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Home My WebLink About00-01807 '" -'e-.":'.,1\",,,,,,' :;" - , ".";\':." '"., ....~;~,.~,~- - " '~"'h' <, -'_"j'''"'''~_'f.''~', \1I~:t"'? ':_,;,:H' ~, ,',~.i!'< _,d .. ._J't:~' -:,~," ;t_~"~~.;~' ',"C:::'~":,_-":'~ ':';:;~:C"~,,', .,:;' _"" ,. ':_':\.','"" ,,_ "':;:",' ,," __, _ "" , NO~gE O~~~bGME~~!i~~~~T CIVIL CASE PLAINTIFF: NAME and ADDRESS IpFB MEMBERS SERVICE CORP PO BOX 8736 CAMP HILL, PA 17001-8736 L I ~. ",COMMONWEALTH OF PENNSYLVANIA COUNTY OF: CUMBERLAND Mag. Dist. No.: 09'1-02 OJ Name: Hon. . ROBERT V.MANLOVE AQ&"'1901STATE" STREET CAMP HILL; PA ",1' . ,',-j' "",i'" '"""".. ,i.!,"' , " 'VS'; ",':DE'f:~~DA~r': . . NAME"~~'d'ADDAESS '~9DE~:,:!E:4I, '. ET,~: 'RD~BpJ('21.9~ ". '. '.. .... WILLIAMl?BuRG,PA.16693 L .~ PFSMEMBERS SERVICE CORP PO BOX"8736 CAMP HILL, PA 17001-8736 DocketNo.: CV-0000426-99 Date Filed: 12/01/99 ,',,J '.~,"'- <;?I \f '" THIS .IS. TQ-JtO;nE'l".YQ.U,..IijA T,=.., ."..i."_"~,~,',:d';~'_~'f'_,u_.' _ ':~""""""""": .."./.t:;;, ,-'tr~,Mi!.."..,~"_'~!" --,;\~":~:,-,:,,,!":".,.;l"f"-"" ':'~ .:...., ,,'~, ;'.,.'.,...~ '1M ":f ,...'" ", ",'.:',:u.;,..:"....."..,>~'._,'.!'--'_!,'_"_ ",\~\i..-,__", ~~~'-; ... ..-judgment: ... .. .DEFAtJ'LTJi1ijGMENT PLTF . [iJ Judgment was entered for: (Name) P1>R MRMR....'1HI l=l....RvTr....rORP [iJ Judgment was entered against: (Name) RHODRll, RIoT in the amount of $ II 101 <;0 on: (Date of Judgment) 1!1'l/00 o Defendants are jointly and severally liable. o Damages will be assessed on: o This case dismissed without prejudice. (Date & Time) O Amount of Judgment Subject to Attachment! Act 5 of 1996 $ Amount of Judgment $ 8.000.00 Judgment Costs $ . 101. 50 Interest on Judgment $ .00 Attorney Fees $ .00 Total $ 8,101.50 Post Judgment Credits $ Post Judgment Costs $ ------------ ------------ Certified Judgment Total $' : . D Levy is stayed for days or 0 generally stayed. o Objection to levy has been filed and hearing Will be held: " .".~ ,,' Date: Place: ..... Time: WITHIN 30 DAYS AF ER THE .ENTRYOF JUDGMENT BY FILING A NOTI.CE Y/CLERK OF THE RT OF COMMON PLEAS, CIVIL DIVISION. YOU ICEANSC:RIPT FORM wrtfi YOUA NOTICE OF APPEAL. . ,DistrictJustice f.the proceedings containing the judgment. , District Justice My commission expires first Monday of AOPC 315.99 2006 SEAL ~,,, - ~, IW" ~"- ',' "'"~,;,"'r', ,'f'''~~'.~ ~,~" >., ','~,~''''''~'~,n, ' " ' '" DJ Name: Hon. lj / ....~/) 7 / ' . '-T~' (i."C, I ,1,,.,,.-1 "', I ~., i" , NOTICE OF JUDGMENT/TRANSCRIPT~ ' CIVIL CASE . . PLAINTIFF: NAME and ADDRESS , IpFB ~ERS.sERVICE CORP "l POBOX 8736 " "" :- -,' cAMp HILL, PA 170'0'1:8736 i.'.... COMJ>.1CJNWEAL TH OF PENNSYLVANIA COUNTY OF: CUMBERLAND Mag,'Dist. No.: 0'9-1-0'2 '. ........ROBERT . V. MANLOVE. M~;e" 190'1 STATE STREET GAMPHILL,P}.) " L .J "-,:,:<_ ,-:;_:.-::,':,,' . J.:"" ',; t~"Ph"~ P1?) , 761"0'5$3 ,DEFENPANJ,:, ' ' NAME' a~d ADDRESS ; .1Wi:OPES ,ELI, ETAL~ , . "RD2l;lOX219C . .' ..' . ....... 'WILLIAMSBuRG,PA ],6693 L Docket No.: CV-0'0'0'0'426-99 Date Filed: 12/0'1/99 'I , i'., ' PFB ~ERS SERVICE CORp! POBOX 8736 CAMP HILL, PA 170'0'1-8736 '0:7' . '- . , .J ;'f:: t_ i~ I~ )~ .' TI'USISTONOHFYYOU THAT: '. .. . /, .. .'. . ';~"~~~Ju'ag"fnelij:,.":G.."i"""'~'~''''~'''' - . ':-"riEFAm.'J' til1p't'4ME:ilJ'j>-' PTITF ... ; iii Judgment was entered for: (Name) PIlR M1P.MRRliR RRRVTC"RC"ORP iii Judgment was entered againS~a~ ~OD.j FIIRM ATTPPT,T'Rll , in the amo~lit of $ . A :)01 JO ~: J] (Date of Judgment) D Deillndant~,arejointIY and. seVe~~IY l1able.(y-. (Date.& Time) "'..)..' .',' ,..).')' EJ Damage'~I'.liIFl;Je assessed on: . '~A . ';,' "';:i ." ,.... ,;; 6 o Thisca~e.ai~i1)i~sedwithoutprelOaic:e~ ~' ,c :o_",~"""'-C:~>---"',_, -;:,~h'___':"'. .~ ~.~j::::>- ~',", - -~-".:'-.:, - , 1/1"1/00 . . ~, Post Jud\1ment Credits Post Judgment Costs ' ,$ 8.0'0'0'.00' $ . ' lal;SO' $ '.00 '. $' /;00 $ 8.10~;50" $ $ riq, Arr{~~flt olJudgment Subject tQr~ . LJ Attachment/Act 5 of 1996 $ .' Amount of Judglljl8nt. JupgmentCost$ . In\erest on J\.JqgmeQt< . Attorney Fees. Total . 0 Levy is stayed for daysofD generally stayed. - J ------------ ------------ o Objection to. ievy has been (iledyd hearing wiii be held: ". ,--""!;,<,, '.-' , -"'~l' Oate:>t .. T'~;:" 'Place:!'""" ..< Certified Jul1gment Total $ ,), ,,'- ''!-'' /T' '-I' , ,Time: .""-~/\ ~ . " G' ANY PARTY !fAS THE RIGI1T TOAPP A'tlWITHIN 30 DAYS AFTER TH.EEI'lTRy()f~UDGM~NT By fiLING A NOTICE OFAPPEALWITH.THEPROTHO . T . >HtLERK '..\ S'COUFrrOFCOMMONPLEAS,CIVILDiVISION.yOU . . . " "" ':', ,,', , 'C :,,';, ,:', -<: ' " '-. ,',i,..,'-,.:- ' __ _ .' ': ,-,:,,-:',:,;: ,,'" .::':' _ -; '-f',',,'::~',;;:,::,,,,;,: ',<,\::':'-;"-, _' '",'. ' -::", ':, .MUST I CL .E A(:OPXq~T . n NTlTRANSCRIPTRO~~YVITI1Y(?UflNOTICEQFAPPEAL ':"',,:.\>. ': ' ' ::' . '. ".[)i~trict.Justice,' . "~", :' ',~',;,~<:--,:.\ . <'::;":,:,,?.t:-,\; " . 'Qi/tH~Rtoce~dih~~.d~tainin~tl1~jUdgti1~h~:{').: , DistrictJ~strce My commission expires first Monday of January, 20'0.6 SEAL '", -'\-' AOPC 315-99 r. , "%_, !'., , !i I! I !' I I'. . " i . , K .... cXJ(.J~ ~~~t J;rt9~~ \' Iv ~ ~y,fr f' ~ r B c....,-- () Cl 0 c: 0 ""Tl $: ::J:: :::-3 "'TJU' :0> ~ni :::0 :,f1:D ;r .< ' r ti5C N ~vr'f1 .--<S" W ~36 ,,,,,-- ~G' ---i( ::!2 :I: -r i ~() ~ bI! -0 -c. (") 5>' w ~m c: ~ :z =<l 1'0 $ <=> -< ~ f ~ , _Ilml Jm \l , f \,l' (_:1 ,-r ill!,r;rr ..un~]1)\li~L][lTiliB~Jlf:.rmrlL'.1~ n:.'~~~mtI....~ft\:: PFB MEMBERS SERVICE CORP.,: IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA vs. 00-1807 CIVIL CIVIL ACTION - LAW ELI RHODES, individually and t/d/b/a RHODES FARM SUPPLIES,: Defendant IN RE: PETITION FOR CONTEMPT SANCTIONS ORDER AND NOW, this 19 ~ day ofSepternber, 2000, a brief argument on the plaintiffs petition for contempt sanctions is set for Thursday, November 9,2000, at 10:30 a.m. in Courtroom Number 4, Cumberland County Courthouse, Carlisle, PA. BY THE COURT, :rlrn <Ai ]{e,jn n"" ) .