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HomeMy WebLinkAbout04-0029PETITION FOR PROBATE and GRANT OF LETTERS Estate of J~vce g. Kirsch No. also known as To: , Deceased. Social Security No. 210-26-6653 The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated 9' - / - ~ and codicil(s) dated Register of Wills for the County of Cumberland Commonwealth of Pennsylvania in the named (state relevant circumstances, e.g. renunciation, death of executor, etc.) Decedent was domiciled at death in Cumberland County, Pennsylvania, with h el' last family or principal residence at ! 517 Kathrvn Street. New Cumberland Borough. Cumberland Countv. PA (list street, number and municipality) Decedent, then 68 years of age, died 12/16/03 at Villa Teresa. Lower Paxton Township, Dauvhin CounW. PA Except as follows, decedent did not man-y, was not divorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never ajudicated incompetent: Decedent at death owned property with estimated values as follows: (If domiciled in Pa.) All personal property (If not domiciled in Pa.) Personal property in Pennsylvania (If not domiciled in Pa.) Personal property in County Value of real estate in Pennsylvania situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters r¢~tamcn[gl'v thereon. (testamentary; administration c.t.a.; administration d.bn.c.t.a.) 1517 Kathryn Street New Cumberland PA 17070 Eugene G. Kirsch OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA SS COUNTY OF The petitioner(s) above-named swear(s'l or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowledge and belief of petitioner(s) and that as personal represen- tative(s) of the above decedent petitioner(s) will well and,.=truly administer thc estate according to law. _.Ox. Sworn to or amrmed and subscribed ,,-- before me this 09 dayof [ __ ..... January 2004 Glenda Farner Strasbauqgth~,~.r Re~ister of Wills -- z NO. 21-2004'0029 Estate of Jovc~ c. Kirsch , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW January 12th, 2004 , in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 1st, 1998 described thereto be admitted to probate and filed of record as the last will of Jo¥ce L. Kirsch and Letters Testim]entary are hereby granted to Eugene G. Kirsch FEES Probate, Letters, Etc ......... $ 200 o 00 Short Certificates ( 2 ~ ...... $ 6.00 ]~xmmx~on .x-Pages. { 16.).. $ 48.00 JCP Fee 10.00 $ TOTAL $ 264.00 Filed. January .12th,. 2004 ......... Mailed Letters to Attorney on 01-12-0004. Benjamin J. Butler $194~ ATTORNEY (Sup. Ct. I.D. No.) 500 N. Third Street, P.O. Box 1004 Ham~burg PA [7108-1004 ADDRESS 71T236.1485 PHONE his is to certify that the information here given is correctly copied from an original certificate of death duly filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent filing. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 P 9811983 No. Local Registrar - ---~ ~ O gc 1 8 ZOO3 Date -13 Rev 2/87 COMMONWEALTH OF PENNSYLVANIA · DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH ,. Joyce L. 68 v~ : ,pauphin Co. I~x ~. emale l~'^L sEcu"'~"u"eE" J/_~c^, Kirsch .~10 -- 26 --6653 . i .31, 935. , PA ~ t~,~ ~ ~ P~ton ~. ~.VI~' ~4 I,. ?" - ' Iwhite ,~ecre~.~ms~er ,~inting =~y ,, mD ,~ I~ ~ ' ' ' J,3. ~'~ ~ ~ s+, ,~ri~ e G. Kirsch J ~c~m's ,. ~e~sylv~ia 1517 ~ St. ~ ' - ,~ ~w ~i~d,PA 17070 ~-~ ~rl~d ,,. Paul Hefflefinger ~r~y ~. ~gene G. Kirsch j~bl/ ~ St.,New ~rI~d,PA 17070 ~,~la~ ~. ~rdens ~isb~g,PA17109 I-Il Dec. 19,2003 · .. 0 .~ mE] .~ 0 ' FH~S,324 Damml A~.,~,PA17043 2003. [] ...,~ I~. I ~O~1 .NJi .~ iAI home ......... 'MEDICAL EXAMINER/CORONER mantlet as stated .............................. , , p . · o the ceuae(.) and [] LAST WILL AND TESTAMENT 0_~ JOYCE L. KIRSCH I, JOYCE L. KIRSCH, of the Borough of New Cumberland, Cumberland County, Pennsylvania, do make, publish and declare this to be my Last Will and Testament, hereby revoking all Wills and codicils by me at any time made. ITEM I. I direct that all inheritance and estate taxes becoming due by reason of my death, whether such taxes may be payable by my estate or by any recipient of any property, shall be paid by my Executor out of the property passing under ITEM V of this Will, as an expense and cost of administration of my estate. My Executor shall have no duty or obligation to obtain reimbursement for any such tax so paid, even though on proceeds of insurance or other property not passing under this Will. In the absolute discretion of my Executor, he may pay such taxes immediately or may postpone the payment of taxes on future or remainder interests until the time possession thereof accrues to the beneficiaries. ITEM II. I direct my Executor to pay the expenses of my last illness and funeral expenses from the property passing under this Will as an expense and cost of administration of my estate. ITEM III. In the event that my husband, EUGENE G. KIRSCH, survives me, I give and bequeath to him absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewelry, silverware, personal automobiles, wearing apparel and all other articles of household or personal use or adornment. In the event that my husband, EUGENE G. KIRSCH, does not survive me, I make said bequest to my son, KEVINLEE E. KIRSCH, of New Cumberland, Pennsylvania, if he survives me. In the event that my son, KEVINLEE E. KIRSCH, also predeceases me I then make said bequest to my daughter, MYLINDA L. ANDREW, of Haddenfield, New Jersey. ITEM IV. In the event that my husband, EUGENE G. KIRSCH, survives me, I give, devise and bequeath to him the smallest amount of the assets of my estate that qualify for the marital deduction as will be sufficient to result in the lowest federal estate tax being imposed upon my estate, after allowing for the unified credit and any other allowable credits and deductions. In determining such amount, the values for federal estate tax purposes shall control. It is my intention that this bequest shall constitute a pecuniary bequest and that it shall not participate in increases and decreases that may occur during the administration of my estate (except such increases and decreases as may result from an election to use the alternate valuation date). My Executor shall have full power and the sole discretion to satisfy this devise and bequest, wholly or partly, in cash or kind and to select the assets that will be conveyed to my husband. All assets so conveyed to my husband shall be valued at the value thereof as finally determined for federal estate tax purposes; and provided further that my Executor, in order to implement this devise and bequest, shall distribute to my wife assets, -2- including cash, having an aggregate fair market value at the date or dates of distribution amounting to no less than the amount of this devise and bequest as finally determined for federal estate tax purposes; and provided further that there shall not be conveyed to my husband any policy of insurance on the life of my husband, or any asset, or the proceeds of any asset, which will not qualify for the marital deduction. The exercise of the foregoing power and discretion by my Executor shall not be subject to question by or on behalf of any beneficiary. In the event that my husband, EUGENE G. KIRSCH, predeceases me, I give, devise and bequeath all my property as provided in the succeeding Item V of this Will. ITEM V. I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my Trustee, IN TRUST, for the following uses and purposes: (A). The Trustee shall pay to or expend and apply for the benefit of my husband, EUGENE G. KIRSCH, so much of the income and principal as he, in his sole discretion, deems necessary for the proper support, maintenance and welfare of my husband, including medical, surgical, hospital or other institutional care, having in mind both the standard of living to which he has been accustomed and the income available to or for him from other sources. Any income not distributed shall be added to principal. (B). After the death of my husband, EUGENE G. KIRSCH, or if he predeceases me, then upon my death, the Trustee shall distribute the then remaining Trust property as follows: (1). The Trustee shall distribute to my son, KEVINLEE E. KIRSCH, the following property: (a). The real estate situate at 1514 Kathryn Street, Borough of New Cumberland. (b). The real estate situate at 1515 Kathryn Street, Borough of New Cumberland. (c). The real estate situate at 1517 Kathryn Street, Borough of New Cumberland. (d). All of my shares of common stock in Kirsch's Printing, Inc. (e). Ail machinery and equipment, furniture and fixtures, inventory, supplies, vehicles and other tangible personal property utilized in the printing business operated by -4- Kirsch's Printing, Inc. whether owned by me individually or by Kirsch's Printing, Inc. (2). The Trustee shall distribute all of the remaining trust property to my son, KEVINLEE E. KIRSCH and my daughter, MYLINDA L. ANDREW equally, share and share alike. (C). In the event that my son, KEVINLEE E. KIRSCH, predeceases me then one-half of all assets that would otherwise have been distributed by my Trustee to KEVINLEE E. KIRSCH shall be distributed to my daughter, MYLINDA L. ANDREW, and one-half of all assets that would otherwise have been distributed by my Trustee to KEVINLEE E. KIRSCH shall continue In Trust for the following uses and purposes: (1). The Trustee shall divide the Trust Corpus into equal parts corresponding in number to the number of the children of KEVINLEE E. KIRSCH who shall survive me (hereinafter referred to as "Kevin's child" or "Kevin's children") and shall allocate one of such equal parts to each of Kevin's children. -5- (2). The Trustee shall pay to or expend and apply for the benefit of Kevin's children so much of the income and principal as she, in her sole discretion, deems necessary for the proper support, maintenance, welfare and education of Kevin's children and any such distribution shall be made only from the part of the Trust property designated as being for the child benefited. Any income not distributed shall be added to principal. (3). The Trustee shall pay over to each of Kevin's children the entire principal of his or her part as it shall exist at his or her attaining the age of twenty-five (25) years. (4). In the event that one of Kevin's children dies prior to attaining the age of twenty-five (25) years, his or her part shall be added to the parts being held for Kevin's surviving children. (D). In the event that my daughter, MYLINDA L. ANDREW, predeceases me then all assets that would otherwise have been distributed by my Trustee to MYLINDA -6- L. ANDREW shall continue In Trust for the following uses and purposes: (1). The Trustee shall divide the Trust Corpus into equal parts corresponding in number to the number of the children of MYLINDA L. ANDREW who shall survive me (hereinafter referred to as "Mylinda's child" or "Mylinda's children") and shall allocate one of such equal parts to each of Mylinda's children. (2). The Trustee shall pay to or expend and apply for the benefit of Mylinda's children so much of the income and principal as he, in his sole discretion, deems necessary for the proper support, maintenance, welfare and education of Mylinda's children and any such distribution shall be made only from the part of the Trust property designated as being for the child benefited. Any income not distributed shall be added to principal. (3). The Trustee shall pay over to each of Mylinda's children the entire principal of his or her part as it shall exist at his or her attaining the age of twenty-five (25) years. -7- (4). In the event that one of Mylinda's children dies prior to attaining the age of twenty-five (25) years, his or her part shall be added to the parts being held for Mylinda's surviving children. (E). No part of the income or principal or the property held under this trust shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM VI. In addition to the powers conferred by law, the Trustee shall have the following powers: (A). To retain in his absolute discretion and for such period as to he shall seem advisable, any and all assets constituting the Trust Fund, without liability for -8- any loss incurred by reason of the retention of such assets. (B). To change investments and properties, and to invest and reinvest all or any part of the corpus of the Trust hereby established, in such securities, investments, or other property as to him seems advisable and proper, irrespective of whether the same are authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (C). To sell all or part of the property which at any time may constitute a part of the Trust hereby established, at such times, upon such terms, for cash or on credit, with or without security, in such manner and at such prices, either at public or private sale, as to him shall seem advisable and proper, and to execute good and sufficient deeds and bills of sale therefor. (D). To lease any property held by him and fix the duration of the term, irrespective of the provisions of any statute or of the termination of the trust; and to mortgage, pledge, collect, convert, redeem, exchange, or otherwise dispose of any securities or other property at any time held by him. -9- (E). To borrow money, whether to pay taxes, exercise subscriptions, rights, and options pay assessments or to accomplish any other purpose of any nature incidental to the administration of the Trust hereby established, and to pledge any securities or other property held by him as security therefor. (F). To enforce any bonds, mortgages, or other obligations or liens held hereunder; to enter upon such contracts and agreements and to make such compromises or settlements of debts, claims, or controversies as he may deem necessary or advisable; to submit to arbitration any matter or difference; to vote personally or by proxy any shares of stock which may at any time be held by him hereunder. (G) . To consent to the reorganization, consolidation, merger, liquidation, readjustment of or other change in any corporation, company, or association, or to the sale or lease of the property thereof or any part thereof, any of the securities or other property of which may at the time be held by him thereunder, and to do any act or exercise any power with reference thereto that -10- may be legally exercised by any person owning similar property in his own right, including the exercise of conversion, subscription, purchase or other options, the deposit or exchange Qf securities, the entrance into voting trusts, and the making of agreements or subscriptions which he may deem necessary or advisable in connection therewith, all without applying to any court for permission so to do, and to hold, redeem, sell or otherwise dispose of any securities or other property which he may so acquire, irrespective of whether the same be authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (H). To cause to be registered in his name as Trustee hereunder, or in the names of his nominees without qualification or description, any securities at any time held in the Trust hereby established. (I). To determine the manner in which the expenses incidental to or connected with the administration of the Trust hereby established shall be apportioned as between income and principal. -11- (J). To carry out agreements made by me during my lifetime, including the consummation of any agreements relating to the capital stock of corporations owned by me at the time of my death, and including the continuation of any partnership of which I may be a member at the time of my death whenever the terms of the partnership agreement obligate my estate or personal representative to continue my interest therein, and to enter into agreements for the rearrangement or alteration of my interests or rights or obligations under any such agreements in effect at the time of my death. (K). To apportion extraordinary and stock dividends received by him between income and principal in such manner as he may see fit; provided, however that all rights to subscribe to new or additional stock or securities, and all liquidating dividends shall be deemed to be principal. The Trustee may freely act under all or any of the powers of this Agreement given to him in all matters concerning the Trust hereby established, after forming his judgment based upon all the circumstances of any particular situation as to the wisest and best course to pursue, without the necessity of obtaining the consent or approval of any court, and notwithstanding that he -12- may also be actin9 as an individual, or as trustee of other trusts, or as an agent for other persons or corporations interested in the same matters, or may be interested in connection with the same matters as stockholders, directors or otherwise. The powers herein granted to the Trustee may be exercised in whole or in part, from time to time, and shall be deemed to be supplementary to and not exclusive of the general powers of trustee pursuant to law, and shall include all powers necessary to carry the same into effect. The enumeration of specific powers herein shall not be construed in any way to limit or affect the general powers herein granted. ITEM VII. The Trustee of the foregoing Trusts shall be KEVINLEE E. KIRSCH. In addition to other provisions applicable to trustees generally, the following provisions shall apply to the Trustee: (A). No bond or surety shall be required of the Trustee or of any successor Trustee who shall serve hereunder. (B). The Trustee or any successor Trustee may resign by an instrument in writing. (C). In the event that KEVINLEE E. KIRSCH is unable or unwilling to serve or continue to serve as Trustee, I then appoint MYLINDA L. ANDREW of Haddenfield, New Jersey as successor Trustee. -13- (D). Any successor Trustee shall have and may exercise all the rights, powers, duties and discretions conferred or imposed on the Trustee. (E). No one dealing with any Trustee need inquire concerning the validity of anything the Trustee purports to do, or see to the application of any money paid or property transferred to or upon the order of the Trustee. (F). No successor Trustee shall be obliged to examine the accounts and actions of any previous Trustee. (G). No successor Trustee shall be responsible in any way for any acts or omissions of any previous Trustee. (H). No Trustee shall be liable for any act or omission unless the same be due to that Trustee's own willful default. (I). The compensation to be paid to any Corporate Trustee for its ordinary services as Trustee shall be at the rates prescribed for similar trust services in its standard compensation schedule in effect at the time of each charging of such compensation, unless it agrees in writing to a different fee arrangement. Any Corporate Trustee shall receive reasonable additional compensation for all requested or required extraordinary services. It may deduct the compensation at such time or times and from such sources as it may -14- reasonably determine. Reasonable compensation shall be paid to any individual serving as Trustee, unless the individual waives the right to receive compensation. ITEM VIII. Whenever and so often as any beneficiary hereunder to whom payments are herein directed to be made shall be under legal disability or in the sole judgment of my Executor or Trustee shall otherwise be unable to apply such payments to his or her own best advantage my Executor or Trustee may make all or any portion of such payments in any one or more of the following ways: (A). Directly to such beneficiary. (B). To the legal guardian or conservator of such beneficiary. (C). To a relative of such beneficiary to be expended by such relative for the benefit of such beneficiary. (D). By themselves, expending the same for the benefit of such beneficiary. ITEM IX. If my husband, EUGENE G. KIRSCH, and I should die at the same time, or in a common disaster, or under such circumstances that it is difficult or impossible to determine who died first, I, JOYCE L. KIRSCH, shall be deemed to have survived him. -15- ITEM X. I hereby nominate, constitute and appoint my husband, EUGENE G. KIRSCH, as Executor of my estate. In the event that he is unable or unwilling to serve in this capacity, I then nominate, constitute and appoint, my son, KEVINLEE E. KIRSCH, as Executor of my estate. In the event that he is unable or unwilling to serve in this capacity, I then nominate, constitute and appoint, my daughter, MYLINDA L. ANDREW, as Executrix of my estate. In addition to the powers conferred by law, my Executor shall have the same powers granted to my Trustee in ITEM VI above. My Executor is specifically relieved from the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have hereunto set my hand and seal to this my Testament, this I~ day of _~o_ ~_~,~_~_~ , A.D., 1998. Last Will and residing at residing at Joyce L. Kirsch (SEAL) -16- COMMONWEALTH OF PENNSYLVANIA ) : SS. COUNTY OF DAUPHIN ) bA~Lg~ - ~o~;d~ , the Testatrix and the witnesses respec- tively, whose names are signed to the attached or foregoing instrument, being first duly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly (or willingly directed another to sign for her) and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of their knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under no constraint or undue influence. Joyce L. Kirsch Witness Witness Subscribed, sworn to and acknowledged before me b~ JOYCE L. K~R~CH, the Testatrix, and subscribed and sworn to before me by ~o/t3~ & ~-C~h- and b~-(~£~ f_ ~, ~.~ ~ , the witnesses, this I~q-~ day of ~&~7-~B~, 1998. My Commission Expires: NOTARIAL SEAL CHERYL L. FERGUSON, Notary Public City of Harrisburg, Dauphin County My Commission Expires April 6, 2000 Register of Wills of Cumberland County, Pennsylvania CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: Jovce L. Kirsch Date of Death: 12/16/03 Will No. 2004-09029 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphan's Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on u2y04 · Name Address Eugene G. Kirsch Kevinlec E. Kirsch 15 l 7 Kathryn Street N~;w q~¢ml~rl~nd PA 17070 1514 Kathryn Street New Cumb~rlgn0 PA 17070 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: nolle Date: 1/28/04 Capacity: Signature Name: Beniamin J. Butler Address: 500 N. Third Street. P.O. Box 1004 Harrisbur~ PA 17108-1004 Telephone (7 1 7 ) 2 3 6 I 4 8 5 X Personal Representative Counsel for Personal Representative September 22, 2004 Butler Law Firm PO BOX 1004 Harrisburg, PA 17108-1004 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES PO BOX 280601 HARRISBURG, PA 17128-0601 Telephone (717) 787-3930 FAX (717) 772-0412 Dear SidMadam: Re: Estate of Joyce L. Ki~4~h File Number~2104-00~2.~ This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 03/16~05. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. .Sincerely, Claudia Maffei, Supervisor Document Processing Unit Inheritance Tax Division \';"_" 1.~r..J i \-)(\ ;;,)('r"' r r, w .... ::::c:::::fCfl u"''' W"-U ,,00 ,,"'~ ~"-"' "- '" COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500A~~~o INHERITANCE TAX R~TU~~ RESIDENT DECEDENT to- Z W Cl W U W Cl DECEDENT'S NAME (LA.ST, FIRST, AND MIDDLE INITIAL) Kirsch, 10 ee, L. DATE OF DEATH (MM-DD-Year) DATE OF BIRTH (MM-DD-Year) OFFICIAL USE ONLY FILE NUMBER 2 -0 4 0 0 2 9 ""'Cij"[jiJTV"'COOE -----yf:A~ - - NUMBER-- SOCIAL SECURITY NUMBER 20-26-6653 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER 12/16/2003 01/31/1935 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LA.ST, FIRST, AND MIDDLE INITIAL) Eugene G. Kirsch [K] 1. Original Return [K] 4. limited Estate [X] 6. Decedent Died Testate (Attach copy of Will) o 9. litigation Proceeds Received o 2. Supplemental Return [K] 4a. Future Interest Compromise (dateofdealh after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy oITrUSl) o 10. Spousal Poverty Credit (dateofdealh between 12-31-91 and 1-1-95) 03. Remainder Return {date of death prior to 12.13-B2) [K] 5, Federal Estate Tax Return Required 2.... 8. Total Number of Safe Deposit Boxes [K] 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION SHOULD BE DIRECTED TO: NAME COMPLETE MAILING ADDRESS Benamin J. Butler 500 N. Third Street FIRM NAME (If Applicable) Butler Law Firm P.O. Box 1004 TELEPHONE NUMBER 717.236.1485 Harrisbur PA 17108-1004 z o ~ ...J ::l !::: a.. <( u W 0:: z o i= <( to- ::l a.. :iE o u ~ to- 0.00 X .00 (15) 0.00 0.00 X .045 (16) 0.00 0.00 X .12 (17) 0.00 0.00 X .15 (18) 0.00 (19) 0.00 .... z W o z o "- V) W '" '" o U 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) (1) (2) (3) (4) (8) (11) (12) (13) (14) OFFICIA~U_?E ONLY 178,132.00, c _J 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (5) (Schedule E) 6. Jointly Owned Property (Schedule F) (6) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (7) (Schedule G or l) 8. Total Gross Assets (total Lines 1-7) g. Funeral Expenses & Administrative Costs (Schedule H) (9) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) (10) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under See, 9116 (a)(1.2) 16. Amount of Line 14 taxable at lineal rate 17. Amount of Line 14 taxable at sibling rate 18. Amount of Line 14 taxable at collateral rate 19. Tax Due 20 0 CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER ALL QUESTIONS ON REVERSE SIDE AND RECHECK MATH < < 88,126.28 L 266,258.28 20,308.04 259,907.12 280,215.16 -13,956.88 0.00 -13,956.88 .J' ~t:..e:?enl"s Complete Address: STREET ADDRESS 1517 Kathryn Street CITY New Cumberland I STATE PA /ZIP 17070 Tax Payments and Credits: 1. Tax Due (Page 1 Une 19) 2. Credits/Payments A. Spousai Poverty Credit S, Prior Payments C. Discount (1) 0.00 0.00 0.00 Total Credits (A + B + C) (2) 0.00 3. InterestiPenalty it applicable D. Interest E. Penalty TotallnterestiPenalty ( 0 + E) (3) 4. If Une 2 is greater than Une 1 + Une 3, enter the difference. This IS the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5 It Line 1 + Une 3 is greater than Une 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) B. Enter the total at Une 5 + 5A. This is the BALANCE DUE. (5B) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 000 0.00 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ...... ....... ..................... ................. .................... 