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Home My WebLink About07-16-13 (2) _ _ ._ . � � I J 1505610105 'i REV-1500°"°�"„�°m ''� o�cuLL use oN�r PA Depsrtrrient of Revenue P��`!+m� Couny Code Yev Flle Nu Bureau of Individual Tazes INHERITANCE TAX RETURN ��XZ�o' 13 0 �q Namsbu PA i u8�o6oi RESIDENT DECEDENT I ENTER DECEDENT INFORMA7pN BELOW Sociel Securlty Number Date of Death MMDDYYYY Date of BiM MMDDYYYY OS/11/2013 02/07/1930 DaoedenPs Lest Name Sufix DecedeM's PUat Name MI Zinn Charles E (B Applk�bN►Enbr 8urvivinp Spous✓s I�omwtbn BNow Spa�se's Last Name Suftix Spouae's Firat Name MI Zinn Lorreine M Spouee's SoGal Secu�lty Number THIS RETURN MUST BE flLED IN DUPLICATE WITM TNE 2o�-2s-�s�2 REGISTER OF WILLS FILL IN APPROPfpATE OVA�S BEIOW � 1.Orlpinel Retum O 2.SupplemeMal Retum O 3. Remsindar Rslum(Dete Deeth Priarro 12-13-82) O 4.Limlted Eatate O 4a.FuNre Intereat Compranisa(date of O 5. Fetleral Estate Tau ReN Requlred death elter 12-72-82) O 6.Deeedent Diad Testate O 7.Decedent Maintained e Llving Trust 0 8, Totel Number of Sefa k Bwces (Attach CoPY of WIII) (Attech Copy of Truet J O 9.Utlgatlon Proceedt Recelved O 70.Spwael Poverty Credt(Date W Death O 11. Election to Ta�c witler Sac 9113(A) Belwaen 72-37-91 and 1-7-95) (Aqech Schadula O) CORREBPONOENT- THI8 8lC1pN MUBT BE COYPLETED.ALL CORRESPONDENCE AND CONflDENiU1L TAX RIFORYATqN BHOULp BE qRE D T0: Name Daytlrtie Telepha�a Ny�9er Colleen F. Zinn (919,�32Q7570 � � � rn � oa�a oF _ � znr' �„ —� r°rn First Lirre of Address Z � � �� o 2400 Tweed treil ci � o � -n c� c -,; � �r Second Line of Addresa O c n _ � � m '9 � �, o Cily Or Poet Offlce Stete ZIP Code D DATEilOED � Hillsborough NC 27278 corrqpomis�Ps w�at1 addn.s:czthreespokes(C�9mail.com Untler psnaMNs of psryury,I tleckrs IMt I have s�mminetl Mle roWm,Indu�np epwmpenyinp xMdubs end aMemenb,end to t�e Deet d rtry knaM and baNaf, tt is tue,caract erW comP�.Dederotlon of prsperor Whsr Men Ms penonal/e{qaeeMatNe le baeeC an ell infortnetlon ot whkh piepaiar hr my k SIONATURE OF PERSON RESPON31BlE FOR FILINO RETURN pq7� � � Z � ADDRE33 a.�l v-z� Twe,e.ol '1 �' �s o,�o C 27 27 ' S�GNATURE OF PREPARER OTHER THAN REPRESENTATIVE pq7E ADDRESS Ke�s�ust owmw►�PonM ow�r slde 1 L 15056101U5 1505610b05 J � I I II J 1505610205 II � REV-1500 EX(FI) Dewde�t's Soclel Securlty�umber oe�aaanr�Narris: Chafles E. Zinn RECAPITULATION 1. Real Estete(Schedule A). ............................................ 1. 2. Stodca and Bonds(Schedule 8) ....................................... 2. 3. Cloaely Held Corporetlon,Perkbrahip w Sde-ProprietoBhip(Schedule C) . .... 3. . 4. Mortgagas and Notes Receivable(Sehedule D)................. ...... .. . . 4. 5. CeaA,Benk Oeposits and Mlstellaneoum Personal Property(Schedule E)......, 5. ,387.00 6. JolnNy Owned Pioperty(Sdredule F) O Seperate Billirq Requeated ....... 6. 7. IMeaVivoe Transfers&Miscella�eous Non-Probate Property .. . .. (schedule G) O Seperete Bining Requeated... ..... 7. � 5 ,758.24 8. Tofal 6ross Mwb(tofal Lines 1 through 7). . ... .. ..................... . 