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No. U -l'tfl7-f) I~I
F..state of
nANTI~L R A Hl L'I'Z
, Deceased
DECREE 01<' PROBATE AND GRANT OF LETTERS
FEBHUARY 11 97
AND NOW _. . ..________ 19____, In consideration of the petition on
the reverse side hereof, satisfactory proof having been presented before me,
IT IS DECREED that the Instrument(s) dated MAY...2..1. 1995
described therein be admllled to probate and flied of record as the last will of
DANIEL H. HILTZ
and Letters ADMINISTHA'l'lON c.'l'.~
. are hereby granted 10 MARY .lANE HOLLINGSWORTH
MARY C.
'fYVL,'cj c.~~ pA/ v.m
LEWIS R'i1'l'. of Will.
FEES
2'70.00
Probate. Letters, Etc. ......,.. $
Short Certlfleates( ~ . . . . . . . . .. $ 15 . 00
~'MI9l!l!on """"",,,," $-M 8
.lC'P $ 5.00
TOTAL _ $ 326.00
FEBRUARY 11, 1997
Ll(-RI:tt.l) :r 5ItrKL~T~t<.1 ,r.~Q.
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AITORNEY (Sop. Cr. 1.0. No.)
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LETTERS AND ORDER MAILED TO A'fTORNEY
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.p\wLll.\hilt..dr\~~'~
LAST WILL AND TESTAMENT
OF
DANIEL R. HILTZ
I, DANIEL R. HILTZ, of Hampden Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
.ITEM II I bequeath my tangible personalty (not including cash or
securities) and insurance thereon to such of my children as are living
on the thirty-first (3lst) day after my death, which shall be divided
among them by my Executor with due regard for their personal prefer-
ences in as nearly equal shares as practical. Any such article
allotted to a minor may, as my Executor thinks advisable, either be
delivered to the minor or a person to hold for the minor, or be sold
and the prooeeds paid to the guardian as property distributable to the
minor as hereinafter provided in Item 11. hereof.
ITEM II: I devise and bequeath all of the residue of my estate
of every nature and wherever situate, to the Trustee hereinafter
named, IN TRUST, for the following uses and purposes:
A. The Trustee shall divide the principal into equal and
separate shares so that there shall be one share for each child of
mine then living.
1. Each share allotted to a living child shall be held
by the Trustee, IN FURTHER SEPARATE TRUST, for the following uses and
purposes I
Page 1 of B
(a) To expend and apply eo much of the net income
and the prinoipal of the Trust as the Trustee shall, in its sole
disoretion, deem advisable for the child's support, education (includ-
ing college education, trade school and graduate school) and medical
oare.
(b) When the child reaches the age of twenty-one
(21) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing bulance of the Trust principal and
accumulated or undistributed income.
(c) When the child reaches the age of twenty-four
(24) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing balance of the Trust principal and
accumulated or undistributed income.
(d) When the child reaches the age of twenty-seven
(27) years, he may, upon written demand to the Trustee, withdraw the
entire remaining balance of the Trust principal and accumulated or
undistributed income.
(e) Should a child die before receiving the
entire balance of the Trust, the Trust shall terminate and the princi-
pal and aocumulated income shall be added to the trust of my surviving
child, if any, and held by the Trustee, IN TRUST, for the benefit of
such surviving child pursuant to the trust provision herein set forth I
and in default thereof, should there be no surviving child of mine,
shall be distributed as follows:
Page 2 of 8
, ,
i. One~half thereof to my brother, LEWIS GEORGE
HILTZ, if he survives me.
ii, 'l'he remaining one-half thereof to my brother,
LEONARD WILLIAM HILTZ, if he survives me.
B. Should any person entitled to distribution from this
Trust be, in the opinion of the Trustee incapable of disbursing it
because of age, illness or other cause, and should it be impossible or
inadvisable, in the opinion of the Trustee, for such share to be
awarded to such person or distributed to another for such person's
benefit, the share of such person shall be held, IN FURTHER TRUST, and
the Trustee shall accumulate the income and shall apply from time to
time stich portions of income, accumulated income and principal as they
think proper for that person's support and education (including educa-
tion in college, trade school or graduate school) without regard to
his or her pareut' s ability to p,t:ovide for such support or education,
or to make payment for these purposes wi.thout further responsibility
to tho beneficiary or to the beneficiary's parent, or to any person
taking care of the beneficiary. Any principal or income not so
applied shall be distributed to the beneficiary when he or she becomes
of age or competent, or to the personal representative of the benefic-
iary's estate in case of death during minority or before becoming
competent.
I'rEM III: My Executor and Trustee shall have the following
powers, in addition to those vested in them by law, and by other
provisions of my will applicable to all property, whether principal or
Page 3 of B
income, including property held for minors, exercisable without court
approval and effective until actual distribution of all property:
A. To retain any or all of the assets of my estate, real or
personal, including stock of my corporate fiduciary or of its parent
holding company, without regard to any principle of diversification.
B. To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds, whether operated by
my corporate fiduciary or others, without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principal of diversification.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon such
terms or conditions dS they deem proper.
D. To allocate receipts and expenses to principal or
income, or partly to each, as they, from time to time, think proper in
their sol~ discretion.
E. To borrow from, or to sell to, my Trustee even though
such Trustee may be my Executor.
F. To compromise any claim or controversy.
ITEM IV: I appoint my Executor and its successors guardian of
any property which passes, either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done 80, provided that this ap-
pointment of a guardi.an shall not supersede the right of any fiduciary
Page 4 of B
in :l.tll dillcretion to dilltribute a share where poss,tble to the minor or
to ancther for the minor's benefit. Such guardian shall have the
power to uee principal as well as lncome from time to time for the
minor's support and education (incl.uding college education, both
graduate and undergraduate) without regard to his or her parent's
ability to provide for such support and education, or to make payment
for these purposes, without further responsibility, to the minor or to
the m.i.nor' B par'en t or to any peI'son taking care of the minor.
ITEM X: The interests of the beneficiaries hereunder shall not
be subject to anticipation or to voluntary or involuntary alienation.
~ VI: I appoint PNC BANK, N.A., or its succeseors, Trustee of
any trust created under this my Last WJ.1l and Testament.
ITEM VII: I appoint my PNC BANK, N.A., or its successors,
Executor of this my last will.
I'l'EM YIII: If I am survived by minor chlldr'en, I nominate,
constitute and appoint my brother, LEWIS GEORGE HILTZ, to be the
Guardian of the person of each such minor child. Should my brother,
LEWIS GEORGE HILTZ, be unable to serve a guardian for whatever reason,
I nomi.nate, constitute and appoint my brother, LEONARD WILLIAM HILTZ,
to be the Guardian of the person of each such minor child.
ITEM IX: I direct that my Executor, Guardian, Trustee or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdi.ction.
ITEM~: My corporate fiduciary shall receive compensation for
the performance of its functions hereunder in accordance with its
Page 5 of 8
RENUNCIA TION
In Re Estate of
.----P.M!.JJJl1...!h...lU.1..IZ
deceased.
To the Register of Wl11s of
OUMBERLAND
County, Pennsylvania.
The undersigned
PNO BANK, N.A.
-
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the above decedent, hereby renounce(sl the .right to administer the estate and respectfully ask(s) that Letters
of Administration o.t.a.
---....
be Issued to
MARY JANE HOl.,LINOSWORTH
WITNESS....:t?".-.....-r--.1 t1. &,/1_- . J hand this ~ rAt day of February
PNO BANK, N.A.
97
,19__..
BY~"" _""'1
(Slgnatur.)
VICE PRESIDENT
PNC BANK, N.A.
4242 Oarlisle Pike, Oamp Hill, PA 17011
(Addr...)
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RENUNCIA TION
In Re Estate of
~NIEL It. IIILTZ
To the Register of Wills of CUMBERLAND
The undersigned _ Qeorge W 1111 t~ fa t~
7_1- /cIQ'7 - 0 I 3/
. deceased.
County, Pennsylvania.
of
the above decedent, hereby renounce(s) the right to administer the estate and respectfully ask(s) that Letters
of Administration C.T.A.
be Issued 10
Mary Jane Hollingsworth
WITNESS
my
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hand this t
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day of Fe bruary ,1921-..
ge W. !liltz
1016 Meade st., Williamsport, PA
(Add,..,)
(Signature)
(Address)
(Slgnatu,.)
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In ReI ESTATE OF DANIEL R. HILTZ,
LATE OF HAMPDEN TOWNSHIP,
CUMBERLAND COUNTY, PENNSYLVANIA
I IN THE COURT OF CO~ON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: ORPHANS' COURT DIVISION
I NO. 1'l.97-00131
AND NOW,
cfr-
this ~ day of
ORDER
, 1997, upon
consideration of the Petition to
Life Insurance
Benefita, it is hereby ordered and decreed that American Guardian Life
Assurance Company pay any and all life insurance benefits under Policy
No. 168253ag due to Kevin L. Hiltz, a minor, to Mary Jane
Hollingsworth in her capacity as Admini.stratrix of the Estate of
Daniel R. Hiltz for the use and benefit of Kevin L. Hiltz.
BY THE COURT:
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In ReI ESTATE OF DANIEL R. HILTZ,
LATE OF HAMPDEN TOWNSHIP,
CUMBERLAND COUNTY, PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 1197-00131
PETITION TO DIRECT PAYMENT or
LIFE INSURANCE BENEFITS
AND NOW comes the petitioner, Mary Jane Hollingsworth, the
Administratrix of the Estate of Daniel R. Hiltz, and files thi8
petition to direct payment of life insurance benefits and in support
thereof avers as follows:
1. Your petitioner is Mary Jane Hollingsworth, the Admini8tra~
trix of the Estate of Daniel R. Hiltz, Letters of Admini.stration
C.T.A. having been granted to Mary Jane Hollingsworth by the Register
of Wills of Cumberland County, pennsl'lvania, as of February 11, 1997.
2. The decedent, Daniel R. Hiltz, was the son of the petitioner.
3. The decedent, Daniel R. Hiltz, died January 27, 1997.
4. The decedent, at the time of his death, owned a lif" insur-
anoe policy, Policy No. 168253ag, with American Guardian Life Auur-
ance Company, 980 Harvest Drive, Suite 200, Blue Bell, PA 19422.
5. The beneficiaries designated on the life insuranoe policy to
r:eceive death benefits upon the death of the decedent are Brian D.
Hiltz, a son of the decedent, date of birth January 4, 1977, and Kevin
L. Hiltz, a son of the decedent, date of birth November 10, 1900, a
minor. A true and correct copy of the beneficiary d..ignation farm
-1-
signed by the deoedent as of June 7, 1995, is attached hereto as
Exhibit "A" and incorporated by reference herein as though fully set
forth at length.
6. On February 5, 1997, American Guardian Life Assurance Company
provided the petitioner, through her attorney, with a list of docu-
ments neceasary to process a claim associated with the above stated
policy. A true and correct of the letter of February 5, 1997, from
American Guardian Life Assurance Company is attached hereto as Exhibit
"B" and incorporated by reference herein as though fully set. forth at
length.
7. In Item IV of the Last Will and Testament of Daniel R. Hiltz,
the decedent appointed his Executor and its successors guardian of any
property which passes, either under the will or otherwise, to a minor
and with respect to which he was authori.zed to appoint a guardian and
had not otherwise specifically done so. A true and correct copy of
decedent's Last will and Testament is attached hereto as Exhibit "C"
and incorporated by reference herei.n as though fully set forth at
length.
8. Your petitioner hereby requests this Court to enter an order
directing American Guardian Life Assurance Company to pay any and all
life insurance proceeds which the minor beneUciary, Kevin L. Hiltz,
may be entitled to receive under said policy, to your petitioner for
the use and benefit of Kevin L. Hiltz.
WHEREFORE, your petitioner respectfully requests this Honorable
Court to enter an order directing American Guardian Life Assurance
-2-
INSTRUCTIONS
,. The signature of the present Owner mlJstlle wntton exactly as the name is given In the polley or Instrument by which
ownership was acquired.
2. If the present Owner Is a corporation, an officer of the corporation must sign for the corporation, Indicating his/her
title. If this oHlcer Is other ttlan the oHlcer who originally signed for the corporation, than this Lump Sum Beneficiary
Designation must be accompanied by a statement, certified by the secretary or other authorized officer, under the
seal of the corporation, authorizing the beneflcialY change and giving the executing oHicer authority to sign this Lump
Sum Beneficiary Designation for the corporation.
3. If the present Owner Is a partnership, the name of the partnership must be followed by the word "partnership", and
all partners must sign as partners.
4. All signatures must be in ink and the person witnessing each signature must sign on the line provided.
GENERAL PROVISIONS
Unless otherwise provided, if more than one beneficiary is designated by name or by class of the same rank (Primary
or Contingent) such beneficiaries shall share equally and If any beneficiary dies belore his share becomes payable, such
share shall be paid to the surviving beneficiaries of the same rank, in the same proportion as the surviving beneficiaries
original shares bore to each other. No payment will be made 10 any rank of beneficiary unless all beneficiaries in the
preceding ranks have died.
"Child" or "children" as used herein shalllnciude both lawful and legally adopted sons and daughters: masculine
terms shall apply to either sex and the singular shall include the plural.
Unless otherwise provided herein, any moneys which become payable to a minor shall be paid only to the legally
constituted guardian of such minor.
In determining the person or persons to whom the proceeds of the polley are payable, and their dates of birth, the
Company shall be entitled but not required to rely solely upon an affidavit by anyone of said persons and is hereby
retleved and discharged from all liability and responsibility In and for making payments in accordance with such affidavit.
The Company shall not be responsible for the application or disposition of the proceeds paid to a Trustee Beneficiary
and the receipt of such trustee shall be in full discharge of the Company's liability. If the Company Is furnished satisfactory
evidence that the trust is not In full force and effect, the Final Beneficiary shall be the beneficiary In lieu of the Trustee.
A luture change of beneficiary of any polley In this Designation shall terminate the Designation with regard to that
polley.
Any provision preceded ~y a box 0 shallOe "flective only if the box Is checked (I) or designated b\' (X). If in the
opinion of the Company this form Is not properly completed, the Company may declare it 01 no binding effect.
SPECIAL PROVISIONS
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LAST WILL AND TESTAllENT
OF
DANIEL R. HILTZ
I, DANIEL R. HILTZ, of Hampden Township, Cumberland County,
Pennsylvania, declare this to be my last will and revoke any will
previously made by me.
I'rEM I: I bequeath my tangible pex'sonal ty (not including cash or
securities) and insurance thereon to such of my children as are living
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on the thirty-first (31st) day after my death, which shall be divided
among them by my Executor with due regard for their personal prefer-
ences in as nearly equal shares as practical. Any such article
allotted to a minor I1lay, as my Executor thinks advisable, either be
delivered to the minor or a person to hold for the minor, or be sold
and the proceeds paid to the guardian as property distributable to the
minor as hereinafter provided in Item II. hereof.
ITEM II: I devise and bequeath all of the residue of my estate
of every nature and wherever situate, to the Trustee hereinafter
named, IN ~RUST, for the following uses and purposes:
A. The Trustee shall divide the principal into equal and
separate shRres so that there shall be one share for each child of
mine then living.
1. Each share allotted to a living child shall be held
by the Trustee, IN FURTHER SEPARATE TRUST, for the following uses and
purposes:
Page 1 of B
EXHIBIT "e"
(a) To expend and apply so muoh of the net income
And the prinoipal of the Trust as the Trustee shall, in its sole
discretion, dsem advisable for the child/s support, education (includ-
ing college education, trade school and graduate school) And medical
care.
(b) When the child reaches the age of twenty-one
(21) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing b~lance of the Trust principal and
Accumulated or undistributed income.
(e) When the child reaches the age of twenty-four
(24) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing balance of the Trust principal and
accumulated or undistributed income.
(d) When the child reaches the age of twenty-seven
(27) years, he may, upon written demand to the Trustee, withdraw the
entire remaining balance of the Trust principal and accumulated or
undistri.buted income.
(e) Should a child die before receiving the
entire balance of the Trust, the Trust shall terminate and the princi-
pal and accumulated income shall be added to the trust of my survi.ving
child, if any, and held by the Trustee, IN TRUST, for the benefit of
such surviving child pur.suant to the trust provision herein set forth1
and in default thereof, should there be no surviving child of mine,
shall be distributed AS follows:
Page 2 of B
i. One-half thereof to my brother, LEWIS GEORGE
HILTZ, if he survives me.
iL The remaining one-half thereof to my brother,
LEONARD WILLIAM HILTZ, if he survives me.
B. Should any person entitled to distribution from this
Trust be, in the opinion of the Trustee incapable of disbursing it
because of age, illness or other cause, and should it be impossible or
inadvisable, in the opinion of t.he Trustee, for such share to be
awarded to such person or distributed to another for such person's
benefit, the share of such person shall be held, IN FURTHER TRUST, and
the Trustee shall accumulate the income and shall apply from time to
time such portions of income, accumulated income and principal as they
think proper for that person's support and education (including educa-
tion in college, trade school or graduate school) without regard to
his or her parent's ability to provide for such support or education,
or to make payment for these purposes without further responsibility
to the beneficiary or to the beneficiary's parent, or to any person
taking care of the beneficiary. Any principal or income not so
applied shall be distributed to the beneficiary when he or she becomes
of age or competent, or to the personal representative of the benefic.
iary' B estate in case of death during minod ty or before becomi.ng
competent.
ITEM II I: My Executor and Trustee shall have the following
I powers, in addition to those vested in them by law, and by other
II provisions of my will applicable to all property, whether principal or
II Page 3 of 8
!I
income, including property held for minors, exercisable without court
approval and effective until actual distd.bution of all property:
A. To retain any or all of the assets of my estate, real or
personal, including stock of my corporate fiduciary or of its parent
holding company, without regard to any principle of divereification.
B. To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds, whether operated by
my corporate fiduciary or others, without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principal of divel'Bification.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal property and to give
options f.or sales, exchanges or leases, for such prices and upon such
terms or conditions as they deem proper.
D. To allocate receipts and expenses to principal or
income, or partly to each, as they, from time to time, think proper in
their sole discretion.
E. To borrow from, or to sell to, my Trustee even though
such Trustee may be my Executor.
F. To compromise any claim or controversy.
~~JY: I appoint my Executor and its ~uccessors guardian of
any property which passes, either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done so, provided that this ap-
pointment of a guardian shall not supersede the right of any fiduciary
Page 4 of B
in its disoretion to distribute a share where poseihle to the minor or
to another for the minor's benefit. Suoh guardian shall have the
power to use prinoipal as well as income from time to time for the
minor's support and education (including oollege education, both
graduate and undergraduate) without regard to his or her parent's
ability to provi.de for such support and education, or t~ make payment
for these purposes, without further responeibility, to the minor or to
the minor's parent or to any person taking care of the minor.
lTEM V: The interests of the beneficiaries her.eunder shall not
be subject to anticipation or to voluntary or. involuntary alienation.
ITEM VI: I appoint PNC BANK, N.A., or its successors, Trustee of
any trust created under this my Last will and Testament.
ITEM VII: I appoint my PNC BANK, N.A., or its successors,
Executor of this my last will.
ITEM VIII: If I am survived by minor children, I nominate,
consti tute and appoint my brother, LEWIS GEORGE HILTZ, to be the
Guardian cf the person of each such minor child. Should my brother,
LEWIS GEORGE HILTZ, be unable to serve a guardian for whatever reason,
I nominate, constitute and appoint my brother, LEONARD WILLIAM HILTZ,
to be the Guardian of the person of each such minor child.
ITEM IX: I direct that my Executor, Guardian, Trustee or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
1TE-~: My corporate fiduciary shall receive compensation for
the performanoe of its functions hereunder in accordance with its
Page 5 of 8
.
..t\r.l\hl1t..brL
LATE OF HAMPDEN TOWNSHIP,
CUMBERLAND COUNTY,
PENNSYLVANIA
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 1997-00131
IN REI ESTATE OF DANIEL R. HILTZ
RECEIPT. RELEASE AH!L WAIVBR OF ACC~
KNOW ALL MEN BY THISE PRESENTS, that I, Brian D. Hiltz, being one
of the beneficiaries under the will of Daniel R. Hiltz, do hereby
acknowledge that I have received all sums of money and property due me
by virtue of the death of Daniel R. Hiltz, in full satisfaction and
settlement of all of my rights and claims under his estate.
I further declare, intending to be legally hound, that I hereby
waive my right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree t.o the final distribution of the estate without
further formalities, and with the same force and effect as if a First
and Final Account and Proposed Distribution had been filed in a Court
of Common Pleas of Pennsylvania having jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Brian D. Hiltz, do by these presents, remise,
release, quitclaim and forever discharge the Administratrix, her
heirs, successors and assigns, from the acts of the Administratrix as
aforesaid, and of and from all actions, euits, payments, accounts,
reckonings, claims, and demands whatsoever, for or by !:'eason thereof,
or any other act, matter, cause or thing whatsoever, and I do hereby
consent to the discharge of the said Administratrix. ,11'
IN WITNESS ~EREOF/, I have hereunto set mv hand and seal the~~
day of ___{z1:.-U,rt ,';If{' , 1997. .
Witness~)l:.fD. Hiltz
COMMONWEALTH OF ?ENNSYLVANIA:
COUNTY OF {~''K>r/CL",-I
55:
On this, the /f}/k day of ucrd-d<f/' .._, 1997, before
me a Notary Public, the undersigned officer, personally appeared
Brian D. Hiltz, known to me (or satisfactorily proven) to be the
person whose name is subsc~ibed to the within instrument and acknowl-
edged that he executed the same for the purposes therein contained,
IN WITNESS WHEREOF! I have hereunt~~my hand and seal the day
and year first above wntten. <<~/ //!~-' ~~. i~)
/ l' 0 '/ 0 / --r
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( NotAry Public
H"'i.i'.:.::,',:. '-',I'/'d
GERAUJ" :.,:, I'" ,,' [>',hllc
Now Cumlnl:,j;i;,; :'~i1i), CIJ"ili;:diIIIU Co,
My COlTIllllsslon txplrus Nov. 0, 1998
..t. \nl \hilla. kev
IN REI ESTATE OF DANIEL R. HILTZ
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
LATE OF HAMPDEN TOWNSHIP,
CUMBERLAND COUNTY,
PENNSYLVANIA
ORPHANS' COURT DIVISION
NO. 1997-0013l
RBCBIPT. RELBASE AND WAIVER-OF ACCOUNTING
KNOW ALL MEN BY TRESE PRESENTS, that I, Lewis G. Hiltz, legal
guardian of Kevin L. Hiltz, a minor, being one of the beneficiaries
under the will of Daniel R. Hiltz, do hereby a.cknowledge that Kevin L.
Hiltz has received all sums of money and property due him by virtue of
the death of Daniel R. Hiltz, in full satisfaction and settlement of
all of my rights Il.nd claims under his estate.
I further dealar~, int'3nding to be legally bound, that I hereby
waive the right to require the filing of a First and Final Account and
Proposed Schedule of Distribution in any Court of Common Pleas having
jurisdiction over the same, and I acknowledge that I have had an
opportunity to examine copies of the books and records of the said
estate, and I agree to the final distribution of the estate without
further formaliti.ea, and with the same force and effect as if a First
and Final Account and Proposed DistributJ.on had been filed in a Court
of Common Pleas of Pennsylvania havi.ng jurisdiction over the same and
duly audited and confirmed.
AND THEREFORE, I, Lewis G. Hiltz, as legal guardian for Kevin L.
Hiltz, a minor, do by these presents, remise, release, quitclaim and
forever di.scharge the Administratrix, her heirs, successors and
assigns, from the acts of the Administratrix as aforesaid, and of and
from all actions, suits, payments, accounts, reckonings, claims, and
demands whatsoe'rer, for or by reason thereof, or' any other act,
matter, cause or thing whatsoever, and I do hereby consent to the
discharge of the said Administratrix.
IN WITNESS W~REOF, jI have hereunto set my. hand and seal the II/It
day of ---t....(~fr" t2!'( , 1997.
I \ .
Witness
guardian
a min()r
COMMONWEALTH OF
COUNTY OF {ll 'I {;Y/c(h/
ss:
"
On this, the 1/11, day of ;;;{C01-./(j , 1997, before
me a Notary Public, the undersigned officer, personally appeared
Lewis G. Hiltz, known to me (or satisfactorily proven) to be the
person whose name is subscribed to the within instrument and aoknowl-
edged that he executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the day
and year first ubove written. /ij' J'
/q:~' )./ /.
~'...f.-< < (: / i ,.00
" tary' blic
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NOTAHI..~L 81'1\1_
GERALD J. Shin f' CO!:!. ii.,I,)' Publlo
New CII/I!lir:rlJrld llur u. Curllur,r1and Co.
My Commission Explros Nov. 9. 1998
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MONTHLY BilliNG STATEMENT
P.O. BOX 6632
WILMINGTON, DE 19699
Ar,count Number
New Balenc.
Peyment Du. D~te
Mlnlm~~ Pevment Duo
I Amount Enclosed
54366141 011110247
$2,753.62
03104/97
SO.OO
$ I
M.ke cheok. paY.bI, to:
PNC BANK
P.O. BOX 15397
WILMINGTON DE 19666.5397
DANIEL R HILTZ
309 9KYPORT RD
MECHANICSBURG PA 1,055.2300
"delle.. Ohange? 0
Check bolt, PIlot new addreaa Ind lelepl'tooo number on blcII. 01 ttatemenl.
5447032610011291
0000000
0275352
RETURN UPPER PORTION WITH I'A YMr.NT IN 1HF. ENCLOSED ENVELOPE,
Slolemant Closing Oete
Previous 6olsnoo
Poymonts
Crodlls
Pumhases and Advancos
Other Chorgos
FINANCE CHARGES
02107/97
$2,770.17
$500.00
$0.00
$441.00
$0.00
$42.35
$2,753.62
Account Numbor
Tolol Credll L1mll
Avolloblo Crodlt Limit
Doys In Billing Cycle
Billing Cyelo Cleslng Dolo
Past Due AmoLlnl
MInImum Pa.ymOlH Due
Payment Due Dale
5436 614101160247
$7,400,00
$4,646.00
31
02/07/97
$0.00
$0.00
03104/97
New Balance
For 24-hour cUllomer lerYlce: 1-800-752-2273 II cerd II lOll or IloleM c811:1-800-656-5678
Or wrll.: CREDIT CARD DIVISION P.O. BOX 21660 TULSA, OK 74121.1660
--
PNC BANK PROUDLY PRESENTS FLOWERS DIRECT, A ~dEW SERVICE FOR
OUR CUSTOMERS. JUST CALL '.600.290.6692 TO ORDER FRESH CUT
Fl.OWERS, PLANTS OR GIFT BASKETS FOR ANY OCCASION. REMEMBER;
VALENTINES DAY IS FEBRUARY 141 MAKE SOMEONE FEEL SPECIALI
CALL 7 DAYSIWK.24 HRS/DAY. SAME OR NEXT DAY DELIVERY.
Dolo 01 Date of Reference Df.1SCrlpUon
TransactIon Posting Number
01/13 01/13 7lJ447030Poe08HI:tP OVeRDRAFT PAOTfCnONWiL.MINQTON DE!
