3,484.4(1 1 ~ .~ ~. ~w. ~.3 ~ ~. ~~~ ~~, __~ "6aasig~~ ~'t~`c~'~~a, 7 ~.. ~ ~ ~~ `~~ ~ ~ . ~~: ~~3-~~ ~~ y's ' ~ ~~~ ~~ ~ ~ --- _ ~~~~ f~ ~l i~ F.~ ~h~ ~ i ~. .! \~ ~ 1~4J~4 ~ .1 ~~ _ \ \~~ ~ ~ II~ ~~" ~ . 4J W~ ~~ , -r L] t`. ~.~.. 8~z~ ~o . t g ~7, ~ `' ESTATE OF: DOROTHY M. GOTSHALL D.O.D.S/2/2009 PA Inheritance Tax Return Attachment to: Form REV-1500, Schedule F File# 21 09 0449 Schedule of: $1000 U.S. Series EE Savings Bonds Decedent Held Jointly with grandson, David L. Gottshall D.O.D. Redemption Issue Date Bond Number Value 1-Jan-1994 M60044954EE _ 937.,20 1-Jan-1995 M64776707EE 896.00 1-Jul-1995 M66010880EE 844.80 1-Apr-1997 M69502892EE 786.40 1-Dec-2000 M75240621EE 678.00 TOTAL 4,142.40 1 8yy -9~7. ~~_ _- _ _ ___-_--- ---. ___ ---- ___- -_ _ __- - - __ ~~~_ y° 9~ Gv A-G ~o v i A ~ .I C TDAHTI A625728 TF9G5402 TDA History Transaction Inquiry BATTI075 05/27/ 13: Org 075 Serv: CDA Acct: 247412041980777 State: PA Bank: 24 Date: MORE: - Short Name: GOTSHALL DOROTH BALANCE FORWARD: 11,483.30 Posting Effective T/C Date Date 04/10/09 04/11/09 CP 05/11/09 05/11/09 CP Amount Description 12.10 + CAPITALIZED INTEREST CURRENT BAL: 11,495.40 11.72 + CAPITALIZED INTEREST CURRENT BAL: 11,507.12 / ro rg~ ~ ,/7 lJ,~ ~ ~ x o~„ ~~ ~ 8. l9 ~ ~l yam' ~~ = ~~ ~v 3. ,s9 3~ ~ ~ -- ~ommana: F1=Help F3=Exit F7=Bkwd FB=Fwd F9=APTDAI ADI A625728 TF9G5402 Account Detail Inquiry CZ120101 05/27/ 13: Org: 075 Serv: CDA Acct: 247412041980777 Tax Id: Memo: Hold• ~ 075 CDA 247412041980777 211 Opened 12 11~2003 Stat: OPEN Acct Tax Id: S206109488 Reopened: ! ~ Br 85399 St: F Fed W/hd 01 12112003 Closed ROS Prev W/hd Jnt/Sgl J DLM 08212006 Services Pers/Com: P Src A382341 Secured Mrgr: Legal Title DOROTHY M GOTSHALL Bank: 024 ALICIA B GOTTSHALL IRA Plan: Primary Address: RM 123 MESSIAH CIRCLE MECHANICSBURG PA 17055 Addr Type: N ("~r~mm~rrl TT1T7 \.. V l l ll l lGl l lid . AL 1 G F1=Help F2=Erase F3=Exit F4=Next W f~ K/ //~ /~ ~ ~ ,l~j 'Z,~ / ~ Sj ~ _ TDAHTI A625728 TF9G5402 TDA History Transaction Inquiry BATTI075 05/27/ 13: Org 075 Serv: CDA Acct: 247412041980770 State: PA Bank: 24 Date: MORE: - Short Name: GOTSHALL DOROTH BALANCE FORWARD:. 11,483.30 Posting Effective T/C Amount Description l~ai-P T)atP 04/10/09 04/11/09 CP 12.10 + CAPITALIZED INTEREST CURRENT BAL: 11,495.40 05/11/09 05/11/09 CP 11.72 + CAPITALIZED INTEREST CURRENT BAL: 11,507.12 ~~~GtP f~ Ja .~ C:ommanci F1=Help F3=Exit F7=Bkwd F8=Fwd F9=APTDAI AI)I A625728 TF9G5402 Account Detail Inquiry CZ120101 05/27/ 13: Org: 075 Serv: CDA Acct: 247412041980770 Tax I:d: Memo: Hold: 075 CDA 247412041980770 211 Opened 12'11x;003 Stat: OPEN Acct Tax Id: 5206109488 Reopened: ~ ~ Br 85399 St: P Fed W/hd 01 12112003 Closed ROS : Prev W/hd Jnt/Sgl J DLM 05272009 Serv ices Pers/Com: P Src A625728 Secured Mrgr: Legal Title DOROTHY M GOTSHALL Bank: 024 DAVID L GOTTSHALL IRA Plan: Primary Address: RM 123 MESSIAH CIRCLE MECHANICSBURG PA 17055 Addr Type: N Command: ADI2 F1=Help F2=Erase F3=Exit F4=Next - Consoli~~~:ed St~~e~e~~ ~~ 01 100063716/ ?03 752 30 0 115 35,182 ~hi~1CHC)~'~pi OOOOG129 0~ AT 0.471 02 3DGS 23 I~~~III~I~~~~II~I~~I~IL~~~~II~I~L~~~II~~~l~Ill~~~l~~l~~l~~ll DORDTHY M GDTSHALL 8 MANDR DRIVE PB WEST CHESTER PA 19380 3/24'2009 thru 4/23/2009 S~mmar~r of ~ceo~~ts Checi:in~ & Savinbs kccount number kccouni 1000635161203 CUSTOM CHECKING 1 01 0071 52448 i HIGH PERFORMANCE MMI 247412041980777 TIME DEPOSIT 10 MONTHS 247412041980770 TIME DEPOSIT 10 MONTHS Balance As of Interest rate 19,529.64 ~ 4/23 44,639.12 ~ 4/23 11,495.40 4123 i .24 °io 11,495.40 ~ 4/23 1.24 Total $87,159.56 Maturiq~. date 9/11 /2009 -- 9/11/2009 ~_ L IJ D A O O IJ O m IJ t m w L Z Z Z Z Z Z Z Z Z Z Z 0 O O O O WACHOVIA BANK, N.A. , HARRISBURG CAPITOL page 1 of 6 PENNSYLVANIA INHERITANCE 1fAX INFORMATION NOTICE BUREAU OF INDIVIDUAL TAXES AND FILE ND Po sox 280601 TAXPAYER RESPONSE ACN HARRISBURG PA 17128-0601 DATE REV-1543 FX 11FP (eB-0eI 21 09-0449 09143814 06-12-2009 TYPE OF ELWOOD R GOTSHALL JR 8 MANOR DR WEST CHESTER PA 19380 EST. OF DOROTHY M GOTSHALL SSN 206-10-9488 DATE OF DEATH 05-02-2009 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS TO: REGISTER OF WILLS / CUMBERLAND CD COURT HOUSE i// CARLISLE, PA 17013 ACCOUNT ® SAVINGS CHECKING TRUST CERTIF. SOVEREIGN BANK provided the Departaent with the inforaation below, which has been used in calculating the potential tax due. Records indicate that at the death of the above-naaed decedent, you were a joint owner/beneficiary of this account. If you feel the intonation is incorrect, please obtain written correction frog the financial institution, attach a copy to this fora and return it to the above address. This account is taxable in accordance with the Inheritance Tax laws of the Couonwealth of Pennsylvania. ?lease call C7I7) 787-8327 with questions. -_- - - - -- --- COMPLETE PART 1 BELOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 04 6 1 075822 Date 01-03-2000 To ensure proper credit to the account, two Established copies of this notice oust accoaparo payaent to the Register of Wills. Make check Account Balance $ 34 , 295.24 pavsble to ^Register of Wills, Agent•'. Percent Taxable X 50.000 NOTE: If tac payaents are wade within three Amount Subject to Tax ~` 17, 147.62 aonths of the decedent's date of death, Tax Rate X . 045 deduct a 5 percent discount on the tax due. Aro Inheritance Tax due will becoae delinquent Potential Tax Due ~` 771.64 nine aonths after the date of death. PART TAXPAYER RESPONSE A. ~ The above inforaation and tax due is correct. Reait proaent to the Register of Wills with two copies of this notice to obtain CHECK a discount or avoid interest, or chock boo( ^A^ and return this notice to the Register of Wills and an official assessaent will be issued by the PA DepartRient of Revenue. C ONE B L 0 C K B. The above asset has bean or will be reported and tax paid with the Pennsylvania Inheritance Tao( return 0 N L Y to be filed by the estate representative. C. ~ The above inforaa ion is incorrect and/or debts and deductions were F~aid. Coaplete PART ~ and/or PART ~ below. PART If indicating a different tax rate, please state relationship to decedent: _ TA_X RETURN- C_OMPUT_A_T_I.ON LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4. Amount Subject to Tax 5. Debts and Deductions 6. Amount Taxable 7. Tax Rate 8. Tax Due OF TAX DN JOINT/TRUST ACCOUNTS 1 _ ____ __ 2 3 X 4 5 - 6 7 X 8 PART DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYEE DESCRIPTION AMOUNT PAID Under penalties of perjury, I declare that the facts I have reported above are true, correct and ceomplete to the best of my knowledge and belief. H D ME C ~ ~~) ~~ ~ Z G ~ ~ ~e t*,~ WORK C _- ) ~- ~ Z/ G TAYDAVCD CTC-IATIIDC TFI FPHf1NF NIIMRFR ATF TOTAL CEnter on Line 5 of Tax Computation) 6 Sovereign Bank MA1 MB3 02-10 Court Ordered Processing P.O. Box 841005 Boston, MA 02284 May 22, 2009 Mr. Elwood R. Gotshall Jr. 8 Manor Dr. W. Chester, PA 19380 Estate of: Dorothy M. Gotshall Date of Death: May 2, 2009 T 1 ! -/1 ~..7 77. Lear ivir. ~rotsnaii: Per your request, enclosed please find the account information as of date of death for the above-named decedent. Please note the balances do not include accruN.,d interest., If you should have any further questions, please do not hesitate to call. Very truly yours,--~~ Linda Spavento Team Leader Court Order Processing Phone (617) 533-1789 Fax (617) 533-1931 Sovereign $ank ESTATE OF Dorothy M Gotshall SOCIAL SECURITY #: 206-10-9488 DATE OF DEATH: May 2, 2009 // ~ ~1A~~1~~ J~~ ~sG~~/ ~ ~~ Account #: 0461075822 Type: Money Market ~ Open date: 1/3/2000 In the name of: Dorothy M Gotshall or Elwood R Gotsha113r Date of Death Balance: $34,293.41 Int.(YTD) from 1/1/2009 to 4/30/2009 $72.85 Accrued interest to date of death: $1.83 nfhar Infer+~ Account #: 0465106292 Type: CD Open date: 9/26/1988 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $15,000.00 ~ Int.(YTD) from 1/1/2009 to 4/30/2009 $126.88 Accrued interest to date of death: $4.22 Other info: Account#: 0465108116 Type: CD Open date: 8/3/1996 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $11,234.19 Int.(I'TD) from 1/1/2009 to 4/30/2009 $94.52 Accrued interest to date of death: $3.17 Otherlnfo: Account #: 0465108512 Type: CD Open date: 1 /31 /1997 In the name of: Dorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $17,199.98 Int.