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Home My WebLink About99-01271 Il1lurruglllorles, 11111 11011 s 1\11' prlllhlCllolI of'doCIlIl1L'lIls,lhe \Ilklllg uf'orlll (leposlllullS,l1w Iillllg of' Il1vul1lurles, IIl1d 1111 olher mClll1S uf' dlscoVUI'Y pormllled lmdel' Iho flellllsyl\'lIl1ll1lJl\'on,lll codo or Iho flellllsyll'lIl1ll1l{lIles of'('11'1I Pnwodll\'o, Elich of'lho plIl'llos i\lrthel' IIOl(llowlodgos Ihlll ho 01' sho hils hllll Ihe uppll\'llIl1l1y lodIS(~IISS wl1h (JOlIlIsellhe ()(Il1copl of' mlll'lllIl properlY IIl1dor l'el1l1syll'lIlIllI IIIII' llllll ellch Is 1I11'II1'e of' his 01' her r1Uhllo 11111'0 Ihe rOllllllld/ul' pOl'sol1l11 propcrly, est ute IIlId IIssels, 01l1'l1111g8 IIl1d il\ool11e of' Iho olhol' IIssossod 01' Ol'lIhllllod hy Ihe cOllrts ol'thls OOnlll\OIlWOllllh 01' 1II1Y olhol' ooml or cOl1lpOIOI\I.llIl'lsdktlol1, Tho PlIl'llos (10 hOl'ohy 1I0lmowlodgo lhllt Ihoro hils IHlollIIIIIIIl\d lilll' dlsclosll\'o lolho olhol' of' his 01' hol' l'espoClll'o I1\0ul\1C, IIsscls IIl1d IIl1hlll1los, whclhol' slloh 111'0 hold .lollll1y 01' III Iho 11111110 of' 01\0 PllrtY 1110110, IIl1ch pllrly IIgl'OllS Ihllt III1Y I'lghl 10 Illrlhol' dl8010slll'o, 1'111111111011, ol\lIll\orlltloll 01' Sllllol11ollt thol'ool'llI this Agl'oomolllls horohy Slllwlliolllly wlIll'od, IIl\d Iho pllrtlos do 1101 wish 10 mllko 01' IIppolld hOl'olo III1Y 1\ll'lhol' 0111111101'1111011 01' slllt0l1101l1. Elloh plll'ly WIIITll11ts Ihllt ho or sho Is 1\011111'111'0 or III\Y 111111'II11111S801 whloh Is 1l01ldolllll1cd 11\ this Agrc01l101\1. Tho Plll'llos hOl'ohy IICkllOWlcdgo IIl1d IIgl'OG 1111\1Iho dlvlslolI of IIssols liS sot Ihrlh 11\ this Agrool11ol\lls filiI', 1'0l\sol\IIhlo IIl1d OlI"l1uhlo, IIl1d is slIllslilClOI'Y to Ihom, Elloh or Iho Plll'llos horclo Iilrlhol' OOI'Olllll\ts IImlllgl'ccs (hI' hlmsolf III\lI hOl'soll'lIl\l1 his or hol' holrs, oxoolllol'R,lIdl1lll\lstl'lItors or IIsslgl\s, Ihul he 01' sho 11'1111\01'01' ut UI\Y limo herollnor SilO tho olhor pllrly or his 01' hor heirs, Oxoolltul'S, udmll\lstmlors 01' IIsslgl1s 11\ III\Y IIctiOI\ OfOOlllol\IIul\, (111'001 01' Il\dll'ect, IIl\d IIl1cgo thol'oil\ 11\1\IIhoro WIIS II d01\11I1 of III\Y righls to (\llIdlsoloSIII'O, 01' Ihlllthol'o WIIS III1Y 11'1\1111, dlll'CIlS, IIl\dllo 11\111101\00 or Ihlll thoro WIIS II fi1l1l1l'o tu hllVO 1I1'IIIIIIhlo lilli, propor IIl\d IlIdopolldol\ll'OPl'osol\llItlol\ hy loglll OOlll\Sol. 3. rEHHONALJll11iITS. IllIshlllld IIl\d Wlfo 1l111Y, III 1111 111l10S hOl'ollnol', Iivo soplIl'lIlo IIl\d IIpllrl. Elich shllll ho Ii'oo fhlll1 1111 cOl\trol, rcslrllil\t, Il\lcrferol\cc IIl1d IIl1thol'lty, dlroct or Indll'ocI, hy tho othcl', Elich I11ny I'osldo III slll:h plllco 01' plnccs liS ho 01' sho I11I1Y solcct. J 1I111\h 11111)', lbl' his or Iwr suplll'lllo IlSu or hellul1t, (lol1dllct, \'I\ITY 011 nl' CIlUlIllO 1I11111Y hllsinuslI, oPollpnllnl1, pl'nlesslol1l11' oll1plOYI11U111 whloh In hll11 nl' Iwl' I11l1y suemlldl'lsllhlo, Ill1shnl1\llIllll Wlfo ShllllllOll11olusl, hllrllsll, dlsllll'h or I11l1li!J1\ ulloh olhol' llI' lho I'ospoollvu li\ll1l1los ufolloh olhol', nor oOl11pol or lIt\ol11pllu o\lmpolllw olhol' In cnhllllll 01' dwoll hy III1Y I110I111s or 11111l1Y 11111111101' wlllllsool'ol' with hll11 Ul' hol', Nollhor pllrly wlllll1lOl'lel'o wl1h Iho \ISO, OWl1ol'shlp, 01\IoynlOI11 01' disposition of IIny pl'opol'ly now ul\'nod \1y ur hOl'olll\ol' IIc'I\lll'od hy thu uthol', 4, MIJ'I'IJi\L (~illlti~N'I' U1y()nCl~, Ills tho 1I110nllun of tho pllrtlo9,II11d tho pnl'tlollllgl'co, lhlll hy this Agl'oolllOnllhoy hnl'o I'osolvod nllllllollllll'Y ooul1ol11lo fssllos I'ollllcd lolho dlllsolllllon o/'lholl' 111111'r1l1go 1I1l" Ihlls IIny dlvoroo 1I0110n wllh rospocl lolhoso plll'tios sl\llll ho Ilml1o" III n 01111111 for dil'ol'oo only, Tho PlIl'llcs 1I0l\lH1wlodgo Ihlll on or IIho\lt Mllroh 4, )1)1)1), Wlfo Inllllllod II dll'ol'oo lIetlonnndel' Iho 110-linllt pl'lll'islol1s ol'lho divol'oo cOllo hy Illlng II OOl11pllllnl doollOlod lit 11 11 111 hol' 1)1)-1271111 Iho Clll11hOl'IlIlId COllnly Court ol'COl11l11OIl Pions, Tho plll'tios 1I0knowlodgo Ihnt tho nlnoty (l)()) dllY wllitlng pCl'lud pl'Ol'ldod lor IIl1dol' ~33()l(0) oflho dll'l1roo oodo hils oxplred, Thcl'olbro, conlol11pol'llncollsly with tho oxoolltlun or this Agrool11ont, olloh pllrly willslgnlln Af'I1dlll'lt ofConllont 10 Dlvnl'oo IInd Wlllvul' of Nollco of Intontion to Roqllest Enll'Y of Dll'ol'oo ))OCI'CO IInd doll 1'01' SIIIllO tu cOlllIsol fhl' H\lshllnd, who shllll pl'ol11ptly R\lhmlt snld IIf'11dlll'lIs IInd will VOl'S 10 Iho OO\ll't, II10ng with II Pl'lIoclpo to Tl'lIllsl11ll Rocol'll, Vitlll Stlltlstlcs fOl'llllllld IIny olhor doclll11cnls ncoosslIl'Y 10 pl'ooipitnto tho pl'Olllpt ontry 0/'11 dlvl1rco docl'OO, Mol'oovol', Wile shnll coopel'lllo In ohtnlnlng II I1nlll dool'oo In dil'ol'oo by IlIklng 1111 slops nooeBsllry to withd1'llw IIny Olllhl1s 8ho hilS I11l1do fbl' oconol11lc rolleI' In Iho pondlng dlvol'oo 1I0tion, 4 !i, EQ1!ITAll['IUlltil'lUIillI1!l~, (II) Mil rltII Llll1NllIl!IllW. Tho PlIl'tlos IIUkllllll'lcdgo Ihllt thuy 111'0 lhu IIl1u(1 OWIlUl's, liS tOllllllts hy tho oll\il'ptlos of' lhlll ool'llllllllUllsO lIud lot ul'ld 1111 hnpl'l1l'omollls Ihul'OllpOIl slllluloll ul 5 Wost Rlss(JI' Mill RIl I\ll , MOIlIlI .Ioy, 1.llllclllltlJI' Couuly, P0111lsy11'1I1l111 17552 (hol'olllunol' 1'01'clTod to liS tho "Mmlllll RUlllllol1co"), Tho 11111'11011 IIgl'UU 1111 fhllows wllh I'ospout to Iho MUl'Il1l1 RoslllolIOOi (I) IlllslllIIIII s11l111 hocomo tho solo 1111\1 oxolllslvo 011'1101' o('lho Mllrl1ul ROllldol1oo uud uhull ho pOl'mlllod 10 luko lIuy IIcllol1 wllh 1'0Upoot lhol'olo Ihut ho lIooms IIppl'opl'llIlo, WII'c hOl'ohy WlIll'os, I'olluqlllshos lIIulwlollSOS III1Y IU1llull pllst, pl'osol1l 01' 1\1\111'0 right, lillo, oIl1hn 1I111111ll01'0sl sho mllY hlll'o 1Illllld to Iho MUl'Il1l1 Roslllol\oo, Wllo Shllll, ul II\lshllllll'u I'oqllosl, oxoolllo II dood II'IIUsl'cI'r1l1g 1111 of'hol' I'lghl,lltIo ulld Illlol'osl III tho MlIl'ltul Roslllolloo to IIlIshuud, (2) WII'c ugl'oou thullls lho 111110 of' oxooullol1 of' Ihls ugl'OOl11ol\l, IIIlY ul1d 111111110 pollolcs ulld IIUY othol' pollolos 0(' Il1slll'IIuOO wllh I'ospoollo tho MUI'IlIlI RoslllollclJ shull ho olldol'sod to I'olloolllllshlllld liS solo OIl'UOI' thol'cof' ul1d IIll'thol' IIgl'UOS 1I1lIl lIushllllll shllll ho ol1llllod to 1'00011'0 IIIlY puymollls uOII' 01' hOl'ollnol' dllu IIlldOI' IIUY suoh IIIUIII'IIIlOO pollolcs. (3) COl11l11cl1oll1g 011 tho oxccllllol1 IIlItc o('lhls ^g1'OU111011t, Hushul1d shllll hc flololy I'ospollslhlc fbl' ulI oosls, OXpOIlSCS 111111 IllIhlllllou IIssocluloll II'llh 01' III1r1butllblo 10 tho MlIl'ltlll Rosldcl1ol1, IlIollldlllg, bllt 1101 Ilmltod 10, 1I1lY IllDrlgllgos, III1Y IIlld 1111 hOl11o olJlIl1y 101lllS 01' II110s 'of'crcdlt, IIIXOS, hlSlll'lIl1CO prcll1ll1l11s,utllltlos, II1l1lutollUI1CO lIud I'cpulrs, uud IllIsbul1d shull kcop Will) lIud hCI' SIlOOOSSl1l'S, IIsslglls, holrs, CXCClllol'u IIlld lllhnil1isll'lllors Illdcl11llllicd IIlld hold hllnnloss IhllnllllY IIl1hlllty, cosioI' cxpouso, Illcllldlng IIClllUlllllol'lluys Icou, II'hloh 1I111Y ho IlIolllTcd In cOl1uootloll wllh ulIch lIuhllltlos ulld OXpOUSDS 01' 5 rosllltlllg 1\'0111 Wlli,'s oWllol'nhlp III\llI'OSI Il1lho MI\I'III\II~oshlol1oo, MOl'olll'ol', I IIlshlll1d shl\lI, wllhlll 0110 h\llldl'od IwollIY (120) dll)'s of' Iho dllto or tho oXCCllllol1 of this ^groolllCl1t, tllllo 1111 stops 110COSSIIl'y 10 ohtl\ll\ 1I1'010llso or WII'c's IIl1hlllly ol1lhu I1l'sll11ortflllllO IIssoollllod wllh Ihu MIII'III1\ Rosldullcu liS wolllls thu hOl\1o 0(11111)' 11110, IllIshlllld shllll hll\'\11I dillY to pl'o\'ldu WII'c with ooplos 01'1111 dnc\lll1\lllllllloll ol'ldollcll1l! hol' 1'010llsO 0(' llilhlllty 111 cOlllplilllloO wllh Ihls SllhplIl'lI1Jl'lIph, (h) Elll:u1.!l11111Ll!lllUlU',ru:nlllllllly" (I) Tho pllrllos IIgl'OO 1I111t 1110)' hl\\'o dll'l(lod hy IIgl'001110llt holwcolI thol11sol\'cs 11111111'II1shlllgs IIl1d pOl'sol1l1l1y loolllod III Iho Mllrllllll{osldolloo, 1I101lldllll! 1111 1\II'111tlll'O, 1I11'111shll1gs, I1l1l1qllcs,.lowolry, I'\lgs, ClIl'pols, hnllsohold IIpplllllloos 1\1111 Clllllpl11olll. (2) Ihlshlllld shllll 1'0111111, liS his solo I1I1lI sopll1'll10 pl'OJlorty, i\'ce 0(' IIn)' 11IId 1111 right, litle, 01111111 or IlItorost 0(' Wil'c, 1111 or Iho porsol1l1lty 1II\llllll'l11shlllgs 1'0mlllllll1g 111 tho Mllrltlll RoslllollOO, (3) WII'c Shlllll'otllll\, liS hol' slllo IIl1d SOplll'lIto pl'OpOl'ty, 1\'00 of nny I\lId nil right, 11110, 01111111 or IlIlol'ost 0(' Hnsh!1I11l, 1111 or Iho pOI'SOlllllty IIlId 1I11'II1shlngs CIIITolllly In hol' possosslol1, (c) Mlttill:..Y.!lllll1lltll, (I) IllIshlllld l11Jreos thlll Wil'u shllll 1'0111111 possess\ol1 0(' IIlId I'oeell'o liS hol' solo IInd SOplll'lItt' properly lho 1l)1)() 1I0lldll ^I'Cl1I'd 1I\I(ol11ohllo onl'l'olltly litlcd ill tho jolllt 11 11111 os or lho JllIl'lles, 1II0l1g with 1111 r1ghls IIl1dol' IIny IIISnl'lIneo Pllllolos thol'c\lIllll\d wllh 1111 1'0spol1slhlllty fill' pllymcl1l or III1Y ontsllll1dll1g Indchtodl1cs8 pOl'llllnll11! lhol'oto IIl1d Ins\ll'lll1oo Ihol'ool1,li'oo ol'IIIIY IInd 1111 righI, 11110, dllll11 ol'll1lol'osl ol'HlIshllnd, WII'c shllll 1111101\11111y I\l1d hold HlIshl\l1d I1l1d his pl'opol'ly hl\1'111loss Ihll11I\I1Y IIl1d 1I111111hllllY, oost 01' OXp0l1S0, IIIOl\ldlllg () 1I11llllllllllnl'lloy's I'UllS, IlIullrl'ulI III eOlllloollnllwilh III1Y "uhllllu hlllolll\illlllo Wllh hy I'lrlllu nl'lhls sll\1PlIl'lIgl'lIph, (2) Wll'c 1I11I'IlUlllhllt 1IIIIlhlll1\I shlllll'utllll\ posSusslnll nl'lIl1\1 1'0ouII'0 lis his solu 111111 S(Jplll'lIlo pl'opui'ly thu 11)1)7 1"01'11 F- I ~() plckllpll'lIcl; IIl1tnlllnhllo, OlllTOlllly tlllcli Il1lho .InII1I1111111'0's 01' Iho pIIl'lIos, IIlnllg with 1I111'Ighls IIl1\lul' III1Y Il1slll'lIllCU pnlloloy ;hUI'Onll 111\11 with 1I111'0SpOllslh1111y lhl' pllylllulIl nl'I111Y OlllsllIl1l1lllg 1I1110hlolll1uss pUI'IIIIIIII111 thol'OIOllllll I1\Slll'II1100 Ihol'COII, 11'00 nl'IIIIY 111111 1I111'Ighl,IItlu, (11111111 01' 1I1101'0sI ofWil'c, 1 III Hhlll1\ 1 shllll Il1dol11l\lly I1l1d hnld Wlfo IIl1d hol' pI'OP(Ii'ly IlIIl'IllloSH fhll11l1l1Y 11I111 HII IIl1hlllty, oosl nr OXpOIlSO, IIlOhldlllllllotHIIIIIIl01'l10Y'H f'cos, hWlII'l'oll 111 (Inlll1cctiol1wlll1l1l1Y vohlolo holol1ghll! 10 1 hlshlllld hy 1'11'1110 nf' Ihls suhpIIl'lIgl'lIph, (3) Tho PlIl'tlos IIgl'OO Ihllllhoy will (loopol'lIlo III of'f'c\',llIlIlIllg tho tl'lIl1sf'cl' of Iltlos 111111 IIISlIl'lIl\OO 10 1I00ol11pllsh Iho pllrpnsos of lhls Sllhplll'lIgmph, (II) 1,11'11 hIHIII'HIlCO, Tho Pllrllos 1I0kl1owlodgo Hlld IIgl'OO IhHI olloh shllll 1'0111111 liS hls/hol' solo IIl1d soplll'lIlo pl'Opol'ly, III1Y IIl\d 1I11111'c Il1sUI'lIIloO pnliolos 111 his/hol' 11111110, 1\'00 of I1I\Y righI, tltlo 11II\lll1lol'osl ol'lho othol' Pl1l'ly, (e) !!mui1ulUllllLHl!l.Jn1Illcl1lll\llI1ill1!l, Wifo IIl1d IllIshlll\d olloh hOl'ohy spocll1olllly I'olollsos IIl1d 11'1111'011 I1I1Y 111111 1I111'Ighl, 11110, CIIlII1l 01' 1I1101'0slll1111 ho 01' sho I1lIlY hlll'o 1I11111d to I1I1Y I1l1d 1IIII'0tll'01110llt bUI101ils (1l1ullldll1g hilI not II III 1\ cd to ponslol1 01' pl'ol1t Rhlll'illg honol11s, lIofol'rod COl11pol1Hlltlol1 plllllS, 401(k) pllll1H, omployco slll'lngs IlItd lhrll\ pllll1S, Indlvldl1l1ll'otll'ol11onlllooolll1ls 01' olhol' sll11l1l11' h0l1cl11s) 01'1110011101' plll'ty, spocll1clll1y to Il1olullo II 11'1111'01' ol'II11Y spouslIl 1I111\Ulty h0l10111s IIlld/ol' hOl1ol1ollll'Y dCHlglllltlol1s thorolllldol', Tho Plll'lIos 7 IIIJI'OO lIHllthoy shllll o~Pl~lltO llll~' doclIl11ollls plll'SlIlIll1 to Iho l{ollrol1wllt IIqlllty ^ol 01' 1I11y sll11l1l1l' 1I1l1 Ihllll11l1Y ho 1'0LIlIII'pd l)'ol11lllllc 10 thuo 10 IIccol11pllsh Ilw plll'pllSOS orthls sllhpnrllU!'lIph, HpoolliollllY, Iho Pllrtlos IICkllowlodgo IIl1d 1Il!1'00 Ihllt WIl'c 6111111 1'0111111 lis hol' solu IIIllI SOplll'lltu pl'opol'ly Ow IIlld 010111' orlllly rlghl,llt1o, olllhlllllld Illtorosl of Ill1shlllld hol' TI^A/CIWF ^IlOOlll1tlllld Ihlllllllshll1\d shllll rolllll11\S his solll 111111 sOplll'lllo pl'opol'ly l)'oo of IIlly lI1\d nil right, 11110, olllll11l1l1d 1Ill01'0sl of WII'c, his Prlldll1\1I111 HeL'IIl'illos IlIdll'hllllll Rollrel11ollt ^oeolllll, (l) EIlUIIWluLAllIilluulN, Tho pllrllos lIol\11owlcdgo IIl1d IIgl'eo 11111\ Ihoy hlll'o IIlrolldy dll'ldod their I1l1l1l1Cllllllocollllls to tholl' mllllllll slIllslllCllollll\ollldillg, hlllll(ll IIl11ltodlll, Iho ^mol'i(lllll COlllllry Ue1\hlll11 Cllpltllll'l'oSOl'l'lIllol1 FlIl1d IIIHI thoJolnl ohooklllg I10001l11\. (11) IIl1shlllld's Illllilll~!!!iJll1l!l:1lliL Tho PlIl'lIoS 1I0~llolVlodgo lhlllllt Ihe 111110 ofl11l1tTillgo, II1Ishlllld oWl1od IIlld II1\orcsl 111 II tllxldormy hllSII1cSH olll'ronlly kl1oWl1l1s Bill's WlIdlllb Stlldlo, WIf'c horoby 11'111\'08 IIny l'ighl, IItlo, olllim or Il1tcrosl she hilS III slIld , BlIsllloss IIlld sllld BlIsil10ss shllll I'Omllll1lluHblllHl's solo I1l1d soplII'IIl(l propol'ty, (h) l,lIUlllliIUlLr.U)'.lll!tlll. Ilushlll1d IIgl'COS Ihlll ho shllll plly to Wlfo liS IIl1d f'or oqllllllhlo distrlbullolllho HUIll or SOl'ollly ThollslIl1d ))ollI11'S ($70,000), SlIld SOl'ol1ly Thousll11l1 \)olll\l's ($70,000) Hhllll ho pllld to WII'c withil1 UI1U hUl1drcd IWOl1ly (120) dllYs llflho dllto of'oxcCllllol1 of this ^grcol\lol1l, Should Ilushlll1d filII 10 PIlY sllld Ho\'0111y ThouslIlHl ))ollllrs ($70,000) to Wlfo IVlthll1lho 0110 hUl1drcd Iwol1ly (120) dllY pol'iod, Il1lorost shllll hogll1 10 11001'110 Oil Iho Sovcllly ThouslIl1d ))0 II III'S ($70,000) 0111ho 0110 hlllldrod I\VOl\ty I1l'sl (121) dllY lhl'ollgh dllto of'pllYl110l1t, lit tho 1'1I10 ofpl'illlo Inlol'osl 1'1I10 plus 2'X, pOl' 1I1111l1111. H 1Il l\1I~1lb'lIlllUmmJ!r.u11l'l1~, As ol'lho Oxcclllloll ,llItu pf'lhls ^gl'OOlllOllt, IIlly IIl1d nil prOpllrty 1101 spooll1olllly IIddl'c8scd heroin IIhllll ho oWl1od hy Iho plll'IY 10 whom tho )lI'OperlY Is IlIledi 1II\lllrllllllllod,lho 111Il'ly 111 possessloll, This ^gl'oemolll 1I1l1l11 oOllslltlllo n IIlll'l1clolll hili ol'slllu to el'ldollCO Ihu tl'lll1sl'cr orllllY nlld 1111 rlghls III sueh propurly Ihll11 ollllh to tho othor, (Jl J!rnul!1'.t)~Jlll~lfll, Tho pllrllcs ngl'oo lhlll Wif'c shllll own, possuss, 11I111 el\loy, n'ee li'ol11nllY 01111111 or Ilushll11d, Ihe proporlY IIwlIl'dod 101\01' 11Y Iho 10rl11s orlhls ^grocl11onl. Ilushnncl horohy \lultcllIl1118, IIssllJlls 1I1ll1l10llVCYS to Wll'c 1111 suoh pl'opol'ly,lIllll wlllvos IInd rolhllluishos IIIlY IIlld 1111 rights Ihorlllo, logoll1Cr with IIny Illsllrlll1llo pollolell cOl'ol'lllg Ihnl pl'oporty, IIlld IIny OS(II'OW IICC(lllnts rollltllll! to tlml p1'llporly, This ^I!I'OOlllOl1l shllll oOl1stltulo II s\If'fl1l1011l bill ofslIlo to ol'ldol1oo Iho Irlll1sl'cl' of'III\Y nl1d 1111 r1ghls 111 sl10h propol'ly Ihll11 HlIshlllld to WII'c, (II) l'ruU.b'l:t;\'-1lt IInshnllll, The pllrtlos IIgl'OO thllt IllIshlll1d Illwll own, pOSSOHB, lI11d OIUOY, 11'00 rrol11l1l1y 01111111 of WI 1'0, thc proporly IIWIIl'\lcd 10 him hy lho 101'l11S 01' Ihls Agl'OOlllol11. Wlfo horohy qnilolllhlls, IIsslgllH I1l1d llOlll'CYs 1011llshlll1d 1111 slloh proporty,lIlId wnll'os IIl1d I'ollllq\lishos IIny IIl1d 1111 r1ghls thorolo, IOl!cll\l11' wilh 11I1Y 11111111'111100 pollolos COl'orll1lJ 111111 pl'oporty, I1l1d I111Y OHCI'OW 1I000ll11ts rOllllll1lJ to IIml p1'llporlY, This ^I!roomol\t shllll oOl1stitnlo II sllrnolol1t hill ofslllo to 01'Idol100 Iho Irnl1sl'cr Oflll1Y nl1d 1111 r1ghls III slIch propllrly n'OIll Wlf'c 10 II\lsblllld, (I) LlllWlIly Nut (,fst!1!l, Enoh plll'ty roprcscl1ls IIl1d WIIITllllls to tho othor lhllt ho 01' sho hilS 11011110l1rrod II11Y dobl, ohlllJlltlol1 01' 011101' IIl1hlllty, othor thlln \IlOilO dOHCrlhod 111 this ^groclllcl1l, oil which Ihc olhcr Jlllrty is OI'IllIlY he IIl1blo, ^ IIl1hllity 110t dlsoloslld 111lhls ^groomcl1t 11'111 ho Iho solc rospol1slhllity ol'lho pllrty who hilS 1I101l1T0d or mllY l) l1'01\11111,\' IllIhllllY, 10HU, oosl PI' (JXIIUIIS~ Whlllsool'ol', IlIohl(III1B 110111111 111\0 I'll oys Ihvs, 111~lI1'rcd ill tho Ol'UlIt oJ' hl'~lI~h Iwr~ol', (1, lYAlYlliJ OF AIJ1\tQl'il'~_ALlJ\1illIi~~llliN11Ul7'l;'. SI'Ul1liM, tilJI'I'O(IT, I\xpopt lIS pl'o\'ld~d h~low, 1I11shlllld 1I11d WII'~ h~l'ohy oxpl'ossly wlIl\'o,l\lsohlll'go 1I11d r~lvIIso 1I11y 1I11l11l1l1'1I!hlS IIIllI olllh11s which h~ 01' sho II1I1Y hnl'o 11011' or hel'Ollflol' hy rOI\Uollol' the Pllrllos' 111111'1'llIgo to II1h1l0llY, 1111 1\1 011 Y /wlld"I/!" Iile', spollulIl SlIpportlll1l\/lll' II1l1hllol1lll1C() or ollwl' Ilko h0l10111s rosllhll1g Ih'1111!1O pllrllos' slllllls liS hllshlllld nl1d wll'c, Tho 1I111'lIos f\Il'lher 1'010llsO IIl1d Will\,? III1Y rights Ihoy II1ny hlll'o 10 sool, l11odll1cIIIIIl1101' Iho t(ll'l11S ol'lhls pllrlll!l'lIl1h 111 II OOllrl or IIIII' or oqlllty, II hollll! IIl1dol'ulood Ihllt Iho Ihl'ogoll1B OOllsllllllou 11 filllll dolor1\11111111011 fhl' 1111111110 of'ollhol' pnrly'u ohlll!lItlol1lo oOlllrlhlllo 10 tho sllllllortlllld 111111111011111100 llfllw olhol', Notwlthullll1dll1g tho IIhol'o, Iho pnrllou IIgroo Ihllt Iho Olll'rol11 nlll110ny !'(!Iul,ll/!e /I!O boll1g pllld hy IllIshlll1d 10 WII'c Ihrllllgh tho DOllloslio l{olllllol1s Soolloll of the ,COlii'I of'Col11l11ol1 PlolIs orC'lIl11hol'llInd COlll11y, POl1l\syl\'IIIlIIlShnll, cOl1l'orllo nlllllol1Y nOel' the dlvoreo l\~01'00 Is ol1lol'od, The torlll ol'sllld 1I111110l1Y P"I/r1e'I/!e lildnl!1ll011.ypnr'11O\lIS 51)1111 he J,)IX(~ (',V,(II,( \ ' pllid 101' II tollll pOl'iod 01' olghtool1 (I Il) Illolllhs COllll1Wl101llB J\Ill"-I~; 2()OO, Sold \\11 nOl1y !,e'I/r1el/lo /I!u/nll111011Y pllylllollls shill! 101'1111111110 IIJ10111110 I1l'sl of'll1o following 10 OCOIlr: (II) tho OXpil'lIt1ol1 01' tho olghlool1 (I Il) mOl\th l1orlodi or (b) wll'c's dOlllh; 01' (c) hllshlll1d's dOlltln I\i' (d) wil'c's oohllhlllltlol1. 01' (!HHl nddnlldUIiI) (0) wll'c'sl'olnll1'1'llIgo For plll'posos 01' this Agroolllol1l, OOhllhltlltlol1 shllll bo dol1l1od ns tho oOl1tlllnlll1oo ahllrlllg Ill' IIl'0sll\olloo with n 1ll01llhol' or tho opposlto sox fbi' n porlod 111 oxooss 01' 11 Ihll'lY (30) <II1YS, Tho pllrtios 1I11'Ihor ugl'uo Ihlll slIld Ulll1lO11Y 1'(l/ull'I/I,' 1i1C'illlllllony P11Y11lOl1ls shllll 00I1I1I111U 10 hu plIll! lhrough Iho I)lllllusllo Hulullnl1s onico ol'lhu ('0111'1 nrC'0l11ll1011l'lolls nrC11111hol'llI11d COlll1ly, l'olll1syll'l1l1ln, Ilnwol'ol', Iho plIl'lIus IIOIIll\lwlodgu 1II11lllgl'uolhlllln dolllg sP, thoy lIl'O nl11 o0I1I'crrll1!1l1pl111tho Court OfCOl1l1nolll'lolls of'ClImllorlllnd COllnlY, I'Ol1l1syll'lIl1ll1lho IIIllhol'lty 1111111Y wuy 10 1110dlly tho 101'11111111' Iho IIl1ml1ny [10m/ell Ie lil,dllllmouy puyl1lOnls, 7, MElllCAL..lliSillli~rl': COYlliiMm JlOIilllllillt\NI.~, TlwI1III'llll1l lIeknl1wll1dge thlll Wll'c Is OIl1'I'U11t1y prol'lding 111cdl01l11l1su1'llUoo Ib~',lJllllhnfl(i Ihrouilh hor pllluo ol'omploYll1011t. WII'c IIgroos 10 oOlltlnllo to prol'ldo lI!lld..covOi:;;~o uulll suoh limo liS II Dlvoreo ......- /",-,'" Doereo Is ol1torcd III which tl1110 hor oh!ilJlllltln to pl'Ol'ldo slIld eOVol'lIgo lIhlllllol'lnlnlllo, Hushund ~., . .-~ shulll'olmhllrso WII'c Ihl:J!\ll-CCiiii'lo WII'o lbl' conll11uing 10 provldo 1I11ohO\lVOI'II!J9 IO,Hullhul1d 1\11' ---- ". )', tho pOl'i(~!JllIy-r;'2()()O 10 Iho dlllo of tho dll'oroo dOllroo, (\/ '( \ ('jb ,I II, r!!llliIllilJiliEtl. COSTS i\NIlI\XI'I';NSllli, Elloh purly shllll ho , sololy rOllponslhlo fbi' his 01' hilI' own logul f'cos, (llJslll und oxponsos Inenl'l'od In connoetlol1 with tholr SOpUl'I\tlonllnd/ol' the dissolution ol'tholl' mllrrlllgo,lIud Iho pro)llll'lltlunllnd oxoclItlon or this ^grocl11ont. 9, ~vlm OF INlillRlT/\NCI\ lillJJ.ITIi, Unloss otholwlsCJ spcclf1clllly )ll'ol'ldcd In thill ^grool11ont, UlI ol'tho oXllCnllon dlllo of'lhls Agl'001110nl, HlIshllnd IInd WII'c ollch wlllvollllllrlghts oJ'lnhorllunco IUlhc csllllo of' lho othlll', IIUY I'lghllo olocl to IlIko IIgulnst tho will 01' ully tl'Ullt of'lho othol' 01' In whloh lho olhor hilS IInlntorollt,lI1111 ouoh oflho pllrllos wull'cs ul1y uddltlonulrlghts which sllld plll'ly hilS or mllY hllvo hy rOllsoll of' lholr mlllTlugo, oxocpt tho l'ighls slll'cd Dr ol'ouled hy Iho tor111s ol'lhls ^gl'co1110nt. This 11'1111'01' lIhl\1I ho constrlled g~'norlllly und 12 shlllllllOlllllo, hilI 1)(11 he IImltod 10, II wlIivcl' or IIlIl'ighlH pi'ol'ldod 111\(101' Ihu IlIwH of' POllllHyl\'lIl1ill, 01' I\I1Y 011101' .Il1l'lsdlolloll. 1 (I, ~W.YJill.1UUlliNI':FICIAltY.llliIi~i\TIQN, 1.I111uss olhol'wlsu upocil1olllly HOI lhrth III Ihls l\lI1'CClllOllI, ulluh plIl'ly hOl'Olo spuol fiolllly wlIl\'Os lIlly lIl)(11I11 hOIlUliollll'y rights lIlld IIIlY IIlld 1I111'I1Ihts liS II slIrl'll'lllg Spllll8U 111 11I11110 lIlIY 118sol, hUllolit 01' IIku pl'ogl'ltIll olll'l'ylllg II hllllofiolllry duslulllllloll whluh hulol1gs lolhu oll1ul' pllrlY 1I1)(lul' Ihu 10l'\I1s of' this ^gI'UOI11UIlI, hwllllllllg, hlllllOllll1lllu<llo, PUIlHlol1s lIlld 1'0!il'ul11ulll plllllS of lIlly sarloI' 11111111'0, dolol'l'cd COIllPOIlSlllloll plllllS, 111'0 1I1Slll'lIIICO pollclos, lIlll1l1lllos, stook lICUOlll1ls, hllnk lIoeollllts, fil1111 PIlY ohel'\(s 01' III1Y 011101' posl-dclllh dlstl'ihlltloll sohcl1lo, IIlld ollch pllrly oxpl'ussly sllllus Ihlll ills his IIlld hol' 111101111011 10 I'ol'oku hy Iho ICl'l11s ol'lhls ^gi'uulllonlllllY hOIlOficllIl'Y doslgllllllolls Illlllllllg tho olhol' which lIl'O 111 el'l'collls ol'lho dlllc of oxcullliol1 of Ihla ^gl'oelllol11. 1(' lIl1d 111lho 0\'0111 Iho olhel' plll'lY o0I1II11l1uS to hu I1l1llled liS helluf1cllll'Y IIlld 110 lIlIUrl\lIlu hOlloliellll'Y is olhol'wlso deslglllltcd, Iho hCl1olicllll'Y shllll ho dooll1cd 10 he tho ostlllo of tho dUOOll9011 pllrty, 11, ImLlCABIC OF CLAIMti, (lI) WII'c lI11d Ilnshlll1d lI\lkllowlodge lIl1d IIgl'OO 1I1l1! Iho propol'ty dlsposltlol1s pl'ol'lded 1'01' hOl'ol1l cOl1slltlllo 1111 O'lllllllhll, dlslrlhntlon ol'tholl' IIssuls IIIHIIIlIhl1l1lus P\ll'SI1III1t to *:1502 of'tho Dll'ol'cc Codu, lIl1l! Wllo lI11d II1Ishlll\ll 1I0l'chy wlIl\'o II11Y r1ghllo dl\'lslol1 of' liwll' proporty oxoupl liS provldcd IiJI' illlhis ^gl'colllonl. 11111'Ihol'11101'0, uxoopt liS othol'wlso pi'ol'ldud (hI' 111 this "gl'oulllcl1l, ollch ol'lho Plll'llcs hOl'ohy spocll1olllly wlllvos, I'olellsos, 1'011011l100H lIl1d Ibl'ovol' lIhlll1dol1S IIIlY dllhll, righi, tlilo 01' il1lul'csl WhlllSOOI'Ol' ho 01' sho I11l1Y hllVo 111 propcl'ly 1l'lIlls1'cl'l'od to lho olhol' pll1'ty plll'Slnlllt 10 Ihls "gl'cclllcl11 01' Idol11lficl! 111 this ^gl'oOlllel1tlls holol1gll1g 10 tho olhol' pllrly, IIlld olloh pllrly IIgl'eos 1l0l'Cl' to IIssorllIl1Y clllhnlo sllld 11I'0pcl'ty 01' pl'Ocoods 111 thc I\llnro. Howcvol', Ilollhol' pllrty Is l'olclIsod 01' dlschlll'glld 1\'0111 IJ 11I1Y ohllgl\lioll \llIdol' Ihls ^g!'uUIl1\l1l1 01' III\Y II1Hll'Ill11ol11 01' (\110\11110111 CXO(1Iltu(lllIlrHU!