01/14 01/14 75447030001GSHHV8 OVEAOMff PAOfllCnONWILMINOTON DE
01/16 01/16 1544703GKMOSJFtL OVEAOrlAfT PROTI!CTlONWILMlNOTON De
01/17 01/17 7H4703ONOI081(WW OVIIRDR,t,Ff PROTfCTlONWILMINOTON DiE
01/19 01/19 1M4103OMEHUfl TVi! PAYMENT. THANK YOU
02107 02107 .FINANCE! CHARGE' PURCHASES *000 CASH ADVANCE "'2.35
An amounl pfooocled by a rnlnus sign (.j,S a cHldil or a credit balance
Amounl
167.00
16'1.00
50.00
63.00
.~~
(<.' ~ €c:,t'd
~ee::,
NON!lNAL ANNU,A.L Monlhly Balance
ANNUAL PERCeNTAOE Parlodlc Subject
,.EMCENTAOF. nATe Ratn To Flnar\CEl
RAre Chargo
PURCHASES 16.15% 16.15% 1.346% 0,00 0.00
CASH ADVANCES 16,15% 16.15% 1.513% 2,799.26 42.35
10 per crain sc 080 on I e aco 0 s statement may vary.
S08 your accounl agreement for more precise details,
PleaRe ba sure 10 see the billIng rlghls summary and Imporlant disclosure lnformalion on the reverse side,
Send Paymonl T.:
P.O. BOX 15397
WILMINGTON OE 19966.5397
5953 AWD 1
7
7
6
Page 1 011
6694 3260 B002 0002 970207
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128 ,
btement of Account
TERMS, PAYABLE IN FUll UPON RECEIPT OF STATEMENT.
SUt'lIIInt Cloling Dall
COrpoI'att Accoun~ Hulllbtr
12-11-"
3763-652843-01000
foUl AlIIO\tlt Out
OANIEL R HILTZ
HH.TZ TECHNICAL MGT
309 SKYPORT RD
MECHANICSBURG PA 17055-2300
MAIL PAYMENT TO,
AMERICAN EXPRESS
P.O. BOX 114
NEWARK NJ 07101-0114
111,1,11111,1,111111111,1111",11,11",11,1,,11,1111,1.,11,,11
6365284309 000997120000997123
)ummary of Account
Corpor.'. Acoount Hullbtr
Corrorlt. ClrdllMblr .....
DANIEL R HILTZ
Pr....ious "'anee
$10.&4
Ref,'enct H.
..-, -,
835330
501320
501321 2
501321 3
663321 4
663321 ,
0
1501331 6
501341 7
I 3763-652643-01000
New CharQtI
Sl97. 12
Other Ptbltl PIVMntl Rtoetytd
$.00 $10,54
UI7 , 12
StltMlnt Cloa1ng Dlte
12-" -91
Other Credits
$.00
ClIO, .
$10.54
10,06
41,00
91.50
390.00
390.00
12.02
62.54
$997.12
Sl97.12
R INQUIRIES ABOUT YOUR EXECUTIVE CORPORATE CARD ACCOUNT DR SERVICES,
EASE CALL TOLl.FREE: 1.800-553.6484, FAX: 1-800.835.3322, OR WRITE POST OFFICE BOX
'30, PI-IOENIX, AZ. 85072.3730 PLEASE HAVE YOUR ACCOUNT NUMBER READY.
o.lCI'lption of Wotitl'll Activit
PREVIOUS BALANCE
PAYMENT RECEIVED - THANK YOU
11/25
n us in the Charge Age'nst Hunger. From now unlil December 31,1996, use the Executive
'porale Card and help provide a maal for someone who is hungry. For more information, please
11.888.8TO-G1VE.
TRIANGLE CAR WASH MECHANICS BURG PA
350202066 AUTO SERVICE/PARTS 11/15/96
USPS 4134870055 MECHANICSBURG PA
032129507 POSTAL SERVICES 11/15/96
AUTODESK INC SAN RAFAEL CA
20018747 COMPUTER/SOFTWARE/ACC 11/14/96
US AIR MECHANICSBURGPA
TKT.. 0371330345719 11/06
US AIR MECHANICSBlJRGPA
TKToi' 0371330345720 11/06
COMPUSE RVE COLUMBUS OH
633047215 COMP ACCESS 10361300543 11/23/96
TRI STATE RADIO OF PCAMP HILL PA
001220100 TELECOMM/PHONE EQUIP 12/05/96
TOTAL CHARGES AND CREDITS
BALANCE DUE
Pig. I of 2
Belance Out
se87,12
Cr.Clitl
10.54
$10.84
APCN('I2003
2077
00102
11 S I
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.
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U'."'f1N4' ~""..,...
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376:HI!>2~.4J-{\1 11 1596
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AUlOOES,:; It(: SAN ~"F"EL CA
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3"83~eS264~~Ol000 III 14/9t1 200\81A' "
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~oc NJMBER 0000000100
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$62.04
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101"'1
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\.'....1'10',1...."" ,..,."10"
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POS1AL SERViCES
SIt' 237;171408'1
loal
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AM\Mjl
itEM ~
US'IP
MECHAN I CS!iURC!PA
C."..,"I"' "'"....,Ito
1..."11'" 0,1.
3163-6516.g-01000
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11/00/96
'11\11' III'
lf~AVEL IrrlANAGH'ENl CO
",'"
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h PllTS8Uf&l PA
1t SAN DIEGO CA
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11 IlAt.lIIrCAE t.()
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to".., CII.. tl..I~''''''''''_
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03 7000
51 31??oo
PASSEtf3ER lleKEl
S/E, 7992.0011g
HEM 6
COMPuSERvE
COll)tr.lBUS
C".""",", A.._.llto
3'/83-6528'3-01000
boll ,'C...'"
11/23/96
......u Illnh.......,I..I~.I,...
C(),flUSEFtVE
COLUt.euS
"t'I".""
CCJ,F ACCESS l03613C>O!>43
S/E, 33465'10M~
LA
tlllAl
tlf"~GI
A~OllH'
Sll.02
Ot<
~"'""'" (.... ....'....' 'Nt
633041116 3'
Ot<
$12.02
)tatement of Account
:>04/0007
0111 I
TIRMS . PAYABLE IN rUll UPON RECEIPT or STATEMENT.
Corporlt. Account ~r
SuttMnI Clollng Dlt.
Totll AllOUnt Dut
3183-152&43-01000
0'-11-81
$320,07
DANIEL R HILTZ
HIL TZ TECHNICAL MGT
309 SKYPORT RO
MECHAN1CSBURG PA 11055-2300
MAIL PAVMINT TO.
AMERICAN EXPRESS
P.O. BOX 1210
NEWARK NJ 07101-1270
1111'111'11...1111"11,.11'1.111.1,11...111"11,1..1,1,.,,11.1
8365284309 000320070000320073
kJmmary of Account
~.: :
i\"""1 t.'
....'
. '.
Corporat. C'r~r HI..
DANIEL R HILTZ
Corporat. Aooount Nubr
Stttllltnl CIOlino O.t.
01-11-81
I 37&3-&52&43-0'000
Pr.viOUI III.ne.
$887 . 12
Nt.. CNrOfls
$320.07
Other OtbH. PlyilIfltl Rtc.ivtcl
$,00 $887.12
Other Crtdltl
$,00
_.l.r.o. Out
$320.07
Rtf.renot II.
~ _r Dt.Ctlpt1on of IOlthlv Act ivUy CNr , CrlCl1t8
PREYIOUS BALANCE $887.12
835353 PAYMENT RECEIVED - THANK YOU 12/28 997,12
501355 OFFICEMAX, INC, 0039MECHANICSBRG PA
039003026 OFFICE SUPPLIES 17055 12/19/96 39.19
501380 2 RAMADA INNS MAHWAH NJ
001330311 LODGING 12/23/96 78.35
501361 3 COMPUSERVE COLUMBUS DH
635939964 COMP ACCESS 1036130D543 12/21/96 '10.54
501007 4 OFFICEMAX, INC. 0039MECHANICSBRG PA
039003911 OFFICE SUPPLIES 17055 01/06/97 31.41
501011 5 OFFICEMAX, INC. 0039MECHANICSBRG PA
039003559 OFFICE SUPPLIES 17055 01/10/97 160,58
TOTAL CHARGES AND CREO ITS $320,07 $187.12
BALANCE DUI $320,07
PIDI 1 of 2
.2
" INQUIRIES ABOUT YOUR EXECUTIVE CORPORATE CARD ACCOUNT OR SERVICES,
,ASE CALL TOLL.FREE: 1-800'553-6464, FAX: 1-600.835-3322, OR WRITE POST OFFICE BOX
30, PHOENIX, AZ. 85072.3730. PLEASE HAVE YOUR ACCOUNT NUMBER READY.
APCN0200a
2110
00; OZ
(\ S J
.card'
,
)05/0007
llEill 1
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318S~tt5~8..3-01CXXI 12/10/96
........,"...10_....""1""11..
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'.
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l39. \9
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PA
Sll, 23"'0';990
'DIM
.- $39. '9
UIOlli'T
ITEN 3 110.14
CCU'USERV! COlUll6uS l><
e.'i""_ol"_'" i2/~ lCi9C 63;93~964 ........' ~"'"
3193-1~28.<3'0IOOO 91
..'...II\-IH..........._I.I.....
ro.flISERVE
COLl.U!lVS
," I...'..
ro.P ACCESS 10361300543
S/E' 33465105"2
101",
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ITEW 5
OFF'CEIlO' IN:. OOOBWtCHANICSSRG
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31B3-I~2B.3-0 1000
P.,.,!ti'l'"
01/10/91
....'.......,....__'"......
OFFICEMf\J( II<(:. OO~9MECHAN1CSBRG PA
U '.
OFFICE SUPPLIES 1'1055
S/E, 231U05850
10'41
......
.."'"
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1
$10.54
'160.56
PA
..'".....'_ ,.......,e..
03900355S 3.\
$150.56
APCN01003
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H~ADA It-NS
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ARRIVAl DATe otPARTIJRE DAle 'OF Nl1);lS
12I111i1t1 12/23/96 00
ROC t-IJltmF.R 1'37506-00
S/E, 22S~IS519
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OFFlCM', IN:. 0039"ECHANICSBRG PA
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Il,y,n hllll...m",' 'III "Wi'"
OFFICE""'. IN:. oo39"ECHA"ICSSRG
. ..
OFFICE SVPPlIES I1~S
S/E, 23"'0';880
fOf~
.......
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~78 3&
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$78.36
$31,4\
!Wltlt<ICfeoOfll ...."1'(....
039003911 '8
PA
$31.41
.,
,.
>>tatement of ACCOUnt
)06/0007
021 1 TfRMS . PAYABlf IN FUll UPON RfCflPT OF STATfMENT,
....-
CotPClrltf ACoO\lnt ~lII'.ltr
Stlt...", Clb'lno Date
lOti! A_I but
3783-552843-0'000
02-10-87
. , . 440 . U
DANIEL R HIL TZ
HIL TZ TECHNICAL MGT
309 SI(YPORT RD
MECHANICSBURG PA 17055-2300
MAIL PAYMENT TO,
AMERICAN EXPRESS
p,O, BOX 114
NEWARK No 07101-0114
11'",'1,,',11"",'111""'1"""'1,1"""",',,',1,,',',"
63b5264309 001440390001526396
Summary of ACCOUnt
Corpo.rat. CardllHber Nhe
Corponu Acnount ......r
}O 3783-582843-0'000
St.t...,. Clollno bate
02-10-87
DANIEL R !ilL TZ
Prtv lOUa "'Met
New ~rOl'
Other Debit. Paytteots RfCtl\'td
.'00.00 5320.07
"'lance Out
51.440.38
$320.07
5',428.38
Other Crldltl
5ee.oo
Rtf.reno.. It..
_r .....r -- DtlcrlPtlOl1 of ~t~ly ACtfYfty ClIar, CrllCfitl
PREVIOUS BALANCE 5320.07
835019 PAYMENT RECEIVED -- THANK YOU 01/19 320.07
822011 ANNUAL EXECUnVE MEMBERSHIP RENEWAL FEE
PERIOD 03/97 THRU 02/98 100.00
700037 US AIR WASHINGTON/GOOC
TKT~ 0371351324554 02/06 88.00
501017 SPRINT MECHANICSBURG PA
001350003 CF.LLULAR PHONE/SLS/SVC 01/16/97 272,09
501026 2 OFF ICEMAX, INC. oo39MECHANICSBRG PA
039002056 OFFICE SUPPLIES '17055 01/25/97 215.78
501029 3 M'ST SHORE l.1NCOlN/MMECHANICSBUR PA
12122142 AUTO TRUCK DEALERS 01/28/97 550.98
663032 4 US A I R MECHANICSBURGPA
TKT~ 0371351324554 01/23 138.00
663032 5 AMERICA WEST AIRLINESMECHANICSBURGPA
TKT~ 4011351324539 01/22 241.00
501034 6 COMPUSE RVE COLUMBUS OH
703196517 COMP ACCESS 10361300543 01/25/97 10.54
TOTAL CHARGES AND CREDITS 51,528.38 $408,07
BALANCE DUE 51.440.38
Plgl , Of 2
~ INQUIRIES ABOUT YOUR EXECUTIVE CORPORATE CARD ACCOUNT OR SERVICES,
:ASE CALL TOLL-FREE: 1-800-553'6464, FAX: 1.800.835'3322, OR WRITE POST OFFICE BOX
30, PHOENIX, AZ. 85072-3730. PLEASE HAVE YOUR ACCOUNT NUMBER READY.
WI
"'PCN02003
1027
0010%,
jI I
.c.rd.
":,',
Corporat. Car~r N.~
~NI~.L R HJLH
007/0007
IlEIIl 1
SPRINl
iIIECHAI./ I C:SIJURG
-----
t......'...tt'A"_...
r..ll.'e"'t1
Corpor'lt Account Nvllber
3783-652543-01000
121109
p,
l.I.._.,.", AI'I,.."t...
3763-6~21.3.01000 9'/16/9' 0013\000,1
....'It,IIl..htUllftl....I...h..
sP~JNl j,I[C~JCSBURG PA
".,., ~...
CHLULAR Pt(NE/SLS/SVC
ROC .....ER ??0oooooo3
S/E, 23"/01129088
l'rEI.i 3
WEST SIGlE llt-COlNIWECHANICS&lJR PII
37'63~;28';3"'.{)ICoo Oi'/26ia'r
".."', 1I11l1!lM..... """ 1.HII...
WEST SIOtE llt>CC\N/I,t,lECHANJCSBUR 1>11
,.... ....'..
AUTO TRUCK DEALERS
ROC "'-"'6ER
B67Z03
S/E' 2376~2l>615
ITEW 5
MfE~lC'" lII'f.Sl A1RllNESNECl-W-J1CSBlJROPA
c...__,...,,_...
t"....I_OI11
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.' ....-
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BALlI~E 10(1
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11 COLlMWS l)-t
."
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39
tIn./.,
tHUQf
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-
$272,09
1550.98
'lll'_C""
12122142
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66
1
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.......,
5550.98
12.(1.00
T".IfI"""'".
,(011 1 4!l
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AMERICA 'NESl AIRUNES
II.., ;Il.,..
iIIf. AN
t._."'...........,
5241.00
ff' C1l
ff' C1l
...""." l.Iu II",
ff' C1l 30342008742
037004
76 03 1000
PASSEI\OER TICKET
S/E. S027AOO191
Clollng Oat.
02-10-97
P.fIQ' 2 of
APCN02003
2u2~
.2
IT[M ;
OHICEIl4A~, It(;, 0039t.iECHANICSe.tlG
12\5.78
PI
'U....f...iof' ........"'"
--
b.l. .t t~....
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31 3-0 843-01 In~/91 039
"".".tll..".."".., OM11Ulo..
OfrICEMM, J~, 0039~EC>lANICS8AG PA
'" . ~I'"
O'''C~ SUPPLIES 17055
S/E ~ 2374405850
111,...\
CIl....lII
dl~T
$215. '/8
11EiII 4
US l\IR
MECHAN I CSS~A
1138.00
"""'1"'''''''''1_1,,"
T,"""~",,, C111I
".",t ,;"",u.
,
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3763'6516.3.eI000
01/23/97 03713513245540 ..
"
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".., ....
MECHAN I CSBURG
'0"'" 'lnl T'.'''Il_''''''-1
US KE $138.00
US 'E
A"'....u.to->,.
us KE 303.2??o.o81
037000
15 031000
',;.',..
'"I'f1f1' "'.
HILTZ/D
"... "'t
~AVEL I.(ANAGEMENl CO
',.m
tWm I SBURG PA
To PITTSBURG-i PA
Tt SAN DIEGO CA
Tt PlnSI3URG-t I>A
h HARR I S8URG PA
PASSE~ER 1 JCKEl
5/E' 7992.00116
11E.. 6
co.PuSERVE
()1
110.04
COLUWUS
'-'....._."'1_'...
3763'6526'3'01000
Otl...tooe,,,
01125/91
lll".....t... ""'...."t.....
'03196517 67
........I.tn"........I........',..
CI),PUSERVE COLUWUS
()1
U'~' '"
C(),p ACCess 10361300543
SIE, 3346570542
TIIU.
tllAlal
.1Il~.fjT
510.54
)tatement of Account
:>004/0005
031 2
ACCOUNT CANC~LL~O. RETURN AL~ CHARGE CARDS,
04/03/87 TO AVOID DE~INQUENCY CHANGE,
PAY BV
Corpor.." Account ........r
StatIMnt tloalng Oat.
Tot., AllOYflt 0\11
3763-8L2B43-010DO
03-12-17
$ 1 , 1 22 , 58
DANIE~ R HILTZ
HILTZ TECHNICAL MOT
309 SKYPORT RO
MECHANICSBURO PA 17055-2300
MAIL PAYMENT TO.
AMERICAN EXPRESS
P,O, BOX 114
NEWARK NJ 07101-0114
1111111,111"111111111,.1111",1,,1111.11,11.11,1,,1,1..1,,,11
8365284309 001122550000023163
3ummary of Account
Corpol'lU ClrCSlletlbtr Nut
StatJlllnt C10llno D.t.
03-\2-87
DAHIE~ R HI~ TZ
1
Corporltl Account ""'r
3'63-682643-01000
Previous 8.'I1'1C'
MI. Char-liItl
Btlanc. ClI,It
$l,In.85
Other Debit, P'YNf!U Received
$ . 00 $ . 00
Other Crtclltl
1341.00
$1,440.38
U3.16
"ef,renc. It..
..-, ...., Dnertpt ton of Mor\thlv Act lvltll Cha'... Cr'CHtI
PREVIOUS BA~ANCE $1,440.39
700049 AMERICA WEST AIRLINESPHOENIX AZ
TKT# 4011351324539 02/17 241.00
823066 MEMBERSHIP FEE CREOn .. CANCE~~ATlON
DATE OF ABOVE 03/07 100,00
501050 , COMPUSERVE COLUMBUS OH
704838491 COMP ACCESS 10361300543 02/15/97 10.79
501063 2 COMPUSERVE COLUMBUS OH
705990538 COMP ACCESS 10361300543 02/22/97 12.37
TOT A~ CHARGES AND CREDITS $23.16 $341,00
BA~ANCE DUE $1,122.6&
Pig. 1 of 2
YOU HAVE ANY QUESTIONS ABOUT YOUR ACCOUNT, CALL 1-800.492-3344
4 HOURSI7 DAYS) OR WRITE US AT P.O. BOX 297885, FT. LAUDERDALE, FL 33329.7885.
.EASE HAVE YOUR ACCOUNT NUMBER READY.
.4.PDN02Dll1
Hi."
00102,
(I I
.Cardl
," ~',.,' - .,' . -, . .
"'.;::,, ",'
. .
W'/
.,.._ M.. __,......._ ",_,..._._ '_
COMMONWEALTH OF PENNSYLVANIA
COUNTY OF CUMBERLAND
II:
_' Ma~y Jane, lIollin~.~~orth..___.
b.i"g duly sworn according to law, depo.e. and say. thetS hi is the ________
_Administratrix 01 the atate of Daniel R. Hiltz
lale 01 -1:!!!J11pdel}.To~nBJ~ip. __._____ I Cumberland CountYI Pa., deceued and thet the
within i. an invontory med. by ...MaJ::y ,lllne-H"1 li "'Jiiw=tR.-- ., the said Administratrix
of the entiro e.tale of l8id decedent, co".istlng 01 all the personal prop.rty end real estate, except real ellale oullido
the Commonweelth of Penn.ylvania, end that the figures oppo.ite eech item of the Inventory represent It'. lai:' valus
a. 01 the date 01 decedent'. death.
and .ub.cribod belore me,
~rr/W
vt~~V9:L
Encutor . ~ minhtrltor
,.t!}trjAS7 /7' 19j?i'
.
79R West ~win St., Box 92
~illiamsport,-fA 17701
Add,...
Dele 01 Death January
D.y
27
1997
Month
v..,
INSTRUCTIONS
I. An inventory mu.t be filed within three month. alter appointment of personal representative.
2. A .upplemont inventury mu.t be liled within thirly day. 01 dl.covery of addltionel useh.
3. Additional .hoeh mey be attached a. to personalty or realty
4. See Article IV, Fiduclarie. Act of 1949.
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INHERITANCE "AX RETURN IFOR DATES OF DEATH AFTER 12131/91
- CHECK HERE IF A SPOUSAL
RESIDENT Dl'.:CEDENT POVERT.Y.. c::REDIT IS CLAI~.__
r.OMMONWtAl.TlI OF "t"SYlVANlA (TO BE. FILED IN DUPI.ICATE I FILE NUMBER
OtpAf<1MtN'rOF "tVtNut 1997 00131
HAA"I~~G~~::~~~~",o"l WITH REGISTER OF WILL.S) COUNTY CODE YEAR NUMBER
DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) rDECEDENT'S COMPI.ETE ADDHESS
Hiltz Daniel R. 309 Skyport Road
SOCIAL SECURITY NUMBER DATE OF DEATH DATE OF BIRTH ~hanicBburg PA 17055
DECEDENT 198-42-2622 01/27 /97 11(23/1952 Count Cumberland
'IA~T A~& MIDI"t iNlT:~L} c' nr;m:- SOCIAL SECURITY NUMBER AMOUNT RECEIVED (SEE INSTRUCTIONS)
I
U 3, Hemalndef Roturn
(lor datu of dealh pllOf 10 j2-13-&2)
o 6. Fedorol ESlate TllJf Return Requllod
20..11 L1no 19 .IS greoter !han Llno16, .enlor tho dlfforenr.eon Line 20. ThlslBtho OVERPAYMENT,
~'!..~."'" you ....'ieqll8e11ng... refund 01 your overplymenl... 'lj
21. II Line 18 Is greator than Line 19, entor the dlfforenee on L1no 21. Thlslslho TAX DUE,
A. Enter the Interest on the balanco due on Line 21A.
B. Entol the totol 01 Uno 21 snd 21A on L1no 218. ThiS Is tllO BALANCE DUE.
Moke Check Payablo to: Roglsler of Wills, Agent
... ... liE SURE TO ANSWER ALL QUESTIONS ON PAGE 2 AND TO RECHECK MATH" ... -
DTldor ptln~ltJos orp~'1 cloclaro tlla! I havo oxamlnod ttllS fOlllln, lncluding nccompallYlng schodulo!; and stAtomonts, and 10 Iho bast 01 ,ny knowlodpe
and bellol, It Is true, correct and complote, I doclaro Olal all real o~Hate has been reportod at true market value. Declaration of propafot other than Iho porsonal
lopresonlal!vo is basad on alllnfor!!.1atlon of wtlich propnror tlOS any know!odClO. _
SiGNATURE OF rf.R~,ON flE~'P9NSIBL. Fon rlLlNCl RE'fYRN AO[lf\[S~J
- if1 U..... J....,,:l./-... See Schedule attached
REf' ('IT ADmIEf,~,
Y-
NTF~ ~;: ~~l:~~;A 17070
flf-, \'. 1 ~dJ r~. (l. 11<1)
CHECK
APPRO-
PRIATE
BI.OCKS
CORRES-
PONDENT
RECAPIT.
ULATION
TAX
COMPUTA-
TION
I 0 4. Limited Estol. 0 40. Future Intorest Compromlso
I (tor dates 01 dosth oMer 12-12-82)
I [g 6. Dooodent Diad Testoto 0 7. Decodent Mslntslned 0 Living Trust
(Attoeh oopy 01 Will) (Attoeh copy 01 Trust)
AU. CORRESPONllENCEl'ND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED 10:
NAME COMPLETE MAILING ADDRESS
Gerald J. Shekletski, Esq. 414 Bridge Street
TELEPHONE NUMBER P.O. Box E
717-774-7435 New CUmberland PA
1. Real Esteto (Sehodule A) ( 1 ) 192,000. Db
2. Stocks ond Bonds (Schedule B) ( 2)_ None
3. Closely Held Stoek/Pannerahlp Interest (Seh. 0) ( 3 ) None
4, Mongsge. and Notos Reeelvoble (Sclledulo 0) ( 4 ) None
5. Cash, Benk Deposits & Mlseellsneous Personal ( 5 t 44,381.69
Property (Sched~llo E)
6. Jolnlly Owned Propsrty (Schedule F)
7. Transfers (Schedule G) (Sehodulo L)
6. Totol Gross A'sot. (total Llnosl-7)
e. Funeral E)(penses, AdminIstrative Costs,
Mlscolloneous E.pon.o. (Sehedulo H)
10, Debt., Mongago Llobllltles, Lions (Sehodule I)
11. Total Deductions (totel Llno. 9 & 1 C.)
12. Not Value of Estate (Line 6 mlnu. Line 11)
13. Chsrltable ond Governmentsl Bequests (Sehodulo J)
1. O"glnol Roturn
14. Net Volue Sub 801 to TllJf Llns 12 minus LInG 13)
15. Spouul Tr.n.fers (fO' dalu of doalh aller 6~30-94), Su
InltructlOnslor Appllc.ablll Porcontagoon Pagll2. (Includ'
valUIII from Schedule K or Schldule M.l
16. Amount of LIne 14 taxable at 6% rale
(Include VGluss from Seheduie K or Schedule M.)
17. Amount of LInG 14 taxoble a115% rate
(Ineiude vOluGS from Schedule K or Schedule M.)
16. Principal tllJf dUG (Add ta.lrom Unos15, 16 snd 17.)
19. CredIts SPOU$l1 Poverty Credll Prior Payments
+
\--
o 6. Totsl Number 01 Sslo Doposlt eo.OB
17070
( 6)
('1)
323.43
None
(8 )
236,705.12
( 9)
207,163.99
(10.)
52,711.15
259,875.14
(23,170.02)
None
(11)
(12)
(13)_
(14)
(23,170.02)
(15)
. .
.
(16)
0.00. .0.6
.
0.00
(17)
0.00. .15
.
0.00
(16)
0.00
Discount
Inlerest
+
(19)
(20)
0.00
(21)
(21A)
(21B)
0.00
0.00
0.00
DATE
~.f/Y-1:'
DAT~/ly/tL..
np\wLll. \hl.. til \IJr \ )..9~.
LAST WILL AND TESTAMENT
OF .
DANIEL R. HILTZ
I, DANIEL R. HILTZ, of Hampden Township, Cumberland CountYr
Pennsylvania, declare this to be my last will and revoke any will
pr.eviously made by me.
