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REV-1500
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INHERITANCE TAX RETURN ~
°`P~`~m ~`~` RESIDENT DECEDENT L ~ q ~ o, ~ ~ ~ q
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®1.OApYUIRebq ^ J. RemeaUa Rea%nlr/[.-p>1tn3U1
^ 7. SuppanenW ReaRn
^ I.llndee Estate
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^ /a. FuUnInWNCalpanee lr-er-r UUUi ^ 6. FS0aelEmteTM RaOan Re9iAtl { ;
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^B.Lropetion Prosser ReaNeA ^19.6pwWPOVerry CreOe"naar:w.w uatat Renton ^11.EbtlbnbW+RdNtieC.91171Aj taRBaq
TNIl SECTION MUST BE COMPLETED.ALL CORRESPONDENCE AND CONFIDE111Ul TAIL INFOR14A710N eVNOULO lE CUED O:
nna countnuaRwowatas ~ ,•.
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» BE BORE TO ANSWERALL OUESTION80N REVERIE SIDE AND RECNECK MATH «
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IMIfMJ 1YaMVf.IlYler NlNweJ~VR[nH-RM1N:bp~~11VR~[[trn:n,10bb alldmflrowW NbM,Ib YUr.lantlfCK eMeOlfrflblaPS~rMY .i t~111 I
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<,• ~ '~ '61G[IAT OF PERS EfiPONSIBLE fORf0.aG RETURN ADDRE6S .DATE Lp
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' SIGNATURE GF PREPA Eft OTHER TKtN REPRESENTATIVE ADDRESS GATE 1 '
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''~2. CredavPaymenlf .. ..
A. Spousal POVerIY Crede
. ~ C, Dhmunl - trial CrenAf(A•B•C) 121
J. ~ IntoresyPeroaydapplicada ~ '~
E. ~~ Trial InteresuPenaey I D • E I I31
~.. ~. Rkne 2lf grexertnan linet•5ne 3, enterlhedieeronce. TAltulhe OVERPAYMENT,
.Chock hex on Ppt1 Llne flrorpueNe Mond NI
S. HIIne1•Ilne3upreMerUanlMe2,entmlMdiMerence.TnblsUOTA%DUE. ~ IS).
AEn1erlM lnterosl on th tazdue. ~ (SA)
B. Enter the lotaldUne5.5A.TNS IS the BALANCE DUB. (5B)
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.PLEASE ANSWER THE FOLLOWING OUESTIONS~
" BY PLACING AN •%" IN THE APPROPRIATE BLOCK9
1. Dld decedent rruksatrensfer and: Yet No .
~.. e. roteln the use or Inwme of the proPerry Irenslerrodl ......:......................................:............... ^
6, roteln the dpht to deslpnete who shell uee the property lrenelerted or Its Income :................ ^ '
e. roteln a rovenlonery Interest: or ...:.:...:.......:............:..........................................................:..^
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1e or care
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d. rocelva the promise for life of either payments,
2. tl death oaurted on or belore December 12,1952, did decadent wllhln two yeah
precedlnp death lreneler property without reulvlnp adequate conelAeratlon7lf death ocwned
aRer December 12, 1892, did tlecedenl trensfer property.wllhln one yearol death without
roceNlnp adequate tondderellan7 ..............:......:............................................................:........:. ^
3. Old decedent own an •In wet lo/' or peyablo upon death bank account or eewdty
al his ar her deam7 :.........:....................................................,..............,....::............................... ^
4. DId decedent own an Indlvldual retirement acoount, annuity, or olhernon-probate property7....^ m
IF THE ANSWER TO ANY OF THE ABOVE OUESTION9IS YES,
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72 P.S. §9118 (a) (1.1) (p provided for the reduUlon of the ter isle Imposed on the net value of lrenelere to or ror ma uee m me
wrvlvlnp epouw Irom B% l0 3%lor dales of death on or aher July 1,1084 and belora January 1, 1805:
M P.S. §Bt 18 (a) (1,1) (Iq provided for the retluUlon of the rate Imposed on the net vetua of Irarmlore to or for the use of the eurvivlnp +n;,;,
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spoofs from 3%to 0%lordetee of death ohor e5er January 1, 1805. The atatule does not ezamol o tronnler la a survlvlnq spouse
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Irom tax, and Ua statutory requirements for dlsUOSUre of assets end 511np a tax return era still eppllwbla even it the survlvlnq sp +
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N the only benafidory. ~ -
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FOR DATES OF DEATH ON OR AFTER JANUARY 1,1005 • Please answer the followlnp question by pladnp en'x In the + t '-
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appropriate space. -
DldtM deudenteroaroe Wft or dmllar arnnpsment whlchluolaly fer,ths eurvivlnp epoufe'f bfne8t tar hlf ar herondrs t,•
t f4 ~'r
IlhtlmeT Yse ^ No ® '
11 you enfwered yea to the above question, the taz on Iha Iroel ar nlmilar arran8ement Is postponed until the death of the sewnd
spouse, at which time II will ba lolly tazeble of Iha rate(s) applleeble to the remainder benefidary(les). Entor rho vcluo of the Irusl on
In order to remove it from the aalalatlon of the laz due In this estate. You may wish to Gle Schedule O In nMer to
.Schedule J
Pan II
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make the eladion available under SaUion 9113. I1 the eledlon is made, the trust or similar am„pemanl is fazed In iha estnte of the
Brot decedent spouse, the portion of the trust or almller ertungement which benentf the eurvivlnp spouse le lazed et Iho zero lez rate,
and the remainder la lazed et iha role(s) applicable to the remainder benaBUary(lea). Ilyou choose to meke Iho eleUlon, you must
mach Schedule O to a Ilmaly51ed tax slum, alon0 with Schedule(s) K endlor Al In order to show the apponionmenl of Iho Irusl or
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dmllar ertenpement between the survlvlnq spouse end the remainder 6ene5dary(les). Iy ,
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Tex P~ymsntx and Crodlts: 75. ~ ~~ ~ ~
1 Tez Due (Pape 1 Une 15) ~ 111
~'~~~ -~ I •, TOTAIIAISO enter on 4na Z, Reraglulalion) i
III mqe spdCa II neeCeC, insert a00nional s11Ceb W mB same [iae)
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Fwm ~ 12{W U.S. In,tfine Tax Retum for an S CorpEA.atlon
I - UO ml flN ed1 /Orm unMe1 IM ceryorstbn hat IIm11y IiMd
' o.o....A a r. rM{rf 'form 2337 IO INN 10 M an ! COrpmallon,
' Nn.r e..aef.w• -SM IIpanN Mftruetbnf. .'
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-- Fa ulentlar ear 199a, or tea ar ulnln , /99a, antl entl~n
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Ins Hollaad 0. Gale Ilevelopment Coa Ina. ~ 23 i 1621204
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J " ~ 3-1G-W ~ . NurMw, nrM. AM room w fNla M. (n A Pn ep.. µy p•p• f or lM nWU[twM l
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a BwleN eoO. rb.1N. { )-19-1960
•. 60acAe Mnucron•1 ~jMOr Grwrwrn,nna.IM 2lP Glide
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Cemp Rill• pa '17011 ~ EtlAe pNN 1{r1liDKIb fIMbr11 i~
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~ ~- f CracN epdiuble hoses: 111 ~ In0N1 velum RI ^ Final ralum ' IJI ^ Change rn eddresa (<) I$ Amended retlan
i D Crest pa Do{ A due S torgNtbn if nAntl ID 9e [onfddate0 eufA Drouoaes of tedbns 67a1 IDrDIgN 6215 (fee intbutlero Oelor! dedup ple bor) - ^
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X EMer mmbar of stwahmden In Ins cwooralion et end of the tat year
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CeWOn: IncNW oll Inds IN Wsinese inronre and e. sea on Iulea Ia fhrou h 2I. See the InafN[Ignf for more Infamlfion. '
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L Gross rettipu or uks I I I b Lesf Rlurns alb alloxenoef l P I o Bel e f e - ,,
2 Cosl of goods wW ISUeduN A, Ime el ... 2
~ J Gross profit. SubireN line 2 from bne is . J
e Nel peln pose) Irom Form 4797, Pert II, line 20 (attach Form 17971 e
a Oltulr Income pose) pee Instnldionsl (attach schedub)
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a Tabl Neom1 on .Combine lines J 1 h 3
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7 Campeneellon of officers. . '. 7
B 9alarin end wages peas employment credos) B
i - 9 Repro and melnfensnce. 9
to Seadeeu . ". +o
11 Rants . 11
' 12 iun end Isensea. ~
~ ' 72
to Imerest
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iN Depreuialion Isae inalructionsl
tea ,
l ~ ~ b DeprocNtbli claimed on Schedule A and elsewhere on return tIb \
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e SublmN line tab from line tea . 1b Z
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~ to Dedetbn (Do not deduct oll end Sea dlPNtlon 1 13
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17 Penflon, proli44Ndnp, ere., Plant . ~ ..
17
to Employee benllit programs . IE
19 Other deductions pee inatrucliona) (attach schedub) , 79 N 1
. i 20 Togl dedudbn~. Add ins amountshhown in Ins let right column loi lines 7 through 19 . - 20
' 21 Ordi Income oee Irom trade or businms ecnviliee. Subtract lino 20 Iran line 6 .' 21 ~ j
?2 ba: • Efcesa net passive ncome tea fehBCh scheduN). 22e ~
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b Tu Iran Scrletlulo D IFOrm 112051 220 \
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o Atld lines 22s and 22b pee instrucuone lOr adtlnional totes)
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~ 27 feyENMI: a 1991 efbmfled bA gymenlf in0 imounl fDDhed Iron 1997 rerun 2Ja \.
b Tu tleposnetl w,tn Form 700a , 2J0 I
a Credit for Fadmel let Peitl on lusts (attach Form IIJ6) 2de ~~ '
y tl Add Imsa 2Ja through 2JC ,. ~ 2Jd ~ I !.,
/ 21 EatNnated Ua nenany pee insbudlons). CnecN A Farm 2220 is attached. , - ^ 2a
2a Tu dw. II the total of lines 22e antl 2a is larger tluln Ime 2J0. enter amount owed. Sae c1 ,~
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I Instrodione for tlepovlary,method of payment . .' . - 23 ~ f
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1e OwrpayminL If line 2J4 is Nrpar Than tna total of Gnea 22c antl 2a, enter amount overpaid - Ze
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27 Enter (mount of Nne 26 u went CnalNe to 1993 asllmabe Nf 1 Relunafe • 27
' I , (1rbM wNte{aprryy,leKWe1N11Nreeumr~M lM than. rc4orq KCap{nyrb KMONS{erb {InMnnA{.WIOIM anamr 4bn40pe '
, P~daBe •'I•~•1ij1••nVU.twrKr.WCOmpMr. psCNerbnawepelN lolMrll~n lNWwrln W{eJmnnlwrrufan WwMnw.W'n M{•M MOnYep.
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for PaplrworN RwucWn Act Rouse, s11 wY1 t of vwnN Irislrul~pflISBURG PAI'17~6091105 vmn 1120S V99q I
23.1599542
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farm llta91tW31
® Coelol Ooods Sold (Sao Instructions.)
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1 Invenlory et pplnninq of year
~ 2 PlaMnas.' : ~
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7 -Cost vl labor.
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Atldelorlal 4e[Iipa 267A [OSU (See iMINC11an31 (alfaCh SCMd~b) S
'i S Other cosh hllech a[hetlub). ; ,
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' ~. 6' Tobl: Add GMs 1 through 5 . .
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7 Inventor)' e1 entl of Year :
6 Cosl of goods sold. Subbed bM 7 Irom Ime 6 Enter here and on page t I no 2 :
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ge Check ell methotls used for valunp closing Invenlory: ~ I
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' ' gp ^ Lower of coat or market e9 tlexribed kl Requlatlona section t.d71•d
F ~, '. (iii) ^ Writedown ol'subnormal' goods es tlescnbed In Regulalbna sxbon 1 d71. 21c)
Iwl ^ Olhsr lapedfy method used end attach e3Planalion) - ....... ........ ..:.... •• •.
- ^
~ b' Check 11 IM LIFO Invenlory malhod wag adoplatl this let year for any goods (I checked, alra[h Form 970J
~ e II Ina LIFO Mveniary melnotl wm used la Ihis tea year, enter percentage roremounlsl of doskp Le" I
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Invenlory tamWleO under LIFO.
d Da IM rules of se[Oon 267A Ilor properly protlucetl or acquved for resale) apply to the ttrporatlon7 ^
Ve4 ^ No
l • Wes there any change In determining qunnlelm, coal, or valuations between opening ontl cbskq inventory? ^ Yes ^ NO
II •Ves,' Utech et lanation.
~~ ®.,. Other Inlormetlon
Yn No
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t Chxk method of eccounlie s) ^ ~ Cash roR-r Accrual ([) ^ Other (spe[ily) - ....
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' 2 ' Re1N 1o Ina list In the inSlnxlions and 5I IB q Corporefion
9 prln[Ipal: QV Q f
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(al Business adlvity - .C O.f~C. /.L'...:.. .. Protlud or service - ..~ ~,...... .....
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7 Oid the [or5wmllon et iM end o11hB tat yBer own, dnetll a intliro[I 60% or more of Iha vptin Stock of a tlompsli['
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corporabon7 (For rules of 911ributbn, sea section 2871[IA II `Yea,' attach a xhedule showing: (e) Mme, address, and ~'
i empleyer kenaGtation number and rot pncanlage owned. :..
1 . Wes the [orparailon a member of a [onirollM group subject to Ina provisions 01 section 15817 - .
' S ~ At any lime during calendar year 199x, tlld Ina corporation have an Interest in or,a signature a other aulnorey Over a /,
linanclal ettounl In a loreign [ounlry (such es a bank eccounl; seturilies eccounl. or other fiMMlal a[tounp7 (See
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~ Matrudions for e3[epliona and Irving requirements for Form TD F 90~22dd :.... ~i
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~.". , ~ II'Yes, ~ anim IM name of the loreipn country - ....:...........................................................:......... .
6 Waa Iha torpomlbn the grantor ol, or iranslemr lo, a loreign In1sI Thal e3lsletl durup the Cunen118t yeu, whether or
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7520
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the corporatipn moy hove to
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I r1P1 Iha cbrporetion has arty benelidOl Inlerasl In it7 II :~
926. ... I
7 Check Ihis hot it IM corporation has tiled or i3 requited to ble Form 6261. ApPlicallon for Regisiretbn of a Tea ,
Sheller. '. ... '. ' -' ^
6 Check Ihis boa A the corporation issued publicly odaretl debt insirumenls with origiMl bsue discount - ^ ~
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I II W. IM CorporaGOn may Mva to IAe Form,6261, Inlwmalim Relum for Publicly Odered OripiMl Issue Dis[ounl
Inatmmenta
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g 11 the corporation: pl Ned its election to be an 5 corporation agar 1966, IDI was a C corporation balsa N elected to ..
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' be an 5 [apmalion or Ina Corporation acgwred an asset weh a ba9i9 tlelnrrninetl by reteren[e to its basis for the
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basis al any otner properly) in Iha hantls of a C corporation: end Ic) Ms not unrealized built•In gain Itlelinetl In SeCt \ q
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'' ' 177ydN111 in access nl IM del recognized buill~ln gain Irom prior years, enter the net unreel@ed buiMM gam redu[a0 I ,;
, by net recognized built In. ga n Irom Prior years (sea Insirudmns) - 3 ...... .... ".... t i 1}rl l
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10 ChecN this boa if the [apoiahan had subcnopler C earnings end proles at Ina close of Me lea year (see 1 (
tr14INC1PM) - ^ ii
' ~ Doiynation of Tae Metllm Parson ISee Insinlcbons.) . ~ ~ 1 , I_
atterp pemon QMPI for the tat year of Ihis return:
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sbwbaan' s11•trs M Inborn. CndN p•duetlon• •IC.
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ly Pn nu shen aems 1
1 Ordnery kKarlM Mss) Ran VeM a buLnla ecUNUU (papa 1, YM 2p . _
! Net Income Mss) fmm renal root esble eNNtrs (etbch fa8815) . ..
L Gross hrome from otl»r ronbl eclhAUas
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b Evpens•s tram oUwr lanai ecUNUes fetladl xMtluNl. ~
e Net hcane Masl from Omer ronbl actlNUos. Subbed Ilra 06 hom Iha Oe
1 Ponfoeo Income Mss) U
e Interest Income . 1p
b gNdand Incam•. •. Ie
e Roysiry bwm• . ; .. . ~... ...
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d Not shan•t•rm roplbl gain Mss) (attach SMedule O (Form 111051) M
• Nat brlg•brm roplbl pain pons) (stbch Sdw0ule D (Porto 1170511. . '. 11
' 1 Omar ponfdb hcane goes) (etbeh sdpduNJ..
ttach Pam 17971
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a
ain (loss) under secWn 1271 (omer Wn due to casually a ma
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• Omx Income Mss attecfr sdredubl . e
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4 7. ChantabN oonblbutbns (etbdl sdredukl •
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ij • U•duNms robb0 N ponfdlo Incase Mfs) Illemhe) 10
C 10 Otlrar d•0ualons etbch sdpduN.
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b (1) Inwtm•nt Inconw Indutlad on Imes Ia, ao, Ic, and 11 t
7 l0 Invasbnanl •x nws Indutlatl on Ilea 9 above 1L
1L Credll fa akrolwl used es a fuel (attach Pam 6178) ,
~' b Low•hcorn• Iwudnp a•dIL•
belora 7990
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to wNdl sedlm /2Q)49) applies for property plea
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1 ;=
,
q
ran p
(
1
0
..
men on Orr 12b111 la p~openY paced In servke belle 199
Om
er
(L7
r 1989
fil
i _
1 1
ce
e
s 10 •Nch seNOn /2(x(9) applies for propety plead In serv
ennnN
om
F
p
p
r
Iq
09 1: 1
.
(Q, Omer then bn Ilse 12b10) far properly PNCeO In serNro eAer 19
a I,Ty111Aad rBMbIIIlneal expantlllures Ieblo0 to renal real esbb acUNOes (attach Pam tfe
- ~ISeI ~.
xgNees
bl
l txa
e
es
dCrodl6lomet Wnaedb shown on llnw ttb antl l2c)rebladbrenblree 12•
• Cro01ts elated to omer renal ec0vl0ae
.' 11
.
t• owrmau. . , 11e
tY Daprolauan adJuetment on property ptace0 In servlro aRer 1986 ', 1M
b AdJusbd gels or loss .. ~. 11c
". c Daplelbn lomer Nan oil and gas) 110 1
~~ d (11 Gross aroma fran dl, gas, a geomermal propaNes 1M _
s
os at
~
lo
e
d 1M
.
tach xheduk
lom
relennce
and bv
uslmants
• Omarar ed ~
.
..
1M 7YW ahcane -.. .....: ~ .
........:................... .....
' b Name or faNgn caunVy a U.S. possossbn -
:
l 1 fv;
a)
e Tob(gross Inrome horn sources outside 1M Un.1etl 5btes Wltech setledu 1 W
d Total applirobr Oeducdons en0losses (eftXh xhedub) I6•
• Tobl faelgn axes (chock ore): - ^ Pald ^ Acauad tYd
1 R•ducUm h axes avalNble fa ^etlll (attdch Schedule) 1
Oma teal bx Infamauon (ettoeh scladukl .
1• SecUao 99101121 expentlltures: a TYpo - ........:....:...........:.........:................. ~'~
b Amount 17
17 Tax•axompl Interest lncan• . 1•
1• Omx bPaxempt locane, .. . 1•
W Non0educdbb expenses ... . ~ .
the 22 babes
tl
1G
on
70 Total properly 0lsmbudons(bduding roshl oUwr men dlNeentls bpone
.. it Oma Items and emarms roqulretl to be reported separably to sherotaldon (attach
sMeddal. - '. `
l
0t YY
s .. .
o
If Total 0lvldan0 dlsitlbudms pel0 from eccumdaled earddgs and p
ff Ncom• pool. (Requlretl only If Schedule M-1 must 6e comprtatl~ Combine Ikws 1
esW4 aubhad U• wm of Imes 7 mrougtl lla; 19e, and
le
F
ran
e t
mrough 6In cdumn (b). ='
t6b•.
,. -.. i beets '
' .1 Cash .. ...
i '. ~ !• Treda notes end ettounu rscgvable .
i b Lass elbWente rot bsd debU
~~ ! .Inventories :
/ U.S. Govammem oo6ge6ons.. .
r ~, i TaK~esempi setulUn. :
~
{ ONa anrenl esvu (adaryr Sdrodubl.
i
,;i; ~ ~ j 7 Loons to sherehdtlen.