\1I1 10 Ihls ^muul11ul\I, II\lshlllld IIl1d WII'c shlllllwl'ullnul'ol\'l1l1l\d cllloy 111\Iupondul\IIy 11f'II11Y c1l1h1l 01' I'I~hl ol'lho othol', 1I1111ul11S of'I1\ll'sonlll proporty,llInglhle Ill' Illlnl1glhle, lIo(I\lll'od hy hlllllll' 1101' ll'nl11lho oxuuulln\l dlllo or Ihl8 ^lll'uUI11CIlI wllh 1\111 pOI\'OI' 11\ hll11 \11' hol' 10 IlIsposu nrlhu SIlIllO IIllIy 111\1\ un'cclll'oly lill' Il\l pUl'pOSOS, (11) IJll0h plll'IY IWl'ol1y IIhsolululy Ilnd \lI1onudltlol1l1l1y rolollHUH lind, rol'ul'ol' dlsohlll'llos Ihu ollwl' IlIllI Iho OHIllto 01' Iho nlhor lill' IlI1 purposes (i'ol11l1l\y IInd 1llll'Ighls 1l11l101111gllllons whiuh cllhol' pllrty I11I1Y hllVu or III IIny Ihnu horollllol' hils Ibl' 11IIsI, prosol\t 01' 11111\1'0 suppnrlor 1111111\1011111100, 1l11l110l\Y IU'llrllIlIll' Ii/I!, IIlhnol1Y, u,!llltllhle dlslrlhullol\, oll\lI1sol l'cus, (JOsls, OXp0l1S0S, IIl1d IIIIY othor right llI' ohllglllll111, 001111011110 or olhorwlse, wholhel' IIl'lsll1g 011\ 01' the I11llrlllll rolllllolwhlp or otherwlso, 1I10l\1l11l1g 1111 rights 11I\11 henefils llI1dur Ihe Pel1l1sylvllnlll Dll'orcu Cndc or 19HO, lIs supplolllonts IIl1d 1l1110lHhl\ol11s, liS well liS Ul1der III1Y olhor IIIII' ol'II11Y olhor.lurlsdlcllol\, OX copt IIl1d nllly oxuoplllll r1ghls Ill1d ohllgllllol1s Ill'lslng ul1dol' Ihls ^greel\1Ul1t or 1'01' tho hl'clloh or IlIlY or Its prnvlslolls, Nolthol' p"rty shllll hllve IIlly ohllglltlllll \0 tho olhol' 1101 oxprossly sollbl'lh herolll, (0) ExclJp\ liS sotlhrlh In this ^grool11cl1l, olloh pllrly horohy IlhHolllloly IIl\d unool\lllllolllllly rclolIsos 1l11l1 for~'l'or dlsohllrgoH thc olhol' IInd his l1I' hol' hlllrs, oxoull\Ol's, IIdl11ll1lstl'lllors, IIHSllllls, propol'\Y 1I1l11 osllllo I'roll1l1ny 11I1111111 rights, Olllll11s, dOl11lllllls or ohllgllllolls lIr1slng 0111 or l1I' hy vll'tuo or tho Illllrllllll'olllllollshlpol' lhe plll't1oH wholhol' 1l0W oxlstlng 01' horollnor IIl'lslng, Tho IIhol'o 1'010llHO shllll hu ufl'cet\vo I'cgll1'lIlOslIol'whothol' Huch Clll1111S llrisu out of' IlIlY Ihrl1lul' 01' 1'1I11\1'\l1lCls, cOlltl'nols, cllglIgolllclIls 01' IlnhilltloH ol'lho olhol' 01' hy WilY ol'dower, ClIl'toHY, widow's 01' II'llIolI'ol"s r1ghls,lillnlly OXCl11ptlOI1 01' sil11 iI Ill' lIilolI'nllCe, 01' undol' Ihc Intoslnlo IlIws 01' Iho r1ghllolllko ngllitlHt Ihu spOUSO'H 11'111, (lI'lhc r1ghl 10 trolllll 14 11111111110 00111'OY1IllOO hy Iho othol' liS IOSl\11110111111'Y 01' 1111 011101' rights or II slII'l'll'lllg spOI1So 10 PlIl'llolplllo 11111 docolIsod sPOIISO'S OSllllo, 1I'I1OIhol' IIl'lsll1g IIIHlol' tho lilli'S 01' 1101l11syll'lI11II1, I1l1r sllllo, 00l11111llllWOlllth 01' Wl'l'llory of' Iho lJl1llod SllIlos, \11' I1I1Y olhol' cOIlI1II'Y, (d) I\xPoPllbl' Iho ohllgllllol1s ol'the pllrllos OOlllllll1Cd 111lhls Agrool11011t lI11d suoh rlghls liS 111'0 oxpl'ossly 1'0sol'I'olllwI'01ll, 011011 pl1l'ly glvus Illlho olhol' Ily Iho l1~COUIiOI1 ol'lhls t\gI'Il011101111l1lIlhsoII1I0 1I11(IIII1COlldlllol1l1ll'olollSO 1l1HI dl8chlll'go Il'olllllll Olll1sos of IWllol1, 011111118, rlghls 01' dOllll1l1ds II'hlllsoovul' 111 11111' 01' 111 oqully, II'hloh ollhol' pllrly 0\'01' hl\ll 01' 110W hl1s I1l!lIhlSlllw olhol', 12, .I!1ll':liliRYJ\TIQ~illCC()lm1i, ElIllh plIl'ly will kcop IIl1d pl'OSOl'l'O for 11 porlod of lour (4) YOIII'S 11'0111 tho dlllo of' Iheil' dlvol'co docl'oe 1I11111111ncIIII rooonls rollltlng 10 tho 111 11 I' It II 1 osll1lo, IInll olloh plll'ly 11'1111111011' the olhol' pllrly 1I0COSs 10 Ihoso I'ccol'ds Inlho Ol'ont 01' III~ 1I11dlts, 13, MOlliElCA'I'ION, No 1Il0dll1cllllon, I'osclssloll, 01' 1I11l0lHhno11ll0 lhls ^l!reOmol1t shllll ho of'l'cotlvo 111110ss In wl'ltll1ll sll!l1od hy olloh of Iho plll'\los hel'olo, 14. ImVICltAUI LlT\'. I f'1I11Y provlslol1 oflhls Agl'COll1011t Is held hy II oOl1l't orcol1lpotcl1l.1l1l'lsdlollol1to he I'uld, 1I11'II11d Ol'lIl1lJ11forCCllhlo, lho l'elllllll1ll1g provlslol1s hol'ool' shlllll1ovol'lholcss SlIl'l'll'o IIl1d 00111111110 1111\111 fol'co ul1d 0lToolII'lthol11 \loll1g h11pull'cd or 1I11'II11dutod I11UI1Y wuy, III, lllillL\r1l, 'f'olthol' pUl'ly hl1l'olo hl'ollolws III1Y pl'ovlslol1 horoof,lho olhel' PlIl'ly shllll hllvc 1Ill1 f'ighl, ut his 01' hol' elocllol1, 10 SllO Ibl'dlll11l1gos Ihl' slloh hl'OIWh, 01' sock sllch othol' 1'01110dlos 01' 1'01101' liS I11I1Y \10 uVllilllhlo 10 him 01' hol'. Tho 1101l-h1'01l0hll1l! pllrlY shllll \10 0111ltlcd 10 I'CCOI'OI' fI'ol11lho hl'cllchlng pllrlY 1111 cosls, OXpOI1Sl.lS und 10[\1I11'00s 1I0tlllllly 1I101l1'I'ed III tho Clllbl'o()l1101l1 of'tho I'lghls ol'lho 1I011-h1'CIIChll1g pUl'ly, 15 2lI, K1!I!KCl'L\'.lUMTl~, This ^grcclIHJnl shllll hCC0l11l1 of'l'collvu 11I111 hllllllng Upoll \lolh Pllrllos on thu l.xocutlol\ 111110, 2\. .l<J FFE( ~1'J_Unm.LUN!.aLI1\TIU~1...c ~nllAllU'ATIll1'1-QH nIVOJtCI~. This ^greul11Olll shllll 1'0mllll1 III 1\111 III 1'00 111\11 un'collllld shllll uoIIHJ 1I\ll'oglltud ul'clIll'lhu 11111'IIos of'l'colll rOI)()ncll\lIl1on, 0(,11IIhll nH hushllnll IInd wll'c or IIl\umplto ort'cclll rcconcllltillon, This ^gl'oul1wnlnlso shlll\ conllnllo In 1IIIIIhl'co IInd urt'cot In Iho ovont 0(' Ihu pllrllcs'lIll'ol'oo, ThOI'll shllll ho 110 1110dlliellllon 01' wlllwr of' IIny orlhu torl11S l\lIroo('unloss Iho plIl'llos In writing uxoculo II sllltOl11ont dl)olllrlng this ^grccment 01' Ilny 101'111 of' this ^gl'uunwnt to ho 11ullllnll I'old, 22. ll1~^IlINGS NOT "AItT OF MHUmMlOO, Any hOllllhlgs pl'ooedlng Ihc Icxl 0(' tho so\'ol'lIl Plll'Ugl'lIphs IInd suhplll'lIl!rllphs herco(' lire Inserted sololy (hI' conl'elllcnec of I'ul'cronoo IIl1d shllll 1101 eonslllulo II )lllrlof this Agl'conlUlllnol' shllll t\luy IIn'cllllts 11101l1llng, cOllstl'uotlon or on'c!)\, 2:l. A.GIUi:I':l\mlST.IIINJ>lNG ON I't\Jt'I'IWi ANIl H1~lllli. This ^greomonl shllll hlud Iho plll'tlcs hOl'eto Ilnd Ihcll' ruspoutll'o hull'S, exocutol'S, Ildl11inlsll'lIlors, leglll I'eprcsuntlltll'cs, IIssll!ns, IInd sucoossors IUllny lutol'osl ol'1ho plll'lIcs, 24, llli.TIRIU~f1Uml\'mN:[, Elloh tHirty 1I0kuowlollgos thllt ho Ill' she hilS clIl'onllly I'clld Ihls ^l!l'oolllcnli thllt hc 01' sho hilS disous8cd lIs )1l'ol'lslous with IIn ul\ornoy of'hls 01' hol' own cholou, lIud hilS cxcculoll 1I1'01llntlll'IIy IInd IlIrcllllnoo upou his 01' hor owulIl\ornoYI IIlld thlll this tUstrul110nt oxprcssos II\() oulll'o IIgroolllOnl hclwuon tho pllrllos conool'l1lng Iho sllh.lcols II pnrpul'ls to 001'01' IIml supol'sodos IIUY IInll 1111 prior IIgl'ccl1lClIls holwoonlhc plll'tlos, This Agrool1lcnt should ho inlol'pl'otod (hldy IIlld sll11ply,lIulI not slrlclly ('01' 01' Ilglllnst elthcl' of thc Plll'llos. 17 .lHl\llIl, flOllll^, PIIIII1III1' VS, : IN T1 W ('(lInrl' OF COMMoN PI ,IWi OF : I'I1MIlHI{LANP ('OIINTY, PI\NNSYLVANII\ : CIVil, ^I'TION - Li\\V : NO, 1)1) -1,)"I/C'lVIL TI\IIM WILLI^M S, !I0UBi\, Plllul111111l1 : IN PIVlllll'1\ Nu:nr I'~ TO l!Kl"lli'!l!ANll. c LMMJUHll'J1i YOIIIIA VI'; 1II':t';N SIIIW IN COIJHT, II'Yllll wish tllllul'clld 1Il\lIillllllllll Ulllll11s lIull\1rlh ill Ihu IhllowillL\ pllgOll, Yllll l11\1sl IlIku P1'1l111PIIIU111l1l, YOll IIru W1I1'I1111llhlllll' Yllll 1\111 tll IIll Sll, Iho CIISU 1l1l\Y prllC(JOl\ II'llhl1ll1 YlllllIUd II docrolllll' dll'oruu llr lIIl1l1lhl1Cllll11uy ho culurlld Ul\lIlllst YO\l hy Ihll 1'11\11"1, ^ .Il1l1l\l11ullt I11I1Y IIlsll Iw ulltorlld IIgUlllsl Yllll lilr IIUY olhol' ulllhl1 llr I'lllllll' I'uqllllstod ill Ihllsll pllpurs hy Iho 1'11I1ullI1: YOUI11I1Y IOSllU1I1IWY lll' prllporlY nr lllhol' rlghls IIlIPlll'lllllllo Y"ll, Il\cllldlllg ollstlldy lll' 1'IIIIIIIIIllll of Y"lll' ohlldroll, Whulllhll l.!rlllllullI lill' dll'oroo is Iudll\ulllus Ill' 1I'I'011'Iovllhlu hrulIl,dll\l'u Ill' thu ulIlITllIgo, Y"ll IllIlY roq\lusl 111111'1'1IIgo Cll I 111 sllll Ilg, A IIl1lllf' 1lllll'l'IIIgo Cl1l1llliUlllrs Is uVllllllhlo IUlhu i'rolhllllotllry's Olllcu lit Ihu C\ll11horlu\ld CO\lIlIY ('0IlrIl1l1lIS\I, I'lIrllslo, 1'01lllsyll'IIIliu, IF YOII 1>0 NOT FlU; A CLAIM 1"OIt ALIMONY. IHVISION of I'IUWllltTY, I ,A WYIGlt'S Flms OH EXI'IGNSIGS,IIII~FOlm A UIVOHCIG OHANNIII ,MI\NT IS onANTEll, YOII MAY LOSI\'I'IU<; 1tI<i1l'1"I'OCI.AIM ANY OFTIIEM, YOII SIIO\lLU TAI\I'; TillS l'Al'lm TO YOIln LAWYlm AT ONCE, IF YOIII)() NOT IIA VI'; A LA WYlm Olt CANNOT AFFOIUl ONII~, GO TO Olt '1'I<:L1WIION I'; 'I'll E OI"Fln~ sin' FOH'I'III1EJ.OW TO FINU 011'1' wm;lu; YOII CAN GET LEflAJ. II ELI', C\lIllIHlrllllll\ I'o\ll\ty Bill' Assllcllllloll 2 I.IhUl'Iy AVOIlIIU ('lIrllslu, l'uuusylVlIlIl1I 170 I) Tuluphollo (717) 241)-) 1(,(, ^MI\RI('^NS WITIII>IS^BILlTIEH ArT OF 11)1)0 Tho COllrllll'Clllll11101l1'IuIIs 1ll'ClII1Ihorllllld COllllty Is I'oqlllrod hy IIIII' III cOlllply wllh Ihu Al1lurlclIlls lI'ith DlsllhllllloH Act lll' 11)l)0, For Illlilrl11l1tlllllllhollt IIccosslhlo fhclllllos IIlld 1'0llSOllllhlo IIClllll1lllUllllllillllS IIVllllllhlo III dlsllhlod illdll'ldllllls hllvlllg hllslucss hulilro tho cllllrl. plulIso coulllct 0111' oflicu, AIIIII'rllllgo11101lls mllst ho I1llldo lit 10llst 72 1111111'11 prior III IIUY hUlIl'lug llr hllSllloss hul\1l'o Iho cOllrt. YOlll1l\lst IIlloud Iho schodlllcd cOlllol'UIlOU or hOllrlllg, JIII1lUS .I, I<lIyor, Hsqlllro Attol'l1uy lilr Pllllulln' Llhorty Loll 'I ElIsll.lhorly ^VCUllO 1'lIl'1lslo, I'A 1701.1 (717) 2,1)- 71)22 f' ~ ,~t ~\ -' ~~ . '\ .i ~ . ~, I,., <'l ['! vi i .. ii \, , 11" , ,,'f ' I , fj\ t ',' , , 1:",1 ~'Lt. , .' , " ( " ,. il>i ~>,~ " ' , \ I' ,'\ 'I: .' ~ ,'I ~ ';' I I, ,( 1./" .' " V) \ ' II) I , . 11'1I , '-I' )'i, (~ \/) ~ " . . (;\ ,"., C.l '.I ~" (}t 1,.1 '. I tJ " 1"/ " ~~k ,~) ~. f' "II; , ~ 't ~j ~, ~ ~J l;' ~~.\l! ~I "11 ,:V III ,.::1 ~. ,'" "':;~' l\l It,.l[ 111 ::s ia ~ a.f Q. Rl /ii' ~ 1XI ...~. a 21 ~ ,Ii! r,\ ~ g ::l ro " , ,II " " , ' I, ." " i ,. ',. lr.~ '.. iiI, (. "1' I,.,' t~-: I" (! ':(, I , 1 ~, , . J '~,. ... , }-'; (,.1,' ....'. ,. !''':2 'J., t'."," 'iJ;,! 1 ' '~ I r, 1,0' t r!;~ fi i I ,L.... \; t:,l .IJ(~ "j ',ill , l~.~ , ~.dl 1.\, (.'') .~ t:) <:~] (- I, ~! ~~ ...., J1' ~ ~'lli mr,' ....... "U j'{!j .....1. ~ ~ · i.~' Ill". It :I.. ~ ~ ~'. Q;,.,.~. "lh1~,fio:J ~ ~ l}.' :,.il g'~.'; ?J )>~ ~;, ~ ~ ,g ') (.0..) g II. t::l m (,1 t.:) i., '.. I, .', ':I'r. (! " " !i' 1: I ;j') :J ; \-:'1\1 \i!11.. "i () " f' , ' . " ii' " ,Hall\! I" (IOlll1A, 1'1111.nl:i I' (' I N 'I'm: COlll('I' CJ!o' COMMON PI,I':AB ()Jo' CUI~III!:I\J,ANIJ COUN'l'Y, I'I!\NNflYINAN!A VII, NO, D!l '-I;!'II C1VlI, WII,I,TAM Ii, c)OUI~A, PoJ:onclnnl: IN IJTVCmCH: IU:I P rolloil d n\! Con I'u roncu MOlI\oJ:ijn(!\1I11 DA'I'Ii: I li'ricl"y, (loclllllbor 17, IDf)D l'roBllnl: attornoy James J, W.llllam 13, GClnba, for I:ho P.lninUf'f, Jord I" GOUbll, is I~ilyor, iilHI prtllJonl: for th~l Dol'undnnt, .Ifi nttornny Cindy iJ, Conloy, A diverco con~lnint WilS l'.Ilod on Milrch ~, ID99, ra.l.Bing ground/J 1'01: c1ivorco of' lrrotdovablo broilkdown of the marring8, Counsol havo indicatud thilt tho part:.loB wJ.ll s.lgl\ an<< f.lle nff.l.dnvits of conson!: al1c1 waivor8 01' I\otico.ol' intention to roquost ontry of d.lvorco docroll pdor to the hOllrJ.ng to be flChedulod in those procoodlngs 80 thllt the d.lvorce can bo cOllcludml undOl: Sect.1.on 3301 (c) 01' tho Domost.1.c Relat.1.ons Code, No oconom.1.o ola.1.lI\s Wera ra.1.sed .In the d.l.vorca COlllpla.1.nt, By pet.1.t.1.on fIled by w.1.l'e on Boptonilier 30, ID99, she ra.1.sod the econom.1.c .l.ssue 01' equ.1.table d.1.str.1.bution/ by pet.i.t.l,on filtJd by I-IHll on Apr.1.l 1!i, 199D, BI10 raisod tho econOI11Jc IS/Hies of alIlllclIlY, a.1 Imony pondente lIte, iHld counsel l'oe5 and oxponso5, WIthro/Jpect to the aLimony cla.1.m, counsel Iwvo indIcatod that: they \-1.111 pres~lIlt test:.1.mony 011 the I'actor of mar.1.tal m.1.sconduct aB that fllctor I11l1Y affect: wJI'e1fJ allmony cln.1.m, We wIll schedule a soparllto elate 1'01' a hoar.1.ng on that I'actor, Mr, Kayar .ll1d.1.cated that ho will have at ioast two w.1.tnesBos/ Ms, Conley .Ind.1.cated she may hove I'onr or Uvo wHnesAoll, Both partIes waive tho.1.r claim to coul1Bel l'eoB and exponses, 'J'ho portIos I~E!nl lIIill:TIed Oil .Juno ~, 1990, ilnd by st.1.pU..lat.!on, cClullBol havo arJl:nod thny llOPill:otod .1.11 Octobor 1990, 'l'lwre Wore no childron bon\ of' tho l11artl.ago although wIl'e hilS two cldldron who oro olnanc.lpiltmi from 11 pdor l11ilJ:rIago, W.1.fe is ~1 yoarB are 01' nga and rOAIdeB at 2311 North Wront S trllot, Apa I.'tlllen l 520, lIar rIllbu rg I l'onnsyl vanJn 1'71.10 whm:o she lIvo!3 nlono, Bho has an illHJoclatoll dogroo and Is cU1Tonlly worl:in\! part-tIIIlO as a rosp.lratol:y tllOrapJst at Ulll lIorl11ll1Y ModIcal Contor, 1101' not 1II0nthly 11\1l0l1\O Illl I'llpnl'l.llc\ (,)n Ultl H\II>i'Ol't ordlll' c\"Lod .1111111 :1/ I !J')!)/ Willi 1Il,!i:li~,?~, ilho III tl\lrrllnLly tilk.lll(/ ll\lIIlnllflll lllilllllllll ill\eI tHIn lltiltod UlilL UIIII III \".Ill! rlli\BOIl Ilhll .111 \lot: illllu 1:11 ol\(in(]o .111 l'ull-I:IIIIl! olllP I oYlilllnl: , 'J'ho 14iWt:Of' hiW potnl:od DilL tllill: hor tncolllu woulcl llll .Inlll:'Oi\lHld .If' lIho WOI'U On(]II(]od 111 f\lll- t.ll1\U ol\lP.1 OYlllon t: ill1d I.ho Millltll l' IIIi1Y UOnB .Idol:' Iw r 011/711.1111] pot(~l1t.l.n1 billHHI Oil oIi'.Ji\l,I.lWI .In n I:'(H]\\.lill' l'uJ 1-1:111I0 pOIl.lI:.Ioll, C\1rront1y tho nlwluo 1:0 I:id:u 1>\1IlJIHJHIl Uli.IIWOIl .Ill 11 vo1\1nt1ll:'Y ono llI1d I.lho doull I\l>t n(llJlI thollu c:lc1llUlllJ \:0 I:'ull'lll hul' wnrf: 1:0I.lpol1s.lbll.\.tJolI llIl iI ntllp.lriltory tl,Of'ilp.IIl\:, WJl'o III ll\1rronl:ly f'ocotvll1(j ill.ll\lol1Y ponc\llnl.l1 11 \:0 .In the iIlHO\1nt of $4liO,OO pOl' 1II0nl.h, 1101' nl:tol:l1oy.IHlIl lliCllnntod thnl: Ilho hilB oortnin IltruslJ llJtlUOII \\'hll:h CilUl'ifl !lor 11011I0 undurlyll1C] hUIl1th pl7O\:Jlomfl, l\ppnl'unt:ly tho Btr01J1l illBl.\llll ilr.lBo out of thu I1InrJtl.ll rolill.Ju\lull1p (11)(1 \~U wJl1 dovo.1np \:hat \:clBl:Jmony In \:ho 11\lll:Ii:.'\l Il\IllCOndllct hllarInfj \:D do\:ornt.lno l:ho valJdIl:y 01' those .iIJBIIOli, II:.i1l Ilol:od I:hal: duc\tJl1 Ol(~r/ In a 1ll1nd.nC] on BpOUBlll Iluppor\:/ f'olllld \:hI1l: \~I f'o dId Ilot have roaBonnble CillllHl tQ lOilvu \:ho IIInr.lta.1 ros1dullce illld/ l:horllforo/ donIed her cla.l1\\ 1'01: flpolIBal SlIpport:, COlw(J(lIluntly, wlf'e wuu ilwardod \:ol1\poraI:Y ixl.llnollY, IIUBbnnd .i1J ]9 yonrB 01' nge Ilnci rosJdes at Ii Was\: HIsser MIll Hoad, Mt, Joy, PenllsylvanJa 171;1;2 \~hero he Uvea with h.lB atoplloll (wU'O'1l Bon), HUsband 1B a hIgh (whool grildua\:e and hnB had ono or two YOClrl.l"of collBC]e, 110 Is OllC]ilC]od lIB i1 IJOlf'-l1ll\p.loyed pernon .in tho taxidonny bUll.inoIlB, On t:ho BlIpport: ol:c\m: on\:oroc\ Juno 3, 1999, his net monthly income WilS ropol:\:ecl n\: 1,,2,667, G], 110 has 1I0t nd.rj(jd ilny henl\:h .ilWUOli, Ilowovor/ l1\lI.1billld 11J cun:ently C]ett1ng heal\:h Insuranco COVDl'iIC]O l:hrouC]h hIs wI [0' B omployer nncl upon I:he enl:ry 01' II d.ivorco docl.'oo ho w.ilL Il\OIl\: 1.I.kol,y l1nvo 1:0 go on a d.irocl: pay plan or ilpply for \:ho COI:llU\ bonof1\:s iJVaU.nblo through wI 1'0' B olllploymon\:, WO w.u.l nl10d \:0 huve tho cost 01' hoall:h bonoU I:Il I'or lnwbimcl UB \:hiB porhaps w.U,l bo a folrly sJgnJI'Jcnl1\: oxponso \:hat: ho w.l.l1 have to tnc\lr, 'rho pnrl:1.ofl own n~111 (JlJtnl:ll n\: ~i W~lli\: H.l.rlllor MUl Ronel, Mt, doy/ l'onnl3ylvilnlu, WhOl:U hllllbnnd .tfl t:oIJ.l.d.l.ng, 'I'he proporty won apprnJsod nt $205/000,00 I'or \:ho purpolio 01' nlf'lnanc.l.ng, WHo 11,11> ind1c:ntod I3ho \~.l.l.l no\: IIgr.oo w1\:h \:hlll: llppra.l.llill unci w.111 havn IIn nppra.l.nal ropnt:1: ciano .l.n tho nox\: llixl:y (GO) claya and provJdo i.1 copy 01' l:hnl: roporl: to Mil,. Conloy, Tho pt'oporl:y in Gub:)oct to il I'.l.nll: ilncl l.1Ocolld mortC]ag~l, We w.l.ll noml \:0 Iwvo I:ho pnyorfl3 on thollo mortgagoll \:0 clol:onn.l.no I:ho oqu.l.l:y .1.11 tho homo nl'l:l~): \~o arr.l.vo il\: il Il\ar}:ot Villuo, Ono or: W.i.r:O'fl .l.l3HUOfl .l.1l 11 conl:r.l.but:.l.on whlch Ilho Illndll to t:ho aCllulrd t.l.on of lhB mnr.l.\:Hl hOlno and counllo.l I1ro J:(H]\Hwtocl 1:0 prov.l.do a worl:llheol: Hhow1nlJ how I:hoy dovnlopocl till] numhorll wh.l.ch \~.I.[o 01/1111\11 \:hilt /l11O hill'; (loll\:rll>\ll:ud to tho ill~q\I.i/lltJoll of' I:h.i/l III/\I'J tal illlllnl:, 1IIIlilHII\lI hilll /1 Ill!l'/ I"ol'd 1;'-I!in p.Ld:up tI'lwl; 1111r1 wil'o lHlu II .1 !lfl!) lIol\dll Accord, r;;oul\llol i1ro (jo.Ll1\l 1:0 look i1t I:ho rtllllloct:lvo book/l pul>l.llIllO<1 DI\ villlloll of vohJc:.1o/l 1.\1111 BOO .1 f' tl1C1Y Oilll /ltJp\\lilto to tho vnlueiB of' tho, vohJuloB, . ~Hf'o hilt! il 'l'IA^-Cr\l':F' p\ll1l.i.lon, II\1BllillHI hit/l nil 11\/\ wJth I'rndolltJiil Hocllritlu/l IHld WI,! Ilood'l:o hl\Vo tho CUl'rllllt: Va1\10ll llxcllldil1\J ilny POIII:-IIOPII!'iltJon COl\t:rJblltlol111, 'l'ho pclrU.O/l IIJI10 hml il f'\ll\d wIth tllo /\1I\0rJoIII\ COl1turYill\d thoy d:l.lIl:rlbutod thid: f'ul\d, (n, 000, 00 to wHo IIl1d f,12,'1fl!l,OO 1:0 hlWbill\d, W.Lf'o IB clillmll\(j thllt thoro hclS bool\ an Il\arOilBll In tho villuo of' h\lI'II)(II\(1111 tax.1dllrmy l,llHilnewB i)nc\ 113 currently hilvJnlJ 111\ oxporl: oVil.1uato I:ho bUBJnesB, BhCl ha'l provJdCld a copy of' II roport IlhowlnlJ thclt tho b\w.l.nu13s as of' 'Docen1bor 31/ 1997, 11ilcl n villuo o[.II,~lj,OOl)"OO, Wo newd to hi1ve /J report Ilhow.l.ng tho vnluo at l:ho Ume of the mnn:li\go and th~t report should bo providocl to Mil, COl1ley ilt leasl: sIxty (60) claYIl pr..i.or to tho hOilr.i.ng on the eoonomic IflSUOB, Husband hilS had certclin ItemB of household tal1gIb1o personal property npprn.l.sod, Hllubi\l1d.also would l.i.ke to hllvo clpprnlsod ItomB of' housohold ti\ng.l.ble persol1al proporty .in w.if'eIB pOllf'iOll/d.on clnd 11.I.J'o wIll make those .i.to1l\tl ilVilU.able BO that tho ilppra.l.slil can be clono w.i.thIn tho noxt sIxty (60) days, Wlfll alAo r.OBorVOB tho rIght l:o hnve an ilPpril.i.llill of' the .l.temB in the hOl\\o which Ll.kO\~.i.se wIll bo accompliBhed l~ith.i.l] tho next Bixl:y (60) cloys, lIusband hilB mado on inquJry clS to whether or. nol: wHe hna a rrudont.i.al I.,.Ho .i.nsl1ranco policy and Mr, Kayer Is go.l.l1g l:o'provIde any Inf'ormatlon thllt hlB 01.1.ont cclnprovide regard.ing the ox.istonco of' a Prl1dlmUal I.,LEo pol.i.cy, Il Il'ho .i.HBUO \1/.L t:h ruspoct: to dohl: .i. nvol V8f' fl cr(;-)d.1. t card pnymont of' $2,J65,OO wh.l.ch husband mudo f'ollowil1g tho soparaUon whIch w,l/'o Ilppnrontly .i.nourrod f01low.i.nlJ the separat:Jon to tclko a tdp, HlIsbclnd Is cln.1.m.ing thnt he should bl] untItled to somo crocHI: for thclt paymunt of' delbl:/ w.l.f'e's pos.i.tion IB thcll: sho took tho trip wIth hllsbnl1d's conflOnl: .in ordor to thInk about wlwther or not ahe wanted to conl:.l.nufi .i.n tho mad. till rolaUolwh.l.p nnd that: husband agreed to g:l.vo hor I:hcll: U.1I10 nnd to PilY for hnr trIp, Tho Pill:l:.i.oB alno had a jolnl: choc);in(j account nl: . JERRI L, OOIJIlA, JllnlnllO' VB, WlLLlAM S, aOIJIlA, DefondAnt I IN mVORCE , - , ~ {- i::" .. I ~,l .-, , ., " ,_. " - ,. : PETITION Fon RELA'l'I!i)) CI.AlMS llNllEij ill.Y!illCE COD1\ COMES NOW, tho POlltlonor, 'Jerri I", Clollbn by IInd Ihl'ough hol' nHorney, Jnmos J.I\nYdf, ES9l111'o, IInd I'oupoolltllly I'opresonls thlll: .,' (i.. ~, COUNT I . ALlMON\' 111111 A,LlMON\' NCNllICNTJD l~ln: I. Pellllonol' Ineks slIfl1olont Pl'oporty to p/'ol'ldo for her /'ollsonnblo rnOllns nndls tlnnblo to SllPPOrt ho/'solflhl'oush npproprlnto ernploynlonl. 2, l'etlllonor /'o~lIl/'os ron50nllblo Sllpport to ndo(lllnloly rnnlnlnln he/'self In lIocol'c1nnoe with tho stnndnl'd of livIng estllbllshod durln!llho mfll'l'lnge, 3, R05pondolll enrns In e/(coss or $50,000 pOI' yonI' find hns sul?slllntlnlllssols, 4, Pelltlonol' l'e~uosls the Court 10 entOI' 1IIIlI\VlIrcl ofrensonn\Jlo tompornry nlhnol1Y IInd nddltlonnl Slims liS Ihoy mny beeol11e neoossnry l1'ol11tlmo to time horenfier IInlll I1nlll hen ring nnd ponnllllontly thol'enftor, Respoolfillly submlttod, Kayar nnd arown 'Atlnrnoyu AII,llW A Profolilllolllll (:orl'olllllon 1.II)ulty 1,011 'I I:, 1.lhurty AVlllIllU Ol\rlllllu, PonnnylVllllln 17013 u"l11l1l1: )I\l\yur~cuplx,lIul Tolopl1ona: (717) <?43,70?P. EillLMlHUUMum FAX: (717) ?4a"0046 .101'1'11" (iolll1l1 I.H Willow MlIll'lIrk Homl Mochllll\l181111I'g, M 17()~~ /)01\1' .JulT!. Wo 111'0 plollsod thlll YolI hllvo IIskod 1<IIYol' &. Ilrnll'l1 tn ruprOHol1t YOII, This doolllllol\l Hols Ihrlh Iho l\groolllulIl oOl1oorlllllg 0111' rOpl'uHulltlltloll or Yllll IIlId will hucolllo ollbullvu 'lIpnll 011I' recoipl or 11 Olllllllulsigllod on!'y ol'thlH Agl'oolllUlltlllld tho rull\llIur l'cu, W0l1111\1I0111l1l10rll\ko 10 dOllllY 1I'0l'k nil YOIII' OI\HII 1111111 11'0 I'l!clJll'o thin l\grooll\lll1t HlgllUd hy ynll1l11l1 tho I'otlllllor l'co, I, Wo I'oqllost lhl\l ynll pl\Y 100111' 111'11111 rotllll1ur Il1lhu IIlIIllllIll of' $(illll,IHL Wo 1I'i1ll1pply YlllII' I'lltl\hlllr 1I1!IIIIIst tlmu OXP0l1dl1d Oil YOIII' 110hlllC liS well liS III1Y OXPUIISUH Il1uIIl'rcd III YOIII' ruprosol1tl\llnl1, IIl1d III slloh \111I0 I\H thl\llllllolll1tls OXhllllstod, YOII will 110 I1ll1ud roglllllrly lilr IIddltlol1l1l limu oxpolldod, This lullur oonlll'll1H Ihlll ynll hll\'o 1III'0lldy pllld $(i1l1l,1I0 Il1ln YOIII' rolllll1uL 2, Wo I'oqlllro Ihl\t YOIIl'oplol1lllh YOllr rotllll1or rogllllll'ly hy plIyll1g IIllulISI $SO,lIl1 ullch lIIollth, lJpoll 00111pilllloll0l'YOIIl' 1I'01'k, IIIlY I1lPl1uy rUl11l1llllllg 111 YOllr rutllll10r IICCOIIl\t will ho prolllptly rel1mdud to YOII, " 1 Dill' I'Opl'llHl11ltlllloll ol'ynll wllll1u llhlll'god 1111111 hnurly rlllo, 0111' hOllrly 1'1I10 Is $12~,O() PUI' hOllr, Wu wllll\Oop YOlllldl'lsod 01' 1111111110 oxpolldud hy IIH 1Ill'0pl'OSUllIIllg YOII, II IH IlllpoHslhle 10 dolorl1\lllo III IIdvlIl1CO Iho 111111111111 ol'thl1o Ihlll will ho 1l00dlld tn COl1lplclO ynllr CII,~O, 'I. Wo will hili ynnl1101l1hly nil 11111110 llxpul1dcd hllHln, Wo will chlll'go II 1111111111U ohllrgo or I ,~% por 1ll0111h (111111111111'1110 of' I H'V,,) 10 III1Y IICCOllhl hllllll1CU which 1'011\IIillS olllntlll1dll1g fhr 11101'0 Ihlll\.lO dl\yn 11'1111\ thu dl\lo Hllch 111\II\I1Ce IH Il1l'nll1od, I'll HI dllU IIcllnllllts IllIlY 110 lill'lI'lIrdod to 0111' Ilollol1llnll IIgUl11 1\1 our dlsCl'olloll, IIlld ynll will ho 1'0npnl1nlble lilr IIIlY colloctloll l'cos nr coslH WO Illlght hwur, ~, COHtH oOlllllst nf'nlll"of~pockol uxpOIlHen, Hllch IIn I1l1ng IOOH, pmcosn sorvll1g l'cos, I I'll Il Hl1r1 pI n, 11'111'01 lllilulIgo, IIlI'Osllglltors, IIpprlllsors,lIl1d IICC(llllllllllln, Costs 1I'IIII\IHol1o itullllzod 111111 hiliI'd Oil II periodic hllsln, Il1lllnst IIlHllIlleOn, YOII 11'111 ho roqllll'cd 10 I\dl'lIll110 1111 COllin 110coHsllry 'hI' YolIl' CIIHO, Cl, Wo shlllllwup YOllll11hl'l110d IIH lolho pmgrosH nf ynllr CIISO, WII Hhllll nOlld coplOH or 1111 PIlJ1urH l1nlllll1g Illlllld gnll1g 0111 nl' 0111' ofl1co, 1Il0llldlllg cnlTospolldul1co, plolldll1gs 11l1d nthul' dOCIIIllUl11s, 11'111111 111111\'1111111110 whun YOlllolophol1o, ynlll' clIII will ho 1'0tllnJod with rOllsol1l1l1lu prnlllptl10HH, 'l'lwro .I 0 1'r1 I.. (jOllhll Mllroh I h, 11)1)1]. I'ngo 2 will ho Ihn~s wl)(lnl will ho In CPlIl'1, III nl~~lIngs, 01' pll1orwlso llllll\'IIi1l1hlo Ip nnSW~1' Ylllll' (11111. ^t:~II(lh II1110s, pl~lIso Ibol clllllhlollllo IlIlk wllh illY sl II 11', If'YllllllrO J!lIsslllg Iln Inl\11'1l111111l11, thoy Clln "ollvul' II III III 0 wllhllllllho 1l000ssIIY ol'Ylllll' wlllllng 10 hn\'O 1110 rollll'lllho 01111, II'Yllll 1111\'0 II ljllosllnll Ihlll roqllll'oH IlIlnllswor li'IlI11IllO, Ills nil' ollslor Ihr illY stlll1',o ohlllll1lho hllUkl.lI'lHlIllllhlll1 Yllll, hrlllg 111\111111\101' 10 illY 11\101111011 wllllll I 11111 n'oo, IIl\d Ihol1 h\\\'illll'ospOl1so Ibr YOI!. 1f'1t Is nocoHsllry Ihlll YOll spollk willi 1\10 dll'uClly, I wllllll\Ol11pllOl'otll1'll YOlll' UlIlIl1s sOOl1l1S pllSslhlo, I hllvo 111110 Iblllld Ihllllll 1l1lll1Y IlIsllIllClls Ihlllll'Yll1I hllVo II pllrllClIllIl'ly dOlllilud ljllOllllol1 01' concol'll tllIII IIIH hOllllhll1 YOlllIChudlllu 1II111ppnlllllllol\I to 1'01'1011' Ihllt 1111ltlOI', II'YOIIIII'O ulllllllg 101101 lip II1111ppollll11101l1 ollly, YOllllollllllot IIsk Ibl' 1110 pOl'sol1l1l1y, "1011110 11111, 10 IIpOIlI, to illY socrotlll'Y who will ho IIhlo 10 Hol lip II1111pplllllllll0l11 III II Illllu CO 11\'01110111 10 YOII, YllIllIIlIY IIlsll 10llvu lIIuSSlIgOII III 0111' I'oglllllr oll1cu 1111111hol', nix 1111, llI' 0-11I1111 liS lit III1Y \ll11ool'<II1Y, 7, Dill' rogllllll' oll1cu Ill1\lrS III'U MOl1dllY Ihl'ollgh FrldllY, 1):OIl 11,11I, IIlltll 5:1l1l p,l11. Wu I'uuoglllzllthlll 1l1\10l'gul1cios CIII1 occllr IIlld Ihlll II I\1I1Y hccol\1u Ilucollllllry 10 spollk 10 YOllr lI\1ornuy hlll\1odlllloly 011 1111 ol\1orgollcy hlll\ls, ^s II oOll\'OI11ollCO Ihr nilI' olluIIIII, 11'0 hllVo ostlllllll1hod IIlwol1ty"lb\ll' (24) h01l1' ol\1orgcl\cy \'olco 1llllllllystOI\1, 1111ho OYOlllllflll1l\nOr hOllrll clllorg0l10Y, 01l1l240-')5~5 IIl1d ICII\'o II volco 1\10HSUgo Ihlll Il1ehldos II hrlol' dOllol'lpllol1 of' Iho pl'nhlol\1l1l1d 11101l111\1porllllllly, U lolophollo Illl1l1hor whul'o YOII CIII1 ho rOllchod, Tho ol1,dll\Y 1I110rllOY will rolllrn YOIII' CIIIIIIS II(HlI1 us pnHlllhll', AI\Y 111\10 spol1l hI' thlllltlol'l1oy Oil Ihis ol1lOrgol\cy hllllls will ho II II h.l 001 1011 1111y porool\l (5(1'V.,) slll'chlll'go, H, Froljlllll1t1y, cOllrls will sOl1d dOCII1l10111s dlrcclly 10 YOII, 111111 pili'll' tll Iho IItlglltloll, ul1d lhoy will 11011l0lld copllls 1111111, liS YOllr 1It11l1'l\ey 01' I'ccor<l, I'm Ihls 1'01lS0I1, 1IIIII'cry Il11polll1l1llll1ll YOII fhrWllnllo liS I\I1Y "0011111011111, pllporH, or cllrrollpOlldol1cc which hllVo hool1 s0111 dlrcctly III Ylll1l1lll\1 Ihu Cllllrt Ill' thllll UI1I' othor HllIlrCO whloh I\1U\, hllvo 11111' hourll1g Ill1lhls I\1I1t1or, , " I'ICIIIIO dlllo IIl1d oOlll1tOI'Slglllhls ABl'eOI1l11l1tlll1d 1'01111'11 It 10 liS, '1;:( '. ^cooplcd this _ dllY ofMllroh, Il)l)l), VOI'Y lrllly YOIII'S, ( , /, , ':, {, .. i (' ~ '. . I, 'I... ,n \. (,\ l~f ~':=-' J IlIllll~" Ilk ~ ~ ~~ } " ,:.. ~ 5/ ~- I ; Cl l:t;' ~' . .-L:J IV) [il: ..:, i I , , f}'-l~ '\ Ii I " i);iJ 1,,;1 I;:: ~ , , r.:1 ,':,,-1 ,,~ I, ~ ( , ; 'J_J I:.' ~~ " re, '-!-''-; ~ 1 I ' i:f) 'I (.<) ',ill, , ~ " f,\ (HI i ~ Cll' (..l ff i~ ~ ?\ 3~~ ~'~ ..:::J ~ . (1, ~~ ~ ~ ! ~ i, ~ ~ 00 ..,t; ~ ~ 2J ~ 0' w ~ :J , " , ,If 'i " " '\\1 . . '. Ill, IN'I'!\NCilIll,li: I'lqV-iONM, I'IHIPlqf!'Y ^, WIFWfl Ii(^.. '1'11\, PIIIII\IIIT 111I" 1l11111111111111d 111\ IH^ wilh TI^"-Cl'or whloh II'IIB I'l1hl\,d 111 ,1\1110, I'J'JH, III $~i:!,(I'I~,(I~, 1\, III IHII^NIl'H II{^ . ,'I'llll Dolblldlll1lll1lll 1I111111111111Cd 1111 II{^ Ihl'l1lll\I1I'l'lldl1l1lll1l Hll\'lIl'lll\lll, 'l'1111l II(^ hlHIII I'lIhH' I1l'lIppl'll~ll1llllel~' $(I~,ooO,()() IIl.!lIly or 1')l)H, C, AlvllmlC^N C1(NTI ll{ Y 1'I{l':HFIW,\'I'loN 1'1 IN!) ''I'hhll1111d, .Ioll1lly hold b~' Ihll PlIl'lil," II'IlIl I'lIl1wd III IIppl'oxlll1l1loly $SHOO,(I(1 III Iho dlllll 01' 1O\lpIII'lIllllll, Tbo pIIl'llcs hlld dIH('lIlIllcd 1110 dll'llIlolI 01' Ihlll rtllld llOIlt'IIITOI1I with Ihc "l'dod !If' 1I0pm!llllIl1 IlIld 11'11\1 hllll I'lloclwd IIppI'OXllnlll\II~' $~,(I(1Il,O() fI'0111Ihl:IIII1COllII(. D, . ,,^IrI'IES' ,1011'1'1' CIII';( :1: IN<.i ^I:(:o\ INT ,. '1'110 pmll\," Iwld II .Ioll111lhclll;illll II0llOlll11 IIl1d Iho I'lIhlO of' IhlB lIellOll111 III Ihl1 dlllo of' !IOlll\rllllol1 II'IIIl IIPPI'I1Xll1ll1l\\I~' $H()(),OO, IV, T^NflllI!.l': PI.;HHONA!. I'IWl'lmTY ^, llJH9 IIONIl^ ^CCUIW.. ThlB ""hide, 0111'1'1'1111)' IlIlho 1I'1I'c'1O POllllosBlon III 1'II111Cd IIll1ppl'l1xI11111Io1~' $2,000,00 II, I C)IJ7 FORD F-ISO TlnJCK ,.. 111II111lI\1l1 hml n1l,II1lHllwd pOSlIl'Slllol1 of' Iho 1997 I'llI'd plck"lIp 11'11111;, IllIshlll1d 11IIB cllIl1ncd 1111I1 he IH'I'I'I1\\'l!IIIlHlI1UY 1'1'0111 his plll'lll1ll1 1(11' tho p\ll'ohllsO or tho Il'lIcl; IIlld 1I1lI1 ho Iltlll hW11I11 011.