(1'TD) from 1/1/2009 to 4/30/2009 $130.68 Accrued interest to date of death: $4.38 Other Info: Account #: 0465109841 Type: CD C)pen date: 7/30/1994 In the name of: IDorothy M Gotshall, Elwood R Gotshall Jr POA Date of Death Balance: $15,000.00 Int.(YTD) from 1/1/2009 to 4/30/2009 $126.88 Accrued interest to date of death: $4.22 Other Info: Paae 1 of 2 REV-1510 EX+ (6-98) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. ITEM NUMBER DESCRIPTION OF PROPERTY INCLUDE THE NAME OF THE TRANSFEREE, THEIR RELATIONSHIP TO DECEDENT AND THE DATE OF TRANSFER. ATTACH A COPY OF THE DEED FOR REAL ESTATE. DATE OF DEATH VALUE OF ASSET % OF DECD'S INTEREST EXCLUSION (IF APPLICABLE) TAXABLE VALUE 1 ~ Commonwealth of PA -State Employees' Retirement System: final settlement of Decedent's retirement account 41.94 TOTAL (Also enter on line 7 Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 41.94 ,~ C Commonwealth of Pennsylvania State Employees' Retirement System 30 North Third Street, Suite 150 Harrisburg, Pennsylvania 17101-1716 www.sers.state.pa. us Telephone: 1-800-633-5461 Fax:717-237-0393 June 4, 2009 ELWOOD R GOTSHALL JR EXECUTOR DOROTHY GOTSHALL ESTATE 8 MANOR DRIVE WEST CHESTER PA 19380 Member SSN: Dear Beneficiary: Beneficiarry SSN/EIN: E S XXX-XX-9488 26-6916286 A check in amount of $41.94 will be mailed to you within two weeks. Federal withholding in the amount of $0.00 will be withheld for federal tax purposes. If you have elected to rollover your payment, the taxable portion of $0.00 will be transferred to your qualified plan. This payment representing your designated share of 100.00% in the final settlement of the account of DOROTHY M GOTSHALL, will be mailed to you within two weeks. If the individual listed above was a member of the Retirement system before January 1, 1982, their contributions prior to that date were taxed as part of their gross income at that time. Therefore, no taxes are being withheld on that portion of their contributions. The difference between the amount of your payment and your share of the deceased member's non-taxable contributions, if any, is taxable for federal income tax purposes. This payment has been reported to the Internal Revenue Service. If a 1099R form is not enclosed with this letter, you will receive one prior to January 31 of next year, with the necessary tax information regarding this payment. Under current law there are no Pennsylvania state or local taxes on any benefits paid from this system. This letter and the 1099R form that you receive should be kept in a safe place, as you will need the information when filing your Federal Income Tax Return. This is the only notice you will receive. Sincerely, Debra G. Murphy, Director Benefit Determination Division BEN31 FSL ~ I"II' II'll "II"II'I II'II'~III I'lll'I"I III~I I'I'I II'I' II"~ IIII ~"I EV-1511 EX+ (12-99) SCHEDt~LE N COMMONWEALTH OF PENNSYLVANIA FUNERAL EXPENSES & INHERITANCE TAX RETURN ADMINISTRATIVE COSTS RESIDENT DECEDENT tsiatt vF FILE NUMBER Dorothy M. Gotshall 21 09 0449 Debts of decedent must be reported on Schedule I. ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: t' Neill Funeral Home, Inc. 3501 Derry Street, Harrisburg, PA 17111-1817 10,649.02 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Elwood R. Gotshall Social Security Number(s)/EIN Number of Personal Representative(s) Street Address 8 Manor Drive city West Chester state FA zip '19380 Year(s) Commission Paid: 2009 2. Attorney Fees 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 5. Accountant's Fees 6. Tax Return Preparer's Fees ~. The Patriot-News Co. -Estate newspaper advertisement $~ Cumberland Law Journal -Estate legal advertisement 9. Cost of checks for Estate checking account tD~ Reserve for future administrative costs and expenses TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 19, 750.00 19, 750.00 488.00 9, 500.00 208.44 75.00 27.00 1, 500.00 61, 947.46 r r - - ------ - -- i(1*-- __ -- -- _ -- ~4~ _ ~ ~ ~ ~~ ~ ~ ~~ ~ pr Q~ ~ ~ i! ~~~ ~ C ~ Q ~ ti Q ~ -~ ~ ri p ~ p '~` N ~ Q ,. ` 1~ ,~'4~ ~ Y i1~ ': i:j i ~ B! I `' V C~ ~{ I 1 L/ ~~. V ~ .: N r r a~ ~ w o: o ~; ~ o f ~, ~, ~_ ~, .. ~~ ~, o f ~9( t ~ ~ ~~ D !7 ~ O .a I~ ~~ ~ \ a , rn O , !