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Home My WebLink About97-00127 \I) :> ~ .I:l--.. .... \Y') ........ - - .=> \:J ~~ c--.. ~ r{ t SEI'AHATION ANn I'HOI'ERTY SETTLEMENT AGREEMENT I , ~ , f' I THIS AGREEMENT made this 1,)1h day of (I <l ')(<)/ , 2003, by and he tween KIM f). lJ/m.ER, of 236 ('lover Ilill Road, Newhurg, Cumherland County, Pennsylvania.. parly oflhe lirst part, hereinaller referred to as "Wife," ANI) MELVIN L. BIGLER, of9S22 Molly Pitcher Highway, Shippensburg, Franklin County, Pennsylvania, party of the second part. hereinafter referred to as "llu,I'halld," WITNESSETH: WHEREAS, Husband and Wife were married on August 21, 1982, in Newburg, Cumberland County, Pennsylvania; and WHEREAS, Husband and Wife arc residents of the Commonwealth of Pennsylvania and have been so for at least the past six months; WHEREAS, ccrtain differences have arisen between the parties hereto which have made them desirous of living separate and apart from one another; and WHEREAS, Husband and Wife desire to settle and detennine certain of their marital rights and obligations, and make an equitable distribution of their marital property, detennine their rights to alimony and support and any other malleI'S which may be considered under the Divorce Code; and WHEREAS, it is the intention and purpose of this Agreement to set forth the respective rights and duties of the parties while they continue to live apart from each other and to settle all financial and property rights belween them; and WHEREAS, the parties hereto have mutually enlered into an agreemcnt for the division of their jointly owned assets, the provisions for the liabilities they owe, and provisions for the ..Page lof 17.. defense of any action for divorce; provided, however, that nothing contained in this Agreement shall prevent or preclude either of the parties hereto from commencing, instituting or prosecuting any action or actions for divorce, either absolute or otherwise, upon just, legal und proper grounds; not to prevent either purty from defending uny such uetion which has been, muy, or shall be instituted by the other purty, or from ll1uking uny just or proper defense thereto. It is wurrunted, covenunted, und represented hy Husbund und Wife, eueh to the other, thut this Agreement is lawfulund enforceable and this wurrunty, covenant, und representution is nlllde for the specific purpose of inducing Husbund und Wife to execute the Agreement. Husbund und Wife each knowingly und understundingly hereby wuive any and all possible claims that this Agreement is, for uny reuson, illegal, or for uny reuson whatsoever of public policy, unenforceuble in whole or in part. Husband and Wife do each hereby warrant, covenunt and ugree that, in uny possible event, he and she arc and shull forever be estopped from asserting any illegality or unenforeeability us to all or any part of this Agreement. 2.2 It is further specifically understood and agreed that the provision of this Agreement relating to the equituble distribution of property of the parties arc accepted by eueh party as a final settlement for all purposes whatsoever. Should either of the parties obtain a decree, judgment or order of separation or divorce in any other state, country, or jurisdiction, each oftbe parties to this Agreement hereby consents und agrees thut this Agreell1ent and all its covenants shall not be affected in any way by any such separation and divorce. ..Page 3 of t 7.. 3.2 The division of existing marital properly is not intcndcd by thc partics to constitute in any way a sale or exchange of assets and the division is heing affecled without the introduction of outside funds or other property not constituting marital property. The division of property under this Agreement shall be in full satisfaction of all rights of equitable distribution ofthc parties. 3.3 Persollal Properl,.. Within ten (10) days of execution of this Agreement by both parties, Wife shall provide to Husband any of Husband's clothing that remains in Wife's possession, the old Life magazines in Wife's possession, and two fireanns that belong to Husband. Within ten (10) days of execution of this Agreement by both parties, Husband shall provide to Wife the drop handle milk can presently in his possession. Except as hereinbefore set forth, the parties acknowledge that they have divided their personal property, tangible and intangible, to their mutual satisfaction. The parties acknowledge that they have the cash, accounts, furniture, appliances, guns, and other personal property, tangible and intangible, in their possession that they wish to have and retain from this time forward. Neither party shall make any claim whatsoever against the personal property in the other party's possession or assets in that other party's possession from the time of execution of this Agreement forward. 3.4 Life lll.mrallce. Each party maintains a Prudential Whole Life insurance policy insuring their respective lives. Each party shall maintain any and all premiums due on their respective life insurance policies in current status. Each party shall name the parties' daughter, Hope Nicole Bigler (DOB: 08/24/84) as the irrevocable bencficiary on each of the parties' Prudential ..Pagc 5 of 17.. Whole Life insurance policy. Each party has the right to request of the other that they provide confirmation that the respective Prudential Life insurance policics arc in currcnt status with respect to the premiums and that the parties' daughter remains as the irrevocahle heneficiary. In addition, the parties shall not borrow against the life insurance policies so as to in any way effect the death benefit of the policy that shall be paid to the parties' daughter at the time of either parties' death. Except as otherwise hereinbefore set forth, each party shall have the right to borrow against, cash in policies, change beneficiaries, an exercise any other incidents of ownership of the respective policies free of any right or claim by the other party with respect to any other life insurance policy owned by that party. Each party agrees to sign any documents necessary to waive, relinquish or transfer any rights to such policies owned by the other party except as hereinbefore set forth. 3.5 SlIb.H!l/lIelll/l' ACl/l/ired Prof/em'. Husband and Wife agree to waive and relinquish any and all right that he or she may now have or hereafter acquire in any real or tangible personal property subsequently acquired by the other party. Ilusband and Wife speeifieally agree to waive and relinquish any right in such property that may arise as a result of the marriage relationship. 3.6 Real E.,'lllle. The parties are joint owners of real estate located at 236 Clover Hill Road, Newburg, Cumberland County, Pennsylvania, which property is currently encumbered with a mortgage due and owing to Orrstown Dank. Husband hereby waives, relinquishes, and transfers any and all right title and interest he has in the aforementioned property. As part of the .."..gc II of 17-. implementation of the tenns of this paragraph, Ilusband shall executc a General Warranty Fcc Simple Deed conveying all of his right, title and interest in the aforementioned property, which Deed shall be held in escrow by Husband's legal counsel until delivcred as hereinafier provided. Wife is and shall remain solely and exclusively responsible for the repayment of the mortgage due and owing to Orrstown Ilank and shall indcmnify Husband and hold him harmless from and against any and all demands for paymcnt or collection activity of any nature whatsoever on account of the aforesaid mortga!;e. In addition, Wife shall file an application for refinancing on the aforementioned mortgage within fifieen (15) days of execution of the Agreement by both parties. Wife shall then refinance the mortgage so as to remove Husband as an obligor on the present mortgage within forty-five (45) days of execution of this Agreement by both parties. [n the event that Wife is unable to secure funding for refinancing of the mortgage at this time, she must reapply for a refinancing with a reputable financial institution every six (6) months from the date of this Agreement forward until such time as she has been able to secure sueh a refinancing. At the time of Wife's refinancing, Husband's legal counsel shall provide Wife's legal counsel with the signed, witnessed and notarized Deed conveying Husband's interest in the property so as to allow Wife to conclude the refinancing. At the time of refinancing, Wife's legal eounsel shall provide to Husband's legal counsel a lump sum disbursement in the amount of $10,000.00 which shall be Husband's sole elaim or interest in the aforesaid real estate. From the time of execution of this Agreement forward and from the time of receipt of the $10,000.00 disbursement as hereinbefore set forth, Husband shall not make any elaim of any nature whatsoever relative to any legal or equitable interest in the aforesaid real estate. ..Page 7 of 17-- Exccpt liS hcreinhefore set fill'th, neither party has IIny claim, rights or interest of IIny nature whatsoever, whether legal or equilahle, in uuy real estute at this time, nor did they huve such interest utthe time of the parties' separation. 3.7 Pell.\'hm, Retire",.."" Profit-SIll/rill/!. Wife waives. relinquishes or transfers any and all of her right, tille and interest she has or may have in IJushand's Prudential IRA account. Wife shall execute any and all necessary documcnts to so waive, transfer, and relinquish her interest within fifteen (15) days of being requested to do so by Husband. Wife hereby waives, relinquishes and transfers any and all right, title and interest she has in this retirement account, as well as any other accounts that Husband may have in his individual name or may have secured through his present or prior employment. Husband waives, relinquishes or transfers any and all of his right, title and interest he has or may have in Wife's retiremcnt account through her employment with Martin's Famous Pastry Shoppe, Ine., including any pension, profit sharing, 401(k), or other aceount. Husband shall execute any and all necessary documents to so waive, transfer, and relinquish his interest within fifteen (15) days of being requested to do so by Wife. Husband hereby waives, relinquishes and transfers any and all right, title and interest he has in this retirement account, as well as any other accounts that Wife may have in her individual name or may have seeured through her present or prior employment. 3.8 Vehicles. Each party shall retain sole and exelusive ownership and possession of the vehicles presently in their possession. This includes, but is not limited to the 1992 Ford pick-up truck retuined by Husband and a 2001 Pontiac Grand Prix retained by Wife. In the event it is --Page S of 17.. necessary for either party to execute any documents to transfer ownership of a vehicle in the other party's possession. they will execute such documents within lifieen (15) days of being requested to do so hy the olber party, 3.9 Itrtllll/!ih!1' 1'I'r.\"IIlIlIll'rOfl('rtl'. Ilusband shall retain sole and exclusive ownership and possession of the Orrstown Bank husiness account he has maintained for the operation of his business known as Melvin's Exxon. Wife will make no claim of any nature whatsoever against this account. Wife has and shall retain sole and exclusive ownership and possession of the Orrstown Bank checking account, the previously joint savings account and the Patriot Federal Credit Union account, both checking and savings, to Hushand's exclusion. Husband shall execute any and all documents necessary to waive, relinquish and transfer interest in the aforesaid accounts within lifieen (15) days of being requested to do so by Wife. Neither party shall make any claim of any nature whatsoever relative to the funds retained by the other party through the retention of the above referenced linaneial accounts. In addition, Wife shall make no claim of any nature whatsoever rclative to any bene lit from Mclvin's Exxon and Auto Repair. This business shall be retained solely by Husband, and Hushand shall be solcly and exclusively responsible for any and all debts, encumbrances and other liabilities of any nature whatsoever associated with the aforesaid business from the time of exeeution of this Agreement forward. Husband shall indemnify Wife and hold her hamlless from and against any and all demands for payment or collection uetivity of any nature whatsoever relative to any debts due and owing through the aforesaid business. --Page l) lIr 17-- property (including incomc and gain from property herealler accruing) of the other or against the estate of such other, of whatever nature and wheresoever situate, which he or she now has or at any time herealler may have against such other. the estate of such other, or ,my part thereof, whether arising out of any former acts, contracts, engagements, or liabilities of such other as by way of dower or curtesy, or claims in the nature of dower or curtesy or 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 conveyancc by thc othcr as testamentary, or all other rights of a surviving spouse to participate in a deceased spousc's estate, whether arising under the laws of (a) Pennsylvania, (b) any state, commonwealth or territory of the United States, or (e) any other country, or any rights which either party may havc or at any time hereafter have for past, prescnt, or future support or maintenance, alimony, alimony pendente lite, counsel fees, costs or expenses, whether arising as a result of the marital relation or otherwise, except and only except, all rights and agreements and obligations of whatsoevcr nature arising or which may arise under this Agreement or for the breach of any thereof. It is the intention of Husband and Wife to givc to each other by execution of this Agreement a full, complcte, and general relcase with respect to any and all property of any kind or nature. real or personal, not mixed, which the other now owns or may hereafter acquire, except and only except, all rights and agreements and obligations of whatsoever nature arising or whieh may arise under this Agreement or for the breach of any thereof. 6.3 BallkmTJ/cl'. The parties agree that any and all financial obligations assumed herein shall not be subjcctto discharge through bankruptcy proceedings. This includes, but is not limited to, all financial obligations assumed under Paragraph 3.6, 3.8 and 5.1 of this Agreement. In the --Page) 2 of t 7.. event either party aHempts to avoid linancial obligations described herein through bankruptcy proceedings the other party shall have an independent claim against the party claiming bankruptcy for any and all sums that the other party assumes or is required to pay due to the actions of the party claiming bankruptcy. Further, all rights available to the other party providcd for in Paragraph 6.14 hereinafter shall be available to the party not liIing bankruptcy. 6.4 Warrallties. Each party represcnts that thcy have not hcretofore incurred or contracted for any debt or liability or obligation for which the estate of the othcr party may be responsible or liable, except as may be provided for in this Agreement. Each party agrees to indemnify or hold the other party harmless from and against any and all such debts, liabilities or obligations of every kind, including those for necessities, except for the obligations arising out of this Agreement. Husband and Wife each warrant, covenant, represent and agree that each will, now and at all times hereafter, save hannless and keep the other indemnilied from all debts, charges, and liabilities incurred by the other after thc exccution datc of this Agreement, except as is othcrwise specilieally provided for by the tenns of this Agreement and that neither of them hereafter incur any liability whatsocver for which the estate of the other may be liable. 6.5 No waiver or modilieation of any of the terms of this Agreement shall be valid unless in writing and signed by both parties and no waiver of any brea(:h hereof or default hereunder shall be deemed a waiver of any subsequent default of the same or similar nature. 6.6 Husband and Wife covenant and agree that they will forthwith execute any and all wriHen instruments, assignments, rcleases, satisfactions, deeds, notes or such other writings as --Page) 3 of ) 7.. may be necessary or desirable for the proper implementation of this Agreement, and as their respective counsel shall mutually agree should be so executed in order to carry fully and effectively the terms of this Agreement. 6.7 This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania which are in effect as of the date of the exeeution of this Agreement. 6.8 This Agreement shall be binding and shall inure to the benefit of the parties hereto and their respective heirs, executors, administrators, successors and assigns. 6.9 This Agreement constitutes the cntire understanding of the parties and supersedes any and all prior agreements and negotiations between them. There are no representations or warranties other than those expressly set forth herein. 6.10 SeverahilitJ.. If any term, condition, clause, section, or provision of this Agreement shall be determined or declared to be void or invalid in law or otherwise, then only that term, condition, clause or provision shall be stricken from this Agreement, and in all other respects, this Agreement shall be valid and continue in full force, effect, and operation. Likewise, the failure of any party to meet his or her obligation under anyone or more of the articles and sections herein shall in no way void or alter the remaining obligations of the parties. 6.11 It is speeifically understood and rgreed that this Agreement constitutes the equitable distribution of property, both real and personal. which was legally and beneficially acquired by ..Page 14"fI7-. Husband and Wife, or either of them, during the marriage as contemplated by the Divorce Code of Ihe Cuml1lunweallh of Pennsylvania, 6./2 Di.l'clo.mre. The parties each warrant and represent to the olher that he or she has made a full and complete disclosure to the olhcr of all assets of any nature whatsoever in which party has an interest, of the sources, and amount of the income of such party of every type whatsoever, and all other facts relating to the subject matter of this Agreement. 6.13 EII(orceabilit\, alld COII,.I'iderat;oll. This Agreement shall survive any aetion for divoree and deeree of divorce and shall forever be binding and eonclusive on the parties; and any independent aetion may be brought, either at law or in equity, to enforee the tel111s of the Agreement by either Husband or Wife until it shall have been fully satisfied and perfol111ed. The eonsideration for this contract and agreement is the mutual benefits to be obtained by both of the parties hereto and the covenants and agreements of each of the parties to the other. The adequaey of the consideration for all agreements herein contained is stipulated, confessed, and admitted by the parties, and the parties intend to be legally bound hereby. In the event either party breaches the aforesaid Agreement and it is determined through appropriate legal action that the alleged party has so breached the Agreement, the breaching party shall be responsible for any and all allomey's fces as well as costs and expenses assoeiated with litigation incurred by the non-breaching party to enforce this Agreement against the breaching party. In the event of breach, the non-breaching party shall have the right, at his or her election, to sue for damages for such breach or to seek such other and additional remedies as may be available to him or her including equitable enforcement of this Agreement. ..Page 15 of 17-. ~ ~ IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above wriUen. WITNESSED BY: \-\\- 0'3 Dale ~~~~ KI D. BIGLER ~ ..Page 160f 17.. COMMONWEALTII OF PENNSYLVANIA COUNTYOF (till, II" il,. II ill On this -I-L- day of ,k il,) officer, personally appeared KIM D. BIGLER, known 10 me (or satisfactory proven) to be the , 2003, before me, the undersigned person whose name is subscribed to the within Agreement and acknowledged that she executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. / ;<,;.' (/1 . ~"-- 1"- 'I. -' ( \ . Ilil )(1 Notary Public' --- +-_. . ..-.-.- ., :, ,f..:: ~_~I', KfH.ISil ~ i..U:lfT'a,~_ ~ )Of.lf. l ',J!,"l: Carllslo ,OOf(), CumlJr.rla;~r~ '>JWll, My Commlsc;'on :-:':[.'1_'" " .r. r,t; 'Jf\n'; 0" _._, ..., LV,I. I .-..------- COMMONWEALTH OF PENNSYLVANIA COUNTY OF Frll') 1 /;..L On this I;)~! day of t2UJttAI , 2003, before me, the undersigned officer, personally appeared MELVIN L. BIGLER, known to me (or satisfactory proven) to be the person whose name is subscribed to the within Agreement and acknowledged that he executed the same for the purpose therein contained. IN WITNESS WHEREOF, I hereunto set my hand und officiul seal. LJ... ..Page 17 of 17.. N(ltanal Seal Stacey A. Shank, Notary _lluh.lic C'h:uTlhcT\hur.: Born, Franklin Count) My ('Ulnmi"inn E\ruc~ Jan 12. 21M.... MembOr. ponnsyN8mll AMQaahonol NolanaS >- O. r'; -. j: , lJ.' r.:~ " '.' ': , I l,,'}r , " (\ . " " : f. , I C' ,. l. , <,. l'. pOl .. j c., '-J '..j PlaintifT IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA i , KIM D. BIGLER. r. v. CIVIL ACTION - LAW MELVIN L. BIGLER, Defendant NO. 97-127 IN DIVORCE CIVIL TERM PRAECIPE TO TRANSMIT RECORD TO THE PROTHONOTARY: Transmit the record, togethcr with the following information to the court for entry of a divorce decree: I. Ground for divorce: Irretrievable breakdown under ~3301(c) ~he Divorce Code. (Strike out inapplicable section). 2. Date and manner of service of the Complaint: by certified mail, restricted delivery on January IS, 1997, and an Amended Complaint was served by Acccptance of Service on August 7, 1997. 3. Complete either paragraph (a) or (b), (a) Date of execution of the Affidavit of Consent required by ~3301 (c) of the Divorce Code: by Plaintiff: Septembcr 19,2003 by Defcndant: August 14,2003 (b) (I) Date of execution of the affidavit required by ~3301 (d) of the Divorce Code: (2) Date of filing and service of the plaintifl's affidavit upon the respondent: 4. Related claims pending: none 5. Complete either (a) or (b). (a) Date and manner of service of the notice of intention to tile Praecipe to Transmit record, a copy of which is attached: (b) Date of plaintifl's Waiver of Notice 111 ~330 I (c) Divorce was filed with the Prothonotary: September 24, 2003 Date defendant's Waiver of Notice in ~3301 (c) Divorce was filed with the Prothonotary: August IS, 2003 , Gnme, Esquire GRIFFIE & ASSOCIATES AUOI'II(I'j;JI' I'll/iII/ill' J . , ~ 0' >- c-; .:l , , - , .~ LII r .. , . -, , .- -" ( .. :~7! ,. . '.0 ' " ('0 .' 11. '. ; ll~1 .'. 11. ~ I~- . UO L' (') :j 0 CJ V ~ ~-",- r; ~3;~ ,I..,):'i'" .~ l'~l;'^,J . ~~ ~?i h--!t!1: iJ1lD i.~'tu.. ~j U ;jj -J~~ ~a Q:;.e a ~ 0 ~ ~~0j ~ '0}. ~ ~ ...... t.? ...... ~ ::::,.. '.-- .... 1.1" ,-~ 1:9 '_ I !,_? ~-: '_ _f::;:; . Q..,. . '.(..J .t"!' ~~- r:.-, -'1,.11 '-, M't'- . .'(tl.<f ~- " 'rI~ -" -) j ~ t;; .. "" U'i WI .~ '"l;). ~~ .~;:j tl~. .... .jJ III 11<::>0 ' .... d III ~ . ...:1: ..... III i ~ - 1l:i4 ... 'tl t; 2" ilL d d _ It eM ~~ ..... (I) U j 1.0 0 III .... o'r ollll ON 'M ,(I) Ill" ~ ,011<. 11< 150 Q III < < Ill". I!l <<( E~": III ;; 'Ii ~ , , ...:l j:!2", 0>- CJ t? :t ~ - . II 'E.;'~ . . H dl ~ ~. ~q 13 III III ~~. . > !!! ~ 0 ~ o " H . II. < z ;~ 8 '.' III ...:l !:: 8. - :z: u l~,'" . Z II: ... .Q H C) > lQ' l!: ...:l .' lIl; " . H !EJ Il:t)" O. t.: ",'-.L .. . , -P," j , . 'c . . . . , . KIM D BIGl.ER. IN TIfE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA Plainti!l' V5. CIVIL ACTION - LAW NO. 9'1-;;;" 7 C:t,/( '---ri'~"l MELVIN L. BIGLER, Defendant NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court If you wish 10 defend against the claims set forth in the following pages, you must take prompt aClion. You arc warned that if you fail to do so, the case will proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plainti!l' You may lose money or property or other rights importallllo you. including cuslody or visilation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling A list of marriage counselors is available in the Otlice of the Prothonotary at Cumberland Coullly Courthouse, Carlisle, Cumberland County, Pennsylvania. 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF MARITAL PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED. YOU MAY LOSE THE RIGIfT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE OFFICE SET FORTI! BELOW TO FIND OUT WHERE YOU CAN GET l.EGAL IIELI'. Cumberland ('oullly ('oun Adminislralor Fourth Floor Cumberland County Courthouse Carlisle. Pennsylvania 17013 (717) 240-6200 Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ~ ~ KIM D BIGLER, :. vs. CIVIL ACTION - LAW MELVIN L. BIGLER, Defendant No.9^! - I,) 7 (J,u; l .......7E./2_YJ COMPLAINT IN DIVORCE COUNT I - NO FAULT 1. Plaintiff is Kim D. Bigler an adult individual currently residing at 236 Clover Hill Road, Newburg, Cumberland County, Pennsylvania, Ms. Bigler has resided at this address since approximately 1986 2. Defendant is Melvin L. Bigler an adult individual currently residing at 9822 Molly Pitcher Highway, Shippensburg, Franklin County, Pennsylvania Mr. Bigler has resided at this address since approximately August 1996, 3. Plaintiff is a bona fide resident of the Commonwealth of Pennsylvania and has been so for at least six months immediately prcvious to the liIing of this Complaint. 4, PlaintifT and Defendant werc married on August 21. 1982. in Newburg. Cumberland County, Pennsylvania. 5, There have been no prior actions for divorce or for annulment between the parties. 6. The Defendant is a member of the Armcd Forccs of the United States of Amcrica or its Allies. 7. Plaintiff has been advised of the availability of counseling and the right to request that the court require the parties to participate in counseling. Knowing this, Plaintiff does not desire that the Court require the parties to participate in counseling. 8. Plaintiff and Defendant are citizens of the United States of America. 9. The parties' marriage is irretrievably broken, 10, Plaintiff desires a divorce and it is believed that Defendant will after ninety (90) days from the date of the filing of this Complaint consent to this divorce. WHEREFORE, Plaintill' requests your Honorable Court to enter a Decree in Divorce under Section 3301 (c.)ofthe Domestic Relations Code. COUNT II 11, Paragraphs 1 through 10 are incorporated herein by reference as if set forth in their full text. 12. Plaintilf and Defendant purchased real estate during their marriage located at 236 Clover Hill Road, Newburg, Cumberland County, Pennsylvania. 13, Plaintiff and Defendant are joint owners of various items of personal property, furniture, and household furnishings acquired during their marriage which are subject to equitable distribution 14. Plaintilf and Defendant have incurred debts and obligations during their marriage which are subject to equitable distribution. ~ J Plaintiff : IN TIlE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA .' KIM D. BIGLER, v. : CIVIL ACTION - LAW MELVIN L. BIGLER, Defendant : NO. 97-127 CIVIL TERM : IN DIVORCE AFFIDAVIT OF CONSENT I. A Complaint in Divorce under *3301 (c) of the Divorce Code was filed on , I, I ! -.t January 9, 1997, and served on January IS, 1997 and an Amended Complaint in Divorce was filed on July 31,1997, and served on August 7,1997. 2. Th~ marriage of Plaintiff and Defendant is irretrievably brokcn and ninety (90) days have elapsed from the date of filing and service of the Complaint. 3. 1 consent to the entry of a final Decree of Divorce a/ler service of noticc of intention to request entry of the decree. I VERIFY THAT THE STATEMENTS MADE IN THE FOREGOING AFFIDAVIT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 Pa.C.S. *4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORITIES. DATE: '<1/110) >- <'. p~ :r. r:- , I ~ ( u: , I. .. t l' " . l C'.' I:' ( '-- r- C.. KIM [) BIGLER, i , Plainlill' IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYL VANIA vs. CIVIL ACTION - LAW MELVIN L BIGLER, Defendant 97-127 CIVIL TERM AMENDED COMPLAINT IN DIVORCE I. A Complaint in Divorce was tiled in this matter on January 9, 1997, A copy of said Complaint being attached hereto and incorporated herein by referenced as Exhibit itA". 2. Paragraph Number 6 indicated that the Defendant was a member of the Armed f t ~. I. Services when in litcl the [)elcndam was nul and is not a member of the Armed Forces of the United States or its allies. 3 All other paragraphs of the Complaint were correct and are incorporated herein by reference as if sel forth in their full text. 4. The within Amended Complaint is filed with the consent of opposing counsel, Lynn Y. MacBride, Esquire. WI/ERFORE. Plaintill'reiterates her requestlhat the Court: a) Enter an Order divorcing the parties from the bonds of matrimony; and b) Enter an Order to equitably divide their marital property and equitably apportion their debts RespeclllJlly submitted, ~IE & ASSOCIATES . /". / .' ~. I rillie. Esquire (,,@ N th I (anover Street , Carlisle. P A 17013 (717) 243-5551 J .~ VERIFICATION I verify that the statl'llll'llts IIIllll!' in thl' fill'egoing doculIIl'nt arl' true and correct. I ullllerstmlll that falsI' statl'lIIl'nts hl'r!'in IIIlllll' m'l' suhjl'ct to the penaltil's of 18 l'a.C.S. Sectioll .WO,I relating to unswol'll falsification to authorities, DATE: '\ \'; \ \ ( r, ~~--~~~~~~~ KIM D. B1GUm KIM D, BIGLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYL V ANlA vs. CIVIL ACTION - LAW " ~IELVIN L. BIGLER, NO. Defendant COMPLAINT IN DIVORCE COUNT I - NO FAULT I. Plaintiff is Kim D. Bigler an adult individual currently residing at 236 Clover Hill Road, Newburg, Cumberland County, Pennsylvania. Ms, Bigler has resided at this address since approximately 1986. 2. Defendant is Melvin L. Bigler an adult individual currently residing at 9822 Molly Pitcher Highway, Shippensburg, Franklin County, Pennsylvania. Mr. Bigler has I '[ resided at this address since approximately August 1996, 3. Plaintiff is a bona fide resident of the Commonwealth of Pennsylvania and has been so for at least six months immediately previous to the tiling of this Complaint. 4, Plaintiff and Defendant were married on August 21. 1982, in Newburg, Cumberland County, Pennsylvania. 5, There have been no prior actions for divorce or for annulment between the panies, 6, The Defendant is a member of the Armed Forces of the United States of America or its Allies, i f 7. Plaintiff has been advised of the availability of counseling and the right to r , request that the coun require the panies to panicipate in counseling. Knowing this, Plaintiff does not desire that the Court require the panies to panicipate in counseling. 8, Plaintiff and Defendant are citizens of the United States of America. 9, The panies' marriage is irretrievably broken. 10. Plaintiff desires a divorce and it is believed that Defendant will after ninety (90) days from the date of the filing of this Complaint consent to this divorce. WHEREFORE, Plaintiff requests your Honorable Court to enter a Decree in f ~. I Divorce under Section 3301 (c.)ofthe Domestic Relations Code, COUNT II II. Paragraphs 1 through 10 are incorporated herein by reference as if set forth in their full text. 12. Plaintiff and Defendant purchased real estate during their marriage located at 236 Clover Hill Road. Newburg. Cumberland County, Pennsylvania. 13. Plaintiffand Defendant are joint owners of various items of personal property, furniture, and household furnishings acquired during their marriage which are subject to equitable distribution. 14. Plaintiff and Defendant have incurred debts and obligations during their marriage which are subject to equitable distribution, t WHEREFORE, Plaintiff requests your Honorable Court to equitably divide their marital property and equitably apportion their debts. Respectfully submitted, GRIFFIE & ASSOCIATES . e, Esquire orth Hanover S!reet Carlisle, PA 17013 (717) 243-5551 ,;-' VERIFICATION I verify that the statements made in the foregoing document are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsification to authorities. t , , DATE:_I-d,-,\" ~~,~'J I{llI;I D. BIGLER Hi, : :j :Y~8bh Plaintiff IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA KIM D, BIGLER, vs. : CIVIL ACTION. LAW MELVIN L. BIGLER, : 97- 127 Defendant : IN CUSTODY ORDER OF COURT AND NOW, this l"7 day of ~ .1998 upon presentation and consideration of the within Stipulation and Agreement it is hereby made pn Order of Court and ail prior Orders of Court are hereby vacated, BY THE COURT, // ,/ / 1. / Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION. LAW KIM D. BIGLER, vs. MELVIN L. BIGLER, Defendant : 98- : IN CUSTODY CUSTODY STIPULATION AND AGREEMENT TIllS AGREEMENT AND STIPULATION entered into the day and year hereinafter set forth, by and between KIM D. BIGLER, (hereinafter referred to as "Mother"), and MELVIN L. BIGLER, (hereinafter referred to as "Father"). WHEREAS, the parties are the natural parents of the minor child, HOPE NICOLE BIGLER, born August 24, 1984 (hereinafter the "child"); and WHEREAS, the parties wish to enter into the within Stipulation and Agreement. NOW, THEREFORE, in consideration of the mutual covenants, promises and agreements as hereinafter set forth, the parties agree as follows: I. The parties shall have shared legal custody of the child. 2. Mother shall have primary physical custody of the child. 3. Father shall have periods of temporary or partial physical custody of the child on the following schedule: a) Every other weekend from Friday evening after school until Sunday evening at 8:00 p.m. when Father shall return the child to Mother's physical custody; and b) At other times as the parties may mutually agree. 4. During the summer vacation period, Father shall be entitled to two one-week periods of vacation with the child. Father must give Mother written notice by May I S of each year as to the two weeks he has designated as his periods of vacation with the child. 5. The child shall always be with Father during Father's Day and with Mother during Mother's Day. If those days are not days that the child will otherwise be in that parent's physical custody, the child shall be with that parent from 9:00 a.m. until 8:00 p.m. on that day. 6. During the Thanksgiving and Christmas holidays, the child shall always be with the Father from 2:00 p.m. on Thanksgiving Day and on Christmas Day until 8:00 p.m. on each respective day. The child shall always be with Mother on Thanksgiving from the evening before Thanksgiving until 2:00 p.m. on Thanksgiving Day. The child shall always be with Mother from Christmas Eve through Christmas Day at 2:00 p.m. 7. For the "minor" holidays the parties shall share physical custody of the child either by dividing each day or alternating the day as the parties may agree. These holidays include: New Year's Day, Easter Sunday, Memorial Day, the 4th of July, and Labor Day. 8. The parties will keep each other advised immediately in the event of serious illness or medical emergency concerning the child and shall further take any necessary steps to ensure that the health and well being of the child is protected. During such illness or medical emergency, both parties shall have the right to visit the child as often as he or she desires consistent with the proper medical care of the child. 9. Neither parent shall do anything which may estrange the child from the other party, or injure the opinion of the child as to the other party, or which may hamper the free and natural development of the child's love or affection for the other party. 10. Any modification or waiver of any of the provisions of this Agreement shall be effective only if made in writing and only if executed with the same formality as this Stipulation and Agreement. II. The parties desire that this Stipulation and Agreement be made an Order of Court by the Court of Common Pleas of Cumberland County, and further acknowledge that the Court of Common Pleas of Cumberland County has jurisdiction over the issue of custody of the parties' minor child, who has resided in Cumberland County since birth and shall retain such jurisdiction should circumstances change and either party desires or requires modification of said Order. 12. The parties agree that in making this Agreement, there has been no fraud, concealment, overreaching, coercion, or other unfair dealing on the part of the other. 13. The parties acknowledge that they have read and understand the provisions of this Agreement. Each party acknowledges that the Agreement is fair and equitable and that it is not the result of any duress or undue influence. IN WITNESS WHEREOF, the parties hereto intending to be legally bound by the terms hereof, set forth their hands and seals the day and year herein mentioned. WITNESSES: t!'-f JtJ4'ti/ al\q, / DATE Lt"v. \j\'\'(\'~""C( ';:l.,-\.\.l.i&- DATE ~~~ &. ~~~~0 D. BIGLER ~ ;<;.tL ME VIN L. BIGLE KIM D. DlGLER, Plaintifr IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW MELVIN L. BIGLER, Defendant No. 97-127 CIVIL TERM IN DIVORCE TO: MELVIN L. BIGLER, Defendant LYNN Y. MACBRIDE, Esquire PLAINTIFF'S INTEIUWGATORIES TO DEFENDANT. FIRST SET PLEASE TAKE NOTICE that you are required by Pennsylvania Rules of Civil Procedure to file your Answers in writing and under oath to aU ached Interrogatories within thirty (30) days from the date of service thereof and also required thereby to serve a copy thereof upon the undersigned representing the Plaintiff in this action. You are further notified that if you later receive oflearn of any information nor supplied in your Answers to these Interrogatories, you are required by the Rules of Civil Procedure to supply the undersigned with such information in the form of supplemental Answers to these Interrogatories GRIFFIE & ASSOCIATES DATE S'/;>.::L/ 9 !r , , . Ie, E ulre or Plaintiff 14 North Main Street, Suite 550 Chambersburg, P A 1720 I (717) 267-1350 (800) 347-5552 200 North Hanover Street Carlisle, PA 17013 (717) 243-5551 K. The term "participant" and all of its grammatical derivatives (i.e. participate, participates, participating. participated etc.) when used with respect to a person's participation in benefit plans, means a person who is involved in, covered by, a beneficiary of, protected by, contributing to. receiving money from, accepting coverage by or in any way becoming or being associated with any benefit plan. L. The term "vested", when used with respect to a person's relationship to a benefit plan, describes a condition in which a participant in a benefit plan has any measure of autonomy or control over the funds contained within a benefit plan, or a condition in which a percentage of a participant's benefit becomes non-forfeitable. The term "unvested" when used with respect to a person's relationship to a benefit plan, describes a condition in which a participant in a benefit plan has no autonomy or control over the funds contained within a benefit plan or a condition in which a participant's benefit is forfeitable. RULES OF CONSTRUCTION In construing these Interrogatories and Requests For Production of Documents: A. The singular shall include the plural and the plural shall include the singular. B. A masculine, feminine or neuter pronoun shall not exclude the other genders. C. All verbs are intended to include all tenses. D. "Any" as well as "all" shall be construed to mean "each and every". E. "And" as well as "or" shall be construed disjunctively as well as conjunctively, as necessary, in order to bring within the scope of these requests all information that might otherwise be construed to be outside their scope. F. Unless otherwise specified in the Interrogatory or Request for Production, each Interrogatory and Request shall extend to all information and documents which have been, will be or are presently available to, in the possession of, or subject to the control ofMr. Bigler. INSTRUCTIONS FOR INTERROGATORIES A. Each Interrogatory is to be answered in writing and IJnder oath within thirty (30) days after service of the Interrogatories. B. In answering these Interrogatories, you shall furnish all information in your possession and in the possession of your representative, agents, attorneys or employers. 5 C. Each Interrogatory shall be answered separately and as completely as possible. The fact that investigation is continuing or that discovery is not complete is not an excuse for failure to answer each Interrogatory as fully as possible. If you are unable to answer an Interrogatory after you have attempted to obtain the informatoin. answer to the extent possible. State what information you have concerning the unanswered Portion, specifY why you are unable to answer the remainder, and specifY how you attempted to obtain the unknown information. D. If any form of privilege or other protection from disclosure is claimed as a ground for withholding responsive information contained in a document, set forth with respect to the document, the date, title, identity of the author, subject matter (without revealing the information for which privilege is claimed), and all facts or bases on which you claim the privilege. The claim should contain such specificity as to permit the court to make a full dp.termination of its validity. E. For each Interrogatory: I. IdentifY the person who has answered the Interrogatory. 2. IdentifY each document relied on, or which forms a basis for the answer, or which corroborates the answer given. Cite the specific pages of each document on which you rely. 3. IdentifY each person who assisted or participated in preparing and/or supplying any of the information given in answer to, or relied upon in preparing answers to, the Interrogatory. 6 , , 2. List all banks, savings and loan institutions, trust companies, and other financial institutions in which you, jointly with others or individually, have had accounts between January 1, 1996 and the date of answering these Interrogatories, and for each institution listed, state the account number and type of such account, the address of the financial institution in which such account is located, and the name and address of any other person who has authority to draw funds from any such accounts, and the name( s) in which each account is held, and state forth the balance in the account on August 31, 1996 and at the date of answering these Interrogatories. ANSWER Orrstown Bank, King Street, Shippensburg, Pennsylvania (A.) account number 774022 Business savings account King Street, .Shippensburg, Pennsylvania Kim D. Bigler Melvin L. Bigler and Kim D. Bigler $10,724.07 $2,118.47 (B.) account number ll3484-Business checking account King Street, Shippensburg, Pennsylvania None Melvin L. Bigler $13,768.04 $6,373.97 (C.) account number 66l5l1-joint savings account King Street, Shippensburg, Pennsylvania Kim D. Bigler Melvin L. Bigler and Kim D. Bigler $66.63 $6.14 (D.) account number unknown-joint checking account King Street, Shippensburg, Pennsylvania Kim D. Bigler Kim D. Bigler and Melvin L. Bigler unknown unknown (account closed by Kim D. Bigler) 8 ~ l , 6. List any and all real property in which you have any interest, whether legal. equitable, or beneficial, including, but not limited to, fee simple ownership, equitable and future interest. life estates, lease holds, powers of appointment and real estate contracts, giVtng as to each such parcel or property the precise location, the date acquired, whether or not such property is mortgaged and, if so, the name and address of such mortgage holder. the balance on each and every mortgage against the real estate on August 3 I, 1996 and at present, and the balance on any lien or mortgage against the real estate as of the date of answering these interrogatories, the name and address of any other person or entity having an interest in such property. and the nature and extent of such interest. " ANSWER A. 236 Clover Hill Road, Newburg, Pennsylvania 17240 1984 yes, Orrstown Bank, King Street, Shippensburg, Pennsylvania $48,973.36 $46,061.33 Orrstown Bank loan $13,385.00 Kim D. Bigler, 236 Clover Hill Road, Newburg, Pennsylvania 17240 $6,110.20 Tenants by the entireties B. 9822 Molly Pitcher Highway, Shippensburg, Pennsylvania 17257 Lease entered September 1992 unknown George Mohn, 9824 Molly Pitcher Highway, Shippensburg, Pennsylvania owner 12 7. List &II personal property in which you have an interest, whether legal, equitable, or beneficial, specifically including tools, equipment and vehicles, and as to each item of property, give the precise description and location, the approximate value of the property, and whether the property is subject to any form of security interest, lien, or encumbrance. If so, state the name and address of such holder of a security interest, lien, or encumbrance, the nature of the instrument evidencing same, and the amount of the instrument. ANSWER A. Household furnishing (three bedrooms, living room, kitchen and family room) 236 Clover Hill Road, Newburg, Pennsylvania $6,000.00 est. No Household appliances 236 Clover Hill Road, Newburg, Pennsylvania $2,000.00 est. No John Deere 318 riding mower 235 Clover Hill Road, Newburg, Pennsylvania $1,500.00 est. No Big screen TV 236 Clover Hill Road, Newburg, Pennsylvania $1,500.00 est. No Satellite dish 236 Clover Hill Road, Newburg, Pennsylvania $1,000.00 est. No B. Coach tire changer 9822 Molly Pitcher Highway, Shippensburg, Pennsylvania $1,800.00 No MAC spin tire balancer 9822 Molly Pitcher Highway, Shippensburg, Pennsylvania $2,200.00 No Ex-Cell engine hoist 9822 Molly Pitcher Highway, Shippensburg, Pennsylvania $100.00 No Viking Press 9822 Molly Pticher Highway, Shippensburg, Pennsylvania $75.00 No 13 11. With respect to the business known as Melvin's Exxon Auto Repairs, Inc., identifY each and every person with whom the business has been a written contract or document (see definition section) with respect to the operation of any facet of the aforesaid business, including but not limited to contract or agreements with Exxon, Inc., U-Haul, Inc., or other third parties from the time ofincorporation to present. ANSWER George Mohn - lease agreement 17 12. Identity each and every person who has been a party to any document (see definition section) associated with the operation of the business known as Melvin's Exxon Auto Repairs, Inc., including, but not limited to, contracts or agreements with Exxon, Inc., U- Haul, Inc., or other third parties since January I, 1995. A.NSWER Melvin L. Bigler and George Mohn - lease agreement I ., 18 14. Identify and provide a copy of any and all bank account statements for bank accounts held by you or Melvin's Exxon Auto Repairs, Inc., from January 1,1996 to present. ANSWER A. account number 774022, Orrstown Bank, business savings account account joint with Wife - statements January I, 1996 to present may be obtained by Wife from bank B. account number 113484- business checking account, Orrstown Bank 1996 and 1997 statements attached 1998 statements being obtained-will provide under separate cover C. account number 661511-joint savings account account controlled by and closed by Kim O. Bigler O. account number unknown-joint checking account account controlled by and closed by Kim O. Bigler 20 (.Jr~ ORRS~r6wN 13ANI< 0030 0003 248/ N I r x \ , i' 3 STATEHENT or ACCOUNTS 000-113484 STATEHENT PERIOD rROH THROUGH 12-01-97 12-31-97 PME 2 or 5 II P 11 S I II IV N ,. INN S \ I \' ,\ N I ^ ", I , HELVINS EXXON AUTO REPAIRS INC HELVIN L BIGLER 9822 HOLLY PITCHER HWY SIIIPPEIISOURG PA 17257-8943 76 ENCLOSURES 1 . DUSINI!SS REGULAR CIlI!:CKINU ACCOUIlT ACCOUNT, 000-113404 DESCRI PTIOrl DEPOSITSI CHECKSI DIITE ACTIVITY REf'EREIlCE CREDITS DEBITS BALANCE 12-10 CHECK 3429 00200000861 162.10 12-10 CHECK 3431 00200002104 1,492.75 12-10 CHECK 3434 00200003644 166.08 12,225.47 12-11 G.B. CREDIT 167.61 SALESPAYHT 971210 7524789943 12-11 CHECP; 3437 00200000196 10,381. 55 12-11 CHECP; 3438 00200002201 23.35 12-11 CHECP; 3443 00200002910 75.00 1,913.18 12-12 DEPOSIT 00300006520 323.73 '. 12-12 DEPOSIT 00300008845 329.71 12-12 DEPOSIT 00300006512 1,270.31 12-12 DEPOSIT 00300006503 1,854.17 12-12 G.B. CREDIT 48.00 SIILI!SPAYHT 971211 7524789943 12-12 CHECP; 3432 00200003982 200.0U 12-12 CHECP; 3445 00300006502 600.47 12-12 CHECP; 3458 00300008855 376.09 12-12 CHECK 3459 00300008841 353.26 4,201.28 12-15 G.B. CREDIT 77 .84 SALESPIIYHT 971213 7524789943 12-15 a.B. CREDIT 158.50 SALESPIIYHT 971212 7524789943 12-15 CIIECK 3439 00200001546 355.37 12-15 CHECr. 3440 00200001595 35.00 12-15 CIIECK 3441 00200001278 61.00 12-15 CIIECK 3442 00100001315 40.83 12-15 CHECK 3447 00200005319 297.00 12-15 CIIECK 3448 00300006170 145.65 3,502.77 12-16 G.E, CREDIT 45.50 SALESPIIYHT 971215 7524789943 12-16 CIIECK 3444 00200005581 67.90 12-16 CHECK 3446 00200002926 24.00 12-16 CHECK 3450 00300006009 181. 71 12-16 CIIECK 3454 00300001068 276.99 12-16 CIIECK 3455 00200003784 80.72 12-16 CIIECK 3456 00300000059 82.42 12-16 CHECK 3457 00200002565 92.66 2,741.87 12-17 a.E. CREDIT 253.50 SIILESPAYHT 971216 7524789943 2,995.37 . , ~ I' . dh:M' . ORR5rDWN BANK 0030 0003 248B N f) R R S r f I \V N I' I ;.,1 N c.; , I v " N I A I J .' -I I BTATEHENT OF ACCOUNTS 000-113484 STATE HE NT PERIOD FROM THROUGII 12-01-97 12-31-97 3 PAGE 3 OF 5 x HELVINS EXXON AUTO REPAIRS INC HELVIN L BIGLER 9822 HOLLY PITCIIER IIWY SIIIPPENSBURG PA 17257-B943 76 ENCLOSURES 1 BUSINESS REoULAR CIIEC~INo ACCOUNT ACCOUNT. 000-113484 REFERENCE DEPOSITS/ CIIECKS/ OATS ACTIVITY DESCRIPTION CREDITS DEBITS BALANCE 12-19 DEPOSIT 00300003858 409.32 12-19 DEPOSIT 00300003848 470.07 12-19 DEPOSIT 00300003834 894.04 12-19 DI!:POSIT 00300003836 955.41 12-19 o.E. CRI!:DIT 30.50 SALESPAYHT 971217 7524789943 5,753.71 12-19 DI!:POSIT 00300007390 413.50 12-19 o.E. CREDIT 312.29 SALESPAYHT 971219 7524789943 12-19 CHI!:C~ 3449 00100000522 205.00 12-19 CHEC~ 3451 00200000489 190.00 12-19 CIII!:C~ 3452 00200000490 20.86 12-19 CHI!:C~ 3466 00300007326 353.26 5,720.38 12-22 DI!:POSIT 00300002196 3,232.74 12-22 o.E. CREDIT 9B.00 BALESPAYHT 971220 7524789943 12-22 G.E. CREDIT 509.19 SALESPAYHT 971219 7524789943 12-22 CHI!:C~ 3460 00300004863 600.00 12-22 CIII!:C~ 3462 00200005022 104.00 12-22 CIII!:C~ 3463 00200003677 68.20 8,788.11 12-23 o.E. CRI!:DIT 62.26 SALESrAYHT 971222 7524789943 12-23 DEP CHEC~ RET FEE 90010600008 5.00 12-23 DEP RET 90010600007 25.00 12-23 CIII!:C~ 3467 00200000915 528.47 12-23 CIIEC~ 3470 00300002724 141.06 8,150.84 12-24 DEPOSIT 00300005729 491.35 12-24 o.E. CREDIT 101. 94 SALESPAYHT 971223 7524789943 12-24 CIIEC~ 3461 00200001143 1,746.22 12-24 CIIEC~ 3464 00200002748 133.85 12-24 CHEC~ 3468 00100001500 420.00 6,444.06 12-26 o.E. CREDIT 177.26 8ALESPAYHT 97i224 7524789943 12-26 CIIEC~ 3465 00300000434 142.57 6,478.75 12-29 DEPOSIT U0300005264 336.30 12-29 DEPOSIT 00300001711 1,280.32 i " ORRSTtW'N BANK 0030 0003 2489 N II R R SIll W N. I' INN ~ \ I. V ^ N 1,\ I 7 !t I STATE HE NT or ACCOUNTS 000-113484 STATEHENT PERIOD rROH THROUGH 12-01-97 12-31-97 3 PAGE 4 or 5 x HELVINS EXXOll AUTO REPAIRS INC HELVIN L DIOLER 9822 HOLLY PITCHER IIHY SIIIPPENSBURO PA 17257-8943 76 ENCLOSURES 1 - BUSINESS REGULAR CHECKING ACCOUNT ACCOUNT' 000-1134B4 ACTIVITY DESCRIPTION REFEREllCE DEPOSITS/ CIIECKS/ DATil CREDITS DEBITS BALANCE 12-29 G.E. CREDIT 77 .56 SALESPAYHT 971226 7524789943 12-29 G.E. CREDIT 312.62 SALESPAYHT 971227 7524789943 12-29 CHECK 3471 00200002979 2,317.55 12-29 CHECK 3475 00300001090 148.76 12-29 CHECK 3476 00300001703 353.26 5,665.98 12-30 CHECK 3472 00100000841 2,530.92 12-30 CHECK 3473 00100000035 146.05 2,989.01 12-31 DEPOSIT 00300004362 1,368.71 12-31 CHECK 3474 00100001364 312.28 12-31 CHECK 3480 00200000689 175.00 12-31 CHECK 3481 00300004253 353.26 3,517.18 12-31 ENDING BALANCE 3,517.18 CHECK SUHHARY " INOICATES SUP IN CHECK nUH8ERS CIIECK 110 3422 3423 3425" 3427" 3428 3429 3430 3431 3432 3433 3434 3435 3436 3437 3438 3439 3440 3441 3442 3443 3444 3445 3446 1I110UllT 850.28 99.18 314.79 1. 