\111\111111111\ obllglllloll to Ihcl11 111 Ihe 111110\1111 or $iI7?O,()(), Ilowul'ol', Iho 1I'1I'c hilS 110 I'ccollcetlol1 or III1Y 1I1'1'II11glll11ellls Ihlll WCI'O 1I111dc \Hllllo1l1pOI'IIIll'0IlB 10 Ihc plll'cl1l1Bl\ 10 Iho tl'lIe!; 111 whkh Iho hllllblllld 11'1111 I'cqllll'ed 10' hol'l'ow IlHlIlOY 1'1'01\1 hhl plll'OlltB IIl1d ljllClIlIlll1l1lhe 1'II11dlty of' IIlllllllcgod 11'1I11!illl'lloll, C, IIOUHI(IIOI.IlI'IlSSESSIIlNS. Thc PIII'IicB hlll'C dll'ldl:d Iho hOlHlchold pllSIIOlllllollli holll'ool1 lhol\l. II III IIllkllOll'1l IIllhlll 111111' whetlwl' hlllllwlld iB IISlOo1'111I1\ 1I11~' e1111111 Ilfl 10 tho I'll h 1(1 of Ihollo POIl!wllslons Ihlll tI)lJ ",IIi, loo\; II'llh Iwl', In the I1VUnllhllt ~lIch II "'111111 I:; p\lr:;\I~d, II wllllllll1ol'l'lIlill1')' 10 IlIdqlOlldul\lIy osllIhlllil1 Ihul'lIhlu or 1I111111lllil pOIiJ"'I;S,,<I h)' olloh p"rl)', V, IIlJHlIi\N\l' H 't''''ill*H~1\' II\1HINI':HS '1'1111 h\llihlll\d III Inlhu 1\111 1I1\1l' prlllJlllIo 11f' TIIXldl'l'Il1)', This 1111\ \t\lIiIIWHII Ihlll11ll hils P\ll'SlIu!i Ihn'llghollllhu IIl1llTllIl~I' 1ll1d prlOI' 10Ihull1l1l'rllIl\lI, Tlw wi 1'0 III so ('ollll'lhllll'd hor \11\)(IlIlId u('l\ll'lll 10 Ilss\Jlllhu 11lIshlll\d IlIlIdlllll\llIllJl'llIg Illll hlllill\uJH; whllu Iho PlIl'lkli lVOI'l1 1111I1Tk'd, lhllihlll1d'li 1'01'011\1I11i IIl1d lilllll:; hlll'o lIllIllillilllllll)' hWI'CIIHlld 1I11'011gholll Ihu 101'111 or I Ill' 111 11I'I' III l\1I , Tholl\whlll\d 11IW dlJlIllId 1I1II1Iho hilS I IIl1iH; Iihol1ld Iw (!ol\lIldol'lId II IIHlrlIIIIIISI"JllIl1d 10 Iho lIXlllllllhll1 II Iii Olll', 1111\1 II hllli 110 Id [1.11 I lie II 11 I I'll II III , II Iii will.'1i poslllolI 111111 till' 11I1l11l\Oli1l Iii II hlghl)' pl'olilllhk ollll'l'pl'lliu Ihlllllllli gl'llWII III 1'1I11\L' 1i11lL'l' Ihll PIIl'Ikll' 1II11\'I'11I[\llln .1111\0 or Il)l)(), '\1I11111'(\ll\gl)', II will hllllllclllwllry 10 pl'lJIiIlI1I cxpol'l IL'1l11111(11\)' liS 10 Iho 1'111\1111101\ 01' 11ll' hOHlnuHlllllld Iho IIppI'L'1I1111101l0(' tho hlllilllOHS 0\'l!1' Iho IHl\II'BO 0(' IhL\ 1111\1'1'llIgo, VI, M^HI't'Al, 1)\I~lI'I'H ,- Tho only dohlli Ihllllhu wll'c III IIWIII'C 01'11\111 WOI'O Il\clIl'l'od dllrlllg Iho 1I1111'1'llIl\l' 1\'O1l' Ih" 1il'lilll1\d 1i1lClllld IIHlI'lgIIgCIi IlIiSIWlllllld wllh Iho pl'opol'ly, VII, 1'~Xl'lmT WITNI(SSI':S Tho pllllnlllfllllondlllo lJlI\llvllolllld Signor, CPA, oll1plo)'IJd wllh SlJllglllll\1 Frludl11l1l1. Il\c" Ihl' Iho plll'pOlill or ol'lIll1nlll\g Iho WOl'lh of' Iho TIIXldlJl'lll)' hlllllncss, 1'IIIInIIITI'Ulil'I'I'LJIi Iho r1ghllo pl'ollolll lJxpiJl'll'oh\1lll1lloIiIIl1l01l)' 101l1\y oxpcl'llClilll11ol\Y pn"sl.nll't1 hy Iho (Iol'endllnL VIII. FAC'I'Wl'l'NI(HHI(S ^, 1'IIIIntllT 1\, 1'11111\111'1' Ii pll1'cnlli, I I' I\COOSSIII')', 1'IIIInll ('(' S plll'imlli wllllcsll fy (0111011' OhliCl'l'lIlillnH 1\1 Ihel'\dllllol1iihlp IWIlI'lllll\ Ihe 1'"l'lkii dllrll\lI 111\11\\111'1'1111\0 11\1(1 PlIl'lklllllrly Ihc Sll'lllll:Ol'ii UI'I'clll I 1\1\ III\' 1'111111111'1' 111111\111111001' mlpllI'lllIolI, The 1'111111111'1' 1'(ISlI1'1'IHllhc r1l\hl 10111'UI111III I'lI\1I\lIl1lwlll\CHHllillll thu 1IIll0urlhu h11111'hll\' Pi, lWllllt~NC1\; MIlI,\XIlIIIITH 1\, HIII!CIllUl\ls 1)(11'1111111111\ lollw I'IIIIIU ol'clI"'l J1111'\iu II(^ 1I0uoIIIII, blll\l; 1IIJ1l111l1lI, 1llll'll1p,u 1\01l011l11, 1\, I{uool'llll 11(1l'llIllIll\g III hlll\l; 1I11colllllilOl'IIil1 hl1shlllld'i1 hllHll1CSU, C, 111\'C1\101'>' IIlId ^pp1'lIlulII or IlilI hllsllllllll'u hW;!1I1liIS, p, ^PPl'lIlsliI oj' Ihe 111111'11111 hOl\w, I I' I1mICIIHIII'y, 1\, HIII\(llllOIIIB 01' hllll\l\clls owed Oil lil'sllllld IlCl10IHI1I1l11'1l\lIgo, F, 1'111'1 !L:s , IIIX rutlll'llS (Noll'. II shollld he 1I0led Ihlll hllshll11l1 hllH tlll,ol\ Iho \lIlHlllol\ Ihlll hill Ill:tIIIlIII\IJOI\IllIIlHllhu hll:,llIlli;n' 1Il\l\llllll\cOlll1llln1l1celll'lIlulY l'oIlC('ll'd h>' Ihe p"l'lk'H IIIX I'll I 111'1I11, 1'111111111'1' IH 11\1'111'0 1111I\ 11\l' hllshlllld ohlllll\ml ullsh PII>'I11CllliI Ihl' ulglI\lkulIl pOI'lIollH or hili wOl'k 1111(1 hUH lH1hllllqlllll\ll~' I\ollllllhnt Ihe hllllll\oUH tux l'el\ll'l\s do 1\01 HlIOIll 10 1I0CIII'II1uly 1'0l1ccI tllll IIIll0IIIII or ellsh rllclllved hy Ihu IlIxldenny hllsll\ess, II Is 11\'1' 11\101\1101\ tolesllf'y 1'01\111'111111\ hcl' I'llCollecllolHllllllo elwh I'cCl1IpIS), X I'IWI'OHlm HI'\HOJ,II'1'lllNH OF 'I'm: I'\CONOMIC IHSIlI';S ANIl \lIH'I'IWIlIJ'I'ION I, ^, Allmol1Y" W\lb sho\lld 1'l1eclvo 1I111ll0l1Y hllscd \lpOI\ Iho l'ncl tlm! Hhc 001\1111\11's to IIctll'oly 11I1I'HlIll 11\ 1'\111 111\10 st\ldles III Ihe plIHI IIl1d 1\\lshlll1d 1I1\1'1',cd 10 sllhsldlzl\ I\l'\' IIl1l'.ll1pls 10 hclle\' hCl'sel1' IIH \l'cllllH IhlH 11I11lsIIIIII'IllPt. Tlw IlItcsl wll'c'll CO\lI'SC or sllldy Is Ol\lI sho plll'Hlle(1 prlOI' 10 Ihe plI\'lleH' scplIl'lIllol\ IIl1d 1I1le did sO\l'lIh Ihe IlIdlllPPl'ol'lI1 or the hllUhlllH1. Hhe Hho\lld he cllglhle iiII' 1\1I1llol1Y IIllhe I'CI'Y 101\~1 \11111\ slWl'Olllplules Iwl' ", 'I 'I " " " fl' '" ,..! '- , fr ..,J f:. " " I';': \1,) I ".i"" i\ "'j ),') , , , ~ i , ,I ' , \ :.'" .," l.l" ~;-! C}! , 1",,/ '1 [I,J , , :1 N, ,(-1;;4 " I \,., '>if!,j " ~' -; 1,f,l.1. I i."J "'5 I,' (n ... , ( fi'l U it " Iii I', " " , \q " ;1' H " , " ill' II 11'."\' 1\:1 :'}9,'//I,\' ""I lill:ll Ii' J ("{/'\"'" , .[ "f)'" '..1 j~)" h. _ _ > ( .\') )", I /'iiNN;')'III'dYli\ , j; jo " , " ,I " " i' , i! " " " " " " ~ "':'1 '~,' 11; ,("r;; r,., !1~ I~_" .) IJ\ ')"1' 1,11_.;" i .II.') U'{', ,:~ ,t',):,,: '/';li " CJ;,~i (1-., >,/,;' ] (" (.n '.1 J~I (9" . I ,.Lr-, 11' l1.1 .~' :rl[l'! e,,; . J t: Lt.) l; (,: I "'1 tl. ER ., .J (.J I. ,. ." " " '1- " " H " " " Ii " /I j, I. " i' " " I.' " Ii ,; i ~ !; " l! I', " " '.', " ;;, >I H i,', " i' " !i !t " ;, ii 'I! " .. " " '" j.' I. NOW, Tm~H'~Foln:, 111 c0l1filde\'1I111l11 of' IheHe promluoH,lIl1d nf'lhe 11111111111 pl'ollllues, I:OI'Ol1l1l1ls 1\l1(\llllllerlllkil111S hOl'olllllnCr sot l\1rlh, IInd 1\11' olhol' gond IIlld 1'II1\111hlo cOl1sldol'lItlnll, the rocolpllll1d slll'l1c\llncy or which is herohy IIcl;nowlodl!cd hy ollch of' Ihe pllrtles hOl'oln, IIlIshlll1(ll\l1d WlliJ, olloh I1Ml1d1111! 10 ho loglllly hO\lnd horohy, Cl1\'1ll1l1l1t IInd 1I111'00 liS lbllowu: I, A.I!Y.ICItUE_C!llLNIiI~.l~, Hllch pllrty 1I01111ll\l'lodgou Ihlll ho nr sho IIIIS hl\d tho nppnrtllnily In 1'00011'0 Il1depelldont loglllndvjoo 1I'llm cnl111so1 of hili nr hor selolltlol1 (Cindy S, Coil ley, ES'lulro rol' 11l1shlll1U IInd Jlllncs .1. I<lIyel', Esq\llre rnr Wirl1), Hl\ch plll'ty 1\111)/ \ll1del'slllnds tho I\lcls IInd his or her leglll rlllhls IInd nhllgl\tlnl1s, I\nd ol\eh pllrly I\oknowlodgos IInd I\coopls thl\t thlu ^llroomontls, 111 tho 0lrCll111sll\IIeos, 1\111' IInd Ol\lIltllhlo, IInd thllllt III hollll! el1tered Into lI'coly IIl\d vllh111111r1ly,1\1\l1 thllt Ihe exocntlol1orthlfi Agl'oemonlls not Ihe rcsullor nny dlll'oss nl' \lnd\le IlInuonec, nlld Ihnt It Is 111l11ho I'l1slIllof'nny i111propor 01' illoglllllgroel11ent 01' IIgreol11ents. In nddltlon, ol\eh pllrty I1l1dorstnl1lls the Il11pllet or tho I'onnsylvllnln Dlvoroo Code, whol'ohy tho eolll't hilS tho right nnd dilly to detcnnlno 1111 111 III'It 1\ I r1l!hls or tho pllrtles Inol\ldll1l,\ dll'ol'oe,l\lImol1y,lIlhnony /wl/rlel/lo IIle, cq\lltl\hlo dislrlhllllon of'1\111111\1'1t1\1 properlY or proporty ownod 01' possossed Indlvldlllllly by Iho other, connsol fees IIl1d ()()sls or 1IIIgntlon nnd, t\llIy knowing Ihe Slime, cnch pnrty hOl'lltn sllll doslres to ox co lite this ^groemont, lIeknowlodging Ihllt tho tonus nnd condltlolls Sl1t rorth horolnlll'o rllll', .lust IInd el\lIltnhle tn onoh of tho plll'tlos, IInd '. wl\ll'os his flnd her I'ospootll'e rlghl to hnl'e tho Cnurt of'Coll1monl'lolls ofCumhol'lnlld Counly, 01' nny other eOllrt oroompolont JlIrlsdlctlon, Il1l1ko flny dotel'lnlnntlon 01' ol'dor nlToetll1g tho rospootlvo pnrtles' rights 10 IIlhnony, nlhnony pel/riel/Ie /ill!, Sllppol'tllnd IIll\lntonnnce, oqulll\hle dlstrlblltlon, eOllnsel roes IInd cosls or IlliglltlOI1. 1. I>ISCLOSUlm OF ASSgTS, Ench of'tho pllrtlos hOl'etu 1I0knowlodl!os thllt ho 01' sho Is nWIII'O of his 01' hor r1l!ht to seck dlnool'ory, 1I10ludlnl! hilt not Ihullod 10, 11'1'111011 2 il1lorrolll1torlos, 11\0110118 lilr prodllcllon of' dOClIl1\Ol\ts, Ilw IlIkllll\ of' 01'1\1 doposltipl\s, Iho 11111\g or IIII'ontlll'los, nnd 1111 otlwr 1110llns of dlscol'ol'Y pOllniltlld IIl1der Illll I'cl1l1sylvnnill Illvoreo Codool' tho Pllnl\sylvllnin 1{lIlcs PI' Cll'lIl'l'ol'edllro, ElWh of' tlw pnlli(ls 1\ll'Ihcr nckllowlodgcs Ihlll ho 01' she IHIS 11111\ Iho OppOIlHl\llY to disclIss wllh oOllnsol tho concept of' mllrillll Pl'oporty nl1dol' 1'0nllsyl\'ul\ln hi\\' IInd onch Is 1111'111'0 Ilfhls or 1101' l'ight 10 hlll'o tho 1'0111 nl\d/or pOl'8ol1111 proporty, l'SIIlIIIUl1d IIssols, Ollrnlnlls nl\d IlIoon1O of'1ho olhur uss08sed 01' cl'nllllllod hy Iho courts llf'1hls 00 III 11\0 I1wollllh 01' III1Y othol' COIII't or oOlllpotonl Jllrlsdiollon, Tho pmtlos do hCl'ohy IIckno\\'lcdgo thlll thoro hus 110cn IIll1ull\llhll' dlscl0811ro tOlho othol' of' his 01' hor I'ospoctl\'o Ineol\1O, IIssots ul\d \illbllltlos, whothol' SlIch 111'0 hold jolnlly 01' 11\ thc IHlI110 of uno pnrty 11101\0, Eneh pllrty IIgI'C\lS thnt III1Y right to nlrthol' dlsclosnro, Vlllllllllon, 0111111101'111101\ or IItlllolllol\llhol'cof IlIlhls ^grool11ol1t Is hereby spocll1enlly \\'lIlved, IIl\d Iho pllrtlos donol wish tOl11l1ke 01' III1Pol\(1 hOl'ololll\Y fllrlhol' ol11lll1Crnliol\ or sllltCI\1Cnt, Elich plll'ly \\'lIITlIl\ls Ihlll ho 01' shu Is 1\0t IIl1'nl'O or III1Y 111111'IInlllssot which is not Idol\tlfied In Ihl8 ^grool11elll, Tho pllrll08 horehy ncknoll'lodge IIl1d IIgree Ihnt tho division of IIssels liS sol forth il\ Ihis ^gl'eol11el\t Is 1\\11', I'ollsonllblo IIl\d equllllhle, nnd Is slItlsrlletlll'Y to thol11, Enoh of tho Pllrtlos 11OI'oto I\lrthor oovellllllts IIl\d IIgroos for himself nud horselfllnd his 01' her heirs, oxooutors, IIdl11inl8trnlol's 01' IIsslglls, thlll he 01' she 1I'1\ll\e\'el' lit IIny limo hel'ollftel' sue tho olhol' pllrty 01' his 01' her heirs, oxooutOI'S, IIdminlsll'lIlol'S 01' IIsslgns 1II1l1\Y 1I0tlon of lllll1lonllo 1\ , direct 01' imlll'oct, IInd lI\logo Ihoroll\ thllt Ihcl'o WIIS II d01\11I1 of IIl\y rights 10 nl\l dlseloBl\I'o, 01' Ihnt Ihol'o WIIS III\Y frllud, dUl'oss,lInduo 1III111eneo or thllt thoro \VIIS II fllllnl'o 10 hnve IIvn\lub\o 1\1\1, propel' nl\d Il1dopondol\t 1'0pl'osentulio1\ hy legnl COUl\so\' 3, r..IillSONAL IUGIITS. \llIsblll\d IInd Wlrc mllY, lit 11\1 limos hel'ennol', 111'0 sepnl'l\to 1I11\11Iplll't. Elloh shull bo lroe lI'omllll control, resl1'l\Inl, iUlol'l\lrcnCll nnd uuthorllY, dll'oot 01' Indll'oet, by tho olhor, Elich mny resldo III sllol1 plnce 01' plnoos liS ho 01' she l11uy 8e\ocl. 3 Iillch I11I1Y, 1111' his 01' hul' IIOplll'II1o IIStJ or bUlle nt, (lOIHhlul, OIlI'I'Y Oil 01' Ollgllgo III IIIlY bllsll1oss, ooollpl\lIOll, pl'of'oHslolI 01' omploYlIlolI1 whloh 10 hl111 01' 1101' I11I1Y sool11l1lll'lHllhlu, HIIHhllnd lIIHI Wllb ~hl\lIl1l1tl11l1losl, hllrllss, dlallll'h 111' 111111'gl\ ulloh othol' 01' tho I'ospoollve Iilllli1los of'olloh 011"'1', 1101' COmpo I 111' 1I110l11pl to oOl11pollho olhol' 10 cohllhll 111' dwoll hy I1I1Y l110lllls 01' IIlIIIIY 11111111101' Whlllsl1ol'ol' whh him Ill' hol', NollIHll' plll'ly 11'111 Inlol'lul'o wllh Iho IIsO, oWllol'Hhlp, oIUOYl110111 111' dlHposhll111 of ul1y pl'opol'ly 11011' I1wl1od hy 01' hel'ounul' lIoqull'o(1 hy Iho othol', <l, MIJTlJI\LJ.~!ll\iSEl'!/:Ln"'OI~QE, Ills tho 11110nllol\ I1flho pllrllos, 11I1(1 Ihe pllrlios IIgl'eo, Ihlll by this Agl'ool11ol1llhoy hlll'o I'esoll'ed 1IIIIInolllllry 000111111110 Issl10s I'ollllod 10 Iho dlaaollll/OI1 01'111011' I11l1rrlllgo IIlId Ihlls III1Y dll'ol'co 1101/011 with I'ospcollo Ihoso Pllrllos shnll bo IImltod 10 II 01111111 rol' dlvoroe ol1ly, Tho Plll'tlos lIokl1owlodgo thlll 011 or IIhol1l MIIl'oh 4, 1999, Wlro Inllllllod II dlvol'co lIollol1l1l1dol' Ihe.l1o-HIIIII pl'ovlslol1s of'lho divol'oe oode by ntll1g II e0l11plllll11 dookeled l\tmllnbol' 99.1271 111 tho Cllmbol'lul1d COlll1ty COllrt nfCol11mol1 PIOIIS, Tho pllrlie~ lIoknowtodgo Ihnt Iho nllloty (90) dllY wIIIl/Ilg podod provided for lindeI' #330 I (c) orthe dll'ol'eo oodo hilS oxplred, Thorefero, oOlllompol'lIl1oousty with Iho oxoeUllol1 or this ^greemenl, olloh pllrty 11'111 sign IIn Mlidllvlt of'Consenl to DIl'ol'oo IInd WlIll'ol' ol'Notice oflntontlol1to Roqllesl Enll'Y or Dlvoroo Docroo IInd dollvor Sll1110 10 oOllnsol for 11l1sblll1d, who shllll PI'Ol11ptly submit slIid lIf'lidllvlts IInd IV II I VOl'S 10 tho COIII'I, IIlol1g with II Pl'lloolpo to Tl'l1nsmll Roeol'd, Vltnl SllIlIsllos tbnn Ill1d III1Y olhor doollmonls IICOOSSIII'Y 10 pl'oofpltllte tho prompt ollll'y of II dlvoroo dccree, MOl'col'er, Wlf'o shllll OOOpOl'lIto III Oblull1ll1g u I1nlll dool'oo In dll'ol'oo by !lIking nil stops nocossllry to wllhdl'lIW IIny olnll1ls sho hilS mlldo for ooonomlo I'ollof' 111 tho pOl1dlllg dlvol'oo 11011011, 4 Ii, ill..HlIIAIlLlUmUllIIUlTH1I'1, (II) lHlIl'll11Lltl!~IIl~IlCl\, Thc pllnl~s lI~k1ll1Wlo(lg~ Ihllt th~y UI'O tho Illlcll IlWIlOI'S, liS tOllUI11s hy th~ ~l1lll'ollos 0f'111111 \:orlulll hO\IHO UI111 lot IInll 1111 hllpl'01'011l01llH thol'o\lpnn 6It\lUIO\11I1 5 Wllsll{lsH~1' MIIII{nlld, MIl\ll11.loy, I,UllOUHlul' C'1l \I Il\y, 1'01111syll'UIlIII 17552 (hol'olllllOol' 1'0rol'I'od tn liS tho "Mllrlllll RUllldolloo"), Tho punlos IIl!1'UO lis lillloll's with l'eHpeolln tho Murlllll Rosldolloo: (I) Il\lshul1li shllll hooolllO tho solo 111111 oxol\lal\'o 011'1101' or Iho MUI'ltlll Roslllullco ul1d ahull ho ponnltlcd 10 luko IIny lIellol1l1'llh 1'I1spCOllhol'UI0 Ihl1l ho dool11s UPPI'Oprlllle, Wlro hOl'ohy wul\'ea, 1'01111111llshoa Ul1d rOlollHoH ullY IIlId 1111 pllRt, pI'osol11 nl' 1111111'0 I'hlhl, lillo, olull1IUI111 111101'081 aho I\1I1Y hul'o 1I11111d 10 Iho MlIl'ltul Rusldonoo, Wlfo shllll, lit HIIshllnd's I'cqlloRl, OXOOlllo II dccd tl'll11sforrll1!l1l1l of hol' I'I!lhl, tltlo 111111 Il1lol'oslln tho MllrlllIl Rcsldonoo 10 H\lsbul\d, (2) Wifo IIgl'oos thllt us Iho dllto oroxoclIllol1 orlhls IIgl'ooll1onl, IIIl)' Ul1d ulllltlo policios und uny othol' pollolOH or InSlll'lIl1CO wllh I'espoot to tho Murltul Rosldonee shllll 110 OlldOI'ROd 10 I'ofioet HlIshlllld us solo 011'1101' Ihol'ool' IInd I\lrlhol' ugl'oes thut Hushl\nd shllll bo enllllod to 1'00011'0 IIny Jlllymcnls now 01' hOl'ounol' duo lindoI' IIny slloh Inslll'll1100 pollolos, (3) COll1l11ol1elllg on tho exoclltlon dlllo of this ^gl'ool\1ont, HlIshllnd shllll ho sololy rcspollslhlo for 1111 costH,llxpcnRes und IIl1hllllius ussocilltod with 01' atll'lhntllblo 10 Ihp MlIl'itul Rcsldonoo, 111I1ludlng, hilt l10t Ihnited to, IIIlY IHOl'tgU!lUS, IIny 111111 1111 hOl\1o oqulty 10llns 01' II110s ofol'udll,llIXos, InSl1l'lIl1eO Jll'oll1ll1ll1s, IItllltlos, 11111111101lllnoo IIlld rOJllIll's. and HlIsbllnd shllll keop Wlfo IInd hol' slleCOssOI'S, usslglls, holl's, OxoolltOI'S IInd admllllstl'lllol's IlIdelHnlfied IInd hold hlll'lnloss rl'olllllny IIl1bllllY, uost or oXJlollse, Inoludln!l lIot\l1l11l\101110YS foos, whluh I11l1y ho IllolII'l'ed 111 cOllnoctiol1l1'llh slloh IIl1hllltics IIlId expol1sos or 5 I'oslllllllll li'olll WIf'o'H oll'11OI'Hhlp IlIlol'oHll1I tho MIIl'ltllllloHldonl:o, ~lol'oowl', Ilnshlllld Shllll, Wllhlll 0110 11lIIldl'od twonly (120) dllYs or tlw dlllo of' tho OXOolltlon ol'lhls ^lll'OOl11ol1l, lllko 1111 slops neooSSlll'Y 10 ohllllnlll'olollso or Wllil's IIIIhllllY onlho Iirsll11or\gllgo IIHs(wllllod with Iho MlIl'ltllll~osldollco IIH 11'011 liS tho hol11O O\IIIIIY 11110, II1Ishllnd shllll hlll'o II dilly to pl'ol'ldo Wllo with ooplos or 1111 doclll11cntllllon ol'ldcnolnll hol' I'olooso or lIuhlllty III oOl11pllllnCO wilh this sllhplll'l\grllph, (h) EuwlfthltlllHJUuLI!1tullllllltY., (I) The pllrlles IIgl'Ol' thllllhoy 11111'0 dlvldod hy ugl'col\lOnl holwoen t1111l11solvos 1111 1\II'I11shllll!s und porsonlllty loelltod Inlho MIIl'ltll1 Rosldeneo, IncllIdlng 1111 1\ 1I111t II 1'0 , 1\II111shll1gs,IInllqllos,.Iewell'Y, I'lIgs, ellrpols, IHlllsohuld IIppllllncos IIIHI cqlllpll1en(, (2) IllIshllnd shlllll'olllln, liS his sole IInd soplll'1I10 properly, 1'1'00 of III1Y IIl1d ull right, Iltlo, clllltn 01' Intel'esl of WII'c, ull of'tho pOl'sonllllY und l\ll'I1lshlngs I'enllllnlng In the MIII'Il1l1 Rosldenec, <. (3) Wlro sholll'etllln, liS hol' solo IIl1d Seplll'llto properlY, 1\'00 or IIny IInd lilt righi, lltlo, olulm or Intol'osl or Hllshllnd, lilt ol'lho pOl'sonlllty und I\lrnlshhlgs otll'l'ontly In hol' possession. (e) Motor Vohloles, (I) HlIsuund IIgl'oos lhlll Wlfo shlllll'oluln possession oflllld I'eoell'o us her solo 11I1\1 BOplll'lItO propcrty lho 1990 Ilondu Aeool'd lIlItomoulle ellrl'ontly tltlod 111 lhoJolnt 11I\l110S oflhe pllrtlos, 1I101l11With 1111 r1ghls \IndoI' lIny Ins\ll'l\neo pollololl thoreon IInd wilh ulll'osponslhlllty for pllymcnl ofllny olllslllnlllnl! Indchtednoss porllllnlng thereto IInd InSlll'IIneO thereon, 1\'00 ol'lIny IInd olt r1ght,litlo, ollllm 01' IlItel'osl ofl'llIsbllnd, Wlfo shllll illdomnlfy lInd hold I1l1shllnd lInll his pl'oporly hlln11loss rl'omllny IInd lIlIlIlIblllty, cost or ox pense, Including 6 IIcllllllllllo1'l\PY's nlCS, II10ul"I'\1(1111 COl1l1c\llloll wllh IIny 1'0hl(11c holol1!lll111 to WIIi, hy 1'11'1110 oflhls sllhll"1'l\gl'llph, (2) Wlli: IIwees thllt Illlshl\lI" shl\lIrotlllll possosslol1 Ofllll" rccolvo liS his solo 1\111\ SOplll'lIlo pl'oporly Iho 1997 Ford II.ISO plokllP truck IIlIlolllOhllc, oUITonlly tltlod Inlho .Iolnl nnl110s or 11\0 pnrtlos, IIlong wllh 1111 rights 111\"1'1' I1l1y Inslll'lllllle pollclos IIwrool\ 111\1\ wllh nlll'osflol\slhllllY fill' Pllylllol\lOf' III1Y oll18111ndll\gll\dohlcdl\oss porlnll\ll\g Ihol'\Jlo nl\d II\sI\I'I11100 lhol'con, rl'oo of' IIny 1111\11111 righI, 11110, elnlm 01' Il\lorosl or WII'c, IllIshlln<l shnll indelllnlfy 1111" hol" Wlfo 1111" her properlY hllrmless frollllll\Y nnd nllllnhl1lly, eosl or expel\SO, In9111dlng IIctlllllllt101'l\OY's t'cos, Il\clII'rcd In oOl1l1eollon wllh III\Y I'ehlolo holol\glng to IIl1shnl\d hy 1'11'1110 of Ihls Sllhplll'l\gl'llph, (3) Tho pllrlles IIgroo Ihnllhoy 11'111 OOopol'lIte 11\ orCeotllulll\g Iho Il'lInsror of\itlos nl\" Il1slll'l\l\oo 10 nceomp!lsh lho purposes of Ihls suhfllll'l\gl'llph, (II) lJre Insnru.tu\!l. The pllrtles ncknowlodgo nlll! ngroo 111111 onoh shnll rotlllnus hls/hol' solo IInd sopl\l'nlo proporty, nny nnd 1111 life InSllrlll1eo policies In hls/hol' nmne, /i'oo of nn>, right, 11110 nnd Inlerest oCtho olhor pllrly, (0) rmulun nnd IktlJ'emcnt lIollofltllo Wlfo I\ncl IInshllnd ol\ch hOl'oby speclnel\lIy rolonsos I\nd wl\lvos IIny IImlllll righi, 11110, 01111111 01' Inlorosl thnt ho or sho mny hllvo In IInd to III\Y und ull I'cllrolllonl hononls (inoludinl! but not Ihnltod 10 pOll8101\ or prof1\ shllrlng bOl\onls, doferrod 00l11pOll811tloll plans,401(k) plllllS, omployeo sllvlngs IInd thrln \1ll1ns, Indll'ldllull'etlremontllooounls 01' othol' similar hellelils) oflho other pliny, spoclnolllly to Illcllldo n wnlvol' oflllly spollsul nnnlllly hellents und/or hCllcl1clal'Y doslgnullol\s thol'elll\del', Tho pl\l'lIos 7 !lgl'oo Ihlltthoy llhl\lI OXOollto !lilY dOOUIHOul1l pll1'~IIUllt tolhc Rolll'olllOllt n'lullY ^ot or ullY slmlllll' 1I0tllmll111\Y ho 1'0(lllll'od f'1'0111 limo 10 Ilmu 10uccol\1pllsh thu PUI'POllUH of' this sllhpllnlgl'uph, SpoclliollllY,llw pl\nlos I\cKnowlo(luo l\llllugrou Ihnl WII'c shl\lIl'otllll1l\H hul' solo l\1H1 80pl\l'l\10 propollY lI'uo IInd elUlI1' or I\l1y right, 11110, ull\lmulld Inlul'ost of' Ilushund hol' TIAAlCRIlF ^oco\IIlIl\l1d lhllt I-IlIshlHll1 shl\lIl'otllln us his solo !lnd sopurllto pl'llporly rl'oo of' ully 1llllll\II1'Ighl, lltlu, cluhn I\nd Il1lurcst or Wlro, his Prndont\lll Scomltius Imll\'ldlll\l Rulll'ol11ont ^coount, (I) Eillunlli1llAilllitlUWl, The pllrllos 1\0kl1owlmlllo IIl1d IIgroe 1I\11llhoy hll\'o IIlrol\dy dlvldod Iholr Ilnllnoll\llIeoounts to their I11l1tlll\llll\tlstilellon Including, hul not limited 10, the ^l11er!eun Contnl'Y BOllh1l111 Cllpill\1 Pl'osorl'l\tlon FUlld un<llho Jolnl ohecklnll l\Ceollnt, (Il) I1nsllllllll'lLllrutll~nlcl'osll Tho pUrlios l\cknowlodgo 1I11\1l\t tho timo ofmllrr!lIgo, Husbllnd ownod IInd Intol'ostln 1I1uxldcI'I11Y huslnoss eurl'onlly known us Bill's WtI<llIre Studio, Wifo hcl'ohy II'lIlvos UI1Y right, tlllo, ellllm 01' Intorost she hus In BIII<I Hl\slnoBs nud sllld Buslnoull shnlll'el11l1ln Hnshlll1ll'B solo und sopnrnte property, (h) LlUllll Snlll l'IIYllllill1, Ilushnnd ugreos thnt ho shllll puy to Wire ns IInd for cl)lIitnhle dlslrlhutlonlho sumoI' Sevonly ThouHulll1 Dollul's ($70,000), SlIld Sovollly ThouRnnd Dollllrs ($70,000) shnll ho puld 10 Wlro within 0110 hundl'od twenty (120) dUYR of the dlllo of oxccutlon of' lhlB ^groelllolll. Should Hllsbund Iilll to PIlY suld Soventy ThonRllnd Dollol'B ($70,000) 10 WI f'o wlthllllho ono hundred twonty (120) duy porlod, Il\torost shllll bogln to noenlo on lho Soventy Thousllnd Do\lnl's ($70,000) on tho 0110 h\lI\dl'ed Iwonty first (121) dllY through dnto of'pnymont, 01 tho rnto of'prllllo Il\torest 1'1110 plus 2% per nnl1um, 8 Ol MlmUUIlQlllUJ't:U(lHW. t\s llf'thu oxuolltlol1 dl\tu ol'lhls ^UNoIllOl1t, IIl1y IIl1d 1\11 proporly l10t spuulllclllly I\ddrusscd hOl'ul11 shl\lI ho uWl1c(1 hy Iho pllrty 10 whom tho Pl'opul'lY Is tltlol1; 1\ III I I I' llllll\lud, thu plll'ly 111 possos8ioll, This 1\!lI'Ool1lOUI shllll oOlls\llll\o 1\ surnolol\l hili or slIlu to Cl'ldul1cU Ihu tl'l\nsl'cr or I\I\Y I\l1d 1\11 rights III s\leh Pl'oporly 1\'0111 ellol1 10 thc olhul', f.I) ft:U1l111'ly In Wlfll, The plll'tlus IIgruu Ihllt WI re shnll 011'11, possess, IIl1d olljoy, O'ee O'0l1111l1Y olnlm or HlIshllnd, the pl'oporty 1lIl'lInlu(I to hor hy the 101'1115 or this ^gl'eol11ol1t. HlIshlll1d herohy (1llllelnll11s, nsslUl\s IInd oOI\\,eys to Wife nil slIch property, nud wl\lvos nl1d rclll\qnlslws llIlY nnd 1111 rights thOI'UIO, together with I\uy In8\1l'nnoe policies covorlllg thnl propcrty,l\nd Imy cserow 1I0coUnts I'elntlng to thnl propurty, This l\gl'eOl11ellt shllll ooustlll1le II sufliulont bill of snle to ovldollce thu Irl\lIslol' or IIny nnd 1I111'Ighls In such pl'opOI"ty l\'on1 Hushnnd \0 Wife, (II) frU1lll[ly III 1I11lliu.1lll. TIlL' pnrtlos I\woe thnl HlIshl\lId sholl 011'11, possuss, I\nd OIlJoy, fi'eo rrOI11l\ny elnlm of Wlro, thc properly nWl\rdod to him hy tho terms of this ^gl'eement, Wife hel'ehy quilell\11l1s, assigns nnd convoys to Hushllnd nil suoh properlY, nnd wnlvos and I'olluqulshos nllY IIl\d nil rights thel'elo, togothol' with nny Insurnncu polloles covcrlllg thnl pl'oporty,lIlld any escrow IIcoounts rolnling 10 thnt property, This ^grcol11ellt shnll constitute o sumolont bill of snlo 10 ovldeuee lho trnnsrel' or IIny IInd 1111 r1ghls 111 sU\1h property from Wife to Hushnl1d, (I) Llnhlllly Not L1sllil, Enoh pnrly ropresonts IInd WIIITnnts to tho othcl' Ihlll he 01' she hilS not InoulTcd nny doht, oh\lgnllon 01' other \lnhl\lty, other thnnlhosc descrlbcd In this ^gl'uemonl, 011 which the other pnrty Is 01' mllY be \lnblo, ^ \llIblllty Ilot disclosed In this ^greomcnl 11'111 bc the solo responslhlllly ofthu plll"ty who hilS InculTcd or 1l1ny 9 hUl'unl\cl' 11l(I\lr II, IIl1d 611l'h plll'ty IIgrcus 10 PIIY 11116 thu SllmU shllll hU(Jotllll duu, 1\111\ \0 Illl\emnl!'y I\IlII hnll\ tho olhol' pnl'lY IIIlI\ his 01' hol' propol'ty hllnnlcs6 l\'omllllY 1\11111111 slwh Iluh\s, ohl\gutlolls 1\1\(llluhlllllo~! (m) Imll!.IIIIltnLulUnllJlLWlt'l!., If'nllY 011l1111,uotloll 01' pl'oooodlng is hOl'olll\ol' Inltllllol\ sooklllg 10 hold WII\lllllhlo Ihl' Iho (I ollis or ohllglltlol1s \ISS\II1\01\ hy Ilnshun(1 1lIHl0r this ^lll'UOmollt, H\1shul1d 11'111, III his sol~' o:':jH1I1S0, I\olunl\ WII'c IIglIlllslllny such 01111111, lIotlon 01' pl'oeuedll1g, whothlll' or 1101 wolHounde(I, Ulll\ Indomlllfy hol' 11111\ hor Pl'opol'ty IIgull1st UIlY dnl11l\gos or loss I'osultlng thul'of'rom, Inoludlllg, h\11nollhl\ltel\ to, oosts oroourt 1\I)(llIotlllll IIltOl'l1oy's roos Ino\1l'1'od hy WII'c 111 oonl\ootlon Ihol'ewllh, (n) lruIJlluulflLlIUl!lIl,.ufJlllIiUnnd, 1 f' IIny 01111111, IIctlon 01' pl'l1ooodlng Is hOl'ollflel' IlIltllltod seokitlg to hold II1Ishllnd IllIhlo lhr Iho duhls or ohllglllions IIss\1l11ed hy Wlfo undol' this ^llreel1101l1, WII'c will, III hcl' solo exponso, dorond I-Iushllnd IIglllnBt IIny such ellllm, IIctlon 01' pl'ocoodlng, whothol' 01' nol woll.founded, IInd Indemnify hll11l1nd his properly IIgnlns\ IIny dlllllllgeB 01' loss I'llsulting \hel'efi'om, Inoludlng, hul nOllhnltOlI to, oosts or court 1I1\llllClUlII IIltol'l1ey's reeB Inourl'cd hy Husbllnd in eonnoctlon thorewlth, (0) llill'l'nnty liS tn FntUl'e Ohlhw.1mwt. Husbllnd IInd Wire onoh represents 1I1l11 wllrrunls tu tho olhol' thl\t ho or she wlllllotllt IIny tll110 In the i\lture Inour or , ' " eontruot nny debt, ohl\l'gc or IIl1blllly Ihl' whloh tho other, the othcl"s legnl repl'cscntntlves, properly 01' estnlo 1l111Y bo I'Osponsiblo, 1"1'0111 the dllto of exceutlon of Ihls ^greomont, olloh plll'ty shlllluBO only thoso credit ollrds IInd IIccounts f'01' whioh thl\t plll'ty Is Indlvldulllly IIlIblo lInd tho PlII'tlos ngree to eoopel'lIto In olllslllg IIny 1'0111111nlng noeounts which provldo for Jolnlllllblllly, Elleh pnl'ly hereby ngreos to Indemnify, SIlVO IInd hold the olhor IIl1d his 01' hol' property hllrllll088 10 li'Ol11ll11Y IllIhlllly, lUSH, 00111 UI' O~p0I1S11 Whlllsuol'ol', Il1cllldII1IlIlCllll\IIIl\\ll'lwys 1'0011, Il1c\II'l'od 111 Iho ol'cnt Orhl'Onllh hOl'oof, (I, lUL'illlUlJl..L\I.JMilll.X..ALlJ\lillLY.1!lill'illiN1JUl111.jiflllltiAL I'lJl'(lOIIT, I\Xllopl liS pl'ol'ldecl holuw, Ilushlll1d IInd WII'c hClohy oxpl'osHly 11'1111'0, dlsohlll'llo IIl1d I'olollso IIn)' IIl1d nil rlghls IIlId elnlms whl(lh ho or sho 11111)' hllVo uow or 1\ll1'1l1ll\01' hy 1'0nS0l1 ul' tho pllrtlos'l11l1l'l'llIgo In IIl1nlOlIy,lIlhnony IWI/rlel//v lile, spousnl support nnd/or 11111111101l11l1CO 01' olhol' IIko hononls resulting I\'om the Plll'tlos' stilI us liS 11IIshllnd IIl1d wi 1'0, Tho plll'lles 1III'Ihol' 1'010llsO IIl1d Wlllve lIuy rlghtlllhoy mllY hlll'o to Hook l11odlticlltloll of tho 10l'ms of this plll'lI11l'l\ph 111 II CO\ll't of IIIII' 01' oquily, llllOll1g ul1dol'slood Ihlll tho fOl'ogolng cOl1stltntos II Onul dctennlnlltlol1 for 1111 tll110 ofoilhol' pllrty's 01111111l1101\ 10 cOl1ll'lhnto 10 Iho snpport nnd Inllll1telllllleo ol'tho olhol', Nl1twilhlltlll1dll1g Iho IIhovo, tho Plll'llos IIgl'OO thllt the C\l1'I'01111l1l1\101l)' pO/lllcm/v IlIe bolllll pllld by H\I/lhnl1d 10 Wlfo throllgh tho Dl1l\1esllc Rollltlol1s Socllul1 of'the COlIl't ofCol\1l\1on Plells ol'CUl\1bel'llInd COlll1ty, Ponnsylvllnlll ahllll, OOl11'el't to nllmony lilloI' Ihe dll'ol'oo doeroo IH olllol'od, Tho term of suld 1I\11\1ony pel/rlel//e IIte/lll1lnO.llY pllyl\1el1l11 shull be J.;!.;GI"VJtlC,\' . pllld rol' II tollll period of lllghleol1 (1 R) 1\10nthH eOllll11ol1c1ng ~ttmL-I';, 101lO, slIhllllhl10ny pel/dell/e IlIcl:lllmony PIlYlllol1ts shll\llennlnllte lip on the first o('tho following to ooe\ll': (II) tho o~pll'lIt1on of tho olllhtoen (18) 1l10111h pOl'lodi 01' " (b) wife's dellthi or (0) husblll1d's dOllthi 01' (d) wife's eohllhltlltloni 01' (Bee uddendlll11) (0) wife's 1'01\111rrillgo Fol' plll'poSCS or Ihls ^gl'OOlllent, oohllbltlltlon shll\l be donned liS tho oOlllll1l1l1nOO Shlll'll1g of II resldel1ee with 111l1embol' of\he opposlto sox for II period In exeoss or 11 Ihll'ty (3D) IIIlYs, Tho pllrtlos I\lrthol' 1I!Jl'ue thlll slI\lllllllllllllY /ll'/IIII!