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Home My WebLink About98-01688 d , " , ~ ~ '? ~ ).... SI; ~ 1 '"-..~ - ~, / ---'_n,"7~~ ,,~ , 'll' . . ~ \ \ \ t, / ",". ,,,- i if ff / t, ~! I - . ~ ~ .... , CJ t..., &.. ...) - ~ .~ i ~ 'J ,~ ,~ . ':.:. .:.:.' .:+:. .:.:. ':+:'_ .:.;. .:+;. .:.~..:<<. "_:+:' .:.e. .:.:. .:+;: <~~. .:.~. <+:' .:+:. <+:. ,':+:" .:+:. :. .:+:.' ':":'.':.:'-, .:+:. -:.:. .:+:. -:+:'. ~:.:;":+:(:'~ :I"'~'~'''-'''-''''~'' "",,,,, ,.... .. ...,' ': :1 IN THE COURT OF COMMON PLEAS : ,', ~ ~ ..' ~ OF CUMBERLAND COUNTY STATE OF ~, PENNA. ~ w ',' " '!' John R. May. 'I " qqq", 1<) 98 ~ NO,q.1688 w ',' Plaintiff. 'i " W '!' VOI'.'II\S ~ ',' Kay L. May. , 'i ~ ',' Defendant, ,I ,', ~ ." ~ '" ~ ~ ~, DECREE IN D I V 0 R C E 'JltA"'" .:t I D. ~ . AND NOW, " ,,:::r~ , ,f , " 19 c;,,, " it is ordered and decreed that, , , , . , , , J,o,h~ ,R" ,M~y , , , , , " , , , , , , , , , , , , , , , , , , , , , " plaintiff, and ' , , , , , , , , , , , , , , , , , K~?, , L: ,M~?" , , , , , , , , , , , , , , , , , ' , ' , , , , , , , " defendant, are divorced from the bonds of matrimony, ~ ... ~ t, ,~ ~ " ~ ~ !="' $ ~ ~ $. ',' The court retains jurisdiction of the following claims which hav& been raised of record in this action for which 0 final order has not yet been entered; ~ '!' ,', ~ "N?~~:" Th~, M~~it~l, S~ttl~~lent AlIr~~!"~~t ~~~cuted, by t,he, pa,r,tles, o,n, ,M,ay, ,2,1. ,,~h~ll, b~,lnc?:r?r?t~d, her~ln!, b!-lt, ~h~lll, n~t, be, !"~.r~ed, Int,o, ,s,aId, ,de,c,r,e,e,." $. ',' ~ ~ " .', f' ~ <:" fly T M " A tlesl: ~ ~ ~-"'" , ,~:' ':..:' ':.:' ':..:' ':.:' , ;, PI'othonotnl'Y '" $ ~ ,,~ ~ ~ ,'t ~ w .,' ~ .., ~ " '!' ~ ,,~ ~ ~ '" f~~, ~ ~ " " " ~ ", :, ,., $ .', ~ ,;; '!' ~ ... ~ ',' ~ '" *. ',' ~ 1999 ~ ~ ~ ',' ~ ... ~ ',' *. ',' .J, * (~ (',- I, '~ ~ ::: I~ ~ *.*.~.~.,~.*.**~.~..~"~*,~,.~..~~,.~.~..~.~ tlll:l'tllL lLlLl tl'llN lOll Vd 'lllH dlW:l . 13BYlSl3~YVW L Ett M\I1lV SABNYO.llV ':l'd 'Y310V Ii Y3DV3Y >- ~) C :.S; N ,. t.:" .. ;~~:r: IU~~ - C,);i;: O..c. ,r: Cl~e ..,.o( .' 1,....1 CJ.. r')::i ,J')j;-;_ b:S ~/ r-, ;::~~ iq' I ,~..r.., ;.:-lit.l Z !.L:ii} l.-l_: ; ,\. I t~': ::':1 inCl. ...., d't (I., cro .J 0 In (.) ~ JOliN R, MAY Pluintlfl: IN THE COURT OF COMMON PLEAS . CUMBERLAND COUNTY, PENNSYLVANIA No, q (.. / &, r r (It;j,j 7;,.-, , " v, KJ\ Y L. MA Y Delendlllll, CIVil, ACTION - LA W DIVOIH'F COMPLAINT IN DIVORCE (INDEI~ SECTION 3301 (e) or 33111 (d) OF THE I>IVORCE CODE Plaintiff: by his attorney, Melissa l\lCI Grcevy, respeetllllly rcpreslmls: I, PlaintifT is John It May, who cUlTently rcsidcs al 559 Meggan Lane. Mcchuniesburg, County of Cumberland, Pennsylvania, 17055, sincc OClober, 1976, 2, Defendant is Kay L. May, who resides at an addrcss which shc refusl's to disclose 10 Plaintifl Defendant's last known addrcss was 559 Meggan Lane, Mechaniesburg, Pennsylvania" County of Cumberland, Pennsylvania, 17055, J. Plaintiff has bCl)n a bona lidc resident in the Commonwealth /01' at least six months Immediately previous to the tiling of this Complaint. 4, The plaintiff and defendant were married on July 29, 1972, at Shirernunstown, Cumberland County, Pennsylvania, 5, There are no children ofthc plll'ties under age eighteen (18), 6, Neither plaintiff nor defendant is in till) military or naval service of the United Stalcs or its allies within :he provisions of lhll Soldiers' and Sailors' Civil Relief Act of the Congress of 1940 and its amendments, 7, The Plainliffs Social Security Number is 191.42.,7591. 8, The Defendunt's Sociul Sccurity Number is 191.46.4988, 9, There have becn no prior uetions Ihl' divorce 01' annulrllenl hclweun the pm'lics, COli NT I Jrl'ctrlcvnhlc IIrcllkdown 10, Thc Plaintiff incorporates hcrein hy rcfercnec the all(~galions sct Ihrth in I'aragrnphs I t/lI'ough 9 indusive, of the ('ol1lplainl, as iflhe same wcrc scl li,rlh hcrcin at length, II, De/endmll nbandoned thc maritul home on November 10, I <in und has nOI returned, 12, The marriuge is ilTelrievably broken, 13 , Plaintiff hus been adviscd lhat eounscling is availub/e and thaI plaintiff l1Iay havc Ihl~ righlto rcquest lhat the court require lhc parties to participate in counseling, WHEREFORE, Pluintiffrcqucsts that this l/onorablc Courl cnter a decree of divorce under ~33() I (c) 01' 330 I (d) of thc Divorce ('0(1<:, COliNT II Equitablc Distribution of Maritnl Propcrty 14, The Plaintiff incorporales herein by reterenec lhe allegations set forth in PUl'Ugl'llphs I through 13, inclusive, of the Complaint, us if the Sllmc were set forth herein at Icngth, 15, Thc Plaintiff and Defendant havc /cgally lInd bencfieinlly acquired certni/1 pcrsonal propcl'ly during thcir mnrrillge, WIIEREFORE, thc Plaintiff respectfully requests this Honorable Court equilably divide alllllaritul properly, 'W COliNT fII Alimony I'cnl!lllltc Lltc ,16, Pluintlff Incorporatcs hcrein by re/eroncc thc uilegutions sel Illl'lh In Purugruphs I through 15, inclusive, of't/w Compluint us if the sumc wcre sct n.rth hcrein utlength, 17, PluintilTis employcd ut AMP Inc, in IlulTisburg, Pennsylvuniu, und is clIl'lling un upproximuto gross income of' $28,684, IS, Defendant is cmployed ut BSC I,ilho, Ino, inllurrisburg, Pennsylvuniu und is eurning un uppl'oximutc gross inr;ome of' $ 73,130, plus benefits thut includc but ure notlimilcd to the use of a com puny CHI', 19, Plaintil'flms insufficient income and asscts to provide /()r his necds, WHEREFORE, the Plaintiff rcspeotfully rcquests that this Iloll(1rablc Cuurt enter un Order of Alimony Pendenll.itc, COUNT IV Alimony 20, The Plaintiff incorporates hercin by reference lhe allegations set forth in Purugmphs I through 19, inclusive, of the Complaint, as iflhe sume were set forth herein at length, 21. Plninti ff lucks sufficicnt property and resources through his employment to provide 1111' his reusonahlc means, 22, Pluintiffrcquircs reasonuble support to udequutely maintain himself in accordance with the stundnrd of' living estuhlished during the marriagc, WHEREFORE, Plaintiff requests that this Ilonol'llblo l:ourt enter an award of alimony in his Ihvol'. ~ CSJ~ ~ ::J~ ~ ~ ~ ~ ~'\ ~. ~ v-. C) '" ~ ~ - ~ ~ cJ~ ij ?<v .. ~~ '~ f' 0 ,-'l 0 t,., CI;! 'rI .".," r.,... ..1 +..~ ':: " '>1 ~Xl I,\I~ ".:I " r-f-. 1'-' _~. 'on I )i:':} '" Q"l , 11, ::? ' .;1 ,__).. _0 .," ..t;-) " , tJ) ,-' .111 .. ~:i '., ::3, r,~ ~y (II -, ........-...... i '" ,~') i ,) I I I JOHN R, MA y, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA Pl,ilntlff v, NO, 98-f688 CIVIL ACTION - LA W IN DIVORCE KAY L. MAY, Defendant AJ<'I<'II)A VIT 01<' CONSENT -~- I. A Complaint in divorce undcr section 330J(c) of the Divorce Code wns flied on March 26, 1998, 2, The marriage of Plaintiff and Defendant is il1'etrievably bl'Oken and ninety (90) days have elnpsed fl'Om the date of filing and scrvicc of the Complaint. ), I conscntto lhe entry of a final decree of divor<:e after service of notice of intention to request entry of the decree, 4, lunderstand that I may lose lights concerning alimony, division of prope/1y, lawyer's fees or expenses jf I do not claim thel11 before a divorce is gl'llnted, I verify thut the stutements mude in this affidavit ure true and COll'ccl. lunderstancl that false ~tutements herein are mucic subject to the penulties of 18 Pu,C,S, ~ 4904 relating to unsIVOI'II falsificution to authorities, Outed: _/ " ,"'J . (..... [:.; .'" ( -'~l '..-) U'-r ;1' ,;.1 " " .,; i ~. -" ( L, (Tl C ) G-'\ t8t~'t9L ILILI ~t>9.'1 ~OL~Vd '111H dWVO J.33~J.S HlI~VW 1m M\f1 J.V S^3N~O.uV 'O'd '~310V If/ ~30V3~ . " tIJlZL-t9llLLl) ~1i~'L LOll '9'd "'IH dW'9':l U3W1S l~~W'9'W LEt~ MVllV SA3NWOll'9' ':l'd 'w;nov 18 W3DV9W C.I f: i:r;{: ~;-~;i Co_!,'_ ~~~; I" ;'FCC'\ ~\;E~ ~:J ." !.'~) \,::/ C) .'" '" (\) q,~ r\) .. , ,;! r~. .~ ~, -,I.~ .:,,) C~) ,\ '. .JOlIN R, MA y, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA Plnintlff v, NO, 98-1688 CIVIL ACTION" I ,A W IN DJVORCE KAY L. MAY, Dcfendant WAIVER OF NOTICE 01<' INTIWI'ION '1'0 REQUEST ENTRY OF A I>IVORCE DECREE UNDER SECTION 330HC) OF THE DIVORCE corm I. I eonsclllto the entry of a final decree of divorce without notice, 2, I understand that I may lose lights concerning alimony, division of property, lawyer's fees 01' expenses if I do not claim them before a divorce is granted, 3. I understand Ihut I will not be divorced until II div~)I'ce decree is entered by the Court and that a copy of the decrec will be sent 10 me immediatcly after it is filed with the Prothonotary, I verify that the statements made in this affidavit are true and COITec!. I unoerstand that false statements herein are made subject to the penalties of 18 Pa,C.S, ~ 4904 relating to unsworn falsification to authorities, Om"', '-~\"'.~~\ .JOHN R, MA Y I? ' ,/ t8tl.t9l UW ~~H lOll 'lid 'lllH dWVJ l33YlS J,3~YVW ItE~ MV1lV SA3NYO.uV J'd 'Y3l0." " Y30.,,3Y ve:-.~ ......-- ~~ ':'l~ :,J 1\;, ~':? ~ t[J li;) <'I q. ',j <.: !\), ", .n , 1-~1 1"1 Jt{ , i ~_ J I,,';n "~too) if!,! ,if ~, .JOIIN It MAY. Plllintiff. IN TIlE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLV ANIA KAY L, MAY, Dcfcndllnt No.98- 1688 Civil 1998 IN DIVORCE (~l .Ct n ( (J) -1'1 , .- ., '-\'1 I ",',j !~ ~'1 I I , ,,~. "\' \ 1",1 '\" J I , .\. ,IlL) I , -\'1\ '.l '"1\ ) ..,~ ., ) I , " iI , r;.' I ,. ::2 ~ ,~ ()l -<.. v. CIVIL ACTION" LA W NOTICE TO DEF1..iliD.Atl!2 CLAIM RIGHTS YOlI havc bccn sucd in court. If you wish to dcfcnd against thc claims sct forth in the forcgoing pages. you musttakc prompt action. You arc warncd that if you fail to do so. the ease may proceed without you and a dccrce in divorce or annulment may bc entered against you by the court. A judgment may also be entcred against you for any other claim or rclief rcqucstcd in thesc papcrs by thc plaintiff. Youlllay lose money or other property or other rights Important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable brcakdown of the marriage. YOUIllI1Y request marriage counseling. A list of mmriage counselors is aVililable in the Ofliee of the Prothonotary at: Oftice of the Prothonotmy Cumberland County Court House Carlisle, Pennsylvania 17013 IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LA WYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MA Y LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE TI.IIS PAPER TO YOUR LA WYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. I Cumbcrland County Bar Association 2 Liberty A vcnue Carlisle, Pennsylvania 170 13 Telephonc: (7 I 7) 249-3166 JOliN R. MA Y Plnlntiff. . . , IN TIlE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYL VANIA . , v. No, 98-1688 KAY L. MAY Defendant. CIVIL ACTION - LA W DIVORCE SU8SEQUENT PETITION PURSUANT TO Pa. R C. P. 1920,13 Plnintiff, by and through his counsel, Melissa Pcel Greevy, Esquire, files this Subsequcnt Petition pursuant to Pu. R. C. 1'. 1920.13. and avers in support thereof as follows: I. This is u divorce aetion instituted by Plaintiff on March 26, 1998. 2. In addition to II divorce. the Plllintiff requcsted equitable distribution, alimony, alimony pendcnte lite. and counsel tees, costs and expenses. 3. Plaintiff now dcsires to makc a claim 1'01' alimony pendentc lite by this petition so thut a hearing may be schedulcd on that claim. Count I Alimony Pendente Lite 4. Plaintiff incorporates hercin by I'efercnce the allegations set forth in Paragraphs I through 3, inclusive. of the Subsequent Petition as if the same were set forth at length. 5. Plaintiff: whose social security numbcl' is 191-42-759). is employed at AMP Inc. in Harrisburg. Pennsylvania, and is carning anapproximatc net income of $ 22,116. 6. Defendant. whose social security number is 191-46-4988, is cmployed at BSC . Litho, Inc. in Hanisburg, Pcnnsylvania and is earning an approximate net income of $51 ,348. 7, I'luintlffhus insufficicnt income und ussels 10 provide Illr his needs, WIIEREFORE, Phlinti ff respeetflllly req\lcsts thutthis Honol'Uolc Court entcr un ol'del' Ibr Alimony Pendente Lite. Dalc; 1.../- 30-18 di")},/~j}' j) lJ.Q~~n._'71ft.~Y=::~ln Melissu Pccl Grcevy, Esquinl W, No. 77950 214 Senate Avcnuc Suite 602 Camp Hill. PA 17011.2.136 (717) 763-8995 Counsel tllr Ihc Plainliff I verify thai the statements made in this Pctition arc true and COI'I~c t to thc best.jlf my knowlcdge, information and belief, lllndcrstand that false statements'ry, e f erefrl , 'c madc subjecI to the penalties of 18 Pa, C,S. A. ~ 4904, relating to ulls~,m ,fu!. ~y~~)tallthorities, " .,,' /~/ --:;/ / Dol, '-/-30-9. . .~.~ ~ ( John R, ay / / JOHN R. MAY, Pldntiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 98 - 1688 CIVIL VS. I I i I KAY L. MAY, Defendant IN DIVORCE AND NOW, this ___ day of ~ 1999, the economic claims raised in the proceedings having been resolved in accordance with a marital settlement agreement dated May 21, 1999, the appointment of the Master is Vacated and counsel can file a praecipe transmitting the record to the Court requesting a final decree in divorce. 00: Melissa Peel Greevy Attorney for Plaintiff P.J. Debra Denison Cantor Attorney for Defendant ~~'.0'-' n-,<,~c..A "'J 3/ 19. V ....2. 'I'. . ~ FJI.I;D'OFFIC/: OF f}.'::: W;(lrl"')/"C")]j'AI'lY '''''" 1....-,,.. f'1l'f 99 JUN ~;) ~If 91 n6 CUMBI:RL/;f1O COUtvry flENNSY~VI\N11\ .i', S:IWPOOCSIOOMESTICIMSAlmaYkay .msa. wpd May 17, 1999 9P-/G.PP MARITAL SETTLEMENT AGREElVIENT .Y" . THIS AGREEMENT, made this Jr.. duy of ~(yl~, , 1999, by and I between KAY L. MAY of' Wrightsvillo, Pennsylvania, (heroi I' tel' "WIFE") and JOHN R. MAY of Mechanicsburg, Pennsylvania, (hereinafter "HUSBAND"); WIT N E SSE l' II: WHEREAS, the parties hereto were married on July 29, 1972, in Shiremanstown, Cumberland Ceunty, Pennsylvania; and WHEREAS, a divorce action was filed by HUSBAND on or ilbout March 26, 1998, in the Cumberland County Court of Common Pleas at 98-1688 CIVIL ACTION "LAW; and WHEREAS, difficulties have arisen between the parties and it is therefore their intention to live separate and apart for the rest of their lives and the parties are desirous of settling completely the economic and other rights and obligations between eaeh other, including, but not limited to: the equitable distribution of the marital property; past, present and future support; alimony, alimony pendente lite; and, in general, any and all other elaims and possible elaims by one against the other or against their respective estates; and NOW THEREFORE, in eonsideration of the covenants and promises hereinafter to be kept and performed by each party and intending to be legally bound hereby, the parties do hereby agree as follows: Page 1 of 13 , . . S:W~PDOCS\DOMESTIC\MSA\m.Ykay,msa.\'ipd May 17, 1999 1. AD.YJCE OF COUNSEL. 'l'he provisions of this agreement and their legal effect have been fully explained to the parties by their respective counsol. WIFE is representod by Debl'U Denison Cantor, Esquire. HUSBAND is represented by Melissa Peel Greevy, Esquire, The parties further declare that each is oxecuting the Agreement freely and voluntarily having either obtained sufficient knowledge and disclosure 0fthr)ir respective legal rights and obligations or, if counsel has not been consulted, expressly waiving the right to obtain sllch knowledge, The parties each acknowledge that this Agreement is fair and equitable and is not the result of any fi'aud, coercion, duress, undue influence or collusien, 2, !!NORCE ACTION, The parties acknowledge that their marriage is irretrievably broken and that they shall secure a mutual consent no fault divorce pmsuant to ~ 3301(c) of the Divorce Code, The parties agree to execute Affidavits of Consent for divorce and Waivers of Notice ofIntention to Request Entry of a Divorce Decree concurrently with the execution of this Agreement, This Agreement shall remain in full force and efTeet after such time as u final decree in divoree may be entered with respect to the parties, The parties agree that the terms of this agreement shall be incorporated into any Divorce Decree whieh may be entered with respect to them and specifically referenced in the Divorce Decree, This Agreement shall not merge with the divorce deeree, but shall continue to have independent eontraetual significance. 3. DATE 01<' EXECUTION. 'l'he "dute of execution" or "execution date" of this Agreement shall be defined as the date upon which it is executed by the parties if they have each exeeuted the Agreement on the same date, Otherwise, the "date of execution" or "execution date" of this Agreement shall be defined as the date of execution by the party last executing this Agreement. Page 2 of 13 S:IWPDDCSIooMEsrICIMSA Illlaykay.ms. ,wpd May 17,1999 4, MUTUAL RELEASES. Each party absolutely and unconditionully roleasC1s the other and the estate of the other from any and all rights ancl obligations which oithel' may havo lor past, present, or future obligations, arising out of tho IUarital rolationship OJ' otherwiso, including all rights and benofits under the Pennsylvania Divorce Coclo of 1980, anclamendnwnts except as describod heroin, Each party absolutely und unconditionally releuscJs the other ami his 01' her heirs, exeeutors and ostate from any claims arising by virtuo of the marital relationship of the parties, The above reloase shall be effective whether such claims arise by way of widow's 01' widower's rights, fumily oxemption, 01' under tho intestato laws, 01' the right to take against the spouse's will, or the right to treat a lifetime conveyance by the other as testamentary, 01' all other rights of u surviving spouse to participate in a deceasod spouse's estate, whether arising under the laws of Pennsylvania, any state, Commonwoalth, or territory of the United Statos, or any other country, Except fer any cause of action for divorce whieh either party may have 01' claim to have, each party gives to the other by the execution of this Agreement an absolute ancl unconditional release from all claims whatsoever, in Inw 01' in equity which either party now has against the other. 5, FINANCIAL AND ~ROCEnURAL DISCLOSURE. The parties confirm that each has relied on the accuracy of the financial disdosure of the other as an inducement to the execution of this Agroement, Each pnrty understands that he/she had the right to obtain from the other party a complete inventory 01' list of nil property that either 01' both parties owned at the time of separation or currently and that each part.y had the right to have all such property valued by means of appraisals 01' otherwise, Both parties understand that they have a right to have a court hold hearings and make decisions on the Page 3 of 13 , S:IW'PDOCSIOOMESTICIMSAlm.yk.y.m,..WPd M.y 17, 1990 mattors covored by this Agreoment. Both partios horeby acknowledge that this Agreomont is fui!' and oquituble, und thut the torms I\dequutely provido for his 01' hor interests, und that this Agl'Ooment is not a rosult of Ihllld, duross or unduo influence exercised by eithor pm'ty upon tho othor or by uny porson or porsons upon oither PUlty, 6, SEPARAl'IONINON.INTERI<'ERENCE, WIFE and HUSBAND may and shull, ut all timos heroafter, live separate and apurt. Thoy shall be free from any interference, direct or indirect, by the other in all respects as fully us if they were unmal'l'ied, Each may, for his 01' hor separute use 01' benefit, conduet, carryon and engage in any business, occupation, profession or employment which to him or her may soom advisable, WIFE and HUSBAND shall not harass, disturb or malign each ot.her or the respeetive families of each ot.her, 7, REAI~ PROPERTY. The parties are the joint. owners of real property located at 559 Meggan Lane, Meehaniesburg, Pennsylvania, 17055, The home is encumbered by a jointly held mortgage with Pennsylvania State Employees Crodit Union ("PSECU" horein). The present balance of the mortgage is approximately $37,562,19 The parties agree that tho marital home shall be listed for sale with a mutually agreed upon real estate agent, The parties shall cooperate with all aspects of selling the home ineluding the placement of the home on the multi-list, placing a "For Sale" sign in the yard, and making the home available 101' showing to interested individuals, The parties shall further agr(le to cooperate with the realtor in fixing and modifying the sales price, Upon the sale of the home and after the deduction of reasonable settlement fees, the parties shall divide the proceeds sixty (60%) percent HUSBAi'l'D, forty (40%) percent WIFE. The parties shall divide any and all tax consequences from the sale of the home sixty (60%) percent to HUSBAND, forty (40%) percent to WIFE, Page 4 of 13 . S;IWPOOCS\POMESTlCIMSAlmaYkay.rn...wpd May 17, 1999 HUSBAND anticipates residing in the home for May ancl June, 1999 und shall be solely responsible fOl' the puyment of all CO~ltS and expenses associatod with the home including, but not limited to; tho mortgage, taxes, insurance and utilities. HUSBAND agrees to indemnify und hold WIFE harmless from said obligations, Thereafter, HUSBAND shall vacate the home, Upon HUSBAND's vaeating the home, HUSBAND and WU'E shall equally divide the eosts of the home pending its sale, In the evont one party fails to pay their one-half (Ih) share of the costs, said share shall be deducted from the proceeds of the sale prior to distribution and paid to the other party, 8, DEBTS, HUSBAND represents and warrants to WIFE that since the separation he has not, and in the future he will not, contract 01' incur any debt 01' liability for which WIFE or her estate might be responsible, and he shall indemnify and save WIFE harmless from any and all claims or demands made against her by reason of such debts or obligations incurred by him since the date of said separation, except as otherwise set forth herein, WIFE represents and warrants to HUSBAND that, since the separation she has not, and in the future she will not, contract or incur any debt or liability for whieh HUSBAND or his estate might be responsible, and she shall indemnify and save HUSBAND harmless from any and all claims or demands made against him by reason of such debts or obligations incurred by her sinee the date of'said separation, except as otherwise set forth herein. 9, RETIREMENT BENEFITS HUSBAND is the owner of a Thrift Savings Plan through his employment with. AMP, Inc. Said Plan has an approximate value of $116,644, HUSBAND is also the owner of a Defined Benefit Plan through his employment with AMP, Inc, Said Plan has an approximate vahle of $21,000, WIFE is the owner of a 401K Plun wi'th an approximate value of $79,329. Page 5 of 13 . S:\WPDOCSIOOMESTIClMSAlmaYkay,msa,WPd May '17,1999 HUSBAND shall retain his Thrift Savings Plan, WIFE hereby waives any right, title and interest in said benefit. WIFE shull retain her ,iQ1K Plan. HUSBAND hereby waives any right, titlo and interest in said benefit, The Defined Benefit Plan shall be divided sixty (60%) percent to HUSBAND and forty (40%) percent to WIFE between the parties via a mutually agreed upon Qualified Domestic Relations Order prepared by HUSBAND's counsel. Said QDRO shall provide that HUSBAND will "cash out" or withdraw all amounts contained in the pension plan on or about October 15, 1999, The tax consequences of such a withdrawal will be divided sixty (60%) percent to HUSBAND and forty (40%) percent to WIFE, In the event HUSBAND is unable to liquidate 01' "cash out" his pension, said Defined Benefit Pension Plan shall be divided sixty (60%) percent to HUSBAND and forty (40%) porcent to WIFE. WIFE shall be provided a survivor benefit equal to her marital interest. In the event WIFE 'pl'edecoases HUSBAND, her share shall revprt to HUSBAND. The Qualified Domestie Relations Order shall be approved by counsel for both parties and drafted by HUSBAND's counsel in the event he is unable to eash out said plan. 10, SEVERANCE PLAN HUSBAND obtained a severance benefit at termination which was equivalent to approximately twenty-three (23) weeks of pay. WIFE hereby waives any right, title and. interest to said benefit. 11, LIQUID MARITAL ASSETS, a, ~TOCK. The parties are the owners of the following shares of st(lck: Pepsico: 11,4643 @ $38 = $435.48 Hershey Foods: 1O@ $517/16 = $514.00 AMPiTyeo: 1Q~ x.O'rAL.; $6.393.4tl I. S:IWPOOCSIDOMESTICIMSA Imaykay.msa. wpd May 17, 1999 'I'he pUl'ties agree that said shares were valued for equituble distribution purposes on April 14, 1999, HUSBAND shull retain said stocks, WIFE waives her right, title and interest in said stoek, WIFE shall execute any documents necessary to transfor her interest in suid stock to HUSBAND, b. CERTIFICATES OF _DEPOSIT: HUSBAND lInd WIFE were owners of the following Certificates of Deposit with the Pennsylvania State Employees Credit Union ("PSECU" herein), HUSBAND liquidated CD#17 for $1,513,01, CD#18 for $1,666,43, CD#13 for $1,559,43 and CD#19 for $1,588,56. The remaining CD's are intact and hold as follows: WIFE: $1,752.72, $1,669,51; HUSBAND: $1,619.15, $1539,64; und have a present value of $6,581. c. INVESTMENT ACCOUNT: The parties aro joint owners of a DLJ Investment Brokerage aecount with a present value of $13,415,58 d, EE BONDS: 'rhe parties are owners of 67 E.E, Bonds, all of which are marital property. The present value of the bonds is $ 3,935,30, e, AIRWAREJNC,: The parties owned a silk screening business. The assets of the business were sold for $4,400, HUSBAND shall retain said funds. At the date of separation, the business account was valued at $6,166, HUSBAND withdrew $3,000 post separation for the purchase of an automobile, Page 7 of 13 S :IWPOOCSIOOMESTIClMSAlmaykay ,1TI'a. wpd May 17, 1999 Airwnre, Inc. has an outstanding roceivable of $827,50. WIFE shall attempt to collect this outstunding bal!\nce. Upon receipt of such funds, the parties shall divide it equally, f, The parties had a joint checking aceount at PSECU with a date of separation to HUSBAND value of $156.61 and a joint savings account with a balance of $357.10, WIFE had a savings account at PSECU with l\ balance of $129,79, The parties shall divide the liquid assets equally as follows: 1. HUSBAND: a, $6,327.43 Previously cashed CD; b, $1,619,15 C.D, #14; c, $1,539.64 C,D.; d, $6,393,48 Stock Accounts; e. $3,935,30 E.E, Bonds; f. $4,400 Airware' , g, $156,61 PSECU; h, $357,10 PSECU; and i. $3,000 Airware withdrawal. WIFE: a, $13,416 DLJ; b, $1,752,72 C.D,; c, $1,669.51 C,D,; d. $129,70 PSECU; e. $3,166 Airware Account balanee; f. $800 PSECU, Page 8 of 13 S:IWPDOCSIDOMESTlCIMSAlmaykay.m.a.wpd May 17, 1999 Not withstunding the ubove, WIFE shullretuin the three (3) savings bonds in her name, HUSBAND shull retain One Hundred and Fifty ($150) Dollars of the Airware uccount in exchange for return of the bonds, 12. PERSONAL PROPERTY, WIFE shall receive the dining room table and ehairs and the riding mower, HUSBAND shall receive all computer equipment, HUSBAND and WIFE- agree to equally divide the remaining personal property within thirty (30) days of the exeeution of the Marital Settlement Agreement, In the event the pm'tios are not uble to divide said property, they shall retain an appraiser to value all items of personal property, excluding the dining room table and chairs and riding mower, The parties shall equally divide the costs of said appraisal. Upon receipt of the appraisal, the parties shall equally divide the personal property based on said value, WIFE shall select the first item of personal property and the parties shall alternate selections thereafter until an equal division of the personal property has occurred, 13, BANKRUPTCY OR REORGANIZATION PROCEEDINGS. In the event that either party becomes a debtor in any bankruptcy or financial reorganization proceedings of any kind while any obligations remain to be performed by that party for the benefit 01' the other party pursuant to the provisions of this Agreement, the debtor spouse hereby waives, releases and relinquishes any right to claim any exemption (whether granted under State 01' Federullaw) to any property remaining in the debtor as u defense to any claim made pursuant hereto by the creditor-spouse as set forth herein, including all attorney fees and eosts incurred in the enforcement of this paragraph or any other provision of this Agreement, No obligation created by this Agreement shall be diseharged or dischargeable, regardless of Federal or State law to the contrary, and each party waives any and all right to assert that obligation hereunder is discharged 01' dischargeable. Pl\ge 9 of 13 S:\WPDOCSIDOMESTlCIMSA Imaykay ,msa.wpd May 17, 1999 , The parties mutually agree that in the event of bankruptey or financial reorganization proceedings by either party in the future, uny monies to be paid to the other party, or to a third party, pursuunt to the terms of this Agreement shall constitute support and maintenance and shall not be dischurged in bankruptcy, 14. ALIMOl'TY. SUPPORT. AND ALIMONY PENDENTE LITE Upon execution ofthis Agreement, the parties hereby expressly waive, release, discharge and give up any and all rights 01' claims which either may now or hereafter have for spousal support, alimony pendente lite, alimony, or maintenance. The parties further release any rights that they may have to seek modification (If the terms of this Agreement in a court oflaw or equity, with the undoI'standing that this Agreement constitutes a final determination for all time of either party's obligations to contribute to the support or maintenanee of the other. 