48 133.90 162.18 166.95 1,492.75 200.00 131. 75 166.08 353.26 219.24 10,381. 55 23.35 355.37 35.00 61. 00 40.83 75.00 67.90 608.47 24.00 CIIECK no 3447 3448 3449 3450 3451 3452 3454" 3455 3456 3457 3458 3459 3460 3461 3462 3463 3464 3465 3466 3467 3468 3470" 3471 AHOUNT 297.00 145.65 205.00 181. 71 180.00 20.86 276.99 80.72 82.42 92.66 376.09 353.26 600.00 1,746.22 104.00 68.20 133.85 142.57 353.26 528.47 420.00 141. 06 2,317.55 ( ,\117 ORR51 twrN BANK 0030 0003 2490 N H!LVIllS I!:xxon IIUTO RI!:PIIIRS IllC HI!:LVIll L DIOLI!:R 9822 HOLLY PITCIlI!:R IlWY BIlIPPI!:IISDURG PII 17257-0943 STIIT!H!IIT or IIccounTS 000-11J484 x STIIT!HI!:IIT PI!:RIOD rROH TIlROUOIl 12-01-97 12-31-97 J PliO! 5 or 5 76 I!:IICLOSURI!:S 1 ') It R S I (J W N I' INN " , I \' ,\ N I ^ I 1 1 I I BUSINESS REGULIIR CIlI!:CKING IICCOUNT IICCOUIIT, 000-113484 CIlECK SUHHIIRY . tNDtCllTES SKIP trI CIlI!:CK NUHBERS CIlECIt 110 3472 J47J J474 J475 TOTAL NUHBI!:R or CIlI!:CItS IIHOUIIT 2,5JO.92 146.05 312.28 140.76 5J CIlECK 110 J476 J400. 34Bl TOTIIL /lHOUIIT or CIlI!:CKS AHOUNT 35J.26 175.00 J53.26 2B,BJ1.JO OUR CUSTOHERS I!:XPECT IIND DESI!:RVE TilE VERY BEST IN SERVICE IIND IICCURlICY. TO IISSIST US IN PROVtDIlIO TillS 111011 LI!:VI!:L or SERVICI!:. III!: ItIllDLY REQUI!:ST YOU I!:LIHUIIITI!: Till!: USE or STAPLES IN YOUR CIII!:CItS. TELEPHONE OllnKINO 1-000-580-J092 . t I'~l~ OI~~~-10wN 13ANI< 0030 0003 2265 N STIITEMENT OF IICCOUNTS 000-113484 STIITEMENT PERIOO FROM TIIROUGII I1-GI-97 11-30-97 3 PME 1 OF 4 x f I H If '" I " \\' N I' INN'" , r \ \ ~J I ,\ I I I I I MELVINS EXXOfl IIUTO RP;Plllns INC MELV III L 81GLER 9822 MOLLr PITCIIER IIWY SIIIPPENS8URG PII 17257-8943 71 ENCLOSURES 1 RURTNFRR RFOm,I\R r.HFr.RHlO /lr.r.n""'1' 1Ir.r.OUN'1'1 nnn-t t.1484 PREVIOUS DEPOSITS/ CIIECIIS/ SERVICE END 1/10 BTIITEMENT BIILIINCE CREOITS 40 DEBITS 40 FEES BIILIINCE 5,475.43 23,441.00 18,529.44 .00 10,387.79 DEPOSITS/ CIIECIIS/ DIITE ACTIVITY DESCRIPTION REFERENCE CREDITS DEBITS BIILIINCE 11-01 BEGnlNING BIILIINCE 5,475.43 11-03 DEPOSIT 00300002498 241.08 11-03 DEPOSIT 00300002490 696.78 11-03 DEPOSIT 00300002506 1,656.30 11-03 G.E. CREDIT 78.92 I SIILESPAYMT 971101 7524789943 11-03 G.E. CREDIT 184.08 BIILESPAYMT 971031 7524789943 11-03 CIIECK 3370 00200000439 251.00 11-03 CIIECK 3377 00100001166 107.14 11-03 CIIECII 3383 00200004141 1,393.41 11-03 CIIECK 3384 00200000347 51.95 11-03 CIIECK 3385 00300002412 353.26 11-03 CIIECK 3386 00300002056 332.81 5,843.02 11-04 G.E. CREDIT 40.01 SIILESPII1HT 971103 7524789943 5,883.03 11-05 CIIECK 3337 00200004397 1,708.18 4,174.85 11-06 DEPOSIT 00300004553 397.41 11-06 DEPOSIT OU300004560 518.62 11-06 DEPOSIT 003GOO04567 850.07 1l..06 DErOGIT OCJCaOO~570 ~,4~7.03 11-06 o.E. CREDIT 250.89 SIILESPIIYHT 971105 7524789943 11-06 CIIECK 3395 00200000402 72.62 7,567.05 11-07 DEPOSIT 00300008707 1,577.65 11-07 G.E. CREDIT 113.00 SIILESPIIYHT 971106 7524789943 11-07 CIIECIt 3390 00100000199 205.00 11-07 CIIECIt 3396 00200000130 17 3.50 11-07 CIIECK 3390 00300006790 133.27 11-07 CIIECK 3400 00300000627 353.26 11-07 CIIECK 3401 00300000706 376.09 8,016.58 11-10 DEPOSIT 00300005931 1,301.37 11-10 o.E. CREDIT 126.09 SIILESPIIYMT 971107 . 1 t- If) " . v...1M" I . IT:.) '/1,1\ OI~~STOWN BANI< 0030 on03 2266 II . !} t \ ST/lTEHENT or /lCCOUrlTS 000-113484 ST/lTEHENT PERIOD rROH TIfROUOIf 11-01-97 11-30-97 3 P/lOE 2 or 4 x II If U " If. "' N I' INN t.; ) I \ \ N 1.\ I'.' I I HELVIlIS EXXO!l /lUTO REP/lIRS IIIC HI!LVIN L DIOLER 9822 HOLLY PITCIfER II11Y SHIPPENS8URO P/I 17257-8943 7I I!NCLOSURES I BUSINESS REOUL/lR CIfECKIlIO IICCOUNT ACCOUNT' 000-113484 DATI! ACTIVITY DESCRIPTIOIl REFERENCE OEPOSITS/ CIfECKS/ CREDITS DEBITS BAL/lNCE 7524789943 II-IO CIfECK 3387 00200000109 1,400.29 11-10 CIfECK 3399 00200001523 376.65 7,507.10 II-12 DI!POSIT 00300000603 560.90 II-12 DI!POSIT 00300000599 1,887.52 11-12 O.E. CREDIT 55.75 SALESPAYHT 971111 75247S9943 11-12 G.E. CREDIT III. 51 SALESPAYHT 971110 75247B9943 11-12 CIfECK 330B 0030000B229 1.60 II-12 CIfECK 33S9 00300000506 187.01 11-12 CHECK 3392 00200001900 12.50 11-12 CIfECK 3402 00100000023 127.47 11-12 CIfECK 3404 00300001037 339.22 11-12 CHECK 3405 00300007639 180.74 II-12 CHI!CK 3407 00200004122 204.28 9,157.96 II-13 DEPOSIT 00300001062 554.95 II-13 G.E. CREDIT 450.95 SALESPAYHT 971112 7524789943 II-13 CIfECK 3391 00200001477 24.00 11-13 CIfECK 3393 00100000675 40.83 11-13 CIIECK 3394 00300003210 600.00 II-13 CIIECK 3397 00200003826 83.95 II-13 CHECK 3412 00300001029 353.26 9,061.82 11-14 G.E. CREorT 350.46 SALESPIIYHT 971113 7524789943 11-14 CIIECK 3403 00100000312 II2.00 9,300.28 11-17 DEPOSIT 00300003812 287.46 11-17 G.E. CREDIT 110.88 SALESPIIYHT 971115 7524789943 11-17 G.E. CREDIT 179.27 SIILESPAYHT 971114 7524789943 11-17 CHECK 3406 00200000316 304.20 11-17 CHECK 3109 00200003364 1,658.54 11-17 CIfECK 3410 00200000658 95.80 II-17 CHECK 3411 00300105956 214.09 11-17 CHI!CK 3413 00200005809 52.00 7,553.26 11-18 DEPOSIT 00300000601 286.53 11-18 DEPOSIT 00300000606 986.64 ( 10. , ORRSI6~N BANK 0030 0003 2267 N flU It S I II \\ N I' INN" , I\" rJ 1\ I 1 I I I STATEHENT OF ACCOUNTS 000-l1J484 STATEHENT PERIOD FROH TIIROUOII 11-01-97 II-JO-97 J PAOE J OF 4 HELVINS EXXON AUTO REPAIRS tNC HELVIlI L nlOLER 9822 HOLLY PITCIIER IIHY SIIIPPENsnURO PA 17257-894J 71 ENCLOSURES t BUSINESS REGULAR CIIECKINO ACCOUNT ACCOUNT, 000-11J4B4 DEPOSITsl CHECKSI DATE ACTIVITY OESCRIPTION REFERENCE CREDITS DEBITS BALANCE 11-1B G.E. CREDIT 125.24 SALESPAYHT 971117 752478994J 11-18 DEPOSIT CORRECTION 0030000269J 1.00 11-18 CHECK J414 00JOOOO0614 8J7.57 B,115.10 11-19 a.E. CREDIT 65.91 SALESPAYHT 971118 752478994J 11-19 CHKCK J408 00100000194 2,245.54 5,935.47 11-20 a.E. CREDIT 129.12 SALESPAYHT 971119 752478994J 6,064.59 11-21 a.E. CREDIT 6J.OB SALESPAYHT 971120 752478994J 11-21 DEP CIIECK RET FEE 90010400001 @ 11-21 DEP RET 90010600002 0:00. 11-21 CHECK 3416 0020000J215 5,917.82 11-24 DEPOSIT 00300000131 42B.75 11-24 DEPOSIT 0030000990J 500.95 11-24 DEPOSIT 0030000989J 586.64 11-24 DEPOSIT 00JOOOOO150 610.38 11-24 DEPOSIT 00JOOOOO125 682.09 11-24 DEPOSIT 00JOOOO01J6 739.30 11-24 DEPOSIT 00JOOOOO148 960.81 11-24 a.E. CREDIT IB7.26 SALESpnYHT 971121 752478994J 11-24 a.E. CIlEnlT ]07.'53 SALESPAYHT 971122 75247B994J 11-24 CIIECK 3415 00~00004564 1,109.43 11-24 CHECK 3418 0020000J456 618.50 11-24 CIIECK J419 00JOOOO1849 239.8J 11-24 CIIECK J420 00JOOOO139J 353.26 8,600.61 11-25 a.E. CREDIT 220.20 SALESPAYHT 971124 752478994J 11-25 CIIECK J417 00200004222 46.80 8,774.01 11-26 DEPOSIT 00JOOO05025 263.74 11-26 DEPOSIT 003000050JI 473.61 11-26 O.E. CRimIT 185.56 SALESPAYHT 971125 .....-...- 752478994J , ,. ) 11-26 OEP CIIKCK RET FEE 90010400004 (5.00 ..... ~.;_." 00)0 000) I~~TO~N BANK 2260 N STATEHENT or ACCOUNTS 000-11 )404 STATEHENT PERIOD rROH TIIROUGII 11-01-97 11-)0-97 ) PAGE 4 or 4 :i I It \\' N ,'r N N " , I \'\ N 1.\ II! I I HELVIllS EXXOU AUTO REPAIRS IlIC HELVIlI L BIGLER 9022 HOLLY PITCIIER IIWY SIIIPPEUSBURG PA 17257-094) x 71 ENCLOSURES 1 IlIlSINF.1l1l REnllLAR CIlECKIUG ACCOUUT ACCOUNTt 000-11)484 DEPOSITS! CIIECKS! DATE ACTIVITY DESCRI PTlON REFEREUCE CREDITS DE8ITS 8ALAUCE 11-26 DRP RET 90010600005 ~.oo~ 9,671.92 11-28 DEPOSIT 00)00000147 1,087.61 11-28 G.E. CREDIT 146.02 , SALESPAYHT 971127 752478994) 11-28 G.E. CREDIT )65.90 SALESPAYHT 971126 752478994) 11-2B CIIECK 3421 0020000)BBl 1)0.4B 11-2B CIIECK )424 00)000051~5 J5J.26 11-2B CIIECK J426 00JOOOOO160 400.00 10,JB7.79 ll-JO RNOING B/lLANCE 10, JB7. 79 CIIECK NO JJ37 J370" 3377 " 33BJ" 33B4 J3B5 33B6 33B1 J3BB J3B9 32~O 3391 3392 3393 JJ94 J395 3396 3J97 J39B 3399 3100 3101 TOTAL NUH8ER or CIIECKS CIIECK SIlHIIARY " IlIOICATES SKIP IN CIIECK NUHBERS AHOUUT 1,70B.IB 251.00 107. t4 1,39J.41 51. 95 J53.26 J32. Bl 1,400.29 1.60 IB7.01 :!C5.CC 24.00 12.50 40.B3 600.00 72.62 173.50 B3.95 13J.2/ 316.65 )53.26 )76.09 44 CIIECK UO 3102 340J 3104 3105 3406 340./ 340B J409 3410 3411 3112 3413 J414 3115 )416 )417 3110 3419 3420 3421 )124" 3426" TOTAl. AHOUUT or CIIECKS AHOUNT 127.47 112.00 J 39.22 IBO.74 J04.20 204.2B 2,245.54 1,65B.54 95.BO 214.09 353.26 52.00 BJ7.57 1,109.43 194.B5 40.BO 61B.50 2J9.BJ J5J.26 130.48 J53.26 400.00 IB,489.44 t.~ . C.{I~TOWl\J BANK 10 0003 J09 .. ORR""WN, rI;NN,trv"NIA "141 8TAflHINf or ACCOUNTS 000-1134B4 I BrArINI~ 'rRlon 'ROIl TIlROIION 10-01-97 10-JI-97 0 'MI I 0' B HnVIHB UIOH AUTO RlrAlnB IHc NILVIH I. BlOLIR 90n HaLL! ,nelllR ""! BHI"INIOURD 'A 17257-894J . iUii;;iii liiiiUUft clllcUlla ACCUU~T 'RlVIOUB OI'OBITO/ 8tATlHlHr IALAHCI CRlOnB 49 ',8U.30 23,734.27 bArl ACTIYITt OIDCRl,rloN RIFlnlHeB JO-OJ IrDIHHIHO uALAkcl o~o a... cn&Olr BALII'A!NT 9709JO 75247B9943 , 10-01 C1fICll no. 00jOD000949 0-02 0.1. ~IDlr IALIO'A!Nr 971001 oj 7124 7B9943 10- DIPOBlr O-OJ OIPOur 10-OJ OIPOBn O-OJ DlPOon 10-03 0.1. CRIOIT OALIB'A!NT 971002 7524789943 10-OJ 01' C1fICI ROr PII 10-OJ 01' Rlr 10-OJ C1fICI 3300 10-03 ClIICI 3307 0-03 ClIICI J309 O-OJ ClIICI JJ 12 la-OJ C1fICI JJJJ 0-0. a... CRlblr IALIB'A!Nr 911003 75247B994J 10-00 0.1. CIlIOlr BALIB'A!Nr 971004 752nU9943 10-07 0.1. CRIOIT BALIO'A!Nr 971006 7S247199U 10-07 CIIICI 3300 10-07 ClIICI JJl1 10-07 C1fICI JJU 10-00 OIPOln 10-00 OIPOon 10-01 OIPOur 10-08 DIPour 0-00 0.1. CRIDIT 8ALISPArHr 971007 0030000J121 OOJOOOOJ 19 00J00003 35 00JOOOOJ417 90010400002 90010000005 00100000570 00100000905 0020000J045 OOJOOOOUOl 00J00004917 00100001823 00400004841 00400003031 00J0000190f OOJOOOO 91 0030000 lJOO OOJOOOO 989 ,J , 97 tHCLoOURlO CUICIB/ OlBnB 17 28,oH. 4 ACCOUNT' UOO-113404 BlnYICI '118 .00 INOIHa BALANel 5,415.43 Olroono/ CUlelS/ CREDITS DIBITS 8ALAlICI 9,Ulo.3a 202.8J/ . .... JOO.OO 260..0' 9,119.13 090.34/ fn."" S ,.... . /;fp, '" !;.Il" ~~~ 57. J22.09 55.00 J5J.20 /247.50 190.40 10,045.61 13,180.4B 4J2.20......- 10J.JO/ IJ,811.14 1.075.99 01. J5 .... 80.72 ~n.JOy J22. 74 ..... 849.01// 90J.7 ..... 516.JJ 12,090.J8 . o ti~ . ORHS"lOWN BANK. . 0003 391 H t1.II.~lI1WN. l'INN'i'r'LVI\NI^ I ,,~4 ST~TIHIHT 0' ~CCOUffTS 000-1134S4 I ST~TIHI"T 'IRlOO 'ROM T""ooo" 10-01-91 10-31-91 0 '~Ol 3 or 6 "ILVIfIS RlJlON ^UTO R!r~UU' IHe "ILVTH L DlaLIR 9022 HOLU 'ITCllaR IIlIY lJIIIPPI"88URO pA 17251-894J 91 I"CLOSURIS o IUSI"I88 k!oULAR CIIIC",RO RCCOURT ACCOUNT I 000-IIH04 DRTI ~CTIV1TI Ol8CRIPT10H RI'IRIHCI D!POSITS! CIIICU! CREDITS DIBITS IIALAHCK r-r ClIICI 3Ho 003000065H 30.90 0- I ClIICI H49 00200001610 /105.04 0- ! CIlICI H51 00100000216 100.10 15,!BLOl 0- DIPOSIT 00300001229 1.190'10/ 0- 0.1. cPlolt l09. 3 IRL!S'RY"} 911015 112 71994 00200004175 r-16 ClIICI 3310 27'10 0- I CIlICI 3H2 00200003119 j52. 6 0- 6 ClIICI JHJ 002000052 I 09.90 0- 6 CIlICI 3J45 00200001629 21.50 r- 6 CIlICI H46 00200005451 41.20 0- I ClIICI p50 00100000171 P .00 0- CIlIClt 35J 00200005 05 11.95 0- 6 CIlICI 3351 00200003979 ,.J97.00 0- 6 CIlICI JJ59 00lOOOO3229 H6.09 ",211.12 0- 7 olPOsn 00300005432 509.60/' 0- 1 0.1. CRIDIT 55.14 9RLISPRY"} 911016 151419994 10-1' ClIICI H39 00100001112 205.00 0- T CIlICI JJ41 00100000716 40.93 10-11 ClIICI JJ60 00300006111 ~53.26 1.192.11 10-20 olPOsn 00300001591 102.9 10-20 DIPOsn 0030000159 950.11'/ 10-20 0.1. CRIOIT 236.70 9RL!S'RIHT 911019 30U4/ 112 lS994J 10-20 0.1. CJIOIT 11 9RLIS'RYlI 9 017 ~ 1IH7999 J 10-20 0lPOSl1 CORRlC110R 0030000939J 10-20 ClIICI 3HO 00300005109 1"-20 C"ICI JJ39 00JOOO02551 600.0U 0-20 ClIICI JJ55 00JOOIOJ509 1,425.59 0-20 ClIICI H56 00200005026 492.10 10-20 CIlICI H59 00200002119 71.00 10-~~ CIlICI JJ61 00JOOOOI096 y'IJO.l1 6,599.11 10- 0.1. CRI011 130.5 SRL!SIRIHT 911020 /' 11129.24 152 7 9943 10-22 0.1. ~IDlt 133.60 9RLII'RIHT 911021 152419994J 10-22 CIlICI 3JJ4 00300000294 50.00 ", I' \ o . OI{]~'1 ~N UANK o OOOl 392 " OIlR~10WN I'INN"',VA,NI.\ 1']44 81A11HI"T or AccounTI 000-111484 I ITAtl"I"T PERIOD r~oH TIl~OOOH 10-01-91 10-11-91 0 P~OI 4 or 6 fllLVlllS 111011 AUTO ~IPAI~S IIlC HILVUi L DIOLER 9832 HoLLY PITCIIIA Inn IHIPPIHlnuRO PA 112!1-8943 91 INCL08UM.11 o IU81"188 RJouLM ClllckJlm ACCOUNT ACCOUNTI 000-11l484 oErosnsl Clllcul OATI ~CTIVITT 018C~IPTIO" RErIRENC! CRIO ITS DIDITI !ALAHel 10-22 ClIICI 1162 00200000112 540.90 10-21 CIlICK 3361 00100000262 ~1I6.n 1,55,.49 0-2 Oll'Oln 00300006698 490.84 0- Oll'Oln 00100006106 1.00,.40/' 10-1 0.'. C~'OIT 1t 9'.12 IAL"PAT"T 9 022 1I241B9943 00200001114 r-2J CIlIClt 1119 1'.00 0-2 CIl.Clt J361 00200001511 ~'9.41 4,932.Jl 0-2 O'I'OIIT 00300001993 390." 0-2 0.1. en.DIT 111.02 'ALf"PAT1J 911023 112 1899 3 10-2! CIl.Cl 3364 0020000321~ 4.85 0-2 CIlIClt 336S 0030000604 90.11 4,991.14 10-2 CIl'Cl 3J14 0030000S930 /353.26 0-21 0.', C~IOIT91 4 15.15 'ALfSPBTHT 102 112 119943 195.01/ 10-21 0.'. C~'OIT IAL.BPATH! 911025 112418994 r-21 al'Cl J366 0020000J9p 411.22 0-21 allCK 368 002000023 3 II. J5 0-21 CIl'Cl 331J 00300000168 /239.83 4,468.16 0-28 OIPOIIT 0030000426' 140.80 f' 10-28 o'l'Oln 0030000:2~0 312.Jl 0-28 o'l'Oln 0030000 2 1 11553'98/, 0-21 a... C~'OIT 61.87 IAL'IPAI~T 911021 9ir 11241899 J 10-28 ClI.Clt 1001 ,.. 0020000111s 10-28 allClt 3369 10-28 Clllcl 3312 00100001219 0-28 ClIICK 3J16 00200000664 10-28 CIllcl J319 00300004246 ....... 400.00 5,446.12 10-29 0.1. C~'OIT 1l0.61 IALIBPAI"T 911028 1524189943 00200004115 10-at ClIICI J311 ,/'39.00 5,546.39 0-30 0.1. ~IOIT IJ6.50' IALIIPAI"T 911029 1524189943 10-JO C1IICl 3J15 0020000H7J 200.00 10-30 CIlICl 3381 0020000343J 26.39 S,456.50 " \ ;~N BANK 0003 393 H ITATIMIMT or ACCOUNT. 000-113484 ST~TIIII"T 'IRIOO rROM THAOUOH 10-01-91 10-1I-91 0 '~Ol 5 or 6 I N rrNN,Yt.II^NI^ lJJ4' IIILVIII" RXXOH RUTO RI'RIII" IHC HILVIH L SIOLIR 9022 HOLLI 'ITCIIIR IIMI SIlI"EHBOURO PR 11251-0943 91 IHCLOBUIIU o BUlU"1S1!I RIGULAR CIIIClUtlQ ACCOUNT ACCOUNT I 000-1134s4 OEPOSlTsl cllEcul ORtI ActiVIT! DESCRIPTIoN RBUnEHe! CREDITS OIBITS SRUHCI 10-31 O.E. CillO IT 252.50 SRLt"'RIMT 911030 152 189943 00200002814 10-31 ClIICR 3318 155.00 10-3 CHICR 3380 00200003425 11.51 10-31 ClIICR 3302 00100000110 61.00 5'1'5.43 10-3 IHOIHO ORLRHCI 5, 15.43 C1IICIt OUHHlIRI 11II INDICATIS 8~IP IN cttlCIt NUHBIRS CHICR H~ AHOUNT cnlclt HO AHOUNT 326 300.00 3139 205.00 JJOlSlIII 526.00 3J40 394.92 1301 322.69 3341 40.03 1108 1,015.99 3342 24.55 3109 55.00 3343 12.32 my -1In- lJ44 15.95 III 6 .35 3345 l' .50 ill2 353.26 lJ46 5.20 113 241.56 3J41 21.19 3314 10,005.05 3340 30.9~ 3315 400.00 3J49 205.0 llll 5.50 3350 224.00 3111 11.12 3351 100.10 1318 61.00 335311II 111.85 1119 35.00 1154 i42.42 my 53.p 3355 1, 25.50 132 56. 1 3356 92.10 1322 230.00 3151 291.00 3323 8~.12 3350 11.00 1325' 2 .00 3159 316.09 1126 108.00 3360 151.26 1121 104.05 i361 110.11 3328 215.00 362 5 0'10 1119 192.11 1363 2,112. 5 3310 56'10 1364 .85 3311 19. 5 3365 t.lI 3132 252.46 3366 13'12 1313 189.80 3361 19. B 1334 50.00 3368 81.15 pl5 153.26 3369 252.26 1361 229.53 3311' 39.00 1318 600.00 3312 125.15 ., \ ~ CI{J~-IOWN UANI< HELVINa IIION AUTO REPAIRS tHe MILVIN L DIOLIR 9822 HOLLI PITCIIER III'" IIIIPPIH88URO PR 11251-8943 '0 000::1 319 H mu I . Oil ,,0-91 0 !'AllI . u' S 14 IHCLOIUIIII 0 41 II R ~ , II W N ,. INN 'Ii \ I ... ^ N I" I I 1 4 t BUUNIII RlaULM: ClIICIUNO ACCOUNT PIIIYIOUI 0IPOIIT8' ITATaKaNT BALAHCI CRlDlTS 46 5,892.04 22,933.87 C1IICKI' OIBITS 55 18,909.61 RCCOUHT, 000-113484 IIIRVICI nl8 .00 IlOilO BAUNel 9,816.30 DArl ACTIVITt DESCRIPTION n.'''RENel 09-01 BIOIHHIIIO BRLAHCI 09-02 a... CRIOIT IALIIPRINT 910130 1524189943 09-02 0.1. CIIIOIT IRLIIPRINT 970829 1524189943 09-02 OIPOSlT COJllllCTIOI 09-02 C1IICK 3252 09-02 CHICK 3253 09-02 CHICK 3256 09-03 0.1. CRlOIT 8RLIIPRINT 970902 1524789943 09-04 0.1. CRIOIT BRLIIPRINT 970903 or-orlit'~~~Tfii-'-~iiiiriiliiiiiiiiij 09-0, EIP lilT 90010600004 -Bt-8HI~9U gSmmm 0'-01 OIPOIIT 00300003151 0'-05 OIPOIIT 00300003734 09-01 0.1. CRIOIT IRLIIPRINT 970904 7124789943 0'-05 C1I1CK 3258 0'-05 C1IIC1t 3262 0'-05 C1IICK 3266 0'-05 CHICK 3268 0'-08 0.1. CRIOIT IRLIIPRIIIT 970905 1524189943 09-08 0.1. CRIOIT IALISPAIHT 910906 lJr-uu-tij'~IWm-nr-90010IilOOU -.,,- -8t-8S-YkR-T ~m-gmSaSm~ - - 09-08 CHICK 3265 00200003169 DIPOSITI' CREDITS CIIICKI' DIBITa IIALAHCI 5,892.04 ~.86 ~.17 00J00007886 00200004854 00200002045 00200005273 .10 1,291.48 46.15 52.95 4,737.59 09 w'.'5 4,783.38 ----/- 10.00/, ao.oj / t'9:9~'2 1, 39.12 2,331.91_ .' .. 7,Y" 4,415.09 00200002810 00200003869 00300009322 00300101087 md8 89.25 15.00 J53.26 37&.09 7,822.90 37~ 5:0 -dt8:t, 14.0U . . C RI~r6W'N BANK "''1JO 000) J80 " OIt"~'fJWN. "INN'Il\IV.\NI'" 111~1 HILV/HO IXION AUTO RlrA/RO /NO HILVIH L 8/0LIA 9822 HaLLI PITClIIR 100 Oll/PPINOOURO PA 1/251-8941 OTATIHlHT or ACCOUHTI 000-113404 I OTATIHIHT PIR/OO FROlI TlIROUOH 9-01-91 9-30-91 0 PAOI 2 OP 5 14 IHOLOOURlO o 8U81H1.. RlOULM CllIek/HO ACCOUNT ACCOUNT I 000-113484 DATI ACTIVITT OloeRIPTIOH RIPIRlNel OUOOlTsl ellleKSI CQOlTl!I 0181T8 8ALAHel 09-00 C11le. 3261 00300001831 ~05 255.28 S,972.06 09-09 olPOon 00300001158 09-0' 0.1. ~IDJT 1 .65 OALIOPAIHT 910908 1524189943 09-09 ClII"" 3H9 00100001065 r 61.00 7,141.56 09-10 0.1. ""IOIT OALIOPAIHT 910909 1524189943 09-10 ellle. 3263 00200002303 413.15 09-10 Cllle. 3216 00200001669 99.01 09-10 C111"" 3219 00300002409 469.14 09-/0 ClII"" 3280 00300005480 83.52 09-10 C111"" 3282 00300002665 142.71 5,935.11 09-1' DIPOOIT 00300006530 .mil 09- 1 OIPOIlT 00300006516 ill' 01 09-n DIPOon 00300006524 .H 09- 0.1. CRlDIT 9273 IALIIPAIHT 910910 1524109943 09-11 Cllle. 3212 00200000209 24.00 09-11 C11le. 3215 00200001531 /' 25.00 09-/1 C11lel 3206 00300001104 123.91 1,668.16 09-12 DIPOSIT 00300000]81 iti;14 09-12 0.1. C11101T .63 OALIOPAIHT 910911 '~ 12 1524109943 09- 011"" 3210 00200003443 53.00 09-12 C11lel 3271 00100000214 40.83 09-12 C111"" 3213 00200002Jl6 123.50 09-12 OIlel 3214 00200003515 17.23 09-12 allClt 3217 00200001709 389.60 09-12 ClII"" 3281 00100000195 229.00 09-12 C11lel 3200 00300005510 r 353.26 09-12 OIlel 3209 00300008306 103.27 6,482.06 09-15 0.1. C11101T OALIOPAIHT 970912 7524189943 09-15 Clllel 3260 00200004671 16.49 09-15 OIlel 3269 00300100213 1,200.00 09-15 Clllel 3~10 00200001200 41.00 09-15 ClIICIt 3204 00200005058 63 .90 D9-1S ellICJ!: 3285 00200001255 6'.68 09-15 C11le. 3201 00200002~25 ~9 194.00 4,564.25 09-16 DIPOI!IIT 00100001 DO IJtL~ C~HS-I OWN BANI< II R " .~ I II W N 1'1 N N Ii l I. \I " N I ^ I' J" I UOJU UUUJ D~ATI~HT or ACCOUNTS 000-113484 I BrATIHIHT '"011 9-01-91 ,AOI PlR 100 THROUOH 9-30-97 3 0' o 5 HILVIHB IIIOH AUTO RIP"11\8 tHe MILVIN L BIOLIR 9822 HOLLI PITCHER UNY IHIPPIHSBuno PA 11251-99.3 74 IHCLOSUUS u o IUl1"111 RlOULAR CHleKING ACCOUNT ACCOUNT. 000-113484 ACT1VITr OIOCRIPTIOH RB'ORBHCI onoons, CIIICKS' OATI CRRDlTS 0181T8 8J\LA/fCI 09-16 0... CJIDIT 'Y.85 SALISPArHT 970915 7624781941 i9(;5k 5,485.50 09-!' OII'091T 00100002595 09. 1 a... CRlDlT 2yJ .ALIIPAINT 910915 7524719943 r 6,J03.99 09-18 a.l. CRl01T 8ALI8PArH} 970917 752471994 09-18 e1IICK 3291 00100001312 205.00 09-18 e1IICK 3293 00400003000 52.50 6,131.94 09-19 OII'091T 00300002920 ~Ol . 09-19 011'08n 00300002910 8.20 , 09-19 Oll'Osn 00300002914 3~t:.10 t 09- 9 Oll'Osn 00300003911 ,7-2 7.05 09-19 a.l. ~IOIT 4~0 OALI8PArHT 970918 752 709941 09-19 CHICK 3103 00100000157 2,U4.57 09-19 CHICK 3295 00300005709 270.45 09-19 CHICK 3291 00300002753 ,-tz(15 353.25 5,011. 71 09-22 011'08n 00300002454 09-22 Oll'Osn 00300002467 ) 54.07 09-22 a.l. C"101T 5~ I IALISPArHT 970919 75247S99U Ip I 0'-21 a.l. ~IOIT IALIOPArHT 970'lO I 7524 789941 09-l2 CHICK 3292 00100000094 /' 412.95 09-22 CHICK 3296 00300005515 507.50 8,379.13 09-23 a.l. ~IOIT .~4 8ALISPArHT 970912 7524719941 09-l3 e1IICK 3294 OOlOOOOI097 1~ 200.00 09-l~ CHICIt 3298 00200001152 541.47 7,662.50 09-l a.l. ~801T IALISPArHT 970913 7524789941 " 09-14 CHICK 3290 00200003111 .adj." 142.59 7,574.58 09-lB OII'091T 00300001298 09-25 OII'091T 00300001307 ~71 09-25 0.1. CRB01T .30 SALIOPArHT 970914 lc6 (i~ C 0003 382 H OI{l~~IDWN BANK ~ nRR~tllWN "LNN"'IV"N'^ I J 1"4 81ATI"I"T or ACCOUNTS 000-113484 I r BT^TlHIHT PEIUOD . .ROIl TIII\OUOII , 9-01-91 9-30-97 0 4 or " PAca ! ON AUTO RIPAIR! IHC aLIR H 000 PltelllR Inn IHCLOSURIS o PR 172!7-89U 0'00 * 0 - 65-116 I 170.77 j OUNT ACCOUNT I 000-113484 45'79 f OEr08u81 Clllcul FERENC! CREDITS 018lT8 8JU.A/tCI 5113-95 l 79'77 + 200000738 ~ 49.93 8,851.65 122 "Ill + 370'04 + 30000!775 ~S<~2 114.66 8.961. 34 300006030 78'65 j 18 5 63'14 . 200000649 1,372.38 200002099 149.00 2'J?' 23 + 200001860 / 277.44 300006026 353.26 7,391.!3 21:) . u:5 + 300002691 ~88.00 300002674 Y.~I 265-23 j 26 6 162'86 + 200001588 75.90 9,816.30 123-98 + 9,816.30 95'45 + ClI8C! 8UH/l1IRY DleATI! SkIP IN CIIICK NUMBERS 49'511 + ^HOUHT CHICk HO AAoUHT 51 . 17 + 291.48 3274 17.23 46.7! 3275 2!.00 138'24 + 52.9! 3276 99.87 89.25 3277 389.60 26'24 + 61.00 3278 45.00 16.49 3279 469.74 BlO.OO 3280 83.!2 154'67 + rlHg. 3281 229.00 3282 142.71 156.30 + 74.00 3283 2,444.S7 753.26 3284 6ll.90 20 II . 35 + 255.28 3285 65.65 176.09 3286 121.97 16' 85 + 100.00 3287 19 .80 53.08 3288 3!3.26 267' 16 + 40.83 3209 783.27 24.00 3290 242.59 123.50 3291 20!.00 024 ; ,76'/ . 39 Oim.':, IdWN BANK O.R51lJWH, rf'.NN~YI\/^NI^ 111.... O' lOO) )91 H 8T"TI"I"T or ~CCOU"TI 000-IU484 '- ITATlIUHT rROM 1-01-97 ,P.OI nuoo THROUGH I-H-97 1 or 5 "BLVIH! IIIOH ~UTO ~IPAIR8 IHe "ILYIH L BIOLlR 98:22 HOLLY PlTelllR tiNY IHIP,IH8BURO 'A 11251-8943 80 IHCLQ8URlI!I ~ 8UIINI88 RlOULkR CIIICItINO ACCOUNT ACCOUNT I 000-113404 rRlvloUI OIPOSITS! CUICU! SIRVICK INDING STATIHaHT 8ALAHCI CREDITS 40 DIBITB 64 rllS BALANCI e,115.1:1 22,500.43 :25,324.11 .00 5,892.04 OIPOSITO! CUICRS! DATI ACTIVITY DISCRIPTION RlrlMHtl CMDlTB DIBITS BALANC. 00-01 IIOl""INO BALANCE 8,715.12 01-01 0.1. CP:IOIT 125.12 '" IALIIPAIHT 970731 7524719943 00-01 ClIICR 3109 00)00006126 99.)0 1,741.54 00-0 0.1. CPIOIT 195.28 . IALIIPAIHT 970001 7524719943 00-04 0.1. CRIOIT 433.62~ IALIIPAIHT 970002 7524789943 00-04 ClIICR 319) 00200001120 450.34 08-0~ ClIICR 3196 00300006407 167.36 08-0 CUICR 3197 00200002759 95.90 8,641.84 08-05 elllCK J18D 00200003618 53.20 011-05 CHICK 3194 00200003611 69.00 8,526.64 08-06 OlroUT 00300003098 536.37. I 08-06 OlroSIT 00300000033 661.96 ,. "- 08-06 DIPOSlT 00300003905 2,163.30"- oe..ol DIPOl!JlT 00300003925 2,259.06- 08-06 0.1. C'IOIT 101. 96... IALIB,AIHr 910B05 7524789943 08-06 CHlCR )195 00300003917 353.26 00-06 CHICR 3190 00300005237 19.20 00-06 ClIICR 3199 00300004217 27.97 13,054.94 08-07 0.1. CPIDIT 205.05" 8ALISPAIHT 970806 7524189943 08-07 ClIICR 3202 00200001016 16.91 08-01 C1fECK 3204 003000014 )5 158.85 13,9154.23 08-00 olrosn 00300006266 1,489.85 ... 08-08 0.1. C~ID1T 410.56... 8ALISPAIHT 970007 7524709943 OB-08 CIIECIt 3201 00200003682 46.61 08-08 Clllclt 3207 00200000015 10,169.05 08-08 elllCIt 3209 00200000..46 109.95 00-08 ClIICR 3210 0030000611l 353.26 08-0B ClIECIt 3211 00.100005fi14 263.00 x o o . OI{)~l6~N BANK ( 000] J92 " II fI .. ~ I II W N 1'1 N N ~ Y I. v ^ N I ^ I J ] ~ . STATIHIHT or ACCOUNTS 000-1134B4 X BTATXHIHT PIRlCO r"CH THROUGH B-01-91 B-31-91 0 PAOB 2 or 5 HXLVI"" IXIOH AUTO RIPAIR" INC HILVI" L BIOLlR 98:U HOLU PITCllrR mn BIlIPPlH8DURO PA 11251-8943 80 _HeLQSUnl! o BUBINIOB RIOULAR CIlICRINO ACCOUNT ACCOUNT. 000-113484 olPoBnsl CIlICRSI DATI ACTIVITY DISCRIPTION nlURINel CREDITS DEBITS BALMIel 08-08 CUICK 3212 00300006265 316.09 4,606.68 OB-11 O&POOlT 00300005441 1,102.09"" DB-II 0,1. CRIDIT 46.01.... IALllPAtHT 970808 1524189943 08-11 0.'. CR!DIT ::116.96~ BAL'BPATHT 970809 75241B9943 08-11 CHICK 3200 001000001B9 40.83 os-p OIICR 3205 0020000312S 51.00 OB- I CH'CR 3206 00200004B96 810.10 OB-11 CH'CR 3200 00200004194 66.10 4,989.71 08-12 0.1. ~OIT 26.00'" .ALIBPAINT 970BII 75241B9943 5,015.71 08-13 D.POSIT 003000000~4 511. 77- 08-13 0lP08IT OOJOOOOOO 3 150.1S. 08-13 a.l. CRBDIT 431. 240,- .ALISPAtHT 910912 7524789943 08- U OIICR 3213 00200000300 92.00 08- U OIICR 3215 00300000053 689.46 5,927.41 08-14 0.'. CRIDIT 40.55"" IALIIPAIHT 910813 7524789943 5,967.96 08-15 a.l. CRIDIT 218.65" IALISPArKr 910814 7524789943 15,2415.61 OB-IB OIPOBIT 003000045B2 924.31'" 08-18 DIPOSlT 00JOOI026B2 1.499.69 .,. 08-18 0.'. CRIDIT 90.5"" BALlI PAT NT 970BI5 75241B9943 OB-18 OllcK 3214 0020000390B 751.69 OB-IB CHICK 321B 00200002664 86.00 OB-IB OIICK 3219 00200002BB5 23.10 08-18 ClIECK 3221 00300102595 J53.26 08-18 CHICK 3222 00300005496 234.68 7,312.38 OB-19 O.B. CRIOIT 100.50\,- BALIBPATHT 970BIB 15241B9943 7,412.BB 08-20 0.1. CRIDIT 129.1!!h.. IALI8PAYHT 910919 75241B9943 OB-20 CHICK J203 00100000093 61.00 (Jb:M' ORI~~IDWN BANK 000] J9J " IlR""O"'N I'INN~"'I'II"NI" 1'~JJ STATIKlNT or ACCOUNTI ooo-II34U ! IIT~TI"I"T '11'100 rRCH THROUOH 8-01-91 8-]1-91 0 PMI 3 Dr 5 KILVIHS IIIOH AUTO RIPAIRS tHe MELVIN L BlaLIA 9822 HOLU ,neurA IOff SHIPPIM8DURa 'A 17257-8943 80 IHCLOl!IURU o 8U81HI88 RIOULAR alleKING ACCOUNT ACCOUNT. 000-113484 ACTlVltr DISCRIPTION RlrIRErIC! oEroSlTS/ CllleRS/ DATI CRIO ITS DI81T8 8ALlUtCI 08-20 CllleR JZI6 00200001900 200.00 08-20 CllleR JZZO 00200001981 159.15 08-20 CllleR JZ29 o03oooo21Z8 161. 82 011"'21 CHICK 3239 00200001694 580.88 6,319.48 08-2 DOPOIlT 003OOOO0U3 770.5J.... 08-2 DlPOBIT 003oooo04Z8 1,434.60" 08-21 0.1. eRIOIT 258.16\. BALIBPArHT 910820 15241B9943 08-U CllleR JZ23 00100000152 2,681.91 08-U CllleR JZ25 00100000016 219.00 08-U CUICR JZ28 00200001805 JZ8.15 08-21 CllleR 3230 00200000291 50.00 08-21 CUleR 32JZ o020ooo1l8o 25.20 08-21 CllleR JZ34 00200000420 25.00 08-21 CllleR JZ4I 00200002046 291.00 08-21 CUleR 3244 00300001092 151.86 4,999.15 08-22 0.1. CRIOIT Jl1.4h BALIBPArHT 910821 1524189943 08-22 CUleR 3224 001000oo1J1 205.00 08-22 CllleR 3226 00200000642 199.60 09-22 CUle! 32J1 00100000364 101.04 08-:n CIIICK 3142 00200000264 59.95 4,1]9.98 09-25 0.1. CRIDIT 54.50'" 8ALI8PArHT 910823 1524189943 08-25 c.l. CRIDrT 71.530" 8ALI8PAIHT 910822 1524189943 08-25 CllleR 3211 00100000510 129.00 08-25 CllleR 3221 00200003245 99.4Z 08-25 CUICR JZll o02ooooJ101 21.00 08-2S CUle! 3233 00200003411 90.12 08-25 CUleR 3236 00200004614 31.29 08-25 CHICK 3240 00200000090 662.81 J,852.71 08-26 0.1. CRIDrT 33.17 "" BALI8PAIHT 910825 1524189943 08-26 CUleR 3243 00200003496 60.40 3,826.14 08-21 0.1. CRIOIT 116.65,^ BALISPArHT 970026 7524189943 08-21 CllleR JZ35 00200001691 162.18 08-27 CIIICK 3249 OOJOOOO29f12 63.95 '. " ~ .. ORR\.,)~I OWN I3ANJ( OOOl 194 " II III: R iii I II v,' N "I N N iii Y , v ^ N I ^ I' 1 I ~ STATIMINT or ACCOUNTS 000-IIH54 . db 116 ~~~ '\ \.:~} ~ STATIHINT rNOH 5-01-97 'Aoa IHe 'IRJoO TUROUOH 5-l1-97 4 or 5 o MILVIN' IIIOH AUTO REPAIRS MILVI" L BIOLIR 9U~ NOLLr PITellrR IINr IHI"IHSBURO PA 11257-894J 80 IHCL08URlS o _000 0-00 t 'HT ACCOUNT I 000-IIH84 orroslTs/ cllrcu/ tRENel CMDIT9 DEBITS Bl\J.ANCI t;:>5-12 t 1000296l 21.47 J,695.19 195-20 t 1000107~ 1,401.57'" 10001058 ,946.04"" 433-62 t 197.32.... 101 - 96 t 10001059 l5l.26 205-05 t 10000975 ~BO.OO 10000979 2.9~ A10-56 t 10001057 400.00 5,209.94 10101003 ~B4.07~ 10100994 460.540- 46 - 0 1 t ~~l.l5./1 216-96 t 0101219 50.001/\ 26-00 t 0000106 lIO.4J 0002902 490.00 431-24 t 0000034 50.00 0100975 l5l.26 AO-55 t 0100015 130.11 5,892.04 5,892.04 2111 - (, 5 t CIIICP: SUHMARr <)o.~o t CATIS SKI' I" CIlJ:CK NUHOIRS tOO-50 . OUHT tltlC. HO AHOUHT l.20 320B 66.10 129-75 . 9.l0 l209 109.95 O.H l210 353.26 250-16 t ~.OO 3211 26J.00 1.26 3212 376.09 311 -A2 t 1.36 J~IJ 92.00 1.90 J214 751.69 54-50 t 1.20 J215 6B9.46 tu- 3216 200.00 J217 129.00 71-53 t 1.61 nIB 06.00 1.91 3219 23 .)0 33 - 77 t l.oo J220 159.45 1.05 J221 353.26 116-65 t '.00 J222 234.60 1.10 J22l 2,681.81 191-32 1.05 3224 205.00 2:? I .35 t 023 II' 2,i 2. lJ Cj I '. G~ ORRSTOWN BANK 000] 399 " BTATIKI"T or ACCOUNTS I 000-1I3U4 I ITATEMI"T '11"00 , r.oK THROUOIf 8-01-91 8-31-91 0 ( I, rRol 5 or 5 , 80 IHCLOSURII 0 nil:. !Ii I II W N I' I, N N ~ 't L IJ ^ N I ^ I' ~ " I KILVINS IllOH AUTO "IrAlnS tHe HILVIn L BIOLER 9822 HOLLY pnelllA IIW! IHIPPIMIDURO PA 112S1-B94l BUSlNISS RIOULAR ClIICIUHO ACCOUNT CIIICJt SUHMRr . UfDICATIS SltlP IN CIIICIt NUH81R8 ACCOUNT' 000-11l484 ctlECl NO 3225 3226 3221 3228 3229 3230 32J1 3232 32JJ 32J4 3235 3236 32J1 3H8 3239 TOtAL IIUH81R or ClIICItS AHOUHT 218.00 198.60 88.42 328.19 161.82 50.00 21.00 25.20 80.12 25.00 162.18 JI.29 101.04 JlO.43 580.88 64 ClIICIt HO 3240 3241 3242 3243 3244 3249 3246 3241 3248 3249 3250 3291 3254' 3295 3251- TOTAL AMOUNT or CHICKS RHOU.T 662.81 291.00 59.95 60.40 151.86 353.26 490.00 280.00 2.92 63.95 21.41 400.00 90.00 353.26 no .11 25,324.11 VACATION TRAVELINO 18 rUN DON'T rOROIT TO TAitE JOUR OARSTOWH BANK HASTIRHOHlr CARD. ACCEPTED AT IU.L KA,8TIRCARD LOCATIONII. CALL TILIPIIONI BANUnG TOLL rR11 1-800....588-J092. ~ ORRSTOWN BANI( 0030 0003 416. N II R R ~ r () \\' N I' INN '" " " v " N I ,\ I 1 ! .1 .. HELVINS EXXON IIUTO REPIIIRS INC HELVIN L OIGLER 9822 HOLLY PITCHER IIWY SIIIPPENS8URG I'll 17257-8943 STIITEHENT or ACCOUNTS 000-113484 STIITEHENT PERIOD rROH TIlROUGIl 7-01-97 7-31-97 0 PAGE 1 or 5 X 71 ENCLOSURES o OUSINESS REGULIIR CHECKING IICCOUNT IICCOUNTl 000-113484 PREVIOUS DEPOSITS/ CHECKS/ SERVICE EIID Ilia STIITEHENT BIILIII/CE CREDITS 39 DEBITS 56 FEES BIILIINCE 2,494.88 19,8t1.40 13,596.56 .00 8,715.72 DEPOSITS/ CIIECKS/ DIITE IICTIVITY DESCRIPTION REFEREI/CE CREDITS DEOITS 811LlINCE 07-01 BEGINNING OIlLIINCE 26.00/~ 2,494.88 07-01 G.E. CREOIT SALESPIIYHT 970630 75247B9943 07-01 CIlECK 3127 00200004001 545.18~ 35.00 2,4B5.8B 07-02 DEPOSIT 00300000354 07-02 DEPOSIT 00300000347 650.03 07-02 DEPOSIT 00300000331 1,028.80::/ 07-02 G.E. CREDIT 370.75 SIILESPIIYHT 970701 7524789943 07-02 CHECK 3137 00200003258 62.34 07-02 CHECK 3143 00200002945 /191.01 5,627.29 07-03 DEPOSIT 00300100179 490.80./ 07-03 G.E. CREDIT 114.50 SIILESPIIYHT 970702 75247B9943 07-03 CIlECK 3141 00300100096 47.75 07-C3 CIIECK 3H2 00300003568 57.44 07-03 CHECK 3145 00300009914 ~tj'.02 353.26 5,774.14 07-07 G.E. CREDIT SIILESPIIYHT 970704 7524789943 ./ 07-07 G.E. CREDIT 194.97.... SIILESPIIYHT 970703 7524789943 07-07 CHECK 3138 00200002124 24.62 07-07 CHECK 3148 00300000878 /130.47 160.00 5,853.51 07-08 G.E. CREDIT SIILESPIIYHT 970707 7524789943 07-08 CHECK 3140 00200001134 /102.62 50.00 5,933.98 07-09 G.E. CREDIT SIILESPIIYHT 970708 7524789943 07-09 CIIECK 3139 00100000292 61. 00 07-09 CHECK 3144 00200001536 233.05 07-09 CHECK 3157 00200000189 349.20 07-09 CHECK 3t58 00300004138 ..- 26.71 5,366.64 07-10 DEPOSIT 00300007168 /2~7.63 I Otj ~ ORRS'IOWN BANK 0003 411 " ORR'liI11WN l'INN'i""'''NI^ "111 BfAT!H!"T or ACCOUNTS 000-113484 STAt!HINT '1"100 'itCH THROUOH II!LVIH9 EXXON AUTO RtPA1RS IHe HELVIN L DiaLER 9822 HOLLY PITCHER IINY SIIlPPEHSDURO PA 172~n-894J 1-01-91 PMB 1-1I-91 2 or 5 11 !HCLOIIURII BUnNieS RIOULAR clItclU no ACCOUnt ACCOUNT. 000-113494 o!posltsl CIIBc'sl DATI ACTIVny DESCRIPTIO" RP.ftREtICI CREDITS / DIDITS BALAHCI 01-10 OSPOSIT OOJOOOOll61 S61. 20/,,: 01-10 DlP081t 00300001140 1.429.15~ 01-10 0.1. c.'DIT 91].09 IALls'ArHT 970709 1524189943 01-10 CHIC' JI41 002000021U IS6.S0 01-10 ellIC' JI51 00200001959 I9J.21 07-10 ClIICK J15. 00200002391 14.00 01-1~ ellIC' JU9 00200001159 411. os:;::;' 12.50 8,491.14 01-1 DBP081t 00JOOO08J43 01-11 0.1. C'"DIT 15.00 8ALISPAt"T 910110 152419994J 01-11 ClIECK J146 00JOOOOOll2 255.29 01-11 elllC' JI49 00200000UO 49.95 01-11 elIBC' J150 00200001384 125.J9 01-11 ellIC' J160 002000015J. 91. 51 01-11 ellIC' Jl6J 00]00008238 /5J.26 8,109.43 01-14 O.B. C'"OIT 502.68 IALI9'AIHT 910711 1524199943 01-14 ellIC' 1I52 00100000946 205.00 01-1! elllc' JI54 001DDD01014 40.9J 01-1 ellIC' JU5 002000024U 110.00 07-1 cfllCK 3162 00100000795 3,117.90 07..14 ClIICJt JI64 00300000194 ~ 229.53 .,788.85 01-15 DlP081t DOJOOQOnU 1,111.94/ 07-15 0.1. C.IDIT 132.29 9ALISPAt"T 910114 1524199943 07-15 CHIC' J161 002000D3955 ID7.85 07-15 elllC' 3166 00]00002858 141.02 07-15 CHIC' 1I10 00JOOO02S4D / 37..09 4,879.11 01-)6 DIPO~1t 00300001915 531.52/ 01-18 0.1. C..OIT U.OO IALIS'''IHT 9107.5 1524189943 D7-)6 CHIC' J160 00200000261 /dll.ID 5,lU.S3 Dl-17 0.1, C"DIT 195.91 9ALISPAt"T 910116 1524109943 01-17 CHECK J16. 00100000141 /' 105.00 5,434.5D 07..U DEPOSIT 00300009985 I.JO..03.-/ 07-19 0.1. c,'DIT 1,2JJ.14 BAL!8PAYHT 970717 I o o (;~ ORRSTOWN BANK 000] 418 H H!LVJ"~ EIIOH ftUTO REPAIRS IHC HSLVI" I. DIOLEn 9822 HOLLY P lTell!R IIHf SlIJrPENsnUno PA 17;J51-894] STAtEMINT or ACCOUNT! 000-113484 STATEMI"T PERIOD rROM THRDUOlt 1-01-91 1-]1-91 0 '^Ol .J or 5 I fI II: .. ~ III \lo' N 1'1 N N Iii \ I \I ^ N I ^ I' ~ ~ I 11 IHeLOOUIUlO o BUIIMU8 REOULAR CnECllttrra "CCOUNT ACCOUNT_ 000-11l484 DEPOSlTsl Clllel9' DATI ACTIVITY DESCRIPTlotl nr:u,n.:Ncl CREDITS DEBITa BALAHCI 1524109943 07-18 elllCIt 3113 00300009903 35].26 01- 8 CHICK 3176 00300001560 34.65 1,665.36 01-21 0.1. e~IOIT 1l9.5] .AL.SPAtHT 910118 1524189943 01-21 Clllel 3169 00100003714 454.40 01-11 CIIICK 3111 00300101366 600.00 01-11 CHECK 3112 00200004121 40.00 01-11 CHlel 3114 00100004499 181.80 01-] CHICK 3115 00300006300 V 111.51 6.411.12 01-22 0.1. CREDIT 143.8 BALIBPAIHY 910121 1524189943 01-21 Clllel 3161 00100000118 V200.00 6,354.93 01-2] 0,1. e~IOIT 184.8 IALISPAIHt 910722 ..- - -- 1524189943 01-13 DIP CHlel ~IT rll 90010400001 ~) 6,49..77 01-23 OIP IUlT 90010600001 40.00 ," 07-24 0.1. CRIDIT 85.11. .- OALISPAYHT 910123 1524789943 01-24 CHICI 3178 00200002120 /,550.34 6,029.64 01-25 DlpOsn 00300000295 ~94.04 ......- 01-25 DEPOSIT 00300000281 18.65......- 01-25 OIFosn 00300000J11 1.041.307 01-25 OIPOOIT 00300000300 1,249.01 01-25 0.1. e~IOIT 209.19 8ALISPAYHT 910124 1524189943 01-25 elllel 3186 00300000325 400.00 01-25 elllel 3181 00300000113 351.26 01-25 CHlel 3188 00100006168 JJ2.50 8,056.15 01-28 olPOon 00300001101 1.816.93-/ 01-28 0.1. e~IOIT 153.30 OALISPAYHT 910125 1524189943 01-28 Clllel 3111 00200003564 181.04 01-28 Clllel 3193 00100000815 101.38 01-28 Clllel 3195 00100001820 / 30.00 01-28 ClII~ck 3192 0020(,002208 45.00 9,123.56 01-29 0.1. C~EDIT 19.35 SALISPAIHT 910128 1524189943 .oRld~ BANK 0003 419 H . II R R 'i , CI W N 1'1 N N lO Y I " II N I '" , , 1 ~ t BTATIHIHT or ACCOOHTB 000-II34B4 I IITAtI"IHT ,IIUDD fA,," THRooon 1-01-91 7-Jl-97 0 'AGI 4 or 5 000 tXXOM AUTO REPAIRS 1HC BIGLER 0000 * LY pnelllR liMY T1 EHCLOSURIIJ 8U"0 PA 112~1-B94] 0 - 26000 t :p001'3 I , , 4 050 t \CCOUHT ACCOUNT. 000-II34B4 69002 t DIPOS1TS' CUICIB' RtrlREMe! CREDITS DIBITS BALAHCI '9409'1 + 00200003630 590.00 1300^'1 t 002000036J1 16.90 00200000511 ~'B.02 8,911.99 70.0 '02' 6? t 9'13009 t 00200001091 ./ 51.00 00100000731 309.69 8,6:21.34 '5.00 t 216. S02.6fl I 00200001651 12B.09 8,T15.12 13'1' ?fl , 8,115.72 44.00 + CUICIt SUH""R! 195091 IIlDICATE! sUP 1" CItICIt HUHB!ItS t AMOUNT CtllCIe NO AHOUHT ,23J.111 l 35.00 Jl63 3!3.26 62.34 3164 229.U 1390'3 :; t 24.62 3165 105.00 61.00 3166 741.02 t 43061 t 50.00 Jl61 200.00 47.15 316B 111'10 16" . 0 4 t 51.44 3169 454. 0 191.01 3110 376.09 Jp.05 3111 600.00 US'21 t .' 3:26.- 3112 40.00 255.28 Jl13 353.26 2090'/9 t 186.80 3174 187.80 160.00 3115 111.57 153030 t 48.95 3116 34.6' 125.39 JIll 181.04 '19.35 t 193.27 3118 '50.34 205.00 3119 51.00 '/0' 04 40.83 3181- 590.00 110.00 3182 309.69 21604'/ 24.00 3183 107.38 t 349.20 3184 16.90 26, T1 3185 30.00 023 12.50 3186 400.00 B1.51 3181 3!3.26 5,:;920/1; r 101. 85 3188 332.50 1,117 .90 J190. 218.02 (.~ Ul{JZS"IOWN BANI< I 0003 II" M Ii , II "N 1'1 N N 1; , I \' ,\ N I ^ 1'!1 I JI,J " BTAt.KaftT or ACCOUNTS 000-113484 I . ITAUHINT 'ROIl 1-01-91 'Aal H_LVIHI ,.10" AUTO ftl'AIRS IHe HILVI" L BIOLIR 9822 HOLLY 'lTelllR Inn .IIIPPlN8BURO PA 1l2S7-BUJ IUIINI.' RlaULAR CH.eKING ACCOUNT 'RIVIOUB 0lrOBIT81 .tAT_HIHT '~LANC. CRlons 39 9,411.02 20,369.12 AC~UNTI 000-11J.0. Clllcul DI81T8 '7 J 27,289.86 IIIRVICI rus .00 DATI ACTIVITf DI8CRlrTIOH AlflRlNCI OEPOSITsl Clllc!sl CREDITS DI8ns 01-01 810lNNINO OALAHCI /' 01-02 OU08n 00JOOI07647 2,642.59/ 06-02 0.1. C~.DIT 56.50 IALIIPOI"T 9705JO 792 78994J 145.09 / 06-02 a,.. CRIDIT 8ALIIPAI"T 9705Jl 752 709943 01-02 DIP CIlIClt KIT ,.. 90010400002 3.00 06-02 DIP lilt 90010600001 '0.00 06-02 ClIIC! J070 OOJOOOO1744 14.2] 06-02 CHIC! J071 00200002563 15.01 06-0j ClIICK J074 00loOOO5816 /269.06 06-0 OII'OIIT 00JOOO04l65 469.20/, . 06-0 0.1. C~IDIT IOJ.51 IRLIIPRIHT 970602 7524709943 06-0] ClIIC! 294J 00JOOOO0707 J5.00 06-0J ClIIC! ]066 00200003556 72.S0 06-0J ctllCIt ]060 0020000329] 4.09 06-0J allCI ]069 0020000]290 15.00 DI-OJ CHIO 3012 00100000211 4.15 06-0 0.1. CRIOIT 90.JO'- 8RLIIPRtHT 97060J 7524769943 /OJ.25 06-04 CHICIt J065 0020000145J 06-0S OII'081T 00JOOOO0675 974.00 06-05 0... COIOIT 73.42....... IALIIPAINT 970604 752470994J 06-0S ClIICIt 3075 00200001070 34.S9 06-05 ClIIC! J071 00200002]J9 04.52 01-05 ClIICIt 3001 0030000J143 ......35J.26 06-06 0.1. CJIDIT 150.02 IALIB'AIHT 910605 7524709943 015-06 ClIICI J076 00100000109 61. 00 06-06 ClIICIt 3082 00JOOO02295 211.14 01-09 0.1. CRlOIT 15J.22'- IALI8PAIHT 970607 PlBlOO THROIJOH 1-]0-91 0 1 0' I al _"CLOSURIS o I"DI"O DAL""CI 2,494.88 BALMel 9,415.02 11,935.85 12,37&.19 12,30J.JZ 12,9S0.87 12,844.75 ORHS-,lf#N BANI( I 0001 384 " II R .. iii I II \.Po' N 1'1 N ~~ .. , I\''' N I i\ I'! I I ITATIKlHT or ACCOURT' 000-113484 I ~ r ~ I "ILVI"' IllOH AUTO RlPAJRS 1"0 HILVJH L BIOLER 9822 HOLLf 'nellr" ,"iff 1"I"1"18U"0 PA 17257-8943 ITATIHI"T 'H"" 6-01-91 PMI PlRIOD THIIOUOII 6-30-91 2 0' 5 o 86 IHCLOSUR&8 o IUII"II. QaULM: ClIICItIHQ ACCOUNT ACCOU"TI 000-113484 01P08IT8! CIIICH8! DATI ACTIVIT! DISCRJPTIOH RlrlRlHCI CRIDJTs D'UlTS BALMel 1524189943 06-09 CIlICH 3018 00200001603 1,028.01 06-09 CIlICH 3019 00200001119 lV' 200.00 11,169.96 06-10 0,1, CHIOIT 14.0 88L18P8&HT 910609 1!l4189 43 603.16-::/ 11,183.96 06-11 DlP081T 00100003254 06-11 DlpOUT 00100003261 1,121.12 .....- 06-11 0.1. CIIIDIT 583.19 88LI8P81HT 910610 1824189943 06-11 ClIICIt 3080 0020000llll 64.25 D6-11 CIlICll 3081 00200001188 / 1l8.86 14,099.52 06-12 0,1. CF1DIT 51l.1I 88LI8PAIHT 910611 1524189943 06-12 0lP081T OORRlCTIOH 00300004114 3.00 06-1l ClIICH 3084 00200001965 9,648.02 06-12 CIlICH 3081 00200000413 /' 25.00 4,936.21 06-1J 0lp08IT 00300001886 912.00/ 06-13 0.1. CHIOIT 49.00 88LI8P81HT 910612 1524189943 06-1J ClIICIt 3085 00200002231 20.40 06-1J ClIICIt 3092 00100003699 /353.26 5,583.55 06-16 0.1. CFIOIT 115.08 88LI8PHIHT 910613 183.81/" 1524189943 06-16 0,1. clIlOIT 88LI8P81HT 910614 1524189943 06-16 ClIICIl 3086 00200000469 40.81 05-16 ClIICIt 3090 00200001598 45.05 06-16 ClIICH 3091 00200001901 15.00 06-16 ClIICH 3093 00300004411 211.06 06-16 CIlICK 3112 00300100482 /358.99 5,lU.U 06-11 0lP08IT 00300002112 584.04 " 06-11 OlpOUT 00100002111 1,921.38/ 06-11 0.1. CRIOIT 143.50 88LI8P81HT 910616 1524189943 06-11 ClIICIt 3095 00100002351 915.11 06-17 CtfICIt 1109 00]00002331 ~ 376.09 7,115.19 06-18 0lP081T 00100003190 269. r- 08-18 OIPOIIIT 00300003195 785. (~ 01{RS~1 OWN l3ANK 1 0003 385 R " R R 'Iii , I) lA' N I" N N 'i \ I \" ^ N 1.\ I'! I I 8T~TIKlRT 0' ~COOURT8 000-IU484 I ITATIHI"T '"OM 6-01-97 PAGI 'ERIOD TII"OUOII 6-30-91 J or I o HlLVJN8 IllON AUTO RIPAIR8 tHe HILVIH L 810LIR 9822 HOLL! 'ITCIIIR Inn 8HIPPIROOURo P~ 17~57-8943 86 IHCLOSURJ:l!I a IU81NI88 RIOULM. elllelUNa ACCOUNT ACCOUNT I 000-113484 OIPOSITsl Clllc,ol o~n ACTIVITY DISCRIPTIOH narlRIHcl CRlo J T8 OlBIT8 BALANCI 08-18 0.1. CRIDIT UI.oy 8~LI8P~rHT 970617 15~4189943 06-18 ClIIC. 3080 00100001011 ~05.00 08-18 CIlIC' 3097 OO~000031 U 355.01 A... U ClIICK 3090 00200003540 24.00 06-18 CIlIC' liDO 0030000Ull 54.04 06-18 ClIICK 1I01 00100001079 1,910.70 06-18 CIlICK 1I00 00300004537 ~ 19.21 5,671. 77 08-19 0.1. CRIDIT 75. '~LI8P~rHT 970618 7524189943 05-19 CIlICK 3009 00200002~54 910.~3 05-19 ClIICK 3099 00300004138 85.00 08-j9 ClIICK 1I03 00100001197 64.00 05- 9 ClIICK 3104 00200001954 35.00 05-19 ClIICK 3105 00200001546 01.13 06-19 ClIICK 3107 00200003331 1,~14 11.~3 08-19 CIlIC. 3113 00200003361 50.00 4,504.05 08-~0 OIPOSlT 00300005050 08-20 OIP081T 0030000504~ I'-ill ;.ij}- 05-~0 a.l. CRIDIT 8~LIIP~rHT 970519 75~4189943 06-~0 CIlICK 3094 00200001541 ~05.00 05"20 CHICK 3095 00300000712 500.00 05-~0 ClIICK 1I05 0020000U22 94.57 a5-~a CIlICK 3110 00~00003409 385.03 05-~0 CIlICK 3115 00200001385 301.13 06-~0 CIlICK 3115 00300000095 I~ 119.75 06-20 CIlIC' 3118 00300005041 J53.25 5,011.41 06-23 olroSIT 00300000307 05-23 0.1. CRIOlT 125 8~Llop~rHT 970621 7524109943 2~ 06-23 0.1. CRIDlT 8~Llop~rHT 970620 1524189943 06-2] ClIICK 3102 00200002039 75.00 06-23 ClIICK 3111 00200003607 81. 95 06-2] CIlICK 3114 00200002015 51.80 oe-;u cnlelt 3117 00200002297 81.45 05-2i ClIICK 1I29 00300000305 12~ 400.00 5,805.91 06-2 0.1. CRIOlT 8ALI8P~rHT 970623 . ORI~-I ~W'N BANI< 0030 0003 396 N f) It It ~ I f) W N I' 1 N ~~ '\ Y I\" N I \ I 1 ~ I I 9TATEHKNT or ACCOUNTS 000-113494 STATEHENT PERIOD FROH THROUGH 6-01-97 6-3D-97 0 PACE 4 or !5 x HELVINS BXXON AUTO REPAIRS INC HBLVIN L DIGLER 9922 HOLLY PITCUBR III1Y SUIPPENSDURG PA 17257-9943 96 BNCLOSURES o BUSINESS REGULAR CIIBCJltWG ACCOUNT ACCOUNT. 00D-1134B4 ACTIVITY DBSCRIPTION REFERENCE DEPOS ITS / CIIECJltS/ DAT! CREDITS D!BITS 7524799943 06-24 C11!CJIt 3119 00100000460 64.41 06-24 C11!CJIt 3121 00100000461 99.74 06-24 CUECJIt 3124 00300002349 695.56 06-24 CHECJIt 3125 00200003B61 45.10 06-25 a.!. CREDIT 76.50 SALESPAYHT 970624 75247S9943 06-25 CHECJIt 3122 00200002079 161. 90 06-25 CIIECJIt 3123 00200001999 311.01 06-25 C1IECIt 3131 00300002076 163.60 06-26 a.!. CREDIT 174.39 SALESPAYHT 970625 7524789943 06-26 CHECJIt 3126 00100000913 319.00 06-26 CUBCIt 3129 00200001240 730.00 06-26 CHECIt 3132 00300003378 1,399.75 06-26 CUBCIt 3134 00300003366 337.65 06-27 DEP08IT 00300006734 1,679.46 06-27 a.!. CR!DIT 160.40 SAL!SPAYHT 970626 7524789943 06-27 CIIECJIt 3136 00300004719 353.26 06-30 a.B. CRBDIT 76.50 8ALBSPAYHT 970627 7524789943 06-30 a.B. CREDIT 82.51 SAL!SPAYHT 970628 7524789943 06-30 CIIBCJIt 3120 00200000543 291. 31 06-30 CIIBCIt 3130 00200000139 517.02 06-30 CHECIt 3133 00200003023 56.15 06-30 CIIECIt 3135 00200000966 149.39 06-30 BNDINa 91\L1INC! BI\LIINC! 5,035.06 4,475.15 1,863.14 3,349.74 2,494.89 2,494.98 CII!CIt SUHHARY · lIlDICIITES SJltIP IN CIIECIt NUH9!RS CIIECIt NO 2943 3065. 3066 3060. 3069 AMOUNT 35.00 83.25 72.90 4.89 15.00 CHECJIt NO 3070 3071 3072 3074. 3075 MOUNT 14.23 15.06 4.76 269.06 34.89 l. / < I () 7 ch~ 0030 0003 387 N OI~SlDWN BANK II It R S I " II' N . 1'1 N N S \ I "\ N I ,\ I , ~I I STATEMENT or ACCOUNTS 000-113484 X STATEMENT PERIOD f)00 rROM THROUGH 0'00 6-01-97 6-30-97 0 * PAG! 5 or 5 :XON AUTO REPAIRS INC IIGLER . PITCIIER HllY 86 ENCLOSURES 56.50 t IRG PA 17257-8943 1 ~ 5.09 I. 0 103' 51 + 90.30 t 73. 42 t 150.02 t 153.22 t :COUNT ACCOUNT, 000-113484 14' 00 t CIIECK SUMMARY 503. 19 t lNDICATES SKIP IN CHECK NUMBERS 512.71 t AMOUllT CIIECK NO AMOUNT 49.00 61. 00 3106 81.73 t 84.52 3107 17.23 175.08 I 1,028.01 3100 19.21 200.00 3109 376.09 703.01 t 64.25 3110 386.03 353.26 3111 81.95 143.50 ~ 211.14 3112 350.99 131 .01 120.06 3113 50.00 t 9,640.02 3114 57.80 . 76.27 + 20.40 3115 301.13 40.01 3116 179.76 123.09 t 25.00 3117 81.45 126.17 + 205.00 3110 353.26 910.23 3119 64.41 2~5.01 + 45.05 3120 291.31 75.00 3121 99.74 123.96 I. 353.26 3122 161.00 76.50 271.06 3123 311.01 + 286.00 3124 605.56 174.39 t 915.17 3125 45.10 600.00 3126 319.00 160.40 t 355.01 3120. 730.00 76.50 24.00 3129 400.00 t 05.00 3130 517.02 02.51 t 54.04 3131 163.60 1,970.78 3132 1,399.75 025 75.00 3133 56.15 64.00 3134 337.65 ~.437'24 .j; 35.00 3135 149.39 94.67 3136 353.26 70 TOTAL AMOUNT or CHECKS 27,261.86 OCIlOOLS OUT - LET'S GO ON II VIICIITION SIGN UP FOR II VIICIITIOll CLUB SIIVINGS ACCOUNT TODAY CALL Tl!:LEPIIOllE OANKING TOLL FREE 1-000-588-3092. , /0< ~ Ol'(j~lDWN HANK o ')OOl 392 " U""!IIlllWN rINN~'I\lI\NI^ I'!~" STATEHENT or ACCOUNTS 000-113484 8TATIHINT PBRIOD 'floH nlROUOII '-01-91 '-31-91 0 rACI 1 or 5 IIILVUlS IUON AUTO RIPAIRS tHe "ILY-I<< L 0 tOLER 9822 HOLLY rlTCIll'R ItHI SHIPPBHSBURO PA 11251-9943 11 INCLOSURES 8UIUNI88 RIOUL1\R CIIECItlNO ACCOUflT ACCOUNT, 000-113484 PRIVIOUS DEPoSItS/ CII.CM' SIRVICE INOINO 8TATIHI"1 BAL"HCI CRIDITS 48 DIBITS 56 FI18 BALAHCI 6,263.21 18,925.56 15,173.15 .00 9,415.02 OATS ACTIVITY DISCRIPTlOtl REFERENCE DEPOSITS' CII.CkS' CRIOITS DIOITS BAUNel 05-01 810lNNINO BALANCI ..~il.05 6,253.21 05-01 DEPOSIT 00200004422 0'-01 DEP09IT 00200004425 h115.16 0'-01 0.1. CRIDlt JAO.08 8ALI9PAIHT 910430 1524189943 DS-OI ClIlCk 30Dt 00200005069 116.32 05-01 ClIlCk 3009 00100006071 45.95 05-01 ClllCk JOl! 00100000265 215.15 0'-01 C11ICk 3016 00200004421 400.00 1,389.08 0.-02 0lP09IT 00300003244 643.12 0'-02 DlP09IT 00300003254 ...1-; 188.80 05-02 0.1. CRIDIT 162.84 SALISPAIHT 970501 7524789943 0'-02 CHICK 3014 00300003245 100.00 0'-02 ClIICIt 3018 00200003915 141.81 0'-02 CIIICK 3019 00200000111 44.42 0'-02 Clllel 3022 00300000401 241.56 05-02 CHICK 302J 0030000J238 353.26 9,497.39 05-05 DIPOS IT 00300005164 313.00 05-0' DEP09IT 00300005710 801.42 0'-0. a.E. CI'IOlt 12.37 BALI8PArHT 910502 1524189943 05-05 a.E. cnOIT 142.42 8ALISPAIHT 910503 1524189943 05-05 ClllCk 3015 00200004026 93.69 05-05 ClllCk 3020 00200000834 200.00 05-0. ClllCk 3021 00200002186 84.40 9,514.51 05-06 a... ~IDIT IIJ.10 8ALI9PAIHT 910505 1524789943 05-06 CfllCK 3029 00100001313 205.00 9,423.21 05-07 O.E. ~PIDIT 45.50 8ALISPA1HT 970506 7524789943 05-01 CIICIt 3028 00200002404 50.50 05-01 CIIECK 3035 00300004469 61. 44 , I o ~ OkRSTOWN BANK O' lOOJ J9J H nRR,rOWN "INNlliYII/AN'^ IJ111 ST1tTEHBHT or ACCOUNTS 000-113484 K 6 f 8TAtEHE"T rROH 5-01-91 PAOI PIRIOD TIIROU<JH 5-31-97 2 or ! o HELVINS IIIOH AUTO REPAIRS tHe HILVIN L BIOLIR 98~2 HOLLr PITCIIER 1Ill, SHIPPI~98URO PA 17251-9943 17 INCLOSURIS o BUIINISS REOULAR CIlICftINO AcCOur'T ACCOUNT I 000-113484 ACTIVITY DISCRIPTI~" REfERINCI DIPOSlTsl CUICKsl DIITI CREDITS DEBITS BALANC! 05-01 CIIICK JOJ1 OD20000244S 95.12 9,261.05 05-08 DEPOSIT 00JOOO0618S 35J.84 05-08 DlroS IT 00JOOO06182 446.16 05-08 DIPOSIT 00300006114- 550.65 05-08 0.1. CRftDIT 189.43 811.I8Pl\IHT 910501 15~478994J 05-0B ClIICK JO~5 00200003096 24.00 05-08 ClIICK JO~l 00~00001161 12.50 05-08 CIIICIt JOJ2 00~0000J669 135.61 05-08 ClIICK 3033 0020000~623 4B.80 05-08 ClIICK 3034 00200002100 200.00 05-08 ClIICK 3036 00200002535 9J.23 05-0B CHIC. 30J8 0010000032B 1,931.36 05-0B ClIIC. 3041 00200001681 38.44 OS-08 CHIC. 3044 00300006151 353.26 1,963.93 05-09 D.I. CRIDIT 99.18 8I1LISPII'HT 91050B 1524789943 D5-09 ClIIC. 3011 00100000J59 61.00 05-09 ClllCk 3039 00300005149 600,00 1,402.11 05-12 DlroSIT 00JOOO03128 Bl4.69 05-12 DEPOSIT 00300003114 1,919.81 05-12 0.1. C~IDIT 11.50 ~ SIILI8PIIIHT 910509 1524789943 05-12 D.I. CRIOIT 114.83 IIILIIPArHT 910510 15247B9943 OS-12 ClIIC. 3030 00200005151 162.1B 05-12 ClIIC. 30Jl 00200003289 8.15 05-12 ClIIC. 3040 00200000251 400.95 05-12 ClIIC. 3043 0030000B296 215.00 D5-12 CHIC. 3049 00JOOO03113 686.28 8,916.38 05-13 D.I. CRIDIT 10.50 IIILlsPllrHT 910512 1524789943 05-lJ Clllc. 3026 00100001109 40.34 05-lJ CHICK 3045 00100000171 180.00 B,106.54 05-14 D.I. CRIOIT 122.62 IIILIBPArHT 910513 1524189941 8,829,18 05-11 Go.. CR.DIT 31.70 8ALISPAIHT 910514 1524789943 , /0< {~ OI~~~1 OWN BANK o 0001 394 H II A R Ii , II W N, r INN 'i , I. II ^ N I ^ I 1 ] I .. STATEHIHT or ACCOUNTS 000-113484 8TATEHI"T .PIRIOD FRO" TIIROUalt 5-01-91 5-31-91 0 PAOI 3 or 5 HELVIHS IXXON nuro RlrAIRS IHe HELVIH I. DIGLER 9822 HOLtl PITCIIER IIWY 8~IPP!NS8URa rA 11257-8943 71 INCLOSURES BUSINISS RlauUt.R CII!C~INC ACCOUNT ACCOUNT I 000-113484 ACTIVITY DEPOSITS/ CU!CE8/ DATa DESCRIPTION REFERENCI CRIOITS DEDITS BALANCE 05-15 CHIC! 3046 00100000381 863.00 8,001.86 05-16 OIPOSIt 00300005511 441.16 05-16 DEPOSIT 00300005533 518.53 05-16 DlPOSlT 00lOOO05539 520.20 05-16 DIPOSIT 00300005526 841.33 05-16 a.l. C~IDIT 51.94 SALISPA'HT 910515 15H189943 05-16 CHSC! 304" 00100000663 200.00 05-16 CHIC! 3040 00200002344 242.40 05-16 ClIEC! J05: 00300005549 316.09 05-16 CIIEC! 3054 00300005410 353.26 9,215.37 05-19 O.E. ~IDIT 102.50 SALESPAIHT 910516 15H189943 05-19 0.1. CRIDIT 114.06 IALISP"IHT 910517 1524789943 05-19 CI'Ea 3024 00200001667 400.00 05-19 alBCIt J041 00200003080 410.00 05-19 ClIEC! 3050 00200001989 1,105.95 05-19 CIIEC! 3053 00100003109 69.80 05-19 CIIICK J055 00300003143 189.26 1,196.92 05-20 O.E. ~EOIT 15.19 HALIHPAtHT 910519 1524189943 1,272.71 05-21 DIPOSlT 00300001619 264.31 05-21 OIPOSIT 00300002640 149.93 05-21 DEPOSit 00300002624 991.11 05-21 a.~. C~IDIT 106.22 SftLISPAIHT 910520 1524189943 05-21 CHIC! 3056 00200000094 543.41 8,841.41 05-22 a.E. CREDIT 109.82 8ftLISPAIHT 910521 1524189943 05-22 CHIC! 3051 00100000119 116.09 8,841.20 05-23 DEPOSit 00300002242 531.20 05-23 0.1. ~EOIT 105.40 8ftLI8PAYHT 910522 1514189943 O!l-:U CIIICK 30S, 00300002149 353.215 9,130.54 O!l-21 G._. C~IDIT 9..89 8ftLESPAIHT 910526 1!12478994J '. ., ...,I 'JI..'. . ''I, . l' '~'~;' " t..... ..t. , o . I ',. c, Jt')fiti7N~.n(\NK "" R '\ III \to N 1'1 ~t ~., , I \, " '4 I" .', I I C' unnl ]9& " "fIlUMI"' ur Ar.COUNTI flflO-11I484 IITUIHI"T ""uuo "U)14 1111'OUOII 1.01-" 1-'1-" rAQ. , or S HlloVltt" Illott "uto "KrAl,tI. IHt! HILYlIl I. n 10LIR 9812 HOLLY rlll'II'R ""1 IIIIPrINlnllfU) '1\ I J2,\1-1I'4] 11 IHCI.OrttJR.III IU81"1811 RIOULAR CIlICUPlC M:'t.:'OUliT PUll'1( IIUtIHMlJ . 1"1111'11,111'1 fI,,-IP Ifl l'Ur.n, .1lIUh,ml M'f'OlltlTI 000-II34ft4 Cllleft HO 20ll 2018 J311g 20 I 20 2 20 J 13 5 io 6 Iou 048 049 ala ]052' TOTAL "UHliR or CIIKC,UI AHOUltf 95./2 1,911.J6 600.00 400.95 10.44 100.00 115.00 15.1.26 80.00 63.00 1/0.00 41.40 86.28 I, lOS' 9~ /6.0' 15 I:llln t1lJ 051 054 055 016 05/ 050 059 060 061 06 1061 1164 06/' on. TnT "'I. NtnUHT or CIlICJtI'l AHOUNT 69.80 25].26 189.26 543.41 116.09 292.12 643.22 65.60 31.95 H J. 26 242.04 106.89 400.00 H2.29 15,131.21 HIIIII TU AIJU "(InK 'UlOt" TIn ^ lIuMI IOUlty Lltll ur ".."on IIIUK c1,I'UItON" II,..HI( CALL '12-6114 ron 11," AN'nl"THINT NIlII ,nun PllnI'lOHM. "ANltIR. cM.L 1a1..I'lIoHI nA",ntHl TUI,I. rUI l-nOO~"Rn"J09;-. I o o 0RRSrl ctVV'N BANK J OODl ]91 " 91ftT!H!"T or ~CcoUHtS 000-113484 BTATEH!"T PERIOD rROH TUROUGII 4-01-91 4-10-91 0 PAG! 1 or 5 n R R Ii lOW N I' 1, N N " ) I v ^ tl I ^ I J 'I I HELVI"~ EXXON AUTO REPAlns tHe KELVIN L DIOL!n 9822 HOLLY PITCIIEn lUff SIIIrPlN8DURO PA 11257-8943 80 INCLOSURES BUSIHISS REOULAR ClIICUNO AccaUUT ACCOUtlT. 000-1114B4 PRIVIOUS DEPOSITSI CIOICKsl SERVICE INDtllO STATIHINT BALANCE CREDITS 41 DEOIT9 59 rEES BALANC! 12,999.96 18,110.15 24,901.50 .00 6,263.21 ACTIVITY DESCRIPTIO" REFERENCE OErOSITS/ CIOICK./ DATI cRIDITS DEons BALAUCE 04-01 BIOINNING nALANC! 4ty60 12,999.96 04-01 o.!. CRIDIT .ALlsr"rHT 910331 15Z41B9941 1],039.96 04-0Z DIPOSIT 00600001136 1,1~.Zl 04-01 0.1. CRIDIT I~ll 8ALISPAIHT 910401 7524189943 04-01 CIIICIt Z945 00BOOOOl16B 551.05 04-01 CIOICK Z95B 00900005660 ZLH 04-02 CHICK 2961 00800001414 v1:00 210.00 13,493.05 04-01 0... C~IOIT 8ALIBPAIHT 91040Z "Z4189941 04-01 C1IICK Z951 00ZOOOO0515 165.00 04-01 CIIICK 2959 00200003784 1~55 10.10 13,459.95 04-0 DlroSIT 00100001B96 0:-01 DIFOSIT 00100003904 ~9.01 o -01 DlroSIT 003000038B1 YZ6.0B 04-04 0.1. C~IOIT 5rlZ BftLISPftlHT 970403 15Z41B9941 04 -01 C1IICK Z9lJ 00300009 U5 600.00 04-01 CIIICK Z954 00ZOOOOJZ69 IB5.n 04-04 CIIIClt Z955 0010000001l 61.00 04-04 C1IICK Z963 001000091 ZZ 600.00 04-04 CIIICK Z964 00300003886 316.09 04-04 CIIICK Z961 00100001B50 .6ii.50 353.Z6 13,699.11 04-01 DIPOSIT 00400004916 04-07 DEPOSIT 00400004911 /'19.36 04-01 0.1. C~EDIT p.50 BftLISPftlHT 910406 15Z4189941 Z9ZJI 04-01 a.E. C~EDIT BftLIBPA1HT 970404 7524109943 04-01 elllCft 29515 00200000436 550.00 04-07 CHICK 2960 00200002440 14 5.68 04-01 CHECK Z966 00300001911 751 121.91 13,991.09 04-0B O.E. CREDIT . . . o 01{J~ST(~~N'B^NJ( OOOl l'2 " II . . " I II "" I' I ~oI'~ .. \ I \ ... ,. I'" I I .' II 8TI\1P.HI"T or ACCOUNTS 000-l1l484 ST~TEHtHT rERtOD '~OH TItROUOH 4-01-" 4-l0-" 0 PAGE 2 or 5 x , t r , "11.v1ll1l .lIott AUto ,u!r^lntl tHe H.LVII' I. II 1 UI.r.'1 9012 HUI...Y 1'llt'lIrn IIwr IIll1rrp.H""lm'l pft I '2"~,,qU 80 ENCLOSURES o IIU81"11I1I ""OUI.II;" c'lI,r..IHII M:t'OllflT ACCOUNT, 000-II34B4 OErOS ITS/ ellEexs/ O~tx ActIVITY IJlUW,urrllUl "U,,""IICII CRIO ITS DEBITS DI\LMICE I~Lt.