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HomeMy WebLinkAbout97-02119 & ~ J . -? a i ~ i (31 u' ( ~ J CT - - <0 . ~ KA'I'III.t:t:N A. ('AUMAN, l'IalntJrr I IN 'I'In: nUlR'I' CW ('OMI\10N I'I.US m" I ('IIMOt:lU.ANIl ('OIIN'I'V,Pt:NNSVIN ANIA I . nVII. A('nON I NO. 97-1119 nVII. I I IN IlIVOR('t: v, RA VMONIl t:. (:AI.AMAN, Defendant PRAt:(;IPi: TO 'l'RANSl\tn Rt:(~ORD To the Prothonotary: Tranamlt the record, together with Ihe followin. Information to tho l1Out1lOr OIItry of a divorce decree: I. Grounda for divorce: irretrievable breakdown under Section 3301 (c). 3301 (1Imof the I>ivorce Code, (Slrike 0111 inapllllcable section), 2, I>ate and manner ofsclVlce of the COlllplalnt: A~{llPI.nl<c lIe !iCIYil<llbyl'lIIIIlHtllf rWlIll.olI May.B.J2.n 3, Complete either paraguJlh (a) or (b), (a) Uate of ellecllllon orlhe amdavlt ofconliClIl re111llred by IiCC, 3301 (c ) of tho Ulvorce Code: by plailltUl',J\IlIil2l!.12211; by defendanl Sll>>lllwbllIJ.12~, (b) (I) Dale ofelleclItion oflhe amdavll required by IiCC. 3JO( (d)oflhe nivorco Code: ________.__....___.; (2) nate oflllln8 and &elVice oflho plainlll1'aall1davlt upon Ihe defendant 4, Related claims pending: _..Nun'L-__ ~. Complete either (a) or (b), (a) Dale and manner or service of the Notice oflntentlon to 810 Pra",lpo to tranamlt record, a COllY of which is attached (b) Uato plalnllll'. W.I~~'lIf NlIll~. 111.0.; .lJUI (~I Uh'ol~' wulll,d wilh lh, I'rolh08otary. ..AlIi! n. I 'I'lL. I)ato d.ltndant'a Waiver lIrNlIll~.ln '*, nOI (~) UlvlI'\)f waalllod wkb lb. Prudt08otary: t\pIUlL lV'll. ',I" /; \ ,J,,~i::y lo~ (tt\~d.~ ~ , , I-'Well/lel Qf . . Jacqueline M. Verney " "~.=-''''''''"''"~''''-~""' 4H llAHCMllf.' t.UllIIJ,MHtll '(11/114191" "A'III1~J4I11lt --.. KATHLEEN A CALAMAN PI.Inlllf IN WE counT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA , CIVIL ACTION. tAW NO 91.;! II 1 CIVltmnM , IN DIVORCE III, RAYMONO E CALAMAN D.f.nd.nt trollCUQWftiO,AUU.QLllIMfllillllii You have been luod in court II you wlllh 10 defend againlt the claiml let forth In the following PIl\}IlI, you IfIUII take prompl action You are warned thai If you f.11 to do 10, the cale may proCElelj wllhoul you and a decr.,,, of divorce or annulmenl may b, ent.ltd llgaina' you by tho court A JlldlJmanl may allo Pllllnt.fed against you for any other claim or reliof requllated 11\ tllll$e paper a by the Pllllntlff You may 10le mon.yor properly or OIlHlI flUht" IInpOlttllltto you, Illcludll1U ell.tody l)I IIIIIlallon of your children When the \}roumj for Ilia dlvorco IIlndiUl1ltllla or Ifriltfll:lVallle breakdown 01 the marriage, you may rtlflUeel rllllrrlil\l6 cour1&llling A Iia' of rnarflaU8 c;ounleloflla IIvllilablo in Iho OfflCll of the Prothoflotary atlh" Cumberland County COUlt Ilou&o, Carlllle, Pennlylvania IF YOU DO NOT fill: A CLAIM fOil AliMONY, MAIIIIAL PfWPEfHY, COUNSEL FEES on FXI'ENBEEl fHTOHF lIlE IINAI Dlcm! OF DIVORCE OR ANNULMENT IS onANIW, YOU MAY LOSE 1111: fllOll1 10 CL AIM ANY or lllEM YOU l:ltIOULD IAKIIIlIS I'AI'LIlIO youn AIIOllNfY AT ONCE IF YOU DO NOT HAVE AN A II OItNl Y on CANNOI AfT Ofm ONI, no ID Of( tELEPHONE HIE: OfFICI' en FO/HII UELOW 10 IIND OU I WllrHF YOU CAN GET LEGAL HELP Court AdlTllnlfilralor Cumberland COLlnly Courl 1I0Uio f aurlh floor Carlllllft, PA 1701 J T.I.phonll (117) 240-6200 ; . I . KATHLEEN A CALAMAN Plaintiff . IN THE COunT OF COMMON PLEAS . CUMBEHLAND COUNTY, PENNSYLVANIA . CIVIL ACTION. LAW . NO 97.:;1/1" CIVIL TERM , IN DIVORCE VI, RAYMOND E, CALAMAN Defendant kQMPLAINT UNDER .5t.QIlQNS 330.llCl AND 3301(DI OF THE PIVORCE GODE 1, Plaintiff Is KATHLEEN A CALAMAN, an iidult Individual who currently relldel at 230 York Road, Ciirlisle, Pennsylvania, 17013 2, Defandant is RAYMOND E CAL.AMAN, an adult Individual who currently resides 230 York Road, Carlisle, Pennsylvania, 17013 3. Plaintiff and Defendant have been bona fide relldentl In the Commonwealth of Pennsylvania for at least six month a Immediately PIBVloUI to the filing of thla Complaint. 4. The Plaintiff end Defendant were mar/led on July 24, 1993 In Cumberland County, Pennsylviinla, 5. There hiive been no prior action I of divorce or for annulment between the parties, 6, The mar/lago is ir/etrlevably broken 7, The Plaintiff has been advised of tho availability of counleling Ilnd thllt she may have the right to request that the courl require the parlles to parllclpllteln counseling, e, Plalnllff requasts the court 10 enter a decree of divorce, . WIIEREFOHE, the Plaintiff rsqueal.the court to enter a decree of divorce in favor of the Plalnllff and agaln't the aefendant Re,pectlully .ubmltted, O'BRIEN, BARIC & SCHERER I I :i \ By .- t:~,u.v-:.... Robert l O'Brien, Elqulre Attorney for Plainliff lOti 28351 11 We.t Soulh Slreet Carlille, renn.ylvlInla 17013 (111) 240-6073 ;! Ii II ! ij I ii 'I !j ,I I 1 i Ii il !! :1 II it II II II I, II I I I , II I 1'1311111[1 , IN Tllli COURT 01' COMMON I'UiM 01' : C'UMIIHRI.ANIJ COUNTY, I'ENNSYLV ANIA KAlIILEliN A CALAMAN, v, : CIVil. ACTION. LAW I>efclldalll : NO. 1J7.2111J CIVil. TERM : IN I>IVORC'li RA YMONIlIi. CALAMAN, Al<'nUAVIl' m' l:ONSENT I. ^ Complaint In I>lvur,e ullder S~"tlun ]]()I (,) of the Divllf,e Cude wa! Olcd un ^prll 23. 1997, 2, The marriage uf I'lalnlllland I>ctcndalllls Irretrievably bruken alld nlllcty (90) day! have elapsed fwllt the dale uf nllnlllhe Complain!. ], I ,unsent tlllhe elllry nf a lilUlI decree Ill' dlvurl'e aner Bervke uf nlllke of Inlenllun Itl requesl elllry of the de,rce, I verify thaI the slalcmenls made In Ihls Aff1davlt are Irue alld ,urre,!. I undersland Ihal false slalementa herein are made aubjc't to thc pcnallies uf 18 I'a, c.s, A 4l)()4. relallng tu unswurn falsllkatlun III aUlhoritles, Ilate: CI. 3 'Gj7 !. Calaman, Pe ~- IJ; f~: \JJ\,,' c..' li>' ~\ ~Jll [i; \' II tl III IIi & ~: '. i' ~ . ( ~, ~.fItI' )'.:0- '., ~r; lJ., W I" f" ~ ffi \; . .;:" < (,\!) ,i fl, ,'Ir~l ~~ t',; III '" \J. \.. , ~'. ,',: \fr' <S! _~ c ,. ;--. .' r, .' f..... I 1'~ rr.' ~~l lt~', . \~, , n \H11 [l'.\' " I'll. . (, ~; ...... II, III ~''''I 0 0' Q KA Tltl,ltEN A. CAl.AMAN I IN TilE COUIl'I' or COMMON l'I.EAS 0' PlaintiU I CUMPERI~NO COUNTY, PENNSYf,VAN IA . Ve. I No.9" - at 19 cIVIL . RA YMOND 11:. CAl.AMAN, I Oetendant I IN UIvol1CE WlUElLQl.....{;.UUlrl' the parti.. eUpUlation AN. N.W. th'o_llltl .1., " and oounsel having ~nt8rud In , IIIlI8, and resolving the economl" ISSUIU. 011 ^pd I 28, 111118, the date ..t for a Master's hs.rlny, the a<Jrsemsnt illllt etllHllallon havin9 b..n transorlbed and 8ubsequuntly slyned by the parties and coun.el. the appointment of the Master Ie vacated, and coun.el can conoluds the proueedlnge by the filing of a praeclp. to tran.mlt the record with the affidavits of "onBenl yf the parti.e eo that a final deuree In divorce oan be enlered. BY '1'111:: COllll'l' I CCI Jaoqueline M. Verney Attorney tor plaintift Taylor P. Andrew. Attorney tor Detendant (' Ir(f"h.' ",~.IJ.{, /, /"/,, . ,.4. ". ~ATHLJIN A. CALAHAN, ,la inti ff IN THI COURT or COHMON I'LIAS 0' CUM8ERLAND COUNTY, PENNSYLVANIA NO. " - all~ CIVIL v.. RAYMOND E. CALAHAN, oet.ndant IN PIVORct Tltlt MAllTEltl TOIllW la 'l'uaaday, Apr 11 n, 1998. Thi. i. the date aat tor a Haatar'. haarin9 In the abOVe oaptioned divorce prooaedlllQa. Vre..nl In the h.arl1l9 room are the Plaintltr, I<athle.n A. Calamln, an,1 her couII.el Jacqueline H. V.rney, alld the lllltendllllt, Rllymo"'t t;. Cllhmall, and Iii. coun..l Taylor V. Alldrew.. Thl. actlo11 wa. commenced with the tl1111q at a ,Uvorc. oomplalnt on April n, 111111, rahlnlJ cJk'oumla tor dlvoree ot Irr.trlevable breakdown Dt the marrlagll, Th. Uetelldanl ha. provided the H..ter with III artldavlt of con..nt which WI. .1!Jn.d 011 lIeptemllerl, 1\I\l'I, Il/lll flltHI with the IJroUlCJllotary on fleptellber 4, 19\1'I. Hr. Allllf1iiWII Ie Qui",) 10 llrav Ide the Halter with a waiver or notice or Intention tu r04u..t entry of divorce deor.. which will bu fllllll hy th. H.etel. 'I'hll 1'llIlntlrr h.. I.rovlded . Ilvnelt Ilttltlllvlt uf cun...nl which hall not yet beell riled and Plalntlff'l counl.1 will allu provide the Halter wllh " waiver of not:h'. ..t Intlll1tlulI to r81Iu..t .ntry Pt ,lIvokee deor.e. Thl H..ter will tile thoee documlnte .Iao with the l'rut honot. ry . Cone.lluent I y t h. d I VlH' I:. oan IHoo.a,t 'HIder Paction 1101(0) or the poma.tlc R.latione COd., On September 4, 1997, the Oerendant tiled a oounterclaim raiaing the economio iaau. or equitable diatribution. No olaime have b.en raiaed by either party for alimony or coune.l re.. and expeneee. The partiea wer. married on July 24, 1993, and aeparated on April I, 1997. There were no children born of thia marriage. The Master has bosn advisod by counsel that after negotiatione, the partlee have reached an agreement with reepect to the out.tanding economic claims. The agreement Is going to be placed on the record In the presence of the parties. The agreement a. placed on the record will bo coneidered the sub.tantive agreement of the parties not SUbject to any changea or modifioatlon. exoept for correct 1011 of typographical errors which may bs made during tho transcription. Counsel and the parties are going to return later thi. morning to review the draft of the agreement, to make any oorrection of typographical errorsl otherwlee, the agreement a. atated on the record will be coneldered the substantive agreement not eubjeet to any change.. '~e parties and counsel will affix their signatures by way of affirmation of the terms of the agreement ae stated on the record at this time. After the Master hae receivod the signed copies of the agreement, he will prepare an order vacating his appointment and coun..l will then be In a posItion to file a praeoipe tran..lttln~ the reoord to tha Co~rt along with the prlvloully tUld aUldavltl ot oon..nt alld wllver. ot notioe at Int.ntloll to uqullt entry ot dlvorcl dlor.. which will allow th. Court to Intlr a tlnal dacrll III divorce. 1~e Igreement that la plaoed on thl record will mlde plrt of the record IlId will be Intorolabll Icoordlnq to thl pruvlllana In thl divorce podl. Mr. Andrlwl. Mh. ANUh~wal Th_ partlee' marital eatatl oonel.t, pt thl tollowl1l9 Itlme of l'fop.rty -- Iml I /1m not going to 1,10 Into valullI Thlre II r.al eltate julntly owned. 1~at real eltate being at ~10 York Hoad, carlllle. ~ellnlylvanla, There are r_tirem.llt benefit. of Haymond Calam.n thro~\lh NAPA. hie employer, Thell are bAnk IH'Cuullte at IJAlIl'hln Pel'Pllt, I checkinq IIItI " ."vln'JII account tltll,l to k"ymllllil Calclmll'" 'l'tlluA III an AP'HJllnt at HemlJllr'lI lilt rederal Credit Union whllJh. I 1"llevlI, I, now" joint IIl'iJOunt IJUt h.. bl.n controlled by Mr.. calAman. 'l'hfHA lira two amwulIIII IH 1"1114110111 'l'rult which ar. oontrollld by MIl. cAlamall. A urallil I'rlw automobile titled to Mr, Callman ana a Urana Am autnmublla tltlod to Hre, ealaman. A ~tat. 'arm llr. In.uranu. palloy with a ..al1 o.ah valuM that I. r.~I.t.r.d to Mra. Calaman. The agreement of the partiee ie that all of the property will remain ae titled except the following. 1. The Member'e 1st account, which ie technically in joint namee, will beooms the property of Mre. Calaman. 3. The real eetate at 230 York noad, carlisle, Penneylvania, will be transferred to Mre. calaman upon her payment to Hr. Calaman of $7,000.00 and that payment ie to be made in the following fashlonl Hre. Calaman will have two weeks from this date to apply tor retinancing at the lending institution of her choice. She will apply for Lhe maximum amount that ehe may qualify for so that she can raiee the $7,000.00 or as much of it as she poseibly can. At such time ae she obtaine her financing and settlement is scheduled on that tinancing, the deed ehall transfer to Mrs. Calaman and ehe ehall pay all that she can pay as a result of that refinancing to Mr. calamall up to $7,000.00. To the extent that there Is a shortfall between what she can pay ae a result of that refinancing and the $7,000.00 obligation, that shortfall will be paid in monthly inltallmente starting one mOllth aftor that settlement in the amount of $250.00 which payments shall bear interest at the same rate as the mortgage that is obtained ae a result of the refinanoing, so the variable is the number at payments. If it should happen that Mrs. Calamen Is denied refinancing and cannot obtain refinancing despite her good faith effort to do so, she will pay the $7,000.00 to Hr. calaman in installment paymente bearing an interest rate of 7.87ft' per annum over a period of 24 months (eetimated monthly payment 10 al~roxlmately $316.00) to commence one month aftor the dale that she receives her rejection on the flnanoing. In that latter occasion, the deed will not pass to Mrs. Calaman until tho entire '7,000.00 is paid. J. There is one iLom of porounal proporty which is a blue candy dieh, which Mrs. calaman will make available to Hr. Calaman sither directly or throuyh coun8el within one week of today. 4. Except a8 herein otherwise provided, each party may ATTORNEYS F.ll.6 9. The Plainllff ask. that the Defendant be ordered to pay realonable attorney fees 10 O'Brien, Baric & Scherer WHEREFORE, pursuent to the provIsions of the "Protection from Abusa Act" of October 7, 1976,23 Pa C S ~ 6101 ID W, as amended, the Plaintiff prays this Honorable Court 10 grant the following relief 1, Grent a Temporery Order pursuant to the "Protection from Abuse Act" A Ordering the Defendant to refrain from abusing the Plaintiff or placing her in fear of abuse B. Ordorlng the Defendant to refrain from having any direct or indirect contact with the Plalntilllncluding, but not limited to, telephone and written communications C. Ordering the Defendant to refrain from harassing and stalking the Plaintiff and from harassing tho Plaintiff's relatives D Prohibiting the Defendant from entering and/or telephoning the Plaintiff's place of employment E Prohlblllng the Defendant from removing, damaging, destroying or lelllng property Jointly owned by the parllel or owned by tha Plainllff, KAIHIUN A CAI AMAN, Plulnll If IN lHI [OU~I OF COMMON PIIAS OF rUMl\fHIAND rOlJNIY, PENNSYLVANIA 97-711lJ CIVil IFIlM PROTFCTION FROM ABlJSE V, RAYMOND CAIAMAN, Illlfllndunt IN RE: PROTECTION FROM ABUSE HEARING ORDER OF COURT AND NOW, September 11. 1997,11:45 p,m" ofter consideration of the evidence presented tn the cUHf-In-chlef. and the defentlont hovlng lIIode II lIIotton for 0 dllllllJl'rer, we sustain the motion and dlsllllss the cose, We dismiss our protective order entered heretofore. By the Court. ,Hnff r..I, Robert L. O'Brien, Esquire 17 West South street Carlisle, Po. 17013 For the Plaintiff Toylor p, Andrews, Esquire 78 West Pomfret Street Curl1sle, Pu, 17013 For the Defendont :lIItf . - C-.f'~'ol. nHHd..l '1/.U./9'1, i ,) ...0' " \"", "'il!.:~.'.':! I . ,~_. \. , ,l\,,! )J "f "'J'" ...,'.' ~'r1'rJ'V\ .' I, n ',1' , "" 111"", 6~ I~I IIJ 61 dJH~ }"'i'O'1 "j ; JO" \~t.. .,.....id.,) ",'jolt;;;; 2)!HO (mu INI 1m (, '0111\1 m ('UMMON I'I.I'.A" OF tllMlU'IU,I\NIl (OIJNIV. 1'l'.NNfilVI.VI\NIA t'IVlI. A,'IION.I ,A W KAIIIIH,N A (,'AI,AMAN '''Int In' V I\AYMUNU Ii ('Al.AMAN Ilt"ndtpt NU 117.11111 IN U1VOIUT 'MAU..,t: I () lilt, 1'1l<<}J "ONOIA" Y PIf." ""I., my 'PP,"...~.lil' \h, ,I.bulfl; Kalhlttll A ('.lama., In th. .1Hw.. ftptiooM PlItt", ""P"."'U)' ,""millod, I /.' t' ~ ..:..;p..." It 1" ~" ,luqllt11i;'MV;fii,y~~;qulr' d liupr,,", Ct III Ut67 ..4 IWuth 1I'81w,r "u.- ('II Uti" 1'1\ 110 Il 1117) H}.l)l 90 To no: PwrtIONOJ'AIW: Pitt" wlth4t.w lit)' ,pp..r'n~' (ilr th. P1abulll. I\llhl'lIl1 A (, '1111II1n, In lh. .bu\'.. npll..... matt" ,"lpKtMly tIIbmllltd, "-~av:l ,..".E~~,. kubtn I. O'U,'-", "'qui,. lup,,,", Ct I U 11 W.. Koutll !MI. C"Utlt, PA 1101l ( 111)l4H1I1l .. ~lH' \\ I" l I'. ,,' I .- It!1 " '. , , , , I " , I. I L- {. I ~, " ..... I ,", G' 0 , ~ Plaintiff milk. on the Ii.t below tho.e Item. applicable to the ca.. al bar and It.mlz.. the a..et. on the following pagu If an Item ha. been appral.ed, a copy of the eppral.al report I. attached (X) 1 (X) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6, ( ) 7, ( ) 8 ( ) 9. ( ) 10. ( ) 11 ( ) 12 ( ) 13, ( ) 14 ( ) 15 ( ) 16, ( ) 17 ( ) 18 ( ) 19 ( ) 20, ( ) 21 ( ) 22 ( ) 23 (X) 24. (X) 25 ( ) 26 Real Property Motor Vehicles Slacks" bonds, securities end option. Certiflcetes of Depolit Checkln" Accounts, Cash Savings Accounts, Money Market and Saving. Certlflcat.. Conlentl 01 sale deposit boxes TruIls Life Insurance policies (indicate lace velue, ca.h .urrender value and current beneliciaries) AnnUities Gifts Inharitallces Patents, copyrights, inventions, royalties Personal property outlide the home DUllness (lilt ell owners, Including percentage of ownerahlp, and officer/director positions held by /I par1y with company) Employment termination benolltl.severance pay, workman'. cOll1penlalion c1aun/award Prollt shanng plans Pension plans (indicate employee contnbution and date plan vests) Retirement plans, Individual Retirement Account. Disability payments Litigation claims (matured and unmatured) MilitaryN A benollts Education bonellts Dobt. due, including loan I, mortgage. hold Household furnlshin"s and personalty (Include a. . tolll cate"ory and attach Itemized list If dlstribullon of .uch auets is In dispute) Other MARITAL PROPERTY Plaintiff lI.t. all marital property In which either or both .pou.a. have a legal or equitable Inter8ltlndivldually or with any other per.on a. of Ihe data thl. action wa. commanced: lIem Number De.criptlon 01 Prooertv 1 Real Estate (230 York Road, Carll,lll, PAl 95 Orand Prix Auto 2, 3, 95 Grand Am Auto 4. 31 ' Television 5 25" Talevlslon 6. Box Spring & MaUre.. Namll 01 all Ownor. _ Value Kathleen Cllaman & $95,000 00 Raymond Callman Kathleen Calaman & $13,87500 Raymond Calaman Kathleen Calaman & $11,500,00 Raymond Calaman Kathlean Calaman & . 500 00 Raymond Calaman Kathleen Callman & $ 20000 Raymond Calaman Kalhleen Calaman & . 10000 Raymond Calaman LIABILITIES Plllnll" lI.t. IIlIl.bllllll. of either or bolh ,pou... .Ion. or with .ny per.on .. of Ihe dill thl. Icllon WII commenced lIem D..crlpllon Number 01 Llabllihl 1. MOltgage Namu of All Nam.. of All Crldltprl _._.~~._.._D.I;I\QI' Dauphin Depolll Kathl..n ell.man Raymond Cllaman 2 95 Orand Am Aula Loan Memberl Flr't Fodoral Credll Union Kathleen Celaman flaymond Callman 3 95 Orand PrlK Auto Loan GMAC Kothl.en Cellman Reymom1 Calaman 4 Perlonal Loan lor purchale of home Mrl Myer. (WI,.'I mother) Kathlelln Calaman Raymond Clllman 110m 1furnQJL 1 2 3 4 Oete Liability Amount 01 liability on Dllte Wal Incuflul1___.__ If)c;ufled l &a1mI.WlllGvnillllIIQI1. July 1005 $70,00000 (apprmllflatQ) June 1066 $14,00000 (applllxllIlahl) September 1905 $11,50000 (ilppwxllllatu) 1086 (approllhllatll) $ 6,000 DO lIerll Date "tIlIIOOIC .tlum1!iL__..J1llonOt IlDuIL_........_...1~1IlIlll..mt ~l1Qilll1.~" 1 1 16966 2 1 272 00 3 1 249 00 4) ",...nlly Dutil 10,00000 . '::!t.... .".t-ri ..., ;/'f-_ .1 ." 1, ..t (:;1 INCOME AND EXPENSE STATEMENT OF !(I.:/I.'!(G,;I (lll./(I--"Y!4iL___.__ 88N__'__~'_,-u ,_..DA.l~. '54'! ...~DATE__ nUl STATEMENT MUll lIE fllllO OUT III you I" ull..mploy.d or II you ." IIllrl.d by I bUlln... 01 which you I" owner In whole or In PilI, you mUll 1110 fill oullh. 