15. ATTORNEY FEES, COURT COSTS, Each party hereby agrees to be solely responsible for his or her own eounsel fees, oosts and expenses, Neither shall seek any contribution thereto from the other party except as otherwise expressly provided herein. 16, ATTORNEYS' FEES FOR EN~ORCEMENT. In the event that either party breaches any provision of this Agreement and the " other party retains counsel to assist in enforoing the terms thereof. the breaching party wi1l~ay all reasonable attorneys' fees, court costs and expenses (including interest and travel costs; applicable) which are inourred by the other party in enforcing the Agreement, whet~et enforeement is ultimately aehieved by litigation or by amicable resolution. It 'is the specific Agreement and intent of the parties that a breaohing or wrongdoing party shall bear the Page 10 of 13 S:IWPOOCSIOOMESTICIMSAImAykAy.mSA, wpd May 17,1090 1. ADVICE OF COUNSEL. The provisions of this agreement and theil'legal effoct hllVO beon fully explained to tho parties by their rospective counso1. WIFE is representod by Debl'l\ Donison Cuntor, Esquire, HUSBAND is reprosentod by Melissa Pool Greovy, l~squil'o, The parties furthel' declare that oach is executing the Agreement freely and voluntarily having either obtained sufficient lmowledge and disclosure of their resJlective legal rights and obligations or, if eounsel has not been consulted, exprossly waiving the right to obtain such knowledge, 'rhe parties each acknowledge that this Agreement is fair and equitable und is not the result of any fraud, coercion, duress, undue influenco 01' collusion, 2, DIVORCE ACTION, The parties aeknowledge that thoir mlll'riage is irrotriovably broken and that they shall secure a mutual consent no fault divorce pursuant t.o S 3301(c) of the Divorce Code, The parties agree to execute Affidavits of Consent for divorce and Waivers of Notice ofIntention to Request. Entry of a Divorce Decree concurrently with the execution of this Agreement. This Agreement shall remain in full forco and effect after such time as a final decree in divoree may be entered with respect to tho parties, 'l'ho parties agree that tho t.orms of this agreement shall be incorporated into any Divorce Decroo which may bo entered with respect to them and specifically referel1f.~ed in the Divorce Decree, This Agreement shall not merge with the divorce decree, but shall continue to have indepondent contractual significance, 3, DATE OF EXECUTION. The "date of execution" 01' "execution date" ofthis Agreement shall be defined as the date upon which it is executed by the parties if they hav8 each oxecuted the Agreement on the same date. Otherwise, the "date of execution" 01' "execution date" of this Agreement shall be definod as the date of execution by the party last executing this Agroement. Page 2 of 13 S,IWPDOOSIOOMESTIOIMSAlmaykay,m.a .wpd May 17, 1000 4, MUTUAL RELE.ASES. Each party absolutely and uneonditionally releases tho other and the estate of the other from any and all l'ights and obligations which either may have for past, present, 01' future obligations, arising out of tho marital rolationship 01' otherwiso, including all rights and benefits under the Pennsylvania Divoree Code of 1980, lInd amendments except as described herein, Each party absolutely and unconditionally I'Cleases tho other and his er her heirs, exeeutors and estate from any claims arising by virtue of the marital relationship of the parties, The above release shall be effectivo whether sllch claims arise by way of widow's or widower's rights, family exemption, or under the intestate laws, 01' the right to take against the spouse's will, or the right to treat a lifetime conveyance by the other as testamentary, or all other rights of a surviving spouse to participate in a deceased spouse's ~1state, whether arising under the laws of Pennsylvania, any state, Commonwealth, 01' territory of the United States, or any other eountry. Except for any eauso of action for divorce which eithor party may have or claim to have, eaeh party gives to the other by tho execution of this Agreement an absolute and unconditional release from all claims whatsoever, in law 01' in equity which either party now has against the other. 5, FINANCIAL AND PROCEDURAL .Q.ISCLOSURE, The parties confirm that eaeh has relied on the accuracy of the financiul disclosure of the other as an indueement to the execution of this Agreement. Each party understands that he/she had the right to obtain from the other party a complete inventory 01' list of ull property that eithor or both parties owned at the time of separation 01' currently and that each party had the right to have all such property valued by meuns of appruisals 01' otherwise. Both parties understand that they have a right to have a court hold hearings and make decisions on the Page 3 of 13 S:IW PDCJCSIOOMESTICIMSAlmaykay,msa,wpd May 17, 1999 matters eovered by this Agl'oement, Both palties horoby ucknowlodgo that this Agl'oomont is fair and equitable, and that tho terms adoquatoly provido for his 01' her intorosts, and that this Agroement is not a result of fraud, duress 01' undue influonco exorcisod by eithor party upon tho other or by any porson or ptH'Sons upon oithor party, 6. SEPARA1'IONINON.INTERI~ERENCE, WIFE und HUSBAND may and shall, at all timos heroaftor, livo separate and apart. They shall be froe from any intorforence, diroct or indirect, by the other in all respects as fully as if they were unmarried. Each may, for his 01' her soparllte use or benefit, conduct, carryon and engage in any business, occupation, profession or employment which to him or her may seem advisable, WIFE and HUSBAND shall not harass, disturb or malign each other or the respoctive familios of each other. 7, REAL PROPERTY, The parties aro the joint owners of real proporty located at 559 Meggan Lane, Mechanicsburg, Pennsylvania, 17055. The homo is oncumborod by a jointly hold mortgage with Pennsylvania State Employees Credit Union ("PSECU" horoin), The present balanco of the mortgage is approximately $37,562.19 Tho parties agroo that the marital homo sball bo listod for salo with a mutually agreed upon real estate agent, Tho parties shall cooperate with all aspocts of solling tho home including the placement of the homo on tho multi-list, placing a "For Salo" sign in the yard, and making the home available for showing to interosted individuals. 'rhe purties shall further agree to cooperate with tho realtor in fixing and modifying tho sales price, Upon the sale of tho homo and after the doduction of reasonable settlemont fees, the parties shall divide the proceeds sixty (60%) percent. HUSBAND, forty (40%) percont WIFE, The parties shall divide any and all tax consoquences from the sale of the home sixty (60%) percent to HUSBAND, forty (40%) percent to WIFE, Page 4 of 13 S:\WPDOCSIDOMES TIOIMSAlmnykny,mon .wpd Mny 17,1000 HUSBAND anticipates residing in the home for May unci June, 1999 and shall be solely responsible for the payment of all costs and expenses associated with the home including, but not limited to; the mortgage, taxes, inslll'Unce andutilitios, HUSBAND agrees to indemnify and hold WIFE harmless from saicl obligations, 'J'hereafter, HUSBAND shall vacate the home, Upon HUSBAND's vacating tho home, HUSBAND und WIFE shall equally divide the costs of the home pending its sale. In the event ono party fails to pay thoir one-half (Y.I) share of the cests, said sham shall be deducted fa'om t.he procoods of the sale prior to distribution and paid to the other part.y, 8, DEBTS. HUSBAND represents and warl'<lnts to WIFE that since tho separation he has not, and in the future he will not, contract or incur any debt or liability for whieh WIFE or her estate might be responsible, and he shall indemnify and save WIFE harmless from any and all claims or demunrls made against her by reason of sueh debts or obligations incul'l'ed by him since the date of said separatien, oxcept as otherwise set forth herein, WIFE represents and warrants to HUSBAND that, since the separation she has not, and in the future she will not, contract er incur any debt or liability for which HUSBAND or his estate might be responsible, and she shall indemnify and save HUSBAND harmless from any and all claims or demands made against him by reason of such debts or obligations incurred by her sinee the date of said separation, oxccpt as otherwise set forth herein, 9. RE1'IREMJ!;N1' BENEFrrS HUSBAND is the owner of a Thrift Savings Plan through his employment with AMP, Inc. Said Plan has !In approximate value of $116,644, HUSBAND is also the owner of a Defined Benefit Plan through his employment with AMP, Inc. Said Plan has an approximate value of $21,000. WIFE is the owner of a 401K Plan With an approximate value of $79,329, Page 5 of 13 S:IWPOOOSIOOMESTIOIMSAlmaykay,ms.. wpd May 17, 1999 HUSBAND shall retain his Thrift Savings Plan, WIFE hOl'eby waives any right, title and interest in said benefit. WIFE shall retain her 401K Plan, HUSBAND hereby waives any right, title and interest in said benefit, The Defined Benefit Plan shall be divided sixty (60%) percont to HUSBAND and forty (40%) percent te WIFE between the parties via a mutually agreed upon Qualified Domest,ic Relations Order prepared by HUSBAND's counsel. Said QDRO shall provide that HUSBAND will "cash out" er withdraw all amounts contained in the pension plan on or about October 15, 1999. The tax consequences of such a withdrawal will bc divided sixty (60%) percent to HUSBAND and forty (40%) percent to WIFE, In the event HUSBAND is unable to liquidate or "cash out" his pension, said Defined Benefit Pension Plan shall be divided sixty (60%) pc.rcont to HUSBAND and forty (40%) percent to WIFE, WIFE shall be provided a survivor benefit equal to her marital interest, In the event WlF'E predeceases HUSBAND, her share shall rovert to HUSBAND. The Qualified Domestic Relations Order shall be approved by counsel for both parties and drafted by HUSBAND's counsel in the event he is unable to cash out said plan, 10. SEVERANCE PLAN HUSBAND obtained a severance benefit at termination which was equivalent to approximately twenty-three (23) weeks of pay, WIFE hereby waives any right, title and interest to said benefit, 11. LIQUID MARITAL ASSETS, a, STOCK. The parties arc the owners of the following shares of stock: Pepsieo: 11.'1643 @ $38 = $435,48 Hershey Foods: 10@ $517/16 = $514.00 AMPlTyco: 70,89 @ *78 = *5,444,00 TOTAL..; $6.393.48 Page 6 of 13 S:IWPoOCSIooMESTICIMSAlmaykoy .mso. wpd May 11,1999 The purties agree that said shares wore valued for equitable distribution purposes on April 14, 1999, HUSBAND shall retain said stocks, WIFE waives her right, title and interest in said stoek, WIFE shall execute any documents necessary to transfor hor interost in said stock to HUSBAND, b, CERTIl<'ICATES OF DEPOSIT: HUSBAi'l'D and WIFE were ownors of the following Cortificatos of Deposit with the Pennsylvania Stato Employees Crodit Union ("PSECU" horoin), HUSBAND liquidated CD#17 I' OJ' $1,513,01, CD#18 for $1,666,43, CDI/13 for $1,559,43 and CDI/19 for $1,588,56, 'J'he remaining CD's are int.act and held as follows: WIFE: $1,752,72, $1,669,51; HUSBAND: $1,619.15, $1539.64; and havo a presont value of $6,581. e. INVESTMENT ACCOUNT: The parties are joint owners of a DLJ Investment Brokerage account with a present value of $13,415.58 d, EE BONDS: The parties are owners 01'67 E,E. Bonds, all of which are marital property. The present value of the bonds is $ 3,935,30. e. AIRWARE, INC.: The part.ies owned a silk screening business. Tho assets of the business were sold for $4,400, HUSBAND shall rotain said funds, At the date of separation, the business account was valued at $6,166, HUSBAND withdrew $3,000 post separation for the purchase of an automobile, Page 7 of 13 .~, S:IWPOOOSIOOMESTIOIMSAlmaykny.mna. wpd May 17, 1000 Airware, Inc, has an outstanding roceivablo of $827,50, WIFE shall attempt to eollect this outstanding balance, Upon receipt of such funds, tho parties shall divide it equally, f. 'fhe parties had ajoint checking account at PSECU with a dato of separation to HUSBAND value of $156,61 and a joint savings account with a balance of $357.10, WIFE had a savings account at PSECU with a balance of $129,79, The pnrties shall divide tho liquid assets equally as follows: 1. HUSBAND: a, $6,327.43 Previously cashed CD; b. $1,619,15 C,D,1I14; c. $1,539,64 C,D,; d, $6,393.48 Stock Accounts; e. $3,935,30 E.E, Bonds; f, $4,400 Airware; g, $156,61 PSECU; h, $357,10 PSECU; and 1. $3,000 Airware withdrawal. :WIFE: , n, $13,416 DLJ , b. $1,752,72 C,D,; c, $1,669,51 C.D,; d, $129.70 PSECU; e. $3,166 Ail'ware Account balance; f, $800 PSECU. Page 8 of 13 S:IWPOOCSIOOMESTICIMSAlmnykny.rn.a,wpd May 17, 1999 Not withstanding tho above, WIFE shallrotain tho throo (3) savings bonds in hor name, HUSBAND shall rota in One Hundrod and Fifty ($150) Dollars of the Alrwaro account in exehange for return of the bonds, 12. PERSONAL PROPERTY, WIFE shall recoive the dining room table and chairs and the riding mower, HUSBAND shall receive all computer equipment. HUSBAND and WIFE agree to equally divide the remaining personal proporty within thirty (30) day" of tho oxccu tion of the Marital Set.tlement Agreement. In the event the parties are not able to divide said property, they shall retain an appraiser to value all items of personal property, excluding the dining room table and ehairs and riding mower. Tho partios shall equally divide the costs of said appraisal. Upon receipt of the appraisal, the partios shall oqually divide the personal property based on said value. WIFE shall select tho first item of porsonal property and the parties shall alternate selections thereafter until an equal division ofthe porsonal property has occurred, 13. BANImUPTCY OR REORGANIZATION PROCEEDINGS, In tho event. that either party bocomes a debtor in any bankruptcy or financial reorganization proceedings of any kind while any obligations remain to be porformed by that party for the benefit 01' the other party pursuant to the provisions of this Agreoment, the debtor spouse hereby waives, releases and rolinquishes any right to claim any exemption (whether granted under State 01' Federal law) to any proporty romaining in the debtor as a defense to any claim made pursuant hereto by the croditor-spouse as set forth herein, including all attorney fees and costs incurred in the enforcement of this paragraph or any other provision of this Agreement. No obligation created by this Agreemont shall bo discharged or dischargeable, regardless of Federal or Stato law to the contrary, and eaeh party waives any and all right to assort that obligation heroundor is dischargod or dischargeable, Page 9 of 13 S:\WPOOCSIOOMES TIOIMSAltn3ykay,msu, wprJ May 17,1999 The parties mutually agreo that in tho ovont of bunkl'uptcy 01' l1nancial reorganization proceedings by oither party in tho futuro, any monies to bo paid to tho other party, 01' to a third party, pursuant to the terms of this Agreomont shall constituto support and maintenanco and shall not be dischargod in bankruptcy, 14. ALIMONY. SUPPORT, AND ALIMONY PENDEN'.1.'E LITE Upon oxoeution of this Agrooment, the purties hereby exprossly waive, releaso, discharge and give up any and all rights or claims which either may now 01' hereafter have for spoudal support, alimony pendente lite, alilllony, 01' maintenance, The parties further release any rights that they may have to seek modification of the terms of this Agreement in a court oflaw or equity, with the understanding that this Agroement constitutes a final detormination for all time of either party's obligations to contribute to the support 01' maintenance of the other. 15. ATTORNEY FEES, COURT COSTS. Each party hereby agrees to be solely responsible for his or hor own counsel fees, costs and expenses. Neither shall seek any contribution thereto from the other party except as otherwise expressly provided herein, 16, ATrORNEYS' FEES FOR ENFORCEMENT. In the event that either party breaches any provision of this Agreement and the other party retains counsel to assist in enforcing the terms thereof, the breaching party will pay all reasonable attorneys' fees, court eosts and oxpenses (inclv.ding interest and travel costs, if applicable) which arc incurred by the other party in enforcing the Agreement, whether enforcement is ultimately achieved by litigation or by amicable resolution. It 'is the specific Agreement and intent of the parties that a breaching or wrongdoing party shall bear the Page 10 of 13 1 I I , , " .. JOHN R. MAY, Plaintiff I I I I I I I IN 'l'llE COuIl'r OF COMMON Pl.EAS 01' CUMBERl.AND COUNTY, PENNSYI.VANIA CIVIL ACTION - LAW NO. 98 - 1688 CIVIL 19 ys .. KAY L. MAY, Defendant IN DIVORCE STATUS SHEET DM'E I AC1'IVITIESI --.----- 8/14/98 ( -'l:J-<. j r "I I I ','11) r (L ," [, I . -.5.( z,'({ it 1 Pretrial statements due 9/18/98, 11':< '. -1c, :>1, Lfj'i' J;i/'17-1AAj; l' ),0 a, ,", I"~ .. ./\, . ... .' I (,{J "- li,Y',!1J{f-,),t (ii, 0LJ11.}'X:J \(~, "f,,- I.'a~ t .,'11, UJ.AAuI /~'IJ'N.( Li'1}Q 1 ~v~ .1.lJll!i,,,^-C^,:;/lf ~t (I1N"'(..I':,~ _J~inJ --5/J:lf1!L ('i ..~u... -/ r.;...~..t1.l "'if ~r.uv' C~ IJIl.v-c."t..,<.."l~ --_._--~- ------. " " Ms. Greevy and Ms. Cantor/ Attorneys at Law 14 August 1998 .Paae 2 __ with COUnsel to discuss the issues and, if necessary/ schedule a hearing. Very truly yours, E. Robert Elicker, II Divorce Master NOTE; Sanctions for failure to file the pre-trial statements are set forth in subdivision (c) and (d) of Rule 1920.33, THE ORIGINAL PRE-TRIAL STATEMENT SHOULD BE FILED IN THE MASTER'S OFFICE AND A COpy SENT DIRECTLY TO OPPOSING COUNSEL. ...... .... ~1.t9L ILIL) tm'l LOLl lid ."IH dWII:l !33~!S !311~IIW It&t MVl !II S^3N~O.LLII ':l'd '~3'Oll 'II U3!>II3~ C) , l.,.? C \1) Cl ,,'-' <'I ;"'1'i:j: ..... r]~H ' ."~ 'n , , I , (,r' ,. t'.J , I ,[: , ) , . l I , L ;.1 ~.t:.' , );. , , ;.1 ;i< i , " \. I;'~) " fI ..--. I ;;J '~t) ,. , f ....; :.; ~ , " JOHN R. MAY, Plaintiff Vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 98 - 1688 CIVIL KAY L. MAY, DeUndant IN DIVORCE RE: Pre-Hearing Conferenoe Memorandum DATE: Tuesday, December 22, 1998 Present for the Plaintiff, John R. May, is attorney Melissa Peel Greevy, and present for the Defendant, Kay L. May, is attorney Debra Denison Cantor. A divorce complaint was filed on March 26, 1998, raising grounds for divorce of irretrievable breakdown of the marriage. Counsel have advised that the parties will sign and file affidavits of consent and waviers of notice of intention to request entry of divorce decree prior to the hearing to be scheduled in these proceedings. The complaint also raised the economic issues of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. Counsel have advised that they will. offer no testimony on the factor of marital misconduct as that factor may affect husband's alimony . claim. The parties were married on July 29, 1972, and separated November 10, 1997. They have one emancipated child. This is the first marriage for both parties, Husband is 46 years of age and resides at 559 Meggan Lane, Mechanicsburg, Pennsylvania, where he lives alone. He is a high school graduate and has one and one half years of post secondary educatio~. He previously worked for AMP, Inc., and was laid off on October 14, 1998. He is currently living on severance pay and unemployment compensation and his counsel is going to file an updated income and expense statement reflecting his current income. The support office computation reflected in an order. of court dated June 17, 1998, states his income as $1,837.33 per month (the order of court reversed the inoomes of the petitioner and respondent). Husband has not raised any health issues. He is currently providing medical insurance coverage for himself and his wife. Husband is receiving alimony pendente lite in the amount of $96.00 per week. Wife is 43 years of age and resides at 331 Chestnut street, Columbia, Pennsylvania 17512 where she lives alone. She '... ,f , is a high school graduate and may have some post secondary eduoation. She works in sales for Prestige Color. At the time of the support order, June 17, 1998, she was working for another oompany and reported her net monthly inoome at $2,87'7.33. In her ourrsnt job she is guaranteed $51,000.00 for the first year and $25,000,00 for the second year plus commissions. Her attorney is going to file an updated income and expense statement. wife has not raised any health issues. The parties own real estate at 559 Maggan Lane, Mechanicsburg, Pennsylvania, which is titled in both names. wife estimates the value of the property at $120,000.00 and husband estimates the value between $87,000.00 and $90,000.00. counsel discussed having the property appraised and sharing the costs of the appraisal; the Master advised that if husband decides to agree to sell the property, wife will be responsible for sharing in the costs of sale and any tax consequences. otherwise, husband should not come to the hearing and at that point deoide that he wants to sell and then expect wife to assist with the costs of the sale and to share in the tax consequences. counsel need to evaluate whether or not husband, looking at the current assets in a possible distribution, is able to afford to keep the house and if they determine he is not, then the house should be listed for sale and the marketplaoe will determine ths value. The house is currently subject to a mortgage with PSECU with an approximate payoff of around $40,000,00. The monthly payment is $423.00 plus taxes and insurance. Husband as noted previouslY worked for AMP, Inc., and had a Thrift Savings Plan with a value of around $92,500.00 and a defined benefit plan. counsel are going to get an updated statement on the Thrift savings Plan and may have the defined benefit plan valued although there has been some documentation provided by AMP suggesting a value of $19,173.00. Wife left a 401(k) with her prior employer and the value is around $63,500.00. counsel will obtain an updated statement on that account. Likewise, with respect to husband'S checking and savings accounts and the Airware account retained by husband, counsel will provide date of separation values for those accounts and if those accounts have been retained from the date of separation to the present without any activity, they will give current values which will reflect any interest earned on the accounts. The parties have eight certificates of deposit and , the pre~trial statement suggests a total value for those oertifioates to be around $15,000.00. With respect to stock ownerShip, the parties have 11 shares of Pepsico, 10 shares of Hershey Foods, and 69.967 shares of AMP, Inc. Those values should be provided as of the date of the hearing. . Husband ran a silk screening business part~time oalled Airware, Inc., and cOunsel are going to determine the value of the equipment and receivables and will use that value as the basis for valuing the business. The parties own 67 EE bonds with a face value of $100.00 each and an investment brokerage account with DLJ Direct, Inc., with a value of around $12,500.00. The bonds and the investment acCount statement should be provided as of the date of the hearing. With respect to the household furnishings, the parties are going to attempt to distribute the tangible personal property between themselves and we will not Use any values of the property received by each of the parties in the equitable distribution computation. counsel for wife needs to have an accountinq of Over $10,000.00 in cash assets which husband has uged for his benefit since the date of separation inoluding $3,000.00 to buy a vehicle, COUnsel for husband should provide verification of how those funds were expended. A hearing is scheduled for Wednesday, July 7, 1999, at 9:00 a.m. Notices will be sent to counsel and parties. 001 Melissa Peel Greevy Attorney for Plaintiff E. Robert Elicker, II Di vorce Master Debra Denison Cantor Attorney for Defendant .. JOHN R. MAY, Plaint iff : IN THE COURT OF ~OMMON PLEAS OF I CUMBERLAND COUNTY, PENNSYLVANIA I : NO. 98 - 1688 VB. CIVIL ACTION - LAW KAY I,. MAY, Defendan t IN DIVORCE ORDER AND NOTICE SETTING HEARING Tal John R, May , Plaintiff Melissa Peel Greevy . Counsel for Plaintiff Kay L. May . Defendant Debra Denison Cantor Counsel for Defendant; . You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned divorce proeeedings at the Office of the Divorce Master, 9 Hanover Street, Carlisle, Pennsylvania on the .__.7th of July 1999, at 9:00 a.m., at North day which plaee and time you will be given the opportunity to present witnesses and exhibits in support of your case. By t e Crt, ,.'t:~L President, Judge rge Dote of Order and Notice: 12/22/98 By: Divorce Master IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FOR'!'H BELOW TO FIND OUT WHERE YOU CAN GE'r LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCII\TION 2 LIBERTY AVENUE CARLISLE, PA 17013 TELEPHONE (717) 249-3166 RFAGER II< AULER, PC ATfOIlNF.YB Al LAW 2a31 MAI1KH BTIlHl' CAMP .Ult, I'A 17011 11111 16J.13H3 .. , JOH'NR'7tIA~, .' KAY L, MAY, :'TN'i'H1t COURTOFTITh'mUl',rT'r:TIAS .....