HomeMy WebLinkAbout11-06-09 (3)15D56D712D
REV-1500 ~ (06-05) OFFICIAL USE ONLY
PA Department of Revenue ca,nty code rear File Number
Bureau of Individual Taxes INHERITANCE TAX RETURN
PO BOX.280601 2 1 0 9 0 2 7 8
Harrisburg, PA 17128-osD1 RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
161 32 4914 02 14 2009 03 22 1941
Decedent's Last Name Suffix Decedent's First Name MI
MACHAMER DIXIE L
(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
X 1. Original Return ~ 2. Supplemental Return 3. Remainder Return (date of death
prior to 12-13-82)
4. Limned Estate 4a. Future Interest Compromise ~ 5. Federal Estate Tax Return Required
(date of death after 12-122)
X g. Decedent Died Testate ~ ~ Decedent Maintained a Living Trust 8. Total Number of Safe Deposit Boxes
(Attach Copy of Wilq (Attach Copy of Trust)
9. Litigation Proceeds Received ~ 10. Spousal Poverty Credit (date of death 11. Election to tax vender Sec. 9113(A)
between iza~-91 and t-t-ss) ~ (Attach Sch. O)
CORRESPONDENT -THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATIOI'1 SHOULD BE DIRECTED TO:
Name Daytime Telephone Number
JOEL O. SECHRIST ESQ. 717 938 3396
Firm Name (tf A livable)
PP
JOEL O. SECHRIST, ATTORNEY
First line of address
568 OLD YORK ROAD
Second line of address
City or Post Office
ETTERS
State ZIP Code
PA 17319
Correspondent'se-mail address: SechristlaWla~gmail.COm
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Under penalties of perjury, I declare that I have examined this return, inGuding accompanying schedules and statements, and to the best pf my knowledge and belief,
ft is e, correct and plete. DeGaration of preparer other than the personal representative Is based on all information of which preparer has any know) dge.
SIG TORE OF RS RESPONSI LE FOR FILING RETUR D E
~~ Q,,j")t~/1 eresa Machamer Geary ~"~
ADDRESS
459 Woodward Drive, Etters, PA 17319
OF PREPAI~'liTe OTHER
York Road, Etters, PA 17319
Joel O. Sechrist Esq.
D
15DS6D712D
Side 1
15D56D712D
~~~~
1505607220
REV-1500 EX
Decedent's Social Security Number
oa~eda~~~5 Name: Dixie Lee M a c h a m e r 161 3 2 4 914
RECAPITULATION
1. Real Estate (Schedule A) .......................................................................................... 1.
2. Stocks and Bonds (Schedule B) ............................................................................... 2.
3. Closety Held Corporation, Partnership or Sole-Proprietorship (Schedule C).......... 3.
4. Mortgages & Notes Receivable (Schedule D) .......................................................... 4.
5• Cash, Bank De osits ~ Miscellaneous Personal Pro e
p p rty (Schedule E) ................
5. 3 , 6 6 8 . 0 9
6. Jointly Owned Property (Schedule F) ~ Separate Bitting Requested ............. 6. 1 2 5 , 5 0 2 . 3 3
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) ~ Separate Billing Requested ............. 7.
8. Total Gross Assets (total Lines 1-7) ....................................................................... 8. 12 9 , 17 0 . 4 2
9. Funeral Expenses & Administrative Costs (Schedule H) ......................................... 9. 5 , 5 9 3 . 5 7
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ................................ 10. 1 , 6 4 4.12
11. Total Deductions (total Lines 9 8~ 10) ...................................................................... 11. 7 , 2 3 7 . 6 9
12. Net Value of Estate (Line 8 minus Line 11) ............................................................. 12. 1 2 1 , 9 3 2 . 7 3
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. 1 2 1 , 9 3 2 . 7 3
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) x .t)t) 0. 0 0 15. 0. 0 0
16. Amount of Line 14 taxable
at lineal rate X .045 12 1, 9 3 2. 7 3 16• 5, 4 8 6. 9 7
17. Amount of Line 14 taxable
at sibling rate X .12 0. 0 0 17• 0. 0 0
18. Amount of Line 14 taxable
at collateral rate X .15 0. 0 0 18• 0. 0 0
19. Tax Due ..................................................................................................................... 19. 5, 4 8 6. 9 7
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT.