~~I"l "040' 1&1 , ... 1"':80 02-01 ClII"X 2U'" nn,nnno. HI 10'.10 13,835.40 o -a 0.1. ellolT UH"'&"l "0411" 11 "' 4 ora' clllex 19U 1I1l10000001' 45l.10 o -0' Clllex I" I 00100001 lJ9 2'5.50 o -09 clllel 1916 0010000"08 05 1l'.01 o ..y& t"tllrft :llIU oOlonOOO2B, 205.00 12,885.51 o - 0.1. CllOIT mmcm '11140' 0 - 0 clllex 1'6' 01l10000001l 24.00 0 o clllex 2'1'1) OOloooolon 10.'0 0 ... 0 cUle" 19'1 001000016l' 45.34 0 - 0 Clllex 191 001000021 I 113.'1 0 o CIIIl'X nn UU2uUUU0109 4'.3' 0 o l'Ulc.. UU20UOUJOJ4 25.00 0 o (~IIII:fl l"" OU10U0(292) l12 .B' 0 o ClIlelll 9no 00lUOOO0966 2.246.50 0 J l11lel ""I (0)00001090 ...-fiO.21 52.36 10,021.J3 0 CI~'IIT UOJUOOO91501 g I Ulp 00)UUU09610 ,4.6..0 0' )11 t 00JOOO09590 /114.24 o - a. . CPlUIT 8)<'21 ':It''~I~J 9'0410 ~gll clIlex 19n~ 00200001154 ".60 CIIICK 190n OU)00009600 6'5.31 clflr:1It ~no on)00009]09 J2YB 353.26 10,719.66 o I. cnolT I~Lt"'AI"T "0411 1'1 119941 6~y-46 04-14 o.~. c..nIT ,: t'lC&~J "0411 or j clIlex 1960 00200005620 200.00 g - elllel J9I' 00200004101 B5.00 - clIICX .n6 002000020lB 428.35 o ~ ClIlCK 290 I 00200004296 58.55 o - (,.t1.(~.-: 2991 OOlOOO02344 263}6 245.28 10,162.52 o - . Q t. cl'lnlT I~ Ilr'I"T 910414 1'1411"43 ~ OI{J~~1 OWN I3ANI( 000] ]9) " HELVIHa EXXON ~UTO RsrAlns IHC HILVIII I. BIOL!R 9822 HOLLT PIICIISR III/T 81l1PPENSBUltO FA 11251-8943 STATEH!NT or ACCOUNTS 000- I U484 STAtEHEHT PERIOD FROM II1ROUOII 4-01-97 4-10-97 0 PAOI 3 or 5 I i OItR~'C1WN I.I:NN....'V^NI^ IJ14. - 80 !NCLOSUR!S o BUSIH!SS RIOULI\R CIIICIUUO ACCOlmr ACCOUNT I 000-113484 DEPOSITS/ ClIscksl OAT! ACTIVITY DESCRIPTION nr.nRIHCI CREDITS DEBITS BALnUC! 04-15 ClIsc, 29S1 00100001005 / 16.74 11,009.34 , 04-16 DlPOSIT 001000020S1 660.22........ 0:-16 DIPOSIT 00300002858 1.239.16 o -16 a.E. C~!DIT 2p.02 SALISPATHT 970415 7S24709943 04-16 ClIICK 2946 0020000 II I 5 95.00 04-16 ClIIC, 2989 00200002547 IJ'- 8 I 45.95 13,003.59 04-17 0.1. CRIOIT SALIS PAT liT 970416 7524709941 04-17 ClIIC. 2971 00200001411 ~l 141.00 0:-17 Cilia: H92 00100000541 420.00 12.541.40 o -18 0.1. COIDIT SALISPATHT 970417 1524799943 04-18 ClIECK 2994 00200002167 155.00 04-18 CIIICK 2998 00300002651 305.49 12,415.24 04-1I DEPOSIT 001000034S0 ..A19.08 04-21 DEPOSIT 00100003454 .....243.66 04-21 DEPOSIT 00100003445 ....S2.66 04-1I 0.1. COSOIT . ~.84 SALISPATHT 970410 7.24709941 5.0 04-21 0.1. CPIDIT IALISPAJHT 910419 1524189943 01"1I Cltlel 2993 00200004544 4~ 228.00 0-1I CIIECK 2999 00100003412 343.26 13,175.16 o -22 a.!. CREDIT SALISP^'"T 970421 7524709943 04-22 CHICK 2996 00200000596 58.05 01-22 CHECK 2997 00200001500 .....-f20.05 9,811.68 1,640.07 o -23 DEPOSIT 00100001152 04-23 DEPOSIT 00100001146 ::1S6.5O 0:-23 DIPOSIT 00100002171 ;;.-' 55.38 o -23 DEpOSIT 00300002159 ..........2,189.00 04-23 a.Bw C~EDlT 10Y-06 SALISP~rHT 970422 ,.247S9943 01"2) ClIIC, 2995 00100000011 374.00 0.2 CIIICK JOOO 00200000194 10~ 65).40 o -23 ClIICK 1003 00300001145 77.16 5,959.18 04-24 0.1. COIOIT (h~ OOOl ,.4 " OI{J~-1 OWN l3ANK n l Rill' II \\' N '" NN"i'1 V^NI^ If'll 8T~TEHI"T or ACCOUNTS 000-113484 I RT~Tr;H!"T PEAlOO rROM TllftOUOII 4-01-97 4-30-97 0 000 rl\OIf 4 or 5 0-00 t IXXON AUTO nEPl\lnS IHe BIOLER U rITt"Il!R UHY no ENCLOSURES BURO PH 17257-0943 0 110' 110 I - 101 -?? ~ 14?,'lJO 51 - 12 I ACCOUNT I\CcOUNTI 000-113404 73-50 ~ OErOSITS' ellEe~s' n!FERENCJI: CREDITS DEBITA nM.A"er. 292-?'1 5 I - 5 I 00200001165 /199.15 61.1] 6,095.40 00300001965 142-80 003000019H /433.53 I V': 49 36-25 IJ 7 .;~ I ~ 0020000llJ! 210.11 00200003202 203.07 325-53 00300001919 243.69 ~ 0030000195:2 Ao.24 25].26 5,964.19 00300009920 674-46 ~ 1I~4 263'56 12~9 227-82 102 - 0 1 I 00200003697 0 695.05 00200003940 62.50 6,150.60 332 - 33 64-84 + 00200001209 50 52.00 00100000419 11.90 6,204.18 551 - 74 t 400-61J I 6.263.21 6,263.21 103-06 lll7 - 15 I tllttlt SUH"^"r IIIOrCI\T!8 SUP IN cn!clt NUHD!RS 1 17 - 49 t AHOUHT ClIECIt NO I\HOUNT 600.00 2959 10.10 I 18 - 64 + 551.05 2960 14 5.60 95.00 2961 210.00 124-49 + 16.74 _ H62__ . .-- -'.--m:~g 105.21 2963 177 - 46 I 61.00 2964 316.09 550.00 2965 109.20 59-03 ~ 165.00 2966 123.97 21.J! 2961 353.26 026 4.611 fl - 9/& t . UI{Jt\1 t5VV'N BANK ) oo~] J9~ " II If U " I II \\ N I' I rj N Ii \ I V \ ,~ 1.\ I I ' I I 8TI\Tr.H!HT or ~CCOU"T8 000-113484 STAT!nENT PEn toO rnOH TIIROUOIl ]-01-91 3-]1-97 ~ J:; I x o , PAGI or 5 Htl.vlll!l EUON I\UTO REPl\ln!i life H!LVI" I. DIGLER 9822 HOLLY PIT"II!R IIWY SIIIrrEHSDuno P7t 17251-8943 91 ENCLOSURES o BUS1H!!IS PEOULI\R CIIECKlNG I\CCOUUT I\CCOUtlTI 000-113404 pnEVloUS DEPOSltn! CIIECI(S/ SERVICE IUDUlO STATEHENT BALANC! CREDITS 50 OEnlTS 51 nEB BALANCE 1!S,231.16 22,902.23 25,134 .OJ .00 12,999.96 "CTIVITY DII:8CRIPTIOII DEI'OSITS/ ellEeK'1 DATI nErF-nEtlc! cnr.u nlJ DP.D ITS BALANcE Ol-Ol DEOIHNltlO' BALMier. 15,231.16 Ol-OJ o:.!. CIlEOlT 162.89 SALESPAYHT 970301 152418994l OJ-OJ 0.1. CIlEDIT 492.J9u SALISPAYHT 910228 1524189943 OJ-OJ CHICK 2890 00200002559 10.00 OJ-OJ CIIICK 2891 00200002512 410.00 OJ-OJ ClIleK 2896 0020000J50J 9 I. 90 OJ-03 CIIICIt 2891 00JOOO08692 211.52 15,103.62 OJ-04 0.1. CREDIT 2ll.04 8^LI8P^VHT 910JOJ 152418994l Ol-04 Cllle" 2891 0020000)006 100.00 Ol-04 clIEe,. 2894 00200002611 56.J5 IS, 090.31 Ol-05 DEPOSIT 00300000912 515.01 Ol-05 DEPOSIT 00JOOOO0984 600.14 Ol-05 DEPOSIT 00100000993 810.0l Ol-05 DEPOSIT 00)00000971 951.14 03-05 a.E. C~EDIT 101. Jl SftLISPftlHT 970J04 152418994l Ol-05 C1IBC" 109l 00200001214 1,500.00 Ol-05 CHIC,. 2999 00JOOOOI003 400.00 16,114.16 Ol-06 OErOSIT 00JOOO03459 1,401.29 Ol-06 a.E. C~EDIT 60.1J S~LISPftYflT 910305 752418994J Ol-06 CIIICIt 2900 00200001296 10,505.35 1,130.2) Ol-01 DEPOSIT OO.loU)OOO21 194.20 OJ-07 a.p.. c(lr.nlT ]01.15 8~LISPftYHT 970]06 7524199941 Ol-01 ellIC,. 2905 00lOOO02642 l5l.26 Ol-01 CII!CK 2906 OOlUOIOOO)o 316.U9 OJ-01 ellleR :1901 00JOOI0U040 600.8J 6,821.48 OJ-IO 0.'. cpr.nlT 241. JA S^LESrAYHT 910300 152418994] , lH-L~ _ OI{J~S'1 OWN BANK . 0001 ]96 " liNN 0;, I II \~ '" I' INN ~ \ , 1'\ N I ,\ I I . , I HELVIUS EXXO" AUTO np;pl\lnS I~C HELVIII L DIOLER 9822 HOLLY PITCIl!n lIWY SllIPPEtlSnUnO PA 11257-8943 STkTlHINT or kCCOUHTS 000-111484 8T~rEHIHT PERIOD rnoK THROUOII 3-01-91 3-31-91 0 rAG! 2 or 5 x el ENCLOSURES o BUSU~!SS REGULAR CIIECP.:IHO ACCOUIIT I\CCOUIlYI 000-113484 DErOSlTsl CIIEcr;s/ DATI ACTIVITY DESCRIPtION nr.rEnr.rrC! CREDITS DEOITS OI\Ll\fIC! 03-10 O.E. CBEDIT 362.52 81\LISPl\YHT 970307 1524189943 03-JO CIIECK 2901 00100000243 250.52 03-10 CIIICK 2904 00300000254 297. 15 6,814.91 03-11 DlPoSIT 00300001544 3J5.01 03..J1 DEPOSIT 00300001548 385.00 OJ-II OEro'lT 00300001536 1,503.40 OJ-II 0.1. CREDIT 141. 6D 8ALESPArHT 910JID 7524189943 D3-11 CHICK 290J 0020000IJ19 59.40 9,lBO.52 DJ-12 O.!. CntDn 419.81 SALISPAIHT 910311 152418994J OJ-12 CIIECk 2902 002000D2680 88J.92 03-12 CUICIt 2909 00100000965 205.00 03-12 CHICK 2915 00300006151 15.63 OJ-12 cnlCK 2922 002000038J5 91. 48 03-12 CHICIt 2921 00300003412 600.00 7,804.30 03-IJ DEPOSIT 00300000795 2JI.41 OJ-IJ DEPOSIT 00300000797 521.J5 03-IJ O.E. C~EDIT 158.26 8fttISP~tHT 970312 152418994J 03-IJ CUKcp:, 2911 00200000336 236.54 OJ-IJ CIIKCk 29J2 00200003321 12.50 OJ-IJ CIIECk 2914 00200002825 25.00 03-1J ClIECK 2911 00200002881 200.00 OJ-IJ ctlECK 2918 OOIOOOOOJOJ 440.00 03-IJ ClIECK 2920 00300001030 35.00 O]-IJ CUICK 2923 00200002194 24.00 03-IJ CI/ECK 2924 00100000696 10B.00 1,634.28 03-14 DEPOSIT 00JOOOOO248 J95.6] OJ-14 O.E. CBtOIT 65.00 8ALESPArHT 910JIJ 152418994J 03-14 ClIICK 290B 00200003095 15.00 03-14 CI/ECK 291J 0020000J604 56.15 03-14 CIIICK 2921 00300001256 101.61 OJ-14 CI/ECK 29Jl 00JOOO08255 J5J.26 7,508.23 03-17 DEPOSIT 00300001665 604.4J OJ-17 DEPOSIT 003000016S5 1.2J6.lJ OJ-11 a.E. CBEDIT 41. 61 8^LESPAtHT 970314 OI{RS-' c5#N uAf\JK 0001 ]91 H II Ii Ii II; , It \\ N 1'1 N N ... \ , \' .\ N ,"\ I I' I I III LV IffS Euau AUTO R!pn I AS lIIe HELVIU 1. DIGLER 9022 HOLLY PlTe,,!" Ilwr 8HlrPENSDuna r^ 11251~894] STATEHENT or ACCOUNTS 000-1114"4 STATEMENT PERIOD 'nOM TIIROUOII 1-01-91 J-JI-91 0 PAG! J or S x B 1 ENCLOSURES o BUSINESS REGULAR CIIECIUIIO nCCOU,IT ACCOUNT I OOQ-I1J404 OErOSITS/ CIIEC~S/ DATI ACTIVITY DESCRIPTION nr.rERF."cr. CREDITS DEBITS BALANC! 152410994J OJ-11 0.1. CREDIT 99.26 8^LISPAYHT 910315 1524189943 03-17 CIIICIlt 2910 0010000064J 61. 00 OJ-Il CIIECK 2916 00100001460 1,630.88 OJ-11 CIIEC~ 2919 0020000J22J 191.15 DJ-11 C1IEC~ 2925 002000022JJ 4JJ.99 OJ-11 CIIEC~ 2929 00100000J56 1J2.45 OJ -11 C1IEC~ 29J2 00JOOO04240 140.16 6,895.49 OJ-19 a.E. CDEDIT 41.64 SAL!SPAYHt 910317 1024199941 OJ-19 ClIlCJlt 2926 002000010J9 J94.61 aJ-19 CIIEel{ 2929 00200004538 15.60 6.412.96 03-19 DEPOSIT 00300005105 J60.56 OJ-19 DEPOSIT 00300005698 122.09 OJ-19 a.E. CDEOIT 904.49 "ALESPAYHT 910JI9 152419994J OJ-19 C1IEC~ 29JO 00200003255 129.95 8,230.14 03-20 0.1. CREDIT 94.50 "ALE9PAYHT 910JI9 1524199941 OJ-2D C1IEC~ 2914 00200001241 99.25 03-20 ClIlCIl 2936 00200002360 114.00 0]-20 ClIBCK 2939 00300003335 266.96 1,194.53 OJ-21 DEPOSIT 00JOOO05210 691.45 OJ-21 DEPOSIT 00300005202 996.22 OJ-21 a.E. CREDIT 106.40 "ALESPAYHT 910J20 7524199941 OJ-21 CHEC~ 2940 00JOOO05122 J5J.26 9,225.J4 OJ-24 a.E. CREDIT 69.36 SALESPAYHT 970J22 752419994J OJ-24 o.!:. CREDIT 22J.12 "ALISPAYHT 970J21 1524799941 OJ-24 C1IEC~ 29J5 0020000259J 229.29 9,289.73 OJ-25 a.E. CDEOIT 79.96 IALrSPAJHT 970324 7524789943 OJ-25 CHECK 29J9 00200001951 51. 20 9,J19.49 03-26 O.B. CREDIT 96.50 OI<R~'1 O~N 13ANI( 0001 198 " II If H .. 1 II \\ N 1'1 N 14 " \ I \ .\ PI I" I!' I I BTATEHl!tlT or I\cCOUHT8 000-113484 81ftT!"I"T PERIOD nOH TtlROUOII J-01-97 J-]1-91 0 PM1E 4 or S HEr.VIIIS Ena" I\UTO nP:PMRR IHe H~LVIII t DIGLEn .aLLY PITCH!R IINf :N88URG PA 11251-89-13 B 1 INCLOSURES 000 0 0-00 * 162-R9 + 10 l\CCOUIlT ACcoUNTI 000-113484 492'39 + OErOSITS/ CIIEC.S/ [on nHEREllC! C:RP:OITS DEBITS BALANCE 233'04 + 101 - 33 + 9.414.99 263.95 60 - 1 3 + 9,61B.94 301-15 00300009911 321.43 + 00300009883 352.81 241- 18 00300009888 641.20 + 00300009901 1,153. J4 238.14 362-52 + 141 -60 + 11 00200003222 200.00 II 00100000306 210.95 419' 81 + 42 00100000145 40.34 44 00200000280 19.20 158'26 + 41 00200003435 62.50 51 00300009059 353.26 11,991.71 65-00 + 00]00102821 421.56 00300102B12 B11.16 305.5S 4 I - 61 + 89-26 + 308.61 41-64 + 4B 00200002599 38.95 004'48 + 49 00200004868 154.99 50 00]00004646 251.41 94-50 + 52 00300102911 400.00 12,999.96 J2. 999.96 106-40 + 69-36 cHEel{ SUHHAny + . ItIDICl\TES SKIP HI CIIECK rlUHnr.ns 223'32 + I\HOUUT CIIEer: tlD ~HOU"r 10.00 ( 2900 10,505.35 19-96 + 410.00 (~ 2901 258.52 200.00, rll/ 2902 B83.92 96-50 + 1,500.00 I "_ 2903 59.40 56.35 2904 291.15 263'95 91.90 2905 ]5].20 + 211. 52 2906 316.09 230' , 4 400.00 2901 6BO.83 + 305-55 + 300-67 + 026 ~,5~n.10 ~ x I \D~ (i~ Ol{l~-I OWN BANK 0003 361 " I' R R "i I II W N I' INN "i Y I V ^ N I ^ I 1 1 I I 8T~Tr.Hr."T or ~CCOUHT8 000-113484 RT~tEHIHT PERIOD rnOK 111ROUott 2-01-91 2-28-91 0 MOl or 4 x H!LVltIS EXXOff AUTO RtrAlns tHe "ELVIN t. DlaL!R 9822 HOLLY PITCIIER IIHY BlIlPPENSDuna PI\ 11:151-8943 69 ENCLOSURK8 o BU81HIU f'!OULI\R ClI!CltJHO "ceoUUT PREVIOUS DEPOSITAI nAT!HIHT BftLMfCII: CRID I T8 41 10,110.52 18,091.22 CII.c~sl nlmIT9 40 13,029.98 ACCOUNTt 000-11]404 9!I1VICI HES .00 EtfDING OAL~HClZ 15,231.16 OI\YI ACTIVITY DESCRIPTION 02-01 8101""1"0 O'Ln"CE 02-03 0... C~IOIT IftLISPftlHT 910201 75241S9943 02-03 0... e~IOIT S'LISP'IHT 910131 7524789943 02-03 ellEeo 2S4] 02-03 ellleo 2044 02-03 Cllleo 2045 02-03 ellleo 2046 02-03 eHle~ 2853 02-04 0... e~IDIT IftLISPftYHT 970203 7524789943 02-04 CHIC~ 2848 02-05 0... e~IOIT SftLISP'YHT 970204 7524789943 02-05 ClI.eo 2850 02-05 ellleo 2851 02-05 CIIICIt 2855 02-06 0.1. e~IOIT 8'LISPftYHT 970205 7524789943 02-07 OrPOSIT 02-07 OrPOSIT 02-07 OlroSIT 02-07 DrPOSIT 02-07 DlrOSIT 02-01 DrPOSIT 02-07 0.1. e~IOIT BftLISPftYHT 970206 7524189943 02-07 Cllleo 2054 02-07 ellleO 2858 02-10 DErDe1T 02-10 a.!. enROIT BftLIBPftYHT 970208 7524789943 RP;nREtlC! DErOSlTsl clllettsl cnEDITS DInlT9 42. J7 / 518.10 J B"~"CI 10,110.52 00100000394 00200002048 00200000152 00200004905 00300006039 258.71 9.41 92.20 18.6' /259.14 10,092.84 3.1. 86 00200000825 266.'6 112.64 I 10.217.74 00200002JJI 00200000]01 00200000555 86.97/ 64.91 45.95 75.00 10,144.46 10,231.43 00]00002100 00300002168 00300002157 00300002164 00]00002185 00300002114 239.14 312.26 JJO.89 431.11 601. 50 1.235.1'J 63.01 00]00002156 00]00002060 00300001905 400.00 353.26 .,71J.8J 5..00,/ 12.699.87 ~~ Ol{J~TOWN BANK o 0003 368 H STftTBHr.HT or ~CCOU"T8 000-113404 STATlnltlT PERIOD rftOH TIlAouall 2-01-91 2-20-91 0 'I\CJ 2 or 4 II " II , t II \Ii N ,. I' N N III ~ I '\I ^ N I ^ I' 1 .. 4 "11.Vltl! EUO" ,\UTa ft.rAIRS IHC HILYIIf I. DIOLIR 9022 HOLLY PlTt'IlI'R IIHY 81tlPPlHSBUnO PA 17251-9943 68 IHCLOSURES 8U81HI68 RIOULI\R ('1IF-clUlla "CCOUNT Accouur, 000-113404 onoolTsl Clloc~ol DATI ACTIVITY DESCRIPTION nEnnr.tlCI!: Cnp.OllS DIBITS B^L^HCE 02-10 0... C,ODIT 219.39 '" SALISPAIKT 970201 1524109943 02-10 ClIOC~ 2840 00300009365 8.00 02- 0 allCK 2859 00JOOO01081 239.83 02-10 CIIIC~ 2861 00300001902 819.96 02-10 CIIIC~ 2810 00300001904 316.09 13,248.:U 02-11 CIlIC~ 2851 00200003358 228.00 02 -11 ClIIC~ 2868 00100000896 114.00 02-11 ClIICK 2816 00100000334 2,404.95 10,501.26 02 - U CIIICK 2866 00100000921 205.00 02 - 12 ClIIC~ 2869 00200002156 45.JJ 02-12 ClIIC~ 2810 00300004514 50.00 02-12 CIIIC~ 2814 00200000203 91. 48 10,109.45 02-13 0.1. CRIDIT 195.19 V' IALISPArHT 910212 75241899U 02-1J ClIICK 00200002905 112.41 02 -IJ ClI.C~ 2849 00300000932 95.36 02 - JJ CJlICIt 2056 00300000838 839.11 02-IJ CIIIC~ 2861 00200002944 2IJ.18 02-IJ ClIICK 2865 00200000040 65.00 02-IJ ClIICK 2011 00300001046 48.00 02-13 ClIICK 2815 00200001086 530.03 8,340.29 ..' 02-14.0... C'ODIT 24.00 V' 8ALI8PAYHT 970213 1524 '89943 02-14 clI.a 2064 00200003567 24.00 02-11 CIIIC~ 287J 00]00003208 46.37 02-1 CH.C~ 2881 00300008685 214.09 8,019.83 02-18 DlpOSIT 003000072IJ 825.J6 02-18 DIPOSlT 00300001221 1,154.40 02-1B 0... C".OIT 95.44.r BALISPAYHT 970217 7524789943 02-18 0... C"ODIT 114.71 V' BALIBrAYHT 970214 7524189943 02-18 CIIECIt 2841 00400006157 92.00 02-18 ClI.C~ 2860 00JOOOOO125 219.00 02-18 ClI.C~ 2B62 00JOOOO0940 61.00 02- J8 ClIECK 2063 00200000458 40.00 02-111 CUICIt 2812 00200002300 64.2D 02-18 ClI.C~ 2079 00200003J19 761.19 02-10 CIIICIt 2094 00400004545 252.00 9,390.35 I l ~ o (.lr.i~ OI{J~~1 OWN BANK ~"-.. 0001 369 " IlItR\OlltVllN. l'rNN'i'"! V^'~l^ I ','II 8T"TIHI"T or ftCCOU"T! 000-1134B4 K BTATIHIHT PIR1DO 'ROH TII"OUOII 2-01-91 2-2B-91 0 PROE 3 or 4 HII.vI"" "nON "UTa RKrI\lJUI lIIe M!l-VIII t. DIOLER 9822 HOLLY rlte"!R liMY SIIIPrKHS8URO ,^ 11251-9943 68 Er~CLOSURIS o BU81HIS8 nSOUu,R cm:cltJlIO I\CCOUHT "ceoUMT, 000-II34B4 nr.rr:nr.NC! Dr.:ro~ ITS! CII!cltsl D1\TI ACTIVITY DESCRIPTIO" cnr.UITS /UP.OtT8 DI\LI\IICE 02-19 0.1. CRIDIT 111.23 BALISPAIHT 910219 15241B9943 02-19 CIIECK 2000 00200001214 61.50/ 552.51 8,939.01 02-20 0.1. ~IDIT BALIBPAYHT 910219 15241B9943 9,006.57 02-21 DIPOS IT 00300001214 2B9.B6 02-21 DIPOSIT 00300001231 491.41 02-21 DarOSIT 00300001233 591.99 02-21 OIPOSIT 00300001223 64L66j 02-21 0.1. CREDIT 14\.B1 SALISPAIHT 910220 15241B9943 02-21 ClIECK 2B85 00100000127 ;199.50 02-21 Clllelt 2988 00]00001110 106.~2 10,213.]6 02-24 0.1. CI'EDIT 94.39 SALISPAI"T 910222 15241B9943 121.12/ 02-24 0.1. C"IDlT SALIBPAIHT 910221 15241B9943 02-24 ClIICIt 2083 0020000lJB5 250.08 02-21 ClIICK 2B86 00200003200 114.10 02-2 CllICK 2BOl 00300001150 293.B8 9,716.01 02-2S oePOslT 00300003116 40\. 80 02-n; DlI'081T UU3UOO03135 444.90 02-25 DIPOSIT 0030000310B B92.0B I 02-25 DIPOSIT 00300001131 1,500.00 02-15 0.1. C~IDIT 65.64 BALISPAIKT 910224 BI. 51/ 15241B9943 13,091.31 02-26 0.1. CltlOlT BALIBP.YHT 910225 15247B9943 02-26 ClIICK 2B09 002000019S5 59.00 13 .103. B2 02-21 DIPoSIT 00300002654 1BB .11 02-21 OKPOSIT 00300002663 923.00/ 02-21 U.I. CPIDIT 140.11 SALIBPAIHT 910226 15247B9943 14,955.B4 02-28 DIPour 003000094]] 592.B4 " 02-28 0.1. C~r.DIT 192.34 8ALISPAIHT 910221 15241B9943 . (,Jh~ O,{){S'IOWN BANK lIMR'l.IIIWN "I'PlN'I.\II/^UI^ 1"11 000 (J'OD ~2'37 ~711' 10 391 . Il Ii "2'6~ 86'97 63'01 ~<}'f)0 21 <) . 39 195' 1') 24'00 95'44 1 , 4 . 7 1 111 . 23 67'50 141 '1l7 94'39 127' 12 65'64 81 . 5 I 140' II 1'.l2'H 021 3,004'3Q , "8 uxo~ AUTO RKrI'\I"R life " I. DiaLER HOLLY r lTellER IIWY * KNSBuno P^ 11151.094J t t + mG ACCOllNT + rlOH 11P:n:n~Ncl 00100000048 00300009)14 t 195 898 t t t t t t t t t t t t t + .8 t 000) 310 " ST^T!H!"T or ACCOUHT! 000-11l484 ST~T!H!"T rlRIOD fRoH TIIROUOII 2-01-91 2-28-91 0 PI\OI 4 or 4 I 68 IHCLosunp:s o "CCOUtlTf 000-113404 oorO.ITS/ CIIEC../ CRr-UlTS DEnlTS BALANCE 156.00 ]5].26 15,2]1.16 15,231.16 ClI!Clt SUMH"RY .. IHDtCI\Tr.9 Blur I" cnfl:cllt HUlin!RS ~HOU"T 172.41".-'1 8.00 92.00 258.11 9.41 92.20 18.69 266.96 95.36 64.91 45.95 259.14 JDlWlg_ 15.0 0]9.1] 228.00 313.26 279.83 219.00 2ll.18 61. 00 40.00 24.00 65.00 40 CIIRCI( tlO 2866 2061 2869 2869 2810 2811 2012 28]] 2014 2815 2876 2010. 2819 2800 2001 2003. 2084 2085 2886 2001 2080 2089 2095. 2098- TOTAL I\HOUIIT or CllEcttfl I\HOllf{T 205.00 079.96 114.00 45.33 50.00 48.00 64.20 46.Jl 91.40 530.03 2,404.95 316.09 161.19 552.51 214.09 250.00 252.00 199.50 114.10 n3.80 106.52 59.00 156.00 353.26 ll. 029.98 24 1I0UR OI\IUUIlO In TOLL-fRt! D^"~l"O LINI ,on ACCOUNT IHrO~TIOH. 1-000-588-3092. t ! / ,t1'] OI{J~lMN BANK n..srOWN, reNN!lYI.VANIA If2.4 0001 lIO H ITATlkI"T 0' ACCOU"TI 000-11 It.. ITATIHI"T '"1100 'ROM TH"OUO" I 1-01-91 ,AOI 1-1I-91 0' I o MaLVIN_ !XION AUTO RIPAIRS JHe MILVI" L DlaLln 9822 HOLLI ,nCIIII IIlIT 811I""H8IUIO 'A 11251-8YIl ~O I"CLOIUln o IUIUIII R'OULAR ctllclUHa ACCOUNT ACCOUNT. 000-113481 '1IVlOUI OIPOUTO' CIIICU' SIRVIC. ""01"0 ITATIHI"T 'ALANel CRlOIT! 53 DIBITS 54 rllS IIALIUtCI 9,194.60 21, 61l. 51 22,931.65 .00 10,110.!J2 DIll ACTIVITT DIIClI'TIO" II,IIINCI DEPOOnO' elIICIO' CRIDltS DIOITS 8M.AlfCI 01-01 810lHHINO 8ALANCI '121.01 9,194.60 o -02 0.1. CPIOIT IALII'AI~1 961211 15241199 'IH.ld 9,511.61 01-01 DIPOln 00500002561 o -01 DIPOIIT 00500002514 '1 JOlSd2 01~OJ 0.1. ~IDIT "0.25 IIL1"'AINT 910102 152 189943 '211.J~ . 10,511.82 01-06 DlPOln 00~00001965 01-06 DlPOII T 00 00001910 l1~m:U1 o -oe 0.1. CRIDIT IILII'IIHT 91010J 7UUI9943 1151,62 01-06 0.1. CliO IT I 1 8ALII'AI~1 910 0 15241899 Uy.Dl . 01-06 e1IICI 2191 00100001254 01-06 e1IICI 2191 0010000p28 II .10 01-06 CllleIt 219 0010000 209 225.12 o -06 e1IICI ~195 00100001l1l 15J.26 01-06 C11le1t 196 0010000251: 62.50 01-06 C11lel 2191 0010000196 ~ U~ ,57 ,100..00 l1,J21001 o -01 a.l. ClIDIT 8ALII,AIHT 970106 I 1624109943 01-01 e1llel 2001 00200000251 109.26 01-01 e1llel 2005 00100000645 205.00 01-01 e1llel 2006 00200002232 :0.12 01-01 e1llel 2010 OOIOOOOJlOO 0.00 01-01 e1lle1t 2012 00100002606 6.92 orOl e1llel 201l 00100004162 Ht.6~ 600.00 la, ]]0. 71 o -00 DlPOln 00lOOOOOO15 o -08 DlPOIIT 00300000010 UtO.9O o -DO a,l. ep!rDlt I j 31791. 8AL18'AIHT 910 0 112 189943 Ol-O~ C11le1t 2192 00200001265 259.15 o -08 e1lle1t 2190 00200001600 24.0~ 01-08 elllCI 2000 00100000191 1310 9 '. ,I I . OI{J~T~N BANK . 000) III N HILVlks IIION AUTO RIPAIRS INO NILVIN L SIOLIR 9812 NOLLI PITCUIR IIWI SUnPlN"8URO PA 11lS1-89U IrATIHIMT or AccoUNT. 000-IIH8~ I , STRtlKINT nRIOO mOIl TItROUOIf 1-01-97 l-lI-97 0 PADI 1 or S .0 .HOL08URI. 0 1J1II1II~rflWH, rPNN~"I.V^NIA Ill.. I. i 8U81NI88 AlOULAR ~IIORINO ACCOUNT ACCOUHTI OOO-IIH84 DAti RCTIVITI 018CAIPTIoN RlrlRINOI oU081TS! cIIICR8! CRIDlTS DIBlTa 8ALAKCI 01-08 t11IClt 2803 002000019" )5.31 or08 allCR lBDl oo10000ll18 1~.5o o -08 t1110R 2816 00lOOo02904 '118.21 6 .95 10.884.51 o -09 0.1. CRloIT IRLssrAINT 910108 25.82 .;~<, I 152 189943 o -09 ClIlOR 2199 00200002956 or09 0II10R 2804 00100000648 ~60.68 ~ll,-J' _--- o -09 allOR 2811 0010000101) 1).06 ~ o -09 t11IClt 1815 00100002616 0.40 r o -09 OIIICR 2818 00100000284 '312.S8 ~'~ 8.590.95 01-10 01l'081T 00loOOOll14 o - 0 01l'081T DD3DODOU;& ~ 01-10 011'081T oolooOOI)14 o - 0 0.1. CPIDIT SALS8PAINT 910109 I 152 189943 01- 0 OIIICR 2809 00100001158 15.00 01-10 0II10R 2811 00100001561 255.18 12,241.11 0" CHICK 2822 oOlOOOO 448 J5J.26 01- ~ 0.1. CRlolT 88,41 8ALISPAIHT 910110 1524189943 , 49j.2~' 01-13 0.1. ORlolT 8ALI8PAINT 910111 j 1524189943 2802 61.00 01-1 OIIICR 00200001820 01-1) 0II10R 2808 o020000~196 162018 Ol-Il 0II10R 2811 0020000 200 55.90 01-11 0II10R 2819 00100000419 1,686.90 10,B82.18 01-1 011'081T 001000029 2 m8.04 o - 011'081T 00lOOO029l6 8.24 o - 011'081T 00JOo002926 ';55 ' 01-1 0.1. CRIOIT I un.ost 8ALISPAINT 9101 3 I ! 1524189943 o -I 0II10R 2B14 00100003B60 16.00 01- t1110R 2820 00100002112 6Jlp II,U8.8l o - 0I110R 2821 00lOOO02925 6591 8 01- 5 0.1. ORlolT I ~ ..13&.4& I 8ALI8PAlNT 910 I i. 1524189943 '0010.0000~ S.oO 01-15 DIP 0II10R AIr rll 01-15 011' RIT 90010600001 15S.59 16.00 11,254.29 01-16 011'081T 00JOOOOOl)7 ., ,I , . . ORi~TctvN BANK o..STfJWH, 1'llHHlIYI.VAHIA 11244 382 H 0003 ITATIHIHT 0' ACCOUnT. 000-IUU4 I BtAtllIlHT ,.RlOO 'ROll TIIROIlall 1-01-91 1-31-91 0 PADI 3 0' S eo tHCWOUR" 0 v klLVIHO IIIOH AUTO .IPAlno IHC IIILVIH L IlaLIR 9822 HOLLI pnCllrR IIMI 1III"IHOIURa VA 112S1-1943 RCCOUHTI 000-113484 olvoono, CIIIC.O' CRIDITS DIBITS '1,066.74 ,288.69 ~UUHI" RlaULM ClIlCUHa RCCOUHT BALAHCI DATI ~ctIVITI DIBCRI'TIOII n.r.nIHCI Ol-II DtrollT 00300000139 o -II 0.1. cnlOIT IILIB'IIHT 91011' 1124189943 Ol-\I ClIlcn 2823 o - 6 e1IICn 2824 01- 8 ClIlcn 282S o -\1 ClIICI 2829 o - 1 Dlroln o - T a.B. cnlDIT IILII'AIIIT 910116 TU4119943 ai-It ClIlcn 2832 01-2 DlrollT 01-2 DlrollT 01-21 Dlroln 01-21 0.1. ~IDIT IALIB'AIHT 91DI20 1524119943 DI-21 0.1. ~IDIT IALIB'AIHT 910111 1824189943 01-21 0.1. C.IDIT IALII'AIIIT 910118 1524189943 01-21 ClIlcn 2026 00200002601 01-21 OIICK 2828 00200001925 01-21 e1IICn 2031 00300102101 01-22 0.1. ~101T eALI8'AIHT 910121 1524189943 01-23 0.1. cn1D1T. I BALIB,RIIIT ,10 22 1524189943 01-21 ClIlcn 2030 01-2 D",OSlT 01-2 DlraOlT 01-2 olraon 01-2 0.1. cnlOlT BALI8'AIHT 910123 1624189943 01-2! e1IICK 28H 01-2 e1IICn 20J4 01-2 ClIlcn 2031 01-24 ClIlcn 2830 IO,823.S4 200.00 IOB.S5 '~2,'8; 316.09 '168134 00200001462 00100000102 00200001643 00300000136 00300004574 1.3n.13 2,122.19 353.26 00300009092 00100003161 00300003 66 00300003 15 1il02.7S' J88,2S r&el'2I' ,UllS 1521h 'Ud,~o . 54.23 51.65 291.15 3,341.43 i,426.99 r8dl~,1 132~.0:l' i,6SI.1I 99.90 00200004911 00300001408 00100000006 00300000002 '324.85 . 113.48 "H4.02; 811111 200.00 336.12 232.10 353.26 00200000612 00200000450 00100002092 00300001412 4,783.9S ......---0 " I " ~T~N BANK "OOl 311] " WH. Pl!NNlIYl.vANIA 172.. STATlHIH_ or ACCOU"T' 000-113414 I 'TATIHI"T 'IAIOO ,..OM TH,.ouaH 1-01-97 1-31-91 0 'AGI 4 0' , ""LVIH' IIIOH AUTO RIPAIR' I"C HILVIH L 810LIA 9822 HaLLX' PJtelllR Iftfr 8HI"IH"URO PA 17251-8943 80 IHCLOSUR" o 8USI""S' "OULAR CHICKIHO AceoUHT ACCOUNT I 000-1I34s4 DATI ACTIVltr blBCRIPTION RIFERENCI DIPOSlnl ClIICKSI 8l\LRHCI CRIDITS OlOIT8 01-27 olPOsn 00300000571 'It!U:H o -21 0.1. CREDIT 'ILIS'AIHT ~10124 7524119943 01-21 0.1. CRIDIT '391; 62 'AL:'PAIHT 970125 162789 43 00200002409 01-21 CHICK 20J5 193.90 o -21 CHICK 20J6 00200001556 . 54,00 57.00 7,043.09 D -21 0.1. CAIDIT , IALIIPAIHT 970127 I n2410n43 265.65 ' 7,097.89 01-29 DIPOIIT 00300003120 o -29 DIPOIIT 00300003210 '673.85 8.684.39 01-29 DIPOIIT D0300003226 741,00 , 01-30 DIPOIIT 00300002522 ,177.12 01-30 a... CRIDIT .320141- 'ALISPAIHT 970129 1624109943 ot-30 CHICK 2039 00200003059 10.00 9,647.45 01-30 CIlICK 2041 00300002521 ~80t.32' 24.53 01-31 OIPOIIT 0030000418 . 01-31 0.1. CRIDlt '222.64 I' 'ALISPAIHl 970130 752470n4 147.63 ol-il CIlIClt 2842 DOI00000454 lo.po.52 01-31 CHICK 2852 00300U05019 353.26 o -31 IRDI"O BRLRHCI I 10, 70.52 CIlICK HO 2791 2792 2793 2794 2795 2796 2797 2790 2799 2000 2001 CIlICK OUHKAR' i IHOICATE8 811' IH ClIICK HUHOIAB AHOUHT CIlICK HO 148.03C- 2002 259.75 2003 131.70 2004 225.12 2005 353.26 2806 62.50 2007 400.00 2000 24.00 2009 25.82 2810 131.94 2011 189.26 2812 AIlouJIT 61.00 3S.37 260.68 205.00 80.72 12.50 162.18 25.00 48.00 443.06 6.9:1 ,I , 01{Rs~ BANK O""~T()W"'. rP,H""YI.VANIA IfJ44 l.- I OOOJ "4 " I ~ ITATIHIHT or ACCOUHTI 000-IU4U 'TATIHIHT rlAIOO rAOII THAOIJOH 1-01-91 I-JI-91 0 PAOI , or , HILYIN. IIJOH AUTO AIPAIR8 IHe "ILYIN L BIOLlR 9S11 HOLLr PUCIIII IIl1r SHIPPI"SSUIO FA 17157-B'IJ &0 'HCLOSURlS o SUSIHI8S RlOULAI CIIICRINO ACCOU"T l\cCOUHTI 000-II34s4 curCK SUHKARr . INDICATES sup I" ClUtel NUHRlR! CllICR HO nu IS15 1816 1811 18U 1819 lB10 1811 1811 lBl] 1814 181S 1816 1817 TOTAL "UHBIR or CIIICk" AHOUHT 600.00 16.00 40.10 64.95 55.90 1,41'.87 J,686.90 6].35 155 .18 ]5] .16 la, Bl]. 54 10D.00 10B.15 54.1] 659.18 51 CHICK NO 181B lBl9 lB]O 18U lUl lB]] 18H lU5 lU6 lBJ7 18]8 lU9. lBIl 2841- 2852' TOTAL NtoUHT or ClIICKS AHOUNT 51.S5 J76.09 99.90 291.15 ]5].26 100.00 ]]6.12 19].9B 51.00 2]1.10 ]5].16 110.00 47.6] 14.53 ]5].16 II,BI6.65 IILLS COT rou DOWH7 TRr A BILL CONSOLIDATION PLA". AVAILABLB AT ORRBTOWK lANK. CALL 531-6111 TO AIIlANOI All APPOIHTNIHT lIlTll rouI PARSOHAL IAHRlI. - " \ ...... 01{J~-' c5#N BANI( 000] 109 " II A M iii I II \\. N 1'1 N N \ , I V,\ N I 1'\ 1'.1 ( ( HEI,vIllS IXIO" AUfO AINUn! HIe "ELVIN L DIOLER 9822 HOLLY PITCllrR UHY SIIJPPEH8Duna Pit. 17251.094J BTAT!HENT or ACCOUNTS 000-IIJ484 I 8TATIHIH1 PIRloO rno" 111ROUOII 12-01-90 12-11-90 0 'AOI 1 or ! 7 J INCL08URIlI o bUUrlI8S REaULAR CIIECKING I\CCOUNT ACCOUNT. 000-113404 PRIVIOUS DEPOSITS! CIIEC~./ SERVICE INDINO 8TATE"INT BALANCE CREDITS 42 DEBITS 51 ,r.ES DALANCS 10,262.34 23,00J.41 23,811.21 .00 9,394.60 OME ACTIVITY DESCRIPTION Rr.rERr.NCr. DEPOSITS/ CII'C~S/ CREDITS DEBITS BALANCE 12-01 8r.atrlHIt~O DALAlle! 10,202. J4 12-02 G.E. CREDIT 607,92 'I\L!SPI\JHT 961129 1524189943 12-02 CIIECK 2136 00200001300 62.50 12-02 CIIEC~ 1131 00200002039 53.90 12-02 C1IEc~ 2138 003000001)94 224.40 10,529.46 2-0J 0.1. cnEDIT 163.10 ."LISPA!"T 961202 1524789943 13-03 ClIECK 2709 00200002266 42.00 12-03 CIIEc~ 2134 0020000 I 590 520.00 10,130,152 12-04 Dlr08IT 00300004034 365.65 J:z.04 Dr.POSIT 00300004818 1,2D2.22 12-04 a.E. CPEDIT 56.64 SALISPAfHT 901203 7524189943 11,835.13 12-05 a.E. CPEDIT 159.95 SALISPAYHT 961204 1524189943 12-05 OIP CIIEC~ RIT rll 90010400004 5.00 12-05 DEP RIT 90010600002 133.03 12-05 C11ICK 2135 00200002263 181.83 11,614.42 12-06 DlFOSIT 00300002540 051. 50 12.00 OEPOSIT 00300002538 4.000.00 12-06 O,E. CREOIT 298.25 SALISPRfHT 901205 1524189943 12-00 ClI'c~ 2144 00200002410 10.047.60 J:z.06 ClltCJI: 2146 00300007625 224.40 12-00 CII'C~ 2141 00JOOO06112 353.04 5,999.13 12-09 OlFOSIT 00300000861 948.10 12-09 DIP CIIICK RIT HE 900 I 0400U02 5.00 12-09 DEP RET 90010600003 189.15 12-09 CIIIC~ 2141 00200005265 115. JJ 6,577.85 12-10 U.E. CPEDIT 108.22 S^LISPAYHT 961209 7~2"'0994J 12-10 C.E. CRIDIT 302.51 S^LESP^YHT 961'~7 1)\0 LlIO lyp l)(Ip rf'~'1 rr \ .fee. re.~UYn 10,CD 3d;;l.q~ . OI{J~"I~N BANK O' ').)OJ 390 " n tc R !\ f II W N. I' I, N N "I , I V 1\ N I ^ I I 1 .. .. STATIME"T or ACCOUNT! 000-113484 8TATIMINT PIAIOD 'RoM THROUGH 12-01-96 12-)1-96 0 '1\01 2 or 5 ~ x ~. tt!:I.VU~ UXON AUTO RKPAUH!I ute HILVIH L HIOLER 9822 HOLLY PlTelllR IIKY 8I1Jrrt:HSDUAO PA 1 n51~RIH.l 13 INCLOSURI8 o 8UIIIHIIII AEOULAR CHECKING I\CCOUIIT ACCOUNT. 000-113484 ACTIVITY DI8cnlPTlotl REFERENCE OErOSIT81 CII8cosl DI\TI CRIDITS DIED ITS BI\LNfCI 152418994) 6,988.58 12-11 OIPOSIT 00)0000060) 1,124.59 12-11 0.1. C~IDIT 94.80 8ALI8PAYHT 961210 15H189943 12-11 ClIICI 2145 00200001345 148.85 12-11 ClIICI 2155 001000009J1 1,211. 53 12-11 ClIICI 2151 00300000693 435.04 !l-II CIIICI 2111 00400000134 600.00 5,152.55 12-12 0.1. C~BDIT 256.53 'ALIBPA'HY 961211 1524189943 12-12 CIIICI 2152 00200D00958 H.OO 12-12 CIlBCI 2160 OD300002525 45.68 12-12 CIIICI 2165 00300003040 29.11 5,909.63 12-IJ DEPoSIT 00300000095 1,012.09 12-13 a.B. C~BDIT 190.66 BALI8P~YHT 961212 1524189943 12-1l CIIICI 2148 00100000615 185.00 12 -13 CIIICIt 2154 00200000050 88.41 I2-IJ CIIBCI 2158 00200001453 253.81 !l-Il ClIICI 2159 00200001111 114.40 12-1l ClIICI 2162 00200003326 106.16 12-13 CIIICK 1163 00200001463 302.12 !l-Il CIIECI 2166 00200002951 2.00 U-13 CIIICK 2161 00200000612 25.00 12-13 cnr::clt 2169 00100000406 J4 3.00 12-1l ClIICI 2114 00300000892 841.99 12-1l CIIICI 2116 00300000094 116.09 Il-Il CIIBCI 2111 00300004154 353.04 12-13 CIIECK 2718 00300005655 2H.40 3,890.30 12-16 o.!. CREDIT 11.31 8ALI8PKYHT 961214 1524189943 12-16 a.B. C~BD1T 199.13 8ALI8PKYHT 961213 1524189943 12-16 ClIBCI 2150 00200001458 61.00 12-16 ClIBCI 2151 oa200a01619 14.J1 12-16 CIIICI 2153 oa I 00000912 261.28 12-16 CnECIt 2110 00200000664 16.12 J2-1I elfleft 2172 002000DJJ!l0 212.20 3,53!1.87 12~17 0.1. C~EDIT 115.32 8~LI8P^YHT 961216 db:~ OI{J~"1 OWN 13ANK HELVUl9 EUON AUTO n!rAIRS IHr. KELVltl L BIGLER 9812 HOLLI PlTtllER IIwr 8HIPPr.H90URO P^ 11251.8941 0 0003 191 " ~ STATEH!HT or ACCOUNTS t 000-11l4s4 I , STATEHENT 'lfUDD rooH THROUOH 12-01-96 12-1I-96 0 '''01 I or 5 7l '-HCLOSURES 0 llMM'ittlWN f'INN'i"I"^NI^ 11~1' IIU81"188 nOUlJ\A ClIECItJlIl1 ",ccoutlT AccounT. 000-113484 nErOBIYsl ClIsc~sl OATE ACTIVITY DESCRIPTION ,u;rr.nr.llc! CREDITS DEBITS BALANCE 7Sl41S9943 12-17 CIIECJt l161 00200004045 l5.00 12-17 CIlICIt l164 00200004049 l.59 12-17 CIlICK l71J 00200001189 nO.95 Il-17 CIIECIt 2175 00200001105 75.00 3,481.65 12-18 OIPOSIT 00]00001136 4l5.66 12-18 DIPOSIT 00100001128 491.12 12-10 DlpOSIT 00300001140 1,J]5.16 12-18 0.1. COBOIT 126.21 IALIS,,,r"T 961217 7524189943 12 -10 CIIIC~ 2156 00200001127 5J2.41 5,339.9J 12-19 DIPOSIT 00JOOOO1234 878.64 12-19 O.B. colDIT 148.11 BALIS'A!HT 961218 7524189943 12-19 C11.C~ 2749 00200001697 5.6J 12-19 CIIIC~ 2168 00200001402 200.00 6,161.11 12-20 O.B. coBOIT 2J6.55 SALISPAYHT 961219 7524189943 12-20 CII.C~ 2780 0020DOO0111 442.08 5,955.58 n-21 DBpOSIT 00]000024]6 1,062.29 12-23 a.!. CRIDl~ 2J2.16 SALIS'AtHT 961220 7524189941 12-23 o.!. CREDIT 301.63 8ALI8PAfHT 961221 752478994J 12-2J C1IIC~ 2779 00200004214 49.6S 12-2J CII.C~ 2181 00200005111 85.95 12-2J C1IBC~ 2782 00200001209 IOJ.90 12-23 C1IBC~ 2181 00300004601 224.40 U-23 CIIECr: 2184 00300002361 353.04 6,141.32 12-24 DBPOSIT 00300000810 918.65 12-24 G.E. CP!PIT 164.05 9~LESP~YHT 961223 1524789943 1,824.02 12-26 DBPoSIT 00300001492 ~"f1.06 12-26 O.B. COBD1T 100. JO SftLISPAYHT 961224 152418994J 12-215 cUtCII: 2195 00200002314 2,335.00 5,9&3.19 12-21 or.poSIT 00300002160 48J. J1 12-21 O.E. CREDIT 120.00 . t~ OI{RSTOWN L3ANI( ( 0001 192 " II R R !> r II W N 1'1' N N " , I. V ^ N I ^ I I 1 ~ " STATEHENT or ~CCOU"TS OOO-IUCSC I STATEHENT PERIOD '..OH TIlROUOII 12-01-96 12-11-96 0 PAD I . or 5 HILVUIS lue" ^UTO RErAIRs tHe HILVW L 810L!R 9822 HOLLY PITellER liMY BIUPPlNSBUna PA 11251-8943 7 J ENCLOSURlS o BUSINI8S RIOULAR CltlCklHO ACCOUNT RCCOUNT, 000-111484 D!POSITsl CII!cul CREDITS DIBIT8 8M.J\NCI DRTI RCTIVITY DISCRIUION RIF!R!tlC! IRLI8PRYHT 961226 1524789943 12-21 ClI!Ck 2189 00J00002126 12-JO D.!. CRIOIT IRLI8PRYHT 961228 1524189941 12-10 O.!. CRIDIT 8RL!8PRYHT 961221 1524189943 12-10 C1IICk 2186 12-10 C11!Ck 2188 12-10 C1I!Ck 2190 12-11 DlpOSIT 12-)1 DIPOSIT 12-11 DEPOSIT 12-11 0.1. CR!DIT IALISPAtHT 961230 1524189943 12-JI IHOINO 8RLANC! J51.04 6,213.51 165.61 S40.JS 00200000812 00200001658 0010000492S 0010000J547 00JOOOOJ562 00J00001561 455.64 lSI.09 1,539.64 70.0J 15.10 101.99 224.40 6,571.40 9,394.60 9,394.60 Cll!CK SUHKl\Rr " INDICATIS 8~lP IN CIIICK NUHOIIHI C1IICk NO RHOUNT CII!Ck NO AHOUNT 2109 H.OO 2151 4J5.04 :tn." 520.00 2158 251.81 21J5 181.0J 2169 114.40 2116 62.S0 2160 45.68 2111 5J.90 2161 25.00 .2118 ____224_40_.. 2162 106.16 2141" I1S.JI 2161 102.12 2144" 10,041.60 2164 2.59 2145 148.85 2165 29.11 2146 224.40 2766 2.00 2141 J5J.04 2161 25.00 2148 185.00 2168 200.00 2149 5.6J 2169 34J.OO 2150 61.00 2110 16.12 2151 14.JI 2111 600.00 2752 24.00 2112 212.20 275J 261. 28 217J 120.95 2154 80.41 2114 841.99 2155 1.211.51 2175 15.00 2156 SJ2.41 2116 J16.09 Ii li:~. OI{J~TOWN HANK o OOOJ J9J H HELVINS IXXON ftUTO AI'AIR8 tHe HILVIN L DIOLIR 9822 HOLU pnCII~R liNt 8111PPlNSBUPO '1\ 11251.0943 8TATIHINT or ACCOUNTS 000-113484 STATEHINT PIRIOD PAD" THRouon 12-01-95 12-JI-95 PAol 5 or ! I ~ U M R 'i lOW N I' INN ~ , 1_ \I ^ N I ^ I' 1 .. 4 o 1 J IHCLOSUREII o BUSI"188 REOULAR CII!CIUNO ACCOUNT ACCOUNT. 000-113484 CIIICK BUHH^nr . INDICAT!S SKIP I" CIIt~CK NUHBERS cnlclt NO 2111 2115 2119 2180 2181 2152 210J TOTAL HOHolR 0' allel8 AHOUNT J5J.04 224.40 49.65 442.08 85.95 IOJ.90 224.40 5J tlltCIt NO 2104 2185 2186 2180. 2189 2190 TOTAL AMOUNT or CIIECItS AHOUNT 353.04 2,335.00 15.10 101. 99 353.04 224.40 23,538.23 TRr OOR HO AHHUAL '11 VISA A"O "^STIRCARO O"Lr 'RON T"I ""OHETOWH BAHI- OI{J~~rctvN BANK o 0003 371 " nil: R ~ r n W N. r I'. N N , ... I. " ^ N I ^ I 1 , ,. ,. STATIHI"T or ACCOUNT! 000-113484 8TATIHI"T PIRIOO 'ROft THRouaH 11-0&-9& 11-30-9& 0 PADI I or 4 ~ f 1 HILVINS EXXON AUTO RIPAIRS IRC HILVIH L DIOLIR 9822 HOLLY PITCIIIR IINI SIIIPPlNSDURO PA 11251-894l &2 INCLQSURBS o BU!INI!! RIOULI\R CIII!:CIUHO ACCOUNT ACCOUNT I 000-II34B4 PRlVIOUS OIPOSITS/ CIIICRS/ SIRVICI INDINO ITATIHI"T IAL^HCI CRlDITS JJ DEBITS 49 rus DALMfCI ,. .,091.11 16,403.1 1-4,231.91 .00 10,262.34 OEPOSITS/ CIIICRS/ OATI ACTIVIT' DI!CRIPTION RIURZNCI CREDITS DIOITS BALANCe 11-0& 81alNNINa BALANCI 420.BB 8,097.11 11-0& DIPOBII 003000014B5 11-0& 0.1. CRIOIT 153.11 SALIS PAINT 9&1105 1524189943 00200004493 11-0& ClIICR 2&8& 200.00 11-0& CIlICR 26BB 00300001494 353.04 8,118.06 11-01 0.1. C'IDIT 184.&8 SALISPAIHT 9&110& 15241B9943 8,302.74 11-12 Dll'OSIT 00300001464 914.16 n-12 Dll'OlIT 00300001413 99B.B4 -12 0.1. CRIon 329.94 8ALISPAINT 96110B 1524189943 441.05 11-12 a.,. CRIOIT SALIS PRINT 9&1111 1824189943 ~5&.58 11-12 0.1. CRIDIT BALIS,,,,HT 961109 15241B9943 11-12 C11ICR 2&93 002000025.9 60~ 15 11-12 ClIICR 2694 00200001939 111. 90 P-12 ClIICR 2696 00300004160 235.15 1-12 ClIICR 2691 0030000\315 353.04 10.689.04 11-\3 olPosn 00300001602 413.18 11-\3 Dll'OSn 00300001622 1,304.44 11-\3 Oll'Osn 00300001608 1,404.90 11-13 a.E. CRIOIT 118.86 8ALISPAIHT 9bll12 15241B9.43 11-13 DIP0911 conRECTION 00300005656 ,20.00 11- \3 ClIICR 2695 00200000011 19.BO 11- U CllleK 211B OOJOOOO1599 1ce.:zJ 11-\3 ClIICR 211. 00300001601 316.09 II-I J ClIICR 2120 0010000102. 165.36 12,680.94 11-1 0... C~IDIT 92.19 8ALISPAIHT 96111J 15241B994] 11-14 ClIICR 2690 002000010lB 68.BB OI~T~NBANK o )001 318 N nMIt~fOWH, r~NH!iYIVANI'" 1714' 8T~TEKI"T or ~CCOUHT' 000-IIHU STATIHINT 'IRIDO rRON ,""ooQI1 11-06-96 II-JO-~6 0 PMI 2 OF 4 I j r , " "ILVI"! IIIOH AUTO REPAIRS I"C "ILVI" L BIOLIR 9822 HOLLY PlTCIIIR liMY OHIPPIN88URO PA 112~1-B94J 62 INCLaOURU o BU8INI88 REOULAR OIICRIHO ACCOUHT ACCOUNT' 000-111484 ACTIVITI DIOCRIPTIOH RIFERENCI 0lP081TSI CIIICRSI DATI CRIDITS DEDI T8 8ALANCE 11-11 OIIClt 2691 D02DOO0231D 10.31 I_I OIICR 2106 ODJOOOO02B1 126.41 11-1 CIIICR 210B 00200000lBB 16.12 12,540.69 1-15 DIPODlT 00JOOO09J55 1,049.41 1-15 0.1. CRIOIT 294.56 IALI8PAINT 961114 15241B9941 11-15 OIICR 269B 0020000016B 211.40 I 11- 15 OIICR 2104 00100000165 1,980.23 11-15 CHICR 2110 00200000265 24.00 11-15 CHICR 2114 00300001282 221.01 11-15 OIICR 2115 001000002]] 11 J. B5 I, -15 atleft 2111 00300001388 600.00 I -15 CHICR 2122 00200002B92 214.90 11-15 CHICR 2126 OOJDOD09JJ2 151.04 10,044.21 1-18 0.1. CRIOIT 99.43 OALIOPAINT 961115 15241B9941 l1-1B 0.1. CRIDIT 194.02 8ALIOPAINT 961116 I 1524189941 00200004151 11-18 OIICR 2699 131.00 1I-1B CHICR 2100 00100000106 261.00 '1 11- 18 CHICR 2101 00200001BI6 B9.J6 11-18 OIICR 2102 0020000J50J J5.00 1-18 CHICR 210J 00JOOO02964 195.04 - 18 CHICR 2105 00200001011 611,26 I p-u ClIICR 2101 0020000 413 13J.55 , 1-18 OIICR 2111 00100000692 185.00 I -18 CHICR 211J 00200005641 5B.14 1-18 ClIICR 2116 00100001155 100.24 11-18 CHICR 2121 00200004819 959.19 1,264.91 11-18 CHICR :1121 001000089 9 2J8.1J 11-19 0.1. CREDIT 12.00 8ALE8PAINT 961118 g 15241B994J 21. 54 11-1 OIICR 2112 00200002015 11-19 CHICR 2124 002000D0891 84.40 l,111.0J 11-20 0.1. CRIOIT 41.00 8ALIEPAINT 961119 1524189941 0010UOO0640 44.00 11-2D CHECR 2692 1,110.01 11-31 011'0811' 00]00002510 215.15 11-21 DIPOSlT 00300002491 181.52 11-21 DlP081T 00JOOO02504 1,091.00 .. ~ OKRS~I UWN BANK o It . S T n W N, r I~ N N , Y I. V A H I A Ill.... 01 1003 379 H STATIHINT or ACCOUNTS 000-113484 8TATI"INT PIRIOD rROII THRouaH 11-06-96 11-30-96 0 'AO. J or 4 I HILVINS IIIOH AUTO RIPAIRB IRe HILVIH L uaUR 9822 HOLLI PITell,R INY II(lPPIN88URO PA 11:l!S1-89~3 62 IHCW8URU o BUUHI8S RBDULAR ClllCIUtlO AccounT ACCOUNT. 000-113484 DATI ACTIVITf DISCAIPTIOH REFERENCE OUOSlTsl CIlICKSI BALAHCI CRED ITS DIOIT! 11-21 DEPOBIT 00300002406 1,1~7.90 11-2 0.1. CRID1T 11.41 BALt6PAIHT 961120 782 7S9943 11-21 DIP ClIlCK !lIT rll 90010400001 5.00 11-21 DIP RIT 90010600001 15.00 1 -21 ClIICK 211S 001000Oll61 I,B55.00 I -21 CHICK 2119 00100001532 669.S9 11-2 CHICK 2731 00300003055 353.04 P-21 CHICK 2732 00300004BB5 230.7J 7,402.61 1-22 0.1. CRIDIT 103.79 BALISPAIHT 961121 78241B9943 11-22 CHICK 2723 00300001373 65.25 7,521.15 11-28 0.1. CRIOIT 5B.33 BALI6PAIHJ 961122 75247B994 11-25 0.1. ~IOIT 260.81 BAtlBPAIHT 961123 7824189943 11-28 CHICK 2118 00100004590 154.37 11-25 CHICK 2130 00100003373 48.40 7,637.53 11-26 DlP081T 00300000550 874.05 II-a 0lP081T 00300001064 1,499.51 11-26 0.1. CRIDIT 304.85 BAtl6PAINT 961125 7524789943 10,315.95 11-27 0.1. ~EDIT 30.00 IAtIBPAI~T 961125 78247899 3 11-27 CHICK 2733 00100001541 151.85 10,194.10 11-29 DIPOBIT 00300000894 OIL 20 11-29 ClIICK 2739 00300000751 353.04 11-29 CHICK 2740 00300000058 400.00 10,262.3~ 11-30 IHolHa BALAHCE 10,262.3 CIIKCllt NO 15B5 2680' 2690' 2591 CIlECK . IHDICATES SlltlP ~HOlJfJT IUO.OO 35J.04 5B.8B 10.l1 SU""^Rr . I" CUZC'; HUHBERS CIIICK HO 2591 269] 2594 2695 AHOUHT 44.00 60.15 111.90 79.S0 OI{RSl~N BANK (I.Jt~TlIW"'. I'I~NN~'(I"^NI^ 11144 O( 100] 152 " STAT!HE"T or ACCOUNT. 000-111484 8TATIHINT 'IAIOO ,..OK , "RDUOII 10-01-96 11-05-96 0 PAOI 1 or s "ILVI"S I~IOH ^UTO "IP^I"S INC HILVIN L BlaUR 9822 HOLLr PITCIII" IIWY 6HIPPENOOU"0 P^ 11251-894] 15 INCLO!lURII f 8U81NI08 "IOUL^R allCIINO ^CCOUHT ACCOUNT. 000-11 3484 PRIVIOUO DIP05ITS/ Cllle15/ SI"VICI IHDI"O ITATIHI"1 8AtANC. CREDITS 41 DIBITS 61 FEES BALANce 10,831.12 21,119. DB 23,053.09 .00 8,091.11 ACTIVITY DESCRIPTION REFERENC! OIPOSITS/ CIIICIS/ DATI cRIDITS OIBlTS BAL"HCI 10-01 OIOI"NIRO 8^LANC. IO,811.12 10-01 0.1. CRIDIT 91.13 O^LISP^IHT 961004 1524189943 10-01 allCI 2600 D01DDD00419 6DO.00 10-01 CIlICI 2641 0020000H90 ]45.00 10-01 C11IC! 2644 00]00104191 292.50 9,691.]5 10-08 a.l. CRIDIT 5 J]. 56 8^LISP^IHT 961001 1524189943 10-08 Clllclt 2646 OD]DOOO0501 205.00 9,919.91 0"09 DEpaUT 00300004569 1,139.39 10-09 0.1. CREDIT 215.13 .ALISPArKT 96100B 1524189943 10-09 CHICI 2611 00200000804 16.64 11, sse. 39 10-10 a.l. CRIOIT 16].34 BALISPArHY 961009 1524189943 12,021.73 10-11 OlroSIT 00]00005165 1,961.19 10-11 0.1. CREDIT 211.12 .ALlsPArHY 961010 1524189943 10-11 allCI 2656 OOJOOOOeS31 260.2l 10-11 allCI 2&51 00100009941 ]5].04 10-11 CHICI 2&58 00300005364 31&.09 13,210.68 la-IS 0.1. CRIDIT 181.91 8^LISP^IHT 961014 1524109943 10-15 a.l. enlDIT 251.9] 8^LISP^IHT 961011 T524189943 ~00.94 10-15 0.1. C"IDIT 8^LIOP^IHT 961012 1524189943 t- U DIP allel RIT PII 90010400005 5.00 O..JI DIP RIT 90010600~05 292.15 0-15 CIIICK 2645 00200001 78 104.14 10-15 ClIICI 2641 002000a1l52 00.12 10-15 allCI 2652 0010000la26 185.00 (rQ~ .C-t. ~ J !-:\c.. ()I.p. rllkun \().w 3\~,"5' ::::'.;1.,'}, .,5 (1015 ) I ~ t " a OI{RSTO~N BANK }DO] 0' 151 " II R R ~ TOW N. r r N N " Y I. v ^ N I ^ I 1 1 4 .. STATIHENT or ACCOUNTS 000-IIJU4 STATIHIHT PIRIOO '''0" TII"OooH 10-01-96 11-05-96 0 PMI 2 or 5 KELVINS EIIOH ~UTO RIPAIRS INC HILVIN L orOLEn 902:! HO:.LJ: PITCIIER IIMr 8111PPlHSDUna PA 17251-9943 15 IHCLOSU.... 8USIHISS RIOULAR CIIICRINO ACCOUNT ~CCOUNTI 000-l1J484 DATI ACTIVITY DISCRIPTION REFERENCI DEPOSlTsl CIIECR'I CREDITS DEBJT8 BALAHCI r-15 CIISCR 265l DDIOOOO116l 1,290.97 0- 5 CHICR 2654 00200005250 66.62 11,994.26 0-16 DII'OSIT 00300001611 1,459.U 0-16 0.1. CRIDIT 162.42 8ALI8PAIHT 961015 152478994] 10-16 ClIICR 2655 00200001419 146.15 10-16 CHICR 2660 00lOOOOl614 111. 66 0-16 CHICR 2662 00JOOOOl616 40.15 12,711.16 10-11 0.1. CRIOIT 124.69 8ALISPAIHT 9&101& 152478994] 10-11 ClIICR 2616 00lOOOD2406 4J.16 10-11 ClIICR 2611 00lOOO02J21 162.92 0-11 CHICR 2618 00200001911 5JZ.4I 10-1' CHICR 2661 00200000011 521.94 0- 1 ClIICR 2668 00lOOOO1156 224.40 11,J51.62 0-18 OII'OSIT 00lOOO092F 600.88 10- 8 OII'OSIT 00J000092 6 642.51 0-18 0.1. CREDIT 261. ZZ SALISPAIHT 961011 152478994l 10-18 ClIICR 26lZ 00200000lll J9.00 0-18 CHICR 26lJ 00200000810 24.00 10-18 ClIICR 2615 00200002865 94.00 10-18 ClIICR 2648 00200001906 109.1J 10-18 ClIICR 2650 00100000525 110.50 10- 8 elllCR 2651 00200002155 4J.56 10-18 ClIICR 266J 0020000J411 215.1J 10-18 ClIICR 2669 00JOOO0921J J5l.04 11,146. TJ 10-21 011'081T 00JOO)01105 1,454.50 10-21 0,1. CRIOIT lJ.81 8ALISPAIHT 961018 152418994J 10-21 ClIICR 2614 00200002615 25.82 10-21 ClIECR 2619 00200000201 245.28 10-21 elllCR 2642 00100000J90 600.00 10-21 CIIICR 2649 00200002156 20l.40 10-21 ClIICR 2659 00200004119 140.10 10-21 ClIICR 2666 00200002902 IJ6.00 l1,12J.84 0-22 OII'OSIT . 00JOOOOl9J4 2,068.1l O~22 0.1. CREDIT 46J.21 IALIIPA,HT 981021 lUU899U 10-22 CHICR 2661 00200004261 61.20 14,188.58 I o t.~ OkJ~-IDWN BANI( 00 DOl 154 " OItR!TOWN. I'ENN"YI.VANI^ 112.... STATEHENT or ACCOUNTS 000-11J484 STATIHINT PIR10D rROK THROUGH i. t l I 10-01-96 PMI 11-05-96 J or 5 o HILVI1I8 1110" AUTO RIPAlRS INC HILVIN L SIDLER 9822 HOLLI PITCIIER IINI IIIlPPINSSURO PA 11251-894l 15 I"CLOSURU o IU8IHISB AlOULAR ClIlCRlIlO ACCOUNT ACCOUNT I 000-11J484 DATI ACTIVITY DIBCRIPTIOH REFERENC! 01r0.1T.! CIIECR8! CREDITS DIBITS BALANCE . 10-21 OII'OSIT 00]00002265 811. 85 0-21 0,1. CRIOIT 212.62 SALISPAIHT 961022 15247S994J 10-)1 DIP CIIICR RIT PlI 90010400001 5.00 10- 1 DIP RIT 90010600009 20.00 15,228.05 O~2 0.1. c~IDIT 34.00 SftLISPftlHT 961021 1524189941 10-21 CHICR 2640 00200001146 95.00 10-2 CIlICR 2610 00200002360 35.00 15,132.05 10-25 OII'OSIT 00100001082 265.99 0-25 0.1, C~IDIT 89.08 SftLISPftlHT 961024 1524189941 10-25 CHICR 2664 00200001198 85.36 10-25 ClIICR 2665 00100004414 98.49 10-25 CIIICR 2612 00200001068 9,825.43 0-25 ClIICR 2619 00300003119 400.00 10-25 CHICK 268J 00300009512 J5J.04 4,124.80 10-28 011'O.1T 00]00104JZ6 1,068.46 10- 28 Oll'OSlT 00300104321 1,202.56 10~28 0.1. C~EOIT 10.04 SftLISPftlHT 961025 152418994] 10-28 0,1. CREDIT 180.44 SftLSSPftlHT 961026 1524189941 10-28 ClIICK 2611 00200004811 1,122.60 10-28 ClIICR 2614 00200000110 26.10 10-28 ClIICR 2616 0010000081J 99.58 10-28 ClIECR 2611 00200004532 260.11 10-28 C1IICR 2580 00200000J94 10.50 10-28 ClIICR 2682 00100UU0915 218.1J 4,82S.02 10-29 0.1. CREDIT 4,18.49 SftLS'PftIHT 961028 15241S994l 10-29 CHICK 261l 0020000l8IJ 8l.9l 10-29 ellEcR 2615 00200004214 61.00 10-29 ClIICR 2618 00200000036 49.10 5,112.48 10-30 0.1. C~IDIT 445.J5 IALllPftlHT 961029 1524189943 10-10 CIlICR 2681 0020000450J 98.90 10-JO CIlICR 2684 00200000155 185.82 5,213.11 Ci~ ORRS10WN BANK 0' )OOl 15' N ftT~TI"!"T or ACCOUNT. 000-11J4S4 nIllR~TnWH. rt'HH~"'1 V^NI^ 1'1". IITATIHI"T rRoH 10-01-96 r^OI UIlIOD 111"00011 11-05-96 4 or 5 HILVINA SIXOH AUTO RIPAIRS IHe HILVIH L 810LIR 9832 HOLLY PltelllA IINY IIIIPPlHI!I8URO PA 11251-8943 15 IHCLOIURl8 BU8IHI88 RIOULAR ClIICUNO ^CCQUIIT I\CCOUHTI 000-IU484 OIPOSITS! CII!C~'! DATI ^CTIVITY 018CRIPTION R!rl"!NCI CRIDITS DIBITS BALANCI 10-]1 OII'OSIT OOlOOOOI614 604.10 10-11 OIPOSIT 00lOOOOl680 164.26 10-11 0,1. CPIOIT 41.Jl SPLISP^INT 961010 1524189941 6,682.98 11-01 a.l. ClllDlT 1l0.Jl SPLISPAINT 961011 152418994] 242.Jl 11-01 ClIICR 2689 00lOOOOU49 6,511.02 11-01 OII'08IT 00lOOl036Jl 311.16 11-0 OIPOSIT 00lOO103644 411.01 1'-01 Oll'OSlT 00lOOlOl6l5 529.06 l~O a... c,IOIT 59.81 SALISP^IHT 961101 1524189941 11-04 0.1. CRIOIT 188.19 S^LISPAINT 961102 1524189943 11-04 ClIICR 2685 00200005629 16.86 11-04 CIlICR 2681 00200000892 48.50 8,065.61 -05 0.1. CRIOIT JI. 50 SALISPAIHT 961104 1524189943 8,091.11 11-05 IHOI"a S^LAHCI 8,091,11 CHICK HO 2608 2631. 1m 2614 2615 2616 2611 2618 2639 2640 2641 26.2 2644. 2645 CIIICR .UHIllIRY . tHOleiiTES SItIP IN ClIICIt HUHB!AS AHOUHT CIIECIt 110 600.00 2646 16.64 2641 U:88- m~ 25.82 26~0 94.00 26 1 41.16 26 2 162.92 2651 512.41 2654 245.28 2655 95.00 2656 345.00 2651 600.00 2658 292.50 2659 104.14 2660 AHOUNT 285.00 80.12 109.1l 201,40 110.50 4],56 185.00 1,290.91 66,62 146.15 260.21 153.04 l16.09 140.10 711.66 '. I o o ST~TIHIHT or ~CCOUHT' ooo-IIH84 STAT!HINT '1~10o 'ROM TlIl'ooO" 10-01-96 11-05-96 0 PMI 5 or 5 Ol{i~'-fttV'N BANK " n R R " , 0 W N, r I! N N 'li Y I. v ^ N I ^ I' 1 . . HILVIHS IXION ^UTO R!P^IRB 1HC "aLVl" L DIOLER 98~Z HOLLY pncllE" liMY B.IlPPlH8DUna PA 11251~B94:J )00] 1!6 H ; ~ ~ I " 15 INCLOSURIS o CIIICR SUHHARI . INDICAt!S SUP I" CIIKCIt UUHBERS ^CCOUNT' 000-113484 aUSlHISS AlOULAR CIIICRlNO ^CCOUHT ClI1CIl: HO 2661 26U 266l 2664 2665 2666 2661 2U8 2669 2610 2611 2612 2611 2614 TOT^L HUHB!R or CIIICRS AHOUNT 521.94 40.n 215.1l 85.l6 98.49 1l6.00 61.20 224.40 153.04 15.00 1,122.60 9,8~5.4J 81.93 26.10 51 CIIICK HO 2615 2616 2611 2618 2619 2680 2681 2682 2683 2684 2685 :l68lt 2689' TOTAL AMOUHT or CIIICItS A TU,.HKrUL NORD IttlQNS NO DOUNDARIIS, ,. TlIl\NllrUL IIII\RT liAS HO IHIHlI8. ("HO" 1 TIfANK YOU rOR OOINO BUSINI88 tUTII ORRStONN B^NIt AAOUHT 61.00 99.58 260. 11 49.10 400.00 10.50 98.90 218.1l l51,04 185.82 16.86 48.50 242,]] 23,510.14 t .. db~ 01{J~'1 OWN I3ANK flftR"lIl,l,'N '" NP~l\\1 "''''HI 1\ I J1.... MILVIN! 1110" ~UTO RlrAIRS IHe MILVI" L DIGLIR 9B22 HOLLY PITCIlIR IIMI 81UPPIHlI8URO FA 11251-8943 ~ IIUSINllIS RIGULAR CIlIlCUNO I\CCQurlT I\CCOUNT. 000-l1J484 .. PREVIOUS DIPOSITS/ CIIECRS! SIRVICE 1"01"0 8TI\TIHINT BALANCI CREDITS l8 DIBlTS 51 rillS RAL^HCI 16,021.85 22,294.85 27,485.58 .00 10,831. 1:1 DEPOSIT.! ClfECR.! DATI ACTIVITI OISCRlrTlolI It!FERENCI cpr:OITS DEBITS 8ALA"CS 09-06 8Ial""INO 8ALANCI 16,021.85 09-06 0.1. CREDIT /88.11 SALISPAINT 960905 1524189941 09-05 alleK 2580 00200002615 14.99 16,0'5.11 09-09 OIPOSIT 00200000012 521.18 09-09 a.E. CRIOIT ,.-122.00 IALISPA'"T 9&0906 1524189943 09-09 ClIECR 25B5 00200006519 285.11 09-09 nlECR 25B6 00200000191 J5J.04 IS, 101. 98 09-10 0.1. CRIDIT ).A4.18 SALlsrAIHT 960909 1524189943 09-10 CIIICK 2582 00200001968 2,912.00 13,834.76 09-11 OEI'OSIT 00300001511 1,262.91 09-11 OII'OSIT 00JOOOO1563 1,466.85 09-11 0.1. CREDIT 0/.38 SALISPAIHT 960910 152418994J 09-11 CllleR. 2515 00200001415 1,900.00 15,099.90 09-12 a.ll. aEOlT JH.16 SALISPAIHT 960911 1524189943 15,339.66 09-13 DEPOSIT 00300006011 804.58 09-11 DEI'OSIT 00300009420 989.29 09-11 0.1. CRIOIT 221.41 SALISPAIHT 960912 / 152418994J 09-13 CIIICR 2590 00200002582 118.42 09-11 CIIICR 2595 00200000005 62.50 09-11 ClIICR 2599 00300002066 296.08 09-11 CIlECR 2600 00300009]65 15J.04 15,864.90 09-16 0.1. CREDIT 283.,44 SAL!SPAIH~ 960914 152418994J 09-16 ClIECR 258l 00200001580 395.85 09- 16 ClJICI 2591 00300006299 68.11 09-16 CIIICK 2592 00200004994 86.JO 09-16 cnECK 2590 00200001285 105.90 ~ OkI~-IOWN BANK HII.VIH8 Elliott AUTO R!PAtJUI IHe HSLVIN L BIOLIR 9822 HOLLY PITClIER liMY SIIIPPINS8URO PA 11251-894l DC OOJ 145 H STATEHE"T or ACCOU"TS 000-lIlt84 I STATININT PIRlOD 'ROIl TIIROUOII 9-06-96 10-06-96 0 PAOI 2 or 4 61 INCLOSURES a II R A 1 l .1 W H. I' r N N 'i 't. I V ^ N I ^ I 1 1 4 4 8U8I"188 REGULAR CII!CJl:IHO ACCOUNT ACCOUNT. 000-II14R4 ACTIVITI DESCRIPTION DEPOSITS! CIIICRS! DATI n!P'IRF.tlC! CP!DIT9 D!OlTB BALAHCE 09 -16 CIlICR 2602 00lOOO04862 892.JO 14.599.8Z 09-11 OII'OSIT 00300002566 1,284.20 09-17 0.1. CR!DIT 198.29 SALISPAIHT 960'16 15241S9943 09-11 ClIICR 2584 00ZOOOO0285 It.lO 09-11 ClIICR 2596 00200000292 11.60 0'-11 ClIICR 2591 00200002119 10,053.94 5,922.41 09-18 0,1. CRIOIT 101.18 .ALISPAIHr 960917 152418994J 0'-18 ClIICR 2581 00200001458 196.8l 09-18 Clllelt 2589 0020000]896 24 I. J6 09-18 ClIICR 2593 00200002122 232.11 09-18 ClIICR 260l 0020000044l 15.00 5,284.35 09-19 0,1. CREDIT 23ft. JJ SALIS,AYHT 960918 152418994J 09-19 CIIICR 2601 0020000]505 Ill. 91 09-19 CIIICIt 2604 00'00003101 24.00 09...19 Cllle," 2607 00100001026 317.00 5,001.11 09-20 DIPOSIT 00300005609 4ll.00 09-20 DIPOSIT 00300005583 1.3....86 09-20 DIPOSlT 00]00005598 1,900.86 09-20 0.1. CREDIT lJ6.19 SALISPAIHT 960919 1524189943 199.40 09-20 ClIICR 2580 00200001615 09-20 ellleft 2594 00200000561 211. 95 09-20 CIIICR 2610 0030000561l J16.09 0'-20 CHICR 2612 OUloooon941 15J.04 1,882.14 09-21 0.1. CRIOIT 252.15 SALI'PAIHT 9609Z0 1524189'4J 265: 12 09-21 0.1. CRIDIT SALISP,,!HT 960921 152418994l 0'-23 ClIICR 2605 00200002212 80.00 0'-21 ClIICR 2611 00300003993 242.JJ 0,011.08 09-24 0,1. CREDIT 1J~. 86 S~LISPAIHT 96092l 75:i14789UJ 8,212.94 09-25 Dll'OSlT 00300000469 6]8.81 09-25 DKPOSIT 00300000475 1,'64.31 09-25 0.1. CREDIT 11 !v. 60 t.~ OI{RS~IDWN BANK o OOOl 146 " 1IItR!llOWN. "I'NNSVI.V^NI" 11244 STftTEHK"T or ^CCOUHT! 000-l1ltS4 8T"1IHI"T PIRI0D PROH THJII;OUOfl 9-06-96 10-06-96 0 'AD I J or 4 "ELVINS EXXOH AUTO RErAIRS IHe HILVIH L RlaLER 9022 HOLLY P!Tell!R IIHY SIIIPPINSDURO PA 11251-894] 67 INCLOSURES 8USINI8! uaULAR CIlICKIHO ACCOUNT ACCOUNT. 000-111484 ActiVity DlleRlrrlOH ll!rEREfICI OEPO.ITS/ CIIECRS/ ORTI CRlDITS DIOITS BALANCE snLISPRIHT 960924 152418994J 09-25 CltlCR 2609 00200002516 658.J5 9,511.11 09.25 0.1. CREDIT 236.20 SALISPAIHT 960925 / 152418994] 09-26 ClIICR 2622 OO]OOOOJ071 221.00 9,592.31 09-21 OII'OSIT 00]00005941 1,464.90 09-21 0,1. CRIOIT 86.84 SRLISPRIHT 960926 / 7524189941 09-27 ClIlcr 2614 00200000142 12.71 09-21 C1IICR 2611 00100000001 206.14 09-27 ClIICR 2618 00200001695 15.00 09-21 ClIICR 2620 00100000581 212.21 09-31 CHICK 2621 00]00005940 400.00 09-21 CIlICR 2628 00300009293 200.50 09-27 ClIICR 2629 00JOOO059J6 J51.04 9,624.25 09-10 0.1. CRIOIT 4~;P4 SRLISPRIHT 960921 1524189941 09-l0 CIlICR 2606 0010000042J 1,014.62 09-10 ClIICR 2611 00200002264 61.00 09-10 ClIICR 2615 00200002004 14.94 09-10 CIlICR 262J 00JOOO05800 90.00 09-10 allcR 2625 00200004149 94.10 n:~HVJSII1 1fi16 88~_m 795. H; ... qll!. A '''1 '1R 10-01 OII'OSI1 00200004180 1,051. 44 / 10-01 0.1. CREDIT 509.55 IALI8PAfHT 9609]0 15241S994J 62.12/ 11,071.18 10-02 0.1. CREDIT 8ALISPAIHT 961001 15241S9943 10-02 ClIICR 2671 00400000]75 112.45/ 11.16 11,128.94 . 10-OJ 0.1. CREDIT IALISPArHT 961002 1!U418994J 10-01 ClIICR 2624 00200003020 200.00 10-Ol CUICK 26JO 00200001892 1,415.00 9,566.39 10-04 DIPOSlT 00JOOO06118 504.84~ 10-04 DIP081T OOJOOQOfi167 1,242.907 10-04 0.1. CPEnn 21l1. 21 SRLI8PRIHT 9~100l I o (~ OOlO "003 Ol-((~~I OWN BANK It M . ~ r II W N " ,_ N N 'Ii , I V ^ N I ^ I' 1 4 4 BTI\T!H!"T or ACCOU"TII 000-IIJ4S4 I 145 II IITATI"I"T '.~lOD fROH T""OOOII S-06-96 9-05-96 0 P^OI I or 3 H!LVI"8 ~IIO" AUTO R~rAIRA INC HILVIII (, DlaLIR 9022 HOLLI PIICIIIR IINI fllllPPINARUJtO 1'1\ 11251.0943 10 IHCLOSURIS o IUlIIHIS8 RIOUL1\P CIlr.CIUHO I\C~OU"T "cCOUNT I rt;O-lI J484 PRIVIOUS OIPOSITS! CII'CIO! BERVICI 1II0IHa IITATIHI"f BALANCI CRIOITS Il DEA 1T9 62 ,EES BALANCE 5,986.62 25,651.98 15,622.15 .00 16,021.B5 OUI ACTIVIT! DISCRlf'TION OErO.II.! CIISCRO! REfERENCE CREDITS DEBITS 81\U\NCI OB-06 8101""1"0 DALANC! 5,906.62 0.-06 OSI'08IT 00100002126 J, no. 61 0.-06 ClIICR Z529 00100002 25 400.00 9,065.29 00-01 ClIICR 2501 00100004120 1l.50 OS-Ol ClIICR 2520 00400000Jl0 91.00 0.