8uppl.mlnll' Incom. .I.I.m.nl which .ppurl on lh. lilt pig. 01 thla Incom. Ind Elp.nll 81,'.m.nl,) INCOME la) WIgll/fi.l.ry, ''f~ / f/J . lJ~- t.tI' J-;JIo"~~ EmPIOy.r&Add'....~.A'~~._..7"."~~~~' -:-" .' ~"" Job fIIl.,OllCrIPllon,Cr.-Z::Q::I;.!tIt-'LCi.. ,.....u. 'M ~ Pay Plrlod (weekly, bl.weekly. monlhlylldl,fJ!./<" u..-.--.. Oron Pay per P.y Perlod...."..,,,,,..,u.u u,'"""" . Payroll O.ductlonl: .-....- F.d.,,1 Wllhholdlng "...."""..""'----..----............,,. Social IIacurlly ""....".".....""..S_.....2. 'lt~._.... Loell Wlge Tu ""......"......"."".S_......___.{ i .. SIal. Incoml Tu."....."..S._... .:.l_...l'L..,........ A.IIr.mlnl ,..,,,' ,,,,...................,,.. S _- --'=--.---.-- Il.allh Inlurane. ."...,..,....'''.......'.._...,L.._l,l.__ Olher (.p.cllyl ''''''.,..................,,'-..--..................---- 1'4 6I'C .~' ') ~..~.'" ,,_.~-'-----------,-~ ".."""..". ..,........ _._._.._....._.._.-.,_.-"-~-..,...~ .....--.-,-. "..."..".......".",,'-.. "...-.............--..,. Nil PlY plr PlY Plrll"J ....'""""",..""... ..... ,..,...."" "",..""",,,,,,,........,,........,,,,,......,,..,,.,,.1 7.'5". C."PI -. '--r:-----'" ."""..."..."..."",..""..."".......", 1 "-of L :r:.J_ (bl Olher Income Week Inlernl/Olvld.nd. . ,...."...,....'''._-_ -. -.-..---.---..,.. P.n.lonl~.~nully ",.,..",.,.,.",.,.""....., _~'~---'--"- 6oalllll'lcurlty .....,..,,.,.,,.,,,..,.,,.---~,.,.........~..-....-,- nenl.lAoyallln ,."" ,,...,.... .,.,...mS ...' ...._......._............ E~Il.n.. Allcounl ...,."."".,.. . ."".. <llltl.. " .,.",..1 Un.mploynl.nl Comp.n..lIon '... . Workm.n'l Comp.nullon ...,,.,,' ,__~,. Month V.lr _.-...,_.-----~. .,-- ,..... . '- .......~ L . ... -............,--. .. ...---...--....--- . 1_-- 14--------.. 1 \ ...-..-. ..... : =~~=:-~,-~-~~~=.:::~: ....,---- .._...~. .---.. . ---.- --..--- ,--..-,---.............., --.-- Tolal, Olh.r Incom. ,,.,,,,,,,,,,,,,,,,,........-- . , INCOME ANO llPlt;U i10ltMtNJ 0' I 'f'fU~ t"lt thl '1.'.m'fll'lIl.iJ~ II' Ih'IIIll-Umtt .ldl.....".. 1.'1'. menl ti' IN' .nd I>uHld I U1II11'1111I1I Ihal 11'" 1IIIIm,..U t\et.tn ar. midi .ubJu. If) ml fHtli.UI.' ,,' I' .., C . 4104 flt.UnllO unlwom 1.I,lUl,1l4,l1l t" 'ulh'JIHII' (JII. _" '.,J'/ 'I' J':'A.(~' ,.. ri ,:<\t~_'d"""..J .' i'1.,,;lIfr;;; tltl.iliiiill \ ~ liouaehold Week Houaehold Month Child Month Child Week EXPENSES Home Mortgage/R.nt ."..."""""."........".""."", $ I '1 '7 .) q $ ___ $ Malnlenance ........................................... S rrl~;} I ~ ,J S $ 7 ~9 ,.,~ $ ft,,-,OC $ J..//.J C(., $ i $ r Utilities (1.I.phone. heetlng electrlo, efo,I........."...."......".."........... $ I c. 'J, '17 $ Emptoyment (Ireneportatlon, lunchel) ...."................."....".......",...." I Taxel Reel Ellale "..""........"".".....,,,...,,..,,...... Perlonal Property"..."."...".."".............. Income ".",.' ""..,.,.'.........,......",. ..... .."..... Insurencs Homaownerl ......"........"........"............... I Automoblls """"........".".."...."...".."".". I LIIe/AccldentIH88lth ..................".."...." $ Other .:1.I..;j,i",(ht.f,';i;~""~.(,~.s:..."""....,,. $ Automobile (plymentl, luel, repelra) "......."...."...".........."............... S Medical Doctor. Dentist, Orlhodontlst ".............. I HM\'IItal :t1.!r.~(a.l.!*.(..~..if.:.................... $ Special (glan88, bracea. etc.) ...".......... I Education Private, Parochial School......"..."..."..... S College "........."........."......."".................. S Personal . Clothing "".........................."............"..." S Food ....................................:.;:.~;;;;;.;.;,,~ $ _ Ot::;J:~~:~~I.~,~~~.~.~~~~~~ S Credit paymantl and loans ...."...".."..... S Mleceltaneoul Houlehold help/child care.............."..... S Entertainment (Inc, papera. books, vacation, pay TV, etc,) ............ S Gllts/Chlrlllble contrlbutlonl ......."..... $ leOl1 Fen ""............"........".."...'....,,..... S Other child lupporllaUmony paYlllentl ...."......,................"......."",.. Other (specify) ....A,5.,S;,~.~"...?.!..~... S s L S / C (., .Ji" s S SO.!f..) s__ s /(.18. '1.ll s S ,,01G S-'] S _ ~ IL I ~ 7, .J, . $ S ____ $ i , ~ '/~' s $ .3..3 ?1 I /.3 -1..3 S I 53 1.1 $ ~(, ,/ , $ S / ,: 7 '8 S . ~.. ' ,1 $ $ /~ (..,'1' $ '7 oj' 1':1- $ S 3<..".3J,()() S /, ,,' $ L (. 'IaI $ t.. 'II S $ .;/.'J-, G.~ S :>-.7Y $ $ .....1 . d $__ -- $ I S $__ $ -.- $ $ S I :,.: 0C $ $ ~o."C $ S L .. .. C' $ $ (""j S - S $ - $ ..-.-.-.,-- C $ S C $ ---. $___ I $ /1 "''' S $ .,: 1 , '!.:L $ ---- $ --, $-'~ $ --~ -., s $ &;."", $ S ;'.1 "f~'3./1 $ $ $ Tot I E .-".. - .r' a xpenlel ................".."....".."..".."..... $ . ~,). .7 S 1;'. " Owner,hlp' PROPIRTY OWNlll D,..alpUon V.lu. Ch.cklnu Accounl, 11f(!!l ~!!~!t.(~L~qe.Q~~r__.___.. 1.1.1 I"'.. n' ''If".., 7t"U1AtittL.~S..I~V.lr.....:.c_.;_.:." I ....~-.z.LI~ Savinu, Accountl" ,..." ......_......,.._._ .,.... ...................::.:. 1..'Yk.;/~'t".... .., ..,.... ,......_..,..._........ ........,............ I... ............ '........... ........ ".. ~:\!(!~Q:.:L........ . .........., I ,._..,..!!~.LH) ., ..,-" .......-. , .:!~!-'.~"'~.i ...... ..........__ I..,)-jl...tf .r"'.... ..,. ..,._ . ......... ..... I .......' ......,. .. ..-.........-....... ...... ...-........... $ ...-.., .. .....- ." .J:.2t1.P..l.'~1'~f'(,JY......._.. $ (~".. ~Q~'~..o..._. .. __' '.. ...... ........... ............,..- ." ..... ."." .....,-_........, -- ,'...", ..._~~..1'..__..__. ...... ....... $ .L-',~~~' ___.,L.. ....,.... U.v{;L....1I.lo1(!L"'.~"Lt:.'. $ (J';'j~LJt.() ....__ 1_ '''' ..,.._.............___..........__..~_......... . . 11''1tLL't'...IC ...- --"'-" oove"II' ' U W u w V J .v' elldll Union ../ lllockllllonll' Alii Eatell ~, Olhl/ Tol,l, PIOPlfly " INSURANCI Company PollllY No. c UOI,IIt,1 ." .............. .......___.... _. _....,... "..,. M.dlcal , '.."....._..._......__......_.................__.....'.....__.....,.. Uullh/Aceldanl, ....., ..1!/f.J~S!.E..A.(.ttt!':.~{'- r rL.... Pliability Incoma "'......__.._....,..._...._........_.........._,...... Olh.r Idlnlal, .10 I ,'... __"... ........ ..........................._............... ('U . lIulb,nd, W. Wile, J ' Jolnl, C . Chlldl A~,:i2'J 1 . .J ...Y_ ~ ..._M -----"....~. IUPPLI:MINTAL INCOMllTATlMl!tH A, Thla 10I1lI mu,1 bl filled Qui by a peraon who (chICk on'l. , ....~.. II) oPI..I.. a bu.ln... or praotlc.. . !'IOIu.lon; or 12) II . ",.mll" 0' I p"lner.hip ur lolnl ~wlllur,; 01 ..... I3lll, ,h",Mld.r In Ind II 11111 led bv II clolld eOfllOltllon or almlla' .ntlly, B. AUleh 10 Ihll 11"'''''111 'COllY 01 Iha 101l0WII1U ,Iocum,nl. 1.la"nglo ''It bu.ln.... prof.ulon. partn"lhlp, )01111 ~.nhJII cor,'OrtIlOn or Ilmll., ."llly 11IIhl ",o,(I',o.nl f,d.r.llncoml flU JI,lufll,'wrul m Ihw "",.1 IIc,"1 holll .nd lu.. Illi.lwn'llll' O. N''''I In,j "'hlffOU 11' \Ju.ln... -1' A Till" ..A.. 1 ,'J,1( h'~'f f.IA", ":'H'~!H{, p~ :,.(~ I"''''''''. 'If 4 1)J.1'!'~_1'.~{~~ I rJLLlu 1.I.phon. Numb.' (~I ~)~,,!'1. .~ 1.,'';) 1'"1(. .J ON."" ""1 AllIl,.., {If 11'."",, II (. ~. I '" '!~~'I fi l.,t. lll""'"1 Ih." q lI' .cuounllnl. oonllOlIII vr olher per,oll In ehlrg, 01 IInlnelll ,i:1~A) 1(' ": ttl1..1 ~,I'~ . ".. '\' j r 1'~" f , '2 ~ ~ (t.) ,(. t{ . " r"" , 1'" J E (n ArIlHlalllu."lfI' 110111 \:Hltl"". m Huw 01',,, 111111.0"'. l.cllyt,l'I (l) ltruu IliW"" "" PlY ",,'ocl 141 H'lln"'.",. pll pit POI/lOll (~l f!",eiIH, d.,JuLlh"'llf ..IIV ''I ..1 . L!LI.'i~ , ,~._, J 1- I ',.,'.'.'.dn, .. Jj!... I \;c.. JT ". .- . ",,'" ''H ~ f/1, ,"" ~ 14 I-~ 'r! '" ,< ;'1;~ 1:<';' H~ Att'" (~,of'!",t fir/( 1"1t~f( b, 1'. ., '-".-. 'iCI1EOUl.B C (Form '040~ "."~-JW.lol _. ...-- Profit or Lon From BUllno88 (Sole Proprletor.hlp) ~ P.lIl1nhlpl,lolnl v.n"".., 'Ie" mOil ftl, rorm IOU, 1096 ~ An.ch I. FOfm 1010 1M' Form 1041, ~ ...In.~ucUon'lot Bchedul. C FOfm 1040 . ;~"~f':::~'\\., Oil .......-..-CUHl 167-40-0225 o Enlar prlnclp'l bUlln... cadi .___.___ ~om PI~O C-O)~_.!l2 ~9__ O[~ID'..n"":INllI"lW OMI H.. u....... b'f*~' .llh, tnuwy ''''MIIl'v.nu.I",,''' HUM........'. Kathleen A. calaman A FtIndp.1 bllllne.. or prolo..lon, 'nclodlng prodllCl Of 1.w:1 (no pig. C- I) Dance Studio 00__." ..........__. C. Butlno.. noma. II no IlIPllo11 bu.lnl.. n.mo, IalVO bl.nk, Kathleen HUBBell School of the Por. JlI'lu e Outlnell .ddrnl (Inclodlng lulll '" room no.) ~ _ _ _ ~-:~-'::-:::-~-'.. .. .. .. _ .. _ _ _ _ .. _ .. .. .. .. .. .. _ .. _ .. _ _ .. .. ~ .. ~:.=-=~ CIIy, lown or potl olfloe, llala, Ind ZIP codl .......__... ' _'_'~_ F AccoonUng me\hod: (1) I>> Cull (I) ~UII (3) tl OUw(apeclly) ~.... _.... _ _ _.. _........ ............ o Old you 'malor"ly pIIUClp'1e'In tho op.otion of Udl bu.ln... duolng 19\10111 "No," _ p'ge C-21", Ilmll on I..... . . .. ,..,. .. . ., M Vu (] N. ~, II 0 llarlod '" ,oqtW.d 11111 bUlln... durlnglW6, check h",. , , , , , , , , " . , , . , , " " , .. . . " . , , , , . , , " . " , " . , , " " . " , , . , , , , ,~ [) :.iJW1illtI lncom" ___._. .. I Gr",. roc,lplS or llle., CauUon: IIlhlllncome WII rapQ'1ed I. vou on rQ'm W.2 .nd "'" "S"lul"'1' 'mplov'" box on Ihall00m WII checkod, I.. p.g. C-2and check h... " . , , , . " . " . , , , , " . " . .. . . .. . .. , . , , , " . " , . ~ 0 I Reh....nd dowaneel .. . .. , .... . .. , .. , .. ... " .. . .. . " , .. . , , , " .. , , . ", ... .... ... .. . .. . , , , , .. . .. ... . I Sub..et Mne Itom 1M 1 . . . . . . . . . . . . . . . . . . . . . . . . . . " . , , . . . . . , I . . . I , . I . , . . . . . . . . . . . I . . , , , . . I , . , . . I . I . . . Coal of good.loId (tom ane 42 on pig. Il). .,. ..... . , . .. . . . .. . . , . . ... ......,.., '" . '! . .. . I .. . .. . ,. . .. . ... .. I a 4 29,306 194 22,192 3,945 . Gro.. ptonL Sub~1Gt I"''' tam Milt 3 t . I' ........... f. . ,. . , . . . . . ... ... .. I... f f" . .. . ... .. I' f. I I I I '" .. I 1 0lhIr lnooml,lncliJlJng r,dIr,',nd l"la gllolll1Oor lUll... a.dll or "fund (IN plge C-2).. " . ...... .... ......... 1 25.247 1 25 247 ,. 101 101I 483 11 u 608 n .Add........nd........................ ...............;... t..............,... .. .... .... enlor' ..., lor bllllneo .... 01 our h.me olll on ,.. 30, . 1 38 It POlllfonandproll~ plano.................. 10 Rent or..... (1M page 0-4): ............ I"'" I t . . v'~tmacNrwyaaqulpmenl"""" "t... t It I . AIhwtIIng.........t....,.. . IIad dobll"om ..... III IIn40M (1M plOt ()..I). I . . , . . II Ctfand tuck....... bOth.. bull,.. paper1y................... f..... ("'PIUI~). .,.. It ... ,... 0 568 11 f\epak-..ndrnak1tien&nol... I" f. ,.,..,. .f....... II Convnlaalo"..nd............ U Suppllos (1IOl1ncllldld In ,..,111I)............ ... ... I' 1>tpIIIon.. . . . . . . I . , . tIt. I . 11 I:J T.... and "*"" . . I . . . . . . . . . . . . . . . I . , . . . . . . . . a 0epr..1Ion and MOIIOIII711 U Tr...., melli, ond enloo1al"""'n~ IIlqlIflII dIducIon (nollncluded 0 T".............................,..,..." , . . , In P..UlfH_ ~ 0-3).. .... 13 ___,..2./..:!J!.I b ...1.I..nd t 14 I!RlIIoyM bene.. pourame o"lootalnn\O,~ . "........ .. . .. . (oUw U\On on.... II).. ., . ., .. 14 " En'" 6O'Ilo of 1'\0 24b aob/lKlllo , IllIIflnoe (oUw Ihan hNIth) ,.. II ':::~=~~___~QIl Imllol.n.(_ plge C-41, , , , . , , . 1 'n"'ot~ d SuIIl,.1 """ !!.. 10m'" 24b. " , ,.".....,.. '" . o Mortgoge IPIId 10 -., 010,) ., I.. __..__. ._..... II UUhb.." . , . , ,.. .." . , . , , , , , , , . .. .. , " , , , , , . , b 0Uw ......... ... .. .. . .... '1"__",. 21 Wig.. (k,.. 01l1jl~~ a.dlts)" ."""",,,.., 1.egeJ ,nd prolotalonlll..vtoos, JL. __... ,.. _ ~}!,' 21 Olh... ","',_ 0ftI0e .... ............ \I ...J!.!!. _....~lIlll48.n I l! ..,....."..,..,..'".... TOIIII 'lJMIfI..a bobo __flIOI lor bUAlnl.. UH.f homll. Add Un"l 811""1110 211r1 cduml1l .. , .. , . , . , , " '.' ., , . , ~ Ua _._..._........__ .!!!!. .._._..___M..__ ..!!.. _..M____ II 11 l-L11! II _.,J.t,61.!i. " Tlnla9vo poll (Iou). GWhoU..1!O 10m kno 1. . . , , , , , , , . . . .. , , , . , " , .... .. . . , . .. . , . .. .. . .. . .. . , , , III I!llpOlMI lor buu._ UN 01 yot.f home, Al\a(;hrCM m "21, , . . . . . , , , , , , , . " .. , . " . .. , " .. " , " . " , , , , 11 llel proftlOt (IoIa~ GW.llOl kno 3O.om Ino 29 I . H I ",011, .... 11II 'IM'm 11140, Hno II, and N 60 on Sehodulo 11:,1111I1 (o""*,,y~, _ ~ C-a), t."loundh......... ooFOfm 1041.1..3 . H .1011, you MUST go on 10 lno 32, 12 II you ,..VO ,lOll. tNol< lhe box 'III deaal... YOll Inll..lmanlln 11"1 'clllllly (IN JIIllO C--ti), ." yoo chrQod:lta, on" 1110 loll on Form 1040, IInl 12,11101' AlSO on khodollll!,.... a (ltolulorY 1I11fJlol'Mo. _ plge C 6), hlol...nd l u.ls, .nll. on '"n, 1041. Uno 3. .... . If}'<!o .hor.L~YO\l MUST ,",eto 'CMIIII..,!!:..__. __, '''''.._,-_,__ COf r-verwDf1l f\educ1&Gn Act Nou.cl. ... fUtln 10CO In.'' UttloUI. _" _____B./. 6 3! .!!!.,,__... __I!.L~.!'i! I 31 1 !I'll ---_._~- } aa, n ~ k.Votlmenll. II ".k, >>b [J tloma Invelll1llnlll nol II rill<, Ik:h'dul, C (f 1.1I m 1040) "M tfA ~ n :II 01 :II r o. 3 945 40 ,] 945 41 , . ~... ,'- I,' '.7'":-'~' . ~I""I'" Kathleen 'lImUIIIII COlt ot Good. Sold . aa lAethOd(l) UMd to VIlUl doting InvIlnlaryl, 10 Cotl b 0 l~w.. of coal or mllkol 00 OUI.. (lltach axpllnaion) )4 W.....' 'f1l' thing' In d,lormlnlng qUlnillol. co.lI, or valolUon, bllw..n oporlng ,lid doting Invanl0ty7 II "'i.... attach IIJ{planaUon . I . , . . . , . . t . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . , A. Calnman (... PlOt 0-5) 167-40-0225 No " II Inwnlory al bIgInnlng 01 \'Ill. II dlN..nl' om 11.1 y..... doting hIVlnllry, Iltach ,.pllnoion. . . . . . . . . . . . . . . . . . . . . I I I . " PUfCha,.. ",. cOil ot ".ms wlUuSrawn fur p.,oOlI u.., , .. . , , . . I . .. . ..... . .......... .. I. ... .. I . I . . I.. I. . 17 COIl or IabOt. Do nol Inct~d. utary paid to ~OLl,.It. . . , . . . , . . . . . . . "' . . I . . . . . . . . . . . I . I I . I . . . . . \, . :. . . . . . . . II tAl""" IndIUPPUet... 00. II' ". to....,... II..'........,. Of "'.01" ............!.... "" It..t..o.. ,. OU"(lOIII...... .\.... Of' It ..... Of. It.. to..l. .,......,... ,........... ..Ree.. Stat.ement..2. $0 Add Inti 3S Vvough 3W. .. . ... ... .... ... .... ., .., , .. . ., , , , ... ... '" .., .,.'........ .. . ... . . ... .,. . , $' In....nkry ,land 01 year . .,. ... ...... . .. . .... .. . ... , . . , , . , . ... .,. , . . ., . ...... ...... . .. ., . . . . . . ... .. ..old, Bub~aelln' 4 Hom'" 40, Enl.. \hi /..011 ht.. Ind on I "' I.. 4 .... .. . .. .. . .. .. , .. ,41 ] 94 5 InlormlUon on Your Vehlcl. Complete \hi, pili ONLY N yoo "' c:IIImlng ClIl or"uck axp'I\HI on ""0 ,nd II. no' "qu~'d to .. Film 464llcr IhII bual_l, 11M IhIlnlhlClonl lar _III 13 en plOt 0-3.. Ind olll N you mUll"". II WhIn.... you pIaOI ~ VlIh1d1ln awWla for blJllrMI Pl>'P-" (month. dlV, rwl ~ 14 OIlh1lal11l1llri1er 01 mIlIt yOIl aow ~ wl*:M dll1ng 11lIle. ,nllr IhI numb.. 01_ you UMd ~ WI*:lI'orl .auaInIM II Commulng o 0lhIr .1 Do)'OU(aryow ipOUII) NYlanaIw**" .valabllfor ptr.onaI UN?................ It......o 0 0 0 o. .,... 0 V.. o No .1 W..YG'I"....wllbllklrLMdLltnQoI-dutyhcKJ1'......,.."..,......: ,....... ................... 0 V.. o No o No $7' Do rou NW tWMnoI &o.UIlPQrt ro&I' dedualon?...... ... , ... . .. ... ., , ........... .... ... ... ..... ..... 0 V,. ................MMnoI\NItlt4tn' ., .... ... ...... .t............. '" ..... ....,.. ;,.. . r n.... UsI below bUll...., "'" not InclUded on _.... 1-28 or .. 30. NO . ........ ASCAP 65 ---- Mince llaneouB 52 _Qther Berv ieea Postage & Freight Small Equipment items 034 0'1 740 I!.J'!~ o"*" 8IPIfI"', enlor h...... Il/1 J!!lI!.1 ~ "" '," ' , . :~:~,~:~""~........,.... .,." ,.,. .J~ l._~~:.~;;'- ~ . ~- . r... 2 'It.. 8829 L Exponsos for Buolnoos Use of Your Homo l::"'~""!,1H'9',9"6..t1!t_. r .. I.e 01111 willi 1.".dul, C 1,..,.'0"1, U.., ..p.,1t 'lOrn un lur ...h D."ttmnlof Ih,'rtU\lf , ' I home )'bU ~"d hlf ..u.me" OUfIDglh1 Val" Allnhrntnt tItI Wiltmal",wenu"WVMt 1!~ __.....,,__.,.~_!!l!!Jt~_!!!_!!1J~UttJu,.., -~~~.--'-'"i'..~ .. U'f'$' Nil, _~:P:~~! ~:u~lriiJ;']l..g]liiPH!!f!m '... ,.._.~~!~~;:~~~~,=-~.~: 1 N" ueed ftgutl't~ and ..dull....,y Ii. bUlhwu, '."'Hllt/lr fur thtl !-iI', (.Ij ll.l .tUl.WI pI lH\I"nlill~ ,... PIUduc;I..IhJlIe"l!I- sH\n$.""Uonl,...".",,,,,,,,.,,,,....,,,,. """""'" l a Tol&lllU 01 home" , , . " " ."", "" " , . .. .. . . , , . , " ., . .,,, .1. 3 OMde I.. I by "". II. En'.. Ihl """" I p"""'ouo 3 · for d,y-clI' tKIUU.. f1ul",.,,, .ulu~y.',. tIN bUlhl''', .lau tOlUJ.lI.'* &hill ....,iI;~: I Atl o\h..., aIllp 111111 4.1 ,nd .nlll \h, ,..ounl ~ornll,," ~." "". f, rN- 4 MlAUpIy dtVt IIiId I... dlY till dll'f111 ~ by holt. ...d~.. dO,. . ,... ,'. ,'., l,J. .... .,....l1t, ~f I ToIII hOIl. ,vllltbil I.. u.. dlM'''1I U", \'HI (31lG d.". ~4 ,..",,) f4. '"'''''.0''' , , ".t,._._..._..~.hr..t _ S~,,'~ I 0l>1dt inti by In' 6, IInlot U,. ,..1M .. , .....ilh.l.muu'" . '. ."..,.."., .~ .1"11 7 BUilnell p.ctnla;a, r~ tJ.Y--(;ifll.cilHie. flut lJI..d '.lChl~I~'lJtr I!. l;U"IU"", muUjpl~ hUiI . tJ'f hll8 3,;,Yj~ .ntet ther..utI al we.utl. . ~ (,Ith.. Inl. Ih. @lHtllll!.!. "{J/!t~,!"t O;""'''-~c.~':':'''':'.':''':''_:~_.,. :...:..:.,~^.~":".'-'...:~._d~, ~_!_ ~___,..."~!!.:,..QQ ~' I ur. our AI DW'~.!.Q!~I!~!l'1!1 · En. &hI.mount..om 8ch.du18 C, IF" 2V. plue Iflr fltit' U_lf\ 01 (Iun. ""WI" "-+111 &ht \JlJJ!n~" Ut. ell VUlI hUlIle .nd ,hown on ~htdUII 0 IIf fllfm 41UI,1I hll'. ~"" .""1""<8 .'.l'\!."''!'lt.t!!~~~l!!!~'1!\~ ",::_ ............,...........,W..,....h............... .. ...-.... ..tH..!.t':H~'">'!~.!. .....H'!i~!!!.!~!fl.~t_. . ClIUIlIy loIHI, ... hllh",UOIII .. " , , . .. " , .. , , , ' 10 0IducIbIt Ill/I1ilItIt W.uL ... .... "'*'>no , , , , , , ,. ' 11 IlMllllalt....... ......1""...." " .. .. " " " .. , , 1. Add...... 10, and 11 .... I . . . , . . . . . . , . . . . . . , . , , I~ Mi.lfI!llI' Int II,IlGlumn (bl br In" ......." ...... II Add Int I" tdiMM ('I.nd I.. la....." ".. ,.., .. . II ....hollnt II tllllllnt .. U..O" ..... In'" -0., . , , " ~ IIICrigaoa InIlIrIll. "''''.IdonI, .. " , , " , .. , .. ., . 17 InI&I'lJ'V;IlI....,......,.....,.....;t........".,., ,. ,....and~....,.. 'f.....'...".,;.. 1.~....t.........,..........."....,"",. lfl Olhtt.....,..., ...Int........., " " , " " " " II AddlnNl6hOUllllfO......"""........, . U Mi.lfI!llI'lntll,llGlumn(blb,... f,,,,,,,,, IS CIIryww oIllp1r.ltttllO<plo.... hm 111II1 ~.."' 11I0'\1, .,.. ., 14 Add Int Illn ~1 "I, I'" 22, .,Ill 1,.. Jj. . II ........able llpIr,ltttI tIpInMI. tn,- I'" __ uf .,.. Ii '" ;,.. .4 .1 UmllOII_~ 101... "Ill """....1.11 Uutrla,IM". <b I.,,, .,.. ,. 17 EJoeuClULllltr","".lMklnuc.1IoI1I " .. Ottlr....... oIl'11l1' hc>me hm PilI III """'.. . II Canyo\w .....lOI.uany 1oI"'IIt(j a.,-_81AtbUlI."nl '''lib t(lI.'. itI~, tt. U :to AddI_l1h~" """, :11 AIowabIe.... ~ kit... .ruJ '....-Ik;jjfw.i ~_,\'*' f..l;i .Itlail... llf III" Wi" "'. to :u Add Ir1M II, II, &/l,UI . """ .,.. U ~luttpcllon.lIf.ny, t,mtlll"14 t"dll (-"j~.nlU;Jflll1. tJA'fft...., ~l. . :II AIoooable.....- lor buolt........ of r<JIf ".."'. DuI,...., .,.. HI..." ....lll I'....... IIlllllf' ",lAd... I;, I R._~~"";;~:i!liy~!~it~~!'!t'~''l'~t.~l!;!.'"~., ,- ".._~,.,."",,.,t. !! II E""'U.........u1l'11l1'h"""..'dj\..IIId.,.lI\"'''''''.''''''~iol.'",.. ............... 31 V",," III land RUItd Il/l I'.. :16. , , , n Oatil III ~.lkA>hd I,.. lift ...n....:I1> 31 DlIII"," b.... III buI<Ing, MlMIp/r "":11 hi I,.. I 31 0ttlr....1lOII ptIOllrltaU'. "'1,,~..._10l" t ~ilm='=r~\~1~;~~~~i~:,~t.jru~ j~'~ r ~,~ r~ !