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Home My WebLink About97-00817 *~.s~~-----~**~**~**)_:.~~****~~.~ ", ....... ------..... ........... -_._....------.~~~-....------ . w r;a .. " . ' ~ ,', ~ ~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY ~ STATE OF ~ PENNA, ~ ,', ~ ~ ~, ~ ',' ~ w ~, ~ ',' N 817 i '0, .........,.......... ,..,....... It) 97 ~ BAR~A~A A. BISTLINE ~\ Vl'I':.;IlS ~ ~ FRANKLIN D. BISTLINE ~ " ~ ',' DECREE IN DIVORCE ~ ',' ~I ':'\ ~ AND NOW, ,,",',"," ,NP~, ,Z:~,~" 19 ,'1f.,. it is ordered and decreed that ,',"," ~f.,~~~~,~ ,~~, ,~~l?r~,I,~~, , ", , , , , , " , , , , , '. plaintiff, and, " " ,,"',",'" ,~~~~,K,~~~, ,~', ,~,I,~1'~~!"F;"" ","',',". defendant, are divorced from the bonds of matrimony, ~ .. ~ ',' ,', ~ ~ b ~ w. '.' The court retains jurisdiction of the following claims which have been raised of record in this action for which a final order has not yet been entered; ,', ~ ~ ',' ~ ". ~ '" ,......" ........".... ,.. ...... ,...".... .... ......... " .,. ............... w ',' .. '" ,. ..... .,....... .... " ....... ,.. ,.. ~ ',' · ~7.ld tl.d: ,P. .YJ" /k.#~'~J.' '~}1./>U~ /<. JsI/~, C1..4 / ,.~;;rlonolarY ~ ~ ~. ~ ~ ~ 'I ~( ~I :1'---., ,,,--_..,,,, .. ~-~-****,*---**~.~,* ~ * ',' ~ ... ~ ',' .~ ~ $ ,;, ... w ,~ $ ~ ~, ~ '.' ~ ~, w ',' ~ ~ ~~ ~ '.' ,', ~ ~ ',' ~ ., ~, ~ ~ ~.' ~ ',' ~ '.' ~ ~ ~ ,~ I' I~ /.. I: ~~ I~ ~ ~ ,* J, * ~ ~ ~ ~ .:+:. .:+;. .:.:. -:+:. .:+:. .:+:. ':~:. .:+;. .:.:- ,;.:- -:t:. .:+:. .:+:.' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA BARBARA A, BISTLINE Plaintiff NO, 97-817 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE V. FRANKLIN D. BISTLINE Defendant PRAECIPE OF TRANSMI1' RECORD To the Prothonotary: Transmit the record, together with the fOllowing information, to the court for entry of a divorce decree: 1, Ground for divorce: Irretrievable breakdown under Section 3301 (c) of the Divorce Code, 2. Date a. b, and manner of service of the complaint: Date: 2/26/97 Manner: Certified mail, restricted delivery 3. Date of execution of the affidavit of consent required by Section 3301 (c) of the Divorce Code: a, Plaintiff: 10/6/98 b, Defendant: 10/6/98 OR Date of execution of the Plaintiff's affidavit required by Section 330l(d) of the Divorce Code and date of service of the Plaintiff's 3301 (d) affidavit upon the Defendant: a, Date of execution: n/a b, Date of filing: n/a C, Date of service: n/a 4, Related claims pending: No issues are pending, All issues have been resolved pursuant to an agreement between the parties signed on October 6, 1998 which Agreement is to be incorporated into but not merged with the Divorce Decree, 5, Date and manner of service of the Notice of Intention to file Praecipe to Transmit Record, a copy of which is attached, if the decree is to be entered under Section 3301(d) (I) (i) of the Divorce Code: a, Date of Service: n/a b, Manner of Service: n/a OR Date Waiver of Notice in Section 3301 (c) Divorce was filed with the Prothonotary: a, Plaintiff's Waiver: 10/6/98 b, Defendant's Waiver: 10/6/98 , ESQUIRE e Road , PA 17011 Supreme Court ID # 32112 Phone: (717) 737-0100 Fax: (717) 975-0697 Attorney for Plaintiff ':\j,/i,\.l((, :. ',,:, ',' ~'''~)',.',' , .~ " "\';:~,',' "; :"."".-.:" ,"ci' '~. ti\)Q ~<:t '0'" :;, ~,l :;,,-' "o(t. "",--\: I.' .\',' " '".'\ 0':" .,f' i: " , ','\0 - - --';.","-.. ,,'" ~\(,!., L: , ;I~}i' J~,f:~ :l~~::L ' ;~tB>::;: ~t~:~~~; 1's..,'S'" ;.-:\ ,. mi{;;o,:~rl~1~:'-:""~' . ~ , ,., .. i _' ~ ' '. ,~', - - ~\ \ '~ . o '.0' '..i,'" .' -",~.- , ,'i :r",':--'" " , .~': + ., '., ...' '." ',\'.' ..,' .' 'i ... ~' '1!'" ':':.< '~1~ ",,':" ~r \~l\ ~~ ,fif'-~"""~ ,,.,.t,..~t~t:.'k ~?~,~;\~- 11,'JiI<....". ~1~~: ~_".tttr'i....~,.\, ., ~~f~r~~~/z~ ~t,.,..},.j.i r;', !'R~1.f#.~~:i~ w;i :~.f-~~ i,.."j;:"'- ~"",,,T'" ~~~~).i(.si:;'i).1 ' ~Jl~~~!;i~~;: ',f'" _,I: (' '. ..'t." .;. ., ,',' " -,' '....J. ',' .,,' , ' ",f" ': '~~:,I:~ '.J:: 'c'" .....: ., ," .' :' :' ;~;, ". " ~f"';Y,.;",.l" ,y ,"'" ~ ;,.;.0 ...,', ";.,,,~~Jc';"{~." 0> ' ,,'; ",:'" :,", . : ......, ,K? ",.,'... ,. ," ,,- , ,.", ' "C",..:'. ' ~~~v}l~~;~fE';:, C.:'\ ", ,,,,'~' ..,:" ,{'.;' tl;,,~..';""" '\'" ..,," . '." .'",,,, ,,-: ,:'t'.~! ;,h, ", ,,: . , :;:' ,\' . , ..., ': wth'>' ,. ,>,V <1':'-" ,,: ,,,,<,,,... ,," """' 'I',,\t~:., \. ';;1;:~'; .' :jr ,., '. ' :/." . -, - - ~ " ,,,-" ~. :'- ;,,"' , ::. t:,;~ -;':: '. c , I: :.::'. '.Jo...:< . " ... " ..",Ol~ ,; ,;.~;:~,c~";'. _:.~.:..i:, , p. ' ,~'. ~ .... ;~':\:. ',.;;;:{~~~,~21 ~ .\ ,"~;~:~:m , ""'..~.j,! "~'I :-,"i::'ft1'-.1 ".,;." BARBARA A. BISTLINE Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. '1'1' J/? C.u~ Tt....... v. FRANKLIN D. BISTLINE, Defendant CIVIL ACTION - LAW IN DIVORCE COMPLAINT AND NOW, this 19~day of ~ 'c~, 19q7 , comes the Plaintiff, BARBARA A, BISTLINE by her attorney, DIANE G. RADCLIFF, ESQUIRE, and files this Complaint in Divorce of which the fallowing is a statement: COUNT I: DIVORCE 1. The Plaintiff, BARBARA A, BISTLINE, is an adult individual residing at 938 Forest Court, Carlisle, PA 17013, since September, 1995, 2, The Defendant, FRANKLIN D. BISTLINE, is an adult individual residing at 247 Glendale Street, CarliSle, PA, 17013, since October, 1993. 3. Plaintiff and/or Defendant have been bona fide residents of the Commonwealth for at least six (6) months previous to the filing of this Complaint. 4. Plaintiff and Defendant were married on August 26, 1967 at Carlisle, PA. DIANE G. RADCLIFF AlTORNEY.AT.UW "'8 TRINDI.E ROAf) CAMP 11I1.1" PA 17011 2 ,~ 5. There have been no prior actions of divorce or annulment between the parties. 6. Plaintiff has been advised of the availability of counseling and the right to request that the Court require the parties to participate in counseling. 7. The Defendant is not a member of the Armed Services of the United States or any of its Allies. 8. The Plaintiff avers that the grounds on which the action is based are: (a) That the marriage is irretrievably broken. Or in the alternative, (b) That the parties have lived separate and apart since September 14, 1995 and their marriage is irretrievably broken, and at the appropriate time, Plaintiff will submit an Affidavit alleging that the parties have lived separate and apart for at least two (2) years and that the marriage is irretrievably broken. WHEREFORE, Plaintiff requests this Honorable Court to enter a decree in divorce, divorcing the Plaintiff and Defendant, COUNT II: EOUITABLE DISTRIBUTION 9. Paragraphs 1 through 8 are incorporated by reference hereto as fully as though the same were set forth at length. DIANE G, RADCLIFF ATTORNEY-AT-LAW '..11 TRINDl.E ROAll ('.....MP 11I1.1.. PA 17011 3 VERIFICATION BARBARA A, BISTLINE verifies that the statements made in this Complaint are true and correct, BARBARA A, BISTLINE understands that false statements herein are made subject to the penalties of l8 Pa,C,S, Section 4904. relating to unsworn falsification to authorities, ~~--~~ . - SA - ~"iLIN,H. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA BARBARA A, BISTLINE Plaintiff NO, 97-817 CIVIL TERM V, FRANKLIN D, BISTLINE Defendant CIVIL ACTION - LAW IN DIVORCE AFFIDAVIT OF CONSENT l, A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on February 19, 1997, 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing and service of the Complaint, 3, I consent to the entry of a final Decree in Divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this Affidavit are true and correct, I understand that false statements herein are made subject to the penalties of l8 Pa. C,S. Section 4904 relating to unsworn falsification to authorities, Dated:~ -- r-. ;- ('~ <:'-' e.; gJ - ,. , " , ; : ~: , ( " .. " l~~ \.j ".') , , I " " I- ~ (JJ '", c,:. ~!a. c .. " c:: i c.; c'" 0 >- ,... ?: ,'- ("0. ...:: , ~ I.t l~'l L; ()~. - ,; --, 1,,-_' ...... ~ ~!, ~ )... ~ , '-~ , , ,-, U;l , lZ\ 1- , j " L '- " L " c.-: .) 0 0' CJ >- 1'"" '- ~~ COo.' r-: ...~ n r:: It.'.:" ()..; ': -'-I I.l-_ ..-: , ':'r , C)... 1-' ...D L ~ ._.1, ,- ';:; l.l: C 1I:. c.:. l.r_- C:. 1...' C' \..- , . .' DIANE G, RADCLIFF ATTORNEY-AT_LAW ".UR TRISIJI,[ ROAn CAMP 1111.1.. PA 17011 BARBARA A, BISTLINE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v. No, 97 -817 FRANKLIN D, BISTLINE, CIVIL ACTION . LAW Defendant IN DIVORCE CERTIFICATE OF SERVICE I hereby certify that a true and correct copy of the Complaint in Divorce was served upon Franklin D, Bistline on February 26, 1997, by certified mail, restricted delivery, as appears on the return receipt card attached hereto, marked Exhibit "A", and made a part hereof, Respectfully submitted, Attorney for Plaintiff .,. \..:1 ,- t.- " L" .' , l' 1 ~ ".: ~-:--' ; . - L', : l!. c.,; " C l:9". ""'!l' " j l-4.- : , " r-. CJ c:- '..) ,. , \ ( . / I < .. ",:~~!\ ~~ /~~ , '1'" .- q -:.;'~ ~::~\l '.. .. .'" . '" _:~~~ _ ". ~ ~r' .. ': " ". '.') '0';' -, ~ ~ .~ , .,< },,' ." ,_~ ~ .,'. ,,,~ '~~.';r' :.'.!'I.::"'''~'''~''-''c.t.G<:!o'i''~ i ;:1; i";\L,::.,:,::,:b'i:;~,~;~~~;~~~~~1ltF'~ irE!: ,~. .;,",:_\:, "'_~_".' ",--;,,,,_,,~,,'?{__,,,'~"_'_".-""; '~i"-l~/h"" ':"~((7 . ."', , ~, ',' ,."<':rc,"; !,,';~~V'5 ,',;', ,'~jj'.:l.'J~;b'V:o; " ~'" ...._.~ <',~ I"~,, '" to- + '. ." "/'.' :,;.~''',-~~,'(:'''' -''If ~ ~,- '" ~l ,:.:,~-,f~.~ .':':'" j, ,.,.,) ;" '~ ~ 1 '.:' ,,:,>"li~;~i~;~/:::th!.::'::'~:iJi ,~ Y:/1~~Y'{1l! g " "<:,::fi4~~~!"' "1 ,- -~.. ' ---. -:,- ;", ,< ,.:,..- >~:.: ;;':' 'j; "'t,:',, ;;~.(:~/ . ~,' ',' \',;3 : '-~';" " '. ~ :.. ~ .:" - , .~. ' - ..~-, "''.' ,,:, .' , ", ,1,',_, " " ," ,.' '..;:-, ",: ,'" ',' . ;;'3~~'~';?:';G~~,~': . .'''''''''. . -'.'. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA BARBARA A. BISTLINE Plaintiff ;, NO. 97-817 CIVIL TERM V. CIVIL ACTION - LAW IN DIVORCE FRANKLIN D. BISTLINE Defendant If you wish to deny any of the statements set forth in this Affidavit, you must file a counter-affidavit within twenty days after this Affidavit has been served on you or the statements will be admitted. AFFIDAVIT UNDER SECTION 330l(d) OF THE DIVORCE CODE 1. The parties to this action separated on September 14, 1995 and have continued to live separate and apart for a period of at least two years. 2. The marriage is irretrievably broken. 3. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904 relating to unsworn falsifications to authorities. Date: /.::;; / S / '17 I I ~, ..~~ ,~a. .'>~. - .;.jJ!---= BARBARA A. BISTLINE, Plaintiff DIANE G, RADCLIFF 3448 TRINDLE ROAD CAMP HILL. PA 17011 (717) 737-0100 J ~-:~, .', -~ ~~.' t::::, ~:. ;',:- ' . -;'" , ',.' ,. .', .j' ,,' ...;,: :': "'f. "'-'- ," , .,':' ,{ " : " if! '''"'- ..,' -,-,',- ','" - ,r.> :-.~~ ;.-, ~; ',' .';_ .,'.t.' <,.' .C.,- .-,,' " ' '- {~ .~~~:] ".R .'-' ., ','; '.< -', " ,\' ,,' ,', ,,,if " -:~ ,:.>, .' ,.", :~ -.." ., ',9 -',- .j .".... .~ DIANE G, RADCLIFF 3448 TRINDLE ROAD CAMP HILL, PA 17011 (717) 737-0100 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA BARBARA A. BISTLINE Plaintiff NO. 97-817 CIVIL TERM V. CIVIL ACTION - LAW FRANKLIN D. BISTLINE IN DIVORCE Defendant MOTION FOR APPOINTMENT OF MASTER Barbara A. Bistline, Plaintiff, moves the Court to appoint a Master with respect to the following claims: [x] Divorce [x] Distribution of Property [ ] Annulment [ ] Support [ ] Alimony [ ] Counsel Fees [ ] Alimony Pendente Lite [ ] Costs and Expenses and in support of the Motion states: 1. Discovery is complete with respect to the claims for which the appointment of the Master is requested. 2. The Defendant [xl has [ ] has not appeared in the action. 3. [ ] personally [x] or by his attorney, Taylor Andrews, Esquire, The statutory ground for the divorce is irretrievable breakdown under Section 3301 D. 4 , 5. Check the applicable paragraphs: [] The action is not contested, [] An agreement has been reached with respect to the following claims: None BARBARA A. BISTLINE, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 97 - 817 CIVIL FRANKLIN D. BISTLINE, Defendant IN DIVORCE THE MASTER: Today is Tuesday, October 6, 1998. This is the date set for a Master's hearing in the above captioned divorce proceedings. Present in the hearing roam are the Plaintiff, Barbara A. Bistline, and her counsel Diane G. Radcliff, and the Defendant, Franklin D. Bistline, and his counsel Taylor P. Andrews. This action was commenced by the filing of a divorce complaint on February 19, 1997, raising grounds far divorce of irretrievable breakdown of the marriage. The parties have signed this morning affidavits of consent and waivers of notice of intention to request entry of divorce decree which will be filed with the Prothonotary. The divorce will be able to conclude under section 330l(c) of the Domestic Relations Code. On December 16, 1997, the Plaintiff had filed an affidavit under Section 3301(d) averring that the parties had been separated far a period in excess of two years; however, inasmuch as the parties have agreed to consent to a divorce, the divorce will proceed as previously noted under section 3301(c). The complaint filed also raised the economic claim of equitable . distribution, no other economic claims have been raised; therefore, the only economic issue before the Master is the distribution of the marital assets. The parties were married on August 26, 1967, and separated september 14, 1995. There were two children born of the marriage, bath of whom are emancipated. The Master has been advised that after negotiations today the parties have reached an agreement resolving the claim of equitable distribution. The agreement is going to be placed on the record in the presence of the parties. The agreement as stated on the record will be considered the substantive agreement of the parties, not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. The parties and counsel are going to return later this morning to review the draft of the agreement far any typographical errors and make any corrections as required and then sign the agreement by way of affirming the statement of the agreement which has been placed on the record at this time. That means that when you leave this conference room this morning, after the agreement has been stated on the record, that you will not be able to make any substantive changes to the content of the agreement. After the agreement has been stated on the record and reviewed for typographical errors and affirmed by the signatures of the parties and counsel, the Master will prepare an order vacating his appointment and counsel can then file a praecipe transmitting the record to the Court requesting a final decree in divorce. It is the Master's understanding that a QDRO will ultimately be prepared to distribute the pension of husband in this case and that order can be presented to the Court at any time following the conclusion of these proceedings, even after the entry of a divorce decree. The agreement will address that particular issue, but the divorce decree will not preclude either party from ultimately presenting to the Court the QDRO to resolve the distribution of the pension. Ms. Radcliff. MS. RADCLIFF: The parties' agreement, pertaining to equitable distribution, is as follows: 1. The parties' marital assets are to be divided in accordance with the document that is marked "marital analysis 10/2/98 with equal division" that had been prepared by Diane G. Radcliff, Esquire, and is to be made part of this agreement. (Attachment) 2. That analysis indicates that a cash payment is due from husband to wife of $24,119.27. That cash payment shall be made by husband to wife within sixty (60) days of the date of this agreement. 3. Wife shall deed over the marital residence so that husband becomes the sole owner thereof at the time the cash payment is made to her. 4. Pursuant to the terms of the marital analysis that is attached to this agreement, the parties will equally share in the net proceeds to be derived from the sale of Tract 1 and Tract 2 of the Penn Township land, which is currently listed for sale. They shall also equally share in any costs incurred for the purposes of marketing those properties, including, but not limited to, the cost of surveying the properties so as to make them more marketable. 5. Husband's civil Service Retirement shall be divided and distributed in accordance with the following terms and conditions: a) Husband shall elect the joint survivor's annunity form of his pension upon his retirement. b) Wife's share of that joint survivor's annunity shall be the gross benefit minus the cost of the joint survivor's annunity minus $666.00 (being the social security equalization equivalent) times the marital coverture fraction times .50. All remaining benefits under the pension shall be husband's. c) Wife's counsel shall prepare a QDRO to carry forth the intent set forth above, which shall be executed by the parties as soon as practicable after said preparation. It shall then be presented to the Court far entry of the order and transmittal to CSRS. 6. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in the ather's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interests, rights, and claims. MS. RADCLIFF: Barbara, you've been present at the time that I've read off the agreement of the parties? MS. BISTLINE: Yes. MS. RADCLIFF: Did you understand everything that was said? MS. BISTLINE: Yes. MS. RADCLIFF: Do you represent to the Master and to myself today that that is, in fact, your agreement? MS. BISTLINE: Yes. THE MASTER Ms. Bistline, have you specifically read and reviewed the exhibit that is going to be attached to the agreement? MS. BISTLINE: Yes, I have. THE MASTER: And you understand the exhibit and you are in agreement with it? MS. BISTLINE: MR. ANDREWS: Yes. Frank, you heard the agreement as it was recited? MR. BISTLINE: MR. ANDREWS: about this morning? MR. BISTLINE: Yes. MR. ANDREWS: Do you understand the agreement? MR. BISTLINE: Yes. MR. ANDREWS: Basically your future retirement benefits are going to be divided in the future, you understand that? Yes. It's something that we have talked MR. BISTLINE: Yes. Correct. MR. ANDREWS: And within sixty (60) days you will be obligated to make a payment to Barbara Bistline in the amount of slightly more than $24,000.00, you understand that? MR. BISTLINE: Yes. MR. ANDREWS: Is there anything about the agreement that you have any questions about or don't understand? MR. BISTLINE: No. MR. ANDREWS: I know there was a legalese in there and I will explain that to you afterwards. You shouldn't be concerned with that. You're undoing by agreement now what will happen automatically by operation of law when the divorce decree is finally entered, all right? MR. BISTLINE: Yes. MR. ANDREWS: Do you voluntarily and of your own mind agree to these terms? MR. BISTLINE: I do. THE MASTER: Mr. Bistline, the same question I asked your wife, have you reviewed the exhibit that is going to be attached to the agreement? MR. BISTLINE: Yes. THE MASTER: And you're satisfied that that represents the understanding of you and your wife with respect to the assets listed? MR. BISTLINE: Yes. MS. RADCLIFF: With regard to the legalese portion MARITAL ANALYSIS lO/2/98 WWITH EQUAL DIVISION OF PENSION FRANKLIN D. BISTLINE V, BARBARA A, BISTLINE DATE OF SEPARATION: SEPTEMBER 14, 1995 DESCRIPTION TOTAL DISTRIBUTION TO DISTRIBUTION TO BARBARA FRANK REAL ESTATE 247 Glendale St, l2l,000,OO l2l,000,OO Carlisle Pa Nations Bank (69,l08,85) (69,108,85) Mtg, On Glendale St, , Carlisle Tract 1 Penn Twp l8,000.00 9,000.00 9,000.00 Tract 2 Penn Twp 17,500,00 8,750,00 8,750,00 VEHICLES 1991 Subaru 5,000,00 5,000.00 Legacy 1990 Pontiac 5,000.00 5,000.00 Grand Am PENSIONS Frank's Ci vi! 194,644.00 97,322.00 97,322,00 Service Retirement INVESTMENTS Mari tal Value of 56,937,00 56,937,00 Frank's Inherited FTC stock Pioneer Capital 15,~0~,24 l5,404.24 Growth Fund 010-0100598293 9/30/98 DESCRIPTION TOTAL DISTRIBUTION TO DISTRIBUTION TO BARBARA FRANK Pioneer Fund 30,532,79 30,532,79 00l-0900495168l 9/30/98 Pioneer Equity lO,001.49 lO,OO1.49 Income Fund A 011-0110008250 9/30/98 Pioneer Illtr'l 1,640.5l l,640,5l Growth Fund A 007-0070053599 9/30/98 Pioneer II A 14,545,57 14,545,57 002-902024l810 9/30/98 Pioneer Cash 4,583,74 4,583,74 Reserve 077-0770l04469 Fundamental 8,151.49 8,151.49 Investors 6088-9066-10 9/30/98 AIM Weingarten 1,507,47 1,507,47 4025655236 lO/1/98 Phoenix 4,917,79 4,917,79 Investments 53-5007977-7 Phoenix Duff & 526.98 263.49 263,49 Phelps 53-4899752-8 Pioneer Fund IRA l4,209,47 l4,209,47 001-0905028838 BANK ACCOUNTS Wife's FTC 190,OO 190.00 #594164 Husband's Me lIon 15,985,00 15,985,00 account 182-112-0605 . , DESCRIPTION TOTAL DISTRIBUTION TO DISTRIBUTION TO BARBARA FRANK Husband's 400,00 400,00 Member's lot savings account BARBARA'S BUSINESS hard assets l,409,OO l,409,OO good will HOUSEHOLD GOODS Wife's household 160,00 160,00 goods Husband's 1,860,00 1,860.00 household goods TOTALS 474,997,69 213,379.58 261,6l8,l1 50% OF TOTALS 237,498,85 (237,498,85) (237,498,84) ADJUSTMENT (24,119,27) 24,119.27 NEEDED FOR EQUAL DIVISION DIANE G. RADCLIFF 3448 Trindle Road Camp Hill. Pennsylvania 17011 Telephone (717) 737 -0100 Voice Mail (717) 558-5518 Fax (717) 975-0697 March 2, 1998 E. Robert Elicker, III, Esquire Cumberland County Divorce Master's Office 9 North Hanover Street Carlisle, PA 17013 Re: Bistline v. Bistline No. 97-817 Civil Term Dear Mr. Elicker: In accordance with your February 3, 1998 Pre-Trial Directive, I am herewith providing you with the Plaintiff's original Pre-Trial Statement. A copy of that statement is being mailed to Attorney Taylor Andrews on this date. An additional copy is also being mailed directly to Mr. Bistline since I have yet to be advised that Attorney Andrews has officially entered his appearance in this case. I will anticipate being advised of the scheduling of the Pre- Trial conference in this matter, Very t,uly you,,_ :'\ D~QUIR' DGR/dr Enclosure: cc: Barbara Bistline Taylor Andrews, Esquire Franklin D. Bistline I '* OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Slreet Carlisle, PA 17013 (717) 240.6535 E. Robert Elicker, II Divorce Master Tracl Jo Colyer OWce Manager/Reporter Welt Shore 697,0371 Ex\. 6535 Diane G. Radcliff Attorney at Law 3448 Trindle Road Camp Hill, PA 17011 september 30, 1998 Taylor P. Andrews, Esquire ANDREWS & JOHNSON 78 West pomfret street carlisle, PA 17013 RE: Barbara A. Bistline vs. Franklin D. Bistline No. 97 - 817 civil In Divorce Dear Ms. Radcliff and Mr. Andrews: I have had the opportunity to review the briefs of both counsel regarding the nonmarital stock issue and the subsequent stock splits. I have also looked at the cases that counsel have cited and although the cases lead us in theory to philosophical exercises supporting the plaintiff's position, nevertheless, it is my opinion that the divorce code is very clear regarding the treatment of nonmarital property. My understanding of the facts is that the shares of stack were acquired by husband as nonmarital property (an inheritance from his father). The additional shares of stock, which were realized from the splits of the original shares constituted an accretion to the nonmarital property. The shares never lost their status as nonmarital. The marital i.nterest (not marital property) is specifically addressed in the divorce code as being the increase in value of the nonmarital asset from the date of acquisition or marriage, whichever is later, to the date of separation. plaintiff's theory would convert a portion of a nonmarital asset into a marital assets which is not an acceptable method of treating nonmarital property. The stack splits themselves do not change the character of the property. The distinction, as I see it, is between defining marital property and marital interest in nonmarital property and, in my opinion, what we have in this case is to determine wife's ASSETS AND LIABILITIES OF PARTIES Defendant marks of the list below those items applicable to the case at bar and itemizes the assets on the following pages: (x) I. (x) 2. (x) 3. ( ) 4, (x) 5. (x) 6, () 7, ( ) 8, ( ) 9, ( ) 10, ( ) II. ( ) 12, ( ) \3, ( ) 14, (x) IS, ( ) 16. ( ) 17. (x) 18, (x) 19, ( ) 20, ( ) 21. ( ) 22, ( ) 23, ( ) 24, (x) 25, ( ) 26. Real Property Motor vehicles Stocks, bonds, securities, and options Certificates of deposit Checking accounts, cash Savings accounts. money market and savings certificates Contents of safe deposit boxes Trusts Life insurance policies (face & cash surrender values, and beneficiaries) Annuities Gifts Inheritances Patents. copyrights. inventions, royalties Personal property outside the home Business Employment tennination benefits Profit sharing plans Pension plans (indicate employee contribution and date plan vests) Retirement plans, individual retirement accounts Disability payments Litigation claims (matured and unmatured) MilitaryN.A. benefits Education benefits Debts due, including loans, mortgages held Household furnishings and personalty (include as a total category and attach itemized list if distribution of such asset is in dispute) Other MARITAL PROPERPY Defendant lists all marii',: property in which either or both spouses have 0 legal of equitable interest individually or with any other person us of the dote this action WUll commenced: ITEM NO. 2 2 3 3 5 5 6 15 18 19 19 25 DESCRIPTION ()W~RS Real Estate: 247 Glendale St., Carlisle. Po, Franklin & BarOOra B 1st II nc Real Estate: Penn Township lots Franklin & llarOOra IIlstllnc Vehicle: 1991 Subaru Legacy BarOOra lIistlinc Vehicle: 1990 Pontiac Grand Am Frunklin Bistline Investments: various funds and stocks including post-separation income and growth Barburu lIislllnc Financial Trust Co, stock (now Keystone) Appreciation during marriage until separation Franklin Bisllinc Checking account - Mellon Bank Frunklinlllstlinc Checking account lIarOOru Bistlinc Savings account - Members First FeU Franklin lIistlinc Business: Barbara Bistline Financial Scrvices BarOOra B 1st line Pension: Federal Civil Servicc RCliremclll (w/social security carve-out) Franklin Bistlinc Retirement: IRA Franklin Bistline Retirement: IRA Barbaro Bistline Household furnishings and personulty Franklin & Barhara Illstlinc ''''.' , ~ }- . '-~'-' '.,' '~G;j~",~c': .' ' ':~~i~~!iv/' ,j"':: ' ~"";';tJ!~~?;;:::; <':: ' , ,'" !;.IT"l " ','" " ',.0 ,;~t~~ll?~\ :~: 0" ""\:'i~C-:';:'''g' "";'," '0; 0 :'-',';::,1 ,,",, v ~",< f':') !-' -<;.' . _ C'," . .. -;; (">~ i",' " ,,' 2 ._. ',' ;:~._;,.". ;".. - '-'. ,. ~,~ '- . ,', "-~ . ,"- ",. ~: 'vi' r .. J:!~ !~ ll!t ;. ~ ~ . ,~,;\ ". . . -'. ,.. ',' , \ , \ t ... " . ;;. MARITAL PROPERTY Plaintiff lists all marital property in which either or both spouses have a legal or equitable interest individually or with any ather person as of the date this action was commenced: !TIM .0. 1. 1. 2. 3. 3. 3. 3. 3. 3. 3. 3. DIANE G, RADCLIFF 3448TRINDLE ROAD CAMP HILL. PA 17011 (717) 737-0100 DESCRIPTIOH REAL ESTATE: 247 GLENDALE STREET, CARLISLE, PA REAL ESTA'IE PENN TWP. MOUNTAIN LAND MOTOR VEHICLE: 1991 SUBARU LEGACY STOCKS BONDS, SECURITIES AND OPTIONS: PIONEER CAPITAL GROWTH FUND STOCKS, BONDS, SECURITIES AND OPTION: PIONEER FUND STOCKS, BONDS, SECURITIES AND OPTION: PIONEER EQUITY INCOME FUND STOCKS, BONDS, SECURITIES AND OPTION: PIONEER INTERNATIONAL GROWTH FUND STOCKS, BONDS, SECURITIES AND OPTION: PIONEER CASH RESERVE FUND STOCKS, BONDS, SECURITIES AND OPTION: FUNDAMENTAL INVESTORS STOCKS, BONDS, SECURITIES AND OPTION: AIM WEINGARTEN STOCKS, BONDS, SECURITIES AND OPTION: PHOENIX INVESTMENT - 3 - HAM! or ALL onBRS FRANKLIN AND BARBPJtA BISTLINE FRANKLIN AND BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA BISTLINE BARBARA A. BISTLINE DIANE G, RADCliFF 3448 TRINDlE ROAD CAMPHlll,PA 17011 (117) 737.0100 ITIM DESCRIPTION NAME OF ALL OOERS NO. 3. STOCKS, BONDS, SECURITIES AND FRANKLIN BISTLINE OPTION: FARMERS TRUST STOCK, NOW KEYSTONE FINANCIAL 3. STOCKS, BONDS, SECURITIES AND FRANKLIN AND BARBARA OPTION: BISTLINE PHOENIX DUFF ACCOUNT 5. WIFE'S PERSONAL CHECKING ACCOUNT BARBARA BISTLINE 5. HUSBAND'S MELLON CHECKING FRANKLIN BISTLINE ACCOUNT 15. WIFE'S BUSINESS BARBARA BISTLINE 18. HUSBAND'S CIVIL SERVICE FRANKLIN BISTLINE RETIREMENT 19. HOUSEHOLD GOODS AND FURNISHINGS FRANKLIN AND BARBARA BISTLINE HOH-MARITAL PROPBRTY Plaintiff lists all property in which a spouse has a legal or equitable interest which is claimed to be excluded from marital property: ITIM DBSCRIPTION BASIS FOR BXCLUSION 110. 3. & FARMERS TRUST STOCK, NOW KEYSTONE INHERITANCE BY 12. FINANCIAL HUSBAND 3. POST SEPARATION INCREASES IN POST SEPARATION INVESTMENTS PROPERTY 15. POST SEPARATION INCREASES IN POST SEPARATION BUSINESS INTEREST PROPERTY 18. POST SEPARATION INCREASES IN POST SEPARATION & RETIREMENT PLAN AND IRA ACCOUNTS PROPERTY 19. .4- PROPERTY TRANSPERRED ITEM DESCRIPTION OP DATE OP CONSIDERATION NAME OP NO. PROPERTY TRANSPER TRANSPEREE 3. PHOENIX INVESTMENT 4/10/97 49l7.79 BARBARA BISTLINE 5. WIFE'S CHECKING VARIOUS $190.00 BARBARA ACCOUNT BISTLINE J t I . ;!> LIABILITIES ITEM NO. DBSCRIPTION OF DBBT CREDITOR'S NAME DBBTORS' NAMES NONE N/A N/A DIANE G, RADCLIFF 3448 TRINDLE ROAD CAMP HILL, PA 17011 (717) 737-0100 - 5 - DESCRIPTION AMOUNT CABLE TV 27.00 REAL ESTATE TAXES HOMEOVINERS INSURANCE/RENTERS GROCERIES AND HOUSEHOLD SUPPLIES 250,00 TAXES: INCOME TAXES NOT WITlIHELD PER CAPITA/OCCUPATION TAXES 35,00 OTHER TAXES AllTCM)'lIVE AND TRANSPORTATION EXPENSES: PAYMENTS 1991 Subaru INSURANCE 42,00 FUEL 87,00 MAINTENANCE AND REPAIR 50.00 LICENSE AND REGISTRATION ,50 PUBLIC TRANSPORTATION INSURANCE: LI FE INSURANCE ACCIDENT INSURANCE HEALTH INSURANCE OTHER INSURANCE MEPICAL EXPENSES NOT IUUMBURSED BY INS,: MEDICAL/DOCTORS 4,00 DENTAL 17.00 OPTICAL 8,00 ORTHODONTIC HOSPITAL MEDICINE 4,00 SPECIAL NEEDS/THERAPY 7,00 EDUCATIONlIL EXPENSES: PRIVATE/PAROCHIAL SCHOOL TUlTJON COLLEGE/VOCATIONAL TUITION ROOM AND BOARD FEES AND SUPPLIES DESCRIPrION AMOUNT BOOKS RELIGIOUS TRAINING CREDIT CAll.DS AND LOANS: 1. 2, 3, 4. PERSONAL EXPENSBS: CLOTHING 167,00 LAUNDRY AND DRY CLSANHIG 30,00 BARBER AND HAl R DRESSER 10,00 LUNCHES 5/day 100,00 MISCELLANEOUS EXPENSES: HOUSEHOLD HELP CHILD CARE I~EMBERSHI PS 29,00 NEWSPAPERS/MAGAZINES/BOOKS ENTERTAINMENT 150.00 VACATIONS 125.00 GI FTS ANI) TOYS 208,00 CHARITABLE CONTR I BUT IONS LEGAL FEES 175,00 OTHER CHILD SUPPORT OTHER SPOUSAL SUPPORT/ALIMONY OTHER MISC, EXPENSES EMPLOYMENT EXPENSES NOT DEDUCTED FROM PAY UN I FORMS OTHER EXPENSES-SPECIFY TOTAL EXPENSES 2156,50 PROPDTY OWNJll) 0WNI1l.8R1P TYPE DESCRIPTION VALUE H W JT CHECKING Financial Truut 250,00 x SAVINGS CREDIT UNION STOCKS/BONDS Mise, Investments 74,000 x REAL ESTATE 247 Glendale Street 150,000 x OTHER INS1lJlA1fCB COVJIJIAGB TYPE HOSPITAL/BLUE CROSS COMPANY POLICY NO. H W C Keystone HMO 204-30-9205 x x MEDICAL/BLUE SHIELD HEALTH ACCIDENT DISABILITY INCOME DENTAL VISION OTHER-SPECIFY 'H-Husband; W.Wife; J.Joint; C.Child SUPPLBIIIlNTAL INCOME STATBIIIlNT (a) This form is to be filled out by a person: (1) Who operates a business or practices a profession, or (2) Who is a member of a partnership or joint venture, or (3) Who is a shareholder in and is salaried by a closed corporation or similar entity. (b) Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) The most recent Federal Income Tax Return, and (2) The most recent Profit and Loss Statement. (c) Name of Business: Barbara A. Bistline Business Address: 169 West High Street, Carlisle, PA 17013 Business Telephone: (717) 249-4441 (d) Nature of Business (check one) (X) l. Sole Proprietorship 2. Partnership 3. Joint Venture 4. Professional S. Corporation 6. Other (e) Name of accountant, controller or other person in charge of financial records: Corneliuis Kurtz 1218 Walnut Bottom Road Carlisle, PA 17013 (f) Business Income: 1. Annual income from business: $70,023.00 2. how often is income received: various 3. gross income per pay period: varies - net set 4. net income per pay period: varies - not set S. specify deductions, if any: varies - not set >- 1..11 (: c;; If; ._, .-': , - cC ~ ~ -' luf) ::.>, 0- -- ',.'. ---{ =2 ~:. j ft-; y~ O. :./'} (..)l I Ul..... " iiJ ~I' . U. - ...:: >.:~ -. -1 t- .. lL. C') -.' Co ell U 1 . BACKGROUND INFORMATION: A. PLAINTIFF: NAME BARBARA A. BISTLINE ADDRESS 938 FOREST COURT, CARLISLE, PA 17013 DATE OF BIRTH 7/21/40 PLACE OF BIRTH CARLISLE, PA SOCIAL SECURITY NUMBER 161-34-2254 HEALTH GOOD OCCUPATION FINANCIAL CONSULTANT EMPLOYER SELF EMPLOYED LENGTH OF RESIDENCY IN ENTIRE LIFE PA EDUCATIONAL BACKGROUND BS PENN STATE 1962 B. DEFENDANT: NAME FRANKLIN D. BISTLINE ADDRESS 247 GLENDALE STREET, CARLISLE, PA 17013 DATE OF BIRTH 10/27/36 PLACE OF BIRTH CARLISLE, PA SOCIAL SECURITY NUMBER 204-30-9205 HEALTH GOOD OCCUPATION SUPPLY ANALYST EMPLOYER NAVCIP LENGTH OF RESIDENCY IN ENTIRE LIFE PA EDUCATIONAL BACKGROUND HIGH SCHOOL GRADUATE 2. MARITAL ASSETS AND DEBTS: DESCRIPTION SEPARATION VALUE CURRENT VALUE REAL ESTATE 247 Glendale St. 121,000 121,000 Carlisle, Pa Nations Bank Mtg. On -74,000 -74,000 Glendale St., Carlisle Tract 1 Penn Twp 18,000 Tract 2 Penn Twp 17,500 VEHICLES 1991 Subaru Legacy 6,000 5,000 1990 Pontiac Grand Am 6,000 5,000 PENSIONS Frank's Civil Service 167,936 167,936 Retirement INVESTMENTS Marital Value of Frank's 63,383 153,452 Inherited FTC stock, now by merger Keystone Financial (see attachments for calculations) Pioneer Capital Growth 13,724 17,539 Fund 010-0100598293 Pioneer Fund 16,897 26,604 001-09004951681 Pioneer Equity Income 6048 9,204 Fund A 011-0110008250 Page 5 of 12 DESCRIPTION SEPARATION VALUE CURRENT VALUE Pioneer Intr'l Growth 1768 1,638 Fund A 007-0070053599 Pioneer II A 11,705 15,379 002-9020241810 Pioneer Cash Reserve 5,084 8,105 077-0770104469 Fundamental Investors 5,090 7,658 6088-9066-10 AIM Weingarten 1,041 1,485 4025655236 Phoenix Investments 3,865 4,918 53-5007977-7 Phoenix Duff & Phelps 427 527 53-4899752-8 Pioneer Fund IRA 7,383 12,468 001-0905028838 BANK ACCOUNTS FTC 11594164 190 190 Frank's Mellon account 15,985 15,985 182-112-0605 BARBARA'S BUSINESS hard assets 1,409 good will none none I- TOTALS $379,526.00 $536,997.00 ... See chart and documents attached in Exhibit Section for further details on above assets and debts. Page 6 of 12 3. PENSIONS: See above for itemization of any pension or retirement plans. See documents attached to Exhibit section for further details on pensions 4. INCOME and EXPENSES: WIFE has a net monthly income of : WIFE reports monthly expenses of: $3,985.38 $2,156.50 $UNKNOWN $UNKNOWN HUSBAND has a net monthly income of: HUSBAND reports monthly expenses of: 5. COUNSEL FEES: WIFE has incurred $3462.00 in attorney's fees and $475.00 in costs to February 1, 1998. She anticipates that she will incur $2,000.00 to $3,000.00 in additional attorney's fees to the conclusion of the case. 6. EXPERT WITNESSES: Experts to be called are not known at this time. If experts are retained, the WIFE reserves the right to call them as witnesses upon proper notification to the HUSBAND. 7. OTHER WITNESSES: Other witnesses to be called are not known at this time. WIFE reserves the right to supplement with additional witnesses upon proper notice to HUSBAND. 8. EXHIBITS: Final listing of Exhibits is not known at this time. WIFE anticipates utilizing the following Exhibits but reserves the right to submit additional Exhibits upon proper notification to HUSBAND: 1. WIFE'S Income and expense statement; Page 7 of 11 I ., PROPOSED SCHEDULE OF DISTRIBUTION DESCRIPTION CURRENT VALUE FRANK BARBARA TO BE SOLD OR DIVIDED EQUALLY REAL ESTATE 247 Glendale st 121,000.00 121,000.00 Carlisle PA Nations Bank Mtg. On (74,000.00) (74,000.00) Glendale St., Carlisle Penn Twp tract 1 18,000.00 18,000.00 Penn twp tract 2 17,500.00 17,500.00 VEHICLES 1991 Subaru 5,000.00 5,000.00 1990 Pontiac 5,000.00 5,000.00 PENSIONS Frank's Civil Service 167,936.00 167,936 Retirement MARITAL PORTION OF PENS ION TO BE DIVIDED UPON RETIREMENT PER QDRO INVESTMENTS Marital Value of 153,452.00 109,843.50 43,608.50 To be Frank's Inherited FTC (2647 ( 1051 divided in stock, now by merger shares) shares) shares not Keystone Financial (see cash attachments for calculations) Page 9 of 11 DESCRIPTION CURRENT VALUE FRANK BARBARA TO BE SOLD OR DIVIDED EQUALLY Pioneer Capital Growth 17,539.00 17,539.00 Fund Pioneer Fund 26,604.00 26,604.00 Pioneer Equity Fund 9,204.00 9,204.00 Pioneer International 1,638.00 1,638.00 Pioneer IIA 15,379.00 15,379.00 Pioneer Cash Reserve 8,105.00 8,105.00 Fundamental Investors 7, 658.00 7, 658.00 AIM Weingarten 1,485.00 1,485.00 Phoenix Investments 4,918.00 4,918.00 Phoenix Duff 587.00 587.00 Pioneer Fund IRA 12,468.00 12,468.00 BANK ACCOUNTS Farmers Trust 11594164 190.00 190.00 Mellon Account 15,985.00 15,985.00 111821120605 BARBARA'S BUSINESS hard assets 1,409.00 1,409.00 good will none 0.00 TOTALS 537,057.00 143,296.50 143,324.50 250,436.00 Page 10 of 11 0 III "-' E-o Q) Z ~ u C <U ..... <U III C Q) ~ . 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Q) Q)'O.... .... 0 0 ..... 0 " ~O\o. - e ~ III iil Q) III :>, H e - I 0\ 0 "'" - ..... - lfl ~ CO '" - lfl .-i - e r.l !-te OH ZU r.l C I-- E-< lfl '" Q) I- Z!:J CO 0 C 0\ '" "'" 0 0\ I~ - - C \0 lfl ..... C'l ..... lfl - ~ lfl Q) \0 CO C N ~!:J '" 0 lfl - C 0\ ~~ lfl I- ..... C'l r.l III --- ~ C 0 H ..... lfl E-< ..... 