/III' IIll'/1I1hnnI1Y pllyllllll1lS shull 00111111110 In ho pllld Ihrollgh tho l)nl11osllu l{ohl\lons ornco ol'lhu ('l1llrtl1rCOl11l11olll'lolIs or C\ll11hul'll1l1d ('llllllty, 1'01l1lsyll'lIlllll, llowuvol', tho Plll'llus IIckllnwlcdgu 1I1lllllgroe Ihllt 111 dnlllg so, thoy IIru 1I0t eOllliJITII1!J IIpoll Iho COllrt o('COl1l11\lllll'loIlH l1fClll11horllllll1 COllllty, PUlll1sylVlllllu Ihu 1I1111)lJl'lty III IlllY WilY Inll\ndlf'y thutol'llIS or tho IIIIIllOIlY pI!/Idl!1I/l11iIl'1l1i11ll0Ily pllYll\onts, 7, ~mIHCI\.LlliSl!fu\NCI': COVlmA!l[o' 'OKlllllilli\l'1l!, Tho pllrllos 'lIG.~.nowlodgl1 thllt Wlro Is elllTelllly pl'ol'ldll1g Illodlo H lBlIl'llnoo rol' Ill1shlll1d Ihrollgh hol' pll1ee "'-"-" oromployii1ont"Wlru IIgroes 10 (jOlltlll 1111'01'1110 Sllld OIlVUl'lIgo IIl1tllslICh IIlllu liS II Divorce Dool'oo Is olltorod';lt'~~i;ich 'I 11~obllglllloll to prol'lde slllll COI'Ul'Ilgo Shlllllol'lnlllllto, HlIsbul1d " shull rohnbllrso \ for tho oostlo Wife fqr eOl1tll1l1ll1g 10 pl'ol'ldu sllch oovtlrllg~ to ,HIISblllld ror "., ' ,( (I,{I Illy 1,2000 to tho dlllo of tho dll'orco dOOI:OU, ' ,(_~_"'-\) _:~;' /I, COUNSICL FlmS. COSTS ANI> ICXI'ICNRKIi, Elich plll'ly shllll bo sololy rospollslblo rol' his 01' hol' own legul foos, oosts IIlld oxponscs Inourl'od 111 connection with tholr sopll\'l\tionllnd/nl' Iho dlssollltlon oflholl' Illllrrlllge,lInd tho prnplll'lltlon IInd olwelltlon ?rthls ^gl'ool11ont. 9, ~E1U>J1IN"'CIU'l'ANCIC ItlGHTS, Ullloss otherwise spoolf1ulllly " provided In this ^gl'colllcnt, liS ofthc oxoelltlon duto of this ^grecll1ont, Hllsblll\d IIIllI Wlfo elleh Wllil'OS 1111 rights oflnhorltunco In the ostllto or tho olhel',lIny right to cloot to tllkc IIglllnst the will 01' IIny trust of thl) othor or in whloh tho othol' hilS un Intol'est, und ellch of thc Pllrtios wnlvos ony IIddltionlll rights whloh slIid pllrly hilS or 1ll1lY hllVu by I'ellson of theh' Illllrrlllgo, except tho rights SlIvoll or orolltcd by tho torl11s of this Agroolllcllt. This Wllll'or shllll bo c0l1s1rllcd gcncl'lllIy nnd 12 shllll Includo, h\lIl1olhu IImltud 10,11 11'1111'01' of' IIl1l'ighls prol'llled lindoI' tho lilli'S of' Ponnsylvllnlll, 01' IIny ptlwr .Il11'lsdlollol1, Ill, .\YAlYKJUlliJml'U~ElklAliYJlK,'il!iNA11UN, Unless olhorwls\l speoilionlly sol rorlh In this ^llrOl1mCnl, olleh pllrty 11OrCl0 spucll1ellllY WIIII'OS Imy lI1\d 1111 honol1cillry I'lghls IInd nllY and all r1ghls as II sllrl'il'lng SpOIlSU III al1d 10 IIny assel, honol1t 01' lUlU prollrum cllrrylng II honol1elllry doslgnlllloll which holongs to Ilw other pllrly lindoI' Iho turm~ of' Ihls ^gl'coment, Incllldlng, hilt not IImitcd 10, ponslolls and rotlromollt pluns of' uny sort or 1I\\tnl'e, dcl'crrcd oomponsut\on plllns, IIro Inslll'lln()O pollclos, IInnllitlos, stook uellollnts, hllnk uoontlnls, I1nal P"y ohocks 01' IIny other posl.dellth dlslrlhullon sllllOmO, IIl1d oach pUrly exprossly statos thllt It Is his IIl1d hol' Intontlon to revoke hy tho 10rl11s of this ^grolllnent nny helWI111lllry doslgnntlolls nllmlng the olhol'lI'hleh 1\1'0 111 ufrecl ns oflho dnlo orexocntlon orlhls ^greemont, Iflll1llin tho ol'onl tho olhor p"rly oont\nues to he 11l1l11cd liS honol1elllry I1l1d no I1ltcrnl1te boneliell1l'Y Is otherwise dosignllted, tho benolicil1ry shnll be d001110d to ho the (mll1to of the deeOllsed pllrty, I II, ImLl~ASI\ OF CLAIMS, (II) Wife IIl1d Husbllnd nllknowlcdgo nnd IIg,:ee lhl11lho pl'Opol'ty dispositions prol'ided for heroin constituto I1n elJuitl1blll dlstrihntlon oflhell' I1ssolllllnd IInhllltlos plll'Sllllnt to !l3502 of the Divorce Codo, I1nd WI 1'0 nnd IllIsbllnd hOl'oby wlllvo I1ny right to division ortholl' pl'oporty oxoept llS provided for In this ^gl'ooment. FlII'thennol'e, oxoept llS olherwlse pl'Ovided for 111 this Agl'Celllont, el1eh of the pllrtios hereby speell1elllly wulves, I'elollsos, renounces llnd f'ol'over IIbllndons IIny 0lnl111, righi, tltlo 01' intol'est whntsool'el' ho or she mllY hllve in property tl'llnsf'orl'ed to tho other pllrty plll'SII II 11 I 10 tills ^gl'eolllenl 01' Idonllf1od In this ^gl'oel11ont liS bclonglng 10 tho othol' pllrly, llllll elleh plll'ty llgl'eos 110vel' to IIsserlllny ollllmlo sllld property 01' pl'oeoeds Inlhe l\itlll'e, 11011'01'01', neither purly Is I'olollsed 01' dlschurged 11'0111 13 Imy ohlllllllilll\ 111\1101' thlH ^!lrooll1Olllllr III1Y II1stnll1101l1 01' doclll1\OIl\ oxcclI\od pllrsIII1I11 to Ihls AgrllOl1llll\\, IlllHhlll1d nl1d Wll'o shlllll1Ol'ollnol' 011'11111\11 onjoy IlIdopollllol1\1y of'IIIlY clllll11 01' I'lghl 01'1110 olhol',lIlIltullls orpol'solllll proporly,tnll!lI\1lo 01' illll\lIglhlu,l\cqlllrud hy him 01' hol' Ihlm 1110 uxcOlI\loll dntu ol'lhlH ^gl'oomolll with 11111 powor III him or hul' 10 dlspos(l of'thu sl1mu 1\llIy nl1d ol'f'co\ll'oly I'llI' 1111 pnrpOHOS, (h) Hllch plll'IY 11OI'ohy nhsohlluly nl1d IIl1uolldl\lol1nl\y 1'0luIIsos I1l1d rOrllV\lr Il\schnl'!lus lho olhor IInd Ihe ostn\U or thu olhul' rnr nil pllrpOsOH rl'ol11nny IIl1d 1111 rights IInd ohllglltlonH which 1l11hur pllrl)' 1I11\Y hlll'o 01' nl IIny 111110 hUl'ullnor hilS ror pllsl, pl'Osullt or l\IIUI'O SlIppOl't or I11nlnt0l11111CO, 11III110ny /"'/Ifh'l/lL' Iilu,lIlImollY, equltllhle dlstrlhll\lon, oonllsol fcos, COS\H, oxponses, nnd IIny other rlghl or obllgnllon, lll:ul1ol11io or othel'wlsu, whothor IIl'lsllIg o\lt oflhu I11nrltlll roln\1onshlp 01' olhol'wlse, Inoludll\g 1111 rights IIl1d honollls \ll1dol' tho Ponnsylvllnin Dll'ol'co Codo or 1980, Its snpplol11llnls 1IlIlllll11endl11llnts, liS wolll\s undor IIny olhor In\\' or nny olher JlII'lsdle\lon, oxoopt IIml only oxcepl nil r1ghlS llnd ohllglltlons nrlslng uuder this ^gl'ool1lont 01' 1'01' tho hrclleh or nny or Its provisions, Nelthor pnrl)' shnll hnl'e nny obllglltlon to the olhol' not oxprossly sot rorth herein. (c) I1xeepl ns sol rorth In Ihls ^groel11onl, olleh pnrty hOl'ohy nbsolntoly IIl1lluncondltlonlllly I'olollsos IInd f'OI'OVCI' dlschlll'gos Ihe olhol' nnd his 01' hol' holl's, oxooutOI'S, IIdmll1lstl'lltol'S, IIsslgns, pl'Opl1l'ty nnd ostnlo 1'1'0111 nny IIlld 1111 rlghtn, olllll11s, dCl11nnds or obllglltlons nl'lslllg out 01'01' by vUtuo oflho 11111r1ll1ll'ehltlou,lhip oflhe Pllrtlos wholhol' now oxlsllng 01' heroll!\cl' nrlsllIg, The IIhovo I'olellso shnll ho o('f'octlvo rogllnlless ol'whothcr such clnll11s lIr1sc oul of IIny 1'01'11101' 01' i\ltmo ncls, conll'lIcts, ellgllgolllonls or IInbllltles of lho othor or . by wny or dowol', CUl'tosy, widow's or wldowol"s rlghlS, rn11111y oxol11ptlon or sll11l1nl' II110wl\IICe, or under the Inleslnte lilli'S 01' the right 10 tllke ngnlnst Iho spollse's 11'111, or tho right 10 Irell\ 1\ 14 lil'otl111\l COl\l'oYlll\CO hy tho olhel' liS 10slilll101\1I\ry 01' 1111 othol' rlght!l of' II sl\rvlvll\g spOIlSO 10 PI\1'\lolplllo 11111 dllCOll60d spouse's ostllto, whelhor IIrlsli\g ulldo!' Iho lilli'S or POl\l\sylvlll1lu, Illly stule, oOll1mol\wolllth or torrilory oftllC \Jllltod RllllOS, or IIl\y othol' COIIIlII'Y' (d) Ilxcepl f'ol' Iho ohllgllllol\S or Iho pllrll06 c0l11111110l1111 Ihls ^greomol11 ul\d 6uoh rights liS 111'0 expressly l'esorvOlI hOl'oll\, ollch plll'ty gll'os 10 tho othor hy the oxoolltlol1 of this Agreol\1Ul\tllll IIhsllhlle 1I11(llInOol\dlllolllll rOIC1I801l1\<\ dlselllll'go lI'ol11ull OIlUSes of 11011011, e\lllms, rights or del\1l1l\ds whlltsool'or Inlllw or In oqlllty, whleh elthcr pllrlY over hllll 01' 11011' hilS Ilg11ll1st tho olhel', 12, l~I~SlmVATION o.E.1lliQUll.illi, Elich pllrty will koep IIn<\ pr08orl'e for 1\ period of' roul' (4) ye\\rs 11'0111 the dlllo ortl1lllr dll'ol'co <\oeroe 1I11lilllll\ellll recor<\s rollltll1g to the t11l1rlllll eat lite, IIl1d ollch pllrly will 1111011' tho olhor plll'ty ncooss to Ih080 I'oeords In tho evol\t or , tux IIlIdlls, 13, MWlElCATION, No 1110dllientl01\, rescission, or 1I111011l111l0nl to Ihls Agl'ocll1ent shllll bo effoclll'o Ul\less In wrltll\g slgnod by elloh or tho Pllrllos hel'cto, 14, SICVI~I!AJlllJTY, IfllllY prol'lslol\ orlhls ^g\'llel11ont Is hol<\ by II court of cOl11petcnt Jurlsdlclloll to be I'old, Invlllld or IInel\rol'eollblo, the I'cl11l1ll\lng pl'ol'lslolls heroof shllllueverthcless surl'll'o IIml cOllI I 1\110 11\ full f'OI'CO IIl\d offcet wllholll bolng hl1plllrod 01' " Illvnlldllted In IIny WilY, 15, UlmA~ll, (folthel' pnrly hOl'eto hl'ollchcs IIny pl'ol'lslon hel'oof, thc othor pllrly shllll hnvo the right, lit his or hcr clccllol\, 10 suc for dlllnllgcs for such brclloh, or seek suoh other rOl11odles 01' I'ellof liS 11111)' bo IIvllllllble to hll11 01' hor, The I\ol\-brollchll\g pllrly shnll bo onllllod to recol'er 1\'0111 tho bl'ollohlng pllrty 1111 oosts, oxpenscs IIl\d loglll foes lIelulllly Ineutrod In the onfol'ool11ol1t of tho rlghls of the nOI\.hrollehll\g pllrly, 15 IN TIIIJ COlJIrI' OF COMMON PI~I\AH OF CPMlllml,ANP CDlINTY, PIlNNIlYLY ANI A .I1l1{1{11~. C/OlJBA, PllllnlilT y, NO, l)1).I271 WIl~I<'AM S, (lDUUA, Dol'ol1dlllll CIYII~ ACTION. LA W DIYDRCIl I>ICFII;NI!ANT'S JlIU~AL1i'W'liJ\llWJ!.lmtillANLTO l'i\JL.Q,I'. 192(I.3~(Jll ., ASSICTS II. MIII'IIIII AHHO(1l !lATH OF ANY pOIlTION LlIlNH Olt II ASHll'l' VAL1JJl VALUATION NON.MAIlITAL llNCIJMIIIIANCIlH 1 MUrlllllllcHhlclIlI1I $20~,000 CurlclIl Nn YllS'HCIIMlllltul ~ WCHtlllHHlI1 Mlllllnud (pili Wltblll !lllhlChUrl MI, Jny, 1',\ 1"~~2 uppnlllIlIl) - 2 Wltb'IITIAA'('11I1' $~2,rHJ.r'J fII.l0/lJH Nn Nn .- J III1Hhlllldl1l mA. $oI\4lJ"..1~ 7/.lINH Nn Nn " I'nllllllllilll HIIClllltlcH ACIlIlIlllCA.1I1.1H3lJ.~lJ -. 'I A11ICllcuII CClltllry $~,7HI),1I1) !lulll nl' Nn Nn, hili Wllb Jlcllhu11lCupltul Hcpunlllnll IC11lnl'CllllllcUHI I'ICIICIVUlh1l1 Fnllll $J,OOO nllllllhlH Aecl III 1)0 I.OOO.HflHIJ63 IWllnlllllufill1 Hepllnlllnll - - .\ Jnllll Cheeklllg $HOol nulll nl' Nn Nn SepUnllinll -- r, II)lJ7 Furd F-I ~o Pick-III' $H,OOO ('III1CIII Nn YCII, In IIullhulld'lI Trtld: pUIClIlII wllh u elllTelll hulllllCC nl' $4,720 - - 7 IlJHI) nlll)I)O $oI,OOO(pel <:IIITCIII Nn Nn IInlldu Accnrd Wllb) --- H I'clS1I1I1I1 P/IIpelly III $~,2h~ 0111 ~/I)l) Nn No 1IIIIIhlllld'H pOllllesHlnll --- .-. I) I'clHnllllll'lllPlllly To hl! N/A No Nil III Wllb's poSSCSSlllll pn>vldetl ---. III Wllb's Plllllelllllll Lllb IJllkllIlWII, N/A UllkllllWII, \JllkllllWII, IIISllnlllCe I'llllc)' IlIlinlllullnll IlIlilllllllllolllll IlIfillllllllllllllll III Wire's Wllb's pnssessloll Wllb's possessloll ~q~l!SSIIIII II IIICICIlIIC III Vllhlc or .0. Illllll Ill' YeN No I 1\IlIhllllll's TllxhlellllY Seplllllllllll II 1111 IlIclIlI 12 FIIIIIIIIIIII FlIcl' Mllcs \JllkllllWII, N/A Nil Nil, Wllb IllIcllllficl' I1I1ill'lIHI111l1I scplll'illlllll hi Wllb'lI plllllllllllllllll \J IlllU.l.llcky SCIIIIIllCIIIIII N/A Nil Nil -- It, lW1'.l:MJ.\lU'I'AL Miti\ITli II ASSET YALUIl PATIl OF lAIlNsOlt VAUJA'I'IC1N IlNClJMIH\ANCIlS 1111111>11111\'11 TIIHltlcll1lY IlllllllleHII Applonlllllllcly <:IIITCIII No $2,11I11I II, EXl'lm'l' WI'I'NICSSllli MI', C101lbIlI'OHOI'VOH Iho I'lghlln clllI Iho fbllnwlng oxporl Wlt110SHOH If'nccoHHllry: II, Roborl V, PollIo P,O, Box 464 Monnlvlllo,PA 17554-0464 (717) 291)-54~9, If' Mr, Polito's \oHlhnony IH nccoHHllry, ho willlOHWY IIH to hiH llpprlllslll of' tho porHonlll proporly In Hllsbllnd'H POHHcsHion, Copy of' MI', Pollto'H April 15, 1999 1'0pol'IIn tlm\ I'oglll'd IH llUIIChod hOl'olnllH Exhlbll A, lnllddltlon, If'nO(lOSHIII'Y, MI', Polito will cOlllplolo 1111 IIppl'lIlslIlol'lho pOI'Hon1l1 pl'opol'ly In Wll'o'H POHHoHHlon find 1I110wlHo 10Htll'y 116 to Hllld IIppl'fllslIl. b, ROlli EHIIIIJu.\unrullit)I If'lho plll'lioH 111'0 lInllblo IOllgl'oo llH In tho YlllllO ortho 111111'1t1l1 t'oHldonoo, Ihol1 HlIHblll1d I'CHOI'VOH Ihe rlghlln pl'oHonllho 10HtlIll0l1Y 01' 111'0111 osllI\o IIppl'fllHOI' 116 lolho YIIIIIO of' Iho lll11rllllll'osldol1oc, HlIHhlll1d l'\lHOI'VOH Iho rlghl 10 pl'oHonl OXPOl'll'ollllUllllostlll1ony \0 IIny OXPOI'\ \OHlill1llny litlll WI I'll Il111Y pI'OHOI1\. " 2 x, MAUl'.l.'/\LJ!lilITti -- MlllIlNI' ANP I\VIPIIN(~II INIlIA!. PATIIHOI' 01'1'111\1111 IN AMOIIN PliIITAH IIi\TllflI!IIT AMlIllNl'lll' I'IJI\I'OSIIOI' I'YMT, HIIPI'OllT PI!II'1' . '1'01' 01' p.o.H. INI'IIIIIIIII) 1II!1I'1' IIIIIIT HIN('II ol'C!.AIM /I ..Jl!!.1I'1' IW.H, - I ('I~'\U1 ('unl S;l ,.\.1 II Inelllt!.'11 An" NI,\ \'llIhlll~ llu~hullll ('11.'11111'111 h~. \I'll'. ~ollU1nlltlll c11lllplolch' lihllOl1lcnh unCI h)' 1I'11i' Il'llUslh:d 111111 ~~.. WUIlIS\:ICIHl . - l 1"M\lIlIlUIII,l Tn 111.1 'I'll he PWIIlII \%,IHtI ~hlllUllilll IlushulHlllus Mnllllll"ll PIIl\'lllcil plnvlllell MUlllul!\! pulll ~II1Cll l-illllclllcllts sCIIUlnlitul - .I 2'" T1111\! In hll 1)11111111 S I ~,OOO 111l1l1\l\'llIllCllls IlushUlul hils Stnhllllcnl_~ ~lll'llIUI\l.! 1'1\l"hkd 1'111\'hlcll MlIlIiullo to MUl'lIul paid ~ll1cc ltu~ldlll\CC SClllllUllul1 - - ,I I'chlllllll Tn hi] Tuhe I llll 11111 '\1111111\(11111101)' llllllllchuslJ IluslllltllllHlS 'l'csllll\lll1)' 1,llllllfllll1l 11I1I\'lllctl pt\l\'htcd t-,1 nil jUII~' \10,(1(10 l"tm'~ pullt ,hwll llushullIl's lillpulnlcll plllcnlfi - - XI, .l!J.ill1!.Q1iIill-E.CONOMlC ImSOlclJ'I'ION IluHhlllld pl'OpOHCH Iho fhllowlllg CCOll01ll10 I'CHOhlllon; , 1, AlIUl!ll\Y. Nolthol' plll'ly ho IIWlIl'dcd IIlilllony, 2, Coun~ol FOOH IInd COHla, Illloh plll'ty ho 1'0Hpoll~lhlo fhl' hiH/hol' OWI1 oOllnHol rOCH IIlld C('HIH, 3, Huultllhlo DIHlrlhlllluu. II, MIII'ItIlI ROHldcnoo, IhlHhllud ho IIwlIl'llod tho 1lllll'ltllll'0Hldoll00 HuhJcct to thc I1I'Hlllnd Hecond nlol'lglIgoH, h, RQ1Jt\llllllllU\CCIUlJilfu WII'o I'olllln hcl' TIAA-Cl'of' lIud IllIHhlllld 1'0111111 hlH Pl'lIdonlllll SccurlllcH mA, c. Elllilll!i.!J.tLA~llillli1~, I!II0h plll'ly I'clllln tlwl1nllncllllllcOolllltH IIH dlHlrlhulod III tho tllllo of' HCIHll'lItlon, d, YlililcloH, IluHhllnd wlli I'o\lllnlho JI)IJ7 Ford 1'.150 plok'lIp II'1Ick HuhJccl to Iho outHllllldlng duhllo hlH pUl'oUIH IIml 1"11'0 ~hlllll'ollllll tho II)HlJ Ilomlll Accord, () Iii == &ill I II == - II ~ T!lllehcl'lI '"III'~lInl 111111 Allllllllr ^,..u~llIliUlI CullOHc IIclll'ollllll1l 1[11111110-1 1'111I11 1J1I Thllll MOIIIII! NilII' YOlk, Ncw YUlk I 1111 t1..12I1h Quarterly Confirmation of Transactions 11111111111111111111111111111111111.111111111111111111111111II ,lERfU I.. (iOIJOA 5 W RISSER "11..1.. RD MOUNT JOY flA 1755f!-8SS7 Aflrll 1 " Jllfll1 30, 1900 Group RfJtlroment AnnuIty N.O. 2 TIAA 001111110\ lIumllll 2600017,0 OROF 001111101110 ""mllll 1060017.1 Tnt,,' IUUlU"mllltlpIl Fo, 'IuOlllulI', .011 t.ooa.Q~a.2HO, ur wrllo IUUI, 1'loalO 1II0llllun your OUlluMlllIn"uoll, Alul' A'"l' --.-.--.---..'----...-~t!Il!'lUl.-.J.~~L____..!J!II!!.lQ"l'12J! !.;IUlI' Hlll\!L--__.__.--.J.,\!.l1Jill_---11~94, 91 Clill!~.Smllnl Clwl~Q.,__h___....._._.._,____..2111L..~~ QJI111'..!1lnhnLl!uull!illL___J,6Jl1,1L____.lJ.1l,P2 QIIlI~_QrJl\l'Ul .._.__~_l.~O,O'1 1'01'AJ~ $.1,8114,88 $,/,9.10,92 Fpr .YPllr /fl'prmat/pn ^ 1'IlllllllnllcP WIIS I'cclllvcd flOIll YIIIII' 11I1I1I1\I11nll, bill 1101 (lroccsscd III IIl11c III bc IlIcllldcd III Ihls I'CpOI't. AllY PIIYIIWIII rccclvcd fllr YOIII' eOllll'llllt(l) wlllnp(lclIl' III YOllr IIc~1 rcpnl'l, All PI'Cl11ll1l11lll1YlIlclIls pllrtlolpllllllIH of Iho dnlc I'ccolved, ThllSIl 1I111111111cII 111'0 Illl'lICd hy YOIII' IIISlI\lllloll IIl1d 1110 HllbJuct III Ihu 11l1'1ll11 of lis pili II , Whcrc IIpplhlllltlc, YOIII' pny IIlllb IIhllllld bu cOllllllllcll III dalcrllllllc lha pcrlod hctwccn whclI Iho slIllIry I'mlllclllln occllffcd IlIllI whclI Ihc 11111011111 WIIS crcdlled Inlhll choscn CI~IJF aCClIIIIIlllr '('IAA IIl1nlllly, Transaot/olls ' The r1ghllo OOITIlCIIlIlY IIllll'lclIllll'l'OI' IlIlhlll rll(lul'lls I'cslll'vcd, Total premlumn reoelved $ t,03t.86 I'remlums submitted by: A . PSG H S EMPLOYEn l1I\VliE/(L Y tJ" PSG /I S EMPLOYED II/\VEE/(L Y l'olff,/pIlllon /lv"'/plfon /J1lI1 03/31/911 I'romllllll (A) 03/311911 l'rIlmllllll (11) .. 04115/911 I'l'clllllIlII (ll) 00\/15/911 1'1'1lI11111111 (A) (j;1I30/911 I'l'clIIl II III (""> 04/30/9H I'rclllhllll (11) AlllolIIlI funl/ I''''''nl (',1,) Alllollnt ($) --..-------,111.,.011<1__-----1111.'01/</ $ 62,711 Stollk 50 ,11.37 -------------Gluuol_U<l1l11llla-..___5Q. JJ,.J1 $ 125,'111 Slock 50 62,7<\ ------_GluuoLll<llllllos__._.5.U_______u;t:z..t $ 102,79 Stook 50 51.39 ---,_0IauaLll<lullllls,_.__5U_______iIAO $ ~ 1 ,:19 Slock 50 ~5,69 ----,---__0IuI10I1JI1Ulllos 5.0~__25..:zJJ $ ~1.59 Slook 25 12.H9 Socllll Cholcll ,10 20,f14 Olllblllllqlllllcs 10 5,16 -..--__Orawlh 25. 12,9.0 $10.1,19 Hlock 25 25,79 Socllll Cholcll <10 41.2H Cllllhlll EIIIIIIIIlII 10 10,32 Omwlh 25 25,110 Page 1 ~ r~ ,~ iii ~ ~ ~' ~ il" ~ n. lil~ ~ ~ ~~ f' Uh;~ @ 'IUI~ "I g~~~~l ~ 'f, );! 'ii II Ii .. 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" ","'::'. ..,il 1\0111 'Ij:: q, \~' bH- 1~ 88G Ii d~ i"I~ .~1! i'N ..,"'vt , (;~t: ' . ... iy:\1 q \'~ "-~ 1'1 ". ~ r,i;'l i~i ;':'1':\ en ii .~i ;':;'~"'~ -;)j; 0 ~ ..,., ,\,,'J :'c';;: ~ '< m m "g <.'i( ~.'. 'i ~ ;~ '".'1 ~ ~ . f c: i ~ i <f, '< l ,. ,~ ' ii 0 !II ~ ~ ~ i'i ";;!l r '< g;'; ~ ~ t; "01 ~ ~ :~, 'i." ~ ~ m ~ ~ In ,~f: ::::i ~ '....,J ffi nFi ~ p,' !t ~" ~ I ~ ~ is ;llll. ;: is OIl.! ;5 ~ < ~ ,::l'.! ::; I~ , r~ ~ W ~~ 8 ..../ "~~ I: '< . 'v r;::1 ffi,. ::> ~ ,41'1 In i!i -',i ~ .,2;1 r;! r;! ~ ffi ie~ .( ~ ~ ,- .l~ l~ M'~; ;"~? ~~ t; ~ ' J'~ ilL ~ .d~ I~ ~ ~ ~ I' t> c.: .- .~..! ~l; I:: rn ~ ~ ~Ij f:lt ... ~ D:i'!1 .~ ~ <,.;, ~ ,,'-,': ~ .i? I\: ." ~ r; ~ 9 ,... '" .., l; N .. I 0 N " ~' I ,,! ~ ff i B I~ M ~ , .. ; U~ . I.; z; IlljlJJ~ B ~U , ... ;; ~ ~ ~ 8 I~ ' t; \'l lit t; ~ 1~~~~5~~ !'l ,f,r',J,>> m ~ ~ 11F,lJj ~ lil Hlti) [r~~~tl1 \j\1~ rim ~ r\.I,~' ~ ~ 8 !;~ A ~1II ~,~hl' ~i)t I ; ,;;-:~~'~,: ~ , .. \!l .' j :.,-'i III ~ '" .. ~ ol~ ~ II ~ ! 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' 'i ~ w ~ P- " ~l ~i w~ ~, pm ,- ill ;1 ~~ ffi~ n ~~ ~ffi ~~ ~;( ~ !11i ~ h !~ I~ Ii ~~I~~~~~~~~~~ ol~~ ~~I~~~~~J~F: d 515 5,5 ~15 d~ w~ W'l ' ri~ ~~, ;[\(1 i'i 1\]~il111~~]'il'ili ~ m~. rq ,- ,e ~ r~ 'JW; -!I~'!IL~c!l!,< I ~'l Ul ~~$ ~~~~~~2~~'" iA~i <1 13 13 13 13 13 l:; 13 13 ~ l~j] ~f;"t ~'9,,'1 tt*~ I~K~~ ; :ti;~: i';:(..~ ;\J~tl lth/j ,-x;', ""! :::t:~l"; -.,.,. :i , U',' ..~'i '''d~ 8~: U': ui :~,~ ,!,l'.,~ ~_._~n_..._.._'''''''''',__""" ._..~ .~__. _~..,_ 22 , A~II 1118 AI1101l1l1111l1ho Iu Ilghl colul1111 101 linn 7 IIII0IIUh 21, 1111110 yo 1I1011llnl01111 200~. ..lL 23 IRA dO~lIcllon (lee pauo 251",,,,,,,,,,,, , JL .~. ~ '''~' ._/..~_..__ 24 StlldAlllloallllllolOl1 dodllClloll (III pauo 27) .~L . __.......____... ..... 25 Mo~lcal IIvlllgO accoIIlI1 dO~IIClloll Allaeh fOlln 0053 "n.... ". ._~__. 20 MoVillg uponlll, Alllch fOllll3003 .10.. ..... 27 Ollo.holl 011l1l-omploYI1l01l111~, Atllch Scho~1I11 8[ JI- 20 Soll'el1lploYI~ 118IlIh 1IIIIIIInco ~I~uclloll (III plgD 201 ..11 20 Keooh ^ sell'lmployed srp pllnllnd SIMl'l[ plllll '0 30 PDllllly on ollly wllhdllwll 01 living I . . , ..!t. 311 Alll110ny plld II Roclplonl'l SSN ~ __._..__..,._._. 32 Ad~ 11111123 1I110llUh 311". " _ 33 SlIbll.etlllll 321101n IInl 22 lhllll y01l1 Idlullld QIM!l'l.tQ.!!lL...-.___..__._~~_ ~ 31!f.',~. LilA For DlaoloolllO, Pllvaoy Aot, and Pa,'lIwlIlk Redllotloll Aot Notl." '"'''11' nt, 12210H2 '190045 10G503296IlJM 052 CJOIJll^, ,111., WIJ",I^M II ,~ 1 (140 hl!hol ISII IIstlllellonl 011 I'lgIIP,) Uu IlIe IRS II~'I, OlhllWil8, 1'1011I pllnl Ollm rrolldlllllll olllonOI01 lion !li!!.ill.i! 18 Flllna SlpIllO Ollock ollly 0110 hOI, !:xol11pllono AdJustod Gross Inool11o IIl1nl 3311 ulld" $30,005 fund" $10,030 IlChll~ did nolllvl ~IIII you), III Em 11111,011 pIg I 30. O,pflt"W'1 QI I.h, Tr,.,ury . Inltmfl fwvtflV' $tfY~. U,S, Incllvldullllnoolno Tille ROTurn 1998k j!\S u" Only' Uti Iwl,"llt. III \~!C1J~_Y~Uet..,............,_......_. ,W IIMUlla ,1\" tm. fOllht NJJUl,I.0foC 31, 1~',o'olh~l<<y..,btoglnnll'O YOIIIII/Il OllnO III" 11111111 Q Ji!.UIAM S ~ III lollltlolum, IPOUII'111I111111110 011" Inlllll ~ -J..1!QI,tndlng 1.lllnll11l '. OUBA, .TR. ~IIII1I01O YVII...."I" 'ttVf1lr I1I1N"", .l1.lIi dill! nun ~l)olun, tll4''''tHl1\lr null""" !\I1 i1UI~'I(J'1 II0lnl ,IIdIOH (nllll1l111 alld 1(1101), lIyoull.VOl n,O, 1I0~, 101" PIg' 10. '_......._~.n.] ^I'II111 ;. IMl10IHAHl1 .. 5 WEST nISSEn lULL ROllO YOlllllv,lllItll OilY, 10wII 01 nOli oliicl, Ilalo, allll ZIP cOllo. II you IllVO. !olllOn IlldlOlI, 108 'jiIU1\Ii:-'--~ -... 'u_ ... rUIIIUIINI'l !Ill'" . MOUN'l' JOY 1'A 17552 ____ y" No ttul!: I""..". Po YOIIwalll$3 10UOl011lllIIIIIII? """.... ."""" '"'''' ,,,,.....,, . .... ~ "':"';~~:"'U/ If I 0111 I III/II dOIfi OllIS 01110 w'"1 $310 go 10 !!!!!.!lIlld? . __'_00'_ ~. ,_.. .~...::'.!.l~~!~~~.~. 1 _ SIIl~11 , _ MIHI'd III1I1U 10111111111111 (ovon II only on, 1I1111noo01I) 3 .K. Mlffloll IIl1l1g 101111110 11111111, ~1I10r IpOIllO'IIOO, 000 1I0.llIoVI on~ 11111111100 1111I. ~ ~11~!\!\ 1.._h. flOIlII!\ . 4 111111011101110110111 (willi qllllllylllO pOllon).1f 1111 qllalllying pOllon II a chilli hilI nol YOIII 1111'01111,"1. 111111 11111 tlllkl', "'111011010. ~ S - Ollall III whlo II willi dop!nllllll 0111111 Iyear BpOl~iO'liiid-~ -To-"-ljs',i-pj-u,inT'" __._._........_..__....._..,,~, 51 YoullIlI. If YOllr I'lIonl (01100100110 olu) call olalm YOIIIII doponllllll 0111111 01 1111 lu "1111/1, do nol } 1/, '"~''' I k b 6 ttltd",jUn', 1 OleO ox. ,,,,,,,,,.,,,,,,,..,,,, ......"..._",,,.. Jrlli'" liD SPOUIB o Poponllonltl "....."".., "."..,~~~' """~I'~~~~;I~'I:~~~'~"~~~"'~'~~'~;~~~~rr'~~I~1~;;l~~d'-~ll"" - nlt~~I:>l.iJ,'~,U'. ~~~r~IP:~k III 'I I ' I ncurUy numb., (fAl.. r. n,,,,, loti O"f'IIl _H_._~__.tP.ij......I~'_ . ,lly~lwll'ltllij ._.---1--L_..._ _____.._..........,..._ 'Ilk' nlll Iryt ",llh ~1I1j 1l~.IG Ulyp". 01'''111,\101'\ 1'"II'tit'" 1 _~__.....__.__.n_.._.___._.__ llfll.....I'..II.lltl fcI jIoll'nI"..f~IY. ____.____._._~____. .... ".n~",,','_ Total numbo, 01 oxemnllonl claimed...,.. .... . , ' __ri_.__..-_.........u,_~_ ,~.. ~1*:~:f1.... [j] Wages, ula,ioslllp11 elo, Allach Falm(s) W.2 """,.,. ,',' , ., ,. .,."" '" _1.~_ -"--_.._--~--.----r92--; Tmllllllllllest. AlIlOh Seh"llIlolI II requl,od "'.............,,,, .. .."..""I..'.~"I.~...I_ '__......',........... .Jt... .........._..__..._.__..~._ TU'OIOlnpllnIIlBII. 00 NorlllClulle 01111110 PI ""......""....." k ________. OI~IIIII\/fllvl"Olldo.A\laoh SChlllul1 n IIl1qulroll ......""..."..,."",.. ...... .. .... ,..,....."." .~.t.. .__.....___...u..~I'/._!. T1xallllllllllldB, 010~1I1, or 0111011 OIIIIIB alld loeallncolllolm' ".. Jl.~~'M.'~\. . t. .. P'I'H'V ,~ ..l.R.. .. ................_._..,~J.. AIIIlIOIlY leeolved ""........""........,,,... ...""..,..........",,,, ,J.I... ......__.... ...___.._,_ 111111118B1111COI1lI 01 (IOU), Atllcll Sehldulo 001 e'I!Z ,.....",......" ...... ..lL ......~~,_...__..._ Oapllal gain or (Iml, Alllch Sehollulo 0 ....."......"",.. "'"'''''' . lL ..._... ~~.._"_''''___ Olhol UII1l1 0' (IOBIOI), Alllch FOIIl1 4707 .."..""""""",..........".... .....,....., ..11.. .~---..._--~o: TollllRA dil\illlll\lOIlO ... ,....... [.1!!L1 44 I 22_2--!1 II 'mllllllllollnl (1II111UI i21 ..1~~.. _.___.._..._..__~.!. Tolal pln1101l811111 allnuill" ". JfL.. ...J II lmhloll1l0uIIl (ill ,ragl m .1~IL ------..Tr".T46; R01l1.llIaI8l1all, loyalllll, plIlllllllllpl, S corpollllolll, Iltllll, 'Ic. AII.ch SCllldulD I' .J.1.. ...