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Home My WebLink About96-03192 , , ~*~*~~*.~~*~**.~*~.~..*.~.~~~.~..~~~~*~,~~ ~l - ------ '--'-". ,..-._,,-_.-~...,...__... ., ,.. - --,. ....... ...----------'---'~ :1 IN THE COURT OF COMMON PLEAS : ~1 ~ $ 8 .:. " . w, " OF CUMBERLAND ~ STATE OF ~~~ ~ ,,,,.~-, '"J PENNA. COUNTY ~ ~ Maryrose C. Triscari, ~ 96-3192 ~ '.' ;\; I ), Plaintiff .:. " V"I',"II.-; ~ ',' Sebastian G. Z. Triscari, ~ ',' Defendant ~ ~ .:. " DECREE IN DIVORCE .:. " $l I!I ~ ',' ~ ,'. * ~ .:. " ~ ,~ ~ ~ w .' .:. " ~ ,~ ~ I, ~ ~ ,;; " ... * . ~ ~ 8 * 8 ~ S 8 . ~ ~ ~ ~ ~ ~ ~-*-~* .~, . 8 ~ 8 8 ~ 8 I: , ~ !~ I: (!t! \ : ;~ i :. I~ c':")! tL I;' 'oJ1 d,l.U-t..--' 1<... ';;<{no..,r-, lk.."I.a...~i' ~ 9, ~/C> 2.- ux.,r- ()~'(,'t . ~ (\.. Profhoftn~y .1;, I' ,~ AND NOW, ....... .C4,,~ r. /1'." J 998. ", it is ordered and decreed that ..". ,Ma~'Yr,ol14i!. ~" . T!"isc~!,i. . . . . , . , , , , . , , . , . , '. plaintiff, and"".,."..,.,. . Sebastian ,G.. ,Z.. T.dscari .,',.,'. defendant, are divorced from the bonds of matrimony, The court retains jurisdiction of the following claims which hove been raised of record in this action for which a final order has not yet been entered; None , , , , . , .T~e, ./o!a~i.tal, S,~ttlement,Agreementdate,d. Jul~ ,~3,1,99~, l.f!, , . ,ir,t~o,~l?oF!l,~p:d,. ,but, .not. mergedinto. the. .oecr.ee~. . , ...,....,...,... . ~ .:+:. -:.;. .:.;. .:+:. -:+;. -:+;. -:.;. .;+;. ':$> .:.;. .:.: -:.;. -:.:. .:+:. .:+;. - 1'1 Cl - " r::. 0 j-" Z S " <( , . ~"J ... III , > - , ' ::i ~ I' S ti ~ c ~ W g r .. ~ ~ l" tl l, , E D. W Z - ~~i5 I .. 0 ,. ," ~ :J 0: ll. t... .. i.J ~ ~"ci <( = z a: .. ~ <( a: lD w a: m <( ::t: m ::l U ~ Z . ~ , rrference and deemed an essential pan hereof in consideration of the foregoing recitals, the mutual promises, covenants and undertakings herein set forth. and for good and valuable consideration, receipt of which is hereby acknowledged by each of the parties hereto, HUSBAND and WIFE, each intending to be legally bound hereby, covenant and agree as follows: 1. ADVICE OF COUNSEL HUSBAND and WIFE declare that they have each had a full and fair opportunity to obtain independent legal advice of counsel of their selection. HUSBAND has been independently represented by Barbara Sumple,Sullivan. Esquire. WIFE is cognizant of her right to legal representation and declares that she has been independently represented by Sandra L. Meilton, Esquire. Each party further declares that they are executing this agreement freely and voluntarily, having obtained such knowledge and disclosure of their legal rights and obligations and that they acknowledge that this agreement is fair and equitable and is not the result of any fraud, coercion, duress, undue influence or collusion. ~ ,- 2. PERSONAL RIGHTS HUSBAND and WIFE may and shall, at all times hereafter. live separate and apart. Each shall be free from all control, restraint. interference or authority, direct or indirect, by tfle other in all respects as if she or he were unmarried, except as may be necessary to carry out the provisions of this Agreement. Each may reside at such place or places as she or he may select. Each may. for his or her separate use or benefit, conduct, carry on and engage in any business, occupation. profession or employment which to him or her may seem advisable. This provision shall not be taken, however, to be an admission on the part of either HUSBAND or WIFE of the I lawfulness of the causes which led 10, or resulted in, the continuation of their living apart and divorce, HUSBAND and WIFE shall not molest. harass, or malign the other or the respective families of each other, nor compel the other to cohabit or dwell in any manner with him or her, nor in any way interfere with the peaceful existence, separate from each other. 3. ASSETS The parties hereby warrant Ihat they have fully disclosed their ussel.~ in the Pre-Trial Statements. specifically the Inventory and Appraisals as filed in the Court of Common Pleas of Cumberland County, Docket No, 96-3192. ~- 4. DEBTS Each party repres~nts that they have not contracted any debt or liability for the other for which the estate of the other party may be responsible or liable except as otherwise provided herein, and that except only for the rights arising out of this Agreement, neither party will hereafter incur any liability whatsoever for which the other party or the estate of the other party will be liable. Each party agrees to indemnify the other party and hold hannless the other party from and against all future obligations of every kind incurred by them, including those for necessities. " 5. APPRAISAL AND INVENTORY The parties confinn Ihat they have relied on the completeness and substantial accuracy of the financial disclosure of the other as an inducement to the execution of this Agreement, The 3 , pel'1lonal or mixed, tangible or intangible. HUSBAND agrees that all other assets in the possession of WIFE shall be the sole and separate property of WIFE; and, WIFE agrees that all assets in the possession of HUSBAND shall be the sole and separate property of HUSBAND, HUSBAND shall be sole owner of his business interests, HUSBAND shall be solely responsible for any debt associated 'with his business interests and will indemnify and hold WIFE hannless against any such debt. Each of the parties does hereby specifically waive, release, renounce and forever abandon whatever claims. if any, he or she may have with respect to any of the above said items which are the sole and separate property of the other, This document shall constitute a bill of sale for said sole property, 7. REAL ESTATE. 1825 BRIDGE STREET The parties jointly own property at 1825 Bridge Street, New Cumberland, Pennsylvania. Said house is encumbered by a mortgage due and owing to Harris Savings in the approximate amount of TWENTY ONE THOUSAND NINE HUNDRED FIFTY THREE DOLLARS and EIGHT FOUR CENTS ($21,953.84), HUSBAND agrees to convey all of his right, title and interest in the real estate to WIFE. HUSBAND shall satisfy in full WIFE's mortgage within ninety (90) days of the date of this Agreement, WIFE shall continue to be solely responsible for payment of all other debt associated with the real estate including but not limited to homeowner's insurance, real estate taxes, water and sewer bills. HUSBAND agrees to execute a deed relinquishing his interest in said real estate simultaneously with the execution of this Agreement, 8, REAL ESTATE. 59 CENTRAL AVENUE HUSBAND owns real estate located at 59 Central Boulevard, Camp Hill, Pennsylvania, WIFE agrees to transfer any and all interest she may haVE: in said real estate to HUSBAND, WIFE shall sign a Quitclaim Deed relinquishing any interest she may have in said real estate 5 , simultaneously with the execution of this Agreement. HUSBAND will assume responsibility for all debts and liabilities incident to the property and will indemnify and hold WIFE harmless against any such debt. 9. REAL ESTATE . 301 1 Ith STREET HUSBAND owns real estate located at 301 11th Street New Cumberland, Pennsylvania. WIFE agrees to transfer any and all interest she may have in said real estate to HUSBAND. WIFE shall sign a Quitclaim Deed relinquishing any interest she may have in said real estate simultaneously with the e~ecution of this Agreement. HUSBAND will assume responsibility for all debts and liabilities incident to this property and will indemnify and hold WIFE harmless against any such debt. 10. MQ.TOR VEHICLES WIFE shall have sole title and ownership of the parties' 1996 Caravan, HUSBAND shall have sole title and ownership of the parties' 1994 Maxima and 1987 Caravan, Neither of these vehicles are encumbered. Simultaneously with the execution of this Agreement, the parties agree --- to execute whatever documents necessary to transfer the titles of these vehicles to the appropriate owner. " 11. PENSION HUSBAND agrees tu transfer any and all interest he has in the pension plan for Stackpole, Inc. through Canada Life Assurance Company, HUSBAND agrees to cooperate in this transfer 6 . and will sign whatever documents necessary concerning the transfer of this asset including, but not limited to a Stipulation for Qualified Domestic Relations Order. HUSBAND has executed an Authorization which allows WIFE to obtain whatever infonnation is necessary to complete this transfer. Funher, at HUSBAND'S cost, a Qualified Domestic Relations Order shall be prepared transferring full ownership interest in the pension to WIFE: In the event that this asset cannot be transferred for any reason to WIFE, HUSBAND agrees that he shall pay to WIFE the sum of $25,000 in five annual installments of Five Thousand Dollars per year upon his receipt of the actual benefit until this pension. Said payment shall be made in monthly installments of Four Hundred and Fifteen Dollars ($415.00) per month for the specified period. Each party hereby waives any and all claims that he or she may have against the other for any other pension. employee saving or other stock benefit program of the other, if applicable. .~ - 12. BANK ACCOUNTS AND INVESTMENTS Each party shall have sole possession of the bank accounts, annuities and /RAs in their own names. The only exception to this is that HUSBAND shall transfer to WIFE all sums existing in his Oppenheimer Rollover IRA, Account No. 330 3301292368, The balance of said account was $14,896.61 as of September 11, 1997, The balance as of July 2, 1998 is $17,235.46. HUSBAND verifies that he has not withdrawn any monies from this IRA Rollover accOlim. This transfer shall be accomplished as so as not to create any tax liability to HUSBAND. In the event such a liability occurs. WIFE agrees to indemnify and hold HUSBAND hannless for said liability. The parties agree that the remaining joint accounts with Fulton Bank (Savings Account No, 110-360429) and Harris Bank (Savings Account No, 314355946 and Checking 310603449) shall 7 in the negotiation of the equitable distribution, alimony and other provisions of this Agreement was HUSBAND's position that he would not seek child support from WIFE under any circumstances, WIFE's acceptance of the other economic provisions of this Agreement was directly contingent upon HUSBAND's concession with regard to support, Both parties recognize that under the present state of Pennsylvania Law, HUSBAND could seek child support based upon a change of circumstances or based upon a change of custody, HUSBAND and WIFE agree that HUSBAND's waiver of child support shall not be affected by any change of circumstances, whatsoever the nature, but such waiver shall remain in full force and effect. HUSBAND and W1FE acknowledge that the general principle of law in Pennsylvania is lhat a parent cannot contract away a minor child's right to support and that Pennsylvania courts have consistently disregarded support agreements that fail to provide adequate support for minor children Meisen v, Frank, 361 Pa. Super, 204, 522 A,2d 85 (1987); Hollman v, Hollman. 515 Pa. Super, 288, 500 A.2d 837 (1985). The parties recognize, however, that Pennsylvania courts have upheld agreements which waive a parent's duty to provide child support so long as the agreement is fair and reasonable, made without fraud and/or coercion and does not prejudice the welfare of the children, Roberts v. Furst, 385 Pa, Super, 530, 561 A.2d 802 (1989) ruinz, Commonwealth v, Cameron, 197 Pa. Super, 403, 179 A,2d 270 (1962), HUSBAND and WIFE agree that lhe provisions of this Paragraph are fair and reasonable, and have been agreed upon without fraud and/or coercion and do not prejudice the welfare of their two (2) children, If HUSBAND seeks child support, lhe parties agree that WIFE's alimony as provided for in this paragraph shall not be included as income for the purpose of calculating child support, In the event WIFE is required to pay child support or in the event that WIFE's alimony payment set 11 forth in this pmagrnph, are considered income for the purposes of calculating child support, then and in that event, HUSBAND shall pay to WIFE three ($3.00) additional dollars in alimony for every one dollar ($1.00) of child support WIFE is required to pay, HUSBAND further agrees to pay in full and conclude Krystal's orthodontia care. 18, SUBSEQUENT DIVORCE A decree in divorce, entered by a court of competent jurisdiction to either party, shall not suspend, supersede or affect the tenns of this Agreement, Both parties agree to enter a Consent Decree concerning the provisions of this Agreement in the Court of Common Pleas of Cumberland County, Pennsylvania, or any other Court of competent jurisdiction, as a part of a resolution of any divorce action filed, This Agreement, and the terms and conditions contained herein, as well as the enforcement of said tenns and conditions, shall not be contingent upon the granting of a Divorce Decree to either party by the Court of Common Pleas of Cumberland County, Pennsylvania, or any other Court of competent jurisdiction. Furthermore, both parties simultaneously with execution of this Agreement hereto agree to execute the appropriate affidavits and consents to secure a No-Fault Divorce as may be required by the Divorce Code of 1980, as amended. Both parties hereto agree that this Agreement may be incorporated into a separate Court Order but shall not merge in such order in the Court of Common Pleas of Cumberland County, Pennsylvania. 19. BANKRUPTCY The parties also specifically agree that the payments called for in this Agreement are not intended to be a debt but specifically intend that HUSBAND's obligations under the tenns of 1 2 this Agreement shall not be subject 10 discharge in bankruptcy because they acknowledge that such are necessary for WIFE to meet her financial obligation and to support and to maintain her standard of living. HUSBAND represents that there are no bankruptcy proceedings presently pending in which he is involved. HUSBAND expressly agrees not to file a bankruptcy action prior to the completion of his obligations pursuant to this Agreement, The debts created by this Agreement shall not be discharged in a bankruptcy action filed by or on behalf of HUSBAND. If HUSBAND files for bankruptcy. this Agreement shall constitute conclusive evidence of the parties' intent that the obligations of this paragraph are in the nature of maintenance and are not dischargeable under current bankruptcy law or under any amendment thereto. Further. if HUSBAND institutes any action in bankruptcy or any other bankruptcy proceeding is instituted in which WIFE's right to these monthly payments becomes a matter for judicial review, HUSBAND agrees to con~ent to any motion filed by WIFE with the bankruptcy courts, wherein she may request the bankruptcy coul1S abstain from deciding the dischargeability of this obligation and any other obligations to her hereunder in order to allow the appropriate Court of Common Pleas to rule upon this issue. ~. 20. OTHER DOCUMENTATION HUSBAND and WIFE covenant and agree that upon request of the other party ,'they will forthwith execute and deliver to the other party. any and all written instruments, assignments, releases, satisfactions, deeds, notes or such other writings as may be necessary or desirable for the proper effectuation of this Agreement. 1 3 21. MUTUAL WAIVER AND RELEASE OF RIGHTS AND CLAIMS IN ESTATE Each party hereby releases, waives and relinquishes any and all rights which he or she may now ha\'e, or may hereafter have, against the other party under the present or future laws of any jurisdiction (a) to share in the estate of the other party upon the other party's death and (b) to act as executor/rix or administrator/ri" of the other party's estate, -' 22. MUTUAL RELEASE HUSBAND and WIFE each do hereby mutually remise, release, quitclaim and forever discharge the other and the estate of such other, for all time to come, and for all purposes whatsoever, of and from any and all rights, title and interests, or claims in or against the property (including income and gain from property hereafter accruing) of the other or against the estate of such other, of whatever n~ture and wheresoever situate, which she or he now has or at any time hereafter may have against such other, the eSUlte of such other or any part thereof, whether arising out of any fonner acts, contracts, engagements or liabHities of such other or by way of equitable distribution, dower or courtesy. or claims in the nature of dower or courtesy of widow's or widower's rights, family exemption or similar allowance, or under the intestate laws, or the right to take against the spouse's will, or the right to treat a lifetime conveyance by the other as testamenUlry, or all other rights of a surviving spouse to participate in a deceased spouse'-s estate, whether arising under the laws of (a) Pennsylvania, (b) any State, commonwealth or territory of the United States, or (c) any other country, or and rights which HUSBAND or WIFE may have 0.. at any time hereafter have for the past, present or future support or maintenance, alimony, alimony ~endente lite, counsel fees, costs or expenses, whether arising as a result of the marital 14 24. ENTIRE AGREEMENT HUSBAND and WIFE do hereby covenant and warrant that this Agreement contains all of the representations, promises and Agreements made by either of them to the other for the purposes sel forth in the preamble hereinabove; that there are no claims, promises or representations not herein contained, either oral or wrillen, which shall or may be charged or enforced or enforceable unless reduced to wriling and signed by both of the parties hereto, 25. BINDING EFFECT OF AGREEMENT/WAIVER This Agreemenl shall remain in full force and effecl unless and untilterminaled under and pursuant 10 the terms of this Agreement. The failure of either party to insisl upon strict perfonnance of lhe pro~isions of this Agreement shall not be construed as a waiver of any subsequent default of lhe same or similar nature, nor shall such failure be construed as a waiver of any other term, condition, clause or provision of this Agreement. ~ 26. BREACH If either party breaches any provision of this Agreement, the other party shall have the right, at his or her election, to sue for damages for such breach or seek such other remedies or relief as may be available to him or her, and the party breaching this contract shall be responsible for payment of reasonable legal fees and costs incurred by the other in enforcing their rights under this Agreement. 16 .~ _..... I EXHIBIT A SCHEDULE OF BENEFIT PAYABLE PURSUANT TO PARAGRAPH 13 Percentage of Benefit Percentage of Benefit Payable to MaryRose Payable to Alternate Elected Beneficiaries Of Sebastian July I, 1998 100.0% 0.0% July I, 1999 84,9% 15,1% July I, 2000 69,9% 30.1% July 1,2001 54,8% 45,2% July I, 2002 39.8% 60,2% July I, 2003 26,5% 73.5% July 1, 2004 13,3% 86.7% July I, 2005 and thereafter 0,0% 100.0% This schedule of benefit payable under the policy referenced in Paragraph 13 of this ._ Agreement shall be provided to the insurance company and all subsequent payments upon the ........ death of Sebastian Triscari shall be made in accordance therewith, Ji~f5b - SE ASTIAN G.Z. lfRISCARI ~if~/~ (! 'u. . , ~RrSCARI~ 19 - '" 01 - d z .... < 0 .... > - ::i 0( .J ~ :J ti Ul -... C=.l r:: ~ w ::! ;.J tr; '" In >- j-': U .J III hit ~, C-J ii: II. '" z .. u ffi () - ." 0 " a p,:l,' ~ :J ;;: Q. c.:.. G c":- i -- ( Ul ci /, < Q Z ~: , , ~ , II: ~ :'i 6.:' ,. ! '.J < 0: m \OJ ,.. ;:1 . ~ :... II: m I.!~ nl .' < :l Y (..'., '.J m :l U ~ Z Y' 15. Plaintiff lacks sufficient property to provide for her reasonable means and is unable to adequately support herself through appropriate employment. 16. Plaintiff requires reasonable support to adequately maintain herself. 17. Plaintiff requests this Court to preserve her right to seek an award of reasonable temporary alimony and additional sums as may become necessary from time to time hereafter until final hearing and permanant alimony thereafter. COUNT IV 18. The averments of Paragraphs 1 through 17 herein are hereby incorporated by reference thereto. 19. Plaintiff has employed the firm of Goldberg, Katzman and Shipman, p.e. au counsel but is unable to pay the necessary and reasonable attorney's fees for said counsel. 20. Plaintiff is in need of hiring a real estate appraiser and othsr experts and does not have the funds to pay the necessary and reasonable fees. 21. Plaintiff requests the Court to allow her reasonable counsel fees, costs and expenses, costs of experts and appraiser pursuant to Section 3702 of the Divorce Code, and at final hearing, - --..j, .'1. Cl: -..J ~ (1\ (: d: ~ >-.. '" . C' ~, .. ~'5.~ ... ~ ,p - ':z ...s - () :1" " -;~;a 0 Cl ,q Qo- ~- oc;; ,,8 It) \..I} . ,-- a ~ l \D ~~ ;:;; ~ l.!'. &V; V, ~ I ~ ~.. :;t: i,jl -~ ~ ::", . ~ :J... .= -'J ~ r.:t.. lI, ,0 "..1 (.) a' u "., \O~J .,.. (.., ~~ ,. llJ ~ ..:,. c.): , l' '. ". ~; ~_. . j I" i 1 u ~- , ; ~~ -' litl I" ~.I ~ G... I '" _..I U <;, '.) ~'l . -, .~; tr:. 5 L:::: , " ,,-;-; ;3;:5 0~: . ., -. , ,. ,.( , ~1;:J '1 I ' f'f) '- C r ;:; . I ;~;-j " 'q ;'11_ , .~~ .-.j ....., U . . '- '- ". fr ,"'; ~ -~; ,"'J , " , , \ , , .," J; . : , Q, " . -: ::-~j ( I'. ; t.' C) ,o) '.'1 " :;; c 1>: I " ~ :;' :;"'11 ....:l ,,'1.. I.r. (".: ') ( . (.i, 0 .J '.. '- i i'. I , . r.: .: '~ -:: , .....~; , , n " :-j .,-) ~J i . , I I ( " ,"~ ] , . rt. I -I:' (I. ,-:,~ 'j (j '" () parties acknowledge that there has been no formal discovery conducted in their pending divorce action. WIFE verifies that the information set forth in her Inventory and Appraisement which was filed with the Court on October 10, 1997 provides. to the best of her knowledge. a complete and accurate list of all marital and non-marital property in which she had an interest at the date of the signing of this Agreement. HUSBAND verifies that the Inventory filed as part of his Pre-Trial Statement provides a complete and accurate list of all marital and non-mari:al property in which he had an interest at the date of the signing of this Agreement. Notwithstanding the foregoing, the rights of either party to pursue a claim for equitable distribution. pursuant to the Pennsylvania Divorce Code, of any interest owned by the other party in an asset of any nature at any time prior to the date of execution of this Agreement is expressly reserved. In the event that either party, at any time hereafter, discovers such an undisclosed asset, the party shall have the right to petition the Court of Common Pleas of Cumberland County to make equitable distribution of said asset. The non-disclosing party shall be responsible for payment of counsel fees, costs or expenses incurred by the other party in seeking equitable distribution of said asset. Notwithstanding the foregoing. the Agreement shall in all other respects remain in full force and effect. 6. MARITAL AND NON.MARITAL ASSETS HUSBAND and WIFE do hereby acknowledge that they have heretofore divided the non- marital assets and marital assets including but without limitation, business interests, jewelry, clothes, furniture, stocks. honds. pensions and other assets wherever situated whether real. 4 simultaneously with the execution of this Agreement. HUSBAND will assume responsibility for all debts and liabilities incident to the property and will indemnify and hold WIFE harmless " against any such debt. 9. REAL ESTATE. 301 I Ith STREET HUSBAND owns real estate located at 301 11th Street New Cumberland, Pennsylvania. WIFE agrees to transfer any and all interest she may have in said real estate to HUSBAND. . WIFE shall sign a Quitclaim Deed relinquishing any interest she may have in said real estate simultaneously with the execution of this Agreement. HUSBAND will assume responsibility for all debts and liabilities incident to this property and will indemnify and hold WIFE harmless against any such debt. 10, MOTOR VEIDCLES WIFE shall h::ve sole title and ownership of the parties' 1996 Caravan. HUSBAND shall have sole title and ownership of the parties' 1994 Maxima and 1987 Caravan. Neither of these vehicles are encumbered. Simultaneously with the execution of this Agreement, the parties agree to execute whatever documents necessary to transfer the titles of these vehicles to the appropriate owner. II. PENSION HUSBAND agrees to transfer any and all interest he has in the pension plan for Stackpole, Inc. through Canada Life Assurance Company. HUSBAND agrees to cooperate in this transfer 6 and will sign whatever documents necessary concerning the transfer of this asset including, but not limited to a Stipulation for Qualified Domestic Relations Order. HUSBAND has executed an Authorization which allows WIFE to obtain whatever information is necessary to complete this transfer. Further. at HUSBAND'S cost, a Qualified Domestic Relations Order shall be prepared transferring full ownership interest in the pension to WIFE. In the event that this asset cannot be transferred for any reason to WIFE. HUSBAND agrees that he shall pay to WIFE the sum of $25.000 in five annual installments of Five Thousand Dollars per year upon his receipt of the actual benefit until this pension. Said payment shall be made in monthly installments of Four Hundred and Fifteen Dollars ($415.00) per month for the specified period. Each party hereby waives any and all claims that he or she may have against the other for any other pension. employee saving or other stock benefit program of the other, if applicable. 12. BANK ACCOUNTS AND INVESTMENTS Each party shall have sole possession of the bank accounts, annuities and IRAs in their own names. The only exception to this is that HUSBAND shall transfer to WIFE all sums existing in his OppP.nheimer Rollover IRA. Account No. 3303301292368. The balance of said account was $14.896.61 as of September 11, 1997. The balance as of July 2, 1998 is $17,235.46. HUSBAND verifies that he has not withdrawn any monies from this IRA Rollover account. This transfer shall be accomplished as so as not to create any tax liability to HUSBAND. In the event such a liability occurs, WIFE agrees to indemnify and hold HUSBAND harmless for said liability. The parties agree that the remaining joint accounts with Fulton Bank (Savings Account No. 110-360429) and Harris Bank (Savings Account No. 314355946 and Checking 310603449) shall 7 , ,~.. .' 17. ALIMONY. SUPPORT AND MAINTENANCE WIFE shall be paid the sum of ONE THOUSAND TWO HUNDRED AND FIFTY .' DOLLARS ($1,250.00) per month as alimony for a period of four (4) years commencin8 July I. 1998. On July I, 2002, said payments shall be reduced to the sum of ONE THOUSAND ONE HUNDRED DOLLARS ($1,100.00) per month for an additional three (3) years with the last paymenl to be made June I, 2005. HUSBAND'S obligation for alimony created hereunder shall not terminate for any contingency except the death of WIFE or HUSBAND. In the event of HUSBAND'S death. any remaining alimony obligation under this paragraph shall be satisfied by the proceeds of life insurance payable to WIFE pursuant to Paragraph 13 of this Agreement. Said sum shall be paid directly to WIFE by HUSBAND each month or on about the 15th day of each month. Said alimony is non-modifiable in duration or amount. WIFE shall immediately discontinue the pending claim for spousal support through Domestic Relations. The support obligations of HUSBAND embodied in this paragraph are unrelated to the division of marital property as set forth in this Agreement and is not intended in any way to constitute a form of payment to WIFE for any rights or interests she may have in the matrimonial estate. The alimony payments provided for in this Paragraph are intended by both spouses to qualify as contractual alimony as that term is defined by Section 71 of the Internal Revenue Code of 1954. as amended. Said alimony payments shall be included in the gross income of WIFE and deductible by HUSBAND for tax purposes. The parties therefore, contemplate that all provisions of this paragraph shall be interpreted on the manner consistent with that intention. a. ~hild SupPQrt. HUSBAND and WIFE acknowledge and agree that an intrical issue 10 forth in this paragraph, are considered income for the purposes of calculating child support. then and in that ~vent. HUSBAND shaH pay to WIFE three (53.00) additional dollars in alimony for every one dollar (51.00) oi child support WIFE is required to pay, .' HUSBAND further agrees to pay in fuH and conclude KrystaJ's orthodontia care. 18. SUBSEQUENT DIVORCE A decree in divorce, ~ntered by a court oi competent j'Jrisdktion to either party, shaH not suspend, supersede or affect the terms of this Agreement. Both parties agree to enter a Consent Decree concerning the provisions of this Agreement in the COUll of Common Pleas of Cumberland County, Pennsylvania. or any other Court of competent jurisdiction, as a part of a resolution of any ciivorce action filed. This Agreement. and the tetms and conditions contained herein. as well as the enforcement of said terms and conditions. shall not be contingent upon the granting of a Divorce Decree to either party by the Court of Common Pleas of Cumberland County, Pennsylvania. or any other Court of competent jurisdiction. Furthermore, both parties simultaneously with execution of this Agreement hereto agree to execute the appropriate affidavits and consents to secure a No-Fault Divorce as may be required by the Divorce Code of 1980, as amended. Both parties hereto agree that this Agreement may be incorporat~d into a separate Court Order but shall not merge in such order in the Court of Common Pleas of Cumberland County, Pennsylvania. 19. BANKRUPTCY The parties also specifically agree that the payments called for in this Agreement are not intended 10 be a debt but specificaHy intend that HUSBAND's obligations under the terms of 1 2 21. MUTUAL WAIVER AND RELEASE OF RIGHTS AND CLAIMS IN ESTATE Each party hereby releases. waives and relinquishes any and all rights which he or she may " now havc. or may hereafter have, against ~Ie other party under the present or future laws of any jurisdiction (a) to share in the estate of the other party upon the other party's death and (b) to act as executor/rix or administrator/rix of the other party's estate. 22. MUTUAL RELEASE HUSBAND and WIFE each do hereby mutually remise, release, quitclaim and forever discharge the other and the estate of such other, for all time to come, and for all purposes whatsoever. of and from any and all rights. title and interests. or claims in or against the property (including income and gain from property hereafter accruing) of the other or against the estate of such other, of whatever nature and wheresoever situate, which she or he now has or at any time hereafter may have against such other. the estate of such other or any part thereof. whether arising out of any former acts. contracts. engagements or liabilities of such other or by way of equitable distribution. dower or courtesy. or claims in the nature of dower or courtesy of widow's or widower's rights, family exemption or similar allowance, or under the intestate laws, or the right to take against the spouse's will. or the right to treat a lifctime conveyance by the other as testamentary, or all other rights of a surviving spouse to participate in a deceased spouse's estate, whelher arising under the laws of (a) Pennsylvania, (b) any State, commonwealth or territory of the United States, or (e) any other country, or and rights which HUSBAND or WIFE may have or at any time hereafter have for the past, present or future support or mainte....~~rmOll1. alimony penuente lite. counsel fees, costs or expenses, whether arising as a result of the marital 1'1 relation or otherwise, except, and only except, all rights and Agr~ements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any " thereof. Each of the parties hereto further covenants and agrees for himself and herself and his or her heirs, executors, administrators and assigns, that he or she will never, at any time hereafter, sue the other party or is or her heirs, executors, administrators and assigns, for the purpose of enforcing any of the rights relinquished under this paragraph. Each of the parties further covenants and agrees that he or she will permit any will of the other to be probated and allow administration upon his or her personal, real or mixed estate and allow effects to be taken out by the person or persons who would have been entitled to do so had HUSBAND or WIFE died during the lifetime of the other. Each of the parties hereby releases. relinquishes and waives any. and all right to act as executor or executrix or administrator or administratrix of the other's estate. It is the intention of HUSBAND and WIFE to give to each other by the execution of this Marital Settlement Agreement a full, complete and general release with respect to any and all property of any kind or nature, real, personal or mixed, which the other now owns or rnay hereafter acquire. except and only e,{cept all rights and Agreements and obligations of whatsoever nature arising or which may arise under this Agreement or for the breach of any thereof. 23. SUCCESSOR'S RIGHTS AND LlABlLITlES This Agreement shall, except as otherwise provided herein. be binding upon and inure to the benefit of the parties hereto, their respective heirs. executors, administrators. successors or assigns. 1 5 .........--....-1 24. ENTIRE AGREEl\rENT HUSBAND and WIFE do hereby covenant and warrant that this Agreement contains all of the representations, promises and Agreements made by either of them to the other for the purposes set forth in the preamble hereinabove; that there are no claims, promises or representations not herein contained. either oral or written, which shall or may be charged or enforced or enforceable unless reduced to writing and signed by both of the parties hereto. 25. BINDING EFFECT OF AGREEl\rENT/WAIVER This Agreement shall remain in full force and effect unless and until terminated under and pursuant to the terms of this Agreement. The failure of either party to insist upon strict performance of the provisions of this Agreement shall not be 'construed as a waiver of any subsequent default of the same or similar nature. nor shall such failure be construed as a waiver of any other term. condition, clause or provision of this Agreement. 26. BREACH If either party breaches any provision of this Agreement, the other party shall have the right. at his or her election, to sue for damages for such breach or seek such other remedies or relief as may be available to him or her, and the party breaching this contract shall be responsible for payment of reasonable legal fees and COSlS incurred by the other in enforcing their rights under this Agreement. 16 EXHIBIT A SCHEDULE OF BENEFIT PAYABLE PURSUANT TO PARAGRAPH 13 '. Percentage of Benefit Percentage of Benefit Payable to MaryRose Payable to Alternate Elected Beneficiaries Of Sebastian July I, 1998 100.0% 0.0% July I, 1999 84.9% 15.1% July I, 2000 69.9% 30.1% July I, 2001 54.8% 45.2% July I, 2002 39.8% 60.2% July I, 2003 26.5% 73.5% July 1, 2004 13.3% 86.7% July 1. 2005 and thereafter 0.0% 100.0% This schedule of benefit payable under the policy referenced in Paragraph 13 of this Agreement shall be provided to the insurance company and all subsequent payments upon the death of Sebastian Triscari shall be made in accordance therewith. ~::>>- SEBASTIAN O.Z. TRISCARI Avd/tA ~/~ -WITNESS ~~e.