0 III '" Q) \0 "-' H ~ 0 III Q) ..... ~ I II III ..... U III "-'N III ..... III - c..... III :J III r.l ~::J"'" ~ C C 0 I '0 '0 III UN " 0 "UCO ~ <1l 0 0 ~<1l"'" .G 0\ E-< BISTLINE V. BISTLINE CALCULATION OF MARITAL SHARES AND VALUE OF FARMER'S TRUST STOCK I. CALCULATION OF NON-MARITAL FARMERS TRUST STOCK: 1 INHERITED VALUE OF STOCK $12,000.00 2. DATE OF RECEIPT 4/3/85 3. NO. OF SHARES RECEIVED 401 4. PRICE PER SHARE AT RECEIPT $46.00 5. VALUE AT TIME OF RECEIPT 18,446.00 II. CALCULATION OF NUMBER OF MARITAL SHARES: 1. NUMBER OF SHARES AT SEPARATION 2. NUMBER OF NON-MARITAL SHARES 3. NUMBER OF MARITAL SHARES 2645 SHARES -401 SHARES 2244 SHARES III. VALUATION OF MARITAL SHARES: 1. NUMBER OF MARITAL SHARES 2. KEYSTONE FINANCIAL CONVERSION 3. NO. OF KEYSTONE FINANCIAL SHARES 2241.00 SHARES X 1.65 SHARES 3697.65 SHARES 4. PRICE PER SHARE OF KEYSTONE 2/22/98 5. VALUE OF MARITAL KEYSTONE SHARES X $41.50/SHARE $153,452.48 IV. VALUATION OF NON-MARITAL SHARES: 1. NO. OF NON-MARITAL FARMERS SHARES 2. KEYSTONE FINANCIAL CONVERSION 3. NO. OF NO-MARITAL KEYSTONE SHARES 4. PRICE PER SHARE OF KEYSTONE 5. VALUE OF NON-MARITAL KEYSTONE SHARES 401.00 SHARES X 1.65 SHARES 661.65 SHARES X $41. 50/SHARE $27,458.48 CERTIFICATE OF SERVICE AND NOW, this rJM RADCLIFF, ESQUIRE, hereby day of ~^( Q. , 1998, I, DIANE G. certify that I have this day served a copy of the within Pre-Trial Statement, by mailing same by first class mail, postage prepaid, addressed as follows: Taylor P. Andrews, Esquire 78 West Pomfret St. Carlisle, PA 17013 Dated: 3-') 4'6 1 DI SQUIRE 34 8 Camp , A 17011 (717) 737-0100 I.D. No. 32112 Attorney for the Plaintiff CAMP Hill. PA 17011 Page 11 of 11 4. EXHIBITS: (all available exhibits are copied as a supplement hereto) A. AppraiSllI by Steve Barrett of247 Glendale St., Carlisle. B. AppraiSllI by Steve Barrett ofTmct #1 Penn Twp. C. AppmiSllI by Steve Barrett ofTmct #2 Penn Twp. D. Statement of Defendanl's earnings from fcderal gov't by year. E. Statement of bene lit earned to date ofseparation. F. AppmiSllI of Defendant's retirement. G. Calculation of value of marital portion of Defendant's FfC stock. H. FfC records of date of issuance to Defendant and subsequent growth by splits. J. Smith Barney report as to FfC value of issuance. J. Newspaper report valuing stock on DOS. K. Mellon Bank statement for Defendant's checking balance as of DOS. L. NationsBank statement of mortgage 001. 11/29/95. M. Defendant's IRA statement as of DOS. N.Thru P. Defendant's 1995 -1997 fedemltax returns. Q.Thru S. Plaintiffs 1995 -1997 fedemltax returns. T. And thereafter. Such records as Defendant can obtain of Plaintiffs holdings of DOS and thereafter. 5-6.INCOME/EXPENSES: Income and Expense statements arc either attached or submitted under separate cover. 7. PENSION/RETlREMENT BENEFITS: Defendant's retirement is referenced above. Both parties have IRA's and the DOS values will be diselosed in account records. 8. COUNSEL FEES: No claims. 9. TANGIBLE PERSONAL PROPERTY: To this point there has been no appmisal. In the absence of an appmisal, Defendant shall deseribe the personal property and state his opinion as to its current value. I O. MARITAL DEBTS: Other than the mortgage and related ongoing occupant expeases there are no debts. Marital Inventorv Franklin D. Bistline v. Barbara A. Bistline ---.---------.-.---. __'0 ..----.-.-. _ ~___n___ _L___ ______ 00 l,------------,J- __ ___._____ ____ _ ~__. Mlrltal Property: D!l'e of ~~ralion: 56 lember 14. 1995 1 Va~ _._----~- Possessed or controlled ~__ I .-.-- HowVslued ---- ._--~ .m - Undistributed -- EmnIs __n -- Barbara Rell Estate: - ~~__________ _____n.__ ,_'uo, ~-~.._-_._-- -_.__.-. - - -. u_.__._.__ ...._ __~3.016_ ___~3.016 - 247 Glendale St. Carilsle Ban1lIt Appraisal _ $121.000 _($77.,984) Tract #1. Penn TWIl. Ban1lIt~_ $18,000 $0 _$18!.O()Qu $1':1.000 --$17,500 ---- - - ...-- ---- --- ----.--. ..-.. ---------- Tract #2. Penn Twp. Ban1lIt Appraisal $0 ___J1!!~_ __..J!7_.~_ -~---- .---.---.... ~- Vehlcl..: 11991 Subaru Item 2 Ws ooaysls $7,000 $0 $7,~ -,-~_._._- 1-- - $6.000 $7.000 $6.000 - - - 11990 Pontlse Grand Am Item 3 Ws ooaysls $0 ~,OOO -- PelllOnsl Property: not vet valued I -.----.-.... -...--.-- .-.".'.0.- '.-,. ..--- . --.-....-.. ....-- ----..-.. . - Pensions: ..-- ..-------- u_ -...---..---,-.. -..- -----..- ----.---- -- .--.-. _~!'8nk'S Civil Servl~-'~~lre~,! ~~AI>!X'slllC _ $167,936 $0 _~~67.9~ $167.936 1..__00_____ - - .--- -~-- f----- ___on -- ----- Inv"tmenll: Mlr1lIIlIppleciation on FlWlk'sln_ ---..----..----- .---.--..---- -- u_________ ---_.._---- ------ ---_.__._~ ---- FTC sled< TPA's memo $56,937 $0 $56.937 $56.937 -- --$f3~626 --------- Pioneer Capital Gl'OINlh Fund "illustration" $0 $13.626 $13,628 Pioneer Fund A "illustration" ~~E,2.1!l_ ~-~Q. __.$25,216 __ $25.21!l - PIOneer EqUitY-Income Fund A - --- "illustration" $6,387 $0 $6,367 $6.387 Pioneer Int'~n'l Gl'OINlh Fund A "illustration" $1,964 - $0 $1,964 $1,964 -$16.246 --~- $16,246 Pioneer IIA "illustration" -- $0 $16.246 Pioneer accl# 077-0770104469 Item 10 Ws ooaysls $5,084 $0 $5,084 $5.084 ._-~-_._- -----_._---- - FundamentallnvestOlS RadclifllIr. 11/5197 --- ~,-~~- $0 $6,589 $6.589 -...-..- --_._--- AIM Weingarte!l Fund..:~I8S!!.~ RadcliflIIr. 11/5197 1$1,091 $0 .u$! ,Qll1_ ----- $1,091 -----.----.-,.--.--------- Phoenix Investment Item 14 Ws ooaysls $4!~ $0 . $4.322 $4,322 -----=-=-- Phoenix Duff & Phelps Item 18 Ws ooaysls $427 $0 $427 $427 1------ ___u_ _u_____ --_._-- Pioneer Fund IRA - Frank Item 15 Ws ooaysls ---.E'_311~ $0 _._'!Z,383 $7,383 _ ___n -'--"'-'-- _ f>~ssiv!l_~i~ Ir MP 1995 u_ ? ------ $5,Q3.~ ~j5;Q3.9 . --..--,-.-- --."-.-.----.-- ---- ~:::~: =l~: :~ ~~1~ 88's 1996 1040 $0 __!~,03_9._ .. .--- . -.--.-...--..--.- .._--- --- __u_______ --~ unavai_ ? .-- Bank Accounll: FTC #594184 _u -------- - $1.061- $1.061 -- Item 5 Ws ooaysls $0 $1,061 Mellon Bank Frank's checking Item 17 Ws ooaysls $15.985 $0 $15,985 $15,985 Savings account at Members 1st $400 $0 $400 $400 Bsrbara' Busln...: - -. .------..----- _.._u, -----'.---"---.-- f------ - ---'-'-- Hard Assets ----- ----- -c:.- -.-.--.-- - --$1.400 --- Item 4 Ws ooaysls _!1,4Qll_ $0 '1.409 ------_.- --~- -- --- . - -...- ------.-----..----- .----- ---...- ___u__ -- - ---. ..-...-..---------- --.-- -.--- u. Totale ------- ----------- $508,602 1$77,984 $430.618 $78,516 $254,641 $97,461 EXHIBIT 1 2/28198 In the Court of COllllllon Plen.~ or CUMBERLAND County, Pennsylvania Pltone: FIlJl: r , , i Plaintiff Name: L>.:olll", /I, A'3fJ,"1' Derendant Name: Fr.:.,k(,,,, 0 Bo!>fl,vt<:: Dockel Number: '/7 - '?17 en,.f 73'''''1 PACSES Case Number: Olher Slale ID Number: n.... aalt: All ,omspoadCDce masr ioclude the PACSES Case Number. Income aDd E"oeose Statement THIS FORM MUST BE FILLED OUT (If you arc self-employed or if you arc salaried by a business of which you arc owner iu whole or pan, you DlIL51 aI50 611 out the SupplcmcoW IIICODlC StaleDlCDI wb.ich appears oa the last page of this iocoDlC and expeosc staleDlCDI.) INCOME STATEMENT OF FRANKLIN D. BISTLINE I verify Wtthe swcmcDlS made iu this IOCODlC and Expeosc StaleDlCDl arc true and correcl. I uoderslaud that false StaleDlCDIS hercio arc subjC<:1 ro the crimioal peoalties of 18 Pa. C.S. ~ 4904. relatiug to unsworn falsi6catiOD to authorities. ~ _ . _,.. . ., .,.., . / d "77/A'. .,/-'/ ,;- ',).7'<,~ _ t/t:y::;.........-M&<"X /;'.-n-€.. Dale PlaiDliff or Defeodaot INCOME: Employer United States Government Address Type of Work Payroll No. Gross Pay per Pay Period S I,')O'J. <~ Pay Period (wkIy.C!>T-;;,kiy.. elc.) Iremiud Payroll Deductions: Federal Withholdiug $/E2.'r<j Social Sreunly $ Local Wage Tax $ 'S,of. Stale locomc Tax $'1;; ') Reliremenr $ io),)" SaviDgs Bouds $ Credit U DiOD $ Life InsuruJCe $ M3 Health losurance $ Other Deductions (specify) r El/d $ .5li.~ fliJ 'c., .'e $ "E] Net Pay per Pay Period $ i 0' '? 7'} J . Se",ice Type Form IN-008 Worker ID lllllllll( Jlh.J E.pclbC SUICmCnI PACSES CJSO Numhcr OTHER (Fill ill App"'pri~lt C,,'umll) INCOME WEEK MONTIl YEAR Inctrt!! S S S Dividtllds /3.5' 7.'> i (.,;)1. c'l Ptnsion AMuily Social S<curiry Rtnts Royalties Ea pense ACl:Ounl Gifts Unemployment Compeosatioo Workmc:o's Compeosatioo IRS Refund Ower Other TOTAL $ $ /35': 7') $ TOTAL INCOME $ SJ,<lS/ '-I G.- fJ' , /1-fc...fL, . t. (Fill io Appropriare Column) EXPENSES WEEK MONTH YEAR Home Monsase/Reo! S S 8G:Z $ Mainteoance Ulilities Eleelrie <16 Go:; G.,:.L Oil T dephone ,-/v Pase 2 of 6 Form 1N-008 Steviet Type Worker ID IIII.III1IC' ..lid ElpcflSC SUlemC:lIl PACSES C." Numhcr I Fill in Apprnpri~le Cnlumn) EXPENSES lconllnutd) WEEK MONTH YEAR W~ler S S /S' s Sewer Ii' Employment Public Transporution S S S luocb Taxes Real Estale $ $ ,-: $ ~ Personal Property 33 Jacome Insuranc:e Homeowners $ $ $ AUlomobile t;l life 33 AccideOI Heallh Olher Automobile P~ymeolS S S /7'-1 S Fuel ~j Rep~irs Medical Doclor S S S DemisI ID Onhll<lonliSI Service Type P~ge J of 6 Fnnn IN-OOS WurkerlD 1III.II111C ,IluJ EApen.sc SUIC"ICnl PACSES C~\e Num""r (Fill ill ApPlllpri"e C"lumll) EXPENSES (conllnufd) WEEK MONTI! YEAR H"'piul Meuicine ID Sped," neeus (glasses, br.-es. llnhupedic uevices) Educ.allon . Povale School S S S Parochial Scbool College Religious Personal CIOlbiog $ $ ,;2S' S Food /3t) BarberlHainltesscr (, Credie P~ymeolS: Credie Cud Charge ACCOUDl Memberships S- Loans Creuil UoiOD S S S Miscellaneous Household Help S . S S Child Carc Papers/Books/Magazine Enccnainmem 17S" Pay TV :J.Z VJc~lion 75- Service Type Page 4 of 6 Funn IN.OOB Worker lD IIl!".HIIIC: Jlld E..(lC'~ SUIC:nlCnl EXPENSES (conllnucd) Gifts leg.1 Fees Ch.riuhlc Concribulions Olher Child Suppa" Alimony Paymcncs Other TOTAL EXPENSFS PROPERTY OWNED Checking Accounts Savings Accounts Credil Union Slocks/Bonds Real Esuce Ocher TOTAL INSURANCE eo~-- . Blue Cross} Omcr ~kilil;J1 <Blue-~I~ ~ PACSES C'\C Nunlhcr (Fill in App"'pri.cc Cnlumn) WEEK MONTH YEAR let'. :)72 'Z5 s s s s s DESC1UPI'ION 1'1dlc'1 ~"Ik f1e.,/.h"r51~f Fell See Pl-'_ hlCt I sll. <'.'1,...-( " I( s COMPANY POLICY I Co,en.. · : H W C k12 1)/ a., k )( " " k K . H - Hushand W. Wire C. Combined J - Joint Page S or 6 SC'rvi..:e Type Form IN'()()8 Worker ID B. OTHER INCOME: DESCRIPTION t MONTHLY 'fEARL Y }' , " INTEREST , 31. 00 DIVIDENDS 5,039.00 PWSIONS ANNUITIES SOCIAL SECURITY RENTS ROYALTIES EXPENSE ACCOUNT ~IFTS ~NEMPLOYMENT COMPENSAT:ON t. -I !;ORKMAN'S COMPENSATION INCOME TAX REFUNDS SUPPORT OR ALIMONY COMMISSIONS TIPS OTHER (SPECIFY) TOTAL OTHER INCOME o 5070.00 PART II EXPENSES DESCRIPTION AMOUNT HctmEXPENSBS:, RENT FIRST MORTGAGE 520.00 SECOND MORTGAGE OR HOHE EQUITY LC~.:; MAINTENANCE AND REPAIRS UTILITIES ELECTRIC 66.00 GAS OIL WATER SEWER 15.00 TRASH TELEPHONE 30.00 DESCRIPTION AMOUNT CABLE TV 27 .00 REAL ESTATE TAXES HOMEOWllERS I NSURAIJCE/REtlTERS GROCERIES AND HOUSEHOLD SUPPLIES 250.00 TAXES: INCOME TAXES NOT WITHHELD PER CAPITA/OCCUPATION TAXES 35.00 OTHER TAXES AUTOMOTIVE AND TRANSPORTATION EXPENSES: PAYMENTS 1991 SuriHU INSURAIJCE 42.00 rUEL 87.00 MAINTENANCE AND REPAIR 50.00 LICENSE AND REGISTRATION .50 PUBLIC TRANSPORTATION . . . I', INSURANCE : '., '. " LIrE INSURANCE ACCIDENT INSURANCE HEALTH INSURAilCE OTHER INSURANCE .HEDICAL EXPENSZS NOT llZIMBORSED BY IN8.: , . MEDICJl.L/DOCTCkS 4.00 DENTAL 17.00 OPTICAL 8.00 ORTHODONTIC HOSPITAL MEDICINE 4.00 SPECIAL NEEDS/THERAPY 7.00 EDlJCA:'l!IONi\L' BXPENSES: .: I>K,;>,.','..:,'....... PRIVATE/PAROCHIAL SCHO"!. 7:;IT!ON COLLEGE/VOCATIONAL TUITIO:1 ROOM AND BOARD tEES AND SUPPLIES r O&SCRIPrION AMOUNT BOOKS RELIGIOUS TRAWING CREOn' CA.IUlS AND I.01\NS: 1. 2. 3. 4. PERSONAL EXPENSES: CLOT H IlIG 167.00 LAUNDRY AND DRY CL~ANIllG 30.00 BARBER AND HAIR DRESSER 10.00 LUNCHES 5/day 100.00 MISCELLANEOUS EXPENSES: . ..: '. ..' '. .. . HOUSEHOLD HELP CHILD CARE MEM8ERSHIPS 29.00 NEWSPAPERS/MAGAZINES/BOCKS ENTERTI'.!!ll'lENT 150.00 VACATIONS 125.00 GI FTS AND TOYS 208.00 CHARIT.~BLE CONTRIBUTIOliS LEGAL FEES 175.00 OTHER CHILD SUPPORT OTHER SPOUSAL SUPPORT/I'.:.I'/OOIIY OTHER MISC. EXPENSES .. EMPLOYMENT EXPENSES NDT DEDUCTED FROM PAY . .. :.... '. UNIFORMS OTHER EXPENSES-SPECIFY TOTAL EXPENSES 2156.50 PROPIlaTY OWNED OWNERSHIP TYPE DESCRIPTION VALUE II W JT CIIECKING Financial Truot 250.00 x SAVINGS CREDIT UNION STOCKS/BONDS Misc. Inveotmento 74.000 x REAL ESTATE 247 Glendale Street 150,000 x OTHER mS11RAHCB TYPE COVBRAGB COMPANY POLICY NO. H w C HOSPITAL/BLUE CROSS Keystone HMO 204-30-9205 x x MEDICAL/BLUE SHIELD HEALTH ACCIDENT DISABILITY INCOME DENTAL VISION OTHER-SPECIFY *H-Huabandj WaWife; J=Jointj C.Child SUPPLEMENTAL INCOME STATEMENT (a) Thio form is to be filled out by a peroon: (1) Who operateo a business or practices a profession, or (2) Who is a member of a partnership or joint venture, or (3) ~10 is a shareholder in and io oalaried by a closed corporation or similar entity. (b) Attach to this statement a copy of the following documento relating to the partnership, joint venture, business, profession. corporation or similar entity: (1) The moot recent Federal Income Tax Return. and (2) The most recent Profit and Loss Statement. (c) Name of Business: Barbara A. Bistline Business Address: 169 West High Street, Carlisle, PA 17013 Business Telephone: (717) 249-4441 (d) Nature of Business (check one) (X) l. Sole Proprietorship 2. Partnership 3. Joint Venture 4. Professional S. Corporation 6. Other (e) Name of accountant, controller or other person in charge of financial records: Corneliuis Kurtz 1218 Walnut Bottom Road Carlisle, PA 17013 IN THE COURT or COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA , BARBARA A. BISTLINE Plaintiff , f' NO. 97-817 CIVIL TERM , , .; V. CIVIL ACTION - LAW IN DIVORCE FRANKLIN D. BISTLINE Defendant SUPPLEMENT TO DEFENDANT'S PRE-TRIAL STATEMENT EXHIBITS " / / APPRAISAL OF THE PROPERTY LOCATED AT 247 Glondolo Stroot Corllslo, PA 17013 ASOF November 24,1997 FOR ANOREWS & JOHNSON I 10 SOUTH COURTHOUSE AVE CARLISLE, PA 17013 oy STEVEN W. BARRETT REAL ESTATE 124 N. Hanover Street Carlisle, PA 17013 5' my Appral..1 Report ;... . PloD.rill' Ollcrl"Uon UNIFORM R1:.)IOENTIAL APPRAISAL REPORT FII. No. 9,_l"ln1 'fo9olf""'!!~._.2.LG1ancSal._Btn.t___ ___ ____ ~1'1. 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G(H[RALD(SCRIPT10N EXTlRIORD(SCRIPTlON Ho. 01 UNU , FouIIIIllIDn Concrete Rloc:k HO.D/SlOrIU , [allnolWall Rri,.\r TJIlIIOtUAnI RooISulfm OU111'l(llylll _ Gutlm'DwftJpu. tJlUlntl"l'I)ClCIltI WklOOwTJPI .....[Trl.l "i"., v....,;, SlonnIkrtllll (nlctlWlA "",1 1 _l~vr. t.lINIta.cturtdHOUl1 ..., f1ooM' f II IJrrIrlI Olllln JlUMII uu n. 0.. '111111 Uund ..., A,uSI.Fl ,... , ... laullIIIftl ,...., l.....ll , , , 1 < ,'nl.r.'Itclf\taIM: "'lllfllll.tondlllDll ,,- ."". , Rooml; 1 "'fOOIIIl; llTCH(N (QUI;.- Amc RlllIftllWl r- NOIlI ~III StallI OlI\lOclI 0",,'11I' 0IIIlwU1'I1I leultll fMM004 fiOOl UlcnrtrtrI HUIt. WUflI'IOIYII flrQllld , < .. - - II: AM(NlTl(S FlrlpllullllL-.JIi '''10 oril.'!lr: .." .."" , ..D" SIlUIIIJ"loIGrouLNVlOA,u CA"STORAGE: .... 0 Gara" "Iuellll l__.__ D,uelll' luUHII CI'flDlI DI"".... lolutl flrllslltdllu lNnRIOR ,.... WdI TnM./JlNlft "Ilrall ....WIINCOI ..... HEATlHG '''' .n filiI ..I' c..."" coourG Ctlll/II v... DlIlIr u/a eoo_ AHIIlOA1l IUlwfU (lPldlt 111I117 'rndtllllllllll. 'lei. C8nt.r.1 .ac:uum. ,,,. -;;;;-.... ~ - - fillet ... 2''''0 -- Raar brick pat.io COl*IIOII 01 1111 lmlllMllltllll, OIIPIlCUllon tDl\yIIUl. funcbOllll. 1M ulI'IIIl). llpalr. IIIIOt.. ""fJ' ot CDl\llrllClIOII. "lI'IodIll\",,~lbonl. III ._ 'ft . >. .. ...... _... M _......~.. ft, .. ""'fll ""tIlDMlUla.l tondUIOIII (llICIl U. 1M 110I M1l11d te, lIIWlIOul .UIII. 1011( lubtIIICIl. Ilc.) pllllftl III tilt mptllrlm,nll, on IlII '111, 01 III lit .......... Y\dIIII)' 01 DII IlItItIcl /llOIltrty.: .... f.......'-"III "CK ","IOfI ........-..hll."""'.... (IOIIm.12 ,......'_IIMIIII) V.lu.lIon 5.cllo" UNIFORM RL....IOENTlAl APPRAISAL REPORT FII. No Q't_nn, UllYAllillIIfYAlU( ._, ____40.000._ tom/!lt~11 0lI cllll Agp,",h llwtl'l II. 1000lC. III tOlt IIllIIlllt. umu.IlO IU~1l00UC1l0frl'O".frltW Of llol'ROV[t.lflllS III. UIIlI "~.II 10111 ul'wl,1I0n, .~, 101 IIUO. VA '"' IIIIHA. IfIt S O..1IiIl1 __l.J.BJ.. '0 "d. _., ..0.0_ _I ~ _68...2.6". ,,111II11" 1111I1<1I1'" tul/lomlC ~l. of lilt ,,,,,,,,.trl COIt.__D''''~_ t BUlUM.nLL..JU't fl.' J.Q....OO_. ~L..J.JQ.... ~OIIlH&uh.11-awULYa.1U&t..t.gn_JI.nj.c.I- , I ht' t n J.c-ntral Vac.euum . 2. 000 .JlaDdbao)Land..1cc.ual..t.-&nllylb..L-ftt1. i Olll.,lta/por, ~'t liD' _.1g~OO_. _~.J2.0_ _.YI1\1._.fJ:gJll.Jiuk.U.t.._CQq'ld.on~- 'alii hUIIlIIl. CUI III. .1 ----10.~_ ...Dapnclatloull.d-On.....&;.JU. ob....,.d.__ lm 13.3' """ltal fullCllOllal (Jl.1I11&l ..cond1tlolL&Dd...HaU.tL.DaU_Analy.J..a 0.----- Ot,!ltllbOll 12.0od --1-__ .s _.12,.00..0_ -E1t1ut.I"LJl.lMlnJ.no..&conoaUc .LU.._45.,:50.__ o.",U&l.'V&lllt,lllII'lOf.m.ftll .1 ---18...J2J_ .181'...____ ---..--- -.. -- --- ....11' Vllv' ~l I'lllmJlOfIIllIft\1 . I " nnn I_01UllDYAlUUICOIU"1I0ACK I'." ..nn\ .1 -,-;;"~;;-j'" -----.-.-.. n'_"'_ \ my I IUIJfCT _ cmm.AAm HO I .~O:~'-W~L( HO J ~OIr,l~AflABl( '!.'!) 24' Glendale Str..t 601 Belveder. Street 211 Lampllt. Drlv. 1126 HAple Stre.t ::::;..::v:;c:.' -""~ 1~.~~1I1. 1~.~~~lo.._____.~.~~~l.- nU___' hll,'rIU I wI.. .'..~.. '-,~-II "nft;;' II 122:000 !~. ,. li_ ---;;c ..nn I 'ljUIGI~IIUw Aln I a, Co) r1- I ao .,0 L-iS..lO [fl!111r.. :':'.l', I - ",...22.!/!r1i'~IIQJ.'.~' ! OI\.lI^IlJQ' KL9 Data KLS Data ~ Vlrlflt&1lOI'I kl;rcu .1. .tQ.1.IrtluUlI.L.BAcorda .tQl,lrthO\llL1\tcnrrt. OIlClII".O/ll OI~"I'Tlo/ll ,IIIAl-1OOfOl olSCRI'1l01il ,"I"'1JlliI'eOI 1,,11-;-""" ". Nono, Cony Nono, ConY ,';':', ,lnnuj, I..... ;'0 '.~"::'" ~/Jl : I 'OaL- : r;;: I AYJlng : I"_..go: I r_L.5.l.qo1_ : fiLli1q!l- : , "'cLA;- : I' : I.. '"' V,llu(AOJuSTIoI(JrlTI hln0' fllUfttl/ll , COIICIIIIIIII' , 011. ot hlo1nWll' lOC&lIOft LllllfIoj41l'IIS';:" SIl' v.. -, OlllUIll' Apot&1 Ov&h cl Cotl'll~tllOll I .. COIIIIDOl\ Abow.GrUl I 1l00000Couftl CflllllM/l-AIII IlUfIllftl& fININ' lborn.ltlowC,I&M fwfttllol'l&lUlIll .. Htlll/l~O i (Mln(tftcltftllltllll C,&II.I,(&r....U Poltfl.P&~.OHi.. FlIli4C.ltl.IIC. rl~CI, PociI,IIC S' "Iry Appraisal Ropoll :..". ntl., : ~nIlrthOU...I\oCord. O(KAl'TlO~ ...!tlIMlo"" ~~.~a.h : 1/0., --1 I"_".-g--=.~ .,-- I.. "ilII>lo__ ...cJAyg___ , 111 ...., ..... I..""~ .. nn, I" v. I,,: --;;::: ~-;;~ " Y.... I.. I....: "'-1 I.. I....:... I . : , " . : ".... 11ft: Full SUIt ...11. ft, Anng" ~- ~ "c" ar Garag : I~o~~ _. INno. l.wl....:... : . : , :. . : s Ft: Fu~~ 8':... Amng' : .IIr.J'll11i>Jr" : ,.. ....:..... : -2,0001 c' : : _,' .nnl, a.. '0": J'ul~ . 8"::_ . gL-. >Js:A -2.000 : :,. _0 ann .. . u, ,n"- S fI. Fu~~ _~_ ,-",.- ~.angL Porch . "0.. .n : '-;'0. c.,reg.: I ~o~~_, ' 1..__- : 1.-;'-- Brick Patio I, - I,,_u .. nnn HnU1.11oll!1 .Ji!' 't:~.~\ 1....1 t 1. :,' .,." I t I 'lrl.:, , Al/ullli I&III'rIce ',v.'J :Gio.'il~~..~,1 Gro.it'~'4't'\~ .""",...)IIIL::;"~J);',,"~I, .on '"' I;;,:,'~,};,';'''*''h Comm.fttl 0/1 Sllll CclllIparllCWI (lndu.ltIl tile Illbllct Dl'OflIrf'/'1 C:OmD'lIlIillly to IN 1lf1,IIllott\oo4I, ltelS 11::.'''. .. -" sis l!lhOVII a ...alu. tl""'.... -- th. Milt. ~ t my if 01Il,'rltl&1'I00&1I So!lrce,lcIl,rlofl&ll1 .\lIIIIWIUOllllCllllIl AlWJ'1I 01 Illy t\irnnlqfll/l\.ftl of IUI. OOIlOn. Of ~.U/l1 of tile l!,IflIIct ptflClfrty III' WJy.1t D111f'J' prloll..1 olll/btld u4 CfllIIDIlablll w1l1l1n 0lIf r-I' 01 lilt IIU, oI.,rlltl&l: No crior lIal.. within oa.~ vaar tlDIUTtD YALUE IY UUlCO.",'UIOI AP,IIDAat S 121. tIt1t1 .JOlUnOYloUJElYlnOIllEAP'1I0AtH IIIApoClu,*iE~~~~;i.i~,,~iA'~ls' .....~i~ ..~.~.Q~..'R;~I.i.~~.:..:.~......~j...... . I '--N/A ',,"awalJlIltmu. l&J 'ull' U .1lt!4ttllOlI'lIIIDliIl.lIltr&lIaIu,lI'I.DlC!lotIIOftoll..llOIIl.....-- U Il/blIdlOcomplellOftpefpl.an&lftIIDltf!lullolll CorId/tlOIII 01 AppralJlI: %bit t:lronertv has been .ocratlled in cur~nt condit-ioD 'fbi. .nor.illal ill...fgr client t:lurool!l.. only. nontransferable s.. attached aMAndum S,_arv ADDrai...l R.e~:; rln&lltet:OllttlLlllofl Cost and Market Analysill consistently...aupp:gJ;t tIN el!ltimatllld market ...al1.le '-'__GRIt... ....: .._....AI 'nr toM. -;:: lI.test weight ill aool1ttd to tb -~--=;: na~. ",. tJ.ates th,Il.A elltimatftl!l _ _ ThI PilllOlI 01 lNl Ifl9tIIuI II 10 IItIII'l&t.I lilt mUtll ulo.tl 011/1I1111 'fDlllrty U1&l II Il\t Ivllt"l 01 1M IlD01\. UH' 11II till &bcM con4lllOlll 11'I4 lilt nrll'''IIlOII. toI\\IIIttftl aM 1lII1C/l1 Cll"dlllalu, "1II&/UI'fM "llrIlllol'ltl'l&l &1I.t&t.I,1Il UIt .fUcfII, FrIU.. Mac forlll Ut/hll....... form 10041 (I\twtll' 6/9] I I (111 UllMAn THE I&.UUT VALUE. AS OUlII[D. Df THE IltAL '1I0'EAfY nu, II THE IUU(t1 Of THlt "~Of ~r 2:1 tOQ'1 (WHit" II TH( DAIl Of 1."ECTlOII lllD THE EH(tTl'I't DlIE Of THII ImOIl" ~D I I' . U'UJllft: c-T' c-V- V IU'IAYlI APPAAlIlftIO.UJfftQ_IIIt~ 1...L IIIMM1 ~ ~,r......"\- SIGfl.tlvl. .._~......-t,...' ,/, 1f- ICIIIIt STAN S~ 1111II' STEVEH W ""lID~'l"l'.Rn.SRPA tn.II'IIOIt~'fIIi ~r t. 1997 O'II~Sl'fII' ,nn., 1l&1IC1/11f1u1lOll1 RL-Otll~72-L 51111 PA S1IltC.rtJtlU\loll'CA-OOtl29R-L 01 51111 UtlIIII' 51111 OISt&IIUtllII" RB-02~0"'-" MilMlllf:f.."ln _r ," <_000 '. i0i'1}~'1 . ..... ..... . ,,- -.";<: -';;11 ,1n I::nn -.., ran;e D~ ~120.000-$~~"~ comcar&bl.l!l a....llable SUIJ[CT Og/30/g3 $112.500 COIil'AfWU NO. I None None COM'ARA!l(1I0.! None None COIil'AfVoSlENO 3 Hone None [iJ.. 0....01 lnIDlcl',OOI"r s.. s.. ., n "'" H41JOfr s..... .."..11I111111. r"1I1I1"1I 11_ 101" f_ 11M 11111 247 GI.ndale St,.e, Stile Pa SKETCH/AREA TABLE ADDENDUM file No 87-0831 Prop. Addl"l C Ca,n"e 8cHIOWII BI,Oln.. Flanklln D. llndllJOllnl Andle.1 & John.on Coun Cumbllland E o o .. 'll ~ III Bath Dining 26' B~droom ~ . " u - i< Den B~droom Living Room liblh 53' AREA CALCULATIONS SUMMARY .... Nam. of Ate. SII' Totall CLA' FIrat floor 1484.00 1484.00 PIP Irlc...,.tlo 192.00 192.00 .... C.rege 532.00 S32.00 TOTAl UVASLE (rounded) ItMIrjIWft:Tl N'OQlWAIlf'IB__ 1484 ~Codl 17013 ................... ................... ................... . . . . . . . . . . . . . . . . . . . :::~~~~~~~:::~~~~~~t~~~~~~~~~~~i ,....... 'GJ:.......' tttt~~~ttt{ :::::::::::::::::(;:::::::::::::::::' :~:t~:t~:~~:~:~:~:tt~:' ................... ................... :r:::ff~::::rrr: ................... .................. ................... .................. 19' SCALE; 1 inch . '2.00 '"I UVING AREA CALCULATIONS O,..kdown Subtotal. \3.00 2a.00 14&4.00 1484 API.~CO..' v~ J~~~! /- y~.,~, ./ ) \. ~,... I IJ~V tfl:=~"''<_,_1 fl~ -::::/~~ I ~" ~~ - /' ~ \. ~".Il Iii. ...~ ~~ .' \ . "La \ \ klW W -I:;f, , I ..-- ,,\,.. ~.:l.'M' 1:1t .....~; \_ ( t, 1ft "i~ ..-#= .~ \ \ " (..;L_-t- :j\- ::,..... --- \ -- <or or '.. , , . '. \ - :~", ~:?~LlSLEi~{t~~-~~'~~'.. \ ~/,:'!i "1' ~"I - ~~;I>" .." \ ~ ./ \\ V 7' /. .." \ " y / \~ \ \ _,c':..r--,. ~,.' r.: '"'\,~ k" ~ '.,-', , ./'."V .__":;>. ~c..... .; i YJ \('"/ ;.". - - . '-:-: ' .; '--r.'a~ .~. . " ,I," .~.:~ : I '\ o:r/\;.:'.~ ". I .; --'IIIIl , I . ~ I .. ~. \Jf - J{ '~.......4. / t .-. \J.:;.t-, ~IJhRJIl"" .... i " >'\...... Af:'A'P I _ [;;;;2 ~v T"T"1 ~ " . 'IN' (;P~' " '. --/"'. ~ . iAI (4 ......,. ,t." .\ : . .~ _' il iLJ,:EI' , /~' 'f',(. .,"J" ~i:Er-,:' .....nJ\..- \ '" 'J;',:;,r. .' ...). '?- '7"-"\ " it'::':;--.. .. to... 1Il'::II.l". to. ,~~... r . 1~ I. :~""......' ; ....... '~''''''''I''' _ " .... '" . .::'i::.::.... a' ",,-, . . ~ , I :;:1:::'-'. '6 ____ ___"':-:"'" .,_.., .....M ", ,. I. I 'I_..~"" ..._~, ,~, '_ ',' """, i :;=':':;:" .!... ~v I. Iii i,.>J~.,::' "'-; "-, ...::l~ '::.::.:.-':, "'I ! I . '.1':: lCl . - '''L ," .4:'- . 1!iJJ:!. --;-J --;- .or" .... "J..r.l' l?W'" .. . . . '" L '/Jf nY- r . j I .,,~ ~ 'J I ~ .: r '.". /1 ..0 " ~';';J:' I 1:,...0 'iitF.ti G..:n / ' ~.[ , 7 " /', ':_. ,..,.(;1. .~,i""-".'..,J ,"', ~~~' ; \1 c' ( ~p, . ~ ' '~.VIJ' "~.,,,. .'1 1 i -'r~ ~ ~W. . _I..... r- ..., "" ~~...,,~ i. ; ~ ",,,,,,,.,,.: \ ~ -, ~ -- ~~ ,--- ':/' ....::. " " ~ - \(:'f'I,' ~ r:~\~~~ " imtl\\' '\ ':.~ _J ~.. '\'~ ! , '. .. " .." \~ ~ - ~ ~ :s?<" v, ! ...~... ._. . 1 . ~ ~ '\, I ,.0 I ___ 45 ~...~\ \ 8 ./~ i1w.... ' -; I lL r , ..1 , . ~." ....". ,,' .t. .t. IIIU\UI'.I, IU'.I\I. I'.:') 1/\ 11'. 1\I','u'/U:IIU. ..,1'.1\" U....., ". lliIl1U)t~!I""II\'lll~. YrilnklJ.1LDc JH5'J't.JHL _ n__"..__" ___._"_~__"_______.__ .______ rll'l'{lIJ.!\~!'11 ~,. .14LGlcndulc. :atec.t _ _________ _._______ \d1L-__ ." __Ca[linle-____~!.l!.!IIJ.. _._Cumbctialld.__________lHltlL_FA._. _.~hl C:u,1c 11013._0- l.fUdt. _ _ _---A1WUW'S_-A_JOlWSOH _ __ _~_._ '0. AIIIIRAISM. AUU"~Nl.UM SI'I~C1AI. t:uNIJl'i'luNN h, Ivlhl.'''r f"U~1 ,1111"" ~If 'I'ullff 'I'Uilllll'tldll""II' Ih.,1 "'(Ie hJflllilinl II, Ihis 11'I"alul \Iullullhe ill'llCllill!l uf tht '1IIoIftl"II,It'I" the 1""'I.a'lhlt ult', ,d Ihlil l""IoI"'IIKuh .1",1 IouIK"" VUlfU uthtl,,;lt 11,..,,1, Ih~ IIIUdll""lIllh.t 1.'1,1, tu the IIII'jull'IUfItII, utllle CUlUI,ulblu vud UU UUflllullht 1II11hl ,IK' Vllhe 1"lIm ", ,,1,1..1.."1, ," Ihe Ivl'ielllllvllI(ll, I'fi,,& 11'1"lind .'Ili, IllIul I ItUlut 1111111(111"" lu.ift_ 'I hilll In Irl'lliul 11,1 nlhnllt Illl.hl 'lIve I Ill' 'Uhjl'll iA Im'lllt:tllll illUlal il"'U IIlul h IC~A 1111I11 2~'.(, huillllll, TlIillLUuditiull i" IYJliUI alltJ eUllIllIUIl .".111\' ;lU'.. alllIIlUl~S I"HJ'r allcl"IIIl,' 1ll1llkcl ynlllc IIf lUlu,,, lI11llhlllhllil)' ulllle IUbJ~ct. I 'llIUIl'11 i"l/lntlllAlIi"llI'\t'.\ IIlC lunth',1 \lo'ilhilllhc ""hied'A m'i,~h"u,hClUlI. Thue II\C1IUe IYllkll1 ul !lilllilur II. iUhhUlhuulli 1111I.1 UU NOT Illll'l't lhc IUlllkel vlfluc 01 rUIUIC IIIl1rk~llbilily uf lhe subject I"ullelly, \ ;n',1lI1 iHllllllulevdullClllllllt1 me! ,.,c Im'nlcll withilllhc luhjell'l ru:lgl1blllhuu..J. The\c usu Bre IYllit:nl rur 1111. ;\It." 1I1l11UO NUT ilUl'lllhl' lll;ll~d vilhlt: ur lulull' Illll.kdllhilily uf Iht' luhjcl"lllIUl'cIly, I h~' 1'1t'llulIlilllllll VRlul' llllhc lIt'il:hlllllhmlll is leu t1ullllhlllllr lhe marhl \'IIU1: ur Ihe lubjt'l,;( 11I1I1":IIy. .Ihi, i\ IIIIC' hllht' vcty witll' llllllll' HI YlIllle U'IIlUJll"licl ill Ihe: nr~. Il1d Allllc.illr Ilullily uf Ihe: lIulljetl 1'lnl'l.II)', Thill'lllHlillulIlHJI-:S NUT IIllnllhl' 1IIllllr.cI vlll1l1,.' ullhc lu..jCll u, iUlulUIe: llllllhlllhilily. I hl' 'Uhjl"l'llIlIlJlt'II)' illul"illl'tl iuII II.H,M.^ Idclllifil'lllllUlul ZUlle. Tlds tlIudlliull UlmS NOT Iflct:llhe m,uLd ,'"Iue ur ruhllt' llllUkcllIltilily U, Ihc lubjcd when r1uud illlUfalltC C:IJYeIRge Is relluirul, Fluull iU'llrancc is AU88Ulcd, ().llllllllrU is lIule..J lUlhe ltnst:Illt:llt "' tilt' Illbjec:l, This cunditiun is c.;ullsitle.e..J typical ill dwellillgs ur Ihis 'Iyk llllll unES NUT nrrcdllllukct vulut II' IIlc rUltHe nuukeluhllily ur the subjecl, Stl,u.lillg UI running \\.llcI WiU Ilull'feseul UII hGAClllellt UUIII. .1 Ill" MIltjrcllllUlluty I, 'crvlc:cII h)' IlIivlllC well_ ami ,el'lie _Iyslellll which Is CUIlIlllun (ur Ihc aiel. I hi, ,llIu 11111 nlh:clllIlll ket villlIC III (utlllc 11I111 kclabilily. .1 Ii,' ",hjcC:1 b uhle. Ihuu'ht' )'l'illA, ^"111t:dlllllkul !loYAlcUl~ illdllllinl~ lhe hutillK, elcclric:al DlId IllulIIhilll~ ~\'lrI1U 1I1lJlCiU UIHIlI II viulllll"h:dm illJlll'diuulu IJC ill wUlkillg IIftJel. Nu W."lllliu Irc implied inlhh q,llclllCnl, Ih'(lair itClllS were nuled ill lhe l'UllIllIcnls iceliUlI ur lhc 1t:I'Ult. These COllllllellls ullrepair ilems lie rur \ho\oil'lh't' !'"'1l11les UIlI)' 111111 rue Utlt IC1luirclllep,lir,\, Thc ICllait ileml li~lcd lie cusmelic allll UO MOT lll(nllhe mnrke' vnlut' III rlllml: IIIl1rkt:lahlllly u, Ihe AulJjec:ll'.upe,ly. "I In' hl'iSclltclIl rluur i" a ..Jitt rlmu, 'fhil c:umlitiun iHllllllllUII uudtYl1icl1 rurllte IlCl.nd UUES NUT ailed Illc m:uhl Vllue ur rutun: Illluketnbility Ilr the subject. The presence or I ..Jirl rluur UUES NOT Ilu~e' 11I',lhh ur Allrcly 11Il7.llld, Till' Juhjt'c:t Ilfuln:lty dues l"tllltllill "'nclillllnl OhAUlcIU:t'IlC:: nA ulllt'd ill lhc repurr. l'hi5 cun..Jiliun it l\1\l~illclell CUlllll1UII alld t)'llic:al rur lht: IlcighbClfhuoll nnd UOES NOT .rrect the 1II1rkcl Vllue Uf ruturc ll1i'lIketllbilily or thc lubjeet. The IUIIII value esceedl 3U'Il" ur lulnl value due lu the high dcmand rur Vlcant Ilnll Inthil uelghborhuo..J, This condition Is eUIIJldered COllllnUn DlHllYl'ienl rur lhe ncighburhoud 11I1I UOES NOT .rreellhc IIIl1kcl \,.luC' UI (UIUfC marketability ur Ihe 1Iillbjec:1. .1 hi' l;uIII value Clccetb ~m', IIf 1111111 value, '1'1115 ill due III Ihe large lite uf lhe IlIc. 1'1115 eUlllliliulI i5 ,nmillc,etllo be IYllicllll11111 CUlIllUtllll1I1IIIJU1!S NUT "lIel,;' the mlrkcl valuc ur ruturc ml,kcllbilil)' ur till' \llhj"d, IlIIli\i~hllll ndjusllllcllls wc.e 'l'lluiu.,tllliul cnccd 15%, Thcsc adju511llclll$ wele rcquire..J due 10 lICk ur 1I1IIIe similar cOl1lparnble5 ulllhal in..JivillulIl ratiug, All thrce cUlllpaubles Ire the BEST AVAILADLE, TIII,llnlljusllllclIls exceed 25%. This Is tJuc tu lhe luck ur cUlIIparable ulcsthat wc.e more slmillr In the Allhjec:I'llIItlrkcl nrea. AUthrer C:lIl1lllnmlllcs n.e lht' DEST AVAILADLE. 1111,' UI mure cUlllttarnble IDleA nlc uhlerlll:ullil mUlI,lis. ^hhuugh there Ire (Ulllllar.blc 11IuIlerticI inlhe ~lIhil'fl'll1lell, Nunc hnvc Anhllt:t'Cllll)'; 11,,'reflllt:. IInlc~ ill CltCAll, IIr ailllllluthA hllVe to he lUCci, AlIllllcc IlIllIpiunltlCl ulell we,e the Ul!ST ^V^IL^IILI~, Olll' III mUle tUlllllnrDlllu "lIct! welc ilt cuelS ur IIl1e mllc hUlIt lultjeel IUllpe'ly. Allhuugh Ihere afe 1II1l1111unllle lllullerlies in the illlllletlinle IIICIt, IIOIlC !lave suld rccenlly, Therdurc, It wu ncce~5.ry to usc \lIluparablc salcs outside or the ill1l11e..Jiale Dlta, All COltllloublell usc..J .re lucate..J in similar ncighborhuulls allll wilhilllhe lI\llIC lI111rkelllllt nlell, ^"l111ce cUllIlllunhles U5ctl were lhc DEST AVAIL^ULl!.. 'I hc clec:lficnl sYslem WI'S nul c:ullllec:tcll dufillg iust,eetiun, 'I Ite Wilier Acrvil,;e Wit, lIut ellulIt:clt:,1 dutill~ illlqll:cliuu, 'I hc ItclIlillH system wnlllllll dllWll,lllIiul~ ill\llec:lillll. HlJlIlilllt _ l'hlllllJiuB _ 1!lcl:lfh-al _ lIeullu" _ tcrlifiC:lIliulIll ~uggcslell. IUV-lliuml Awilllllliug IlUul _, lIut hlli"lillg~ _I iucluded _' nul indudc..J _' .eeurtJiug lu lenders flli,ll'linl's, '\tnll..JiuG 'u Icn..Jers guitlclint:s,,, IIllUilllUIIl or _llCles wele c:uusi..Jered rur this valuatiun. Ilem.ining ;1I.:u:llge was given IIU v.lue. The lubjec:l prollerly is lucate..J un a luivRle road. WUlUl in(esllllioll IlIslleeliulI illtlHlcsled. Lt~IIC'l:UlIlclI dcell "ftlltlrcr: Ullh:ot'" 3cH".';. CUIIJldnnllvll: S IIt."O,dJ . l'll'I'"H',llIlllA'lIltliull/lclllIynliulIln 1:\:IIIIIIIII\:e III 111;11I5 lIud Illcdril,;atiulIS tu lie cUfUlllelcd 1111 wutlunlu" IiL\'llIalllll'r, ~dkl is Ilayillg Illut ur ntlllr cllJ!liug tu\ls, This unES NUT arteclthe markel valuc ur rulure mark.etability "I :'oultjed, I\lItUIlI(larablc sales are ycriried c1ust'd snlc5. " hClc are nu slletial cun..Jiliulls ur uther 't'lluill:lllcllts lhul woul..J aHeel markd nluc or rulure IIIlrkclaIJilily in litis ^lllllllisalllellurl. tlllll:l: 11- ..;'1. <It Unit' ::~ ~\o."~ ^llllrlllnr <:;; ~ --J ~-rj ltulcw Appnlnr DEFINITION OF MARKET VALUE: The mo'l ploblble prl~. whl~h a plopuI11 ,hould blUlg In a compullllwu and optn mllkol unde, all condItIon, ,equl'lle 10 a lair ule. Ihe bU1UI and 'OUIIt. &leh aWng pludenl11. knowludgublt .n~ a..umlng Ih. pric. I' nOI alla~led by undue 'llmlllu, Implt~u In Ihl' dehl\lllon II lhe con'ummahon 01 a ulu al 01 a ,poC:lli.d d.l, and th, PU'tng 01 Illla 110m ,.11., 10 bur.' undor condlhon, whetab)': (I) bUrOf and 'ullol a,. Irpinlly motivalad, (21 bolh pallia' ala wan Inlormtd or wall adwlud, and uch .~Ilng In whal ha eon,ida" hi, own bill Inla'"I; 13) . ru,onabla 11m, I' allo.,d lor upo,u" In lhe opan mllkal; 141 paymanl I' mid. in 101m, 01 cash In U,S. dolla" or In le,m, olllnanclal a".ngl",.nll complllbla th.,.lo; and (5) Ih. p'lc. f.p'."nl' Ih. nO'mal con,ld.raUon 10' Ih, p,opllly ,old unlll"l.d by ,peeial or crulive Itnancing or ,al.. connulon" gllnled br Inron. ,uodalad wilh Iha ula 'A~lu'lm.nl' 10 Iha complllbl., mull ba mlda tOf 'p.cIII 01 c,oaltvO Iln.nelng or nlll concoulon, No Idlu'lmonl' ar. neell"f)' lor Iho,a co'lI whlc:h a,. nOlm.llr p.id by ulle" I' I ",ull 01 I,adlllon 01 law In a matkol alia; Ihna COlli ar. ,.addy idanllfiabla 'Ince Ih. ,all" p." Ih.,o co,l, In vlllullI)' all U'" I,anllclion, Sp.cial 0' ""bvI Ilnlnclng adlu,lmlnll can be made 10 Ih. complllble plOp"lr b)' compa,l,on, 10 linlnclng I"m, ollu,.d b1 . Ihltd pany In,tilullonal lanol' Ihal I' nol Ilf'ldy involwod in Ih. p'Op.fI)' or l'lnuellon An)' adlu"manl Ihould nOI bo calculltld on a meehanical dollaf lor doHlr co'l 01 Ih. lInandng 01 conc.ulon, bUI Ih. dona, amounl 01 Inr adju'lm.nl 'hould approllm,ll Ih. malhI" 'uchon 10 Iho linlnc:lng Of conceulon' ba,od on Ih. IPPlliut"Judgmant STATEMENT OF LIMITING CONOITIONS ANO APPRAISER'S CERTIFICATION CONTINGENT AND LIMITING CONDITIONS: Tht 'PPlli,al'a clllllle.lion Ih.laplMara In the applalul "pall II .ubjecllo lha following condItion': Tha app,al"f will nol b. le,pona.bl. 10' mill'" 01 a 'lg.1 nllulo Ihll alllel lilho' th. prop.'lr baing apprlllod 01 tha lilla 10 It. Th. applll'.' a"umo' Ihat Ihe IIUe il good and markellbl. and, Ih"alo,.. will nol fendol anr opinion, aboullh. lilla, The prop,rlr la applai.ad on Ih, billS 0111 bermg undo, 'espon,ibl, own."hlp 2. Th. appraia., hll providad I aktlch In tha app"I,,1 'lpOfl 10 ,how IpprOlimala dlm.n,iona ollha Improv,mlnll and the Ikalch I, Includod only 10 aul'l Iho raid., ollha "pofl in viau.lIling Ihl plopafl)' and unda"landing Ih. IPPIII"r', dll.rmlnation 01 I" alu. 3. Th. applll"r hll .umlned Ih, availlbl, 1I0od map, thai I,a pfovid.d by the F.deral Emargency Manag.manl Aglncy 101 Othol d.lI 'ourcaa) and has nOI,d In tha IPPlal..1 I.pon whathar tho aubjacl .lla I, loclled In an Idantill.d Sp,dal Flood Haurd Ar'l Bacaua. th, 'PPIII'Ol I' nol . ,ulvaror. ha or ah. mak" no guaranla.a, ..p"" 01 Implild, raga'dlng thla dtl.,mln.lion. ... Th. apprai.., wlll nOI glv. t.aUmonr or aplMar In COIIrt beeault ho or aha mad. an apPI,;ul of Iho pfop'lIr In qUlltion, unla.. apocilic 'rrangam.n" 10 do ao hava b'lnmaeta b,loflhlnd. 5 Tha 'pprll"f h.. lltimalld Ih. vllua 01 Iha land in Iho coal approach at ila hlghaal and b.al u'e and Ihe Implov.m.nl, al Iholl contribulory valu.. The ,apI"11 valullion' of Ih. Ilnd and Improvam.nl' mual nOI ba und In conjunction wllh any othar epPIIIIII Ind Ir.lnvalid lither afa ao u"d. 6. Th. Ippfala., ha. nolad in tha applalall IIport Iny IdwlUO conditlon. lauch II, n..dad r.palll, deprlciatlon, Ih, pr...nct 01 hUlrdoua .aal.a, loxlc ,ub'tance,. .Ic.) obulVad during Iha Inapoctlon 01 tha aubl.cl prop.rty or Ihll h. 01 ,h, b.cam. I.are 01 during Ih. norm.1 r.Ulrch in'lOlv.d In p.rlormlng the appralatl. Unla.. othorwi'o at.led In Iha Ippralaal '.pofl, tha appr,la.r h.. no knowladg, 01 an)' hlddln or unlpp,rlnl conditiona 01 the p,op.'lr or .dwarsa .nvi,onmanlal condltlona (including Iho p""nca 01 haurdoua wllloa. loxlc aubulnc.., lie.) thai would m.k. the proporty more Of la.. vllu.ble. and ha, a..umod Ihal Iher. ar. no ,uth conditlona and m.ke, no gu,ranl..a 01 wa"anliOl, alpl." or Impliad, ,eglrding Ih. condition 01 tha propa"y. Tho appral'er Will nol bo raapon,lbll lor In)' aUGh condition, th.1 do .llal or 10f ,n1 .nglnndng or 100tlng thai might be roqui,ad to d.aGover whathal auth condition, axi,t. Bacau" Ih. apprainr II nOI an Ixp.rt In th. li.ld 01 anvironmenl.1 h.zard'. Iho appra/,a/ lopon mu,1 nOI b. conaldar.d...n onvironm.nltla..l"m.nt 01 the prop.,ty, 1. Th. appla/.or oblalnad th. Informallon, aalimllaa, and oplnlona thll w"a .xpr....d In Ihl appfaiul 'upoll flam ,ourcaa that hi or ah. con,id." 10 b. "liabla Ind bali,vaa Ihlm 10 b. !lu. Ind CO""I. Th. Ippr,la.r dOli nol anum. r"pon,ibillly 10' Ih, IccurlCy 01 SlIGh II.m' Ihll w,r.lurni,hod b)' olh" parU.a. e. Th. applal.., will nOI ditcIO'. Ih, conllnta 01 th. .ppralul r.port .Icepl II provided lor In Ih. Unilorm St.nda,da 01 Prol...lonal Appraiaal Prlctice D. Th. appral,ar h.. b..od hi, or hat app,ail.l raport Ind valulllon condu,ion 10' In applal.al Ihal I, ,ubjeel 10 sati,'actory compl.tion. rap.I", or IUOIlllonl on th. IIlumplion Ihal compllllon 01 the Improv.menta will ba parlorm.d In a workm.nlik. mlnn.r. 10 Tho Ipprliaor mual provide hia or ha' pflOl wrilll" connnl bolora thl lando"di.nt apedfiad In tha appraiall flpon can d1alllbul. Ihl appralsa' laporl lindudlng contlu.lona aboul Ih. propat1y v.,..... the ,ppralll"a ldenlltr Ind prol...lonal de'ignalion" and r.la"nc., 10 anr prolu'ional appraisal ofg.nlllllona 01 th. llrm with whiGh Iha .ppral'" il ,..ociat.dllo an)'onl olh,r Ihln Ih. boffo.af.lh. mongag.. 0' ita ,uccello",nd a..lgn.; the monglgl In'ur.,; con,ultanlt; prol.nionll .pprlisal orglnillliona; Inr alalt or fad.rallr approved t1nancl&llnalllulion; or In)' dfptrtmlnt. all.ncy, or Inurumlntllit)' 01 the Unllad SIIIII or In)' atall 01 tha DI,trtct 01 CoIumbl.; ..tlpt Ihll th. I'ndlr/cll.nl may di,trlbut. Ih. propartr daac,lphon ,action of thl "port only to dlla coIlaclion or "poIUng IItvic.(., withoul hiving 10 oblain the 'pp'alaa'" prior wrlU.n conunl Thl IPPIII,o,.. wllttan conunl and Ipproval mu,1 al,o bo oblainld b.lol, Iha Ippraisal can be conveyod by anron. 