{i'\~ L ~ q.w'OO ~ David 1. Lanza, Esquire For the Plaintiff Amy Webster, Esquire For the Defendant ~ - ~r .r""""',,' ,'", " , ('.C 'r ,)-t FiLED-()fFtCE - t'~-" ,r,V\-/"'lY i,l,'l:.J l r':'.)\'I\,-" Lm 00 SEP 20 M'I 10: 30 CUMBERLAND COUNTY PENNSYLVANIA ,"',' ,- ".c- c, _ '.,-""---- ,--,.',', .~- " SEP 18 200~ ~ II PFB MEMBERS SERVICE CORP., IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. No. 00-1807 Civil ELI RHODES, individually and tld/b/a RHODES FARM SUPPLIES, CIVIL ACTION - LAW Defendant ORDER OF COURT AND NOW, this _ day of September 2000, a Rule is issued upon Defendant, Eli Rhodes, tld/b/a Rhodes Farm Supplies, to show cause, if any he has, why he should not be held in contempt and the relief requested by Plaintiff should not be granted. Rule returnable within days after service by Plaintiff pursuant to PaRC.P. 440. BY THE COURT: J. Pursuant to Cumberland County RLile 206-6, the person required to be notified is: Mr. Eli Rhodes clo Amy E. Webster, Esquire SILL & WEBSTER 314 Wayne Street Hollidaysburg, PA 16648 Mr. Eli Rhodes R.D. 2, Box 219C Williamsburg, PA 16693 "n 'I, . " ;.,: . ", ,I'~I' ',.f' . ~ _..1-:' l Johnson, Duffie, Stewart & Weidner By: David J. Lanza J.D. No. 55782 30 I Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 Attorneys for Plaintiff PFB MEMBERS SERVICE CORP., IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 00-1807 Civil v. CIVIL ACTION - LAW ELI RHODES, individually and tld/b/a RHODES FARM SUPPLIES, Defendant PLAINTIFF'S PETITION FOR CONTEMPT SANCTIONS 1. Plaintiff is the holder of a judgment against Defendant in the amount of $8,101.50, plus costs and interest from March 23, 2000. 2. Defendant is an adult individual with an address at R.D. 2, Box 219C, Williamsburg, Pennsylvania 16693. 3. On or about August 17, 2000, Plaintiff served a subpoena Defendant to appear and provide documentation regarding Defendant's assets. the aforesaid subpoena is attached hereto as Exhibit "A". upon Defendant requiring A true and correct copy of 5. Defendant failed to appear pursuant to the aforesaid subpoena. 6. Defendant has failed to provide any documents pursuant to the aforesaid subpoena. 7. Plaintiff is entitled to the documents requested in the aforesaid subpoena. 8. Plaintiff has been forced to incur attorney fees in excess of $500.00 for the purpose of enforcing the aforesaid subpoena. !?'- ~Ir ,I [' - -r"'F 9. Defendant's conduct has been vexatious, obdurate, and dilatory, thus entitling Plaintiff to attorney fees pursuant to 42 Pa.C.SA !l2503. WHEREFORE, Plaintiff respectfully requests that this Honorable Court enter an Order: (1) holding Defendant in contempt; (2) awarding attorney fees to Plaintiff in the amount of $500.00; (3) requiring Defendant to appear before this Court and provide testimony, evidence, and documents regarding all of his assets; and (4) imposing a fine upon Defendant for his contumacious conduct. Respectfully submitted, JOHNSON, DUFFIE, STEWART & WEIDNER By: ~ DavidJ. Lanza Attorney 1.0. No. 55782 301 Market Street P.O. Box 109 Lemoyne, PA 17043-0109 Telephone (717) 761-4540 Attorneys for Plaintiff :138460 I"~ . -"-' <;1 r_. I ,".,-, 'J" _," 'f,: , '--"-- VERIFICA nON I, DAVID J. LANZA, attorney for PFB MEMBERS SERVICE CORP., the Plaintiff named in the foregoing Petition, hereby certify that this PETITION sets forth matters which are exclusively matters of record, matters exclusively within the knowledge of counsel and legal conclusions, and that said facts are true and correct to the best of my knowledge, information, and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. ~4904 relating to unsworn falsification to authorities. JOHNSON, DUFFIE, STEWART & WEIDNER J~ By: David J. Lanza 1"1<1 I I:",' ,7' I . ;~li ,- ,,\."". ~, ",-, "-~',,1, .1 'c " " rT"~~ CERTIFICA TE OF SERVICE AND NOW, this \ "t~ay of September 2000, the undersigned does hereby certify that he did this date serve a copy of the foregoing PETITION upon the other parties of record by causing same to be deposited in the United States Mail, first class postage prepaid, at Lemoyne, Pennsylvania, addressed as follows: Amy E. Webster, Esquire SILL & WEBSTER 314 Wayne Street Hollidaysburg, PA 16648 :HNSONij'r. STEWART & WEIDNER David J.~anza .-wlll'1. - !! :" or, ~"I 'i,';I' -~-~ ,I :i'~i'"'1,;I-"-~Y'! ,',-m,':";~~!p~r""!!"""I,~~'1" "~I~_~!'"" _ _., ' cnHlNWEALTH OF pa:JNSYLVANIl\: . axJNI'Y OF CUMBERIAND PFB MEMBERS SERVICE CORP., Plaintiff : v. : File No. 00-1807 Civil . ELI RHODES, individually and t/d/b/a RHODES FARM SUPPLIES, Defendant : SUBPOENA TO ATTEND AND TESTIFY Eli Rhodes TO: RhrYl"" ",rlYTTI Supolies R.D. 2, Box 219C willi~m"rnlrg. Pennsylvania 16693 1. You are ordered by the court to cane to & wEIDNER" 301 Market Street, Lerroyne, The Offices of JOHNSON. DUFFIE, STEWART Pennsylvania 17043 at at 301 Market Street Lemoyne 9:00 (Specify courtroom or other place) CllIlIberland County, Pennsylvania, on August o'clock, A'M., to testify on behalf of Plaintiff 30, 2000 in the above case, and to remain until 2. And bring with you the following: excused. Please see Exhibit "A" attached. I f you fai I to attend or to produce the cIocunents or things required by this subpoena, you may be subject to the sanctions authorized by Rule 234.5 of the Pennsy1vania Rules of Civil Procedure, including but not limited to costs, attorney fees and irrpriscrment. REQUESTED BY A PARTY/ATTORNEY IN CXX'1PLIANCE WIll-! Pa.R.C.P. No. 234.2(a): David J. lanza, Esquire NAI-E: uut1l-5uN, rlUFFIE, O~ Ii WEIDNER ADDRESS: ':\m M~rkpt Street Lemoyne, PA 17043 TELEPHONE: (717) 761-4540 SUPREl'E CXlURT 10 # 55782 BY THE. COURT.: Prothonotary/Clerk, Civil D~vision DATE: Seal of the Court Deputy OFFICIAL NOTE: This fonn of subpoena shall be used whenever a subpoena is issuable, including" hearings in connection with depositions and before arbitrators, masters, cannissioners, etc. in Cdrpliance with Pa.R.C.P.. No. 234.1. If a subpoena for production of docunents, records or things is desired, carplete paragraph 2. (Eff. 7/97) i!'1I1"l;~-~.