~ MAR't SE C. TRISCARI t9 , OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240-6535 E. Robert Elicker, II Divorce Masler Traclolo.Colye, Office Manager/Reporter We.t Shore 697-0371 Ex!. 6535 July 15, 1997 Paul J. Esposito, Esquire GOLDBERG, KATZMAN & SHIPMAN, P.C. 320E Market Street P.O. Box 1268 Harrisburg, PA 17108-1268 RE: Maryrose C. Triscari vs. Sebastian G.Z. Triscari No. 96 - 3192 civil In Divorce Barbara Sumple-Sullivan Attorney at Law 549 Bridge Street New Cumberland, PA 17070 Dear Mr. Esposito and Ms. Sumple-sullivan: By order of Court of President Judge Harold E. Sheely dated July 9, 1997, the full-time Master has been appointed in the above referenced divorce proceedings. A divorce complaint was filed on June 6, 1996, raising grounds for divorce of irretrievable breakdown of the marriage. The complaint also raised the economic claims of equitable distribution, alimony, and counsel fees and expenses. I am going to proceed on the basis that grounds for divorce are not an issue and that each of the parties will sign and file an affidavit of consent prior to the hearing. Based on that assumption, I am directing each counsel to file a pre-trial statement in accordance with P.R.C.P. 1920.33(b) on or before Monday, August 11, 1997. Upon receipt of the pre-trial statements I will immediately schedule a pre-hearing conference with counsel to discuss the issues and, if necessary, schedule a hearing. The motion for appointment of Master indicates that Sandra Meilton, attorney at law, has appeared in the action on behalf of the Plaintiff. I see nothing in the file that indicates Ms. Meilton's appearance and the withdrawal from the case by Mr. Esposito. However, I am sending a courtsey copy of my letter to Sandra Meilton in the event that she is now taking . , MARYROSE C. TRISCARI, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 96 - 3192 CIVIL vs. SEBASTIAN G.Z. TRISCARI, Dofendant IN DIVORCE RE: Pre-Hearing Conference Memorandum DATE: Monday, February 2, 1998 Present for the Plaintiff, Maryrose C. Triscari, is attorney Sandra L. Meilton, and present for the Defendant, Sebastian G.Z. Triscari, is attorney Barbara Sumple-Sullivan, A divorce complaint wa~ filed on June 6, 1996, raising grounds for divorce of irretrievable breakdown of the marriage. Counsel have indicated that the parties will sign and file affidavits of consent and waivers of notice of intention to request entry of divorce decree prior to the hearing to be scheduled so that the divorce can be concluded under section 3301(c) of the Domestic Relations Code. The complaint also raised the economic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. The parties were married on september 22, 1979. There is an issue about the date of separation, husband says the parties separated in February of 1993 and wife says the parties separated in August of 1995. Coupled with the date of separation issue is whether or not husband had an extra-marital relationship while the parties were married and living in a marital relationship themselves or whether the extra-marital relationship occurred subsequent to the separation. Consequently, we need to have a separate hearing to establish the date of separation and to take testimony on the allegations regarding husband's extra-marital relationship. Also significant with respect to the date of separation is the valuation of assets and in particular, whether or not husband's business, known as Tricari Productions, Inc., is a nonmarital or marital asset. wife is 44 years of age and resides at 1825 Bridge Street, New Cumberland, Pennsylvania, with the parties' daughter, Krystal. Wife is a registered nurse by training and has a bachelors degree, although presently she is working for Eagle Managed Care in customer service. The support office computed her monthly net income at $737.00. According to her counsel, wife has not worked full-time since 1982. Husband's counsel has indic~ted that there is an issue regarding wife's earning potential and she may have wife evaluated to establish an income figure based on wife's earning potential as opposed to what she is currently earning working in customer service for Eagle t1anaged Care. Wite has not raised any health issues; however, there has been some emotional concerns since the separation and the breakup of the marriage. Wife will not have any medical insurance coverage when the decree in divorce is entered, and according to wife's counsel, the cost to wife may be monthly, for coverage, in excess of $300.00, Wife is receiving child and spousal support from husband in the amount of $2,180,00 per month which is not allocated. Husband is 43 years of age and resides in York with a female friend, her children, and a son of the present marriage. He is using his mailing address at 59 Central Boulevard, Camp Hill, Pennsylvania. Husband has a high school diploma and specific training in video and camera work. He is the owner of Triscari Production, Inc., and his job title would be videographer. The support office computed his net monthly income at $5,278.00; however, Ms. Meilton has indicated that after an evaluation of husband's income by her expert and adding back in "errors" that were made on the original computation, husband's net monthly income should be $7,821.00. Currently this matter is scheduled before the Court on April 6, 1998. Husband has not raised any health issues. The parties own jointly real estate at 1825 Bridge street, New Cumberland, Pennsylvania. The property has not been appraised in order to establish market value although there has been a market analysis done. The mortgage against the property is in favor of Harris Savings and the payoff as of September 1997 was around $25,000.00. The mortgage payments are $514.00 per month. Wife is currently residing in the premises with the parties' daughter. Husband owns two properties which are titled in his name only. The property at 59 Central Boulevard, camp Hill, is a marital asset* and is going to be appraised if counsel cannot stipulate to the value. There is no mortgage against that property. In April 1979, approximately five months before the parties married, husband bought a rental property at 301 11th street, New Cumberland, Pennsylvania. If that property is not marital then we need to look at an increase in value for that * See comment at end of paragraph indicating that the date of separation will determine how we approach the value of this property. property from the date of marriage to the date of separation. Again, the property needs to be appraised if we are going to have to establish that kind of a value. Counsel for wife indicated that if the property in Camp Hill and on 11th street in New Cumberland are appraised, she would like to reserve the right to her client to have the Bridge street property appraised, Ms. Sumple-Sullivan has pointed out that if tho date of separation is established in February 1993 then the property on Central Boulevard is nonmarital as well and we will be looking at increase in value issues with respect to that property. The parties have three vehicles, a 1996 Caravan, a 1987 Voyager, and a 1994 Maxima. Counsel are going to attempt to stipulate to the values of those vehicles. Also, with respect to the checking and savings accounts, counsel are going to try to stipulate to the values in those accounts. Specifically noted, however, is a Member's 1st investment savings account, which counsel reported had a value in August 1995 of $60,210.00. There are two us Life Annunities and counsel have indicated that the combined values of the two annunities are between $87,000.00 and $90,000.00, Also, each of the parties has an Oppenheimer IRA and counsel are going to obtain statements for those IRAs. Husband has a partnership with a person by the name of Keating known as Broadcast Quality Video Productions with a 1/2 interest. Ms. sumple-Sullivan has indicated that her expert has valued that interest at around $1,500.00. The more valuable asset as far as the business interests is Triscari Production, Inc., which husband operates at the Central Boulevard address. The expert of Ms. Sumple-Sullivan has indicated the value at around $308,000.00; Ms. Meilton has requested the 1997 tax returns and financial statements so her expert can verify the values that have been presented. As indicated, the issue with regard to this business is whether or not it is a marital or a nonmarital asset, and that may largely depend on when we determine the date of separation to be. Counsel have not agreed on the household tangible personal property value but have indicated that most, if not all of the property, is in wife's possession at the home on Bridge street. In order to establish a value, counsel are going to have the property appraised. >-. 0' LT"; ". ". I. 11 " -,. , . .. , 1 ~ ~ '-' . , .:;1 r , I. I' , "I r. 1.~1 .. " i - ) f.--, (i' , ) 7- < 00 ~ <.:l 9 '" 0 E ~ a ::E " ;: eo'd ~ < ~ '" 00 ~ "" :; ~ ~ , "" < 0 " > ... ~ ~ '" .:: .is > ;: 0< . . , ~ · ;l ~ d , jC/l . ..: ,;:; 0 0 . z ,j L ci ~ ~ '" = ~ ~ ~ . Oi 0. " < "' :: :c j.j ~ ... ~~ .. ~o 6 !/ "'::; ~- -;00 , . ~~ . ..> .. 0 . ~ t~ 0 ~ ~ ~ ~ .e I e ~. . o~ ~ 1;,~ 11 ~ ~~ tit !:s il1 N 00 ~ .. c:i~1l - .... .~ . 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E ~~ .. .,. . .. ti~ ~!i '. ~ .. . . . . . . 00 .. ..'" ~~ ..._N""""''''-G 0 ~ ~I .. .. .; ..; ..; :<l . <0 LIABILITIES OF PARTIES Plaintiff marks on the list below those items applicable to the case at bar and itemizes the liabilities on the following pages. Secured (X) 1. Mortgages 2. Judgments 3. Liens 4. Other secured liabilities Unsecured (X) 5. Credit card balances ( ) 6. Purchases (X) 7. Loan payments ( ) B. Notes payable (X) 9. Other unsecured liabilities Continqent or De~~ 10. Contracts or Agreements 11. Promissory notes 12. Lawsuits 13. Options 14. Taxes 15. Other contingent or deferred liabilities u H~ 'n, j ~.11 ......~ ~ ~ ~ j~ -~ .....- ~~- ;5~ ...-~ .. "0 ~1l1~ ""0 . ~ '~- "ll ~--~ '.......11I . 0 .............s .a '" {j,. ~ '" ~. ~ . -8 w ~ Ii ~,. e '. t 0... ~.e ; a ::Ill.,5.:! . 1 J~I ~~ ~- . 0 ~ Il", ald.... . . u i s ~ .. 0 ~ 'l; l: h CI:=~ ~ ~ . ~ ~ -ll jH.~j ~p~ f .._ &l~ e.a~ ''::; s ~ .... -a.5 . . ~ 0 = ~ I E l: ...J r :: "ll - !i ~i ~ ~ Ii - ... :i~I- ...J ~ . . .;; 'i ~ ~ ~ ~ .5 ;; " I i:il ': ~ -8 ~ ~ 'i ao.. .. . . '~ ... ll. ~ .8 0 ~ ~ N .. ~ 0 ~ ~ f ! g '" '" .. ~ "5 ~ '~ 0 ~ .g ~ - .. .~ ~ "Em .. pi o ~ ~ ~,. h ~ 0 a 0 ~ > il-III .. ~ ~ . . ,~ aau "'''' . ..... "'.. ~ .. ~ i .. ~ .. - il ~;e ~ ;; ~iQ ~ 0 ~ '.0 .. ...~~Rt II ~ ,~ '" "'In -., ';: "'... !~ ~ - ~ ,! a ~ -8''"'" . II .. r" 0- 0 ~ "'. II.... L lj ~ - = 8' .. ,2--ll 00 ~ . "'. ~ IIICQ :::I:<C Ii'" III ~ C ~'. 00 .. ~ ';; U~ ~~~~a ::i .. ~ ~~ ~ go .. ... .. 0 x...z:..... ~u ~ oS ~I ..: ..: N 0. . SENDtDlRECT INQUIRIES TO: Members. I'IHH!R^I. CItEDI", \INION S275 E. T,lndlo Rood. P,O, Bo' 40 Mechanlcllburg. Ponnsylvanla 17055.0040 (717)697."6' TOLL FREE , 800.283-2328 TOO Homing Imp.l,od (717) 897,5312 INCLUSIVE ' INVESTING A LITTLE TIME NOW lEARNING FINANCIAL STRATEGIES CAN GREATLV IMPROVE YOUR FUTUREI WE HAVE A SEMINAR JUST RIGHT FOR YOU THIS FALLI SEE YOUR CU-NEWS FOR A COMPLETE LISTING OF TOPICS. DATES AND TIMES. SEBASTIAN TRISCARI 0215002738 0219000429 0219011103 0219014721 0807210812 PAGIANT FOOD liD 0220003453 0221010336 0221015750 0221003468 0222013110 0222015678 0222009606 0813193751 FOOD 156 0226003216 0228000669 0230012108 0818191025 0819203211 835 80795 HARE DRAfT I I 80795 HARE DRAFT I I 8117515 HARE DRAFT I 08~8 8~7~5 TM WITHDRAWAL I I I IANT FOOD 110 I 80895 HARE DRAFT I : 8~9515 HARE DRAFT I , 8,,9515 HARE DRAFT I , 80995 HARE DRAFT I , 8'1095 HARE DRAFT I : 8JO~5 HARE DRAFT I , 8;J.O",5 HARE DRAFT I 08!4 8!395 TM WITHDRAWAL I I I IANT FOOD 156 : 814~5 HARE DRAFT I I 8:I6,Y5 HARE DRAFT I I M 795 FR FROM SHARES I 8'189 HARE DRAFT I 2000 I 8;18'1 TM WITHDRAWAL : ,: 44 SOUTH 10TH ST LEl10vNE PA 0&21 &1995 TM WITHDRAWAL I " 32 OLD YORK ROAD NEW CUMBERLNDPA 08~1 8~0'1 TM WITHDRAWAL 0820133320 ,: EIS MARKETS I CAMP HILL PAWEIS MARKETS I &219 HARE DRAFT I 1992 0233000312 821~ HARE DRAFT I 2003 0233020071 08~1~ TM WITHDRAWAL 0821182124 I I 045 E MARKET ST CAMP HILL PA 0&2Z9. TM WITHDRAWAL I I 44 SOUTH 10TH ST LEMOVNE PA ~~~: ~U::~ g::~~: ~g~f 0&239 TM WITHDRAWAL " EST SHORE PLAZA LEMOVNE SHARE DRAFT I 2006' SHARE DRAFT I 2005 SHARE DRAFT I 2007 TM WITHDRAWAL 344 SOUTH 10TH ST LEMOVNE Oa2~9 TM WITHDRAWAL IANT FOOD 156 SHARE DRAFT I SHARE DRAFT I SHARE DRAFT I DIVIDEND PA PAGIANT FOOD 1981 1989 1970 1988 CAMP HILL 1994 1987 1993 1991 1990 1995 1996 NEW CUMBER LA PAGIANT 1977 1997 62177-05 PA 0e:2~9 Oa2~9 08259 08259 , , II ,II , , , , , , , I , , ___1__. , , 08289 01l3~9 01l3L9 083L9 , , If :. ;. , , NO., 1862 m~ NEW CUMBER LA 1998 2008 2009 0822105248 0234022929 0234003375 0823163855 0235014107 0235001037 0237013339 0825185021 0828083657 156 0240000789 024201 0544 0243011002 -15.00 -35.00 -39.69 -65.00 -30.25 -80.00 -141.48 -58.99 -10,00 -15.00 3317.00 -148.58 -50.00 -50.00 -43.99 -2.50 -15.90 -50.00 -50.00 -15.43 -45.00 -50.00 -10.10 -15.00 -80.00 -50.00 -122..37 -1325.00 -65.00 -21. 20 3.10 II II II II II ~ II II II II II II II II II II II II II II II II II II II II II II II II II II II II NO. 111967 111970 111977 AMOUNT 25.00 24.00 10.00 AMOUNT 59.70 150.00 10.00 , , , , I. .. u_. ~..._._ 0_ NO. 1978 1979 1980 AMOUNT 40.10 7.32 33.00 NO. 1981 1982 1983 1032.75 1009.79 985.79 953.79 934,52 919.52 804.52 844.83 779.83 749.58 669.58 528.10 469.11 459.11 444.U 3761.11 3612.53 3562.53 3512.53 3468.54 3466.04 3450.14 3400.14 3350.14 3334.71 3289.71 3239.71 3229.61 3214.61 3134.61 3084.61 2962.24 1637.24 1572.24 1551.04 1554.14 II II II II MOUNT 36.63 19.27 29.62 188.88 -. __ rrH _''-- l.....T'IIII'Uh\J-tlUr.,......... .100....tDU IW auo =V:1W'II'''' 1M ..110 41M ..... tD IoU 411' It........... 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II. t;..; C,I C' ,;; ,...11 ,.. l,_ <. i '- I r', 0" 6 t")~ , ) z < go ~ \:> ~ <r: 0 t; a ::E ~ 1: . e<ill Vi go < ~ !; ~ :; ~ /::! ~ < 0 . . ... ~ ~<r: .:: .:ll . ;:: 0< . = d , ~ ~ at . , , .:lV) . 0: c:: 0 0 = z ,; L c:i . ~ 0 ~ <r: - . it ~ . 0- . < '" :r: ::c , Weekly Monthly Yearly (Fill in Appropriate Column) Personal Clothing (household) $ $ 78.00 $ Food 300.00 Barber/hairdresser 60.00 (household) Credit payments Credit card Charge account Memberships Loans Credit Union $ $ $ Miscellaneous Household help Child care $ $ Papers/books/magazines 11.66 10.00 16.66 21.26 20.83 66.66 Entertainment Pay TV Vacation Gifts *Total for Summer only. 6 $ 140.00* Gl - d Z " ... c> c( 0 ~ c > t:: ~..: , - :J :!: n -': uJ" .. ..J Z (-;~(. :I ~ < {...., ..- Ul ~ ~f '. ... ::J , E 0- 1II ~ I U ..J L'IJl' , ;;: n. ... z __IV , .. ~ ffi --' 0 ::E u.." ::_.1 .' _l.. ~l_: -) . . :l :I ~ D. ,.... ~.:J :i Ul m ci u 0 C" U c( & Z . tl: ~ ~ c( II: III w tl: lD c( :l III :> U ~ Z . . . . . III ~ d . . Z ~ ">- C,) 0( iT c.: 3 ~ .( ~ . -" ~!~ c' U).o_ (!;. . If-:,. ..:... i' . , I ~ ~ ! (", r-. -,[.. I "I , 'I J llY ::1 .-. -- · ffi I . f-l; -, 7",) , ~ II U- r- U U v-, ~ a ~ - ~ a, (.. tr. :; 0-= i~ +,. ~Q r' -~I t - -,;Z ii: 1- ... ,.., F ,"").... [! r- >s:! ."'(/) .1~ 'I: ,,, _I id ff! if: ::> -, --. ~ ,.... S 0- U ..... ". po. f\ ...... ,. -,. ," '- tr. ,,'. 1.-; -. )..: I.',': tJ.l~:.J ("\.- '...l IJ__' ... .' . ~\ r-' " ~-I,i 4_. . I -:-.~ I ( . - IJ. , ;., LL r- .) L , Ci' I - I . . I . .~ ~ ~~ I., ~ "'J>,: ,II .. c- L. V. i 1 ," ~-';~ ll"- l " . r\ ' ... I '1' , f:'" ~ (.' I J" 4 li" . (). " ,i ,- ,'..>. U. -. t'. r-' -' U to' l.J ~ z < .. ~ c I ~... ;: M * e~~~~i Ef-~OO"'~ O~.s~!:: < L&.o en ~ ..... ill ::r: = 0 ~ !"I JCIlao:o::6 o'~ g~ IX _ ;;l a 0- _t- ... . "- : ... ~ ::c :: . 19. The Petitioner Intends to retain Maureen A. Lindsay, CPC, of Pension Resources, Inc., to value the pension. Ms. Lindsay's standard hourly rate Is $110 per hour, and does require a minimum of $250 for the preparation of a report. 20. Petitioner has no funds from which to retain these experts. 21. Petitioner Is employed by Eagle Managed Care In Mechanlcsburg, Pennsylvania, as a customer service representative and nets approximately $740 per month. 22. Respondent Is full well and able to pay Petitioner's counsel fees and expenses Incidental to this divorce action. 23. Section 3702 of the Divorce Code provides In relevant part: In proper cases, upon petition, the court may allow a spouse reasonable alimony pendente lite, spousal support and reasonable counsel fees and expenses. Reasonable counsel fees and expenses may be allowed pendente lite, and the court shall also have authority to direct that adequate health and hospitalization insurance coverage be maintained for the dependent spouse pendente IIts. WHEREFORE, Petitioner respectfully requests that this Honorable Court grant the following relief: a) Issue an Order directing Respondent to pay Petitioner's current Counsel Fees and Expenses, and an additional retainer of $5,000; b) Issue an Order directing the cost of the business/Income, real estate and pension appraisals be paid by Respondent; and z .. < ~ \:l ~ '" 0 5 ~ a ::2 . !:: ~ ~ all Vi .. . ::s ~ ~ i::! !; . - !:: i.i. 0_ ~ o c( Lt j ~ .... iJ < :z: 0 , . , , . :it ~ . ~ 0 -'Vl .. . oj . .Z . Q . ~ :J . '" - . ... 0 ~ . '" . .. . "' :: ::c Ih \ cl (e (( <> ( y 7 ~lrffi... ~ I ~ttdll.ll"'lI'I-llt.nlln.lf""''''''U !L1!l40_~ -'..I.S. lncividuallncome Tllll Return F,,~ Jon'. Doc3!" to:l6, a dh..I"" ~ boginli/n9 1996 I (00) "S......,-Do...""a......In~ .10Q6, ondin!l .10 ~ 21 22 Addu,; ~;I;;i;;;'Oi ii - 'Cx'iUm'a i';"-7: 2"Cihisls -ai I"i.jj.;a".:-.::-.-::- - 22 23_ Vcu IRA dedJdJen (""" 1n"l\K1lcn.~ . . . . . . . . . . . . . . .. 23_ b SpcuwsllA dodu:tlcn (ooeln!llluctkns). . . . . . . . . . . . .. 23b 24 Mo,;ng ~><P<<l""" Allom Fron 31lCO " 30C0-F. . . . . . . . . .. 24 2S C\'leo'"llII c:f lIif'~lM11mllo" 1l11Kh Bd1OOU1o EE . . . . .. 2S 2e B"'.OIll'Ic,<:'ll holllh Insur""", 00du<11cn (_lrdrlJ<1lcn.) .. 2e 27 klali1 ",d Io/l..mplc,Id SEP p1.n"" SEP. ch..k. . . . ~ 27 28 r"llilv en OOIIV w~hdf.wo! of ooYinQs. . . . . . . . . . . . . . .. 28 2t Alinooy paid, Rl<lrI""" sm, . .. ~ 2t . 30 Addanoo2'Ja.~................................................. 30 31 BultractI1ne30fianlir>92'l m.1s cuadUllod 'oalnc:om................. 31 BAA Fer Privacy Ad II1dP",,1nVOrll Aodud'cn Ad Nellce, ...Inlllrvdlonl. Fc\u'OII1 13Poe libel (SM t'1I:tvftOl1Il U.lh. 1A811bol. 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""... 52 53 30f 3t 1096 OdimllCod 10.' roymWlls ond <lnCtJl'1lIlJ'p/Il>d Iran 19Q5'tolUn, . . , , , . . . . . . , , . , . . , , , . . . , . . . ,. 53 54 [1I111d Inuon, ItIlll. Mllh Slh,cU, Elell Illl h". ,qualllf1"'l cl1IId, NlI1liNblu...,d I"'Dlna 1'llCM'!, '. ~ ondlyf,., ~ ______________________ " AII1ctJI'1l reld Wlh Fam 4E<<l (rO<lJIl<t fa 8I<I",lIm) , . , , . . , 5e EKt'l'S9llC'<18f llmJrjly and ART AIIll( wllhhtold (!108lnm.). ~ . . IS7 Oller raymmla 01"'* Whan... . 0 Fcrm 2439 b. 0 FaTT141~............. . . , . . . . . . . . . . .. 5'7 58 Add1nes52.57.T,,",,8I'1I CUIClol mont............................ sa hI." 5811 nu" lfi., '''' 51. ,u!I~a:1 Irn, 51 Irom I", 51, lI1I. I. lht ImOllll flU Omp.,d . . . . . . . . " . eo. AII1ctJI'1l d 'lne 59 yru Win AI/undid 10 You , , . . , . , . . , . . . , , , . . , . . . . . . . . . . · b Acui1g runb<< . . cTlPe; 0 Chod1no 0 Slling. ~ d AlXXU'oI nunber , , .1 Amo1.c1lalllnt59 Ill"" '.dl.r..,"IS7I.lhafllTa..... el 1:1 "lnl 51 '" 111<<111111I'11100 ~ SJbfIIl<t In~ !lO'rem Ine 51. TN. Is IheAm....,g Yau Owe. FaddoleCOhC'WIOPsyendu...Fonnll1.1O.Y, _In:XNclIa1.,,,..,..,........ 53 E tllmall>d la' ",oil Also lnW<fe mine ee .. .. .. .. '" 13 ~Pt'MI," dr<<NY. 'dH...1htt l"ff.amtrPdtHI'fhlnlndll~rrtlGlChJoctlM .rd"..".rtI"n"'lhfbttl CI~~'n:J NW,It.y ".h... W'I~ "'<nT1",". DKlmUmcl,"""w{Clttwf"'n~J.bIw4on'" IrfClmlltond wtkftJnrlnr 1Ii..,..k~. tflll stJn.1lA ClfC. r('l"~tkln ~ HctiEHAKER ~"'U '1911'hlf. i'i"'m 1m, ~ . . ~ 54 S5 58 Pt.,.,,,. !.'1-'"t .... ,tm....~ '"''>0''' It,__._ .m..lt..... . DoC. JlrtJ:etWl $Ix" s.<lIty no. c_, .., .. (Of lI''''''' '[t&AtJll1IUMlS P_2 1:1. 18. -3. o. O. o. - o. o. Sc:h tdule A Schedule A - I\emlzed Deductions CM IG. '~s.00'H 'Form lo.l1 1996 .. Allodtlo Parm 1040. ~oIlhtT"'WY (W) .. e...lnolrUCI'on,'ar DcI1odU. II "arm 10401, 0;" ....... Son.. ttmfI('J Shotrlnon'arm I" r----- HARfROSE c TRlSCARl 2011-36-951l9 MHI.. COUll"", Do_ hd/1dW ay1frl_IVftn_a pIIid by 0I1>tr.t ..., 1 M$cIctlIlI1d dortsl __ (ooelndrlJ<1kns), , , , , , . , , . , , , 1 Doni" Enl. """"" from r"m >>4l:\ 111I 11. . . . U-L Eo""",,, 2 a ~lUllplyl....211b0\'4bY7&'.(.075)",.""""""", , a 4 StAtroct IIn.3 fiern II". t ",,,.3 Is m".'han In. t. mI.. .()., . , , , . . . . . . , . , , , . , , , . , , 4 '11I11 You . Ell.. ."d Itnllnrone 18JC"" , . . . , , . , , , , , . , , , , , . , . . . , 5 Paid . AAJlootlll.,8JC...(....lnlfructlen.)",.,...""""". . . ~~lknQ) 7 P.">:",,, l'C1lmy la."" , , , , , , , , , , , , , , , , , , , . , , , , , , , , 7 10. . ell.... ,..... Ud 11'1" ond omcurt .. ------------------------------ 8 1 Addlnes 5 thlCltgh 8 ..,. ............ of.. II Of. ,.... to. ".. 0" ......... . 10. 1nI... 10 Ik.'" rnmll\ll InI"nl llld,olnh"poI1ldt"OII mr"mtl'lll, "".", 10 Yeu Plld It HlI1lO mmi'll' InlHlI1 not ,tpOt18d 10 IIlI on r..m IOOIl. " ,~d 10 U" 'IIIon rom wflom IIlI bOOQht ItIt ~ lI, illl,udlon,lid ,""" (See IhM ,"'m', n~ Id,rlilJinv runb.. Id<l,", .. IfSrIJ<1lcna) ------------------------------ ------------------------.------ Nd.: ------------------------------ 11 P.."",sI 12 Poinh net ,,,alld 101011 on r"m IOOIl. S. In!fnrdlm.'rr .p,d~ nil". , , . 12 I"",.... Is 13 lnY<l!lrnert 1nI<<8!t "'OQlired, lIItach Ferm 4~ oct , d<'<luc/JtJe (Sl'9lndrlJ<1kns), ......."""...",.."......, 13 14 Addlnes 10avCltOh 13.............. ......... ......................... 14 0111.10 . 15 GlAsby cush" dlod<. "YClJmadelV1Y <lA c:f s;?5OCl' mao, ChcI1., a'9lngruc.1IC1)s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . . 15 364. . you made 18 ~.,~~~~~1I~1~1i~~" aglA ond 1':: a ben<>nl 8ltO~ r"m ll28l, . , . , . . . . . . . , . , . . . . , . . . , . . . . , . , . 1. ",~- IrdlUclkna 17 C"'JOV<< fiern priCl' 'E9', .. , . . .. , , , , . , . , , , , . .. . .. . . 17 - 18 Ad<.llnes t511vaq, t 7. , , , . . . . , . . . . . , , . , , . . . . . . . . , . . . .. .. .Lilli tad.. . .. 18 6. C_oft, .,d C"""sllv Cl'lholl'alO(es) AUach FCl'm4684. <S....,nSltudIcna) . , . , . , . . . . . . . . . ... .. .. Thll'LOI... 11 1. Job Elqltn.. 20 Urrelmtuged Rl'I\'ICl)'llS __ -ldll'aV~l.r1ICl'l WEl!I, II1d Mott Jctll'dI..nIlkn. <40. II 'flQUirod, )'('U Mulll a"",-'11 am 2100 Cl' OIh.. MI_'on8OUl 2100EZ ,s.e 1n000Udfcm) .. -------------- Dlductl..,. , 20 --.---------------------------- 21 TlIJCpr~..llIlen leas, . , . . , . . . , . , , . . , , , , , . , , , , . . , . . 21 22 Qh", _"""" -Inv....mmt, DOl.. d~c:.,;1 he>,.. <4e LIB jSee , Iypo tll'd1lll1(U'f .. --------.----------- InnrUdK'fl3 ---------------------------~-_. fa llXDm999 22 10 <k><tJd ------------------------------ 119..) 23 Add InGll20 Ihrcug/l 2'2, .... ......... ,,' ",... '.... 23 24 Enl.. I11ounII,om ram 10<<\ 'Ill 32, , , . W as Multlplyl".24abov9by2lC.(m)..,......,.....,..,. . 2S - 2e Stbract line 25 hcrn li'1a21. IHlns 25lama.lhan Ine21 miff.!}....,...,.....,.,... :ze Gihrr 27 CUll" - I,an l!t In "'" InroUdfcm lis I)P<' and amCU1l .. ------------- Mlmn.nlOU1 Dlllnllll1' ------------------------------------------ 27 Tel'" 28 Is FCl'm l(~l' '11I932. C'V.. "'7,9&J(ov<< $~,P!511 mmledliino "","IlIE1y)? homlzod , Dodudl..,. No. Yeu d~en:i1oct lmiled, Add ~19 "",CU1lSln;\'f I.. rlth OC'Iunnl" J 'iK19 . ooV1 . Alro ...<< en F"m 1(\\(\ '"''' ,"'" IlI'lIIr d INs lI!l1<U1l tl yeu dondard dodu:tlcn . 2t HI. Y.. Vtv dedVdlcn may bellmiled Bee InrnU<1icns fCl' IlK' IITKU1C 'omtEl', BAA Fer Par>_csi RoducllCl'l Act Noll",. _lnlllrUCII",,& HlUOJm HJl4IQ Eldle!Ae A (Fam 1040) 1~ ~ "......, ASSETS OF PAR.1lES Defendant marks on the Iisl below those items applicable to the case at bar and itemizes the assets on the following pages, [X) 1. [X) 2. [ ) 3. [ ) 4, [X) 5. [X] 6, [ ) 7. [ ) 8. [X) 9. [X) 10, [ ) 11. [ ) 12. [ ) 13. [X) 14. [X) 15. [ ) 16. [ ) 17. [ ) 18. [X] 19. [) 20. [) 21. [ ) 22. [ ] 23. [] 24. [X) 25. [X) 26. Real property Motor vehicles Stocks, bonds, secllrities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certificates Contents of safe deposit boxes Trust~ Life insurance policies [indicate face value, cash surrender value and current beneficiaries) Annuities Gifts Inheritances PatenlS, copyrights, inventions, royalties Personal property outside lhe home Business [list all owners, including percentage of ownership and officer/director positions held by a party with company) Employment tennination benefits . severance pay, worker's compensation claim/award Profit sharing plans Pension plans [indicate employee contribution and date plan vests) Retirement plans, Individual Retirement Accounts Disabilily payments Litigation claims [matured and unmatured) Military/V,A. benefits Educalion benefits DeblS due, inclllding loans, mortgages held Household furnishings and personalty [inclllde as a total calegory and allach itemized Iisl if distriblltion of sllch assets is in dispute] Other 2 ~ -, MARITAL PROPERTY Defendant lists all marital property in which either or both spouses have a legal or equitable interest individually or with any other person as of the date of this action was commenced: Item Description Names of Nllmber of Property All Owners la, 1825 Bridge Slreet Hllsband & Wife New Cumberland, PA Marital residence lb. 59 Central Blvd. Hllsband Camp Hill 2a. 1994 Maxima Hllsband 2b. 1996 Caravan Wife. Purchased for w/marital monies post-DOS, 2c. 1987 Voyager Wife. Husband has. 5a. Harris Checking Account Husband & Wife 3106103449 5b. Members First Checking Account Husband 62177-11 6a. FlIlton Savings Accollnt Husband & Wife 11 0-360529 6b. Harris Savings Account Husband & Wife 314355946 6c. Members First Savings Accollnt Husband 62177.00 6d. Members First Savings Account Husband 62177.05 lOa. US Life Annuity Husband No. 3084418 3 1"""1 MARITAL PROPERTY Defendant lists all marital property in which either or both spollses have a legal or eqllitable interest individually or with any other person as of the date of this action was commenced: Item Description Names of Nllmber of Property All Owners lOb. US Life Annuity Hllsband No. 749110 15a. Broadcast Quality Video Hllsband wI Productions R. Keating 19a, Oppenheimer IRA Wife 330-3301289442 19b. Oppenheimer IRA Hllsband 330-3301292368 25. Personalty Husband & Wife. 4 1"""1 r-.. NON-MARITAL PROPERTY Defendant IislS all propeny in which a spollse has II leglll or equitllble interest which is claimed to be excluded from marital property: Item Deserlpllon Names of Number of Property All Owners Ie, 30 I 11th Street Purchased 3/30/79. New Cumberland, PA 30. PP&L Slocks Wife 5c. Harris Checking Account Husband 007773 5&6 Commerce Bank Accounts for Husband Bllsiness (4) All accollnts opened in 1996. 6e. Fulton CD 222-0081329 Husband opened 10/23/96 9a. Phil. Life Ins. Policy Husband No. 0072294420 Children are beneficiaries. 15b. Triseari Productions, Inc. Husband 5 **.**********~**********...*.* . '"" NET PROCEEDS TO SELLER 12/09/96 09:43 AM **..*******************.******** The following data is tor information purposes only and accuracy of the figures hereinafter set forth is not guaranteed, The actual costs with 'respect to each transaction will vary depending upon the circumstances, Sale Price $ 156,000.00 Present Mortgage Balance - Loan 1 $ 0,00 Present Balance - Loan 2 $ 0,00 Broker Commission $ 10.920,00 Seller Discount Points ~ 0.00 Tax Service Fee $ 0,00 Notary Fee $ 6.00 Document' Deed Preparation $ 200,00 State Transfer Tax $ 1,560,00 Estimated Repairs $ 0,00 Home Warranty $ 360,00 Flood Certification $ 15.00 Termite Inspection $ 68.00 Disbursement Fee $ 35,00 ....... Buyer Closing Costs Paid by Seller $ 0.00 d' Miscellaneous Expense(s) 10K Program $ 250,00 Miscellaneous Credit(s) $ 0,00 ---------- Total Expenses $ 13,414,00 Estimated Net Proceeds to Seller $ 142.586.00 THE ABOVE PROCEEDS AT SETTLENENT DO NOT INCLUDE PRO-RATION OF REAL PROPERTY TAXES AND RENTS. MORTGAGE LIENS, MUNICIPAL ASSESSMENTS. CONDOMINIUM CHARGES OR APPLICABLE CERTIFICATION ANDIOR INSPECTION FEES. THE AMOUNTS ABOVE ARE ESTIMATES. ACTUAL COSTS WILL VARY WITH EACH PROPERTY. I/We hereby acknowledge receipt of a copy ot this Statement of Estimated Seller's Costs, and understand and agree to the charges indicated herein. Witness: Seller Seller Seller 1513 Cedar Cliff Drive Camp Hili, PA 17011-7709 717 761-1690 FAX 717 737-8176 December 20, 1996 Dear Mr. Triscari: I've completed a market analysis for your property at 59 Central Blvd., Camp . Hili, PA 17011. The analysis was performed by comparing your property to similar propertie3 that have sold recently in your area. Since your property has been totally renovated to enable you to run your video business, the selling price could differ dramatically, depending on the needs of a prospective buyer. : It appears that the market value of the property could differ as much as , $30,000 . $40,000 due to the specific adaptations you have made and the needs of a prospective buyer. The comparables indicate that the property could sell for between $130,000 and $160,000. The property at 55 Central Blvd. sold in November of this year for $80,000. Another property at 23 Central Blvd. sold in the $120,000 range. Of course, these properties have not been completely renovated like yours. If you add the $40,000 to $50,000 in renovations, we end up with the price range listed above. A buyer with a similar type of business, needing only small changes, would probably offer a price at the higher end, and a buyer purchasing for location, and needing considerable renovations, would most likely offer a price at the lower end. Al"other consideration for pricing is how soon you would need to sell. Waiting for the right buyer, with similar interior needs, could cause the property to be on the market for a considerably longer period of time and may not be practical if you desire a quicker sale. . Thank you for allowing me to provide this analysis for you. Please don't hesitate to contact me if you have any questions. Convenient locallons serving you In Central Pennsylvania ~ . ~ 30/ 11'Ht~ -- 0/25/96 09.11 Status Search Report (Set #1) Page: '. Sold Multi-Unit/Income Listings Lilt No Address S Price L-Ofc AR SettDate MT 'Unts ReU -------- -------------------~---- -------- ------ -------- ---- --..-- 10003867 413 SECOND ST 84000 GAUG6 6 05/31/96 6 2 1 0013:2:229 3U FOURTH STREET 79000 GAUGl 6 09/16/94 108 2 2 0014n76 375 PLEASANTVIEW R 87000 STERL 6 09/22/95 28 2 3 00149:273 518 SECOND STREET 85000 DANGEL 6 10/05/95 9 :2 4 00131577 148 FIFTEENTH STRE 105000 STERL 6 05/06/94 12 2 5 00139:241 516 THIRD ST. 96000 RMREAL 6 02/28/95 90 2 6 00127556 244 WESTOVER DRIVE 93000 HOME 6 08/19/94 267 2 7 00144397 512 BRANDT AVENUE 112500 THOMP 6 05/05/95 24 2 8 00141345 604 THIRD ST, 127900 RMREAL 6 07/31/95 ' 171 2 9 SET'l' Listings. 9 Average Orig Price: 106.393 v.rage Market Time. 79 Average Sale Price. C ~6, 6U~ ........ ,./ tal Listings: 9 Average Total List $: ~~~ iteria: STATUS=SETT AREA=6 PROP_TYPE=MU No Units=2 Exterio~-- 24000c'r-1996 18: 18: 16 ::I=:Z===~=2========::u:r===::I=======~= j1 Mu1. .-Unit BOOK Format Status SETT Sub-Type 2F City NEW CUMBERLAND SO: GAUG6 CLD: 05/31/96 Market Time: 6 LP $ SP $ 84000 840CO +-------------------------------------------------------------------+ I 413 SECOND ST Area 006 MLS' 10003867 I I Mun NEW CUMBERLAND Dev Sch W SH I I Dir BRIDGE ST T R/SECOND, PROP ON L, I I Uts 2 I I Attached N Condo N Fee 0 DisclFrm Y YrB1t+/- 1950 I I Ext BRICK Style TRADITIONAL TotSqFt 001100 I I Bsmt EXTERIOR ACCE' Gar 3+ CARS PkSp:U 0 C 0 I +------------------------------------+------------------------------+ I Unt Rm Br Bths SqFt RAnt Lsd? OcplIns$ 0 Mgmt$ 0 I I 1 4 1 1/0 550 380 T T IMnt$ 0 Fue1$ 0 I I 2 4 1 1/0 550 350 T 0 IE1e$ 0 WtSw$ 0 I I 3 0 0 a/a 0 0 10th$ 0 Trsh$ 0 I I 4 0 0 % 0 0 IExpYr 1995 Misc$ 0 I +------------------------------------+ I I GOI 0 Tot/MoIn 0 TaxYr 1995 Tax 739 I I OpExp 0 NetInc 0 Heat RADIATORS. OIL. STEAM I +-------------------------------------------------------------------+ I I I I I I I I I I I I +---------------------.----------------------------------------------+ I Sh Bsh LBx NO LO GAUG6 761-1690 I I LA WOLF, DAVID 774-6713 SAC 1000 BAC 1000 LT ERS I I LA OH WOLF I +-------------------------------------------------------------------+ 24-0CT-1996 18:18:16 ================================== .2 Multi-Unit BOOK Format Status SETT Sub-Type City NEW CUMBERLAND LP $ SO: GAUG2 CLD: 09/16/94 Market Time: 108 SP $ 87441 79000 +-------------------------------------------------------------------+ I I I I I I I +------------------------------------+------------------------------+ I I I I I +------------------------------------+ I I +-------------------------------------------------------------------+ I 321 FOURTH STREET Mun NEl"I C:JMBERLAND Dir BRIDGE ST. R/FOURTH Area 006 MLS . 00132229 Sch W SH Dev STREET Attached II Ext BRICK Bsmt FULL Style Gar ON STREET Uts 2 YrB1t+/- 0000 TotSqFt 000000 PkSp'U 0 C 0 Condo , Fee o DisclFrrn Y Unt 1 2 3 4 Ocp I Ins$ IMnt$ IEle$ 10thS I ExpYr 0000 Bths a/a 0/0 0/0 0/0 Lsd? Rm Br o 1 o 2 o 0 o 0 124 266 o o Mgmt$ FuelS WtSw$ TrahS Misc$ SqFt o o o o Rent 395 450 o o GOI OpExp 10140 2224 Tot/MoIn NetInc o TaxYr Tax o Heat FORCED AIR.GAS.OIL o o 971 o o 863 TWO UNIT IN CONVENIENT LOCATION. LIVE IN ONE RENT TilE OTIIER, I Bsmt FULL I""'\r OFF STREET PkS.. J 0 C 0 I +------------------------------------+------------------------------+ I Unt Rm Br Bths SqFt Rent Lsd? OcplIns$ 264 Mgmt$ 0 I I 1 0 2 1/0 0 450 IMnt$ 0 Fuel$ 0 I I 2 0 2 1/0 0 400 I Ele$ 0 WtSw$ 0 I I 3 0 0 0/0 0 0 10th$ 0 Trsh$ 0 I I 4 0 0 % 0 0 IExpYr 0000 Misc$ 0 I +------------------------------------+ I I GOI 0 Tot/MoIn 0 TaxYr Tax 1141 I I OpExp 0 NetInc 0 Heat FORCED AIR. OIL I +-------------------------------------------------------------------+ lONE OF A KIND BRICK DUPLEX DOES NEED SOME MINOR COSMETIC I I WORK, SIMILAR UNITS IN THIS AREA SELLING FOR OVER $120.000 I I IDEAL TO LIVE IN ONE UNIT AND RENT SECOND UNIT. I I I I I I I +-------------------------------------------------------------------+ I Sh Bsh LBx LO DANGEL 774-7791 I I LA THOMAS J. D'ANGELO.. 774-7791 SAC 2.5 BAC 2.5 LT I I LA OW I +-------------------------------------------------------------------+ 24-0CT-1996 18:18:16 ================================== #5 Multi-Unit BOOK Format Status SETT Sub-Type City NEW CUMBERLAND LP $ SO: STERL CLD: 05/06/94 Market Time: 12 SP $ 98700 105000 +-------------------------------------------------------------------+ I I I I I I I +------------------------------------+------------------------------+ I I I I I +------------------------------------+ I I +-------------------~--~~-----------------------------------------~-+ I I I I I I +--~--------~----~---------------------------~----------------------+ I I I 148 FIFTEENTH STREET Mun NEW CUMBERLAND Dev Dir S. ON BRIDGE ST.. L. ON 15TH STREET TO Area 006 MLS # 00131577 Sch W SH PROPERTY ON RIGHT Uts 2 YrBlt+/- 0000 TotSqFt 000000 PkSp,U 0 C 0 Attached N Condo N Ext BRICK Bsmt EXPOSED/WALKO' Fee o DisclFrm N Style Gar DETACHED.2 CARS Unt 1 2 3 4 Rm Br o 3 o 1 o 0 o 0 0000 Bchs a/a a/a 0/0 a/a Ocp I Ins$ IMntS IEleS 10th$ I ExpYr SqFt o o o o Rent o o o o Lsd? o Mgmt$ o Fuel$ o WtSw$ o Trsh$ Misc$ o o o o o GOI OpExp o Tot/MoIn o NetInc o TaxYr o Heat HOT WATER,OIL Tax 1037 IDEAL FOR THE INVESTOR, EXCELLENT STARTER HOME-LIVE IN ONE AND RENT THE OTHER TO HELP PAY YOUR MORTGAGE) LARGE REAR YARD. SEPERATE ENTRANCE TO UPSTAIRS APARTMENT. PROPERTY IS CURRENTLY VACANT-GOOD RENTS COULD BE COLLECTED ON THIS PROPERTY. APPRAISAL IN FILE. Sh Bsh LA TASKER, EMIL A LA LBx 957-4402 SAC 3.0 OW PNC BANK LO STERL BAC 3, 0 243-3000 LT +---------~~--------------------------------------------------------+ ~4-0CT-1996 19:19:16 ==~=~===================.======.a= Mu~UniC ~OOK FormaC ,16 SCaCus SETT sub-Type CiCy NEW CUMBERLAND LP S SO: WOLFE CLD: 02/29/95 MarkeC Time: 90 SP S 105900 96000 +-------------------------------------------------------------------+ I 516 THIRD ST, Area 006 MLS # 00139241 I I Mun NEW CUMBERLAND Dev Sch W SH I I Dir SOUTH ON BRIDGE ST.,T/R ON THIRD ST. TO PROPERTY ON LEFT, I I ucs 2 I I ACCached N Condo N Fee 0 DisclFrm Y YrBlc+/- 0000 I I ExC BRICK Scyle ToCSqFC OOOOCO I I BsmC FULL Gar DETACHED.2 CARS PkSp:U 0 C 0 I +------------------------------------+------------------------------+ I UnC Rm Br Bchs SqFC RenC Lsd? ocpllnsS 403 MgmCS 0 I I 1 0 2 1/0 0 475 Il{nCS 0 FuelS 924 I I 2 0 2 1/0 0 425 IEleS 0 WCSwS 693 I I 3 0 0 % 0 0 lOChS 0 TrshS 295 I I 4 0 0 % 0 0 IExpYr 0000 MiscS 120 I +____________________________________+ I I GOI 12240 ToC/Moln 0 TaxYr Tax 1339 I I OpExp 3543 NeCInc 0 HeaC OIL. STEAM I +.------------------------------------------------------------------+ I GOOD INVESTMENT OPPORTUNITY IN NEW CUMBERLAND BORO, INCOME I I FIGURES ARE PROJECTED. MISC INCOME IS PROJECTED FOR THE 2- I I CAR GARAGE. BURNIlAM FURNACE APPROl!:. 2 YEARS OLD, TWO I I EXISTING REFRIGERATORS REMAIN. SELECTED PLANTING IN REAR I I GARDEN AREA RESERVED BY 52LLER. NO DEFECTS KNOW TO SELLER I I EXCEPT VISABLE COSMETICS. VISABLE COSMETICS. I +-------------------------------------------------------------------+ I Sh Bsh LBx LO RMREAL 761-6300 I I LA ENT, MIKE 730-3010 SAC 3.5 BAC 3.5 LT I I LA OW GRACEY I +-------------------------------------------------------------------+ 24-0CT-1996 18:18:16 =============================2==== 17 Mulci-UniC BOOK FormaC +-------------------------------------------------------------------+ Scatus SETT sub-Type Cicy NEW CUMBERLAND SO: HOME CLD: 08/19/94 MarkeC Time: 267 LP S SP S 114000 93000 I I I I I I I +------------------------------------+------------------------------+ I I I I I +------------------------------------+ I I +-------------------------------------------------------------------+ I 244 WESTOVER DRIVE Mun NEW CUMBERLAND Di= 93 TO HIGHLAND WESTOVER ACtached N Condo N Fee ExC BRICK BsmC FULL Area 006 MLS . 00127556 sch W SH CAROL. R ON UCS 2 YrBlt+/- 1950 ToCSqFC 000000 PkSp:U 0 C 0 Cev PARK EXIT, R ON BRIDGE. L ON o Disc1Frm Y Scyle Gar 2 CARS,UNDER SqFC o o o o Lsd? Ocp I InsS IMncS IEleS lOChS I ExpYr o MgmCS o FuelS o WCSwS o TrshS MiscS o 1300 420 294 o Unc 1 2 3 4 Rm Br Bchs o 2 1/0 o 2 1/0 o 0 0/0 o 0 0/0 Renc 6000 5700 o o 0000 GOI OpExp o 3304 ToC/Moln NeCInc o TaxYr o HeaC OIL,STEAM Tax 1300 CUT YOUR MONTHLY MORTGAGE BY LIVING ON ONE FLOOR AND RENTING ~) . . . . '-nil tile ,old U,antar 5 Will Warrallt 9~nerall;' .. the propertv herebv conueyed, hand 5 ;In ;nlilll,.... ;Ull/tr,of, the,,,ltI 0'11I'/"'5 ha ve htreunto let their and Ital 5 the clay and y"'" jI,.t aha,'c W",'t,~en,,, ~ i Sldn,d. Sralrrl alld DO'/Il'trl'tI .- / 17 ""Jill tl.- p,e, nCC J( t~~ '(i. Y.-A' .,' <)1 AI..I L ~. / .,/r- /'1~$.J ph P'f;;:.~s~~~un;SJ7 /vw'"' _ /, '~<-~l' C( ..:.....tl II./;I(jf/~ i/)../,> ~/_ Alma M, Maskaluta\ ,f) '[.y,,- ~ Q]-)V\ R..h0vt.Q.oV! ~n RhlneharC \ 7 ' 'c:~Xe ~'Il;~~\~t "0 BF:i"ii. . =- " i' q;'"llllll,mlJ,rtlll/ ot1!tlln.\llunirt } .... a:;ollIlIU ..f Cumberl and , . "- On ,hI-, tA. 3(.1 c..c. daV 01 h't'ti:",-t_/!-' 1979, b,'a" mI. a notary publ Ie the IInd",I~I"'/ o!flc... pmonolll! oppto"d Joseph p, Maskalunas and Alma M, Maskalunas and Fern Rhinehart a,nd Catharine H. knoum to met(or loll'lactorllll pro lie,,) to b, tA, pu,onS who.. nam" :; are 'UbAO"~thJroeM:~Uhln In,Cfum."t, OM ocknouJ',d~,d that th, y ex,cuted Old ,urn. . . " " . -,' .... ,'," " 10' tho pu,po",th.,;in con/.lfi,d. ", ! ...,. '0,',\ " . "' '.:,..:.., "'c:.-'. J!v,. H;.lT.'.r.S~ WllE"F.O,F~ I haue """IUltu HIt mV baud anti notorial """.'6> ':~JI" .'''':;. C' . /,1' L., ", /'::.... . .' cl.(... _.. ~ ''<;1. . ..':',' ":,, - ' , ^' . :: ' ..' ":,IU~~J ""'YPut,,~,.., .\ ..",.. t~~~;bl! "4t,;I'i(1! "h~'i"/h~ ~;o.i" "'idt~~. ".,leo,""leto Jlo;;:;;~~';,~iid~;~;~oCM:7~"~~" ho,(jp.1L ,:3'iJ'/ """j'Y'Cl A;, )1.,,.,, (;.;... ..J.<.../.;.:/- AI. /~ < //; ,1}I" /~ .y. / 'J"" ''', 'I'" I'" I I: I I 0'> I ~"'I . , , . ~:" .: ,. 'I"" a, tUE 1':.~ ~ . "..,... 0 ~~>>'\' I It. ." 1,1 (00' ',.r;'," ~ 01. . I l lJ.,.1....I.1i1 j.1 1;{U\o1l ,.... j1~ I)) '~'.. ~\ ~~ II ~ ' ..... i . .. ,. e ~,'. .1.',; U oJ.. ~ , ..: o;"","''''n\U'J~~,I~. ,ot, ~J.nn..~I""irt ~on\llu ('If' CA.v>l~e,,,c<>-/ ~t,.o~i),b in the OI7!ce (or Recordln~ o( Deed, in alld (or C......,I...t....IS . in Deed Book r Ho. ~ Y" ()' pat. ' I 'I 'f Eto. . , , ~ilntll. my hand and .eal olOlJ1.oe thil S-Juf day OIt{l'J ~ .!nno Do\~ 19 7 t .r-: \~..~ ~~~ 8~n ~ 28 r.',:, 915 }... , I '. Record., . STATEMENT ", 62177 ~~ 194-44-7687 -~ 04-01-93 A-30-93 IINDIDIUCT INQUraw TO! ACCOUNT NO. SOCIAL SECURITY NO, FROM THROUGH 1 Of' 2 PAGE Member~ I-FIJI':H./\'. C.H l'.UIT II N l'lN ~m I. TrlllSll aOld. P,O. 80. 