ITEM I: I bequeath my tangible personalty (not including cash or
securities) and insurance thereon to such of my children as are living
on the thirty-first (31st) day after my death, which shall be divid~d
among them by my Executor with due regard for their personal prefer-
ences in as nearly equal shares as practical. Any such article
allotted to a minor may, as my Executor thinks advisable, either be
delivered to the minor or a person to hold for the minor, or be sol.d
and the proceeds paid to the guardian as property distributable to the
minor as hereinafter provided in Item II. hereof.
lTEM II: I devise and bequeath all of the residue of my estate
of every nature and wherever Bituate, to the Trustee h\~reinafter
named, IN TRUST, for the following uses and purposes:
A. The Trustee shall divide the principal into equal and
separate shares so that there shall be one share for each child of
mine then living.
1. Each share allotted to a living child shall be held
by the Trustee, IN FURTHER SEPARATE TRUST, for the following uses and
purposes:
Page 1 of 8
--' ." \" -\- ~-. .,
. ..
(a) To expend and apply so much of the net income
and' the principal of the Trust as the Trustee shall, in its sole
discretion, deem advisable for the child'B support, education (includ-
ing college education, trade Bchool and graduate Bchool) and medical
care.
(bl When the child reaches the age of twenty-one
I
I
II
;\
.1
:1
i
(21) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing balance of the Trust principal and
accumulated or undistributed income.
(el When the child reaches the age of twenty-four
(24) years, he may, upon written demand to the Trustee, withdraw one-
third (~) of the then existing balance of the Trust principal and
accumulated or undistributed income.
(d) When the child reaches the age of twenty-seven
(27) years, he may, upon written demand to the Trustee, withdraw the
entire remaining balance of the Trust principal and accumulated or
undistributed income.
(e) Should a child die before receiving the
entire balance of the Trust, the Trust shall terminate and the pL'inci-
pal and accumulated income shall be added to the trust of my surviving
child, if any, and held by the Trustee, IN TRUST, for the benefit of
such surviving child pursuant to the trust provision herein set forth;
and in default thereof, should there be no surviving child of mine,
shall be distributed as follows:
Page 2 of 8
i. One-half thereof to my brother, LEWIS GE:ORGE
HILTZ, if he survives me.
ii. The remaining one-half thereof to my brother,
LEONARD WILLIAM HILTZ, if he survives me.
B. Should any person entitled to diBtribution from this
Trust be, in the opinion of the Trustee incapable of disbursing it
because of age, illness or other cause, and should it be impoBsible or
inadvisable, in the opinion of the Trustee, for such share to be
awarded to sl1ch person or distributed to another for such person's
benefit, the share of such person shall be held, IN FURTHER TRUST, and
the Trustee shall accumulate the income and shall apply from time to
time such portions of income, accumulated income and principal as they
think proper for that person's support and education (including educa-
tion in college, trade school or graduate school) without regard to
his or her parent's ability to provide for such support or education,
or to make payment for these purposes without further responsibility
to the beneficiary or to the beneficiary's parent, or to any person
taking care of the beneficiary. Any principal or income not so
applied shall be distributed to the beneficiary when he or she becomes
of age or competent, or to the personal representative of the benefic-
iary's estate in case of death during minority or before becoming
competent.
'I
II
II
il
:1
ITEM III: My Executor and Trustee shall have the following
powers, in addition to those vested in them by law, and by other
provisions of my will a.pplicllble to all property, whether principal or
Page 3 of B
~. ".. pri ,.".~
II
I
.1
.,
II
"
II
II
'I
,
!
in~omer including property held for minora, exercisable without court
approval and effective until actual distribution of all property:
A. To retain any or all of the assets of my estate, real or
personal, including stock of my corporate fiduciary or of its parent
holding comp~ny, without regard to any principle of diversification.
B. To invest in all forms of property, including stocks,
common trust funds and mortgage investment funds, whether operated by
my corporate fiduciary or others, without restriction to investments
authorized for Pennsylvania fiduciaries, as they deem proper, without
regard to any principal of diversification.
C. To sell at public or private sale, to exchange or to
lease for any period of time any real or personal property and to give
options for sales, exchanges or leases, for such prices and upon such
terms or conditions as they deem proper.
D. To allocate receipts and expenses to principal or
income, or partly to each, as they, from time to time, think proper in
their sole discretion.
E. To borrow from, or to sell to, my Trustee even though
such Trustee may be my Executor.
F. To compromise any claim or controversy.
ITEM IV: I appoint my Execut.or and its successors guardian of
any property which passesr either under this will or otherwise, to a
minor and with respect to which I am authorized to appoint a guardian
and have not otherwise specifically done so, provided that thiB ap-
pointment of a guardian shall not supersede the right of any fiduciary
Page 4 of 8
in its discretion to distribute a share where posBible to the minor or
to another for the minor's benefit. Such guardian shall have the
power to use principal as well as income from time to time for the
minor's support and education (including college education, both
graduate and undergraduate) without regard to his or her parent's
ability to provide for such support and education, or to make payment
for these purposes, without further responsibility, to the minor or to
the minor's parent or to any person taking care of the minor.
ITEM V: The interests of the beneficiaries hereunder shall not
be subject to anticipation or to voluntary or involuntary alienation.
ITEM VI: I appoint PNC BANK, N.A., or its successors, Trustee of
any trust created under this my Last Will and Testament.
ITEM VII: I appoint my PNC BANK, N.A., or its successors,
Executor of this my laBt will.
ITEM VIII: If I am survived by minor childrenr I nominate,
constitute and appoint my brother, LEWIS GEORGE HILTZ, to be the
Guardian of the person of each such minor child. Should my brother,
LEWIS GEORGE HILTZ, be unable to serve a guardian for whatever reason,
I nominate, constitute and appoint my brother, LEONARD WILLIAM HILTZ,
to be the Guardian of the person of each such minor child.
lTEM IX: I direct that my Executor, Guardian, Trustee or their
successors shall not be required to give bond for the faithful
performance of their duties in any jurisdiction.
ITEM X: My corporate fiduciary shall receive compensation for
the performance of its functions hereunder in accordance with its
Page 5 of 8
rn\,f'_',J\hi Hz,
Jm.Im
THIS INDENTURE made the ~~tday of ~f~ ' in the year 1997,
between MARY JANE HOLLINGSWORTH, Administratrix of the Last Will and
Testament of DANIEL R. HILTZ, late of the Township of Hampden, County
of Cumberland, and Commonwealth of Pennsylvania, of the first part,
hereinafter called the Grantor,
- AND -
LEMUEL P. STURMS and DARLA D. STURMS, husband and wife, of the second
part, hereinafter called the GranteeB;
WHEREAS, the said Daniel R. Hiltz, became in his lifetime seised,
as of fee, of and in to a certain tract of land, together with the
improvements thereon erected, situate in the Township of Hampden,
County of Cumberland, and Commonwealth of Pennsylvania, and more
particularly described hereinafter; and being so thereof seised, died
on January 27, 1997, having first made his Last Will and Testament in
writing dated May 25, 1995, duly probated and registered in the Office
-
of the Register of wills of Cumberland County on February 11, 1997;
and whereas Mary Jane Hollingsworth was appointed Administratrix of
the Estate, Letters of Administration C.T.A. having been duly issued
by said Register of wills on February 11, 1997, and wherein and
whereby said premises hereinafter described were not specifically
devised, all as in and by said Will and the records of said Register
of Wills more fully appears;
NOW THIS INDENTURE WITNESSETH, that the said Grantor, for and in
consideration of the sum of ONE HUNDRED NINETY TWO THOUSAND AND NO/100
--.--.--------------------($192,000.00)--------------------- Dollars,
which has been paid to her by the said Grantees at or before the
sealing and delivery hereof, receipt \~hereof is hereby acknowledged,
has granted, bargained, sold, aliened, released and confirmed, and by
these presents does grantr bargain, sell, alien, release and confirm
unto the said Grantees,
ALL THAT CERTAIN lot or tract of land situate in Hampden Township,
Cumberland County, Commonwealth of Pennsylvania, more particularly
bounded and described as follows to wit:
BEGINNING at a point on the western dedicated right-of-way line of of
Skyport Road at the dividing line of lot #2 and lot #3; thence by line
of lot #3 North 47 degrees 14 minutes 13 seconds West 110.74 feet to a
point; thence by line of lot #4 and lot # 5 North 39 degrees 56 minutes
14 seconds East, 110.00 feet to a point at the dividing line of lot #2
and lot #1; thence by line of lot #1 South 43 degrees 02 minutes 50
seconds East 108.52 feet to a point; thence continuing by same South
35 degrees 38 minutes 00 seconds East 25.00 feet to a point on the
western dedicated right-of-way line of Skyport Road; thence by the
aforementioned right-of-way line by a curve to the left, having a
radius of 1,472.39 feet an arc length of 98.33 feet to a point being
the place of BEGINNING.
CONTAINING 12,742 square feet, 0.293 acres.
HAVING thereon erected a two-story dwelling house, known and numbered
as 309 Skyport Road, Mechanicsburg, Pennsylvania.
BEING lot #2 on rinal Subdivision Plan of Millbank Estates, Phase 1,
said plan being recorded in the Office of the Recorder of Deeds in and
for Cumberland County, Pennsylvania, in Plan Book 55, Page 7.
BEING the same premises which Triple S Quality Builders, Inc., by its
deed dated September 29, 1992 and recorded September 30, 1992, in
Cumberland County Deed Book X, Volume 35, Page 279, granted and
conveyed unto Daniel R. Hiltz and Patricia H. Hiltz, husband and wife.
Patricia H. Hiltz died April 25, 1995 whereby title to the aforesaid
real estate vested in Daniel R. Hiltz, the decedent, by operation of
law.
A. SETTLEMENT S'I'A'I'EMEN'!,
11.8. {)I>N\NTHI~N'I' Ot~ llotlE)INO
-'Nfl UIlIlM' rH~Vn(WMlm'I'
OMII NO. ~\iO:! 026!1
.......__............-~...........~~........................."
-..--
D. TYi'1o: O~ WAN
i~.lTFii^-;!~I~'m'IAlTi-c~~--iit'li;I6~:lli.N'iMnFH-----~--~)^N Nln-lllt:" 111 MOH:'1X1T\O}: INn I'Ma: N1JMIIHR
., I I VA !j I I ('OIlV Illll 01 UNM!! --1__ ElKEI
C. NOTKI'l'hil tor;i;-~~;h;dt;gt';;-~;-llWflment (If;;U~;;tti;mf!lIt COlltl '^mo\l~t. p41d-to .ndhYtt;; lIetll;m"';mA{jIl-;t
t\rtt .how" , Hilmi mlll'klld " Il'<lCl II Wllr11 flalll oulllltlo t.ho e!onin<jJ th(lY al'C! 8111).,.,n lll!rtl fol' Intclt'matlCJII"l pUqlOUllU and ^~4t
not included in the tot"h. 5,0 10.96 l4/BTtJRMS)
---.--.-----.------
0, N,\M~: ANU ^IlIlRlWS OJ.' 1I0RHOWt:R E, N"M~ ANn ^DilRt:f19 OJ.' fmt'u:R Ii, N~f: Mm MlmU:SB cw U:U!ltl~
l.feMURI, l', tlTllRMfl "lid
O.I\fHA n, 8TIIRMS
F.flT^,'l-: m' I>MlU:I. N. Ifll,'rr.
COI.tIMU1^ N^'rIOl~^I" WC,
0, PROPER1"t' WCATION
]O~ BKYPORT ROAO
HKCIWHCSDURO, flA 170!aS
C'\IHBERLA.ND Count y, PA
II. B~:T'TI,EMtNT "OEN'r
MtflBTA'fF. MI9TR^C1' COMrAttY
:/) 2114426
I. GE'M'I.E:MENT DATI-:
PI.J.CR OF SE1'T1,l\MENT
21)1 MARKET STREET
CNolP III1.t., P^ \'/011
JulY]1,1997
.T. BUMMARY OF nORROWRR' S TRANSM~TION
l 00. OROSS T\MOl/NT PUI.: ~'R()M "ORROW~:I(
101, Contract Sal.. 11rJC'ct
~~~roper:y__....
10:). Settlement t'hu'l]tla to Borrower
192,000,00
400.
401.
402.
40],
40<1,
405.
K. RtlMMARY OF 8EI,LE~' S
OflOfl9 AMOUNT Dl.~li '1'0 BfiLI.I::R
Contract Salt,. Price
(181'son,,1 11ropl'll'ty
TRANSACTION
IlnoltOO ?,0]2.60
104.
105.
106.
Adjustments for
Ci tV/town tues
Itema paid by 91'11181' in arlvanc~
to
107, county taxu
108, Dchool TAxns
109. SRWER/REFURE
110,
07-ll-9', Lo 0)-1'.11-98
07.31.97 to 07,01.98
PRORATION 07-)).97 to 10,01-97
194.10
1,0'/),15
66,04
Adjustments tor IL(tms paid by Seller ill advanC'e
406. CHy/town tues t.o
407, County taxfts 0'/.31-97 to 01-01-98
4Oll. B()hool Taxes 07-]1.97 to 0'1-0\.98
409, B~WER/REFuse ~ROR^TIOH 07-31.97 to 10-01-91
410.
411.
412.
111.
11.1.
120. OROSS AHOU~r DUE FROM BORROWeR
2011965.89 420. OROSS AMOUNT DUE '1'0 BI::Ll,ER
200. AMOUNTS PAID llY ClR IN bEIIAt,P OF BORROHt!:R
201.
202,
203.
204.
205,
206.
;J01.
208,
209,
Deposit or ll!tarneaL mDney
Principal Amount of New Loan(s)
Existing Lo~n(8) Taken Subject to
3,400.00
195,800.00
500. REDUCTIONS IN AAOUNT DUE: TO SEI,LER
501.
502,
SO),
504.
EXCtl'88 Depoait (see instruct1onlY)
Settlement Chargee to Seller
Existing Loans Takon Subje~t to
Payoff 1st MLg to COLUMDIA NA'rroNAll,
Payoff of second mortgage loan
l1nf't1400~ 17,8<0,99
INe./o
158,280.
505.
506.
50'/. (Deposit dlabuued u proceeds)
SOli.
509.
Adjustment. for items unp~id by Beller
210. City/town taxes to
211. County t~xes to
212. School TaxeR to
:n3,
214,
215.
216.
----
217.
218,
219,
Adjustmellta tor items unpaid by Seller
510. Clty/town taxes to
511. Count y tllxell to
512. School Tun to
513.
S14.
515.
516.
51'/.
S18.
519.
220. TOTAL PAID BY/FOR BORROWER
199,200.00 520. TOTAL REDIIC1'lotI,\M()UN'I' OUR SELLER
100. CASII AT SETTLEMli:NT FROM/TO OORROWF:R
301. Orca. Amt Due from 80H'DWer (line
302, J,e.. Amt Paid by/for Borrower (line
JO), CASH
IXI FROM
600, CASH AT StT'nEMEHT TO/FROM SELLER
12:0) 201,965.89 601. Oro88 Aroount Due to Seller (line 4~01
2201 199,2:00.00) 602. Leu Reduct ions Due Seller (lintt 520)
1.. .S9 60], CASIl Ixl TO II FROM SELLEk 18,008.]4
The
letod copy of p<'lges a2 of th1a f1tAtement r. any attachments ret'errnd to hereJo.
SEl'\v. a~1b!4' I ")4e.t.~YlI.L U I
,iJ.f tST(if)P DANIRL R, lIILTzr:r---
SELLER
Hun-I (J-86) RESPA,)l8
'*
.
COMMONWEALTli OF PENNSYlVANIA
eUUAU O. lXAMIH...TlOH
INHERITANCE T"X RETURN
RE51DENT DECEDENT
P.O. BOX 8327
HARRISIURG. PA 17105
iST"ATi"'Oi
SCHEDULE "C-1"
CLOSELY HELD CORPORATE STOCK
INFORMATION REPORT
Plealll Tear Print
PILE HUMe..
1.
~.Jh.J.lil tz
N...o o"o",.,.II.nlll ltz Technical Manaqement Corp.
309 Skyport Road
S",HI Addr...
0... of I....
. 1'I'I7-nnI11_
Stotl of 1M.
PA
9/17/87
CI'I' M",..h"ni csbur~,.,o PA
2. fodo,.II. D. N.mb.. 2 3 ~ 2 4 79609
IS.... A. hd...1 For.. 11201
3. Typo .11..1.... technical consul tinq
..
ZlpCodoP055
1
T olal Numb., of Shar.hold,n
1.01.... RoportlnV YN' January
'December
..
.,.d.d .JiI A
$. Elttmcrr.d Value of'DMMltn".lnt......
UNIT V"'WI
TOT"L
~
STOCK
'8TAL . IHARU
UnT...NDINO
. IH""II OWNID
IV olCIDINT
100
100
TV.I
'AI V"'LU'
1. 00'
c..- .
RI
100
1. 00
'''''"od
L.
.",.;do 011 rivht. ..... ,otlridloo. port.lnlng t. ..... cia.. 01 Ihldr,
6. Wo. d_d..t ornpl.yoci by"", eo"....,....I Dr.. f[]No
If }'11" 'ooltloo.
_ ~ T1rno D-.d ,a bu.I...._
.......1 S.lo.." $
7, Amounl :1M type of coMponylMMOtHMlI 10 deeMtfI' at dote of dlG'lhl S 0
8. Wo. ,ho,o 11I0 In..ra... poroblo ,. .ho cotpOl'Oflon .pon d..... of d-.i..,I Oyo. g N.
Ho' Proood. Payoblol 5_
If yo., Co.. S.rrondor VoIuol S
0._ 01 Policy
9, Old th. d.ced."t leU or ItaMler I10dt of thl. COMpCIfty wilhln OM year prior to dtolh If the dat. of d.ath we, Oft or aft" 12/13182 or wllhln two r"" if th. dati
01 d..,h .0' prior to 12/1311I210 Y.. eg No
If yUl
. O' SH""U
TlANSFEUE OR .URCH...IIR
AMOUNT
D"'TE
10.
Old tho ."",_.n h.... .. I....... In ...... cotpOrGO..,. 0' po"'onhlp.I Oyo. CiaNo
If Y'I, tttpOrt the neaucuy IMo""a#oft on a ...,crat. JhMt, Including Schtdul. IIC..l" or "C.2" for each IMeNd. .
Was tlt.r. 0 writt", &hat.hoId.,..' agrllelMftt In effect at the time of thl clewdtnl', dtottl. OV" 8lNo
If }'11'. o.ad. copy 01 0_..
W..,ho docodon". lIock ooIdl OYo. UlNa
If Y'I, prrmdt a copy of '1M allrMfMftt of 10'-'. ttc.
Was the corpo~on dlllolvtd or liqulddted mtM' tM d'cHMI"~ dtotht my,. DNa
If Y", provld. Q btttalcdc.wn of Ilqvldatlon dntribution., .tc. Artoct. a MplN'otlll thMt,
.rThe bCQ,rn'lohadfono. value .as of the date of death of the decedent.
ea.'.1I mif llt"'tol 'M"S in rYfIOtian wltfitflil 1CbM,,1'1 , , , d . . b i
were no l~qu~dat~on ~str~ ut ons.
A. A d.taUN dtKflption Utowi"l the method of c:ompuIotio,.. utillnd In the valuation of the d,cedent', "ode.
I, ComFllt'. coplt. of "nondaIItClfetMftl' Of COInpltt. copit. of the Ftd.,-al lox Attumt(ftd.ral FOlm 11201 for thfl yea, of dHttol and" precedil'lg y.an,
11.
12.
13.
lA.
Thus, therl
15.
C. A ,'01."*" of dividend, paid Met. )1MI', UN thoMt d.darlld and unpaid,
0, Uti nom.. 01 affieen, lolane.. bonv... and any all." be".f\l' received nom Corporation,
E, If the Compofty O'*ft.~ real ",at., lub",U Q lI,t IhowinG the compl.'. addr...I.. Qnd .,"mal.d Fair Mark., Valu./" If hol h'Of.
Approi,csl, hO\'. bNft MCU,ed, pieu.. cmoch t'OfM"
f. ~h' pri"ppollt~hol'" at dot. of ~...., ~ 01 ,hor., held, ond r.lation,hip 10 dtcMeftf.
The decedent was the sole shareholder officer and director of the corp.
"'LL ClTHER INFORM...TlON RELATlVfTO ...FflXING THETRUE V"LUE OF THE DECEDENT'S INTlREST SHOULD ACCOMP"'NY THIS SCHEDUlE.
HILT? ,nl' I'll
"
,""on,
"
0fllMlmf'M 01 I". rrll.u~ry
'r.t~f~" fl'vlln!Jf ~'IHV'r:1!
l
U.S, Income Tax Return for an S Corporation
. Do not file thl!'i torm unlu& the cCirporaUon has timely tiled
Form 2553 to eleot to be In S corporation,
.. See separaie lnstructtons,
-I, and Bndlnq
'JMfl '" t ..~~ '10
FOlln 11205
1996
0.11. 01 IIlectlon U In
ScotfllJlatlon
Of la)( (Jar bo
Us.
IRS
lab.,.
Oth..-
wise,
pl....
print or
type.
(1)
In'2!!l5L_
~~l1r ear 1996,
A
Nam.
Jiiltz
Numbllr, 51/"';' and ((lCmb/lull. rtl),lll.I'.O. b<1_, HI.p.g. ~o! 'h'lnIH.}
Technical Manaoement Corn.
,___ _-:L~__~..l::...:..._,_
C Employ.. Id.ntlfleatlon no.
23 - 21126 09.___
__.-'}D~7
B BUOlnlucod,rtl).(UI
$pllcdlclnltrUC!lonl)
o
C'tllncorpor.lld
3~Sk~ort Road
9
17 87
F
G Chllck thiS no" II thiS Scorpor.tlon '. subllcl hl Ih. conlohdalf!d aUd,1 I'lroclldurn 01.,cllon16241 IhlOugh 624~("'Ir\'\tucllon' b,Io'I Ch.C.lunll ~~lf bO"1
H
Final rsturn
PA 17055
~.ddress
E
$
(4)
__~l..?~__
Amended relurn
Check applicable boKes:
C,lyot town, Itllll,and ZIP COd'
Mechanicsbur
Initial roturn (2)
Tot..lulIll(U,Spllclllclnllr_l
~~o
Enter number 01 shamholders in tho corporation at end oll~ax yoar
Caution: Include only'!!ado or business income and ~onses on lines 181hrouClh 21 Soo Ihe inslruc!lons far more information
.
.
o
1
.. c'T""
la a,ourec'lplllulllI 118 , 89 QJb Le.. r.lurnf l.tllowancu L 10 Bsl. 10 118 890
~-
2 CO" 01 goods sold (Sehodule A. IIno 8) 2 26,698
Intome 3 Gross prolit. Subtraclline 2 from tine 1C 3 92,192
4 Not gain (Io's) Irom For", 479;, Pan II, 110. 20 (anach Form 4791) 4
5 Other mr.ome (loss! (.naeh sehodulo! 5
.
6 Total/neome (IOSI), Combl'1e lines 3 lhrouQh 5 . 6 92 192
7 Compensation of officers 7 1 3 ...2Q2
8 Salaries and wages (less employment credits) 6
9 Repairs and maintenance 9
10 Bod debts 10
11 RSn\s 11
Deductions 12 TaJ<GS and licenses 12 860
f3 Interosl '1,4.1' .. J.L ~- 2
(Ree Pl.O' 10 14a Depro('.ill!ion (il reqUIred, anach Form 4562) 7 992
0111'\. b Oepreciallon claimed on Schedulo A and elsewhere on relurn 114b I
IIl'truchans C Subtraclline 14b from line 148 140 7,992
r" 15 Ooplallon (Do not d.duct 011 and ga. d.pl.tlon.) 15
hnlltallOflllJ 16 AdvonlSlng 16 235
17 Pension, prolll..shanng, ele" plans 17
16 Employoe bonelit program. 16
19 Othor deductions (anaeh sehodule! See Sch 19 18 ,516.
20 Total d.duetlons. Add the amounts shown in thelsr right column 'or lines 7 through 19 . 20 41,105
21 Ordinary Income (loss) Irom traCle or bus moss activities. Subtract line 20 'rom Une 6 21 51 087
22 T..: a Excess net passive Income tax (anach soh.) 122. 1
b Tax Irom Schedule 0 (Form 1120S) l22b
0 Add In, 22. & 2211 (511 PO. 130' lh, mllr. lor acldn!. 1~"1l1 .. 1220
23 paym.nts: . 19960'1. tax pyml. & amount oppllsd 'rom 1995 return 231 ..-
Tax and b Tax doposltod with Form 7004 23b
Paymonts 0 Credit lor Foderaltax pold on tuel. (anoeh Form 4136) 230
d Add IIno, 230 through 23e 23d .-
24 E'tlmstod tax penalty. Check II Form 2220 is onoehsd ~ 0 24
25 T.. du.. II tho lotal 01 line, 22e and 241. largor thsn line 23d. ontor amount owod. See page
3 01 tho Instruction, lor depository method of poym<int . 25
26 Ove",ay",.nlllline 23d I' lorgor then thototol ollin.s 22e end 24, onter omount overpaid . 26
27 Enter amount 01 In. 28 uo~ want: Credited to 1997 estimated tax ~ Rel1lnded . 27
Please Under pen'ltlll of p'fJury.1 elllcl..,. thaI I hay. uamlnlld thll r,turn, Inchldlnll.lccomp.nylr1Q Ich.dulll ..nd ,Iallm,nll, and 10 Ihe but 01 my knowleclll'
and b,htl, ,llltru., correCI, and compl,I', n.Clltallon of !H.pa1er(oth,r thIn Iup"-ytn II bind on 11IInformallOn 01 which prep.."r hat any llnowledll"
Sign ~ ~ ~
Here SI,:"nahllllof oll,e.r oal1 Tille
Prepartr'l ~ I Date /: rCh.CldUlfR r P'.Ojfer',lor.lalllcur,tyno.lmb.'
Paid Slnnalurll 2 27/97 ,mp"Y" ~
Preporerls Flrrn'Snamll(or Stephen P. Gift & Associat_~s [IN . 23-23492;,~
Use Only YO~rsll"lt-emPIOYldl~ 107 East Ma.in Street
~nllartdrus Mechanicsburq, PA liP :~H .. 17055
For Paperwork Reduction Act Notlc:f1, see page 1 of separate InatrLActlons.
DAA
f:'ofm 11205 il~9B)
I'll ft ,I/o'!'
FOIIll1120SII!!2!!L!I.iltz r,-,c:hn.ic:al Mi'1I1,1qemenlc Corp.
SChodule A Cost of Goods Sold (000 pagu 14 01 tho ,"",n"lIono)
23 -2479609
1 Invontory al boqtnnlng 01 yoar
:I PUlchases
3 Cosl allabor
4 Additional 'oclion 263A eO'lsianach s<hodulo)
5 OthiJr cosls (anach sChodule)
6 Total. Add lines 1 throcgh 5
7 Inventol)' at end 01 yesr
8 COII., goodl sold. Subtraetlino 7 1m", line 6. Enlor hore and on psge 1, IIno 2
91 Check all methods usod lor valuing closing Invontol)':
(i) ~ Cost os descnbed in Regulsllons ,eetlon 1,471-3
~H) lower of cost or mll"kot as described in Regul"Uons sectIon 1.471-4
(iii) OthBr (Speclly method used snd Inoeh o'pllnstlon ) ~
b Check Ilthora was 8 wrll0down 01 "subnormal" goods as described In Regulations seetlon 1.471"2(c)
e Chock Illho LIFO Invontol)' method WSS Idoplsd thiS 111)( yoor lor any goods (II cheekod, anaeh Form 9'/01
a II the lIr:O inventory mothod was used for this tax yoar. onter percenlago (or amounlS) 0' closing
mvonlory computed under LIFO
e Do the rulos 0' section 263A ('or property produced or acquired lor resole) apply 10 tho corporation?