{ Martpe0e end reel estate loans
~
.
• ~ Other ImasManta (attach scMdubl ' .
~ ' 1 W BulMings end otMr Oepradabla assess
b Lev ectumuumd depretleUan
~ .1L DepNrede vseO .
~ b Lass eaumrlaad depl•von . ,
~ t! Lantl (riot of any amdUmUaN
' ~ ~ t2a Intarplble esvts (emanltebla onlyl.
i bless aCCUmutaletl amaN}aUOn .
1/ ONa vve (attach scrwdubl .
15 dotal esseu .
td•DWtles an• 5hvelydMrs' Equlry
. .
11 Attouma payable ..
s7 Mongeges, noes. bords prpbk h k» Uun t year
~~ i
~ 1a Omx torrent IIabIYUes (a1faM sMedubl
~1 ~~~
. ~ to Loans from sherehdtlers .
!o AMgges, rids, bonds pyehM 411 year a more
' !1 ONa IWbIYUV (ettxh scMdule)
2! Capital stork. .~
!7 Pelddn a capaal surylus . '..
2t Retained earNngs .
i5 Less cost or traewry stock ~ ,
~
ui
!{ Taal wbYYrn end shereMaws~
RaeoneWalbn eN Irreorna
~ ® comPleta Ihls schetlulo If II
~
~~ 1 Nat Income (loss) per Dookf . :' .
' 2 Income IndutleE on ScMdule K Ilnas 1
~ Nrorrgh 6, rot rdcardetl on books this year
' ptemuol:....:.:...........L ............:..
............L ................................
1 EepBflsb! reCIXCetl dl bodre title yeaf n01
IrrrJUdad an SUretlule K; Ibos 1 Uirough
~ 11a. 15e, and 16b ptemliel: '
' b travel and entanelnmanl S ...............
': ' ~ 1~neeine :........:...........................
s 1 taaugh a . .
Anary4a of Aeeumulaud
®UndlsWbtrud Tmble Im
i
1 Balaroe at bagmNng of ms year
2 Ordinary Income ham page 1. Ilno 21 .
7 OUmr atldWOnt .
1 Loss Irom page 1, Ilna 21,
6 ONa roducUOns
6 Comblro Imes 1 through 5
7 DhlrihNiam other thin tlivldsnd disNhulons .
' B &late•nd dbr you. 5uhyn lircyGom Yro6
rr Books Wilh Irkama 0.os•) par Y2atllm tYOU ere
assets on line 15, column Idl. of Schedule L are less
r 6 Incase recatled on books cols year not
Included on SchedNO K Ilnos 1 Through .
6 ptemuel:
a Tas~oaompl lntabstf ..................:
a DatlucUmslntludadm5chbdWe K. IIMa
11MOUgh 1 te. 15e. and 16b, not Nurgetl
against hook Incamo cols yoar Utambel:
,. a DepmdaUOn 5 ......... . .....:.....
' 7 Add Imes 5 and 6 .
i • w...e Me.l 14NA4 C en }]I. Lirc 1 kif Ise 7
14 ACCUmWied I Marti aymrm•Na
atlrynm•ms a<cowx ~ aeeoutn __
~r
I
;~u :~
O Y
)~
rot re vued to
Ihen 25,000.1
.,
J
~..
•
1 ~
1 1 ~ ~.
i.
1
< ~ ~ 205 U.S. IE:,.eEne Tax Retum for an S CorpS.etion ~~,
oMa Na ,an.a,w
r«m
- Da rM M lhY term Waw IM r:orporatlen his IanN7 fllsd
(
~ierm lYf to aMel to ba an 5eotparMbn.
•
`~ '
~P/Y~
' - Sae uparaY Nrara,rctlena.
~.IMd..sasw: r \
w,.
For ukf10r r 1995, a lax ar be Innl , 1895, end endln . 19 ~
I Apra daMGw of an N•«a C
F~w^-' l~ Howasxd C. Gale Develo ant Co.a Ina. " lrrea4~laar~~nrare•r• I
z3 i 1621204 '
3-10-1988 fir, Numo•r, aVM. •M more or •ua• ro. P • P.a. ao•. ae• W 9• a d,M mniuc,un•A D ens neapvwM •
~ 3-18-60
' • euwn mM ro.lw w1aA 105 Fairer Drlva .
1 Spcae harvcmml' PAM C•i re,onm, nnq •na iIP rna E
~' filet nano M sP•NC Nautnmy '.,
,. ... 1A0.; or Oaap Hills Pa. 17011 1
i C11Mi epplluON Doxas: 111 ^ INdel return (tl ^ Flnal realm (7) ^ Change h sddrnr (q ^ Amended rotun
'
- ^
D Gad dis boa 6dis 5 mrpaason Is hbjat W Ne romdEde0 ea61 procdaes d sNUOro 6211 Uragh 6215 (sre Ingnxbons Mae daWng tlia has) :
i
~
~
H Enur nunDor d sherMddxs In iM mrporeUan et and of Ne ux veer ~ • -
. ' .
i
1 i
Caratlolh Indu0a trade or Dut/nets Mroma end er rws on Imes le 21. See No Msmxliaru for mills MaxmeWn.
`• 1 IbleD returns and doaarcnl I IcBal-
• L Gross tseps a sales I 1e
1
1 cost of gouda sad (scnedulo a urea e)
~ 1 Gross profit. Suhuect Mne 2 from Ilne is ,
~ I
1- Nel galn pass) ham Form 1787, Pert II. Ilra 20 (etrarlr Fann 17971 1
{ Othr Income pots) (afraM sdadubl .
I
- 5 .
• { ~ ToW b,rome a . Comhlrw Imes I Wro 5 • {
7
'
' 7 Compemetbn of ol8cars. ...
,
• 5 SekrMS and wages pns amPloym•nt aedtsl
5
~
9 5 Repehs end melntanerxw,
f0
1p Bad dabb
' 11 ..
r 1 11 Mots . .
aoo
4'l6
441
~S~
~7
703
TX
R
I
5
~
` 11 •
. ~~ .
,
S
ea.
.
ti Taxos and Gcensos.TXS •
r
{rP11.
.
; .
,
:
" ~ 11
t/ Interest -
' l1a
luUr Farm 05621
/
l
il
d
U
. d .
requ
m
, e
tY~O•pre
a
On p
' b hedule A end elsewhere on return 1 W
~
l
d
S
d
a b DapreUaUen
e
me
an
c
1
e 11e ~ ' 1
a ,
d Ilna 1/b from Ilre l
e Sub0 1{
y U OapNtbn p7o not drrdud oll and pas depMtbn.)
L AdvaNStp ;~
1
- 17 .. Pensbn, propl•shadnp, att. ptens,
~ 15
15 Empbyw heropl proprems ,
l
~ 1i y
e)
.
15 ONaf daducdonf /elfin SFlredu
. .
ht alumn for Ines ]through 19 . -
Uw far ri
ho
n I
u
Add 30
g
mo amaun
s
w
n
M .ToW dWUeUone.
11 Ordlna IrKana pose Dom vetle ar huslnozs ecUVnks. Suhued Ilre 20 horn Ilna 6 . 11
!1 . Ta: a Exnn net pesslva Irmne Ux (e11eM sdatluk). lie
' b Tar from Schedule D (Poore 11205) ... .lib ~ '
lie
' c Add Ilrps 22a end 220 (sae pa{p t7 of iha MsuucUrna fa addlUOnel Eases)
' 11 -ayeMNN x1996 tsUmWWpyrrwas and arr[Ilnl appaad from 1991 MUm IL
' 1, b Tax daposlnd wIN Form 7001 ~. '. ... ~
I 6 a Crodli for Federal lax paid ors Nals (atfech Pam 11761 Ile
' d Add Ilnn 27a isrough 27c
-^
tledletl
22201
I F 1~
t1
.
orm
s a
11 Estimated M penalty, Check I
1{ Tal drr. II W bbl of lion 22c end 211s terlpr Then Ilne 270.enler amount oared. gee pa: f6
~ of Ne InzWCUOns fa deposxery mothod of payment
' i{ Owrpayman4 If Ilne 2pd Is Urp•r Nen Ua Wlal of lines 22c end 21. entor amount overpaid - 1{
' ~ 71 Elver emouN of Yro 26 a wart: 4edllad m 111{ aadmaW W - RaAadaA - i7
una•rpp••iWli•adp«juy,la•cl«•VW lruw•sanuerbrr«un lrclWp«eomp•~rg•ctidM••M ala•m«•a.•m,o as budmyaroM•ap•
Nla treat. cornc,.•rdcompM•.aM«nondPrp•M pMrNnn~•a«Ina•W OnJr/«m«mdwnchpr•p•r«hu •n7nvxa•ep•.
WDNM
' ry~
.
rN2IS8
Sign
~ HBTB agorae of dls« 19«• ' itl•
,
I
Paid. Ow
P,.w~av' USERA*~ e.n~-.
are1N,N. w.wMSwa.l.•cu+r num.,
) ~
' P@Plfr'1 hm'uum•I«. ' •L Wet ~
yousl •tll.wnplayal '
Uls Ody .na •ad•s• caM-
is Paperwork Reduction Act Nollu, sea papa 1 d wpuab Ingrud~~(~ ~ N71M'A41g! F«n.11205 toast I
i .~.
;. 1
'
1
.
_ ~
.. _
~ lam lltoa hk151' I
' \
apx 2
'~ - j
' ,
® Cml o/6ooUf Sold (see page 14 of the Inslrudlons)
a
~
1 Inventory et bplPNng o Year .
e~y' ::CoS'T.S,.: ..... .
9~i~
.
Pulchso,.. ,
~.. f cost of labor. :" ., . ~ _
' 4 AddlWrul SecUOn 267A msO (attach sdadub) t i
t other rnsu /eltecrt scfaaubl• ... , . f , '
' t ToW. Add Ihaa 1 llzouph 6
7 tnvntory at and of year 1
O
I i
~ f 'Cost of goods wM. Subbed Ilse 7 Fran Ilna 6. Enter here and m page 1, Ina 2 ~ ~ ~
-
' f• Check aU mfNadf used fa velubp doslrg Invanlay: I ~
• ~ ."
(q ^ , Cosl es dxoalb•d In RegulaUans section 1.Q 14
n' i .' Oq^.LOwerMtostd market of dfscrlbed In Regulatbns secUmlA71.1 '_ ~,~
• . ~ QIO ^ Otllaf Ispadfy meUad used and atach exPlansUOr4 - ......................... ........ .......
- ^ .
b hack If Uara waf a wllWtlawn ol'subnortnal• goods as described In Regulalbns sedbn 1 471 2(c)
e Lhfdt If Ua LIFO Inwnlay meNOtl was adopted WIS lax year la any goods (/clacked, alfadl Form 97W. . - ^
r ,
d If die LIFO mvenlory mfthoe was used fa Ihls taz year, enter percenage (a amounts) of dosing
~
I
W I
I
Invenlorycomputed antler LIFO.
• Do tll• nNa of s•cUon 26eA ga property pfodurotl ar acquirotl to rosalel apply to Uw rorpaaUOn7 ^ Yes ^ No
' ' ~ f Wsa tMrf any change In delormining quenWoe. cost or valuatbns between nponing antl dosing bventary7 .. ^ Yoa ^ No
' ' If'Yes.' attach ex lenetlon. ~ '.
® Olfl•Ylnfwm•Uon
r•. ra
~/
• 1 heck metlntl of aawneng: W ^ Cash Ib) /O ACCN•I •(c) ^ ONOr (spedry) - ............... .. ' . , •
! ' Rafa to the Ilst on page/3x4 of We InTshudbns and state Ua mrporaUanb ptlndpal; {
"'y~~"~/~•••Nl Protlud of seMCe-..t~.d~~. Q/ ......
ql 9uslnesf acUNry-ydK
f
- o
/
f Did the corpomUOn et Me end of ma taz year own, dlrecdy a IndlmcUy, 60% a maa of Ua vodng stock of a domestic
"
rnpaaUm7 (Fa Nles of eW IDUUan, see socUOn 2671c)J II'YOS: atrech a schedule shawing: lal name. address, and / 1
.
employer IdonUAuUOn somber end W) Percentage avnetl. . ~ . : ~.. /
I •
4 Was the carpaaUOn a member of a conUdletl group zubJect W Ne pmNSlons of secUOn 16617
{
I t AI arty Uma duing ulandar year 1995, tlld me mrpomUOn have en Interest In or a slgrxWra or other euNalty Duet e
oNer finandel accounU7 (Sae
t a
U
as amoun
r
Merckl eaalnl In a faelgn counlry.lsuch es h bank Baoun4 searl
,.
papa 14. of the Wsuudbm for exceptbro and Nlrq requbemanls la Fam TD F 80.22.1.1 ... .. .. .
If'Yas.'~~ur We rxma of Ua raelgn country - .........................:........:.......................... .....:.
-
e Was tM eorpaeUan Uw pastor of, a Vansrara to. o laelgn oust Ihel elllslad tlunng its current uz year, vdather or ./
_ '
not Ne rorpaaUm had any bene6dal Intaesl In It71CYOS; Ua capaaUOn may have W Ale Fams 7620. 7620•A.ph
' v I
' . ..
926. ~ ~
1 Check Uvs bm If Ise capomtbn Ms toed or Is roquhetl to Ale Form tt61,.ApplRaUan to RoglSUeUOn of a Tez l
' ~~,
.
Shelter. , - ^
f Check this box If Ula corpaaUOn Issuetl publldy offered dubt Inewmen6 wIW otlglnal Issue dscwnt - ^ i
~
~
~
If so, me corparaUOn may hsv to Ob Form fL1, InlamaUOn Relum ra Pubudy Offered Onglnal Issue Olscounl
-
' 1
.
I .. ~ .
Insuumanb..
f If Ina capaaUal: W Obtl lu decUon W Da an S capaeUon agar 1866, N) was a C capaaUOn before It elecmtl b
- ,
I Y ''(
'
"
j ba an S caporatbn or Wa capaeUOn acquired on asset with a basis determined by reference to IU basis (or the ~ , ~
.
a
' ~ bests of any ouar prepeny) In ma hands of a C corpaeUOn, antl Id has net unrealltetl bWlt•In gain (tle0rad In aecUon
'~
17711dI11U In ezuv of the net recopnltad bu1141n gale from pna yeau, enter ae net uaealltad bWll•In gain reduceo
~
' ~
~
. ~
. - t ..
by net rocopnitetl bull4ln gain rmm pna years (sae page 14 of ma InsUUCUOns)
m •I of We fez... ar•Isee
1f ChecN Ws box If tM corpaeUOn had wbchapbr C,eardngs and proRs at o coso ye- ^
a 16 of Ne InslnxUOns)
O•slgn•Uon of 3'sx M•tlers Person (see page 15 of the Inslrudlons)
Enar DBIOW mo shatohobof tleslgruletl as Wo LSx manors person I1MP) Ia Its Idx yea of INS roturn: . ~.
Nana of _ leonufying '~ {~n7•~~L"'7
desigmatl TMP 1 ~(J ~/$r~ ~ ~/Q number of TMP ~/'f+J l 1
~. ~
Adtlress or ~ '~GS ~d/YK~g~Y Q1 -'lYe / ~~~%/~/ /~~,L a//~~
ded0nated TMP ~
I
~:
.~
' ,.,,
1 mew /
rum lVO911N11
,. ~ - Balance ShNis ~ oeamn+gai.. Yen Tnea r.. Y..,
AaN1a 1.1 RI Id IA
1 Cash '. J \\\~~ : \\~ ~~\\ \\. \
ga Trade roles end attounts recelveble . ~ ~\ \ \ \~\\\\
b Loss enowence for bad tlebla
Inventories ~
\ \
\
I ,
' 1 US. OOVanmenl obli aliMS
6 7ax~exampt securities ~.
~ d 'Other curent assel9 (attach schedulo
( \
\\
\\
\
\\
\\\
R Loans to shamholders.
. ~ \
\
\ \\
~ I S MMgage antl real stale loans . \
~
I g Other Investments (attach scheduk+)
~ -
~ ~1 1ga Buildings and other depraleble assets ~ ~ \\ ~ ~ ~ \ ~
'
b Lass accumaalotl deprecBbon .
-
VAS\\
A\
A
~ V A
• t1• DeDlelable esmU -
~ ~
.
q ~ ~ ' I b Less accumuialetl depletion
a.~~~ v ~ ~
~v _ .,
12 Land Inat of any amgmrehon)
1A Inisngible .slots (amonlTablo only). .
' b Less accumWaled emongation .
11 Other asxeta (attach scheduMl .
16 TOtel meets .
W611111aa and 8harehoWan' Equlry
16 Accounts poyable
--1T Mangapes. nbtef. Oonaf pryable m less INn 1 year
1B Other. current liadlaieb (attach 5NH!duleJ
1g Lams from shareholtlera , ,.
g0 MMgapn, notes, banal WYable in 1 Yeai or more
31 Other Iladlitim (attach schedule) .
u Copilai stock. ...
4S Paitldn or capital surplus .
ZI Retainetl earnings .
gS Lesa cost of Treasury stock ,
g6 Total lisbilities end sharabWers' equity . .
Rseonelllation of Income
® complete this schedule it
j 1 Net Income lbssl pm books, ,
2 Income included M Schatluia K, linen 1
~ Through B, not mcorded on books ihia year
.,, - (itemlzeC ...................................
S Espanses recordetl M hooka This year noY
- Indudetl on Schedule K, lines 1 Inrough
tta, 15e, antl i6a btomize): '.
!: ~ ,~, ~ a DePreoauon S ...........................
' ~ h Travel and enteneinment S ...............
(Lou) par Ratum you
5 Income recortletl on hooka Chia year not
Included on Schedule K, grim 1 through
8lilemizal:
• lao-exemPt Intere5l S ...:...............
...........:.................................
B Detludmns mduded on SMetlule K: grim
1 Inrough 11a, 15e, antl t6a, not Uargad
against book income ihia year btemlze):
^ Depreclalbn S ............................
' T Atld lines 5 antl 6 :. ,
/ Adtl goes t Inrough J . (I /LUXE / Ifi Income Ibsf115cRauk N, ins 2g;. line / kss gne 7 r /LO
Anaryals o} Accumulate dJuatlndhts Aeeaunt, Other AdJustmants Account, d
®Sharoholdaro' Undlstdbutsd Taaablo Incomo Previously Taaad See Instrucllons.
'
, let accumWnrq
'eawYlmMn eccamt let omen ee,unmmu
eccouM Id SrweMklna' urdnvnAM
Iuade+KdM penouuY tub
I ~ 1 balance qt beginning of tax year
1 Ordinary income hom page s, brie 21 ,
sOtner edtlnions . ~
6 OtherlraEUCewnst, Imo Yt
~
1 O 1
1 1
~ \\ \ \
\ \\ ~~\ ~
1 \ 1
\
\\\\
.
~' 0 Combine lines Ythrough 5
- 7 Distributions olnu INn aivdena disUibuhons .
' ! Bagnce zl aria of bs year. 5ublgd I~ne 7 hom I,M 6
ram rr 7n lrsWl woew
' Shsroholdaro' Sharos of Income Crodlts Oaduetlone ate, '
e Pro tale share Items (D Total Omaml
1 Ortlalery laame pose( Irom trade a buslnnss ediv4ks Ipage 1. ane 21( 1 O
.
2 Net Income possl Irom rental teal estate eaivitks fattath Form 8925) . 2
i~ ' Oe Oron laoma Irom omer rental edlvltioa . ~ ~~-~ ,
b Eaponses Irom other ralel edWdks (attach schatluk).
~ e Net InDOme posf(Irom other renlsl adNlllea. SuClrad Gne Jb Irom line Ja '.
~\
x
yew 1 Fbrllolio Irleome pasq:' '
^ Inlernl Income \\\\
Ie
...
b DIVlderld Income. /b
e Royaay Income k
d NN ahai•Ierm capital gain pons) (allecM1 Sctrodub D (FOmr I120.S1) Id
• Netlonpgemt Gpilsl pain pose( (allah Schedub D (Form 11205)). M
f Other pMldb laoms past (attach schedub) 11
6 Net gshl pns( antler section 1271 (other tfutn due to casualty a Ifw0) pdah Form 4797) 9
6 Olhar Income osa attach schedule 6
' 7 Chsr4aDle contebutlons Isee batrudions) (attach aclreduk)
: 7
.
9 Salbn 179 espasa tlaalion ptfaGl Fomr 4562), 9
9 .Dedudions related to pMlolio Income poaa) (sae Inatrudlons( (itomlzo( 9
'f0' her dadatbns attach scfrodolo .