Side 2
1505607220 1505607220 J
REV-1500 EX Page 3
Decedent's Complete Address:
File Number 21-09-0278
DECEDENT'S NAME
Dixie Lee Machamer
STREET ADDRESS
213 Cumberland Drive
CITY
Camp Hill STATE
PA ZIP
17011
Tax Payments and Credits:
1. Tax Due (Page 1 Line 19)
2. Credits/Payments
A. Spousal Poverty Credit
B. Prior Payments
C. Discount
3. Interest/Penalty if applicable
p. Interest
E. Penalty
0.00
Total Credits (A + B + C)
(1> 5,486.97
(2) 0.00
(3)
('~)
(5) 5,486.97
(5A)
(5B) 5,486.97
Total Interest/Penalty (D + E)
4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT.
Check box on Page 2 Line 20 to request a refund
5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE.
q. Enter the interest on the tax due.
B. Enter the total of Line 5 + 5A. This is the BALANCE DUE.
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 :.................................................................................. O x .
b. retain the right to designate who shall use the property transferred or its income :.................................... x
c. retain a reversionary interest; or .................................................................................................................. x
d. receive the promise for life of either payments, benefits or care? .............................................................. x
2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without
receiving adequate consideration? ....................................................................................................................... x
3. Did decedent own an "in trust for° or payable upon death bank account or security at his or her death?......... x
4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which
contains a beneficiary designation? ...................................................................................................................... x
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 p2 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 exemot a transferto a surviving spouse from tax, and the statutpry requirements
for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the onty 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 p2 P.S. §9116 (a) (1.3)]. A
sibling is defined under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption.
Rev-1508 EX+ 16-98)
SCHEDULE E
CASH, BANK DEPOSITS, 8~ MISC.
PERSONAL PROPERTY
CONMON4VEILLTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NU~VfIBER
Machamer, Dixie Lee 21-09-0278
Indude the proceeds oT I'~igation and the date the proceeds were received by the estate.
All property Jointly-owned wkh the right of survivorship must be disclosed on schedule F.
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule E (Rev. 6-98)
Rev-7509 EX+ (6.98)
SCHEDULE F
JOINTLY-OWNED PROPERTY
CDMMONwEALTIi OF PENNSYLVANIA
MIHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Machamer, Dixie Lee 21-09-0278
k an asset was made joint within one year of the decedent's date of death, k must be roported on schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Kim M Machamer 213 Cumberland Drive Daughter
Camp Hill, PA 17011
B. Teresa M Geary 459 Woodward Drive Daughter
Etters, PA 17319
C.
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+IELD REAL ESTATE.
DATE OF DEATH
VALUE OF ASSE % OF
DECD'S
INTEP2EST DATE OF DEATH
VALUE OF
DECEDENTS INTEREST
1 g 5/412007 PNC Bank account joint with Teresa M. 6,514.25 50.000% 3,257.13
Geary _ __ _ _ . __ _ __
2 A 12/9/2008 Real estate at 213 Cumberland Drive, 122,245.20 100.000% 122,245.20
Camp Hill, PA -joint with Kim M.
Machamer -- Tax assessed value of
X97,020.00 x 1.26 = X122,245.20
TOTAL (Also enter on Line 6, Recapitulation)
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc.
I 125,502.33
Form PA-1500 Schedule F (Rev. 6-98)
REV•1151 Ex+ (12-99)
SCHEDULE H
FUNERAL EXPENSES &
COMMONWEALTH OF PENNSYLVANIA
INHERITANCETAXRETURN ADMINISTRATIVE COSTS
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Machamer, Dixie Lee 21-09-0278
Debts of decedent must be reported on Schedule 1.