0 [R] b. retain the right to designate who shail use the property transferred or ItS income; ........................... 0 IKJ c retain a reversionary interest; or ............................................. .................................................. D [R] d. receive the promise for life of either payments, benefits or care? .............. ..................................... D IX] 2. It death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?.......... .......................... ................. ................................. D ~ 3 Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? ........ D ~ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? .............................................. ................. ............................ ~ D IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete Declaration of preparer olher than Ihepersonal represenlative is based on all information of which preparerhas any knowledge SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN ADD~SS S~;~r:s'tr~~ New Cumberland SIGNATURE OC PA~ ~EPRESENTATIVE ADDRESS . Third Street, P.O. Box 1004 Harrisburg DATE 3.1~~-,,<::,- PA 17070 DATE __ 3 - J ~ - b~' PA 17108-1004 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net vaiue of transfers to or for the use at the surviving spouse is 3% [72 PS 99116 (a) (1.1) (I)]. For dates at death on or after January 1, 1995, the tax rate imposed on the net value of transters to or for the use of the surviving spouse is 0% [72 PS 99116 (a) (1.1) (iI)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dates of death on or after July 1, 2000 The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the chiid is 0% [72 PS. 99116(a)(1.2)] The tax rate imposed on the net value of transfers to orlor the use of the decedent's lineal beneticiaries is 45%, except as noted in 72 P.S. 99116(1.2) [72 P.S. 99116(a)(1)]. The tax rate Imposed on the net value of transfers to or for the use at the decedent's siblings is 12% [72 P.S. 99116(a)(1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. REV.1504 EX+ (6-98) , ... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C ClOSEl Y.HElD CORPORATION, PARTNERSHIP OR SOlE.PROPRIETORSHIP ESTATE OF Kirsch Jovce L. FILE NUMBER 21 04 0029 Schedule C-1 or C-2 (including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-proprietorship. See instructions for the supporting information to be submitted for sole-proprietorships ITEM NJMBER 1. DESCRIPTION 5,000.00 shares Kirsch's Printing, Inc. - See attached valuation VALUE AT DATE OF DEATH 178,132.00 TOTAL (Also enter on line 3. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 178,132.00 RE\~-150S EX ~'(6-98) * SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kirsch. Joyce. L. FILE NUMBER 21 04 0029 1, Name of Corporation Kirsch's Printing, Inc. Address 1515-17 Kathryn Street City New Cumberland 2 Federal Employer to. Number 23-2519707 3. Type of Business Printing Company State of Incorporation Pennsylvania Date of Incorporation 6/22/88 State P A Zip Code 17070 Total Number of Shareholders , -, Business Reporting Year Calendar Year Product/Service Printing 4. I STOCK TYPE TOTAL NUMBER OF PAR VALUE NUMBER OF SHARES VALUE OF THE I Voting/Non-Voting SHARES OUTSTANDING OWNED BY THE DECEDENT DECEDENT'S STOCK Common VOtiI1R 10000 $1.00 5,000 $ f 78 132.00 Preferred $ Provide all rights and restrictions pertaining to each class of stock. 5 Was the decedent employed by the Corporation? . If yes, Position DYes IZI No Annual Salary $ Time Devoted to Business 6 . . . . . . . . . . . . . 0 Yes IZI No Was the Corporation Indebted to the decedent? It yes. provide amount of indebtedness $ 7 Was there life insurance payable to the corporation upon the death at the decedent? . . . . . . . . . 0 Yes IZI No If yes. Cash Surrender Value $ Net proceeds payable $ Owner of the polley 8, Did the decedent sell or transfer stock in this company within one year prior to death or within two years it the date of death was prior to 12-31-82? DYes IZI No It yes, 0 Transfer 0 Sale Number of Shares Transferee or Purchaser Consideration $ Attach a separate sheet for additional transfers and/or sales. Date 9. Was there a written shareholder's agreement In effect at the time of the decedent's death? . . . . . . . . . . 0 Yes IZI No If yes. provide a copy of the agreement. Was the decedent's stock sold? ............. If yes, provide a copy of the agreement of sale. etc. Was the corporation dissolved or liqUidated after the decedent's death? ....................... 0 Yes IZI No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. Did the corporation have an interest in other corporations or partnerships? . If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. . . . .0 Yes IZI No 10. 11 12 DYes IZI No THE FOLLOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's stock. B. Complete caples of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years C If the corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/s. If real estate appraisals have been secured, attach copies, D. Ust of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. Ust of officers, their salaries, bonuses and any other benefits received from the corporation, F Statement of dividends paid each year, List those declared and unpaid. G. Any other information relating to the valuation of the decedent's stock. (If more space is needed, insert additional sheets of the same size) SCHEDULE C-l SUPPORINT DOCUMENTATION A. Detailed calculations used in the valuation of the decedent's stock - See attached valuation B. Complete copies of financial statements or Federal Corporate Income Tax returns (Form 1120) for the year of death and 4 preceding years. - See attached C. Ifthe corporation owned real estate, submit a list showing the complete address/es and estimated fair market value/so If real estate appraisals have been secured, attach copies. - No real estate owned D. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. Name Shares Relationship Eugene G. Kirsch 100 Spouse Joyce L. Kirsch 5,000 Self Kevinlee E. Kirsch 4,900 Son E. List of officers, their salaries, bonuses and any other benefits received from the corporation. Name Position Salary Bonus/Other Compensation Eugene G. Kirsch President $104,000.00 n/a Kevinlee E. Kirsch Vice-President $104,000.00 n/a Joyce L. Kirsch Secretarv/Treasurer n/a n/a F. Statement of dividends paid each year. List those declared and unpaid. - N/A G. Any other information relating to the value of the decedent's stock. - N/A RE~-1510EX~,(6. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER 21 04 0029 ESTATE OF Kirsch Jovce. L. This schedule must be completed and filed if the answer to any of questions 1lhrough 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY ITEM INCLUDE THE NAME OF TKE TRANSFEREE,THEIR RELATIONSHIP TO DECEDENT AN D DATE OF DEATH % OF DECO'S EXCLUSION TAXABLE NUMBER THE DATE OF TRANSFER ATTACH A COPY OFTHE DEED FOR REAL ESTATE VALUE OF ASSET INTEREST VALUE IIFAPPLlCABLE) 1. M&T Bank - IRA Account No. 35004201301261 6,324.30 100. 6,324.30 with accrued interest of $4.97 Beneficiary: Eugene G. Kirsch (spouse) 2. M&T Bank - IRA Account No. 35004200920939 3,507.25 100. 3,507.25 with accrued interest of$7.25 Beneficiary: Eugene G. Kirsch (spouse) , M&T Bank - IRA Account No. 35004201774682 78,294.73 100. 78,294.73 .'. wllh accrued interest of $696.43 Beneficiary: Eugene G. Kirsch (spouse) TOTAL (Also enter on line 7 Recapitulation) $ 88,126.28 (If more space is needed, insert additional sheets of the same size) REY-1511 EX;Y. COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kirsch Jovce L. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. FILE NUMBER 21 04 0029 ITEM NUMBER DESCRIPTION AMOUNT A FUNERAL EXPENSES: I. Musselman Funeral Home & Cremation Services 7,195.20 2. Woodland Memorial Gardens 3,940.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Number(s}/EIN Number of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid 2. Attorney Fees Butler Law Firm 8,125.28 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees 299.00 5. Accountant's Fees 6. Tax Return Preparer's Fees Alan J. Ceperich, CPA 500.00 7. Cumberland County Register of Wills - Filing Fees 30.00 8. Cumberland Law Journal- Estate Advertising 75.00 9. The Sentinel - Estate Advertising 136.3] 10. Cumberland County Register of Wills - Additional Short Certificates 6.00 11. Accurint Search 125 TOTAL (Also enter on line 9, Recapitulation) $ 20,308.04 (If more space is needed, insert additional sheets of the same size) RE,~-1512 EX ,', (6-98) * SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kirsch Jovce L. FILE NUMBER 21 04 0029 Include unreimbursed medical expenses. ITEM NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH Villa Teresa 20.00 2. M&T Bank - Installment Loan Account No. 10000192560230001 decedent's one-half share of a joint obligation with spouse 26,099.63 , .,. M&T Real Estate Trust - Mortgage Account No. 000000181102901 decedent's one-half share of a joint obligation with spouse 233,787.49 TOTAL (Also enter on line 10. Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 259,907.12 REV;1513EX.I\:'~. ' ~ SCHEDULE J BENEFICIARIES COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kirsch Jo ce L. NUMBER I. NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 la) 11.2)] L Insolvent Estate FILE NUMBER ?1 04 RELATIONSHIP TO DECEDENT Do Not List Trustee(s) Spousal 0029 AMOUNT OR SHARE OF ESTATE ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET 11. NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS L TOTAL OF PART II - ENTER TOTAL NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV-1500 COVER SHEET $ (If more space is needed, insert additional sheets of the same size) REV-1514 EX + (6-98) * SCHEDULE K LIFE ESTATE, ANNUITY & TERM CERTAIN Check Box 4 on Rev.1500 Cover Sheet FILE NUMBER COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Kirsch Jovce L. 21 04 0029 This schedule is to be used for all single life, joint or successive life estate and term certain calculations. For dates of death prior to 5~1~89, actuarial factors for single life calculations can be obtained from the Department of Revenue, Specialty Tax Unit. Actuarial factors can be found in IRS Publication 1457, Actuarial Values, Alpha Volume for dates of death on or after 5-1-89. Indicate the type of instrument which created the future interest below and attach a copy to the tax return. [KJ Will 0 Intervivos Deed of Trust 0 Other LIFE ESTATE INTEREST CALCULATION NAME(S) OF LIFE TENANT(S) DATE OF BIRTH NEAREST AGE AT TERM OF YEARS DATE OF DEATH LIFE ESTATE IS PAYABLE Eugene G. Kirsch 10/28/27 76 (E]Ufe or DTerm of Years - o Life or DTermofYears - DUfeor o Term of Years - DUfe or DTerm of Years - 1. Value of fund from which life estate is payable. S .32713 0.00 2. Actuarial factor per appropriate table. . . . . . . . . . . . . . . .............. . Interest table rate - 0 31/2% 0 6% 0 10% 0 Variable Rate % 3. Value of life estate (Line 1 multiplied by line 2) $ 0.00 ANNUITY INTEREST CALCULATION NAME(S) OF ANNUITANT(S) NEAREST AGE AT TERM OF YEARS DATE OF BIRTH DATE OF DEATH ANNUITY IS PAYABLE DUfeor DTermofYears - o Ufe or DTerm of Years - DUfeor DTermofYears - o Life or 0 Term of Years - 1. Value of fund from which annuity is payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ 2. Check appropriate block below and enter corresponding (number) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Frequency of payout - 0 Weekly (52) D Bi.weekly (26) 0 Monthly (12) o Quarterly (4) 0 Semi-annually (2) 0 Annually (1) 0 Other ( ) 3. Amount of payout per period. . . . . . $ 4. Aggregate annual payment, Une 2 multiplied by Une 3. 5. Annuity Factor (see instructions) Interest table rate - 0 31/2% 0 6% 0 10% 0 Variable Rate 6. Adjustment Factor (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. Value of annuity - If using 3 1/2%, 6%, 10%, or if variable rate and period % payout is at end of period, calculation is : Line 4 x line 5 x Line 6 $ If using variable rate and period payout is at beginning of period, calculation is : (line 4 x Line 5 x Line 6) + line. 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ NOTE: The values of the funds which create the above future interests must be reported as part of the estate assets on Schedules A through G of this tax return. The resulting life or annuity interest(s) should be reported at the appropriate tax rate on Lines 13, 15, 16 and 17. (If more space is needed, insert additional sheets of the same size) :REV'1647",. SCHEDULE M FUTURE INTEREST COMPROMISE COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT Check Box 4a on Rey-1500 Coyer Sheet FilE NUMBER ESTATE OF Kirsch Joyce L. 21 04 0029 This Schedule is appropriate only for estates of decedents dying after December 12,1982. This schedule is to be used for all future interests where the rate of tax which will be applicable when the future interest vests in possession and enjoyment cannot be established with certainty. Indicate below the type of instrument which created the future interest and attach a copy to the tax return. [KJ Will 0 Trust 0 Other I. Beneficiaries NAME OF BENEFICIARY RELATIONSHIP DATE OF BIRTH AGE TO NEAREST BIRTHDAY 1. Eugene G. Kirsch Spouse 10/28/27 76 2. Kevinlee E. Kirsch Son 8/22/61 42 3. Mvtmda L. Andrew Daughter 3/5/55 49 4. 5. IT. For decedents dying on or after July 1, 1994, if a surviving spouse exercised or intends to exercise a right of withdrawal within 9 months of the decedent's death, check the appropriate block and attach a copy of the document in which the surviving spouse exercises such withdrawal right o Unlimited right of withdrawal o Limited right of withdrawal ITI. Explanation of Compromise Offer: See attached IV. Summary of Compromise Offer: 1. Amount of Future Interest .. . .... .. .......... . .... .. .. . .. .. ........ .. . . . . . . . $ 0.00 2. Value of Line 1 exempt from tax as amount passing to charities, etc. (also include as part of total shown on Line 13 of Cover Sheet) ... . . . $ 0.00 3. Value of Line 1 passing to spouse at appropriate tax rate Check One 06%, 03%, [RJ 0% . ... .... .. . . . . . . $ 0.00 (also Include as part of total shown on Line 15 of Cover Sheet) 4 Value of Line 1 taxable at lineal rate Check One 06%, [RJ 4.5% .. '. ....... . . .. . .. . . . . $ 0.00 (also include as part of total shown on Line 16 of Cover Sheet) 5. Value of Line 1 taxable at sibling rate (12%) (also include as part of total shown on Line 17 of Cover Sheet) . . . . . . $ 0.00 6. Value of Line 1 taxable at collateral rate (15%) (also include as part of total shown on Line 18 of Cover Sheet) .. . .. .$ 0.00 7. Total value of Future Interest (sum of Lines 2 thru 6 must equal Line 1) .. ... .. ."....... . . .. $ 0.00 (If more space is needed, insert additional sheets of the same size) Estate of Joyce L. Kirsch SSN: 210-26-6653 SCHEDULE M FUTURE INTEREST COMPROMISE SECTION III EXPLANA TION OF COMPROMISE OFFER The only probate asset of the Estate of Joyce L. Kirsch is 5,000.00 shares of common stock of Kirsch's Printing, Inc., a Subchapter S Corporation. The terms of the bypass trust as set forth in Item V of the Last Will and Testament of Joyce L. Kirsch provide for the discretionary distribution of income and/or principal by the Trustee to Eugene G. Kirsch (spouse). A Qualified Subchapter S Trust Election will be filed by the Trust. This is necessary in order to maintain Subchapter S status when the stock is owned by a trust. One of the requirements of a qualified Subchapter S trust is that all of the income be distributed to the income beneficiary. This will be done in order to maintain Subchapter S status for the corporation. It is also stipulated that no part of the principal of the trust will be distributed by the Trustee to the income beneficiary. We have exercised our election to tax under Section 9ll3(A) on the first page of the Inheritance Tax Return. We have also filed Schedule M asking for a future interest compromise. However, our investigatiou has determined that the joint obligations of the decedent and her husband, along with the expenses of the estate listed on Schedule H, exceed the value of the decedent's S Corporation stock. As a result the estate is insolvent, and the filing of Schedule M, Future Interest Compromise, is probably not required. However, we did not want to omit any steps in our preparation process so as to facilitate your review of this Inheritance Tax Return. However, our election to tax under Section 9ll3(A) is still valid, even though the estate is insolvent and no bypass trust exists for Pennsylvania inheritance tax purposes. This was confirmed through an exchange of emails with J. Paul Dibert, copies of which are available upon request. '"'0''''''''''' ~. .', ..~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE 0 ELECTION UNDER SEC. 9113(A) SPOUSAL DISTRIBUTIONS ESTATE OF FILE NUMBER Kirsch Jovce L. 21 04 0029 Do not complete this schedule unless the estate is making the election to tax assets under Section 9113(A) a/the Inheritance & Estate Tax Act. If the election applies to more than one trust or similar arrangement, a separate form must be filed for each trust. This election applies 10 the By - P",S5 Trust (mantal, residual A. B. By-pass. Unilled Credil. elc). If a trust or similar arrangement meets the requirements of Section 9113(A), and: a. The trust or similar arrangement is listed on Schedule 0, and b. The value of the trust or similar arrangement is entered in whole or in part as an asset on Schedule 0, then the transferor's personal represenlalive may specifically Identify the trusl (all or a Iraclional portion or percentage) 10 be Included in Ihe election to have such trusl or similar property Irealed as a taxable transler in Ihis estale. If less than Ihe entire vaiue of Ihe Irusl or similar property is included as a laxable transfer on Schedule 0, the personal representative shall be considered to have made the election only as to a fraction of the trust or similar arrangement. The numerator of this fraction is equal to the amount of the trust or similar arranqement included as a taxable asset on Schedule 0, The denominator is equal to Ihe lolal value of Ihe Irust or similar arranqemenl. PART A: Enter the description and value of all interests, both taxable and non-taxable, regardless of location, which pass to the decedent's survivin spouse under a Section 9113 (A) trust or similar arran ement. DESCRIPTION VALUE Joyce L Kirsch By~pass Trust Kevinlee E. Kirsch, Trustee 0.00 Part A Total $ 0.00 PART B: Enter the descri tion and value of all interests included in Part A for which the Section 9113 A election to tax is bein made. DESCRIPTION VALUE Joyce L. Kirsch By-pass Trust Kevinlee E. Kirsch, Trustee 0.00 Part B Total $ (If more space is needed, insert additional sheets of the same size) 000 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL. TAXES PO Box 280601 HARRISBURG, PA 17128-0601 September 22, 2004 Telephone (717) 787-3930 FAX (717) 772-0412 Butler Law Firm PO BOX 1004 Harrisburg, PA 17108-1004 Re: Estate of Joyce L. Kirsch File Number 2104-0029 Dear Sir/Madam: This is in response to your request for an extension of time te:> file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before 03/16/05. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. /'~ '; ...../ ---. ( L___~.---- / I " ---, 0,' i.. Sincere~y, '--a ;," . N /' ,."j -' 11'/../ v.e.~-<..-!:A-C..0 I ""-""J't;ra<....-. / / ' vi c/ Claudia Maffei, Supervisor Document Processing Unit Inheritance Tax Division WHEREAS, on the 12th dated SepteffiPer 1st 1998 was admitted to probate as the last will of KIRSCH JOYCE L (LA:::H, J:<'.LJ<.::H, jVj.Lj)j)1~j late of NEW CUMBERLAND BOROUGH 16th day of Decembe~ 2003 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, GLENDA FARNER STRASBAUGH , Register of Wills the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby that I have this day granted Letters TESTAMENTARY to KIRSCH EUGENE G who has duly qualified as Executor (rix) and has agreed to administer the estate according to law, all of which fully appears of recbrd in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, of my Office the 12th day Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters No. 2004-00029 PA No. 21-04-0029 ESTATE OF KIRSCH JOYCE L \LA:::H, J:<.LJ<.l::i.L', IVj.Lj)j)L~j Late of NEW CUMBERLAND BOROUGH \";Ul"jJ:j~J<.LANj) \";UUl'J'.L'~, Deceased Social Security No., day of January 210-26-6653 2004 an instrument CUMBERLAND County, who died on the in and for certify I have hereunto set my hand and of January 2004. affixed the seal ~, * *NOTE * * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) " LAST WILL AND TBST~ Q! JOYCE L. XJ:RSCH I, JOYCE L. KIRSCH, of the Borough of New CUmbejland' CUllIl:lerland County, Pennsylvania, do make, publish and declare this t . be my Last Will and Testament, hereby revoking all Wills and codicils by me atlany time made. ITEM I. I direct that all inheritance and estat taxes becoming due by reason of my death, whether such taxes may be ~ayable ~ any recipient of any property. shall be paid by my Executo~ my estate or by out of the this will, as an expenae rnd cost of Executor shall have no dU~y or obligation to I obtain reimbursement for any such tax so paid, even thOU9hl on proceeds of insurance or ather property not passing under this will. fn ths absolute discretion of my Executor. he may pay such taxes immedlately or may postpone the payment of taxes on future or remalnder interests unti~ the time possession thereof accrues to the benaf~ciar~es. property passing under ITEM V of administration of my estate. My my Executor to pay the expen$~s illness and funeral expenses from the property passing undrr expense and cast of administration of my estate. ITEM II. I direct of my last this will as an ITEM III. In the event that my husband, EUGENE r' KIRSCg, survives me, I give and bequeath to him absolutely and in fee simple all of my household furniture and furnishings, books, pictures, jewsfry, Silvs,rware, '~"'.,U>L >?-. \'l:,\.....lV~ , personal automobiles, wearing apparel and all other articles of household or personal use or adornment. In the event that my husband, EUGENE G. KIRSCH, does not survive me, I make said bequest to my son, KEVINLEE E. KIRSCH, of New Cumberland, Pennsylvania, if he survives me. In the event that my son, KEVINLEE S. KIRSCH, also predeceases me I then make said bequest to my daughter, MYLINDA L. ANDREW, of Haddenfield, New Jersey. ITEM IV. In the event that my husband, EUGENE G. KIRSCH, survives me, I give, devise and bequeath to him the smallest amount of the assets of my estate that qualify for the marital deduction as will be sufficient to result in the lowest federal estate tax being imposed upon my estate, after allowing for the unified credit and any other allowable credits and deductions. In determining such amount, the values for federal estate tax purposes shall control. It is my.intention that this bequest shall constitute a pecuniary bequest and that it shall not participate in increases and decreases that may occur during the administration of my estace (except such increases and decreases as may result from an election to use the alternate valuation date) . My Executor shall have full power and the sole discretion to satisfy this devise and bequest, wholly or partly, in cash or kind and to select the assets that will be conveyed to my husband. All assets so conveyed to my husband shall be valued at the value thereof as finally determined for federal estate tax purpQses; and provided further that my Executor, in order to implement this devise and bequest, shall distribute to my wife assets, ~~~~\~ o J' ~.~v~~ -2- including cash, having an aggregate fair market value at the date or dates of distribution amounting to no less than the amount of this devise and bequest as finally determined for federal estate tax purposes; and provided further that there shall not be convey~d to my husband any polioy of insurance on tihe life of my husband, or any asset, or the prooeeds of any asset, whioh will not qualify for the marital deduction. The exeroise of the foregoing power and discretion by my Exeoutor shall not be subject to question by or on behalf of any benefioiary. In the event that my husband, EUGENE G. KI~SCH, predeceases me, X give, devise and bequeath all my property as provided in the succeeding Item V of this Will. ITEM V. I give, devise and bequeath the residue of my estate, of every nature and wherever situate, to my Trustee, IN TRUST, for the following uses and purposes: (A). The Trustee shall pay to or expend and apply for'the benefit of my husband, EUGENE G. KIRSCH, sO much of the inoome and principal as he, in his sole discretioh, deems necessary for the proper support, maintenance and welfare of my husband, including medioal, surgical, hospital or other institutional care, having in mind both the standard of living to which he has been accustomed and ....,.., , ~. ,,-,,, '::::'.X- :J-. \) o,J \_\.)'\_...J~,L..--.. -3 - the income available to or for him from other sources. Any income not distributed shall be added to prinoipal. (B). After the death of my husband, EUGENE G. KIRSCH, or if he predeceases me, then upon my death, the Trustee shall distribute the then remaining Trust property as follows: (1). The Trustee shall distribute to my son, KEVINLEE E. KIRSCH, the following property: (a). The real estate situate at 1514 Kathryn Street, Borough of New Cumberland. (b). The real estate situate at 1515 Kathryn Street, Borough of New Cumberland. (c). The real estate sltuate at 1517 Kathryn Street, Borough of New Cumberland. (d). All of my shares of common stock in Kirsch's Printing, Inc. (e). All machinery and equipment, furniture and fixtures, inventory, supplies, vehicles and other tangible personal property utilized in the printing business operated by ~ jj' . -,.',-"""c.. .,.., !"