__.__..._...1____ falmlllCOl1l1 01 (lolI).Allach Scllldulo I' ",..",,,,,..,,,..,,,.. _.1L ~...___.._ Ull101ploYllllllloOl1lpolllllloll .."",...."..,..,...... ".. ..JU.. .._~_._..._..____ Social UClllily 11011011I1 .."",..", I 20'-'_____..-1 II 'mllllllllolllll (III plUI ill .tOIi.~____..~__..~ OlhIlIIlCOlnO, Lllllype .1111 II1IOllnl-1I1 plgo 24____.__..._.._...__~... .~._... ...._.. .....~..._ 42/520, ....2 . .. filg'; .....L..._._ ...JL 4449" _JL _ ~ 7 I :J 'T~ r.,m1010fl"'1 IB65U301 f'.'ml010Il,," wrr,r,IJlM S QOUDA, JH. _ 106-50-3296 TOK mItt 31. Am~ulllllom 1111,33 ('dluil.d 91011 Inoom.!L,,,.. , '" ,,,,,,,,,,,,...,,,, Orotll\o 30. CII,ok II: Cl Yoo 1'1010 06 01 old,l, l--l Oll~d: 0 6pom WIi 06 01 old. I, 0 Olllld, Add lilt 1II1111U" 01 Uo..sch.ok'cJ IUOV' 11111 OIlI,llh. 10111 h". .., ~ 30. 'SI.lldliil--l h" 10U 11,III,"I.cJ 1IIIIIg IIp'III,11 .nd 101l1lPOUII 1I0mll0l d'duolI.oni ".V1 PodOlllo" 0110111'1'" I dllll'IlllulllI,n, '" pIg,20.nd onlok holt """, '" .. ,"'" ,"" '" 3611 t\.1 101 MOil 36 foil! Ihl '"gOl 01 VOUlllolllllO<I <I.dollloll. 110111 Soh'dlllo A, 1111' 10, Oll'\.ndlld Puopl. . <lodoclloo 1II0wn olllh.I,II, Dill III f,gO 30 10 II~d 101l1111u<llId dllloolloll" 10U 51Ilgl.: oh,okod 1111 110' Olllln. 351 01 3511 0 II10moolllOl0 01.1111 YOII'" d,p'"d.nl..,,,.. $4,250 37 5111l11l011lnl 36 110m IIno 34""""." "" Illld 01 30" 1111. 3411193,400 ollm, 1I111111pl1 12,700 bV 1111 101,1 nllmb" 01 ...mpllolll olllm,cJ 011 $hgUllhOld: IIn. Od.llllo. 34 II OVII $03,400, III Ih. WOlklhlll onp090 30 10rlhllmouIlllo .ntl! ,260, 30 T,'.III. In,omo, 8\11'1110\1100 3Dliom 1111.37,11110130 II molO Ihlo 110. 37, '"tl! ,0. ,,,.., ~1~11'1~~lhllng 10 T!x, 510 p'gO 30, CII.ok" In1 II. 110m I D fOlln(i) 0014 II 0 FIlIIII 972 ",""" """"",,,,,,,.., ~ O~11II11"~ II Cildll 101 ohllll .Ild d.p.nd'nl Oall "PIIlIOI, AIlIOII fOlll1 2441 ....".. JL rifto" : 12 CI.dllfolllll ~lcJI!11 ollh. cJllIlIllll. AII.oll SOllldlll, II .. """.."..""",,,,,,,,, .JL Ma'II,.d 13 Clilldlllmdll(lO,p'g031) """.."",.., ,,,,,,,,,,,,".",,,,,,,,,,,,,,,,,,,,, JL___._ 1II1n~ II f.duo.1l0~01Idlll,AlIlChfoIIll0003 "'"'''' "'"''',''''''''''''' JL. 1~P5WOI1: 40 Adopllonolldll, AII.oh FOlln 0030 "..",,, ""'"''",,''''''''''''',,'',,''''''' J,O __,__ 1- 40 folOlOIlIIlCI,dII.AII.oh fOllllll101l1IqllllocJ......""""""..""""",,,, 17 Otlill. Chook II 110m. CJ fOlm 3000 II 0 fOlm 0300 o '_J fOlln 0001 d I-J fOlm (1llOollyl 18 Milllnll 41111101l0h 47, Thill III 10UI\0111 1110111......"", ",,' 40 Ollhllaolllnl QJlOlI1l1ne 40, 1U!n!....40 II molO lhll111nl40, 011111 ,0. "'" , """= "'..":"""""" 60 8.1I'8mpI01111'1I111l, Maoh 80hodllle 8f".. .."""""",,,,,,, "", "",, ,..""" "" "'" ...".." ," ",..,,, '''''''''''''' 81 Allom.llv, mlllllllllm la., Allaoh f011ll 0251 .. ,,,,,,,,,,,,.,,.,,...,,..,,,,,,,,,,,,, "",""""" ,",," " '..""..",,, ",,,"" '" 82 00cl.11I01I1111 .Iltl MotllollO 1""11 tip 1Il00me 1101 IIpOlloll 10 01lln10111. Allaoh FOll1l4137 ,,""",,'"'''''''''''''' 83 Tal ollIllAI, olh., 101I101II01l1plalll, 11111 MOAI, Allloh fOlm 5320 II "qlllllll ",..""",,,,,,,,,,,,,,,,....,,,,,,,, "." 64 MVIIIO, 11111011 1110011I1 0111111 P'1111.lIlllrom fOlIllII) W.2 """""'''''''''' '.." "" '"'' '"'''''' ,",," "" ".. " " " ".. 66 1I01llOhol4 'lIIpI01mIIlIIIXII, AII.oh Oohllllllo II "..".......""",,,,,,,,......,,,,,,,,,,,,,,,.....",,,,..,,,,,,'..,,..,,,..,, JL ____ __ 66 MtlIIII1l401l1l0Iloh50,Thlollvollllol.lI.x ..,..,..,==~""",,,,=,==~, lL402. PIlYlnon\o 87 fltlllll IIICOIIII lax wllllh,l,llrom fOlml W.2 anti 1000 ,.......",,,,,,,,,,,,,,,..,, ..JIL 80 1000 oltlllllled I.. paym.n\i alld .lIIoUIII.ppllltlIr01ll1n07 lehllo "",,,,,... J!L 801 fUII'd Incoll1o m411, AII/oh Ochedlllo IC II you hl'v, a 11111111110001< Id II NOIlII""I, IIIII.d IlIooml: alllolllll ~ .ndI1PI~ 00 Mdltlon.1 ohlld lax oledl\. M.ch FOIm 0012 ....""""",...." """, ,"""""'" 61 AIIIO\lIlI plltI wllh fOlln 4000 (lOqllllllol ox\ollllon) "","""" "...., ....""", 62 excm loolllleollllly .lId nATA Illwltl1l1ll11 (III pIg. ~.....,,"",...,,"" 03 OIhIlP'11111011. Chlok 111/011I 10 Form 2439 h LI FOll1l4130 ,..." 64 Atld IInoa67,50,5U','"t1 00IhlOIl0I103,ThOSO'l!Vo", loll LI!!Yffi,nll. """"'"'''' ".. ,,,,,,..,,,,,,,,, ~ 06 ""11.041, mOil 11111111110 60, IlIhlllOtllll' 50 II0llllioe 04, Thllllll111molllll 1011 OVfnPAIO ..",,,,,,,,,,,,,,,,,.. 061 AlllolIlIl 011l~1 08 1011 w.llll1fFUNPfO TO YOU ",,'''''' ......'.."..,,,,,,,,,,.., """ " " " " " " "" ,,,..,, ,..""" ~ ~ II 1I0utlIl0 111111I"11 ~ 0 T1PO: 0 ClllckloO ,~ O.VIIIOI . ~ d ACOOllllloulnbll 07 AlnQllnl 011101 O~~JLl'imulT.!J~O TO YOun 1009 eUlMAllI!.IAX ~ I..JILI Amount 00 II line 50 II mOil 1I11n 11111 04, 1lIlIlllollln. 04 IIoll1l1no 50. Tlllllllhe AMOUNTYOU OWF, VouOWO FOItI.IIlllonhowlopl1,mpaoe44 ,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,,,,,,, 'I":~r""""""'"'' ~ ~~ OLlW!m!lodlllP.lllllly,Alllllllohldlonll!l!.OO..,......" ..1lU___ 2. .... . '. lJl'Idtf p'n~lIt. olpttlU!'f,1 dtc:luelhtll lIavI .dfl~l1.d Ihll rllum..,tl tccompIIlv1ng IchkJulttollld ,Ittlflltfllt, atltl \0 Ih' ~l or"", knOWltdQt lilt!. bill", !hty ....11\1., COlTfGl, atltl oompltlt Deetat'hon 01 prlptllJ (olhff than ItJllltVttl1t b't'" on ~lllllofl1\l\Jon 01 Whlth prtpll'" hi' an.,. knOWltdg. Your "0"' hilt 0", You' occupIUon OtyUmt IlltphOnt ~ l'JI)(IOmHMIS'l' "'"-I'p,","OI) ,.. spau..-. tlQlIllur. II 1 101111 IIlu,", 001H mull'lgo. - Diit 8I'o~occup'lIon O\l1or TIlKOO AII.oll fOlln. W.2 .Ild W,2G on pIOll. Allo IlIloh fOlm 1000'11 IlIax WII wllhh.ld, Rofund mV'll al,...lr, d'POllltdl "M ,.... .. -.nd ~~ In 86b, t.6c, and8Bd. Sign tiara Kup 100PV 101 VOIII 1100141, _lL . 5,101. 32,470, 5,584, 5,090. 6,060, ~-. 4,624. ,. ...;:<....~ ~ ~ "~ Propllror'ofl>m'IP""'I" -SMO :..L-':'" Nlns & COMPJlNY, I,I,P UOO Only :,~:,:::::~:;,," ~ ~o~~'~~p,~TI!N ~'-'--_____.____ Pold . {{Xol 01.11." 12210412 Prtptltf'llodll ucunty no 200 1~~l4~52 f I 23 i2 6 0 =~'. rod. 17510 Pr,pIII'" 'Ignlhlft 6 790045 106503296BJM 052 GOUDA, JIl., WILLIAM S 10650301 2' 21 0 UnderpuvmBnt of IV"" I:stlmpted Tux by IndlVldllnl~ t=stfttos und Tnults _.QbWNOI646'OllL p"~I"...'1 ,I ",' I,.",~ I I I 1008 I",",~ """"" O,~I" .. 6u ..~ml'I"'I'~1I all', c\-/" _......._.........._ _.__._.._._.._ilUHUIQ1~mUm 1 40A, 1QOO!!11~~~IlHhQr1PjL._,_______ _~- 08 N,m'I')lh~wlI 0111" 10111111 1~'"111y11l9 IIl1mbll wnLIAN s aQUilA, JR. 106-~0-3296 Nol,111I rnoll mil, Vall do 1101 110111 10 fill forlll mo. Till illS wIIIIIIlIIO'"V pIII,II110U OWl In~ ""~ Vall I bill. fill form 1210 olllV II 011"01 mall bO'" III p,lll,pply 10 VOU. II YOII 110 1I0tlloolll0 111, form mo, YOlllllllm,v 1111 II 10 IIQIIIO 1011I pIIII'ly. ~1I1" Ih' 1111011111 110m p,r\ 111,1111121. 01 1"11 IV, 1111' 36, olllhl }1I.!llllYJlnl,!!UiIJlltll!lfi,l!l!ldlUlRLJUI1!ili.1l11 ~210. .. l.P.lIr1.L.1 Rppuonu for Flllnll" II II, 111, or 10 palow 11'11111110 YOII, YOIlI11'1 h, 11'11 10 low,r 01 ollmllllll YOIII ,,'"II1Y. 0111 YOII MUST Ch'Lk thl 110'11 Ihll 1I'I'ly Imllllo fa 1m mo wllh YOIII I'. lolllrn, II hi h.low 11'1'1101 10 Vall, chock tholllO' III~ III. fOlm 2210 _1iIllLY~l!L1llithllll. .. 1 CllICk whlcll.VI! hO'" II'ply (II ilOilO Ipply, OIl Ihl "ClIt Ibml: . I P YOU IIqllllll WIIVI!, III cII1111I CIIClllnll'IICII, 1111 IllS Will Wllvo III 01 pili 011110 pIII'"V. 811 Wllvor 01 POll,lIy 011 1"01 2 of 1111 11I11IIICllolll. b P YOU 1110 1111 .III1U.lIlDlIIIlQOml 1Il,lllIm'"1 molllod, II VOllllllcoml Vllloil ~IIIIIlQ Iho Vllr, llllllllOllIoil mlY IIlIIICI Ih, Imolllll of 0111 or mOlo IIqulrOllllllllllmlllll. SII pli! 4 oltho 11I111IICllolI'. 1:=1 YOII hId fOll,rlllllcorne lax wllhhold 11011I WIOOlIIlII, lor IIl1mllod I" 1'1111'0111, YOII 110'1 tile wllhhlllll" II p.ld olllhe 111111 II WII IctlllllV wllhllOld, 111110111 of III Iqlllllmollllt' ollllle p,vmlllll olllho p'VI11II1I 11110 lillI" SII tlllllllllllClloll1 101 11111 23 011 PliO 3, II P YOllr reqllllOlIllIlIlIll povmollllllllo 14 III lOw) II Irlloll 011 YOllll 09711mll YIIIIIIIOII or 11I1111110 1101111 IIllIm fOl8l1hl! 1007 01 1000 hili 1101 lor holh YIIII. --- I Pm1if] RpqulrQ(1 Al1nulll PpvrnQnl - 2 EIIIO/ YOllll000 lax 11111 orellllo (III ploe 2 01 thl 11l.lrllollolll).................................................................."".......""..". -L 3 OIIlO/I""IIOe 1"9' 2 01 1110 11IS!llIcllon') .................... ............. ".". "....."..."" ......." ".."..""". "..."." "".""""" "". ". 4 Alld 111111 211111 3 "..""....".". . . ..."."".. "..".... "" ...".........". . ".." "....""" E[E""'" ..""""."."...."""....". 6 ~lIllelll1l90mo cre~1I .....".""....... .."...."....'" "." . .... ....."""..".. ""....."... -L 8 AlIdlllollllohllll lax mull ""...............""..............."..."..."" ".. . ....""...."""""". .J.. 7 Orlllll fOI fellerallax 1'1111 on hllll "..""."".""........".""..""" "".""......"..."... """.. .. o AtlIIIIIl1l6,0, 111111 ....:"".........".".""....................."""""'''''''''''''''''''''''''',,,...,.,,,,..,,,.,,.,,....,,...,,,,,,,,,,,,...,,.,,,,,,.,, 8 OUIliIlI YIIII". SlIblrlcllllle 0 flom 11110 4 "."".."". .."".. ..".."..." "..""....""".. ...". "".. "" r";~" I"'"'''' '''''''''''''''' ",,"" 10 Mlllllplyllllo 0 by 001\ (.00) ....""..""""".."....".."..""..""""""..""....".".".""""",,. L.\JLJ- 10 334. 11 WllhllOlllllll 11m. 00 1I0111l011l1lllllV OIl1mllllll" paymollll 011 11111 11110 (Iii plgl 2 oflhe 1lIllmollolll) .""""""""" """". ..lL 12 SlIbl"ollllll 11 flom IInl 9. 111011 Ihlll $1,000,1101' hero, ~II 1101 oomplalo 01 IIIllhlllolm. Vall i10 1101 owe lho I'ollally ..........". ....."....,,,.,,....,,,,,,,,,,.,,,.,,..,,.,,...,,..............,,.,,.....,,",,.....".."....""".".."..".....""..,,,.,,....,,.,,,,,,,. 13 ~Iller lh.II' 11101'111 011 VOllr 100711' IIll1fll. .. "".......".. ""."""....."... ""..""...""". ""..""". ",,,. "...".".... ..."...... """". 14 Roqlllred 1111101' pllmllll, ~1l1etlhl Imallol olllnl 1001 1111.,3 "".".........."....."".""".."""."""""..""..""".".",,.,,"" Nolol 11111101115 eqlllllo or moro 111111 11110 14, .top hero: YOII 110 1101 owe Ihe pep Illy. 00 nol 1111 Form mo IIlllm YOII chackod 110. III ahovo. ,_ - C&\ii]jf' Short MQthod (DilutiOn! 811 paOl2 at lho 11I1111IClloll. \(1 1I11~ ani II YOII CIIl UlO 1111 IhOl1 m.1l101l, lIyou cllookell hO' lh or 10 III 1'1111, Iklp Ihll 1'11111111 00 10 rarIIV.) 16 ~nlellhllmolllll, II '"V, flom IIlle l11hove """""".."."."......".."".""......".."."..."".. [Iii] 18 ~1I1er Ihllollllmolllll, 1I.IlY, of olllll\llelll" plvmellll you mille ....."."......"..".....""..". [inJ 17 Atld 111111151111110 "............."........."...................."............,......"..."""""........"...."...."......". ........."""...""..... 10 TollllllldPlpoymellllol yoar, Ollbllacllllle 17 flam IIl1a 14.111110 or 1m, Ilop 1,,": YOllllo 1101 owe lhe plllllly. Ilo Ilotllle Falin 2210 IInlm you checkoll ho. III Ibove "........".....".............."'..."...""""""......",,.... 18 Mlllllnlv 111111 0 hy .06043 ........ .."........ ".............. ..... """."..... ..... ..........."....... ....... ..........."........."" "... ""." .".... 20 · II Ihl 111I011111 011 11111 10 WIi paid 011 01 10014116199, elllll ,0,. . 1I11l.11ll01l1lt 01111111 10 WaI plld halolD 4/16190, mlko lhl 101l0wIIl0 OOIllPllllllolI 10 IIlld 1110 Imoullllo olllDI 011 11111 20, AmeuIII on Numbll 01 dlYI pll~ 1111118 ' bo10l14/16190 '.00019",,,......,,........,,.. 21 PENALTY, 811hl,,011l1ll 20 Irom 1111119. ~lIler Iho 111111111110 'lid on Form 1040,1111080: Form 1040A, 1111. 44; FOlln 1040NR. 11111 6ft: Form 1040NIfoeZ, 11110 27: 01 Form 1 I 0 LilA Fat PlpOIwork IInducllon AolllolIlD, loa pego 1 IIf IOplrllolllllruollolll, 11,402. 11,402, 6,091. 6 091; ,~ 6,060. 31. 2. o. ....~ 2. 'omI 2210 110911 1l~/j"\I 12210412 790045 106503296SJM 052 6.1 aOUIlA, JR., WILLIAM S 10650301 8QHJ:ltH'~J:f1 A&I! Worm 1040) 1"'"'"""1 .11' ,..,,~ ntmtlfltYfflV.lli-VirAi. 11M\tC'1 ,hQVmOfl'Oml 1040 IiI Lr, I AM Muellol1l I1t1el Pl1nll1l J:~JIUnSIlS -- TI1KUS Vow PIIIIl 16.. pugo A'2,) Inlurosl YOIt Plllel (6,0 p,g' Ao3 ,) NolO! Pmonol Inloloollo nol dodl/ollblo. Clifls io Ohl1rllv IIYUl/mlllla gill Ind gOI a b,n,litIOr 1\ III nlgl A'1, Omllly IlId Tilllllollll JObElpOIlUI IlIdMol1 01111/ Mllullallollul COducllonl (Boo pllgo A,O for OXPOIlOO' 10 doduol hOIO,) 011181 MimlllllOOUI Ooducllolll Total lIornlrod COQuet/ens Sohedule A ~ ItemIzed Deduotlons (80hullwlo Ills on pOilU III ~ Allool1.Jo "or11l1040 ~ Oooloo"uollulI' '01 OahoLtu!OI A 1111111 (rurm1ll4..~I, j 1~p.'~1_. ~U, ,O(.lM tWJ1l1y numbqt Il a lliilllll.....ill! , ___' 1116 I 5 0 I 3:l 9 6 0111110111 00 /III/ f/lchlC/u IUPO/l.O. roflll/'""od or pPld by 011'0", ~_ 1 MOd1o,1 olltl <lonllll oxponoo. (000 pllgo M). .. .... "'"'''''''''''''''' ....."". .L _...____., a alllarOlll01l01 fromforI1l1040,lIn03'I.... ..."""" ""'" La..L-_____ '. o Mlllllply 11110 2 obova IIY 1,596 (,076) """"..."."""""",,,.. "".. " " " ".. """."""... ....- 4 Bllblroolllno 3 flollillno 1,1111110 a 10 morn Iholl IIn2.1J.!ll!'L:!L_." . " . ".. 1".._ o Blolo olldlooolllloomolll>loo ........""."""".""f?I~.!1l,,..~.',\'.Nj'li1~mtl.r;r...fL. JL _-.!.L59!h o noDI 0011110 11l>l0. (noo pog. A'2) ....""".,,,,,,,,,,,. ".""."""."""""""""." "...""."". JL. 2 , If!fo . 1 pOI.onol propollV IlIJIoo ",.""",..."',.""""""...".""."".""",,,.,,,,,,,,...,,.....,,,,,,,,..,, ..1 _ o Olhar IlIJIOo, l.IUltypo ond wnolllll ".T ~<2~'-!'. _ _ _ _ _.... _.. _ _ _ _ _ _ _ _ _ _ _ .. _ _ _ _ _ _.. ,. _ _ _ _.. ",', 10 g Arid iin;.61h;'~gii ii~~~::~,~'- --,,"~~,,~" - ~..~.~ - - - - -. ~~- 101 Homo mOllgllOo IlIloroolllnd polnlll ropollo<l to YOll on Forr~ 1006 "."".........,....... I"omo morl00golnlorool no\ roporloLt 10 you on I'olm lOgO, IIl,old 10 11'0 pOloon ro," whom you boughl Iho 10mO, 000 pugo A'3 ollLt 'how Iho po"on 0 nomo, donlllylng 00" onllll<lLtro.o II- 73~ 4,100 . l!!. ,'" ,. , ------ - .,.-- -- -- -.. - - --- - - -- -..- - -- - - - - -- /': ------ - --- - - -- - - ----- - - -- -.,- - -_.. _ _ _ __ 11, 12 I'olnl' nol loporl.d 10 you on FOlml006, B.o pogo A'3 fOI o""olul rulo. ...."...".... 1J!. 13 Invo'lm'"1Inlolool, A\looh FOlm4g6211 10qulro'l, (Aou pOgo A-3,1 ."~.WNW"..7,,.. 110 14 AdLt IIno. 10 through 13 "'" , "". """'" "'"''''"",,'',,''' .",..,,,, "".."..."..,. .... 10 Gill. by oll.h or oh.ok, II you modo OilY gill of $260 or mOlo, 1.::\. 00' pllgo A'4 ".."...,,,..,,,,..,,,,...,,,................,,..,,~.!1l.l\l.,,.I1.'J'.~',\'WNW.N'.r..,,~"" .~_. 10 Olhor Ihlln by oll.h or ohook, II Ilnv gill 01 $260 or 111010, 000 Pogo A'4, "r You MUBT Il\looh FOlm 020311 ovor $600 """..." ...."."....."..."..""""......."..:... 1J!. ____ 17 OorryoVol II0nl ",Ior YOllr .""".....".""...""......."........."""",..,,,,,,,,,,,,,....,,....,,.,,. 17 10 A<le! IInoo 16 throuOh 11 ... , ....="..""'''.''''.".. ,.." ...."... '"'''' "..", . ........".....""".. .."" 116 ."." "."",,, o . 11.1 730. 175. 1fu 10 OO'~2! Ihollloou(oulo A\lnoh Form 4004, (Soo nllOo M.I . ... .... . .. ... 20 Unrolmbul.od omployoo OXPOlloo, . Job lIuvol, union dUO', joh oduallllon, 010, You MUST o\loch Form 2100 or 2100'fiZ II roqulr.'I, (Boo pogo Ao6,) ~ ------------------------------------- I.. " .;:' ... -... --........... --- -_.... --... ----... -.......- -- -____ - _...... !D, 21 TlIJI pruporollon foo. "........",..,.........."....""".........,,,.,,...,,,..,.,,..,,,,............,,..... a 22 Olhor oxponuoa' Invoalmonl, oofo dopooll box, 010, LlalIY"" ond omounl ~ ---------------------~--------------- 225. ------------------------------------- 122 " ---------------_._---_._--------~------ ------------------------------------- ------------------------------------- 23 Melllnoo 20 Ihrough 22 "..."....""......""..", "..........".."....""...."""."........"""... M, 24 finlor omounl frolll Form 1040, IIno 34.."""....."...."."."." lML 37,571 !.. 26 Mulllply IIno 24 obovo by 2% (,02) ......."....."......"..........""".".......................... 20 751 . 20 Buhlroclllno 26 flom 11110 23, IIl1no 261u 111010 Iholl 11110 23, onlo, ,0, ",. .......". ... .=~=.. 20 27 Olhor. from lIut on pllgo A,o, i.lallypo ondllmount ."\ ~ ::::::::::::::::::::::::::::::::::::::::::::::: '...". :::::::::::::::::::::::::::::::::::::::::::::::c 27 225. 0, 20 ,. Form 1040,1100 04, OVOI $124,600 (OVOI $62,260 If morrlod fIIlllg IDpllrllloly)? NO, Vour lfo<luo\lbnlo n~lllmllo<l, A,fel lho IlInaunlo Inlho fill rlglll colllmn far IInoo 4 Ihlollgh 27, AI.o, onlol on FOlm 1040, IIno 30, tho 'oroor of Ihl. omoulIl or YOllr olondord dodllcllon, VIlB, YOIII dodllollbn mllY bollmlllKl, Boo pogo A-Il '01 Ihollll\ollllllo onlar, } , II- Jl! 5,101. " ,'. ',. '" ;--". LHA For "opolWor~ n,dllo\lon Aot Nollo" .., r-orm 1040 In.llllo\lolll, mlJ',I. 7 12210412 790045 1065032968JM 052 aOUDA, JR., WILLIAM S Soh,dlll. A (Form 1040) 1UDO 10650301 UChfl,lul.rIFo,m IO.OI..1.!ll... N,m.HI ,hOWn on "IIl/n po nol ~I'l""'" t^~ ,OC1" Uc.UlllV nun"'''' II ,hown on I'm 1, All~hnltf11 OtfIU'IIl,.lIo 13 _!!i!.l Y~~I ,~~IIIIOI~llIi n~mbll WIr,r,IAM S GaUnA, JR.. 1D6-liO-3296 Nalol /I YOIIIOPO/' /1111011111. 110111 1/II11l//lQ Of II.hl/lQ 0/1 SO/Iodll" f:, YOI/ I1ml olllor YOllf QIOIIIIICO"'O 110111 IholO ool/vllla. 0/1//110 4' b%lV, Rool f:.lolo pIO/OII/O/lol. IIkISI complolo //110 42 b%lV, r.ii..iiitfiJ 'noornll 01' ~ooo From PArll1Qrol1lpo Pllll S Oorpomtlllnll Nolll /I YOlllUPOl' 0/0" /10111 ~11 0"'1sh ocllvIly, YOIl MlrSr a/lock ollhor cO/lm!~W>.rl11 0/1///10 !L~clo'cltbo r~llf 111~"'/!~~!.!.r!.11'0 aCI/Y/(l',,11roll c/!ock cokl/~!lr~-.!!.p.!!acll f~lm a!l~ ~1 Ibll'''' PI" Iii .""" (dl Ernploill ~l1'tl ~1 _1.1 Naml ._ ~\ p~=r.:P Idlll IlIc'lI~n numher ~~ _~hll A lULL'S NII,PLIl~El S~lUPIO P 23-2019000 X - - - ~-~ ------- -- .JL___._____. _____ -IL _lL ______.____.___.__,__._ .JL _____.__. _'_00 flo..lvl 1I100ml 011<1 ~~!.L-____ (gll'lIIlvllolI .1I~WIlI (lllacll f~lI11 oooa IIl10llllld) 1'11 1'lI,IIVI loooml 10m Sollodol, K,' III NoopmlVI 1011 10lllS,IIOlllIl~ K'1 NOI1~oIVIII1!!!!ill.!1'I1<1 ~~.. I~I NonpmlVllncoml 10m seliedolo K.' 41, 74~ III Blctloll17O "P'"11 11I<llIclloll floPLf.!!!!!!i!.~ tl =--:-~-==== .----00-.-.--- .JL__,_,_____ ___.__. L . _,-,.--' ___.____ ,____,____, .___.___ --- ------------ 41,746. ~ . ' '. . --'r--..,..-- ..lL 'il, 740. .1JL. 1-- I 20. II 20 30 -.-...------. -------..-- ..-_.~._...._...._.. 3 41,746. 32 -fj 1_INaml Ihl Emploilf Idllllllc'lIoo nllmblf ':1" '__ 3a: ;~:::::.l----'",:"",,,:,,,- ------~~ .-- 34 Add colli mils (11),"d (II 01l10133a "",,,,,,,,,......,,..,,,,,.., "",,,,,...,,..,,,,,,,,, '"'' ,,". " '''" " " ..!L. 36 Add collln1OS (c) IlId (I) 0111111 33b "'"'''''''' "." "'''''''''''" """" """",.. ",,",'" """""" """," ," ", """",, "" """", "" .J 36 101l1lsIall and IlllllIlIcoml 01 (loss), Oomblolllllll 34 .011 36, Eotllllle 1811111 bill .1111 10chlll.IIl\l1l101.101lIIIIHObolow , '"'''' ." " . . '" ".., """'''''' 36 le.nr.l1\LIJnoom.!l..Erl-E8s From 0001 ElItptll Mor1U!!l!l! Invostmont aondl~Ol!;M!9I1ETIolI Uo j I I \dl Ts'~bIO 10 00111011 37 1.1 Nallll (hI EmploVl1 (e) Excm IlIclllo 011 101ll oillllOl Be \odlllll Q ___ Idolllllc.llo11 IlUmbll. BCbldul81 Q, 1IIl12c __ 1 IL~ 3ll....-jomblnl colllmos II aM (I) ollly EIIllllIIllOSllllhll1 .lIdlllclu<llllllllo 101.1 00 1111140 "llow Summp . N'l farlllllllllllocoml Ol (lonlllOlI1 FOllll 4030, Also, com~lIlll1ol ~ 1 below 10lAL locoml Olllossl. Combllll 111188 2B, 31, 30, 38, IlId 30, EolllthllOsllllllllllnd all FOI <<mnelll_lIoo 01 FIlming IlId Fishing loeolllo. Enll/ VOIII glOn 'IIIlllnQ and flshloO 10comlllnOltld 011 FOlm 4036, 111111: Bcllldllll K.I (FOlm 10061, 1101 16b; Bclll<lull K.l (fnlm 11106), /1111 13; 111I1 6elllllllle K'I (FOlm 1041),1111014 (see lIaOo ['01 42 nmllellllllonlol nul FIlii. lllOllIIlonlll, II VOII WOIIIIIIIIIIIII plolOllloOII, 1011llhlllellllcolllI 0/110111 VOllllPOllld .lIvwhlll 011 FOlm 1040 hom 11111111111111 111111 .cIlYIIIIIIII whlcll VOlllllllellallv ~lllIclpllld IIlIdllllll IIl11lvl acllvlt 101111I111 "a..lvo Inooll1o al1d la.. (c) I'mlVI dlllllClloll Olloss Ollowed (all.ch fOllll0U02II IIq!llledl (dl "asOIVIIIICOlIlO hOlll801lldUlo K,' NOI1~olvI 1I100ml an(\ ~081 (01 OIIlIlCIIOIl orion (I) Ollllllncoml hom Ilcm S,110dlllo K'l Bellodllll K'l 1. o dll,L-_ 10110co;l1lhom SohodlllDl Q, 1I013b 38 30 48 41 ~ 41 746. J.L _.____,__ 2 1!'tf'~1 12210412 790045 9 106503296BJM 052 GOUOA, JR., WILLIAM S 10650301 llotjfiPU\.J;SJ; (Form 1040) Self-I:mployment Tfu~ IlIPO\ll""l.llhO T,.."~ '" 0..1111\1110110111 for Bohldlllo BU lForIl110~01, In,on,'/"'."'O"''', ~ AII.ph 10.Emm 1040, Nomo of pOloon wllh ulf'omploYll10111111C0l111l (110 ohoWI1 on 1'011111040) J-..11'99Ir AIl""'''''1 OI<lU"'" ... 17 WIl,LIAM B GOUDA, JR. Who M\.lllt Fllo Sohochllu Sj: You mllol fila BOllodlllo o~ III . you hod no\ oO/lllngo from OOIl'OITlploVlI1onl flom olhor Iholl ollllloh omplovoo Inoomo IlIno 4 of OhOlI BOho,lIllo BU or IIno 40 of ~ol1o Bollodlllo Bf:) of J400 or 111010, OR . YOI/nod 011111011 cmployoollloomo of Jl00.20 or mora, Inoomo horn 0111'/100' YOII porformod IlO 0 0111111101 01 0 m.mbol of D lollgloll' ord.1 I, nol ohuloh omployool,noomu, 000 pogo B~'l, Nolo, Uvon II you ho,l 0 1000 01 ".moll omollnl ollnoomo lro/llDOII'omploymonl, II mllV bo 10 YaW bonoll\ \0 fIIo Bollodulo OU ond 110' 0111111 'opllonol mOlhod'ln PUll II 01 ~Pl10 BOho,II,lo OU, 000 pllgu OU.3, P~oopllon, If VOUI onlv oull'omplovnlunllnoomo WIlO "pm ollllllnOIl 00 u 0111110101, mombol of II lollglollo ordlll, 01 011l101l0n Oulolloo ploollllonol, 011<1 Vall fIIod FOlm 4301 and 1000lvoel1l10 opploVll1 nollo bo lo~od on Ihooo oornlngo, ela nol fIIo Oollodulo OU, 11l01ood, WIlla 'Uxompl,Folm 4301' 011 I'olm 1040, IIno 60, 000101 OOOIIlIIV lIumbol 01 IlOlOpn wUh oolf'oml*'Yllllnl 11001110 II> _ 10615013296 Mnv I UIlO Short Sohoclulo SI1 or MUST' Uno ~0110 Sohodulo SJ,!? E (]@YOIIIIEOUIVUWAnes 011 ::OOBll-.~ VOl All you a mllll.tOI, momller 01 a rollololla 011101' 01 OIl1lll1all [ Wu 1110 lolal 01 vom waio~ .nll lip. alllllae\ 10 apelal aocUI!IV YOI Belone, PflellllollOI Wll0 Imlvod IfIB app/oVI nnlto bo Imll 01 'alllolll lllIre0101l11' P UI yelll nolo /II ng! IIem 1011. - 011 Olmltlgallem 111010 aOUlell, lml you owo aoll'omplevmolll onWlovm'"1 morelll,n 6 ,4001 tu 011 olhor Dlmlllna? . ~' -'--=:J No Alo you ualng eno of tho epllonal mOlholl'lo IIgulo VOIII nol J-'l.U No IImlno, (III pagl BE.311 - --:J __ -I "NIl- Jill 0111 youllelwo IIp.allll1lello aoclll lOeullIv 01 Mellleare YOI.. ~ "_"111 vnll did nol I'POI\ 0 yenl,mplovol? -.. 01<1 you rmlva ehuleh omplovOD Inoomo 10POlll\1 011 FOIOl W.2 YOI.. 01 $108,28 01 mOlo? .. No I YOU MAY UBE BllonTSoIIEOU~E,llE OE~OW J -II>!" YOU MUar UBELOIl\\.!lOIlEOU~E BE :J ---... Soollan A . Bhor1 Sohodulo sa, Ollullo", flood ol1ovo 10 SOO I( you cOIl (/So Silo" Sollodufo BE, NIl\ form prolll or (10.0) frolll Bohoelulo F, IIno 00, ond fmm porlllorohlpo, Bohodulo 1(,1 WOlm 10061,11110 150......,....,,,.,,,,,.,,,,., ,..,,,, ..,,,,,,,,,..,,,, "".."..,,,. "."" ..".".."",,,,, "..... ,,,' ,,,... """..", ,,,,.., ''',,'' ,,,... ...J 2 No\ p/olll or 11000) flam Behodulo 0, IIno 011 Bohoelulo a.IiZ, 11110 01 Oohodulo 1('1 (Form 1005), Ilno 1511 lolhol Ihlln fOllnlnollllnd Bohodulo 1(,1 (I'prm 10B6'BI, bo~ 0, Mlnl.,olo onel Illomboro of 1011010(/0 OldolO, 000 pllOO BU'l fOI omounlolo 10polt PIl IhlollllO, Boo pllOO BU'2 for olhOl 11100010 to ropoll ..,,,,,..,,!3.',I,',~.'t..P.... _I\.. 3 Comblnollllol1 onel2 ..."..",.."",......"",,,,,,,..,,,,..,,.......,,,......,,,,,..,,"'''',,...,,,,.,,''''''"....."..",...."....,..",,'" ..JL 4 Not eernlnoo Irolll ..Il.omploymont, MUlllplv IIno 0 bV 02,3B% (,02361,111000 Ihun J400' do 1101 1110 Ihlo oohodulu, vou do nol 011'0 ooll'omplovmonllM ",,,..,..,,..,,,,,,,....,, ,.......""",,,,,....,,' II> ~ 8 BolI.employmolll to~.lllho omounl oh IIno 4 101 o $00,400 or 1000, ",ulIl"ly Ilno 4 bV lB,3~6 (,IB3), Enlol 1110 looull hOlo ond on } Form 1040,IIne 50, ".." .."..".."""..,.., . Morolhoo JOB1400, mulllplv IIno 4 bV 2,0~ (.020), Tll01l, odd $0,401,00101110 rooull, Unlor Ihololul \orO onel on Form 1040,11110 50. 41,746. 41,746. 30,552. .-,-;",'"',, 5 t 090. i:~::.).I::,.'rr , j .~, ~,' ".';J'." ,',.".' -,-,"" o Ooduollan fOI one.holl 01 ..1I.oml,loymonllo" Mulllplv II no 6 by 50~ (,B), Untol tho r.oull hOlo ond on Form 1G401"1l0 21 IliA For poporwork nolluollon Aol Nolla,,11O Form 1040 Inollllollon', L.LJ 2,949." Doh'lllll, 01' (Form 1040) 100D 'A~Il'.~, 12210412 790045 11 106503296SJM 052 GOUDA, JR., WILLIAM S 10650301 8606 J~>Mut~ 1....100' ~:;:~""IOI~"".."r Nondeduotltlle IRAG -~8-- ~~~""" !99'- ___j A11~~h 101'0"" 10~0, ~10~OA, or 1'0'01 lG40NI1, '_No 18 :;; ,;~I~:I~~; '_~;~':;:~:~I:,:::,~Q:.":I~ !I:QI~':. ~Q 111.qlll~"_dl:~I~:~~~~.:.~________......___I~:' ~:I'I~'::~; ~;:'I .. 1'111 In Yom Add".. OIlIV 11011\' '11111111 (111111\1>11 '"11 !llnt, UI f> 0 ho.lIll1lllllllot tI.IIV11o<llo VOIII hOIlII) ~ ApI. no :10~~'h7":~W~,,11~"oI ~ -C'liV,I~'wli'pi'I;~ii'~lilt,'i~liili,lnii7:ii' OUtI,-----..---. -.----- --'- Wllh YOllr T~. 1\~'ml1 PII111 TmrllllpnollRAu (Npl1dorluplllllo Opl1lr1hullpn., Ph,lrlllullpl1o, pnrlllpol.) 01,,110", II yoo cOllvottod (1I1/1 or ell 01 YOllr lra,l/l/onul IRA. 10 /lot/ll/lA'/1I 1000, '0. IIlu 11I"I1I1II/on. lor I'ar( 1/ OIl pog. 5 ,___bofl!!I!1Illl1i!Iul.9llItiu,(llhtLl~_..__ 1 UIII.r vooI 1101l<l0,IIIOllhl. oo"lrlhllllonlllo Irll<llllonnllllAo for 1000,1110111<11110 ""'00 mo<l. ""rIIlO 1I1/00'4/10/lJ0 Ihlll wore 101 1I10~, U.oln.trllolloll' ... ........................ .................................... .............. -L ____ a UIII., YOllr lulollRA hunl.loI 1007 on<l 0011101 YOIllO. Ooolnollllollollo ..... ..."...... ... ............ .............." 3 A<I"lInoollln<l2... ........................ ........"".. ........"".".."..........." "..........."..................................... old YOI' r'O'IV~ any ,1I.IIlh"lIonl No '... UllloI Iho omollllllromll"o 3 0" 11"0 I 2, Do nol !wllhdrawal.) oom"lolo Iho 10111 of Por, I, tram l"dlllo'lll YII ----... 0010 IIno 4, IIIAI ",OOO? .. Ulllor only Ihooo oOlllrlhllllonolnolll<loll ollllno I 111111 WOIO 010<1. <llIrlno 1/1/1l0'4/10/lJ0. 800lnnlrllollolln SlIhtroolllno 4 110m IIno 3 ........................................................................ ..............".."....."...........""......."... Unlol Iho 10101 Vllluo 01 A~~ your tro<llllollllll/1Ao 110 011W31/1lD plllolllIY oClololldlno rollovoro, 800lnollllollono "......."."................. .......................... _!!._ 7 Unlol Iho 101111 <llotrlbllllono YOII rocolvod 110m IIIl<llllonollRAo du"no 1000, Do nol Inolu<lo o/11oClllo 10110<1 ovor, Soo l"olllJUllono .....j................................... 7 Add IInoo 0 Ilnd 7........................................ l.!L DIVI<lo IIno 5 by IIno 0 Ilnd onlol Iho loolllllla 0 <loolmnl!rollndod 10 nllollo\ 3 ,,10000), Do nol olllor mOlolhon '1.000' ........"......................................"....... 0 X Multiply IIno 7 hy IIno 0, Tl1lalalho IImoulll of YOllr nOllloxllhlo <llolllbullono fOl 1000 ................................ auhlrllclllno 10 from IIno 6, Thla 10 1110 hllGlaln you I IIoclltlonoIIRA!o) 110 01 12f.l1/lJ0 .."........................... Add IInoo 4 Iln<l 11, Tl1lalo your 10111 1I"laln Ir.dl/lollollRAo for 1000 .nd earll.r yea,. .............................. TOKObl. .",ounl, aubtroolllno 10 110m IIno 7, Unlor Iho looultl1olo, Aloo Inoludollln Iho 101111 on FOlm 1040, It~o 10bl Form 1040A, IInolOb: or FOI'" 1040Nf1, 11110 lOb ............ ......" ... ,.... ........... .... ......... .....~ PlInll oonvorolol1B from Trl1dlllonllllRAB Ip Rolh IRAo Doforo ~ou booln, aoo Inolrllcllonalll (1) YOUI Ollno 111011I0 I. 'no"lod IIlIno ao"orololy, 121 YOIII modlllod AOII. mOto Ihlln $100,000, 13) you convoUod ollly pllll 01 YOII' IIodltlonollRAo 10 Rolh IllAo, 0, (41 YOII looolvorJ Ilny dlolrlbllllon. (WllhdlIlWlllo) florn Irocllllono' IRAo (1IIIInoIOOO, 140 Unlor Iho lollllllmoullI 01 (1lalrlbllllono 110m trodlllonollRAo dllllno 1000 Ihol woro oonvollod 10 Rolh IRAa ...... II Roohnrnulolluliono, 800 Inalluollono ................... ..................... ......................................... ........ .... ........ .."... o 8uhllllolllno 14h Ira", IIno 1411 "...................................................."........ ............". ...............".."................. Enlor yocr hoololn Iho olllollnl you onlorod on IIno 140, Soo Inol,uollono ........................"............................. T.xabl. ImoulIl of oonVO,.lolIl, 811blloolllno 10lrom IIno 1~0 ...................."..... ...................................... A",oolllallh'ool 10 1&Kln 19D11, Chook horolf you 01001 N01' 10 IIploocl Il1oloxohlo o",ounl onllno16 oVOI 4 yoo" (aoolnolrllolloIlO) ................................................. ............................"..."......................,...... ... 0 If Y"II ohookod Iho hOK, olllor Iho o",ollnl flam IIno16 on 11110 17. OlholWlo., onlor 2096 (0.26) of IIno 16 on IIno 17.lnoludo Iho IIno 17 ornollnllnlhololol on Form 10~O, IIn010hl Forr1l10~OA,lIn010hl 01 I'olm 1040NR, _iIoJLl!)h . ..". . ... .,.,... ". ..... ..... ..... ...... ............. ...... .. '''''' LilA For Po"orwork n.duoUon Aot Nolio., aoo In.I,ool/on8, 4 6 6 o o 10 II 12 13 16 10 17 jft .tilL .1.~ _ ...!JL ...1L 44,~ 4 4 t.llt!.. O. o. 0:- o . FORM 0000 11006) W.!l'.~1 12210412 790045 1065032968JM 052 12 GOUOA, JR., WILLIAM 8 10650301 [9111\ OqQ~ IlWL _.hat.&. ..&uiUl_..lllltrJbutlllnIJrllm.l111tll.IRAL..__._...n._..__.._.......__-.--...-....-..,--.. ....... ...._-, 111 Uol~, III. 101.1 Rolh IlIA 11I.llllIullon'IWllhdIOWpl.) rPo.IY~(IIIlIOOO, Jlo nollnoludo .mounl. rollo,1 OVOI wllhln 00 d.V' of mo.lpl, 0'0 III'IIucllollo . .,.... . ..",.", '" """" , '''''' "",, ..11.. 10. ~nl'l YOIII nolh ifill ronllilllllion. fm 1\1011, Inlllutllllg Ihoulllotlp llllllno 1111\IU'~/IM)O 1110' WOI. for lOaD, po Illlllnollui. rolloyo, oonlllbulloou or llmollOll oonvOIlod from lIo,II!1onollllAo " , "."",,, '"""""."",,, I> noohul.cloII'"lloo', 000 In.llllollooo "",..,''''"....,,,,,,,....,,,,,.., 1ilI. ___"___ Q Comlllno 11000 10. nIld 10h ....,."'....,..".,,, ',...,",,,...,,,,,,.,..,..,..,,,,,,.,.,,,,,,..,,,,,...""""""""""'" jilL 110 01111110011111.100 ',omlln. III, If "10 0' Ic.o, on 10' o(), ond do nol oomplolo lho 1001 of fl.,1 III ""'"'''' """"'''' .JL Al Oublrool 11110 17 f,OIIlIl0010""",,,,, ,.,""',...,""".."'''''".."..",,,.,,,,,,,,,,.,,,,,,..,,,,,,,,.,.."''''''''''''''',,,,,,,,,,,.,,,,.,.,, AA anlor Iho olll.lIor of IIno 20 01 1100 21 """",...""""""".."".",."""."""",,,',.,..",..",..".",.,..."""".".""""",..... ..1L ___ A. Aa Oublrool 1.lno 22 flomllno 20, Ii 1010, .klpllnoo 2~ Md 26, ond 0010 IIno 20".",,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,, ...ilL ~4 Unlol Iho OUIll of IInoq 16 001117,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,","""""",,,,,,,.,,,,," _ilL AO Sllblrool IIno 2~ from IIno 23, If 1010 or I.n, onlo, o(), ''''','' " " ""'''',,'' '"""""".""" " """'""""",,,,,,,,,,,,,,,,,,,,,.,, ,.ll!.._. AO T~..hl~ ~mollnl, Addlln.a 22 on[126, finlor Ih. I.allll /10101111<1 IqolUllo IIlnlhll 10101 on FOIOlI0~O,1I00 lObi FOlm 1lJ~oA, IIno 101>101 FO/IIl1040Nn,IIno 1011 ,",," '"'' " '''''"'''''''',,''',, """"","" '"'''''''''' ",,""'"'',,''''' " ". NollI If YOII/lova 011 O/11ollnl on /lno 22 or 25, YOllw11/ bo $(/b/aollo OIl oddll/onPi 10'16 Ill', SllIllnollllol/olla lor dO/oil.. PlIrt l.V Dlsttlbutlons from Edllolltlon (lid) IRAs Doforo YOll h~oln, 000 Inollllollona II (111he 10101 all 1M oonlnbllllolla modo for 1000 on bohell at Iho banoflolory oro mora IhM S6.l!!L..!1r..lgUho hOlloflolnrv hlltl.mQLQJhnlL!!llD.fuLlflA.!lI!!lQllnl for 1000, _ 07 61llel 1I1e 10101 a<llnA dlolllllllllollo (wllhlllowolol laoolvod 10 1000, Po nollllolll<lo IlmncllI. lollod ovor wllhln 60 doye of rooolpl ,."""""""'''''''''''''',,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"""""""""""""""""""'''' JlL 20 Po yOIl 0/10000 10 wolve onV exolllalon Vall may b. onlllloef 10 for YOllr 1000 qllollllo" hlghor odlloollon oxponooo (aoo /oollllollono I>.foro IlnIWollno)? ~:~' a~::Oy~ll~;r:II:'I~I:~~:~\:~~Il~~n eXIIOIl... for 1000, } """"""",,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,,,,,, .1!L 20 Taxlhll ~molllll, 10 IIno 20 oqullI 10 01 1Il0le Ihon 111\0 271 VII, aoler o{)'l nono of YOllr ~d 1M dlalllbllllono PlO 1(1)(01>10 lor 1000, No, anlol Iho 10101 of Iho omollnla floOlllno 14 of Iha workohoet on pllgo 7 for olloh of your aef 1M oooollnlo, Alao Inolude Ihlo omolllllln Iho 10101 on FOlm 1 040,IIno 16bl FOlm 1040A, IIno 10bl or Form 1040Nn, line 16b, NaIll If YOllllOve 0 I/l!(ab/o a/11Ollnl onllno 29, YOII may bo '111>/001 10 on oddll/onol 10'16 1M, S...lnaln101/0n. lor dotol/., 0 lid del la<, Slon Ii ere Ollly II VOII Uml'l plnllllllol PIIIIII)', IlIICll'o Ihltl hlVI OIImlqlll Ihll fOlOl, Illcllldlng IccolllplnvllIg .lIlcllllllnll, I"d 10 1111 Are Filing T/lla Form bill olmy kIlOIV1IdO. 111</ bllllf, 1111 tllll, oOlllCI, Iml OOlllploll, by 1110" end Nol Willi Your Tax neIll/II } """"'''''''''''' ~ YOII"I ~ ~ 0111 mtL"?.. 12210412 790045 13 1065U3296BJM 052 GOUnl\, JIt., WILLII\M B 10650301 _--I PA 40" 1096 9aOI111al1!iS L~ PINN&nVANIA INOOMI TA~ mURN OQIlVI)QnWflil\h 1jl111tfln'Yt1H1III't\ P,p",tmflll \lll\tvff\\lf 1a~'!ia'3a% GO 1all-lla'9?P? ~X (J ~ 1 G()U~A, JR, WII.I.IAM S A 0 RS R FY (J FS M S WEST RISS~R MHl. ROAD SC 3~2i!n MOUNT JOY PA 1'?Ssa PN 1A O,OCJ 113 0,00 1C OillO a 1i9i:!,OO 3 5,00 II 111'121,00 " 11, un '" n.oo ? O,UO .1 1\ 0,00 9 11221/\.00 10 0,00 ],], 11r-2111,OO ],2 l1a2.00 - - - . - - - - - - - - - - - - - - - - - - - - - - PLEAsI-foLn PAoIAi.oNo Tit,S liNE - - - - - - - - - - - - - - - - - - - - - - - - - - lO~lllolonllllloo,lolol 1'111010 YOlIlIvOIl al 01 W31/ll0. SclloolOlllllcl: DON E G A I. OOllllty: l. ANC A ST CR MllolclpllllY: M 0 IJ N T JOY SclloOI Olllllcl 0011,: 3'" i:! i:! 0 1111111100 1111101101 Milk 1I1111plCI AIIIOOIIOO 1101UIO, Milk IIIIIIPICI Plm1 YOI! PIIII, Milk 1111, Ipacl Oplloo lor 11UOO Booklol, II YOllllo 00\ I'IlolllBOO Tal 1I00kl,11l111 YII/, Milk IIIIIIPICI, x 1100lUlo~y 8111UI, fllHIl Olliy OliO cllolco. lypo fllot, flll'lo ooly OliO CIIOlco, 11 Nil P flom: To: x ROIloool HOot8lldonl PilI YOIt 1181100111 x 8 M o 1111801 D8Itll: P J , 100111111111100 llhol Ohlogl, Milk lIlIIIP'CO, IIlnl lallll YOII recolvlU I'IlIh 11111 hooklolll oot oompl,llly oOl/lcl 01 II YOII 11111 1101 1110 ~ 1007 PA lax IItlllO, 00 oot pllCO Ilbol on IhlIIO/m, 11 01011 PA T1l1l1lo OomPlonlluo, 110m W.2 fOlmllnd 011101 1IIIomooll """.".".""".,......".""""."".""."...""" 111 UnllllllhllllOd EmplOY" 0111111011 I'PlllIOS, from PA Scholllllo UI """""...."".....""...,,,,,,"......,,..,,,,,,.,,,,,,,,.. 10 NOI PA Tmlllo Oompoll&llloll, OllhlllCIIIIIO 1 h frolllll ". ..."" "."""""", ..."." ".".. .."..."""".".",,, """""."" 2 PA Tmhlo 1111010111000100, OomplolllOII ooclolO fA 6chllllll0 A, II OVII $2,600 "".."""""."""."",,,,,,,.;,,,,,,,,,.. 3 PA Toxslllo DlvldlllU' 10coll1o, OOll1pIIllllIlIllIclolO PA Schllllllo 0, 1I0vOl $2,500 """.."",,,,, ""."...."."".""" \ 4 Nollllcomo 0/ LOll from 1111 Opllllloo 01 0111111111, r/ol"sloII, 01 1'1111I """ . "."". ". "",, """."""." "" .""."".", 6 Nol 61111 01 1.01111011I1110 6111, F.lclllogl, or Dllp~llIlon 01 PIOPOIIY.""".".""."."."""......,.."..".""""",,,,,,,..,, o NlllocolIIl 01 LOll 110m nlllll, 1I0YIIIIII, Patollll, 01 COPYllghl, ".. ."." """. """ .""."" ..".""."..."" "."."."."" 7 Ellllo 111I1 Tlnlllocomo: Oomplllo 01111 ollclo58 I'A 6ell"'lIlo J ,,""" """".""" "". "".",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,. o Ollllllllng IlIlIlolllry Wllllllllgl ,.""", ".... ,,"""""" ..",,,,,,,,.,,,,.,,.,,,,,,.,,,,.,,,,.,,,..,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,.,, o Tol11 01011 PA Tlllhll IlltOml, Add 111110001110 IlIIounllllom 1.1111110, 2, 3, 4, 6, 0, 711ld 0, OONOT OUPTnACT IllY 101l1lllpolltd 011 LlnOl 4,G,Ol 0 ",..,.. ...... "".......... "'" 10 OONTnIOUTlONS TO yo un MEDIOAl RAVINOS ACCOUNT. ...."."" ..".".......".".."...",,,,,...,,,. 11 NET I'A TAXAblE INOOME, 6ulllllCtlllll1O tfom 11111 0 .."......."""..."""..""",,, 12 PA Tlllllblllly. Mulllply 1111111 by 2.8'10 (0,0281, Allo 111111 011 Uoell, plgl2 L '1l\OD11eO!i5 U4OOlm2.IO,to 810gl1 MIl/lId, flllno 81plllluly 1I018...d Plnll MIIIIIII, filing JpIIIlIy 0,00 0.00 0.00 1192.00 5.00 11],,72],.00 0,00 0,00 0.00 0.00 11th 218,00 0.00 112,2],8. DO 1,182.00 o '1800112055 -I ~ PA.40 H108 9APPf!1~(]53 PAfl~ il GOlJOA, JR, WII.I.lAM S 1atl.5~"3il% 1::1 11Ail,PP 11t p,on 15 P,OP 11> II'/il, pn 1? n,pp 111 o,PO 19 1I'/il,OIJ f!lJ 0 ill P,PO 2il P,OO i:!3 O,PU iJll o dHl iJ5 O,PO i:!b P,PP i:!7 P,OP illl 117il,OO i:!9 310,00 3P O,PO 31 0,00 3e! o .(JP 113 O,PO llli p,oo 35 0,00 ll~ P,oo 37 P,Po - 13 TolII PA Tu LIIUlllly, ~nlll YOII( III IIlblllly Illlm Lilli 120111111 1I111111gO. ..",......,,,..,,.. ,,'.. '.."......, " ",,,.. ,,,.. ""..",.. """".. """ ""'"'' ,.. 13 1~ Tollll'A TlI Wllhh8ld, tromlnololQd W'2 1011111. ,......,......, '........".., "..,,,..,,,,,....,,,....,,,,,,,,....,,,,,,,,,,,,,,,, 14 16 Omlllllom you I 1007 I'A IlIooml 111 I1lhlm ",........ ..",........,........."......,,,,,,,,,,,,,,..,,,,.. 16 10 1000 Ulllmllllllnlllllmollll'lyrnollll. ,,,..,....,,..,..,, ,.... ... ......"....,..",......,..........",..,.....",,,..,,..,,,......, 16 '7 I 000 ~Ilollllon Plyn1111\. ....."..... "...." ,..".. ......"..".. ,.,...... ,.............., ..",......, ", ..".. '''' "".... ,,,,,.. ..""",.., \'I 10 NOlllllld'"1 Tu Wl\hhold flam youI PA BohollUII!11 IiIlK'" NOlllllldlllllllnly, ...."............""..",,,..,,,,....' 10 10 Tolll hllmllod Plymonll 11111 Olodlll, Alldllllll16, 16,17, olldlll, ........,.."..,........".."...."....,,,,,,,,,,,,,,,,,,,,,, 10 111 1010lvlllm Olldll, 00ml11010 Iln1l20, 21, 1111I 22.111111 InllruclIolIl, 20 OOl1llllllnll, 1'111 0, Lilli 2 PA BoIIIIIIIIIOP, ,,,..,,,.,,..,,,,,......,,,,,,,,..,..,,..........,,,..,,....',,,,,,,,....',,,..,,,,,,,,,..,,..,, 20 21 Totll UIIOlbllllY Inco01I, Pili 0, Pnl 1" PA BChodlll1 BP. ,...... "'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 21 22 TIK ForglvlolII Olldl\ 110m PilI 0, L1nll0, PA Bchldllll BP, . """'''''''' ".. "...... "'" ".. ,,,,,,,..,,,,,,,.. ", "" """....' 22, 23 Tolll 011(111 101 TII8I Plld 10 O\hll BIIIII 01 OOllnlllll, UnclolI YOIII I'A Bchollllll a 01 nK'" """".....",,,,,,,,,,..,,, 23 2~ PA Emllloym,nllnclntIVl PIYllllnl Ollllll, EIICloll PA Bchlllllll W, nK,\ 01 linK. I. ,,,........,,,,,,,,,,,.., ,..,.."""......""....",,,....,,....,,..,,..,,....,,,,,,,,,..,,,,,,..... 2~ 26 i'A Job 010111011 TII 018(111. 110m IllclOlld cllllllcll' oll'A BcllldllllllK'1 01 NIIK'1. ..,.. ""...." """"..",,,,,,,,, """ 26 20 PA Willi TlllllocycllllU IIlVIIlmlnl TIK 011<11I, 110m Inololld cllllllolll 01 PA Bellldllll IlK'I O( NnH'I, """".""""",,,,,,,,,,..,,....,,,..,.,,..,,....,,..,,,,,,,,,..,,,,,,,,,,,,..,,,,""""..",,,....,,,,,,,,,,, 26 27 PA Illllllch 1111I 08vol011011111 Tu 0(11111, 110m Illoloud c8l1111cIII O( PA 8clllllllll nK'1 01 NnK'I. I....",,,,,,,.,,, ",,,,,,........,..,...,,,,.., ".."", ....,.,..""...."""""..",,,.,,,,,,,,,,,,,,,,,,, 27 20 TOTAL PAVMENTS Inll OIlEOITS, Add IIn1l14, 10 Inll221hl0llOh 27, ,..,.... ..........,..".."..,,,,,...,,..,,,,,,,,,,,,,,,,,. 2S 29 TAX OUE, II Llnl\SII mOlllhln Uno 20,lnt81 Ihl dlllmllC8 hOI8, "......,........"..,.....,,,,,,,,,,,,,,,..,,.,,,,,,,,,,,,,,,,,, 29 30 OVEnPAVMEliT.1I Lilli 2811 mOlllhl1l Lilli IS, 8ntlrthl dltl8l81lCO hm. ........ ....,...."...."......,,,....,,,,..,,..,,,,,,,, 30 31 Illlllnd.. Amolllll 01 UIlI 30yoII wlllln I Ch8Ck mlllldlo you. .."",,,,,,,....,,....,,,,..,,,,,,,,..,,..,,,,,,..,,,,.. nolulld 31 32 011111\ .. Amuunt 01 Llnl 30 YOll wlnl 011 clIlIlllo YOIII 1000 EllllllllolI T81 Accollnl. "".. ,,,.., ..,.." ".. ,,", "..""", ", 32 33 Oonlllon.. Amolllll 01 LI1l8 30 YOII willi 10 dOllllllo thl Wild HIIOUIOO OOllllIVlllolI Fllnd, ,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,, 33 3~ Oonllloll .. AlIlOllll1 cl Uno 30 YOIl wIllllo donllo 10 Ihlllll1\8d SllllI Olympic Oommlllll, I'A Olvl,lolI, "..,,,..,,,,..,.. 34 36 Oonltlon - Amolllll Oflllll 30 yOIl wlntlo lIOlllllto Ihl OrOl1l 001101 ^wlllnlll1f1l11 Fllnd, '"'' ....,...." '''' ",.." '" 36 36 0011111011" AlIloII1l1 01 LillI 30 YOIl willi 10 dOllllllo thl KOluNlllnlm Mlmollll, 1110, ""...."""",..",..",.."..""" 36 S7 Oonltloll - Mnollnl 01 Llnl 30 you wlnllo lIonlle 10 PIIIII al1ll Ollvlcll OlnCOI IImllch..."...., "....,,, "" "'"'' ,..... 37 Tho loll' 01 Unu 311hlouah 37 mUll equII L1nl 30, 81~'hll1(.,_lJl1dw t*I~tl" 01 ptflUIY, I dtdt/tlhl' rillY. ....wnt<llhit Ilium, Indudlng IUl\CCOmplllt1flg Ictltch,l.. t.nd 'llltmttlll, IWld lo1h. bNI 01 t1'1)' {~~tu!ltX.l!~tel..\tJ cot""ltt, <- Yout 810nltur1 U.,. VourOcc.:YPllIon spou.... Slgnl'UIt TAXIDERMIST 8poutn Oooup.tlcn 0',. L - 1,lll~,OO 0,00 0,00 8'/~,OO 0,00 0,00 1l7a, 00 o O,OU 0,00 0,00 0.00 0,00 0,00 P,OO 87i1,OO 310,00 0,00 0,00 0,00 0.00 0,00 0,00 0,00 0,00 PrtfI"" 0' CotTIJIJllr Ntmre, Olt\., In." ~f1tyttt'l, b..fd on t.!11l,fonn6l!oh fll Which lh, JUtP.... h.., tIlr ~nO'Nltd'" r"p_OICo",panyl''''''(p"o..rnno SMOKER, L^NDIS Ilo COMPANY, LLP I not. ~lct]'..r"'>I"flv""", ~L~.AiLn~l}L~!..!__~J;_O LA.~ _P_^_._~ 7 li-"A__.__________ ..J': '(:VI- ( 71 '/ ) 656.7 51PI !Illrl'lUltllllhl "'ept/flIOrllon&/) L 9/100212053 "~OOj.m.'o.~ '11100212053 -.J _1 Ntlnthl."hown"nrOlll(lA.40 PA SCHJ:PUl.J: Ala 9all1r.1r.0.5P, I'A'MII09'P'1 ffA I1'PAlnM~N' ot l\c.Vf:'f\Jt PA TAXAf,U..~ INTeRJ:sT AND PIVloeND INCOMI: 1900 L noo~ St<-lJrlly Nulf\bW gpuB~!ll.1 \~rr!r,IMLL_..._________._._.____. ._____. 106-50-3296_ Flllno Tip, ~ Olllllan, l'gdo,.lolld I'll 111100 101 1IIXIlI>Iolllla'.11 ami 'IIvldolld IlIoomo IUI 11111010111, ROlli Iholllllnwllalll, Mllk..1I noooo'\lJY O(lju'I' 1\101110 fUI 101'0,11110 I'll IlIXoblolnllloll ond dlvldond hwomo, ,,,, FIIIIIO Tip, II ollhol you I I'll laxoblolnl.,oal 01 dlvld.nd 1110011\.1. $2,600 0,1'18, you do 110111...,10 01101... II .ah.dlll..1I you, IlIlor..lll1oal1\. dlvlel.nrllllouI1\o I. mOI.lhall $2,600, YilU IIluIl "1101,,". . .olwdul., you may f111.ul . I'll Boholl<ll. II 01 /l, Yall ann 01101... II f.d.,.180h.eHJI.Il, II you ora IOPO'"110 lh. .0111. I""ohl. 111101001 01 dlvldond In.omo for I'll PUlpaO.., You moy mUI. II I'll BllIIQtlu\Q.I.l!!.rlm!lIUIIIl!l!l!iJll!JJme.UIlI,.Tllll..12nnllllmQJlLQllI9.Y.(lJIUQ.l!illL~!y_UtO.OlllQlJlJll.l'QlLUllWllIll.l1ll..YJUlLl2l1m.Ull!!.IMU!I1- fIll BahldullA, . I'll T"."i>I"ln,"ru\ fl1oal111 II vaUI I'll 1""lulolnloraallnool1\.11 OVOI $2,fiOO, you 1111101 "H>mll I .0hollul., B..lh.llI.lluollolll III YOlll 1000 I'A I>ookl.1 for Wh.lllllolull'la.ablo IIr ..0mpl, If you Ilo.d mOl. .1'"0., 1lll1l0h IldelllloOIlI.oh.ellll.. Il1lhl. fOll1\I1I. II 1111110 fOd.rol 80ho"ulolll _____ 1, Enl.' Ih. 11111011111 flam ~III' 4 flom YOUI I.clolal Boh.clulo Il ....".."""......................" ..""......".....",,...... """" 1, E _4!) 2 ., 2, Buhllllol I'll ,.omp' Il1lor..llhlll YOll I.pollocl "' laxllbla 011 I.dor.180h.,lulolI, 80.lh. pA'40 11I.lnlallllll', "."". 2, . 3, 8uhllnol vour .h.,. 01 11011'1'11 Ruhal,.pl.r 8 00'PO'1l1l011 IlIloralllh.1 Vou ,0po'l.d 011 I.d.,al Bohocllll. II, Ba.lh. 1'11,40 1I111ruall01l1 1111,1 I'A Boh.dulo O,t,ll1. 7, ...".....""""......".....".......""....".............."""""."...."."".11, ( -, 4. Buhllllol olh.r I'll ...mplllllol.ll, B.olho 1110111'0110111, O.lo'lu. or 1111 pllv.r IIl1d Iho .11101/1\1, 6, 1Ic1lcllacll'lI laxIlUI.lllloIOII, BUl>llaoll,llloo 2, 11, .11\1 4 Iromt.lll.1. ........p............... ............................... If vou clo 1101 hllVo 10 loporl OilY olh.r PI) IllJIoulo 11I1.r.ll, 01110' Iho .moulIl 110111 ~III. 6 011 you I 1'11'40, ~IIlI 2, If a ohorohokl.r 1111111011'1'11 B oo,pornlloll! 110 ~llIa 7, ~E--- ".." 0, 4~ 0, IIcld olh.r I'll 1"".1>10 11l1.,oal, B..lho 11111/110110111, UII oaoh payor .lId Iho al1\ouIlI, - . . - . Tol~1 ~o, 7, alllal your 10101l'A '""aulo 111111011 Irol11 p.,ll1.,lhlpl allcl I'll 8 oo'porallolll, If 1101 olroorly IlloludaclIII t.lllO 1, .....".. 7, 0, Tollll rA IlIXal>lo Inlaloolllloomo. IIrld ~IIIOI 6, 6, 01ld7, IlIoludo "" youl PA'40, 1.1110 2, ......".............".................."" 0, 492 :1 PA Bohldlll. " . I'A TIR.l>lo Plylclllld Inoalllo If your I'll 1",,"1>10 dlvlclal1d IIIOOIllC II ovcr $2,600, you l11uol oubmlt II lohodula, Boo IhoIIIBlnlollolloIII yacI 1'II'4U I>ooklll for whlll dlvldolld 1110011\010 la,aul. 0' o.ompl, If you 1I0ad mora "1'"00, .lIlloh oddlllollaloohodul.1 IlIlhls 10lmal, II fIIIIIO lod.'1l1 80hodul. 01 , . 1. alllo, Iho omoullll,ol11 Lilia 0 01 your 'od.,ol Boh.dul. 0, ........................ ..........................".................................. " [ 2, Suullool PA 'o..rnplllll.roll dlYldolldl' you ropo'l.d 011 fodorol Soh.clula 0, 6.0 you I l11ulc.' fUllcl 01 IlIv.llmalll fUllcI 1llllom.nl nncllho 1'11,010 IlIol/uol/onl, ..."......"....... ..... .............................................................."...."......".....2.1 3. Bublrnol your Ih.,a of 1I0n,PA BUbohaplR' 60011'011111011 dlvlclalldl Ihlll Vou ,0porl.cI on I.dolnl Bohoelulo 0, 000 Ih. 1'11,40 IIlBlruol/ollo olld LillO 7, .."........"""......... ..."..................................................... ......."................".. 11, I 4, BUI'llaol olho, pA ..ampl dlvldollclllloorn., Boo Ih.lnll/\lol/olIl, OOlollb. 0' 1111 pIlV.' alldlho RIlIOUIII, 277.1 272.1 =.J - t . - - fu.. 5. 1Ic1lullucl I'll 1""01>10 cllvlllondllloolll., Oul>lraol ~Inll 2, 3, ancl4 flol11 ~11l." .............."..................".."................ 0, If you do 1101 hRYO 10 rapoll RIlV alhar flA 1""llulo dlvld.ndl, olllor tho .1110u1II 110111 ~III. 0 011 vour 1'11,40, Lilia 11, If U lIIOrOliold., III a non,PA B 0011'01011011, I.. ~Ino 7, 3 0, IIdd olh.r I'A l.xllblo dIYld.Ilc1ll1ooma, BII Iho Inolluollonl, OOlo,lhl or 1111 olloh pRV.' olld Ih. IInounl, ---- ...I!!1o...l 7. anlo, your 10101 dlvlclollcls (olllh Rlld p,"polly aolulllly ,ooolvad) Irol11lh. oornlllOI olld "'0111. 01 11011'1'11 B oorpocallon., 0, ~~:,I::u:'~;:~ ~~::~~~::od~:;d;~d.I~;;~; .j;o,~~;,i;;II.;hln, ~;d' rAG ;;'P;II'I'I;Il;:if 1l;1'~'I"ladVI~;I~~;(il~~'I~;;.'........"'" .... ~: I O. TOIOI pA I""oblo dlvldolld IIIC0I110, Add L1MS 6, 0, 7, Ilnd 0, Inolude 011 YIIUI pA.40, L1no 3, O. . -J 5~ "4111102.10." L--- 98012120.52 12210412 790045 IOG50329GSJM 052 o GOUDA, JR./ WILLIAM S 98012120.52 -l 10G511JOl ,: (, '''',"''':'\'11' '9" 9' 8"T.d.'J.l \~." 1T"'.\lrt!I~"~" ... ,...!t...p..~~)glj. ~ '~d' :): ,~'''r' 'j" ~.~~ f.atur' c~ ~lllcnmc ' . ef . ,. ".." ... ,. .,. ,. .. ..... ..~;._,~r..,. '~I" .. ,...~ . .' ,.' : 1.aI1~llll'r COllllly 1'il~ Cull,cllulI IIm_" 299 11m Ulvll" SlIha 2 1.lII1cllllar I'A 171;0 1--1091 (111) Sli9..1S21 I,L1Ci ,Inl. SII c_ Rt:TUAN THIS FOAM TO 1.0TC13 -- '.' \ii:;;"..iM4.:'!;: ,'\\',Pllrl.'A:'7:!1f!xpliYll,r InConriIlUllil'M'!,1 I', : Co "",:~>il(~ii\"i\';J~R'~MilP'!l1'~~ ,\I,kl cofl"I'on! llbll' .",,"/'1, II 1~1I11 nOlll'rt,prlllll~ 10f1l1I'I.... '011I1'111'111 n(ol1l1.llo., I",u.'IIoII' m on IhlltYlf.. lit . 0/ 1M! lonll, nur . ua, Saa, Nu, \ ~ ( ~ - :>- ~; ~ ~Q. % 1'1'11111111 ~~Ulll~ I 1[2, ^~dl"" W;\,(,(,XM\ 6 r ~IKlIIIO 1 ~Ila, Sco, No, tJ Wfl~T R,,.~Sf'.(l. NIHt.. r~p M DV /JT JtJ'{ I p~ Il'i'Sf).. ClIY, IIUIUllBh or lQWlllhl1' of Currcnl ^~dto"l I. . . , . .. '"'l''' "P In E I -I~' 'U '~\'''' , ".)"~~\'''-&:i'''' ',. '~I ..; "1.'."', "','.' ,""\.,,\,,il"~"'.ll, IIr. mil oyer n ono" on" .""III,"','".I""'''il.~' "mMI ~ 1lMJ'I.OYIlIl'S NAMU ANP APPIlI~~S DROSS l.OCAI. T~ ' JL .K. UAIINIll) IN~~rl WITlIlIlJ ~ II, - h, - c, - . - ---- d, -' 1-- , " - COl,UMN TOT,\J.~ (To Pnrl "C" 1,lnc, I nncl 0 r"l><lcllv~IY) ,,' , .. ' ".' ,:""",-,~"t~ "c,. . p t C-~ 'l\ 'C -. j"U .1'''''.''iI )'.. . .....::':....~ ,,~;~: : i,'IJW/.iIi Hl"/.~ "ff: 1',1';"1 ..,',."....f,:'I'...';,i.trl*(.I'F:~I.":.'t",;'il.;!!.'., Jlf ,J;' lX.."pm(111 ~. .~)n, ;r.>>r~~(,I'~t',,( ",'" ., . ,1'1.1,1" . , I. TOTAL W.2 IlARI'IINOS (Froml'an "II" abov.) I. 2, LIlSS ALLOWAIILllllMPWYllll IIUSINnSS IlXPIlI'ISIlS (IJnoIOi' I'cclol1lll'oml1106 omUor Slole LJ!i 1'01111) 0 ., TAXAIILn W.21l/IIlNINOS (I.ln. I mtnu! \l1l'_~ .--.- 3, 3, -I, OTIIDlI TAXAIILU 1!AIlNllD INCOMll UlllJIQllllchltl. Inl'rcSl ollcl cllvhl,"ds) ,I. " SnLI'.I!MI'l.oYMnl'lT INCOMl!1 01111110"1_ l'omlioHI ------ITB. ,. ~ __ Ponll'rsl~..xL' f...- i-- 6, TAXAIIl.n IlAIlNllP INCOMIl ANP NUT l'Il0l'lTS (Acid lilies 3,01, nnd 5) 6, TAX l.IAlllLlTY1 1% of l.llla 6 (~iIlIlII'IY 1.111' 6 by ,otl ~1111 . 7, 7. .-..-- a, TOTAI~ LOCAl.INCOMI! TAX wmII IIlI.P (Froml'nn "n" nl.wc) 8, I TOTrlL nrlLANCU PUll. Pllynb'olo L,C,l'J:.n, (Un. 711111llls \In' H) .-_. 9, 9, ~II" - 10. IlIlFUNP PUll (Lln. 8 IIIlnlll \1110 7) 10, '.' , " ..,'1""",, 1'lIrl D -! '::' ~ _ )'.' f . . \,.....'.1. , ..'..'-.... . ..~~.~.I ." . .chedllles Illld IlolamCnll hnvc beell .xllllllncd bv lIIe nod In Ih. II w. 11.clor. uncl'l !OII.II CI nuv clc II' II, 11111",111111 nllcl 011 oocOIII lOll In I I I I d hy 10 , II 1><11 of lilY knowlodg. nlltl h.llo( ntollllO, UO\To..l, olld enm lelc, Yonr Slgnnl1l1' 5IHll"0'ISIBII01IllO y 8 D'IO Telopholl' Oo'n1'olloll DniC Talelllmne Occupnllon TIMI! I'lllllOll I I 1/98 TO 1 I I I TO I I I I TO 1 1 CUllClI1 AJdlCII (if tlilfalollll TlllonN\!\' SMOKER,lANOIS & COMPANY, CPA 1111/ 656.75~4 Purt E ' Comlllele 'only Ir you moved dming the tax year - Mr\ll.ING "'lllllllSH . _ CITY I nOI\DI:olI i TOIVNslIlI' 1',Id I'ro""or', I'Iomo l~ Firm (PicniC "';1111 ---- BUREAU COpy I.CH\l1 ---~._,--~_._.._._----.-.._---~-._~---..-.----..._-- 1 POO J:QllmlllQIl Tllx Wllrk8hpul (IIIIQP fpr Vllllr rlllll1rlln) "~'----'-'-- _...~~----_.._--------_.._-- 1 EollI ,mo~1I1 01 IUI\lll,'1 glO" Inlom/You "1'0111111009 .""." 2 . IIvou I'lln 10 IIlmll' lI'Ulllllolll, IntI/III! IIIIIIIIlO,d 1011101 VOUIIIIIOIIIU dOII\lllIolIl. } 0'~1I0\IIIIIO' 11110VI II oV1I11 D,600 16~,300 II mUl"lIlIIlng IIjlllll,IV), VO\II II.UUII 00 mlY~' IIduII'1. all jl~~. 605 101 d.lllll. "".." """.. · II VO~ dO 1I0t plln 10 1I0mll. d'ducllolIl, '" modlld dlduolloo 1011999 011 PIg' 9, Ind ,nlll VOIIIII,"dlld lI'd~cllon 1111I. 3 S~hlllOlllol 91i0m 1111. 1 .".."."""..."."...."."..."""""... ........""."."",....."."""""....."""""""".,...""....""".""."" ~ E..mpllool. M~lIll'ly 19,760 ~V III, o~mbll 01 Plllollll ",mpllonl. II you 1111 Ii. clllln," II I d,o.oulnl on .nolllll pIIIon'l 1000 IlIUlII, VOUI plllollll ",mpllollllllol IlIow.iI. O.ullon: SUI Puh. 606\0 110\11' III. IInoullllo ,ollllllln. 1 Ibov. II Ovl/: $I 00,060 II 1111111111 IIIlng lollllly 01 qUllllylllg wldOW(III: 1160,300 II lI"d 01,oUIl110111: 1190,600 II ling II: 0/ $04,976 II mllll.d IllIlIg IIPlllllIV "."...... "".""""".""..".".."......."""."..." .....".".".".......".. ."""". ...... ".""" "''',,,,.,,,,.,,,,.,,,,.,,.,,... __L.. ._L -1- _____ o S~hlllcllln. 