8. � �745.24 9. Funeral Expenaes and Admi�iatradve Costs(Schedule H)...... ..... .. ..... . 9. . ,571.50 10. Debta of DecedeM,Mo�age LlebNitles and Liens(SChedule I)............... 10. ,639.12 �t. Tota�wauctwn:(rota�L�nea s and to)................................. tt. ,210.62 12. !Ht Wlw ot Esfab(Line 8 mfnus Line 11) .............................. 12. 4 ,934.62 13. Cheritable a�d C,ovemmental Bequeats/Sec 9113 Trusla for which . . . . . an ebcNOn M taz hea not 6een mede(Scheduie J) . .... .... ....... .. .. .. .. 13. 14. !Nt Wlw Su6�t W Tu(Line 12 minus Llne 13) .............. .......... 14. ,934.62 TAX CALCULATION•8EE INSTRUCTIONS FOR APPLICABLE RATE8 15. Amount of Une 14 taxeble at the spouael tex rate,or trarreters undx Sec.91te 48,934.82 (axt.2)X AQ 15. 0.00 � 18. AmouM of Line 14 taxade � � � � �� at Ihieal rate X.0_ �g, n. o,�ww��a urre�a c�wa ec siair,a r��a x.�z n, 18. Amount of Line 14 texeble . . . .. . . . . . . . at cdlatewi rate X.75 18. . 19. TA7(DUE .. .. . .................................................... 19.� �.00 � 20. FILL IN TNE OVAL IF YOU ARE REQUE8TIN0 A REFUND OF AN OVERPAYMENT p Side 2 � 1505610205 150561U205 J i i ; REV•iSQO EX(FI) Pepe 3 FIM1 NumMr Deceden#'s Complete Addreaa: Chades E. Zinn srr�ern�ss 1�4 Mesdowview CouR{104 SME} f.17Y STATE ZFP Shippensburg PA 17257 Tax Paymerrts and Credtts: i. Tax Due(Page 2,t_ine 19y it} 2. CreditslPayments � A.Pdw PeYme�ts �. B.Diseaunt � Total Credils(A+B) (p) 3. Interest {3� d, if la�e 2�gt�e�er 1t�lirre t+lsrre 3�enter the tNRerence. This is#�s QVERPAYI�N1: flN N oval an Pap�Y,LYh 70 m nqwat e rNund. (4) 5. It line f+Lirre 3�g�than Line 2,en6sr tl�t�Rerence.Thb is it�TAX�1E. (5} � y y� �2.� Make check paya.+b�Fle #a REGISTER OF W1L�S,AGENT p F":F; tYti 'r.4-`v"f` y��4`,�,.'�wSi3'�7.�4'"'i�erc.x1,"�'e.a=.+{�d�.�'Y,'�^"oy°1:nt��'i,zY� ��'4f,��i. �. .°:' �5k:il.: �s'y��+�.*�"5;,,: a'rv!s1,�iF""tTlk.';:+'�'n.'�r*...�n.1Ft�.aJ ,F'�`.xn�tt�"Y'"'��`k,.:::; FLEASE ANSWER iHE FOLL4YMlNG QUEST�NS BY PLACIM6 AM"X"!N THE APPROPRIATE t}GKS ( 1. Did decMaM make a banafer and: Yes No a. remin the uee a income of the properry haneferted.......................................................................................... � � b. refaln tha t�ft io designate wfw shai!t�e the ptcp�ty hanaferted w its i�ccme............................. ............... � e. r�n a revereionary interest.............................................................................................................................. � � d. receive lAe promise tor life M either paymenta,benefits a c�re?...................................................................... ❑ � 2. It deetA op;urred a(6er Dec.12,1982,did decedent tranafer property within one yeer�f deefh ( wlhout roceiv4np adeqnete�?.............................................................................................................. ❑ � 3. Did decedent oxm an"in Wst fa"w payable-upqndeath bank eccount or securiry at hls a her death9.............. � ❑ 4. Did decedeM own an Individuel redremeni account,annuiry a other non•probate properry,which , t�ntakts a � designaHat? ......