Loading...
HomeMy WebLinkAbout11-30-11BUREAU OF INDIVIDUAL TAXES PO BOX 260601 HARRISBURG PA 17128-0601 ~ennsy(vari~~ DEPARTMENT OF REVENUE REV-1543 EX AFP (05 -11) PENNSYLVANIA INHERITANCE INFORMATION NOTICE i `„ ), ~~ ~~~ _ ~ AND TAX~~YER RESPONSE .J TAX FILE N0. 21 - ~ _ ' ~~y ACN 11176871 DATE 11-23-2011 `EST. OF SI R I'AK SSN 221-50-1396 C' cr ~ ,,; r~ ~ DATE OF DEATH 03-27-2011 ~' r `` ' ~ %' ~~'~ COUNTY CLIMBERLAND BARBARA p I( -~ ` n ) P,`1 REMIT PAYMENT AND FORMS T0: 40 BULLOCK CI~ REGISTER OF WILLS CARLISLE ' PA 17015-7616 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ SAVINGS ® CHECKING ^ TRUST ^ CERTIF. CITIZENS BANK OF PENNSYLI~ANIA Records indicate that at the deat of the aboveVnamedtdecedenttment with the information below, which was used in calculating the inheritance tax due. notif you were a joint owner/beneficiary of this account. If deceased and any amount othe than zero is reflected below on the Potential Tax Due line, note no tax may be due y the department of you relationshi you are the spouse of the If you believe the information is incorrect, please obtain written correction from the financial institution, attach a co p to the deceased by checking Box C in PART 1 below and writing "spouse" 1n PART 2. it to the above address. Please all 717-787-8327 with questions. bUt yoU mUSt COMPLETE PART 1 B LOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS form and return Account No. 621940 830 Date 01-09-2008 Established 7o ensure proper credit t Account Balance Percent Taxable Amount Subject to Taxl Tax Rate Potential Tax Due ~~ PART ~ Leal A. ^ 7 CHECK ONE ~I BLOCK ONL Y B ^ fi~ C. ~ Th$ 11 $50 copies of this notice must accompanynt, two payme t ~( ~ , ~ 9 50 000 n to the Register of Wills. Make check payable to "Register of Wills A " $ . 5, 925.05 , gent . NOTE: If tax payments )( 1 5 are Bade within three months of the decedent's date of d • eath, deduct a 5 percent discount $ $ $ , 7 6 on the tax due. Anv inheritance tax due will becom TAXPev~Q orc•s.,...._ e delinquent nine months after the date of death. T~~~~,POr~D A~vr~.t <~E~irt~ x~ :~-x o~~_xc~~. T~xe ~s~ s above information and tax due is correct. T Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return d by the estate representative. above informs ion is incorrect and/or debts and deductions were paid. late PART 2~ and/or PART 3^ below. PART If indicating a dif Brent tax rate, relationship to dec~dent:eplease state TAX RETURN - CALCULATI~]N OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established I 1 2. Account B a l an c e 2 $ 1 --------~--+~, 3. Percent Taxable 3 X 2 4• Amount Subject to Ta 5. Debts and Deductions) 5 - 4 ~ 6. Amount Taxable '' 6 $ 5 7. Tax Rate ~'i ~ X 6 8. Tax Due 8 ~ 7 PART $ ~ ', ~ 1 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAY E DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under penalties of S perjury I declare that the facts I reported above are complete to the best f myiknowledge and belief. l true, correct and ~C.: ~ ~ ~ ', HOME ('~/-f) ~ S~.S= ~SG.3 XPAYER SIGNATURE WORK ( ~ 'i TELEPHONE NUMBER ~/ ~$ // DATE ~ OPF I ~~ ~1S ONL PA DEP'ARTMENT' (TE REVENUE PAD BUREAU OF INDIVIDUAL TAXES. • PO BOX 280601 pennsy(van9 HARRISBURG PA 17128-0601 DEPARTMENT OF REVENUE REV-1543 EX aF p5-11 ~~~ r~-1.i ~+ ti~r r; v i 1 t 11: ~ ' ~ ~ -, ~. C~~." , _ 1 / \ ~'~ y1~J i ~~ -, ,, , 1 BARBARA P' K Ci.L,,, ., ~ ,_r ,y ~ {,; ~ P,q 40 BULLOCK CI~ CARLISLE ', PA 17015-7616 FILE N0. 