4 110m 11003 ..." ......"""".."""...""".""".".".."..""."."""....."."..",,,,.....".."""""....".,."."."."""".", o Tn, flO~1I VOu"" olllhl Imollol 00 1100 5 hv uIIIIO 11111000 TI' nlll arlllllulII on plgl9. no NOT 11II111' HI Talil. 01 III' fl. nil' SIII.lIul" 10 1110 1000 f0ll111040 01 fOfln 1040A 1IIIIIIIClloll', O'~lIonlll VOUIIIVO 1 n'l "'pllll g,11l "' Pllb. 50510 IlglIl' lh. I.. ". ". ."." ".. """.. ,,,.. ."""" "". ,..."." """" "..... ."" .".".".....".... "".""".." ".".", ,..".... ".". -L_.. ....L ....L 7 Adllllloo,II'", (100 11I'llucllonl) "",," .". .". "..." """""..".."..." ..." ..".............. ..."............ ......"....... "..: .".".. ."...... ". .J o Add 111111 0 Ind 7... "........... .". """"....." ""..."." .".""". ."", ""." .".""."".....,, '. """,," ,..,." """""". "."""". ",,""""" ....L 9 0101111' (III 1IIIIIucllon.), 00 nolloclu"o Inv looomo III Wlllllloldlog 01111I1111111 "."" "",,"" '" " " ,," """..." " "...". ",,".." "." " -L 10 8ubll,011llll 0 110m 11110 0, Enllllho IOIUll, bill 001101111110 1010.""".""""".".""""."".....".""""."",,,.,,,,.,,,,,,.,,,,.,,,,,,..,, JL" 11 a.II'llllploVIlIOIIIII.. ElllmlleollOOO 1101 111111110' IlOolloll'"IlPlovmool t. , ; II 172,000 01111I, llIulllply tllo 11I10UIlI bV 16.31\; II 1lI010 Ihlll $79,000, /llulllplV 1I1111l10uIll liV 2,01\, Idd $0,0112.40101110 IIIUII, '"U '"tll 111,10111. Olullool II you ,110 IIIV' WlglIl\lhloollo mil' slcllllIV III, 100 Pub. 50510 lIgulI lhl II110Ullllo ,nlll ,...................... .......... "............. ....."........,.. "............ ......... .".."............ "......... ..... "..............."..,. .JL 12 011111 11111 (1IIInlllucllolll) ..............."..................................".,.............................................."..."."..... ..."....",. ...lL ____ 13, Add IInlll0 IhlOugh 12.................................,..........................",."."......................... ......"......"........,,,,,,,,,...,,......... .llL II Ellnlll'ocollll olltlll, ,ddlllollll child III OI11l1llnd ClldllllOl11 Forll1 ~130 .."..........................."........"....."........."........... .lllL C 8ublflClllll0 13b 1I0nl11110 13" Enlll lho 1111111, bul 1101111I11110 mc. TIllS IS YOUn TOTAL 1009 EBTIMmO TAX ............ ~ , ", M""".' ,,,,,., ,..." ,,,,..,,,....'"'..,............................. 'I~J- II En III 1111 tll Ihown 011 voull000 III r,luIII (105% olthlllmOlml1l you '" not ,11111111 011 fllhlllllln Illd Ihl "'IUllld glolllllCOIllI lIIOWO 00 IIno 34 01111111,1\111111 111011 Ih," $150,000 or, fllllllllod filing UPIIIIIIV 10/1000, 11I011 thin $'/5,OOO) .......... "............ ."...... ."."............ C Ell III 1111 111111111 011100141011411. TIllS IS YOUn nEQUIltEOANIHJAL PAYMENT TO AVOIO A PENALTY .....".................... ~ O,ullolll OlllOlllly, IIvou dO 1101 PIlPIY (1lIlOuOh 1Il00mo III wllllholdlllg In" IIl1mllld III plvmlllll) alllullho oll1oUlll 00 IIno 140, VOU mlY OWl' pOllallV 101 nol plVllIg ollo\lgll 11lllI1al,d III. To Ivold, pOllallV, lII,kl '\III vour IIll1mll 00 11110 130 II IIlCeulIlo II ['01111110. EvolIlI you P'V 1110 IIquIII" Inou,l PIVIlIOIII, VO\llmv 11111 OWO '" wlloo you 1111 VOUI IIturn. If you PII'", you mov pay 1110 ImouIIllllOWII 011 1100130. FOI rnoll tlolllIl, g,1 Pub. 505. 15 IlIcorno III wlllllllltllnd IIlImllod to iii wllllllOld dUllng 1000 (11ICludlllO Incolllo III wllhholcllllO 011 pOllllonl, IIlIlUIIIII, cllllln dl'''"d IIlCOIIIO, 010.) ... .... ................ ..."............ .".................... .................. ...:.:........" ..... ........ ,........ 10 8ulllllclllnl 1511010 IIno 140. (Naill IlIoro 01111I, olllno 13c 11I111\111111115111110 Ihln $1,000, II0p 11m. VO\l,II nolllqulll" 10 II1lkl ulllllllld II' pOYIllOlll'.) ............................................................~.P,\1.\l~J~'m....'~'.9J. 17 111110 flllt pOVlllonl VOU all IIqul/ltllo mlko II duo APllllS, 1900, Inlll 1/4 olllnl 16 (mlnul IIlV 1008 OVllplVllIlnlllll1 you IIIlpplylno 10 tlllllnlllllllllnt) hilI 11111 on VOUI plvmllll voucll'/(I) (NOlI: 1f0Ullllold ImploYIIIIIIIOlllucllolll),. .......' . ......=..... ..... ..=... -ll .J!... 11,404. "..,....." . , . , . , , . . 2,071. 81?,'i.k, 12210412 790045 2 10G50329GSJM 052 aQUIlJ\, JH., WILIJIJ\M S 10650301 .... .:. OUT IIIRI ,@ ;~~~ ~~ :~U~ - j- -1"9- -g-g" " ~,~v~~~'''3'' - - .. - .. .. - .. - " - .. .. " .. .. .. " " .. .. .. " - .. .. - .. .. .. .. " .. - " - - .. .. .. "! _.J.'lI!!Il!! fIooi.", ''''!!2L- Vll11!!ll!!L OMIIf.. 1""''''' I fill ~nly II V~U "I ma~lllg I Plvmllll 01111101111111", RIlllllllhll v~ucllll willi chICk 01 1-9!IIndlll!!L:.l!!!l!!!l, la, 1m I 11101l1V alII" plVlhlllo 1111 'IInllld $11111 Trlmry,' PIIIII will, VOU! loelll mUlllv I num~" Ino'l~g~ fOl1l1101M&' on Valli chac~ ~I m~nlV 011111, lIa 1101 "nil ""h. I IlIcl~II, ~1I1110 001 IIIP'I 1\1 lilith, Valli plvmlot wllh Ihll VOllchll. I Valli 111111111111 111111011111 TVOllllllllllml' J YOII! ,aclll "cllmy Illlm~II : rr,l,I1\M S J'~OUB1\L.,JH. 106-50-32!l6 I Amolllllolplvmlol ,11 !!J9.!nl_e!YlrirolJ!.QJlllill.lI.l~iii"'IIIL- _==____ --- __ I Ii. 61101111'1 IIIItlllml IlIolnlllll 6POIII"I 1111 01011 ~BPOII"'I loCllllIClIIIIY Illllllb" I b I J i B AlIIIIlIIllIlIl11bll, 111111,1111111'\,00.) i 1__.._....__~L~n... l5 lHI'11 RISSER MUll, R01\D I OIlV, lillI, 11111 ~IP COllI III I 10lllon 11101111, loll' cllV, I'lovlllCO 01 11111, POlll1 00111, lnll cOllllt,y,) I OUN'l' JOY / 1'1\ 17552 I LilA fa, P,lmv Alllnd Plp"wo'k noMllol! MI HRIlIO, IOU IOlllulllonl on 1'1'1 a, I ---------------.--------------------------,----.-----------------------1 OllT IIIRI ' I I OUT 111111 I -------------------------------------------------------------------- fi 1040.EB 11 999 4 .e lI.p"I""""'~' T'...u~ p'oVll]ont Inl.m~D.rv~ ~lor fill olllV II VnUlll Illl~lng I f,lvmllll at "lImllldIIN, flltulO Ihll vouchO! wllh ChiCk 0' moolY oldll Plvl~Itlo th, IInlltll 81111' TrUIUry,U PlllIO wiltl VIllII 10elllllOuIIIV oum~II 11111 'I OD9 fOlm 1040'E6' 00 Vall' ChIck 0' 11I0lltV 011111, Po 1101 &tlld Cllh, Ellclo,o, Iwlllo nollllplI 01 lilith, VOUI plvmlnl wllh Ihll youchll, VOIII II11Tnlllll 101111111111 !Voullaellllnll YOUI 10clllllOUIIIV oum~II ILLI1\M S ~OUBA/ JR. 106-50-32!l6 ,1.lU9.!nl.l!!Vnl!Jl~e!!llliLlJlO"" ____.__ 1 6POUII'1 RI.tlllnll anlllnlllll . [6POIlIO'lllIllIlml J:I" loclll "cuIlly nllnlb" I Atlll!III (lIumbll, 1l!lIl,llItllpl, 110,) '_.... _ _ _ _ t.L QI h ~ 5 WEl!j'l' RISSER Mrr~I., 1\01\0 Oilv, lilli, Iud Z1/' colli. 11I110leI01l.tlollII, unlO! ollV, ploylllCl 0' Ilall, pIIII' cotle, Ind ooullllv,) OUN'l' JOY / 1'1\ 17552 I ~llA_ ~nLr~i.!C! ~CL'~d!~!!w,!ll~ ~I~U!!I!!.II}~ ~O~I!., ~e! I~I~II~I~II.! ~n !',!I_a:, .. _" .. " _ .. _ _.... .. _ _.. _ .. " .. _ _ _ _ _ _ _ .. "" __i OUT IIlnl _ DM6 Ha, lill.:llQIL -L Dllendll veil' PU!!III, 18, 1000 Anluunloll'lVnllnl \, lI?,'I.II 12210412 790045 1065032968JM 052 4 GoU01\/ JR./ WILLIAM 8 10650301 WORt~SI1~!rT Fon oOMPUTING I:STIMATIlP PIlAsoNAl.lNoOMIl TA)( Fon AI:SIPJiNTS ANP NONRllsIPI:NTS rOil T11~ T mm mIl JAllU^"Y 1 ' p~o~'mll 81, 1 m oil OTII~1l TAWAm nAil P~oINNINo me, ~'IPINa 10 _ A, IlfOoM~ 100 nol pnlor 10m,) \, Comp.n"lIon (Wlol!, ,,,,,III, \11", .to, NOT PIIPJ~OT TO WlTllllot,olNQI "'''''",,',,' ".",,,".",,,,,,,,,,.,,,,,,,,,,,,.,,.,, i, NIl Prolllllrom 011,11111I, 1'10111\1011, 01 film '" '" """ '"'''''' "",," ",," """,," ".',,,,, """"". """"""""" """"" 3, 1111"'11 '''' . """.",.,,, ".",,,,,,,,,.,,,,,,,,,,,,,,,,,.,,,,,,,,....,,,,,,,,,,,,,,..,,,, ~. OlvllI.olI, """".".,......."..."... ,....". ...,..,..."" ....."","... ".,,,,,,,,,,,....,,,,,,,,,,,,,,..,,,,,,.,,,.,..,,,,,..,,..,,,,,,,,,..,,,,, 6, Sal. 0/ ~Kclllno' 01 I'lop.rly . " """ .""" ". "." """" "" """ """"." ,,,.,,,,,,,,,,.,,, ""."" ". """. ",."""""." "",,"" 0, ".nl', "OY"lllI, 1'11'"1'1011 OopYllolIl' ","" ,,",,""'" '''''''' .".,,,,,., """,,' ,,,'" ""."".""."",..,. ,,,..." '" "',' .""", '" 7. 6111111 or Trll.l. "".."",."".,,,,,,,,,,,,,..,,,,,.... ,''''',',' "...,...",.".",.."."",,,,...,,,,,,,,,,,,,,,...,.,.,,,.... :.."."".."""." 0, 0.1111111110 ,"11 ~01l'1Y Wlnllloo' '." '"'''' '''' "......",,,, ,,,. .".... .".,..,,,,, .......",,,,,, ",,,,,,,,,..,,,,,,.,,,, ..,,,...,,, "",,' "",," p, Tol,'l'loo,ylvIIIII I""hl. 11100011 (Ad{I 11111111111011011 0) ..".""",,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,.,, """,.., """"",,"",, 10. ~llIm'I'1I l'.nnlyIV'"I, I'~ dill (Mlllllply 11111 P lIy i,O%) "".."."""."""""""""".",,,,,,,,,,,,.,,,,.,,.,,,,,,,,,,,,,,,,,,,,,,,. p, O"~OIT8 11, ~.lIm'lld P.llnlylvIIII. II~ 10 h. wllhll.,d ,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,.,,,,,,,,,,,,,,,,,,.,,,,,,,,,,,,,,,,",,","''',,'',, Ii. ~I\lmal.d ll~ 10 h. 1"111 10 otll.r Il'IIIII'~lfNmVANIA IIUIOf,NTS ON~YI '''''''''''''''''''''''''''''''''''''''''''''''''''''''''''' 13, ~.\lmlllll ,plclllllK 10101v.ollllo III clllmlll "..",',.",,,........,,,.,,.,,,,,,,,,,.,,.,,,,,,.,,,,,,,.,,,,.,,,,,,.,,,,,..,,,,,'''''''''''''''' 0, \~~K ~~::' orllllll (A{III 11011", Ii 111(113) """""""''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''/i'ti'JUs'ljt.ti,,,. 16, ~llImll.d "llllltO 11111 (611111110111nl 141100111111 10) "."".......",,,,, ".""....,,,,,". " " ""." ". " " "" ""'''''''''' """",,,,,. L, L 8!h!!.!l 10, II YOIIIIlVI ,ll0WIl 00 1100 30 of 1111 1000I'A,40, 1IIIIIvl{llIllllIoom. Ta~ "IllIlll '" oVlrp.ym'"1 oll'~ 1111110 b. 01111111,1 0111000 111111I11111111, YOII mlY apply 1111 0111111 "Ilow 1/, Oompllillloll 01 ~1\lmlt"l I'lymllllll RllOOIIP OF EBTIMATIlP TAl( PAYMIlNTs VOUOl11lfl PUll PA TIl AMOUNT PflIOA PAYMENTS .1P.!1!..QY.1l_RPA YMO~I TfJTAL_ PATO PAID PHil KNO, 1 4/18/00 ifl'f6;'Do a 3 8/18/00 ~100 2 9 6 , 0 Q-_n_-21'fb--;r:m ~ TOTAL 1/1 8/2000 \;)':.""'{\)"'\/< 2%-;-01.1' L,i~ ?96. 00 296, 00 i'.!96.L1ll 296.00 L,L8 I, ,;:t'::~{:;}::::l;:~j~:~M~:iji.;:1 ","", .",..,,-,..,:.....,.,- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .910 fllQ.n.ll Qoll\!SIj.!n"_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ L999 PA-40ES DECLARATION OF ESTIMATED INDIVIDUAL PERSONAL INCOME TAX L86-58-38'16 GO DUE DATE 01 L8 00 I GOUDA, JR. WILLIAM S 99025L2053 PAYMENT AMOUNT ~ 296,00 S WEST RISSER MILL ROAD MOUNT ,JOY PA J,7552 MAKE CHECK OR MONEY ORDER PAYABLE TO THE PA DEPT, OF REV, L--- 30n~80186583i'.!9600076L999123LOOoOOOODOOODOD03 ~ wm. TwoMYear Comparison Worksheet 1908 ;:;11111(1) II Ihp\V1I Oii.'alll;o--.--...........--.------.----.--.--,--.-.-..----------"'aOcllIIlCIlIIIV 1111mb" WnLIill1.J? GO\lB!'\.L..'!.!h..________ . .... .__'___._____.__ !.~8-32.Q.L lQ.Qll!!!UD.lilllllU!l\RR I ED _J'l I, I\'!~L.TO I N'!'.--..-----1QQ~'l!!!ID.~IlUL11.I\Ill~ I 1m ~ I I, IN'L~ Elp!\ RM'm ZJanu~15,'0%. . . ,....,..-,.,....., ......._....- p~ 20.Q.!,.,."....,.,., . ", a,'IIPII"," T,il VmJ~.v...r '1~II"I' ", . lQOf . '.' me . . !P'!"I!~I' ~I\GElS;M'r,l\lr:CE1ir;JINPI{iIPS ----,-- 30,214, --.. -0, <30,21f,' CIlElDULI B - TI\XADLE INTERIST 37q, 492. 110, CiIEDUI,E B - PIVWENDS 700. 2?7 , <511 , > rl\XI\BLE REFUNDS OF STATE/LOCAL TI\X 102, 5, <97,> CUEDUI,Il P (CAPI'.I'M, GAIN/WSI3) 15. 0, <:15, cllblDUl,1l E (REN'l'AT..I\NP P1ISS'l'IlROllQU) 30,llu9. U,H6, 10,00'1, TOTI\L INCOME 62,352. q2,520, <19,032,> IRA PIlDUC'.\'ION NIl-IlALI" 01" SEr,F-EMpr,OYMI~NT 'l'AX TOTAL ADJUSTMENTS 0, 2,100. 2,100. 60,1'/2, q,230, 7,517. 539. 12,29q. 4 'I, O'lll. 10,600. 37,(.70. G1WSS INCOHIl 'AXES INTERIST (PEDUCTIBLE) ON'l'RIBU'l'IONS TOTAL ITEMIZEP DEDUCTIONS INCOME 1lI~F'ORE l~xmMp'l'IONS PERSONAL mXEMpTIONS 'l'AXAlltm INCOMIU 'AX '.l'AX BlWORE CHlmI'l'S 5,591. 5,591. 'l'J\l( AF"l'ER NON-RIWUNDADI,ll ClmD 1'1'13 ,,5,591, cllImULll SE (SEI,F-EHpI,OYMllN'.\' 'l'AX) 'rOTAI, 'l'I\X 4,360. 9,951. I"EDERAL INCOME 'l'AX WI'l'IlIlEI"D ES'l'IMl\'l'ED 'rAX pAYMEN'l'S 'ro'l'AI, pAYMEJN~l'S 3,091. O. 3,091. FORM 2210/2210F (EST. TAX PENALTY) ALANCE DUE INCWDING 2210/22101" O. 6,060. PENNSYLVANI1\ S'lWl'll RE'l'URN l'AXlIBLE INCO~lm rAX B1\I"1\NCEl DUE 65,716. I,OqO, 6qO. ~ I _._----~~-_._.__._---------_._--_. 2,000. 2,9Q9, Q,9Q9, 37,571, Q, 100. '130. 1'1 fi . 5,101. 32,Q70. 2,700. 29,770. 5,50Q. 5,50Q. 5,50Q. !i, 090. 11,Q02. O. 6,060. 6,060. 2 . Q,62Q. 42,210. 1,102, 310. - --'--- ~-------- 2,000. 769, ~, 769, <22,601,> <50. <6,770. <36Q. <7,193.> <15,400,> <7, !l00. <7,50n.> <7.> <7. > <7, 1,530. 1,531. <3,091, 6,060, 3,769. 2 . <2,236,> <23,490,> <650. <330.> Il"l.r\rl~'11 01 Ih, 'r..,ury -lnl,m,1 Ht'1,n~. U,ryIU 1 9981 u,s, 1I11llvldullllnCllllnll TIIM !lllturn l1." "10 U.. (J~'~I """',,' In Ih"!I'M ~llhol fOIII1, y.., J." "lIto aI, 1\1111, o'lllh.' I... \''''\ll\IllIl1ln , loua. 1(H"l\lIn , l~ ()Mtl No. 1~~HoH YOllr 111111111111 IIW 11111111 ~1I11l'1II1 y"";'i~~i;-;';"-ri~~u,,~.;-- ~~:;I~:I;:~:) ~ 1~1~~1~";1~~ IP~'I~-lilllI~ii~ln~Tnli~I-----'- -- -f.1~ :~~:___i!!~!____~_____,,__,,_ ..------- -~~~'Jt~~J1~.,~~~" 1.1101, -1111111 aiilllm!lIl1l11h8l1lltl l\loOfPiVouhIVo-aji~O, 1I0i',"lolravo.iii-------------.--..-.---.-I...'APIIII;.---. IMflOt1T^~TI ." Ol'I~~~:p'I'!'\1 U _!L.1'ImS'l' III a [l1m__ M I J,I, lWlI () _______._.____...________._..____ ___.__...._ YIIIIIIIlII enlll olIYPI, U ClIy, 10wII 01 Pllt ollleo, \1111, IlId,ZI~ ,~Idl, II YOII II'YPIIOIPIUII oddllll, iQQ plgO 16, _ ~!.o!!!i(!l!~~~ ~ OU '.P ,TOY 1'J\ 11!l.J2 YPI No NoloIOh.",o, I'lOlldolllll1 i I It31 I III f I? -V- Iy.., WI""" ~ olllollOllllpllgll 10 YOII Will , ogo I 1I11l1l ,,,,,,,,,,,,.,, ,,,.,,,,.,,,.,,, ___ .iL 'h"'I/II"",I.", (ope PIUO 101- II. 0111 lohllll dID! OllllpOlIlI walll$310001011l11111lIll? =. Ia<JUC'I"~ Fill a 1 8111Ul0 . I1U IIIIUQ 2 = Mllllo[IIll1ng 101111 lolllln (oVon II ollly 0110 IIld IlIcomo) 3 ,x MlIIlOllliIlllg oopolllo 10111'", ~III01lpO\lIO'1 100, 100, no.lhovo Inlll"II Illmo 11010. tp 9:EJ1Ut~ I,. rJOU13J\ ~ 11011101 1I0l'IOII011llwllh ollall~lng pOI&on), 111110 qllllllyllI~ PIllonll' ollllel hili 1101 YOIII IlopOllllolll, 01110111111 ohllll'l na1l101l010, .. ________,_____._.__,__ _____.__________. Ollolllln~ Willow(o'l willi lloponllonl ollllellyoal 11'01110 111011 ~_ 10 ). (800 fllU! 1 0,) g~lI In 111111n~ 0; '~P. :11~I;I:ltlll:III'.. .:'lre~I:II;::~~,::O~::~:'O::~~I~:. call, el.IIIII::~~:.~~:onllonl:::~::J;;,~~;,;;;,~::~~"':':~;.,.~~} i~~f~:~: , If" "I " II J,ptntlenl' ,OGJ,I IItI.tlonUllp 10 ~1)1il!d'O( \'Ioh01 J!!!~IMme _._____~I1.!llt__.._ ___.~~lyfl~:~.~. ._.____~~~___ .\~M<<.!t .1IVtKIWnl1~Oll 22 Alld 1110 11I101l0tl III 1110 IlIlIghl COlllllln fOI Illloi7iiiiO,iiih21~TIIiSiII;liilniiiiniolno----~ 23 iliA 1I01lllCll01l16l0 plgo 26) ..lL 1JJl 0 0 , 2~ BItHloollollllnlOlOllllod"clloll (m Ilago 27)" 2~ 26 MolllclI 5OvlllgllecolIlll IIollllelloll Mac II FOHII 0863 ~ ___.______ 20 Movlllg O~flOIlIll. Alllcll FOIII13B03 20 27 One'h.I' of IOII'IIIII'Ioymollll.~, A1laeh Bchollllll 61: 27 ==_~Ill. 49 , 20 BolI.ell1ployod 1I0011h IlIIlIIInGO IlOllllelloo (aoo fll~O 20) , ..ML _____'_"_ 29 Keogh & sell'omplOyod SEI' pllns IlId SIMI'Lr 1111111 29. .__,._._...____.._. ____ 30 I'Mllly 00 ollly willldllwlI olmloOI " _l!.Q._ ___.___,. 311 AIIlI10llY pllll U nocll'leol'l 6BN '" _.__'-----'--____ 3 I 32 Add Ilnol 23111101lg11 31. . .., , 33 Bllhlllcl IIno 321101111111122, Thllll YOIIIIII/llllod 91Pl111lcomo ". '" ... tJ'~,~ LilA Fo, OIIOlolut., flllvnov AoI,,"u "Oll.twolli nOt/1l01l011 Aol No!!ti., 1.0,1000 61, 12210412 790045 106~03296SJM 052 GQUIlA, ,111., W!l.J,lAM S ,~ 1 U40 Ohock 01111 ono 1'0', 1111101011'("11' I OpOllllolI I, 100 plgo 0, d 111110rnU 7 01 Alllch II OOIIV II 01 rill g f011l11 W, , W'20, Ind 10 1080,n hDlO, 11 II yo" 11111 nol 12 0011 W'2 13 $00 plgo 20, 14 161 161 EIIClooo, hili do 17 lIel Illplo, IllY 10 pSYlllolll, AI&o, 1'101501110 19 fOlllllMg,V, 201 21 AdJustlld GrOQ8 ",1101110 i' 1100331111",10' 30,005 f"lll/Ol 10,030 I I child 1/111 lIolllvo willi YOII), soe UIO 11111, on psge 30. 1 -_._-------~--.~.- _..~~------ -------. Illlu nl.lIIl~,.....1111 VOUU~IOIIIVOfot or"PN.Uon 1'" P''" Ul ____..__ ~....J --- fl'ltena,nl.onGo nol "rlltl'tcl ,llQV' TOISlllllll1hOIOIO'OI~~~IOII:clalll1o(j-=.::: '---~,-= --- " '---"- ~~~1t!~"," I~ ~18~~JI,~II~II~:::II~I:;:~IOS~~II:I:::I:~'I:'~:~~;~1 ...................:':::::...::::::: -l;- --,,=-49;! . TI8.uomplllllolOlI, 00 NOT IlIcllll/e 0111100 01 .",.""""" UILi_______ - - -, -- 011111111}' dlvll/olllll. Allleh Bcholllllo"" 100111"" , ""''',,'''''' """. ".,.... ,,",,'" -.lL 277 , Tmhlo lohl",lI, 01011111, III 0111011 0161alo SIIlI loellllleOIllO 11m ",,(l,',\'M.'~', ' ~ .J!'~'.!>:I.'P ,,~ ...1!.. ''"If';" AII1110llV 10eolvo[1 """"'''''''''''''''''''' "".".""", """"""".."", .lL _____ 11111111005 IIlCOIIIO 'II (lOll), A11leh 6chl[llIl. 0 01 NZ """'" """""..",.lL Olflllll 01111 01 11015), AIIlch BchO[hlll P ''',.."""""""""""."""."" .J.L Olhol UIIIII 01 (IOIIOS), Alllch fOlJl14787 """,..",,,,,,...., . '''' ""."''''''. "'.","."""."""",,, "" .lL Tolllll1A dllllll1l1l1olll , . I_~_I.::: 44 ,} 2 ]_~I II Tmhlo 11l10llnt (108 plOO 22) lID!.,. TollI flOllllollllllll 111111111100 a _______ II Tmhlo 111I011111 (100 pago 22) .1.~.IL 11011111 lOll OMllo, lOYIIIIOl, fl1l11l011ll11'6, 8 COlflOllllo"" 1111111, nlo, Alllch Schoellllo" ..JL 1'11111 III001l10 01 (Ioss),Alllch Bchol/llloF "'" ,,," ",,,'" """,.""., """,, """..JO UII.l11flIOYIIIOlllcII11POllllllolI" ""," ,,,,,.,,, "."""",., """.lJL Bocl!1 IOCllllly 11011011I1 ,..,..'",., 11!!!L1______1 II Tmhlo 0111011111 (100 I'lgo 24) .g,i!IL__-"",,-__ 0I110111lC01110, 1I611yl'0 IlIelllllollllt'loO fllgo 24_, ______ -'-0--;: 41, 746 '. 2 42,520, ~ .lL 33 4,949. 3'1,571, r,,,,,1040 II~G" IS6~0301 1"''''10<0110011 wnJI,IAM a GGUIlA, .1R. TIlM 111111 34 AI1IOUIIIIIOl1lll1l0 3311dlllllod 910111IlC0Il1~,..,....., .. Oroltlla 'D. Cllook II: C.::J Yoo WIIO 0601 oltl", C] 11111111: r::J 81'00'0 WI! 0& 01 01,111, AlId 1110 11\11111101 01 1<0'" Cllockolf ,1I0yo 11111 1111101111.1011111010 , 'St.lltl'ld'-l II II VO!I ill 1111111'11 flII1I9 101'11I1'11 ,ml 10U! OpOUIO lI.ml,ol 1I00111Cll0ll' ~OtlO'1 011 .., 01 VOII w% IllIl.I'II,lullllolI, 1OI1"go ~O 01111 cllock 11010 ......,..............,,,,.... 01 MO,I 31 EIII" tllo IlIgOl 01 VOIII flol1lllOtI tlOdo,lIoll. 1Ioll1l1Cllllllllo A, 1111120, Q'l '1~lldlfd 001'10 ... tlOdUlllrn .1I0WII on tho I,ll. 001110 I"uo 3010 IIntl VOUI olal1llllll tI.llllc 1011 VOU Hlnulo: CllUCkol allV I<ox on 11110 3111 01 31<11 0 II '011100110 con cllllll VOU II a 1101'011110111 '" . ~ , 1 0 I, $4,250 '16111<IIoc1I11l030llo1l11111034 "",'"",..,.. _.AL___~~1470t 1I00d 01 38 111111034 II $93,400 011010, 111111111'1112,700 I<y 1110 1011111111111<01 01 OXOll1pllOlll cI,I1I1011 011 $II~UIO~IOI'I: 111100'1. 1111110 341IOYOI $03,400, iii 1110 WOlk'lIuol 011 plUo 30 1011110 1nI0UIIlI0 011101 ,....,..", 2 r ., 0 0 I ,26 3' Tmlllo IIIC0Il10, 61111111Clllll0 30 110m 1111037,111111031110111010 11111111110 37, onlll '0. 29 , 7'/0 1 1,11111.11 \IIllIg · /--'1 I-"'J ....,..."...... -- - n-' 1011l.IIVO! 40 Tu, 600 1'190 30,Cllock II OIIV lox 11011I ~ -. f0Il1I(110014 11._ f011l1 012. ., "..,'....,,, '"' _It. -__l!.~.t lllllllfying 41 \1101111101 clIlIlI 11111 II0polldolll COIO "1101110', AllaclI fOll1l2441 ...... ..4L __._'______., ~~I~ftJOI): 42 0101111101 III. 0ldoll1 011110 111111<1111. AIIICII HCIIUllulo II '..,.... ..,,,..,.. ........ ..U 1,11111111 43 Clllllltlxclllllt(IIOPIQ031) ....",.. ....,.. ..!L_. 1iI111~ 44 Elluoollon 01011111, AlloclI fOlIll 0003 ,..,.., .. ..!L np5~tI011: 41 AlIoplloll 0101111, AlloclI fOlln 0030" ..,...."......, _lL__ --"-- 41 fOfllOllllx 0101111, Alllell fOlllll111111IUQlllloII ""',,"""'" ",",,'"""'" it 11 0111'1, Cllook II 110111 . 1-":'1 1'011113000 II C'] fOllll 0300 - -- --.. o ,-] f01l1l 0001 d 1::=J 1'01111 (IP.cIIYI _____~__._ 41 Mil 1I110S 41111101191141, Tlloso m YOlllloll1 %dlll""""" """""" """"""""" """",,,,,,,,,,,,,,,,,,,,.., ..ft.. _.__J.\!...Jl!iJ!liocllll\!i~ 1I0111IlQt1Qd!l!!1U!1!.!!I.9.!!.1!lanl!!1!..1Q..HJtl~L:Q:~c=~'"~ll==u~w..="","_~ ...ft. __ 5 , 5.04..1. Ollwr DO SOIl'llllploVIIIOllllox, AlloCII Hcllelllll,Se .."..""""" . """, "",, " , """"""""""""".."""",..,,,,,,, ...l!R.. 5, 090. Tllxoa Ul Allollllllvo 1IIll1ll11l1mlax, AlloclI fOllll0251 ''''',,,,,,,,,,,,,.,,,,,,,,,,,, "'''''"'""..,,,,,,,,..,,,,,,,,,, ...l!L. ____ 52 60cIII SOCll/llY 11111 Mllllcalo lax 011 1I11111COIIIO 1101 flpolt.II 10 Ol1lployur. AllaclI 1'011114131 ""'"'',,''''','',,''' ...IIL 03 Tox olllflAs, 011111 fllIlOlllollt plIIlS, .nll M6AI, AlloclI f01l11 6320 IIIOQIIIIOII """"'",..""""".",.."""""" 63 04 AIIVOllcOIll110lllllcoI110CflllllpoYl1lfnllflolllfol/lI(I)W.2,,,, '" "''''''''''"""""""""",,,,,,,,.,,, ..JJL---' OD Ifollsellolll Ol1lllloYIl1SlIllaxos, AIIICII Scllolllllo II """""""'''''''''''''''''' ""'"'' "'"" '''' ""',,""',," ",,". ..JJL 60 AilllllllGi 40 111101101155, Tills Is Y.!'!'L\!i.l!.! lax .'~='='=C'~ll"~ll~"'=""=="='~ ..!l. Puymol1te 01 flllslIlllICIIIIIOloxWllIIIISl1I 110m fOIlIlSW.2 11111 1000 ""'"'' " " .,,,,, "" .J.L _.____ 60 1000 olllmololl Ilx p1VIII.1l11 Allll IIIIoonl IPll1lo111101I1 1001 loll/III .JL 6 ! 060. 00. elllloU 1110111110 1I0dll, Alloch SCIIDllllle I"C If YOII lIavo 0 QllollfylllQ CIIIIII II NOlllaxllllo 91111011111001110: /111011111 ~ _____.__1 ollllh'po '"' _ _____._______ ~Pl, ,_ 00 Alllllllollol clIlIlI lax CloIIII, AlllclI FOI/II 0012"""" _IL _______ 01 AlllolIlIl PIIII willi 1'011114000 (IOQ!flllIol oxlol1sloll) ",,,".,,,,,.,,,, .JL ______ 62 emn soclalooclIIlIVllI1I IIIITA lax ~vllllllOIII ('00 IlIgo 4!L,,,,,,,,, """..,, .J.L ___. 63 OIlISI pOYl1lsl1l., Ollock II flOI1l 0 CJ fOlln 2430 11l_..! 1'01/1\ 4130 , 63 --!i-M!!.!!!!os 67, 60, 50a,llId OOJ!![!lJlo!!JI1.lllosslIo YOl!!lQ!!lmJlli!!!I"",""=,,~-1IL Refund 00 1111110 041s 11I0lsIIIIn 11110 66, Olllllllclllnl 60 flol1lllno 04, TIIII 'I 1111 sl1Iollnl VOII OVEnPAIU """ "..,,,,,,,,,,,,, ..JJL .__. :"':~I:: 00. Amellnl 0111110 05 YOII W01l1 flEfUNoeo TO YOU """""'"'''' ""''',=' '''''''''''''''''''''''''''''''' '"' ..lli_ g:"n"'l. '"' II 1I01I1I1I01l1lIllbol_______ 10> 0 Typo: CJ CIIOCklllO 1::=J 6aYlnos .M r,:r,: S''', ~ d ACCOllllll1l1l11bol OOC,lJlnOBd ------~--,~- .-.J!LAlru!!!lll2lJ.!n!"@jQILI't!Jll~I[I!JQ'yQ.YnlggHUlM-'\T.I1lLTlIL_~_.I.J.LI_._____ Amount 08 111111050 Is 111010 11I01l1ln. 64, IlIl<llIclllllo 04 1101111111050, Tills 'I tllo AMOUNT YOU OWE, You Owo fOlllSlalllollllowloply,soopoU044 """" "'''''''''''' "." ""'1"""'1 "'''''''''' '"' ..!!L -..J!LIi!.Il!n!l9.!!.l!!.p.!n!llvJ\!!pJm:Jjl,~!!!ll.!!!J!gL'=""~ll.=~=.....in.. _____.___?...... ~...___ Slal1 Ufwt'lltnaltl.. 0'1)"'''1)'. I ntcltrtlht' I hlY' '.tlTlI~..'lhlt Illlult1 tllll fIoXOlIlfllnvllllltchedUI.. and .11I,mlnh, Ind to 1111 he" 01 my knoWltdOt Ifill b.II,I, hI)' Itllrul, canuel, anll C:Olllfll'" 'tc;I"lllon olpf'p'''' (olhl/ IhtllllUP1VIl) It liut<t on III llIlor"1IUon 01 Which rUlpll.f flU IllY koowltdg. Hero Ymlf ,lgnlluII UIII YOUf oecUjll\lOh [)irl1fllt '''"Ihonl Koo 100 lil.. l'AXI()lnHMI8'1' "'"'""loPllonOl) 101 ~Olll PY "&,>0,,, . ",.II,itii. 101.1 "I"., IIOI";;;;-i,"',,,"- -6';,,------" -op.;,....'. <><<"PII'OO----- "COlds, - flllp.II" h... ~ ~ -~,/ Clhtckllt..,. r'flp"~"'OCI"..cutllyfla - flnld "001'"" " . r '" -L1f{~..tL onplo,,,, ~ 20Q~652 UProPOnrolyr'B;:'-OI11lOIOI' ~s.t!Q.... "~I _m@JJ'l--.JV C_Q~f~~-N.Y.LLI~P-~.__ j_~._~.;1~L-..6IfO-' 80 n ,n,,,"'"'''' ,,9 r~AA'I' M^TN WI'. /IP ""''' 1 I!l10 Illu,ttl)lrltl.dtllltt LmOld\,- pJ\. - - - - . .-- ~- --.- -~ _~'___.__m ~---_.._- - - '"' 3Ub 1:X! 11,402. AlIoclI 1'01lllS W'2 IIlIIW.20 00 plOO I. AlsoolloclI fOlIllIOOO'11 111" WI8 wlllllllld, 6,0.60. 41624. 8J~~.~o 12210412 7900.45 6 1065032968JM 052 GOUDA, JH., WILLIAM S 10.650301 "",,2210 UndOl'p1wment of ~atlmpted Tax PV Indlvldl-Hlls, I:atatl!s, and Tr~ata -1lli\J!lt10~l!;8~:nHL. lI,r"'"",,1 ,I'''. "",,'V .. 89U IQ~IIII 'n'II~~lIoll', ^Il-"'~I Inl,m'll\"'"1U,D'rv1c, ,...- 0 ....,...' . -----.____.J:,^li!E!l!~l'!!lllllgH,l Qftd gmilll.1 glgUI\'H,~!.1P.HL.___...__...___._ _.. ""("!.,~g!!.,__ Nlml(I) 11111\'/1\ Ollt.H 10IIIIn lilllllllvlnQ 1I11111~" \~II,r,IAM S GOUnA, .TIt. 106-50.-3296 N9tl: In mOil CIIII, YOII 110 nol nPld 10 fill f011l12110.III1II1H \'/IIIIIQIIII .ny 1'"1'"Y YOII O\'/P Inil IInd Vall 111111. flip fOil" 2210 onlv II alii 0111;;.!,"" In 1'.111 IPl'ly 10 YOII.II YOII do nol nIBil 10 1111 fOlI1l 2210, YOII 11111 lillI' 1111 1110 IIQIIII YOlIll'on.lIy, 1:11111 1I11.1Il01lnl from Pall III, IIl1a 21, 011'.11 IV, IInl 35,011 \III /!lllI!lY'IJI!lII.QlY.QIllJIIUln..l!Ul~ll.lInLllll,1lJj!IlU.&&llL____...____.._ . _.__.. .___ l.ean ROl1oono for FHlllp. lila, 1~, orlc hplo\'/ a 1'1'1101 10 YOII, YOIIIII'Y III ahlo 10 10\,/PI 01 911mlll,II YOIII 1'911'"Y, nlll YOII MU5T chick 1110 !lom lhll II'I"Y 111I11110 fOII1I2210 wllh YOlllta, 19!1I11l.11 HI \lolow 11'1'"01 10 YOII, chICk ilia! I>ox ami 11I1 fa 1m mo ._._wlllmUlllUlluillc.._ .._____..____.___. _.______._ 1 Ol>eck whlclllvOIl>om apply (II nonl apply, III Ihl Holl a~ovo): I CJ YOllllqIlDiII\'IIIVQI, III clllaln cllCllllllllnm, thl illS will \'I.lvo all 01 1'111 011111 pall ally. Soo WIIYOI 01 rOlllllV on rail' 2 ollha 1llIll1lCllonl. I> i J YOII1111 Iho IIlII~llIlOlIllIcoml Inlllllmlllllllothoil. II YOIIIIIICDI111Y11IOd llllllllQ Ihl YOII, IhlllllllllOd lIIay IDlhlCl Iho alllolllll 01 0110 01 11I011 IIq~lrad InllllllllOllll. 