40 h4~..Ptllnlrl""*lI~'.0040 (71'7)6'7.1111 ','OlLPlUI.aD-11J.13l1 "001'-\11I h"",nd1117) 6'lH11l ~I~b taUvcg~rf~~~ fO RECEIVE ~Oft ~~9~I~S~F 900~ tU-NEWS ~1~~~8ai~~f:~~CAR~A 17070-1126 ,.011('1 UIlI....USI l,nr,n"lolPfltlTANTI""'IlU'Al1C)H IWAIOlNII VfItII'llil'" ffillllPlfT1l111.IJNlj ANlIlIllIIUnnH fRill'" 41691 TUN .''It"l' nA~;;'~~;~~~~ION--'''---'' ---..-~---f AMOUNI' HaW MODAY ODAff _.u__ I"LANC'I 1111 ffllfll;JIII!llli SHAA' ACCT :I"fll Illi:11 Ri~6~fI2~N~~~;I~~~4~~~~8~ ~~f~8A~lvIDENDS: 63.78 ------.-- ---------------------------------------------------------- --------- --------- J!ll f~Il!llll!I;:!::~A~~~CCOU::::;;::: 'il!fll Jlilll:11 REPORTING SSN:194-44-7687 V-T-D DIVIDENDS: 1355.32 -----~_.- ---------------------------------.------------------------ --------- --------- SUFFIX: 11 SHARE DRAFT ACCOUNT . 1~~ANlf~G BALANCE '~3~3:1~ RA~~ i~3g 6 TOTAL NUMBER DRAFTS C EARED 5 ~~~~ ~UHRhCHGS 55~0~ ~ ~8~~ fMG ~MT~ H~t~~E ~~~ 3 ~Y6~~37 4~19 I~ ~ uH~RAIW;L ~~9 RE~AE TRANSACTION 88~~88~l~3 -~~~;i~ Z;813':;;8~~ 8 A A # j 00960l641f -~O. 00 ~8 I ~ ~ = ~ 88~g8o~~~~ :3~:88 ~ ~ L ~ OiATI ~N3~ROM 62177-00 88~t883~7~ I ~108:~1 ~:~~ 81 ~ ~ ~ g7 88~~80~358~ I : g:I4 12 r A A # 66 00980 ~271 - ~. 00 ~~~313 ~:g : ~ ~ = m 818~8 4~3a -35,08 MID WAk REG-E TRANSACTION :50:80 ~l~~ ~l~!!-M ~~!! TEr~~~CHANICSBR PA 818i8d9~a~ I :~y:g~ ~f~~:.~~ ~m ~ A I Btlw!L 3 REG-E TRANSACTION 010 01 4 ! :~8:88 ~ 04 H 4179 , Il 0 0~lyTII&15LEMOVNE PA I 2895.63 5000.00 STATEMENT ,,, ~ 62177 194-44-7687 04.01.93 FROM ;-30-93 THROUGH '~DlDIRlCT INQUIRIES TO. ACCOUNT NO, SOCIAL SECURITY NO, Members. ' I.FUli.C,\I. (.(CI'.I)IT "NI\)N ~ml.TrindSt."'.P.O.!kl'olO htldluJburt. I'l_rlVlllII 1'lm,.l'IWO 1'17)697.1161 ""'OlL 'UB 1.b).lQ.lJU '1'DDHw11ll1n.-imln!n691.H11 ~1~bNf~uvC~~If~~~ fO RECEIVE ro~ b~9~I~S~F ~OU~ tU-NEWS ~~~~~B~:~~f:~~CAR~A 17070-1126 TIAN MODA.Y NrJnt'l. nll.....,.s.'ln. fOllIMt'f)flTAHT 1~ftJ"'4AnOH UCI..umNr! fUl:" Rlljllfl TII [lIIPlITI!. 81lUNll ,\/'IO III:CjUI~nOH ualll' "PIer ODA"'" TIIlAN5ACTlnN DH.SCJlIPTION 4199 AjlpW! iiRAI~A~ CTRCAMP HILL RE~AE TRANSACTION 4199 ,wY ~ C P H L REG-E TRANSACTION S #4 AM IL PA ~ T 13 0111015763 8 LAO ATI N ROM 62177-00 ~~ I ~~I ' 811188~~3~ I 0 ~ TI II~~ 8Il~88~831 I I ~~ 8 ~885~~~ A A ~2 0 9003~g4 o E I ~ ~79 8 888A8~~ 2 OP 2 PAOE 41692 AMOUNT NEW BALANCS -60.00 4940.00 -108.25 4831. 75 -60.54 4771.21 -40.00 1731'1 2?8:98 J~3: I~jl~~~ 9~ ~ -11.96 II. - .00 . -! i~~~ ~ . * . * . * * * * * * * * * * * . * * . . * * * * * * * * * * * * * * * * * * AMIUNt L80 6 .00 IS Js 38.61 JOINT OWNERS: MARVROSE C TRfSCARI REPORTING SSN: 194-44-7687 V- -0 0 VIDENDS: NO 1m m AMOUNT 20.~0 30'30 1~:9~ 16.00 Jill AMOUNT 35.00 29.00 21.89 40.00 9.79 10.00 36.73 --.------ ---------------------------------------------------------- --------- --------- NO. MOUNT JIH~ . ~~8:88 * 378 4 .25 379 .00 380 0.00 * 382 . 6.76 T T L: 1 t. 06 k~Poh~Y~G * IRA VTB * oIHER VTD * TOTAL VTD * TOTAL I'D * TOT L VTD * SSN 0 VIDEN ,S 0 VIDENDS DIVIDENDS WITHHOLp NG FOR EITURES 194-44-7687 .00 1455.83 1455.83 .00 .00 STATEMENT 62177 ACCOUNT NO, 194-44-7687 SOCIAL SECURITY NO, 08-01-95 .8-31-95 I or 3 4NDID'ucr INQUIl.II5 T~ FROM TIIROUGH PAO'1 Members. l'I~UI:K(\ I. (:1( ld) IT II N I')N nn B. Tril. Rlai. P.O, 801 040 M'ldlaniIblq...._ylqnilI1O:SS.OO4Q (717)691.1161 TOLL FREt! l.m:o.2.U1 TDDHwI"l 1~(1I1)&9H)12 !~V~~ll~G ~ ~f!~! rI~~NNQW k~tBNING ~~O~I 90ui ufu ~~ ~ ~AQ A SEMINAR tl~TYOU~Hlu-2 wXO oAHV coApftTE LISTING or OPlCS, DA ES ANB ~ IMES. ~&~~srAA~ !RSSCARI N~R CB~~~~LAN~ PA 17070-1126 NonC!, !Of! ..VEtS!! SlOE FOIIMPOATAHT INFov.tAll0N REOAIDlNO YOUR alGIITS Tn D1S,ure alWNfi AND REGULATION UJC>>O:, TIlAN EFfECT MOOA" DDAry 55206 TRANSAt'TlON DI!.SCRIPTION AMOUNT ...W .ALANa 8319 D~~~b~~80 SAVINGS R~~6~fI2~NS~~~1~~~X~~1~8~ ~~f~8A~lvIDENDS: TRUTH IN SAVINGS INFOR~ATION ~~~ ~~ ~~~~~~f~~~ ~I~~B EA~NE5.35j 3.35% -~_._---- .-.-----.------------------------.--.-----------------.--- --------- --------- 1 ~FI i05 l~ fSTMENT SAVINGS 0801122356 -50.00 g~~4t:~~ :~~: i A ~ t~8i:w ! NEW CUMBERLNDPA 0803093955 -100.00 63447.26 3 4 ~ u~1 10 ST LEMOYNE PA 8099 1 ~ ~ ~~ RfM ST LEMOYNE PA 0809144859 -50.00 63397.26 8159 A M ~ T~ RAW 0815090847 -80.00 63317.26 ~!r~ ~ ~I~ ~D A~~ ST LE~~r~7_11 PA -3~O~:g~ g8~q8:~8 REPORTING SSN:194-44-7687 Y-T-D DIVIDENDS: 1869.79 TRUTH IN SAVINGS INFORMATION ~~~ ~~ ~~~~~~f~~~ ~I~~B EA~NE~.07j 4.07% --------- -------------------------------------.-------------------- --------- -------... SUFFIX:ll CHECKING IIGINNfNG BALANCE 19~5.62 POSs S 3310'~0 a~f~~~nQ~CE CHGS 3~ ~:8~ bING bALANCE 1554.14 809M C L SA!E FiE 80 9 5 A A 950 80 91 A A 985 80 ~ A A # 1982 80 A A # 1978 80 A A # 1862 80 9 A A # 938 80 9 ~ A A # 979 80 9 5 A A # 967 ~8 ~ S ~ A ~ }~~~ 80 9 S A A # 1980 2.87 18~':~~ 27.12 TOTAL NUMBER DRAFTSC EARED 5 ~8~~ t~G ~~~TA R~~~~E~ ~~~ 1 2~4~~11 -2 00 993.62 0213002523 -10:00 983 12 02 3002903 - 5.00 999i8~:: ~ 02 3015001 - 9.}7 0213008150 - O. 0 02 3001 29 - 9. 0 8 99'. 5 02 30} 09 -1 0.00 6 5 8~t18q ~~~ =~~:~~ ~i~:~~ 8~n8q624~ . =~~:O~ ggUa STATEMENT """ 62177 194-44-7687 SOCIAL SECURITY NO, 08-01-95 8-31-95 SDmmIUCT INQUIRIES TOe ACCOUNT NO, FROM 11lROUGII Members. I' FI>I:tt^ I. (;U hUIT II N It IN 51" 8. Trl_ RoW. ".0. h 40 WeclIIlIlItuJ,"_y1Y1Ala 110:5'.00.0 (717)697.1161 TOLL FlEe 1-<<J).213-Un TOO flati~ 1.1ml nl7} 69'J.j]!2 f~~~~l!~G ~ ~tJ~! rI~~NN~W k~eBNING P~OM 7 U~ uTu tT ~ ~AO A SEMINAR j~~TYO ~Hlu_2 W~O otHV coApf~TE' lISTING B~ OP CS, DA ES ANB ~IMES. ~&~AS!AA~ JRS~CARI N~W5CB~~~~LAN6 PA 17070-1126 NOTICI!: SEI! IEVU.5! SlOe FOllMPORTANT INFORMAnON IEOAIlDINO YOUR IIGlITS TO Ol!PIJTl! BILUNf: AND REGt;u.nON ElRI)R~ TR^N effECT MCDAY OOAYY TRANSACTION DESCRIPTION AMOUt(1' ~83~ ~~ A ~ I~~~ 8~ ~80~~~~ 80 9 A~ # 1970 02 90 ;01 ~8~~ ~ ~ t 1 ~fi~ 8~~I8 3~~~ 8099 S A {: # 1993 02~ 0 R750 ~Ig~ ~ ~~ ~ t ~ ~~A 8~2 8 ~I~S 8 09 S A~ {: # 995 02~20 ~ 18 081 ~ ~~ X ~ I A Awll 996 8~1~? 3 gy G A~ ~R #N6 ~,W CUMBERlA PAGIANT FOOD #56 ~13~ ~ ~R ~A t # 1~97 8~~3886~g8 I R~ i ~R R BA :!ES 200062177-05 8~1g?~~A~~ i 4 S?U? 10 ST lEMOYNE PA 0821 8199 ~ M H RR~ OAD NEW CUMBERlNDPA 0819203211 0821 8209 M W WA 0820133320 ~~J~ ~ A~~ D A ~ 1# ~66~ ' 8~~~8~86~~ -_i~:.~080 82t9 A M W!T ~ ~ l 0821182124 50 3 45 ST CAMP HIll PA I 8229 AIM W TAL 0822105248 . -50.00 3 1 S U fO H S! LEMOYNE PA 0 9 I~j~ ~ A~~S~ ~ Iwlk 288~ 8j~i?g~~~g :~~:88 8239 S X~~ ~O~A l~ ZA20b~MOYNE PA 0235014107 -~O .10 8239 S A ~ A I # 2005 0231001037 I . 5.00 ~8259 SAD A' # 2007 023 013339 I - 0.00 8259 A M ^T~B W~t 082 185021. - 0.00 08289 ~T~ SyUH6 AOA ST lEMOYNE PA 0828083657! -122.37 b8289 ~ ~~~ l02~ ~N 9~~W CUMBERLA PAGIANT FOOD #5602~000a789 I, -1325.0 !8309 S~A ~ B~A t # ~008 02 2010544 I -65.08 8319 S~A r RA T # 2009 02 30 1002 I -21. 20 083 9 DIVIDEND i 3.10 * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * r * * * * NO. AMOUNT NO. AMOUNT NO, AMOUNT I NO. 1862 59.70 *1967 25.00 1978 40.10 i 1981 1938 150.00 *1970 24.00 1979 7.32 . I 982 950 10.00 *1977 10.00 1980 33.00 I 983 - 2 '" 3 PAGE 55207 NRW BALANCE -~II~11 '111jll ~ j8 In! .j J Ill: ~jl~jll jlll~11 -!i0.00 -43.99 3512.53 3468.54 U~8:n 3350.14 P33:H 3~~9.7 t ~~I~:~I 3b8t~1 2962.24 lw:~a 1~5f:?a * * * * MOUNT 36.63 19.27 29.62 STATEMENT 62177 ~ 194.44-7687 08.01.95 8.31.95 3 Of' 3 PAOB J&llIumlaJl." INQUlalU TOt ACCOUNT NO, SOCIAL SECURITY NO, FROM 11lROUOH' Members. I'FUEIt,\I. (;HI',I)IT (INION un ft. TrtndIt 1_. '_0. SoI.o M~. Pr-r!YUIlI IMj,.mMl 1711)tH7.116! TOLL'RElI.u).1.Uo1l21 -:1)0 I...... bllpund (717) 691-5111 ~~VA~ll~G ~ nllJb! rl~ANN9W k~eBNING 3 ~~o~ ~ ui ufg~? ~ ~A~ A SEMINAR S~~ VO ~Hlu.2 W~ oAH~ CO~P~tTE LISTING O~ TOP CS, OA ES AND ~IMES. ~S~~S!AA~ 1R~~CARI ~~Q cB~a~~EAN6 PA 17070-1126 TJAH IPpecr TRANSACTION OESCRJPTION AMoum M1W MODAY aOAYY BALANCE m ]U~ NO ATNg N37 ';~Ii T :1111 ri * ml 6 J -III! Xi 1~~3 ; .69 99~ .00 It ~ .00 996 1 ?48 i~6Nl OWNSRS: MARVROSg 1 TRfs8A~1 R RING SN:194-44.7 8 V- - VIDENOS: 35.88 TRUTH IN SAVINGS INFORMATION ~~~ ~[ ~~~E~~l~~f ~1~[8 EA~NED.02j 2.02% ..... .. --..-----.........--------..--..----------------....-----....-------- .................. .. ......-.......... ~~Pg~fI~G * 16A lTB * 8TijT~ VOO * O?TAb VOO * 19TAb I~G * ~8~ bfo~ES * SN 0 10 N S I EN S VI EN S W H L 194-44-7687 .00 1932.79 1932.79 ' .00 .00 -. 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".. .fi:J:,I\..'l:'.E;I:1E;~.'l:'....~...,..,... 7 I Soloriol .nd w.gn Ilnl.mp'oymanlclldltJ) .....................................................,..... ................ ......,....,...... I I R.p.l" .nd 111I1n1.n.n.. ..."....,.,........,..,.,...,..,.........,.,...........,....."..,.".. ,."...,............".,....."...,...., ......,. I 10 I.d d.bll ............,......................................... ........................................ .............................. ......... 10 11 Ran" ,..,...............,....,..,...,.....".........,....,.,.,..,.......,.........,...,........,.....""..,............,.,.".....................,.., 11 12 T.... .nd bnlls ..,..,..,..",....,..,.....,.,.........".,...........,.....,.,......,.,.......,....,..fi.'l:'.!\..~.E;.I:1.PI.');'.".L....." 12 13 '.10,"1", ..,......,...".. ..,.... ,......., ..,. ..,...,....,....... ,. ...,... ...'................."."."'.,.....'..j'..'....'........'........"..'.'.. 13 14 I D,procl1Uo. (ff~irod. art.." Fonn 4562) ..................,..........,............., 141 52. 672 . . ~ CaprsclaUon clIlmtd.. Schedull A .nd .llIwIlII'.. ilium ........................ I 14b I , Sublllct 1In, l~b fi.m 1ln'1~. ........,...,.................,.....,...................,...................................,.................. 14, 11 CapllUon IDo no' ,."elon ,., III "".11..,) ..............................,...............,.,.................,..........,......... 15 II AdvIrtl8lnO ..,..'..........,....,.................,....,...'..,.........,....,..,.................,.,.........,........",......."....,..."....,.., II 1 7 P",slo.. PlOftl1l1.rtng,IIC,. pllnl ...,.....,....,...........,............,........,....,.."...........,................,..,,......""..,.... 17 II Empl.y" btnlfll programa ..,......, ............ ........,....,.. ..........,......'..,...,."..".. ....,.......,.." ,.....,........... ...,..,.., II II OIlIer dlducUonl (att"" .cMQ;/a) ............,.,....".....,........,...".......,..,.....,..".~.~.~~,P~.~.~'l:'...A""..,... II 20 ToItlC.'.CU..., Add 1I1um.unll sllown In 111' Is, r1Q.,c.lumn '.rUnn7 1I1,.ugh 19 .............................. ~ 2a 21 OrdlnlN Inc.",. n..,II..m lrad,.r buslnnllel"'"I.,. 5ublllc1l1n, 20 trom IIn, 6" 21 22 T..:. UclSS nil pusivl Inc.",. 11. (art""_/a) .,....,..................,. I 22al ~ T,,".m Selledule D ('orm 11205) .........................,....................,.......... I 2'lbl , Add IInIS 22. .nd 22b ......,.......,......,...,....,....,........,........,....,.......,...,.",..........'".,................".......,..,..,. 23 '1,,"lntI: I 1"_""'_~.MCI__I~hfnl,"~ ......." 23. ~ T.. d'po'.,d wi1I1 F.nm 7004 ..............,.,.....................,...,.....,.,.............., 23b , Crtdnlo,Fed,rallll,.Id..fulls (attach Form 4136} .............................. 23, , Add Ilnn23.1I1r.ugh 23c ,......,....,...........,....,.,................"...,...........,..",..........,".,......,..............,....,..., 24 eslllNlId III pan.IlV, Cl1..k Il F.rm 2220 Is .tt1e111d """.""""""".......................................,.. ~ D 21 Tu 'UI, n 1I1.I.lll.,lInn 22c and 2~ ~ lolQII lI1.n 1In, 23d, 'nlll .m.unl.Wld, 5..lns'",cU.nl t.r dlp....ry mo1l1Od .t p.ymo.1 ....,'......,................."............,.......,....."..""........"..,.,.....,.,....,.,........,... ~ 25 ZI o.'rplym.nl. Illln. 23d ~ lolQlltIl.n 11I.I.lll.t IInIS 22C1nd 2~, 'nl'rlmounl .YlIJl.1d .......'.;'.....'..........'.. ~ 25 27 "n'.rlm.unl _lIlna 26 v.u w.nl:ClldU"I_ 1917nllmaladlu ~ I A.lun", ~ 27 \.IftcMrplNf"o'~.1 ~""IMrte~"~ ~~WtQ-='*l'" Md.~" trld to Il4'bellofmr~Md IMIW. It ~..... 0lItNCt, 1M -...... D....don or pNIMrW (0'* lrWI ~..,.. b..s 011 MItIIDmwOon 01 Wf'Ik:tt ~,. .". ~ 25-1769666 o 0.1. InCOI1l."'td 07/01/1995 ! ToUl uuts t...s.:-.llIlMlM*-t 384 980. ~D ~ 1 J 568,114. 225.956. 342,156. J i .! f J i j 421. 342.579. 33.956. 25.424. 18.782:' 54.868. 27.355. 16.665. 891. 52 672. 4.253. 65.096. 199.964. 42.615. ,. j 1 ~ 22, .,- :. . 23' 24 Please Sign He,. ~ sWJ..tS'?r~!., FOR YOUR AlES I 0.1' 0." J I 't /12./'17 ~ TiIla Chick" ,,". n ,m"I.YId ~ Prs,.II(S .oclolllcunly number 203,54!5608 PaId Preparer'. Use Only E.l.N., ~ 23 1313652 ZIP cod, ~ 17 01-1285 F.nm 1 tzUS 19!16 ......... ~nn mos /l9gel TRISCARI Ph_uUCTIONS, Dirll!m!IlJ Co.. of Goods Sold 1 111110II1." II DoQlnni19 of yur ..,..,.,....,..............,.................................,..,.......,.....,........,.,...,..,....,.............,.......... I "'_ .....,...,.,...,..............,.,.........,.....,....,.................,.,....,.................,...,'.,..,.....,.,.."...,......,........,.,.....,... J Cott of lillo' .......................................................,..............."'.....................................................................,.., J 76 611. 4 oIddllonll MCllan 2e3A costs (1Ilxl1Idlldulo) ..............................................................,...................................,... 4 . QN,costs (1llxlI1Cfl4dulol ......,........,.,....,....,.,.....,..........,.........$~.~.,..$.rJl,rEM~.Nr,..~...........,..........., s I TICal, oIdd _ I IIlrough 5 ..........,.....................................,................................................,......................,..... I 1 "'-lo" II "'" .'yu' ,...,........,.............,..............,..........,...................,......,...,...,....,...,..,.........,..,..,........,.....,... 1 I C4Il oIloMI ..Ill, 5ulllrxllln4 7 1,,,,,,1In4 S, Enlllllt" .nd on p.gl 1,IInl 2 .................................. ......................... I . I ClMdId molIlocll uHd for vUli19 doIIn9l1111011I.,,: 01 0 Cotl.. dtlc.-In RlQulld..IUCU.n 1,471,) (i) 0 L....' o. Cotl., I11Irtrl'" dlser1ll1d In RlQullU.nl UCUon 1.471-4 (III) 0 001.. (.podfy molllocl ulld .nd .llIch I..lln.Uon) ~ . ClIodl Will." Will wrtodown ."lUbno...rg.""s II d.se_1n RlQullUoOlsoctl.n 1.471'2(c) ....................,...............................,............. ~D I Cll.cUIllo LI'OIn"""." molllod wasldoptld IIlIs lIlly...fo' Iny g.ods (WcI1l(kld,lllIch f.nn 970) ......,...............,..............,.,..................., ~ 0 4 "Illo LIfO 1n"",1." ...lIlocl WlI uud for tills lIll YIII. Mill "lUnugl (0. Imounls) 01 cl..lng In..nl." · ~:.":. w:,':,:, 2e3A'~~;~;;;~;t;'~~~~'~;~~~.I;~i~;-~~i';~~~i~'~~'~~~~.~ii~1"','::..::,',',',',':,':,',:".::,','.,'.',:,',',','.',"~ I W1I1Ilf" lilY clUnglln dltlrmlnlng qUlnlltlo',c.st, .r"lu.non. bo.....n .p.nlng Ind c1..lng In..nl.ry? ...............................,............, 0 V.. 00 No "~".' attach "Dllnl"on, " INC. 25-1769666 PJotl DDIJ!I Other ln~onnatJon 1 ClIodl...lIlocl.llccounti19: (II 0 Cis.' (b; 00 ,,"lUll (e) 0 Othll (sp.clly) ~ I Atlor I. Ill. lsI an DIG' 24 of Illo In.truc11onl Ind SIIIIIIl. c.lJlo..Uon'. prlnclcl.l: (I) 'U.InI"1CIMy ~VIDEO (bl P'Dduct.",IVlc:. ~ PRODUCTION J Old 1Il1 c.lJl.nI14n It Ill. end ..lIllllll YIII.wn. dl.octIy.r Indl.octIy,lO% ., mO'I .'Ult ..lIng .Iock ., I d.....I~ c.IJl...U.n? (f.' lUlu .lIa-..... HelIon W(c),) "'V..: .1lxl1.IdlOdulo .h.wtng: (I) nllllO,ldd'u',lnd Imploy.. Id,ntlllall.n numller .nd (I) "/COnbO' ownld ................, ........, ,...,....... ............ ...., ..., ..........,. .................., ........,.........,.. .................,........ .........".. ...., ....,..... 4 WIIIllo c.IJl."lkMlI _,o'"c.nl._ g..up .ubloctto Ill. pr.vlsl.n. .,UCU..1561? .........,..................,...................................,.... . AI.., ho durfnll_,yoar lege, did Illo COIJl...llon h... 1I11n1.",t In ." slgn.Iu" .r .tIler lutll.rtly ..." IIr1lnclIl....unlln. fortlgn count" (_u I !lank IeCOunt. .....rtllt. acc.unt.., otll.. lInlllclal...ount)? (5.. p.gl 14 ..IIl.In.tlUctlons '.r IXc.pUon.,nd lIJlng roqulrtmonll for '.nn TO , 110-22, 1.) ..,......,.........,..,....,........,............,.....................,....................,........................ ....,..,....................., . 'VIS: ....., tilt IIImI of 1111 fortlgn counlJy ~ . Durlng Illo lIll YU', did Illo COfllO..Uon ....Ivt . dlstrtlludon fiom. 0' wa. 1111. glll1tor 01, 0' t..n.ler., to, ,'o"lgn IMl1 " 'VIS: Nt DlGI 14 ollllo In.tructlonl 10' oII1er I.... 111. COIJl...Uon I11IY h... 10 lIlo ,.....,......,..................,......................................, X 1 CllICllIllll bOxllllo c.rporall.. lIa.lIIod o,ls "qutrOd to 11Io 'onnlZl4,A!lplladon for Rlglsl..llon., I TIX Sh.ft" ........................,.. ~ D:;;1t,1,t~tl1 · ClIodlIl1.. bod tilt CllIJlO"Uon Quid publlcJyollorOd d.1lt In.llUlllOnls wIll1 or\JIn.,Is.uI discount ..,......,..,..........,...........,.............., ~ 0 1.1\1.. '.:' ;;SJ~ II '0,111. COIJlO"aon I11IY haw to 11Io fonn 1211 .lnf....U.. Rllum to. Publlcly orrlrOd Origlnlll..u. Discount InsllUmenl., ~1;~ 'i~ I "Illoc.rporsaan: (1)1IId Is _n to bo an 5 COIJl...U.n aft" 1911, III WII a CC.lJlo,,"on bolo" hltclld t. blln+&(; ,~i 5 COlJlonl14n Of Illo corpo..Uon scqulrOd 111"'"1 wIIl1a b..... dltlnmlnld by "Io"nctl. Is bills (0' 111. bills ., Iny otll.. !Jt[" ~JI,;;l P'llllOlfy) In Illo _I 01. C COIJlO"U",lI1d (elllll nolun".Und bu'--In glln (dlllnod In .ectlon lm(d)(I)) In mill .Ilhl:~r~; :iii~l nolllCDlInlud bull-ln 0.1n fiom prt.,yo.rs, Inl.. tIl. nil un".llnd bulft-ln glln "ducod by n.t rl<DlInlnd bulft-ln glln .i~; :::'cWt fromprto,yu" ...............,.................................................,............,....................,....,..,......,....,...... ~ $ '~iWl 'fib! x If r:I on h d subcfta., mln 1 and rants JI ttl. ClOst at h. tJx In II- ;)3f~' }ULJ VII No ;':"'1'<<<' "-l\~"l n1'~~ .W;} ~,t:~#: ~~,~' j{~",;il :\:~~~.~ . ~'-:;:i';:.';~ .lL~'J X X X "~.''''~!'''':''l .~~ 1 DeslgnatJon of Tax Matt.rs Person En", bolow Illo Ih."holder dnlgn.1Id IIIllo lIlllNnlrs p.rs.n (TMP) l.r 1111 I.. Y'" 01 tills ,,'um: NImt 01 ... d.s1gMtIdTMP ~ SEBASTIAN TRISCARI IdlnUfylng ~ numll.. .tTMP " 194-44-7687 oIdd",. 0' dtslan.tOd TMP ~ 59 CENTRAL " CAMP HILL, BOULEVARD PA 17011 111711 1,.... 21310410 02513 2 050 TRISCARI PRODUCTIONS, INC. 02513_1 TRISCARI P~UCTIONS ala . S ..Is Aulta 1 clln ................................,.................. 2 I TrJcll no'" II1d 1CC0unls IICIlvabll . l.1I1I'OW"" 10' bad dlbts ........ 3 Invenlorils ....,.................... 4 U.S. aowml1llnlobllgaUon. .......... . Tu..lItl1ClllICu..... ,......... ..............., . OtI1I'cu,ronl"..ts .........$..~M~....U. 7 l.oan.lo Ihlronoldl" ........................... . MOIIgIllI and.... IIbll ""n. .............. . CUI"In,"lmIntJ ..................... 10. IulldlnQund otll"dlpllCllbll mill ...... . l.IU ICCUmulllad dlp/ICIollon 11. OIpIobbll....1I ...................... ....... . LolIlCCUmulolad dlpilUon ................. 12 LInd (nil 01 any amoltluUon) ............... 13 I In~nalllll "..ts (amoltlubll only) . l.ns ICCUmulllad amoltlullon ....,......,... 14 CUI" mots ............................... I' TOlllmll. ....................................... L1.bllnlll .n. snmno"I'" flulIy 1. A<<ounts P<1vlbll ......................,.......... 17 1. 11 20 21 2Z 23 24 25 2. ~" INC. I Innln oftale .., a b 1 4 170. "4'2 i33; 42 133. ~!;-~.,~~~~~ ; ~I.I. ~ End 0"'1 III e d 4 23 746: 23 746. STMT 13 252. 2 479. 7 Add UnlSSand 6 .......................................... 4 Add""es 1 tnr u " 2 78 . l!I ~ edulel( lito. ~..I....II.' AnalysIs of Accumulated Adjustmanls Account, Other Adjuslrnents Account, and Shareholders' Undlslributed Taxable In com. Previous I Taxed (I) A<:eumulllld (b) Cth" adlu,'mln', adlustmlnls account account <23,273. 42,615. 892. 400. 368 671. 177 044. 191,627. 337 458. 192 75. " .. ..,..".:.~~',,,.,,;,;.:..,.;..,,,....,,,,,..l,, 4 o. ......... "".... --- ,.,......... IftM I r- an" eumnl NabUllII. ......fl.~H.T...J2 l.olns kom Shlllholdl" ........................ 16 928. 46 745. 8 453. ~............,......1ft1..-0I..... 0'.." Ilablll1l1s .................................... CapiUl Slocll ..................,.................... 'aid... or t1pl\al SUrplu1 ........................ Rllalnld IImlna' ............$.1H1....H. Lou COlt 01 lrollUry slock .......,............. T lalllobllMilund haroh Idl'" I U 348 3 O. Reconclllatlon of Income ILossj per Books With Income (Lossl per Return campilll 1111. IChldull n till lalallUlll on Unl 15, column (d), or SChlduill. III IIS1lhan 125,000,) 1 NoIlncol1ll (loss) po, bOOk> ................., 30 30 . I Ineomo 'lCo'dld on bOOkS Ihls vur nollneludld 2 Incomolncludld on $(hldull K.1in1S 1 on Sehidull K,lInlS llhrouOh tIlrouOh I, nol/ICardld on books Chis vur I (MlmllI): (nlmUI): . T...."mp'lnllllSl S 50 249 <23 000. 477. 273.> Schedule M-l 3 ~n..s rocardod 00 books Chis yur nol IncIudld on Schldull K,IinIS , Ch,ouan 111,151, and 16b (nlmln): .0lpllCllUon S . TraYlllnd Inllrtlln""nU 2 , 2 2 7 . . OIduCllonl Includld on Senldull K,IInIS I Ch,auOh 111, 151,Ind 160, no, ehllllld loalnsl book In(omolhls Vi" (Mlmlll): lOlproelollan S Schedule M-2 1 Balon" at b"lnnllla o. WI vm ..................................... 2 Ordlnlry Ineomo "om pIal 1, Iinl 21 ............................................., 3 CUI" addl1lan. ...fl::n!1..,.9......................... .......... ........... ......... 4 l.ass kam paOI l.linl 21 .........,............................................,........ 5 CUI" rJcluct10ns "!?::!;~::!;,...~q.,,.,......,.......,... .........,..........,........ . Cambllll linn 1 tIl,auOh 5 ................,........................................... 7 Olsh1bullans OChl/1l1an dlvldlnd dlslrillullons .................................... Balanct a tnd 0' tax ar. Subtl'2ct IIn. 7 from IIn. 6 19 203 7,031. 7 031. IlInt t1~. 21310410 050 4 TRISCARI PRODUCTIONS, INC. 02513 144783. ;"'~.;.-,'..-,, 4 "983'. 4 525. 5 805. 67 159. 50 249 7 000. 477. 031. 384 980. (You ,Ut not r.qullld to 2 78 . lei Sh~..' 1UldIIIl1D",IMt taa~I.1ftc:IDme pr..kMlely tu., 02513_1 Form 4562 ~ Depreciation and Amortization (Including Information on Usted Property) <JMB Nn 1 us~., 112 1996 a..."",,", at tll. r,...ur., 11'lt.,,,,I"'''''"u.5.,,,,c. III ... S.. l-.parll. In.trueUona. ... Attach thl. form to your r.turn. ~~u~:"~:"~". 67 tdenUfYlng number N,"a(IIIJto_ ,"'Ih..,,' .u.."....'..cn....lyto ...1'110" IIIl,rO'''''I'.''' All Business Activities 'I', " " , . ., . . . , 1 S17.~ 2 7 3 200 000 4 5 1 2 3 4 5 Maximum dollar IImlaUon. II an enterprise ton. business. see page 2 at Ihelnslrucllons . TOlal coat or secllon 179 property placed In Hr.iC., See page 2 01 the lnsllucllons Thtl.hold coal or .ecuon 110 property belare reduction In limitation. , . . . . . . Raducuon In Umlanon. Sublllct Une 3 from line 2. II zero or less. entef -0- . . . Dollar !lrnl_aon ror tAlC Vlar. SUbUlclllnl 4 from line 1. If zero or IISS, Inler -0-, If maUled nUn 58 .,11 a.. I ft 2olthllnstt\Jctlon' a Oa.c,. l"l"a' ,a .'1 b Co.lU b.u,,,u.,,.an,,1 C Ilac"tfca.1 6 "." 7 U.,ed property, En,e, amounllrom Uno 27, , , , .. , , , , , , , .. , , . , . , .. . , .. , , , . . , , , . . 7 o TOlaJ elected cosl of section 179 properly. Add imOunls in column (l;), Unes e ilnd 7. . . . . . . . . . . . . . . . . . 8 9 Tent.llve deduction. Enler the smaller of line ~ or line 8 . . . . . . . . . , . , , . . . . . . . . . . . . . . , . . . . . . . . . 9 10 Carryoyer of disallowed deduction Irom 1995. See page 2 of the lnslrucllons. . . . . , . . . . , . , . . . . . . . . . . , , . , . , " 10 11 Buslnlss income limit allan. EnlOlthe smaUor of bUSiness income (nOlless lhan lero) or line ~ (500 ImllrucUon'1 11 12 Secllon 179 11Ipsn.. deducllon. Add lines 9 and 10, bul do nol enler more than line' 1 ..... 12 13 c yet 0' disallowed deduction fa 1997. Add Une, 9 and 10 1.91 Une 12 .. 13 o .: 00 "0' u.. III." II q, III." III .ala.'a' 1!t1.llIo,a..,ly l.uta,..o..I... ..,Ial" at".' ",."'.1.'. C.llu'" lalaplla"a.. ....h....."...""I..~ ".",,,,,...'......."I,,,...'.""......"r ........"".. ......."........., 1...,..01 ....11.""1";".1.01"".,,,.,1,, ,'Part II'., MACRS Dlloreclatlon For Assets Placed In Service ONLY Durlne Your 1996 rax Year ,0" .""""".,...... 0",..." Section A-General Asset Account Elecllon 14 II you 110 milling the oIecUOn undll _UOn 188(')(.) to group Iny as.e'. pll.ld In '0"".0 duriog ,no ,ax Y0l11n'o onl or more QeneraJ Isser accounts, check this boll. See Daile :z of the InslrucUons .. D- Section B-General De reelallon S stem GDS 500 I 0 ~ OI'holnOlrucllon.. 7 7 (a) Ctu'lf'UlIan 0' 11'0,.,1'( (b) Man'''.,,,, .,..,pl.UII'" '''\jl~a :11'lil'TI'liijii:ilillilil'llillii;,:::lilill' lii!iii.~I'llilli",illl.ik,"I'lli'I'i!.ilil,lil'll ,'.I..dl".!"'I,, '",..!".,.,!II ',:1'1,""1',":'11 I: '.' '.'i.l. ". 'Iii' I: ill: II i 'III' ~ I: ,i: I' i ii.: I i II i' ill, :'lil:;iil,!!I!!lil!!,l!:!illli,llliliip;'!t, : : i i ~ j i:!!! i::: i:' I ~j :!:: ~! i!: I!; I!:;::::::. " ~ i ii, i i i: : i i ~ III i.1 i 1 : Iii:: Iii: it II;, ! ii, ""::';":""1.",,'" "",.;,;:":"";:! ""';"11'.:":':; (e) Bu"'a'da'lIaClallo" Ibu.,,,,.."",,,,a''''.'''''''. d) '''~a'l.,., "."ad (.)CII"'IO"IIII" (I) Mill""" (9) O.p'.'M!u'''lI,"IUClm" 15. 3.. ear '0 0 . to e C 7.. Itar rn nr d 10- oar '0 e 1~- eat to ..eet 08 a 25-ye" DraoerIY h RlIldonUal ronlal to 0 NonreaidenllaJ r811 to e 2~ r5. 27.S ... 27.S :J9 rs. 5/L MM 5/L MM 5/L MM 5/L MM 5/L a e" 01 the InstruCllon9. reclallon S stam ADS SOl 16a Clas.lllo 12- Oil 12 ... 5/L 40 ... MM 5/L Part III Othey De reclallon Do Not Include Usted P,o ert, So. . 040' 'holn"",cllo".. 17 GDS and ADS daducllon5 for l15ets pllced in sef\lice In 10 yeats beginOlng before 1996, , , . . , . . . . . . , . . . , , , ., 17 16 Proporty .ubloc:! to .ecUon 16S(nll)0Ioc:Uon , , , , , , , , , , , , , , , , , , , , . , , . , , , . , , , , , , , . , , , , , , , , , , , , , , , , " 16 19 "CRS and other de reelaUon . 19 i:I' art IV ' Summa SM a It" or the InsfnJcUons 20 lJa1ld property, En'''' amountlrom IIno 2a, . .. , , , , .. , , , .. , .. , , .. , , , , . . . . , . . . .. , , .. .. , .. .. , .. .. , ,.. 20 21 Total. Add deductions on line 12.lIne5 15 and 16in column (gl, and lines 17 Ihrough 20. Enter here and on the appropriatelln.s 01 your rerum. PartnershIps and S corporallons-see Instructions. 21 22 For assets shown aboye and placed In service during the currenl year, en tor lhe ortlon or tho basis attribulable to ser.Uon 28:JA costs 22 For Paperwor1c. R.dueUon Act NoUce, ,.. plge 1 of th. ..parale Instructlons. OM '0'," 4562 (1I1fl 'or.. .UJIUtl, . PartV. ~ TRISCARI PRODUCTIONS, INC, ~5-1769666 Uated Property-Automobile., Certain Other Vehicles, Cellular Tolephone., Certain Computera, end Property Uaed for Entertainment, Reereallon, or Amu.ement Note: For any vahlClelor which you ar. Usln the allndard mlaag. rile or daducUn leue ..pense, complele only 11II.0.2 (b) DIll plac.d u, UN'C. (d) COlloroU,.r bU'1 . See I .! 01 thlllnstructlonll lor IImllnons for aufomoblles. Ves No 23b n "Yes" i!llhe evidence wrlnen1 Vu (0) (I) 19) lh) aUII'O'dIDr.Clallon Aaco",.ry U.I"Odl C.PrlCIIIIO" (bllll",..Ii"",."",."1 plflGeI Con",."1I0" "."IICII"" I No 238 00 ou have evidence 10 su (0' T)'IIlo'",o", 1"""'."1111.. on the busn.llnvesl. use claImed? (e) 111'1'1,/1"",..1. '" .""t. (I) IllcI." ..ChO" I"~ 24 Pro used mor. thin ~ In I uaUned business use See Ie! ot lhelnstNcUons. : ~ 77 . 7 25 p,o used ~" or less In I uatllted business use 508 a e S of the Instrucnons. .' S/L- S/L- 26 Add N1'GunlS In column (h), Enlerths 10111 her. end on IIn. 20, pogo 1 """" , , , , , , , , , , , , , , , " 26 27 Add amounlsln column I. Enl&r the 10lal her. and on Une 7 8 8 1 .. . . . . . . . . . . . . Seellon B-Informallon on Use of Vohlclas Co~let.lhll seclion tor vehicles uud by a sole propr1etor, partnel, or other "moro than S% owner," or relaled person, 27 U \/OU Dro""d.d ",."tcl.1 to our..... 10..... hul.".....r HI. IIU.ItIlI""I" S.clla" C to I.. " nu ,"..tl" ..C.II" 0"10 camlll.'l"""".I.cllll" lor'"OI.....tI,cl.l. (a) Ib) (e) ld) (0) II) 26 Tolal bu~nesallnvestmenl miles drIven during Vehicle 1 Vehicle 2 Vehicle 3 VehIcle 4 VAhle!n 5 VehIcle 8 Iho yoor 100 NOT Includo convnullng mdo.) , . , , , , 1/;'R7 t,qO~ 29 TolAl cOrm'lJlIng mln driven during the yoar. . . . . . <;1q<; 0 30 To'lI olher personll (nonconvnutlng) mlu dnven. . . . . . , , . . . . . . . ., . . , . . . . . . . . , . 0 n 31 Tolal mle. drtven dufing the yell. Add tln.. 2a Ihrcugh 30 ........""..,..'", ., .E;R' , !qO~ V.. No V.. No V.. No V.. No V.. No Vo. No 32 Wu the vetudl availa~e lor personaJ u.. durlng on-duty hou..?, , , ..., , , , , , , , , , , , , x x 33 Wu Ih. vohlcJo uoed prlmorlly by 0 mora than 5% own., or related person? . . . . . , . . . X X 34 I' anolher Vlhld. Ivailable lor pOr5onll use? . . . . . ... . . . .,. . . . . .... . . . . .. . . . . , . . X X Secllon C-aueaUona lor Employers Who Provide Vehlcla. for U.e by Their Employeas Anawer these quesdons to determine II ycu meeran excepdon to complellng 5ecUon B lor vehicles used bV ~Ioyees who a,. not mor. 'hln S% owners or rellled ersons. Vea No 35 00 you malnlain I wrtnen policy slalemenlthal prohibit:! all personal use or vehiclos, Inctudlng commuting. byyou'omploV..e?..,........",..,..""".."".......,..""""".."..""".",.,."",..,.,.., . 36 00 you maintain I wrtnen policy fttstement thll prohiblls plrsonal use or vehicles, excepl commullng, by your employees? See page 8 01 tho Instructions ror vehlclos used by corporate omc,,,, directors, or 1% or more owners. . . . . . . . , . . . . . . . . . . . , . . 37 Do you Iro., 011 ueo 01 .ohlcle. by .mploy.... u po..o"1I u..? , , .. .. , , , , , , , , , , , , , .. , , , .. , . , , , , , , , , , .. , , , , , , , , , , . , , 38 00 you provide mofllhan nVB vehicles to your employees, obtain Inlormation Irom your employees Ibout the use 01 the vehicles, and refllln the In'ormation received? , . . . . . . . , . . . . . . , . . . . . . , . . , . . . . . . , . . . . . . . . . . . , . . . . . . . , . 39 00 you meel the requirements concerning qualJnod automobile domonstraUon use? 50e page 801 Ihelnstructions, . . . . . . . . . , . , . . Note: It our answer to 3e 38 37 38 or 39 Is "Ves. au need not com lote Seellon B for the coverod vehicles. >.I'PlIl1:V1 (a) D.IC"ptlo"o'cul. lb) 0.1. ,,"orllllllo" bellI"' (c) "",a,lIl.bl. l",ou"1 ld) Cadi '.ctIO" (0) ""'artlllllcn p.rlodo, .,c.n'" II) "",orll&&'10n'or Itll' 'tit, 40 Amortization 01 costs lhal b Ins durin our 1998 lax oar: I' '. 41 Amortlzltion of costs that an before 1908. . . . . . . . . . . . , . . , ., . , . . , . , , . . . 42 Total. Enl&r here and on .Olher Ceductlons. or .Olher Expenses.lino 01 your reh.un eM 41 42 SCHEDULI K.1 (J'onn 112081 a J 1._'_llier.....". --- Ill.........." ....IIII"ilII ..- ~ Ift.rtIlOldt(I IWN. add...., ...., ZIP cod. ~ ,--- ShMehOt..Qr'. Share of Income, Crodlts, Dsductlon~, sic. ~ ... 1I,.ral. INlnodl..., ,., III......'..' 1"1 DlIu ,oar nclln In Co orallo.'1lllml In nomCI. .. 2 5 - 7 9 CorporaUc.n's name, add,",. Ind ZIP code OMS No. '~1:JO 1996 SEBASTIAN TRISCARI RISCARI PRODUCTIONS, INC. 59 CENTRAL BOULEVARD 9 CENTRAL BOULEVARD CAMP HILL PA 17011 AMP HILL PA 17011-4211- A 1"'''''Oldt('IHICIft''01 olllOCk owoI"ftlp fOl In 'II' (I" InlllUc1fonllo. Scftldu~ K.l) ................................................... ~ . 1n1l....lllvlnu.ltMclClnIl'wlI.lIcol\lonUonlllldblllum ~ PHILADELPHIA, PA C Tulll..., lIlIillraUon numoo, (lit '.IINcllonl tOl Schldull K.l) ~ 100.000000~ ...' ",M"""K'1 n..'....'.,......,..................,.....,...........,........,.....,..."..,..,. . ....... 12\ Amlnd'd K.l 1'1 Pro rala ,n... "lOll (C) Amounl ('1 Fonn 1040 nll,unll' In, amount In column Ib\ on: 1 Oldln." IncOl11lIIoIl) Irom IIIdl 01 Cu.inOll IelNdlu .".............................. 1 42,615. I NIlIncOl11l Ootallrom 1II11111UluUI.ICtt<IUu 2 }--'_."... .......................................... ~.....~lDt I NIlIncOl11l (Ioul fr.... otn., ItnlallC1lvnlll ............""....................."."...... 3 ~K.l(Focmll~ 4 PortfOllo InCOllll (1011): ~.O:. ! IInllllll ,......"......"......,.. ..............".. ..................,....................... ....... CI 6,B92. scn, 8, P.rt 1,lIn. 1 . OMdlndl '.....................................,...................................................... 4C Scn, 8, Part 1I,1In. 5 J . Royall.. ..........................,........."..,....................................................... 4. Stn, E, Plrt ',IIn. 4 . Plollllort-llnn upbl 0.1n (Iou) ............................................................... 4' scn, O,lln. 5. col. (~ 0' (0) . NIl lono-llnn UIlbl Oaln (Iou) ...........,................................................... 41 5th, 0, Un. 13, col.l~ or (0) , 011I11 portfoh 1nc0l11l (Iou) (.llacn "hldu~) .......,...'................................. CI (ftlwlllft~_oIyout..eum.1 . NIl Olin (1011) undll SIdIon 1231 (olftll ItIln dUI 10 ...u.ny 0' "'SN.IIf';cMlM(.IM~ 1tI'~1 ..........,........,..',..,.."....,..,...".....,.,..',.."...........,..,...,......,..........." 5 tot ScIMduM/IC.. tf.arm "2OSJ. . "'nl' Int.... 1101I",n"h IC11ldu~1 .,."., ....... ............. ......................... . "l.IlIft_~~oIVftW'..-u"" 7 ChI~ contrlOllUon. (.lladllChldUIl) ................................................... 7 Scn, A,IInI 15 0' 15 . IICIIoI\ 171 1_" dlduc:llon ............................................."................... 8 12.B91. } --..,.....--........., . Doducllon.lllalld 10 portfOliO Income (10") (.n,on .onldu~) ......................., g IMlnIdoM IIw ~ IC.. .. ,...~.,.ft......., . . SEE STATEMENT..... 3.B33. ~omt 112OSa. 10 I 11 Ilnllll1l ~nu 1Idlnvutmlnl dlCls ......................................................... II' fonn 4952, 1In. 1 . 111 InvtllmlnllncOl11l InclUdld on \Inn Ca, 4C, Cc, .nd cr .boYf ....,...,..........., blfl 6.B92. ) "~.VltINctloM "'I ,---In..'.....nlln...boYf .. .... ...... ...... ........... b'2' IWSc:fMdWIC.' ~<<rfI112OlJa. 11 I Clldllo, MollOl ulld.. filII ..................................................................... 121 Fonn 6478, 1In. 10 . Low-lnl:ome ftoullno clldl: ,:j, 111 ".... Ildlon C2(Jl(S) partnl"ftlpl tor proPlrty pUCId In IIMcI bllolI 1890 ........................................................................... C/l\ (21 011I1, 1II.n onlln. 12b(l) for P'OPlrty plocld In SINk. b.lolt 1800 ........."..................................................................................... C'21 131 ',om Ildlon C2(Jl(5) portn.l1ftlps 10' p,op.rty pUcld In Fonn 8S86,lInl 5 I IIMcI'~II 1911 ..........................................................,.,..."..."....... b'31 IC) 011I11 ltIan .. ifni 12b(3) fOl proPlrty plotld In SlNkl .n" 1"0 ................................................................................................ bl41 . 0u.1llI8d IIhalllllladon ,Jqlfndllu..s ItUlld 10 Itnlal...1 "lall sctMtII. ....................................-...........................,........"."....."........... 1~, . Clldlls (oltl..tIIan clldb shown on IInIS 12C .nd 12c)ltlolld ,. s..p.glI7o'tr\<e~. IInlllll.1 lllaltlCtlvillaS .................,..,......,.....".......,.,.".,......,......."........, 12. Ntr\lC1ioM lar ScM:IultlC., . Clldb 1I1011d 10 011111 ..nlallc1fvltJn (SIIlnsllUctlonl) 1~. ~omt 112OS). ............"""............... 13 .....,........... .............. 13 I 14 . DlplldollOll adju.lmlnl on prop.rty plocld In "Nklln" 1986 ..................... 14. 15.666. . Adiullld g.1n or Iou 14C <13,111- 5.. pogo 7 ot thl J .............................................................................. Sno..nold.(, I DlpIoUon (01ll..1IIan oM .nd g..) ............................................................... 14, Instructions fer 1 11) C.onineo"", kern oU. gl1, o. Olothl"",,1 P'OPlrtloS ................................. "1' Sthldu~ K-llFonn (II Doduc1fon. .....b~ 10 oM,gl1, olg.othl"",,1 p.OPlrtloS ................,.....,.... "2' 1120S)lnd II Instructions fat ... I """r .dlu.lmln" .nd lax n~fl..n.. Mom. I.noch ..n,dul.I ..... ............ 14. Fonn 6251 1 I NlA ,.. Plp.IWOr1l RI'uctlonA<! Holln..n "8.1 01 INlnoellona I., Fonn 1120S, S:hl'ul. K.l (fonm 1120S) ml '1'14' 0''''','' 21310410 02513 050 9 TRISCARI SHAREHOLDER NUMBER 1 PRODUCTIONS, INC. 02513__1 ..... 11205 U.S. Inc'-'e Tax Return for an 5 Cor['--'~atlon ... Do ,.JI file this form unIt.. thl corpor.tlon hI. tlmlly f11ld Form 2553 10 elect to b. an S carpar.llon. 5.. 58 'III Instructions. 07 01 O...,tmenl 01 Ih. r'.....y tn,w"-l A"entl, ~."I', A 011"'''"110".'''' 'torpor.llon 1995 In _. " In 12 31 95 c EmpIOY.IClllnllll~IIO"""/fta.. U.. IAS laba', Other. PRODUCTIONS INC. 25-1769666 07 /01/95 8 .....1"". coda no. (... So"'rllln'"UCllon,) Numa.., 'U"', and room Of lUll. no. III . P,O. tlo., ....n.trucl1on'.1 o cllllncorporalld Will, pi.... 9 CENTRAL BLVD pll"t ar ClIy 01' 10""..11'1, and liP coda 07 01 95 E Tola' U.,I, (... SplKl'lc Inllll.lCllon.) 348 330. 812 AMP HILL PA 17011-4212 , ChICk appllcabla be.." (1) IllnlUl1 ro/Um (2) 0 Flnll 'a/Um (3) 0 Chlngl In Iddr..s G H (4) 0 Amlndad "/Urn Ch... 'hi, Do.tlthlc S cOI"".lIonl, '''01"110 Ihlcon,aUdalld ludll pt'OCK~" 01 '"110n'124111'1(0IolQ" 12.5(...lnl't1.lCllon, b"orl ehKllng 'tll' bo.1 . Enter nu."b., af !ohaf'lholders In the cQrDoralion al end at the lax vear 1. I 2 n . 3 . '" 4 . 5 . 7 . 8 . , 8 n 10 , I 11 , o u 12 . , . , 13 u I , . 14. I " I , b . " , , . C , 15 I 18 I '" 17 I I 18 . I 18 I . 2lI " . T . . . " . . . , '" , " I , Please Sign Here ~ 0 ~ 1 Grass rec.lptsorsales 10 542. bt.ltt'.IIM'"land.uowlnc.. Cost of goods sold (Schldull A, IIna B), , , , , , , , , , , , , , Gross pro!t. Sub~act IInl 2 'rom IInl Ie. , , , , , , , , , , . , , Not glln (loss) I",", Fonn 4797. PIn II, IIna 2lI (anach Fonn 4797) Othor Incoml (loss)(lnach schadula), , . , , , . , , , , , , , , , , , c ell ~ 10 10 542. 439. 