Was there any changg In determming quantities, cosl., or valuatIons between opening and closing Inventory?
If "Yes," a!!.ach 8)(planation,
SChedule B
Other Information
1 Chock method 01 oeeountlng: (I) IBI Cash (b) 0 Accrual (0) 0 Other ispeclly) ~
2 ReIer 10 the list on page 24 of the instructions and stale the corporation's principal:
(I) BUSiness Retlvlly ~ Consul t ing (b) P'oduct orsorvlee ~ Engineer
3 Did tho corporation at the end 01 the lax year own, directly or Indlroclly, 50% or more 0' the voting slack of a domestic
eorporaUon? (For rule, 01 attribution, s.. section 267(e).) If "Yos," anaeh a nehBdule showing: (I) nsmo, .ddross, ond
employor identillcatlon nUrtlber and (b) percenlagliJ owned
4 Was Ihe corporation a member 01 a controlled group subject to the provisions of section 15617
5 AI any lime dUring calendar year 1996, did the corporation have an Interest in or a signature or olhElr authority over a
financial accounlln a foreign country (such as a bank account, seCUrities account, or othor linancial account)? (See
pago 14 of the Instructions for o)(ceptlons and filing requirements lor Form TO F 90-22.1.)
If 'Yes," enter the name of the 'orelgn country ...
6 Durmg the lax year, did the corporsllon recolve a distribution Irom, or was it the grantor of, or Irans/orar to, a 10lelgn
trusl?II"Yes," see page 1401 IhB jnstructlons for olhor forms the corporation may have 10 11I0
7 Chock Ihls be, lithe eorpprstlon has filed or I. roqullod 10 lIIe Form 8264, Application lor Reglstrstlon 01 s Tox
Sholler
8 Check this be, if the corporation Issuod publicly offerod debllnstrumonts wllh orlglnsl issue discount
If '0. tho eorporstlon mlY havolO filo Form 8261,Inlormotlon Relum lor Publicly Offered Orlginsllssue Oiseounl
Instruments,
9 If tho corporation: (I) lIIod 11. olectlon 10 be an S eorporotlon sMo, 1966, (b) was a C corporation belorsll oloolod to
be an S corporatIon or the corpor.lIon acquIred an assol with a basis determined by relerence to ilS basis (or the
bosls olony othor properly) in the hands 01 0 C eOlporation, and (c) has not unreallzod buill-in gsln (dsllnod In sectlpn
1374(d)(1)) In o,eess 01 the nol recognized bullHn g8ln Irom pnor yoors, enlor tho net unrosllzed buill-In gain rodueed
by not recognized bulll-ln gsm Irom prior yeors (seo page 14 ollho Instruetlono) ~ S
10 Check Ihls be, If tho eorporstlon had subchaplor C osmlngs and profits althe eloso 01 tho tl1)( yoar (see
pogo 15 01 tho Instruellons)
Designallon 01 Tax Mattera Person (s.. pago 15 01 the InslrLlellons)
Enler bolow the sharoholdor deSignated as lhe lax maners person (TMP) lor lhe lax yoar althlS return.
Name 0' ....
dOSlg,!!]!'ETMPJ_Dani~.L.!L_ Hiltz
t
2
3
4
8
7
8
-: 8
~
P,lOO 2
26,698
26 698
26 698
: B
es No
x
X
X
X
Idonlilying It.
number 01 TMP , 1 9 8 - 4 2 - 26 2 2
Address 01 ~
2csiqnaled TMP
309 Skyport Road
Mechan.icsbur.9.L. PA 17055
OM
'1I1'? >J."")'JI
FOlm I\;WS {lgg!!L-Hi 1 t:'. T',~(:hnica] M"I!.!!.IWIlI"nt~)rp. 2 3.2479609
Schedule K Shareholders' Shares or IncomeL Crodlts" OeductlonsL.!!c.
Pnr:o J
.,~-;.~ ;"'~._'__.'_'"_'_'_"___h..' .,.._~~..._"..,.,...... .,__ ,- .".'--'-' ---.-.---- ------._~ Ibl Totol ~;"'u-;;-'-"
(I) Pro r ala !ltUlrO II urns
I Ordlnery mcomo (lOSS) lrorn trado Of bU!lIflOna ac!tvlllon (pago 1, line 21) 1 51,G?7
2 Net tncomo (lo5sllrom ronlal roal fJ3talo actlVltlos (allllch Form 8825) 2
-
3. Gross InComo from othOf renlal acll'JllIos til=
b El(pen~o!llrom othor ronlal aclivltloR (attach nchodlllo) 3b
e Nellncome (loss) lrom othor ronlal ;lcUvlllos. Sllbtracllino 3b from lino 3a 3c
Income 4 Port1olio Income (loss):
(Loll) a Inlerest Income 4&
..
b Dividend IneolOO 4b
0 Royalty Income 40
"-
d Not shon-Ierm eapilal gain (loss) (anseh Schodulo D (Form 1 12~S)) 4d
a Notlong-Iorm eopil81 gain (105') (anseh Schedulo 0 (Form 1120S)) 40
, Olher port1olio income (10'") (enoeh schedulo) 41
5 Not ga", (loss) under section 1231 (other Ihan duo to casualty o,lhon) (onaeh Form 4797) .
6 Other incomo (loss) (attach schedule) 6
-; -
7 Charllable conlnbulions (attach schedule)
- ---
Doduetlon, B Section 179 e'pense daductlon (anach Form 4592) ~- 5.723
9 OOduetions rolsted to port1olio Income (loss) (ilemi.e)
10 Other doduetions ransch scnadulol 10
I"VeAt- 11. Interest oxpense on Investment debts 1,.
ment b (1) InveSlment income included on lines 48, 4b, 40, and 41 above l1h/1'
-
Inlflrest /2' Inv991l'W\ftn1 B)(OenSes includod on Une 9 3bovB lb12\
12. Croditlor alcohOl usod as aluol (anaeh Form 6478) 1:1l1
b Low-income housing credit I
(1) From psnnsrships to WhiCh section 42(1)(5) applioslor propony placed In servleo belore 1990 12b111
(2) Othor Ihan on line 12b(1) lor propony plaeod In sorvlee belore 1990 ""'2\
(3) From pannershlps to which section 4201(5) appllaslor propany plaeod In servlca anar 1969 .'hl3'
Credits (4) Othor thsn on IIns 12b(3) lor propeny ploeed in sorvleo aner 1969 . ~2bI.\
C Qualified rehabllitBtlOn olCpendilures relaled to renlal real eSlate actlvilles (aUsch Form I ..
3466) 12c
d Credits (olh,r lh.n cr,rJllS IPlown on In, 12b &. 1",clrelaled to renlal real estate activities 12d
----
. Credits relaled 10 other rental actiVIties 120
13 Other credits 13
1.. Depreciation adjustment on property placed in servlc-o after 1986 14.
AdJust- b Adjustod gain or loss 14b
ments .--
0 Depletion (othor than 011 snd gas) 1.0
.nd Tax 14d1i1
d (1) Gross income from 011, ga9, or geothermal propertIes
Preference 14d12'
Itoms (2) Ood\lellons alloesbla to oil, gss, or goothermol proponles
0 Othor sdiustmenls and t.. DrDleronee Ilsms lenaeh sehodulol 140 .
15. Typa 01 Income . .
b Name of loreign country or U.S. possession ..
Foreign o TOlal 9ross Income Irom soureas outsldo tho Unitad States (anoeh sehodulo) . ~~
Tax", d Total applleablo daduetlons snd lossos (onaeh schodule) ". 15<1
o Totalloraign t..es (check one): . 0 Pold 0 Accrued 158
I Roduetlon In t..es avalloblalor erodit (anach schedule) 151
" Other lorolon taxlnlo'!!'atlon lanoeh sehedulol 150
16 Section 59(a)(2) o,pondl'ures: o TVpo . ".
b Amount lflb
17 T8l<-exsmpllnterest Income 17
18 Olher lax-QKempt Income ,.
19 Nondeductible expenses 18 1-19
Othar 20 TOlal propcny distflbullons (Including essh) othor than dividonds reponed on IIno 22 below 1l,02}
20
21 Other ilems and Rmounts required 10 be reported soparately 10 shareholders (attach
senodulo)
22 Total dividond distributions paid from accumulated oarnlngs and prollls 22
23 Incomo (Io,s).. (Raqurred only II Sehodulo M-l must ba eomplotod.) Comblnalinos 1
lhtDUgh 6 in column (b). From the result. subtract tho sum of lines 7lhrough 118, 150, and
16b 23 -15 364
-
DAA
Forrn1120SIHHl61 Hilt-.z Tpchn]cal Man'HH-'mf"l1l ('orp
"3-:'47960'1
PllQO 4
_Jil:hw.;l~lLL..___.~!I'~~!?~~!I!P-"(.!!~o~, 1--..._~_~_B:q,"~~l~.;.Q.~__~...~j__ _~_ End ~lt~.'...I'.'!!!c__~..._
A.selS _~.JaL __..iI?L......_,.. lei . (d~.__
1 Ca.h 1--_ 4..'J.l _1.:.1
2. Trlldo notos imd accoLJnla rocorvablo ----
b Loss allowance lor bad dobts 1--.
~_...__.
3 Invontorles
4 U.S, Government obligations
.-,-
5 TllXRoxempt securlllos ---,--
6 Ottlm curront assets -. ------
'I Loans to shareholders
..
6 MOrlgage and real estatllloans _.
9 Other lnvetUmenls --
lOa BUildings and other deproClable assels 70 935 .... 76 657
b Less accumulated depreclaUon 43 095 27 840 56.810 19,842
110 Depletable aS$ets
b Less accumulated dcplollon
'2 Land (net 01 any amonization) .
13. Intangible assots (amonizablo only) 300 1---- 3.9..Q
-
b l.ess accumulated amortization 300 0 300 0
14 Olher assets (f.lnach sCh,)
15 Total assets 28 281 " . 20_,325
Llabllllles and Shareholders' Equity
16 AccounlS payable
--
17 Morlgllges,notu, bonda p"yable In tllll than t yur ---
16 Other current IittbihUEl$ See Sch 1-,- 620 452
19 Loans lrom shareholders 41 980
20 MMIQ4QU. notllS. bOil OS pAYAble In 1 year or more -- --
21 Other liabililjes (an. sch.) .
22 Capital stock 100 100
23 PaId-In or capllal surplus ----
24 Rel3ined earnlng~ -14 419 1.2..,,]73
25 Less casl of treasury slack 28 -28i ~
26 Tolalliabilities and shareholders' eoUltv 20.325
Reconciliation of Income (Loss) per Books With Income (Loss) per Return (You ara not reqUired to
complete this schedule if the tOlal asset!! on Una 15. column d, 01 Schodule l are less than $25,000,
1 Net Income (t06S) per books 45 215 5 Income recorded on books this year not
2 Income Included on Schedule K. lines 1 included on Scheduie K, lines 1 through
through 6, nOI recorded on books this 6 (Itomlze):
year (itemize): a rlllKRuempllnterll!\ $
Schedule M-l
3 Expenses recorded on books this year
not included Dn Sctledule t<, lines 1
through "a. '50, and lOb (Itamize):
a Daproclallon S
b Travel.tnd $ 28
Intllflalntlllnt
6 Oed~lcllons included on Schedule K, lines
1 through 110, 150, end 16b, not ehorgad
against book income lhis year (Itemize):
. Depreciation $
SchedulE! M-2
See Sch 121 149 7 Addlinos5an~6
4 Add lines 1 throuQh 3 45 364 a IncomelionJ(Gch. 1(. Iinfl2J), Llnll4 leu lin,1 45 I 36-l
Analysis of Accumulated Adjustments Account, Other Adjustments Account, and Shareholders'
Undistributed Taxable Income Prevlouslv Taxlld see e a 22 011110 instructions __.
(a) ACClim~/laud (b) Olllel adjli5tmlll1ts (c) ShArllholder,' undlstrlbutlld
adjuslments 4~count account laUIJIlllncome pr,vlolilly tU'd
, Balance at beginning olta.x year
2 Ordinary income from page 1. Une 21
3 Other addllions
4 Loss Irom pago 1, line 21
5 Olhar reduction, See Sch
6 Combine IlOof! 1 through 5
7 DI$lpbutions other than divd. distrIbutions
S fl.\loll1CIIII tncJ 01 I,H ~~M, 5ub\t4CIIIl. r /fom In. 6
QAA
-14,4_19
51.987
5 872
:l0...L 796
11 023
19 773
5CtiEDULE K-l
(Form 11205)
Shareholder's Share of Incomel Credltsl Deductions, et~. "M-'!..'.1'''9'9''6'~'~
.. See Slp.nlte Instructions,
For calondar Vear 1996 or lax y~a'
OlllJlarlmlnl 01 '~r hl!uury
inl"l'tl RltvllnUII', rw. bOQlnnmg , and end In
5h~_ho!dsr's.l<!!~nulnb_r ..__1 9 8 :..4 2 - 2622 _ S~rlllon'~de'1!.'!Y1!!ll number -;-::~.:: 24 796.0 9-=
Shareholder'!! namo, addross, and ZIP code Corporation's name, addless, and ZIP code
Daniel R. Hiltz
309 Skyport Road
Mechanicsburq
P1L-17055
Hiltz Technical Manage17.ent Corp.
309 Skyport Road
Mechanicsburq, FA 17055
A Sharoholdar's poreentage 01 'lock ownership for tax year ('00 instruellonslor Sehedulo K-l)
B Intornal Rovonuo Sorvlee Contor whore eorporallon med itsroturn .. Philadelphia, PA
C T&.I( sheller raglstratlOn number (see Instructions lor Schedule K~1)
.. 100,000000%
19255
..
0 Chock applicable boxe,: ~IK"l --ill n Amonded K-l
(I) Pro rato share items (b) Amount (0) Form 1040 IlIors ontor
---.-- the amount In column Ibl on'
1 Ordinary Income (loss) from Ira de or bu~lness actlvlUos 1 51 087 5.. pAqU41 oInd50f Inn
2 Net InComo (loss) trom rental real estato actIvitIes 2 5'1ar.holdlt'.ln.tructlor,1 for
3 NEft income (loss) from other rente.! actiVities 3 5:"101.111 K-1 (Form \ 120.lJ),
4 Port1olio Income (Ios,): ....
a Interest 4a Seh. B, Par1I, IIno 1
b Dividends oIb Seh. B, Pon II, IIno 5
lnr.ome o Rovallies 40 Seh. E, Pen I, line 4
(Los.) d Not Shon-torm eaprtal gain (loss) 4d Seh. 0, IIno 5, eol, (n or 19l
_ Netlong-torrn capital gain (loss) 41 Seh. 0, IIno 13, co!. (n or (g)
1 Other port1ollo income (loss) (anaeh sehodulo) 41 (E:'ltlran appl, In. of yourr'lur".1
5 Net ga'" (loss) undor section 1231 (other Ihsr, duo to casualty or s.. Sharl:'oIO.r'llnllfucllonl
theft) 5 IG,SchUlul,K-\ (Fa,", 11205).
6 Othor income (loss) (onaeh sehodule) 8 . /[l1t.ron Ippl, In. alyoufl,.lurn.)
7 Charrtablo contributions (anaeh sehodule) 7 Seh. A, line 15 or 16
6 Section 179 o.pen,e deduction 8 5 723 SltpagI8ofth.Shari!hOldtr'l
OeducUons
9 Deduction, roio'od to port1ollo Income (Io's) 9 Inltructlonlfor 9chldull K.1
10 Other deductions (aRach schedule) 10 (Form 112051,
lnveatmen 111 Interest expense on Investment debls 11. Form 4952, Une 1
Interest b (1) Investment Income Ineludod on IInos 4a, 4b, 4e, snd 41 above bill J S..~ha,.l'1older'llnltruClIOnl
12) Investment e.'olpenses included on line 9 above h/21 fc'Seh.dula K-l(Form 112OSl.
12. Credit lor alcohol used os fuol 12. Form 6478, lino '10
b LOW-income housing erodlt:
(1) From section 42U)(5) par1nershlps for properly plaeod In
service before 1990 !!ill. --- .
(2) Other than on line 12b(1) for properly placed In ssrvieo belore
1990 bl2\ .-
(3) From section 42Ui(5) ponnershlps lor property plseod In Form 6588, line 5
Credllo sorvlce o<<er 1969 bl31
(4) Other thon on IIno 12b(3) lor properly placed In ,orvieo onor
1989 I bl4\
0 Quollflod rohobllltatlon oxpendltures related to rontal rewosto,e
activities 12c
d Credits (other than erodlts shown on lines 12b ond 12e) related 5.. pao. 7 of Ih. Shartholf1tr'l
10 renlal rosl estate aetlvltle, 12d iii> Inuructlon.lor Sch.dul. K~l
e Credrts relatod to olh~r rental activities 12_ (F:'", 112051,
13 Diller credits 13
Adlua'- 14. Deprecialion adjuslment on property placed in service after 1986 141 SUP"o' 7 01 the
menta b Adjusted gain or loss 14b S~I"hoICl'r'I
.nd T.. e Deplellon (other than 011 and go'l 140 InllrucllOflllllr
.. Sc~.duJ, K~ \ (FOfm
Preter~ d (1) Gross Income from oh, gas. or geothormal properties f;;- 1 '~:>S)afl d
ente (2) DeduC!IOnS allocable 10 011, gas. or geothermal properties Inl:rutl,onslnr
11ems e Other adluslmenls and lax preference It(~ms I 14e F:''n615\
For Paperwork Reduc11:m Act Notlce, see page 1 ot Instructions lor Form 11205,
OM
Sohedule K-1 (Form 11205) 1996
r1'\ (. ,II' ,,'
FOHn 4562 J
nfl)~llfl'.nllJlltll' r'U\<l'Y
~~~~~..!.. Ill!!)
Nalll'IIIU1owflonl.wrn
Depreciation and Amortization
(Including In'ormallon on U,ted Property)
_~l...~~-2.:..~~_
.. See separato In!ltructlonB,
.... Attach this form to your return. ~~~~:'l~:~~"
LdenUlylng nllmber
. 23-247':1.609_._.____
1996
6.,
_!iLl t_z Technical Management .~(}.!J2.'
BUSln,,, l)f 'ctl~'lylo which IhlllOlttl "I.t'l
Engi~eerinq services .
Part I Election To Expenae Certain Tangible Property (Secllon 179) (Note: "'" 'm '" "1",,"
1 Maximum dollar IImllatlOll. II an enlerprlSfl 20no bUBIrlOS9. 500 page 2 of Ihe Inalruclions
2 Total cas I of section 179 properly placed In sorvice. Soa page 2 01 tho lnstruchons
3 Threshold cost 01 secllon 179 property OOloro roductlon in IImltallon
4 Reduction In limitation, Sublractline:J Irom IIno 2, If zero or less, enter -0"
S Dollar Iirnllalton lor tIDe year, Subtraclllne 4 Irom hne 1, 1120ro or less, onter -0-, II married
lihnq sooaratoly, see pa!=je 2 ollho instructions
.J!l DU'flPIIOIl, 01 prop,'.IY
Fixtures & Equipment
leo"t :com lit" PI, V b.lor, PI, I)
6
_~"II'",""~ "";; ~
7
1 $17,500
2 5,723
3 $200,000
4 0
5 17 L2QQ
C EI.ct,eI co.t
5
723
7 Usted property. Enter amountlrom line 27
8 Total olected cost 01 section 17'9 property. Add amounls In column (c), lines 6 and 7
9 Tentative deduction. Enter the smaller olUne 5 or Ilna 8
10 Carryover of disallowed deduction from 1995, See page 2 of the instructions
11 BUSiness Income IIrnl1L\lIon. Entor tho smaller 01 busmess income (not loss than zero) or hne 5 (see instructions)
12 Secllon 1'l9 exponse deducflon. Add lines 9 and 10, but do not enter more than line 11
13 Carryovor of dlsaliowed deduction 10 1997. Add lines 9 and 10, loss Une 12 ... 13
Note: DO "'OIYU Part II or 1'.11111 below 'or IISlId owp.rtV(IYtomOblltl. Ctrlllln OttltH v.hItIU, "llullr 1.I,ptl(lnlll,
ctrlalrl comnvt~rs or DIf!Dl"lvv!.ll for l!/IUHlalnml!nl r'r.rUllon. or ~m<l"mll!n'J In.1l!..d liS' Pall V lor l,st'd OflJo.rtv
Part II MACRS Deprecl.!ltlon For As~ets Placed In Service ONLY Du!.!.llil. Your 19l!6 Tax Year 10, "OJ 1'01,,, C'"" P,,,"I,"
Section ~-General Asset Accou:1t Election
14 II you are making tho election undsr section 168(i)(4) to group any assets placod In service during the 18)( year into one
or more qeneral aSSElt accounls, check thrs bo_~, See pa!=jEl 2 01 tho rnSlructJons
Section B-General De re.clatlofl S stem
8
9
10
11
12
~723
__ 5, 7,U
~50Q
...5,72:1
(a) CIUl,llClIlon01 prop.nv
(b) MO/lttl./IC1
yurp1acl!tllrl
U'YIC'
(c:) 8A111101 O.JIf'Cla!IOIl
(bvs,/I,UllnvUlmllllYU
-~~~
GDS) (Son
(d) RlcovelY
period
",[L
~qe 3 of Ihe instructIons,
(8) Conv.nMn
(f)Melhod
(0) O,p',claholld'duc1!an
15a 3-year propeny
b 5-'tear ro 0
C 7~ ear ro e
.._d iO-year propony
. 15-year prCJperty
, 20-yoar propeny
~5-eMroe Urn, S/L
h A.sldentl.' rontal 27.5 rs. S/L
prnpony 27.5 rs. MM SIL
Nonres,denllal reol 39 rs. MM SIL
ro er MM S/L
''': ;,-;::' '00'::'1 <-,"'''''',,, ~oo,."" '",.m ':.~.- .. "". ~,.::'
c 40-yoa, ---j I= 40 rs. MM SIL
Part III Other DepreclallorLlDo Not Include U!!ed Property.) (See pogo 4 ollho,nolruetlons.
17 GDS and ADS deductions for assolo placed In service In 18)( yearn begInning belore 199B
18 Properly subjoet 10 soel,on 168(1)(1) election
19 ACRS and other deprOClallon
Part IV Summary (500 ps~lthe Instructions.)
20 LlSlod property. Enlor amountlrom Imo 26
21 Total. Add deductions on lino 12. linos 15 and '6111 colwnn (g), and IInos 171hrough 20. Enter hero
and on lho approprlalo iines 01 your ratum Ponnorshlps and S cOlporatlons~see l/lsHuctions
22 For Mwols shown above and placod In SOfVIC:O dWlng ltlO cUlronl yoar, snler r~---
1110 portran 01 010 basIS allflbulablo 10 :,ucllon ;,:63A c:oS1S ,~
For Paperwork RI'lductl(Jn Act Notlce, see page 1 of the sepilr~te Instructions,
17
18
19
7,992
20
21
7 ,992
OAA
There are no amounts for
Form 4562 119;;61
Page ;;;
~Ofm
11205
I
U.S. Income Tax Return for an S Corporation
... Do not file thIs form unlei'lls th_ corporaUon has tlmelV tiled
FClnn 2553 to elect to be am S cC')rporatlon,
... See~~n9truCtlon!J,
1995
D.pAr1m,ntollll,"'UIU'Y
Inl'ln.IFlII'Ienul$.fv,ce
;:01 tAI"n".ly"f 111i5. III \A~ VI.' O.qlnt'Hn\l
'~9!1, "nil flndln!)
"
C (mllIOVI' lIuntd,cAt'o" "UfT\O.'
---_._-
B QUIln...cod.no,(Ue
SpecdlclnllrUctlonl1
Hiltz Technical Management
309 Skyport Road
Mechanicsburg, PA
Corp.
23-2479G)C
.-~-,-----~
o Olllt,nCtllIHH.ttl1
A Olt.of.llcllonulin
$corpOfAll01l
09-17-87
-'-
I) Cl..:..l2.:..::...'--___
17055
E rul,)' Ulttl iUtlICnC;' ~ ,,~JI'~~~<'''1
$
...., c
__?980
F Ch"""I""" """ II} 0 """""'''' III CJ ,,,""'"" PID 0"'""''''''' I" 0 Am""""'"
G CII.Ck 11111 ben d '"11 S cOlpor,lIOn subllct 10 111' conlOlldAtlCl1udlt pfocltdufU 01 secllon!, 62011\ ttlfOUOIl 820115 (1tl' Hlstructlonl before ctlfOk1nQ tins bO~1
H Ent.r numb.r 01 Sllllfr.hOldllfl In thl cOloor,llon 111nO 01 lto_ln y~u.
~
~
p
.
V
M
E
N
T
.
Caution: Include only trade or bU'SlneSS IncomO and elCponsos on lines 1 a throu h 21. See the 'n9tru~810r more information
1a Gross receipts or sales L~ 105 t 9 2 5 I b LIlli /fttitrflS And IllQwlflcul
2 Oosl 01 goods .old (SchedUle A, Iino 6). . . . . .
3 Gross profit. Subtract line 2 from line 10. . .
4 Net gain or (loss) hom Form 4797, pon II, Iino 20 (attach Form 4797). .
5 Qth:r income (see instructions) (anach schedule) . . . . . . . . . . , . . . .
6 Totallnoo,"" (10"\. Comblno lines ~ trlrouqh 5. .
7 Compensation of OtflC9!S., ..,."...
a Sol.nes an~ woges (less employment credits). .
9 Repairs and maintenance, , . , , , , . . . . , . , .
10 Sad oebts . . . . . . . . .
11 RenlS. . . . . . . . . . . .
12 Taxes and Ilcenses . . .
13 Imerest... ' , . . , . .. . , . , , . .'
14' Dopreelallon (II reculled, attsch Form 4562). . . . . . . . .
b DeprecIation claImed on Schedule A and elsewhere on return,
o Subtract line 14b from line 14a , . . . . . ' . . '
15 Deplollon (Do not deduct 011 and gas depletion,)
16 Ad'lsnlslng. ,
17 Pension. profit-sharing, etc. plans. . .
1& Employeo benell1 programs.
19 Other deductiOns (artachschedule) . . .
26 Total doductlons. Add lines shown In tnele, nght column lor lines 7 through 19 .
21 Ordinary income (loss) from trade or business activities. Subtract line 20 lrom Une 6 .
22 Tax:
a E)(cess net passIve income tax (anach schedule) .
b '!'ax Irom SChedule D (Form 1120S) . . . . .
u Add lines 22a and 22b (soe poge13 01 ,"slruotlonslor addlllonaltaxes) . .
23 Payments:
a Hl95 estImated tax payments and amount applied 'rom 1994 return.
b Tax deposited with FOi"m 7004 . ,
c Credit lor Foderal tax on luels (anach Form 4136). .
d Add lines 23a and 230 . . . . . . . . . . . .