~~a ~ _•: ~y ~ ~ ~s` I,' ~~`~ ~ Q O~ a ~Z ~ 6' 1 Y y~o~ ~ ~ L ~, 'e O 1 ~C ~~~~ _ ~~~ ~,. ~ ~ 3 ~ o ~+,_ '~ ~ ~ w v r ~ ~ o ~ ao ~ LL ~~ / Iveill Funeral Home, Inc, 3501 Derry Street Harrisburg, PA 171111817 (717) 564-2633 Supervisor : Stephen J. Wilsbach The following is a detailed bill for the professional services and/or merchandise arranged for Dorothy M. Gottshall Date of Service : May 06, 2009 Elwood R. Gottshall Jr. Statement Date May 08, 2009 8 Manor Drive Contract Number 741200200463 West Chester, PA 19380 Arranger Name Stephen J Wilsbach Initial Selection Final Selection Difference Funeral Director and Staff Services Basic Professional Service Fee $2,680.00 $2,680.00 ___ T • I I Uldl rUIlGi dI Ull til:Wl dllU Jldll jef VIC:~S ,An yL,00U.VU il.n 2bL,08U.VV __ Care and Preparation of Remains Embalming $795.00 $795.00 ___ Dressing and Casketing of Deceased $395.00 $395.00 ___ Total Care and Preparation of Remains $1,190.00 $1,190.00 __ Use of Facilities and Related Services Religious Facility Funeral Ceremony $495.00 $495.00 ___ Total Use of Facilities and Related Services $495.00 $495.00 ___ Transportation Transferring Remains to Funeral Home $495.00 $495.00 ___ Funeral Vehicle/Hearse $395.00 $395.00 ___ Service Vehicle $395.00 $395.00 ___ Total Transportation $1,285.00 $1,285.00 ___ Merchandise DESERT SAND $1,595.00 $1,595.00 ___ The Eagle Sentinel Vault $1,395.00 $1,395.00 ___ Total Merchandise $2,990.00 $2,990.00 ___ Cash Advance Initial Selection Cemetery $1,345.00 Clerov /Religious Facility $300.00 Certified Copies $72 00 Hairdressing $45.00 Newspaper Notice ___ Certified Copies Total Cash Advance $1,762.00 Total Services, Merchandise and Cash Advance $10,402.00 Total Charges (Total Services +/-Allowances + Taxes) $10,402.00 Less Cash Received $0.00 Final Selection $1,345.00 9.300.00 $72.00 $4 5.00 5;2-~ I.a2 Si36. UO $2,009.02 $10,649.02 $10,649.02 $0.00 Unpaid Balance Due $10,402.00 $'i 0,649.02 Difference $217.02 $36.00 $247.02 $247.02 $247.02 Page 2 of 2 Telephone 717/238-7151 Focsimile 717/238-7910 E-mail: robert.knupp@verizon.net KNUPP LAW OFFICES, LLC ROBERT L. KNUPP, ESQUIRE POST OFFICE BOX 630 407 NORTH FRONT STREET HARRISBURG, PA 17108-0630 June 25, 2009 Elwood R. Gotshall 8 Manor Drive West Chester, PA 19380 Robert E. Knupp (1909-1976) Re: Supplement to Fee Retention -Executor's Fee Computation Estate of Dorothy Gotshall Dear Elwood: Thank you for your telephone call on June 25, 2009 concerning the computation of the attorney's fee and executor's fee in this estate. Based upon the earlier retention letter which we have provided to you, and using the rates therein, and, based upon an estimate of the size of the gross estate in the sum of $567,700.00, we have calculated a fee quotation .in the sum of $19,750.00. It is my understanding that you have independently verified this calculation with Richard H. Flowers, II, CPA, in his capacity as accountant for the estate. I am also enclosing a copy of an email which I sent to Mr. Flowers on June 25t'' confirming the treatment of the Sovereign Bank Money Market account held jointly with your mother. Sincerely yours, RLK/pm Enclosures Robert L. Knupp cc: RICHARD H FLOWERS II CPA FLOWERS & FLOWERS CPA HARRISBURG AN1B711D. STE. 102 ~"'~ ~,~~ ~ ~- ~ ~ ~, ~; n f, ~ R_F.C'RTPT FC~R PAYMENT ------------------- ------------------- GLENDA FARNER STRASBAUGH Receipt Date: 5/14/2009 Cumberland County - Register Of Wills Receipt Time: 10:49:47 One Courthouse S uare Receipt No.: 1056799 Carlisle, PA 1713 GOTSHALL DOROTHY M Estate File No. 2009-00449 Paid By Remarks: ELWOOD R GOTSHALL CJ ------------------- ----- Receipt Distrib ution ----- -------- ------- ---- Fee/Tax Description Payment Amount Payee Name PETITION LTRS TEST 410.00 CUMBERLAIJD COUNTY GENERAL FUN WILL 15.00 CUMBERLAIJD COUNTY GENERAL FUN SHORT CERTIFICATE 48.00 CUMBERLAI+TD COUNTY GENERAL FUN JCP FEE 10.00 BUREAU Ol? RECEIPTS & CNTR M.D AUTOMATION FEE 5.00 ------- CUMBERLAZID COUNTY GENERAL FUN Check# 3801 --------- 488.00 Total Received..... .... 