103. .....',.., , Camplnsltten ot offlClrs , . . . , , . , , Sallrll' and wages (less .mployment crod!ls) R.palrs and malntenancl . BId d'b's, , , , , Alnts, , , , , , , TlxlS and licenses Intlrlst . . , . , . . OlprecilUon (II required, Inach Fonn 4~2). , , , , , , 4 13 824. O.precl,-Uon clalm.d on Schedule A and e/sewhore on return, , . " 4 Sub~act IInl 14b kom IInl 14a , , , , , , , . . , OapllUcn (Do not dlduct 011 Ind gas dlpllUon,) AdVlrtlslng , , , , , , , , , , , , , , Ptnslon, pratU.shartng, ltc" plans . . . . , . . . Emplcyo. blnaflt programa, , , , , , , . , , , , , , , Othor doducUons (anlch SChldull), . , , , , , . , , , , , , , , , , , SEE, STM!', ~ , , Total d.du<llans, Add th. amounts ahown In tho la, rlghl column ro, IIn.. 7 through '9 , , , , , , ~ 103. 4 212. 13 824. 22 Tox: I El<<:ISS nil plsslvl Incoml 'ox (Inlch SChldull) , , , , , , , " Tox kern Schldula 0 (Fonn 11205) , , , , , , , . , , , , , , , , , , o Add IInla 221 Ind 22b (Sll InstrucUons Ie, Iddldonllla...) , , , , , , 23 Payments: I 1115 ..11",.lld lall paymlnl.and amounlappllld 'tom lill" r.llM'n b Tox dlposl1ld with Fonn 7004, , , , , , , , , , , , , , , , , . , , , c Crodll fer FldarllllX plld on lulls (Inlch Fonn 4136), , , , , , , , , d Addllnla2.1lthrough2.1c , , , , , , , , , , , , , " , , , , , " " , , , , , , " , , " , ,. 24 Estimllld IIX pin Illy, Chick I' Fonn = Is Inlchad, , , , , , , , , . , , , , , . , , ~ 0 ~ Tax due. If the tatal at lines 22c and 24 Is largor than line 2Jd, enlor amount awed. See lnatrucUcns 10, daposltary mathod 01 plymlnt. , , , , , , , , , , , , , , , , , , , . , :za OvorPlymlnt. IIl1na 2.1d Is Ilrgl' IItln tho lell' 01 lines 22<: Ind 24, anll' Imounl cvorplld, 7 692. 25 728. -25 625. 2b 22b NONE ...,..,.... , ,~ ,~ Und. p.....llI..o' P.l""'y, I dlC!w.lhall hav. ''II,mlnld Ihll ,.llM'n,lncludll'lg Iccompanylng Icn.dul..and ,Iallmlnll, and 10 Ih. b'll 01 my IlnClwl.dgl and blllll,U Illn,l', cor'lCl,and campl.I., OKI.,allan al pI'pat. (oln.lh." 1a1lP,y"ll. b...d onaU 1"'OfmaUano' wnlch pr.p.,. hu any Ilnowlldgl. P'IP&l'.', loclal ,.""'")' n"""b. Paid Preparer's Kenneth W Use ani 2135 Market for Plperwork Reduction Act Nallc., ..e .'plr.f. Instructlans, JXI .,2/..,IS Camp Hill, PA 169-44-2549 25-1677594 17011 ...'" 11205 '''''1 _~11 ~ TRISCARI PROD. _TIONS. INC. Cost of Goods Sold lS11 Ins,",cuans) /--., 25-1769666 Paq. 2 1 Inventory II blglnnlng or YO"' , 2 Purchases........... 3 Cost alllba, , , , , , , , , , 4 Addltlonll slcllon .2ll3A costs (anach schodull) , S OIIIlr costs (anach sch.dull) , e Talal. Add IIn.. '1hrough S, , , , , , , , , , , 7 Inventory atend ol yolr, , , , , , , , , , , , , e eoll 01 goods aold. Subuactllnl 7 rrom IInl e, Enll' horo .nd on paga 1, IInl 2, eo Chick III mo1hods uSld ra, valuing closing Invlntory: 0) 0 CO.. IS dlscrlbld In Rlgulauans slcuan ',471'J (II) 0 Lawlr ol cost a,m."'"I.. d..cnbld In Rogulauans Slctian 1.471-4 (III) 0 OIIII,(sp.clfyml1hod uSld Ind Inach I.pla,.uan) ~ _ _ _ _______ _ ___ ___ _ _ ___ __ _ _ __ __ _ __ _ _ __ _ __.... b Check I'therlwas a wr1tedown0' "subnonnaJ"goods asdescnbedin Aegulallonsslcllon 1.471.2(c). . . . ., . . . . . . . . . . .. .. L..J c ChIck II 1111 UFO Invlntory ml1hod w.. adoplld this II. yoll lor any goods (II chlckad, anach Fann 970) . . , , , , , , , , , , , , , ~ 0 d If the UFO InvlnwIY method was used tor mls tax year, Inter percentllge (or amounts) of closing Inventory computed undar UFO, , , , , , , , , , , . , , , , ,', , , , , , , , , , , , , , , , , , , , , , W · 00 the rulls 0' section 253A (lor propeny produced or acquired for resale) apply 10 the corporallon? . . . . . , , Was there any chang. in determining quannnes, cost, Dr vaIUIIIO"S berween opening and closing Invenlory7 . I! ~~ . l~aCh I.alanluan [~"jtjBiJ Other Information 5 21. 4 160. , SEE. STMT. ,2. 10 358. 39. 10 439. o VIS o V.. IKJ No IKJ No 1 Chick mlthad 01 accounting: (a) 0 Cas~ (b) IKl Accrual lc) 0 Othar lsplclly) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2 Re'er to the IIslin the instnJctlons and state the corporation's principal: II) Busln....clivlty~ Y~P~9______________ lb) P,aduclarsarvlco ~_~~9P!!S:!~9!l___________ 3 Did the corporation al the and of the tax yellr own, directly or Indirectly, ~% or more of the voting steck of a domestic corporation? (For n.lles of annbution. 58. section 267(c),) If "Yes,. anach a schedule showing: (I) nam., address, and employer Identiflcadon number and (b) porcenrage owndd . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X 4 Was the corporation. member of . 1.'Ontrclled group subject 10 the provisions of section 1!5617. . . . . . . . . . . . . . . . . . X 5 AI any time during calender year 1995, dId the corpora non have an Intereslln or a slgnarure or other authority over. ftnanclal.ceounlln a for'lgn country (such as II bank acccunl, securities account, or other financial account)? (5.. Ins,",cuons IorelCCapllonsand nllng requirements for Fonn TO F 90-22,1,) , , , , , , , , , , , , , , , , , , , , , , , , , . . , It-V,s,.,nter thl nllT11 O'thl torelgn country.... _ __ _______ ____________ ____________ _______ e Was thl corporation thl grantor of, or transferor to, a foreign truSI Ihal existed during the current tax year, whether or nol the corporation had any beneftclallnterast In It? II "Yes,"lttl corporation may have to file Forms 3S20, 3520.A, or 928. . . 7 ChIck !hIs ba.llth. corparaUon hn nled or Is required 10 fill Form 82ll4, Application lor Rlglsuauan of a Tn Shllllr, , , , , , , , , , , , , , , , , , , , . , , , . , , , , , , , . , , , , , , , , , , , , , . . , , , , . , , , , ~ 8 Chick !hIs box II !hI carparaUon Issuld publicly offlred dlbllnstrumonlS with arlglnallssul discount . , , , , , . "~ II so, !ho corpa'atian msy havI 10 11I1 Form lI281,Intormauan RelUm 10' Publicly Offlrad Orlglnallssul Discount Instruments. 9 II thl corpa,suon: (e) nlld lIS Illcuon to bo an S carparauan afflr 1986, (b) was a C carporauar. bofore 1I110cted to be an S corporation ar thl corporation acquired an assel with a basis determined by r1Iferenc8 to Its basis (or the basis of any a!hl' propenyl In thl hands 01 a C corporation, and (c) has nIt unreallzld buill-In gain (dlnnld In Slcuan lJ74(dXl))In "'COSS ol!hl nIl recagnlzld buill-In gain from prior yoa". Inllr!he nIl unreallzld buill-In gain '"ducod by nil recognized bullHngaln from prla' yoa" (sal Instructions), """"""""., ~S _____Ifq,~__ to Check this box II the corporation had subchapter C earnings and profits 1101 tho close of the tax year (sel DeSignation of Tax Mailers Person (Sll Ins,",cuans) Enter below the shareholder deslgnslld as tho lax maners ponon (TMP) tor the tilx year of this return: Namo 01 ~ Idlnulylng ~ dlslgnatodTMP , SEBASTIAN TRISCARI numberalTMP r 194-44-7687 59 CENTRAL BLVD CAMP HILL PA 17011-4212 , 111DIIII5 ~ ~ 'I"'!' 51 TRISCARI PRODUCTIONS INC 25-1769666 . :I . . I . , , Oft . . I , ~ ,'M . . to. I . nf n_~.. ..... ,., .~ 'ON . .~,. 1 Ordinary Income (lass) from rade or business _c:UVinl, (page l,lInl 21) . 1 -25 625. 2 Nellncome (loss) from rental ....1 "tatl aCtlVlalS (attach Form ae~) . f . . . r . 2 2.175. 30 Gross Income tram ather rental aCDvnMS. . . . . . . . . , . . , ,. ,. I"; I b EJcplnses from other 'In tal acttvltl., (attach schedule) . I.h I .......'...... . Net Incom. (Joss) from other IInll' activIties. Subtract IInl Jb trom tint Ja 3c , 0 . 4 Pan1ollo IncCllT1<l (less): Oft ..,........... . Intll1lsllncom. . 41 447. . , , L b Olvld.nd Inccm. 4b . ' , , Royalty Incom. , 4c , . , , d Not shon-tlInn .lpl.11 glln (Ie..) (Inach Schldull 0 (Fonn 112OS)) , 4d . Nolleng-Ilnn clpila' gain (Ie..) l.nach SChldul. 0 (Fann 112OS)), 4. I Oth., pan1ollo Incoml (lass) (onach .chldula) , 41 S N.I gain (Idss) undor .Icnan 1231 (om.r man duo 10 ca.ually or man) (an,ch Fonn 4797) , S 0 ,,~--. ,..-... ....-..1.' B 0 7 Charuabl. conmbullons (anach .chldul.). 7 I . I B Section 179 I.plns. dlducuon (attach Form 4!!l62). B . . , . I O.duction. rllatad Ie pon1ollo Incom. (loss) (I.oml,o), I . , .ft ~._- . I...... 10 I ft. Intarlsl expanse on investment d.bts. 11. ""'I~ := "- b (1) Investment income Included on lines 48, 4b, 4c, and 41 above . l1b(1 447. II'r ,,, I'.' n ...". l1b(2 1211 Crldit fer alcohol UHd IS . rull (ilnach Form 6478). 1211 b Law.lncoml housing cNdlt: ...... (1) From pannorship. Ie which .0Cbon 4;l(JX5) IPPU" lor p'oporry plaCid in .0"lco bororo 1990 . lab;;-; c (2) Oth.r man on Una 12bll) 'or proporry placod In ..,,'co bolorl 1990 , lZb'2 , , (3) From pann."hlps to whiCh s.ction 4;l(JX5) appU..ler proplrry placod In ,o"ic. anor 1989 lZb/3' . , (4) Other man on Un. 12b(3) lor proplrry plaCid In s."lc. Inor 1989 lZb14\ I , c Ou.llnld rehabllltatton Ixp.nditures rllatld to rental rultslat' activities (aRach Form 3468) . 12c d Crldlts (othlr than credits shown on lintS 12b and 12c) r.lated to rental rutls1atl acnvllles . ..~ . Credits related to ath.r rlnlll Ictlvlties , , ... .. .. . 14. O.procl.tIon .dlu.,",.nt on proplrry plac.d In s,,,Ie. anor 198B, , , u. .~I b Adluslld g.ln dr loss , , . , , , , u. . I I O.pl.lien (omlr than oil .nd gas), u. . . . . T' Oft d (1) Gloss Incom.lrom oil, gIS, or g.om.nns' proporti.., . u~", . . , " , , , . (2) O.ductlon. allocabl. Ie oil, g.., or g.dmannal proporti.. , ......, . , " , , , . - , ... .-- 'r""--'- .. . Ill1 Typ. of Incom. ~ . ------------------------------------------- i"( ,"'\' , b Namo df rorolgn c:tluntty 0' U,S, pd.....lon ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ . 'A. I c Total gross income from sources outside the United SlatlS (aRach schedule). . d Tdlel Ipplleabl. d.ducllons and 10.... (attach schodul.) , 'A~ . T . TOlel ror.lgn lAX.. (chock dno): ~ 0 Paid o Accruod, " , , , ... . . I Reduction In taxas available tor crldlt (anach schedule) , , 'A' . ft , . In__" 'A~ lB S.cUon 59(.X2) .xplndIMI.: I Typ. ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ __ .,.,,;'\.;' ,"'.......,fj>,. b Amount, " , , , 'Ah 17 Tax....mpllntertSI income , , , , .. 18 Other Iax-lxempt Income. , , , , , , .. 11 Nondeductible txptnses . , , , , " , SEE ,S.TM'r ,3 .. 270. 0 20 Tot.' prop.rry dl.1I1bubon. (Inlludlng ...n) omor man dlvldond. roponod on Uno 22 bolow ... I . 21 OIhlr Itlms and amounts requirad to be roponad separatoly 10 shareholdors I.:~~;, , , (.tt.ch schodul.) 22 Total dlvldlnd distributions paid from IcCumullll8d earnings and profits , , 23 Incame (1011). (Required only It Schedule M.l must be completed.) Combino lines 1 I:,>:, duough e In column (b). From the resull, SublfDct the sum of lines 7lhrough l1a, 1~, and .0. .. -23 003. , 11101/15 ~on~ t.'7n~(lgq~1 ':1 .-., TRISCARI PRODUL.iONS ~ , INC. B I"nl alIa. .., 25-1769666 ., Asslts (I) E"clOf ,.. .., 1 C..h"", 2a Trade nOhls and accounts recolvable b Less allowance fer bad deba 3 Inventories.......... 4 U.S. Gov.rnmen- obllglnons S Tax~.xlmpl S8Cuntles. . . . a Othor curr.nt ....15 (anach .ch.dule) S.TMT .L -.1 7 Loen. to shereholdo.., , , , , , , , e Mongage a,d rial .state loans . . . . 9 Other Inv.srnena (anach schedule). . loa Buildings and other depreciable aS5e15 b Less accumulated doprecJanon 11. Deplelable assets. . . . . . . bliss accumulated daplellon. . 12 Land (nit or any emonlzanon) , 13a Intangible asselS (amortJtllble onl~) . . . bless IIccumulaled amortization 14 Othor assets (anech schedule). . . . . . lS Total assets . . . . . . . . . . . . . . . UlbillU.. Ind Shl,eholder.' Equity Accounts payable . . . . . . . . . . . . . . . . . . MongaQes. nOles, bonds payable in 18ss than 1 year Other curr.nt liabilities lanach .Chodul..,.TMT .L-,2 Loans from shareholders . . . . . . . , . . . , . . Mongages. notes. bonds payable In 1 year or more Oth.r lIablllti.. (anach sch.dulo), Capital slOck. . . . . . . Paid~in or caplral surplus . Retained eamlngs. . . . . less cost of treasury stock. I 348 330. .!!t~~J Reconciliation of Income (loss) per Books With Income (loss) per Return (You ere not ,squlrod 10 '. . . -__'oi:~t;.:/.~, com lete this schedule If the toll.'ll assets on Une 15. column d. 0' Schedule L ar8 less than ~.OOO. 1 Nollncomo (10") p., book., , . . , , , , , -23 273. S Incomo reco'd.d on book. this yea' not 2 Incomo Includ.d on Sch.dulo K, IInos 1 Includ.d on Sch.dule K, IInos 1 through through 8, not recorded on books this year 6 (Ilemize): Otemize): ______________________ I Tax.exemptinterut$___________ (b) (c) (d) 114 170. . ...."".'...~',y.:.~....,'>,...:,'.'w._\.,...,' 42 133. 42 133. 400. 368 67l. 177 044. .._~:":M;: ~::.~::L~~iCi1:,;:,OJ 191 627. '."^.,,.~..,,;-, 348 330. 18 17 18 19 20 21 22 23 24 25 16 929. 46 745. 8 453. 50 249 -23 000. 476. 273. ------------------.--------- 3 Expenses recorded on books this year not Includ.d on Sch.dulo K, line. 1 through III, 1~, and lab Vlemlze): . C.preeletion $ ___________________ b Travel and enlBnainment S ----------------------- 8 Deductions Included on Schedule K, lines 1 through l1a, 158, and 16b, nOI chargld against book Income thIs year (Itemize): I Depreciation $_______________ ------------- 270. --------------------------- ----------------------- --------------------------- 7 Add IIn.. S and a , , . , , , , , . , , , . -23 003. -23 003. Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders' ----------------------- I ~-'~..,...~ .~'ia\lfifME2. '~..;.;:.~: 1 Balance at beginning of ta.x year. . . . . . . . . . . 2 Ordinary Incomo Irom page 1,IIno 21 , , , , . , , , 3 Oth.r edd/non. . , , , SEE, STMT. M-,2 -,1 4 Lo.. from pago 1, line 21 , , , , , , , , , S Oth.rreduction."" SEE, STMT. M-,2-,l 8 Combine IIn.s 1 through 5, , , . , , , , , , , , , , '1 Distributions other than dividend dIstributions. . . . ohm 8 8 end of la)( 8n. ublrac line' from Uno " 02/02/11I (a) AccumuJ.lld .dlullmlnlla"aunl (b) Clh...djultmlnll .ccol,lnl (c) Sh"lhold.I'U"dlltrlbulld Ia.ablll"'oml prevlou.1V laud 2 622. 25 625. 270. -23 273. -23 273. ,...... SCHEDULE K-l (Form 11205) Shareholder's Share of Income, Credits, Deductions. etc. .. SI. "parltl Instructions. For cllendar Y'" 1995 or l.x Y'" 1995 .nd .ndln DECEMBER 31 JULY 1 194-44-7687 SHAREHOLDER 1995 O.-rlm.n1 0' Ih. r'...IlfV (Ill VI " I Sh.,.hafd.,'s Idenllf\tlna number ... Sharehold.r's nam., addr.ss, and ZIP cOd, SEBASTIAN TRISCARI S9 CENTRAL BLVD CAMP HILL. PA 17011-4212 #1 1 95 ~ 25-1769666 Corporation's nam., address, Ind ZIP cedi TRISCARI PRODUCTIONS. INC. 59 CENTRAL BLVD CAMP HILL. PA 17011-4212 " Sh.rahold.(s percentoge 01 slOck owne..hlp 10""1"'"' (s..lnstruc,ons 10' Schedule K'I), , , , , , , , , , . . , , , ,~ 100 . 000000 " B Intemol Rovenu. Se",lce Center whe.. corporollon filed Its ralum ~ l'.!tI_L]IA~~I:I!~~!.. _~~_ _ ____ __ _ _ _ _ = == = === =====_ C Tax shelte, reglstrodon number (seelnslTUc,ons ler Schedule K-l) , , , , , , , , , , , ,~ tnn "'nol K_' t21 n , K_' ------------------------------ C Check secUclble bolt.MIC' e.) Pro rata share items lb) Amount (c) Form 1040 file.. enler the amount I" column (b) on: 1 Ordinary Incom. (loss) from trade or business actlvilJes , , . -25.625. See Shoreholde(s 2 Nil Income (loss) frem renlal real.StllI' aCllVtllos . . . , . 2 175. 1 Instructions for Schedule 3 Netlncoml (loss) from other rental activities. , , , , , K-l (Form 11205), 4 Portfolio Income (loss): ....,...;.,. I 1 Inllrut. . " , " , a. 447. SCh, e, Pon I, line 1 0 b C"ldends , , , , . , , 4h SCh, e, Pan II, line ~ . . c Royellles, , , , , , . , 4- Sch. E, Pon I, line 4 m . d Nel shon-Ierm COplll1 goln (Ion) 4A Sch, C, IIno 5, col, (Q or (g) , , " , , , L Net long-term c,ploelgoln (loss), 40 Sch, C,lIne lJ. col, (Q or (g) . . , . ., , , , , , Other portfolio Incom. lion) lon.ch schedule), 4' lEnt.. on .ppll"IlI.lIn. 01 yo..,.lwn.1 , " , " . ~ Nit gain (Jass) under Slction 1231 (ather than due 10 casualty Se. Sharaholder's InsU'Uctlons or Iheh), , , , , , , , , , , , , , , , , , , , , " , , , , , . fer Schedul. K-l (Form 11205), . , (In..' 'on..h A t~."......... ..l....h' It 7 Choritoble contributions (onoch ,chodule) , , , " , , , 7 Sch, A. line 15 or 18 Do . I 8 Section 179 .xpense deduction . . . . . . , , " . , , . 1 . . . See Sh,reholde(s Instructions " 0 8 Ceductions rallied 00 portfolio Inccme (loss) (.nach schedule), fer Schedule K-l (Form 11205), . . .n "'h.. .fo.""' .n I ~ 11. Interest expense on In\lls"'.nt dobts . . . . . . . . . . . . . , , , , ... Form 49!52, line 1 o I om. .' . btfl 447.1 Se. Shareholder's Instructions .0 . b (1) Inves""enllncom. Includod on lines 4., 4b, 4<:, end 41 ebove , ,0, /2\ 'nn IIn. hf2\ 10' Schedule K-l (Form 11205), 121 Credltlorslcoho'usedosluel, , "','" , .", , ,," , , I". Form 8478, IIn. 10 b LDw.lnccme housing credit: ~~~ (1) Prom ..cllon 42(!X')pvln..,niP' ror prop..IV pllUd In ,..,tc. belore !liDO. , , I Form 8588, IIn. ~ (2) Clh.,lh1n on line 12b(1)lor plop.IV placid In .."IC. belore lli1lilO. . . . I h'" C r (3) Ptom ..cllon 42C/XSlpattn.,hip. for prop. IV pllced In ...,Iceau. 1118li1 . I h'" . . (4) Olh.lnlnontln.12b(3)lor prop. IV placid In,.vlce.lt. llilllil. . . . 1 'fA' I I C Cual1fted rehabilitation expendituros relat.d to rentBI real.stale , I"n DctlvltlIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I d Credits (oUllr than credits shown on lines 1.2b and 1.2c) related to rental real .state activities. . . . . . 17d Soe Shoroholde(s In'tructions , , , . , . lor Schedul. K-l (Form 11205), . CredIts relaled to other rantal activities. , , , , , , .7. .. ""'or ...dll, ., a' . .n. 14e Oepreciation adjustmenl on property plncod In service after 1986 ... I ,,, '''~.,,'' I d ~ "T' b Adjusted goln or loss, , , , , . , , , , , . , , , , , , , , . , , ..h Instructions for r. . c Cepledon (olher Ih.n 011 ond gas) , , , , . , , , , , , , . , , , ...- Schedulo K - 1 (Form m', d (1) Grasslncomo rram oil, gos, or goothermol propenies I..", 11205) ond ~ p I " , , . Instructions for ,r . (2) Oeductions allocable to 0111 gas, or gaolhormal properties . I..", Form 82~ 1 " m ..... . " . nthlllr Illrlh'.Tment!. and lov "rAference Item, (anarh .chedule\. ' '4. For P.perworlc R'cfucUon Act NOllce, Ie. Instructions for Form 11205. JXB '11111185 Sch.dule K-l (Form 1120S)1m '. ' ~ 1995 SUPPLEMENTARY STATEMENTS ~ TRISCARI PRODUCTIONS. INC. 25-1769666 --------------------------------------------------------------------------- STATEMENT: 3 1120S SCH K LN 19 NONDEDUCTIBLE EXPENSES TRAVEL & ENTERTAINMENT AMOUNT 270. TOTAL AMOUNT 270. --------------------------------------------------------------------------- STATEMENT: L-1 1120S SCH L - OTHER CURRENT ASSETS BEGINNING ENDING ADVANCES 400. TOTAL AMOUNT 400. --------------------------------------------------------------------------- STATEMENT: L-2 1120S SCH L - OTHER CURRENT LIAB BEGINNING ENDING ACCRUED TAXES PAYABLE CUSTOMER DEPOSITS 5,695. 41,050. TOTAL AMOUNT --------------------------------------------------------------------------- 46,745. STATEMENT: M-2-1 ANALYSIS OF AM AND OM 1. BALANCE AT BEG OF YR 2. ORDINARY INCOME FROM PG1 LN21 3. OTHER ADDITIONS: NET INCOME RENTAL REAL ESTATE 2,175. INTEREST INCOME 447. 2,622. 4. LOSS FROM PG1 LN21 -25,625. 5. OTHER REDUCTIONS: TRAVEL & ENTERTAINMENT -270. -270, 6. COMBINE LNS 1 THROUGH 5 -23,273. 7. LESS: DIST OTHER THAN DIV DIST 8. BALANCE AT END OF TAX YEAR -23,273. (a) AM ADD/RED TOTALS (b) OM ADD/RED TOTALS --------------------------------------------------------------------------- , .' t""\ ---. 1995 SUPPLEMENTARY STATEMENTS TRISCARI PRODUCTIONS, INC. 25-1769666 --------------------------------------------------------------------------- STATEMENT: 4562-1 15c. 7-YR PROP DEPR BASIS PERIOD CONV METHOD DEDUCTION 100 SCHEDULE C ASSETS 342,897. 7-YR MQ 200DB 13,210. 101 EQUIP-MONTGMY WARD 2,739. 7-YR MQ 200DB 65. 102 EQUIP-LERRO CORP 14,987. 7-YR MQ 200DB 357. 103 EQUIP-DUC PHAM 400. 7-YR MQ 200DB 10. 104 EQUIP-MOYER ELECTR 7,648. 7-YR MQ 200DB 182. TOTAL AMOUNT 368,671. 13,824. --------------------------------------------------------------------------- · j 10iaO 1""'\ r Oeo",*,1 01 tn.l'....uty . Inr.m.. ....."u. s.rv.c. u.s. Individual Income Tax Return 1 9961~~ lAD UM 0"", . 00 not ","II or '1""1" mI' Nl~ oua No. 1,.5-0074 Home acJ(JflSS (numo., .1nd strut). If you nav..1 P.O. box, SlI P'~' 11. 820 SHENANDOAH LANE City. tawn or post orne.. slatt, ...nd ZIP cadi. If you nay. a for.lgn address. ,n page 11. YORK PA 17404 ',nldlnlll' ~ II.cllan Clmp.lan Do you wlnl Uto Ga la thl.lund? S.. I . 1 t II I lolnl "Ium. dolS OUlSDOUII wlhl S31D 010 IhlS lund? Filing Status 1 SlnG~ Z ~'"Id hllnG Join' "Iu,n (mn II only one hId incoml) 3 X ~'II.d hlinG IIpmll ,,'urn. Entll 'POUII'. .OC, SIC. no. .boVl.nd luli nlnll hilI." MARYROSE TRISCARI 4 Hud 01 hO""hold (With qu.IlIy'"G pmon). Illhl qUllllyinG pmon I. . Child bul nol you, dlPlDdont, Inlll Ihl. Child'. n.mlh",. .. S Oualln WldOW(1f1 with It'Dlnd.nf child ( ur IDouse dIed ... 19 Exemptions 8. YOUIlIIt. I'YO\lr~llotlQmeo"''''''ean dtlmyou ...O.."derl'on rll, Ofl't.,lUlWNm, C1onoltn.:il DOl." bOO Spou.. ....... ........... .... c D.plndlnlJ: aI O<<leftCSMI. lOCI" PI O~"'lI (11 Fl..tnlrN LMlnll'N :o'~ryt::c:~,r::.,;, IWIDon:IPlO Label (5" PIQ.ll.) FetN J." 1.0c 31. '* orotf'fertuy_ .""," Your hrst name and Inrtial SEBASTIAN TRISCARI If I jOlnl return, SPOU$I'S ftl1t ",me ,nd 100t"l Lnt ",me tige.~", ust",me Un llIolRS IIDII. OtherwlSl, pllm pnnl O'lyPI. ChICk only on. box. BASIL J TRISCARI KRYSTAL A TRISCARI 208 66 2942 194 72 4800 HILD HILD If mOrl than six dlpendlnl., ... IlII In,'ruC1lon. 1o,t1n.6c. Income 7 al AIIlCb b C.p, 1 a' IOu, . fonma W. , W.ZQ, Ind 10 lQ1lQ.R fill', 11 "you did nol 12 GI' J W'2. ." 13 U1.lnSlrucllon. 14 lo,tlnl7. lSI Endolt, Dul do lal nol.llIcn,InY 17 plyrnonl. AlIO, 1a pili" Incl.II I' fonm 1 04a.V, ~It. Ih. 20. .truCIlons 10' tln162), 21 ToW number or uem tlons cl,tmed WIG'", III"'., liD', IIC, AnlCh Fo,m(.) W.2 ........................... Tmblo ,"tl"'1. AllICh Sch.dulI B II over S400 ......... ..... ...... Tu,ollmpllnl",.t . 00 NOT Includl on line BI 6b Dlvldlnd incoml, AllIch SChldul1 B II over S400 ....... ......... .................., ............................ nubll "lund',Crsdlts. or Ollsl" ol.,.lolnd 10001lncoml tm. .... ...................... Alimony rtceivtd .. ................ ................ Bu.lnm Incoml or (lossl. AnlCn SChldul. C 0' CoEZ ......... ...... .. ....... ....... C.prlll Glin o<lloss),ll IIqul"d,lnlCh Scn'dulI 0 ................ othllOlln. o,(loSSl'). AnlCh Fo'm 4797 ........ ........ TOI.IIRA dl.lnbullon. l.1!!J b rmbl.,mounl (m lost,) T.II' plnslons Ind InnUllles i..1!!J b T.ubll Imounl (,,, in"'.1 R.nlll 1111 UI"I, ,.ylllilS, plrtn,rshlp" 5 corporlllons,lruSlS, 'Ie. An"n Schloul. E .. ............ F.nn IncomlQ,/loss), AnlCh Schldull F..........., ................. Unemplovment compens~tlon ..............., ..... SO(i,'ucunlybon.fIt. .......... 12011 I b Tmblllmounl(min.t'.1 othll incoml. U,'lyllllno .mounl- SI. In.trucllon. Adjusted Gross Income II tin. 311. ~d" S2B 495 undO.' S,9,~OO il d1lkl dOl nol wrth you), ft. thl instructions forlln,54, 22 Aod thl ImouolS In IhI ", n hI column 10' 1I01S 7th,ou h 21. This Is your lollllncoms 231 23b 24 2S 34. 21 1 150. 27 28 2 23 I Vou' IRA dlducllon (".In.trucllons) b SpouII'.IRA dlducllon (m Instruction.) 24 MovinG "Din"', Al1.1ch Fonn 3903 0' 390H 23 DnH1IW ol"~ofmploymlnl tax. An"h SCh,oul. SE 21 SIlfofmplOYlO huun InsurlnCl d'ducllon (m inll ) . 27 K'llQh & .OIlofmD'.yld SEP pllnS.1I SEP, ChICk ~ 0 2a Plnll1y on urlywilhdrlw.t 01 lIV'"GI ........ ....... ... 2Q Alimony plld. Reclpllnl'. SSN ~ 30 Addlinu 2311l1'ouGh 29. ..................... 31 Sub T3ctlln. 30 from lin. 22 This Is our Id Ullld ran Incoml, For Privacy Act .nd Plperwork Reduction Act Nolle., I" Plge 7. 3 050 TRISCARI, ......"..."...................... lHA "ClXlt Ot-11-11 14550412 11435 SEBASTIAN . , ,. Apt no. ..1:1...... .~r 12 12 .. 22 .. " r Y~r 100" HCVnty numow 194'44:7687 Spou". aoc.. MCUnty n~ 206'38[9589 Fo, bslp IIndtna Ifn. 1"I,ucllonl, u, PIGU 2 end 3 In Ih. bOOkl.1. V" No X Notl: CIltIClllnQ .".....111\01 cnWlg. your I... or ~w~ your ,,""nd. No 0' bo.. Cl\edled on .. ...... No_ 01 your CI\'l(Jrwrtonlc .no' ell'oledWllhyou 2 2 eGldn'IIIV.WlIt'I you Cu. fa CSlvtUl:8 or UIlnbon ~1fI.tlUCtlOn'l 7 8J C8Q<MG.nm on Ie nol""'" 8OlW. A4d numort ,"I.. on 4 lIn_ MKN. ~ 33,958. 8,245. . 10 11 12 13 14 lab lab 17 1 1 20 51 039. 93,242. 1 184. 92 058. F~ 1040 1'1lO1l 32 ,,",ounl Irom IIn. 31 (IOIUIIIO grOlllncom.1 33. Ch.ck iI: D You Will 65 or oloer, 0 Bllno; 0 SpauII WIS 65 0' alder, 0 Bllno.1 Md th,numll.rarboxlS checked above and ,nl.tthl tolal hire "".,..,.. .., ,.'" ... 3JII b I' you ar. mnr1'd nUIIQ Slparal.ty and your spouse ttlmlllS deductions or you Vi,r. a dual.stalus alt.n, ,..Instructions and chiCk n.rt ... 33b ( n.mllld dldu,lIonl Irom SChldull A,lIn. 28, OR } 34 Enler Ihl Sllndard dlducllan Ihown b.low 10' you r hl.lng Slalul. 8u'Iu Ihl In.lrucllonl '"glt It you chlcked any box on un, JJ. or b or somlon, can claim you is a 01 dlplnd.nl. your. · Slngl. .. 14.000 . Mlrnsd hllng lolnlly or Ou.lilylng wldow(erl' S6,700 · He.d of houSlnold . $5,300 . Marnld hllng IIp.III.1y '13,350 38 Sublll'tlinl 34 Irom lin. 32 ..... U II linl 32 IS S8B,475 or "", multiply $2,550 by thl tal., number of mmpllanl ""m'd on 1i,"6O, II linl 3211 over $88,475, min. worklnulln Ihl Inll. lor lh. .mounllo .nler 37 Tlllbl.ln,anl., Sublllcllin. 361,om linl 35,IIlinl 3611 mall In,n lin. 35, Inll'-o, 38 TI~u Inslrucllonl, Ch.ck If 10r.,lncludU Iny '" Irom I 0 Form(l) C61 4 . I I Form 4972 30 Clld~ lor Child .nd dlp.nolnl cm "p.n..., An.Ch Fo,m 2441 . ............. 3g 40 Clldlllorlhuld.rty onnl olUbl.d. An.ch Sch.dul. R .... ..... ... 40 41 FOlll9nllxclldlt.AnlcnFo'ml1t6 ..........., ....... ....... 41 4Z OIher. Cn,ck If tram I D Form 3600 b 0 Form B396 , D Form 6601 d 0 Form (lpICIIy) Addlinu39lh,ougn42 ""'''''''' ............... .......... ..,............. ................. .... ....... ........ Subtract Itnt 43 from Un. 38. It IIn. 43 Is more than IIn. 38, .nr.r oQ_ SIiI..mploymlnlUx,AlI1ch 5ch.dull SE.................... ,......, ............... Alt.m.llv.mlnlmumlax,An.chForm6251 ,.... ..... '"'''''''''''' ............. ........................... .......,.. Soclalllcunly .nd Mldl..II"x on lip Incom. nol IIpOil.d 10 Imployer. AII1Ch Fo,m 41 37 .......... ....... ....... T" an qUlliftld IIUllm.nl pllns,lncludlng IRAs. II IIqullld, Inacn Form 5329 ....... '''''''' ...... ............ Advlncu.mldlncomsclldIIP.ymlnISlramForm(I)W_2 ....... ............. ...... .........,..... .... ........... Houslhald .mploymlnt I.XIS. AlI1ch Sch.dul. H ........ ..... ........ ...... ......... .......... ...,......... ...... Add Unu 44ln'Ough 50. This Is vour 10111111 ~ F.d.rallncom.laxwllhh,'dl,omFormsW.2Ind 1099 . ............ ......... 82 5.809. 1996 ulll11.Il.d lax plym.nlSlnd Imounllppli.d from 1995 ilium...... .... B3 32.000 . Elm.d In,oml ,redll, Anlch Schedull EIC II you hlV' . qu.lilylng child. Nonlaxabl. IIm'd Income: Imount ~ I ~ .nd Iyp. ~ ~ ,,",aunt plld wilh Form 4668 (IIquullor I<IInslon) '''''''''''''''''''''''''''''''' ~ E.xmssocl.ISlCunlylndRRTAlaxwllhhlld(Slllnll.) ..... . ....... 87 OIt1erplymlnls.Check illrom I D Form 2439 b D Form 4136. ~ Add lines 52,n,ougn 57. Tnlll III vour 101.1 alYmlnll ~ B8 Refund 88 IlIln. 58 Is mOil Inln IIns 51, sublllet IIn. 51 Irom IInl 58. This Is Ih..mounlyou OVERPAID .. ................, 88 HavH..nt 801 ,,",ountoflinl59youw.nIREFUNDEDTOYOU. .. ..... ..... ........ ........., ............ ~ 80. ~~':Z:~~J~W b Routing number ,Type: D Chlcklng 0 S.vlngs SIIInSI. Ind hll d Accounl number In BOb, c, .nd d, 81 Amount ollln. 59 vou w.nl APPLIED TO YOUR 1897ESTIMATEO TAX ~ I 81 I Amount 8Z IlIln. 51 Is mOil tn.n IIn. 58, sublllct IIn. 5B f,om IInl 51. Tnls Is Ih. AMOUNT YOU OWE, Y Ow Fo,d.llllsonhowloPly.nduSlFo,ml040.V.Slllnslructlons ... .............,...~'3.. I' ......... ............... ~ 82 ou a 83 Eltlm.l.d lax n.n.nv. Also Includ. on lin. 62 I . 41 . . 'otm 1040 (l,all Tax Compu- tation c...dlt.. 43 44 48 48 47 4. 48 80 51 Payments 82 83 54 Other Taxes AlIach Forms W-2, W'2G, Ind 1099-R on tn.tront. Sign He... Kilo leoPY oltnlslltum lo'ynur l1Conll. """ SEBASTIAN TRISCA.. _ 194 , / ,4-7687 OMBNo 1545~07. p_2 32 92,058. 0 ~4 4.799. 3B 87.259. 38 9.588. 37 77,b71. ~ 38 20.211. 42 ~ 43 44 48 48 47 48 48 50 81 20.278. 20.211. 67. O. 84 85 BS 87 37,809. 17.490. 990. 16.500. Uncl.. p.nllo. of P*!"'l"J', I dEl.. mltl nalt. .._ned ~I' IWf\jm Il'ld KCOmPMY'"g ~Il:IUI_ II1d ItIItMlMtII. Md to Uti ~I 01 my Ilnovr.t<<Jg11 ano ~~. In.., .. tN.. c:otNl:t, IftG comptll.. Oecllntlarl 01 ~ 10m.. mM wp..,tr!11 IMMCl on IU Infrarmellon 01 wnlC;ft pt'IpIrW rt-. any ~ .... v...;:!"....p Fe' 0... ...._..... ,.. \ .., IDEO PRODUCTION 5poy.., IlQnlltUN.III lOlnl "'~m, SQTl-I tnullllgn. O,t, S"'M'. OCCUPloOOtl Paid =' ~.~ -- 1Z/U(. C!'/! P...pal'8r'SA~"""'I" ~MILLER & CO. LLP CPA'S Use Only,....."...... 7 EAST MARKET S EET ...,"'l.......... YORK. PA Chid! "..1- ~. tod.. MCUtllY!tO. ~ 203'54,5608 EiN 23 1313652 liP"",. '17401-1285 t'""\ . , I 1.;)M1I No 1 t.!.&a.OOU 8CH!DULES AIB Schedule A - Itemized Deductions 1996 (F0I'n'I1040) (Schedul. B I, on pago 2) ~1.ftNT~,., ~ Anleh to Ferm 1040, "'S..lnltructlonl for Schedule A (Form 10401. :=Lo 07 iI'I*MI"-'w.IHI'-oce frWNctiI tIlClWn Ol'l'Ofm 11).0 YOU'IOCl.secl.lntyn"mo- SEBASTIAN TRISCARI 194 44'7687 Medical C.utlon: Do 110t Include ...pensl. t'llmbu".d or plJd by ot".". and 1 Modica! and d.nlal I.penln (... PIllI A'II .. SEE STATEMENT 4 1 2.683. D.ntal 2 Enl.. amounl Irom Form 1040,lIn. 32 W 92.058. Expen... 3 Mulllply IInl 2 _VI by 7,5" (,0751 3 6.904. 4 Subtroctllnl 3 lrom IInl 1, II IInl 311 mort Ihan IInl 1, Int...(l. I. O. Tax.. You . Stat. and locaJ Incom. tBAIS ."."..... ",.,., S.EE. STATEMENT.. .3.. . 2.491- Paid 8 R.a1,IIII.IIlI.1 (SII page A'2) . ...".. ............ . (S.. 7 P.rsonal propeny laxes . . .. ..........,... ... 7 plIO' M,) . OIh.. taxi.' Ultlypo and amoun' ~ ------------------------------------- ------------------------------------- 8 I Add IIn'l 5 Ihrough 8 Iv 2.491- Int.....t 10 Hom. mortgage interest and points reported to you on Form 109B .. 10 1.900. You Paid 11 Homo mong.g.lnl..l.t nol repaned 10 you on Form 1098,11 paid I"t'rii'p;j,;j",;' from whom you bought the horn., stl page A.2 and show thai person's name. (S.. MjentifylnQ no., and address plIO' A-2,) ~ ------------------------------------- Nolo: ------------------------------------- 11 PlfWOOaI 12 Point. nol ..panod 10 you on Form 1098, S.. pog. A'3, 12 Inl_tls ....... not 13 InVlllm.nllnte..sl, I! rlQuired, ouach Form 4952, (5ee p.g. A.3,) ...... 13 dlductlbll. I. Add 11n..,0 Ihrough 13 Tl. 1.900. Gift. to 1. Gift. by cosh or chock. I! you modi any gift of S250 or mall, Charity III plge A'3 ................................... ............. ....... ........... ........... ..... 1. 1.400. I!~OU mId.. 1. OIh.. Ihan by clSh or chock, If any gilt 01 S250 or mort, Ie. pooe A'3, . 9 Ind gOl3 I! Oy.. S500, you MUST oUach Form 8283 .... ,........ 1. bln.lillor ~, 17 Carryover from prior year ................... .......... ....... ....... .... .............,..... 17 ISO plgI A'3, 18 Add lines 15 throuoh 17 18 1. 400. ellullIy Ind TIlo. L..... IV Casualty Of th.ft lo..(e.l. Altoch Form 4884,(5.. p.O' A.4,) 10 Job bplnl.. 20 Un~mbursed employltllXpenses . Job tralJel. union dues. job education. etc. Ind MOIl I! required, you MUST .U.ch Form 2108 or 2108'ez. (S.. p.g. A-4,) Qlhor . Mllellllnloul ~ ------------------------------------- Dldul1lonl ------------------------------------- 20 21 Tax preparation fees ,......"........ ....................... ....".... ...............,... ".. 21 22 Other .xpenles0 InlJestment. safe depoSIt box, etc. Ust type and amount (S.. ~ ------------------------------------- _A-4lor ------------------------------------- _sos'o ------------------------------------- dlduct h'",) ------------------------------------- ------------------------------------- 22 23 Add IIn.s 20 through 22 .....>.>..."..,...,...... ............ .. ..... .......... ...... 23 24 Ent.. amount frem Form 1040,lIn. 32. .... ...... P:i2~iP 21 Mulllply IInl 24111loye by 2'6(.02) .. ........ .......... , . . . . . . . . . , . , , . ........ .,...... ..." ...... 21 28 Subtract IIn. 25 from line 23. If line 25 Is more than line 23. enler .(). 28 Qlhor 27 OIh... lrem lilt on pig. A'4, Ust Iypo and l1I11ounl Mllullln.ou. ~ Olduellon. ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- -----------------------------------------~----- . 27 Total 21 Is Form 1040, IIn. 32, over S'17,950 (over $58,97511 ml1l11ed fillno leparolely)? STMT 5 h.mlzad NO, Your deduction Is not Umlted. Add the amounts in tho fM right column for Unes 4 } D.ductlons through 21. Also. tnter on Form 1040. line 34,Ihe I.rger of thIs amounl or your ......." ~ 21 4.799. Itandard deduction. , YEs. Your deduc!lon may be limited. Se. page A.5 for the omounllo enter. '. .... LHA For P.perwork Peductlon Act Notlc.,'" Form 1040 Inltructlan.. t~~'.. 5 14550412 Schedulo A (Form 1040) 18H OepMmlnl or tn_ TI'MIWY Ill.,.... f'eor"~ hmoe Underpayment of Estimated Tax by Individuals, Estates, and Trusts ~ SII Uplrlllln.lrucll.", ~ An"n I. F.,m 1010 1010A 1010NR 1010NA.EZ,., 1011. ""'" . __2210 Nll11t(I)ln.wn .n I.. ilium OMS N..1515.o140 1996 ~~~ 06 Id.ntlfylng numb" SEBASTIAN TRISCARI 194-44-7687 H.le: In 01..1 CUll, Y.U dO ..t .ud 10 nil F.,m 2210. Thl IA5 will nguII .ny plnOlIy Y.U .wllnd IInd Y.u, 0111. Fill F.,m 2210 .nly If .n.., 01.11 O.m In PI~ Ilpply 10 you. II you do nol nud 10 hi. F.,m 2210, you .1111 mlY UII II 10 nguII you, pln"ly. Enlll Ihl .m.unl Irom IInl 20 .r IIn. 38 on Inl plnll1y IInl 01 ou'"tum bul do n IlnlCh F.nm 2210 R..aona for Filing. II II, 0, 0' callow IPpllll 10 Y.U, y.u m,y 01 101. to 10wII 0' IlImlnlll y.u, p.nllly. aul you MUSl ChICk L~. boxII Ih.llPPIy .nd nil Fa,", 2210 Wllh Y.u, I.. llturn.1I ld O'I.w IpplIII 10 Y.u, chIck Ihll Oox Ind nl. Form 2210 with your tn rtlum ChIck whlch"" bom IPOIy (II n.nl IPPIy, III Inl Nol.,bovII: I D V.u IIqunl. .,I,",ln clruln clrcum"lnClS,lhl IAS will WIIV' .1I.,plrt .,ths p,n.lly. 511 WI'''' 01 Plnllly.n plgI 2 .f Ihl Inl'rucllonl. b D You UII 1111 Innullllld Incoml Inlllllmlnl m.'hod, II y.ur Incoml vlrild during Ih. yur, Ihll m.lnod mlY IIducs !h. Imount of on. or more r'lluir,d Installments. S.. page 4 or th,lnstructlons. I D Vou h.d Ftdlrlllnc.ms I.. wlthh.1d Irom wloeslnd,lo, IIlImllld lax PUroOlOS, you 1,..llhl wlthhlld t..as plid.n Ih. dllesll was IcluOlIy wllhh.ld,lnlllld .lln Iqulllm.unll on the plym,nll on In. plym.nl due da'lS. S"'hl Inllrucllons I.r IIn. 22 on plgI 3. d D V.ur IIqullld IOnull paym,nlllln. 13 b.l.w)Is Omd on your 1995 I.Hnd you hl.d ."" hllng a jOlnl IItum lorellhll 1995 .r 1998 bul nolf.r bolh Y"". ... R.quired Annual Payment 2 Enlll your 1998 taxa.II CIIOllsll.. pIg I 2 olin. Inllructi.nl) ... ............. 3 Olhllllxes (lit p'g. 2 .l1nl Inllrucllons) ............ 4 Adollnll2Ind3.... ..................... ................. 8 Eam.d Inc.ml mdll................... I Clldlll.rFldmll..plld onlu.ll.. ................. 7 AddllnIS5Ind8............................ ......................... ................ I Curllnt yur tax. Sublrlct fin. 71'001 IInl 4.. ....................... I Mu.lply IIn. 8 Uy 90% (.90) . .............. ...................... .............. I 10 Withh.ldlng laxas. Do not Includl .ny IIUmat.d I.. paym.nll on Ihls IIn. (I" pIg. 2 01 Inl Inltructions) .... .....................,.,.. 10 11 SuOllJclllnl 10 ".01 IIn. 8,11 I... Inln $500,llop nil.: do nol compl.t. or hl.,hls lorm, Vou do n.t ows m. plnal1y ",..,..."..,..,.."",....,......"...,...........,................,.,......,..',....,............,..,.,...",......."...................................... 11 12 Enllllll. tax Ihown on y.ur 1995 t.. relum (I 10% of In,l,mounllllh.,ojultld g'." incoml In.wn.n Inat ilium Is mall IIIln $150,000, or II marrild .lIng IIpIIII.1y for 1998, mall man $75,000), Clullon: S..lnllrucll.ns........................... 12 13 Rlqullld Innull p.ymsnl. Enlll In..mIUII .llIn. 9 .r IInl 12 ...................... .............. ............................................,.., 13 Nail: If IIn. 10 Is. uaJ to or mart than line 13, stop hire: you do not owe the penaltY, 00 not fll. Form 2210 unl.ss you ch.ckld box 1d abov.. Short Method (Caution: S.. pagl 2 ollhl Inllructl.ns I. nnd .ut IIY.u can u..,nl Ihortm'lh.d,llyou ch.ck.d b.x lb o'c in Part ,. Iklp IIIIs part Ind go to PI~ IV.) 14 Enlll 1111 am.unt.lllny, trom IIn' 10 10.V' ............ ..................., 18 Enlllllll lotal am.unt It any, .t "Umal.d I.. paym.nts Y.u made ... 18 Add IInll 141nd 15 ................ .................... ................... 17 To'" undsrplym.nllo, ,lIr, Sublrlcl IInl 16tr.m Iin. 13,If zero or Ie.., IlOp h"I: Y.U d. n.1 OWl 1111 p.nalty. Do n.t nls F.rm 2210 unlm Y.u ch.ck.o box ld Ib.v. .. 18 Mu~lply IIn.17 by .05914..."..."......."...."................."........".."......... 1; -lIlIIlImounl on line 17 was PI" .n 0' Inll 4/15197, .nler .0-. '"lIIlIm.unt.n IInl 17 was plid b,'or. 4/15197, mIke Ihl lollowlng compullli.n I. nnd Ihllmounl I. Inler orollnl 19. Am.unt.n Numbll of daYI paid IInl17 x b.I.II 4/15197 x .00025 20 PENALTY, Sublracllinl 191'.01 Iins 18. Enllrlhe IIlull hlr"nd on F.nm 1040,lIn. 83: F.,m 1040A,lin. 34: F.rm 1040NA IIn. 83' F.rm 1040NA.EZ IIn. 26' or F.rm 1041 line 26 LHA Fa, Plpsrw.rk Rsducllan Act Nolin, I'. pig. 1 01 upmls 111,'rucllon., 2 3 4 20 211- 7. 20,278. """Iil""2ifO. 7 8 20 278. 5,809. 14 469. ill 250. 11 18 fS 17 18 . 20 Foom 221D ~..., _.A J ,'.~ ~ I SEBASTIAN TRISCAR 'omI111 It.-. ~ - -, "_2 . R~gular M.lhod Paymant Due Deles 8ec1/on A . FIgure Your Underpayment (I) (b) (.) (0) 4"5/96 6/15/96 9/15/96 !llS1i7 21 Rlqulna Inlll/lmlnll,lt box lb Ippllll, Intll 1111 emoun~ fram Schloull Al,lInl 26. OII111WIU, enlll !I. 01 IInl 13, Fonm 2210,In mh column 21 4,563. 4,563. ~563. 4,561. Z2 EsUnu11d lex plld end Ilx wllhh.kJ. For column (I) only, e~o Inlll1l11 Imounl Irom IInl 22 on IInl 26,11 IInl 22 ~ Iqulllo or man IlIln IInl 2110' III plymlnl Plllods, Slop 1I1n; you d. nol OWllhl plnllly O. nol hit Fonm 2210 unlm you chockld I box In Plrt 1 . 22 1,452. 17,452. 1,452. 17,453. Compllll Itnll23 lI1,ough 2g 01 onl .olumn blrm going lolh, nllt ,olumn, 23 Enlll .mounl,II Iny, from IInl 29 01 previous cOlumn 23 9,778. 6,667. 24 Add Un.. 22 .nd 23 ............. .........".......... .......... 24 17,452. 11,230. 24,120. Z5 Add Imounts on Unll 27 Ind 28 01 Ihl pnvlous column 25 3,111. 28 Sublllc:t IInl 25 f,om IInl 24. "lira 0' Itss, Inlll o().. For cOlumn (I) only, Inlerlhl Imount r,om unl 22 28 1,452. 14,341. 11,230. 24,120. n It th.,mount on IIn. 26 Is lira, sublllct IIn. 2. fr.m Uns 25, OtllllWTU, Inlll o(). '................., ..". ........ 