-,- , : CUMBERLAND COlJNTY,l'ElNNSYLVANIA Plnlnliff v. NO, 98-1688 CIVIL ACTION - LA W Defendant DIVORCE MOTION FOR APPOINTMENT OF MASTER (Pursuant to R,C,P. 1920,74) Plaintiff moves the court to appoint a Master with respect to the loll owing claims: ( X ) Divorce ( X ) Distribution 01 Property ( ) Annulment ( ) Support ( X ) Alimony ( X ) Counsel Fees ( X ) Alimony Pendente Lite ( X ) Costs and Expenses and in support of the motion states: (1 ) requested, (2) (3) (4) (5) (6) (7) Discovery is complete as to the claim(s) for which the appointment of a Master Is Defendant, Kay L, May, appeared in the action by her attorney, Debra Denison Cantor, Esquire. Plaintiff has appeared by his attorney, Melissa Peel Greevy, Esquire. The statutory ground(s) for divorce are 3301(0) or 3301(d). Delete the inapplicable paragraphs(s): (a) The action i3 not conle3ted, (b) An Agreement hll3 been reached with r63pect to the following ~ (c) The action Is contested with respect to the following claims: ALL. The action does not Involve complex Issues 01 law or lact. The hearing Is expected to take one-hall day(s), Addltionallnlormatlon, II any, relevant to tne m0tion: None. C:\OFFICEIWPWIN\WPDOCSIDOMESTICIMA Y ,p'rs . Soplombtr 0, 190B Rospeetfully Submitted, REAGER & ADLER, PC Dnte: September 9, 1998 , By: 2331 Murkel Street Camp Hill. PA 17(H 1-4642 Telephone No, [717J 763- 1383 Attorneys for Defendant 6 , (') r; :~; ,,') cn () "''('I 'J ~".TJ ,!\.,:~ .,,('[1, .Ie ~) (1.) I 'J '\.-r- ~ ;;~ () "'rn t'l -". "q ~~, Lib" ;"~J: ~-;' (, ....... ~,':.. ;-11 r_;.. , ... (" f- .:,~? ... " . , oK' ( :~1 -, ,,_\ .. U'I Al.1..UI\~1 ~10At, ilJPPl.YCO 'OfWNO .'IU."..11'-l'll,'UIUQY'6:t'It_\I'1I h~~ '=Ji!i~Olil EF~:D!iI ~~~~~ ~Cl~-t1IJ ~~~~ CJ \.I} 0 c:;' ~u .' ." -r: I',' i XI.. ;:! tu , C" , ,:i"; :-0 ,!.:. i'l (,., J , r)rTl L (.T', 'I C'] 1(1. ., ";"'1 , 1).',11 ! ('! ,<:( ) .,,;" ~;:~ r,";~ () ITI :;:i '\} ';.::.1 '~J ~lJ ..~ 'July 21, 1998 . . JOliN R, MAY, : IN THE COVin OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA PJulntlff v, NO,9!!-16!!!! KAY L, MAY, CIVIL ACTION - LA W Defendunt DIVORCE INVI~NTORY OJ,' KA Y L, MA Y Defendant files thc following invcntory of all propcrty owned or possessed by either pal1y at thc time this action was commcnced and all property transferred within the preecding three years. Defendant verifies that thc stlllell1cnts in this inventory are true and correet, Defendant understands that falsc statemcllts hercin lire mudc subject to thc penalties of 18 PII.C.S, ~ 4904 relating to unsworn falsification to authorities, Kuy L, May, Dcfendan ",.".'-"<~''M~ \\, Sa\\\rn John R, May John R. May and KaY \... May .... . ,." />.UgUS\.:. (\, 1998 ~~'L \ \ r equi\able interest . . ~'" '" wh"h ,\t"" " """",,,,,., ,,,,, ", , """",.., "," ,II """", ~'l' ", " ,hi''''''" W" ",,,,,,,,,,,,,, ,"" ,'d'''''' ", w h' ,,' "''''' 1"""""" "" ,,,,, . ' Nal\'lesof ~ \\eln ~ Descrip\ion Ql~ Johll R. May and \l.ay \... May RCl\\ propcr\)' . Mcgl\1I Ll\lIe John R, MaY '2. persoll,,1 Checking alll\ S\willgs J\ccoun\S KayL,May \ . persoll"\ Checking J\CCO\\n\ 5. Sa'iings Bonds cer\ifica\e(s) of Deposi\ John R. May John R, MaY and/or KaY L, May John R, May Checkillg J\ccO\ln\ (BUsiness) 3, 4. John R, May 6. Stock Kay\...May 1. 40lK - B,C's, Li\ho JOhll R, May s, pension, J\MP IlIc, '\'hrift Sa'iillgs, J\MP Inc. John R. May Johll R, May and KaY \... May 9, 10, D\J llI'ieS\lnen\ J\cCO\\II\ \'2, Household F\\rllishillgs 13. '3 c <I 1 , t:'~ r:; ., V; i' .. I , . ( Ii, L , (J , , I , , j; , i .' , !';d c , , -,- , t:l." , , IL (c") '\ LJ ('.1\ (,3 ~~I~ ,~~~~ m~i~~ ~~m~- " .. flM ".I..'~()'llll'" "IUIl" JlllllIL' ONl'fIIOj lXIA'l4c;nt'lYt):lHtVI"ll\' "', _. -" . " " . I ," R.:AGI<:R & ADLER, I'C 11\': I>ElmA DENISON CANTOR, ESQUIRE Allol'llcy I.D, No. 66J7H 2D I Mnrkcl Strcet Camp Hill, I'A 17011 Telcphone: (717) 763.1 JHJ Attol'llcys for Dcfendant JOHN R. MA Y, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY. PENNSYLVANIA Pluintiff v, NO, 9H-16RH KAY L. MAY, CIVIL ACTION - LA W Defendant DIVORCE STIPULATION AND NOW, comcs Plaintiff, John L. May und his counsel, Melissu Greevy nnd Defendanl, Kay L. May und hcr counsel, Debra Denison Cantor und enter into the following Stipulation: WHEREAS, Plaintiff h:\s residcd in the martial home since the partic.s scpamtion; WHEREAS, it is Plaintiff's intent to remain in the home pending u finul settlement; WHEREAS, PSECU is willing to reduee the clll'rent interestmte on the mul'ital home with consent of both purties; ',. ,~ .' '. NOW THEREFORE, the pm'tles, John R, Muy und Kuy L. Muy, intending to be legally bound, agrcens follows: J. As long us Husbnnd rcsidcs in thc Illnrltnl homc located nt 559 Meggun Lane, Mcchanlcsburg, Pcnnsylvnnia. 17055, hc shnll be solcly rcsponsible for nil costs nnd expenses assoclnted with the home, including thc payment of thc morlgngc. tnxes, utilities nnd Insuranee, 2, In thc even! Ihc Illol'lgngc pnYlllcnt rcmains unpnid for a period of two (2) months, the pnrties shall immediately place thc house /()J' snlc or, inthc ahernntivc, Husbund shall immediately rcnder possession of thc home to Wire, Husbnnd will remain obliguted for tho unpaid mortgnge paymcnts which shnll bc rcsolved through cquitable distribution. @ 3. Wife shall executc thc Note 1110dificntion provided by PSECU no later thnn June -r/J1L...t1-1J')8, / j /1tl8 (. 4, Husband further neknowlcdges thnt hc shull be credited with receipt of all marital ussels dissipated. liquidatcd. transferred 01' sold whilt. in his possession for the purposes of, equitable distribution, Husbund acknowlcdges thc liquidation of several Certificates of nnd willnccount for the vnluc reccived, 2 ,.. O\~e\ ~ \\~e . ~e e"\~ ~ ~e ~~Q\lQ . ce Q\ \: ~e'/).\\"Y: o \~e "Q\~ ~" 'l,Q\ '/). . ,~I." "c\'/). . \~~i,.~\\\'" ~\Q\\~C ~e\ \\~e '\\~ \~e ,\,~".,. '/). ~~ 'Il~ ~ \c\~ "~') 'lJ.c\~~'/).\ /' ~e ,,\~~ ~\\\C\~ ~ ~/'_/ ..."cQ\~ .\.." '/). -ll ./} // \. \\ "~ ,\,1:;- \ 't~' _/ (1 ",~'/).\\ -\,,' ,\, ... .' /' / , O\~e\' ,~I:;\ ~'/).~ ' ,-./,,/ / ~ ~~ ,." "" ~ ,,/ /j , c'" \\\\ .... \ \)'l~/' / - .,:..,!') '-;;:fr' 1:;" ~,. ,,,.,,,,-,,,,<. \\~e~~ C\,\\\\, )\\,\~\ M-+// '" t>-\'I: \ \' , .c \\~c . 1:;" Q\~ 'h. \. '. ;./ ';'\\\O\~c\ ' ",c\Q\ . ..~ \' ~t~\~ 'I . \,\~\,,\\~\~c ",~ I . ,w / ",,~c\\ . II / c<<l'" . . j'/ //. co"""" ) 1[1.:: ~ ~11$1/~~1:;\~\~ , j 1,,(; '\ ( ,.. ,"", J-' --" , ,,~'/).,,\ .;.\\\\,\~I:;\ Q I /'~ t / ;/..~.?l,vt / ~e\~\S 0-' ,,~Q\" .. .o\\v:.'I. ' ,,\\\~'c . y,'{ \) "',\~'/).~~'/).'l ",\~~I:;"\ \ 7' oe'O""V O' v.,. . . '/).\~~ " \\'0\\. \)\~ . '~\o"'C\ \ G\ee\l<i' . \\",0,' c;.~I:;\\ . ~ee\ c'/).~~\O\, c .ke\\'O"'/). '0"" .c;.~' Qe\~\" v . \)C'-'\'/). . cC. Othcr IneonlC: W~~k M\1nth Yeur Intercst Dividcnds Pension Annuity Sociul Soeurity Rcnts (Il'om Ahware ) Royultics Expcnsc Account (jins Unemployment Comp, Workmcn's Comp, $ $ $-_..~..- -........----~...... --~--, ----.......----" _w_____""-.-.- _. ~---'- ~--~._.-............... -----..-....;-"--- -------.'~.~~ ._-~-----.....u J.J.QL____. ---._----..~_.- -...----..-.. ~------..__. -.--, ~.------._~-~........... ----.--.----..._-~- -~------..---._, .-.---..---- _.-------~-......-....-... ...-......"..,...--- -"-~--'- --.---.----- --...-.........----- ..............--------- alimony pcndente lite ------...-........... 96,00 --------,.- '---.-... ---- TOTAL INCOME * assuming 24 weeks of APL $20,440,75* ._-~~~_....._~_._._-----~----------._._--._------._--.-.-.....--.-- EXPENSES Weekly Monthly Yeul'iy (Fill in uppropria'c column) Home Mortgage/rent Maintenunce Utilities Electric Gas Oil Telephone Wnter Sewer Employment Public transportation Lunch $.-.- $423.36 $, . -'''~''___ I 000 (cst) ---------. ----- 90,65 --- --~---. 19,14 --- -.-- 32,66 -----..<----...,.--...- I' $ Taxes ~-.- .. $--..-- $--, 100,00 ----._~-- Roul Estate Personal pl'Opcrly $--~" $-___ $1181.79__ 242,06 ------- Incol11c ~----, 9.80 -.j '.. '., .' Other Vucutlon Gins Legnl Ices Churituh/c contrlhutlons Olher child support Alimony puymcnts ._~..-------.~ -...-----~_.....,. --~~,_~<_-----,.~u_, 650,00 ,.~..__.150,00 1500,00 -~--~-, --'--, ~ _~T~__'~",_,_..~ ~-..---......_.----- _.~.,-~.~... ----...--.~----..__ _T._"~~_~_..~~._. .~..--....., __.L_._____.~, ---.------ --"-"~---'-~' ---...-.----. $, $ $.. --. .~.__._.._._-- --.-----.-.- Totul Expenscs $~~_ $..1310,06,_ $..6,606,65__ ---_.~-- -'--~,..-. ~., .~----._.~ ------.-. . PROPERTY OWNED Checking accounts Savings aceounts Credit Union Description PSECU PSECU ___ PSECU_ PSECU Meggan l.une Ownership' Valuc H W J $ 845,l)3__x___,_ ___ 1303,77__x,_. __ _,_ 1098.10_ '_,_ '___ _x_ 8,54_ '___._.. _____ _x__ $87.000-90.000 ________ _x_ Real estate Othcr Stocks/bonds -.------.--; -.--.-...----..-- ._---~ ~-- -.------, DL.I Account $13.072.55_ ___ __ _.x_ $--~- Total INSURANCE Hospital Blue Cross Olher Medical Blue Shield Other Health/ Aecident Disability Income Dental (Blue Cross/Blue Shield) Other Covemge' Policy . Company No, H W C AMP, 025716000 __ ..x_x_ ------ -- "-- --. AMP __ 025716000_ __ x_x__ ----._----- ---... -~- -~ -'--- - ---'-----... --- AMP __ 010073005___ x_x_ .-- -- - . -----...-- - ----.- - ...,..............................................................................................................~....-........oi.. '/1 ~ Husband: W = Wife: J ~ Jolnli C ~ Child 60,00 ,~. ~JO I 'D~t.'IrI.r....u~ IrtMm,,"""'lIlIhrvlo. ." ~ NImIt.f~ Profit or Loss From Business 111"'BNg'''7''!lliL... 1801. Proo,l.torshlp) ~ Plrtnorshlpl, lolnl ..nlur.., ItO.. muot III. FO'1I1108S, ~ Artleh to Po,m 1000 0' Fo,m 1041, ~ 51. Inll,uollono 10. 80h.dul. C (Fo,m 10001. ~=::~'='~. 09. Doclll .",urUv nufl\bef (MN) 2 3 4 8 0'011 p,olh, Subl,"clllnI41,om IIno 3 ....,............,..................,................................................................................ I Otho, Incomo, Includlno F.doratlnd slllo gl5ollno o. lu.ltlx oredll o. retund ............ ...... ..,.. ....... ........ 8 7 O'OIIlnoom.. Add IIn.s5lnd 6,....,......................,..............,..,........................................ .. ............... .............. ~ IZIIIII.-. Expenses, Enter expen...lo. bu.lne.. uoo of you. home only o~ line 30, 8 Ad..rtlslng.................................... ____ 19 P.nslon 'nd p,ofit"harlng pl,ns .................. 9 Bid dobts from salll or 20 R.nl or 1m. (se. page C.4): "rv~1I (see page C-3) .................. I V.hlel.., machln.ry, and 'Qulpm.nl ........... 10 CI.lndlluckexp.nm b Otherbuslnessprop.rty ..............,..,......... (see pig. c-3) ,..........,.................. 10 21 Repllrs and malnl.nance ........................... Commlsslonslnd I", .................. 11 22 Suppllll ("ollnclud.d In Part III) ............... Oepl.llon .................................... 12 23 Tam Ind IIc.nses ,................................... D.p.ecllllon Ind secllon 179 24 Tra..I, meal', and Inl.rtalnm.nt: axp.nll dlduollon (noUncluded In I Travel..,.......................... .............. ........ Plrtlll) ............................,.......... 467, b Mealsand 14 Employ" b.n.nt programs (other .nt.rtalnm.nl ............,..... Ih.nonlln.19) ........................... c Enter50%01Iln. Insurance lolher thIn hllllh) ............ 24b sublecllo Interlll: IImlllllons (see page C'4) ... I Mortgagl (plld 10 blnks, .to.) ......... d Sublractlln. 24c I,om IIn. 24b ........ ,.. ....... bOther ..... .....................,..,........... 25 VlIIIIIII ....,....,.........,............................... 17 L.glllnd professional 28 Waglll'm .mploymlnl credhs) ........ ......, "rvlces ....,..........,....................... 27 other exp.nses (l,om IIn. 4B on OlIlc..".nse ...,..,....... ..... a .2) Tolllup.nm b.loII exp.nso.lo. business use of hom.. Add IIMS B th,ough 27 In column. . ......................., 11 12 13 18 18 18 28 "., qOHN R. MA~ _~.__________, 191-42-7591 A P,lnclpll huslnoll 0' p,olo"lon, Including p,oduct a. IIrvlu II"" Bri'''''' ..11'.' ....,... SCREEN PRINTING OF ].SSORTED ~OVELTIES .... .I)~ 2659 C RUlln.1S name. It no "pUll. busln.ss "am'tlnv, brant!. 0 tmplQyerlO numoerlllM, IhllV AIRWARE 25-1687625 E luslnlllldd.m (Includlno sulto 0' ,oom no,) ~ P.O. BOX 73 ---." Clty,lowno,poslolllc".llto,lnd2IPcodo MECHAificsEiuf{(\ ;. YA-,-17o!)!) - - - - - - - - - - - - - - - - - - - --- F Accountlno m.thOd: (1 I [XrCllh (2)0 Accrull 13)0 other (sp,clty) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ __ o QId you 'mltorillty plrtlclplt.'In th. op"ltlon ollhls buslnus dunng 19971 II 'NO,' SIO page C'210. limit on 10lltl ....."....""....... (X] VII 0 No ~~~OQUlr.d Ihls busln... dll.lng 1997, ChICk h." '......,............ ...="""" ...", ..." " ..,........ .......... '.....,......."... ~-D-- 1 0'011 flCllpls 0' 111'1, Clullon: /I this Income wa. reported to you on Form W.2 8fId tho 'Slalutory employee' box on that form was chooked,.... p.ge C.2 8fId check here ..,............,............,....,........."....................,......".." ~ L."'J R.turnllnd IlIowlnces ,......... ......... ................ ..,........... ......,....... ....... ..... .......... ..,.. .......... ...... ,.. ............ ......... '.. ...., Subblellln. 21,om IIn.l ...... ,...."....,..,..,.. "........ ..... ,....... "",,,...... ....... ......... , . ,......... ,....... ............... ...... ".. .......... Call of goodllold (from line ~2 on page 2) .......... ............ ................ ....,.. ",..".."",.. ........ ...... ........ ...... ....,....,........... 29 3D 31 T.ntltlv. prom (lOll). Subtract line 281rom tin. 7 ............... ......",........... ......... "...".... ". ....,.. ..... ......... ..,.................. ,... Exp.nlll for buslnm use of your horn.. Ah,ch Form 8.8.29 ............... ........ ...... ..........,........ ........".... ......"............ ...... N.t prolllo' (Ion), Subtract tin. 30 Irom IIn. 29. 1 o If I pront, .nler on Fo,m 1 040, IIn.12, and ALSO on Schodul. SE, IIn. 2 (slatutory .mploy..., se. page C'5). Eslates and Irusls, .nl..on Form 1041, IIn.3. o 11.1011, you MUST go on 10 tin. 32. II you hmllclI, ch.ck Ih. box Ihat dl$crlbes your Invl$lm.nlln Ihls .cllvlty (SIO page C'5). 1 o II you check.d 321, Inter Iho 1011 on Fo,m 1 040. line 12, .nd ALSO on Soh.dul. SE, IIn. 2 (st1tulory ornploY'I$, '"~ pig. CoS), EstatlSlnd lrusts, .nler on Form 1041, tin. 3. o II you Check.d 32b, you MUST lhach Fo,m 810B, For Plp.lWork Roduollon Acl NOllo., III Fo,m 1040 Inltrvcllons, 32 LHA 744300 191427591 5 040 MAY, JOHN R. 1 2 3 4 2 709. 2 709';- 2 409. 300. 7 300. 24. 24 2 28 ~ 40. 5 <207.> 31 <207.> 321 [X] Ci'.=.-t 32b 0 ~rA-' Sch.dul. C (Form 104011111 19142751 JOHN_,!{. MAY ----..------,________n_______n 191-42 -7 591 A P,lnclpal bllsln", or profusion, Including produCI or sllvlee 8 (in", BrinG/Pal bll.ln,.. IlIXlIlI" SCREE!:! P~INTIN~..QF ASSOR,!!m NOVp"~1!:;,fl.____..__.._. ,,,,. ,"~ 2659 c nUlln.., naml, I' no separale buslnus nam., leave hl"nk, 0 l!mPIIlYlf!O nlJnlD4,(EINI, Iltn.,. AIRWARE 25-16f:l7625 I BII.II181. add"lI (Including suill or room no.) ~ p, 6~xT3'-.' -.. --- --9l!Y, lown 0' po.1 01110', .1'1', and ZIP cod. MEC~iAN-ICSi30RG,- -P-A-. -1 '10 ~~ - -- -- - -.. -- - - -- - - - - - - - - -- - --- P nCC;;;;;llng mllhod: (liDO Cash (21eJ Acc,Ual (3)0 Olh;r!'P.CIIy) ~ .. _.. _ __ __ _:_ _ __ _ _ __ _ .. _ _ _ __ _ =- o Old VOU 'm.t",.IIV p.l1lclp.I.'In Ih. op".lIon ollhl. bll,'nm du,'ng 1996? II 'No,' 108 p.g. C'210, Ilmll on 10"...........................,.. tti VII LJ No H IIvou.I.I1.d olloQul"d Ihls bus InISS dUllng I096,chockh'"= ... ... ........ ,.., =.I'"'''' ....~ ~om8 _ 1 0'011 "cllpl. u, sal.., C,ullon: /llhl.. Inoom. was ,.portod 10 you 0" Porm W.2 and Iho 'Slalu/ory omploy.." bo. 0" Ihalformwuoh.ok.d, s..pagoC.2andohockhoro ......................."............. ................ ~ 0 A.I\'r.lllnd allow.nc.........."......... .................. .... ................" ................. Subl'lctllno21romlln.l ,.. ................ .......................... ............................ ............"...... Co.t olgood. .old (ltorn IInl42 on pIg. 2) ..............",.. ............., ... .......... ................... 4 1 OlOlIlncom.. Addlln..,~.nd6.,.....,.,...... ..... Expenses. Enter exponsftS for t:.uslnes9 use of ybl It home on IV on line 30. Adv.rtlslng... 8 19 P.n,'on .nd P,ollt',harlng pl.ns ................ B.d d.bl,'rom sal.. 01 20 "onl 0' ',as. (see p.g. C'4): IIIvleos (,.. page C-3) . VOhlcles, m,chln",!, and ,qulpm.nt 10 CII and I,uck "p.n", b 0"" business PlOp"ly (s.. p.g. C'3) 10 21 A.pal,sand malnlonanco .... Commissions and fm I I 22 Suppll.. (not Includ.d In P'I1I11) O.pl.tlon .............. 12 23 TaXI' and licenses ................. O.p"ciatlon .nd s.ctlon 119 24 Tr"", meals, and enlerl.lnmenl: "pen"deducllon (nollncluded In a Travel................"... 24 14 ~~~:~;O;b;~;flt.~;~~;~;,;~i~lh;; 13 935. b ~~:~.:~~.nt . t=- Ihanonllnol9) ................ 14 c Enl"SO%oflln. 1~ In.uranc. (olher Ihan health) . 1~ 24b subj.ct 10 11 Interost: 1I11111allon, (S8. p.g. C'4) .. · MMg.g. (p.'d 10 bank', .Ic.) II. d Sublract/ln. 24c 110m IIn. 24b ..,............... bother '.................... lIb 2~ IIIIIII,IS ............................... ................... 11 L.gal and prolosslonal 21 WaglS (lIS' .mplov",onl C/8dlls) "lVices 17 21 oth" exp.nso, (Irom lin. 46 on ~~o,nso 18 , .21. 21 Tol,1 upon". b,'o/8 ..p.nslS for bUlln,ss uso 01 hom.. Add lines 6lh,ough 27 In column, ........ ...... ...... ............ ~ULEC 1040) "~I.flh.T~lIty ,,,............O.NI'" 1V9) -- NIIM01 pmpntlM Profit or Loss From Business 1501. P,op,'elorehlp) ~ P,rtn"lhlpl, Jolnl Vlnlur8l, 8Ic.;11I0I11118 Potnll01~, ~ AII"h 10 P"m 1 040 or Fo,m 1 041. ~ 5.. Inelrucllone 10' Schodul8 0 . .. 2 3 4 I I 0'011 plOlIt, Subtracllln. 4 1romllno 3 ........ ............... otlier Incom., Including F.d".1 and .I.te g,sollne or IU"I" crodll 0' "llInd ............... 8 9 11 12 13 29 30 31 Tonlallve prollt (loss). Sublracllln. 28 f,om lin. ? lxpon". fOI buslnllS uso of vour hom.. Anach Po,m 8129 N81 prolll PI (lOlli, SUbl"cllln. 30 I,om IIn. 29. o It I plOllI, .ntll on POlm 1 940, 11111 12, aM ALSO on SChod". Sl, IIn. 2 (,I.luIOl'! emplov",. SIC p.g. C.S), lslallS .nd tru,ls, .nter on Form 1041, IIn. 3. · It I loss, you MUST go on 10 IIn. 32. II VOII have. loss, ch.Ck th' box Ihll dlScllbes you, InvlSlmOl1lln thl, ,cllvlly (,.. p'g. 0.5). 011 VOU ch.ck.d 32a, .nlor th.loss on Fo,m 1040, IInol2, Ind ALSO on SOhed,'. SE, IIn. 2 ('talutol'/ .mplovlIS, '" p.g. 0'5). ESI'I.. and lru,t" .nlll 011 Form 1041,11111 3. .IIV" Ch.ck.d 32b, you MUST ,tlachPo,m 6198. 32 LHA Por Plp.rwo,k R'ductlon Act Notle., ... Form 1940 In,llUollon,. 001 )8.-97 )060226 744300 7000020697 7 040 MAY, JOHN R. fgg'ir' - An'ohm", o. 8~Ii.nu No, 5oGill',ourl'V numoetlSBN) 1 2 7,189. "7 ,189. 6 285. ~ n 904. ~ 904. 1 ~ <51.> 30 } } 31 <51.> 32. 00 C".~':~: 32b D~=',;,,-' SchOd,lo C (Form 1040) 1"1 05717761 SCHEDULE C , (Form 1040) I Otp.rtnwnt olll'l<t r,"I~'Y tnl.m..n....t1\i.9.~ill~ NI"...01 P(Optilltll ....roflt or LOss !-rom !juslness ISol. Plop,'.'ollhlp) ~ PI~nnrthlpl, lolnl ,.nlul", .Ie" mUll III. FOlm 10&5. ~ Altleh 10 70101 1040 01 FOlm 1041. ~ S.. 1",lruclIll", I", Seh.dulo C J'~1'995L Form 1040). __ ~~i~~~~~n~D~ H{J']I~I tlKJlJrlly 11I,mbll' (911N) , g Bid d.blll,om salos olservlc" g JOliN R, MAY ._----'_._---~-----_._~-~---~~-..,~.-~, ~.......~,.~------.._-, "'--"--_._-'-~---_.."'--"-'--"--~---- A Prlnclp31 business or pro1uSlon,lncludlng product Of sa'....IC9 B HIlIlr l!"nlJltlll tlll.II1'~. LOUI (... ,SCREEN_ P~~N'l' ~~,9.._()_F._~~S().B'l~E:o.~g\lE:r.'l'!.I~~d'_____"__d___________"_" I""'" ~ 2659 C 8uslness name. If no ,.pJ,al. business n.1lllo.lltiIv. htank, 0 EmlJll)~" 10 numb" lfilNl, I' II1V AIRWARE 25-1687625 ~BI;-;'Il"'~dd;;;;(I~dlng '"11e -;;;;';';;~I-~-"'p,i5;tJ(5)( ') j__,n~,__.....____,_.._____..___ ...-.._--'--~------- _.JJJD:..l21"!!.2'.ILQ.I.l.Olllc.. 'W"''''"I1l!'..,Q1Ln,_~E:(:'ff~iitCSilOIIC'~=_~:~~~'.llQ,~I.=-=~- - -.. - - -.. - -.. -.. - - - - -- F Accounllnu ",.'hod: (1100 OWl 12)[~J ACCIlI3I 131LJ 01110' (,p'C1IYI ~ --'----'---------.- A Mil d(1 dl (lICX'lc I (21["-'I"o.w,I,," (3IC"']0I""I.II.m---(4-)CJooM;;,i1,;;;I,W--------------. ~ 10 S USlt 0 _ os -_ Uf n"rl<" ".. ,ulllanltlolll ~ ChllCh<<J, '~Ifllill' ~tl value clo$ no Inventory: '5~ H Was lhe,. any chango In dolu,miniflQ quarllllifl5, cosh, or valuallOns botw~911 OPBfIIllIJ Jlld closing Inverllory? If 'Yes.' lilh.eh If.X PI.'.1o.1.llon... '.. .....- X- I Old you 'malerlally p.~lclp.,.'ln Ih. op.rallon 0111115 111151n'" dllllng j9YS?11 'Nil: 50. p.g. C'llor 1111111 on losses .. .n.. ... .. .... n . X .011 51'~'~~~~COIIII.d I~I huslnm dllllllo 1995 ,hack h:~.._'___m_.. .... ... ..... .. . .... .... ... ~ 1 GI05l,.e.lpll or Silos. Clullnn: II tills In com. was "port.d 10 YOII on FOlm W.2 .lId Ih. 'SI.llIlory .mploy.o' box on IhallolO1 was ch.ck.d, '00 page C.2 and CII.ck h.IO.n.,nn..n. .n.nn.n..nn ~ 0 2 Relurns ilnd allowancls 3 Subtract I",. 2 f,om IIno 1 4 COIl of gooul sold (Irom IIno 40 on p.g. 2) 5 01011 pIOIIl, Subtractlln. 411001 IIn. 3 & OIh.r Incom., InCluding Fod.ral and 51.,. glSolln. 01 fll.I'" clOdil or relllnd 7 GlolIl",om.. Add lines 5 .nd 6. IimIIII EJcDenS89. Enter ox enS9S lor business U~8 ol1Q.ur home o.r.l!Y..Q.!!Jina 30~__. 8 Adv.~I.lng n 8 19 P.n.lonand plOlll-5harlng pl.n. 20 Rent or lease: I V.hlcl", machln!ry, and .qulpm.nl b 0111.1 bu.lnm ploporty .... 21 Repairs and maintenance ""," 22 SlIppll" (nol Includ.d in Pa~ III) 23 Taxa's and licenses 24 Trolvel, meals, and enlertainment; ~ Travel b Meals and entertainmenl. 10 11 12 13 Car and huck "p.n581 Commissions and I... O.pl.llon .... .......... Oepreciation and sQction 179 .xpen.. d.ducllon (nol Includ.d In P.~ III) ... Employ.. benolil plogram'lolh" Ihln on line 19) ................... 14 Insuranc. (olh.r than h..nh) .. 15 ' Enler 50% 0111", 24b '"blacllo Inl.".I: IImll.llons Mo~gaQ. (p.ld to bankl, olc.) .1&1 d Sublractllno 24c Irom IIn. 24b OIher l&b 25 UlllltI" Legal and pfolessional services 17 26 Wages (less employment credlls) OHice expense 18 I F Other t!;(oenses /trom 11n9 46 on oaoe 2) TOIII Olpenl8S befole e~pllnses lor bUSiness use of homll, Add lines a lhrough 27 10 columns Tenllliv. plOlII(lo55). Sublracllln. 2B horn IIn. 7 Expen... 101 bu,'n.1I u.o of ynu' hom.. AIIach FOlm B&29 Net prollt 01'(1011). Sublracllln. 30 hon, line 29. oil a prolll, onler on FOlm 1040, IIn.12, and ALSO on SCh.dul. SE, line 2 (sl'lulory .mploy.... so. p.g. C'SI. Ellal.. and Ilustl, .nter on FOlm 1041, line 3. oil "051, you MUST go on to line 32. II you Ii.v. a lOll, check Ih. box Ihat dOlCllbes youI I",..II/Ionlln Ihl. acllvily (5.. p.go C'51. ollyou ch.ck.d 32a, InIOllh.'olI on Form 1040, IIn.12, and ALSO on Sehldul. SE, IIn. 2 (.Ialulory .rnploy..., ... pig. C-S). EltatlS Ind lrusl., onl., on Form 1041, line 3. ollyou ch.ck.d 32b you MUST IlIlch Form &lla, 10 11 12 13 1/308, 14 1& 1& a b 17 lB 2B 29 3D 31 32 lHA For Plp.IWOlk ReducUon Act Nollce, ... FOlm 1040 1",lloellonl. "000' 11.14.95 13180227 744300 7 020 MAY, JOHN R. 191-42-7591 4/948. ~ 1 2 3 4 6 j 7 I----r, 13 8 -: 4,948.- 3,810,' 1,138,_ ;gr 20a 20b 21 22 23 24a ~ 24d 25 2& 27 28 29 I 30 43. 1,351. <213. > } } 31 <213.> 321 I'V1 "'"..._, LQ..J II.' ",11, 32b 0 r.:\l1~1'.1l\~' Sehldul. C IForm 108g) 1115 05758322 ICHEDlJLE C J Profit or Loss From Business [QMUHI4-lli~:QQlL iT:orm 1040) 15f/1, P'f/P"~f/"h'p/ . , 1994 O'''/lm,., ol!O. ,/""" ~ Pllln",hl I, )f/I.' "n'u"" lto., muo' III, fOlm 106,/, ";,",,,, ,.,."" '"'''' ",,"! ' ~ At!"!!JO~f.(!!."!~Q.!"!E!EIJ~4_!,..,.. "---.._~_s._'!J~'!.illo-"-'J_'!' Sch'~Qfu~'!'. 10401-. ......!!.t~~l!._ ....01 ''"''''',1/ ,,,,,, ""1/11, ".W ".,N/ ~OJ1~!~!__J'!il~_.. 191-42-7591 A Po'IIICip., bUllnn" " prof""on, including Product or '""!Cn . ,",,, ,/1."", ,,,,,,,, ../"... ~CR!';.E!LJ'.~.!.toI~l'I:!II(;Ol'.A.fli!()R.'l'f~D N()V~:rmr~l; "'''''1 ~ 2659 C Dusln." nome. II no 'ep""e bUllne" "'rnn, I.", bid"'. 0 1.".,,, 10 '"'''' 1l1N!," "V AIRWARI~ 25-1687625 -E-'B;;;'n;I;;';d7";;-I~'~i~~;~i-I;;,n-,~"o;~;~,j~" V,Q. ,hbx" ij_'..____..___~___ ..FA~;~~:~;g~;~~~~~llJ~O.'.fflttf~;:~-'~do.l2"~~JiX:cj;~~(,1-i;lrf~Y~~:IIP?~~:~U:()~-5~~ .__ _____-:.~~~..~: ,~~'~_:..~:_=_::..~~ O M.thodl.1 u.,d 10 11/[lr) C"" 121["'J l....., "" 131[ '...J'''." I."". ". "14-/[""J 0;;"',,, ,,,,;,-IIi' ... .. .. .. ..... _.. ........ _" ---- --,. qt m"_~1 -"-- ..pl.~,tl~nl __ _ ~~Uhlf. '_'plln. III v.I'-le clOSing Inventory: H W.. Ihere onv chengeln dele,mlnlng quonlill", cO'I5, or v.I""o,,, bOlwee" oponl<lg ."d ",,,ng III"nloryll1 "v.,," ,1Itoch e,pl,n'"on. I Did you "m'I",.llv pert'OIp"e" in Ih. O"''''lOn ot th" bUlln". dOling 1994111 "No," I., P'go r.-2 lor limit on IOIlnl ~!!i..2reCqUiredlhllbl/linelldUring 1994,ch",ho,e ==, ',_' ..... ._,., .,... ,.... .,____". 1IlIIII_jr1~________...._______.__._.__,..__..________, _.., 1 Oro" recelpll" III... CIOflon: It thil i""me was repor/.d to V'I/ '" form W.2 'nd tho "Stall/lOrv .mpl'vee" b,. on Ih" '''01 was checked, Ie. pege C. 2 end check he" , ~ 0 2 ROlurns .nd .!low.nees 3 SubUlelIlnll2 'rom line 1 4 COSl at goods sold (from line 40 on pag6 2J 5 0'011 profit, Sublract line 4 'rom line 3 8 Olher income, including Federal and Stitle gasoline or luello1x credit or refund 7 Oroulncome,Addlines5and6. . "'" ... ...., ~En'" .,'~!'.'" l-o-,.!>u"n'!.~oL10~'.I'.O"'.'.".~lx,,!n_'I<I~JQ,-_,_...- ..'..._...._.. 8 Advertising 8 .___..__~._ 19 Pension and prolll-Shilflng plans ZO Rent or leo1se: · Vehicles. machinery. and equipment. b Other business property -_._--._.__,,~ 21 RepairS and maitllenanco 22 Supplies (no! Included In Part Ill) 23 Taxes and licenses Z4 Travel, meals. and entertainment I Travel b Meah and 9 Bad dabls trom nles or services 9 10 II 12 13 Car 'nd truck lIXP8nStIS Commi!lsioM Ind teos Depletion Depreciation Ind ser;tlon 179 expense deduction 'not included in Part 1111 14 Emplovee benefit prollr,ms lottler Ih'n on line 191 14 c Enler 50"/. 01 line In '""nee lother th.n heeWII 15 24b \Ub"ct 10 Interest: limilations I Mortg.ge 'p.'d 10 b.n,., ete.J 161 d Subl'OCl line 24e Irom I,n, 24b. 17 b ~;::: ond ,rofesslOn,1 .e",ce, I :~b_I_~-:='~=--=-:1 :: ~~:';::~,'" ,mploy'",n! ere"1S1 18 Oltlee "pen'e liii--r'-'-----_'--'---,,,I 27 Olli" "p""se,llrom line 46 on ~1L- 28 Tol.I ..pen... b.I"e "p,nse, for bU'If/'" 1/" el home. Add 11<1" 8 'hrough 27111 coll/mf/\ ~ 29 Tentative pro III (loss), Subtract line 28 from line 7 30 h:penses lor business uSe 01 your home. Allar.h Form 8829 31 Net profit or /loul, SubtraCllif'l1! 30 from line 29 .", profit, enler on Form 1040, line 12, and ALSO on Schl'ldule Se,lIn1l2lSf,Uutory emplovees. SIIIl Orlqe C~5). ESlltt'S Ind truslS, enter on Form 1041. line 3. elf I loss, you MUST go on 10 line 32. 32 If you have alan, check tne bOI( Ihal describes your IrlVOSIlIlen, In thIS activily Is!!e page C _ 5l. elf vou checked 32a. enter the loss on Form 1040, line 12, and f~lSO on Schedule Sli, line 2 (S~<llulOry fHT'oloYOllS, see p'ge C~5). ESlates arid trUSts, onler on Form 1041, line 1 elf 'Iou Checked J2b VoJU MUS], ,mach Form 6198. '10 11 --- ~~~----~..- 12 A_,.__,._.__._ 13 1/831. lIntertrlinment 15 18 --.- --- S430 Fo, P.perwork Reducllon AGt Notice, .lee Form 1040 Insfructl{ln.l. 1'1"' . 0." .3590214 7443UO 5 040 MA~, JOHN R. rit- ~ 1 2 '-3- -'-~676: 4- '---425. 5 "~---25'1:'- 8 7 676. '--- 251:" 19 20. 20b 21 22 23 --- --- 241 24d 25 28 27 28 29 30 265. ,09b." <1,845.> } ~_ <1,84,5.> } 32. [Xl ." "I'"'''' ~h'I'n, 32b n s.m. I~V"'mUI '---' 111101 ,.1 fl... 5.hldull C IForm 10401 10'4 04417762 (') \f) q l, ~... 0.> .~ tn ~~1 -Uti'.: i'l ,,;t/ H nT/,j "0 Z:y, l)t? ......'C. r.')',.., .n :~ I (;~ ~.; :.~~~ (~ r:~tJ "TJ ,.. "j )~() :.:.:.: .) :. '..q 2<:;" N df'fl :J;:(. .. "I .,..:j ~ ,,' 0 ~ .....J , --"~'~;""",'-' ,.... ;~. JOHN R. MAY Plaintlff: v, KAY L. MAY Defendant. ,,,l' J (l/~/f;?(r ' I IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No,98- 1688 CIVIL ACTION - LA W DIVORCE PRE. TRIAL STATEMENT OF PLAINTIFF, ,JOHN R, MAY Plaintiff: I. Name: 2, Address: 3. Age: 4, Date of Birth: 5. Health: 6, Occupation: 7. Employer: Defendant: I. 2, 3. 