488.00 ~~ ~~l +~.C~s.o t/`1 ~ 'v ~ `~Dn/ ES?7a-~6-~~ rd ~ %~Cr'~, Flowers & Fl©Wers Richard H. Flowers, II, CPA Certified Public Accountants 'Thomas H. Flowers, CPA MEMBERS OF AMERICAN AND PENNSI'LVANIA INSTITUTES 07~ CERTIFIED PUBLIC ACCOUNTANTS 5775 ALLENTOWN BLVU., SUITE 102 (717) 652-6569 FAx (717) 652-715[1 I-IARRISBURC, PA 17112 WEB SITE: wwH•.FlowersCPAs.com May 20, 2009 Estate of Dorothy M. Gotshall Elwood R. Gotshall, Executor 8 Manor Drive West Chester, PA 19380 Dear Mr. Gotshall: In order to document the understanding between us as to the scope of the work that Flowers & Flowers, CPAs will perform, we are entering into this Agreement with the Estate of Dorothy M. Gotshall. To avoid any misunderstandings, this Agreement defines the services we will perform for the Estate as well as the Executor's responsibilities under this Agreement. PROFESSIONAL SERVICES Flowers cX. Flowers, CPAs will perform the following services for tl~e Estate of Dorothy M. Gotshall: • Prepare the Decedent's filial 2009 Federal and Pennsylvania individual income tax returns from information you furnish to us. (Forms 1040 and PA-40) • Prepare the Decedent's Pennsy]vania Inheritance tax return. (Form REV-1500) • Prepare the Estate's Federal and Pennsylvania Fiduciary income tax returns for' tl~e yeah ending April 30, 2010 from information you furnish to us. (Forms l 04l and PA-41) • Provide consulting as needed with regard to above listed services as well otL-~er matters, and any other topic at the discretion of the Executor and/or other professionals or agents engaged by the Estate. The taxing authorities can review your returns, and any items resolved against you are subject to certain rights of appeal, In the event of such an examination, we will be available to represent you. We will bill you separately for such services. Our work in connection with this engagement does not include any procedures designed to discover defalcations or other irregularities, should any exist, or to investigate other tax liabilities and the application of other tax laws to the Estate. However, you may request that we perform additional services not taken into account by this engagement letter. If this occurs, we will communicate with you regarding the scope and estimated cost of these additional services. Engagements for additional services may necessitate that we issue a separate engagement letter to reflect the obligations of both parties. In the absence of any other written communications documenting such additional services, our services will be governed by the terms of this engagement letter. YOUR RESPONSIBILITIES We will prepare the Decedent's and the Estate's above described Federal and Pennsylvania income tax returns from the information furnished by you. We v~~ill not audit or othel-wise verify the data submitted to us, although we may ask, if necessary, for clarification or additional information. The information • .. Estate of Doroth~~ M. Gotshall Elwood R. Gotshall, Executor Mav 20. ?009 Page submitted to us will, to the best of your knowledge, be correct and complete, and will include all income, deductions and other data required for the preparation of the tax returns. You are responsible for keeping necessary records of deductions and any expenses. In preparing the Decedent's Pennsylvania inheritance tax return, we will not independently determine values, except where the values are able to be determined by reference to market quotations contained in the Wall Street Journal or equally reliable sources. We will discuss with you otl~~er items which pose valuation issues and you agree to obtain and provide to us such other valuation appraisals performed by outside, competent parties. We reserve the right to withdraw from ow• engagement in the event you are unable, or do not obtain such appraisals. We will use our judgment to resolve questions involving application of tax rules in the Estate's favor if there is reasonable justification for support of the