_.................... � ❑ i IF THE ANSINER TO ANY qF THE A90VE QUE$TIQHS IS YES,YOU MUST COMpLETE SCHEDULE G ANp FILE R A8 PART 0 THE RETIJRN. t� n . ,. � '±`�,1.�s',"R'`, R,. . ..�� ...: :.. :.�'+�4. .. M��°s'rv?,�".'A�„ ..,� �.i's�. ,rvv �'�a:. �. u. ....a ..e. �'sis,�*.T�'S "�[x.� . . � *+�..�',.nM.. Fa detea oF deetl3 ai waft�July 1,1994,�rd ba�re Jan.7,t995,Me ta�c tate impased an the net vaiue of trar�sfers ta a#ar dte use of swvivirg sppuse I is 3 perCent(72 P.S.§9116(a)(1.1)(i)1• Fw dates of death on w after Jan. 1, 1995, the tax ra� impu�i on tlie net value of transiers to a far the t�e of ths swviving se is 4 percer� (�2 Ps.§9�ts{s}{i.�}i�)l.rne�c��e�a tr�m a survivrr��a�ae trom ta�c,ana tk��ah,tary rec�sments fw�s �s or�b sna filirg 8 tax reium arH sGil appiiCable even if the surviving apouse is the oniy benaAci�y. Fw detes of dwtli on a aRer July 1,2000: • 'ft�e ttut ra�Nttposed aw d»net va�ae of from a d�id 21 y�s of�a}rounger at�ta�#a the use�a r�aturai perent,an adopUve perent or a stepp8rent of tha chikf is 0 pert;eM(72 P.S.§9116(a)(1.2)]. • The tax rffie impased on the net value oi transfers to a for the us�of the decedenPs Fneal 6enefidaries is 4.5 percant,except as rated in P.S.�9178{a)(111� • The taat rate�d at it�e nat vaiue t�tra�sEe�s ta a�tt�use�d�e decadertPs s��a is 12 peroertt[72 P.S.§9116(a){1.3}). s�ilrg�defined, under Seatlon 9102,as an indiWduai who has at laest one pareM in common with Ihe decedent,whelher by Waad or adop�on. I I _ ___ . T I nEV-�we oc.�ce-u> il � pennsylvania ��`�VU E ''� I, DEPMTMBiT�REVQi11E CASH, BANK DEPOSIT'S $MISC. '� m�enmwce rnx rseTUnrr PERSONAL PROPERTY � PESIDEM DKEDEMf ESTATE OF: FILE R: Charles E. Zinn 2013 00579 Include the proaeeds of Ikigatlon and the date the proceeds were receNed by the estaM, All proparty�olMly wrnW wIM rlqM ot suMvonhip mwt ba dNdoad on ScMduN F. �M V E AT DATE NUMBER DESCRIPf[ON OF DEATH 1. Wearing Apparel and personal effects 150.00 z, Jewelry-weddingband 100.00 3, Househdd goods and fumishings 2,000.00 q. Coin Collection 1,600.00 5, Stamp Colledion 300.00 s. B°°ks 200.00 7, Mabiliry ScoWer 500.00 g, Van Lift for Mobiliry Scooter(van sold Aprii 2013) 300.00 g. Cash on Hand 106.00 �p, Refunds for memberships and magazine subsaiptions 131.00 TOTAL(Also enter on Lirre 5, Recapltuladon) ; 5,387.00 If more spaa Is needed,use additlonal sheets of paper of the same s@e. I I fkEV-1510 E%±(OB-09J ��° pennsylvarria SCHEDULE G I I DEPARTNENTaFPEVENUE INTER-VIVOS TRANSFERS AND I I INHERITANCETU(RETURN MISC. NON-PROBATE PROPERTY I RESIDENT DECEDENT I ESTATE OF FILE NUMSER I Charles E.Zinn 2013-005 9 This schedule must be completed and filM if the answer to any of quesdons 1 Mrough 4 oa page Mree of Me REV4500 is yes. ]TEM DESCRIPf10N OF PIi0PE0.TY DATE OF DEA1H %OF OK05 EXCLUSiO TAXABLE �nauo��xe�orT�rnusre��,rxew pe��w�rswv ro o�cceair�no NUMBER iXEDATEOFTAAq5F6tATd[11AC0%OFiHE�ffDPDRPEALESfAIE. VALUEOfASSET INTEREST tr�wauue VALUE 1. IRA with Lorrair�e M.Zinn(spouae)es beneficiery. 