27 O. O. .' 28 Und"p.ymlnt.II IInl 21 Is .quall. or more lllln IInl 28, .ubl,.ct IInl 261r.m IIn. 2 t. Th.n go 10 IInl 23 01 nlxt column. 0II11rwl.., go t.llnl 29 .................. ~ 28 3,111. H Ovlllllym.nl. It Un. 281. man Ibln IInl 21, .ublllcl IIn. 21 from IIn. 28, Th.n go 10 Ilnl 23 01 nlxt column 2G 9,778. 6,667. 19,559. 194' 44 .'687 8ec1/on B . FIgure the Penalty (Compl"I IInll 30 IlIrough 35 01 on. column b.ron going l.,hl nlxt column.) April 16, 1996 - June 30, 1996 ~ j 30 Numb" 01 dlys FROM Ihl dllullown .bovI IIn. ~ ~:~~~~~~::,',~:~~I~:nll~I,~~ ~~~. ~',i~, o~. " Numb" 0' dlY' i 31 UnOlllllym.nl on on IIn. 30 Uns 28 x 366 x .08 ~ July 1, 1996 - December 31, 1996 C\I J 32 Number of d.ys FROM th. O.tl .hown IboVI linl 32 TO 1111 0"1 lb. Imount on IInl 28 WII Plld or '2I.ll/96. whlcllm,'s ""111... . ~ Numbll Of dlY' ; 33 Undllll.ymlnt on on IIn. 32 Un. 28 x 366 x .09 ~ January 1, 1997 . April 15, 1997 .. J 34 Numbll 01 olY' FROM Ih. dIll .hown IboVI lino 34 TO 111. oelllhl .mounl on IIn. 28 WII plld or 1I1S1i7, which"., Is ""111 f Numbll of d.ys a: 311 Undl'P.ym.nt on on IIn. 34 Un. 28 x 365 x .09 ~ 35 38 PENALTY, MOlhl Imounl. on lin" 31, 33,Ind 35 In III column., Enllllhl 101., h... .nd on Fo,m 1040,linl 63; Fonm 1000A, IInl 34; Fonm 1040NR,lIn. 63; Fonm 1040NR'E2.lInl 26; or Fonm 1041. IIn. 26 "218' 11-1". 6/15/96 C-rl' 6/301!l6 9/151!l6 D-rl: 32 SEE ATTAC o WORKSHE 33 121.l1/96 12n'I!l6 12nl1!l6 1/lS197 Cryl. 0." 08)'1: Crta: 34 ~ 41. "" --- UNDERPAYMENT OF ESTIMATED TAX WORKSHEET Himel') 10lnlllylng Nun,DIf SEBASTIAN TRISCARI 194-44-7687 (A) 18) IC) (D) IE) IF) Aolu"lo NumtlilrO.ilVs DIlly 'OIl. Amount Balance Out SalIne. Out Plnllty RIll Plnllty . -0. 04/15/96 4,563. 4,563. 04/15/96 <1. 452. I> 3.111. 61 .000218579 41. 06/15/96 4.563. 7,674. 06/15/96 <1,452. I> 6,222. 06/15/96 <16,000. I> <9,778. I> 06/30/96 O. <9,778. I> 77 .000245902 09/15/96 4,563. <5.215. > 09/15/96 <1,452. > <6,667. > 09/20/96 <8.000. > <14,667. > 12/31/96 O. <14,667. > 15 .000246575 01/15/97 4,561. <10,106. > 01/15/97 <1,453. > <11.559. > 01/15/97 <8,000. > <19,559. > Pln.1ty ou. (Sum ot Column Fl. ......... . . . . . . . . .....,....,... . . . . . . . . . . . . .......-................. ...............,. .............. ............................. 41. , Olt. ot ""11111'0 I1x plymlnt, wllhholdlng c"o~ dll. or In.lIllmtnl OUI oal.. D"*,,,*I 01 In. r,....,.,.., IfI.-n. "",.,~s.--ICt~ ~ Supplemental Income and Loss (Fram IIntal rulllllls, ,aYIIUII, partnl"hlpI, S eorpallllan., 1IIIIu,lr"I., AEMIC., lie,) .. Anlehla Fa,m 1040 a, Fo,m '041, .. 'u In.lruellon.lo, Sehldull E (Fo,m 1040), , . OMB No. 1545-0074 , , SCHEDULE E (Form 1040) 1996 =~013 Namt(II.hown on ilium Your socIal Slcunty number SEBASTIAN TRISCARI 194-44-7687 Income or Loss From Renlal Real Estate and Royal lies NOli: Alpert Incoml and "pIn... f,om you, au.ln", at IInling p,"onll proplrly on Sehldull C or C,EZ, Aloert film IInllllnco,"I 0' 10" f,om Form 413S on pags 2 IInl39 1 Show lhl kind and loclllon ot mh !lnlll rulllllll P'OPllty: VII No A COMMERCIAL PROPERTY 2 For mh IInl.1 ,"1"1111 P'OPllty 11.I.d -S'!f -C-ENTRA.L -B'Lvif.-. - CAMP -Iiii.l:.-. -PA - - - - - - - -- on IInl " did you or you, ramlly u.s 1110' A X . RESIDENTIAL PROPERTY personal purposes for more Ulan the -!lff TlTii- STREEY.- NEW- CUMB-ERLAND -; -PA -i'71fHl grul" of 14 dlY' or 10% 01 Ih. 10111 . X C days rented at fair renlal value durino Ih. -------------------------------------- lax ym? (S.. p'g. E.1.) C Income: P,oplrtlll TolIlI A . C 'Add column. A, B. and C.t 3 Alnllllclivld ......" ......... ............. 3 21.980. 2,400. 3 24.380. 4 Am"'ln IIcllv.d 4 4 Exll'lnses: I Advlrtlllng.... ............... ........,..... . 125. I Aulo and IIlVlI (m pIg. E'2) I 7 Cleanlno and maml.nance 7 200. I Commissions. .,................. ..."..... I i Insu~nc. ..........,...."........... ... g 370. 10 LeOII and other p,olnllonllllll ........ ...... 10 11 ManIOl,"Inll.n ................. ...,........., 11 12 Mort;aot intnlt p.a Ia bll'lkl, .tc. ,... ~ E.21 12 12 13 OIh"InI,".1 ....................... 13 14 AlPll11 .................. ..........,...,...... ..... 14 11 Supplln . ........,.................................. ..... 11 II Tm. .........".......",.....,.,.".............,.,... 11 11 UlllitI" ............"..... .........."............. ..... 17 720. 11 Olh,,(lIal) .. . " II Ii Add linn S throuoh 18.......... ................. .... Ii 1,415. Ii 1. 415. 20 D~~..OId..oonI...p.e.2) 20 4,247. 2,017. 20 6,264. 21 TOlal"plnu.. Add IInlll9and 20. 21 4.247. 3.432. 22 Incom. 0' (1m) I,om IInlll r..I"llls a' roY11ty p,opsrtlu, SublllC\ IInl 21 frorn IInl 3 (IInls) a' IIn. 4 (royalllu), IIlhl IISU~ 1., (1011), SIt plO' E.210 ftnd oullf you musl nil Fo,m 1198 ..... "..... 22 17,733. <1,032. 23 Oeductlbl. IIn'" 1111 "Iall loss. ClUtlon: "" Vour IIn"l 1111 ""11 10" on IInl 22 ,"ay " " bt IImrtld, Sn P'Ol E'310 nnd oul ~ you mu.t n~ Form 1lS82, A.., "Iall plolmlonlls <1. 032.l:- mu.t comp~11 IIn. 42 on PIOI 2 ......... 23 24 Incoml. Add pasitlvt amounts shawn on Un. 22. DD nol JOclude any losses .... .... ................. ....... ....... .............. 24 17.733. ......... 2e Loun, Add ,0y.1ty 10'''' from line 221nd IInl.1 '''I "Iall loss" from IInl 23, Enl" Ih,'olalloms hili ............. ............. 21 ( 1.032.) 2S TolIl IIn"IIIII""".nd royalty Inco,"I a' (Iou). Co,"al" linn 24 Ind 25, Enl~' Ih. IIsull h"I. II P.rts II,III,IV, and IIn. 39 on PIO' 2 do nOlapply 10 you, 11'0 .nler Ihls .mounl on Form 1040, Un. 17. Oth.nvfs..lnclud.ltlls amount In the lotal on Un. 40 on paQ' 2 21 16.701. ~ SCHEDULE SE (Fonn 10401 OMINo ls.f8-OQ14 Self-Employment Tax 1996 "_If'''' T-.., ~ s.. Inll"'cllon. lor Sch.du'. SE (Form 10010). ...__,.,....,.,..,~ ... "t18ch to Form 1040. Name of person with ..If~.mploym.nt tncome (as shown on Form 10401 =~17 SEBASTIAN TRISCARI Who Mu.t FIle Schedule SE You mull ftle Schodul. SE II: SocialsKun1y num~r of person with ..If~.mploym.nt Income .. 194.44 7687 . You had nIt .amlno. from ..If..mployment from oth.r thin church employ.. income IlInl 4 of Short Schedule SE or line 4c of Long Schedul. SE) 01 $400 Qt mont, OR . You had church employ.. income of $108.28 or mor..lncome from !lINleIS you performed as a mlniatdr or a member of a r.UgiouI ordor II not church omploy..lncom., S.. PIllO SE,', Note: Even if you ha"'. a 1011 or a small amount of income from self..mployment, It may be to your bln,llt to fll. Schedule BE and U5' cither 'cpllonol molhcd' In PII1I1 01 Lono Schedul. SE, S.. pOO. SE'3, be.pllon. n your only .,l'-employment Inceme was frem earnings as a minister. member et a religIOUS order, or Chnlllan Science practitioner. and you n~ Fonn 4361 and received IRS approval not to be taxed on those earnings, do net file ScheCule SE.ln,tl8d. wnt. "Exempt.Form 4381" en Form l040,lIn. 45, Mey I Use Short Schedule SE or MUST I Use Long Schedule SE? DID YOU RECEIVE WAGES OR TIPS IN 1995? No YII Art 'IOU a minlstlr, member of I rehgious order, or Chnstl:m SeitncI pr1ctt1janlr who recelv.d IRS approval nal to b.lilxed on earnings from, thIS' sourtlS, bul you OWl SlI1...mployment tax on othtr umlngs? Na YII Waslh.lalll of your waolS Ind 110' .uDllello .0clIlSlcunly YII or railroad retirement lax plul your n.t earmngs from sel1. Imoloym.nl mOlllhan $82,7001 AtI 'IOU using ani of tn. opllonal m.thods to figure your net eamlnos (SI. 0101 SE'3)1 YIS No No Did you receivl tips subject to social secunty or M.dlc3rt IIxlhal you did not "oart 10 your Imolayer1 YOI No Old you ""iv' Churtf1 ImolaYlOlncom. "oortld on Fa,m W.2 Y.. 01 $108,28 or ma,,? No YOU MAY USE SHORT SCHEDULE SE BELOW YOU MUST USE lONG SCHEDULE SE Section A - Short Schedule SE. Caution: Road obOIlO to '00'/ you con use Short Schedul. 51:, 1 Notlarm profll Qt (Joss1 from Schedul. F,lIno 36, and larm portnershlp., Schedul. K'l (Form 10S5),lIn.'5. .... .......................... ............................ .. 1 2 Not profrt Qt ooss) lrom Schedul. C,lIn. 31; Schedul. e,ez, line 3; ond Scnedul. K.llForm 1085),lIn. ,5a (other than farming). Ministers and members of rollgious orders se. page SE.1 for amounts to rclport on this line. S.. pogo SE'210r olher Incoms to roport . .....SJ;:E....!>'J:'1I:T.EMJ;:N'J:'...!'.... 2 3 Combln.llnnl and 2 . .............. 3 4 N.l ..mtngs from ..11..mploymont. MuUlply IIn. 3 by 92,3S% (,9235), II I..olhan $400, do not n~ this schedule; you do not owe ,elt-employment tax . .. ..,........ .......................... 4 8 Soll-.mploym.nt to.. II Iho Dmounl on IIno 4 10: . $62,700 or I..., mul1lply IIn. 4 by 15,3% (,153), Enler 'h. re.ult her. and on } Form 1040, IIn. 48, 8 . M.... than $62.700, mulliply IIn. 4 by 2.9% (.029), Th.n, .dd $7,774.60 10 tho rooull, Enter the totBt here and on Farm 1040, line 45. e Deduction for on..half of .elf..mploym,nt tu. Multi line 5 b 50% .5. Enter the result her. and on Form 1040, line 25 LHA For PlperwOrk Reduction Act Notice, s.. Form 1040 Instructions. 473. 473. 437. 67. e 34. !lohodulo SE (Form 10010) 1098 , SEBASTIAN TRISCARI ~ 194-44-7687 FORM 1040 PERSONAL EXEMPTION WORKSHEET STATEMENT 1 1. IS THE AMOUNT ON FORM 1040, LINE 32, MORE THAN THE AMOUNT SHOWN ON LINE 4 BELOW FOR YOUR FILING STATUS? NO. STOP. MULTIPLY $2,550 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED ON FORM 1040, LINE 60, AND ENTER THE RESULT ON LINE 36. YES. GO TO LINE 2. 2. MULTIPLY $2,550 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED ON FORM 1040, LINE 60 . . . . . . . . . . . . . . . . . . 10,200. 3. ENTER THE AMOUNT FROM FORM 1040, LINE 32 . . 92,058. 4. ENTER THE AMOUNT FOR YOUR FILING STATUS . . 88,475. MARRIED FILING SEPARATE $ 88,475 SINGLE $117,950 HEAD OF HOUSEHOLD $147,450 MARRIED FILING JOINT OR WIDOW(ER) $176,950 5. SUBTRACT LINE 4 FROM LINE 3 ... . . . 3,583. IF LINE 5 IS MORE THAN $122,500 ($61,250 IF MARRIED FILING SEPARATE) ENTER ZERO ON FORM 1040, LINE 36. 6. DIVIDE LINE 5 BY $2,500 ($1,250 IF MFS) 3. 7. MULTIPLY LINE 6 BY 2\ (.02) AND ENTER THE RESULT AS A DECIMAL. . . . . . . . . . . . . . . . . . 0.06 8. MULTIPLY LINE 2 BY LINE 7 ............. 612. 9. SUBTRACT LINE 8 FROM LINE 2. TOTAL TO FORM 1040, LINE 36. 9,588. FORM 1040 WAGES RECEIVED AND TAXES WITHHELD STATEMENT 2 FEDERAL STATE CITY T AMOUNT TAX TAX SDI FICA MEDICARE S EMPLOYER'S NAME PAID WITHHELD WITHHELD TAX WIH TAX TAX T TRISCARI VIDEO PRODUCTIONS INC 33,958. 5,809. 951. 340. 2,105. 493. TOTALS 33,958. 5,809. 951. 340. 2,105. 493. SCHEDULE A STATE AND LOCAL INCOME TAXES STATEMENT 3 DESCRIPTION AMOUNT TRISCARI VIDEO PRODUCTIONS INC STATE AND LOCAL ESTIMATE PAYMENTS 1,291. 1,200. 2,491. TOTAL TO SCHEDULE A, LINE 5 STATEMENT(S) 1, 2, 3 11435_1 --. SEBASTIAN TRISCARI 194-44-7687 SCHEDULE A ITEMIZED DEDUCTIONS WORRSHEET STATEMENT 5 1. ADD THE AMOUNTS ON SCHEDULE A, LINES 4, 9, 14, 18, 19, 26, AND 27 . . . . . . . . . . . . . . . . . . ADD THE AMOUNTS ON SCHEDULE A, LINES 4, 13, AND 19, PLUS ANY GAMBLING LOSSES INCLUDED ON LINE 27 ... SUBTRACT LINE 2 FROM LINE 1. IF THE RESULT IS ZERO, STOP HERE; ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 28 . . . . . . . . . . .. ... MULTIPLY LINE 3 ABOVE BY 80% (.80) ... . ENTER THE AMOUNT FROM FORM 1040, LINE 32. . ENTER $117,950 ($5~,975 IF MARRIED FILING SEPARATELY) . . . . . . . . . . . . . . . . SUBTRACT LINE 6 FROM LINE 5. IF THE RESULT IS ZERO OR LESS, STOP HERE; ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 28 MULTIPLY LINE 7 ABOVE BY 3% (.03) . . . . . . ENTER THE SMALLER OF LINE 4 OR LINE 8 . . . . . . . . . 2. 5,791. 3. o. . . . 5,791. 4. 5. 6. 4,633. 92,058. 58,975. 7. 33,083. 992. 8. 9. 992. 10. TOTAr. ITEMIZED DEDUCTIONS. SUBTRACT LINE 9 FROM LINE 1. ENTER THE RESULT HERE AND ON SCHEDULE A, LINE 28 ... 4,799. SCHEDULE SE NON-FARM INCOME STATEMENT 6 DESCRIPTION FROM K-1 AMOUNT TOTAL TO SCHEDULE SE, LINE 2 473. 473. FORM 6251 PASSIVE ACTIVITIES STATEMENT 7 NET INCOME (LOSS) NAME OF ACTIVITY FORM AMT REGULAR ADJUSTMENT COMMERCIAL PROPERTY - SCH E 59 CENTRAL BLVD., CAMP HILL, PA 18,636. 17,733. 903. RESIDENTIAL PROPERTY - SCH E 301 11TH STREET, NEW CUMBERLAND, PA 17070 <998.> <1,032.> 34. TOTAL TO FORM 6251, LINE 11 937. STATEMENT(S) 5, 6, 7 11435 1 SEBASTtAN TRISCARI ~ 194-H-7687 FORM 8582 ACTIVE RENTAL OF REAL ESTATE - WORKSHEET 1 STATEMENT 9 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS UNALLOI'1ED NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS COMMERCIAL PROPERTY - 59 CENTRAL BLVD., CAMP HILL, PA 17,733. O. 17,733. RESIDENTIAL PROPERTY - 301 11TH STREET, NEW CUMBERLAND, PA 17 O. <1,032.> <1,032.> TOTALS 17,733. <1,032.> 17,733. <1,032.> FORM 8582 SUMMARY OF PASSIVE ACTIVITIES STATEMENT 10 R R E A NAME FORM OR PRIOR N~T UNALLOWED ALLOWED SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS SCH E 17,733. 17,733. SCH E <1,032.> <1,032.> 1,032 . 16,70l. 16,70l. 1,032. X COMMERC IAL PROPERTY - 59 CENTRAL BLVD., X RESIDENTIAL PROPERTY - 301 11TH STREET, NEW TOTALS PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582, LINE 11 1,032. STATEMENT(S) 9, 11435 SEBASTIAN TRISCARI ~ '194-44-7687 FORM 8582 ALTERNATIVE MINIMUM TAX ACTIVE RENTAL OF REAL ESTATE - WORKSHEET 1 STATEMENT 11 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS UNALLOWED NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS COMMERCIAL PROPERTY - 59 CENTRAL BLVD., CAMP HILL, PA 18,636. O. 18,636. RESIDENTIAL PROPERTY - 301 11TH STREET, NEW CUMBERLAND, PA 17 O. <998.> <998.> TOTALS 18,636. <998.> 18,636. <998.> FORM 8582AMT SUMMARY OF PASSIVE ACTIVITIES - AMT STATEMENT 12 R R E A NAME FORM OR PRIOR NET UNALLOWED ALLOWED SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS SCH E 18,636. 18,636. SCH E <998.> <998.> 998. 17,638. 17,638. 998. X COMMERC IAL PROPERTY - 59 CENTRAL BLVD., X RESIDENTIAL PROPERTY - 301 11TH STREET, NEW TOTALS PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582AMT, LINE 11 998. STATEMENT(S) 11, 11435 ZIP Cod. 11 Gro.s Comp.nsation from W'2fonns 'nd olher w'i' .Ial.ments SEE.S.TATEt1ENT la 'b Unlllmburs.d Employee Bu.lness Exp.nses I,om PA Seh.dull UE lb lc NIl PA Taxabl. Comp.nsallon. Sublrl'llinl lb fromlin.la .......... .... . ............ 2 PA Taxab','nleresl (Comp,.I"nd anach PA Sch.dul. A " over $1,000) ... . ....... 3 PA Tlxabl. Olvld.nd. (Compl.ls and Inach PA Sch.dul. B ,r over $ 1,000) ... .................. 4 Nlllncoml or ILossJlrom Ihl Operltion all Business, P,olesSlon or Farm . . ...... ..... SEE... S.Tl'.':I'EM.i::Wr. .7. S N.,GalnorILossJlromlhlSal.,Exehang.orOI,poSlllonofProp.rty . ....... ...... ............... SI Amount 01 Gain Exclud.d f,om PA Sch.dul. PA.19. ...... . ........... ........... 5, 6 Nlllncoml 0' ILoss) Irom R.nl., ROYlllles, PII.nl. and Copyngnls ...................................... B 7 Es!>l"nd Tru,"ncom. ...... .......... .... .............. ...................................... 7 6 Gambling and Lon.ryWlnnlngs .................... ....... ................ .... .... ...... .......... B 9 TOTAL PATAXABLE INCOME Addllneslc,2,3,4,S,6.7andB, DonolsublraClalloss)rsponu 9 82 7 9 on an. or more IInel trom the prallt, Incama or gill" on Iny other '"coma liMe. Nor can spaUl1I offset nch other"'ncomllnd 1101111) .ven II on th.llmlllnl. 10 PA TAX LIABILITY Multiply IIn. 9 by 2.B% (0.02BI 2 11 To!>1 PA Tax Wllhn.1d Irom W-2 fo,ms, OIc. .................. ............... ................................................... 12a Clld.',om 1995 PA Tax R.lum ......I D '2c Paym.nl wllh 1996 Ext.nslon .................................., 12b 1996 E.timll.d Plym.nl5.............., 3,200 D 12d Nonllsld.nl Tax Withh.ld from PA Scn.du'es NAK'I ...... 121 To!>1 E.llmalld Pavm.nl..nd Clld.. Add lines 12a, 12b, 12c and 12d '3a HOUSlholdM.mb.rslromPASehodu'ISP,P,nll,lInl4 .... .......... 13' 13b Your Eligibility Incom. Irom PA Sch.duls SP, Pan 1II,lIn. 2 13b 13~ Your Tol,"neoml from PASeh.du'I SP,P,n 1II,linl '... ...... ....... .. .............. 13c 13d Tax Forglv.ness Clldll Irom PA Seh.dul. SP, PIn 11I,lIn. 7 .......... ............ ...... ................ .......... ......... ......... ..... .......... '3d 14 To!>1 Credll lor Taxis P,id 10 OIher 5111," or Counl.es Irom PA Scn.dul'I" G . .................... .... 14 IS Employmlnllnc.nllv.P,ym.nlsClld.',omPAScn.du,sw .... .................. ................... 15 lB TOTALPAYMENTSANDCREOITS,AddLlnes11,121.13d.14andI5 16 4 15 17 PATAXDUE L1n.10lsmolllhlnlinl16 ......................... .......... ............... ...... 17 17 Ss. InsllucUona 10' Mak. check PlYlbl.lo PA DEPT. OF AEVENUE USE YOUA PA-V. HOW TO PAY 11 OVERPAYMENT Lln"6Is mall than Lln.l0 ............... ..... ..... .......... lB 1 833 lB Check.1I yourcalcul.llons IMPORTANT: Th.lo!>1 aI/In," 19a1hrough 19d mu.t.quallin. lB. Ptoa.. do not callab'Myourre1und until B _ksafter1llfng. 191 Amounl ollins 16 you wanl IS I Rs,"no Chsck mOlI.d 10 you ........ .............. ............. ..................... 19a 233 191 19b Amounl olllnl lB you w,nl creonlo 10 your 1997 Estimal.d TlxAccounl ......................... 19b 1 600 19b 190 Amount 01 IIn. lB you wanl/o Danai. 10 Ih. Wild Aesourc. ConSlrvllion Fund .... .......... . .................................... '90 19c 19d Amount ofllnl lB au wanl/o Don'II to Ih. US 0 mpie Commlnee, PA Division 19d 19d SQ'IO.AArn:lW.1.hClIr~oI'*r.ry.t('Mlla"giCWl",drI:in"'lrrwelnt...tlQtMI(lf4rnminclul!lnQ "IlXCIT'O&/ll""lilstheWlllIUllllQlD'TWI"M'ldlDhllCClII,",{CU1lM1i1t.rt.n..Contdn~ Vovt5lgnature Oal. O~t1rNT"'Ilnon.NIj~ VQIU'C)c;Qjpabon ........, PENNSYLVANIA INCOME TAX RETURN 40 .. 'YOU MUST FlLl BY Ml0N/GMT, TUESOAVAPRJI.15. 1'Xl1'" 1 ~ P......oceg.9lIJ COINTIOno\MI'lft 01 """~~.1I' 1996 PA Oecl~1 Of Rev"'\jl Review ~lllh, pnlprinled lntormallon on your label ;md place It In lh, n~ml and address ar.a. Makl any neceSSlry co"oellons to your "b"and eneck Inl SSNiNAMEIADORESS Chlngs box below If you da not hn. I p"p,ln'so libel, snt., all Inlo,m.llon . pis... prln!. 'f'OUR SOCIAL SECURITY ~UMBER SPOUSE S SOCIAl. SECURlTV NUMtlER.. ....n" ~It!lg 'filmt..., 194-44-7687 206-38-9589 L.tIt NaIN Firwl!lame and '",bill . ~ '1)0"" . "A/NI. ,f ~ll/'tg JOIntly TRISCARI, SEBASTIAN .........- 820 SHENANDOAH L_~E cay 01' Potl otllce Star. Z!PC04. YORK n UN/NAME/ADDAESS CHANGE h ANY of Ih. 'boVllnformlllon Is dlNer.nllrom you, 1995 PA lax IIlurn, check Ihl. bOl,lIyour add'''' ellang.d, "'0 provid.lh. nlm. Ind ZIP Cod. 01 Ihl Clly,lownshlp, bo'ouQn 0' muniClpalily where vou IIv.d on 12/31/96. PA 17404 Nam. r:r)R Y(}IIQ r:11!:'( ~..'. Sign.tu,.pr~linoJOl"f1.,1 ~. OFFlCI_ ...SE ONLY U F"ISCAl.. YEAR FILER F,om I I fa 'rYPE FlLEn ICtl~ On,., On. sO MOO JD FO Sl/'tgll Mlmld U"".. Allal Fillrtg s.p.,..tlly F".hrtg JOIntJy If Cl'lClll'lg 1)0. F fMc<<l.. ml tu,,~... " d_.:I""WI".O.tIQIO,,11'l RESIDENCY ST...T\JS (CIIC. On,., On.. A 00 NR D P 0 ReIld"'1 Non/'I&IU.n1 Patt-.,... ~l F,om /96 to NAME OF SCHOOL DISTRICT 196 CENTRAL YORK SCHOOl. DISTRICT COCE 6 7 130 OPTlONFOR...,QG7 BOOKI.ET .D Check It you Will not nled a 1997 PA Tax Booklll AEAO ALL INSTAUCTIONS BEFOAE COMPLETING YOUA PA.40 pwn 00 NOT USE CEII11. ROUND TO WHOLE DOLLARS I' lb "'n.:n your W''l ~ to PfIOe'lolyourrwtum. Ie ...... 2 3 .. 4 5 33 958 8 245 Ie 2 3 4 5 23 885 5a Oo!tOI MkJ or deQUCllonl 51 16 701 6 7 B 9 3,200 '2. 13b 13e 13d 14 15 16 Oil. 717 975-3348 IDEO PRODUCTION BE SUREYDU (ANO YOUR SPOUSE) SIGN x ~ or eomo.ny NImI. om.,. trI., W~er(,1. b-.d on IUlnlatmlbon 0' "",",en m. PtWl.,..,".. WI)' IlnOW1I<lOl .cauDlE ChECK AU. MATW ATTACH AU. SCHEDULES AND FORM! MILLER & CO. LLP, CPA'S 0... _.r_"_ YORK, PA 17401-1285 717 846-7000 ,o.~.~ NEXT YEAR. you will also be ablllo make a donallon of all or part at your overpayment to lhe OI1GAN DONOR AWARENESS TRUST FUND. """'I "4-''''11I iliA OtJIAATMINT 01 "lVlNU( H.mt(l) II thown an your PA In "lum TRISCARI SEBASTIAN R.port lh. n.llncome you rUIlUd, or tn. nlr (10111 you Incurrld, far ItI, use at your (uland f.1nglbJ, property bV 011'1'11, Also ,.port 11'1. Incom, you (1C1IVld for tn, utr"flon at 0",0" lnd elf'll' mln"'!' horn your pnD'rty .and lnt use or YOllr p~l.nIS and coPyJltJt1IS. Uselhls PA SChedul. E unless you lrlm 11'1, buslnlSs 0' "nllno proPlrty, extractIng mIn".'l or prOducing prO<1uClllrom you, p"lntl.M coOVnglll.. Rlld Ih.ln","cllonl, PA SCHEDULE E RanIs. Royalties, Patanls and CopYrights PART A. Property C..artptlon O"c~allon Ind .ddrm 01 mil "nlll "., 111111 proPlrlY Ollcnb. .ourtv 01 'OV"I'/, Plllnl or convngllllncoml OMMERCIAL PROPERTY A !fCl:'f.iTRAL-B'L''-b-. - - CAMP -!fiU.- - PA - - - - - - - -- - - -- - -- - - C ESIDENTIAL PROPERTY 8 f<ff 11 'I'M- ~TREEY - NEin:UMBERLAND - -PA TiO'?O - - - - - - - - - E C -------------------------------------_________ F PART 8, IndlO.1I 1111 proplrlY by III. Inll"l rrom .boVl. Qrou RIO.'p.. 1, R.ntl.. ............ 2, ROYln,,, 3, P,I.nl . ......... ................. 4. Copynglll.. ...... ........ Tol.1 "C"pl., Add IInlS I III rough . PART C. Ellpen...: Itemize each 111m at up,ns. being claimed A 21 980 21,980 2,400 ., Advertl.lng ................... ... .... ....... Ii $ 125 s IS b, AulomobUI Ind I"vel .... ...... .... . . . . . - . . . . . ........ Ls_ s S IS c, Cl.anlng and maint.nanc. . . . . . . . . . , . . . ........ ............ Ls $ 200 s LL d. Commission. .,.....,................... ............. Ls $ s 1$ .. D.PI'lC~llon expense tram depreciation Schedule 1$ 4,247 s 2,017 $ $ I I, Insurinel ....................... ....... ............. ..... .... $ $ 370 Is $ I g, l.g'l.nd prolmlon.llus ., .................... ..."... $ $ 1$ $ h, MJnlglm.nl tu. ..,......,. ,.,.... .....,.......... ........,.. ". $ $ 1$ S I. Int...." Incllldlno mortglglS ... ............................ $ 1$ 1$ $ J, Rlp.lrs ............................................................ $ 1$ 1$ $ k. SUppUeI ....,........,........ .........,. ........"................. 1$ $ $ Is I, Taxes. ottter Inan laxlS based on gross or net Income 1$ $ S Is m, utllllle. ....................................................... .... Is $ 720 s IS n, Other (lI.mlll): Is $ S IS ..l s S IS I s $ Is S $ Is Is S 8 Tot;1 EXDens... Add IIn.s a throuoh n. S 4,247 Is 3,432 IS s PART C, Not 'naomo 0' [Lou) from Ron'.. RoyoIU... Po'on.. ond COOYTi-o 7, Nit Incom. 0' (lolll. Subl"ct IIns 6 'rom IInl 5, I $ 17 , 733 $ 8. Totll NIl R.nt, ROYIIl'/, Plllnt Ind CoPyriQhl Incomo or IlolIl. Add 1110 nlllncomo or 110"1 trom line 7 for each prope . Enter hIre and on 'four PA lax return <1,032:[]$ CI$ CJ PART E. O.prscIJlIon uPlnll CI.IIII1I~lIon 01 proPlrlY Ind III. Ippllabl.lnlllll trom .bov. " 0"1 acquired Co.l or other basis Ooproclallon allowed In prior yoars Mllllod at Ut. computing or I1le dop"cl.lIon Oop"cl'lIon upense 1111. Y911 EE STATEMENT ATTAC 0 6 264 TO'llIh. d.prICllllon up.n'ICI.lmod 'or IICh p'opsrty dmrlbld In P.rt A Ind Includ. on P.rt C, IIn. ., Ibove ""'"'I Oepreclallon and Amortization Detail COMMERC IAL PROPERTY - 59 CENTRAL BLVD. OlScrlpllon ot proplrly Ami Numb.r I 0111 I M.lhOdl1 LII. I LlnlT CO'I Dr I BaSIS I Accumul~f.d I Currlnl ~lIr pliCId IRC lie, Dr 1111 No. oUl.rtl.1SIS r.ductlon dtprtClatlOnlilmOr1lutlon d.ducl on LAND 10 4,01,9 31L 1 1 1 18.341.1 I 1 ~ BUILDINGS 10 4.0 1,9 3SL 131.50117 1 133.765.1 r 10.256.1 4,247. I , , 1 r 1 I 1 1 I TOTAL SCH E DEPRECIATION I I ' 1 1 T 1 152.106.1 I 10.256.1 4.247. I , , I I I 1 I 1 1 I , , I I 1 I I 1 I I , , 1 I I 1 1 I 1 I , ' 1 T ul 1 1 I I I , 1 1 1 1 1 1 1 1 , , I 1 1 I I 1 1 I , , I 1 I I I 1 I I , , I -I I 1 1 1 I I , , 1 T I 1 1 1 1 I , , 1 T T 1 I I 1 1 , , 1 I T 1 1 I 1 I , ' I 1 1 1 I I 1 I , I I 1 1 1 I 1 1 I , , I I I 1 I 1 1 I , , 1 T 1 I 1 1 I I , , 1 1 T I 1 I I I ' , 1 1 1 1 I 1 1 I , , I I I I I 1 I I , , I T T I 1 1 I I , , 1 1 1 1 1 I I I , , I 1 I I I I 1 t , I I I I I I I I I I , I 1 1 I 1 1 I , . Current yaM section 11f 101. AsHt dlspoaed 050 TRISCARI, SEBASTIAN -, Oepreclatlon and Amortization Detail RESIDENTIAL PROPERTY - 301 11TH STREET O",npllon 01 prop.rty AJIII Numb" Castor BUI. Accumulal.d Current ~ur oln"buls ,.ducllon d.pr.clJtlOn/amortlullon d'duct an 33 000. 17 55. 1 320. 1 945. 1 030. 78. O. 40. 8 805. 2 O. 1 464. 1 4 4 . 917. 2 33. 5 039. 1 8 . 7.00 17 300. 232. 43. E DEPRECIATION 52 470. 24 679. 2 017. I'm, 11.21.. 14550412 11435 · . Currenl year leetlon 1 If (0) . Asse. dlspoaed 050 TRISCARI, SEBASTIAN . . 3cHEDULE K~1 (Fonn 11208) ~of"'T~ --- 1/1I,..".14.... 14.... N1mll.. ~ SIIIrtlloidtfl name,add"'I, Ind ZIP cod' """ Shareholde. .. Share of Income, Credit.. Oeductlons, ~.c. ~ SII "'''111111I11111110111. FOIIIIIlI~1I ,u, I iii Clf lu 'III n n In Co ClfIUo"llIlntllylnl nombll ~ COI1l0IlUOn'l namo, Iddllll, and ZIP cad' OUB No. 'llW1-01:JO 1996 SEBASTIAN TRISCARI RISCARI PRODUCTIONS, INC. 59 CENTRAL BOULEVARD 9 CENTRAL BOULEVARD CAMP HILL PA 17011 AMP HILL PA 17011-4212 A IIIIrtlloidtfl ptrttnllGt ollloclc own'lIhlp lor lu '"' (1M Inllructlonllor SeIIldull K'l) ................................................... ~ . . 1nlI1NI"-IlIStrvlctCtntllwtltllCOl1l0llUonftlodlltlltum ~ PHILADELPHIA, PA C Tu 1IlIb' IIlllllllllon nomllt' (IMlnltrucllonllor SeIIldull K'll ~ " ""....., m h ~n'I.'\ r'l ......................................................,.."...,.......'........" 121 lIMn_._ ..\ (II Pro IIlIlhalll.11lI (bl Amoonl (I) fonm 10<40 ftlllI.nlt' nlln ,...IM IhI OR' 1 Onllnlry k1cClfOl (Iou) from trade 0' bOl1n1ll KlNIUtI ................".......,....... I 42.615. I NtlIncClfOl (l01I) "om IInlll lIal nlll. ar.tlvIUtI "2 } ...-.......... ...,,,,,...,,......,,..................... 1t_~.1M1\ldoN lor I NtlIncClfOl {1oII)lrom O!lll' IInlll IclIviUtl .........................,..........."......... ! ~K."OIml1~ 4 P1llfol. k1comt (10"): ...... ! Ilnlt...1 .............................,....,...............................",..............,....,....... 4t 6.892. Sell. 8, Part 1,IIn, I b llMdlndl ....................................................................,,"..................... tb Sell, 8, Plrt II, lint S J I RoyaIUtI .....................................................................................,.......... tl Sch. E, Plrt ',lint 4 8 Ntllllort-unn upllll gain (loss) ...........................,.............",................... t. Sell, D,IIn. 5, col. (f) or (gl I Ntllono-unn upllll g.1n (loll) ......"....................................................... f. Sell, 0, 11n. 13, col. (f) or (g) I Othfl pollfoUolncomt (10"1 (.ltach ldI.dult) ..............-.....................,......'. t' tEn_on Ip9IIaIIllIllnllof'f04llNUmll 8 Ntl gain (loss) und" SIClIon 1231 (oUl..Ulan du.lo usually or "~.1M1rIIdonI tn.ft) ........................"........".""..,..........................,..,",..,'''',......"...." 8 tDtl!kMd.K.llform112ost. 8 Othfl Incomo 110..\ ,.ttach selltdul,l ...,... .....,........................................,... 8 rf""_on~ho'-.!rrMum,1 I 7 Chartlabll conlributionl (attach IdItdull) ...........................................,....... 1 Sell. A, Un. IS or 18 . StclIo. 179 'XIl'n.. dlducllon .................................................................. 8 12.891. } ..-.................... . OIductionl lllaltd 10 pollfoUolncomo (IoU) (attach schtdult) ....."".....""".", g IMCNclIOMb~K.1 Othfl dtducllons lattaell schldull' ......... .....SEE ...S.T)',TEMENT.... 3.833. (fcnn112OS1. 10 10 Iii 11 Ilnlt...t I'llin.. on In..ltmtnl d,bls ...................................................,..... lla Fonn f952,IInl 1 !~ b (llllMStmtnt Incomo Inclodld on lln., fa, fD, fc, and fl abov, .........."."..".. bril 6.892. ) ;s--~....trudIone ''''n ~~ n"ll1ltn"s Includtd on IIn.9 abovo ....................................... bIiI fotlk:lMd.K.1"'orm11~ 12 I Crodllor alcOhol usld II filii ...................................,....,............................ 12a Fonn 6f7B, Un. 10 b LOlIMncOml houllng crodlt: I.L2 (II F,om SIClIon 420)(5) partnl"hlpl for proPlrty plmd In bIll ..rvIct llefoll1990 ...................................................,....................... (21 OUllllhan on lint 12b(l)lor proplrty placad In SlrvIct b,lore bl21 1990 ...........................................................,...........................,........ 131 From SIClIon t20)(5) p.rtn."hlpllor prop.rty plac.d In Fonn 8566,lIn. 5 ! ..rvIct aft" 1989 .............................................................................. b/3\ (41 OUlIIUlan on 1In. 12D(3)lor prop,rty placad In SIlVie. an.. blfl 1989 ................................................................................................ I Oua_ IIhablllbUon IXP,ndltures relat.d 10 renlllll.I"III. aclIvlUts ..........................................................,...............,..................... 12. ~ 8 Crodlls (oUl..Ulan clldlts shown on IIn.,12b and 12c) relat,d to s..~loftM~. rental 1101 "lIll actJvlUts ""......,..,......".."..",..""...............,............."....." 12d lnItNCUoM IoISc1wdu~K.1 I Crodlls lllaltd to 0111.. IInlll actMllts (",Instructions) ......".............."......... 12. lFonn112OSJ. 1! OIhorcl1d" ...................... ............. ........ . ...... 13 i 14 t OtproclaUon adjullmtnlon prop,rty plac.d In "rvlcl .n.. 1966 ..................... 14a 15;666. b Adjusted gain or IOSI Itb <13.111. S.. p.gl 7 olUlI g ........................,...............................,......,..........,... Sharohokl.fl I OtpllUon (OUlII Ulan oU and gas) If. Inslrucllons lor I!! ............................................................... dili Schldull K.l (Fonn ... 8 (I) Gro..lncOmt from oU, gas. or g.othlrmal prop,rt~s I!! ..................... ..p....... dIiI 1120S) and ... 121 OIducllon. oUocablt 10 oU. gll, or g,oUl,rmal proplrtltS ..... ~ ........... ....... Instructlonllo, .... . ,."., ,nts Ind lax ...'o"nnll,m< larta'h "h.d"I,' If. fonn 8251 ~ " I i JWA FOI rl,I"'" Klduollon Aol Noll.., "I "011 ollnllrocllonl lor form 112gS. S.hl.oll l.1 (form Il2D!) 101' SHAREHOLDER NUMBER 1 PRODUCTIONS, INC. 02513__1 .""",, ~ -SCHEDULE K-1 Partner's Share of Income, Credits, Deductions, etc. c,.a No. 1!45-0090 (Form 1065) ~ See Ilparalelll.lruellon.. ~@96 o.OII'lmenl cI "'- T'.aa~ , I,....".. R~ S4r\'lC' For '11.nda, yur 1996 or llx v..r,blglnnlng . 109<<1, and .ndlnG .19 Partn,,'a Idanlltvlno numbor. <J.91~-""-IOOI Partnarshlp'a Idanllfylng numbor" ,-': "...., Partnar's nama, address. and ZIP code Partnershl2's nome, address. and ZIP code SEBASTIAN TRISCARI BROADCAST QUALIT~ VIDEO PRODUCTIONS 1825 BRIDGE STREET RUSSELL B. KEATING, GEN. PTR. NEW CUMBERLAND,P~ 17070 1910 ROSEDALE AVENUE . MIDDLETOWN, PA 17057 A This partn" II a 119 gellaral partnar 0 Iimilad partner o IImllld lIabllily compallY mamber INDIVIDUAL B WhellYPI 01 Inllly Is Ihls partner? . ,...................... C II Ihll partner 0 119 domestic or a 0 lorelgn partner? E . I III a,lor. th.ng. PI) End 01 o ntsr par1ner s percenlage 0 : or t.rmln.llon ~ Prollllharlllg , , , , ., ......... % ....50' % losllhanng , , ......... % ....<:0. % Ownarshlp 01 capilol , . . , ......... % .....(,.. % E IRS Clntar whare cartllershlp lIIed ,elurn:PHI LA.. PA J Analvall 01 oartnar'a capilal account: tV ^ F Portn,,'s oha,a olllabllltlu (088 Inol,ucllans): Nonrecouru . S .................... Qual:llad nonrecou,u IInonclng S .................... Olher. S ......,............. a To. shaile, raglslrallan numbar, . ..,......................, H Check here " Ihla partllershlp Is a publicly traded partnership os de lined In oecllan 4e9(k)(2) , 0 I Chock applicable bO'u: (1) 0 FIlial K-I (2) 0 Amended K.1 . (al Caplllt &Ccounl I' ~lMlno of Y'" {bJ c..pllaJ conlrlbYlld dtmng Y'''' (el Partne,', ahor. 01 lints 3. 4, .nd 7. Form 1085, Sch.dule M.2 (a) Distributive aha,e Item 1 Ordinary IlIcame (loss) I,am t,ade or business actlvllles 2 Net Income (loss) I,om ,ental real estale acllvllles 3 Nel.lncame (loss) I,am athe, 'ental aCllvllle. , 4 PortIa Ii 0 income (loss): a Interest ' b Dividend., c Royallle. . d Net short-term capllal gain (loss) e Net lang-Ierm capllal gain (10'5), . . f Other partlalla Income (loss) (attach schedule) 5 Guaranleed payments to partner 6 Net gain (loss) under secllon 1231 (other Ihan due to casually 0' thell) 7 Other Income (loss) (attach' schedule) . 6 Charitable conlrlbutlall' (see In.truclions) (altach schedule) , 9 Sactlon 179 e.pensa deduction, 10 Deduction. ,elaled to portfolio Incama (attach schedule) . 11 Other deductions (a'tach schedule). 'iii en o :::!. CIl E o U c: , uen =c: 'tIo CIl'- Q- c_ "'.. e", - - "'" "'- "'c c- 123 Interest expense on Investment debts. b (1) IlIveslment Income Includod on lines 40. 4b, 4c, and 41 above (2) Investment expenses included on line 10 above 13a Low.lncome housing credit: (1) From section 42U)(5) partne,shlps lor p,operty placed In .ervlce before 1990 (2) Othor than on line 13a(Il'ar propeny placed in service bela,. 1990 (3) F,om section 42UH5) partne'shlps lor property placed In service atter 1989 (4) Olher than on IIn. 13a(3) lor propeny plac~d In servICe aller 1989 b OUDlihed rehabilitation expenditures related to rental real estate activllIes c Crodns (other than crod1l5 shown un lines 1 Ja llOd 1 JtJ) related to rental real e~ti1le ilctlVIII115, d Credits r.hlted ta other renl.11 itctl\iillOO 14 Other credll:!, For Paperwork R.duchon Acl NoIIC., Ilea Ins'rucllon" for Form l00tt .!1 '6 e! o 1 ~ 3 '~ 4a 4b 4c 4d 4e 41 5 6 7 8 9 10 11 120 b(l) b(2) ~ ~ a(1) 0(2) ~~ a(3) a(4) '"..,' v_,_, ' ,-.:.,,,.~ 13b ;;".-';',. 13c 13d 14 Cotl I,q l1JD-Ilf (d) Wilndtl\ull and dl.ltlbullonl 1"_l?DlIII Account II ,nd 01 V'" (comtllne r.O~!-!tMl (I) lhroUQh IdlJ (b) Amount (e) 1040 flier. enter the .mounlln column (b) on: } S.. pages' and 6 0' Partner', InslruCtions for Schedul. K., {Form 10651. 471 5ch. B. Part I. Hne 1 Sch, 9. Part II, line 5 Seh, E. Part I, line 4 Sch. O. line 5. col, (ij 0' (9) 5eh, 0, line 13. col, (ij or 191 Enllfonappllubl.Iln.OlytN".luIn, } S.. pagfl 6 01 Partn.r's lnSlnJctions lor SChedule K-' (Fo,m 1065). . Enllf on aOP!ltJbl. lin. 01 your r'lum 5ch. A, line 15 or 16 } Se. page 7 01 Partne,'s lnstrUCllons 'or SChedule K-, (Fo,m 1065). Form 4952. line 1 } Set page 7 01 Partner's InstruChons fo, SCMedul. K.' (Form 1065), Fotm 6586, IIno 5 ) S.. PIIY' tt 01 Partn.,', InalruCllon6 leu SC"tq",le 1(,1 (FOIm IOe!"i1 5chedul. K.llFcrm 10(5) lOge So:htdw. K.' ~-\xm 10":", 19~1J "..., _. ) - ...-. (a) Clatrlbutlv. ohare lIem (b) Amount (ell040 filers enter the .mount In column (b) on: 'Cl 15a ' Net 'eamlng. (loss) tram .ell-employment. 1Sa - "_471 Soh. se, Socllen A er B I' b . Gross larmlng or II.hlng Income, lSb } s" PIQI 8 01 Pari".,', InSlrvctlonl rOt Sch'f~l' 1(41 '0 Gro.s nonfarm Income. ..' M.,l.. 'f.... ,., : ISc (Form 106!). . :. ..~.; . "a. .- '. il 18,,' Olpreclatlcn adju.tment on PfOperty plaeod In '~"'Ice allar 1988 18a , , ",\,"" , , b Adlustld gain or 10.. ' . . , , 18b ..(' , S.. P09'1 a .and 9 01 II 0 Oepllllon (otner Inan 011 and ga.) " 18e Pa'ln.r', InllNcllon, diiI lOt SChtd1.lI, j(.l d (II Gro.. Ineoml 'rom 011, gas, and geoll1e'maJ propertle. (Form 106!) and (2) Oeductlons allocabl. to 011, ga., and glotnermaJ propertlo. dI2I InltrvcUonl lor Form 6251. . Otner Idlultmlnl. and tax prlfl"ncl Itlm. (artach .ehodu/e) 18. 17a rype ollneoml ~ ~~ Form 1116. ch.ck bo... ................................................. ""~ j b Naml 01 foreign eounlry or U.S, pO.....lon .. ~.~ ) ................. ~'~ c TOlal g,olllncom.',om .ourc.. oulSldllnl Unlled Slat.. (ottach ~~ Form 1118. Port I ochac1ll/l) 170 i , . , , , . " d TOlll oppllcabll deduction. and 10.... (alfach SChedule) . 17d ] " I Total 'o"lgn I.... (check one): ~ o Paid o ACCNld , , 171 Ferm 1116. Part II , Reduction In tax.. available 'or credit (artach .Chedulo) 171 Ferm 1 I 16, Part III 0 01h" lorelon lax Inlormallon (ettach .chadule), . . 170 S.. Instruchon. for Form 1118 18 SICllon S9(11(2) expendilur..: a Type ~ ......................... ~ } 5.. p.g. 9 0' Pann.,', lnstruchon, fat Sc:htdul.I('1 b Amount . 18b (Form 10aS). . 19 Tax-exempt Inte,..t Income 19 Ferm 1040. line 8b .. 20 Oll1er tax-..empt Income. , 20 ) Gl 21 NondeductIble 8x;"9ns8S~.: '. 21 See page 9 01 Partn.r's .c InSINCllons fot SChedule 1(,1 - DI.trlbutlons 0' money (cash and mar1<elable .ecuntle.) 22 (Form t06!5). 0 22 23 Distribution. 01 property other than money 23 24 . ReCaplu,e 01 low-income hou.lng credit: ~ " From section 42(j)(5) partnership. } form B611: line 8 b Olhe, than on line 24a. r24b 25 Supplamental IlIlormatloll raqulred 10 be 'eported separately to each paM", (a'tach additlona' scheelules il more space is naeded): ...................4...................4.............4..........................4...4............................4.4........4...............4....................... ' . ...............44...................4.......4...............................4....................4...............4.....44....................4...4................ ...............................4.............4..................4....................................4.................4........................................... ..................4...............................44..............44..................................................................................... c: ,51 - ............................4.............4...................................................4...................................4............................. .. e 0 - ................4...........................................................4........................................................................... .5 "iU . - .........4.............. ...............4....4...... ..... ..~..... ............ ....4... ....... ..... .... ..... ........ ..... .... ... ....44..... .4...... ...4...... C Gl e .....................................4.......................4..................................4.....................................4.......... Gl ii. Cl, ::l .............................4.................4........................................4....................................................... 1Il .4.........................................................................,...........................................4....................... ............................................................................................................................................ ........................................................................................................................................., .......................................................................,................................................................., . I' PI';' 2 o "'""'M.... ,"~cIW ".,"f 'V 1I.0f0I0.IUiI..07.:r17 . . ~ RESIDENT PARTNER'S SHARE OF INCOME, [LOSS] AND CREDITS PA SCHEDULE RK.1 m flEY.IG75EX IOg.g81 'A DI'ARTMINT 0' AIYl,NUI 1996 PART I. GENERAL INFORMATION Partna,'. 