-'v,-.;.}o\~,r....- -4- Kirsch's Printing, Inc. whether owned by me individually or by Kirsch's Printing, Inc. (2). The Trustee shall distribute all of the remaining trust property to my son, KEVINLEE E. KIRSCH and my daughter, MYLINDA L. ANDREW equally, share and share alike. (C). In the event that my son, KEVINLEE E. KIRSCH, predeceases me then one-half of all assets that would otherwise have been distributed by my Trustee to KEVINLEE E. KIRSCH shall be distributed to my daughter, MYLINDA L. ANDREW, and one-half of all assets that would otherwise have been distributed by my Trustee to KEVINLEE E. KIRSCH shall continue In Trust for the following uSes and purposes: (1). The Trustee shall divide the Trust corpus into equal pares corresponding in number to che number of the children of KEVINLEE E. KIRSCH who shall survive me (hsreinafter referred to as "Kevin's child" or "Kevin's children") and shall allocate one of such equal parts to each of Kevin's children. ;..,\......,.,:a. "- f-- " '-.- ._...1.~ 0- -5- (2). The Trustee shall pay to or expe ~ and apply for the benefit of Kevin's children 8 much of the income and principal as she, in her sole ~iscretion, deems necessary for the proper support, maintenance, welfare and education of Kevi children and any such distribution shallb only from the part of the Trust property design as being for the child benefited. Any income distributed shall be added to principal. (3). The Trustee shall pay over to e Kevin's children the entire principal of h part as it shall exist at his or her attai age of twenty-five (25) years. (4). In the event that one of Kevin' children dies prior to attaining the age twenty-five (25) years, his or her part s be added to the parts being held for Kevi surviving children. (D). In the event that my daughter, MYLI L. ANDREW, predeceases me then all assets that wou d otherwise have been distributed by my Trustee t MYLINDA ...._.,~f~ . ! , .' """,1\ . \,.~ -6- L. ANDREW shall continue In Trust for the following Uses and purposes: (1). The Trustee shall divide the Trust Corpus into equal parts corresponding in number to the number of the children of MYLINDA L. ANDREW who shall survive me (hereinafter referred to as "Mylinda's child" or "Mylinda's children") and shall allocate one of such equal parts to each of Mylinda's children. (2). The Trustee shall pay to or expend and apply for the benefit of Mylinda's children so much of the income and principal as he, in his sole discretion, deems necessary for the proper support. maintenance, welfare and education of Mylinda's children and any such distribution shall be made only from the part of the Trust property designated as being for the child benefited. Any income not distributed shall be added to principal. (3). The Trustee shall pay over to each of Mylinda's children the entire principal of his or her part as it shall exist at his or her attaining the age of twenty-five (25) years. '~i.':J("""'" :;' ~ ) '~ \\. ,,\ .\ ...,l.~,...L-- -7- (4). In the event that one of Mylinda's children dies prior to attaining the age of twenty-five (25) years, his or her part shall be added to the parts being held for Mylinda's surviving children. (E). No part of the income or principal or the property held under this trust shall be subject to attachment, levy or seizure by any creditor, spouse, assignee or trustee or receiver in bankruptcy of any beneficiary prior to his or her actual receipt thereof. The Trustee shall pay over the net income and the principal to the parties herein designated, as their interests- may appear, without regard to any attempted anticipation, pledging or assignment by any beneficiary under a trust, and without regard to any claim thereto or attempted levy, attachment, seizure or other process against said beneficiary. ITEM VI. In addition to the powers conferred by law, the Trustee shall have the following powers: (A). To retain in his absolute discretion and for such period as to he shall seem advisable, any and all assets constituting the Trust Fund, without liability for .- _.~...\<", ~'. ............., ..l.... ~. .... -8- any loss incurred by reason of the retention of such assets. (B). To change investments and properties, and to invest and reinvest all or any part of the corpus of the Trust hereby established, in such securities, investments, or other property as to him seems advisable and proper, irrespective of whether the same are authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (C). To sell all or part of the property which at any time may constitute a part of the Trust hereby established, at such times, upon such terms, for cash or ~ manner ~ on credit, with or without security, in such such prices, either at public or private sale, as to him shall seem advisable and proper, and to execute good and sufficient deeds and bills of sale therefor. (D). To lease any property held by him and fix the duration of the term, irrespective of the provisions of any statute or of the termination of the trust; and to mortgage, pledge, collect, convert, redeem, exchange, or otherwise dispose Of-any securities or other property at any time held by him. ----..:~ -,~ ;::. ,(I l....... ~..;'/ \-.-0' -9- (E). To borrow money, whether to pay taxes, exercise subscriptions, rights, and options pay assessments or to accomplish any other purpose of any nature incidental to the administration of the Trust hereby established, and to pledge any securities or other property held by him as security therefor. (P). To enforce any bonds, mortgages, or other obligations or liens held hereunder; to enter upon such contracts and agreements and to make such compromises or settlements of debts, claims, or controversies as he may deem necessary or advisable; to submit to arbitration any matter or difference; to vote personally or by proxy any shares of stock which may at any time be held by him hereunder. (G). To consent to the reorganization, consolidation, merger, liquidation, readjustment of or other change in any corporation, company, or association, or to the sale or lease of the property thereof or any part thereof, any of the securities or other property of which may at the time be held by him thereunder, and to do any act or exercise any power with reference thereto that " '"'-J~"-<:'\I. 1: \2A~", ","-- - ' -10- , . may be legally exercised by any person owning similar property in his own right, including the exercise of conversion, subscription, purchase or other options, the deposit or exchange of securities, the entrance into voting trusts, and the making of agreements or subscriptions which he may deem necessary or advisable in connection therewith, all without applying to any court for permission so to do, and to hold, redeem, sell or otherwise dispose of any securities or other property which he may so acquire, irrespective of whether the same be authorized for the investment of trust funds by the laws of the Commonwealth of Pennsylvania. (Hl ." To cause to be registered in his name as Trustee hereunder, or in the names of his nominees without qualification or description, any securities at any time held in the Trust hereby established. (I). To determine the manner in which the expenses incidental to or connected with the administration of the Trust hereby established shall be apportioned as between income and principal. , " "~1C"''':I~ J", l,-,- \...~,' 1..---- -11- (J). To carry out agreements made by me during my lifetime, including the consummation of any agreements relating to the capital stock of corporations owned by me at the time of my death, and including the continuation of any partnership of which I may be a member at the time of my death whenever the terms of the partnership agreement obligate my estate or personal ~epresentative to continue my interest therein, and to enter into agreements for the rearrangement or alteration of my interests or rights or obligations under any auch agreements in effect at the time of my death. (K). To apportion extraordinary and stock dividends recei ved.. by him between income and principal in suell. manner as he may see fit; provided, however that all rights to subscribe to new or additional stock or securities, and all liquidating dividends shall be deemed to be principal. The Trustee may freely act under all or any of the powers of this Agreement given to him in all matters concerning the Trust hereby established, after forming his judgment based upon all the circumstandes of any particular situation as to the wisest and best course to pursue, without the necessity cf obtaining the consent or approval of any court, and notwithstanding that he ~..........,~,,;.... ) , ''C 1 .\....1 . , - -12- " '. may also be acting as an individual, or as trustee of other trusts, or as afi agent for othe~ persons or corporations interested in the same mattets, Qr may be interested in connection with the same matters as stockholders, direc~ors or otherwise. ~he powers herein granted to the Trustee may be exercised in whole or in part, from time to time, and shall be deemed to be supplementary to and not exclusive of the general powers of trustee puisuant to law, and llhall include all powers necessary to carry the same into effedt. ~he enumeration of specific powers herein shall nct be construed in any way tc limit or affect the general powers herein granted. ITEM VII. The Trustee of the foregoing Trusts shall be KEVINL$E E. KIRSCH. In addition to other provisions applicable to trustees generally, the following provisions shall apply to the Trustee: (Al. No bond or surety shall be required of the Trustee or of any successor Trustee who shall serve hereunder. (Jill. Th~ Trustee or any suooessor Trustee may resign ):)y IU\ instrument in writing. (Cl. In the event that KEVINLEE E. KIRSCH is unable or unwilling to serve or continue to serve as Trustee, I then ..ppo1nt MYLINOA L. ANDREW of " Hadden field, New Jersey as successor Trustee. .. ,,,"" ~ ,- d~~ to-. .....Ur~ -13- '. '.I "" (D). Any successor Trustee shall have and ~ay exercise all the rights, powers, duties and discretions conferred or impohd I on the Trustee. (E). No one dealing with any Trustee need inquire ~oncerning i the validity of anything the Trustee purports to do, or tee to the application of any money paid or property transferred to or upon the order of the Trustee. (F) . No successor Trustee shall be obliged to exam1ne the accounts and aotions of any previous Trustee. (Gl. No sucoessor Trustee shall be responsible " tv "v ,,, any acts or omissions of any previous Trustee. (H). No Trustee shall be liable for any act or omi.sion unless the same be due to that Trustee's own willful detault. i (I). The oompensation to be paid to any Corporate 1rustee for its ordinary services as Trustee shall be at the rates p esoribed for similar trust ser~ices in its standard Qompehsation chedule in effect at the time of each charging of such comp~sation, unless it agrees in writing to a different fee arrangement. Any Corporate Trustee shall receive reasonable additional compensation for all requested or required extraordinary services. It may de uct the compensation at such time or times and from such sources as it may ~bo""f~~ v . ,) '" -;:., \. . .. .t -14- :1 " ','", . reasonably determine. Reasonable compensation shall be paid to any individual serving as Trustee, unless the individual waivea the right to receive compensation. ITEM VIII. Whenever and so often as any beneficiary hereunder to whom payments are herein directed to be made shall be under legal disability or in the sole judgment of my Executor or Trustee shall otherwise be unable to apply such payments to his or her own best advantage my Executor or Trustee may make all or any portion of such payments in anyone or more of the following ways: (Al. Directly to such beneficiary. (B). To the legal guardian or ccnservator of such beneficiary . (C). To a relative of such beneficiary tc be expended by such relative for the benefit of such beneficiary. (D). By themselves, expending the same for the benefit of such beneficiary. ITEM IX. If my husband, EUGENE G. KIRSCH, and I should die at the same time, or in a common disaster, or under such circumstances that it is difficult or impossible to determine who died first, I, JOYCE L. KIRSCH, shall be deemed to have survived him. . .~"......~ i,. \~"....I.....- -15- " . '. ITEM X. I hereby nominate, constitutejand appoint my husband, EUGENE G. KIRSCH, as Executor of my estate. In ihe event that he is unable or unwilling to serve in this capacity, I then nomijate, oonstitute and appoint, my son, KEVINLEE E. KIRSCH, as Executor of my es ate. In the event that he is unable or unwilling to serve in this capacity, Iithan nominate, constitute and appoint, my daughter, MYLINDA L. ANDREW, as Exec trix of my estate. , In addition to the powers conferred by 'law, my Executor shall hav. the same powers granted to my Trustee in ITEM VI above. My Executor is specifically relieved f om the duty or obligation of filing any bond or bonds. IN WITNESS WHEREOF, I have hereunto se my hand and seal to this my Last Will and Testament, this ,,if; , day of . A.D., 1998. J~ ,.;:. . 1::;.,'-'lIoVL- ce L. Kirseh (SEAL) WITNESS: fk AfJk' residing at d r: "=j- , ~. -' rr, ., ~ . 'G....-:...::I /1 /;'k,-j ) l "__ I 7/10 ~o...~ \l'i, 5i......\.....~~c. residing at ~, ;4.. '. ( , l. , I. ''"''''''t.......'t,.'\..: \. ......"" ") ., l(Jc\,.~ ')'i it \'7 I' -16- , " ': " ' COMMONWEALTH OF PIlNN5YLVANIA 55. COlJNTY OF DAOPHIN '" We, JO'f"CE L;--.KIRSCH, i\ O..,JAL'c' D.. t-UtLf..K- , and -L.1A~L ~JU E.. IV\. ~UL,'CK ,the Testatrix and the witnesses rupec- tively, whose names are signed to the attached or foregoing instrument, being first ~uly sworn, do hereby declare to the undersigned authority that the Testatrix signed and executed the instrument as her Last Will and that she had signed willingly (or willingly directed another to sign for her) and that she executed it as her free and voluntary act for the purposes therein expressed, and that each of the witnesses, in the presence and hearing of the Testatrix, signed the Will as witness and that to the best of their knowledge, the Testatrix was at that time eighteen years of age or older, of sound mind and under RO constraint or undue influence. .~ .....,~...,Q * k.:...'-"-..:vl".....L__ . Joyce L. Kirsch /), t////0/O ,;; :.t.,'(~I!/'Cft-i;."(. Witness ,- . ~ . ".. . . , / .. :. i.:.'- witness Subscribed, sworn to and acknowledged before me the Testatrix, and subscribed and sworn c? before me by ?,.-t:.IL and",' . ,\ , {:... ..... \ '-1:__ ,. ..(. " witnesses, this j.-\!.+- day of '~.f !'~f,c......... r't r ...._, 1998_ by JOYCE L. 1(,., ~J A'- ,) KIRSCH, 1" , the .;.:::.. ~ C-,,,..-i.~ ;// I~ Notary -J.. .J _).-(...-4 ( 1--'..1.,(,-..,." Public /\ My Commission Expires: f NOTARIAL SEAL , CHERYL L. FERGUSON, Notsty Public City at Harrisburg, Dauphin County M Commission Expires A nl e. 2000 Au; 3104 OS:14a 1".2 ,l<.'C(JI('/(!iltfj ~ceB'C L/{la/l:7 G'~ertch) CPA EA 33 N. Second Street. Harrisburg. PA 17101 . Telephone (717) 238-5919 . Fax (717) 238-5355 July 13,2004 Kirsch's Printing, Inc 1515 Kathryn 5t New Cumberland, PA 17070 I have been engaged to estimate the fair market value of Joyce Kirsch's ownership interest in Kirsch's Printing, Inc. for estate purposes. Fair market value is the price at which property would change hands between a willing buyer and a willing seller, neither being under a compulsion to buy or sell and both having reasonable knowledge of all relevant facts. Kirsch's Printing, Inc is a commercial printer of booklets, pamphlets, business cards, flyers, place mats, menus, stickers, tablets, letterheads, envelopes, bumper stickers and all types of forms. They also do blind embossing, foil stamping and embossing, combination foil bi-levels, offset printing and raised printing, four color printing, letterpress printing, die cutting, laminating, layout and design, desktop publishing, folding, scoring, numbering, shrink wrapping, they also make negatives and plates. The following methods were used to estimate fair market value.; The Capitalization Method and The Discounted Future Earnings Method. These approaches were appropriately weighted to determine an estimated fair market value of Joyce Kirsch's 50% ownership of Kirsch's Printing, Inc. After consideration of various factors and other relevant data, it is my opinion that the fair market value of Joyce Kirsch's 50% ownership interest in Kirsch's Printing, Inc., as of December 16,2003, is $178,132. This valuation is subject to assumptions and limiting conditions. I do not have any present or contemplated future interests in Kirsch's Printing, Inc., any personal interest with respect to the parties involved, or any other interest that might prevent me from performing an unbiased valuation. HU~ dl U~ U~:l~a Kirsch's Printing Ine Business Valuation as of 12131103 Original Cost Book Value Cash 187127 187127 AcctRec Prepaid Exp Fixed Assets n/a o 1304 123542 '304 425304 Other curr Uab o Accts Payable n/a Olher Liab n1a o Net Asset Value Fair Mkt Notes: Value Figures per 2003 tax retum as filed 83448 then adjusted for accrual AP and AR. (no significant AP or AR) o Acet Rae nol significant per Alan) 1304 212652 Using 50% of original cost for FMV-maJority of assets <7yrs old o o Current Liab aclually overpaid and shown as Prepaid o o No Payabies-<::Hent pays bills promptly per Alan 311973 297404 35688A8 assumed a 12% rate of retum (moderate) Kirsch', PrInting lnc Oetermlnatlon of Adjusted Income farVa/uiltlon combined Income return en assets @ 12% Book income as per Sehd M-1 of retum adjust for owners wages excess renls 2003 206016 o 2002 67823 o 2001 300209 o 2000 7700 1999 23216 due to fJueuation used 5 yr average believe wages to be reilsQnable o o o b~rjlllv. rent Is FMV 23218 604964 206016 87823 average Income 120992.8 less expected return on assets 35888.48 excess profits 65304.32 Capilalization rate 69.00% GOODWILL 56860 Net Tangible Assel Value 297404 356264 ownership % 50.00% Estimated value-Joyce Kirsch's interest $178,132 300209 7700 p.3 ri.k category risk ..tlmat. rl.k rate 1. market 2. industry 3. busln... 4. FinancIal 5. Mgmt 6, liquidIty moderate moderate moderate low high low total capitalization rate reviewed above risk categories to assess risk rate 12.00% 12.00% 12.00% 6.00% 15.00% 12.00% 69.00"/0 i" :;:JU Uolt Ul:::)~p p.l m1lVl&rBank 499 Mitchell RoM, MilI.boro, DE 19966 Mall Code DE.MB-12 Phon. (888) 502.4349 Fax (302) 934.295; September 30, 2004 Fax: 717-1.36-7777 Butler Law Firm POBox 1004 Harrisburg, PA 17108-1004 Re: Estate of' Jovce L. Kirsch Social Securitv: 210-26-6653 Date of Death: December 16. 2003 Dear Sir or Madam: Per your inquiry dated September 22, 2004, please be advised that at the time of death, the above.named decedent had on deposit with this bank the following: 1. Type of Account Checldng Account ACcount Number 51521962 Ownership (Names oj) Eugene G Kirsch, Joyoe L Kirsch, Joint Owners Opening Date 9/28/78 eolance on Date of Death $45,765.11 Accrued Jnterest $ 3.19 Total ..s:{j)"68j(f................-..................................................... 2. Type of Account Certificate of Deposit Account Number 03/003914593198 Ownership (Names oj) Eugene G Kirsch, Joyce L Kirsch, Joint a..ners Opening Dale 1/9/98 Bulance an Dale of Death $6,290.86 A~crued Interest :5 2.33 ..$6]9Ti9".......-........-....... ........ .........-.."........-........... Total ~ep ~u U~ u~;~cp 1".'" 3. Type of ACCOWlt Business Checking Account Account Number 990204845 Ownership (Names of) Kirsch's Printing /nc. Foil Slamping & Embossing Eugene G Kirsch, JoyCe L Kirsch, Kevin/ee E Kirsch, Signators Opening Date l1!21/01 $36.578.54 Balance on Dale of Death Accmed Interest $ 0.00 Tolal ...$3-;;:578.Ti-..--..-..--.--..--.-........--......---....-..-.. -....... 4. Type of Accaunl Business Checking Account Account Number 990204853 Ownership (Names of) Kirsch's Printing inc. Eugene G Kirsch, Jayce L Kirsch, Kevlnlee E Kirsch, Signa/ors Opening Date ///2//01 Tolal $1,500.00 $ 0.00 -..$];5oo-:--6(j'.-.-....-.......~.......-....-....-....-.............-...- Balance on Date of Death Accrued interest 5. Type of Account Business Checking AccOllnl Account Number 99020486/ Ownership (Names of) Joyce and Eugene Kirsch Kirsch's Printing Inc Expense Account Joyce L Kirsch, DBA Opening Date ///21/0/ Closed //9/04 $9,732.87 Ba/ance Oil Date of Death Total $ 0.00 -$9)3i'87"..-....... ..-....--...... .. ..-............... .-........--.........-... Accrued Interest ~ep dU U~ Ul:~~p 6. Type of Account Account Number Ownership (Names oj) Opening Dot. Balance on Date of Death Accrued Interest Total 7. Type of Account Account Number Ownership (Names oj) Opening Date Balance on Date of Death Current Balance For Addilionallnformatlon on this 8, Type of Account Account Number Ownership (Names oj) Opening Date Balance on Date of Death Accrued Interest Total 9. Type of Account Accou/1t Number Ownership (Names oj) Opening Date Balance on Dale of Death Accrued Imerest Total p.., Business Flex: Checking Account 9834742372 Kirsch's PrlntlJlg Inc. IixPQflse ACCOWlt Eugene G Kirsch, Joyce l. Kirsch, Kevinlee E Kirsch, Signator's 8/28/03 $12,358. II $ 0.00 .$12:358.11....--------'~--..------.-------------.----..----..,- Installment Loan 10000192560230001 Eugene G Kirsch, Joyce l. Kirsch 2/6102 $52,199.26 $48,509.88 -A~~;;~~icaii866-408:2'7Pi opiio~"i""-- IRA 35004201301261 Joyce L Kirsch 2/4/00 Closed 5/14/04 $6,319.33 $ 4.97 "r6;Ji4.3o" -- .--' -.-, ..,.... -- ...' --...- - .,.. IRA 35004200920939 Joyce L Kirsch 8/29/03 Closed 1m/IN $3,500.00 $ 7.25 ..S3]07.2S.'..-.-..'-.- '. -. ----..',..- ---.- ~ep ~u U~ u~;~cF ",.., 10. Type of Ae<:ount IRA Account NlO1lher 35004201774681 Ownership (Names of) Jayce L Kirsch Opening Dote 4/14/83 Closed 5/14/04 Balance on Date afDeath Total $77,598.30 $ 696.43 --iiii294.-'H'----------..----------- ----..-.-.. Accrued Interest Please be advised, there was no safe deposit box found for the above decedent. For further account information, regarding ownership, closures andlot reimbursement or funds, please call the Highland Park Office at 1/ 717.737.3322. Sincerely, - /~1f C.z'...~ Nancy Clagett Records Management ..._.~____'.e,.,,-'._,_, ',~-"". , r,"''''' llll) 238-5355 I 0: 2~1J.7771 pgge: 3/4 Dgle: 912112004 2:38:58 PM " i , Ii I Eugene Klrsch\l Joyce Kil'tlch .'. II Quarterly MOl'lth Pa ant Prlnci al Interes Balance Rent B~nning Balance 493.000.00 " 25/2001 3.791.81 625.65 3.166.1 492.374.35 0'/2512002 3.791.81 90a.eS 2,883.1 491.465.66 02125/2002 3,791.81 914.00 2,877.8 490.551.66 O~/2512002 3,791.81 1,197.34 2,594.4 489,354.32 11.375.43 0.\125/2002 3,791.81 926.37 2,865.4 488.427,95 0$/25/2002 3,791.81 1,024.05 2,787.7 487,403,90 06/25/2002 3,791.81 937.79 2,854.0 486.466.11 11,375.43 o 125/2002 3,791.81 1.035.17 2,756.6 485.430.94 0 5/2002 3.791.81 949.34 2.842.4 484.481.60 o 25/2002 3,791.81 954;90 2,836.9J 483.526.70 11.375.43 1 2512002 3,791.81 1.051.83 2,739.9 \ 482.474.87 11 2512002 3,791.81 966.65 2.825.1~ 481,508.22 1 25/2002 3.791.81 1,063.26 2,72$.551 480,444.96 ' 11.375.43 0125/2003 3.791.81 978.54 2,813.27 479,466.42 o 25/2003 3,791.81 984.27 2,807,54 476.482.15 03 25/2003 3.791.81 1,261.17 2,530.64 ' 477,220.98 11,375.43 512003 3,791.81 997.42 2,794.39 476,223.56 512003 3.791.81 1.093.21 2,898.60 415,130.35 5/2003 3,791.81 1,009.El5 2,782.16 474,120.70 11,375.43 5/2003 3,791.81 1,105.13 2.688.88 . 473.015.57 5/2003 3,791.81 1.290.08 2.501.73 471,725.49 11,315.43 : 5/2003 3,791.81 762.28 3.029.53 410,963.21 5/2003 3.791.81 1,211.98 2,579.83 469.751.23 . 11 5/2003 3,791.81 952.42 2.839.39 488,798.81 12/ 5/2003 3.791.81 1,223.83 2.561.98 467,574.98 11,316.43 \i \ This fax 'MIS 5ent with GFI FAXl'n1.~.r fax:,leNer. ~or morA i"fnrtT1:l1t\~~ Ilicit' ~++...'J"~AU~''''''; .......- ... Form (Rev. August 2003) United States Estate (and Generation.Skipping~ Transfer) Tax Return ~ Estate of a citizen or resident of the United Slates (see separate Instructions). Department of the Treasury To be filed for decedents dying after December 31, 2002, and before January 11 2004. Internal Revenue Service For Paperwork Reduction Act Notice, see the separate Instructions. 1a Decedent's first name and middle initial (and maiden name, if any) 1 b Decedent's last name "' ~ Jo ce L. ~ 3a legal residence (domicile) at time of death (county, state, and ~ CLlmb~;a~~d~'o::oreign country) PA 17070 ~ 6a Name of eXecutor (see page 3 of the instructions) ~ i Eucrene G, Kirsch ] 6e Executor's sociai security number (see page 3 of the instructions) 1517 Kathrj'TI Street . ' , Q 2 0 1 'I 6 '1 9 1 9 New Cumberland I. 7a Name and location of court where will was probated or estate administered : ! Cumberland Coun ,P A ~ I 8 If decedent died testate, check here...lZI and attach a certified copy of the will. 10 If Schedule R.1 is attached, check here "'" 0 2 Decedent's Social Security No. 106 ~~'5 Kirsch 3b Year domicile established 4 Date of birth 210 2 6 '6 6 5 3 5 Date of death 1935 1/31/35 12/16/03 6b Executor's address (number and street including apartment or suite no. or rural route; city, town, or post office; state; and ZIP code) PA 17070 7b Case number 2004-00029 9 If Form 4768 is attached, check here .. 1ZI 1 Total gross estate less exclusion (from Part 5, Recapitulation, page 3, item 1.2) 2 Total allowable deductions (from Part 5, Recapitulation, page 3, item 23) 3 Taxable estate (subtract line 2 from line 1) . 