21 - ~ J - lo~ ! 1 ACN 11176872 DATE 11-23-2011 !EST. OF SI R I'AK TYPE OF ACCOUNT SSN DATE O 2.?1-50-1396 ^ SAVINGS ® CHECK F COUNTY DEATH 03-27-2011 ING ^ TRUST REMIT PAYM CUMBERLAND ENT AND ^ CERTIF. FORMS T0: REGISTER 1 OF WILLS COURTHOUSE SQUARE CARLISLE PA 17013 CITIZENS BANK OF PENNSYL ANIA Records indicate that at the deat of the above-named decedent, provided the department with the information below, which wa:; used in calculating the inheritance tax due. notify the department of you were a ,ioint owner/beneficiar deceased and any amount othe than zero is reflected below on the Potential Tax Due line, note no tax ma you, relationship to the deceased by checking Box C 1n PART 1 below and writin If you believe the information is'incorrect, please obtain written correction from the financial ~nstitutionCCattach al co OU are the SpoUSe Of the it to the above address. Please all 717-7g7-8327 with puestions. Y be due, but you must COMPLETE PART 1 B 9 "spouse" in PART 2. LOW * SEE REVERSE SIDE FOR FILING py to this form and return account No 62504377ntt AND P~vWru~' - Y°1e 01-09-2008 --~-"' ~n"RUVI-IONS Established 7o ensure proper cred't Accou t n Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK ONE BLOCK ONLY A. ^ $ 2,458.21 X 50.000 $ 1,229.11 X .15 $ 184.37 TAXPAYER RESPON; ----,~, PENNSYLVANIA INHERITANCE T INFORMATION NOTICE ~r~-,~„-: ~ AND ,, -, -, '1`11~~,~ER RESPONSE - ~1 ~ .t~~su~`r,,~IH > to the account, two copies of this notice oust accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of 'the decedent's date of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine month<, after the date of death. above information and tax due is correct. •~ rlA~k~SM~~'IT Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. B' ~ Th above asset has been or will be re orted and tax fi~ed by the estate representative. p paid with the PE.nnsylvania inheritance tax retu C• ~,7he above informs ion is incorrect and/or debts and deductions were rn Com late PART 2~ and/or PART 3^ below. paid. PART If indicating a dif Brent tax rate a relationship to dec dent: ~ Please state ~!~ S~ TAX RETURN - CALCULATION OF TAX ON JOIN LINE 1. Date Established 2. Account Balance 3. Percent Taxable 4• Amount Subject to Ta>¢ 5. Debts and Deductions' 6. Amount Taxable ~' 7• Tax Rate 8. Tax Due PART DATE PAID PA T/TRUST ACCOUNTS 1 2 $ 3 X 4 $ 6 $ 7 X 8 $ ~ oFl~IC _ sF L PA DEPAitTtIENT LsF REVEN~ AAF PAD ~1 2 ~i" _~!L ) 4 - - 5 6 7 " 8 ~ w ~ DEBTS ADD De'i~UVTIONS CLAIMED DESCRIPTION Under penalties of perjury, complete to the best of my . ~ i ~ TOTAL CEnter on Line 5 of Tax Computation) I declare that the facts I nowledge and belief. AMOUNT PAID S reported above are true, <:orrect and HOME ( ~/ ~ ~~~~~ j C WORK ( ~ TELEPHONE NUMBER ~/ ~-8 iI DATE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 Penl'~,sy,~j(; REV-}yqs {% i1FP x(05-1;)~ PENNSYLVANIA INHERITANCE TAX INFORMATION NOTICE AND FILE N0. 