~" ~- ~ ~~.....""""",,,!,'~" ...~"""""" ~~~,~~" - ~,-~,,-~,. -'"-~ -".., , . 'I EXHIBIT "A" 1. Originals of all stock certificates and/or share certificates of any corporation in which you have any interest, wherever located. 2. Copies of all of your state, federal, and local tax returns from 1993 through 1999, inclusive. 3. Copies of all agreements, of whatever nature, which you entered into between 1993 and 1999, inclusive. 4. Copies of all insurance polic;ies on which you are or have been a named insured, a policyholder, or for which you have paid premiums at any time since 1993. 5. Copies of all wills and/or powers of attorney which you have ever executed. 6. Copies of all credit applications which you have signed and/or submitted from 1993 to present. 7. Copies of all deeds in which your name appears, in whatever capacity. 8. Copies of all financial records, bank records, and documents of title which contain information relating to assets which you now own or have owned since 1993. 9. Copies of all warranties or guaranties which you now hold (or have held since 1993) on any assets, wherever:located. 10. Copies of all liquor licenses by which you or any entity which you own or control sells liquor. 11. Originals of all bonds, of whatever nature, in which you have any interest. 12. Originals of all share certificates of any mutual fund, including any GNMAs, in which you have an interest. 13. Copies of all statements regarding any investment, mutual fund, money market, certificate of deposit, or other investment from 1993 through the present time. 14. Copies of all records or statements (from 1993 through the present time) related to any retirement account, IRA, 401 (k) Plan, or other pension or retirement plan or account. 15. Copies of all records related to employment, including payroll records, paystubs, W-2 forms, or other records related to employment or wages from 1993 through 1999, inclusive. :136991 -~_'~".- ~ ~~-~~......~ ~ "~ ." ~. ~ .~,'~' ""~-~,,"' ~~ ~~m,~""~ - ~ -'~ ,..,.~"' ~'~~'M__ ""4 >~ " """~'1"""I~- ',~ '~ - ,~"~--~" -~. ~- i , ~ I , ~ i II , i I I I I , ,,[ , '",,_H"'. """", ".'" -- - , -" -",. " ,,-""'''~'''f'l!""~,_V, -,' Tj ~7',~" 1- , '. . . (") C 0 ~ 0 ." tI> ---I iW f'T1 :r: f'"t ....~ -0 -l ~ lr= ~',:~l!:n <..r. -Q(j (,.,J_a ;::;:0 -;~~ :.::: " :1.:,,,;; ~8 ::r ~~-(") W Ofn "f;; .. )>! ~ 0 ::0 .::- -< "~ _ ,-: .1'_' ~_ " ""'''', . ~w_ ,._,....'~.J.,I!,. ~,,., . " 1 t PFB MEMBERS SERVICE CORP., Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CML ACTION-LAW Vs. ELI RHODES, individually and NO. 00-1807 CML T/d/b/a RHODES FARM SUPPLIES,: Defendant ANSWER TO PLAINTIFF'S INTERROGATORIES DIRECTED TO THE DEFENDANfS NOW, comes the Defendant, ELI RHODES, Vd/b/a RHODES FARM SUPPLIES, and files these Answers to Plaintiff's Interrogatories, as follows: I. The only stock is jointly-owned with his wife as tenants by the entireties in Omega Bank. 2. We searched the whole house, and the only tax returns we Could find were for 1996 and 1997, copies are enclosed. 3. NO agreements with anyone. 4. The only insurance is car insurance. 5. He does not have a will or power of attorney. 6. We could not fmd any copies of any credit applications in the house or his files. I would not know where else to look. 7. No deeds. 8. No assets whatsoever. 9. None 10. None II . No bonds 12. None 13. None 14. None 15. None Attached are copies of the letters from his doctor and from the nursing home where he resides. I have no other information. . In answer to all of the above, I understand that if any other information becomes available, I will provide such information or documents. For the Defendants: BY;U:; (~ Kenneth E. Rhodes Son of Defendant ~ , , PFB MEMBERS SERVICE CORP., Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNlY, PENNSYLVANIA CML ACTION.LAW Vs. ELI RHODES, individually and No. 00-1807 CML T/d/b/a RHODES FARM SUPPLIES,: Defendant CERTIFICATE OF SERVICE I, Kenneth E. Rhodes, son of Eli Rhodes, Defendant, hereby certify that a copy of the Answer to Plaintiff's Interrogatories Directed to the Defendants was served the day of ,2000. upon David J. Lanza, the attorney for the Plaintiff, at 301 Market Street, Lemoyne, Pennsylvania, 17043, by United States certified mail. ~/~ For Defendants '-"ff , <#." PHYSICIANS -~);:.;?'1#' ~ ~ .'~ W ~ ..~. ~.., , - ~:~-,"' ! l Williamsburg Family praclice ~ j;! ~ Donald M. Beckstead, M.D. Patrick D. Rice, M.D. Arthur W. Morrow, D.O. Liva R. West, P.A.C. September 13, 2000 In RE: Eli H. Rhodes Birthdate: 12-13-1921 To Whom It May Concern: I am Mr. Rhode's attending physician. He suffers from numerous medical problems, most recently a cerebral vascular accident in the basal gangly area of his brain. This has left Mr. Rhodes severely compromised mentally and he is incompetent to make medical decisions or understand or participate in any meaningful way, in any legal actions either on his behalf or that might be taken against him. Should you require further information or details please feel free to contact me. Sincerely, 1k-/Lu: I /If] Patrick D. Rice, M.D. PR/rjm 306 Plum Street I Williamsburg, PA 16693-1116 I Phone (814) 832-3405 I Fax (814) 832-3811 , .. .