4 Adjusted taxable gifts (total taxable gifts (within the meaning of section 2503) made by the decedent 4 after December 31,1976, other than gifts that are includible in decedent's gross estate (section 2001 (b))) ; 5 Add lines 3 and 4 6 Tentative tax on the amount on line 5 from Table A on page 4 of the instructions 7 Total gift tax payable with respect to gifts made by the decedent after December 31, 1976. Include gift taxes by the decedent's spouse for such spouse's share of split gifts (section 2513) only If the decedent was the donor of these gifts and they are includible in the decedent's gross estate (see instructions) 8 Gross estate tax (subtract line 7 from line 6) 9 Maximum unified credit (applicable credit amount) against estate tax . 10 Adjustment to unified credit (applicable credit amount). (This adjustment may not exceed $6,000. See page 5 of the instructions.) . 10 .2 11 Allowable unified credit (applicable credit amount)(subtract line 10 from line 9) ~ 12 Subtract tine 11 from line 8 (but do not enter less than zero) . E 13 Credit for state death taxes (cannot exceed line 12). Attach credit evidence (see instructions). Figure <3 the credit by using the amount on line 3 less $60,000. See Table B in the instructions. ~ Enter the amount here from Table B .. _ _ _ _ _ _ ~OJJ x .50 .. 'f 14 Subtract line 13 from line 12. . . . . , . " :viCE ~ 15 ~~~d~~ft:i~~~eralgiftt""Wft~A]~j~t16~"% ~~~. . 15 ~ 16 ~~~~;:~;~~_~~n) death taxes (froRB{;EI\[ED 16 17 Credit for tax on prior transfers (from sch~~~11\ Q15' 2005 17 18 Total (add lines 15, 16, and 17). . . MA~ . , . . 19 Net estate tax (subtract line 18 from line 14) ..' . ... ce 20 Generation-skipping transfer taxes ~leE~~14 M~~~o) 21 Total transfer taxes (add lines 19 and 20) Harrl?b~rg,"PX " , 22 Prior payments. Explain in an attached statemG,OUP 45 ., 22 , 23 United States Treasury bonds redeemed in payment of estate tax 23 24 Total (add lines 22 and 23) I 24 ,25 Balance due or over a ment subtract line 24 from line 21 . 25 .U~der penalties of perjury, i declare that J have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, It IS true, correct, and complete. Declaration of preparer other than the executor is based on aU information of which preparer has any knowledge. 1 2 3 7 562230 3 17 0 5 6 9 4 - 9 8 7 8 79 1 '68 9 4 -8 0 0 11 12 o bo 13 14 o 18 19 i 20 21 o o Signature(s) of executor{s) 4-- ' [~,-, i~ 1517 Kathryn Street New CumbeTiand PA 17070 DatEll " ... \,-\.~ (.:-'~ 1(r~ r- Date 42-1J- 500 N. Third Street, P.O. Box 1004 HalTisbur!l; PA Address (and ZIP code) 171 08-1 004 RBA CG(Q)[P)W Form ;:'06 (Rev, 8-2003) Estate of: Joyce L. Kirsch Part 3 -Elections by the Executor Please check the "Yes~ or "No" box for each question. (See instructlons beginning on page 6.) Yes No Do you elect alternate valuation? 2 Do you elect specIal use valuation? If "Yes," you must complete and attach Schedule A-1. 3 Do you elect to pay the taxes in installments as described in section 6166? . If "Ves," you must attach the additional information described on page 9 of the instructions. 4 Do you elect to postpone the part of the taxes attributable to a reversionary or remainder interest as described in section 6163? . 11 X .~ , . X Part 4 - General Information (Note: Please attach the necessary supplemental documents. You musl ettach the death certificate.) (See instructions on page 10.) Authorization to receive confidential tax information under Regs. sec. 601.504(b)(2)(i); to act as the estate's representative betore the IRS; and to make written or oral presentations on behalf of the estate if return prepared by an attorney, accountant, or enrolled agent for the executor: Name of representative (print or type) Ronald D. Butler I declare that I am the this return for the executor. state shown above. Signature State Address (number, street, and room or suite no., city, state, and ZIP code) PA 500 N Third St, P.O. Box 1004 Harrisbur PA 17108.1004 IX! attorney/ 0 certified public accountan1/ enrolled agent (you must check the applicable box) for the executor and prepared I am not und r suspension or disbarment from practice before the Internal Revenue Service and am qualified to practice in the CAF number , 2600-00475R Telephone number 717.236.1485 Death certificate number and issuing authority (attach a copy of the death certificate to this return). Commonwealth of Pennsylvania, Department of Health . No. P 9811985 2 Decedent's business or occupation. If retired, check here Ill- IXI and state decedent's former business or occupation. Bookkeeper of printing company 3 Marital status of the decedent at time of death: 00 Married o Widow or widower-Name, SSN, and date of death of deceased spouse .... _ _ _ _ _ _ _ _ _ _ _ _ _ ._ _ _ _ _ _ _ ---------------------------------------------- o Single o Legally separated o Divorced-Date divorce decree became final .... 4a Surviving spouse's name 14b Social security number 114CAmount received (see page 10 of the instructions) Eugene G. Kirsch '2 0 I I I 6 : 1 9 1 9 562,230.73 5 Individuals (other than the surviving spouse), trusts, or other estates who receive benefits from the estate (do not include charitable beneficiaries shown in Schedule 0) (see instructions). For Privacy Act Notice (applicable to individual beneficiaries only), see the Instructions for Form 1040. Name of individual. trust, or estate receiving $5,000 or more Kevinlee E. Kirsch, Trustee of Bypass Trust Identifying number : 76-6204835 Relationship to decedent Amount (see instructions) 157,803.96 trust All unascertainable beneficiaries and those who receive less than $5 oao ~ Total Please check the "Yes" or "No" box for each auestion. 6 Does the gross estate contain any section 2044 property (quallfied terminable interest property (QTIP) from a prior gift or estate) (see page 11 ofthe instructions)? ' (continued on next page) 157,803 96 Yes No X Page 2 Form 70~ (Rev. 8-2003) Part 4-Generallnformation (continued) Please check the "Yes" or "No" box for each question. 7a Have Federal gift tax returns ever been filed? . . . If "Yes," please attach copies of the returns, if available, and furnish the following information: 7b Period(s) covered 17c Internal Revenue office{s) where filed 1998, 1999,2000,2001 and 2002 see attached copies ofretums If you answer "Yes" to any of questions 8-16, you must attach additional Information as described In the instructions. 8a Was there any insurance on the decedent's life that is not included on the return as part of the gross estate? b Did the decedent own any insurance on the life of another that is not included in the gross estate? 9 Did the decedent at the time of death own any property as a joint tenant with right of survivorship in which (a) One or more of the other joint tenants was someone other than the decedent's spouse, and (b) less than the full value of the property is included on the return as part of the gross estate? If "Yes," you must complete and attach Schedule E 10 Did the decedent, at the time of death, own any interest in a partnership or unincorporated business or any stock in an inactive or closely held corporation? 11 Did the decedent make any transfer described in section 2035 2036 2037 or 2038 (see the instructions for Schedule G Yes No iX : X I X 1 X x beginning on page 13 of the separate Instructions)? If "Yes," you must complete and attach SChedule G I , X 12 Were there in existence at the time of the decedent's death: a Any trusts created by the decedent during his or her lifetime? X b Any trusts not created by the decedent under which the decedent possessed any power, beneficial interest, or trusteeship? , X 13 Did the decedent ever possess, exercise, or release any general power of appointment? If "Yes," you must completa and attach SChedule H X 14 Was the marital deduction computed under the transitional rule of Public Law 97-34, section 403(e)(3) (Economic Recovery Tax Act of 1981)? 'X If "Yes," attach a separate computation of the marital deduction, enter the amount on item 20 of the Recapitulation, and note on item 20 "computation attached." 15 Was the decedent, immediately before death, receiving an annuity described in the "General" paragraph of the Instructions for Schedule I? If "Yes," you must complete and attach Schedule I . X 16 Was the decedent ever the beneficiary of a trust for which a deduction was claimed by the estate of a pre.deceased spouse under section 2056(b)(7) and which is not reported on this return? If "Yes," attach an explanation X Part 5-Recapitulation ~ Gross estate ! number! Alternate value Value at date of death 1 ! Schedule A~ Real Estate 1 o 00 2 I Schedule B~Stocks and Bonds 0 178132 00 3 ! Schedule C~Mortgages, Notes, and Cash , o 00 4 Schedule D~lnsurance on the Decedent's Life (attach Form(s) 712) 4 10899 74 5 Schedule E~Jointly Owned Property (attach Form(s) 712 far life insurance) 5 463204 71 6 Schedule F -Other Miscellaneous Property (attach Form(s) 712 for life insurance) 6 o 00 7 Schedule G----- Transfers During Decedent's Ufe (att. Form(s) 712 for life insurance) 7 o 00 , 8 , Schedule H~ Powers of Appointment 8 o 00 9 Schedule I Annuities I 9 . 88126128 10 : Total gross estate (add items 1 through 9). 10 740362173 11 Schedule U ~Qualitied Conservation Easement Exclusion 11 12 Total gross estate less exclusion (subtract item 11 from item 10). Enter here and on line 1 of Part 2-Tax Computation i 12 740362 73 Item number I Deductions Amount 13 I Schedule J -Funeral Expenses and Expenses Incurred in Administering Property Subject to Claims 13 o 00 14 .ScheduleK~DebtsaftheDecedent ................. 14 o 00 15 I Schedule K~Mortgages and Uens ' l' o 00 16 I Total of items 13 through 15 . . . . . . . . . . . . . . . . . . . . 16 0.00 17 Allowable amount of deductio.ns from ~tem 1 ~ (see the instructions for item 17 of the Recapitulation) 17 n 00 18 ! Schedule l ~Net losses Dunng AdminIstration ........,..... 18 0100 19 Schedule l-Expenses Incurred in Administering Property Not Subject to Claims 19 o 00 20 Schedule M~ Bequests, etc., to Surviving Spouse 20 562230 73 21 Schedule 0 - Charitable, Public, and Similar Gifts and Bequests ,21 o 00 Schedule T - Qualified Famil"-Owned Business Interest Deduction , 22 . : 22 o 00 23 Total allowable deductions (add items 17.through 22). Enter here and on line 2 of the Tax Computation 23 562230 73 Page 3 Form 706 (Rev. 8.2003) Estate of: Joyce L Iiirsch Description including face amount of bonds or number of shares and par , Alternate - r~alue at date of death Item i Unit value Alternate value number value where heeded for identification. Give 9-digit CUSIP number. valuation date 1. i 5,000.00 shares Kirsch's Printing, Inc, r CUSIP number $178,132.00 See attached valuation r r , , , I SCHEDULE B-Stocks and Bonds (For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.) Total from contln~ation schedules (or additional sheets) attached to this schedule 0.00 TOTAL. (Also en:ter on Part 5, Recapitulation, page 3, at item 2.) $178,132.00 (If more space is need eo, attach the continuation schedule from the end of this package or additional sheets of the same size.) (The instructions to Schedule B are in the separate instructions.) Schedule B- Page 12 Form 706 (Rev, 8-2003) Estate of: Joyce L. Kirsch SCHEDULE D-Insurance on the Decedent's Life You must list all policies on the life of the decedent and attach a Form 712 for each polley. Item I numberi Description Altemate valuation date Alternate value Value at date of death The Prudential Insurance Company of America ~ Policy No. 73 195775 Insured: Joyce L. Kirsch Beneficiary: Eugene G. Kirsch (spouse) 10,899.74 _I Total from continuation schedules (or edditional sheets) attached to this schedule 0.00 TOTAL. (Also enter on Part 5, Recapitulation, page 3, at item 4.) $10899.74 (If more space IS needed, attach the continuation schedule from the end of this package or additional sheets Of the same size.) (See the instructions on the reverse side.) Schedule 0- Page 15 . Form 7~6 ,(Rev. 8-2003) , . Estate of: Joyce L Kirsch SCHEDULE E-Jointly Owned Property (If you elect section 2032A valuation, you must complete Schedule E and Schedule A-1.) PART 1.-Qualified Joint Interests -Interests Held by the Decedent and His or Her Spouse as the Only Joint Tenants (Section 2040(b)(2)) Item 1 number Description For securities, give CUSIP number. I Alternate, !, vaiuation date Altemate value Value at date of death I , I New Cumberland Federal Credit Union ~ Account No. 77096 (51) $52,21 2, New Cumberland Federal Credit Union - Account No. 77096 (S4) $502,15 ) i I New Cumberland Federal Credl! Union - Account No, 77096 (S3) $2,634,03 , 4, New Cumberland Federal Credit l.:nion - Account No. 77096 (C1) $99,169.71 Total from continuation schedules (or additional sheets) attached to this schedule 824051.31 1. Totals " , 11. 926409.4 1 1b Amounts included in nross estate lone-half of line 1~) 11b 463204.71 PART 2.-AII Other Joint Interests 2a State the name and address of each surviving cowtenant. If there are more than three surviving co-tenantsj list the additional co-tenants on an attached sheet. Name Address (number and street, ci1y, sta1e, and ZIP code) A, B. c. Item I Enter number letter for , co-tenant Description (including altemate valua1ion date if any) For securities. give cusrp number. 1 Percentage includible Includible alternate value Includible value at date of death Total from continuation schedules (or additional sheets) attached to this schedule 2b Total other ioint interests 3 2b Total Includible joint interests (add lines 1 band 2b). Also enter on Part 5, Recapitulation, 13 I page 3, at item 5 $463,204,71 (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size,) (See the instructions on the reverse side,) Schedule E - Page 17 0.00 0.00 Form 7.0~ (Rev. 8-2003) Paqe 1 Estate of: Joyce L. Kirsch CONTINUATION SCHEDULE Continuation of Schedule E - Part 1 Item number Description For securities, give CUSIP number, if available. M&T Bank ~ Checking Account No. 51521962 with accrued interest of$3.19 Alternate valuation date Alterna1e value i Value at date of death 5. $45,768.30 6. M&T Bank ~ Certificate of Deposit No. 031003914593198 with accrued interest of $2.33 $6,293.19 7. Waypoint Bank ~ Checking Account No. 1000017938 with aCCl11ed interest of$.90 $43,882.93 8. Waypoint Bank ~ Savings Account No. 1060004322 with accrued interest of $1.46 $53,736.25 9 Property at 1515 Kathryn Street, New Cumberland Borough, Cumberland County, PA Assessed Value = $276,400.00; Common Level Ratio:: 1.05 Value. ($276,400.00)(1.05): $290,220.00 I Property at 1517 Kathryn Street, New Cumberland Borough, Cumberland County, PA i I Assessed Value = $223,730.00; Common Level Ratio:: 1.05 I i Value. ($223,730.00)(1.05) . $234,916.50 I Harttbrd Life ~ Annuity Contract No. 710318869 I $290,220.00 10. $234,916.50 II. 134,234.14 12. 15,000.00 Van TOTAL. (Carry forward to main schedule.) 824,051.31 Form 708 (Rev. 8-2003) Estate of: Joyce L. Kirsch SCHEDULE F-Other Miscellaneous Property Not Reportable Under Any Other Schedule (For jointly owned property that must be disclosed on Schedule E, see the instructions for Schedule E.) (If you elect section 2032A valuation, you must complete Schedule F and Schedule A-1.) 1 Did the decedent at the time of death own any articles of artistic or collectible value In excess of $3,000 or any Ves No collections whose artistic or collectible value combined at date of death exceeded $1 O,OOO? X If "Yes," submit full details on this schedule and attach appraisals. 2 Has the decedent's estate, spouse, or any other person, received (or will receive) any bonuS! or award as a result , of the decedent's employment or death? . , X If "Ves," submit full details on this schedule. 3 Did the decedent at the time of death have, or have access to, a safe deposit box? X If "Yes," state location, and if held in joint names of decedent and another, state name and r$lationship of joint i depOSitor. If any of the contents of the safe deposit box are omitted from the schedules in this return, explain fully why omitted. Item Description Alternate Alternate value Value at date of death number For securities, give CUS1P numbe(. valuation date i i , I i I i , i ~ Totel from continuation schedules (or additional sheets) ettached to this schedule .1 TOTAL. Also enter on Part 5 Reca itulation, a e 3 at item 6. $0.00 (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (See the instructions on the reverse side.) Schedule F- Page 19 . Form 706 (Rev. 8-2003) Estate of: Jovce L Kirsch SCHEDULE I-Annuities Note: Generally, no exclusion is allowed for the estates of decedents dying after December 31 , 1984 (see page 14 of the instructions). A Are you excluding Irom the decedent's gross estate the value of a lump-sum distribution described in section 2039(fj(2) (as in effect before its repeal by the Deliclt Reduction Act 01 1984)7 . X _~~)'es"j you must attach the information required by the instructions. Item numberl Description Show the entire value of the annuity before any exclusions. Alternate valuation date Includible alternate value l. i M&T Bank - IRA Account No. 35004201301261 with accrued interest of $4.97 Beneficiary: Eugene G. Kirsch (spouse) M&T Bank. IRA Account No. 35004200920939 with accrued interest of $7.25 Beneficiary: Eugene G. Kirsch (spouse) M&T Bank. IRA Account No. 35004201774682 with accrued interest of $696.43 Beneficiary: Eugene G. Kirsch (spouse) 6,324.30 2 3,507.25 3. 78,294.73 Total lrom continuation schedules (or additional sheets) attached to this schedule 0.00 TOTAL (Also enter on Part 5, Recapitulation, page 3, at item g.) $88,126.28 (II more space is needed, attach the continuation schedule lrom the end 01 thiS package or additional sheets 01 the same size,) Schedule 1- Page 22 (The instructions to Schedule I are in the separate instructions,) form 706 (Rev. 8-2003) Estate of: Jovce L Kirsch Schedule M-Bequests, etc., to Surviving Spouse Election To Deduct Qualified Terminable Interest Properly Under Section 2056(b)(7). If a trust (or other property) meets the requirements of quaiified terminabie interest property under section 20S6(b)(7). and a. The trust or other property is listed on Scheduie M. and b. The vaiue of the trust (or other property) is entered in whole or in part as a deduction on Schedule M, then unless the executor specifically identifies the trust (all or a fractional portion or percentage) or other property to be excluded from the eiection, the executor shall be deemed to have made an election to have such trust (or other property) treated as qualified terminable interest property under section 20S6(b)(7). If less than the entire value of the trust (or other property) that the executor has included in the gross estate is entered as a deduction on Schedule M. the executor shall be considered to have made an election only as to a fraction of the trust (or bther property). The numerator of this fraction is equal to the amount of the trust (or other property) deducted on Schedule M. The denominator is equal to the total value of the trust (or other property). Election To Deduct Qualified Domestic Trust Property Under Section 2056A. If a trust meets the requirements of a qu~lified domestic trust under section 20S6A(a) and this return is filed no later than 1 year after the time prescribed by law (inCluding extensions) for filing the return, and a. The entire value of a trust or trust property is listed on Scheduie M. and b. The entire value of the trust or trust property is entered as a deduction on Schedule M, then unless the executor specifically identifies the trust to be excluded from the election, the executor shall be deemed to have made an election to have the entire trust treated as qualified domestic trust property. Did any property pass to the surviving spouse as a result of a qualified disclaimer? If "Ves," attach a copy of the written disclaimer required by section 2518(b). 2a In what country was the surviving spouse born? USA b What is the surviving spouse's date of birth? 10/28/27 c Is the surviving spouse a U.S, citizen? d if the surviving spouse is a naturalized citizen, when did the surviving spouse acquire citizenship? e If the surviving spouse is not a U.S. citizen, of what country is the surviving spouse a citizen? 3 Election Out of QTIP Treatment of Annuities-Do you elect under section 2056(b)(7)(C)(Ii) not to treat as qualified terminable interest property any joint and survivor annuities that are included in the gross estate and would otherwise be treated as qualified terminable interest property under section 2056(b)(7)(C)? (see instructions) Ves I No 1 i X X Item number! Description of property interests passing to surviving spouse Amount 1 , I One-half the value of New Cumberland Federal Credit Union. Account No. 77096 (Sl), held by the decedent and the I surviving spouse as joint tenants with right of survivorship $26.10 2. One-half the value of New Cumberland Federal Credit Union. Account No. 77096 (S4), held by the decedent and the surviving spouse as joint tenants with right of survivorship 5251.07 3. I One-half the value of New Cumberland Federal Credit Union * Account No. 77096 (S3), held by the decedent and the I su,viving spouse as joint tenants with ,ight of survivorship 4 I One.halflhe value of New Cumberland Federal Credit Union - Account No. 77096 (Cl), held by the decedent and the ! surviving spOLlse as joint tenants with right of survivorship I ~I Total from continuation schedules or additional sheets attached to this schedule 4 Total amount of property interests listed on Schedule M 51,317.ol 549,584.86 4 511.051.69 .562.230.73 5a I Sa Federal estate taxes payable out of property interests listed on Schedule M b Other death taxes payable out of property interests listed on Schedule M 5b c Federal and state GST taxes payable out of property interests listed on I Schedule M I 5e d Add items Sa, b, and c 5d 6 Net amount of property Interests listed on Schedule M (subtract Sd from 4). Also enter on Part S, Recapitulation, page 3, at Item 20 .. . . .. ... 6 .562.23073 (If more space is needed, attach the continuation schedule from the end of this package or additional sheets of the same size.) (See the instructions on the reverse side.) Schedule M- Page 27 Form 'oa (Rev. 8-2003) Paqa 2 Estate of: Joyce L. Kirsch CONTINUATION SCHEDULE Continuation of Schedule M-Bequests, etc.. to SurvivinQ Soouse Item number 5. I One-half the value ofM&T Bank. Checking Account No. joint tenants with right of survivorship \\'1th accrued interest 01'$3.19 Description of property interests passing to surviving spouse Amount 51521962, held by the decedent and the surviving spouse as $22,884.15 6 One-half the value of M&T Bank - Certificate of Deposit No. 031003914593198, held by the decedent and the surviving spouse as joint tenants with right of survivorship with accnled interest of $2.33 One-half the value of Waypoint Bank ~ Checking Account No. 1000017938, held by the decedellt and the surviving spouse as joint tenants with right of survivorship with accrued interest of 5.90 $3,146.60 7. $21,941.47 8. One~half the value of Waypoint Bank ~ Savings Account No.1 060004322, held by the decedent and the surviving spouse as joint tenants with right of survivorship with accrued interest of $1.46 : One-half the value of property at 1515 Kathryn Street, New Cumberland Borough, Cumberland County, PA, held by the decedent and the surviving spouse as joint tenants with right of survivorship $26,868.13 9 $145,110.00 10 One-half the value of property at 1517 Kathryn Street, New Cumberland Borough, Cumberland County, P A, held by the decedent and the surviving spouse as joint tenants with right of survivorship $117,458.25 11 One-half the value of Hartford Life ~ Annuity Contract No. 710318869, held by the decedent and the surviving spouse as joint tenants \vith right of survivorship 67,117.07 12. One-half the value ofYan, held by the decedent and the surviving spouse as joint tenants with right of survivorship 7,500.00 13 Proceeds of The Prudentia11nsurance Company of America policy number 73 195775, payable in one sum to surviving spouse (Schedule 0, item 1) 10,899.74 14 Proceeds ofM&T Bank 4 IRA Account No. 35004201301261 6,32430 15 I Proceeds of M&T Bank ~ IRA Account No. 35004200920939 3,507.25 16 Proceeds ofM&T Bank - IRA Account No. 35004201774682 78,294.73 I ~ TOTAL. (Carry forward to main schedule.) 511,051.69 I I u.s. Income Tax Return for an S CorporatIon Fonn 11205 ; .. 00 not ftt.lIIta form unleaa fhe corporallon nu UmeJy ftled o.p.nm.,l d 1t'I. r,...Jry Form 26S3 to .Iect to be an S corporBUon. rnlttl"ltJ Rev-'U' S. . See stpal'lte InatruoUona. For calendar I or tax ear Innln 2003 and endl" . 20 A Effective date of Uee Ham. C Employer IdonUnca1lon number oioctlonuanS IRS KIRSCH'S PRINTING, INC 23-2519707 GOrp'orauon 07/01/19 8 ~~~... Numo-r,,,,...,.ndfClCllTlOl' 'lJlleno.(".~.O.liax,...lnstructlClnl.) 0 Oateincorporated B Buolnesscode \ wl.e, 1515 KATHRYN ST 07/01/1988 ~~=J:r 'Printor Cltyartown,lhIl',andZIPcode E Total assets (aee Inatructlons) 323100 type. NEWCUMBERLAND PA17070 $ 310,669. F Check eppllcab box..: (1) Initial return (2) Final return (3) Name change (4) Addroee chango (5) Amonded return G enternumberot!sharehokferslnth8COfPOratlonatendofthetaxyear .. . . . ...3 caution: Include 0 Iy trade or bUSlrless income Bnd expenses on IIn81 1 a through 21. Ste In.tructlona for more Intonnatton. 1aGlOUreceltltaorlal.. 893,034. blMlrttumsandalrow."..: CBaI" 1c 2 Costof~80Id(SCheduIeA,1n08) ,.......... 2 3 Groos p..fIt. Subtract IIno 2 f..m IIna Ie 3 4 Nelgaln I/oas) frem Fonn 4797, Part 1I,lIne'18' (att.cl, j.";""479-n 4 5 Other Income (Iou) (attach schedulo) . . , , . . . . . . 5 6 Totolln mo Iou). Add Ilno. 3th.. 5 . . . . ., ...... .....,. 6 7 Como""ftlon of ofllcsrs ...,... 7 8 Salari.. f'd wages (I... employment credits) 8 9 ROOOIrs llnd malnlananco ....... 9 10 Bod dob~ 10 11 Renls ,.,. 11 12 Tax.. an~ Iicanaas 12 I 13 Inler..1 \ 13 f 14aDapraclat;(A~hFO;"4se2j . . . . . . . . . . . 148 '49;4'87: .ll b Deproclal~n clelmed Ol'l Schedulo A and elsewhere on return 14b t C Subtract no 14bfrom line 140 ........ .. 