10 Ih. public through .dvartlaing. public I.I'110n" newa, ulo,. or olhal medii fttddie Milt fOIm 439 6.03 P,,,,loI2 hnnilW,lfofmlOO4B 6,113 flltl/o n~08J.. APPRAISER'S CERTIFICATION: Th. AppI.i", C"IIII" .nd.gll'.lh.1 1 I h.~. III'"Ch,d lh. lubleCI mllhl "11 .nd h..... IIII'CI.d , minimum 011t'l'1I Ilunl ullll 01 plOpOlllOI mo. I Ilmll., .nd p'Ollm.l. 10 Ih. .ubjlct Plop"ly 101 con.ld""lon in 11'1, III.. compalUon .n")'i1' Ind h.v. m.d, . doUII Idjullm.nl when 'PP,optlll. 10 IIII.cl Ih, mllk,1 ,UCllon 10 Iho.. II.ml 01 Itgnl'lelnl ...lIllllon II . .Ignlllunl II.m in . eomplf.bl. pIOp.f1y II 'UP"IOI 10, 01 mall t'wtlbl. Ih.n, 11'1. .ubj.CI pIOp.lly. I h..... mado . nlg'II~' .dIUtlm.nl 10 "dUel 11'1. .dju"ld ..1.. pIlC' ollh. comp.llbl. .nd. II I Ilgnihelnl Il.m in . comp.tabl, Plop,", II Inl"IOI 10, 01 I... 11V01.bl. Ih.n Ih. .ubjlCI P,oplllY, 1 h..... m.d. . POIII1V, .d,ullm'nl 10 lne"". 11'1. .djU'"d III.. price ollh. comp"lbl.. Z I h..... I.k.n Inlo con.ldll.1I0n th. '.elo" Ih.1 h..... .n imp.ct On v.lu. In my d.....lopm.nl 01 the IIlim.l. 01 mllhl v.lu. In Ih. .ppral.al '.porl. 1 h.vI nol knowingly wllhh.ld .ny .Ignlficanl Inlolm'110n Irom Ih. .pp,.II.' llpoll .nd I b'U,v,. 10 Ih. bll' of my IInowl.dg" Ch., .11 .1.I.m.nl. .nd Inlolm.llon In Ih. .ppr.i..1 r.poll '" IIu..ndeorllcl 3 I .1.I.d In Ih. 'PPI.lul IIPDII only my own p.nonll. unbl"ld, .nd plol.nion.1 .nlly.II, opinion., .nd eonchlllon.. which I" .ubl"l only'o the conllng.nt.nd limlling undllionl .p.elfl.d in Ihll 101m 4. I h..... no p"unl 01 plo'plCh. Inl""1 In Ih. prOp"ly 1t'l.1 II Ih. lub,.CI 10 Ihi. "pall. Ind I hlv, no pII..nl 01 prllp"".... p.non.1 Inl"llI 01 bill wllh ".p.el 10 Ih, PIIUclplnl. In Ih. ltanllclion 1 did nol b.... .Uh" parti.II, 01 compl'I"y, my .n'I,.11 .ndlor Ihl IIllmll. 01 m"kll ....lu. In Ih. 'PP,.illl IIpoll on Ih. r.CI, color. "liglon. .... h.ndlClp, I.mili.' .llIu., 01 n.llon.1 ollgin 01 .ilh" Ih. plO.p.Cli.... ownll' 01 occup.nll ollh. lubJoCI plOp.II, 01 olthl pI.llnlown,11 01 oceup.nll ollh. prop"lill in Ih. ...Iclnlly Ollh. .ubj'CI ploperly 5. I hUI no pr...nl or conl.mplll.d tUIUII Inl.II.1 in Ihl lubj"t properl,. .nd n.ith" my curllnl Ot lulu" .m~O'nt.nl nOl my comp.nuUon lor p.,lotmlng Ihtl .ppr.I,,111 conlingent on Ih. ,ppllllld ....Iu. 01 Ihl ploplny. I I.u nol r.qullld to r'poll . p"dlllrminld v.lul 01 dlflclion in v.lul thll 1.V1l" Ihl C'UII 01 Ih. eli.nl or .n, I.I.I.d p.rly, th. .mounl 01 th. valu. ..lim.I', the .Il.lnm.nl 01 . .p.cilic II.ull. 01 Ih. occurllnce 01 a .ubllQu,nl .v.nl In Old.I 10 IIC1lve my comp.nlllion .ndlot .mploym.nl 101 petlormlng Ih. appIIIIII. I did nol bu. thl .ppralll' ftport on . "qUIII.d minimum v.lu.tion, . Ipleiric v.luation. or Ih. nlld 10 .ppro.... . Ip.eifle mOllg.g.lo.n. 1. I plllorm.d Ihll .ppralll'In conlormlly with Ih. Unitolm SI.nda,dl 01 P,ollnion,1 AppIIII.1 Pllchce Ih.1 w." 'dopl.d 'nd plomulg'"d by Ch. Appr.lul Sl,ndardl BOlld 01 Th. ApPI.IIII Found'lion .nd Ch.1 w". in pl.tt II 01 Ihl .Iltell.... dll. 01 Ihll .ppralll', wllh Ih. IIc.plion of Ih. d.plllura Plovillon 01 Ihou Slandard., which dOli nOI apply. I acknowl.dg. Ihat an tllim'll 01 I r..lon.bll lim. 101 "POIU" In Ih. op.n m"ktl II . condllion In thl d.linlUon 01 mllkll v.ru. .nd thl IIllm.l. I d.v.lop.d II conllll.nl wilh Ih. mllkeling time nolld In Ih. n.ighbolhood IIction 01 thll "potl, unlllll ha.... olhetwl.. 11.I.d In th, flc;oncili.lion IIclion. S, I h..... p.uon.lly InlplClld th. inllriol .nd IIlelior 11111 ollh. lubj.CI plOp"" .nd the "llriol 0' III propIIll1I lill.d II compallblll In Ih. .pprallll IIpOrl. I lurth'l C'llily th.t I h..... nOI,d .ny 'PPlllnl or known .dvII.. condWOfI. In th. IUbJICI ImproVlm.nll. on Ih. IUbJ,cl Iii., or on .ny 1111 wilhln Ih. immldi.l. viclnllY 01 th. .ubj'cl prop'lty 01 whlth I .m 'W'I' Ind h..... mad. Idju'lm.nll 101 Ih.1I Id...".. cendillon. in my In.,y.l. 01 the prop.fI, v.lu. 10 Ih. .xllnl th.1 I h.d m.lk,,1 .vid.nc. 10 IUppOIl Ih.m I h..... .110 commlnt.d .boul Ihl .tr.clolth, .dv'''1 condition I on th. mlrk.l.bUlly ollh. lubflCl plopefly. II. I p.r.on.ny prep.r.d .11 concll.lllonl .nd opinionl .boul Ih. 1111 111.1. thll wor. ..llolth In th. .pprailll IIpOll. II I "li.d on Ilgnlllunt ploI'nlonaJ ...III.nCl hom .nr Indi...idu.1 01 IndIVldUII. In Ih. por'orm.nce 01 th. ,pptalnl 01 Ih. pI,paration olth. appralll' IIpOll, I h..... nlmld luch individu.III' .nd d1lclolld Ih. 'PICUlc IlIkI plIlolm'd by th.m in Ih. llconcili.lion "C1ion of thil apPIIIII' "pOtl. I C"lllr th'l Iny Individual 10 n.m.d II qu,lili.d 10 plllolm Ih. IlIkI. I h..... nOI lulhorllld .n,on. 10 m.kl . ch.ngl 10 .ny 111m In Ih. "pOll; Ihll.foll, II.n un'utholuld ch.ng. il m.d. to th, 'PPI.illl IIPOIl. I will I.k. no IIlponlibitily '01 il. SUPERVISORY APPRAISER'S CERTIFICATION :11. .upetvilory appllilll .ign.d Ih, 'PPllilllllpon, h. 01 Iho clflili.. .nd .gl"l Ihlt: I dillclly IUp,rvi.. Ih. ,ppr.ilor who pllplfed Ihl 'PPllilll IIPOIl. h.v. "vi'wld the Ippr.I..1 r,pOrl, .gr.. with Iho 11I1.m.nll Ind conclu.ion. ollha 'ppllillt. 'gll.IO bo bound b)' Ih. ,ppI.III'" cerlilicallonl numbtfld 41hrough 7 'bove, Ind am taking lull I..ponlibihl, lor Ih. IpPllllll.nd Ih. .ppt'llI! llport. AODRESS OF PROPERTY APPRAISED: 247 Glendale Street APPRAISER: Slgnalure 'E=t_ ~1I:'rS- H.lm.' STAN SJtOWRONU: Dill SiQned. Decll8lber: 4. un Sllll Cllltliubotl I: RL-OOl572-L 01 Slllf UUI'lU , SIll' PA hpirUionDu.ofClllificetionoIUUM" 6/30/11 SUPERV~ APPR~ (onl,lIroquired): Slgn.uur.: _-:J __....J / L rj- Nlm.: STEVEN N. BARR.lft'.SRA.SRPA 011. Signed December: 4, 19n 51.11. CI,II"u!ion, GA,-000298-L 0151.,1. linn.., RB~02U21-A 51.11. PA Eipilllioll 0,1. 01 CtltJhubonor Uuns.: 6/30/11 [!]Old OOIClNoIIMPtCtP,opIrf)' fr.dd.....ufolmUg6.U P"O'2012 Finnie Mi. Form tOO4B 6.03 s....W.....futlu..tIlI}I4IHct .--:---.. "--.. '~ ',. .; <.' , I "I' .""C." " > ~ ~'(:. ).," I" 't \'" , !'~':H>' I' c,ilb'~':i{\ i ..' .\).;,.;1; t ,-;t".,," ;, - ' .~I.'lA':; . ,:'; .,....1:(;. t. ':< '~~~ "'\. ~. ',1 .; f. !;,,',' ,\ ::.{'. ,;J ); .1. APPRAISAL OF THE PROPERTY LOCATED AT TRACT#l, 12A HIGH MOUNTAIN ROAD, PENN TOWN H NEWVILLE, PA 17241 as 01 NOVEM8ER 26,1997 lor ANDREWS & JOHNSON Attorneys At Law 10 Soulh Courthouse Ave. Carlisi.. PA 17013 by STEVEN W. BARRETT REAL ESTATE 124 N. Hona..r Str... carlisle, PA 17013 LANe. PRAISAL REPORT " ])1 ""lo-tlFunklin O. nlSTI.JIlY. tfftlWII,,,' .012/.~8 ....~~.."Olt.tJ) )IU t7^ I'fOClfn,AIGlm Tr.ctDJ. _1..2~li:i!_ Ho-un!-;i~~.~~!...~J~'-!..1~~n~'I{Jl__ _. _______ _ .__~_ ___h_. _,__ tltJ Hewv.i11e COllI', . CUlllberlll!:i~ ~IN .J'^_ _____-. ___ ",co6ll t~~.l _ ,...,Dtvl,... P/O tJud Book U'J2t.-.f!A~ HJ __. . _.. _. _ m. '-"al HIA C\IlIoI'* "'A IlIIIhllW_.__"'1 ;;-~;,;~N;;;~--rilJ;l:rl-- LIl.ltt.l,."'Ml .l.cWrull\"'llln~--1!L~. 1.,.1 lOM tAM;u Ill"",,,,,,,,,, ,MIA Ol/ltlUltltollClllUl HIA __ ..__~ ! UlltNC...ANDREUS " JOIlN$ON ;;~_~ --io S. Caurthoule^~-~-. C.rli~J-E_~~)A ~..~__ .10000.....V.c.nt Land AN!IIUI SUn Skowronek "1lI1lt1Dl111oA,pI'*w !cti.ate Harkc!t Va,lue " , ...- , J.... . CJ ....... 0 ..,. 111II Ut ~_~i o"d~, [J 1~" III u.. [~l ~t, 1~' I........ G ,..,0.. 0... [!J...., [] ... i hllC'fItJ'Vwn [] IllaUSlIlG (iJ SIatllI 0 tlKDl-. . ~S'WI [J ~, (!] 1Iu.ac.. 0 Ootllwpp!, IlolMkNtl'" 0 \IIOUSYoa (!] HUot 0 O1ttiYos : "tu1lUJlCUW ..1.Q\ I ,-" .-Q'lHrnr, --9 ""'* -.Q 'It.- ~ 'ICCI1WNttlIl ~1Id~ 80 'IVIUllt ... :11 C..,...Mhllfll;;UU r::r-tlom..I, U UUIJI') [iJ T..,..rwt') 1"1'''' Vuant I. Residential '1"~bfrAo'C'l [!]lMIl OI.UlIl .!!..:.l'lY-'CoIIl ,. s..e~I"'r"'lU~ I 9.Q..QQQ...._. lal~OOO .........,..V....I J91t,..l19..lL I ~1I''''r'ft ~I'nla~ rn f'rtfcnIAMlAQI 30 liS rrnplor",,~IS"l>dotl CO/W.lIltu'lOl_plOplt" COftl'.Mtllt4l.~ C_tlllunlOStNlOlI A'..uuyolPvC*(hllluotUto'l ll.uutlofl&lhtlllel "'......ey01 UIII'II 'ro"IIJCom",_IJ 'IOInIloflIrOlll~t/VIl..taltolI"llOIIl 'olIct.II4fll'l'roII".. C......'..."'ur.lIU If ,,.111I1 ,,*11 10 "'.rlU Cood Alii '... ,. DIXlDO LJ[!]lJ8 LJ~O r1 Ix] g fJ ~~[ ~ if] IX! n. -'I., 1'1 Comllll~l' IIIcil,iCI~II1IoIlIUICII.llf'OII1lItOI IlnlIWoulllf, '"Utili. IIIuk.tallllll)' ,., po.,bIIc wr... UIlOO!I, _If". /IOl1I} Nei"hborhood is ru ral in char.cter. All maior amenities within convenient driving distance. There is minimal DubIle I transportation in the immediate .rea. The nei"hborhood her; construction build'un and future I conshtenc" JI "ro~ected. SH5A 3240. OIIeIIII(lfIISee hul ducription lOlllll CIn,*,- None Knovn .............. [i)...."" 0-1_ MIle '*'IDnalle) Off.SUE 1M 5 lGPO Hountaine 11o<~ None IUlItAcau: [ilNllc 0''''''' "" T;nlcd for are. s '" IurUCI H.e.d.m SfI&pe Irre"ul.r I w.. None UUIIIIlWIU ~Nlllc O'ltVllt VII_ Hountains ~ s,., None In"IIOm"'" O~, Dr~..Adenultt! UIlCU,flllN(ltCL"tl IHsu..... nSUttIUtMI II"'PRlCltII)'k1Cjtl'In'HUOIOlII""lllIQII~Hwr'A1U? l!JNo' D't'u COl'II..B..IIMM..ot.-trtor.........,.,....,.lllalftr...u...au..llUIIdlmul.oroUll'.tvtr..COfl4/lloftl1:There are no ......rent adver.e e.sements encro.chaentc or other adverse conditione. flood zone C/I0-I0-8S/421S84 00108. Site h., limited .eee... 1 0 ~OaAan U e~ lol I'r"llIhll(Nowntall 0 llG DllGIOfCOlllOtnllOfO&IIlQlJ;IfIMIoII nll_'UII9M' WIfW' ""11IaaC lUI, of,roptr1ll1 11IOI1 daIIu IN ,rrrdnU1e1o .vlljc~ and tw C:OIIlldtll'lJ\m~ lilt ra&rlal:m" Tht ftlCf!P1llln klcWII . toIIl 1.,Il/llul RDttUllf ,,"rut qldloll 10 _I 11Im. of aIpIlk:MI ..nation klwtlll IN 'U Cl IIId alIII ratllt JfOOIIUII. " . , t him 11\ CM CDrllplt" 'roJlI~ IS IllI/IrlOllO Of IIIOltlnoflblll:l\lll Ole lut!ftct,toptrft.' .....\.) UfuStmlllllllMdl e:UI 'I.Ud/lt: NlUII. ,... ClC I t1;" 'lflllllt&llllllll'l WI 11II COl\IPlublt IS 1n1"'~1 10 Of Itll tawon!lll IhIII IN ,....<< Pf\JPllII)'. . ... .1 ""ulmlnl .. mi" lhUI ItICIIUIllt N 1I\Ilu1l' ,_ ClC IJlI ,_Cl ~. I 14.000 $ 18.~OO ea...."-"'OIII With adlultaent.. .U three co_p'rables are accepuble for analysh. I :" mill I SUIJ(Cl i' ..... I Trottl1. '. 12A Hi..h I~~ '" s..lItPm ! INIA Pt'a/Ac . II 800 ~ DIll bra Iu"ect ion l DlltCllS.... O(l(IU"ION ~ f.---- i NIA i loallol -. AverM tt1boMo.. I IOac/Av" " T~ WoodedHtns ~ Water I None "' Sewer : None Aeeeu : Lbited ~~ I Accese ~, 'll:=.-I COI.l'AWUNO, I 43-03-0067-014' Vall..s.y !old 20 Hiles T, I, Courthouse DUCRlnlON 6/97 Averaao Ihc/AV:: I WoodedHtns I None None Public Rd COIII'AWL( 10. 1 39-15-0177-040 Heanl Hollow Ro.d 9 Hiles I , 33 000 S 2 050 Courthouse Records O(SCRlnlON I ~~ 2/97 I Avera:-e , 16.09ac/Av- t WoodedHtnl , None I None , Public Rd , -10 000 I , --r""I,.,.---rJC.... S -9 000 190001, COW'AWU NO.' 31-13-0112-003 _ Far. ~~~~. . _. _. 1 Hile 30 000 2 121 Record, , -""- , , I, I, HLS Oat. D(ICIl"TlON 10/96 Aver,"e 13.c/Av~- WoodedHtns None None Public ad -10 00 32 50 2 50 ~ , , , , I , I I I ..... ril.... S I -1,500 -4 50 -10,000 .... rXJ... $ T 11.500 14 50 18.00 ,t en.tIllllCallMoatl__ Pro"ert... ha. been ......n1ced in ".s is" condition. No iaDroveDents vere 0. considered In value re..oned. Annrailer "sumes all necesur:-n';"eraits for future buildin- 00 : lite are avail.ble. Sub'ect bas not been nuked .nd has limited .cce... ~ i nu~ Harket an.M1I .U::Ortl ~ eati..te of .arket value Nove.ber 26 ~ \I ~~$ 18 000 .......,.\ ~ M~' \.- .........'....O+i"-l C1~(~ ~"'l..,""..._d._.. ut-I.I ~"'l.~c....u....~ SlfI\IIYII -,1'-- -~ ,,- N.... STAN SKOWRONEk 011I 12/05/9f Naml STEV~W. BARRETT. SRPA. SRA 0IJll2/0S/91 111'1 PA n IIcuu &I CI/1Iftc.a~ ' RL-001572-L SIIII PA n lIClRII r.l ttrlklb , CA.000298'L I uTlMAn TItIIiW.I11 YMUt AI OUIltD. 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".~~. ."ri~'r~C.~'~I\. \. -..:\. .. '.'..Il~I'.:i.\;J-':.~. \~.,~,:'~.~J' .:. .... ',', ,.~ "_\~~:~' .' ....\:.. ~'. '\''';. . ......,~\';..,\t....\. \ . "::;'/;:;:X:~~~~.;~ '-:,~E'.:~',;;:: ;;'~'.:,'\ '. I'i' . '.-' . ~~. . . " '" " " . '~'.' ',: " 'l:.'~t,1 ~.. I~' . . " . " .j.j' .' ....., .~.~~:. '. :. .. / " l' r" .: ~ " " '., " ,.' , " ""':." . {h .' ...... ..1".'\ , '. ..... " ::.~ . ......:1.. . ...~. "1 .. ",'1116" ",.,,. , . ..... .~. ::.---~.::.-:-- ~. . \ .- . -....* _I...._-....~.... 3.-1:),-0111-002> -:J t,.",.,",u..\ __--'I' !!1.11!1!!!"/.f!ll'lIl. .._~L!!..nklt~l_ 1l...JIJ[aTI.I.~.:... "'_t'II\.tll.i\l!!!!r;.1. _Irnc.LlJ, 1~C.!I!!_T~~~~~!~ll_ _ _ . !.:llL.~__ _ .._I!tl!!YW~____._t""11!1!J(:III1I!t.'rllllltl llru\b!_. ____hndr.s:vD_lt..JnhtlaDn___~._.__.____ .-----. I", n, U/UUUI.I'I 1(11, 1'.~IA'n; M'I'U^IS^I. SliltVII:ES .:ii~if.j'~ -~~.j,i;;-t~II~~-_f1 i~ i rIl_ Atll'UAI~AI. ^IIIII~NIJUM Nl'E'~IAI, CuNhl'l'IuNN II.r 1'~""''''rllol,l,.1 ,.."" ...1 II" I lIiI '1""...11....1."..... 110.1 ....1 hlfl.I.II...II., II", ~I'I"d"cI.h"h'r.II,t j"'I.ulllI"..III'f 1"IoJI'II",,,.II,.IIo. 1.....1.,1.1'.. ull', ~",llhf" .".'11'1....1....., ....,1 10. 'I~",' 11..10.. "Ih"",., ...~..I, II... ,'.""IIt"1I 11",1 1I1"lr I.. II.. l"l,.ull'ltIllCII, IIllht ....ltl"".hIClIIU.J Ul' "I II .Ilullltt ,,"11,. . ..I~t ". II.. I...".. ",...101.....1.11 .... IIii' 1""''''1"".,1,1'''''1: "11'1...,,1 11,1, III"" II h"".. 1"'1'0111"" UI"'U. 'II". II "" ~j'I.I~.ul I" rill...llt ,,,.,lfI ..1". -'i -x II 'I III II 12 1.\. 1,1 1\ :i '" -~ 1'1 '" 1'1 111 /1 l! 1\ l-I II :x: }Io, .'I !ll y" 2~ ,111 11 '. 1111' \lIlllnl i, Im.llnl ill;I IUI,.I ,IH';I nllll i\ k~, 111;1lI l''J, huilllll'_ 'l"l.h llUllliliulI i, lYllitill ....,1 IIIIlIIllllll Itll 1111' ,11,',1 ;lIullll,I",S r'lll .lllnlllu' 111,11"1" .....IIII' ,.. llllllle Illlu",'lillliIlIY "'lilt' \lIhj"11 I .tIIlll\'l' i.d/llllhl\lli'll U\("\.IIl" IIll ;111"11 \\ilhi.. II..,: lIlIlllt"lI" udllhhwllUlIIl. Tln'H' II'C' i1IC IYI"'.II..1 \111111,11 Ih',!;hhlllhuCllb /UulIlU Nur llflcrllln: Ul,lIkl'1 vlllul' UI IUlme ullukclllhilil)' ul III(: 11I1IjttIIUUI'[Il)' \ .11.1111 ;IlHllIllllcHlllpl'lll.lIlll11~r.\ lur Illrlllt'll wilhilllhe Milt jell'" IId,:"blllhlltlll, Thl'\C II\!.:' alt 1)llitillllll ,I... .lll';I ;l\lIIIHI NIIT ;lllrllllll.: 1U,IIhl vallll' III lulllll: lIIillkdallilily tlllltt UlhjCl1 Plllpclll' II...: Illcllllluinillll \';Ih,,' ill II,,' Ilcil~hlllllllllml i~ leu Ihall Ihllt ul the IIlillkcl VIIllIC ul Iht uILjttllllUllClIy, 'I hi, j, IIIlC lu Ihe: vc'y wilh: ';lIll~e III vlIllle ul IlIupcllin ill Illl~ lun 01111 '''IICrill' IIUlIlil)' ullhe stlLjccl IllIIpCII)', This \llIuliliuulJUES NUT Ilrrct:lllll" IIHll"c1 vlllllC ul Ihe ...hjeel ur Itl (ulule 1II11hullililY '1 Ill:: \llllinl 111111"'11)' illmalclt ill u F.I'..M.^ ItlculiliclllQlllll1 7.IIIIC. 'I'hi~ l:lIll1liliulI IIUES NU I' aflt'llll,e llI.uld \illllt' Uf lullIIC lII;1l"cllIllilily III Ihc lubjnl IYllI:1I IlulIIl ilUUlillltt euvc.ngc il lellulIttJ. nutlll ill~lIlillln' i, 11IlU;ulcll. ",lIl1ll11t" h Illllell ill lilt hil\ClIltlll ur Ihe ,ulJiCl:1. Thi~ cUllllitlulI is tUllsitlelcd Iytlical ill dwtllincs ur Ihh "Ivl.: alllllJlIl~S NUT II11nlllllll1cI vnllle III Ille fululc Illl1lkellllJility lit Ihe ",hieel SllIllIlillK tJl rUllniug \1.11":1 W;I\ lIullllUClIl UIII.."ClllCIII (lulII. '111(' ~uhjctl 1I11111tlly h ~CI dltll IIy pdvlllc well _ i111l1t'>qllie _ 'y,lcl1I' whith h eUllIlIIUII 1m Ihe lire.. '11.i.. 111In. 11111 a(IHIlIl,1I1tl \;tlllc III (lIllIle 1lI11lktlllhilily. '1 Ill' ~llhinl i\ IIMCI III;1ll Ihr lcan. ^"ll1cclllllli\.alt'>)'~lcuU iudllllilll; lite hCBlinll, elcl;I,ilill iHltl Illullllling \\\1\'111$ ;ll'llCal IqlUll a \'hllOll cllcliUl i1UIICdillllllll.c ill WlIIUlIC ultJcr, Nu wnllalllie~ IfC illlplicll ill litis ~l.llcUlcul. Ill'llllir ilellu welc IIl1lell illlhe tUlIllUClIlslcctiuu ul Ihe lCllurl, These tlJllllllellls un Itll.ir ilellu arc lur th-h rilllivc IllllpUSCIi uIII)' ,""I,ue lIuI rellllitCII,CllililS. Thc U:II.lr HCIIIS IIl1ell ..e eUllIIctie an.l UU NUT Illlcdlhe Ullllhl "nllle III '"hlfe lIl11fkclnhllll)' IIr Ihc lubictlIIfUIIt:rI)'. Till" hAselllcnt Hllm il' tlill (lum. 'l'hil cllluliliull ill, WIlIUlun and IYlllul rUf Ihe lIe.,lltJ nOES NUT .ffecl Ilu' 1lI11lkcl valuc III fllhllt Illlllkclllhllily uf Ihc sllhjctl. The IHelClleC or. Ilill f1uur IJtJl~S NUT 1"I~e a 1"',,llh III Illh'l)' h;uuul. '1 he I"hjtd 1"1I11~11)' IIIIC.I l"IIUlllin rllllt:lllIIlIll IIhlllllc~cClltC I" Illllctl ill Ihe Ie:I'UI(. '1 hi\ c.wuJililJl1 b IIIm,illclC,1 UlIlllllUII :1l1l11)'I,il,;.llur Ihe llI:iUhlllldwIIIIIIIIIIIIIJl~S NUT Ilrreellhe IIlillhl \".lul: III fulule ula,kelabilily uf Ihe luLjcel, The IImtJ valuc tJecl.'tJ, JU\t ur lullIl vnluc duc Iu the high tJell1.lItJ fur v.c.nl l:ulII illlld\ lleiVllhurllUOtl, ., hi! cUlldiliulI is t:ll1I~hltICIl ellllllllllll rUlIllYllicnl fUI Ihe lleighLurhuud Dud no[S NUT allrlllhc Illllkel I;,ltlt' Ul fulufe 1I1;1l'-cI"hility IIr Ihc Illhjctl. 'I hl' lallll vlIluc tHtcll$ JlI''{, ul 11l1a1 valuc. 'I'll;! it'> tlllc 1(1 Ihe lalCc si7.e ur lilt:: ~ile Ihl\ llllllliliull i! ItlluhlclClllu he Iypic;!l ;11111 t:llllllllUll nUlllJUES NOT nUecllhe IlIlukel value llf futUfC IIIlllct;lLilily uf ,I... ~llhicc.'I. 11"lilillll;,1 l,tJjultlllelll~ WCIC lC.'tluhellllml Cltccd I~t,{.. These adju!llIlcllts welc rClluiletJ Jilt' tu lack IIf IIII1lC silllilar CUlIllllullhle~ ulIlhat individual ratillg. ^" thrce cUI1I(lnnLleI IIrc the U[ST A rAILAULE. TIII;!1 i111;llSIIllCIII~ cltecll 2S'4t, TlIl& is lluc 10 the IlIck ur cUllllllUlltlc lilies Ihal \VCfe IllUIC similar illlhc sull;ecl's lIIiuhl ouc:\, ^"III1t'e C111111111rahlcs "fC 1111: IIES'I' AVAII.AlltE. tlue!lf mUle ellllll'lUlllJlc ~al~lI A'C uMer IlllIn IillIItJlllhll, ^lIhuugh thCfC ure CUIllIIIf:\hlc l"UllUliC's ill Ihe c.uhjcd'S lIreil, NUlIc 113\'c suhl fel:clIlly; Ihe.cCurc. Sillcl in Clten uf Iii U1unllu IIIYe It. ht' IUttl ^"lhree '"Il'lt;uahles usclI WCll: IIIC IIl~S'l' ^V^II.^IIl.I~. Ihlc.' III IlllUC '111111';11:111"" mC11 IYelC ill CltC" u( 1I11e: IlIile rrum lIulljct:l 11I1l11t'IIy. ^1I11111111" II1t'tc .,C III1IlII;!I;,hlc 1'IIIIICllin ill 'he illllllCllilllc 11ICR, lIune hllVC suhl .cccnlly. Thcrclulc, il WilS line'",.)' III U!C cUIIlI':llilhle 'lIlc~ lllltshlc ur the illllUtdinlc prca, All CUIlIllItf.LlcI used arc Iuuled in Silllibl lIei~hbu.huuds. 1111I1 \\ ilhill the ,,,mc ltIoll kcliUlt Alcn. ^"llllcc 1.'II11lll1llnhles 1I1Cll wt,e Ihe II EST ^ V A II.A 1I1.1~. 'I hc c11'c.Idtal 5Ylltlll wa~ IIllt wllllct:'cd during illllll:clilJlI. 'I hl' \valc, lCl\.i(C.' lVa, 11111 lllllllCt:lcll dllriuK 11ISIICt:liuII. I ht. hcalill~ ~)loh'm Wi" Shul,ltI\Vll .Iming hllllceliulI. UUlllilllt _ 1'lullIlrilltt _ H1r:clficlll_ IlclltillK _ tClliliuliulI is 5UGGc~IC,1 11I1~lIIl11l1ll\11illllllillK IlIlul _' 11Ilt huildillUI _' illdutJcd _' lIul indudctl _' aU'U1tJlIlC 10 Icnders ....illt'lim's, '\l nllllillg IU!tllllcls gllhlclillCS, Illllu.illlUUI uf _ aelcs wcre cUlIsillcfel1 fm this vnlu:lli,," ltclllli"ing l\lIraltc 1\'111 Civrll IIU \'I111It', '1IIc ''IlILjccIIUllltl:'f1)' i~ IlIntell UII .I"halc fUlld, \\IlIml iuf"Ilnlillll illSpcllicllI illllltACllclt. 1;1\1 H'llIIlklllkcll lIall\lcl: Utile ::r..~",\", A.'.? ,c.;uluilllcrlllhlll: S 1.10 __._' 1"I'IIl,w,lllln\lllIt lilln/,I'uulilli..lIl" IU'C.ltSllldlln: Illlll:1l1~ llllll 'l'ccirlenliuulI III he t.:lIl11l'klr.IIII.1 Will klll;lu, Itl,'IIl;llllll'l ~.\'Ilcl il IlIlYIIII: 1',IIIm lilt "I llu~iug 1.'11111. This IJUI~:i NUT allctllhc IUllfkel valuc UI lulllll lll.ll"Clllhilily l'I!\lllJjnl, ,\IlllllllllluaLle Ull'~ lit:' vtlificll dused Illlcs. '1 hc.:le nit' nil ~lltt ialllllllliliulI~ Uf II111Cf fctluircmcllb 1111I1 wuuld Ilfred 1II1lkel vallie UI lululC' III II krllbilHy wlllil ^lljll:li\"IItCjlllll Iltlu'I r, - \ -:? ,. '.J 1/ ~~' r - , . .;1(, <17 1I111t ~-\... ~~"n~ "'llllIlIlln s~ Unltn AIII"'lIIUI .~ DEFINITION OF MAnKET VALUE: Tho mOil p,ob.blg plIC. ...tUth. JlIllpull, IlIauld blingin I compohh,. IntJ opon m.r..1 und.. III cond.tlonl '.qul'1l1 10 . 1", ul., .". bll,,, .nd ull.'.lach Dchng JI,udllnll,. .tlow'adg.abl, '"d auumu'O tho pllCO II not .1I",clod by unduo IUmulul I",plleil In 11111 dohnlllOf1 II lhu conlumm.hon 010 ..10 u 01 . Ipoclhod d.lo and Iho pilling 01 11110 "om ..11.'10 bur.' undo' Cond!IIOnllJrh.,1br II) bu,G' and "1101 II. lrpIC.t1r mOhllllod, l~) bOlh palllol .-. wall inlolmod 01 woU IdvlUd, and ..c.1I .,llng in wh" ho con,'dllla hia own bOil jnh".." (31 . "..onlblo limo II.lloWlld 10' '.pOtUIO in 1ho opon mllhl; 141 plrmlnt II m.~o in lo,ml 01 Cllh In US doll..,. 01 In 1.'ml 01 llnane'II,,,,ngo"'lnll compel,bl. Ih".lo, and I~I Ih. plica ,opI..tnl.lht no,mtl conUdtlal.oA 101 Iho plOplll)' .old unlUlclld b)' 'POClll 01 "Ul..... I.nlncing 01 11111 COlltllllon.' gllntld b)' IIIrOll1 11I""llod wilh Ih, ..10 'Adlullmonl. 10 Iho complllblo. mu.t be m.dl 101 'pI".1 0' "e.II"'.'lnlnclng ., ul.. 'onCOlllonl No .dlullmOllll '117 n"....,r 10f Iho.. Call. which '" nOlm.llt plid b)' ..U". II I II.ull olllldlllon or I.... .n a mllhl ar..; Ih... caUl .11 ,udll)' IdonUli.bl. .Inulha I.llar plr' Ih'l. Call. In vhlultI, .11..1.1 I""uclionl Spacl.lo/ C".ll....,in.ndng .dlullm.nll un b. m.d. 10 Ih. compat.bl. pIOp.lI, b)' comp."lonl 10 Iln.ncing I"m. oUeuld b)' I lIUld pall, In.I.lullon.1 londtf thll /I nol el,..d, Invol....d In Ihe plOptlly 01 Illnllction. An)' adlullm.nl Ihoutd nol bt calculalld on I mach.n".1 dollll 101 dollar COil 01 Iho lin.ncing 0' conUllion bul lh. dollll .mounl 01 an)' .dlullm.,,1 Ihould .ppro_inl.l. Ih. mllhrl ""hon 10 Ih. h".nciIlO 01 conunion. bl..d on Iht .pp"I.,,'. ludg.m.nl CERTIFICATION AND STATEMENT OF LIMITING CONDITIONS CERTIFICATION: Th. "pp"I", Ulllllo. .nd .gl'" Ihat I. Th. ApplaiUf hll 110 pII..nlOl conl.mpl'lld ,,,1,,,.1111"'" In Ihe p,op.l1)' Ippllil.d. and nlllhll Ih. .mplo)'m.llllo mlh Ih. Ipplliul. nOl Ih. comp'"l1llon 101 II. .. conllng.nl upon Ih. IPP"llDd ....Iu. 01 Iho plop"l)' 2 Th. App"i", h" no pOllonl1 inl""lln 01 bi.. wilh '''pacllo lI,e .ubltel m.Il" ollhe Ipp"i..1 llport 01 Ih. p"ba. p.nll 10 Ih. III. Th. 'el"mll. 01 Mllhl V.I"." In Ih. .pp,.ill' "poll i. nol b.ud in whole 01 In pili upon Ihe "u. colol. 01 nllion.1 oligin ollh. Plo.p.cll.... own," 01 occup.nl' 01 Ih. proporl)' 'pplllud. 01 upon Ih. ,au. color 01 nll.on.' Ollgin 01 lh. p"unl own," 01 oC"'p.nl. of lh. PIOp"ti" In Ih. Vlcinilr 0' Ih. Plop",y Ipprai.ed. 3. Tho APP"i", h" p".on.llr in.pacl.d Ih. P/OPIII" bolh In.ld. .nd OUI, .nd hll mid. .n '11.tlor In.pIChon 01 .11 eomp'"ble ..III ".I.d In Ih. "pOIt. To Ihe bell 01 th. App'II",'. knowl.dg. .nd b.II,', .11 .tal.m.nl. .nd inlolm.liDn in Ihl. "po'l a" I'UI .nd CO'"", .nd Ih. AppIIII" hll nOI knowingly wllhh.ld .nr IIgnlllClnl InlOlmatlon. 4. All eonllng.nl Ind Iimuing condilion. 'It COI\taintdh".in (impo"d br Ih. latm. 01 th. .uignm.nl Of br Ih. UneStl' lign.d '''''Iing Ihl .n.I)'.... opinion., ,"d COMJu.lon. eonllln.d In Ih. "polll. 5 Thi. 'pprailll flpoll hll be.n mldeln conlormil, VIIilh .nd I. .ubl.el 10 Ih. flquillm.nll 01 Ih. Cod. 01 P,ol.uion.. Elhics .nd SI.nd.,d. 01 P,OI'Utonll CondUCI 01 the .ppr.i..1 org.nllllion. wllh which Ih. ApPI.II., i. ,Ulhllod S. All conclu.lon. It\d opinlon. conc.rnlng Ih. r..1 .1111. lhal '" "llollh In Ihe 'PPI.I... "POll VII'" prep'''d b, Ih. APPlllltr who.. IIgllllu" app.." onlho .ppr.llI. flpoll. uII..ulndiealod II "Rovlow ApPlli.al." No ch.ngn 01 onr Ilvm In Ih. .pp"illl rapoll Ih.lI b. m.d. b)' .nron. oih" Ih.n Ih. Appral"" .nd lh. App"t", .hln h.v. no ".pon.ibilil, 10' .nr .uch un.Ulho,lud ch.llg, CONTINGENT AND LIMITING CONDITIONS: Th. ullIllC.'lon ollh. App"ilOl'PPolllng in Iho 'ppr;)IUI,epOIII$ Iub. locllo the lollowlng condlllon. .nd 10 IUch Olh., .pecillC .nd limiting condition. II '''''1 101lh br Ih. Appt.illr.n Iht "poll 1. Tho Appl.h" I..um.. no "Ipon.ibililr tor m'I1." 01. Ilg.1 n.lut. ."acling lh. ptop.nr Ipp,.i"d Of Ih. 11111 Ul"" 10. nOl do.. Ih. APP/lil" "nd" .nr oplI\lon 1110 Ihe Iill.. which I. allum.d 10 b. oood .nd marht.blo The propI"r JI 'Pp'llud II Ihough undat "'ponlibl. owne"hlp. 2. An)' .kelch in Ih. IIpoll ml)' .how 'PPlolirnll. dimln.ion. .nd "Includ.d lo.ul.l Ihe feade, in vi.u.hzlI\g Ih. prop. erlr. Tho APPlli." hAI made no IUrve, 01 Ih. properlr. 3 Th. ApP,,"el i. nOI loquired 10 gi.... IO.tunony or IPp'" in CDUf! bo"uiI 01 h.ving m.do Iho 'PP"lilll wllh lole,onu 10lhe plop.n)' in qUIlllon, ur,I... .".ng.m.nl. h..... be.n pI.vlou.lr ",.d. Ihlt.'o,. 4. Anr d.lltlbullon ollh. Vllu.tion in Iho "port bal.....n land.nd Implo....m.nl. .ppllll onl)' un"" Ihe ....Mg plogllm 01 utilizatIon ThlIOP.III. v.lultion. lor land .nd building mu.1 nol b. Ulld in eonjunclion wilh .n)' Olh., 'PPIIIIII .nd ." Inv.lid II .0 UUd 5. Th. App,.i", .uum.. Ihat Ih." ." no tuddtn or un,ppI"nt condition. 01 ih. propoll)'. .ub.oil. 0' ",utlUIII. whith would find" II molt 0111" Vllu.b1._ Th, Apprti." ...um.. no '..ponllbU4t)' fo, .uch condilion.. 01 101 engln..,ino which might b. raqui"d 10 dilCovtl .uch faclOll. S. Inlolm.hon. .IlImllll,lnd opinion.fulni.had 10 th. Apptai.." and conlain.d In th. raport, w"e obl.in.d ham .ourea. con.ld"'d ftll.ble .nd b.li.....d 10 b. I,u. .nd eontel. How.....,. no 'lIpon.lbililr lor accur.cy 01 luch il.m. Iutllilhld Ih. APPIII.., can b. ..Ium.d b)' Ih. .4PPIIII". 7. Oi.t1o,uII ollh. conl.nll ollh. ,ppt.llll "pot1 iI go....,n.d br th. Brl..... .nd R.gullllon. at Iho prol,,,,onll 'PP"iul o'g.niUliall. Wllh wlllch Ih. ApPIIII" " alllli.lId e. N.ilh., .U. nor .n, p.n 01 Ihe conlenl 01 1M IIporl. or copr Ih'''ol (Including conclu.ion. II 10 Ih. plap"lr ....Iu.. Ih. ldOnlllr allh. Appf.nerr, plololllon.1 der.lgn.cionl, ,ol".ntl lo.nr p'of."lon.' 'ppr.I..1 olg.nlll"onl, 01 lho hIm wilh which Ih. ApPI'n., II (onntel.dl. .h.11 be u..d for In)' P\'IPO'" by .nron, bUllhe di.nl .ptcili.d in Ih. IIPOIl. Ih. bOil OW" iI,pprall.. I.. p'ld br ..m.. Ih. monglO" 0' II. 'UCCIUor. and .u~n., mortglg.ln.u"". con.ulllnl.. prof'''lon.' IPPlll,,1 OIOlnit.lion.. .n, ".1. 01 .'derlll)' .ppro....d linancial in.tilution, .nr cS.P.'lIn.nt. 'O.ncy, 01 Inllrum.nl.Illr Ollh. UlIllld Sill" 01 anr .lIlt or Ih. Onllicl 01 Columbt.. wllhoul lht pr.VIOU. w,lIlen conuntollhe ApPlai.al; nOl .h.1I11 be conv'r.d br an)'one 10 Ihe public IIlIoug" lId...Il,llIing. publtt lol.IIOn.. now" ""',01 othor modi.. wilhoutlho wlillen conlenlond opplo....1 01 lho ApPIII.., , On III 'PPII'ull. .ubltel 10 UIIII.cto,., COI'IlplaClon. "p.III, 01 Illtllllon.. Ihe 'PPII,"I '.pOIl '"d ....Iu. c:otlcll.JIlo". 110 contingenl upon complollon 01 Iht I"'p'o....m""l. in e wOlkm.nliko m.nnOl Olle: . .,,!~...."'b'f 26 ,'117 ~~""'l"t'\- Apprli..re.).............................. _. STAM SlOIlROND: RL-oOI572-1. ?~ (,1 J>~ -7/" STEVEN u. BARRF.TT CA-000298-L ff.....MIc '..I)'J.",," """",""Rul(n"I''''',,IOAII.1K. IllOOlm.om .... .........1_ ,m)lo"" '-'" 1..'OOil ........ EXHIBIT C LM PPRAISAL REPORT 08]] I IoIrarll .'unld in D. 81STLINY. hl",lrlll 0121 .'18 ~~""ll(I!_.. IO':'.n ___ .- , hOPt'tr ':;'~~'-T~;tl-o~mt~- H-~~~ii-~ -R~dJ_ ~"-~~I~ Iivn~h_lll_ .~- --.--.. I __U~ ..-----_._.._--~----_._- ----. , City Newville Coli"" ~~~I!rhnd_._ '''' --'~~----- _ _ JIfC40t HL'LI_______ , I l~Drw\pllOl PIC Deed Book U'12. P... lli------.-------l...-r:----l I '* hlU ..___--1!.L!.. 0eII...... -11/"__ ,...1111I ____ 1'" """llI\IalllW"~ I~ f. 1 \uw_ t_ 01........'1'\10 ! . ActIIl,..hllltlun' 61 11'1 lN1Wltf".III,..,,,,,,,, N/A OlIlII'uMlto1lC11l-1 N/A , \lNtlft..... AllDRtWS , JOnNSOH AlMIIl. 10 S, Courthouae Avo.. Culhh.J PA , 0 OU;~~Y.c.nt Land ~"MISt.n Skowronek ",WldIOllllaAwalWI F.uilllltll Hlrket Vdul! - ..-- , ,..- ~... le1...... ~ '-, ... .~ ,.. ... ",IIP ,- o.nn' I] MO'" 1l1l/llOtl1\'I. lI!IpIOJ.....II. ~1.bo~lf r-ll;1 r-- ,. Clowca"'" U,..,Ot, - lal''''' 8::... COtI'Ill'\loIftCllo(....pIl1flllllll U I~I fe, '1 ",",rl,~"1 - ~.... tOll'l'IMfltllDlllOPfIIIIII Ul~) ~W , 0etNr0US...., - ~ .u.w 001t1llfHlI COMIIlltIlt'III S(IIOOi' I I '1 [- , .....liIfl.. 0-"'" . H~ OO'ltt'Yo1. A...wUytl'wllllclllftIPGlUIJOII ~~ [: ~ I ".utllJlleUl' -L~lf" ~ "z..,...., ~U"" ~"tOIOt --2 '\C&r1nIttUI ~'CIU\lolW hdllllU , . .-!,......w 80 "v.,.. , Uuu&cylltUllIltltl I C.....II"lUIll~U\t 0-..,.... U'''''''l ~'''''''''''I "llCI'In,COl'II~Ulllllty 0 1')'10'1 Vacant " Reddenthl "OUClIOIllrOfl'lD.ll.m.II....COIl.lllOll. ell') ~ 0 . . -....- ~- 0'.... !:l "Vaal 'QIc.lII.f1f1',ottcOOll BffiRO 0 JIlltIl'.-,."a...... I 90.000 0' 130.000 "..,...V"'" 100.000 '''lUll AHIlrll\U 01 '/OPII1tII1 n[i1 .R 0 SI/l8I1'p1,Aot ~r'llllill-"I Pr~AeIJO '" AclOI.1 10 Marti' , Ie....", ....,., I..... ",.." ,,"'... ,..or.."...., ,",,", ."...... t" ...., P'''', """", ..., .....1 NoI ,hbo rhood I. ru nil n ~acter. All mator amenities within convenient drivinR distance, There is minim!!-public I transoortation in the immedilte Irel, The neiRhborhood hiS construction build-un and future r consistency is nro~ected. SHSA 3240, one.'iQ..See leall descriPtion 9.1 !;l:lJlCll.Aan U totMflDl ZOIiIQ C'"$IkMIOI None Knovn "-- 0... 0"'''-0'-- Hlet.nl....llI1Int liJ-'" 0-,- .... -- OFf.SITE IMPRDV1MEH1S ,'" Hountain Terrain '10< 8 None $1I..,awU: [!)MlIc O,1tmI ... ~nical for area . ... kll.ce H.c.d.. ..... Irreaular I .... 0 None U....l\lIICl: liJ...., O'Ilv... "'. Hountainll , s". kMtJ None OS\O'.k"" OCWl~'ltl o,wttAdeauate , o U.'UlrouM(IICl&Ttl. O~.aa n;lrI.IUJIIU II 1M PfOCIlIIt1*,'dhIKUOWlftUnd Sptdll Aa KIlII''''"' WNO Um CoIlIm.lIlllIWlll'_OI.......IIIdu..IPJIPOIrI...""U..Um.llU..llClOIdlmIllIlOloU\ill.lw.rl.coMlllOlIIl:There are no ann. rent .dverlle e..ementll encroachlller.ts or other .dverse conditionll. Flood tone C/l0.10.as/421584 0010B Si~e h.c li_ited accellS. TN UIIunl,lII. ....llIdtt. III'" ,.ctft! lI'n oI,'.rIlI' 11I011111II1&' 1M '/'llIlft'lllllO IldIItrl '^' toll COIUI,".f VIII' III VllIIIII'-l :s- 'III "tcll~ WItlIlf.1 . foII.I '.1".' 1I1l1C11111 uRal rlacllofl 10 11Io11 lilli'll 01 a1ln/IIcW Ylf\lDllll 1lI1M" 1M '~C'I &IIf com"mbM pf~l1IIl. << I II, III 111m" 1M COIIIP&IID1' fIllPIt1J U IlIJIIrlOf 10 or 1IlOI.lnoIatlle tlWI lllI l\lbllcl'lOPtrty. I IIl1l1l' \,1 ''lVum..1 b 11\I" . flflldll, IN 1II000tlf ,ahII of IlltliICI; n I li,lIlflUIII 11I~ 1/1 till CO!!I~II,* U Wlllo, 10 or ..n fltOlatlll tIWI ... II/tlIIICI ,f1llltrf)', I pIvt .) lIIjullrft.1ll tI ... """ k\cIlUIIIIIM IIl4IUtlf ,aJUit cl tilt '1/tIIC1. . ITEM IUIJ(CT COU,.wJJUNO.1 CO..,AIIAIU NO. 2 COr.tPAAAlU NO , . ...... Tract '2. 39.1\'0177-040 U'03-0067-014A 31-13'0112'003 . 12 Blab Ht. Heins Hollow Road Vallev Ro.d Farm Ro.d ~ ;;;;;;;;-o~ 9 Hilu 20 Hilell 1 HU. , ...- .N/A I. J3 000 I. 30 000 . 32 10 , Prb/Ac 11 842 I, 2 010 -10 2 127 I, 2 10C . ........a In.nection Courthouse Recordll Courthoulle Recordll HLS/Courthouse Rcrdll , 011I01511I_ DUCRI,nDN OnC~IPTIOIl 1 u:J~ DtSCIlI,nON 1 '111 DESCRIPTION I 'l~ . ,...AtIlrmn N/A 2/97 1 6/97 , 10/96 1 10 . ...- Aver...e Aver.ae 1 Averaae I Averue 1 .- 9, Sacl Av. 16.09aclAv" I -10 000 IhclAv- I -2 500 13ac/Av" 1 -I 10C . Tooou"h WoodedHtnll WoodedHtnc , WoodedHtnll , WoodedHtnll 1 L Water None None None None t 1 , 1 . Sewer None None 1 None I Nonl!! , I Aceeu Liaiud I'ublic Rd I -10 000 publlc Rd I -10 000 PubUc Rd , .10 00 $ '*'01'...... Accesl 1 I 1 -- , I 1 ..y...... I"", I. - . 20 000 If ....lil...1 12 100 I.... .1_ I 1\ 00 -- .,';,;'\ 'D;!;G I .-- I 13 .000 , 17.100 . 11.10 c-.ullll&dll Q.III With adtust_entl .11 three co. .r.blell .re .eee table for analvais. . , ea.tI"~Ill___ Prooeny has been aooraiud in "all is" condition. No i.oroveaentc vere C considered in value r~ned. Annr.iler ..Ilu_ell all neceSlarv ner.itc for fu~ure buildin. on 0 lite are .v.ilable, Sub ieet has not been oerked and hu Uaited .cceu. , C I fMI~ Harket analvJic ,UDDortl m" ecti.ate of ..rket value. , I ~ -~ , IlSTWAn nu: MAun VAlUl, AS DOlltO. Of sulJECI '1lOP(lIlY AS Of NOv"b.~ _/ "~17 500 I i- o .,.,..rtt) ........,,~~,~ I\nIN ~1 O. ON~"IfI(1"lIIlI'" _ '-- t. 'L ---. - STAN ~O~RONr.x 1<1, 0." 12/01191 .- STEV~W,' BARRE~., SaPA. SRA 0..12/01197 - PA llClUl C.rllllcUlOl , RL-001572-L ,." PA Ucefl$l C.1IlkI'" , GA-000298-L ,. ...'. ...... u \ l \ i ( ~ , :t l ~T",...",.. rmil , Ii J i, - ~,~}~ ....,.t.l~. . ,...... ..... ... " I I .. ' / '..,.~,.l-,? 0'- 1'.~! .~. '''" t\ '0;0 .. . . ..: .., " ""~.I} l."; ~L ~.! . fOREST \ ~ '.';". " ';., &,t,::, ' ':'It '.r.~':r ." }~~,:;;~',~ t._,... ',: . ~ .~~ . ' " t \; .,,\J....fi. . ~'.'. "'~ .....-;,. ";'" ", ,;..~ ..,.......... ~t:L..3 L_~,__ " .-.......~ rl 50~ j ,1!"'"". . U 'Ill (.- ....... I tl"" '.' ." \- ~'.. .." " ." ..' . :.: ."', ',' ... ..~{i~I.~ rttOtl)...~...Il.I"l .......: ~j:J'. 'l,r:. "-: ,I:' ", .' " -".'; "',--u.--;-. '" ,'lI,\l ..~. .~.. ..;..;, ". ..... " " .,':', '. < ~; ~. t;t "....,. :." " '. ..t:' , II !I " ,. 'I ~I' .. " I :1 .. , ! Lil...'.llCI Ilillll!ilJWU l\s~Ut;llIlhJ.l ullll.M IUII~ ... -~ .r-' v- " ....,.. \J)\" ....' .... - '" . ....':"'...:..;.,. ,..... """e.:,,,:-"":"" "'~ ~:'~:-:'.~'~~ \ ~:;~ ~~ : \". "",' , '. .' '. '. .. ',' r .... _. U II ,; it. i, I, 9 " . " ,l ....; .. ~ ""'\"'"...~~. - . .. ''cD_IIl''''.' 'Lf~'. , ,. , . ',. ,," . "'"'\~I '.~"'I~l", . ",'. .j.t .. '11......'1.11. ., ,.'.....:-:. L " ... ,,...."...1- .... ....... II ::.. ..'u,. '".': .tiJ . :/ .. ~. '1 tt .~.~_~ '. 11 ........ 1. ""'" '" I '. " " l' -. " r.. , , '" . ....... . '.' '-, .. .\ . .. " " '. ::." , ...... ... ,''!'.... ." ." .....:.' l" , '. ',' . ." . . t' :~. :'::.~: .. . .' .' ...... .ION'.. <, ". . '..t\.. . ,," ~ '(";'ol ;.' ,'\. .:.... '-. . .....~.:~.~ '~.>'.: ;.\.~ ," ' ......- . ...... , . .. . ~. ...'>>0.... &. . , .. :'\.. ..... .;' "')<;:'\{;:l::~.'~:';.~~~':~:~:'~ ......,.'.w:I\'.'t.t,:;\..: l.'~'~".'", .. .t.II"-...\\-"'.. .....,...' . ,.",,1\,.. .,. =..... .\...... .,.,;,...~:" ~i~:i;r:::;~:~:,~'::~;~.' :;~~:'i ".' ...1.......... .:'I~'...,'. ~.r.. .'; .' ':'f ~ ~ ~ ~'.' ,;.' ..... I ~ . ;'.~' ." ; '..~ '. ...t I' " . . ~ ".'.: '" ,. .. '. " :.~ .... " " ...-....". ", . . . . ~ .~:-.:-- .:.~ '.:.... -."",t" ...,........--....-~ :3\ - 13-0111- 002> 't...,....-:;?u..\ - ". .f ....,...,'..""....,........,',.........'11 '..1 111'-!!.!"'H'-~~lIt'UI_. ,Yr.JUlk.l111 lJ. _nlSTL~ . flPJII! l,l1\tJ,I" ~~_. TC4CL'2.. 1'lHUI Tuwunhll' Q!J--- ~--..- Hc.wvilll!____._.r!IIIItIJ !ill.1! _. __ ---.....AlUlJUJ!L1LJOllKSOH_. (;IJ"ll~rl!lI,,-1 :i,." I'A 1,111 C,UIl! 111'11 '1. Ai'j'"^HiAI. ^tJhP.NhlJM SI'J.:t'I^'. ('uN un Int'H, 110, ""I....,,,' 1N-,I"I.1l ",I." '11l[t.11C '1"'I.I"'n.',I~..,. 1".1 ..., .,s"..I,I,," I., .I,it '11"""" .t..,,,,, Illr 1,,,,"'1".1.01110' '-'"~ft' I"'"'' "r, .... ,,""""""" II'" ,,,,I I"'" ..."',1...,1...... ....1............ l'''',n'lllo"..". '''ol.,.,....''I''..h,...IIUI.. '1'1"" '''11" '~"J"I 1,,,..,,,,,,.,I..r "''''1'''''''''' lOu.II"'f"'. .11'11 II" '''1,1., 'I....."',,. .",..",..",.1.01,.1.",411"...",,,,11'"'1,,,,'.1'''''1:"11''"''''' "'"111""1.1"",,. ",....".......,.... 11...,'....1'1"1'".1,""",,',. ",,,hl..I... x 'A " " III II 1/ II ,., 1.\ :t I~ :A " IS I" :U 11 .. ~I /4, l~, ~ /.. 11 1M X. /y JII )1 I / .-i~ -'71 UlIlf I I h ,"hjl'll i.I. IlIlill,',1 ill ;l 11l,.d ill"ll illlll i" Il'''. 111.11, l~'A, 1111111111' '111i. I "Illlili,,,, I~ Irl"l..1 .u"J 1'lllllll"lI 1111 II". IlH'U 11IHIIHJI~S NilI' ull"'1 Ihe IIlIUh'l valm' III llllu,l' llI11hl.llllil)' U' Illt~ .ullJnl , ""IlH'lt ial/lullll\lli;d 11'1' ;'1" 1111 alnl ,willliu 1111' ~1l"1"II" lId.\h1Ill,luIlIII 'I hru" II""" "'C 1)'1'11 ill 'II 'llUilol' "",chlllllhmllh 0111,1111' Nt'l" illlnlllu' U1ill~"1 W.II11l' III IUlu,c 11l"~rllltir.ly ullhf luhjrtl jI'III'tllr \ ;ltillll nlld tllldeVflujlcl1 1,11111 lIiU IIIC Im'lJII'.J willtinll.e 'lIl.jClt'I IItighlJUlhulld, lhuc u'el "t IYlli, allUl 1111' >l11"1l iuullJCJ NIIT IIUn IIIIl' 1U;1Ih'1 v.IIIll' III IUllI'" I","hl.llilil)' ullhc ,ullJrl"l luullC',lr 11,\,'llfC'lllJlllillnlll villue illllll' lll'i,thlllllhllUt.I is Il'''' 11101" Ih.1 Il( lhf Ul.,h'1 ".IUf ullhf ,utJ;t(lllIlIl'ffly. 'lhi. i" tlue Iu Ihe \'t"y wi,It, ',llll:r III Vlllu\.'III,11Uflc,liu illthr .'u .1It.1ullf.lu. IIU.IiI'l uf Ihf 'Uhjf(1 1'lIllll'Ilr, '(IIi, C:Ulllliliull IHII~S NUT iltrl'llllu: Illl"~cl ulllt' tI' Ihc lulljtt.:1 u,ll& lulUlt mllhl.l.l"l)' Ihe lulJjcrll'tlllltlly illlltillcll illllll,I'..M,^ Idl'lllili,',1 nIUlll.III1C, l'ldlllJllt.lltlull UtI'!:j NUl' .flrlllltr III.IILI'I \'il I Ill' III 11IIUI,. 1lI,II~l'Iallilil)' ullhl' "ull'.'.. ...llrn 111111I1 ilUlIlilll'C 11lYf'IIgt il 'C'lui.fIJ. 1:luut.l ""U'illlll,' il IUgKUlcd, lJ.lll1flllCU ia lIuled iu tlte (""ewtlll of Ihe lulljCl:l, lI... (UlIt.liliun ill'UUlillf,eJ tYllinl in tlwelllllll ur 111i. 'h'IL'/Ulll UOES NOT IIffl'l1 IlIMIlr.l'1 v..luc IIf Ih" fUlult lUi'lIhlMltilily u' thf suhJtcl. ~1'lIlljnK u, ,ulIlll.., \ull'" \va, lIul I"CSCIIIIIII h.Ul"IIl"1I1 f1ulIr. lilt. snhjnllllul'r'IY i, M-l\'iU',1 Ill' plivnlc ",dl___ nllll uplil __ "rslt'uu wldd.ls ,UIl"llllll rill 1111," .Iltol .Ihj, .lul'S 11111 n'fnlllllll.l"1 '-lllm'tll 'UIII.I.' lIlulhl"hilil) Th" s"hinl i" ,,1.h'l Ihall Ih.. )'l';U' ^II JIll" 1"llIil ;,1 .)