-01 ClIICR 2521 00100004001 46.9' OS-Ol ClIICR 2534 OOZOOOOOO14 506.91 B,344.93 08.08 DIFOBIT 00lOOO03153 2,812.01 08.08 CIIICIt 251' 00lOOO029l6 112.00 08-08 enlelt 2541 00300003141 l5l.04 10,631.96 08.09 DIP Ctllelt RIT rn 90010400002 5.00 08-09 DIP RIT 90010600003 102.25 00-09 clllellt 2522 00200001068 12.11 00-09 C1IICIt 2521 OO:ZOOOOO:Z~O 1,116.11 00-09 ClIICIt 2510 00100000610 ,~.44 OS-09 ClIICR 25]1 002000000]3 2 .O~ 00-09 ClIICR 2512 00200000006 ll.3 OS-09 ClIICR 2540 00100001020 320.52 oe-09 ClIICIt 2541 00200002006 15.00 00-09 CIIICIt 2546 00100000198 18'.00 B,083.59 00-12 ClIICR 2523 00200004032 104.05 08-11 elllCIt 2524 00200001l5' 61.00 00-12 ClIICR 2520 00100000905 .99 00-12 ClIICR 25lJ 00200004012 90.61 00-12 CIIICR 2535 00300006444 104.11 00- 12 ClIICR 2511 00200004606 119.45 00- 12 ClIICR 2530 OOlOOOOOOll 41.22 OB- 12 ClIICK 2519 00200005119 1,118.85 00- 12 ClIICR 2544 0020000200' 104.50 00-1 Z ClIECIt '2545 00100009202 224.40 4,964.95 00-1l DBI'OSIT 00lOOO02446 1,511';'94 Oo-Il ClIICR 2542 0020000Jl69 '5.05 OB-13 STOP PAYHr.NT ,r.. 15.00 00-1l C1IICR 2549 00lOOOO2104 106.14 O.-Il ClIICK 2550 00300002406 )16.09 5,389.01 00-16 OErOSIT 00lOOO05l40 1,140.99 00-16 OIPO.IT 00JOOOOOl52 3,681.96 oe-u CUIC'; 2555 0030000519 , 153.04 9,866.92 08-19 CIlICIt 2548 00100000402 600.00 OB-19 CIlI!:CIt 25!11 00100000601 168.00 (,~ OHJ~'I OWN BANK otY '103 146 H II ~ R ~ , 0 '" N "I N N .. '" I "^ U I ^ I' 1 .. .. RTftTIH!HT or ftCCOU"TR 000-11]404 8TATIH!HT PEAloD rROK TlUl.OUall S-06-96 9-0'-96 0 rl\OI 2 or :) I kltl.VlIlS r.uort AUTO 11II~rl\lfl.fI tHe HILVIH I, BlaLIR 9812 HOLLY PlTelllR IIHf AntrnHSRuno rl\ 11251-0941 10 INCLOSURES o BUlJI"UII RIOULI\R CJtlCUHd ~CCOUIIT AccoUNT I 000-113484 01\1. ACTIVIT' DESCRIPTIO" nErr.np.HCr. OlrOSlT.! CIIICR.! cAlOITS or.nlT9 BALI\"CI os-19 ClIICR 2556 0010000J611 28,.Jl 8.8Il.59 08-20 ClIICR 3551 00200002010 114.10 8,698.89 08-21 OII'OSIT 2554 00JOOOO1110 2,604.00 08-21 ClISCR 00200001121 216.01 08-21 Clllel 2551 00200004190 410.60 10,556.18 08-22 C1lleR 2552 0020000JJ90 200.00 08-22 CIIICR 2559 00200001992 115.00 10,181.18 08-21 OIPOSlT 00JOOU004l0 1,601.06 08-21 CIIICR 2561 00lOOO07110 224.40 08-21 ClIICR 2562 00300009815 l51.04 11,211.60 as-26 ClIICR 2558 00200000062 810.10 10,401. 50 08-21 ClIICR 2561 00100001012 104.65 00-21 ClIICR 2564 00200000144 12.81 10,283.98 08-28 OII'OSIT 00100002861 3,793.92 08-28 ClIICR 2565 00200002636 266.94 1l,810.96 08-29 ClIICR 2569 00200003215 42.92 13,160.04 09-01 DIPOSIT 00100004885 .,093.20 09-01 OII'OSIT 00]000056]0 2,Ol1.41 09-03 0.1. eRSOIT J15.J2 SALISPAIHT 960902 1524189943 09-03 ClIICR 2568 00200000112 50.00 09-03 CUlel 2510 00200003081 5.53 09-01 ClIICR 251l 00200001130 827. 19 09-01 CllleR 2516 00300001110 218.11 09 -0 3 ClIICI 2511 00300004811 l'J.04 09-01 CIlIClt 2518 00JOOO056J! 400.00 15,J59.46 09-0 DIP CHICK "IT Fl. 90010400UO "" - ----=0- g;:g BIIlcRIT 2511- ~m888gm -." p .21.00._" 58.18 09-04 ClIICR 2512 00200000118 104.90 09-04 CHICI 2519 00300008169 103.00 15.066.18 09-0' OII'OSIT 00300000043 1,356.9J 09-05 0,1. CRIOIT 90.69 S~LISP~IHT 960904 152418994l 09-05 ClIICI 2566 00200001460 191.60 09-05 C1IICR 2561 00200004128 61.00 09-05 ClIICR 2514 00200001828 52.95 09-05 ClIICR 2581 00100000526 185,00 16,021.85 09-0' SHOINO 8~LAHCI 16, OZ!. 85 pOll' "nO] 141 N 8T~TBHI"T or ACCOUNTS 000-113484 I ITATIHI"T PlRlOO ,,,OH TII"OUOII 8-06-9& 9-05-96 0 '''OK 1 or 1 10 INCL08UR18 0 c:~ OI{J~TOWN BANK II II: M ~ I II W,.. I' I. N N " ... I 1/ ^ N I ^ I' 1 .. .. "ll.VI"" Ilia" ~lJTO ,,","Inn IHC NILVI" ~ 81aLIR 9RU HULLI PIT<IIIR IINY 8111rPlHRBUnO ,1\ 1 U~1-094J 8UII"188 "IOUL"n CIIBcurm "CCOUNT OIICK HO 250J 2520' 2521 2522 252l 2524 2521' 2528 2529 2510 2511 25H 25]] 25H 2515 25J6 2511 2518 Ul9 2540 U4I 2542 2544' 2545 2516 25 1 2548 2549 2550 TOT"L MUHBIR or CIIRCIS ClIlCK , IHDIC"TP.8 811P M\lIUNT ..I11.5U 9l.00 46.95 n.lI 104.S5 61.00 1,116.11 .99 400.00 16." 24.00 1l.14 98.61 506.9 112.00 184.11 1I9.45 41. 22 1,118.05 HO.52 15.00 55.05 l04.50 224.40 185.00 J5J.04 600.00 106.14 316.09 51 ACCOUNT I ~UO.llJ404 BUHHARY I" ClIIIlCK "UH81"S CIIICK HO 2551 2552 255l 2554 2555 2556 2551 2558 2559 256.. 2562 256l 2564 2565 2566 2561 256~ 2569 2510 2511 2512 251J 2514 2516' 2511 2518 2519 2581- AHOUNT 114.10 300.00 168.00 216.0l 151.04 385.]] 410.68 810.10 115.00 224.40 151.04 104.65 12.81 266.94 191.60 61.00 50.00 42.92 5.51 58.18 104.90 821.19 52.95 218.11 151.04 400.00 10l.00 85.00 15,414.50 TOTAL MOUNT or CIIICItS SILLS OOT IOU QOWNl TRT ^ CONSOLIDATION LO"" CRLL 5J2-6114 O~ ..~T8#N 13ANK no)" 0001 140 N lIRM'\llIWN l'I'NN"'I.\I^NI^ IJ~"4 RTATBHIHT or ACCOUNTS 000-IU484 STATI"I"T PIAloD rROH 111noUOII 1-0B-96 8-05-96 0 r^o~ or J I t ~. HII.vUU' En ON fturo nIPMJu'I 'He KELVI" 1. DlaL!R 9822 HOLL! PlTelllR ""' 8I11PPI"88UnO pft 11251-8943 61 ENCLOSURIS o SU8IHISS RIOULAR CIISCRIHO ACCOUHT ACCOUHT' 000-113484 PRIVIOUS DEPOSITsl CIlECRS/ SERVICE I"DINa BTATIHIHl BALI\HCK CREDITS 9 DIDITS 60 '1.18 BALANCI 10,283.22 18,634.80 22,931.40 .00 5,986.62 bMI DSPO.IT./ CIISCRS/ ACTIVITY DISCRIPTION RlrIRENC! CRIDITS DEnns nALANCI 07-08 8IaIHHIHo nAtANC. 10,203.22 01-0B oapOs IT 00lOOO05241 1,315.92 01-011 CIIICK 2464 00loOool049 296.08 OJ-DB CIIIf:1t 2486 00100005246 411.J6 10,825.10 01-09 ClIICR 2:S4 00100000442 185.00 07-09 ClIICR 2 91 00300001518 J8.50 10,602.20 01-10 ClIICR 246J 002000001JJ 5" J5 07-10 ClIICR 24/8 00lOOOOO126 114.18 01- 0 CHICR Z419 00JOOOO0518 I .. 71 01-1? ClIICR 2481 00100000556 8l5.l6 9,459.74 0''''1 ClIICK 2459 00200002561 646.Jl OJ-II ClIECIt 2412 00lOOOOl891 15.00 01- Clllell: 2415 00200001Z11 Z3.02 OJ- CHICK 2480 00200002808 50.00 07-11 ClIICR 248J 00200000114 1,346.56 01-1' ClIICR 2489 002UOOOJ192 165.62 1,153.11 01- 2 OSPOOlT 00JOOOO1112 2,587.55 01-12 ClIICR 2466 00200000Z06 55.00 . i 01-12 ClISCR 2161 00100000411 128.00 01- 2 CIIICK 2468 00200003131 93.02 01-12 CIIICR 2469 00200003461 128.40 01-12 elllCK 2411 00300000543 25.82 01-12 ClISCR 241l oOZOOOOJJll 24.00 01-U ClISCR 2493 00200000192 14.21 01-U ClIICR 2H4 00200002116 100.00 07-U ClIICR 2498 00JOOO09196 J5l.04 8.819.17 01-15 CIlICR 2410 00200000144 9l.66 01-15 CIIICK 2114 00200004281 61.00 01-15 ClIICR 2411 00200001198 258.00 01-15 ClIICK 2485 00200000021 16.58 01- 5 ClIICR 218/ 00300008205 59.15 01-15 CIIICR 2488 0020000l1l4 45.48 01-15 CIIICR 2490 00200004060 89.50 01-1S CIIICK 2496 00200002012 9l.35 01-15 CIIICK 2491 00lOOOOS422 224.40 01-15 ClISCR 2499 00200000103 65.00 1,913.05 07-11 ClIICR 24/6 00200000062 25.86 01-11 ClIlCk 2495 00'200003192 93.99 1,893.31 07-18 OIPO." 00100005985 J,295.96 01-18 DIPOSIT 00300000962 1,506.92 10,496.09 cf~ OI{f~T WN BANK 00 DOl IU H . 8T~TIHIHT or ~CCOU"T8 000-lll"4 BT~tl"I"T 'InlOO fRoM TIIROIIOII 1-08-96 B-O!-95 0 PAOI :2 or ) II R R !\ r I) VI' N. I' I- N N iii ~ 1_ v ^ N I ^ I 1 1 4 .. 1 "_INIII8 IUDtt "UTO IlJIlrlUI'!!I IHC HILvllt L DIOLlR 9822 HOLLI PlTellER IIHY 8HIPPIN9DURn rft 17251-0941 BUIIUll!II RIGULAR clllcKlinj I\CCOUlIr DftTI ACTIVITr DISCRIPTION Rlrp.nEHc! 01-19 OIPOSIT 01-19 ClIICR 2500 01- , CIlICR 2502 01-19 CHICR 2505 01-19 ClIICK 2500 01-22 ClIICR 2501 01-22 ClIICR 2504 01-2Z ClIICR 2506 01-2] OII'OSIT 01-2] ClIICK 2h2 01-21 ClIICR 2510 01-2! DIP CHICR RIT .IS 07-2 nl:p DIP? 01-2 ClIICR 2501 01-26 OVIRDRArT rls 01-26 ClIICK 2511 01-2& CIlICR 25ll 01-2' OIPOSIT 01-2' ClIICR 2509 01-zg ClIICR 2512 01-zg ClIICK 2514 01-31 ClIICR 2515 08-01 OVIRO~ArT rll RI,UHO 00-01 DSI'OSIT 08-01 CllacK 08-02 CHICK 00-02 ClIICR 00-02 ClIICR 08-05 ClIICK OS-05 ClIICK 08-0! IHOIHO BALAHCI 00100005202 00200001159 00200000160 00100006251 001000052Jl 00200001911 00200000260 00200004251 00J00001615 00100000514 UUJuuOOJ.614 90010400001 9001060000' 00200001620 00200002129 00100003269 0030000"96 00200004218 00200003234 00J00005992 0020000Jl04 900104000ll 00100006411 OOIOOOOOlOI 002000011" 00200000362 00lOOOOOl05 00200004]06 00300003013 2516 2511 2510 2516 25" 2525 61 I"CLOBU"I" o 'CCOUNT. 000-111404 DEPOSITS! CIIICRO! CREDITS DIOIT8 i,322.95 S.L.HCI 10l,15 1,09J.15 260.2] 151.04 200.00 40.20 449.80 600.00 ~niJg~ 44.05 , .8-- 231.57 9,128.61 2,213.11 8,.]8.61 9,616.35 9,512.00 410.01- 3,514.50 167.20 15.J5 J5J.04 ~..... 2153.09 4,o~f:jJ- 100.51 16.95 21.22 351.04 142.00 214.50 2,508.16 2,245.61 1,014.49 6,603.28 5,'06.62 5,986.62 ClIlCIt .UHH.RI . IHDtCI\TIS SkiP 1M Olp,:CJt HUHOIRS CIIICK NO MfOUHT cnECl "0 NiOUHT 2459 646. J1 2411 25.02 :1463- 51.J5 2412 15.00 2464 2'6.00 241l 24.00 2466- 55.00 2414 61.00 2461 120.00 2415 21.02 2460 19J.02 2416 25.86 2469 20.40 2411 250.00 2410 91.66 2410 114.18 ~ OI{(~T WN BANK C OOOl 142 " 8T~TKHP."T or ACCOU"TS 000-11l4.4 8TA11"1"1 ,IAIOO 'ROH TIIROOOII 1-00-96 8-0~-96 0 PMI 1 or 1 II R M "Ii I II W N, I' I: N N ~ , I. v ^ N I ^ I J 1 -4 -4 H!LVUIS Buotl AUTO fU~rl\lfHI tHe HILVI" L DIOL!R 9022 HOLLI pnCIIIR IINI BII1PPlH88Una PTt 11~~1.89U 8USIHI8S RIOULAR aIEC~I"a ACCOUNT 1 67 IHCLOSURIS o CIlICIt SUHHJ\nJ . tHOtCI\TItl'J SUP IH CItEclt HUHDEnn ACCOUNf. 000-11]404 ClIIC~ I~~ 2 BO 2 01 2 83* 2 .4 2 05 2 06 2 01 24.0 ~j4;~ 2 91 2 92 2 9l 2 94 2495 2496 2491 2490 2499 2500 TOTAL "UHRIR or ClI!CItS AHOUHT 141.11 ~O.OO 835,16 1,346.56 1.5.00 ,16.50 .11,36 '9.15 145.40 65.62 09.50 ]8.50 600.00 14.21 100.00 9l.00 93.l' 224.40 151.04 65.00 IOl.J5 51 ClUtCI!: 110 2501 2502 2504' 2505 2506 2501 2500 2509 2510 2,.1 25U 2513 2514 2515 2516 2511 2510 2519 25:25- 2526 TOTI\L MOUNT or ClI!CItS BILLS OOT IOU DOMIU tRY ft CU~80LIO"TIOH LO"" CALL 5l2-6114 I\HOUHT 200.00 1,89J.15 40.20 260.21 449.00 144. O~ J53.04 161.20 J16.09 9,610.50 ".15 211." 15l.04 261.09 ~Ul '-124!.22 ..00 214.50 151.04 22,891.90 OI{(~-ldt~l\ru^NK ft!l.vl"~ Iuall "uro nftPl\lnA tHe HIILVlti .. BIOLEn 9822 1l0LLY rnCII!R IIHY f1ll1rrlHfJOunll rt\ 11151-0941 '" 1001 .." H ftT^Tr.Hr.NT or ~ccoUHT8 000-1 I ]404 1 IJTIIT!HEHT URlnD rnOK TIIROUfJlI 6.06-1)6 J-07-96 0 rl\ol!: 0' 1 60 r.H('t.oAIJRIrI 0 II N R ~ r II W N 1'1 tl ~j ~ ~ I V" N I II I' 1 I ~ 8USIN!!! REOUL1\n cllr.c~lho ACCOunT ACCOUNT I 000-111404 PREVIOUS DEr091I9/ CIIECRS! SIUWlcE EHDUIO 8TIITIH""T BnLftHC! CREDITS 1 Oll:nlTA 54 ,,.r:!J RIILl\tIC! 16.265.12 10,98:1.52 24.966.02 .00 10,29J.~2 OEPO.IT.! CIIICR.! D"tl I\CTIVITr DEscnJrrloH mtr,mr.HC! CJum nn DEDITS DI\L^HCI 06-06 BROUNIHO "I\Ll\rICI 16.265.12 06-06 CllItCIt 2109 002000004ll 1.031.35 15,234.31 06-01 CIIICIt 2412 00200001091 10,000.00 06-01 CIIICK 241l 0020UOOI092 H.IO 5.191.21 06-10 OIPOSIT 00lOOOOOO16 2,404.50 Oli-IO clIECIt 2111 00200002891 121.l5 06-10 CIIICR 2416 00200001116 115.10 06-10 CIIICR 2118 00lOOOO0604 35J.04 06-10 elllCIt 2419 00JOOOOO053 400.00 6,611.76 06-11 OEPO.IT 00lOOOOOl03 2,56].60 06-11 CIIICR 2122 00300000200 596.10 0,510.66 06-12 CIIECK 2414 00200000191 I1l.40 8,405.26 06-11 CIIECIt 2411 00200002315 116.90 0.200.J6 06-14 ClIECR 2435 00JOOO09002 24.11 8,263.65 06-11 CIIKCr: 2121 00200004156 415, OJ 06-11 ClIKCK 242J 0020000059] 15.00 06-11 CIIICR 2429 0020U003542 TJ.l1 06-11 CIIECR 2410 00300101065 240.Jl 06-11 CIIICR 2432 00lOOOO0964 l6.22 06-11 ClIECIt 2413 00100000105 105.00 06-11 CIIKCIt 2441 00100000399 191.9J 06-11 clIlCK 2412 00200004924 1,515.80 06-11 CIIECR 2443 00200000111 254.01 06-11 CIIICR 2444 00100000111 / 114.93 4,510.85 06-18 or.r0911 00100003205 3,210.14 06- JB CIIKCIt 2420 00200000049 200.00 06-18 CIIKC.. 2126 0020000J965 24.00 06-10 CIIICR 2420 00100000021 16.00 06-10 CIISCR 2416 0020000000J 54.23 06-10 CIIICR 2p' 00200001995 95.00 06-18 CIIICR 2 38 0020000J994 11.04 06-10 cllleR 2146 00200002503 29.00 06-18 CIIICIt 2141 0030000J1I5 l5J.04 6,911.00 06-19 CIIICR 2411 00200000400 15.00 06-19 CIIICR 2419 0020000J232 45.21 06-19 CIlKCIt 2445 00100000501 600.00 6,271.61 06-20 CIIECIt 24]4 00200002551 61.00 6,216.61 06-21 CIIECIt 2440 00200002055 162.10 06-21 CtlEc.:1t 2449 0020000J422 /2,485.nl 501.S3 5,472.66 06-24 DI~ro91T 00100004714 . 1. dh~ OI{l~~1 OWN BANI< 000] 150 " , I 1 I IJ II M Sill W N 1'1. N N lO \' I V" N I" I' 1 . " 8T~T!H!"T or ^CCOUHtB 000-1Il404 BTATIH~HT PEnloO fROK 111RooOII 6~06-q6 '~Ol-96 0 pl\OI 2 or ] 1 Hlt.vlllB r.UOII AUTO nr.Pl\ln9 tHe HILVIH L OIOLEn 9B2:1 HOLLY rltCnER mn 811lPrEH88Uno PI\ 11251-R941 60 IHCLOBUftRS o OUOIHIS8 nECUL"n cn!c~rtla ACCOUHT "cCOUHTI 000-1Il404 OErOSITS! ClIECRB! DATI "CTIVITt' DESCRlrTlOtl nZUllIUfCfl crumlTB UED ITB 81\LI\HCE 06-zt ClIECIt 2424 00lOOOOl002 116.09 06-Z CtllCK 2421 00200000)40 45.00 06-2 CIIBCIt 2440 00200002191 269.06 06-2~ CIIICIt 2450 00200000021 162.15 06-2 CII!CIt 2452 001000U062J 400.00 06-24 CHICK 2451 00200000520 106.90 06 - 24 CIIICR 2454 00300004156 ",;(,116.96 35l.04 6.165.61 06-26 CIIIC~ 2451 00200001902 224,20 5,941.43 . 06-21 OIPOSlT 00lOOO01250 06-21 CIIICIt 2169 00300006066 35,00 06-17 ClIlCK 2451 0030000]205 ~29.92 l5J.01 9,330.35 06-20 CIIECIt 2425 00300006950 169.50 9.160.B5 01-01 CIIICIt ;2456 00200001150 61.10 9,099.15 01-02 Dlrosn 00300004945 01-02 ctllCIt BOOK rEO 4J.67 01-02 CIIIC! 2461 00300004944 400.00 12,185.40 07-03 clllC1t 2455 00200000102 ~.51 0.90 01-0J CIlICIt 2458 00200001161 15.00 12,101.50 01-05 Dr-POSIT 00lOOOOBJl1 07-05 ClI!CIt 2460 002000011 '4 2,150.00 07~05 CIIECK 2462 00200004469 26 7. 75 01-05 clIlCK 2465 00300008219 35J.O" 10.20J.22 01~01 IHDIHO nnLl\IIC! 10,2oJ.22 CIIECK BUHKnnr . Itf01C^TP.S SlUr I" CIIECK tIUHB!nS ClIBCIt rto nHOUHT CIIECIt NO nHOUHT 2169 15.00 2426 24 .00 2409- I,Oll.15 2421 45.00 2UP I21.l5 2420 16.00 2412 10,000.00 2129 TJ.II 2411 31.10 2410 240.11 2414 111.40 2411 15.00 2416. 115.10 2412 J6.22 2411 116.90 2411 105.00 2410 l5J.04 2414 61.00 2419 400.00 2415 21.11 2420 200.00 2416 54.21 2421 4l5.01 2411 95.00 2422 596.10 2410 11.04 242l 15.00 2439 45.21 2U4 J16.09 2440 162.10 2425 169.50 2441 193.93 db~ Ol-ms-IOWN BANI( OOJ~ "OP3 ..I H 8T~TEH!HT or ACCOUNTS 000-111404 I BTAT!H!"T nRIOD rROH 111ROUOII !-O6-96 6.05-96 0 PADI or Z .0 IHCL08URU 0 " I ~ llRM.;'OWN, "rNN!li'fI."^NI^ I '2"~ "ELVINA EueN AUTO REPAIRS Hie HELVIN L BIOLER 9022 HOLLY PITCUER liMY 8lurPlflsnuno P^ t 12S1-A9U 8U81"1811 Rlou~n ClIlCIUtfO ACCOUrfl' ftCf:OUH r I uClO-113484 pnsvlous DEPOSITS! CIIECRS! SERVIC! ItfOltlO STAT!H!"T BALANCE CREDITS 6 DEBITS 46 FEE9 BALANCE 12,218.22 25,145.30 21.691.80 .00 16,265.12 DEPOSIT.! CIIECR.! OATS ACTIVITY DESCRIPTION nHEnr.NCI CRED IT9 DEOITO BALANCE 05-06 OEOlIlNIHa OALANCI 12,210.22 t 05-06 CHICK 2]10 00lOOO09110 l5l,04 11,865.18 05-00 ClI!CK 2165 00200001615 104.01 I 05-00 CIIICR 2361 00200000144 40.05 11.120.32 !" 05-09 CIIICJ( 2160 0020000J 111 200.00 05.09 CIIICR 2111 00200002659 IJl.06 I 05-09 ClIICR ZJ11 00200001162 24.00 11,36].26 05-10 CIIECIt 2114 00200002946 32.60 05-10 ClIBCK 2115 00lOOOO1449 61.10 05-10 CIIECK 2111 00200002111 82.45 05-10 CHICK 2318 00100000140 600,00 10,581.11 , 05-1] DEPOSIT 00]00002295 2.IlJ.l4 05-11 OII'OSIT 00JOOO02119 6,318.68 t 05-13 elllCIt Z112 00200000935 61.00 05-ll ClIICR 2119 00300002290 411.J6 05-13 CIlI!CK 2100 00100002292 J16.09 10,179.68 I 05-15 ClIICK 2J16 00200002510 215.01 05-15 CIIECK 2301 0020000Z692 10,156.10 1,B07.51 I 05-17 CHICK 2306 00JOOO09726 42.JJ 1,165.24 . 05-20 DEPOSIT 00300002572 0,096.41 i i 05-20 clIlCK 2102 00JOOO02592 15J.04 , 05-20 CUICr;. UOJ 00200002743 110.J9 I 05-20 ClIECr;. 2J05 0020000J6!10 11.91 05-20 ClI!cr;. 2JOl 00JOOO06113 16.16 05-20 CIlECIt 2109 00200001915 111010 05-20 CIIECIt 2190 00300009301 105.42 05-20 CIlECIt 2191 00200004551 00.40 05-20 CIIICR 2J92 00200004161 96.06 05-20 ClIlCIt 2399 00200000232 420.91 05-20 CIlECIt 2400 00300002559 l5J.04 14,113.22 05-21 ClIICR 2104 00200002651 51.00 05-21 CIIICR 2300 00100000416 11000 14,504.42 05-22 DEPOSIT CORRECTION 00300001910 .00 05-22 ClltCR 239J 00200002990 415.00 05-22 CIIICR 2195 00200002909 49.95 05-22 C1IICR 2191 00100000201 600.00 1l,459.55 05-24 ClIECIt 2J94 0020000lJ59 1,243.01 12,216.54 05-29 DEPOSIT 0030000J504 4,393.30 05-29 alECK 2396 00100000551 105.00 05-28 CHECK 2403 00200004089 252.20 .~.~. !.......:. ,~,,::.."...:.I~L".1" ~".l ~ . . nOlO nUlll "2 " !TI\Tr.HP.HT or "CCOUHT8 000-11l404 I BTPoTl!U!HT nAiaD rnoH TIIROUOII 11-06-96 6-05-96 0 rPoOB 2 or Z 50 INCLOSURES 0 db::~ OI~~IDWN BANK II R R ~ r II W N. I' I'. N N lj ,. 1 v ^ N I ^ I' 1 .. .. HE1,VItHI UlaN I\UTO nr.rl\lfUI UtC HILVIII t. DIOLER 98~:Z HOLLY rnc1I!;n 11M" BlIlPrEtUIDUno rPo 112~1-0941 BURIHP.9B RIOUL"R ClllCltltlO I\.ccou'rr PoCf'OUtlTt OUO-11l404 OIPOSITS! CIIICR"! DPoTB ACTIVITY D!8C"'lrTIOtl REFtRr.HCr: CREDITS DP.O ITS BI\.LI\HCE 05-2B CIlICR 2405 00200002290 101.20 05-28 ClIECK 2406 00200002035 91.90 05-28 CIlECK 2401 OUJOOOO4191 1,2Jl.12 05-ZB CIIECIt H08 00]00003585 353.04 I4.J92.10 05-29 DIP CIIECIl "'lit rEi 90010400004 5.00 05-29 OEP RIT 90010600000 250.6l 05-Z9 ClIICR Zl90 00 I OOOUOOl4 999. Zl 05-29 ClIICR 240Z OOIOOOOI22l 140.ll 12,909.1] 05-10 ClIICR 2404 002000002J5 39.95 12,919.1" 06-03 ClIlCK 2401 0020000021J 200.00 12,149.18 0&-05 DEPOSIT 00300001513 3,943.43 06-05 ClIICR 2410 0020000J068 14.45 06-05 ClIlCIt 2415 OOJOOOO1511 J53.04 16,265.12 06-05 ENolNO DALI\HC! 16,265.12 CllltCK BUHHI'\RY . IImlCI\TES suP IN cn!CK tlUHO!nS CIIICK NO 2365 2361' 2160 2310' 2311 2]12 2113 2114 2115 2116 2111 2110 2119 2100 2301 2102 2103 2104 2305 2lB6 2101 2.388 TOTAL HUHB!n or cnlCKS " . "HQUIlT 104.01 40.B5 ZOo.OU 353.04 Il3.06 61.00 24.00 32..60 61.10 215.01 02.45 600.00 417.36 316.09 10,156.10 35l.04 110,39 51.00 11.91 42.ll 16.16 11.00 44 CIIECp;, 110 2109 2190 2391 2192 2l9l 2394 219S 2396 2191 2390 2199 2400 2101 2102 240l 2104 2405 2406 2101 2100 2410' 2415- TOTAL MOUIIT or ClI!eIlO "HOUHT 111.10 105.42 00.40 96.06 4".00 1,24J.Ol 49.95 1"5.00 600.00 999.21 420.91 153.04 200.00 140.11 252.20 J9.95 101.20 91.90 1,233.1'2 153.04 14." 35J.04 21,442.11 '! .~~ . ~. ' . . ',;. OI{l~'18#N HANK " R " "i I II W N 1'1 N N "i 'i I \I" N I ^ I I I I ~ HIl.Yllt" nlOIl ft,llTO '\p:rl\lft!i Itle HILVtrI I. DIOUR 981:1 HoLLY PltClIl'R IIHY 9111"rE"OnU"0 rl\ 17251-89"1 m' . 101)) 146 N 8TI\TIII!H1 or ACCOUNTS 000-1 U4S4 STI\T!II!HT PEAlOD ,"OH Tflnouall 4-00-96 5-05-96 0 rAOI or 2 1 1]0 INCLOSURIII o DUl!lHIS8 nEOULI\R CIl"C~IfU1 ACCounT "'croUNTt 000-l1lt"4 PRIVloUS VUOS ITS! CIIEeRS! SEnVICE EIIO 1 110 STI\TIHI"T BALMieR CR!DITS 1 DF."ITS ~ 41 nEB DI\L"tfCE 20,614.05 Il,023.19 21. 00.42 .VO 12,210.22 VAT" ACTIVITY DlUICRIS'Tl01l nr:nnr.llcr. oorOSIT9! CIIECR9! CRP-OITS DEOITS BAL"HC! 04-00 010111"1"0 DI\J.I't1C! 20,614.85 01'00 ClIICR 2J15 OOZOOOOllOO 11.91 20,596.88 o -09 ClIICR 2311 00100001146 600.00 o -09 ellleK 2120 00200004166 43.00 o -09 ClIICR 212l 00ZOOO0440l 66.45 19,991.35 o -10 C1IICR 2116 00100000610 199.50 04-10 ClIICR 2J10 00200001921 116.5J orlO CIIIC' 2121 OOZOOOOlOlO 22.05 19,489.21 o -p ClIICR ZJl9 00200000496 61.00 o - 1 ClIIC' 2122 002000011J6 25.82 19,402.45 o - rs CEPOS IT 00lOOOO1620 5,01..'3 o - 5 ClIICR 2120 00ZOOO05015 9,l4l.15 o -15 ClIICR 2129 00200005010 14.20 o -15 ClIICR 2lJl 00100001621 667.91 0~-15 ClIICR 2112 00100001620 J16.09 14,215.U o - 6 ClIBCK 2110 00200001019 106.10 14,108.43 04-IS C1lleR 2121 00200001100 121.61 or IS ClIICR 2ll' 0020000145J 1,980.09 o -18 CIIICI 2J 2 00300003502 120.52 11,046.21 o -19 CIlICR 2ltl 00100004106 5.44 11.800.11 o -22 CIlICII. 2Jlt 00200003960 9J9.09 o -:21 CIlICI\. 2115 00200002039 196.20 o -22 elllCIt 2110 00lOOO04569 62.00 04-22 CllleR 2140 00ZOOOO2120 6l.95 Or22 C11ICR 2lt4 00200002041 111.64 o -22 CIIICR 2116 00200001209 247.14 o -22 ClIIC' 2lto 00100000169 320.11 04-:21 ClIICC~ 2151 00200000996 9Z.50 9,811.34 01-21 ClIICR 2145 00200000005 20.00 0"-23 ClIEC~ 2150 00200001110 46.95 04-21 ClIEeR 2152 00200001110 415.21 9,335.12 01"24 CIlICR 2116 00100000100 100.00 o -24 CIIEC~ 2119 00200001065 159.96 0,915.16 o -25 C1IECt 23)7 00100000621 161.20 8,101.88 U4-26 UEP091T OUlOOO01006 ],218.95 01-26 Vnl'USIT 00lOOOO1915 4,130.61 o -26 C I!C~ 00lOOO01911 o -26 C1IIC~ 002DDOOp 9 04-26 C1IIC~ OOlOooo I 04-26 elllCIt 00 '.' . . OI{RST6W'N BANK lIRRllifOWN. l'IINN'Ii)IV"N'" 11144 1I!~VIN8 1110" AUTO nEPAlns INC HILVIII I. DIOL!n g02Z HOLLI PITCII!R IINI 8111PrlH88Una rl\ 11257.0943 IIUIIIHIUII ftlaUL"R ClIlclUNI1 I\CCOUflT bl\TI ACTIVIT' DIscntrY10H n!rEnIHC! OJ-26 elllcK o -26 ClIICR o -29 elllcK o -lO ClIICK OJ-lO ClIICR o -30 C!lICK o -lO ClIICR 04-10 ClIICR 05-01 ClIICR 05-02 ClIICR 05-02 ClIICR 05-05 IN01NO DI\LnflCI ClIICI "0 2115 2116 2JI1 2110 21U 2120 2111 2322 232J ;U21. 2120 2ng 2110 21l! 2312 2lll 21]4 2115 2116 2111 ZllO :U40' 2141 2H2 TOTAl, HUHIII" or elllellt8 2161 2l6J 2164 2155 2156 2150 2160 2J62 2154 2359 2366 00100004540 00300001000 0030000g411 00200000251 00200002851 00200000018 001000051 4 00100001211 00200001193 OO~00003JJ2 002000001&9 ClI!CR . JrIOICI\TIS SKIP "HOUNT 17.91 199.50 600.00 116.51 61.00 4l.00 22.05 25.82 66.45 121.61 9.14l.J5 14.20 106.10 661.91 J16.09 J51.04 039.09 U6.20 100.00 167.20 62.00 6J.g5 1.900.09 160.52 U "ccounT. 000-113484 OEPo.ITO! clI!CR8! CRaOITA DRRtTS l5J.04 400.00 1, U,.41 120.00 85.60 226.01 100.62 105.00 51.10 112.16 235.00 SUHHAnl IN CIIICK HUHOERS CHaCK NO 214l 2144 2145 2146 2]41 2140 2149 2150 Zl51 2152 2151 2154 2155 2156 2151 2150 2l5g 2160 Zl61 2162 2163 2164 2366' TOTAL AMOUNT or ctlECIUI or 100.1 141 N 8T1\11HI"1 or ACCOUNTS 000-11l40f I STAtlHINT PlAIDD rRoM 111ROUOII 4-00-96 5-05-96 0 PI\OI 2 or 2 so INCLOSURES 0 BI\LI\HCI 14,522.24 13,406.71 12,61g.00 12,626.10 12,218.22 12,218.22 NlOUIIT 45." 111. 64 20.00 241.14 11.26 nO.11 J59.g6 46.95 02.50 415.21 15l.04 51.10 128.00 05.60 64.82 226.01 112.16 100.62 l5l.04 105.00 400.00 1,115.41 Zl5.80 21,480.42 nolO 0001 I" " BTATP.HKHT or ~CCOUHTS 000-lIlt94 I I'IT~lEHP."l pr.rtloa rltOM TllROUOII ]-06-96 4-01-96 0 p~(J1I or 1 61 IHC(.OBUAr.B 0 OI~H.s-Il5#N BANI< I) II R 0; I II W N \'1 N N 0; \. I \I" N I" t J .' .. t IIILVI"" IUOH I\IITO ItP.PMfUl IHC HILVIN I. BIGLIR 9822 HOLLY PtTClllER IIHf elllPrEHSBtlnO rI\ 112S1-A94J RU81HIUIII Ar.OUf.AR CIIP.CUH" 1\eCOUHT rAIVIOUS OEfO'IIR/ Rl1\TKHr."T BI\LI\HCE c~r.OITB ~ 11,212.~6 2],260.61 CIIIC'BI O!DtTO Sl 1 J, l~O.l1 ACCOUfITI 000-113484 81JWlcE n:EB .00 IPOIIIO n~L"HCI 20,614.85 01\11 ~CTIVIT' nftSCnlPTIOH rtr.rEnr.HCr. OIPO.ITB! CIIICRS! cnr.01T8 0r.81T8 DI\L^HCB lI,lIZ.56 11,156.56 01-06 OIOIN"IHO Ol-06 ClIICR 03-01 DIFOSIT 01-01 OIPOSIT 01-01 OIPO.IT Ol-Ol CIIICR Ol-OI ClIIC' 01-01 ClIICR 01-00 ClIICR Ol-OS CUICR 03.08 CIIICIt 03-11 OIP081T OJ-II ClIICR 03-11 elllCIt 03-11 CIIICIt 03-1 elllCIt 01-11 ClIICR Ol-II CUECR 01-11 CUscR 03-11 elllCIt 03.11 ClIECIt 03.11 ClIICK OJ-I! CUICR 01-12 DIP CIIICR 01-12 DIP nRT 01-12 ClISCR Ol-12 ClIICR 01-12 CIIICR Ol-12 ClIICR Ol-Jl ClIIC' Ol-Jl ClI.CR OJ-Il CUICR 03-13 cnECK o l-Il ClIICR 03-14 Cl1ECK 03-14 ellECK 03-14 ClIICK 0]- IS CIIICIt 03-18 DIFOUT 03-19 C11!CK BI\LI\IlCI 2261 ZZ65 2260 2211 2Z14 2215 2291 221l 2216 2210 22Sl 2204 2201 220B 2209 2290 229J 2294 RIT UB 2212 2202 22B6 2292 2211 2200 2201 2205 2290 2266 2296 2291 229S Z299 00200001210 00lOUOU2U61 00100002012 00100002001 00200002256 OOZOOOOJlOO 00100002050 00200002006 OU200000910 00100000109 00100001160 00200001605 00Z0000411S 002000005ll 00200004111 OOlOOIOI014 00Z00000460 0010000042 1 OU200004035 00200000460 00lOOOOl145 00JOOOOl159 90010400001 90010600001 00200001601 00200001444 00J00000229 00200004450 0020000JlS4 0020000)241 00100000539 00]00000056 00200001695 0020000]024 00200004151 00100000519 00200000131 00300U04156 00100000090 016.12 1. 200.9l 1,411.5R 2,50-1.16 2,165.52 56.00 21l.95 Ill.OS 400.00 51.10 19.JO 451.92 l,l05.90 62.60 10.12 11.91 Jo.ll 496.10 ISI.9l 1,"91.18 os.12 J5J .04 141.4l 5.00 ZO.OO 61. 00 215.16 116.51 ...50 96.00 21.00 105.00 125.00 15.00 200.00 16.12 100.00 19.15 600.00 1l,911.99 1J,]6t.5~ 10,289.41 9,166.98 9,264.98 0,940.26 8,929.11 OI{Jt~~1 (~NBANK (lO'" '1'J0] 152 N ., M M , I I' W N 1'1 N N 'Ii , I \' ^ N I ^ I' 14" RT~TJHIHT or I\CCOUHT8 000- II14sl 81I\tl"I"1 'BAlDO rnoH tllPOUOII J-06-96 4-01-96 0 1'I\Ol :2 or ] 1 ~ HI1.YIHII Ulort ftlJTO RP.PMf18 IHe HILVIII L OIOLEn 9832 HOLL! PITClIrn IINf 8111PPEH8nUnO '1\ 11251~8941 t; 1 INeLO!tI""! o IUlIUllI1I UOULI\R cllr.cUNa I\CCOUHT I\CCOUHTI 000-II14S4 blBcnlPTloH nr.rEnlHcl OEPOSIT.! Clllcn! OATI I\CTIYITI cnED ITS DIn 1T8 BI\L"NCK Ol-18 ClIICR 2101 00JOOOO4155 116.09 OJ-IO ClIICR 2l0J 0020000121l l20.10 o - 0 ClIICR 2)05 00lOOO04110 4,lIl.l6 353.04 10,044.00 Ol-U 01P08lT OOlOOOOOO15 Ol-U ClIICR 2219 00lOOOOI265 220.91 Ol-19 ClIICK 2100 00100000061 16l.11 OJ-19 ClIICR ZlDl 00200002Jl6 2 J6. 21 o - 9 CIIICR 230 00200000603 150.60 13.5AB.3. Ol-21 ClIICR 2101 00200001011 605.01 Ol-2 ClIICR 2JOO 00lOOOOll05 156.20 12,026.95 Ol-26 ClIICK 2J09 00200001500 155.4' 12.161. 51 Ol-21 OII'OSIT 00lOOOOlU4 4.2J6.ll Ol-21 CIIICR 2306 00200000196 Ill.21 or21 ClIICR 2JI0 00100004030 J5l.04 16,511.33 o -01 ClIICK 2111 00200001644 251.06 16,254.21 o -OJ ClIICK 2lll 00200002910 104.55 16,119.12 o -0 ClIICR 2114 00200002260 105.90 16,0 l.82 04-04 ClIICR 2Jl2 0020U00201Z 200.00 1'5,841.82 04-05 OII'08IT 00lOOl009H 1.915.60 OJ-05 OII'08IT 212l 00lOOl009ll 3,961.51 o -05 ClIICR 00lOOl00991 l51.04 o -05 ClIICK 2125 00lOO100912 400.00 01-05 CIIICR 2126 00300100990 JSJ.04 20.611.05 o -01 EHDING DI\LANCI 20,61 .95 CIIICIt SUHHARf . IHDtC^TII'I SUP II' ClIBCK KUHRlnS ClIICR NO 2265 2266 2261 226S 2211' 2212 221l 2214 2215 2216 2211 2210 2219 22S0 2201 "HounT 211.95 200,00 56.00 IJJ.05 400.00 61.00 1,305.90 53.10 19.10 62.60 96.00 10.12 220.91 21.00 185.00 ClIf~CIt HO 2202 2203 2204 2205 2206 2201 2200 2209 2290 2291 2292 2291 2294 2295 22915 AWOONT 215.16 11.91 10.1J 125.00 116.51 496.10 151.91 1,591.18 00.12 451.92 44.50 351.04 141.41 19.15 16.12 (~ OI{J~~nOWN BANK :.10"- ""10J 15] H OMM""UWN. "!NN'i\ I VI\NI^ IIJ41 STATEHENT or ftCCOUHT! 000-11l404 8TATEH!HT 'InloD rnOK TllROUOII J-06-'6 4-01-96 0 rAGI ] or ] 1 HII.vINfI UIUtf "UTO nr.rAlR9 Ule KILVIN 1. RIOLER 9022 HOLLY rlTell!A IIHY BlIlP'EHflnUJH1 P^ P21j1-8lJ4J 61 IHCL08URIUII o IIIUII"188 REOULA" CIlECUIIO "croUtlT ACCOUNT. ooo~11J494 CIIICK SUHMAY It IHOICATES BUP IN CliP-eft tIUHnlU'S CIIICK HO 2291 2290 2299 2JOO 2JOI 2302 210l 2104 2105 2106 2JOl TOT1\L "UHBIA or CIIICKB AHOUNt 100.00 15.00 600.00 16l.11 2J6.21 116.09 320.10 150.60 l5l.04 IlJ.21 605.01 51 CHECK HO 2100 2109 2110 2111 2112 2l1l 2111 2324. 2125 2326 TOTM. N10UNT or CIIICKB AMOUNT 156.28 65.45 153.04 257.0& 200.00 104.55 105.90 l51.04 400.00 15J.04 13,173.]2 TIHI TO 1111"1{ 8PRUlO - " 110"1 IHPROVEHENf LOl\H CAli IIILP TO "1\1t1 youn IIOHI BEAUTIFUL - flro, OY TOHORROW (lh~ ORRS1DWN BANl( ~030 0003 145 II (I R R S r () W N. I' r. N N S Y I. v ^ N I ^ I 1 1 .1 4 STIITEHEIIT OF IICCOOtlTS 000-113404 STIITEHEtlT PEnIOO FnOM TllnoOlJlI 2-06-96 3-05-96 0 PIIoE 1 OF 2 x IlELVlllS ExxoII 1I0TO nEPIIIRS 1I1C H!LVlll L 81oL!n 9022 HOLLY PITCII!n lIilY SIIIPPEtlSOOno PII 17257-0943 51 !tlCLOSOnES o DOSIII!lJfl n!OOLlln CII!CKlIlO IICCOOIlT IICCOOIIT. 000-113484 ~n!VIOUS O!POSITS{ CIIECKS{ sEnVIC! !1I0IllO STIIT!H!tlT D/lLIINCE CnEOITS 11 OEO ITS 42 FEES D/lLlltlC! 10,713.73 20,799.43 20,360.60 .00 11,212,56 IICTIVITY OESCRIPTI0tl REFEREIICE DEPOSITS{ CIIECKS{ DIITB CREDITS DEOITS DIILIIIICE 02-06 BEOllUnilO OIlLlltlCE 10,713.73 02-06 DEPOSIT 00300001503 2,674.90 02-06 CIIIICK 2210 00100000196 600.00 02-06 CIIECK 2223. 00200002139 130.75 02-06 CIlBCK 2228 00300001502 376.09 02-06 CIIECK 2231 00300001529 400.00 11,941.79 02-07 CIlECK 2219 00200002871 403.12 02-07 CIIECK 2222 0020U003124 60.00 11,478.67 02-08 CIIECK 2232 00200000059 94.00 11,384.67 02-09 DEPOSIT 2243 00300005244 3,058.35 02-09 CIIIlCK 00300005239 353.04 14,089.98 02-12 CIIECK 2230 00200002675 718.14 02-12 CIIECK 2236 00200000481 226.53 02-12 CII!CK 2240 00100000869 185.00 02-12 CIIECK 2241 00300007849 162.88 12,737.43 02-13 DEPOSIT 00300003004 1,435.78 02-13 CIIECK 2237 00200002619 61. 00 02-13 CIIECK 2239 00200000246 21.00 02-13 CIIECK 2246 00300003003 730.72 13,360.49 02-14 CIIECK 2233 00200001189 9.50 13,350.99 02-15 CIIECK 2247 00200001429 90.16 13,260.83 02-16 CHECK 2252 00300000966 272.41 12,988.42 02-20 CIIECK 2235 00200003744 35.00 02-20 CIIECK 2238 00200001624 5.13 02-20 CIIECK 2245 00200000845 460.95 02-20 CIIECK 2249 00100000620 110.00 02-20 CIIECK 2251 00200004468 126.41 02-20 CIIECK 2253 00200002054 1,034.96 02-20 CIIECK 2254 00100000355 590.22 02-20 CIIECK 2257 00300106915 102.00 10,443.09 02-21 CHECK 2234 00200003600 162.18 02-21 CIIECK 2242 00100000429 600.00 02-21 CHECK 2240 00200005022 140.00 9,540.11 02-22 CIIECK 2244 00200000479 400.00 02-22 CIIECK 2259 00200002631 392.39 02-22 CIIECK 2261 00200005240 225.53 8,522.19 02-23 DEPOSIT 00400000943 1,207.06 02-23 DEPOSIT 00400000086 1.643.70 02-23 DEPOSIT 00400000090 4,396.33 02-23 CIIECK 2250 00200002910 360.07 /Y.~~ ORRS1DWN BANI( .. 0030 0003 1~6 II STlln"r:NT or IICCOOIITS 000-113404 ST~T!Hr:NT pF.nl00 rnOM Tllnoooll 2-06-96 3-05-96 0 PliO! 2 or 2 II It R S T II W N. I' E N N S Y I. V ^ N I ^ I 1 2 4 4 x II!LVllIS EXXON 1I0TO n!PAlnS IllC H!LVIII L BlaL!n 9022 HOLLY PITCIIER III1Y 811IPPEllSBono PII 11251-0943 51 !NCLosunr:s o BUIlIlI!S8 RItOOLlln Cllltcr.llla IICCOOIIT IICCOUNTI 000-113484 OEscnIPTlolI DEPOSITS/ CIIECKS/ ollT! ACTIVITY nEF'!nEIICE CREDITS DEBITS BIILIINCE 02-23 CIlr:CK 2255 00200002860 8,911.65 02-23 CIlr:CK 2258 00400000899 353.04 02-23 CIlr:CK 2263 00400000809 353.04 02-23 CIIECK 2264 00400003036 193.93 5,532.35 02-26 O!POSIT COnnECTlOII 00300001092 .06 5,532.41 02-21 CIIl~CK 2262 00200001141 80.40 5,452.01 02-29 O!POS IT 00300003102 3,101.35 8,559.36 03-01 0r:P08IT connr:CTI011 00300002462 05.14 0,644.50 03-04 OIlPOSIT 00300101020 I. 340.05 03-04 D!POSIT 00300101005 1,049.91 44.00 03-04 CIIECK 2256 00100000019 03-04 CIIIICK 2260 00200003011 26.14 11.411.28 03-04 CIIIlCK 2269 00300100915 353.04 03-05 CIIECK 2210 00300004589 190.12 11,212.56 03-05 IlNOINa BIILIIIICE 11,212.56 CIIECK SOHHIIRY , IlIOICIITES SKIP IN CIIECK llUM8ERS CIIECK 110 2210 2219' 2222' 2223 2220' 2230' 2231 2232 2233 2234 2235 2236 2231 2238 2239 2240 2241 2242 2243 2244 2245 TOTIIL llUMOEn or CIIP:CKS IIMOOIIT 600.00 403.12 60.00 130.15 316.09 110.14 400.00 94.00 9.50 162.18 35.00 226.53 61. 00 5.13 21.00 105.00 162.88 600.00 353.04 400.00 460.95 42 CIIECK 110 2246 2241 2248 2249 2250 2251 2252 2253 2254 2255 2256 2251 2258 2259 2260 2261 2262 2263 2264 2269' n10 TOTIIL IIHOUIIT or CII!CKS IIHOUIIT 130.12 90.16 140.80 110.00 360.01 126.47 212.41 1,034.96 590.22 8,911.65 44.00 182.00 353,04 392.39 26.14 225.53 80.40 353.04 193,93 353.04 198.12 20,360.60 OI~~l-loW'N BANI( n!l~'" nOD) 14. N ATI\TEHKNT or I\Cl:OUHT!I 000-lu404 1 STAUHI"T tlRIOD FROH TIIAOuolI 1-08-96 2-05-96 0 I'IU11 or 1 6' ENCLOAllnr.s 0 II . R 'S r II W N I' r N N 'i \' I. v ^ N I ^ I' 1 4 .. tlll.VI"~ ~nou I\UTO (t"rMnn 'He HSLYI" I, DIOLER 9022 HOLLI PlTellr" IIWY IIIIJVrp.HRnuno pn 11251-094J BUSINESS AlOU!.I'IR CIIP-CkltlO M~COIHlT nCCOUUTI 000-1I14A4 PREVIOUS DErO'IT"! CIIECR8! SIU1VICE INDJtla 8TI\TIHENT D~LI\HCI CRltOITS 9 D!81T9 50 rr.ES 8ft LAHel 19,967.10 D. AlfL 56 22,on.5] .00 10,113.13 rtJl:rr.nr.Hcr. Or.r09IT.! eIlBCR.! DI\TB ACTIVity DEscRlrTloN CREOITS DEAIT8 HI\L"Hcr; 01-00 0101001"0 OAL.OCS 18,967.70 01-09 DIPaS'T connECTION 00100005166 ,0' 01-09 ClIICR 2115 0010000)126 191. 54 18,116.25 01-10 ClIICR 2165 00100001041 l59.15 01-10 CIISCR 2111 00200005250 224.15 10,191.15 Ol-ll ClIICR 2162 00200000209 n.41 Ol-ll ClIECR 2166 00200001011 21.00 01-11 CIIECR 2161 00200005;251 15.00 01-11 ClIICR 2110 00200005001 00.50 01-11 ClIICR 211J 00200001201 140.45 11,889.25 01-12 ClIICR 2100 00200004510 eo.6~ 01..12 CIIICR 210J 00200005241 213.9 11,586.71 01-16 OIPOSlT 00100001125 1,541.01 01-16 DIPOSlT 00100001109 1,191.65 01-16 CIISCR 2160 00200001019 61.00 OJ-Hi CHief:, 2169 00200001130 14.90 01-16 Cllleft 2112 0020000 349 01.90 01-16 CHICK 2111 00lOOOO1611 JJ.96 01-16 CIISCR 2101 00JOOO0163s 851.10 01-16 CHlep: 2106 00ZOOO06099 64.20 01-16 ClIICR 2189 00]0010:1062 209. J2 01-16 ClIBCR 2190 00100001029 210.00 01-16 ClIICR 2 9J 00lOOOO052O 160.00 01- 6 ClIICR 2196 001000036 1 1,559.06 01-15 CIIICR 2200 001000016'0 lS3.04 17,1159.01 01-17 CfIBCIt 2119 0020000112J 10.62 01-11 CIIICR 2102 00100001115 140.00 01-11 ellECIt 2105 0020000221l 56.40 01-11 ClIICK 2100 00200002151 212.64 16,619.21 01-18 ClIICR 2110 00200001121 140.01 0'-18 CIIICIt 2191 00200004 55 9, 15~.00 7, 12~ .10 01-10 CIIBCR 2201 00100005116 154.50 01-19 ClIICK 2184 00200003919 41.16 01-19 ClIICR 2191 00100002494 4H.00 6,~61.54 01-19 ctlBCR 219 00100000J16 185.00 01-22 OIPOSIT 00lOOO09514 1,069.12 OJ~22 DIU'OSIT 00JOOO09592 ,962.0] o -22 elllCK 2101 00200004JOO U2.20 01-Z2 ClIBCR 292 00100001014 135.00 01-22 CIlI!:CK 2199 OOloOOO1411 192.00 ;.:i..:.~...:...... "" &~ O~ .-{ST WN BANK ORR!llOWN. rFNN~YI.Y^NI^ Ill'. HI1.VIlIA Illoll MITO nRPAlnS I"e HILVIH I, OloLtn 9822 HOLLI PITCIIIR IIWI SIIIPPlN.DUM ~. 112S1-89h ~OsIIIISS nloul.M CIIECk 1110 IIecolJllr DATI hCTIVITY blsc"lrttoH nlrlnk"CI 01-22 ClIICR 220~ 00200002~91 01-22 ClIICR 2205 00100003410 01-22 ClIICR 2106 0010000959J 01-24 CIIICR 2195 OU10000Q120 01-25 OIFOOIT 00300004506 o -25 ClIICR 2116 00200002210 o -25 ClISCR 2201 00200003500 o -29 OIPOSIT 00100000961 01-29 ClIICR 2202 00200004091 01-n ClIlCl 24109 00100000169 01-29 ClIICR 2212 002000024]] 01-29 ClIICR 2214 OOlOOOOlS32 o -29 ClIICI 2215 00300006041 o -29 CIIICK :1211 00300100109 o -ll ClIICR 2203 OU200001961 01-31 CIIICI 2200 002000020JZ 01-1I CIIICI 2213 00200001391 02-02 OIPOSIT 0010000501 02-02 ClllcR 2216 00200000184 02-02 ClISCR 222' 00300005011 02-05 DEPOSIT CORRECTION 00300008699 02-05 CIIICR 221 I 00200001018 02-05 ClIICR 2210 00200005120 Q2-05 ClIICR 2220 00200003912 02-05 ClISCR 2221 00200005661 02-05 allcK 2224 00200005589 02-05 CUICI 2226 00300001202 02-05 cUlelt 2221 00300006588 02-0~ IHOI"O BAL~"CI .Cl~uHt, 000-IIJ404 DEPOSITS! CIIICR.! CREDITS DIOITS 99.90 150.9l 151.04 612.50 2,269.41 1,906.06 2,535.39 1IIIlll ",11" I'" " BTIt..tlt"T or ACCOU"TB Doo-lllls4 BT"tE~I"T PBRIOD rRnH TIlRouaU 1-00-96 2-05-96 0 PMS 2 or j 6! INCLOSURIS MUINck 9.249.5~ 8,636.96 l.OO 51.20 663.80 141.60 325.61 151.S0 19l.91 15J.04 200.00 49.95 215.51 10.0B 200.00 353.04 200.00 61.00 1l2.45 365.94 126.05 444.94 210.23 10,113.1] 10,113.13 10.191.31 10,125.39 10,329.19 12,1l2.14 CUECI SUHKJ\Rr . IHDIC^TP.S Bur 1H CII!CK nUHBER9 ClIICI 110 .kOUIIT Cll!CK flO IHOUNT 2162 n.41 2115' 191.54 2165' 359.15 2116 51. 20 2166 21.00 2111 1l.96 2161 15.00 2110 240.01 2160 61. 00 2119 10.62 2169 14.90 2100 OS.60 2110 88.58 2181 S51.10 2111 224.15 21S2 140.00 2112 81.90 2103 211.94 2l1J 140.45 2184 43.16 I o 0030 (llHJ.1 141 . o:~ Oh,r{s-IOWN BANK H ORIl.~rOWN. rIJNN~Yl.V^,NI^, Ill.... 8T~TEH~"T or ~CCOU"T8 000-11 HA4 . j ~ IIra,Vlll~ EUO" I\IITO nr.rl\lnn lIIe HILVIfI I. DIOLER 9022 HOLt..r PITCllrR IINY RllIPFBHsnutw rl\ 1 121}1-B9~] STAlEIIP.HT rno" 1-00-96 "I\OB PERlaO TIIROUOII 2-05-96 J or J o 61} EHCI.orUlRI!I o BUSIHESS REGULAR dllClt1l10 l\CCOUHT I\crouHTt 000-113494 CIIECIt SUHKI\"t tknICl\Tr.S slur I" CIIP:CIt ktUmr.ng CHICK HO 2185 2186 2101 2100 2109 2190 2191 2192 219l 2194 2195 2196 2191 2199' 2200 2201 220Z 220l 2204 TOT1tL kUHBIR or C11!CItS l\"OUNt 66.40 64.Z0 122.20 212.64 209.32 210.00 4l5.00 IlS.00 160.00 105.00 612.50 1.559.06 9,152.00 182.00 J5l.04 154.50 141. 60 49.95 99.90 50 CURCK tlo 2205 2206 2207 2Z00 2209 2211' 2212 2ZIl 2214 2215 2216 2211 2210 2220' 2221 2224' 2225 2226 2221 TOTI\L AHoulIT or CIIr.CItS AHOUHT 150,91 l5l.04 661.00 215.51 325,61 200.00 157.00 10.00 19l.91 151.04 200.00 200.00 61.00 1l2.45 165.94 126.05 J5l.04 "4.94 210.2J 22,072.1}] I I I -I Till OROUflOilOO NI\S RlonI - 9r11J110 IS COIIUIO IOU wIn! nlOIlT TOO - TIIPJ !laHETOWII OMUt IB TII! DIST VALUR rADII 1 0' IIIU.VItHf IUIOII l\UTO "EN\I"B Ille H!LVIII I. OIULEIl 9822 !lOLL! ..neIlE" II"Y 8111rrEmJlJuna rl\ 11251~09~J 6 J !tlcLOlJUnlll nuttllJlS:J AlauJ.A" CllltCl{llla 1\CCOUIIT ,.::oura I 0"0-1Il40~ rnlVloU5 DEPOSITS! CIIECRS! sr.nVlcP; ElIDllla !lT1\TIIl!Uf e'''..l\trcp. CnlOIT9 ~ UlDJTO 55 ''-E9 nALI\HCI!I: 22.361.56 19,Uli.9 22,030.00 .00 18,961.10 DEPO.ITO! CIIECRO! DI\TI PocTIVITf DllIcnlrTlotl nr:rr:nr.UCK CnlmlTn Dim 1T9 n^~NCII r-06 BEall/NINO DftL^"CE 162.10 :U, 361. 56 2-06 cllleR 2rO 002000041 00 2-06 CIIBCR 2 01 002UOOOII,0 16.00 2-06 ClIECR 2 yo 001000050J1 100.90 2j,91l.60 '.. 2-Y? CIIBeR 2 6 0070000016 6l.95 2,909.13 1:11 ~~l" "" 0040000012 3,236.50 00200000997 51.95 2- ClIICR 21 1 00200001123 102.n 2- CIISCR 2" 5 00200005209 962. 2- ClIICR 2110 00200001929 54.60 2- ClISCR 2121 OOrOOOOI21 7JU.9J 2- ClIBCR 2122 00 00000420 I 2.52 2-1 CIISCR 2121 00 0000072 5 152.61 2- ClIICR 2115 00 00000119 1]0.10 22,019.00 12-12 ClIICR 21 4 OOlOOOOI921 1,021.23 p- 2 CllleR 21 6 00JOOOO1550 199.30 20,192.41 2- 1 ClISCR 2112 00700002200 17.91 1\\ 2-p ClIICR ZIp 00lOOOOl115 197.50 ()\ 2- ClIBCR 21 5 00100000J66 S13.65 19,600.Jl 2-1 ClIICIt 002000006" 161.00' 2-1 CUICIt 2114 00200002140 200.00 2-1 e1IICrt ~p~ 0020000210l 11.40 2-1 ctllclt 002000019J 102.00 2- e1IECIt 2 20 0020000 652 250.00 2-1 allelt 2 26 00200002504 'J'OO 12-1 alBCIt 2121 00100000475 21 .00 12- ClIICR 2pO 00200000049 173.42 2-1 ClIECR 2 29 00200000110 9,118.50 12-1 ctlECIl. 2111 00200000066 354.14 r-l ClIICR 2110 00100000000 21.01 2 - ClISCR 21J9 DO 00000116 5 .6 2-1 ClIICR HH 00200000171 15.00 2-1 ClIBCR 0010000044 100.00 9,019.10 12-11 DEPOSIT 00lOOOOJ255 1,623.61 12-15 ClIICR 2114 00lOOO02ll6 220.76 12-15 el/ICR 21 9 OOlOOOOlZJI J52.61 10,121.40 12-10 CIIBCR 2115 0020000Jl65 '1.00 2-10 ClIBCR 2p6 00200005039 1.35 2- 0 CIIBCR 2 l2 00200002300 120.00 12-18 ClIBCIt 21 0 00100004661 151.01 9,161.26 \., o o or 1I.1,~IIIS ."011 nurtl ~.rAlh. tile HILYIII t, BlaL!n 9022 nULL! rJIcllfn Inn SlIlPrIlUl'lnUml rl\. 11251-0941 8] IHCLOAUfl,III o DUdUl188 "IOUlJ\n ClIlCftlttO I\CCOUIIT nrcoutft I 000-111404 o.rooIT'! CIISCR.! DI\TI J\CT1VlTf DlscnlPTlotl nl,r.nr.IlClIl CI1lWITA nEn ITS OJ\LI\HCI 2-19 CllltR 21JJ 00700000196 05.00 3.19 ctllelt ~I~~ 00100001166 120,00 0.95~.2' Z.21 elllelt OU200004556 HI.l6 8. !1l5 .90 2-Z C1IICR 2 JO 00200001541 1l.J9 :Z~2 clllelt 2 52 002UOO0350 450.94 B,014.51 2-ZZ 01P09IT 00lOOO0519O Z.919.66 2.22 DSFOSlT 2154 00100005 1) J,66J.Ol 14,651.24 2-26 ClIECR 00200005 0 200,IY Z-26 CIIICR 2156 0010000616 150. I .. 12-Z6 ClIICR ~m 00lOOU05121 Jr.61 13,065.:12 , 2-20 ClIICR 00200002062 I.OU u 12-28 ClIICR 2155 00200002059 I 4.00 1l,61l.4Z " 2-29 D&Po.IT OOJOOUOr21 1,054.91 l 12-29 ORPOOIT OOlOOOU 532 3,200.24 i 2-29 ClIIC. 2151 OOZOOOO 099 295.lZ . _ j=2! CIISCI my OOlOOYOUl6 J~31~ HIJ:m:U , o -0 elllCIt 216 00200 0 16 i 01-05 OIPOSIT OUlOOO09146 595.11 1 o -os osrOSIT 00100002111 1, 1J5. 21 ~t~ 01-05 CIECK ZISO 00ZUOO02101 o -05 CIIICR 2159 OOIOOOOOZSO " 01-05 ClIBCR 216l 00lOOOOZI15 01-05 ClIICR m1 00loOO02111 116.09 o -05 clIlCIt 211 0030000969 152.60 10,961.10 o -01 ERDINO D1\lJ\IlCr: 10,9&1.10 clllCIt flUHII1\nl & UlDiCI\Tld sUP lit CII!CK HunnEnB OIICIt ~o .1\<\\ ~MIOUNT ./ CIIICK HO nHolfHt 161.00 2122 112.51 2000 62.10 212l 152.6 2101' 16,00 2124 191'1& 2100, 100.90 2125 110. 0 2112 51.95 2126 15.00 2IIl 102.00 2121 i'1.~0 211 200.0~ 2120 p.2 2115 9&2.4 229 0"1.50 2116 61.95 2 lO 1 .11 2111 11.40 2111 15 .J jlU 64.60 2132 11.9 102.00 2 11 85.00 2 ZO 250.00 2 J 220.16 212~ 150.91 2115 61.00 / ,Ch Form 11205 U.L .ncome Tax Return for an S CorJ. dllon iii> 00 not 'lie this form unl... the corporation hll tlmelv "led Form 2553 to elect to b. an 9 corpor.Uon. .. See ..p.rate Inlwctton.. t097 & ondin NumbOf, slrool. & room/9Uito no. Clty/lown, slalo, & ZIP code OMB No. 1545-0130 0'1'1.1"'''''1"''1'1, r....u" lnl"",' ~.~.n\l' 511~lr. 1997 For calondar oar 1997,01 Is" OBI A oalo 01 olochon 89 Un IIn S corporation IRS label. Other- wi.., pia... prtntor 5541 type. F Chock applicablo bollo~r (1) Initial relurn (2) Final ralurn G Entor numbor olsh8teholdors In tho corporollon 81 cnd 01 tho tax yoar . , 1111110 10 C Employer IdenUn.,.Uon no. 25-1689609 D Date Incorporated 11 4 92 Naroo 11/4/92 B BIl!'lln099 code no. (.ne Speeillc In9l.) Melvin's Exxon Auto Repairs, 9822 Molly pitcher Highway Shippensburg, PA 17257 Inc. E Total 8S90ls ,... !lpeclllc tn" I S 27,761 Change In address (4) Amondod roturn .....................................~ 1 (3) TIX an Plyme Cluda": Includo only IIado or busIness Incotno and OMCOnfJOS on Unos 18 lhrouah 21. 500 Ihe Inslrucllons for moro Informatk>n. 18 0'011 "Ulplt or ..III I 254,04 61b l...r..u,nllndallow,n[fI Ic.,,~ 1c 254,046 2 COOl 01 good. .old ISchedule A, line 0). ....... ...., ..... .,................. ..... 2 144.504 3 GrOS9 prolll. Subtraclllno 2 from Une 1c .... . . , . . . . . . . . . ....... 3 109 542 e 4 Nel gain (10'.) from FOIm 4191. Part II, line 10 (anach FOIm 4191) . 4 ....... .......... 5 Olh.. income (10'.) (ausch .chedule) . . . . . . .... ..... .... ..... .. ......... 5 6 Tolallncomellosa!. Combino line. 3 Ihrouoh 5 . . . . . . . . . . ........ ... .........,.......... ~ 6 109.542 7 Componsarton 01 offIcers. . . ... .... ..SEE STATEMENT. 1. ............... 7 23,660 8 Salarkts and wages (loss employmonl crodits). ........"...... ...... ....... 8 13.765 9 Ropalrs end malnlenarlCo . . . . . . ... ............. .............. .... ... .. .... 9 10 Bad dobl' .... .... ... ....... ... .............. ............... ... .. .. ......... 10 11 Ronts. . ..... .. ........ ..' ...... ... ...,........ ...... ................. 11 7 200 - 12 Taxes and licenses ... ..... .. .. .SEE. STATEMENT.2 . . . ... ... ...... ......... 12 3.611 13 Inlmost. . ..... ..... ... .. '" .... ... .... ... ..... .... . '114~1' ..' .... .. ........ 13 1 531 14a Oep,eeialion (il required. allach Form 4562) ..... 3 180 0 b Depreciation clalmod on Schodule A Bnd olsnwhmo on fnUnn . . .. 114bl C Subllaclllne 14t; horn line 14a ...... ...... .... ... ................ 140 3,180 , 15 Depletion (Do not ded1Jct 011 and gaa daplaUon.) 15 ..... ..... ..... ... ............... 16 Advertising. . . .... ........ ..... ..... ... .. ... .... ....... 16 3,800 17 Pension. profil-shaling, etc" plans ...... .. ... ... .. .. .... .... ... ... ..... 17 18 Employee benofit proQI arm. . .. ... ........ ... 18 19 Olhor deductions (eltaeh schedul") . .SEE STATEMENT 3. ..... . , . . . . .... .... 19 57.349 20 Total deductions. Add Iho smollnt!! !ihown In tho fnr rlqhl column lor line!11lhrollqh 19. . ... ... ... ~ 20 114,096 21 Ordlnory Incomo (lo5~Jl IIol111rsde 01 busino!:!i activities. Subtracl hno 20 horn Uno 6 . .............. 21 ( 4 554) 22 T..: 8 Ellcnss nol passlvo Incomo ISMlallBch schndulnl. ....... ~2a.1 b Ta, from Schodu'n 0 (Form 1120S). ............ ...... .... 22b C Add IInos 228 and 22b (SOB p8qO~ 12 And 13 of Iho imHrur:lians for add.'ionnllaMos). .............. 220 0 23 Payments: a lqg7 I',I,ma'.d 14. p.yml'nh ~nr1 ~"'nlJnl ~Pll"I'<t hnm Iqqll rlllum. 23a bra' depo.ilcd wilh FOIm 1004. . ... 23b d C Credll lor Fcdor811slC p,.ld on fuels (nflnch FOHn 41361. .. 230 nl9 d Add li"e. 23a Ih,ollgh 2Jc. . . . . 23d . . . . . . . . . .. ... ...... ......... ..... 24 Estimalod laM ponally. Chock II Form 2220 I~ allachnd .. ..... ... ~O 24 25 TIX dUe. If Iho tolal of lines 22c 8nd 241~ larqor than linn 23d. 011101 amollnl owed, 500 page 4 of lho in!'ltrucUons for dOPO!;llory molhod 01 paymont .. .......... ~ 25 0 26 Overplymenlllltno 23d Is InrQcr Ihan Iho lolnl of Iino"t 22c and 24. onlOl amounl overpaid. . . . . . . . ... 26 27 Enler amounl of Ilno 26 you wonl: Credited 10 1998 est. tax ... Refunded ~ 27 Please Undor pOflolhes of pOl jury. I doclQIO Ihall havn oll<Ul"rlod Ihi~ Inltnn. including accompanying schedulos and statoments, and 10 lhe bost 01 r;;r knowledge 8nd bollnl. II 1!lllllO. r:ouocl. and complele. Doclolollon 01 proparBf (OlhBf than taxpayer) 19 based on oIl Sign Inlormatlon 0 which propnrnr has any knowlodQo. Here ~ Sicrullulo of ollicer I ~ Tille O.Ie Prora;nr's ~ ~'--D L../ I O.In I Chock II .ell- I Propa,..'s SSN Paid signaluro L.._' r".'/'""J?IJ 2/20/96 em loyed~n 188-48-5520 Preparer's Firn", nnrm (0' ~ FRANCIS A. MARCHAL, P.C. EIN ~ 25-1751935 Use Only YOIII' if ,nif-nmploynd} 49 WEST ORANGE STREET ZIP codn ~ n"d oddrn.. SllIPPENSBlJRG PA 17257 For Paperwork HeducUon Act Nollee, see the separate Inslructlons. 1'11.11. 1 1120512 rnr U2l0 GLO 2813 Incom Oaduc Ilona (soo pagel 0' Ihe Instruc- lion! fa limila- lions) I:flllv"nlllrn.m, <:."I"'~'I'nl'l.... lQQ, N..frn Form 11205(1691) MEL9609 Melvin's Exyon Auto P Form 11205 ,'09n ;!irs, Inc. 25-1689609 Page :2 ,. ISchedule AI 1 :2 3 4 5 6 7 8 9a Cosl of Goods Sold ('08 paQ. 13 01 Ih. In.,ruCllon" 10,317 139 709 1 :2 3 4 5 6 7 6 Invontory 81 beginning 01 yoal PUfchaso9 . . eo,1 ollabo' . . . . . . . . . . . Additional .ecllon 203A co.l. ,aoach schodulo) . Olhet cosls (8n8cl1 schedulo) , Total. Add IInoo 1 lIuough ~ . . . .. . . . . . . . . . . . .. ......... Inventory 81 end of year. . , . . . , . . . Coat of goods lold. SubllBclline 7hom hno e. Elliot hOlD and on pago 1, lino 2. Chock all methods usod for valulnq closlnq Inventory: (I) ~ Cost 85 doscrlbed In RogulaliomJ section 1471-~ (II) Lower 01 c051 or marlcet os doscfibod In RoqulaUons Boctlon 1.471-4 (Ill) Olhm (apocity mol hod usod and 8n8el1 oxplanatlon) iii> b Chock IIlhOln was 8 wrllodown of NsubnOfmal" goods 89 doscrlbod In Angulation! Bocllon 1.471-2(c) . . . . . . . . . . , , . . . . . , . . . . . . , . C Chock litho UFO Inventorv method was adopted Illig lax year lor any goods (II chocked, enach Form 970) , . , . , , , , . , , . . . . . . , , . . . d If tho LIFO Invenlory method was used for this tax yoar, onlor porcenlago (or amounls) 01 closing Invemory computod undOl LIFO . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . 8 Do Ihe rules of Becllon 26JA (for proporty producod or acquired lor resale) 8pply 10 Iho cOfpofallon? , Was Ihero any chango In dOlernilnlng quanlitlos, cost. or valuations bolWoon openIng and closing Invenlory? . II "Yos," anach oxplonaUon. 150 026 5 522 144,504 ~B .~ ISchedule 81 Olher Information V.a No 1 Checkroolhodolaccounllng: (I) Dcash (b) I1!IAccrual leI DOlhe"opeclly}~ 2 Roler to tho IiSI on pago 23 01 Ihe Inslructlons and 51010 lho corporallon's principal: (I)Bu.ln."scllvlly ~ Gas station (b)Produc'o'5OfV1c0~ Fuel/repair service 3 Old Ihe cofporallon at tho end 01 tho 18. Y80r own, dlrocllv or Indirectly, 50''10 or moro ollho vollng slock 01 a dommrtic corpor811on1 (For rules 01 anrlbutlon, soe seclion 267(c)) II "Yos," an8ch a schedule showing: (a) name, addross. and Of1l)IoVer Idenllflca'lon numbor and (b)porcen'ago owned. . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. .. . . . . . . . X 4 Was Itm corporation 8 momber 01 8 controllod group subject 10 Iho provisions of section 15817 , . . . , . , , , , , , , , . , , , , , , . , , , , X 5 AI any timo during calendar Vow 1997, did lho corporation havo an InlorBSt In or.ll slgnaturo or olhor aulhorlty ovor allnanclal account In a lorelgn country (such 89 B bank Dccount, securlUe9 accaunl, or olhor IInonclal account)? (500 pago 14 of the Ins!ructlans lar olCcoptlons and IIUng roqulrements lor Form TO F 90-22.1.) . . . . . . . . , . . . , . . , , , , , , , , , , , , . , , . , . X II "Yos," onlor tho name of 1110 lorolgn counlry ~ 6 During tho lax yoar, did tho corporallon lecolve a dlSlrlbullon from. or was II tho grantor ai, or translaror 10. a foreign Irusl1 II "YB': 'he corpo,allon may havB to 11I0 Fo,m 3520 or 020. Soo page 14 o"heln.t,ucllono ............................. X 7 Check 'hlo boK II 'he co,po,allon ha' med or 10 requlrod to lIIe Form B2B4. Appllcallon 10' Roglol,sllon 01 a Tsx B ~~::' Ih;~ ;,;,~ '1; th~ ~~'~O'~;I~~ ;~.~e~' ~~~I;~~ ~;I~;~~ ~'e~; 'I~~';~';';'~;" ~;I~ '~,;gl~~II;~~~ ~I~~~u'n',: : : : : : : : : : : : : : : : : : : B II '0, Ihe 'co,porBllon mBV havB to me Form 0201, Inlormallon Rolurn 10' PubllclV Ollered O,lglnollssUB Discount Inslrumonls. 9 lI'hB corpo,allon: (I) mod It. olecllon to bo an 5 corporallon allo, 1900, (bl wa' s C corporation bolore II oIoctod 10 bo an S co/paralion or tho cOTporatlon ocqulrod an ossol with a basis datum1lned by folerenco 10 lis basis (or Ihe basis 01 eny olhor p,opBrty) In Ihe hands 01 a C co'porallon, and (e) ha. no' unroallzod buill-In gain (dollned In secllon 1374(d)(t)) In oxe..o 01 Iho nol rocoqnlzod bUilt-In gain from p,lo, yea's. onlOl 'he nol unroallzed built-In gain ,oduced by nel ,ecognlzed buill-In gsln Irom prior yoars (soo pago 14 of Ihe Instfuclions) . , . . . . , . , . . , . . . . . , , , , . , . . . . , , . . , . . . " ~ S 10 Chock Ihls box IIlhe corpOlallon hod accumulalod Darnings Bnd profil!l 01 tho c1oso olll1e lox yoor soo 0 (J 14011110 InShucllons ,..."........."",....."",.".,.,.",...",.".,.",..,.,.".,.""., CAA 7 1120512 Nlf 11131 GLD 2873 Cop)'llghl fo'''', Solh"'". Onl)'. \997 N.lco . '. Melvin's Ex~on Auto P ctiro, rile. 25 -1669609 Form t 1205 f190n paq03 ISchedule KI Shareholdera' Shares ollncomo. Credits. Deducllons otc. ta' PIC rala shalollOf1l9 /b) Tolli amounl 1 Ordinary Income (klssl horn Iredo or buslnoss aellvlllos (paqo 1, IIno 21) . . . .. ...." ........ 1 ( 4 554) 2 Nellncome (loss) from renlalloaJ ostalo lIcUvlllM (anech Form j025) "I' . .... ...,." 2 30 Or05S lncorno horn olhOr lontal acllvllto5 . . . .. ...... .... 38 b Ellponsos f10m other lonlal actlviUo!l (attsch schodulo) . . . . .. I 3b I 0 Nollncomo (Joss) Irom olhor fonla' BelJVIllos. SubUlcllino 3b from IIno 311 . .. ...". . . . . . . 30 4 Portfolio I"como (loss): I"com. a InlofUst Income . . . , . . . . . . ,..". ...' ... ......,. 4a 204 (Lon) b Dividend Incomo . ... ... ... ... .,.. .... . . , . . . ... .. .......... 4b 0 Royolly lneon.. ..... ... ..... .. .... ",.. . . . , . . ..... ,." 40 d Nolsho.I-!Ofm capilal gain llos.) (allOch Schlldulo 0 (Fo.m 11205)) . . . . , . .. ...... .... 4d e Nollong-IOfm capilal gain (loss) (anoch Schodul. 0 (Fo.m 11205)): (1) 26% rale gain (109s) .. (2) Tolallo. y.al . 4812' 1 Olho. portlollo Incoroo (loss) (anoch schodulo) . . ...... , . . . . . ...... .... .... ........ 41 5 Nolsocllon 1231 gain (loss) (olher Ihan duo 10 ca.ually o. Iholt) (alt.ch Fo.m4797): a 29% rate gain (loss) . b lolallor voar . 5b 6 olher lneoroo 110..1 'anach sehodulol . . ......... .... ..... ..... ... ........ .. .. 6 7 Charitable conlrlbullons (anach schedule) . ... .. ....... ....... ... .... ... ..... ... 7 ue- 0 Section 179 expenso deduction (anach Form 4562) . . . . . . .... ... ... .... .... ........ .. 0 lonl 9 Deductions relalod to portfolio Income (loss) (Uemile) . . . . . .... .... . . . . . . . . . ... ... .. 9 10 Other deductions (anach schodule), . . . . . . . . . . . . . . . . . . . . . . . . . .. ......... ..... .. .. 10 nvest- 11a InloroS1 expense on Investment debts. ..................... .. ........ ... ...... .. 11a ani b (1) Invoslroonllncoroo Includod on lines 4S, 4b, 4c, and 41abovo . ... .... ..... ... ....... 11bu nterest i2i Inv.sln..nl oxnonsoslncludod on IIno 9 abovo . . . . . . . . . . . . . . . . 11b(2 .. .................. 12a C,odU for alcohol used as a luel (anech Form 6479) . . . . . . . . . . . . . . . .................... 12a b Low-Income housing crodlt (1) Flom pannorshlpslo which soc. 42111(5) applloslol plopor1y placod In sorvico bolo.o 1990. . 12b(1 (2) Olher Ihan on IIno 12b(l) 101 p.opor1y plocod In ...vico bolo.o 1990 . . ...... .... ....... 12bl2 ,edits (3) F.om ponnershlps 10 which socllon 42111(5) appll.slo. plOpOr1y placod In sorvico aner 1909. 12b(3 (4) olhOf Ihan on IIno 12b(3) 101 p.operly placod In sorvlc. SnOf 1909 . . . . . . . .... .......... 12bl4 C Quallfiod rohebiUlatlon 9xpendllures relaled to ronlal rem e9tato 8ctlvilles (anach Form 3468) . . . . 12c d C,edlls (olher than crodils shown on IInos 12b end 12C) related 10 fonlal roal 091al9 Bcllvilles. . . . 12d 0 ClOdits folaled to olhOf ronlal activllles. . . . . . . . . .... .............. ...... ........... 120 13 011101 crodits . . . . . . . . . . . . . . . . . . . . . ........... ................. .... ............ 13 dJuol- 148 Depreciation adjuslment on propOlty placed In servlco attor 1906. . . . , , . . . ... ....,....,.. 14a 57 ants b AdJuslod gain o. loss. . . . . . . . ........,....................... .... ..... ......".. 14b nd TIl C oeplollon (olher Ihon 011 and gas) . . . . . . ... .........,........ ... .... .... .......,.. 140 refer" d (1) G.o..lncoroo Irom 011, gas, or geolhermol propllf1l.. . . . . . . . . . ...,............ 14du ... .. nea (2) ooducllons allocable 10 011, gas, or geothOfmal plopllf1ios. . . . . . . 14d(2 ams .... .........,.,... .. e olher adlustroonls and I.. nrolDroneo i1ems lallach sehodukll . . . . . . . . . . . . ...,,,....,.,.. 