~"t!!. ,~!'"\~~!.!L. .. Optr.q~b'''.',.W,'Y-ffl-'*i. IlklUU'''H.t~4.!,tlfl'--O ,: "::::'~~~~7~p~:;~I;i~':.l.I';;;;'~:~~I:~,;'!o.!~!'!!!U'!~m~.\L.",,;~ ", .,. .. -...-. ._._-~ _.. "-l-7T~' _~"'_ _,__.__~______..,-_.L,_,___","_ ,U J.t ~Q~ .ll. .._._..._,...._ !~I !, ,~ II ":~"-" L ~:~ ~ .!! ~ lJ ,-_ v ,_ ... ~__e_'_ ~ .*" If ~ ~. .tl , 1 JI I ;,.~.;),,~,~ _,..ttl 1 4]2 __l,,____...___~._^ 2 10n -.t-_..~__~ CO.OO % '--'-'--- "-,,'>-",'---~'..."'~ I~tHl.... I 2011 1 ,,,_ ,._ _~, ],206 I, ~11 B C r.lr- -- , ,---,~---~ ------- l!.&tH!~_ I : -- .- .' [~ jF~: , . '" die ,;;; "'~-,. . , . ,.. 4562 I Doproclatlon Dnd Amortization (Including Information on L1atod Proportv) .. II.... 1I"1"lnllrotUo,,", ~ AllJl<h "'111..m 10 ou, "Iurn, 0""1 Nit U4I.111I 0""""'''' ellh. '''''''W' ",t.",'''innu.llfwll. .......h."'" Ilf',.h," RaYll1ond~. and Kathleen ^,S!!l~!!l!!!l____.,_.. r~.,....,. &lIIwU, '8.h6ch 'hll'G1mr."'I.. Schedule C . Kathleen Huullell Hehool of the Per. Arta lI!I8D[iiK~on To I!.P!!!!!_~!!"I_'t!~~UI~I~.r~~P!~'lit!~~~~.~~!!!TL~~1!;>~! r'!'!<~~~,~ ~~!;~;;;-;;~v., (Oftlpl,l. p" I \I b'lDJ !1~.!.!!!!~.~!1l~*~= I M,.lmum dollll imlltUon, 110" .nil'I.I.. '0111 ou"n..., a.1 pO~1 e 01 I". 111.1 otlioll, , ",'.. ,.., " , , ."..:.. '.2_ _._.___~!} ,5.QQ . lolal .011 0' alQUon 178 prop..ly pl.c.d Ilia.."'. 6.. pIU. 2 .llhl "..Iucouna, "..',.,'..., , , " , , " " ... ,2 . l},!l.~Q I lI...hold coal ol.IICUon l1UplOPOfly Uol"'.'O(IUt~Ulllllllllita~UII.""".,..,.....".""" \""""'"'' ....L $200l..QOo. 4 Rlducion In Imltallon, SuUl'cl Milo 3 hili kno 2, II ,... lJf lou, Iniof -0-, , , , , , , ... ... , .. , , , , . . . , . . .. , , , . " ....L _ 0 . Dohr .mllaUon 'or \ax )'tlf. SuUllt1 inl 4 1.11I kll' 1.11 '1lI0 lJf kill. .niof .0., II ml/llod h.nu "p",hlly. ItO Pog,' 01 \he Inlluoiona. . " "'-'-'-:.'.':" ::":,:::.:,: .'c:: '".C''-'L:' , , , , , .. , ,.. .. , . .. , , '.c' , , .. . , , , , I · 7-Year Stt:ti:;"t;;;;;~lc~~.~=~:.::....=e"C.'==~1~]]~____...._~("'..,.., 3 ,064 1996 All..hm'nl 67 II u.,..N.. "MnlHP'e ....... 173-30-5027 "_',._.m ____._ ,.._____~.___.._.._,_ , Ulled P<OI*ty, En" omounl. om Mill a1~~. "~::~:~~,-: ::.:,-:-:-:.:=,~.=" . . ''':-:~~''TIT. 1 9 B i . Tolol"'d co.t oI_Uon H8 ,.apl/ty. Add ,moun" In OolUIIIII (c), Un.1 a .nd " . , . . , , . . . . , . . . . , . . . , , . . . . . . . T.....tlYt dldllOllon, En" V.. ...... oIM,.. . .. In. . , . .. " , " . , " " . " . , , , . " .. .. . .. " . , . . , , . . " , . .. . . .. CInyovwolllltllOWMl dlduoUon 10m IU85, llHp.g.eol\he....""aon. ..."...............".......... 10 11 I'*'- "-no 1InIa10ll, Enlor Ihe ,mailer 01 blllln...lncon.. (nolleulllan IOfO) or.IlI' (_ ~lIIUCUol1l) . ... . 11 13 lIeGton 171....._ dllduc8on. Add .... 8 ,lid '0, bill do "ot ,nlor /llor,lIlan Mill II . . . . . . . . , , . . . . . . . . . . . . . . 11 I. ~oIdi11--.cldlductlonlo UI81.Add.....'.nd 10 .......12...,.,."....,.. ~ 13 0 .....1 Do no! UN I'Irt M or I'arIIII below lor hied PfOf>llty (.lIIomoblloa, OII1a1n other v.hIolN. oeI..... ItIophg",.. OII1IIn comp...., or prDplrlv llIICl far lIllIIrtlIlnmIn ..."Ion, or a_monl). 'nlload, UN Pill V lor bled 1/. MA Uon For AItOIa Plleld In "vtc ONlY Purln Yo", "" Tn V,,, (Do Nollnoluclo Ulltd 1'\'0I*1y.1 1Ic\!l!!! A - O,norll A'HI Accounl ~tJon If . wou... mal<lng"'1IIaotlon under __011 '8a(IX411o Il''''''' any...... pIaotd In HMat dlJ1ng IIla \ax)'tar Into IlflI or n""o I boa. Bee' I of WltInl"UC;"OOl, . . . . , . . , , . . . , . , , If. . . , . , . . . , . . . . . . . . . + ...........,... .... ...Illo.."'........ "'.,...., 3 01 \he lnahellOnl. t., ClWlWfntion C')M.lhGd .. D'pl'ICMlIon "NI.. 1.. " I-YtII,.CIlIItv o '-)'tit P'CIlII II IC)-yoar ,._tv . , '1I-)'tIt prQllOltv ,..L1i:r!!tPfOl*tv '=':~:I"~.~' .~.:====~=_._-~~~--_~; ~l~~~ftf ~:~~~~~=: ~~1~t== ~----_.-~-= ,...' Norw_".lpr_tv:.--.:.=: =~__.YrD:__~~::.::: _: t it: ~,' .t!!=:-~::'-=-~ IIctJon c . ~fl~IIOY'~.P!~=~~=~Y"~1.l~2!1'~~=r,:~1~..:~rUOjlzR ._-1!!!._______,_~_ ".-'4o'}'.h--'-MM'-=!"/37D--' ~r g!p!ec '.!l!!ll!~N<l4lndu'kll."ktdf'''I""tyi'iiio.!~v!I;;!''h.!.!!'!~~~L:-:-, ----illJ- '--' 11 G08 ,ndMS ,clo due 'lIotlI'or ,. 101I1''''''''d In... VI< .11,' ...,. 1"'" .IIOY, '.11I1 "II, ", ."...,IIIl6.,,"',.,""""',.,' .1L_._..._ \I "'_tv ....~ to .....n IIl8(IX llllocllon , , .. ...,"".,..,.."."",.".,..,.""..",,,.,,..,,, J,!.. r5fWlj;I!1:~O;!~~'! ~t~~;,;~.:~~;,;(~ci:: ':~::.'"'_'":'-cC."":"~:~::":':"'~' . :.:':'.'.'. _..... ' :~ ~= :::'.:;~:..':.~~ ~~~I:,::: .',;" 10 "~ r;~';"'"(~l, ~,;,; ~,~~ '.~' ~~~~I;~: ~'n~' ;';'~',~n,' ~e';,;I~" "1.~" -.---,..------..-- _"""'"..... 01 vou' "lilli, 1'lIto..tllj.. & Ii (''''1''''.0111' ... 1I".ooloos, . , , "" , , , . , . , , , , , , . , , , . , , , 1I U' ~;. "::~.:':: .::::u~~~ ':~~:~:'iI~Uo~ :.::';::I::~::,:": ~:~:~ti~~,.. , " r2~ [------- ,fA flit '1jlII~ IltdUCtJon ~l HoU040, _ pll/O , e' U.. "'1'~.I.IIII~u<Uonl, '--'---'-'-"-_.'--"---~'-- ------ --_.__.' ._- --~.._---~._~.,..~"..~--_..-~ --~.__.~~-- -~_._~ --~- .-......_._"._._,----"-_._,._~_._--~ ----._----~..~.. ----"--.,,-_. _._--"- 1 t.E.!l KA'IIIILLN A, <'A'AMAN, I'lullllll1' : INIIW l'I)\IIH Ill' I '(IMMON I'I.I,A" 01' : l'IIMIIUUANIH'OlIN I Y,I'LNNSYI,VANIA v, : nVI' Al'1I0N .IA W ItA YMONI> I~, l'A'AMAN, I>efelldunl : NO, n. 2 Ill) l'IVIIII:ltM : IN I>IVOIH'Jo: UEI"t:N UANI.'1ifJlE:IJUALJiIAIJ:;MJiliI.AILfJoJl rAIl-W'o.l "0.11(111 , ASSEI S '11w Illll~1 .iWllifh:UIII Illurilulu~~d I. Ihe le~idellce/dllIlC\l Iludln II :n() Ymk I{oud, l 'U1Ii~le, I'C~1lI1~ylvulllu, MIS, ('UIUIllUllllllllcd Ihis pll'pcrly prillr In Iholllllfrlllll\l lIn July 24, I IJIJ.\ , I':ully In Ihe Illunlu~e Mn, I 'ulul11un wus In tlllundul dislreullu\lIO l~fll\lI\lll dcblH Ihut escecded SB,1I01l()(), She wcnltlll'NI' lIullk III rel1l1urllc Ihc pcnllnul dllbl wilh her hlll11e/HluLlIOI11l1r1I!Ullc ulld ~hc wus dcnkLl clcdit. 'I he hunk lhd, hllwc\Cf. ulllee III Ihi. refinundnll if Mr. ('ululllun u~reed to l'Il.sIl/nlhe nllle und 1I1111111UIICI his lIccune.1 In July IIJ\I~, Ulllllhe properly wus lrunsli:ned Inlll jllinlnulllc's,1 he 1I11lltllullC \\U~ Increuscd hom upproshnutely $~~,()()() 10 S71J,1I11() uUlI Mr, ('ulultlun ucccpled Iiuhility wllh MIS ('ultllllan h1l tho cnllre dehl.l his property' I~ now Illurilul prllperty, III the hnll yetlu of Illunlullc Mr. ('ulul11un hu~ l'lIl1lrihuted HI~nllkulltly III Ihe eHlwlI8u reluted to Ihl~ prllrerty, hnthen,,"re, he hu~ pellllnully pellllrlllc,JI1UltlelllUS Icltlllllvlil1lllllhs 10 IrllplllVC Ihe plllrel'ty, The S71J,1I()()()() Illlllllluwe hus hcel1lc,hll:cd hI UflPlllillnlulely \14,1I()() U() Ihe cllnenl fulr Illlllkct vulue uf Ihe lcul c~Hlute Is undclwlllned. I hc pllIllCfly WI" hllll<J hy Ihe purtles Illr Hule In the Sprlnll 11)'11 hlr u IiHtlnll price uf' 12U,()1I11 (\111 his was haled "Pllll Ihe IIllvlc~ llrth~ Il~Ihll1 reultllr, ~, l'hnlnlllUph~ ()~Iln hl.' lakl.'11 I Ill' hl1prll\'l.'I1I~III~ In IlJl.'lIli~l.'1 hy I>dcmhml illduJlIlll: I. 1'11111111111, 2, R~fIlnvaluf klh:hel1l.'lIblll!.'11 Irllm waltinll rllllmlll cl1lafllc 1IIIInll fUUfIl, '1 hll IlIcluJed walllepailallllJ dlldr lail, ), Remllvllluf tWIl (111111 III the ~elllel' nf Ihe Jail'" IlIIdlu, 4, Itcccuh11l11f lIunre\ll'CIII ccilh1lllillhll in Ihe \Iludin, " ItcmuvlIl nf 1I hllthrnlllll alld dU\lcl~ hI CI1Ii1llle IlIe Ilullln, 6. (tcI111ll.'Cmelll nf Ihe IInnr il1lhe \Ilulliu, 7, h'llallllllulI nf lIce! dnnn III wailllll! IlIUlIl aludin and kitchen (wilh II Ihmn dnllr), ., lIeplIlr lIml rl.'pllll.'l.'l1Ielll nf Ipulllinll allll Ipuulinll hllllllcn. I), Itl.'llIn\'al uf nld ~illn and prl.'pulllllnn fnr in~lallallunuf alleW 111111, d, Cuphll uf IM~ndall\l pay rel.'nrdN tn l'Ntllbli.h hl.ll1~nJ1le. ~.6, IN I.:Vb-U;/L;XI't,Nl)1;.:i 1{IlYlIlllllll L ('lIlul1Ial1l. II Iubnrer lit ()uak!.'r City AUIIlI'lI111 where he wOIk. 40 hnurl per w~ek ul U rale uf ~9,40 per hnll!. Sill~e the Sprlnll nl 1997 t\1r. ('ulalllall lIa!! alln WIll ked allln.ll>illllbutinl1 lilr IIppllllll1lalely IK hnurl per weck, 11i~ l:Ill1lblm'll l1ellllwlIle il \17200 per Iwek, A ~npy nr Mr. ( '1I1al1ll1l1' I Il1cnlllC 11m! elllCl1lC ~lalcl1Ielll IUbll1lllClllllthe purtil'!i' luppn/III~lilln illlllll~hed hc/etn Mr, ('lIhulIlUIIIIII pruvided Ihe IIIPllllltlll1! pIlYIllIIIl.'l:Ilrd~ In MI", ('ullunlll1 thlnullh l:Ilunlel Mrl, ('lIlulIllln wllIk~ PIIII'lll1Ie 1IIIllilllllly bUllnel. allll I. plllll \7~OO lIelllllr week, Additillnully, Mil, t 'Ullllllullllperlltcs her Ilwn huslncu knuwn a. the KlllhlecnltuslglI H~hllul uf .1 lhe I'nflmnlnll Art9, AtladlCd j~ Mr~, ('alalllan's inl'llllle a11l1 expense stalenU'lIt 01 wellll~ II wpy of Ihe partiea 11)1)6 tax Iclum with 4'ertain dcductilllli hlilhlillhlc.1 whkh reduccd Mn, ('alamall'alaxohle IIICUIllC tu an allluunt \\hkh did nut reflcct her ,,"alllle cosh netlnclIlIle, Allo atlachcd lathc UUlllealic Itellltiolll Cllnfercnce 11IIlllllury shcellndieatlnlllhut Mn, I'IlIDmOn'allet weckly eurnlnlls were calculated al ~4BOO, Mr, ('Illllmanls covcrinil Mrs. ('alaman with 11I4'dlcullrIHurance thruuilh hll clllploycr at Q cust lIf $3S,~4 elery two wccks, 7, l'UN ~IUN/IUiUJU.:MJ.::Nllllililll1~, Nellher party hlllllny pellslllllur retiremenl bCllclllllhat arc at iuuc, K, CUUNSEL I'EES No duillll fot 4'oullsel feCI hale heclIlllade, I), lANUIULE I'EItSONAI.I'IHlI'UtU', A~ Indlcaled ahow, the DlIluunt III' lanllihle personal prupelty al'lluircll durlnlllhc marriallc II modcst sincc the patliea hale IInly hcellmonled lilr lout years The tanlllhle pCI slIllal pwperly thutls lIIatllllll\l\lllCrty mual yet be lIcl1li/cd sollmlthe pllrticlnluy pUlsue all uilreemenl with rCllald 10 il'l claluutilln or dlvlajon, 10, MAlUlALllillUl:i, The only mUlllIII Ilchl of siilnillcllnce ISlhe hume mortlluilc allllthe IIthcr home ol'cupancy eXllCnSl'l luch III lasel, illlUtallce, and ulilities, Asuf Ihe time III' Icpllratillllln cully Septemher 11)1)7, Ihese aewunls \\\'Hl currell\. II. l'llUl'.illilJlJiLliU1.illlUN I'htintillluu rccently Indicated Ihat she can qUlllify III rellnance the eslstlnll1ll11l1llalle III hllll: Mr ('ulamllll'sllame rcmolcd n'lIn this sllllllllcanll1llullal deh\. Iklcndanl's prupoOlod rC80lull<lnlslhal MIM. ('alal1lall rcflnunee the premises ulld Ihat Mr, l'ulal1lan he awurded $I~,()()() lilt hl.llltere.lllllh~ lI11ultul prnperty, If Mrs, ('ahulllIll elln hOllOW thl. UIIIlIUIlI u. well a. lhe currenll110rtllullc hulnncu Mh~ .hnuld do 80 4 , ('- I INCOMI AND l1)(fll!NBI! STATEMENT OF .-). (III I /'11/" In 1(( t (l,11(1., , II/1M )/'. /)(,1 OAIE lIt1l1ll1^lIMtNI MUBI BE IlllEO OUT (It you 1110 IOUllllplllYUl1 HI II you '10 bRld""" I'~ II IIlIftlll"8h III wltlc.It ~llU aIU llwnor In wholl or I" 1"'1, you IlIUftl alia 1111 out IhD 8uppllml"I,1 I"coml 81"111I1'" whld, a""oara Oil litO lnl PIUO 01 thla Ineoml and Eapln.. Stltlmlnt.1 BON INCOME (I' Wlg../BIIIIY I' , Emllloyer & Add,... f...~W'I .., t'~ I... " f ~ AI, fu fit. Job TlIle/Dllollplion > iJl'.oIl," I: II. ," (I PlY Plllad (W"klll..11Iwl~ 1II0nlhlYI 7's,2 flU Oroll Ply per PlY ~ '" , . Plyroll Deduollonl: Fld.,11 Wllhholdlng , Soolllllloullly",,, locIIWIgIT.. """,. 8tll' Inooml T I. . RIllrtm,nt "..".. Illlllh Inaullnel . Olhol (.p,oIlYI "III~(, ~~, . . . . . . 'M' . . Nit I'IY I'll rlY Plllocl (h) Olhll Inoom' Inl.,.atIDlvldlnda . "enllonl&,nnulty , , ' . Borill dewily , . n,ntl/RoYllll.. '. hp,n.. Aooll"n' ' . U1nl,.. .. . Unlmploymlnt COlli I" "" lion '. Workm''''1 Comlll"ullo" '" . ICllll, Olhll Inoo",. '1 l jJj~u.. ..1u.. .".",.......................,................Uj.... 1___ _.w...~_ ~ II , l(.L~_m il. t...A~ 1 1\?- ,.II "" \:~ j :ij'/ It I 'II "..""""""."."""..,,,....,..............,,,,.... '....574 vf, Waok Monlh ...._--_....~-- l- .",.. "'-'''- ...... ...-.-..,.....' ........~ . ........---.. ............. $. ..'--'-~- .-~....~.,,- $..,.._______ $-_.._-~_._. VIII . $.. ......-,..-. .--. .---.. '_.....n.'..'... ' $--...,... .---_...~. .... .-..--.--...., ,...... ,-----.., , .....- .... ......-... .. . ,,'..' IN(.IlMI MW 1.1'1 N~E &IAHMWI Of f "fllr th" Ih. 'l.lt"'U~fllllllldu In thlllfl{;orne Ind e.penll 6111.. fU'f,I." hue Ind llll!iH_1 I ulHle,.I.mJ tll.1 f.I.. Illl.m.,,'. h...ln 1ft m.d, t!,lLf.LI h, Ill. l'fU1lllh,1 of tll fl. n a 4004 fll.III1U lu un''''Jfll ,.lllflt.lllJI1 III .llllhlJllli,,) -1, . /, " . 11.11 ,. , 'II f '\1'~""""" !~1.,1."'"''''''' "Ialnt , 01 o.leii7rlfll EXPENSES lIomo Mo'Ioagolflenl ' ".""""""""".""",,,, Malnlenance, """""""."""""""""" lllllillol (Iolep" m" hllAllng olecl,le. ole ) """."."""". " L mploymonl (IIInarOlllllon, IUIIl:heal "'"'''''''''''''''' ,,',," T "08 flaal Lalale I'ullonll I'WI'IIly ,,' " """"'"'''''''''' .."" Income ' Inlurance 1I0moown," . '",,,,,..,,,,,,,,......,,,,.. Aulomolllle ,,," "'"'''''''''''''''''',''''' 1IIeIAcclil.ntllll.lth ... ...""...."",,,.,,,,.,,, Olher "",,,,,,,,,"..",,.,,,,'....,,.,,,,,,...",,,,,,,,.,, Automobile (p.ym.nll, Iu.l, ropalll)"". " . '"""""""""""""....",, Medical Doclor, Oenllal, O,lhol1onlll\."""..."", lIospltal "". '''''''''''''''''''''''' " 6pocIII(II'III8I, hlacol, e\c.) "",,',," , Educallon I'llv.le, I'.,00hII18chool "'"'''''''''''''''' ColI.go """"'""."""."" , I'ellonal Clolhlng '...",,,,,,,,,,,,,,, Food '''''..,,,,,..,,,,.,,,,, Olhor (houll'.hold luppll.I, "albel, ale), Cledll p'Ylllonla and loanl. """"". MlaoolllnooUI Iloulehold holp/chllll (:OlU .....""". ' [nle,lllnlllonl (lne 1'81'1111, hookl, vueullon, PlY IV, ale) (lllla/Challtelllo ,unlrlhulIol11 '" I ooal tou~ Olhor child luppOlI/.lIl11ony pay,,'o,," Olhll' (sl'llclly) 101.1 I "1"'''.08 '""",. . 1I0UIOhold W.ak .... --- .".., . ._~_......... . _.....,~_..... . -_... ,.. ..".." . -.............., . --"..-'" . ....,", . ---........ .--... .--.......... .~_..., . -.. -..-. '.. .-.. . ...... , 1-.._ ..... .... , ........ . . . . ....... ... ..,.,....~ . . L . . L . . . ,..,.....,." Child W.ek L_ .... I- ._...._ . . ,...'...-...."..... . ..."..,.., ...,-_.., ,. ." .. ". . ...."."..-........ . ,",-....-.- . --''''''''-'-- . .-.-- ........... . L . . . . . ." ",...,,- r. .". . ~ .. .. L ., . . , , . lIoullhold Monlh , _.J.~lil~ ,........... ....-..... ,jl()JIQ . _.&:~O . "IHLi:...O " · ,..- ""'0' '.:~f(l,L_ . __ill,'!'!:!. . ..." 00 -_J.:..........:r' . S .JLt _ S _____ L~. t,t1tJ, (1 , $ . . . ',,_diL.~.~: . ., _.. ;i4U..d.J . , . . -.~_..- . . .g~J. , . . . $ . S , ,)/o.'}(...J . , . . . . . . - ' . .-..-....... .-...--.... ..-- .---. ..-.,., . ". ..., . .....,. .,.._, L . . L.. . ... . . Child Monlh , PROI'CIITY OWNeo Ollc,lplhm .J1L~S6.a'O ~. 7t'lJQ SI.I 'JJS V.lul ~, JdO.(JU ~ ~ .ill'lIe" ~ ~ I ~ ' ~ I . ~ .',. ~. "-"'--"- . Cho~klnu AUllUllla flavin". A~cnuIII. GIlltlllllnllln 6Iut:kt/II,,,,,'a 11811 lalalo Olhll ~'_'~" _,n._, _".",,",""'__."~ _~_._._.._... T ot.l. "wl'erly ^'.....-.--........-..-.-..--- IHIURANOI 1I0II'U.1 ' Medloll . UnUII/Acoldlnt Olllblllty Inoom, . Othll (tllnlll. ,to, ('U . "lIlb.II11, W WII., J Comp.ny ,71~!1t:.u.i~L.... ,,- _..-.____.__l..!......_._. -,..---".. - .. _._ ,__ _ . __ _ ._".'_. _._.a~......._<_._.___._," . POlicy No. ...."'..,IotJJ...1...:....2.... " -_._~--~.~~--,., ,- .. .._.._-_.._._-~.._.~- ,.. ., ,....,,' >"._,~_.__._d.__.._~.____ ___ .' ._,,-...-..~._-~_..,~- . Julnl, () , Child) 8UPPlfiMENTAl tNCOME 8TAlI!Ml!NT , A Thl. 10111\ Inu.1 t>. 1l1I.1I uull,y . P'''O/1 who (~heck ontll (t) 0111111'1 . lIlJ,I",.. or Ill.cllcn a IHUrn.lon. (If (11 Ie . IIl1mbll 01 . Pllllltllllllp III IIlI/11 velltu,.. VI (1)11' .Il."tmllll! '","d I. 1111111,1 by . ~Io.." wlplllalhHl 0/ .Imllll ,nUly, Own'""lp' II .. '1-. W J x. COVII',,' ' H W ........t_.. ......4.-. ~ l( -~'---' _...JL ...1L.. ....L. -'-_.. c P AlI.oh lolllla .1.I.n\l1l1 , LOllY ullho Illllowlnllllucumonlt lolallnu 10 Ihe bulln.... p/o,...IOn, p.,tn".hlp. 'Illnt v'"lur, CUfllolllion UI almll" enlllv (1llhtl mu.if'G.nl ftl.l.llllnculfll la. IIl1ll/fn,'.nll (fl th, lI1ull'oc.nl I'wllt ,'hl Ion 11I118m"n' (, N.1I1I 'lid A,lIll..t lit 100.,11.... hl,phonl Numb" ~ ,ocnll'a t) NIIllO IIl1t A.ld".. III IllItOltlll' Ihlll C) 01 .coounllnl. COnl/OIlIl 0/ olhll pellon In charge 01 /lnlncl.l . ---'l'-'---"'- 0.... ".,~..._._-e-._,__""""'_'_C..._ ,--- I' PI Annu,l IrIt,"mUlmfll Illl"IIO.., (2)llow IJlltln la IIILlJlIIO ,o"olvo,l? (ll Uwn 11I(,flII'tI po/ p~v polio,' (., N.t Iflcumo plll lIaV pOllUl' lll) Upe.:II": ,lodocll"".,t III/V .."".."...,..,.,."",,-. L ,~ .., ~... ' ~ ~ J!.R(lO 91 T\lE IO:bl (JUAK[~ C I1Y I1Um( Pfl~IS f{'X N') jJ(lIHUI~ 'JI( .J~., :I'L 1'.11.: f(a-fh tU/l A (II.. / <<..iV, (L" ,I'LAIN/U'l' , RAIl mt't' (t r;. vs & {4A1I1'1 , D/ifl'NIIAlfl IN nil: COlllll OI'COMMUtl't..M1I Of' (JIMllI!llt.MW COlltrn,I'HmSVl..VANlA IJUf\U,Yl1C /tE''''lIONS ~HTWtl C1VlI. AnTON. .WPPOl\' NO .lft 'L, S lJ I'I'IllH I 'J.q7 ... f1I:AL'I'IllNSlJltANCF. CO\lF.fU(lf: INHHtMA nON IWQUIIlIW 11\' Tllft COURT h.... "'.~PII "-IolH "" ...~iu4o,t..\4 f1Yt&INld ~ U,* "'I4,af,l!,l..I,..~ J .....,ih. If YOO 'AJI. Hj 11l()V1De 1II~ l}1l'O'H" llOlltj;;lWUllH. 1U\iC1J!/Mr HA Y ,'u<tJ 11l^ 1 y'oll ^.~ I1H1mllJ.41'1 O~ rtIl/'l .~ ,..,...."'..tMfta!....... t.H- ~.lkt-d.t.f;u FllAM a-Ju.' (\ lioQl........ 1)'.-.( ~ltt,,~..... _'''''&.... t'f.ilij fi'U..w.i TYrloH'QYWOI< toU tI.... I If 1I...,....u..a. J?t.l.~.,.....{(. f?' (1i1~".h.:.._I7~.'f.S'iJJ1r1. K~""'l-.iL C...f'...."", i~,7.:.Yf::!:JJ::; ~ .. --_ _._______b__...~...." q 11 LJ Q -- -""-- ~61 u....l I,. ........... {ll/Itl 1O Q 0 C1J),~.I.,., U III Q II liQ""d'", 0 Q U 0 U U U 0 0 Q Q 0 a 0 (] U [J a u Q U _._-"""....-.~,.- ------.---- tll.1l'l; ................. I.",. III ... ....'r. ............. .................... .. ..... _ ..., ...-1 '-b, ....., 01 II. . J """'" ... ...... .. ......... II...... ....... ... ........ ........- ,.. t111)1"f of ""_ tw ........ ........ .. ... .., "'" .... .Atmtd ...........,.. II ........ .. ... _. ,....-~c,_.c,uJ1.!)..L'e(\L1n....t""~ .1.+'. _r~t'\...\( ~C,yt\~""'j::.._--. c-",_. . /'l-~""'" t/# m~((- J~ '."'1'., "_'_ 'l_.--._ I , ~ I<<_T"...I_...._ 1I'JL<\\~.131...._~_._ ~ ___ C...o(""........f I It " ,~<), 2''1 . tll~'A/(ly"_~......~. .__~__ ._. :::~~ 1Io-..~4~. ~ I.L'~',_. f:':t/ii" , ":(;C1.. ....r.:;;-;-_n- --~, ~..u.............__ iii TYl"of_'ff'<-d(rt. 'I,/-" .____ ~I7.........11N ' ..!.l?l::&..Ll.A:U.'(tlh , .... . {.C l'i'J "7"('1 11'","'<. dt:r\~f<. I (!i:'V\'r'n 'j Ii: J ...1IrII...........,\jlI.,..~_"_, .__. .. __.,.. Q,,,,,,',--.- --- .. I'h.'_......_.. ___ ,_.._._l'Wo".~._.,_. CUHUI, .,...... ..... .................... .~., "__n hlJ'.I 1A"q:'I"._~_'"'~,,;>_,,~"_~=_ l" '"",_.,,~..,.,,_ , C;... .1......... I., ........ 'n' ....' _ _.... '. .... ~_'_' .~_..... , ....,..."._. _ _ ....... _ :-,- ''',-- h."wt......., c,.-.,W.l;,..,. .~ ~ _=-_~ _..."".~_____~ ~_______ ....,,-.....--......-.-_ 'lti,,;_.. __._ ....110":__ ttfea.n-. ..."",,-...... '" .".....- ~~ ~_. T.~ 81 ~.....<<~_ ,...".__..... ..~ _____. Cul;/w,................,.....___ ,_ ___~_. .. -w,...,...,.,..,.,,-__~>~-_'l _~ -.--- U Jot ..............,....... ....... -"<ir ......, .., ____ "'_ _........... ............. '" ........ _ . '~CI' UO I ''''!\';'~\\''.'''' .." M';... .. rl"t~""'~." ~,.;:;".",,_' .... ." ,...,...-. .....11Wl'b ;/..,,~ !"rf_!ft~'~~ t (:/ . .... 'NOOMI! AND EXPENSE STATEMENT OF ",,_~~_~___~ ,(0.:.U.'Le Ct'IL.(I (1./(I.yl(1j)__ . ._"~__ I/lN ..._'._..'___.__..'' on. .2~. 'J~,I OATlL.______~._ THIIITAUMENT MUIT tu: fiLLED OUT III you al' ,,1I.mploy.d 0111 you lit tI'I/I,1l by I llUlln,,1 01 wlllell you I" ownllln whol. 0/ In P"I, you mUll alia 1111 uull/1. luppltm.nltllncom. 