~h'",' illllllt.liug Ihl" hl'lIlillll. rlnlll,.1 AIIIIIIllIlllllilll: HSIt'IIlSIII'I'CIH UI'1I1l11 Vj'",lll'lh'lilll impl'l'lillllllll,,' ill "'1I..illlllJft.lfl Nil W'"l1llli"'.IIt' illll,lir,1 ill III" .I;II\"IIICIII, IICII"ir ilellll WflC IlUlft.lUI the ltJIllUltnh "l'lliulIulll,C ''''lIUn. lltuf t"lHlIIIIUll UlI ul"ir ilcm, Ilr 111I ,h-IClilllive Ilu'lItJlU uul'l "'HI alf llullClluirct! .tpili'. '1111: 1t'Il.ir 11t'lIIll1uet.l 1ft CUIIlIfll, .1111 IIn Nil I .1Iffd Ihe: IIl1ukel "nlue tlI flllu..," IUMfhlllhllil)' "' Ihc sulJjfl"IIIIUllflly. '1 he' huclIIenl C1uur il D dittll'HlI, This cUluliliun is lUlIllllUlIllld 1)'Iliul 'u, IlIe Iffl .11I1 UUf~!i NIH IflUI Iln: ",iuktl ,,"lue: Of rUIUlt 1lI1llhlAhilily IIr IIlf "fbju!. Thf I"t&eller of . dlrl fluu, OU'!!) NUl 111I\t I IIt'all" "' Inret)' IUlllml, 'I hc luhjccl Ilfullf,ly dm's ltllllilill IUllclilln,,1 ulu,ulcslclnf liS lIulft.l in Ihf 'fJ1U", lhil (untJililJll h wUJit.lc,etJ ClJl11l11un DIlt.lI)'lliul rUt thc lIrighlllllhlllul "lid UUEN NUT IUtellht IIllthl ".IUf u, 'ulu.t 1II11kclnbllil)' 01 lhf ubjtlt. The IlIn..! ",lue ueced. JU',{. ul lullll "Otaff dUf Iu Ihr Idgh t.lfUlIII..! fUI \<Iunt I.n..! III Chis ufilhlm,hulIll. Thil eUlldhiun iI (ulIlllllc't'd (UllIUlUlI alllllYllirnl 'UI 11,t' IIfiKMJU,ItUUt.lllld UORH NUl' IUett Ihf ml.hl ,.,Iur UI Culu,e U1nl~chlllilily ullhe auhjflt. 'I he' blllr ""Iue ell:fCIII .1I1'J. "I lulll v:llue, Tld" i, .Iu(" Iu Ihf b'At lilt IJI llae &llf. "lIh lUllt.lililllt ., "'Iuhlcled III be IYlli(iallllllll'lll11lllUIIIlIIIIIHJES Ne,l' ,I"("lllh(" lII11hl \<Ilue Of lulu,t 1lI1'~('III.jlilr lIJ II". luhjnl. IlIllit'idllllltJj"sltllfUII wc,c 'l"'luill:d Ihlll fUCl'l1 I~'A, 11,t"lf Idjulllllflll' Wf.e Ifquhfd t.lUf Iu lad II' IIIIl.e limil., CUllIlllI,ablelltllllul1 individual rllling ^"llue'c (Ulllpl..lJlfl Ire Ihf Ul!S'I' AVAIl.AUtl':. Tulaladjullmenll taeeet.l 2j'JL. 'filii ia .Jue Iu II.f 1;ld ur (umplflble ulfl Ihll we't 1II0le 1111111.. ill Ihr lultje:cl'l mlrkellrea. AlIlllfff cUlII,l.rnhlu D'C Il,t UI~ST AVAILAUU';' I1l1c u, mu,e CUIIIIIIUl\ble: nlel arf ulde, IlIalllil IlIUlIlIII, AllhuUlh Ihflt 1ft cunapI,.ltlf InulI'Ulu ill the Jllhjtcl', I.ea, Nunc hUf Jult.l .cccull)'; IhclellUl', ...IC5 in rlCUI ur sl1 muuth. hut lu lit v.td. ^lIlll1rt "'IIIIIIU.hlcllllC'11 "'\"IC' 1I1l' III~S'" ^VAII.AIII.E, Itut II' IlIUfC CUIllI"U.hlu ,ul',1 w(',t ill l'I...ClI, 01 Ill'C lIlilr ""lU JulJjftl 1IIIIIIt.ly. ^IIIIl1Ullh lhrlr Ilr UIIIlIII'Ablc Iuullc"in ill till' illlllll'llinll: ilh'A. 1I1111l" II..,,: 'lIhl 'UfJlII,." Thuclult, II .11 JlflU',,)' III IIlr l"IUI'arlblc IlIlcI uUbhle ullltc illlllltt.lilte Rica, ^"lulIll'i11i1LICI Ultd IIf Iuuted 1111111I1111 nti,hbllllllllllh IlUd wllllll1ll1e ,rulIC Il1nfhtilltt IIICII. ^lIlll1tc ntllll'lI.nhlu unt.l Wflt llit OM'" AVAII.AII....... 'II". c1('c:hlclll ''1llcl1l \\Ins Illllltlllll('c:h:t1 tludun ill~I'l'lliu" '1 hl' Wlllff ICf"ic:c \\IRIIlUllllllIU'llc.lllu,iuM illJpl"lllllll '1 he heltliul 'YllcUI Will Ihut ,luwll ,ltlliuK IU!\III.'llillll Huu'llllt _ l'ltlmhjll~ __ 1~lt"'lfil'III__ Ilrollll'tl_ t~lIifh.lluu ISUIUUlftJ In"f1ll1l1t1 ..wllllrniuK IlulIl _, 11111 "uitlllIlK" _' IlIduJrJ _I lIulllldudtd _, Itl"ultJinl III Itudr" I'uiddincl. ,\((u,dinllo lentlen luiddillfl. I lUuillluUl ul ____ aun wc.e eun,idcrtd fu, Ihla \'Ilulllun, 1t'lIIliuinK nC:.Cllc WI' liven 110 "allie, The .ubjecl p,ol,e,l)' laluellet.l UII "IUiulf IOlt.I \Yuut.lll1le:slltlun iUllltl:llulI illugl!!lcd, I.:ul tftu.t.lc.J deed IIludc.: IJlllf~l~.. '" .rlfLL, CUlIlldfuUonl I 1,.0 . 1""lot'Jr,1 ClIlIIIIUl'llulI/ll'IIl'\llliull i~uu'e lul'l..." 0111I1 "IIcdfiuliullllub. cUlnlllclct.lln I WU'~III'U likl' PlIIIIIC'. ~lIcl illl'rillllllul u. allnl rlll~illK CUIII, This IUJI..S Nt,l aflccllhc II1l1ht nlu, u, lUlU" nll.hllllllll)' 1IIIUbjccI. AU tumlllnlJle IIIe:s I,e \Clifitd duacd ulu. '1 hClc .re nu Illeei.,1 tuut.liliulIsUI ulhc. fClllli.cllIcnh 111,11 ....IJIlId ,"nlml.hl nlur ur 'UIUff m".tllllilll, ill (hil ^llluat..11leIIUII. IhllC:': I, ~_ ~,..,,~L ^I'IIJ"lur '~ u) Js:-. .-;J 'bd,. Appnlltr DEFINITION OF MARKET VALUE: Tho mOl' probablg pllCU whitt).. plopur't Ihuuld tiling In a compcrhllvlI AlltI opon mlrh, und.r all condilionl I.quilitl 10 . Ilir ul., Ih. but., and nUII,ol,h .cllng prudonllt. knowladga.b1t Ind I..umlng lho pric. II nol IUecled by undu'lumuhn Impllcil In Ihll dellnltlon Ii 'he conlumm.lIon 01. ul. al 01 I Iplcllulli dllu .nd Ihl paning 01 litle horn ..U.r 10 but" und" condilionl wh".bt: (1) buyol and ullel I" ItPI'"Ut motiv.lld. 121 bOlh p.rllOl lie wall Inlormld or wllladvil'd. and IIch Icting in what hI coni Ida" hil own bill Inl,r'lli 131 a ralionabl. 11m. il allow.d 101 I'POIUII in Ih. op.n malkll; (4) paymant il mad. in term I 01 c'lh in US dolla,. or in larml 01 hn.ncl.larrangomonll compar.ble thar.to; and (5) Iho plicl rapr.untl tha normal conlldllllllon lor the propllty lold un.llaclld by Ipoclal or Clut,'11 linlncing or ..III concl..lonl' granled by anyone Inocial.d with th. ..III 'AdluSlm.nll 10 thl comparlblol muSI bo mid, lor IplClal Dr "ealIVU Imlnclng Dr ..I.. conunions. No IId,ullmonll .r, n""I"y lor Ihole COlli whICh arl normllly p.Id br 181111"" I lOlul1 OIUldlllon or law In a market arlli Ihlllll COlli arl r..dily ld.ntllllbl. ling! the lall.r plYlth"l COllI In virlulllr an ..I" IlInllcllonl. Sp.cill Dr cr.aliv. financing ad,Ul!m.nll can be made 10 Ih. complrabl. plop"ly by comparllonl to linanclng larml ollored by a thIrd pllly Inllilution,l lender thai il nOI all..dy Involv.d in the proporlr or tllnl"lion. Any adju'lm.nl ,hould nol b. calculal.d on a machanieal dollll 101 dollar call 01 th. linanelng 01 contenion but UlI dolla' amount olanr IdjuUmlnl Ihould approllmal. thl mar"'I'1 flaction to lhl Iinanclng or conteulonl balld on thl apprailer'l Judg.m.nt. CERTIFICATION AND STATEMENT OF LIMITING CONDITIONS CERTIFICA liON: Thl Appraillr tertif/" and agr"l thai: I. Th. Apprlillr hll no prallnlot conl.mplalad Iuturllnt.ra" in th. propllty appralud. Ind n.lther th. .mploymlnt 10 m,ke Iha apprailal, nor thl complnUlion tor II. il conling.nt upon Ih. Ipprai..d valul Ollh. prop.rty. 2 Th. AppraiUI hll no parsonal int"..lln 01 bill wUh "spiel 10 tho sublect maU.r ollha Ipprallll IIpOIl or Ihe partici. panls 10 th. III. Th. 'E'limate 01 Mllkal Value' In Ih. apPI.iul report il not ba..d In whol. or In pall upon Ih,"ce, color. or national origin olth. prolp.cliv. ownors Dr occupanll ollh. p,op"lr apP'ailed, or upon Ihe ra", color or n'honlll oligln 01 Ihe pre..nl own"l or occupanll 01 Ih. p,opllli"ln Ihl v1cinilr 01 Ihe prop'flr appraised 3. Thl Appraiur h.. p.uonallr In,peelld the prop.ny. bolh Inlld. and out. and has mid. an 'lll.rior inlplClion 01 III comparabl. III.. IiI lad In thl..porl. To th. b"t 01 the Apprel..,., knowl.dg. and bIU.,. aU '1It.m.nll and inlolm,tion In thl. repotl arl bu. Ind COrllct, Ind tha Appralllr hll not knowingly withheld any Ilgnificanl Inlormatlon. 4. All contlng.nl and limiting condition I a" contaln.d hlr.ln (Impoud br thl lerm, 01 the lulgnmlnt 01 br Ihll undllo Ilgn.d all.cllng thl analy.... oplnlonl, and conclu,lonl conlaln.d In the "pan). 5. Thll apprallll repan hIS b..n made In conformity with Ind I, lubjlCt 10 the requiram.nll olCh. Code 01 Plollulonal Ethic, anf1 Standaldl of Prol,ulonal Conduct of thl applliul olglnllllions wilh which th. Apprals,r II allilillld 6, All conclulionl and oplnlonl concerning the "al ellall thai all ..t lorth in the app,.isal report wile pllpared br th. ApPlli..r whou IlgnatuII appu" on thl apprallll raport. unl... Indical.d al 'Raviaw AppraisaI.- No changa 01 .nr il.m In th. apprallll "port Ihan be madeby anrona olh.r thin Ih.Appral..r, ,nd the Appral..r Ihall hav, no ,..panllbilily lor .nr luch unaulhorilld chang.. CONTINGENT AND LIMITING CONDITIONS: The certificalion ollhe Applall" app..rlng In the .ppralu' r'polt is Iub. Jeclto the lollowing condifionl .nd 10luch olhar Ip.cilic and limiting conditionl" are lit 10lth br the Appraile'ln th, roporl I. Th. Appr.lur auum.. no r.apanliblllty lor mall." oIl lagal nllUII aU.ellng Ih, properly Ipprallld or th. tilleth.r.. to, nor do.. th. Applalur r.nd.r any opinion ..10 the tllll. whidl Is auum.d to be good and ma,k.lable. The property II appralud II Ihough under r..ponslbl' own.uhlp. 2. Any lkelch In thl IIpon mar ,how approxlmall dlm.nllonl and II included to aullt the rllde, In vi,ualizlng Ihe prop. arty. Thl Appraill' hal made no IU'"1 of thl propenr. 3_ Thl Apprliur II nol r.quilld to give tlltlmonr 0' app..r in caurl becauII 01 having mid. thl apPlalnl with rola"nCl 10 the prOPlrty in qUlllion. un1"1 an.nglm.nt, have b..n prlvioully made th".lor, 4. Anr diltribution 01 the valuation In Iha "pon b.tw..n Ilnd and improvem.ntJ apPUII onlr und., the I.ilting program 01 utilization. Th'"P,"1e valuationl lor Ilnd and building mUll nol ba uud In conjunction wilh any other apprais.I and arB invalid it 10 u..d. 5. Tha Applliur anum.. thll thlra "I no hldd.n or unappar.nt condillons of thl prop.rfr, lublOll, or Ilruclu"I, which would IInd" It mar, or I... v.luabl.. Th. Appralllr luumu no ,upanalbitity for .uch condllion., or for Ingin..nng which might b. r.qullld 10 cfjlC:OV" lUch lacloll. 6. Inlormatlon, "Iim.t... .nd oplnionllurnl,h.d to Ihl ApPlllllr, and conlain.d In tha "port, w.r. oblalnad ham 10urClI con.ldered rlliabl. and bell.v.d to be true Ind corr.ct. How.....r. no ralponllbillfr 10' accuracy 01 luch illml lurnlshed Iha Apprai..r can b. anumed br th. Appralllr. 7. Oildosurl ollh. c:onl.nll ollhl Ipprallal "port II gov.rn.d br Ih. Brla.1 and R.gulationlol thl prol.nional appraisal organllllionl wilh which thl Appralsa, II alfiliated. 8. H.ith" .11, nor Iny pitt of tha conllnt 01 the rlporl, or COpy ther.ol linducfing conclulionl IS 10 the propellt valu., thl idenlilr of the Applaillr. prollulonal dlllgnationl. "f.rlnct to anr prof...ionll appralnl org.nizatlonl, or Ihe lirm with which ,h. Appralll' II connecled), lhall be ulld lor an)' purpas.. br anron. bul the di.nt Iptclhed In thl r.port, th. borrower ".ppral'all.. paid br um..th. mDf1gagn 0' itl IUCClIIOII and auignl, mortgage inIUrl,.. con,ultantl. prol.uionlll appraisal organllltlonl, lIfty Ilall 01 I.daralty 'WOYtld linanclallnllilutlon, anr deplrtmant. ag.ney, 0' Inlllum.ntallly olthl United Slalu Of Inr ,111'0' the Diltrict of Columbia. without th. prlvioUI wriUen conllnl 01 tha App,aI,,,; nor Ihalllt be conve)'ld br anrone to the public through advertlling, public IIlllIonl. naWI, ",''. or othe, media. wllhout the wrill.n conllnland approval of thl Applaiaer. O. On &11 apprai.all, subj'ct to ntillaclory complllion, "pal,., 0' all"alionl, the apprai..l llpan and value conclullonl Ira contingent upon complllion ollho impro....m.nl' In a won.manlike mann.r. Oall;, .~C:>>~~~,~,:r.~~,! .1~~.1. . Aw~"'I')~~"~~A^m'.~~~~I.!~.# ~u... SJ:u..ullD: RL-uub..-L STEVER II. GA-000298- ,.... ... FonautMtIl SorIwItI FoI 1\111 lItalll 'IQfmkNIIlnc. 1(100) 513. OIn O'-......lIMIIf_ (lU)JUlIllI fllWlMII fOlfllll1OUJllttll ......~ a."~" '.:. "~'.::",:':,!'.'''-''/,''''':.'::'">::'.','~;;'',~ ~ ",', ~..' 'N ' " "~~ \ ::';:' ';'}..: I "i~: I ~.:i!,' :'i~ ..' . .:: i\:,:: ! ":i .~.1 ", .' '" ~:(. ~:~~'~)': \~/~~.r~~" IT,: .. ;;" .:".n >;': .~';/ fio ..... I.'..." z N' , .~ c:r;. ;0 . ~'i' I(t.:t :', l~' ..';'.-..:' " - ..... ~l .', $: I:- .....' .2<:t s ..' -~.;.- J!', "Ii" o Po, ft. ' ~ :' J~d:') c...., f>/. ~:, ~;. N'~':7~ '~.' :. , I..;~ "1.. \' ." 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I .. ,- ~ .' - .t 1 ~. 1 g .,: {r ~ I , ',-": I. " w' '7;~ ;~~ It" 'i'~' j;~;t . f,- a..'~ 1"" j"'<' ll':" J, !., .. ".:.: .0 N - " ~-,.... ')..': j.' 1:.(;.J;)~ '::~:,1:~" "- ~ .:~ ...-. ~,n' ". .,~ :,,,,': '.~ ~, ...-.,. :" ::;.~~ ..'~" ".~. . , ~ .: I h H ci z f h ~3 . ~. ..; " ~ ',i::;;'~'.;. .. ," ,.. ... Cd .... ... ill ,.. C ~ I ... ::t.. ... ~ C> ~ :c .... " 11.0'1, , UlnOYIE ''lA.lilt NI~H' 0 Ol"U Glon 'Al JUT 'AT .0 "U rAY OIH. . IU"I"" I 2929 BI5TLINE,FRANKLIN D IBO:B(l i I 1 II 0113 0 13~23 I I I ! ! I , CUUAL InVltU ADMINISTRAYlON . o,,.ell: or ,INANCI AND AOMINIII,.AtION EMPLOYEE's STATEMENT OF EARNINGS AND OEDUCTIONs 10'" , , II IOHD' IOCIAL neVII" ',I.e,A. rlDIUL suu HUUH . OTHlII 0 llJl I I I NU.... UT. 'AI TAl '" IIHlrlT I DIDUCT. I : I '''UCTIOIl UUIlCl 2 ;7.04309205 11175 2A17A PA i 1:25 2154 i 2 ~25 ~25 I I I ! ! ! ! ! ! ! SICK, COMPENSATORY, ANNUAL, WITHOUT PAY LEAVE , "lfHOUf 'AY (011'(111''''0.' A"'HUAL HU[ SICK HAY( tun AIlO AU""" '''....n UUI .... UUL .....U "S.. "'UNCI "', crill'" (JIIOlUD un I"UCI "u.uo un """'11'1 '''01.''''1 CAlUOnl 0 240 8 752 4 354 12-17-66 YEAR. TO OAT[ TOTALS STAU: TAIn 'lOll PAY 1l[lIRENrHT UDEIlAL TAl '.I.e,A. coatI ...,u., CODl AMOur COli AUlllI' COli ....."., 4429B6 I I I PAl i I i I 275V6 605r>9 I I I I I ! ! I I ! ! 0 , ....... OCT.... - . _.. I , .- - , .LOCI, U'LOYU HANE 145('", HIGHT 0 GINU GII:OSS 'AT HIT 'AY .0 01". : UItHING! 2929 BISTLINE,rRANKLIN D 220pO , , 220~0 152p6 , , , , , : , : GIHIUL IIItVICII ADNIHIIJUTIOH . O"lel 0' ,IHAHel AND ADNINIIUUIOH EMPLOYEE'S STATEMENT OF EARNINGS AND DEDUCTIONS SOCIAL SleU'IITY '.I.e.A. ,rOUAL SrAT( to.-, HULTH ~ GTNU I . ; I IOHDS "UNUIt UT. TAl 'AI Uti: I[HHIT : DEOUCT. : . '" ~ I DIDUUIOII '''UIlCl 2 ?04309205 1435 367 flA , 1;;0 8R6 2 1 6:25 . , , , i , , : 0 , ; : : , , ; 0 SICK, COMPENSATORY, ANNUAL, WITHOUT PAY LEAVE WITHOUT 'Ar CO"'[H$ATOItf ANNUAL LEAVE SICIC LUVE LUU"llo """UU IIDUIC '''''11100 LUU UUI 'ot.~ .""fD UIID "14"CI '" (IIU'" Uti .UUU UIOIIID vno ..,....u UOIIl'....U UI"O... B 240 14 252 4 456 12'16'67 240 YEAR. TO OA TE TOTALS SUT[ UUS Gillon rAY IIUIII[N[Hr '[DUAL TAl '.I.e.A. coor 1I0U'" coor "1101111I COOl ""Oil'" (OU "1101111' 5290i72 33325 866~6 PA , , , : , 0 , , , , , , , I , , ! , , , , GSA97JA HOV I, 1966 , '. . . ILOCK ust 'AT NIGHT 0 OTHUI GROSS ,AY HET 'AT "0 [MHOlU HUE DIH. 0 [ARNINGS , , , , , BisTLINE.rRANKLIN , , , , , 2929 D 235~0 , , 235~0 168pl ! ! GENERAL SUVICU ADMINISTRATION. EMPLOYEE'S STATEMENT Of EARNINGS, DEDUCTIONS AND lIAVE GOY" , ~ :1 laNDS SOCIAL SECUIIITT '.I.e.... IlDUAL STAt[ HEALTH 0 OTHU lI'l : . NUNau '" TAl TAl '" ItNWT : DEDUCT. :IOUlUCTIO/ll "U/IlU , , , , , , , , , ~0'309205 15~9 3~4 PA , 2175 9pO , 2 6~5 12~O 12 , , i : SICK, COMPENSATORY, ANNUAL, WITHOUT PAY LEAVE WITHOUT PAY COM'[NSATOR, ...NNUAL L(.lvt SICI{ UAvt ~un AJlO ""/1lllU '''PUIOO uut VitO fOfU IU"I~ VitO U~"'CI '" ClILI"G _IOIU VSCO IUUl(l UIDITU VSCD IUUCI 1Il0l/llaUtl uuon_ B 240 259 4 549 12t14'68 238 TEAR. TO DATE TOTALS STATE TAXES GROSS PA' IIETI"EMENT I[OEUL TAX n.C.A. COOl ".'V", COOl "II I)V ,u COOl UI)II"T coDe 1o\Il0u,n , , , , , WA.IIUUICJlSSJ , 635910 GSA fORM ;75A (I()'U) , 38062 , 1034~1 , , , , , eUT us SAYINGS BONDS AND NOTES THROUCH PA,ROLL S"'VINGS PlAN PA ~ .. .-. .. aLaCK . NIGHT ~ OTHt.. t GROSS 'AY "0, EM'LO'U NAIiIE US('A, Olff. 0 EARNINGS HET 'AY 2929 BlsT~INE.rRANK~IN 26~60 , , , 26~60 185:03 D , , , , Ii ..i ! ! , ! ! GlHlJllAL suvlen ADNIHISTAUIOH . EMPLOYEE'S STATlMENT Of EARNINGS, DEDUCTIONS AND mVE . SOCIAL SECURITY GOY" , , :1 BONDS f.I.C.... I[D[RAL nut HEALTH 0 OTHER 0 NUMBER '" TAl TAl UU BENEFIT : DEDUCT. : , 1/111. : 1 DlDVCTIOIl UU/IIU 2 :204309205 17.00 3:84 PA , 275 12:16 , 2 6::15 6:25 , , , , , , , , , , , ! ! ! ! ! ! i I i SICK, COMPEHSATORY, AHNUAL, WITHOUT PAY LEAVE WITHOUT PAT COMPENSATOR' ANNUAL LEAV[ SICK LE"'VE u..u 10/1I0 ..It/llVIol '''''11100 unt l,IU:l tou~ IUIUO VU:l 1.~UICt '" crill'" _unTIe !,lUll llol"':I ur=r'u uuo "~."cr t":lI"GO,,",C "UOH B 240 8 256 4 628 12t13'69 240 YEAR. TO DATE TOTALS GROSS ,AY RETIREMEN' rtOERAL TAl r.l.e..... STATE TAlES coor '-'01,1'" COlli "'1::11,1"' coor ..tlOVItT COot ".OV"' , , , , , WA.ll.uUICJ1551 6955:90 , , GSA fOAM 9751. (10.68) 413123 1028:42 , , : : PA BUT US SAYINGS BONDS AND HOTES THROUGH PAYROll SAVINGS PlAN '. .. - " .lOCI( NO . Jr~.~:::~,~~ _ O.O\l:AT I 31~20 22~50 , tllCllI 01" (M'lOTI( "'AMI ....u,";' "I 31~20 NU 'AY 2929 8ISTLI~EI~RANKLIN 0 G(NUA\ suv,cu ...O....'HIU.ArION . IMPlOY!l'S STAlIMINT OF EARNINGS, DIDUCIIONS AND lEAVE SOCIAL neVill' MUMSII "c ... '" OlHU OIOuCl , C . laNDS o . ~ U 0101.1(110'" UIJ.NCI flDUAL ... GOY" UU 'H\ HIAUH ~ IlHWT ~ "AU: ... 2 r<!04309205 2W8 ~:20 PA , ~03 1~59 2 1 tl25 , SICK. COMPENSATORY, ANNUAL. WUHOUT PAY LEAVE WITHOUt 'AY (O""'(HS"IOI" ANNUAL Lr:...vr uuo 10''''' IA.~ID uuo ....lANel CAI ClllIHC; ell0411 uuo Slel UAV[ ....'ANe CUOlllO U1Ul ....'...H(( U4"'."'0 'A' 'UlOO IHO'N(; DAn ........ ..... wn Il 240 9 264 4 724 12'12.70 YEAR. TO OATE TOTALS GlOSS 'AY I(TlI(MfNI If DUAL 'All , I.e.... "AU ,....U COOl ""OUNI COOl ....01.1..' COOl "''''OUNI COOl ""'0\1'" 8041:60 560:03 , I r ll1Cl90 PA , , , IUY v,s S"VINGS IUNOS AND HOTU IHIOUGH 'A,YlOU S......,HGS 'lAN "7$.101 es... 'OIM '15A 110611 BLOCIC I lUG. SOCIAL S[CURITY HO. l EIolPLOYf[ HAME 8~ SC DIU. O"'[llHI\4E ~OllOU 83td:5 . , , , B I STL INE', f~ANKL I N , 204 30 920~ 340'80 , , , 0 , I I SUH, 'AU'. ; 0, URHIHGS I 0, URNIHG5 GROSS I RUIRE HO. UI ., " StA'E fAX GlI '. O. OEOUCt , , , , , . , , , , , , , , 34o:eo 23;86 43;92 PA ',84 3'03 , , , , , , , , , , , , , , , I , , , I , . , , , , , , , , , , , I , , , , , , , , , , I , , , , , , , , , , , , riCA H8' UN, DUES CHARITY S.l,.... ALlOt./S,",... ALLOt. BOliO 0[0 TOUL OlD. H" i~oll"..leOHO eAl. , , , , , I , , , 242~43 12:00! 12~0 , ,13:4 , , , , , 6':!5 9837 , , , , , GENERAL SERVICES ADMINISTRATION , ANNUAL LEAVE IMPLDYEE'S SlAIIMINI OF IARNINGS. t..., ~'DIIO ("\111 '..10 'llO,'I) (H~(O C( ",\ ~ DIDUCTlDNS, AND LIAYI :.u U~~I+(t .~.~,,~ f 12 11 71 i 6 11 P.P. PAy PERIOD ENDING 240 ~O 144 133 26' 251 240 YTO (s.. R.v.fI~ Fe, Cede hplonohenll SICK LEAVE COMPo LEAVE u.'). U~\ 0, C<l\lU O'l-" cun. uH) \lUO \tl.' lUw( l(hl eWII 'II"(D \IUD ".UltI 'U"'(lI list: ....\';1 11110 UUD \IUD , , , 4 0 :0 :0 , 0 0 0 0 0 P.P. , 7:52 96 588 240 , , , YTO , , , YEAR. TO . DATE TOTALS GROSS RUIRE rlCA'GROSS "(I Of: rEO tAl " SfU[ tAl ", StAtE tA~ \1"0" -" .., '. .....10 ..10 , , , , , , , , 3148;80 262:46 , , 48n? PA 31:36 , , , , , , , I , 14&17 , , , , 1 I , , , , , I - --,,"-- GSA FORM 97S MAR 10 BUY US SAVINGS BONOS THRO\;~H PA'ROLl s..\llNOS PLAN 991$.10] 24 ILOC I It; j""\'fU' ~_(~ "" .~ "_o~-_ .~ . -~ (\I'LOll( ".Ml BHI I ~lIO'" 631J3 :;-04 3U 9;0 OISTL~IE,rRANKlJIN'C __ _;1!~'::-C'~C_LL-9 'UN ;"" i~- i;;t'~l' U-'--";"'" -~;::'J,H 2.5[:;~ IJ; 5 O:,~; ;~ !~'~;,5~ 'l-;~'o-- ~ ~~~-j : I : I : 3 71i2 0:: : : i : I : i i : 1: : :! I i I I I I I I I I 'itA ~ ;;'~T' !". [H'~'" ." ;"01 'AY ;LLO' 10.~;~0 ':I~~::[;- 2~~;:~ 7 T'~ :'~ 10.~::J GENERAl. SERVICES ADMINISTRATION ANNUAL LEAVE ; EMPLOYEE'S S'''EMENI OF EARHINCS, (U". r ;ltO'IlO -iw.(;) Ch", I DEDUCTIONS. AND LEAy[ ~ a,u CUo"I,) .....,: uu: r-I"..U U,H.(I 12 09 72 6 0 : pp 'I PAY PERIOD ENOINO, 240 k 60 144 132 266 252 240, "0 ISU Ilf..e'~. Fo, Cod. ~~o"o'.on$l ....' _:--__ ~ " SICK L[A~( COIAP. LEAVE uo' u;~ '~l.( 1, .;;:: ~;:~: n, 1"'I~ .11' t ,.....:( IU\ID I U\D ..,n(t UHO . \l~ ~Ul .u:. ..H~ : ,I ~ I l i 4 U i ;0::0: 0 0_ 0, 0 0 96 144 I 200 : i :: _' 10 0;"" 0\1' 246 p P I "0 I I u...,~.. ....:. ....... ,. .:. I 11 . , , I 997~10] YEAR . TO . OA TE TOTALS I RETIRE FICA.COllon N~ ~ ) FED. ,,,X ", srAa tAl . : ~ I S'ATE ,.U CO"~SS .. , , I , , , , , 9766;64 672:02 , , 1336:49 PA 224;74 , , , . , I , i45O.58 , , . , , , , , , GSA FO~M i:S "tAR 70 BUY U S SAVI~G5 BONOS THROUGH PAYROLL SAVINGS PLAN ,.-.. 8LOC( I PE~ : SOClJ'f 5t:cu'un NO.1 [,",PLO' [[ NUl E ! eaSE olrr. OV[RtlME tlOLIOU! ~31013 204 30 920iaISTLINElrRANK~IN D I 4H60 I , , , , I I , , , I , 'Uh 'R[~l . c. ["~:'tI~H!1 O. [AR\l'~S I collon I flUtit[ i 1[0 TU :.....lsu.r TAX '" ", O. OEOUC~ , I: , : I , I 421,~0 I 29,~1 ! 6064 'PA 9,70 358 , , , , I , I , , . , I I . . , , I I : I' I , I , I , , : I: I I , , , , , , , , , , i , , , , : i , , , , , I , , , , , , f, ~ol , ." ; ...~ Juts C,UPlt"f i'i~'. . A~.:.f 81)NO c..~:l I , .U " .'....180'40 e.l... ~.l.\' ALLOT. ICT.l.l :lit , " , ! , , , ! , , I . '1411 , , , 6'25 I 12379 , 297:81 2'01! , I , , ; , , , , G[NER"l SERVICES ADMINISTRATION ANNUAl LEAVE EMPlOm'S SIllEMINl OF !lRNINGS, T',.... ~..<;.,:l)l ~ ..,,: ~1l~ I C'IOIIIO lUPIn (f..'.... DIDUClIDNS. AND lllVE . 0'1_ I .~L'!oU '1~,"(1 J 114: i P.P. I "" PERla,," ~oD.D 73 01110 001181 6 "0 I -- ISte Ile',ene For Code hplonOlionll 240 1160 124 276 26 240 SICK LEAVE ! COMPo LE"VE ,..:. I ...., . (.,.", 01"" ,...,. - , .- ,.;;.) I "\I~ II. LU" .Ihl ~ .{' I ~""I (l I Vii: : 'IU~.1 I 1"\1; ..,., ,...1....( .1'; uno uno , 206l9: 0 ! :0 ,0 I , 0 , 0 0 0 0 I 12 292 I , I , I p P I I , , , , , , , lIO , , I , 1 - YEAR TO . DA TE TOTALS --....-T--- --- -------.-E..'. ';,0 ri~~~,~lr~~'il ~4'~;~.~ u..,,:.. -..~ ':'P-J\i R[I,A( nc'~._-=-: ;.'_-:-~ '. STAff TAX (..u,. ,. " 10466.80 7342~ , , . , , , 92(2 r73,64 ' I I , , , , , I , , 11 , , . , , , , , , , I I _.._. _.L-__ - G~.Io fOrl\1 'P~ "IAn 10 BUY US SAVINGS 80",05 ,..nOUc.lll'.a,YROLL SAVINGS P~"'", 99',-103 " \oc'-'~'IJ-~:~~~~n~..l__ .__ _~'-=~~_r.~O;(l NUI[ . . --r-- BlOCI. RlG BAU - f ,)W!.-i1:I~~:.._ '~?I~~~-"!- '3'0~ ----r--- --, ~04 30 9205BISTLINE~rRANK~IN D 44480 , , I' , ---._1 I , __ ._..L __ _.L- \U~ PIt[M lot '" ~J__!__ 1 0 (AUIING!I j 0 (Aol"l"'.l GRO!l'i "[lUt[ HD ,A.< CI'" ,.. ~' ... 0 !lttuC' - - 8'23 ,---- -- , , , ; 444.80 31'14 7231 AI 385 I , , , , , , , I I I , , I , , : I I , , , , , , , , , , , , , , , I , , , , , I , , , , I , , , , , , , I I , , , I , , , , : , , , I , I ! I , : : I , , 110 "BI Uft Dut\ -C;'~~J'" AlLOI SA" ...UO' BOND 0(0 lorAL 0(0 .4'~~"J~:: 80PlO III i T I I , I , , I , I I , , , , I , : 13n : "00_ ! : "'2!L ..i3A'ft A I GENERAL SERVICll ADMINISTRAlIDN '''.''''0 AHNUAL LEAVE INPlOlll'S SImM!HI or !liNINGS, 111""11I)OI\ (aUI (f100110 "'IltO ,"' (11'>11) '''.'0 tlol.''':' O[OUCflOHS, AHD lilY! ~" ........ 1-.-1 DO~,~,~,~ pp PA' PERIOD ENDING~ ~' ~ 1 74 "Aft 10 II ~,3 YTD ISft R''1''H rOt Code Ip In~ rOnS) 60- f>-!I~- loil- .~,,,. "~o SICK LEAVE CDMP, LEAVE ,... " r- .- I'h1 "..\ '''I ,.... lonn _liD ......-1 1.1\10 10\13 'OlUloCI .", ~'lll ."' IItlll .' ,. ~" II 0 i ,0 P I 0 0 0 0 0 , ... I , 300 00 i 400 I I , 1 YTD , , I , , , , YEAR. TO ,DATE TOTALS GROSS II'''' 1(. "':n '1(.1010 no IAl '. SIAl[ 1AA '0, (IT'l'T.... ".OltO <- ,"'" . " (...J, '. iU3'30 lIillllO , I l8m" ~A 23926 , I I , , I I I 99:'7 '0'2 I I , I , I I , 'neo 'I , , , , , , , , , I I , , , , , , I , , I , , : , I , , I , , , , , , . ..SA FORM !US UUY. ',UI IVY US ""VlNGS lOtiOS THROUQH PAYROLL 5AV\NGS rlAN """04 BLOCK REO . SOCIAL SECURITY NO ; EMPLOVEE NAME BASE DIFF. OVERTIME HDL.IDA 83113 204 30 920! elS1l:1 ~EIFRANKLlN D 481;60 ! , , , I , I , , : I Sl.A'<PREM I Q EARNINGS I O. EARNINGS ROSS RETIRE FED. TAX 1'1'.'1".. .. , \ a.DEDUCT , . .. 0''1', ILl , I 4U!60 3~71 7~17 I I I , , p, 9,63 ~33 I , I I I , , , , , I I I , , , , , , I i I I I I I I I , I I , , I I I I I I , , , I I I , I , I I , , , , I , , , I I I , , I , ; : , I I In , , I , FICA HBI UN. DuES CHARI TV SAV. PUm: SA\/. AUOT: BOf'\IOOEQ TOTAl. OED. NET \ . BOND BAL. , I I I , , , , , , ; , , , I , , ?1lA , . 1:n n , I ~?O; 1 7~n? 'U~I.~ , , , , , , n' 1 ?:..n GENERAL SERVICES ADMINISTRATION ,.... ."",0. ANNUAL LEAVE EMPLOYEE'S STATEMENT OF .....'''0... . C"'''"'1'' C..Df'l'WO '''_.0 u,.o C"IO"la ......0 C"LI... EARNINGS, DEDUCTIONS. AND '10. U, 0"'1. .........c. ''''''.HC' LEAVE InnuJ ftft,lcI P, P. PAY PERIQO ENOINj,l2 20 7~ 10 14: YTD (S.. Rlvlne For Cod. E_PI.nationll SEE REVER5Ej-' ? 4 r 'I." 11'0; 4 ?o;/ ?" ?4r SICK LEAVE COMP, LEAVE ""U.. cou., 0'1'.... ioWa' ..01. ......,,& ......... .....". c."..... '''-'0 ""0 ........e. ....... "1'0 "'L,.IUOCI "'.co lnu. ""'0 uc.o "liD 0".. 4 0 10 :0 : 0 0 0 0 0 P. P. , I 404 100 504 , , I , I I YTD , : I , YEAR. TO. DATE TOTALS GROSS ..".. Pie.., tl.o.. Pie.. OGO FED. TAX \ STATE TAX CITV TAX UNION - . ,. .. . , . e......,." . 12034:40 842:44 : , 1816:48 p~ , , 240:03 , , , , , I I I 26:00 I , 125:42 337:3 0 I : , I , , I , , I , I , , I I , I , , , , , , , , , , , I : , ; , : : , , GSA FOAM' IS IREV.I.UI BUV U. S. SAVINCS BONOS HiROUGH PAVROLL SAVINGS PLAN "H.lO. ILOCK IIG . SOCIAL SICU.lry NO. IMPlOYU NAMI .....1 DIFF. OYUtTlMI HOLIDAY 310 ~04 30 9205 P IS'I'L INE ,fRANKL IN D ~53~O I I SUN. '.EM. o. IA.HINCS t 0, IAIIN/NCS C.OSS .UIIII FID. TAX 'III~"'X' 10 ,"" O. DIDUCT I "T ~8~5 7954 A 11p7 6p4 0 I I I I , 0 0 0 I , I , , I 0 7 5~1I 0 I , I 1 , , I 0 , , , 0 F.I.C.A. HIO UN. OUES CHAlIlfY SAY.ALLOI. SAY. ALLOT 1I0ND DID. TOTAL OED. Nil '''' Inut IOND IAL. , 0 , , I , , 1~nb6 , , 0 il~' , , , 7~n , 0 0 , , h , , I I I , 38'~4 .2 1i , GENERAL SERVICES ADMINISTRATION T.uWhflO ANNUAL LEAVE EMPLOYEE'S STATEMENT OF IXIMPltOHS flOI'Al """1 I c...." (UOITIO IAltNIO ",ID CUOITID I....HIO (I'UNG EARNINGS. DEDUCTIONS, AND OVI' ....lAHel ....lAHCI LEAVE PAY PERIOD ENDINI2 17 77 Hi",n p,p, ' ..n. 8 9 YTO (h. ......n. P., C.4. ..'I....flul) SII nYIIU 24n 110A 'on AA 260 21) 24n SICK LEAVE COMPo LEAVE 'wo. .wo, MOl COUll OIHU CAI.y. uuo VUO LlAVI tlAVI U"'VI OVU lAIHID ",ID lAtloH(l 1....101'0 UUO 1Al'''" ",ID ""D VUD rj4 0 r b 0 0 0 0 0 0 , p,p, 612 , .110 712 I I YTO , , , YEA. 'TO, DATE TOTALS C.OSS '11I11 'ICA .G.oss "(A otD STATE TAX CITY TAX 1M""" _00 0" Of liVING .10 .... FlD. TAX 'OOl """ ( .. . . 36211aa 953~3 0 , 1949p6 A 212r9 1 84f3 0 , , 0 , 58bt 28bo I . I 149' e , , I , I 0 , I , I 0 I I , , ~,';-;-iL'ls'.,~f,. ." i_=-~.~,::~!..'","[ .=-: 'AlI .;~,-_- 831013 J204 3~,9_2051~.I~~~_INE,rRANKLlN D 50214,~ ,.. i I SUN "'A(I,I I 0 (V'I!!. ,; I: .' : ;~~."..'...... G"OSS .11111(. '[0 I~A '. Ir. ,.. I: '-;, -~---- -50240 3517- t3T1J 1qO' I I I I I I : : I ~ : : : : I :': : ; : : : I I I I I I I: I I I I l l I : : : ~.,: I I I; I,: 0 I ...L - ___ , ..L. L- ..... C...:i~ ~"Ulrr S.l.V Allor S"'I Au~r 8010100[0 101AL 0(0 fiCA HBI I: , : ' L i ~0:61 ' _..!~O I G~NERAL SERVICES AD"'INI$fRAIION [MPlOYlE'S $fAI!N[NI Of !llNIHGS, O[OUCIIONS, AND lilli I I I PA'( PERIOD ENDING 12 18 7. 6 I ISu Rl!vtne rOt Cedlt [1;lI.n., Ui) L I (U" ",. ! : 508 I --~~~ .... %8 , , , , , , , , , , c_ O" , , : o 6:26 I I 191.187 350:53 < 01 ANNUAL LEAVE SICK LEAVE '''.''''0 11''''''00111 " r.... I U ~'l' OnH~..DOjCI )H 'ht'U -, lli CO",P, LEAVE .~.. ~'u (1100'" w, C'1~1l0 .....>(1 c..""o 196 , , 8 2~ -88 183 253 245 .. c'." ~'''ll ...." 'u~ It"l ,.... u\lO '"' Ul, ~'u 0 0 0 0 cu,,, ; 1._"'1 ",..: llhl~ \:11: "."'! 4 do o I I 608 I :0 . , , , ,0 : , , , , , , _: : VEAR. TO. DATE TOTALS o CROSS 'It". ':1'''011 1<IOIJ FrO TAX "" STAt[ TAX .., em "'.I I"'~ , .. 12625pO 883,76 I 0 , 1842;12 PA 252;48 , " - .1.. , , 14033 51~;1~ , I 0 0 , , , , , , , , I , , , , , 0 , , , , , : , , I , , I , , , , , , , , , I , 0 , , , CSA FORM 97S (ltty, 1.7l: BUf l.: S $AVI1,GS BOND) THROUGH P"'T~Oll SAVINCS PlAN G,... '0''''' U, (tlv I,UI IUY U.S. UVlH(;S IONOS THIOUCH r"nou IAVINGS r&.AN o~[~'''~;- _ _ .,.n.__ , , : tlOl'O'" T-- I J o orouc, I , o o , , o o o , I ", ... 1000D eAL. , ~25 '....I!) ".''<1 CI",1lIOQ pp, V1D 24.0 PP. V1D .."'CO C""I . , , I, 25:00 o , , , , 9975-104 ."'.101 . BI.OCK RE G ~~~L:Erp~~'f;~~~~J~:'~~V;~~Cln UASE DIFt'. ovt ~ T"Mq~-i~i;~ IDollll ol 58 4iO 0 I , , i , J , , , , , -- '--- laEARN./GsloEAF-lNtNGS CR~~ RETln~_~~.TA)( ".,.. ,.. "'4. o orouc T S~PREM elf" ,.. 0.'. C\' , :' . : -S'84;'00 40'68 ll7,07 fl~ 1~65 4;5 y- , , , , , , , , , , , , I I , , I , , , , I , , ; , , , I , I I , , , I , , , I ~1 , , I , , , 584 , , I , I , , , , , I , , , , I , , , : : , , , I , , , ~ , FICA HDI UN.OUES CHARITV Y\v. PUDT 50\\1 /lUOT OONOOED TOTAL OED NET \1\ BONO UAL ; , . ; , , , 21rio : , , ~OO . , , , 750 , 2~86 , 10:00 , ~~fi 185:41 398:59 , , , GENERAL Sl:RVlCE5 ADMINISTRATION ,.. .'''\0. ANNUAL LEAVE EMPLOYEE'S STATEMENT OF '.1:"."0'" . c;.... C.'001"l:0 ... "0 ""0 C..Dn.1I ......0 C .'~'''fo EARNINGS, OEOUCTlONS, AND ..0 .. 0..... ...........e. ........c. LEAVE e P PAV PERIOD ENOIJs2 16 7.8 OOHO nOle 8 9 YTD IS.. R.v.,.. For Cod. ElI.Plln.I.0nll SEE REVERSE 240 216 200 186 270 254 240 SICK LEAVE COMP, LEAVE ...... CO"., 01''''. ...0. ..0" ...."'. ...."'. "..."'. c..".. ......0 \""0 .......c. .....'0 u.'o '''L.&''C:. u..o .....0 u..o u..o ""0 0"". ., 0 ;0 ;U , 0 0 0 0 0 , o. P. 716 100 81~ , , , 16 , , , YTD , I , , , : : YEAR. TO. DATE TOTALS GROSS ....1'... ..e",.o.o.. ..e.o.o FEO. TAX .... STATE TAX ... CITV TAX u...o.. --- 0 . , ... c.."'."" c. l'2"~O~ lOllD:l=' ; , ~10=',07 :A 313:ol1 ,f _.. 'w ; , , , , 12":44 64302 , , I 26pO I . I , I , , ., , , , I . , , , , , I . , , , , , , I , , , , , , I , , . , , : , I . _.~~~~~~~-1~~V.'. ,_.,.1). _~~~~;~. ~~.,!_I.!4E~ ~C?N~_S THROUGH PAYROLL SAVINt;'S PI._A.~ HH.I04 .~.~- I ILOCK REG. SOCIAL SECURIll' NO. EMPLOYEE N.\\!E BASE DIFF. OVERTIME HOLIDAY 831 C3 204 30 920~ BISTLINE,FRANKLIN 0 64~40 : I I I I I I I I SUN. PlUM. O. EARNINGS O. URNItlCS GROSS AiTlRE fED. lAX '" IfAl.u UG GU '" O. DEDUCT. CJhl,u 0". I I I 64~40 4497 102188 p~ 14113 I 1 I 1 I , , , I I I I I , I I I I I I I I , I , I I I I I I , , I I I I I I , , I I , I I I I , , , 6~2 I , I I I . , , +, , , : ! I i I . ! ! , , FICA HBI UN. DUES CHARITY SA"". ALLOr. SAV. ALLOT BOND OED TOTAL. OED NET 001 IW~ 10ND HAL I I I I I , 1 I I ,,~ 1 "inn I I I I , , '4~3 , 1!OO woo I 150 'l~(P. 4':11lt.7 GENERAL SERVICES ADMINISTRATION TAX WTHLD. ANNUAL LEAVE EMPLOYEE'S STATEMENT OF EXEMPTIONS (U~" (lIl0'IED U~'IO ("101110 u..n EARNINGS. DEDUCTIONS. AND , O~"~ uno IJ.LA!lC( ....LA.C( ((II.'''' LEAVE PAT PERIOD EHDING 12 15 19 OOHO 001C P. P. 8 10 (SEE REVERSE FOR CODE EXPLANATIONS) SEE REVERSE I ?l..n ?nA 10' .". .,., ,. ?" ~ ?l..~ YTD SICK LEAVE CaMP, LEAVE LWO' ......0.. "'L. COUll 0'"11I UUI. (.-"11I10 USlO '''L.A'lC1 USIO USlO lUVI lUYl lUvt ovu (.1.11"(0 USlO ..l!....'~f uno uno USlO 4 0 10 lo : 0 0 0 0 0 I I , P. P. 824 96 0 920 :0 :0 , 0 0 0 0 0 I YTD I I I YEAR. TO. DATE TOTALS GROSS 'Ihlll .. "" ~... ~. ..... C~ OfUY\OllllO '" ... FE" IAI STAn TAX ClfY TAX 1582~80 . 1l08!11 : 1 2465:09 p~ 34~27 14 168131 I I I I I I , I 62 ~44 I I I I (1 I I I 25:00 I I I , I I I , I I . I I I , I I I , I I I I I I I , I I I GSA FORM 97~ (REV B.73) BUY U 5 SAVINGS DONOS ,..ROUGH P"YROLL SAVINGS PLAN gg7S.IOC ..... -..."'." .... NUTlfICATION OF PERSON~tL ACTfON ,-. I' &ICC""aJ. '0 ."'0 "...."OVI:D In HA.. AUG 1. ......Vy OVI:....IHT IO.7117e. t u.a. CI"II ..""" COrnmh.kM ",,"'Ch..,." . (FOR AGENCY USE/ 00104 1. NAME CAnJ LAST.fIRST....IDDl.E MA..MISS-MRS, 2. (FOR AOENey USEI 3. BIATH DATE (Alo..Dq.Ywl 4. SOCIAL SECURITY NO, llISTLI!lE FlWlXLIN D. II. VETERAN PREFERENCe 2 I.NO ,J.lOPT.DIIAII '.IOPT.OTH!:R I.' PT. ".IOPT.COMP O. nOLI 1. COYI"CD (If.W INIly-tWtliMd Opt;o",'1 I.INCLIGIBLC J .WAIV[D 4. cOVtRED (R.,.-o"r.1 A U ACTION tlR. 4 SA, (FOR AGENCY USEI 15. TENURE GROUP M 10 10. RETIREMENT I.CI ,,"ICA 13. EFFECTIVE DATE tMo., OIy, rIM} ~.P1 ..NON! 14. CIVILSERVIC on OTHER LECiALAVTHORITY 3 2. 721 R.!ASSImlNEIlT 15. FROM. POSITION TITLE AHO NUM5ER LIBRARY TECHNICIAII 14010 2 18, NAME AND LOCATION OF EMPLOYING OFFICE llAVY SHIPS PAIlTS COllTROL CI!IltER WEAPONS SYSTEMS SUPPORT CROUP. DATA CON!P.OL Dtv. TECII1IICAL DATA 1l1lA1l'Cll ORe & FISCAL CODE 5651 , 20. TO: POSITION TITLE AHO NUMBER '21. PAY PLAN AND 21A. FUNC:T. 22. 1.1 QRADE lbl STEP 23. SALARY OCCUPATION CODE CLASS. OR OR LEVEL Ro\TE SUPPLY CLEllX U24557 P $15947.00 24. NAME AND LOCATION OF EMPLOYING OFFICE NAVY SHIPS PARTS COllTllOL CIlHTi'JI ". WEAPOIIS SYSTEHS SUPPORT CROUP, ~ SCHl!DULIHG & QUALm REVIE'I/ BRA.~Cli - ,',..,. '""-, . ORe & FISCAL CODE 5733 , 25. DUTY STATION lC!tY-COUl'lly-$tlU) HEClWIICSBURG, PA 21, APPROPRIATION 25. LOCATI!JH COOE 42-5010-041 ZI. POSITION OCCUPIED 29. APPORTIONED POSITION I.cOMPETITIVE SERVICE FRON: TO: 1 2.E.CE'TED SIRYIC( 6TATE 0&1{ N 1981 _ REMARKS A SUIIJ[CTTO COM'LtT10H 01' J Y[AR ""aBATIONAAY (0" TRIAI.I 'IRIOO COMMENCING e. SlAYIC! COUHTIHQ TOWARD CARn.. 10.. "".....N[HT) TINURE I'AO'." , 0 C. DUAl NO SEPARATIONS: SHOW REASONS BELOW, AS REQUIRED, CHECK IF APPLICA8l(: 'ROMTIOH S JiOlfEm{P:r , HElUT PRO!1:lTIOll CD.T. I 2782 DTD 10-15-80 UPWAlW H:>BIUTYI FllLL PERFORHA."ICE LEVEL CS-5 U.S. CSC SPECIAL TRAINING AGREEMElfT ESS:EOH 5-2 OF 02 OCT 1978. 5864-S0<Y .; D. RETIRID UHI'ORM[O URY1CII UNI'O""r.O Sr:RVIC[ DESIGNATIONI a"TI 0" AITIAIMDfT ITIIIIJ IT] "'OM UNIP'OlUolID UAYICE, UNI"OllM[O IVC CWo.. 0.7. "....1 PAY ORACII UNIFORMCD Ive 0 CONJONIHTI o II!:. WOAK ICH[OUL.1 liJ ... PAY..ATI 31. DATE OF APPOINTMENT AffiDAVIT 1A<<m/oIt, Only} "WINANT. 0. PCCIAL ""onIlAM 101 34. SIONATURE (01 "cAt, AurhMduflottl AND tITLe .' .-' . ". -~ ~ 31. OffiCE MAINTAINING PERSONNEL FOLDER (IIdillUfflf (TOm employ/", oHIe.1 IlONNA R. CARSmlS PERSONlIBL STAP'FIllG SP 't::lUR 3S,lla~OLIDATED CIVILm PERSOHHBL OFFICE , . , !IAVY snIPS PAIlTS CO 33~D13 EMPLOYING DEPARTMENT OR AGENCY 9'0 -02 O......n.lENTOFTHENAVY 0109-200-4271 60-,134-20 4. 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WOI lUG 0""1 , U" 010 ''''''''''' I"" l' 1CIlA' &4"" on W",TI.&.lI" COLUM8US OH 43218-2317 KE 21.88 OM 06-12-84 ~ , , as 18.83 1 1-08-84 ANNUAL SICK 1C'l HOURS AMOUNTS CURRENT 'fU" TO DATE CURRENT YUft TO DATI MI'CIL\.AHlOUi - 240:00 2284:00 ~ 80:00 1242.40 .... 180.88 4055.58 "'1 ... "" o. ~" .0 nn ..^ M .... AR 07 ?aA .. on ?'ft' OA L 8:00 4:00 - 0 E r 200:00 100:00 E '0 ~" ... - - E A ,:" 8:00 A lUll O'ra> . .. .. .n 'c. .. -- .. for~ " I~ '" 188:00 32:00 R - U'- 18.01 478.14 I!' - = OAl 272:00 2352:00 N C .. ..~ on .. ,0., .ft CO ... unt 40:00 I T.... - CO a.. NO . I HI I- 'AI. GH .. 0" 34.78 823.61 PE~YLVA 1 .. S ~ .. u.. II .. .. N ,,0 -- iu .. "... o. -- -- .~- . S CUI 12.42 329.73 C I HAMPTWP . . ,,0 - . UIU . ... . 1-' RE MARKS 10 -. Il! PY HOLIDAYSI FRANKLIN D 8ISTLINE .0. 247 GLENDALE STREET ..0 32983A;;- un .. .... PA' '" ., CARLISLE PA 17013 fAX 32983.40 M '::.."= -- _no", ~ CIOSI 1242.40 ITII M -... . - : I om 374.24 UIl R I .... ',,", 868.16 1m' I J OTHER EARNINGS C CotA E RETENTION AllOWANCE , fOREIGN PAY 1 LUW IUN lEAVE I fUA MATIMl .....OUKT , SfAlCOIY PRE...,'" Q QUARTfIU ALLOWAJItCE S UV!IUJCC( 'AY T STAfFING OFfERENTIA&. U SLI'ERVlSOftY OFffMKYIAl V RETROAC11Vt 'AY W AOWIJIl lJfICONTROU....lf OVERT"'E 1 COWENUTOIrf TIM( '''''OUT co '0Il.. US, AUO .3 CASH AWARDS . c . C H I , . , . S . , Z C!WtO'ATHfIt IOHUS lSlM SUGCESlIOfl AWAAQ '[IU'O!UWtC( ",WAN) ,....,.SH.Ul.lfu. AWAM RECRUITMENT 100000S IffV(N'ION AW,fJU) SPECIAl ACflSlIMCE AWARD In '(IU'cwu.c( AWAAO ,WItS '(IVOfUWKE AWANJ ItS lWfl "wAN) UPAJUTION "(["1M PAY M:lOC""ION 'ONUS ,oRlIGIt L.uQJAGE AWIJU) AWARD CUTIACl '''''OUT OTHER DEDUCTION A G4RHISHWEHT CAMlARAGEI I Ol'HER COUECTlON l(HEel) c OOOR A'ENCY COllECTION o DUAl. COM'ENSATION G ,ARlUSHM[NT H ffHI COllECTION l CHilD Sur'OlU _IUIlEDI L fEDERAl 'AX LEVY .. (ONIIIN[o DEDUCTION , GOVfNurlEHT 'ROPERTY Q QUARTElU DEDUCTION r TRAVn COUECJl~ U """,WilED MISCfUAI'IfOUS ICHfCl) v Vo\HUD,SIUOfNI lOAl'lS W MISCEU.....EOUS l\Jff1.swII(OI )( OCCUP...ltOftAI, lAX ., "IUTAft' UfMCE DE'OSII I lAlttRUPI" I................................................................................................................................................................ THIS REPORT CONTAINS INFORMATION SUBJECT TO THE PRIVACY ACT OF .....,...........................".................... ."....",."..............................................".........................-..... .................................................] "14 AS AMENDED ...................,............... LEAVE AND EARNINGS STATEMENT DFAS COLUM8US M PD 80X 182317 ~X/EEcc CGLUM8US OH 43218-2317 KE SOCIAL SlcU'UTT NO. fLI" U.VlCI eow....n '5" Ill~" lOCAUff CIltADI In, 'lIlAltfolUM .~co ...,..... 'nO-~r_"M .n~-lo-Rl , M -1M n~ ~.... I.. '.-?O_AO AH~Uln or RAT! - WOI t:lIOIlATt , TSlI' OlD 'UI'\'" SHI'1 .......'U'UN ... \&4wfftA,ltle 22.68 ... 06-08-87 OS 18.47 1 01-07-85 , , I~ IA l~ ANNUAL ~. 240:00 1:" 8:00 Iffl 200:00 s u 8:00 /'" 188:00 OAl 272:00 USII 40:00 0" I .. 1T0IGJj; -- -- - .... ...., N. .......... - -. '-eo '()JlI'" 155, AUG '1 SICK 2358:00 ~c HOURS 80:00 ~ 4:00 ~ 100:00 E '0 --- - A~ R~ N."" 2458:00 .. I. " ., I NO r G" S ~ ~- . o . . , , REMARKS IAPPY HOLIDAYSI -- _no", .~~ OTHER EARNINGS . IItlC'AYO\JT C CO\A E ftUENTICH AUOW,,"C! f fOMtGM 'AT L UW SUW LEAVE J flU. OVERT"! .ulOUNT , . STAIlOI'l' ,ItEWUIM Q QUAlntRS AUOW,,"CE Rl . ftUTOR(O lEAVE 1 '''TOUT RI . IU:STOMD UAVE 2 P"YOUT S SEvtlWfCE PAY T SUS,..., onEIU.NTIAl u SUPEltonSOf'Y DlffEftENTIAL V NTROACTIVE PAY WAD.... UftCONTROLlAllE OVE"RTIWE l CO"'EflSATORY TIWf PAYOUT AMOUNTS 1317.80 IOU. CURRENT 181.04 YUR TO DAlE 4164.04 'Ill ~.. D ~.. E D IlCU U"" C Ox T.... I n I .. 0':2 N S Al1 ,V .rr ro .e. f.<~ "4 - i- Ifat ifill uu U.J ~,. FRANKLIN D 81STLINE 247 aLENDALE STREET cARLI5LE PA 17013 CASH AWARDS . c . G " I , . P R I . , 1 GRAHDfATHER BOHUS ISBPI SUGGESTlOfl AWARD 'ER!ORMANC! AWAIU) GAUCSHARIHG AWAR[) RECRUITMEHT 10NUS IHVEHTlON AWARO S'ECLll ACT/SERVICE AWARD ns PERfDRWACE AWAIU) '''RS 'ERfORMAIlCE AWAIU) $ES ~l AWARD UPARATlON ,"C(flTM 'AY RELOCATION ICHUI fOREIGN lANCUACE AWARD AWARD CUTBACk 'AYOUT CURRENT YfAII TO OAT! MISClllAltIOUSl ,v, ... A"~ ......., 0----- - 18.11 .. I. " I!' r-- 482.38 .. .. ...~ OR co ... CD 38.89 .... 850.81 I I PENNSYLVA ~o 339.80 C I HAMPTWP ~D 13.18 " ,.. 'I'T'D IRI!O ................ ,.-' . n., 'x -I '*"'ITA. 33852.80 M c -- 1317.80 "' M I u R . 373.47 en R I . .. . T OCT 944.13 "" OTHER DEDUCTION A CAM1SHWEHT IAMlAMGD I CO....ERCIAl OnT C OTHER AGENCY COllECTlOfI D DUAl CO"'E"SATION G GARNISHMENT H FEHI COLLECTtOM l CHIlO ~T ....IIITEDI l fEDERAl. TAX lEVY ... . N\.ILTIPLE DfOUCTtOKS , COVEJUW[NT "'DnAn Q QUARTERS Of:0UCT1OfI T TRAVEL COllECTtOK U UNlWITtD MISCEllANEOUS fCHEClI V "A,HUO,IT\ID(IlT lOAfllI W UISCEllAHEOUS ......mol Y MllfTAftY SEIMeE Df'OSIT l lAIIlRUPTCY y ,......................... ................................................................................................................................................................................! THIS R(PORT CQNT,tINS INFORMATION SUBJECT TO nit PRIVACY ACT ,..... ItU AS AMENDED I "".......................,...... .........................................................................".................. ..............."