24 Estimated tax penalty (seEllnstrllctlons).ChecK if Form 2220 \5 anached. . . '
25 Tax due, If the:otal at lines 22c and 24 is la.rger than line 23d, enter amount owed, See page
3 ollnSlfUC\lOnS fOI depOSl\ary method 01 payment. ....,...
26 Overpayment II hne 23d is larger than 1he total of lines 22C and 24. enter amount overpaid,
27 Enter nrnount of hnG 26 vou want: CredIted to 1996 estimated tax
---.J e Bol ~
1.
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2
3
.
5
6
7
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.".........
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, . . , , . . .. 140
15 I
16
17
18
19
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23b
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~ 25
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Refunded .. 27
Please
Sign
Here
UfI:lIlI penall'lIl 01 pf!qury. I deci"fe IllIll ne...! ,lamll1eO \1111 lellilfl. '/lClutlilll1accompany,ng Icnedutel Ane ItAIllm'flt~ and 10 IIII! cut 01 'l'l,<, ..'10...."HI\1l:
ane nelll!. 'I II Irl./Il COllect. .ntl complett. D,(I/llaIIOfl 01 pleOAlIlr lOlrle' InAn l.vOAyel/'b tlUlla an All '1'lo,mIIIOIl 01 wnll;;n 0"0,)111' "n~.a/l'<' . "()....'eCHIIl
~S,Q~I!'CIlI
P'etar~'.s ...
$'Q~..'\lile ,.
;)Ale
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I _n'r '[1...~{1 ...
n
.----------.....--,.--
I, , ...... ' .. H" _' ~: . L. ,.
r--.---~.--
PaId
Pr~parer's
Use Only
For Papcr\-....ork Rudllclion Act Notice. see pugc 1 of ~,ep.:H;lle instructlons,
;,II~~~;I'M'IIH S::.:=:q::he::l.
."",,.' ~-,,~.-
,~,.."Il,("on'(lI r.;.. 'J" b3.S,t
,e.: hi::"". :'1,'~:~ :".,:i1'"\-:
;:
~::':2:
(t, t..S l.; :_:: :.. d t 2;;:;.
::,,:\ ~:". 3t :'-':.":::::::.
. C
, ~- .~~
... ..-'
\ I '.~O~
FI"1h 1 '20S (Hlnl
Soh-.lulo A
Coat of Gooda Sold (SOh pogo 14 O/lh8 ln5lrUCIIOntl)
1 Inventory at bogmnlng 01 yoar ,
2 f,'urchlJsos 2
~ Cost oll,bor .
.. AddlflOnalsecllon 263A costs (ROO instruCtions) (allael\ schedule) .
~ Other oosts (on.en OCllOdulo) .
I Total, Add lines 1 through 5 . . . . . . . , . B 3 ,
1 Invenlory ot orod 01 yeer ... . . . . . . . . . . . . . . . . , .
I Cool 01 goods oold. Sublr.elllno 7 Irom Uno 6. Ent.r horo Ind on psgs 1, une 2 . . I 8 "
9. Check ~I mothods u,od lor valuing closing Inventory:
(I) B CoslOS de.erlbed in Regulations soetlon 1.471-3
(II) Lower 01 eosl or mll11<ot .. de.erlbod In Rogul.tlons .eetlon 1 471-4
(III) Other (Specify motr.od used .nd .n.eh e,plsn.Uonl ". _ " . " " _ _ . . " " . . " . " " " . " . " " " . " . . " . " . . " , . " . . .
b Check i1there was a wriledown of "subnormal" goodB as doscflbed In Regulations seellon 1,1l71"2 (e). .. . " ".,. . .. H
o Ch.ek this bo, litho LIFO Inv.ntory msthod w.. .doplOO thl' tax yo", for .ny goods Iii oheeked, .neeh Form 9101 . . , . . . . .. .. .. c""':
d II tile LIFO inventory method was used for this l~ yaar, enler percontage (or amountS) 01 cIa lIng
Invontory eompuled under LIFO. . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . . . .
000 Ihs rulo. of soetlon 263A (lor pro pony produeod or oequlred for ro,.lsl.pplv to the eorpor.tlon?
tWas thero any changf'lln determining quanUtl09, cost, or valualions botween opening and ClOSing inventory?, , .
II "Yes," .noeh e,pl.n.non.
Schedulo B
Othor Informsllon
1 Check method ot seeouhlmg: ('1 W Ca,n (biD Aeolu.1 (e) 0 Olhor (speelly, " . . . . . . " . . . " . . . . . .
2 ReIer to the list on page 24 olthft instructions and stale the corporation's prinCipal
(.)8usln.s..ellvlly .C;:9l)Sj\..l~~~l)g."...".. _... (b)Produetor.ofVleo ..E;l"\gi.l'\~E!r:......"......
3 Did the co/poratlon at Ihe ena of!ne tax ~'eal own, direcUy or mdlrectly, 50% or more of the vOllng stock of a domestrc
corporation? (For rules 01 annbutlon , see seetlon 267(C). II "Yes," anach a 8Chedule shOWing: (I) name, addross and
emplOYGr identJficatJon number: and (b) percentage owned. . , , , . ,
4 Was lhe corporation 8 member 01 a controlled group subl8Ctto the provisions 01 section 15611. , , . . . . . . . . , . ,
5 At any time during the calendar year 1995, did the corpor8lion have an Inlerest In or a sIgnature or other authontv over a
financial account In a foreign country (such as a bank account, securities account, or other linanclal account)? (See
p.go 14 ollno Instruction. lor .'eaptlons and filing raqUlromonts lor lorm TO F 90-22.1.) . . . . . . . . .
If '''Yes,'' enter the name ot the lorslgn country ... ~ .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. . .. .. _ .. .. .. .. .. .. .. . . .. .. .
6 Waf) lhe corporatJon Ihe granlor 01, or transleror to, a foreign trust that existeel dunng the curren! tax year, whether or
net tho corporollon has ony beneuorallntoroslln II? II "Yo,," the eorporstlon m.y novo 10 III. Fonns 3520. 3520-A. or
926 ,. . . . . . . . . . . . . . .. . . . . . . . . . . ,. . . . . .. . . . . . . . . . . . . . . .
7 Check lhis bOx il the corporation hl151l1ed or In required to lIIe Form 8264, Application lor Reglstralton a! a Tax
Shsllor. . . . . . . . . . . . . . . . . . . . .
8 Check thiS bo)( lithe corporation issued publicly offered debt mSlruments wllh or191nallssue dlscoun! . ,
II so, the corporation may have 10 We Form 8281, Information Return lor Publicly ONereo OTlgrnallssue DIscount
Instruments.
9 11 the corporatIOn: (a) Wed liS election \0 be an S corporallon atter 1986, (b) was a C corporallon be/ore It elected to
be an S corporation ar the corporallon acqulrod an asset With a basIS delermmed oy reference 10 lis baSIS (or the
basm 01 any other propeny) In the hands 01 a C corporauon, and (0) has net unrealized bUII!~ln gain (deUned In secllon
1374(d)(1)) In excess olthe nel recognized buiJHn gain Irom prior years, enler the net umaahzed bUilt-In gam reduced
by nel rocognlzed bUll1-ln gem Irom prior years (see page' 4 of instrucllons) , .. .$. . . . .
10 Check thIs box lIthe corporauon had subchaplor C earmngs and prollts at the close ollhe lalt: year (see
pace 15 01 the inSlruClIons\ .
~8
.n
Designation of Tax Mltters Person (Soe page 15 of the Instructions.)
Enter below thO share~Iold(;H cleslgnalea as the tax manars porson (TMP) for tho le)( year of thIS rBturn'
Name 01 L
~gnafedTMP' Danif:~...B. Hiltz
309 S~yport Read
Addrossol ll.. Mecha;:lcsDura, PA 17055
dC51Qnl'l10d TMP r
Idsnllfying ll..
number 01 TMP r
198-42-2-,22
'"f
I X
r-'
-il--
I :(
- --
(a) Pro rala shIIte ilams (b) rotai amounl
1 Ordinary 1I1como (loss) Iron11fadn Of bUSln09S aeUvlllos (pago 1, IIno 21) . 1 -')>:, ';,1. :
- ... -' ,
2 No! Ihcomo (losS) from ramal feal oolale acllVllIos (anech Form 8ll25) . . 2
[itl '___~__ft
31 Gross Income Irom olhor rental acll'liliefl ,
b F.J<pensoB from alMr rontal acllvllles (al1Rch sChfldulo) , -
I 0 Nol income (loss) !rom othor renlall1ctlvllIoo. SUbtr8clllne Jb Irom lIno 38 3e
N
c 4 Poltfollo Income (lOSS):
0
M I InloresllnCOmG . . . . . . . ..".,. .".". . . . , , , ",. II
6 ----
b Dividend Income ... ... .. ...., '" ... "", 4b
L.
0 0 ROYAlly Ineomu , ..., ...,.,."" ..." .. ",., .. , , , , . . ...,. .". , , , , . , """,. .. 40
s
. d Not shon-term eaplIsJ ga'" (Ios.) (anaeh Schedule 0 (Form 1 120S)). . . . .. "., ..,,,,,,,,,,, "', ""." 4d
. NOllong-lerrn eapllsJ ga'" (loss) (snoeh Schedule 0 (Form 1 120S)) . . . . .. ... .. II
I Othor ponfollo Income (loss) (onoeh sehodulo) ."". ".",.."",., ... ,.. ... ",."." . . . . , ' II
5 Net gS111 (loss) under see.on 1231 (other than due to essually or thOn) (anaeh Form 4797). . ... 5
6 Other Incomo (lOS!, (snaeh schedule) . . . . . . . . """ "" 6
7 Chanlable contributions (Cln8ch schedule I ' , , . . , . ... '''""...",'' , . . . , , . ..". .." 7
alCllle. 6 Secllon '79 expenDs deduCIll1n (anQch Form 4562), . , ... ... ..,. .. ....", ;.., ",. .. S
.. --
lIonl 9 DedUCtions related 10 ponlolio ineomo (loss) (ilomlle, 9
10 Other aoductlons (anaoh SChedule) . "". 10
..
III"'III~ 11. Inletesl expense on Investment debtg ",.... ..,,,,,, , , . . , . , ...., .. 110
""nl b (1) Investment Income tncluued on lines 48. 4b, 4C, and 41 above. l1b(l)
ll1tll- ...
", (2) Investmenl 8l<OenSes Included on Une 9 above, 11b(2)
.". ...
12. Croditlor alcohol usod as a luel(anaeh Form 6476). . .",,, ..."",. "".". .. .". 12s
b Low-irlcome hOUSing credit:
(1) From ponl1orshlps to which saetlon 42U)(5) applies lor proporty plseed In SSMoe belora 1990. . . . . . . , . 12b(1)
c (2) Other Ihan on line 12b(1) lor proporty plseed in servleo beforo 1990. 12b(2)
, (3) From pannershlPs 10 which .oetlon 42U1I5) spplle. lor property plsced In sorvlee siler 1969 ... .. 12b(3)
,
D (4) Other thon on II no 12b(3) lor proporty plseod In sorvleo ahor '969. 12b(4)
, Quallfieo rehabilitation expendnuron relatBd 10 renlal real estale aCllvl1leS (anaCh Form
s c
3466) . ... .." 121:
.
d Credlls (other lhan credl1s shown on lines 12b and 12C) relaled 10 renlal real eSlale actlvllIes 12d
..-
. Credits related to other rental acUVll:9S, '... t20
13 Other credlls. ... 13
14. Depreclallan adluSlment on property placed In servIce atter 1986 , . . , . . . , . , . 14a
..
Adlllll- b AdluSlsd go'" or loss. . ,." ."....,., ",... ,.,. ,....,..... . . . . , ' . . , . . ... 14b
"'IMI
'" e Ooplellon (other lhan 011 ond gss) . . . , . . '" .." ..". 140
;lIi -
PI.I.,- d (1) Gross Income from oil, gas. or geothermal propertIes. . .. ".." ...,.. ' . . . . . , .." lld(1)
Ine' (2) Gross deductions allocable 10 011, gas or geothermal propenles 14d(2)
ill"'l
. Oth&f adjus~ and lax preference lIems (anaCh schedule) .. 140 -
-
, 15a Tvpe 01 income .
0 .. . . - ~ ~ . . ~ . . ~ - - . . ~ ~ . . -
R b Name olloreign country or U.S, possasslon~ ~ _ .
6 . -- . . . .
I e Tolal gross Income Irom sources oulside the U.S (anAch SChedule) l$e
a
N d TOlal applicable deducllons and losses (afl8CI1 sclleaule) . 15d
, s TOlal lorelgn tID(BS (cheCk one): IJ-o 0 Paid DAccrued . ; 15e
A .... .. ' . , , . . , '''''.,
x I Reduction In taxes available for credll (anach schedule) 151
, ..
s g Olher lorelorllax Inlormslton (anaCh schedule) . ",. ",. . . . , . , . ".. "." 15a
"..,
16 SecllOTl 59 (e) 8Kpendltures; a Type ~ . - . . - - - . . . - - . - - - . . . . . .. .
- . . . . .
b Amount, .. ""'"" .." .". .."". ... ,." , . . . . . . , . . , , , . .. 16b
17 TSKuoKompt Hllerast Income, , ..,,,, "".." ... ... .. ... . . . , ' . , . . . . ".. n
18 Other tax-exempllncome '.."., "..". 16
0 19 Nondeductible 9l<penses. 19
T .". "."
" 20 Total property dtslnbullOns (including CaSh) other Ihan dividends reponed 'on I~ne 22 beluw 20
, .--
, 21 Olher Items and amounts required to bo reponed soparalely 10 snareholders Innactl I
'lenaal/lo)
22 Tolal dlvldond OI~1rlbllllon;. puld horn acc~Jmtljnwd tlaflllngl; Jnel piLllt!> " --_.-
r-------,--
23 IncomEl (loss), iRoQiJlf(Jd onlv II Scllodulo fA-' Il1IJl;! be cOmplOIOa ) COrnOIlIl] illlO~; 1 I
thlouat\ G In CCJIIJllVl 'bl >: 'om !lw I{'P,\JI~ ::Llt.lr JCI 1111) ~,url' '.J! II'H'~: ";' IIHIJUOll \ 1 d ,r'l! :1!1;"1
'.(,.1
Po,,,, Ill0Sllll!!'
Schedult K
Shar.holder!i' Shlrelti of I"com", Cre(ma, Oeductlona, eto,
PU,I 3
2.1
Form "20S"II'm
fl'II' "
-
Sehedul. L Bllane. ShtelJ -- BIQlnnl!\Qol I". Vtl/ r.~lln"U vU'
- J
AII'Ls -- (II (bl ,el (dl
-
1 Ca'h. .. ... .". -- 695 .;.; :.
21 Trade nOlss and aOCOUnlS receivoblo .
b less allowance for bad doblS . "",. -
3 Invenrorl9s . . . , , . .,.. ",.,,, .. ... ...,
4 U.S, Governmenl obligatIOns, . ..", .". ",. ..
6 Ta.'(..o)(umpl socufltleA . , . , , . .. .".." . , , , . ... -
8 Other curr.nl ....t. (anaeh .ehedul.) . .,.. ..,.
7 Loen. to ,har.holder. . . . . . . . . . . . . . , , . , . . .. ''''
!i,' --
8 Mongag. and real e.tate loan. . . . . . . . .,.......
9 Olher investm.nts (en.eh sehedul.) . . ';,1
..",.,. , 7n ,-----
lOa BUildings .nd other depr.eiabla ...ela . ".,.. ... 47 042 935
b Loss accumulated doproCJabon .... .....,.. .. 35 345 - 11 697 4.< 095 2 "i' , 84 ':
l1a Oapletabl. ....ts.......,.... .." .", ."., ,
b Les. .ceumula'ed d.plstlon . . . . . .,...,...,.,.
12 L.nd (nat 01 .ny .mortlzason) . . . . . , . . ..,..".. '", --
13a Intangibl. .s,.t. (.mortlzable only). . ,....."., 100 ",',....,;.', 30n
b LaM accumulated amonlztillOn . , , . . , , . . . ",.,. 30r 300
-
14 Olher ..s." (.n.eh .eh.dul.) . . . . . ".." . ,
..." ,
15 Total assets. , , . , ' . . , , , . . . , , , . , . ,,,...',.,, 12 392 28. .
L1.bIllU.a .nd Shareholder.' Equity . . .
16 Accounts payable. ... ... .. ........,,, -
17 Mongages. nOles, bonds payable less Ihan 1 year ..-
18 Other eurr.ntll.billUe. (.n.eh seh.dul.) . . . . . . 957 . - .
... ----
19 Loans from sharoholders. ",.,.. .".. .,.. 4:' , . - .
20 Mongages, nOles, bonds payable In 1 year or more
21 Other lI.blllll.s (anaeh 'ch.dule). . ..,.
22 Capital slock , , 100 - -
.."" .".... ... ... ... - - -
23 P8.ld-in or capital surplus. . ... ,.. ... .... ... ,. .
24 Retained earnings, 11 335 - , ^ .' .
...." .. .". ..., ... ... -: .~ ;'
26 Loss cost 01 treasury slock . . , . . , . , , . , . , , , , . . .
26 Totallil1bililles and ahluenolders' eQUItY, . , . ' . , . 12 39"1 2e ':-'C;"
-
Schodule M-l Roconclllatlcn ollneomo (Lo.s) per Bcck. With Ineom. (Loss) por Rotum (You .re not requlr.d to
__ . eomplet.th" .ehedul.l! the tot.I...." on Iln" 15. column (d), 01 Seh.dul. L a!!..!!!!.lhan 525.0001.-
1 Nellneome (loss) per books. . . . . . . . . . . . . . . . . . - 2 5 754 5 Income recorded on book. thl. ye.r not
, Income Inrtuded on Schedule K, Jines 1 lncluded on Schedule K. hnes 1 through
through 6, not recorded on book' this y..r: 6 (ltem'ze):
(11f.lrfilze): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. . Tax..exempt mterest $ . _ _ _ _ _ _~. _ __
3 Expenses recorded on booke this year not
included on Schedule K. Iinss 1 through
11",15., and 16. (itemize):
I Depreciation $ . _ _ _ _ _ _ _ ... _ _ _ _ _ _ .
b TravElI and entenSlnment $
6 Deductions Included on Schedule K, Imes
1 through 118, 150. and 168 not cnarged
8galnst book Income this year (itemize):
a Oepreclallon $ . _ _ ... _ _ _ _ _ _ _ _ _ _ .
qE!!L~~9!;@m~DL_________J,~~ 139 7 Addlrne.5.nd6.
4 Add lines 1 lhrough 3 , - 2 5 615 6 lotom, lIolll(5cMClulf I( 1,'11131 :',ne 4 IIU "!'II 1
SchfJdule M-2 Analysis of Accumulated Adluntments AccDunt, Other Adjustments Account, and
Shareholders' Undistributed Tuable Income Prevlousl TaKed Isee pa e 22 ollhe Insl/LIctIIH'IS.)
-25,i32-~
(.)Acc""rn""latld
aOIVlllmlnllatClIvnl
(blOl"" la,~S\m'nll
"C:~"111
(e) 511"/1"011"11' u,,(l'III,tl~:e ~
laHDII'''ClIlfI,p'ev,u",...IJ'''O
1 Balanco al beginning 01 tax year. ..
:z Ordmnry Income Irom pnge 1, line 21
3 Other addlllons . .
4 Loss Irom page 1, 11llO 21
5 Other reCillcllons .
6 C;)mome II!lC~ 1 1I11(HI9t'1 5
7 :13\1lt',,:';,~'1'; other tl1<1I1 dl'JI(!rmd dI5iflf.'utlon;.
~.~~' .1' '''''1 r:!.J.Y-: "0;1' o.:,ljt:llr .1f:! !,r'(o .., '~t,r" 'H"
11 335
~2S 615
- : :3 9
" ,~'
r---._.---=--~....:::...-'fi------
Shareholder's Share of Income, Credits, Deductions, Etc.
. S.. s.plrlle Instructions.
For calendar ye.r 1995 or tal( yur
, '995. and ending , 19
Corporallon'~ IdenlUylng number ..
I
r~:~.:.'~"~~
I 1995
SCHEDUI.E K-l
(Form 11205)
O'Plrlm,nl 01 Ill. TI...lIrv
Int.tllal R,lI.nUI 5,rVI!lt
liiiIr.ii'Ojdi';;;'ldentllylng number
beginning
.. 198-42-2622
23.' 24 '7960~_~
Sharlholcl"'ln.m,, ildel'.... ane ~IPcDel.
CorpO/llllon', ~.m., .001.... tnllllP cad.
Coq).
Hilt;: Technical Management
Daniel R. HUtz
309 Skyport Road
Mechanlcsburg, PA
17055
309 Skyport Road
echanicsbur PA
17055
A Sharoholdor's poreontoge 01 sloek ownorshlp lor till< yo.r (see Inslruetronslor Sehodulo K-l). . . . .. . . . . . .
a I nlor nsl Rovonuo Service Center where eorporauon flied Ita return .. _ . . _ p l;l ~ :). ~ c;l~ :).!? 1) t F,J. , . p ~ .
C Till< ~holl.r r.glstratlon numbor (see ",struetlons lor Schedule K-l). . . . . . . . .
o Chock opplleoblo boxos' (1) 0 Final K-l (2) 0 Amendod K-l
Ordinary Income (loss) 'rom trade or business aCtlvllles. , . , ,. , , , , ' . . , , ,
Net income (loss) lrom renlal real 98tlle aC~'Jltte9 , . . . . , , " .,."
Nellncome (loss) from other rerllll actIvities. . , , , , . , . , , , .
Port1ollo income (loss):
. Intorost.." ,....."....,...,.',..,. . . . . . , . , . . . , . , , . . , . 4a
b Dlvldonds. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..!2..
c Royalllos .. . , . . . . . . . . . . . . . . , . . . . . . . . . . .. ............. 4e
d No! shon-term capital gs'" (loss) . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4d
. Not long-term eOpitol go'" (lOtS) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
1 Othor port1ollo Income (loss) (anaeh sehodulo) . . . . . . . . . . . . . . . . .. ........ 41
5 Nel garn (loss) under secoon '23' (othsr tnan due to casually or
thom....... ............................................ ........ 5
Other Income (lOSS) (anoCh sehet1uls) . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Cham.ble contribullons (anach schedule), . , . . . , , , , . . . . , , , . . , . , . . . . . . , . . . 7
Secllon 179 expense deduction. . . , , . , . . . . , , . . . , . , , , . . . , . . , . , , . , . 8
8cpenses related 10 portfolio income (loss) (ftnactl schedule) . . . . . , , , . , . . . , , . 9
Othor deduellons (anseh seheduls) . . . . . . . . , . . . . . . . . . . . .. . . . . . . . . . . . . 10
11a Interent el<pense on Investment debts. . . . . , . , . , . , , , , . , . . . . , . , , , . 11a
b (1) Invosunenllneome ",eluded on lines 4e, 4b, 4e ond 41 obovo. . . . . . . . . . . . .. ! hll'
(21lnvostment oxpenses Inclut1ed on line 9 above. . . . . . . . . . . .. ............ bl21
121 Crodlt lor alcohol used as fuel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ...
b Low-Income housing credit:
(1) From soellon 42U)(S) pannershlps lor proporly plseed In ..rvleo bsloro
'990. . . . . . . . . . . . , . . . . . . . . . . . . . . .
(2) Other thon on IIno '2b(' I lor propeny plseod In sorvlee bofore
1990. . . . . . .. ...... ...
(3) From section 42U)(5l partnerships jor proporty placod in selVlce aher
1969. . . . . . . . . . . . . . . . . . . . .
(4) Other than on Una 12b(3) for property placed In sorvlce aMer 1989.
r. Qualiliad rehabilItation o)(penditures rellted 10 rental real estate
activities. . , , ,. .... . . , , , . . , . ' , . , . . . . , . , . , . .
d Credits (other than credits shown an lines 12b and 12c) related to
rental real estale actlvilies. , , , , . . . . . . . . , , . , , . . . . . . . .' ., . . . .
e Credits related to ather rental actiVItieS, , . . . ,. ,. . , . . , , .
13 Other credits. . . .. .....
148 DepH3cl8t10n adjustment on property placed In service after 1986 .
b Adlusted gain or los!; .
o Deplellon (otllor than all and gas) . . , . '
d (1) GlOSS Income Irom OIL gas. or geothermal proportles
(2) DeduCllonr. aJloC<ible 10 oil. gDS, 01 geothermal prOpOMlGS
e Other ...dILJ~'menl~ andl.:lx pre/crence I!em!; tanncn schedul(')
I
N
C
o
M
E
L
o
S
S
6
7
O'dlle~ 8
tlonl 9
10
'nvllll~
m.nT
Interlll
C
R
E
o
I
T
S
AdfUIl~
m,nu
^",
T..
Pf,fer~
I!rH.'
'lfml
(a) Pro rsta .naro Ilsms
1
2
3
4
For Paperwork Reducllon Act Notice. ~ ~tl page 1 of lnstrucllons lor Form' 1205,
,S Ii ,:\ :::.:: ;j ,~~. ~. ::: ':~~: : : .::nt ,.~ ~.
... ~99! 9999999':'
..
(b) Amount
(c) FOrm 1040 hlers emer
the amount In Column(bl on
} SuU.g....fl" )011h'
Sh",nOIOlilr $ IflllruCl'Ofll 101
SCI'l'OI,lI, ""-ll!:orm '12051
1
2
3
-25 615
Sch B. Pan I. line 1
Seh 8. Part II, line 5
Seh e, Pan I. line 4
Seh D. Ii no 5. eol (I) or (g)
sen D, IIn. 13. co!. (I) or (9)
(EfllerOflIPpIICI(l'lIhnf!oIYOl/r
'1l1UIII.1
5" Sh,I,flQldflfI IlIltruCl'Ofll
lor Scn'lIUI. ""., (Form 11205\
(Enllron'PClIICltlII"nlOIYOUI
I.hllfl,!
SCh. A, line 15 or 16
}Stllpg,eOllhlStlol.rll..OllltrS
IIISlflJClIClIlI1.0f Sc'" Clule "'~ ,
(~orm 11205)
Form 4952. line'
}SUSh.."nOloer'IIIII1fUC1'Onl
lorSen'lIul. ,,-I IFor.., tINS\.
..... 12a
, br"
bl21
bl31
b(4)
120
12d
120
13
... 14a
14b
..lli.._
dill
d12\
14.
Form 6478. line '0
1
J FOlm 8566 line 5
} Su og, ~ 01 lr. $flar''IOIOfll ~
Inatruc1Iofll'.orSc'Illo,JIII""
I~Olm \. ~O$I
1511:0'917011"f!
~n4rllnOloen
,'II""'~\1()n. 1(..
S~ fl~OUt' "'- . '1' ,.""
II ., :J~. .PHI
IJ '.,
Schedule K-l (Form \'205) \995
:'.18 No I~H',)112
F". 4562
Depreciation and Amortization
(Including Information on Usted Property)
1995
. D',l.rlmtnIOllh, T'..IIIIY
Intllmlll Rel/.nu' S.r"lr.
NI",tjlll"ownonttlurn
Hiltz Technical Manaqement Core.
... See separate Instructlons.
... Attach Ihls form to your return,
~~l:~~\n~~n~{J 67
Idtnb'."nonumhl'f
23-2479609
BUI.n,.. 0,"c:1I"11'( lu which Ihll lorm flll.l..