22,836.29 100 22,636.29 IRA with Lorraine M.Zinn(spouse)as beneficiery. 24,682.25 100 24,836.25 32 U.S.Savirqs Bornis,Series EE,$50 face velue,issued belween 02/1985 3,085.70 100 3,085.70 and 03I1988.Peyable On D�th to Lorreine M.Zinn(spouse). tOTAL(Nso enter on Line 7, Recapitulation) ; � 50,758.24 � If more space is needed,use additlonal sbeets of paper of the same size. __ _ _ �� ACCOUNT STATEMENT I �-+_� CommudtyOxe B�nlc.N.A. I WmmUill}V�E P.O.Box 1328,Asheboro.NC 27204 ,I `! Phone800 873-1172 , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i . . . . . . . . . . . i Charles Edward Zinn PAGE 1 I 2400 Tweed Trl TAXPAYER ID# 179-20-5853 Hillsborough NC 27278 CUSTOMER # ZAA0078 TAX YEAR 2012 Traditional IRA The Fair Market Value on 12/31/12 was 26.226.49 THIS INFORMATION IS BEING PROVIDED TO THE IRS. —--—------—------------—--------------------------------------------------- ACCOUNT BALANCE INFORMATION Certificate Current Accrued Maturity Interest Year-To-Da e Number Balance Interest Date Rate Interest 2717670 26.226.4 42 6/24/13 0.60 238.27 26.226.49 42 238.27 ---—------—--------------------------------------------—-------------------- ACCOUNT ACTIVITY Number Date Amount Description 2717670 1/31/12 36.26 Interest Added Back 2717670 2/29/12 33.96 Interest Added Back 2717670 3/30/12 31.92 Interest Added Back 2717670 4/30/12 16.29 Interest Added Back 2717670 5/31/12 16.84 Interest Added Back 2717670 6/29/12 16.30 Interest Added Back 2717670 7/31/12 16.85 Interest Added Back 2717670 8/O1/12 5,000.00 Normal Distribution 2717670 8/31/12 14.40 Interest Added Back 2717670 9/28/12 13.86 Interest Added Back 2717670 10/31/12 14.32 Interest Added Back 2717670 11/30/12 1,924.73 IRA Distribution 2717670 11/30/12 13.88 Interest Added Back 2717670 12/31/12 13.39 Interest Added Back - --- ------—-----------------—----------—----------------------------------- This statement represents activity on your Retirement account. Please contact us if you have any questions. Thank you for allowing us to be your bank! _ i__ � �� , j O�``��"' a v ' ' ` ` Traditional IRA I � � Soc. Sec. -XX-5853 II ATr�adifinno Ex�+eAena9 �tomer 0175 .f Tauc Year 20 2 Charles B Zinn 2400 Tweed Trl Hilleboro NC 27278 The Fair market Value on 12/31/12 was 24,282.60 This atatement repreeents activity on your retirement accoun . Please review and contact us if you ba.ve any questions. _. _ _ ___ _ - -This 'xnfax'n6at�itsa-��'�ei'3tg_prov''idecT"�" tlie��—___ __ _- THANR YOII FOR ALLOWING IIS TO BS YOUft BANR. -------------------------------------------------------------------- ---------- ACCOLAdT BALANCS INFORMATIOld Certificate Current Accrued Maturity Iatereet Y ar-To-Da Numb�r Balance Interest Date Rate Interest 603000279 24,263.66 18.94 0/00/00 0.50 157.44 24,263 .66 18 .94 157.4 ----------------------------------------------^--------------------- ---------- ACCOONT AGTIVITY Number Date Amount