..................................... LEAVE AND EARNINGS STATEMENT SOCIAL neUA'" ~O. , LS'" u...Clco....., . t5~ 015' lOCAlll,. GIlAOf Stl, 'I~ ,,""""".. .... ,..,......- DFAS COLUM8US M '0'-" .OM. e IM_".'" p , ,.1 109 07 ...0. .. .._.~-". PO BDX 182317 A8/EEcc ANNUITY Of UTI - WOI lun 0"" " , IS' DID ,..,,,.... SH'" _,a."," on ......"n..._ ... COLUM8US OH 43218.2317 KE 23.28 06-08-97 , . GS 16.81 1 1-06-88 , ANNUAL SICK CC HOURS AMOUNTS CURRENT nA" TO DATE CURRENT yEAR TO DATE ,.USCIU.ANIOUS " . - 240:00 2480:00 'Ee 80:00 1352.80 .." 188.02 4311. 24 nil '-' . Or ,~ u ~" ,... .. .n ?aa .. .. ..a... RR L 8:00 4:00 - 0 E ne 200:00 100:00 E .0 ..... .w - - E . A . u 0:00 A IU' D UIlU " .- .n? nn 'c. .. l- .. , " V 'Te 174:00 R ~ U .... ..~ 19.82 509.81 or E OAl 288:00 2580:00 N C .. ... 00 a. .... .R CD ... use/ 34:00 I T.... - CO LOS! NO r I nl - .... G" .. 0" 37.88 883.88 PENNSYLVA 1 .. S ~ .. u., '1 .. .. N r 0 .- n ~I . . "" -- _.- IAl.UC. . ST CUI 13.53 351. 43 CI HAMPTWP . . r 0 - . CUI . , ... REMARKS .... '0 -, FRANKLIN D 81STLINE I!!' 247 aLENDALE STREET ",1".0 I ~.... ,,^ un .. -I .. CARLISLE PA 17013 oitOillTAlC 35137.60 ,--.M OCItolhD'I''n e ...., 1352.80 M ......- -- ........... U ,.. . - . 393.99 ,.. R I I ~. , -- , .. 958.81 1<<.. OTHER EARNINGS 8 IRAe 'ATOUT C COlA E ftfTENTtON AllOWlJIleE f fOftf~ 'AT l lUlU' SVW lEAVE J flU OVE'UIUE ,UlOUHT , STANO'T 'AEatUltol Q QUA'''E''S AnOWIJIlCE "I RESTOftfO lEAVE 1 'ATOUT 11.2 RESTOftEO lEAvt 2 'ATOUT S SEVEIU.HCE 'AT T STAFfING DlffEfttNTIAl. U SUPERvlSORT DiffERENTIAl. v MT"OA"rvE 'AT W AD"'lIlI UNCOHTROlUllE OVERTIt.IE l CO""ENSATORY TINE 'AYOUT O....i~CO 'ORM I". AVO ,] CASH AWARDS I GRANDfATHER BONUS IU'I C SUGGESTION AWARD f 'ERFOfUlANCE AWARD G CAINSHARIHG AWARD H RECRUIT"'ENT 10NIJS I IICVtNtlON AWARD r:. . S'ECIAI. AC"SERVICE AWARD N SES 'ERlORNACE AWARD , 'MRS 'ERfORMIJIlCE AWARD A US R.Un: AWARt) S SE'ARATION INCENTIVE 'AT )( RElOCAtiON 10HUS , fOft(tGN LANGUACE AWARD l AWAIl[) CUfUCI 'ATOUT r- OTHER DEDUCTION A CAlUlISHW[HT "'-""EARACD I CO.....[II:CtAI,. OUT C OTHfll: AC[ftCY COllECTION D OUAl CO""EHSUIQN C CARHtSHW[NT H fEHI COUECTION I CHilD SUP'ORT ftJHlI'UtEDI l fEDEIW. TAX lEVY M- . WIA '.lE DEOUCTIONS , COvtlUlUENT 'RO'ERTY a aUARUII:S DEr:ucTIQN T 'IU.vEl COUfCTta" U UNUMnED MISCEU.ANEOUS ICHECK) v v....HUO.STUOEIlfT LOAMS W MtSefUlJIlEOUS AJM"IUDl T "'lI' AAT SERVItE 0('051T l IIJIlr:.RlWtCT [::::::::::::::::~~:I:~::~:~~~.~T CONT A I~.~..~~.~,~.~~.~.~.~~~:::~~i.~:~:~:~",~,~...~,~~.~..~,~~.~.~~.:...~~.~. Of 1~1' AS AMENDED .m'l .................J LEA VE AND EARNINGS STATEMENT SOCIA\,. Sfeu'l'" NO. '~SA .....OU ~~" TS~ DIIT ?OO-" -g.OO i. 10'- 'o-Al '" DF AS COLUM8US M PO 80X 182317 A8/EEc COLUM8US aH 43218-2317 KE 1- - . w ANNUAL 240:00 8:00 r 200:00 L E A _~u I . IV , IE .:1)1) 168:00 OAl 272: 00 1 US" 40:00 , ~ose: I I I .. '-iii __ VKD_ - I.. , 1-' I~;; I w, I ~~= _.- 1- - .' (t ,co .C)II.... I". ...~" t6 ANNUl" or "An lOG wo, lua DATI F 23.84 .~ 06-08-97 SICK 2564:00 4:00 100:00 C[ YEAft TO DATE 4432.62 HOURS 80:00 AMOUNTS 1384.80 CURRENT 170.67 REG - or - E '0 - A su!t - R,;;;, N I"'''' H, ..To ~" 2664:00 I NO T G" S ~ D ...UI E o "a, U"'" C Ie T.... I : ~ I 0':2 N S e." .. .. " ., -.... . . . . . , REMARKS fw'PY HOLIDAYS I FRANKLIN D 8ISTLINE 247 aLENDALE STREET cARLI5LE PA 17013 -...... M__ OTHER EARNINGS CASH AWARDS I IIllC 'AYOUT C COlA E RETENTION AllOWANCE , fOft(IGfII 'AY L LUW SUlI LEAVE J fLU, OV(RTIW( .....OUfllT , ITAltDly 'ftEWUI/ol Q QU.unEftS AllOWAflCE R I . RUTOft!O LUVE 1 "YOUT '\2 . RUTOft(O LEAVE Z ,AYOUT S SEVE"""'ct 'AY T stAf,.., OffERENTIAt U SUHJWISOftY OlffEREIlTlAl y AETftOACTIVf ,AY WAD.... lJINCOJItROllAIL[ OVERTIME x 'AY AUGW(IlT Z COIIIHNSATORy fLUE 'AfOUl B 'R.UlOfATHEft BONUS ISlI') C SUGGESTION AWAJU) f 'ERfORWMCf AWAIm , G"''''SHA'''''G AWAIm H I\!:CRunWUf IONUS I IHVtNhO" AWAIm l S'EC....L ACT/SERVICE AWARD M . SES 'ERfOAWACE AWARD . P 'MAS 'ERfOftMAflCE AWARD R SfS fWtl AWJ.N) S SE'ARATlOft INCE"TIV( 'AY x AElOCATIOfl 10HUS Y fORO'" L.u.CUAGE AWAR!) 1 AWARD cur....C.: 'AYOUT ...... .... , , LOCALITY GRADE Sf(' ~U ANHU'" ..... ,.,........ .. I no h. 'R..a 7 "-?'_A' JSP DID 'n".. SHI" --.. ....nft .n ~U... ~ DG , GS 17.31 1 1-04-87 , CURRENT 'fAR TO OAT( IoIISCIlUfrtlOUS "., ,.., ,~ a. a. .a.o.n M'I.n.n. a. ,p ... 'c. .. .. " .. ~ ~.. 20.08 521. 62 ,,~ 4..n .....? CO ... co - I- .... 1007.13 S I PENNSYLVA TO IT.' 38.77 .... cr.., 13.85 359.78 C I HAMPTWP , 0 naJ ""h '0 ~:' ,,,11110 'n::ft.,..---IIlo^ =-oi'hu. 35972.80 u., ,. ""'I ! I 1 , I M .... e ~.. . . . . T 1384.80 IT" M 390.05 efa R ~ 994.75 .. ~, OTHER DEDUCTION A C;UJ'ltSHlIENT (ARREARAC(J I CO....EftCIAL OUT C OTHER AGENCY COLLECTION o DUAl COW'(HSATlO/ll E VOlUlfTARY CHlD SUP'ORT G CAAfilISHWfNT H FE"" COlLECTIO" l (HItO sur,oln ftJHLINITEOI I. fEOEUl TAX LEVY w. . NUL Tftf OEOUCTIOItS ,. JU.f RETIREMENT , GOVElUIWENT 'RD'ERTY Q QUARTERS DEoucnON S STAlE TAX lEVY T TRAVEL cOnECTIO" U UHI.IWlTED MI$CELlAkf.OUS {CHECICI V V....IUJ.STUOEHT LOANS W MlSCfUA.lt(OUS lIMU"ITEDI Y WlIU"I., SEftVICE OE'OSlT I ........RUPTCY r: ~~ ." . .. ,..... , -. NAME: rlU\NKLIN D. BISTLINE DATE: 11-13-1997 AVERAGE SALARY rOR THE PERIOD 09/15/1992 TO 09/14/1995 ....,.................................................,. * HIGH-3 AVERAGE SALARY AS OF 09/14/1995 IS $ 33,467 * ....,....,....,...."",....."......,................., SALARY SALARY ANNUAL START DATE END DATE SALARY FACTOR TOTAL SALARY --------r----- ------------ ---------- -------- --..----..---- 09/15/1992 01/09/1993 31,263.00 0.319444 $ 9,987 01/10/1993 01/08/1994 32,419.00 0.997222 32,329 01/09/1994 06/11/1994 33,421. 00 0.425000 14,204 06/12/1994 01/07/1995 34,375.00 0.572222 19,670 01/08/1995 09/14/1995 35,287.00 0.686111 24,211 ------- $ 100,401 ======= December 15, 1997 Franklin D. Bistline. File 1/12-10-97-104-3276Bl Page 5 ESTIMATE OF HYPOTHETICAL MONTHLY SOCIAL SECURITY BENEFIT Step 1/1: Calculate theTotallndexed Earnings for determining the Hypothetical Social Security Benefits. MAXIMUM EARNINGS COVEREO BY YfAB SOCIAL SECURITY 1956 $4,200.00 1957 $4,200.00 1958 $4,200.00 1959 $4,800.00 1960 $4,800.00 1961 $4,800.00 1962 $4,800.00 1963 $4,800.00 1964 $4,800.00 1985 $4,800,00 1966 $6,600.00 1967 $6,600.00 1968 $7,800.00 1969 $7,800.00 1970 $7,800.00 1971 $7,800.00 1972 $9,000.00 1973 $10,800,00 1974 $13,200.00 1975 $14.100.00 1976 $15,300.00 1977 $18,500.00 1978 $17,700.00 1979 $22,900.00 1980 $25,900.00 1981 $29,700.00 1982 $32,400.00 1983 $35.700.00 1984 $37,800.00 1985 $39,500.00 1986 $42,000.00 1987 $43,800.00 1988 $45,000.00 1989 $48,000.00 1990 $51,300.00 1991 $53,400.00 1992 $55,500.00 1993 $57,800.00 1994 $60,800.00 1995 $81,200.00 1998 $62,700.00 1997 $85,400.00 T otallndexed Earnings ESTIMATED EARNINGS HISTORY $0.00 $0.00 $0.00 $0.00 $0.00 $3,002.00 $3,792.00 $3,792.00 $3,880.00 $4,275.00 $4,429.36 $5,290.72 $6,359.10 $6,955.90 $8,041.60 $3,748.80 $9,768.64 $10.488.80 $11,639.36 $12,034.40 $12,625.60 $13.620.88 $14,545.60 $15,828.80 $14,618.00 $15,947.00 $25,483.62 $24,887.72 $26,478.12 $26,716.34 $24,711.28 $24.578.40 $24,712.80 $26,509.60 $27,425.60 $29.705.54 $31,816.80 $32.983.40 $33,952.60 $35,137.60 $27,817.27 $0.00 1995 FACTOR 6.5487861 6.3521276 6.2966601 5.9994476 5.7728918 5.6603936 5.3904716 5.2614428 5.0548629 4.9654562 4.6842818 4.4371221 4.1517707 3.9249427 3.7393748 3.5604718 3.2426855 3.0517390 2.8805082 2.6802091 2.5072043 2.3654391 2.1914176 2.0151357 1.8486230 1.6795543 1.5919158 1.5179674 1.4336889 1.3751022 1.3354642 1.2554016 1.1964737 1.1509049 1.1000900 1.0505673 1.0086002 1.?0ooooo 1.?0ooooo 1.?0ooooo 1.?0ooooo 1.?0ooooo ESTIMATED INDEXED EARNINGS $0.00 $0.00 $0.00 $0.00 $0.00 $16,992.50 $20,440.67 $19,951.39 $19,612.87 $21,227.33 $20,748.37 $23,475.57 $26,401.53 $27,301.51 $29,167.12 $13,347.50 $29,184.17 $32,009.08 $33,527.27 $32,254.71 $31,654.96 $32,219.36 $31,875.48 $31,897.18 $27,023.17 $26,783.85 $40,567.78 $37,778.75 $37,961.39 $36,737.70 $33,001.03 $30,855.76 $29,568.22 $30,826.12 $30,170.63 $31,504.72 $32,090.43 $32,983.40 $33,952.60 $35,137.60 $27,817.27 $0.00 $1,047,847.98 BISTLINE v BISTLINE Calculation of value of Marital Proerty Farmers Trust Co stock inherited by Franklin D. Bistline 4/3/85 401 546 (as per report from Financial Trust Services Company] Date or receipt: No. of shares received: Price per share at lime of receipt: . (as per report from Smith Barney} x 401 shrs= $18,446 Dale of seperallon: No. of sh8res al seperation: Price per share al seperallon: 9/14/95 2,645 [a5 per report from Financial Trust Services Company] $28.50 [as per report from Sentlnal} x2,645 shrs= $75,383 Marilal Property is Ihe appreciation or difference: [see 23 Pa. C.S.A. Sec. 3501 (a) &(a)(3)J $56,937 11/13197 717-240-451B H4l1'ERS-f11I1, :'81 [{l! 10) J(1 '97 .1:~7 FAX TRANSMISSION To: Taylor Andrews 243-0061 Full: From: Lois Van Orden FINANCIAL TRUST StIlVICi:S COMPA""Y Otlc. Wc.,' Hlo" S",ICCl. r,o. Go)C zzo C4AU,"lE.. "A 170 I J 71 "24D-4Saz rlJC: 7 I 7.ZAO.4S I e Date: November 10, 1997 I, including this col'er sheel Pa\:es: Subj'.l: Franklin 0 Bistline - Stock COMMENTS: Our records show the follov.ing sh8res of stock registered in the name. Franklin D. Bistline 247 Glendale Street Carlisle, PAl 7013 Cr:rtificate No Issue Dnto No ShAres Cert Source 100988 04/03/85 401 Original issue 101842 06/28/85 401 Stock Split 106710 101l7/S& 401 Stock Split 113175 06101/92 601 Stock Split 117253 08/30/93 180 Stock Split 121226 08/29/94 661 Stock Split 127380 06/17/96 264 Stock Splil TOTAL 2,909 Ple8se comaet me at 240.4~62 if you h8ve 8ny olher questions TIllS FACSIMILE T1L'J<SAllb>l"~ I~ Ilm:NDEO FOR TIlIADDWSEfi NAIoS~D AIIOVS IT CO/'o'T1IINS Illl'OlWAnON THAT IS ~V1UOEO. C(INnllDm.,,- uk rlniERWISli l'Ram:TED FRUlI USE AND OISClOSll1l!. Ir YCXI AAl HOT mE ~:n."Il1!ll RECIMElIT. VllC.1 MS HE,",UI' '~ITIF1ED mAT _ REVIEW. DlSClosuu. corvll<<l. DR DISIElIIIIATIUII OF TIltS 1'lAllSMlSSIIlN, OR TIlE TAt:JNlI UF AW M"l1UN IN REUAIICf.UN rts CONTENTS.UR UT11ER 1ISIIUTRlCl1.Y rRlIHIIllTtl). tl'VOlIllAVF. RECElVEllTl111 TRANSUISSWlH IN ERRllI. 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I ~ ' Menon Bank PERSONAL BANKING STATEMENT DIRECT I"QUIRIES TO. MELl ON DANK "A COMl-lONl~EAL TH REGION CARLISLE DEPOSIT 1 " IiAtIOVER S T CARLISLE PA 17013-3014 717-249-2414 1",111",111"....11"11,..11,.1,1,,,,111,.,11,1,.1.1",1,,11 FRA"KLIII 0 DISTlItlE 247 GLE"DALE ST CARLISLE PA 17013-3517 01273 041& 182-112-0605 PAGE 1 OF 2 STATEME"T FROM 09/19/95 THRU 10/17195 GET A SPECIAL LO\" INTRODUCTORY RATE ON A 11ELLON HOME EQUITY PER50"AL CREDIT LINE. APPLY 7 DAVS A I'/EEK BY CALLING 1 800 MELLON - 2. RELATIONSHIP SUMMARY lOAN ACCOUNTS OUTSTANOING DEPOSIT ACCOUNTS CHECKING HITH INTEREST TOTAL BALANCE 15.449.47 15,449.47 CHECKING WITH INTEREST ACCOUNT 182-112-0605 IACCOUNT SUMMARY.;. ".;, ,,' OPENING 8AlANCE AS OF 09/19/95 TOTAL DEPOSITS AND OTHER ADDITIOo'lS IIlCLUOING INTEREST CREDITED THIS PERIOO TOTAL CHECKS AND OTHER HITHORAHAlS IHCLUDING FEES AND CHARGfS THIS PERIOD CloSIllG 8ALI.NCE AS OF 10/17195 15.985.95 +1.383.97 -1.9Z0.45 15.449.47 AVERAGE ACCOUNT 8ALANCE 15.908.26 AVERAGE COLLECTED BALANCE FOR ANNUAL PERCENTAGE YIELO EARHEO 15, ,OB. 23 YOUR ANNUAL PERCENTAGE YIELD EARHEO FeR THIS STATEHENT PERIOD IS 1.51% IACCOUllT ACTIVITY DEPOSITS CHECKS DATE AND OTHER AND OTHER DAILY POSTED DESCRIPTION AOOITIOllS HITHORAHAlS BAlAIlCE 09/19/95 OPENING BALANCE 15.985.95 09/2t195 DEPOSIT 1.115.00 CHECK . 568 120.00 16,9BO.95 09/29/95 CHECK' 570 856.10 16.124.85 lo/0tl95 CHECK . 57Z 252.90 CHECK . 574 500. DO 15,371. 95 10/03/95 CHECK . 569 55.89 15.316.06 10/05195 DEPOSIT 100.00 15,416.06 10/10/95 CHECK . 571 16.90 CHECK . 575 95.81 15.303.35 EXHIBIT K 9 Mellon Bank PERSONAL BANKING STATEMENT FRANKLIN D BISTLINE 01273 182-112-0605 PAGE 2 OF 2 CHECKING WITH INTEREST ACCOUNT 182-112-0605 (continued) IACCOUIIT ACTIVITY - DATE POSTED DESCRIPTION 10/12195 CIIECK I 566 10/13/95 DEPOSIT CIIECt: c 573 10/17/95 INTEREST CREDIT OERVICE CIIARGE , 10/17/95 CLOSItIG DAlANCE .---...---..--------_-.-1 DEPOSITS ANO OilIER AOO"IO:lS CIIECKS AND OTIIER HITHDRA>lUS 5,95 DAILY BAlAlICE 15.Z97.40 150.00 16,90 15,430.50 16.97 . . . . . . . .0011 N \'0:;;\ :;c:-rrm. v :[l\.',oXCE CHM:G[ ,:m:j~~ Ta ~1lC: niGHT: H:'~ i.;;:i:i~ a,,::\'EO THIS MONTH BECAUSE YOU /lET ~HE MIHItAA1 8ALAHCE REQUIREllENT III YOUR CHECKItIG ACCOUNT. ICHECK SUMMARY ". .' C I 566 5681 6 AHOWT R F R He 0 C ECKI 5.95 0000000ZOZ8Z585 570 lZ0.00 0000000ZS186B39 571 .8 0000000 4 3 6 Z tlOUHT R R tIC 10 CH cr.e 856.10 000000066644667 573 16.90 000000057171565 574 Z5Z. 0 00000006051 000 7 PLEASE USE THE ACCOLnfr RECOHCILEMEtlT Forol LOCATED ON THE OACK OF THIS STATEMENT TO 8ALANCE YOUR ACCOUNT. IF YOU HAVE QUESTIONS ABOUT THE INFORMATION COIITAIIlED IN THIS STATE- MENT, PLEASE CALL CUSTOMER SERVICE AT OUR TELEPHONE IlANKIIlG CENTER. THE NUMBER TO CALL IS 1-800-222-9034. MORTGAGE STATEMENT j\J~iicll1sBltirilk' STATEMENT DATE: 02/26/97 My "Ilftl, .11., I"", d.l. wlU 'PPIII OfIlfIf ....t bn",V 11.1."""1, ACCOUNT NUHOER: 1022071500 PROPERTY ADDRESS: 247 GLENDALE STREET CARLISLE PA 17012 NalionsBanc Morlgage Corporal Ion Customer Service 1-BOO-285-6000 H.il p'ymenti to: PO BOX 11191 OAlTIHOAI HO 21292.0501 Account Information Item Oelcrlpllon ."1111'"'''' 0.I.OC05 Principal a.al.nce E!.crow B.al.nce Unpaid Late ChJrges P,aymenl factors Int R.le - Fillt MI9 Principal & Interest Escrow P~ant OpUo",1 Producls Other Total P.ayment VaJr-le-Oale Interest TJxes OOIUI/t.&D. FRANKLIN 0 BISTLINE 8AR8ARA A BISTLINE 247 GLENDALE STREET CARLISLE PA 17013-3517 1...111..,111"",.11"11",11.,1,1",.111,.,1,1,,11,,,111.111 001651 I YOUf Nlm., Add,.... 04' T.I.phon. Numb., ..... chlno.d. I.... cont." our Cuslom., Servlc. D,plltmt"... mportant Messages . N"t.. p._H n"".. (u "'Ii ,~":.." ~""_>'-','~,:!'i'<<>t~rt"'..?<.""t:'/.....-.-::,.,..-..", ' , ',' , """'';':>''/';';'>'''~'~''''Ii<:'':''h';'''';'' -.. A ,,~' ,t ' ... ~V: :,\.;fXP.ECT;~JLt.DE.l'AY~;'JN IIIf{TE,R~Hti~~;1!'~ln '~'~~~r payment! '!,J"ai~/;~,11D\1 a Ie" ,x~)7t~er,. ~ade.lays." ";'Y"'f"V' "/'H,., ,'"L4!?*b'.", ."':;' :ransoetion Summary ~,H!h).i!~?&~t9i~;~l:':; Aiylourn 'nJ!t~~l.~.::j:i:6l;m; f,Ir#;,lp.l 4 4 . J.mount \73,794.12 $1,419.57 7.500% $707.95 $156.66 $864.61 $1.392.80 :$'/. ,<;:J Optionat Ptod~~ti~ ~ti ".ni:fi~_ui. , u~..., /i /, r1 ? l'k LAi.. . 'I~ ?:;-r;1 1:/-/) DEALER/REP COPY ::. .~ 1'lONEEIl PIONEER FUND IPA STATEMENT OAT[: 12/29/95 OEAlER.: 3283-8091 "RANCK CARLISLE IISllIH( 'UH~D PGI IRA CUST FOR FRANKLIN D BISTLINE 2~ 7 GLENDALE ST.. ~.~;L1SLE. PA 17013-3517 USLIFE EQUITY SALES CORP 8R 404 CARLISLE 169 WEST HIGH ST . STE .1 CARLISLE, PA 17013 ACCOUNT NUM8ER: 001-0905028838 .'IECORO OF YOUR TRANSACTIONS DATE TRANSACTION 8ALANcE FORWARD n/29/95 DIVIDENO REINVESTED SO. 11 ~6/18/95 REDEMPTION FOR ANNUAL TRUSTEE FEE ~6/30/95 DIVIDEND REINVESTED SO.ll O~~~9/95 D~X!~~~E ~EINVE~!~~ SO.11 I REP: 006650 8ISTLINE 8 I 0003 208500 FOR ASSISTANCE CAll 1-800-622-01761 PRICE HAR TOTAL SHARES OVINEci 284.790 288.182 285.769 204309205 DOLLAR AMOUNT 31. 33 10,00 22.50 24.24 1,392 0.413- 31. 43 31. 58 24.28 25.81 1.296 1. 233 287.085 288.298 ;;IS. CD\ y.. 2-'n' .1.C1S- =- 7.38.3. .3; ,~., 040 Label (Soo II1suuchons ",,_111 UI. 11>0 IRS I.bol. on"'M'IH. pleaslI print 01 type. Plllldonllll Ellcllon Clmpllgn .. ISee a .".1 , 1 2 3 4 l . I . l H . . I Filing Status (Sou paga 11., CheCk only ontJ bO.. Exemptions (Se. page '2., II mole than Iix aopondonll, -1l'I1lf13. 7 a. b 8 10 11 12 13 14 15a lGl1 11 18 18 201 21 22 23lI b 24 25 ze 27 28 28 30 Adjusted 31 Gross Income Incoma Al1ach Copy B of y.... Fonns W-2. W'2G. .nd 101l9-R her.. II you dod nol gOI . W.2, .ee pago 14. EncloSO,buldO not .,lath. your payment and paynl4tnl voucher. Soo _33. Adjustments to Income o.pat1m.nt of It\e 1.......t"f'-1..... U.S. Individual Incom . "_en.- s.,...,oCe ,all Roturn mi]@95 ..I<l.........~.Of 'I.p."'~~' .'''UMcw.., I... Ihe .,.., Join l-Ouc; 3t. ,~~. Of 0"'" lu ,,";11 ~"\I'lono yOU' I..., Nmt W'ld Il"lll~ La,1 NnM .,w~.~ . HJ OMU No '~4'::1.0074 Yow IOCW Ma.Wttr numbN ..;I 0 ., : 3p : "J;2D~- 1pouM'._-.,- I' J 13'1' ;I,),:;"'; For Privacy Acl and Paperworll ReduC1Jon Acl Nolle., ... page 7, Y.. No Nolo: CIlocA.no .Ye," ... no/ CIIInQe ""'" 1&1 01 ,~. yOu( elvnd. II. fOl"lI . . " -... . , -J- Ham.. WA 204-30-9205 161-34"2254 52B FRRNKLIN D ~ BRRBRRR R BISTLIN( 247 GLENDRLE 5T CRRLISLE PA 17013-3517 I.' Cd.,. kJ 5P I R S OoyouwlntS310gol0lhlllundl. . . . . . . . . III 011\1 'alum, c::Jon out. rtO want $3 10 0 10 1I'l1$ fund' . SIIlQ'1 Mam.d f.11IlQ JO<Ilt r.lum (.ven If only ono /\ad income) MM.1lId 1"'0 sopaI'" r....... En,,,, lpou.... 5CCloI 5OCUf1Iy no. 101M lOll ".. N/1lt htt.. ~ H..d 01 r-oou..hold lw.th qUal.ty.ng person). (See page 12.)" the qualolyrng pl<JOl1 IS I child bu1 not yout doponaonl, anltu Un child', rw~ hera. Ii' 5 Quah In wtdow(ell With elf: ndenl child ( eMf S use dted'" 19 See e 12. 6i Q"Voufaell.1l your p3lant (Of somtlone I.IIUtl c.an clo\lm you as a depenljont on bs or he( t.u. } r.ll.n. do not chocl\ bo, W Bul tHI .... 10 chocl\ lho bo>. on Iont J3b "" pago 2 , b Spouse......................... c Oapanaonta: III O'p'."',n... >0<"' 11100"'....."., 141 No II...... III f." NlI'II LutNll'll J.e(";ltynUnlOCl lI~tn f~1O Md:r d U IO\ll clloId Clldnl Iiie wiIl1l\lU llId 10 dlimocllll\lUl clopeOOo(C unclIr I Pft'19I51Ql1OlllllC. ellocI: hon ~ 0 I Total numbo< of ...rn tionl claimed . . , . . , . . . . . .....lkUl 'Meld II .. ") ..." ~ N.. "\'101 UII.... .. k .: . 11M.. 'II -'- . ...., lot .. ,.. lot It '-11 _I'" _'4) 0._.. k ---- AU_ .-.. UN'..... .. ~- 1. ~ Wig... Ulanel, tJpl, lie. AI1Kh FOIm(.) W.2 , , . , . . . . Tuablelntlt.at Income 1- page 15). Anach ScheduIo a" OWl S400 . T...._IIn""...I_ page 15). DON'T Include on Iont.. 8b 0ivId0nd lncame. AI1Kh ScIl8duIa B H ..It $400 , , . . . . . 7_ rlfunda, cradrta. Q( alfMta 01 ltatl end Iocel income tuea (_ page 15) . Alimanyr8C8ived . . . " . , . . . . . . . . . IlusInas inCOmlI 01 (l01I). AI1Kh Schedule C Q( C.EZ . , . . CIpi1Il galn Q( (lasJl. " nquncl, 1l1ac:ll ScheOuIt 0 (see pagt 16) Olhar IlU1l Q( (Iouoa). ....1Id1 Focm 41&7. . . , . . . . , . . . , , TOIIIIRA dlatribu1iona. \..!!!J U b T..- .......1'" ptQt 161 TocaIptIl5ionIlIlCl_ l.!!!..J U bT..-.......(JOtptQtll1l RontaI rHI -. royeIIioa, pW\arJhipJ, S COIpOIa\lOna, INlta. lIIC. _ Scl1IdlAa E Farm Incclme 01 (loul. AItacf1Ilcheduit F . . , , . , . . . . . ~COO'4*..tion(J..pagel1) , . , . . , . , . . . , . SaclII MCU1Iy '*- I. I I I b T_......... ptQt I. Olhar _I.lal type and ___ page 18 .................................... MclIN emounIlln IN I. _lor linea 1 21. ThIJ II __ . Y.... IRA __ \Ill page 181 . , . . 23a 5p00.M'.1RA cllduCllon \Ill page 18). . . 23b MclvIng upeMlI. AItacf1 Fann 3803 or 3l103-f 24 Oneollall 01 aaII...,......,.... lax. . . . . 25 Sea~....... ~ -.ctoon (_ P8Ilf 21) 28 Keogh . ...~ 6EP pIIna. " SEP, chack . 16I 27 Penalty an NIly __ III eavInga. . , . " 28 Ntrrlnr I*l ,*,,-,,1 SSM . 28 l\dd IInu 23lI 28. n.e... 10101 ed........... . . . . . . . . s:......a IonI :JO ._ 22. T1liJ b yaur aIjutn """ ....... " 1os1 ....125.613 JOlII I cMlllllll MIl less IIIaft U.23D . I dliId dodn'l "" WllI1 . ... 'Ullled _ CttOr III 21 ~ Cel .... 113:/ll8 8 10 11 12 13 14 15b 15b 11 8 111 " _ 1040 1'8861 FOl'm 1040 "ei~l T<lK Compu- l<llion (Se. P'O' 231 II you wanl Ihu IRS lu hgurll your 1....5e6 p.ge 3~ Credils (See peO' 24.1 Other Taxes (See peo. 25.) Paymenls AlI..ch Ff.H'lI1liW'2, W.2G. and 109\1.R on lhe fronl. Ftefund or Amount You Owe 4' C'O<l,'IOl ct.kl'l\<l deponaeol tal. "pon.... "n.th FOIm 2441 42 Cred,l 101 Ih. .,01<Ir OIlhe dlWlllld. "lIacR ScIIIdule R . . 43 FOIe.on I.. Cted.L MICh Form 1116 . . . . . . , 44 0_ Ct.dllo (_ pagt 25). CheciI K from , 0 Form 3800 b 0 Form B31l6 0 0 Form 8801 d 0 Form (1pICIfyl_ 44 45 -.....41\1Voug1144 . . . . . . . . . . . 48 SulllrlCl ... 45 from lint 40. K lint 45 Is """. than IlnI 40 onlll.(). . 47 SeU-empIoymonI .... MICh ScIlIduIo SE. . . . . . . . . 48 MlmIlNe minimum .... MICh Form 6251 . . . . . . . . . . . . 40 Recajl1l.r......a-Uom ,OForm4255 bOForm8611 COFOIl11llB:!8 50 SocioI JeCI.It1y and MedCatI... on tip Incamo not ropot1ed to~. MICh Form 4137 61 T.. on quallflld 18tirlmlnl piano, includlllQ 1AAa. II requited, IIIach Form 5328 . 52 AdvatlCtl .amed Incomo Ctd peymenll from Form W.2 53 Household ampIoymont ...... MICh Schedulo H. . . . 54 _ _ 46 ihr 53. ThIe II lo1al tu. . . . . 55 fco.,.1 income III Wllh/Ield. U Illy ill,om Forll1(llum, CIIICt ~ 0 86 19951$l1N1ICllLs ~ nl_ eppIiId from 188411l1.rn . 67 EMnId klcomo ClIdII. MICII SclleduIt ElC W you haw . quUIyr1g cNkl. Nonl&utllt _ incomo: _ ~ I I I and typo. ................................................... 86 AInolln1 paid with Form 4868 ("Ionolon I8qUII~. , . . 58 Excou IOCiII MCurily and RAT" ... withhold (_ page 32) 50 OU1erplymonlLa-Uom .OForrn2438 bOFOIm4138 '1 _ Ionoe 55 50. Thoeo "' total ta . . . . . . ~ 62 U Ine 61 illllOrIlhan Irle 54, IloClCI1r;t Irle 54 110m Ii'le 61, ThI illl1I_ IOU OYEIIPAlO, B3 Nnol.IlI olllno 62 you ..ant RffUNDED TO YOU. . . , . . . . . . . 64 AmoII1l or... 52 lOll _ AI'Pl.IIl TOTOUR I. UT1IIATED TAl ~ 64 86 K 11II64 10 mort lI10n Iino 81.llblroct 1111811rom Ino 64. ThIa Ie IhI AMOUNT YOU OWE. For do1llila on '- to IllY JWld UII FomI tD40-V. P8Y"*It VOUClW, _ page 33 . . ~ 86 EJlmaled lax _ 33 . 1.loo Indudo on 11II 85 86 l.Jnder ~oI per,..y,ldIdn .....hheturninld..NUnMd all ._.,...., ~ n ....Im.... m:fto"bMoIlI'W'~ Ind ......Ihoy.....,_rod_llocIor-.oI_..... _'"""""._'"'''_''__''q~ ~ y~-' 0. Y7;:-- .. Spouoo'I-- , $, 32 Amounl ftom w 31 (..jUII.... grou lOCOtnI) . , . . . , , . , . . . 330 Chock of: 0 You ..... ~ 01....... 0 UMd; 0 Bpou.. w.. ~ 01 oIdOf. 0 IllUld. Md IIlI numl>If 01 00..1 chocked obove and onlll U>o lotaI hot.. . . . ~ 330 b II your l*onl(OI JOmoono elM) con tlllm )'l<l II . dopoOOonl, CIllO. hot. , ~ 33b 0 c II you .,. momod IIIong _...iy and yout 0_ Kom".. doduc1lonJ or you III . duel....IUJ oIron, _ pogo 23 and check hot.. . , , , , . ~ 330 0 l"omlJed cIodUC\lona from Scho<lulo .... IIno 26, OR ) 34 Enler 6l11ndord cIoductlon JMwn boIow 101 your. 1&I.ng 010101. But 1I)'l<l chocked IIlI ony bel on Ilno 330 or b, go 10 pago 23 10 llOCl your llIndotd doclucloon. Lo'8'" II you Chocked boa 330, YOUl ..ondllrd cIodUCloon II lIfO. 01 . &no'-'3,1lOO . MlITiId fliilg joinUy or Oualofying widow(0r}-$8,~ your: · Hood 01 houIlllold-45.750 . MIITiId r~1IlQ _.loIy-$3,275 30 Sublllel bne 34 from lone 32 , , , , , . , , , . . , , . . . . . . JO II bn. 32 II $86.026 01 lou, mulllply $2,500 by fhe 10101 ....- oIl1lmpllon. tlolmod on kne 6<1. II Uno 32 " ""If $86,D2~, '" tho _I on pogo 23 100U>o omounl to .nllf . 37 T.ubl. Income. SulllrlCllone 361,om I,ne 35. 111101 36 II """" then Iono 35, onlor.(). , :l8 To... Chack .llrom . till T... Tabl.. bOT... Rail 5clloclu". t OCapoM Goln T... WO/k. .heel.OI dO FOIm 861~ (SOl pago 241. Amounl "om Form(II1l614 ~ . I 39 A<!O'loon.II...... Chock of "om . 0 FOIm 4970 b 0 FOIm 4972 40 AO"hn~s3l:tandJ9. . . , . . . , . , . .. 41 42 43 Sign Here Koep . <X>Pr oflhis ,etwn '01 your rllCClrdj. Paid p,-... .. P' -, reparer s 10m.'...... tor "'"" ~ Use Only · III VClI'.OIlI_ _III 0olo (i) ---- 34 35 JO 37 ,~ " .s 48 47 48 48 50 51 52 53 54 5.3 P.g.e 2 ...... ~ -.." . , SCHEDULES A&D Ifo'm lQ.40) I~oltl'llllt......, ...,tt..,.I6e._S.w, en '''"'-lI1 V\O.n on fonn 1040 MedIcal and 1 Denial 2 (lpenses 3 4 Tales You 5 Paid 6 {See 7 flJIJU A-I,) 8 9 Inleresl 10 You Paid 11 I~O PJgo A.:t,1 Note: Porsona/ 1ll1MOSt is nol duduclaUld. Gifts 10 Charity II you modI I 18 ~,o """ goll """"loll.. II, 17 ,.. page ".3. 18 Casually and Thefllosses 19 Job Expenses 20 lnd Mosl OilIer Miscellaneous Deductions (See page ".~ 101' tIaptJOs.es 10 00Clucl her..) 23 2A 25 2B Other 27 Mi$CIllaneoUl DeductiOCll Total Itemized Deductions Sche 10 A-Itemized Deductions (Schedul. 0 lion back) elution: Do nollrlClvde ~s <8UIlburs<<IOI' 1*1 OrOllllrJ. ~ MedIcal and denial elp&n5e1 (see pagt A.ll, , ., 1 Enlel Imounllrom FOlm 1040. IuIe 32. 2 ~ Mulllply lone 2 lbove by 7 .~% (.07~), . . . . " 3 SublrScl line 3 ',om line 1. If line 3 Is more lhan lloe 1. enle' .0- Slals and local income laxel . . 5 Roal eslale 1..0& (soo pags ",21 . 5 Personal properly taxes. . . . 7 Olho/l8Jlos. usllype and amounl ~ ..............1).(<'\ ~~ 8 ................................................................ Addllnus~lhrou h8. . . . . . . . . . . . Home mongloe IOlelell InO pOlnls/eponeO 10 you on form 1098 Hom" ".,ngaglllll.,... nol reponed 10 \0<1 on form 1098 II p.loO 10 1/1" I""""" Irom ..horn YO<Illougll1 10. home. see page A.3 al1ll snow Ihal person's nama, od.nlolYllIg no. and aClOloss ~ . . . . . 10 ""~ ..'~"''''. :",\~" ~{~~ 0~t .~~" 11 11 ................................................................ ................................................................ 12 ................................................................ Poinll not repor1ed 10)'Oll on Form 1098, See page A.3 lor 8peclalrulea. . . . , , , , . . . . . . Invol\menllnlll8ll, If required, attach Form 4952, (See page A-3,) . . . . . . . _ . . . . . . . Add linos 10 h 13. . . . . . . . . . . Gills by cash or check. If )'OIl made any gill d' 1250 or moro,seepageA'3 , , , . . .. " " . Olher than by cash or Check. II any gill 01 $250 or moro, see page A.3. If over $500. you MUST attach Form 8283 Canyover lrom prior yoar . , . . . . , . . . Add linos 151hro h 17. . . . . . . . . . . 12 13 14 15 13 Casual or lhellloss(.s). At1ach Form 4684. (See page A"'.) Unreirnbursed employee elpenses-job Iravol. lI\ion dues, job education, otc. II roquired, you MUST al1ach Form 2106 or 2106.EZ.(Soe page ".~.) ~ .............. ................................................................ ................................................................ 21 Tax preparation 1_ . . . . . . , . . . . . 22 Other 8XpllnSe&-lnveabnent. sale deposit box. etc. Lilt type and amount ~......................................... ................................................................ AddIlne&2Olhrough22. . . , . . . . . , . fIIlIr Il1lOUl1I 'rom Fonn 1040. IonI 32 . 24 MIA\lpIy line 24 above by 2% (.02) . . , . , " 25 SIbIract line 25 lrom line 23. If Ime 2~ is more than bne 23 enter.()- Other-4rom Iial on P8Q8 A.~. Ust lype Ilrld amounl ~ .............................. ............................................................................................... 28 1& FOfm 1040, line 32. over $114,700 (over $57.350 K married filing 8lIparaIely)1 NO. Yow tItdooc1ion ia nollmtecl. Add 111I amoo.rlls n 111I ... right eoIurm } 'Of Iinee 4 through 27. Also, anler on Form 1040, line 34. thllar1Ier of . ~ thia lInlCUlt Of YOU' llandard deduction. YES. Yow deduc1Jon be liml1ed. See A-5101' \he BmOWIIIo anla-. Few r__ Rel'l"~n Act NaCIot, _ Foom 1040 InotnJCIiono. CIl. No.llDOlC OMO Ho I~~ 00" '- ~@95 Altachmenl 5equ0r0c. Ho. 07 YOUI' IOCW MCUf'1tJ nwmbet ~D~ ....... A (form 104011llf16 , S4..IMduIt-\ A40 IFDfm I04011i'J~ I~"'.'f" ...,.....n UIII Ofltl lu.40 au not em.. twn,. "f~ """,,,,I -..cUI"" ""'""-- 01 \I'c1ofltn on ot'- .....,. ....' . ~ ; -(. K \. Yj . . 6 :.idd'U;~~~'~'~'5": .......i. 'i;;'~'il i:'j?3~'t:""'"'''''''''''''''''''' 7 CapiqJ gain dislributiona. Enter here end on Schedule O' . 7 8 NonlUlbll diIltIlullona. (See lhe Inal. fOf Fonn 1040, IN g~ II Adclli1ea711ld8 . . . . . . . . . . . . . . , . . . . . . 10 Sub1nlc1line 9 from Une 6. Ent", the rew" here and on FOfm 1040, line II . . '/1 )'011 do not need Schedule 0 to (e{Xllf any othet gans or losses, _ 1M ins//1JCtions (01" Form tlUO, Une 13. on 16. II you had over S400 01 int",est Of dIVidends or had a fOfeign accoUll 0: _. a grantor of, ot .1ransl8IOf to. a Iotltgn trust, you musl ccmplote \his part. 11. 14 any 1lme dwing 1995, did you have an interest in ot a signa1weot other au1hori1yov",. financial account n . fDfllign country. IUCh as a bank llCCOlIlt. socurtliea lICCOUfll. ot other financial account? See page B.2 fOf exceptions and filing I'llqU/llIIlllf fot FOfm m F \l().22.1 . . . . b If oYes," ent", the name of the foreign COl.<ltry. ....................................................... 12 Were you the grantat 01. ot Iransterat to. . fOtWgn I/uSIlhal existed during 1985. WheIhet at noI have beneficial interest In "? If .Yes . ha1/e to fole Form 3520 3520. at 92B . FOf PaptfWOI1< Recluc:tion Act HoCIoe, - Fonn 1040 lnelnJcliona. (!) ____ IcIi.cue 8 ~ 1040\1lle6 Part I Interest Income IS.. PiI\.lWS 1!) al'oCl B.\.I Nole: II you ItIlCIt.vlld. FOfm l~.INT. FOfm '_'010. Of SuDshlule )1~IL'fTlUllllrom oil DfOktt Igtt hIm. Ils1 the hlm's naOk a~ the parel and cnl~1 Ihl;: lol..llnl~h~..l S.hown 1If1lh4J1 101m. Part II Dividend Income (S.. poge. 1 ~ OI'oCl B.1.1 NOI.: If you lecewed I Form I099-CllV Of subslllule Slo.Ih.'U"=Ollrom a IJtOkelayu film. 5.sl the "'m's name as IT., poyer and 801M the total dIVidendS Shown OI1l11at 101m Part III Foreign Accounts and Trusts (See _8.2.1 OMU No 1~!..OO74 Pag. 2 Your acK.... MCWI.fJ numt,... .:/0 3/1 ,qJo:r Schedule B-Interest and Dividend Income '- A1l4Krmenl 5oQuonco No. 08: "-' Not.: /I au had ove( $400 in liUOblo inrOfo.l.ncome. mu" also com ere Pa"lff. 1 List name of payer. II any Interest is Irom a seller.hnanced mortgage and the buyer used the properly as a parsonal rosidence, see paoe 8.1 and h5t this .nlerostlu5t. Al50, .how that buyer'. OOCaallOCuroly numl>ar and address . Amount : :iY.\~:;': ~~:~;::::: i~T.::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: f-. "I\..u. .,....l......J.Rv.J.:t ..... .... ................. ..................... ........ .. .,.- .. tn....\ lou..................... ,...................,............ ....................... ............................................................................................ ............................................................................................ ............................................................................................ 1 ............................................................................................ ............... ........................................................................... ............................................................... ........................... . ................... ........ .......................................................... ,.......................................................................................... ............................................................................................ ............................................................................................ 2 Add \he amounts on ~ne 1 . . . . , . . . . . , . . . . . . . 3 Excludable intarest on series EE U.S. savings bonds issued after 1989 from Form 8615. line 14, You MUST ettach Form 6815 to Fotm 1040 . . . . . " 3 4 Subtract I"", 3 Irom tine 2. Entor the result hare and on Form 1040 line 6a . 4 Not.: /I had 0.....( $.(00 In toss dividends 8nd(0{ o/her di.,nbulions on J/ad. must also 6 Ust name of payer. Include gross dIvidends andIot Olhar dillributions on stock hale. My capital galn di5lributiona and nontaxable di8tnbutions will be deduc1ed on lines 7 and 6. ..................................................................... 2 :L lePIlltIlJ. Amounl :p.h~~:;;i~:::: ::F.-~:~1~:: ::::::::: ::::::: ::::::::: :::::::::::::::::::::::::::::::::: .t::.lNI\~"l... ...::r.9..~........... ....... .......... ............................... . 9.h.""N;"k......L..Jl>.......... .................................................... .:p.i.Otl....A;..,.,......................................................................... ............................................................................................ 6 ............................................................................................ ............................................................................................ ............................................................................................ ............................................................................................ .............................................................................................. .............................................................................................. r fit or Loss From Buslnoss """... ,..\~ lllolo Prop<1oloRh4>) ~@95 11wt....1"'.."" \II lrW h........, .. Par1nerahlpe. Joint went~'" .\C., mu.t rUe Form 1066. An,actwntll'll ~~.~I"" II........ '--...:, en ... AttAch to Fonn 1040 or Fonn 1041. ... s.. tnlllUcUon.'Of 6ched'-"e C (FOfm 1040. ~1C. No 09 ...... - - ($6Hj It ;.3 ; ,):JSy. A PrOOC'l'al bullneIJ oe p<olo"""', oncludlllQ p<oduc\ oe _ t- p&QI C.I) B fillet pf1nclptI bu"ne.. coclt S 1..._C-liI~ 3 () C Bu...... name. II no _oil bull/ltll namo. ....... blank. 0 EmPtro< ID -1tIHl. . an, ~ < :f 3 ~ Bu.""'s. addlt.. (inClu<l1llQ ...10 oe roem no.) ~ 11..'1....W...I:I,if I...~t....~...;.t~...~......................................... C,IV. lown oe posl olllCe. sIOI.. and 211' code C. A ~ I : or L (. ofl A I 70 I." f Accounling mell1O<l: (I) till Cull (21 0 Acctual (31 0 Othe, (speedy) ~ .................................................. G Muthodls) used '0 Lowe, 01 coal Diller 10Uach DoeJ nolapply (,I [I value CIaSlllS uwonlory: \1) 0 CoSl 121 0 oe markOl (3) 0 ..plOIIIloon) \4) 0 ChOCked, Jlup line HI YOI No H Was Ihoro any change III detelT1\llllllll quant,bes, COOlS, oe .oluabon. belween opeIlIng and cioolng in.",\Qr(I1I -V.... 1= ~:I~:I::tJ;ell~ly ~"~iCl~it'~. ~ th~ ~~I~ c'llh'IS ~uSi~;S d~f~ ,'99;' I~ "~o,: ~ ~oe' C'2 t~ ~t'O(\ .~: : : .I II ,'"l '.I,llh~cl HI ;1l:IIUlICd lhl~ UU~IoII1I::'~ lJUIUkj 1!J9!t. t;1ll."Ck hUld . . . . . . . . . . . .... 0 ~come '''7(' G,O:'S u:c.:l:lpl::. Of salc.. Caution: /I InIS lI'ICorne was ,eporroo to you 011 Form W.2 Vld rho .StatutOl)' ;S cmpIO~- 00. on 'hoI"orm wa~ cnecMleJ, sue pallO C'2 ancI ChtteA IHJIO . . . . . . . '" 0 Returns and aUowances . . . . . . Subuac111no 2 lfOm lane 1 . . . . . COSl otllOO<ll aokl (Irom IIno 40 on page 2) Q,au prolll. SubIrOC1Iino 4 !rom line 3 . 0'00 oncoeno, includ"'ll Federal and llIla guoIinI oe IuoIIU crld<t oe rlfund (_ page C-2) Gro.. income. Add lines S and 6 . . . . . . . . . Ex nsos. Enter ex nses for busin8S5 use of our hom8 onIon line 30. Adver1.Slng . . , . .. 8 18 Pension and profrt-aharing plans Baa debls trom saies Q( 20 Ronl Q( lease (see page C-04): SIlMCOS (s.. page C-3) . . 8 1 VoI'Iclo$, mactWwt, rod IQUillnWI . 10 Car and \rucl< eJ<jlOl\lOl I '17 b 0Ih0r buJlnesa p<OjlOf1y . (see pag. C-3). , . 10 .. 21 Ropan and malntOl\ll1CO . Convn"Sionl ana f..,. . . 11 22 Sul>PIioJ (noC _ In Pill UQ Depletion. . . , . . . 12 23 T.... and 1icenaM. . , Depreciation and HCIlon 178 24 T........ mMII. and ontt<1linmonc e>pense aeduction (not inCluded . T'....... . . . . . . , VI pan 11I1(.... page C-3) , . 13 b Melli and "'- 14 [",pluy... benolil p<ogtlml lortalnment . 10'00 lhan on line 19). . . 14 C ~ SO" 01 InJUtance (other IhIn hIIlth) . 15 - Ina 2411 IIbfecI 10 ~llOnO Inlerall: ~ lJOO _ c..1 , . Mortgage (paid 10 banks, I\C.). I&. d $o.CllracI1na 240 from Ina 2411 b O1her. . . . ,. 16b 26 Ulilillol , . . . . . 17 Legal ana ",of~ :Ie W_ (IKJ ~ cncldJl . _. . . . . 17 10-30 27 oew~(lromline46on Ie 011"", e.ponse. . . 18 page 21 . . . . . Totalo~ beloel _Ioe __... oIhomL Add 1inoI81hrough 27 il columna. . ~ T~lIYe p<ofrt (lOss). Sr.ml<aclline 281rom Iino 7 Expenses foe _IS ..... 01 )'O<A' homo. AI1ICII Fonn 8II2lI . . . . . . . . . . . Hot profit 0< l\OUI. Sr.ml<eclline 30 tram IilI 28. o II 1 proM, enler on Fonn 1040, ..... 12, end ALSO on llchocluIa llE,1ilI2 (llIlutory ernplo,_, ... page C-SI. e.lat.. and 1NSlI, _ on focm t04I.1ino 3. . II 1 loss, you MUST go on 10 line 32. 32 II you haYO I loss, check lho bolt 1haI_ ywt __ illNllCIMIy (see page C-S). o II you CheCked 32.. ",'or thO Iou <XI Fonn 1040, ..... 12, end ALSO on _ lIE, ... 2 IJlalolOty employeel, ... page C.S). EatItoI and 1NI11. enlor on Form 1041,1ino 3. o II you r:heCIlod 32b. you MUST It1IcI\ Fonn 11118. fo< P__ Reduc1ion Act Notico, ... Form 'C!40 InetnJCllonL SCHEDULE C (Form 1 ll4Q) Uenle 01 P'OV'.U)I E 2 3 4 o 6 7 . . .~ 8 8 I 2 3 4 o 8 7 19 - - - - - 11 12 13 15 10 28 28 30 31 c.a. No. IIUCP 2~ 25 :Ie } } 27 :Ie 211 30 31 3200 AlIn."",,_lIllrllk. 32110 Some ~ II not II rIIk. llclledoM C Ifonn 10401 1tl1l5 SCHEDUI,E SE (Form 1040) Solf-Employmont Tax OMO No _1:)4".~ ~@95 U......t.......ullI_"~ ...........,...