position. We will be available to answer your inquiries on specific tax matters and to consult with you on income tax planning. The law provides various penalties that may be imposed when taxpayers understate their tax liabilit}~. The Internal Revenue Code and regulations also impose preparation and disclosure standards with non- compliance penalties on the preparer of a tax return and on the taxpayer. Accordingly, we will discuss with you before completing preparation of the returns; tax positions that may increase the risk of exposure to penalties or subject us to preparer penalties. If we fail to reach agreement on a tax position, or disclosure of that position on your return, we reserve the right to withdraw from the engagement without completing or delivering tax returns to you. If you would like information on the amount or circumstances of these penalties, please contact us. If you are liable for estimated taxes in the subsequent year we will calculate the estimated payments based on the information shown on the current returns, unless requested otherwise. OUR COMMITMENT TO QUALITY As members of the American Institute of Certified Public Accountants. we participate in their mandatory peer review program. The program requires that the quality control policies and procedures of our accounting practice undergo a review by an outside CPA firm every three years. This program is designed to ensure that our clients are receiving services in accordance with quality control and professional standards. We are pleased to inform you that we received an unmodified opinion on our most recent peer review report. FEES Our fees for providing the services described above will be $ 9,500.00. We will bill }'ou on a periodic basis as work progresses. Our invoices are due and payable upon presentation. PRIVACY POLICY Enclosed for }your information is a copy of Flowers & Flowers; CPAs' "Privacy Policy". Estate of Dorothy M. Gotshall Elwood R. Gotshall, Executor May 20, ?009 Pale 3 AGREEMENT We look forward to providing these services and shall be pleased to discuss this letter with you at any time. If the foregoing is in accordance with your understanding, please sign the copy of this letter in the space provided and return it to me. CIl1Ce1'el ~ 2- Richard H. Flowers, II Acknowledged: Estate of Dorothy M. Gotshall Elwood R. Gotshall, Executor ~' ~ ate .. ... I L ` 3 ~ ~ ~ 2 j J ggk v°~i ~YF ii li i~ ~ d 3 i ;I Q Q ~ 7 q O ~ -° ~ ~ ~ i i ~ fi ti `~ ~ t ~ I d .S i ~ ! ~ ^ I ~! ~ D ;~' o D 3 ~ -~ 3' ~ D ~ u~ ~' ~ ` ~ O ~~ \ ~ ~ ~.~ a 3 0 ~ ~~ , a ~e ~ o ~ ~, ~ ~~ ~ - ~ o ~~ ~ ~ ~ ' ;. m E ~ ~' ~6 ~ o sL o , o , ~ p :. ~'~ o ~'~ ~ ~ 33 ~ ~ ~~ ~ r ~~ ~ ~ ~ 3 °~ ~. ~~ ~~ ~ ~ 3 k~ ~ ~a ~ ue h ,.,, F- ,~, ~~~a~~~l ~~ ~ 1 ~~ ~Qa o~ (~ O i.; ~ ~ ~ o~U w ~, 3 i `~ ~! ff `'~ a41 ~~ ~ ~~ ~ O ~ 3 ~~E E~ ~ ~ ~~ ~ ~ (~ V "~ ~~ ^~r AA - ~ ~'he P~atri~~;-News Co. 812 Market St. Harrisburg, PA 17101 Inquiries - 717-255-8213 KNUPP LAW OFFICES, LLC P.O. BOX 630 407 NORTH FRONT STREET HARRISBURG PA 17108 __.__ ~~~®'~~ ACCT # NAME 138388 KNUPP LAW OFFICES, LLC 138388 KNUPP LAW OFFICES. LLC 138388 KNUPP LAW OFFICES, LLC 138388 KNUPP LAW OFFICES. LLC AD ORDER # DATE EDITION 0001976638 05/20/09 REGULAR 0001976638 05!20!09 REGULAR 0001976638 05!27/09 REGULAR 0001976638 06/03/09 REGULAR BOLD TEXT CHARGE 54.00 BASIC AD CHARGE $66.48 BASIC AD CHARGE 566.48 BASIC AD CHARGE $66.48 AFFIDAVIT CHARGE $5.00 TOTAL: REMITTANCE ADDRESS The Patriot-News Co. 23794 Network PL Chicago, IL 60673-1237 Please include the Account # or Ad Order # (above) with your remittance--Thank You NOTE: This Invoice replaces the Order Confirmation which we previously sent with Proofs of Publication ~hc ~latriot Nrws Now you know ALL CHARGES ARE NET ADDTL. INFO. TYPE OF CHARGE AMOUNT $208.44 • The l=~atri~~.