Consultinq
Part I , Election To Expense Certain Tangible Property (Section 179) (Note: II you havo any "LISlod Propeny,'
. complete Part V before you complete Part I.)
1 Ma>llmUm dollar limitation (It an enterprise zone bUSiness, ~ee pago 1 olthe Instrucuons.) ,
2 TOlal cost 01 section 179 propony ploeod In service dUring tho lax yeor (sao pago 2 01 the
InsU'Uetions). . . . 2
3 ThroShOld cost 01 soetlon 179 propeny bolore roduetlon In limitation 3
4 ReduCtion in limitation. Subtract line.3 from Une 2, II zero or less, enter -0- , 4
5 Dollar Umltatlon lor tax year, Subtracl Uno 41rom Une 1. II zero or less, enter -OM. (II mamed
flling sepllrntelv, see page 2 of the InstructIons). 5 1 '"f
(Ill Ouc:nptlon 01 prOP'll"" (bleatt (el EleCI.Cl COli
8
7 Usled propony. Enter amounltrom line 26. 7
I Total eloeted eo.t olsoetlon 179 propeny. Add amounlS In column (c), IInos Band 7. 8
t Tenlatlve deductIon, Enter the smaller of line 5 or line 8. 9
10 Carryover 01 disallowed deduction Irom '994 (see page 2 of the Instructions) 10
11 Taxable income limitation. Enter the smaller 01 t&)fable Income (nOlless than zero) or Ime 5 (SeB Instructions), 11
12 Section 179 expense deduction. Add Unes 9 and 10, but do nol enter more than line 11 12
13 Carryover of disallowed daCluctlon to 1996, Add Unes 9 an(J 10, less line 12 ... 13
Note: Do not usa Part II or Pan III below for lisled property (automobiles, centun other vehicles, celllllar telElpnones,
certain computers, or propertY used for entertamment. recreal1on. or amusement}. Instead, use Pan V for listed propertY.
I!~rt, II MACRS Depreciation For Assets Placed in Service ONLY During Your 1995 Tax Year (Do Nol include
Usted Property.)
SecUon A - General Assl:1t Account Election
--.
14 If you are makmg the electIon under 168(1)(4)to group any assets placed in service dUring lhe talC year inlO one or more
_,-.2!_,!!!~!CCOUnls, check this be)(, See J:la e 2 ollhe instruCtions
{b)Monthanll (c)6ul' lor dlprlClallCln
yta,p"'C'llin Ibllllnnl1ln"u,m.ntu..
"'vIe. only - It. Instruetlon'l
~n
-
~CI.fI..diCJ,tlonolproPIfW
(d)RlJcovery
p.nod
{elConvltntlon
(f)M'~1l0d
(;)OllorICI,l,llon .:l'lluCl,or
15. 3-year pro pony
b 5-y.or propeny
c 7 -Yflar propertY
10- ear propeny
e 15-year property
, 20- oor propeny
9 ReSldAntial renlal
propony
h Nonresldentlal teal
propeny
22 604
1 288
5 . 00 Yrs.
7.00 Yrs.
M
M
200
200
ns1
DB
3
16. Closs life
b 12-yoor 12 rs.
c~Mear 40yrs, MM
Piiitiil Other Depreclallon (Do Not Include Listed Pro ert (Soe pa a 4 01 fho Insfruellons.)
17 GDS and ADS deduCliono for assets placed In servIce In lax years beginning belare 1995
18 Pro pony subject to section' 66(n(1) oloetlOn.
~S and other depreciallon,
Part IV Summary (Soe pago 4 01 Il1e InSfruellons.1
20 USled property. Enter amountlrom line 26
21 Total, Add deducllOns on line 12, lines 15 and 16. column (9). and linea 17 through 20 Enll'JI hQro
and on the appropriate lines 01 your return, PannelShlps and S Corporations - see Inslruc1tOm:
22 For ossals shown above and placed In servIce during 1t1e cwran! yeal, orller
1he DOnlOn al1he baSIS nllrlbulnblr :0 section ::'{i:::A -:0515
For Paperwork Reduction Act Notice. see page 1 of the ~cparalc Instrucllon!!.
MM SIL
MM S/L
MM S/l
MM SIL
e 4 a/the Instructions. I
S/L
SIL
S/L
-L
q
17
le
19
20
I
21 I ~
, .
I
,
4562
-: - -. ,-, : ~
J:orm"!ill1l199!i1 PIli' '2
PartY Usted Property. - Automobllesl Certain Other VehlcT..;'CellliTeirTelephonel, 'Ccirtiiiii'c.;mputers, and
Property Used lor Entertolnment, Recrllotlon, or Amu18ment
For any vehicle lor whIch you are wiling the stlnulud fT1llnlqn 'Alft Of dedlllllHJQ I..... "'pnn... WllifJII18 only
238, 23b, columns (a) t~ouqh (c) 01 SecllOl1 A, 411 of S~c:tlon 1~~~~1J-~ IPf'Ut:.~.!!L-___.
SectJon A. - DepreclatJon and Other IntomlUon (C.uUon: !i8" P' U ~~)! ~~\~ 1~'lf~j~IlO:.!!~~.~r~~~~~~~~~!!..L_
2311 Do you have evIdence to suppcrt the bUSlness/lnve~lrn8!l1 ule e:III'~5!?~"....~ .~!! .,.D~OU.Jb.~~"!..'" 'II Iha UVld8r~:o wrlno!l~Ges
lal 101 1,'0" / '" I" J m III "1
Typ. 01 fjfOPlftvlh1t Oat. plaCid In In.....tm.nl Go.' fl' 1I1tl'l "U"llIf t)'t"'t ~'fl1"'IfV M.lfllHII O'Ufltlll.l)1'l
V.hICIU flnt} UNle. IIn ~"I' l!lIlI'I\'UIItI""IItt'fl I"flllq Cunl/'"tlnn d'"l/tl,(j/l
pr.ll1' un.lf'Uvl
_. _ ___._____~~ - .......-0_ --"
.~.. "~~"'"..%'"""."'OO'~,". ~'~=C'Mf.;Ll~-~~ =-L~=
I No
1'1
tHi'O
It, '/9
'IlIl
2S PropertY used ~O% or less In a qualllled bUSIn.SS usn
Sou ~e.~~..~I..!!~ft~llIiII.nli l~__ _...,.,
.---l---
___------L--
26 Add amoun" in column (h). Enter the 10lal hore and on line 20, page 1
27 Add amounts in column (I). Enter the tOlol her. and on IIn. 1. Pig'!..!. . _'--~ 27
SlcUon g, - Inlormallon On U.. 01 Vlhlcl..
Complete ttlis section for vehicles used by a Gole propn'lor, par1nof, or othe, limen. thin &% owns,," or rel.lId p.Tlon.
II you provided vehicles to your 6mplovo8a, Ilral answer Ihl qUUIUOflllln SooUO" C 10 IH If you me.' an INc.pUon 10 completing IhlS U8ClIQn lor those vetllCIOS.
(I'
(bl
V,hICII'
(e)
Vlhltl' ]
(d)
(.)
(f)
28 Total bUSiness/investment mUes eMve" durIng
tho y.ar (DO NOT Include commullng mll.a) .
29 Tolal eommubng mil.s drtvon durtng the yeer .
30 Tolal othor p.rsonal (noncornmulmgl
miles driven ,
31 TOlal rnllss drtvon dunng the yeer.
Add IInos 26 Ihrough 30 .
V"II11I,l
V.hlel,_
V.nICI. ~
1j'~,CI, 6
Yla
No
v..
No
Y..
Ne
Y..
No
Yes No-Y.;"T~
11-
+
32 Wu Iho vehicle avallabl. lor p."onal
use duling Off-dUty hours? .
33 Wu Ihe vehielo used pnmorlly by a
more Ihan fW. owner or rellted person? <
34 Is another vehicle IIvBUable lor personal
use? .
-- .
S.oUon C, - Qu..llona lor employarl WhO Provld. V.hlol., lor Uti bV Th.lr Employ...
Answer these quesuons 10 determinB jf Vou mell an 8lu.:ePlJon 10 completing Secuon B lor IfBhlel.s used by employees who Ire
not more than 5% owners or relate(l perRonl.
Yes No
35 00 you malntam a wnnen polley 81.IBmenl thai prohibits all personalllus 01 vehicles, !ncludln~ commuting,
by your omployee.? . .
36 Do you maintain e. wrlnon pOliCY 811,erT1enl1hll' prohtblls all perllonal uso 01 vnhlr:loQ, BKcepl commullng, by your employees?
See page 6 ollhelnBtfLlC!ionft for vehlclel UBod by COfporalo ufflCOfn, dtrecloro, or 1% or more owners
37 Do you treal all Ulilll of vehicles by employeRS .1 personal u901
38 00 you provide rnore than IlYO vehIcles 10 your omployoDS and relaln \tIe Information rocOlved Iron'! your
omployees concerning Ih6t lISlO olltle vehlclou1
39 Do you (OPollhe requlremlJnlD concernIng QUlllflud ltulornobile demonaltlllon use? Seo page 6 01 the instructions
_ Note: II your answnr 10 3!i, 38. 37. :.10 Of :tS 18 "YfUI." you 11Q8d nol compleln Secllon a lor the covered vehicles.
Part VI Amortlzatlon
(a,OUtl,ptICln 01 toa" (bin." .m\lI!ltallClfl
._--~~...- _,~~I'
~~~t?~C~lh.t b!!il.I~,'!._~!.!!!!.:aVUIH lU_9b,ta)l voar:.
=-======:~~:::..=~==r:.=~~.~_._-
41 AmorlllAUCHl 01 ~O"ll:i 1Il1l1lHtqt\1I 11l1!OfO lflU5
42 ToMI. ["lor IllttH II/HI on Of ",If rlll(!llC1!rlf1n 1)t~}lhll' F ,POli'ill;;, lUll' III IOUf lo!lHn
----------_._,~.....-~~-~-'----..
IclAlfIOllll'abl.
amoun!
IdlCIHII
IIClIl.ln
IIIAmOtll"~
lion lltrlod tll
funl.
l'IAmofl'UI,on
Intl'''11'.'
j-
~,
~2
"
For",
11205
U.S. Income Tax Return for an S Corporation
~ 00 nol nlo thlo 'orm unl... tho llOrponrdon hu Umely nled
form 2553 10 olocl to be an 5 corporwUon.
~ Soo .opo~IO InolnlcUon":-
1994
U'Dlwunl 01 ;h. r'.II\lry
In1IrnaIRllllnUIS,fYIC'
fl"O( ul,ntUlf yUf 11111.. Of 1.. y.., blglnnlng
. ;tl4..nd'ndlnll
...
A Oa;,oflll.ctlonu.n
Scorpoftllon
C EmpjOyar!de~~~-
09-17-87
Hiltz Technical Manag'ement Corp,
309 Skyport Road
Mechanicsburg, PA 17055
23 - 2479609 ____
o o.t'lnr.Otporal'tl
B aUlln,,1 coo. no, I..e
SpledlC lnitructlonl)
09-17-87
E T'Otlil.....l;;;'; 'PlClfle InufuclIO;;;
8980
$
F Checkap~hc.&t1I.boll": ("0 Inlllalfllurn (ZID Finalreturn (310 Chang'ln.tddrDII (4) Il.m,ntl'dreturn
G Cheek Ihil bOlllllhl'la an S corporallon IUbl'" 10 lh' con,olldll'd luditplcClduru of IaCUClnl 12..1 through 8Z'"(.., In'tnlctionl b,tor" ch,ckln; tlli. bolt), . , . . . , , , , , , ...
H Enlarnumblfol.h.r,holdtrllnth,corporatlon.1f1noofth.lally,ar,. .". ."",.",. ".", , """""""""""""'" "."",.. " , . , ~
Caution: include onlv trade or t)uslness income and 9)'penses on lines 18Ihrough:i!1, See IhelnstrUctlons lor more inlormatlOn,
18 Grass receipts or sales I 177,618 I b L,urelurnl.n.;latlowlnctll ----1 o Bel ~ -~ 177 618
I
N 2 Cos, of goods sold (SeMduls A, IIn. 8). . . .", ..."""."".."""",.""""""",'.'",.,. 2 20, 97-
c 3 Gross proUt. SubtraClllne 2 from Une 10, . . , , , .. ""... . . . , . , , .."",,,,.,,,..,.,...,.,. .,.".... 3 156~4:
0 4 Net gain or (loss) Irom Form 4797, Pllr111, line 20 (enaeh Form 4797). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
M 5 Other Income (sooll1struetions) (anoeh sehodulo) . . 5
"""""""""""""""""""""""
, Totallnoomo (1085), Combine IInos 3"throuQh 5. . . . . . . . . . . .
8 .."". ........ ..................... ~ 6 156 64 :
,
7 Compensation of officers, , , . , , , , , , , , , . , , , , , . , , , , , , , , , , , , , . , , , , , , , , , . . , , . , , , . , . , , . , , , , , . , , , , , , 7 15 923
0
, 8 SaJanes ana wages (less empJoymenl crodits). , , , . , , , , , , , , , , , , . , , . . . , , , . . . , . , , , , , . , , , , , , . , , , , , , , , 8
0 9 RepaIrs and mamlenance, . """.",..""'."",.,..,."..,..,,,,.',,,,,,,,.,.,'.""""" 9 133
u 10 Bad dobts . . . ... ... .. ...."" ..., 10
.'"""""..",.""."...."",,,'.'."....,,,......
: 11 Ronts, . 11
... , . , , , . ."" . . , , , , , "., .",.,."""'.'...".'",'.'"....."".""""",,
T
I 12 Taxes and licenses. "" . . . . , , . , . ..,. .. ....,.""..""".,.,."..."..."'.'",."""..,, 12 4 38_2
0 13 Jnlerest. 13 ..
,,,,,,,. .,.""""., .. ...""""",'.'.,'.."..",."..""...,..,'..."", "
N 14a Depreciation (see lnstrucllons), , , . , . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .1148 I 2 860 ,i','
s b Depreciation claimed on SchEldule A and elsewhere on return, , , , , , , , , , , ,114b
s ,
, 0 c: SUblract lIne 14b Irom line 14a. . . , , , , " . '.. , , , , , , ' , , , , . , . , . , , . , , '.' , . , .','. , " , , , , """"'" 140 2 86:
, ,
I 15 Ooplellon (Do not doduel 011 and g.. dsploUon.) .,..'"'.'.,.",.'""..""""",.,'.,.',.",, 15
L
N I 16 AdvenJsmg . , ",. 16 2~
s M ....." , , , , . , , , , .."..""""",.,."."..", ...,....""",'.,.','..'
T I 17 PenSion, profit-sharing, etc, plans, , , 17
, T ... ."'.,.""".".'.,'..,.,,,,..'...,,,,.,,,,'.',,,,...,
U A 18 Employe. ben"1It progroms . . . . . . . . . 18
c T """""""""""""'''''''''''''''''''''''''''''',
T I 19 Other deductIons (see Instructions) (anach SChedule) , , . , . , , , , , , , , , , , ,. , , . . , , , , , , , , , , , , 19 16 ~ ,- ~
I '.""."" .'.:i:'
0
0 N 20 Total dodueUon.. Add IInos 7 through '9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 20 39,7~='
N s
s 21 Ordinary Ineomo (loss) Irom trado or bUSiness setlvltles. Subtraetllno 20 Irom line 6 . . . . . ,,,,,,,,,,. . , , . . , 21 116,84~
22 Tax: .................1228 I :":!;
. Excess net passive income lax (attach schedule) , , . ,
T b TIX 110m Sehodulo 0 (Form "205) . .. . . . . . ..."",..",,,..., .....I22bl
A c Add lines 22a and 22b (see instructions lor additional laxes) , , ' , , . , , .
, ....,..' ."., ..,,,,,.',,,,,.,, .. 22e
A 23 paymonta:
N a 1994 estImated lax payments and amount applied Irom 1993 return, , . 238
0
b TIX deposited with Form 7004 . . . . . . . . . "". """" ... ... .." 23b
p G Credlllor FederalllX on luols (anoeh Form 4136).
A ' , , , , , , , "'" ""... 230
y d Add line. 23s and 23e . . . . 23d
M .""",. """"'''''' ... ,.,,, ".. .", . . . . . , , , , , , , , ..."""
, 24 Estfmaled tax penalty (see instructions), CheCk II Form 2220 Is attached. , . ,."" .. . , , , , , , . ... ~D 24
N 25 Tax due, Illhe tOla! of lines 22c and ~4 IS larger than Une 23d, anter amount owed. Soe
T
. InstructIons lor doposltary method of payment. . .... ..~ 25
""".",,,,,,... ..'" ..". ",' "" .."
26 Overpayment If hne 23d Is larger than the total of lines 22c and 24, enter amount overpaid, . . . f 'R~f~~~~~' : 26
27 Enter amount 01 line 26 you want Credited to 1995 estJmated tax 27
~no., p,naUtIJ 01 pttlU'Y, I .:!tCllftl".11 hall' uatllln,o lhls t'tu,n InCluding ac:comp.nYlng 'tn'dulu.and .'.tem,ntl, and 10 'h' flUI \11 my _nowl,dg'
~''''''', ,I" I'" ",,,or..oo "m..." 0.,...."" ,I ''''....\01'.. iho' ''''''''''' b":"~hl"m..'" " w'IO' '"PI''' ,,, "y 'hOw"'",
r St\)n!IUf' at Ot!'(;lf oalll' Tlllo
~ 1011. ~.,'
P'llparllf'S
s,gn.lIl1fo __ ~~~:~~.d ..
~lrm'~n3m~lor ~SteDhen p, Gift & Associates
~Ol.lfli II . ,
:ielf'~f'1~IOyfoOl 107 Sa s t :--:.3.::' n S tree t
M\tl":J:J'e~s Me':-=-::anir:s~~'J~'(J', PA
For Paperwork Rcducllon Act Notrce, see page 1 of scparalc h1slructJonf.l
Please
Sign
Here
-'-'
PfI!Plfer'ISOClllstturllyI'1O.
Paid
Preparcr's
U.. Only
Z No
".~3-2349::~:~
1:"'.Or.f
... -:' r r:: r::
-~2
"" 11205
II '" "~.." , .'
J'.l...l.l.-.. ..t~t.,;.U!j..L....t.l. l'Iu.!.~..J.t...1eI1l~l..i... '~UJ.t/.
Few" 1120$1l"~
Si:h~~":AiI:i Cost 01 Goods Sold (500 "'Slrucnon.)
-<.lJ It ..J - ';"t I :-'ou.1
1 ~cU. t.Uu.
1 lnvQnlory ut bogmnll1g of year ,
2 Purch81100,.. .." , , , . . . . . , , , , < .
3 ';OSI 01 labor . . . . . , , , ,
.. AdditIonal secllon 263A coslS (see HlotnJcllOnS) (Bnach SChOdUlo) . , . , . , . . , , , , , . . . , , , . , . , , , , . . . , . , , , , , , , , ,
5 Olhor eool.lanaeh "ehadule) . . . . . . . . . . . . . , .. . . . .. . . . . . .
8 Total. Add Unas 1 through 5 . . . . . . . . . . . . . . . . . . . . . ,. .............,......."...".
7 Invontory Olond 01 yea' ,............................................,............................
8 Cost of goods .old. Subtroet line 7 I,om line 6. Enter ho,o ond on page 1, line 2 . . . . . . . . . . . . . . . . . , . , , . . , . , . .. 8
g. Check BlI f1'IIjlhods used 10' vBlulng closing Invonlory;
(I) ~ Cost
(i1) Lowe' of eO'1 or mar1<el as described In Regulotlons section 1.471-4
(III) Wllledown 01 ".ubnormBl' goods es deserlbBd In Regulallons section 1.471-2 (0)
(Iv) Oloe' (Speclly melhod used ond onaeh .,plonollon) .. . . , . - - - . , . - . . . - - - . . . - - - - . - . . . . . - . - . . - . - - 0 . .
b Chock Ihls bo, II the LIFO Invenlory melhod wes adopted thlo tox yeor lor any goods (II checked, ,neeh Form 970) , . . , , . , , , . . . . . . . . . . . . . . ..
c If Iho LIFO invontory mo",od wos used for Ihls tox yesr, onter pereenlago (or amounls) of closing
invanlory computed undor LIFO. . . . . . . . . . . . . . . .. . . . . . . . . . .. . . , . .. . .. . . .. ... ...........,.....,..... ~
d Do Ihe nJlos 01 section 263A (With respoet to propeny produced or sequlred lor resaJo) spply to Iho corporation? .,. . . . . . . . . . . . . . . . :o-v.;~
tI Was there any change In detemvnlng quantities, cost, or valuations beTWeen opening and clOSing Inventory?, , , , , . . . . . , . . , , , , , , . , , , D Yos [XJ No
If "Yes," anach e)(plana!ion,
.,...""""""".".,.,.',
o
SCI1Odul. B
Other InformaUon
Yes No
1 Check mol hod of accounting: (a) ~ Casn (b) 0 Aecruol
2 ReIer to the list In the instrUctions and stale the corporation's principal:
la) Buslnos. aetlVlry . t;Q!)''it,l~ ~ t!).g . . . _ . . . _ _ . .. (b) Pro duel or sorvlce . .E;l1g~I1E(~r: . _ . _ _ _ _ . . . . . _
3 Did Ihe corporation at the end of lhe Ill)( year own, directly or Indirectly, 50% or more of the vOllng stock 01 a domaSlIt
corporatIon? (For rLIles 01 anribution , see seCllO" 267(c). If ''Yes,'' anach a schetJule shOWing: (a) name, address and
employer Identification number; and (b) percontage owned, , , . , , . . , . , , , , , , , , . . , . . , , , . . . . , " ." ,.." '.,...., X
4 Was the corporation a member 01 a controlled grOllp sublectto the proviSions of section 15617 . , , .. . , , , . , , . " . . . , , , , . . . . ,~
5 At any tJme dUflng the caienda.r year 1994, did lhe corporation have an inlerest In or a slgnolure or other authority over a
finanCial account In a foreIgn country (SUCh as a bank account, secLlrltles account. or olher financial accounl)? (See
Instructions lor B)(Ceptions and filing raqulrements for form TO F 90-22,1.) , . , . , . . . , , . , . , , , . . . , . , . . ' . . , , , , . , . . , . , . , , .
11 "Yes," snler the name 01 the foreign country ... .. .. .. . .. _ .. . .. .. . .. _ . .. .. .. .. .. .. .. .. . .. .. .. .. _ .. .. .. .. . _ .. .. .. .. .. .. .. . .. .
6 Was lhe corporation Ihe granlor ot, or transferor 10, a foreign trust thai e)(i!lted d(mng Ihe curren! tll)( yesr, whether or
no! the corporation has any boneflciallnlerast in 1I7 /I "Yes," the corporalJon may have to 11Ie Forms 3520, 3520-A, or
926.. . . . ... . . . . . . . ... . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . .. . . . . . . . . . . . . . .. . . , . . . . . ... . .. . . . . . . . .
7 Check lhl. bo' if tho eorporotlon has filed or is required to lilo Form 8264, Appliesllon lor Registration of a Tax
Sheller. ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . .
B Chock thIS bo)( ,I the corporation issued publicly offered debt Instruments WIth origll'1allssue discount. . , . , , , , , , . , , . . , , , , , , , ,
JI so, the corporation may have to file Fnrm 8281.1nlormatlOn Relurn lor Publlciy ONered Original Issue Discount
Instruments.
(0) 0 Olho, (spoelly) .. . .. _ _
x
x
:8
9 lithe corporallon: (a) filed lIs electJon 10 be an S corporation after '966, (b) was a C corporahon before it elected to
be an S corporation or the corporation acquired an asset With a basis determined by reforence to Its baSIS (r.H the
baSiS of any other propony) In 1M hsnds 01 0 C eerpotSlion. and (0) hos not unroallzed built-in ga", Idohned In seeUon
~374(d)(1)J In e)(cess 01 the net recognized bUIlt-in gain from prIor years, enter lhe net unrealized buHt-m galn reduced
by nellecognized builHn gain lrom prior years (see instructions) . . . . . . . , . , , , , . .11-0.$. _ _ .. _ .. .. .. ..
10 CheCk thiS bOl< if the corporallon had subChapter C earmngs and pro1i1s althe closo ollhe tax year (soe
instructions\ . , . , , , , , , . , . , , , , .11-0
Deslgnatlon of Tax Matters Person (Soe instructions,)
Enter bolow the stlaroholder deslgna.ted as the tax maners person (TMP) lor the lax year ollhls return:
Nome of ~
dc"gnalcdTMP" Daniel R. Hiltz
309 Sk:lport Road
Mechan:csbura, PA
Idonlllying ~
number 01 TMP ,.
198-42-26~2
Adr.lmss of ~
ctC:llcnntod TMP ,
17055
Fe"", HI08/1II"1
9ch.... K
PIV. 3
.- - tb) TotallllTlOu;;r---
- - .._.,J&!~~~'Y_...~IAfTlI___ 116"S4Q
1 O~dlllllV Income (Itls81lrorn trldo or bUBlnolll acllVltioa (pll~ 1, Una 21). . , ' .... ,." ",,,. "",,,..,. 1
2 NollncOrM (108S) 110m rontalloRJ oal"to llClJVllloll (at1/1ch Form Bft2~) . . .",. ,.,,,,,,,. .".""". 2
-.,
31 GrOS!llnComo Irom other renlalllCtlVlllOIi , , ' ., .trr----- , 'i'
' . . . . . '
b Expanses from olhllr rtlntal acllvlUoR (aUnch ochodula) . ... ",' ... .... :Jb ,
I 0 Net Income (laos) Irom othor ronlal DCllVll!OB, Sublrftclllno:lb Irom IIno 3_ ........,.,,,....,.,,,,..,,., 3e
N
c . PorffOllo Income 11099): ..,"'"
0
" I InlorOSllncome ",..,..". ... ....,,,....,'.. ,,,....,.,,...,,,,,.,.,,,,,,,,,,,,,,,,,,,. 4e
E
b Dividend Income .." ...""" .........",...'. ... ,"""""""""",,,..,,,.,,,,,,,, 4b
, .
0 e Royalty Income. . . . . .....,.,.".,.,..,.,..."..,..."."""".""...,.""",'."""", 40
s
. d Notshon-Iorm eopllol gllin (Ions) (ahoch Sehodulo 0 (Form '1205)). .. . . . . . . ,. . . . . . . ". . . . , . . , .,., . . . 4d
.
. Net long-term copllol gain (loo.)(ohaeh Sehsdulo 0 (Form 11205)) . .". . , , . . . . , . . . . ., . . . . , . . . .... . . . ..