-- ~..... (T) ~ Atuch 10 fonn 1040. NilofTle 01 ptlflOO wl1h ..n..employment Ilc;ome (as ahown on Fonn 1(40) Soc~ MCuri1v l'\Uftlbet of penon ..B" ~ b A Co. A 'e,:~t I: '" <.. ",\I) MII-.mp1_1 WlCOmO ~ Who Must File Schedule SE You mu.1 hlo Schedulo Sf II: · You had nol oarn'ngs hom sell.employmenllrom other than church emploYlHllncomo (hno 4 01 Shor1 Schedule Sf or hno 4c 01 Long Schedulo Sf) of $400 or morl, OR · You had church omployue incomo 01 $108.28 or moro. Income from IOrvOCOS you perlollnod as a rrurllster or 1 membor 01 8 rollY'O~s order il nol church omployue oncome. See pege Sf-I, , .., ., ' Nole: Evon II you have a loss or. small amounl 01 income lrom self-employment, II may N fo your bonuM fO I~. Schadulo !:.'. use elfhor -ophonal mefhod" In Pan /I 01 Long Sclllldulo SE. Sue page SE-J. f.coptlOn. II your orlly .ell'omployrlltmllncomo was hom oarnlOgs as a mlnlsler, membor 01 a rohg.ous order, or etv"h." . I'IUChhu,"" ~nd yuu hied FOil" 43bl arid rucu1Vud IH~ approval nOllo bo tiUed on lhose OaIrllIlgs, do nolllle Schedule Sf. In>! wllte -E.oml'l-Fo/m 4Jbl" on FOIm 1040. line 47. · Boo lnaltvcllon. 10< _.... lIE (foon 10401. 1olUcM>ool. Soquonc. No 17 May I Use Short Schedule SE or MUST I Use Long Schedule SE? ().d you I.e.,\,. w~~ Of llp$ ., lW~7 No Y.. Ivl you . mnst_, rnemb<< oc . reIIgIcu& 0tdIt. Of 0r1IbIn Sc...-.c:llJfKt41Ol'W Who flC.-ed IRS IrpptOtllftOC 10 be \&Ud Y.. UlI Nlhnr.. 'lOIn 1h.MlIOU'CotI, but rou OWl'" ~",*1I lu on on. NIf'W"Oll w..IhI,.... 0( lOIN' __ ond..-.... Ia IOdoI-"IIy 01 ,..~ fet.'1mInI lu ... 'tOW nee MlNngI from "'~lTlIIlll matt 1Nn 5til,2007 Y.. No lv, you USIng one ot lM opt;onal md'IOdIlO f9.n )'OW nee v.. NnWlgs ,... _ &'311 No 110 No Old rou rlCClrYll4>lll.Oitd 10 100II MCulty 01 Medicare w v.. Ihotrou<lldnotr-'lalOlN'~ Old you ,ee.. dud\ ~ ncane NpOl1IdI on Form y.. W., 04 $108.2801 mex.' No YOU MAY USE SHORT ICHEOUlf IE la..ow YOU NUlT U$f LOHQ SCl1E1lU1.E IE 011 THE IL\Cl( Seclion A-Short Schedule SE. ClIl11kln: Road above 10 see If you can use Shorl ScIl6duIo Sf, 1 Nellarm profrt or (loss) lrom Sched.- F. IIno 36, and fOlm parInorshjps. Schedulo K-l (Form 1065), hno 151 . . . . . . . . . . . . , , . . . . . . , . . . . " 1 2 NOI prohl or (loss) from Schedule C, Itno 31; Schedule C.g Iino 3; and Schedule K-l (Form 106~), hno 151 (olher than larlTllo'llll. Ministora and members 01 rehgious orderl see page &.1 lor amounts 10 report on this line. See PIlJO SE-2 for olhw income 10 report. 2 3 Combulo IIll8S 1 and 2 . , . . . . . . . . . . . . . . , . , , . . . .. 3 4 Net earningl from aelf..mpIoyment. WIiply Iina 3 by 82.35% (.8235). II '"' IhIn $400, do not hie this schedule; you do not owe 1Otf1ll1ploymen1 tax . . . . , . . . . .. 4 5 Solf-omploymont tax. " tho lIITlOI.II\ on line 4 Ie: o $61.200 or loss, multiply line 4 by 15.3% (.153). Enter \he nISUlI here and on I Form 1040, line 47. o More lhan $61,200, mulIiply line 4 by 2.9% (.029). Then. Jldd $7,588.80 10 tho rosult Enter tho IoIaI here and on Form 1040. line 47. II Oeduction for _half of aelf-employment taL WIiply line 5 by SO'I' .5. Enler the resul1 hero and on Form 1040 line 25 . FOf P"".""llf'. __Act -. _ F-. '040~ '..m 2119 Salo of Your Homo ,-, DUD No 164&.0012 ~~ aI h 1,-.., 1oIl.I..,U..........~ Yt.u trw.a,.,.. wd twu.l_II epw..Lrn, _gtwoIapca.-iI........1fld tlIUM. . _h 10 Form 1040 'or)'OlI 0''', . s.. ..pot." Il\JuucUono. . Pi.... pMl or typo. ~@95 - ~., OJ Fill In Your Addr.., PrwMnI dhM.-.a.. ""'"" nap\. ra.. N"'OYtiI, g P,O. boIl'Ill...... ..tDllIII.....:I1D ttlMC NIt..., Only If You Ate FMlng This Form byllMW CIr,-........_..........lIP_ and Nol W,1h YOUI' 1 ill Relum Gain on Sale 1 Oala your 'ormer main home wu IOId (month, day, yeatl . . . , . . . . . . . ~ 1 2 HavQ you OOugl1l or bUI" e now main h0lM7, , , . . , , , . . , . , , . , . , . , , 0 Yu 0 No 3 II any par1 of eithar main heme was avol rented out or u58d for bU,"le~, check hare ~ 0 IIld 588 age 3, 4 50""'9 pllce 01 homa, 00 not include personal property Nams you &old with your home 4 0 v eJ. i 5 Expensa of sale (S88 page 3), . . . . 5 ? 7 6 Sublract hno 5 'rom tine ~ , , . . . , 6 7 AdJustod baSIS 01 homo sold (StIB pogo 3) . 7 6 GaIn on salo. Sublracl hne Ilrom line 6 6 .."""'.... Ho 20 v..,.... MCIUItty ...,.., .:10 -'.--- It, hn. B mOl. tnan 11107 Y.. . II line 2 IS "Yas," you must go to Pan II or Part III, whIChever epplies. If line 2 is "No; go 10 hne g, No ~ SlOp; SOIl Lou on lIle Salo o' Your Home on page 1, 9 If you haven't raplaced Y01Jl heme, do you plan 10 do so within the ..placement period (S88 paga 117. 0 Yes 0 No · II line 9 is .Yes," stop here, anaclllhis form to YOlJ( raturn, and SIlO Additiollll RUng Requl..menta on pagl 1.' · III",a 9 is "No; ou must 0 to Part II or Par1I1l, whichever applies. One-Time Exclusion 01 Gain lor People Age 65 or Older-By completing this pall, you are electing 10 lake the one-lime exclusion (SBe pogo 2). II you at6 nol elechng to take Ute exclusion, go to Par1111 now. 10 Who was aga 55 or older on the dale 01 sale? . . . . . .. . . . . . ~ou 0 Your spouse 0 Both 0' you 11 Did tha person who was 55 or oId8r own and use lha property as his or h8l' main home lor a total 01 alleast3 years o'lha 5.year period balOlethe uJa1 See paga 2 for 8XC8plions. U "No; go to Part III now '" ~ 0 No 12 Allhe lime of I18le, who owned tha h0lM7 . . . . . . . . . . . . 0 You 0 Your spouse ~th 0' you 13 Social sBCurily number of spouse allhe lime of sale U you had a different spouse Irom lhe Dna above. If you wera nol married althetime 01 sale, ente,.None" . . . . . . . ~ 13 14 Exclusion. Enter Ihe amlllor 01 line 6 or $125.000 ($62,500 If married liIing 68parate relurn). Thun, go to line 15 . , , . . . . . .'. .' . . . . . . . . . . . . .. 14 Ad'usted Sales Price Taxable Gain and Ad'usled Basis of New Home 15 If line 14 Is blank, enler the amounllrom line 8. Olherwise, Slbtractlile 14 from line 8 · If lina 15 is ZAlIO, Slop and al1ach this form to YOlJ( ,elurn. · If line 15 is more than zero and line 2 is .Yes," go 10 line 16 now, · If you 8Ia reporting this sale on lha installment method, stop and sea page 4. · All others, slop and enter the amount from Una 15 on Sc:hedula 0, col.IgJ,Una 4 or lilt 12. 16 Fixing-up expenses (.... page 4 'or lima lIrnill). . . . . . . . . . . . . . . 17 If line 14 Is blank, .nter amount 110m line 16. Olllerwiae.1dd 11nt114 and 16. . . . . 18 Adjusted ..lei price. SublraClIine 17m line 6. . . . . . . . . . . . , . 1 a. Dala you moved Inlo new home ~ I I I I b Coat 01 new home (1l88 pegl 4) 20 Sublractlin. 1Ub trom line 16, If Z.8\'O or leal, enter -0- . . . . . 21 Tuable gain. Enter lha IIMIlar oIb 16 or IN 20 . . . . . , · If Wle 21 is zero, go to line 22 and ellach Ulls lorm to your I1lturn. · U you "1 reporting this sale on the instaIknanI method. 11M the line 15 Inslruclions IWld go 10 Ina 22. · .... 0lh8rs. enter the amount"om h 21 01\ Sc:hacWe D, col.l8I. h 4 or h12, a1d go to ina 22- 22 Postponed gain. SubtraClIine 21 "om line 15 . . . . . . . . . . . . . . . . 23 Ad'usted basis 01 new home. Subtract line 22 110m line lUll . . . . . . . . . .. 23 SiiIft Her. "'- _-.. poIjo.ry,I_. ..._ __........ il<blrrg - 'n.... ond 10.... _....,........ ond -......... Only. You cared, ... compIoI& In Fdin8 y"", ov- lbia F..... by --- ~ Wllh You< Tea RI1Um " . .tbm. baCh mull ~oo/~ Dole ~. ""'""" Dole For PIP8fWOll< ReducUon Ad HoIlcia, _ ___ IolIInJc1IOIIL Co!. No. 111101 f1Ina 2118 II'" Ci) -337-- 1....,11 8'606 Nondoductlblo IRAII (Cantu_ olUons, Distributions, and Basl~1 ., P..... ... What RKorda MUlti KHp7 on ply. 2. ~::~:::7.:::..:-:;:::.rr ... Aruch to form '040. fonn '040". form 1G40HR, Of form 1040.1. N.mw II nl~"..d. .... I ..pII.I. fOtm 1600 klt MCI\ 'POwM wha .. IIIQUlltld kJ ... fOfm It.o6 s.. ....lnAIU\l ... ; #oJ Home 1dG/... ~ .,-.d 'U"I. Of PO. boa , "* It not o.Ino"~ 10 ~ hol'htl OMD No U4!1. t007 -- 'll@95 Filion You, Add.... Onlr ~ If You Aro Fllong Thil Form br llself and HOI Wllh YOUI Tn Rllurn ConlllbuUonl, Honlaubl. DillribuUonl, .nd o.ill Ellie. you. IRA conlrlbulooN lot 189~ lhal you Choo..IO be noncledUCIIOlt.lncludllhosllT\;ldo dUlong 1111%-~11b1~6 11141 wo.. lot 199~. S.. mlruclronl, . . . . . [nlel you. 101.1 1M basls lot 1894 and llItier r""". See inSIIUCIoOtu . . . , . . . . Aad hnus 1 and 2 , , . , . . , .,.""..".... . . Cocy, ""'" Of pool on,,", ....., _lJIl.- 2 3 ~ .. Old 'tOU ""I'll Ho . Enlor 11\0 amounl 110m Iino 3 on InV IRA hnu 11 Tn"n. atop MIld f....d When UIl~lfltJuhon. end Who.. To Folt on ""1/<12. IWllhdfdWilIlI1 Y.. . Go lu I,na.. In 19~~1 EnhH only 1I10St! conlrlbutlons If\Cluaod on I.ne 1 thai woro rn<ldo dUlln!j 1/1/9&-4/15/96. ThiS amounl wllIlJc UlI! :a.111l~ a:a hou 1 II all of your nonduduCllblo conlubuhon:. 101 1995 wt"e madu Ul 199& by ~11 b1% See InSI.ucloons , . . . . , . . , . . . . . . SuOlfaCIIUlI 4 110m IU1lI 3 . , . . . . . , . , . . . . . Enle. IhelOlalYaJuo 01 ALL rour IRAa U 01 12f.llM plul anr OUIIWlalng 'ollovers. 8M II\Iltuc:ttona . . , , . . I . . . , . . . . Elllu, the 10111 IRA dilllibullonl rocliYod during 11105, Do nollncludo amoun" rolled QYO( belotl l/1/Q6, SM InoInJCUonI. . . , , . , Add lm.1 0 and 7 , ........ e D,YKle IU1lI 5 by line 8 and ont., tho "lUll U a decimal (to alloullwo placusl. 00 nol IfII., mDlllhan '1.00'. . . . . . , . . " 8 X Mulhply 111II 7 by line e. Thio it tho ImOU\l 0' yoot nonlauble dillribulionllor 1&05 . SuOlfacIIl/lIIO Irom Ilno 5. Thia it tho \law In rOIl( 11\AI11.1 01121~11i5 Add hnes 4 and II. Thio IS YOUIlolallRA baala for lQQ6 and earlier rei" 4 5 6 7 8 8 10 11 12 6 7 ~ . . , , . . . Tuable Dlalllbu1lon. lor 1 1I05 13 SublfacI lone 10 '.om line 7, Enl., tho "lUll her. and on Fonn 1040, line I~b; fonn 1040A.1ine lOb; Fotm 1040NR.1U1lI16b; ot Fonn 1040.T,1ono 5b, whichoY8t a 'us. . . . . . . . . .. 13 Sign Hero Only II You u.- - .. per..." 1- "'" 111I.. ......... .... loom, '"'~ "'tofT\pon,"II .'IOCtw_I. ... 10 ... 00" .. "" A F T F ~ona_.'.k..,_.OC1,,,,,,_., rt: .lIng hiS orm by Itsolf and Hol WIIh It. It. You, T.u Relurn , YOUI' ~h.... , 011. Paperwork Reduction Act Notice W. uk lor Ih. rnlOClMlion on IhiI 'ann 10 C..lfry oul the In10mal Revenue &aWl oIUw1 Unl'ed Slales. You III Ilqu1ed 10 11''' US lll~ enloflniJhon. We need 11 to 8f\S1.1'1 thai you ... comply"'II Wlth lhuH IaWl and ID "lIow u, 10 11\1". and coIl4Ic\ tho roghl amounl 011.... Tho IIml lI<l1ldod 10 compIo\l and 1010 Ihr, lotm Will YlIy Clopondong on ~ \:llcumslances. The es1imated Iv.age tine IS. Recordkeeping. 26 min.; LHming aboullho law.... \he fann, 7 11WI.; Propafln8 thl 'otm. 21 min.; and Copying, ....mbIlng. and Mftdjng \he 'o.m to the IR5, 20 mon. II you haYI Convnontl conceming tho acCUlucy 01 lhe... I""" 1S1lma1" ot ougglSloons lot IMIung lhoO lorrn ~, we would be happy 10 hear I.om you. SM tho """UClrons 'ot lhew ilium WlIl1 lIIflICh IIll8 'ann Ie IlIod. General Instructions Seelion "'/lIttJnceJ "" '0 lho Inlornal Ilewtnue Code. Fonn flU(). T flllltllllCtlJ .. '0 . new Iotm JOIII '0 '*"'"' ~ on . fall flurJ. Purpoae of Form UN Fann 8BOB ID rlpOll your IRA ~ IItaI you c:hooN ID be fIOIV1eclr ........ Fcw .xampIo. d you CIMO\ doduct .. of yaw ccnlnbuUont because 01 tho income limlta lor 11IAs. you may WIllI ID moluIlIOI"1<<lIlC1ob1o conlnbullOnl. AIao .... Fann l\Ii06 10 IIQUfI the basis ~ yourlRA(I' and tho laHabIo pat1 01 Illy dtJlnbulJona you roceived rn 189~ " you '-.... mada nondodolC1Jblo c:onlnbutlona. CoI. ....__ Your b.... IS lhelOlal 01 all your noncltKlucloDlo IRA COfIInbulIOnl _ tho 1011I 01 II nonlaublo IRA dllllobulrons roce..ed. " illO your Odvontagl 10 ....p IlIck 0' your basis bocIUH ~ i. UHd 10 Iog,," lhe nonlaWlle pall 011"'... dlsllibutlOnl. Noll: To '1flUII )'OUr CloQ,c/lble IRA conlllbullOlU, use Iha lnsIIucfIDnS 101 Fonn 1040,Fonn 10400\ ClI' Folm 10000T. wIlocIloww IjlpIreo. Who Musl FlIe You must '010 Fonn 8606 lor 1&05 it: I You maoo nonCloduc:ttio conIIibuIiona 10 your IRA lot 11195. .... I You IICOIYod IRA dis1Iibu\ions In 1895 and you he.. _ -1lOndecIucIlbIe conllibullOllllD Illy 01 yourlRAa. . F.,. ~ 11115I AtlllChtnenl Ii> Se. upa"I.lnllrucllonl. Ii> Allach Ihll form '0 your r.lum. ~. No 67 U",IOn' Of KliY1lr Lo wfKh lhII kif", f....~ kMnUf)1ng nwmo.r ,," c E.<:., \'oc. ... ... //./.3 _ .?~L Election To Expense Certain Tangible Property (SecUon 1791 (Note: /I you havo any "LisIOd Proporty, " com 1010 Part V b%ro ou com 1010 Part I. 1 Mar.lmum dollar IImllallon. II en on1orptlso lOnO buslnos.. 500 pago 1 01 (he Ins truchon' . 2 TOlal COil 01 'ocllon 179 propony placod In SOIVICO dutlng lho I.. YOOl. Soe pogo 2 ollho Inslruclions . . . . . . . . . . . . . . . . . . . . . . 3 Threshold cost 01 'ocllon 179 propeny boloro roduchon In hmllallon. . . , . . . . 4 Roducll~n In IImllahon. Subtracl hno 3 trom llna 2. II zoro Ollo05, om or .0. . . . . . 6 Dollar IImllahon lor tax yoar. Sublracl line 4 from line 1. II zero Olless, enler .0-, II mamod IIhng separalely, 500 page 2 ollhe InSlrucllons . . . . . . . . . . ('1 Ov\4llllhUh 01 "''''')HI)' (bl Cor.1 ~'.' ,.. ~ p, 7 Lisled propeoy. Emer amount Irom I,ne 27. . . .. .... 7 6 Tolal elecled COSI 01 sccl,on 179 plOpeny. Add amounls In column (cl, lines 6 and 7 9 Tenlahve deducllon. Emer Ihe smaller 01 hno 5 or line 6 . . . . . . . . . . 10 Carryover 01 dlsallowod doduchon Irom 1994. See pago 2 ollho InslrucllOOS. . . 11 T axdble lI1Come bmilallon. Enler 1110 smaIIOI 01 WabIo ITlCOIlle (nolless lhan ZOlO) Of ilno 5 (see VlSlrucllons) 12 See lion 179 exponse doduClloo. Add lillOs 9 and 10, bul do nol enlor moro than line 11 13 Car VOl 01 disallowed dOCluchon to 1896. Add lines 9 and 10. less line 12 ~ 13 Nolo: Do not uso Part II or P,rtltl below (or lislad property (automobi/os. cortain other vehle/es, co/lu/or (olophones, '''''r.'''' computors, or propony uSod (or ontertainmont, rocroatlon. or ,musomen'l. Instoad, usa Part V lor IIsfod PfDPOIIy. IDIIl MACRS Ooproclallon For Assets PI8ced In Service ONLY During Your 1995 Tax Year (Do Not Include Wsted Property.) Secllon A-<lonoral Anot Account E1ocllon 14 II you ore maJung lho oIectlOn under ~1OO l6O(iK4) to group any assals placad in service during lho tax year into one 0( mar. enOtal assel accounts. chock this box. See a e 2 ollhe inslruclions. . . . . . . . . ~ 0 (OJ _Ih and leI a..., '0< "",,,OC"loOn I" ....._ (., Clilndcllaon or ptopet1y )'UI pCK4Id n (bua.neWfl"IVtWNol UM "'i ......n_, MMe. ""lfucIIOl"lS PInDCI Section B-Goneral Dopreciation S Itom (GDS (See """,4562 Dt."rcclation and Amortization (Including Information on LI6tod Praporty) I...,.........~ "" IIIf I...,,,,,,, .....'wlll............... N..mt04'IIIWJWI, 00 IIIw,n T~ I --.. ---- (CI Etecll<J c.otl , OMU"'o 1~4!J'~ ~@95 <17 ~oo 2 3 4 ;u. " 3 200 OO~ . .. 5 17~J ) . 'l, oJ" 6 9 10 11 12 g 27.5 <s. HH S/L 27.5 rs. HH S/L h 39 rs. HH S/L HH S/L Soe 4 0' tho insltuclions. S/L 12 S/L 40 HH S/L Other De allon Do Not Include U.ted Pro See e 4 01 the instructions. 17 GDS and ADS doducIJons IOf ISS01s placed In seMce In tax years bogmong bolore 1995 . 17 16 Property subjec1to section 168(1)(1) olocIion. . . . 18 19 Af':RS and other ooalIOO.................. 111 Summa See 0 4 of tho instructions. 20 uslod property. Enter amount 'rom line 26, . . . . . . . . . . . . . . . " 20 21 Total. Add doductions on line 12,Iines 1511nd 16 in colsrm (g). and ~nos 17 through 20. Enter hero and onlho appropriate lines 01 your relIm. PlII1nor1hips Illd S COtpOnl~ insIructions . 21 22 fO( assets shown above IInd placed in sorvlce dwWlQ tho QlI1WIt year. entor tho ion 01 tho basis IUributabIe 10 SOC1Ion 263-' costs . . . " 22 for r_ ~....1IecIuctlon Al:1 No_. - "'1 of the sopw.c. InolNctione. CoI. .... ,_ _ 4662 11116l .. .... J.. NAME: Franklin D. BistlIne DATE: 09-24-1996 AVERAGE SALARY FOR THE PERIOD 01/04/1994 TO 01/03/1997 ................................................"...... . HIGH-3 AVERAGE SALARy As OF 01/03/1997 IS S 35,114 ........................................................ . SALARY SALARy ANNUAL START DATE END DATE SALARY FACTOR TOTAL SALARY -------------- ------------ ---------- -------- ------------ 01/04/1994 01/08/1994 32,419.00 0.013889 S 450 01/09/1994 06/11/1994 33,421. 00 0.425000 14,204 06/12/1994 01/07/1995 34,375.00 0.572222 19,670 01/08/1995 01/06/1996 35,287.00 0.997222 35,189 01/07/1996 01/03/1997 36,129,00 0.991667 35,828 ------. S 105,341 ======= CSRS EMPLOYEE DATA PAGE 1 OF J DATE. 09-24-1996 --------------- EMPLOYEE NANE: DATE OF DIRTH: SERVICE COHPUTATION DATE: DATE OF RETIREMENT: EMPLOYEE'S AGE AT RETIREMENT: SICK LEAVE: HIGH-3 AVERAGE SALARY: Franklin D. Blotlinc 10/27/19J6 03/18/1961 01/03/1997 60 YEARS 2 MONTHS 2668 HOURS S 35,114 ............................................................................ .. CSRS SERVICE CREDIT: 35 YEARs 9 MONTHS 16 DAYS SICK LEAVE CREDIT: 1 YEARS J MONTHS 11 DAYS TOTAL CREDIT: 37 YEARS o MONTHS 27 DAYS z::;:; .. .. .. r INCLUDES: 2 YEARS 0 MONTHS 0 DAYS MILITARY SERVICE J ............................................................................ ----------------------------------- "ESTIHATEO" VOLUNTARY RETIREIlENT 8ENEFITS ANNUALLY MONTHLY ---------- --------- CSRS BASIC ANNUITY: S 24,660.00 S 2,055.00 COST OF SURVIVOR BENEFITS: 2,196.00 183.00 ---------- --------- ESTIHATED NET ANNUITY: S 22,464.00 S 1,872.00 (X) HEALTH INSURANCE PREMIUM: 1,125.84 93.82 ---------- --------- NET BENEFITS: S 21,J38.16 S 1,778.18 a.clIllIe_llIac a..a....caa FULL SURVIVING SPOUSE'S ANNUITY: S 13,560.00 S 1,130.00 :X) [ Health Plan Enrollment COde: S42 _ 1996 Premium Rate SPECIFIED ,ASE /\MOUNT 'ULL ANNUITY 19,668 14,668 9,668 3,600 PAGE 2 OF 3 SURVIVOR BENEFIT ALTEIlNATIVES a.c.a.=aa~=a=aaa~aa=aaaaaa=~= SURVIVOR BENEFIT AMOUNT -------------------------------- PER YEAR PER HONTII COST -------- --------- -------- S 13,560 S 1,130 S 2,196 10,812 901 1,692 8,064 672 1,200 5,316 443 696 1,980 165 84 YOU II REDUCED ANNUITY PER YEAR PER MONTH -------- --------- S 21,338 S 1,778 21,842 1,820 22,334 1,861 22,838 1,903 23,450 1,954 i'AG~: J OF J NAHE: Franklin D. Aiotlinc DATE: 09-24-1996 REliARKs ........... ..,............................................................ . . . Thi. i. only an e.timate. OPH will compute your final . . annuity. You havo not had your lifo insurance Coverago . . for 5 years therefore you are not eligible to carry . . this benifit into retirement. Quostions call Susan . . X2609. . . . ............................................................... ,- , " I Us. lh.IRS lob.t. H Otherwise, [ pteaso print R '" 'ype. [C Presldenlial Eleclion Campaign ~ See 11. r 1 Filing Status 2 3 4 , ! 1040 Label (See page 111 Check only one box. Exemptions II more lhon 51. dependents. ..e lhe ifultUCtloM for line 60. OcplUl.lllent of tho Tlc."Ufy_kIlOll\&1 nCItI.nue S('f~C. U.S. Individual Income Tax Return for the )'t'af Jan. '-Dec. 31. 19~. Of Olhtf t.U)'t1ll begimirg Yw rut name and InIUII l'" name ~@96 ('l8) IRS UM 00ty_00 ""'....... Of ILJpll! rn In' 'p<<C . 1996. ~ndllYJ . 19 OMU No 1!l45.()()J4 y~ lode' "curtlJ runbtr '<O~;3r"1! '7"::>n~ Spous.', ,odAl MCUritJ' numb., l A . [ l '1/ t- u . joint 'ell.ln. spouse', r"il name 6nd ntiat La" name Apl. no. HomI.ddl'." (numbef ,nd wMU. II you ha..... P.O. ben, '" ~ 11. ~1 GLeNdA Ie. c,-r, Cil.y. 10tMl 01 poil oInce. ,tate, and liP code. II you Nve , loreign .daeu. s.ee page 11. \..: '- () 1..3 Fot help rll1ding lin. instructions. see pages 2 .nd 3 In lh. bookleL Ves No H...: Ch<d"'ll .YtS. d no( cIYJ9t 'PI In 01 tt<iJCe )'OtI It/und. 5 SIngle Married filing joint retum (even" only one had Income) Married f'ng >eparale 'CllIn. Enter spouse's ""ial SOCIl'l no. above and fUl name hele. ~ Head of household (wilh qualilying person). (See Instructions.) If lhe qualifying person Is a child but nol your dependent. enter this child's name here, I!- Qualil' widowier) wi'h de ndcnl child fear' QUse died ~ 19 . (See insuuclions.) ourseU. If )'OUI' palent (or someone ehe) can claim )'00 as a dependent 01'1 his 0( her tax} No. of bGw. reus". do not check bol 6a. . . . . . . . . . . '.' . .. chec1ed en ./ 1...."'and6b -L- b Saul.......................... No. of)'CU c Depend.nts: (lJ llq><rdenl', soooI 111llep<nder<', ('I No. of - drI_ '" Uno ""'"' rurbet. " Ilom rdallonsNp 10 Mrl n ".. 5.",h>: (1) A'st NmI list. name In Dec. \996 set~. h:mt n 1996 .Ihod""""", . dldnollht""" "",.....- or__ (...-1 _ ~",k not___ Add runben ~ ::e::. ~ L.1..J 60 d T etal number of exem ons claimed . . Income 7 81 Attach b Copy B of your 8 Fannl W-z, 10 W-2G, .nd 1099.R her.. 11 If y<lU did not 12 gel a W.2, 13 see the 14 insuuctions 15. .for line 7. 16.1 EncIo... but do 17 nol altach. any paymenL Also, 11 pi.... enclose 19 Form 104o-V 200 (see lhe InsttuC1lons 21 for line 62]. 2Z Wages. salaries, tips. etc. Mach Form(s) W.2 T.ubl.In,eresL A'tach Schedule B If ovet S~OO. Tn.....mpllnleresL DO NOT Include on line 8a 8b Dividend Income. Attach Schedule B if over S400 Taxabl. refunds, aedits, or oIlselS of.tale ood local Income tax.. (see instructions) Alimonyreceived , . . . . , . . . . . Bu5lne.s Income or 0055). Mach SchIJdUe C '" C.EZ Capital gain '" ~o,,). If required, ottach SchedrAe 0 . Olhe< goifu or (los..s). Attach F"'m 4197. . . . . . . . . . . . . . TOlBIlRA dlslIlbutJons. . l1!!J I-.J b Taxable _(seeilstl Total pen5lons and amJitle> l.!!!..l U b Taxable....,... (see ilstl Rental real e>lJle, royaltle>, partnerships, S corporations. IlUSlS, etc. Attach Schedule E Farm Income '" 00"). Attach SchedUe F . . . . . . . . . u~pI~emcom~~ . . . . . .. ......... 50claI secU'ily benefllS . 1200 I I I b Tauble _ (see ilstl 0Iher Incom.. U>llype and amouu-seainsltUClions ................................ Mdii,;,'i;';;';;';;'; j,;'u;.;i~;; ..i.~d;;;,;..f;i;,;;;7.ii.;. ... .... .... .... .....j,;bi~-.. 23a YOlIIIRA deduction (see ifulruc1lons) . . . b Spouse's IRA deducllon (..e Inslruc1lons). . . 24 Mo'IIng expenses. AItach Form 3903 or 3903.F . 25 One.haIf of ..V.employmenL tax. Attach Sched\Ae SE V h! 31 "lIllIBr ZI SeIl.employed heallh i1sU'ance deduc~ (see insLl. S28.495 (lIllIBr 27 Keogh . .elf-employed SEP plan>. V SEP. check ~ 0 $9,500 If 0 thiId ZI Penalty on early wilhdrawal of saving> . did nollNe wtUI 21 AIononJ paid. Recipe..:s SSN ~ ; yo<4. see lhe ImttuclionS for - 30 Add ines 23a lIYough 29. . . . . h! 54. 31 Sublraclllne 30 !rom line 22. Thi>" odi sled ass IncomB For Privaq Act and Paperwork Reduction Act Nollc:e, "" pogo 1. Adjusted Gross Income . . . . ~ Cat. No. 113Z08 rom 1040 h99GI Tax Compu- tation II you wanl 1110 IRS LO Og...e you< tax. see the instructions '''' line 31. Credits 43 44 45 46 47 41 41 50 51 Payments 52 53 54 Other Taxes Attach FOlTTlsW.2, W.2G. and 1099.R on Ihe l,onL 'efund ..It sent 1/yLO . 'On!< '" JIll See Insl.andf.In ~ d 601>. C. and d. 61 Amount 62 You Owe Sign Here Keep a copy otitis retu'n f", you' records. Paid Preparer's Use Only 32 Amount flOm h~ J 1 (adju~led gto~~ Income) . . . . . . . . . . . . 33. ChC<k if: 0 You..,..e 6~ 0< older, 0 Blond; 0 Spou>o was 6~ 0< older, 0 Bl,nd. Add the number of boles checked above Bnd tnter the lotal hCfe. . . ..... 33. 34 b If you ale married riling Sepalllely 8nd)'0lW ~pouse itemizes deductions Of' you were a dual.status alien. see In~lfuclJoru and check here . . . . ..... JJb 0 llt.miled deduction. from Schedule A. line 28. OR Enlet 5lancl.rd deducllon shown below '''' your filing status. But see Ihe lhe Insuuctlons II you checked any be. on line 33a '" b or someone luger can claim you 8S a dependent oIour. . Slngle-S4.ooo . Ma"led f.lingJoInUy '" Qualifying wldow(l!f)-S5.1oo y . . Head of household-S5.900 . Married filing separalely-SJ,3SO Subuact Iin. 34 from lone 32 . , . . . . , . . . . . . . . . . . . II line 321s S88.415 '" less. multiply S2,5SO by the LOIllI number 01 ..empUons daimed on line &d. If line 3215 over S88.415. sec tho worksheelln the ins1. fot the 8mooo\ to enter Tnlble Income. Subtract line 36 from line 35. If line 36 Is moce than line 35. enter .(). Tn. 5ee Insuuclions. Check if tOlllllncludes ony In from . 0 Form(s) 8814 b 0 F"'m 4912 . . . . . . . . . . , . . . . . . . . . . ~ Cleellll", cl'ild and dependenl care e.penses. Attach F"'m 2441 39 Cled,ll", Ihe eldl!fly '" lhe d,sabled. Altach Schedule R " 40 F"'eign In credil. Attach F"'m 1116 ...... 41 Othl!f. Check il from. 0 F"'m 3600 b 0 F"'m 6196 cO F"'m 8801 dO Form lspeclyl Add ines 39 Uvough 42 . , . . . . . . . . . SubtractUne 43 Irom ine 36. If line ~31s m",. than Une 38. enter .0. . SeU-employment lax. Allach ScheduI. Sf. . . . . . , . . AlternaUva mInIrnurn Illx. Allach FOlTTl 6251 . , . . . . . . Sodal Sl!CI.fity and Medicate In on tip Income nol reported to employer. Attach Form 4131 Tn on qualiIled rellrement plans, Including IRA>. II required, atlllch FOlTTl 5329 . Advanc. earned Income credlt payments Irom FOlTTl(S) W.2 Household employmenlla.es. AUach Schedule H. . . Add lines 44 Uv h 50. This Is our tOla1lax . . . . . 1'~2 3 Account number - 01 lint 59 wont AI'l'IJ[D TO YOUR 11111 ES11IlATED TAX ~ 61 If line 5 lis mora than line 58. subtract line 58 from Ine 51. ThIs Is Ihe AMOUNT YOU OWE. F'" detalIs on how 10 pay and U5Il Form 104D-V, see Instructions. . . . . . . ~ 63 EsUmated lax . Also Include on line 62. . . .. 63 U- peNliuor poI)oJ,l-'lhM Ihaw.....-1hIs r.....ano:t 0CJC0<I1lI1lJIng ~...., -....., ..tho_orlllJ~"" -.IheJ... - -...,~ OIdIIOUonor _ptw INtI UljlIywlls based... oI_oIwIlIdI_","'I1rIllHolIclgL ~ You sIiJ1aOn llaIAo You ~".."", ~ Spouse', sq.ow-.. r . joIrl ,...." BOTH must sign. J$ 36 ] 31 38 39 40 41 42 ~ .' ~ S5 56 57 58 59 60. Fedl!fallncome Ill. withheld I,om F",ms W.2 and 1099, . 1996 estmaled tal paymer.. and _applied from 1995 'eUln . EJmed r-na crt<it. Allach ScIle<Ue EIC r you hrIo a quallylng cIlld. Ncxuuble e.vned Income: _ ~ I I I and type ~ .................................................. 54 Amourlt paid with FOlTTl 4868 hquest '''' extension). " 55 Excess sodalsea.rky and RRTA tax withheld (see InSI.).. 56 Other paymentS. ClleCU f,om .0 Form 2439 b 0 Form 4136 57 Add lines 52 Uv 57. The.. are our tolal ntl . . . . . . ~ If line 58 Is more than Iino 51, subtractlino 51 from line 58. This Is the amOUllI you OVERPAID Amounr. 01 line 59 you want REFUNDED TO YOU. . . . . . . . . . . . ~ Routlng ounbet CILIT[]I[] C Type: 0 Checking 0 Savings ~ b Dote Spousa', -".."'" Pr"",....1l.. sIgr\a.... , FIrm'''e.~' ~ .... and addrau O>ock r MIl <i} ..' . SCIiEOULES' A&13 (Form 1040) Oep~ 01 U'l4I r,uMlll lnlD'r\II A.......... s.rw.c. (901 Name{il mown on f am 1040 F L" Medical and 1 Dental 2 Expenses 3 4 Taxes You 5 Paid 6 (See 7 page A.I.) 8 9 Interest 10 You Paid 11 (See p.ge A.2.) Note: Personal 12 IntctCSlls not deductible. 13 14 Gilts to 15 Charity II you made a 16 gi~ and got a benclil fO/It. 17 see page A.J. 18 Casually and Theft Losses 19 Job Expenses 20 and Most Other Miscellaneous Deductions 21 (See 22 page A.4 10( OxpcmcSlO deduct here.) 23 24 25 26 Other 27 Miscellaneous OeductJons Total Itemized Deductions SCI._Jule A-Itemized Deductions (Schodulo Il is on back) .. AttlCh to Form 1o.cO. ~ See Insltuclio"s for Schedules A Ind 0 (Form 1040). OJ CIUtion: Do noI include .,pM$ts/.imtxxsed or pdid by OlhC/s. Medical and dental expenses (se,e ~aQe A.!l... _' . . Enleramounlfromforml040.hneJI. ~Kil Multiply line 2 above by 1.5% (.015). . . . . .. 3 Subtract line 3 from line 1. If line 3 Is more than line 1. ente/ .0. State and local Income taxes . , . . . . . .. 5 Real estate taxes (see page A.21. . . . . . .. 6 Pe/sonal p/opcny taxes. . . . . . . . . .. 7 Othe/taxes. L1sttypc and amount ~ ..............o.(?t ................................................................ Add lines 5 throu h B. . . . . . . . . . . . Home mOftgage 1I11erell and poinlS reported 10 you on form 1098 Home mOllgage interesl notrcpor1ed 10 you on Form 1098.11 paid to Ihe person from wnom you boughtlhc home, see page A.I and show thai person's name, identifying no., and address ~ ................................................................ ................................................................ ................................................................ Points not reponed to you on Form 1098, See page A.3 lor special rules. . . . . . . . . . . . . . Investment Interest. II required. attach Form 4952. (See page A-3.) . . , . . . . . _ . . . . . , Add lines 10 t/voo 13. . . . . . . . . . . Gifts by cash or check. If you made any gilt 01 $250 or more, see page A.3 . . . . . . . . . . . . Other than by cash Of check. II any girl of $250 or more, see page A.3. 1/ over SSOO, you MUST atlach Form 8283 Carryover Irom priOf year . . . . . _ . , AddJines15Uvo h11. . . . . . . . . 12 13 Casualt or thelt loss(es). Attach Form 4684. (See a e A.4.) Unreimbursed employee expcnses-:lob Itavel. union dues. JOb educalion, etc. If required, you MUST auach Form 2106 or 2106.E2. (See page A.4.) ~ .............. ................................................................ ................................................................ Tax preparalion fees . . . . . . . . . . . . Other expenses-lnvestmcnL safe deposll box. etc. List type and amounl ~......................................... ................................................................ Add lines 20 t/vaugh 22. . . . . . . . . . . Entef lmooot from Form liMO. line 32. 24 Mulliply line 24 above by 2% (.02) . . . . . . . 25 Subtract line 25 Irom ine 23. If line 25 Is more than fine 23, enter -0. OUlOr-Irom list on page A.4. Ust type and amount ~ .............................. ............................................................................................... 28 Is FOfm 1040.1100 32, over S111,950 (over $58.97511 married filing separately)? NO. Your deductioo Is not limied. Add the amooots In the far right column } fOf lines 4 t/vough 21. Also, enter on Foon 1040. line 34, the larger 01 ~ this amount Of 'flU standard deduction. ' YES. Your deduction may be United. See page A-5 lor the amooot to enter. For Paparwork Reduclion Act Notlca, 1M Form 1040 mtructlona. Ca.1lo. 11330X QtJn No 1S4S.0014 ~@96 - Seh,duIo " (Form 1040) 11M Schtc:l\Au,uD (fOfm 1040) 199G Namehl ~tnwn on r O/m 10<10. 00 noc rnltf "",me .nd \00(11' s<<uity number If shown on oCl~' ~kk. - . 8" Schedule B-Interest and Dividend Income t AIIKtvnenl Sequence No. 08 Noto: If u h4d over $400 in t,ublc Intcrcst incomc. U muSl also com cle Part III. 1 List name or payer. If any Inlerestls Irom a seller.flnanced moogage and the buyer used the propeny as a personal residence, see page B.l and list this Interest first. Also, show that buyer's social security number and address ~ Part I Interest Income ISee page B.l.) Amount (. ...........'1.'.............................................................................. . .m:,;.m.o~ a:... ..1. !..f..... .Fe I<t....:............ ........ ...................... .F,'p.p..j>J.(. ;.,.1. ......T.~L1.:=t............... ......... ...................... .... .lY.\-.1.I 0,.1..... ...BANi"......... ................................................. NOli: It you leceived II F Ofm 1099.INT, fOlm 1099.010,01 ~ubstitute statemenl rlom a brok..age rum, listlhe fllm'$ name as the paycl and eOlel (he 100allnlereSl shown on lhat tOlm. ............................................................................................ ............................................................................................ 1 ............................................................................................ ............................................................................................ ............................................................................................ ............................................................................................ ............................................................................................ ............................................................................................ ............................................................................................ ~ I '. ............................................................................................ 2 Add tho amounts on line 1 . . . . . , . . . . . . . . . . .. 2 3 Excludable Interest on series EE U.S. savings bonds Issued aller 1989trom FOl'm 8815, line 14, Vou MUST attach FOl'm 8815 to FOl'm 1040 . . . . . " 3 4 Subltactline 3 from line 2. Enter the result here and on FOl'm 1040 line 8a ~ 4 Nota: If hdd over $400 In ross dividends andl()( ocher dislfiburions on srock. musl also com 5 Ust name of payer. Include gross dividends and/Ol' other distributions on stock here. Any capital gain disltlbutions and nOnlaxable disltibutlons will be deducted on lines 7 and 8 ~ ..................................................................... Part II Dividend Income (See page B.l.) ele Pan III. Amount ::Q:h ~:~ ~ ;::~: ::: G ka ::;;1 ii:::~ ~:1.:::::::::::::::::::::: ::::: ::::::::::: ...F.i ~.t>,tJ!:.1 A (......:rf!.\l ~:r.:........ ........ ........ ........ ................ ::l. NOI.: If yoo received a form 1099.01V ()( substitute statement rrom a broketage rum. ~st the r"m's name as Ihe pa)'et on<! enler the lotal dividends shown ""!hat rorm. ............................................................................................ ............................................................................................ ............................................................................................ 5 ............................................................................................ ............................................................................................. ............................................................................................ ...........'................................................................................. ............................................................................................ ............................................................................................ ............................................................................................ 6 Add the amounts on line 5 . . . . 5'1 t . , . 7 Capi1a1 gain disltibutlons. Enter here and on Schedule 0' . 8 Noruxable disllibutions, (See the InsL for Form 1040, line 9.) 8 Add lines 7 and 8 . . . . . . . . . . . . . 10 SUblt8ct line 9 trom line 6. Enter the lesult here and on FOl'm 1040, line 9 . ~ "If you do nor need Schedule 0 10 repen any other gains or losses. see lhe Insuuclions for Form 1040. Rne 13. Vou roost comp/ele lhls pan << you la) had over $400 of Interest Ol' divldends; (b) had a fOl'eign acCOUl1\; Ol' Ie) received a distrfbutloit frorn, Ol' were a grantor or. or a ltansreror 10, a tOl'elgn trust. Part 111 Foreign Accounts and Trusts 11. Al8ny time during 1996, did you have an Interest in ()( a signature Ol' other authority over a financial 8CCO\Jnt In a foreign counuy, such as a bank accounL seculltles account, Ol' other financial account? See page B. I rOl' exceptions and filing requirements tOl' FOl'm TO F 90.22.1 . . . . b If 'Ves," enler tho name otthe fOl'elgn counuy ~ ....................................................... 12 DurIng 1996, did you receive a distribution from. Ol' were you the gr8ntOl' 01. Ol' ltansferOl' to, a f trust? II 'Ves," see B.2 tOl' other forms ma have to r~e " '" . for Poporworll Ptductlon Act Nolict, - Form lP40 Instructions. @ Sc:htduIt B (form 1040) 1996 (See page B.l.) " EXHIBIT P EXHIBIT P NOT YET AVAILABLE ......................................................................................... 22 Add lhe IIIlOlRa In tho III column lot Ilnto 7 21. ThilII 23a y.,.. IRA doductJon (III kloltuctJonoI . . . :u. b ~'I IRA doductJon (1M 1nIlNctJorw). . . 2311 24 Moving 0Wfl--. All.... Fonn 3llO3 CO' 3llO:).f . 24 20 On.hIll oI...~I1'*1IlU. AI18CIl ~ BE 20 II line 3111 u.- 21 SIIl-ernpioyld tIIIfth...... "-",,,,,Ion (_InIl~.. 21 $28.4115 (lRW 2T Keogh I ~~ 8EP ~ . BEP. "'** . Ii3' 27 $8,500 .. chlld 2B p~ on ..ty w1Uodo... 01 NWlgI . . . 28 ~~h~ I )0<11, _Ihe 28 Nrrmt PIkL ~I 88N . InlItuc110na lor 30 Add ..... :u.1/woo9I28. . . . . . lne 54. 31 .iubtr.cl 1M 30 from 10122. ThlIII ._ FOf Pr1vecr Act - "_II. ~ ~ n Aal",,-< _ ..- 7. 43 "'\ j 1 040 Label ISH pog.ll.1 1 Filing Stalus 2 3 Chock only 4 on. box. 5 Exemptions If more Ihll1 IIx dIJ>>Od"', ... thl ,",',uellcn. lot line 60. Income A"ach Copy 6 of your forma W.2. W.2Q, and 101l0'1I he..., II you did nol g'l . W'2, 108 lhe lnalrucllo", lot lint 7. Encloso, but do not .nach, any payment. -'110, p1eue enclose Fonn l040-V (... lhe lnalructlono fot lint 62). Adjusted Groll Income L A . I L o.p~1 QI ... YI.-.y-W.,-w "--- u-v.... U.S. Indlvlduullncomo Tux Roturn FOl"N YO'" JII'l l-o.c. 31, lwe. Of 0lhW lU Y'" ~ y...ltJOnomollld....... lMl_ J . I . ~@96 pc) IRI u.. 0rIr-00 fIIl4 ... or ~... W'lI. 1PK.e. , I~..ndn . .. OMO No. Ir.4S-0014 You _ -..1,,__ It./ i3'flc;;J.~i .......'. - MCMllr_ I I '" "f'-no. For help ftndlng line Il1Itruc1Jona, ... pig.. a end 3 In the bookIo1. Y" No No,", ChocAi1g r..- ... nof <Iwvo /'OlX... at -/'OlX..Md. . . . . . 10 lhIt fIrod7 . SIngle Morr1td lijng IolnlltCLm (.ven r only one hod Income) Monlocl hlng _II. IliUm. Enl.. _'I JOCiII Mw1ty no. JboYl end /ull\llnl tw.. . H.ed of houllhold lw1lh qUlllfying poroonl. (5" Ino1rucl1ont.) II the quoJl1)olng pIl100 10 I cNld but 1101 your doptOdlOl, 101M Ihis cIild'. nllm. her.. . CuDld wido ~th de odlnt c1wkJ eal UN died ... 