4, 5, 6, 7, Namc: Address: Age: Date of Birth: Health: Occupation: Employer: I. BACKGROUND INFORMATION: John R, May 559 Meggan Lune, Mechani(:sburg, PA 17055 46 June 26, 1951 No health problems and/or Issues have been raised, Clerk AMP,lnc. Kay L. May 331 Chestnut Street, Columbia, PAl 7512 43 November 2 I. 1954 No health problems and/or issues have beel! raised, Sales BSC Litho, Inc, Page I of 9 Minor Chlldrcn of thiN Murrlagcl None, Murrlugc Int(lrmutionl I. Datc of Murriage: 2, Place of Marriage: 3. Date of Scparation: 4, Dale Action Commcnced: 5, Issues Ruiscd: July 29, 1972 Shircmanstown, Cumbel'land County, Pcnnsylvania Novcmbcr 10, 1997 March 26, 1998 Divorce under ~ 3301 (c) or ~3301 (d) Equitable Distribution Alimony Pendente I.itc' Counsel Fecs and Costs Alimony · An API, order was entered on June 17, 1997, II. ASSETS: A, Real Propcrty I, The parties eurrently own n home at 559 Meggnn Lane, Mechanicsburg, PA 17055, The home is currently valued at approximately $ 87,000 _ $90,000, 8, Rctircmcnt I. Plaintiff has a Thrift Savings Plan through his employcr. AMP, Inc, with a current value of approximatcly $97,100.98 2, Plaintiff has a Pcnsion Plan through his cmployer, AMI', Inc. Until January I, I 991 the Pcnsion Plan was a Defined Benefit Plan, Its prcsent value is not known, 3, Dclendanl currcntly owns a Rctirement Plan through her employer, BSC Litho, Inc. The Dcfendant's BSC Litho, Inc, Rctirement Plan was valued at $64.531,79 in a statement for the Pagc 2 of 9 -'" _ i_'I,'l'iW"". ,.l"; .... I1ctio~\ cl\~\il\~ \)\lCCI,,\1Ct :\ \, \\)\)'1. (. ~ ' ' rl"'''''' ^""", """ "",.."", "I'" ,I'" \OS ,51 \ \>\Ilil\\iff oWI\S \11\ I\IIWl\N . \ ''''1\\1 nc(CI\~\lll\\ wi\\I \\1\ , . ('\lccv.il\\b J\CCO\II\ "" , ,_' NI\S \111 il\\ctcs\ \lCI\lII\\b .- , "I""" II '" " " ",,, "'~, " .,11""" ~, ,\ \ ,'\)~6 6 \. J\t\l\i\iol\S \0 \\lIS \\CCOII\1 ' , , ,"",",," " "" " ' ' "",," "'. , ,." ,f"'" ',0'" ,~\I ^' ,,,,,, 4/1/\)'6 4,30 I ~ ( \ \54 ()() (el\CI\I\ \11J' IC II\1l 514Iq'6' . . 11().?J Icflll\l\ (rOl\' 01>AJ\l c, 1/1419\\ 1\\'6 oq Id'\l\l\ (101\' 01>AJ\C d, ,"""", "';,,,'" _II' ",."".., "II' ",'I"" ,,,,,,to ,.,,,,.,,' "'0< \'\lIil\\I\\ O\I/I\S ,,1IN\lW,S \ .., \"~' CI'\l\l"t~\ C\wc\I.\I\\!. 11\\' ,,\\1/ 1\,,- /. . b, ), 0\$)51.\0, 4, 5. . .' \$\301.11\\50\ J\II\bIIS\ 1\. \Q9\\. S' . J\ceolll'\ \1/1\\'1\\ \la\lI\1Cl: 0 . "".,\\" "". , ' ,,,",,, " ,22 '" ,,,I S""""" " , ," " C,~"., ^~,,", _\\, ,,,,I,"'" ' ' ' \'\1111\\1\\ o\\I\S a t> \99\\, ~ ' ,,'" .,th ,",,,,,,,,,,,,,,, "',...".. "I'" ,,,,,,,00 \ ' \)efel\,\al\\ oW1\S a SavIl\g "ceOI \), ccrt$\C\\tc~ 01 $C\lo~\t ,r D '\ a\ ,\'Ie \hue of se\llltll\iol\ 1/1I\\leu .I ' \'I 1\\) cer\I\\CII\CS O' CpoSI 1'\'Ic "ar\\CS io\l\\\)' oW1\eu elg \, liS fo\\oVolS', ~.1~ ~\4'29,69 $\50'2J\\ $\501,06 $\611 J6 $\ 54Q.\\1 ~ !\{lli\'i.,\99\\ "^\\)' 5, \99\\ sel1\el\\bel 5. \ Q9'6 Oc\obet 5, \ 99\\ Novc1\\bel 5. \99'& ~ C\\ en c\4 C\5 (\6 \'1I\1,e 1 of 9 .. Cl7 elll el9 Totlll $1512,06 $16411,911 $ I 542,56 $12,315,91 Dcccmbcr 5. 1997 Fcbruury 6, 1998 Junc 6, 19911 Some oflhe Ccrtlticutes of DcpoHit huvc muturcd, Somc of the proccedt; hllvc bccnuHcd to pay Il)r mllrital dcbts us disclosed clscwhcw in this statcmcnt und will be crcditcd to Pluintiffand Dcfendunl. J.:, Stock Th.e partics own the j()lIowing stocks through plt,intift's Dividcnd Reinvcstmcnt Plun lit his cmploycr. AMP. Inc, I. The parties own fourteen (14) sharcs of AMI' stock with II tluctuutlng valuc, 2, The parties own ten (10) sharcs of Hershey Foods stock with a tluctulIting vlIlue, 3, Thc Pllrties own one (I) sharc ofYum stock with II tluctulIting vlIlue, 4, The PllIintitTowns approxilllately 70.89 sharcs of AMP stock with a tluctuating value. F. Ainvare, In'.. Plaintiffeurrently owns a silkscreening busincss, thc vulue of which is not known. G. EE Bonds The parties currcntly own sixty sevcn (67) bonds, threc (3) are fifty ($50) dollar face value and sixty-foul' (64) are one hundred dollar ($100) lace value, The value of the bonds as of September 10,1998 is $3829.90, I. Investments The pm1ies currently own a DLJ Invest Brokerage Account with an approximate value of $13,072.55 as of August 211, 1998, J. Automobile The Plainti ff owns a Snturn SL 1 purchased post sepul'lItion with a three thowiand ($3000) dollar down payment drawn frolllthe Airware chccking uccount. The monthly payments have been made by PllIintitI K, Household Furnishings The parties have household furnishings in the parties home to be divided, Page 4 0 I' 9 ~'\ I r I I I Person i Itelll Description Dute of to whom I Numho( 01' Pl'Opel'ty Trunsl'el' Consldol'UIIOlI IUllllillmlll I. Funds In checking 11/15/97 $24.43 Surblll'hlln Cllblc 2. Fnnds in chocking 11/15197 17.47 !lell Allllnllo ], Funds In checking 11/20/97 28,80 Ccllullll' One 4. Funds In checking 11/20/97 190.00 J':ndodonlles 5. Funds in checking 11130/97 270.00 GMAC 6, Funds in checking 12/1/97 600,00 PSEClJ 7. Funds in chc(lklng 12/2/97 24.43 Sublll'bun Cllhle 8, Funds In checking 12/2/97 100,00 PuulBl'yner 9. Funds in checking 1213/97 354.10 I'ell'llloulll Aulo 10. Funds In checking 12/5/97 113.00 PP&L II. Funds In cheoking 12/5/97 75.00 June Bllrr 12, Funds In checking 12/6/97 19.95 VISA/Prodigy 13. Ftlllds in checking 12/10/97 64,00 Hunisl~lIg Illke Club 14, Funds In checking 12113/97 18.29 nell Atlllnllc 15. Funds in checking 12/15/97 18.00 Sufe deposit box 16, Funds In checking 12/20/97 32.70 Ccllulllr Olle 17, Funds in checking 12/30/97 270.23 ClMAC 18. Funds In checking 12/18/97 18.29 !lell I\llunllc 19, Funds In checking 1/1/98 600.00 PSEClJ 20. Funds in checking 1/2/98 24.43 Suburbun Cable 21. Funds In checking 1/5/98 142,19 PP&L 22, Funds in checking 1/6/98 75,00 June Burr 23, Funds In checking 1/8/98 19.95 VISA/Prodigy 24, Funds in checking 1113/98 98,00 Scwer/Trush 25, Funds In checking 1/14/98 17.47 Bell Atlunllc 26. Funds In checking 1/15/98 18,25 Bell Allanllc 27, Funds In checking 1/20/98 29.31 CellulurOne 28, Funds In checking 1/30/98 270,00 OMAC 29, Funds in checking 2/1/98 600,00 PSECU 30, Funds In checking 212/98 24.43 Sublll'ban Cable 31. Funds in checking 2/5/98 141.22 PP& L 32. Funds In checking 2/5/98 19,96 VISA/Prodigy 3), Funds in checking 2/15/98 1759 Bell Atlantic 34, Funds in checking 2/17/98 17.79 Flell Atlantic 35. Funds In checking 2/18/98 31.00 I\M 36. Funds in checking 2/20/98 29.36 Cellular One 37. Funds In checking 2/23/98 16m Maguzine sub, 38. Funds in checking 2/28/98 270.23 OMAC 40, Funds In checking 3/1/98 600,00 PSECU 41. Funds In checking 3/2/98 24,43 Suburban Cable 42, Funds in checking 3/5/98 )JO.OO PP&L 43. Funds In checking 3/15/98 17,69 Flell Atlantic 44. Funds in checking 3/13/98 17.47 Bell Atlantic 45, Funds In checking 3/19/98 189.00 VISA/Prodigy 46. Funds in checking 3/20/98 29.36 Cellular One 47, Funds In checking 3/30/98 270,00 OMAC 48. Funds in checking 4/1/98 600.00 Mortgage Page 6 of 9 I 1.\: 4</. Fund, in checking 4/2/98 24.43 Snburban Cable /, 50. Funds in checking 4/5198 130,54 1'1'& L 51. Funds in checking 4/7198 30,00 I'a Dept of Rev \ .. 52. Funds In checking 4/9/98 403.00 Kern & Co. ~3. hinds In checking 4/10/98 98,00 Sewer/Trash 54. Funds In checking 4113/98 2.12.54 Ilall1pden Twp. 55, Funds In checking 4/15/98 18.46 Bell Atlantic .'1 56, Fnnds In checking 4/20/98 29.3(, Cellular One r, 57. "unds in cbeeking 4/22/98 .16,00 ClI1wth of I'A .J " 5R. Funds in checking 4130/98 270.00 OMAC' a 59. Funds in cbecking 5/2/98 24.43 Suburban Cahle 60. Funds in checking 5/1/98 600.00 I'SECU 61. Fund, in ebecking 515/98 50.78 1'1'& L 62, Fund, in checking 5/15/98 17,80 Bell Atlantic 63, Funds in cbecking 5120/98 29.79 Cellular One M, Fonds in checking 5/27/98 348,00 l'lome Ins, 65, Funds in checking 5/30/98 270,23 OMAC 66, Funds in checking 5/29/98 188,68 Lowes 67. Funds in checking 6/1/98 479.78 I'SECU 68. Funds in checking 6/2/98 24.43 Suburban Cable 67, Funds in checking 6/2/98 250.00 OMAC 68. Funds in checking 615198 41.07 I'I'&L 69. Funds in checking 6115/98 17.56 Bell Atlantic 70. Funds in checking 6/17/98 398.00 I'SECU 71. Funds in checking 6/20/98 29.79 Cellular One 72. Funds in checking 6/30/98 270.23 OMAC 73. Funds in checking 7/2/98 24.43 Suburban Cable 74, Funds in checking 7/5198 42.30 I'I'&L The following Certificates of Deposit wcre lransferred into the lIccounts indiellted at maturity: 75, Certificate of Deposit C.17 1215197 $1513.01 ),R, May's Saving;lu:dche(:king 76, Certifieale of Deposit C- 18 2/6/98 $1666.43 ),R. May Savings 77. Certificate of Deposit C. 13 515198 $1559.43 ),R, & Kay May )olnt checking 78. Celtificate of Deposit C.19 6/6/98 $1588.56 ),R. May Savings The following disbursements huve bccn made from other eheekll1g accounts: 79. Ahware checking tlillds 4/7198 $723.50 Shenk Athletic 80. Alrware Checking f\mds 5/29/98 $3000,00' Saturn · This disbursement was dlsclused above. " Puge 7 of 9 L.bel 'otltle ....JIn.1.0to. :It, ln1, tOltlftl&JC M( nnl ,119~~lno You, ""I nlmllnd In~111 \UI nlml ~" L u Illlhuctlonl A JOHN R. " on plOI 10,) B If Ilolnl Ilium, IpoulI'l ""I nlmllnd /n/IIII tilt nlml U..t~1 IAS ~ KAY L. Y Ilbll, Homlldd,... (numbll and sl,,,i), II vou hlYiiP:O:box, II. paOI 10, O1hIIWISI, ~ 559 MEGGAN LANE PII~" prlnl R Clly, lown 0' pall O/flCI, 1111e, Ind liP cadi, It VOU h.vl . to,iign .ddIlSS, SII P'O' 10, ot pI, E MECHANICSBURG, PA 17055 rl::ll~~ng:~ Ilgn ~ 00 VOU w.nl $310 00 10 Ihll fund? "",.,.."""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,. "'"'''''''''''' .""""."",, ~I I el0, lfa olnl ilium, don oUrspOUlO w.nl $310 n 10 Ih/s fund? ".=". ".".""",""."".""""",,, Fill Stat 1 Slngl. ng U. 2 X Mllllld IIlInO jo/nl IOlum (mn II only one had /ncoml) 3 M.III.d IlIlnO IIPIIII. ilium, En III SPOUSI'S soc, lOC, nO.lbov. .nd lull name hilI, ... . 4 Head 01 houllhold (wllh qu.llfylno person), It Ih. quallfylno pilson Is . child bul nOI VOU, d.pendenl, enlll Ihls child's nam.hslI, ... S Dual In wldow(II wllh d.p.ndent child IV',,,poulI d/.d ... 19 ). , exemptions 8: 00 ::::::1"" ,:t~~~~r ~:~~:I.(~r:s,o~eo~. ':I~') ~'~CI'I~ ,v~u ~':' ~.~~n:dl:nl: ~n ~IS: o:r :h~ r :I'~ '.Iu,n,: :d~ :n:ol::::: } ~:~~:::o. c Depend,nl.: r ~) Ot9tndlrll" mil - (3) O.P~alnt" J.4l ML; ~~~~rwn on 10 I Itcurity nllmb<< "'ttlonslllp to t,;~ . J!!.~~~ wi n.m. ,~... 01.1 ~ . livid wlth you 11 040 ChiCk only One hox, --- It maIO Ihln s~ d.pendlnls, Sll PIO' 10, d Inoome 7 8a AUloh b Copy 8 0' you, 9 Fo,mIW.2, IV.20,lnd 10 10gg.A hl'l. 11 It VOU did nol 12 011,W.2. 13 III p'0112, 14 15a 18a Enclose but do 17 nol.U.oh .nv p.vm.nt. Also, 18 pi.... UII 10 Form 1040.V. 2na 21 22 Add Ihllmounls/n Ihs tar rlOhl column lor lines 7lh,ou h 21. This I' vour lollllnooml, 23 IRA d.ductlon I... PIO' 16) "."".""""" "." ".""" "'" "" "" """'''' 23 24 Mldlc.1 mlngllcoounl dlductlon, AUlch Form 8853 ",," '"'' ""'"'' 24 2' MovlngexplnllS,AUICh Form 3903 or 390H '"'''''''' ,."""""",,,,, 25 28 Onl.h.1I 01 1I11..mplovmlnl I". Mlch Sch.dul. SE ". """""'"'''' 28 27 S.II..mploVld heallh Insuranc. d.ductlon (II. P'OI17) """'''''''''''''' 27 28 KooOh & ..1I-ompIOYld SEP planslnd SIMPLE plan, """'" 28 20 Penlllyon'''lyw~hd''W'loISIVlngs """,,,.,,.,,,,,,,,,,,, ".""""."" 29 30a Alimony p.ld b Rlclp/enl's SSN ... 301 31 Add IIn.. 2311ilOuOh 301, """"""""'''''''''''' '" """,,'"'''' """""""'''''' ",,"" "."""" ""'" '" "'''' "" 32 Sublraclllne31 I,om IInl 22,Thls Is your IdlUllld orolllncoml , """"",..,,,,,,, ..." "...", ... For Prlvooy Aot Ind PI""rwortc Rlductlon Aot Nollcl, Oil PIO' 38, 1 040 MAY, JOHN R. 'AdjUsted Gros. Inoome IIl1n.32ls under $29,290 (under $9,770 II . child did not live w~h you), III EIC Inst. on PIOI 21, LHA :~"W.~7 18540225 '744300 ~IO'ItI. r"...,ry. 1n"",..IWtInU' Swvlolt U.S, Indlvldullllnoome T8lC Retum 19971~ IRS U.. On~ . 00 nOI WI'n. Qf ,tapltln tnl, ''** , 18 OMS No, lI".iJ.OOtj! Your .ocjll Itplrlty nllrno., 19114217591 ,pou.... toclM MCUrflV numott ---- ___.. 19114~ 14988 IAPt. no, For hllp In IIndlng IInl _L Inotlucllonl, "I plges 2 Ind 31n thl bookllt, Yes No X X Note: Checlllng 'YH'<MUnol ctlangeYOlIr*or MUce yout NNnd, 2 ...-- ,..,'" edldnotllvtW11h youdl/.lodlvo~ or up'"lllon C...lntlNOllon.) .,.....-'...- ~. ...c"'\" \ I , ' , ' -0.' \ \ . J ,\.."." ' \ Tolal numbll of exempUons clalm.d....".';!,: ";'.,, ,);, ..........,..""....1. \Vao", sallrtes, lips, .Ie\ Attach FQI\I'tstW,'2'" ~'. ..:::::':::,:;:",,": ".', '},~' '. \. """" "',J......,,'" Tmblllnl",sl, AUach Sch.dule B'III1Quj{.d 0: "',, ,,\ \,:" :". "n,!\.."",...,.,'::~:,~""" TIX.mmpllnlllest, 00 ~OT Includ. on IIn. 8a':'?"'I,'"":.1,:\:,:':,,.;;:,,:"'8b 1 Olvldends, Mach Schldule ~ II IOqullOd ""~::",...~~:~,:,,,,,.,,,,.,,.,,,,,,,,...,,.,,,,,.,,,,,,,.,,...,,.,,.,, T''''bl. refunds, Clldlls, or 31:'11~.otslalllnd loclllncome tax.. "" """.. ."" "".. .""".... '''' ....""""... Allmonvrecllv.d .",...."".".',:.", """"'''''''''''''''''''''''' ..""",,,.,,, ""'''''''''' "'''''''''''''''''''''''''' Business Incoml or (loss), Attach Sch.dule C or C'EZ "." '"'''' '''"""".."",,,,,.... ....."... "."" Cap~al oaln or Iloss), Attach Schldul. 0 ""...." ...." "".", . "" ",,,,,,,,,,,,... '''''' ",.., Othll oalns or (IOSIIS), Attach Form 4797 """.." '"'''''''''''' """"..... '" "" ."""..."" """ """ TolallRAdlslrlbutlon, """"'"'''' ~_ I b T.x.bl. amounl (SII paO' 13) Tol.1 p.n,lons and .nnultles ''','' l.1!!J. .-! b TaXllbl. amounl (.., pag. 13) Rentll IO.llIlall, ,0yallllO, p.rtn.~hlps, S co,porallon" lrusls, Ilc, AUach Schldule E ..""" ".." Farm Incoml or (loss), Artach SchldUlI F "..",,,,,.,,,,,,,, ,.."'''''''"."",,,..,,,,,,,,,,,,,,, Un.mploym.nl complnsallon .,,,.,,...,,,,,,,,,,...,,,, .""""""...., ,...",,,,,,....,,,,,,..,,,, Soclal"cu'~b.nlflls """""" L20. I I b Taxablllmounl ('II pagl 14) Other Incoml, Ll,llype and amounl...1 pao' 15 O.pend~lt on 80 1'101 .nttrICI aoov. Add numb.... tnltrtClon Unn _bon .... 293. <207.> 438. 94 658. 191427591 94 658. F"", 1040 ""7) 19142751 '""''''''''('''1 JOHN R. &. KAY L. !:lAY 191-42 -7 5 91 TalC , 33 ^mountllom IInl32 (ldlull.d oron Income) """".."''''""""""",,,,,,,,,,,,,,,,,,,,,,,.,,,,....,,,,,,,,,,,, Oompu- 341, Chlok II: 0 You w... 85 or old.., 0 8~nd: 0 SPOUII was 65 or Old.., [J 8l1nd, tatlon Add Ihl number 01 box.. ch.ckld .bove and Inlll Ih"tolllllllO,,,,,,., ''''''" '"'''''''' """. '" ... 34. b It you all married fillno IIpllllely Ind vour IPousell.mll.. d.ducllonl or you w.... dual-sial" IlIln, III pIgl18 and chIck hili "",."" "" .""""""",,, "'''" '" ... 34b ( IIlmllld dlducllonll,om Schldull A, line 28, OR ] 38 Enler the Sllndard deducllon shown bllow lor your IIlIno Slllus, 8ul III ploe 18 la,o.. "I,OU chlCkla any box on line 34a 0' 34b 01 IOmlonl cln claim vou as a 01 d plndent. ,,,,,.. "'''''' """ youI' · Slnoll . $4,1S0 · Maltlld IIlIno 10lnW or Dualllylno wldow(II) . $8,900 ' · Hoad 01 houllhold . $8,050 . Maltlld fillllO ..pallll~' $3,450 38 Subl,aclllnl 3S I,om line 33 "",,"'''',,'' '"'' "" """ ".",,,, "",,' "" .""",,,,,,,,....,, ,,,,,,,,,,,.. 37 It line 3311 $90,900 or 1m, mulllply $2,650 by Ih.lolal numb.. 01 oxempllons clalmld on IIn. 6d, II line 331s Oy", $90,900, III the wOlksh,,1 on plOO 1910' the amounllo .nl" 38 Tuablllnooml, Sublllclllno 371rom line 36, IIlIno 371, mOil Ihln IInl 38, en'" .0., "''',,'' 30 TJ!.l!! Dlae 19, Ch.ck II any tlX from a 0 Form(,18814 b FOIm 4972,,, 40 Crld~ 'or Child Ind dlpend.nl care IxpenllS, Att.ch Form 2441 "",,,,,,,,...,,, 40 41 CIOdll lor Ih..ld"ly orthe dlsablld, Mlch Schedule R "'''' """"..", ""',,' 41 42 Adopllon clOdlt. Attach Fo,m 8839 """""""...",,,,,,,,,,,,,,,,,,,,,,,,,,..,,...,,,,, 42 43 FOlOlonlaxOlld~,AttlchFo'm 1116."",,,,,,,,,.,,,,...,,,,,,,,,,,,,,.... 43 44 othlr, Chick II Irom a 0 Fo,m 3800 b 0 FOIm8396 c 0 Fo,m 8801 d 0 Fo,m (specify) 44 4S Add lines 40 Ih,ouOh 44 ""'" """"""""""'"'''''' ...""""""" ".".." "".""."...." "","'" . "" """ '''''''''' 48 Subl,aclllne451,omllnI39,IIlInl 451smolOII11n line 39,enl"-o. .".. """"....,,, ...."... 47 Sell..mploymenllax, Mach Schodule SE ,." """ .",. '"''''''''" ..."" '" ",.." "'" '''' '''' .."."...."", ",',,' "" ..""" 48 Attemallvl minimum lax. Attach Fo'm 8251 """"'''''''''''''''''''''''''''' """"""'"...""",,,,,,,,,....,,,,,,,,,,,,,,,, 49 Socl.1 IIcurfty and Mldlcare lax on lip Incoml not ropo,l,d 10 Imployer, Mlch FOIm 4137 ",,,,,,..,,... 80 Tax on qualified retllOmlnt pl.ns (Includlno IRAs) and MSAs, Mach Form 532911 required .".... ,,,,,,,..,,,.. """ Sl Advanc..arned Inoome crellll paymlnl, from Form(,) W.2 "'"'' "'"'''''''''''' ..""""......"",,,,,,,, S2 Houllhold employmonllaxes, AUach Schedule H '''' "",,,,,.,,,,.. '''''''''' ..""""."" "".. """, 83 Add IIn.. 461hrou h 52, This I' ou,lolsllu ..."......"", ... Payments'4 FldlrallncomelaxwllhhlldlromFo,msW-2andl099",.",,,,,...,, 84 16,674. 88 1997 esllmaled lax p.ymlnt, and amount .pplled from 1996 ilium 88 sea Ea,nld Inooml ofldll. Attach Schedull EIC II you have a qUlllfylno child b Nonlaxable lamed Income: amounl ... L____J ~~... .lli 87 Amount paid with Form 4868 (Ilquestlor Ixtlnslon) ......."""", """... """" S7 88 Excm 'oclalllcurlty and RRTA tax w~hhlld (see P'OI 27) ...1::.'),'.11,'),'"),,.. 58 SO O1hll pavmlnls, CheCk IIlrom .0 Fo,m 2439 b 0 FOIm 4136 ."". 89 80 AddllnIS54,55,56.,S7,S8,and59.Thmlllyou,totalpSymenIS ..""""..... ........".""" ... 81 II line 80 Is more than IInl 53, .ublraclllne 53 from IIn. 60, Th/, I, Ih. amounl vou OVERPAID """""'"'''' 821 Amounl ollln. 81 you wanl REFUNDED TO YOU """""......""...."."" ...."".".."....". ... .. b Routlno number c Typo: 0 Cllecklnot~j'S';~I~;';'" .. d Accounl n~mb" 13 Amounl 01 line 61 you wanl APPLIED TO YOUR 1998 ESTIMATEO '(AX.. 83 84 II line 53 Is maIO Ihan line 60, sublraclllnl 60 from line 53. This I' tlla AMOUNT YOU OWE, Amount You Owe Fordelalls on howto pay, ,ee paOI 27 ........""",,,,,, ''''.''l'':~''I'''''''''''' 88 Esllm.led lax DenaltV, Al,o Include on line 64 ~. Una.. ptnlltl. 01 perjury, I decl....lII." h......llWIIInild tnl. rellJm IIlfJlCCOtTlpanYlng lCI\.oylllllld ,lJ,lements, "'0 to tiI. besl 01 rrff ~nlNlteclQll'n<i bel,." 1tIlf'j' .,. trua, Otln.ct, and t:Ompl..... [)eclIWtion 0' preollN (oth<< lht/\ ~PI';I'" II butd on IlllntolTNtJon 0' wllleh P~aAf,.... Illy knOWltdgl. ll.. _",ur Ilgnlbl" Oil, Your occupation ,. LERK ~ '''"'''..~"",.. I' '1"" ..!Urn, BOT>! rn",IIi". a.to s~~;;"'.." Paid ~,:-:'" ~ eM e vA- Preparer'snrm,,,....lor E ~OMPANY, P.C. Use Only ,...."....""" ll..2331 MARKET STREET ploy.-1l W\d tdd,.. ~. CAMP HILL, PA Credits Other Tlllles AUach FormsW'2, W-2G, and 1099-R on paOlI. Refund HI'I.lt ,,- .....1... ... .... 27 Ind "II In t2b, I2Q, and lad. , Sign Here KilO a oopy otthls Ilium lo,you, records. 9,373. 85,28?_~ 16,999. 16,999. 479. 17,153. 154-: 154. ... Oil. OhQC,:kllotl" tmp'oy..:l Prep....,..OCIII.lClurilyno. 02/25/98 18415015366 23 12436329- 17011 EIN ZJPr<<l1 l~"m, 18540225 744300 191427591 2 040 MAY, JOHN R. 19142751 2 o. SCHEDULES A&S (Form 1040) o ''''''~,=(Y fnltmel InU. NltN(t'.hoWn on l"onn 1040 JOHN R. Medloal and Dental Expensa. Taxes You Paid (SI. plOO A'2,) Interest You Paid (Soo pooo 1.'2,) Notl' Porsonal Inlo,.at la not deduollblo, Gift. to Cherlty I'you made a Oln and 001. benlllllor It, III paOI A'3, Cnullly Ind TheU LOIIII Job Ellplnns Ind MOil Olher MlsClllaneous Oeducllnns (SII paoo A'S for expenses to deduol hero,) Olher MllCllllneous OaduCllons Total Itemized Deductions Schedule A - Itemized Deductions (Sohedule B Is on page 2) ... Attloh to Fo"" 1040. ... SlllnotNollona 'or Schldul.. A ~ B (Form 1040). 1997 AttlOillMnt .. S<<flltnee No. 'Q" YoutlQCJllttclJltlynumq., , & KAY L. MAY elution, Dc not Includ. exp.nsl. rulmbu".d or paid by oth.rs, 1 Medical and dental Ixpen..a ('01 pao. A'1)"""",~,~.~""$';\',fl,~~.~,~.~,';\'""~,,,, 2 Enllr lII1lounl frcm Fcrm 1040, IInl 33 "",,,,,,,,.,,,,,,.,,.,,,,,,, W 94,6.58. 3 MUlllply IIn. 2 ebovo by 7,S'16 (,07S) """""""""''''''''",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,. 4 Sublract IIno 3 from line 1, It IIna 3 !. mere than IIna 1, enler.Q, S Stall and Iccallncomllaxe. .~.""",,,,,,,,,.,,,,,,,,,,~,~,!',:,,$,';\',~,,;\,~!'l,~N,;\,,,,),,,, o Roal 1.1.1. taxe.. (se. paoe A'2) ",," ""."'''""""""""".""",,,.. " " """.",,,,,,,,,,,,,,,, 7 Plrsonal proporty taxe. """"""""""",,,.,,,,..,,,,,,,,,,,,,,,,,,, """"" """ " "" ".. " " " " , S Othor toxo., Usllype and amounl ...OCCUPATIONAL PRIVELEGE TAX 10. Q~~~P~})9&~=~~~EbEgm=~~=======:=::)~. 9 Add line. S throuoh 8 """"."... "",.... " , "."."."......".." ....,,,..,,,, 10 Homo mortgaoelntoro.1 and polnl. roported 10 you on Form 1098 '''''''''''''''''''''''' 11 Hom. monoaoe Into"'1 nol roportod to you en Form 1098, II pald 10 Iha pa"on from whom you bought the home, see paoe A.3 and show that person.s name, Idenlllylno no" and add,... ~------------------------------------- ------------------------------------- 12 Polnla nol reported 10 you on Form 1098. See paoe 1.,3 ""'''''''"."",,,,,,,,,,,,,,,,,,,,. 13 Invo'lmont Inle...t. Att.oh Form 495211 required, (Sa. paoe 1..3,) """""'''''''''''''' 14 Addllno. 10lhrouoh 13" """....""""" ....",,,,,.....,,,,... "..."....."...." 15 Gift. by oash or ohook, IIyou mado MY olft 01 $2S0 or more, .ea paoa M ""..,..,"''''''''''''''''''''''''''''".$.~.~..,117'fl,';\'~!'l~,N';\'"1.,, 18 Othar Ihan by nash or ohock, It any oltt 01 $2S0 or mo,a, .ea paoa A'3, You MUST altaoh Form 8283 II over $SOO", ""."~~~,,,$.,;\,Nr.~.!'l.~.~.';\',,,,?,,,, 10 17 Canyovor from prior yaar """,""",,"",,""",,'" ""'''" '"'' " """ """ '"'''''''''''''''''', 17 18 Add IIne.1Slhrouoh 17 .,'",,,,,,.,, ",.,,,,.,,,, ""'"'''' '... .,,,,,,,.,, 19 Casually ortheft 10..(e,),Attaoh FO""4884, Saepa eA'4,) ."""",,, 20 Unrelmoursed employ... expen... . Job Iraval, union due., lob education, ato, You MUST altaoh Form 2106 or 2106'ez II required. (Se. page 1.-4,) ~ ------------------------------------- ------------------------------------- 21 Tax preparation f... """"'"..."'''".".."'''"""".."""""....""".""",,,,,,,,,,,,,..,,,,,,, 22 Other expenses -Investment, saf" deposit box, etc. Ust type and amount ~~FLD_E.!'.9~!! _~~~ __ _ _ _ 00_ _ ____ __ _ _ _ ___J..8. ------------------------------------- ------------------------------------- ------------------------------------- ------------------------------------- 23 Add line. 20 th,ouOh 22.."",,,.,,.,,,,,,,,,,,,. ....""".."."",.." 24 Enler amount trom Form 1040, line 33 ""'" "..,,,,"..,,.....,,, [g4 25 MuUlply line 24 obe'le by 2% (,02) """"...."""",,,..,,,,,,,, ....""""".", .""""""...", 28 Subuaolllne 25 trom line 23, If line 251. morelhan line 23, entar.Q. "'"'''''''''''''''' 27 Other. from lI.t on paoe A,S, Ual-type and amount ... OMO No. 1~S.OO7" 191!42!75il._ 2,306. o. 20. ...".". 9 3,415. _5r563. 14 3,415. 225. 170. 18 395. 19 36 . 1 ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- 28 I. Form 1040, line 33, ov.r $121 .200 (over $60,800 n monied "lIno leparately)? NO, Your doduotlon II not limited, Add Ihe amounl.ln Ihe far rtoht oolumn for IInla 4 throuoh 27, Also, enter on Form 1040, line 35. Ihel.rgor 01 thll amounl or your atandard deduction. YES. Your dodumlon may be IImnod, S.. POOl 1..5 'or the amount to Inler, LHA For Plllenvorlc Reduo1lon Ao1 NoUce, II. Fo"" 1040 InltNotlonl. n!tt\, 3 18540225 744300 191427591 040 MAY, JOHN R. Sahlldul. A (Fonn 10401'''7 19142751 1on~IjNi. ""Giro,," 1~0I 1M1 ~tIoW" 1M 'Ofm 1().40, 00 not MI., n.".. 1n0 IOC." lecMlty nljtY\CMt It lhown On p~ I. ' ' JOHN R. Ii KAY_~MAY OMQ No. 15.45<0074 PtOe 2 I VO"i"'-I"":-- --L 191142/7591 2 Add Ihe amounl. on IIn. 1 "'''''''''''''''''''''''"",,,,,,,,,,,,,,,,,...,,,,,,,,,, .""".""""."""".",, """"""" 2 3 Excludable/nter,sl on series Eli U,S, savlnos bond.I..ued .nar 1989 tram Form 8615, line 14, You MUST al1aoh Fonn 861510 Form 1040 "...."""",,,,,,,,,.,,...,,.,,,,.,, """"...""" " "'"'''''' 3 4 Subtraot /Ine 3 (rom line 2, EnJ~e ,esult here and on Fonn 1040, line 80 .."..."...".. 4 Not" If you hed 0"" $400 In proas div/dunds and/or '!!!!!!..i!~~!2.S(OCk, ycu must alac complete Part 11/, 5 U.t name 01 payer, Inolude oros. dividends andlor other distrlbul/ons on stock here, ~~unt Any oap~aI oaln dlslrlbullons and nontaxab/. dlslrlbutlons will b. deducled on lines 7 and 8'" AM? INC. HERSHEY FOODS PC FINANCIAL, NEW JERSEY PEPSICO INC. 'x Schedule. (Form 10401 1117 Pert I Inl.relt Inoome Schedulo B . Intl<rest and Dividend Inoome Nole: 1/ YOll h.d OVII $400 In t""ab/elnte,.at Inccme. you muat aiao complete Pili 11/, 1 Uat name of payer, II any Inl.resllo fro", a ..lIer'ftn.nced mortoaoe and Ih. buyer u.eel Ihe property as a peraonal residence,... pap. 8'1 and list Ihlslnleraal llral, A/so, ehow that buye"" aOOialsoourlty IIumber and address... _____ P.S.E.C.U. --- ---- Nutll II you r..elved a Form 1099'iNT, Form 1009<)ID, or IUbatllule elatemenllrom I brokerloe ftnn, lIet thl ftrm'l nama u Ihe pay., and en Ie, Ihe lotallnlerast Ihown on thai form, --- ------ --. ---- --- ----- 1 -- '--.-- - Part II Dividend Inoome Nota: II you r..elved I Fonn 1 OOOoOIV or lu~tftule Itltemenl from . brokeraoe ftrm/lllt the flrm m namo os Ihe plyer and Intll Ihelolal dlvldlnd. Ihown on Ihlltorm, -- - -- 5 '-- LHA 8 Add Ihe amount. on line 5 "" .....",,,.,,,,.,, 7 Capllal oaln dlstrlbul/ons, Enler here and on Sohedule D """"'""", 7 8 Nonlaxabledlstrlbutlons, ""''''''''',,, 8 o Add IIn.. 7 and 6 ""."'''''''''''''"".""".""."."..",,,,,,,.,, . """"".""""".",,,,, 10 Sublraot IIn. 9 Irom line 8, En!fr Ihe result hero and on Form 1040, IIn~". """"'"'''''' ,,,'" 10 You muat complele this part II you (a) had over $400 ot Interest or dlvldonds; (bl had a lorelon occount: or '0) receiVed B dIstribution from, or were a craM'or ot, or, a transferor la, a forelon trust. 110 AI any lime dUrlng 1907, did you hava an Inlereslln or a signature or other eUlhorlly over e ftnanclal ecoount In a lorelon oounlry, euoh as a bOllk OCcounl, seaurl1les acoount, or olher ftnanolalacooUnl? """""'''''''' b II "(IS" enlll Ihl n.rne OllhelolOlon counlry ... _ 12 Ourlno 1997, did you ,..elve a dlslrlbutlon 'rom, or wore you 1," OrOlllor of, or Irans'.ror to, a loralon trult? If 'Yes,' yay l!!~y have 10 rile Form 3520 or 928, S~e Oao. 8'2~", '"'''''''''''' For Poparwork Roduotlon Ao1 Notloe, e.. Form 1040 Instruotlon., -'--- ...",.."..",,,,,,,,..,.. Part III Foreign Aooounts and Trus1s 727101 11.04011 18540225 744300 191427591 4 040 MAY, JOHN R. 19142751 AttIctl"*l1 S"',..... No. 08 ~- -- -----. - - 715. 715.' 72. 8. 199. ll.:. ~93. 715. -- - SCHEDUCE C (Fonn 1040) , Dtp"""*'I,O;ttI.r....uty 1n14m.~"'u.hN_' 19tI Neme 0' PI99r1.1Ot Profit or Loss From Business ,OMgOg""'7""n'L.... ISole P,op,'elol1hlp) ... p.rtnll1hlpl, Joint .enlurll, Ilc" mUlt lIIe Form lOftS, ... AlI.ch 10 FOlm 10~0 or Form 1041, ... SlIlnllrulllonl 'or Schldull C Fo,m 10~0), A=~~.09 8or~" l'::Ur1ty IIUIll,*(S8N) 2 3 ~ S 01011 p,ollt, Subl,aclllnl 4 from line 3 """"""""""".."""."." """"."",,, "",,""" .. .."... ""'" ""," "" "...." 6 O1hlt Inocme, Includlno Fldlt.1 and slale gasoline 0' Iuollax clld~ 0' relund ...."".. '"'''''''' . """ """ """ 7 Orall Inoome, Add IInll 5 and 8,,, "'" ,,,.,, ,.. "..." ,......" '''' """. "."",,, """",.. """"." '" ~xpenses. Enter expens.s for busln.ss us. of your home only on line 30, 8 Advertlslno.""",,,,,,,,, '''''''''''''''''', 19 Pen,lon.nd p,olit.sh"lnoplan, ....."..."" 19 9 Bad debts from "lelO' 20 Relit or lease (III paoe C'41: 11,.,101$ (lie paoe C'3) "'" 9 , Vehicles, machinery, and 'Qulpmenl 20a 10 C"andtrucklxpenses b othltbu,ln",property """,," ........."..". ~b (III paoe C'3) ,,,,,,,,,,,,,,,,,,,,,,,.. 10 21 Rlpalrs and malntenancl .."""" 