. . . . . . . . . . . . . . . . 10
H 1L Interest expense On Imeatment tlabla . ... He
6
b (1) 'Investment Income Iriduded on linos 4a. 46, 4c. and dl above
t tb 1 .
7 ('!) Invntmsnl a. ass Includetl an line 9 above ', tib
12e CretlA la elcMol usetl es a tact (allah Form 6479) 1h
b Low•Income housing cratlii ISeO Inalfatlpn9l: ~ ~
(1) From psdneiihipt Ip whKA section 4211115) aDDaes br Droperry putted In tervite below 1990 ~\\
12D 1
• (?) Other than on tine 120D(for progeny placetl In service belore 1990
~
' 120 2
:
;
121 From padnerthips to which section 4111115) applies for Olopeny plettd In service a0er 1989 120 J
~ (I) Other than on line 12gJ1 for gopadY dacetl In sevice coat 1989 12b /
e Ovaalied retwbA4alion aspend4urm rebtetl to rental real male actrrite3 (attach Form 7069) 12c
dCratl~b(otherlhan[redils shown on lines 120 and 12grelaletl to rental real estateadivdlea
(me Inslnrctbnsl. ~~~
12d '
~~~ • Credits related to other rental'ectivitias Isee Instrudiom) . 12e
" 12 Omer credits see lnaWCllonsl 70
0 1N Dapralelbn adjustment on progeny placed irr aervica soar 1998. 1Y
b AOIUlIed gain a 1033 , r . Ub
c Deplellon (other than oll era! gas) 1k
d (1) Dross Income Irom oil, gas, or geothermal propMles tId 1
(2t Detlucllona allocobla to oil, qn; or geothermal propedin , ttd 2
a Other etl'mlmenta end tea elarente items elbM schodub 1N
19e Type of Income R ......:......:.........:........................:..... .......................
b Name of lorelpn country or U.S. possnslon - ............:::.....................:.....:...
e Total gro31 Income Irom sources ouleide the United Slates fattath schodub) \~
15e
d Total epplitabla dadatlom antl losses (attach scnedukJ ; 15d '
,'
• Total lorc:gn tams (check onal: - ^ Paid ^ Awmed 1&
1 Reduc0on in tam available for ae0d (attach schedule) 151
Other forai n lax inlormahon (atrah schedukl 1
19Y Tolsl eapantliturn to which a sallan 591e1 elation may apply . ... 1M
b Typa of espendnuraa - .......................................................................
17 Tu•eaempt Inlaest iaoma .
t7
1B Other ta3•e3empt Intoma. ' . 1B
19 NondetlucOble mpenses ~. ti
20 Total progeny dismbutiona(indutl~ng ceshl olhor than dividonds repoded on line 22 below 20
21 Olher~lllmf end amaunr3 roouira to be rapodetl saparalely to Sfwraholdara Isee
In3lNtllala) (ettlth SNlldek)
?2 Total tlividentl tlist0bullons paitl Irom eCCUmuletatl earnings end prohta ~
22
' 2J Income pou), (Repaired Only d Schedule M•1 must be comdalad.l Combine lines 1
IMOUgh 81r, column (01. From the result. aublract the sum pl Imes 7 through l l a, 15e, and
16x. \
Y7
11, r62a6D0.
i
,
mm 112~S U.S.. iomeTax Return (or an S,Coy,...ratlon ~•
: I - Do col Ob IhH loan unless the corpMUlon M1es Ilmaly Oletl -
Farm 25771e ebd to ba nm S corpmetbn:
' p.rnn,.ndv. rrrv..r /See seWBle bilmctblls.
k
' Far calantlnryn'Ir 1996 or Ins yMt ben nn nn .1996, and andnl0 1
• one M,kcrbnmM
' ~ scapdtlbn
t ~ y.. 9-1988. '
'. - e puinnss coon ro Isn
spa[ng Imnucrxnsl
~~, ', 1510
' i Check opplkobb
r O Gtkck Inis OOa d Ice
i N Entc n mbcr I s
'•1'~ I` CaNIOn: Irrclutli
use xame
IRS i{oxa2d C, Galo Aovalopmont Co„
bal. Mmd,. ,ono, eM loom a von nn In n P O rn.. vb n:
o~mH.Ir 105 fiatrxay Drive
p°n° cnra rums. slam. non rn•caa,
5 colppnnpn n SulrKd to Ice conf0l O+Ied +unA plpcedurzs of SecUOnf 6N1 mrouph 6245 Tars inibudions Mlmt Uecbnp Inia.6ad) ; ^ '
~kll or Cam Hill Pa ~ 17011 s
boons; pl ^ Initial mturn 121 ^ Finnl atwn 171 ^ Chango in odtluss ' (41 ^ Amcrlded IWUm
ha ahalder5 b Ilru co Ixx I'on nl end nl 11 to yn r
. _... _. _:____ ________ ___ ____... . i..... r, u....,,,,n n c,... a srmmrms rrx rrrare mlarmalron ,
t --
L Gmis receipts pr sales) I Ibtess mtulns+nO+IbwantesL 1 Ieeal-
t 2 Casl of goods sold 15cbedub A. bne el
'
.
~ ~ 7 ;
~ Gross Molit. SWtradt lirw 2 hom line tc .
1 •
Nel gain possl Dom Form 4797, Pml II Ihu 20 (nltach fpnr 4791)
5 DI6M Incomn 110551 (elfnch schntluk) .
' B ToUI Ineome ss . Comhlno lions 3 tNOU h 5 • -
Cr 7 Campensollon of ollicors.
' ! Solarios antl wages pnss empbymenl Mudilsl .
`
I '. a RePnirs and nralnlonancc.
I Q la Dad debts . ':
tY .
Rnnls
1t :
..., ..
Tedos and licwsos.
~ ,,
`'
17 Inlcrasl .' ~ .
.~ l1e Depreciation pl squired; hooch Pam 0567). ~ 11n
D b Ocpra[btlon drimatl on Schedulo A nnU ulsewhura on r0lurn 116
e Sublrncl line 14b ham line 14n . ..
15 Depletion (DO not deduct oil and gas tlapletion.) - ..
r~ 11 Atlvnrtising ..'. ..
17 Pension, proli45nming, arc:, pons ...
to •Empbyco benclil progrnms .
10 DdIM detludians (adech schrmaM)
20 Tolel tletluetlons: Add ihu nmounls shown m the lar'righl column tar linos•7 Ibrough 19 . -.
S 21 Ordinary Incamu Ilossl Imm Onda or nuslnoss nclivitios_ Suntrad bnu 20 horn lino 6 .
22 TeY: a Eacess net passivo mcalne tad (attach scbcduk). dc° ~ ~j
: 22b
l
112051
h
d
D
F
S •W :-
. ,
orm
e
u
e
b Tao Imm
c
( D
l Iml insuudi0ns Iw ntltlM1iannl tadosl
13 22a
0
e Atltl lines 22a and TZb Isea pogo
271%ymsnU: x1996 nstimaled tad p+Ymenb+n0+mount +DDlied hom 1995 return 27a
tl with Form 7004: 22b
it
' b T
tl
epos
e
ad
22a
aid on tools (atach Fam 41761 '
f
d
ral sad
d
F
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or
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it
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,
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h 27 27d
d Atltl linos T7a I
mug
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ck d Form 2220 rs nllncmd
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l
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.
lad pa
a
ry.
e
malL
2
sl
26 Tu tlue. II lha total of lines 22c antl 24 ~s IMgm than brw 27tl, cnra umuont owr,.d. Sea pogo
~ -
:r
nwnl
t
d aI
i
d
d
f 2e
.
y
or
ePusnory nm
ho
p
mslrud
0ns
7 0l Ih
nnlM umaunl wttp;lid -
Or Than Ihu tolnl 01 liras 2TC and 24
2]d i
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.
to
27 Fnler amount of line 26 au want: Cra/11e1 l0 1997 allm4led las - ' I Rtlun14/ - 27
' Ilnaa pnaandpnlay.riarb,u llunlh Mmam,rdlnn iaan..cFWag.xcannanyag scaA~ ann flallm .mla a M to rlv xsrd
Pl ease arvJ tanan.nnuw.ca,at awf comnkie pcu,elbnW ryrm'a brha NOn ranwplnm tlmea Namaldm Wr4,c n prpaarus~
Sign
Here
'
sgwwe d drwa
Paid ij sues'
Prepe7er's -
U70 0n1
Y r - nemola ,
YM dd 4armnbynl)
a„n anar.
For Paperwmk Redudbn Ad Notice, sea page 1 0l separate
wrywa. owes sttvay,bndwa
- i7y¢o: 9'
J
ram 11205 U>'MI ~ ~ . I
I
n.,ye 2.
i fum 11 M: 110941
®, Cost of Goods Sold Isce page 14 DI the Insuucllons(
I 7
j ~ 1 Inw.mlrny at be9mnm9 0l year t ,
' 7~ Purchases. : .~. ~
_ i 7. Cost of Wba.
4 AdAaioml sttlion 267A costs falmch sdaafukl 4
5 0111er costs (ellach SchMub), ~ ~ '
6 Total. Add liners 1 IHOUgh 5 .
~
.
~ 7 Imenlrny al end of ynar ." . - .. : ' .. ..
Cost of goods sold. Sublmd Imc 7 Tram hrw 6. Corer haro aM on page 1, Imc 2 .
9a Cnttk all mathotls used Irn valuing cbsing Invenlay:
UI ~ Cost as tlnscnbetl In Regulallons stttion 1.171 ~7 '
(i4 (] Lower of cost a market as tlescribed b Regulatlans sodbn 1A71 4
~
~
....... .•....: :.....
lift ~ Other (sgxily method used aM epoch oaplawlwnl -
{\ ~ ••O
~
• ~ 0 Chock it Ihoro was a w9nedovm of 'subnrnmal' gootls as tllsnibetl in Reguhtions semm~ 1 471~t1d. - ^
1
i
o Lhttk it the LIFO Imemrny meltwd was adopted Ibis Tae yen Irn any ~aotls (1 chttktd hooch Fam 970)
- d II the LIFO Inventory mallxal was usrm IorIhis laa yanr, enter Prrcnningu lur nnwunls) of closing i 9d ~
C ~ j
i
inventory campulatl umlar LIFO.
e Do Iho robs of sCCtron 267A per property protlucrm or acqu rtd Irn resiWl apply to IhC crnpomtlan7 ^ No
~ Yes
^ N
s
I i ~ 1 Was Thera eny changer b tlelermbing yuanlnies, cost err voluatmns between opening antl dosing invenloy! o
., ~ Ve
.
II'Ycs.' et6xh es Innalion.
Other Inlolmellon
® Yas No
•
...
1 i~ (E) ~ Accrual Id (] Olhrr (specly) - ..:...... .......
Check methotl al accounting: PI Cash ~ ti
7 Rdaf to Iha 1151 on page 24 0l Ihn instrucGOns and~yslnl~ IhU cofpomtlan's principal: ` d •J'
IU Business aclmly - ~:6.N..1TYV. ~/!0.~. N1 P'otlud or sarvicc - ///./~J...~ / ...... ,•~p; r , ~
I,
7 Oitl Ilw corpoaton al the enrl of Ilw Ini year own, mrecllyrn indirectly, 5076 err more of hl a voting slack of n domestic
d
/
crnpanlion7lFrn roles of nlnibmion, sro section 26714 1 II'Yot' nlmclt a schrdule slwwing (a) hereto, atldress an (
omployn Idnnlil¢nlbn number and NI Iw¢nnlaga ownM ~
' I 4 Was the eorprnalion a mrmbrv of a eonbonetl group subted td rho provisions of sec6un 15677
,
• f ~
6 Al any lime during calendar year 1996. tli0 Iha corporation have an interest in or a sgnaltnd or other aulhouty over a
~ linandal occounl In a lomign country Isucli as n bank nccoun6 sttuiities accoum. or ether financial nceoung715od
~
• ~~ .
pager 14 0l rho mstrridions for caceplions nnU IAmg raqunements for Fam TD P 6G~22.7.1
~~ %
~
II'YCS.: enter Iha namaol tls Imriyn county - ...............:.....:...:.......... ...... .... ~
8 During rho Io[ year. di8lha cogrrnuboh~recmvu a ddlnbulbn Tram or w.ls it Iha granlai of or tanslrror lu a lordgn (%
Vust711 'Yes,' sco pago 14 ul Irq mslmcunns lo: olhu terms rho corpombon mny luive la hlr ; r_,
7 A I Iicalron for Rc istation ul a Tao
Check Ines Uo+ d Iho eoiporouon nos Idea or is requinN In I le Form 8764, I p g - ^
~"
- ~ 9 ChMk This Oda A Iha CorpamGon issuntl publkly ollcrod tlebl inslrumanls with, ouginal issue discount ~ ^ ~.
' ~ II 4a, Ihn corporation rrrSy hove to Ian form 8797, Inlormaiion Relum Irir Publicly Ollmed Ouginal Issuer Diwdunt
9
' • Inslmmrnts:
II Ihn ColporAlion: (a) tIM 114 CICCnon 1o ba en S cofprnalion allef 1666. NI wo5 a C eoipola6on Imlom it eleded to
.
' be an S corporation or tha corporation acquired on asset with a basis ddeunirled by rderonca to ns basis (a rho ~•
basis of any other propartyl in the hantls of a C curpaalion, and Iq lets net umealitM builPin gain Idelined In section s
' 177a1d11111 m oicess ql the net mcognited Uuib~in gain ham poor years. Omer the net uiaealltetl builFin gain reducM + 1 •
i '
10 ' by m`I mcaprimd buill•in gain boot Trim yams (sou Iwsg+' 14 0l Ilu: msnudioinl ... - s ...:.........
Chuck llus OocAtho corporntion had subclinplrr C mornings and pmlils nI Thu closer of tha tag yoa.(O ~
: s 1
i
pans 15 ul Iho ihsuudonsl :1:
.
Deslgnelloli of lee Matters Person (see page 1 U of the instructions) 4
[tiler tMlow Ihn stwmndd//cr~^sdesignalud as Ilw bie mollrrs rp7ors/an IIMP) for Itut lav yam of This mlmn: ~•
~. Namd of 'tL/ ~~YJ e• Identdying' 1L~y-Ol~~7J/
tlasignaletl IMP U/9T ~ C _____ number of TMP
I Adtlicss of ,~eJ lS~yr~If ms`s y~y'~ ~~~%~//~~~"''`/!
tlesq alitl lMP ~9UM~ 'uG ~1 -
s r •. r n. t. A9UYL14YIYS711 .
1•i~ r92V.~lN
I a19u uurr MarAr4i~
,.•..:•rl.n
tX101
At' '~
Mf^1^ bl
1 Cash. ,' - :Mr.r.c.t
' ~ is Tratlo nolos and occounls ncamnblc .
b Loss anowaricc tar botl dnbls ~ .
Invemones ;~ wrR
1 U. $. Govnrrlmenl obligalluns, ~. , ' :'F)4' %~4ir1
6 1nn~ek0mpl StturaWS. `~~~; ~~ti. !'
' ! Other tuRenl assal5 (aR.xh scfav/uNy.
7 Loanv la shsrefroltl0n .. '-''}~'
Mongnga onU real oslolo loons . .. ':;;~ is ;,
9 OIM!r IrlveatmCOls (arrMll stlhWaN'I '~~1~C~
10a Dmltlings and athnr tl0prttbibW nssnls
b Luss accumuWtc0 depttWlion , 7~
11a DCPIOInbla a55c15
b Less eccumulatatl tl0pWllon . ,.
12 Lend In010l any amatltanonl
' 17a Intangible nssols hlnanllnbla muyl, '
b Less accumulated amomtaunn , ,
11 OIhM nssals (errata SthaduMl f`r'y""t'
' if Total eSSOIS
.
' ll^h11KN^ and $haMatden' Equity rr.',~;,'n'
id. Accounts pnyabla n:~L":;~~(la
17 Monplpel, notes, DoMS WYtDk in kss tNn 1 yar ''"'
~
la Olh0r current IWUil~tks (attach schedukl ('l ii
.~~ ~:~ '"
10 LOaas Tram sharehoNlers . ', ~ lfl}n{ Li,uq,~
' 20 . Mon0apes, notes, Don7s Dlrahle W 1 year or mole .i!!('I,'YrDAe
21 Other IWbiblies (atach seheduk) b,. jd Y'lJy
tf . Capial Shitty. ~;'- L'~.i~li>vti
27 Paltlin or capital surplus . '. 1 y ;:
2/ Rmainetl comings
26 Less cost of treasury slttN ~ , (.i>,(gy;;.,u%
2a Tmnl 1•bdags and shvnhDltlns' wt ••
Raconclllatlon of Income
® (loss) per I
comPleto this schedule it ih a to I asst
1 Nal income gossl par books ,
2 Income included on $th0tlula N, Loos 1
IMOUgh e, not recoMntl on books this yc;n
Iu0mitol :...............................:...
'
7 Eupensos rttatl0d on books lhn year rat
incWned an $chMulc K, linos 1 Through
'
710, 15a.
antl t6b Qlamhcl:
Doprttlatron f .....................
........
b Tmv01 and enlerlainment f ...............
/ Atltl lirros 1 Ilvou h 3 . ,
® Anaysls of Accumulated A dJustmantt
Undlstrlbuletl Taaablo Inco me Provlos
von arcemv µoss/ per RelYm (Ted ere
n lino 15, column (tll. of Schedule L mo Tess
S Incomu rttwdM an books Ines ynlr not
Ineludetl on $clxvluW K. hms 1 IWOUgn
D 6tumitcl:
a Tm~0fl0mpt inlemst f ....................
..................................:..........
i Drnluckons ircludetl on $chwlub K. Inns
1 through l la. 150, and 1GU, not chmgid
nguinsl book n¢onro tltis year Gtemiml:
a DeprttWlion f .............................
........................:....................
And Innis 5 aM L .
' 1.l naumwlW
' ,MINYnYVa. p'rpnl
1 DnWrce al beginning of laa y0nr O
2 Ominary u¢umn Dom pogo 1, Jinn 21 , ,
7 Olhcr nddiuons __
1 Loss Tram page t, lute 21. I ~~
6 ODmr Rvlucbons ,' 1
•6 Combing bless 1 lhmugh $ ,
7 Di5lnDulionf other Inln tlivideno disluhuhnns -
n
Igu 22 0l the Ins
rot ai.~ anruumnus
tonal
if 'i..a.:.,ai
0
10
kl SnarWobni uwwu.um
taub4 •cmy Pawush tuW
,:~
1
~ _ _-
i - SCH¢UULE K•~ Shereh0ldbr s Sh@reof Income, Cf@ditSr DBtlUCfI011S1'@fC. aem Na uasouo
(Form 11205) - Sea sdparate Instrue0om. {~(n~
Ilexllnrrert M mn tm.w+ Fw ukMn year 19N w In rear Ijl~f96
' xn...l x.„n. s+•... Nwll , 1999, awl aMN . 19 '
.~I ~ ... Sharohoklar's Idantlrying wlmbw - Qdl 0~ Cw nllan'a Idsn111Hnp number - 23 :11521204
I SMloholtln'e Homo, mltlmss. and ZIP cndn Ca1NnalxNi s Hann, xdtlnns. mW ZII! cwh ~ --
IfoNllzd C. Cato Holra2d C, Cola Dovolo ont Co.r Inc
I 10$ FItlzlrgY~ Orlvo 10$ Fainaay Drivo ~
'Camp Hill, Pa 17011 Camp. Hill, Pa 1011 ..
i 1,
~~ R ~ Shamhaldcr's pacenlagc of stock awnrrshlp IW IaK yl!ll Iw nisbi¢bulls IW SrbLVlule K•11 , , - ,,,100.1...•. •%,
~~ it B. Inlonml Huvenuc Scrvico Comm wlwlo cdgNNmmn bktl Its umnn -, .........
.. ...~.... Philar. Pa .. ..... .._.
` I '. C Tall shdtor rLglstratian number low WSlrudlwl9 lw ScIroWM W p - ~,,.••.. •,
D'ChecK nPPGCaUIO bones'. 111 ^ Finnl K•1' lit ^ Am vl1 nl K~1 '.
`~I
(
I i
.+
1
I
' lal liu mld sbve aelns Ibl amumn kl Inm 1010 hkvs tnlte
Iln mroIIW m cWumn Inl un:
' 1 Oldllllny IIICUmU (U}}7 IIUIII IIIJn 111 IIU}im!55 a[nVIIlU4
~ 1 ///'qua---
_~_~~
S
l
'
2
Po!1 hxomo lass) Ilom n nhl u..tl eN nn u'llWba} ',
~ 2
~~-- _- } ee D+K+Und 5 0
the
5hanholoeri Insuu[Ilom lm
.