{]NTY of BL / CO VALLEY VIEW HOME 1\J~ Valley View Home 301 Valley View Blvd Altoona P A 16602 Telephone (814) 944~845 Jack A. Spayd, Ph.D.. NHA Administrator Brett Schar!; D.O. Medical Director JOHN J. EBERSOLE President JOHN H. EICHELBERGER. JR. Vice President DONNA D. GORITY Secretary TERRY L. WAGNER Chief Clerk MERLE K. EVEY Solicitor September 18, 2000 To Whom It May Concern: SUBJECT: Eli H. Rhodes I am writing this letter on behalf of Eli H. Rhodes who has been a resident of V alley View Nursing Home in A1toona, Pennsylvania, since June 22, 2000. Due to his medical condition, he is unable to be transported to any outside events without the aid of a trained nursing staff member. Any prolonged activities may be harmful to his health and well-being. Sincerely, DQAA.'~ Dave Fisanick, L.S.W. Social Service Director / 917 19-97 -- 010297 19 OMB NO. 1545-1309 1040PC FORMAT U.S. INDIVIDUAL INCOME TAX RETURN PA~E 01 OF 02 ELI & KATHRYN<RHODES RR 2 BOX 219 WILLIAMSBURG PA 16693 ':-", .1'1$>..:12-7583 40 187-14-0611 29 PPECF N SPECF N FS 2 6A-SELF X 6B-SPOUSE X NOT RES 00 OTHR 00 6D-TOTAL 02 --~----------------------------------------------------------------------- 1040 PAGE 1 8A-----------------127 9------------------162 12----------------2169 16B-----------------41 22------~---------2499 26-----------------153 31--------~--------153 32-----------~----2346 \ 1040 PAGE 2 33----------------2346 34A--65 OR OLDER~----X 34A--SP 65 OR OLDER--X 34AB-----------------2 35----------------8500 36--------------(6154) 37----------------5300 38-------------------0 41------------------36 45------------------36 46-------------------0 47-----------------306 53-----------------306 TOTAL INCOME TOTAL PAYMENTS LINE 22 LINE 60 56A--NO--------------- 60-------------------0 64-----------------306 PREP-MSC BUSINESS SERV -ICES------------- FIRM-MSC BUSINESS SERV ADD--POB 8736--------- CSZ--CAMP HILL PA 170 -01-8736---------- PEIN--------23-1683448 POCC-RETIRED---------- SOCC-RETIRED---------- SCHEDULE C - 09 NAM--ELI RHODES------- SSN--------176-12-7583 A----SAFEMARK FARM ITE -MS--------------- B-----------------3012 C----RHODES FARM SUPPL -Y---------------- D-------------------NA E----RD WILLIAMSBURG -PA 16693--------- 2499 o TOTAL TAX AMOUNT YOU OWE F1-------------------X G--------------------y 1---------------103680 3---------------103680 4----------------97264 5-----------------6416 7-----------------6416 8------------------250 15-----------------280 18-----------------100 25-----------------150 27----------------3467 28----------------4247 29----------------2169 31----------------2169 33A------------------X 34-------------------N 35---------------23950 36---------------99414 40--------------123364 41---------------26100 42---------------97264 PRTV-TRUCKING-----3467 48----------------3467 LINE 53 LINE 64 306 306 Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. ELI & KATHRYN<RHODES 020297 20 176-12-7583 SC.HEDULE R - 16 3--------------------X 10----------------7500 12----------------7500 13A---------------7258 13C---------------7258 14----------------2346 15---------------10000 16-------------------0 18----------------7258 19-----------------242 20------------------36 SCH SE SHRT - 17 NAM--ELI RHODES------- SSN--------176-12-7583 2---------------_-2169 3-----------------2169 4-----------------2003 5------------------306 6------------------153 ADD INFO PDI---------0000010000 SEI------------------- SC------------------26 ,,,,..' 1040PC . . PAGE 02 OF 02 ~. ..... . 020297 .:.--- . Form~ Use L the A IRS B label. E Other- L wise, H please E print R or type. E Presidential ll. Election Campalan r 1 2 3 4 Filing Status Check only one box. Exemptions If more than six dependents, see the instructions for line Be. Income Attach Copy B of your Forms W-2, W-2G, and 1099-R here. If you did not get a W-2, see the instructions for line 7. Enclose, but do not attach, any payment. Also, . please enclose Fonn 1040-V (see the instructions for line 62). Adjusted Gross Income Department of the Treasury -- Internal Revenue Service U.S. Individual Income Tax Return 1996 I ."~_.:r';;}"i'/ 160.1 Ilfllil rt.tf:@ III .jqq0 ~orthe year Jan. 1-08C. 31,1996, or othertaxyeat beginning , 1996, ending ", ...:..../ IRS Use dnlv - Do not write or staple in this space. '-,'" Nole: Checking Yes No ''Yes'' will not Do you want $3 to go to~hls fund? . . . , .. . . .. .. . . . . . . .. .. .. . . .. . . .. .. .. . . .. .. X change yourtax or . '- _ u_ __. _ __ X reduce your refund. If a ;olnt return does vour SeOUSe want $3 to uO to this fund?, . . . . . . . . . . . . . . . . . , . . . Single For help finding line Instructions, see pages 2 and 3 In the booklet J[ Married filing joint return (even If only one had income) Married filing separate return. Enter spouse's SSN above & full name here.'" - Head of household (with qualifying person). (See instructions.) If qualifying person Is a child but not your dependent, enter child's name here. .. f-- Quaiifvino widow(er) with deoendent child Ivr. soouse died~19 ). (See Instructions.) b ~ :0::::1. :~~~;:r~~~ ~~l ~:~~nb~~I~~: :~n ~~a1m: ~~~ ~:~ ~::~nd:~t:n :hlS or :he~ } ~::~:::'.b COd nts. (2) Dependent's social (3) D~penqent's 4) NQ. of ehildre~ on line epen e . security number. If born relationship to IJIOS. lived Bc who. 1 First name Last name in Dec. 1996, see inst. OU IPn ~~W~. . Jived with you , ~~ i"""11"'~"'i ~ Ii ,I ELI RHODES KATHRYli. RHODES RR 2 ~6.K. :i ( 9 e. WILLIAMSBURG, FA 16693 ,1.10MB No. 1545-0074 Vour social security number 176-12-7583 Spouse's social security no. 187-14-0611 I 2 . did not live with youdueto divorce or separation (see instructions) Dependents on Be notenteredabove_ Add numbers ~~~;t:goovne ... 5 6a d Total number of exem tions claimed. . . . . . . 7 Wages, salaries, tips, etc. Attach Form(s) W-2 8a Taxable interest Attach Scheduie B n over $400. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Tax-exempt interest. DO NOT Inciude on i1ne 8a . . . . . . . . 8b 9 Dividend Income. Attach Schedule B n over $400. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Taxable refunds, credits, or offsets of state and locaf income taxes (see instructions) . . . . . . 