14e 150 Type ollncoroo . b Nama 01 lorolqn country or U.S. possession C Tolal gros!! income from sources oUlside the Unllod Slalos (a"ach schodule). . . . . . . . . , . . . , . . 15c orelgn d Tolal appllcab~o deductions and Iossos (anach schedule) . . . 15d .... ....,...,... .. ............., e Tolallo.elgn I.... (chock ono): .. 0 Paid OAccruod...... "... ..... ..........., 150 1 Roductlon in taxos avallablo lor crodll (annch schodule) . . . . . ..... ....... ...,...,.... 151 " Olher lo.olon I.. Info.mOllon lonoch scl1edulol . . . . ......... ,...,...... ........,...,.. 15" 16 Soction 591e1l2) .'pendil"'''' a Type. b Amounl . 16b 17 lsx-oxof11)llnIBfBsllncomo. , . . . , . . . . . . . . . . ....... ,.....".... .......... ........ 17 16 01hor IBll-oxompllncome . . . . . . ..... ... .... ............ ....... ............ 16 19 Nondeductible expenses. . . . . . . . ..... ... .. .. ... . . . . . . . ..... ....." ..,.,.... 19 20 Tolal property disll1buti.1ns (Inctuding cash) othor thon dividends reported on lino 22 bolow. ..., 20 202 tha, 21 OlhOf lIon19 nod amounts fequlrod 10 bo foported separatoly to sharoholdcrs (anBCh schodulo) 22 Tolal dividend disllibulions paid 110m accumulaled oamings and prollts. .... ... 22 23 Income (loas). (Roquired only if Schndule M-t must be co~loled.) Combine I1nM 1 lhrollqh 61n column (b). From 1110 fosull, sublracllho sum of linos 71hrouqh 118. t50, and 1Gb .. ...... .... .... ... . . . . . 23 ( 4 350) r:AA 7 1120534 mJ:" 121H ~ GLo 2874 j ~ r Oed I I m I c A m a P . II F T o . .-"fl'f',Ql1lr"..... ":nll...,..nn1v lllll"t"lrr'j FOHn 11205'19011 M"lvin'o E -m Auto Renairo Inc. 25-1689609 P.q. 4 - I Schedule L I Balanc. Sh.ala ,,"r 6. ..a Boglnnlng 0110)( Y08r End of lax lIeaf AII.te tal IbI te) fd) 1 Cash ... 17,476 6 504 20 Trado nolo~ and accoUll15 locoivablo .... 7 931 8,367 b LM' allowanco lor bad doblS. 7,931 8.367 3 IIwonlOll09 . ... 10.317 5,522 4 u.s. Oovo,nrnonl obllgalions ' 5 TalC-elCflmpt 8OCUllllo9 6 Olhm curront aS9019 (al1ocl! schedule). . . SEE sm 4 353 7 loans 10 shareholdor9 ...".. .,,' .. B MOllgago and loal est81e loans < . . , , "., 9 011101 InvMlmonls (a"8ch schodule) . , 108 Buildings and olllo' doploclable assels ... 21 468 23,176 b Loss accumulatod doploctallon ",. ... .. 12 981 8 487 16.161 7 015 lla Doplol.bl....ol.... "". ... ",. b less 8CCU~Jtalod deplotlon, ' .."" ... 12 l.nd (nel 01 .ny .mo~lz.llon) . ."", 13a Inl.nglble a..el. (amorllz.bla only) . . .,.. 359 359 b loss accumulaled emolllzallon . . . , . , , , ' 299 60 359 0 14 Olher 09sels (onach schedulo). . , , . . , , ' 15 Tolal a9sols ' , , , , ' , ' . , , , , . . . . . , . , ' , . 44,271 27,761 UabIllU.. and Shar.hold.ra' Equity 16 Accounts payable. . .. ..,,,.,,,,,,,,,. 14.661 12 982 17 Mtlllo,on,not..,bondIP.y.blllnl,nlh.nlyr, 8 182 8,304 16 Olhor cUIlonlliobllllles (anach schedule) , . SEE STM 5 1.465 1 345 19 loans Irom shareholders, . . , . . . . , . . ... 20 MOltO'O",nottt,bond.p.y.bl'InI yllrOIItlOf' 15 676 5.395 21 Olhor lI.blllllos (."ach .chodulo) . ...',., 22 Copll.lslock ............. ,.,,, ,.,.. 100 100 23 Additional paid-In capital. . . . , . , . , . , , . . 3.870 3 870 24 ROlalned oal nlngs . ' , , . .. ..""., .", 317 ( 4 235) 25 AdlUIlrl",ntlto Itllllholdtll'.quIly(.II.ch Ich.l, 26 Less cost ollroBSury stock, , . , , , ' . . , . ' . ) , 27 TolollI.billllo. and .hsroholdOl" eQuilV . . . 44 271 27.761 ~ { " I Schedule M.11 1 2 Reconciliation 01 Income (Loss) per Books With Income (Loss) par Return (You sre nol roqulrod 10 complelo Ihl. schodule II the lololos.ol. on IIno 15, column (d), 01 Schodulo l sro 'e.slhon $25,000.) Nellncomo (loss) pm books . , . . ' . , , . " ( 4 350) 5 InCOltl1 "cordld on bookslhls yllr noll'lclud.d on Incomo Included on Schedulo K, Iinos 1 Sch,dul.I(,linu I thlough 1I111.mllll' through 0, nolrocorded on bookslhl. yo.r a T",,-e'empllnl. $ 3 Expensos rocordod on books this yoar not Included on Schodule K, line. 1 through 11a, 150. and lBb (lIomlzo): a Doproclollon $ b T'.....I..nd ,nllll&ln,",nl $ 8 Doducllon.lncluded on Schodule K, IIno. 1 Ihrough 1\8, 150, snd lob, nol chargod ag.lnsl book Income Ihl. yo.r (1Iomlze): a Doprocl.Uon $ 7 Add IIno. 5 snd B. . . . . . . . . . , . . . . . . . . . 8 Income (10.') (Schedulo K, IIno 23). 4 Add IIno. 11I1Iou h 3. . . . . . . .. .. . . . . .. ( 4 350) Uno 410.. line 7. . . . . . . . . . . . . . . . . . . .. ( 4 350) Is hed I M 21 Analysis 01 Accumulated Adjustments Account, Other Adlustments Account, and cue - Shareholders' Undistributed Taxable Income PrevIously faxed (000 p.go 21 01100 In.lrIlctlon.) (I) Accurrulolod (b) 01001 adjustmenl. un~t;I~I~~I:~g'IO adjuslmonl9 Recount account Income fO U9 axod 317 0 0 o 1 Balanco at beginninq allox yoar 2 Ordinary Incomo from pago l,lIno 21 3 Olhor nddilion9 4 Los9 from pogo 1, lino 21. 5 Olher roducllons 6 Comblno IIn09 , Ihrough 5. 7 OI!'llrlbullon!1 011101 Ihan dividond dlslllbullomJ . 6 204 4 554 'i' O,III'lc.,t.ndolt.. y.1I1 ~ublr.clhn,'llnm "nfOe , 4,033) 202 4 235) o o o o f~AA 7 120 34' w, Inn 2874 1'''O~''Qhlr'''f'''' <;flll...V"n"lv lQ017 'l"ko FOIm 4562 Jepreclatlon and Amortlzatk . (Including Informallon on LIsted Property) OMB No. 1~4~-0172 1 2 3 4 $10.000 o $200,000 o 6 5 18 000 (e) Eloclod co.1 7 Uslod proporry. Entor amount 'fom line 27 . . . . . . , . . . . . 8 Total electod CDS 1 01 socllon 179 proportv. Add amounts in column (e), lines 8 and 7. 9 Tenlallve doducUon, Enter Iho smaller 01 line 5 or IIno 8 . . . . . , . . . 10 CerryovOf 01 disallowed doductlon from 1990. 500 page 3 at tho InslrllcUons. 11 BusinoS9 income llmilallon. Enler smaller 01 businoss Incomo (no11099 Ihon lorD) Of Iino 5 (500 inslructlons), . 12 Section 179 oxpense doductlon. Add IIn09 9 and 10. but do nol onlor moro than IIno 11 . . . . . . . , . . , . . . . . . 13 Cal ovor of dl.allowod doduellon to 1990. Add IIn09 9 and 10, 105911no 12. . . . . ~ 13 Nole: 00 nol use Palt " or PI!!111111 below for listed property (aulomobll09, cortaln 011101 vohlcles, collular telophones, C9f1aln compulers, or property used for entortalnmenl, recroatlon, or BmUsomont). Instead, use Pafl V lor IISled propofty. I Part III MACRS Depreciation For Assels Pieced In Service ONLY During Your 1997 Tax Year (Do Not Include Usted Property.) 7 o 8 9 10 11 12 o o o SecUon A .... Gener.1 Anel Account ElecUon 14 If you are making the elocllon undor soclion 160(1)(4) to group any assels placed In servlco during tho lBJe year Inlo ono or more gonersl asset accounts, chock this balf. Soe page:) ollho Instructions. . , . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . SecUon B -- General 0 recllUon S 81em aas 500 8 03 of tho In9tJuctJons. onth and (c Basis for dopr. year placed (bllllnll.f1nYlIlm,nlllU In servlCO only n U, In.llUcllon'l . .D- (a) Cla..lfleatlon of plOpOrty (d) Rocovory period (0) Convenllon (I) Molhod (V)Ooploclallon doductlon 1,708 5 M DDB 85 S/L MM S/L MM S/L MM S/L MM S/L SeeUon C n AItomaUvo 0 reelaUon 5 stom 0 of fho Irnllruc1lon.. 16e Cla..I"o S/L b 12- 0.' S/L C 40- .01 19. MM S/L Pllrtlll Other De recletlon Do Not Include Ustad Pro ert. 500 a 06 01 IhoIn.lrucllon9. 17 GDS and ADS doductlon9101 S.9019 placod In .orvieo In tax yoa,. boglnnlng 001010 1991. . . . . . , . . .. . . . . . 18 PIOporly .ublocllo 9oclion 160(ij{1) olocllon .. . . . . . . . ... .. . . . . . . ..... '" .. 19 ACRS and Olhor do loclallon.... Part IV Summe 500 a 0 101 tho In,"uellon, 20 USlod property EnlOl omollnl 'rom IIno 26 . . . . . . . . . . . . 21 Total. Add deductions on Iino 12.lInos 15 and 161n column (9), and Unos 111hrouqh 20. Enlor hOlo and on 1110 Appropriate Iino~ 01 your Hilum. PonnOfshlps And S cOlporBIJons ~~ 900 Instruchons. . . 22 For 8!'isols 9hoWIl above nnd plncod In nmvlco dUllnq tho cunonl yoar. onlor tho ortlOI1 olllln ba!lig nllllbulablo 10 soclion 20JA cosl!l For Paperwork neductlon Ac1 Notice, see 1he separate InstrucUons. eM 7 4562t2 f.jfr lng~, 10 0 25 r9. 21.5 IS. 27.S rs. 39 19. h Nonrosldenlial roal 10 or 17 18 19 354 20 2 741 21 3 180 22 Form 4562 (1997) f''1r~''lj''l rOl",. ~'I""M. ""IV IQa, '..I~" 1>1r . ... Melvin's Exxo'l Auto Re irs, Inc. 25-1689609 Form .~1l2 110011 P 110O 2 1 Part V I Ulted Property - Automobllel, Certeln Other Vehlelee, Cellular Telephonel. Certain Computers, 1 and Property Used for Entertelnment, Recreutlon. or Amusement Nol.: For env volllcln for which YOll .'0 u51nQ tho slandard mlleAgo ralo or doductlng 10850 Ollponso, CO"lJlotBonty 238. 2:Jb, columns t ~ CI'lIuouQh (el of Suction A. all 01 SocUon e, and Suction C If eppUcablo. S.ction A _... DerecllUon and Oth.r In'ormatton (C.uUon: Soe DIlO8 8 ollho Inslructlona for Ilmlls for nU88n<HM' aulomobUesJ I[v.. n No 238 00 \IOU have ovidonco 10 support buslnoss/lnvostmen1 usa clalmod? Ves fl No 23b II "Vo.," I. Ihe evidence Wllllon1 (II (bl (c)Bu.n I (d) (I) (I) (g) (hI (II Tvpo 01 PIOPO"Y Olle InvmlmOnl Coslor Basis lor dopr. Rocoyory Melhodl Ollploo.lIon Elecled (Ust vohlctns 11191) pl.ced In u.e othor basis (busn,/invoslmonl pOllod Convonllon doducUOn .ecllon 179 servlco percontago u.. onlv) cost 24 prono!fV usod moro lhan 50% In 8 QuaUnod buslnoss usa tSoo pa a 7 oltha 1r19IrucUons,): '89 Ford F 3/21/95 95.000/. 15 026 14,275 5 DDB m 2,741 ~, ~' 25 Prooertv usod 50% or loss In a Quallliod buslnoss uso (See oaao 7 of Iho InslrucUons, '. ~. SIL- o/. SIL- i 0;' SIL- 26 Add amounts In column (h), Enler tho lolal horo and on Uno 20, pago 1 . . . ..,. ..."." ..... ..... 126 2 741 27 Add amounts In column (iI. Enter the total here and on IIno 7, Daao 1 ..,. ..,. ..,.. ....,.. ... .."".. ....... 127 SecUon B -- InlonnlUon on U.. 01 V.hlcl.. Complete this socllon lor vehicles used by a solo proprlolor. par1nor, or olhOf" "moro lhan 5% owner," or rolated person. If you providod vehicles 10 . your nmployoas. first answer the queslion, In Soctlon C 10 BOO If you meet an OKcopUon to complotlng Ihis seello" lor those vohlclM. ! . (II (bl (cl (d) (II (I) 28 Tolal businoss/lnveslmonl miles driven Vehicle 1 Vehlclo 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 0 ! during year (DO NOT Includ. commullng 11'I11..1 . . , 13775 29 Tolal cOnYT'lJllng miles driven dUllng yoer . , . 725 I 30 Tolal olher porsonal (nonconY11Utlng) , , milos dllven. ... ....,....,.....""". 0 i 31 TOlal miles driven during the yoar. Add ., tlnos 20 ttuough :30 . , . . . . 14500 i . . , . , , , , . . , . , V.. No v.. No VI. No v.. No V.. No V.. No '. , 32 Was the vohlclo avallablo for personal use ! dunng oil-duly hours1 . . . . . . . . . . . . . . . . . X 33 Was tho vohlcto used primarily by 8 moro than 5% ownor or rotalod pOIson? . . . ..." X 34 Is anolhor vehlclo avallablo for potsonal i use? .", , ., , ., ...",." " ..", .. .. . X I SocUon C -- Qu..llon.lo, Employ... Who P,ovld. V.hlcl..lor Us. bV Thll, Employ..s i Answer Ihose questions 10 delormlno If you moot an oKceptlon to completing Section B for vehlclo9 used by e~loY90s who are not moro Ihan 5% ownors or rolaled person!!. V.. No 35 00 YOll maintain 8 wrltton policy stalemontlhat prohibits all pmsonal use 01 vehlclos, Including conmutlng, by your , emploV...1. .", ..".". ....... .... ....,. ....."... ..".. ...,. ....."......""""..".. ,,,,.... 36 00 you maIn lain B wrman policy slalomonl thaI prohlblls pOIsonal use 01 vehlcle9, OKcopt commuting, by your amployoos? I 500 pago 9 01 Ihe Inslructlonslor vohlclos used by corporato olflcm!, dlroclor9, or 1% or more owners.. , . , , , , , , , . .. , , . . . , 37 00 you Iroat 011 use 01 vehlclo9 by employoos 8S pOfsonal uso? . . . . , , . ...."... , . . . . . , . .".......,..",."..... I 38 00 you provldo more lhan five vehicles 10 your omployees, oblaln InlormaUon Irom your omployoo9 about tho USD of tho vehicles, and rolaln lho Information rOCClved? . . . . . , . .....""...,... .."""",....... 39 00 you moolthe foqulromonl9 concerning quallllod nutomobilo domonslrotlon use? Soo pogo 9 of tho Instructions. ........ Note: II vour answor 10 :35, :3B. 37, 38, or :3919 "Ye9,~ vou ncod not comoloto Sucllon B lor the coverod vehicles. Ipart VII Amortization (I) (bl (c) (d) (.1 (I) 02110 omorUzatlon Amor11zllble Cod. Arnonllotlon Amortization OOSCtlpllol1 01 cosls boqins arrount section period or fo, Ihl9 ye., perconlage 40 Amallllollon of CO'I91hol booln' dUllno VOUI 199710' ve.r: I I 41 Amortization 01 costslllal began boloro 1997 . ..,. ..... ....", .............. 141 59 42 Total, Enler hmo nnd on 'Other Deductions" or ~Olher EJIIDonsos"llno 01 vOllr rolu,". .... . . . , . . "",. ... 142 59 CM 1 456212 pnr,n<lIiU r:nrY"'thl r",...~ ~l''''''~''' ""'v l'lQ, N.I~" , - w._ ___' t -- .. ...-', , 1997 M, ."in's Exxon Auto Re airs 25-168960~ , ',h,III'::li'",." :1!111,:::l ':,"';"";t'!,I..!',i:,',, ,,,,,,i"1 i'I,II, .e. FORM 11205 SUPPORTING STATEMENTS I,,'l'p, STATEMENT 1 FORM 1120S, COMPENSATION OF OFFICERS NAME OF OFFICER \ TIME TO \ OF STOCK SSN BUSINESS COMM AMOUNT OF COMPENSATION Melvin L. Bigler 178-48-2262 100.00 100.00 23,660 TOTAL 23,660 STATEMENT 2 FORM 1120S, TAXES AND LICENSES DESCRIPTION AMOUNT Payroll-employer FICA Payroll-unemployment taxes Capital stock tax 2,863 448 300 TOTAL 3,611 STATEMENT 3 FORM 1120S, OTHER DEDUCTIONS DESCRIPTION AMOUNT AMORTIZATION Insurance Laundry and cleaning Shop expenses Office expenses Professional U-Haul expenses/rentals Utilities Telephone Printing/postage 59 2,528 1,323 1,799 1,177 2,460 38,654 4,553 4,068 728 TOTAL 57,349 STATEMENT 4 FORM 1120S, SCHEDULE L OTHER CURRENT ASSETS DESCRIPTION BEGINNING ENDING Advances o 353 TOTAL o 353 CD I h".g. Forl'l'lSottw.rlOnt Plncllf'uhtf.-U$5,C3 SCHEDULE K-l (Form 11205) Shareho. Jr's Share of Income, Credits, 01. olcllons, elc, ... s.. .eparat. In.truellons. For callndlr yea, t"7 or tax YN' 1"7 and I"dln .. Co orIUon'. ldenU In number ... Corporallon's namo, edd,Ds,. and ZIP code Melvin's Exxon Auto Repairs, 9822 Molly Pitcher Highway Shippensburg, PA 17257 OMB No 1!l45-0130 O'p"lm,nlOflh,T'",uIV Inl""'. "tv.flU' ~"WIC' be nnln Shl,eholde,'1 IdenU In nUmbe, ~ 1 7 8 - 4 8 - 2 2 6 2 SharoholdOf'e nama, addl89s. and ZIP co do Melvin L. Bigler 236 Clover Hill Road Newburg, PA 17240 1997 25-1689609 Inc. A Sharoholdor's porconlago 01 slock ownership lor laIC vual (900 InslrucUOfls for Schodule K- t) . . . . . . . . . , . . . . . . . . . . . . . ... 100 . 00 % B Inl..nll Revenue SeIV!eo Cenl.. whmo corporllion 1II0d lI..olurn ~ PHILADELPHIA, PA 19255 C Till sholl91 roglslrallon number (soo Inslructlons lor Schodulo K.'l. ., . . . . " ., . . . . .. . . . . . . . . . . . .. . .. , , . II- In (Lo D Chock lool!esble bo,..: (11 n FlnolK-l /21 n Amondod K-I (I) Pro rlllll shalO llonf.J (b) Amounl (c) Form 1040 Iller. enler lho lUTlDunlln col. (b) on: 1 Ordlmuy Income (loss) from trado or buslnoss acllvilles . ... ...., 1 ( 4 554) } See psg.. 4 snd 5 2 Nellncome (loss) from rental real esl810 acllvllJe9 . . . . . 2 ollhe Shoroholdor'. ...... ..... Instructions for Schedule 3 Netlncomo (loss) Irom 01hor rental Bcllvillos. . . .... ....... ....... 3 K-l (Folm 11205). 4 Portfolio Inco"" (10..): a lotmost . ... ........,... .... ..... . . . . . . ........... ....... 4a 204 Sch. B, ParI I, IIno 1 b Olvldond................... ... ..... . . . . . . ........ .... '" 4b Seh. B, Pa~ II. line 5 C RoV.lllo.. . . . . . . . . . . . . . . .. , . .... ....... ... ....... ........ 4c Seh. E, P.rll. IIno 4 come d Nel .ho~-Iorm c.pll.1 gain (10..) . .. .................... ...... 4d Seh. O. line 5, col. (Q II) 8 Net 10ng-l9fm capital gain (loss): (1) 20% ,.'e goln (10..). . . . . . . . ........................ .... ell Seh. O.lIne 12. col. (g) (2) Total lor yeal . . . . . . . . . . . . . . ........................... 9/2 Seh. 0, line 12, col. (Q 1 Olher portfolio Incomo (Ios.) (.lIsch .chodulo). . . . . . . . . . . . . . 41 LEn'" on IpphClbl1 ..... nlolyour"lurn.I 5 NOI.ocllon 1231 g.ln (10") (olhor Ih.n duo 10 co.uolty or Ihe<<): } See Shoreholdor'. a 28% rlto gaIn (loss) . . . . . . . . . . . . . ..... .... ...... ......,.... Sa Instructions for Schedule b Tol.llor Ve... . . . . . . . 5b K-l(Form 11205). ..................................... 6 Olhor Inco"" Iloss) (.<<och .chodulo). . . . 6 ~Enl'~ ~~ 'PP~~:_~I ...................... nlolour"lurn. 7 Ch.,ltable conlrlbunon. (.lIsch .chodulo) ... . . . . . . . . . . . . . . . . . . . 7 Seh. A, line 15 0' 10 c- O Section 179 exponso deductlon . . . ... .................. ..... 0 } See p.go 0 ollhe nl 9 Ooducllon. rol.lod 10 portfolio Incomo (10") (olloch .chodulo). 9 Shsroholdo,'. ...... In'~::lIon9 lor ;<;hOdUlo 10 Olh.. doduCllon. (a".ch schodulol .. . . . . . . . . . . . . . . . . . . . . . . . .. 10 K-l Fo,m 11205 . eat.. lla Interesl oxpense on Investment debts. . . . . . . . . . . . . . . . . . . .... ... 11a Form 4952. IIno 1 nt b (1) InveSlment Income Included on IIn09 48. 4b. 4c, and 41 above. .. :b11 } See Sh.rohold..'. ereat i2i Invo.l""nl o,pon.e.lncludod on IIno 9 obovo. . . . . . . . . . . . . . . Ibl2 In.l'l'fnon9 lor ~hOdUIO K-l Form 11205 . 12a Crodll for alcohol u.od s9luo!. . . . . .... ........ .....". ...... 12a Form 8410, line 10 b Low-Inco"" hou.lng credit (1) From soctlon 421J)(5) partnerships lor plOpOfty placed In sorvlco boloro 1990. .............. ......... .. .".......... bll' (2) Olhor Ih.n on IIno 12b(1) lor property plocod In sOIVlco boloro bl2 1990 .......... .. .... (3) From .ocllon 42(j}(5) pO'1norshlp. lor proporty pl.cod In sorvico ~ Form 0586, IIno 5 adI18 a<<.. 1909 . . . ...... .... .... ...... ... b/3 (4) Olh..lh.n on IIno 12b(3) lor proporty plocod In .orvico ollor 1909. '" . .... ..... ..... ~ C Qualllled rohabllllatlon OJIl'pondiluros rolaled 10 rontalloal oslolo acUvll109 ...... . . . . . . . . ... .... ..... ..... 12c d Credils (olhor lhan crodils shown on lines 12b and 12c) rolalod 10 } -.....-, lonlal roal 091810 acllvlllo9 . . . .... ............. ..... 12d ollhe Sh810holdo". 8 Clodlls folalod to oilier rontol ocllvlll09 . 128 Instructions for Schodulo .... ........ K-I (Form 11205). 13 Olhor crodll!1 . . . . . . . . . .... ...... ........ ... .... 13 For Paperwork Reductlon Act Nollee, see the Instructlona for Form t t209. C^A 7 1209Ktt2 Nff un. GLD 2878 Schadull K-I (Form 11205) 1997 Oodu Uo Inv ml Inl C, Cop~flQhl rnlm. !inlh.~'lInnr.,.. ,QQl Nlllcn Melvin L. Bigler 178-48-2262 AdluI m'n~ IndT Pre', Itoml Schodulo K- I (Form 11205) /19911 PIO. 2 tl) PJo 'all share "on19 (b) Amounl (e) Form 1040 mors -enler the amounll" column (b) on: 148 Doproclatlon edjustmont on proporty placod In sorvlco aMo, 1986 ,.... 148 57 Soo page 70lthe 1- b Adl",led gain or 10.. .......... "., ... ... .... ... 14b Shareholder's C Doplellon (other than 011 and go,). 14c Instructions for ... . Schedule K-l (Form II d (1) GI09S Incomo Irom all, g49, or goolhollnal p,opDf1lo9 dl1 r.ncI "., .... ... 112OS) and (2) OoducUons allocable to aU, gas. or qnolhOfmal propefllo9 . . . . . . . . d(2 Ins1Juctlons lor e Dlher adlustments and 181C oreloronco lIoms (8"oeh schodulo). . . . . . . . 140 Form 62~ 1 158 Tvpe ollncol11O. Form 1116, Chock bu,o, b Nama of fOll>>gn country or U,S. pO~909slon .. C Tolal gross Income 'rom SOurCBS oulsJdo Iho United Stalus (Insch }FOlm 1116, Part I n schedule) . . , . . , . . . . ... "..,.,.. . . . . . . . . . . . . ."." .,," ... 15c d Tolal appllcablo deductIons and loss09 (allnch schodulo) ....... .... 15d e Tolal foreign Ibes (chock one): . 0 Paid o Acclued .., .... 150 Form 1116, PlI11l1 , Reduction In talCes avallablo for Clodit (anach schodule). . . ... ....... 151 Form 1116, Part III o 0100' loreion la' Inlormallon tatloch ochodulol . ..."., .... ..,.... 150 Soo Insl. 101 Form 111 0 16 Section ~9(e)(2) e'pendlluroo: 8 TVPo . Soo Sh8leOOld9f's b Amounl. . . . . . . . . . . . . . . . . . . . . . . 16b In"lr\Jctlons 101 Schedulo ..... , . . . . . . ..... ...,.,. K-l (Form 112OS). 17 Tax.oxempt lnlerostlncome . . , . ... . . . . . ........ .. . , . . . ....... 17 Form 100\0, Ilno 6b 18 Olher tax-elCompt Income. . . . . . . , . ... ..... .... .............., 16 19 Nondeducllblo elCponsos . . . . . . . . ....... ...... ..... ......,... 19 Soo page 7 01 the 20 Property dlsUlbullons (Including cesh) olhor than dividend Sh8lehold9f's .. Instructions lor Schodule distrIbutions lopol1ed 10 you on FOlm 1099-0IV. . ........... ...... 20 202 K-l (Form 112OS). 21 Amount 01 loan repaymenls lor "Loans From ShBroholders~. . , . . . .... 21 1- 22 Recapture 01 low-Income housing crodit: }Form0011' IInoo 8 From aocllon 42(1)(5) partnorshlps . . . . . ........................ 228 b Othorlhan on IIno 220 . . . . . . . . . . . . ... ....................... 22b 23 Supplomontallnlolmallon requlrod to be repolled separatoly 10 o8ch sharoholdor (anach addlllonal schedules If moro space Is nooded): - I .Uon CAA 7 120,,,112 NTr 'n3' GLU 207" Fortlg T.... Other Supple menll Inform rl"'fly!lQIII r",,,,~ 'l1'l""'~I. ('\,,1'( 1~IH N.lrr, Fo,m 11205 U.t .1come Tax Return for an 5 Cor,. JUan .OMB No. 1~5-0130 ... Do not "Ie this form unl... the corporation h.. Um.ty "led Fonn 2553 10 elect \0 be an S eorporaUon. 1996 nlparlll'llnlollhl T,u.u''!'' I"t.,nll nlWlnUI SI!YIU ... s.. ....,..t. InltrucUonl. For calondal oat' t990, or tax OBJ Innl 1998 & endl 19 A Dalo 01 olectlon as UM Name Numbor, strool, & fOOm/sulto no. Cltyltown, stllo, & ZIP code C Empoyer IdenUftcaUon no. onSco'po,ollon IRS 25-1689609 11 4 92 ~;- Melvin's Exxon Auto Repairs, Inc. 0 Oolelncorporsled a Bu.lne..codono. wtaa, 9822 Molly Pitcher Highway 11 4 92 (oeeSpociflclno1.) pi..:::. Shippensburg, PA 17257 E Tolal.....t.(weSpoclflcln.1.I 5541 S 44 271 F Chock oppllcoble bo'..: (1) InlUol'Olum (21 Flnol,eturn (3) Chonge In odd,... (4) Amended 'elum Q Check Ihl3 boN tf this S COfp. IlIlSubloct 10 lho consolldlllod audit proceduros of soc. 0241 Ihrough 624S (sea Inst. beforo checking this bOle) ... 0 H Entor numbor 01 shlloholdorsln the corporation 81 ond 01 tho lax year. . . . . . . . . . . . . . , . . . , , . , . . . . . . . . . , . . . . . . . . . . . . . . . . ..... 1 Caution: Includoonlv trado or buslno9S Incomo and O)(nonsm on IInos 1a 1Ilfouoh 21. Soo Ihelnstruc1ions for mofelnformaUon. Income Dedue- Uonl (... pogo 10 ollho Instruc- tions for IIrr/1s- lion..) Tax Ind Paymonl5 2 Co., 01 good. .old (Schodu'" A. 1100 0). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Gross pront. SubtJaclllne 2 from IIno 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Nol goln (lo"llrom Fo,m 4701. Po,t II, llna 20 (e"och Form 41971 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 OthOf Incomo (1o"Ho"och schodulol . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Tou"neom. (Ioul. Comblno IInos 3 Ihrounh 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 7 Co""'on.ollonolomcOf............ .SEE. STATEMENT .1............... ......... 8 S.lerl.. snd Wog<l9 (Ios. o"",loymonl erodll'l. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Repairs and maJntonanco . . . . . . . . . . . . . . . . . . .. ........ .............................. 10 Bsd dobl. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . .. .............................. 11 Ronl....................... ..................................................... 12 Tox.. ond licon909 .. .. .. ... .. ... . SEE. STATEMENT. 2 . . . . .. . .. . ... . . . . .... . .. . 13 InIOf89I........................................................................... 148 Dop,oclollon (lI'equlrod, o"och Form 4502) . .. .. .. ............. 11401 5. 157 b Oeproclollon clolmod on Schodulo A ond ol.owhOfo on ronun . . . . . .. 114bl C Sub"oclllne 14b from Ilno 140 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Oeplo'lon (Do no\ doducl aU and go. deplanon.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Advertl.lng......................................... .... " ......"........ ~~ ::~;~:~:~h:~:;:'.Plon.:: .:: :....@~lP.U@~:.@@.:: ::::: 19 Olhnr deducllon. (o"och schodulol. . . . SEE. STATEMENT. 3. . . . . . . . . . . . . . . . . . . . . . . . . . 20 Tolat deducUons. Add tho amounls shown In lho lar riqhl column lor lines 71hrouqh 19. . . . . . . . . . . . 21 Ordlnarv Incomo floss' from trade Of buslnoss activities. Subtr8Clllno 20 Irom lino 6 ............... 22 Tax: 0 Excess nol pa..lvolncomo lox (a"nch schodulo) .......... 1220 I b To. from Schodule 0 (Fo,m 112OS). . . ... . .. . . . . . . . . . . . . . . .. 122bl C Add lines 22a and 22b (~OO pago 13 01 Iho Instrucliotl'J fOf addillonAllwcos). . . . . . . . . . . . . . . . . . . . . . 23 Payments: 8 1991l.'llmah'd '.'11 raym"nh Ilnd Ilrnrwn' II p,., 10.. rj "nm lqqS "IUlIl. 23a b Tox depo.ltod wllh Form 7004. . .. ... ........................ 23b C Credlllor Fodmallax paid on IlIol!1 (BnACh Form 4138) . . . . .. . . .. 23c d Add tlna. 23nthrouqh 23c. . . .. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 E.tlmatod 10. ponolty. Chock II Fo,m 2220 I.."ochod ............................... ~ 0 25 Tax due. II tho lolel 01 110M 22c and 24 1!'llafQOf thon IIno 23d. onlor omounl owod. Sou pogo:) 01 tho Inslructlons for doposllory method 01 peymont. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 25 26 Overpayment If linn 2:ld Is larqor Ihan tho lotal 01 IIfl(n ?2c nnd 24. onlor amounl oVOfpald . . . . . . . .. 26 27 EnlOf omounl 01 line 20 vou wonl: Credited \0 1997 aollu ~ Refunded ~ 27 Undor penellios of pm jury. 1 doclBlo that I heve mlofTInod lhi!'l rolUfO, Including &ccompanylng 9chodukts and 91atomonl" and 10 Iho basI 01 my kroOwtodgo and boIlol. It I. "tlO, co"oc!. ond co"",Iol.. Ooclnrollon 01 p'operOf (Olher Ihon IOXpSYOf) 19 bB88d on all Inlormallon of which proparor hos nnv knowtodQo 18 0'011 IIUlptl or III.. I 250 092 Ib l.u,.Iu'nIA.llnw.nc.. I ICDal. Please 51gn Here ~ I ,. Slonolu'o 01 allieD, DOlo PrOpOlor', ~ _ _....'"'V"""') I oalo Paid .Ignalulo ,. E r:...~r/(/ Ct?M 1/18/97 Prepaler's Firm'. nomo (0' ~ FRANCIS A. MARCHAL. P.C. Use Only your. It .001-omploynd) ,. 49 WEST ORANGE STREET and odd,o," SIIIPPENSBURG PA 1c 250,092 2 153.065 3 97 027 4 5 6 97.027 7 23 660 8 9.739 9 10 11 7 200 12 3.356 13 3 075 14c 5.157 15 16 1 457 17 18 19 39,297 20 92.941 21 4 086 22c 0 23d 24 o ~ 1100 I Chock II .011-,..., 1 ProperOf" SSN IOfTDlovod~111188-48-5520 EIN~ 25-1751935 ZIP codo ~ For Paperwork Reducllon Act HoUce, see page 1 o' fteparllft Instructfons. r^^ 1120512 Nrr !llJ80 CnPY"QtII Fn',.,' r:n"...~,.. rlnly. ,qqll N..lro.lnr ,jqill1nt',l MEL9 60 9 -17257 Form 11209(1990) Melvin's Exxon Auto R 'airs, Inc. Form "205 ('996) lSchodule AI Cost 01 Goods Sold (500 poqo 14 ol'ho In,"uclio",) 1 Inventory al beginning of YOII . 2 PurchaSM . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . 3 Cool olllbor . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Addlllonal IIOCllon 26JA cosIO ,"nach ,chodulo) . . . . . . . . . . . . 5 Olh.. co.l. (anach ochedulo) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Total. Add i.... 1 Ihrough ~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . 7 Invontory at end 01 year. . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . , , , . . . . . , . , . , . . , . . . . . , . . . . . 6 eoll 01 goodIlOld 5ubuacl I/no 7 Irom I/no 6. Enl.. h..o Ind on pago " I/no 2 . . . . . . . . . . . . . . . . . . . . . 9a Chock III "",Ihod. usod lor valuing clo.lng Invomory: (I) ~ eo"I. d""",'bod In Aogullllons socilon 1.411-~ (i) I.owor 01 co.' or markol.. doocrlbod In Aogullilon. soctIon 1.471-4 (il) 0'''''' (Ipoclly "",'hod uoed Ind Inlch o'pllnlllon) . b Chock" ''''''0 ws. I Wlllodown 01 "'ubnormaf' good. "' d""""bod In Aogulallon. ,oction 1.471 -2(C) . . . . . . . . . . . . . . . . . . . . . . . . . . C ChoclI" lho LIFO Invanlory "",Ihod WI' ldoplOd Ihl. lax yaS/lor Iny good9 (II chockod, anach Form 970) . . . . . . . . . . . . . . . . . . . . . . d Illhe LIFO Invomory "",Ihod w.. u,od lor Ihlslax yoS/, ont.. p..cenlage (or smounls) 01 closing Invonlory cO"",Ulod und.. LIFO. . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Do lhe .ulos 01 soc1Ion 26JA (lor p,op"ly produced or scqulred 101 r..aID) appty 10 lho corporlilon? . . . . . , , . . . . , . . . . 1 Wssl""'o Iny chlngo In dolominlng quanllllos, cosl, or valusUons belWoen oponlng and closing Invanlory? . . . . . . . . . II "V..: Inach axplsnallon. lSchedule BI Other Inlormatlon 25-1689609 Page 2 1 2 3 4 5 6 7 6 13 621 149 761 163 10 153 382 317 065 . . Yes No 1 Chock mo'hod 01 accounting: (I) Dcash (b) l8IAccrual (e) DOlhor (,paclty). 2 Aoler 10 lhe 1191 on page 24 ollhe 1..lTUcllon, and alslo lho corpo.ailon's prlodpal: (I)Buslno...clMly .Gas station (b)Producto.ll8IVice. Fuel/repair service 3 Old lhe corporadon al tho ond 01 tho lax yoar own, dlroctly or Indlroctty, 50% or moro of tho voting stock 01 II domD9tk: corporlUon? (For rulo. oISt1Jlbuilon, .00 socilon 267(c).) II "V..: snach s schedule .howlng:(I) nsma, sddl099. snd omployor ldentillcailon number snd(b)p..cenlage ownod.. .. .. .. .... .. .... .. . ... ... .. . .... .. .. . . ..... . .... . ..,. .. ..... . X 4 Waslho corporlUon a member 01 a conuol/od group subject 10 lho provisions 01 soctlon 1~6t? . . . . .. . . . , . , . . . . . . . . . .. . . . X 5 AI soy limo during calendS/ yoS/1990, did lhe corporallon have sn Inl....lln or a signature or Olhor sulhorlly over s tlnsodal lCCOunlln a lorolgn country (such 89 a blnk accounl, socurltlos accounl. or 01"'" tlnsodal secounl)? (500 pago 14 ollho InolTUcilons lor axcepUonsand tiling IOquhomonl9lor Form TO F 90-22.1.) . . . . . . . . , . , . . . . . . . . . . . . . . . . , . . . . , . . . . . . . . . X If "V..: an,..'ho namo 01 lho 10lolgn country . 6 DUling tho lax YOal. did tho corporation fOCOtvo a distribution from, or was tt tho grantor of, or transfmor la, IS 'croign trust? II "V..: 900 pago 14 ollhe InstrucUons lor ollMlllorms lho corporsilon may hsve 10 me. . . . . . . , . . . . , , . . . . . . . . . . . . . . . . . . . X 7 Chock Ihl. box Illho corporaUon has moo or I. roqulrod 10 filo Fonn 12&4, Appllcailon lor A09I.ulllon 01 a Tax 8 ~=;h~ ;';'~'I;;h~'~r~~'r~;~~;';';'~~'~~~~~'"~;~ ~~'b'I;~~~';';'~;s'';'';'~'~r~I~~'I~; ~;:.c;.;u'n',::::::::::::::::: : B If so. lho corporallon may hsva 10 fIIo Form 0201, Information Aoturn lor Publicly On..ed Original I89UO Dtscounl Instrumonts. 9 IIlho corporation: (I) mod 115 oIoctlon 10 be sn 5 corporsilon aller 1900, (b) W!9 s C corporsUon beloro II oIoctod 10 be an 5 corporsllon or 'ho corporaUon acqulrod an assol wllh a bssls dOlominod by rolalOnce 10 II. bll9l. (or lho bssl9 01 soy olhor properly) In Iho hands ols C corporaUon, and (e) hiS nol unlOalI20d buill-In galn (dollnod In 9OC1Ion 1~74(d)(')) In oxcess 01 Iho nol rocognlzod buill-In galn Irom prior yoS/., onfor Iho nolunroallzod buill-In glln .educed by nel.ocognlzed buill-In gain Irom prior yaars (900 page 14 ollhe In,'rucilons) . . . . . . . . . . . . . . . . . . . . . . . ." . . . . . . . . . . . . $ 10 Chock Ihl. bo," lho corpora'lon hid .ubchaplo< C oalOlng. and proms lllho doso ollho lax yoS/ 500 01501 tho InstrucUons .......,...........,.................,................................ ... Designation 01 Tax Ma"ers Person (soo plgo 1501 tho InslTUction.) Ent.. below .ho shmohold.. doslgnalOO 89lho lax manors p....n (TMP) lor tho lax yaS/ ollhls IOtum: Namo 01 II.. Idenll1ylng II.. deslgnlfodTMP rMelvin L. Biqler numberolTMP r178-48-2262 Addroo.ol 11..236 Clover Hill Road doolgnalad TMP rNewburq , PA 17240 eM 1120512 N1F 5911' Copy'.ghtr"rm.!lO'I....,flOnl.,., 1998 N,ICO, Int. Nge10'31 Melvin's Exxon Auto R' 'airs, Inc. 25-,1689609 fo'm 11205(1990) pego3 llSChedule KI Shereholdere' Shere. 01 Income Credll. Deducllon.. elc. (I' Pro rala sh.e tt8fT1!l Ibl TOIIIllTlOunt 1 Ordlnlll'/ Incamo (1o..)I,om oodo or bu.ln"". ocUvIlI.. (pego 1, Une 21) .. . .. . . . .. .. . ...". 1 4.086 2 Nollncamo (10..) 90m ,onlal roal ..Iole ocllvlU.. (onoch Form j25) '1' . , . . . . . . . . . . . . . . , . . . 2 3e aross Income "om olher fonlal actlvlU08 . . . . . . . , . . , . . . , .. 38 b upenoe. 90m olher 'onlal ocllvlU"" (onoch schedule) . . . . .. I 3b I C N811ncoma (109s) from olhef rental actlvillo,. Subnacl Rno:Jb "om "no 38 , . . . . . . . . . . , . . . . . , 3c 4 po,nollo Incamo (Ioos): "come e Inloflmt Incomo "..". ......... ............ ................................... 48 270 Lo..) b Dlvldond Incorm . . . . . . . ....................................."..............,. 4b C RoVally Incamo , . . . . . . . . . . . . . . . , , , . . . . . . . . . . . . , . . . . . . ......................... 4c d NOlohO'1-!erm capllal galn (Ioos) (onsch SChodule 0 (Form 11205)) . . . . . . . . . . , . . . . . . . . . . . 4d e Nellong-Ierm capital galn (Io..)(onsch SChedule 0 (Fo'm 11205)). . . . . . . . . . . . . . . . . . . . , . . 4. 1 Other pornollo Incamo (10..) (onseh schedule) . . . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . 41 5 Nol gain (Ioos) under oec1Ion 1231 (01l19l1hsn due 10 C09Uolty or lhen) (snseh Fo,m 4191) . . . . . 5 6 Olher Incamo lloos) lonoch schedulo) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 ChOllloble conOlbutlon. (sns'j/1 sehOOule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 7 c- 6 Section 119 oxponse deduction (onseh Fo'm 4582) ................................... 6 no 9 Dodue1lonsrololod 10 portfOlio Incamo (Ioos)(nemlzo). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . 9 10 Other doductlon. lonsch schedulo'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . 10 nv..t- 11e Inl9f'9S1expen39 on InV9SlmOnt dobts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 110 en' b (1) Invootrnonllncamo IndudOO on 11009 4.. 4b, 40. snd 410bovo . . . . . . . . . . . . . . . . . . . . , , , . 11bli nt....lt i2i Inv..tmonlo"""nsoslncludod on IIno 9 .bovo . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11b121 128 Crodn 10' aJcohel uoed ss .fuol (.nseh Form 6410) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120 b Low-Incamo housing crodlt: (1) From pOltner.hlp.IO which soc. 42U)(5) spplios for proporl'( plseod In sorvtco boloro 1990. . 12bll (2) Olher Ihon on IIno 12b( l)fo' p'oporty plocod In sorvtco boloro 1990 . . . . . . . . . . . . . . . . . . . 12b/2 (3) F,om pOltnerohlpslo which suction 42U)(5) spplios 10' p,op..1y plscad In sorvlco olt.. 1989 . 12bl3 edIla (4) Other thon on line 12b(3) 10' p,op..ty plocod In sorvloo on.. 1909 . . , . , . , . . . . . . . . . . . . . . 12bl4 C Quallned rohabllllaUon expenditures rmaled 10 renlal roal 051810 actlvltl09 (.nseh Form 3468). . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12c d Crodns (olher Ihan aodils shown on llnos 12b and 12C) relatod 10 ronlal roal oslolo actMU09. .. . 12d . Crodll. ,010100 10 olho< ronlal sellvIU... . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . .. . . 12. 13 OlhercrodllS..."..................."..............................."..." . 13 dluol- 148 Doprocl.tIon odju.lmonl on p,op..1y plseod In 9orvlco sner 1900. . . . . . . . , , . . , . . . . , . . . . . . . 148 969 la b Adju.lod galn or 10.. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . 14b Tu C Doplotlon (other Ihon 011 ond go.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . , . . . . 14c or- d (1) G,osslncamo 90m 011, g09, or goolhermal p,oportJos . . . . , . . . . . . . . . . . . . . . . . . . . , . . ". 14d/1 ce (2) lloductlon. allocsble 10 011, go., 0' goolh..mll p,oporlios. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14d/2 0 Olhor odlu.lmon19 snd I.. o,oforonco Iloms 'ollseh schedulo) . . . . . . . . . . . . . . . . . . . . . . . . . . . 14. . 158 Typo ollncame ~ b Namo 01 formgn counlTy or U.S. pO!lSossion II> C Total groS9lncomo from sources oUlsldo the United Stal09 (enach schoduJo). . . . . . . . . . . . . .. . 15c orelgn d TOlotoppllcsble dOOuctlons snd 10.... (onoch schedule). . . . . . . . . . . . . . . . . . . . . . . . . .. . , . . 15<1 u.. . Tolal 10'oIgn I.... (chock ono): ~ 0 Pold o AccruOO.... .. ........... . ...... .". 15. 1 RDductlon 'n I.... svalloble 10' aodlt (onoch schedule) . . . . . . . . . . . . . . . . . . .. , . . . . , , . . .. . 151 II Olher lo,okln 1..lnlo,maUon lonsch .chodulol . . . . .. . . . . . . . . . . .. . . . . . . . . . . . . . . , " . ... 150 16 Seclion 59(0)(2) oxpondl1U''': 0 Tvpo~ b Amount. . . . . . . . . . . . . . . . . . . . . . . . . . . .......................................... 16b 17 Tax-ox00l)1lnlorost Incomo. . . . . . . . . . . . .......................................... 17 16 Olherl..-oxompllncamo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . , . 16 19 Nondoducllbt& oxponS89 . . . . . . . . . . . . . . . ......................................... 19 or 20 Tolol p,oporty di.trlbutlon. (Including cO.h) olhor Ihsn dlvldond. reponoo on line 22 below. . , , . 20 11 609 21 Olhot' 110"'" and amounts roquirod 10 be reported sopalsloty to sharoholdors (anach schedulo) 22 Totot dlvldond dl.trlbullon9 pold Irom occu"",lnlod 08lnlngs end proms. . . . . . . . . . . . . . . . . . . . 22 23 Income (loss). (Roqulrod onlv II SChodulo M-l "",.1 bo co"",lntnd.) Combine lines 1 Ihrough 0 In column (b). From Ihe r"ull, .ublroclthe sum 01 lines 11h,ough 110,150, snd lOb ......... . . . . . . . ....... .... ... ....... ....................... 23 4.356 eM NTr 598' ~ ! I I , t I Dedu 110 i I I I , t I i m I Cr A men ond Pre! en Item F T 0Ih Cl1llynglll r 0')1,." t;<1""~'~ nnl,. '9~'l ,~,.1r0'). Inr.. NlIl'l:?O'3] Funn 11203(1..0) Melvin' B E' ,n J\uto Renaira Inc. 25-1689609 Pago 4 I Schedule L I IIolal,eo ShHlA po< 1\ J flnnlnnl"" 01 lax voas End 0110 YOII A...ta lal (bl -(el (<I) 1 Cash. ..... ..,. ...... ,..... .... 25.047 I 17 4'16 28 Trlde 00108 and eccoun~ rocotvlbIo. . . .. 6 650 7.931 b les9 allowanco for bad dobts, . .. ...... 6.650 7,931 3 lnvol1lO1Hr.1 . . . , . . . . , . . . . . . ..,..' .. 13 621 10.317 4 U.S. GOVOfnment obllgallo'lll . ,..,. 5 TIJI-o)lOO1>' aocurtUos . . . .. ....... ... 6 Olher current assel, (Inach schodule). . . . 7 lOins fa shllfoholdefa . ........".... 8 MOf1gago and loel881110 klan! ......... 9 Other Inv091monlll (8nleh rK:hedule) ..." 10n Bulldlnq. and olhor doprocl.blo .....1. . 21. 468 21. 468 b loss lICCufTJ..llatod depreciation. . . , . . . . . 7.824 13 644 12 981 8 487 lln Ooplolabl. .....1............ ........ b L... accurnJl.l.d doplollon. . . . . . . . . . . 12 Land (n.1 01 any smo,Uz.l1on) . . . . . . . . . . 13n Inl.ngJbl. ....1. (smornuble only) . . . . . . 359 359 b L... ICCUrrnl.lod smor1I.lOllon . . . . . . . . . 227 132 299 60 14 Olhor....1s (snoch ochedul.). . . . . . . . . . 15 TolaJ annols .. . . ... , ..... ,. ,'... .. .. . 59.094 44.271 UablllUaa and Shaleholden' Equity 16 Aecounls pay.bIe. . . . . . . . . . . . . , . . . . . . 14.410 14.661 17 Morlglgu,notll,bondIPI.,.lbl.lnl...th,nl)'ur 6.578 8.182 sm 4 . 1. 949 - 18 Olh.. CUlI.nll1obllllloo (Slloch schedulo) . . SEB 1. 465 19 Loans from sh8loholdefs . . . . . . . . . . . . . . 20 Mo,tgag.., "01.., bonds pIYlbl. in 1 V'" or mOl. 24.617 15.676 21 OlllOf lI.blllllos (.noch ocl1odulo) . . . . . . . , 22 Capnal.lock ........,.............. 100 100 23 Paid-In al e.pllal.Ulplu.. .. .. . .... ... . 3.870 3.870 24 Rolalned .asnl"9" . . . . . . . . . . . . . . . . . . . 7 570 317 25 Loss cosl 01 o.ssury Slock. ., . . . . . . . . . , I ) 26 TalalllsblllU.. .nd .hasohold.n' onullv . . . 59.094 44.271 . ~ f f 3 Expon... loeordod on books Ihls yost nol Includod on Scl1odulo K. IIn.. 1lhrough 110,150. .nd 16b (lIonizo): a Ooprocl.llon $ b frlv.llnd Inltrlll"IIII"t S Ooduc!ion.lncludod on Schodulo K. Iln.. 1 Ihrough 110, 150. .nd lOb, nol chasgod og.lnsl book Income Ihl. yost (lIorrilB): a Ooprocl.llon $ Addllnoss.nd8....,.....,......... 0 4 Addllnos11hrou h3................. 4 356 8 Incom.('oIlIISch.dul.K,~".2J)..1I".41...ln., 4 356 19ched J M 21 Annlysls 01 Accumulnted Adjustments Account, Other Adluntments Account, nnd U G - Shnreholders' Undlstllbuted Tnxnble Income Previously 1nxed (SOD pogo 22 011110 InslrUellons) (a) AccurnJl.lod (b) Olhor .dlu.lmOnI9 un~t~~::;c\,~~o adJustmonts account 6CCOunt I' U axod 7 570 0 0 4 086 270 1 Balanco at boqtnninq 01 t8X yoar .. . . . . 2 Ordln.ry Income Iram pego 1, line 21 ....... 3 Olh.. .ddlnons ........................ 4 Lasslram psg. 1, IIno 21. .. . . . ... ... . . . . . 5 OlhorroducllOns ....................... 6 Comblno IInos 1 Ihrough S . . . . . . . . . . . . . . . . 7 OI,olOOllons olh.. Ih.n dlvldond dlslrlOOllono . 8 o o 11 11 926 609 317 o o Olunc..t.nd 01 'Il vnl. Sub'r.cllln.1 lrom hnt B . eM 1120~ NTr 5983 rnry"O"" rrHm' '101....... Only, IDOl'! N.lrn, Inr. NOI'I'O~. FOlm 4562 1996 Oopartmen1 01 rrOMUlY Anachm8nl Int9fnal Rev. 5etvtco gO ... s... rite In.tructlon.. ... Attlch thla form to our r.turn. en08 No. 67 HIITlO(') ahown on 10lUm Buolno" or octlvtty 10 which Ihl. 101m ,0101" Idonl1lyl"'il number Melvin'B Exxon Auto Re airs I Gas station 25-1689609 PM Election To Expenle Certain Tangible Property (Secllon 179) (Noto: II you hlvo Iny 11.lod prop..ty," oolT'4'lolo Port V boloro you oolT'4'lolo POll I ) 1 Maxlroom daM., Hrritltton. If In onltMpflse laoo bus/noss, 888 PIQO 2 of the Inslluctk)ns, . . , . . . . . , . , , . , . . 2 Tolol co.1 01 oocllon 110 p,op..ty placod In ...vlco. Soo plge 2 ollho In'UUcllon. . . . . . . . . . . . . . . . . . . . . . 3 Ttveshold COllt of aoctlon 179 plOporty bololO Induction In limitation . , . . . , . . . , . . . . . . . . . . . . . , . 4 Aoduction In IIrrl1alton. Subtlact llno 3 110m Uno 2. If lOfa or loss, nntor .0- . . . , , . . . . , . . , 5 Dollar IIrritatlon for 1AM VOII. subhlC1llno 4lfom llno ,. IIzOfo or loss. oolm -0-.11 maulod filing .rltel , BOO 2 ollho InstructkJns . , . . . . . . . , , . . . , . . . . . . . . . , . . . . , . , . . . . . , , . . . . . . . . . . . (1IDOOCII lion 01 10 01 (bl CO., bu.n. u.o on (c)Eleclod co., Jepreclatlon and Amortlzath (Including Information on Listed Property) OMB Ho. '!l4~-0112 1 2 3 4 S17,!lOO o $200,000 o 5 17 500 6 7 U.lod ploporty. Enlor """lInl kom Uno 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 0 8 Tolol oleclod cosl olsocllon 179 plOporty. Add omounl.ln column (e), IIn.. 0 ond 7. . . , . . , . . . . . . . . , . . . . 8 9 Tonlsll.o doduellon. Enl.. Iho amoll.. 01 line ~ or Uno 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 0 10 Csnyovor of dl9111owod doduction Irom 109~. Soo pago 2 ollho In.llucllon.. . . . . . . . . . . . . . . . . . , . . . . . . . 10 11 Bu.lnoss Incomo Umll.lIon. En'.. lho .maller 01 bu.n. Incamo (noli... Ihan lorO) or line 5 (000 Instrucllon.) . 11 0 12 Socllon 179 oxponso doducllon. Add Un.. 9 and 10, bul do nol onlor mora Ih.n IIno 11 . . . . . . . . . . . . . . . . . 12 0 13 Car ovor 01 dl.allowed doductlon 101997. Add Un.. 0 and 10, 10.. Uno 12. . . . . ~ 13 Nolo: 00 no' U90 Pott II or Pott III below lo,li9l0d proporty (aulomoblles, COIlo1n olhor vohlel... coilular 'oIophon.., COf101n coIT'4'UI..S, or proporty used lor ontor1a1nment. rocroation. or ftfT'lJsemonl). 1"!I10ad, usa Pall V lor IIstod property. PIIIt II MACRS DeprecIation For Aneta Placed In Service ONLY During Your 1996 Tax Y88r (Do Not Include Usted Property.) (I) CI._.llon 01 propOfty (0) COnvonllon (I) Molhod (g)Oooroosllon deduction S/L MM S/L MM S/L MM S/L MM S/L SocUon C -- AIIom.Uva . 04 ollho Insuucllon.. 16 a CI... 11I0 S/L b 12- 011 ra. S/L C 40- 011 MM S/L PlI1llll Other De reclBtJon Do Not Include Uated Pro e . Soo 04 of Iho Instruction.. 17 GDS snd ADS doductlons for ....19 placod In sorvIco In lax YOII. beginning boloro 1096. . . . . . . . . . . . . . . . 16 Proporty subjoc1lo soctlon lB8m(l) oIoct1on. .. .. .. . . .. .. . . . .. . .... . .. . .. .... ... ... . ... .... .. .. 19 ACRS and olhor roo.llon . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Part IV Summa Soo 04 ollho in.UUcllon.. 20 U.lod proporty. Enl.. """unl kom line 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 21 Tollf. Add doduCllon. on IIno 12, II... 15 .nd 161n column (g), .nd IIn.. 17lhrough 20. EnlOf ho," Ind on tho approprlato 110M 01 your return. Partnorshlp!! nod S corporations -- soo InstTUctlons.. ...... .... ... .. 21 22 For 899019 shown abovo end placed In oorvk:o during tho culTont yoar, onlm tho orllon ollho b..'. .l11lbul.blo 10 .ocllon 263A CO.19. .. .. ........ .. . .. . ... .. 22 For Ps""rwor1< ReducUon Act HoUce, .... page 1 ollho .epara'o In.lIUcUon.. eM 458212 It-nr !l]Ol ro .. Nonr05ldonllel foal 25 27.5 .. 27.5 9. 39 .. ro 17 18 19 589 4 568 5 157 Form 4562 (1909) t:O(lyllQhl r'llm, r;n""'4r~ rJroly. lQQ/\ "~lro, lor 'jQM~r.l' -- - Melvin's Exxon ^uto Rr lirs, Inc. 25-1689609 FOlfn 4~62119901 p_2 I Part V lUsted P,opsrty Automobiles, Certain Othe, Vehicles, Cellula, telephones, Certain Compute,s, and P,operty Used fo, Entertainment, Rec,eallon, 0' Amusement 1 Note: For any \luhkle for which you "0 using Iho standard mktftge ralo or doductlng IO!lso QllpOnSO, coflllkJlo onty 231, 2Jb. ( columns (ellh,ouqh (e) 01 SocUan A, all al Socllan B, and SocUan C II applleeble. Sec:Uon A __ llonIoclaUon Ind othl' InlormlUon ICouUon: 500 oeae 5 ollho InstrueUons lor IIrrltlllans lar eUlomobiles1t 23a Do you hey. .vldonce 10 auooor' busl""ss/lnva,lmOnl uso claJmod71X1 V.. I No 23b II "Yes; 1.lhe evldonce wrl11sn7 V.. n Na (b' (c) Busn.1 (d) (I' (I) ( ) h (I) ,") DII. InveslmOnl Bosls lor depr. g ( ) EIoc1.d Typ. 01 propOlIy plocod In uso Coslor (bu.n.llnv..lmOnl Rocov"'Y M.lhedl DeplOcllllan socllan 119 (lIsl v.hldes nISI) S8IVice OIcenla9O alher besls uso only) pOllod Convenllan doduC1lon cosl 24 ProPOIIV usod mora Ihsn 50"10 In s aualllled busln..s uso /500 P QO 5 ollh. Instruellans.l: . 89 Ford F 3/21/95 95.001'. 15 026 14,275 5 DDB HY 4.568 ~' 1'. 25 Property used 50".4 or los9 In B uallrled buslnoss us;!Soo D8QO 5 at Iho InstrucUons. 1'. S/L- , 1'. S/L- 1'. SiL- ! 26 Add amounlsln column (h). Enl.. lhe lolal horo snd on II"" 20, pago I ... . . . . . . . . . . . . . . . . . . .. I 26 4.568 , 27 Add amounlsln column Ill. Enlor the 101a! h... end on II"" 7, D8QO 1. . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . , , . .. I 27 SocUon B -- InformoUon on Use of Vehicles ComplolO 1hls section lor vohicles usod by 8 solo proprietor, partnEM'. or olhor "moro than 5% owner," or rolated pofson. II you provtdod vehlclos 10 your ompkJyoos, first an9W8f Iho quosdonsln SocUon C to soo " you moot an Ollcoption 10 completing this soctton lor Ihose vohlde9. , (I) (b) (c) (d) (I) (I) , 26 Tola! buslnoss/lnveslmOnl mllos drlvon Vohlel.l V.h1clo2 V.hlelo 3 V.hldo 4 V.hlclo 5 Vohldo 0 during yoar (DO NOT Include commuflng mlll'l. . 13775 ! 29 Tolal cornroollng mllos driven during year. 725 I 30 Tola! olh.. porsonal (noncorrrroUng) mllos driven. . . . . . . . . . . . , . . .. . . . . . . . ! 31 Tolal mllos drlvon during Iho y.... Add II".. 20 Ulfough 30. . . . . . . . . . , . . . . . . . . 14500 Vee No V.. No Ves No Vee No V.. No Ves No 32 Was tho vehiclo 8vailablo for porsonal uso durlngon-dulyheurs7............... . X 33 Was Iho vohlel. u.od primarily by s moro I than 5% ownor or rolalod person? . . . . . . . X 34 Is aoolher vehicle availablo for poroonal U90?... .........,. ...... ... .. .... X i Sectlon C -- auesUons 10' Employers Who Provide Vehlclee fo, Use bV Thel, EmploV". i Answor lhoso qU09tkJns 10 do1emino "you moot an ollcoplion to compleUng Soction 8 tor vohld09 usod by Of'11)loyaos who .,. not moro Ihan 5% ; ownors or rmatod porsons. i V.. No 35 Do you maintain a wrlnon policy 9lsl0m0nllhal pro hi bU. all pOlsona! uso 01 vohld.., Including corrrrotlng, by yoor .mp10Y0097 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Do you malnlaln e wrlllon policy .Islomonllhal prahlbU9 porsonal use 01 vohlel.., o'copt corrrrollng, by your 0flllloyoos7 , Soe pago 6 of tho InslructkJns tor vohk:los used by cOfporato olflcorn. dlroctors, or 1% or moro OWIlOf!l. . . . . . . . . . . . . . . . . i 37 Do you nosl all uso 01 vohletes by amployoos .s porsona! u..7 . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . . , 38 Do you provldo moro Ihan nvo vohlct..IO your amployoos, obla!n Inlormallon !rom your amployoos sbout tho uso ollhe , vohlclos, and relaln lho Inlormatlon rocolvod? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Do you moollho r.qulromonl9 concornlng qushllod aulomobile domonstrellon uso7 500 pago 0 ollhe Instruc1lons. . . . . , , , Noll: II vour snswor 10 35, 30, 37, 30, or 39 Is "Yos: YOU flOOd nol COfTIllolO SocUon B lor lhe covlII.d vohlclos. IPart VII Amortlzallon (I) (b) (c) (d) (a) (I) Dolo o01Olllzollon Amor1lzeble Code AmorUzellan AmorUzsllan Doocrlptlon 01 COSl9 begins IIfOOUnl _n plHlod or lor Ihls y.. plHcenlago 40 Amortization 01 C09tslhol~n9 durlna vour 1998 lax 'Oat: I I 41 Amolll2allon 01 coslS Ihsl booan boloro 1990. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , ., I 41 72 42 Total. Enlor hOfO and 011 "OIOOr OoducUon!l~ or MOlhOf ExDonsosM 1100 01 your fDturn ............... 142 72 CAA 456212 NTr S302 COr'YflQhlrn"''', ~n""""rt.nnty. ,qQfI"~'co.l"c. Pl964~lln - --- . ~~.!"I.,,,,.,'h ""'....'" ..-p,. ~ . . ;\~ . SCHEDULE K-l (Form 1120S) Silareho, .r's Share of Income, Credits, Dt . ellons, etc. OMB No. 1~~-OIJO .. 5M laparlte loatrue-Uan.. For al.myr YN' t toe or tu yea, n.p.'l",.nlolth, Tr"'l.Il't In,,,",lntw'rl"" !lI/Vlr.f nnln . 11M, and encln t tl Sharoholdor'lldon n numbo<. 178 - 4 8 - 2262 Co rlUon'l ldon n numbo<. 25 -1689609 ShllBholder'lI nllTlll, Idd'OS9, end ZIP coda COrporltkm'lI name, Idd,esa, end ZIP code Melvin L. Bigler Melvin's Exxon Auto Repairs, Inc. 236 Clover Hill Road 9822 Molly pitcher Highway Newburg, PA 17240 Shippensburg, PA 17257 1996 A Shlleholder', p8fcentage olltock ownership for 10 Vear (soolnstJuctlanlllor Schedulo K-1) . . . . . . . . . . . . . . , . . . . . . . . ... 100 . 00 % B Inlornll Revenue ServIce Conlor w""'ecolpOloUon lIIodllSlolUrn . PHILADELPHIA, PA 19255 C Tax IlhellOf ,oglstraUon numbof (see In9tructlon9lor Schodulo K-t). . ... .. , . .., . .. ,. . .. . . . , .. .. ....... . .. Ad! men In TI Pr on III D Chocl< OllDllcoblo ba'os: 111 n Flnll K-' 121 n Amondad K-l (a) Pro 'alII shalo itorm (b) Amounl (c) Form 1040 n!ofO enlor lhe armunlln cot (b) on: 1 OrdinllV Incomo (loss) Irom trade or buslnoss 8ctlvlllos. , . . ........ 1 4 086 } See pogos 4 ond ~ ollhe 2 Nellncomo (loss) from ,onlal roal oslalo ocllviUos. . , , . . . . . , . . . . . . , 2 Sh.,eholdor'o 1..lrUcllon. lor Schedulo 3 Nellncome (10..) from 01"'" lonlll ocllvlllos. . . . . . . . . . . . . . . . . . . . . 3 K-l (Form 11211S). 4 Pol1lollo Income (10..):. II Inlorosl...""..""..........."..."....."........... 4a 270 Sch. B, PII1I, 11110 1 como b Dividendo.,.".."... .... . ... .... .. "" .. .... ...... .... . 4b Sch. B, PII1I1. 11110 ~ u) o Royo_..............................................,. 4c Sch. E. PII1I, 11110 4 d NeloholHorm coplIlI glln (10..) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4d 5th. D,lInl 5. col.lllorlol 8 Nollong-Iorm cepllll glln (10..). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 5th.0,_1'I1'3,col.(I)o'lol 1 Olhor 001110110 Incomo (1000) (olloch ochodulo). . , . . . . . . . . , . . . . . , . 41 LEnt,ron Ipplu:.abll rllo'youf,.turn.I 5 Nol glln (10..) under ooc1lon 12:11 (olher Ihon due 10 cooually or See Sh.,eOOldor'o lns1rUc1Io"" lor ScOOdulo lhen).. . ... .... ....... ...... ..... . ..... ...... . .. ... .. ... 5 K-l (Form 11211S). 6 Olhor Income ilooo)(onoch schedule).. . . . . .. , . . . . . . . . . . . . . . . . . 6 ~Enl'~ ~~ IpptlU:.I,' neolourrllu,n. 7 Ch.,lIablo conll1bullono (anoch ocOOdulo) .. . . . , . . . . . . . . . . . . . . . . 7 Sch. A.1111O 1~ 0110 e- S Socllon 170 e,pen.. deduc1lon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 } See page 0 ollho no 9 Doductlon9 lolsled 10 001110110 Income (100') (olloch ochodulo). . . . . . . 9 Sh.,oholder'o '~'~"" lor ~hedulO 10 Olher deduc1lon9 (olloch ochedulo) .". . . . . . . . . . . . . . . . . . . . . . . . 10 K-l Form 11211S . vlsl- lla InlorIl910'pOnooonlnvos1monldobI9......".................. 