21 - l~ - ~ ~~q ';'F ~~ TAXPAYER RESPONSE ACN 11176873 ' `~' DATE 11-23-2011 -, TYPE OF ACCOUNT ~ ~ ~~~'~~ ~='~ ~~ ~ 1 ~ ~ ~ - EST. OF SI R F'AK SSN ~ SAVINGS _ 221-50-1396 (`' ~ „ DATE OF DEATH 03-27-2011 ^ CHECKING (`~ ~~ ~ `; J'' ',~?' COUNTY CUMBERLAND ^ TRUST BARBARA ~ ~t ~%''~ REMIT PAYMENT AND FORMS T0: ~ CERTIF. P K CivlJr, ~~~; i 40 BULLOCK CI~ REGISTER OF WILLS CARLISLE ~, PA 17015-7616 1 COURTHOUSE SQUARE CARLISLE PA 17013 i CITIZENS BANK OF PENNSYLVANIA provided the department with the information below, which wa:; used in calculating the inheritance tax due. deceasedna~ndtanyaamou t othe~• thanhezero isareflectedtbelow on the Potential Tax Due line, not notify the department of ~• you were a joint owner/beneficiary of this account. If you are the Spouse of the you relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PART 2. If you believe the information is incorrect, please obtain written correction from the financial institution, attach a co it to the above address. Please all 717-7g7-g327 with questions. a no tax may be due, but you must COMPLETE PART 1 8 LOW * SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS form and return Account No. 625043 216 Date 01-09-2008 Established To ensure proper credit to the account, two Account Balance copies of this notice must accompany Percent Taxable ~ $ 20,336.4$ payment to the Register of Wills. Make check ~( payable to "Register of Wills, Agent". Amount Subject to Taxl 50.000 Tax Rate $ 10 ~ 168.24 NOTE: If tax payments are made within three X months of the decedent's date of death, Potential Tax DUe ~ • 15 deduct a 5 percent discount on the tax due. $ 1 , 5 25.24 Anv inheritance tax due will become delinquent PART ^ nine months after the date of death. 1 TAXPAYER RESPONSE . , , ~ ~I!'1.;AN flFF~>rI}iL 7 .:ASS EH~ A• ~ 7 e above information and tax due is correct. Remit payment to the Register of Wills with two co pies of this notice to obtain C CHECK I a discount or avoid interest, or return this notice to the Regis er of Wills and 0 N E an official assessment will be issued by the PA Department of Revenue. BLOCK B ~i 0 N L Y ^ Th above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return fi~ed by the estate representative. C• ~ Th above inform~a$ion is incorr1e-ct~ and/or debts and deductions were paid. Co~iplete PART 121 and/or PART L._J below. PART If indicating a dif Brent taxi-rate, please state relationship to dec~edent:~s ~, TAX RETURN r DFFI IAL ONLY "~ AAF - CALCULATIpN OF TAX ON JOINT/TRUST ACCOUNTS P'4 DEPARTMENT OF LINE 1. Date Established D RE YE NUE 1 2. Account Balance 2 $ ~ 1 3. Percent 7axabTe 3 X - 2 4. Amount Subject to Tall q $ __ _ ~, 5. Debts and Deductions 5 - ~ 6. Amount Taxable 6 ,~` 7. Tax Rate I!i T X 6 8. Tax Due I 8 $ 7 PART ~ 8 DEBTS AND DEDUCTIONS CLAIMED DATE PAID PAYI E DESCRIPTION AMOUNT PAID TOTAL CEnter on Line 5 of Tax Computation) Under penalties of g perjury, I declare that complete to the best of m the facts I re orted above are Y knowledge and belief. p true, correct and '~,..t.