Description 603000279 1/O1/12 1,499.15 2RA Diatribution 603000279 2/03/12 45.28 Interest Added Back 603000279 5/04/12 38.71 Interest Added Back 603000279 8/03/12 39.63 Intereat Added Back 603000279 9/07/12 0.500000� New Rate 603000279 11/OS/12 33.82 Interest Added Back PI�AN ACTIVITY Description Amouat BBGINNING BALANCB 25, 605.37 INTSR$ST BARNED 157.44 D2STRISUTIO�iB 1,49'9.15- gNDINC, g7►I,�►D7(� 24,263.66 -------------------------------------------------------------------- ---------- BSNSFICIARY INFORMATION Name Soc.3ec.# Birt� Date Level pouae Lorraine Zinn Bffi�7FSSN*R 5/il/34 PRIMARY POU3AL -------------------------------------------------------------------- -------- - 2695 P6lladelphia Av�ue •Chambe[sbutg,PA 17201 . . _. .. ._ . I . . I I BOND REDEMPTION ' s/so/ao�a � I COLLEEN F 2INN �'., BOND RECEIPT zaoo �rV,eea � ' Hilleborough NC 27278 SR MON YR QTY FACE VALUE PURCHASE AMT INTEREST TOTAL EE 02 85 1 50. 00 25. 00 81.54 106. 54 EE 03 85 1 50 . 00 25. 00 81 . 54 106 .54 EE 04 85 1 50.00 25 .00 81 . 54 106 . 54 EE OS 85 1 50 . 00 25. 00 81 .54 106 .54 EE 06 85 1 50 . 00 25. 00 79.44 104 .44 EE 06 SS 1 50 . 00 25. 00 79 .44 104 .44 EE 09 85 1 50 . 00 25.00 79.44 104 .44 EE 10 85 1 50 . 00 25. 00 79.44 104 .44 EE 11 85 1 50 .00 25.00 79 .44 104 .44 EE 12 SS 1 50 . 00 25. 00 77.40 102 .40 EE 02 86 1 50 . 00 25. 00 77 .40 1�2 .40 EE 03 86 1 50 . 00 25 . 00 77.40 102 .40 EE 04 86 1 50. 00 25. 00 77.40 102 .40 EE 05 86 1 50 . 00 25 . 00 77 .40 102 .40 EE OS 86 1 50. 00 25. 00 77.40 102 .40 EE 07 86 1 50 . 00 25. 00 75 .40 100 .40 EE 08 86 1 50 .00 25 . 00 75 .40 100 .40 EE 09 86 1 50 . 00 25. 00 75 .40 100 .40 EE 11 86 1 50. 00 25. 00 65.26 90.26 EE 12 86 1 50 . 00 25. 00 63 . 50 88 .50 EE O1 87 1 50 . 00 25.00 63 . 50 88 . 50 EE 02 87 1 50 . 00 25. 00 63 .50 88 .50 EE 03 87 1 50 .00 25 .00 63 .50 88 .50 EE 04 87 1 50.00 25 . 00 63 . 50 88. 50 EE 06 87 1 50. 00 25. 00 61 . 76 86. 76 EE 08 87 1 50 . 00 25. 00 61 .76 86 . 76 EE 09 87 1 50. 00 25. 00 61. 76 86. 76 EE 10 87 1 50 . 00 25. 00 61 .76 86 . 76 EE 11 87 1 50 . 00 25 . 00 61 . 76 86 . 76 EE 12 87 1 50 . 00 25. 00 60 . 06 85 . 06 EE 02 88 1 50. 00 25. 00 60 . 06 85. 06 EE 03 88 1 50. 00 25. 00 60. 06 85. 06 --- ---------- ---------- TOTAL 32 SSN# � 2285 .70 3085 .70 �� t�� 2�� -z6- l �r�z "Uoda� tla of 1 i catif�(I)th!ihe mmber�hoav on t6ia fam ie my '�w�mmbm; �d(�ihLL I �m mt mbject W b�dnq '�oldmg eNha bec�ne I 6ave rot 6em notd'md tl�t I�m wb�xt w b�doip with6o m►mwlt of fiilum m�epu�t ali inrtaest or divideady a the l�emd Revmue avice 6r notiRed me ihat I oa � Irnyer e�ject W Mclopr whMoldieg: � Cuafomar 3i�Wue __ _ � I _ REV-1531 EX+ (30-09) ��, �� xz�pennsytvarria �HEDULE H II OEPRHTNENTaFPEVENUE FUNERAL EXPENSES AND '�, INHERITANCETA%RENRN ADMINISTRATIVE COSTS I RESlOENT�ECEDENi I ESTATE Of FILE NUMlEA � Charles E. Zinn 2013-00579 DacedeM'c dabte muat 6e reportad on Schedule I. ITEM NUMBER DESCRIFfION AMOUNT A. FUNERAL El(PENSES: 1' Funeral Services,Wetrel tuneral Home 4,718.00 2. Um,Phoenix Um Co. 495.00 