81al,m,nl wllleh apl'Ii"1 IHI lilt 1111 pag. Qf Ihla 1",0IlI' ,nd /!ap,n" 111.,m,ntl , INCOME . (al Wlg"'!).'IIY . " .._ / . , ." . rl' !. , emplov" , AUUlt.. . ?-~:.fi:,~~!~~!,4:~ 'if' f.~~_~~~~ l!~:,-=- z_lt,L ~.,~. ;:- JDb T ItI.,OtlC,lpIlOfl .,L 'Z. . ",1 ~1.'''''' .... . -....,......-..., pav PiliI'd (wlltkIV. tll w"kly, Itlonlll'ylkl< ",,'c!:f i.. r 01011 pav pll ".y ".,ioo ........ PaVlO1I D.ducllona: F.ua,,1 Wllhholdlflg . Ill,c'II 5.eulltv . Locll Wig. Ta_ . l:llalalnooma Tn Alllllllman! . Heallh In.ulloC& [)Illal (.paclfyl, ~:i~(} " .. .... --_._...--....~~."'~~~.,-',._.~"....-'.-T-...._.;'" .. ....'.... .............. ....... ................ .j.i...,.13.... , ........-..-.. I......L:,L'!.~,.._,_, . .... ..... ..._f2......__ L._~_tl. .... ......- . ..~,..._..... ... m..L ,U.....,..... .............. ... "--,, ............. ...- ............,......., ,...0..1-:'2,,__...... ....... ......... ---.. .._.--~..-.-"._- ",........,........OIU......"...H'...........h...' .J~.E,.Q,~., Nil pav pe' Pel' P"Iod (lll Oltlel IIIcoma Week l'II'f'IUOI.lljallda ............... _,..._..,._._..__.~.. l"a".lolII&,lIfllIlIy ...."... ..................~--..-_...__.__._- Boclal deulllv .. ........... _._...~.._._..... li.nI4/Ruya"l.. ........,...., _'......... ",;.pan.. Accounl ........ .........'. 0111......1. Un,mplaym'fI! Cflmp'''tllloII ....... ..~_~_. Workma"'. Oompaolllloll ............"".. ..,..,...___........ Month VII' .---......-...........,- :-\~_.~=..:~.::: . .-.....\.... .... ...--....\....... . --. \. -...,....,. ....._..~...-\..__..... ._~._--_..\..,........ ._~---,..._... ... . 1 . 1 ......___~____.__.. ........__.M............. ,.......--.........,.... . -....,.. '. '-- ..........__...._~:..,...-- 10/11. Olhe, IrlGorn. .,......................_ I.. ...... i..""'.'.,"".~,...~~...=,~,-.."..,.", INCOM. ,;.NCl U"tflU "~1t""I" 0' I vlrny Ih.. Itlt ,.,I'llllnll m.di mlttlt IM,um. end Ilptn.. 11"t ""1\1 .'.IIue ana ,-Pff,t<t 11,Itld."I.nd ih.llll" ,'.I.m.n'. hlftl" '1' madt fubl.ll 10 Ih. pen,""" ul " ~,c. .1104 "'I ling 10 unlwor" f.I.UIUlIQn It:, 'IJHIUlItI.. Del. ...-'- ,,' ~'I ." ., J:~i;(t'~i.iiiii~O:;i~fS-..."'.J lI<l1n. MolIOlgl/Rlnl .. ,................................... .. ('t'" .J <, . Mllnl'''lnCI ................................... . ~:l..LLF . "'P,_'" WIIIllil' (tll.phon.. h..llno .'.clIlC. .tc I ....,............................. . ..L.cJ.,'l1 . Emplllvrn."t (Ir.naporl,llon, lunch,,) .'........,,,...... I.,....:::::::: tl.I' fI..1 hili. p,r'\lnill "mpIllv ..... .............."........ Incom. '",ur enc. lIorn.own," . ........................... Aulortipbll. ................................. lif./Aceld.nIlH..11I1 .......,..................... Oth.r ..f',I;. :ht:.:.,..,~.;.~.\:.,.........".. Aulomoblll (plym.rul, lu.', .., .. 'IP'h.,....,. ................."..... . ....._,!..2.....Ll . .--..,.....-.. M.dleal /)00101, D'ntill. Ollhodonllll....,,,..,,.... .,...ptt.i .ttif.('. (q( ~..f..........."...... 6p,olal (gl...... bile.., 110.) ....""....." Educlllon ",Ivlt.. ""ochlll 80hool ....................... . ....:....:..::::.:::..,_ ColI.g. ......................,... 1,,::....=;:. 1'.1I0n.' Clothing.............................. . ..,_....~.,.".._ f d . . ("r" 00 . ... ...................................." .".....~,..~""... Olhll (hollllt.huhl .uppll... / . bll"'_r. .to I. ....../ . _ ._,..__ C ." ,rldll p'Vllltnt. and lo.na ................... . MI.olllln.ou, Hou..h\lhl h.lpi<;/Hhl ell. ..'............... . ......~='::::.::." . IEnllll.lnrn.nt (Ine plp.lI, h\lok', vac,"on, II.V TV, .to,) ,......... , (lIIl,/Chlrlllhl. tontltbullonl "...."...... l.gl'l'a.. ' .....,..""............,. Olhll thili. IUPliOlIl.,ltnonv paymslIl. . '..................,...... I _,,_- ..-::,.." Olh.r '_IIMClly) ,'1 ;~~'.;,A.?:.....fn.l..~.., I ..,.~, EXPENSes 1 (JIll ,,"palla.. lioullhold With . ___...i4...i.'1 . ~.......L..I L 1 --4Z....'-'- . _~.k.-yi~ . _J '", '/J. 1 ....4..-;"._'1L I __ .' _.!". . __.I,.i.L I.........."".'LL )'7"-' ',-,,,,,-,,,,,..1. I__..C'.",... . ...."...=:...."..., I.."LL;'':' .. ",. j 1_ Jl:2L~ . Child Wuk . . . .. . . ..,. . ,.......... I ' '''........"...__ .. L.. L , .. ,,,----.. . -.... . ..._,,,--"',,,,.. . . . I.. ...,..,. . . . ".... lIou,.Mld Monlh '," "fi,' ,., . , :-" " Child Month . ,'Ii?. ;f~ . ,,--... . Ipii'~~r . ""."" . "i: .J<; (, . . .., . 'Li2~.d" ." ..,,'..._.. I ,....J(. .,j',) . .."'" .. .. . ,/J:.JL.!.i I , .... 'iI 'I} ..,'~..~ ...,... L ..2J....!,;l L..___ . "..'..<;"L..0t . -""--",,,- . . ......:f,,,~'J' . ,...'".. I _.l.f:_1..J2. () . ..-., ".... . . ,..~~_!t!d .....:l:L"~ . .. ....~. , "LLJ . ..,.":::.:. -= :.. .. . ., , . ._e".__._ . "iit.2"",~~~_ , .."... --"''' . ".'" ,,-U,..__ . " ".--,' . .....c._. I _~:::::=,,' __~"'_= " 'J" I ._..lu;,.:..c.:! . --=::":'.:_:,,, . ,.~~~3. .. .. I ._____.."".." . ,,,.w,,..,,..........,, . ."..,. , "",,"..."'-..- , I . ."" ,,,_.,,.. . e.".~_..__._. . ,,~--_._,.,,"- ~ . - -"......,."-~~,+..~....,~ I I..~.."... , , . w...._,,,,, . --- I ., ". "'W ."" . -- ...'""". . . ..:L!,,:!2....LI . ,,_._......_. . 1\ r i ~. ~., ; . . UWlI'f,hlp' "honAn OWNeo eh.eklng Accounla/h'1!Ii~J"t'ttLN. ""1'.yltfU fANtt<<!tJ Il.vlng' ACCllunl' OU~,II'UIlII .:lil;! P".' , r io<,,-..._..,_..~.c<..._.,.__..__._ r l' l," 1 r --.....:;;~:::::::P .. Vallll II W J T 0111, PIOPIlly . .,-",,-, IJ JU ~.~ . ,_&:<.._' . .l-;Jl~ l.J . "r' 1'- , , , , , . !~"J. ~ ~"l"'" , , j',{'Hj~l!~' , '1' .....' <'0 _.!..Jl:.Jk'.,^""-'-__- . Pi'l,lLiV'~ , 1:":. ..r:". c: CII.111 Unllln ,,)~!I~A.I()- ~ SA, V , '" (. .. '"'''' ..........J. !!I.f, ,v ,fJ' if -,.t/'- .c 6Wck,'UOIllI, nul ",Iill, '. ~\1tl.I'(f.,Pttr Ii' a/ Olh., ...... .. ....:..d!\'..., .. . ..... .... ..,...., ';'AAJCt"......iz::6U.!l'-' .4.q~.Le__.. , ..-:~. ..~ IN'URANCI Oomp,lIy PollllY No. Cevl",. ' Il W C Ito,pll,l M,dlell ... ...................... 1Il1llh/Ace Id.nl ..' ......,. ... '1!RLtf.S.le.:1.t...ttt ldLilLIi......... PII.bUlly Incom. .............._.. ..... .........~" . ......... Olh., (d.nl.I, 110 J....................................... ('II, Ijuab.nd, W' WII.. J ' JOlnl, C . Child) .- -<-'.'-~-- ~."._-"~".- . t::......k..!l..uL:,i.... .....k.~_ ....Jr;.:...... -'-~-c--<' --.--~ IlUPPLEMENTAL INCOMlIlTAUMlNT A. Thll /orlll mu,1 b. IIII.d Qui by a p"'OIl wll() (Clill,k onll. ..../..... . III operelu . buelne.. 1)/ prlcUe.. I p,ole..lon; or _.....,. (2) Ie I mlmb., 0' I parln"shlp Of 101111 .lIlIlura; or m (:JII, a Ihlllholdar III Ind I, IIlarl.llby . duutJ corporation 0' Ilrnllll ,nllly B Allleh 10 1/11, Illtemenl I copy 0/ lh. 'ollowl"l/ documentl ra'IU"lllu Ihl bUlln"l, plo/'lIlon, Pllln"ahlp, lolnl venlure corporell[m 0' almllll en'"y m Ihe mo,frle'"1 f.darelln(lom. hM Ilelurn: end (2) Ihll /110" IIoenl rro/ll end lull 6tllllnl8111. C, N.m. eM Addrm 0/ bUllnm i'j'AIN(tI'A. 1 )\'II<JOL 111' r#L'.c..~:1'!~".'t.~1J.J..'l:!!'f..LLJ :~1.c..!:" 'l'1'...t".~.~J,..;:A. \'H H(, If' Ltfl!1._, hl,plton. Numb" (..,,!'t.L:!'!'~"L.;j~1 o Nlml I"d Addr.., (II different Iltll" C) 01 Iccou"'I"I, oonlrollll 0' olh" p"lon I" charg' 0/ IInl"clll r8corde. 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I.. ."tI u" i>\l1IO. p,,, , [ f! .te .~., ~, ~"" I'l f,.* V, lultl hf. .L~!!!L~'! ~"L,____ _..__'''''.... ......."......., .._'-''.._____..........;...,........ ...Uull' .,........_ III Uti u, V"""''', .1f'lIlI'" ....,. ,.. ~I" l>IfId ~, . ..... 1"""''''"', POlY", " 1111III '''IlM' v.." .~ ."f... II ,...WOO .... "'" !\lll'~ ~!l!I't\!!!"i'!!'lm'!lLt'~"!t!. 'f.~!"'! In ~iIl!n!,[ l'! ll'! ~ rl'Jllh\"!ll" .....!'J''''I'. kt f,!"~IIoo~"i \'.' ~\<J>!' lJ!\ltm ~ '*.~trntm,..'*...IlQ4MU"'''.."'* W~!tl~t'!!- ,fj~tll.~_~l ti~!_I!~~'. L4~~~t!-,,'H fHl!I'I''- fj~_!~l!.,'tl_.__ /IlO NOI II'" _lIlIIlII II....' 89. '1S11 holll--.oNlM*M114I1lnllV.._ ,. "H1iH llOIllI.............IIl__.llIllI"III......_ .1HJi~ .. ~;f~~4::=i~,. (~l ~f~l :IKt .. i.Ll~-T..].}o:!~]=~= .Jt...WIWliI.\-.'.!f~lit't\If"'ml .._._. l( =......' =~ =..... :...:,....J==.. _~ '_"_ ..:......' ':.:.= ...,""" (; . 0oll_.'... 111I"""'" Who l't..~ Vtlllolll... UN..~ Ih.lt ""'ploy'" - lIWM ~ 10 ".tIt... ~"" ..lMl.. _""'10 ""~IIo'''V """\Hi.. III.. ...,_...... v, .'I1pIUV.... wh.... 1\111 m...".....'lio ""/1..... ~ e.II!'lt._.....,.... l'. '11 ..l~~... 1I.~.....IIlnlU\. ..IIltt,,.., llllOI/llIIf. VIII I"lI"tl.ifli.M p..,.'"" u","., ...11ltilIo, Ifoju....III.........."Il, v, ".. .'''(>I.V....l Pw fYII.....tIllIIl..._ pllIIo~ .....If''"~ 11.., 1""'''''ilI....''''''' "...f ..t......, 0_"''''''''''''''11, bv ~lf" '''~'luV.'''' iii PIU" fII till "'""'*"11... *1ltilIo """I>~ ...p..... .1lIe..., "''''i....,'' l'lio 1I11""lI\O'., Ilw ,...,.... II... uI wI*AM v, '''IjlJlI_ II ....,"''"' "...1 llv r~ 1M.. '"'*. ...n'", ~ tu rul.l .tt'Pki,.... ufJLllfilllhJlu,-"ufI hUll ~Ull .Illt......ltillut thll UHi &II if.. IIIIl'Ul.~tl, ,"d fllOll<l"" ~.._ ._VIll' Uij ~w R'" '" f........ ODnCMtWf'V qualM" aUli.llhlJti-Jkf u.;fhl_.n.~."y"~' ... fia\l'i l/.If U.. h""OI.Jkml ijim:-~' 31'!!'_!!~:Y"..;)~.'!.~d .~~'c~~.'!'~'! ~.'~~I,~,!!!.'!~ad..~I!.*,~__.. b',':~f~ Of ...f, . I,,,,, ~:;.:~'''~' I "~::;'~"l'i~..J.~~::,.~.,:~;.~~!..I_, 5.'''.!..:_rw. ";,i"d."~!'1"j 1\'!.'!!~.l1(~b!~~~~"'ir~\!IMI!A~ ,;'..... ..._.._ _, ." _ f VU !t!.. .'",!.~lIfl" "" ~"J'l\~'! !!t'... 1!Il!'J . ..." 'tlJ!Lt}!!'" ''''!!!!l!.!!!!..LlIIJ!!i~~~~..!!'lt1.JlI...!!i.'!!'''(!!!!.. '" ,...,fllIlI . . ., --- ~,.._--L:l, "".,."........".~--_.."~.....-,.-..,~=,.. I\AIIIII+N A l'AI.AMAN. 1'1111111111' : IN II"', ('Ollltl m ('OMMON I'\.I~AH or : ('\lM\lI'HI.ANIl ('OIINI y, 1'lcNNSYI.V ANIA v. : CIVil. Al 'liON . lAW HAYMOND E. CAI.AMAN, llelel1dlll1\ : NO 1)1- 211\1 l'IVIII HtM : IN IlIVOI(('lc CRRTIFICA'rv. Of' 1J~IIV1O; I herelly ~'rdfy lhal on Ihll dalo, (lI;lnllllr '(~;.., IW1, I ilia lied II cnll), \If ll,r'l1danl'l Ple-Irial H\lIlemenllo Ih. f\lllllwlnll peU\ln ,Ilhe 'nUlIwinll addrell II)' lJ .5. MaU. d.llvered hl addlellee \lnl)': Rnllerl J" ()'Urlon, I!lqulre 17 WOll SlIUlh Slreel C'lllllle, I' ^ 170 Il I verify lhallho Ilalemenll made Il1lhe 'urelln"lI/ Ctlrllncalll \II Sorvlc. ar. IN' and cnrrecl. I undeuliOOlhal 1IIIIe 1IlIIemcnll herein are made luhjecllU the renaltlel ul 1III'a.C.S. · 49()4. relalll11l1U unlWlIrn 'al.lIlcallunlu aUlhllllllel. .j . or I'. hdrcw~, I'..q. A lumey. IIII' l'lalllllll 111 W. l'Ulllhel SlIcel Cllrlll10, I'A I1Ull (711) 24l0\H (, INTElUM J\1ilUlliMIiliI TillS AGJUCEMICNT made allll cntered Inlu this ~y ofScplcmber, 1997. by and between nA YMONU Ie, CALAI\1AN, hereinnner cnllcd "lIusband," and KAl'lIl.lCICN A. CALAMAN, hercinaner cnllelt "Wife," \VI'I'NI':SSETHI WI/EnEAS, Ilushand and Wile arc In the I1Ildsl uf a divolce proceedinlll1led at No. 97. 2119 Civil Tenn in the COUlt of ComnlOn Pleas of Cumhcrland Cuunty,l'ennsylvania; and WIII~IUCAS, pending llnallesolulion of all claims in the divorce proceedlnll, the parties have reached a/lallreement to resolve certain Issues, which agreemenlshal1 nol prejudice any claims pending In lhe divorce proceeding; and WHEltl<:AS. the parties desire to reduce their allrrell1enlto writing. NOW nmltEFOlm.ln consideration of the premises recited above and the mutual prllmises contained herein, it Is mutually agreed by the pal tics who intend 10 be legally bound herehy as fullows: I. Wife agrees lhal the order fur Ipeelal relicI' cnlclcd by the Honorable Edllar D, Buy Icy daled Augusl 28, 1997 Ihall tennlnalc IU of SeptclIlhcrlO, 1997. 2 lIulbwld agrees lhat Wire shull hn\'C cxclusivc pussessiun ofthc (llll1les' marital lenl eslale al2l0 York Road, Cwlisle, Pennsylvanln 1'/011 1 lIusbwld Ihall have the rillhtlu relricvc hOllll1ll Yurk Road, Cwllsle, Pellnsylvllnln 17013 and to posse88 all of his non-mlllil,,1 PIOI'I'lty IInd811 the following property: 11" TV, dishes, towell and washclothcs ICI'cived homllls lIlolher, shcets for his bcd. Thll IIglcl'lIlcnl shall not be an agrcement IIJllin1l1 disposiliulI ollhl' Illl1rilal property, und Blllllarital '. EKhlld I "n" ..........i 1'11'1"'11)' IihIlIlIClIlllllllillhj....IIIIIII" dailll fill c'lllIllIhlc dislflhlllilllllo hc Ic~oh'l'd hy 111l: ('uUlI. 4 Wl/il .hllllllle hel fOIlNell1 for di\'ol<'" wilhill JO dllY' frUllllhe dllle \lfllll. ^lIleelllcllt II' WHo Ihlllll"lil~e or lilillo Ille hCI Aflhlllyillll' ('0Ils,'1I1 wilhlll J() ,lay. III' lhe date 01 this ^lIll'clllelll. Ihahulld 11111)' dcdul\.' Ihl. ^lllt"'lIIt'lIl 111111 lllhl vuid hy wrill"lIl1l1lirc hI Wlfc', WIIIIIl'l IN WIlNEN.1i WIIEICE(IJo', 1IIl'PUllks h"ICIII hill'l' .IUllcd this AlllcelllclIl. , '--~--~, t':-"~_. 5L]_._.._,~ Dille ~CL--. IIIYIIIOII E elflmon nllo 9- ~J-- - ~7 I~</~~"""- a. d~~ lhlIC/1 A. Calaman -.. ... '. ,. : I , Ii Ii, " , ,. :11 f), , Ii' Raymond Calaman W,.k Indin\! 111111 1/14It1 1121/81 1/211" 1161111 1/12/111 1'1"" 1121/81 "2191 618181 V..r 10 Oil. II of 118'81 Oroll N., , t t 88#: 173.38.5027 DR 26,561 DlIlImlIlIul WllUllll fi liIIlHllU.llI.tIr1I.IY1ll lii/'t;. 6IJ '/fI7 Hilwa NltCI1llWl 22 & .1011 &1 18 $81111 18 181 fll 11 f811l1 13& 1Il6n 11 f.,111 18 f1111 I. f.'01 III tll0l HI ItUl ."" .. , 10 . fea 11 '1.4tHl IU8U. 110" "0 " , "_.>t"l" ., "':t'l.(,.....~,., U~ "QmllftJII8t71Tirn7 unon n.ae 6.60 123.711 DEDUCTION' .......... ........ REO r,deral rIC^ Stat, Clty ^It TO HOURS 180.68 TOT^L EARNINGS 123.76 TOTAL OED .... >>.47 3,47 1.24 .... 14,10 . ...._......_.._ ___.. ....___... _......._.._____r.." , ' PLE^SE RETAIN THIS STUD rOR YOUR RECORDi relAOtll1l2Il1.,u,",oum.o .... ..........."... '^VI1ONO 'OC-SE C E CALMAN NUMOER 173-38-6027 EARNINGS '''--Jf~~ T nlW!r. ~lIc0 6/14'/"199," ........ llEOUClIONS 121731183 10." 99." .......... 6.68 REO ., . federal f itA S ta t, city Alt .'(' ,:, .... ,."i. . n. .ni . ,'-r'. :.cT_," "';!\ !,' iTO HOURS 126,60 TOTAL EARNINGS \19.00 10lAl Of 0 .... 7.17 2.77 .... .... 11,]] tICl(07'l~mlJ4 ,un TO O^lI .... .. .... DrOll r,deral nCA Hate c lly lilt 6".26 .... 4e.:U 16.U 11.'7 . . lit NET 1l1t.1I1 Ck.No'4~S097 'lA'I, TO OAH .. . ....1.. .... Qr.ll....~". 7U,U .'-' . r.~,i:, . .... rHft<J: n. III . ".. ..... ./ 'f~'U.76 e tl.,. lilt. .... NlT U, . b I PLEASE RflAIN 'TIll!> !ilUIJ fOil YlIUH IIll0HU$ OCI/>l'HIUfoIU{H'UUJIUI -.....-,.." "" AYI'IONO"; C A~ ;;~~~l"--'---'-'--""JJ~~ T:'t:IIII:N~II~li III II \l1l1 OC-SEC NUMBER 113-30-6'27 EARNINGS 1I111UCIJONa '2413003 REO 10." 6.1\1 lIll." ........... Gro.. 11I4.1" Faderal . .n F,d.nll 1.111 fICA 1.11 FICA "l. ~;- sta t. 1, , , "tat, 12.b/ t lty .... CHy Ii. Ib All . .n lilt \I.U ........ ITO HOURS 144,&8 TOTAL EARNINGS 10 I AI 11111 11.11 l. .IW .4tH ii,\) (; 'UN 10 01\11 .... ... ._.~ Nfl II' . t, , ... \~'&j"",-"~" _.' . _' '._'..~.'" >r_,'.. _', ...._~.~_.,. 1"'"-'16."" ':", r..,~.. '. ..!W. '........ __'Il"".'~I""'.. :. ''''''''UJ'--.' .' ",_" _ '. .,'-c-':' -,.,' f~ "--.rif~' ,I, l' ,- J "", - l';,r~ . II~V"ONOT"f~Al~"~"~----"-~'-:~~~~j llcj\m~IJ~\C'i.i2'/l u 1 .. 10C" Ire' Rl/Kalll '17 ....-..17. ',. fAAIHNO. llCllUC110tll 1247U8I IICO lB." 6. \\I III," .......... ........ Y1U HOURI "Z,I' TOTAL IA"NINOI 91." lOtAl Dill 11,33 HAve A IAfC Atlll HAPPY fOUH1H Of JU~Y ,...,.. ,.,..._._'" U:'....WlJ.. "'t..... ,"u.JIU .... ... .~ ',.,"l . J~r~.~'!IJ!JJp,.,II.'^, HI 'A~ i 1 qilY iI'AYI'lOHll e (AlilliAtl 80C-&ce NU"ICII 111-11-"'1 fA"NINIII ........ llfDUCTlDNI lie 0 l~.a .......... UHnn 11... ..U "I' "d.,eI flCA ltat, Cltv Alt 1<.. 1;_' ./~}f ( ': "',j .'......:1'0..,,,;.[,. ;,\ ...~.., .. - ,-". . ,,_..,' fI" '~l ~ f ,. 'TO HUU"I I'.... T01A~ CARNING' 1~."~ llllAl nrn It ''''.IIl.I''llIJiU'IIJ'fIJII4:J CK. NO 4 !'(15&2 we AR TO Il^TI! -... .. ...... Nfl a1.61 ..'.1..... ~' 01'0" llUiU f,der.l .. It redertl .... flCA 1 , r.1 neA 611. Oil Hat, a," atate 2a.211 ~It)' 1.1111 e Ity 1l.O~ Alt I. eo ^ll 11.1111 r k N'\131atn YEAR TO D^H .... -. ..-. Groee .... ,.d.ral I" ilftJ d ,...... '. '. .~, tI,. f' ,. 'ii"~ ,.tr." R."'8 "AV"U~U t l~IA"A" ~Ot bIt "u"~t" I/]-1'-~'21 CilI11lI ".. Jll.;IVIl~"I}AI\ It 1111119. i .. . ....."'.. IltUUCllONI .H/n., ~I() U.II . .11I III1.U .......... f,d.,.l tHII lI.t, l'I t)' All VIII 1101111', I'.." ~ij. III III I AI III II .... 1.f>1 2,71 ..U .... 11.33 Nrr e77.1t .... 74.77 H.17 11.78 .... 66.16 CK,"0.4 SQ6'BI YEAR TO IIAlf .... -. -.-. 01'0" f.d....l rICA 8tlt. cSty AIt NET 1016.1.>1 1I.1l1l 02.3. 311 . I 4 Ill. " 11.1111 111,6' .~;~~ ' , "':" , :~'m~'c{~:'~;;;;,,:r;~;~;' 80C-8I!C NUIIDlI\ 1H-U-..21' f fARNINOS OEDUtTIONi CK.NOA,AM6 HAil TO llAlI ........ .......... .... ... ...- 12473013 IIU 18." ~... 118 . eo Oro.. 11 " . 111 f,der,1 . ... r.deral . ,II fHA 1 .61 fiCA at. III 8t.tl 2.11 &t.te n.u tll)' .. B9 C it)' 11 . " All II. III Alt \I," DI'l A X lO,llO OP1AX le.\II VTll IlDUR' 212." TOTAL URNIN08 llI,oe TOTAl oeo 21.33 ...---.-------- _____ ~IKAllut'1lIJ(nlllolllI11 -'." .-.... ~...."~ ,. ..~,.~_... "". . . .~--*.....-" ~ ----.-.--....--.....-. JIle T~l\Ip', IlIc. .-.. ..--,....-. .--. RAVMOND e CALAIIAN WEEK ENlllNG "/20/18" BOC-8fC NUIIBfR 178-38-&.27 EARNINGS DEDUCTION' ........ .......... NeT 11 . ti, .._-~..,....- ._-.-y.-~' . CK.No.4UOOl \'fAR TO DAB .... .. ...... Qro.. r.dar.l", ...., 1'.lIaral flCA' . 7 '171'~ itA ~~:~..iti.:;~~Jlt~. t Alt ~ho\r,t1.._,. It ....1 ' 82473\111 RfO lB... 6.&1 99,10 I VTD IloUR9 23.,.. TOTAL EARNINGS vw... lOTAL OEO 11 . :I 3 N ,.-. ll!lHJIIU''''''UIUUJIUl ,-----.--, RAVMOND E CALAIIAN SDe-SEe NUII8ER 1/3-38-8'27 EARNINOI Jl'hTn~lAlrll~lCh 1.1 ,lVII, OEDue110NI ........ .......... 82473883 REO 1\1." 8." 911." fld,ral flCA Stitt Cll)' AU .... 1.87 2.77 '.U .... .... VIll ~OURS 248." TOTAL EARNtNos -;,:;'" <j'l. 00 J!l1 Al UfO 11 , 33 N . '" It' Net 1214.f>1 . ... 117.4I ".11I 12." . ,It 11," 6' ,f" CLNOA'!N'8 HAil 10 (l^" .... .- ........ Oro.. r,d...al flCA But. CHy All Uf I 13':t.~1 \1.00 IIIb.I" 'Ill . 4'. II. '4 ..U 11.00 <<I ,IiI j;, .-i~t!\~~!'.~i 0\, ..:1 ',", " ) /, ,', .. ':t I ,". .... , , ( _:..... ~ II.. '. '. ' .1 RAYMOND E CALnHn~ SOC-SEC NUMBER 11J-JO-&021 t ARtlIIIOS ...,., IJ1e Temp'llne,." ~............_.~--..........~._.,........ WeeK EIIlJltIO 08/09/11191 CK. tlc4 31~Hj,le 02473003 REO 18." Ii." ..... DfOUt 11 Otl Ii YEAR 10 una ...........'" ---. .... .... Oro.. 1472.61 r.d".l .. .. r.dH.! .... fteA 7, &7 fICA U2.62 Btltt 2.77 st. t. 41.22 CHy . . IIll tlty 14,13 nIt ., .. A It ll,U ..00 1Il.00 ........ 211." TOTAL EARNINal ..... TOTAL OED U.n tin 111. ti1 '. tVNlIII1'f! 1lU'Ol' tt1Uiltn ',,0..,\1 ,J.}",,\ ~<!~~ ,It. ',Pf:" ~{;-~. ;' ,,', .':~ ~- - ;.~';'~.~ ""~;"'" -; ,,. ". Ii! J"'i-tt'-f',), , " '1'.1.,\'\. r'f;' " 't\i;~;, <,,; ~ ,,~'~ :c~~:\;J ,,'. :~":~\ ,$ , :,,; J " .t. , .' '1.~' .~. . t~~I~IlL__~ "e"onal Ova, bme 80nuI Holiday Unu..<l Ill(.k Vaealion Deduolhml 00 'lll l4;."f l:40(-". f41iWitu T.. 000111 ..(.,.. '0006 ,""",01111.' I CJl)A/(f/f CllY I./OrOll/'Alflli CO. 4fIOOl.ffl'OWN, D/iLAWAlft: '~f(Ji PAYROH ACC(I(INl 1OGI&I"WHfr Numt&tl 113 a..o" TU<lblo Mil.'" ...,". M."lod IlltmpUoftI/AHowan,.. f.dt,.1 I 11.1, lool' U ,.,. htiilWfI II 4000 12 00 114000 .00 lhlIR'" . .iG ".'0 ~"," "',7' "~''''-m;'''''' ~II" ;.~[;~~,i!'~ 'l'luIO~ ~tdlllaloma la, 80cilll SaOU'lfy la, Madlc... Ta, PA Ollllll Inooma 1.. 81lvw 8prln Inoom. T a' .60,10 ,...62 .10.110 .21.(l6 .7.12 91t1ar Aft T e, Health . U . ~. Pe Opt _~t:1Ji;IZ-;:~'W~ ~.., Ie "" 11.114,1. 141.40 ". .11 '..00 2114.'0 110 00 110 ,\Xl IO.V".21 ilia '.. 