14<: 15 Dopletlonl (00 not doducf 011 and go doploUon.) . 15 1_ 16 AdvOrtlOl~g ..'........... 16 17 Pen.ion. prof1t-ohor1ng. etc., plan. 17 c 18 Employ"" benefit proglllms .,....,..... .... . . 16 119 Othar d~ction. (attach .chedule) 19 20 Total d cUona. Add tha ama....ls shown Irt tho far right COlumn for \In.. 7thro"gh 19 ,. 20 21 Ordlna come loss) from trade or busln... acllvltleo. Subtract IIno 20 from IIno e . 21 . 22 Tax: a Elf". notpaeolvOtncomo lax (attach schedllio) ...., 228 b Tax from !lchedule 0 (Fonn f12OS) , . . . . . . . . . , , . .22b II C Add Un.. 22a llnd 22b (s..the inslnJcttono for addttlonallaxeo) . . . . . . . . . . . Ii 23 PoymenJ: a 2003 ..I, laX paymonls & omoLWlI epplied frem 2002 relum 23a ~ bTax~IIa<lwl\hFOnn1004 ......,...,.... 23b 0. C Cred~ fo:;:rFederal tax paid on fueia (attach Form 4f38). . . . . . , . 23c 1 d AddUnee lIlrough 23c . . .. , .. . . . . . . . . , . ~ 24 eouma tax penalty (S.. In_no). Chock If Fonn 2220 10 attached 25 Tax dlIe.1rf Iloe 23d Is smaner than the total of Unes 2c and 24, enteramqunlowed. . . . . . . . . . . . . . ." 25 26 OvorpOyl1lont If line 23d Is larger than the fotal of un.. 22c llnd 24. enter amounl overpaid ." 28 27 Enter un! 0I11n. 28 u want Credited to 2004 ooU_ tax .. Refunded" 27 pen UI)', are tetum. ngKCllltn . ..., tn)' 0' belief, If is true, and compl.t.. Declaration of PftrW8r (OIhtrlhan tall~r)" *<<1 on a1111'1fotm.llon of wl'llch ~t hid any knOiWlq., Sign \ ..:'....'''~,. ~ ....,....,..-......... II... "~ ' wtlhlN~r.l'IcIWnbtiow Here, S tu ofofftcer D' . TIlle ~.."".}7 v.. No Pr re(a II. , Date Prooara(o SSN or PTIN Paid .1 turo r "\....n 06/01/20040mployod P00021766 Preparer'. Flnn'~namO(or ~ALAN J. CEPERICH, CPA EA EIN 25-1671622 Use Only Younllf .olf-employed). 33 N SECOND S ET PhOl'le no. add . andZlP code HARRISBURG PA 17101 717 238-5919 For Paperwot1<R on Acf Notice, a.ollle aoparllto In.lrUoIIona. Cat No, 11510H Form 1120 (2003) 3112081 Copy light tAXIIUPlE I ....0' 23d 24 OMB No. 1546-0130 2003 893,034. 223 161. 669,873. 669,873. 208,000. 9,847. 45,502. 3,237. 57. 49,487. 1,739. 88 021. 425,890. 243 983. . O. O. O. Coal 01 Goods Sold see Instructions 1 Inventory sl beginning of year . 2 Pureh.................. 3 Costoflabor............. 4 Additional section 263A COSl$ (sttach schedule) 5 Other com (attach schedule) . 6 Total. Add 11n.. 1 through 5 . . . . . . . 7 Inventory at end of year. . . . . . . . . S Coal of goodS aold. S_11ne 7 from line 6. Enler here and on psge " "ne 2 9a Check a" mathode used for valuing oloslng InventCtY: (Q ~ Coot as <le8c:rIbed In Regulallon8 aectlon 1.471-3 (IQ Lower of cosl or market as dascrlbed In Regulations s_n , .471-4 ("Q Oths, (specify method ueod and allach axplanatlon) .. b Check W there wee a wrIledown of aubnoooal goods ee dascrlbed In Regulations a8Cllcn 1.471 -2(c) C Check W the LIFO inventOry mathod was adopted this tax year for MY goodS (n checked, _ Form 970)1 . d If ths LIFO Invsntory method was used for this lax year, enter percenlage (or amountt) of Closing I Inventory computed under LIFO . . . . . . . . . . . . . . . . . . . . . . . . . . .' . a If property Is produced or aoquired for resale, do the ruies of section 263A apply to th. co'llOratlol1? f Was thfre any change In doteoolnlng quantities, oost or valuallons between opening and closing Invento If .Yes.. attach ""planstion. Other Inlormatlon Check mathod of accounting: (a) See1l1e lnetructlons and enter thf: (a) Busln... actlvlly~ PRINTING (b) Product or servICe ~ 3 At the end 01 the tax year. did the corporation own, directly or lndlrectfy, 50% or more 01 the voting steck Of co'llOratlon? (For rulea of a_n. a.. aectlon 267(c).) n .Yea.. al\llCh a achedulelll\oWlng: (I) name, employer lden\1flcatlon number end (b) percentage owned . . . . . . . . . . . . . . . . . Wae1he co'llOratlon a member of aeon_ group subject to the provisions 018_ 16617 . . . . Check this box W the CO'llOration hss flied or 18 reqUired to flle Form '284, AppUcatlon tor Registration of I ex Shelter . ." B Check this box K the co!1>Otatlon Is.ued publicly offered debllnftrumanta wllh original Ilsue discount.. .".,. .. If ohecked, the oOllX>ratlon may have 10 flle Form 12I1,Infonnatlon Return lor Publicly Offered Orlglnallls DI...lII1Ilnatrumllnla. 7 If lhe COIlX>ratIon: (I) was a C corporation before n elected to be an S cOllX>ratlon or tile corporatiOn acqul d III ISlet WIlh a basis deteoolned by reference to Its basis (or the basis of any othar property) In the handS of a C CO and (b) has net unrealized buln-In gain (deflned In section 1374(d)(1)) In e.ce," of tha nat recognized bum-In gain from prior Yeara' enter the net unrealized buln-IM gain reduced by net recognIZed bull\oln gain from priorys81'8 . . . . . . . . . . . . . . . . . . . I . . . . ... $ Check this box n the collX>ration had accumulated eamloigs and proflts at !he close of tIla'" year Arethf CO!1>Ot8Uon's total recslpt:s (see Instructions) for the tax year Ind total....1I ill tile end of tho laX year ",..than $ 250,000? if' Yes, . the co'llOratlon Is not required to complete Schedufae l. and -1 . Noie: If the collX>raUOn had assets or operated a business In a foreign country or U,S. poaaes.lon. n may be req red to attach Schadula N (Form 1120~ Foreign Operations 01 U.S. Corporetlone, to this retum. See Sohfdull N tor dsta:lla, Shareholders' Shares of Income Credits, Deductlo ttc. a Pro rata sha...llema 1 Ordinary Income (1088) from trade Of busln... actlvltles (page 1, line 21) :I Net Income (Ioea) from ...ntaI realeetete actlvItIae (attach Form 5825) . 3 a Gross Income from othat rental acllvltl... . . . . . . .. 3a b Expenses from oth8r rentalactlvltlea (allaCh sChedule). . .. 3b C Net Income (108s) from other rentalactlvltles. Subtract line 3b fronlllne sa 4 Portfolio Income (1088): 8 Interest Income . . . . . . . . b Dividends: (1) Qualified dividends ~ C Royallylncome . . _ . . . . , d Net short-teoo capillll gain (loss): (1) Post-May 5, 2003 .. e Nat Iong-teoo capital gain (loss): (1) POSI-May 5, 2003 .. (c) Other (specIfy)__ 1 2 AccnJll 4 5 6 8 9 i ~ I i (2) Total OrdlnlllY divld. . . . . . (2) En1Ire y (2) EnUre 1 5 6 . . . I . (b) Entire ""o1QIllTAXSlNI'U1 31120$2 r .[. :I[ : :11 : 'II' il 1 2 3 4 5 6 7 8 ps 2 2 224. 120 937. 2:2 1 1. 223 1 1. .. ~ -~ . '. " : ~~: : : ~ ~~ Total amount 2 ,9 1 345. Fo"" 11208 (2003) I . . ... FO"" 11205 (2003) Sharehol ers' Shares 01 Income, Credits, Deductions ate. (oontlnlJld) I Pill nlta share Iiams Cl1a1!Iable contributions (attach schedule) . . . . S<lotIon 179 expenee deducllon (attach Fo"" 4562) . Deductions ralattd to portfolio Income (loss} (itemize) OIhor deductlonl (llllach schedule . . ! J II 7 8 9 10 7 8 8 10 P e 3 Total amounl 39 12. 1, 45. 6,705. 9,53 . 206 016. Fo"" 11205 (2003) I J f 118 In'....' expense oh Investment debts . . b (1) Investmantlncllmelncluded on lines 48, 4b, 40, and 41 above 2 Investment es Included on line 9 above . 12a Crad" tor elcohol USed as I fuel (ettach FerIn 6478). . bLow-income housing cradlt . . . . . . . . . . (1) From partnerships to which ...lIon 42(JJ(5) applies (2) OIher1l1an on nne 12b(11 ......... C Ouallfled rahebllltallon expendltu... rallied to r.nlal reslestate Icttvltfes (attach Fo"" 3468) d Cradlts (other than credits .hown on Ilnos 12b and 120) ralaled to rental res.lestate i4\MtI.. e Cradlls rell'ed to olher rantal aotIvltfes . . , . . . . . . 13 OIhorcredlts _1 148 Depreclallon adJustment on PIllPSrty placed In service aller 1988 b AdJuotedgalnorloss. . . . , . . . . . , , . . ~ C Depla1lon (o1harlh8n 01 and gas) . , . . , . . . . . ~ d (1) Gross Incom./rom oil, gas, or goolhennalpnlp_ . . ! (2) Deductions allocable to oil, gas, or goothe""a1 pmpsnles .. a 01har us!menta and tax aIorence Items attach echedule 158 Neme of foreign country or U.S. posse.slon .. b Gross Income from all sources . . . . . . . C Gross income sourted at shareholder I.vel. . . d Foreign grosa Income souroed at corporate levol: (1) Pesslve. . , . . . . . . . (2) Usted cetegorie. (attach schedule) . . . . (3) Gen.ralllmltallbn . . . . . . . . . . a Deductions a1loceted end apporllor1ed at .hOraholder level: (1) Intaral' expen.e. . . . . , , . . . , . . . (2) OIher. , , , . . . . . . . . . . . . . . 1 Deductions allocated and apportioned at COl\)Orete level to foralgn oourea income: (1) Pesslve. . , . . , . . . , . , . (2) listed categorIN (attach achedule) . . . . . . . . . (3) GenaralJlmlfallbn . . . . . . . . . . . . . . . g Total foralgn faJ(aa (ChOCk one): .. 0 Pakl 0 Accrued . h Reducllon In faJ(aa llvsllable for crad" attach achedule 16 Soc1lon 59(e)(2) oxllofld""'"": a T)I1lO .. 17 Tax...xornpt Interas'lnCOme 18 0Ih0r laX-oxornpl Income . . . . . . , 19 Nondeducllblo expshoes . . . , . . , 20 ToI8I pmPsrty dlatrlbutlona (including CIOh) d1her then dividendo reponed on line 22 below 21 OIher Items and amounts raqulrad to be reponed .eperalaly to .harahokHlra (attach schedule) Total dividend dlstrlbullono paid from accumulaled eamlngs end proffIs lnoome (loss). (RSqulrad only H Schedule Mol mUlt be completed.) Combine linea 1 through Sin column b. Fill'" tho ...ull, subtract Iha eum of lines 71111llu h 11a, 15 ,and 1ell . . . 3"2083 CllPVl10hl TAXSIWlIJVA ! b Amount. ." ~ 22 23 Form 112llS (2003) Note: Th. corporation is not required to com I.te Schedules Land M.1 If u..tlcn 9 of SChedUle B 18 Br1IW<Inod .V.... Balonce Sh.oto pot' Books Beginning 0' talC yoar Assets 0 Mortgag.. ,,0:1., bondI paylUll_In ,... lh1in 1 'If Oth.r current llablllti.s (attach schedul.) l.oan$ from .hareholders ~.notu.,~~lI'I1yn.rOfmonl Other liabllltios (attach schedul.) Capl1alstocl< AdditiOnal pald.1n cajlltal R.talned .amlng. . . . Adju.ll1Ienll !CI ahareholdM' eqully (attactl.cn.) Less cost of treasury stoCk Tolalliablllties and .h.reholders' equ 195 Reconciliation of Income Lon er Booka With I ma 1 N.t Incom. (loss) par books . . . . . 206 , 016 . 5 Incr.::;U-$'l,VIl onla 2 Incom.lncludod on Schedule K, line. 1 G'!ilrlmIZ:{! Odu II1rough e, not recorded on boolis lI1is y.ar . (Itemlt.): a T......mpt tnl $ 1 Caeh...",....., 2a Trade notes and _ouRls recolvabl. b Los. aHowance for bad dab1s 3 Inventories . . . . . . 4 u.s. Governm.nt obligations S Tax..xempt securftfes . . 6 Other current assets (attach schedule) . 7 Loans to alIareholders . . . . . 8 Mortg.g. and real estate loans . . . 9 OlI1.r Inv_ants (Ollach schedul.) . lOa Buildings and olI1.r dopreclabl. ....ts b Los. accumulated d.precl.tlon lla O.plOtabl...sets . . , . . b L... accumulated d.p1.tion . 12 Land (n.t of any smorllzatlon) 13a Intanglbl. ....ts (amortIzabl. only) b Loss accumulated amorllzation 14 Othar ....ls (attach schedul.) . . 15 Total....to. . . . . . . . . UablllUos and Sharehold.rs' Equity 16 Accounts payablO . . . . . . . . 17 18 19 20 21 22 23 24 25 26 27 3 Expanses recorded on books lI1is yosr not lnc1u<lOd on SchOdulO KLlines 1 through l1a, ISg, and leb (ltamtze): a Oopraclation $ bz='-.l::ent $ Pe 04 ~83. *1,304. 1,000. 1,0 O. 194,490. 3 0,-9 3. ) 310 6 9. Deductions InCluded on modulO/(, Iina. 1111!t>UJlh 1111. 115g, and 1 , ngl ch.llIod ._ DOCk Income this year (IIOmlz.): a Oepraclation $ O. 016. 7 Addlinos5ande , . . , . , . . . . h3 ....... 206 016.8 '...."I'...IS..-.K.""2t).lJnf....Unt, Analysis of Accumu a1ed AdJuatmems Account, Other dlualmams Accoun Shareholdars' Undistributed Taxable Income Prevlous Taxed (.0.1110 Ca) Accumulated Cb) Othor adJUtlmonlS adjustmenls account account 194,490. 243,983. 1,345. ) 39 312.) 400,506. 89 533. 31 973. 4 Add 1In.. 1 II1ro ~ 1 Balanc. al beginning 01 lex yoar . . 2 Ordlnal)llncom. from OOgo 1, IIn. ~1 3 OlI1or addlllOno . . . 4 Loss from pag. 1, line ~1 . 5 OlI1.r reductions . . . . 6 Combine IIn.. 1 II1rough 5 7 Oistrlbutlons olI1.r than dlvldand dlsllibutlono 8 a.JanctMenclOItuytar.SubtIacIIIn.7IRllnIlM8 . ( 3112084 o. """"""' T.....'....LE JYA O. Form 11 :ZOS (2003) Form 7004 (Rev. September 2003) Application for Automatic Extension of Time To FIJe Corporation Income Tax ~eturn OMS No. 154S-0233 o.p.,tment of the rteUUty Inttrnal F1ev.u SeMa Name of corporation KIRSCH'S PRINTING, INC Number. stree~ end reom or eulte no. (If 0 P.O. bOx or outside the United states. seelnslnJctJone.) 1515 KATHRYN ST City or town. state. end ZIP coOe NEW CUMBERLAND , Check~ty';o:::;=cto be flied: Form 1120 Form 1120-11. Form 1120-F Employe, l...lIlIoaUon no, 3-2519707 PA 17070 ~ Form 1120-FSC Form 112O-H Form 1120-L Form 112Q-ND ~ Form 11 20.PC Form 1120-POL Form 1120-IIEIT Form 1120-IIIC ~ Form 1120S o Form mO-SF o Form 11 20-F fliers: Check he", W the torelgn corpo",tIon does not maintain an office or plaCe of bUllnalll In tho UnlladStates . ,0 0 0 0 . . 0 0 . . . 0 0 0 . . . . 0 . . 0 . 1 lIequeat for AutohlaU. ExtenslOll (see lnatructlone) a extension dele. I requast an automatic e.rrionth (or, for certain corporations, ~month) _nslol1 of Ume until 0 9 / 15. 2004 . to flle the Income tax ratUm of the colllOratlOn named obove for year 20 0 3 or.. 0 tax yaar beginning _' and ending b Short tax yesr. If thle tax year Ie fOr lass thin 12 months. check nlaSOn: --D Initial retum 0 Final return 0 Change In accounllnjj period 2 Members of an a1ft11atod group ell "","lotlonsIIUng a consolldalod return (cona.UlIated Nam. and addreaa 01 UGh member 01111. IIffIUated group . 000... 0 .. Ii!I calendlll' ,20 ~ o Conecl_ rotuhl fo be flied u (atH! lnelnJctJons . l!m I r IdentlllostlOh no. 3 Tentattve tax (e..lnstructlons) 0.. 0 0 0 0 0 4 paymonte and refundable credits: (see Instructions) a Overpayment credijed from prior year <UI b estimated tax peyments for tho tax year '" 0 . . . 0 . . II c LOIS refund for the tax year applied foronForm4466 ...... 8 Credit for tax paid on undlelrlbutad capital gaine (Form 2439) t Credij for Federal tax on fuels (Form 4136) 5 To1aI. Add IIn.s 4d through 4f1S..lnSIr.JCtlons) 0 0 . . , 6 Salanco due. Subtract line Slrem line 3. D.p.alt thle amount usln9 the Electronl. Federal Tax p ent S otom or WIth a F I Tax alt FTD Co n S..1ns1nJctJone 8 Signature. Under paneij'es of pe~ury. I dOCle", that I haVe bean authorized bY tho above-nemed corporation to ftlSka thle appIlcettcn, and to the best of my knOwledge and belief, the 8tatament$ made are true, correct, and cornplelO. CPA 03/15/2004 (TItle) (Date) """'\ Copy..... r....lMPU! JY. FOrI1\ 7004 (Rev. 9>2003) 5 o. o. (Slgnato", of officer or agenU For Paperwork Reduction Act NotIo., ... IMtrUotIone. Cst No. 13804A Form 4562 Depreciation and Amortization (IncludIng Information on Usted Property) J)epirtlMnt of the TI'UlijI')' ""'.... R_... _co . _ arote In.tructlon.. . Atl80h thl. form to ur rotUm. N.me(.} shown on retum Business or .ctlvlly to w/lloh this form relalee KIRSCH'S PRINTING INC IRSCH PRINTING Electlon To Expense Certain Property Under Sectlon 179 Note: If you have any IIeted properly, complell Pari V before you complete POlt I. 1 Maximum amount See lnstructiort$ for a higher limit 10t certain businesses , , 2 Total COSI of section 179 properly plaCid In ..",Ioe (s..lnsttuct!ons) 2 3 Throshold cost of section 179 properly before reduction In limitation 3 4 Redue1lon In limitation. Subtract IIn. 3 from 111\0 2, M l8I'O or _. enter -t). 4 5 Dollar limitation for tax y.ar, Subtract line 4 from IIn. 1. If zero or I..s, .nllr -o-.'If ';'';'1';'' filing s.parallly, ..elnS\ructions $ (s)Doscriptlon of properly (b) Cost I...'.... ....onI1l Co Elected cost 6 EQUIPMENT 39,3 3 ,3 7 Listed properly. Enter amount from line 29 7 8 Total elected COSIofsectlon 179 properly. Add a";'~n~ In' c~lu.:nn'(c;.II~~ a'and'; . . 9 Tentall'le deduction. Enter 111. smaner of line 5 or line a 10 Carryover of dlsaJlowed deduction from line 13 of your 2002'Fo;""4562' . . . . . . . . . . . . . . . 11 Busln..s income limitation. Enter the smaller of busln..s Income (not I"; u,;,n ~e;') 'or '11n~ 5' (e~e .Init,.;clk>n.) . 12 Section 179 expenae deduction. Add In.. 9 and 10. but do not enllr more 1han line 11 13 Carryover ot disallowed cIOdue1lon to 2004. Add lines 9 and 10, IesllIIne 12 . 13 '0 not P n or Pari III rl U88 V eelal De recladon Allowance and Other 0 reelaUon nOllnCludelilted rope . 14 special depreciation allowance for qusllllod properly (o1hor1han listed properly) plsced In .""Ice dlJIilg 1I1e tax years (eao In.trUctlons) 15 Proporlysublocttosectlon166(~(1ieiec;";'(~.ln.Wctior;.}' ......... 16 Other depreciation (including ACRS) (s.. InstrUctIons) MACRS 0 reclallon not Include IIeted . See InstrUctIons Sectlon A 17 MACRS doductlOnslor ....'" pieced In servlc.1n tax years beginning before 2003 18 It you sre .Iectlng undersoctlon 166Q)(4} to group any 88Sots Placed In .ervlce during the iax' yiarlntt. . . . . . OM or more general asset acC01.I'Its, check here Secdon B - Assets Placed In Sarvlce Durin 2003 Tax Yesr U 0" r apr. Cd)R Ca) Cleslllflcadon of properly (D\It'"....~_.... ':)'ery oniy.....ll'llttuGIIOl'lI) pe $100,000 $400,000 8 e o 11 12 14 1 16 19a 3-yesr property b 5-year properly C 7-Yoar properly d 1 ll-year properly e lSoy.ar properly f 2ll-year propo 2S-ye.r properly h Realdorrtlal rentel property Nonresidential real 25 re. 27.$yre. 27.5 yre. 39yro. SJI. MM SJI.. MM SJI. MM SIl. 101M SIl. 2003 Tax Year Us n the Iterna! va SJI. SJI. SJI. propeny Secdon C - Assets Placed In 20 a Class Iffe b 12- ear C 4(). ear Summa (S.. the InsIF\lCllons.) 21 listed properly. Enler srnount from 11n. 26 22 Totsl. Add .mounts from IIne12.lInoo 14 through 17, 1k.e.1'9Snd 20'; ";lu';'n'Cgj, ~'nM 21. 'eni.;hire'and ' on the appropriate lines of your retum. Partnership and S corporoUons - sos Instructlone 23 For' assets shown above and placed In service during the current yeer, enter the rtIon of the bools attributable to section 263A coelB For PapelWOrt Reducllon Act NoU.., .n the I..""cllo... Cat No. 12l106N 101M 12yro. 40 ro. a reel 01'1 S ~2 23 ....., KIRSCH'S PRINTING, INC 23-2519707 Form 4562 (2003) Pa"" :2 ,,' Ustlld Property (Include automobiles, certain 0 er vehicles, cellular telephone., clrtaln complJtilre, and Pt0P8rty ulld for entenalnment, recreation, or amusement.) r,ole: For any vehicle tor which you are using the stlI dart! mlleaae rate or deducting Ieeee 8XlllINIe, COl1lIlIete only 2~, 24l1, colllmno a) through (c) of SecUon A, all of SacUon B, and See n C ~ acollcabla, SectIon A - Depreciation and Other Informatlor CallUon: Sea iI18trucUons fer l!mlla fer r ._100, \ 24a 00 you have evidence to support buslnessllnvestment use c med? IlvIIIINo 24b If 'VO,' II thlllHd"""" Written1 eVil 0 No (a) (b) (c) BuenJ (d) (oj (I) Ma~ OI~~Uon el~ Date Investment Boo'" tor daprec, Typa of proporty placed In uea Cost 0 (buon.llnvestmont acovlry oSCUon 179 (11ot vehicles fllst) service poreon1oge othe,- be la "" only) perIOd C4nvonUon dldueUon ccot 25 Special depreciation allewancl f<>r qualified lilted property p ed In saIVlce during thl tax y.... U 25 and used more then 50% In a qualified buo_ USI (oea iI18~) 26 Property used more than 50% In a quaJ~1od busin... use (oe InslructIc>no): '% % % 27 Property used 50% or Ie.. In a quollfled buelne.. use (... In t ructions): '% SII.. % SII.. '% S/l... 26 Add amounts In column (h), IInls 25 through?:T, Enter here, don line 21, pege 1 , . .128 0_ 29 Add amounts In column m. line 26. Enter here and on line 7, .oe 1 r 29 O. Sec:tlon B - In armatlon on Use of Vahlol.. , Complete this seCUon tor vehicles used by a sole proprietor, pertne or other 'more than 5% owner: or rllated plreon, If you pmvldod vlhlclla to your employees, first answer the questions in Sectlon C to see If yo maet an exclpUdn to compllllng tit'" eecucn f<>r thoso vohlclee, 30 Total buslnesS/lnvestment miles driven (a) (b) (0) (d) (a) (f) during tha yoer (do not Include Vehicle 1 Vehicle 2 Vohlc1a3 Vohlc104 VehicleS Vehlcll 5 commuUng miles - eee the inotructJons) 31 Total commuting miles driven during year 32 Total other personal (noncommutlng) mllel driven 33 Total m~es driven during tlte yoor, AdO lines 30 \hrough 32 VII N V.. No VII No va No VII No V.. No 34 W.. tho vehicle avallebl. for personal UII dul1ng off-<luty hours? , 35 Was tha vahlcle used ptlmorlly by a more than 5% owner or related person? 36 Is another vehicle available for personal us.? Se<<!IOn,~I.;,' ",~~..suons,ror m~~()y'ers w.n.() ~~roY'~! vel!lc .s,l()r, ,!,l.se ~ I n8tEm~lo~" Answer these q"l'~ns ~ ~eterm =~I~eet an axC. Uon to co pleUng SocUon B tor vehleleo used by omp "" whO .re 01 ore than 5% owners 01' related rsons see Ins s . 37 Do you maintain a Written policy statement that prohibita all pe 'SOnal uee of vehicles, Includl1lg commuting, by your VII No employees? al ;..; 0; v~hiCla$, ~xcapi com;"uitng, by Yc~r .m~o;.Hli 38 Do you malntaln'a Wnita~ P;,I~ ~j..,;";l thatprOhlbb of";' Soe tho Instructions for vohlel.. used by _Ie offlcll'O, <Ii ec;tora,or1%orMOreown.,. ......... 39 Do you treet all use 01 vlnlcloo by employ... II personal use aln imO";auon "";m ;..c~r .m~" abOut" 'l'8 U.I' of in. 40 Do you provlc1e more than five vehicles to your ampIOyees. ~ vehicles. and retain the Information raeeNed? . . . . . . . . . . . . . . " . 41 Do you meat \no roqulremenlO concamlng qusllflad .uk.md,n. demonotreUon use? (Soe thl Inotructlorll,) Note: If vour an.owerto 37, 38, 39, 40, or 41 is 'Ves' do not I> molete SecUon B for thl COVlract vlhlcl.., .ox Amortization (b) (0) C~I (I) Amo,fzoUon (a) AmortlzaUon Oate amortization Amortlzeble pe~=e Ooscrfption cI coats begins amount aecUon pen: e 1I>r thle Ylar 42 AmortlzaUon of costs that beglno during your 2003 tax year (s ..1nstructIona): I I I 1',,' I I I 43 AmcrllzaUon cI costs that Pegan belore your 2003 tax yoor " , 143 1 44 Tolal. Add amounts In column m, Sea tho lnotrucUono f<>r wha lOiO",;,.,rt , '[44 O. ...... _T""*"""-"J'fA Form 4562 (2003) SCHEDULE K-1 (Form 11205) Shareholder's Share of Income, Credits. Deductions, etc. . See I~ lnltruc1lono. For calendar year 2002 or tax year 1003 and onelln 12 31 20 03 Corporadon'. ldentlfytn number. 2 3 - 2 COrpOration'1 nam.. addl.... end ZIP Cod. IRSCH'S PRINTING, INC 515 KATHRYN ST EW CUMBERLANtJ J?A 17070 OMS No, 1548-0130 Ofrpwtmen1 of the Trta8ury Inremal RlMlrtUl Service b Sharaholder'.lden1lfyl number.2 01-16 -1919 Shlteholdefa nama. addreaa, end ZIP code EUGENE KIRSCH 1517 KATHRYN ST NEW CUMBERLAND, PA 17070 2003 1970 A Shareholdafa percentage of atock ownership for tax yeer (.ee Instructlona for Schedule K-l) B Imemel Ravenue Service Center where corporation flied Its return . CINCINNATI,' OR C Tax Ihelter reglatnttJon number (aee_ for Schedule K-1) II> i.oooooO % D Check ecollceble box..: . I1l n Final K-1 12\ n Amanded K-; (.) Pro rata ahlre ltema (b) Amount (0) Form 1040fllalllntllr1he lIITlounlln Dolumn (b) on: 1 Ordlnery Inocme (1088) from trade or bualne.. activities 1 2,440. S..ilhe Sh=f. . 2 Net Income (loss) from rental real estate aettvlUes 2 .Ine~n. for edule 3 Net income (lOSs) from other rental activltlea :r+t J(., Fonn 1120S). 4 PortfolIO Income (losa): . Interest 13. Form 1040. line Sa b (1) Quallfledd~ : 4b 1\ Foml 1040, line 9b (2) Total ordinary dlvldonU; 4h 2\ Foml 1040. line go C Royal1>i inc~ 4c Sch. e, Pen I, 11n04 Income d (1) Net ahort-lem, ~Pnai ~i" (ki..; (Po.i-MeY 5::1003) 4d1 Sch. 0, line 5. OCI. <Ill (Loaa) {2} Not eIlort-tlnn capital gain (10..) (entire yea~ 4d2 Sch. 0, line 5. oc~ (t) e (1) Net Iong-tonn capital gain (Iosa) (poet-May 5. 2003) 481 Seh. o.nn. 12. co1. (g) (2) Net Iong-tenn capital gain (Iosa) (entire yesr) 482 Seh.,O.llne 12. COl. (~ 1 Other portfolIO Inocme (Ioaa) (altaeh achedule) 41 ~.r"~' ywr .) Sa NetaectJon 1231 gain (Iosa) (pca~May 5.2003) Sa ~8eeSh.rehO~.f'hAd 5b NetaectJon 1231 gain (Joel) (entire yee~ 5b InalrllC1lOnt for Sc ule 6 Other Income (Iosa) (atteeh achedule) e (Ell"'"""""", 7 Charltabl. contributions (altaeh achedule) 7 SOh. !>..IIn. 15 or 16 DedUC- e Section 179 expense deduction 8 393. } SOlllhe Sha...ho~.f' tfons . . . . . . InatNC\IO/\e for Schl\dule 9 OeducUona related II> portfolio Income (10..) (11lach schedul.) 9 10 Other deductione (attech achedulS) 10 K-1 (Form 1120S). InvNC-- 11a Interest expense on Investment debts 11. Forrrl4\lell, line 1 ment b (1) Inve.tmentlncomelnelUded on lines 4a.'4b:~,.i. 4; abo~e l1b(1) 13. } ~mtl!h~ldef' In on. ~hedule Inter.. ;2\ Investment_included on line 9 above 11b(2) K-l (orml1 ). 12a Credn for alcohol Uled .. fUel 12a Form 8478, l",elO b t.ow-in<:ome housing credl1: } Form 8568. line 5 (1) From a..1Ion 4l!(J)(5) pennerahlpe . 12b(1l (2) Other 1han on line 12b(1) .. . ... . 1'bi2) C....tte C Quallfled reh.bllltaUon expendhu... ..ialed II> ..ntal reel eatate actlvltlea 12c d Crad"" (oth.r than credits ahown on 11n.. 12b end 120) related See 1I1e 8ha...holder'e to rental reel _Ie .eWhles 12d Ii> InI1l1ictJons for Schedule e Credfts refated to other rental activities 12. K-I (Form 11208). 13 Other credits 13 , II> For PIp.rwork Reduc1lon Act Nod", .oa the InalrUc1lona for Fo"" 11205. Cat No.1 '6200 SOhtdul.I(-1 (Fonn 1120$) 2003 312081(11 ~ghl 'TAXfIMPLEJVA. r I - Schedule K-l (Form 11205) (2003) EUGENE KIRSCH Ad)u Menu "Tax pref- erence Items For- eign Taxes Othor SUp- pro- mental' Infor- mation (b) AmoUht 201-1G-1919Pa e 2 (0) Form 1040 mo'" onter tho emount In ..Iumn (b) on: (0) Pro "',. snare Items 148 Depreciation adJustment on proparty placad In.eNIce after llle6 b Adjusted gain orlos. ............ C Depletion (otller tIlan on and gas) d (i) Gros. Income from 011, gas, or geOtherma' p;.p.riJo. (2) O_no aIIOCobIe to ca, gaa. or g801hormal propertl.. e Other ad ustmonts and lax ofetonce Items ottach schadule 158 Name of foreign countly or U.S. pas....lon ~ b Gross income from all sources ...... C Gross Income sourced at shareholder level d Foreign gross Income sourced at corporate level: (i) Passive ........_ (2) listed categorie. (attach .chadule) (3) Ganoralllmltatlon ..... . . . e Deductions allocated and apportfoned 'at shareholder level: (i) Interestexpen.e ............. (2) Other . . . . . . . . . . . . . . . . . . . t Oeductlon. allocated and apporiloned at corporate 'evel to rorolgn source income: . . . . . (1) p...lve ................. (2) Listed categories (attach scheduls) (3) Generalllmltatlon g TotaIfQrelgn\aX"(chec:k~):' ~ D'Plkl' . 