2'1 11 Commissions and I.es ,,,,,,..,,,, 11 22 Supplleslnot Included In P.rt 111) '" 22 12 Olpllllon ",,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,, 12 23 Taxes and IIcln,e, ...",,,,,,,,,,,,,, 23 13 Olpllclallon and mllon 179 24 TravII, meals, and .nllrtalnmenl: .xp.nll dlducUon (nollncluded In a Travel,,,,,,,, ....."""""""",,,,, 24a Part III) """"""",,,,,,,,,,,,,,,,,,,,,,,,. 13 467. b Meal, and 1~ Employe. benlflt proorams (OUII' enlOllalnmlnl "..."",,,,,,,,, than on IIn. 19) ,,,,,.,, ''''''',,'''''''' " 14 I En10l50% ot lI"e 15 InsurancI (otherlhan hea~h) "''''''''" 1 24b ,ubllcllo 18 Inllll3l: IImllatlon, (III page C-4) ". I Morto.oe (paid to bankl,llc,) """'" 16 d Subtracllln.24cl,omllne2eb ""..",,,,,,,,,. 24d bother ""...".""",,,,,,,,,,,,,,,,,,,,,,,,, 1 25 utll~les ",,,,,,,,,,,,,,,,,,,,,.......,,,,,,,,, 2~ 17 Leo.1 and p,ol",lon.' 26 Wag.. (I'" employmenl cred~s) 26 11,.,101$ "".."""""""...."""",,,,,,, 17 27 othlllxpenlls (from line eB on 18 Offlcllxpenll 1 a e 2"".. . .........." ,,,,........,, "" 27 26 Tot,lupen"l bllore exp.nSlSlo, buslnlSl UII 01 homl, Add IIn.. B Ihrouoh 271n columns ".."",,,,,, ... 26 "",... 7 29 30 31 TlnllUVI p,olll (loss), Sublraclllne 28 from line 7 ,,,,,,,.,,,,,,,.. ..."",,,,,, ....." "''''''''''''''''''''''''''''''" .." """,," ExpenSlSlo, buslnlSl UII 01 vou, home, M.Ch FOlm~829 ..""",,,,,,,,,,, """.. ....,...""" .... .",,,,,,,,,,,,...,.. "'''''' Net p,olll 0' (1011), Sublraclllne 30 from 1100 29, ) 011. prolit, entll on form 1040, line 12, and ALSO on SChedul1 SE, line 2 (statulory employ.." "' paOI C'5), Estalll and lrusts, entll on Fo,m 1041, IInl 3, o II a loss, you MUST 00 on 10 line 32, II you havl . loss, chIck Ihe box that dllC,lbll you, Inveslmenlln Ihl, acllvlly 1111 pag. c-5), ) o II you chlcked 321, enlOlIh.loss on Form 10~O, line 12, and ALSO on Schldule SE, line 2 (,Iatulory .mploYles, III P'OI C'5), E,latll and trusl" Inlll on Form 1041, line 3, o II you chlck.d 32b, you MUST altJch Fo,m 6198, LHA For Plperwork ReducUon Acl Nollce, III Form 1040 Inlllllcllonl, 32 "'0001 1~2).'7 18540225 744300 191427591 JOHN R. IiAY . 191-42-7591 A Principal busln... 0' p,otmlon, Includlno p,oduCI 0' 11,.,101 8 Int.. 8""." """... ....,... SCREEN PRINTING OF ASSORTED NOVELTIES .... ,I,... 2659 C 8ulln... name, II no leplllle business ,"ml, leav. bl.nk, 0 Em.'oYII'O nom"",;,.." II..v AIRWARE 25-1687625 E 8usln... .dd,... (IIIcludlno lult. or ,oom no,)'" P.O. BOX 73 ' . CI townor oSlol1lce,S1ale and ZIP code MECHANICSBURG ,- YA-,-l 'l{jS',-- - - - - - - - -.. ,- - - - - - -- - -- F AcoounUnomllhod: (1) Cash.' (2)Wccrull 13ITother(SPlClfyl ~ ____.._____.____,___._______.._ o Old you 'malldllly plrtlclpsll'In Ihe oplraUon otlhls busln... durlno 19971 11 'No,' Ie. paOI C.2 tor limit on 101'" ..""""..."""",,,,,,,,, [X] VII 0 No .!!....!.!l'!u 1.llrted oracQulredlhls buslnlls du,lno 1997, cheok hili ,,,,..........,...,, , ........'''' "...="" "..".." ... D UilIII....!!!.oome 1 01011 rvcelpls 011.111, ClUtlon," thlslnearn. was r.ported to you 011 Form W.2 and the 'StatutoI)' .mploy..' box 011 that form was ehockod. ...p.ge C.2 andclllck ho,. ,,",,'''''''''''''''''' "'''''''''''' . ...""""",,,,,,,,,,'" 0 Relum, and IlIowances ",,,,,,,,,,,,,,,.,,,,,,,,, ",,,,,,,...,,,,,,,,,,,,,,,,, "",,,,,...,,,,.. """"""""""""'" ..,.".."",,,,,,, Sublract/lne 2 f,om IInl 1 """"'"'''''''''''' "''',,'' ",,,,,,,..,,,, .........""" .......""""", Cosl 01 ooods ,old (110m line 42 on P'OI 2) ..""""", """"" "'"'' .. ."""" ,,,. .. .."""",,,.,,. ,...."" """ """ 5 040 MAY, JOHN R. 1 2 3 4 2,709. 2,709. -2 409. S 6 300. 300. 40. 507. 2 30 <207.> 31 <207.> 321 00 ~'.\':l:.-, 32b 0 =r..=..",..1I S.hldule C (Form 104011907 19142751 48 ~11 18540225 u F rm 1 4 1997 JOHN Co.t of Good. Sold M.lhOd(l) Ulld I. valul closlno Invenlory: . o [J other (llIlch IXpllllltlon) R. MAY (.N p.g. C'5l --- 191-4~-7591 P.oe 2 - I [KJ Cost k 0 LowII 01 cOil 0' mllkll 34 Wu Iher. Iny ohlno.ln dllllmlnlrlg qUlnlltlll, cosls, or Vlluatlons b.lwlln np.nlno and closlno Invenloly?1I 'VII,' IlIlch IXpllnlllon ,,,,,,. '''''"."""""""""" """"'"". '"'' """"'"'''''''' '''''''''''''''' "" ."''''''''''"""".",,,,,,,, ..""'"""",,, 0 Y.. [KJ No 3S Invlnloly II b.olnnlno 0/ Yllr, II dlNer.nl 'rom last vea(. closing Invenlory, all.ch .xpllnlllon """ ""."",,, '''' ""." ""'" 3S 250. ---- 38 Purchuss 'lIS cost 01 ~.m. wllhdrawn tor personal USl .,',...,""",....."....,.."..",........"""..".""",.,."""",...",..,. 2,226. 36 3r Cosl 01 labor, 00 nollncludl sal.ry pold 10 voulSIII ",,,"" '"'''''''' " """ " " """""" ""'''''''''''''''''' "" ".." "."",,,,,, ".. 37 38 MllIIl,ls lnd supplies """""" "'" '" '" """""'"'''' "'" ",,,,,..,, "" """""""""""",. """"""."",,,,,,,,, "" """'" ""'" 38 39 O1hercosl'""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,"""""""",."",."",,,,,,,,,,,,,,,.,,,,,.,,,,'"'''''''''''''' .."...""""""... 30 40 Add IInss 35 Ih,ough 39 ",," "'" ""'"'''' ""''''''"" """""., "" '"'''''''''''''''''''''''''''''''''''''''''' "",' .",..,,,,,,,,, 40 2,476. 41 Inv.nloly.t end 0/ year '"'''' ""'"'' "'" """""""'''''''''''''''''' "."",,,,,,,, "" ""'"'''''' '''"."""""".""".. ""'"'' 41 67. ...L..5!!t OlgoodllOld, Sublraolllnl 411rom line 40, Enler the resulI hllesnd on pagll, IInl 4 ==.."..""..... 42 _ 2,409. IiIilIIU Information on Your Vehlole. Camplolo this Part ONLY II you .re clllmlno ell 0' lruck Ixpense, on line lQ and are nol required t~ file Form 4582/or thl. buslnoss, So.lh.lnslructlons/ar IIno13 ~e C'310 tI~~~. 43 When did you plac. your v.hlcllln IIrvlc. tor buslnm PUrpOIlS? (month, day, vear) "'--L .4 O1lh.lot.1 number 01 mllll VOU drove YOU, vlhlcl. du,lno 1997, In/II Ih. number 01 miles you USIa vour vehlell tor: . 8uslnlSl __ II Commntlno ~ other IS Ou YOu (or your spouse I havo .nolher vehlcl. avall.ble to, pIlSon,1 USl? . ,,,,,,,.,,,,,,,,oVes ..,,,,,,,,,,..,,,oVe. DNa DNa DNa r::l& 48 W.. your vehlcluvallabll tor UII durlr:o oN-<luly hOUIS?" "" ........."........,........., 47a 00 VOU have evld..clto support your dlductlon? ".".. """" ~Ihe .vld.nc.wrill.n?....,,,,,..,,,,,.....,,,,....,,,,...,...,,.,......,..,,,......"...........""".,.."..".".. . Other Expenses. Ust below bu;~;';;;;;;;;;;;; Inoluded on lines 8.26 or IIn. 30, ''''''''''''''''''''''8ves ". ,....""....",,, Yes POSTAGE -------------------------------------------------------- ----12~ ------------------------------------------------------"-- ------------~------------------------------------------- ---------------------------------~---------------------- -------------------------------------------------------- -------------------------------------------------------- -------------------------------------------------------- ---------------~---------------------------------------- -----------..-------------------------------------------- TOI.I other lip....., Enler here and on plOI 1, line 27 "'''''''''' " ."".,.""., " ,',' 48 . ,. , "",."",.,.,.",.. 40. 744300 191427591 040 MAY, JOHN R. 191427S1 SOHEDULE D (Fo"" 1(140) D~'o'ltl.T"""1y InltIMI "wtfWI SeMo." NtInI(l)'Mwn on'omt to..o Capital Gains and Losses ... Ah.oh to Fan" 1040, ... 8111net/\lotlone lor Soh.dule 0 (Form 1040), .... .1 r m!.!! . 0 n1n. on fo In. 1 .nd 8. OMS No, 1 ~S.OO1. 1997 --..., IItqllttle. No, 12 JOHN R. & KAY L. MAY ... Short.Tenn Capital Gains and Looses. Assets Held One Vel!r or Less (I) O.OIIpUon4fpmp<<ty ~~ ld) ,.,.. pilot (o~;~~?: \l.UmJ>><< 100 'h. XVI Co.) C 0". IOld (s.. pllgf 0.3) (S.. P. 0.41 YOUflOOltl'lCtItllynuMClet 19114217591 1 III OAIN " (LOSS) FOR ENTIAl YEA~ SYblrlol(.'fn)m(d) 2 Enler your ehorHemllolal., II .ny, ',om Schedul. [)o1, line 2 """,,,,,.....,,,,,,,,,,,,,,, """ " " ,,,...,, , 2 3 Totll .hort-t.rm 11111 prloe .mount., Add oolumn (d) ot/ln..' .nd 2 ",,,..,,,,,,,,,,,.,,,,,,,,,,,,,, 3 4 Sho,Henn oaln Irom Fonne 21 19 and 6252, .nd .horl'lerm g.ln or 00") Irom Fonne 4664,6781, and 6624 '''''''''''"."''''''''".."'''",,,,,,,.,,,,,,,,,,,..,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,, i 8 Nel .horlotenn gain or 00") f,om pann."'hlp., S corpor.tlon., ..101.., .nd IflJ.l. ',om Schedule(.) K.l "'''''".."."""""..."""""""..,,,,,,,,,,, ...."",,,,,.,,,,,,,,,,,.,,,,,..,,, S 1 Shorlotllm c.phal 10.. CanyOVII. Enlor Ih. amount, II any, (rom IIn. 9 0' your 1096 C.phal Lo.. CanyOVII Wo,k.heet ",,,,,,,,,.,,,,,,,,,,, ....,,,,,,,,, '"'''''''' '"'''''''''''''' 8 7 N.t .hort-t.rm o.plt.1 o.ln or (lOll), Comblnellno. llhrough 6 In ",n~~~ii~T~~'capit~i 'G~i~~'a;;d.L~~~a~. ~'A~~ai~H'aid'M~;aTha;; ctne V:ar (I) ."'fI"."'pN""" b) 01.10 (d) s.. "'01 I.) c...., (Il GAIN or ILOSS) . . U rwd attlel'tlul. FOR EHTIR'E YEAR (Example: 100 th. M Co.) C 0". tole! (9.. p~. O<Jj (5M p~. 0.4) Subml (_I !'rom (a) iij'f8%RATE GAIN orILOSS) * {... Milt. ~~_ 6 o Entll you, long-Iorm totals, lI.ny, I,om Sohedule [)ol, line 9 ,..""'""""".""""""..,,,,,,,.... 0 10 Tot.llong.t.rm sole. prloe .mount.. Add column (d) 01 line. 8 and 9 """.."""""."."".""" 10 11 Gain Irom Form 4797, Part I; lono.t.nn oaln trom Fonn. 2119, 2439, and 8252';'Md 10ng'lorn! o.ln or 10.. from Fonne 4684, 6781, and 8824 "....s;,J!:.J!:"..~,7',j\,');',".\'),J!:,N7'....L, 11 12 Net 10ng'l.nn g.ln or (lot.) from Partn."'hlps, S corporation.. ..lat.., and tflJ.l. Irom Schedul.(.) K'1 """"""'''''"", ".....""""..""""""...", .."""..",,,,,,,, 12 438. 13 C.pltal ge;n dl.lr1bullon. """."""" ..."""",,,..,,,,,..,,.....,,,,. ".""""""".. """""."""'''''''''''' 13 14 Lono'lenn cophlli 10.. canyovor, Enlor In bolh column. (Q and (ol1h. amount, II any, Irom IIno 14 of your 1998 Capllal Lo.. Canyovor Wo,k.h..t " .......""",,,.......,,,,,..,,,,,. 14 -- -.-l 18 Combln.lln.. 61hrouoh 141n column (g) "..""""" ....".""".. 18 N.t long-t.rm oaplt.' geln or (Io.e). Combln.lln.. 8lh,ough 141n column en .".."" "....."" ""...""""."".""....".."...."",,.....,.. ....."..".......", ... 18 _ 438. , . 28% Ra.. a.ln or LOll Inolud.e all 03ln. .nd 10.... In Pan II, column m Irom iii.., .,chang.., con"",lone Oncludlng In.lallment paym.nt. ,ao.lvodj .hh.n . Be'or. M.y 7, 1007, or · Aft.r July 28,1997, for ....1. h.,d more Ihan 1 yea, but not mO'.lhan 18 monlho. It Illo Includes ALL 4c:ollecflbles caln.lnd lossu- (u defined on Dao. [).4), LHA For Paporworl< Roduollon Aol Notl.., eM Form 1040 In.Wollon., 720511111.26.111 7 18540225 744300 191427591 040 MAY/ JOHN R. 18 Sohedul. D (Fonn 1040)1"7 19142751 klllfPlJla D If.~''' 1o.tOllIQ7 ~ SU,mmary of Perts land II 17 Coonblnollno. 7 .nd 18, II 01011, 00 10 IIno 18, If a oaln, .nlO! th. gain on Form 1040, IIn. 13 Noxt, Complete Fa,", 10~0 Ihrough line 38, Th.n, go 10 P.r1IV to lIouro your Ill)( II: o Both IIn.. 18 .nd 17 ora g,'nl. ond o Form 1040, IIn. 38.1. mOlolh'n zoro, 17 18 If IIno 171. ala.., .ntor hor. and as 0/10") on Form 1040, IIn. 13, Ih..moller of Ih...lo....: o 1'11eloo. on IIno 17; or o (3,000) or, II m'"lod filing ..paral.ly, (1,500) Noxt, Oomplel. Form 1040 throuoh 11".36, The", compl.teth. Oapllol LOll O.rryover Work.h.ot on page 1>4 II: o Th.lolI on IIn. 17 1X0.ed. Ih. 1011 on IIn. 18, or o Form 1040. IIn. 38, I. ala.. IiEIImI TlllC Computation Using Maximum Capital Goins Aatos PIO.2 438. 19 Snter yOur1....bl.lnoom.lrom Form 1040, IIn. 38",,,,,,,,,,,,,,,,,,...,,,,,,,,,..,,,.,,,,.,,, "," """""..",,,,,, 20 Snler the .maller of IIn. 18 or IIn. 17 """...""""""."""",,,.,,,,,,,,,,,,,,,.,,,,..,,,,,.. 20 21 II you are IIlIng Form 4952, .nler tho amount from Form 4952, line 4.,...""""""" 21 22 Subtraotllne 21 Irom IIn. 20, II zero or 1'.0, onter O(), """""""".",,,,,,,,,,.,,.,,,,,, 22 23 Combln.lln. 7 and 15, It zero or I..., .nt.r o(),,,,,,,,,,,...,,,,,,.,,.,,,,,,.,,,,,,,,,,,,,,,,,,,,, ,g.:!. ___. 24 Snler the omaller of IIn. 15 or IIn. 23, bul noli... thOll zero ""..""""".",,,,,.,,.,, 24 28 Enler your unreoaplurad .eollon 1250 gain, II any (.e. pag. 0'4)"""""""."""." 25 28 Add IIn.. 24 OIld 25 "..""""."""""""""""."..."",,,,,,,.,,,,,,,,..,,,,,,,,,, "",,,,,.,,,,, 26 27 Subtract IIn. 261rom IIn. 22, If zero or I..., .nter o(). ",.."".., """."", .",..""""... '",'''',''''''' "'''''''''''''''''''''''' 27 28 Sublraot IIno 27 Irom line 19. It zero or I..., .nter o()., ...",,,,,,,...,,,,,, ..."'''""."",,,....,,,,,,,,,, ..""".."""",,,,,,,,,, 28 29 Enter tho omoller 01 IIn. 19 or $4 1 ,200 ($24,850 If .Ingla; $20,600 It mar.ad IIlIng ..paral.ly; $33,050 If h..d of hou.ehold) """ """"""""" 29 30 Enler thoem.ller 01 IIn. 28 or IIn. 29 ..""", ....."",,,,, ..".."..,..".""..."....,,,,,,,.,, ...."."...""" 30 31 Subtract IIn. 22 from IIn. 19, It Zero or I..., .nter .0. "" '''''''''''''''''''''' "....,,,,,...,,,,, ......"""."" ......"",,,,,,,, 31 32 Snler th,'arger 01 IIn. 30 or IIn. 31,.",.."...""".." ... .."."...."""....." ",,,... ".."... ",,,,,,,,,.,,, 32 33 Figure Ih. tax on Ih. amounl on line 32, U..th. Tax Tabla or Tax Rata Soh.dula., whlohavar appll.. """''''''"""..,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,, ...""..",,,,,,,,,.,,,,,,,,..,,,, ",,,,,,,,...,,,, ... 33 34 Enler tho amount from IIn. 29 ...""'''".".."""".""",,. ....".."".",,,,,,,..,,.,,,,,,,,..,,, ""..".""",,,, 31 38 Enter tho .mounllrom IIn. 28 """""""""""'"'''''' .""".""..", ...."",,,...,, ......"".""" 38 38 Subtracl IIn.35 fromlln.34,lfzeroorl'..,.ntero()., ....."""....",,,, ,,,,,..,,.. ""."." " " '" 36 79L985. 438. 79, 547~ 41,200. 41r200. 79,547. .12.! -54 7_.. 16(911- 41,200. 79 547. -0:- 37 Mulllpiy IIn. 38 by 10% (.10) "".""....,,,,,,,,..,,,,,,.,, ''''''''''''''''''"", """""""" "...,. 38 Enlerthoemolleroflln.100rlln.27 . """""'"'''''''' """"""'"'''''' '''''''''''''''''''' ""'"'''''''''''''''' 39 F.ntor tho amounllrom line 38 ''''''"."''''".."",..,,,,,...,,,,,,,,,.,,,,,,,,,.,,. ".""""",,,,,.,,,,..,,,,,,,..,,,,,,.,,,,,,,,.. 40 Subtract line 39 Irom IIn. 38, If z.ro or I..., anlar o(). "."..."""."""".."",,,,,,,.,,,,,,,,,,,,,,,,,,,,,,, ... 37 38 30 40 41 Munlpiy Iln. 40 by 20% (.20) '"'''''''' """...,,,,,,,,,,,, 42 Enler tho .maller of IIn. 22 0' IIn. 25 43 Add IIn.. 22 .nd 32 ''''''''''''''''"", 44 Enter tho amount from IIn. 19 ""'"'''''''' 48 Subt,act line 44 f,om IIn. 43, If zero or Ie.., .nlor o(). 48 Sublraot IIn. 45 Irom IIn. 42, If zaro or la.., .nter o(). ......................... "'''''''''''' ~ 41 ..""."...." 42 79,985." 79r9~5. ~5 ".."....""", 46 .::......"...................:"~L'''..''.~ 47 Muhlply IIn. 46 by 25% (,25) ". 48 Sntorthoamountlromlln.19 .."""""..""", "......, .". 49 Add Iln.. 32,36,40, OIld 46,,,,,,,..,, ......""....". 80 Sublract IIn. 40 'rom IIn. 46""""". ....."...""."". ~ 47 48 40 50 43B. 4 311-:- BB. o. o. 79,985. 79,9B5. 1 999. 17rO 7. 16 999. ""...............,.............. 81 Mulllpiy IIno 50 by 28% (.26)".".""" ".....""", ..........", 82 Add IIn.. 33, 37, 41, 47, ond 51,,,,,,,,,...,,,,, '''''''''''''''" "",,,.,,,,,, .."""",,,,,, 53 Flouro thalax on Ih. amount on IIn. 19, U.. the Tax Tablo or Tax Rat. Sohodul.., whlche", applle. ~ Sl 2 83 84 fix. Snter the omlller 01 line 52 or IIn. 53 hor. and..2!ll.orm 1040, IIn. 39 .. "" ~ 84 0720fJ2 01'_11 18540225 744300 8 040 MAYr JOHN R. 191427591 19142751 JOHN R. , KAY.L. MAY I Enler h.rlth. gro.. p,,,,,.edl from Ihllall or ..ohlng. of ,.alo"alo repo~ed to you for 1997 on fonn(.) 100g,S or. oub"hul. et'lem.nl thai ou will be Inoludlno on line 2, 10, or 20 ";",."..,"',..". ''''''''''''''''''=..... " . II' or 0 ange.o roperty Uled In a TraDe or Business and Involuntary Other Than C81uel or Theft. Propertk', Hald More Than 1 Year \ I (dl e O'9~lIon Co.lo'olll... ll~ D..oriptlon 0' (b~ o.t. fIOqul~ C D.ta Mid ato.. .Iln allow" Of bU::U. 2 pn:lJ*fV (t,...", 41Y, ~r.1 1m., d.y, vr.J ~rlC4 '1I0W'~::I~~~ ':I'O~.. 0' :11':<1 Oaln, II any, Irom Form 4664, IIn. 39"""""""""".""""""""",,,,,,..,,,,,,...,,,,....,,,,,,,,,,,,,,,,,,,,,,..,, Soollon 1231 glln from Inatallm.nloaleo from Form 6252, IIno 28 or 37."!l,~!I,~,E,:.!1I!:.W.r",,~.,,, SeoIlon 1?31 gain or 0011) Irom IIk..klnd ..chang.llrom Fo,m 6824."""...."",,,,,,,.,,.,,,,,,..,,,,,,,, Oaln. W any, lrom IIno 32, 'rom olherlhan caoualty or thoh """''''',,'', ....",,, ,"" "" """ " " " " "."" Comblno IIn.. 2 throuOh 61n column. (0) and (11), Enler olin or (10'.) h.,e, and on Ih. opprop~nll IIno ..Iollowe: ''''''''''''''''''''''''''''''''''''''".",,,,,.,,,,,,,,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,, """''''',,''''','''' 7 Portn...hlpl' Enllr Ih. gain or 00..) on Fcrm 1065, Sohedull K, IIn.. 81 Ind 8b, Skip IIn.. 6, 9, 11, and 12 below, S oorpo..llona ' Rlpo~ tho oaln or 001.) Icllowlno Ihl In.truotlon. lor Form 1120S, Sohldull K, IIn.. 5 and 6, Skip line. 6, 9,11, end 12 bIlow, unle..llno 7, column (g) I.. oaln and the S corpor.llon II eUbl""t 10 Ih. cnphal oaln.II\)(, All olh... .If IIno 7, column (0) I. zero or 110'., .nllr thai amoullt on line 11 bolow and .klp line. 8 and 9, IllInl 7. column (0) Ion oaln and tOU did not havoany prior yeat 'IOtlon 1231 101"el. or IhlY we,. rlOaplured In an eatller Ylat, onler Ihe oaln or (10") In laoh oolumn .. alono'term oep""1 oaln or 00.1) on Schedull 0 and .klp line. 8, 9, and 12 below, Nonr""aplured not llOllon 123110....lrom p,lor years '"'''' ""'"'''''''''''''''''''' " ,,,,,.,, ""...."""" Sublraol IIno 8 Irom IInl 7. If zero or I..., enllr ,0" 1.1.0 ont., on Ihe Ipproprlalo line.. folio""" 9 8 oorpo..llo.e. Enllr only the oaln In column (g) on Schedule 0 (Form 1 120SI, 1111114, and .klp II... 11 and 12 below, All olh... '1Il1no 9, oclumn (0) I. Zlro, ontar the gain IIcm IIno 7, column (g) on line 12 bllow.llllne 0, ooil.:mn (0) I. marl than z.ro, enler the emount Irom IIno 8, column (0) on IIno 12 below, and enforthe oaln or 00") In eoch column 01 line 9.. 11"nO'lerm caphol oaln or 00") on Schedule 0, _ . Corpol1llono (Olhll Ih.n S corporallons) should nol compllll column (hi, Partnlrshlp, and S corporation' mUll comploll column (h), All Olh.rs musl compl611 column (h) only IIl1nl 7, column (0), Is . oaln, 28'10 rail oaln or loss Includll .11 oalns and loss" In column (0) t,om sailS, Ixch.nolS, or convllslons (Includlno Instillment paymlnls recelvld) I~her (II bllole snm or Ib) Inll 7128/97 lor assot, hlld more Ihan 1 year bul not rnorolhan 18 month', ~ Ordinary Oaln. and Los.es 10 Ordln alnl and 10.... not Included on IInll 1 1 throuOh 17 Onoludo ro ~y held 1 yeM or Ie..): 'J Form 4797 CI""",u"r... r-:"y ~~~~hMoe (It) NlII'M(tjlftOWn on ,.._"" Sales of Buslneu Property (Alao Involuntlry Oonvlrwlon. Ind Reclpturl Amount. Under Seotlone 17' and lleOF(b1l2)) ... Attoch 10 yo", tIX ,.lum, 3 4 8 a 7 8 o LOllI, II any, Irom line 7, oolumn (g) ",,,,,,...,,,,,,...,,..,,,,,,, '''''''' " ""'" ....,,,,,,,...,,,,,,,,,,.....,,,,,,,,,,, Oaln.1I any, Irom line 7, column (g) or amount from IInl 8, column (g) lIappllc.ble ""...",,, Oaln, II any, from IInl 31 "..""""",,,,,,,,,,,... " "'" ""'",,''' """" " ..."""""."""""""...."",,,,,,,,,,,,,, Nil oaJn or Ooell I,om Form 4884, line. 31 and'S8a "'''''''''' ......""..""""."""....""""" OrdlnllY gain from In.llllmont .alee I,om Form 6252, line 25 or 36,,,,,..,,.....,,,,,,,.,,,,,,,,,,,,,,,,,,,.. OrdlnllY glln or 0001) Irom IIk..klnd exchanoellrom Form 8824 ,.."...""",,,,,.,,,,,,,,.,,..,,,,,,,,,,,,, R""apture 0' elOtlon 179 expenle deductton lor partne.. and S co,poraUon .hatoholde.. from property dllpo,lIlonl by plll1nl,.hlpl nod S corporaUon. """"'''''''''''''''''''''''''''''''''''''''' 18 Comtlnlllnlll0 th,ouOh 171n column (0), Enter o.ln or (lcII) hIFI, .nd on Ihl approprtatlllnl IS follows: a For all exclpl Individual 'Ilurn.: Enter the gain or 00.1) from IInl 18 on Ihe ilium being flIld, b For Individual reluml: . (1) 111heloll on /lnl 1 llncludlllloll Itorn Form 4684, line 35, column (b)(II), Inlll IIIlt part 0111I11011 herl.nd on Unl 22 0' Schedull A (Form 1040), Idenllfy IS from 'Form 4'/97, IInl 18b(1),' """"',,"" ".". (2) Rldlllrmlnllhl Olin 0' (1011) on IIn118, Ixcludlno 11I11011, IIlny, on line 18b(1), Enl.r hllllnd on Form 1040.lln114 ,"....,,,,,,,, ""''''''''",...",,,,,,..,,,,,,, ,.. ."."..."""..""".. ....." ...... ......"._... LHA For Poperwork Reduction Act Nollo., a.. pelle 1 0' eep.ralelnelruollon.. 18540225 744300 191427591 040 MAY, JOHN R. ~ ~ ~ 11 12 13 14 lS 18 17 OM8 NO. 11411+0". 1997 ='=1,. 27 IdtntltvlllllllUmbtf' 191-42-7591 rom lul ~!.'!,~ (,';9SS) Sublrlcll( '-om tIl.,ulnolo .nd . IhI28~. RATE OAIN , ot(LOSSI (...IIl.ttuOtionlbelOYlj 3 4 8 8 438. 438. F0ll114717 (lOOn 19142751 Form4707(igg7)JOHN R. & KAY I,. MAY 191-42-7591 Ploo2 DIIIIIII Ollll~ from Dllpo.ltlon of Property Under SeotlonI1245. 1280, 1252, 1254, and 1255 10 (I) Deeoripllon orolOllon 1245, 12S0, 12S2, 1254, or 1255 proporty: (b) O.llIoqullld (0) Dalllold - (mo" diY, y,,) lIOO"d.y,y,,) ~- INSTALLMENT SAI,E NO. 1 -- _04/21/9~ 09/25/97 - 8 -- .0 - -- 0 Thll. Golumn. r"lt. to the propertl.. on _.J!.'l!!.1!A!!l!!!ugh 100. ... Pr~A ProPlrty B pr'!J!!rty 0 ~ertyD 20 Groll ulll price (Not.. SIIIIn4 1 blrOll complellng,) ,..;!!I- r-' 5,L00O. -- 21 Coal or other buls plus I.p.ns. or ..I. """""" ...RL 10,470. - 22 CloPllOlltlan (or dlplltlon) II10wBd or ollowabl. ," 22 8,601. -- 1,1369. -- - 23 AdJultod bul., Sublraollln. 22 from IIn. 21 .."" 23 24 Tolol olin, Subtrlct line 23 f,om IIn. 20 ". ........., 24 j,131. - - 28 IIleollon 1248 proplrty: I DeprlOlotlon II10wed or II10wlbll Irom IIn. 22 '" 2S1 -~ - b Enterlhumlll.r of IIn. 24 or 25a "",, ,......... 25b 28 1I110110n 1280 o,oporty: If elralohllln. deo'lOllllon wu usBd, .nler .(). on IIn. 26g, ..ceot for I corporallon lubjool to ..at Ion 291, I Addlllonal d.proolallon aMer 1975 ",,""",,"""'" 1281 b Appl/oable peroenl,.O' mUlllpllBd by tho emlll.. of line 24 or IIn. 281 ,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,. 28b o Sublreol IIn. ?6a I,om IIn. 24, If ra.ld.nllll ranlal property or IIn. 241. not more than IIn. 25a, Skip IIn.. 28d and 25e "",.",.....".,...,."...,."". ......,.. 280 d Addlllonal depreclltlon .ner 1969 and b,'oll 1976 """ rM --- - o Enler the .mlll.. or IInl 26c or 26d . ......""."", 26. f S.cllon 2g1 amounl (corporallone only) """",, 26' - II Addlln..26b,28., end 281 """""'",''' ,,,,,,.,.... 260 . 27 If e..tlon 1282 prop.rty: Skip thl. .octlon II you did nol dl.pos. 01 llImland or If Ihl. form 10 bolno complttod for I parln.rahlp. I 5011, Wit.., and lend cleanng e.pen... "" ."".".. 27. b Llnl271 munlpllld by .ppllcable percenlaoe '"'' " "" " " 27b o Enter thumlll.r ot IIn. 24 or 27b ..."" 270 118 If ,.0110n 12M proplrty: . InlJnolbll drililno and d.vllopmenl COltl, explndltu," 10' dlvelopmenl 01 mlnll and olhll n.lural dlposlt" and mlnlno Ixplorallon COllI "''''''''''''''''''''"",,,,,,, 280 ~tor Ih. .mlllor 0' IInl 24 or 28. .. ,.. .... '''''''' I18b 2g Ih.otlon 12SS prop.rty: I Appllolbl. percenlege 01 peymonl. ..oluda<! 291 from Income under IlOlIon 126"".""""""""",,, -!LEnter th~ Imlll.r 01 line 24 or 29. - ....,.,....., 29b Summary of Part III Oaln., Compl.t. prop.rty oolumns A through 0 Ihrouoh lin. 29b b.lore going 10 IIn. 30, 30 Total oslne for all p,opertl.., Add property columns A Ihrough D, IIna 24 "", ,........"."."",..,..,,,,,,,,,...,..,,..,, 31 Add property columna A throuoh 0, line. 25b, 26g, 27c, 28b, and 29b, Entar hero ond on IInl 13 ",,""""""","",," 32 SUbtrsct IIn. 31 from line 30, Enler lho portion from oasualty or Ihoft on Form 4884, IIno 33, Enlor the portion 'rom olher Ihan OQually or theM on Form 4797, 11M a, oolumn Ig), and If appllcablo, column Ih) """,,,,,,,,,,,,,,,,,,,,N/A IiIlDIl!I Reoapture Amounts Under Seotlons 179 and 280F(b)(2) When BUllness Use Drop. to 80% tlr LeM SHln.truotlon., (I) BaotJon 170 (~o,."'IO" .llsHIl 33 Saotlon 170 .><pan.. dBductlon or d.proolotlon sllowabl.ln prior vo'" 34 Racomputod d.prlOlatlon """""",,,,,.,,,,,,,,,,,,,,,,,,,,,,,,.,, "."""" "."... 38 Racaptur.lInO<lnl, Subtraot IIn. 34 from IInl 33, ,........,,, ."" 33 ",,,". n.'n\, 18540225 744300 191427591 10 040 MAYr JOHN R. 191427111. .\ . .,... 6251. DOES NOT l\PPLY Alternat!ve Minimum Tax - Individuals D"*"*'I'.,... T"'~1'f I"WmIi~""...,... Nllne(e) Ihown Q/\ F0ITI11040 ... AUloh 10 Form 1040 0' Form 1040NR, JOHN R. , KAY L. MAY 11III AdJu.lm.nt. and ~r.f.renoe. 1 It you hlmlzed deductlone on Schedule A (Form 1040), go 10 IInl 2, O1hlrwl.., Intlr your etondard deduotlon 'rom Fo,," 1040, line 35, here and 00 to line 6 """"",, ....""""",,,,,,,,,,,,,,,,,, "". " " '" "'"'' " "" "'"'' ,,' """"'"'''''' 2 Medloll and denlN, Enlll thl emeller of Sohldule A (Form 1040), IIn. 4 0' 2 1f216 of Fo,m 1040, line 33"..",,,,, 3 TaxeM. Enler thl amounl from Sohedule A (Fo,m 1040), IInl 9 """""",,'''''''''''''',, ........"""",,,,,,,,,,,,,, """,,,',,' 4 Cortlln Interllt on I home morto.oe nol u.ed to buy, build, or Improve your home '"'''''''''' """""'"". """ " ".. " " 5 Mllclllaneoue hlmlzed deduction., Enler Ih. amounl I,om Sohedul. A (Fo,m 1040), line 26 """".""""",,,,,,,,,,, 8 Rofund o/taxe., Enlor any tax rofund from Form 1040, line 10 0' IIno 21 """"'''''''''''''''''' ....."""",,,,,,, 7 Invlltmont Into".I, Enlor difference belween regul.r lax .nd AMT dlductlon """",,,,,,,,,,,,,,,,,,,,,,,,...,,,,,,,, """.. 5 Po.fo1988 deprecl.tlon, Enler dlfforence belwoen reouler lax .nd AMT dep,ocl.tlon "''''''''''''''''''''''',,'' o Adlueted o.ln or lo.e, Enler difference belween AMT and ,eoul.r tax geln or 10" ."""."". .....",,,,,,,,,,,,,,.... 10 Incentive Itock option., Enle, Ixce.. 01 AMT Income over roguler lax Inoom. '" ......"",,,,,,,,,,,,,,,,,,,,,,,,..,,.,,,,,,,, 11 POI.Iv. aotlv~I.., Enlll dlll.r.nco belwHn AMT and looular lax IncolO. or 10.. ",,"," .......",,,,,,,,,,,,,,,, 12 B."eflclarlel 01 ..t.I.. and IN.t., Enter Ih. .mount from Sch.dul. K.l (Form 1041), IIno 9 ,,"",,",,' .....""",.." 13 Tax....mpt Inl.r..t f,om p,;v.l. .cllvl1y bond.I..u.d .1I.r 8n/88 '''",,'''',,'''''''' ....."""",,,,,,,,,,,,,,,,,,,.,,.,, 14 other, Ent.r thl amount, It any, or oooh ~.m b.low .nd .nler Ih. lolel on IIn. 14, e Charitoblo oontrlbutlon. '" h Lo.. IImh.tlon. " ....,...""", b Clrcul.tlon Ixpond~ur.. '" I Mining 00.1. ''''''''''''',,'''''' o Depl.tlon """"""'''''''''''' J Pat,on'. adlu.lmlnt ..""" d Dep,..lal~n (pr..1g87) '" k Pollution conlrol I.ollltloo ". . In.t.llment eel.. ,,,,,.....,,,, I R....roh and .xpodm.nt'" f Intangible ddlllno oo.t. """ ~ m Tax .h.ll.r I.nn .otlvltl.. . , 9 Long'lerm oonlr.cl. n RII.led .dju.lm.nl. 15 Tolll Ad ullm.ntlOnd Preler.nce.. Combln. IIn.. , throug~ , 4" '"'''' . Altematlve Minimum Taxable Inoo"ll!._ 18 Enl.rthe amounl I,om Form 1040, line 38. If I... th.n zero, ."t.r as. 00"),.."..""".""""",,,,,,,,,,, ... 17 N.I oper.tlng 10.. deduction, liMY, from Form 1040, IIn. 21. Enl.r... po.hlv. amounl"...""".."",,,,,,,,,,,,,,.. 18 It Form 1040, IInl 33, I. ov.r $121 ,200 (over $80,800 It married fillno l.par.t.Iy), and you ~Imlzed d.ductlons, .nlerth. amount, II any, f,om IIn. 0 of Ih. wo,k.h..t lor Sch.dul. A (Fom1 10401, IIno 28 ,,,,,,,,,,,,,,,,,,,,.. 19 Camblnllln.. 15 throuOh 18 """,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,....,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,. ...."""."" ... 20 Ah.m.tlvelax nel oper.tlng 10.. deduotlon,,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,..,,,,...,,...,, .......""",,,..,,.,,,,,,,,,,,,, 21 Altlm.tlve Minimum T.xeblelnoom., Sublr.ct IInl 20 trom IIno 19. (If married filing ..p.ratoly and line 21 Ie mor.lhan $1~5,000, ...In.tNctlon.,),,.,,,, """'" ,,,,,....,, ,...." ,,,,,,,,. ..."""""." IiliIIIIIf Exomptlon Amounl and A1!ematlve Minimum Tax 22 e.lmptlon Amount. (II thl. lorm I. for. ohlld und.r ago 14, ...In.tructlon.,) 1/ you, flllng It.tUI Is: And line 21 I. not ov." THEN .nter on tine 22: SlnOI.orh..dolhou..hold"".....".""."...."."" $112,500 "... ""'''''''''''''' $33,750 } MIll1.d fillnojolnt~1 or qUNl1ylng wldow(.,),..""" 150,000 """..",,,,,,,..,,,,, 45,000 Married flllng IIpl1ately ",........."".......... 75,000 ..." """... 