11 Alimony received. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Business Income or (loss). Attach Schedule C or C-EZ. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Cap~aJ gain or (ioss). If required. attach Schedule D. . . . . . . . . . . . . . . . . . . . . . . . . .eGD. 14 Other gains or (losses). Attach Form 4797. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15a Total IRA distribuijons " ~ I b Taxable amount (see inst.) . . 16a ' Total pensions and annuitie$. ~ 123. b Taxabie amount (see Inst.) . . 17 Rental real estate. royallies. partnerships,S corporaijons. trusts, etc. Attach Scheduie E .. . 18 Farm Income or (loss). Attach Schedule F. . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . . . . . . 19 Unemploymentcompensaijon................................................ 20a Social security benefits . ~ 7 , 056 ,I b Taxabie amount (see Inst.) . . 21 Other Income. 22 Add the amounts In the far ri ht column for lines 7 throu h 21. This is 23a Vour IRA deduction (see instructions) . . . . . . . . . . . . . . . .. 23a b Spouse's iRA deduction (see Instructions). . . . . . . . . . . . .. 23b 24 Moving expenses. Attach Form 3903 or 3903-F. . . . . . . . .. 24 25 One-half of seif-empioyment tax. Attach Schedule SE . . .. 25 26 Seif-employed hea~h Insurance deduction (see inst.). . . .. 26 27 Keogh & self-employed SEP plans. If SEP, check. .. ~ 0 27 28 Penalty on earty withdrawal of savings. . . . . . . . . . . . . . . . . 28 29 Alimony pal~. Recipient's SSN ~ 29 our tolallncome, ~ 112. 9 10 11 112 13. 14 15b 16b 17 18 19 20b 142. 2 254. 9 . 120. ,.".:.z.:.,.:.,. ~;'~;::":~;::::: ':::::':<:::~{:;;; 21 22 2 637. ]tline 31 Is under $28.495 (under $9,500 If a child did not live w~h you), see the Instructions ior 30 Add lines 23a through 29. . .. . . . . .. . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . .. . . 30 line 54. 31 Subtract line 30 from line 22. This Is our ad usled rosslncome.................. ~ 31 For Privacy Act and Paperwork Recluctlon Act Notice, see page 7. Preparers Edlijon CM 104012 NTF 532. Copyright Forms Software Only,199B Nelco, Inc. N9B10401 .~-" -~.=-~- 160. 2 477. Form 1040 (1996) ELI & KATHRYN RHODES Form 1040 1996 32 Amount from line 31 (adjusted gross income) ... .......... ................ i-......... 33a Check~: Ii!! Vou were 65/older, 0 Blind; Ii!! Spouse was 65/older, 0 Blind. Add the number of boxes checked above and enter the total here . . . . . . . . . . . . ~ 33a 2 b If you are married filing separatelY and your spouse itemizes deductions or you ~ 33b were a dual-status alien, see instructions and check here. . . . . . . . . . . . . . . . . . . . {ItemiZed deducUons from Schedule A, line 26, OR } 34 Enter Standard deducUon shown below for your fiiing status. But see the . lhe instructions ~ you checked any box on line 33a or b or someone can clalm arger you as a dependent. ~~u,. · Single -- $4,000 . Married filing jointiy or Qualifying widow(er) -- $6,700 . . Head of hoilsehold -- $5,900 . Married filing separately -- $3,350 Subtract line 34 from line 32. . .. . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ line 32 is $88,475 or less, multiply $2,550 by the total number of exemptions clalmed on line 6d. If line 32 is over $88,475, see the worksheet in the inst for the amount to enter. . . . . . . 37 Taxable Income. Subtract line 36 from line 35. If line 38 is more than line 35, enter -0- . . . . . . . 38 Tax. See instructions. Check if total Includes any tax from a 0 Forms(s) 8814 b Form 4972. .. . . .. '" . ... . .. . . .. . . . ' . . . . . .. . . . .. . . . , . . . .. . . .. . . , . .. . ~ Credit for child & dependent care exp. Attach Form 2441 . . . .. 39 Credit for the eiderly or the disabled. Attach Scheduie R. . . . . . 40 Foreign tax credil. Attach Form 1116... . .. . ... . . . .... . . .. 41 Other. Check ~ from a 8 Form 3800 b 0 Form 8396 C 0 Form 8801 d Form 42 43 Add lines 39 through 42. ... .. ... . ... . .., . .. . . . .... . ... . . ... . .., . "" ... ... ... .. 44 Subtract line 43 from line 38. If line 43 is more than line 36, enter -0-. . . . . . . . , . . . . . . . . . . ~ 45 Self-employment tax. Attach Schedule SE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Alternative minimum tax. Attach Form 6251 ... ..... . . ... . .... .... .... .... .. . .,. . ... . 47 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 . . . 48 Tax on qualified retirement plans, including IRAs. If required. attach Form 5329 . . . . . . . . . . . . . 49 Advance earned income cred~ payments from Form(s) W-2. . . . . . . . , . . . . . . . . . . . . . . . . . . . 50 Household employment taxes. Attach Schedule H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tax Compu- tatiOn !! you want thelR,S to figure your tax, see the Instructions' for line 37. Credits Other Taxes Payments Attach Forms W-2, W-2G. and 1099~R on page 1, Refund Have it sent dlrectiy to your bank accoUnll See ins!. and fill In SOb, t, and d. AmQunt You Owe Sign Here Keep a copy 01 thi3 return for your records. Paid Preparer's Use Only d Account no. 61 Amountofline59 au want APPLIED TO 1997 EST. TAX... ~ 61 62 If line 51 Is more than line 58. subtract line 58 from line 51. This Is the AMOUNT VOU OWE. For delails on how to pay and use Form 1040-V, see Instructions . . . . . . . . . . . . . . . . . . . . . ~ 62 319 63 Estimated tax ena . Also include on line 62 . . . . . . . . . . . . .. 63 ~*?ttft*r.f1mrflUi#!ft:t~tM@~t~@ Under penalties of perjury, I declare that I have examined this return and accompahying schedules and statements, and to the best of my knowledge and belief, they are true, correct, .and complete. Declara~on of preparer (other than taxpayer) is based on ali Information of which preparer has any knowiedge. ltr. Your signature Date Vour occupation r RETIRED ~ Spouse's signature. It a joint return, ,BOTH must sign. , 35 36 39 40 41 42 Add lines 44 throu h 50. This Is our total tax. . . . . . . . , . . . . . . . . , . . . .. . . . .. . . . .. . . .. ~ Federal income tax withheld from Form(s) W-2 and 1099 . . . . . 