110 Form 4952. 11110 1 ont b (1) Invostmonllncomo Includod on II... 4S, 4b. 40, ond 410bovo. . . bll } See Sh.,eOOldor'o t.r... i2i Inv09lmon\ o'Donsoslncluded on lino 9 abovo. . . . . . , . . . . . . . . bl2 In.l"tr''''' lor 1JihodUIo K-l FOlm 11211S . 128 Cledlllor sIcohol u..d 00 fuol.. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . , 120 Form 6410. 11110 10 blow-Income houolng aodll: (1) Flom oecnon 42Ul(~) p9I1norohlp. 101 PIOP"1y ploced In .1lfVIce bololo 1990. . . . . . .. . . " . . . . .. . . . . . .. . . . . . . . . . . . . , . , . . bll (2) Olher Ihan on 11110 12b(1) lor plOperty placod In oerv1co bololO 1990......,...................... . ................. bl2 (3) Flam oecllon 42QJ(5) plllnOlohlpotor plopOlIy plocod In servlco Form 05116. 11110 5 ocIII sltor 1969 . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . . . . . bl3 (4) Olher Ihan on 11110 12b(J) lor plOpOlIy placod In oorvice oltor bl4 1969.............................................. . C OualiOod fohabililaUon oxponditurM folalad to rontal roal 091810 scllvlllos . . . "" "" . """" ". .....,.......,.. ......... 120 d Clodll. lolhor Ihon aodll1lohown on line. 12b ond 12c) 100sled 10 } ~ ..."', h ronlal loBI estale 8cdvtUos . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . 12d Sh.,eOOlder's 1""lrUc1lono 'or Schedulo 8 Clodll9 rmolod 10 01"'" rental ocllvlnos . . . . . . . . . . . . . . . . . . . . . . . . . 120 K-l (Form 11211S). 13 OIhor C1odlt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Ult- 14a Doploclallon adJuotmonl on plOpOlIy plocod In oervlco an.. 1900 .. , . 148 969 See page 7 01 to b Adjuolod glln Olio... . . . . . 14b lhe ShoreOOlder's d . . . . . . . . . . ....................... o Doplollon (olh.. Ihon 011 ond g..). . 14c lns1rUc1Io"" lor 1 . . . , . ..... .. ............... Schedule K-l (Form eflr- d (1) Gross Incomo horn all, gl!l9, or goolhorml!ll propnrtlos . . . . . . . . . . dll 112OS) snd co (2) Doductlon5 nllocebJo 10 oil. g09. or qoothormel propof1~. . . . . . . d(2 InslrUc1Io"" lor m. e OlhOf" edJuslmonls end tax Droloronco lIorm (anach schodulo'. . . . . . . 148 Form 8251 For Paperwork ReducUon Act HoUee, see page 1 oflnstrucUons for Form 11209. cu .,20SK112 'lTr'lI84 Schedulo K-l (Fonn 11205) 11198 In (La Dodu Uo In m In C< Cf'r~"ohl roo.... <;"11....,,, fl'll~, lQ9f1 N.'r'l.IIH', NQ~,nr,,,, Forolgn Tox.. Other Supple- menial InlormeUon 178-40-2262 P 2 (I) Pro fila share llunt9 (b) Amounl (cl Form 1040 nio<o onl.. lhe amounlln column (b) on: Form 1110, Chock bo'.. 158 Type 01 Income ~ b NIIllO of forolgn country or U,S. posOO9sion .. C Total qroS5 Incomo from sources outside lhn Unltod Slates (anoch achodulo) .. . . . . . . . .. . .. " . . . .. . . . . . . . .. 15c d Tolol oppllcoblo doducllono end 10.... (onoeh achodulo). ......... 15d 8 Tolollorolgn I.... (chock ono): .. ~ 0 Peld 0 Accruod . . . . . .. 158 1 Aoduellon In I.... evolleblo lor Clodll (enech oehedulo). . . . . . . . . . . .. 151 Otheffor nllXlnlormaUon anachschodulo .",....",......., 15 16 Socllon !l9(o)(2) o'p.ndllm..: 8 Typ. ~ b Amounl. . . . . . . . . . . . . . . . . . . . . . . . 17 Tox-o'llfJ1lllnl....llncomo.......... 16 Olhef lox-o'ompllncomo.. . . . .. . .. . . 19 Nond.ducllblo .,pon.... . . . . . . . . . . . . . . . . . . . . . 20 1'I0petly dl.lrlbullon. (Including ce.h) olher Ihon dlvld.nd dl.lrlbullon. reportod 10 you on Form 1099-DIV. . . . . . . . . . . . . . . . . . . 21 Amounl 01 loon repoymenl. lor "Loen. From SharohoIOO.". . . , . . . . . . 22 AocoplUJo ollow-Incomo hou.lng Clod;!: 8 From socllon 420)(5) partner.hlp. . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 228 } Form 0011, llno 0 b Olhef Ihonon Iloo22s ........."........................... 22b 23 Supplomonlollnlormallon requlrod 10 bo roporlod .opassloly 10 .ach shas.holdor (ansch addlllona/ acheduloo II ""r. spoco I. needod): 1Gb 17 18 19 } Form 1110, Past I Form 1110, Past II Form 1110, Part III Soe In.1. lor Form 1110 500 Sharoholder's Insll\JcDons lor Schedulo K-l (Form 11205). Form 1040, line Db 20 21 11 609 Soe pagoo 7 ond 0 ollho 5harohoIOO'. Instructions fOJ Schedulo K-l (Form 11205). . CAA 2 tHr 59~5 r.nflyrtQhl r...,,", ~nf"',~r" f'nly. ,,~qr. fl"lro,lne. Nqlll0'i~i' !leduc Uona (see psge 1 ollila Im1nJC- tIon31a Ilrr/1s- Ilom.) TI. and Payma U.5 Icome Tax Return for an S Corp liOn ... 00 nol tile thl. form unl... the carpar.tlon hat tJm.ly tll.d Form 2553 to elect to be In S corporaUon. Oepartmonl 01 rrolsUlY 1"IOfO'" Rov, Sefvlce ... S.. IIp.rate InatrucUon.. For calendar Nr '"5 or tax ..r b Innln 1195 . end. t' A 0.1001 olocllon IS U.. Name Number, ShOOl. & foom/sullo 00. Clty/lown, slllB, & ZIP code C Employer IdenUftClUon no. an5corp<lflllon IRS 25-1689609 11 4 92 ~~_ Melvin's Exxon Auto Repairs, Inc. DDslolncolpOfllod B Buolne..codono. wi.a, 9822 Molly Pitcher Highway 11 4 92 (...5poclllcln.q ~~::, Shippensburg, PA 17257 E TOlal......(...5poclllcln.1) 5541 type. I 59 094 F Chock appllcablo 00''': (1) Inlll.'rolurn (2) Flnollolurn (3) Chongoln oddres. (4) Amondod roturn G Chock lhlo 00' ~ Ihlo S corp. .. oub/OCllo IIla con.olldolod oudll proceduro. 01 soc. 8241 Ihrough e24~ ('''In.1. boloro chocking Ihl. 00') ~ 0 H Enter number of shareholders In the corporaUon al ond 01 thellX yoar . . . . . . . . . , . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..... 1 FOlm 11205 OMB No. 154~-0130 1995 I"com CluUon: Inctude onlY tIlde or buslnoss I"como and OIcponso, on llnos 18 throuQh 21. Soo the Instructions lor maIo InlormaUon. 10 Or089 reep,..!..109 I 267. 719 I b Lo.. rtrn.. & ollowoncesl Ico.,~ Ie 267,719 2 Co.1 01 good. sold (Schedulo A, line 0). . . . . ................ ................. ............ 2 157 936 3 Gross profit. Sublrac11lno 2 from Uno 1e .... .................................. ........... 3 109.783 a 4 Nol goln (109') Irom Form 4797, rerlll, IIno 20 (enoch Form 4191) . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 OlhOf Income 11089) (onoch ochodulol . . . . . . . . ...,...............,...............,....... 5 6 Totallncoma 1I0all. Combine IIno. 31hrouoh 5. . . . . . . . . . .. . . . . . . . . . . . .. . . . . . . . . . .. . . . . . . ~ 6 109 783 7 Compon.sllon 01 OfflCOf'. . . . . . . . . . . . SEE. STATEMENT. 1 . . . . . .. . . . . . . . . . . . , .. ... . 7 23.660 6 5alerlo. Ind wog.. (1oss 8f11lloymonl crodil'), . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .... 6 11.171 9 Repairs and maintenance. . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ... 9 10 Bsd doblo . . , . . . . . . . . . . ... . . . . . . . . . . ........,..................,.................. 10 11 Rents...................,......,....... . ....................",.,..,...,...,.,... 11 7.200 - 12 Taxes ond Ilcon.o. ........... . . . . . SEE. STATEMENT. 2 . . . . . . . . . ................ 12 3.542 13 In1mBS!. . . . . , . . . . . . . , . . . . . . . ........... ::::::::::::::::::. i 14~1""""" 4" iii'.j 13 3.244 140 Doproclellon (II requlrod, onsch Form 4562) . 0 b Oeproclatlon dalmed an Schedulo A and ofsowhoro on roturn . . ..... 114bl :i:,;', C Subtract Une 14b from Nno 14a . , . . . . . . . . . . . . .. ... ... ".. ............. ,.... ........"" 14e 4.024 r 15 Doplellon (Do not cNduct olllnd gao depleUon,). 15 . . . . . . . , . . . . ..... ..............,......., 16 Advertl.lng......................... . ....... ....,...................,..,..,..." 16 4.887 17 Pension, prom-sharing, ole., pl8n~ . . . ... ..' .... ......"......,.,......,...,. ... ...." 17 18 EmploY09 bonolll proqrams. . . . ....... .. ........... ...",... . . . . . . . 16 19 OlhOf doduCllom (enoch schlldulo). ... SEE. STATEMENT. J.... .......... ..... ...... 19 39.465 20 Total deducUonl. Add lho amounls shown In tho far ,lQhl column fa, IInM 7 through 19. . , . . . . . . . . ~ 20 97.193 21 O'd1muv Incomo noss) from trade or buslnoss aellville'l. SubtraC1l1no 20 Irom Ilno 6 ...........".. 21 12.590 22 Tax: 8 E'..... nel possJvolncoroo ,.. (ollooh schodul.).. . . . . . . . .. 1220 I '" b Tax ~om Schedulo D (Form 11205).. ... ... .......... . . .. . .. . .. 122bl C Add nnos 22a and 22b (soo page 13 of Ihe InslrUclions for nddillonallsxos). ".... . ". . . . . , . . . . , . 22e 0 23 Payments: 8 1115 ull",.lld I.. Clly",.n', Inft .",nun' ItI(I"'ll frn", 199. "lllln 23a r b Tax dopo.llod with Form 7004... . ....... . ..... '" .. '" ...... 23b c Crodlllor Fod",slllX pold on luol. (ollooh FOIm 41361. ..... .. .... 23c ..,1;. nta d Add IIno. 23e Ihrough 23c. . . . . . . . . . . ... 23d .... .... ... ..... .,..,.................... 24 Esllmaled lax penatty. Chock If Form 2220 I~ "nl1r.hl'Hi ....... ... ...... ... ....". .... ~O 24 25 Tal due. litho tolal of Ilno! 22c and 24 19 I!lfQOf IhAn line 2~d. onlOl smollnt ownd. Soo pago 3 or tho In!ltruC1kms for depo!tltary molhod 01 pftVHlonl. . ....... ... ..' ................. ....... ~ 25 0 26 Overp1vmenllf line 23d Is larger than lho lolal of linpq 22c "od 24. onlor Itmollnl oVOfpeld . . . . . . . . ~ 26 27 Enter lUT'IOunt of Uno 28 YOU wltnl: Credited to 1998 est tax . Refunded ~ 27 Under penalllos of perJury, I doclalO thai I havo Clll1n~llod lhi~ IDlllIn.lncludlng OCCO"l'Bnying schodulos and 81alomonts, and 10 Please Iho bosl 01 "J knowledgo .nd boliol, II I. lroo, oo"ocl. ond complolO Doclor.llon 01 preps'''' (olhor Ihon IIXPIYor) I. b...,d on all Sign lnfofmatlon 0 which proparor has any knowtndqn Here ~ 51ansturo 01 olllcor I ~ Tltlo DOlO Proparer's ~ ,DV,ftA I Oalo I ~hock lI'oI~-n I Propsr",'. 55N Pold signa lure ..:.:( 1/19/96 8f11llovod~ 188-48-5520 Preparer's Firm'. noma (or ~ FRAtlCI SA. MARCHAL P. C. EIN ~ 25-1751935 Use Only yo",ollooll-omployod) 49 WES'j' ORAtlGE STREET ZIP codo ~ olld oddro.. SllIPPEtlSDUHG PA 17257 For Paperwon. Reductlon Act Nollce. see pao.... ,""par.le Instructions. r..u. Cnpy111lhlrnr""!'iflll......nnly. '9Q~N.kn.lnr 'j9~)". . l1F.L9609 1120512 N1F un Form 11208 (1995) 25-1689609 Pogo 2 Melvin's Exxon Auto R' lirs, Inc. Form 1120S (199~) ISchIldUle'AI COIl 01 Good. Sold ('00 pogo 14 ollho Insllucllon,) 1 Invenlory II boglnnlng 01 yoot .. . . .. . . . .. . . .. .. .. . .. . . . . .. . . . .. . . . . . 2 Purchases. . , . .... . . , . . . .... . . . . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . , . , 3 Cost of labor. . ., , . . .. . . . .... . . , . . . . , . . . . . , . . . . , . . . . , . , . . . . . . . . . . . . . . . 4 Addlllonll oocllon 2BJA CO'IO (.nach schodulo) . . . . . . . . . . . . . . . . . . . . . , . .. .. . . . . . . . . . . . . . , . . . . , . 5 01110< coOls (.nach achodulo) . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , , . . . . 6 TolIl. Add Ilnoslthrough ~, .... , . . . . . .. , , . . . . . . . . . . . , . . . . . . . . . .. .. . . . . . . . . . . . , . , . . . . . . . . 7 Invenlory alend 01 yeot.. . .. .. , .. . . . . . . . . . . . . . . . . . . . . . . .. . , . . . . .. .. . . . . . , , . . . . . . . . . . . . . . . 6 CoI' 01 gooda 101d. Subtract lno 1 110m line e. Enlor hOle and on pago 1, line 2 . . . . , . . . . . . . . . , . . . . . . 98 Check all methods uoed lor valuing closing Inventory: (I) ~ Coslas dOOClibed In Regulollon. oocllon 1.411-3 (II) Lower 01 cost or motkol u described In Regulotion. .ecllon 1.411-4 (III) Olhor (specify melhod uoed and ansch o'plansllon) . b Chock IlIhe!e wu I wrltodown 01 "subnormsr good' os described In Regulstion. oocllon 1.411-2(c) . . . . . . . . . . . . , . . . . , . . . . . . . .. · C Chock Illho LIFO Invenlory melhod w.. edoplod Ihls Ill)( yootlor any goods (II chockod, allach Form 970) . . . . . . . , , . . . . . . . . . . . . .. · d It lho LIFO Invonlory melhod was used lor Ihlslll)( yoar, onlor porconlsgo (or smounlO) 01 clo.lng Invenlory COfl1lUlod under LIFO.... . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . .. .. . . . . . , . . . . . . . . . . . . . . e Do tho rule. 01 ooctlon 2BJA (lor proporly produced or ecqulrod lor re.sle) spply 10 Ihe corporation? . . . . . . . . . . , . , , . . . . , 1 W8!J Ihore any chlnge In delorrrinlng quanllllos. C05l, or valusllons betweon oponlng and closing Invenlory? , , . , . . , . . . . . II "Yes; anach e'planallon. 1 2 3 4 5 6 7 6 9 023 162 534 I t tl " 171 13 157 557 621 936 ISdtlldlUelBI Other Inlormellon 1 Check melhod01 sccounllng: (I) OCa'h (b) ~Accrual (c) OOlher(.peclly). 2 Refer 10 the RsI on page 24 01 the Instructions and !;Ialo tho corporation's principal: (I) Buslnos..Cllv1ty . Gas station (b)Produclorsorvlco . Fuel/repair service 3 Old tho corporlllon lllhe end 011110 Ill)( year own, dlreclly or Indirectly. 50"/. or more 01 the vollng stOcle 01 a domesllc corporlllon? (For rules ol.urtbullon, BOO ooctlon 207(c).) II "Yo.; ansch a schodulo ahowlng:(.) nsmo. .ddr.... .nd efl1lloyor IdenUncatlon number .nd(b)porcenl.go owood. . . . . . . . . .. . ... . . . . . .. , ... ... . . . . . . . . . . . . , . . . . . , , . . , . , , . . , . . . . . X 4 Wu the corporallon. rnombor 01 a conhollod group subjecllo the provlslom 01 section l~el? , . . . . . . . . . . . . . . . . . . . . . . . , . X 5 AI.oy time dudng caiondot yeot1995, did the colporellon hove on Intorest In or a slgnOlure or othe! aUlhorlty ovor . financial 8CCOunt In I for06gn country (such 19 l!I bank account, socurlllos accounl, or other finl!lnclalltCCOunl)1 (See page 14 01 the Instruction. for e,copllom .nd fiflng roqulremenlS lor Form TO F 90-22.1.) .. .. . . . , . . . . . , , . , . . .. . . , . . . . . . . . . . . . . . .. . . II "Yes; entor the name 01 the lorelgn country . 6 We lhe corporatlon lhe grantor 01, or transferor to, a lorelgn trustlhat existed during the cuuenllax yoar, whether or 001100 corpor.tJon h.. Iny beoolldlllntorest In It? II "Yo.;lho corporstlon may hove 10 flIo Forms 3520. 3~2O-A. or 920...,............" .......,.,.....................................,.............,.....".......... X 7 Check this box II lho corporsllon ha. flied or I. roqullod 10 mo Form 8264, Appllcsllon lor Reglstrallon 01 a Tll)( 8 ~::;~~ ;,;,~.~;~ ~~~r~;';~ ;~~u'o~' ~~~;~I~ ~II~;~~ 'd~~I'I~;';~';';'~;~ ~t~'~r~I~~'I~~~~ ~;~U'~I:: : : : : : : : : : : : : : :: : B 1180.1110 corporallon may hove 10 me Form 0201.lnlormallon Roturn lor Publicly Ollorod Orlglnall.9Uo olscounl Im~umenl.. 9 II the corpor.,lon: (I) med It. olocllon 10 bo .n S co.porallon altor 1900, (b) wss . C corpor.tJon bolore 1I.leclod 10 bo .n S corporallon or Iho corporallon acquired on a.sol wilh . ba.ls dolormnod by rolorence to II. ba.'. (or the b.sI. 01 .ny olhor propenyl In the h.nds 01. C corporation, snd (c) h.. nol unrosllzod buill-In gsln (donned In section 13?4(d)(1)) In excess 01 lhe filiI recognlzad built-In glln Irom prior yoa... onlor the nal unreollzod buill-In gain reducod by not recognized built-In gain from prior YOotS (,eo pego 14 ollhe In.lrucllon.) . . . . . . . . . . . . . . . . . . . . . .. .. . .. .. . . . . . . . · $ 10 Check this bo, Illhe corporsllon h.d subchaplor C earnings and prom. ollhe close 01 the I.. year soo. 1~ ollho InstructJo"" ..................."......,.............................".,......... · Dellgnellon 01 Tex Mollerl Person ('00 pogo 1501 tho In5lrucllon,) Enlor below the sh"eholdor deslgnslod .s tho Ill)( maltor. poroon (TMP) lor Iho tll)( yoot ollhl. re!Urn: _cl ~ ~~ ~ designalodTMP rMelvin L. Bigler numbor01 TMP "178-48-2262 Addres.ol ~236 Clover Hill Road dO$lgnstod TMP r Newburg, PA 17240 eM 1120912 NTF 1180 CODyflght Formt son...." Only, '9;5 NtlCO,lnc. Ng570S' Melvin'fl Exxon Mlto Jl' 11111, II1C, 25-1609609 101m 1 1~91100~1 Pogo 3 ul. KI-ShIIOholdlll' 8hl'_01 ciflllcomo,-Cledlll, OoduclloJ1I, olc. I.. Illllla'. '''IfU IhMII' /bi- Tal" amou"t 1 Ofdlnary Incon. (Ioul 'IOrtl "Idam hUlShlfll'lll .dlvlllnll (patlQ t, IUM120 . . , . . .. .......... 1 12.590 2 Nellnconll (kJII) flOm ,elllalrnal ,,,.IIIIA adlvlllntt (.!tll;h r 01111 nn;'!\)"1 ., , ' . ... . . , . , . . , . , 2 31 0'0" hleon. 110m oll""lnnlol 01.11,1111" 1311 "I,I'II'IIII1! b E.poo,"" hom olhnf ,.,,1" tt<;Uvillnll (1I11ft('h Itl.llflftlllu) 3b I !,,:W 1'1,:' ,th,l; Iii'll "1",1,11' C N81lncolll8 (kllll) '10m olhnr fn..,.1 .tUvitlU'l ~iuhl' ad linn 3b hllfl1llnn 31 . . ..' ".."....... 30 4 POI 110110 Incom. (10001 'l"Ii'I'I'I' !'ii'i'I::!: Incom. II Inloutt1lncomo . . . . . . ,,,," ............... 48 150 (lOll) b Dividend Incomo . ..' ,,,.' .......... 4b 0 RoValty Income . . , , , ..,,,,, ...,,,, .......... 40 d Nellhof1.IOfm capital gain (k)8!1lllnl(h !kllodulu n IrUlIl1 "20!l)) .. ... ................. 4d 0 Net klno~lenn capilli glln t~OI"l) (lllllCh !if;hndllle 0 (rOllll t t20!l)). . . . . . . . . . . . . . . . . . . . . 40 1 Other portfolio lneonlll (toll I (1IItf:11 l't(:hflctlllu) ................... 41 5 Ne' glln (toll) undAf I8Cllon '23 I (olh'M Ihan dllo 10 Utlll.tty or Ihull) (1lIach FOJm 4797) . . . . . 5 8 011'" Income 110..1 (1lIach .c11O""101 . ..." .".. ..................... 8 7 Charn.bIG contflbultonl (1llach ICtmdulnl ... ..,. ..."....".......... 7 Deduo- 8 Section 110 a.pellH dedllctkll1 (11I1d1 rUHl14M21 . . ' .... ........",.....,..... 8 3,073 Uone 9 DeducUonl rollled to pOlttol1o Ineon" (ton) (lI'"t~lol. . ..' .. ..,........"..".....,.., 9 10 au... doductlon. (.lIacl' ochndlllnl ...............,........... 10 'nv..'" 1111 Inl8l8l1 ..plnN on lnvltlltmonl dohl' ".... ........................... 118 mint b (1) InvtltllT1Ol1llnoon.lncll'dnd Oil 1111110 IS, 411, 4e, lod 41.bo'0.. . .... . ..........,..... 11bl1 Intoro.! 12' Illvntmunl IIlDIIlINJI Includnd on linn 0 .bove . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11bl2 12a Credit 'Of IIcohol UIOd.I. luol tllllth rOf", 6478) . . .................."............. 128 b low-lncorll8 houltng Clldll !!:I!'I!IIII!l" (1) Flam plIll"".I~p.lo whlth ooc 4'lI}1~llppllo. 101 plOpolly p'"eod InoOfVleo bololO 1090.. ~~~;; (2) ou...lhln on... 121>(1) Ill. plop"lV placod In ...vleo bololn 1090 . ....,..,...,..,.., 12b/2 (3) Flam pllll....hlp.IO whk:h .l1dlon 4211}1~) IppUn. 101 p'opIHIV plocod In _len IlIor 1000 . 12b(3 ,odI" (4) 011... Ihln on "'10 121~Jllnl pmpIHIV pllcod In .llIVlco .1I0r 1000 . . , . , . " . . . . . , "".. . 12b(4 0 OUlnned rnhablHlltkm 81lpondlllllne rolelod 10 funlll 'Oil oslllo ectlvlllos i!:!: I! I!: i i!lI ~ l (1lIach FOJ/11 341181. ....". .... ........................... 120 d ClOdll.(oll..lhl" elodU. .how" "" IIn". 1211 .nd l'C)loIllod 10 10111.11001 091010 acUvIU09.... 12d 0 Crodlll ,A1.lad to OUHlf fHllllIl.:llvltloll .. .." ,.......................... 120 13 Olh" ClodUI . .. .. ................................... 13 dlult- 148 Ottpled.lkll1 .dltllbtWnl on plOpOfty plllCud In 8otYlco ,Nor t906. . . . . . . . . .. . . . . . ....... . . 148 913 on" b Mlullod glin 011010 . . ... .... .................................. 14b II 1. 0621 nd TOI C Doplotloll (oll""'hln oN Ind Qui .. "....................".......... 140 IIor- d (1) 01011 In('.om8 '10"' oM. UII, or (Ioo1hnlfnal plopOftloll . . . . ......................"... 14dll co (21 OoduclloU' oJIoclhle 10 oN, Q", 01 QIIOII..m.1 plOpmllo'. . . . , . . , . . , . . . , . , . . , . , , , . , . . 14d(2 t.m. . Olh. Idlllltmol111 Ind tu nlo!lMnncn lIolT~ tlllach echodulo) . . . ........................ 140 151 1 ypl nllnr.ol" ~ !illi"lj!j!lllll b NllT. ollOlnlgn counlly 01 U,~l pO!l!loslIlon .. 1111,11,1,111, C Tal. glon 11l(',onw "0m BOUlenS olll!'lldn lho Unllod Slftl09 (DIlDCh schedulo). . . . . . . . . . . . . . . . 150 o,olgn d TollI .ppllt.blo dnduellon. I"d 1o"",(.lIoeh achodulo) . . . . . ., . . . . , . , . .. . .. ,.. .,.".. , 15d .... 0 Tolal 'OlolfJn '1Ile, (chock ano) . 0 Pold o Accluod.........,............".." 150 1 neducUon In 1"11 IVIK.bIfllof r.lOdil (Inleh 8Chodulo) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 a Olhm 100nlol1 1..lnlolm.llon '"II.eh oehodulo) . ......................"......."..... 150 18 5ocllon M(nH') oxpnndllUln. lilyI''' ~ """'1'11"1" 1'1'1:-:: Iii; b AltWlllnl .. ....,... ,..................................... 1Gb 17 T..~R.Ofl'4lt InlOlolt Incomo, . ...,. ..,. ....................................... 17 18 Ollww '.w-n.nn'4lllllCOrnR . . . . .,................,............................. 18 19 Uondfldllcllble DllponSOS . ..... .... .......................................... 19 0' 20 Tolal plOplMty dllUlbuUonn (Includlnq el!lh) olhof Ihan dlvldond! ropor1ed on lIne 22 baIow. . .. . 20 4 650 21 Olhot nnn'" Ind anvlIInle fOqullod 10 bo .npol10d soplraloly 10 shareholdors (anach 1"'1,;11111'1'. 'I,""hll"! ftfhlldukl) ,;'d Ii! "ii i,I[li1ik!ii:! 22 1 nlat dlvldond dlstrlbfllkH1!t paid Irom accumulolod ORfIllngs aod proflts. . . . . . . . . . . . . . . . . . . . 22 23 Income (lOll). (Rnqullnd only II Schndulo M-' IT'lJst bo comploIOd.) Comblno lines 1 "'1"'''111'' ;',"'11 ',' lhwlIUh n III (;olul11o (b) Flam tho Instill. 9tJblrnc11ho sum 01 IInos 7 through 118. 150, and ;:1,"'1111 ! 'i' I ' i:; ~: i Ii, i 'Oh .' . ... .., ........................................... 23 9.675 c A m I Pr on I F T 0Ih f"" t120534 ,,"Ult I "I'troy"!' ",,.,. ~"Il...." I)",; 1It'1" PI," n, 1M "q~'I'I'.l Form 11205 ,gO' Melvin's E' ,n Auto Re II . Balance Shee. AaHII 25-1669609 End 01 1M ear Page 4 1 Caoh .................... 28 Tflde noles and accounls focm'leblo. b lO!l! a"owlnt& for bad debls. , . . 3In\lunlorkts........... ......... 4 U.S. Government obllgallon., . , , . ' , , , . . 5 Tax-.,."",I.ecurl119s,..",.".,.",. 6 Olher cun.nl....t. (.nach ach.dul.), , , . 7 Lo.n'lo .hll.holder. , .. , , , , , , , , . , , . . 8 Mortgage and IUaf estlle toans . . . . . . . . , ," 9 Olher Inv..lmen" (.nach ach.dul.) . , , , . 108 Building. .nd olher deprecl.ble ....1. . , . b L... accumul.'ed deprecl.llon , . , , , . , , . 118 oeplel.bIe ....", , ,.... ... , , , , , . ' , , , b L... accumul.'ed dep"'"on. , , , , , . , . , , , 12 L.nd (nel 01 .ny amof1lzallon) , , , , . , , , ' , 138 In'.nglbl. ...." (amolllzable only) . , . , , , b L... accumul.l.d amof1lzallon . , , . , , , , , 14 Other assets (anach echedule). . . , . . . . . . d:,ii.I'.IIIII'.':.I;I.I.IIII.'I:.;.I':'I~i'.I!llii:.'I,'','illlll,'1I11: "!I!.il "':d~ 11,'>", j' !I':' "lijllh' 15 TotaJ assets. . , . . . . . . . . . . . ... . . . . . . . . J J 856 !'n,;'!!I;i'::in!li:~!:i):!!':ij!l!di:I!!I'~~' UabIllU.. and Shareholders' Equity Y ,:.I:"""':':.'.",',':II,".:.;:;!',::i,I.'..'.,",I.W.",J.,I'. ;,!,,",,'!.;:i '.:! 1:.'!I'i1il'I.'::'I'j'II!:,il:"lhllii::i'lil!III"II'!11111.'111 ... . .. . :',:.Ai:l!';! ,i,I'I!I!"I<!;I',I,ill ;",;:: Aci:;o bIe 4 308 H'I"':,II;I """",,1 ',"dli;I,,111 ''''''i MOllg~;I~' ~~~:, bO~~; ;"Y~~I~ 'I~ I:~" t'h:: : ~:~, 5 13 2 ",::iil,i::,:.iiii,:ii!i;tli.!]ili.,i!iil!ii:::I,ii.!illll!!I;I:I',li11 Other cunentllabllltles (anach schedukJ) . . 1 856 <1:,t::j!::;i!;!:;!,!!:Hi:;:::r::il;1H!'i!llili lo f h holdDf ,'i':1:;1'11:'1'1~1:1_!!!1'!' ,,!,I:II!lli'~!I:i111 sn. rom s II. · " " , , . . , , , . , , i:'i"lli'!I",'II,II'ill!jF:'.'i,,!'!,II'I:iFII:II'.* MOllg.g... nolU, bond. pIYlbl.ln I yur or mor, 16 045 '!~'~::::':I!J:,I:!HI!':I:i::::~Ji!II!!I:III::!!' Other Ilabuttl09 (anach achGdulo) . . . . . . . . i':!:i!i:::/i/:j::H;:;:::'!:'!!!;1iI!i!i;jl !llIi' aI k 100 ::!!'ljl!ih'i1i!;I,j:: 11;!qlli!'i:;:llliiilllll!I:I, Captt sloe ....................... ::,!I:U';:!,i!::::";:'!-',I:'I,:::!i::i:::i!i:~:I1 Pald In Or c.nlfal surplu. 3 870 ','II~."'" I" 'I' -II,' . ,I l'i,'F"",,1'li I -..... .............. ':,!;lii::i,'I:,':!I::I:i!\'llil!'Ii'!:,:i:::II!:i"!;: R tal d I 2 5 4 5 '1:.':!I""'.".""I'!:I<i~1 111'", ,,:11111 'lil'I' o no earn ng, . . . . . . . . . . . . . . . . . . . :':)'!'!,:""II i"II,I:I':1 ,:;,:,1,: 1,1,,:d ,: L 1 h , k !:.:~i'I::llli!i'i~,'!: Ii,! ::~d;,'iil:li'l'I,i:III:!I' ... co" 0 u....JfY. DC ..,.,.,..".. '''''''1''''''''1,,;(1''1. ':'''''1'1'1''1'1'" Tolal nabllltles and sharoholdors' e ul ... 33 856 ':!:!!!!:!f:!!IH!lilii!;::i;:!:::!:I:i!:i!!: I;: illr 59 094 Reconclllallon 01 Income (loss) per Books With Income (loss) per Retllrn (You .,. nol roqu..d 10 co"",IoI.lhl. ech.du'. II Ih. total ....1. on line 15. column (d). 01 Sch.dule L II. I... Ihsn $25,000.) N.t Income (Ioos) "., book. .. . . , . . , , . , 9 675 5 Income record.d on book.lhl. Y.II nol Income Included on Schedulo K. lines 1 Includ.d on Sch.dul. K. IIno. 1 through IhtOugh e, nol recorded on bookslhl. Y.II: 0 (lI.mlZ.)' a Tax-.,."","n!.$ 16 17 18 19 20 21 22 23 24 25 26 I Sdledul.;M':'11 1 2 3 Exp.n... record.d on book. Ihl. Y..' nol Includ.d on Schedul. K. lines llhrough 118. HS.. snd lOb (Itemlz.): 8 oeprecl.tlon $ b Tf.y.I,nd ,nl"laln,",nl S 1 2 3 4 5 6 7 8 Bal.ne. 01 beginning 01 lax y..r , . , ' , . , , , , , Ordinary Incomo from pago 1.lIno 21 ....". Olher oddlllon. """..""., , , , , , , . . , , La.. horn p.g. 1, II"" 21. , " " , , , , , , , , , , , Ofhot' reduction, . . . . . . . . . . , . . . . . . . . . . . . Combl"" line. 1 Ihrough5. """.",."" ol.ttlbullon. olherlh.n dlvld.nd dlstrlbullon. , O.lanc,al,ndol luyear.5ubluellin, 1 "om"n,e .. CAA 1120534 NTJ" 1101 COPyTlglllrnrm. "jnl'....1I.0"1..,.199SN.'en.Ir'c. P49,;1054 (c) (. I: ,_,,',1,' ,',"1 4 810 ,','!H1:,::i!:;:: lil:i'~:'I:jil;I!I(;i!;I:I:!il:' 6 650 565 ;'.;::' ';:',:::Ii,i 4 810 9 023 I' . :'.' , . " I I : ~'I: . I': ;'; , ~ ! I " : i 1 : I " , 'I ' I ~ : ':: i ' , ",;,".i,.",'.(,I,ii'::''''il'il",'I''i,'': ,,,,, . ""'''j' "II'" :.'j"I:,I"',;! 1;lli!lIi1i.':':i'l 'Ii il'.I: ,11,'1 ""I'i: "'1''''''1'1:,;,,1,1. '''' I, 1::ll!il:'i:lh!I;IIAiil!1;lllib::i:li:I"::I: , 'if 'j ~ii i I ':: i'!;!: i ii:i I:: ~ If:!':i !i.il i'; ':: It: , , ,~IIIII! I, ':' 11111: I. I: Ii '. "Iii Ii: I : i I. i ! III I! II i i ~ , ! I ~ .,>.111.11,1.,:,,,,,,,,,;,;.1.,,,,1"1,.1'1:'1;' ,: : I : 'I , : I'" i :!' ii, ! II!; II i' "" 1'1 '. i I i;l I i ~ 1/ ,,:,:i"!:',L,I:;,)II:I:i;'):I:'I';liil' ;h"'IIII'il'l";!'II'I,';III"!I"'IIIII.' : ~"I' I" I", I.,;, ,1,i1,1 "I ,,,,'II W."; , ,1!,I!I:I,'I'lllllIj"j"il:'ihl"I'IIII'illilll! i.: I' ~ i,; I' i ; : ;I/:! I " 'i: ;:1: i':, :"~ I:' I ' 21 466 7 824 25 047 ) ,:-~,i " ',i: ,1',1;. ij::jl;:,U 6 650 13621 ::_111111, 6 255 1.I',iiiiiiil!i:::iS'; ';:i:~;':::" ,:,1';"1 i'l 13 644 I ,. ::;' I::<..-i,i'::iiI: ii, !"I .'H:' !i'i: 132 59 094 r;!!::i!itlIi'iHji:I:ll::i:::::!i;'i\::jl:rilc:.1 14 410 6 576 1 949 6 ooductlon.lnelud.d on Sch.dul. K. IIn.. 1 Ihrough 11., t58, .nd lOb, nol chllgod .g.ln'l book Income 'hi. Y.II (Itomlz.): a oeprecl.tlon $ o o 24 617 100 3 870 7 570 i " I , 7 Addlln..5.ndo""."....""..... 0 4 Addnnos11hrou h3,............,... 9 675 8 Inco""110..llSeh,dul.K.~n,23).lIn,4I,..Un" 9 675 Is hod ., M "I AnalYSis 01 Accumulated Ad/llstments Accollnt, Olher AdJllstments Accollnt, and cu. ~.. Shareholders' Undlstrlbllled Taxable Income Previously faxed (5.. p.g. 22 01 lhe Inslrucllon.) (.1 Accumul.lod (b)OIh8r .dju.tmenl. (cIShll.holder.' .dJu"-n" account accounl undlstrlbuled lax.bie u' ~ Income revlou loxod 2 545 0 0 12 590 :I:i:.".; 1,:!,llil;;'!I".'jl,!iili!"'iil'.iI:II".:'I\'i 'I' !'I,II:'I'i'I"."I',;'I'liiil'",,"i" 158 'I"l Iii il,II:!;'!':,I,i'I":'l'I""I'I.d '1,_1""".,1";", ,.,.:,' .,", ! ","10'; Iii, :'~' i11;'I;1 IIII il j; ,I.'~' ) ',: Ir::ij::;:':I!lh!LIiII!!I:II:i,!lI!I:!ili :':h ,~lili;!,I:j:":f,1 i' ,II;'W:I i, 3 073 II:_':!:I;:'. 'I ,:1:' :!.::,';! i:"V:'il:!L::;. ~I:',I I 12 220 4 650 7 570 o o 1995 Depl/tmonl 01 Trel!lUry Anochmenl Internal RoY. Sefvlco 99 ... S... .r.t.ln.lIuctlon.. ... Attach thle fonn to our return. So uonce No. 67 Name{s) shown on IOturn Buslno" or IcUvlly 10 which this form rolales Identtfy1ng number Melvin's Exxon Auto Ro airs I Gas station 25-1689609 ',Part' Election To Exp.n81 C.rtaln Tanglbl. Property (Section 179) (Nole: II you hlvo Iny "U.ted Property: 00"1'101. PI/I V bolo,e you con 1010 PI/II 1 M...lmJm don., MnillrkJn. II In 8nlIMplllHllOIHI huslno!J!J, !lee p.go , ollho 1",lrucHon!. . . . . . . . . . . . , . . . . 2 TollI COil 0' oocUon In prop..1y plocod 10 "Uyleo durlllg lho I.. yoer. 500 pego 201lho Instructlonl , . . . . , . , . . . , . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . 3 TI...hold coil olloctlon 110 prnp..1y boloro fodtlcllon In lIm1tlllon . . . . . . . . . . . . . . , . . . , , . . . . . . , . , . . . 4 RlducUOn In "nfIIUon. SubllKt nne 3 110m linn 2. If IOfO 01 10M, oolor .0- . . . . . . . . . . . . . . . , . . . . . . . . , . . 5 Oob, KntlltkJn fa' lu Y"'. SubhKl"OO 4 Ilorn IIno 1. !fIorD or loss, onlor -0-.11 marrlod filing atllof . loa 201 thllnllbuctlonll . , . . . . . . . . . . . . . . . . . , . . .. . . . , . . . , . . . . . . , ..... . . .. (I'DOICII UoII 01 (b)Go.1 (c)Eloclod CO.I a anear 3 073 3 073 7 Ullod plOpOfIy EIII.. 11I101111111001 MilO 27 . . . . . . . . . , . . . . . . . . . . . . 7 0 8 TollI oloclod mil 01_11011170 propOlIy. Add lroollnl.ln column (c), 11110. 0 .nd 7......... ........... 8 II TlllllllY. dedllctton Enl.. tI.. omel"" olllno 0 or linn 8. . . . . . . . . , . . . . . . . . . . . . .. . , . . . . , . . , . , . .. . . . 9 10 Clnyo_ 01 d1.otIowod daducllolllrolfl 1004. 500 plgo 2 ollho In'lIucllon.. . . . . . . .. . . . . . . .. . . . .... . . 10 11 T..lbIo 1'1<',on1l IInillllon. EnlOf tI.. omell.. oll..eblo Income (nol ,... Ihen 20ro) or IIno 0 (.00In.llocllon9). 11 16 880 12 Soclloll170 .'ponlo dodllCUoII Add MilD. 0 Ind to, 001 do nol onlor moro Ihen IIno 11 . . . , . . .. . . . .., ,.. 12 3 073 13 Can \lDf 01 ~.tlkJwed doductlon 10 t008. Add Unos 9 Bnd 10, less Ilno 12, . . . .... 13 :I!U/:!:~'!:::lli!,:I::!l!:'!n~:!!:i::II!'!IIl:i :'Hiil!: NoI.: Do nol 1110 PI/I II n, PI/I III boIow 10' lI'IBd p'oporly (eulomobllos, corteln olho' vohlelo.. COIIUtOllolopho""", cortlln compulors. 0' p,operty ulOd 10f Int.,'alrvnont, ,acllluon. Of Ifll.lllomonl). Instoad, use Part V for Ilsled proporty. [!![[) MACnS O.preclatlon For AIIOII Placed In Sorvlco ONLY During Your 1995 Tax Year (Do Not Includ. UI(td Proparty.) 8ecUon A .... aenerll A.... Account ElecUon 14 II yo"..e meklllQ Ih. ok1cllon IIndot oocllon tll8(I)(4) 10 group soy e9'01S plocod In 'OIVIeO during Iho I.. YOOllnlo ono or mo,o gO.......IIIIIIOt ICcounlll, check thla box. Soo pago 2 01 tho InstrucUons. . . . , . . . . . . .. . . . , . , . .. . . .,., .. ... . . . . . . . . . . . . . . . , . . . ... Yelr op7~:~ (bti~n,r~~~.'!ri,.,::l'~.o (el) Rocovory (e) (g)Deproclellon (I' CI...lllclIIoII 01 prop..1y III OlllVleo Dill __ .oolnsl. porlod Convonlloll doductloll Sootlon B -- a"ne,"1 0 ,ecllUon 5 Item (GDS) (500 ps 0 2 ollho In9I1ucllon..) Fo,m 4562 Joproclatlon and Amortlzatll (Including Information on Usted Property) MM S/L MM S/L MM S/L MM S/L SocUon C -- AllemaUve DoprecllUon S elem (ADS (500 pe 04 ollho In.tructlon9. 5 HY S/L S/L MM S/L art Olner Do reclatlon Do Nollncludo Ualed Pro ort. 500 04 ollho Instrucllon.. 17 ODS Ind ADS deductions lor ....... plocod In 9111V1c0 In I.. yosr. beginning boloro 1090. . . , , , . . . . . . . . . . 18 Proptllly subjoct 10 ooctIon lB8(Q(1) oIoctlon... . . . . , . . . . . , . . . .. . .. . . , , . . . .. .. . . .. . . . . . ......, .. 111 ACRS end Olho< d 'ocIsllon......"........"....,.....".........",................,.., B Summa 500 04 0' Iho In.Ilt1Cllon9. 20 Ullod proporly. Enlor omounllrom linn 20. . . . . . . . . . . . . . . . . .... , , ... . , . . . . .. . . . . .. . , . , . , ... ... 20 21 Tolal. Add doduclloll' on linn 12. linn. 10 ond 10 In column (g), end 11110' 17lhrough 20. Enlor ho<o end on tho appfopftato IInM 01 your roturn. (Partnorshlps and S corporaUoM -- soe Instructions. . . . . . . . . . . . . . . . 21 22 FOf Ils9ols8hown abovo and placod In sorvlco during Iho cunont yoar. onlOf' the ortlon 0' Iho bs.l. sn,lbtlloblo 10 .ocnon 2GJA co.IS.... . . .................. for PltpOfWOfk Roducllon Acl Noltco, 900 pago 1 ollho !iopor01D Instructions. rAA 468212 Nlr 1385 27.5 .. 27.0 9. 39 rs. h ro .. f;nr101ghlr"'....!\olt..AlIIOnly, Iqq5 PlIlco, Inc. tl!l!l4!l1l1' OMB No. 1545-0t12 i 1 $17,500 2 3 4 17 348 $200,000 o 5 [ [ .r 17 18 19 982 3 042 Form 4562 (1995) > i Melvin's Exxon Auto Rr lirs, Inc. 25-1689609 j Form 4~02 (199~) Pogl2 IPlrt:YI Usted Property - Aulomoblles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Uled lor Entertainment, Recreallon, or Amusement Not.: For any vehk:kt lor which you 110 using tho standard mleage rale or deducting hlas8 oxponao, cofT1llelO onty 2:11, 2Jb, column. (I) Ihrough (c) 01 Secllon A, In 01 Secllon B, Ind Section C " oppllelblo. s...-Uon A -- 08Procl8Uon Ind Othlr InlormlUon ICluUon: 500 Dlaa ~ ollhe In.ttucllon. lor llnilltlons lor lulomoblleo.l 23a Do you hlvl evidence 10 euooon bu~noo./lnvo'lmonl u'o clalmod71i3 VII I I Ho 23b ,,"V.... I. the evldol1C8 Wllnen7 IXI VII ! I Ho (I' (b) (c)Bu.nl (d) \") (I) (g) (hI (I) Typo 01 properly Oalo Investment Coslor Basis or dopr. Rocove:ry Methodl Oeprodlllon Eloclod ("" vehlcleo flrlt) plocod In uso olhOf basis (busn.llnv09lrnon1 period Convention deducllon aectkm 179 lI8IVleO perconlago u,oonly) co,t 24 Prooor1v usod morelhln ~ In I auallflod bu~noo' U'OISoo 0 "'0 ~ 01 lho In.llucllon..): Truck 1/ 4/92 95.00'X 10.095 9.590 5 DDB Me 187 '89 Ford F 3/21/95 95.00'X 15 026 14.275 5 DDB H'i 2,855 'X 25 Prooor1v usod W'-" or I... In I uaJinod buslnoss U90 ISoo DIK'IO e 011110 Instructions.): 'X S/L- ,.,.,1',..'.....0'11'" il.I',jilil:!I::l'i'i.I!;,:,I'i "II SIL- I'" I,., i II "~I "III' Iii' I' I t"L,1 I' "I"" 1,1 'X S/L- '11!'W1111"'II"IIII'1 1'''''1'''' "'I' 111;.I,,,'I.'.ljl'I!.' 26 Add omounls In column (h). Enter tho lola! here snd on line 20, pogo 1 . . . . , , , . . . . . . . . . . . . . . ,. I 26 . - i I..' ' . ~'~: . r i : I! 3.042 'I'!"'I."..III,.III" 1"""""',.11""" 27 Add omounls In column Ill. Enler lhelotal horo and on IIno 7, DlnO 1. . . . . . . . . . . . . . . . . . . . . , , . . , . . . . . . . . . . .. " I 27 I SocUon B -- InlormlUon on UI. 01 V.hlcl.. . Co"llloto thl, section 'or vehlclos used by I saki proprlotor, pll1ner, or OlhOf "mo,olhan 5% ownOl," or rolaled pOl'90n. If you provided vehldo, to I you, 8fT1lloyoos, nrot answer lho qu","on.ln Secllon C 10 588" you mool an excopllon 10 cofrl>lotlng IhI. secllon lor lho,o vehlclos, . (I) (bl (c) (eI) (.) (I) I 26 TOlal bu~ne.,nnv..lm8nl nilo. driven Vehicle 1 Vohlele 2 Vehlclo 3 Vehlele 4 Vohlclo e Vehlclo. during year (DO NOT 'nttud. eG"'",ut1no ,,"1111' 14000 \ 29 Tolal corrmJ"ng nileo drlvon during yoar . 700 30 Tola! olher p....nal (noncorrmJllng) mleo drlvon . .... . ,. , . . . . . . . . .. . . . . . i . , 31 Tola! nileo drlvon during tho yoar. Add \ I""" 20 Ihrough 30. . . , , . . . . . . . . . . . . . . 14700 V.. Ho V.I Ho VII No V.. No VII Ho V.. No 32 Wa, lho vohldo ava/labfelor pOf90n81 use ! during on-duly hour.7, . . . . . , . , . . , .. . . X 33 Wa. Iho vahlelo used primarily by a moro Ihsn ~% owner or ''''"Iod person7. , . . . . , X , 34 I. lnolher vohlcle avanablo lor personal I X , use?...".."...... ........,...,. , SocUon C -- Cu.aUonl lor Employ.rs Who Provide V.hlcl.1 lor U.. by Thllr Employ... Answer theso QUestion, to dotormno " you moot an ollcopllon to cO"1>lotlng S8ctlon B lor vehJcl09 used by 9rTl>JoY909 who 810 not moro than 5% ownors or ntllled pomon~, VOl Ho 35 Do you malnllln s Wllnen policy .tllOfOOnllhol plohlblt. en pereanal uso 01 vehleleo, Including cOrrmJllng, by your , 8fT1lloy...7 . . . .. .. . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. .. .. . . . . . . . .. . , . . . . . . . . . . . . .. . . . , . . , , . . . . . . .. . 36 Do you maintain I Wltnon policy 'tllomonllhot plohlblt. pereanll 0'0 01 vehlclo., oxcopl corrroollng, by your employ..,? 50G page e 01 the Instructions lor voh~~ used by corporato orflcors, dilOClors, or 1-;. or moro owner" , , , . , . , . , , , , , . . , 37 Do you ttoat In uso 01 vehlclos by employ... o. pO'!lOnal u,07 . ... . .. . . ... .. . . . . . . . . , . . .. . . ... . . , . . . . . , . . , . , , 38 00 you provlde more than five Yohlcle~ to your omployOO9, obtain In!ormotlon Irom your Of1'1)loyOO9 about the use ollho vohlcles, and rotaln the Inlormation rocoivod' , , , , , . , , . , . , . . . , . . . . , . . , , , . . , , , , . . , , , , . , . , , , , . , . , , , , . , , , . . . . . 39 00 you mooltho roqulromon13 concerning quallOed automobile domonslrallon us01 Soo page B of thelnstrucUons. , , , , . , . Hot.: If YOur answer 10 3~, 36. 37, 30, or 391. "Vo.: vou nood not comnlolO SocUon B lor tho eoverod vohlel... ~::::'::,~H '0:, ~ :!': ; ::,i : Iport ,VII Amortlzallon (I' (b) (e) (eI) (.) (I) Oato amortlzolion Amortlzoble Codo AmorUzsllon Amor1t2l1lon Doscrlpllon 01 costs begin. amount section period 0' lorthls yoar percontogo 40 Amonlullon 01 eo,l, thai booln. durlno vour 1995 lox oar: ,,'-: ":,',,{,';i;::,il(I:II::i I ',~ Ii::; ;1] :::,,:!':!] ':i~: ':f~:r!' .:1;'1, i::: i',: :'1' I': 0..1 T I 41 Amor1tzallon 01 co,l, thsl b,,,ian OOloro 19ge. . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . , . .. . .. I 41 72 42 Tolll. Enler hero snd on .Olhor Ooducilon," or 'Olher Exoon..."lIno 01 vour rolurn . . . . . . . . . . . . , . . . .. I 42 72. CAA 4se2t2 NTF lUll Cor.,...o", FII'"" 511"...".1""1.,.. 199' N,lro. I"r, ~~q~4~lIn """"'"'t4U~_..."" r.::......... ..,""'.-" "~ ;' . - -.- 1: ; fonn 4797 Sales of Business Propr. ' . (A,.", Involuntary Convarllonl and Receptu,. Amounts Under Secllonl 179 and 280F(b)(2)) .. Attach to our tal ratum. .. s... 'II. InltrucUon.. OM8 No. UU-OIU DopAltmenl 01 Troasury Inletn., Rev. 5efvb gO NlItl8(a} .hown on fllUrn Melvin's Exxon Auto Re airs Inc. 1 Enl81 ""olho gro.. procoodl kom lho llle or o'chlngo 01'011 011010 roponod 10 you lor 1995 on Form(o) 1099-5 or lOuboUlulo ololomonl Ihol u wi! be Includln on Ilno 2. 11, or 22. . . . . . . . . . . , . . . . . . . . . .. , , . . . . . , , . . , . . , 1 art, 5al81 or Exchangee 01 Property Used In a Trade or Buslne.. and Involuntary Conversions From Other Than Caauall or Thell - Pro ert Held More Then 1 Year (b) 0 t (I) ooproclollon o 0 Ie) OliO sold (d) Gro.. Olio. IIlowod ICqulf8d mo doy 'fI) prk:e or aItowablo (mo.. dlY. 'fl.) ., ,. olnee 8C ul.lllon J 108 6 482 1995 e,qll,nu No. 27 2 Truck (I) oll!Cflpllon 01 prop8lly If) Co" or 01"" bssl., plu. Improvements & Oil' onso of saJo 9 590 (h) GAIN ((d) plu. (0) mlnu. (m o 3 Glln, II Iny, kom Form 4684, line 39. . , , , . . . . . . , , . , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Socllon 12:11 goln kom Inollllmonlsllo91rom Form 6252, Ilno 20 or 31 . . . . . . . . . . . . . . , . . , . , . ... . 4 5 Socllon 1231 glln or (10..) Irom like-kind e'chong09from Form 0624. . . . . . . . . . . . , . . . . , . . , . . , . . 5 B Gatn," any, from line 34, from other than casullty or lhoh . . . . , . . . . . . . . . . . . ... . . . . . . . . . , . . . . . . 6 :i:il~i~i:IiII.'I:;,IW:jil:i:ililii::I: 7 Add ""'" 21hrough 61n columna (g) snd (h) . . , . . .. . . . . . . . . . . . . . . . . .. . . . . . . . , . . . . . . , . , , .. 7 8 Combine column. (g) Ind (h) 01 line 7. Enl81 glln or (10") hare, snd on Iho Ipproprlllo line o. lollows: . , . , , , . . . . . . . p.rtnorlhlp. -- Enl8llho glln or (10..) on Form 1065, Schodule K,llne o. Skip line. 9. 10, 12. .nd 13 below. S corponoUon. -- Ropon lho glln or (10..) lollowlng Iho In.oucllon. lor FOIm 112115, Schodulo K. IIno. 5 ond o. Skip I"'" 9. 10, 12, snd 13 below. unle.. lne 0 I. s gsln ond lhe 5 corporollon I. .ublocllO lho cspllll glln91... All othoro --" lne 61. %810 or .10... onlor lho ornounl on IIno 12 below ond oklp llnos 0 ond 10. If line 0 I. s glln .nd you did nol hSvo,ny prior year oecllon 12:1110...., or Ihay woro.ocoplurod In on oarllor yeor, onler Iho goln .. olong-Iorm capilli goln on Schedule 0 .nd .klp IIn.. 9, 10, ond 13 below. 9 Nonrocaplurod not section 12:111o....lrom prior yo." (900 In.lrUcllon.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . 10 5ub~oct line Olrom line O. If 2orO or I..., enlor -0-. 1.1.0 onlor on lho opploprlslollno 1.lollows ('00 In.oucllon.):. . . . . S eorporaUonl -- Enl8llhl.ornounl on Schodule 0 (Form 112(15), Ilno 13, snd oklp llnos 12 Ind 13 below. An othera..... 111100 10 Is ZOfO, ontor the lUTlOunt from IIno B on Uno 13 boklw. II Uno 10 Is moJO than lorD, onlor Iho lUTlOunl horn line 9 on 1100 13 below. end onlOllho ornounl kom line 10.. 010 -Ionn c 1111 oln on Schodulo o. ,Pal1. Ordlna Gains and Loasell 11 Ordln IInsond 10.... nollncludod on IIn0912lhrou h 10 (Includo ro or hold 1 oar or 10." Ili"""'I,'I'II'II'.,I'I",."",IIII"." '1Ii]I::j~V, :, i,rt'~II;' 'Ii I': 1:!'L'II'h'II!II:I:',I:I:tl;!,1i 8 ",,"ll Jill'::1 ,I';',!i'ii :11!'II'!li" I"', I" 111'1 '" " ,11111" 1,1 1)11'1111 I , III II 11:'1:1:1 I j11111r:I! 1'111111::1:111: :' 11"'1 '1'1;,11111111\1,: ,I ,1111,1 11"1","1",11:1",1:11,1,,,,1 9 10 12 La.., 1I0ny. kom line O. . . . . . , , . . . , . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . , . , . . . , . . . . . . . . . . , . , 13 Glln, II ony, Irom line 0, or omounllrom IIno 9 If oppllcoble . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Glln, 1I0ny, kom line 33. . , . . . . . . . . . . . . . . . . . , . . . .. . .. . . . . . . . . . . . .. . . . . . , . . . , . . . . . . . .. 15 Nol glln or (10'9) from Fonn 4684. llnos 31 snd 300. . . . . . . . . . . . . . . . . . .. , .. , .. . . . . . . . . . . . ... 16 Ordlnory glln Irom In.lollmonloal..lrom Fonn 6252, lino 2~ or 30 . . . . . . . . . . , . . . . . . . . . . . . . . . . . 17 Oldlnary goln or (10.., Irom IIko-klnd e'chongo. Irom Form 0024 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Rocapturo of 8ocUon 179 oxponso dGductlon fOf partnQfS and S corporallon shlloholdors from proporly dl.pollllon. by plllllOl1lhlps ond 5 corporollon. (0.. In.lrucllon.,. .. . , . . , . . . . . . . . . . . . .. 18 19 Add II"", 111hrough 10 In columno (g) Ind (h) .. . .... .. ... .. . . . ......... ,..... ..... . , ,... 19 20 Comblno column. (g) ond (h) olllno 19. Enl81 gain or (1099) hero, ond on lho spproprlolo Ilno o. lollows: . . . . . . . . . , , . a For sII o,copllndlvldull rolum9: Enl8llho glln or (10'9) Irom IIno 2ll on Iho .olum being mod. b For Indlvldull rolum" (1) If lhe 10.. on Ilno 12lncludo. olo..lrom FOIm 4604, IIno 3~, column (bJ(H), enlor Ihol pill 011110 100. hero snd on line 22 01 Schodulo A (Form 1040). Idonllly s. Irom "Form 4197.lIno 2llb(1): Soo In'lrUcllono.. .. .........,. , (2) Rodolonnlno Ihe aln or loll!! on IIno 20. oKdudl Ios9, II an . on IIno 20 1. EnlOt' horo & on Form 1040, Ilno 14. . For PlpelWOrt< RoclueUon Act NoUe., s.. Pill" 1 0' saparl's InslrueUons, PropormB Edlllon eM 419712 NTF'IJllI 12 13Iiil!II:I'ilill'illj'i."ili!lil;:i'i:liilii: 14 ,I"", I, ,1,1"., "II 15 16 17 !:ii:F!i:!;!iii,i!i!IIi!in!:iij:('I~1 '1111; 1:;lbii,iii!i'i~i!iLillllll;:'!' Form 4797 (100~) COPY'lghl FOI"" ~o"w.,. Only. 199~ Pl.lrn, tnc. Ng'U'HI o 1995 M. lin's Exxon Auto Re airs .::. . 25-1689609 'T i,1111 '1111111 i,l" "'Il' "11111 ' '; '11111' I,i; 'I.i".-jll'il!' "'Ilfl' """f'" d-' -,.'" 1-:', J'j, ,', ,., J . ~. "',."~;." '. "11''''', I,I_T', ,"" ,I ,,' :-'" '" 'I'I'! "";11" '(":'III'lllilll 1:1" _',;.,1.,' II t"'llli!li;, jl:"I'I'1 'l'r'II'n "'I'lllillll''! 1'1,,1'1':'1,.,1'1:':1' I'll: JIii::;III,I'.'I'I'i",'I:r.i::.iil.'iil;II'II'llilI,. 0 J:lM' 1. 1205! SuP/'OMTlNG ,10 TATEMENTS'I!i: 'Ii'! 1111'11'1::1,; i'i';I'!i'I'li:':i'I",IIII,:,'l'll,,!,".:i~I,:ii! I ,I,' ;':1 il',:-'liI'd:t1j'.11'.ii,I!I:i:I,,,1 ,.Ii,IIII!"J'd'.,,:I,!tUr:.11 :"1.,.11 II:!,'I ,;11""., ,(",,-,,,, "'. , ' ',.,',', "" 'I, . ,,: ' ,,>,,1 ,iil; _"I"tld-",!"I"", 11',:1,1' I,,':" 1."J'i"! 1.,11..'1'11 r STATEMENT 1 FORM 1120S, COMPENSATION OF OFFICERS NAME OF OFFICER % TIME TO SSN BUSINESS AMOUNT OF COMPENSATION % OF STOCK COHH Melvin L. Bigler 178-48-2262 100.00 100.00 23,660 TOTAL 23,660 STATEMENT 2 FORM 1120S, TAXES AND LICENSES DESCRIPTION Payroll-employer FICA Payroll-unemployment taxes Capital stock tax Taxes other TOTAL STATEMENT 3 FORM 1120S, OTHER DEDUCTIONS DESCRIPTION AMORTIZATION Insurance Laundry and cleaning Shop expenses Office expenses Professional U-Haul expenses/rentals Utili ties Telephone printing/postage TOTAL , ,:'11; ".:-' I ht till III Sot w.tr 0.; , >,:'1"'", 1995 M~ ,in's Exxon Auto Re airs' 25-168960~ ': ""'1 1'1'1 I!,I I> Ii III"! I.' '1Ii:'i 1'!II'li' I" 111'11'1:lii"-:Ii'I'ii':lil"I';!I,.'I~""'11' i1.1li' .J": " ,.' 'I, 1\; "1"1111'" ". J. t "".11.;:," ,; it";;. .l::;:~'.' ," 'i'~,... "'III"VI'IIIII i ":II'II"II:I'II"'li'I"1 !'illlll:':' II!' dliillrll' I' ~. :;!:1:::!::!!!;i!i:iil:;!i!i::i:ji;iii::;:!::iji,ijI1i!i!:~i!i:i,:I!!:j,ri':I]!ii!:I'I:!:!';!!;l!i'i:li::::!I~Jq,~M "!1,"1,20S' SU~POAT.I~.g'::,~T~I,~~,,~N 1,:~_i::::il;'I!I:!;!i~!!!li;li!lli!!!ii!l: ::ii[:~i!!!i!lii'ii:I:I!!ij!!:!li:ir!l!iti:illi~!i I'll STATEMENT 4 FORM 1120S, SCHEDULE L OTHER CURRENT LIABILITIES DESCRIPTION BEGINNING ENDING Withheld and accrued taxes Sales tax payable 1,288 568 1,279 670 TOTAL 1,856 1,949 ,.1 ,'Ji",,: ',.:"" 'I,,:!,' ;,l, "'.".1._ . " 1"'1'01 (lI1t1a I ~ ,tJ."clipu~~~,.... S :J , :'1,'>;,0, '. ,1,li: (!.;::, L'~';,: ;'';:i:i:1i:; SCHEDULE K-l Shareho. .r's Share of Income, Credits, DE .:lIons, ate, OMB No. liI4~-0130 (Form 11205) . So..oporalolnatrucUona. Oepartmenl 01 Tr.a.u;y Fo, calanda, yu, 1VV5 0' tal yu, 1995 IntofnaJ Rev. 5ervtce f 1115. and .ndln . 11 Sharoholdor'aldonU n numbe'. 178-48-2262 Co raUon'aldonU n numbe, ~ 25-1689609 Shareholder's namEl, address. Bnd ZIP codo CorpofalkJn's nama, IIddross, and ZIP coda Melvin L. Bigler Melvin's Exxon Auto Repairs, Inc. 236 Clover Hill Road 9822 Molly Pitcher Highway Newburg, PA 17240 Shippensburg, PA 17257 A Sh8l.holdor'a percenlag. ol.lock ow"",shlp lor lax y.ar(s" In'Uuctlons lor Seh.dulo K-l) . . . . . . . . . . . . . . . . . . . . . . . . 100.00 B InlOlnal Rev.nu. ServIc. Conler wllaro corpor.tlon lII.d lI"olurn ~ PHILADELPHIA, PA 19255 C To .heIlor reglsU.tlon number (s..lnstructlons lor Sehodul. K-1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. · ., .. Ad! ma In TI P, an III D Check .oollc.blo box." (1) n Flnol K-l /2\ n Amondod K-1 (I' Pro r.t. sh.r.llems (b\ Amounl (e' Form 1040 UIoI. .nlor lhe amounlln COI. (b) on: 1 Ordlnsry Income (loss) uom tr.d. or buslnoss lIetlvlll.s . . . . . . . . . . . . 1 12.590 } See pagos 4 Ind e ollh. 2 Nellncome (loss) Irom r.nlol reolOSI.I. .ctlvltlos. . . . . . . . , , . . . . . . . 2 Sh8leholdor'. Instructions for Schodulo 3 Nellncome (loss) Uom olllar renlol .ctlvltlos. . . , . . . . .. . . . . . . . . . . . 3 K-1 (Form 1120S). 4 Portlollo Income (loss): r: II Inlorosl.....",......,.............,......,............, 48 158 Seh. B, P8I11, IIno 1 b ~ividend. . ........ ......... ...... ...... ................. 4b Seh. B, P8IIII. nne e coml 4c ou, C Roy.III......................."........................, Seh. E. P8I11, line 4 d N.l8hort-lormCspllol g.ln (loss) .......................,..... 4d 5th.O,lin,5,cal.l'10'1;1 8 N.llong-lorm ClPUs! goln (loss). . . . . . . . . . . . . . .. . . . . . . . . . . . . . , 48 8th.O,Mn' t3,col. 11I0' 1111 1 Olher portlollo Income (loss) (.U.ch schodulo). . . . , . . , . . . . . . . , . . . 41 ~E"l.r on .pp~cabl. "'O~Ouf"lufn.1 5 N.I goln (loss) under """lion 1231 (olher Ih.n duo 10 c.suolly or See horeholder'. Instruction. lor Sehodulo IhoU)... ......".. ...,....... ...... ....,. .. ......... . .. . 5 K-1 (Form 112OS). 6 Olher Income lloss)(.UlIeh schodul.). . . . . . . . . . .. . . . . .. . . . . . . . . 6 lEnteron'PPke41bll neof OUf'llu,n,'- 7 Ch.rll.bI. conlrtbullons (.U.ch ochodulo) . . . . . . . . . . . . . . . . , . . . . . 7 Seh. A, IIn.le or 10 c- O Soctton 179 Bllpense deduction. . . . . . . . . . . . . . . .. . . . . . . . . , . . . . 0 3.073 } See page 6 ollhe na 9 OOOUCllons rel.l.d 10 portlollo Income (Io.s) (.n.ch schodulo). . . . . . . 9 Sh8leholdor'. Ins~rUons lor Sehodulo 10 Olher d.duction. (.Usch schedule) ..................... . . . . . . 10 K-l Form 112OS). Yilt... 110 InlOlosloxp.nsoon Investmenldobl..,........................ 118 Form 49~2. line 1 Inl b (1) Investmenllncome Includod on lines 4., 4b, 4C. .nd 41.bov.. . . b/l } See Shoroholder'. tl,"t (2) Invostmenl OXDonsos Incfudod on Uno 9 abovo, . . . . . . . . . . . . . . b/2 Ins\'\'fUon.lor SSjhedulO K-l Form 1120S . 128 CrodU lor .Icohol usod ..ruel. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 128 Form 6410. line 10 b low-Income housing cr.dll: '" (1) From secllon 420)(~) p8l1ner.hlps lor proporty pl.cod In sONlco OOlor.1OO0. .. . . . . . . . . .. . . . . . . . . . . . . . . .. . . . . .. . . . . , . . b(l (2) Olher Ih.n on line 12b(1) lor propOlly plocod In SONlco boloro 19BO................................"............ . b(2 . Form 8580, line e (3) From section 42OJ(~) p8l1norshlp.lor proporty pl.""d In ,0NIc. 1<111 .hor 1909........................................... 1b/3 (4) Olher Ih.n on IIn. 12b(3) lor proporly pl.cod In SONlco sUer 1909. ..........,... ..... ... ......... ... ...... ... ... 1b/4 C QueJlf\od rohabUllallon oll:pondihHos rolalod to ronlal roal 091alo ecttvlU09 . ... ..... .... .. ,..... . . ..........,.. ....... ..." 12c d Crodlls (olher lhan Cfodll!l8hown on Ilnns 12b and 12C) ,nfalnd 10 } _....'''h ronlal roal ostalo acllvlttM . . . . . . . . . . ..., ,,' . . . . . . . . , ...."... 12d Sh.r.holder's 8 Crodlts rolslod to othor ronlal acllvlU09 . . . 128 Instructions lor Sehodul. . . . . . . ..........., .... K-l (Form 11205). 13 Olhor crodlls......................,.. . . . . . . . . . . . , . . . . . . . . 13 Ult- 148 Ooproclal1on adjustment on propmty placnd In snrvico st1Qf 198B . . . . 148 913 Soo p.ge 7 01 nil b AdJust.d g.ln or loss. . .. . . . . .. . . . .. . 14b 1. 062\ d .... .... ...... ..... Iho Sh8leholder'. I C OoploUon (olher Ih.n on .nd g..). .... .. .......... 14c InShuctkJns lor atar- d (1) Gross Incomo from 011. gBS, or qnolhnrmal pfOpOflio~ . ".,.... d(l Sehedulo K-1 (Form ea (2) Ooducl1ons .1I0c.bIO 10 011. g.s. or goolhorm.l prnpmtl... . . . . . . d(2 112OS) .nd ln9hucrkJns lor m. 8 Olhor .dlu.tmonlS .nd lax proloronco IIams 1.lIorh schodulo). . . . . . . 148 Form 62~1 For Paplrwork Reelection Act NOtlCI, 1.1 page 1 of Instrucllon! ror Form 11205. CA... 1t20SK112 Nfr Hllq Schedule K-1 (Form 1120S) 1995 In (l Oodu Uo In m In Cr Copyllght r""", ~"H"","'r" 0"1.,. ,qCl~ '4"t",,.,. h~", N<:I~l"'<:1f I Forolgn Tu.. Othor Supplo- monlol In'onnoUon 178-48-2262 P 2 (el Form 1040 nklrs onlar lho amour.lln column (b) on: Form 1110, Check bolil'oS (b) Armunl (I) Pro rata shalo lIorns , ( }FOrm 1118, portt Form 1118, Port II Form 1118. Port III Soe In'l.lor Form 1118 Soe Shoreholdar's Inslructlon. lor Schodulo K-l (Form 112051. Form 1040. line ob 158 Typo 01 Income ~ b Nome ollOlelgn country or U.S. po.....lon ~ C Total gross Income 110m sources outsIde the Unltod 51alO9 (anech schedulo) . . . . , . . , . , , . . , , . . . . . . . . . . , . . , . . . . . . . . . . . . . . . , . . , d Tolal oppllcsble deductions snd 10"0' (anaeh schodulo) . . . . . . . . . . . . Tolallorelgn lax.. (check one): ,. ~ 0 Paid 0 Aecruod . . . . . . . , Reducllon In tax.. available lor eredll (anaeh .ehodulo). . . . . . . . . . . . . Other lor " tlJC IntormaUon anech schodulo .."......"....... 16 Soct1on ell(e)(2) e'pendllUr..: 8 Type ~ ,: bArmunl,..,..."..,..............,.............."....... 16b 17 Tax-e'8fT4lllnlar..llncome......,...........,.......,....... 17 16 Olher lax-e'8fT4l1 Income. . , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . .. 16 19 Nondeductible e'pen... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20 Propor1y dl.lrlbullon. (Including eo.h) olhor Ihan dlvldond "';, d1atrlbullon. reportod 10 you on Form 1099-DIV. . . . . . . . . . . . . . . . . .. 20 21 Armunl ollosn repaymonl.lor "Loan. From 5hsroholdor.". . . . . . . . .. 21 22 RecsplUre 01 low-Income housing crodll: ,': 'Ii, 8 From aoct1on 42U)(~) poriner.hlp. ..,...".... .. .,.. ...... .,.,. 220 } Form 0011. line 0 b Olher Ihon on line 22s . . .. , . , . . . . , . . . , . . . , . . . . . . . . . , . . . . .... 22b 23 5upplomonlallnlormallon roqulred 10 be reported .eparaloly 10 oaeh .horoholdar (anaeh additional schodul.. If more .psee '" nooded): 4 650 Soe page 7 01 Ihe 5horoholdor'a InstrucUons for Schodulo K-l (Form 11205). i i ! eAA tifF IBOO fl9510<;I'.1 EXTENSION ATTACIIED ~ 1040 Oopaitmonl 01 iho Tre8!