1111.4\ ".... 100." . lOll."; ~..-. ..~ . 611.7' 10,00 You, led.".l la..llla wau.. U,1a ,>e,l<ld ..e l112.00 Earnings Statement R.1> ".,,,,,, Ernll/.U "ey Dala !J6!lIl/V1 01/01/V1 unlOND e VAL-AMAN no YORK "OAD CA"L.lIltl PA "on . " J i",., .' I l~J I j. . , II l " , t . .... .. , , " "I';{ ,...f.. .~"- - ;,~,'- _. ' '~,"",.."'-WOIHO~r J "., "''t); "",~'oJ\.i' .l'l-_,.~',,~, OUAXfR CIIY 4!OTOIi IWi//J CO AI/DOl. ff,/OWN. /JEI AWNUl , ~,o~ PAYROlL ACCOUNT 1..0.11._",., H"lHb" 1/1 It 0011 ,...ow. M.,A,'!illlul Mlllltd eQfnptwnt/Afll.lWln,-tt f.dll.l. , 01111 1-0".. 0 &,,,,I"llt A'gul., /l"llllIV Ovor~mo Bor".. Po,ou"al \.!"llIod Dick V.callo" fI" heyt. -r'.iKMf' '1, ,00- 8 4[JOO . 00 \lilt (!f.k14 018.eo 11.20 Iiif '''f'~~'~~"0-''1~{;or ~d!.lotI9n. 1'llulufX..... I'edaral Incomo 1.. Social UICUIIIV lax Medic..1 T I. PA 11..11 IIIwmo 'f a. IiIIlvIf llptlll IrWOOlI T I' .60.'0 .41.62 .10.81 .21.06 .1.62 PJh'f All TIIll HIlIllh '10.14 Cheo;klllll .110.05 PIOpl g'VJlkiy" .j@,i'0'iiWi,2i.JOi~ Earnings Statement JflI> ".liud lit\dU11I "av 0." DI/IINI o/flllVl RAYMOND e CALAMAH no YORK ROAD OARL18Ltl. PA 1701:1 Y'" \0 "I' 10,i",6. 110.00 144,11 114.06 141.40 166.00 )(100 11 ,110." I j ! t 1 I , 84'.71 121 ,oJ 10'.10 U1.0t 111.11 on." 10,00 - - YUlll t.".".1 1....lll. wall.' tllll 1'1"",1 al' "".00 - .,oll~II"'!ll!!n!!tL. "8".11 ADA 21r)~821lJ 0111 roll) ell70,oa NON.NE~~~t~JI i" .. ..,.."~...._j,r!.!..~..' Raymond Calaman 88#: 173.38.5027 DR26,661 61alemllnl 01 Eemlnas lrom Quaker City: W..k .ndlng: 1/3111l7 21141117 2/28197 31141117 3128197 <4/1111l7 <4128197 6/9/97 5/23197 6111117 N.t Ch.ck $558.16 $541.76 $558,16 $539.75 $500.29 $500.29 $589.91 $570.05 $598.78 $570.08 $5.707.23 1/10 of total '570.72 u ~ - . I I ~ 'U \ 1>,:1 ". J .. .. J ~ ~ "'! I I "b "-'U' I ('l .. ,.... ~4 J ti ~t'- ..... J " g J .~\l"- 61 .t J J II II r{ " ~ I I .. , nj \\) r-t\tf .J I ,l t~ I) 1! " ~. .oj " .. J J <1 W>, w> n ~ r.i n 'f~ . I I Oft r~ ~ \J ~'~ J J 'U .. N '81!~ :j ..."... ~': J 0 .. w>" ~ 8. ~ I ,., ~ ~ '" J 'JI' .. , J .. p. .. ,J I .t' .. ~ ~ 6 a " ....I ....I 0 'U oM ~ .. ~: .. I I .... .. .:J"II .. oM .f ~ o..~ VI I '" 3 0' J J ~ ....... ~ .... ~.. 0- J J ~ 0 \J" ... e- ~1! I I .. ... \J ....I J ~ .. 'U 0 \t.4 VI II) ! ~~ l ~ ....I ....I S g 8...... I I tg.. OJ '" '" J J u 1! OJ OJ J J " "-:J!.! I I ~ ~ j ~ IU U . nj " ..J I ,l 0 ' ~ o ;j r-'i '" " 0 J! J J "... , ~ ~ .. r. . I I ~ f;1 d ~ .J\l. " J J ." ~ 1! II ~tU ..J I " .. ~ '" 't~ ~. I I l~ IJ ~ ~ . ~ " " .. ... .. " " r. ..: ..i > " .... .. ~ ~, 'U ... IC ~ ". u .5 c ,., .. ,.-. II H, .... OJ ~ ,~ ~ e ,., r.l -lJ .r. 0 'U ." U1 " '". .u r' \l I~ ~ .u " r; \J ., 'U >, c::v ". . .. ,~ 0 0 n 0 nj u 1l 3 - .:J >, ." .n " rJ, " ,~ ." \J III ~ . ~ 0 N ., IU' .r. Jl u " " ~ .. ~ .e r1 OJ :1 " N n U1 ti " "' '" 1>, ., H U1 11 'J >, ~ ~.. " 0 OJ ..'l ::w ~ II roO .. H .r. .. r. .. 0 :=1 .. '" ';J " ., " ., ,J 11 '" .. p.. o.~. " 0 " , " .. .. '\. .. ... lJ 21 u 0 " U 'U lJ U OJ " ,. .. ., nj " .. ~', .. " " II ~ ,'l " ,e! 'u " .. ,:! .. 1- l~ " ., .. " 0 'U ,.. VI 1I\ U ,I 0 OJ " Po '" '" ('{ " ~ .. .J z 0, U n .. ) Code, T04 'Ue I'C/PAYR01.L , PEItBONNEl. 06.(10 · n-'h.lp ,UUUUUUUUUUUUUUUUUUUUUUUUUUUUUEmployoe chockViewUUUUUUUUUUUUUUUUUUUUUUUUUUUUUE I U I Name I CALAHAN, RAYHOND E File I 1 050~1I7 Clock, 10005 U SSN I , 173-38-5027 Dopt '880068 U i Checkll 00037250 PayDate, OS/23/117 Wk-PaYI 21-1 U U 648in91e Chock Tota1sIAAAAAAAAAAA4AO 64TaxoB,AAA444AA4AA646A6A6646666A660 u · /lours 1 80.00 · · Federal I 66,16 · II · Earnin9s I 791.06 · · Sco. Boo. 1 49.05 · U · Taxes I . 156.74" Hlldicaro I 11. 47 · II · Deductionsl)'1u..ciL.<...~ 35.54 . · Uhto 1 1 Code 59 22.15' II · Hemos 1 0.00 · · city 1 1 code HOG 7.91' U · Deposits I 0.00 · . · U Q4664446444444444444444444444444444Q · · U · Oross, 791.06 · · · U · Net, 590.78 · . · n a64466444444446446444444444444446441 444446446664446446466666644446666661 II 664644446444444464464646666664666666464666666466A6666464646666666666666666A6R <F3-Previous Check> <F4-Next Check> <Ese-Cancsl> n MMMMMMIIMMIIMMMMMIIIUUUUUMMUUUIUIIUUUUIUIIIMUMMUIIMMIMIIMIIMIIIMIIIIUIUIIIIIY se <> or <> in a window. Use <Tab> or <Shift-Tab> to move between windows. . 06.00 code, T04 PC/PAYROLL' PERSONNEL · n-lIalp ile UUUUUUUUUUUE UUUOUUUUUUUUUUUUUUOUUUUUUUUUUEmployee CheckViewUUUUUUUUUUUUUUUUUU u rile I ,050297 Clock I 10005 U Name I CALAMAN, RAYHOND E Dept ,000060 II SSN I I 173-38-5027 PayDate' 06/06/97 Wk-psYI 23-1 Uu Check' I 00038136 64Sin~le Check TotalBI44A44AA4AA4AAO ~4T;~~:~:tAA~6464A466A4666A6:~~~~66~: · /lours' BO.OO · . Soo. Sec.' 46.n : lip I' Earnin9s , 752.00 · . Hedicare 1 10.110 I' Taxes' 146.40 · d!lll:H 06 · II Doduotion8'~~ 35.54 · . state 1 'Co s . :: Memos' 0.00 . · city 1 I Code ;UOG 7.52: : I' Deposits , 0.00 · · . II 1 Q46666666666A4AAA646664464AAAAAA6AAQ · · II I' Gross I 752.00 : : . u ~. Net' 570.06 A6644664A6AA446664A44'46666641 Il U a66464644644446664464AAAAA6:::::::::::~4A::::::AAA6A664644A4AAA66AA6'AA64AAA6AR 114466646644644646644464 eel> II U <F3-previous Check>1I1i~F1I411-II~ellxlItllli~~:~~~IiIi~~:~;~:~UUUIIIIUUUIUIMMUUIIIMIIUIIIIIY AUUUMIIMIUIMMUMUMUUUI u u <Ta"> 01' <flhUt-Tab> to move between windows. Use <> or <> in a window. Uso u .. ...r. .~ ,......~ ~ codel TB4 le I'C/I'AYHOI.I. , PERSONNEL 06,00 · fl-lIelp IOOOOOOOOOOOOOOOOOOOOOOOOOOOOEmployee CheckViewOOOOOOOOOOOOOUOOOUOOUUUOUOUUUE II 050297 Clock I 10005 II 080060 II 04/25/97 Wk-paYI 17-1 II II ~4single Check Tota1B144AA44444444A~ 64TaxoB144A444A444A4444444444444444~ II . lIourB I 04.00 . · Fsderal I 67.53 . II . Earnings I 800.17 · · Soe, Soe.1 49.61 . II . Taxes I 1!l9.14 . · Medicare I 11.60 . II . DeductionBI ']l'-Ld.A..A:.<t.1-51.12 · · Iltate 1 I Code 59 22,40. II . MelDos I 0.00 · . city 1 I Code 2100 0.00. II . Deposits I 0.00 . · . II Q44444444444444444444444444444444449 . · II . Gross I 000. 17 · · · 11 . Net I 589.91 · · · II A44444444444444444444444444444444441 444444444444444444444444444444444441 II 444666446666644446646444664444464644444444444646466444444666464664644444464R <F3-previous Check> <F4-Next Check> <Eso-canoel> II .HIHHHIIIIIIIUUIIIIHIIIIIHHIUIIIIIIIIIUllllijlijllllllllIIIIIUUUIUUUUIIIUIUUIIV NalDe I CALAHAN, HAYMOND E SSN I I 173-30-!l027 Cheekll 00035450 File I I Dopt I PayDatsl . <> or <> in a window. Use <Tab> or <Ilhitt-Tab> to move between window.. :odsl TB4 le PC/PAVHOLL , PERSONNEL 06.00 · n-lIelp JOOOOUOOOOOOOOOOOOOOUOOOOOOOEmployee checkViewOOOOOOUOOUOOOOOOOOOOOOOOOOOOO[ , II File I I 0!l0297 Clock I 10005 II Dspt I 880060 II PayDatsl 05/09/97 Wk-PaYI 19-1 II II j4single Check TotalBI4444446446644Q 64TaxeBI644444444444644466644646644Q II . Hours I 80.00 · · Fsderal I 60.30 . II . Earningll I 7!l2.00 · · Soc. Sec. I 46.62 · II . Taxes I 146.41 · . Medicare I 10.91 · II . DeductionBI '/'V'{':C'-'( - 3!$o54 · · state 1 I Code 59 21.06. II . HeIDoB I 0.00 · · city 1 I Code 2100 7.!l2. II . Deposits I 0.00 . . · II Q44444444464444444A44444444444444449 . · II . OroBs 752.00 . . · tl . Net I 570.05 . . · tl 444444444444444444444444444444444441 44A444444464466464444444444444444441 II 446464464444444444644446444446444444446444444444444644444446444466464444644R <F3-Previoue Check> cP4-Next Check> <Ese-Cancel> tl ,ijlijlijijllllijijijijijijijijijijijijijijltilllijijlijijijijijijijijijltillijllllltiijijlltilllllllllllUUUUIUIV 'fallle I CALAHAN, Iu\YHOND E lSN I I 173-30-!l027 :heckll 00036340 ~o Cod.. TD4 FU. I'C/I'AYUOLL , 1'lmsoNNt:L 06.00 · l'1"U.lp IUUUUUUUUUUUUUUUUUUUUUUUUUUUUllt:mploYIHI ChellkVIewUUUUllUUUUUUUUUUUllUUUUUUUUUUtJUt q II ~ Name 1 CAl.AHAN, llAYHONO E FUe I I 050all7 ClolJk I 10005 II I SSN I 1 17J-3D-lion Oept I 8110068 1\ I Cheek/l 00033696 l'aYI)atltl 0108/117 Wk.PaVI 11-1 II I II I ~Asin9le Check TotalsIAAAAA444444AAC tlATaxealAAAAAAAAAAAAAAAAAAAAAAAAAAAC II · Uours I 60.00 · · federAl I 57.10 . II · Earnings I 712.00 · · /Joo.lhw.l 45.11 . II · Taxes I 141. 11 . . Hed I t'4ru , 10.61 . II · DeductIons I I)ll <'6.. (',1.-( 51.12 . . Btatu I I Coda !III 20.50' II · Hemoe I 0.00 . · cltV I I Cotia HOll 7.U' II · DepoeIts I 0.00 · · . II QAAAAAAAAAAAAAA4A4AAAAAAAAAA444A444~ . . q · Grose 1 732.00 · · . II · Net 1 639.1'1 . . . II IAAAAAAAAAAAAAAAAAAAA4AA44AA44AAAAAl AAAAAAAAAAA4AAAAAAAAAAAAAAA'AAAAAAAl II 'aAAaalAAaaAaAAAAAAAAAAAAA4A4A4A4AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA <F3-previous Check> <F4-Next Check::. <Ese-Cancel> II iMMMMMMMMMMMMMMMMMMMMUUUUUMUMUMMMUMUUUMUUMUMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMMIV .a <> or <> in a window. Use <Tab> or <shirt-T.b> to mov. betw.en windows. d TB4 PC/PAYRO~L , PERSONNEL ) Co .1 'Ue UUOOUtlOOUUUUOUUtlOUUUUUUUUUt ,UOOOOOOUOUOOUOUUUUUOUUUOUUUUUEmplov.. eh.okVi.wOUU , 1\ 1 ,ile I . 050297 Clock I looo!! : 1 Nam. 1 CAlAHAN, RAYHONO II: Dapt I 8800li8 1 SSN I 1 173-38-5027 psvP.tel 04/11/97 Wk-PaYI l!i-I : I Check/l 00034662 I TotalsIAA4AAAAAAAAAAC tlATaxesIAAAAAAAAAAAAAAAAAAAA:"~::AA~ ~ I 6A8inCjlls ehllok D5,O(l . · relleul 1 4".64 . 11 I' lIauru I . . Ii /leo I . 1. Ellf'ninqa I 800.61 eltJ., 11 II . II 159.27 · . HedIoars' ~9 22'42' II .~: ~:~:~tIons: -;~(('{'~r Ill" !l~::)~) : : ~t~~. ~ : g~~: 2100 .:01: : .1' Hs.olI I . . I' Dspoelts . n.oo . . II . QAAA66A6A66AA6AA6AAAAA6A6AAAAAAAAAA~ · . II ;:. Gra.. 1 0 :lll. 11 I : : . 1\ 11' Net. ~~o.24 AUU6666UUUUUUUUUUl II <, 66AA6AAAAAAAAAAAAAAAAAAAAAAAAAAAA^^IAA::::::AAAAA6AA6AAA6A6AA6A6666AAAAAAAAn 1AA6AAAAAAAA6AAAAAAAAAA^AAAAAAA^~^^^^^ c" v-cancel>> ,.." II <t'3-1'revlous Check> .: Y4~llllHt I h,"k, > illlli~:IiIUlIUlIUIIlUl6UIUIUIlU""UllllllllllIHUjV &lllillllllltlllllllllllllllDllllllllllllllUllllOilllllllOOilililileil I l'litt "Tllb, ten Illove blltwlllln wlnllowll. \JOll <> 01" <> in a window. UBa <'('a j' Of " I ' 06.00 · nell,lp 06.00 · /'1"lIolp JOOOOOOOOOUOUUUUUUOOOOOOUOOUU t:mp 1 oyee Chuck Vi ewUUUllUUUllUllOOUUllOUUllllUUUUUOUUU [ Name I CALAHAN, RAYMOND E FUe I . 050:11/1 Clock. II 88N I . 113-38-50:11 Dupt . 880068 10005 11 Cheok'. 00031960 II PayOatel 0:1/:10/91 Wk-Vay. 01/-) II 6A8ingle Check Totals.66666AAAAAA660 66'raxes.6A66AAAA6A6666AA6AAAAAAA66A~ ~ : /lours I 80.00 . . t' d 1 ... Earnings I 151.00 . . e erll I 61.05 · II . Taxes I " 147. 7:l . . Doc. Sec. I 46.\11 · lJ . Daductions."Pu,<{\"c,,,,( 51.P Medicare I 10,\11 . II . H .. · . state) · code 69 :I 1.:10 . lJ . amoll. 0.00 . . C I t 1 Oeposits . 0.00 .. Y I Code :1100 1,51' lJ QAA66AAA666666AA66A6AA66A66A6AAA6A6~ . · II . Gross' 151.00 . . · 11 . Net I 558 16 . . · 11 \;:;;:::::i::::::::::::::::::::::::::~AA:::::::::::::::::::::::::::::::::::iAi rev OUB Check> <F4"Next Chsck> <Ese-Cancel> J_____lllltiti.tititititiltilti_titiIUUtititiIUUltiUltitititiIIIIIUUUUI.1111111..1_1.1.11.111..: Code I T04 11. PC/PAYROLl. " l'EllSONNEI. Code I T04 U. PC/PAYROLL . PERSONNEL 06.00 · Fl-/Ielp OOOOOOOOOOUUOUUUOUOUOUOOOUUOUEmplOY.. ChackVi.wUUUUUUUUOOOOOUUOUUUOUOUUOOUUUt II ril. , I 050:191 Cloak I 10005 lJ Oept I 880068 11 Payoatel 03/14/91 Wk-pey' 11-1 lJ 11 I 6681ngle Check Tolals166A66U66UUO t)ATaxe&IUUAUUUUAUAUUUUUO lJ l' /lours I 80.00 · · Federal I 51.30 · lJ I' Earnings I 73:1.00 · · 80e. aec,l 45.3\1 . 11 I' Taxes I 141.13 · · Medlcaro I 10.6:1 · 11 I' OeductloneI1IUcLcc('~t !ll.1:1 . · Btate) I Co,hl 59 :10.50' 11 t1' HeIDos I 0.00 · · city 1 I Co,te :1100 1.H' II l1' Deposits I 0.00 · · . II II QAAAAAAAA6AAAAAAAAAA6AAA66A6AAAAAAA~ . · lJ II' Oross I 13:1.00 . . · 11 n' Net I 539.15 · · · II n IAA6AA6A66AAAAAAAAAA666666A666AA666! A666AAAAAAAAAAAAAAAA6AA6A6A66666IAI! II aIAA66A666666'6A'A"6AA66666AAA6666666AA6AAAAAA'A66AA6AAAAAIAAAIIAIIIIIIIAIIIR " <F3..prevlous chock> <F4..Noxt chuck> ~EBc-Cancol> II AtitiUtiUtititititititititititiijijijijijUUUUUUUUUtiUUUdUUUUUUUUUUUUUUUUUUUUUUIIIUtilllllll.IIIIIIV I Name I CALAHAN, RA YHONO E SSN , I 113-38-50:11 Check'l 00032854 Use <> or <> In a windoW. Use ~'I'ilh> or ..:Uhlft-'I'ab> to move between windows. J Code. T84 ;ru. I'C/I'AYIlDJ.1. , l't:ItIWIHIF.I, 06,00 · 1'1-lIelp IOOOUOOOOUOUOUOOOOOUOUOllllllllUtlUt-'"lllIJV"1I Ch,,('k V I uwUllllUtlUllllllllllllllllllOllOOllllllUtlOtlUUtl ( II : Halle . CALJ.HAN, IlAYHOIlO Ii: 1'11. , . O!lO:l1l7 clo('k. 'OOO~ II I 88N I . 173-10-~on uept . 8BUU60 ~ I Cheok/. 000J0210 'ayOate. Ul/1l/117 Wk-pay. 05-1 II OA81n91e Check TolalalAAAAAAAAAAAAAO tlATaweelAAAAAAAAAAAAAAAAAAAAAAAAAAAO II . lIourll I 80.00 · · Flltler.l I 61.05 . II . Earnlnqa I '15'1.00 · · 1I0c. /lIlO.1 46.9] . II . Talta. I ,14'l,n . . Mudloarfl I 10.97 . 11 . Dedllctlon.. -)1\, ,(., ,', ( flI,l~ . · I:lt"l.. 1 I ellllu !>II 21.20' II . Hemoa I O,UO . · C!ty I I ClJdu l/Oll 7.li7' II . Delloait. I (l,(lO . · · II OAA"A"A'AAAAAAAAAAAAAAA'AA'AAAAA'C · . II · Ora..' H 1. 00 . · · II . Het. 51U. 16 · . · II 1""A"AAAAAAAA'A"AAAAAAA'AAA"AAl AAAAAAAAA'AAA'AAA'A"AAAA"'A"AA"l p ""'I'A'AA'A"AAA'AAAAAAAAAAAAAAAAAAAAAAAAAAAAAAA6A'AAAAAAAAAAAAAAAAA"'A"R <F3.pr.viou. Ch.ck> cF4-Neltt Check> cl.o-Clncel> n MMMMM"IIMMMMMMIIIMMMMIMMIM'UU..........IMIIII"IIIIIIIIII.IIMMMIIMIMIIMIMMMV .. <> or <> in a window, U.. <Tab- or <shltt-Tab> to move b.twe.n window.. '0 Code. 184 I'll. 'C/PAY~OLL . PIR80HH!L 06.00 · n-H.lp 'UOOUOUOUUOUUOUOOOOUOOOOUOOOUU~mploy.. chlokVilwOUOUUUUUOOUUUUUllUOOOOUUUUUUOU[ II II II Ham. I CALAHAN, RAYMOND! 'il. , . 050391 Clock. 'ooo~ u 11 88N , . 173-18-11011 D.pt . 180061 II II Ch.ckl. 00030426 PayDal.. 02/14/91 Wk-paYl 01-1 u II p u 6A81n91. Check TotalalAAAAAAAAAAAAAO OATAW..I'AAAAA"AAA'AAAA'A'AAAAAAAAO II u · Hour.. Ill, lO · . V.'I.r.1 I !'l7. '11 . II ;1' Karnlng. . 7lL7!) · · Boo. /leoo! 4!'.l.!Hl . II II · 'l'Alt... 14/.6'> . · "Il,H(l.ue I 10.66 . II 'I' Deduotion.. '/~' ((, ,', t' ~I, IJ . · ,nAta 1 I Cud. !'III 2D.ln' u u · H..o.. 0,00 · . city 1 . Cod. 2100 1.)!'l' D J' O.po.l t. I 0, DU . . . U I OA'AAA'AAAAAAAAAAAAAAAAAA"A'AAAAAA~ . . II I · Oro.. I '114 ,)" . . . U I . Net I "41. III · . . II I AAAAAAAAAAAAAAAAAAAAAAAAA.....44AAAl AiAAAA""'A""AAAAAAAA"""'AAAAl U IAAAAAAAA'AA'AAAAAA4AAAAAAA'AAAA'AAAAAAAA'AAAAA""AAAAAAAAAAiAAA'AAAA'AAAAA,n I ,'f)-Prevloll. chllck" .t'4-HIiI~l Ch'",k> .r;lilo~C4n(J.I> II '~MIUijIMijMijMMIMijMMIIMMijUUlij.."8".".....uM..IMMMMIMijMMMMIM,IUUMMijIMIMIIM,..V Jilt; ,.. or ." In a window. \I'iI' 'lal.. 01' ./.ihUt..'1'4li:. to IllUVtl hllh/1iI1I1I wlnI1ow.. 711 S" '..~..0.'\ Jl) ~:" I .1(\ (Ill 7' (.~ <It u,;;; "'.1 ((} I"; 'if) -- :;~1 'Jt ,,)7'1 '11 "dill{ .:'~ d L. iJO \ ..t~ <<.l p~ tl~ I'M II'. "I S1v.JI~ f(.tf--, II ( ,\ ~ I.D m !IH 1(11 r. w t/ud,. j,- .J..I4. ~~_ ,7'.., 7,.l /JtJ~ ~(J Tv t-IAfu 7I:(jJ/' " (,..d) (,." ) i II lAd. It r[ H , '! I~AO """",J .;lrd or) ',(,".16 . ?I H .."........--' () (It. 'lJ ..;;0I'f y'.;l ~() (10 ..';0 t ..!'I .,:,i U \~ '(l;; In l' - 7'. t;l - 101 ,),1 ---- ~~~ - kl"\thIH') u "1 ;1;'4 (I, #ij.....!tt '" ; ~ A" .j/i' II,,' ~~ r..' )/,....JI oJ '. li~ 1;1. IJ7')/, 1';.,.1 If) 7.} PI> 6h ~"J At.. --- ,"'-~" . l,..s II i 1,110 'It.. .. " 'I 1..; " '1 f' "~ I 't ./f :' '" ck " ""'1"0 ,. _"_'_'_"'_'___"__"'_'__'__'_'~"____~' ~_~.___~,._....M_.' n____ Cl B'N'! M7C\1 KEVIN B. BENTON CPA 401 E. lOUTHER STREET CARLISLE!, PA 11013 (717) 251-4800 Mmh 211,1\1\11 Jbyllllln.t 1.\ ~n.t K~lhl"n A CJI~1II3n ~11l YUlk !lOll" cJIIi,I.. I'A 11llll OUI !tIlY '" ""Ihl..n, t: ndlllf.J II yuu' IlNtI r..JmlllllliyjllulIl IIII:UII" 1 u RIIluln. Thll url,lnalahuuld b, at,lIfd 1111111 "HIIUIII III PIlM' IWu UHlh IfluUIU IhuulI! allln. Thmla a lIalane.lIu, of $l.In. M~II )"UI 1'111..111 r,turn Wllh 1'1'/111 11l4ll.Y fla)'l1I.m VHu~h" un III lltfor. ApllI 15, 1\1\11 alld IIIlIk. )our ~h..k pI)lIbl. Ill. IN'!I:RNAL RlVENlJ[' SI:RVICIl "0 UOX HHIl ""'LAllH""IA. "" 1\lIIlHHll bh.lllu,1 ")"U1 IIIVfll',nnlyIVllnIIlIIllJlvlllullllnl\,lIlu IlU Ihlll/II lh. "rilllllal ahllullI b. .IMn.<J "1111. hlllllJlllllllh. hHm 1I0lh 'pIlU'" .hlluld .11111 'I hel. " II hll~n~. lIu. Hf SlI4, M~lt )'lIull"nnl)'lv~lIla ICIUln Hn HI hullll' ^1'1I11~. I'j'J7 "Iulmak. )'HUI \he~k payall,.II\: "" llEl'A!tl !'.l1:N! 01' ItI:YbNlJl: I'AYMENI I:NCLOSf;1J "ARRISllllRrJ. I'" 1112'HMM14 YUUI I'JIll '''IIIl~''llllU flll)'m.m ,"heIJul. I~ h.I,,1 h.lllw M~II Y"UI I'lIym.nll tHth. allllre.. .hllwll Iln YIIUI utIl1l3t..J IU ".)nllllll ,,",,"h.I' Pue P4t;o; 4/J~!n /l/lli/II'! 9/J!i/\l'l J/H/\l6 f..d..lill _~ 290 2~O 290 2~0 Venllllylvanlll $)0 )0 )0 lO $ J. l~O $ 120 "I.il~~ h. ~u" hi ~illl il )IIU llil~' any ljlll\IIII"1 '''"rilly, ~--- ."._m.;._____~~_ -.-----.--- 1996 , Federal Income Tax Summary Ravmond E. and Kathl"n A. Calaman 1996 INCOME Wages, 8alar'i88, tips. et" Interest income Dividend income BusilHllIS Income Tot a I Income 25,001 96 24 3,973 a,100 ADJUSTMENTS TO INCOME One-half of self'employment tax Self-employed health in.uranca , Total adjustments Adjusted gross income , . 281 o 281 28,819 ITEMIZED uEDUCTIONS Medical Ii. ,iental Taxes , Interellt Contributions Total itemized deduction. . , o 1,1158 2, III 155 3,996 TAX COMPUTATION Standard deduct ion , , . .. , Larger of itemized or standard deduction Income prior to exemption deduction Exemption deduction Taxable income Tax before credits 6,700 6,700 22,119 5,100 17,OU 2,554 CREDITS Total cr'edits Tax after credits o 2,514 OTlIEll TAXES Self-employment tax Total tax . . 561 3,11$ PI\YMENTll Fedel"al income Total payments , . . . tllX withheld , , 1.968 1,968 REFUND OR AMOUNT DUE Underpayment penalty . I\mount you owe , . 6 1, Ill) , . 19 ~~) 24.[))) 1I5 21 969 25,OU liS 534 602 H,U6 665 1,1192 3,732 o 6, ~89 6,550 6,550 17,946 5,000 12,!l46 1,939 o 1, \ll9 136 2,075 2,071 2,071 o " Page 1 113-31-11021 Dl ff 9'14 11 ) ),014 4,002 211 - 534 -321 4,321 -665 .n4 '1,549 155 ,2,293 150 150 4,173 100 4,073 615 o 615 425 1,040 -101 .101 II 1,149 1996 Pennsylvania Income Tax Summary R.ymond eo and K.lhl..n Ao C.lam.n 1996 1 NCOMIi: Gross compensation . Taxable compensation 25,007 2S,007 Interest 0 . . . . . Dividsnds 0 0 . 0 . 0 . . . Net profits from buain... or Pennsylvania taxable income 911 24 J,\l73 ~9,100 , , farm Tax 815 I . . . . . . . . , . . PAYMENTS AND CREDITS Pennsylvania income tax withheld Total payments and credit. . , , 701 701 REFUND OR AMOUNT DUE Amount you owe . , , . . . 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'1'1; Hi H'. b"1 \;1 'l\t 11liOlIIl'ii1jAi ill';' ""Htl HI.jllI. hll' COIII't, In<;j CWI'J>lllt n.t:IiI'l'I."1 ", ll'U..',' \(.;11..' p,." 1.0""" I ,.I>'..IJ !It I ,.llhl,jI""!."" 'II "''''1.1. JiI'j;~f1 i";U thr iHIQWl'lIIM ~ Vlill"'II"I"'" ~ ~I'U\J"I"V"'h.j/' j'jUOllllllli!f\ ltOI!!it,,,.II:!,fh ~:;:~';,:': ~ ---E, ~~'=--~(.~..~,~r,'-, --- '. . r 6\J n h~;I~ ~IJ .I'PA :'~t;I~-:~~:~~~-.~;I~~I~ ~,~.i)i'-'rt'""II';IJl'jl~~l. -.'l' i 1~f1t .u~.u (:"11""li91", riA . _ ,..._'....,_,..._."";.~..,.;".,,._L "'",,""_".~~.___ "___ ..._ _",_... lli..lt I 1(;.11 ,.t.----..~....... j 3rZ:l.l~'7 I. t........ !J~l,,,~.j'lf" LaL'H ~I r ~,I~-~;.;;,!':~~i,l<" r7,:~~L-~.~~TI-'il~~~;.5;7~.',..-.';Z:~"i;';'-: U', 'l"lJ' f.t;! r , . HI S4nl J liP l.,;;~' J'IiJl j M...,_.".__.:.....,,_.'"" r i~ IT! '2210 L~ _ Undlrplymlnl 01 Elllmllld Till by Indlvldul'I, hlll'l, Ind r,uele ... I.. "I,..,t. Inl\lUl.llufll ~ ~,U~~~ !~!'~'~!~~~-,-~~'OA. '~IOHJl, 1~1~\,!,!:Il,!! '.!!.!l ,',III..." ,., ~'.1J 1906 DIII,rl,nllllyllh,l"",;IV Illtlllli flI,.I""1 !ill ~'t I ,...mll'llhtn"nllnl'.'II"", ""H'"'.I''' 01 ""HI"!' o.;u t..,.-."'--'--. - ....,., i '..'u.r..,..... J~~i'!n(J!Hi ~':, dr~(t Kat nleen ,\ !'