--~ ~~ / 4-~L H O M E C Ji'7 ) :C '`i~5' = S S L 3 / r XPAYER SIGNATURE WORK ( ~ l TELEPHONE NUMBER ~~ Zt~ /~ DATE BUREAU OF :[NDIVIDUAL TAXES PO BOX 280601 HARRISBURG PA 17128-0601 a. ^ PENNSYLVANIA INHERITANCE T INFORMATION NOTICE AND ~+c~rouE!_~'-' ~ ; '~:-~'r"'~~PAYER RESPONSE X05-I1) (', - ;r BARBARA p K ~?~„i, . ~ _ ,:r,J .~,~ r 40 BULLOCK CI~ `~ "t' ph CARLISLE ~, PA 17015-7616 TYPE OF ^ SAVINGS ^ CHECKING ^ TRUST X^ CERTIF. CITIZENS BANK OF PENNSYL ANIA provided the department with the information below, which wa.; used in calculating the inheritance tax due. deceasedna~ndtanyaamou t otheh thaoezero isareflectedtbelow on the Potential Tax Due lin notify the department of you were a joint owner/beneficiary of this account. If you are the spouse of the If you believe the information UU ineoraectn please obtain wece~e edorrection from the financial institution, attach a co it to the above address. Please all 717-787-8327 with questions. Y checking Box C in PART 1 belowtandowritingY"Spouse" intPART lust COMPLETE PART 1 B LO{tJ * Py to this form and return SEE REVERSE SIDE FOR FILING AND PAYMENT 7NCTDrrrrr....~ Account No. 625214 201 n_~_ _ Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART CHECK ONE BLOCK ONL Y -_w~-cuuts Established pennsy DEPARTMENT REV-1543 EX IFS $ 21,572.61 X 50.000 $ 10,786.31 X .15 $ 1,617.95 TAXPAYER RESPONSE RE ,tl!ND 11F~~,.l. itE~tll,T".IN` ilN ~~~ To ensure proper credit to the account, two copies of this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". NOTE: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine months after the date of death. above information and tax due is correct. - ^4~ Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Re Sister of Wills and an official assessment will be issued by the PA Department of Revenue. B• ^ Th above asset has been or will be reported and tax fi ed by the estate representative, paid with the Pennsylvania inheritance tax return C• ~Th above infor,m~~a ion is incorrect and/or debts and deductions were paid. Co plete PART I11 and/or PART 3^ below. PART If indicat;.,~ ~ ~--~~ ICI LJ - - - relationship to dec ~~~ dent: cax te, p e se state ,~~ .rf j TAX R ETURN - CALCULATI ON O I I OF~ICI~L. UgE ~~.Y ~iAAF LINE 1. Date Established ' F 1 TAX ON JOINT/TRUST ACCOUNTS f~AD PA DEPARTMENT OF REVENUE 2. Account Balance 2 $ R 3. Percent Taxable 3 X 2 4. Amount Subject to Ta y $ ""~ :._...; ~- _ _r ~~. 5. Debts and Deductions ' 5 - fy - 6• Amount Taxable i 6 $ 5 i 7. Tax Rate ~ 7 X 6 - $. Tax Due $ $ 7 A , o~nr ~. DATE PAID I $ e ~~ DEBTS AND DEDUCTIONS CLAIMED FILE N0. 21 -) ~ .- ~~ `~~ ACN 11176874 DATE 11-23-2011 EST. OF SI R I'AK SSN 2:?1-50-1396 DATE OF DEATH o3-27-2011 COUNTY CUMBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 PAYE Under penalties of complete to the besteofumy ~ , DESCRIPTION AMOUNT PAID ~_ TOTAL CEnter on Line 5 of Tax Computation) I declare that ~ the facts I reported above are true, correct and know. edge and belief. HOME ( ~/7 ) 2 iLS - `.3 JG.3 \ WORK ( ) TELEPHONE NUMBER j~ Z-~ / DATE ~ PENNSYLVANIA INHERITANCE BUREAU of INDIVIDUAL TaxES INFORMATION NOTICE PO BOX 280601 HARRISBURG PA 17128-0601 Pennsgiv~~~~ ,r ~~~ AND DEPARTMENT OF REVENUE ~ ~AXpA YE R REV-1543 EX'gFR (RS •111 RESPONSE TAX -,~r BARBARA pl K 40 BULLOCK CI~ CARLISLE ~~, ~~, . L ( i. ~ ` C, ' t ,,. li Clad. , . H , ~,J~ „~ pH ~~ l r. PA 17015-7616 FILE N0. 