ITEM DESCRIPTION AMOUNT
NUMBER
A. FUNERAL EXPENSES:
Hetrick Funeral Home
969.57
B. ADMINISTRATIVE COSTS:
1: - fersonalRepreseMative'sCommissions -- - - ------- -------------
Social Security Number(s) / EIN Number of Personal Representative(s):
Street Address
City State Zip
Year(s) Commission paid
2. Attorney's Fees
See continuation schedule(s) attached
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation)
Claimant Kim Marie Machamer
Street Address 213 Cumberland Drive
City Camp Hill State PA Zip 17011
Relationship of Claimant to Decedent Daughter
See continuation schedule(s) attached
4. Probate Fees
See continuation schedule(s) attached
5. Accountant's Fees
6. Tax Return Preparel°s Fees
See continuation schedule(s) attached
7. Other Administrative Costs
810.00
3,500.00
83.00
231.00
TOTAL (Also enter on line 9, Recapitulation) 5,593.57
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-15p0 Schedule H (Rev. 6-98)
SCHEDULE H
FUNERAL EXPENSES AND ADMINISTRATIVE COSTS
continued
ESTATE OF FILE NUMBER
Machamer, Dixie Lee 21-09-0278
ITEM
NUMBER DESCRIPTION AMOUNT
Attorney Fees
1 James Bogar attorney fee 210.00
2 Joel O. Sechrist-Attorney Fees 600.00
H-B2 Subtotal 810.00
Family Exemption
3 Family exemption to Kim M. Machamer 3,500.00
H-B3 Subtotal 3,500.00
Probate Fees
4 Register of Wills-Filing Fees 68.00
5 Register of Wills-Inheritance Tax Return Fee 15.00
H-134 subtotal 83.00
Tax Return Preparer Fees
6 H&R Block tax preparation fee 231.00
H-BS subtotal 231.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-15100 Schedule H (Rev. 6-98)
-- -
T - -
Rev-1512 EX+ 16-98)
SCHEDULE 1
DEBTS OF DECEDENT,
MORTGAGE LIABILITIES, & LIENS
COf+NAONWEALTH OF PENNSYLVANIA
INHERRANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Machamer, Dixie Lee 21-09-0278
Include unreimbursed medical expenses.
(If more space is needed, additional pages of the same size)
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-1500 Schedule I (Rev. 6-98)
REV-1513 E7(+ (9-0O)
SCHEDULE J
COMMONWEALTH OF PENNSYLVANIA BENEFICIARIES
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
Machamer, Dixie Lee 21-09-0 278
NAME AND ADDRESS OF RELATIONSHIP TO
DECEDENT SHARE OF ESTATE AMOUNT OF ESTATE
NUMBER PERSON(S) RECEIVING PROPERTY
Do Not Llst Tlustee(a) (Words) ($$$)
I~ TAXABLE DISTRIBUTIONS [include outright spousal
ib
ti
d t
f
di
t
r
ons, an
rans
ers
s
u
under Sec. 9116(a)(1.2)]
1 Donna L Fisher Daughter one quarter
950 Orchard Avenue Lot #23
Camp H[II, PA 17011
2 Teresa M Geary Daughter one quarter
459 Woodward Drive
Etters, PA 17319
3 David M Machamer Son one quarter
P.O. Box 551
38 East Main Street
Elizabethville, PA 17023
4 Kim M Machamer Daughter one quarter
213 Cumberland Drive
Camp Hill, PA 17011
Total
Enter dollar amounts for distributions shown above on lines 1 5 through 18, as appropri ate, on Rev 1500 cove r sheet
II. NON-TAXABLE DISTRIBUTIONS:
A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT
BEING MADE
B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS
TOTAL OF PART II -ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHE•rT I 0.00
Copyright (c) 2002 form software only The Lackner Group, Inc. Form PA-7500 Schedule J (Rev. 6-98)
~~
LAST WILL AND TESTAMENT ~»
~a
-: r7 `~
,,,~,.,
OF ~ .'~ ~~„w,.
DIXIE LEE MACHAMER 4~ ^""~""'
I, DIXIE LEE MACHAMER, of Camp Hill, Cumberlr~' Cour~-y,
Pennsylvania, make, publish and declare this as and for my Lam ~~ ~~
Will and Testament, hereby revoking all other Wills and Codicils
i eretofore i<<ade by ine.