.Ll!rl,:ill 1'1 J 'Ii ~O;':.' Holt: In mUlt Cll.I. you do not "'Itl 10 lilt fUfHl U. \0 'h. 1111 "'It! 'I'IlliJl' "l~ PI"lilv ~1"J 1/"'1 .j'll &I'll) ~tJlj I lllil ",I, f!JIlII U l{} only II UI\liI III" lflul' bO."1n 1'111 I ,pplV 10 you 11 you do nrll n"1110 111, f\lflll 11'0 rt)\l illlll"IY uU ,llu fHJiM* VUUI P."'IIV tIlIWlh.IIIII)\illl "tiltl 1'''110 (If 1m. -.0 VrJ Ih, p.nlltv hll' 01 yOUf ,.llNn, but do not .'tacn hwm Ulll L~ Pm! _.rRilionl 'orl iiTnu.:,'ii l;.i~M,;;;~~-;u'~ - ~';;;jll~..'i(;~~;~.'- ~.(l~;.;;';;;.b-'- .lll, lu ~ii~;;. .l;-;;;~~;'~I;. ;~-ljl..p;;~M;i~'-'BI~'I.~~~' MlJ9.1'~ ;~~~~.1I~;' ~..- bo..,lhll'VPly .ml hI' "Ulln ula ....'"1 yOUI lalleltMIl if 1\1 tlluw .PVU'I h. I'uu t.hfit\.1t Ihalllol anll 'IIa f'ulll\ nlll 'l\tllh 'ju~. lal"hJlIl t Ct1tC.k WhICh,\l1I IJO." apply \1' HUll' 'Pply. It. H" Nol. IIJu~1i .0 'You 'IQUI,t I wllv.... In [..la!l1 (;'l'{.urn.lJ.nl.... Ihe IH!:i -.lJdl",*!lI. ,II t.iI IJ",I 01 1111 (.tn.iI. 41. WltVtl wI P.nAllv 1J<l ",laWI J 01 'h, +Iln ~H.htm, b 0 You \J,.lh, annUIU"" l",om. Inlltum.nt m.thod it ~~jH' Illt,O/ll' ...'Hld dUflllW Ill, ~,.. lhll fIillhpd IIII~ Iljh,I~' It,. i/fllhJnl "'illi' Of mOll "Qulfld 11l.I,lIm.nl' SN P'''' .. uf \hl IIIIIJIJL(lCJIlI cO 'YOU h,d f"ld..llncoml tal WI\l'f\1111 ,,"Ul" "'lU" "111 Ius ..Ilfnll", III PIUPP'" ~"u ...llh, w,lhlllltJ La. it p'ld t,;ll u., a.'" II wi' 'L1u'lly WIlhh,ld, In,'''ct olin ,qual I1114hJtll' (In \111 II'rn'llll ljU' 0.1., fi.. Ih. IU"u(;llijflIIUf hf~ ia an JiIQ' 1 dO I(OUl 'lqu'ld annUli plymlnl illfll q L'10Jo-) i' rl..,!1 (HI yOUI I\tVO tI.. ant.! y011 flltd Of ill klUIU .IUlfll1t1urn lu '1It," lWi Uf li91 bul rltJt IUI both 11." .~_..~-~..._..- '._"~~~ . .....,.-.~...._-.'_...,"'_.,..,~----~-...."......~"..,.,..,.-- "_,,._~_~,_,~~""'__''''__M__.~'_<.'''''_ l1mJU Rlqulred Annuli raymlnl a-i~;-;~;lV,","'tA;".".. Ofld,l. I'" pig. l uf Ih. rrll~ucllonl1 ..-.~..i]".. f..t? ~ '! 3 Olhll '.....1... pIU. 2 01 Itl' lf1"ucII0f11j . i561 . Add I'nll 2 ""d J _'~' 17 IH I Earn.d Incom. Clldlt . _~ .+_ . C,"d,lI", f IdOl 1111. p.,d on lu." t:. ' . 1 AddhnllSand8, i 1 , \) r-..........,.,..--~~ I CUHlnl VI., till.. Sub.ICllltl, 7 11-0'" IIn, e _ _ 11-..-I_-Jj _ .!! 11 ~ . MulI'Ol1 linl 8 bl 00"" \ 001 i !; L , a II 4 --.. .. - -.r.-"-. to WlthMldmg ta_.., 00 not In(ilud. Illy "1H1111.t1 tall plym."t. on thll IIn. j," P'Q' a tif lhl fn,_ucticnlj ,~..,1'-1 T,.., ~~..~J ')) ~ 7~ 11 Sub..el lint 10 "om hnl' 1111.. ''''Ill noo. ,lop h... clo nol compl'" t.I lilllhlllOlRt <{LiU du flt-JI ".1 (tl' lit' 'III, 1 11 Enl.. Ihlll"hown on 10'" \1Ii& 1I""orn, 110," ollhll Imo,,"l ,II!,. IUI,,'''d W"'" "'"0"" lhllW" on '''.''1''0'''' I' I ".: ':.;" more thin "&0.000, or II mllll.d 111"\U """It,!v h. ''191. lilOfllhan '76,0001 Caution; 'Ii.. ~IW' a 0' Ihl In'll ~.(.bull' t---!L.~~-_._~_.~.L.~"';; 13 R.quk.d annual paym.nt. tnl81 tll' .mlll" 01 hn. V (J' hn. 12 L.!LL.~,".,...-.._-Z.k!,,",l,'i Not'l !lli"l 10 II I Ulllo Of 1110111"4/'111'\' 11 ~Il~1~.~!.!.-1.2~.. I"...I!_,~~~~~!.~!J!__!.'I.I!t_ ~!~~~~~II~I!.!~~~!!.~~~~!!!.~~Lh'dl'~ bD~ .!~.e~L.~~"~ .flrt II. Rho . hod ,elution; b" [lIY' ~ ul ttl, Iflll IJ[!lUllllo flll{j '-lill ,I t(Ju U,ll \I,. Ilia ,hIMI m.UlUd II you (."...;~thj "WI ,. ()f IS In filillt I. skip thll part Ifill yu 10 Pld IV I u... ._______ .__....___ 14 Elltll thl amount I' .nv. ~orn line \0 ItJu"l 11 Enter th. lotal amuunt. If IIlV, ul ,,11111al.d I.. Plr"l,nt, r\lll lIIi1rJ.. ,. Add 1m.. Ie Ind 16 11 i II I' ill '.--..-----.....--.--- --~-_.-..,...--;- .. , 1 j 'if,d I -.1 , " , r::T--'-^ ." III 1..1~.~ Talll undlrp.ym.nt 'Of y... !i\,Lv.GIII"1 18 hurnl1nl 1 J lit, FOfrn 2210 unl.., you (:I'll:1I8IJ {llJ. l(J .IIO~' 1. Mulhply IIn. 11 bV OMI'" 1. . Illtll .1Il0UlII onltn. 11 WII ~"(J on at Itt., eI15'U', .wl8l (I . IIlnl IlllOlwt 011111I' 11 wit Plld be'OfI e/l~lg,. flll~' Ih, lu1l0wfHIJ LOIIIIJUla!ltlllll.i firtd iiI. 11IlUUllllo ."* Uli MFI. '. II lelf] (~ l,n t.lu~j 1l..,l,Jil du nul uw.lli. J,l'/lli1t lJti /ll.il .\') I (; Aff1{JUI1! on !III' 11 Numlitf 01 diy' ~.'~ bite.. eI16,'" . (JOll~1 . : [_.__..~: ,.. .~;;, 1110 ,;;;' 20 PENAl. TV. Sulltll(:l hnl Ii "om 11111 II Inl.' Itl""\J11 htlll "111 un 'rwm 1()40, lUll 8l FOfIfl 1040.1.. IInl 3e: fUfm I040NH. line 8). rOWI loeOMl II, IIn, h, '" Furft11041..hn12S For P'PtJw;"k ""dutllon Atl NuIlU, "" p.g. I 01 H,.,li;in;;ui:llonl. -. ..-.f" _... _.'_' ......... a.______..___._ _ UIDtI'''llnluIH11'''''I''\' tnl.'lla./lI'WlnV' "., \lOt , Nam, Oll>>tl~",II. L Prollt or LOll From BUlln.1I (601t Prop"llorahlpl .. Plllntfahlpl, jOlnl venluJla, ttc" mUll f1l. form loti, AlI.'hm'"1 .. Attl(h 10 Form 1040 or Form 1041. .. h. In.butllon. '''' 8th.dul. C form 1040 . "'"'''''' ........"',..... fIIMI Il~. ~o '."-00'4 6CHEDULIi C (Folm 10401 1996 011 ~_~tl!!'~~_ll.!\' (;~t~ll1l"-II, u'.,..___,_ ...l6~:,~f!:Q125____.._ A Prlnclp,' bUllll'" Of plot,Ulon. InClulltnl~ p,oQuet Of '''Vlr-Il''. pIU' C~ 11 lEnt., p'lnClpl1 bUIIn,,, COt1. )J~ll~:'!_~ ~~r!!l~" ,. _._._____._____ _,~~~~P.O.,c-ei!'..~ .?Jf.l.... C BUlln.1I nlm" It no 110"lt. bUIlnll1 nlme. 1"VI blank 0 1......IU,......I!IH'..1I'1 .)<i1!Jl!'.'"n !l.\!l!'!."'-..!L~(:I~o'.)l.!:!Ltll" I'el. Alta ,._._____ ___._,_____'__n.__. I BUII""I ladf.lIllnCludlno ,ull. Of loom no I" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. , ~~~On:~Of ':'i~~~ffl.".!'~~I~aing.;~ r.9d.~ ""'(21 d ^r.r.ruli '''i31-lJOlh';IaP''',.vI_~~_=:'~-=-=''=-~'~-=,='==-~--=-=-:_= =- Q (Jld ~ou "1n'1.f1.U~ PlltlC1Plt.- In Ih. op....hon ollhl' bu.ml.. dUring H.lHS? U"No,"... PIO' c..a for limit on 10.... ' . . QD VI' 0 No U It ou 1",I'd Of Ie Ulf'ld lhi, bU.I"'" duo" 1&96, ChiCk hll' . ... Part "Com. GrOll recllpta or lal... Caution: If thll1rlCom. WII 'IPOllld to you on FOfm W~2 and thl "SlalulOfV .mploV.... bo. on Ihat form WII (lheck,d. ... p.g. C-2 Ind ChiCk hlf.. a ReI",n. .nd .1I0Wln... . . . . . :I Subhct 1m. 2 trOIn ~n. I 4 Co" 01 gOOd' ."'d (ho", lin. ~2 on p.oe 21 ... 0 1 a a 4 29, 3_~!! 194 29,192 3 945 I Oro.. prOffl. Sub..et lin.. from hn. 1 . . , . , , . . . Oth. ir1CQln.. including Fed.'1 and ,tit. Ollahn. 01' lUll till Clldll or ,.fund (It. Pig. C-2). I I 25 2i1 7 Orol.lncome. Add Un.. IS .nd e .. ... ... . _ _. . _ . . _ _ ,. _ '. . . . . . r P.i1I~P!f!!!!o..in!!!.!~E!n!~!",,~~~!~.. 0110Ul ho,!!!.onIV on line 30 ____. . Adv.... ng . . .. .. .. .. . I I 1 , ) 8 ') 11 Penllon .nd pfohHhl"no plln.. .. .. .... .. " .. ... t Bid aebll ~o", III.. or 1--'''' --- 20 R.nl Of 1....1... Pig. C.~): . . . ,.VIe.' 'I" pig' C.JI. i . : . V,hICI". maChinery & .qulpm.nt. . , . . . . . , . , , . , . , . . 1_',_".._.'.n_.__~_ 10 elf Ind ,"uck I.pln,., 1 b Olhlf bUllnl1l PfOPlfly, ,. . ., , ". . ,. .. . ..., (II. P'O' C-ll. 10 568 21 R.p... .nd ",,,nl.n.ne.. ........',....,.. 11 Comm,u,onl and "., . , , ..:!~-~C=--==~= II Supph.. (nollnclud.d In Pill 1111 . . . . , . . , . . . . . , . . , . tl O.pl.l.lon 11 1 13 la... and \ie.n.... . , , , . . , . . . . . . . . , , . . ,. . -..----l--..------.-~- It lfav'l, ml.ll. and Inlertalnmlnt: ,:t O.pt",cl.tlon and IlCtion 178 ,.pln.. d'ducbon (nol Included . Trav.'. . , . . , , , . . . , . . . . InP'fllll)(...p'U.C.l) .13 , 7,387 b M.IIUnd 14 Employ.. b.n.1iI P'OY'I,"I '-----1----~-------.- Inl.."uutllnl . , . , , . . , . . (olh.. Ih.n on IIn. lUI. . J!.;..._...,.._~,_, 0 Enl.. 50% 01 IIn. 2~b lubl",llo tI Inlt.rant.;' (olher lhln hultt!) , ~,_'.I.-t-__---~Q.Q- IImltallonl 1'1' PIO' C-41, II Inl....I: ~_ d Subblcllm. ZCo hom IIn124b. . . . . . . ... . . .. , , ... . . MorIUIO' (p"d 10 b.nkl, .10 I . II 11111111.... . . . . . , . . b Oth..-- I -!~-~T-:~~-==-'---.' 21 Wag., ,II" IIIlPloym.nt crldltll. . . . . , , , . , , . . . , . . . 11 l tQll and pfol'"lonll ....vle.. 111 I ]]5 21 Othlf "P'"I.. ,. Ollie. I. )tllll . --'I 'r--------. (i A llram 1m, 48 on pi .21" . 2t lol.l '.plnHI b.for. ..p.nlll IOf bUIIn,,, UII 01 homl ,Add linll 8 lhfoUOh 21 in COlumnl ..... 1 25 247 11 eo- lOb 21 II II 483 --6'08 14_ I4d ~- II .... 1 77U __E.Li.16 ..!!_ ___!~ ,.€ll _~_ ___f!Lj~A 1 II . 29 TentAtive plulll (1011), SublJacl hll, 28 hom hnt 7. 30 e,:pln."lor bUIIIl.1I USI 01 ~'our home Aft.ell fOfm..at 3t Nit profll or (10111 Subll.cl hnl 30 !rom lUll 29 . III plUM. Inl...- 011 Form 1040, IInl 12, Ind ALSO on 8ch.dul. Ie, IIn. jJ IfllalulOIY .mpIOY"I,'" page C-15). Ellall. .nlJ ~UI11. .nl...- on FOHn 104\. Ilnl J . II . 1011, yOU MUST go on 10 IInl ]2 3J II vuu h....... IoU, ChICk Ihl bu. Ihll a.,ellblS VQUI InVlIllI1lnlIII Ihl'lcllVl1V JU' pIU' C-5). . II you Cfllc~ed 321. Inl.. lhlllon on furm 1040, IInl 11. Ind A1 50 011 8ch.dul. Ill, IIn, a lilllulOfY .mfJ1HV"I, 'I' paUl C~'l fsl.llllll(I.IUill. ."lfIf un FOIrT1 1041, IUl' J ._~o._!..!.!.~ c;hec"ld 320. you MUSt "tach form Inl. "or Paperwork ntdUellon Acl Hath;., ... Form 1040 In,"uCUO"I. I 31 1 en ) . . I 32. 0 All Inu..ln,.nl 11.1 ".. 3Jb 0 Soma tnVll1mtnl II "01 II ",It. 8th.dUI. C l~orm 104011111 ""A. . IdIIOultCfJ'o"fl'040111it1 K,lthlo~n A. (',lLl1l\ctll 1(17 .\1) I}.!.:~', I P.rt,1I0 COI' 01 Good. 6old._l.!..e;.i~~:~~=:==:=~=:::::=:_=:' n M.lhodl') Ulld 10 vllut clOllng HlVlfllOI Y . rJ Co.1 b [] I OWIII 01 (;011 01 flllltlll c U UIIl.. 1.!tat;1l I.planalion) ,. Wit th.1 In.,. ching. In d,t."lIf1lflQ QUIl1l1h... cotll. 01 \ilhllhonl bltwtln OPI'lInQ Inll &IOlmy lIWIFlIUlyl II "VII,. .\taCh ..pl.n.lmn lJY I .It :11 hW"tIOfY II OlglllflmU 01 V'" II tllttWlnllfOm lnt "11"1 tilf,}'I"" mv.nIUf'(, ,ttAch ..p'lt\.bCJIl 31 PlJ'ch..lIll.. COI' olll.m. W11I10'lwn IUf p...on.1 ull .!!. ~--,- ~1 COil 01 'tbOf, Do nol includ. 11111"1 paId 10 YOUflllf. .iL ._,_ :Jj MII.IIII and IUppll.. . . .B......, 31 Olhtf co.1t ' fl... Stat.nlent ;a 40 Add Unll 35 IhI ough 311 . . ., InvlntOf'f 'l,nd 01 V'" ,.,,,,.2 ,_"..lL~ : :4:t- ---~.-'..'I 41 Co.ll Dr lid. ubU IlIn 41 ~ nHln 40 01 Ih I I I. "n I "" ) ~ 5 Inform.llon on Your V.hlcl. Compltlllhl, Pili ONU "you III "'"11I119'" or tuti 1"""'" O"'Of 10 In~ "' "pI f,qU"~ to ~i'.!! :>.:~~ 'ur -'-hl!.t>."!'~!~~ S"~~!.'~!"-C.\l~~!'lJ_~"-'u'J. ~~f.!i!,.~:1.'.! ~~!"!..".!!". ~UII~.____,__,__..,.,._, ., <I, Whln did you pIle. 'four vthlCl, In 1.,\11(;' for butm'" pur pOll'? tmolllh, diY, .,.," I. 44 01 thllotal numb" 0' mlltt 'tau "rOvl YOUI' v.hlCI, dUlItlY IVie 1111. thl numtltr of mil" VOU uud ,UUf vehICle for . BUli""' b C:ommulHlij 10111. 41 00 you tOf your 'PUUII) h...... ,"Olhff v'hl(;!' 11I111.blt lOf pIlIIonll utl1 0 VII 0 VII 0 V.I P V" .1 W.. your ",,.hlel, IVIIIl1bl,lor Ut. outIng off. (hltV 110ut'? 47. 00 you hlVI ,vid,nello IUPPOft VOlA deduction? b II "VII," II lh. Ivu.1tnCI wlI",n1 L"'" V L._Qlli!L~!P.!I1!!" l'~1 b"~~~~!"I!!H~~.!U~!!~i.\!!tU"-'.!!!!!.l:1!!It.!'.tjO-,.._,. ., --..Ul- -' .,_..H.." . ASC~P.. , __r4.i!l'~~_ll ~lIP.tlll,,! .Ot.II",~ ,.1Jfl!" 1 r~"!l,__ . . '_,' ,,,"', ....~.....'_"""'_....... ..,_..___._....._. ..."..~"'.,._...".,'~__,_.,.'v~, ..' .~,"- '".'. _!'.'2!! ~.il !.l,,~. . f. r,~ t~hL-.,__._ 'w.,._...._ --~~''''-_._,..,-- .,-.-..-._""-.,..-.".,..._-,.,.,.... _-']ll\all l::'lllll)m~nL!!.!'!1!__,,_, ____.'..H'" ___.,.,~--:__.~~,_.~''""'''."__._~~..'.,.,......,._..._ _~._~.__.__.,_.__..,m.. '"''_'''_''~''''' ONe ONe LJNo U !tt_.~. 651 ..~ -.-t ~2i "-1 Jml .J" _.HQ I ,_,__,,_~_,_,__ .____',.,,_,..,__ H] ____.___.....--__...om .~__,'~~__~_._-.,' .,..._,__....__,__~-...-..'""......'..,~--~<'~..~~'-....._--.-~ 41 _ _T~~~~~~ ~~P!~,~!, ~.~ll~_~~!'_ ~nrt un P'Y' I Htll,/1 4" , ! i t I L )I~j ~ ~ SCHEDULE. SE (Form 1040) V,partl1\.nlul'h. ,'...,,,,,. I 'fI'"rI'dA,v,nvt "'wlt' ~."'. ul ptlautl ...'lh.." ............ .", on,. 'II tr,ll"''' un ";)1 m ,,,'ill Self-Employment Tax ()~. No ".. 00" -.- -~.. .-.-----.---- "-, . Itllnl~uetlonl'Of lehlaull Ie IF'.'n 10.01. . AII..h to fOfm 10.0. 1998 ''It't~m.r'' 17 "ql.l""c:e Nil Kathleen A. C,llaman ".,C'" "',\11")"'1.11"0" ell I;"'U" w.,th .... MlP~I'"'Dm. '" 167,40-02.5 Who MUll File Schedule SE You mUI' fill 5oh,dull sa ," . You hid lilt '" ntny' "om "I'~.rnploym.nt ~ om olhtf than church In1ploy.. Incom, IIml .. 01 ShOl't Sctl.dul. se Of 1m, 40 or long Schldule 86 I 01 ..00 01 mOf.. OR . 'You hid church Imploy.. '('Uioml 0'1108 21 or mOIl 'ncoml Itom ,,,VIC" '(DU pllloUll,tJ II . mm"I. or . m.mb. 01 ",''VIOUI OfU. II not church .mplo,;,.. mcom, S.. pig' IiiE - I Noll: EV'r'l11 'tIDU hid 110" Of l,mlU .moun' 01 1,1CDrnl f1o", ..U-,!nplovm.nl. It mlV b, to rout b'll"lt to fit. Sch.dul, Sf and UII 'Ithll' "optionll m.lhod~ If\ PII' II of lO"U SCh.dul. 5E SI' pig. Sf ,.J llcepUonl If you, onlv ttll-.rnplO'W'fl1.nt Incom, Wit flam ..,"mgl It I ""nlll., m,mo" of. r,llQloul ad", Of Ctvlltlln Sc'lnc. prlCtltlonw, end you filed Form U81 Ind 1I(;'IV,I1 1.'9 approval nollo b. ta.,d on lho.. '1lnlngl. do not fill Sch.dule BE. Inltl.d. wlltl ''E..mpt,,'orm 4381" on Fcrm 10.0. lin. .~ MIV I UII Short Schedule SE or MUST I U.. Long Schedule SE? ._~ v.. VII lw"-"; "'"'' ". :.. ''''w ."'...... IICUf1ty or Illiol" IItI.mlnl ta. plul YOlK n.t 'IrnlnOI ,,"o,n "If-.mploym,nt mort than 182,1001 --.---- -j No --~-_.- ---- --~~ VII .... you I mlnllter, l11.mb.,. 01. "lIgIO\JI OIOlf. OJ Chfllban $cl,nel p"chllOn., who f'C'IVld IRS IPPfOVII nol to bl la.td on I.fnlngl from Ih... lou'ell, but you ow. ..If-Implovm.nl lu on Olhtl "1 nl"gl? -----.-------. T~~ ,- '--~-- ,.......__._.___ ".__~~..,__",.___t~_,__...." "'_'_'_~____~'__'_~'_-' l As. you ullng on. of Ih, optional m'thodllo IIgul' '(our J n.IIAtnlng, I'" p.g. 50-311 .m_,_ .- ---------" I~~. . -- - - [ O~d ;~u.-;~;v_. ~hUlc.h .~PI~V.. lncom-t-';~-;"I;~ o~ '..m w,a 011108 28.. 10...1 - .... -,-.-- -- ----. -- 1 No -. , ,.., IY!>!! ~~Y-Y!Il!HQii! IC!~!l?~e ~! !~L()W J V.. No D,a you '1C.1V.llpl ,ubl.cl 10 ,ocIAl ,....,Iy Of M.dICAt. 1..lhAI you did nolllpOII 10 you, .mplo\'ll1 y V.. .!!?lJ ",un ule LDNG !CffI!D\.U!I!ON .THlIIA!;!. alcllo" A - Shorl Schedull BE. Clullon: flud ."o".lo.u ,t you e.n UII 5h..1 S,hl<l"'. SE Nltlafln prohl Of tlOlll II-om SchedUII P, lin. 36. IrHl falln palln8flhIPI, 50hedullt K-' (Funn 1005), lint 151 , F J Nolll/Olit..,lu"l ham 5cliodUlo C'"l0 JI, S,hodull C,El.llll0 3. IlId SchoaU~~:-"I.,F..m 108~I, """ 15110:':~:A:- ,-= - ,---==.. I'fmlfi~), Mimi''''' Ind 1Il,lT1bllll OI'IIIU1oUI 0/0"" ,et PlUM Sl:. I fur amount' to ,spo,l on 1111' 11118 Se8 PIQ' Sf: -2 IOf olh.- l!llloml 10 ',pUf1 2 ] CJ 73 :I (amblnlllnl. I Ind 2. -!.. < , 9}) . Nlt..nlng. "om ""...mploym,nt Multiply 1m, J by 9il J!)'K. ( 9235). Illelllhl" 1400, do nol hll thl' ICtl.dull; ~OU dO 1101 OWl "If- .rnpIO~rll.nllall . ..U--.mpIOvmtnl ta.. If th' amount on 1m, .. I' . S62.1oo 01 I,.., rtlUlhlllV Iml" bV l~ J"'- ( Hill Ent9f Ih, '.'ull h"l Ind on Form 1040, lint 41. . MUfllh." S02,lOn, multi pi V hne.. by 2 9~ I 0291 lhln, add ''',11480 10 lhl ,..ull F.nllll lh, tulMI hit/I and on Form 1040, IIn. 41. .. . ).L 6~~_ J . 561 . OldutUon IOf on.-hllf 01 HU~,mploym.nl la.. MUlhpl'f hll, 8 by 60' 1,51. ._._.!~!!.~:!!!!~~~.!..!.'~~!1 rOfm 1040111", a, fOf ~,pIfWOfk ".aueuon Atl Nolle" ..I FOfm 10.0 Inl~Utllon.. I I 2011 Ich.dul, IllFOfm 10.011... ~, " '.m . 8829 ExpenD" for Uuolne.. Uae of Your Horne .. fill ,,"I., wllh Itfl'l.iu" f. Ifuffn 10tUl u... ......... h..m "il '(If lath how. you UU!J '1M bUltfll1t dlJ' lilY lh. yl. ,~ !!!- ~...e!: !!. ~fl.!~ ~~.~~I_~! !J..,tllfT1.,;llillt'.I,....,)' "'.,".,M..."".".,.~!~~ "",I'lj'llllll4dli','lllll'l K<tlhl>il"'\ A. ".,ldllldll fpidl] P,r\ 01 'fC?ur flo",. U,.1l lor BUlin... !l";~_"~:' ~.~" r' , h. r 1121 ! . '_' ~ .- 1 1,114 ; -.-.,..------,..~~!t-T-.-.-! . ;j,;J 7 ' ! 1 ' " ',,, c. , 1 11 i ~ , ... .,.:. ~ ',... . . '...1 t 1 1 I I I ., " ,It i 't: Wi.:-~._.. : 'I . .";-..-' , ; 1-14. I'll! ------, , , ".:"', _! t ",'J , j t , '~~'!"'~- '!"'-~'~'.'~"-_.~'-'~.'--'-f---'~ , i 1, ~ 1 ~ I 1 ,~ j I , .;n I l!t..__,........._.,";... ~ I " l ,~. o. ,., ... ."..~rr~~6 'n""w,1 ..~ ...!! ~ i;; ..........;;. - i ~_ 6 '7 -1.9 '~Q.~.~.~ IL l- t, \11. ht .. i.,' ,i~! I j i i .,~.~ 114 I" 1.1.; IL I fI r u ..LiB ~lQ~ .' ~~~~ 6i10()~ "'-', ,.. [' l;t b 11 ....'" L, >,' I 14 -,-t \I " 4S2 . ,._.t..... <;; "- 7l.F2 "". u"tJ rlyuli11v IrH~ ..<:IIJI',,"'; IUI lJi.',j'." 'MiJlJI.n, lit! 'lIy Lil'i <.If 101 ,!(~ 'Ii. \,1 illv.nlOl V Of plQdud Uftl~ltt. S,. in.1r U(l11tH'1 , rullol ~.. 01 hum, J (HvIlJ.IUI, IllV IIn,a tllllll' lh, '''llll... .....'.tili..,. . for d.~....c.' ,.mUII nut u..d .u.lu.w"tly 'ut butln... ei'" ~UOl"I.lt IIn.. .~. . All oU,..., Uclp IIn.. .... Iud .n'.. tht .muunt ,uUlllln. ) un IlIlI 1 . Mulhr,ly diY' u.etl 1(J dh '~I (JullnW ,Ill lit "mil' Ul.,J...., ,J.( I 4 I . Total hOln llilllttJl.lu. U" (JiJ/IIlW It" ,"I t1t6 dlr'. i4 !.1,.JIllI ~.. ,1'liVil(-liv1ii ~.,i_~ . UII/lde 1m' . bV hot' E 01..- ihl '11UII I' . iJ.t,llhiil IIH'lJfll ( ~. .~. , lUll"'" P..-CIllltW' Fur d,y-tlr.III,lhliil f,u' l,..<ll.{.ll'''~''''i ,,,' f.;u';p." 'fiIJIILv., h,,., bt lint.) L ptR'irJ"'I~i~'~~~ 'l~:'~~~~~~~a'J~li~~n!"'~""'~~:"hl~ L..~... . '---- '--'-' . 'nl. thl .mollnl "om Ut:h'QUI' r Iii I' ;\1 plu, jll)' t:.' W.,n './I ,;jj!t,~ (IrtH.tI'l hUlll Ih. t.ujW.." lill 111,"'111 nQm, ImJ Shgwf1 on Sdl,l,1UI. U (JlI ~OPIl .,,., ,I H'{iI,lllaH un. J.olIlL' t,llwl''''U Ii.' ,nljfluf~lIfJll' -.1"" ,-, ... .. ,- .............'.........."'an...'..'lI..utHfI..I.."..., ,. ,. f't!"'i I.....'.... . C.'u.lI~ 10..... &llln"UCIlOP, ~ -- , 10 OtIJutbblllfltwlO."lull.,,1 bll "'U'ULJJ(J11i " " R.., ...... Ia...- I" UlUUl-1I0ni " r-...........~.---~.,~ 11 Alllll'ntl a. 10. ""d 11 r: If . 1:1 Mulliply 1m, 12, t:ulUlTllllbl by' lin, , U .Add IInl la. t:oiymn III .tH.'li"l lj ! 11 SUb".,1 \In. 14 "orn 1m.' 11'''0 Of It.. '1\* -0- 1. hun lIIo11\JIU' 111111 Itl a"!II" jJf:bunl " In.urane, " RIPIN' 1m' mllnltn,flLI " Uhlib.. 10 Olhtw l..p.IlU. 5.. lll'~ U(;t1Ullt " Add IlItll 1. IIvtiugh ilO J1 Multiply Un, ill. C;OIUlllflIUI bt lUll 1 n CllIfyovll 01 uUIII.llIl\ijlilf,J'Il'" ftOlll HH,I 'fJ'm ",.. hll' 4' It Ad" !inlllllrl t:uIUlTIIIIII. Illit U .nd hn, il II ANowalJl1 Ull..lllllW "V."'tl iril.. Ihllffi"leI ullm, "Of IIn, l4 tI lltllll (Jfl'~C'1I ellullt, 10"" 'IlL' t'.pf.t;tallull f5uUiI'i..1 !llll to !'-uUl hili Ii U tit;... 'lIlIllIy IUU.. at. In,,, IH,t/fin, I " ~ J U OllJl.(;llllllll of yIJuI 110111' !tHill PlItllH 1;lt04' " I ' ! --! l It t'i1r,UvlI/ (.I,J1LBliIlilllllll, 1(,.\tll'll{j (J'~l",.lj'l~jtl kt,Ilt 1111111 r'ol"1 "lj~ ijjlti.J '---l!.-~~,"""_,~_____,,__~_~_,_~_,, :ao Add 1111.. l' IIlf o\Jijll ,.v "^'1. ~."' I,. 31 AHuWIlllI '.t-i.. CUi;ill, ILiun I'H' littP'.' :.Iit;J. ~';l" Hi. 1m_I.. tJl i,li. tli!.ll I!fltl JU U U "(ItJ hI... '..25. IfLtJ >'1 l---Hr....:~-.~~~-~-~.~'~-T. 11 ClliUI11V lun p01l101l Illllji ftf,rllllI'" 14 .,od)l (.Ht j'lt'~di'IIU fUlfil "'4; ~~IJ~II tj \ H 1 ~ ]4 :/:~~~IJ:~I~::;.;:'~~~.'~";':~;~~'''~''':'~';'~ :::~~, ';:::~':,,~:~~'.:' ~~'~.,:.~ ~,:';','.::;;. .1 · "," "'" ."" "" b-".",,'" C .. I" r~~~-~':J rp~al0T fitpf,~I.i1onDI\'oll'r~H~;I1" .".,,', .,. ... ..._,_,__,_.h._.._!L.~__._,_-_. 11 fnlet lhl l"'ln... 01 ~(JUI hfjfHI' IIIdJlIllitt!J 1,.11'. 1_ ,lit i." 'i,..~ nl ,ai". 1;..", ,nlrlf '1I;1"lIill ! ,. I t ~"'. 1 1. ....111. (.11.,"1 Ii\LILIlUll' (Jlllitl. J!i t-..-1l.*-._~--_._--,,-_. 11 iilllhi tJ/ lilIfllJlllij !j'jllVil.lli!,. In ""H, ';1... j~, ! " 11 Uutifl'." 1,/1\", !J1!j'llfllll\ij Mil!l'I,I" Ill'. JJ t.,I.I,W i i II I ~. l' tJ.jJliiHI'ilJlljlifli "l'liiiVIi \"_,,,,rj Ifiil\lt,l.I;r,f'i ?! r,'_~...~;~U~~t!.I.H.I~~ ~1.:~~'!I.~ ~'}~l,!,lt "I.~ !~ LCd.. 1<1 i~ ,1~i ,.,!