5ID paQo 4 ollha IIIIllIIcllonl. [_I YOII hili fodll.llncolllo II' \'IlIhhollllrom \'1'011 alld, 101 IItllllalpd la, II~II"IDI, YOIIII"tlhl \'IllIlhold I" II palll ollthl dalll II \'III ,,11I.lly IVllhhlld, Inllold olin aqllal anlOllnll on 1111111Y1111nll olllhp I'aYl11onl 11110 llltll, SlIlhl Inlllllolloll6101llnl 23 on 1"01 3, iI I J YOIII I6nlllloll Inllll01 pIYl11oll1 (IIno 14 ~elo\'lJ 16 bmd on YOllll 007 IlK IlId YOIIIII"I 0"" IIIlno 1111111 1011111I 101lllhllI 007 01100811111 1101101 holh YOIII, I Flort If! ROl1ulron Annulll Pl1vmont - --- - '--55lfjf;' a ~IIIII YOII! 1000 tax a!lll 01611111 (100 lIa06 ~ ollho IlIiIlIlCllolll}..............,.... ................ ...................."......"" ..L ,. 3 011111 II'" (liD paQI 2 ollho IniIIlICIl01l6). 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YOII do 1101 OWO Iho plllally ".................."......,..,."".... . ............."...... ..................".."..",......,,,.........,.,,....,,,.....,,.... 13 ~nIDlII" IlK IhoIVn on your 1 U071IK IItllrn, .. ....."........ .... "......"...... """......... ""."..... .... .................. ....""" ..... 14 !lonl/lloil 111I11I11 IIIV1l101l1, Elllollho 111111161 olllnl 10 01 IIno 13 ......"..... ........ .......... "."..".."..... ..."." ........ ".... '''".." Nolol IIl1no 11 Is onllallo 01 1110161hallllnl 14,11011 11116; YOllllo 1I0t 0\'10 Ihp plnally, 00 nollllo 1011112210 IInlO66 YOII chlckPlI ho, III OhOV6, I PllriliU Short Method (Ol1ullol1l Soo plgl 2 011111 Insllllollon' 10 !llId 011111 YOII oan 1110 1110 ShOllll1olho<l, II YOII cllloklll bo, 1h 01 11 In 1'1111, -.- _~J2.!!!!~IIt IllllQolO PlrIIV.L _,__ 10 Enlor Iho III1Qllnl, 1I.IlY, 11011111110 l1'hOVQ "..".."..........."...............................~.J.IL 10 EnlDllhl lolal 1111011111, 11611Y, 01 os!lll1alld lax I"ll11onls YOlll11ado .............. .................... I 17 Addllll0115alld 16 ..........."... "..... ....... ............ .........................."....."".... 10 TnllllllldDll'IYl11anllDl VOU, SIl~I"cIlIIlO 171101IIIIno 14.111110011066, slOIl IIIID; VOII 110 not owo Ihl IlInllly. 00 not 11I1 101111 2210 11111161 YOII checkoll bOK III Ibovo ........... 10 Mlllllply 1111010 hy .05043 .............. ........... ............... ......... ....... ao · IIlha al11ullIIl on 11111 10 IVlllllld 011 01 I !I 01 4/151\10, ollllr ,0" · IIlho 1111011111 QIlIIIlI 10 IVaslllltlllDloro 4/IMOO, lIlak61ho 101l0\'llno cOI1ll'lIlallolllo IIIHllho OlllOlllltlo Inlor on IIno 20, AlIIolIlll all NIII1IbsI 01 days pal(1 1111010 ' ~610114/16/00 '00010... .................... 21 PENALTY, 511bllacl 11111 20 11011I IIno 10. rnllllhl 111111111010 olld on 1011111040, IInl 66: 1011ll1040A, IIno 44; fOIU1..!Q1J)N!I, IIno OOJ.~lrn 1040N!I.rz, IInl 27: Of FOII1l 1041.11nl 20 -==. . . I.IIA lor PIII"WOlk !loMllon Atl NoIIC9, 160 I'lgI 1 oll61'mlo Inlllucllonl, 1l,if(j'2," , .J.L _11, 4 f] 2...!, ..J!.. 6,091~ 6 091. (l."o 60-;- ............... ......Jl. 6,060. ..J.l. ..J!_ 31. 2, , .l.l. o. ~ a 2, r;,m 2210 11001, mw.~, 12210412 6,1 790045 106503296BJM 052 GOUIIA, JR., WILLIAM B 10650301 ~~r~~~t~!l Mil J Sohadule A. Itemized Dedl.mt/ons I "'n ".11" "" (!lol1P~Illlu Il Is 011 pugo 21 ~~l\l~r.. ~ ~lIooh 10 Form 1010, ~ ou hl'truollo". fOI ooh.d\ll.. A .n<lIlIl'0111110401, N~\t(.l "lown 1111 rorm 1040 NIr,L IMl MOIIIlHII !111ft POl1tul "~flOnSOB TII~os You PIIIII 1800 pllOO A'2,) Intoruot Vnu Pullt (800 ,,"ooA.a,) Nol., Poroonlll Inloroollo nol dodllOllblo, Glfto to Ohorltv IIYOll1l11110 I 0111 and 001 a ~enollllbr 11 180 plge ^.~, OllPlllyand TllolI Louol Jo~ ~lpOIlIPl Inll MOI\ 01110' Mlmllllloolll Oollucllolll (800 P"OO A.O 101 oxponuouto <lodllol ho,o,) 01110' MIIIOIIIIIOIlUI Ooducllonl TollIl Itomlzod Oodllotlons OMII'jo,H,4O-C~1" ~1~&~~ YIIUf,ocl.,,"Ul1lynl.lfnbtf S GOUllA, .71h..- 0011\10111 IX> 110/ Il1e'"(1O D,-POllSOS to/mlllll.od or I'W(I OJ' ol/lOrs, 1 Mo<llonl on<l clonllll O.ponDOa 1000 pouo MI."". ".""""", """"""'''''''''''''"" _L .__ 2 ~nlor olllollnl (rOIll "PI 111 10411, 1I1l0 04.,. """'" """""" I-ilJ__,_____ .. a Mlllllply IIno ~ Ilbovo I'y 7,616 (,076) ,.""""""""",,,,,..,,,,,,,,,,,,,,,,.,,,,,,.,,,,.,,. 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Nllmo of flolOon willi .01f'olllflloYlllolIl 111001110 (no alloWIl on Porm1040) Soolnl ..0uIIIY IIl1rnuor ,,' IlUl.on wllh ,olf.omplovmelll noomo Iio 1998 Atttohrntol O~IUtn('fjdL_ wn,I,IAM a GOUJ3A I JH, Who Musl Fila 8phofll~lo aj; YOII mll.1 fllo 801l0ellllo 00 If I · YOII hll~ 1I01..rnlnl!!' flol11 \Ioll'oml'loymonllrorn olho, Ihon tllllllCJII ol111'loYllllllloomo 111110 4 (II Bllol\ Soho~lIlo BU 01 IIno 40 of ~ono Bohoellllo S~l 0' $400 01 mOlO, all · YOII 11 lid r'lIl1loh olllpluyon Inoomo of $100,20 or 11I010,111001". Irolll.oIYlo.. YOII flollolmod 0.111111111.1., or n m.'nl,or ollllollOlou. Ol~.' 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Sclenca pllcllllonel 1'1/10 recelvallllls lI'proye 110110 ,e ta~ed _1ft!. 01 rallOad 'rlllel1lelllla~ 11111 YOllr lIel e IIIIIO! horn 1811. all 811111110111011I Ih.ee !IlIlICe!, hili YOII 01'10 IOII.ell1ploymonl emproymell more lhlll ,0 ,400? la~ollolhellllnlll~ - 1.-----,-.-- ~,e YOIIIIIIIIQ one olll1e OPII:;11~:c1I10 1I01lle YOIIIIl~1 l.J'lLa tlo eamlnoa (181 plge SE'O)? . _ .__ T -- .Jill.! Old YO\IIIClIVe 1IPIIlIh/ecl10 eoclallecllllly or Me~ Yoa , No lax Ihe YOII did no "pol\ 0 YOllr omployer? _,- 0111 YOlllecalveclllllclI omployee 1II00ma repOlled 011 fa 1m W.2-j Vea.. 01 $100.20 01 1I100e? -... + No --- L YOII MAY lJi!J!!!!nT BOIIEnl!!:.L!l..!..m!!!L....____._J .--.110-[ YOU MUBT-U-BE LOllq BOIIEDULE BE Soollol1 A . Bhort 80hodulo SE. Ollullol1l R.od OOOVO 10 soo II YOII eOllllSO 5/1011 Sollodill. SE, 1 Nollorm profll or (1088) from 80hoellllo F, 11110 00, onll fmm pmlnolOhlpll, 8ohodillo /('1 (Form1000),lIno 100."""""""."."".""",." 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FOlm hy 11111111'11 Nol r- ClIv, 101'111 all;oll~liIoo, Illta, III" ZII' 0011. - --..-.- -----... -- Wllh VOllt Tnx n'l\IlII 'PArI I Tmnlllli'llnl !RAo (Nollllo,Iuollltlo OOlllrlhullollo1 Ploll'Hnlllnllol IWI Unolo) 0'11110111 /I YOII OOIlVOIlod I'1lI1 or Ill/ of YOllr Irodlrllll1l11 /llA. fa 1101/1 //lAI/1I100B, lOa 1/10 Inlllllot/olln ror I'ort /I on pooo 5 .___!Jj(illlUUl!iillJU.ill1Jlil!.llIl'llIt /, _________ ___.___ 1 ~1I101 VOlllllolldo<lllolll>lo oOlllllllll\lollO 10 Irlllllllonolll1Ao fOI 1000, Inolll"lno Ir,ooomll"o 1IIIIIno 1/1/00'4/15/0011101 wnlo fOll000, !loolnolrllo\lono ........",,,,,,,..,,,,, ""..""""",,,,,, ",",,""" ....L 9 6nlor VOIII 101111 IRA Iloolo fOl 10071111<10011101 vom.. 8.0Inolrllollono",,,, ,,,..,, '"'''' .."""",,,....,,..,,,, ,,'" .,!L, o A<I<llIno.'lln<l a" ",.., ",,,.,,...,,,,,,,,,,...,,,,,,, ",,,,,,,..,,,,,,, '''''''''''''''''''''''''''''''''''''''''''''''''''' 0 .."~.. --~ PI<I Vall r.o.lye . OIlV 11101111111110110 ----- No -----~ ':nlor Iho 0/11011111 from IIno 0 ollllno la, Po 1101 jWllh"I.W.I.) oomploto tl10 rool of 1'11I11, romlrotlltloll.1 ~---'--"--- V.. ----..~ Go '0 IIno 4 IRAe n 10001 ' . ~1I101 only Iholo cOlllIll>lI\1onolnolll<lod on 11110111101 \Volomllllo <lllllnO 1/1/00'4/16/00, Ollolnollllo\lollo 8uhlluulllllo 4 from 11110 3 "",,,.,,.,,,,,......,,,,..,,,,,,..........,,,,,,,,,,,,,,,....,, ".,..,,,..,,,,,'.... '" """"".".."....",,,. Unlur 1110 101111 Yuluo of A~~ your IIlllllllonolll1Ao o. 0112/01/00 plu& OIlV oul&lolIlllllO ,olloyor., 000 Inolluolloll& .. """,,,,......,,....,,,..,,....,,..,,,,,,,,,,,,".. -L 7 ~lIlor 111& lolullll.lllhutloll' you toaolvoel from IIlll1ll1onulll1Ao ,hulno 1000, Po 1I0111l01u"0 Ilmoullto 1011011 OVOI. O..lnolruollono ~.., I" """"",,,.". "...",...", .2.... o ' A<I<I IIn.o 0 1111<17 ..,,,,,,,,...,,,,,,,..,,, ......., I...!!....L- ._____ o 011'1<10 IIno U by IIno U Illld onlor 1110 rooull uo Illloolnml (IoulI,lolllo lit 1011.1 3 ploooo), 00 nololllol mOlO 1111111 '1,000' .",,,, ,,,..,, ".. " '..""" """" ,..."""",,, " " 0 _.K..___ 10 Mlllllply IIno 7 by IIno 0, Till. 101M nmount of VOUI nonhlJlllhlo rllolrlllullollOlo, 100U ,,,,,,,,,,,,,,.. ..",....,,,,..,,,,,, 11 OuhllllOlllllo 10 lrom IIno 6, Tl1lol.ll1o buololll vour IlulllllonoIIM(&) uO of 12/31/00 "'''''''''''''''''''''''''''''''''' 12 Add 1111&04 Illld 11, Tl1lolo your 101., h..l& In Ir.dltlon.,IIlA. for 1000 nn<l..,lIoryollto ,,,".",,'.......,,.,,....,,, 10 T.xDhlo omounl, 8ubllllolllllo 10 from 11110 7, ~Iltor 1110 roolllll1ol0. Aloo IlIolu,'ollln 1110 101111 011 FOlm 1040, _lInol6hl rOlml040A, IIno 10bl or FOlm 1040NIl.llno lOb, .... ... . .. ,., .. .."" "..... ,..= Purt II OonvorBlol1B from TrndltlollollRAB to Roth IRAB ooforo vou houln, &00 IlIolluo\lon.1I111) your 1111110 .lllluH 10 mlllllod IIlIng oopllluloly, 121 VOUI lIIo<llllod AGI10 mOlo Il1an $100,000, (31 you oonyollod only pnrl of YOIII lrorllllalllll1l1Ao 10 1l0111111Ao, 01 (4) you looolyollllnv rllOlllbll\lono (wlll1e1mwlllo) Irom IIlllllllonlll ';;;;;-ii~I;;;Ih~~Il~I~~o~~~~~~Ilbullono flolll irll,lIl1onoIIMollullng-1000iil';;i-;"oro ~~nvorlod lollolh IIIAo ".... :i1a. _ 4 4J 222. b 1l00110loololl,01l0n&, 000 Inol/uo\lono '"....,,,, ..,,,. , "" , .."........,..,,,....,,,,,,,,,,, ..M1l. __ "'/fiI , 2 2 2 . o OUl>Imolllllo14b Iro," 11110140 "" "".."..""" ,,,,,,,,,.,,..,, ,,,,,,..,, ""'" " "..,,,,,.., ....."..""",,,,,..,,..,,,".,,.. J~ O. Ulllllr you I blllllo In Iholll11ollnl you onlo/od on IIno 14e, 000 Inolluo\lono. "",,,,,,,,,"..,,..",,..,..,,,,, .JO , 0 . Toxohlo umounl of nonvololono, Oublroolllno 161/0n,lIno 140"",,,,, ....,..".., ...."..".."""",...... _1g" ___--;--~ Amounl oUb)oo, to t.. III 1000, Cl1uok 1101D If vou 111001 NOT 10 OPIUIl" tl1u IMUblo OI11oulll on IInu 10 oyo, ~ vouro 1000 Inollllollono) """"'''"...""",,,.....,,..,,, """'..""",,, "..".." """,,,,,,,,,,,,,,,,.....,, ~ D II you chooko<l 1110 box, onlol 1110 omounllrol11l1no lOon IIno 17. OlholWloo, 0111012696 (0.201 ot 11110 lOon 11110 17.llullu,lu 111011111117 o111oUII111I Il1olololon 1'0/01 1040,11110 16bl Forn,'04UA, 11110 lOb, oll'orl11 1040NIl, 11110 lOb "", , , ''''"-== ' "",.",,,. I.HA 1'01 POflOlwolk n.duollun Aot No\loo, soOlllOtruo\lOll&, 4 o p 10 10 17 O. FOIlM 0000 (10001 .'010' U.OJ.ue 12210412 12 790U45 10li!i03296SJH 052 GOUBI\, JH. I NILI,II\M S 1Uli!i0301 [01111 880\1 118881 _' PIli' 8 ..P.M.LflL_._I1I\l.ldll\lllnnll.lrom..llglhJRAL~.__..___.._...___,_.___,_,,___ __._._.____...._____ 16' filllor Iho 101111 110111 1M dlolllllulloll.' IWllh,IrIlWOI.) rooolvod III 1000, Po oollllOludo ll11lOuolo lollod ovor wllhlllOU dovo 01 ,ooulpl, 000 IlIololOlIono ... .. ................... ...........,.... .............. ........ ,..lQ....___ 100 fiolor your 110111 1IV1 0001111"'110110 1011000, 1110111111110 Ihoool1\",lo durlllll 1/1/01104/16/00111111 woro lor 1008, po 11011110111,10 rolloyor oOllllll>lIllono or llo\OllllloOOIlVOllotlllol11lrlllllllollllllllAu ........"............"......... .1u.1l. _.~ I> 1\0ellOrootolllllllollo, floo IlIol!llollollo .. .1J!Jl________ o Domlllllo 111100 1 Olllllld 10h . . " .. , , , , " " " < " " . ~ ' .. ' , " I " " .. , . . , . .. , , .. , J.D.ll.. 90 6111>11110111110100 Iro'11l1oo 16, 111010 or 1000, onlo, ,0, ood ,10 1\01 oOl1lplolo 1110 rool 01 ro'llII ......."...",......... ..80_ 91 811bl!Ilalllllo 17 flomllno 10"........ "..,......,,,,,."..,,,,.,.,,...,,,,,,,,,,.....,,,..,,,.......,,,,,..,,,,,,,,...",,,,,,,...,,,,,.,.,.,,,,,,,,, 02 filllol 1110 .1111l1l0r 01 11110 20 or 1100 21 .....,....,..,..,.,."",.",,,,,,,.,,............,,,,,,,..."",.",...,'.".,.......""...""" ...H.L ._.. ..18... ________ 00 811hllllolllllo 22110111 IIno 20,111010, oklp IIno0241lod 261 0011 80 10 IIno 20....."."",,,....,,,,,,...,,..,,,,,,,,,,,,,,,,,.,,. ...8,L 91 filllo, 1110 ollm of 11110016011"17.............. ..,,,...,,,..........,.,....,,,,,,,,,.,,........,,,,,,,,,..,,.,,,...,,,..,"""'''''''''''''''''''''' .M... 26 811hllllalllllo 24 flOIll IIno 23, 11101001 loa., 01110' ,0, "....."..." -ijL 90 To.ol>lo omolllll, Add IInoo 22 onll 2fi, finlor Iho 1001111 horo onll Inoluclo II III Iho 10101 on FOlllll040, IIno 10111 I'orlll 1040A, IIno 10111 or 1'01111 1040NI\, IIno lOb ..." ....... ,,,....,,...,..,,,..,.......,,,,,,,,,,,....,,...,,,.....,,..,,,..,,,,....,,. ...al!.,. ~~~;",7;~~ Not., II YOIIIIIlVO 0/1 01110"/11 0/1 //"0 22 or 26, yo" \VIII /Jo stlblool 10 0/1 odd'lIo"0/10% 1111, Sool"./IIIo/lo/1' ---1or do/nils, . Part IV. Distributions fl'om ll11uoation (Ed) IIlAs oofor' YOII hooln, 000 Inolluo\lona 1I1111ho 101111 fi,1111A oonlllhullona Illodo fOI 1000 00 hohllll of Iho bonollolory ora mota Ihon ___--lliQQclli..l!!lJbn honollallllvJUWJllQlftJhnn.Qlln.fu!IM..oQQQun!Jor 1000, .___ 27 linl.r Iho 101111 fid 1I1A <11,"lIlullono Iwllhclrnwlllo)looolvoclln 1000, 1)0 nollnalullo omollnlo roliod ovor wllhln 00 IIIlY. of lOllolpl ",' ..,.. ,,,. "......... .....,.,.,. ............,.,."",,, """""""'''''' ""..... ....." ..."...",,,,.,, ,,, '" "....".. ".." A. RO Do you ohoooo 10 wolvo ony oHoluolall YOll IllIlV 1>0 oll\lllod 10 lOlvour 1000 '1UIlIIOocl hlohol o<hlollllon oxponooo (ooolnolruollono hofol.llllowollno)? ~:~' fi~::Oy~I,I,~I=u:'I~I~~:: :~,I'~~~~I~n oxponooo for 1000, ) ...............',..,..,,,..,,....,, ...8.0 20 To.ohlo omounl, 10 IIno 20 o'lullllo or Ino'o IllOn IIn. 277 Voo, finlo, .{)'I nono of your lid 1I1A 1I10111l)ulloll. o,oloxnhlo fal 1000, No, finlor Ihololol of Iho Illllounlo frolll IIno 14 of Ih. WOlkoh..1 on pooo 7 fOI oooh 01 your fill 1M oooounlo, Alo. Inolullo Ihlo omounlln Iho 10101 all Form 1040, IIno 16bl FOlllll040A, 1100 IOhl 01 Form 1040Nn, IIno 1Ob, Nolo' I/l'o" I,ovo 0 Imoblo Olllotlnl on ///10 20, you moy /Jo .tI/I'oc/lo 0/1 oddlllollnll0% 101, Soo l"olnlo/lo/1o lor dolnlls, I/,,/<Idl 1111ill.W./o 1110 o</(lI/lonollol. ____ 810n 110'0 Only II Vall Unller plnllll.. 01 PIlllllY, I 1I0clllO Ihlll hm oxomlllld 11111 form, IIICllllll1l8 acoonWlllylng IlIlclunlllll, IlId 10 Ihl Aro 1'11I110 Thlo Fotm 1>011 olmy knorvlldUllnd bollol, Ills 11111, cO/locl, BIllI cornploto, hy II PO II ond NoI Wllh lIr.. ._.____.~__ Vour To. nollltll ~ YOIII SlgnBhuI ~ }..,,,,,, ~ Oail !l~gj',I'1 12210412 790045 13 106503296S,JM 052 GOUD1\, JH., WILLIAM S 10650301 WILL~1IM /3 GOUI3A, 1m, F'OHM 1040 '!'A)\/lI3l,1D il'!'JI'.I'El ANI) r,oCJ\T, rNcoMm '!'Al( HJlll~lJNI)/3 199'1 1996 NE'l' 'l'Al( RI'll"UNOa l"I\OM a'l'Jl'l'El ANP LOCM. INCOMID 'l'Al( RJllll'UNPS S'N1'l', LElSS,RElFUNPil-NO nmNEFIT Dum TO AMT 1 NEl~r REI'UNDS l"OR HmCJ\T,ClIL/I'J'ION 2 TO'l'J\T, I'l'luMI l!\1iJ1) nE:PUC'l'JON/3 BEJl"OI\El PIfAS~lOU'l' 3 DEJPUC'l'IDN NO~I' /3UB,T '1'0 P IlI\S 1iJ0 1I '1' 4 NET I\Ell"UNP/3 FROM LINm 1 5 LINE 2 MINUS LINES 3 ANP 4 6 MULTIPLY LINE 5 Dr 00% (.00) 7 PRIOR YElAR JlGI o I'l'EM. PEP. PlllllllilOU'l' '.I'IfREilllOI,I) ~ fm D'l'IlJ\C 'I' LINIil 0 l"IWM LINE 7 (IF l!\ElRO OR LESS, SKIP LINES .1 0 'l'lIROUGIl 15, AND EN'l'EJR AMOUNT l"ROM LINm 1 ON LINE 16) 10 MUU.I'IPI,Y LINEJ 9 BY 3% (.03) 11 I\LLOWABr,IU ITmMIZEP IlEDUC'.I'lONS (LINpJ 5 r,ElSS 'l'IlEl r.ElSSlm 01' LINB 6 OR LINm 10) 12 ITmM PElP. NO'l' SUDJ '1'0 PIlASEOUT 5 , 5. 12, ;HI4, 5. 12,209. 9,031. 60,1'12. .121,200, <61.,020.> 13A TOTI\L ADJ. ITEMIl!\ElO PEDUCTIONS 1313 P1UOll YI\. 13'1'0. pmo. AVJlII,/lUl,1!l 14 PRIOR \'1\, AL1,0\~ABr,m I'l'luM. OElD. 15 SUD'.I'RAC'I' Tum Gl\ml\'.rm1\ 01' I,INE 13A 01\ LINE 13B FROM LINE: 14 16 '.I'AXAOI,El REFUNDS (LESSIR Ol" LINE 15 01\ LINE 1) 17 ALLOWABLE PRIOI\ YR. I'l'EM. DIllD. 10 PRIOI\ YEAR S'l'P. PIllD. AVAII./lBLEJ 19 SUBTRACT LINE 113 FROM LINE 17 20 LESSER Ol" LINE 16 OR LINE 19 21 PRIOI\ YEAH '.I'AXABLm INCOME [; . 12,294. 6,900. 5,394. !l . 37,270. 22 AMOUNT TO INCLUDm ON FORM 1040, LINE 10 * IF LINIC 21 III -0.. 01\ MoaB, usm /lMOUN'l' I'ROM LINE 20 * IF LINIC 21 IS A NBGATIVB /lMOUNT, NET LINrus 20 AND 21 8'l'l\'I'E AND LOCAL INCOME 'l'AX I\mFlJNDS PlnoR 'I'D 1995 TO'l'lIL 'J'O I'ORM 1040, r,INm 10 15 12210412 7901345 10G503296SJM 052 GOUDA, JIl., WILLIAM S 106-5(1-3296 -= il'l'l\'.I'EJMliJN'l' 2 1995 - 5. 5. S'.I'A'l'EMEN'I' (13) 2 10650301 WTLLIA~ fJ GOUPA, JR, lll6-60-3296. <== I~ORM 1040 IRA PIaTnInUTIONa STA'.l'IDI1EN'l' 3 NAME OF l'1\YElt QROfl/3 [JIf:l'l'I\IIl\J(I'ION (1'1\IU\IlI,1D 1\MOUN'l' -. - F'RO~I I~ORI1 II 6 0 6 44,?'22. . - 44,2n, 0, TOTAL TO FORM 1040, ~INE 15 o. ~ - ("OHM 1040 ALLOWABLE I~ DEPUCTION a'l'A'l'IDMlJ1N'l' 4 '1'0'1'1\.1, InA DElDUCTIONfJ '1'0 F'ORM 1040, 1,INEl 23 'l'lIl(l'AYElR 1\MO\JN'1' 2,000. fJl'Ousm liMO UN'!' - - - SCllEPUI,1D II STIITID IINP LOCIIL INcoMID TIIXlDfJ S'l'Nl'IllMIDN'.l' 5 DESCRIJ.>'1'ION IIMOUNT l'ElNNSYLVIINIII CITIElS TAX PAYMENTS J.>IDNNSYLVANIII 'l'AX 1'IIYMIDN'l'S 304, 1,294, 1,590, '1'OTIII, '1'0 SCIIEDULID II, LINEl 6 . SCIIIDDUl,1D A CII/311 CON'l'IUI3U'l'ION/3 13 'l'II'l'ElMIDN'l' 6 IIMOUNT IIMOUN'l' DIWCRIJ.>'l'ION 50% LIMl'l' 30% LIM!'!' MISCIDLLANIWUS 150. FROM 1<-1 - BILl, I S WILDLIl~El S'I'UIHO 25. SU13'l'O'I'IILS 175. - '1'OTIIL '1'0 SCIIEDULID II, I,INID 15 176, 16 B'l'A'l'EMEN'l' (B) 3, 4, 5, 6 12210412 790045 10G50329GSJM 062 OOU13A, JR., WILLIIIM S 10650301 ~ PA~40 1998 '1/lnllfJ1P.0!i3 - liOUIlA, .JR. wnl.IAM 111 1'1 i'!IJ i'!:I i'JL i'!9 3fJ 35 s 1:1 lL 19 i!fJ il5 P./l :11 :III ;1'/ LJ./lP-.llll /l'/a,lJlJ /l,/fJ,lJlJ fJ ,(]O n,lllJ /l'/a.llll n ,(111 o '(]ll 0,110 o,no n,oo n I]. nn o,nl1 310,nl1 ll,no 0,1111 - rAliE P. L 15 1/\ 21 all a'/ 30 3:J :JL 1/lI~.5/l.3a% 0.00 0.00 0.00 0,00 OtOll 0.00 1l,01l O.I1U 13 TIlIIII'A TIX 1.1111111I1' ~lItOI YOIII 101 1I01l1llly Il0lnt.11I1 12011111011181 pouo, '" """"" ,,,""",,' .""",,,,,,,,,, """"'"'''',,''''',,''''''''''' 13 I~ Tolll PA ToI Wlllllloltl, frollllllClolll1 W'21011ll1, .. ........."....."..,,,,..,,,,..,,,..,". 14 16 Olltlll 110m YOIII 1007 PAlnoomo ToI Ilotllll\. ........ .......,..........",,,,,,,,,,,,,,,,,, 16 16 1000 F.lllmolotllnlllllm'!III'IV/IIOIIII, ,.." .. ".... ,.... ....... ... ."""", ..",,,,..,,,,,.,,.,,,,,,,,,,,,,,.,,,,, 10 17 1000~11'"llon 1''11\10111, ."",,,,,,,,,,,,,,,..,,,,,..,,,,, """,,,,,,,.,,,,,..,..,,,,,,,,,,,,,,,,,,,,,,,,,.,, 1'1 10 tlOlllDlltloll1 HI Wlllllloltllloll\ YOIIII'A Bol1l1ll1lo(11 tlIlK.1. tlolllollllollll olllv. ."",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,,,, 10 10 Toll' ~llImllod Plvmonl, Inti Olotllll, Alltlt.loool6, 10, 17, ollulO, '.."",,,,,,, .."..,,,..,..,, ...,,,,,,,,,,,,,,,,,,,,,.,,,, 10 TII 10lOlvOIIIII 0101111. Oomploto linn 20, n 01111 21. IIOOlllllltrllCllolll, 10 OO[lIotlooll, I'AII 0, ~11I0 21'A Ocllltllllo 81', '"'' """" " " , ...""" "".""""..,,,,,,,,,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,, 20 21 To1II~1I011l1l1ly 11l00mo, Pili 0, ~Ino 11, I'A 8cllltllll0 81', ",.."""""""""""",,,,,,,..,,,,,,,,.,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,,,, 21 ,11 TOk fOlolvlnOll Olltlllllom I'orl 0, ~11l0 10, I'A OollOtllll1 81', ,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,..,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,,, 02 23 Tolll 0111111 101 Tml I'lltllo 01111161010101 OOllntrlOl, r:nclOil YOIII I'A 6r.1l01l1l10 Q 0/ RK". .."""""."""",,,,...,, 23 2~ "A r:",plovmollllllclollvl I'lymllll Olotlll. Enclolll'A 8cllolllllo W, IlK'I 01 WIK.\, ....,..,,,,......" ....." "......."..",,,,,,..,,,,,,,,...',,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,.,,,, 24 26 "A JoII Oloollon HI 0101111, 110m ooclolOl1 clltlllcllo 01 "A Bcllotllllo RK.l 01 tlRK'l. "" ,,,,,,,.,, '"'' .."" ,,,,,,,,.,, ."". 26 20 "A Wl8to Tllo Rocvcllnu 10v8Ilmolll TOk 0101111, from onclolotl cOlllllcoto 01 "A 8cllltllll0 I1K'l 01 tlI1K'l, """.""""".."...."., ,.."".""""",,, ...",."""..,.,.",.,,,,,,..,,..,,,,,,,,,.,,,..,,,,,,,,,,,,,,,, 28 27 "A Illmlcll 0011 Oovoloplnonl !IX 0101111, flOIll 0110101011 oOlllllclll 01 "A 6cllolllll0 111<'1 01 tlllK'I, ,.."",,,,,, ""'''''''''''"'',, ,,,....,,,,, .."" ""''','' ".."",.." ".."".." '''" '''' """ 27 28 TOTAt. rAYMENTS Ind OREDITS, AtllI IInol 14, 10 011I1221111011011 27." ....".."." .."'''''''' """ """ " " " "'" 20 10 TAK DUE, II ~Ino 1311 1Il0l0 lllon ~IIII 20, onllllllo tllfl%nco 11010, "."""""."" .."",,,,,,,,,,,,,,,,,,,,,,,,,,,,, 20 30 OVERPAYMENT, II L1no 20ls /11011111011 ~lllo 13,ontol IlIolIlIlOlOIICO 11010. ........ ..,,,,,,,,..,,,,,,..,,,,,,,,,,,,,,,,,..,,..,,,,. 30 31 Rohlllll.. Amollnl 01 L100 30 YOII Willi 01 0 olllck /1111101110 VOII. '"'' '" "" '" """',," ". """'" ".", '" """"" nollllld 31 32 Olotlll" Amolllll 01 ~llIo 30 VOII W01I1 00 0 olotllllo YOIII 1000 Elllmltou Tal Accollnl. "...." ....".."" .."" """" ,"", 32 33 001111100" Amolllll 011.100 30 YOII wlnllo 1100110 10 tllo Willi IIOIOIIICO OOllsolvallon l'ulIII, "",,,,""'"'' "",,, " " "" 33 34 Oonllloll" Amounl 01 ~loI 30 VOII want 10 1101111110 Ilro L1nlloll Ototoo OIVllIlllo Oommllloo, I'A Olvllloll, ...,,,,,,,,,,,.., 34 35 1l01l11l01l" Amollnt 011.100 30 YOII 11111110 1I001la 10 1110 OIUIlIllolIOI AWIIOIIOli Tlull flllltl, . """,,",,' ",,,,,,,, 36 30 Oonolloll" Amolllll 01 ~loI 30YOII WillI to 1101111110 1110 KOIIIN!ltllom MOlllollal, 1110, .. ".....".."" """"",,,,,.,,, 30 37 Oonlllon" Amoulll 01 ~IIII 30 VOII wanllo 1101111110 111001111111 Cnrvlcol CIIICOI 1l00ooloII ......,,,..,,..,,,....,,..,,, 37 10 0 Dill 0131 L1l1ol1 37 111110 1111 ~llIo 30, 'II~"UI .) lJndtl,lInllll.' (I Ilt'IUIY, dtclatlIhalI hi lunvn"llhll ilium, InCfl<dlnu an tcW!np.flylnu 1''''Kluln Ind 'tllllT*lll, ind 10 Ihl It"l 01 my (l!'!'1.!!!!!!!.U!!)'..!!!.lrUI.co"t<:ltndtl.1ln1Illtl ~.~--~------_. Your Bllln.tUft nl" VOlllOocUII,Vall 1,1/la,00 OdlO 11,00 /l7a.OO 0,110 0,00 /l'/P..OO o 0.00 0,110 l1.no 0,00 0,00 0,00 0,00 1\'/2.00 no, no 0,00 0,00 0,00 0,00 0.00 0,00 0,00 0.00 8I)(.1l/U'llugfJlhlll T^XIDEflMIS'I' --.----.-.-------------.~~---_._.();i._--- Bpo;;",~pltlon-' flI'"II" 01 COll'lflallY Nt/nt, 0111,'11111I t"'ply'I1'I. buecl on all Inlolfrwllotl 01 ",hlth Ih, "r.p..." hU Iny knoWlldg. ",,""'..Com""111.mtl"'....""O S 110K E R, L ^ N D IS' & CO tfP ^ NY, LLP 1'.9J.~SJ~,AI.~....SJ ~gOL ^.~p_^.1? ~'LO_ __.u_. UlgI'IUurlollhtr'ltpa"'IO/lIIOnll) L '1800212053 U4002f02.'O.OQ 11"" ~ '~l."'ho"t,","b" _t r!/J{ ___,iJ,~]LL_~E..~l~~___,_ 9800212053 -l .--' PA SCHJ:DUl..J: A/f3 flIl01i'!1iH15i'! 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'1{1!1l!1~kJl~tI!!OllO~ ~JLN!!."E.o.l.IE.o JII!II~O~O.!"..o!!.p.!~!l" _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ _.. _.." _ _ _.. _ _ _ _.. _ --I OUTlI~RE .. , I M~U I -----------~---------------..----------~-----------------------------1 [j 1040.1;8 IJ 999 U 2 ' e lI.p~'''''''\ ,"h. Tf.... I!PVrnllnl I I IfI!omlJ '\WIII\I' DtrVlct ry J!!!!!!llor oMII No, \D4HIOll I fill ollly IIYOIIIIO I11lkllll a PIVII1II1I 01 ,,1I11111otll", 110\1111111111 VOllellol willi olllck or r Oalulldll ~1I0 JUliO 1ft, 1000 I 1I101l0Y 011111 plvablo 10 tl8 '1IIIIIod 811101 TroIlllIV,' 1110081 IVIIII YOllr IOOlall8ClIllIv IIl1mblr ontl'10DO Forml040.r:8' 011 VOIII oblck OIIllOIlOY 011101. 110 1101881111 0111" EncIOIl, 11111110 1I0111lnll 011111011, VOlllnOvmlllt willi 11111 VOUCIl8l, YOulllllllll1l11 olllllnlllll YOIlIIIlIIlIIl1i' ILLI~M a OUDA, JR. AmOllll1 01 poymalll tI lU!!1ril.nAYiiWiIl...QQlUl!!tlilQJJ!~ ,. '~ 81101118'1 IlIllllomo 0111111111101 _LsnOIl88'IIl81 nlllll J! AIIlIlOlI (1II1I11bol, 111011, Inti opl, 110,1 -.---- $________~Lnt._ 5 wmSfl' IUa.SER MILL ROAD ' Oily, Ilatl, 11111 Zln co,ll (II a 10101011 O"tlIOlI, 011101 clly, plovlllOI or Iloto, pOllal 00111, 01111 COIIIlIIY,) OllN..~l ,JOY, PA 17552 ~I~ _F!'.' f'!ya.Ey"A~1 ~I! ~1!!l~~k_lI!d!!CllO~ ~IV'!!.IIE.o.l.I!'.IJ"!I~o~O..'!'..o!!.p.!O.l!!l,' _ _.. _ _ _ _.. _ _ _ _...... _.. _.. _.. _ _ _ _ _ _...... __I 01l111tllE Amount 01 pIvmlll1 YOllraoololllClllltv 11111111181 106-50-3296 61]01l8l'a ooclllllcllllly 111111I1181 1I~,'I.\a 12210412 790045 3 106503296SJM 052 GOUDA, JR" WILLIAM S 10650301 WORKBt11lt:T FOR cloMPUTINQ IlBTIMATap PIlIlBONAI, INOOMI! TAX FOR RJ:BIPI!NTB ANP NONRllllIPIlNTfl fIlII Till T~X~O~I mil IANUAIIV 1 ' PIOIMPIII aI, mo Oil Ollllll TA~^IlI.1 V1An p~m"NlNo ..__._..__<-..__...__ 1990,III0IIIn lQ_ A, 1II0llMIIPp IIpl 1111111 IPli") 1. OOll'Plllllllolllwlpn, 11111111, Ilpl, 110. 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II YOIII.avllbowll 011 11111 30 ollha 1000 I'A'40, 1II<IIvllllllllnool111 Uk 1111\"" III oVllpaYlllllI1 olllk 1111110 ho 0101111111 011 1000 Olllmltllllox, YOIIIJlIY apply lbo 0101111 holow 17. OOl11plllalloll 01 ~llIl1Ialoll l'aYllllllla: ~. RUOORD OF EBTIMA TED TAX PAYMENTS VOUoltER DlIll DATU AMOUNT _ I'flIOll I'AYMENTB 1905 OVEIlPA YMENT - TOT^~ -- -;;11'[1;-;-00 DATU "AID ------- Ollnol<Ne, .________.. 1 _ a 4/16/00 0/10/00 if96-;rrO ~lPf~ 3 0/1 0/90 2 9'b."bLl 4 ,.,...JQ!AL 1/1 0/2000/:"'{"<' ,. 2 9 6 , un '--1-:;11l1j;1f[j 296,00 296-;-rrn-~ :L,:Lllit dTIi ---~ \" (}'i; \'." '-'.;. '.-"'1 - - - - - - - - - - - - - - - - - - - - - _ _ _ _ _ _ _ .91!l61Q"n.lll2<>11!!!1J.(Oo_ _ ,. _ _ _ .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ,. .. _ 1999 PA-itOES DECLARATION OF ESTIMATED INDIVIDUAL PERSONAL INCOME TAX :L86-5&-3296 GO DUE DATE O:L ],8 00 --, GOUDA, JR, WILLIAMV S 9902512053 PAYMENT AMOUNT tis 296 . 00 5 WEST RISSER MILL ROAD MOUNT JOY PA :L7552 MAKE CHECK OR MONEY ORDER PAYADLE TO THE PA DEPT, OF REV, L--- 300:L&01116S113296000761999:L23:L0000000000000003 ~ !1'~lJ ,13,08 I' , ' ,". d ,. " " " " '.. w ?::: 'i ~: i",., i;'.J 'Y ;1::' t': t~~ ~:.) .i r. .~ ('j \. JI-;j\ ill" '-'\,;j':" t-l' ;'",1 .,..if 2 ~ '. L ' ...' " L;ll r.,} ~:,i r, J Iii' ';;11) 1-\1 I;. V'J (d', " J~re" '15 . .11\ {'J 11'1 '.:-r 1> I" ~tL t' 0.. I' c:) (~ f{'J (;;J ,I..;' I " >I' " H " " ; \-" .,. , " l' ,. " /, ;! " ,. lj j'" \' )I, H ;. " "/!/ i! " q , , j'" " I,