21 _ ~ l - ~ a ~~' ACN 11176875 DATE 11-23-2011 EST. OF SI R PAK SSN 2;?1-50-1396 DATE OF DEATH 03-27-2011 COUNTY Cl1MBERLAND REMIT PAYMENT AND FORMS T0: REGISTER OF WILLS 1 COURTHOUSE SQUARE CARLISLE PA 17013 TYPE OF ACCOUNT ^ SAVINGS ^ CHECKING ^ TRUST CERTIF. CITIZENS BANK OF PENNSYL ANIA provided the department with the information below, which was used in calculating the inheritance tax due. deceasedna~ndtanyaamou t otheh thanhezero isareflectedtbelow on the Potential Tax Due line n You were a joint owner/beneficiary of this account. If you are the spouse of the notify the department of you relationship to the deceased by checking Box C in PART 1 below and writing "spouse" in PA 1f you believe the information is incorrect, please obtain written correction from the financial institution, attach a co it to the above address. Please all 717-787-8327 with questions. Ote no taX may be due, but you must COMPLETE PART 1 B py to this form andTre urn LOW ~ SEE REVERSE SIDE FOR FILING AND PAYMENT INSTRUCTIONS Account No. 625214 236 Date 09-08-2008 Established 7o ensure proper credit to th Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART iil!!t~ A. ^ T CHECK ONE BLOCK ONLY a ^ fi~ C. ~ Th~ $ 1 ~ $02, 30 copies of this notice oust accompanynt, two payment to the R i ~( 50.000 eg ster of Wills. Make check payable to "Register of Wills, Agent". $ ~( 9 0 1 . 1 5 NOTE: If tax payments are made within three wonths of the d ' $ • 1 5 ecedent s date of death, deduct a 5 percent discount 1 35.1 7 on the tax due. Any inheritance tax due will bec TAXPev~o ~rnn....~_ ome delinquent nine months after the date of death. N D~~dC2J1t,TA)" ASSES, :~#iT above information and tax due is correct. Remit payment to the Register of Wills with two copies of this notice to obtain a discount or avoid interest, or return this notice to the Register of Wills and an official assessment will be issued by the PA Department of Revenue. above asset has been or will be reported and tax paid with the Pennsylvania inheritance tax return 'd by the estate representative. above informs ion is incorrffe--ct~~ and/or debts and deductions were .paid. lete PART 2~ and/or PART la 1 u below. PART If indicating a dif Brent tax rate, relationship to dec dent: please state 't. TAX RETURN I' - CALCULATIpN OF TAX ON JOINT/TRUST ACCOUNTS LINE 1. Date Established 1 2. Account Balance I 2 $ 3. Percent Taxable I 3 X 4. Amount Subject to Ta y $ 5. Debts and Deductions 5 6. Amount Taxable 6 $ 7. Tax Rate ~ 7 X B. Tax Due ', $ $ PART DATE PAID L~si~ AND DEDUCTIONS CLAIMED DESCRIPTION complete to the best of m., AMOUNT PAID < <rue, correct and ~~ I ~ ~ PENNSYLVANIA INHERITANCE TAX BUREAU OF INDIVIDUAL TAXES INFORMATION NOTICE PO BOX 280601 HARRISBURG PA -17128-0601 pE'~~~~`S~(~Va~7 --'''~ ' ~'' AND DEPAR~fM^ENT OF REVENUE ~ ~~ ~ ~' ~)r RE„-is~'ex aFr ~us_,~,,. n TAXPAYER RESPONSE; BARBARA P K 40 BULLOCK CI~ CARLISLE ~~~: ~ - _ ~ ,°: , ~ c Lei ~, .,: ~^, ., C; i _` i PA 17015-7616 FILE ACN DATE N0. 