~ ~~j ;, . ''''Ill ,,;; ~t:'. .. ':!i! ,;,!,l; :~~.l!~~l,'! ~ 4! I P.r1IV j C..ryovlII of lJ".Il"w.d bp."", 10 Hill' .1 Ol_J(jI.hnu ''lfJ~II!l'. ~lJ'Jllild I,ll. (". ~tjlj, Ip,. ,'. ;1 1.\;\I n." i-iP', 11;I,,1.. _~! f,,-:,!.!!_ ~~.!~!_i~~t2!!!! !~I~ ~!ti~~'!~~l_ L;,---,I~~!'l i",~ j I I""" ;"'U It,! I Il'~~ ih~;i ~~(.:'..._~'_:l", :j J'Of .......WOf.. n'dm.UUf1 Att N6th.. H. pew- I", ......t. IIl.t.ltH.llllUI j,~O~ j~ ,~ }'~~~1 H'J. ~ 1 i I j ~~ (1 ~- , ..~ ., m9~ It''u, ."m 4662 I . (l,",'Im,fll ,,' HI' 1,..,,1''1 II...l\tl ~,~,n\j' Gt' ~!l' 1'\11 __ ".rrotl""'l)wn on,thJlIl Depreciation and Amortization (Including Inlormallon on Lilted Property) ... 8.. ..p....I. In'''UtUO~~..:.-_. . 01.1I1 Nil 'lU..QH, --------~ 1996 ll~ym'2.!!d ~:,_ ~n'L ~,,,.~ h.! "f!!l,.!\,' 1\J,'fl'" tIl .,1Iw"W- lu",/l1(.1\ Ih" ",m'.'ett. C',ll dlll/ili ~1!,~h"""1 AI!ach 'hll form 10 vour "tUf". "" "111,1"1(,1\11) 17 n'_____,__ _ ,,_.r:"!'~~~.9l7_ -- ~ .. · "~~""..,,. ,,-,- ~ ...... .... -~---- -~'t~ ~--;-~ !~E- - ---.-----.----- .,"'[.,.-'-.-----.-....,---,-~,,9-?B -E,"-MMm-- 87L-" --- ~O':'_..d~"Ii.' ".' p'oPOfly ===J===-==.====:--im-===____.. t:1t,C-'- --8]L -,--- ...--. --' , __~!,,-"C!"._C.. ,A"II,,".~!,~! O'I"!CI.llon,!~!!.~ I~O!l, \~!~.lY!-~ ollh. "',IrUCllon, n lit Ei!~!~'.L..__.., j I s L : ~~:;::;.- -'.' , - --. -- ' -=- Tn ri:~ L'~~_'.---~l:~- !P'!1 !II] ~!h,l!r O.pr.cl.tlOI1IOo NOII";:i;;dll.L,,,Od P'OP~IVlj~!!l'!VO!.()~~l!()l!~~""~!'!L...____,__ . " ODS and ADS dlduchont to' IUSII Vlae,a In SYlVlee 11\ tall VealS beglnnlnQ befor. 1996 , " , . f~'1 l' PlOperly IUbjedlo "CIIOIl I 68tl!l 1) .letlwll " " " , . "_ 1. ACnS Ind Qlhitf d8Dreclabon l' rfi~.rr,tVJ~~"~!!!.~~.~tY .i~il:p;V;-4~n! ~~~trU~h(;;;;j ao Lltl.1l plClP&fty Enl.,- af!Jount hOfT)llflB ~6 a1 Tolll. Add detlucUUll1 on IIn. Il, line, I!; (I"t116 HI CUIUfIlll lUJ. 3111J hnS', 17 lIuough 20. InpfOpflll"ltl.. 01 yowlglllln, PalillQlsrJlPI & H cmptHolJol1S - See Ifl$!rur:1I0nt, :fa rUf ....t, Ihown Ibu\l81111J pllt:8(j IIla"Vles fJlJllflY the CUIIIIlI ycuU, enl. Ihl pOfllOrl of the bllil .ltllbulabl. to IlJCIIO!1 iHHA collt I\f~ FOI PaplfwOfk R.dUCtlunA~lHoU(:;~'I' '.Ig., of 'h' It;;;'!; InlllucUonl, Schedule Kathleen H\lI.H;.d 1 :,,'11',' 1 o)t til" Per. Arts {"p..l~l~!YJtl!n T~ ~;P!~!! l;~~ln l~~il~I' Plop~ty {8.cuon_l'!1 ,Nul. 1 pH"'.~!.f\y.i!~!!~:;!:~E(l~~~,!i!~~~!I;ur~-;~~!~:!I!~!~~~Il~=- . 1 Mal(lfTlUrn dollll' lunll.llon II In .nt" pnll lonl bUSIness, I.. PIQI 2 011111 Illltr ucllonl . -L.I~-- ~12.t E.QQ a Total cu.t of leetlOn '''~ ploplfly pl,eltJ III '''VIC, Sel pagl 2 ollh8 InSlllJchOllt ~!.~ _.., d. __~ _13 , 980 3 It,,,.hold co.l ol..cliurl 119 plo~,,-IV bllull'e,juc;!lol1ln limitatIon _L _ ___~n~ 0 OQ . Reduction 10 Ilmltabon. 5ub~act hna J hOrn hnl 2 Ill810 Of I..., IlIlet -0- . 0 -------,.,., . Dollar limltltlon '01' tlM YIA1 SubtJ.c1IIflI. frolllllll, 1 11'''001 iln, 8nl81 ~O-. If m.rfl8d hl/ng ..pataIIIV. __._.!!!.2.!i!l~.!h.E~!!!!1'II~,".! ..,. ... ',c.( I ~7,:-~~a:~=~~~:~~.i_::rm~flf.~'(1~~ :='=:!~tC~~~~~~~f~~~;~= ;" ""."" 3 ~6-64 ---_.------_._---,--,_.'>-.._<. _..._,.~~_.___.__"..__._..~'._."r ., 7 . ....,.. . TentatlYI dldutllof1. Ent8lIhl,mI1l., 01 hnl 5 01 lln. 8 , .., , -.!.~ _______~~~ 10 CIUYO\'1f of dl..llowld dldutllon from 199!t Se. Plge 2 01 (ill H\Iltucllonl 10 0 11 BUlIn... Incorn, limllatlon, ErHar the ""11111 of tJUllnl1l mcuml lnol t.lIlhen lerol or hn. 5t".lnllJuCtlonl' -11 - ==~'=-~[:?~Li 00 12 SecUon 179 I..p.n.. d.ductlon Add II".. 9 Ind 10, but do nollfller- mOl. thin hn. 11 . , ' . . . . , , ,. ,..,.. 11 5 , B 4 S ~.!_._CiffYO\'''' 01 dj'ltlOW~j!~~~,J~~.!~1~~?~~~~~~!~M~...!!~~.!Q,.I.!!!~' 12 ~~--:--:~~~[ 13 -===-=.~'=-_Q~ Note: Do nol UI' Palt II Of P"llll bllOW lor lill.d prop.-rty (automobiles, cDlllm olhlt v.hlott'. ceUular 111,phon... certam compul.., or propltfty ulld 'Of "lllttainmlnl, ttcftllion, Of amullrnlnll, Inll"d, uti Pa,t V for hsl.i.1 properly I PIl1I! L-'~ACA'Il.l'!,!<,I!!I!,", f~!".!.!!~'.'!!<'!<!.!!'_ 8"YICO ONLY 1l~!'."i,~!,"""!!!!,!!'_.~!!!:!Q2!,!~!'ncIU<!lf.l,!I!d ,,!OP"'Yj ._~-"_..._..,"._.._.-,______~!~!!~!.._:'{J!!'.!'!l...!!!!,A,,~~l'!'!'L~!!~!!~,__________ 14 If you at, makIng lhe Ilechcm unCI" IIclton 1681i)t4110 QIOUP Iny ulal, placid In 5ervlce dUflng thl tal( Ylar mto 011' or mOIl _._i!.n..!!!t!!!!!.!~2~~~h'Ck ,~~~Ol(:..~!J?!i!.t.'!!J~8. ~~!~~JS:.!I.~~! ~.:,.~.~_".:.~ ..~.~:._~_":--'-.__':':~~':-"':'':-':_: . . . . . . . ._:>.:........:.--::.~..:.,.:...'-:..~~~-.:._~~ ,."__..~!<'I!~'l!.: ~j!n.!'_!I.!l!1"!~I'"0n~~!I!'" ().l!!L\~.!.e!~O' Ih.!""!!!.T~n.!L_-l'-" (b) MUllIn ."It ft) BU'Ilor 3UHlc"I,on . It' _.~_~:~'~~~:.~~~~_~~~~.. '_'~!~I;;!~~~,,___...,,_..~t.'::~:~~~_!I!~r:,,~,~,~~~~~!:~~~'-.." __,~~~.c~~_~~~__. _~._:~~'C" el) ~_~~hfl.a .. OUIICl1110n dlaU~llon ~I:i:~~;i;~:-:=::.~_-=-_ , "__._.._ ==--=--===:r=~- ____. _L~'I1PIOE!'!L.__.._". _____._ __ ._____. ._~_10:r!!':.e.2E!''L,_.._... .. _ ,!"..!!:y.., e'E11!!'.'i'..,._.____ .,!....1O.V.., e'E11~.!i'..__ -..i~y!.~l'.pP'!'ly 17,500 __1/54~ :1l~81-:~.-.~I' ~~ lh~'- - !~iO . 31 r ,------ _.U, 7...L 367 _.- Form 4M3 (1M) i1~:t9J' LI:I:~"~;~~;~":-i~I;~O~I~~\;r~~;n ~Ih.r ~~,::~;:'~, C.llul.r 1~;:Jlh~':" Cerl.ln Compullll, .~d-~'~ P,ope,ty U..1l lor !inll/lllnmlnl, "Imllllun, ur .IIIu..",.nl Nolt: fur lilt .....hltl.,IJ 4flj{;h yOU .'. u"rlij th, .tjllhljl" lill("W' 'II. UI ,J.Oii{ lH'W Ij.~. iI'~'."'" LUfTiI,'.I. unfy l.le Jlb C(IIUlllfl' (II __..,,~gh ~c, of Sff,tiurl A !~.~_$~;~I!!. !./lll~!~,!~~I"!_',_~_~! !.P.l!.I_I!:!~!! _________ _.___~,____.. ".~ _.u-___ _ .~~uon A .. O!p~t;:I.t.lun and Othtl In'utmlUu" tf.uhon Hili.. ""r- l) ~llh' IIlIIIlI,L Ilul.' I.., I ""ltillll'I' IUl .uh,'llUbli.. I Q.Q X~~ ~~.....! ~~I~!'~' l~ ~\lp!n.1 till OlJ~'.."'!Il/I,,"lit\'''1 J.' 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'lflplllr'llI Ulj!tN' 'f,IIl"I'lilill'l tHin, r{j,,, t1IflJJIUrtil t1l1uullll' 'Jill ul Itl' ,.'\1t:I,., '"U I'lain tll' 1I110'IIlIUtill "CIl\/lrJt 00 you flIl,IIIII IllWlfllllllll, ClIIl<-ttl r',,111I q'j.I"j.,j Ii~Jllj'lqjt.I!' ;JilmUll'~ i!i{jll ".. i ~Ii. ....U. . 1,11111' ,/i" w!.~ijlilj Not.: II YOUl .n,w., lu l~ 1ft :1111:11,' )\J '. 'r.. ~l.id HtitltJ nl,l "tljl!~ljil. ~.dll,l'; tt h" H1. (i~\t(illtll ".,,,(;1.' r~mYU -~Amorliiliiiirl- -~-, . --.---,---..---,,"~, ,~.'""=.. "'f. L~ AIflQllilll10n 01 coil, I~~l ~'v!n~ ~~~If1W (Cli!' .'~~ I~. r'" Ilflu.~,.r},\,;j "'.1" 1101 .1 ... ''''~' ~t~",:' ':t,;;r~!fi.",,, I !' II : ~! ~ ~~ ~ ",'_~!,tL~_ " '1 6",.t,ll"""I.>" ~'.!~~lt!,!,_",~- '-'''_',- . ;,""'""" Hti'. ..,,,~ tit.' . .'"...,., , j I i 1 l , 41 Ajlll)lIIII!I~I~ (!' ~.<?,II Ih~1 b,w_~rl ~~lf)l~ 'Y~ ~1 ,.~~!!...~~.l_!~~!J.Y!:,_~~I'" .Y.!!,j\JI;,~:~ !f.. ! Jtt;~._l~,'.I~!~~ ..i,:l~ ~!I" t!t!!..: ~_'_~.._~____..__,__..,,_ ~~~_~.~. I.. t. -< _.".,., ......,.~.,~",!1..L"....___.____... 1998 Federal Statements Page 1 ~--'--'-'- .-.,-_._---_.._.~~--~._._..- -_._-~._._...... --.....-..-----..".. -...---.------. ._..._._--._~-------~-- Rlymond E. Ind Klthl.,n A. Calamln 173-31-1027 Stltlmlntl Form 1040 Wlg'l Wages F.deral M.di State Local Taxpayer - Employer Wagee W!H FICA Care W!H W!H ~~--~_.---_._-~------------ .. ..... ... .. .. .. .. ... .... .. .. .. .. ... ... ... .. .. .. ... .. ... .. .. ... ... .. ... .. .. .. ... .. .. .. ... .. ... ... .. Quaker City Motor Parts Co, 19,714 1,968 1.222 286 552 197 Mister Gofer, Inc, 594 37 9 17 6 .. .. .. ... .. .. .. .. ............... .. .. .. ... .. ... .. .. .. ... .. .. ... .. ... .. .. ... .. .. .. .. ... .. .. .. .. Totals 20,308 1,968 1.259 295 569 203 Wages Federal Medi State Local Spouse - Employer Wag.. W!H FICA Care W!H W!H _~"____~_M_____"__"_"'_""_"" ................. .. .... .. .. .. .. .. .. .. .. ... .. ............. .. .. ... .. .. .. .. .._--_.._~ Kent G. Vanek 4.699 291 68 132 47 .................. .. .. .. .. ..... .. .. .......... ~ .. .. .. ... .. .. .. .. .. .. .. .. ...........---- Totals 4,699 0 291 68 132 47 Grand Totals 25,007 1,968 1.550 363 701 250 ........ ........ ..... ...... ....... ........ . ..... U'f,(;IAI. Ufif, n...' , PBNN8YCVANIA INCOME TAX RETURN -mtIllIUWff.a .''''ON''''', ''''U''UI'"I. 't.....,- lIUU1~___"~~~_'":'.J'! "..- r pi ~ : r . ' ,~~,!':.~~!U2-~~~ 40 J tl FISrAI '6MHHrl f=fom 10 TYf'E: F"il.f:H tfhtil;1I Onlv Unl' .0 M[J Jag 9.11l"'i' !JIll 1\1 ....II..d f ",f'Ii...ilJ.tl1y F-illl1gJOI/llly II chlCkmQ bolt f' bef.au.. thl la.pIY. II (Jec....d. ~~l~_~~_!_Q~~~ l!,~ 1~!_~~_1~ R!SIOJNCY STATUS IChoc. OnlV On., IIQg ,.IILl pO R"uJ,nl NQr".'it.1lnt Pall-v'" ,..id'''' ell'er thlllrH. you w.. . PA fnld,"l; "0'" lit 10 1Q8 Jt4Me"t"W lOttO(. UI.mKif ._~. .~" , U H,lilftw .1IIh. p"Pflllll(1Inloun.llon on youl lab.l Irllj phlc, .1 Irllhl n'lll, all.S!,.. II'. 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Jij, ~IJ' ., PA,40 Pennsylvania Checklist Tpp.YIII Jolnl lpoulI fOlmll1 W,2 J FOImll1 W.2 -.. ---.- .~~ PA Scn.du"111 A '-'-'~'-'""-'-'- PA Ben.OU'.II) A PA Ion.dul.1118 PA Iolltouit{118 PA Ion.Oultlll C ~__~'T:: PA SGn.ouit{11 C PA Ion,oul.11I C.F ---- PA 80n.oul.111 C.F PA lolltdultlll 0 ._.._,-~~- PA Ben.ou",,) 0 PA lon'OUltll1 0-' ---- PA Ion.oultll) 0-1 PA 10h.dultlll 0-71 PA Iollt0ultlll 0-71 PA Ion.dultlll PA, 'I ,.---- PA Ben.ouit{l, PA.II PA Ben'OUI'111 E -.-.-- PA Ben'OUI"I)I PA &on'OU'.111 F -,--- PA 80n.oul"I' F PA &On.oultlll Q ~_..~",...--- PA Son.Ou"II' Q PA 80n.oult'I' J --- PA 80h.OUltlll J PA Son.oul"I' NAK-I -- PA 8cn,oul'll' NAK.I PA Scn,oulelll NAil ---- PA Scn,ou"'11 NAH PA Ben.dUItIl' RK.I ---- PA SCh.OU"'11 RK.I PA Soh'Oul"l) UE.I PA SCh'OUltll1 UE.I PA SCh.oulell' UE,2 -- PA Ioh.Oulllll UE.2 PA SCh'Oul'll) W ~~-- PA SCh.Ou"'11 W F.Oll.1 SCh.oultlll K.I -- F.O.I' Scn.oul.1I1 K-I F.Oll.llohlou',"12101 F.o." 80h.oul'll) 2101 Olh Olh 1" 188t Pennevlvanla Stat. mente Plge 1 K'~"\l,"lll! e.l.m'lI 113-31-IOa1 I..\aflltlll 1 1'0''" P4.40. 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Pleu, W'III your IOCI,1 '.I;Ufll.,. lilHrlt;itI ilH' "IUVI ~U1m Ul40 e!i" uny(Ju! {;tlat:k 1M fI\lm,.,. Uldlf Do 1101 './11.1 (altll tl,d(.Jr.. l/lli del nul "4pl, UI IIIHttl. )'0111 PI.,./Il.ltl Willllhll vouCh.,- , I ,,,,,'l"'I,,,""""",'.,I',, ! I~ "J"!I\' lid i-:, 'r I 't- ; I '" ." I ~'. ~ 'f"" I ;/1'1' ,I, ,,~ ..' ;.", f (1\ A "I t,p,,,,,. ii, \1 ".,,'. ."" ~n.L" · ,.: I' I 1 :F "I . ,il I I"~ 11 ^, il 'I "'')'"."1"",,:,:,, \1"11 .'..lh,1 '''1 !~7i.'IO 'a")II~ !<li;ld :t t' ii' .t~ "il" ''''II,I'u,U' Id .1;""\I,\.,j'II." I i'''ulilll.. 1'/\ l'!1)11 ...._.._________..._.._._"...".~~..l.____.__ rut ".petlMlMk H.du,Uon Atl Nolle.. ... Inlvucllon, on pig. 1. Aliitll,lll j,I !11I.,-'II.lll , "Illl , n ,-, 'n_.'.n'_-''''~'l-~~--'--- I . (j..t 'HI nllfll YOtll tlllilllUSYlIlvnumblt ,',\1 illllilll 17) -)8 - 5027 ; _..__.___.___~--l.~____ ~ ;, I'" ' ... . 'II t fll 'I" ~I~"~;~~~~': .~~~; ~u'".-;- ~ i_~ L.ll'-lIn'~n .....t ~'lJ ~"Ihl!l~'" '1.1' Pllt!,1 tl,lU. .nllcuunlrV I . ,'.""' ,-,- "',1.0., ,.J.",,. _I_ "". r...... 'I t .1_ '1I; -,,~ 'oc_!, '"..1..,. PA-40ES 1997 DEClARATION 01 ESTIMATED PERSONAL INCOME TAX !!lJ!!ll \.~L P!! fJ " 'I"" ! ~!t.:~_4~~I'.~J~.'!. ~.!I:~.~_iL,1 'U 11. dLt\ 'f mUA".. ' lj,ul...,rL'fl! ! _ I' t~ ~t".Wl',,~ ~ 1 e '.J . ~ 4~1~\i"1 \J~ 'U\,flIP~f~Ii..1 .~.~ 1 -p -- .. '( 8ii~:m~\~tl' I [J I ..IISfQC!r'" [-- '\/~."'I"";J";'-' ill'~;~\' ' ..=--- -- - ; ,.,1,., I ~ I .-..'''.. 4 r.'If"'t' 1 '! ! . I ij , '; () ~./ fl,.YIII'Jllll E. ..n.1 l<athl",.n "JI) '(,Ilk IhJIt.1 CHll11l., VA POl) 1 t) '7 ' .i [) 0':.;: ~~ A. ,'al.."1411 -..---____~~_______._~_._.~~_9~.~~~.~__.__~_____~~~~__~_~.~~~_______ PA-40!S 1 .-... .-. -,-- .- .~- .--.-.- 11tl'" "~If"t """IrA p'''.fU'-4'If' G1' ..II' 'lIf,l1 (;i,,'9It' 1887 OBClARATION of elTIMATIO PIRIONAL INCOME TAX J . 16 1 H" '.--1r:;:-h.11 - -;~;;;~-'1f~M~f~!J I,.. ;H!X,..... 1 :~l, . aU~I,,'\~f;~ --"-"..' "-. <- 1'0 , -,- ....p~~! ~~~~~-"~'-~~.!' B tmi~~\~t ,~.".._.,__,.. '" ~9 m!~~~'~-~-~ .u~~,:~~,g~L'. 1'Il-la.son RAymond E. and Kathleen 230 York Road Carlillle, PA non 16'1-40-0n'5 A. Calollman --._---~---.~-----~--_.~.~~----~..-._----~-------"----~----~~_.-- TIIl!lS@ ,/(llwher. are not acc.ptett by the PA Department ot RevenUe. It j~ l~cnmmended that the taxpayer uae the atate aupplied vouchera. ThRse vouchera Ar. a\lppUett tor your convenience only, '! i, I j! KATHLEEN A CALAMAN Plalnliff . IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA . CIVIL ACTION -LAW NO 97,2119 CIVIL TERM , IN DIVORCE VI RAYMOND E CALAMAN D.f.ndanl fLA1N.IlffJl PRf-l1EAHlN.O MEMOllANUUM EACIUAL..OACKORQUNO The p.rtl.llo Ihil marllage were married on July 24, 1993 and ..plral.d In Aplll of 1997 Bublequenllo ',he partlel' leparalion, Ihey contlnu.d 10 r..ldeln Ihe marital reaidence located at 230 York Road, Carlille, PA There are no children or Ihl. marriage and Ihe major poinl to bo addreu Ihrough Ihe hearing procell il Ihe ollocallon or Ihe equity It) the marrtal home! he marital home wal ownud ror a number or year. 1'110110 the lYUtlflllUO by tho Wire She maintained a dance .ludlO allhe home which plovided Ihe mlllor louree or her Incorntl tlhll hall a parl-IIITle job wllh h.r brother, cluerllng L oundlomatl in the Carllllllllrell, which plovlded .upplemental I Income In the yeara pllor to the marriage, Ihe round II dlllicullto make andl meet end I Ifl 10117, had laken out a lecond mortgage to conlolidate billl In Older 10 rflllnanc.lhe I rllll and IlIcund mOltgage al 0 lower rate With a lower monthly payment, it we. I I n6cllllalY in 1095, for her hUlband partiCipate in thQ financing Accordingly, hla name II Ii Will placed on Iho lleQd at Ihat tlmellnd bott\ parlin entered Into.. mortgago lhi. II II h 'bfltulllcing provided no calh 10 Ih. bOl/owo" at the time that II wel dona lh. wlr. II Ii ii ii 1 !i 1I II II I! 'I Ii I' II Ii ,I , '; ii IX CASUAL PEIlaONA\..P..BOPERT.Y I' II Bee Plaintiffs Inventory and Appralsemenl. II i, , I i X MARtIAl...llEIlUl The wife contends that, In addition 10 the home mortg.gt, which ....nU.Uy rewrote the first and second mortgage with no cash out, Ihere II . cl.lm .galnlllhe home's equity owed to Mrs Myers XI mof.QSfIlRESQI.UTlON Mrs. Calaman should be awarded her home as Mr, Calaman has made no significant contributions to any increase In its value. Mrs Calaman has received prelimlnery approval 10 re-finance the entire mortgage debt in her name The parties should keep their motor vehicles and anume the debt alloclated wilh his/her vehicle Mrs Calaman', vehicle was traded In, along with Mr. Calaman', vehicle, to obtain Ihe vehlcla currontly In hi, pOllelBlon and accordingly, the equily In his vehicle would be his to keep In full satisfaction of his claims under the divorce code. Respectfully Bubmitled, O'BRIEN, BARIC & SCHERER date ..october 10~19az_ BY:~{)~(V..V __ Roberl L O'Orien, Esquire Attorney for Plaintiff I D. #26351 17 West South Streot Carlisle, Ponnsylvanla 17013 717 ,249-6673 4 ~ Plllnllff mlrk. on Ihe lilt below tholl item. .ppllclble to Ihe CIII II ber and Itemlz.. Ihe 1..11. on Ihe following pegel If an Ilem ha. been .ppr.llld, a copy of Ihe appral..1 report II a(tached (X) 1. (X) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 ( ) 7 ( ) 8 ( ) 9 ( ) 10 ( ) 11 ( ) 12 ( ) 13 ( ) 14 ( ) 15. ( ) 16 ( ) 17 ( ) 16 ( ) 19 ( ) 20 ( ) 21 ( ) 22 ( ) 23 (X) 24 (X) 25 ( ) 26 Real Property Motor Vehicles Slocks., bonds. seCUrities end oplions Certificates of Depollt Checking Accounts, Cash S,vlngl Accounll. Money Market and Savingl Certiflcale. Conte nil of safe depOSit boxes Trults Life Insurance poliCies (indlcale face vllue, calh lurrender value and currenl beneficiaries) Annulllls Glltl Inheritances Patentl cOf\ynght.. Invenllon.. royalllls Per.onal property outs:de Ihe home BUllne.. (list all owners, Including percentage of ownerlhip, and officer/director positions held by a party With company) Employment termination benefit I-severance pay. workmen'l compensation clsull/award Profit shanng plans Pension plans (Indicate employee contribution and dale pl.n vests) Rellrement plan., IndiVidual Retirement Accounts Dllabllily payment. Litigation claims (matured and unmalured) MilllaryN A benelit. Education benefits Debts due. Including loan.. mortgagee held Household furnlshlngl and personalty (include II a 10111 category and altach Itemized list If dlltnbutlon of .uch aSlets II In dispute) Other t t liABILITIES OF PARTIES PI.lntiff mark a on 11'1' h.t below tho.e Itema .ppllc.bl. 10 th. ca.. .t blr and II.mll.. Ihl Ii.bllill.. on th. lollowlng plilg.. secuReD (X) ( ) (X) ( ) 1 Mortgege. :I Judgmenll 3 ll.n. 4 Oth.r S.cl,Jrtd [I,billtl.. UNUCUA!O ( ) ( ) (X) I ) I ) e ertCII card bll,nc. e Pure"'.... 7 LOin p.ym.nt. 8 Not.. payebl. G Olh.r Unllcurta lllblli\l.. CONTINGeNT OR OEFERReD I ) 10 Contract. Of AQf..m.nla I ) 11 Pronll..ory Not.. ( ) 1 ~ l...w.utl. ( ) 13 Optlona ( ) 14 T.... (Xl 1 e Oth" c:on\lng.nl or d.l.rr.d lI.eillll.. . C1 INCOME AND eXPENSE STATEMENT OF .-/;;/;J.. 1" e1"...2J,ilQ..~t. rla/) saN __ OA..:t,~:.'5~,1 DATi THIIITATlMINT MUST III P1utD OUT III VllU .,. ..1I..mpIQy.lJ QI II YOU I,. ..llfI.tl by I bu. '''''' 01 which you arl OW"" in wllol. or In Plrt, you mUll ,I III /111 QuI lh, lilPpl.m.nl.,lncom. "lllm.nl whIch IPP"" 0" tll. I... P.g. 01 thll Inoome .nd hpln.. ll'I"II1.n') INCOME I.' WIgU,r;,.I.ry I Ad / Employa, , Add'..., ~ ~, ',r~. ~d~,',~' "J~- ~~ a~ 1fT /3.., , NO TlllliOUCIIPllllf'l =:::-L...4-..ak'k1'. ,ci~ .&:r~~ I PlY "lliOd (wnKly. bhU.kly, mon'hlYI ;." .1"....... I. Y {lta.. PlY ptr PlY fi'rloCl .",;"".._,..;<,'"" .",..,..",,,,,.,,, .<....,......"................."................................, I ~ of I "J ",y,oll O.dllcllonl 1"1''-111 WllhhOhllnQ ..... ... _." fl,,';lal aacullly .....S_.L .J ~- LOCI! Willi r.........S ;,. tit. I. Incoml fa. ........S .; 1 ~ A'II'lm.n' ...... S HUllh In.ur.""........ Othe, (IPacllvl ..... ..,.,............... _.__...._!~iJ~__ ." ........"",."..". ....,.........._._......~ ......................... NI. Pi.., P" PIV Pe,iod ...'.......,.,..,.,........,...,.,.. ,...............................i.......U.......UU..h1UI.."flHun.."....u.. 7.~. ce ? , ':J Ib) Olh., IncoII\' W..k 1I1Ii'..IIOi~ld.nd. .........".... ._'~m l'.nllo"'~!'''ully .........,............. ~ucl.1 fIIcu'lIy..........."............. ".'HI/Roy.ltl" ..,...................$ bPll"U Account .. ......__m__ Oil'. .... "_..,_,, IJn'Ofnl,l<lvnl.nl G.)rlIo.nUllon' ____ W,".,"'"'' COr!lp.nullo"....."S~__ Monlll Vur I . . S , . , . I \ S I , , S I \ . . , , , . . , \ . S J.,"I. Ocrl., I"com.".................... __ INCOMI AND exPINII I I A llMIN r O~ I It,flly ,,'.. thl ...llmlrUI m.ae In '"1' InCQme .nill.~n" .1.... menl '" ""f .n4 COH,el I uniJ."ltnd 1"" "141 ,'ellmlnlt hll,in '" m.". IVIlI..1 I. In. p.n.lIl.. .1 II PI C' ,!lOt ,.leUng I. unaWOf" ,.I'llte.uon lei .0IhOIlIl.. O.II...r...,_:?l~L2..~ ' .rC..z;LG...JIl--,(.-4 o.f~ ) .. A'nlf . 0' . .. .n tJI!O HO~ .' "'''"I, .,;-....... ", - +. tlou..holtl W... EXPENSES Horn. Mortg.g./R.nl........... ...... ...................... Main I.nane. '.....'..., ... ...........,.......... .....,. UtllltJ.. !l.I.phon., n..llng .1.c1rlc, .te,) ........................................ Employm.nt (Ir.n.pon.llon, lunCh..' ........................................."..'. T.... Ae.1 Est. I. .""......................................... P.r.on.' Prop.rt~ .................................. Incom. .................... ....... ........,......,... ........ In.uranc. Hom.own." .............".......".......".."...... Automobil. ."................."..".......""...""., LI f./Accld.nt/H..,tn .............................. Oth.r .J."..I."1.,.:!.:.::j,.A....~...t;;,............... Gtllhl w... . ....1-'" ...... j'/ 'm -,., , I i 'L.~"f L . ....!..k""L'!1 . ~~.~::::......, . _...4"-...1':1 . ___....i.......iL I -21,.2..~ I _...x....:.:.J.. I _ f .1,-_.:.:1_ . ....J.:.......21.. I ' Automobll. (p.ym.nt., lu.l, IIplir., ................................................. . M.olcal Doclor, D.n11.t, QrthOoontlll ..............' . ___.:"L.. Heell"'. .~.~(:~.;..g....~..:l:.................... . Sp.CI.1 (gl....., bllC", tlo.) ...".......... . Education Prlv.t., P.roehl.18chool "................".. . ..,..:.- ..::....~ ColI.g. ................................................"". 1_____:..... P.r.on'l , Clolnlng ...........................'........."............ . FOOd ---- ',' '--' . ..-..... I ,'''. ,- ....................".,,,....................,,........... --4-.~ _.. Oth.r (houl.hold .uppil.., ~~/ .? . b.rber. .Ie.'....................,r:.;~....... , ....~-..;'_'_ Cr.olt poym.nllano lo.ne .................., 1_.._....__ Mlee'lI.neou. HousehOld help/child c.r. ..................... . __.-.-:~.:,... Enllrt,'nment (Inc. p.p.r., books. v.callon. p.y TV, ele.) .."....... . ......"l:.___ GlftS/Challl.bl. contribution. .............. ... --::::.::.... L.g.' F................................................. I ..__l:.~.. Olher cnlld support/alimony paymenll ,................."........................ . _.....:::.::::.:::.... Olher (SP.cl'y)...A.:';l.r,;6..?......,;,..I..~'" I _.:..~. '".,'. ... , .. ".L .. ~. .} ,r I., .... 1--.._........ I.... .,.. .._.. I... .....,.... ,,__ ...---.......--... I . ,_.'_.-,..._ . ,,-' ....,.. -",,-- 1....._.__. _,,_. 1.,--......... 1 _"_'",,_'." . 1.--- I ..___..__ . ..-.-.......,. ...... I __....._.._....... . ,._,--.~_..- 1........,....,....._.. 1__,_...._ .. . ---,..,-...-, . 1...,- I .,.........-......_ . . ,.. L . .......--........-. T tiE S ....c J~ ), o. xpens.. ...............................,............. ._ I , _,..___ ''''.'' .._~- - ~-"r~!T~-;"4~- HOUU"IJltl Monlll Chill" MORlh ......4,'tj.~ · --...' . ._i.LJH . .______ ... .., , ~..~_;._.r_(..(. s ... .::..::..~,.=- . .. LJ;;''''..1-'' '._.._.!L."t) . .......LJ,;.'l_1. . ..-...J .1~:?j ..-/ rJ I _ ..~_T-4"",,__;JI I ____~_i..~:-4.i(i , -._-..-...-...".;..~( s .... ...., . ,. '., . ,--_..... . --,-- . .-,........-.---,... . ..--_........-. ..-...-.."......... . ......,...., ._-,---..... I ...... .$ l" .:. ~ c' , __,,__._....., . _. ........ia...:td . ____._.._ I .._....lLfL'- . _..._..,. I __~.:.LL) . ..____......_ . ., .---- , -- ---'-::... , ----- , ...iil!!!"..:.!;:.. , -,,----. ..... . ... -1". , , _._--C___~ I __,.::-==_~=~ , _. . J..L~,,?,.l~~ L . ~y.3 . .----.""..,.-,-....'.......~....,..-- , ..._...~..-_.... .-.-,..,........- . -''''-''''- . ---"-"'-" .. y - ~.._-_.- . -,..-....--- ...., '.. ,. . ....--..,.........- . ----........ ..-.., , '---" . -_..__..~-.. . ,----_... . ..;,..~_:!,j ~I I .,____...._. I" \ l..'....j~,.~. . 'F"'" . . -; ~~.. ...,,'.' 7"' PIIOPIIHY OWNID O..orlpllon Ch,cklno Accounll B./l.fft ~l!."'r"ll..v(j]JJ !!g,~.!r__,_____",_ "*'1," ~rU 1.A.tU1..'.&J._..L~j:J.r,_ "';-"- ~~ 5,.lngl Accounl, . _____.,...._..'...._......, ...,==-____.. VIlue Ownerlhlp' H W V -- J Stoe k,rOllnll' , U I.:? n 1.....J.-..11'. t.:l s --'- 'f'(., 1(" , .. s _....%.L~ s.. :J' J/ii , . S . /Jo, J"~',"'I:I S.. __ I /'. -"1",' II..' _ ~ S /r.:,"~~', I/O _-L- s /--,, /1"./0 __ COYl'llll' H W c -L'_ .....L- Cr.llll UnlOlI _.1:i%;._~~..1.._._ -.._"._'" ..,..-..., . _.:!~.!:~,~.i_,..,_,.__._.......__... -L ---L. , Alii hl." _'. ','" ,.~._.._..__ ._ _,...-_,.__. '__'c~." .~.~, _""_ _ .~'v_.._~'_~..._......'~....,._._,_. .:,. 'i.!1~..E ,\'.,!Y. ~ It:. __ _~___. _L Olher ,..... ... _~ A ,,' ..._,___...,....__."" '.......... ;:.~~L-1..:.iLio!...;~_~~LE._ T 01.1, P'OP'r1Y INIUAANCI pOlloy No, Comp,ny HOlplla! .. ...."......, _.._____.__ MIll1c,1 .._________.___... . H..llhlACQld,nl .......".:!.!'_~<.:: . PA, I'll, r.~, .. I ~'J! DI..blllty Incom, . ........,,__... Oth,r (d,nl,l, ,IC I ....,.... ____... ('H. Hu'Dend W. WII,. J . JOin!, C . Chlldl ,.. ''', ,.,.oJ -L ---L:- aUPp\.IMINTAL INCOMI ITATEMINT A. Thle lorm mUll b, 1I11." out by a p,reon whO (Ch'Ck on,l; _L PI ope lit.. . bu.in..e ar pr.oUC" , prol..elOn; 01 _ (21 Ie , m,mbar of I p.rln'"hlp or IOlnl ~,ntu": 01 __._. (JIll I Ih."MI<l,' in eM II ..1.IIIl1 by . cloud corpollllon 01 elmll., .nllly. 8. Attach 10 Inll Ilallm.nl . COllY 01 the lal!owlnll "ocullI,nll ,,1.llnO 10 the bu. In..., PloII..lon, p.rtnellhIP, jOlnl ~,nlu" oorpOlltlon or ern1llar .nllly (1) the mo,.1'.o,nl "llar.1 Incallll Taa Rllu",,' .n" (2) th, mall ',cenl r,ofit .nd Lu.. !lIlIl'III'fll C Nlm, 1M A<IllI'" 01 llUlln,.. :..~..~!:~:.t_.,...::'.:: ',<I"c. ~. <......!!!.._~~ ?~WFoJ~~ /Alc,. A ~ r,'j . .E.!.~._. :".-'11'_,_t~.::' ~~l~,~.' ~t'~_{L, ;>~,.:.ZJr~~..2- Tll,pnon, Numbll ( 71 " I 01 'I" . :1 .oJ , j __ o NlIl'I' Ind A<Id"" (II dlll","1 thin Cl '" Iccounl,rll, controllll or other plllon In chllg. of lInanclal "Call" ,."b:..~,...~._!}~~~~:':~..""-___ ,'" ltl I.~ P.4 _u."_I'r:~.' H__tf f:...: :7.: _~."!: ~ ,~..~.'_J~__i.~.:~.~,_~_.__-l /~ ...... L I ~ ... t~_;1,4 / ~!' (,.' , 3 l! (1) "'nnljlIIIlCorn,'rom bue,n,.. 121 How oflln ",ncoma flc'I_"l1 IJ) G/O" ltlCOlll' PII P'Y 0'"0<1 141 1IIIInCOlll' PII P'Y Pl/IOd 1II18o'Olllc "elJucIIQn. II ,ny ... .... 'w ................................................"........".;".. S "'~I.? t~ .~:..~ :,~J;k.::,~.....~~.'?~.....I.CJ....~.~:.~.:.:;',~.:i".. I _ _ __ , ... ....~'.~..;;."t.......\j~.~.......'......:;;.;A.'':.i....." IS .3. 'i '7 j . ..,..... .;:r, J..... ..;.." .:;..,'''''.,,~,. ..\., ....~. ",r,,;...,,;\........ _. ~~ <:<.; 10 c..~ ..,.......".",.,.",..,,,........................,,........................................ S .-..,....:'1.... '. ....._---~~ . "sCt1l!DULI! C (porm '040~ D,."WM~' ,llh, '""101" 1'''"'''1''''''1\01, ,.,..., "''''''''''''.l'ltlW Pro III or Lo.. From BUlin... (Sol. Prollrl.tollhlp) ... ".1nerahlp'j Joint ",.nlutU, Itc., muaa Ine Potln 'Oil, .. Atltch I. 'Ofm 101. Of ''''01 ,nA'. .. ...In,vu,uo".I'" .'h.dul,.C !'!" t._~..! ~~~~~.'!",'~~-'~ 1(106 .1I"h_."1 0' .!!!!.L- . "_.~''!tt!:,._~~__ .......-..-jIl4olj -.1.t?:.iQ:21H ., . Ill" pnfKJpal bU14I~" tuu. (..'" P.'/. C "11> U., I [) -.. -,,, Ka t h 1 e e n 1\. C ala mil n.. _.__._.__'__.,._. A PrIl\C1PII bUllneu a pral.Ulon, IntluomQ ptoauct Clf .lfY\C1 {'.I Pig. C~ 11 .. Oa TIE!. Stud 10_,....._._...__.. ......._,.____ "'. ...,....__.___....... .......... C, BU'lnl.. nlrl'l, II no "P..,III bV'II'''I nlrnl.IeIVl blink, .J':i\t !!l.~!D_...!hJ!!~~n .~'2~~90 1 _'2t,S!l~..l>~!:..c_!\l ~!L.__.....________...... I! Ou'mlllu IlJOI,.. (IncIUljIOQ 1\.111. Of' fOOrn no I'" _ _ ... ~* ... ._ ... _ _ _ _ _ ... _ _ _ ... ... ... _ _ _ ~ _ _ _ _ .... ~ _ .. ... " -;'. ~;~~::::g~~;~~~I~~1;f~~~: E~~.!~'-'~~ill~A;;-;;;;-.'-"-'---'lIOOi;;;(ip';'-;jj)'~-~'~~ '~====:'__. . . , o Did rOU .mltw-.U'f PI1VC;;IPII.- in lfl. OP"'~OI\ 01 UtI' bUlln... dUllng liWB1 II -No.' 1M pig. C..a 1(M' ilnul rill 19.... g.) V.. n M8 ~l, II ou lIar I,d Of ICl]uUd Ihr, bl.J11n.., tlllf1ng IWft, chICk tl~1 ,...,..... . , . , ,~-~~........._..-.......-..-.'"~...._-..;,..~......,,~.~__Ll,~.._ Pari I Incon!!__.___,o'__________.____...... 01011 ItC'lPtl Of 11111, Clutlon: 11th,. Iflearn. wlI ',pal,d 10 ~ou un F()'m w..a and the 'SlaIUIQf;.m;~~~-'~-"-'" ,--, t. '"._--...... . bo. on Ih.llam..to oh"".d.... ~.g. C,2 .,'d ,htek ".... . . . . , .. ... .... ...... ...... ... . .. .. ...... I> D...L ._....1.!.L 3.1,. a Rlh""1 and allow.ne.. . . . . , , . . , . . , . . ., . , . . . , , . . . , , . , , . . . . . . , , . '. , , ".,.. . . ., . . . , , , , , , . . 9 i , SuoU"I,n. Hom Mn. 1 .. . . . . . .. . .. . .. .. . .. . . ... .... .. . .. .. .. . .. . .. i t L~ ~~ . 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"","",II' wW thMI qUllIool k) de"",lntI if you tnHt In hC4u.on Lu Cd..ltIPIIWI'iI ".gft. 1..- ",I~ \,IMU ti. tf1liOI9tHl .r,y in flit' Il~, U\&I\.... ftntA Qlf lid ptr1Of\l. L~~~ "0.' .J l!. "L .1 00 you majnlaJn. MltLln pouev '''''m.rll tilll plOMlilt 1:1 ~1lI'i.)HitIJ uU c;.l "1'''''1''. 1I.uu:~-. !;;WlfUflUIU"" wy ~ul.f .'li~iw"..t' 00 you ""'nlttn. \11ft"'" p~ '"lIm."1 'hll Pfu,\lwllli.'Ullii .... vI ""'WUM, ~l Ji,uIMJtN.., -., jl,i~ 'If,"'l~f...-' 8M Plve' 01 the I"nu"ol\' fa \1IhicltI IJ..d bv (;OfPt,,1.t l,;1fk.., tJilt(:IIU, '* I~ UI IIQ' ftf...., 00 you ,.., II UN of vth6C60 b~ .mph~.,... .. p.'untl VU' ill. ..Jt!!..._ 00 ~O\I prQYlda mal Iha,' ..... v.h"..... lu yell ttlll,iluyeet W\&.'I IIlILl fh.l;t.l11 'UIl1 )'~\I "'~~ W'II.>I UI, l,I'. ",t ti.. ".""IAM .nd,...." ....lnlgrma.on feowYed1 00 ~OU mill the 'equ..man-. 'Uf~IlI\l'i4J qutllft.lj ,UIUlhll!llla U',IlUII,'.UUI\ Ul-t' _ fi.~" ~ !he "t.iil~ljI.;l.. HOlt' If yo\I' till"'. kJ 31, 31. J7, 11" Ji 14 ..,,,.. jU~1 n..iJ 111,1 L,;'I'j,I'ltIlMi.&ll,iJ111i 11,. II~ ~~J \l,l~ iiiID NnorII!!ll2"L:--.---~--- "- '..___._..d_..... .,- D.....:=~~.....dJ (l"':;:~,,~, ''';~!b~'' I"~,,,,~~~. j ...mc.-u.~nOloOl..!t!!~,..~U\i!~~}M~. y~~, ~ I ". I T I 'T'. ~' i::;~:.:n ~;~n~ :I~;::.~:~..~~;;;.J~~. i,i,;,~.'"~.~~~,~~~~:.. ~::::::::=:: :::. ::. :1 p.: ...,..._~, -, !i<" 0;., ,::':'- ~ -, " ... 1 ,'tij , ......-........ <I/hwl,f.t\lW,. ....1t.N11M ~'i-~~ilt-,;,~.'U-" "C..,.,..,.~.~'~,;.~il~_ - -, ~,- ,,' , ,T -"t- '_'_" r"'-',-._"""d~'_^,.'_~~, ........,""__"..: -', ,,1 " v.. 1 IN THI COURT or COKHON PLEA. or I CUM.I.LAMP COUNTY, PJNNIYLVAHIA 1 1 NO. t7.. U It CIVIL I I I IN IHvollcl\ IIATHUIN A. CALA.HAl4, PI.inUff RAYMONP I. CA~MAH, p,t,nlt.n\. IUI' "r.."..rin9 cont..unua "".oumtu. PATII frid.v. Jlnu.ry IU, IVVI pr...nt tor the PI.lnLl", ~.thlean A. C.l...n, i. .tto, flleV Jlloqu,llne ", V.rney, onll pn...nt for the P.t.ndllnt, R.y.ond I. CIII..n, ili .t.turn.y 'hylor l'. Mult.w., A dll/up,., cum/ll.lllt 10'.. t!I."j on April ;11, I\lV'I, r.I.lnlj I.lluund. fur IlIvPil.. of in.tll.vahle IJrllllklluwn of the ..rr1ll1;)1. ('oulI..1 havII .Ilvl..l! th.t the "'Ht I.. wi II Imth .Iqn .nlt file .ftidavlt. ,'f q",..nt ond waiv"1 of noti". of intention to r~tUlI.1 lolry of dlvurc. d.ur'l .u that th.. dlvorc. eln b. uonolud~ under a.otlon 1101(0) of thll Uum..tio R..latlon. Cod.. All .".wor IInll ,mulltorplaim w.tt. fil." on till,tll.bor 4, lIiVl, I"III.in" thll (icoflollliu i..uII of 1I"utl.blll di.trUmt ion, No ohi.. h.v, IJ'II" ,,,Ialld by .ithtll' lllUty for alilllony Ill' poun...1 ta.. .lId lI~p(in'II', ...plut lid mln h<;ll, 11I1 r 1'1 .'Ja, 'I'll.. \'iSttl"l 10'''1'11 mAITiI.d 011 ,JUly ~4, l\l\ll, un Al,r/ I, l\i\l}. 'I'h.... "III 110 chi \111'111 bo.n 1'hl. I. hUIII"ul,I'. .."011,1 P1411 I.'JII alld wlf.'1I a rill ut I hill thlnt Wlf.. I. hi yo".. ur a~1i dwl 1'.lIlrtlill .t ~]O York /load, Call1..llI, I'lInn.ylvanla, whruII ..hit Ilvltll .10/11., Ill... i.. III IIIQh .choul 1J,,,.11I1l11I 111111 w",kll I'''II-t I mil rOI. /I family IJllliin!u'lI ul.llllm, 1"1.111,1111.."'1.. 1011"'111 tlh. "..III 0/'1,110 I'''' wllllk. tih. ,,1110 1l~..r.t"li 11.1l j(",IIIIIl..1i 1'1"'11..11 UI'/Innl IIf IJdlll'. 111111 1',..-r,,\llllllJ Artli, 'l'h.. l'uftll,"rltll,.1 {",lIIiIY IIUI'l'orl lIttl"" "ulftl,ul",! ttll.! hilI /lilt w...kly Inqllftlil f.uJIt h"l IWII 1I..lIrT.... of il"'urn.. I. 04H'l.UO. Wlf. I. CUllIililly 1:11\".,''''1 un.llIr hUlItJiUIII'1l Iftll,\lcAI lnlllll'lUHllil "Ian IhlOlIlJh hili iionll' I lJY 11111 " , dllll will pw.t Ilkltly I". aid.. to "totAln COUIIA hen..tlt. ul'"1i III.. ..nlry lit" ,llvoll'tI ,Ii",u..., Wit. hAll ",,\. r. i ...d allY hll411 h ''''''1.... llulllliJIlll /I, 4\i YII"'. of l!I'JtlI l!Inri 1'..1,1... It Bill c.rtwynne Manu., AI'llrlll\lIl1t 104, call1.III, r.nn.ylvllni., wh..r. h.. lIvI. Ilona. II. work. tull-tllll. .. " lahoreI' for Ouak.r cltV Auto Part. where he mak.. $9.40 per hour and 18 houre p.r we.k tor Ro.. DI.trlbutlon. HI. oombln.d net Inoome a. oomput.d by the Cumberland County .upport ottlee III $373.00 p.r week. Hu.band I. payln9 medical In.uranea tor hlm.elt and wit. .very two we.ke which I. d.duet.d tram hi. pay with Quaker city Auto Part. In the amount at '35.54. "u.band ha. not ral..d any hill th illu... N.lther party I. paylny epoueal aupport nor alimony pandant. lit. to the other partv. The partiee own a piece at real .atate with a bulldlnq .r.ct.d ther.on which conelut. at living quart.r. and a dlnee .tudio at 2]0 York Road, carll.le, PanneVlvanla. Wlte own.d the property prior to the pattl.e' marriage and r.gardl... ot who'l v.r.lon on. acc.pta, neverth.l.e., tho prop.rty WI' pheld in joint nam.e and hu.band vlcaml an obligor on a mortgage with wit., which Ie allan agalnet the prop.rty. Tha pr..ent payott on the mort gaga la '71,800.00 and the mortgage paym.nt Ie $789.51 per month. The payment la mad. to Dauphin Olpoa1t ltank and Truet Company. "u.band wae added to the deed In 19\15. The mortgar,j' to Pauphln Depoalt Ilank and Tru.t company Ie tha only marital dabt, Wlte clalma that aha ow.. her mother $8,000.00 which wa. borrowed prior to the partiea' marrlar,jl. Ther. I. aom. allegation here that hu.band attlrmed that obligation to wit.'. mothlr after tha marriage but Hr. Andrawa indloated that hi. ollent .pecltlcallv deniee that there wa. any agreement by hi. ollent to aeeume or attlrm that premarital dobt at wlte. 'I'hero i. an allegation that huevand, during tha cour.. ot the marriage, repaid monlea that he vorrowed trom hi. mother prior to the marrlaye In the amount ot $],000.00. Hr. Andrewe has Indicated that he doee not donslder that to be a relevant tactor In resolving the Issues In this case. 'I'he parties each own a vehicle, 1I11sband has a 1995 pontlao Orand Prix and wife a 1995 Pontlao Orand Am. Coun.el have note. In their files Indicating that the vehicles are not equal In value so tho partl.s and couns.l are going to attempt to arrive at a value that they can ayree upon for each of the vehiol.., ACllord InrJ to Hr. Andrews there was a bank aocount at Dauphin (lllposlt In husband'. name at the time at ssparatlon with a balance of $2,678,12 and a Hember's 1st account in wite's nams with a balance of &],08].10. According to Hr. AndreWS there was a transter of '650.00 tram the Hember'. 1st account to hu.ban~'. aaoountl th.retor., aooordlnq to Mr. Andr.w.' oomputation, hu.band would bl charQld with havlnfiJ In account value of '3,3a8.12 and wlte an aooount valu, ot '2,433.10 which an thl n\l.b.n whloh would be 11.111 for pllrpo... of equitable dhtrlbut.1on. 1~.ra doaa not .eem to be much ot a dlaputa reQardlnQ the hou.ahold tangible pereonal property .Ince mo.t .11 of the property wa. owned prIor to the matrleqa. However, hu.band I. QolnQ to provide a ll.t at . taw Item. which h. ha. 1.ft In the marital re.ld.nee, which ha would Ilka to r.mova and whIch appar.ntly war. hi. Itam. prior to tha marrlaQa. A. IndIcated, It doe. not appear a. It ther. were many Item., It anYl pureha.ed by the parties tor the ua. at the hau.ehold durlnl) the oour.e ot their m.rrlage. Hr. Andrewa provided a at.tament trom Quakar city Auto Part. .howln9 that hu.banct haa a panelon with that company and Hr. Andrew. computed the marital portion to ba $1,165.00. Ha. Vernay ha. Inquired aa to whether or not th.re I_ any lit. Ineurance polloy with a cash value that was ownsd by hu.band dudnl) ths !'Jourse ot the marrlalJ.. Hr, Andrews .. going to obtain any intormatlon ~bout wh.th.r or not A policy exlste and it It doe., It there was a ca.h value, he will provide that intormatlon to oppoelny aoun..l. Also, there Ie a request a. to whether or not any dance etudio equipment waD acquired durln9 the marrlage and It It Wae, what the valu. ot that acquisition was. With reslleet to the real estate, after dlsouesion with ooune.l, It appeare .e If we will n.ed to have .n appraleal done in ord.r to help ue r.solve the IS8ue .e to how we make a dletribution ot ....t.. coun..1 have Indicated that nslther party pre.untly ha. wanted to bear the Dost of an appralBsll therefore, It . sU'JfJestecl that they ayr.e on an appral.er and perhap. .hare that coet' with the r yht Dr .Ither party to have their own appraiser look at the IlrOp4U"ty later It they are not .ati_tl.d with the Joint appral..r, Al.o, a.ld. trom getting the ourrent valu., the Ha.ter haa Indicated that h. bellev.. that coun.el .hould a.k th~ appraiser to vlve u. a value at the property as of the date of marrlag. In order to help u. determine what wlte'e premarital contribution. would have been to the marital eatate. We would alao nued to hav. the payott on the mortyaqe ae well at the time or marriage to help ue e.tabli_h the net equity value in the property at that time. A hearing ie soheduled tor 'I'ueeday, April :.all, 191111, I<ATllLEEN A. CALAMAN. 1'1IJlnll It I IN '1'112 CQUh1' 0.' COMMON HI::Al> Ul' I CUHB~ftLAND COUNTY. '~NN6YLVAN'A I I NO. 'n ' J II j C 1 V II. I I CIVIL ACTION . LAW I I IN PIVOftCI VIi. HAYMONU (!:, eM.AMAN, lIeferllllll1t Q"PIU~ "1m ~010lC' "T'li~jUt~I4U1Q 'fa I /(lIlhleen A. Clllaman Jllcqueline M. Varnoy Pllymol1(l IL. C 411l1lllln Taylnr P. Androw. . I'hlntUt . Coun..1 to~ .I.inti" . llllhna.nt . Counll.1 tor uefenaant You ar. dirllctea to appear tor a hellrlng to tlk. teetlmony on the outetAnding ieeu.e In the above clptloned dlvarc. proc.edlng. lit the Ottlce ot the Divorce H..ter, V Norlh Hanover fHreet. Cllrlhlfl, l'onnllylvanla Oil lhe,,~,l!!1tL~...__.~ dill' IJt ......ALltlL..........,..~... 1'.1\18. at __.._,_?!_~O.,_...__ a.m.. lit which place and tim. you will be given the opportunity to pre.ent witn..e.e IInd exhibite ln lIupport ot your ca... Pate of Ordu Ind Notlcel I/lO/98 Pl" blvoroeM.iiil.i""c,,,--,,,,,,, J f' YOU 00 NO'f /l.WI A TELEPHONE THI OFFICE GE'f LIi:GAL HELP. LAWYER OR CANNO'f An'OIll> ON/!:, 00 1'0 OR st:1' FOR1'1l 1IltLOW '1'0 f'lND OU'l' WHIUlE YOU CAN CUHl.Ili:fll.^NlJ COUNTV flAil Mjfj()C IAT JON l LIUElrl''{ AVENIIE cAHLIIlI,E, I'A 17011 TI';L,"l'lIoNI'; (717) H')." IIt-f, .. , , KATIILEEN A. CALAHAN I tN TIlK COURT OF COMMON PLEAS Of' Phlntlff I CUMBERLAND COUNTY, Pf:NNSYLVANIA I va. I CIVIL AcrION - LAW I I NO, 97 - 2119 CIVIL RAYMOND E. CALAHAN, I . Defendant I IN l>IVoRCt;; !'lOTlCE Of' PltE-IIEARING CONFERENCIli TOI Robert L. o'Brien Taylor P. Andrews , Counsel for Plaintiff , counsel for Defendant A pre-hearing oonferenoe has been echeduled at the Office of the Divorce Master, 9 North lIanover street, Carlisle, Pennsylvania, on the 30th day of January, 1998, at 9130 a.m., at which time we will review the pre-trial statements previously tiled by oounsel, define issues, identify witnees8s, eKplore tho possibility of settlement and, it necessary, schedule II hearing. Very truly your., Date of Noticel 10/9/97 E. Robert Elicker, II Divorce Master Robert L. O'Brien, Attorney tor Plaintiff, haa not filed a pre-trial statement as ot the date at this notice, Taylor P. Andrews, Attorney for Defendant, filed a pre-trial statement on October 2, 1997. KATItLI::I::N A. CALAMAN, 1'lainlUi IN 1'111; COUIlT OF COMMON I'LI';Afi 01' CUMUBIlLANII COUNTY, I'ENNBVI.vANIA CIVI I. ACTION - I,AW VP. HAYMOND E. CALAHAN, Defendant NO, 97-2119 CIVIl, 19 II, 11Ivnlwl-: , "j /.' 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