19 . SM InelfUQtona. a. !B'YouIHIl. II your parlflllor oomoon. tiN) CIrt cItIm you .. I dependll1\ on No or Iw lu} ... .,..... rah.n, do not c:htck box 8.. I . . . . . . . . . . . . .. d\ICU. .. L lIMo .. ... . b SpoUII..............,.,........ ...., roc c Dtpendonla: I ,plRl. , 1 .pond. I (41110. _ d1ilrll II n.. '-"_11.11110,. 1I1.lla..lllplO Ml~,., ......: II fkd nomo wi...... . I"" otII you -!- . 11,.11 lift ... "" ... II 4.... ".,"'UN (III ""'-I _ 0t00041l1lo II Ie .1....,.. ..... _ U4........ QJ 00- to 1Ioto..... ~ d 7 80 b 8 10 11 12 1~ 14 180 180 17 18 18 200 21 T 0111 nurnbt< of .xem Iono dolmed . . Wag.., 1IIar1tt, llpe, tic. AI18CIl Fonn(.) W.2 Toxeblt 1n1_1. AI18CIlllchedlH B . "- S4OO. T......mpllnlll..1. DO NOT lnoIudo on lint 80 Dlv1dend Inoornt. AI18CIlllchedlH B . oyer S400 T..obIt muncl.. ortdllt, ot olltoIt 0I1lt1. ond IooIIInoorno Wet '"" InoItuoUono) . 8b AnrnonVrtcelvtd . . . . . . . . . . . . e..ln_ Inoornt CO' 00etI. AIlach &chedult C CO' c-ez . . , . . . . . . . CopItol goIn or (Iote). II lequlted. _ 6ctltdlM D. . . , . . . . . . . Other golrllCO' \IONItl. AI18CIl FOlTIl ~787. . . . . . . . . . . . . . TOUJlAAdloCIIbWone. . ~ LJ bTWbltlO1l<A'lllMtnLJ Tolo/ pon.lanllnd ....... ~ U b TWblt I01l<A'IIlMt InoI.l Rtnlll .... III.., rDyIftJel. porInereNpo. 8 0ClIJlClIIlII0n INoIo, tic. AI18CIl 8cllICluIto E Fann Income or 0oll). Attac::h 8clhtdlJe F . ........... ~-:=::::~'lzO.l' . . . . L:Jb'T~~~~ 0Ihtt Inoamo. UtIlype ond ........-.. Inolruoaone ... .................... ......... . . . . . ~ . eeo.....l1_ Fam 1040 I'''' R 151lln 1040 IIQQa)' Tax Compu- latlon 36 ~ you w.nt 30 Ih. IR5 10 hgu" yot.r 31 tall, 1M the InllrucUonl 30 10/ 1in131, Credits 38 40 41 42 43 4-4 other Taxes Paymentl ~2 63 114 Attach Forme W'2, W.2G, IIld IOW-R on lhe lronl, Refund HlVehlllll dncUy 10 yoll'bri 0CC0<.nI1 5M mlandllln ~ d 6Ob, C, IlIIl d. 61 Amount ez You Owe Sign Here KMp . COpy oIlh1s rotum 10/ )'011' rlCOfdt. Paid Prepare,'. Ule On IV 32 Amo.....lllom IIot 31 (Id""od goOM hcomol . . . . . . . . , . , . 33e Chock W: 0 You _. M ot oIdII, 0 Blind; 0 IopouM Wit oa ot oIdII, 0 Blind. Add Iht IIU'TlbIt 01 bel.. -...s _ ond ont. \he IcUllwI. . . ,~33e b K you ." mllT1td filing IOponoltly IIld your IpOUII homll.. dlclucllont or 0 I"'" WIfI . duo/'IIolUI IIIon, _ I1ottuctIoruo ond ~ h... . . . . . ~ S3b ! IIAomluld dtducUono from 6chtdl.4. A, lint 28, OR ] 34 Enl. I1IndIrd dtducIlon IIlO'Ml btIcw I", yout fling 1111.... 1IuI_ lhe Ih. InJttuclIono " you chlCl.td lilY box "" IIno 331 '" b '" -.. "rver CIIl c:iIIm I"'" .. a ~anl. ~r; · 61ngle-44,OOO · MIIT10d Nlng loInUy '" OuaIlf)oIng wtdow(~.100 1 Hold 01 hoo~,800 1 MarrIod fIIIog 1IpWIl"~,360 Sublllct Un. 34 fram Il.nI 32 . . . . . . . . . . . I . I I I I . I K Wnl 32 " $88,4160/...., ml.4UpIy $2,ll6O by lho IcUI numbot 01 ~11ona clolmod "" Inl Bd. " In. 32 II 0'" S68,415. _ \he wo~ In Iht 1nI1, for Iht omounl.lo II1lor rlUbl. lnC<lmo. Subtract In. 30 from Uno 36. Kina 30 " men IhMl Una 36, ant. .0. . rM. 5" InoltuclloN. ChICk W lotoIlnclud.. lilY \Ulrom . 0 FOlTI1(Ij 8814 b 0 Fonn 4912 , . . . . . . . . . . . . . . , . . . . . ~ 39 40 41 ~. 00011101 child and dopondont G8I1I 'JjlOl\SIS. AI1ach Form 2441 CrOOK fOllh. IIdor1y or lho diWllod. AII.ch 5ch1cll.4a R , . For"gn I.. tlodh. All.ch Form 1116 ..,... OIh.,. Chock II flOm I 0 Form 3800 b 0 Form 6396 cO FOIm 6801 d 0 Fonn (1pICIly) Mdln..3gllvough42 , . . , . . . . . . . 5ubll1lct line 43 from Wna 38. IlIIno 43 Is morllhln 1In. 36, onlor .0- . 42 I'ay.e 2 ,!,7dP . .' 43 4-4 46 46 47 46 48 50 ~1 ~ 46 5oll.~Io)'ll1lllIIU. AlIach Scholl," SE. . . . . . . . . 46 AllomaUy, mlrlmum ..., AIIAoch Form 6251 . . . , . . . . 41. 5oclol JICU1Iy ond MocIIcn... on I%J iv;Qmo nol rtpOl1Id 10 ompby.. Al10ch (arm 4131 46 ru on quollfltd rlllromont piano. kldudng IRAI. K ~1cI. 'n.cIl Farm ~ . 48 AdylllCl _ Incoma crodlt P_1I flom F~1j W.2 50 HoUMhold omplo)'ll1lllII..... Mach 6chtdl.4, H. . . . ~1 Add 11n.. 4-4 h 50. Thb 10 our 10lalllX. . . . . FlclnJ Incomo \U wllhhofd Ir"," Fonna W.2 onc:11089. . 1 ~ oolima1od III poymonto ond IIIlOII1l oppIIod Irorn 1986 rolum . Eomod Income orodIL Al10ch ~ fie I you _ I quolI!)1ng <hid. Nonllubl. _ hc:cmo: _ ~ I I I IIld Iype ~ .................................................. Amount pold Wfth Fonn 4868 (roqUMt rOt 'l<1anolon). . . Ex'*' IOClaJ MCUrlly IIld RATA'" wtlhhoI<l (_Inoq . . OIhOr pl)'monll.CI1ICkW from o o Form 2439 bOFonn4136 Add In.. 62lhtou 51. n- orl 10111 nll . , . . ,~ II Uoo561o /11OfI1han IIot 51, MbIroct.... 51 Irom IIno 66. ThIo lllho _I"'" OYiftPAIO AmounlorIlnoIillYOUWIIllRUUHDEOTOYOU. . . . . . . . . . . . ~ Routing numbor OIIJ::D:IIJ . a TWO: 0 CI-.g 0 BaYlngo AcCOlI1\ numbot Amount 01 lint 59 u """ APrI.I TD 0 '"lEl MATED TAl ~ . If Uno 5110 mor.1hon lint 56, __....66 1I'om.... 61. ThIo 10 1ho AMOUNT YOU OWl. F'" dotal. "" '- 10 pey and ... Farm 1Q40.V, -1nIINc1Iona. . . . . . . ~ 113 E.llmallcl I.. . AlIa InducIo on .... 62. . . " 113 Undor - at ~,I_. 1Ilol1_ ._1llIo rll...1lIIl ~~ OdIId~" ond ...._. ond 10 III bool at... kIoMtIdgo IlIIl -,llMyor.WO.ocmcl,..s..",.....~oIpr_(olIIw_ 10_....._...11__....."".... IOlIIl~ ~ Your .~ IlaIo Your __~Ion ~ Spouoo'1 ligna.... . llOInl ........ BOrn _I oIgn. 66 66 &7 66 ~8 601 ~ b Doll Spouoo'1 - Pr~...,.. ~ UgnIk.r. , ~m'. neme t<< rouw . ... ...,~I:.,.. Wld -- IlaIo 3-1 - e oW ~ '.. ."" fK;h~ A&D (form 10401 '* twne(t.I on form '04Q. 00 noI .... Nmt Illd todIII MO.w\ty nutl'\tMf . thcNrn on gUW tide. '"" . :... " Part I Int_t Income ISM pogo 8.1.) Nola: K you locolv.d I Form l089-INT, Form 10890010, at lubllhut. .lllomont 110m I lxokt<lglllnn. IIlllhI IIm1'. nurn. II ,he flayer and Intll Ihl lotollnl....1 Ihown on "'"I 100m. Part II Dividend Income ISM pogo 0.1.) Nola: If you received _ fonn IllOO.OIY at lIub.Uhltl Ilalem..,' from . btok.lot IIlm.lltllhl firm', name . Ihl poyer Illd enl. the total dMdondo IIhown on IhoI loon. Schedule B-Interest and Dividend Income Nola: n Ilod ov., S400 In I...lblo kI'....,I Incomo tnUJI 0110 c lol. PII1/f1. 1 L111 name' of pay'" " Ilrf InlelMll. !rom I "'It,..1In1llOlld mortgagl and thl buylt uMd thl proporly la I poraDIIII ,..!donCI. ,.. pogl 8.1 Ind lIalll111 Inleml "ilL AIao. ahow thai buyll'l IOClIJ 1IICU,lty numb<< and add..u ~ ..............;............................................._....,.~,........~...H............. ...~. ~~. ~.E:.(......o ..... ............."._............., ~........ .,....,.., ......, .,...._ ,. . Q .. .... . .. :/,<<" At"/. ~ J: h....\... or .1::... y. ~ 1..~.... ..:..........:.......,.... !'~!:" ..... ~ ....: ~ ......:.....,......................,..............,.............,...,.,..'J..t:...~.............. .................. .......... .... ............................. ............................~.. ......:......................... ........................... '..' -:-:....:... .......~...... ~.....~. ............................................................................................ 1 ............................................................................................ ............................................................................................. ............................................................................................ .........................................................................;................... .........................................~.......................11:.......\...........y..~... ............................................................................................. ............................................................................................ 2 Add the ImOlln~ on line 1 . . . . . . .' , . '. . -. '. , . . " 2 3 Excludlblt Intlrul onleriel EE U.S. osvlngl bonda Iaeued allar 1Qag from Form 8815, line 14, You MUST al1ach Form 661510 Form 1040 .'. . . . .. 3 4 Subtreclllne 3 I,om line 2. Enl.r Ihe result he.. end on Form 1040. line 6e ~ 4 Nolo: If hod over $400 /n IDSS dividends llId/or olher d/sl11butJons on II musl e/so a UII naml of payor. Include gra.. dlvldenda and/or olh., dlalribullonl 011 'lock hefl.MY clpltal glln dlltrlbutlonl and nonllxlblt dlalrtl/Utlonl will be daducltd on In.. 7 IIld 6 ~ .............'....................:........:.......................... :e:b:Q~~i:~::::G.~-;;.t~:::F.:~~...,"rr~:;::::.,. ::'u":::r.',.;:::.,::::'::::.,':.,:::::: . .,' p,. ",,01~ ..... ... '01' " .. .1.0.'" It." 1- ~...... .......... ..,...... ........... ....... .......... ...... ..... ............,... "'. I. t> - . -. '. . .. .J;".I.~.t'..T.~.,,-..... ........ ..f".' "'r ..~....... ....... ....... ... .... ... ....... ..... . :rb.a......A.~Jl.i.t..O.i>l......r:\J M ~ .~:......... ~.. .:.:...... ...:...~.... ....... -II ...'......:.......:............. .................................:................-............. 5 ............................................................................................ '. '.;,' . ......................................:.....;...:1:...;':.:........~:...r..:~t......\.....,.........'t. .............j.......................................:...,.:.'.......~...~.~,...~...............,..~ ............................................................................................... ................................................................................................ . . ........~~.........................................~..................................-........ e hid.;;;~~;~.;.i~.6..:...:t.:'.:'..?r7:~:'l'~ril.T!7.1..:..:...:..:"'. 7 CapltI/ gIk1 dIIlr1bullonl. Enter hn and on Schtdula D' . 7 8 Nontwbla ~ (Sea \he klat. fer Form 1040, line Q~ It hidllnte7and8 . . , . . . . . . . I . ., ,..... 10 Subtract Ilna II from llnl e. Enter the ..auh hn and on Form 1040, IIna II . ~ 'If you do nol need Schedule D 10 fIPOIt ."y 011IIII' QlIhI or /O&IM, _ /he /nsllUcllom (or Form 11U0. IiM 13. You mutt complete thIa porllf you (oj hod avor $400 ollnl.,..t at divldenda; lbl had . 'at.gn KCOI.Wlt; or (c) racalvacl a d1atributlon from. or W1I<1l a grantor of, at I tranoIaror to. . foreign IruIL 11. Nolllytlme dumg 11ll18, dld you havl 111 Intllllt In or. Ilgnature or other IlIIhortty 0't'1f .flnancllJ account In · foreign DOunIly, IUCh . . bank ac.count, lICUrltlaa 8OCOWI1, or olhlr INncW IIOCOUllI? See PIQIIH lor uoapllonl and ftllng '*lUlrtmenlIfer Form TO F llG-22.1 , , , , b If -V.... ant. the '*lIa of Iha fcnlgn COUllry" ....................................................... 12 D\mg 1l11l6. dld you receive I dlW1bu1lon /rom, or w-. you the grontor 01, or tr_faror 10, a lore n trull?1l "Vel 0 _ e I B-2 lor olhot forms 011 me hevI 10 IUa for 'lIplrwof1l, fteduatlot.Aat NoIoe.... fotm 1040 ~ (i) 130 Part III Foreign Accounta and ~ IS.. poge B-1 ~ AlIachmtnl 08 Ioquonot No. Amount NIle PIIt III. Amount ~ . (form 10401'. Proflt or LOIIII From Bu.llleu ...1 ,n... . ......'" ,.....,. "" ~ PIf1nofwIWpo, ::~'1IIo '0111I lOO1l. .. ~@96 _.. ""'-'1 ... ~.w..-I ............... - ~ Alloch 10 Fonn 1l14a.... Form 11141. .. -lnolzuoIIcMw for __ C ('orm 10401, 6oquonc:o No. 09 --lr-IMNI ! ,I.:> J s: . ~ Pf'. lip.. ~......__ 11M Pi IC~~ . I ~ V ., D~ID_lDIl."1tJ1 ~ - I r. I BUll"... IddtMI (IncIudJng IUIII Of room...~ ~ . '.(fJ....~....1/.Lf..h.....:~t.....~...7t.Li..,:r.J;.:...':/...............;;............ ell lown Of olllol 11111 and lJP codl . A<:cour<<Jng InIlhod: 111.29 Cull (21 0 AoauoI 13I 0 0I1w(~" .................................................. Did you 'mlllllllly pIIIlclplll' In Ihl OfA<lllon oIlhll bull""" during 18861 " 'No,' _ PIQI Co2 lor IlmII on~. .lEH.. 0 No II you Illnod Of Ie l,j,1d Ihll bu.i"... durin 1Il86, chock hef.. , . . . . . . . . , . . . . . . . . ... 0 Incoma ---.-.-- --... .-, SCHEDULE C (Fonn 1040) A c P11noIptI ~ << prof"". ~ IIf'Oduol 01 ..w.\Me P-clI CoI) _. T 1: Bwl"... 1lI/1lI, no NpIlIle butIt*I name, ..... Ilit<'lI. . to. F a Ii 1 GrOJlIlCllpl. Of III... C.ullon: If IIliI income was I1Iported 10 you on Fam W.2 and fht 'SII/ulOt)' .mploy,,' box OIl 1111' form WaJ ehttAId, ... POll' C.2 .lId chttA".,. . , . . . . . ~ 0 Rlturna IlId IIlowlIlCn . . . . . . 6ub""cI Ilnl 2 "om 11M I . . , , . Coli 01 goodl IoId (',om 11M 42 on plllI2) 2 3 4 .. I. _ . . ~ ." . e a'OIl "'0111. Sublrtcllln. 4 lrom lint 3 . . . . . . . a 00.. Incomt, including FldtralhI .11I1 gMOllot or lUll tu cttdll Of rwfund \He ptgI C.2) , " 7 OroOl Incom.. Add _ 5 and a . . . : . . . ; , ."; . ,.; " ;",..'. . .. 7 .nln. EnID( ex enses for business use of OUf home onion line 30. I Advtrllllng.. ... 11 Ptnabt rd prolll~ pWlI 18 8 Bid dlbU lrom - or ao Rtnl or .... \He ptgt ~I: Ir.oIcM (- ptgI C.;Jj . I . ""**' "*'*-'I, rid ~ . 10 CIt and ~ IllpIMM ~ 0Ihtt ~ properly . . (- pill' C-31 " 10 ., /ItptIre and ~ . '. 11 CommlMlon..nd 1- .. 11 22 ~ lnoI_ n Pw11101 . 12 DopltClon " . 12 U r.... rd 1IotNtt. . . .. 1~ Otprtcll1lon rd -. 1111 14 r............. ond tnll<\Ak'vnonI: 'xpenMdIductkx'It>>trd.lded . T.......... . :'. . : . . ~ PIrIIl~ "" PIll' C-31. 13 ~ IoCIIIt rd .... 14 Employ" btntIK "'0lJW1lI IIrllilvnt<1 . (oth.. Ihao on InIlll1. . , . 0 Enllr lOll d 16 InJurlllCl (ollw tho, ~ . Iroo 240 II.C>jtct 10 1h'IlI_ II Inl...." "" _ (;.41. · MorlQIgt ~ 10 brio, 11c.). lilt d Ik.CMd ... 240 I'OIn Int Z4b ~ Othtt. lib 28 U11111tt . . . . . . 17 Ltgtl ond prtlIlIIIontI oJ :It Wogea (\tu """"",""~ cnditJl . .r.oIcM, , . . . 17 11 OIIw~(lIun""4I"" 11 0I11t... ". . . 1 ptgt:l! . . . . . u rolollllpll_1 bot... ~ 1<< ~ UN 01 home, Add ..... I t!Ioul;t 27 n cckrmo . ~ 18 rlnllllw ptoII\ ~.lIl.tCrKI... 2.1nlm... 7 ~ E>ptNII for butIntu UN of V- home. Allllch I'onn II2t ~1 N.l "'01" o. (I-I. lkbIracl ... 30 from'" 2&, · ". P<oIrt,...... on Fonn 1040, lint 12, IndALSO on --1IE.1Int 2(1I11U\ory~,_, - pill' C'51. EotaI.. hi 1nIItI. "".on Form 1041, lint 3. · "' loot, you loCUST go on 10 ... 32- aa " you hI\OI I lola, chtds tIlIlxll \hi( cIIIo..... )011" ............ In tHe ICth<<y (_ PIllI c.6I. · · you chtcbcI 32a, ..... till "'" on Pomll040, ... 12, end AUIO "" loti.... .. ... . (1Iltutory tmpIoyett, III P-clI ~ EotaI.. end INIII,"'" on fcnn 1041,... 3- · · you c:htc:kld 321>, you MUSr _ Pomlll.. For hpe<worlL RMullllon Aot NoIIot, III ... 1040 IowIruoIIont. c.s..... \1:\SU1 131 1 2 3 4 6 .~ } } :a.. 0 Alh,NIntrt It " rIIlr.. _0 Same In...._... naI IlrIIlr.. """ d.... 0 CFft 1D4011111 ,"" . ~hGd..... C (Form 1(40) ,OQG ImIl CO.t 01 Oood. Sold (000 page C.S) ~ M_W~~ 0 valu. doling Invootaty. . 0 Coot b 0 Lowot 01 o0oi or mor1<<< . Othof (ItlKh up&.noUon) ~ W.. II><<. 0I'tf ct\ongo In doI"""'*'o ~ aooto, CII voh.oIijJano bftwMl 0l*lIng JIld clooIng Invertor,? K -V....1ttac:h upiInI&kx) .'. . . . . . . . . . . . . . I . . . . . . . . . . . 0 YM .0 No P'oe 2 aa ITWWlIory 0\ btgIc.'W1g 01 )'W, . dllfll'lflllrorn 1001 1'"""1 dooIng ~. IftIoh IIllllonIIllan II PI.rah_ .... 0ClI\ 0I1Lwn1 Yo1IhdnIwn lor porIOllII UN . . 17 Coot of \o.bo<. Do nallloludl NIaIy poId Ia ro<rMlI . Mllorlllo ond lupplloo . '. . . . . . . . 3lI .,1 .. . . :lII , . . " 40 41 :lII Othof COItl , . . . 40 Nfd Un.. 35 Ilvough 38 41 Invonlory II ond 01 rOIl 42 Ca'l 01800dl lold. Sublroct IInl 41 110m Unl 40. Enler Ihl r..utt herl ond.n I>" I 1,lIn. 4 42 InlormBtlon on Your Vehicle. Complel8 this part ONLY II you ar~ claiming car or truck expense8 on line 10 and are not required to file Form 4562 lor \hI. busln888. See the instructions lor line 13 on page C-3 10 find OUI K you must fllB. q Whon did you pl... your vtNcIe In _lor buoII*o JlUlllOOM7 (month, cloy,)'Mf) .. ........I.........l.tL. . 44 OIlhllolol nunbor 01 mhl you dravl your voNdo dUI1ng ll1llll, 1111... "'" ~ of mlloo you ~ your voNdo lor: .. I Blaln_ .....jf.-!i./?..................... b CarM1uIIng .....;?j'~................ Q Othof ...:..............................'. . . . . 46 Do you (or your opa...) haYl anaIl><< YIhk:II IYIIIIble far peroaooI _7 . . ....0 YII 46 . W.. your vol1lclo .YIlIobIo lor UN during on'iluty hourI7 . Qi1 VII J&I No o No 47. Do you h.v. 1Yld..... I. IUppor1 your daduQlon? . . . EI Y.. ONo b ".Y.... I. Iho l>fdlT1C4l wr1l1on? . . . . . . . . .I!!l VI. Other -... UBI below business ex nse8 not Included on lines 8-26 or line 30. o N. .<;; D.:n ~ !I..I 1.1\ .t.l.lU................. ................ ........ ...........r....... .............. ........ ...... ro .~f.\rl..k:......Ch,;.R1."" ........:..............:.....:..;~~...:............::.....................r~......:. CD \:....L.. I' . . . ~1e:,. u."'I~n.~...t......................,..............:.~........................................._. '1""1 .... ...w.U.c~....................t...................................~..~~.........~....................:..:.............. .j~.\.C..f.h.Q.1:'.~............................................................................................ '. '. ............................................................................................................................ ~ .. ...............................................................................................':..~......................,... ',f, '," ", ., , 1M ," ..! ..................................................................~.................................................... . . '" . ~ 4lI Total _fa .. u.... haro ond on 1 ... 21 (i) .W 4lI . . ' : SCHEDULE SE (Form 1040) Sclf-Employmcnt Tax ()f.t1J No IStS-0014 0upat11flt1V. 01 hi t"'k6J ~tlrW ~ s.w:. (981 ... Anlch to form 1040. Ha of penoo wiU,"If..mploymenllnccrno ~ !.hown on ram 10401 SoclIsl Sccuoly numbLY of IJelson . B' t,' WIth ..1f..mploJmont income .. ~ S.. Inllluclion. for Schedule SE (Form 1040). ~~96 Who Must File Schedule SE Vou musllile Schedule SE U: · Vou had nel earnings 110m seU.employment flam other Ihln chulch employee Incol1lo Olno 4 of Shorl Schedulo SE or tino 4c of long Schedule SE) or $~OO or moro, OR · You had church employee Incomo or $100.20 01 mOlo. Income horn services you porformod as 8 mlnlstor or 8 member or a religious order I. nal church employee Income. Sea page SE.1. NOlo: Even il you had a loss or a sllldll amounr 01 income 110m sel'. employment. i/ may, be 10 }'OIII benelit 10 1,Ie $clledu/e SE and use ei/hel -op/ional me,hod- in Pall II 01 LOllg Sclledule SE. See page SE.3. ExcepUon, U your only seU .employmenllncome was hem earnings as a minisle,. member of a religious order, or Chrlslian Science praclillonel and you liIed Form 4361 and received IRS apploval not to be laxed on lhose earnings, do nol file Schedule SE.lnstead, write -Exempt..Form 4361" on Form 1040, line 45. May I Use Short Schedule SE or MUST I Use Long Schedule SE? DIO vou RECEIVE WAGES OR TIPS IN '1157 No YM Ala )'OU . ffUII.~llf. member 01 . fefegiuus Old., 01 Ctvlltlan XO'ICG ~1C.'t.i(n... MIOIOCIIiwd illS 'IJPfOVII not '0 be laud V.. on tllrllnCJS rum lhe" 5Ol.I'ClS. but)'OU OWl MV.'mpIoymtnl U11 on Olhel' Ui!r1ngI7 Was lhe 100al cI)'OUt WI(J" and lips s.object 10 social WCLl.' Of IIlknad "1"'fR_ 1'1 plul ycu net lafnklg' "0m self.,mplo)'mll'llTlOf' U,.n 162,)001 Y.. No No No Ive you utf1g ono 01 the opUonal mettods 10 f6gu"1 )'OU' nee ."""'IlI (sao _ SE.l)1 Otd )'OU rcceive! cluch .mplo)'H Income reported on FDlm W.2 of SlO8.28 01 mor., No 0kI you reeetv. tip, SOOject to SodalleCla'1t1 Of Medu.la. V.. 11101 )0<1 did noI'.pllIIla)Ol.< 0""""",1 Ha YOU MAV USE SHORT SCHEDULE SE BElOW YOU MUST USE lONG SCHEDULE SE ON THE BACK Seclion A-Short SchedulB SE. Caution: Read above to see if you can use Shrxr Schedule Sf. 1 Nel farm plollt or Qoss) from Schedule F. line 36, and falm pannerships, Schedule K.l (FOfm 10651. line 15a . . . . . . . . . . . . . . . . . . . . . , . . . " 1 2 Nel jlfofil or Qoss) from Schedule C. line 31; Schedule C.EZ, line 3; and Schedule K.1 (Form 1065). ~ne 15a (o!hel than farming). Ministers and members of religious Ofders see page SE.l fOf amOUIllS 10 repon on this line. See page SE.2 fOf Dther Income to repon. 2 3 Cornbioo lines 1 and 2. . . . . . . . . . . . . . . . . . . 4 Ne\ earnings from self-emplaymenL Multiply line 3 by 92.35% (.9235). II less than $400, do nol rile Ihls schedule; yoo do not owe sell.employmellllaX , . . . . . . . . . ~ S Self-employment lax. If lhe amoulll Dn line 4 is; · $62.700 Of less. mulUply line 4 by 15.3% (.153). Elller !he result hele and on } Fann 1040. line 45. · MOfe than $62,700, multiply line 4 by 2.9% (.029). Then. add $7.774.0010 the result. Elller \he IOlal here and on Form 1040, line 45. 3 4 6 Deduction for one-Iulf of self.emploYFnenllax. MulUply line 5 by 50% .5. Emer \he resufl here and on Form 1040 line 25. . . . For Plperwork Reduc1Ion AcI Nollce, _ Form lIMO Inslruc:llanL CII. No. 11158Z 5 $, . ".' "'~,. . -,~" "'.1" I ' '~T', ,..... ,'<r:\~~'~<f"; ~., ~,... ~,. ,..' ,'. \ v. i >.:" , .......,..\'i ~, I~" .I".~.t''''\ii.. ",If: ' , " J "Jt, _ .'.J:,,,.. ..\ : i ~I'!- .. ";"~,':'''~,' ':';~:...i to- .t4 .- .-. "lll,' :i . .. "'t '. ....: - ~ -'.: ....-!it ,'; , " -:!, '",'. ....:'], ~ Sc~ SE (form 1040111" ,..-m C04-30-9205 BI 161-34-2254 BARBARA BISTLINE 938 FOREST (T CARLISLE PA 17D13-4222 o .-eAL ,,",,, ,..." r,o," I I 10 ,"'. 'IU" ICMft 0Ny Onel ol'.ll MO JO FO ~ MamI4 "'arNd f"NI flnl_a"" flw>Q_ II thediJnO boa F beau.. 1M Luplp' II de- ,..Md. WlClr the 0.11 04 Ot.lh I I fttlfDIHCY "AWltQwcta Onl, Onel Rl2I. NRD pO RalaIonl NonI.- PIIII''''''- Enllr Iht tI1\I you WI'" . PA 'Ndlnl: from I IV6 to I 1M _" Of IIjHOO\. OII11UCT I'Alll:\L-.. acHOOL OIITNCT COOl :~T r"( 'p. dJlU JlloIl. Z4>Codo "IHAYEJAOORESS CHANOE O.rIClH 'OR A'"' 100"" r ! Ih. abovl "IOlmllaon i$ "'""Inl hom your 1995 PA lal relurA. ChICk1hll BOI.II youradelll.. changtd, allo plQo 0 Check II you d not nHd I 1997 PA Tal BookIeI naml and Zip Codl 01 Lnl (1Iy, to.nsl'up, borough or municipa~ly "h"1 you "vld on 12131tG6. fir AO .11 ,,,,"lkIJf I""" ""MI r.flUP! '1IHli ,01,.1 rAl'l . ZIPcodll~'"." " , " 'oss Compensation from W.2lorms and Olh.r wage .lalemenlS .......... .1a ,. AI1.ch your W.210fml 10 lhe r~.".' E \0 ""'" lid. of your relu,n. ".imbursed Employ,. Bu''''''' Eapen,ufrom P'" ""'.".... U . . . . . . . . . . .10 ..IPA T..ableCompensalion. SuOlraellin. 10 lrom line 1"........................................ .le Ie A T..abI.InlOlesl (CompIelund attach P'" Schedul....U av.r SI,ooo). ...............................2 2 .... TuabIe DMdBndJ (CompIeI. end altaCh P'" Schtduta B U avlr SI,ooo) , .. . .. .. .. .. . .. .. . .. .. . .. .. .. .3 3 lol Inc:omlOl ILouI from Ih,Optrallon 01 I 8u.lnlll, ProlluionOl Fomr .........,................,...4 4 1.1 Gak1 01 (tosSllrom h SJJa,ExchaIlgt 01 DiJpoJiIlonol PfllllBr1y ....................................5 5 \mounlol GIin Excluded from P'" ScI1tduIt PMS. .......................,.5" 51 00 not oclclafllodllCl a.. 5a 'j.llnc:omIOllLoSlJlromRonla, RoyaItieJ,Pal.nIJand Copyr1lihls ......................................6 6 ='IOIOInd Trusllncome ....... ................................................................7 7 ::;.mbl""land loll.ry WlMinQ' . . . . . . . . .. .. .. . .. . . .. . . .. . . . .. . . . . . . .. . . .. .. . .. . .. .. . . . . . . .. .. . . ..8 8 TOTAL P'" TAXA8LE IHCOME Add in.. Ie, 2, 3, 4, 5, 6. 7 and S. Do nol.ublll'I'llo"lropo~ad S 9 In onl or mOrllln.. trom Ihl prolll,lneom. or glln on Iny olhir Incom. IIn.. Nor Cln lpoulla o"ulllch othll'llncomt Ind (lo....I.v.n It on Ihl IIm.lln.. ?A TAX LIA81L1TY Mullipl line 8 0 2.1'10 0.028 .............................................. .10 10 ToIeIP...T..WilhholdlromW.2Ionns,elc. ...........,................ .... .......... ...... ......11 11 Cre<lit from IS95 P'" To R,lurn 18 12e paym.nl wllh 1996 Est.nslon .. .. . . . . . . . .. .. . . 111116 Elllm.led PlymenlJ . I JOb. 12d Nonrllld.nl Tu WIlhhold lrom P'" Schodult. HRK.l Totll EIUmJI,d PaymenlJlnd CrldllO Add Inll 12a, 12b, 12e and I1d ... .........................., ,lZO Household M.mberJ from P'" Schodu1e SP, P.~ II. line 4 ................ .131 131 Your EliQibiily Inc:om.from P'" Schedule SP, Part 1Il,Iino 2 . . . . . . . . . . . . . . . .130 Your Total Income Irom P...Sc:hedu\I SP Pari 1Il,IinB 1 .................. .130 T.. FOlgiYtneSJ CIedlllrom P'" Schedull Sp, Pari Ill, line 7 ......................................., .13d Total Credil100T.... Palrllo01l1Br SIeI"'OlCounlrlel Irom P"'Schedul.(I) G .......................... .14 EmpIoym.n1lncenUv. Plymon\s Crodillrom P'" Schedule W . . . . . . . . . . . . . . .. : .. . . . .. . . . . . .. . . .. . . . .. .15 TOT...LPAYMENTSANDCREDITS Addlinel 11.12., 13d,14 and 15 ................................ .16 P'" TAX DUE Una 10 I. m')fIlIlan Unl 16 ..........................17 Mak. check ,blllo P'" OEPT. OF REYEHUE. USE YOUR PA'V. OVERPAYMENT Una 18 II morlthan Ino 10 ....................... .\8 18 Chack III your ..Icullllonl IMPORT...NT: Tha 101" 01 IInIl ISa Ihrough 19<1 mUlllquallinl 16. Illll" r IRl until ,,"ka 01111 Il' .. """""10I1ina 18youwwu I RllundChecllmallod 10 you .................................... ..ISa ISa ." """""I 01 Iina 18 you WIl'II CIIClIItd 10 your IIl97Es1lma1ed TuAccllUnI ............................. ..1811 19o 'C Amount 0I1in118 you WW 10 Dolllta Iolho Wild RaJOUfce ConION"lion Fund ......................... .Iac ,ac .d AmounrollonelB wanllo Donall 10 Iht US . Commin,".PA DwISIOll.........................I9d 19<1 ., _____~I01WJI......._-...,......._......._.._...-...-..........~.....,-......-...- ''''f~," DtIe OIyWfttTIte(tlonI"""'** "*- ( I I pOu.... .........ur. CW IllnlIoIn't1 Dill BE SURE 'YOU < lAND YOUR "'OUU) liON ."pat" . ~ MaIM. oCNI ..... ",..,lMl_l. tluM Oft .........1otI 01 "h"" IN pl..'" NI .'" ~ -OOUIll CHtCl AU MATH" AnACH ilL ICHlDUlIl AHO 'GRIll. "'" ,-.-- I 1 130 130 I ;;J()D You mUll till by April IS, ISS7, Fill early, II you Cln, 13d 14 15 16 121 b 17 See In.lruCllona lot HOW TO P"'Y _..~ .. .' ..... """ ...... ....,...._01101"" ORGANDOHOR "'W"'RENESS TRUST FUHD. I I , I' I ~\ \ , , I \ , . , I \ , \ 1 i ! i \ I i \ . , ;" '.-',. ,-,:- :,-! -'",' ";1;,;:' .''l->. :: 'J . ,;,},,-,: .',,-' _.,.. :r1: .'. ,-.. <. " p' " " .f , . , -" .' ' ~,; ~ ; ~". ,,_ '0 ;',T1 ..',. -,,;:: ".","" ,":-' .., '?:' ~,':'; ,'.-,,.,;: ,: :~> . ,~ . -':.,-.', ;~;~t:::{:';: " I ....~.:..i.', " >,I,t/_" :".;-.::~ ' , "'!' ~:' .'_t' "; ,,' , . -::',/:'{> ;': ';~~,::-:._":' .- ,',""" " " ,- .~, ~. :,~; -:. .J:f,~' \.~: '-' ,', ~.. ,.':' " , .. ;. g/IG ~~(1_ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA BARBARA A. BISTLINE Plaintiff NO. 97-817 CIVIL TERM V. FRANKLIN D. BISTLINE Defendant CIVIL ACTION - LAW IN DIVORCE PLAINTIFF'S PRE-TRIAL MEMORANDUM REGARDING THE VALUATION OF THE INCREASE IN VALUE OF HUSBAND'S NON-MARITAL STOCK AND NOW, this 18th day of September comes the Plaintiff by her Attorney and provides this Pre-Trial Memorandum. I. FACTS: The parties in this action were married on August 26, 1967 and separated on September 14, 1995. During the marriage the Husband inherited 401 shares of Farmer's Trust Stock from his father. On the date of the father's death on November 24, 1982, those 401 shares of stock had a value of $12,300.00 as appears on Statement of Proposed Distribution attached hereto as Exhibit "A". Those 401 shares, however were not issued in the Husband's name until April 3, 1985. On that stock issue date the 401 shares had a value of $18,446.00 as appears on the attached Exhibit "B". During the marriage the Farmers Trust stock split several llIANE G. RAOCI.IFF 3448 TRINDI.E ROAD CAMI'IIII.I..I'A 171111 (717)7)7~1I00 DIANE G. RADCLIFF 3448 TRINDLE ROAD CAMI' HILL. PA 1701\ (717) 737-0100 times. On the date of separation the 401 shares had become 2645 shares. Those 2645 shares had a value of $28.50 per share for a total value of $75,383.00 as appears of the attached Exhibit "B". Therefore on the date of separation the marital value of this stock was $56,936.50 and the non-marital value was $18,446.00, as appears on the attached Exhibit "B". The marital value of the Farmers Trust stock of $56,936.50, which then traded at $28.50 per share, equated to 1997.77 shares of Farmers Trust stock ($75,383.50 divided by $28.50 = 1997.77 and the non-marital value of $18,446.00 equated to 647.23 shares of Farmers Trust stock ($18,446.00 divided by $28.50 = 647.23)as appears in Sections Band C on the attached Exhibit "C". Subsequent to the separation on June 17, 1996, the Farmers trust stock again split and an additional 264 shares were acquired afl appears on Exhibit "B". As set forth in Section D of the attached Exhibit "C", since the marital stock was 75.53% of the total stock existing at the time of separation, 199.40 shares of this additional stock became marital stock, making the marital stock 2197.17 shares (264 x .7553 = 199.40 + 1997.77 = 2197.17 shares) as set forth in Section D of the attached Exhibit "C". Conversely, as appears in Section E of the attached Exhibit "C", since the non-marital stock represented 24.47% of the total separation date shares, 64.60 shares of this additional stock became non-marital shares making the non-marital stock 711.62 shares (264 x .2447 = 64.60 + 647.23 = 711.83 shares). Farmers Trust Co. was then acquired by Keystone Financial in 1997. In that acquisition the Farmers Trust stock ceased to be traded and each share was exchanged for 1.65 shares of Keystone Financial Stock. The marital Farmer's Trust stock thus became 3625.331 shares of Keystone Financial Stock (2197.17 x 1.65 = 3625.331)and the non-marital Framer's Trust stock became 1174.520 shares of Keystone Financial stock (711.83 x 1. 65 = 1174.520 shares) as appears in Sections F and G of the attached Exhibit "C". Keystone Financial Stock trades at $30.00 per share, being the closing price as of September 11, 1998 as appears on the attached Exhibit "0". Thus the 3625.331 marital shares of Keystone Stock is worth $108,759.92 (3625.331 shares x $30.00 per share = $108,759.92) as appears in Section F of the attached Exhibit "C" representing an increase in value from the date of separation of $51,937.00 ($108,759.92 ending marital value - $56,936.50 beginning marital value = $52,363.42 increase in marital value)as appears in Section J of the attached Exhibit "C". The non-marital Keystone Financial stock is worth $35,235.60 (1174.520 shares x $30.00 per share = $35,235.60)as appears in Section G. of the attached Exhibit "C", representing an increase in value from the date of distribution of $16,789.60 {$35,225.19 ending non-marital value - $18,446.00 beginning non-marital value = $16,789.60 increase in non-marital value)as appears in Section J of the attached Exhibit "C". The Wife is submitting this Memorandum in support of her position that she should share in the post-separation increases of the non-marital stock. DIANE G. RAIX'I.IFF 3448 TRINDI.E ROAD CAMP 1111.1., PA 17011 (717)737-0100 II. ISSUE PRESENTED: Is the Wife entitled to share in the increase in value of the Farmers Trust stock from the date of separation to the date of distribution on those shares representing the dollar value of the marital stock increase in value from the date of marriage until the date of separation. Suggested Answer: Yes, III. DISCUSSION: In accordance with Section 3501 (a) of the Divorce Code, 23 Pa. C.S.A. ~ 3501 (a), the legislature has carved out an exception from the definition of marital property which excludes from equitable distribution property acquired by a party during the marriage by way of inheritance. That exception, however, does not include the increase in value of the inheritance occurring between the date of marriage to the date of separation, That provision notwithstanding, the Wife submits that since the marital increase in value of this stock continued to be invested in stock after the parties' separation and increased substantially in value as the result thereof. it would be appropriate to value that marital portion of this stock as of the date of distribution and not of the date of separation, Wife's proposed valuation and distribution, as appears on Exhibit "C", would assign to the marital estate the post-separation increases on the marital value only as appears in Section J of the attached Exhibit "C" 13625.331 shares of Keystone DIANE G. RADCLIFF 3448 TRINDI.E ROAD CAMP 11I1.1.. PA 17011 (717) 7)7-0100 Financial stock, representing the shares of Keystone Financial stock equal to the increase in value of the Farmers Trust stock from date of acquisition to date of separation, x $30.00 per share, the trade value as of the date of distribution [September 11, 1998], = $108,759.92 $56,936.50, the value of the marital increase of the Farmers Trust stock to date of separation = $51,823.42), while reserving for the Husband the $16,789.60 post- separation increases on the Husband's non-marital value of the stock (1174.520, representing the shares of Keystone Financial stock equal to the value of the Farmers Trust stock as of the date of acquisition, x 30.00 per share, being the trade value of the Keystone Financial stock as of the date of distribution [September 11, 1998] = $35,235.60. $18,446.00, acquisition value of inherited Farmers Trust stock, = $16,789.60, the value of the increase on the non-marital value of the Farmers Trust stock)as appears on Section J of the attached Exhibit "C". In this case the Husband's inherited non-marital stock has increased substantially. Between the date of acquisition and the date of separation that increase amounted to $56,936.50 (2645 shares of Farmers Trust stock x $28.50 per share = $75,382.50 - $18,446.00 non-marital value of inherited stock = $56,936.50) as appears in Section B of the attached Exhibit "C". Between the date of separation and September 11, 1998 the stock increased further by $68,613.02 ($51,823.42 post separation marital value increase + $16,789.60 post separation non-marital increase = $68,613.02 total post separation increase) as appears in Section J of the attached Exhibit "C". The total increase in value therefore from the date of acquisition to the date of distribution (for DIANE G RAIlCI.IFF 3448 TRINllll' ROAD CAMP III1.L,I'A 17011 (717)737-0100 purposes of this Memorandum September 11, 1998) is $125,549.52 ($56,936.50 pre-separation increase + $68,613.02 post separation increase = $125,549.52 total increase). These post separat ion increases were the result of a stock split and an eventual acquisition merger by Keystone Financial, another financial institution, and not through actions of either pat"ty, The Wife in this case submits that she is entitled to share in those post separation stock value increases based on the ohareo repreEJenting the value of the stock existing as of the date of oeparation as heretofore set forth. It has been held that the Di vorce Code provides for no specific date upon which the court io to value mat"ital assets, It is therefore within the Court's discretion to nelect a date that would best achieve economic justice between the parties. As set forth in Sutliff v. Sutliff, 361 Pa. Supe,-, 504. 522 1\.2d 1144 (1987), .... .the Divorce Code is silent on the queution of what date is to be used for valuation of property. ... (tlhe trial court is free to select a date which best serves economic juotice between the parties." Id., 522 A.2d at 1153, The Supet"ior Court, however, in Sutliff went on to state that where there has been a passage of time between the date of separation and the date of distribution and there are possible fluctuations of value which could involve substantial sums, it would be appropriate to value the marital asset as of the date of distribution instead of the date of separation. In this case there has clearly been a substantial passage of time (a little over 3 years) between the date of separation and the intended hearing/distribution date. During that time the stock in DIANE G. RAIX'L1ff 3448 TRINDLE ROAD CAMP IIILI.. PA 17011 (717) 7)H)lOO questions has increased to a value of $143,995.52, a substantial increase of $68,613.02 over the separation date value of $75,382.50. The Wife, therefore, submits that under the holding in Sutliff, Id., to do economic justice between the parties the distribution date value of the shares representing the marital value of the stock should be used. In this regard, she submits that she should share in the $51,823.42 increase in value of the marital investment in this stock, leaving for her husband the $16,789.60 increase in value on the investment of his non-marital interest in this stock. Such a holding is in accord with other cases decided by the courts of the Commonwealth of Pennsylvania. First it should be noted that in the case of Perlberger v. Perl berger, 426 Pa. Super, 245, 626 A.2d 1186 (1993), it was held that property acquired after the date of separation through the use of marital assets is to be considered marital property. Id. 626 A.2d at 1196. Since $51,823.42 of the $68,613.02 post-separation increase in value of this stock was the result of the use of the investment of the $56,936.50 marital increased value of the inherited non-marital Farmers Trust stock, under Perberger, Id., it should be held that this increase is likewise marital property. Such a finding is also in accord with other cases specifically on point with the issue in this case. For example in Winters v Winters, 355 Pa. Super. 