55N (Individual) 0' EIN (Bu.in.... ESla'o 0' TruSl) 194-44-7687 Panne,', Naml SEBASTIAN TRISCARI 5',a., Addr.1I (Including numb.r) 1825 BRIDGE STREET IIV' late Ip 000 NEW CUMBERLAND PA 17070 Pal1norship's Federal EIN 23-2475530 Partnership's Name BROADCAST ~UALITY VIDEO PRODUCTIONS Slreot Ac;tdress (Including numbor) 1910 ROSEDALE AVENUE Ily lale Ip 0 It r.uDDLETO'llN FA 17057 A II Ih. p.rtn., a g.n.ral partn.,? YES ONO D Enter lht5 partner's percentage 01: B Oall this panner'. Inlerestl" partnership began: Beloro decrease or End 01 ,.a, lermlnaUon Monlh 01 Day 01 Year 1987 Prolil sharing .. SO .. .. .. Ilossl sharing .. 50 .. .. .. C If this partner is nol an Individual, what type Bnllly Is it? Ownership 01 Capital % 50 ~~ E Partner's share olllabililies: 50% PARTNER'S CAPITAL ACCOUNT - BASIS . Pennsylvania follows accepled accounting principles and praclicBs and not lederallax accounting. . A reconclUalion of each partner's capllal account is not required on the PA.65. . The partnership must maintain each partner's capital account. PART II. DISTRIBUTIVE SHARE OF INCOME AND OR [LOSSES] DO NOT USE CENTS - ROUND TO WHOLE DO~LARS Pennsylvania Income Class Partner's Share 01 Income or Include these amounts on the flnes Indicated (or Amounts reported should be (Lossl . wh.lh., I~ese PA lax returns: determined under PA rules distributed or not PA.40 PA-41 PA.65 PA.20S Net Income or [Loss) 'rom the Operation 01 a Business. S 473 L1n. 4 lb to Profession or Farm 3 2 PA Taxabl. Intor." S L1no 2 3b 3 3 PA Taxabl. Dividends S L1n. 3 2 4b 4 4 Nol Gain 0' [lossl',om th. Sal., Exchanga 0' S Dlspo.Ulon 01 Prop.rty llno 5 4 Sb S 5 N.t Incoma 0' [lo.s) "om Rants, RoyaUla.. PolanlS S line 6 S 6b 6 and Copynghls e Estate and Trusllncome S lIno 7 6 7b 7 7 Gambling and lOllory Wlnnln~. S llna B 7 Bb 7 PART III. PARTNER'S SHARE OF ALLOWABLE CREDITS APPLICABLE TO THIS TAXABLE YEAR e Employm.nllncGnli.... Paymonts Crodll S t5b PART IV, DISTRIBUTIONS g Nonluable Return 01 Capllal Oislllbullons 5 5, OJ, 5 500 Instructions. 10 Sale, Elli~h.ngo or llquldation of POl1nonhip InhH05t 5 Sea instfuctians. 11 Guaranteed Poym1mls, OU5crlbo S Soo Insl,ucllens. DO NOl USf. ([N'S . lIourlD TO WHOLE DOlLAns L . a I L H I . I PrulcUnUal It.. E1tcUon ~mp.lgn , 1 2 3 4 <. Fo":11 1040 U.. 11,,1"3 IIlleL CUI"," wi,., pll.... ..... Itt)1ll. FIling Status (Sae p.gel2.) ,~ D~u1"'~I.t thl T"~lIt')' -lftlMl&l nl"""" Santlu U.S. Individual Income Tax Return 1994 'o,th, .....r.n.-O.e. 31, 11....'01...',... It b. ""In , '......ndl" . tS41-OQ74 Vour eoclal no. .194-44-7687 Spou.... ...1.0. _urtty 110, 2 6- ror ".~ an PapelWOrli ReduCVon Act Node ... a ... No 0': Ch.ctln........WlU "at Chang, ~V, We Dr No ""un u".f"".. SEBASTIAN & MARYROSE TRISCARI 1825 BRIDGE ST ~ Do you wanl $J 10 go 10 thl.lund? " Int rotum, do.. ur II Quae wlnt S3 10 010 thl. fUnd? SIngle "'an1od nllng jolnt..lum (even II only one hed Income) M&tntd Illnlln.."'t. flwm, b'" .pou.... aSH thv.. lull"..... ....'L .. Hood 01 household (with qulllfylng p....n), (Sea plge 1~.) It Ihl qUIIII)'!"lI p."." I,. child but not your If.PM.lnt. Chock only On8 bex. 5 Qua1l n wtdow ft( with de endent child . II au!!s died .1t.l . See a e 13. 6 a Vau...elf II vaur par.nl (0' IOmeane else) can claim Vau .. . dependont on hi. 0' h~ N., al b.... chlckld an Ia ExempUons tllJt '.lurn, do not cheel< box I.. But be .ura to check box on IIn. ~~b, pg. 2. ...... ~ --.!!.ill S au.e (508 CDependenta:. . . ; he,t:. (;II'~'l:'al;". . ;41 :p.n:.n: . lal~a.o No. II' Y'll'" I unci" II'Plnd.nt.,Oa.r '....lIan."lp to you o.lv.d In Ctl~I~,en.n I. pago 1:1.) (11 N.m.lllttt.lnlU....nd Intn.m., .a" "Qlrltynumb., our ho,.,,' W o. If more than abc dependents I8e page 1..... Income Anech CopV B or your Forms W-2, W-2G, IlId 1099-R here, II you dld not get a W-2, .... pego IS. Enclose, but do nolenach, IlIV peyment wtth your relum, L A -6 - - 2-4800 D · h.d with)'1'u 2-- edldn'tll......lh - yaudu.to dlyorc. or..pat,tlon(... p.g.,,,) SC RI 1 D,p'nd."", at'o lIo('nl.,.d.bl$'l. _ d It )'Our child didn't h. with )'ou bull. clalm.d u your tUp.nd'''1 und.,.p,...'lI.5.gllllftlnt. ch"liI h.,. .. e T01111 number of exam dons claimed. 7 Wages, saJar1os, tips, elc. Attach Form('IW-2 Add numb.,. .nt"'d on Il,....b..... .. 8 a T""ablelnterestlncome (see p.g. IS). Anach Sch.dul. B II av.r $400 b Tu-exemptlnl.,..tl...pag.,I}. DON'Tlnclud. on In.... . 8b 9 Clvldend Income: Anech Schedul. B II over $400 10 Taxable refunds, credits, or onsets or atate and IoceJ Incomo taxes (see page 16) . 11 AlImony received . . 12 Buslnesslncome or 00"). Anech Schedul. Co, C-EZ. .' . 13 eapneJ goln 0' 00"), II ,equlrod, enech Schedulo (... peg. 16). . 14 Othor gll"" 0' (Io....), Attach Fann 4797 . . . . 15a TateJ IRA dlstrlbuUan. ~ b T..abl. amount(.......,7) 16a Totalpenllona&annulti.. ~ 23 .895 b Taxable lmOunt I'.' page 17) 17 Ronlal rail ..tale, roval1J.., partne...hlp., S corpa,aUa"", 1IU.13. etc, Anach Sch.dul. E . 18 Farm Income 0' (10..), Attach Sch.dul. F . . 19 Unemployment compeneeUon (.... peg. 16) .. .. 20a Sac/II aecur1ly benen13 l1!!!J b T811eblo amounl(....... '" 21 Other Income. U.tlypa end amoulll-.... p.g.l. 4 6 o . . . 22 Add Imount8 ahown In rar r1 ht (alumn ror ftMs 7 throu h 21, This ,. ur tollllncome AdJUBlmenls 23a Vaur IRA doducUan (Iao pIO.la) 23a to Incomo b Spau.."IRA d.dueUan (.... p.go19) . . 23 24 "'aYing ..p.n.... Anoeh Fann ~903 0' ~OO~-F . 24 CluUon:Soa .'. 25 One-hell of aeI'-employmentlax. 25 11I.IIUC1Iall3......, ~ 26 Sall-emplovod hoolU.ln...,.nc. d.duC1lon (... pago 21). 26 27 Keogh roU,omenl pion and loll-omplovod 5EP doducUallo 27 28 PonaJly on .arty Wllhdrawll allOYing. 28 29 Allmon, pold. Roclplonr. S5N ~ 29 30 Add Unos 2:Ja thrau h 29. Thalia ate ur 1oul. uatm.nt... . Ad'. Gr. Income 31 Subtract IIno 30 trom IIno 22. this Is your adlusted grollllncome 0114 ~ ~ 1094 Fonn 1040 pegol , . .~ ~. '1884 FOnn 1040 H""'iI('lu '''own ''''.0. I 01 fill. 1040 Tax Compu- tation (S.. plgl 2:1.) If you Wlnl th. IAS 10 ftgu,e you, tax, 188 pago 24, Credits (See page 24.) Other Taxes (See p.g. 2~.l Payments Mlch FolT11:S W-2, W-2G Ind l009-R on lhe !rOIlL Refund or Amount You OWO Sign Horo ~.~:cX fo,your rOCOrdl, Paid Preparer'a Use Only 32 Amount from Une 31 (.dluatG~ groas Income) . . . . . . . . . . 33a Chock n:[Jyouwaro ~ or olderD BOnd; Dspouu wu ~ 0' older,D Blind. Add thl number of box" chocked above and _"ror the tollJ h.,1 . . . ... 33. b If you, paront (0' someono aI.o) C'" dalm you u a d.pendont chock horo ~ 33 C If yoU 110 merned ftllng ..parAloiy olld your IPOUO. IImz.. d.duCllon. ~ 33c or you III I dU".lIltUlIlllln, I" pig' ~ and ChOCk h... . . . ]llm'Zld deducUon. from Schodulo A. Uno 29, OA 34 Enter SlIndatd dadUc:llen lhowlI below 10' you, IIIlng etltul. ..." roo .___. thl ...,.........aJa... ~.." ,"g. Ufo II".,.",."".". .'IIII\ol~.'" It)1l11 .hee'" '..~2.. Large' __s,~Qi;'~~800.u,,, I. I''', . Hila 01 hcul8hald-~,eoo yoOI ur. e MlITIad nung Jollllly 0' Oullllylng wldow(er)-S8,3M , e MlITIad nung leparlloly-SJ,17~ 35 Sub~1Cl Uno 34 from ana 32 36 If IlIe 32 Is $8:I,a:lO or "'"", multJpl, S2,4~0 by lh. 10lal number ollxempllona dalmad on Unella. If Uno 321. ovor $ll3,~, oee lho workoheolon paga 2410' lho amount 10 onlor . 36 37 Taxablolncoma. Sub~ICl Uno 38 !rom Uno 3~, If Uno 38 I. mo'olhln Une ~, Inlor -0-. . 37 36 Tax, Chock n from: alXlTax Tabl., bOTax Aal. SCh.dul.... C DcapUal Galn T.. Work ,heet.ordD Fa'm'1I1SI'llp..gI24~ AIIlount,r,omForfll('lla14 ... 0 38 39 Addlllonall...., Chock II ',om: aD Form 4970' bD Form 4972. . . 39 40 Add Un.. 38 Ind 39 . . 40 41 C,odUlorchild&depondonlcaroexp.nso.. AnechFonn2441 41 ~ III' 42 CnIdll 10' 1he olderty 0' lh. dl.abled, Anoch Schedule A 42 illlll,~ 43 Forolgnlaxcredlt.AnachFonn1118 . . . . . . 43 IIII~ 44 Olhor a.dilS (see ~o ~), Chock n !rom aD Form 3800 II liI'.1 b[] Formll300 CUFormBBOldlXl Form 8826 44 5 00 !~ lIil 45 Add Un.. 41lhrough 44 . . 45 46 Sub~act Un. ~ from Un. 40, 1111110 ~ I. more than line 40, onler -0- . ~ 46 47 SelI-..mploymellllax. Attach Sch.dule SE. . " 47 48 AttomaUvu mlnlmum tax. AUach Fcrm 62:51. . . . . . . . . . .. 48 49 RecapbJrutaxes. Check it'rom: aDForm42ss b[]Forlll1l11 cD Fa,,,, 112.. 49 50 Socfalsecurity and Medicare t4X on tip I"como not reportod to employtJr. Attic'" Fo,m 4tU . 50 51 Tax on quollfted ,eti,emenl plan., Including lAAo. II 'oqu~.d. lnech Fonn ~29 51 52 Advanco .arned Income aodlt paymelllS !rom Form W-2 . 52 53 Add IIn.. 48lhrough ~2. Thl. Is ur lolalla.. ~ . ~ 53 54 'ld"lIln,olllltuwtt"'hlld.lt.")'I,,,olll'or""'IIOII.C"'I,k'" 54, Ilu~ I 55 1994 .at tax plymonll OIld amounl appll.d !rom 1093 ,.cum 55 56 Earned Income credit If ,equlred, anach Sch.dul. EIC (see :1 ij l:illl'::1 ! pog.27). Nentaxabloearnod Income, . ,II . I IMd typo . 56 i 67 Amounl pald with Form 48ea (o,.,onolon raqu"l~ .. 67 58 hc.....dll..cunty. and RRTA tu vrril"''''lld (.1111101 321. . 58 59 Olh',I.,.,"I"U. Chick IffflM 0 0 ,.,,.2131 Db""..4u, 69 60 Add RIIIlI e4lhrou h 88, Th.oe 11. ur tolal I enla . . . 61 IlUn. eo " mora lhIM Inl ~, IUb~ICl all. eo from Rna eo, Amount yoU OVERPAID 62 Amounlof Uno 81 you wlnt REFUNDED TO YOU 63 Amounl.llno 81 \0 be APPUED TO YOUA t985 EST. TAX ~ 63 64 I' .". n I. "'0" than I,,, '0. .ubll.c' In. 10 ',a", '''1 U. ThllI, Iht AMOUNT YOU Owe.. Fo, d.tlila on how \0 P"Y, IlIcludlng whlllo Wrl1e on your paymen~ _ page 32 . 65 E.timllod I.. OliO 008 I e 33 . Alae Includo on In. 84 65 Un"" ""lIU...1 '''ju,,,,, I If,,Iu'I''lt I h..... 1.....1".. 'hi. ilium 11I11 lCCGrnp.."'tt"o ICh.dul.. an~ l\al'.lnta, 1Il1il1. till b....f ",.,.knowlelilll'MII b'hf, th..,.... tN., eou"t, an. caMpi.,., O.dAIlUon ar ptlpllll(att!., IhAII tuPI",,)I. buell." 'Illnror"'at!an of "'hlct! p,ep.,1t "U&I'I)' kno",ledll" Y.u, ll8"Alutl Oa'. You, o"",.a", , . ~ 'p."..'. .IO""u,.. II Jol"'"wrn. BOTtt "''''1'18". PUPII'''e ~ .lgn.tUII , 11""""""(0')'01111 ~ "..lfe....pl.y..d)ln. .dd,... v D.'. .p......'. 'CCU"UIlI" .o.t. elllek" ultel"'plo.,.." JO s c 01.. e2 ....'.0 "QU'ltrft4l"'.., .421 35 5 000 56 6 1004 Fonn 1040 pego 2 .' .' " '. i"""I SCHEDULES A&B (Form 1040) ~chedule A - Itemlzl;!d Deductlonll OMS a 1 -00. (Schedul. B I. on blok) .. Su In.lnlctlan. 'or Schedul.. A and 8 O...vt....,.t Ih. Tr....,.., "'t.ma' "''''Inn leMU H'-IIC.'''',..,.n 'af.. 104Q Mldlcal and D.n.... Elql.nl.. Tu.. Vou P.ld (Sea p.g. A-1.) lnl....1 Vau Plld (See pago A-2.) Not.: Personal In1e'estls 1101 dOduCllblo, GllI3 to Charlly 15 II you made 11 aglltllld tOI a benonl rll,.ee 17 pago A-3, 1. ea,u,'ly and Th.1l Lo.... 11 Job Elql.n... 20 and Mo.1 Cllh.r MI.o.lI.n.ou. Deduction. 21 22 (Set pig. A-5 for Ixpln... to Ulduct her..) 23 24 25 28 Cllh.r 27 Mf...llanoou.21 DaducUan. Tolol ll.ml..U OeducUon. .. Altoch to ronn 1040. CauUon: Do nollnclud. "'pon"es ,Glmbursod or paid by ath.... 1 M.dlcal and dontalexp.1llIII (1M p.go A-1) 2 In' It IMGUnt fr.. 'or... 1040,1"132 :I 3 4 8 8 7 8 eo 5 Multlply lna 2 above by 7.5% (.075) SUbtractlne 3 from Une 1. IIlno 310 marolh'n Uno 1, onter ..0- Stlte and local Income t&Xn . . .. RIal_Ie lues (see p.go A-2) . . P.....nal prop8<1y laxo. OthGl taxes, Ust type .lId lI/11Ounl .. FA UC 8 Add nn.. e throu h 8 . 10 11 8 I II 8 7 ill :mIWill~ 10 8 I , 8 10 .. Ilililll~!!i lilllilllll! IIIlULUIlI 11 12 1.1 13 3 , Ho"'. ",artgalllln'I,.I1U1d poinllnportld to VO" on Falm 1011I . Ham, ",ana_Olln",..tnal 'I"onld 10 Ytu an fa,,,, 10il. It pald to tll. p.non t,aM WIlGIII you bo"ar" 1t11 ham.,... page A-' &nd ,haw thaI plnnn'lft&fftl,ld'''Ulylngno., and .dd,... . . . . . 12 Poln15 nol 'eponod to yoU on Form 1098, See p.ge A-3 fo, apedal rules 13 Investment Interest. It required, .nach Form 49~2. (See p.ge A-3,) 14 Add Ines 10 lhrou h 13 GI1t:I by cash or chock, II .n, gin of $250 0' mare, .ee p'ge A-3.. Olherthan by clSh or check, II .ny gin 01 $250 0' maIO, ... p.ge A-3. II ove, $500, you MUST .n.ch Form 8283 Conyover Iram prior ,..t Add nnes 1e Ihnau h 17 . . . Cuu or thon 10.. ... Anach Fonn 4884. Sea . e A.... UMllmbUlHd IITfll0yao 1""ln... - job travet, union dUI., job Iducalfoll, Itc,lIl1qulrod, you MUST allach Form 2108 0' 21 Oe-EZ, (500 p.ge A-e.) .. . Tax prwplllUan fOOl . .. Olhor "",.na. - In_tmon~ ..Ie dlpoall bow, .Ic, Utt typ. and amount.. . . ., Add In.. 20 lhrough 22 h'., ."'.lInl fr.... '.r", tOcO,'"_ n 24 Multlply Un. 24 .bove by 2% (,02) . . Subtr.ct Un. 2e from Une 23. II Une 25 Is mo,a Ih.n Ina Zl, ontor ..0- Moving expenaea Incul1ed betorl 1194, Allach Fonn 3n03 0' 0903-F, (S.. pag. A-5) . Olhor - from Ust on page A-5, U.I type and amount .. . . . 28 II Form 1040, Une 32, maIo 1h.1I S111,800 (avor $:l:l,900 II marrIod nllng ""parltoly)? NO. Vour daduCllon Is not Umltod. Add Iho lInclunl:lln 1110 far rlght column for Dnos 4 ltvough :28. AJGO, Dolor on Form 1040. Ino ::14, the larger 0' thlll lIT'lOunt or your atandnrd doducdon. YES. Your deduction ma be llmilod. 500 a 0 A-15 'or Iho wnounlto entor. For Plp.rwark R,duttlon Act NoUce. ... Form 1040 InstrucUons. Ot.. ]- .. Sch.dul. A (Fonn 1Q.1O)1894 . , ~ SCHEDULE C (Fom1 1040) Profit or Loss From Business 0"0 N.. '''I-G<I,. (Solo Propri.lo..hlp) 1994 .. Plrtn.'"hlp", lolnl velltu,... .le., mUll nlo fonn Iou. ... Attach to Form 1040otFonn 1041. ... S.. fnstructlana tor Schlduf. C Form'1040. ::':=:::"~a. 09 SocW MCUrlly numbor (55H) C.,"'lIIeftllftll.T'IUUry "'tmt.1 AIV.,,,,,. "MCICI, Nome 01 prop~.lor A Prlnclpll bullOMl or proloaslon, Including p,oducto, oa..1ce (... pogo C-l) o C Bull__ n...... II no ..p..ol. bulln... nome, Iolv. blinK, S E BuIlOMllddrooloQndUdlnglUlfoorroomno,).. 59 CENTRAL BLVD , town a' 011 omc., otlte IlId ZIP cod. F AccounUng method: (I) C..h Acaull (3) Other (.peel") .. G Mothod(l) u.od to 0 0 Lo...er 01 cO'1 0 Other (Inlch 0 Do.. nolllpply (If ValuI doling IlIvonlory: (1) Coil (2) o,mll1<ot (3) ..pllnIUon) (4) chocked, I/dp in. H) H W.. thers any chongo In d.,ermllllng qUlnau.., Caito, a' VoIu.tion. between op.nlng ond doling Invlntol'(1l1 "Y01J,' onoch explanation . Old you "maler1a11y plUllclpol.'ln tho oporlUon or thl. bulln... du~ng 199.111 'No:... pig. C-2 fa, IlmIlon 10.... J tf u st. Id or I Ired Ihls buslnoss durin 1994 check here. I:Rertl,liI Income B Entor principII bUlln... code (- peg. CoOl .. o Employ... 10 nUmbor (EIN), It Iny V.. Ho '. ... 1 Groa recelptl or III". ~uUon: " thlslncame WIS repOr1od to you on Form W"Z and the "Statutory 0 Ilf11:lloyee- bow on thl' form WI' checked, 1M plge C-Z and chock here . . . . . . ... 2 Returns and llfowlnc8s . . 3 Sub~lct in. 2 !rom in. 1 . 4 Coot 01 goodl IOld (!rom Uno 040 on pag. 2) I Grou pront Sub~act Dn. 4 tram UII. 3 . . I Other Income,lncludlng F.dorll and 1111. gaoolln. 0' fuel tlX Clodlt 0' rofund (os. pag. C-2) . 7 Q II com.. ddnn selndtl. . . IRani. Ex enses. Elltor e. ell.el fa, business u.. 01 au' home on on line 30, 1 AdvotUllng. . 1 19 Penllen and proftl-Ihll1ng pll'" 19 1 aId d.bll!rom eol" 0' 20 R.nl,o, Ie..e (I" pagl C-4): !UU~illli lIMe.. (," page C-3). . V.hlel.., MaCflln'".,....d .~"lplllt"1 20. 10 C..lnd truck .xpen... b Olher bualn... p,oporty . . 20b (- plge C-3) . 10 21 Repelre Ind malnlanance . 21 11 Conmltllons and fea. 11 22 Guppllu",ollncNlf.d In PU1I/1I. . 22 12 Dapledan. . 12 23 Tuft and IIClllIOI. . . . 23 1:1 Oeprecladon II1d HCtfon 178 24 T,.'I"~ ....". M" ,nl.rt&UII"'I\I: /) axpe",e deducUon (nollncluded 0 T,"veI .. .... 24.a In PItlIll) (- pig. C-3) . 13 b 1.4.11. and In 14 ~Ioyee benellt prog'&mI lar1&lnmenL (other than on lne 18) . . . 14 C iEftl., 10"'".f III, 1S Insu,anco(Otherth.n hoelth). 15 2 8 ......1..... II Inlntt: I~ ::'j~~~r ,... e Mortgog. (paid to blnluo, .tc,) . ISI d Subtrlctine 240 from Ine 24b. 24d bOther.. .. 1ab 25 UlillUes.. .. 25 17 Leg. and praf_anal 20 . Wagu(lu. .mplaym.nl ctlcllul . 20 aorvIcoa . . 17 3 6 27 Other ."".n... !rom in. 48 on II omce.. enle II 56. .2. 21 To~1 e""enlel beloro e"".n...'o, bulln... u.. a' homo, Add in.. B through 27 In column. . :Ii Telllltivo prollt Qo..), Subtract Dn. 2S I,om line 7 . . 30 Expe"".. to, buoln... uos 01 your homo. Anoch Form 8829. 31 Nel pronl or 00"). SubtrllCl Une 30 from IIno 29, . 0111 Proft4 .nler on Fann 1040, IIno 12, and ALSO on Sch.dul. SI!, line 2 (.lotutory amplo'...., lee page C-a). Aducfarlcs. enter on Form 1041, IIno:l. I 011110.., you MUST go 011 to Uno 32. 32 II you hlv. a loa, chock th. box thOI do.crlbos 'au' Invo'lrTMJnt In this eCU.ily (100 pSgo C-5). elf you checked 321, ontor the Joss on Form 1040, line 12, and ALSO on Schedule, 51:.. line 2 (""tutOry emplo,..., 100 peg. C-S). Adudarle., enl., on Form 1041, ino 3, 0" u chodced 32b, au MUST Inlch Form 8198, For Paperwor1f. RedueUon Act NoUee. Bea Form 1040 In~trueUonll. 1 2 3 4 I . I 7 ... ... 27 25 29 30 } 31 65 083 } 32.1 B Alllnvutm,n'I.."t,lI. 32b p'on':T l1';t',~m'nl DIU Sohedule C (Form 1040)1994 " " ,,......, ~L1pplemental Income. and Lo~.. (From ..nlal...,..lal.. rayala... pOllnonhlp.. S ca'1'anUan., ..lal... bru.1D, RallCa, olc.) ~Atlach 10 Fann 1040 or Fann 1041. ~ So.'nobrucUallo 'or Schodulo E r' SCHEDULE E (Fonn 1040) 0". N&. '-........0074 0.......'.' ,... T......., 11I1....,,,...........,... Nul.) .h_..,..... B Partl. Income or Loss From Rental Real Estate and Royallles Nolo: R.pan Income ond oxp.....tram your bUll".. of 'on~ """nol 'a an Schodulo C a, C-EZ (... I. E-l , R. art fann ..nlollncome or 10.. Irnm Fann 4835 an a 0 2, I". 31, 1 SMW tllll kind ond IocoOan of .och ""101 ,.., 0.101. 2 Far.lICh relllllreol eotal. v.. No - proPllIly lIDtod on III. " did you or you, lomIIy UM h for p"""nol purpo_I'lr mare than tho grutor of 14 daY" Of 10% of tho IOIlI daY" '.nlad B at fair renlll Valu. durlng th.l4>c ,.ar? (500 pag. E-1.\ A Income: Pro ertles A B C 3 RanIS ,ocolv.d 3 80 4 RoytltlH rICI/v.d 4 Expenses: 5 Advo<l!slng . 5 6 Auto and ~av" (I" peg. E-2) 6 7 Ollnlng IlId maJnlonenco . ., 6 COmmllllonl. 8 8 In,u,"nc. . 9 10 Ltgolllld ath... prof..slanol f.... . 10 11 Manegltlllnll_ 11 12 Mortgog. '"I...... pold 10 blllk., lie, (SOl pag. E-2) . . 12 13 OUlIt Inlltnl . 13 14 R.pol" . 14 15 SUppUn . 15 16 T..u . . 18 17 UtIIJOa. . . . 17 18 Olhll (lilt) ~ 18 18 Add Inn SlIvoughIS . 19 3 20 Ooproclallon "cp.n.. 0' dopleOan (5M page E-2) . .. .. 20 ~1 Tatol.xpl...., Addlnasllll1d:lO. 21 67 22 Income a, (10..) Irnm "nlll reollOtll. 0' ro,aIly proplf1l.., SUbtract In. 21 flam In. 3 (r.nlll) 0' aOG 4 (,a,olU..), lithe rnuh Is . 00..), ... pogo E-2 10 nnd aul n you ITIJ.I nl. Fann ellS . 22 23 D.ducObl. '.nlll ..01 "'01. 10.., CauUon: Your rental roal 8StltO Joss on In. 22 may be lIrrIt.d, Soo pogo E-3 10 nnd aul n you ITIJ.I nl. Fann .S8:z. R.ol..tale prof_nllls mu.1 camplOlo In04Zanpog.2. . . . . . 23 38 24 Incomo. Add pasltlva omounlo ohawn on Uno 22, 00 Not Includo lilY 10..... 25 La..... Add ro,aI1y 10.... from Uno 22 .nd ,onlol rool ost.,olo.... from ano 23. Ent... tho IotllJ 10.... h...o 26 TaloJ 'onloJ ..ol,,'oto and royally IncalT10 0' ~o..). COmblno Uno. 24 and 2S, Enta, tho ,osuh horo. II POr1:lIl, Ill, IV, .nd Uno 39 on p.go 2 do nol apply 10 ,au, oj"" onl., thl. omount on Fonn 1040, ano 17, OthOlWfso, Incfude the amount I" 'halala.! on IIno 40 a 02 . For Paperwork ReducUan Act NoUee, aee Form 1040 InstrucUons. Dlt4 . 26 38 Schedule E (Fonn 1040)1894 , . ""'" Sch.dul. E (Fann 1040) 1QQ. Anachmanl51 Name(a) .hewn on return. Co not Int... name and aod" IMIC\Jl1ry number Ifehown an other aJde. SEBASTIAN & MARYR NOl.: If you rapal1amaunll from fasmllg or nshlng an Schodulo Eo ,au roost .nlor your gro..lncomo from tha~ ""\fvitl.. all Un. '1 bolaw. R.., .,tIli1e ro'.salon". must co late line .2 below. . !IParti:llHlI Income or Loss From Partnerships and S CorporaUons N.":II'.."..n.~..t'.""'''-rl''''''''I'''''.''U'T''tc' -'III., co"',"" e., arm or II... a7 to dUCI'lh yo",,".....''''.,.II'' th, .ctivlty. a.. P'O'."'" I' Y'OU IIh.cll caIuIM(fI.)'aU mu.. .t1acl'l Fa,,,, '111. .neoNa.13 P .2 Your _II aecurlty numb<< 27 i':.!.~~'oU:-'9r I~J~'1.e';;'. II 11~~n 'AIKWtt (I) NIII1I Partnofllhlp; S (I)AIII. (1)1...1. far S co;';, _plltnefllhl. number _In.IF. nahlrt,lt ARDl"lll.nt"l\ST VIDEO ONS p '13-:!4'l553o X B ( [ E Passive Incom. Ind Lou Honpllllve 'ncome and Lou (9) PUIlvalo.. allow.d (h) PUIlv.lncamo f') Nonpasalva JoN 0) 5<lcUon 17Q ..p.n.. (k~anGUIlv.lncomo (anach Farm 1.12 " '.qulr.d) from Schadul. K-l rom Schedul. K-1 deduction from Form "51:! m chodul. K-l A 9 J<J7 B C C , E 281 TQlaJl l:m:nnm~li!i1l!ll::l1ll1l1llllllla!!lIl!i'J:!l '1II:l!!!llli!m!!:t:l111'~i:.ll:!il!llilWi~II:l1Ii!!lllmJ:!JIlmi ;lllll'llli!llII:IIIII!lllmllm!l::mm~'II/11I1II/11I1I:I'II::1II1111 i 9 c:L97 b TOlall I !llml:I!:,l:I:!!i:i;r:j!;!I;li;f:!i:i'~:I:!liliJ'll!! ;!:I~H:e!ili!.);:II!HI~i1 IW H!I !lllllW!li!W(ill 29 Add columna (h) and (k) of UII. ;80 . . . . . . . . . . . . . . . . . . 29 _9.797 30 Add columnl (9), (I), Ind (J) of Un. ;Sb . . . . . . . . . . . . . . . . . 30 I( --'I ) 31 rOlal Plll1n...hlp and S carporlllan Income or (10..). Combln. Un.. :lQ and 00. Enl<< tho '.aun her. and Include In the 10'" on lne 40 below . . . . . . . . . . . . . . . . 31 9J97 1'l1F!8it::1I111 Income or Loss From Estates and Trusts 32 (I) N4/11O (b~ Etr(Jloyor IdGnti ca~on number AI BI P..I've Incom. and LOll (c) Puslv. deducllan a, 10.. lIIaW1ld (eI) P....volncomo (Inoch Form SSS2 " roqulroel) trom Schedul. K-I Non as.lv. Income Ind La.. (.) Oeduction or 10.. (I) Olher Incamo !rom tram Sch.dul. K-l Sctr.dul. K-I !il! lilllll111liiiilllilll 111111 !IIUt!IIII~ilIlUiIIlIlIIll i!l1I1I1I liil illllll!illlilhlli!lIIHIllIlIIiIiIllI/lllhillWiIIlllllilillll IIIII!lil!lilll!llIIlilllIIlll!IiII!IIII!/Ii!i1/liIiIi!IIIII!!iIIllI'lili/IIIIIII/Ililllllll/ lilllllllllillllll!IIiIIIIl!IiIIIIlIIll!llIlIIllIIIIIl/l!lIlfflllll . . 34 . 35 37 (.) N4/11O 38 Combine columns . Enter the result here Bnd Include I" the totaJ on Dne 40 bolow :11P.artll:ll:lili Summa 39 NetllUTT1 rontal lnoame or 00") !rom Fann 4835, Aloa, complelo Uno 41 below. 40 TOTAL Incom. o,(to..~ Combln..n.. 211, 31, 34, 3', and 31. Ent.'th. ".ult hi'. and on Fa"". 1G40.ln. 11 41 Reconaldon.r F.......gMd A..hlnglnca..<< Enllt YOUtGfou t.,,,,lngMd nlhlnllnco",. 'Iponad on Fa,," 4'J5,lIn. 7; ~chldul. 1(-11'0'''' 10'5), In. 15b; 5chdul. 1(-1 (Form 1I2(5),lIn. :Z:l;and Sc.hdul. 1(-IIFa,,,, 10.1). In. u I'" pag. E....) . 41 42 Aacandla.tioft f.t A..I E.fta~ ...of....onala. II you w.r. a,.al.llAl. p,cf...la"aIIS.. pagl 1-:1). .nll' Iha"lt Inca",. 0' {lOll} you 'Ipartld anywhl'. on Fo,m 1n40 r,om an'ln1.l.1,.al III,U. acllvilJes In which au tn"I,la"., Dartlelaa'.d undat lh, DUllv. actIvit., 10.. tlJln. 42 D1.. 38 """'I Schedule SE arm 10040 1094 NIlI1lI 01 p""",n with aa~-Imploymontlllcome (.. .hown on Form 10040) Anachmant S. anee No, 17 5.>da/lI4ICUr11y number 01 p.....n with ..tt-.m 10 ~me'" p .2 SectIon B - Long Schodulo SE l?l1ttl:lilllll Solf-Employment Tax Nolo: " you, only Income IUbjOClIO ...II-ernploymonl tax Is church omplayee Income, skip Un... 1 tlvaugh 4b, ElltOl 00- an Uno 40 Ind go 10 Uno e.. IlIcome from '8I\'lc.. you porfarmed .. I rrlnlalor or a mamber ala 'llilglouI a,dor la not church employee Income, See plgo SE-l, A ~ you are a rr1n1rtor, rnomber 01 al'llllglaua a'dot, a, CM.Uan Sclonce p,acUUanor and you nl.d Farm 0\:181, bul you had S400 a, mare 01 ather not 'amlnga from H1f_loymon~ check her. and condnu. wtth Part I . . 1 Not fann prolll or (loll) from Schedulo F, Uno 3e, and II"n pannOf1hlp., Schodul. K-l (Fa"" lOGe), nno Ie.. Nola: Skip thl. Uno ~ you uso thalarm apdona/ melhod. See plgo SE-3 2 Nal p,anl or (loll) from Schedule C, Una 31; Sch.dula C-EZ, Un. 3: and Schadul. K-l (Form 10Ge), Una lOa (ath..thlll fanr/ng), Mllllllo.. Ind membo.. 01 'oIlglauI arda.. eoo paga S~-1 la, amounts to 'apon an thll Uno. See pogo SE-2 fa, olhor Incomo to ropan. Nota: Skip thll UIIO II you usetha nonlarm opdana/ method. S.. pig. SE-3. 3 Comblna UOOI 1 and 2 . 4 a II Una 311 mare thin z..., IftJltlply Unl 3 by 02.3e% (,02.38), OtherMIO, .nlor l/11Ounltrom UII. 3. . b II you lliectld ona or beth olth. opUona/ melhoda, anlOl th.lo'a/ 01 Un.. Ie and 17 her.. e Comblno Un.. 41 IlId 4b, "leu than S4OO, do not nta thll ochodull; you do nolowa eoll-emplaymonl ..., I!lcCepUOII. ~ Iou thlll S400 and you had ehu,ch emplo,..lncnme, .nter -0- Ind conUnu. a a En'.. your church emplo,..lncome tram Farm W-2, Cauda,,: Soo paga SE-I lor dannlUan of church emplaYM Income b MulUply Una ea by 02.38% (.0238), II leu thlll '100, InlOl -0- . · Nit ..mlngs from ..tt-employmlnL Add Un.. 4c and ab . . 7 MaxI/11Jm omoUllt 01 comblnld Wig" and eell-emplaymonlolllnlngs IUbJIICl to tada/IOCUr11y tax a, the 8.2% por1lon alth. 7,Ge% ,allraad rotlromonl (U0I1) lax la, 1004. I . Tala/tada/ MCUr1ty wIg.. Ind Upa (talal 01 be.o. 3 and 7 an Farm(s) W-2) alld ,tlftoad relltament (U"') compon..Uan . b Unrlponld UPI IUbjocllO aacla/IOCUr1ty... (Iram Farm '137, UII. 0) c Add Un.. e. and eb . . · Subtrlct Unalle fram Uno 7.1120'0 o,!oat, Inlor -0- horo Ind on Uno 10 Ind go to Uno 11 10 Multiply the amaller 01 Una 8 or Unl 0 by 12,4% (.12') II Multiply Unl 8 by 2.0% (.029) . . ~ 2 3 ... 4b " ~ ... II III I 1& . ~ 7 ',,1'1 Ii' . 'I 10 . 10 II 80.600,00 Il Ib . . 12 S.II-.mploym,,,"lu. Add Unet 10 IIld 11. Enllr herl Ind 011 Form 1040, IIn. 47 . 13 OaducUon lor ona-hl~ 01 IO/t-employmlnl tax. Mulllpl, Uno 12 b, 60% .S. Enter the r.sutt here and on Form 1040, line 25 . IIIi1Sr:lllllll Optlonsl Mothods To Figure Net Earnings (500 plgO SE-2.) FIrm OpUan11 Mllt:od. Vou moy use thl. method only K: · Vour grn.. lann Income I W.. not mo,o than $2,400, or · Vour grnSllann Income'w.. mo,o than $2,400 IlId you, nol flllTll plOnts'wo,o I"""than $1,133, 14 MaxI/11Jm Income 10' opUona/ methods . . 15 Entor tho Imln.r at 1wo-th~do (213) 01 glO.S flllTlllncomo' (1101 10M than 20ro) 0' $1,600, A1.o, Include this amount on Uno"b abovo . Nonllrm OpUonlt Mathod. Vou may uoelhl. method ollly II: . · Vou, 1101 nonlann prnnfs3WO<l1IoM than SI,733 Ind olso 10.. than n.189% of your g,O" nonllllTll lneamo,. and · Vou hod nOloamlng. from ..1I-8/1llloymonl of 0110..1 $400 In 2 of tho pr10r 3 yo..., CauUon: Vou me, use lhls method no mo,o than nvo Ume.. II Sub~lcllll1ole from Uno 14. 17 Entf r tho .maller of: t'No-thlrds (21:1) or gro83 nonfarm lncomo 4("01 lo:1S than 20ro) or tho amoUnt on 11110 lB. A1so,llIdudo thlSlllllOunl on Uno 4b abavo I 3 FraM Schldule F,ln"l. and Schldula 1(,-1 (Form 'Oe~t.ln.15b. From Schldul. F. In. 31, and Schldul. K-, (Fa,,,, IOI!). In.,5&. . 14 1,600.00 15 II 17 :I From Schldul, C,IIII ~li Schadlll. C-El.lne :I;....d Schldule K-l (Fa,m 'OU). In' 's.. . From Sch.dule C, Ani 7; Schldula C-(l. In. lilnd Schedula K-' (FDrm t0151.lnlllc. 0114 ." . ~ Form 47117 '18041 194-44-7I';R7 'l'D-' Plg'~ 91.11 a.ln From Dlspollllon 01 ProDertY Under Secllons 1~45. 1250 1252. 1254 and 1:l55 21 (II DlICt1pUan 01 MC1Ion 12,5, 12~, 1:lU2, 12U4, Ind 125e propony: (b) Dill oc:qulrtd te) Dill sold (mo., de" yr.) mo., diY, yr,) A 01-01-9::1 06-01-94 B C D "1'lt, IIn.. 21A through 210 to th... columna . Prop,rtv A Prop.rtv B Proo.rtv C """,.nv D 22 GIll.. uIeI pr1ca (Hol.: s.oo ani 1 belaro cOltlllaUng,). . 22 1.1c;O 22 Coli or othel bull plullllplnl. olul. . . . . . 22 I .1"0 24 DlprtellUon (or dlpllllonj III0wed a, lIIawlblo . . . 24 1.350 :II AdJullld bull. Sub~1Ct Unl 24 tram Inl 2~ . . . . 25 21 Totll glln, Sub~1Ct In. 25 ~om Nn. 22 . . . . . 21 1,350 27 "lICUon 1 245 P'oplrty: I o.prllCllUoII IIlowld or IIloWlbl1 ',am Uno 24 . . . 271 I 1"0 b !IIIII thl Imlllll 01 Un. 21 0' 270 . . . . . . 27b 1.1"0 21 If .eaUon 1250 prop.~: 11'11'&111'1I11", "'II''''.&UO'' wu """, Iftl.,.....n .".nl, ....'1 .,. ",..,.Illlft 'lI'JUIla ..,II." Ill. I Add/Uonll dlp'lICllllon Illor 1075 (lollnetnJeUonl) . . 211 b Appllcebll porclnllgl Il"lIIUpUod by Ihl Imellll 01 Uno 20 or Ani 211 (",'nltnJeUone) . . . . . . . 21b o SUb~1Ct An. 251lrom Un. 25. II r..ldenUII ronlll property 0' an. 21 It nol moro then IIn. 25" eklp Uno. 25d Ind 250 21e d Addlllanll d.p,KJeUon Illor 1010 Ind bllar.107& . . 21d I Enlll tho ImlllllOI Ani 21e 0' 25d . . . . . . 211 t. 1 SIC1Ian 291 omount (cerpollllono only) . . . . . 211 a Add An.o 2&b, 210. Ind 2&1 . . . . . . . . 210 21 II..cUon 1252 p,aporty: Skip thl. ...Uon II you did not dI,poI. 01 lorrrIlnd 0'" thl. larm 10 bolng cemplOIOd 10' I ponn...hlp, I SoD, Willi, IlId land ctostillg .xpon... . . . . . 291 bUn. 291 mulUpU.d by eppllclble portentlge ('00 In'lr) . 29b cEnter the amaU., 0' An. 28 or 29b . . . . . . . 290 30 II I..Von 1:114 p,op.rty: I IntAngible dtilllng Ind dovolapmonl celli, oxpondlllJ'" for development 0' mne:l and other natural deposita, ond mlnlng Illpla'"lIan ce'lI ('00 IlISlI1JcUan.) . . . 30. b Enlor the Imlll.r 01 ano 2& 0' 301 . . . . . . 30b 31 "llCllon 1255 prop.rty: I Appllclble porcelllegl 01 pI,monts .xcludod tram Inccmo und., lOdlon 12& ('00 In'll'IlCUon.) . . . . 311 bEnterthe IImlllero'Un828or318 . . . . . . 31b Summary or Part III GaIns. Coltlllo'o prop.rty celumn. A through D, through Une 31b bolaro going 10 ano 32. 32 Tolll/ gllllS tor all prop.rti.... Add columns A through D, Uno 2&. . . ~2 33 Add celumn. A through D, Uno. 27b, 2&g, 29c, 30b, ,and 31b. Enlor he,o and on Une 14, 33 34 Sublracl Une 3~ I,am Uno 32. Enler the portion from e"ullly and thell on Form 46114, Une 33, Elllor tho portion tram Olhor than casual Ind than on Form 4197. Pos 8. 34 ,8i:\IIJ,V Recapture Amounts Under Secllons 179 and 280F(b)(2) When BUSiness Use Drops to 50% or Less SIlO Insll'llctlollS. . 35 SocUan 179 expense doductlon or dap'eclallon e1lawoblo In ptio, '01U1l :JlS Rocomputed deproclatfon (soo In:Jlructlon3) 37 Rae tura llfT1Ount. Subtraclllno :36 'rom Uno 3~, Seo InstnJclJon9 'or whero 10 ro ar1 (I) SocUan 179 (b)SocUon 2BOF 2 35 3& 37 0'14 Form 4797 Poge 2 (1004) , '. " '"""'\ Depreciation and Amortization (Including Information on Usted Property) c.,art",.".., u.. r'....II". tfttIlnlIIA...,."".almC:1 H."'I(.I.h.....,.n'.tum .. s.... arat. Instructions. ... Atbch thIs fonn to our return. OMe No.1!14S-0172 1994 Attachment 5<1 uance No. 67 Idanut;1ng nUmbar Fonn 4562 IIl,ln,..., u~...u)' t. ..."Ioh Ii'll. fo,,,, ,...,.. Election To Expense Certain 'Tangible Property (Section 179) (Note: II you have any OUSI.d Propony,' co late Part V before au co lele Part l. 1 MlJdrBlm doner _aon Qlan ant"",rls. zone busln..., ....ll1S1IllC1lona.) . 2 Totel coat olll8C1lon 1711 propllf1y pl.cod In SOMe. durlng th. tax y.st (sae InstruC1lons) 3 nva.hold colli 0' sectlon 179 propllf1y b<lfor. roducUon In UmitsUon' S2OO.000 4 R.duC1lon In I1n1Isllon, Subtrsct Uno 3 trom IIn. 2, bUl do nol.llle, Ioso thsn -0- . 5 Oollu .mluU.ft rat "..y.ar. Sl.lbtt.~ II", 4 f,am IIn. " but da nal.n'" III' than -0-. en ",am.d tIIino UDU"I.I.,.. ...I"'INetlO"') · O..criDUO" of pfop.ny Ceul C EI.C1ld CUI 6 00 7 7 Usted propllf1y. Enler amounllrom Un. 26 . 6 Totelalected coat olsectfon 179 p,oporty, Add arnounl:lln column (c), Un.. 6 and 7 9 Tantallva deduC1lon, Ellter the I....r 01 Une 5 or Uno 6 10 Conyover 01 disallowed doducaon from 1993 (see InslnJcUon.). 11 Tlllsble Income lltr/tsdon, Elller tho smolle, 01 I..ebleIncomo (nol less then ze,o) 0' Une 5 (....In.lnJC1Ion.) 12 Section 179 expense deduction. Add Unes a and 10. but do nol enter more than Un011 13 C v., 01 dlseJlowed deduC1lon to 1995. Add lines 9 snd 10,Iess 911. 12 . ~ 13 Note: 00 not use Pert II 0' Pert III below fo, Usted p'operty (aulomobU.., C8rta/n other vehld.., cellulst lelephon.., COl1"4'uters, or p,opllf1y used to, .nlertalnmen~ ,ecreedon, 0' amusement), InBload. use Pert V for listed property. Ill!srtlllUI MACRS Depreclallon For Assels Placed In Service ONLY Du,'ng Your 1994 Tax Year (Do Nollnclude Usted Pro e 7 o 17 500 <1111111I1111I11I11111'IIHilllllllllllllllillllillillllllHlI 1'1 (I) CIa..illc.atla".f praptr1y (g)Olpr.daUan dlduc;Uon 14 Generol Oe rectedon S . 3.. elf ro be-Barrae c7earrce d 10-.st ro . 15- or rap , 20- st ro lem GOS (see Instructions: :UmIIU:I;lill:liiillIIWl!lilliii l'III~IlII!1III'1llitlllllllllllllll 11I1I11I1I1II1Ii!liilll!l1ll1ll1ll1ll IIl1illll!llliillillilllllllli!i11iii Illllllllllll!illiililllllllllllllllil liltl!llIIliill'liillllllllllllillll 23 521 5 HY 00 DB 4 o Res/denaal rentel p'operty 27.5 101M SIl g 27,5 101M S/L h NonresldonUoI real property -9 5 8 39 101M S/L 101M S/L 15 A1temsllve De recteuon S 10m ADS see Instrucdons : . Clus ile IIl1i1!lIIll1li1li1l1l11ll1li111111l1 S/L b 12- er 1II!IIIIIiilililllllilllllllllljllllll 12 S/L c 40- est 40 101M S/L I'f!ettilllll Other Depreclallon (Do Nollnclude Usled Prope~) 16 GDS end AOS deduC1lon. '0' ..sel:l placod In ..!Vlcoln tax ,ears beglnlllng befo,e1994 (.oe Il1S1IllC1lon.) . 17 Propllf1y subject to lIOCdon 11l8(Q(1) .leeUon (.e. III.lnJcUon.) 16 ACRS snd oth., de ,eeladon .ee InSlnJctlon. Il!aHlllVI Summary 19 Usled property, Ente, arnountlrom line 25 . . '" . , . 19 20 Tab.. Add doductions on Uno 12, Unoo 14 and 1510 colu~n (g), and Uno1118 through 19. Enlor haro and on tho appropriate Does of your relurn. (PDJ1nershlps and S corporations ...- see InstnJctlon3) 20 21 For assets shown above and placod In sC!f'\'lco during tho curront yoar. enter tho orUon 01 tho basis attributablo to suction 263A costs 000 Instructions) . . 21 For Plperwork ReducUon Act NoUce. see page 1 or the separate InstrucUons. 0'''' 16 17 18 , .' ~ r- FonmtS82 199' 7 p e 2 iPsrtilMI Wated Property - Automobiles, Certain Other Vehlclos, Cellular Tolephones, Certain Computers, ond Property Used for Entortalnment, Recreetlon. or Amusemont For any vehJd. for which you at" using \he standard mileage rate or deducting Ieee l.penH, complete ooty 22... 22b, columns (a) throuqh (c) 01 Section A, an 01 Socllon B. and Seetlon C ~ applicable. SecUon A De ,.claUon and Other IntonnaUon (CauUa": See Instructfons for firritatfons for automobllM. 220 Do 'flIV ".". .'IId,nc. to I"DPO" t". bu,inn.IIIIl/lIll","t".. c"'illlld7 Yes No 22b It '"Y88,-ls tho evidence wrinen? ( I (b) (c) ('" (e) (I) ( ) (hI a Oato Busln...' -, Bels 10' g rvce or propertv placed In Invest UI8 . Cost or depr. (bualneu RecaY~ Method! Dopredatton ~r;l vehldoslltsl) _ pon:ontago olho, basis InvesllJ.. only) per10d Convonllon doduc1lon 23 Pro used more thin eo% In a uallned business US8 (see Insb1Jc1lons ;' - ,,- v.. No ~ad MC1lon171l coat 24 Pro e used eo% or IBM In a uallned buslnoss usa (seo InstrucUons : S/L- S/L- S/L- 25 Add emounls In column (h), Enterthelotal here ond on Une 19, poge 1. 25 26 Add amounts In column . Enter the tatai hero and on IIno 7. pe 0 1 _ _ . SecUon B - InlonnoUon Regardlna Uso 01 Vohlclas II 'au deduCloxpe".". fa, vehlcl..: · Alway. campl.t. 'hi. ..cUan farvahlcl.'Il..d by.,al. prapII.lar, parttl." a, olh.,-ma,. than &% aWnIf,-O,,.lal.d panon. · II yall PIOr/dld vllhlcl.. to yGllrlmploYII.'. tlflt .n,wlf tha qUI.liotl,ltI :!I.ctlatl eta ...It yGu m"I.n ..c.ptlOtl to complaUtlO thla nctlotl 'or tho.. v.hlcl... ~ 27 Total buslneosl1nvostmenlonl.. drivon during the yoar, (00 NOT Include colTVT'OJdng milos) 28 Total colM'IJdng mil.. drtvon during tho ,ear 29 Total other pOnlOllaI (nollcornn>Jdng) miles driven. . 30 Totalonl.. drtven durina the ,ear, Add nn.. 27 through 29 (0) Vehlclo 1 (b) Vehicle 2 (c) Vohlclo ~ (d) Vehicle. (0) Vehicle 15 (I) Vehkle 8 II Ves No Ves No V.. No V." No V.. No Yes No 31 Was the vehicle oVllllablo 10' personal uso during on-duty hours1 . 32 Woo tho vehicle usod pr1mar1ly by 0 maIO than 5% owner or ralatod parson? . 33 Is onother vohlcle avallablolO' personal usa? S.cUon C - aU.IUona for Employer. Who Provldo V.hlelos for Us. by Th.lr Employ... Answer those qu..Uons to delominell you moet an excepUon to compleqng 5ec1lon B, Nole: 5ec1lon B muSl always be complolod for vehicles used b solo ro rfotors, artncrs, or olher more than 5% owners or related ersons. Yes No 34 00 ycu maintain a wrftten poncy lllatoment thaI prohibits BII personal use 01 vehld IS, Including commuUng, by you, . employees? .. . .' 35 00 ycu malnlaln 0 wrttten poncy atotemont tho' p,ohlblls porsonal uso 01 vehldes, oXC8pl colM'IJUng, by you, empla,...1 (S..Ins1rUCllons fa, vehlcl.. used b, corporole omce,s, directors, 0' 1% 0' mo,e ownors.) . 36 00 ycu not all use of vehldes by emplo,... oo personal uso? . 37 Do you provide more than five v<lhlcles to your employees and fotaln tho Infomladon recoivod from your employees concerning tho use 01 the vohlcles1 38 00 ycu mael the ,equiremonls concarnlng qualified outomabile demonSlraUon uso (s..lnSIlUCllo'lS)1 . Note: It our answer to 34, 35, 36, 37. or 38 Is "Yes,- au need not completo Section B for tho covered vohlctos. l1art!i,VJ Amortlzallon iiilllllllil:llllliilillill!llilill (.) Ooscr1pUon of cost:J 39 AmortlzaUon 01 cosls Ihal b (b) 0010 amortization begins (c) Amorti2oble amount (0) (I) Amortlzatlolt Amortization plrtod or lor this ,oar plIC.ltlagll : 111:I:iliiIWiiiilililiillllllillllllllli iillllilllliWlilii~,lill:llil:i :iIUillUlmmliliiillllliIIUl!iili:il;lliliJlilillliilii (d) Code 8OCUon 40 Amortization of costs that b an bolaro 1994 _ _ _ _ _ _ 41 Total. Entor hore and on .Olhor OoducUon,. or .Olhor EllponsQ:J- IIno or our roturn_ 40 41 01B-4 FORn 4562 ~-.., DeprecIation and Amortization (Including Information on Usted Property) ~. C.,at1m"'''f "" Tru.ury 11I1.nlll ...V,,,,,. S.rvlu N.",ee"''''_'"rll''", & ., Se.. Irate InatnJcUons. ., Attach thl. fonn to our rwtum. OMS No. 1~-o172 1994 Anachmelll Se uence No, 67 IcMntl1Vtng number - 6 7 RO IUI1"....r actlVlI)' to which Ihl, f.,", ,.lIIt.. il!lIrtulln Election To Expense Cerleln Tangible Property (Section ,179) (Nol.: lI)'Cu h.v..ny OU.led Propeny,' co lele Pert \' belo'e u co lole Pert I, 1 MeximJm don., IlmIledon (II an anlelprl... zena bu.ln..., ...11I.tnJcdon..) 2 Totll co'l 01 IlIC1Ion 178 propeny placed In _a during the lex ,e., (...lnstnJcUoII.) . 3 Thr..hold cost 01 oacUcn 178 proporty belo,. ,.ducdon In UmllaUon 4 Raducllon In Umtadon, SUblrlCl Una ~ tram Una 2, bul do nol enlor 10" than -0- . 