I Othor porffolio income (Ioos) (shoeh schedule) , . . . . . , , . . , """"""""'"""""."""",,, .,
5 Net gain (loss) Undor section 1231 (other Ihon dua to e..ualty or Iha") (I"aeh Form 4797). . . . . . . . . , , . . . . . . 8
-
6 Other Ineomo (loGS) (ohseh sehodule) . ....,..".......,...,.",...',.,.""".",.""".."" 8
7 Ch""lsble eontnbutions (seelnstrueUons) (ahseh schedule). . . . . . . . . . . . . . . , . . . . . . . , , . . . . . , , , . , , . . . . 7
O.duc- I Section 179 oxpenso dedueUon (ohoeh Form 4562). . . . . .. .. . . . . .. . . . .. . . . . . . . . . . .. .. . . . . . .. .. .. . . . 11 968
lIonl 9 OedueUons relstod 10 porffolio Income (losS) (soo Instructions) ("ernize) . . . . . . , . . . . . . , . . . . . . , . , . , , . . . . . I
10 Other doduetions (onaeh schedule) . . . . . . . . , . , "."...,.",..,....,...,.,..,,,,,,,,.,,,,,,,, 10
-
Inv.u. 11. Inlerest expense on Investmenl debts ,..,..".",."..,.,..,.-",..",.,.",.,.'..,."".,.'" 111
m.nl (1) Invostrnenllncome Ineludod on IInos 4a, 4b. 4C, and 41al>OVO . . . . . . . . . . . . . . . . . . .. . . . , . . . . . . . . . . . . 11b(1
Inllt. b
'" (2) Investment m(ponses Included on line 9 abOve. , , , . l1b(2
... ...,.."...,.,.,.,.",...."",."",..,
12. Crodit tor alcohol used as a luol (ahaeh Form 6476). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121
b Low..income hOUSing Credl! (see Instructions): ...t,
(1) From pannorshlps 10 which section 42U)(5) applies lor property plaeod In sorvlee bolors 1990. . . . .. . . . . . . 12b(1
c (2) Olhor than on line '2~(1)lor properly pl.eod in service boloro 1990. . ... . . . . . . . . .... . . . . . . ...... . . . 12b(2)
R (3) From pannerahlps to which SBCI10n 42U)(S) appllas lor proponv plaood in .ervlee ahsr 1989 . 12bl3)
E ..,,,,,,,,..
0 (4) Othor than on line '2b(3) lor properly plseed In sorvlCS sher 1969. . . . . . . . . . . . . .... . . . . . . . '" . . . . . . 12b(4)
I
T 0 Qu.llflod rehsbilrtal10n expenditures relalod 10 rontal roal ostate activities (anaell Form 3466) . . . . . . . . . . . . . . . 12.
s
d Credlls (other than credits shown on lines 12b and 12C) relaled 10 rental real estate activities ".,
(see instructJOns) . . ... . , . , . , . . . . "."..."..,.....,..".."....""",...,...",,;,.,.'" 12d
. Credlls retated to other renlal activities (see instructlons) . . , , , , . . , . . . , . ."., .,.,."..,."'..",..,,, 12.
13 Olher credits (see mstnJctionsl ' .. ...,. , . . . . . , . , , , . . , . . "."" ,....." "".".,....".,.. .. 13
14. Depreciation adjuslment on property placeCi In servIce atler 1986 . , . . , , . ."...,.,...,.",.."",.,.,. 14.
AdIUI'" b Adjusted gain or loss. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14b
mlnll ----
M' 0 Oeplollon (othor thon 011 and gss) ."""""..,..'..."",.,...,....,.".,......""",."." 140
Tn
p,.flrM d (1) Gross incomo Irom oil, gas, or geothermal properties, , . , , . . , , . . . , , , . , , , , , , , , , , . . .",'...'",... 14d(1)
InCII (2) Gross deducllons olloeoble to oit, gas or goothermsl prope",es . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14d(2)
n.m.
. Olher adiustments and tax preference 11,ams (at1ach schedule) .""..,,,.,.,....,,..,.,,,,,,,.,..... 14.
F 15. Type of Incom. ..
0 . - . . - . " -. - - - - " . - . - . ". - . . . . - .- - - - .. -- -.. - -
R b Name 01 fOIOlgn country or U,$, possessIon..
E . - - -- . . . - - - -. - - - ... .. . . -.. .. . - -
I 0 Toral gross Income from sources outside the U,S, (anach schedLJle) . . . , . . ' . . . . , . , , , , . , , , . . , , , . . . . . , ' 150
0
N d TOlal applicable dOductlOns and losses (attach schedule) . . , , . , . . . . , , , , . , , . . , , . , , , , , . , . . . . , , , . . , . . . 15d
T a Total 10 reIgn lll)(es (cheCk one); .. 0 Paid DAccrued . . , . , . . . . , . . , . , . , , , . , , , , , . . . . . . , . , , , , . 15.
A .-
X I Reduction In taxes avaIlable lor credll (attach schedule) 1St
E .. .,...,...... ..;"",.",.",."..".....
S a OlhBr lorolCln ti\)( Information (anech sCnaoule) , . . , . , . . ",.,...." ",.,.,.,..",.,.",.....".... .J!.~
16. Total expend/lures to which a section 59(e) election may apply. . . , . , , , . . . , , . , , . , , . . , , . , , . , . . . , , . , , , . 16.
b Type 01 expenditures .. . " " . - - " . . . . -" . . . " - . -. - . . ... . - - . _.-
- - -
17 Tax~exempl Imerest Income. . ..., ".,.,,,,,. ..".,.....,,,.,,,.',,.,,,,. 17
16 Other tax-exempllncotrfe . , , . . . . . , . , . . . , , ..,. ."....,.",."..."".,.".",."""".,.. 1e
-
0 19 Nondeduchble BKpensos. ...""....... 11
T . . . , ' . , ,... ....,.. ..,. . , , , . . . , . , , . . , . , . ..."...,
" 20 Total property dislributions (Including cash) oltlor than dividends roponed on line :?.2, below. . . 20 93,78:
E ..,"..""
R 21 Other Iiams and amounto requl(od to be reported separately 10 shareholders (see
instructIOns) (anach SChedulO) . .... ... , , . , . , , . ... """" "'j . . . , . . . .,." ..
22 Total d!\lldand dlslnbullOn!i paid !rom accumulaled mlfnlngs and profits ",. .."" ... .."...' 22 -
23 Income (loss), (Requlrod only H Schooulo M-l must bo comp!olOd.) Combine IInvs 1
lhrough 6 In WIUlllfl (bi From 1110 ro~ull ~ubllJC11tlO ~LJm 01 lines 7 tnrouqh 11a, 150, and
,6J 23 1 CI~! :: Q-
. ,
Shlrehald.,.' Shire. of Income, Cr-.mD, DHucUonl, .ta,
:" ~ ,l.1 ~'
COff\ola'lon"1lIlrl\IIY1/lijllu/l\lI.t g.
---
I:Olpollllon'l rI.ml,ad!iI'U, alld liP code
,1'
I~~~~~~
. ___1.. 1994
23~479609
SCHEDUI.E K-l
. (Form 11205)
sharei,older's Share of Income, Credits, Deductions, Etc.
Oepa"",lfnlol Ihtl 'fr..lury
Inllll,.1 ~."'.l'ill. !\lIrlilce
5hll,hClldIH'lldtrllI1Yll1ijrlurr>hll IJr'
boglnn'"g ,
198~42"2622
lIP S.. .tIp*tI~ InltnJcUonlt.
For o.alondar V..r ll1t4 or w yoo,
. ll1t4. and ondlng
!lha,.holdllf'l nam.. .(Idrl", 411uljP tlna
Hiltz Tochnical Management Corp.
Daniel R. Hiltz
309 Skyport Road
Mechanicsburg, PA 17055
309 Skyport Road
Mechanicsb~rq, PA
17055
A SharohOlder', p.,eontage of stoe~ ownorohip lor lax vear (.eeln.truellons lor Schodulo K-1) . . . . . . . . . . . . . . . . . . . . . . . . . . .. ~. + Q 9 . 999 Q 9 Q Q~:'
B Intornal Revenue Sorvleo Contor whero corporsbon tiled Its return ~. . . . I'D fl, q.Q~ l-I?D t q., _ I' ~ .
C Tax shaller reglStralion number (,oolnstruellons fot SChedule K-1). . . . . . . . , ,. . . . . , . . ... . . . . . . . . . .. . . ~
o Chock applieablo boxes: (11 Finn! K-l (2 Amondod K-l
(I) Pro rOla sharo Ilomo
Ordinary income (105S) lrom trade or business actiVIU&s. . , , , , , , , , , . , , , , , , , . , ,
NOllnoomo (lOSS) from ronln! ren! estsle lellvitles . . . . . . . . . . . . . . . . . . . . . . . . . .
NOllneo"'8 (loss) from othor rentn! aenvltles . . . . . . . . . . . . . . . . . . . . . . .
Portfolio Income (loss):
a Inlorost. . . . , , , . , , , , , , , , , , , , , , , , , , , , , . , , , , . , , , , , , " 4.
b Dividends, . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . .. 4b
C RoyBlllo' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 4e
d Net shon-tsrm capital gain (loss) . . . .. .. . . , . . .. . . .. . . . . . .. . . .. . . .. . . . ,.. 4d
o Netlong-Iorm capital gain (loss) . . . . . . , . . . . . . . , , . . . . , . . , . , , , . . . . . . . . . .. 4.
1 Olher port1olio Income (loss) (anoeh .ehadulo) . . . . , , . , . . , , , . . , . . . . . . . . . . .. 41
5 Net gain (loss) under .."non 1231 (oll,er than duo to casualty or
theh). . . . . . . . ... .. . . . . . . . . . . . . . . . . . . . . . . .. . , . . . . .. . ,. . . . . . . . . .
8 Othor income (loss) (sliaeh sehodule) . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . .
7 ChpJitablo eontnbution. ('00 Instruellons) (onaoh sehoaule). . . . . . .. . . . . . . . . . . .
a.due. 8 Section 179 Ol<potlse dQduction. , , . , . , , , , , , . , , , , , , , , , , , " , , , , , , , , , , .
\101l1g Expenses related 10 porttolio Jncome (loss) (aUach schedule) , , , , , , , , , , , , , , ' . .
10 Oll1or deductions (anachschedule).......,..,."",."".."",."
InveI,n 11. Inlerest expense on investment debts, , , . , , . , , " , , " , , , , , " , , '" , . . , .
l~t:~lt b (1) lnvostmonl Income Includod on lines 4a, 4b, 4C and 4f above, , , , , , . , , .
(2) Investment e)(penses included on line e above, , . , , , . , , . , , , , , , , , , , , , , , , ,
12. Credit for alCOhol used as fuel, , , , , . , , , , , . , , , , , , , , , , , , , , , , , , , , , , , , , ' , , .
b Low-income housing cradit:
(1) From 'oellon 42U)(5) partnerships fnr propef1V placed In service beloro 1990. .
(2) Olher thsn on line 12b(1) for propef1V placed in service beloro 1990. . . . . . . . .
(3) From soelion 42U)(5) pannerships for propef1V plseod In service aher , 989. .
(4) Other then on lino '2b(3) for prnpef1V plaeod in service ahor 1989. .
c Qualillad rehabllitallon ollpendilures relaled 10 renlal real 051ate
aClivities (see instructions) . , . . , , . . . . , , , ' . , , , , , , , , , , , ,
d Credl1s (Other than credils shown on lines 12b and 120) related to
renlal real eslale activities (see instructions), , , . , , , , , . , , , . . , , , ,
e Credits related to other rental activities (see instructions). , , . , , , . .
13 Other credits (s~e inslrucllons). . . , , . . . . , , , , , , ,
141 Depreciallon adjustment on property placed in service atlar 1988 .
b Adjusted gain or loss. . . . . , , . , , , , , , . , , , . , .
o Depletion (other than oil and gas) ,
d (1) Gross Income Irom 011. gas, or geothermal proper11ss , .
(2) DeducUons alloco.ble to OIL gas, or geothermal prOpet118s , . . . . , . , ,
e Other adiuslmof1lS and tax prelarence items (J:mach sc.hodule) , . , ' . . . . . . . , , , .
For Paperwork Reduction Ac-t Notlce, see page: 1 of Instructions for Form 1120$.
Shareholder Number 1
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11 968
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fo, Schedule K.\ {FIHm t 12(\5)
lEn'lronapPlretUlfllrne'.lfyoul
return,)
Sch.A, hlle IS or \6
}SU Shar0cholder'lln'\luClIO/l1
lor SChloul1 K-l (Form \ t 205),
FormlliS2,hn.l
}S"ShlfOholder'llnllrUCllMI
for50h.4ull K.\ (Form 1120S),
FormU1e,lln.\O
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Form62S\,
C41. No, 115200
Sehodul. K-l (Form 1120S) 1994
Hiltz' Technical .Management Corp.
Sch."'\lI. K~l fIlD'''' 1 UOSII'''.,
Daniel R. Hiltz
151 Typo ollnccml": . _ . . . . _ _ _ _ _ . . . _ _ _ . . . . . . " . _ . _ . .. 1II111II11111
b Nlm. ollorolgn counll'V or u.s. po..o...",": . _ _ . _ . . . . . . . . _ . .. II Ii
o "Olal gro..lneoms !rom .oureo. oulB/d.lhl u.s. (.n.eh .oh.~ull!. . . . . . . . . " 110
d Total opplle.bl. deduction. .nd 10.... (Inloh .ohedul.!. . . . . . . . . . . , . . . . . .. lid
. Totallor.lgn t...1 (check on.!:~ Paid 0 Aeeruld . . . . . . , , . , . , . . . .. 1"
R.duenon In I.... Ivalllblo lor erodll (.nleh och.dul.! . . . . . , , . . , . , . . . . . . .. 151
Olhor for.l~n t.. Inlonnltlon (.noch ochedlllel . . . . . . . . . , . . . . . , . . . . . . , . . " I
Total o.pondlnn.. 10 which. section S9(0!ll8clIon moy apply. , . . , . . . , , , . . .. III
Typo ol..pond/MOI ~ _ . . .. _ __ .. .. .. .. . .. .. . .. .. .. II, I
To.,-..efTIptlntorost Income. .. . . . . .. .. . . . . . . . . .. . . . . . . . , .. , .. . . , .. . . 17
Olho; t..-ekompllneome .. . . . . . . .. .. .. . . . . . , , .. .. . . . . . . , , .. . , .. .... 1.
Nonooduetlblo ..p.n..... .. . . . . .. . .. .. . . . . , . . . .. . . . . . , , .. .. , , , .. .. . 18
Prop.rty dl.trIbuuon. (Including cosh) Olho, thin dividend 11]11111I1
dl.trIbunon. r.poned to you on Fonn 1099-DIV . . . . . . . . . , . . , . , , , . . . . , , , " 20
Amount 01 loon repeymontllor "loin. from Sherehold.I1I", . , , , , , , . . . . . . , . ,. 21
RocaplUre 01 low-Income houalng credit ililllllill
From section 42(jJ(S) pll1n.l1Ih/p. . . . , , . . . . . . , . . , , , . . . . . . . , , , , , . . . . . . .. 221
Other men on line 22e . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . , , . . . . . . . . . , , , .. 22b
Supplemenlal/nlonn.tion Ih.t I. requlrod to be reponed seperolely to e80h .hereholdor (Inloh Iddltional och.dul.. n more spice 18
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Ordinary Income (Loss) from trade or business activities
Active trade or business...,.........................
..... .
1120s K-1 line 1
Expense deduction for section 179 property
Active trade or business............ .t. t.... .t...
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1120s K-1 line 8
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For"'111',ChIOIl bO"A
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a.. Form 111.11I.1rur;:tlonl,
... 8ha,."oldlr'lllnltl'\lt110n,
for 8ClI'IUull K..llFotm 1120S~
Form l~O,linlli:l
} S.. 8har5holdlr'. Inllruetlonl
forSchUlIl1 K'"(For," 1120$~
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Income Tax Return for an S corporatlon~M"" ""'''"0
. 00 nol fIlfl Ihl.1orm unleu the corporation hn tlm.lv flied
FornI 255.lto .Ioel to ho on S corporollon 1993
.. s.. II_pirate lnattuctlonl
rlJlm
1120S
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09-1 i-87
Hiltz Technical Management Corp,
309 Skyport Road
Mechanicsburg, PA 17055
09 -ll- 81...-..__.
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t;nnr NumO., 01 .".tUlolalllln Inl corOO'.llon '11"0 olin".. '/'UI,
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CaUII(')n: Include only trade or bUSiness Income and E)KDonSOs on tines 1~ thrOlJgt1~'
1. GtOSSleC81ptsorsales L----1.~217 I b L.....turn..nd.llow.ncUI
2 Cost 01 gOOdS SOld (SCMduls A, line 6). . .
:J Gross proW (SuOlracl hna 21tom line 1C)
4 Nelg8m or (Iosa) Irom Form 4797, Pan U, line 20 (8nSCn Form 4797).
5 Other income (S80 Instrucllons) (anaCh schedule) . . . . , , , , , .
6 Total Income (loRS). Combine lines J lhrouah 5,
7 Compensation 01 oNicors
Sa Salanes and wages I
9 Repslf!! and maintenance.
10 Bad dO!:)ts
11 RenlS
12 7axes one licenses
13 Interest
14a Depreclalion Isee InslflJct'onsl.
b Doprocllulon roooned on Schedule A and elsewhere on relurn. .. , . . . , '
c SUDlract line ,4b from line 101a .
15 Deplollon (Do not deduct oU and gas depletlont
16 Adven!slng,
17 PenSIon, prolilRsnanng, alC, plans,
18 Employee benelU programs,
19 Ctner aeductlons 1see mstructlons) (anaCh sChedule) .
20 Total deductions. Add lines 7 througn 19. ."....,.
21 Ordinary Income (loss! from Irade or bUSiness actiVities - SUbtract line 20 Irom line 6 ,
22 Tax:
a EXCGSS nel passive income lax (anach SChedule) .
b Tax from SChedule 0 (Form 1120S) . .
I c Add lines 22a and 22b (see IOstruc!tons lor SCldllionallnxeS) . . , .
23 Payments:
I
a 1993 eSllmaled tax pavments. .... .... " . . , , , . .
b iax depOSited WlIn Form 7004
c Cracit for Facersl tax on luelS (anacn Form 4136),
d Add lines 23a and 20:C ,
124 :swnsloa tal< ponalty (see InslruclJons), CheCK I! Form 2220 1$ an ached,
1125 Tax due. litho lotal 01lln09 22c and 24 IS largor ((\an line 23d. enter amount owed. See
ms!rUCllons lor deposll~ry metnod 01 payment
126 Overpayment. II line 230 IS larger than me lotal 01 JInes 22c and 24, enler amount overpaid.
27 Enter amOlj~ 01 line 26 YOU want: Crodlted 10 1994 estimated tax
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Uno,r o.nlll,., or p.rlwry. OIe-lIr. lh.l IlIh. ...m,I'l'O thll IItl/II\, I"ClI/Olno; accomp.ny,ng Icl":'OI/I., .110 'l.t.rn.nll, .nOIO I'" b'lt 01 my .no"<I,oQ'
ana tlll'll ,t 'S!rul. COlrIC:' ano como lit. :J'Clarat,on 01 preO,I.r (Olli.r tn." 1._~,,,,1)11 bu.a on .lIln'o,m.llon or wrllcn IH,P"" h.l .n., _nOwlI<lQ'
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Paid
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"~'"''"''O' Stephen P Gift & Associates
t'-'''' ~ 01 ll.. '
It,I'':'rrlc"n"0,,.107 East Main Street
J"'HOO'PH Meehan icsburo I Pl\
For P:lperwork Roducllon Act NOllcQ, see pagc , 01 !1Cp<U3tc Instructions,
Preparer's
Use Only
(Nu, .. 2 :3 - 2 J 4 9 2 29
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.~'l: if "~-;O:,5
,~, 1120S '" 1
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Schedule /l,
Co!;1 01 QOOdD SOld (S60 InslfUCllons)
1 Inv(lnlory HI OOglnl1tng 01 ye.r
2 Putchues..
:I COSI allabOr
,~ AddlIlCIIa.1 socllon 26JA cosls (aoe mstt\lcUonal (a"l~ch Gcllodulo) , ,
S Olher cosls ('"Deh scheduln) . , , , , , , , , , . , , . , ,
G TollAl, Add lil19f1 1 1hrough 0 . . . , , , , , , . , .
7 Inventory 1\, ono 01 yoar "... . , . , . , . , , , , , , . , , . , , , . . , . , , , , , . . , , , , , . '
8 COlt of good. told. Sublracl line 1lrom line 6. Enlor here and on line 2, page 1 , . , . , , , . . , , . , , , , , . , , , . , , , , , . , ,
i . Ch9Ck aU melhac.itl usea lor valuing closing Invenlory:
(I) ~ Cost
(Ii) Lowor 01 cosIO' morkBI a. ducrtbed In Aeguletlon. .ocllon 1,471-4
(III) Wntodown 01 ".uonormai" gOOd' os described In Regulstlons .octlon 1.471-2 (C)
(Iv) Othor (SPecify melhod USSd and attach ",planation)... . _ . . _ _' _ . . . _ . . . " . . . _ . . . " " . . . . . . _ . _ . . _ . . .
b Cnoek thiS be' IllhO LIFO ,"venlory melhod wa. adoplod this till< year for any goodo (II Chocked, anaon Form i10) . . . . . . . . . . . . . . . . . . . . . . . ." 0
c Illhe LIFO Invontory melhod was used lor Ihls la' yoar, onler pereenlage (or amounts) 01 closing
InlJentory co,npuled under LIFO. , , . . . . , , , . , ' . . . , , , , , , , , . . . , . . , . , , , , , , , , , . , , . . . . . . . . , , , , . . , , , , , , . , , ,l.!9-L
d Do the rules of socllon 263A (with respeclto properly produeod or sequired for resslo) apply to ths corporetlon? ... . . . , , , . . .~ Yes
. Was there any change in determining quanlitilas. cosl. or valuations Ddt-NoOn opening and clOSing inventory?.. . , . , . , . , . . . , , . . . , . , , . DYes
II "Yes," anach 8)(planallon.
3
Schedule 8
Olher InlormaUon
Yes No
1 CheCK method 01 accounting: (I) [ji] CaSh (b) 0 Accrual
2 ReIer 10 1t\e list In Ine 1I1SlructJOns ana state your pnnclpal:
(a) 8uSlnsss SCIIVlty .. Qql)!?l,1Hi,l)g _ . . _ . . . . . . . _ (b) Produetorsonlleo .. .E;l19:J.IlEl.ElJ:: _ _ . _ _ . . _ _ . . . .
3 DICllhe corporallon at the end ollne tax yesr own, dlreclly or Indlreclly, ~O% or more oltl1o vOling stoCk 01 a domeStIC corporation?
(For rules 01 annbulIon . see !leCllon 267(c), II "Yes," annch a schedule showing: (a) name, addre:lS and employer
ldenlllica\lon numt'ler: and (b) percentage owned.
4 Wore you a member 01 a controlled group SUDlect to the proviSions ot secUon 15t31'? . , ' . . . . . . , . . ,
5 At any time dUring the calenaar year '993, dId the corporation have an Int9reSlln or a slgnalure or other aulhonty over a linanClal account
In a foreign country ('aueh as a banI< account. securitles account. or othor llnancial account)? (See instructions jar
e)(ceptlons and flUng roquirements lor form TO F 90.22.1.) . . . , , . . , , . , . , ' . . . . . ' . . , . , . . , ' .
II i'es," enter the name of the foreIgn country ,.. . . . . . . . . . .. .. . . . . . . . . . . . . . . .. .. . . . . . .. _ . . . . . . .
6 Was the corporation !he grantor of. or trf\nsferor la, a foreign truslthat e)(isted elUting the current lax year, whether or not you
havo .ny benefiClollnterest in It? II 'Yes." tho corporation may hsvo to me Form. 3G20, 3G20-A, or 926. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Cheek thIS 00' lithe corporation has Iiled or IS required 10 IlIe Form 6264, Application for Aeglstratlon of a Tox
Sheller. . . . .. .. .. .. . . ... ...............................................
8 ChoCk this bO' lithe corporation Issued publicly oHsred deollnstruments with orlglnollssue discount. . . . . . . . . . . . . . . . . . . . . , .
II so, the corporation may nave to hie Form 82B1, In/ormallon Return lor Publicly Offered Onglnallssue Discount
Instruments.
9 lithe corporation; (a) filed liS elecllon to be an S corporlltlon atter '986. (b) was a C corporation before It eleCIEld 10
be an S corpora:lon or lhe corporation acqUired an assel wllh a basis determined by reference 10 lis baSIS (or the
baSIS of any olher property/In the nands 01 a C corporauon, and (0) has net unrealized bUIIt..in gain (defined in section
1374(d)(')) 1(1 excess of 1he net recogni7.ed built"ln gain !rom prior years, enter the net unrealized bunt"ln gain reduced
by nel reoognl20d buill.ln galO trom prior yurs (99Q instructions) , ' ' , , , . . , . , .~ .$. . . . .. . . .. . . . . . .
10 ~:~~~,::~S~O' iI the eorp~ratlon had.ubehapter C esrn:~g..nd prolits at th~~I~S~ 01 ~he till< year (see ....................~ [] 1
(0) 0 Othor (spocify) .. . . _
-r-
x
x
:8
Desfgnatlon at Tax Maners Person (See instructions)
Enl9r below lt1e shareholder deSignated as !he lroc maners person (TMP) lor the tax year 01 thJs relurn:
Name of '"
doslgnalBdTMP r Dan,iel R. Hiltz
J 09 S kyport Road
Mechanicsburq, PA
Idonllfylng ""
number 01 TMP r
19?-42-2622
~ddross 01 ~
ovslcnalod TMP ,..
)70.2,5
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Hiltz Tecnnlcal Management corp,
llJ~
:.~'l)S!'ea'Jl
Shareholder" Shlr.. 0' Income. C!edlll, OeducUonl, ale.
(I) Pr.rltJ Ih..e IIlma
1 Ordlnllf)' IIlcorno (loSS) 'rom lrado or business aCUVIU('IB (pagu 1, Une 21) ,
2 NOllr1corno (lossllrom rentAlloal os1018 acllvlUes (Onacfl Form 682~) , '
31 Gross Income Irom oHlor ronlalllCllVllleS .
b Expen,os Irom olhor ranlAl aetlvllles (a"aCtl 9cnedulo)
o Nellncome (IOS9) trom other lenlll acllVIIlOO. Subtract Uno ~b trorn line Ja
4 Port1ollo Income (loss):
. Inlefasllncorne . . , , , . , . . . , . . , . , , , , , . , , . . , , , " "",..
b Oh/ldend income ' . , , . . , , . . , . . , . , , , , . . , ' , , . . , . . , , .
. Royally Income. . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . .
d Netshon-torm eOPllel glm (lolD) (oOseh Sehodule 0 (Form 1120S)). . . . . . . . .. . . . . . . . . . ..
e Netlong-Iorm capital gSln (Ios,) (oOleh Sehsaule 0 (Form 1120S)) . , . . . . . . . . . . . . . . . . . . . .
I Other porNollo Income (loss) (SNOoh oeh.dulo) .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 Notgl", (10") undor .eellon 1231 (other thon auo to es,uOIIy or theN) (oOseh Form 4797). . , . . . . . . . . . .
6 Olher ",come (Ios.) (sosen .ehoOuIO) . .
7 Charnable cOntrlbUlIOns (see IMINelIOnS) (anaCh list) .
OlCllJC- 8 Secllon 179 8l<penSe deduction (anaCh Form 4S62), . .
\,onl 9 Oeducllons ralated 10 portloUo Income (Iossl (SOO instructions) (ll~mize) . . '
10 Other dO?UClIOns (anech SChedule) ,
111 Interest expense on Investment debts
b (1) lnveslmentlncome Included on lines 4a. 4b, 4c, and 41 abOve,
(2) Investment expenses Included on line 9 abOve.