52 1998 estimated tax payments & amt. applied from 1995 return. 53 Earned Income credit. Attach Schedule Ele if you have a qualifying child. Nontaxable earned income: amt. ... I I aod typo ~ NO 54 55 Amount pald w~h Form 4868 (request for extension) . . . . . . . . . 55 56 Excess social security and RRTA tax withheld (see inst.) . . . . . . 56 57 Other payments. Check if from aD Form 2439 bD Form4136. 57 58 Add lines 52throu h 57. These are our total a ments . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 59 If line 58 is more than line 51, subtract line 51 from line 58. This is the amount you OVERPAID. 60a Amountofline59 VOU want REFUNDED TO VOU .................................. ~ b Rou~ng no. I I C Type: 0 Checking 0 Savings 51 52 53 54 Date Spouse's occupation RETIRED Prepare~sltr. signature r Firm's name (or yoursltr. PFB ~ self-employed) r POB and address C am 176-12-' 32 .Je ~ 2 477. II illl 34 8 300. 35 -5 823. :~~~~;~:~;:~; :=;;:::;:;:::::;::;; 36 37 5 100. O. ;.;.:.>;~.};.};. :~@~M:~ 38 o. 67.IJJll ;;m::;:;:~::;: ;.:.;,.:.;.;,.;.;. :~;?:::m:::~ :~~;:::;:;g:: 43 44 45 46 47 48 49 50 67. O. 319. 51 319 ~~~;m~:t ","~~", :,::::;;:::=:;::;~ ~~;~~:~~;~~:~;~: ,.:.;.:.};.;.,;.; ;;;:=::;;;;,;:;:;~ mttH ;.;.:.;.:.;.;.:.;.;. ,Iii ;:::;:::;:;::';;:;: IiWii 58 59 60a o I U[@} Ifill Farm Mana 8736 Hill PA Prepare~s social security no 160-52-6460 EIN 23-1683448 ZIP code 17001-8736 Preparers Edllio CAA 104012 NTF 532. Caovrlaht Forms Software O~IY, 1996 Nelco, Inc. NS610402 ,.. ~- ~" - ...;''' ..:;....--c . .;'1(40) /' ........Oepartment of Treasury >......... Internal Rev. Service 199\ Name of proprietor ELI RHODES A Principal busine.ss or profession, Including product or service (see page C-1) SAFEMARK I FARM ITEMS C Busln.... name. If no separate business name, leave blank. RHODES FARM SUPPLY E Business ~ RD address. C' ,State, ZIP WILLIAMSBURG F Accounting method' (1) Cash Profit or Loss From Business OMBND.1"'-ooT' (Sole Proprietorship) 1996 ~ . Partnerships, JoInt ventures, etc., must IIle Form 1065.. .": ~ Attachment ~AlIach to Form 1040 or Form 1041. ~See InstructIons lorScheduleC1Form 10401. Seouence No. 09 Social security number (SSN) 176-12-7583 B Enter princIpal busn. code ~ I 3012 I D Employer 10 no. (EIN), If any NA 16693 G Did you "materially participate" In the operation at this business during 19967 If "No," see page C-2 for limit on losses. . . . . . . Yes R No H If "ou started or ac~uired this business durin~ 1996 check here. . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ IJPiiitltS Income 1 GroS$ receipts or sales. Caution: If this income was reported to you on Form W-2 and the "Statutory employee" box on that fonn was checked, see page C-2 and check here. . . . . . . . . . . . . . . . . . . . . ~D 1 110.438. 2 Returns and allowances. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , , , . . . . . . . . . . . . 2 3 Subtract line 2 from line 1... . ....... ... . . .., . ... .. . ... ... . ... . . ... .. . . ... . . . . . . . ,. . . . . .. . 3 110 438. 4 Cost of goods sold (from line 42 on page 2) . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 99.764. 5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 10.674. 6 Other income, inCluding Federal and state gasoline or fuel tax credit or refund (see page C-2) . . . . . . . . . . 6 , 7 Gross Income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . , . . . ~ 7 10 674. liPiillilO Exnenses. Enter ex"enses for business use 9f vour home onlv on line 30. 8 Advertising. . . . . . . . . . . . . . . . 8 250. 19 Pension & profit-sharing plans . . 9 Bad debts from sales or 20 Rent or lease (see page C-4): services (see page C-3) . . . . . 9 a Vehicles, machinery, & equip. .. 20a 10 Car and truck expenses b Other business property . . . . . . 20b (see page C-3) . . . .. .. . . .. . 10 21 Repairs and maintenance . . . . . 21 11 Commissions and fees. . . . . . . 11 22 Supplies (not included in Part III) 22 12 Depletion................ . 12 23 Taxes and licenses . . . . . . . . .. e 13 Depreciation and section 179 24 Travel, meals, & entertainment: expense deduction (not Includ- a Travel .................... 24a ed in Part III) (see page C-3). . 13 b Meals and 14 Employee benefit programs entertainment (other than on line 19) . . . . . . . 14 CEnter 50% of line 24b 15 Insurance (other than health). . 15 580. SUb~ect to 16 Interest: l@M IImi ations (see pg. C-4) a MonglOge (paid to banks. etc.). 16a d Subtract line 240 from line 24b . ~ 24d bOther................... . 16b 25 Utilities................... . 25 150. 17 Legal and professional 26 Wages (less employment credits) 26 services................ .. 17 27 Other expenses (from line 48 on 18 Office ex"ense. . . . . . . . . . . . . 18 na~e2'.................. . 27 7.440. 28 Total cJXP8nses before expenses for business use of home. Add lines 8 through 27 in columns. . . . . . . ... 28 8 420. 29 Tentative profit (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 2 254. 30 Expenses for business use of your home. Attach Form 8829 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 31 Net prollt or (loss). Subtract line 30 from line 29. . If a profit, enter on Form 1040, line 12, and A~SO on Schedule SE, line 2 (statutory emPloyees, see page C-5). Estates and trusts, enter on Fonn 1041, i1ne 3. 31 2.254. Accrual (3) Other (specify) ~ · If a loss, you MUST go on to line 32. 