B. ADMINISTRATIVE CA5T5: 1. Personal Aepresentadve fommissions: Name(s)of Personal ReDresenlative(s) � Street Address City � State ZIP Year(s)Commission Paid: 2• Attorney Fees: 3. Family Exemption:pf dxedent`s address is noc Me same as claimant's,attach explanatlon.) . Ciaimant Street Address City_ SWte ZIP kelationship of Claimantto Decedent 4. Probate Fees: 358.50 5. Accountant Fees: 6. Tax Return Preparer Fees: Z TOTAL(Alw enter on Une 9, Recapi[ulation) �� 5,571 S � [F more space is needed,use addicional sheets of paper of the same size. � REV-1512 EX+(12-12) II I �'pennsylvania SCHEDULE I '�, il o�RTM�r+ro��nuE DEBTS OF DECEDENT, I '""�1°""�r^""�'"" MORTGAGE LIABILITIES 8 LIENS I aesmerr oecr�Errr ESTATE OF fILE NUMBER I Charles E. Zinn 2013-00579 0.apoR dabfs incurrod by the decedent prlor to dalh lhet remdned unpdd at the date ot Mstl�,indudinq unMmhunad a:pemas. ffEM VAl E AT DATE NUMBE0. DESCRIPTION 0 DEA'Ri 1• Summit Physician Services,Chambersburg,PA-Hospital Care March S9,2013 23.73 2. Franklin County Foot Ankie Center,Waynseboro,PA-Service date:0310612013 23.89 3. Chambersburg Imaging Assceiates,Chambersburg PA-Service dates:03105113-03106113 2.74 4. Chambersbu�g Imaging Associates,Chambersburg PA-Service date:03IOBI13 4.11 5. Chambersburg Hospital,Chambersburg PA-Services dates:03105113-03I09It3 244.10 6. Shippensburg Health Care CeMer,Shippansbuig PA-Service dates:03109113-03131113 88.80 7. Shippensburg Heafth Care Center,Shippensburg PA-Service dates:64101113-04I30113 888.00 8. Shippensburg Heafth Care Center,Shippensburg PA-Service dates:05I01113-05111I13 326.00 9. VORHA Heaflh Services-Service dates:05102I13-05109113 7.11 10. Amatul Kahlid,MD-Service dates:03113113-05I08113 26.55 11. Sympfrony Diagnostic Services-Service dates:031111t 3-04IZ6113 1.37 12. American Diagnostic Services-Service dates:04I01113-04/18113 2.72 TOTAL(Also enter on Llne 10, Recapitulatlon) ; ��g39•�2 If more space is needed,Insert addkbnal sheHS of the same size. _ _ _ .. I REV-1513 EX+ (01-30) I�I I!I �� pennsylvarria SCHEDULE J �� I OFP�RTNENT OF NEVENUE i� INHERITANCETA%RENRN BENEFICIARIES j j RESIDEM DECEDENT I� ESTATE OF: FILE N MBER: �i Charles E. Zinn 2013 0579 RELATIONSHIP TO DECEDENT AMOU T OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S)RECEIVING PROPERtt DO NOt Llik TN6l!!(6) F ESTATE I TAXABLE DISTRIBUTIONS[Include outright spousal distnbutions and transfers unAer Sec.9316(a)(11J.] 1. Lorraine M.Zinn spouse 100% mailing address: 2400 Tweed Trail Hillsboraugh,NC 27278 physical address: The Villege oi Laurel Run 6353 Chambersburg Rd. Fayetteville,PA 17222 ENTER DOLLAR AMOUNTS FOR D[STRIBUT[ONS SHOWN ABOVE ON LINES IS THROUGH 18 OP REV-1500 COVER SHEET,AS APPROPR E. II NON-TAXABLE DISTR[BUT[ONS A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT TAKEN: 1. 8. CHARITABLE AND GOVERNMENTAL DISTR[BUTIONS: 1. TOTAL OF PART II- ENTER TOTAL NON-TAXABLE DISTRIBUf[ONS ON LINE 13 OP REV-1500 COVER SHEEf. �� lf more s0ace is needed,use additional sheets of paper of the same size. I