22,500 '''''''' ......... It line 2111 over thl amount .hown .bov. lor your filing .talu., ... Inslructlon., 23 Sublr.ct line 22 I,om IIno 21, It z.ro or I..., enler {j, here and on line. 26 and 26.""" .".............."""",,,. 24 II you compl.led SChedul. 0 (Form 1040), and had an amount on IInl 25 or IIno 21 (as "Sou,.d lor tho AMT, II noc.ISllIy), 00 10 Part IV 01 Form 8251 to SOUto'lIn. 24. All others: IIl1nl 231. $175,000 or I... ($87,500 or Ie.. II married IIlIno .epar.lely), muhlply line 23 by 20% (,28), otherwl.e, mu~lply IInl 23 by 28% (,26) and .ubtr.ct $3,500 ($1 ,750 II married filing ..por.l.ly) from the ,..ult , ."".",,,,,,,,,,... ...",,,,, "" " ,,,,,.. """ " " , ~ 25 Alt.rn.llv. minimum tax 101llgn lax cred~. ..""...."''''''''''''''''''''""".""".""",,,, "'"'',,''''''''' 28 T.nl.tlve minimum tax, Subtr.ct IIno 25 Irom IIn. 24 ,,,....,....,,...,, """". " ".. " " "" " " '" """ " '" " " """"" , 27 enler your lox from Form 1040, line 39 (mlnu. any tax from FOlm 4972 and any 101llgn lax oredll Irom Form 1040, IInl 43)."""., ","""""""",,,.,,.",,,,,..,,.,,,,,,,,,,,,,""."""""'""."".., ",,,..,,,,"",,,,,,,,,.. ...,,,,,,,,,,,,, , 25 Alt.maUve Minimum Tux. (II thl. form I. for. child under .oe14, ...Inttructlon.,) Sublr.r.1 IIn. 27 f,om IInl 26.llzero or Ie.., Inler.()., Enter here and on Form 1040, line 48 ....",,,,,,,,,,,,,,,,,,,,,,, ....",,, ... LHA For P.porwort< Reduction Aot Noll..., ... "pirate Inltruotlonl. '1"'" 1.17.., 18540225 744300 191427591 11 040 MAY, JOHN R. _1 2 .L 4 5 8 7 8 g 10 11 12 13 18 17 16 10 20 ... 21 22 ~ 23 OMB No. 11....0'227 1991 ___I 32' Sequ~ No. Your .oclel .eourlty number 19114217591 5,563: '8: 5,5-71. 85,285. 90,856. 90,856. rl5 000. 45 856. 24 11,897. 25 28 11 , fi97:' 27 16 999. 28 O. Form 8251(1997) ... 19142751 j ... I '" ~j , In 1 ...... I 1'1 '" j~ I J ... '" ... - -- f; ~ ! ~ ~ j ~ ~ J .. ~ ~. ~ & I . m .. ~ :5 ~ ~. Vl ~ ~ & ~ . . . g "'''' '" ., :IE ~ I ~. ~ , & ^ ^ - . . . ....."'''' ;i 0 '" N ... ~ V V .s .. .. ... ~ ~ ~ o~o ~ U;;jU .~ Z Z ... H ....1 1 ~ ~ . ~ll<E-< ;;j H r.lr.l t:lZ ~ ::> ~ , r.l (J EoI E-< ~~~~ 0 ~ E-< I't: . I~" .. .. I't: .. J ~ U I ~Il U U J~ ALTERiIlATIVE MINIMUM TAX DEPRECIATION REPORT - ASSET AMT AMT REOULoIR AMT ,\MT NUMIER OESCRIPTlDN METHOD LIFE DEPRECIATION OEPRECIATION AOJUSTM8NT III.XRWARE --- I--. T MTEN FRAMES 115008 [0;00 9~ 9. -~ 2 XPOSURE UNIT 115008- 10.00 90: 88. ._-~ f--- ETEN FRAMES " . - 1---. 3' ETER 115008 10.00 31. 31. O. RYER PRESS 1500B 10.00 328. 322. --. 6. -,r " r; fELEPHONE 11500B 10.00 9. 9 . - o . .. SUBTOTAL .. 467. 459. -T. ... GRANO TOTAL ... 467. 459. ..!: >-.-. - -- .- - - - . - . - -- 1--, - - - - , .. . .- --- .. -- - - .-- - . - , - - f!"JI.'" 18540225 744300 191427591 13.1 040 MAY, JOHN R. 19142751 Olpl~m.nt of lhl T'lIIury Inl.mll RevenuI S'NIc. 1 Like-Kind Exchanges (end nonreoognltlon of GaIn from oonfllot-of-Interest salus) ... S.. separall Inslructlons, '... Attach 10 Vou, tlX ilium, ... Use I IIparal. form lor uch IIkl.klnd Ixch.nOI, OM8 No, 1545'1190 Fonn 8,824 1997' AlI.ch'menl SlquencI No, 49 Idenllfylno number Nlml(e) Ihown on lax ilium JOHN R. & KAY L. MAY _J.91-42-7591._ ",-iniOim.iiOn on thl Like-Kind Elchlnoe Nole: III~I P'OPlrty desorlbld on line 1 or lI"e 21s ,..I p,operty localld oulsldllhl Unlled Slales, Indlcall Ihl counlry, OIlC,lptlon olllkl.klnd proplrty olvln up "'.... _. .. _ .. .. .. .. _ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. _ .. .. .. .. .. _ .. _ .. _. .. .. .. .. .. .. .. .. -------------------------------------.----------------------------- 2 Oesc,lptlon olllkl'klnd P'OPlrty IIcllvld "'.. .. .. .. .. .. .. .. .. .. _ .. _ .. .. .. .. _ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. _ .. .. .. .. _ .. _ _ .. .. .. .. .. ------------------------------------------------------.--- -------- 3 Oltlllkt.klnd proplrty olven up WII onolnally .cqulred (monlh, dSy, VIII) ""''''''''''''''',,'' "..",,,,, """"""'"'' '"'' """,.""" '''' ..:1 4 O.le you lolually lranslerrld vour P'OPlrty 10 olh.r party (month, day, year) .. .........".." '"'''''''''' "" "" ,,",," "'''''''' ""'"'''''''' "" 4 S Ollelhellkl.klnd P'OPlrty you IIcllvld wllldenlllled (monlh, dav, vear) ."""""" "",, ""." """"" """"''''','''''' ....""" '''''''' S 8 Dale you .olually recllved Ihlllkl'klnd property "om olhll party (monlh, day, vearl "" ".. ".. .. ,.. "..""" '"'' '"'',''' "," ,",,"",,' 8 7 Was IhemhanOI made Wllh a 1I1.lId party? II 'Ves,' complele Part II. II 'No,' 00 10 Part III. I Y In his lax ar b 0 Ves, In a anor lax year c CXJ No, RI"lld Plrty F..chlnge InlOlmltlon 8 Name 0' IIlaled party I Relaled party's Idlnllfylno no, AddllSl (no" slreet, .nd apI., room, 0' suitt no,) City or town, slale, and ZIP code l Relationship 10 you o Ou,'no Ihls tax VIII (and b.IOIllhe dais Ihalls 2 vea" aller Ihllllt lransler of P'OPlrty that WII part 01 IlIe exchanoe), did Ihe rel.lsd party sell ordlsposl ofthellke'klnd P'OPlrty rec.lved Irom you In the Ixchanoe? """""""""'"'''''''''''''''''''''''''''''''''''' 0 VIS 0 No 10 Ou,lno Ihls lax Vear (and blfore Ih. dale Ih.l I' 2 years after the last transfll 01 P'OPlrty Ihal WII p'~ olllle exchanoe), did you 1111 0' dllpose otlhlllke.klnd property you rec.lv.d? """" "'" ".... " "" " " " " " "" ,,,,,..,, " ""''''''''''".""""""",,,,,,,,,,,,,,,,,,,,, 0 Vee 0 No If bolh lines 9 and 10 all 'No' and till, Is the vear of thl Ixchanoe, 00 10 Part III, II either IInl 9 01 line to I' 'Ves,' Ihl dllerlld oaln or (loss) ',om line 24 mUll be reportld on vour return Ihl, tax year, unl... one ollhe excoptlon, on IIn. 11 applies. S.. R.I.led party uchanou'" thllnslructlnnl, 11 II onl ollhe exceptions bllow appllos 10 Ihl dlspolltlon, check Ihe applicable box: I 0 The dlspos~lon waslfter thl death oll~h.r ot Ihe Illalld p,rtles, b 0 Thl dlspos~lon was.n lovoluntary convorslon, and th.lhreal 01 convlrslon occullld 'lIer IlIe exchanOI, c 0 You can III.bllsh to Ihl SllIsl,cllon ollhe IRS thai nellhll Ihe IXch.nOI no' Ihl dl'po,ltlon had lax ,voldancl as lis prtnclpal PUl1Jo... IIlhllbox II eftlChd, IlI,ch an IX lana Ion,.. ' Rlllllld Oaln 0' (LOll), Ruognll8d Oaln, and Bul. 01 Llke.Klnd P,operly Received Clullon: II you Iran,llrrld and rectlvld (II mOIl than one O,oup olllkl.klnd prope~les, or (b) cash or olher (nolllkl-klnd) plOPlrty, III Rlpo~lnO 01 mu~I'uset uchsnouln Iholnslrucllons, Nol,: ComplelellnlS 12lh,ouoh 14 ONL V II VOU om up P'OPlrty thai WII not IIke'klnd, othlrwlse, 00 10 line 15, 12 F.1r ma,kelvaluo (FMV) 01 olher prop.rty glvln up ..".."""""."..."."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 12_ 13 Adlustld bills of olher proplrty olvln up """" """..",,,,,,,, "."...""..".., """",,,...., """'"'''' 13 14 Olin or (loss) recoonllld on other property glvln up, Subtract line 13 from 12, Rlport Ihl oaln 01 (loss) In Ihe saml manner II If Ihe exchangl h,d blln a sail .. ... ..." """" '"'''''''''''' "'" "..,,,,,, ,..""""""" "."" """"""". l' Cash racllved, FMV 01 olher proPlrty recllved, plu, nIl liabilities assumed by othtl p.rty, reduced (bul not belnw zero) by any exchanOI expenm you Incullld ..""" "".."."..,,,,,,,,,,, "" """" ...... "".. "".""""" '''''''''' """, 18 FMV olllk"klnd P'OPlrty you recllved "",,,,,,,,,,,,,,:.".,,,,,, ...".....""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,, '''''''''''' ",,,..,,.,,,,,,,,,,, """" " 17 Add line, 15 and 16 '" ..."."". "."...""..,,,,,,,, "",,,..,, '''' .... ...... ..... ......""", """"""'"'''' """,,"",,"" 18 Adlll,ted basis 01 IIkl.klnd ProPlrty VOU om up, nel amounl. paid 10 olher party. plus any IXch.noe IxpenllS nol used on Iino t5 ""'"'''''''''' ...... ..... """",.. ,.... .",,, "'''''' """""""""""'''''''''''''''''' 10 Reell..d geln or 11011). Subtractllnl 181rom IInl 17 .. ""'"'''''''''' """",.."""",,,,,,,,,,,,,.,,,,,,,,,, "'''''''''''''''''''''' """""""" 20 Enter the smallll olllnl 15 or IInl 19, but nOlless Ih.n litO . "'"'''' .""....."""",,,. ........ """"'"'' '" "''''''''''''''",,'''' ""'"'''' 21 Ordlnlry Income under recaptuII rulli, Eotll herllnd on Form 4797, IInl 16 ,,,.,,,,.,, "."."""",,,,,, ",,,,,,,.,,,,,,,,.,,,,,,,,,,,,,,,,,,, 22 Sublractllnl 21 from line 20, II zero 0' 111I, .nler -0-, II mOil Ihan zero, .ntll here .nd on Schedull 0 0' Form 4797, unless Ihllnll.llmllll mllhod Ipplles ""'"''",'''',,'','''',''''''' .."""""""",,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.... 23 Reoo9nllld Olin, Add lines 21 and 22 ""'"'' """" ". """,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,..,, ""'".,, """..,.... 24 Olferred oaln or 11011), Subtllclllnl 23 110m IInl 19, II. rel.lld p.rty exchanoe, s"lnstrucllons ,,,,,.,,.,,,,,,,,,,;,,,,.,,,,,,,,,,.,,,,,. .Leaele 01 tlkl.klnd D'ODerty reUNed, Suhlllc1l1nl 15 from 1M sum of lines 18.!!!!!1L...""..""" '''. '"'' " "" " " ".". ""....... 1~"11.'r, LHA Fo, Peplrwolk Reducllon Aot Nolin,... npersleln.lrucllonl, 14 18540225 744300 191427591 040 MAY, JOHN R. 'onn ",. (1"'1 HMl'IlI(')'~on",",.t\I'!" p... 2 I~"'tcllr1lVnlll'l'ibell' , , JOHN R. & KAY L. MAY " 191-'42,-7591 ~otlon 1043 COUlt!21:2.t./nterest Sales, AlI.ch. copy 01 you, ClrtlnCll1 01 dN.,iii;;:- _ ~_ = Nole: This Plrt I, only 10 be Ulld by offlclI1 Or .mploy... "th. ex.cull'l. bt'"ch 01 Ih. F'd"'l OovII"m.nl lor repnrtlno nonrecoonlllon 01 Olin und.I SlCtlon 10~3 on Ihe ..,. 01 P,oP.rty 10 comply wllh Ihl conlllcl'oHnlltlll requlremlnts, This PM Cln b. used only It the COIl 01 Ih. repllolmenl properly IXmdllh. bllll ollh. dlvesled P'OPllly, 28 OesortpllM 01 dlvlOl.d prop.rty ... "".. ."", .", "'.".,., """.", ,.., "'" ",.,,,,,,,,,,,, ",. ""'"""""., """"', """", """'" ,..,,, ."",. "'" '" "".", "" "','," ""'" ""'" '" """"'".,""",.""""",."""""."""""","""""",.".,"',',..".,.""."".."".""",',."""',.,"""""'''",.."""".."..".""",,,"""""""""""""."",,,,,,,,,,,,,,, 27 Oesollptlon 01 reploc.m.nl prop.rty "',,,..,,,, ",,,..,, "''''''''" "." """""'"'''''''' '" '''''''''''' '"'''' """'"""""""." "'''''' "",,'"'' '''''''' "," "'" "'" " "'"'' " " " "...."..".",..,........""",..."""..""..,,,.....,,,,,,,...,...,,,..,,,,,,,."....."..."....."""........",."".."",...".""."..."...""",..,, 28 011. dl'llll.d prop.rty WU SOld (month, dOY, y..r) "..""""""'''''''''''""""",,,..,,,,,,,,,,,,,,,.,,,,,, """'"'''''''''''''''''''''' " ""... '..". .".. ............................ ............................................ W 30 Suls oldlvlll.d P,op.rty """""'"..""""".""""""" """"'''''''''''''''''''''''''''''''' ~l ..""'''''''"..""...,,,.,,,,,,,,,,, 31 RIIII"d o"n, Sublracl IIn. 30 110m line 29 -- ...,',..,',...,',..,,,.,.,.,,,,.,,,..,,,.,,,,,..,...,....,,'''".,................"..."..,.....,....,,, 32 ~'O:~I:' ~~~~~~~~.~~pr,~~~.~,P~~~,h~~~d~,~~',~,60, ~~,y~,~n,~~,d~~~".,',.. ",..",,,,,,.,,,,,.,,, [ 32 33 SUblraclllne 32 110m line 29, It IIrO or IllS, enl" -0. "".""""""""""""",, "."." ""."""""."""""",, ,,,,,,,.,,,,.. """" 33 34 O,dlna'Y Incom. undll recaplure lUIes, tnllt here lIld on Form 4797, IIn. 10, .............""..."......." """..".",........."..".. 34 3S Sublr'cllln. 34 from line 33, If '''0 or IllS, 101" -0.. If mora thIn zero, .nlsr here .nd on SCh.dule 0 or Fo,m 4797 ""'",,,,,.,,,..,,, .....""'".""""."."""''''''"""""."",,,,,,,,,,,,,,,,,,,,,,.,, 35 38 Recoonl,od g,'n. Add lines 34 and 35, '" -- 37 O.t"red Olin, Subllacllln. 361rom line 31 ..,....,.,...,.........."..,.,.,..,.,..."".,.".",.,."',..",."....,.,..,. 38 .,..,....,.."."....,..."....,..".,.."...""."".....,...,.,.,"''',......",..,..,..,,,.,,,..,...,., 37 38 8"'101 reO"Ctt!!.nl DloDertv, SUbt"cllln. 37 (,om IInl 32 '" .., ,..",...."...., ....."."..""...,........."..,,,. ........ 8 :~ 18540225 744300 191427591 15 040 MAY, JOHN R. :~~~~~, J 1"""'*""'....IHi~1M NIIM(IIIhoWn on Ntum Depreciation and Amortization (lnoludlng Information on Listed Property) c- ... A<<o~h Ihlo 'orm to your roturn, Bu.ln.. or IOlNlty to which 11111 lotm ""1" ~~~..!:!!.!.~ 1997 1 A~,""", < U'ltlot No. 07 Id4t\Il~ll'Ia numttlw J'OHN R. Ii KAY L. MAY. I RWARE 191-42-7591 1ZDI(El00tlon To eop_on.o Cort.ln Tlnolblo Proportv (Soollon 170) (Noto: If you hm any 'lIsled P'Oplrty,'com lete P.rt V bllore y~';;PI'11 P.rt IL 1 MlI!<lmum doll., IImllollon, It on onlerpnluono bu.ln..e, 1..ln'INcllon. ""..""..."""""""""",,,,,,,,,,,,,,,,,,,,,,,, 1 J B , 0 O..Q..~ 2 Tolal co.t oll811llon 179 proporty plloed In IIrvlc. """""""""."",..,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,, "'''''''''''''''' 2 3 Th,..hold oOllollecllon 179 property b.lor. reduollon In IImll.llon ..",,,,,,,.. ..""""",,,,, 3 $200,000 4 Reduction In IIm"allon, Subtract IIn. 3 from IIn. 2, If z.ro or I..., .nl".(J, ..""""",,,,,,,,,, ....""""".. · 5 Dollar IIm".lIon 101' lex y.ar, Sublraollln. 4 f,om IIn. 1, If zoro or I..., .nt.r .(J., If ",alll.d Wino l.per~'l!.t.ln'INcllo1!l """".".",,,,,,,,,.., ...."",,,,,, 5 ...t._.._ ('IOMCtipllon at property lblCotllbUlln.Ulluonly) te) Eleqlld COt' 7 U.lad ptoperty, Enl.r .mount from IIn. 27, ''',''''''''''''''''',,''''''''''''''',,'''' ."..".".."..", 7 8 Total olected 00.1 of lIollon 179 property. Add amounl.ln column (0), IIn.. 6 and 7 ""."",,,,,,,,,,,,,,,,,,,,,, ,6 D 1'.nlollv. deduollon, Ent.r the .mall.r 0' IIn. 5 or IIn. 8 "".."..."""""""""".",,,,,,,,,,,,,,,,,,..,...,,. .."",,,,,,,.,,,,,, D 10 Canyovar01 dl.ellow.d deducllon 'rom 1996 """",,,,,.,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, ..........",,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,, 10 11 Bu.ln...lncom.llmllallon, Entarlh. Imall.r 01 bu.ln...lnoom. (noll...lhan zoro) or IIno 5 ,,,..,,,..,,... 1 1 12 Sacllon 17geop.n.. d.ducllon. Add IIn.. 9 and 10, bUI do not .nl.t mo,.lhan IIn. 11 """",,,,,,,,,,,,,,,,,,,. 12 13 Canyov.rof dl.ellowed deduollon 1~,Add IIn.. 9 and 10, I... IIn.12 ""'''''''' "'r::!!C N01.' Do not use Pitt /I or PIIIt //I b.,ow lor II.t.d property (1WIomoblle., certain olher v.hlcles, cellular t.lephones, o.rt",n computers, or property used lor onl.rtllinmont, rooroellon. ar SIIXIsomenl), Ins toad, use Part V lor IIst.d property, m:JMACRs O.praol.lIan For A...t. Plec.d In Servla. ONLY DUring Your 1097 T.. Yo.r (Do Nollnclude LI.I.d Praportv,) Socllon A . Oon.,., 1...01 Acoount Eloollon 14 If you ere maklno tho .Iocllon undor lootlon 168(1)(4) 10 oroup any ....1. placed In ..rvlce dunno Ih. III)( y.a; Inlo on. or more g.noroJ ....1 account., oheckthl. boO, S..ln.INollon. "",,,......,,..,,,,,,,,,,,,,,,,,,,,,,,..............,,,,,,,,,,,,,,.,,"'''''''''',,..,............",,,,,,.,..,,,,,,,,,..,,,,,,,,,,,,,,,... 0 S.ollon B . O.n...1 O.pr.olollon Syslom (OOS) (Seo ~.INctlon.,) (b) Monlhana (CIB....Io'd~*'.l;I<)n Id)-~ (t) Clwlftctdon 0' proP<<tY Y'" plae<<l ('Ou.ln..lI1n'l"tmlnt ute ~, (II Con'l....llon l~ Mlthod (g,l O~~.lIon dliduQllon In 'eNl~ only' 1I..lntwadont) period 16 . 3,y..r property b S.yea, property o 7.y.ar PJ9p.rty d 10'y.ar~n o 15.y.ar ~'operty 2IJoy.., ro 25. ..r ro rt 25 ro, S/L _L--.. 27,5 Yrf, MM S/L .1 ".~ ~ M I MM S~ I MM S~ ~i:"~,~,,,,,~~f:~~[::~":=r~'.~~'l ~ L 17 ODS and AOS d.duollon. tor ....ts plec.d In ..rvlc.ln tll!< y.... beglnnlno b.fo"1997 "~... 17 18 Proporty,ubjoolto..ctlcn 168(0(1).locllcn ",,,,,..,,,,..,,,,,, ........"".." ...... 18 10 ACRS.ndolherd.proclaUon ........... ... "",,,. "'" 10 ~m.ry (S..ln.tructlon.,) 20 U.tod p,operty, Enl.r amount lrom IIn. 26 ..""""""""""""""""", ,,",,'"'''''' .....""."""."",,,,,,,, 21 Tot.l. Add deduclloM on IIna 12, II... 15 and 161n colurnn (0), and IIn..17 Ihrcuoh 20, Ent.r h." 8I1d on Ih.opp,opnatolln.. of you"elum, Pllltn.rshlp. BIld S cOfP'J'.lIone. ..aln.tNo 10 . ,,,,,,..,,,,,,,, 22 For ....1. ehown abovo and pieced In ..rvlc. during Ih. current yoar, .nt.r the 1 portion olth. b..lse<<"bul.bl. to lootlon 283A coot. " ,,,' '" " 22 LHA For P.porworlc Reduetlon Act Notlc., .00 tho .op...to In.truetlon.. 1~'m7 16 19540225 744300 191427591 040 MAY, JOHN R. h Ro.ld.nllel "ntel p,op.rty Nonr..ld.nllel ,..1 properly 467 : 20 21 467. :\~~[:~:t~\~~r~:ttii~~~'II~I;~f~~t.J:i~~ Fonm 4682 (1997) 19142751 ~07JOHN R. & KAY L. MAY 191-42-7591P~e2 LI.I~ ProlHlr1y .AUt.;;;obll.., C.rt.ln Oth., V.~lel.., Oellul.r T~lephon.e, C.rt.ln Com put.,., .nd Prop.r1y U..d lor . int.rt.lnm.nt, R.or.ellon, 0' A"lU.lm.nt , ' ' Not., For .ny vlhlell lor whICh you .rl u.lno Ih. etond.rd mll..O. r.l. or doduollno I.... ..p.n.., oomp/III only 2~., 2~b, column. (.) throuoh (0) 0 SlOlIon A, III 01 SlOlIon B, end elUtion C ~ IppllQable, ~_~ Slotion 1\ . C.pr.ol.lIen .nd Dth.r Inlorm.lIon (O,ul'OO' Se.ln.lruollon. tor IImll. lor p....n!l!!.~!~!~.'~bll..,) _ 2~. 00 YOU hm IVldlnollo IUPDort Ihl bUllnmnnY"lm~.nl use al.lmld? ~o 23b ' e . e Ih Y nc W , ? (e) (b) 0.1. (e) I (d) (e) (0 (0) (h) Type 01 ProPI~ pllcld In 81111nelll COIl 01 e.." b".....'"" R'OOYlty Melhodl OIPtlclallon h. ,- Invulmlnl Ih b' I ~v"".II1",,,_, I d C I d I (IIS1 VI ~IIB"" , II'V.I UII IIclnla I 0" 'II V" "~I pII 0 onyenlon Iduct on . .. ___4 _M ~ '~h ro.., ""~]LL__-- f ?~~~ 0) EI.clld Ucllon 179 Call 28 P'ODl~. r Ie.. In a I e bUllness use: M.~_ % ~, ~ % J~' % M. 28 Add amounl.ln oolumn (h), Enler Ih.lotaJ her. and on IIn. 20, p.O. '" ......"""""""."", 28 27 Add amounl.ln oolumn (I), Entor 111. 10t.1 h.r. and on IIna 7, pa~~, ".. "" ....", ... .",,~= S.ollon B . Inlenn.lIon on U.e 01 V.hlol.. Compl.t. thle elOtlon lor v.hlelee u.ed by. .01. proprl.tor, partner, or oth.r 'mor.lh.n S% own.r,' or r.l.t.d p....on, " you p,ovlded v.hlole'lo your emplOY"', flrsl an.w., Ih. que.llon.ln Socllon C to ...11 you m.et an exoeptlon 10 compl.llng thl. Itcllon lor tho.. v.hlol.., 28 Tolal bUllnllSnnveslmenl mil.. d,lvln durino Ihe Yilt (00 NOT Inoludl commullno mllll) "",,' 20 Total oommutlng n,li.. driven durino tho yo.. ". 30 TolaJ other pereonal (noncommullno) mil.. drlv.n."",,,,,,,.,,,,,,,,,,,,,,,,,,,,,,.,,,,,,...,,,,,,,,,,,""." 31 Total mile. driven during Ihe yo.,. Add linee 28 through 30 "",..".."""",,,,,,,,,,,,,,,.. Ie) Yehlcle Ib) Vehicle (0) Vlhlcle IrO Vehicle (e) V.hlcll (0 Vlhlcll Ye. No Ye. No Y.a No Yes No Ve. No Vo. No 32 W.. tho vehlcl. .v.liable fa, pemonal u.e during off<luty hours? ,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,, 33 Wu Ihe v.hlole ..ed primarily by . more Ih... 5% owner or ral.ted person? "."""... 34 I. ...other vehlol. avlllablelor personal u,.? .,., ,. .." " . ........ Secllon C . Qu..lIon. 10' Employe,. Who Prevld. Vehlole. 'or U.e by Their Employee. An.w.r th..e qu..llon.lo de"nnlnell you moel an excepllon to completlno SlOtlon B tor vehicle. u.ed by employ... who ore not more Ihan 5% own.... or related pel'lons. 311 Do you mllnlwn a written policy ..'olement Ihol prohlb~. all porsonal u.e of vehlclo., Inoludln~ commullng, by your employ...? '" "'"'' ,,,,,. """" ,,",,'" """",,,,,..,,, ,,,..,, ""." ..... "..." '" "" ,.. ,.....", "" ,,',,'" "..........."....""."., .... "",..""., 38 Do you malntlln e written policy .I.temenl that prohlb~. per.onal u.o 01 v.hlclo., o.oept commullng, by you, omploy...? S.. In.lructlon. 10' v.hlcl.. u.'Jd by corporat. offlc.rs, dlraotors, or 1% or more ownors ...., ......".".......",,,.,,..... 37 Do you tre.11I1 u.e ofv.hlole. by employo..... personal u..? ."."........." ",......" ,,,.,,, ....... .........."" 38 00 you provide tnore Ihon flve v.hlol.. 10 your employ..., oblaln Intormallon fronl your .mploy... about Ih. use olthe vehlol.., ond retain th.lnfonnallon ,,,,,.lved? ......,,,,,,,.,,,, ...."..",,,..,,,,,,,,, ,,,,,... . ..........."...."..."." 3~ Do you m"l the ,oqulremonl. ooncemlno quallfled automobile demon.troUon use? . ." ".."........ ....",,, "......, Not.: If your anewe, to 35. 38, 37, 38. or 39 Is 'Yes, I you need not complete Seotlon B for the covered vehIcles. ~~llon _ Ie) ~b) (0) (d) (e) O-.:tlpllon 01 OQ.ta 01. &rl'<tUafM AtMrlJlllJl. Coat A(n)1tUon _. ~ Iml)ljnl ....Uon iMl101lOfMlWt 40 Amortlullon 01 cOils 11I11 beolns dullno vou, 19971.x lit: - 41 Amortization 01 coot. th.t bogon belore 1997 ....""",,,,,,,,,.,,....,,,,,,,,,,,,,,,,,,,.....,,,,,,,,,,,,,, ....."""".""".".., 42 Tot.l. Enler h.re...d on 'Dther Ooduo1lone' or 'Other Expon....lln. of yourretu", ..."""."" .." , , , . . ~1~1:'.. 17 18540225 744300 191427591 040 MAY, JOHN R. 41 42 19142751 28 Old the relaled P.rty, durtnO !hls Ilxye", rellll or dl'pose ollhl p,oP8rty ('second dl'poslllon')7 .".."".""""".."""""".""""""",,,,, 0 Yes 29 Ulhe .nlwer 10 qUllllon 2811 'VII,' eomplele 111111 30 Ihrough 37 below unl811 one OllhllOllowlno eondlllonlll mel. Cheek only Ihe box thal.PPIIII. I 0 The second dl,po'~lon was mOrA Ihall 2 years aft" Ihlllrsl dlsposillon (olher Ih.n dl,pnsltlon, 01 m.rk.tabll lIourltill), II Ihls box Is Chlcked, enlll lhl dale of dlspo,nJon (monlh, day, vur) "" "..,,,..,,.,,..,, '"'''' '"'''''''''' "'''''''''' """'" ... L bOTh. ""t dlspos~lon was . sailor exchanoe 01 'lock 10 Ihllssulno corporallon, e 0 The Sloond dlsposlllon was an Involunl.ry conv~;'lon Whlll Ihl Ihreal 01 convlrslon occurred after Ihe ""I dlspo,llIon, d 0 The 1I00nd d~pos~lon Occurl.d aftll Ihl dlalh ollhl ortolnal SIller 01 bUVII, I 0 II cln be lltabllshed 10 Ihe s'II,t,cllon 01 the Inllmal Revlnul Servlcelhallax .voldancl wa, not a principal PU,poselor ellhlt 01 Ihe dl'posnlon" Uthls box Is checked, allacll an ~xpl'n'lIon, 30 Selllno prtce 01 prOPerty SOld by relalld party "" '"'''''' ""'" .. .."""",,,,,,,,,,, ....... "..".""""" """"" ", 31 Enter contract Prt.:1 Irom IInl 18 lor year 01 flrslsale ... """"",,, """" '''"..""."". ".". ". .." '"."".." "..."..""" 32 Enler the Imlller 0' line 30 or line 31 .""."".""."""", '''''''''" ,,,,.,,. '"'' '''''''' """", ""...." "'"....."",,, """."" ". '''''''''' 33 Total pavmanls recllvld by Ihe end 01 vour 1997 lax year ""'""." """"."""...""." '"'''' .."."."."".". ".""""""".."".,,, 34 SUblract line 331ram line 32, U zero 0' ~ss, Inler -0. "" .""""""""..",, '"'' '''''''''''' """""""".""."" ".""""".""",,,,,, 38 Munlply line 34 bV the O,oss P'Ofl! perc.ntaol on line 19 10' vear offlrsl sale ""."""""".""""""".""""""""""."",,,,. 38 Part 01 line 3S thllll Ordlnlry Incoma undel recapture nJl8I """ """"" """""".",,,,,,,,,, "".""""",,, """"."",,,,,,,.,,,,,,, 7 II I,mlln ,En ,he nd n heduleOorForm4797.."""".."""., "",,,.,,,.,,,,, ".... 18 '......117 lHA Fo, P.perwOrll Aldul1/on Act NoUce, III IIP."lllnllruetlonl. 18540225 744300 191427591 040 MAY, JOHN R. ~orm 6252 INSTALr,MENT SALE NO. 1 Installment Sale Income OMU No, "."022' O.Mmet\t " tiI. r""II')' Itlltmll ~tnll........ N~.,.lIGWtton,.tum .. AlllOh 10 vour I.. relurn, ... UIII slpmle '0'01 10' each Sill or Olhll dlSposlllon 0' P'OPlrty on IhllnstlllOlenl mllhod, 1997. AlIlChment Slqulnol No, 79 JOHN R. & KAY L. MAy 191-42-7591 1 Ollortpllonol proplrty'" ALl, -ASSE~OF AIRWAAE ~ 21 OlllloQulred (month, d.y, y;;;-'" L__O 4/2 l/.2L.J b D.'. sOld (~;,w;, d.y, YW) ... L 09/25 7~ 3 Wlllhl p,opertysold to. relllld PlrtylfterMav 14,1980? It'No,'lklp line 4 ".."''''''''''''''''''.'''''''''''''''.''''''''''''''''''''''''''''''''~ 4 W'llhl proplrty you lold 10 . relllld plrty. markelabll IIcurlly? II 'VII,' compl"l Pili III. U'No,' compllle dill ~':~:=ap;~~~ ~~~h~2:~~~:~:r ~.rl;;: Ol;:~Plei;lhl~';:rt,~;'ih~ 'y~;, ~;';;I~~~;~:'"'' "'" .. . ... ....... 8 SllIIno p,lcllncludlno mortOIOIS and olher dlbts, 00 not Include Inlerlll whelher slaled or unslaled " .""""""""",, "". 8 MortO,O.llnd olh" dlbls Ihl bUYII Illumed or lOOk the p,oplrtv subjlct 10, bul nol nlW mortoaoeslhe buyer oot Irom. bank or oll"rsou,ce """'''''''' 7 Sublraclllnl8 'rom IInl 5 """"""""",,,,,,,,,. " """""""""... """'" " ""'" " "" '"'''''' 8 COli or olher basis 0' p,operty sold """""""" """""" ".."".. '''" "'" ,,,.,,,,,,. "" "." 9 Oepreclltlon allowld or IlIowabll """" '" '''''''''' """"'" " , .. ".""."'""."""".",,,,,,, 10 Adjuslld bills, Sublraclllne 9 110m line 8 "" .."" "'''''''''''' ""'" "."'""".""."",, '"'' 1 0 11 Commllllonllnd olher "pen... 01 sail "".""" """""""""." ""'''''''''''', "".""."" 11 12 Incom. recaplulllrom Fo,m 4797, Pllt III "".""",,,,,,,,,,,,,,, ' """"'" """ " " " ". ", "" 12 13 Add lines 10, 11, and 12 ."""""''''",,,,,,,,,,,,,,,,,,,,,,,, """''',.,''''''''''".".",,,,,,,,,,,,,,,,,.,, """"..""."..""""""""",,, 11 Sublraclllne 13 I,om line S, 111110 01 1m, Ilop here, 00 nol complOll Ihe rell 01 IIlls 101m """'''''''''''".",,,,,,,,,,,,,,,,.,,,,,, 18 It U" proplrty dIsc/IbId on Ilnl 1 .bove was your main hom~, .11111 110m Form 21191hllolal 0' lines 14 and 22, or Ihe amounl Irom IInl 27, whichever .pplles, othlrwlso, enler -0- """""" '"'''''''' "'""".""", "".",,,,, '"'' "" '''''' "'" """ 01011 prolft. SublractllnelS ',om line 14 """"'" .."."."...".""""""..""""""".",,,.,,,, "."..""".""""",,,,,,,,,,,,, Sublracllllle 13 I,om line 8, It lira 0' I,,", enler .0- ''''''''''"..""..""..""""".".""", ."...""""""".."...,, nil I "0., Add IInl 7 and IInl17 '''.". ",,' "......... .....""" ."."..",.., ...."..".""" '"'''' """'" In.tallment Sale Inoome, Cornplel'lhls part lor Ihe vear 0' "Ie .nd .ny vear you recllve . payment 01 hive C~ebls YOU must I/W as . payment on Inslallm.nl oblloallons, 10 Oross protlt PllconlaOI, OIvldelln. 18 by IIn118, For yea" aflll Ihe yaarol sal., Sll Insl,ucllon, ." '''''''''''''''' ".."" 20 Fo, weer of IIle only: Enler amounll/orn line 17 .bOVl: olhlrwlse, .nlll -0. """.."..."" """.""".".""""."...""."",,,,,, 21 Plymlnto recalvld durtnO year, no nollnclude Intlrlsl whelh.rsl.l.d or un,laled "" ""..""."". ".""""""." ..""""""",, 22 Add lines 20lnd 21 ''','','' """'''''' "'''''''''' ",""",, '''''''''' ".... "" "".."".."",.., ,,,. """'"'' ",,,. ""."".""."".."" ""'''' 23 Paymenls recllvld In prtOl y..rs, 00 nollncludllnleresl whelher Slaled 0' unslal.d """ 23 24 InataUment IIlelncome, Mu~lplv line 22 by IIno 19 '''"."''''''''''"."''".."''''''"."''""""""""."."..",,,,,,,,,,,,.,,,,,,,,,,,,, 24 2S Part otllne 24 Ih'l Is Ordinary Incoml undll reclpluI. lUllS """'" """."",,,,,,,. "." """"",,,,,,,,,.. "."."."""."."." """'" 2S 28 Sublracllln, 25 Irom IInl 24, Enler h.re .nd on SchlOul. 0 or Fo,m 4797 "...."."."""""".." ,..."""'".""""."""""",, 28 e ed art nltiii e Sale I oome. 00 nol complell II vou reCl!Y!.d Ih. IIn!!J1avmentlhl, lax Vlar, 27 Nlme, address, and taxplver kllnl/fylno numbel 0' relaled p.rty Ici"'li~tng"YmOtt ,,==.C1ylS [l No , - ___S,O.QQ.:. 8 7 8 "'::;::'-::~::, '.',' . -.' '.' , ~ ." ::, ' : : ~ :: :::: - ; .,;.;.,,;,;.-;-;. 5,0 o. .,,:>,:):.:::::' 10,470.,i, :;:;;h'(>'; B , 6 0 1 . ,,:ie?, 1,869.}}?: iXk!t~::; {t' :t;;k:r!: 13 14 1,869, 15 18 17 18 19 20 21 22 62. 6200' O. 700, roo.- 438, -. --- . =- ON;'" Fo.,," 11II/1""1 19142751 - INSTALLMENT SALE JOHN ~. & KAY L. MAY 191-42-75li" SCHEDULE OF. RECEIPTS --....~._.._-_.-..- MO. 0" YIl PRlNC1P~ NCSMD TOTAl "-'IN ORDINARY "-'IN IIIW. UallOA ON'lr"', O~N 0 9 / 2 5 m 7 0 0 . 4 3 8 . "---4TIl~-- - ---,------_.- -- .~--~-_.........--------...-.... --'--.-...- ---.---- - .. - -'''--'''-'~--'''''''-- ----..- ---- ---" ~_.~44_"~_.._ ._-. --"--_..._.""-~ --'.~---~~~. -------..--.. .___.........~_.~_.~_-+_~_.u_._._~..."'~~.~, 'm ---"....... ......._----.,..__.~~-'...,.,.- ".-. -- -~.~-.<->----.~~-~_.....~-.. ----.-.--......-..............-. -... ......-..-.-..,--..,....-~-_....~~;-,~_._.~..~, - .. . ----......".---,,- .,.....- -. ............._.._~."'.,,"'-_.._~..~'-"-_....,.~~~, . -----.-- ......_._.__+<_~_~d__~_,-,-.~~~..~A.' - _.._.w __ ->-roO~_.._._~_... ~~_.__._~..,,__,.~-><-~_, - - ---, ........."'=-<~...._'T~.ri-___'~~__.._._.~_..".__, - ~. ---'.....~~~~~~~-~~...,~, ---- --~_._---~. "_._~~-'-'-r+_~-<_'-T~"",__~__~~_"'"'~_-< --- ~___r-..--.-" ,,~...,.. ~"~-...--"","._..._ ----- r---' ,...~.................,..... --_.,.__."---_..~.,._- ..- --.-----.----. --...--,............------..-,....- .~---~_...- -......'" _&'~._..~ ....~,...,~--,,~-~~..~,_.- - --- ",--, ,~..'~_.~~.,.........____.._E~~_&~.......~~ - ._mU_E_ ._~_....._.___.._n,~___~,~_.__~~.-. .... ..