9 Nut n¢unq Ilossl Iron olhLr n nl:d ncbvllx s , 7 -- 1 S[heoule N•I Ifolm 112051.
'.~ I Pn111nlltf l000lne Ius51
a Inlmasl ; '..
Ia~ _
Srh
N
Pan h li
1
• b (7iVWCIW3 . Ih ,
.
no
:Sch 0; Pan II
Ilno 5
k a Royalties Ic ~ ,
SUI
E
Pall 1
li
l
d
ap d Ne; shop Tenn enpind glln Ilossl: Id ,
.
,
l
u
9cn
U I;ne 5
l
I
,E
a NCI long ICI01 capnnl glen Ikssl .
to ,
. m
I or IVI
I
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U
line 17
L
1
1 Olbin ponlolia incmnu 1x951 (a11aR1 scwNlulcl
II .
,
. m
1 er IVI
1
unn m
we. a u
m
~fi . NW gnln gos51 uIWDI section 1231 (olhcl Ilan duo In CnsuallY al ar
rwa
mn
See 5hahhWOti s !nteudlDm
Ihcll) . ~
~ 9 - IDr S[heduk N•I IIOml 112051
B Othe/incamu Inssl lahacll scbMUk') 6
@
7 Lnunnblu cunmbullons (ollach sc/xvlu49.
2 1lnn myW.oa u,anx mu.
Sch. A
lion 15 0l iG
.5} 6 5oclian 119 expense dnduclWll 9 __ ,
See WVe 6 of the Slunnol0er't
v
~ 9 U[duGllons re1mLW to pblll011o Iu1 UnW (Inssl Y•rtlacll scllmluM)
' ' 9 ' } Insbu[hom lot 5[neduk K•I
10
OthWd[Wudiods (at6m6 }chlxlulel . 1U 11 Iform 11205E
y
^ $
8 11a hnelU`SI C`apL`115u OI1 IIIVV11111e111 debts ; tta rUlm 4952. IinC 1
1
6 6'
p) Inveslmm~l inconw included
li
i
I
d b
3 ,
on
nos
n
U
c. mW dl nhovu l/ Ste' Shanwldei f Initrudmnf
9 (2 IUVUSIUAIII l'v 1UUSM IIICIUUIXa Un hnL 7 l1lnW) n 2 to15[nMuk K•I Iform 112051.
I 12a CIIWII lal alcohol used ns hx!I 12a ' 'form Gva
lin
IU
b Luw~income housing ^Colb ,
o
(11Fmm suction •12(11151 Padnclshgas Ior pragaly plattvl In
~
service 6Wom
1970. . ~ .
• 11
lit Olha~ Ihxn 6n Imo 12n1111w nmpldY Placed m sumttt
Inlwu .
1770 621
P) Funs slxliun 12lIISI PmunNSl
lp} Iw plapeny pl a ud 111 rnnn 6586, lino 5
,
wlWCU allln 1969 b 2
III DII1C1 IIYIII UIl III1C IjhI7I IUI P111PLMIy 011[141 III til'IV CL' 11111'1 -
1907 ~ b 1)
a QUiIIIIII•d II!ImUIIIIiIII(In 1'.111!INI IIIfI`S II'illl!n IU 11!INIII 11`il L•}Iilll` -
aC11VII1L•5 12C
_-_
d CII d Is (Ollx.l Ill m ['uu71 Iu1W11 on I m } 11b uul IZr u•latntl
1 -
~ See
WVe 7 L' the 5mlenoldei S
lu not d a 11 Ls1 nl. Irlrvne s 12d lnsvudlons Im. 5c0e0uk Kn
a pLWns ahlLd to olhw run tl lurvll os.
~ 12e dorm 112051. .
'
/7 Olbu aLW is
~'rl---- 17 --
y~
S p _
lIa OI IIIfY.I'111011 nqu}Inanl nn pmp.ny pIm 11 II } IVI(1! 111111 I IN(
lI'I _
~ _ _
$IVI P'IgU 2 UI 11111
.. b A1111111LYI r]'llll 111 l[IS!i II6 _ ,. 514111 InIIdC'1~5
e Oopn'bun lolhu than nA nut g'1}I
. lie Inebuclinns la[
d (1) tilll}} IILIIIIII. h(111111 gIS 111 11 !IIInI 1111 d INIIIILIIII!S
'
d
I
I -_ SCtIL(IIIA! N.1 Iruuq
S ~ .
(21 I)C1111CI1011S i11nC:111L 1[1 011, (lit}, IN glalllll'I1141 pllltl[!IIII!S
'
' A
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~
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_,.___ 11 j65) illHl
IIISIIIlC11U11S IUI ~'
011114 alI
a
II}tllll'mti i1111I I la IIIIII!11!IM'1! Ilxlllti I:IIh11 I1 }('IIIYIIIN•I IIn F11111 6jJ1
r.pv...ulw nuoucnon wa n011ca~ aoe pogo 1 ui In9lrucllons lot iwm 11109,
c:n nn nsmU 5chotlulo K•1 Iform 1120511998
1.
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1
~ ~.^
'
~
.
~7/mw U.S. In.e;me Tax Return for an 5 Corplc lion Quip xP. sxa.gtao
~ ^ i W
fe"^ - Do not Ills thb loan unlaaf Iha toryorellon hen Timely Illetl ^~~ '
`
.
I Form 2saa to alert to be en S eorporetlon. ~
~
i>wen..r+ +'.. - SnNp at I eW Ilona
+
Fa eolendar ear 199
7, tx to , 1997, ands d n
ear Innln
' 1B
g a~,ar panppunM name..
. epdaawdan.a.n
sPwpPUlbn uu
UN xna. ~
'
Houaxxl C. Gala Oovolopmpnt Ca.a Ina ~ 2 :1G21204
3
2-1988 ~
~'I ~ ~ ~ ~ I.
OtM1Y, xum,e,, aueol, na roam a awns ,n, Ix . P o. W., see aquae of na mvucrwms o oats wtaporale4
1960
e BwMeaa toM M. Ian
M
d
l w1a,
IOaN 10 Faux Drivo
-~ -- --
P E 1PW nMa lase Sgcac Matrudenal
•xn
alm
I t,PKAa
' print er caM'
6xY u town, pore, aM 21
I
'
' 1510 C HS71 Pn 1 011-2066 -
S
F Chxk applkeble bo•es: 10 ~ !nitlol ratum 121 ^ Final rotum 181 ^ Change M etltlrass, , (41 ^'Ammtled relum: - 1~
O Enter numbm of aharoholtlera In the corporation OI errd o11he Ie• yoar -
~ r ,
,
~ ~
..
r 1
.
~
~~~ .
..
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i
CeNlon: IncWdo on trade or bu9ness income end e+ nses on lines 1e Ihrou h'21. See the rnstn/cb ons f or mob1s Inlormn ron _
L Grose Rceiptt of pks I I 1 b less rdmns and aeteaniesl I I e Bal. t0
2 J , -
..
7 .Cost of gouda cold (Schedule A, tine 8) ~
,
s Gross prolit. Subtroct Ilne 2 from line to .
4797
, 1
1
)
1 Net Belo pose) Irom Form 4797, Pad II, Ilne t B (epoch Form
e
B Other Income possl (attach schedub) .
~ 6
e Tebl Mcome ou .Combine line! 9 Ihreu h 6 '
T
a
g 7 COmpeO6a1100 010HICBO " '
eit e
q$
q$ e)
9 Salanea orW wages pass employment ae 9
p a Ropaln and melntermnte D
p 10 Bed debts ... 1
11 .Rents . '
B/D ~/OZ
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t
~~
-
t'
12
.
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12 Texm sod licenses.]Y
j$
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1~ Interest
otfach Form 4562( ~ t4a
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on p
requ
,
11e Deprec
at
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tl on Schedule A and elsewhere on return '
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on c
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eprec
e
4
' 140
8.
C Subtred line 140Irom Ilse 1
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ap
e
16 Depletion (DO not deduct oIl end Boa
8 ~ 18
t
t
' 18 Atlvenlsing ..
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p
p 17 Pension, prolil•ehering, etc., p
ans . ... to
a
a
~' 1B Employee Denelit programs ,
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1e Other detludiona (etroch sc
edu
~
-
ht column for linen 7 Through 19
n In the far ri
te
h
l
A
Id In 20
.
g
s emoun
s
ow
ona.
[
20 ialal dadud
21' ~ Ordina IrKOme osa Irom trade or business actiwilles. Subtroct line 20 from line 8 . 21'
22 Tea: s Excess net pasalve income tax (attach scnedubl. 22a
b Tex bum Schetlule D (Form 11205) 220
c Atld lines 220 end 22b (see page! 12 end19 of 0a Instrucllons for additional tuxosl 220
27 %7manh: a1991 estirtuted bs paymenlseMamounl a0plieo tram 1996 return 2J.
' b Tex dapoaitetl with Fonn T004 . 2Jb
0 Credit for Federal tea paW on taste (attach Form 4 s36) 2po
y d Add linen 2Ja Through 29a 2b
- lT 24
11 21 ~ Estimated tax penally. Chock if Form 2220 is mtoched .
Ii 26 Tex tlw. II Iha total 01 lines 22c and 24 Is larger Than line 2Jtl, enter amount awed. See pogo
~ 4 of the Inswcllona for depository methotl of payment . ~ 2S
20 Warpryrmnl. II line 29tl Is larger than the te141 et line! 22c end 24, enter amount ovapald - ~ -
' 27 Enter amount of line 26 ou want: Cnsllad to 199! snlmabd to a Relunsal - 27
VMe pmallea of Pe,hxY.I necVn rNt I lure aumne4 ton INum, rcludng acWnOanYe,a adueWaaM atrwnenla, W to IM bd of mY Moeb4pe
'
e4ae.
~P(8888.~ aM bkl,4rhue, conatt, arWNmPkle.p«[Wafcn 0l prnu,nlmnn loan u•Wye'Ib Wru4 an eh nlpmalmMWvch prepnq N3 any 1.^on
Sign
I
Here I -
SN,uruaMOntw pure -_- I law
Paid fhepa,ei a
I pals Cjyca a uX. P'Na'w ~ wcW auawM vr44-er
7~Di
.gn.we .,row w a _/
~'
. Pnperer'i Fxm'a cone tar .swa
_ Use OnIY a'°„'anm;,":Nnp1pye°I I -u`nUSSRAND-R .-e e
For Paperwork Redudlon Att Nollce, sea the wparale Inatmellons. ~~~ _ 1?D N. i:1t1.$lNpbx' Fwm 11203 I1Wn '
I:crr;aburg,&1 17110.130E
2J,159055$ _.
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® Coal of Otaode !Sold (see page 13 0l Iha Instructions)
~ 1
.
1 Inventory al begimm~g of year
u 8
rdueef. .. ,
g P a
a Coal 01 46or .
/ Atldaional sxtbn 2&TA costs lettech tchedubl. '.
S .Other coati (alr•ch fcMrtlubl... S
5 e
6 Totfl. Add IinM 1 through
.
7 Inventory et Md OI Year .
line 2
Enter here and on page 1
'
7 Irom line 6
tl li
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,
.
ne
.
ro
a Coal of goo
s so
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9• Check all melhotlf used Iw valuing cbskp Inventory: '
gl ^ Coal as dexnbed In Regu4lbna tednn 1.471.3
lip ^ Lower of cost ar market of tlexnbed In Regulalbns sxllon 1.471.4
gip ^ Dther Ispxity method usatl and mta<h e5planatbn) - ........:............................. ........... ...... ..:...
b Clsck N leers was a writedown of `tubnomul' goods as tleurlDed In Requ4hona sxibn 1.171@Id . - ^
o Chxk II the LIFO inventory metnotl was atlopta0 this taw year la any gootls 41 cnxked, elrech Form 8701. . - ^
d II the LIFO Inventory method wes used tar Ines Ins yoar, enter percMtoga for omduntal of cloainy '
Inventory computetl untlor LIFO. , I Bd I I
• Do the tu4f of txlioq 20]A gor properly producetl x o<quiretl for resale) apply to the corporatbn9. ^ Yes ^ No
,1 Waa Itans any change In tletermining quanbtbs, cost, or valuptbnf betweM olxming orW cbemg Inventory? ^ Yes ^ No
II -Yet' ettoch esplanalion
® OlAerlntorrnatlon
1 Chxk method of accounting: (al ^ Cash Ibl (~ACCrwI ld ^.Olner ppxlly) -.......... ........
2 Reler to the liar on poBe 2] of the InsWdiona and atote Ine corpoutionY pdnclpoC
pl Business acgv9y - .. C.v.e!„£TR.......:... Ibl Product or aervke - ...(!.V v. s ~......:....
a Did the corpomtbn at the erg of the Ia5 year own, tliixtly or mtlaecty, 50% or more of the wring stock of a domestb
cogwratbn7lFOr rules 01 minbuhM. Bee section 267(cl.) ll -Yes,' attach a xhedWa snowing: pl name. etltlresa, and
employer bentilkalion number and lbl perceningo ownetl. .
1 Wot the corpuralion a member of P conbolbd group subject to the provisions of SxllOn 15919
6 Al any time during Wlentlar year 1991, ditl the corpomtan havo an intense! In or a signature or olner BmMrlty over a
hnaxial account in a lore,pn country path as a Wnk account, sxurdies aaoun6 or other linandal attoungi (Sae
page id of the insiruclions for escepbons antl Kling requhaments for Form TD F 9022.1.)
II'Yea; Mter the name al the loielgn country - .....:....._ ....::................................'.:....................
e During Ine lea year, d~ me corporotion rxeivo a dslnbution from, or wan A Ilw gunlor OI, or lrantlaror to. a Ixeipn
Irusl711 -Yet.' the Wrparalion may nave to hb Form ]520 or 828. See page 14 bf the IntlrudlMa
7 Check ins boa d Ine eorporauon nos tiled or Is requirW to tits Form e2e1, Appacatbn Ix RegislrallM of a Tes
Shelter . ... ... . ' . ... - ^
e Chxk this boy it Ihs corporation issued publkly ollared tlebi Instrumenle with original Issue tlisurounl - ^
B x, Ine corponallon may have l0 tits Form 8291, Inlomwtbn Return la Publkty Ollmetl Onginol taus Dlfwunl
InSINTMIe.
9 II ma coiparation: le) Iced its ebdlon to Do on S corporation otter 1898. (b) was o C capouhM betas II elected to
De an 5 corporatial or Ina wrporotion xquirotl an nssel w,th o basis determined 6y relaronce to of Web (or Ina;
Weis of any other properly) in the hantla of a C corporalion,pnd I<I has net umMlitatl buigdn gain (tlelined In sxlbn
17711tl111N in e¢est of Iha not rxognitotl Oue41n pain Irom prior yema, Mier IM net unreal@ad buiMin pain reduced
by net rxopnlzed builtdn gain Irom ouor yeas Isoo Page td 61 Ina inalructiansl . - S ................
10 Chxk Ihisbo5 it the <orpomtion hatl accumu4ietl euminps antl pmlil9 aI iha clox of the 1o5. year (tee .
oaoe 11 OI Ine inibuclionsl - ^
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C~
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~.
~. 1,,
~s-i61./lei /x-3/-5?,
.~ tt7 osnwn -
Bhantloldsts' Sluros al Irlcoms, CraWb, Deduotlons, slo.
q Pro mb snare nem~ems 1 tnl amount
"1 OrdinaN IncorrM (bss) hl>,rt trade or bufinew activltlea Ipa9e 1, One 211. ~ - ~-~
ch Fam 3325)
l
Ob
0
.
v
a
a h
2' Net YKartie Ibsq teen rental real astnts a[I _ _
L Orms Income Irom other rental ecllvLbs . ~
-~^
b Eapwsu Irom other rental a[liwliea (attach scheduro). Jb
Jb Irom line Ja
l Il
S
be J0
ne
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e Nat mcome Ooss) Iran other rental adbabe.
? ~1 Ponlaro lnLame (but'
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come
I
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.
n
nleru
s
• 4b
b Orviderd Income. : .
~
' b
~ e PoYaI1Y in[oms
... .
Fam 1120511
h
d
b D
S b
j u
(
c
e
~ d Nal anod-lenn cepnal gain Ooss) fatfecn
• IJet bag-term cePaa gain Ibul (attach Schedub D (Form I12051): '
(2) T0101 for year -
' ~
23%rau Oaln Pon) - ......:.............:......................
(1)
l 41
B).
f Other ponlPlb IOLOTB (IOU) (attach schedu
3 Nat sectlal 1271 gain Ibss) (other steno due to wsua3Y or Ihatt) (attach Form 4797):
b Total for year -
:
i
- 3b
.......
.........................:..............
n pout
e 23% rate ga
0 Other income osa attach schedule 3
l 7
.
.
el.
7 Charitable contributions (attach scneW
4502
h F e
;
:
onn
1•
Becton 179 apenw dedutlbn (attac
possl (aembal
llab n g
icome
.
g Dedu[tbnt rslsted to pa
10 Olha deductons attach scheWro, f0
11n '
11e Interest etpenw on Investment debts .
~~ 4c
and 41 above
m 4a
Jb
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l
d
d
I ttb 1
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,
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,
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b pl Invdlmenl InrJSne
121 Invesimenl ea nses inclutletl m line 9 above tlb
rm 6773)
h F
t
l 12e
..
ust (at
ac
o
12e Cred6lor akMol used u e
,
„ ~ •
b Low•income housing cretllt:
bce0 a service betas 1990
l
M 12b 1
a prop
Y p
111 From paMersh~ps to w1uUi sedan 779X51 epees
ica belore 199Q
wr
d
n
W 12b 2
v, m
v
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y P
(2) Otnnr Inan on lino 12b(1) for proge
'f
s 17) Ram padnetshlps Ip whim udipn Jt111151 applies for pmpeM pbceA In semce after 1909 12tiLl
6
~
i -
' (Q Other then an tine 1207) la Progeny placed in servke alter 1939
12b 4 -
al estate aciNaba (attach Fam JJ33)
l
t 120
re
a
e Cua4lrod rehadl11a0on atprrMaues raaletl to ren
d loranlal rest estate aciwitlea
d 12
nt 12d
e
[I re
-tl Credita(other lhsn[redils atbwn on lines l2ban
l actl
illu '
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d
th
l
s 12e
.. .
v
,
to o
er ron
o
a Credo
re
ate
1J Other credits. 1J
oer 1833
d I 14e -
0 n wrvKa D
.
t1e DeprecWlion atljuatmant on progeny pWCe
11b
b Adlu9led gain or loss .. 140
e DepWlion lother Ihan oil and gas) . , . ...
l
nbs
n l/d 1
propo
arm9
d (Q Gross Income Irom oil, gaa, or paat
al
ro
Mies
th 1b 2
p
erm
p
...
(21 Oetlu[Iions alloLable to al, gas, a geo
_ e Omar adbstments aM tat eterance items alfocn sctadubl 14e
~
1 13a TYPe al Income - .............:........................:......:.....:. ......................
: •
i
r] .
on ....._ _.._ ...........................
b Name al lael9n muniry or U.S. possess
tm (attach acnedub) ~
d Sl
U
t
130
r= .
a
a
o
a Total gross income Iran sowcea wlako ins
rol
h
h
d 15<1
e
u
,
, ~
u
d Tolol appllcoae deductions and bows (attac ~
od
l
~] A
^ P 76e
ccru
a
d
e To101 forego tones (chak anal; -
t (ateaen aehrrdub)
d
I
ibbb l 131
•
a Cre
i
n 18tea evo
1 Peduabn
g Olha lore n tat inlamalion lartach achedulBl 1
10 5ecllon 591eN21 espenditurea: aTYpe -•.... •.....-..-.•'-. ~~.°.•-°~~~~ b Amount - wb'
: 17 -
17 Tat-exempt Interest income . 18 -
18 Olha bx•esempl bcome. 19 -
19 Nwdeduaiblo espenses
onod on lion 22 (wlow
n dividends re
Ih
e
h 20
p
er
a
) ot
20 Total progeny tlistnbutlons pntludmg cas
21 Othpr items antl amounts reQUiroO to bo reporlod seporai0ly to shoreholtlas (aliOCh
schedub)
s and prams
min
Wt
f
22
y
oa
a
22 Tot01 divbend Eiatnbutions paid bom occumu
2J Income pool. IPequiratl only 0 Schedule M•1 must be [omaotBd.) Combine boas 1
tnrough 3 in column tbl. Rom the rosull, subbacl the uum of linos 7lhrauyh 170;.150, and
t6b. 2J
' 1
ri.