FIRST: I devise and bequeath all the rest, residue and ;
remainder of my estate of whatever nature and wherever situate, ~~
including any property over which I hold power of appointment and
,.'.,
together with any insurance policies thereon, in equal shares, to °~°'
~,~
my children, DAVID M. MACHP.MER, KIM M. Mi=~CHAMER, DON13A L. FISHER ~'
,_ ,,,
. and TERESA MACHAMER-GEARY, provided that should any of my chil- °'~
~
dren predecease me, I give and bequeath such child's share unto .~.,
.,...~
~~ his or her issue per stirpes by representation, and if there be a """""
,,.«..
''`~:~ failure of same, then. I give and bequeath such deceased child's ~~~
,,,,,,,
share to my surviving children as provided herein. .
'"""
,.,~..,
SECOND: Should-any of my grandchildren not have «.,.
~~
attained the age of twenty-one (21) years at the time for d'.s- "'""
~,
tribution to him or her, I give, devise and bequeath the share of
each such grandchild to my hereinafter named Trustee or Trustees,
r
IDI SEPARATE TRUSTS, to hold, manage, invest and reinvest the
shares so received, and to use and apply from time to time such ".~'~
portion of income and principal for the said grandchild's ~~~'
education (including college, trade school or other similar
training or education), as my Trustee or Trustees, in their sole ._.,~
~~
discretion, deem advisable. ;.~;
Any income or principal not so applied shall be dis- ~-~
tributed to each grandchild when he or she attains the age of "~'"'
twenty-one (21) years. In the event any of my grandchildren die ,x
K-,~.~-
prior to the termination of this Trust established herein for "~
,
~.
«
_ _ .+.~
.~..~
„;~;
~.ti;
.,w~.
their benefit, the interest of said grandchild in said Trust
shall cease with any income and principal being divided evenly
between or among my other grandchildren or the separate trusts
established hereunder for their benefit and, in the absence of
any brothers or sisters, to my other grandchildren in equal
shares.
TIiIRD: In addition to all powers granted to them by
law and by other provisions of this Will, I give the fiduciaries
acting hereunder the following powers: applicable to a 11 proper-
ty, exercisable without court approval and effective until actual
distribution of all property:
~j (A) To sell at public or private sale, or to lease,
,~ for any period of time, any real or personal property and to give
_~ ,~ options for sales, exchanges or leases, for such prices and upon
~-~ such terms (including credit, with or without security) or
~~
conditions as are deemed proper. This includes the power to give
legally sufficient instruments for transfer of the property and
to receive the proceeds of any disposition of it.
~~''~ (B) To partition, subdivide, or improve real estate
and to enter into agreements concerning the partition, subdivi-
sion, improvement, zoning or management of real estate and to
impose or extinguish restrictions on real estate.
~`~~'J (C) To compromise any claim or controversy and to
~.`~ Abandon any proper~y w'r~ich is cf little or no value.
(D) To invest in all forms of property, including
stocks, common trust funds and mortgage investment funds, without
restriction to investments authorized for Pennsylvania fiduci-
aries, as are deemed proper, without regard to any principle of
diversification, risk or productivity.
(E) To exercise any option, right or privilege granted
in insurance policies or in other investments.
2
- -- -
t
(F) To exercise any election or privilege given by the
Federal and other tax laws, including, but not necessarily being
limited to, personal income, gift and estate or inheritance tax
laws.
(G) To make distributions to my herein named benefici-
aries in cash or in kind or partly in each.
(H) To borrow money from themselves or others in order
to pay debts, taxes, or estate or trust administration expenses,
to protect or improve any property held ur_der my vaill, and for
~ investment purposes.
y
s
(I) To select a mode of payment under any qualified
retirement plan {pension plan, profit sharing plan, employee
q stock ownership plan, or any other type of qualified plan) to the
extent the plan or the law permits them to do so, and to exercise
ny other rights which they may have under the plan, in whatever
manner they consider advisable.