5 C.IIM 'IIIit.t1a" la, In ,at. Subtr.c1II1," f,.m Ill. I, bul do not .ntll ,...th," -Q-.llr ,...,,,.d flIIIIO "puI,.1 I ...In.tnlctlu., I O.,ufotl,,, of prOIl.rty Cut C EI.c1.d CO'I . 1 2 3 4 5 $17,l5OO . S2OO.ooo 6 7 Ust.d proporty, Entot IIT10UIII tram Un. 26 . . 7 8 Totll.loclod cost 01 ellC1lon 170 p'openy. Add amounts In column (c),lIn.. 6 alld 7 8 9 TentaUve dadue';on. Emo, th.lossot 01 IIno B or IIl1a 6 . . 9 10 Canyovar 01 "Islllowad doducdon tram 1BO~ (seelnstnJcllons). 10 11 Texablelncome IImtadon, Enle' the .mlll'" 01 texeblalncomo (1101 Ie.. than .ero) or Una B (...lnotnlc1lon.) 11 12 Sec1Ion 17U'pen.. daducdon, Add Un.1B and 10, bUI do lIolonler more than nn. 11 12 13 C vor 01 <lI.lllow.d doduc1lon to lBBB. Add IInos Band 10,1...llno 12 .. 13 i'~aitlitlllil:liIl1ll:iilillilili:liil!,iiiliiillllii 1111111 Nolo: Do not us. Pan II a' pan III below for IISl.d propony (aulomobll.., ceoolll oth8t' vehld.., cellul., lelephon.., COmpU18r11 or property used for entertalMl8nt, recr81Uon, or amusement). Insleldl usa Part V for lls1ad property. t,i 11F!llrt:ill11 MACRS Depreciation For Assets Placed In Service ONLY During Your 1994 Tax Year (Do Not Include Uslad Pro e (I) CI....llluUOn 0' p,.pln, lem aDS) (...In.tnJcllon.): '1iIIIIIII i~II!iI!III:11II1II1I1I1 'iiUUIIIIIIUlilllIIllI:I:1ll11111i1 ~ 1111 1II11111i1l11l1ll11lli!! 11I11111I d 1IIIIIIIIIilIIIIIII!IIIIIIil:llllll :Iillllilllllllllilllillllllllilllllll I 1111111111111111111111111111111111111 Resldonijol ronW proporty 27.5 MM SJL 9 27,B MM S/L h Nonroaidonijaj roll proporty 3B MM SIL MM S/L 15 A1te,nadv.Oo reeledon S 10m ADS (a..lnatnJc1lono): a Cia.. Ulo i11ll1ll11l1lillllllllllllll,1 1 11I1 S/L b 12- ear 11I11I llltillillll 111I11I111 1111111 12 SIL c 40- ear ~o MM S/L (g) C.pndaUon dad~cdon IIRilrtlilllj Olher Depreciation (Do Not Include Usled Property) 16 GOS and ADS doductlon. fa, ....ta pl.ced In ao.vlcoln lax ,elll1l beginning belo,e lB9' (0" InstnJcUoos) .. ......... . , . . 17 P,operty IUbJocl to aoedon 168(~(1)0Ioellon (G88lnstnJcUon,) 18 ACRS and othar do recfatlon 1180 Instructions IF!i1l1l1lVI Summary 16 17 10 1 438 19 Usted property. Enter amount from Uno 2=5 . . . . . . . . . . . . . . . 20 Tolal. Add doducijono on Uno 12,lIno.14 and IB In column (g), and IIno016 through 1B, Elliot ho,. and on tho Ipproprtatu Unas a' your raturn. (Partnorshlps and 5 corporllUons -- SOD Instructions) 21 For esols shown abcvQ end placod In sarvico during tho curront yoar, ontor rho ortlon oltha basis attr1butablo to sedan 2D.lA cosla sou In:;tNcllon9) . . 21 For Paperwork ReducUon Act tloUel, .ee page 1 ot the aepar.ale InsllueUonl. DlIU 19 20 2 142 illllllililili!illlll.I'llilililil'il'llllllllliiill'l!li111111111111il "I,,,.,,,.I,I,,I,,I,!I,,I, 11,1 ,1-1 I.. ,. " Fa"" 4562 (lBB') f.... ~ ""'"' r- ._ _.-41 Kenneth Fry &. Associates ~15'lfP2r INSTRUCTIONS FOR FILING I~ 4.....) FEDERAL FORM 1040 INDIVIDUAL INCOME TAX RETURN FOR 1995 SEBASTIAN TRISCARI &. MARYROSE TRISCARI SSN 194-44-7687 REVIEW AND SIGNATURE: 11'1E RETURN, AS YOU KNOW, WAS PREPARED PRIMARILY FROM DATA MADE AVAILABLE TO BUT NOT VERIFIED BY US. BEFORE EXEClmNG 11'1E RETURN, YOU SHOULD REVIEW THE Irf'ORMATION RELATING TO INCOME, DEDUCTIONS, DEPENDENTS, ere" REPORTED ON THE RETURN TO DETERMINE 11'1AT11'1ERE ARE NO OMISSIONS OR MISSTATEMENTS CF MATERIAL FACTS, 11'1E ORIGINAL SHOULD BE SIGNED AND DATED ON PAGE 2 BY: o YOU W YOU AND YOUR SPOUSE 11'1E COpy CF 11'1E RETURN ATTACHED TO 11'1ESE INSmUCTIONS IS FOR YOUR FILES. FORM(S) W-2: PLEASE CHECK TO BE CERTAIN 11'1AT COPY B CF THE WI11'1HOLDING STATEMENT(S), FORM(S) W-2, ARE ATTACHED TO 11'1E OFUGINAL RETURN, IF APPUCABLE, PAYMENT OF TAX: NET TAX LIABILITY 18,401. (i NET 2210 PENALTY/INTEREST 716. ---------- ,,/ TOTAL AMOUNT DUE $ 19.117. OVERPAYMENT TO BE: REFUNDED $ CREDITED AGAINST 1993 DEFERRED TAX CREDITED AGAINST 1996 ESTIMATED TAX TOTAL OVERPAYMENT $ FlUNG: 11'1E RETURN SHOULD BE FILED ON OR BEFORE July 28, 1996. IF 11'1ERE IS A BALANCE DUE, 11'1E REMITTANCE (INDICATE YOUR SOCIAL SECURITY NUMBER) SHOULD BE MADE PAYABLE TO · Internal Revenue Service.. 11'1E RETURN, TOGETHER WITH THE REMITTANCE, IF ANY, SHOULD BE FILED WITH 11'1E: Internal Revenue Service Center Philadelphia, PA 19255-0002 ----- OR ----- If you use Form 1040V: Internal Revenue Service Center P.O. Box 8530 Philadelphia, PA 19162-8530 PREFERABLY, 11'1E RETURN SHOULD BE SENT BY REGISTERED OR CERTIFIED MAIL WITH 11'1E SENDER'S RECEIPT POSTMARKED TO PROVE MAIUNG BEFORE 11'1E DUE DATE, IF SENT BY REGULAR MAIL, SUFFICIENT TIME MUST BE AllOWED FOR RECEIPT BY11'1E DUE DATE. PERIOD OF UMITATlONS ON CLAIMING REFUNDS: AL11'10UGH FUTURE EVENTS OR CHANGES IN INTERPRETATION OF 11'1E TAX LAW MAY INDICATE THAT AN OVERPAYMENT OF TAX WIll HAVE: BEEN MADE FOR 1995, WE CANNOT ASSUME RESPONSIBIUTY TO DISCOVER POTENTIAL REFUND CLAIMS. 11'1E NORMAL PERIOD WITHIN WHICH A CLAIM FOR REFUND MAY BE FILED Will EXPIRE APRIL 15, 1999, OR 11'1REE YEARS FROM 11'1E DATE OF FlUNG, WHICHEVER IS LATER, . " ~ . Kenneth Fry & Associates INSTRUCTIONS FOR FILING FEDERAL PORM 1040-ES ESTIMATED TAX FOR INDIVIDUALS FOR 1996 SEBASTIAN TRISCARI & MARYROSE TRISCARI SIGNATURE: IltI NO SIGNAnJRE REQUIRED. o ALL VOUCHERS SHOULD BE SIGNED AND DATED: o YOU 0 YQU AND YOUR SPOUSE SSN 194-44-7687 PAYMENT OF ESTIMATED TAX: 'THE ~.PPROPRIATE VOUCHER FORM SHOULD ACCDMPANY EACH PAYMENT AS FOllOWS' RECORD OF PAYMENT ON OR BEFORE- DATE CK. NO AMOUNT APRIL 15, 1996 VOUCHER _, S 8,000. S JUNE 17, 1996 VOUCHER _2 8,000. SEPTEMBER 16, 1996 VOUCHER _3 8,000. JANUARY 15, 1997 VOUCHER _4 8,000. ~ OVERPAYMENT APPUED TO '96 TAX TOTAL IIl1l6 ESTIMATED TAX PAYMENTS S 32,000. S EST INC TAX TO BE WITHHELD IN '96 117. f;. TOTAL ESTIMATE OF IIl1l6 INCOME TAl( S 32.117. PlEASE NOTE: NO BILLS FOR ESTIMATED TAl( INSTAlLM~NTS WILL BE SENT TO YOU; 'THEREFORE, YOU SHOULD ESTABUSH YOUR OWN REMINDER SYSTEM FOR MAKING TIMELY PAYMENTS. EACH REMITTANCE SHOULD INCLUDE YOUR SOCIAL SECURITY NUMBER AND SHOULD BE MADE PAYABLE TO THE Internal Revenue Service FlUNG: EACH VOUCHER, TOGE"THER WITH THE REMITTANCE. SHOULD BE FILED ON OR BEFORE 'THE APPROPRIATE DUE DATE WITH 'THE: Internal Revenue Service P.O. Box 8318 Philadelphia, PA 19162-8318 PREFERABLY, 'THE VOUCHER AND REMITTANCE SHOULD BE SENT BY REGISTERED OR CERTIFIED MAil WI'TH 'THE SENDER'S RECEIPT POSTMARKED TO PROVE MAIUNG BEFORE "THE DUE DATE, IF SENT BY REGUlAR MAIL. SUFFICIENT TIME MUST BE ALLOWED FOR RECEIPT BY 'THE DUE DATE. ALTERNATIVELY, YOU MAY HAND OEUVER THE VOUCHERS TO YOUR lOCAL TAX AUTHORmES ON OR BEFORE "THE DUE OATE, AND OBTAIN A RECEIPT, RISK OF PENALTY: o REVISION OF ESTIMATE: BEFORE EACH OF 'THE DUE OATES, YOU SHOULD RECOMPUTE YOUR ESTlMATEO TAl( FOR IIlIl6 TO OETERMINE WHE"THER"THE SCHEDULED PAYMENTS SHOULD BE REVlSEO TO AVOID EITHER AN OVERPAYMENT OF TAX OR A PENALTY FOR UNDERPAYMENT OF TAX. IltI SAFE ESTIMATE: YOUR ISlgSADJUSTED GROSS INCOME WAS LESS THAN OR EQUAL TO S 150,000.. YOUR SAFE ESTIMATE IS "THEREFORE BASED ON lllOllo OF YOUR 1~ TAX UABILITY, IF "THE AMOUNT OF INCOME TAX WITHHELD FROM YOUR SAlARY IS AT lEASTS 117. AND IF EACH VOUCHER AND REMITTANCE ARE FILED ON OR BEFORE "THE APPROPRIATE DUE DATE, NO PENALTY WILL APPLY FOR AN UNDERPAYMENT OF TAX REGAROLESS OF HOW lARGE THE IIl1l6 TAX MAY BE ON YOUR FINAL RETURN. o HIGH-INCOME SAFE ESTIMATE: YOUR 1~ ADJUSTED GROSS INCOME WAS GREATER THAN $ . YOUR SAFE ESTIMATE IS 'THEREFORE BASED ON 110llo OF YOUR 1~ TAX U~BIUTY.IF 'THE AMOUNT OF INCOME TAl( WITHHELD FROM YOUR SALARY IS AT lEAST $ ANO IF EACH VOUCHER AND REMITTANCE ARE FILED ON OR BEFORE "THE APPROPRIATE OUE OATE, NO PENALTY WILL APPLY FOR AN UNDERPAYMENT OF TAX REGAROLESS OF HOW lARGE THE IIl1l6 TAX MAY BE ON YOUR FINAL RETURN. , 01101115 - t... ,~ SE9ABTxAN 'l'RISCARI " MARYROSE TRISCARI EINlSSN 194-44-7687 FLOW-THRU DETAIL REPORT - FORM 1065 PARTNERSHIP !lAUE: PARTNERSHIP !lAUE: PARTNERSHIP NAME: PARTNERSHIP !lAUE: TOTAL FOR 1 PARTNERSHIP EIN: EIN: EIN: EIN: IINF I" IHCOW. (LOSS) 7,437. . ftQftTPOf..tO INCOUIE (LOSS~ 0 INTlRIIT INCC". . CIVIDINO INCCU. 0 ftOVN..TY INCOMI . HIT SHORT-TIRM CAPITAL QAIN 1;1.055) . HITLONa..TlAM e>>ITAL QAIN (LOSS) I GUARANTIED PAVMINTS . HlTGAlH(LOSS)UNQIASIC tnt "" OTHIA INCOU.' DIOUCTIONS: .. UUICOROINARYIHCOME ... CIP\.ITtON QEDUCTlOfI ... INTANGIBLE DRILLING COSTS ... AUTO EXPINSE ... PASSIVE SIC l11IXJ'ENSE ALLOWED ... TOTAL INVESTMINT INTEREST EXP ... INVESTMINT INTIREST AOJ ... AT_RISKAOJUSTWINT I.' ~ ....'u. e CHAAITABLI COHTRIBUTlONS 100. e St:CTION l111XPIN5I. II CEOUCTlON BEI'ORE LIMITATION lIeneH 17. E)(PINS!- NON.SE DEDUCTION BEFORE LIMITATiON HONPAS5IVI SIC ". EXPENSE I-LLOWED neTlCN "'IXPENSE .. SI CARRVOVER lIeneH n. EXPENSE .. NON SE CARRYOVER .. . ._--- u ,.. INTlRIST IXPENSE ON lHVISUIENT DiBTS CARRYOVER . (1) INVESTMENT INCOME IN LINES'" THAU.c , .. CRIDIT fOR INCOMI TAX WITHHELD ,.. LOW INCCME HOUSING CRECIT . PAl- 'AI BUILDINGS flOA RENTAL REAL ESTATE '~"4 JOBS CREDIT ,:tit. nTMJ'R eRFnlT" ,.. HIT IARNINGSo.aSS)fROU SELP.EMPLOVMENT 7,337. . GROSS ,ARMING OR fiSHING INCOME .._~... ,.. DIPA AOJUOTMENTON PROPEATYPOST 12",/10 . ADJUSTED QAIH OR LOSS :'I. .- OE~ETtoN (OTH"ER THAN OIL l GAS) . (1) GROSS INCOM. 'AOM OIL. GAS & GEOTHERMAL IIROPERTlES (2) GROSS DID ALLOCABLI TO OIL,GASI GEOTHERMAL PROP 0 ACCILIRATlD DIP" Of' REAL IIROP PRI"tI" .~~., .~ ....... It TAX.EY"UPT INTEREST INCOME .. OTHER TAX.IXIYPTINCOUE .. ALL INVESTU.HT IS AT RISK IOMe INVESTMENT IS HOT AT RISK ....,... " 12/14,.5 " . - I .... ,""'" r- SEBAST:i:AN TRISCARI &. Io'.ARYROSE TRISCARI EINlSSN J.94-44-7687 FLOW-THRU DETAIL REPORT - FORM 1065 PARTNERSHIP NAME: BROADCAST QUALITY VIDEO PRODUCTIONS PARTNERSHIP NAME: PARTNERSHIP NAME: PARTNERSHIP NAME: EIN: 23-2475530 EIN: EIN: EIN: liNe 1-' INca... (LOIS>> 7,437. . ftOATPC't..1O INee... (LOSS) 0 INTI".IT INCOM. . DIVIDEND INCOMI 0 AOVALTYINCOUI . NIT SHOAT.TlRM CAI"ITAL GAIN (LOSS) . NETLoNG-TlAM CAPITAL GAIN (LOSS) . GUARANTIED PAVMENTS . NETGAIN(L05S)UNQIA SEC 1231 711' OTHER INCOME I QIQUencHS: ... WISCCROINAAVINCOME ... OEJlt.ITION DEDUCTION ... INTANGIBLE DFULLING COSTS ... AUTO EXPENSE ... 'ASSIVI sce 178IXPEHSE ALLOWED ~ TOTAL UlVUTMENT INTEREST UP ... INVESTMENT INTlAEST AOJ ... AT-RISKADJUnM(HT f) .. . CHARITABLE CONTRIBUTIONS 100. I SECTION '" IXI'EHSI - SE DEDUCTION BEIfORE LIMITATION SECTION "I EXPENSE - HONSE DEDUCTION BEfOAE LIMITATION NOHPASSIVI SEC 171 EXPENSE ALLOWED SEcnON 171 EXPINSIE - SI CARRVQVER SECTION 17. E)(PINSE - NON 51 CARRYOVER .. ,.. INTEREST EXPENSE ON INVESUIENT DEBTS CARRYOYIR . (') INVISTuENTINCOME IN LINES'" THRU 4G -. . .. CR.DITFOR INCOME TAX WITHHELD ,.. LOW INeoMI HOUSING CREDIT . PRE. '831 BUILDIHGS flOA RENTAL REAl.. ESTATE 1311.. JOBS CRIDJT .-... ,.. NIT....RNINGS(LoSS>>'RoM SELP-EMP\.oYMENT 7,337. . GROSI PARMING OR fllSHING INCOME "OU_... ,.. DEPRADJUSTMINTON PROPERTY POST 12131114 . ADJUSTED GAIN OR LOSS . DEPLETK)N (OTHER THAN OIL l GAS) . (') GAOOS INCOMI flROU OIL. GAS . GEOTHERMAL PROPERnES CI) GROSS CEO ALLOCABLE fOOIL. GAS I. GEOTHERMAL PROP . AccrLERATEDDIPROFREALPROPPRE ""'7 .--.. .--. , ""A. ... ...'" II TAX.EXEMPT INTEREST INCOME .. OTHER TAX-EXEMPT INCOME " HONDF.ntlC:TIRI F.' F'Il:P~N!!F!! ALL INVESTMENT IS AT RISK SOME INYESUIENT IS NOT AT RISK ...-.. ......n..... , 12/14"5 ..1 . f t~ \."",,, . , EINlSSN 194-44-7687 SEBAaTrAN TRISCARI & MARYROSE TRISCARI FLOW-THRU DETAIL REPORT - FORM 11205 S-CORPORAT10N NAME: S-CORPORATION NAME: S-CORPORATION NAME: S-CORPORAT10N NAME: TOTAL FOR 1 S-CORPORATION EIN: EIN: EI~: EIN: ""'" I.' INCOMI "-OSS) -23,450. . PORTfOLIO INCOM. (LOSS) . INTlARST INCOME 447. . OIVIDINO INCOM. 0 ROVALTY INCOMI . NIT SHOAT-TlAM CAPITAl. QAIN{l.OSS) 0 HETLONG-TIRM CAPITAL QAIN (l.QSS) I NIT QAIN o.OSS)UNDIR SiC '~I 1110 OTHIR INCOME & DEDUCTIONS: ~ "ISC ORDINARV INCOME ~ DEPl.lTIOH DEDUCTION ~ INTANGIBLE DRILLIHG COSTS ~ AUTO EXPEHSI ~ PA.sSIVE SIC 1711 ExPENSE ALLOWED ~ TOTAL-INVESTMENT INTl!RE:lT EXP ~ INVESTMEHT1NTEREST AOJ ~ AT.RISKAOJUSTMENT ,. ~ ~A~~IVE LO!! AOJU!!IoTUENT , CHARITABLE CONTRIBUTIONS , SECTION 1711 EXPENSE DEDUCTION BEIfORE LIMITATION HONP'uSIVE SEe 1711 EXPENSE ALLOWED SECTION 1711 EXPENSE CARRYOVER - "NMU' '10 INTEREST EXPENSE ON INVESTUENT CESYS CARRyoveR . (t) INVESTMENT INCOME IN LINES q THRU 4c 447. (2) INVESTMENT IXPEN:lES IN LINE II tU CREDIT paR ALCOHOL USED AS PUEL . LOW INCOME HOUSING CREDIT 0 PRE.1a1 BUILCINGS paR RENTAL REAL ESTATE t2l13 OTHER CREDITS ,.. DII'R AOJUSTMENTON PROPERTY APTER IBM . ADJUSTED GAIN OR LOSS . DEPLITION (OTHER THAN OIL & GAS) . (t) GROSS INCOME PROM OIL,GAS, & GEOTHERMAL PROPERTIES (21 GROSS OED ALLOCABLE TO OIL, GAS I. GEOTHERMAl. PROP 0 ACCELERAUC DEPROll AEALPROP PRE 1/1111 ACCELERATED OEPROfILEASED PER~ONALPROP PRE 1/1111 11 TAX-EXEMPT INTERE~T INCOME ALI.INVUTMENT IS AT RISK SOME ItiVUTUENT 15 HOT AT RISK ...^".......,... '. . , ... ,,,,,,", -- SEBASTIAN TRISCARI & MARYROSE TRISCARI EINlSSN 194-44-7687 FLOW-THRU DETAIL REPORT - FORM 11205 S-CORPORATlON NAME: TRISCARI PRODUCTIONS, INC. S-CORPORATlON NAME: S-CORPORATION NAME: S-CORPORATlON NAME: EIN: 25-1769666 EIN: EIN: EIN: UNF ,-, INCOW. (Loas) -23,450. . POATP'OI..IO INCO'" (LOSS) 0 INTlAUT INCCU. 447. . CIVICINO INCOW. . AOYALTYIHCOMI . NIT SHOAT.TlAM CAPITAL QAIN (LOU I 0 HEllONG.TlAM CAPITAl.. GAIN 1\.05.') . NITQAIN(LOSS)UNOEA SEC 1231 1110 aTHIA INCO.... & DEOUCTIONS: ~ Mise ORCINARV INCOMI ~ OIP\.ITIO,., DE:DUCTlON ~ INTANGIBLE DRILLING COSTS .. AUTO EXPEH:JE ~ PASS lYE SEe 171 EXPENSE ALLOWED ~ TOTALINVESTMENTINTEAESTEXP ~ INVI:sTMENT INTlREST AOJ .. AT..RISK ADJUSTMENT f;i ~ "" 7 CHARITABLE. CONTRIBUTIONS . SECTION 171 .)CPINSI!: OEDUCTION BE1CRE LIMITATION NONPASSIVE SEe '71 EXPENSE ALLOWED BieTION 171 EXPINSE CARI....OVER . OF.OUCTICN~ AllAno TO PORTIfOllOlNCOME '10 INTEREST EXPENSE ON INVESTMENT OEBrs CARRYOVER . (1) INVUTMENT INCOME IN LINES 4a THAU"c 447. (2) IHYUTUEHT EXl'INS!S IN LINE. '" .CAEDIT'OA ALCOHOL USED AS 'UEL . LOW INCOME HOUSING CREDIT 0 PRI.I83 BUILOINQS 'OR RENTAL REAL UTATE 12/1:1 OTHER CREDITS ,.. DEPR AOJUSTMINTON PROPERTY ArnR IUI . ADJUSTED GAIN OR LOss 0 DEPLETJON{OTHER THAN OILI OM) . (1) GROSS INCOME 'ROM OIL.GAS,& GEOTHERMAL PROPERTIES (2) GROSS DEO ALLOCABL&: TO OIL. GASI GEOTHERMAL PROP . ACCELIRATID CEPR 01' REAL PROP PRE 111117 ACCIURATIO OEPR 0' LEASEC PERSONAL PROP PRE 1/1117 17 TAX....IMPT INTIRIiST INCOME ALL INYISTM!NT IS AT "ISI< aoWllHVUTMIEHTIS NOTA' RI~K '0",... .. . ~. Label (5.. In'lnlctlonl,) U.. th. IRS l.b.l. Otherwise, pll... pnnt a, typo. P"lldontlll E1lCllon Campolgn Filing Status (5.. In.tnlction.,) Ch.ck '"Iy on. box. exemptions (5.. In.lnlction.,) U mors then .Ix dependents, HI Instructions. d 7 Income 81 Alblch b Copy B 0' your 9 Forml W.2, 10 W-2G, Ind II 1an-R h.", 12 II you did not 13 get. W.2, sel 14 InS1lllctlon.. IS. 181 Enclo.., but 17 do nOlllllch, 18 )'OUr pa~nl and pa~nl 19 'laucher, See 2lJ.t InS1lllcllon., 21 Adjustments to Income Adjusted Gross Income ........, .-- 0"""*,,., thl r,-NY .1111.1\&1 ,........ '.,ac, lI.S. Indlvldu9'lncome Tax Return 1995 L.. IIII! U'IOnhl_On ~I "till M l'IDIIll'llhl, IDIU Vour llrs' Mm. 1ft. InUlI1 I:WJ..- Yow toClal'ltlI~llyI'llMnO.. l.4.IINIftI L A B r L .. r = BRrDGE STREET T rSCARI UIINtnl 5polol"', 'OCI&IIK\I'llynumtl. TRrSCARI Api. no. Fe, P'lv.cy Acl.nd P.p.rwork R.ductlall ~.ct Notlc., ... InstructIons. PA 17070 Nol. ChtcIr.1na-V..- wl/l nol Chang. yoloi' ItIl Of red"'l)'OW "fun". .................,....,.. . x X I 2 3 4 X Slngl. Mlrrt.d nllng lolnlralum (.ven II ollly on. had Incoma) Manll. IllIng "PW""llwlI. (n,. .po".... IOCllllecwllVno. &Ilo"'ll&ftd lull 1\1."'. h... .. H..d 01 household (with qualllylng p.rson), (5.. In.uuctian.,) 11th. qualllylng p.rson I. a child but nol your d'p.nd'n~ enler this chUd's name her.. ... , ... lie Insfructlons. 6. IKJ Yourself. II your parenl (or somecne else) can claim ~u IS I dependlnl on his or her lax IN.". ".'".0'" . IC . an.. retum, do not check box 6a. Bul be sure 10 check the box on Une 33b on page 2 , " and Ib b ~,o'~ c Oependents: (2) O-cl~d~I"1OC1a1 (3) C,pend~I'. (4) No. 01 mo., ctlU~'lftonk 'lKwlly numOw,1f born ,..lion. hIp 10 1I,.d In yow "tlo, (1) '1". r\lm. Lall r\lm. In 11115 s..'nSlrlolCtton" m. 1I.,.d ..Uti you BASIL J TRISCARI 208-66-2942 HILD 12 ..,..,,,...11. yaw dw.lo " KRYSTAL A TRISCARI 194-72-4800 HILD 12 .,,,......'.' lep&I.Uon{.., Instruction.) Oeplftdllnllon Ie nol ",t.'d 'bo,. ---L ---L II YOII child didn't 'I,. ..llh yow bwll. elalm.d.. YOIl d.p"'dent wnd.. pr..tg"'gr',,""'I,ChlCll h., ,..0 Add numb.. ,nl..d on Wag.., .alan.., tip.,IlC, Anach Farm(.) W-2 , . . , . , , . , , , , T,xablalnt.,..t Incom. (... In.lnlcUon,). Anach Sch.dul. B II ov" T.....ompllnlllre.t (... In'lnlcdan.). DON'T Includa on Un. ea Dlvld.nd Income. Anr.ch Schodur. B U ov., $-100. , . , , , , , , , , . , . , . , , , . Taxablll ,.rund., c,adl1s, or O~'.IS al.tal. alld Iocallncomo tax.. (se.ln.lnJcUan.), . Al1rnonyrec.'vtd, , , . , , , , , , , , , , ., .", '., .." , Busln...lncome or Qoss), Anach Sch.dul. C or C-EZ, , , . . . , , , , , , , , , . '. Capital gain 0' (lo..). II required, anach Schodul. D (... InslnlcUan.), . , , , , . . , OIh.r gain. 0' (lo....). Attach F~nn 79 7........, r ........ .. .. .. .. , TolallRA distrlbutions . . . " , b Taublumownl(s..lnIU\lCtlonl) Total p.nslons Ind annufUes . b Taubl. amounl (n.ln.trucllon.) R,ntal real"lalll, royolti.., pann'l1hlp., S corpo,adan., lnl'IS, 'Ie. Attach Sch.dulo E , Fann Incom. 0' (lo"). Anach Sch.dul. F , , . , , . . , , , , , , , , . . , , Unomplo}fTl8nt comp.n.aUon (sea In.uucUon.) , , , , , , r .. .. .. .. .. .. .. .. , Soclalsecuritybeneftts. . . . L.za.aJ b Tu.bl.amol,jnt(...ln.trUC:llonsl Oth.lncom..lI.IIYP..ndamounl....lnllluc:llon. _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ 2 2 ,~(w.:~: 10. 15 551. 123 181- 3 591. -16 013. 23a You, IRA d.ductlon (... In.uuctionl) , . , , . , b Spou....IRA dtducUan (se. In,uuctlon.), . , , 24 Moving ."".n.... Anach Fonn 3903 or 3903-F , :zs On.-hallal..lI-amplo}fTl8ntt.."""" 28 S.If-.mplayed haalth In.u,anc. d.ductlan (... In,trucdon.) 'Z1 Keogh a sol'-.mployed SEP plall..1I SEP, ch.ck ..0. 28 P.nalty on .arly withdrawal ol.avln!l'l. . , . . . . . . , 29 A1inony paid. Roclpl.nl. SSN ~ 131 007. 5 542. 31 5 542. Subuact Un, 30 from Une 22. This Is your adjusled gross Income, If less than $2ll,673 and a child IIvod with you (10., thall $g.2JO If e child dldn1 IIv. with 1'0"). ~M "Eftmod I"com" Crodlt'" In In'5tnJeflon'5 , , , , IiJ. " . . . '<<""Il)(Otl"~l Tax Campu- tatlon (511 lnstrucdons.) lI~u wlnl 1111 IRS to "gu.. ~u, .... Sll InstrucUons. Credits (5.. Instrucdon..) Other Taxes (5.. In.trucdon.,) Payments Attach Forms W-2, W-2G,lnd 1099-R 011 plgl \, Refund or Amount You Owe Sign Here Kolp I copy 01 IIIIs relUm lor~ur records. Paid Preparer's Use Only ......... -- SEBASTIAN TRISCARI & MARYROSE TRISCARI 32 Amounrfrom IInI 31 (adlu.lldgrol.lnccmo), .., '" ",..",."""" J:Ia Chock II: Oyo. Will G!l or old", Oellnd, OSpo...wase50roldll, o Blind, Add thl numlMr of bo..s chockld above Ind Inl" 1111 IOtll hili . , , . , , , , , ~ 33a b II ~ur p"enl (ot someonl II..) <In claim ~u "' I dependln~ chock hili. . . . ~ 33b 0 c If you are married Mng 5Dp.ratafy and your spouse ltemJ:., deductions Dr you are . dual.slltus IllI". st. instructions and check here . . . . . . . . . . . ,... 33c 0 itemized d,duC1loll' ~om Schedulo A, 11110 28, OR 34 Enter I Slandi'd d,d.C1lall shown bllow lor ~ur filing ItalU., BuIll ~u checked I 1111 Iny box on IInl J:Ia 0' b, go 10 1111 In.truc:tlon.to find \'Our IlIndard doduc:1lon, flrger 1'\'Ou checked box 33c,\'Our .tandard deduC1lon Is tero. ~ur: · Slngll - $3,900 " Mamed nllllg )ollllly 0' auallfW1g wtdow{") - $8,$Sl . HI.d 01 household - $S,7!IQ . Mamed filing "peralliy - $3,27$ S"btreC1llnIHfromIln132. , . . , '" ., , , , , ., , , " , . . . , , . .. . .. , , ., II IInl 32 Is $88,02$ 0' II.., muldpiy S2.~ by the tOla' number of exempuon. claimed on Unl e.. II 1In1' 3215 Oye, $88,02S, sel the workshlltln lI1e Instrucuon. far 1110 emountto Inte' , . TI..blllncome. Subtrac:tllnl 38 lrom IInl 35.11 IIno 38 Is moro lIIan IIn. 35, Inler -0-. , Tex. Chack K from I GtJTex Tlbll, b OTex Rato Schedules, c OCapltel Gain Tex WOrkShlel, or d O"O""'IIS(."lnlltUCllon.~ AmouMllromP'orm(.)1114 ... Addldonaltaxa., Chick K from 10 Fonm 4970 b OForm 4972 , a 194-44-7687 .. 125 465 :is 38 37 38 3B . 41 42 43 44 ........... . C..dltlor child Ind dlp,ndent care I.pen.... Anach Form 2441 , Clldll for 1111 Ilderly 0' 1111 dlsablld. Attach Schodull R. . , . Forolgntexc'edh.AnachForm 1116. ., . . . . . . . " , , Other Clldlts (.IIIn.truC1lons). Check II ~om I OForm 3800 b OForm 8398 c OFarm 8801 d OFonm (spoclfy) Add lines 41111rough 44. , , , . . , . . , 45 47 SIII-lmplo\fl1ent tax, Attach Schedulo SE. 48 Ahemauye mlnirmJm tax, Attach Fonm 6251 , . . . , , , . 49 RlcaplUro taxe., Check K lrom I OForm 4255 b OFarm 6611 c OFonm 6626, . . , . " 4 SO Social security end Medica.. I.. on up Incomo not roponed to Imployer. Attach Farm 4137 . , . 51 Tex on qualified IIdroment plan., including IRA., II roqulred, .ttach Fonm 5329. , . . . . . . . , ~ Advance earned Income credit pa)1T18nts from Ferm W.2.. .................. 53 Hau.ehold ,mplo\fl1lnl taxas. Anech Schedulo H "". . . , . , , . , , . ss sa 57 fled_aJlncameLbwllhhtl...lfanyl.f,amP'Qfm(1110n.ch.1t . . .. 0 1995 estimated tax p.\fl1Ints end emounl .ppllod !rom 11194 ilIUm Ee,"ed Incam. c'.dlt Attach Schedule Ele K ~u h.ve a qU.llfyIn,g child, Nontaxable I.mod Incomo: emaunt ~I --' end Iypo ~ ____________________________ Amount paid with Form 4866 (extonslon roque.t) , , , , , , , . , Excess socfal IlCUrIty .nd RRTA tax wfthheld (seo In.truC1lons) . . Othor pU\fl1Ints, Chock K from I o Form 2439 b OFarm 4138 117. 8 585. sa 59 60 5 000. ~r il 22 281 103 184 000. 184. n 019 NONE n 019. '.' n 019. 11 084. 32 103. 13 702. 82 Illlno 81 Is moro lIIan lIno &I, subOrlC1 Un. 54 !rom Uno 81, ThI.1s tho emounl\'OuOVEflPAID , , a3 Amounl 01 Une 62 \'Ou want REFUNDED TO YOU , , " , " , , . .,. , ".,. ., , ~ 64 Amount 01 line 62\'Ou want APPUED TO YOUR 1996 ESTIMATED TAX, . , , , , , , , , , . , , , , . . , , , , ~ 6S II Uno &lis moro lI1.n IIno 61, subtraC1llno 81 !rom line &I. ThI.I. tho AMOUNT YOU OWE. Fer datalls en hew 10 pay and use Form 1040.V, Payment Vouche I 588 nstructlens. . . .. ... M F'Idml"lted tax ~enattv (!18ft fn!:tnJetkln~\ AI!:o Indud 293 . ,,:'~~l Un"" PtnalU,.afp_jwy.1 elKI''''lhal' hi.... own.d Ihl. 'etlM"nanel accompanying ICh~uI.. and .tal,",en'.~anclla lhebe.. of my Ilnawleelgeancl elle!, Ihey",. true, CGlTect,and cOmpl"" a.lv,lIonof preplt..(alh..'han ,-III bal~ an all farlNllonof which prepat.."', any...nawlldge. Yaw.lgnalw, Oal, VOwocc:upallon spau.... Ilgnallll.1f a Join' '111In, BOTH mYI,.lgn. Spa".e'. occupallon VIDEO PRODUCTION Oet, Pr.p.u.... .Ignalwe {!,o/! 7, 10/. '{(.: & Associate 2135 Mark t Street Camp Hill, PA Pr.p.at.'. .ac~l.ecwllyno. 169-44-2549 25-1677594 17011 -. .'~ P.... 2210 Underpayment of Eslfmated Tax by Individuals, ESlales, and Trusts ... 5.. s.parafelnslNcdons. . w.. 1995 C"'I,"enIO' Ihe T'...w)' Itn..... R.n.,.,. S.-vI.. Natn-cIJ ,".wn on t.. '.lurn Allacl'lment IdentlfY'n; numow SEBASTrAN TRISCARr & MARYROSE RrSCARr 194-44-768 NaIl: In moll C...I,)OU do nalnlo<l III file Farm 2210, Th.IRS win figure Iny p8nl/ly)Ou owe Ind ..nd)Ou I blU, Flit Form 2210 only N ani or more bous In Pill' Ipply III )Ou, ll)Ou do no. nlld III nil Form 2210, you llilI mly u.. II Illflgur. )Our pin a"" Enell lilt l'mm Un. :to Qr Knit .18 on ttla Df!Inllltv Un. 0' \/'tIur Ntum but do not an.lu~h FOm1 :nlO Reasons For Filing - 1111, b, a, 0 bllow Ippllll III )Ou, )Ou mlY be Ibll III lowe' or Ilmlnac. )Ou, panally, Bu.)Ou MUST chock thl box.. thll Ipply IlId ftle Forni 2210 with )Ou, talC retum. 1l1d balow Ippll"lll )Ou, chick tha. box Ind nle Fann 2210 wflh \JOur tall nlfUm 1 Chick whlchl'" bo,,"s Ipply 01 n01l1 IPply, ... thl Nolllbovl): I 0 You requ..tl WlIYlI,ln ~anlln circumstances, thl IRS will wII.. III 0' pan olthl plnelly. So. WIlya, of Plnalty on thl InslNe1Ions. b 0 You U.. thl InnuIII.ad Incam. Installmlnt mathad.1l )Ou, IlIcamo variod during tho '''', thll moth ad may IIduco tha omoun.af ana a, mere IIqullld InsealmanlS, S.. Inllructlcnl. o 0 You had FldlllllncomotalC wl1hh,ld lrllm waglS Ind )Ou .r"I/las pold la, ..lImolod laX purpolas whln /I wal IClullly wlthhlld Inll..d olin lquol omounlS an thl pajmlnl dUI dat... Soa tho Inslrucllans lor Uno 22, d 0 Yau'lIqUllld Innuol pl~lnl (IIno 13 bolow) Is bl..d on )Ou, 1994 e.. Ind )Ou nlld a' Oil nllng I /OllIllltum lor lither 100.. or 199~ but nOI ku both \fftIlA ~ Required Annual Payment Enc.r )Our 1ll9S laX I"" credits ("" InllNC1!onl) , . , . . , , , , . . , , . . , . , , , OIhlllaXlS (..llnllrucIkJIIS) , , , . , , , , , , , , , . , . . . , , , . . . . Add IInIl 2 and 3 , " , . .. ,. " , . ., , , , , , , . .. , , , . eamo<l Incomo crodll. , , . , . , , , , , . , , . , , . , . . , , , , , , . , , . . , . . . Credit lor Fldllll laX paid an fulls, , , , , , . . , , , . . , . , , . , , . . . , . . . . . Add IInIS 5 and e . , , . , , , , , , . , , . , , , , , , , . , . , . . . . . , , . . , . . , CUllin. ~ar tax. Sub~aClllnl 7lrom IInl 4 , , , . . , , , , , , , , . . . . . , , . . , . , MulllpIyIln18bY90'Ilo(.llO) , , , , . ., . ,. , , , . ." , , . . . , , . . , , . . , , . Withholding lIllcIs. 00 nallncluda IllY osllmal8d laX pa~onlS an this line (s.. In'lrucllan,) Sublraotllnl 10 lrllm Unl 8, II Ills than SSlQ, 110p hire; do not comple'. or nle Ihll lorm, You donotowethlp.naily. , ., " . " .., , . ,. ".. , , " " .. , , . , , , , , ." . , , , , . , , , 12 EnI8' the laX Ihawn an you, lll94laX retum (110'llo olthlt IInountII Ihl IdJUllld gruss Income shown on thl. retum II more thin SlllO,OOO, or II mlnfo<l ftlIng "plral8ly lor 1993, more thIn $7!l,OOO). CauUan:S..Instlllctlans, , , , . , , , . . , , , . , , . , , . , , , , , , , . , , , , . . , , . . . , , , 13 Requlrld InnUI' poymlnl. Enler th..mlllll of Unl 9 0' Dna 12 , . , , , , , . , . , , . , , , , , . , , . . . , . , Nolo: II IInI 10 II Iquai III o~ mona than IInI 13, stop hell;)OU do not owe the pan oily. Do nol nil Form 2210 unlllS you ch.~k.d box 1d I!lboVtt _ Short Method (Caution: Read th. InslNC1!ons to ..e II you can use the shon mathod, ll)Ou cheoktd box , 2 3 4 5 8 7 8 9 10 II 21 019. lai 084. 32 103. ...... . 32 103 28 893. rji\l\:t 117 31 986. 16 653. 16 653. 14 15 18 17 EnI8' th. omoun~ Ilony, lrllm Unl 10 tbo.. , . . , , , , , , . , . , . , , . , , , , . , , EnI8' thl Illtal omoun~ N illY, 01 ..lImotad laX pljmlnts )Ou mlde, , , , , , . , . . , , , Add lines 14 and 15, , . , , . , , . . , . , . , . . . . , , . , , , , . , , , , , . , . , , Total undllpoyment 10, Y"'. Sublract Dne 18lrom Dna 13. II zero or lass, 'lOp hore; )Ou do not OWlthl penl"'. Do not ",0 Form 2210 unless)Ou chacked box ld aboy.. , . . , , , , . Mulllply Ina 17 by.t:3Cee , , , , , , , , . . , , , . . . , , . , . , , . , , , . . . . . , . . . . . , . , · If tho lI'nOunt on Un. 17 was paid an ar Ift,r 411&'961 Inter -0.... · 11th. amount on UIIO 17 WIS plld bllo,. 411So1ll6, mlkl thl Iollowlng computallon 10 nnd !hI lIIlOunl .. Inl8' on Unl 19. ..... . 18 19 20 Amounlon Nwnb_O'da~'p&ld IIn.17 X h'or'.'115/;e X .000:15. . . . . . . . . . . PENALTY. Subtract Une 19 from line 18. Enlwlh.r..ull h_undon'orm 1040,lInl08;'OIm 10<lOA,lInl:J<l;'orm 10<lO-T,lln."2: . . for Plperwark Reduction Act Nalle., ,.. Instructions. JX. ,. 1:1/05111 10"" 2210 t1l1l1S) ',. Of """I HamI(IJ.hO""Oft'otm 1040. Co no! lInlwnam.and SOClall.WllynumD_II.hownon 5chMul.A. .. . Vow SOCIaJ '.wlly numo. 194-44-7687 SEBASTIAN TRISCARI & MARYROSE TRISCARI Schedule 8 - Interest and Dividend Income Part , Interest Income (Seo Ins1lUctlans.) Nale: It \'OU recolved 0 FalT11 1099-INT, FalT11 1099-010, or substltulO SI1110ment from . brok.rago nlT11, Ust 1110 nnm's name IS D1e paY" and Inter the IOtallnterest shown .,n thai 'alT11. Part II Dividend Income (Seo Ins1lUCtlan..) Nale:It\'Ou ,.calved I Form 1099-0IV 0' subs1f1llto slll_ont from . brokeRlge tIrm, Ust tho ftrm's name as the pol"" alld Inter the IOtal dividends shawn en that Iorm. Part III Foreign Accounts end Trusts AIl&Chtftenl S.QUW"ll. No. 08 I I Us. name or payer. It any l"raroslls from I seUer-:'Inanced mortgage and the buyer used the property as a personal residenc., S8C1InStt1JcUons and list this Interest ftnL Also. show that buyer's social S8CUrtfy number and address .. ----------------------------------------------- ----------------------------------------------- INT-FROM-K~l.s--------------------------------- FlftsT-FEDERAL-S--&-L--------------------------- ~~!9~=~~============================~======= 447. 249. 1 466 ----------------------------------------------- -----~----------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- 2 Add 1110 amounts on IIn. 1 , . . . . . . . , , . . . , , . , . . . . , , . , , , , , . 3 Excludable IntOr8S1 on ..ries EE U.S. s.vings bonds Issuod aft., 1989 lrom FalT11 8B15,lIn. 14. Vau MUST attach FalT11881510 FOIT11 1040 . , , . , . , I r I I I n m S Ust name of payer. Include gross dl"tdends and/or other distributions en steck here. Any caplral gain distributions and nontaxable distributions will bo deducted on IIn85 '1 and 8 ... 2 162. ':i 2 162. ------------------------------------- ~=~=~=~======================================= 10. ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- 5 ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- --------..-------------------------------------- ----------------------------------------------- ----------------------------------------------- 6 Add tho lll110unts on Uno 5 , , , , ,.. " . , ., , , . ",' 7 Copltal goln dlslributians. Ent., he,. and on Schodule O. . . , , 8 N<lntaxable dislributlalls, (5.. the !n.t 10, Fanm 1040, line 9,) , , 9 AddIlIlOS7andB..,.,..,.."",."..,.""".,..,.,." 10 Subtract Une 91rom 11110 8, Enter tho "suit h." and on FOIT11 10<40, line 9. . , , , , . , . ~ "If you do not nsed Schedule 0 to repon any other gains or 105585, sel the Instructfons for Fonn 1040, ........ . 10. 10. If you had over S400 of Interest or dividends or had a foreign account or were a granter ot, or a transforor 10, 0 Ioralgn 1IUst, \'Ou must compl.lD this part. 11. At any time during 1995, did you have an Interest In or a signature or other authority over a financial aCCOunt In a foreJgn countr)', such as a bank account, securities account, or other ftnanclal account? Soolnstnlctlons for exceptions and flUng roqulromonts for Form TO F 90-22.1 . . . . . . . b If "Yes,-enter tho name oftha 'orelgn counuy ... _____ ______________________ ____ (Soe 12 Were you the grantor 0', or transferor rot a foreign trust that existed during 1995, whether or not instructions.) u v 8n e IT le,ln r' G!$ . a av I F For Plperwork Reduction AC1 Notlc8, see Form 1040 Instructions. JXB . .......,..~ X Schodule B (Fo,m 1040) 1995 '. . - .-. - SCHEDULE C (Farm 1040) Profit or Loss From Business (Sale P,ap,lltarshlp) ... Plrtnershlps,jolnt venturlS. ItC., must fill Farm 1065. o Form 1 or Form ... ee Inst u Ions, edule NO. 1 1995 a'-linen' ar Ih. T,..."Y 1 IA Ie N&lft. af praprlelar Allachment Fe :Socl&J secutllynumll.(SSN) A SEBASTIAN TRISCARI 194-44-7687 PrincIpal businlss or prcfeswn, including product or servicl (see Instructions) B Enl. ptlnclp.allluIln... cad. VIDEO PRODUCTIONS (seolns~.)" 7880 Business name. II no separate business name, klave blank. 0 Emplay.ID numb.(EIN).lIany TRISCARI VIDEO PRODUCTION 25-1753887 euslnl" add..ss (including suite a, naom na.) .. ___E P _.s:~_~_!!.~~__ _ ___ ___ _ ___ _ _ _ _ _____ _ _ __ ______ CItv. \own arDOstotllee, stole, Ind ZlPcode CAMP HILL. PA 17011 AccounUngmethod: (1) ro Cash (2) 0 Accrual (3) 0 Othar(splclfy)" __________________________ Method(s) used \0 Lower 01 cost Othor (an,ch ooos nOI IPPIv (II ~ v,lulclaslnglnventory: (I) 0 Cost (2) 0 o,mar1lot (3) 0 "'plana.on) (4) ItJ checked,sklpllnoH) Was the... any change In determinIng quantities, costs, or valuations between opening and closlng Inventory? If '"Yes" attach ~:I~~:~~rt~lI~ ~~~I~~~' ~ 'th'a ~~e;a~~n '0; ~I~ ~u~l~o~~ ~u~n'g '1~~ I; -~~,~ s~~ ~s;";c~;n~ ,~; I~I; ~n' ~s;e~ : X c E F G H 1 In me Gross receipts or sales. Caution: If 1h13lncoma was reponed to you on Fonn W.2 and the -Slatutory .mploye.- box on that 101m was checked, see instructions and t.:heck here. . . . . . . . . . .. ...... 0 Relums and allowances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SubU"letUna 2 from line I. , , '" . ., . . ,. . ., , , . . . .,.... . ,., , ,. Cost ef goods scld (Irom line 40 on page 2) , .. , . . . .., ., , ,'.. " . , .., .,. Gless p,ofll Sub~acl Une 4 from Uno 3. , . . , . . . . . . , . . , . . . , , , . , . , , . , , . Other Incame, including FedaraJ IlId stale gasoline e, fual tax cradlt 0' refund (see InslrUc1lcns) , , . . , . . , . 367 568. 367 568. . 122 700. 244 868. 244 868. 2 3 4 5 8 8 9 .~ Ex enses. Enter.x Ins.s for business use 0' ur home ani on Dne 30. 1 196. 19 Panslen and profit-shertng plans, 20 Ront ar lease (sellnslrUcUons): Advenlslllg.,..". . ead deb15 Ircm salos er servlc:es (see InslrUctlaIlS). 10 Car and IrUck e"Pensos (sle InslrUedons) , . , , , , , , Carrvnbslans and fees , , . , . oepletlall, , . . . , , . . , , . o.p..cladon and sectlcn 179 1"P.nse deducdan (nollncluded In Psn lII)(seeInSlrUcdens). , , 14 Emplayee belleflt programs (ather then en line 19) . . . , , IS Insulllnce (other than health). , 18 Inle..st · Mortgage (paid to banks, etc.) " bOther, , , . , , , . , , , , , , 17 LtgaJ alld professlonll services. . . . . . . . . . . . . 6 305. . V.hlcl..,lNchln.y,..'\dequlpmenl . . b Other business propeny , , . , . 21 Repairs and maintenance. . . . . 22 Supplies (not Includod In Pan III) , 23 Taxes and licenses. . . . . . . . 24 Travel, meals, and ent8nalnment . Tlllvel , , , , , . , , . . . , , , b MeaJsand I entenalnment , , 2 447. e Enre' 5)" olDne 24b subject to IImltatlans (see InslrUc1lcns) , 1 224. d Subtract lIno 24<: Ircm IIno 24b . " 25 UUIIUos........ .. .. .. 2ll Wages (iessemplaymenl c'.dl(5), Z7 Other e"Penses (from IIn. 4ll en 1 083. 277. 9 760. 11 12 13 11 996. 43 941. 1 609. 3 106. 1 269. 623. 1 223. 8 880. 20 032. 1 311. 121 687. 123 181. 6 263. 2 813. Total BlCpenses before expenses lor business use of home. Add lines 8 through X11n columns . . . . . . ." T,ntadve profit (less). Subtract Une 2ll from Une 7, , , , , . . , . . . , , . , , . . . , . , . , , , , , , , , , Expenses for business use of your home. Attach Form B829 . . . . . . . . . . . . . . . . . . . . Net ",allt ar (Iass~ Subtract line 30 from Une 29. ella profi~ en18, en Farm 1040. Ilnl 12, and ALSO en Schedule Sf, IIna 2 (slatutory omplayeos, seelnslrUctlcns). Estates Ind IrUS15, enter on Falin 1041,lIn. 3, ell a lass, \'Cu MUST ga an to Une 32. 32 If you have I lass. check the box that describes your Investment In this activity (see Instructions). elf you checkad 32a, enter tho kJS$ on form 1040, line 12. and ALSO on Schedule SE, line 2 (statutory employees, 58e Instructions). Estalos and tl'Usts, enter on Form 1041. Dna 3. . k d r for P.perwork Reduction Act Notice, lie Form 1040 Instructions. 2ll 29 30 31 } 123 181. 32a m AlIlnvastmont Is Ilt risk. 32b 0 Somo Invostmant Is nol . sk Sch.dul. C (Farm 1040)1995 } J>B , . --.., -- SCHEDULE SE (Form 1040) Depwtmenl Q' Ihe Tr.lury "'..,..1 AlfYlII'IUe .vie Name of person wflI1loll-em~loymentlncerno (as .hown on Fonm 1040) SEBASTIAN TRISCARI Self-Employment Tax ~ Seelll.lruC!lonl 10, Schedule SE (Form 1040). ~ Allach to Form 1040. 1995 Social securtry number of person AILal:hm." S.qyenc. No. 194-44-7687 Who Must File Schedule SE VOU mu.t file Schedulo SE II: · Vou had n'teamJng> from son-emplo~nlfrom othe, th,n church emplol'8e Incerne Qlne 4 01 Shon Schedule SE or Une 4c 01 u.ng Schedule SE) 01 $400 0' mo..., OR · Vou had church emplol'8elncome 015108.28 0' mora, InCtlma from SOMce.)'Ou performed as a mlnl.ter 0' a member 011 ...lIglou. olde, II lIot church emplol'8e Income. See In.trucdon., Note: Even n)'Ou have a loss 0, a smell amount 0' Income from .elf'emplo~nt, h may be 10 )'Our benent 10 file Schedule SE and u.o el"'er 'opdonal ""'lI1od" In POIlU of u.ng Schedule SE. See In.truCtloll.. exception. It your only self-employment Income was h'om earnings as It minister, member of a rellglous order, or Chris~an Scionce practldonorand )'Ou filed Form 4361 and rocplvod IRS epprovel nOI to be tbod on 111058 eamlng., do not file Schodule SE.ln51oed, write "Exempl-Form 4361' on Form IlMO, Une 47, Mey I Use Short Schedule SE or MUST I Use Long Schedule SE? Old u receive WI 85 or tf sin 19951 No Ve. Are you I minister, member of a religious order, or CM.dan Science practltfoner who ...celved IRS app,oval not to be taxed an earnings frem these sources, but Wa. "'e 101\11 of )'Our wagas and dp. .ubjoC! to .ocla' security or railroad retirement tax plus your net earnings from selt-employmenl more than $61.200. No A1e )'Ou u.lng one of lI1e optional mell1od.1o figuro )'Our No No o Old )'Ou receive tips subject to social securtty or Medicare d I Old )'Ou rocelve church emplol'8e Income ...poned on No .~-- SectIon A - Short Schedule SE. Caution: Read ebovelo 58e n)'Ou can U58 Short Schedule SE, 1 Ntt farm profit 0' (1oss) from Schedule F, 8ne 36, and !ann partnership., Schedule K-l (Form 1(65), lInell5a , . . . , , . . . . . . , , . . , , , . , . , , , , , . , , . , , . . . . , . , . . , . , , , , 2 Net profit o'(1oss) from Schedule c,nne 31; Schedu'e C-EZ, Une 3; and Schedule K-I (Form 1(65), ane 1l5a (oll1er lI1an farming). MIIII.tors and membe.. 01 ...lIglou. oldo.. ..e In.trucdon. fer amounts to rapen an this Un8. Soe Instructions fer ather Incomo 10 report . . . . . . . . . . . . . ...... . ...... . 130 518. 3 Combine Un.. I alld 2, , , . , . . . , , , . , , , , , . , , , , , , , , , . , . , , , . . , , , , . , . . , . , . , 4 Nat"'"lngl tram ""-employmenl Multiply Une 3 by 92.35% (.92J5). "loss than $400, do lIot fill 1111. schedule;)'Ou do IIOt owe .e~-emplo~nl tax , , , . , . . , , II Sell-employment tax. " the amount on ane 415: · S61.21lO 0' loss, multiply Une 4 by 15.3% (.153), Enter 1110 ...uUhoro. and on } Form lG40, IIl1e 47. . , , . . , . . , , , . , , , · MaIO lI1an S61.21lO, muldply IIno 4 by 2,9% (,029). Thon, edd $7,588.00 10 lI1e result Enter the 101111 here and on Form 1G40, line ....,. 