;I .. ..
1
,.
~.
8CNEDULE K•1 ShefBholdet. S~18ra of Income, Credits, Dedl...lons, etc. bmb Iva. Ibsoiao
(Porto 17203) ~ ~ - See eeparata Imtrudions. 4,ree~
pwn,«H,n m. a«.W
,
~r,.
. s.w. For cslandar Yser 1097 or lea Year , 10
W Mnlnp , 1007, end sMlnp ~l /,
v„
,
.w
ghenholtlerY Itlenl lMrq number - 2 og 7757 CorporellonY Itlentlhln0 number - 2 ! 1621204.
P
tl
'
i SWIehaWer'a name, addreaa. aM 21P coda
'
' o
co
a nAma, adtlrofa. And TI
Colporntron
Cala Devolopmbrit Co.e Inc
'd C,
Rowta2
C. Cola
Nowaad
105 Falrgay Drivo
' .
.
105 Palrugy Drivo
I` .
Camp 1{111,-Pa" 17011-2066
~ _. Qlamp Hlllr Pa 17011-2OGG
•_
A Shareholder's percentage of stock ownership for tax year Isee instrudiom for Schedule K•11 . - :1QQ,. .. %
Ph17,RS Pa ~:...
r' ~ B Internal Revenue Service Canter whero cMlwratlon bled its return - ........ ..............
(, - C - Tna shelter regisirallon number lsee insirudlona for SchalNe K•11 - .... .......... .718.. ..:.
~
' .
D Check ap liwble bones: IA ~ Final Kd 121 ~ Amentletl K•1
Id Fenn 1 W O like enter'
' -
lal Pro rAla shme,lema (b) Amuunt the emaunl M column NI an:
1 Ordinary Income 6osa1 bom Trade or bualness ndivAios 1 /~ ~~•~
--U~~~ See Pa9ls 1 and 5 01 the
nt for
I
l
i
dl
it 2 ~
ntaue
m
SNrzlgltle
a
v
rea
2 '. Nol Income Ilossl tram rontnl real astute a -~ Schedule K•1 Ifolm 112051.
hi
i
es . .. ...
v
0 ' Not mmmo Boas) from other rental ad
e Portlollo Income gossl: ~"Y'
4a
Sch. B, Part I; line 1
~ e Interest , .. ~ • ~ Ib Sch. B, Pad II, line 5 .
a
j b Dividends 4c - Sch: E, Part 1, line 4
d$ a Royalties 4d Sch: D, line 5, col. (g
. d Net short•term capitol gain Ilossl. - ...
~"~` -
~ a Net bngderm capital pain Ilossl:
' e 1 $ch. D, line 12. cal. IBI
111 28% mhi 9aln Ilossl
~ a 2 Sch. D. line 12, col. 10.
.121 Total for Vear,
l
h 4f d°° °" wa..w w a rw m«• I
edu
e)
1 Other portlollo income possl (attach sc
8 Net Section 1201 gain Qossl (other Ihnn due Io eavualty or Ihahl' ~'_Sn' See $har<heltl[If Intlm<Igns
-
--- fmm 112051
k N•t
~ I
S
h
0
e 2B% rata gain Ilossl . ... -
- .
m
c
e
u
I
fib 111
b Total for Year .
-
6 ~ Other income pos51 (attach schdtlukl 6 _, Am_, m.rov+ov w a r«nemnl
_ _
l T' - Sch. A, line 15 or 16
~
" e) .
7 Charitable contributions (attach schedu B - See page 6 of IM SNreholtlel s
T
a,
u B Sedhin 179 eapense dotludion
1095) (attach 5crrodule)
l
li
I _
g Intlm[honf for $:hetlule N4
'
p n(oma (
c
o
B OeductionS related IP port IFOIm 112051.
S Other detlud'ons latlech Schedule) .
10 to _-- --- ---
_
'
e 11a Form 4952, line 1
H
8 bts
11e Interest eapenso on investment tl
and 41 abOVO
4C
a Iinea 4n 4b
1
Wd
d 6 1 5<e Sharthpla<i s InslNeapnf
,
,
AC
e
P
~ b (1) lavlatmint InCOm0 for Sche0uk K•1 If01m 112051.
8 2 Investment uses indutle0 on line 9 abovo'. b(2
12a : CretlA for alcohol used as tool 12a Farm 6478, line t0
b Low income housing crodib
111 From aectitln 4201151 partnerships for property placed in '
b 1
sarvke belore 1990. ...
121 Other Than on Ime 12b111 for Property PIacM in sorvice belaro ~
' b{2 -
1990 ... Form 8586, line 5
jl 10) From section 4201151 partnerships tar PropedY Plnced id ~
1989
l -
y servrta a
ter
C (41 Olhar Ihon on lion 1280) Im proporty pMCad in smvico nltm
tl b 4
-
1989 .. .. --
c Dualilietl rehabilitation e.pontliWms rnlalotl to ronlal rant estate ~.
12e -
adiv4ies
d Credits (other then credits shown on hoes 12b aptl 12c1 relaletl --- ---- See pa0es 6 antl 7 0l to
SM¢holtleis hubudwnf I
to moral real estate adinties :
i 120
120 -__-____
---
kneevle N•I lfolm 112056
.
a CwditS related to other rontnl acliv4m
tg Olr'.ef Credlt9 to ---
of
' For Paperwork Radudlon Act Nohce, see iha Inelrucllons for Farm 11205.' cr. No. n5POU Schedule K•i (Form 112051 7097
r i
.t •,
i ~
+ ~ ~ '
1 '
;,
~
~2~S
' ma Tax Return for an S Co-p .Ilion
'U.S. Ir,
tlMnNn.IX.a.DI~
reml 1 _
- Do net Ills Ihb term ImleN the eorpomllon Nf Ilmely IIIN
Form 35s31a elect to be en 9 torporatlon. I
I ~~~~
'.
~
_ pN,Yr,,,.nanv im:uY
' nM,W 0.,Pnw hvn -$ee fePerete lmlroctlonf.
'
For Celentler ar 199 8, pr tea onr be Innin , 1998, nntl entlm , 19
~
' A EaMM Ne d eN[1M UN NPmP C Emdeyer dPna11u1100 numUar
1621204 ~
2
um4rorawdon IR8 I10N61T1 C. Cn10 nOVOlO~InODt CO\\ IDC ~
' 1-1986 prylar. Nnmhn, \traet, old room d Pule ro. le • P O Iwe, .nll papa 10 al tM vnnenwm I D Dde McdIMfIM •I
,, • e taEwbn.eoa.ne. .dN, 105 FaSrNgT DiIVD - 1960 , ,
I I\P\ papas 78-7N pHM or C4Y w lo,rn, pdn, PM 21P ce4n E idol a\ulf l\ae W W tq
i 2332DD Cnm Hill Pn 1 011' - S ~ ~~
' I F Check applicable bones: p) ^ Inltinl ratum , (2) ^ Fmm return (C) ^ Change In otldress (d) ^ Amantlatl return ~
' ~ ~ D E t nu bar of Ma hDWa I the corpo atop at entl OI Ihn tea veer f I , I '
It
r I.
I
CeWlont IMlutle on Vatle or business income and eapensos an hoes to Through 2e. See the /nslNCr ronf t ar more Inlortne0on
~ ,
rns an9aaewanu;l I Iebal.
l I Ibl
t le i ~
ess re
u
L Grmueceiptsasaks
e 2
. A, line 8) .
2 Cost of Bootle sold (Schedul
, . 0
~ 3 Oroes prolit. Sbbtracl line 21rom line to ,
ch Form d797)
I
h
1B
tt 4
a
,
oe
(a
a Net B01n poss) Irom Form 4797, Pan I
l
h
h
d
~ 5
sc
e
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e) .
6 Other Income pons) (attac
.
B Total Income ofs .Combine lines 0lhrou h 5 ~ - a
~ 7 ~(J -.l
T DOmpeDSal00 OI OgiL4O
dit
l 9
oyment me
sl
9 Selorlae nntl wages Ikas emp
9
9 RaPaln entl mpintenance„ ,.
' o
.
1o end debts . ~
((( 11 Ranfs
' ~ ~ ~
12
' Id
72 Taxes and licenses:
' 17
Inlmeat
12
1p Depredation pl required etloch Form J582) '. 14e
tdb ;~ ~
iY
% b DeprecWlion dalmed on Scnetlule A entl elsewhere on return I;;
; ,
Id
d
li
I 740
rom
ne
a .
o Subtract line 1
b
l
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l
d
tl 16
& on.
..
l en
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ep
e
16 Dephtion IDO not deduct e , ..
8 16
L id Advanlllnp .. ...
l
h
i
t
:
d 17
d
}}
11 ar
ng, e
c
ans.
nabn. Proli4e
; P
17 P 79
aa 1B Employee benelll programs ;
•
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'
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d
A 19
.
.
e
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19 Other tledudlons (eboc
ac
nts shown in Ihn tar tlght column for lines 7 through 1B , -
Add the amo
l
d
d
T
l ~ 0~ '
u
I
a
uc
onf.
20
ota
2t Ortlina Income oss Irom trade or buslnesa adivihes. Subtend line 20 Irom line 8 . 21
22,. Text a Eacesa net passive income tax (attach schedule). "'. u t {i•
b Tex Irom Schedule D (Form 11205) ~.. ., ~'
a. Adtl knee 22a entl 22b (sea pogo Id of the Inetruchona for atldeional laaos) 220
~
2J hymmU: U999 estimalea ba payments and amountaPPl¢O Irom 19971e1dn 23a
~h,
b Tea tlepofilod with Form 7004. tab '
o Credit for Federal lax paltl on Wale (atlach Forth dlefi) 200 -i•
4 d Add linos 20b tprou9h 20c 23tl
~
.. , . -Q 24
11 24 Estimatetl tax penalty. Check it Form 2220 b attpchetl
2S Tax dw. II the total of lines 22c and 2d Is larger than line 20tl, enter amount owed. Sea page
25
4 0l the Instructions for depository malnotl of paymnm ,' .' .' . -
~
28
' 2tl OvarpaymmL II line 20d b largm Than the total of hoes 22c nntl 24; enter amount ovmpoitl -
' 27 Enter amount of line 2fi au want: Cn4ltes l0 11199 eEllmtlea taf ~ Relunefa - 27
txaNr pnanie\dpaary.laecWPlNlluvn eeYmeN41M1\relwn, ncFdwpewm'panYwa Kle4ule\PM \blamnb,PM torts M\Idmy AroeMe9P
WCamPMe. peCYralxw of pePa~d lolMrllun la.psYKln W\ea on nn nlomulwn of xNCa gepP,d lu\PnyArowWpa.
canM
PM MMI
xI\ew
.
,
.
please
Sign
Here '
ep~ulue of aeasr Dab ' inb
ld
P PI\OVm.e'. Ddn LeKAII K.I. I nnP'nN~\KMY KVnr IW,IxWI
, ~~ ' S
e \Onalwe emew b r.
-
Prenarfr': .._....__,~ Cbnl lost, nwr'. ..
. .'
.. U7a 091y I Yew\numemwolwl I CPQTIPII. ~Lhd~l l(0'~~,tY6\(1f7Ci~'(fi
For Paperwork Paductlon Act Notice, sea the fepaute Instructions. 2429 N. ?Rd, l ~i+~L`tau ,
HARRISBURG; PA 17110.1105
~a.tF,ngsdB
1_:
L
romfnaos panel ~ ~ P:ee 2
® Cost of Goode Sold (see pogo 15 0l the instructions) '
1 Inventory et bpginnirq of year ,
- 3 Cost of bbor . ~ 0
1 Atltldkmal sKlion 287A costs (erfxn sclaNuk/ . ~. 1
B Olhm toots (attach scnetlub). B
8~ TOlal: Atltllbm 1 through 5 .. ~.
7 Inventory o1 mw of year ,
' B Cmt ol,gootla sold. Subtract line 7 from kne B. Entm hme end on page 1, line 2 ,' ,
qa Chttk all melhotls used for valuing tloslrg Inventory:
(il ^ Coel a tlaxribetl In ReguWlbna eKlion t.a71.3 .
(ig ^ Lowm of cost or market ae tlaxnbed In Regulataro stttion tA71-1
(IiB ^ Olhm IePKiN metnotl used entl attach e.planotbn) - ...............................................................:...........
b Chxk H Ihme was a writedown ol'eubhormal' goods oe tloscubK In Ragukstiom eecnon 7.47b2(c) , - ^
e Check II me LIFO Inventory method was atlopletl This tea year tin any gootl! (t checked, eBech Farm 970). '. . - ^
d II the LIFO inventory melnotl was usetl for Inia Ina year, inter ~pmcentage (m amounts) of cbsirq
Inventory computetl under LIFO . I Bd I I
• Do Ina rules of sKllon 263A gar progeny protluced or acqueetl for rosaie) apply to the corporauonT. ^ Yea ^ No
L yVss Ihere any change In tlelermining quanlnios, cost, or valumions between openbg and closing Invantory7 . ^ yes ^ No
II'YM,' ailach eaplanatbn. '
® Gthef IDtOfT8tI0n
1 Cnttk mettatl of accounting: (el ^ Cash (bl ~1 nccmal (c) ^ Ctner IspKiry) - ...........................
' 2 Reler to Ina list on page! 2 through 26 r0l I~nja instruction! and stole the corpomtbn's print al: q
(a) Du9lnose pcllvity - .,t~.~/.fj..vQ ........... tbI Product or servico -'...'. ~(J.~/f ~/
3 Ditl Ina oorppr0lian al the and of Iha t0a year own, tlirectly or IndkKlly, SD% or more of the voting stock of o tloma911c
corporatbn7 tFOr ink! of allnbution, sea stttion 26ryc).) II'Yas.' attach o xhMUie snowing: (ol namo, atltlreaa. entl
employer bentdicetion number entl (b) parcentnge owned, .
/ Waa the wrporetlon o memDar of o wnlrolled group subjttl to the prowsions of soclion 75614
B AI any time tlunng [alentlar year 1998, ditl tna cmpormbn twva an Interest in or a signature m atom aNhmily over o
hnaKbl BCCOUnt In a loreign country (such as o bank account, sKUrdbf account, ar olber linencbl accounp7 (See
poBe 15 0l the Instructions for eaceptbm entl Iding requiremonb for Form iD F 9D-22.1.) ,
II'Yea; enter the name of the foreign country - ..:...............:...........:..........................................
0 Dunne the tee yam, ditl the corporation receive a tlatnDulbn Irom, or was it the gramor ol, or banslmor to. a Imago
Irusit II 'Yet; Ina corporatwn may nave to Ida Fmm 3520. Sae W9o 15 0l the Inslrudiona. ,
7 Chttk lnis boa A the corporobon has klod or ie requirotl to lily Form 02&1, Application for Regixmtion of a Taw
0 Clufck Ihia boa d iha mrporelion Iasuetl publicly offered debt inslmmenl! with orig~nol bsuo tliscount ~ - ^
II so, the corporalbn may navo to Ina Form 0201, Inlormation Return for Publicty OHmed Orig~wl laauo Dismunl
Insnumenta.
0 II Ina cmpomtion: (e) IiIK its elKtbn to be pn 5 corporation attar 1986, (b) was a C corporation balms II elKled to
be an 5 eorpmatbn or the corpornhon acquiratl an asset with a been tlatarminK by relmdnce to ns Dasis (or the
Delia al any Omer pmperryl in the hantl9 al o C corporator, and td has net unrealizetl built-In gain (delinetl In aKlion
197d(dNpl In escess al the nal rKOgnlzed Duilldn gain Irom poor years, enter Ina not unrealixotl builFln pain reducatl
by net rKOpnlzetl builidn gain Irom prior years (see gaga 18 0l the Instructimts) . - S ................
10 Chttk this boa it the corporelk>n had accumulated earning9 entl prplaa aI the Cbse of Iha tea year (sea
page 18 0l the inltructionsl - ^
;,
No ",
a
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7
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,
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1
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farm 112 m pesel
Shsroholtlaro' Sharoe of Income Credits, Deductions, etc.
' lal Pro rata orate acme I olel emaunl
1 Ordinary Income (bsa) Irom Irpdp or businena adMiba (pogo 1, line 21) , 1
cllvltim lattach Form 6625)
tat
t
l
l
I 2 -
.
mm ren
a
rea
es
e a
Z Nst Income hosq
' >• Omis MKpms Irom Olhef rMtal eClMlief . ~ EJy,;.
'.,}I ,
b Eapensm Irom other rental aclMtkt fetroch schedukh Jb '~
r
' Subtmcl I~np Jb hom hrty Ja
tal nctmdiea
th
re
I x
.
er
n
rom o
o Nel Incanehpss)
ponlollo intone (loss):
. ~
-
,:M1'1Q~
Ia ,
. .
.
• Interval hwme .
b
d ab
b Ortlinery tliv
en
s .
Ic
o Royalty Income .
attach Schedule O (Pam 1I205g
i
b
e
lt
t
m ~
l (
p
ga
n I
e
d Nel Mal•ler
cap
' e Nel bngdelm upltal gam host) fatleM Sehedub O (Porto I I20S)): ;e: "~~
~
~~
In Total for yam -
i
b
- M I
............................................
n I
sq
UI 2B% rate ga
hmal (ettecn schedubl
lb In
m
M
1 Ou 4/
ter po
o
co
e
ain (lose) (other lhpn tlue to casualty err Ihalp (attach Fonn 4797)
6 Nat section 12J1 5
g
B Other Income bas ettBCh schedule B
tion9 (atlech scnedubl
7 Ch
dl
bb [aliritx 7 -
lr
.
e
e
ense dedudbn (altech Pam 45621
179 a.
e S
db a -
.
n
p
e
9 DMUabns relotad to ponlollo htcome Boss) glemltel 9 -
.
/0 Omar tleduclions etroch schedub . 10
estment debts
n
n In
1L I
t
f 1L '
g
8 eape
v
.
n
erot
ae o
4b
4e
and 41 above
b (1) Investment Income Included on linen 4e 116 1
7 ,
,
,
('!) Invesimenl ea nape included on line B above 11b
plwhol used ea o luel (attach Form 6476)
dit f
12
C 1L
or
a
re
b Low•incroma housing credit: -'~~~ '
ropalV place0 n savica betas 1999
lies Ia
hl
ld whi
h s
ction x24115) a
•
t
F
M 12b 1
pp
p
ps
I
)
ran pa
as
c
e
paced In service beloro 199D
pn line 1281) lof
ro
ert
Oth
r tha /~
p
p
y
.
e
n
IT
s to whkh section 4211)151 applies for propeM Dbhed In service a6er 1999
hl
nn
r
7
R 126 J
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om pa
e
s
laced In service offer 1999
li
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.
r pr
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y p
ey
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l
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eMitam related to rental real estele activities (ette[n Form J466)
lAi
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Mliblbn e
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sp
o
ue
e
m
a
dm 6hown on hoes l2bantl 12c)ralaled lprenlPl tool rotate a[tivitle9
dil
th
' dC
th 12d
er
encre
ro
s lo
e Credits teased to other lentos ediviliea @e
.
19 Other credAe. 1J
C laced In servbp alter 1988
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eprec
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rom o
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clloM allocable to oil
as
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2 14d
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,
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a Olna ad ualments and Ipa ralMence Ilema attach ichpdulp 14s
~
"
....r ..................................................
15a Type of Income - ................ ~ t
`>~ °~`
H b Nsmeoi IoreNn country or U S. ppssesawn ........................................
= tside Ins United Statoa fattacn scaedub)
l
I
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ota
gross
ntone
a
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ry
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ore
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ec
a
a~
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1 Retlutlbn hi team avaibbla for aedA (etach tchadulel 151
I .
g Other loreign lea htlamtelion (attach schedule) 7
b Amount -
T
~
6 S
tb
59
2
d
t 18b
' ...................................
) eapan
urea: a
YPa
ec
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(e)(
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m•eaemP
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ntone.
l
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e expenses .
19 Nondetlud
b
Than awtlentls reported on bne 22 below
di
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b
k
d
tl
T
~ 20
mg cas
)
r
property
s
n
ul
na l
n
u
20
ota
2F Other llama pod amounts raQUirrM to ba roportetl soparalely to'9hareholders (attach ~ ~~' ~"
scnedulel ~{oar
m pccumulatod earnings ontl proses
li
l tli
d
d dinl
b
d I
22 T
t 22
v
an
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a
2J Income loss). (Reguiretl only d SchetlWa M4 must by compleletll Carbine hnm 1 !~'~!