21 -~~~ l0?l9 11176876 11-23-2011 EST. OF SI R p~AK TYPE OF ACCOUNT SSN 221 -50 -1396 ^ SAVINGS DATE OF COUN DEATH 03-27-2011 ^ cNECKING ^ T TY REMIT P CUMBERLAND RUSr ~ CER AYM ENT AND FORMS T0: TIF. REGISTER 1 OF WILLS COURTHOUSE SQUARE CARLISLE PA 17013 CITIZENS BANK OF PENNSYLV~- Records indicate that at the deaths of A he above-named decedent, Drovided the department with ~he information below, deceased and any amount other) you were a joint owner/beneficiarh~ch was used in calculatin Y of this account. If 9 the inheritance tax due. notify the department of your relationship to the deceased by checking Box C in PART 1 below and Writs If you believe the information is 'ncor~rectr please obtaiCn wdribtenO~orOre thon Pfromnthe financi0ue,nine, it to the above address. Please c It 717-787-8327 with questions. note no tax mayo be due h but ouse of the COMPLETE PART 1 B n9 "spouse" in PART lust LOW SEE REVERSE SIDE .FOR FILING AND PAYMENTatruernop„ t_ this form and return Account No. 625214 194 n,*e Account Balance Percent Taxable Amount Subject to Tax Tax Rate Potential Tax Due PART - u~-1Z-2008 Established $ 53, 94 ', lg X 5 000 $ 26,970.59 X .15 $ 4,045.59 ,,,.~~e TAXPAYER RESPONc - -~^~ ~!~° ~ct~>F'o~D,,:Ytil1,.~ESIILT.'IN. --~ A. ~ Th above information .oF~r~ TAX Ass R C H E C K i and tax due is, correct. aediscounte e • + w t C ONE l or avoid interest, or weturn an official this l tf this na~tice to obtai BLOCK ~ . . The assessment will be issued b v the b notice to he PA Department n Register of Wills and of Revenu 0 N L Y a ove asset has been or i e. fil w ll be re orted and d by the estate representative. p tax peid with the Pennsylvani C• ~ The abov a inheritance tax return e informs ion is incorrect and/or debts and deductions were Com lete PART 2~ and/or PART below. peiid. PART If indicating a diff rent tax rate, please state relationship to dece ent• TAX RETURN - CALCULATIO 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 B. Tax Due PART DATE PAID PAYE • 4 ~ OF TAX ON JOINT/TRUST ACCOUNTS 1 2 ~` 3 X 4 5 - 6 7 X 8 $ ---- . • •••. ~ avn5 To ensure ioroper credit to the account, two copies of •this notice must accompany payment to the Register of Wills. Make check payable to "Register of Wills, Agent". N07E: If tax payments are made within three months of the decedent's date of death, deduct a 5 percent discount on the tax due. Any inheritance tax due will become delinquent nine months after the date of death. OF~IAL RISE NLY2;r~ ~'~ AAF PA DEPa1RTtlENT t9F REVENUE AD 1 2 3-= - tea: 4 5 6 7 ; 8 - ~ ~ `°~~ AnL DEDUCTIONS CL- q D DESCRIPTION .,~~uer penalties of perjury, complete to the best of my ~r~~.x.-~ ~c~: TOTAL CEnter on Line ~ .,c r_-_ _ AMOUNT PAID I declare -~ "~"""/zatlon) $ that the facts I reported above are true now dge and belief. , correct and HOME ( 7 / 'J ~ ~, f~S'-8~~_3 WDRK ( ~ _ TELEPHONE NUMBER ~! Z8 ~~ DATE ~~~ W p ~ ~ a ~ = ~ ~//~~.yya ..~~~~ o .Z OOWM - =pm0 d~-+J000 m O a n ¢ ° vi ~ > o • ¢ o ~ ¢ z v M o n ~~~ M U f ~ `] O W O N O -- ~g ,.~ c~, ~_ t-; -. ~:. c ~T:' m ~ ~ ~ = o° ~ ~ 2 ~~ s ~_~ ~ ~ .~ d' ~ S ~ ~ `V ~-- -- v~ .`n ~ - !, ~ ~ J ..~... ~ y 4l~ iy~y 5-l ~..~ .~ b h h O ~xa ~~~ ~~~ -_ ~_~_- _- - - -