FOURTH: I nominate and appoint my daughter, TERESA
MACHAMER-GEARY, as Trustee of the hereinabove described trusts.
In the event of the death, resignation or inability to serve for
any reason whatsoever of the said TERESA MACHAMER-GEARY, I
nominate and appoint my daughter, DONNA L. FISHER, as Trustee of
the hereinabove described trusts. I direct that my Trustee shall
serve without bond and shall receive fair and reasonable
ccmpensation.
FIFTH: I direct that all inheritance, estate, trans-
fer, succession and death taxes, of any kind whatsoever, which
may be payable by reason of my death, whether or not with respect
to property passing under this Will, shall be paid out of the
principal of my residuary estate.
SIXTH: All interests hereunder, whether principal or
income, which are undistributed and in the possession of the
fiduciaries acting hereunder, even though vested or distribut-
3
- - _ __ _ __
~~
--.--- --
able, shall not be subject to attachment, execution or sequestra-
tion for ,
any debt, contract, obligation or liability of any
beneficiary, and furthermore, shall not be subject to pledge,
assignment, conveyance or anticipation.
SEVENTH: I nominate and appoint my daughter, TERESA
MACHAMER-GEARY, Executrix of this, my Last Will and Testament.
In the event of the death, resignation or inability to serve for
any reason whatsoever of the said TERESA MACHAMER-GEARY, I
nominate and appoint my daughter, DONNA L. FISHER, Executrix of
.this, my Last Will and Testament. I direct that my Executrix or
Executrices, Trustee or Trustees, as the case may be, and their
successors, shall not be required to post security or a bond for
the performance of their duties in any jurisdiction.
IN WITNESS WHEREOF, I have hereunto set my hand and
seal to this, my Last Will and Testament, this ~ ~~
~ day of
f'.~~, 2008. "
~`f ^ j j; 1
DIXIE LEE MACHAME~t
Signed, sealed, published and declared by the above-
named Testatrix as and for her Last Will and Testament in our
presence, who, at her request, in tier iCSCllI.~ ar~d i31 the
p--
presence of each other, have hereunto subscribed our names as
attesting witnesses.
Address
Address
4
~~
~~~~
May 11, 24f}9
Joel Sechxist Esq
568 Old York Rd
Etters, PA 17319
RE: Name: Dixie L Machamer
SSN: 161-32-4914
DOD: 42-14,2409
Dear Mr. Sechrist:
Iu respa~ase to your reques# fox Date of Death (DOD} balances for the custonxer noted above, aux
records show the foflowiag:
CertiScate of Deposit
Account # 3 ! 700311 S I2
DIXIE L MACHAMER.
TER,ESA MACHAMER-GEARY
DOD balance: $f,508.47 + 6.18 accrued Merest
Checlung Account
Acxount # 5003954849
DIXIE L MACHAMER
DOD balance: x.3,235.92 + 0.14 accrues interest
Establi slued: 05-02-2007
lish~: as-zazoo~
Please note that this office provides date afdeath balances for deposit acxoimts (IltAs, CDs, Checking and
Savipgs). We do nat prat~u any 5oancial traasactiona ar pr+pvide statements. if you need jessi5ta~c~ce with
any of these items, please call 1-88&PNC-BANK (1.888-762-2265) ar stop by your local PNC dank branch
office.
Siar~cerely,
National Financial Services Center
PNC Bank, N.A:
11~ember FDIC
a
Exhibit to Schedules E & F
Page 1 of 1
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Joel O. Sechrist, Esquire
Attorney at Law
568 Old York Road
Etters PA 17319
717 938-3396
Facsimile 717 938-9613
November 5, 2009
Register of Wills
Cumberland County Court House
Carlisle, PA 17013
Re: Estate of Dixie Lee Machamer
21 09 0278
Dear Register:
Enclosed are two copies of the inheritance tax return, two checks totaling $5,486.97 for
the inheritance tax, a check in the amount of $15.00 for the filing fee and a Pennsylvania
Inheritance Tax Information Notice and Taxpayer Response, all in regard to the abpve estate.
Thank you for your assistance.
truly yo s,
Joel O. Sechrist
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