6 OeduCllon lor one-ha" of ee"-employment tax. Muldply line II b, · r8 u eNl Bod Form 1040 line 25. . . . . . . . . . . . . . Fo, Plperwcrk Reduction Act Nottee, lee Form 1G40 Instructions. JXU , ICf20/115 130 518. ............~ 120.533. 5 542. Schadule SE (Form 1040)1995 ,', 41, '..m 4797 ""'\ Sales of Business Property (Also Involuntary Conversions and Racapture Amounls Under Sections 179 and 280F(bX2)) .. Attleh to ur tax Plturn, .. S.. It rite InltruC1lons. Alla..hm.,t h.l~. No. 27 IdMlllyt"l"wnCl.. . . 1995 O.....,lm..." ef I"e T,_twy " NamIl(I) Iho,," on 'el~" SEBASTIA.~ TRISCARI & MARYROSE TRISCARI 194-44-768 t Enter here the gross proce.ds from the sal. or .xchang. of ,..115"" reponed to)'Qu for 1~ on Fa element al will Incl dl on line 1 or Sales or Exchanges of Property Used In a Trade or Business and Involuntary Conversions tJ)O.scnpllonef .....,.1';' '.10._'-110" a110".. Ofallo".bl. t!nc...ql.ltllllan !hlaAIN IdJplv.(.) mlnul('>> (fICOIIOlOlhW Clu;'.plvl l"",av_MII and ...pen...'...... (a)LOSS Gf)mlnult". lum.f (dland (.>> 'C)O'luold (mo.,d&y,vr.) (IIlo.le.._M ~..d.ly.V'.) (d)Gla.. ..I.. pile. 3 4 8 8 7 a :"'~"W~,\it,.:t,<~'t;t0~->; 0t~,.h\,,_?,~1 P1:;<:;E~~: ,"~'~'~'-,J"'!1.'::.,,,.,.1>J. -cv.1{t~;-':~ ':1'.~H:i~:;o~,,'~ Gain, hllY, tram Fanm 4684, Un. 39 , , . . , , . , . , . , . , , , . . . S.C1lan 1231 gain tram 1n.lIlmant ..Iulram Fann 8=, Uno:l8 a, 37. , S.cllan 1231 gain a'(la's) tram Uka-klnd a.chall9ulrom Fann 8824 . . Gain, tf Iny, from Unl 34. from other than casualty or theft . . . . , , , . . . , . , . , Add 1In.. 2111rough 81n column I (9) elld (h) . . , , , , . . . . . . . . . . , . . . . . , . . . Combln. column. (9) and (h) alllna 7. En.a, oalll or (Ia.s) h.ro, and an tha appropr1alO IIn. as lallaws: P.rtnorshlps - Ell'" 111. gain or (lass) an Fann 1085, Schadul. K, 11n. 8. Skip Unu 9, 10, 12, and 13 balaw. S ca'po,.tJonl - Rapart 111. gain or (Ia.s)lollawlng 111. 1n5lructians fa, Fann l1.oS, Sch.dula K, Unas 5 and 8, Skip In.. 9, 10, 12, end 13 below, unl...llna 8 II a galll end tho S carpallllan Is .ubjact ,., th, capilal gains 'Il<, All ath... -II Un. 81s ..ro or a tass, .n..r 111. amount an Una 12 b.law and .klp IIn.. 9 and 10. If IIna 81s a gain and you did not have any prior yelr Slcdcn 123 11osslS, or they WI,. recaptured In an urtlor year, enter 111. gain os .tang-..nn capilal gain an Sch,dul. 0 Ind .klp IInas 9, 10, and 13 balaw. Nanllcapaulld n.t seclion 1231tasSl.tram pr1a' ,..rs (saalnslllJc1Ians), . . , . . . . . . , , . . . , , , , SubllaCllln. 9 tram Un. 8. If..ro or II.., ,mtr -0-, Also an.ar an th. appropr1al.llne as fallows (s..lnsll.): , S ca'parollalll - En..r II1Is amoun. an Schadul. 0 (Fann ll.oS),lIna 13, and skip IInas 12 and 13 b.low. All ather. - If Une 10 Is zero. Inter the amount from line 8 on line 13 below, If Une 10 Is mar. than zero. enter t", amount (rem line 9 on an. 13 bekJw, and Intlr the amount trom line 10 as I IonQ-tenn caDltal aaln on ~chedule O. rPirtlllll Ordinary Gains and Lasses 8 10 12 Lass, If any, tram III' 8 . ., ., ." , ", , " , , . . , .., , .. , ".", .. ., 13 Gain, If any, tram 1In. 8, ar amaunllram IIno 911 appllcabla. , , , , , , , , , . , , . . , , , . 14 Gain, II any, tram In. 33 . . . , . , , , , , , . . , , , , , , , , , , . . . , , , , , , . , , , 18 Notgoln or (lass) tramFann4e&l,lInu 31 end 38a. . , , . . , ., , " .", . , . . 18 OnIlnary gain tram Ins.alment sales Iram Fanm 8252, Una 25 or 38 , , , , , . . . , , . . . . . 17 OnIlnary gain or (lass) from Uko-klnd allChallg.. from Fa"" 8824. , , . , . . , . , , , , , , , 18 Roc.paulll 01 uC1lan 179 .xpense doduC1lan far pannors and S corparadan shallhaldors from prop.rty dl.pa.h!ans by pannarshlpsand S corparoUan. (sao In.llUC1lans), , , , , . , , , , , 18 Add Ines 11II1rough 18 In columns (g) Mild (h), , . . . , . , , , . , , . , , , . , , , , , , . 20 Comblno column. (g) and (h) allne 19, En..' gain a, (la..) hell, and an 111. 'ppropr1alO UII. u lollows: , o Far an .llC.pllndlvtdual returns: En..' 111. gain a, (la..)I,am Uno .0 on 1110 return bolng iliad. b Far individual 'alUms: (I) 1I111.Io.s an In. 12lncludos atasslrom Fann '884,lIno 35, column (bXU), an..' thai pan alll1ota.. he.. and an IIno 22 of Schedule A (Fann 1040).ldonUIy u from '1'0"" 4797,IIna <Ob(1)." Seeln.trucUan.. (2) Rode"",,ln. lI1a gain or (la..) an Una .0, ..cludlng lI1e Io.s, II any, an Uno 2Ob(1). Entor here and on Form 1040 line 14 , . , . . . . , . . . . . . . . . . . ., .,...., Fo, Plperwork Reduction Act NolI(l. lee page t of up.rat.lnslructlons. JXB PI0I'2)/1S b Fann 4797 (1995) '. .. ----, . . Po"" 2 _GBII1~Fr"m , nl ' UndR' 1245. 1:>~n 1:>~:> .1254. end 1255 21 (I) O...rlpden of ..eden 1245, 12:10, 12:\2, 12S4,o, 12!lil property: (b)OII.acqult" (C)OI'IJOIcf lmo,. d&v. )'1'.) (mo., day, )'f.) A EOUIPMENT VARIOUS 12/31/95 R c _0 R, 'A"~ ,,- ~ 2Z Gross I...S pr1c1 (Noto: S," 11I\1 I blloll complodng,) , , , . 22 3 591. 23 COSIo, other blsls plusoxpell" 01 salo, , , . , , , , . . . . -23. 24 Oeplleleden (or deplollon)ello...d 0' eUowable. . , . . . , , ...n Z5 AdJustad blSls, Sub~aCl Une 24 from Una 2J. , . . . .... . ~ NONE 211 , ? '''''' IIn. ?? 26 3 591. 'Z1 If IlCtlon 1245 property: I Olpreelellon allowed 0' allowabla from IInl 24. . , . .... . lzzL b ~nrer Ih. Imllhu 0' line ~ or "11 127b NONE 211 If IlCtlon 12:10 property: II slfllghr Une depreelaUon WIS usad, enta, -0- on Unl 28g, except 10, a corpore lion sUbJeClto ..eUon 291. I Addldena/ d'preelallon aher 1975 (... Instructions), . . , . . 28a b Applleabll p,rc.nllOI mulUpll'd by the smlno, of line 26 o,llnl 28a ("" Instructions). , . , , , . , , , . , , , . , . , ~ e SublflClIin. 28a from IInI 26, nresldenUal rental proparty 0' Iin. 26 Is not more than Iin. 28l, skip IinIS 28d end 28., , , . -2tle f;i d AddlUonal depreelalfon Iha, 1969 alld be'o'e 1978 , , , . . . 128d I EnIl'theemln.'ofnne28co'28d.,.,.....,... , 1280 1 Section 291 amount (corporeUons only) , . , ........ . ' 281 <J~"'dd "." ?h ?'.. ..d 2AI 1280 29 If loctlon 1252 p,operty: Skip this ..ctlon II you did nor dlspo.. of lalll1lllld 0' II this Ionn Is baing completed 10, a pannenhlp. I SoU, 'ifahl" and land cftlring expenses . . . . . . . . . . . . ~29a b Unl 29a muhlpllld by appllclble percent.ge (sae InstrueUons) 2!:b " , aM,II.. .f ".. ?A ., ?Oh 29c 30 IhlCtlon 1254 ",operty: I Intangible drtDlna IlId development costs, Ixp.ndllUres 10, development 01 min.. Ind oth., natural doposlts, end mllllno Ixploreden costs (..elnstructlons). ............. . ~ b _En.., , ollln. "" "' ,". I- 31 If locIlon 1Z55 "'Oplrty: I Appllcabl. porconlllg. 01 pa)m8nts Ixcludod from Incom. und., IIC1lon 1211 (s"lnstructlons). , , . , . , , , , . . , , 31a b 31b , n' PA'HII r.Aln~ , Ihrou<Jh II.. 3 32 Total gllns IoraU propenilS. Add property columns'" through D,lIne 26. . , , , . , , . . . . . , , , , , , , , . , , . , . :!2 3.591 33 Add columns A through 0, 1In.. 'Db, 28g, 290, JOb, end 31b. En..' hero end on Une 14, . . . , . , , , . , , , , , , . , ~, NONE 34 SublflCl ane 3J from line 32, En..' thl ponlon from easue", or thoh On Fonm ~, In. 3J. Enta, the ponlon from ,Ih.n ,th.. ~ n..8 "" 3 591. Recapture Amounls Under Sections 179 and 280F(bX2) When Business Usa Oro s 10 50% or Less SEBASTIAN TRISCARI & MARYROSE TRISCARI 194-44-7687 NO 1 8 lnstnJcdons. p :ill Seelloll 179 .xpen.. dedueUon 0' d.preelaUon allow'bl. In prlo, yoors. , . , , . . . , . . , , . , , . 3lI Racomputod depreelallon, Se. instructions, , , , . , . . , , . , , , . . . , , . , , , , . . . , (,) SocUon 179 (b) S.eUon 280F(bX2) ,. 1012"15 II n . . ... .. .-., SEBASTIAN TRISCARJ: " HARYROSE TRISC'.ARI 194-44-7687 . Usted Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for Enlertalnment, Recreation, or Amusement Notll: Far any vehicle tor which you are using the standard mileage ~at. or deductlng lease expense. compllte only 23a, 23b, COlumn. a) Ihrough (c) of Saction A, aU 0' Soctlon B, alld SoctiOIl C Ilappllcablo. I v I (0) (b) (c) (d) (0) (I) (g) (h) (I) Butlne.,! 0..11 lot d.pnclallon RICo",. EI_1M Typ.of ptOP.ty~I.1 0&1. placed In In",.stmenl eosl ot 01". ....Ihod! O..l.IlIon ..hlcl..U'I') S."lc. .,. bull (bualn.nllnv.atmMI ., Connnllon dedYCllan I. lion 171 wcenl. . us.onl a.lod cOil UTa 4 05 94 95.0\ 16 713. 15 877. 5 4 465. 28 Add amounts In column (h), Enlorlho lOla' hor. and on Uno :20, pag. 1. . . . . , . , , , . . . 4 Soctlon B - Information On U.o 0' Vehicle. Complete this seetlan for vehlelos used by a sole proprietor, panner, or amer "mora than 5% owner," or related person. If you provided vehicles to your employe IS, flrsl answor the qU8stlons In Sectla" C 10 see If you meel In Ixclotlon 10 comoletlna this secrlon ror those vehicles. (I) (b) (c) (d) (a) (I) 28 ":"atal buslnessllnvesmenl miles driven during Vehlclo 1 Vehiclo 2 Vehicle J Vohlcl. 4 Vehiclo 5 Vohlclo 6 Ih, yoer (00 NOT Include convnuUng mllos) , . 29 Total convnutfng miles driven during the year. 30 Total other personal (noncom.'11uting) miles drlvon, . , . , . , . . . , . . . . , . . , 31 Total miles driven durlng the year. Add lilies 2B Ihrough JO. . . , . . . , .... . Ve. N. Ve. No v.. "n Ves N. V.. No Ve. N. 32 Was the vehicle availablo ror personal use during otf.duty hours? . , . . . . '" . 33 Wa. Iho vehicle used primarily by a more than 5% owner or relaled pe~n? ... . 34 Is another vehicle available for personal ".., Sacllon C - Quo.lIon. fo' Employ.,. Who P,ovldo V.hlclo. for Use by Thel, Employ... Answer these questions 10 detennlne If ~u meel an exception 10 completing Section B for vehicles used by employees who are 3:1 Do you malnllln a wrlnon policy stat_mollt thaI prohibits all porsonel uso of vehlclo., Includlllg commuting, byyour.mployo..? . , . , , . . , , , , , . . , , . , , . , , , . , , , , . , , , . , , , , , , . . , , , . , . , , , . , , . , 38 00 you molnllln a wrttlon policy "alemont that prohibits porsonal uso a' vehlclo., O'COPI convnudng, by your employees? Se.lnstrucllons for vehicles used by corporate offlcers. directors, or 1% or more owners . . . . . . . :v Do you tr.alall uso of vohlclo. by omployoes es porsone' uso? , , . , , , , , , . , , . . , , , , , , . , , , , , , , , 38 Do you provJde more than five vohiclos 10 your employees, obtain Information from your employees about tha u.o 0' tho vohlcles, and rollln tho Inlormadon roc.lvod?, , , , , , . , , , , , . , , , , , , , , , , , , . , . . , , , . , 39 Do you meelthe requirements concomlng quaUned automobile dEmonstration use? See Instructions . . . . . . . . . . . . , . 0 II '.'''N. " ,';;.~":ffl.\~-"~ :<i~~ . (0) c.sCltp!lano, coal~ (b) O.l..motllullon begl"S (c) Amof'll..bl. . amounl (d) c... seellon (0) Amotllullon p.lodot p.CIIf'1L1g. &tW~,(~"t~ (I) AmofIln.t1on fotlhtly..,. '''-mt~~&~${~~r,1iHr. ~ J.. , .tlle/lS o al n or haro IInd on "Othor OndUClfons" or "Othor E)l onsos"llno of ur retum. ~2 , '. "'. . ~ 19~~ SUPPLEMENTARY STATEMENTS /" --------------------------------------------------------------------------- SEBASTIAN TRISCARI & MARYROSE TRISCARI 194-44-7687 STATEMENT: 2210-1 TRANSACTION DATE AMOUNT BALANCE # DAYS DAILY RATE PENALTY , 94 OVERPMT 04/15/95 -8,585. -8,585. 0 w/a PAYMENT 04/15/95 -30. -8,615. 0 INSTLMT DUE 04/15/95 4,163. -4,452. 0 RATE CHANGE 04/15/95 -4,452. 0 w/a PAYMENT 06/15/95 -29. -4,48l. 0 INSTLMT DUE 06/15/95 4,163. -318. 0 RATE CHANGE 07/01/95 -318. 0 w/a PAYMENT 09/15/95 -29. -347. 0 rNSTLMT DUE 09/15/95 4,163, 3,816. 108 .00024658 102. RATE CHANGE 01/01/96 3,816. 14 .00024590 13. w/a PAYMENT 01/15/96 -29. 3,787. 0 INSTLMT DUE 01/15/96 4,164. 7,951. 91 .00024590 178. ---------- TOT PENALTY 04/15/96 293. 11:I=....1::1_-_..1::1 --------------------------------------------------------------------------- f. .. .... . . 19~UPPLEMENTARY STATEMENTS , . SEBASTIAN TRISCARI & MARYROSE TRISCARI 194-44-7687 --------------------------------------------------------------------------- STATEMENT: 4562-1 15c. 7-YR PROP DEPR BASIS PERIOD CONV METHOD DEDUCTION 31 EQUIPMENT-D MILLEa 3,961. 7-YR HY 200DB 566. 32 STUDIO CURTAINS 1,212. 7-YR HY 200DB 173. 33 EQUIPMENT 2,972. 7-YR HY 200DB 425. 34 PA CABLE NETWORK 16,500. 7-YR HY 200DB 2,357. 35 CAMERAS 1,000. 7-YR HY 200DB 14:1. 36 MATROX 4,576. 7-YR HY 200DB 654. TOTAL AMOUNT 30,221. 4,318. --------------------------------------------------------------------------- '. . 41", .'. .. ~ ,,-... 19: 'SUPPLEMENTARY STATEMENTS SEBASTIAN TRISCARI & MARYROSE TRISCARI 194-44-7687 --------------------------------------------------.------------------------ STATEMENT: 4562-2 17. PRIOR MACRS DATE DEPR BASIS PERIOD METHOD DEDUCTION 2 SLDG 59 CENTRAL 04/93 135,765. 31Y-6M MCR 4,310. 3 IMPROVEMENTS 01/94 95,148. 39-YR MCR 2,440. 21 EQUIPMENT 06/88 1,000. 7-YR S/L 45. 22 EQUIPMENT 06/89 40,689. 7-YR S/L 3,632. 23 EQUIPMENT 06/90 6,492. 7-YR S/L 579. 24 EQUIPMENT 01/91 21,516. 7-YR S/L 1,921. 26 EQUIPMENT 01/93 11,605. 7-YR 200DB 2,030. 28 EQUIPMENT 01/94 21,521. 5 - YR 200DB 2,397. TOTAL AMOUNT 333,736. 17,354. -------------~------------------------------------------------------------- ~ . \lORTON C. nOlA-Ill. erA C."L I. KUMCIMT. C:'\ oo.'4.\LO' Cllll.'iC,[R. ~R. c:" \ldUNLILrt".cr\ .l.:L'It:'limi ~ ml\.t. cr\ !U1ltl'l'W nflU.cr.\ \OIl.\IANL \I'I~ n.cr.\ OURlL A. 'call cr.' IA.\IUl'ICIA::iIY.C/',\ 10\""'.0 \-lfA''''OSKJ.11t , 0, C:O\ K!lvtNA.\4'rtIl.CP\ \Ii Il:OIUTDlWIIU.C:'\lrn.crr CA.COr.'l' \. Cll;~ll:\C. cr.'. 'VA W C.'IILO'CILL/l,cr, KUTli L IL::lIlIOCl erA '1"r"I.IIC. Fl...HA.'.l,.l,,'l,cr, DO....NA \1. \\"LLI,UIS. C:O\ 1l01l1if1' 0 ~".\TZ. c:,,, 'lA.\lCI.IAn.cr, ~UCHULll. Il:SKIY, C:'.\ Dt.:.4.Nll.\IOUR.C'A TA."AUl'IL"SS.C:'\ Il.,-'DY L '....CKUll. CI".\ WAr.-i1 0 IlL;tl~rlL.C:'\ C'r:'li"Tl1L\T.H.Or!C.Ci'A llCHARO E, II'\CA.\!"'... C:'.\ I. "'..~ CO"H\'. 0\ L..'L1U:'d CtIClR.Cr.\ OO".\lO I OLsrCH. C;'\ iLS'....'1 ~CtU;(.C:'\ 1 EAST M.d);[T $rIlUT You. PA 1;"&0101::15 mn6Uo;'O)} 'A.'CJ.I).I1JI 211 CAJUSll Smn HA..'IO""It. PA l;]]\.Z~IO I71n6J2.2r..s 'M6JHl4O ~ I""" Miller & Co. Certified Public Accountants lZ:tA\1. .""LUR 11~19't'1 fCl.'~CU June 26, 1997 ....'L:,.IA...l' C.'RT!l1 .IITlltIO Sebastian G, Z, Triscari Triscari Productions, Inc. 59 Central Boulevard Camp Hill, PA 17011-4212 Dear Sebastian: This cover letter, along with the attached Schedule, should hopefully provide you with the necessary written information to preliminarily work toward a settlement structure for equitable distribution. Of course, if and when you feel the time is appropriate for any additional information, or if you would like to see some additional narrative explanation, please do not hesitate to contact me, As outlined in our February 5, 1997 engagement letter, you have requested that ~Iiller & Co. LLP detennine the fair market value of a 100% ownership interest in the net equity of Triscari Productions, Inc. (hereafter referred to as Triscari), Our analysis ofTriscari, including the application of various generally accepted valuation methods, has led us to conclude that the fair market value of a 100% ownership interest in the net equity, and therefore, 100% of the current outstanding common stock ofTriscari, as of May 27, 19971 is $308,500.1 The purpose of the valuation is to determine the fair market value of 100% of the net equity and, therefore, 100% of the current outstanding common stock of Triscari. The conclusion of value is to assist you and your advisors with equitable distribution negotiations as part of your ongoing divorce, Our conclusion of value includes the goodwill of Ihe Company, plus the adjusted value of the underlying net worth of the Company. Our conclusion represents the fair market value of the entire Company, as defined below. The value indicated in this letter was determineci utilizing the information contained in the annual Federal corporate income tax returns (Form I 120-S) for the years I This is the dale of our tinal cOllversation in reference 10 our Conclusion of Value, including the discussion with Jacqlyn Turner for some additional financial details, l The attached schedule provides an overview of the valuation process and a preliminary conclusion of value. Our conclwion considered mainly the liquidation value as the most illdicative value of the Company in this panic;uJar case, 11tis is an example whe,e the normalized historical earnings are not sufficient enough tn provide an owner/investor with a return on invesunent at levels necessary to compensate them for the risks associated y,ith this Company, induSlly, elc, ., \O"~ Q ~^" rJ.) \ ijiY' c.2il.~ \ ' J. f(,,,.~j """" Sebastian G, Z. Triscari Triscari Productions, Inc. June 26, 1997 -2- ended December 31, 1995 and December 31, 1996, l In addition, you have provided us with certain additional financial information, Furthermore, we referenced information in our files used in the preparation of the 1996 tax returns, If you or your attorney have any questions as to the specific information utilized in reaching my preliminary conclusion, please do not hesitate to contact me, As previously indicated, the standard of value for this particular engagement, as discussed with your legal counsel, is fair market value, Fair market value is defined as the cash, or cash equivalent, price at which the business interest would change hands between a willing buyer and a willing seller when the former is not under any compulsion to buy and the latter is not under any compulsion to sell, both parties having reasonable knowledge of the relevant facts and both being capable of undertaking the transaction. This definition also assumes the ownership interest being valued would be for sale on the open market for a reasonable period of time. As indicated in footnote number two, our conclusion of value considers mainly the liquidation value as the most indicative value of the Company in this particular case, There are many factors that contribute to this conclusion, First, the actual historical salary level that the Corporation has been paying to you is not, in my opinion, at adequate levels that would be required to pay an unrelated third party, Second, from the establishment of the Corporation and continuing to today, the Corporation has not paid you any rent for use of the building from which it operates, If a hypothetical third party were to buy the Company, they would be required to pay fair rent. Third, there needs to be serious consideration to the risks associated with this small company and the significant importance of you to the ongoing profitability. While there may be some goodwill value associated with Triscari Productions, Inc., it is important, for equitable distribution purposes, to draw a distinction between personal goodwill and business goodwill. I believe that, based upon the short period of time in which the Corporation has been in e:cistence, and based upon the importance that you play in production operations, - ') the goodwill is associated with you, The hypothetical buyer would recognize that you were of significant importance to the Company and would perceive this as additional risk associated with an investment in this Company. Accordingly, all of these factors have contributed to our conclusion that the normalized historical earnings are not sufficient enough to provide the owner/investor with a return on investment at levels necessary to compensate them for the risks associated with an investment in this Company, industry, etc, The scope of this valuation engagement and valuation report was limited in its discussion regarding information utilized in the valuation process, We were engaged to perform a valuation for Triscari Productions, Inc. with the intent of 'The 1995 ta.~ returns were prepared by Kenneth W, Fry, CPA. Kenneth W. Fry & Associates, 2135 Market Strcel. Camp Hill, PA 17011, (717) 737-0451. The 1996 ta.~ returns were prepared by Miller & Co, LLP, 7 East Markel S!ree~ York, PA 17401, (717) 846-7000, ~ , ~ """'I Sebastian G, Z, Triscari Triscan Productions, loc, June 26, 1997 -3- ascertaining an approximate estimate of value and where the scope of our services were initially limited, If Miller & Co. LLP was engaged to perform a more delailed analysis, matters may have come to our attention that could have a material impact on the estimale of value contained in this report. Accordingly, our level of assurance on the estimate of value is reduced, This report is not intended to serv~ as a basis for e:<perttestimony in a court ()flaw or other governmental agency without further analysis and resulting documentation, The specific discussion omitted includes a detailed history of the company, a detailed overview of the industry and market in which the company operates, a detailed analysis of current economic conditions, detailed descriptions of all normalization adjustments, conclusions of ratio and industry comparative analysis, and a full listing of the sources of information utilized in reaching our conclusion of value, If the omitted discussions indicated above were to be included in the final report for this panicular valuation, they might influence the users level of understanding regarding the estimate of value that is contained in this report, Accordingly, this report is not designed for those who are not informed about such matters. The following limiting conditions apply in the development of the value conclusion and to the use of this letter report: 1. This report is an economic report designed to provide a review of the market value as well as the economic impact of a variety of purchase structures. It is not an accounting report, and it should not be relied upon to disclose hidden assets or to verify financial reporting. It is an opinion of value of the specific assets and liabilities considered. 2. The summarized historical information referred to and presented throughout this letter report and on the attached schedule is induded solely to assist in the development of the value conclusion presented in this report, and it should not be used to obtain credit or for any other purpose, Because of the limited purpose of this presentation, it may be incomplete and contain departures from generally accepted accounting principles, We have not audited, reviewed, or compiled this information and, accordingly, e:<press no assurances on it. 3. Some of the financial information presented throughout this report includes normalization adjustments made solely to assist in the development of the value conclusions presented in this report. Normalization adjustments are hypothetical in nature and are not intended to present restated historical results or forecasts of the future in ~ccordance with AlCP A guidelines. This information should not be used to obtain credit or for any purpose other than to assist in this valuation, and we e:<press no opinion or any other assurances on this presentation. ." ~ ,- Sebastian G, Z. Triscari Triscari Productions, Inc. June 26, 1997 -4- 4. We have relied on representations made by management about the background, history and potential performance of the business. These representations are believed to be reliable, but no responsibility is assumed for their accuracy, 5. This report was prepared for use by you and your advisors in the equitable distribution process of your ongoing divorce, Possession of this report. or a copy thereof, does not carry with it the right of publication of all or part of it, nor may it be used for any purpose by anyone but you and your advisors without the previous written consent ofNIiller & Co, LLP and, in any event, only with proper attribution. 6, All facts and data as set forth in this report are true and accurate, to the best of the analysts' knowledge and belief. However, we assume no liability for such sources. No matters affecting the conclusions have knowingly been withheld or omitted. 7. The valuation contemplat~s the historical financial facts and conditions existing as of December 3 I, 1996. In addition, subsequent changes in the facts and conditions of the Company, industry, market, etc. were discussed with various representatives of the Company, specifically you and Ms, Turner. It is believed the conclusion of value is applicable as of the indicated date of valuation, May 27, 1997, as well. Events and conditions occurring after that date have not been considered, and we have no obligation to update our report tor such events and conditions. 8. We are not required to give testimony in court, or to be in attendance during any hearings or depositions, with reference to the Company being valued, unless previous arrangements have been made. 9, The various estimates of value presented in this report apply to this valuation only, and may not be used out of the context presented herein. This valuation is valid only for the purpose or purposes specified herein, 10, This report is intended to provide an estimated price. No liability for receiving said value is assumed by Miller & Co. LLP, Certified Public Accountants. This report is neither an offer to sell nor a solicitation to buy 3ecurities in Triscari Productions, Inc. This report was prepared under the direction of Gregory A. Crumling, CP A, CV A. No one provided significant professional assistance in the analysis or preparation of this report. Neither the professionals who worked on this engagement, nor the panners ofIvliller & Co. LLP, have any present or contemplated future interest in Triscari Productions, Inc., any personal interest with respect to the parties involved, or any other interest that might prevent us from perfonning an unbiased valuation. Our compensation is not contingent on ~ .r- TRlSCAIU PRODUCTIONS. INC. SdI.dul. I MARKET VALlJ'E AND LIQlJlDATION ACJ1J:m.tENT SCHF.CLU Adjll&tcd l.qu.idali~ Book V.lue M..-Icd. Book V _lUll. OR V.IUoI O'....ba V.IIM ~ LiquiiJ.alion December 19'1oS AdiwlJ'ncn.1 1990< AmOWlI " 1990< Cub.a. uah cquiV1lanb 116,m 116," 1 100"\ 116,m Net M40WlIU ,.,i...abl, :0,7<6 2.].7.&.6 95~~ lUl9 lAVCOI?t)' Other cwrwt..."" Total CUlTlrll ""-",, 1,",191 1'0,197 lJ9.010 BlIildin.~cnI.I lO",6-1' 10.164' :".747 1'.747 T..d4 ",",,,,,,,,,I 19l.l7' (97,717) 91,711 JO.J'" JO.J'" Automohil. 31,236 r..601) H.6Jl 11,7)4 2'.7J4 Leu: AA:cllnl, Dept. m.m (191.47l) Nd Propcny and Equipment 1...,7IJ :07,070 n,'." Net inwl,iblca O<hcr .-. Total O\hcr,\&MLI TotalA.ucLl ~Il ",,,",1, Shon.tcms ao&a plyabl. 5t.xkholdcn'l'lOtaI p.ytbl. ClIn"aIl awuriLia otWP C~I~o(u~l~ C)Acr Nftftlliabilitia 1U."O .t71"!'I1 91J 9'J J,9'J ',J2J ",J:' IOO"~ l,IOl 1.S0, IOO'~ lI.JIJ lI.JIJ 47.ll9 ( 67,1'!) '\ 61.IS9 611'9 1I,..n 7!..t.'T2 lO.Ooo lO.OOO 249,477 2.&9..177 7,OJI 99.J1I JO.s"O' ]911,79' ]&-1980 .&77 ~61 ''2''"'" J,91J ",j21 tlOS Total Currcnl LlabiliLi_ I'.JIJ Nola paytblo $\ockholdcn'rwMa p'rabl. CtpiullaM obli,atiON Other lon~ "bl Totall.otll"Tcrm Debt Total Liabililica I'.JIJ CGawcn ltoe" p,.(and _k Paid.in ""iut R.laincd. cam.inp TI"O&IW1JiOC:k Total Stockholders' Equity lOS,''&: 30'.'.1'2 ToUl Liabilities and Slockholdcn' E,\uily ]'!:! ,,, Th. rUIMCial W'onulion pracmcd on tNa w:hcdulc inclu.Jn normlHzalio.t ~j.....uncnll made IOlely lQ .....ill in tha d.vclopn:1C'1l1 orthc vl!Uill;OnCluaioNl pracn14d in thia RpOft. NOnMliutiOd Idjuatmcnl.l &roI hypothetical in lMlurt and arc nO( inlendcd to prac"llJ rataLcd IWtoric.l rct\llu in accOtdanc. with AlCPA auidc1ina. Thia infonn.uon ahotJld not be Ulcd to obtain c"dil or for ..y pwpoIC& othct th.M to ...i.al in 1hi. valuation.. and w. cxpraa no opinion tN ."y other &III.lnnCCI onlhi.a pnDmlalion.. " "'"" ,~ Miller & Co. Certified Public Accountants GREGORY A. CRUMLING, CPA, CVA Curriculum Vitae El'rrPLOYMENT: Miller & Co., Certified Public Accountants 7 East Market Street, York, PA 17401 (717) 846-7000 VOICE (717) 843-1731 FA.'X gacrumli@millerco-cpa,com E-MAIL . Partner with concentration in the areas of Business V3Iuations and Litigation Support Services. . Coordinator of the finn's Business Valuation and Litigation Support Services. . Supervisor of the tinn's Section 125 (Cafeteria Plan) services provided to clients, EDUCATION I TRAINING: . York College ofPennsylva.nia o Bachelor of Science degree in Accounting . American Institute of Certified Public Accountants o National Business V3Iuation Conference 0 Nation3! Litigation Conferences o Business V3Iuation, Certiticate of Education Achievement Program o Nation3! Ta.'( Education Program, Session V 0 Nalional Ta.'( Conferences . Pennsylvania Institute of Certified Public Accountants o Numerous courses de:iling with general accounting, auditing and ta.ution, including courses sponsored by the South Central Chapter of the PICPA. . National Association of Certified Valuation Analysts o Blacl<lGreen & Company's Business V3Iuation Training System; Fund:1menl:1ls & Techniques for Small Businesses o Semi-Annua1 Business Valuation Conferences . Institute of Business Appraisers, Inc. o Business Va1uations PROFESSIONAL DESIGNATIONS I AFFILIATIONS I AWARDS: . Certified Public Accountant, licensed in Pennsylvania o Member, American Institute of Certified Public Accountants; member of Management Consulting Services Division Pennsylva.nia Institute of Certified Public Accountants; served on v3rioll.l commiuees, including the Spc:1kers Bureau, Young CPA's, ani:! Cooperntion with the Bar of the South Central Chapter commiuees; Business V:J.!uation and Litigation Support, and Divolte Confe,ence Commiuees at t1:e St;lte level. o Awarded the Certificate of Educational Achievement in Business Valuations . Certified Valuation Analyst o Member, Natiorull Association of Certified Valuation Analysts; currently President of the PA.-Enst St;lte Chapte', fonnerly member of the National St;lte Chapte's Commiuee and member of the National CVA G,ading Team. . Institute of Business Appraisers, Inc, . Institute ofVa1uation Advisors . York County Estate Planning Council . Sterling Who's Who, member, lisled in Executive Edition ~ .--. GREGORY A. CRUMLING, CPA, CVA Curriculum Vitae, continued 2 EXPERIENCE: Areas of experience include business valuations, equitable distribution proceedings, loss of income calculations, loss of value calculations and forensic audiling, · Consulting in business valuation and litigation support services engagements since 1989. Consulted on over 50 business valuations during the preceding 24-month period for use in such areas as buying or selling a business; establishment of buy/sell agreements; Federal Estate taxation and planning, including gifting; state inheritance tax; equitable distribution proceedings (marital and other); loss of income/value calculations and EsOP/Stock Bonus Plan administration. Engagements were in the industries of manufacturing, retail and wholesale distnbution, and professional service companies covering numerous different Standard Industry Classifications. · Engaged by area CPA Finn to assist with, and consulted with other business valuators, in completing their assigrunents. · Extensive work in the pension valuation area for equitable distribution proceedings related to divorce, · Consulted on the tax consequences of divorce agreements and suggested alternatives. · Calculated income and cash flow for detennination of child and spousal support. · Provided loss of income calculations and loss of business value calculations for use in settling civil suits resulting from personal injury, product liability, etc. . Determined loss of income and/or value in breach of contract situations. · Court appointed to audit the financial affairs of the estate of an incompetent after family dispute and the Courts determined a corporate trustee was not qualified to detennine losses. · Proposed settlement structures for partnership liquidations and equitable division of assets. ~nSCELLANEOUS: · Presented or served as discussion leader for numerous educational programs, including programs sponsored by York College of Pennsylvania, Institute of Management Accountants- York Chapter (formerly the National Association of Accountants), Yo.rk Area Chamber of Commerce, York County Bar Association and wliller & Co,. for both in-house staff training and client seminars, · Participated in radio and television interviews through the PICP A and contributed to various newspaper articles, · Involved with various local Charities and participated in the Leadership York program sponsored by the York Area Chamber of Commerce, Currently on the Board of Directors of the Children's Home of York, serving as Treasurer and a member of the Executive and Finance Conunittees. Listing 0/ expert witness engagements and published articles infulfillment a/new Rules a/Civil Procedure affecting Expert Witnesses available upon request. ~ ,r EXPENSES: MONTHLY SELF WIFE Home: Mortgage/Rent 1089,00 600 , 00 Maintenance Utilities: Elcctric 100,00 Gas 150,00 Oil Telephonc 65,00 Watcr/sewcr/refusc 47,00 Furniturc Employment: Public transport Lunch 216,67 Taxes: Real Estate 124,00 Personal Property 46,87 Personal Tax ($315.00 yr) 26,25 Incomc Insurance: Renters Automobile 100,00 Life 225,00 Accident Health 335,00 Other Automobile: Payments 280.00 Registration 1.00 Fuel 130.00 Repairs & Maintenance 100,00 3 '"" EXPENSES: MONTJUJ:: Medical: Doctor Dentist 34,00 Orthodontist 100.00 Hospital Medicine Special needs: Professional Counseling 252,78 Education: Private school 80% of cost College Personal: Clothing (Dry Cleaning) 75.00 Food 250,00 Barber/Hairdresser 30.00 Credit payments: Credit card 1000,00 Loans: Credit Union Miscellaneous: Household help Number of Children Child care Papers/books/magazines 3,00 Entertainment 100,00 Pay television 2.~O.l Vacation Gifts -- Legal fees 500,00 Charitable contributions 58,00 Other child support 514.00 Alimony payments 2100,00 Professional Dues Other: Tolal Expenses: ~8.297,58 $600.00 4 r ~ "" TRISCARI V. TRISCARI NET INCOME CALCULATIONS Plaintiff's Net Monthly Income: Plaintiff has a B.S. in nursing. $10/hour or $20,800 annually. Her earning capacity is at least Gross Monthly Less $1733.00 Federal (S-1) SS State Local Net Monthly Pay 195.00 132.57 48.52 17.33 $1339.58 Defdndant's Net Income: Gross Annual Income: Salary Interest/K1 Income Schedule E Income (Actual 1996) $34,000.00 8,245.00 51 .039.00 $93,242.00 Less Taxes Federal 20,278.00 (actual 1996) SS/Medicare 7.65% of $34,000 2,601.00 State 2,318.00 (actual 1996) Local 511.00 (actual 1996) Net Annual Income $67,534.00 $ 5,627.83 349.00 $ 5,278.83 SUPPORT CALCULATIONS Pursuant to 1910.16-5 (h) Child Support: Net Monthly Income Less Ins. for W & Children Obligor Income $5278.83 Combined Income One child Obligee $1339.58 $6618.41 13 % $ 860.39 20% $172.08 % of Income Child Support F's less M's F's 80% $638.31 Obligation to M Obligation to F Net Obligation to M $688.31 172.08 $516.23 Spousal Support: Father's Income less Mother's Income less Father's Child Support 30\ Spousal Support $ 5278.83 - 1339.58 516.23 $ 3423.02 $ 1026.91 . ~ ..,. \ n r'-f' L: :'~ c I (") <:'1 . LI ~. ) ~ () i'': ~ : , , '.1 : ("": :', ;) C) , t;J I"'i C: , - , \ L~t , I .- , ,1\ i '- ~ , c.~ \ , ,.,-, '. G-" :-~) ~ '" .. d z lJ ~ t:: :I ~ :l t; ~ ::l lI,l ~ :i ~ ~ Iii ~ I:: Q. "' Z o ~ 8 ffi ~ :l ;: II. j III .. c ~!~ ~ Ci It In <( ::E m B ~ z .~ Q- . "",1 - .... -::.. o .1 4 ~ Canada Life Assurance Company Annuity Policy No, P47346, certificate No. 84, (hereinafter referred to as " the Plan"). 5, Pursuant to ~414(p)(8) of the Internal Revenue Code, the Alternate Payee is the spouse of the Participant who, under Ihis Order, has a right to n.'Ceive all of the retirement benefits payable under the Plan with respect to the Participant. 6. QDRO, Participant has no other Alternate Payees with respect to the Plan under any other 7. Participant agrees to transfer all of his rights and interest in the Plan to the Alternate Payee. 8. If the Participant predeceases the Alternate Payee before benefits payable under ~7 of this Order have commenced, Ihe benefits to the Alternate Payee shall commence May I, 2019 and shall continue thereafter until the Alternate Payee's death, at which time any remaining benefits shall pass to Alternate Payee's designated beneficiaries. If the Participam predeceases the Alternate Payee after the benefits payable under ~7 of this Order have commenced, the benefits payable to Ihe Altemate Payee shall cominue until the Alternate Payee's death, at which time any remaining benefits shall pass to Alternate Payee's designated beneficiaries, 9, If the Alternate Payee predeceases the Participant, all benefits shall be paid to Alternate Payee's designated beneficiaries, ..- If) -- tr, C !:-; r:~ .. ~ ') ,.- 11.1(1 ('1 () ~:: L2t ~ ..-. ~.) ~~:; I', .,' tl- ;"~! ~,~~ J..1 ()I~. . \() ''1 J ~. . t3i. - '-, . ;.'t." 1'- ~ '.-J t' \'1 1...:....\ U f' " t;.O " r..-, ~-'j c:..:. v' - '" III d :z S ~ !:: :; ~ 5!~ e C? ;,j - ~ ~ I:: 11. .. Z o ::l: 8 ffi ~:J;;Q. ~Ulllc' 0("2,; o:::l::'j 0( 0: 1II W 0:: III 0( ::E 1II B ~ z mutual promises, covenants and undertakings herein set forth, and for good and valuable consideration, receipt of which is hereby acknowledged by each of the parties hereto, SEBASTIAN and MARYROSE, each intending to be legally bound hereby, covenant and agree as follows: I. SEBASTIAN specifically assigns any and all rights he may have in the pension plan for Stackpole, [nc, which is administered through Cnnada Lite Assurance Compnny to MARYROSE. 2. In the event that MARYROSE predeceases him, any benefits that he receives arising from the pension plan for Stackpole, [nc, which is ndministered through Canada Life Assurance Company shall be immediately assigned and transferred to MAR YROSE's designated beneficiaries under the plan, 3, IfMARYROSE has not designated beneficiaries, these benefits shall be immediately assigned and transferred to the heirs of MARY ROSE's estate. 4. SEBASTIAN shnll not be responsible for any costs, taX\lS, fees or any other expenses that may be associated with this assignment and transfer of benefits. [fa cost, tax, fee or any other expense is known by SEBASTIAN at the time of the assignment or transfer, the parties agree that these costs, taxes, fees or expenses shall be deducted from the benefits to be transferred. Any costs, laxes, fees or expenses not known at the time of transfer shall be -2-