64, 512 A.2d 1211 (1986), the Husband received a trust inheritance from his father during the marriage. That trust was worth $204,000.00 at separation and $173,000.00 at distribution, the decrease in value resulting from market forces rather that any action by the parties. The trust's non-marital DIANE G. RAIXI.IFF 3448 TRINDLE ROAIl CAMP IIILL, PA 17011 (717)737-0100 acquisition value was $142,000.00. Under these facts the Superior Court upheld the trial court's distribution scheme which found the marital value to be based on the difference between the distribution date value ($173,000.00) minus the non-marital acquisition date value ($142/000.00) or $31,000.00. The reasoning as to the selection of the distribution date value, rather than the separation date value, was that it achieved economic justice between the parties. A similar result was reached in Ling v. Ling, 442 Pa. Super 106, 658 A.2d 805 (1995). In Ling, each party had received a stock inheritance from the husband's grandmother of 1600 shares valued at $22,400.00 each. The husband had dissipated his stock before the separation. The wife cashed her stock for $90,000.00, spent $10,000.00 of it and reinvested the remaining $80,000.00 in May 1997, the month of the parties' separation. After separation she withdrew $11/454.00 in 1988 and $10,969.00 in 1989 respectively, finally ....ithdrawing the remaining amount of $57,937.00 in 1990. The court found $57,960.00 to be marital property being the $57,937.00 1990 post separation remaining balance plus the $11,454.00 and $10,969.00 withdrawals (subtotal $80,360.00) minus the $22/400.00 non-marital acquisition value. Implicit in this holding is the fact that the marital value actually increased above the separation date value and, that the court considered and based its determination based on that post separation value. The case of Solomon v. Solomon, 611 A.2d 686 (Pa. 1992) is also instructive in this case. In that case the wife acquired an interest in a non-marital trust that permitted her withdrawal of IlIANE <; IIAIXTIIT J44M TRINIlII' ROAD ('AMI'IIIII,I'A I )OIl (717)7JMIl"1 50% of the principal at age 35 and the remaining 50% at age 40. At the time of separation she was over 35 but had not yet reached age 40 and therefore was not entitled to withdraw 50% of the principal at the time of separation. She had, however, realized age 40 at the time of distribution. In discussing the distribution of that trust the Pennsylvania Supreme Court stated that the timing of valuation cannot convert a non-marital asset into a marital asset, but that once an assert is determined to be marital, the court is entitled to consider any increases in value between the date of separation to the date of distribution. provided the following footnote 11: We note that in applying this concept to the case sub judice, the trial court would be necessarily compelled to take into consideration any change in value of the portion of the trust determined to be marital property, which occurs after the date of separation through the date of distribution. This only involves consideration of the change in the value of the marital assets during the period of delay pursuant to our mandate in Sutliff, and thus, does not include any change in value of either the principal of the trust itself or that portion of the increase in value of the trust determined to be non- marital property. rd., 611 A.2d at 691. In doing so the ccurt Under this footnote it is clear that the Pennsylvania Supreme Court envisioned that when the marital increase in value of a non- marital assets continues to be invested post-separation, the increase in value resulting from the investment of that marital increase would be subject to distribution between the parties. The Wife, therefore, submits that under this direction, this Court should distribution the $51,823.42 investment increase on the marital increase in value of the Farmers trust stock between the parties. It should be noted that increases in value of stock and other IlIANHi RAIX'I.II+ J44K TllINlll.F ROAIl CAMI' IIII.I.,I'A 17011 (717) 737.(1100 like investments are substantially different from those arising out of the ownership of a home. With a home it is impossible to calculate with any certainty what increase has resulted from actions on the part of the spouse owning the property from that which results from mere market forces. With the investment in stock or other similar assets, the calculation can be made to a mathematical certainty. Therefore, this distinction provides for any future problems that may arise requiring such a distinction to be made. As stated before the purpose of the selection of the appropriate date upon which to value marital property is to achieve economic justice between the parties. In this case, justice would not be served by selecting the date of separation as the appropriate date as such selection would result in a windfall to husband of $51,823.42 as the result of his 3 year use of the marital increase in value of the Farmer's Trust stock. On the other hand, Husband is not harmed by wife's proposed valuation as her calculations excludes not only the non-marital $18,446.00 principal but also the $16,789.60 post-separation increases on that principal. Such a result is in accord with the footnote in Solomon, Id. Thus the Wife argues to this Court that this investment of the $56,382.50 marital increase in value is really no different than the increase in any other marital asset during the period between separation and distribution. Since in this case the Wife's marital invested stocks are to be valued as of the date of distribution, it is only fair to have this asset valued as of the same date. # " IN THE MATTER OF THE ESTATE OF GEORGE K. BISTLINE, LATE OF CARLISLE, CUMBERLAND COUNTY, PENNSYLVANIA, DECEASED IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE NO. 21-82-695 STATEMENT OF PROPOSED DISTRIBUTION Date of Death: November 24, 1982 Letters Granted: November 30, 1982 Dates of Advertising: Cumberland Law Journal - January 14, 21, 28, 1983 The Evening Sentinel - January 11, 18, 25, 1983 I. PROPOSED DISTRIBUTION Balances for distribution per the Second and Final Account Principal Income 240,934.84 68.4C;Q.10 $309,393.94 TOTAL Request approval of the following advanced distributions of principal to partially satisfy residuary bequests to: Nancy B. pugliese 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 George K. Bistline, Jr. 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 John W. Bistline 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 Gerald R. Bistline 203 Shares Financial Trans. Corp. 6r090.00 Cash 3,500.00 Linda Bistline Fenton 203 Shares Financial Trans. Corp. 6,090.00 Cash 3,500.00 Franklin D. Bistiine 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 . · I 0 ., 6~5 _.... ,;'..t -J James A. Bistline 401 Shares FLnancial Trans. Corp. 12,030.00 Cash 7,000.00 Ronald D. Bistline 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 Paul L. Bistline 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 Betty L. Mullen 401 Shares Financial Trans. Corp. 12,030.00 Cash 7,000.00 Lois B. Kosik 401 Shares Fin~ncLal Trans. Corp. 12,030.00 Cash 7,000.00 Mary B. Nelson 401 Shares Flnancial Trans. Corp. 12,030.00 Cash 7,000.00 Elizabeth B. Kees 401 Shares Flnancial Trans. Corp. 12,030.00 Cash 7.000.00 TOTAL ADVANCED DISTRIBUTION $228,510.00 The value of the assets remaining in the custody of the Executor is: Principal 12,424.84 Income 68.4<;Q.10 TOTAL $80,883.94 It is suggested that the above balance be distributed as follows to: Nancy B. Pugliese Principal 1,035.40 Income 5,704.92 George K. Bistline, Jr. Principal 1,035.40 Income 5,704.92 John W. Bistline Principal 1,035.40 Income 5,704.92 Gerald R. Bistline Principal 517.72 Income 2,852.46 - 2 - .. '.., ..:.':'U t..- ........ 656 Linda Bistline Fenton Principal 517.72 Income 2,852.46 Franklin D. Bistline Principal 1,035.40 Income 5,704.92 James A. Bistline Principal 1,035.40 Income 5,704.92 Ronald D. Bistline Principal 1,035.40 Income 5,704.93 Paul L. Bistline Principal 1,035.40 Income 5,704.93 Betty Mullen Principal 1,035.40 Income 5,794.93 Lois B. Kosik Principal 1,035.40 Income 5,704.93 Mary B. Nelson Pr incipal 1,035.40 Income 5,704.93 Elizabeth Kees Principal 1,035.40 Income 5,704.93 TOTAL PRINCIPAL 12,424.84 TOTAL INCOME 68. 4<;Q. 10 $80,883.94 ..l_~U-'_'" C""7 . ":,r;.J:.... p_.. .." 717-:!40"4518 Fr<PI'ERS-I'I'llh ~81 PlJI 10) 10 '97 :1:=7 FAX TRANSMISSION FINANCIAL TRUST SI:RVIC!:S COMP"'''''' ,')rolt. ,^c.,'!' HIO.. 5""I:CT. p,o 00)1; ~20 C......U~...E. ~A I 70 I.J 717'24O-45ez rAl" 71 7.2"0'4~ I 0 PSl:es: November 10. 1997 I, including this co\'er she~ Fu #: Taylor Andrews 243 -0061 Date: To: From: Lois Van Orden Subjecl: Franklin D Bistline - Stoc~ COlotlMENTS: Our records shew the folloVoing sh8res OfSlock registered in the name: Franklin D. Bistline 247 Glendale Street Carlisle. P A 17013 f:crtilicate No hsue Dale No Shares Cert Source 100988 04/03/85 401 Original issue tOl842 06128/85 401 Stock Split 106710 10/17188 401 Slock Split 113175 06/01/92 601 Stock Split 117253 08/30/93 180 Stock Splil 121226 08/29/94 661 Stock Split 127380 06117/96 264 Stock Split TUlAL 2,909 Please contact me at240.4~62 if you have any other questions THIS ,,,CSlMtlE 1ll.t~'l!MIb'SI(lS U; l}.iENOEO FOil TIt! ADDJlESSE~ NA..\I~D ABOV! IT Cll:"o'T1\IN5IHfORM....TIUS TH.4.T IS PRIVlLEUEO. cII"nn.''TI.-.L. ilK OTHERWISE PRO'lOCTED ~llUI4 USE ANa OISCLCr..I'llr I' YOll AAE N<TI" mE ~:rE.~Deo RECIPIE~T. \'ull ,\~E HEK.U\' lo!'>lIFltO mAT IoJ'Y REVIEW. DlSCIOSll\U1.. C1J1\'INO. O~ DISSEMllo!ATIUN of TIllS "rlANSMlSSH)N. (lR nlE T.\~Nll of A' Y ArnON IN REUANCE (IN rrs CuNTF.NTS. UR uTHER l!SF. 15 STRIC'n Y PROH1D:TEO. I1V<JC..IIIAV'F. REel:\ t:.~ITllI~ TtU,MLlISSIC l~ l~ ERRUIl PLEASE scmi''Y lIS n\'Tf,I.f.PH()N~ IMMtOI.\'i'E.LY SUTnAT WE("~ A!tRA'lt,;E foR. IT~ RF I'.'H.~ DIANE G. RADCLIFF 3448 TRINDLE ROAD CAMP HILL, PA 17011 17171737-0100 F. CONVERSION AND 9/11/98 VALUATION OF MARITAL SHARES UPON ACQUISITION BY KEYSTONE FINANCIAL I 1 NUMBER OF MARITAL SHARES 2197.17 2. KEYSTONE CONVERSION EXCHANGE FACTOR X 1.6<; 3. NUMBER OF KEYSTONE FINANCIAL SHARES 3625.331 4 . PRICE PER SHARE OF KEYSTONE 9/11/98 X 10.00 5. VALUE OF MARITAL KEYSTONE SHARES 108,759.92 G. CONVERSION AND 9/11/98 VALUATION OF MARITAL SHARES UPON ACQUISITION BY KEYSTONE FINANCIAL I 1 NUMBER OF NON-MARITAL FARMERS SHARES 711.83 2. TIMES KEYSTONE FINANCIAL CONVERSION X 1.6<; 3. EQUALS NUMBER OF NON-MARITAL KEYSTONE 1174.520 SHARES 4. TIMES PRICE PER SHARE OF KEYSTONE X 30.00 5. EQUALS VALUE OF NON-MARITAL KEYSTONE $35,235.60 SHARES ON 9/11/98 H. CALCULATION OF TOTAL SHARES AND VALUE OF KEYSTONE STOCK 1. NUMBER OF MARITAL SHARES 3625.331 2 . NUMBER OF NON-MARITAL SHARES 1174. <;20 3. TOTAL NUMBER OF SHARES 4799.851 4. TIMES PRICE PER SHARE ON 3/11/98 X 510.00 5. TOTAL VALUE OF SHARES 143,995.52 I. CALCULATION OF INCREASE IN VALUE FROM ACQUISITION TO DISTRIBUTION (9/11/98) 1 MARITAL VALUE AT DISTRIBUTION 108,7659.92 2. PLUS NON-MARITAL VALUE AT DISTRIBUTION 3, EQUALS TOTAL VALUE AT DISTRIBUTION 4. MINUS VALUE AT ACQUISITION 5. EQUALS TOTAL INCREASE IN VALUE + 35.235 60 143,995.52 - SlB, 446 00 125,549.52 J. CALCULATION OF MARITAL AND NON-MARITAL INCREASE IN VALUE 1 TOTAL INCREASE IN VALUE $125,549.52 2. MARITAL INCREASE TO SEPARATION $56,936.50 3. PLUS MARITAL INCREASE POST SEPARATION: $108,759.92 - $56,396,50 4 . EQUALS TOTAL MARITAL INCREASE S. NON-MARITAL VALUE AT DISTRIBUTION: 6. MINUS NON-MARITAL VALUE AT ACQUISITION 7. EQUALS TOTAL NON-MARITAL INCREASE 8 . TOTAL +S51.B23.42 $108,759.92 -$108,759.92 $35,235.60 -SlA.446.00 $16,789.60 -$16.789.60 DIANE G. RADCLIFF 3448 TRINDLE ROAD CAMP HILL. PA 17011 17171737.0100 o EXHIBIT "D" VALUATION OF KEYSTONE STOCK AS OF 9/11/98 DIANE G. RADCLIFF 3448 TRINDLE ROAD CAMP HILL. PA 17011 17171737.0100 ~ ,I I , ,f' ~. [.l' .... , ,.... ". ~" f-'", .. 'V'.'" ,"1.1. ~.. I"." .< , . ,. " r'J ,'" .', I'. ""-, ." J,t, 'n~TC'JD):.t\~TK' ~5 '5J1'...; '52._k \'~l"" J.ll)~J. ~ +2'1. ,1I1gh 66'Y. 0.. '.' . . " ."';' NYSI ' ,Low 41';, ~"_ .l{. ' I. , . . , ,I ~. 1> J ,@ Mellon Ba~k ,...,~, " r::~. : .:-'.; ~ '!:~-~',!ll~~'~,,'..\ _,~oi"',' X;'t;~'1 ~,~I me''';'II..1I m.oOo ~rt';;';;j .~~~:';t~ ~vflio~i~'~:~ ~II' $1"'" .IoU...,.C...'....!.' .'.,y".",' coca NJ\I mg _ U11~ , .mra:rl~_ompcm~ ,ne. _ .c', ~" "I . ;' "I. '''. .:" ,:".';, ,r" '/",' J.1ti'~,!r." . .\.\t;~l. _" ..'~ \J.:,. kJ!~:",~ , " ... '. .....'.T....i"\\~.,.."'(1,.' DikMd lvngible" . . cOnimon'Jhai1 In tho ~i ~.~ ~~$.",. ".~'~.~rr,~7:;t~ . . ". 20 52"'-is'" ~ .J;"~ ~ NdI.<ed 'I\IOflIrfY ~~~: +~:. High 42'1. ; _ '" 17c..m per Maro. . . .' . :, . NASD~ Low :SO'l. . '.. ; ......-:~r' 56 7/1. +4 111. .;. NYSf 52_k Hlghlewo Low 45';' . , . .......1, t . . ~..~: .FUuON:,.....:... 2~.;;..J5Z.,~;.,,;,liOn:;~i......loa. nonlwth;"and.contIn~fght~. "~..., FINANCIAL' .'. unCh" HlGh":soi;, lnil om........... -f::~!~.' .. . ...... .:" 'I . . . ." . COlU'OllAnON . NASDAQ .Low 20'1> . .W;,....... " . '., I. .'1".. .'.. ..... ,-. t ;0:. '. 52.-'0 ~ ~ on Aum ond ~ on equitY illCllOMd High 2~. ilgnlficimtly _ Iht IICOnd quartet oIlosl rwar."' . 0" Low 17~ 'f<\( - -1IAMlS - - -. RNANCIAL IHC.. .,)r~. .. CcrrrlIdy 8ri\ In<. --- SUIIIlANCllRP.INC, '. Ccln.~_~ ..~ 16'1. 52._k '+2~ High 2~ .;. NASDAQ Low W. Harris ..... raIJed 10 "Buy" /rom "Hold" by analyst Cauondra Taraian at ljan, W & Co. ... .;.....~ 17'''' 52....... s.-I.qvartet lICltllingJ O1Ium;"g dilution ..... 26 CInfJ pit. -'I. High 28'11 sha.., compol1d to 30 CInfJ per sIraro a /10' ago. " '.:" Y NASDAQ Low 1~. 24'1. .~ Y AMIX 52._k Tatal CIJJIfs a"",":',,,11d $745 milfoon an Ju.. 30. HIlIh 30'1. low 22~ ( 30'1. 52....... +1'" HIlIh 36'1. .;. NASDAQ Low 23 ., Dilufld IOmingJ pet share in tho .:.....d qwrltr ..... dawn 3 . pItanf from Iht )'lOr. pIriad. , . J:. 34 52....... +2 HI8h 37'''' Y NASDAQ Low 19r1l DoI'IIlqUtnIIoans far Iht HCOnd quarltr 011998 ..... at .33" pItanf, Im1J 37'0'. . 52_k IQDJ +15116 HI8h 43... Y NYSf Low 2411> .. 33 13/16 52-_k +1/16 HllIh 3711> 4 NYSf Low 3211> ., a,,,,..~..'p:ti..,t~".j.'~J\t4r,e . " .~, "'\J:~'I~ .~ ,q', ~:?Jl""i~.~' lito Aid ..potftd an;~i'1ncMe In siI~~*'Mr ........ ' l . )', ....,...,. " . 'j ~tFrn'A-~r': ~ "",,,Ult. ".^'4~(.";""""')W.'" , t. ',,'1 " '(f,) "j.l, .;1: \ '. '/~ '. JI ., ",,-.' ,~;\ ~',~t" ... ~t}:& :. >.(t .' .:'.:'" . "r .: "(,~',.'P.!:1' ~ .- . I I.'~'" " ,'K~>~';~:""~": An O'IIrall dollo1ionaty 'P<fOi. '''inent~tO!~. ,. net prafits in Iht -.d ciq'.;,' . . . . 1i':t~l.d~tj . .. If"'\JE';~~" . ., ':4, ,'*~:+:,' t", .. ..';.:.!~~ ,. ' I". THE BON. TON +'1> .;. NASDAQ IJl . '" . 1,r.m,HfT71 52_k High 18 Low 7';' Salts lor Augusl i comparablt-1IarI sa 2.... , . '2~ Tht"* pet sho.. far Iht first ni.. monftrs _ ~ cents pi,. :. +.... ' . High ~. '. .1liOrt:'dawn from 33 ctnlJ pet sho.. 0 roar 090.' : .;. AMIX .... low 2... " ,.li'! I~i '. . . '.' 'I' . ~ , ., I, ',~, ..;,tt.. Barbara A. Bistline : IN TilE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY. PENNSYLVANIA Plaintiff v. : NO,97-817 CIVIL TERM Franklin D. Bistline : CIVIL ACTION - LAW : IN DIVORCE Defendant DEFENDANT'S MEMORANDUM REGARDING POST-SEPARATION APPRECIATION OF NON-MARITAL PROPERTY I. HISTORY Defendant accepts the basic information with regard to the Farmers Trust/Financial TrustlKeystone bank stock as set forth in PlaintitTs Pretrial Memorandum, Defendant could not due otherwise for the values are established by Exhibits attached to Plaintiff's Memorandum which had previously been submitted to the Master as part Defendant's Pretrial Statement. The significant facts are as follows: Franklin D. Bistline received 401 shares of Farmers Trust Company which he inherited from his father. The acquisition date is established by corporate records as April 3. 1985. The 401 shares where valued at $46 per share at that time. This totaled $18.446. Between the acquisition date and the date of separation (September 14, 1995) the stock split five times. There were. therefore. 2.645 shares as of the date of separation. By this time Fanners Trust Company had become Financial Trust Company. At separation the shares were valued at $28.50 per share or a total of$75.383. Defendant contends that the valuation in this case is a simple matter of deducting the value of shares received by inheritance from the value of the resulting shares as of the date of separation, This totals $56.937. Mrs. Bistline contends that she is entitled to participate in the appreciation of this investment since the date of separation to the current time. II. ISSUE PRESENTED SHOULD THE POST-SEPARATION APPRECIATION OF NON-MARITAL PROPERTY BE INCLUDED IN THE MARITAL ESTATE FOR EQUITABLE DISTRIBUTION? Suggested Answer: No, III. ARGUMENT ~ 3501 of the Pennsylvania Divorce Code was previously ~ 401. The original ~ was amended in 1990 to (I) include intra-spousal gifls as marital property and (2) reconcile the original language regarding appreciation of non-marital property with the provision that property acquired after separation is non-marital. ~ 401 originally provided that marital property meant all property acquired by either party during the marriage, ...... except for the increase in value during marriage". The 1990 amendment provided instead: ......marital property" means all property acquired by either party during the marriage including the increase in value, prior to the date of final separation, of any non-marital property acquired pursuant to paragraphs (1 )(3 ).... Prior to the 1990 amendments there was an apparent inconsistency between the inclusion of post-separation appreciation as controlled by the definition of "marital property", and subsection (4) which provided that property acquired after final separation was non-marital. 2 The Cumberland County Court wrestled with this inconsistency in Sorbello vs. Sorbello, at 21 Po. D&C 3rd 187 (1981). Judge Shughart recognized the inconsistency but even interpreted the old law to include only appreciation to the dote separation, This confirmed the report of Richard Stewart. Esquire who served os Master. The Sorbello case involved the appreciation on a property that was given to wife by husband. The 1990 omendments would have clearly ehanged the result of the Sorbello case with regard to the property's status os marital property, The 1990 amendments have explicitly resolved the ineonsistency reeognized by Judge Shughart by limiting the appreciation of non- marital property to the date of separation. Defendant also looks to Lin!! vs. !.in!!, 442 Pa. Super, 106. 658 A.2d 805 (1995) for support. In the Ling case husband sought to include post separation earnings received by wife on her non-marital investment. Wife had reeeived the investment as an inheritance, The Superior Court rejected this claim. In doing so, they did not apply the complicated process proposed by Plaintiff in this case. That is. the Superior Court did not apportion the post-separation earnings between the parties to renectthat some part of the non-marital investment hod in fact become marltal by virtue of the pre-separation appreciation. The Superior Court noted that dividends or interest generated by 0 non-marllnl investment during 0 marriage. but prior to separation. would be regarded os marital property. This is contrasted with appreciation of the principal which would not be regarded as marllnl property. See Solomon vs. Solomon, 531 Pa. 113. 611 A.2d 686 (1992). and Lin!! v. !.in\:. supra. 658 A.2d at 807. Therefore, the Ling holding with regard to post-separation income would certainly apply to post-separation appreciation. 3 OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanov8r Slre81 Carli5le. PA 17013 (717) 240.6535 E. Robert Elicker, II Divorce Masler Tr.cl .10 Colyer Office Manager/Reporter Welt Shore 697-0371 Exl. 6535 Diane G. Radcliff Attorney at Law 3448 Trindle Road Camp Hill, PA 17011 February 3, 1998 Taylor P. Andrews, Esquire ANDREWS & JOHNSON 78 West Pomfret Street Carlisle, PA 17013 RE: Barbara A. Bistline vs. Franklin D. Bistline No. 97 - 817 civil In Divorce Dear Ms. Radcliff and Mr. Andrews: By order of Court of President Judge George E. Hoffer dated February 2, 1998, the full-time Master has been appointed in the above referenced divorce proceedings. A divorce complaint was filed on February 19, 1997, raising grounds for divorce of irretrievable breakdown of the marriage. The complaint further averred that the parties have lived separate and apart since September 14, 1995. The economic claim raised in the complaint is equitable distribution. An affidavit under Section 3301(d) was filed by the Plaintiff on December 16, 1997, averring the two year separation. Mr. Andrews has been noted on the appointment of Master form as attorney for the Defendant; however, Mr. Andrews has not entered his appearance in the action. I request that if Mr. Andrews is representing the Defendant, that he enter his appearance. I am sending a copy of this letter to Mr. Bistline since, at present, he does not have an attorney of record. In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to file a pre-trial statement (or Mr. Bistline if he is not represented by counsel) on or before Monday, March 2, 1998. Upon receipt of the pre-trial statements, I will immediately schedule a pre-hearing conference with counselor BARBARA A, BISTLINE, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 97 - 817 CIVIL vs. CIVIL ACTION - LAW FRANKLIN D. BISTLINE, Defendant IN DIVORCE ORDER AND NOTICE SETTING HEARING TO: Barbara A. Bistline , Plaintiff Diane G. Radcliff , Counsel for Plaintiff Frankline D. Bistline , Defendant Taylor P. Andrews , Counsel for Defendant You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Street, Carlisle. Pennsylvania on the 6th day of October . 1998. at 9:00 a.m.. at which place and time you will be given the opportunity to present witn~sses and exhibits in support of your case. · i1rt , rg. ,.tJr, Pres iden t Judge Date of Order and Notice: 5/27/98 By: Divorce Master I F YOU DO NOT HAVE A LAWYER Oil CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FOIrI'lI BELOW 1'0 FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBEIlI.!\NIJ COUNTY BAR ASSOC I AT ION :' 1.1 BEIlTY AVENUE (",\HI.ISI.E,I'A 1701:1 TEI.EI'II()NI'; (717) 24,)-3Ihh BARBARA A. BISTLINE, Plaintiff vs, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : NO. 97 - 817 CIVIL FRANKLIN D. BISTLINE, Defendant IN DIVORCE RE: Pre-Hearing Conference Memorandum DATE: Wednesday, May 27, 1998 Present for the Plaintiff, Barbara A. Bistline, is attorney Diane G. Radcliff, and present for the Defendant, Franklin D. Bistline, is attorney Taylor P. Andrews. A divorce complaint was filed on February 19, 1997, raising grounds for divorce of irretrievable breakdown of the marriage. Counsel have advised that the parties will sign and file affidavits of consent and waivers of notice of intention to request entry of divorce decree prior to the hearing to be scheduled. Previously on December 16, 1997, an affidavit under Section 3301(d) was filed averring the two year separation. The parties were married on August 26, 1967, and separated September 14, 1995. There were two children born of the marriage, both of whom are emancipated. Wife is 57 years of age and resides at 938 Forest Court, Carlisle, Pennsylvania, where she lives alone. She has a Bachelor& Degree from Penn State University. Currently she is self-employed as a financial adviser. Her gross annual income in 1996 was $70,023.00. Her counsel has advised that although she has not filed her 1997 tax return she expects that the income reported for 1997 will be around $77,000.00. Mr. Andrews should be provided a copy of the 1997 income tax return as soon as it is filed. Wife has not raised any health issues. Husband is 61 years of age and resides at 247 Glendale Street, Carlisle, Pennsylvania, where he lives alone. He is a high school graduate and currently works for the united States Government as a supply analyst for NAVICP-M. He has reported his net biweekly income at $1,068.79 and his gross biweekly income at $1,508.00. Attorney Radcliff has requested a copy of his 1997 income tax return. Husband has not raised any health issues. Husband is residing in the marital real estate at 247 Glendale Street, Carlisle, Pennsylvania. Counsel have agreed to the value of the property at $121,000.00 based on an appraisal by steven Barrett. The property is subject to a mortgage in favor of Nations Bank with an approximate payoff of $74,000.00. Counsel are going to provide an updated mortgage payoff statement close to the date of the hearing. Counsel have also advised that husband wants to remain in the property and wife does not have any objection to him having the property in kind as part of his distribution. The parties own two tracts of land in Penn Township which have also been appraised by steven Barrett. Counsel have agreed that those tracts will be listed for sale as soon as possible and the market will dictate the value ascribed to those properties, although we do have appraised values which can be used, apparently by stipulation, if the properties have not sold by the time of the hearing. The parties own a 1991 Subaru Legacy and a 1990 Pontiac Grand Am. Counsel have agreed to use the value of $5,000.00 for each vehicle in the equitable distribution computation. Husband is a participant in the Civil service Retirement System and the date of separation value as computed by an analysis is $167,936.00. That value will have to be updated with an interest factor to the date of the hearing. Counsel have agreed to apply a 4.9% interest rate and the Master asks that they each do their calculation compounding the interest annually from the date of separation to date of the hearing. The parties have listed numerous funds on the pre-trial statements which are marital (the FTC stock is going to be discussed separately). With respect to the other funds, counsel are requested to provide information as of the hearing date as to their opinion as to value. Mr. Andrews has requested releases to get information from the companies to do a calculation and to verify a calculation previously done by attorney Radcliff. Attorney Radcliff has agreed to provide the releases which Mr. Andrews has requested so that he can obtain information in order to do his calculation. Any expert testimony which Mr. Andrews intends to present as a result of his calculations will be made available to opposing counsel and as well as the reports which he has derived from those calculations. The issues involve whether or not some of the funds appreciated as a result of postseparation contributions by either of the parties, and if that is correct, then those postseparation contributions need to be subtracted from the value. In any event, calculations will need to be done in order to show the marital value considering the fact that there may have been postseparation contributions. The parties had two bank accounts, Financial Trust corporation account which wife says had a separation value of $190.00 and husband says had a separation value of $1,061.00. Apparently there were some checks written out of the account which reduced the value according to wife's calculation. Mr. Andrews has requested copies of those checks so he can evaluate the claim by wife in reducing the value of the account from $1,061.00 to $190.00. There was also a Mellon account which apparently was in husband's control, which had a date of separation value of $15,985.00. Listed on the pre-trial statement is Financial Trust Corporation stock which was derived as a result of mergers of corporations and stock splits and which was originally obtained by husband as a result of an inheritance. The stock was never put into joint names and the character of the ownership remained in husband's name only throughout the course of the marriage. Mr. Andrews has taken the position that the increase in value of that stock is what we should be looking for in obtaining a number for purposes of equitable distribution, the increase in value being from the date of acquisition of the stock to the date of separation. Attorney Radcliff, however, has taken the position that any stocks acquired during the marriage as a result of the dividends or splits of the stock or mergers of corporations would be marital, and therefore, there is a substantial difference in opinion as to how we should value this stock for purposes of equitable distribution. According to Mr. Andrews' calculation the increase in value is $56,937.00. According to Ms. Radcliff's theory of how we arrive at a value by characterizing the acquired shares during the marriage as marital, she arrives at a value of $153,452.00. Counsel are requested to provide briefs prior to the hearing on this issue regarding their opinion and theories as to how to calculate the value of the Financial Trust Corporation stock for purposes of the equitable distribution computation. The business that wife operates is being valued only with respect to the tangible assets and counsel have suggested a value of $1,409.00. Apparently both counsel will agree to that value although Mr. Andrews has indicated he wants to look at the 1997 income tax return before being bound by stipulation to that number. With respect to the household tangible personal property, wife has provided lists and has indicated that some of the property was on loan from her mother. Husband has FILrD-::'iTIC? C~ l' ,~ , ',r," ,...." "'''''''' r j. .' "', :, ;'1 SfJ nn: 14 ,;\~: n3 CU"' ... . ..', i'flY ,,1i;':I...' '..' ',,)-,'~,I'. I;....~:.. .......j \:.\' 'j \ tl.I,::>....-' l.... I' 1 I I I I , DIANE G. RADCLIFF 3448 TRINDLE ROAD CAMP HILL, PA 17011 PHONE (717)737.0100 FAX (717)975.0697 10 t; 32112 September 14, 1995 multiplied by .50. "Marital Sick Leave Credits"); The aforesaid amount shall be calculated monthly in accordance with the following calculation: GROSS BENEFITS _ f;lJRVTVOR'!'; RF.NF.FT'l'!,; ('O!';TS SUBTOTAL -t>t>t> 00 SUBTOTAL x :lR 05 SUBTOTAL DIVIDED BY THE DIFFERENCE BETWEEN THE TOTAL CSRS SERVICE CREDITS MTNH!,; 'l'HF. M~RT'l'~T. !,;T(,K T.F.~VF. (,RF.nT'l'S SUBTOTAL x 50 MONTHLY PAYMENT TO ALTERNATE PAYEE 3. The plan Participant shall be entitled to all other retirement benefits remaining after the payment to the Alternate Payee of her distributive share in accordance with the provisions of Paragraph 2. above. 4. The plan Participant and the Alternate Payee shall each be required to pay any and all taxes associated with the payment and receipt of his or her portion of the retirement benefits and shall be subject to all applicable withholding taxes. 5. The payment set forth in Paragraph 2. above shall - 3 - commence as of the date the Plan Participant retires and first becomes eligible for payments under the Plan and, except as otherwise herein provided, shall continue until the death of the Plan Participant. Upon said death, the Alternate Payee shall be entitled to full survivor's annuity benefits under the Full Survivor's Annuity Option election set forth in Paragraph 1 above. 6. In the event the Alternate Payee shall predecease the plan Participant, any sums due the Alternate Payee hereunder shall be paid instead to her personal representative or heirs. 7. This is a property distribution order made in and under the Divorce and Equitable Distribution statutes of the Commonwealth of Pennsylvania, and in accordance with the provisions of such statute, the portion being distributed to the Alternate Payee has been determined to be her property. 8. It is understood and agreed by the parties that the deduction of $666.00 utilized to calculate the Alternate Payee's interest in the Plan as set forth in Paragraph 2. above was for the purpose of excluding from the calculation the "social security component" of the Plan Participant's interest in the Plan which is acknowledged not to be distributable under the equitable distribution laws of the Commonwealth of Pennsylvania. In the event the CSRS system is ever modified so that the Plan and shall be subject to all applicable withholding taxes, 13. The payment set forth in Paragraph 10 above shall commence as of the date the Plan Participant retires and first becomes eligible for payments under the Plan and, except as otherwise herein provided, shall continue until the death of the Plan Participant. Upon said death, the Alternate Payee shall be entitled to full survivor's annuity benefits under the Full Survivor's Annuity Option election set forth in Paragraph 9 above. 14. In the event the Alternate Payee shall predecease the Plan Participant, any sums due the Alternate Payee hereunder shall be paid instead to her personal representative or heirs. 15. This is a property distribution order made in and under the Divorce and Equitable Distribution statutes of the Commonwealth of Pennsylvania, and in accordance with the provisions of such statute, the portion being distributed to the Alternate Payee has been determined to be her property. 16. It is understood and agreed by the parties that the deduction of $666.00 utilized to calculate the Alternate Payee's interest in the Plan as set forth in Paragraph 2. above was for the purpose of excluding from the calculation the "social security component" of the Plan Participant's interest in the Plan which is acknowledged not to be distributable under the equitable distribution laws of the Commonwealth of - 5 - Pennsylvania. In the event the CSRS system is ever modified so that the plan Participant's retirement benefits do not include this "social security component" as part of his retirement benefits but rather that component is paid to him in the form of actual social security benefits, then this Court shall modify this Order accordingly so that the intent of the distribution provided for herein is effectuated. C. INTERPRETATION AND ,JURISDICTION 17. The Court has considered the requirements and standard terminology provided in part 838 of title 5, Code of Federal Regulations. The terminology used in the provisions of this Order that concern benefits under the Civil Service Retirement System are governed by the standard conventions established in that part. 18. This Order is written and shall considered to be written in conformity with the regulations of the Office of Personnel Management's (OPM). 19. Nothing herein contained shall in any way require the Plan to provide any form, type or amount of benefits not otherwise available by law. 20. A true copy of this order shall be served upon the Plan Administrator and shall take effect immediately and shall - 6- ~ji:Iii .~~: ..~ ~.':. .....:. <':.: .:' .... .~.. .,.. ....... ..~.. ...... .:.........::;;.h:..~h..n:.uc'~.:... :"'~u. ....< ;;..... .~..,.~u:\(: ~,." .i........-.:_>-..;: F.:..." ...... i.....:....:.;.:. c,.... ...... .... . ..........>.,...:..;.".. ..;.~:... "C",:;:', ' ". .... ......::.. . 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L>:',.:'::.' .... ..~! .' ;;':/:;;i. !i'e i', ;.' ~,:'~..:/? .: ,'-:;;:'.'~"~y:::~"'::'''i:;,:;::: >. . :.' ,::' '. ....' '.. ... /",,:, :'" . ., . . ..:-"~, "". ~ '.T. ,.' _~'_,\:j)>::;',:,::">:_~_ ~>, _, l ." ~ " '. ",' .. \'J ~~_ . ,lI V . .... ..~. -.f~' , . -'i(, .~j,. '.'1<: -" ,'; ~ ;':' ~:(; . .<') , ,.:: - " ..:, ',.. ........... '. .; is);;' , .. '..i....; "';":>';:. :>:.:'::;.t/" '.",: ...... . , .:' .i'. " " .. ......... , . q ,""'-, . '. '"' "~". y ..... c> I : - ?::: - , > .:,:. , i . :', 0 ....: " . :..j .] . .- ~l ,;; ~ .... -, .'1 tj - ;, " ,. '- C:'J ..,: " '.) 1.:..:) (.) " 13. The payment set forth in Paragraph 10 above shall commence as of the date the Plan Participant retires and first becomes eligible for payments under the Plan and, except as otherwise herein provided, shall continue until the death of the Plan Participant. Upon said death, the Alternate Payee shall be entitled to full survivor's annuity benefits under the Full Survivor's Annuity Option election set forth in Paragraph 9 above. 14. In the event the Alternate Payee shall predecease the Plan Participant, any sums due the Alternate Payee hereunder shall be paid instead to her personal representative or heirs. 15. This is a property distc.ibution order made in and under the Divorce and Equitable Distribution statutes of the Commonwealth of Pennsylvania, and in accordance with the provisions of such statute, the portion being distributed to the Alternate Payee has been determined to be her property. 16. It is understood and agreed by the parties that the deduction of $666.00 utilized to calculate the Alternate Payee's interest in the Plan as set forth in Paragraph 2. above was for the purpose of excluding from the calculation the "social security component" of the Plan Participant's interest in the Plan which is acknowledged not to be distributable under the equitable distribution laws of the Commonwealth of Pennsylvania. In the event the CSRS system is ever modified - 5-