-News Co. 812 Market St. Harrisburg, PA 17101 Inquiries - 717-255-8213 KNUPP LAW OFFICES, LLC P.O. BOX 630 407 NORTH FRONT STREET HARRISBURG PA 17108 the ~Jatriot-News Now you know THE PATRIOT NEWS THE SUNDAY FATRtOT NEV1rS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} :~s Joseph A. Dennison, being duly sworn according to law, deposes and says: That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the Paws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 81 F3 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot-News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and al! have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared on the date(s) indicated below. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimousl~~ passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duty recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317. PUBLICATION COPY This ad # 0001976638 ran on the t9ates shown below: i Sw n to.arid scribed before me thi~04 Notary Public May 20, 2009 May 27, 2009 June 03, 2009 y of June, 2D09 A.D. COMMONWEALTH OF PENNSYLVANIA Notarial Seal Sherrie L IGsner, Notary Public Cky OF Harrisburg; Dauphin County My Cornnrbfion E~rlres Nav. 2fi, 2011 Member, PennsyNanla Aaeoclatlon or Notaries Y/ ~ s¢ ~ in ~ GGEf N~~, ~O ~ ~~ ® ~ ~ ~ _ v ~ ~ r_\\I J I ~+ ~ I i i ~~ I ~ Q \i ~ ~ ® i [~ c~ i o ~, ~ ra m D O ~, D ru _. ~ ~, m 'i p ~ ~ ~ ~ D ' ` ~ D D ,J M . ~ ~~ m .~ ~ ~ ~ ~ ~ ~~ ~ ~ :;~ ~ ~ ~ ~ r Q Z Q" ~ x .~~ 00 o ~ ~ ~ ~ 3a ~ V ,~ ~ w 1!1 ~~ i }° ~ V ~O ~ I I 1 'll ,~f 0 c~ rn `' iG o ,~ ~ C7 _o •° ~~ ,,°o ~ Gcotj W U 3 ~~`~ Q ~-~ ~ ~ ~(~ ~ ~° _,,1° 1 `~~. ~ ~ V V ,,f~~y 1 ~ ~r'~~~ CUMBERLAND LAW JOURNAL 32 SOUTH BEDFORD STREET CARLISLE, PA 1 ?013 Tele: (717) 249-9188 Fax: (717) 248-2888 June 12, 2009 Cumberland Law Journal is published every Friday by the Cumberland County Bar Association and is designated by the Court of Common Pleas.as the official-.legal publication for Cumberland County and the legal newspaper for publication of legal notices. TO: Robert L. Knupp, Esquire Elwood R. Gotshall Estate ' RE: Legal advertisements must be received by Friday Noon. All legal advertising must be paid in advance. Make all checks payable to: Cumberland Law Journal. Advertisement inserted on the following dates: May 29, June 5, and June 12, 2009 Advertising Cost $ 75.00 Proof of Publication $ 0.00 Second Proof Request $ 0.00 Payment received $ 0 .00 Total Amount Due $ 75.00 Payment received by PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYL~~ANIA ss. COUNTY OF CUMBERLAND Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to lav~steposes and says_that he_Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and-that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, Mav 29 June 5 and June 12 2009 Afflant further deposes that lle is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. ~~ /L,ye~a Marie Coyne, Edi~ SWORN TO AND SUBSCRIBED before me tlus 12_day of June, 2009 ~J~ ~ ~ ~~~ Notary Gotehall, Dorothy M., deed. Late of 100 Mount Allen Drive, Mechanicsburg. Executor: Elwood R. Gotshell, 8 Manor Drive, West Chestez, PA 19380. Attorneys: Robert L. Krupp, Es- quire, Krupp Law Offices, LLC, 407 North Front Street, P.O. Box 630, Harrisburg, PA 17108- 0630. NOTARIAL SEAL DEBORAH A COLLINS Nofary Public CARLISLE 80R0, CUMBERLAND COUNTY My Commisslon Explros Apr 28, 2010 ®®® Custom Business Checking 01 2000038706468 752 130 0 133 ~A~'yI~CD~'~ 00024487 01 AU 0.335 O1 5DG 92 I~~~III~I~~~~II~I~~I~II~~~~~II,I~I~~~~II~~~I,III~~~i~~l~~i~~ll ~~ THE ESTATE OF DOROTHY M GOTSHALL ~~ ELWDDD R GOTSHALL JR, EXECUTOR CB ~~ B MANOR DR WEST CHESTER PA 193800000 66,678 Custom Business Checking 5/30/2009 thru 6/30/2009 Account number: 2000038706468 Account owner(s): THE ESTATE OF DOROTHY M GOTSHALL ELWOOD R GOTSHALL JR, EXECUTOR Account Summar Opening balance 5/30 $8 664 91 Deposits and other credits 37 542 18 + Checks 208 44 - Otherwithdrawals and service fees 27 00 - Closing balance 6/30 $45,971.65 Deposits and Other Credits Date 6/16 Amount 41.94 Description DEPOSIT / .SPIj~/yJ/tS~= ~~u/~~/~h ~ ~~ ~ ~, / f~•~/-'~" ~~~li/ 6/23 37,500.24 DEPOSIT /~I9~ /yfj17 F/li' ~~- `'~ ota $37,542.18 Checks Number Amount posted Number Amount Date D t ~ d posted Number Amou t n p 0994 208.44 6/22 otal 208.44 Other Withdrawals and Service Fees Date Amount Description 6/23 27.00 AUTOMATED DEBIT DELUXE CHECK CHECK/ACC. CO. ID. 1410216800 090623 