0 AC~ruOd' h RedUCtion In \aX" available for creda (e1l8Ch .CIladule) 16 Section 59(e)(2) expandl11Jres: 8 Typa ~ bAmount ...... 17 Tax~xomPllnlOrest tnoorne 18 Other lax-exemPllnc"",e 19 Nondeo\lCtlble oxpan.... . ....... 20 Property dlstrtbutJon. (including cash) other tI1sn dividend distribution. reported to YQU on Form 10ll9-DIV 21 Amount of loan l'epayments for -Loans From Shareholders. 22 R.capture of low-Income housing credit a From .acCQn 42(J)(5) partnerships ......... b OIhor tIlen Qn line 22a 22b 23 Supplemental Informotlon required to be reporied .eparately to oooh .horoholder (at'.ach addlUonalsohoduloa K """" space \I neodod): 67. s.o tile 8~araholder'. In81l'UQttone tor Schodula K-l (Fonn 11205) anc Instruc\lcn. tor Form 8$51 FQnn 111~, Part I Form 88",lIn08 312QSK12 CClP)trlgtll. TAXSIMP\.E! JVA Schedule K-l (FOl'III l120S) 1lOD3 - S~HEOULE K-1 (Form 1120S) I [)epbrtr'nentoltMT.....uIY Inll Revenue Service nnln 01 01 Sh reholder's l_fyIn number .210 - 5 6 -73 61 Sh reholder's name, address, and ZIP code VINLEE E. KIRSCH 1514 KATHRYN STREET ~W CUMBERLAND, PA 17070-1155 Shareholder's Share of Income, Credits, Deductions, etc. .. S.. I.-rate In,trucUona. For calendar year 2002 or we year 2003, snd .ndln 12 31 20 03 Corpo,a1Ion's Id.nllfyln number. 2 3 - 2 51 Corporatlon's nam..lIIldr.... sod ZIP CClde IRSCH'S PRINTING, INC 515 KATHRYN ST W CUMBERLAND PA 17070 OMI! No. 1545.0130 2003 707 OR . 49.000000 % A /lherehOlde(s percentage of B1tICk ownership lor 1Sx veer {e.. InoIruc\!one lo' Schedul. K.1) B ,ntemel Rev.nue Service Conter Where corporation med IUI reNm . CINC INNATI , . C rax shelter regletratkln number (seelnelructlons!or Schedule K.1) D bheck applicable boxes: 11i'Ff Fine! K.1 (2) h Amended K-; . . I (.) Pro rata share Items (b) Amount (0) Form 1040 51era enter the amount In column (b) on' 1 Onlina1V Income (loss) from lrsds pr business activities 1 119,552. } S.. the Sh..ehplde~. I 2 N.llnccm. (loSS) from rental realestato activkles 2 InlltruCtlo". for SChedUle 3 Net income (loss) from other rental actfvltles 3 K.l (Fprm 11205), \ 4 Pprtfollo Income (108s): :~ a Intereat 659. Form 1040. line sa b (1) Quellfled dlvide~ : 4b111 FOlhI 1040. line 9b I (2) Tptal prdln81V dlvlden~ 4b(2) Form 1040, 11n. Oa I C RoyeJty Incom~ 4c $Ch. E. Pari I, 11n.4 1"1m. d (1) Net shon.ts';' CaPitai galn'(iO.si (Pa-i.May 5:2lioo; 4d(1 sen. D, line 5, Cpl. (0) (L os) (2) Net shon.torm capllal gain (1Oes) (.ntIre Y"~ 4dl2 sen. D, lint 5. col. (~ a (1) Net Iong-torm capllal gai1 (11'..) (poet.May 5, 2003) 44l( 1 Sen. D, line 12. col. (oj I (2) Net Iong-Ierm cotlltal gain (loss) (.nure Y"~ 4e12 Seh. D. One 12, cpl. (~ , Other portfolio Incpme (Ioea) (eltaCh scnedula) 4' ~~~'"'r I 5a N.tsactlon t231 gain (loss) (posl-May 5. 2003) 5a } S.. Sh*rehplda(s 5b Net section 1231 gain (108s) (enUre yeer) 5b Inltructlons for Schedule 6 Other Income (Ios.) (attach schedUle) 6 ~!''''..- D.J,c- 7 Charlfal:>le contributlons (a1Iach echedule) 7 Sch, A, IIhe15 or 18 8 Section 179 expense daductlon . , . . . . . . 8 19 263. } See 111. __fl tfone 9 Deductions releted 10 portfolio Income (Ioas) (attach echodule) 9 InslnJctlone for Schedule i 10 Other deduc1Ions (atlBch echedule) 10 K.1 (Form 1120$). Inv..t- 11a Interest expense on Investment debts 11. Form 4ll82. line 1 mOl b (1) Inveelm.nt Income Included on lines 044, '4b, ~, &. 4; above llb(l) 659. } = SnarehO~ Ins = lor hodule Inte .., (2) Inveslmant expo".es Included en line g ebove llb(2) K.l ( rm 11 ). 12a Cred~ fpr elccncl used as "'el 12a Form 8478, IIn. 10 I b Low.lncome housing credit: } Fprm 1l!llI8. line 5 (1) Frpm secUon 42(J)(5) partnershlpe , 12b(1) (2) Other than cn line 12b(1) , 12b(2) crt c Qualified rehabilltaUon expendlllJres r.feted to rental rtel eslato actlvltie. , , 120 d Credits (other then credits shown pn lines 12b .nd 120) releted Sealhll Shartholde~1 ! to rente! reef ..tats actIviUee 12d InatrlictIO". !or SchedUl. a Credits refeted to other rental actIvkle. 12. K.l (Form 11205), , ' . . 13 Other credlta 13 . For Paperwork Reduction Am Noll... s..lIItlnetructlolWlo, Form 1120$. Cot. No. 115200 Schodula K-l (Form 1120$) 2003 I 3120SK11 ~rlOhtTAXlIMPlEJYA Schedule K-1 {Form 11205 (2003) KEVINLEE E. KIRSCH (a) Pro rata share _s Adjust ments &Tax Prof- erence Ilems For.. elgn Taxes Other Sup- ple- menial '"'or- rna'don 14a Depreelallon adjuatment on proparty plaCed In .orvlco after 1986 b Adjusted gain or Ioso C Doplellon (othor than 011 and gi.i . . . . . . . . . d (1) Gross Incomo from 011. gas. or g.:.tho';"ai o<<,p",u"; . . (2) DeductIOns allocable to 011. gos, or geothermal propenl.. 8 Other adjustmenta and tax raforonce ltoms attach schedulo 158 Name of foreign countrj or U.S. possosslon... b Gross Income from all sources ...... C Gross. income sourced at aharehokter level d Foreign gross income sourced at corporate level: (1) Pas.lve ......... (2) listed categories (attach ochedule) (3) General limitatiOn ........... 8 Deduc:tlons allocated and apponlonod at sharoholder level: (1) Interest exponse (2) Other . . . . . : : : : : : : : : : : : . . f Deductions allocated and apportioned at corporato level to foreign source Income: . . . . . (1) Passlvo ................. (2) Llstod catagoriee (attacl1 schodule) (3) Generalllmltallon . g Total foralgn taxe. (cheCk one): . ~ O'pald' . 0 Ac~ru~' h Reduc:tlon In tax.. avalleblO for cradlt (attach .chedulo) 16 Secllon 59(0)(2) expaM~ures: a Typo ... bAmount ...... 17 Tax.exompt lnIeresllncorno 18 Othar tax-exempt Incomo 19 Nondeductible expenses 20 Proparty distributions (Includ';9 ';"h) ~thar 'than dIV~';'d distribution. roported to you on Form 1099-DIV .. 21 Amount of loan ropaymonta for 'Loans From Sharaheldars' 22 Recapture of Iow-Incomo hOUSing credit: a From section 420)(5) perlnorshlpo ......... b Other than on IIno 22a 22b 23 Supplomantallnformellon '"'lulred to be reported separatoly to each .haraheldor needed): (b) Amount 210-S6-1361Pa e 2 (0) Forni 10000flltro ontortho emounl In COlumn (b) on: 3 85, aoo tho Shoreholdof. Insl1'UCllono for Schaduie K- 1 (Form 11205) and lnotrucllont for 1'0"" 6251 Porm 11'$, Part I Form 1116, Part II See InatruOlIonl for FOrin me . InotrUClIon. r Schldul. K.' (Fo"" 1 20$). Form 1040.lino eb } See tho Shorehoidofl InotnJctlonO for ScI1ldull K-1 43,811. (1'0"" 1120$). Formee".lInoe ttach addlllonalschod\Jioa W me.. a_1o ~1ZOS/('t -tTiolVA , Sohtdlllo K-1 (Fonn 1120$) 2llO3 .- SCHEDULE 1il-1 (Form 1120S) Shareholder's Share of Income, Credits, Deductions, etc. .. See separate In8trucUOns. For calendar y..r 2002 or tlx yur . a003. and endl 12 31 20 03 CorporaUon'1 Ida n nUlllber l> ~:2 Corporatlon'l name, address. alld ZIP cede IRSCH'S PRINTING, INC 515 KATHRYN ST W CUMBERLAND PA 17070 OMS No, 1540-0130 DtpeMlInt at tI'I. T18lSwy lnlarnal Revenue S. ' ""In 0 1 0 1 Sh"reholde,," I nUlyIng number 1>210- Shareholde(s narlle, addre.., aI\d ZIP code SOYCE KI!tSCH 1517 KATdRYN STREET NEW CUMB~RLAND, PA 17070 2003 9 A ShorehOlder's ~centage of stock ownership f<>r tax yeer (saalne1rucllona for Schedule K.1l B Interne' Aeven~e Service Center wIlere corporation flied ItlI return I> CINCINNATI,' OM C Tax sholler r.g\stratlon number (saalnstructions for Schedule K-l) I> 47.945205 % D Check aPllllcallle boxes: (11 n Fine' K.1 (21 n Amended K.; . . (I> Pro rata share Items (b) Amount (el 1'<>1111 1040flIelllnterlt1e lInllunt In oolumn (b) on: 1 droinat)/ income (loss) from trade or business sctIvltlas 1 11fl,978. } S.all1a Shlfllho/da(s 2 N~tlncome (loss) from rental raaI estate acllv~'es 2 lnat'uetlo... for SchedUle 3 N.tlncome (/Oss) trom other renlalactlvlties :~ K.l (I'o1'll111:20S). 4 POrtfoliO Income (loss): a In~rest 1545. FOI111 1040. II.a 8a b (1) Qualified divioe;"~ : : . 4D(1) Form 1040. ~ne1lb (::I) Total ordinary dlvldands 4b(2) Form 1040. lInella C R1llyeltylncom~ . . , . . . . . . . . . . . . 4c Soh. E, Part I, line 4 Income d ( ) Net short-term capital goln (10..) (POSt-May S, 2003) 4d1 Sen. b, IIn.., col. (g) (Le..) (::I) Net short.term capital gain (loss) (entire year) . . 4d2 Soh. 0, 11r1.8, col. (n 8 (1) Netlong-torm capital gain (lOSS) (potlt-MIy 5. 2003) 481 Soh. b, /lne12, COl. (g) (2) Net Iong-torm cap~1 goin (lOas) (enure year) 482 Soh. b. IIr1a 12, col. (n f olher portfolio Income (loss) (a\tach lClledule) 4f =r..~ Sa N& sactIon 1231 gain (loss) (post-May 5, 2003) Sa } Fr"Jml,~e(1 5b Ntit secUon 1231 gain (1011) (eOU.. year) 5b Ma "., Sohaclule 6 O\l1or InCOme (loss) (_Ch schedule) 6 ~!!"".!!!.~ 7 CPlaritable contributions (a\tach lCllodUlil) 7 seh. A, IIn. 150' 15 Dedue- 8 ~tIon 179 expense deduction 8 18,846. } Slothe Shatlhoide(s Uons 9 ::Ctlono related \0 portfolio Incom.; (k,.';) (attic,; oCheduie) 9 InetnJCtIon.1cr Sohedule 10 er deductions (a\tach Ichedule) 10 K.1 (1'0111111:20S). Invest.. 11 a Int.rost expense on Investment_ 11. 1'<>1111 41l62, lIna 1 ment b l~llnvostmenllncom.lncluded On II... 4a:4li, 4C, 8. 4; sbo~e . 11b(1 645. } Sea Shareholdefa '~fOrSchedUIa Interm Investment expenses included on Rna 9 .bove 11b(2) K.t 11208). 12a CIOdIl for alcohol used os fual 128 FOI111 Sol?S. ,In. 10 b Law.Wloome housing cradll: } Form lISS8, line 8 (t) From sactlon 42(j)(5) partn...hlpo 12b(ii (21 Olherthan on Nne 12b(1) . . . . . . . . . 12b(2) Crodltl C OUaIIflod rehabilitation expond~ros related \0 rental ..alestate ac\\v1tlaO 12c d Crlldltll (othertnan credits shown on IIn.. lab and 120) related Sill the Shlfllholde(s to 1ental real estate aclivltles 12d InotruCtionI for Schodule e Crlldltll ..lated \0 otner rontalactivitl.. 128 1(-1 (Fonn l1a08). 13 Olher credits 13 I> For Paperwork RlI<lucUon Act NoUe.. s..tho Ins!lucUons for Fonm 1120$. Cat No. 115200 Schodulol<-1 (Fonm 11208) 2003 3120Sf(11 Capyrlflht TA)(IIMPLI:..NA SchaduleK-1 (Form 11205) (2003) JOYCE KIRSCH AdJUst menta & Tax Pref- _""'0. Items For- olgn Texee Othor Sup- ple.. menta' Infor- mation (e) Pro rale ohlll& items 210 26-665~Pe I 2 (c) Fo 1040 fliers Inlllr thl amo nt In column (b) on: (b) Amount 148 Depreciation adJustment on property placed n BeIVIcI alter 1986 3 215, b Ad)ustedgalnotlos8 ............ C Depletion (other then 011 end gaol d (1) Graso Income from 011, gao, or gaOu;e';"';, p;.p.rti... . . (2) Deductlona _. to 011, gal. or geothermal blllPOrtIe. e Other ad ustments end lax breference ilAlrns ettsch schedule) 158 Name 01 foreign counl<y or U.S. pos....Ion.. b Gross income from all sources ...... C Gross income sourced at shareholder level d Foreign grcsa Income sourced at corporate level: (1) Passive ............ (2) Llsied categorl.. (ettsch schedule) . . . (3) GeneralllmltatiOn ........... e DeductiOns allocated end apportioned alSharellolde' level: F tin 1 "s, Pari I (1) Interest Ixpense (2) Other . . . . . : : : : : : : : : : : : : . . f Deductions allocated end apportioned at corporatllevll to foreign source income: , . . . . (1) Passive ................. (2) Listed co1lgor'as (attsch sch.dule) . . . . . . (3) Genlralllmltation . 9 Tolal foreign taxes (check ';"';):' ~ D'P~Id' . 0 Ac~~' h ReductiCn In tax.. aval/ablllor cretin (attsCh schldull 18 SectiOn 59(.)(2) .XPllndnures: B 'Type .. bAmount ...... 17 T......mpl inlll,esl inCome 18 Other tax-exampllnc<>me 19 Nondeductibl. IXP"n... 20 Property dlsb1butiCns (InClud';9 ~"'h) ~,her'~ dtvkle~ distributions reported to you On Form 1099.0IV " 4:2 21 Amount of loan repaymlnts for 'Loene From Shareholders' 22 Recapture of low. income housing credit: 8 From section 42(1)(5) partnerships ......... b Other than on line 221 22b 23 SUbp/emenlallnformation required to be t8portld aaparataly to aa<:h .hareholdar (alI1I.ch acldll!ona'_1es II needed): nlO8K11 'Oe\7;'T\Qtl\TAXalMPL.S.NA Schedule K- (l'Otm 11208) 2003 DepPmWlt of the T.....ury 1"I8InIV~Servk:8 Shareholder'1 Iclenllfyfn number ~6 8 - 62411 7 3 Sharel1old.~1 nem.. addr.... end ZIP cod. ESTATE OF JOYCE L KIRSCH 1517 KATHRYN STREET NEW CUMBERLAND, PA 17070 Shareholder's Share of Income, Credits. Deductions, etc. ... S.. separate Instructions. For calandlr year 2002 or laX year 2003 and andln 12 3 20 0 3 CorporaUon'ald nulllb.r..23 - 2 5 Corponttlon's nam.. ai:ldNee. and ZIP code IRSCH'S PRINTING, INC 515 KATIlRYN ST EW CUMBERLAND PA 17070 OMS No. 1548-013Q SCHEDULE K-1 (Form 1120S) 2003 70 A ShareMIder'. percentage of .1ocI< own.rshlp lbr lax year (...Instructlons for Schedul. 1(-1) B Int.rnal Rev.nue S.rvlca Cent., wh.,. corpolllllCn flied III retum ~ CINCINNATI,' oli c Tax Ih.~.r reglstrallOn number (s..lnstructlona for Schedul. K.l) ~ 2.054795 ~ o Check ewIlcab1e boxes, (1) n Flnill K-l (2) n Amended K'1 . (I) Pro rata lhara _. (b) Amount (0) Form 1040fll.rIl_rth. amount In column (b) oh: 1 Ordinary Income (I..s) from tlada or busln... activities 1 5,013. Sae tho Sharol\oidar's :2 Net Income {loss} from rental real estate activities 2 1_ for Schedule 3 Net Incoma (loss) from othar renUlI activities 3 1(-1 (Form 11205). 4 Portfolio Incoma (Ioes): , 28. Fonn 1040, IIna Sa a Interest b (1) Quallflad dlvide~~ : 4 1\ Form 1040. llna 9b (2) Total Ordinary dlvldandS 4 2 Fonn 1040, 11n0 9a 0 Royalty Incom~ 4C 8ch. e. Part I. IIna 4 Income d (1) N.t short-te';" caPnai g;./n' (rOsa) (PoSt-May 5: 2000) 4d1 $oh. p, IIna 8. col. (g) (LOOI) (2) Not short.f.orm cspltal gain (108a) (.1I1lre year) 14d2 Sch. O. llna 5.001. (~ 8 (1) Net Iong-t.rm capital gain (lolls) (poet.May 5. 2003) 481 $oh. P, llna 12, col. (ll) (2) Not long-term capital gain (108e) (.1I1lre year) 482 $oh. O. IIn. 12, col. (I) f Other portfolio incom. (Ioes) 'atlach schadule) 4f ~"':i=""'~ Sa Net.eellon 1231 gain (10..) (peat'May 5. 2003) Sa }Se,s=.r'a 5b Net section 1231 gain (loss) (enti"- year) 5b I_ona r SChedule 6 Oth.r Income (Iooa) (attach achtduJe) 6 ~!"~ 1 Charitable contributlons (attach sch.dule) 1 Sch. A, rln.t5 Orl5 o.duc- 8 Section 179 ..pense d.ductlon 8 808. } S..lha $harehcld.~a tlons . . . . . . 9 IHattuCUona lor Schedul. 9 Deductions ",Iated to portfolio incOme (lOSS) (attach echedul.) Ko1 (Form 112OS). 10 Oth.r deductions (.ttach achedule) . 10 Invut- 11a Interest expense on Investment d8bt$ 11a Form 4Q52, IInl I m.nt b (1) Investment Incom.lncluded on lines 4a:4b. ..., .i. 4; aix,.;e 11b(1) 28. }iSha"'~'e 1"'= f edule Int.... (2) In"eatm.nt ...pen... Included en line 9 above llb(2) K-l 1120. 12a Cred~ lor alcohol us.d as fuel 12a Fcrm 8418. line 10 b LOW-Income hOusing credit 'e } Form 85M. line 5 (1) From sectlon 42lJ)(5) pertnerahlpa (2) O1f1.rlhan on Un812O(1) . 12b(2} Credlta 0 Qualified rehabilitation axpendlturos related to rentel reel ..tate actIv~l.. 120 d Credlta (olherthan credlta shown on linea 120 and 120) related S.. tha $harehblde~a to rental real es1ate actlvh\e8 . . 12d 10 1l'l81lUll1lCnl1ot $ohedule 8 Credlta ,.lated to oth.r rental activities 128 ;(-1 (Form tl2llS). . . 13 Other credits 13 For Paperwork Reduction Act Notlc., see th.lnstructIons for Fonn 11208. Cat. No. 115200 Schedul. 1<-1 (Fo,," WIllS) 2003 .. 312081<11 CclpyTlihtTAXlIMPLlJVA SChedule K-' (Form ,'20S) (2003) ESTATE OF JOYCE L KIRSCH (a) Pro rata shanl items (1)) Amount 68-6241173 P..2 (e) Form 1040 me.. eritllr the amount m column (b) on: 148 Dspreclatlon adlustmsnt on "",perty pl&sd In servlcs afler 1lle6 Ad/uat- b Adjusted gain or loss menta .............. .. Ta. C Depletion (other llIon oIIBnd gas) Pref- d (1) Gross Income from all. gas, or g~'~8'1 p~p'erties' . . ~t':.:::e (2) Deductions alloCable to 011, gas, or gsothermal P<Op8rt1ss e Other adjustments and /ax preferencellems (attach .chedule 158 Name of foralgn country or U,S. possession.. b Gross Income from all sources ...... C Groaa income sourced at shareholder level d Foreign gross Income sourced at corpora!1lleval: (1) Passive ......... (2) LIsl1ld calego~.. (attacn schedule) (3) Ganeralllmll8t1on ........". e Deductions allocated and apportioned at sharehOlder level: (1) Interesta.panse (2) Other. , . . . : : : : : : : : : : : : . . . f Deductions alloCsl1ld and apportioned at corpora!1llevel to foralgn source income: . . , . . (1) Passive ................. (2) Listed cat8g0nea (attach scnedula) (3) Generalllmltatlon . . , . . . . 9 Total foreign lax.. (check ~n~):' ... np~' . 0 Acdru~' h Reduction In tax.. available for credit (a1laCh achedu") 16 Section 59{e)(2) ex.sndlluras: 8 TYl>8 .. b Amount ...... 17 Tax..gxempt Interel1lnC:ome 18 Othar tax-axemjOtlncome 19 Nondeductible expenses Oth.r 20 Property dlst~butlons (Inclual~g ~"'h) ~~ar'~ dlv~s~d distributions reported to you on Form 1 Qg9.OIV .. 21 Amount of loan repayments for "Loa" From Sheraholdera" 22 Rec8PlUfe of low-Income housing credll: 8 From .ectlon 42(J)(~) partna..h/ps ....,.... b Other than on line 22s 22b 23 SupplementallnlormaUon raqulred III be reported sepera!1l1y to each sn_ (a*h addlIIonaI_ules W /no,. space It na8ded): FM>1SS11,llna. For- eign Taxes Sup- p.... mental Infor- mation 1 8. t.. ltlo Sharoholdefo 1"lIUCtIon. fOr SchedUle K.l (Fo,," 11206) and inetrucllon. lor Form S:l!il Form 111S, "srt I FOntll11S, "art II See lnoauctlon. fOr FOrm "'8 e a n K.l orm 1120 ). FOrni 1040, Ime 8b } So.lI1. Shar.l1Oldof8 Inotructlons lor Schedull K-' 1,840" (Form 1120S). 312.0Sl<.12 COSftfIs,t4 TmlMPU5 JfA &cll8flll1. K-l (l'orm 112OS) 2DOlI Name KIRSCH'S PRINTING, INC BID No. 23-2519707 Attachment to Schedule L-Line 18- Other Current Liabilities PRIOR YEAR CURRENT YEAR ACCRUED INCOME TAX 300 55 ACCRUED SALES TAX ACCRUED PAYROLL TAX -383 -1,359 Total -83 -1, 304 Name: KIRSCH'S PRINTING, INC Attachment to Form 1120S, Sch A,Line 5 - Other Cost ID # 23-2519707 Total 102,090. 16,490. 2,357. 120,937. MATERIALS & SUPPLIES SUBCONTRACTORS OUTSIDE SERVICES Name : KIRSCH'S PRINTING, INC Attachment to Form 1120S, Line 12 - Taxes PAYROLL TAXES PA CAPITAL STOCK TAX OTHER TAXES & LICENSES ID # 23-2519707 22,892. Total 345. 2"3,237. Name: KIRSCH'S PRINTING, INC Attachment to Form 1120S, Line 19 - Other Deduction ID # 23-2519707 Total 6,265. 459. 28,487. 2,554. 9,080. 20,366. 7,646. 1,383. 877. 1,763. 9,141- 88,021. VEHICLE EXPENSE DUES & SUBSCRIPTIONS INSURANCE LEGAL & ACCOUNTING TELEPHONE UTILITIES OFFICE EXPENSE TRASH REMOVAL POSTAGE & SHIPPING BANK CHARGE & FEES TRUCK LEASE U.S. Income Tax Return for an 5 Corporation ... Do not file this 10nn unless the corporation has timely filed O~utm.nto1th.T"aallr~ Fo,m 2553 to lil.ctto b. an S corpcnatlon. Il'Itl,n&1 Rllv.nUI Se!'Vlel .. See, .~te Inatructloti8. For calendar ear 2002, or tax ear nnl 2002. and endi I 20 A Effective date of Use Nam. C Employer identification no. .lec1ion..Scorp, IRS KIRSCH'S PRINTtNG, INC 23-2519707 07/01/1988 lab.l. Numbllr,.tr..t,;tndroom or IlIltlno, (If a P'. O. box,ae,plo",11 otthllnstr1lCl1IoM.) 0 Date Incornorated Other" . ~ B Bulllness co<le no, wI.e, 1515 KATHRYN S"t' 0 7 1 0 1/19 8 8 (see InstrUctions) print: or City or town, stal', and ZIP COcll E Total asS8ts (see Instructions) 323100 type. NEW CUMBERLAND PA 17070 $ 195,407. F Check sppllC.bl. be...: (1) Initial return (2) Final i.1IIm (3) Name cheng. (4) Addt... chang. (5) Amended return G Enter number of shareholders In the corporation at end of the tax year. . . . . . . . . . . . . . . . . . . . . ." 2 Caution: InclUde on fl"ade or business Income and eJCpenses 00 IIn881. through 21. See the instructlons for more Imormatlon. 18 Gro..nc.iptl'O(lal.. 34 . b L....r.turllfand..Uowanc.. CBal~ 1c I N 2 cc.t 01 geods scld (Sch.dule A, IIn. 8) . . . . . . . . . . 2 C 3 Grose profit. Subtrect lin. 2 from line 1 c . . . . . , . . . . 3 ~ 4 Net gain (Ie..) from Form 4797, POIt II.lin.18 (etta<:h FOrm 4797) . 4 E 5 01heI' Inceme 0000) (attach schedul.) . , . , . . . . . . . 5 6 Total Income 1088 CombineUnes3ttlrou h5 . ',' . . . . . . . . . . . . . . . .,. 6 7 COmp.nsation of c1ll""", .".... 7 8 Salaries snd wag.. (_ employment credlla) 8 9 Repairs and maintenance 9 10 Bed debls .. 10 ':611 R.nts 11 ~ E" 12 T.... and lI~en... . . . . . . . . . 12 o ~ L 13 Interest . . . . . . . .'. . . . . . . . , . . . . . 13 gs~ 148 C.precl.tlcn(llrequlr.d,atlach Form 4562) ,..... .148 61,615. T ~ I b D.preclatlon claimed on Schedule A and e1sewher. on r.1IIrn . 14b I u l C Subtract line 14b from line 14a ~ ~ i 15 D.pletlon (Do not deduct 011 and 'ee~ ~1.j,0~.)' S60 16 Advertl.lng ........ ~ ~117 P.n.lon. pro!lt-.harlng, etC" plan. 18 Employee ben.flt programs 19 Otherd.duct!ons (ettach schedule) . . . . , . . . . , . . . . . , . . 20 Total deductlona, Add the smaunts .hown In the f.r right column lor IIn.. 7 through 19. 21 Ordl Income 10" from trade cr business activities: SUbtrect line 20 from IIn. 8 22 Tex: 8 Exc.... n.t passive Incom. t.. (attach sch.du.). . . . . . 228 T bT..fromSCheduIeD(Form1120S}.........,..., 22b A x C Add lines 22a and 22b (see the Inetruc1lon. for additional t....) . . , . . A 23 Payments:. 2002 est, tal< payments a. smaunt sppllel:l frcm 2001 /tn, 238 ~ b T.. d.pcalted with Form 7004 ......... . 23b C Cr.dll fcr F.deral tal< p.ld on fu.1s (attach Form '13~) . 23c : d Add IIn.. 23ethrough 23c . . . . . . . . . . . y 24 Estimat.d taX p.nalty, Check If Fcrm 2220 I. .ttached . r 25 Tax due. If the total of lines 220 and 24 is larger than Ilhe 23d, enter amount owed. See the ~ Instruction. for d.po.llcry method of payment . . . . . . . . , . , " , . . . . ,. 25 s 26 Overpayment. If line 23d 18 larger than the totaJ of lineS 22c and 24, enter amount overpaid .ttJ. 26 27 Enter ameunt of IIn. 26 au want: Credited to 2003 e lax. Refunded. 27 n .rp.na ..0 p'(jury, d.e . at iJ;V..:u.Il'lIn. t Isreurn,lncudngaccompanynosc. uuand.u.m.n1',an tot. ..to myknow, g.&f1 b.liet. It Is tl'\ut. corr.ct, and compl.t.. O.cluat1on 01 !)fllp.,..r (o't"., tt\&ro. vpa.y.r)I. bated" on"" lnio,,,,..t\on 01 wn\t.... ""'$).'111' ha.s U't~ know"uS~. Form 11205 140 15 16 17 18 19 .. 20 :n . . . . . . . . 23d :.n . 24 51gn Here ~ SI nature of cfflcer ~ T1ti. Preparer's ~ ~ Paid s19natunl r f ( Preparer's Firm" name (or ~ . CEPERICH, CPA EA Use OnlY youi'll 1I..II-.mplo~"dJ' , N SECOND STREET address, and ZIP cede HARRISBURG l?A 71 1 For Paperwork Reduction Act Notice, Me the aeparltelnatruCtfons. 21120$1 OMS Nc, 1545-0130 2002 4,260. 15 34 7 , 47 9 17 ,0 1 ,4 61,615. 3,0 O. 41 411. ,8 093. o. O. o. Mayth.IRS dl,C\l" thltr.tul'n ""\th tn", pf~lt., shllwn 1:18to"" (n.ln't,)' Yea No Prep....... SSN or PTlN P00021766 -1 1 2 172 5919 TAX$IMPI.E JVA Form 1 205 (2002) Cost 01 Goods Sold see instruction. 1 Inventorr at beginning of yeer . 2 Purch.................. 3 Cost or labor . . . . . . . . . . . . . 4 AddltlOnal.ectlon 21l3A costs (attach schedule). 5 Other costs (auach schedule) 6 Tolal. Add lines 1 through 5 . . . . . . . 7 Inventory at end of year . . . . . . . . . ~ . 8 Coat 01 gooda OOld. Subtract line 7lrom Une 6. Enter here lnd on page 1, line 2 . 9a Check all method. used tor vlllulng clo$lng Inventorr: (Q ~ COst as described in Regulations section 1.471"3 (II) LDwer at cost or market as described in Regulations section 1.471"'4 (Ii~ Other (specify method used and attaen explanation) .. b Check II there was a wrtledown 01 "aubnormal" goods as described In Regula1lon. section 1,471-2(c). C Check lithe UFO Inventoly method Wall edopted thl. t.. yeer lor any good. (II checked, IltSCh Folm 970). d II the LIFO Inventoly method was u.ed lor thillt.. year, enter percentllge (or III1OUnts) ololoolng Inventoly computed under UFO . . . . . . . . . . . . . . . . . . . . . . . . . . . . e Do the rul.. of section 21l3A (for property produced or ..qulred lor I99l11e) apply to the corporatioll'l. . . . 1 Was there any change In determining quan1ltiee, cost, or valuation. between opening lIhd ck>sIng Ihll8ntol\l? , If "Yes," attach IIIX lanation. Other Informallon Check method olacoountlng: (a) Cash (b) Accrual Refer to the list In the Instructions and etate the corporation'. prlnclpal: (a) Bu.lness activity. PRINTING (b) ProdUct or .ervlce . 3 Did the corporation at the end of the to: yeSl own, directly or Indirectly. W.... or more of the voting Stock of I domIaIIC corporaUon? (For rule. of aurlbuUon, see section 267(c).) If -V.... attach a schedule shOwing: (e) hll118, eddtal, and employer IdenUflcaUon number and (b) percentage owned. . . . . . . . . . . . . . . . . . . . . . . . . . Was the corporation a member of a controlled group subject to the provlslons ot section 1M 11... ...... *... Check this box II the corporallon has filed or Is required to file Form 8284. Applicalloh lor Aeglstrlitlcn of a T.. Shalte( ." B Check thl. box n the corporetlon issued publicly offered debt Instruments wllh orlglnalissue dleCounl . . . . . . . ... If so, the corporation may have to file 'orrn 8281, Information Return tor PubUcly Offered Original ltIu. DblcoUn1lnittrUtnltl1l, 7 11 the corporation: (a) was a C corporallon belore n elected to be an 5 corporallon or tha corporation acquired an ....t Wltn a basls determined by reference to Its basis (or the basis of any other property) In the handl at a C corporation, and (b) ha. net unreeliZad buln-In gllln (defined In section 1374(d)(1)) in excess of the net rIIOOgnlZod built-in gain from prior Y&ars, enter the net unrealized built-in gain reduced by net recognlzld bUllt..J" gain tromprloryears(_lnstruction.)...................... .., Check this box if the corporation had accumulated earnIngs and profits at the close of the tu year (see lnatructlona). Are the corporation'S total receipts (see page 29 of the ihStructlons) 1or: the tax year and total asettIIlt the end of the WI yelU' less than $ 250,0001 if " Yes, If the corporation Is not rec:;ulred to complete SChedula L and M"'1 . . . Nole: If the corporation had assets or operated a business In a 10relg" country or U.S. posseAian. It mav be r.~ulred to Ittach Se~odulo N (Form 1120). foreign Operations of U.S. Corporation., to this retum. See Sehedulo N for delaiia, Shareholders' Sheres of Income, Credits, Deductions eIC. a Pro rata share Items 1 Ordinary Income (loss) fnom trade or buslneas activities (pogo 1, line 21) . 2 Net Income Qoss} from rentaJ real estate activities (attach Form 8825) . 