~
Ihrougn B In column Ib). From the result, tubtmct Ise sum of lines) Imouph 11 a, 150, antl ,,;
,
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;
18b . 4J
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1 F
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Fpm 11109 rfaaai '
baeU 1.1 NI kl
1 Cesh
L Tratle potos antl ateaunts reemvede . ~~~" ~ ... _.
691Z,7t.
//
6 Loss albwnnce for bstl dells ' _~'~ ~~y
"
`~
~ InvemDriea ~ ~ ~
'
~
/ U.S. Govrnnmenl oblpahOna. ,1' 'r'~Y'
''"
5 Te+•e+empl fecwties,
~ ~ ,.
`
' .1f r:.
,
e other Conant meets feyyacn FcJwnnrel
IH //~ q.S
~r v C ~1 ~a ~(il ""i'
.
7 LDana to `:hfllehOmpe, _
1`'r '~'
' B MonpagP sntl real esteta (Pans , • r atln~y =
e ' Other bsrstmenta (attach schMub) nnr:~^~'
100 Dwbmgs ontl other tlepreclada mseb
~ .
) '
b
Leaa eceumubtetl tlepraietipn'.
_ _ .,
,
_~
11tl DePktable Ba6Cb J
.
b LesaaccumulolrW tlepletion . ,,
_, ,, ,.
'
12 Wntl Inel of any nmonuatmnl
170 Intanp~hle assets lamonizablo onlyl. __ _ ,•`
b Lasa accumulnle0 amOniialion ,
11 Other 8aaels (ayl8cn fchetlukJ Q ~- ~ - : •'.
Se .Total aaseta . +xlt l+tlrt•Y Ri,
~"
Llebllllln ontl ehanholtlen Equlty - ""' - ~-
"
18 Accounts Payebla r 9"L L/ °+1 n h,, ,+ r+i ,ir °
°=
L
17 Monpspes. notes, DSnCS wpbk in less lnantyear ,,. ~~
''~ •
'? nl '0 ~1?l'h'i
10 Other Conant IiadlAim (attach schetlukl ~ ~~ ` ~ ~ ~ ~
~ _ ~ '' '' `"'"'''+. •.g
to Loans Iron snaroholtlers , ~ I * !:uc 1
_
~
' 20 tlonpapes, soles, bands pzysbls m t veal I~I.t
21 Other liabihlks (attach schedule) ~~!'~• s'wt ,,/ /`'
/ °`e 4~~/y _
+ + ~ ' ! b'~u
' ~ ~^ + le:•r •~
22 CaPrtel stock.
~ r l rrolp, v. 0 .r, I + n nn:• •..
27 Additional paaFln caPnal , Y 1 ~ ~ \n'49''I tdzANNj'U
21 Retabetl eam:npa
v
n ~` •.
+ ., y ;n -:ry`".
Zs MNStmeNSto sNrenodpi equity pttsch uMduel. ~
~
I It"'^!
20 Lma cost of treasury stock + 1 y •~~ 1' ~ " ( ) •, r z r,vll :nra:
27 Total lbdktief and fnarehobars' ua ''~u!v^: hYIPN(
Rseoncillsllon of Ineomo ( Loss) B N
Y
u e Taxable Ineomo previously Tuxotl (sea la a 2A of Iho InsWCtlons)
Isl acc,mw`eo lot a.« sal^umms Icl Sna,arauva umnhdn.P
.,,h,nlm•,na x t ccoum u,+a• rcome p• ipnh Ia`.u
1 ' Dalence at be0lnnlnp of IDs year •~ ~rJ~
2 Ortlnmry bcomo Irom papo I, hrg 21 " I O
7 otner ntltlnlone . : 3~6, it .AraNr I r ..
a Loss Imm Pape f, I no 21. I _51_ - ~ ) :• o M7 1 ~ . ! ~ ~ !
5 ~ Olner ICtleG110n9 ~I ~~+ )-~ ~ ) ^ ~~a em+tilr ~, r~ ti '
e -Combine Imes 1 through 5 ^ ~• •'^~"••<~ ~ 1 ..
7 DiSblbuhanS olber than Oin0ena tllflnbuhonf . __ _ _ - -
® por oD s th Ineomo (Loea) por Return (y0P Ara
_ comploto this schetlulo it Ihn Ipt_pl
os
sels on
line 15, column (dI, of Sthetlule L are less
1 Net Income Ibssl Per books , _
_
•Z ~6J ~
3 Income rnaaen on aoWf Ins yam rot rcLtlea
2 Income Incbtletl On Scnotlule K
boas f an &Md.C K, I~rea1 hmcyn6l erl•!I.
:
through 8, not recortled Dn b0oka Ines year I
a Tas•e+empl interest $
"' ~~•°~ ~~~
7 6lxnses recwtlotl M bPOka Ihq year nDI
. •••
8 DWuden9 inclutletl un $cbcdule K, Lr,uS
1 through 110.150, antl thb, nDl ChargCd
intludetl On $CnetlulB K, Imes 1 Inrough against book mcama Ihu year ptemde):
11 a. 15e, antl 16b (ltamlzo):
o OcPruclauun $
a DBPraculbn E ...............:.......... ........................
...
6 Travel orb emenainmem $ ...............
.........................................:
7 Atltl hoes 5 antl 6 .
1 Atl
•
~
~•
•~~~~~~~~~~~~~-- a Income Possl (SChetlule K
hn
27
tl lines t lhrou h9
,
~
,
®Analysis of Accumulated
AdJustments Acco ,
a
1.
Line a leas lino 7
unt
Other AtlJuetmonla A
Undislrlb t d ,
ctount, antl 5
C
Z
r
/ d
. 1
-. ,
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0
' ,
,:,_
,.
BCNEOULEK•7 $hBIBhO1dB1. She18OI,IIICOInB, Credits, Dedu,.,ons, @tC. 6tituNO.tsas•mao
' (Form 712051 - SeoLeporato Inelrucllona. ~ n eQ
pm,Mrn w n. rnw.v For celonder year 7995 Or Iss year •\, ~~~V ' ,
nr.w sn«u. r..c. M Innln , 1999, end entlln9 , 19
Bhenholder'a IdenaMn9 number - o45~G 5000 Co oration's Idantl In number - 2~162~204'
~ ~ ' Shareholder's name, addres,. eM ZIP cwo ~ Caporotion's name, adtlr9s3, Hntl 21P coda
~i ~ Julio F. Colo No9azd C, Cole Aavul6pmont Co., Ina '
.I 10,5 Faianrlsy Drlvo 105 F6lrngy IJr1va '
Comp Nlll,'Pa 17011-2066 Comp Bill, Ba 17O•i1-2066.
' 1
1 ~ ~ A Shereholder'e percantape of stock ownership for IPS year (sen Instrudiom for Schedule K•11 . , - .....100 ~ %
+ '"' I B Internal Fevenue Service Center where cor ration tiled its return - Phlla Pa ....:........6...
r' ~. Po ............:............. ......... n.
j{ ' i .. C Tex shelter reglsiretbn number see Insiructbm for Schatlule K•1) , . - . - .....:. ..., Aa ...............
+ D Check applkeble bose9: (1~ ~ Final K•1 - 121 ^ Amendetl H•1
71
1 ~.
i
I
i
I
tel Pm rate share name Ib1 Amount .' Icl Form 1610 him Dora
Ina emounf In cdumm inl m:
7 Ofdlnary Interne (a9911rom tfatl8 ar bU9irlee3 aLlibties
$ NBI income (109911ram R9IPI rMl 89lata aLIlVihe9 ~
2 (81,42b) ~ l bee Woes ~ ana 5 0l lne '
Snnenolati s nslmcUOns for
0 Net Income pos911rom other rental activities J 1
Schedule K•1 I]arm 112051.
' .
~ Ponlollo Income (1os51:
° Interest
4a~ ~ '
6ch. B, Pan I, Ilne 1
.
b Ordinary tlividentls
. eb Sch. 6, Pad Il, line 5
q ..
c RoYaltl9a ~
' <c Pan I, Ilne 4
Sch. E
C ..
. . .
d
Net shoe-term caPltal gain (loss( '~ ,
Sch. D, line 5, col. (Q
.
:
a Nel long•tarm capital gain (loss):
(Q 29% tale gn10 0a9s1
° t ~
Sch. D, line 12, tot. (gl
.
(21 Total for year, ° 2 ,6 6th. O, line 12, col. (Q
' / Dlhar ponlolio Income Qose)(nlrach schotlulej er mm~ °, uewe.wnrannw.~.
S Nel sxtlon 12J1 Baln Qo991 (other then due to ea9unlty or ihafg
5 .Sea SWmhoWeis Insaunrons
for SeneEvle K-1 (Farm 112051.
9 Other income 1o9s (Bl7ach schedule 8 4mrm roeuerrwarw mmni
8 7 Charitable cdnlrlbutlon9 (attach schedule) T Sch. A, IIne,15 or i6 '
$ 8 6adion 179 espense tleduetion 9 1 See WOa 6 0l the SMrehnOer's
~ ,
9 Oetluctlons related to ponlollo income (loss) (anc~h 9cnedulel 9 ~ y Innroetrons for SLntaule K•7
o° 16 Other deductions (attach schodulaJ . 10 J
If01m 112051..
p 11a Interest aspmse on Investment debt9 f f e Form 4952, Ilne 1
6 h (1( Investment income Ineludetl on lines 4a, 4b. 4e, and 4r above b 7 See SnarenalEeis InsVUthons
H 2 Investment as enses Included on line 9 nbove b Z for Scne9ule K•1 IFOrm 111051.
s2a Credit for alwhal usetl a9luel ~ 720 .Form 8479, line 16
.
b Low•Income houaing credit:
(tl From section 4201(51 pannarshlp9 for propony placed in
aervite belare 1990 •I^~'
b 1
~ '
.
' (?) Other than on line 12W1(lor prapeny placetl In service belore
'.
1990
b 2 ,
,,
$
+
B .
J From •Saction 42r 5
1 1 j1(1 padnerships for prapeny placetl in
'service abet 1999
b J) Farm 9596. line 5
Cp
j .
(Q Other' Than on line 1261J) for progeny placed in service allot
1989'
b4
.
c Oualilied rehabilitation espantlitures relatod to rental real estate
adivdie8
t2e
..
'
...
tl' Credos (other Ihpn credos shown on linos 12b antl 12c1 related
to ranlal real estate adivitios
~
12d ~
- See Papa7o1 uk5narehPlaef3
Intirutlons la Schetluk K•1
. ..
e Credits related to other ranlal 9cLVdies. ...
16 Other cretliis
t?°
1J
____
~ ---~ IFwm 11705E
For Paperwork peduclion Act Nalice, see the Inslrucllon, for Farm 11205. Om. Ito n320n Schedule K•1 IFerm 1120511998 '
:il.:..,
v tosnrbrrAissrearcixmvuaA {iLU.~"tLT•ntWI:UKYUFEAIt
~Y"~n~~r~a" ~'°' STOCK INFORMATION REPORT
' EBTATE OF ~ FILE NUMBER '
'~Hossrsn+~ C. Coas.e SK 4s'-HS•-o41V
' L Namedtapaalbn Nnw+nc C. LnsP .B<d Fr.e rNrwe l'r. iN• StatedlneOryoratbn I dNNesLJa NVn
„ Address lOS r,s rn.Anv Dn Daledlncpporalion'
~' ~ City CA Hr INc~ State. r^ Zip CtMe t7o a Tdd Numherd5harehddan ou~ Cr) '
l - 2. Federd Emyfoyer LD. Nurt0er .T 3- m t r L o
q Business RepaNng Year c'n..,s„ u 2 '
I ~ 7.. TYpndBusmess Nru E'3a~.rwG Produdy5swke 1.1 ,. ..« r
i 1.
t•
'..l , I
i
STDCK TYPE
Vrtkq lNdWOanp TOTAL NUMBER OF
SHARES OUTSTANDING ..
PAR VALUE NUMBER OF SHARES ~
DVMED BY THE DECEDENT .VALUE OF THE
DECEDENT'S STGCK
Gammon k/onNC, ~ _'sL f, is<~.„n r.y tfv t'i 9.eA
Prelerted ~ - ~ t L4,e Snn, vL
' - Provide all llphla and restridana pMlalnirp to eaN dasadsloU. ,
S.,~Waelhe OBcetlentempbYed by the Corpaalion7 ^'Yes ®No
.Ilya, POSdan Annual Salary S Time Devoletlb Business
8. Was the Corporation Indebted to the decMOnl7 ^ Yes' G'1 No
Hyes,provlde amantdindeblednese S ~ '.
7. Was here lAe Insurance payade Wthe arporalbn upon the death dthe deoetlenl7 ^ Yes ®No~ _ '
Nyes, Cash Surtender Value S Nel proceem payahk S ~ '.
Oxnerdlhe pd:ry
o-
. B. Did the decedent sell or lransler sladdlhis canpany wiNin one year pdarto dealhawithin two yeare itdre dateddealh was prior to 12J1-027
^Yes ®NO Kyes, ~,^ Transfer ^ Sete Numberd5harn
Tranaleree or Purchaser ~ Conslderalbn S ~ Dale
AmM aaepararoalwM lareAKMMltressbn amrorubs. -
9. Was thereawnKen sharehddefsapregmenl In eEed al the Ume of the decedent's deaN7 ^'Yes ~ No ~~
' Il yes, provide ecapydme epreemont. ..
10., Wore the decedent's stockfdd7 ^ Yes ®fio
Il yes, pravitleecopydNe agrcementdaale,eta. - -
'11. Was Ne arpaalbn dissdvcdalpuldated aher the dacedent'e death? ^ Yes ®NO '
Kyes.prevMeshreakdoxn ddislnbulions received by the estate, Including dates and amounts recdved.
12. 'Did the capwation have an interest In other arporatims or parlnershipsT ^ Yes [~ No'
nyas, span ure necessary mrormmionm aseparaza snae6 npuamga aaieaure r•ravcra eam imwesr.
,~ ~ .,. THE FOLLOYFINOINFORIUTIDN MUST BE SUBMIrtED YFftH THIS SCHEDULE ``-'-}';; ' ':'i
A. Detailatlcakulatians used in Ne valuation dlhe Oecetlenl'astock.
B. Campdele oopiesdhnandal alazements ar FederalCdppale lmm~e Tea relumslFam 112011or the ysarddeath azdlprecetleig yeah.
C,~ Il the cpporation armed real eatale,wbnit alisl showing Ne arnplete adoresites and estima!ed lair market value/s.llreal estate epfrasals have been'
severed, aKach copies.
B. Usldpdndpd alockhdden et the tlate of OeaN, numberdshazes heltl eM Rieir relationship todro decedent. '
E. UsldoKken, their salaries, bonuses and any dher berslAS receirM fromlhe arpaatlm.
', F: SWlemenlddviOends paid oath year. UStdwse declared and unpaid.
G.. AnYONer lnlpmalbn rdatinp le the valdatipndlhe decedent's slorA.
, . ; ' ~,~.
'i'f!
•; i,
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1 t.
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1 W W9,rnr'1
SCHEDULE C•1
~ wVSaam+uynattMrsnvuns CLOSELY•HELDCORPORATE
I """'M''"~'"'I'~'a°' STOCK INFORMATION REPORT
~ '~ i ESTATEOF FILE NUMBER
i ~ ~ 'NDWAR~ C. GALE" SR zl-9N- oLY9
t `~ 1. Named Corpadbn (aahrv
i deb IiM.k OF/FU P,sFN' (e; I•rlc Statedlnnryoratim, 1'Fd J•.vv-Ja Nrw
,~.,,•. ,
~t ,
~, Address 10 ~; 'FAi RvJ+Y pe DaledlnnrporMlm 195"~
Gty C'A rro NU ,. Stab Isn LP Code 17cu. .Trial NumDadShareMdazs ONE (I)
2. Federal Employer LD. NumDer ~ 3 • I b pA2I B Bminess Repabng Year ~ CIl J ~ an R
3. -Typed Business He„r ,•t,y ~+•5 ProducVSeMn r2.vN+n s- uN,is
STGCK TYPE
VotiplNOrvvotiq TOTALNUMBER OF
SHARES WTSTANDING
PAR VALUE NUMBERDF SNARES
DVVNED BY THE DECEDENT ~ VALUEDF THE
DECEDENTS STDCN
Carmen vyo7,NF l00 °lor.n0 loo S[_'G9co oo
Preferred NINE ~ ~' '- - 5 v: yv CCC•00,
A:
, Provide all tlghU and restrictions pedalning loeadl class dslock.
5. Was the OecMOntempbyed Dy the CorporatbnT. ^ Yes ~ ®No
II yes, Poshdn Annual Sdary S Time Dereled to Budness
B. Was Ne Caryaatdn hdeMed to the decedent? ^ Ves ®No
i Il yes, povlde emoonldlMeMednefs 5
7. Was Uiere life Insurance payadelo the moaation upm the OOalhddre decMenli ^ Vm [Ya No
i R ya, Cash Surtenda Vdue S Nd pounds payade f
I Ovmerd Ne pdity .
B. Did Its decedent sedatrazrsler slackdthis arnpany wiNln meyeaz pMrWdeathawi;hin tAO yeah gtne dateddeath wan prig to tPJtA27
I ^ Yes ®No Il yes, ^ Transfer ^ Sale Numberd Sharq
' ! Tranalereea Purchaser Consideration S Dale
. .~ AMCha NpeAb snedMeadaiaullnmNn enaroruMS. ~ ,. -
' ~ ~ 8. Was lhkreawnaen bharehddeh agreement In e5eddthe limed Ne decedent's death? ~^ Yes ®'No
Ilym, povideacapydthe agreement.
10. Was(he dacedenl'estod sd07 ` ^ Yes ®No
Il yes, povideaoopyd Ne agreemenldaale,em.
I ~ 11. Was mecapaaam 63sdredalqukfated eha Ua tleadanl'B deaN7 ^ Yes m No
~ Ilya, porideahoakdownddislnDdbns received Dy the estaa, Including dates and amounts received.
~ ., ,
IP.,
Did me ooryaaGm have an Interest in nha nrporadonsaparlnershlps7^Yes ®No
~: Ilyn,reppt Ue necessary lnlamatbn onaseparate sheet, Indudnpa5cheduk GlaGgla each lmeresl.
,i..-.,
'..ii. i ,•..
,,' ,.:.'.THEFGLLOWINOINFORMAI'IDNMUSTBESUBYITTEDWIIHTH188CNEOIILE ,:...
A. Detailed nkdalbns used in the valualionddb docedmt's slak.
B. Camplale capeadhnandd ata'emenls aFederd Corporate lncpne Tae retumslFam 112011a the yearddealhaMl pending years.
C. NlM Oapadiu erred real eatale, submits l~sl ahovnrg me canplete etlaess'es and estimated lair mxket valueh.Il real estate appeisds have been '
sewrad, ahach copies:. .
D. Ustdpindpd stackhdders alto ddedtleath, numberdshares held and lmurdalanship to the decedent /; ,
E. ~LWtddlKa., Vieir aalazks,bIXlusek end any dher Denelits received from ltro uorpaalion.
' F. StdamenlddivdeMs paid each year. List loose declared and unpaid,
G. Any doer lnlormadon relating to the valuatiat of the decedent's stock.
;~qi
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,
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~ ~~.~
' `K,
1~` "~•
, ~ HOWARD C. GALE DF,V F.LOPMF.NTCO.. INC.
1: 2 Lota.Gal Band Orentwater Rd (appraised) ; 70,000.00 ~ ' +
2. 6.3 Acres Land Susquehanna. Twp. ,60,000.00
... 3. Eight (8) Lots left inDevelopment in
Hampded Twp. at;40,000.00 a piece 320,000.00
'
~ 4. One (1)John Deere Loader/Grader (sold) ~ 16,000.00'
~
' 5. One Dump .truck- Chev. Good Cond. (sold) 12,000.00
~
! - 6. 109 Acres undeveiopedland inDauphin County at -
junction of Linglestown Road and North Progress ~ -
' ave, DavphiD County, Pa. Tract is about 50%
, ~ '~ wooded and was put in Clean and Green for tax
', purposes ae it was not conducive to development.
- Large lake on premises would have to be. drained: 202,500:00
. •~ " ~ Total ; '602,500.00
~; ~ ~ COUNTRY CLUB PARR DEVELOPMENT CO., INC.
' •' •
- i ' 1. .520 Colony Road Hampden Twp,. Cumb. Co.(Rental) ; 80,000.00
~
' 2. 530 Fairway Dr. ~~ 00,000.00 ~~~
~
. 3: 5 Fargreen Rd ~~ ~~ ~~ 80,000.00
4. 7Fargreen Rd. .. ~~ ~~
, .00;000:00
'
~
5.