~. . 1/1lmnnl RnVQflU8 SAf....lco ~ U.S, Individual Income Tax Return U,e l tho . IRS 0 label. [ Othor- l WIlle, Ii p10a98 [ p't"l R or typO,r P'OIldonUol ll.. ElecUon Campaign , 1 2 3 4 Filing StotUII Chock onlv Q!!!! bOll. Exempllons ~@97 forln.~..,J..., I-O,C. Jl, 11111', ololh,r IU.,..., ball,"nlng .UIIl1,lnd,ng 99 IA~U..O"' ..OonolwrIlIClI,lApl'lnlhl'lpIC.. Melvin L. Bigler 9822 Molly Pitcher Highway Shippensburg, PA 17257 5 60 b d Tolal number of OKO Hons clilirnod. . 7 W.g.., ..lalll'.lip., lIe. AllIch formlslW-1 Nato: Chocking VOl No -V..- wiU 1101 00 you want $3 to go to this lund7 . . . . . . . . , . . . . . . , . . , . . . , . . . . X change your lax or II. 1111 rolurn, dODS our 5 OU99 wlnl $.3 10 010 lhl9 fund? . reduce your rotund, Single Fa, hllp In nndlng IInl InltrucUonl. "" plgol 2 .nd 3 In thl bookll" Married llllng Joint lelurn (ovnn II ani.,. ann had Incomo) X "",,,,,d ,.1,"0 "flll.11I ,"turn E"lff .flOu.... !'\C;N.bD....llull ".m. h.".. Kim D. B iq 1 er Head 01 housohold (wilh qunliryinq pumon), (Soo paqo 10) "quahfylng porson Is a child but nol your dopondonl, onlor chUd's nnmo horn ... Ouah n widow or wllh do ondonl child ,. s OUge dlou "'19 Soo nolO. X Your..lf. If your paronl (or somoono ol!1o) can chum you as a dopendont on his or hef } 18IC relurn, do not chock box 6s . . . . . , ,. .... . . ... OUIII . . ... ..... . .. .. .... .. C Dependents: II moro Ihan Aile dopondonls, 900 poqo to (2)Oepflndonl's 3 Dependont's relallonshlp 10 (t)Flrst name Lasl namo soclsl !leeUlay numbor au Income Altlch Copy a 01 you, Form. W-2, W-2Q, and 1099-R h.... II you did nol gel e W-2, .... plgo 12. Encloso but do not ansch any peymonl. Also. please uso Form lOCO-V. AdJusted Gross Income II II no 32 I. undor $29.290 (undor $9,770 lie child did nollivo wilh you), 500 Ele In!!1 on pago 21. 80 Tntbll InlOfmt. Al10ch Schodulo B If cnqulmd . b ru-...mpllnlercsl. DO NOT Include on line Os . ab 9 Olvldonds. Anaeh Sehodulo B If roqulrnd. . . . . . . . . . . . 10 Taxsbln folund9. Clodll9, or on!lols 01 slalo Rnd tocollncomn 18'1189 (son pnqn 121 11 Allmonv locpivnd 12 BlIslnoss Incomn or (109S). Anoch Schedule C Of C-EZ. 13 Clplln' qnln or (10..) Atlnch Schadllln O. 14 Olhor qlln. or (10"09). Anoch Form 4197. 150 TotellRA distribution. .. I~ I b TI,nblo emounl ('00 pg. 13) 160 Tol&lp.n'lon,.nd."nUllt... ~I b TOllablonmounl(soopg. 13) 17 Ronlal rcal 091810, ,ayallins, partnerships. S corporations, Irusl9, ole. Anach Schedulo E . . . 16 FIrm Incomo or (1099). AIIoch Schodulo F . . . . . . . . . . . . . . . . . . . . 19 Unomploymonl compon5slinn . . . . . . . . . . 2Da Soclal.ocurlty bonnlll' ~ I b Tn,able lmounl (.00 pg. 14) 21 OIhor Incomo. 22 23 24 25 26 27 28 29 3Da 21 our lolallncoml. . 22 h 21. Thl." 23 24 25 26 27 28 29 3Do Add tho omounts in Iho lar Ii hi coll/mn lor IIn09 7 IIII0u IRA doduclion (900 paqe 16) Modlcol sBvlngs account deducllon Annr.h f'OIm 88';3 Moving O'Ilpons09. Anaeh Form 3903 or :J903-F. Ono-hlll ol.oll-omploymonlll, Anoch Schf!dulo SE Sotf.omploY'3d hoalth In~lHnnce doducllon ("Ion pnQo 17) Kooqh nnd .oll-nmplovod SEP oud SIMPLE pion. Penalry on narly withdrAwnl 01 "laving!! A~m"ny fl~l!d b n,cIJl"nn ~'j" .. ,11 OMB No. 1~5-0074 Your loclal l.cunty number 178-48-2262 Spouu'. .oclll locU~ly no, 164-54-9670 "10.01 bo... ch.ck.don lla.ndlb 1 o.~Rw:~ Ifn'iil No.olyour et'tlld,.non lie who' .......dwllt! ,.. edld"otllv. .lthyolldu. lod....ofu 0' "plrlllon (...p.O' "I D.p.nd,nl. o"lc"ol .nlff,d.bovl Addnulllbtr' '"',I.don !In...bo.... Ii> 7 88 23 660 307 9 10 11 12 13 14 15b 1Gb 17 ( 18 19 2Db o 1 4 554) 19 414 31 Add IInns 23 ltuollqh JOB 32 Sublroclllno J 1 Irom lino 22 Thi!'ll!l Qur ad uated rO!lllllncOml For P~v.cy Act .nd Paperwork Roducllon Act 1I01lco, .eo p3ge 3B. RIG 2262 eM 7 t04081 ,nr , 1 U~ (nllW"ght rDr"" S"tl...~'" Only. l'nl 'j~lrf' ......... 31 ............... 32 PropOlOlS Ed~lolI . 19 414 Form 1040 (1991). " Melvin L. Oigler FOIm 1040 tOOl 33 Amount 'rom Uno 32 (adJu9lod q109~ InconlO). ..... ....., . , ,. .,. 348 Chock II: 0 You W8IO O~/otdo'. 0 Blind; 0 SpoUI. was 6~/oldOf, 0 Blind. Add lho "umbo( of bollOS chockod llbovo and entor tho lolal hare . . . . . . .... 34. b II you life mSllled filing sopllralely and your spousellomlzos deducllons or you .. 34b WOfe I dual.statull allen, see pago 18 and check hefo , . . . . . . . . . . . . . . . j, . . . { lIomlzed deducllonlllom Schodulo A, IIno 20, OR } 35:or Standard deductlon shown bolow lor your filing stilus, But 908 : paqo 181t you chockod any box on Ilne:J4a or :J4b or someono ~rver Cln claim you IS . dopondanl. ~ur' · Single n S",1~ . Maulod Illlng lolnlly or Qualllyfng wldow(81) u $e.900 . . Held 01 housohold -- $6.050 . Marrlod flUng soparalolv -- $3,4~ SublrBelllno 3~ Irom linn 33. , , . , . . . . . . . . , . . . . . . . . . . . , . , . , . . , . . . . . . If Uno 33 I' S90.900 0' SoS9. rt'IJlltpty $2.6~ by lhotolal numbor 01 ollomptlons claimed on line 6d. If IIno 331s OVO( $90.000, 900 tho wOlk8hoef on pago 1910' tho amount 10 Dnlor , . . . Tuable.l1come. Subtract Ilno 37lrom line 30. If line 3715 more than line 36. onlo, -0-. . . . . . To. See a e ,g, Chock If an tax Irom a For 9 8814 b Form 4972. . . . . . . , ... Crodlllor child & dopondonl csro o'p. Alloch FOIm 2441 . . . .. 40 Crodll for Iho oldOlfy or Iho dlsoblod. Moch Schodulo A . . . . .. 41 Adopllon crodl\. Moch Form 0839. .............. 42 Forolgn '0' crodi\. Moch Form 1110............ .. 43 Olhor. Chock 1I1,0m a 0 Fo,m 3800 b 0 FOIm 8396 C 0 FOIm 6801 d 0 Fo,m 44 45 Add line. 40 Ihrough 44. . . . . . . . . . . . .. . .. .. . .. . . . . . . .. . .. . . .. .. . .. . . . . . 48 Sublloclllno 4~ !rom IIno 39. IIl1no 4~ Is mo,o'hln IIno 39, onlor -0- . . . . . . . . . . . . . . . . . . . . 47 SoIl-DfTllloymonllox. Anoch Schodulo SE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48 Altornollvo mlnlrrum 'ox. Anoch Form 62~1 . .. . .. .. . . . .. .. . . .. . . . .. . .. . .. . .. . .. . . .. . 49 Soclnl socu'll'f snd Mod'coro lox on lip Incomo nol ropo~od 10 Ofl1lloyor. Anoch Form 4137 . . . 50 Tox on qunllflod roll'omonl plonsllncludlng IRAs) snd MSAs. Alloch Form 532911 roqulrsd . . . . 51 Advonco os/Ood Incomo crodll poy01Onls from FOIm(s) W-2. . . . . . . . . . . . . . . . . . . . . . . . . . . . 52 Household DfTllIo\'TTlOnlloxos. Alloch Schodulo H. . .. . . .. .. .. . . . . . .. . . .. . . . . .. .. .. . .. Refund Hovoll dl'ocll'f doposllod' 500 pogo 27 d ond nil In 62b, · Acco"nl no. 02c, snd 62d. 63 Amounl olllno 61 au wonl APPLIED TO 1890 EST. TAX. . .. 63 Amount 64 IIl1no ~31s mo'olhon line 60, sublloclllno 60 !rom IIno ~3. Thl.I. Iho AMOUIfT YOU OWE. You Owe For dololls on how 10 poy, soo poqo 27 . . . . . .. . . . . . .. . . . . .. .. . . . . . . . . .. .. . .. .. .. .. 64 65 E.llmo'od lox onnl . Also I"cludo on IIno 64 . . . . . . . . . . . . .. 65 Undor ponoJllos 01 porlU/y, I doclo,o Iholl hsvo o,smlnod Ihls rolu/O ond occo/Tllonvlng UChodulos snd oIOIBmOnt.. snd 10 Iho besl 01 mv knowlodgo ond bonol, Ihoy oro Iluo. corrocl. snd cO/Tlllolo. Doclorollon of propor.. (Olhor Ihsn loxpoyor)I. bosed on oil Inlormsllon of which propo'or hB9 sny knowlodgo. Your slgnoru,o 00'0 Your occupstlon Business owner Spouso's occupation Tax Compu- latlon II you want lho IAS 10 Ogure you, tax, see pogo 11. Credits Other Taxes Payments Much Forms W-2, W-20, ond 109S-A on pogo 1. SIgn Here Koop 0 copy ollhl, roturn fo, your rocords. 36 37 38 39 40 41 42 43 44 53 Add IInos 461hrou h 52. This Is our 10r.1 \u.. . .. .. .. .. . .. .. . . . . . .. .. . .. . .. . .. . . . . 54 Fodorollncomo lox wllhhold !rom Fo,ms W-2 ond 1099 54 2 581 55 1997 osllmolod lox pO\'TTlOnls & om\. oppllod f,om 1990 rolu/O. 55 56a earned Income credit AIl.eh 5th [Ie if you h.v.. qu.lilylng thUd b Nonl.ubl. II'M.d 'MtOfl'll: .mount ... I I .nd type ... 56a 57 Amounl poJd with Fo,m 4000 l,oquosllor oxtonslonl. . . . . , . . . 57 58 E.cess ooclolsocur1l'f ond AATA I.. wllhhold (soo pogo 271. . . 58 59 Olhot' payments. Chock If horn 80 Fo,m1.ug b 0 Form4138. 59 60 Add Ilno. 54,~, 560, ~7. 56, ond 59. Those oro our 'or.. I enta... . . . . . .. . . . . . . . . . 61 "line 60 Is mo'o thsn line 53, subl,sclllno 53 from line 60. This Is Iho omounl you OVERPAID. 620 Amounl olllno 61 you wonl REFUNDED TO YOU.. .. .. . . .. . " . . .. , . .. .. .. " .. .. .. . . . b Aoutlng no. I I. C Typo: 0 Chocking. 0 Sovlngs. ~ Spouso'!J slgnalulo. If a telnt roturn. BOTH must sIgn. Dolo Proparor'st... PaId slg"oluro , -:- c:::;;; 98 Preporel's Flrm's no01O lor yours.. FRAN . SA. MARCHAL P. C. Use Only II soll-DfTllloyod) ,49 WEST ORANGE STREET ond odd,o.s SIIIPPENSBURG PA CM 7 104012 ,".',,'" 2450945 COPYlllilhlr",,,,. !inlt.....".fl"tt'. lQq, N"lcn Chock tI soll.o 10 ad EIN ZIP codo 33 17B-4B-2262 P 02 19 414 35 3 450 36 15 964 37 38 39 2 650 13 314 1 999 45 46 47 48 49 50 51 52 1 999 "1 , 53 1 999 60 61 620 2 581 582 582 Proparor'o 80clalsocurtty no, 188-48-5520 25-1751935 17257 Propalo,s EdItion FOfm 4868 AptJ.lcallon for Automallc Extension 01 Time To File U.S. Individual Income Tax Return OMB No. l!14~-0100 O,plllm,ntofth,JIUIUlY Inllln.lntl/,nu.S,..,.!r, 1997 General !nstrucllons PUlpoBe 01 Form U~O Form 4868 10 apply 10f .. mole month5 to 11I0 Form lD40EZ. Form t040A. or Form 1040. To gOllho oXlr.llmo you MUST: . Propm1v esllm810 your 19971ax IIBbillly using Iho I"'crmallo" available 10 you, . EnlOt' your Ill( liability on lino 9 of Form 4868, AND . Fils Form 04068 by the ,ogut., duo dalo 01 your rolurn. YOII are not feQ'Jlrod to sond II payrnnnt ollho 18X you osUmalo liS duo. Howover. 890 Int.reat end late Plyment pen.lty on pngo 3. Any lemmance you Bond with your application tor ex1onslon will bo Ireated 89 a payment 01 ta)(. You do not have 10 aMplsl" whv you are asking for tho oxloosloo. Wo will contact you only II your roquost Is donlod. 00 not file FOflll 4068 If you wanl tho IRS to flguro your lax or you afO undor a courl ardor 10 mo your roluln by tho regulor duo dale, If you nBOd an addlUonal oxlen910n. 988 If You Need AddlUon.1 TIm. on Ihl. pago. Note: An ox1en910n 01 time to fllo your 1997 C111.ndlr year Income 18)( relurn also oxtends tho timo to 11I0 B glfl or gonorallon-aklpplng Ir.n,lor laST) I.. rolurn (Form 709 or 709-A) lor 1997. Oul 01 Ihe Country II you already had 2 extra lOOnths 10 file because you WOrD a U.S, citizen or resident and wore oul of tho country. use this form to obtain an additional 2 monlhs 10 filo. Write '1'axpayor Abroad" Bcross tho top of Form 4000. "OUI ollho counlry- moan. oIthor (., you "vo oUlsldo tho United Slales and PUer10 Rico Ind your maln placo of work 15 outsldo tho United Stales and Puorto Rico, or (b) you .ro In m1I1IBIY or naval aDIVlco oul,ldo Iho Unltod 5101.. and Puo"o Rico. When To File Form 488a Flto Form 4008 by April ,~, 1990. Fiscal Y08llaxpayolS, fIIo Form .060 by lhe fegulll due date or the relurn, II you had 2 o""a monlh5 10 11I0 your rolUrn bocau,o you wero oul ollho country, 11I0 Form 4868 by Juno 1~, 1090, 'or I 1097 calendll YOlr roturn, How To Send In Your Payment . Whon sending a payment with Form .000, use Iho addresses In the middle column under Where To File on p.go 2. . Make your check or lOOney order payable to 1nlomal Rovonuo Sorvlco" (nol "IRS1- Do nol aond c.,h. . Witte your social security number, daytlmo phone numbor, and "1907 Form .080" on Ihe fronl of your chock or money ardor. e 00 nOl8taplo or anach your paymenllo tho form. " You Need AddItional TIme IIlho aulomaltc 4-monlh o><ton,lon (until AugU.117, 1090, for most calendar year lopayOfs) does nol glvo you onough limo, you e.n .,k lor .ddltlonalllmo lalor. Sui you will h.vo 10 glvo . good ro.son, and II roo.' bo approvod by Iho IRS. To .,k lor Iho addlllonalllmo, you m.Jsl .Ith.r: t. Fllo Form 2SII, Appllc.llon lor Additional Exlon,lon 01 TImo To Fllo U.S, Indlvldu.llncomo Tax RolUrn, or 2. ExplaIn your foason In Blonor. Mall It to Iho addross In Iho righl column undor Where To File on pogo 2. Fllo Form 4060 belora you llIe Form 288S or WIllo . lonor asking lor mofO tlmo. Only In ca... 01 unduo hard'hlp wllllho IRS .pprovo your roqu09llor on addlllonal o><ton,lon wllhoUI rocolvlng Form 4S68 nrst. Ask oarly lor Ihl. o><tra limo. Thon. you c.n .tllllllo your return on ~me If your requeslls not approved. For Paperwork ReducUon Act HoUce, ... page 4. Form 4S88 (1997) Form 4868 Y DETACH HERE Y Application for Automatic Extension of Time To File U.S. Individual Income Tax Return ear 1997, or other tax ear be . .1997, enettn .19 Part II IndIvidual Taxes OMS No. 154~-0106 Deparlm,n!nflller,euu,y In'e,n.IR.venueS"vtu 1997 Melvin L. & Kim D. Bi ler Addro.. (,oe In,lrucllon.) , FRANCIS A. MARCHAL, 49 WEST ORANGE STREET CIIy, lown or po" olflco, .1.10. and ZIP coda SHIPPENSBURG PA 17257 2 Your .oclll .acu~ly number 3 Spousa'. .oclal ..cu~ly no. 178-48-2262 164-54-9670 This lorm olso metonds lho ttmo 10f lIllng a gin or gonOfollon- sklpplnq transfer (OST) lax fOlurn II you fIIo II calondar (nOI IIsenl) yoar Incomo lox roluln Chock below il roquestlng 0 gilt or GST lox roturn OlttOIl!1iOIl, nnd Dolor your tax poymonl(s) In Pori III: 4 Tolall.. lIablllly lor 1997 . , . . . . . . . . . . , . s 5 TOlal1997 paymonl., . . . . .. . . . , .. . . . . . . 6 Ballnce. Sublr.cl ~ Irom 4 . . . . . . . . . . . . . . 5617 5617 o YOUl9011 II- f:AA 7 48681 Nil" 1t)~~O r:l'lP~"Ohl ro"", ";olt...~,_ (lnty, lQq, '1_lr" tn, Part III GlftlGST Tax - II you 810 nOlllllng . gll1 or OST lax rolurn. 010 Part IV now. Soo Iho In.l1Ucllons. 7 Your gill or OSTI.. p.ymonl . . . . , . . , . . S 8 Your ou.... IIUGST I... nl . . , . . . Part IV Tolal 9 Totalllablllly, Add IIno. 0, 7. and 0 . . . . , S 10 Amounl you 810 paying. . . . . . . . . . . . . . . . IIl1no 10 I' 10.. Ihan IIno 9, you may bo lIablo lor Inloro,1 ond ponellJo9 Soo poqo 3. Schedule B -- Interest and Dividend Income 1997 Allachroonl SA uonco No. 08 OMB No. 1~~-0074 Name(sJ shown on Form 1040. 00 nol,nll' nam..nd Incl.lllcuflly numblfll.hn....n on olh., lid,. Your aoclallecurlfy no. Melvin L. Bi ler 178-48-2262 6 Add Iho smounl9 on IIno 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Cepllel gain dl.lrlbutlon.. Enlor horo snd on SChodulo 0 . 7 6 Nonl""sblo dl.lllbullon.. (Soolho In91. lor Form 1040, IIno 9.) 6 9 Add llnos 7 snd O. . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . 9 10 Subllatt IIno 91rom IIno O. Enlor Iho r""ull hOlo snd on Form 1040, IIno 9 ..... . . . . .. . ~ 10 You ""'91 co"",lolO Ihl, pert II you (a' hsd ovor $400 ollntoro,1 or dlvtdond.; (b) hsd s forolgn eccounl; or (c) locoivod a distribution from. or WOfO 0 grantor a', or 8 trensforor to. 8 forolgn trus!. 118 A1any tlmo during 1997, did you hovo an Inlerostln or II signature or othor Buthorlty ovor 8 nnanclal account In 8 foreign country, such 89 8 bank account, socurtlki9 account. or othor II"anclaJ account? 500 pago B-2 lor OIlcopllons and filing roquiromonls for Form TO F 90-22.1 . . . . . . . . . . . . . . . . , , . , . . . . . . . . . . , . . , . . , . b If ""(09," onlor tho namo 01 Iho forolgn country Ii" 12 During 1997. did you rocalvo a dlslrlbullon from, m woro you Iho grantor 01, or Iransform la, a lorolgn 1rust? If "Yos," au mo hovo to fila Form 3520 or 928. Soo 0 0 B-2. . . . . . . . . . . . . . , . . . . . . . . , . , . . . . . . . . . X For Psoerwork Reduction Act Notice, ..a Form 1040 In.tructlons. Schedule B (Form 1040) 1997 eM 7 at A8t20 tur 11075 ron~IIQ"t fMm, r;1l'hr'Ift"Onl~. 111'11 'l~tfll. In1:: Part I Inlerell Income (Soo peg.. 12 snd B-1.) Nola: If you rocelved a Form 1099-INT, Form 1099-010, or substitute statomenl from a brokerage firm, list the firm's n8f1"Mt a, tho payor end onler Iho totallnlorost shown on that form. Part II Dividend Income (Soo peg.. 12 and B-1.) Note: II you rocelved a Form 1099-0IVor 9ubstltuto etoloment from a brokerage Ilrm,II"lho firm's name os Iho psyor and ontor tho tolal dlvldond. shown on that form. Part III Foreign Accounls and Trusls (Soo pega 8-2.) Hot.: II ou hid over $400 In laxable Inlorostlncomo, au must .Iso co lole Paftlll. 1 UsI name of payor. II any Inlo'D9119 trom I 8eller.flnartCed mortgage Ind the buyer u8ed lhe property 88 I personal rosidonco, S08 page B-1 and IIsllhls Inleretl nrsl. Also, ahow that buyer's social SOCUrlty numbor and addross ... Prudential 25790539 Orrstown Bank Melvin's Exxon Auto Repairs (FROM K-1l Amount 88 15 204 1 2 Add 1110 smounts on IIno 1. . . . . . . . , , . . . . . .. . . . , . . . . . . . . , . . . . . . . . . . . . . . , . . . . , . 3 Excludeblelnlor09t on '0110. EE U.S. 9svlng. bond91'9uod a"or 19091rom Form 0015. line 14. You MUST allach Form 0015 to Form 1040. . . . . . . . . . . . . . . .. . . . . . . . . . . . , . . . 4 Subtraclllno 3 Irom Uno 2, Entor tho reBull hero and on Form 1040, IIno 8a . . , . . . , , . , . ... Not.: If ou had ovor $400 In ross dlvldonds and/or other dlslrlbullons on stock, au rn.Jst also co 5 Ust name of plyor, Includo gross dividends Bnd/or othor dlsl1lbullons on Sfock hOt's. Any cBpllal gaIn distributions and nontaxable distributions will be deductod on lines 7 and 8 , ... 2 307 3 4 307 Iols P8I1111. Amount 5 Y.a No x SCHEDULE C (Form 1040) Profit or Loss From Buslr'>lss O....No ""-0014 (Sol. Propri.lorahlpl 1997 . Partner.hlp., lolnt venlu,... elo., mUlt file Form 1015. Anlchmenl .. Att.och 10 Form 1040 or Form 1041. .. 5.. In.trucUon.lor Schedul. C Form 1040 . 50 uonoo No. 09 Sod.1 .ocurity numbor (SSN) 178-4 -2262 B Enlor princlpel bu.n. codo .. 3558 D I!mploy" ID no, (I!IN), II Iny Q'pa,l",.tl!alth. ".nul.,. lnl11"I' AIV.nu. 5""lce filill Namo 01 prCJplkJlor Melvin L. Bi ler A Pr1nclp" business or prolo5skm. Including producl or SorVIcB (!l00 pago C-1) Gasoline station & re air service C Buslnen nll1l8. II no separale busln99, name, 108VO blank. Melvin L. Bi ler E dd.ln... .. 9822 Moll y Pitcher Hiqhway I less, CI,'I,lo,ZIP Shi ensbur PA 17257 F Accounllng mulhod: (1) Co.h (2) Accruol (3) Olhor (.poelly)" GOld you "mllerlalty plUlIclpllo"ln the opOfIUon 01 thl, busln998 during 1907111 ~No." soa pago C~2 for Ilmt 011108505. . , . , . H II au slal10d or ae ulred Ihl9 businoss durin 1991, chock hOle. , . . . . . . . . . . . . . . . . , . . , . , . . , . , . . . . , . . . . Plrt I Income 1 GIOS9 rocolpts or 9810s. CluUan: If Ihls Income was roportod 10 you on Form W-2 and the "Statutory ofTllJoyee" box on that lorm was chockod. 500 pago C-2 and chock hOlo 2 Relurns and alJowances. . . . . . . . . , . . . , . . . . . . . . . . . , . 3 Subnocllloo 2 Irom 1100 1 . . . . _ _ . . . . . _ . . . . . . _ . . . 4 CosI of goods sold (from line 42 on p8g0 21 . . . . . . . . . . . ....... "0 1 2 3 4 9 523 9 523 5 Grool pronl Sublroclllno 4lrom IIno 3 . . . . _ _ . _ . . _ . _ _ _ . . . 5 6 Olhor Income, Including Fodorai and slalo gosolino or fuollax crodit or rolund (soo pago C-2) . . . . . 8 9 523 7 Groollncom.. Add IIno. ~ ond 0 _ . . . . . _ _ _ _ . _ _ _ _ _ _ _ _ _ , _ . _ .. _ _ . . _ _ . .. . . .. .. _ . _ . . . _ _ _ . .. 7 Patill Ex on181. EniD' OX 8n9M fOf buslnoss uso 01 our homo ani on Uno :l0. 8 Advor~.lng..... _ _ _ _ _ _ .... _ 6 19 Pon,lon & prolli-Sh8rlng plsn9. 19 9 Bod dobl9 Irom .01.. or 20 Ronl or 100.0 (... pogo C-4): .8fV1ceo (... pogo C-3) _ . _ . . 9 8 Vohlclo., m8chlnllf'(, & oqulp_ .. 208 10 Cor ond Iruck o'pon... b Olhur bu.lnooo propurty _ _ . , ,_ 20b (... pogo C-3) _ _ _ . . _. _ _ . . _ 10 21 Ropalro ond molnlononco . . . . . 21 11 Conmlsslons and f009. . . . . . . 11 22 Suppllos (nol includld In PI,t 11I1 . ,. 22 12 Ooplollon.. _ ..... _ _ _ _ ... _ _ 12 23 Too. ond IIcon.o,- .. .. _ _ _.. 23 13 Oopreclallon and socllon 179 24 Travel, moals. & ontertalnment: expense deduction lnol lncludld 8 Travot . .. . . ,. ... . . . , . . .. .. 248 In PI,IIII)(...CI';' C-]) . . . . . . , , 13 b Moals and 14 Employ.. booolit progr.fTl9 onlo~oln",onl ( Ih Ihs II 19) <4 C Enlo. 50% 01 o or n on no . . - . - . I IIno 24b 15 In.ursnco (Olho. Ihsn h08Ilh). 15 oubloello 16 IIJTir.llon. Inlor..1: (... pg_ C-4) 8 Morlgogo (pold 10 b8nk., oIC.). 168 d Sublr.clllno 24c Irom Ilno 24b. 24d bOlhor_..._._...._._ 16b 25 UllllllO._.........._.. 25 17 Loqsl anti profosslonal 26 Wagosl"" Imploy"'lnl Clldtll). .. 28 98fVlco. _ . . . _ . 17 27 Olhor n'pon.o. (Irom IIno 40 on 16 Olllco 0' on'o... _ . . . _ _ . . . _ 16 0 02 ................... 27 28 Talalexpen," OOfole oxponsos fOf businoss usa 01 homo. Add I1n09 0 through 271" columns. . , . . . ,... 28 9 523 9 523 9 523 29 Tonl.llvo prolil (1000). Sublroclllno 20 Irom linn 1 . 30 Expensos lor buslnoss use 0' your homo. Anech Form el2a . 31 NoI pront or (Ion). SublrOCllloo 30 Irom IIno 29. · II 8 pronl, onlor on Form 1040, IIn. 12, snd ALSO on Schedul. SE. IIno 2 (9lolUlory omployoos, 900 pogo C-5). Estalos end trusts. ontOl on Form 1041, IIno 3, · 118109', you MUST go on 10 1100 32. 32 II you h8VO 0 10'9, choek Iho box Ih.1 doocllbo. your Inv..llOOnlln Ihl. 8clivlly I'" pogo C-~). · II you choekod 320, onlur Iho 10'0 on Form 1040.lIn. 12, ond ALSO on Schodulo SE, IIn. 2 (slalulory omployOO9. SOO p8g0 C-5). Estatos nnd Irusls, onler on Form 1041, IIno:l. · II you choekod 32b, you MUST 8U8Ch Form S190. For PlPlrwOrl< R.ductlon Acl Nolle.. I.. Form 1040 In.lructlono. Cl\A 7 Ct2 fUr 11010 29 30 o } } 31 o 3288 All Inv..lmonl 10 01 rl.k. 32b Somu Inv,",lmunl19 nol 81 risk. Schodull C (Form 1040) t997 (OCl'l',,;lIlr')I"" '3ol1""',Onl.,. tt:l"" N..lrn.lnr . 1 SCHEDULE D Capital GaIns and Losses OMS No. 1!'>l~-OO74 (Form 1040) 1997 . Allach to Form 1040. . SMlnowctlono for Schedulo 0 (Fonn 1040'. A~~hroonl 12 D.p.rlm'lltollh. tr...llIY iii> U'I Schedule 0.1 for more lJDACI to lI.t transaction. for IIn.. t and I. Inl.rn.IA.....nu.S.,Y.u (lIIll Se ueflC8 No. Nlme(lI) Bhown on Form 10040 I Your oaclll .ocu~ty no. Melvin L. Sia1er 178-48-2262 I Part I I Short-Term CaDUal Galna and Loaaea Anela Held One Year or Le.. ("lleoa~llon nl Ib'Dal. (c) Dal. sold (eI) Sal.s prlca (0/.:;;001 or .l&.GAIH or~~ P':?,gI:f~~J~~ IM~'!\'~:~r.1 10~' b~g~41 E";';~h,~,;;- i,ii . Y . (Mo., dOV, VI.) (s.. pago D-3) ,oaa. -4 - 2 Enler your short-term tolals.1f any. from . Schodul. D-l.lIn. 2 . . .. . .. .. . . . . .. .. ... ... 2 3 TolIl short-tonn II'OS p~co .mounll. Add column (d) ollln.. 1 ond 2.. . . . . . . . . . . ",. 3 . 4 Short-IBfm gr~n from Forms 2119 and 6252, and short-torm gaIn or (109S) Irom Forms 4884, 0701. snd 0024 . . . . . . . . . . . . . . . . . . . ..................... ..,.....,.. 4 5 Not short-Ierm gaIn or (Joss) Irom par1nershlps, S corporsllol1s, 091al09, and lrusl! from Schodule(o) K-1...............................................".. .......... 5 6 Short-term capitella!s carryov9f. Enter tho emount, II any, Irom Uno 9 of your 1096 Capilal Loss Carryovor Worksheet. . . . . . . . . , . . , . . , , . . . . . . . . . ....,... . . . . . . , . . . . . , . . . . . . 6 7 Not Ihort-tonn cwllll aaln or (100.). Combln.Un.. 1 Ihrouoh 0 In column In . . . . . . . . . . . 7 0 I Part III Lona-Term CaDllal Galnl and Loaaea Assels Held More Than One Year (0) =Ion 01 Ib' Dal. (c) Dalo sold (eI) Sol.. prleo (a~ eosl or ~AIH or~~ 19) 28% RATE GAIN P:gg~ xY'!'t'glr m oc,!\,;r.~, I I' o:~~:g~ 41 'l":I~~?'~Wl Mo. ov . IMo., doV, vr.) (s.. pogo D-3) soo 8 ~4 suii~~~jjciniidi ClL Microene gy lnc Cu tnu1ative Various 1/15/97 1 0 1 1 9 Enlor your long-Iorm lotals, If any, from Sch.dul. D-l.lIn. 9 . . .. . . . . . . . . . . . . . . .,...,. 9 10 Tolallono~l.nn sal.. prtc. amounts. . Addcolumn(d)01lIn..oand9............. . ... 10 1 11 Gain from Form 4197, Port I; long-form goln Irom Forms 2119. 2439. ond 62~2; ond long-Iorm gain or (los9) Irom Forms 4004, 0101, ond 0024.. . .............. ..... . . . . . . 11 12 Nollong-torm qoln or (1099) from partnorshlp9, S corporaUon9, 091al09, and frusls lrom Schodulo(s, K- 1. . . . . . . . ..., ..... .... .. .............. ..... . . . . . . . . . . . ... 12 13 CopUsl goln dls~lbutlon. .......,........... ........ ..... ... ....."........... 13 14 long-fOfm copllall099 CftIlYOVOf. Enlor In both columns (I) and (g) tho amounl, II any, Irom IIno 14 01 your 1998 Capi1aJ loss Carryover Workstlool . . . . . . .... ... ....,..,.,.,..,. 14 ,I, 15 Combtno tInes 8 through 141n column (g) . . .. ..... .. ...... .... .". ...... 15 1 16 Hallong-tlrm Clpllll gain or (10111. Comblno linos 0 Ihrouoh 141n column Ill. . . . . . . .... 16 1 8 fHF '1041 Proparors EdllJon Melvin L. Bigler Schedule 0 (Form 1040) 1991 Summary 01 Partl I and II I Part 11I1 17 178-48-2262 paqe2 I . ~ 17 1 Com~nB lines 7 and 115. II. toss, go 10 1100 18. I' II gain. 801m tho gatn on Form 1040, Uno 13. Nut: Co~181. FOIm 1040 t1nough IIn8 38. Thall, go 10 Plrt IV 10 IIgUlo your 1M II: . Both llnos 18 Ind 17 ar8 galns, and . Form 1040, line 38. 19 molO than ZOlO, 18 IIl1no 1715 111099, onlOl' hero and .91 (10991 on Form 1040,11110 13, Iho Imaner ollhoso 109sos: . The 1089 on IIno 17; or o (S3,000) or, It monied IlIIll!lsoporololy, IS1,5OO) 18 Hut: Co~lol8 Form 1040 through line 30. Thon. comploto lho Capital LOll Clnyover Walkeh..t on pego 0-4 II: . Tho to9S on IIno 17 8xcoods Iho 1099 ol1l1no 10. or . Form 1040. IIno 38 Is II Ios9. I Plrt IV ] 19 20 21 22 23 24 25 26 27 26 29 Tax Computation Using Maximum Capital Galna Ratea 19 EntOf your ta.able Income horn Form 1040, IIno 38 . Enler Iho omlllorol Mne 16 or line 17....... .. . . .. . .... . 20 II you are flllng Form 4952. onlor lho amounllrom Form 4952, line 4e. . 21 Sublrec111ne 21 trom line 20. 11 zoro or loss, snlor -0- . 22 Combfne IIn99 7 and 15. If zero or less, entor -0- . . . . . , . . . . 23 EnlOllhe omlllor 01 line 15 or line 23. bul nol ios!llhon zoro. . . . 24 Enlo' your umocopturod Bocllon 1250 goln, lIony (BOO pogo 0-4). . . . . . . . . . . 25 Add IInos 24 and 25" . " . " . .. " " " " " .. . . " . . . . . " " . . .. . 26 1 subtrac111no 26 from line 22. II ZOfO or loss, entor -0-. . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . , . . . . Subtract I~no 27 trom IIno 19. II ZOfO Of 109s. onlor -0- . . . . , . . . , . . . . . . , . . . . . . . . , . . . . . . , . . . . . . . , Enlor Iho smlllorol line 19 or $41,200 ($24,050 IIBlnglo; $20.600 II menled filing sops,aloly; $33,050 II hood 01 houoohold) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . 30 Enler Ihe Imllllrol line 20 or line 29. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " . " 31 Subtract IIno 22 trom IIno 19.11 zero or loss, onlor -0-. . , . ,. .. ......... ,. ,..... 32 EnlOllho largor olllno 30 or IIno 31" . .. " . . . .. .....""..."""""."..""".""",,.,, 33 Aguro Iho tax on tho amount on IIno 32. U!lO tho Tax Tablo or Tax RaiD Schodules. whlchoyOt' opplloB. . . . . . . , . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . , . . , . . ,,~ 34 Enlor Iho BIIlOunllrom line 29 . . " " "" . . . " . . .. . . . .. " . . " . . . " . . " . .. " " , " " ,," . 35 Enlo' Iho BIIlOunllrom IIno 20 . . . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . " . . ." " . 36 Sublroclllno 35 from line 34. 1120ro or loss, onlor -0-. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , , . , " . 1 1 1 1 27 28 29 30 31 32 33 34 35 38 37 Mulllply IIno 36 by 10% (.10) . . . " " " . . . . . " " " " " . " " . " " " . " . " . . " ". " . "." ~ 37 38 EnlOllho smlllerolllne 19 or line 27. .......... .... .. . . ..... ....... . ... .". ..." ..... ....",. 38 39 EnlOllho emounl from IIno 30 . . . . . . . . . . .' .. . . . . . . . . " . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . " . . 39 40 Subtreclllno 39 from IIno 30. IIzoro 0' loss, onlor -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . , . " . . . " , . " 40 41 Multiply IIno 40 by 20% (20) ...............................................,.."......." ~ 41 42 Enlor Iho omalllr 01 line 22 or line 25 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . " . " 42 43 Add IInos 22 ond 32.... " " . "".., .. . """ .. "" . """" ." 43 13 315 44 EnlorIhoemounllromllno19 ..,....... ..................... 44 13 314 4S Subtract Ilno 44 from IIno 43. II zoro or 1099, onlor -0-. . . . . . . . . . . . . . . . . . , . . . . . . . , , , . . . . , . . . , . .., . , 45 46 Subl,aclllno 451rom IIno 42. IIzalo or lo.s, onlor -0-. . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . " . ". 48 47 Mulltply IIno 40 by 25% (.25) .......... 48 EnlOJ tho 8mounllrom IIno 19 . .. ........ 49 Add IIno. 32, 30, 40, ond 40. . . 50 Sublrsclllno 49 from IIno 40. . . . ....,....,,,... " ."",,..,,~ 47 48 49 50 ......,....,.. ...........,.. .,.,....,.....,........,...,',.".....,....."..,. ..................".............,...... 51 Multiply IIno 50 by 20% (.20) . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . " , ~ 51 52 Add IIn09 33, 37, 41. 47, ond 51. ". .. " "" """ .. . " . """ . 52 53 Flguro lho tax on tho emoun1 on I1no 19. U50 11m Tax Toblo or Tax Rato Schodulos, whlchoyOJ appllos 53 54 Tax, Enter tho amallerolllno 52 or 1111053 horo and on Form W40. hno 39. . eM 7 12 PH r 110.1\ COPY'IOhl rnlml 'inllw~",n"l'1'_ .lIa1 Pl..lrn.I,,1' .~ 54 13 314 I , 0 ( 13 314 13 314 I ., 13 314 13 313 13 314 1 999 13 314 13 314 0 0 0 0 1 0 0 13 314 13 314 0 0 1 999 1 999 1 999 Schedule E Form tQ.40 1091 Anachmonl50 uonco No. 13 P 0 2 Namo(s) shown on rolUrn 00 nol ont8f namo and socIal 90curlly numbor If shown on other sIde, Your loclal aKur1ty no. Melvin L. Bigler 178-48-2262 Nol.: If vou tepa" Imounl, from farming or nahlng on 5chodulo E. vou musl onlor vour gross Incomo from thos8 IctlvltleSl on "08 41 bek)w. Rial 8s1alo prolosslonals "'U,l COfT1)leto Ilno 42 boIow I Part III Income or LOll From Partnerships and S Corps. Noto: II you roport slo.. ~om an al-rl.k actlvlry. you MU5T chock otlM. col (ala' (I) on Hne 2710 do,c,lbo YOUllnvoslmonlln aellvlry. 500 pago E-4. II you chock col. (I), you ""slsnach Form SIN. l6lTriloi PIal I (el.Chock II ~':k~~~~l,~ I,.,.....'''' ,.,tAIA.._f 27 (al Nemo paltnorshlp; S 10,oIgn (')A"., (f)5a"'II' 10' 5 co,.'. DarlnOlshl. numt.er I' ,j.~ natllfl" A Melvin's Exxon Auto Reoairs S 25-1689609 X B C 0 E Pasllve Income and Loll Non 88slve Income IInd Lon (g) Passlvo 10118 allowed (h) Pa,slvo Incomo (I) Nonpa9!ltvo la,s UI Soctlcn 1790'ponse (k) NDnpasslva Incomo (anach Form 1512 It roqul,od) I,om Schedula K-t from Schedule K-t doductlon I'Dm Form 4582 I,om Schedule K - t A 4 554 B C 0 E 288 TolalOT b TOlalar 4.554 29 Add column. (h) and (kl olllno 20e . . . . . . . . . . . . . . . . . . . ... .,..,............................... 29 30 Add column. (g), (I), and lfJ 01 line 20b. . . . . . .......... .........,........,..................... 30 4.554 31 Total partnership end S carporetlon Incomo or (loss), GambIno IIn09 29 and 30. Enler tho rosult hero and Inctude In tho lolal on Uno 40 boIow . .........."..,.......... .. ....................,......... 31 4 554) r Part lilT Income or loIS From Estales and Trusls 32 (e) Namo (b) EfIllloyor IdonUllcsl!on numbo, A B Pas81ve Income and Loss Nonoasllve Income and Lon (e) Passlvo doducllon or 10.. sIIowod (d) Pesslvell1C<lmo (e) Deduction 0' 10" (I) Olher' Incomo I'Dm (anach Form 0512 ",oqul,od) IrDm Schedule K - t Irom Schedule K-t ScIledule K-t A B 33a TDlol.1 b TOlal.r 34 Add column. (d) and (n Dlllno aaa. . . , . . . . . . . . . . ,............"..........,................... 34 35 Add column. (c) and (0) olllno Jab . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . , . . . . , . . . . . . . . . . . . . . 35 I, I 38 TDlal ..Ialo and trusl Incomo 0' (loss). Comblno IIn.. a4 snd a~. En,o, Iho ,osull ho,o snd Includo In Iho lolal onlloo~~w,.............................,.............,....,.,.....,............... 38 IPart IVI Income or LOBS From Real Estate Mortnii<le Inveslmenl CondulllllREMICsl Residual Holder 37 (e) Nemo (b) Employor (e~; Inclu.lon f,om (dl,T..ablo Incomo (e) Incomo Irom hed~~e."n?' IIno;'\ 2c (nOIIo"bfrom IdonUllcsllon numbo< soo II 0 E-5 Schedulea ,lIno 1 b Schedules a, lno ab I 38 Comblno column. tdl and '01 onlv. Enlor Iho 10SUlt horo snd Includo In Iho loin! Dn IIno 40 bolow ........ .. 38 I rpart VI Summarv 39 Not larm fontBllncomo or (loss) Irom Form 4135. Also. comploto line 41 below. ..............,.,....... 391 40 TOTAL Incomo D' (loss). Comblno IIn.. 20, al. ao, ao, & J9. Enlo, Iho ,o.ult hOlD end on Fo,m 1040. line 17. 40 I( 4,554) 41 Reconclllatlon of Farming Ind FishIng Income. Enlor your grail farming Ilnd nshlng Incorno reported on Form 4935. lino 7; Schedulo K-t (Form 1065), IIno 15b; Schodulo K-l (Fo,m 11205), lino 2a; and 5chodulo K-l IFo,ml041), IIno 14 (.oopoqo E-5) . ....,... ..., .,.. ,... 41 42 Reconciliation for Rell Estate Professionals. II you wero a rolll 051010 prolosslonal (soo P8QO E-41, onlor 1110 not incomo or (loss) you reportod ftnywhmo on Form 1040 110m 011 ronlol rool 091810 ncltv1tlos In whk:h you 1l10lmiallll nOllldnalod undO! Iho DBS51vo octivllv 1055 lul05 .... 42 eM ., 7 ,2 N'F 110'8 r:OPy"ghl rf1l,..' <:.,"...." Oro!y. PlllI 'l~Ir".ln( ~@96 ~ 1 040 Dopa'lmenl 01 ~hQ Tle.su . Inlomal Ro....onuJl SOf'llco & U.5, Indlvlduallncomo Tax Return U.. l tho . IRS 0 101>01. 1 OlhOl- WIlIO, t. plelSO [ print A Of typo. ( ProoldonU.1 .. ~locUon C.mp.lgn , 1 2 3 4 Filing Stalus Chock only onD boll. Exemptions Ho II moro lhnn she depondenls, soothe In!lnucllo"s lor Uno 6C. Income Attach Copy B 01 your Forml W-2. W-2G. and 1000-R hero. II you did not gel e W-2, ooolho Instructions lor Une 7. Enclo,o, bul do not anach. any pnymofll. Also. pleaso encloso Form 1040-V ('00 lho InstJuctlons lor llno 62). Adjusted Gross Income lH! UnOnl -. Oonol'lllllll or .t.pl,ln t'III,pICI. ,I' OMB No. 1~~-OO7" Your ,octal MCUrtty numb.r 176-46-2262 Spoil"" loclal Iec:Urtty no. 164-54-9670 FOII"..,.I., Jl.n. I-O,C. :II, 11",01011'11111..,..., b.g,nn,"; ,IIIII,lndl"1I Melvin L. Bigler Kim D. Bigler 236 Cloverhill Road Newburg, PA 17240 ! i Ho'o: Chocking YOI Ho "Ye." witt not 00 you want S:J 10 go 10 this lund? . . . . . . . , . . . . . , . . . . . , . . . . . , , . . X chango your to: or III Inl ,elurn, da09 OUf 8 OUSO want $J to 10 Ihlslund1. . . , . . . . . . , . . . . . .. . , . . X reduco your ,olund Slnglo For help nndlng Unolnlln/cUO.I. 1M plgol 2 and J In tho booklot. X Marrlod IIIlng jolnl roMn (ovon II only one hId Inco"",) Hoed 01 hou,ohold (WIth qUllilylng pOlson) (Sooln91rucl1on..11l quaJllylng pOllOn I. a chtld bul not your dopondonl. 8nlM chlld'a namo haro. III- Qualt I widow or with do ondont child r. s ouso diod"19 . Soo Instructions. YOU~I:":~;.~;:r~:: ~~I~~~~~:) cln clolrn ~u "':e d~ondonl On:hl' or:~ } ~:::~::::'Ib 2 apon on1'e social 3 cpondonl's )N I childl'" 0" II". socurity numbor. II bar rolatlOnshlp 10 o~J~~d Ie who: In Doc. 1998, SOD lnst. u 'r" l~n . lIv.d WIth yOU 202-72-6763 DAUGHTER 12 ""a"lId flU"g uparat, "tu,n. ("I" IpoU.... !ISH .bo~,1 fulln'rIl' hll... 5 68 X b c Lasl naOlo d TOlal numbor 01 ox lions clalmod. . 7 Wag... UIII"', tip.. .Ic. A1tlch Fo,m(IIW-2 80 TlublllntOlBSt. Anach SChedulo B II ovo' $400. . b Tn-elemp'lntor..!. DO NOT Includo on llno 01 6b 9 Dlvldnnd Incomo. Anoch Schodulo B tI ovnr $400 . . . . . . . . . . . . 10 Taxablo rolunds, crodlts. 0' 0115019 01sl"10 snd locollncomo lnxos (500 Inslrucllons), . . , , . 11 Alimonyrocolvod....... ......... 12 Bu,lno,", Incomo or (Io..) Anoeh Schodulo C or C-EZ. . . . . . . . . . . . 13 Capilal gain or (loss). II roqulrnd. anach Schedulo O. . . , . . , . . . . . . . 14 Othor qoln' or (10....) Anoch Form 4791. . . . . . . . . . . . . . . . . . . . . . . . 158 TollllRA dl.trlbutlon, .. ~ J b To,obto amounl (...In.l.). . 168 ToIIIClln.,o"u"da""uI11... llliJ b Taxablo amounl (SOO Inst.). . 17 Ronlal roal oslalo, royalllos, parlnershlps, 5 cofpolallons, trU9ls. ole. Anach Schodulo E . . 18 FIrm Incomo or (10") Anach Schadlllo F. . . . .. . . . . . . . . 19 Unomploymontcompnn9otlon.. ..........."",... 208 Soclol.ocurlly bonolilS ~ I b To,oblo amounl(...ln.t) . 21 Olhor Incomo 22 Add Iho aroount!J in tho lar I hi column for linos 7 Ihlou h 21. Tills 19 238 Your IRA dnduCllon I!\OO ill~lrucllon~) . 230 b Spouso's IRA doduclion I~OO In~II'llClion"n 23b 24 Moving oxponso!l. Annch FOIm 3903 or 190J.F. 24 25 Ono-hall ol.oJl-nmploymnnl rl' Moch Schtldlllo SE 25 26 Snlf-omploynd hnallh InSlllooco doducllon (<"'0 In~l ) . 26 27 KIlOQh & .oIl-""1'loyod SEP plan. II SEP. chock.. ~ 0 27 28 Ponalty on oa/ty WIthdrawal 01 !l8vlnq, 28 29 Alimony paid. RociplonJ'. SSN ~ 29 OUI totallncomt. III- U Iino 311s undor $20,49~ (undor $9,500 II schild did nol "vo wllh you), .00 lho Instructlons lor 30 Add Iinos 230 lhrollQh 29 lino 54. 31 Subllacllino 30 from 11110 22. This I:l our I For PrlVICY Act end Plperwork RoducUon Act Holiea, .ee plgo 1. CAA 104012 'Hr ~'H1 2 1 . djdnolll~1 W11h you dUI to dlvotCl or "ClA,aI1on ('..I",tluellonl' O,plndlntlon8c nol.nttrld.bo~l_ Addnu",bl" ,"t.,.don hn..lbovl .. 7 6a 49 349 475 9 10 11 12 13 14 15b 16b 17 18 19 20b o 4 066 21 22 53 910 .................... 30 ...Income. ........,....... ~ 31 Prooar... Edlllon 53 910 Form 1040 (1996) r:1I1'~"lJhl ,.,,,,,, 'illll....'. n."v tllll" 'l"lrn, "1r 'l'llllnlnfl FOHn 10.Q Melvin L. & Kim D. Bi, [" Tax Compu- tallon Il you wanl lho IRS 10 !Iguro your 10', 808 lhe Insrructlons lor llno 31. Credits Other Taxes Payments An.ch ForrmW.2, W-2G, .nd 1099-R on p.g. L Relund Havo t1 sont dkectlylo 'fOur bank eccounll See Insl. and nn In SOb, c, .nd d. Amount You Owa Sign Here Koop II copy of Ihls rolurn lor your rocords Paid Preparer's Use Only \ CA' 104012 1996 32 Amounl 110m linn 31 (adlu9lod qros, Incorno) 33a Check II: 0 You W8ftl6~/oldOf, 0 Blind; 0 SpaUII WI!l6~/oldor, 0 DUne:. Add lhe numbef 01 bouts chockod abovo and unlor Iho 10,,,1 hOfO .. 33a b 11 you aID manlod rmrlg soplllalolv and you, spouso 1I0"1Ilos doducllons Of you .. 33b wore. dual-sl.lus a.lloo, 800 Insr,ucllons and chock hOle. . . . . ., .,..... {1I.mlred deducUonllrom Schodulo A,llne 20, OR } 34 Entor SlIndard deduatlon shown below lor your flUng Blalus. Bul&OQ Iho :110 InSlructlons If you Ch.De kod any bOle on IIno 3ia 0' b or Bomoono can claim .roer you II!lI . dopondonl . ~u,. . Slngl. -- $4,000 . M.rrlod Iillng Jointly or Ou.lllylng wldo..(ot) -- $6,700 . . Ho.d of hou..hold -- S~,ooo . M.rriod IIIlng .0p.r.loIv -- SJ.J!IO 35 Sublraclll08 34 lrom IIno 32. . . . . . . . . . . . . . . . . . . . , , , . 36 IllIno 3219 $80,47~ or los" multiply $2,5~ bV tho lolal numbof 01 o)(o"llllons claimed on Uno 6d.llllne 321s ovot" $86,47~, 900 lho wOlkshoolln lho Inst for Iho amount to onlor . , , . , . 37 Tuabl.lncom.. Subtracl Uno 38 from II no 3~. It Uno 361s molD lhan IIno 3~, onlo, -0- . . 38 Tu.Soelnstrucllons, Chock II 10101 Includo, any lax 110m 8 0 Forms(s) 8814 b Form 4012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 Cr.d,1 for child & d.p.nd.nl C.,. o'p. Anoch Form 2441 39 79 40 Crodll for Ih. oIdorly or 1110 dl..bl.d. Anoch Schodulo R . . . . .. 40 41 Foreign I... cr.dlt Allseh FOlm 1110. ........... 41 42 Olhat. Chock II from a 0 Form 3000 b 0 FOlm 0390 C 0 Form 0801 d 0 Form 42 43 Add fines 391hrough 42. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . 44 SUbtracl Hno 43 from Uno 30. IIllno 43 Is moro than Iino 38, ontor -0.. . . . , . . . . . , , . , . . . , . .. 45 SoIl-llfrlllovrmn"ox. Alloch Schodulo SE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46 Allorn.llv. mlnlroom lox. AlIsch Form 6251 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47 Socl.I,ocurlry .nd Modlcal8lox on lip Incaroo nol r.porl.d 10 emplov", Anoch FOlm 4137 . . . 48 Tox on qu.lill.d r.llr.roo,,' pl.n9, Including IRA.. II requlr.d, .1I0ch Form 5J29 . . . . . . . . . . . . . 49 Adv.nco oorned Inca"", cl.dll povmenl. from Form(.) W-2. . . . . . . . . . . . . . . . . . . . . . 50 Hou.ohold IlfrllIoVmen"..... Anoch Sch.dul. H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51 Add lines 44 Ihrou h 50. Thl. I. our lolallax. . . . . . . . . . . . . . . . . . . . . . . . . .. 51 52 F.dorsllncoroo lox wllhh.ld from Form{.) W-2 .nd 1099 . . . .. 52 6 053 53 t900 esllm.l.d lox poymenlS & ,ml. .ppliod Irom 199~ rolurn. 53 54 filmed Ineome credit AtllCh Schlldur. [IC II you hlu I qUllllYlMO chlrd. NOMIlllbl1 "'Mid iMcoml: AmI. . , IlIdly".. 54 55 Amounl p.ld wllh Form 4008 (roqu.,'lol ext.n.lon). . 55 56 Exco.. ,ocI.l.ecurlly snd RRTA r.. wllhhold (,ooln.l.). .. . .. 56 57 Othor paymonls. Chock II from 80 rorm 14]; b 0 FOlm41311. 57 56 Add IIn.. ~2lhrou h 51. Th..o .r. our lola' a .nll.... . . . . . . . . . . . . . . . . . . . . . . . .. 58 59 If fin. M I. mor.,hsn llno ~1. .ubllecllln. 51 Irom IIn. M. This I. Ih. ,mounl you OVERPAID. 59 60a Amounl ollln. 59 you w.nl REFUNDED TO YOU. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 60a b Roullng no. I I C Tvp.: 0 Checking 0 S.vlng. 32 34 35 36 37 38 43 44 45 46 47 46 49 50 .. 1'18-40-2262 p, .2 53 910 8 207 45 623 7 650 37 973 5 696 79 5 617 5 61'1 6 053 436 436 d Accounl no. 61 Amounl ollln. 59 au wonl APPLIED TO 1997 EST. TAX. . .. 61 62 II IIn. 51 Is mor.'h.n IIn. 58, .ublr.cl IIn. 58lrom IIn. 51. Thl.l. Ih.AMOUNT YOU OWE. For dolalls on how 10 pay end uso Form 1040.V. soo Instructions .....,.,.",..."."... 62 63 E.llm,lod lox on.1 . Also Includ. on Iln. 62 . . . . . . . . . . . . .. 63 Undor ponaltlos 01 pOl'!ury, I doclslO Ihall hava oxaminod 11119 roMn nnd Dccomps-nying ochodul09 snd slalomonts, and 10 Iho bosl 01 rTrf kno'Ntod~ and bonol, thoy nro truo, conoet. and cofTl)loto. Ooclata"on 01 proplUot' (other than laxp8yer) ls basod on an Information 01 which propBlDf ha9 any knowlodgo. ~ Your slgnaturo Dolo Your occupallon ,. Business owner ~ Spouso's slgnaluro. II a loint rolurn, BOTH must sign. Oalo Spouso's occupation ,. pa roll acct Pfopnro"s~ Daln .ignoluro" ~ 4 3 97 Firm'. nomo (or vour... FRANC I A. MARCHAL P. C. . II.oll-ef11llovodl ,. 4 9 WEST 0 GE STREET .nd .ddre.. SHIPPENSBURG PA "'''''' 2450541 Check If .011-. 10 .d. EIN ZIP cod. (nl'l~"Ohl r 01",. ';o!lWl" ('Inly. lqll~ '/.lrf', In~ 'jll~ I04nl Prepare"! socIal socurily no. 188-48-5520 25-1751935 17257 Preporers Ed,lIon SCHEDULE A . .1edule A -- itemized Dedul. ..m8 OMS No 1 !l4~-OO14 .. (Form 1040) 1996 Ooplftmon1 or tho Trol!l9ury ~ S.. In.trucUon.'or Schodul. A IForm lOCOI, Anochmonl Inlarnal Revenuo 59f\1ICO .. Attach to Form 1040. S.ouonee No. 07 Namo(8) shown on FOIm 1040 You, ooclol'lCunly no. Melvin L. & Kim D. Bialer 178-48-2262 MedIcal CauUon: 00 notlncludo OllpOnSOlJ ,olmburood Of paid by olhOlS. and 1 Modlcal and donlal OllpOnSO!l Danlal Expenses 1 2 EnlDr amoun1lrom Form 1040. Uno 32 .. I 2 I 3 Mulrtply IIno 2 oOOvo by 7.~% (.01~' . .. ... .......,,,.. ... 3 4 Sublract line:) Irom line 1. If IIno J Is mOlD Ihan line 1 oolm -0- ...... ,.," .......", ... ... 4 0 T Y 5 Slale and JOcallncomo 18.)109. . , . . ...... .................. ... 5 2 261 IIXes au Pllld 6 Rool 0,1010 lOll.. ('00 pogo A-2) .. ... ...,.. ..". ..". ...", 6 885 (Soo 7 Personal property laxos. . . ".,..,. "." .......... . . . . . . . .. 7 442 pogo A-I.) 6 Olhor 10ll0. ~ OPT 6 20 9 Add llno. ~ Ihrouoh 0 . , . . . . . . . . . , . . . . . . . , . . . . . . . ................................ 9 3 608 Inlerosl 10 HOrM mortgage Inl....1 ond polnl. loportod 10 you on Fo,m 1090 . . 10 4 069 You Pllld 11 Homo mortgogo Inl....1 nol ,oporlod 10 you on Form 1090. II paid 10 (500 .011.., .how Ihol p..BOn'. nlllOO, 10 no., & add,... ~ psgo A-2.) Noto: 11 Porsonal InlOf'95t Is 12 Polnl. nol ropof1od 10 you on Fm 1090. 500 pg. A-310r apodal fUlo. 12 nol 13 InV09ln1Onllnl....1. II roqulrod, anach Form 49~2. (500 pogo A-3.). . 13 . doductibl.. 14 Add II nos 10lhrouoh 13......... . . , . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . . . . . . . 14 4.069 GIfts 10 15 Glh. by cs.h or chock Charily , II you modo 15 610 : t:''':~~I~~1 16 Olher Ihsn by cssh or chock. 1I0ny gin 01 $250 01 moro,'oo pogo II, .00 page A-3. II OVOI $500, you MUST snach Fo,m 0203 . . . . . . . . . . . ...". 16 A-3. 17 CO'ryOVOI Irom prlo' yoor . . . .... ......................... 17 .. 18 Add IIn.. 15lh,ouoh 17 . . . . . . . . . . . . . . . . ............................,............ 18 610 ellulll.,.. Th.1l 19 CssuaUv orlhon 1099rO.'. Anoch Form 4004.1500 000. A-V. . . . . . . . . . . . . . . . . . . . .."".. 19 0 Job 20 Un"lmbu,ud Impl, 'lp.1f IIqUlr,d, you MUST .ltlcll Form 2108 or 2108-[Z .. Exponses and Mosl Olhor 20 Mlscol- 21 TOll props,ollon 100.. . . . 21 lanoous ...... . . . . . . . . . . . , . . . . , . . . . . . . , . . . Deduc- 22 Olh.. o'pon... ~ lions 22 (500 23 pogo A-4 lor 23 Add IIn09 20 Ihrough 22 . . . . . . . . . . . . . .1. . .. '1' . . ".....,.,... o'pon...lo 24 Enl.. omounl Irom Form 1040, IIno 32 .. 24 doduCI her..) 25 Mulllply IIno 24 sbovo by 2"10 (.02). . . . . . . . . . . , . , . . . . . . . . ...... 25 26 5ublrsclllno 2~ Irom IIno 23. IIlino 25 I. moro Ihsn Hno 23, onlor -0- . . ..,................. 26 0 Othor 27 Olhor -- Irom 11.1 on psgo A-4. Usllypo snd omounl ~ Mlocal- IlneouI OoducUon. 27 0 Tolal 28 I. Form 1040. IIno 32, ovor $111,950 (ov.. $5B,07~ II ms,,'od .Ung .oporo'oly)? Itomlzed NO. Your doducllon 19 nolllmllod. Add lho amounts I" the Iftr right column } Deduc- for IIn05 4 lhrough 27. Also. onler on Form 1040. Ilno 34, lho larQer 01 .,.." ... ~ 28 8 287 llano lhl9 amounl or your standard doducllon. YES. Your doducllon may bo limitod. Soo pogo A.5 for Iho omounllo onlOf. . For Poporworlc Roducllon Acl Nollc.. SOl Form 1040 InotrueUon.. CAA AS12 "If "" P,opsrOl' Edllkln Schedulo A (Form 1040) 1996 Cl'Il'Iyllghl rOt"'" ..,""....~I.. Only. lllllll f~llco.lnc" f1111l5CI1A I Schedule B -- Interest and Dividend Income 1996 Anochmonl so UOIICll No. 00 OMB No. 1!l4~-OOI4 Po 02 Namo(lI) shown on Fonn 1040, nonel.n'" nl",e'M' IUrl.ltlCUllly IIumbll If Iho...,.. Oft 1I1htl lid.. Your locllllecurtty no. Melvin L. & Kim D. Bi ler 178-48-2262 You rru91 co"",,lololhl' port " you (I' hod avo' $400 ollnlOl..1 or dlvldond,; (b) hsd s lorolgn account; or (c) focolvod a dlstJ1butlon horn, or wore 8 granlor 01, or 8 transloror to, B felolgn bUst 110 AI any limo durtng 1990. did you havQ an 1"IOfost In or a s~nllluro or other Bulhortty DVef 8 nnandal account In 8 fcrolgn country, such 89 8 bank account. socurllkls account, or Olhor flnancialltCCOunt7 See pago B~1 for oxcoptlons and flllng rnqulromont9 for Form TO F 90.22.1 . . . , . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . b II "Yos," onlor tho "amo oltha loroiqn country ..,. 12 During 199B. dId you rocoivo 8 distributIon Irom. or woro you tho 9r8ntor aI, or transforor 10, a 'ololgn Iru9t7 II "'(05," 900 a 0 B-2 lor olhor IOlrm ou mo hovo to file. . . . . . . . , , . . , . , . , , . , . , . . . . . . , . , . , . . . X For Paperwork Reductlon Act Notlce. lee Form 1040 Instructions, CAA AB120 Nrf 5344 Schedule,B (Fonn 1040) 1996 Peril Inlere.1 Income (500 pogo B- t.) Nol.: II you recolved a FOfm 1099-INT, Form 1099-010, or 8ubslllulo stalomonllrom . bloker ago firm, W'llho nrm', namo as lho payer and 8nlor tho lotallnloresl shown on thai lorm. Pert II Dividend Income (500 psgo B- t.) Notl: II you rocolved a Form 1099-0IVor substlMo s1atemont from a brokerage nrm, 11'1 lho firm', namo as tho payor end ontor tho lolel dlvldond, shown on Ihllil form Port III Foreign Accounls Bnd Trusls (500 pogo B-t ) Hall: If au had OVOf $400 In tlLll8blo InlO1051lncomo, au must 0100 COI 1010 Pari III. 1 U91 nlmu of payer. II any Inloroslls flam . B~kw-fln.ncod IOOllglqO and Iho buY8f ulKtd tho propOfty IS. porsonal rosldonco, soo page B-1 and list lhls Inferest nrsl. Also. show Ihal buyOf" 9OClalsocullty Ilvmbnf and addlosa ... prudential 012WSH25790540 Prudential 910WSH25790539 Patriot Federal Credit Union Orrstown Bank Melvin's Exxon Auto Repairs (FROM K-1) Amount 25 52 46 82 270 1 2 Add lho omoUnlB on IIno 1. . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . , . . . . . . . . . . . . . 3 Excludabfelnterost on sorlos EE U.S. savings bondslssuod o"er 1989 from Form S8115. IIno 14. You MUST ."seh Form 001~ 10 Form 1040. . . . . . . . . . . . . . . . . . . . . , . . .. . . . . . . 4 SUbOscl line 3 from line 2. Enlor Iho r08OI1 horo snd on Form 1040. IIno O. , . . . . , , . . . . . Note: II au had over $400 In ross divIdends andlor aihot' dlab1butlons on stock, U m.JsI also co 5 U.I norm 01 p.yor. Includo gross dlvldond, snd/or olhor dl.lrlbullon. on slocl< horo. Any cspllal gain di'Olbullons ond nonl8ll0blo dl,OlbuUon, will be doduclod on lines 7 snd 0 , . 2 475 3 4 475 1010 PSlI III. Amount 5 6 Add Iho omounl. on IIno 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ............,..... 7 C.pllal goln di,lrlbutlon.. Enlor horo ond on Schodulo 0' 7 8 Nonlaxob!o dl,Olbullon,. (500 Iho InOl. lor Form 1040, IIno 9.) 8 9 Add IIn.. 7 ond O. . . . . . .. ......... . . . . . . . . . . . . , . . . . . . . . . . " . . , 10 Subhact line 9 from line 6. Enter Iho rosull horo and on Form 1040,11009 . , . . , , ., . . . , .. 'II you do 1101 nood Schodulo 0 10 roport sny olhor goln' or 10..0., 500 lho Instructions lor Form 1040, IIno 13. 6 9 10 V," No x COIlY"Qlll Formt ,.,nll....'''.n...ly. 11lQ" "_Ir:o. l"c Pjll/Jr.rlln, Oeplrtmenl 01 TlelBury Inlornal Rev. Sefvlco gg Name ot proprkllor Melvin L. aiqler A Prlnclpll OOoln... or profooslon, Including producl or SB/Vlco (soo plgo C-l) Gasoline station & re air service C Buslnesa name. II no aeplllto buslnes! nlltTlO, IOlvo blink. Melvin L. ai ler E d~loon ~ 9822 Molly Pitcher Hiqhway ~11y~~~IO. ZIP Shi ens bur PA 172 5 '7 F Accounnng mefhod: (1) CIsh (2) Ace,uII Profit or Loss From Buslrl_.Is 0..0 N. ....-001. (Soil Prop~.lorlhlp) 1996 iii> Plrtn.r.hlpl,lalnt ventur.I, eIC.. mUlt nle Form 1015. AnKh",enl ~ AltIIch 10 Form lOCO or Form 1041. ~ Soo InllnlcUonl lor Schedull C Form 104lI. 58 uonco No. 09 Soclal-..rtly nu_ (S5N) 178-4 -2 2 B Enllr p~nclpll buen. codo ~ 3558 D Employ.r 10 no. (EIN). II Iny SCHEDULE C (Form 1040) G Old you "malO/IIlIy p8l1lc1p110"In the opOlsllon ollhl. bu.lno.. during 19961 II "No," BOB psgo C-210r IIml on 10...., . . . . .. 119 V.I H No H II vau slerted or 1C0ulrod Ihl. bu.ln... dUllno 1996, chock horo . . . . . . . . . . . . . . . . . , , . . . , . . . . . . , . . . . . . . . , . .. . . , . . . . . . . . . ~ I Plrt I I Income 1 Gross receipts or 1Ia1e9. Caution: II this Income was roported 10 you on Form W-2 and tho "Slstutory BIl1lloy.." box on Ihsllorm WI' chockod, BOO psgo C-2 snd chock holO . . . . . . . . . . . . . , . . . . . .. ~ 0 1 3 731 2 Returns and allowancM. . . . . . . . . . . . . . . . . . . . . . . .................. .. ..................... 2 3 Subllsclllne 2 Irom IIno 1.. . . . . . . . . . . . . .... ............... . . . . . . ..... ..... ... .......... 3 8 731 4 CO'I 01 good. sold (from IIno 42 on pogo 2) . . . ...... ................ ........................ 4 5 Groll pronl SubUlclllne 4 hom line 3 . . . . . . .... .................. ........................ 5 8,731 6 Other lneoma, Including Fodoral and slalo gasolino or luollD credit or rotund (900 pago C-2) . . . . . . . . . . 6 7 Grolslncom.. Add IIn.. ~ snd 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . , . ~ 7 8 731 fpatl III Expenses. Enler ollpensoslor bUstno9s use 01 your homo onN on IIno 30. 6 Adverttslng....,....,..... . 6 19 Pon.lon & profll-.hsrlng pllns . 19 9 Bad debts tram Balm or 20 Ronl or 101.0 (... psgo C-4): 8OIViceo (SOB psgo C-3) . . . . . 9 8 Vohlcles, mlChlnory. & oqulp. . . 208 10 Car and truck ellponsos b Olher bu.lno.. proporty .. . . . . 20b (BOO pSg<l C-3) .. . .. . . .. . . . 10 21 Ropalrs and malnlonanco . . . . . 21 11 COrm'isslon. Ind I.... . . . . . . 11 22 Supplies (nollncludod In Pert III) 22 12 Doplollon.....,.,........ . 12 23 TaxM Bnd licenses . . . . . . . . . . 23 13 Ooprodlllon Ind socllon 179 24 Travol. moals. & ontortainmont O"Ponso doducllon (nollnclud- 8 Travol .. . . . . . . . . . . . . . . . . . . 248 ed In Pert III) (... psgo C-3). . 