32 If you nave a loss, check the box that describes your investment!n this activity (see page C-5). · If you checked 320, enter the loss on Form 1040, line t2, and ALSO on Sohedule SE, line 2 (statutory employees, see plOge C-5). Estates and trusts, enter on Fonn 1041, line 3. · If vou checked 32b. you MUST attach Form 6198. For Paperwork ReducUon Act NoUce, see Form 1040 InstrucUons. CAA Cf2 NTF 5474 Copyright Forms Software Only,199B Haleo, Inc. N9SSCHC1 } } 32a 8 All investment is at risk. 32b Some investment Is not at risk. Schedule C (Form t04O) 1986 ~~.""'~w......_..... Lower 01 cost Other (ettach value closing Inventory: a 11!1 Cost bOor market C 0 explanation) Was there any change In detennlnlng quantltlas, costs, or valuations between opening and closing inventorY? II ''Yes," attach explanation. . . . . . . . . . .. . . . . . . . . . . . . , .. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . .. . . . .. . .. . " 0 Ves . [jg No 24 300. 35 Inventory at beginning 01 year. II dIIIerent from last yeats closing inventory, attach explanation. . . . . . . . 35 36 Purchases leas cost of ~ems withdrawn for personal use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 99 414. 39 Other costs. ....................................................................... 39 I t" ~'3 \;4 \il ':.::: ;:'~ ~} 37 Costollabor. Do nolincludesalary paid to yoursell. ......................................,. 37 38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . 38 ,.' 40 Add lines 35 through 39.. . . ... ... . .. .... . . .. .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 123 714. 41 Inventory ai end 01 year. . . . . . . . . .. . . . .. . . . . . . . . .. .. . . . . . " . . .. . . . . . , .. . . . . , . . . . . . . . . . 41 23 950. 42 Cost of ds sold. SUbtract line 411rom line 40. Enter the resu~ here and on a e 1 line 4 . . . . . . . . 42 Information on Your Vehicle. Complete this part ONLY ~ you are claiming car or truck expenses on line 10 and"", not required to file Form 4552 for this buslne... see the Instructions for line 13 on page C-3 to find out II you must file. 99 764. 43 When did you piaca your'vahicle in service for business purposes? (month. day. year) ~ 44 Of the total number of mUes you drove your vehicle during 1996, enter the number of miles you used your vehicle for: a Business b Commuting C Other 45 Do you (or your spouse) have another vehicle available lor personal use? . . . . . . . . . . " . . . " . . '" . .,. . " . . .. 0 Ves 0 No 46 Was your vehicle availabie lor use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 0 Ves 0 No 47a Do you have evidence to support your deduction? .. .. . .. . .. . .. . . .. . . . . .. . .. . .. . . . .. . .. .. . .. . . . . . .. .. 0 Ves 0 No b II "Yes "is the evidence written? ............................,......,..,.......................... n Ves nNo IWlil'fiViM Other ExDenses. Ust below business exoenses not included on lines 8-28 or line 30. TRUCKING 7,440. , 48 TolaI other s. Enter here and on ~'~e 1 Iine27 ..................................... 148 7 440. .~~ .~~'" ~"\"''') . eM C12 NTF 5475 Copyright Forms Software Only, 199B NelCO, Inc. N96SCHC2 ~~~ - Credit for the Elderly or the Disabled OMS No. 1545-0074 ~1996 :Attachment . Se uence No. 16 Your social security number 176-12-7583 Jartment of TreasurY Jrnal Rev. Service 99 nets) shown on Fonn 1040 ,I & KATHRYN RHODES , may be able to tal<e this credh and reduce your tax n by the end 01 1996: (au were age 65 or older, OR . You were under age 65, you retired on permanent and total disability, and you received taxable disability Income. you must also moot other tests. See the separate instructions lor Schedule R. :e: In most cases, theiRS can figure the credhlor you. See the instructions. ~ Attach to Form 1040. ~ See se arate InstrucUons for Schedule R. iidll Check the Box for Your Filing Status and Age 1 You were 65 or older. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Check only one box: our IlIIng status Is: ,Ie, ld 01 household, or ,liltying , ow(er) whh lendent child And bV the end 01 1996: 2 You were under 65 and you retired on pennanent and total disability. . . . . . . . . . . . . . . . i rled filing a I t return 3 Both spouses were 65 or older. . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . 4 Both spouses were under 65, but only one spouse retired on permanent and total disability. .. .. . .. . . .. .. .. .. .. . .. . . .. .. . .. .. .. . .. .. . . .. .. . . .. .. . . . .. . . . . 5 Both spouses were under 65. and both retired on pennanent and total disability............................................................. . \6 One spouse was 65 or older, and the other spouse was under 65 and retired on pennanent and total disability.............................................. 7 t One spouse was 65 or older, and the other spouse was under 65 and NOT retired on pennanent and total disability. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rled filing a 8 arate return 9 Old vou check Yes :tox 1,3, 7, >r 67 No You were 65 or older and you lived apart from your spouse for all of 1996. . . . . . . . . . . . You were under 65, you retired on permanent and total disability, and you lived apart from your spouse for all of 1996 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ Skip pan II and complete Part III on page 2. ~ Complete pans II and ill. 1 0 2 0 3 RiI 4 0 5 0 6 0 7 0 8 0 9 CL.- Bl Statement of Permanent and Total Disability (Complete only n you checked box 2. 