22 Country Club PL. ^ ~~ ~~ ,.
00,000.00
'' 6. 49 Circle Dr. ^ 80,000.00 ~~
7. 55 Circle DR. ^" ~~ ~ ~~ ^ 50,000.00 ~ ,
8. Lot. Green/CheanutSte Camp Hill-undeveloped 40,000.00
~~ 9. Lot N. 32nd St on By-pass Camp Hill ~ 80,000.00 ,
. ~ ~ ~ ~ `
Total ; 640,000.00• ''+j~
~ ,
- t
N ~
- o
e: All properties 1 thru 7 are
all approximately `+:
50 years old and at the Limo of construction - + .,,"gf
~j were built at a cost of ;25,000.00 to ;30,000.00. J
1f
,
These are all rental untts and have never been ~
~.
s
~ put on. the market for sale. Provided retlremeht , it
I: l,'_(,'Mr 1
~, ,,
~ .. income. for Mr and Mre. Gale .' ~ ~;~ ~ iw~
~~
„ ~ ~ Lot on N. 32nd St. (0 ~ ~
- y-pass)was used-for a billboard ~`. { 11'~"~
-., 4 1~
~€:
„
advertising the development and is not too desi
rable .
.
t
-~ .for. building unless you desire to lay in bed and count
the thousands of cars and trucks that use the Oy-pass.
~ i
~~,,
Pt
, ?~
' t ~~':
i.
Corporatlon Income Tax Rety~
~ , U.~.r °'"' "°' 11S0tp1
1,
f , ! ,
1 ~ Z
Famli For eelwldfr Tfnr 1aM a W YeN eeealNee ........ , IeM. tlleele .. , 19 .,
' ~~ .
. III
,,:°~.1,: o•"'b.~ - wneufaarn r. . sn 1 ror F IUeuaOan An Hotlu:
^ e mWrw temwewfe refrw
~ Club~Pa7`k Devolopnont Co., Ina. ~ 2
+elonffi:a rwM ete ' O
i e~
u
t ? 1614248
w
o
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e ram utt O Ifefa
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Munw, stw•l. Me loom a wv ro. m. P.o. m., w ofa e a In•eltue4l c I4 1f nwroa
' ' ~ w'O :: to
-
l -z6-56
ve
301 FaUrlr6tY I)r
1
/
wttan+l
'
t 5 ~ a IVnrW run 4
0
pp1r.I..eeTeoa•r ~ I}1rdroa, 4.n, fna iv coal ~ oT
1
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e
l 011 aY frMrifw kn
a
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C NiSS Pa
A
F Ch•[M Maw' t MAW r•lum FNI Mum a feamf S
u Ornf re4lpu a uln I I le Lf4 rNUnf Iola f6owfrcwl I ~ I a BW ~ to
a cost a ooaaf foM Isch.aw ~ tw el
~. a
a.
a Ikaff ProM.6WMC1 Ilnf x howl Now to
1 1 DHMfMf (SChMM C INf 191
6
1 e. tmfrfat .
,
" e
~
a
orow rMif. ~
' 7
i .
7 IOrow ro7faMf • ...
e
a CfWnl9fal nN Ylcorne Iftuch Bahfaun o (Form 11x0)1
' e qN 9fM a Daw) howl Farm Q97, PN 11, lint 201ftuch Form I7W1 ~ ~
( le' Ww YIOOnM Ifw buhuttbnf--Noah K1NOuM1 10
tl Tefal Nloolrlf. AaA IMlff 0 10 . - t1
' to . COfroMfNlon N NOalf (9oMeuM E, Nnf 11. 7a - ., +
to S.Irtn foe wpn Ffw Mbloymfrlt a.aaq t0
.
11 Rf9fYf frW mYnifnno•.. ~1,aglF ~ ..
1t
to t6tlaw le
i , 6 /e nMU
Ig9.-7114 ~4 d~,:171 TTte.ctl4a'akatdoD
rWlkMwf -TAS.~yacll I
tt :Tff to
n
,
a
,. ~ tnarnt le
19 LhfnlaDN eannanwnf (w Wtructbnf for 70%lhn6albn) Ie
' ~ m .Ofprfon9on pn.ch Form Isexl ~. x0 \
a1 ' left dfpno4lbn C4fnf0 on SchMUM A W Nwwh4f on rNUm a1• ate
>b A?AItIWq . ~
., ~
j a1 PMebn. poFlt•YUnnY. N0., D4nf
~ ~
'.
~ :'
a3 Employes bfnfle Dro9rnm ~
.
IIe IXMr beuclbm INUah foMtluN1. ~
.
a7 Taw aaloeona Atld Iwa tx inroupn ze • ~
n
0 - Tafelf elcorre Mlaf nN apaflinp low ofauttbn frW fpfcifl aMuelbnf Suolrfct lief x7 honl lalf it ~
'
as ' Leff: ^ NN Opfnan9lou Wautlion lwa mfWalonal 19f
e aeavnlonf tsehwd• e. Ime z91. aeb age
.. f ~ aD TYtlN Irlaolrr. $UetfeCi IM 29e Iran Ilea 36 . ... ~
i ~ ]I
,...
y
at . Tow W (9CINWM J, Ilne 10) .
„r,;,;
\
\
\\~
as ~ -ryerlla a t9G6 oemtymem ueNk to lWl ~. ~ ~~~~\\
>
~ m
e ' t9W eNanelf0 to pgmlfnn I J .
~ J
a Im tigl rNW fw+r9 Mon Falm 466 aae 1 leq~ aae
\
I • TU efOOfaW N0l Farm 7001. ]L
... y
1 CrWO han Ie9YIflN1 InveftmMl tompMha lallach Form 2891 . ~
^
y CrWit la FaaMN W an fuel (Nnoh Form Ita81. Saa hfirvelans
-
H ~ .
~
t 0
as Ettimtlaa W pxu0y Iw• Inflruclgnt). Gh.ck N Fam x220 if NtttMn ~
i >• ' TY ew. II Iw 02h if frnflNr thM iM total N Ilnn O7' erW 07, MI4 em0unl oweo
a6 OwrprylMnt. II Im 02h n nrplr then m. to1W a( 4Mf 71 ana 1a. Mler emounl owryeal aS
0e ENM amount N 6M OS wfnt: CwaOed le te95 efOmNW W ~ nfNrlaell ~ a6
Ulcer pN111• d a.IV/.1 aKW eW I Nv •\YMMa pb I•Ym. KWavp KLMimnp KMdM• M4.1.1•ITN. YW le M and a IM1/ YaFI.01• YM
I Please.. wM1,1eW.cm•n.^aaanpYl•.DKWlon of pnprw ldtir vun wgrwlelwMwdnWmaMawMn n •oeK nn •ny Na.eew.
Slpn ' ~ ,
, Hero 6qula. or Door au .tor
''
'
Pell
PnprerL
squln•
"~"~"~ ~ PRO SER AND ~f ~D
i•m•4mr nr
' Uee CIIIY ta,rf a..d.mowy.el
•w sadn+ / bP can -
ia>SBURG,PA 17110.1105
23.1599542 ' .
~. ,
~0199Pw~ ~ ••. ,..„~wm•~ ~ Eno ollu V
~~ Mbn~ BMM9 a w d Itll ..
N9N9 ~ \ -i
b 4etlt no1M ub accounk recaNtDN: .. i 1 ' ( ~ 1 ~ .
. ~ ~ : b Lees awwanee la btd tlebit I .
~ t ~'
- ~ ~
~ . U.S. gpvenYMnf odptlbns .
i ~ 6 Tu•etampl satUmkt Iwe IMiruClions) .
B OtMr cummt tnttit Ienacn tcMtluk) \ ~ i
•i \ ~\ ~
~7 LpaM to tlocenoben ~ ~ •
' 9 MMW W uM reel Mafe Irons .. ~. .
i 9 Olntr am.ummU lat4cn tcMOuk) '. '
' io. Buttlinps ub o1Mr wgeclabk uMl~ . (
b Leu etturrukiM opncnfbn \ ,~ ~:
fl. DeDluebM ettep . ' t
r .' b .Lett aaumukietl tltpkfan I ~ ~
r 17 lab lmf of ury urortnubnl . ": \ ~ `~\
~ \\
I ~ IA' biupple atsut (emonkaDk anM I 1 I ~ 1
i~.b Leu ectumunlW UrprlWilon i
t~ ' Odw wets ItMa, Rnetlukl.
~, 10 ToW uwb
. , L19b11MN9 9x14 BtxkMlden' Equly i
\
~ 17 Morgpes, note. DOrMS Dq'tok lnktslMntyetr ~ ,
' tl.. OIMr cunanl ilebllBkt lenech uMOubl. \ r\`e ,
19 Loanf Dom slocelwbut \\\
' I ip MOnpeptt, nan. mrat PMDk in i Yert a~mare \\ \ \~~~~
~ I • i1 OtnN 140tnIH (etkcn tcMtluk)
I, yi GpW stock: • PMenetl voce r
bCamwn stock'
0~ PWIn ar cagLl wDert \
~' M PMaretl titmnpF-IbOropnt (e
i iD nalalrit0 tunlnGt-UMppropnuea KMOukI~ I ~ ( - 1 ~,
M' Lau Cott d treasury s1ocM.
~,. >A ToW eeDllnlef erlO stocendaan' ~
/ltlu YOU ale not rW bCOnWkIe SCMpukt M•1 end M•2 bebw NlM xatel on ern lB.<oNmn (tlJ of SCneWNLanIMU Nen 723.000. ~ t '
p9oone7lHion of Income ss ks WHh Inoom9 r Relum See Inntxucllon9.
: 1~' eNllncoma Mttlpu DOOet 7 Incomtracortle0 on books Uns yeu not ~ r
' 7 FeMrtl Income fu : inclutleo on fnls ntum (nemlx~L.
Tu•etempl inienfi 7 ...
7 E¢us of r:apnel beet owr up+lal gems .. •°•••••
' Y"Income fuDlailo to not recarOM On DOOW ~ ••••••••••••••••• ••••••.
slut Yeu lnemnel :....................:.: ......................... .....::. \ r ,
.••• ~ B Detluabns on Inn Mum not cnuga0' P ;
.....
'• ••• ptinif book hcolrw tnlf you (eemnel
a ~.. eeptnsn racatla0 on Daow inn yeu not \ a pepre4alron ~ . . ~ . 7 ~ ~ I
~ obunetl on iMS return (nernlxtl r '
Depracutbn ... 1 \\\\~ b CgnMbutpnf ourywa f r ~ i ,
b Dontrminbns urrywx 7 .•••..•••.•••.•.••...•..••
i ~:
,e TnvN erb enlMeimmnf f •.•.•••••..••...•....••..• ~~ Y
, \ \ .......................... .... I
9 atltl IiMt 7 n1tl B (,
' ,. ••• •• ••.••• 10 Insane Nne 2B. 11-tneBMat YVY r
- 9 Atltl Mnet 1 W 5
An9 s of Un• ,B R9Wn9d E•min 9 r Book9 Ling 2! Bo119AfA9 ~• ~ I ,"
1 Btlance tl Dpinninq of yeu : ~• 6 DninWtions: a Gsn •
Z Nel income 0ots1 per books D Stock I
7 . OUwr ncrttus IntrNxtl c Properly - '
• B Olnu oecreeuslitemrsel ~ ~. ~ `
7 RtlO lmef B en0 6 ~
' ~ ~. I4tl 4nef t. 2. end] ••• •• •••~ 8 Bakncs el entl of eu O~roeku 4naD •
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1120 ~ u.... corponclon income 7aR 7ce7a....[ ~
........
rpq~iwenN W h,x+ for r:aMMr y..r 1f96 ee taa iwe bphtrdllD ' . tff[, andinD ......... H ...
SN 1 fer P erk Redelbn Ael lfdin.
7 ,
1
- IeelarClbro an :
re.M ywir, Seeu
h[spe)•tMlfftMan rsaeber
Nemt
^ ~ 7 Country Club Park Develo .ont Co. Ina 23: 1614248
1. Cen,oldrud nurn ~
~pveen term nn
[ IYnwlMhp ee IWI NunM.fnwr. ene mom er,ul. ne.R.P.a.Oa.. sw PAP eNnurunion.l Can.lne
ivo 1~2 -1956
D
0
F
l
^
•
yawn xn nrgy
r
. PM
$
a
1
~
f M~u„amp Oleul eurlr prr WPetlmeKbej
yr .eppq ~pryNd1 ar Lpalam,full one 7lP Caor ~ ,. ~ ,
t
011
P
' 1
rP. HC. 1 r11
lp.. Damp Hill[
a
7
... mruv;m
ne
[mwea. Y.ble Men: t wen ma.n. 171 ^ F=irrem 1 Lne d.ea~u 7
L s artWS~~_.~+a msnuam nderowxiutl 1 ~ I cBel-
W9ssna 1=
p
t Cost al goods sob (5ddeduN A, ins BI 7
' 7 Grosf pmB[ SWdrad Yrp t from Yne is .
~ pNdMds (7chedWe C Grw 191
'
f
,
f : :.:
bAaml f
~
f Omas rwAa'. . y
7 Cmas royaNMS . ..: .. , ... f
' B Capful Delp nal mmms phach SchedWe D (Form 11 toy : . ~ .
Y Nat gdn or Oossl from Form /787. Pert II, low t0 pltldl Fain 17871 ... f
10 Other Incarna pea pegs 7 d ImwcYen+-aMN schedJe) 10
11 TeW htrxNtr. Add Ynn ] N 10 . : - 11
~ 1!
4 Campamadan W ol0csro RdledWe E. Y%1) .
. i ... 1]
1] '- Salerhs n0 wapn Ons ampbymem credesl
f1 -
11
~ :
Repays and meldansrlro. '. I6
16 &d debu
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' ~ L Rmn
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f'
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F~
17 '
~ J
Tna mdYanaes /{,:.
r.:
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1f ~' y7sest
CMdubN comrhulbns (ses page B d mstnctions lar 10% YmtleOm)
•
' if
.
f m' ' to
DePndaYan laBadt form /5091 ' ,
Mum il.
h
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- !7
!7 ' ToW dedtelbne. Add Imes 12 Nragh 2e ..: ... .. . tf
!f ' ' Tauda Y1wms beloro net operoulg lose daductbn end spacl4 deduclbns. Suh0ecl 1 I 11
~
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[saa • . NN openYng loss deduction Isee pegs 11 d mstmclions)
' 0
b 5 I deductbns SchedNe C, lino 201. ]fh !b
>0 TuWM irwoma. Subyad Imo t9c Irom Yen t9 . ]0
71' ToW to (SChedNe J, Yna 101 • ' • C..
• 71
' ]t 1liMlk[100/owp)•mrt Ordldu1995 7b ~~ 17 ~I~
~~~
h 109f ap7dwed Ua paymenu -~. 7m B7 III
~ 1 d W - 7!d
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o ' lns 1093 Mlsb epptlad IN a1 form I/BB
7b
Ta dapm[d wM1 Foml 7001 .. . ' .
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' Lnd[ fmm repWatad Ymsvnent canpenNS Mend Form t1701
7! 71h
^
g Cna1d far FW and tea on fade (cloth Form 11781. Sse msbunlons
p I7 EaOmaled ua peru[y (saa pegs ti d'nstrvctmnsl• Chad B FaM 23t0 h enxhsd - , ^ 77
77 Tu dles. II Yen Rh h smatlar Nan lM toW d linen 71 and ]7, enter amaw awed A
76 OerpaymanL tf Yne 72h h 4rPr Uun us nul d Gnn 71 end ]7, amsr emamt merpeN . 76
.
70 .
Enter emaunl d [ro ]] u wsnL• Cndllsd b 1tM ssOmaled laa - RNUded - L
pmµy. IyrNry. bt WI NNamm~eeN A<wn.n .uortpn~+q unNWt.M Hpwrw.4 mrM Mn m/ nowMEp..
trowuW.
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6 ~Tee.exampl srictAlUn lsse hslnMbns). .
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' 7 Loans le slacYhddM I
/. ~ Mongeg~ end rml able Imm . .
f Other Irrveslmredf (allech •cMde) .
1/e BuMkgf and dMr deprttdabb afsw ( 1 (
mddee depredalbn
, h Lns eccf
1L OepMabb eafeb 1 1 ( ~ 1
h Lns accumulated depldbn _, ,
12 Lnd Ind d any amoNtdlon) . '
• .1LImeryibN asseb pmoNmhb only) ( ) I
b Lns eaunWled emoNteYOn - ,
'
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. LI/bI11M /ltd 5lrfekhoMen' Equky
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' 77 MptgewLrpbf.bwNlf payadeMbsf lmnlyaar
'. 1/ '. Othd current Yebifln (anech achedubl .
tt LYNffrom stockhokfds ". '
f/ ' klanwges, rotef, bmm peyede In 1 year a mwe
t
21 OUn IbdYUes (sloth scheddel
22 Capital stock: • Prelened stock. ..
h Common slack
' ~ ~ 22 ' Pdbin or tappet surybs s4.+
. % 2/ MfY/d mmegf-Appmplatf0ldtscn sNedubl ~
.. '~ ~ , i6 Reubad eemhw-Uneppropdated ( 1 ( 1
' H Lns loft d trmwry rtock. O
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' 77 ~ Tad Wbidn end stxYhoWen' W
duba M•1 arM A626ebwltMtdd ass fwene fa. cdumn (01d5tlredublan amanf .tkXf.
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Note: You erond dyed to cam a
R/edneWetbn of mean/ oss F Books Wlth h7tDIM R/Wrn ISee a e 1B of InswdWns.) 1
! 7 IrKdmerocaded on books lNs ymrnot l
~
1 .. 1 Nd Income Ons) Per books hcludod on INa rdum (namltel:. '
l
~ 2, ' Fadersl Income w
. f - ExcnadupYnl losses over aPYal whs Tax•mempliMernlf :...........a..
_ ~.' ^..
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i e Income fubjecl to tax red receded art books
~ Nu yesr 4tamitq ..
'
/ Oodudbn on Inis return real chergM .
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' 1 6 Espemn remdad on books No year red a Oeprocbdog ~ . f.. l% t t1:
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py~~~ryW~r N.lp•Corporation Income Tax RstuM
fer:I•nd~1M•rto i•p••ehn tpror h••••1~P•tluctbn Ael Nella. ••• °'"~jl"~.^{°I~p'6ee'BR"'p'
'Ir~/•••• '.
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l:~y,,, w"~"^ DY
IM NM
C Cub'P Develo nt Co• lm ~ ^InwheM11R1~1~1.1Yrer
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D73ve C Dne erapernxl
10-26-1956'
'~M M
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ecn.ae bwn: t MnW rnvm FirW rNUm ~ n •aedaeee ~ .
.1• OrmilWpfiRNWI ~ I Ib lui MUm lnO eeowencail I I opy- is
, II Colt a poem sole ISatwtlids A, lin• el ... e
7 , Orou prolll. pubtrect Yns 7lran law tc ]
1 •' DMOnMe S&h•rAA1 C, fine 10) . . 1
7 Oros roylBbi . . , . 7
e GpIW q•b nsl beanie (etbch BchetluN D (Form 1170)) e
- ~ p NN pNn q posq Irom Form 1787, Pen II, Gne 70 (etl•ch Form 17871 p '
10 Other •corn• len peps 7 0l Irovuclim.-•tMCh ecMdAel 10 '
' 11 TetN Fteern•. Ads We ] 1 f0 . ~ - 11
tp CanpwNnbn of oaken (BCMduh E. Ibe q 17
17 Belerh• Intl wspn 8eu employment aetlite) 17 '
Y1. Repeh• W meMeneric• +1 ~
•
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1p Cluntabh eonlrtbutlam lua peps B of bitructlane la 10% Ibaetion) 1p
ID Depndetbn (etledt Form 15671 ~
91 ' l•u tlepnchsm chimed on Bclwtluh A and aeewhere on re
um ~ 7+•
7+b .
tl Oephtkn 77
,
a AWathinp . e]'
,N ., P•rWOn, pofil•Nrbp, ac., phn~. e1
~! M Fmpkya•Derwld popun• ... 76
' 9• Other tledudbru (elhah schedule) .
77 TaW Mducllons. Add Ivws 1711•aph 28 ,' -
O Teubh bcorru baron nN operetvnp kfi datlucvon arq eiwUSl tlaevnlmi. subvea We ~ • •' a t1
IIo l.••s: • N•t opentbp ba seduction Dee papa 10 a1 tmtronwnl Rp•
b 8 W sedudbni Schedule C. Ins 70 . 7pb Za
77
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nn ]1 Toni W (Sehedde J, Iw t0)
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b ~ 1088 ntimne0 ten psymenls ,.. , ub .
a leu IBDe nhnd eppYSe la n Farm 1168 ]7a ( 1 d pH -
• Tu depae11e0 wnh Fmn 7001
/ CredA Irpn repealed YrvnMnt compenin SsOSCh Form 7178) .