CCD MISC Total 27.OD Daily Balance Summary Dates Amount 6/16 8,706.85 ~_ Dates Amount 6/22 8,498.41 Dates Amount 6/23 45, 971.65 WACHOVIA BANK, N.A. , GOSHEN page 1 of 2 REV-1512 EX+ (12-08) ~~ Pennsylvania SCHEDULE I ~~~ DEPARTMENT OE REVENUE DEBTS OF DECEDENT, INHERITANCE TAX RETURN MORTGAGE LIABILITIES & LIENS RESIDENT DECEDENT ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 Report debts incurred by the decedent prior to death that remained unpaid at the date of death, including unreimbursed medical expenses. If more space is needed, insert additional sheets of the same size. - --~ Custom Checking `~ 02 1000635161203 752 30 WACHOVIA 0 115 32,461 Other Withdrawals and Service Fees Date Amount Description 5111 250.00 ACH RETURN REASON: GOVT. D_E_PO_ S_IT PF_R nFnTN NnTiFirn-nnni ~ ~ ~ ~ ~ ~ ~ ~ ~ ~~ ..... , , ,.,,. ORIGINATOR: SSA FOR DATE DF: 05/07/2009 5112 8.96 AUTOMATED-DEBIT VERIZON PAYMENTREC CO. CD. 9783397101`090512`PPD 5/13 1,007.40 AUTOMATED DEBIT MESSIAH HOME STATEMENTS 5/ 0 CO. iD. 231458000 090513'PPD _ ~ ~ ll 11 ~ ~ ~ ~ 2 20,321.33 DEBIT TO CLOSE ACCOUNT ~~ J%~J7~ ~ ota 21,587.69 AS YOU REQUESTED YOUR ACCOUNT IS NOW CLOSED, AND THIS fS THE FINAL STATEMENT. JF YOU HAVE ANY,QUESTlONS OR WISH TO REOPEN THIS ACCOUNT, CALL US AT 800-WACHOVIA(800-922-4684), OR CONTAC7- YOUR LOCAL FINANCIAL CENTER. WE APPRECIATE YOUR BUSINESS. ~-=~ Custom Checking ~ O1 1000635161203 752 30 0 115 wAexo« 00005980 02 AT 0.482 02 3DGS 22 I~~~IILL~~~ILI~~Ir11~~~~~11~1~1~~~~1L~~IJ11~~~1~~LJ~~11 ~i DOROTHY 'M GGTSHAiL 8 MANOR DRIVE PB WEST CHESTER Pb 19380 32,460 Custorm Checking 4/24/2009 thru 5/21 /2O0S Account number: 1000635161203 Account owner{s): DOROTHY M GOTSHALL Account Summer Opening balance 4/24 $19,529.64 Deposits and other credits 2,546.05 + Checks 488.00 - Otherwithdrawais and service fees 21,587.69 - rlnsne `balance -5/21 gn:nn Deposits and Other Credits ~P~ ~ ~~ ~~C~ ~'~~~~ ~1~ J~~~~~ Date Amount Description 4130 629.05 AUTOMATED CREDIT PA TREASURY DEPT ANNUITANT CO. ID. 1236003133 090430 PPD 5/01 1,167.00 AUTOMATED CREDIT US TREASURY 303 SOC SEC CO. ID. 3031036030 090501 PPD ,f 5104 500.00 DEPOSIT`- ~s'tar~„~,' ~~ htsl7f~'~ ~,~,A ~~' t~~~~~` 5/07 250.00 AUTOMATED CREDIT US TREASURY 303 SSA ERP CO. ID. 3031036030 090507 PPD clta 2,546:05 Checks Number Amount Date Number Amount Date 3801 488.00 5/18 ota .00 ~/~ ' ~~~~ , ~~~/,iS.!7/I Number Amount Di ~~~i„~pr ~ ~ ~~~f f,, REV-1513 EX+ (11-08) ~~~ Pennsylvania DEPARTMENT OF REVENUE INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE ~ BENEFICIARIES ESTATE OF FILE NUMBER Dorothy M. Gotshall 21 09 0449 RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List 1'rustee(s} OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions and transfers under Sec. 9116 (a) (1.2),] 1. Elwood R. Gotshall, 8 Manor Drive, West Chester, PA 19380 Son 50% 2. Ronald L. Gottshall, 1824 Hearthstone Lane, Middletown, PA 17057 Son 50% (Note: Two T's in Ronald's name is correct) ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV-1500 COVER SHEET, A S APPROPRIATE, II NON-TAXABLE DISTRIBUTIONS; A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET. $ If more space is needed, insert additional sheets of the same size. July 27, 2009 Register of Wills Glenda Farner Strasbaugh Cumberland County Courthouse 15` Floor 1 Courthouse Square Carlisle, PA 17013 RE: Dorothy M. Gotshall Estate File #: 21-09-0449 Date of Death: 05/02/2009 Social Security #: 206-10-9488 FILING RECEIPT FOR: Two copies, with original signatures, of the Pennsylvania Inheritance Tax Return (Form REV-1500) for the above noted Decedent. Check in the amount of $21,144.17 payable to "Register of Wills, Agent" for the balance of the Pennsylvania Inheritance Tax due as shown on the Form REV-1500. Check in the amount of $15.00 payable to "Register of Wills" for the Filing Fee for the Pennsylvania Inheritance Tax. Respectfully submitted, ~.~L+~ra-mod' ~ ''~~z' ~-^ ITT Elwood R. Gotshall, Jr., Executor Date/Time Stamp: c7 N ~ ~_ C' _. -~i ~ - c. _; fin c ~_~ r-- ~;, ,-- -' --~ ~~ .N,~ ,~ , ~`7~ ~ ~+ .~ ~ ~. '. Cumberland County Register of Wills