4, 5, 6, or 9 above.) '1 You filed a physician's statement for this disability for 1983 or an earlier year, or you filed a statement for tax years after 1983 and your physician signed line B on the statement, AND 2 Due to your continued disabled condition, you were unable to engage in any substantial gainful activity in 1996, check this box,........................................................................................... ~ 0 you checked this box, you do not have to file another statement for 1996. "vou did not check this box. have vour phvslclan complete the statement below. I Physician's Statement (See instructions at bottom 01 page 2.) I certify that Name 01 disabled person !pennanently and ",tally dlsabied on Janua/Y 1, 1976, or Janua/Y 1, 1977, OR was pennanen~y and totally disabled on the date he or retired. II retired alter 1976, enterthe date retired. . .. .. . . . . . . . . . . . . . . . . . . . . . .. ~ ~Iclan: Sign your name on either line A or B below. , rhe disability has lasted or can be expected to last iontlnuouslylor at least a year ................... fhere Is no reasonable probability that the disabled Physician's signature Date '~ndition will ever improve. ... .. . . . . . . .. . . . . . . . . . :~cian's name Phvslcian's sic nature Physician's address Date 'Paperwork Reduction Act Notice, see Form 1040 InstrucUons. CM R12 NTF .32. :r1ght Forms Software Only, 1998 Nelco. Inc. N98SCHA1 Schedule R (Form 1040) 1996 , :, :,~: "_,,:, ';'. .::~,.~~:;,;).:v;;.l) ~ '~"';::l..,;t';~"'.VhSE ,. ',i'~< \~f;. ~.~ .... 1040)' Self-Employment Tax OMB No. 1545-0074 . " :Department of Treasury ~ See Instructions for Schedule SE (Form 1040). Internal Rev. Service 99 ~ Attach to Form 1040. Name of person with self-employment income (as shown on Form 1040) Social securtty number of person ELI RHODES wilhself-e I entincome~ 176-12-7583 Who Must File Schedule SE Vou must ffle Schedule SE n: . You had nel earnings from self-employment from o1her tIIan church employee Income (line 4 of Short Schedule SE or line 40 of Long Schedule SE) of $400 or more, OR . You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a religious order Is not church employee Income. See page SE-1. ~ote: Even n you had a loss or a small amounl of income from se~-employment, n may be to your benefrt 10 ffle Schedule SE and use etther 'op~onal nwthod" In Part II of Long Schedule SE. See page SE-3. :xcepUon. "your only se~-employment income was from eernings as a minister, member ot a religious order. or Christian Science practttioner and ",u ffled Form 4361 and received IRS approval not to be taxed on those earnings, do notffle Schedule SE. Instead, write "Exempl -- Form 4361" ! '" Form 1040, line 45. ". .' 1996 Attachment Se uenee No. 17 i \/lay I Use ShQrt Schedule SE or MUST I Use Long Schedule SE? DID VOU RECEIVE WAGES ORTIPS IN 1996? No Ves . + Are you a minister, member of a ~eligious order, or Was the tolal of your wages and ~P$ subject 10 social Christian S~ience practitioner who received IRS Ves Ves approval not to be taxed on earnings from these security or railroad retirement tax plus your net sources, :bUt you owe self-employment tax on other earnings from se~-employment more Ihan $62,7007 earnings? , No Are you using one of the optional methods to figure Ves No your nel earnings (see page SE-3)? No Did you receive tips SUbject to social security or Ves No Medicare tax that you did not report 10 your employer? Did you receive church employee income reported on IVe. Form W-2 of $108.28 or more7 I !NO VOU MAV USE SHORT SCHEDULE SE BELOW I VOU MUST USE LONG SCHEDULE SE ON PAGE 2 I 'ectlon A - Short Schedule SE. Caution: Read above 10 see n you can use Short Schedule SE. ! Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-1 (Form 1065), line 15~ ... .. . . .. . '" . . . .. . . . . , . . . .. . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3: and Schedule K-1 (Form 1065), line 15a (other than farming). Ministers and members ot religious orders see page SE-1 tor amounts 10 report on this Ifne. See page SE-2 for other income to report ...................................... 1 2 2 254. I \ Combine lines 1 and 2. . .. . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Net eamlngs from self-employment. Mulliply line 3 by 92.35% (.9235). If less than $400, do not ffle this schedule; you do notowese~-employmentlax...................................... ~ ... Self-elllployment tax. If the amount on line 4 is: . $62,700 or less, mulliply line 4 by 15.3% (.153). Enterthe resuli here and on Form t040, line 45. . More Ihan $82,700, mulliply line 4 by 2.9% (.029). Then, add $7,774.80 to Ihe resuli. Enter the total here and on Form 1040, line 45. 3 2 254. 4 2 082. } ........ 5 Deduction for one-half of self-employment tax. Multiply line 5 by 50"10 (.5). Entertheresuli here and on Form 1040 line 25 ........................ 6 or Paperwork Reduction Act NoUce, see Form 1040 Instructions. lA SE12 NTF55.. pyright Forms Software Only, 1998 Nelco, Jne. N96SCH51 160. Schedule SE (Form 1040) 1996 . ,:1 0=-' ~ e-' , - 0 0 0 c: C> -11 $: C> .-1 'Um ,-, f.flfQ mrl1 -1 2:1) 2l); w -om ~-? 0 ~6 . kG ..-1 " I=t! """ ~O 3 0- ~ ...0 -0 tf: .?-m ~ :Pc: S --<,~ 2 c- )> =< 0 ~ 1 ' l 1~5 1f1~I," ~ ..,L ~A o-J[lnrrrll~~__, ~l !iJhi."......"p_~illiil! r~~iI!~IIl!II..~~llffl PFB MEMBERS SERVICE CORP.,: IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW ELI RHODES, individually and t/d/b/a RHODES FARM SUPPLIES, NO. 00-1807 CIVIL TERM Defendant IN RE: PETITION FOR CONTEMPT SANCTIONS ORDER OF COURT AND NOW, this 9th day of November, 2000, following argument on the within petition, a rule is issued upon the defendant, Eli Rhodes, to show cause why a contempt citation should not issue in this case. This rule returnable and to be heard on Thursday, December 7, 2000, at 3:00 p.m., in Courtroom No.4, Cumberland County Courthouse, Carlisle, Pennsylvania. By the Court, David J. Lanza, Esquire For the Plaintiff ./1;1. A. Hess, J. L~ -fl1.jJ /1'/3-00 p.KS Mr. Eli Rhodes R.D. 2, Box 219C Williamsburg, PA 16693 :bg ~ ~, ~~., ~~ ,", -=' "{^f[ilfli.- ,,-- -; ." '~";J1r "~' '~~~- ,~'" , ;_" ,._C' L"" -, ",~,' dA'~ -. -",;"..,-.", ~- ., - '-=-'.. F!U~fJ-Oi:F;'CE OF ! .r: .. :-,';"}: 'H()\JOTA4'1 GO MOV f 3 Mill: 38 CUM8i:HUNO COUNTY PENNSYLVANIA .__-h' h"AA~ ..'-, .