13 b MOil. ond 14 Employ.. bonelll programs onlortalnmont (olhOl Ihsn on line 19). . . . . . . 14 C Enl.. llO"'{' 01 I!ne 24b 15 In.U'Bnco (olhor Ihln hOlllh). . 15 .Ub/OCIIO 16 InlOlest: 11m! alions (lOB pg. C-4) 8 MOllglgo (plld 10 blnk.. OIC.). 168 d Sublrsclllno 240 ~om llno 24b . 24d bOthOl................... . 16b 25 Ullllllo.,..."....,......, .. 25 17 loqll Ind prolos.lonll 26 Wlgo. (Ies. olT4'loymont crodll.) 26 smvk:os... ....... ........ 17 27 Othor ellponS99 (from Uno 48 on 18 OfficoOIlDenso............ . 16 01002\ . . . , . . . . , .. . , ... . . , 27 8 731 26 Totalexpen.es boloro Ol(ponsm tor busIness usa of Ilomo. Add lines 0 thfough 271n columns. . . . . . . ... 26 8.731 29 Tonllllvo prolll (10..). Sublrlclllno 20 hom IIno 7 . ......... ................................... 29 0 30 Exponsos for buslnoss uso of your homo. Anach Form B829 .................................... 30 31 NI' pronl or (Ioas). Subllsclllno 30 hom llno 29. . 110 profit, onlOl on Form 10000.lln. 12, Ind ALSO on Schedul. SE.llno 2 (.lllulory _Ioy.... S09 pago C-5). ESlslos and truslS. ontor on Form 1041, IIno 3. 31 0 (3) OlhO/ (spoclly) ~ . II slos., you MUST go on 10 IIno 32. 32 II you hlvo 110.., chock Iho box Ihol doscrlbo. your Invo.lmonl In Ihl. ecllvlly (BOB psgo C-~). . II you chockod 321, onlOllho 10.. on Form 1040.lIn. 12, Bnd ALSO on Schedul. SE,lIn. 2 (!tatulory omployooo, 500 pago C-5). Eslal09 snd ttusts, onlor on Form 1041, llno 3. . II you chockod 32b, you MUST OIIoch Form 6190. For Plperwork ReducUon Act Nollcl. s.. Form 1040 InllnlcUonl. eM C12 NTr 54'4 } } 328 B PJlnvostmonl Is sl ~sk. 32b Some InvOl_nl I. nol II risk. Sohedu," C (Fonn lOCO) 1898 Copy'lghl fOftllt Sorh.I" 0nly. ,q9fl N,ICD.lnc. fjUeSCHCl Schodulo E Form 1040 1006 AlIaLI Name(8) ,hown on return. 00 not on181' namo and Doclal 50curtty numbOf II shown on olhor oldo Melvin L. & Kim D. Bi ler .11 Su uenco No. 13 P 2 Your aoclallecurtty no. 178-48-2262 Holl: II you ropon amounts trom firming or nst1lng on Schedulo E, you musl onler your gron Incamo from those ICUvlUu on line 41 btHow. Roll eslalo professionals mJsl camplolo tlno 42 below. I Part III Income or Loll From Partnershlpl & S CorpI. Nolo: If you loport I loa. 110m In Il-rtlk ICllvlty, you MUST check ollhor col. (0) or C~ olllno 21 to doscrlbe your Invoslrmnlln ocllvlty. Soo plgo E-4. II you chocl< CQI. C~, you rruallnseh Form SI1S. \!I!.""'Of. ~ 10' \el,,:,.'!.~kll l~!~fnf~%~ ln~..lrnnl At Alllt' 27 (I) Nomo plllnor"~:~;. S fo,oign (I)AIlII (f)scrnatl for S cor . Dortnorahlp number Iltll_ nolalfllk A Melvin's Exxon Auto Reoairs S 25-1689609 X 8 C 0 E P8Illve Income end Loll Nonpalslve Income and Lou (gl Pass'volo.. allowod (h) Psa,tvo 10001110 (I) Nonpa9SlvQ los9 OJ Section 1190'pon.. (k) Nonpa..lvo Incamo (anoch Form 1512 If ,squlrod) kom Schodulo K-' Irom Sehoduto K- t doducllon 'rom Fonn 4512 Irom Schodulo K-l A 4 086 8 C 0 E 28a Totols I 4,086 b Tolal.1 29 Add column. (k) and (k) olllne 20a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........................ 29 4.086 30 Add columns (g), (I). snd OJ 01 line 20b. . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 31 Tolal portnerahlp snd S corporation 10001110 or (loss). Combine IIno. 29 ond 30. Enlor tho ,osull horo and Includo In lhe lolal on llno 40 below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....................... 31 4 086 IPart 11I1 Income or Loss From Estatel and Trulls 32 (a) Namo (b) EmployOf IdontUk:stlan numbor AI BI Passive Income and Loss NonDaSllv& Income and Loss (c) Psssivs doductlon or loss allowod (dJ po..lvolncomo (0) Doductlon or 10,. (I) Olhor 10001110 Irom (anseh Form 1512 II roqulrod) Irom Schedule K-l !rom Schadula K-l Schedulo K-l AI 81 33a Tolal.1 bTolal.1 34 Add column. (d) and m olllno 33S. . . . . . . .................................................... 34 35 Add column. (c) ond (0) olllno 33b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 . ) 36 Totaloslalo and Iru,'lncomo or (loss). Combl"oll"o. 34 snd 35. EnlOf tho ro,ulI horo and Iooludo I" Iho 10lal on line 40 below. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . 36 IPert1Y1 Income or LOIS From Rool Estate MortQaQe Invollment Conduits (REMICsl - Residual Holder 37 (I) Nomo (b) Employor (C~~ralnclu'lon Irom (d),Tsxsblolpcomo (0) Incamo Irom Schodula. h~~as~'I"~ 2c (net 10..~!rom IdonuncaUon "umbor SOD S E-4 Schadulal line 1 b O. line 3b I 38 Comblno CQlumns (d) and (0) oniv. EnlOf 1110 ro,ulI holO and Iooludo '" Iholotal on IIno 40 below .......... 38 I IPalt VI Summary 39 NolIs,," ro"tallncomo ortloss) Irom Form 4835, Also, complalo Ilno 4 t below.. . . . . . . . . . . . , . . . . . . . . .. . 39 40 TOTAL Incamo or (10..). Comblnollne. 20, 31, 30, 30, & 39. EntOf tho ro.ulI hOfo and on Form 1040, line 11~ 40 4,086 41 RoconelllaUon 01 Farming ond Flahlng Ineoma. Enlol your gro.. larrnng snd tI'lIlng Incomo 'opMod on Form 4835, IIno 1; Schodulo K-l (Form 1085), llno 15b: Schedulo K-l (Form 11205), ""0 23: lI.d 5cllodulo K-l (Form 1041), IIno 13 (soo paqo E-4). . ...... ........... .......... 41 42 Reconciliation for Rial Estlle Profesalonllll.1I you wow 0 loal 051810 prolnsslonnl (900 paqo E-:J). onlm Iho nollncomo or (loss) YOII roportod nnywhorn on Form 1040 'rom nil ronlal rool oslalo nellvlltos In which you - malOllnlly PDrtlclpalod undO! lho DDS51vo Qcttvitv los9 rulos 42 CAA E12 N IF ~~f10 rnpyllgl'l!r..../lM":nfl.....,.f1nl" ,QQIIN.lr".I"'r: 'jQII,:rllr1 Form 2441 Child and Dependent Care Expelo..es OMB No. lM~-OO66 DopBltmont 01 Trellsury Inlomll Rov. Sorvlce 99 Name(.} .hown on Form 10<40 Melvin L. & Kim D. Bi ler . Attach 10 Form toco. ... S... 1,.talnatrucUonl. 1996 Anochmonl 58 uonco No. 21 You, .oclll ....urtty numb<< 178-48-2262 You "oed 10 undOf81snd tho lollowinq lOll'"" 10 cOl'r4'lelo this fOlm: QUlllfylng POllon(.). Dependent eall BlnlnO, QUlllnl<l Expenlll. ond Elml<l Incoml. SOl Importanl Tlrm. on pego t of the Form 2441lnslrucUons. I Part II Perlonl or Organlzallonl Who Provided the Care Vou mUll complelolhls pI/I. . . (II you need moro ,poco. u.01he bollom 01 poqo 2.) 1 (.) CI/O provldor'o (b) Addro.. name (numbor, sl100I, apl. no., city, stalo, end ZIP codo) Mt Rock Care 22 Mt Rock Road and Share Shi ensbur PA 17257 2 Add Iho omounl.ln column (d) olllno 1 ...... (c) Idonlllylng number (SSN or EIN) Cd) Amounl pold (.... In.lrucllon.) 23-2273046 396 .............................................. 2 396 3 EnlOf Iho number 01 qulllfylng plloonscorod for In 1996 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . ,. 1 Old you rocelvo dopondenl call benonts? NO YES . Comple10 only PI/III bulow. . Compl010 POI1I11 on pego 2 now. Caution: litho e8l8 was providod In your homo, you mey owe employmont taxus. Soo tho Instructions for Form 1040, line 50. I Part III Credit for Child and Dependent Cere ExpensIiI8 4 Enlor the smounf olqulllnl<l 11lpIn..a you Incurred and psld In 1990. 00 NOT enlOf morelhan $2,??OO lor one quolllylnq person or $4,800 lor two or more pOt'sons. If you cofT1)leled Port III. onlor tho amount Itom ~~,................................................ 4 5 EnlOf YOUR ..mod Incoml .. . . .. .. . . .. .. .. . .. . . . .. . . . .. . .. .. .. 5 6 II monied filing s jolnl return, enler YOUR SPOUSE'S esrned Income (if student or disabled, soa the InstructIons): an other., oolor tho omounl from line ~ ..... . .. .... ... ... ... ... . .. .... . .. . . . . . . . ...... 6 7 EnlOf Ihe om.II..1 01 line 4, 5. or 0 . . . . . . . . . . . . . . . . 6 Enter Ihe amounl from Form 1040, line 32 . . . . . . . . . . . 9 Enlor on Uno 9 lho doctmal amount shown belOW Ihal appllns to Iho amount on lino B II11nl8 la -- llIclma' II IInl 0 'a -- But not amount But not Over over II Over over $0 -- 10,000 10,000 -- 12,000 12,000 -- 14,000 14,000 -- t8,000 16,000 -- 10,000 18,000 -- 20,000 $20,000 -- 22,000 22,000 -- 24,000 24,000 -- 20,000 20,000 -- 20,000 28.000 -- No limit .30 .29 26 .21 .28 .25 396 23 660 25 689 7 396 6 53 910 llIclmal amount Is .24 .23 .22 .21 .20 9 x.20 10 Mulllply IIno 7 by lhe decimal amounl on line 9. EnlOf Il1e resull Than, .OI Ihelnslrucuons lor the emounl 01 credlllo enlOf on Form 1040, lina39.. ................... 10 For Paperwork Reductton Act HoUel, 8ee separale InstrucUons. CAA 244112 NTf 5534 Copyllghl FOHM ljrllt....." Only, 191)1' N.lco,lrlc. N!l81.ull 79 Form 2441 (199B) ~ 1 040 Doparfmenl 01 1118 TIOBIIUI Inlmlla! Rovonuo SOIvlco 'of U.S, Individual Income Tax Return ~@95 U.I l thl . IRS B Iobtl. I Olho<- wise, H ple.~ ( print A or type.' p...ldtnUII iii. ElecUon CoompIlgn ,. 1 2 3 4 Filing StatuI lSee pego 11.) Chock only one box. Exemptions lSee pegB 12.) If n'O'9lhlln ,he depondants, _plgB13. Income Atllch Copy B of your Forml W-2, W-2G, and t099-R here. II you did nol gel I W-2, BOO plgo 14. Encloso, but do not BUBCh, your psymenllnd plyment youchor. Soo plgo 33. AdJustments 10 Income A . Gr. Income eM 104012 Forlh, ..,J&n.l.Olc.31 IiI! ofoll""'.. la' hi 'nntll 18Il!lndln 99 IR~ U.. Onl, n 00 nnl Wlnl Of It.pllln !hll .pl". ,II OMB No. lMe-0014 Vour 10<:111 lecurtty numb., 178-48-2262 SpOUI'" 10Clll lecunty no. 164-54-9670 Melvin L. Bigler Kim D. Bigler 236 Cloverhill Road Newburg, PA 17240 Notl: Chocking -V... win nol chlngo your lax or reduco your rotund. VII No Do you wsnl S3 10 go 10 Ihlslund7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . X III InHolurn, dOM our S OU50 want $3 to 0 10 thl9 fund1. . . . . . , , . . . . . , . . . . . . . . X Single For PrtVICY Acl Ind PopeIWOrX ReducUon Act NOUCI, III pill" 7. X Mlnled Bllng /Blnllolurn (ovon II only ono hsd Incomo) MI"t,d f1"ng UPI'all "lu,n. [nl" 'pauli'. SSNabov' & lutlnam. h,f... HOld 01 housohold (with qualilylng pOIson). (500 psgo t2.) II qUllilylng pOIson I. I child bul nol your dopondonl, onlor child's name hOfo. . Quafl n widow Of wllh do ondonl child . s ouso dJod~19 . Soe I 0 12. Your..II. II your paronl (or somoono 0190) can claJm vou a9 a depondent on hls/hor tax} No, 01 bo... roturn, do not chock box 8a. BUI bo suro 10 check box on line :J:Jb on pago 2, ~~~~~'d on lit uae..",..." .. .. . ... ,..',..... .., . .......,... ......... .... ... .. 2 O.p.nd.nt't aoet.1 a.p.nd.nt'. ) No. of No. of your IIcurll., numb.r. It born ,,1I.!fDn.hlp 10 mo. IIv.d In chlld"n on Be In 11I!....p.g.13. you y~~rlQir. who: 202-72-6763 DAUGHTER 12 5 6a X b c luln.m. Ho ler d If your child didn'lllv. _lIh you but II c"',m'd.. youI d.p.nd.nt untl'" pre-lIIl! 'gr..m,nt. ch,d h'f' , .. 8 Total "umbor 0' oxo lions claimed. . . , . . . . . . . . . . . . . . . . . . . . . 7 W.g.., 11""1.,, lip., .Ic. AII.ch Form!.) W~2 6a TlXoble InlOf091lncomo (SOB plgo 1~). Anoch 5chodulo B II ovm $'00. . . . . . . . . b TIX-ellmpllnlOfoal (900 pg. le) DO NT 'ncllldo on Ilno 8s 8b 9 DIvidend Incomo. Anoch 5chodulo B II ovm $400. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Taxable rolunds. crodlls, or offsul!J 01 slaIn and Ioctlllncomo ta'll'n!i (soo pago 15) . . . . . . . . 11 Allmonylocolvod......................................................,.. 12 Buslnoaslncomo or 110..). Anach Schodlllo C or C-EZ. . . . . . . . . . . . . . . . . . . .~. . ~ 13 Cspllll gllo or (Io.s). II roqlllrod, enoch 5chodlllo 0 ('00 plgo 10) . .~~\~~, , . . 14 OlhOf gllns or (Ios...). Anach Form 4797. . . . . . . . . . . . . . . . . , . . . . ~\f~ . . , . . . . . . , 158 TollllRA dlslrlbullon. .. ~ I b To,oblo amounl (soo pg. 18) 16a l'ol.Ir,nIlOnllnd,nnuilll'l. [}!!J b T8'11'tlbln BOlOunl (900 pg. 18) 17 Ronlal roal ostalo, rOYRlllos, partnerships, S COIpofRllons. Irusls. elc. Ansch Schodulo E . .. 18 Farm Incomo or (Ios.). Anlch schodlllo F . . .. . . ... ........,..... 19 Unllflllloymenl componsallon ('00 paqo 11). . . . . . . . . . . . . . , 208 50daJ .ocurlly OOnollls . ~ I b Toxablo amoun! (soo pg. 10) 21 01110< Incomo. 13 14 15b 1Gb 17 18 19 20b ,i:!!!!I! 21 22 22 Add 1110 amounlsln 1110 lor II hi column lor IInos 7111rou h 21. This Is our tollll.coml. ~ 238 Vour IRA doductlon Isoo plgo 19). . . . . . . 238 b Spou'o'sIRA dodllcllon {.no pogo 19) . . 23b 24 Moving o'ponso.. Anach FOlm 3903 or 3903-F. . . 24 25 Ono-hlll ol.all.llflllloymonl 10'. . . . . . . . . . . . . . 25 28 501l-llflllloyod hOlllh In.urlnco doducllon (.no pogo 21).. 26 27 Koogh & soll.omploynd sEP pia",. IlsEP, choc~.. ~ 0 27 28 Ponally on olrlv Wllhd,"wal 01 ..vlng.. . . 26 29 Alimony plld. Roclplonr. ssN. 29 30 31 SublrBClllno 30 horn IIno 22.1111519 NTF ,"no BIG2262 .,...... ~ 30 ........ ~ 31 PropIIOls Edlllon 2 ellv.d_lthyou edldn'lllv,_lIh you du.lo dlvo,n or up'f,llonl'" plg'toIl 1 D.p'nd'nl.on8c not,nllt.d.bov' Addnumblf' .nt.,.don IInn.bav. . 7 6a 48 688 348 :,;,1' 9 10 o 9 517 58 553 58 553 Form 1040 (t99~) Melvin L, & Kim D. Big' ~ Form 1040 199~ 32 Amount 110m line 31 (ldluSl0d qron, Illcomol . . . . . . . . . , . . . . 331 Chock N: 0 Vou w..o ~/oldOl, 0 Blind; 0 BpoUIO WI' ~/oldOl, 0 Blind. Add lho numbo< 01 bo'" chockod lboYO Ind onlOllho 10101 hOlo . . . . . . . . . . . . ~ 33a b II vour poronl (a. BOmoono 01'0) con c1llm VOU .. a dopondonl, chock horo. . . .. ~ 33b C II VOU SIO mor.lod nllng loporaloly Ind vour ,pou.olI"",'" doducUon, or VOU ~ 33c 34 ~~; dU{oI-l::~ll:~CC:~: ~~~n~c~~~u~::'~ln~. 20: OR. . . . . , . . , . . ,.. } Iho Slondard doducUon ,'oOwn bolow lor vour IlIIng II"U' BuIll you chocked I any box on IInl 3311 or b, go 10 pago ZJ 10 find your 8tandard doducUon arger It you checked box 33c, your slanaard doductlOn Is lorD 01 0 Slnglo __ $3,900 0 Mllrlod 1,IIng Iolnlly or OUllllylng wldow(o.) -- So,!l!lO vour: 0 Hlad 01 household n $5,750 0 MerrI8d nllng BOpllOlolV -- $3,21~ 35 Subl.sclllno 341rom llno 32. . . . . . . . . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 Illlno 321, soe,02~ o. 10.., ""llIply $2,500 bV lho 10111 numbo< olo'ompllon' clllmod on line 60. IIl1no 3218 Dvm $86.025, 900 tho workshool on page 23 for tho emounllo onlOf . . . . . . 37 Taublolncomo. Sublloclllno 30 from lin. 3~. IllIno 30 I, morslhln llno 3~, onlor -0-. . . . , . . 36 TO<. Chock IIlrom a ~ Tex Tablo, b 0 Tex Rllo Schodul...C 0 Copllol Gain Tex Work- lhool, or dO Form 001~1""., "I. Amounlfrom Form(') 0014~ e 39 Addlllonol lex". Chock IIlrom a 0 Form 4910 b 0 Form 4972 ........"..,...". 40 Add IIn.. 30 Ind 39. . . . . . . . . . . . . . . . . . . . . . . ... . . . . ... . . . . . . . . . . . . . . . . . . . . , . .. ~ 41 Osdlllor child & dopondonl csro o'p. An,ch FOlm 2441 . . . . . 41 59 42 Crodll for Iho oIdorly or Iho dl.lblod. AUoch Schodulo R . . . . .. 42 43 Forolgn lex crsdll. Ansch Form 1110 . . . . . . . , . . . . . . . . . . . .. 43 44 Olhor crodll. (900 pogo 2~). Chock IIlrom a 0 Form 3800 b 0 Form 8390 C 0 Form 0001 d 0 Form 44 45 Add Ilno, 411hrough 44.. . ... . ...... ...... ..., ,.......,... , .... ... ... .., ,.. .... 4B Subllsclllno 4~ from 11110 40. II II no 4~ I. moro Ihsn IIno 40, onler -0-. , . . , . . . , . . . , . . . . , . ~ 47 son-employmonllex, Anlch Schodulo SE. . . . . , . . . . . . . . . . . , . . . . .. . . . . . . . . . . . , , , . . . . 46 ,,"ernsllvO mnl""m lex. Ansch Form 62~1 . . . . . . . . . . . . , . . . , . . . . . , . . . . . . . . . . . . . , . . . . 49 Rocsplurolex... Chock II from a 0 Form 42~~ b 0 Form 0011 C 0 Form 0020. . , . . . . 50 Soclsl,ocurlly snd Modlcllolex on lip Incomo nol roporlod 10 omplovor. Ansch Form 4137 . . . 51 Tex on qUlllnod roUrormnl plln" Including IRAs. II requlrod. Inlch Form 5329. , , . , . . . . . , , , 52 AlIvlneo olrnod Incomo crodll plymonl. Irom Form W-2, . . . . , . . . . . . , . . . . , . . . . . . . . . . . . 53 Houoohold omploymonllex... Anoch Schodulo H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , Tax Compu- tation (SUe pogo 23.) II you wlnl lhe IRS 10 \lgure your lex,_ page 3~. Credlll (SUe pogo 24.) Other T811al (SUe pogo 2~.) Payments ~noch For"" W-2. W-2G, snd 1I)99-R on page 1, Refund or Amount You Owe Sign Hare Koop I COPV ollhl. rolurn for your rocords. Paid Preperer's Use Only CM 54 Add IIn.. 46lhrou h 53. Thl.l. our 10101101. . . . . . . . , , ... . . . . . . . . . . . . . . . . . . . . . . , . ~ 55 Fldtrallncomlluwllhhtld,"'nyll'fol'lFo''"tIIIOgl,chtek...... 55 6 060 56 199~ ..Umslod I.. psymonl. & sl111. oppllod Irom 1994 rolurn. 56 57 Elimed Incom. credlL AUlch Sch.dull [Ie II you hlv" Qualifying child. Non,...bl. ..,",If 'ncolII': Ii'll. ... I _d~.~ 57 56 Amount psld wllh Form 4600 (ollton.lon .0quO.I) . , . . . . . . , . , 58 59 ExCOSS ooclsl BOCtJr1ty snd RRTA I.. wllhhold (s.. plgo 32), ,. 59 60 Othorpaymont9.Checklflrom eO Form2431 bD FOfm'l3I1. 60 61 Add lines ~ lhrou h 60. Thoso..o our 10101 . menlo . . . . . " . . . . . . " .. . . " .. . .. ~ 62 II Uno 611, moro Ihsn Iino 54. I1Jb"actllno 54 Irom llno 61. Thlo I' lho amounl VOU OVERPAID. 63 Amounl olllno 62 you wsnl REFUNDED TO VOU . . . . . , .. .. , . . , , . . . . . . . . .. . . . , . . . . , ~ B4 Amounl ollino B2 VOU wsnl APPLIED TO 1;118 EST. TAX, . . ~ B4 ,.I'11i:I', 65 "lIno 54 Is morolhln IIno 61, sublrlclllno 01 lrom IIno 54. Thl.I. Iho AMOUNT VOU OWE. 'if,II:I,' "'i"," For dolsll. on how 10 psV ond u.o Form l040-V, Psvmonl Voucher,." pago 33. . . . . . , . . ~ 65 872 66 Estimalod tax onal 800 8 033 . Also Indudo on IIno ~. .. 68 li:;!ii,i!:IHlh:::l1iililililiiiiili!ii!:!!!ii::!!ii;I'lil!lrli:liil11;::1 Under ponolll.. 01 pOllurv.1 doclorolhlll hlvo o,eml1Od Ihl. rolurn snd occompsnvlng schodul.. snd stllomenls, Ind 10 lhe bos1 ollf'ff knowl9dgo Ind bonol, Ihoy ..olruo, conocl. end complolo. Doclo,ollon 01 propllor (olhor Ihln lexpsVor) 's basod on all InlormaUon 01 which proporOl hi. env knowlodge. ~ Your signature Dato Your o~patlon r Busl.ness owner .. spouso's olgnlluro. II e jolnl rolurn, BOTH "".1 sign. 0010 Spouso's occupollon r Pa roll acct Chock II Proplrer'. IOctsl oocullly no. sOII-omplo od 188-48-5520 EIN 25-1751935 ZIP codo 32 1iiiil\i'ji: Ili:'.:lil',. .(l!i:1 II i; i III Ii ~ I'ili'" ,lld:,:, "1'11'1. 'II::,:,' I,'.' :1::11%: , ~ II ! I ' ' I :1; : 34 35 38 37 36 39 40 :""II! I.. ~lht1i! j"!I"i'l :1;i,'II;, ",:II1I!1 :i:III'liili' 1I"liH' 1,11,''1' i'I,!III!', 45 48 47 48 49 50 51 52 53 i!:;!;i!l:i 54 PfoporOf'S~ DolO slgnlturo r r;-:; 4 9 96 Flrm'snlmo(orvoUl...FRANCIS A, MARCHAL P.C. lI.oIl-nmplovod) r. 4 9 WEST ORANGE STREET Ind nolilro.. . SHIPPENSBURG PA 104012 Nr"", 2450182 Copyllglll rlllm, "Inlhlo~" 0"',. 1911!\ N~tr", '"e. NQ"U14n1 17257 178-40-2262 P 2 58 553 7 954 50 599 7 500 43 099 6 991 6 991 59 6932 6 932 6 060 PrnparGfS Edition SCHEDULE A (Form 1040) ~ .edule A -- itemized Deduc. ,ns Departmonl 01 Trel!lsury Inlomal Rov. Sorvlco '(DDI Name(I) .hown on FOfm 1040 Melvin L. & Kim D. Bialer CauUon: 00 nollnctudo ellpansos mirnbufsod Of paid by olhOf9, 1 Modlcal Ind donlal o'pon.... Medical and Dental Expan... Tax.. You Paid (- pageA-l.) Interelt You Paid (see page 1.-2.) Holo: P....nal Inl",..II. not deductlble. Gina to Chartty .. Attach 10 Fo,m 1040. .. 5.. InllrucUonl ro, Schedule AIForm 10401, I!:'I::! 1 li:,1 3 Mull1ply line 2 lbovo by7.~% (.01~1 .. . . . . . . . . .. .. .. .. .. .. .. .. 3 4 5ublrICt line 3 110m line 1. IIl1no 31. moro Ihln IIno 1, onlol -0- . . . . . . . . . . , . , . . . . . . . . . , . . . 5 51110 Ind Iocallncomo laxo... .. .. . . . .. .. .. . .. .. .. . .. , .. .. .. 5 2 . 011 6 Roal..llls laxo. (000 plgo 1.-2) . . . , . . . . . . . . . . . . , . . . . , . . . , , . 2 Enl'" amount bom FOlm 1040, Ilno 32 ,. I 2 I BB3 442 6 7 P"'lOnal plOporty taxo.. . . . . . . . . . . . . . . . . . . . . . . , , , , . . . . . . . . . 7 8 01"'" lax.. .. 1,".'1 ' OPT 8 20 9 Add line. ~ Itl/ouoh 8 . . . . . .. . . . . . . . . . . . . . . . , . , .. . . , , . , . . , . . . . . . . . . . . . . . . . . . . . . . . 10 Homo mongogolnl",..1 Ind points lopanod 10 you on Form 1090 .. 10 3 9 B 8 11 Horne monglgo Inl",..1 nol ,oponod 10 you on FOlm 1090. II paid to I :',~:":" aener. show thai person's name, 10 no., & addross ... ,!:':: I!",!: 11 12 Point. nol roponod 10 you on Fm 1090. 500 pg. 1.-3 lor special rulo. 12 13 Invootmont Inl....1. It roqullod, Inlch Form 4952. (see pogo 1.-3.). , 13 14 Add II... 10 Ihrouoh 13 .. . . . . . . . . . . . . , . . . , . . , , . . . . . , , . , , . . . . . . .. , . . . . . . . . . . , . . . . 15 Glhs by cash or check ,,:,,:i;:,:, "I::I:i/ !I",II:!! Vi,: ! 610 It you msdo 15 I gin S~dlgol 16 Olher Ihsn by cosh 0' check. IIsny gill 01 $250 or moro..oo pogo ,,' " . bono.u or h. BOO pogo 1.-3, II over ~. you MUST snsch FOlm 0203 . . . , . . . . . , , . . . . . . 16 1.-3. 17 Corryover Irom prior yoor . .. , .. . . . . . , . . . . . .. . . . . . . . . . . . . . , . 17 16 Add II... 151hrouoh 17 ... . , . , , , . . . . . , . . . . , , . . . . . , , .. . . . , . . . . . .. . .. , , , .. . . . . . . , , C"""y,lh'" 19 CI.UaItV or tholllo..(o.l. Anoch Form 4684.1_ Doqo 1.-4.\ . . , . . . . . , , .. . . . , . . . .. . , , , . . . Job 20 Un"lmbu'ud empl. ...p.I"lqultld. you MUST allaeh ~o,m 210e or 2101l-EZ. ...1 !!:'::: ExJlenSes nHI and Most Ii; Other 20 Miscel- laneous 21 Tax proporsllon 1009, . , , , . . . . . . . . . . . . . , , . . . . . . . . . , .. , ... .. 21 Deduc- 22 OUlO' o'pon... . I:.,',':," , tlona 22 ~s;;. 1.-510' 23 Add lines 20 Ihrough 22 . . . . . . . . ,. .... I ... I .............. 23 oxponSM to 24 EnlOf' amount from Form 1040, IIno 32. 24 I,: ,.', deduct hero) 25 Mulllply IIno 24 oboYo by 2% (02) ................. .,..... '25' 26 5ubusct IIno 25 110m IIno 23. IIl1no 251. molO Iho"lIno 23, ontor -0- . . . . . . . . , . . . . , . . . . . . . . 27 Olher -- 110m lI.t on pogo 1.-5. U.llypo ond amount. Othor Mlacal- lan,ouI DeducUons Tolol itemized Deduc- tions 26 I. Form 1040, line 32, ovor $114,700 (over $57,35V II msnlod filing .opsrstoly)? NO. YOUI doducllon Is not 1Im1lod. Add Iho amounl.ln Iho for light column } for 11"09 4 through 21. Also. nnlor on Form 1040, Iino :34, tho larg.rol .... . ... . thl, amount or your standard doducllon. YES. Your doductlon msy bo 1Im110d. 500 pogo 1.-5 lor Iho smount 10 onlor. OMB No. 1545-0014 1995 ~nochmont """"oneo No. 07 You, IOCIa. aecu,lty no. 17B-4B-2262 ''''I'' ~; I, I ! : ' , " ,~ I I;'III!II,' :lliiji': :',III!:II:, ".'111'1.111.' .oli,11 II!!II!:,!' 4 o ]filii II'" dllli.!": '11111l1' ;ii..':!:il :;!:!j:i!j '~I>tn(! "i'I'.I"li,' ;:'1'1" 11;'i!,!: :""I'!III' 9 3.356 ,,::,llill" 1:,.,'1':1111 :.11111' 'i;Ti!! I' ."",111' ..Ii!:':; :,::ii!l:i ,'ti;:' IIp!!!:II', i'Y:::li;: ,;I,i1iiiill 1'.:'II:lll: 14 3.9BB "'1"1'" ,;"liil.I:1 'l.i!!::.:lI'11 'l.i.;1 :tj1h:i!!!1 :!iLiiptilj l'i'liI'l!I" '1"11'1": "11:,1, :jl!-It1rli!! I:PII.II'I'I". '::II!,I,' !i!:ill!1111 16 610 19 0 "W1111i1l' :.1:.1::1111!!1 11:0111'1' I":!!,I,I" il:::.I!!I,!! ,b'III,I:,. ~ni,IH! '1!,::liJ'i !:ii!il';ii: !:mi:lij;' ',"I.'.!I:II',', i:I:lqll' ; !:!! i ; II j : j ~ 26 0 r ! Ii: II j I' ~ ~ I'IIIIII!I "'.;'I"II'!!'. II::'![II 27 0 . t[2B 7.~ ;,11;1.".,;,'1"":'1;, ,),1,1':: I:'I',:;!II:::,,:,! ..,Ii:,:,'::,'::" For Paporworl< Reductfon Act Holtco, 1M Form 1040 InatrucUona. eM 1.012 "IF "" Ploporers Edlllon Schedulo A (Form 1040) 1195 CDpyIIO'" r",,", Snllw",'e Only. "HI~ ~h'CD. '''f N95SCIlA' SCHEDULE C (Form 1040) Profit or Loss From Busln, J b....No. ''''-00'' (Sol. Propri.'o,"hlp) 1995 .. Plrtne,ahlp., Joint ventur.., .tc.. mUlt nle Form 1015. . Attachment ~ Atuch 10 Form 1040 or Form 104t, ~ SM InltrucUonllor Schodul. C Form 1040. Sa once No. 09 Social IOCUrl1y numblr (55N) 178-48-2262 I!nl.r principal buln. coda ~ 3558 I!mploy., ID no. (I!IN). 11 any Oeplll'tmonl at Tre8sury lntema! Rov. Sofvlco 99 Namo 01 proprlolor Melvin L. ni ler A PrincipII bualnon or prof..slon, Including producl or sOlVlco (s" pago Cot) Gasoline station & re air service C Buelnosa name. If no 8Op.,llo bu91ness name, leavo blank. Melvin L. ni ler E Bualnes. ~ 9822 Molly P tcher H ghway ~ddro;:.'IO ZIP Shi ensbur 17257 F AccounHng molhod: (1) C.sh G M lhod(s) used 10 Acaual (3) Olhor ('poclly) ~ o . (l)DCo (2) Dlowor 01 cosl (3)Dolhor(.IIOCh (4)~Doo.nol:f~~(1I V.I No valuo closlnlllnvonlory. sl or morkol o'plonoUon) chockod. p lno H) H Waa thoro any chango In dolominlng quanllUo9, COSIS, or valuations bot'Noon oponlng and closing Invantory11l "'Yes,. anach o'pl.nollon . , . . . , , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I Did you 'mllorlllly plnlelp.lo" In Iho opOlollon ollhl, buslnoss during 100~7I1'No," ,.. pogo C-210. 1Im11 on losso. . . . . . . . . . , X J If vou olartod or ocnulrod Ihl, busln... durlnn 109~, chock hOlo . . . . . . ... . . . . . . . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . , . ,. . . ~ rJ 1;;plUtN Incomo 1 Gloss rocolpl. o. 1010.. CouUon: If Ihl. Incomo wo. roponod 10 you on Form W-2 .nd Iho "SI.'ulory llflllloyoo' bol on Ih.,lorm w.s chockod. soo pogo C-2 and chock hOlo . . . . . . . . . . . . . . . . . . . .. ~ D 1 7.472 2 AOlUrn. Ind a1low.nces. . . . . . . . , , , . . , . . . . . . . . . . . , . . . . . . . , . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Subttoct line 21rom line 1,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 7.472 4 Co'I 01 good. sold (from IIno ~ on pogo 2) . . . . . . . . . . . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . , , 4 5 G,o.. proftL Subttsclllno 4 Irom IIno 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 7.472 6 Olhor Incomo. Including Fodoral .nd slolo go..lIne or luolllll< crodll or rolund (s.. psgo C-2) . . . . . . . . . . 6 7 Gro..lncoml. Add llnos ~ .nd 6. . . . . . . . . , , . . . . . . . . . . . . . . . . , . . , . .. , . . . . . . . . . . . . , , . . , . . . ~ 7 7,472 I~Jiii~II;1 EXDonsos, Enlo. oloon....,o. buslnos. u'o 01 vour homo onlv on IIno 30. 6 Advortlslng.....,.,.".... . 8 19 Pension & profll-sharing pllna . 19 9 Bod dab" from satos or 20 Rani o. loa.. (soo pago C-4): ,jl;:/:'I. oorvtco. (soo pago C-3) . . . . . 9 o Vohlelo.. m.chlnory, & oqulp. . , 200 10 Car and truck exponses b Olllo< bu,lnes. propBr1y . . , , . . 20b (soo pago C-3) , , . , . , , , . . , . 10 21 RepaIrs and malnlonBnce . . . . . 21 11 Cormisslon. ond laos. . . . . . . 11 22 Suppllos (nollncludod In Psn III) 22 12 Doplollon................ , 12 23 Taxes and IIconsos . . . . . . . . . . 23 13 Doproclollon snd socllon 110 24 Travel, meals. & ontertalnmont 'i " olpon.. doducllon (nollnclud- 8 Travel . . . . . . . . . . . . . . . . . . . . 240 od In P.11 III) ('00 p.go C-3). . 13 b Mas'. snd 14 E"",loyoo bonolll progr.ms ontertalnmenl (othor Ihan on line 10). . . . , , . 14 C Enler 50% 01 15 15 IIn024b In.u.anco (olhor Ihon 110.1111), . BUb~OCIIO 16 Inlorosl: " IIml allons :.[:1' (s.. pg. C-~) o Mongago (paid 10 bsnks, olc.). 160 d Subttoclllne 24c Irom line 2~b . 24d bOlhor.................., , 16b 25 Ullllllos....,..,.....,.,... . 25 17 logat .nd prolosslonat 26 w.go. (10.' o"",loymonl crodlls) 26 eorvle...,............... , 17 27 Olhor o'pon.o. (from line 40 on 16 Offlcooloon'o.......,.... . 18 Dona 21 . . . . . . . . . . . . . .. .. . . 27 7.472 - 28 Tolalexpen... belore g)(pensos for business USO 01 homo. Add Ilntr.l 81hrough 271" colummJ . . , , . . . .. 26 7.472 29 Tonlallvo pro III (10'.). Sublraclllne 20 Irom line 7 , . . . . . . ........,.......".. ..,.....",.,..,.. 29 0 30 Expens09 lor buslnoss use 01 your home. Attach Form 8829 . . , . . . . . . . . . . . . , , . . . . . . . . . . . . , . , . . . . 30 31 Nil prom 0' (Ioaa). Subtt.ct line 30 Irom IIno 29. · If. prolll, ontor on Form 1040,lIn. 12, ond ALSO on Schodulo SE.lln. 2 (.'S'utory omploy..., soo p.go C-~). E.,SIOS and lrust., onlor on Form 1041.lIno 3. 31 0 } } 320 B Alllnvo,'montl. 01 rl.k. 32b Somo Invoslmonll, nol sl risk. Schodulo C (Form 104011885 · II. loss, you MUST go on 10 line 32. 32 II you havo a loss, chock Iho bo, Ihol doserlbo. your Invoslmonr In Ihl. scHvily ('00 pogo C-S). · II you chockod 32., onlo. Iho loss on Form 1040, IIn. 12, .nd ALSO on Schodulo SE.lln. 2 (ststulory omployoos"oo p.go C-S). E.lslos and Iru.ls, onlor on Form 104t.llno 3. . II you chockod nb, you MUST .lIoch Form 6190, For Paparworl< AoducUon Act NoUc., ... Form 1040 InolrucUons. eM C12 NfF 1111 SchodlJle E (Form 1040) 199~' Meet-. 13 P 2 Namn(s) shown on return. 00 not onlOf nama end social socurtty numbor II shown on 011101 nldo Your aocla' lecUrtty no. Melvin L. & Kim D. Bi ler 178-48-2262 Not.: II you report amounls horn fllTTllng 01 fishing on Schodulo e. you n'UlIl onlor your glo!lslncomo 110m tholO ectlVlUOI on Une 41 boklw. n.., MIlle profenkJnlls rraJst corT1>lolellne 42 bekJw. ! .-rt.. .' Income or Loss From Partnerships'" S Corporallons Hol.: II vou 10pOll . 10.. !rom In II-rl.k sctlvllV. VOU MUST chock oIlhOl' col. leI or (n olllno 2710 dooc,lbo vour Invo.tmonlln eeUvllv. Sou DO E-4 "vou chock col. (Q, vou fnJ.lln. Form 8190. I.':'LEnlor.Plqr cl..~~HJCk II 11clo~~~~ll'o":, I"'f..tm "'AI AI,.., 27 (I' Nlme Plllnorl~:~;S loroign (.JAIII' (OSo""lt lor Scal . Dl/lnorlhlD numbof "11'" "0111'1" A Melvin's Exxon Auto Renairs S 25-1689609 X 8 C 0 E Paulv. Incom. and Lo.. Honoo..lvl Incom. .nd LOll (V) Plnlvllo.. lllowed (h) Passive I"como (I) Nonpl..lve 10" UI Socllon 179 e'pen.o (kl NO"SISSNolncome (Insch Form 181211 roqu,od) Irom Schedule K...t horn Schedule K-t deduction Itom Form 4512 Jam chedul. K-t A 3.073 12.590 8 C 0 E 288 TotlJs r . '1Ii,I!'::'!','.:,'!'!I:II,-i;llll!':II;II':i'!I:,' :::\:I:"'il:I.:':CII,djd'IIII,,''': : i;' .':' ~ ,! Ii!::; I : : :' '::! 1'1 : : I ~ , I: 1 : i :: : I ! i!,! I , ',,"', I I: III 12.590 b Tolal.1 ,. : ..,.. " 3.073 .., ;1: '".,:::o'l!;"::' "'::;i:" , , ,',I' 29 Add column. (h) end (k) 01 line 201 . . . . , . . , , . , . . . . . . , , . . , , . . . . . . , . , . , . . . .. . . , . . . . . . . . . . . . . . . . 29 12.590 30 Add column. (g), (I), and m 01 line 20b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 II 3.073 ) 31 Tal" pl/lnorBhlp end 5 corporellon Incomo or (10..). Comblno line. 29 snd 3D. Enlor lho ro.ult hOlo snd Includo In Iho lolal on line 40 boIow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 9 517 II P.-rt: IIkl Income or Loll From Estatos and Trults 32 (., Nlmo (b) E"",Io)'Ol' IdenllnclUOn numbor AI 8 PaulY' Incom. and Loas Nonn...ly. Incom. and Lou (el Pssslve doducllon or 10.. sllowod Id) ps..lvelncomo (e) Deduction or 10" (I) Olhorlncomo !rom (Insch Form 8582 " requlredl from SchodlJl. K-' Irom Schedul. K -, SehodlJII K-' AI 81 33a To''', I , i 'I,:'!", ",/i:I:,:j :,'h, """ II ~',; i, ,'-'I,!',' _,' , :i -::" .':':''','''''''''':''''',..:.,.", b Tol...1 . . . , I.. ' . -, :!. ~ " 1,1 li"l,,!; ':' "iH::: ',' ,I' , ' : :. ~", ill I' ! I:, ~: j H ': ~' 'j 34 Add column. (d) snd m 011100 33s. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . ............................ 34 35 Add column. (cl Ind (0) olllno 33b . . . .. ... ....,..............".,.......................... 35 " ) 36 To'" oslllo snd IrU.llncomo Dr (Iossl. Comblnellno. 34 Ind 35. Enlor Iho ro.ult hOlD ond Includo In lho lolsl on 110040 bolow . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .. . , . . .. . . . . . . . , . , .. . . .. .. . . . . . . . 36 IiP.-rti.IV,,1 Income or Loll From Real Estate Mortoaoe Investment CondullsfREMICif - ReSidual Holder 37 la) Namo (b) E"",loyer le).E~eo".lncl~'lOn 110m (d). Taxlblo Incomo (e'lncomo Irom SehodlJlI' Schedule. O. IIno 2e (nello"b"om Idontlflcahon number ('00 P'oo E-4) SchodlJle. . 1100 1 b 0, Une 3b 38 Combine column. rdl Ind 'el onlv. EnlOl Iho lO'UIt hore end Includo In 'M lorol on IIno 40 bolow .......... 38 I I: PMt,,y,':J Summary 39 Net farm lonlallncomo Of (lo~!I) horn Form 4&35. AI<;o. conlfllolo linn" I boklw. . ... ................ 39 40 TOTAllncomo Of (lo!l'J) ComblnQ Ilnn~ 26. 31. 36. 38, & 39 Enlflt' Ihn fO!l1I1I horo & on FOlm 1040, Ilno 17 ~ 40 9.517 41 RlConclllaUon at Firming and Fishing Income. Enter your gross '..' ' ,I , " . ' ,'. _ ~, " .': 1 '! ::"''' "..., . 'arming and n!lhlng Incomo foponnd on Form 4035. IIno 7; Sr.hodll'" K.l ";,.,;:,:".,,,,::1,':1:,::,' (Form 1065), IIno I~b; 5chodulo K-I (Form 11205), IIno 23; ond Schndulo K-l (Fonn 1041), Ilno 13 (s,", Dlqo E.4). . 41 ,';:':01,(,1"::: .... :: . ",',::' .",'i 42 ReconcllllUon tor Rell Elute Professionals. II YOII worn n '"", Mlnlo .... 1"1',1"" , ,I':':!,/" ",',:;, prolosslonal (soo pogo E~3). onlor tho nollncomo or (Io~~l VOu IrpOllnd , anywhoro on Form 1040 from all lonlAI Innl fl~tnln Activilio'l in whk:h you ' ,"., , " ':':::!:' malorlaltv DSltldoQlod undOf Iho oa~'Jjvo Activity IO~!j lulo!} . 42 ' " ... .. CM EI2 " .,., 'i Plq"~r:ltr, Jhlld and Dependent Care Expen....B OMB No. 1!lo1~..(JQ68 1995 "'"lChmenl 5 Ince No. 21 Vour IOCIII IIcullly number 178-48-2262 fonn 2441 ~ MlCh 10 FOlm 1040. Depor1mlnl 01 Tr..Sul'f Inl..nll RIV. Sefv\C8 99 Nomo(S) shown on form 1040 Melvin L. & Kim D. Bi ler ." Soe 89 81l1101nslructl0I1S. Vou need 10 undo,,'snd lho lollowlng IOflT19lo eo~lololhl. 101m: aulllly1ng PI..on(I), Dopendonl Clrl Blnlml, aulllned !xplnl", Ind elmed Incoml. 500 Important Torml on plge , 01 the Form 24411n51rucUon5, ~ PerlO!.!.. or OrgBnlZlllonlboWhO PI rovld2ed) the Care - You mUll co~lolOlhll pill. ~ (II you '''''''' ",,10 Ipace. u"lhe 110m 0 plgo . (I) CliO plOvldor's (b) Addlo.. 1 nome (number, snool. apt no" city, 01010, and ZIP codo) Mt Rock Care and Share (c) Idonlltylng numbo< (5SN or EIN) (eI) AmOunt paid (_Inatrucllon.) 293 23-2273046 2 Md Ihl amounlsln column (d) olllno 1 .... . . . . . . , . . . . . . . . . . . . , . . . . . . . . . . .. . . . . . . . .. . . . . . , . 2 293 3 EnlOf tho numbo< 01 qullllylng ,,"rlona ealod lor In 1095. . . . . .. . . . . , . . . . . . .. ... .. , , .. .... ... ~ 1 . Old you loeolvo dependent caro bonanls? NO YES , Co~lolo only PIUIII below. , Co~lolo PIUIIII on psgo 2 now. cp_t:ii'\ Credit for Child end Dependant Care ExpenBe8 4 Enl.. lho amounl 01 qullllled O",,"n"" you Incullod and paid In 1995. DO NOT ontor ""rothan $2,400 lor ono quolllylng pOIson or S4,BOO lor two or ""ro person.. II you complolod Palt III. onlor lho amountlrom llno 25. . , . , .......' .. . . . . . . . . . . . . .. . . . . . . . . . . . 4 293 1',1:;11(1 " ~ ! i i i Ii Ii, 1!lfl;':\i; till!:I:'l 1::j!!'1i11\; 111'''\'''' 'i'I'I", :::,li::II\! 'lill1i'I'i:: "1\:1'1'1,1 " ",I( 1111!'I'I'!' 'lilll'I!II' :I,:hl!,,:I' '!id,I'-' Illill;:III: 23 660 5 Enl.. YOUR ..med Incomo.. . ...... . . . . . . . . . .. . . . .. . . . .. . . . . . . 6 II marr10d nllng sl<>lnl roturn, onlo< YOUR SPOUSE'S oornod Income (II studonl or dl.ablod, 800 Iho Inslluellon.); III others, ontOllho amount kom Ilno ~ . .. .. .. .. . . . . . . . . . . . . . . . . . . . . . . , . . , . 5 B 25 028 7 293 7 Enlor lho emlllell olllno 4, ~. 01 0 . .. . . . . . . . . . . . . . . . .. . . .. . . . . .. . , . , . .. . .. . . . . . . . . . . . . . . , . I i \ Ii: ~!: i \:1 \: i::il':iV :lil!!iii!ll iilli!:~I!!: :\il\:I\il\I1 "i"iiil '\11111:\1,1 ,llil:'11 ""'1'1 htH:!1 ,I-" .1 8 EnlOllho smounllrom Form 1040, llno 32. . . . . . . . . . . . . . . . . . . . . . . . . . 8 58 553 9 Enlo< on llno 9 Iho doelmalll11Ounl.hown bolow Ihal oppllos 10 lho o""unl on Ilno 0 IIl1nolls -- Declmll IIl1no e 11-- Declmll But nol .mount Butnol amount ovor Oyer '" Ovor oyer II SO -- 10,000 .30 \ $20,000 -- 22.000 .24 10,000 -- 12,000 .29 22,000 -- 24,000 .23 12.000 .- 14,000 .2B 24,000 -- 20,000 .22 14,000 -- le,OOO .27 20,000 -- 20,000 .21 18.000 -- 10,000 .26 20,000 .- No 1Im11 .20 10.000 -- 20,000 .25 9 '1"1'."'.1'1'. "1'11,1 1'1:11,1, 1:1""1'" 'II',": I:}!!I,!I x .20 10 Mulllply IIno 7 by lho doclmol amounl on Ilno 9. EnlOllho losult. Thon. suo Iho In,lIuellon.lor Iho lI110unl 01 crodlllO onlOl on Fonn 1040, llno 41 . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .. .. . . . ... . . .. . . . . . 10 59 CauUon: II you paid a pOl..n who wolkod In YOl!! homo, you moy havo 10 pay o~loymonllllJ(". Soo Ino InsllUellon.lor FOlm 1040. IIno ~, on pag<l20. For Poporworll RoducUon Acl NoUca, 1M aeperltoln.lnJcUonl. Form 2441 (1995) eM 2"t12 NTF 1281 CDPY'tghlFofm,SOII"".,.Or'll'1',190S'lIIco"ne, t4952..11 t 1995 Oepar1mOnl 01 Tr...",y Machroonl Intornll Rev. Servk:o 09 .,at. In.wellon.. "" Attach thll torm to our return. uonC8 No. 67 NIIT18(I) ,hown on return Buslneu Of actlvlfy to which thllllorm rolltol ldentttytng number Melvin L. & K1m D. 81 ler SUMMARY OF SEC. 179 EXPENSE 178-48-2262 Elecllon To eXplnl8 Certeln Tenglblo Ploperty (Secllon 179) (Nole: II you hlv, Iny "Ust.d PropOlty," co 1.1. Psrl V bolor. u co 1.10 POll I 1 MutmJm dollllllfTitltion. II In onlefpllaa zone buslnoss, 800 page 1 oltha Inslructlons . 2 Tolol co.1 01 _lion 179 propOlty plac.d In .erv"'" during Ih. lax yoar. 500 P"lo 2 ollhn . In.lrucllon9 , ,...,....... ... ... ., ... . .. . . . .. . .,......,...,.. . ., . .. . . ... ..... .. . . . ,. . . .. . 3 Th,..hold colI1 olll8Cllon 179 propOlty bololo r.ducllon In IImllllon . . . , . . . . . . . . . . . . . . . . . . . . . . . . 4 R.ducllon In IInlllllon. SubUac1l1ne 3 Irom IIno 2. IIl0l0 or 10", .nlOl -0- . , . . . . . , . . . . , , . . . . . . . . . . , , . 5 Doftar Bnlllllon 10' lax yoar. Subttac1llne 41rom line 1.lIl0l0 or Ios.. onlOl -0-.11 m.nlod filing ar,' , aee 2 ollhe In.lructlons . . . . . . . . , . . . . . , . .. .. . . . , . . . . . . , . . . , . . . . . , . . . . . . . . . . , . (e) Dll!Cri lion 01 ro 01 (b)Co.1 (e) E1eclod co.1 3 073 3 073 7 !.hl.d property. Enlor amounlfrom IIn. 21 , . .. .. .. . .. .. .. .. . . . . .. .. . .. . .. . 7 8 Tolol eleclod co!l1 ol.ecllon 170 property. Add amounl91n column (c), llno. 6 snd 7. . . . . . , . . . . . . . . . . . . . 8 9 T.nl.Uv. d.ducllon. Enlor Ih. ame110r olllne 5 or llno 0 . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Canyovor 01 dl9ollowed d.ducllon from 1994. 500 P"l. 2 ollh.ln9Irucllon9. . . . . . . . . . . . .. . . , . . . . . . , . , 10 11 Tax.bI.lncoroo IIrr/t.Uon. Enlor lhe amellor ollax.b1o Incaroo (noI1os9Ih.n 2010) or 1100 5 (see In.trucllon9) , 11 17 500 12 Secllon 179 .'p.n.. deducllon. Add llnos 9 .nd 10, bul do nolonlor mor.lh.n IIno 11 . . . . . . . . . . . . . , . , , 12 3 073 13 C ver of dlsaBowed doductSon 10 1998. Add 11009 9 and 10, km Uno 12.. . . ... 13 '!I!~I_i'II;"II:,,i!I/I'lil'i"ii,ii!:i:,i"I::il:i:li:; Notl: Do nol UlMl Psrlll or Psrllll below lor 11.led proporty (.ulomobllo., cor1.ln olhor vohlclo.. cellular leluphono9. Cor1oln COlll'uIOlS. or property UlMld lor .mortolnroon1, recroslIon, or lImJoomonl). In910.d. U90 Parl V lor 1I.,ed property. PlIrt: I MACRS Oepreclellon For Alletl Pllced In Servlco ONLY During Your 1995 Tax Yeer (Do Not Include Ulted Property.) SectIon A -- a.neral AII.t Account ElecUon 14 II you are msklng Iho oIeclIon undor _n 166(1)(4) 10 group sny ....19 pl.c.d In .orvlco during lhe lax yoar Inlo one or more gonorol s....lsccounI9, chock Ihl9 bo.. 500 P"lo 2 ollho In.!rucllon.. . " . . . . . . . . . , . . . , . . . . .. . . . . .. , , . . . . . , . , .. . . , , .. . . . , · onl.n c... or up,. (djR ( ) ( D ocI 110 yoar placod (bu,n./lnv09lmOnl u.o ocovory I g) upr · n In _ on n .00In.1. poriod Convonllon deducllon SecUon B -- Genlrll 0 ,ocllUon S 111m GDS Soo p !!jil'Ii::I.lii!j1iiiiiili!;:::ii!;:'::i :i)!:: ,1,lli:'::i:):i:~ I'i:.!. 'h.ilii;,II:ii\:i,;:::i:'i;;""::,;: :1!1!:lliii:i:li;iiHi:!lii;;:::'ii:1 !;:I:jiiPll'diili:!:i\V:, '~\ IIII:.I!, p!' i I ~ II ;; : I ': 1'.I".I,.".II'.i'.'"I,I"I""., Wli~I'I'!:I;Ii;i1iH!!ill,]!'~i' , t I,i I ~ i: ,! Ii! I ij:,j I :, I ,~ .:;" i Form 4562 Jepreclatlon and Amortlzatl<. (Including Informallon on Ustod Proporty) 8 FROM K-1 B (I) Cla99Inc.lIon 01 property MM S/L MM S/L MM S/L MM SIL Sec1Jon C __ AllomaUv. D . 04 ollhe In'truCllon9. 16 B C1... 1110 SIL b 12- oar SIL C ~O- .ar 40 rs. MM SIL art'lI Other Do reclollon Do Notlncludo Ulted Pro ert . (Soo p' .4 ollho In.ttucllon.. 17 ODS .nd ADS d.ductlon.lor ....19 placed In oorvlco In lax yoar. boglnnlng boloro 1995. , , . . . , . . , . , . , . . 18 Proporty oubjoct 10 BOC1Ion 166(~(1) elocllon. . . . . . . . . .. ....... ... ... . . . . . . . . . . . . , . . . . . . . . , . . . .. 19 ACRS ond olhor do recl.lIon,. , . . . . . . .. . . . . . . . .. ... , , . .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. IIlii" SUmmB 500. 04 ollhe In'!rucllon.. 20 U9tod proporty. Enlor amountlrom 1100 20 . . . . . . . . . . . . . .. .. . . , . . .. . . . . . . . . . . . . . . . . . . . . . . . , . . . . 20 21 Tolll. Add deducllon. on line 12.lIn0915 .nd 10 In column (g), .nd 1ln0917lh.ough 20. Enlor hOlo .nd on lhe opprop~.lo IIn09 01 your rolum. (Parlnor'hlp9 ond S corporollon9 -- .00In.lrucllon,). . . . . . . . . . . . . , . . 21 22 For assets shown ebovo and placod In sorvlco durIng lho curront Voar, onlOf tho Olllon ollho b..19 Sl1Ilbul.blo 10 socllon 203A CO,19 . . . . . . . . . . . . . . . . . . . . . . . 22 For p.pOlWOrk Roducllon Ad Nollco, see p.go 1 ollho 90par.lo In.lrucllon9. eM 458212 NrF 1385 h 27.5 19. 27.5 rs. 39 s. OMS No. 1&4~-0112 , I 1 117,500 2 3 4 3 073 S2Q0,0Q0 o 5 17 500 , I"'.:' III.~; I ,I i 'I' :' I:'" I: III ,I : I IIII I: I' I' ill II :, ,t :' 1"1''1''11_111,1;11'1,1,: """1 'I I' 111'illl'!ll"il.I;I"I!III"I'I!I'1 '1:11'1"1 " I i! i I ; Iii, Ii 'I,: I ~ I : :: I' i : ' I' i: h d I '" I ' :: ' 1.1'1'!'I.'.:li.,IIIH.III,,!':III!:.III'II!'II!I'.;II~Illtl'l.l ' II' ii,';' II: I" I',.. I: iii, III 10 ~; j Iii ii, I ; 11'111 "I'; ',Pi'I.II,;I:"I)'I"I" 1,'1 I " " ,: 'I' : ' : I, I :,1' III ~ I! i I' i : Iii ,! I '1" III I:, I " "I ' I I I._ ".,',_ ,,,II.i.'1 3 073 3 073 17 18 19 Form 4562 (1995) Melvin's Exxon Auto Repairs, Inc. ., .i' II ',., '. Financial Statements ;ftq II "'I 1';" ~ fiE -- iii " HL .. For the Years Ended December 31, 1996 and 1995 Melvin's Exxon Auto Repairs, Inc. Shippensburg, pennsylvania i ~ CONTENTS Accountant's compilation report....,.. .., ........ ...., 2 Statements of assets, liabilities and stockholders' equity - income tax basis. ........... ........,. ...., 3 Statements of revenues and expenses - income tax basis. . . . . . . . , . . . . . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . 4 Statements of retained earnings - income tax basis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 ~ . . " . " . "- - - , Francis A. Marchal, P.c. @frl,t..J ,9../'/,.. {f'l",,,,...lunl 49 We" Orange SUeel . Shippensburg. PA 11257 Tel. (717) 532.8927 . Fax (717)532.3240 Mr. Melvin Bigler Melvin's Exxon Auto Repairs, Inc. 8hippensburg, Pennsylvania I have compiled the accompanring statements of assets, liabilities and stockholders' equ ty - income tax basis of Melvin's Exxon Auto Repairs, Inc. (an "8" corporation) as of December 31, 1996 and 1995 and the related statements of revenues and expenses - income tax basis, and the statements of retained earnings - income tax basis, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. The financial statements have been prepared on the accounting basis used by the companr for income tax purposes, which is a comprehensive basis of account ng other than generally accepted accounting principles. A compilation is limited to presenting in the form of financial statements information that is the representation of the owner. I have not audited or reviewed the accompan~ing financial statements and, accordingly, do not express an opin10n or any other form of assurance on them. The owner has elected to omit substantially all of the disclosures ordinarily included in financial statements prepared on the income tax basis of accounting. If the omitted disclosures were included in the financial statements, they might influence the user's conclusions about the Company's assets, liabilities, equity, revenues and expenses. Accordingly, these financial statements are not designed for those who are not informed about such matters. The Company, with the consent of its shareholder, has elected under the Internal Revenue Code to be an 8 corporation. In lieu of corporation income taxes, the shareholder of an 8 corporation is taxed on his proportionate share of the Company's taxable income. Therefore, no ~rovision or liability for federal income taxes has been included 1n these financial statements. ,.-- . ........ Francis c5Cl2 ~ PC-- A. Marchal, pc January 17, 1997 -2- Melvin's Exxon Auto Repairs, Inc. Statements of A..et., Ltlbllltie. and Stockholders' Equity Income rlX BI.I. December 31, 1996 and 1995 Current Ye.r Prior Yelr 1 12-31-96 12-31-95 ASSEtS CURRENT ASSETS Cuh S 17,476.1D S 25,047.32 Accounts receivlble-trade 7,931.34 6,649.96 Inventory-colt lD,316.86 13,621.59 TOIAL CURRENT ASSETS 35,n4.3D 45,318.87 FIXED ASSETS Equipment 6,441.64 6,441.64 Vehicles 15,D26.DD 15,D26.00 Less: accumulated deprectation ( 12,981.00) 7,824.DO) TDTAL FIXED ASSETS 8,486.64 13,643.64 DTHER ASSET-ORGANIZATION EXPENSES NET OF AMORTIZATION 59.76 131.76 10lAL ASSETS S 44,270.70 S 59,094.27 LIAOILITIES AND STOCKHOLDERS' EQUITY CURREN I LIAOILITIES Current maturity of debt S 8,181.93 S 6,5n.60 Accounts payeble-trade 14,661.D3 14,410.2D Withheld end eccrued payroll taxes 1,125.02 1,279.03 Sales tax payable 340.12 670.51 10TAL CURRENT LIABILITIES 24,308.10 22,937.34 LONG TERH OEOT, NET OF CURRENT ""TURITY 15,675.33 24,617.45 STOCKHOLDERS' EQUITY Common stock, 100 shares at a S1.00 par value iSlued and outstanding 100.00 100.00 Peld in cepl tel 3,869.84 3,869.84 Retained earnings 317.43 7,569.64 TOIAL STOCKHOLDERS' EQUITY 4,287.27 11,539.48 T01AL LIAOILITIE5 AND STOCKHOLDERS' EQUITY S 44,270.70 S 59,094.27 See the accountant's compllatton report -3- Melv'nls Exxon Auto Repairs, Inc. Stltement. of Revenuel and Expenses - Income rlX .1111 For tho Yllro Ended Oeceri>or 31, 1996 end 1m Current Year Percent Prior 'tlr 1 Percent 12-31-96 12-31.95 REVENUES IncOllll-fu.l S 125,798.41 50.30X S 136,843.98 51.11X IncOllll-I.bor .ro ports 103,848.12 41.52 95,562.69 35.10 Income-other 20,445.10 8.18 35,312.69 13_ 19 TOTAL REVENUES 250,091.63 100.00 267,119.36 100.00 COSI OF SALES Purchales- fuel 89,016.53 35.62 104,680.66 39.10 Purchases-parts and supplies 61,988.20 24.79 51,455.66 19.22 St I ckers 2,000.00 0.ll1l 1,ll1l0.00 0.61 10TAL COST OF SALES 153,064.13 61.20 157,936.32 58.99 GROSS PROF IT 97,026.90 38.ll1l 109,183.04 41.01 OPERATING EXPENSES Advertising/promotion 1,457.23 0.58 4,887.30 1.83 Amortlzotlon n.oo 0.03 11.16 0.03 Insurance 3,148.00 1.26 3,901.35 1.46 L.undrv .nd cleaning 1,468.35 0.59 683.32 0.26 Shop expenses 2.329.27 0.93 1,217.65 0.48 Office expenses 1,181.56 0.47 164.46 0.29 Profess'onal expense 2,220.00 0.89 2,050.00 0.17 Printing snd postage 315_66 0.13 287.18 0.11 Rent 7,200.00 2.88 1,200.00 2.69 Rentsl-equlpment/U-Haul 21,223.43 8.49 24,174.35 9.25 Uttlltles 3,589.96 1.44 2,142.13 1.02 Taxes 3,356_05 1.34 3,541.97 1.32 Telephone 3,749.11 1.50 2,913.12 1_09 Wages 33,398.66 13.35 34,830.ll1l 13.01 TOTAL OPERATING EXPENSES 84,709.28 33.81 89,925.39 33.59 TOTAL OPERAIING INCOME 12,317.62 4.93 19,857.65 7.42 OTHER INCOME Income-Interest 210.43 0.11 158.51 0.06 OTHER EXPENSE Interest expense 3,014_51 1.23 3,244.23 1.21 Depreciation 5,157.00 2.06 1,091.00 2.65 NET INCOME BEFORE INCOME TAXES S 4,356.54 1.14X S 9,614.93 3.61X See the accountantl. compilation report + Melvtn'e Exxon Auto Repefrl, Inc. Stltemontl of Rltllned Elrnlngl Income 'ax Sllfa Olcoriler 31, 1996 Ind 1995 Current Velr Prtor Vear 12'31-96 12-31'95 BEGINNING BALANCE, RETAINED EARNINGS, JANUARY 1 5 7,569.64 5 2,545.35 Owner dIstrIbutIons 11,608.75) 4,650.64) NET INCOHE (LOSS) 4,356.54 9,674.93 ENDING OALANCE, IE1AINEO EARNINGS, OECEHOER 31 5 317.43 5 7,569.64 Sre thr accountantls compilation report -5' Melvin's Exxon Auto Repairs, Inc. Shippensburg. Pennsylvania t J (' CONTENTS Accountant's compilation report....................... 2 Statements of assets, liabilities and stockholders' equity - income tax basis. . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Statements of revenues and expenses - income tax basis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . 4 Statements of retained earnings - income tax basis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 .. Francis A. Marchal. P.c. (~)II, "/;1') fC })U/'/II' .r fo)nfJIllllflnl 4t,l Wesl Ornnge Sl,cel . Shjpll(,ll~hlll~.I'^ In~7 Tel. (717) ~.1!.H'I!7 . !'.. (717) ~.1!.J!411 Mr. Melvin Bigler Melvin's Exxon Auto Repairs, Inc. Shippensburg, Pennsylvania I have compiled the accompanring statements of assets, liabilities and stockholders' equ ty - income tax basis of Melvin's Exxon Auto Repairs, Inc. (an "S" corporation) as of December 31, 1997 and 1996 and the related statements of revenues and expenses _ income tax basis, and the statements of retained earnings - income tax basis, in accordance with Statements on Standards for Accounting and Review Services issued by the American Institute of Certified Public Accountants. The financial statements have been prepared on the accounting basis used by the companr for income tax purposes, which is a comprehensive basis of account ng other than generally accepted accounting principles. A compilation is limited to presenting in the form of financial statements information that is the representation of the owner. I have not audited or reviewed the accompanring financial statements and, accordingly, do not express an opin on or any other form of assurance on them. The owner has elected to omit substantially all of the disclosures ordinarily included in financial statements prepared on the income tax basis of accounting. If the omitted disclosures were included in the financial statements, they might influence the user's conclusions about the Company's assets, liabilities, equity, revenues and expenses. Accordingly, these financial statements are not designed for those who are not informed about such matters. The Company, with the consent of its shareholder, has elected under the Internal Revenue Code to be an S corporation. In lieu of corporation income taxes, the shareholder of an S corporation is taxed on his proportionate share of the Company's taxable income. Therefore, no ~rovision or liability for federal income taxes has been included 1n these financial statements. r- ~ 17C- '-t_ .> Francis A. archal, PC February 20, 1998 . -2- . Mf'lvtn'" F.xxOIl Auto ""pdulI. Inl'. Btatl!ftW"ntR or MUIl'III, I.lahlllll"" "~nil Storkhuld(lr.' Equity Inro~ TaM A4fllfl l)f!cpmlllH H, 19'11 j\llct 19Qf, Curu'nt Y(I"r IJ.1l.91 Prior Year 12- Jt." AS!lr.TS r.ullRF.HT A!JSP:TS co'IlIh Account" rf'cf'1vahlf'.trlldf' Ativ..llc"" In"PIIt ory' remit I fi,S04,O," I 11.411;.10 8. Hil.14 1,9]1.14 )')1.26 0.00 'i,522.11 10.lI6.86 :ZO. 746 .6) ]Ij,124, ]0 8,149.82 6,441.64 15,026.00 15,026.00 lfi.llil.OOI 12,981..001 1,014 .82 8.486.64 0.00 59.76 $ 21,761.45 $ 44.270.10 TOTAl, CURRENT ~qSETS FIXED ,\.c;SET!l r:I')U1 JlII'If'nt v~hldf!" L~..~ ~ccumul~t~d dppr~cl~tlon TOTAL FIXED AS9tT!l onlf:P MSe"f.ORO"NIZATION EXP!NSF.!1 NET or AHORTIZATfON TOTAl. M$ETS LIAnlLITIES AND STOCY.1l0t.OERS' EQUITY CURRF.tlT I.IMILITI!S Currpnt ~turttv of df!bt Account" pIlYllhl~"trarl,. WHhh,.ld /tnll .....cru,.11 payroll tu,.. !llll~n tax pllvab1,. $ 8,104. )J S 8,181.9) 12.982.1)8 14,661.0] 9]0.06 1,12S.02 414.11 140.12 22.6)1.1;7 24.]08.10 r"H'i.1A 15,67S. ]] TOTAL MIRRF.NT l,tMn,ITtES WIV; TrRH nFnT, tlr:T nF f"PPF:lrr MTtIRITY STf}('YHOt.rlFRS' fOUlTY COf'll"l(}" "todr. 100 Flhuf''' Ilt .t 51.fln pllr v.,)",. j,,,ul,.d "orl olltlltllfl'tln'1 r...trt In ~"'rlt.') R,.titin,.,1 ""11\111111 100 00 2M.OO 1. AI,~ .. ],869.84 4.:;nc; 141 ]21,4] '" .1l0I 4.291.21 S '11.'11,1 .4", $ 44.270.70 TOT^I, SrO{oI(IIOI.tlf:RS' F:QIIITY 'fnThI. 1,I^ntl,fTrrS Aml ~lnr""II(lI.prpS' F.f,)llT'rY ci S..,. tllf' ",{"f."unt.llll 'q rn"'l' I 1.1' 1"11 '..p....rt ., 'j ,. M,.lvtn'8 lxxon Auto R,.patr.., rnc. StatelnfOntll of R..t...ln..rt !...rntnq. Inro~ t",x n",.i. n..C'..",hN n, UfJl and 19lJli Curr..nl Y.....r U.Jl.91 Prier YeAr 12-11"U5 OF.OumINl'1 9AJ..MWP., REtAINED P.A.RPHHOR, JAHlJA.AY t $ )11.41 $ 1.569.64 Own~r dlltributton. 20).051 1l.fiOI.1!ll NEt UlenHp. IWrotH 4,H9.121 4.156.54 r.NDI~ n^LANCp.. R!T^INED EARNINGS, DECEMBER ]1 1$ 4.215.14) $ 111,4l ~.,. th... .1"countllnt's compil..tlon rpport .,.