12a Crean lor alcol1ol used as ,1 luel (anach Form 6418),
b Low~mcorne hOUSing creOI! (see IOstrUClIOnS):
(1) From pt\nnershlpslO wnlch section 42(j)(51 applies lor property placed in service
balora 1990,
(2) Olher man on line 12b\ 1} tor property place a In service belore 1990.
(31 From partnerships 10 .....nlen section ,S2U)(5) applies lor propeny placed In servlC~ aher
1969 . . . . . . . . . . . .. . . .
(4) Other than on hne 12b(:lllor proporty placed in service atter 1989.
c Quailflea renaOlliUIlIOn expenclltures relalse to renlal reat eslate Betlvllles (anaCh Form 3486) .
d Crodils (other than erodlts .hOwn on lines 12b and '2e) relatod to renlol resl OSIOI.
actlvllles (see mS!rucllonsJ . , . . . , , .
e Credils related to Other reOlal activllles (see instructions) . . . . . . . . . . . . . . , . . . . . . . . . .
13 Other credIts (see InstructlonSl ' . . . , ' , . , . . . . . , . . , . , . . . . , , , , . . . . . . , . , . ". . , . , . .
14a Depreclallon adJuslment on proporty placed in service aMer 1906 , . . , . . , . . . , . , , , , . . . , , . , . .
b Adjusted gain or loss.. . . , . , . . .
c Deplellon (other than 011 81'ld gas)
d (1) Gross Income Irom oil. gas. or geothermal properties,
(2) Gross deduclIons allocable '0 011. gas or geolhermal propenleS . .
e Other adlustments and tax ;,reletence Ilems fanaeh SChedule I
.. 11S'b Tvpe 01 In~ome ~. . . . . . . . . . . . . . . . . . . . . . . . .
Name 01 lorelgn COLlnlry or U.S, possessIon... . . . . . .. . . . . .
c Total 9;OSS mcomo from sources outSide 1M U.S. (anscn SChedule) ,
d Tolnl J.PDIIC~ble deducllons anCIlosses (anaCh SChedule) , .
e To,al !ololgn taxes (cheek ~nel: .. 0 ?81d DAccruod ,
RGduCflOn m tAxoS available for crodjt {anaCh scneoulel " , , . . . .
Other !orelQn tax informallon (anaCh scneoulel
16a TOI8! f!ltpendltures to W/"\ICt'I a secllon 59(B} elecllon may apply
b Typo 01 expendllurQs ..,...........................................
11 Talt-exempl interest income
18 Olher lax-exempt Income. ,
1 9 NondedUCtible expenses
20 Total properly distributionS I,ncludmg caslll olhcr than diVidendS reported on line 22. below
21 Olher Items and "'mounls reqUired '0 be reponed sopa/awlv 10 sharehOlders (see
InslIlIclJonSI ("n.:lct' ~Cl1odllIO)
22 TOI<II dlvldp.nd dlSlrlDUllons ~alo !/orn ilCC~lmulu1CCl oarnlngs and prolils
j2:l Income (IO!H.). iP,oqulf(::J ~nlv II SChC:::d:O "'-1 mu:i1lJc c.JmpiOlOCl,) - Combine hnes 1
_~~,~(:'lu'n!lIt:1 :'-;rn lh0 'Cf.L::'.:,It,W.1CI H1(! ;;IJm of Ilnf'~"'; !llrOUQh '1<1, ~5o Jnd 161.l
"A,..',d
Sehedull K
31
3b
,
"
C
o
..
,
L
o
$
S
"W'"'
""n\
Il'Ile,-
"I
C
A
f
o
,
T
S
AaIUIl~
m,nu
Aoo
-..
Pr,I'"
line,
;I,ml
o
"
.
x
,
S
,
,
"
,
,
Year End
__l>tQ''l
(b) Total illnOunt
~"-'-------
4.
4b
4.
4d
41
41
5
6
7
8
9
10
11.
l1b(l)
llb 2)
12a I
12b(3)
12b(411
12. I
I
12d
12s
13
14a
14b
14e
14d(1)
14~
14;r--
15.
ISd
15.
151
15g
16a
91"1.
4J.53::'
SCHEDULE K-l
(Form 11205)
Shareholder's Share of Income, Credits, Deductions, Etc.
~ See upal'lt. InlllructJona,
For calendar yelf 1993 01 lax V."
< 1993, .1nd ondillL.__
OMS No. 'US.Ol30
0'0'111"'''' 01 'I'll T,.alLlt~
1""/"" R.v.nu. S,'Vle.
'llal,nol(lIl,,11,1I11IVlngllumllll ...
1993
t>eqmnlflg
,19
198-42-2622
COflloralIQn"'d,nl,IYH1Qnumllll ~
CDfporallon'. nl/nt, 'Od'.II,AnO llPclld.
23-2479609
5"."IIlJIO'1'I "am.. .011/11'. .nll ZlP ~(lO,
Daniel R. Hiltz
309 skyport Road
Mechanicsburg, PA
Hiltz Technical Management Corp.
17055
309 Skyport Road
echan!csbqtq, PA
17055
A Sharoholder's pe(c:er.tago 01 Slack ownershIp lor lax year (see InstrucUons lor Schedule K-1) , .., . , , . ,
B IlIIornal Rovenue Sorvlee Conler whOrs corporation IIled its roturn .. . . . PI) i ~ ~Q~ + pI) i~, . l'~ .
C Tax sheller regtlmallon numb6' (see mstn.lotlons lor Schedule K-l),....,... .. """""" ...
o ChOCk spplleable bOxes: (1) o Final K-' (2) 0 Amended K-l
· _+99, 9999999~.'
(I) Pro rata shallllems (b) Amount (el Form '040 lIIero entol
the amounlln coJumn(bl on:
, Ordinary Income (loss) from trade or buslnoss actIVitIes, "" ,,'" ".,.""", 1 44 , 470
} ... .,"',...",
2 NSllncome (lOSS) trom rental real eSlale aCIJllitios , , . . . , . , , .,.., .,., "".." 2 In.lrLlCllQnl for SeN.dul,
3 f(-I(Fo,m 112091.
I 3 Net Income (1099) from other renlal actIVitles , , , . """..,. , . . . , , . , .. . , . , , .
-
N 4 Pon1ollo ",corns (losS):
c
0 . Inleresl. . .", .."" .. ,.., .", ',.. ... 4. Sen S, Pa" I, lint \
M b DivIdends, ' .. . , . , . . . , , ' .. '"'' "". ..,." 4b SCIl S, P'/ll1, hll' 5
, c RoyaltIes .. . , , , . ... ... .. .. "'" '''''' ,." ... ...!E Scn f., "'r1I, hn,<l
d Net shon..term capllal gain (loss) . . . . . . , . ... .. .... . . . . . , . ... 4d Sell O. 101\' 5. 1;01.(I)orllll
,
0 . Nellong-lerm capilli gain (loss) , , . , .. ... . , , , , "..,.,.,,,,,.,., """ 4e Sell 0, hn, 13. col.lIlO/11I1
, r DIM. pon1olio Income (lossllanaen scnedule) . ... """,..,.",." . , . , . , . 41 (Enl.ronaOP!lCIIOI, IIn,ol your
r'llun.l
, 5 Netg8ln (lOSS) unaer section 1231 (other than due Ie casualty or S"Shu,fIOla.IIIIIIIIUl;I,Ofll
thoN). . 5 fOf S~n'OUII 1(- \ (FOffll l' 2051
.. . . . . , , .,...,...",."". .",. .,,,,, ".,. .... ... (Enl'IOI'I&C1PhCUII,hn,olvou/
6 Other Income flOSSl (an8C/1 schedule) . "",.,.. ,.., ... .. . . . . , ,'.. 6 I'lllln.l
7 Chawable contnbullons (see InstruclIonsJ (anach .9cnedUle), , , . . , . , . . " 7 Seh.A, hn, 1301 I'
:)tOuC- 6 Section 1:'9 expense deducllon. ..., . . , . . . , . , , . , . , , ,..". .. ."... 6 917 }'''''''''OI'''''I",''"''''",
lion" 0 E.r<ponses relsled to pon101l0 Ineomo (10") (anaen sensdulo) . . . .". ..,. , , . . . 9 fOI S,nlOull' "'-1 (Form '120S,
10 Olher deductIons (anach schedule) ." ,'.. '." ... ... '0
nv'l\- l1a Interest eKpense on mvestment debts. .". ..,,,. """. III Form'9S2.1ill' ,
'l1lnl b (1) Inl/8stmenllnCOrne Included on lines 48, 4b, 4c and 41 above, bl,1 }SUShlfenOld.I'IIIIMlrUeIIOIlI
..,....,,,.
,nllrlll I b/2\ 10' SClleoule ",., (FOlm 11205)
(2) Investment eKpenses rncludO~ on linG 9 above. . ..". ... ,..., ,.,. ... ...
12. Credlllor alcuhol used as ruel . , . , , . ...., ...., .". ..." .",., ... "" .. ,". FormS"..lln, \0
b Low-income housmg credit I;
(1) From section 42(1)(5) ranne..nipslor propeny pl.ead In selVies t>eloro '990. bl1l } ",. ..... '. ,
, (2) Olhor than on Itne '2b(') lor propony placod 10 'orvlee bolo,e '990. .. .", b(21
, (3) From section 42UJ15) p.nnorsn,ps lor pro pony placed In sorviee aNor '989. .. b/31
, (4) Olher lhal'\ on line 12b(3) for propeny placeCl In servIce after 1989. b(4)
~ -
, c Qualified renablll1atlan expenditures related 10 rental real estate
T aCllVllles (see instructions I . ... 120
, d CredllS (Olher than credl\s Shown on lines 12b and 1201 relaled 10
rental roal esulIe actl....,ties (see instrucflonS). '2d } ". ".....".., '."''''''.'
101 Scn.OUI' "'-I (Form 112051
. CredIts related to other rentai acuvlues (see Instrucllons). . ..,. 12a
13 Olher credits (see Instructions), , . . . , . '3
14. Depreciation adjUStment on propeny placed in service attor 1986 , , , ,,,.. 14.
s.. Sha,.nOla,I',
A.OJust- b Adlusted gain or loss, ....... .",,, .,. . , . , . ..,,,,,, 14b !nl\fuctlonllnl
'n,nll
Aoo e Deplellon (oltler ltlan 011 ana gOS) . , , , . , . ..., ,.., .. .,.,. ..". 140 .~l:fI.dul. "'~ 1 (Farm
-.. (1) Gross income from oU, gas, or geolllermal properlles . dl,1 11205111'10
~'Pltl- d
,nel (2) DeductlOIlS allocable 10 oil, gas, or geothermal properties, . d12\ InllructlOl\8lo,
IHtml ".' ... Form 112~L
. Other .!djustrnents and U1X prelerenca llems (anacn schedulel , 14.
---
For PapefWork Rscuctlon Act Notice, see page 1 of Instructlons for Form 11205.
Shareholder Number 1
ColI. No, 11S:00
Sen.duls K-IIForm 11205) 1993
<lJ"(~
Hiltz Technical Man&gement Corp.
S~heeul. K.~ (Far," 1 ':051('IUI
Daniel R.
Hiltz
160
, b
0 T
A . 0
[ , d
I I
0 S I
"
1811
b
17
18
0 IV
T
H 20
f,
A
21
22
I
b
23
TYPI ollneomo ': . . _ . . . . . . . _ _ . . _ . . . . . . _ . . . . . . . . .
Name of for"gn couhlrv or U.S, paa.anlon It: . . . . . . . . . . . . . . . . .
TOlal gross Income ,rom lOurell out'lde Ihe U.S. (Inleh ,Ohedul.)
TOlal Ippllclble deduellon, Ind 10.... (.nooh IOhedull) . . , . . . . . . . . . .
TOI.llorelgn t.... (check Cnl):~O Ptld 0 Aocruld . . . . . . . .
Reduellon In t..e, IVllllblo lor crldll (an.eh schedule) , . . . .
Othlr 'orel n I" InlormlllOn ~ICh IOhedUlI) . . . . . . . . . . . . . . . . . . . . . . . . . . .
TOlale,pendl1ule,10 which a .ectlon &9(e) elecllon m.y ,pply . . . . . . . . . . . . . . .
TYPlole,pendlture. ~ _ ... _ . .... _.... _.. .. ..... _.,
Tax..eMempl rnlorest InCOmt . ' . , , . , , . , . . . . . .
Olher 18Jl"e,empllneome . . . . . . . . . . . . , . . . . . . . . . . . , . . . . . . .
NondeductJbte expenses. . , , . , . , , , , . , , , , . . . . . , . , , . , , , .
Proporty di.lhbutions (Including CI.h) oU'er Ihln dividend
dl.lhbullons reponed 10 you on Form 1099-01V . . . . . . . . . . . . . . . . . . . . . . 20
Amounl ollo.n repaymenlS 101 "LOin. Irom Shareholder,-. . . . . . . . . . . . . . . . .. "
Recapture allow-Income hou.lng credit: ,,'.
From .oellon 42U1(&) penn.flhlp. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 221
Olher than on line 221 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . .. 22b
Supplementllllnlormallon tnatl. roqulred 10 be roponed .eparalely to each sharoholdor (Onach additional .Ohedule, It more apaeo IS
needed):
\'1"'01111'11"111'",1
(hi "''''ownl
'7
18
It
Ordinary Income (Loss) from trade or business activities
Act i ve trade or bus iness. , I . . . . . . . . . . . . . . . . . . . . . . . . . .
1120s K-1 line 1
Expense deduction for section 179 property
Active trade or business......... ...,.....
......... I.......
1120s K-1 line 8
Nondeductible expenses
Nondeductible meals and entertainment..... ...... ... ..... ...
1120s K-1 line 19
:-,"X,{I('101
PIOI 2
lCIFO''''1040111".,nt.,
'I'll all'lOuntln eOIYlnn (blol\:
Fa,,., 1111. Ch.c~ IHIU'
}'''''''"..''''
FOil" ,t,., P"111
For"" 1110, P.nlll
S.. flo"," llllln.1rucIIOIII,
So. Shartl'llillur'.ln.lrUCIIOnl
'or Ichll:\lII.I(-\ (r:o,,,, "2OSI
Form 104Q, hnl ab
} U.. Shlr.nOlClIt'. 1",lrU~I'on.
lor Scn.ClUII 1(., (Form "20Sl
} '"m "".1""
44,470
44,470
917
917
Page 2
Estat.e of: Daniel R. Hiltz
-1997-00131
SCHEDULE H, PARI' C -- Miscellaneous Expenees
Item
No. Descr.i.ption
.1Irrront
1 The Patriot News Co. - legal advertising
2 The CUmberland Law Journa.l - legal advertising
3 PP & L - elf:lC.-tric service
65.20
60.00
108.54
73.00
32.00
96.90
4 UGI Corporation - natural gas service
5 Pennsylvania American Water Co. - water service
6 Pennsylvania Deparbnent of Revenue - EJlployer
Wi.thholding Tax for 4th Quarter of 1996
7 Pennsylvania Unenployrnent Catpensation 'F\lnd - 1.04
4th Quarter of 1996
8 West Shore Tax Bureau Elrployer Taxes for 34.70
4th quarter of 1996
9 F.I.C.A. & Withholding Tax for 3rd Quarter of 1996 162.38
10 Bell Atlantic PA - telephone service 641. 06
11 HCI1le paranount - tem te .inspection 24.00
12 Pennsylvania Unenployrnent Catpensation F\lnd Additional am:JUIIt 25.01
due for 4th quarter of 1996
13 pennsylvani.a American Water Coopany - Water Service 37.51
14 SuOOrban Cable 21.90
15 UGI Corporation - natural gas senrice 62.98
16 PP & L - electric service 62.98
17 PA Department of Revenue for 1996 individual state incCl1le tax 970.00
'lUl'AL. (Carry forward to nain schedule) . . . . . . 2r479.20
nEV~16\3 EX '12-111)
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RImII'IN
RESIDENT DECEDENT
=- -
ESTATe OF
SCHEDULE J
BENEFICIARIES
Daniel R.
ITeM
NO.
Hiltz
NAM!! AND ADDRe89 OF BENEFICIARV
A. Taxlble Beque81a:
1 Brian D. Hiltz
309 Skyport Road
MElchanicshlrg, PA 17055
2 Kevin L. Hiltz
309 Skyport Road
t-echani.csburg, PA 17055
ITEM
NO.
NAME AND ADDRE89 OF BENEFICIARV
B. Chll'ltable and Governmenta' Bequeel8:
None
PIU! NUMBER
RELATIONSHIP
Son
Son
TOTAL CHARITABLE AND GOVERNMENTAL BEQUESTS Also enter on line 13, Recapltulstion
(II mora apaca II n_. Inllrt Iddnlonal eh..Is 01 11m. e1.a)
PA15131 NTF 1220A
COPYright J:orml Softwarl Only, 1!lv4 Nllto, Inc.. N904PA131
-1997-00131
AMOUNT OR
SHARE OF ESTATe
1/2 of residue
1/2 of residue
AMOUNT OR
SHARE OF ESTATe
$
1:;-' /~().- 11 7
BUREAU OF INDIVIDUAL TAX~S
1NHl-:RIIANlI. !AI( DiVISION
(>fPl. ;'80bOl
tiAltll I SftUAO , 'IA 17I1e-0601
CDMMONWEALTH OF PENNSyLVANIA
DEPARTMENT OF REVENUE
NOTICE OF INHERITANCE TAX
APPRAISEMENT, ALLOHAHCE OR DISALLOWANCE
OF DEDUCTIONS AND ASSESSMENT OF TAX
12-15-97
HILTZ
01-27-97
21 97-0131
CUMBERLAND
101
E-- .._~~=~~~!~~~~.t:d l
MAKE CHECK PAVABLE AND REMIT PAyMENT TOI
REGISTER OF WILLS
CUMBERLAND CO COURT HOUSE
CARLISLE, PA 17013
CUT ALONG THIS LINE ... RETAIN LOWER PORTION FOR YOUR RECORDS ~
iitiV : is;',,' Eit -AF ii -r 0'9':97 Y' tioYi C E - -oF- YNHEiii f ANcE" Y AX' A"PPR;( is E"ifliNT ',"Ai: 1."owANc i" OR" - - -'' - - - -, - - - --
DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX
DANIEL 1'1 FILE NO. 21 97-0131 ACN 101
DATE
ESTATE OF
DA n: OF DEATH
FILl! NUIt8f.R
COUNTy
ACN
GERALD J SH~KLETSKI
414 BRIDGE ST
PD BOX E
NEW CUMBERLAND
ESQ
PA 17070
ESTATE OF
HILTZ
TAX RETURN WAS: f X) ACCEPTED AS FILED
RESERVATION CONCERNING FUTURE INTEREST . SEE REVERSE
APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN
1. R..I e.tlt. (Schedule A)
2. Stocks and Bondi (Schedule 8)
3. Clo.ah HlIld stock/P.rtnarship Inhra.t (Schedule C)
4, Hortgag.t/Not.. Racaivabl. (Soh_dul. 0)
S. Cash/Bank Daposih:/Hhc. Parsonel Property (Schedule E)
b, Jointl~ Owned Proparty (Schedule F)
7. Transfors (Schedule G)
8. Totel A...t.
) CHAI~GED
(11
(2)
131
(4)
(5)
(6)
I'll
192,000,00
.00
. DO,
.00
44,381.69
323.43
.00
(a)
APPROVED DEDUCTIONS AND EXEMPTIONS:
9. Fun_ral Expanses/AdM, Co.ts/His~. Expansaa (Schedule H)
10. D.bt.l"ortg.~. Liabilities/Lian. (Schedule 1)
J.l, Total Deduct Ion.
12. Hat Value of Tax R.turn
1S. Charitbbla/OovarnMant.l Baque,t,; Hon~.l.ct.d 9113 Trust. (tchadula J)
14. ...t V.lue of Eat.t. Subject to Tax
If an assessment was issued previouslY, lines 14, 15 and/or 16, 17 and 18
reflect figure. that include the total of M..l" returns allessed to dete.
ASSESSMENT OF TAX:
15. Anount of line 14 .t Spousal
16. AMount of Linn 14 taxable .t
17. Ano"mt of line 14 b)(able at
18. Principal Tax Due
NOTE:
rate
Lin..l/Cla.1 A rat.
Coll.taraI/Cla'l Brat.
TAX CREDITS:
PAYMENT
DATE
RECEIPT
NUMPER
DISCOUNT (+)
INTERE .:/PEN PAID (-I
207,163.99
5l...11.LJ2..
(11)
(12)
CHI
041
(9)
(101_
(15)
(6)
1111
,O!!, ~ .00,
.00 K ,06.
.00x.15,
IISI
(I.
'*'
AMOUNT PAID
TOTAL TAX CREDIT
BALANCE O"--TAX DUE
INTEREST AND PEN.
---"~---
TOTAL DUE
H~-lhl U ~" 10t-tll
DANIEL
R
DATE
12-15-97
NOTE: To inlur. proper
credit to your account,
IUbMit thD upper portion
of thil forM with your
t.x plty..ant,
236,705.12
25.!l..87~ 14
23,170.02-
.00
23,170.02"
will
,00
.00
.00
.00
.00
.00
.00
.00
. IF PAID AFTER DATE INDICATED, SEE REVERSE
FOR CALCULATION OF ADDITIONAL INTEREST.
IF TOTAL DUE IS LESS THAN n, NO PAYMENT IS REQUIRED.
IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE
A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.)
ftf:$UVATIDHI
PURPOSE Of
NOncE I
PAYMENT I
REf'UND (CRII
OIJECTIONSl
An.tIN
ISlR"T1VE
CORRECTlONSI
01 SCOUNT I
PENALTVl
IHTUtESll
E,t.t.. of d.ced.nt. dyina on or b.fore DecI~.r 12, 1982 -- 1f IflY future lnt.re.t In the ..tate I. tran,f.rred
In po..ei.ion or en.10y..nt to Cl... a {ulht"aU ben_Hcderl._ of the deoedent aft.r the 'IMPlt.tton of tiny .Uat. fat
life or for year.. the Co.~nwe.lth hereby _MPte..ly ru,erVG' the right to apprftl.e end ...... tran.f.r Inherltanc. TIM"
It thi hwful ClI.. a (colllterall ratll tin any luetl future Interut.
To fulfill the requlte.antl of Section 2140 of the Inhtrltance and r:.tflh TIM Act. Act I!1 of 1"*S. (12 P,S.
SlOtion 91liO).
Detaeh the to,.. portion ('If thlll NoticlI lllnU sub.l\; ..Uh your f1ay.umt to tht. Reglshlr of Willi printed on tha rever I' .Ide.
~~Hllke check or Iloney order payable to: REGISTER or M,ILLS, ArlENT
A refund tlf fl true credit, whleh ..u not requutld on thl TI\)< R_turn, "'IY be r.quuted by cOMPiatlng an "Applloetlon
1'or Rehlnd of P.nn.ylvlJnlll Inh.rlhnce and [,tete Tax" (REV~lJHI, Applications rlrlll aVlIilabl. at the Offlc.
of tha R.ghhl' of WUh. tiny of th. ;>3 R.\,I.I1~je Ohtt1ct Offlcla.. or by call1ng the IP't1clftl Z4"haur
.n....dr.g .ervlce nu<<b..ri tor for._ orderlngl III PllnrHiylvardtl 1-800"56l-l0S0, outsld. P,nnsylvllnlll IInd
wHhln local Hllrrhbur" l'Ir~1l {7171 787-6094, TOOt (711) 17l-22!iZ (Hurlng hlp.drlld Only).
Any p&rh In Internt not snthfiad with the ll/lpn,iulIl.nt, 1l110WllnCR or dhll110wllnce of deductions, or IIlUa"lIIan~
of tflM (IncludlJ"t9 dh<:ount or lnter..t) as shown on thh Notice .UJt obje(.t wtf.hln .h<ty (601 daYIl:lf rec.lpt of
thlt HoUc. by:
uwdUe" protest to the fl. Oepnr'tMent of Revenu., hoard of ApPol!lI.. Ilept. 281021, Harrl.burg, P. 11128-10l1, OR
R.el.ctlon 'to heve the .tlth,' dater.lnad at audit of the tI~Clo'Mt of tht 1'1Iir,onal rapruentaUvlI. OR
-.appelll to th. Orphans' Court.
Factual .rror. dl.covar.d on thiu .",..~ent should b. IIddr....d In wrltInA tOI PA napart..nt of Ravanue.
lureau of IndIvidual fnMA', ATTN; Poa;t Alllu...nt R,vi.w Unit, nept. 280601, Harrisburg, PA 17128-0601
Phon" (117) 7a7~650!io. See paSt_ S of thR 1I00klet '',In.tructlonl5 fell' Inherltanca Trlle R.turn for !II R..ilMnt
Dec'dent" OtEV-15101) tor all el<plllnlUon of ad.lnhtnltlvllty corraQt.,le errorl.
If MY tel( dull II Pllld within three (11 clllendar ",onthl ,fter the de<;ledent'l d..th, .. five percent (S%) dhc01,Il\t o,'lf
the tal< peld II allowed.
The lSX ta~ aMn..ty non'partlcJpatlon penlllty II co_puted tin the total of the tal< and Inter~lt .......d. and not
peld btlfore Janullry lei, 1996, the flrtt d!llY IIfhr the end of the tnll n.nuty periOd. fhls nCffi-partlclPMtlon
penlll ty II appellllable In the 51111111 lIIannllr 8nd In thl! the 581111 tille pllr led III you would 8IlP..l the hlle and Inter..t
that has h.." .......d u InctlcatMd on thl, notic..
Interellt 11 chaq,ad baglnnlng ..lth flr.t dav of dellnquent;v. or nine (91 Ilonths lInd one (I) day froll th. data of
u.~thl to the dute of paY.tlnt. lel<.. which bllc~.e dnllnqutlnt b~for, January I, 19A2 bear int.r.st .t the rllte of
six 16%) parcant f'illlr lIInnUII ~alculat.d lit e dully rtlte of .000104. All tax.. 'Ihlch beea!lltl delinquent on and after
Jlmuary I, 1982101111 bear Inter..t at a rbh which will vllry -frOIll (;ilhndl'l'- yeer to tll'lllllflutlr year with that "ate
announcad by the IlA Departlllent of Revenue. The appllcllbls Itlterut rtltu for 198Z throu~h 19n ural
'!!!t Jnterut ~ata ~!.!.!:W,!l!.~~l2! ~ Interut Rat. Oall'} intere.t factor
1982 20% .OOO!)48 1987 9% .000247
191) 16X .0004!.8 198ft'P191 11% .000501
n&4 11% ,000501 1992 CJ% .000247
19851 11% ,OOO!.S6 1995"1'l194 7% .000191-
1986 10% ,0OOl7li 1'l19S-l998 9% .000247
ulntarut 11 ealtulated .. follolol11
INTEREST = BALANCE OF TAX UNPAID X NUN8ER OF DA~S DELINQUENT X DAIL~ INTEREST FACTOR
-.Any ~otlce luued after thll tal( bIlCOIII" dellnqullnt ",Ill rRflect Itn Inter..t culculatlon to' flft..n (15) day.
beyond the dllttl I)f the auaUlIlant. If polt'Olllnt Is lIade llftRr thll Interut cOlllpuhtlon date sho..n on the
Hotlce. addltJonal intera.t ~ust be calculated.