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A FslMnsd lu peneltY Ian pope 11 0l bitrocllonil. Check It Farm 7720 h tltecha0 : - ^- ~
]1 Tu tlw.ll Yne 3211 h uneSw iMn the lolel al Mee ]1 W ]0, amer amwnt owed ~
Sd 07•ry•yrrwm. Ii One 37h h Wear Itwn dw laal of tines ]t srb 07, solar amaum ovapeis , ]e
' Y En ter emounl of aria ]S ou went: CrMMed to +pp7 eetvn•led W - ~ Refunded - Y -
'
Sign
Hero WxpxwenapwNy,I WCUre WtlNre eumneatM Mwn Kpq.q ~9~Yry~q earnaul•e Wettlemxne~eM to Vw Dnl
bN1,en VW,Cents.enaCOnpWe.pecWetonap•pwx(dlw lNi Wpry«lbbwM On 4l blvmtlgnawNt. p.p•«Ne Yry MO~wwOp..
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' 7 Loew to alocMiddero
B Mat0aps and reel misla bins
0 . Olna Nrvwlmems (riteM schedule) .
to1.. UuiMkq~ and otMr daprocleble useb ,
b . L»s 1mmNated depreGntbn ,
~7 i ~' 111 Oapbtabb use4 .. •
'; .~. ~. -. b Lw ~taanWaled tlspelbn
~ ~ ~ f2 ~ .Land (net of lny amatkallon) ... ... .
'tfa • Inlanpibb assela (emonkabb only) ,
b Leu acc4nultled amorlDatlon ,
' 11 Other usaa Istlsch SchuuleJ.
' '. 1B ToW wets ~.
~ WD2hln Ond Etoekholdsn' Equlty ,
~ 1B ACCOUnU piYebb .. ...:
i ~'~17 Mongpe4 notes,oabf pryaaebbaa BUnlyear
iB! Other current Ilabllillei (attecn ecnuulel
f0 ~Loens hen stockMbas
' 20. ' klongsp>, roles. bade peyade b 1 ysara more
I 21 Other IISMBIas (anuh schedule) .
it ' 22 .'. CepBd stock • Pralared Stock . ,
b Common Stock
• b PeMdn a upbal surplus' .
~ ~ .121. PaWrpd e>
n+gs~lpproprblatl (at4ch uAMUbj
:i; '. ~ ffi 'RetWbd aemmpi-Unepprop4ted .
' ffi'~ ~ Less cwt of tnaaury stock, '
' '(' 2) Total I4WdIn and Uockhobaa' a it
- Naa Yau enmr uesdto complete SCfxrtlubs M•I
Rlconclllstlon of Income
' i ~ 1 ~ Nsl Income (Iwsl Pa books ,
t ~ • 2 Fetlaal bcome to .,.
d . Euw of capnal bases ova eagtel ge4ts ,
1 ' Insane eW)ect l0 4s not ruaded on books
... I ......................L... .........
~ 6 Eapawn ruaded on tuoW tMa
yoar not
" deducted on Nis return (lemke):
' " ~ ' -. b CanlrBUlow carryover f ...:.....
, ~ I a-Trawl and entenaWnenl f .................
.; ; f: ......................:.... ...:.....
.,. 1 ........................... -...
U '. I ~ B Atld fines 1 Woe . 5_.~,_ _. .. __
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1 Atld I nee 1. 2. and J - .
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Induded on 1Ns rotum (itemke) ~ i
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agalnsl Dook Insane INS yea (itemka): ~ ~'
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e Prppeny ,
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RwrNmransrMOYM ~ v.e.pewrmaerlNM aksnM-Cr.>r
• 1
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ale "°' Ia1s-0125
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m
oa5.w, ra. i,~l.y Fa ulanda22sa /9f/ a W 2w ba2hrlYq ........ , iMT, «,3+a ........ , 1 0 ... ~
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P/Y
' i ~an+n Ilr '. country Dlub Pack Development Co
Ina ~ a•"Ia°~W~°MOn ane«
~. ~~ ~ha.hl«matn ^ IAa ,
. 23; 1614248
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~ 11Urb«,,bM, «q roam a wra ro. A • P.O. bo,, ,,, 0.2.5 r YMrucUo-rJ C 0.M wcuraarao
a ~ ~ 105 Falnlsy Dave ~ 10.20-1956
.. M/lµal lw.1r11~T-
MF ITT- Mlaia
IYB• C2Ya lam..4n4 YM ZIP OOS, DieWUW hM PNISMYeWHCriy
, Harrleb Pa 17011-2066
' • we4 ro.,,: 1 4V511 r,a,n FwY rrwn a.JS.a,
L Orou rlcrpllayh5l 1 Ip~~l,~~,11 I lapr- la
j~ 9 aal of tl00da soW (SChaduM A 4na 91 a
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~ a arou pom. BIAb•d un. T hen 6na 1c . ~ . ... a
' 1 DNWNWS ISdI•dul• C, 6rN 121. ... 1
e NI-aal ... ~ e
0 Orou nma ,
: e
7 Orou mYa6W . T
• a CaWW 2a41Iwl alcom. Pnacll "ucnedula o (Form 112011 e
. a ILi p.b a pool hom Farm 1727, Parl II, un. l0laaacn Fam 17W) •
. to Omar alrom. (aw papa a of lnmudbna--•n•al ach.ela.) ... to
11 Total hleema. Atld Igra a 1 to . - IP
79 Comprlulbn of of6an (SaladuN E. 4na q . ~ 12
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~ t2 CMrSabN canVlbulblla Isaa w2s a a InaWabna hx to% umlaua0 to
. I ~ ! 9o Dap•clsibn Isnaal Fam 15621 ~
f1 lass tla0racialbn cWnwd on BcMMb A eIM eaawhan on rstum 2ta 91b
~
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n Ae,«2a4q . ~
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9a OIMr dltlibtlola (sa•dl ¢batlu111. ?s
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•
, 27. .
?0 TauG• 4KaM bNan MI SParanp bu tletluctbn arW epcW.tlWuctbns, Subbac! I
2
I 11 ~
20 4N: ' a Nr ognmq bsa tlatlugbn (sea papa 2 0l Inrlupbm) . 2fa
. b daduellma uk C. 41u 20 lob Zoe
' >p T•aabM Y1a0111a. 9110tratl lrM 2oC Irorrl YM 2e .
~ ~ ~ a0
]1 Tool W IBOIIad11a J, ar 101 ~ a
'
~ at Fryelak 21271 •e17M5h1 uaall m 1771 >ti
, b -12W •rhbtatl W paynwlb am
~ o Iau 17971Nrp so0+ad hr on Fam 1165 ago 1 I tl yl - a2d
• Tu dapasSW 5r111 Form 7001 ,. aTa
y
~ r 1 CndO Ia to paW on undlsamulM upllr prna Basch Fann 2172) . ~ '
' ; 6 p ~. CrM1 la FWral W m lure (aOaM Fam 11]51. Sw Wauctbna aal
~ 97 Es011bIW lu 0«Irb (sea papa to al havuawul• CMCk II Fam 2210 h anarJUd - ^ b
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• as
76 /~
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• , u
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foitkuul pe10•In cepitsl
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wen mtreaantlto CarWMM Sclwoubf M•1eM M•1 DNow iltM romN bwOw lS,coArmn (01 a/SCneaLNlen kaf lNn S2 .000.
' ~ Reconcil4tlon of Income r Books With Ineoms r Realm Sea a e 15 01 Wtnlctlona.
~~ Hincorw (bNl px DOOW 7 Incane•aadeOOn OOOkf Weyex ml
, - deN Income lu 1' hNWed on iNf return (itemlxal: '
wu of cepilN louN owr opal pelne ~ TN•eaempt intxeal f .................
i
,.~ taw wopct to ux not recwoed al DOOU
•••••••••••••••••••••••••••••••••••••••••
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' rOredeOOn : .. f ............:...: ~
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U SUWECT%10PENTY _. COMPAMBlE N0.1 ,_„_ COMPAMB4E N0,2
Wnw gcsltwBltrs/Gale Ste. 602 Gale Road Old Farm Ra~Ed t~YB~ ~ar I
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GASH, SANK DEPOSITS AND
MISCELlANE0U5
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IAI prnpprry Ielnrlpmmpd .hA.M LIpM el Svri.on6~p mun b d'ndoud en S.bd.b "P'I - _
'NUIM ER DESCRIPTION DATE OP DEATH' I •'
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ITEM
NUMBER
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5.
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AMOUNT
FUNEMLE%PENSES:
rl rir. l:J N./e tot /hn: ~ //wrr.•A. ~, ~•• ,S GOO'~o•`
Mr. ~P10plen C'd•ii tJR. ~L.r) 700 en
1.,9+..th /+J: •<'•: NENaun<S .UHF IOS t</N - 'I OOa.dO
ADMINISTMTIVE COSTS.
Penmel RepeMnYtYaf ComdsdM ~ '
Nemeq Pennxl PeonmYNe PI I~nii84T S• i xAC1:
Nu r.l c
$pWl$eeuMe NUn4eR111 EIIINNtON M. Penantl Ret/eMnxevslll' `
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SCHEDULE H
FUNERAL EXPENSES 6 '
AOMINISTRATIVECOSTS ,
eER
_ •/Y. 0~~9
TOTALIAISO'enlerm luw B. Reopfulalen) f $1 922•'70 ~ 1'r•/~8+
Ixnal sneNtdua lYro SUe) I I t+
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ESTAn O! m. n
FloeIA AT C-'GALE SR QI GB•-Ob'L9.
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NUMBER '
~NAMF AND ADDRESS OF BENEFICIARY
RELATIONSNIP. 'AMOUNT OR
SMAR! OF ESTATE
' A. Te•ehb B•goubi - ~ 100T er Now•RD C
I,
JeLiE(°. GALL WIFE
DEJt.eInWrCe.l
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IOS hA1P•WA LIFE INreRESr /N I
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CAMP IIIK,I-• L~ejl - ~RFn CoewrM1y CW6
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., ,~ GRANDq/rIJRFN 45fuP-6 RO NO eNILD GRAN yONIUQEN IZ (iA •uAl I-e'fl~~
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_ UPON D2.~TN OF
' JU~LE K. G•LE, 4
'. OF):c6 AS E~
NAME AND ADDRESS OF BENEFCIARY 'AMOUNT OE
NUMSG ~ SNARE OE ESTATE
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' TOTAL CHARITABLE AND GOVERNMENTAL BEOUESI3 (Aho •m•r on lin• 17, R•mpimlmion( B ~ O /.l C
' (11 m•n .Pau h n••d•d~ im•d addltlonal nha•b el .om• Jul i r %'
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i ~ LAST WILL AND TESTAMENT ~ ,~
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~~ I ~ I, HOWARD C.GAL£, ~of Hampton Township. Cumberland
~.~ County , Pennsylvania, being of sound and disposing mind,
' ~~. ~. memory and understanding, do hereby make, publish and
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declare this-to be my Last Will and Testament, hereby revoking
anyand all former wills and codir.ils by me' heretofore made,
at any time.'.
- FIRST: I direct that my funeral expensesbe paid
by myExecutor, hereinafter mentioned, as soon after my '
'd eceaseas may be convenient.
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a - SECOND: I give and bequeath my automob ties to my wife,
Julie F. Gale. -
• THIRDS I give,devlse and bequeath my entire interest
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in the Howard C. GaleDeveSOpmentCO,. , Inc. to my wife,
Julie F. Gale and all of the shares of stock in my name
" ~ sha1L be transfered or reissued in her name. Both sheand ,
' ~my Attorney, Robect J. Trace, Esq shall determine the
- ~ Euture ofthe Howard C.Gale Development Co., Inc.
FOURTH: I give, deviseand bequeath my entire
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interesE inthe Country Club Park Development Co., Inc. to
Robert J..Trace, Esq. ,~IN TRUST. NEVERTHELESS with the -
j ~ .provision that all of the net Income shalt be, paid over to ,
my wife Ju11e F. Gale, for the remainder of her life and
at herdeath, the Trusfshall cease and the principal
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and the assets reduced to cash andthe, sum realized shall
be divided equally among my grandchildren and-step grandchild.
~ ~~ ~ FI FEH c~In the event that the property in Dauphin County
situated. along the Lingleatown Road near North Progress
Avenue, consistingof .102 Acres, mare or less, issold on
~+ anagreement of sale ove ra period of Ten (30) years, I. ~ ;
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give devise and bequeath Crom the proceeds derived, thesum
''-"~ of Five Nundred Thousand (;500,000.00) dollars to my son
Howard C. Ca1e.Jr.,,such sum to be paid to him over a period
of Ten (10)years, not~to exceed the sum of Fifty Thousand
(550;000.00 dollars many one year. However, in the event,
' _ that the Bankruptcy ~COUrtorany Court of record should
~d etermine 'that Howard C. Gale, Jrr owns any interec t~~in ~~
Howard C. Gale Developmen tCO., Inc., the bequest set forth
~,, in Paragraph Fifth shall fail and becomenull and void and
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shah. become part of myreaiduary estate.
SIXTHS All taxes shall be paid .out of the proceeds of my
estate as if theywere expenses of administration.
SEVENTHe I nominate and appoint Robert J. Trace to be the
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' Executor and Trustee oP this,my Last Will and Testament
• '.. and SE he be deceased or incapable of serving, I then
nominate Jean Seibert,~ESq..of his office to be the Executrix'
. ,. '.
~ and Trustee of this my last Will and Tescamen t. all to serve
~ without bond.
' EIGHTHS I authorize and empower my Executor or Executrix, '.
~' as the case may be, for the payment of debts or for any
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.purpose of administration or dtatributioh, at an y'time
within Two (2 ). years from the ;date of mydecease, to sell
-a11 or~any of my real estate or personal property, at
public or private sale;for such prices and upon such terms
as to cash or credit as may be deemedbest, withoutliability
~on the part of the purchasers to see to •the 'a pplication of
' the purchase monies. This power shallnot be considered to
.work a conversion of any real estate until the power is
actually exercised, .nor shall this power be construedto
extend the lien of debts.
NINTH: I authorize my Executor or Executrix and Trustee to
conduct any business in which I am engaged, or in which I
have an interest, at the time of my decease, except the
Howard C. Gale Development Co'., Inc. which Y have devised to
my wife, for such period as he or she shall deem proper, .
with power to borrowmoney and pledge the assets of the
business and with powerto do all other acts that I•in my
lifetime could have done, or ,to delegate such powers to,any
•. partner,, manager or employee, without liability ~forany loss
~occuring therein provided however that no assetof my
estate. other Chan that which I have devoted thereto at the
time•of mydecease, shall be used therein oc be liable for
"the debts and contracts of said business.i authorize my
Executor or Executrix andTrustee to make public sale or
private sale of said business, including the real and personal
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'. property thereof, at such times, and for'such price or
. ~ ~ "~pricss,~ antl uponauch terms as to cash or credit, ,with or.
without security for the purchase price, as may seem best.
~~' ~ ~and'toexecute~all assignments, agreementsor conv~. yances
~, tothe purchasers, without liability on the. part of the
' purchasers to see to the application of thepsrchasemoney.
TENTH: I authorize my Executor or Executrix, as the case
" may be, to reta in all stocks, bonds snd other investments
made by me for d istribution in kisd,~or in his or her
~ discretion to sell and transfer the same, either in person
or byattorney ,'without liability on~the,part of the
.purchasers to see ,to the application of the putchase moneys.
ELEVENTH: All the rest, residue and remainder; I give
~' ~ deviseand bequeath to my Trustee, hereinbefore named, in ,~
TRUST NEVERTHELESS, and any income derived shall be paid
! on a quarterly basis to my wife~JUlie F. Gale for life snd
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~ at,her decease, the principal, if any, shall be distributed
to Howard 0. Gale, Jr., Suzanne Gaisand Leisa J. Kercher ,'
their heirs and assigns, shareand share alike.
IN WITNESS WHEREOF, I have set my hand and sea 1~. this
v?+h=~ day of January, 1998. ~
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Ja'"C~ C
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(SEAL)
~^~ Howard C. Cale
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7~
Witness
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~ Witness
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C019:CNWEALTH OP PENNSY LYANIA I -
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' CDDNTY QP CIIMRFa7.AND i
WE, Howard C. Cale , Margaret B. Trace , and
Susan T. Newton , The TostaL yL„ and Lhe wl tneeaea,
reepeotively, whose names era elgned Lo the attached or foregoing instrument,
being fire 4. dulyr,worn, do hosoby declare to the undorolgned authority that
the TsaLat or signed and oxecu tad the instrument na hls Laat Will and
Teetamnet and that ha had signed willingly (or w1111ng1y directed '
ano that to sign for _) and that _ ha executed it na his free and
voluntary act for the purposes therein expressed, and Shat each of the .
' witnesses, in the presence and hearing of Lhe Teatat RL- signed the VlL 11.
ea, n. witneae and that to ~thabeet of hie or her knowledge, the Teatat or
' was et that eighteen (1B) years of ege•or older, of Bound mind and under
no constraint or undue influence , and I, the said Testnt or do hereby
aaknowle dge that I, signed and executed the Snetrument ne my Laot Ytill~nnd.
TaeLamant, that I signed SL willingly, and that Y signed iL ae my free,
and voluntary eaL Tor the purpoeea therein oxp reseed.
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' - Teatat ~_ ~ '
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Subscrlbed,~eworn to and
acknowledged betoro me by
the Teetnt or. and oubacrlbud
and sworn to before mo by
Maroaret D. Try and
' SUSan T Nnv f•nn
witneaoea, this Zed day of
January , A.D. 19 99:
~f~.wn,.,.:..4 T
Ho7Anluseai
ALAflGAflEf T. fOSB:H, NOUrryy Publlt
Cunp HW, PA CumO~ntno COu
AN ConuNSSlon E~Ira Aup.7, 1000
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COMMONW[ALTN OF PENNSTLVANU l
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COUNTY O~ CUMtttLAND J '
_gobert_J. Trace
i I being duly __HRXQ[n according 1e law, depo+e+ end +ay+ Ih•} ha 1~a Executor __
' _ _ ' ~ of Iho Cslelo of FioxaLd_C.,.~ale SL
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bb a(-' '....Hampden Totlnahip.__.. Cumberland County, P•., d•oanad and }h•} the
r wdhin'i+ •n inventory made by .him - , 1ha wad Executoe'
~, of the anliro nfefe of laid decedent, conuding of ell Iha porwnal preparly end rut able; •eeapf red u}•fe ouhid•
. ~~ Ihs Commonwullh of Pennrylvenie, and IhePlhe f(quro+ oppo+ife oeeh hsm of }he Inventory rspre+enT i}4 Bar wlue
7 n of 1ha date of dacodonYs death,
v ' ' Sworn to end mbaribod before me, o~ ~ /^~r..
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. March 30i ~ ~ „¢2000 hccul •-MmiMMroror
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' _331~forth 28th Street
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NOTAIIU~L SEAL Camp Hi 11,Pa 17011
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~ RIANGARETLFGSTEB, NOIarY Pummbyyllb
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lup fxplms Aup. T. 20~G
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ry ~ Deb. of Daelh 7 9.t}l_ ,lanuary 1998_
per Menlh Yur ,
', ~ ~ INSTRUCTIONS
I. An inventory mu+4 be ailed within Ihreo monfh+ after appointment of panonel rapre+enfaNre.
1. A Wpplamenf inronlory mud bo (ilod w(Ihin Ihirty dey+of di+covery of eddillond •uaM.
' 3. AddUtonel +hod+ maybe attached a+ fo panenelfy or roelly ~
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4. Sae Arlfela IV, Fidueieria+Acf of 1949.
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'Inventory of Iho real and personal oslalo of
HOWARD C. GALE SR. deceased ~~
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36B Shares of Howard C.Cale, Development Co., Inc E+1864.62 82,500 16
` ~ ~ 2. 100~Sharee'of Country Club Park Development ~CO.,.Inc..06400.00 40,000 00
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•Checking Acct. Pa
National ~.
Hank 7th and Forster Ste Hbg, Pa
8,066
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I (corporate)
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4. Checking Acct. Pa National Dank 7th~and Forster Sts Hbg, Pa 2x600 00
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~ ~ ~ ~ TOTAL ~ 1, 33, 167 15 .
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