~-"~~._"'-....-~...-...~~..~----, .. -----~ .~..~..,___.......__ri."_......_..... - .' ......... -~.,-_.,-,----+--~~-,~-,._~-- . ._~-_..~._. --..- .. .. -- ._..~--_._---~ - .- ......................-.--....-. ------- ---- ---~ --- --- -- --,,------ -..--- -.------ -.-...-. -- ....;..,........_-- ._---~ - +----- - - -- --~-~- . '- 1--- -- r------~..--- .. - -- - ..___._'~r___ -- - ....------.-..-.........-.- INSTALLMENT SALE NO. 1 71~\I:I Clt<24<11 18540225 744300 191427591 19 040 MAY, JOHN R. 19142751 I, I \[ / ' i I ~-,..)j I' f JOHN R. & KAY L. MAY 191-42-7591 - FORM 1040 WAGES RECEIVED AND, TAXES WITHHELD STATEMENT ' 1 FEDERAL STATE CITY T AMOUNT TAX TAX SOl FICA MEDICARE S EMPLOYER'S NAME PAID WITHHELD WITHHELD TAX W/H TAX TAX T AMP INC. 24,665. 3,259. 819. 296. 1,778. 416. S BSC LITHO 57,759. 11,616. 1,720. 614. 3,810. 89l. S MILTCO CORP. 10,995. 1,799. 322. 115. 724. 169. TOTAr,S 93,419. 16,674. 2,861. 1,025. 6,312. 1,476. -~ .. 18540225 744300. 191427591 20 040 MAY, JOHN R. ,S'l'A'l'EMEN'l'(S) 1 19142751 , " JOHN R. & KAY L. MAY 191-42-7591 SCHEDULE A CONTRIBUTIONS O'l'HER 'JIHAN CASH OR CHECK STATEf1ENT ' 5 AMOUNT AMOUNT AMOUNT DESCRIPTION 50% JJIMIT 30% LIMIT 20% LIMIT SALVATION ARMY 170. SUBTOTALS 170. TOTAL '1'0 SCHEDULE A, LINE 16 170. SCHEDULE A MEDICAL AND DENTAL EXPENSES STATEMENT 6 DESCRIPTION PRESCRIPTION MEDICINES & DRUGS DOCTORS, DENTISTS, ETC. EYEGLASSES AND CONTACTS TOTAL TO SCHEDULE A, LINE 1 AMOUNt!' 212. 1,700. 394. 2,306. SCHEDULE D NET LONG-TERM GAIN OR LOSS FROM FORMS 4797, 2119, 2439, 6252, 4684/ 6781 AND 8824 STATEMENT 7 DESCRIPTION OF PROPERTY GAIN OR LOSS 28% GAIN FORM 4797 438. TOTAL TO SCHEDULE 0, PART II, LINE 11 438. - FO~ 4797 SECTION 1231 GAIN FROM INSTALLMENT SALES FROM FORM 6252 STATEMENT 8 DATE DA'l'E KIND OF PROPERTY AND DESCRIPTION ACQUIRED SOLD GAIN OR I,OSS 28% GAIN INSTALLMENT SALE NO. 1 04/21/92 09/25/97 438. 438. TOTAL TO FORM 4797, PART I, LINE 4 18540225 744300 191427591 040 MAY, JOHN R. STATEMENT(S) 5, 6, 7, 8 19142751 .-\, 9700111066 PA,-40 1997 L, 191-42-7591 MA 191-46-4988 A 0 FY 0 B 0 RS R MAY JOHN R AC 0 FS J KAY L 559 MEGGAN LANE PN 717761-6787 MECHANICSBURG PA 17055 SC 21160 1C 101815.00 Lt/~2(17, 00 6 _/~:{ 0 . 00 .~.< ,d1l3261 \00 /'/ ('\C))., ,28,91. O~ ,r"'" ......\. ,_ . . .n(' \ - - - - -- --- - - - -- - - - - -- - - - - -- - PI;';e Foid p'oeAI~noTii~ un;\S'V' - - :~,c,~ ~"C':~ - -- - - -") -- - -- /"C"\"\.' ,\'i'"-,;. '\.:~ ,\ /' Fiscal Year Fliers, Mark Ihlssp,ce, () " ^' " \ ,," ':,c..ijlh~ 'ls'ih'~mBnded'(,i';'n, \ - ,..,.' "" ,.'c" ""1,'~"Ma,,(thIIlP.ce. 191- 4 2 - 7 5 91 M A 191" 46.498 8 Op\l~n.foi'~Jl~08 800klltVvouci'o nOlwant s mo \ Tax Booklel ~..xl~'\' Marl< \hl.lpace. II YOll paid a R \ Prepare" ask It'he 01 she Is 'uslnQ thl, opllon. \ Oaytlme Phone ,/ L \ NumbM: ,.' (717)761-6787 \ , \/ Lncallnlormsllon, Enlll while you lived as 0112/31/97 County: CUMBERLAND Municipality: SChoolOl,lrlcl: CUMBERLAND VALLEY Final Married Filing Jointly 1A 2 5 7 J,O 101815.00 715.00 438.00 0.00 0.00 1B 3 5A 8 11 0.00 293.00 0.00 0,00 103261.00 MAY JOHN KAY 559 MEGGAN LANE MECHANICSBURG PA 17055 Residency Sial"" Fill-In only one choice, Tvpe Flier, Fill-In only one choice, S Single M Marrlld Filing D Separatety Deceased School Olsl,lct Codoc F J Dale 01 Death: R NR p !rom: 10: x Rllldent Nooresldlnl Part Year Resldenl x SSN, Name 01 AdO,... Chenge, If ANY 01 Ihe above Inlonnatlon Vou entered Is dlt1orenllrom you, 1996 PA I.x return on Ihllabol, or Ilyou did nolllle a 1996 PA tax relum, mark this spacI, la Ib lc 2 3 4 5 Sa 6 7 8 9 Gross PA Taxab~ Compensation !rom W-210,ms .nd othll wagl 't.lements. .".~.~,~.."~.Ip.~,m:,~,L,~.,,. 1. Unrelmbullled Employ.. Bu,lnlSS ExpenSlS 1,0m PA Schedule UE .."", lb Net PA Taxable Compensation, Sublraclllne 1 b !rom line la ""..." ......."...",,,,, lc , PI. Taxablelnlllesl, Complole and allach PA Schedule A 11 OVII $1 ,000... 2 PA Taxablo Olvldendl, Completl snd allach PA Schadule B It over $1,000 3 N'llncome or (Lossl from Ihe Opllallon cl Bu,lne", Prolosslon 0' Farm 4 NIl Oaln or ILoSS) I,om Ihl Sale, Exch.nOI 0' Disposition 01 P'Oplrty , ,...." "..""" '"'''' 5 Amount of G.ln bcludld 1,0m PI. Schadull PA.19,,, ......"", ,,""" " ,,,.. , Sa Nlllncoml 0' ILoss) from Renls, Roya~les, Pat.ntS1nd Copy,IQhts.., ..." ......"""., .."""""......""" 8 Eslaleand Tru,t Incoml "......."",..", ""........ ...."..""" ..,,,,,.,,,,,,,,,,,,,,,, 7 Gambllno and LoUlry Wlnninus ""...""",.."..,,,,,,, ..""". ". ........""",,,..,,..,,,,,,,,, 8 Tolel Gross PA Taxable Income, Add thl Income amount, tram lines lc, 2, 3, 4, 5, 6, 7 and 8. 00 NOT SUSTRACT ANY (LOSSESI REPORTED ON LINES 4,5 DR 5 ...."....."" ",..."",,,,,.,,,,..,,,,..,,,, 9 CONTRISUTIONS TO YOUR MEDICAL SAVINGS ACCOllNT "........""..."""".......",,"""""""""'''''' 10 NET PA TAXABLE INCOME, Subl,act line 10 l,"mllne 9 .....""",,,,,,,,,,.., ..,,,,,... ...""..."""".",,'"'''''''''''''''' 11 Tolel PA Tax Liability, Mulllpty line 11 by 2,8% (0,020), Enler vourlu due ~e'e end on Line 13 on plge 2. "","" 12 ..$~~. ..$tAtIM~~. t.:.~.:.: 10 11 12 L 9700111066 774OO1/1)1.o;.U 21160 101,815.00 0.00 101,815.00 715.00 293.00 -207.00 438.UO 0.00 0.00 0.00 0,00 103,261.00 0.00 103,261.00 2,891.00 9700111066 ...J ~. ~. PA~40 1'197 9700211064 PAGE 2 L' MAV JOHN R 191-42-75'11 13 2891.00 14 2861.00 15 0.00 16 0.00 17 0,00 111 0.00 19 0.00 ilOA 0 20B 0.00 20e 0.00 21 0.00 22 0,00 23 0.00 24 0,00 25 0.00 26 2861.00 27 30.00 28 0.00 29 0.00 30 0.00 31 0.00 32 0.00 33 0.00 34 0.00 35 0.00 13 TOIII PA Tn L.IIbIlIIy, Enteryour lax dUB from line 12 on lhellrsl paoe .. """" "."",,, '" ".... ...... ..... ",," ," ""'"'' '" ",,,,,,,,,,,,, ".... .....".. 13 14 Tol.1 PA Tax Withheld f,om W.210lm, ,,,.,,,,,,, ,,,,,,,,,,,,,,,....,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,.,,,,,,.,,,,,,,,,,,,.,, 14 15 Credlllrom you, 1996 PI. Income Tax Relurn """"" "...."""",,,,,,,,,,,,,,, " " ",,"'"'' " " "" """,""""" "",,,,,,,,,,... 15 16 1997 EsUmaled In,lallment Payment, """",..""...",.,,,,,,,,,,,,,,,,,,,.,,........,,,,,,,,, ",,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,, 16 17 P.vmenl m.de w~h your requIII for an extonslon ofllmelo me your 1997 PA.40 """"" """,,"""'"'' "" """""" ," 17 Line 18 Is 10' non'lIldanl pe~nu". shereholderllnd members only 18 Tax w~hheld IS "po~ed on your PI. Schedule(s) NRK.l ,,,,,,,,,,,,,,,,,,,..,,....,,,,".",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"",,,""'" 18 19 Tolll Tn Wllhheld, Paymenlllnd Credlll. Add IInll151hrouoh 18, """,,,,,,.,,,,,..,,,..,,..,,,,,,,,,,,,,,... ""..,,,,,,,,,,,,,,,,,,,,,........,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.., 19 Lines 20s, band c ere 10 1Illlnlo,mallon lrom PA Schodule $P 20a Oependenls, Part 8, Line 2 "",,,,,,,,,,,,,.....,,,..,, .".""",,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 20a 20b Tolal EIIOlbll1ty Income, Part C, Line 11. ."" .".." """. ".. ,,,,,.. ".""""""""."",,, ""'"'''',,''''''''''''''''' '" """..", 20b 20c Tax Fo'olveness C"d~ 1,0m Pa~ 0, Line 16 ... .."""..."""..,,,,,,,,,.....,,...,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 200 21 Tolal Credit 101 Tuxes Paid to Othor States or Counl,I... Attach your PA Schedule(s) G or PI. SChedulols) RK.l ""'" "" '''' "",,,. .... "... "",,""""""'''' """",,,...,, 21 22 PA Emplovmenllncenllve Payment Credit. AlIach PA Schedule(s) W 0' PA Schedule(,) RK.l 0' NRK.l """"""""" .."",,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 22 23 PA Job Creallon Tax Credit. Mach your ce~lficate 01 credll',om Ihs PA Department 01 Community and Economic Oevelopm.nt or PA Schedule(,) RK'l 0' NRK.1 ",,,,,,,..,,,,,...... ....",,,,,.,,,,,,,,,,,,,,,....,,,,,,,,,,,,,,,,,,,,,.,, 23 24 PA Wasle Tire Recycllno Investmenl Tax Credit. Mach you, ce~iflcate of credll from 1M PI. Oepartmenl 01 Enylronmental P,olecllon 0' PA Schedule(s) RK.l or NRK-l """,..,,,,,,,,,,,,,,....,,,....,,.,,.,,..,,,,,,,,...,,..........,,,,.,,. 24 25 PI. Research and Oevelopmenl Tax ClIdlt. ,,,,,,.... ......."."" .... ...........""",,,,,,,,,,,,,,,, """"""""""".., 25 28 Tolal Payment, and ClIdn" Add lines 14, 19 and 20c Ihrough 25 """.".." ..",,, .........." "".."",,,,,,,,,,, """'"'''''' 28 27 TAX OUE, Line 131, more Ihan line 28, Enler IlIe difference here """"'" """..""" "" """""""""""... ",,,,,,,,..,, 27 28 OVERPAYMENT. Line 261s mm than line 13, Enterlhe dlffllence here .....,,,.,,,,,,,,,,,,,..,,,,...,,,,.,,,,...,,,,,,,,.,,,,,,,, 28 29 Relund" Amounl olllne 28 Vou want IS a chuk mailed Lack 10 you .."...""......... "'''''''','''''''''' """ ,.." "".. .... 29 30 Credll.. Amounl of line 28 VOU wanl as credllto Vour 1998 E,tlmated T.x Accounl ."""""". .""""..""""".",,,,,, 30 31 Oonallon .. Amounl 01 line 28 you w,nlto ol.e to Ihe Wild R..ource Conservation Fund .. ....",,,,,,,,,, '''' """""" "" 31 3~ Oonsllon.. Amount of line 28 you want 10 gl.e to the U,S, Olympic Commlll" PA Olvl,lon "",,,,,,,.....,,,,,,,,,,,,,,,, 32 33 Donation.. Amount ollln. 28 you wanllo ol.e to Ihe O,oan Oono, Awareness T,usl Fund "...".". ,,,,,,,,.. ""..."" '" 33 34 Donlllon.. Amount ollllle 28 you want 10 olve to the KorsaNl.lnam Memorial, Inc,..."....."."""" ,,,..,,,,,,........... 34 35 Oonallon.. Amount 01 line 28you wanttoolve to 8reast and Cervical Cancer Rma,ch ,,"'"'''' ....."...""""",,,,,,, 35 Th totalofllne Ihro 35 must eQual line 28, ignIWN('! Uncler penial.. 0 pttjul'y, I It....... Ullll h~' txlmlntd U1(, rttum, Including In ~nlpUlYln" ICniKIulft 11M tlalemenW, and to thtl)tll 01 my Iou" Mil., II.... are tN. CO/NQI and ODm~t'I.. . YOY' Slgnltu,. Oat. 'iour Occupation CLERK SPOUI,',Slgtlllul"lt 0.1. SpcUU',09;llpltlon CLERK 2,891.00 2,861.00 0.00 0.00 0.00 0.00 0.00 o 0.00 0.00 0.00 0.00 0.00 0.00 0.00 2,861.00 30.00 0.00 0.00 0.00 [J.OO 0.00 0.00 0.00 0.00 Prep.,.., at C(lmptny Nltfll, othtt thin tu.p-ver('l. b..td on iii Information 01 wnllJh ltI. PmQlI'Il'''" MY knowltdo', - -_" co....",. "'"" i!'1- _nno K ERN A N D COM PAN V, p. C . 1000'2"/2 5/198 -..--. T....." ",..... CAMP HILL, PA 1701L-~'-e (JJ f! ~ JQ. ~ L 970023.1064 ---rV7 /!i.......iO..- '1700211064 TI~(tO:M)1.Qt.N -.J MAY, JOHN R. ..sALE- INSTALLMENT SALE NO. -191,.42:'7591 _..' '- . - ,--.- --- DA11I PRINCIPAl, AEOVMlO .-_ TOTAl. QAlN OnOIHAAY GAIN OAPrr Al. OAlH . 09/.?L . 100. 1--- 438. - - - - ---_.- - ----.- - --- r-' . . - --- ---" ---- .. . - - -- I-- -- -,-- - f---- - -- ----,--.- - . -- .- -- -. -- - - --- -..--. - f---- . .- - - - - -- !------ - - - , -- . - - - - ---. - -,- f--. .- -. - . - . .. - -- ---- -- - - - - - -- , t- - - I --- -- SCHEDULE OF. RECEIPTS n.1I2 Jl.2f.VI 18540225 744300 191427591 7 040 MAY, JOHN R. 19142751 I 9703111063 L ---I .',....0110.1 J:997 . , COMMONWEALTH OF PENNSYLVANIA Attlch to lo,m Profit or Lou From Bu.lnes. or Profllnlon SCHEDULE C rA'4E.t!.~~ __ (SDLEPROPRI~~!!!~L__ _ PAO~AAT"emo.nM"Ue HIm. of P'Opllllor IIlhown on PA IlIlIturn, lSo'cl,l Sacurlly Numbll . . ~'.!1\'l120HN R. _____ ._L_ 0IP,op,l.tnr191-42-7521- .L..Malnbullnesllcllvlly ... SCREEN PRJNTING O~' ASSORT ;productorse"'lc.... SELLING FOR YOUR OWN AC I BUllnmN'mt... AIRWARE ------. =r- C ''''",''''''''''''"' ",."" o Buslnullddrlll(numbtrandllre.I)P.O. BOX 73 25-1687625 CIIy,SI.llInd ZIP Cod. Il>MECHAliifcSB-URG~-PA:- -rrosy - u,::_ -.. --- - - - - - - C E M.lhod(l) ulld 10 valuo closlno Invenlory, "IHn Ih. app,nprlala box: (l)CXJ COil (2)0 LowtrolcoSlo,m"k.1 (3)L.lOlhll(lIolhll,allach.xPlan.llon) C F Accountlno m.lhod, 11II.ln Ih.apPlop,lal. box: (1)00 C..h (2)0 Acc,ual (3)0 othll (sP,clly)'" _ _ _ _ _ _ _ _ _ _ _ _ Ves No o Wu Ihorunv ch.no.ln d.lermlnlno qUlnlllles, cosls orvalUltlonl b.lwlln op.nlno and ciolino Inv.ntory? , ......,,,,,,,,,,,,,,,,,,,,..,,...,,, X It 'VII,' .lIach oxplanlllon, Old ou deducluoenm lor an offlc.ln . 1 a Grossllc.lplsorsalu..,,,,,,,,,, ....."""..""... """"..."""", ......".."",,,.,,,.. 1. b R.lurns .nd .1I0wances "",,'"'' '''''' "" '" "'''' "" '" """ ....."",,, ,,,,,,,.,, '" "'''''''''''''' ".. 1 b c Balanc. (,ubt,oclllne lb lrom line 11) """ ""'"'''''''''''' ."" ,,"," ,,,,,,,,,.. .......""".."",,,,,,,,, ,,,. .",,,,, """ ""..."""", 2 Cost 01 ooodssold and/or optrallons (Sch.dul. C-l, IIn. 8) "'''' .. ..... .."",,, ""..",,,,,,,,,..,,,,.,,...,,,, '''''''''''''' "" """",,'" '" 3 O,oss profit (subl,sct IIn. 2 110m IIn. lc) """ """ ,," """""."".." """"",,"" '" '''''''''''' """,,""" ",..",,,,,, ..... ".. .""""" 4 Othtr Incom. (all.ch sch.dul.) Includ.lnt.lIsl',om .ccounlsllcelvable, bu,lnm checklno .ccounls """"" ".... .."",,, '"'' ". and olhll buslnlllaccounls, Also Includ. sales of operallonal ....Is, S"ln,tructlons Bookl.ls, Tolallncom. (add IInos 3 and 4) ""."...."""..".."..".."",,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,"''''''''''''''''''', .. I' 8 Adv.r1lslno """""",,,,,,,,,..,,,,,,,,,,,,,.,,...,,,,.. 7 Amorllllllon "",." """.""."",."""" """"""" 8 8ad d.bts from Sa/IS 0' "",ICIS ""...""""""" o 8ankcharoeo "....""""""...""".."...."....... 31 Wao.. __. 10 Car and I,uck expenses ..""""""".""", '" """ 32 Otherexp.nses (,p.c~): 11 Commissions """"'" """ " "" "" , ",,,,,,,,,,,,,, a ~Q.~'r:.~G~_ _ _ _ _ _ _ _ _ _ _ _ __ 12 Depl.tlon """""",,,..,,,,,,,,,,,,,,,,,,,....,,...,,.... b 13 O.preclallon (.xpl.lnlnSch.dul.C.2) ........ 467 c ==:=========:======= 14 DUll and publlcallons """""".""""""" '" " , d _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lS Employ.s b.n.nt prooramsolhll Ihan on Lln. 22 e _ _ _ _.,., _ _ _ _ _ _ _ _ _ _ _ _ __ 18 FIIIOhl (nollnclud.d on Schedul. C'I) ..,,,, I _ _ _ _ _ _ _ _ _ _ _ _ _ ,. _.. _ _ __ 17 Insuranc. ".."",..""""""....",,,....,,,,,,,,,,,,,,, 0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ lB Inttrlllonbuslnesslnd.bt.dnm "",,,........... h ____________________ 19 Laundry and cleanlno ""..",,,,,,,,,,,,,.,,,,.,,..,,,,. I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 20 L.gal.ndprofmlonalslNlc" "..."""""""" I ____________________ 21 Offlcs suppll., ....""""""",,,,,..,,,,,,, k _ _ _ _ _ _ _ _ _ _ _ _ _, _ _ _ _ _ _ ~ 22 P.nllon and prolll,sharlno pl.ns foremplov" ". I _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 23 POllao.."""""""""...""""""......",,,,,,,,,,,, m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 24 Renl on bu,lnm prop.rty"""""."" n _ _ _ _ _ _ _ .. _ _ _ _ _ _ _ _ _ _ __ 2S R.p.lrs"""""""""""...... ...."",,,...,,,,.,,,,, 0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 28 Supplies (nollncludad on Sch.dul. C'l) """.. p _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 27 Taxes..",,,,,,,.,,,,,,..,,,,.......,,,,,,,,,,,,.,,,,,,,,,,,,, q ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2B T.I.phon.."""",,,,,,,,,,,,,,,,,,,. .." ,,,,,,,,,. , _ _ _ _ _.. _ _ _ _ _ _ _ _ _ _ _ _ __ 29 Travelandenlertalnmonl """ ...........,....,...... 33 :~~:p~::~~:;::=;~,.~::~~::~~ 30 Utilities """..",,,.....,,,,,,,,,,,,,,,,,..,, ......."..... ",.,p,.,o 34 Tolal d.ductlons (add Imount, In Column\lor lines 61hrouOh 321) and d.ducl Line 33, '"'''''''' ................. 3S N.t p,ollt 01 loss (sublracl Lln. 34 from Line 5), Enllllolal hll. and on Ih. approp,lal.llne of PA tax ilium, , If! n.IIOIsls shown, ll1l-1n the boxand .nlll on Ih. app,op,lal.lln. olth. PI. lax return. ..""".... "'" '"'''''''' ""."" 174Q.l 01.()t.ga 40 ."",,, ... 34 LoIS 507 <207 3S L 9703111063 744300 191427591 040 8 MAY, JOHN R. 9703111063 ~ 19142751 18540225 II \ l~ ., iJ r ,_ 456,2 OMS No. 1"'''U1n -1.997~ Depreciation and Amortization (Inoludlng Inlonnello,n on Listed Property) C - 1 ~=~~~ry .... At1loh thl. 'orm to your return. ~:c"-=~o. 87 NM\II(" .. Oft """1 rutin... 0' 1IOtN1lY 10 Wflletllnl' ',,,m fll.!. kltnltfy1fllllurrlMot JOHN R. & KAY L. MAY ~IRWARE 191-42-7591 ~tlon To Exp.n.. Oertlln T~nglble P,oP.rty (Seotlon 1701INot" II you hm .~v 'lIst.d olooer1y.'comole'e P.rt v belo'!~u comolete P.rt I.) t MllCJmum dolll/llmn.lIon," an Intlrpri.. zono bUlln..o, ..eln.tNotlon. """"",,,,,,,,..,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,...,,, 1 18 , 0 0 0 . 2 Total ooot 01 ..otlon 170 property placed In .."'Ice """""'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 2 _=~-----.: 3 Th,..hold cO'1 of oootlon 170 p,oporty boforo reduollon In IImllotlon """"",,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 3 ~,~._ 4 R.duotlon In IIm~.tlo", 9ublroct IIn. 3 from IIn. 2, It z.ro or Ie.., en I., .0. "",,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,..,,,,,,, 4' 5 Oolll/lImn.tlon for 111)( y.ar, Subt,aot IIn. 4 f,om IIn. 1, It z.ro or I..., .nt.r .()', It monied flllno --1!Q!!1lelv, ...In'INotlon. '"'''''''' '''''''''' "'"'''''''''''''' _ .............. "".. __ 6 ('1 O..Ol1pbon 01 p~~ lbl CO" (hutin... u.. onlY) 5 (c) Eiectltd c.o.t __ =-=t I I T " Ul1td proporty, Enl.r amount ',om IIn. 27. ""''''''''''''',,'',,'''',,'' ...".."""",,,,,,,,,,,,, 7 8 TOlalaloot.d 0001 of ..ctlon 179 prop.rty. Add amounl.ln oolumn Ie), lin.. 6 lI.d 7",,,,,,,,,,,,,,,,,,,,,,,,,,, 6 o T.nlallv. deduction, !!nlor Ihoomall., 01 Ilno 5 or IIn. 8 .".."""" ......"""",,,,,,,,,,,,,,,,, .".., ",,"""" ...... .."." 9 ____ 10 Carryover of dl.allowed deduotlon from 1996 '''''''' ""'" """ " '" " " " '"'' " "," " " ............""",,,,,,,,,,,,,, 10 11 Buoln...lncomellmllallon. Enlollh. .",all.r 01 bu.lne..lnoomolnotl...lhM zerol or IIn. 5 .....""""."". 11 12 S.otlon 170 .xp.n.. doducllon, Add IIn.. 9 and 10, but do not onllr more thon line 1 1 .."".... 12 13 Cerryov., of dlsallow.d d.ductlon 10 1998, Add IIn.. 9 and 10, lo.s IIn. 12 ."",,,,,,, ~ I 13 I "..",.,:."::<::.:."!:,, i:,::..:::':" ., Nola: 00 not u.e Pstr /I or Pstr III b./ow for IIst.d properry (autcmobll.s, c.nsin oth.r vehicles, oollular to'ophonos, consin computers, or properry used for entertainment, recreation, or amusement). Instead, use Pm v for listed proporty. .....MACRS D.pr.olallon For 1....10 Plaoed In S.rvloo ONLY Durin9 Your 1907 Tax Vesr (Do Noll~?lud. LI.I.d-P~rty.) 800tlon A . G.ner.l Asset Aocount Eleotlon 14 If you lie maklno lh. .Iecl/on und.r 'ec1lon 16800(4) 10 group any ....t. plocod In ..rvlo. dunno lhellX year Into one or more g.n.rsJ ....t aocounl., oh.ok Ihlo box, 90s In'INol/on. """.."""""".""".......",..",,,,,,,,,,,,,,,,,,,,,,,,.. """,,,...,,.,,,,,,.......,,..,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,... 0. S.oUon B . G.".",I O.p,ool.Uon Svsl.m (GDS) (S..lnstNo1lon.,) ('0) Manln and (cl8uls fat Cl.pt<<:l.lIon yw plK*l (bll.lne..llnv..tmtlll u.. In '*V1oI only. ...Insuvcllons) (~Cla.lftctUon 01 pnlplny (el) RtcaVflY ..... (I) Canv.nUon (~M.tIlod (Q)o,ptwc:l.lIonalCluctlon 18 . 3'YIW' property b S'Y'1lI' propertY o 7. .ar r006n d 1 ().yaar crcoerty I 15'Yla, croDflrty 2().year property 9 25'vllr oroperty Nonr..ld.nllsJ r.al prop.rty I I I 25 "" 27,5 II, 27,5 YII, SI\. MM 91\. MM SIl. MM 91\. MM 51 S.oUon C . A!!.m.tlve O.p,.ol.'lon SVS1.m lADS) (So.lnstNcl/ono,) _ ~:.'"'..""".,,...~, ... '''~ ~:: RT:~ 17 GDS and ADS deducl/on. tor ....1. plaoed In .ervlo.ln lax YOIllS begin ninO beto," 1997 ""," " " " """" "" '" " " , ~ 18 P,operty lubjeot 10 ..cl/on 1B8(Qll) .'.ctlon "",,'"'''''''' """"""'"'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' G:::i= iDia~~;::~~~:o:~~~~~il~~~:)'. .................................. ....... ..........,....,... ,..". 20 U.ttd p,oporty, Enl.r amounllrom line 26 ",,"'"'',,''''''''''''''''''',,'',,''''''''''''''''''''''''' ",..""""""""""",,,,,,,, 2 21 Tolal. Add d.duotlon. on IIno 12, IIn.. 15 and Ie in oolumn (0), and IIn..17 th,ouOh 20, Enter h." and on lh. apPloprill. /In.. ot your '.'urr" Partn."'hlpo and S corpo,.l/ons. ...In''No 10 "'" """"""."." .. 22 For IlIslta .hewn above and placed In aervlce during the OUrT.nt year, Inter the rtlnn orth. bule allnbullbl.IO ,.cllon 263A coolo. ...".. " '" . L.HA F.r Paperwortc R.duc1lon Aol NoUo., 1..lh. ..p.ra\eln.lruoUon., r!.'Y."" 16 18540225 744300 191427591 040 MAY, JOHN R. h Residential r.ntal property' 467:' 22 Form 4H1l (1007) U142751 '~' !2l!ll..iW{lY071JOHN R. .!< KAY I,. MAY ~ 191-42-759~Paga! IIDIII LI.'ed PropertY ft Automobll... C.n.ln other V.hlcl.., Oellule, Telephonll, Oertlln Oomput,rs, end PropertY U..d for Int'r1.lnm.nt, Rlar..Uon, or .A.mullment ' , Not.: For any vlhloll for which you III Ullng Iha eltl1dard mll.ag. rol. or doduoUno I.... ..pen I', compl.l. only 23a, 23b, column. (a) Ih,ough Ic) 0 Seollon A, all of Section 9, and SlcUon C II appllc'blt, alotlon A. Dlpreolatlon Ind Other Info~.Uon (O.utl~n' 8N InllNollcnelo( 11mb f~, p....no" .utnmobllll,) ~3a O. yo~ have evldencI 10 support Ihl bu,lne..nnvlllmenl UII clJlmed? Y.. No 23blt 'Ves . II h. .vldonco w . I ,,? (I) (b) 0.1f lcl (eI) (.) (0 (0) Ih) TVplOI p'ope~ plaCId III BUllnml COIl or e.." ~"_'''n RecovllY Mllh.dl Oe.llcl.llon I Invlstment I b I t'DijtfMlll1nv.tmenl I d C I 11111 vehlcl.. 011 ) "" ce ..!!.!!1!~~I' e 0 hit as I '" on~1 nil 0 onvenllon Illduclon 24 P,oPOrty Uled more than 50% In~uolIOld bu.lnl.. u.o: .. t=;j ~ ~ ~1 25 Prooertv u.ed 50% Of less I a uallfied business use; ____ %1 % % % 28 Add .mount.ln column (h), Enl" Ih.tol.' here .nd on IIn. 20, pago " """"".""" 27 Add .mounteln cclumn (I), Ent.r Ih.total h~'e and on line 7, p.o. 1 .", ..,,,... "...".".. ,... ,.,.., ..,.." Section B . Intorm.tion on Use ot Vehicles Complet. this Itctlon 10r vehicles used b>' a 901e proprie1or, pal1ner, or other 'more 1han 5% owner,' or related person, If you provided vehicles 10 your employees, first answer the quuUons In Seotlon C to !lee If you meet an exception 10 completing this secllon for thos. vehIcles. Q) EI.cted mUon 179 cOil =:t :I]=-4~ ~ I 27 (a) Ibl It I (eI) leC[ (t) 28 Tot.1 bUllnnsnnvulmell1 millS driven du,lnO the Vehlcl. Vehlcl. Vehicle Vehicle Vehicle Vehicle Vur (00 NOT Include commullno miles) ."....... 20 Total oommutlng mil.. dnven dunng th. y..r '" 30 Tolal olhar perscnallncncommutlng) mil.. drlv.n""""""",,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,.,...,,.,,,,, 31 Total mila. drlv.n dunno Ihe y.ar, Add lines 28 throuoh 30 "'" " "" " " " ,,, " " ".. " " " " V.. No y~s No Y.. No y.. No Y.. No Y.. No 32 Wu lhe vahlcle .vallabl. Icr p.,.onal u.o dunng offod\fiy hours? """'"'''''''''''''''''' 33 W.. the v.hlcle ..ed pnmarlly by . mora than 5% owner or related person? ........... 34 I. another vehlcl. .vallabl.lcr po,.on.1 use? . . . . . . . . . . . L S.ctlon C . Quo.tlon. for Employars Who Provlda Vlhlcle. lor U.e by Their Employ... Answer the.. question, to d~termjn. If you moel an exceptlon to completing Section 8 for vehicles used by employees who If. not more thin 5" owners or related persons. 35 00 you malntoln -. wrttten polley statement that prohibits all personal use of vehicles, lncl(lding commuting, by your employees'l "",,,,,,,,... "..,,,,,,..,,..,, ."""".... ........."...... ..........".."......" "... ,.... "". ..., ".....".. ".. "....".. ..""........ ".......... '" ...... "....". 38 00 you ma!ntaln a written policy statement that prohibits personal use of vehicles. exoIJpt commutinQ. by your emploVGes? See Instructions for vehicles used by corporate officers, dlrectorJ, or 1 % or mora owners . ..,. ......... .............,.. ...,. 37 Do you trut all UI. 01 vohlcl.. by emploYI.. ~'pe,.on.1 use? "",,,,,,,,,,,,,,.,,.,,,,..,,,,,,,,.,,,,,,,,,,,..,,,,,,,.., ...""",,,,,,,,,,,,,,,,,,,.,,,,,,,, 38 Do you provide more than flVI vehicles to your employees, obtain Inf~rrnatlon from your employees about I the ua. 01 the vahlcl.o, and "1.ln Ih.l"formellon 'eooived? ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,",,' 39 00 you mlet the requIrements oonoernlng qualified automobile demonstration use? .,.....,.................,..,.,....,.............,...........',.,,,., Not.: If your Mawer 10 35, 36. 37, 36. or 3911\ 'Ves,l you need not complete Section B for the covered vehlcle8. ....- A",onlutlon II) } (b) I Ic) (eI) (.) OIKfif\II"n"IOI)tll ~'jtnOf1U,on Amarou"!, cou MlOt1taun _ MOlnt &moUn! ,~O" D<<loctotDftitl'. .0 Amortlullon of oOllllhal beQIIls d,!!ln our 19971ax ear: .i . "., . .1 42 711:212 01<1.... 18540225 Amortization 0' coli. thai b.g.n balora 1007 """"",,,.,, "'" """'" """"'''' " Towl. Enter hlr. and on loth.r Deductlonsl or IOther Expenlllf line of your return 17 040 MAY, JOHN R. ..,...............".... .1 744300 191427591 19142751 -- - ?A-40 BUSINESS/ PROFESSION AND FARM NET INCOME JESCRIPTION ,CHEDULE C ,tlBTOTAL rOTA!, TO PA-40, LINE 4 LOSS DISALLOWED - 0'.1\-40 TAXPAYER AMOUNT <207.> -- <207.> 207. GROSS COMPENSATION AND WITHHOLDING JESCRIPTION INCOME \MP INC. 3SC r..ITHO :1ILTCO CORP. rO'l'AL TO PA-40/ LINE 1A rOTAL TO PA-40, LINE 14 28/684. 61/446. 11/685. '.... 18540225 744300 191427591 11 040 MAY, JOHN R. TOTAL 101/815. -'..- '"I STA'EEMENT 1, SPOUSE AMOUNT - <207.> "= STATEMENT 2 WITHHOLDING 819. 1/720. 322. - 2/861. SCHEDULa: c (f:orm 10'\01 , O.~t.,.... T.....t'f 1,.,,,,,_ "-""'I,i.....,"" lilt N""',,~ Profit or Loss From Business 10"'gIN"g' lI"!!l," ,_. (Sole PlOplletorllllp) ... p.rtnel1hlp" joint venlutu, elc" mil" lIIe Fo,m lOSS, .. AII.co 10 Fo,m 1040 or Form 1041, .. See Inllru,lIon, lor SChedule C (Form 10401, ~:.r..":'I.,,09, t<<laI.eait11y nll~~ (S.SN) ~HN R._MAY ____ 191-42-7591 A Prlnclp.1 bUllnm or PlOtu.slon, IncludlnO PlOducl or UNice Ben..""... ,,,,,_ ....,... SCREEN PRIN'l'ING OF ASSORTED NOVEI,TIES ...'0,.,.. 2659 '.---- .-----.-------- C BuslnlSl n.me, It no Up,"" busln... n.ml, Ie", blink, 0 e""".,,, '0 "''''-I1IINI. II M, AI RWARE 25-1687625 e BUllneU,ddrlll IlncluOlno lUll. or ,oom no,)'" P.O. BO X 73 --'- ____ ~own or pOSI OMc., 1I.le, Ine ZIP COde MEc1iA1ircsEiuRG,- PA"', -1 i cr 5'5"- - - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ TAcoounllno method: ~so 121D ACCIlJII (3)0 Other (speclly)" _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ =.,.:. _ _ _ __ o Old you 'm.leri.,1y P.r/lclp.te' In 101 operallon ollnls buslnlSl durlnO '9~n If'No,' III P'O' Co2 tor limit on lOSSes.""..""""""",,,,,,,, DD Yo LJ No ~u 1I1r/le nr.oqullld Ihls business du,lno 1997, 'heck here "."..""", ".""'''''''''' ""'''''''' '" ...".".."",,,,,, II> ~ -.. Inoome _, 1 ~;;~::e~: o;~:;:;,I:::~~:h~_~:::=~=:rr.~t,o,~~,~,O~,~~~~~~:~th,~'~t~,~u,t~,~~~~/~~~' ~OXD lr 2, 709 . 2 Relurn. and .1I0w.nces """.""" '''''''''' """"''''''',,, "." ""."",,,. """""".."". '" """""" """. '" ""'''''''''''' """ """'"'' 2 3 Sublract/lne 2 fromlln'l ,""","",,',, " """".""."".. ""," '"'''' ". " "'" "" " '''''''''''''''''''' ..".""""""""".".,, 3 4 Cost of ooods sold (from line 42 on p.oe 2) '''''''' """"",,,,,.,,,,,,,,,, ".".."".." "" "" '"."."" """."...."" 4 S 01011 p,ollt. Subtract IIn. 4 t,aln /lne 3 "."""."'''''''"."'''''''''.''1''''.'''''""".....,,,,,,. '''''''''''''''' ,,,.,, " " " B O1her Inoome,lncludlno Fedoral.nd Slale OllOlIne 0' tllellax cred~ or refund "". """" """""""'"'' "'''"."''''''",,,,,,,,,,,,,,,,,, 2,709. 2 ,.m.:. 7 01011 Income, Add IInu Sind 8,.., "" ..." ".",,,,,,,... '" ".. ""..."".." "" """"" '"'''''''''''' '" IDJI Expense~r 8.lpenses for business use 0' your home only on line :.10. ".,..",,,,,,,,,,.. ..~.~ S 300. 6 --- 7 300. 19 20. ----- 20b 21 22 23 24. 8 9 Adver/I,lnO """"""""""""..."""". 6 19 P.nslon .nd Pro"hh'rino pl.ns "..,,,,,,,,,,,,,, 61d debl' I,om "lIS 0' 20 Rent or lem (m p.oe C'4): services (III p.oe C-3) ",,''',,'''',,'', 9 . Vehicles, m,clllnery, .nd eQulpmenl '''''''''''' Carand tnlck expen... bOther bLlSln.ss property ""..""""""".""" (SII p.oe C-3) """.""""""""",,,,, 10 21 Rep.lrs .nd m,'ntenance """""""""".""" Commissions .nd fIlS ".",,,,,,,,,,,,, 11 22 SUPPlies (nollncludad In p,rt III) ".""..""" Oepletlon """""""""".",,,,,,,,,,,,, 12 23 T.xlS .nd IIc.n,as """""""""""""""".", Oepllc.tlon .nd secllon 179 24 Travel, meal', .nd snlert.lnmenl: exp.n..eoducllon (nollncludad In . Travel "".."""""'"..""".""".",,,,,,,,,,,,,, P'r/III) """".""""""""""".""." 13 467. b Mealsand t Emp!ovII b.nellt pro911ms (o!her enl.rt.lnmanl """""'''''''' Ih.n on lI11e19) '''"."""..".""""" 14 Enler 50% oll1na Insurance (olhll Ih.n hullhl IS 24b sUblecl to Inlllllt: IImlt.llon, ISIl P'O' C04) ." _. MOr/O'O' (p.ld 10 b.nk', efc,) 18. d Sublraclllne 240 lrom line 24b "" '" Other """."'""""",,,,,,,,,,, 16b lS utllllles """""....""""."",,,,,.,,,,,, Leo.llnd p,olesslon.1 2B W,O's (I... amplovmenl Clldll') ..rvlces '''''''''''''"...,,,,,,,,,,,,,,,,,,,,, 17 27 Other expenses (Irom IIn. 48 on otIIcllxp.n.. 18 P' e 21.." .........".. Tol.1 ..pensu belore IXPlnse, tor Du,ln..s use 01 hnm., Add lines 81hrouOh 271n COlumn, ." ""."....,,,. .. 40. 507. 10 11 12 13 14 IS 18 . b 17 24d 2S 26 27/ 26 -- 18 26 29 30 31 Tenl.llve p,ol!t (lossl, Sublraclllne 28 f,om line 7 """"""'"'' '''''''''''' " " """""""" ".. "..".""" "'''''" "'''''''''''''' ''', Expen... lor buslnus use 01 your 110m., M.ch FUll" 6829 '''''''""""".""".."",,, "'''''''''''' "'"'''''''''' ""'''"',, ".""" Nel ,rolll 01 (1011). Sublract lI~e 30 trom line 29, · II. plOIlt, .nler on Form 10.0, line 12, .nd ALSO on SChedul. SE, line 2 (SI.Mory emplo~ees, s.. p.oe C'5), Est.les.nd Iru,I" enlll on Form 1041,IIne 3. · II. loss, vou MUST 90 on 10 line 32, 11 YOU hlVl.loss, check Ihe box Ih.1 ducrlbes your Inveslrnenl !n Ihl, .cllvlly I'" p.ge C'5), · It you checked 32., ,"Ier lheloss on Fo,m 1040, IIn. 12, .nd ALSO on Scoedule SE, line 2 Ist.lulory .mploVses, III p.oe C.5), E,l.les.nd I'U'I" enler on Form 1041, line 3, · II you Chlcked 32b, you MUST allach Form 8188, I.HA Fo, PIPI....Olk Reducllon Act NOllce,..e FOlm 1040 Inllrucllone, 29 30 <207.> } } 31 <207.> 32 32. rv-,,4,JI 11l'I..m.nr l...AJII111l1k. 32b Dil"l:l!~'T'.:o.."""'" SChedul1 C (Fonn 1040) 1007 a.~11 18540225 744300 191427591 5 040 MAY, JOHN R. 19142751 ,~4562 I Depreciation and Amortization , . (lnoludlng Information on Listed Property) (' _ 1 O~IIJ''''.T,...,,'Y..... AttI4II"""l I",MlIl ~"h.. SeN_ III""" Attach this form, to your ,.turn. !fQuence No. 81 "_~._......m /'''''''''' ....,~" .;;;,;u;;;-."" "<01" ""'~In. n""",~ _ JOHN R. 6< KAY L. MAY iAIRWARE 191'-42-7591 .. BI.oU.tI To_E.olpan.. ci.rt,'n Tan9'bl. Proparty IS.otlon 1791 (Nol., It you have any '11'110 P'OOllty,'COmollll Pan v belor~omPIII' Pan 1,1 1 Me>Jmum doll...llmnlllon, It on .nlerpri.. .on. busln.I., ",,'notruollon" """".""" """ " ''''','''' " """",,,,,..,,,,,, 1 18, 000 . 2 ToleJ OOlt 01 .oollon 170 p,operlY plloed In "lVln. "'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 2 3 Th".hold COlt of .oollon 170 property belo.. 'eduotlon In IImnatlon """"""'''''''''''''''".",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, 3 4 Aeductlon In IImlllllon, Subtract IIn. 3 from IIr,e 2, lI.ero or I..., .nl.r {J, ""''''''''''"",,,,,.,,,,,,,,,,,,.,,,,,,, 4 5 ~::.~:~~~~: I~~t::~::" ~~~~~~tll,~~~,'r~mll~~~',It~.r,o,~~I~~~: .nt., ,0" It ma"l.d nllnQ,,= ~L (~ OMcr1aUon 0' PIVlIttly (hI c~~; ;~.~~;~~~' :I~~ .~~~;" T" (<:1 Ellet.. co.t OMINo. IS4ti!~ 1997, ~- ~,:';r d ,.,.;-:. -";',.:-~,::':"; "~I . .,'..',,-, -"';6 7 Li.ted propeny. ent., amount from IIn. 27"""."""."""", ..",,,,,,,.,,,,,, 8 ToloJ .'OOled oo.t of lecllon 179 prop.ny, Add 3mount.ln column (cI, IIn.. 6 and 7 "..""""..,,,,,,,,,,,,,,,,, 8 9 Tenlltlv. deduction, enter Ihe .maller ot IIn. 5 or line 8 """""""'" "'"'''''''''' .."''''"..""."..""......""."..,,, 9 I 10 Carryover 01 dllallOWed deduotlon from 1998 """.""."'''''''"...."'''''''""..",,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,.,,,,, 10 11 BUIln.as InccmeUmita1lon. Enter the smaller at buslness Inoome (OOllcas than ;:8ro) or Une 5 .......,.,...... l' 12 Secllon 179 ..p.nle deduotlon, Add IIn.. 9 and '10. bUI do nolent.r mer. than line 1 1 .."""""",,,....,,,,, 121 13 CarryoveroldlsolloWeddeduotlon to 1998,Add line. 0 and 10, less IIn. 12 ......~r131 " ,,' " Noto: Do not us. p", II or PD/I 1/1 b.low lor listed prop.rty (automobile.. a.rrain oth.r V.hicl.s, a.llular './ephon... clf,ain ao~o;;j;o;;e'7iY- u..d lor ."torte/nment. roc"atlorr, or amus.ment), In.t.ad. us. Part V lor IIst.d prop.rty, IiEIiIII MAORS C.preolallon For As..tl PI.oed In S~NL Y During Y~ur 1997 Ta. Y.orlDo Not Includ; L~operty,) Scotlon A. .. a.rl.rel AssQt Account Eleotlon 14 If you.,.. meJdng tho .Iecllon under lectlon 168(1)(4) 10 oroup any ....1. plaold In lervlce du,lng the tax Y'OIlnto on. or more Oln.rtJ as.et acoounl., chook thl. bo., S..lnllruotlon. "...."'''''''''''''~''''''''''''''.."."'''''"."'''''".."''''''''.,,,,...,,',...".".,""..,,,,,..,,,..,,..,,.,,..,,,,.,,.,,,., .... 0.. Seolloo B . aen.ral Deprool.tlon System (aDSI IS.eln.lructlon.,) (bIMonthlll<l (C)Satltlordfll'*=iallQn =1'- 1- pl**l ItllJtln""'n'l_tn'4IIlt II.. (~RtCClvlHY (I' Conventlon (~MIlhOd In IWVIOI only' ...lnllNCdontl pttiod ;-;';;:';"i"",,;':";.i""', ;;:;.:.::",::,;:-,-,;:(i-' (aI CIa.lllClltlon 01 pl'OpAr1V -- 1m OfllrtCfallon d..:lllCtlulI 1 S e 3.y.., pr'le! b 5.ye., property Q 7'Y.ar procertv _ d 10.ye., property e 1 5,y.... prope,\'{ 20.year Dre a 25. Iftr ro e -~ += I -+ 25 n1, / 27,5 n1, MM I 27,5 n1, MM ( MM / MM .. : li~' '~"i~:~m.:.. ~~"''''","''m "';';; '""Q Other O.precl.llon 00 Not Inolud. Lilted' Prop.r~.. In.truotlon.,) 17 aDs and ADS deduotlono tor .....t. plloed III .elVlceln lax Y.'" ~lnnlnQ b.lora 1997 """"",,,,,..,,,,,,.,,, 18 P,operty .ubloct to .ectlon 168(1)(1) election """."'''"."''''".."'''''''"".""".."",,,,,..,,,,,,,,,,,,,,,,.,,..,,,,,,,, 10 ACAS .nd other deprecl.tlon ...". ". .."."........" ..",. ."..,.....""." IDIlI Summlry (S..ln.truotlon.,) 20 Ultld property, Ent.r omount from II.. 28 ''',,'''' '"..,,,,,,,,,,,.,,,,,,,,, ".."",,,,,,,,....,,,,,,,,,,.,,,,,,,,. """ '" " ,,, ",'"""'" 21 Tot.,. Add deduction. on line 12, lines 15 and 161n column (g), and IIn.. 17 throuoh 20, enler hare and on the appropr1etellnee of your return. Pertnenahlpl and S corporallens . 1ft. instru01lons 22 For ....1. ehown obove and placid In I.rvlo. during Ih. ou".nt y.lt, .nter the conlon 01 the bas.. InribUleblelc .ootlon 263A co.l. ...""""..",,,,,,,, """""" UiA For P.porworlc Rllduot/on Aot Notlo., ... tho "Plrot. Instructlonl, 1/.', 16 }540225 744300 191427591 040 MAY, JOHN R. h A..ld.ntlli rentoJ prop.rty Nonresidential real propelty SH= S/L SIL ---- 17 18 10 467; 22 LJ -ii!~~rl\~~~}ti~~;jl~j~Tj~It'~:;iwi~f#I:~t:i.1 ;t:..,.~;.:,;,;<),'r"- '-:<:* i -,;'~'*':',~,;,,,,,,'.l',_;,_, "'. >"-:"':"i'.:;':'_,_".' ;'_ <, __ - '''~~:':i'~''''';-,''l:'..~ 467. Fo,," 4812 (1097) 19142751 ';':-',:,'i~:':: ~ R. Ii KAY L. MAY 191-42-7591Paoe 2 II!IiI1I ~~~~~p.rty. Alllomobll.., O.rt.ln Olh.r V.hlal.., C.llul.r T.I.phon,", O.rt.ln Complll...., .nd Prop.rty Ule<I lor 8nl.rl'aln",.nl. Roo....llon or Amu..m.nl ' " . Nolll For any vlhlcl. for which you .,. u,lno Ihl lI.nd.rd mll..O. III. or deductlno I.... .xp.n.., compl.l. onlY 2~a, 23b, column. (.) throuOh (c) 0 SOC1lon A, all !!~~, .nd S~ 0 IlaP!l.II~ . '- Soollon A . DIP,"ollllon .nd Olher Inlo"".lIon (Olullon: Saeln.truC1lon. 'or limn. 'or "1II10.r automoblla.,) a~1 00 VOU have evldlncllo luppnd the buslne..~nvlllm.nl ull claimed? Y. N 23blf 'V....:J1lh. .vld.n · (II (b) 011. (0) (d) (I) in (0) Tvpe 01 p,op.r\y pl.ceoln BuslnlSll CasIO' e.." ."......"" AlcOY"1 MllhOol (1I11V1hICIII ""1 ) 111'11" InvOIlmenl Olhll basil Il>""'''''''''''''''' peilod Convenllon un pete,nla . utunl'1l N ,,,,,__"M ....=+.~ .~_." ~ ~- \-:Ii 25 ~roCl=::r 1...1 uallllod busln...:i"' --F- ~~-i: ~;L: -+-- % ~__ ~ _ 51, -i % :::L_ ._._ 51, 28 Add amount. In oolumn (h), e"larth. total here and on IIn. 20, paO. 1""",,,,,, ",,"""",","""" ."""",,,,,, 28 27 Add Imounl. In column (ij, enter tha total hare and on line 7, paoe 1 Sec110n B -Information em Use of VehIcles Complete this section for vehicles used by a sole propriotor, partner, or other 'more than 5% owne,,' or related parson, II you provided v.hlcl.. 10 your employ..., nrslan.w.r the que.Uon. In Saollon C to .ee if you meet an exo.ptlon to compl.tlng thl. ..cUon lor tho.. vlhlcl... n? (hI Oeprecllllon deducllon No_ (I) Elect.d milan 179 ~1L_ 27 I 28 Tolal buslnll.~nvlltmenl miles dil'len dudno Ihe year (DO NOT Include coml\1ullno mil..) ,,,,,,,,,,,,..,," 29 Total commutlno mila. driven during the y.ar 30 Tolal olh.r personal (noncommutlno) mil.. dil'l.n"""""""""",,,.,,,,,,,,,,,,,,,,,,,.,,,,,,,,..,,,,,,,,, 31 Tolal mil.. drlv.n durino the Y.W'. Add lines 28 through ~O "."".""".".""".".,,""" (.) Vehicle Ib) (c) Vehicle Vehicle (eI) Vehicle (.) Vehicle (f) Vehicle .~ v.. No Y.. No Y.. No Y.. No Yes No Y..es No 32 W.. tha v.hlcl. avoJlable for p.rsonoJ us. durino otfoduty hours? ,,"'"'' " " " " ". " " "",,,,,,, 03 W.. th. v.hlcl. used primarily by a more than 5% own.r or ,"I.ted p.rson? 34 I. anolh.r v.hlcl. avoJlabla for p.rsonoJ use? ,,,,,..............................,, ............... ". T I T SIctlon C .. Questions tor Employers Who Prevldot Vehicles for Use bV Their Employees Answer tnese qu~stlons to determinelf you meel an excoptlon to compiotlnQ Section B for vehicles used by employees who ar. not mot. than 5% ownfU'I or r.lat~One. o 35 Do you malntoJn a written policy stat.manllhat prohibits all p."'o~al uso ot v.hicl.s, including commutlnQ, by your employ...? ,,,,..,,,,,,,,,,,,,,,,,,,,,,.,,...,',.,"'"'' ,,,,.,,.,,..,,""""'" ",,,,,,,:..,,,.,.,.....,.,,,,,..,...,,,,,,..,,....,,,,,,.,,,..,"",...,,..,"'"'' "."..."""""". :3e 00 YOIJ maintain a written policy statement that prOhibits personal use 01 vehicles, except commutlnQ, by your employees? See InstNctlons tor vehicles used by corporate officers, directors. or 1 % or more owners .............................,............ 37 Do you tr..t all u.. 0' vahlcl.. by amploy... as personal us.? ..".."..."""""""."""..",,,,,,,,,,,...,,,,,,,,,,"'''''''''''''''',,.,,'',,....,,'''''' 38 00 you provide more tho.n Rve vehicles to your employees, obtaln InformatIon from your employees about Ih. us. 01 the v.hicl.., and ,eloJn th.lnform.tlcn rec.lved? """""""..""""",,,,,,,,,,,,,,,,,,,,,,,,,,,..,,",,..,,""",,.,,""""""""" ,,"""" :30 00 you meet the requirements conoernlng qualifIed automobile demonstration use? ".............,.............,.....,,,......,,,....,,.,......"".... Note: If your answer to :35, 36,37,38, or391s 'Yes,' you need not oomplete Section B '",r the covered vehIcles. ~ortlZJlIIOn (I) (b) (cl (eI) (.) CMCtipdqn 0' cotta 011 umriQIOll M'tOrUll)l. COo:!. Nninalon ~ll'l1 &/TIlIunl '~Cln I*IOdCli'NaIl 40 AmodluUon of costs that begin' durin our ~9971ax ear. q~kj: 10 -..... "'~"l- mWw~NtillWW;.W;'lm! 41 Amonlu1lon of c.-lt thll beo;ian belor.1997 ""."""""""""""""""'=="""""""."""""""""""""""" 41 42 Tolll. Enter her. lIld on 'other Deduction.' or 'Olh.r E!<pen.... IIn. "fyour r.tum "',,",,""" " 42 1!\'.l.'.. 17 .8540225 744300 191427591 040 MAY, JOHN R. 19142751 it,' L t,l,j) ~ , t. Depreolatlon and Amortization Detail AIRWARE " . 011011011011 01 propelly --.T~-- CosIo' 01,11 olher billS reducllon ------roif;r-.---r- Accumul.led dlPrecl.llon/amortlullon L 7,365.1 I 19Sr---, I 1 '-- llil ~;:\:::: T-=r- ~ L ---1 -c= -J I: r- ',- --- I I----r ".., , . Ourrent year eeetlen 17.9. 1 (0). Aue' dlopceecl 0.07.17 6 3540225 744300 191427591 040 MAY, JOHN R. 159.[ 1,565.1 537./ c- 1 ~, . Current Vllr deduCllOn 9. 9'0-; 3r.- -- 5,722., --- 15Cl "I 328. 9. 8,134.1 467. -r =r- -, I 1 :1 ~ r- I I r I I I ~ ,.., '.", ,." ......'~ .../ ..../.,........ U. PEAIOD liVeD HERE / 10 LL / I, W.2 'ARNINGS I~nlch W.2'1 " . a: IMPlOVEft BUSINesS EXPENSES (A"~cn 91Ale SCM<lule us., "'ld Ftllqw.d AUilCh"'."t., 3 TAXABlE "".2 eA~NINOS (S~bll.cll.1f\.l lrlim lltll) II 4, 01HUR TAXAIILE EAANIIO INCOMe (~jo 101".". OI~ld.r\d. or Un.mploym.nl U.n.Ills. Aru.Ch S\lIl~1I9 Q<<umftf1uI., S TOTAL TAxA8ll! flAmlEO INCDM'! BE FOilS ~ln rFlOflIT9ILou.S) F~lOM SGlF.f1Ml'l,OVMEm (Add Linu J end 4) . NE1 LOSS 'Jl0M SlilP.IIMplOV(!D OUSINlIS9. r1ROFP,3910n OR FARM (U.. Lint e 10' !lo.t Nt! Pro'llt, tAn.ch AIlPloprllt. IR3 8.:h.dtJI"1 7. S~laTOTAl. (Subllle! llllo" Irom Llll. 5) IF LflSS TH"N lana. ENTF.n ltlRQ .. NET PROFIT flAOM SElIl.EMPLOyeO BU91~IESS. PR0J1E9Slml. OR PARM (Us. line ell)' .ny flltl Lo,...) {At14ch Approp''''t IRS !lChlfdul.., e. TOTAL TAXAUL(! EMINEO IfiCOM!! A~IO '!f:T f'FIQPlrS (Add Llt1It 7 Ami &1 10. TAJe LIABILITY m OF LINE 9 (Multiply Lint a bV .01) I l. CAucma. A. SNT(lR TorAl t~. T,.,X WlHtHfl,D O'f' llMf'lOVl!n 8, SNl'SR aUARreRl Y PA'f'MI!NTR MADe TO THIS eURIlAU ,..'-:\ .' \ '"''.'',''' ( rNI[J1 IOIAl '00 rAI CrllllfI<; Illne IIA plu1llne IlfI, ,.~::::':~.~L,"::' , '\'>-' / .cJ-) 12, ;~..~:..... '~ ..::';.........~~'1.:,..... 'e ..,'\," . "1 "~")':;I\'''''''''''' ~,'..... ,.'" . '.:..:;'~:\~~~~ ~:~::: 13. ... IJRRENT MAiliNG ADDRlISS weSTAB FORM 531 IRF.V. 11/97) *************** ECRLOT ** R018 KAY L MAY 559 MEGGAN LN MECHANICSBURG PA 1 7055 \ 729 ,\,:, \ m :'- " 73,131. 73,131 . 73,131 8. 73,131 e 73,131 10 731 11. 729 12. .."...13. 2 ...,,14. PRESENT R A' 'I 5-427-120 OUR'-'fCOI\OS INOICAI1 TlIAT YOU AU A RUIOIIfT 0': 055 HAMPDEN TWP MARITAL I'IWPERTY Plaintiff lists all marital property in which cith(~r or both spouscs havc ulegal or cquitable Interest individually 01' with uny other personllS of the clute this llction wus comlllcnced: Item N!unl2su Description ufl'.11lllllli): NUlHes or 8.lL.llirum I. Reul Property. Meggnn I,llne John /{, Muy nnd Kuy LMny 2, PCI'sonal Checking llnd Snvings Accounts John /{, Mny 3. Personal Checking Account Kuy Ie, May 4, Checking Account (Business) John R, Mny 5, Pel'sonnl Checking llnd Savings Accounts John R, Mny nnd Kay L. May 6, Savings Bonds John /(, Mny and 101' Kay L, May 7, Certificates of Deposit 8, Stock 9, 401(k) - B,S,C, Litho 10, Pension, AMP, Inc, 11. Thrift Savings, AMP, Inc, 12, DLJ Invcstment Account 13. Saturn 14, HousehoTd Furnishings John R, May John R, May Kay L. Mny John R. Mny John R, May John R, May ancl Kay L, Muy John R. May John R, May unci Kay L. May ..... MEl./SSA 1>1:BI- GIWEVY AIIOI'rll'}' (/r/{I.COIIIlS('//O/, 1/11,111I' 'i'('luphorw: 1717) 7(;:].H!I!l;i I'rl.~: 171 7) 7o:i.I 4fiO Septcmber 18, 1998 HAND DELIVERED Prothonotary's Office Cumberland Count)' Courthouse I South Hnnover Street Carlislc, P A 17013 Rc: May v, May No. 98-1688/Cumbcrland County Dear Sir/Madam: Enclosed please find an original and four (4) copies of the following doculllents for filing in the above referenccd mntter, . Pre. Trial Stutement oftbc PJnintiff . Inventory ofJohn R, Muy -Income and Expense Statement of John R, Muy Please file thc original and return the rcmaining clocked in eopics to my office, Thank you for YOUI' nssistancc, Enclosures cc: Debra Denison Cantor (wi enc,) J,R, May (wi enc,) Robert Elicker, Divorce Mastel' (wi enc.) ~i~ ;/-- Melissa Peel Greevy ~ m) 214 Senate Avenue, Sulle G02 ' Cnmp "1111, Pennsylvania 170 t 1.2336 'l.... t-, ~,I;~ c" f.: . . II,e (\, " .r ( " i " 1/ ' , )' c., ., (')! :';;:,';i f' rJ' '....1 i " >I' I , it. , , (I. :..) ,J'j.'J "" .!eL L'._ (.t,) _I":' 0 ,::J 0\ c,J lOll ~ ." ,!. II:.J ~ tl ~~ !5!!! ilUlr.:.o:12 olI1;;I:!...... II: ~ $ ;;! t:' ~~!:I:t: ~<(~~ ll,....ft1t.'401l.lt..lIHilti.JOt.ltl ONl'I\KH ():I41<ldns wtlJ1ll.I~-\l'f " C:\OFFICE\WPWIN\WPDOCS\DDM E S TICIFOAMSII& e of RIA Jun. 16, 1996 JOHN R. MAY, Plaintiff v. KAY L. HAY f Oe hndant . ~ -" ....~ IN THE COURT OF COMMON PI,EAS CUMBERLAND COUN1Y I I'ENNSnVANIA DOCKET NO. 98-1688 CV PACSES CASE NUHBER 037100113 I DOHESTIC RELATIONS Sf-CTION INCOME AND EXPENSE STATEMENT OF INCOME K.iY L, HAY Employer: BSC Litho, I~. Address: 3000 CanbY Street. Harrisbut'R. PA 17103 Type of Work: Printing sales Pay Period (weekly, biweekly, etc,): 3i-weekly Gross Pay per Period: itemized Payroll Deductions Federal Withholding Social Security Local Wage Tax State Income Tax Retirement Savings Bonds Credit Union L1le Insurance Health Insurance Other (specify) Medicare Disability Net Pay per Period: 1 Other Income: s....l.J 500.00 S 204.29 L.. 93,00 S 15.00 ~ 42.00 S 90,00 s 21.75 6.53 1,027.43 C:IOFFICF.\WPWIN'WP:lOCS\OOME S TIC\POAMSII& E, F AM Jun. 18, , 998 EXPENSES WEEK MONTH YEAR Home Mortgage/rent 1- 750.00 Malntenanoe $ Utilities Electrlo 46.00 Gas 011 145,00 Telephone 32.93 2 . C:\oFFICfIWPW/NIWPOOCS100MfSTIC\FOIlMS\/& E,F RM Jun. 18, 1998 3 .. q~f,~;::~. 6/ 4/90 10l4fi; 7172a241~t .> 11EAG~fl & AOI.EA, ATTNVOI Pug..? 8-133-1998 10,43PM FROM Bse LITHO INC 7172324151 p,:< S,nl by' nlflOUI & AOLEA, ATTNVS 717 730 7360; O~/04/98 10:30j .hdiU N/lllt I Parle 4 YERlEICATION r. K'l~ L. M~)'. VlIlify thAI [hll >>1~l.I.)mel1lS nlll~o ill lIw (oT~jj\)jllll iJocul1'l<>nl. Q(~ Ifill) ~l'Id OOlTc<:t [0 lhe 1.\(>$1 of my knowledge, mfUrlTHlliUII iUld belief I UIl~CISI4Ild rhlll f~l<c ,Mements helein are made sub,icotlo the pcmallles of II> Pa.C,S, S<w!ion4904, I'elalinglo unsworn iah,ifi~ali'll1 10 authorilic." DATaD; eI3!~B KAy L. /olAv PACSf3S Mum""r Numher: 6l.26100046 CHBCKS SHOULD BB MADB PA, ABLB TO, _"" """""" ""'''' AND SBNT To nIB DOMBSTIC 'BLA TlONS SBCTlON AT, p,O, BOX 320, CARLISLE, PA, J70/3 '1>10 0",,, or ""'100'0' r" "'PO" " ""di". 'Po' '0' "1Ji fu,." ""U" "'" ".' '"" ""'"'y '"'' .., "''''100.". "."'i". """'hm,,, 0' w... """on.., 'm'" "'N " /"". ,ow ""PI ". .,.u" '0 · ,ri" ""PO" 0"",. '" m,,, "mm"" .. ""'100." of .. "r..""" o'"'''', '''''.0'' "'''' .. po"",. b" "0 '"'' .", r""",, d." rmm .. "N of the iSsuance of this Order of Attachment. You are notified further that purSUant to Jaw: , . Th. "'''""" Obll,,, h.. b",,, "'tift'" ." '" """' of "'.100,.. ro, "'PO. wo,,, be iSSUed, 2. WJJJfu' r.u,. to 'Oto,~ w,. .,. 0"", m., ."", '" Ii) "", """ "ii,,,,,,,, '" ""N"", of """ "'" "mmi 'N, '0 J.' 0' fl"", by "" '0,", (1I) y"", "'log hold 1I.bI, Eo, oa, ..""'" ""' WI...." " W, """'d "" "0' r"W'''''d '0 "" Do",,,,, R. """" ",,,,,,, "'" (lii) attachment of Your funds or property, 3. Th. "'''h",,,, or i_. 0' "" PO..,,, lit, '''' ""r.. . b"". " wh'J. " i, ""'. r" .. ~"h..., or '" .'" ploy", 0' M, ill."Ii",,,, "u'" ..."" " "''''ou", of '" '''plo,,,, " 'roh "'N'. V /o'''i.. m., "" I, " II) y"", "',., "ii,,,,,,,, I, ""N"" 'M """,""" to J.' 0' lb", by 'h. "," oa, (Ii) '" ""0' ... '" yo, b, .. .."oy", r" dom..... Service Type M Page 2 of 4 Form EN.028 Worker 1D $IATT ,.. ,~, L.'"".__ _'~._~_ KAY L, MAY PACSES Member Number: 6126100046 4, If there are in your employment one or more additional employees whose Incomes are subject to the Order of the Court of Common Pleas of CUMBERLAND County for attachment of support, you may combine the attachment payments into a single payment to the Domestic Relations Section and separately identify the portion attributable to each obligor, 5, You must notify the Domestic Relations Section when the defendant obligor terminates employment and provide the Section with the employee's last known address and the name and address of the new employer, if known, 6, The maximum amount of the attachment shall not exceed 50 % of the employee's net income which is within the limits set in tae Consumer Credit Protection Act, 15 U.S,C. ~1673. 7. The ternl "income" as defined by law includes compensation for services, including, but not limited to, wages, salaries, fees, compensation in kind, commissions and similar items; income derived from business; gains derived from dealings in property; interest; rents; royalties, dividends, annuities; income from life insurance and endowment contracts; all forms of retirement; pensions; income from discharge of indebtedness; distributive share of partnership gross income; income in respect of a decedent; income from an interest in an estate or trust; military retirement benefits; railroad employment retirement benefits, social security benefits; temporary and permanent disability benefits; worker's compensation and unemployment cotnpensation. Page 3 bf 4 Form EN-028 Worlter ID $IATT Service Type M 'n' JUN 2 5 1999) \~ JEFFREY B. DIMEMMO, Plaintiff IN THE COURT OF COOMOO PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. CIVIL ACTION - LAW NO. 98-1588 STACEY K. DIMEMMO, Defendant IN CUS'roDY c' {":c , '0;' , f.iJ" "' (..', ClUlP.R OF CXXlRT c' ;...., advised by Plaintiff's counsel that all custody issues have been resolved by agreement of the parties, hereby relinquishes jurisdiction in this case. The CUstody Conciliation Conference scheduled for June 22, 1999 is AND fOol, this 21st day of June, 1999, the Conciliator, being :.tj "I canceled. FOR THE COURT, l:;....Jj"-^~ Dawn S. Sunday, Esquire " Custody Conciliator In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION Defendant Name: KAY L, M!\.'Y Member ID Number: 6126100046 11.... nOle: AU 1'''m~pondl'l1C< 11I"'1 ~lrl"d., lb. Ml'I1Iber III Nwnb.., PRBSTIGE COLOR INC 19 I'RBSTIQE LN LANCASTER PA 176DJ-4076-19 ORDER - TERMJ&1'.lQN.QF INCOME ATTACHMENt f:lnauglll. Break Down of MulUole Ca.s~ on Altach!!W!t PlalnlllJ' Name JOHN R, MAY )'ACS,"I J)ook't ; !;w Numbe, I!!l!Ill!!u ~75tf9' 031100113 98.168a cV AUilchmenl ArnoYWiP.reauencv 96,00 11I8BK ~ I I ~ I I I f : f $ TOTAl, A'ITACHMEN1' AMOUNTt $ 96, no TO: PREST 1GB COLOR INC AND NOW. this 9TH DAY OF JULY, 1999 the Income Attachment Order dated JANUARY 27, 1999 in the amount of $ 96,00 for KAY L. MAY , 191-46-4988 is hereby TERMINATED, Effective immedJately, you are directed to cease all payments and collections from the income of Defendant which were authorized by said Order, BY THE COURT: Date of Order: July 12, 1999 JUDGE DROI RJ Shadduy XC) defendant ) MulllJd 7-16-99 Servloe Type M FornI BN-032 Worker ID $IATT hI the Court of Common Pleas of CUMO.:RLAND County I Pennsylvllnla DOMESTIC RELATIONS SECTION JOHN R. MAY ) Dockel Nurllher 98-1688 elf Plaintiff ) vs, ) P ACSES Case NUllIher 037100113 /D27568 KAY L, MAY ) Defendant ) Olher Slale ID Numher ~ AND NOW to wit. this JULY 9, 1999 it Is hereby Ordered that: THE ABOVE CAPTIONED ALIMONY PENDENTE LITE ORDER IS TERMINATED, EFFECTIVE MAY 21, 1999, PURSUANT TO AN AGREEMENT OF THE PARTIES. '!'HERE IS NO BALl\NCE DUE, BY THE COURT: ORO: RJ Shadday ma:L1ed xc: phlnt.l.ff 7-16-99 defendant M, Greevy. Esq, Service ~a/.ltot'. Esq. Edward E. Guido JUDGE Form OE-OO I Worker 10 2],005 ~... , ':.\!. r:~l " Q, "'\-n \\\~, '1\\') ',\\\. }\,) , \\ ~C{\ .) I:~\ .~i) - ~ .~ 'I \ ." 'tb (2 ~f.. "\1lr,', t~,\;e\ .r_t" (1;'6-' ~_:~:~-- - ~.,. C .,.. 'i~("'. )." \;.:-V ~;;\ :4 tr;:. en< \ "" ~. , , 'i, \ \ , \ , I.,'xillgtoll ROlld, I.itit/. , 1';\ 1754l 4, The pUl'ties hlll'e ugl'l'ed Upon Novellllll'l' 10, 1997 us lhe /)etel'lllillution /)ule, As 01' thL' I>L''''I'lIliIlUliollllule, the /';lIlployCl' hud IIl1l1cnued hL'I1t'fitulI(lel' thl' Pellsioll P/lIn 01' $ 4469.r>l IIl1d hud lICellllllillltcd L'lIlp/oyee colltrihutions plus iutel'estulldel' lhe PCllsionl'llI1I L.qUid to $/UI.1l49, I'hL' hllployee's lIcel'ueL.! hellefit, which is cllleululed hasL'd 011 a li'l'Illullllhlltlllkes illtollceollllllhl'L'C ellllsl:elllil'e year-end lInlluali/.ed hllSl' /'lllcs ol'compellsaliollllnd credited yelll's ol'serl'Ice wilh AMI' llIcorpol'lIted, (gellel'lll/y, all yeal'S 01' sel'l'Ice except the first yell 1', durillg which el1lployel'S aecl'ue 110 I'ellsion I'lun hellefits), is IIl1annullllllllount lll' dollars Pllyahle inl1lollthly installments to the ICmpJoyee Ii,I' his or her Iile 0111,1' hegillning the 1';lIlployee's allainl1lent ol'age 65, Llllder the ll'/'lIlS 01' the Pension Plan, the Employee cun e1L'Ct 10 retire /hlm active employmenl with AMI' Ineol'porllled und commence receiving his or her Pension PllInaeel'ued henelilat !Iny lime alkr hoth IIllaining IIge 55 and eompleling ten years ol'sel'l'iee with AMP Incorporated; provided, howel'Cl', Ihlll il' the ICmployee retires priOI' to age 60 his or hel' aeel'ued hene/it is reduced hy ,5% lill' cad'I month the I'etirement date precedes the El1lployee's 60th birthday, If the Employee tel'minall's el1lploYl1leut with AMP IlIeorporated aileI' ten years of service bUI be/lIre allailling agL' 55, he or she can nevertheless COl1llllence receiving the accrued benelituponatlaining age 55, suhjecl loa .5% l'l'duel/on/ill' each monlh lh~ commeneel1lelll dates pfCcede, the Elllployee's 651h birthday, If the ICmployee tel'minates employmcnt with AMP Incorpol'ated aileI' live years of service but wilh less Ihanten yeal's of service, he 01' she can COml1lenee receiving the accrlled benelit uponallllinmenl 01' II!!" 65, 'I'the Fmployee terminates employmenl with AMP Incorporated with less thanlil'L' years ol'serl'ie,', tl1l' lIecl'lwd bcncfit is for/eiled and no benejjt is payable under the Pcnsion Plun othel' thun u rl'llll1d ofnecUlllulatcd '~mpJoycc L,ontributions plus interest, if uny, Pl'ior to 1991, employees eOlllrihuted n pcrCenlllge of hase eilmings liS II condition of Pension I'llIn purlicipmioll, Such contrihutions, plus intcrestlhereon, pay lill' u portion ofllw (llllploYl'c's lIl:crued Iwnefit. 1':lIIplll)'cl' l'Ontrihlllions plus intcrest under the I'cllsioll plan clllumt 11l' withdrawlI other Ihall IIpon the I:lnploYl'c's tel'lltinlltion lIl\:nlplllymelll prior to retirelllentdigihility', in which l'\'entlll' lIl'crul'd IWllefit otherwise payahk to thc Employcc at agl: (,) is reduccd by 1II1 J.lIIIOllnt equaltlllhe anllllil)' \'alul' ol'the wilhdrawncontributions plus intercst ( dctennined ill aCI:ordancc with 1'l'lIsion Plall rules and procI~durcs then inl'lTcct), 5, Because o/'speciul provisions mude h)' ^MP fill'cmployee's who werl' sub.il'l'ted to lay olT on Octobcr 15. 1998, John R. May, the Employce, hus the option to fully liquidate his Pension Plun, The partil's have agreed that at the time MI'. May is terminated I'rolll i\MI' Jilllowing one )'ear on lay o/'/' status, on 01' about Oetoher 15. 1999, that John J{, May will deet thc lump sum option to liquidate his pensioll, .'\t that time, the parties agrec that the ^Itel'llate Payee shall he awarded 40% o/' the tolal value 01' the Employee's Pension Plan as 01' the Determinatioll Datc, whidltotal value shall he inclusive of contributions and interest to the Determination nall'. and thul the remaining amount shall he awarded to the Employee, The parties further agree that any taxes to be paid at the time of the lump sum withdrawal shall he paid 60% by the I~mployec, John J{, May, ancl 40'1"0 by the Altel'llate Payee, Kay L. IVlay. 6. In the evenl the Employee clies alter completing at least live years 01' service bUI hl'iilre 111l' liquidation ancl distrihution contemplated in paragraph live (5) above, the accrued bl:nelit and accumulated eontrihutions plus interest assigned to the i\ltel'llate Payee unclcr paragraph 5 abol'l' shall be unaffected ancl shall be the only bClwlit payable to the i\ltel'llate Payee, In such a Casc, thc earliest date the Altemate Payee may commence receipt ol'thc accrucd bencl1t is Octobcr 15, 1999, 7, In thc event the Employce dies prior to the l;Ol1lmCnccment orhis bcnel1t paymcnts pursuant to this ordcr, the Contributions plus intcrcsl assigned to tile Jo:tllployee pursuant 10 this order ,. .< r,,,,, I, I""" ,,, .."""~,, J. M"" """ i. """'" "o,'i,,,,,,,, II. "" Ii" """,""" '. "",,", ,,,"',", ,,,' """"' "'.' "". 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""I." j """",", I"" " ""," ii, (hi. 0,,,",, if """"''Y 'II """,""",,", ,,, ""',, 'b, I ( ,,, ~"I)sljlulc II '1ualificd d()mesli~ rCllllilJlls ordcr lIndcr ERISA ilnd thc ('odl', W,1!'..'Y'.J1,',;:,!bJ 13",,,; g'/1-17 ~f}dll'-d_~kY/1'1 /' /y ?// ~/:~ ~_._.Joil;- '~/I;)~, .,., ..~ey ~-- )/ c:ftui .; )Jt<<~ --L._.. . _., . ~1 ~ '.. K I' .. MIIY f" , . So ordered lInd entered this h~~.~~'_ dllY Of~ "., 1'199, -------.--- -...-. ----...--------- Ikr!u:~~ 9./ -9 9 -n/l( .1, -', ""'''''.-.;'.'--}'' ,< . , ""L-2-"-V~,'."_:"