3 a Gro.. Income lrom other rentlll ectivlti... . . . . . . " 3a b Expen...lrom othar rental octivItI.. (aUach echedule). . .. 3b C Net Income Qoss) from other r.ntal activities. SUbtract line 3b from line 3. 4 Portl011o Income (Ioes): a Interast Income b Ordinary dividends . C Royahy Incoma d Net .hort-term capital gllln (loss) (suaeh Scheduia 0 (Form 11205)) e (1) Net long-term eapltel geln (Io.e) (oUseh Schedule 0 (Form 112OS)). (2) 28% rate gain (Ioas). (3) Qulllifled 5-year geln .. f Other pOrtlol1o income (loss) (aUech schedule) . . . . . . . . . . . . 5 Net eectIon 1231 gain (loss) (other than due to casuahy or then) (aUsch Form 4797) 6 Other Income loss attach schedule . . . . . . . . . . . . . . 1 2 (c) Other (apeclly)" 4 5 6 8 9 In':' coIno (LON) 4a 4b 4d 4t(1) 4f 5 6 21112052 TAX$IMPLE JYA P. . 1 2 3 4 5 6 7 8 4 4 4 . . . . No No .. 0 "t"OtlllIll1OUh! , ,9 . 2 730. ." FMn 11208 (2OOlI) 7 OedUd- 8 Dona 9 10 '""est- ment Interest Credits c d e 13 Adlu.t- 148 mento b and C Tax Prefer- d enoe Item. Foreign Tax.. other Shareholders' Shares of Income, Credits, Deductions a Pro rala share Itams Charitable coatrlbullons (attllch schedule) . . . . . _n 179 expe_ deduc\lon (attach Form ~). . Deduction. related to portfolio Income (1000) (JterrI:ze) . other deduc1lons attACh schedule 11 a lntBl'Bst expense on Investment debtl. b (1) Inveatmeat Income Inoluded on IIn.. 4a, 4b, 40. and 41 . 2 Investment ex enseslncluded on line 9 above. 128 Credit for alcohol used aa a fuel (attACh Form 11478~ . b Low"'income housing credit: . . . . . . . . . . (1) From partnerships to which section 42Q)(5) applies (2) Other than on line 12b(1) ., . . . . . . . Qualified rehabllhatlon expenditures related to rental real estate activltles'(r.ttach credits (other than credits shown on lines 12b and 12c) relat&d td rental real Credhs rellled to other rental actIvi~es . . . . . . . . . . Othercredlts. . . . . . . . . . . . . . . . . . . . Oeprec\a~on adiUstment on propertY plaoed In servlee alter 1986. Adlultedgaln.rl.... . . . . . . . . . . . . . Oeple1lon (other than 011 and gaa) . . . . . . . . . . . (1) Grose Income from 011, gas, or geothermal properties. . . (2) OedUotiona allocable to 011. gas. cr geothermal pr.perties . e Other ad ustments and tax refel1ilnce items attach SChedule . 158 Name of foreign country or U.S. po.....lon .. b Gross income 1rom all sources . . . . . . . C Gross Income sourced at shareholder level. . . d ForeIgn gr08s Income sourced at COrpOhlte level: (1) Pssslvo . . . . . . . . . . . (2) Usted oetegorlos (attach SChedule) . . . . (3) GeneralllnnhaUon . . . . . . . . . . e Oedu~ona aJlocaIed and apportioned at ahereholder level: (1) Interestaxpense. . . . . . . . . . . . . . . (2) Other. . . . . . . . . . . . . . . . . . . f Deductions allocated and apporU(lned at corporate IGvel to foreign source I"CO (1) Psssive . . . . . . . . . . . (2) Usted cotegorlos (aUsch schedule). . . (3) General "mhatl.n . . . . . . . ., ..... 9 Totallore/gn taxes (check one): .. 0 Paid 0 ACC1ued . h RedUct10n 1" teXes aVall81>1.1or credit attach schedule 16 Section 5S(e)(2) expenditures: a Type . 17 Tp"exempt interest Income 18 Olher 'taX""8xempt Income . . . . . . . 19 Nondeductible expo.... . . . . . . . 20 Total pr.perty dlstrlbutiona Oncludlng cosh) other then dividends reported .n IIn 21 Other "ems and amounts required to be reported separately to shareholdere ( schedule) Total dividend distributions pald from accumulated earnings and proflto . . . Income (Ioos). (Required only n Schedule M-1 It>JSl be comple"'d.) Co_ Gin column b. From the result, subtract the sum 0111"88 7 throu h 118, 22 23 P e 3 . oon1lnued) ro\ll amoUht . . 7 8 9 10 11a 11 1) 11 1211 o. 0,," 30\6&). ac1lvltiell. b Amoun~ ." . . . . . . . . . . ~ 1120S (2002) Not : The co oration Is not re ulred to co lete Schedules M-1 & M-2 ff uestion 9 01 Schedule B Is an8W$l'8d "Y.... ." Balance S_II r Books Beginning of tax or End of tax 1 Aaaell (a) (b) 1 Cash. . . . . . . . . . 1 2" Trade notes and accounts receivable . ij Less e.llowancQ1or bad dabts. . . . 3 \ Inventor1es . . . . . . . . . . 4 u.s. Government obligations. .. . . 5 . Tox-exen'4'1 securities . . . . . . 61 Other current assets (alUlCh schedule). 7 Loans to shareholders . . . . . . 81 Mortgage and real estate loans . . . 9 .. Other investments (attach schedule) . 10 aI Buildings and other deprecieble ....ts ~ Less accumulated depreciation . . . 11 aI Oeplolable...... . . . . . . . ~ Less accumulated depletion . .. . 12 i Land (net of any amortization) . . 13~ Intangible assets (amortlzable only) b Less accumulated amortization . . 141 Other...... (anach schedule) . . 15 . Total aesots . . . . . . . . . I. UabIllUoa and Shareholdera' EquJly 16 , Accounls payable. . . . . . . . 17 , Mortpg.., note" bonds p.~.bl. in Ie., th.n 1 yr 181 Other current liabilities (attach schedule) 19 Loans from shareholders ..... 20 \' Mongages, notlS, bonds payabreln 1 Y'" or more 21 221 23 24 251. 26 27 : Other liabilities (attach schedule) Cepl1al stock Additional paid-In eepl1al . . . Retained eernings. . . . . . ?ago 4 ear y~.' '.~~;: ....;:~' wm ~ >;; 'xw II 1,0 O. 194,490. Adjustmlnts to ,hareholdlr" Iquity(a'tUletl.eh.) Lsss cost of treasury stoek Totalllebilltles and shareholders' u \f RllConclllatlon of Income Net Income (loss) per booko . . . . . . Income Included on Sci'ledule K, IIn.. 1 through 6, not recorded on books this year (Itemze): 31. Expenses Il1COrded on bOoks thIS year not InClUded an SChedule K.ll.nee , 1hrough 11a, 1 eg, and 16b (lIemlze): a Oepraclatlon $ b TraYIllnd $ l Intertainmlnt 6 Oeductlon.lncluded on Schedule K.llnes 11hrough 110, 15g, and 16b, nOl charged agalnstbook Income this yelr (itemize): a Depreciation $ 7 Addllneseande.......... 4 Addllnes,throu h3 ....... 7 .8 Illei)m.lo's)(Sch.du"K,lln.23~L.ln''''I.,.Un.7 Ana ysls of Accumulated Adjustments Account, Other Adjustments ACCOunt, and Shareholders' Undistributed TlIXable Income Previous Taxed (_ thtlnatructlono (b) Other edJustments un\f~=I.\''t~~le account Income revlousl taxed \ 1 'I Balance at boglnnlng of tox year . . 2 Ordinary Income trom page 1, Une 21 3' Other addlllons . . . . 41 loss from page 1, line ~1 . 5, O\her reductions. . . . 761 Combine lines 1 through & DistrIbtrtions olher than dividend dlslTlbutlons 8 I Ballnel at end of taJil y..v. Subtract 'lnllfrom llnee . 7 8 3. (a) AcCUmulated adJuetrnante account 4 , . ( . ( ,44 1 1 4 2112054 TAX$IM?L.E JYA Form "208 (2002) FOlm 7004 (RllY. Octobe' 2000) O.,artmlntotthITrluury In1.rnel AI"lnuI$.rvice Application for Automatic extension of T,me To File Corporation Income T8)( Returh OMS No. 1ll4ll-0233 Employer IdlonllftOlDon no. 3~2519707 Name 01 corpora1lon KIRSCH'S PRINTING, INC Number, street, and room or suite no. (If a P.O. box or outside the United States. see II18b'uctlons.) 1515 KATHRYN ST City or town, state, and ZIP code NEW CUMBERLAND, Chock type of return to be filed: ~ Form 99G-C ~ Form 112O-FSC ~ F0m11120-PC Form 1120 Form 112O-H F0m1112o-POL Form 1120-A Form 112O-L Form 111lo-REIT Form 112o-F Form 1120-NO Form 1120-RIC t e Form 1120-F fliers: Check here fl the foreign corporation do.. not maintain an Dfflce 01 place of bu Inesoln lh'e United States . . . . . . . . . . . . . . . . . . . . . . . . . . . <, . . . . . . . .... 1 Request for AutomaUc Extension (...lnstructlOna) a Extension dlte. I reque8t an automatic 6-month (or, for certain corporations, 3"'li1Cnth) mctenslon a1li~ until 0 9/15 . 20 0 3 , to file the Incoma tel< return of the corpor.tion hamed .bov~ fo, year 20 02 or ~ ~ beginning , _, and .ndlng --!. b ShOll tax yea,. If 11110 tax year 10 for leas lI1an 12 mont/1S. check reason: Initial return Final return Chen eln aceountin erlod Co,*,lIdottd return III be flllld 2 Affiliated group member. (see InstrUctional. If thlo appllcallon also covers oub.ldlarlaalll be Inc:ludad n a conaolldallld laiurn, provide the followln Information: Name and address of each member of th.lffIlI.t~ rou PA 17070 ~ Form 1120$ o Form 1'20-SF . . . . ~ ~ Oalendar 120_ To atIO<l 3 Tentative \0)( (o..lnstrucllona) ........ 4 Payments and ralun_l. credits: (see Instruction.) . Overpayment credned from prfor year 4. b Estimated tax paymants for tho tax year ............4b C Leao refund for 1110 tel< yoar opplleel foronForrn4466 ........4c II Credn for tax paid on undlS1rtOutod capl\lll galna (Form 2439) t Cl'eeln for Federal lax on fuelo (Form 4136) 5 Total. Add linea 4d through 4f <_InstrUctions) . . . . . 6 &lance clue. &lbtract line 5 from line 3. Oapoalt !hIs amount using Ille Electronlo "adoral Tax Pa .nt S em EFTPS or wlth a Faderal Tax oalt FTD Cou n seelnWUdtlons SIgnature. Under panalti.. of parjUry, I declarelhat I have _n sutl1orl:!ed by tha abovo-nilmed corporaUo thll best of my knowledge and belief, the statements made are true, coffllCt, and comple.. 5 O. 6 to make thltl oppRdatlcn. and to o. (SIgnature of officer or agent) For Paperwork Reduction Act Notice, s" In.trucrtlona. 270041 (i1IIo) TAXSIMPLE JVA (Oate) ~orrn 7004 (lIllY. '0-2000) , See InsIJ\ICIlone Section A 17 MACRSdedUe\lOnofor_PI&CAldln"Nalnt""~"""'begI""lngbOforo= . . . . . . . 18 "~U oro oIoe1lng under section 168(1)(4) to g up on~ _ plllC8d In service during IhiIlIlC yearlrrtc one or more general asset aecounts. check h .. Section B Assets Placed In S rvlce Durin 2002 Tax Vear Usln 8 .narel Da reclatlon ,t8m on ... r T, (eI) R covory (e) (O)Oepreeletlon year pla~ (bu~ln..'/lnv..tm'ntu.' perolod COny.ntto" (1)Mlthod deduction In service only.~ ... Instructlona' Form 4562 I O,preclatlon and Amortization (Including Information on U8ted Property) O.parifn.n1 01 tha Tre..ury lnmnal R.....nu. Servic. ... See. InswcUons. ... Attac:h tI1.la form 10 ur ~m. Nome(s) shown on return Bulll".,.. or activity 10 which 1l11i 10rm rlllata KIRSCH'S PRINTING INC IRSCH PRINTING Election To Expense Certain, Tangible Property Under Section 179 Not.: 11 ~u have an~ 'listed property, complete Pall V before you complete Pall I. 1 M""imum amount. see fhelnstnJctIons lor a h' her IImh for certain busl_s 2 Toto! cost 01 sectlon 179 property placed In se'1ic" (_ the Instructions) . . : : : : : : 3 Threshold cost 01 section 179 property belore r,dUctlon In I/lnltation .......... 4 Reduction In nm/tatlon. Subtract line 31Tom Ilner2. n zero or less, enter -o- S Oollor limitation for tax ~eor. SUbtract line 4 fro..!. line 1, II zero or Ie.., enter -0-:11 ~d lm.;g . separately, see the instructions 'T ' (_) Description of prop ) Cost (bu,ln... u.. onl l o)SeotId COlt 6 7 Ueted property. EnIef amount from line 29 ......... 0 . . . . 0 7 8 Total elected cost of section 179 property. Add ounts in column (e), lines 6 and 7 ....... -II . . 8 9 Tentative deduction. Enter the _mailer 01 line 5\or IIno 9 9 10 Canyover of disallowed deduction from line 13 pI your 2001 Fo';" 4s62: : : : : : : : : : : : : : : : 10 11 Buslneeslncome IImhetion. Entor \he smaller 01 buslneeslncome (noli'" than zo<o) or II"" 5 (_lnlllnJeIlO""j 11 12 section 179 expense deduction. Add IInoo 9 an 10, but do not enter more tMn line 11 12 13 Car over of disallowed dOdue\lOn 10 2003. Ad lines 9 and 10, I... line 12 ~ 13 notuseP lIorP I below rl e I sad u V eelal De reelatlon Allowa e and Other De reel.llon (Do not Include &8hld ro 14 Special depreciation allowance for qualified prapally (other than listed propally) placed In eervlce during lhet""yeors(_lnstrUollons) .... oj. . . . . . . . . . . . . . . . . . . . . 0 15 PropertysubJecttosee\lOnl68(~(I)elee\lOn( ,elnstrUctlons) ............... 16 other depreciation (includln ACRS) (s..ln e\lOns) MACRS De recletlon Do InclUde lIs1ed MM (a) Cleomcaflon of property 19a 3- eor propally b 15- eor property C 7-yeor property d 1o-~or propally e 15- propeny t 2O-~or propally 2S-~ar propally h Reeldenflal rental rop Nonresidential real ropony Section C 20 a Cleo Iffe b 12-yeor C 40- eor Summa (see lhelns1l'Uc1Iono.) 21 Ustedproperty.Enter.mountfromUhe28 ...................... <I 22 Total. Add amounts from line 12, lines 14\hro gh 17, lines 19 and 20 in column (g), and Jin021. Ehtel' _ and on the approprfate lines of your return. p..rtner~hlp and S corporations .... see InstnJotlone 23 For assetS shown above and placed In service punng the current year, enter the . rtion of the basis attributable to section 263A'costs 23 For P_rwork Reduction Act NoUce. see the In cIIonso 245621 TAX$IMPL.E JYA 04,405. 7 liY 2!5 rs. 27.5 yrs. 27.5 yrs. 39 '1'". SlL MM SIL MM SlL MM SlL MM SIL the A ernetlve SIL SIL SIL 2002 Tax Vear Usln 12 40 rs. OMIlI No, 1ll4ll-0172 2002 Attachment So uenc. No, 67 ldentll\llng number 3-2519707 1 2 3 4 $ll4,OOO $000,000 5 ,J 14 15 16 B 1 , feclat n S etem 21 22 1 KIRSCH'S PRINTING, INC 23-2519707 Form 4662 (20021 1I._e 2 ~. . " Wsted Property (Include eutomoblJes, certaln other vehicleS, eeUular telephM,"", ctN'llln eomputeta, Ind prap;.rly uHd 1<Ir entertalnment, recreation, or amusement.) Note: For anrl ~ehlcle lor which you are using the standard mileage rate ar deduc:1lng lUte e.p;.n.., complete anIV 24" Z4b, 00 utnll$ lal throuah Ie ot Secllon A, all of SecIIon B, and Seotlon C n ..,ollceble. Section A DeDreclaUon and Other Information (Clutlon: See1he InstrUction, far limits lor III lutomobiJes,1 248 00 'IOU have OIIldence 10 supoort busJness~nvea1mOnl use clsimed? I I v.. I I No 24b W "Yea: I. lhe evldonce wrl1lon? IV" I INo (0) (b) (e) Busn.! (d) (e) (I) 11I1 oep~n ...= ) Oate investment Basis lor depr. ~.d Type of property placed in u.. Cost or (bu.n.~nv~iX"'nl R_very Mothod! n 17e Olst vehicles flrst) service percenlage other bas/a use on period COnvenUan deduCUon 25 Special S depreclaUon alloWlnco far qualified lilted property placed In service dUring the r.. YOIII I~ and used more than 50% in a qualified businese usa (see Instructlons) 26 Propel1\l used more thin 50% In I quallfled business use (seethe InstrUcUons): " " " 27 Propel1\; used 50% or leSs in a qualified bUsiness use (see the lnstnJctlons): " SI~- , SlL- 'j, S/l.- 28 Add amounts In column (h), IIn.. 25 through 27,Enter hore Ind on IIno 21, plge 1 . . .I 28 .. . . . , , 29 Add amounts In column m, line 26. Enter here and on \lns 7, baas 1 . 1211 Section B - InformatIon on Use of V.hlel.. Complete this section 10r vehIcles used by a sole proprietor, partner, or other "more than 5% owner." or reJl1Iid pEln;on. If you f)I'OVlctad v.htC#k to your employees, first answer the questlons in Section C to see jf you meet an exception to Qompletlng this $8CUOn for thOle vehicles. 30 Total buslnessllnvsstment miles driVen (I) (b) (e) (d) (,) ( during the year (do not include Vehlclo 1 Vehicle 2 Vehlclo 3 V.hlcl. 4 Vehl~ e Vohl .8 comnutlng miles -... see the InstrUctions) 31 Total commuting miles driven during year . 32 Total other pe""nol (nonccmillUUng) mil.. driven . , .. , , . ',' 33 Total mlJes drlvon during tho year. Add IIn.. 30 through 32 , , . , V.. No V.. No V.. N<> Ve. NO V.. No V.. No 34 Was the veh{c;:le available fOf personal use during off-dUty hours? , . , . 35 Waslhe vehicle used primarily by I more than SOlo owner or ,.Iated person? . , 36 \s anotner vehicle a.vallable 10'1' penKInAl use? S~on C .-que.uons .or :=~ers Wh.O.Provlc;le Y~hIC as .ror .~~ ~IIl_e r.~~f, 01.... &% Answer those qU~n~ I~sterrnln~ou "':' In 0 Unto compleUng SectiCn B for vlhlOI.. UISC . IOy_ who It ot 1l1O'" lh. owners or related os 8ee the I ctlons . VOl No 37 00 you maintain a wrlnsn policy Ilatement thlt prohibits all persona' use of vohloles, Including CCrnrtlUUng, by your employ_? , 38 Do you maintain' a _~ pou'cy 's~te~'nt ~h~ prohibit. pe;~n~ u~ 'Of 'vehlcies: ~c~pt' to'~un~j by yo~r ~lo'~1 See the instructions for vehicles used by corporate officers, directors, or 1 % or more own.,. . . . . , , , , . . . . 39 Do you treat all use of vehicles by employees as personal use? . . . . . . . . . . . . , 40 00 you provide more thin flve veh~ to your employee., obtain I~fo;"'~~n ire;" your etnplay_ '.~ui tho u.. of tho vehicles. and retain the Information received? . . . .'. . . . . . . . . . . . . . . . . . , , , . 41 00 you meet the requirements concerning quallfled IlltOmoblle demonstrlUon u..? (Seelho InIl/UctIonl,) . . . . . . . Note: If veur In_to 37, 38, 38, 40, or 411a "Y..: do notco""'lete SecIIon B for tho CO.....ed vohloles. <..> AmortIzatIon (b) (e) (d) (e) An'1O~1tIc (a) Amor1lzOUon Oate amortl2atlon AmorUzable COdl p.rla~':1 Description of costs begins amount O8ClIon hereont I far IhIa yO; 42 AmortlzaUon of costs that boolno during your 2002 lax year (_ the lnatructlons): I I I I I 43 Amol'1i2atkm of costs that began before your 2002 tax year 143 Total. Add amounts In column m. See the Instructions for wrn;re 'to 're~ort ' , . . , ' , , . '144 o. 44 245822 'rAX$IMPL.! JYA Form 4SSl (2002) SCHEDULE K-1 (Form 11205) Shareholder's Share of Income. Credits, Deductions, ttc. ... s.~ ...ute Inatructlon.. For ClJet.dar 'I'" 2002 or tax yellr 01/01/ 2002, and Indln 12/31/ .2002 1-1 - 19 Co raUon'. ldonlllylng nllmblr " Corporatlon's name, addt88S1 ;,nd ZIP co. IRSCH'S PRINTING, INC 1515 KATHRYN ST EW CUMBERLAND, PA 17070 Olllpartment 01 the Trluury IPlwrnal A"","ue Servletl Innln Shareholdor'lldonlllyln number" Shareholder's narne, addniss, and ZIP code EUGENE , JOYCE KIRSCH 1515 KATHRYN ST NEW CUMBERLAND, PA 17070 - OMI! 140.1_:10 2002 1 7 . . JO. 000000% A Shlltllholdlf's percentage of stock owne..hlp for tax year ( InstrucUonsfor SchedllJe K-1) B Internal Revenue Service Center where corporation flied Its ~rn" CINCINNATI I . OH' e Tax shelter registration number ($88 InstrucUons for SchedU~ ~"1) . D Check llI>ollcable box..: '11\ n Final K-1 12lr . . . , Amended K-1 (I) Pro rete share I1en'1s (b) Amounl (a) Form 1040 1lJera ehler lhl ilmOuntln column (b) on: 1 Ordinary income (loss) from trlde or buaineeo :ruea 1 ~<l;-OSIi. } SIlO the Sh....holdef. 2 Net Income 00") from rental real ealatllactlvltles ,. 2 InstnIo1lol1ll for SOhedul. . K-1 (Form 11iO$). 3 Net Income (lass) \rom Dlher rentalllCliYitiea '. 3 4 POrtfolio Income (losS): \. ... a Interest , . 4a 1,638. Sch.a. Patti, line 1 b Ordinary dlvldonds 4b SOh. a, Patt II. One 5 . . '. . Incoml e Royalties , . . . . . : I: 4c Seh. E. P.. I. line 4 (Lou) d Net short-tenn capitaJ gain (loss) 4d Seh. 0, Ilna e, col. (0 8 (1) Net long-term copitaJ gain (Ioas) 48111 Seh. O. Une 1~, 001. (0 .\. : 48(.2) (2) 29% rate gain (loss) . , . Seh. O. Una 12, 001. (S) Un. 4 Of worlCahOot lor (3) Oualmed 5-year gain 4a13} Soh. 0, llna :Ill f Olher portfoUo Income (Ioas) (ait';'h 'sC;'edUI~) .\. 4f IEnt'I'" :I',,""'r 11I_")l01l .Wr'l'I, sa. S~hOIdtt'. 1 n!f'j na tor liljhedUI. 5 Net section 1231 gain Ooes) (olherlhan due 10 c isuaity or theft) 5 K-1 1m 1120S . 6 Olher Income (loss' (ettach schedule) 6 ~nt_~ ~~ ""llaIl~.~ n.D1 O\lf'."blnl. 7 Chsrllable contributions (8ttach schedUle) 7 Seh. A, line is a' 16 Qeduc- 8 SectIon 179 expense daducllon 8 } s.. the Shareholds.... Uon. 9 Deductions rellted to portfolio Inco";e bo;')'(aitfh ;"hedUI~) . 9 Instructions for SohOdUIe 10 Other deductions (attaoh sohedule) 10 K-1 (Form 112(9). Invut- 11a Interest expense on Investment debts 11a Fonn 4$ez, line 1 mant b (1) Invea1m8m Income Included on linea 4~'j;: &'41'abo~ . 11b(1) 1.63!l. } sa. 9narahQlder's Insl"lroonllOr o\'jheduJe Interest i2i Inveslm6m expens.. Included on line 9 t1b(2) K-1 orm 112 . 121 credtt for alCOhol USld as fuel . 12a Form 647., Une10 b Low-Income housing credIt J } Fonn sse" line e (1) From section 420)(5) pannerahlps . 12b(1) (2) Other thsn on IIn. 12b(') , . 12b(2) Crldlts e QU.lllIed rehabilttallon e.pendlturea ~el~t~d ;. ;'r~ 're~ ~~te' actIvit14s ........."... ~ . . . . . 12c d Credits. (other than credits shown on lines 12b a d 12c) related s... tho Shareholder. to rental real estate activIties . . '1' 12d i> !natrullllona lCI SehadUle 8 Credits. related to other rental activities 128 K-, (Fonn 11209). 13 . . . Other credits 13 For Paparwork Rlductlon Act Notloe, see the 1_"oUo.. 101 Form 1120S. 2120SK11 TAJ($IMPLE JYA IScltedul. K-, (Folll11120S) 2002 KIRSCH (a) Pro rala shore It""'" 148 Depreciation adJus:t:r'n9nt on property placed In ssrvica after 1988 t- b AdJu8ledgoinorloso ............... C Deplenon (other than 011 and gas) d (1) G,_lncome from 011, gas, or g;"m~ ;'~p.,",u.;s' . (2) Deductions lllooable to 011, g.., 0' goolhermll properttos e Other ad uetments and tax referenca item8 attach schedule 158 Nome 01 lo...!gn country or U.S. _Ion .. b Gross income frOm all sources . . . . . . c Gross income sourced at shareholder level . d Foreign gro88 IncOf'r'lli sourced at corporat.level: (1) Passive ............ (2) Usted oategon.. (attach sohedule) . . . (3) Gene,slllmllation ........ e Deductions allocated and apportioned at shareholder level: (1) Intsrest ""Psnse ............. (2) Othe' .................. f Deductions aIIoooted and apportioned at corporate level to foreign source Income: ..... (1) Passive ................ (2) Usted ootegonetl (attaoh achedule) (3) Gene,lI limitation . . . . . . . 9 Totallo,eign taxos (oheek ~,,;.),. ;. tr P~d' . 0 Acc;".~d . h ReducUon In taXes available 10r credit (attach schedule) 18 Section 59(e}(2) Ollpendlturos: 8 Type .. b Amount ....... 17 Tax-exempt interest Income 18 Other tax-Ollempllnoome 19 Nondeductible expen... . . . . . . . . . . . . 20 Property distributions (Including casn) other than dividend distributions reported to you on Form 1OQ9..OIV 21 Amount of loan repayments for "Loans Prom Shareholders" 22 Recapture of tow-Income hOuslng credit: 8 From SOCIion 420}(5) pannershlps b Other than on line 228 . . . . . . . . . 22b 23 SUpplomentlllnlormation roquirod to be reported soporOlely to esoh shareholder (attaoh addltlclnll achedo!.. ff mole sp"'l$ needed): II I ~ ;::;r II 1r \ :I1205K12 (bIAmount 201-16...1919p 2 (01 Form 1 c>4O mert enter the _"lln COlUmn (blon: Sea the Shor.holder's !motrIlctiOnelllr SoIledUle K-l (Form 11208) and In8trUctiOne Illr Farm e2Ill Farm 1118, Part I . I' t) . 1612 I' I . 15 15h Form 1118, Part II Sole IneInlC1kll\$ tor Form 1118 ... . InstrucllOna r liIQhedule K-l (I'orm 1120B). Form lclo40, line 6b } Sole thO Shareholda~s ImotrIlatlanal,>r 3 7 4 SchedUle K-l . (Form 11205). 68 Fomll"1 I, line 8 TAX$IMP~E JYA Schedule K-I (1'0'1\'111205) 2002 Shareholder's Share of Income, Credits, ~eductlons, etc. ... See uparacelnatructlons. For ""t.ndIr year 2002 or \all Y'" I~:::r;:~:~u~;:~:ury be nnln 0 1 / 0 1 / , 2002. and .ndln 12 /3 I 10 02 Sh..ehoIde~.ldenII1yIng ,",mber" 2 1 1 Corpol'lUon'. lelen n number .. Shareholder's name, address, and ZIP code Corporation's name, ddlUil. and ZIP codO KEVINLEE E. KIRSCH IRSCH'S PR: NTING, INC 1514 KATHRYN STREET 1515 KATHRY~__ST NEW CUMBERLAND, PA 17070-1155 EW CUMBERLfND, PA 17070 SCHEDULE K-1 (Form 11208) OMS N~. 1545-(1130 2002 A Shareholde"s percentage of stock owne..hlP for tax year (see instnlc1ion. for Schedule K.,[ B I tern IRe e ue SO I Co t wh CO 8t1o filed"" r l1J .. CINCINNAT~ . . . . . . . .i60.000000% . oa' n a v n IVce ner ere rpor n e rn .. C TllX .heller reglstraUon number (..ellrilrUc1iOI1ll for Scho~Un K-l) . . . . . .. D Check aooUcable box..: . 111 Final K-l (21 Amended K-1 (a) Pro rata .h.... ltams .1 (Il) Amount (0) ~orm 1040 lIler1I e_ the amount In column (b) on: 1 Ordinary Income (loss) 1rom trade or business activities 1 \ 26,0:37 , }.See thiI Shllt.holder'a 2 Net Income (loSS) from rental real eetat:e actMtJes 2 .' In_clIoha for Schedule . K-l (Filrnll11lC15). 3 Net Inco"'" ~'""') trom other rental ._ 3 .1 4 Portfolio Income (loss): 1 . Interest . 4a .1 1,092. Seh. S, P8tlI, Uh. 1 b Ordinary diVIdends . 4b .1 Seh, S, P8tlII.llne5 Income e Royal1los . 4c ! Seh, E, Pill I, 11110 4 (Loss) d Net short-term cspllal gain (1090) 4d .1 Seh, D, II". 5, col. (n 8 (1) Net long-tarm capital gain (loss) 4e(1) .1 Sch, D, II". 12. 001. (n (2) 28% tata gain (Ioos) 4i(2) I Seh. D, II". 12. 001. (9) . Willi ~ of workshllOt for (3) Quallfled Il-year gain 48(31 Seh, D, 1I".1llI . .. .. Vrnttlon~r.'l..b'. f Other portfolio Income ~osa) (attach schedule) 4f 11'. ~l:Ill . !,1m.) See Sh"'holder's Ir.1"IctIOh6 fOr SchedUII 5 Net seeUon 1231 gain (Iosa) (other than duo to casuOlly or theft) 5 K-l Forni 11205). 6 Otherlnco"", (Joso}'attacl1 _lill) 6 \lintirClf'lapr.IiClblt n..fytll.lr ItIll'l'l.) 7 Charitable contributions (attach ""hedule) 7 .1 Soh. A. II"" 11l or'8 O_e- a S4act!on 17& Q)(pe.nse deduction 8 } See jJ1jo Sh...holder'S tlons 9 . ..... InstlUclIoh6 tor Schedull Oeductlons related to portfolio Income Ooss) (attach schedule) 9 I K-l (Form 11205). 10 Other deduC1lona (allaeh schodule) 10 Invest.. 11. Interest expense on Investment debts 11. Filrni 4QIl2. 111\0 1 - b (1) Inv_ntlnco"", Included on IIn.. 4~ 4b. 40: &'4"abov~ l1b(1) 1,OllA. } See Sh...holde'" In.rt~ tot ljghodUIe Interest i2i Investment expenses Included on line 9 ebove 11b(2) K-l 11005. 128 Credh tor alcOhOl used as fuel . . 12. I Forni 11418. 111\0 10 b Low-Income housing credit .- ! } FOrni 8&18, IIn9 Il . ~i (1) From 8BCtI0n 42(jJ(1l) partnortohlps . .1:lb(1 , (2) Other than on line 12b(l) . 12b(2\ .1 CredJ1s e Qualified rehtlbmtation expendlturea related to rental real estate ! activities . . . . . . . . 12c d Credits (other than credhs shown on lines 1.2b and 12C) related See lne Shlltlholdef. to rentaJ real estate actlvtties 12d JIlOllIiclloll8 fOr Schodllll 8 Credits related to other rental acUv!ties 12. K-l (Form 111lC15). . 13 Other credlt$ 13 ,I For Paperwork Reduction Act HoUe., ... the I~alnlctfona 10, Fonn 1120$. 2120SKll TI/IXSIMPLE JYA salleduf. K-l (Fomll12OS) aoo2 Schedule K-1 Adjust mentl: & Tax pref- erence ltoma For.. elgn Taxes Other Sup- ple- mentall Infor- _on KIRSCH (a) Pro rate ahare Items (b) Amount 210-56-7361p e2 (0) Form 1_ nllll8 enter the amount In oolum" (b) .n: 14a OepreclaU.n adjustment .n property pieced in service afIllr 1988 b Adjestedg..n.rl... ............. C Oeplellon (.ther th.n .11 and gas) d (1) GroSlllncome fr.m .il. g... .r g;";"';"';'; ;''''p~r1I';'' . (2) O.ductiona a1locabl. to oil, gas, or geothermal propertlea e Oth~ ad ustrnenl9 and tax reference Items attach schedule 15a Name .fforelgn oountry or U.S. po.....l.n . b Groils Income fr.m all sources C Grol9s Income sourced at 8harahold~ le~ej . : d For8lgn gro.. Inc.me sourced at corpor.te level: (1) P.....e ............ (2) U.ted categorl.. (-'h schedul.) . . . . . . . (3) GeneralllmltaU.n ............ e Deductions allocated and apportJoned at shareholder level: (1) Int.restexp.ns. ............. (2) Other . . . . . . . . . . . . . . . . . . f o.ducUon. allocated .nd app.r1I.ned .t corp.rate Iev.lt. tora\;n source Income: ..... (1) Passive ......... (2) Usted c.teg.rIes (.ttach schedul.) (3) G.n.ralllmltetion .... .... .... 9 Tot81 f.reign tax.. (check one): . 0 Palo 0 Accru.d h R.ductlon In tax.. ....Iobl. for credit (.ttach schedule) 16 Sed\ion 59(e)(2) ."".ndl1ures:a Typ. . b Ambunt ....... 17 Tax!..sxernpt Interest income 18 Oth... tax-ex.mpt Income 19 Nondeductible expens.. . . . . .. ..... 20 Property dlalrlbuU.ns (Including cash) .ther th.n dividend dlsttlbutions reported to you on Form 10SliI-OIV 21 AmOunt of loan repayments for "Loans From Sharehojd~rs~' 22 Reoapture .f low-Income h.uslng ....dh: a Fr.1n aeotion 420l(5) partnerships . . . . . . . b Oth~r than on lin. 22. 22b 23 Supplemental information required to be reported separahity 10 each shareholder (attach addltlonaJ achedule8lt more spaoe i8 n.ell.d): 2120SK12 TAX$IMPLE JYA S8Gthe Shllreh.lde". Il18lI1JctIon.lor Schedule K-1 (F.rm 112OS) and Inll1l'llction.lor P.rm 6251 P.rm 1118. Pari I 45 P.rm 1118, Part II SM InatruOll.ns 1.r P.rm 1118 .... . . Inll1l'llctlons f.r SchedUle K-1 (F.rm 11208). Form 1040, nn. 6b } SM lhe Sh....hold..... Inll1l'llcUons '.r Sche~ule K-1 582. (F."" 112OS), F.rm 8611.11111 8 Schlllul. K-1 (1'0,,"1120$) 200~ Name KIRSCH'S PRINTING, INC EID No. 23-2519707 Attachment to Schedule L-Line 18- Other Current Liabilities PRIOR YEAR CURRENT YEAR ACCRUED INCOME TAX 300 300 ACCRUED SALES TAX 845 ACCRUED PAYROLL TAX -383 Total 1,145 -83 Name I KIRSCH'S PRINTING, INC Attachment to Form 1120S, Sch A,Line 5 - Other Cost MATERIALS & SUPPLIES SUBCONTRACTORS Name I KIRSCH'S PRINTING, INC Attachment to Form 1120S, Line 12 - Taxes, PAYROLL TAXES PA CAPITAL STOCK TAX OTHER TAXES & LICENSES Name I KIRSCH'S PRINTING, INC , Attachment to Form 1120S, Line 19 - Other ,Deduction VEHICLE EXPENSE DUES & SUBSCRIPTIONS INSURANCE LEGAL & ACCOUNTING TELEPHONE UTILITIES OFFICE EXPENSE TRASH REMOVAL POSTAGE & SHIPPING BANK CHARGE & FEES TRUCK LEASE ID II 23-2519707 58,233. 15,889. Total 74,122. IO II 23-2519707 20,360. 358. Total 20,718. lOll 23-2519707 Total 4,615. 287. 21,186. 2,55!. 7,594. 18,539. 587. 425. 790. 1,643. 8,194. 66,411. U.S. Income Tax Return for an S Corporation ~ Do not fUe thlll form unl..s the corporation hall tlrn.ly f1lec:1 Forrn 2553 to elect to be an S CorporatJoh. Department 01 the Treasury Intlrrtal Revenul Service ... See separate lnatru.ctlona. For ulendar ear 2001, or tax 2001 and endln , 20 A affec~ve dale of Us. Name Number, streel, room/suite no, City/tOWn, lltlIle, /I. ZIP COde C Employer Id.ntl1lllatlon no. election as S corp, IRS KIRSCH'S PRINTING, INC 23-2519707 o 7 / 0 1/19 8 8 =~_ 0 Date In""/porated B 9u5lne.. code no, wise. 1515 KATHHYN ST 07/01/19 S 8 (see Inetructions) prlllt or E Total eseeta (see InltJ'uotions) 323100 type. NEW CUMBEHLAND PA 17070 $ 316 515. F Check applicable boxes: (1) Inillal return (2' Final leturn (3) Name chang. (4) Addr... chang. (5) Amanded return G ahter number of shareholders In the corpora~on al end oHhe tax year, ' , , , , . , , , , , ' , , . . , , , , , , , . , , , , . , . , , , , , , . , , , . , , . , , . , , .. 2 Caullon: InclUde onl trade or business income and en enses on line$1a through 21, $e.lhO Instructionalor moralnfbrmation, 1a Grossr.c.iptsor$aJIIS 938 502. b I.lIssr.tum.andaUowanc.s CIa,I'" 1C I N 2 Cost of goods sold (Schedule A, lina 6), , .. .. .. .. , .. .. .. .. , .. ' .. , , , .. .. , .. , .. , .. " " , .. , , 2 C 3 GrO$S profit, Subtract line 2 from lina 1c , , .. .. , , , .. .. , , , , , , , , , .. .. .. , .. .. , .. , " " , , , , ,.. , 3 ~ 4 Nel gain (loss) from Form 4797. Part II, line ill (attach Fbnm 4797) , . , , , , . , , ' , , , , ' , . , , , , , , , , , , , , 4 E 5 Other Income (loss) (ettach schedula) , , , .. ' , , .. , .. , .. , , , .. , .. .. .. , .. .. .. , .. , , .. .. .. , .. , , 5 ,6 Totilllncome (Ioea). Combinelln.. 3 throu I' 5, , , , . ' , , , , , , , , , , , , , , , , , , , , , , . , . , , , . , , , , , , ." 6 7 Compensation of officers. . , . , . , . . . , . . . , , . , . , . . . . , . . . . . , . . . . . . . . . . , , I . . . . . , , . . . . . . . \ I . 7 8 Sallllie. and wage. (I..s employment credits: ' , ' , , . , , , , , , . , , , , , , , . , , . , , , . , , . , , , . , . , . , , , , , , 8 9 Repairs and maintenance, , , , , , , , . , , , , , , . , ' , , , , , , , , , , , , , . , , , , , . , , ' , , , , . , . , , . , . , , , , , . , 9 10 Bad debts, , ' , , , , , , . , ' , , , , , , , , , , , , , , , , , ' , , . , , , , , , , . , , , , , , , , , , . , , , , , , , , , . , . . ' , , , . , . 10 I~ F '11 Rent$."."",.."".."..",..,..."..",....................................... 11 ~ E ~ 12 Taxes and licenses, , . , . , . , , , , , , ' , , , , , , , . ' , , . , , , , , , , , , , , , , , , . , , , , . , . , ' . , . . , , , , . , , , , , 12 OiL 13 Intere$t".,.""""""""""""",.."""..""""""""""",",""',. 13 U ~ ~ 148 Depreciation (If required, attach Form 4562) .. .. .. .. .. .. .. .. .. .., 14a 34 315. ~~ I b Depreciation claimed on Schedule A and elsewhere on return" " , " 14b I u ~ C SUbtract IIne14b from IIne14a , , " " ,." , , ' , " " " , "..., , , , ".' ,., " " , " , ,.", ", ,." 141: OC T "5 15 NT I.' Depletion (Do nol deduct 011 and g'5 depletion.) .. .. .. .. , , .. , , .. .. .. .. .. , , .. .. , .. .. , .. .. , s~o 16 Advertising""..",......,..,..",...... .................".. ..................... 16 N ~l17 Pension, profit-sharing, etc" plens , " , , , , , " '., " ,.,., ,., , ., " " , " , "., ,., ,.,.' ", , '.' 17 s 18 Employee benefn programs, , .. .. , ' , , . , , ..... .. .. , , ..' , .. , ..' .. .. , ...' . .. '.. ..' .. , .... 18 19 Other deductions (attach schedule), . , , , , , , , , , , , , , , , , , , , , , , , . ,. , , . , , ' , , , , , , . , , , , , , , . , , , , 19 20 Total. deductions, Add the amounts shown In the fat right column for IIne$ 7 through 1e,. , , , , ' , , , ,... 20 21 Ordln income iOSS) from trade at busins." activities, Subtract line 20 from line 6 " , , , , . , , , , , . , , 21 22 Tax: 8 Excsss net passive Income lax (ettach schedule), , , , , , , , . " 228 T b Tax from SChedule D (Form 1120S), , , , , ' , , , , , , , . , , , , . , , , , , , , " 22b A X C Add lines 22a and 22b (see thelnetructlons fer additlonllJ taxes), , , , , , . , . , , , , , , , , , , , ' , , , , , , , , , , A 23 Payments: 8 2001 est tax peymenlll &. arnolmt applied from 2000 Itn, 23a N b Tax deposited wah Form 7004.. , , ..' , , ' , , , , .. , , ...., , .. , .. ,.. 23b D C Credit tor Federal tax paid on fuel$ (attach Form 4139) , , , , , , , , , , , " 230 : d Add lines 23a through 23c, , , ' , , , , , , , . , , , . , . , , , , . . , , , . . , , , , , , , , , , . , . , , , , . , , , . . , , . , , . . , Y 24 E$llmated tax penalty, Check If Form 2220 is ,lttaohed , , , , , , , , , , , , , , , , , , , , , . , , , , , , , , ,. ~ 0 ~ 125 Tax due. If the total of line$ 22c and 24 1$ lar~ er than line 23d, enter amount owed, See fhe ~ instructions for depository melhod of payment.. .. , , , .. , .. . .. , , .. .. . .. .. , .. .. , .. .. , .. .. .." 25 S 26 Overpayment If line 23d is larger than the to' al of lines 22c and 24, enter emounl ovetpllld . . . , , . , ,.. 26 127 Enter emount of line 29 ou want: Credited In 2002 est tax ... RoIund.d'" 27 Un~erpeMltlu 0 pet jury. I daelare tha I have e~til /'lad thl$!'1t m,U1cud nQe.ocotl\patl'1 ngse:hc l.l 'art .~ttrn'r"t"fJ\ oi::t\* j. Q ltIy \'Iaw.tiQ.an belief, It is true, correct, and completa. OecJ..ration 01 ~arfrioth.r than talllpayer) is b....d on all nfOrmation 01 ",nhlll! pn.par.r hUln,/ knowl.cI".. Sign ...-..... r;;'::~,"\';:/ ~yt".lA.$d'-tudtM.r.tlolm H ~ ~ I'~ /,".....\,. \\~"">,::~__.J\~~_, ~ ' ' Wltht".prepAt'rshawnb.IOw 9. e r 51 natUre of officer i' t' \ \, ! , l!ntte , Title (il.ln.t.)? V.. No Preparer's ..~; Date Check rt seIf- Pr.perer's SsN or PTIN Paid signature'" 08/13/2002 i'00021766 Preparer's Firm's nome (or ..ALAN J.. CEPERICH, CPA EA ~1 71 Use Only yours If seif-employed),,.. 3 3 N Sl~COND STREET 2 5 address,and21Pcode HARRISBURG PA 17101 For ape.rwork Reduct\on Act Not\ce, 8ee the separate lnstrucl1ons. 1 1120512 NTF 25&6739 Copyright 20)' Greatl.ndlNllIlcD - Forms SDftwar. Only '. Form 1120S CAA OMS No, 1645-0130 2001 6 19 5 1 34 315. 34. 8 . 770. o. 23d 24 o. o. F'arm 11209 (2001) Form 11205 (2001) ~llfjj , 1 Inve 2 Puro 3 Cost 4 Add 5 Othe 6 Tota 7 Inve 8 Cos 9a Check sll methods used for valuing closing Invenl<'ry: (I) ~ Cost as described In Regulations section 1.471-3 (II) Lower of cost or market as described In Rugulations section 1,471-4 (II~ Other (specify method used and attach eXlllanation) . b Check If there was a writedown of "subnormal" gouds as described In Regulations section 1,47H!(c ".",'.'",..,......."., . C Check if the LIFO inventory method was adcpted lhls tax year for any goods (If checked, attaCh FO 970), . . . . . . , . . . . . . . , . . , . .. . d If the UFO Inventory method was used for this tax yeer. enter percentage (or amountS) of closing inventory computed under UFO" . . , . . " , . " " . " " " . " . " . " . . " . . . " . . , " . . " " . .. . " , ". lid e Do the rules of section 2S3A (for property produca j or acquired for r..ale) apply to the COrpOra!lch?}" " " " " , " " f Was there any change In daterminlng quantlties, cost, or valuetlons betWeen opening and closing in: ntOry?.,.."... If "Yes," attach ex lanation. ..........:-..f'( Other Information Check method of accounting: (a) Cash (b) Accrual Refer to the list In the Instructions and state the COI poratlon's principal: (a) Business activity . PRINTING (b) Product or service. 3 Did tha corporation at the end of the tax year own, dlrectiy or indirectiy, 50% or more of the voting $ ok of a domNtlo corporation? (For rules of attribution. see section 237(c).) if "Yes," ettach a schedule showing: (a) na , address, ahd employer identltication number and (b) percentagE owned. . . . . . . . . . . . . . . , . . . . . . . . . . , . . . . . " . . . . . . . . , . . . . . . . . , . . , , Was the corporanon a member of a controlled grolJp sUbJec/ to the proviaions of section 15611 . . . .. . . , . . . . . . . , . . . . . . . . . . Cheok this box if tha corporation has flied or is reqJired to file Form 8284, Applloation for Reglstratio. of. 'r*l< 8hall4r . . .. B Check this box If tha corporanon Issued publicly offered debt InstrUmants wllh original lseue dlscounl ,................ if so, the corporation may hava to file Form 8281, Information Return for Publicly Offered Original I.. e OIsOllunt In.trumants. 7 If the corporation: (a) flIad Its election to be an 5 corporation aher 1986, (b) was a C corporation bef ell el_d lei be an 5 corporation or the corporatton acquired an asse' whh a basis determined by reference to Its basis or tM bellis 01 any dther property) in the hands of a C corporation, and (c) ,.s net unrealized built-In gain (defined In sectioni1374(cI)(1)lln I!l<ces8 of the net recognized buill-In gain from prior years, a"erthe net unrealized buln-In gain reduced by n rO<lOghlzed buill-In gain from prior years (eee InstrUctions) . . . . . . . . . . . , . . . . . . . . . . . , . . . , , . . . . . , . . . . . . . . . . . . . . . 8 Check this box If tha corporation had accumulated earnings and profits at the close of the tax year (s Note: If the corporation had assets or operated a buslMSS in a foreign country or U.S. posseuion, It may, Schedule N (Form 1120), Foreign Operations of U.S, Corporations, to this return. See Schedule N fer det ill" ....:t:'.: Shareholders' Shares of IlIcome Credits Deductions etc. a Pm rata share Items 1 Ordinary income (loss) frcm trade or bUllness acttvltlas (page 1, line 21) .... ... .. .,.. '. 2 Net Income (loss) from rental real estate activities (attach Form 8825) . . . . . . . . . . . . . . . . . i . . . . . 3 a Gross income from other rental activities, . . , . . . . . . . . . . . . . .. 3a b Expenses from other rental activities (attllch schedUle) . . , . . . .. 3b c Net income (loss) from other rental activities. SUbtract line 3b from line 3a . . . . . . . . . . . . , . . . . . . 4 Portfolio income (loss): a Interest Income , . . . . . . . . , , . , . . . . , . , . . , . . , . . . . , . . . . . . . . . . . , . . . . . . , , . . , , . , . b Ordinary dividends .......,.....,.............................,........... (Los.) C Royalty income , . . . . . . . . . . , . . . , , , , , . . . . . . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . d Net shOll-term capital gain (loss) (attach Schedule 0 (FOrm 11208)) ............ . . .. . e (1) Net iong-terrn copllal gain (Icss) (altach Schedule 0 (Fcrm 11205)) .... .. .. . .... . (2) 28% rate gain (loss). (3) Qualified 5-year gain · ct::: f Other portfolio Income (Ioss)(anach Sol"'dule) . . , . " . . . " . . . . . " . . . " .. " . .. " . . " , " 5 Net .ectlon 1231 gain (Io.s) (other than .ju.to casUalty or theft) (attach Form 4797) .. , .. .,.., 6 Other Income loss attach schedule .,.,.....,............,...............".' ...., CAA 1 11120812 NTF "''''0 copyright "01 ."'''oodlN.I,, - Fo'm. So,..... 0.1, Ii II I ';" Cost of Goods Sold (see In'!ructlonsl mory at beginning of year. . . . . . . . . . , . . . . , . . , . . . . . . . . . , . . . . . . . . . . . . , . . . . , . . . . , . . "j, . . . . , . . 1 hases . , . . . . . , . . . . . . . . . . . . . . . . . . . , . . . , . . . . . . , . . . . . . , , . . . . . . . . . . , . . . I . , . , , , . 'I' . , , , I , . :I of labor ........,...................,.........,.............,......,....... t...".. 3 61 393 . ltional secUon 263A costs (attach schedule) ,. . . . . , . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . ". . , . . , . . 4 r costs (anach sohedule) . . " . . " . . " . " .. . " " " . " . . , " . , . , " . " " " . " . " .. ''1'" " " " IS 196 . t 51- I. Add line. 1 through 5 . . . . . . . . . . . , . . . . . . , . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . 8 <!58,1J44. "tory at end of year. . , . , , . . , . . . . , , . , . , . . , , , . . . , , . . . . . . , , , , . . , , . . . . . , . . , , . . , . . , .:. . , . , j , . 7 t of goode sold. Subtraclllne 7 from line 8. Ellter here and on page 1. line 2 ......,...........".',. 8 .t:J8,044, Page 2 InstrlJctions) . . . . . I> 0 required to attac~ II. No NO 1 2 (c) Other (spaolfy) I> 4 5 6 In- 1 :01 b Total amount 1 come 4 439. 4t $ El Form 1120S (2001) Sharehol ers' Shares of lucome, Credits, Deductions etc. conUnUIld a) Pro rata share Items Charltabl. contrl~uUons (attaoh sch.dUlII) , , , , , , , . , , . , . , , , , , , , , , .. . , , , , , , , , , , , . . .. , , , , Sec~on 179 .xpJns. dllductlon (att.oh Form 4562) " , , , . , , , , , , , , , , , , , , , , . , , . , , , , , . , . . . O.duotlons r.latJd to porllollo Income (I<lss) (It.mI2.). . . . . . . . . , . , . . . . . . . . . . . ; . . . . . . . . . .. Other d.ductlon ellaoh sch.dul. . . . , .. . , , . , .. . .. .. . .. .. . .. . .. .. . . , ... ........... 11 a Inter.st exp.nse ~n Investmant d.bts , , . . . , , . , . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . , . . b (1) InvestmentlrlOome Includ.d on IIn., 4a, 4b, 40, and 41 . . . . . .. . . . . . . . . . . . , . . . . . . . , . . . 2 Investment e anses Included on line 9 above, . . . . . . . . . . . . . . . . . . . . . . . . . , , . , . . . . , . . 12a Cr.dlt lor aloohol used as alu.1 (attach'orm 6478) . . . , . . . . . . . . . . . . . . . . . .. . . . . . . . . , . . . . b Low...lncome hou. ing credit: (1) From partn.IhlPs to whloh s~on '12Ul(5) appll.s. . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . , . . (2) Other than olin. 12b(1). . . , . . . . . . . . . . . . , . . . . . . , , . . . . . . . . . . . . . . . . . . . . .. . , . . . , , C Qualified r.habll , Uon .xp.ndltures r.la'.d to r.ntal r.aI .state aoUvl~.s (attach Form 3488) . , . , , d Cr.dlts (oth.r th"l1 oredlts shown on lines 12b and 120) r.lat.d to r.ntal r.aI ..!lite activltlss. . , . , e Cr.dlts relat.d to oth.rr.ntal actlvltl.s. , . , , . . . . . . . . , . , . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . , 13 Oth.r or.dlts . , . . . . . . . . , . . . , . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . , , , . . , . . . . . . . . Adjust. 14a O.pr.olaUon adjustm.nt on prop.rty pla,.d In servlo. aft.r 19B6. . . . . . . . . . . . , . . . . . . . . . . . . . :;,~nta b Adjust.d gain or loss.. .. . , . . .. .. . . , .. . .. . .. , . . , . , .. .. .. .. . .. . . . .. .. .. .. .. . .. .. .. Tax C Oepl.~on (oth.rtran 011 and gas) . .. .. .. .. .. . .. . .. .. . .. .. . .. , . .. .. .. .. , .. . .. . .. . .. . Preler' d (1) Gross Inoome from 011, gas, or geoth.rmal prop.rtI.s . . . . . . . . . . . . , . . . . .. . . . . . . . . , . . . . ance (2) O.duc~ons locabl.tc 011, gas, or geoth.rmal prop.rtles. . . . . , . . . . . . . . , . , . . . .. . . .. . . . Items e Other ad ustme and tax preference ltttms (attach schedule .....,......."'...,,......, 15a Nam.ollorelgn ounlly or U.S. possession '" b Gross Income from all sources. . , . . . . , . , , . . , . , . . . . . . . . . . . . . . . . . . . . . . , I , . , . . . . . . , , . . C Gross Inoome so~roed at8hareholder le"el. . . . . . , . . . . , . . . . . . . . , , . . . . . . .. , . . . . . . .. . . . . d Foreign graBS incfme sourced at corpor,lte level: (1) Passlv.................................,....,................,..,.......... (2) Usted categ.trl.s (ellaoh sch.dul.). . , . . . . . . . . . . . , . . . . . , . , . . . . . . . . . , , . . . . . . . , . . . . e ~~d~~~:SaJ~I~~~:~n~~~ .~~~~~~~~~ '~, 'S~~~~~I~~; ;~~~I:' . . . . . . . , . . , . . . . . . , . . . . , . . , . . . . (1) Inter.st .xp.ns. . . . . . . . . ' . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . . . . . f ~~d~~:~~'~I~~~~~ ~~~'~~~~~~~~~'~";'~~;~~'I~~~i~'f~;~~~ 's~~;~~ ;~~~~:' .., ,. . .,... . (1) Passlv..... '. . , . . . . . . . . , . . . . . . , . . . . . . . . . . . , . . . . . . . , . . . . . . . . . , . .. . . , , . . . . . . . (2) Usted c.tegjrl.s (.nach sch.dul.). . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . , , . , . , . . . . . , . . (3) G.n.rallimn ~on . . . . . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , , . . . . , . . . , . , . . 9 Total foreign t... (check on.): '" 0 Paid 0 Acoru.d. . . . . . . . . . . . . . . , . . . . , . . . . . . . . h R.duction In t... .vallable for oredlt .11ach SOhedul. ..,................,...........,. 16 Section 59(.)(2) p.ndltures: a Typ. '" b Amount,. '" 17 T....x.mpt Int.r st Inoom.. . , . . . , . . . . . . . . . . , . . . , . , . . . . . . . . . . . . . . . . . . , . . . , , , . , . . . , 18 Oth.r t....x.mp~ incom. . . . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . Oth.r ~~ ~:t:~:~::~. d~;r.:~::sn~ '(I'~C;~~I~~' ~~;hi 'o;~~; ;~.:n' ~I~;d~~~; ;~~~~~d ~~ 'I;~~ ~ 'b~~~: : : : : : 21 Other n.ms and :rmoUhtS requlr.d to b. r.ported ..p....t.ly to shar.holdere (attaoh schedul.) t. Total dlvld.nd dls Ibution$ pald from .o',umul.t.d .arnlngs and profits. . . . . . . . . . . . , , . . . , . . . Income (IOS8). ( ,.qulr.d only If Soh.dul. M'1 must b.oomplet.d.) Combine IIn... 1 through a in column b. F om the result, subtrac-: the sum of lines 1 throu hila, 1 . and 18b. ,. . . . . . . CAA 1 1120534 NTF256841 Copyright2001011atlantlJNeJco-Form.SoftwareOnly 7 Deduc. 8 tJons 9 10 Invest- ment Int.rest Credits Foreign Taxes 22 23 Peg. 3 Total amcunt 7 8 9 10 24 00. 4 439. 3 59. 300 209. Form 1120S (2001) Adjustments tD shareholden' 8quity(Attaeh sch.) . Less cost of treasury stock. .,...,.,.". Total liabilities and shareholders' e ul '" 182 04 . '~f'~mm!il Reconciliation of Income (Loss) per Books With Income (Lon) per Ret i:Jl.M~~Aq,'K~ to complete this schedule /I the total assets on line 15, column (d), 01 Sllhedule L are Ie8s thah 1 Net Income (loss) per books , , , , , , , , , . . 00, 09. 5 Income recorded on boOke this vear not 2 Income inCluded on Schedule K, lines 1 Includ~d o.n Schedule K, IInll811hrough through 6, not recorded on books this year 6 (itemize). I (itemIZe): a Tax-exempt nt $ Form 1120S (2001) , ? :~. ""~':'. " I~. ::::~$ Balance Sheets er Books Assets 1 Cash ............................. 2a Trade hotee ahd accounts recelvabie. . , . . b Less allowance for bad debts. . . , . , . . . , . 3 Invemorles..."..."...."..,..".. 4 U,S. Government obligations, , , , , , , , , , , 5 Tax-exempt securities, , , , , , . , , , , , , , , , 6 Other current asselll (attach schedule), , , , 7 Loans to shsreholde", , , , , , . , , , , , , , , , , 8 Mortgage and real astate loans , , . , . , , , , 9 Other Investments (anach schedule) . , , . , lOa Buildings and other depreciable assets , , , b Less accumulated depreciation. . . . . . . , . 11 a Depletable assets, , , , , , , .. , .. , , , , .. . ' b Less accumulated depletion, , , , , . , , , . . , 12 Land (net 01 any amortization) , , . , . . , , . . 13 a Intangible ..sets (all1ortlzable only). , , , . , b Lees accumulated amortization . , . , . , , . , 14 Other assets (anach schedule). . , . . , , , . . 15 Total assets, . , , , . , , , . , , , , , , , . . . , . , . Liabilities and Shareholders' Equity 16 Accounts payable, , , , . . . , . , , , . . . , , , . , 17 Mortgages, notes, bond. payable In 1118. than' yr . 18 Other current liabilities (anach schedule) . , 19 Loans from shareholders. , , , , . , , . , , , . , 20 21 22 23 24 25 26 27 Mortgages, nates, bond. payablel" 1 y..r or mot. Other liabilities (attach schedule) , , . . . . . , Capltelstock ..".""....,'..,.,... Additional paid-In capital. , , , , , . , , . . . . . Retained earnings , , . , . , , . , , . . . . , , , , . 1 ,145. 73 .747. 1 000. 240 ,623. 3 Expenses recorded on books this yeer not Included on Schedule K, IInee 1 through 11a, 15g, and 16b (iteml%e): a Depreciation $ b Travel b.nd $ ent.rtalnment 6 Deductions InclUded ~n Sohedula K, IIhe 1 through 110, 1 eg, and 1 Sb, not charge agalnsrbook InCOme this year (itemize): a Depreciation $ 1 Balance at beginning of tax yeer . ' . . , , , , , , . 2 Ordinary Income from page 1. line 21 ""'" 3 Other additions , , , , , , . , . , , , . . , , , , , , , . , , 4 Loss from page 1, line 21.., . " . " ... , , .. , 5 Other reductions , , , , " . , " . .. , , . . .. , , .. 6 Combine lines 1 through 5" , .. , " . , , . , " , 7 Distributions other than dividend distributions. 8 7 Add lines 5 ahd 6.. , ' . ' . " " . " " , , O. 20 . [$QfH*,"lifM'i'~1 ::.,.:, ',:..::..9..:: t..5..' o. eM Balanc. at end of tax y..r. Subtract line 7 from line e . . 1 1120$34 NtF 2558742 Copyright 2001 a '.atland/Nelco _ Forms Soft...... Only O. Fo,m 1120$ (2001) O.partrnant 01 the Treasury lriternal R.....nll. Ser...ice i Applicatllon for Automatic extension of Time To FiI Corporation Income Tax Return OMS No. 1!l46-02G3 Form 7004 . (Rev. Ootober 2000) Name of corporation KIRSCH'S PRINTING, INC ~ Number. street. and room or suite no. (II a P.O. ox or outside the Unned Statea. _ instruoUons.) 1515 KATHRYN ST 'r-- City or town, state, and ZIP code NEW CUMBERLAND, PA 17010 Check type 01 return to be flied: ~ Form 990-C Form '120 Form "20-A Form '120-F Employ.r l"lntillailtlan no. 3-2519707 Form "20-FSC Form '120-H Form "20-L Form "20-ND ~ Form 1120-PC Form ,120-POL Form ,120-RI:IT Form 112o--FliC IXl Form 1120$ o Forni 1120-SF . Form "20-F flier.: Check here ilthe ,reign <:orporatlon does not malntein an office or place 01 bUeln08$ln tHe United States. . ., ,..,..,.,. \ . . . . , . . . . . . , . . , . . . . . . . . . . . . . . . . . . . , , , I . , , . . , . . , l . . \ . , \ \ , . . . , .... 0 1 Requesl10r AUtomado Extension (s..ln cticns) a Extension dats. I rsquest an automatic e-month [or. lor ceRain corporations, 3-month} el<lenslon of Umt unUI 9/15/ , 2002 I, to fiie the In<lome tax return of the corporaUM n&n16d above lor. . . . . . . , . . ,.. Ii.lI caJendllr year 20 01 or 10 0 tax yeer b~ ' _' and ending , ,20._ b Short tax year. II this tax year Is for leas t an '2Inonths, check raeaon: IniUaI return Final retur, --D Change In accounUng period 0 ConllOlldetad rewrn to be flied 2 Affiliated group members (see instructio s). If It is application also CQvSl1l subsldleriea to be Included In a consolld~ laMn, pl<IVlda the lollowing InformaUon: L- Nam. and address of each mfonbOr of the IlffIUated rou Em 10 Ir Idlntllloatlon no. 'tax .rtod ~ L ~ I 3 TentaUve tax (... InstruoUono). . . . . . . . .1. . . , , . . . . . , . . , , , . . . . . . . . '.' . , . . . . . . .: . ': .. . . . . . . . . . 4 paymenta and ....fundabl. oredlts: (see i .trucU<>n.) " a Overpayment credited iTom prior year 4 b EStimated tax payments for t~e tax year........................... 4 C Le.. relund for the tax year epplied for on Form 4466 . . . . . . . . . .. " , ... 4 BallO e Credit for tax paid on undistributed capital gains (Form 2A39) . , . . . . . . . . . 40 f Credit for Federal tax on fuels (Form 4'31' .. .. .. . . .. . .. .. , .. .. . . .. . 4f 5 Total. Add lines 4d through 4f (s.. inetnu no). , . , .. .. .. . " . .. .. . . .. " , . .. .. .. . .. .. . .. " . .. . . 5 0 . 6 Ba'anoe due. Subtract line e from line 3. O\"'oSlt this amount using the Electronlo Federal Tax Payment System (EFTPS) or with a ~~dera' Tax De oalt FTC Cou n.ea instructions ........ 6 0 . Signature. Under pensttls. 01 psrjUry, I deolarelnat I h 've been authon.ed by the above-named oorporetion to make thla apPllb, atiM, and to the bast 01 my knowledge and belel, the statem1nls m!lde Ilre true, oorrect, and complete. ,. CPA ,.P3!lSI:!002 (Si nature 01 officer or ent) (111\&) (Oste) For Paperwork Reduotlon Act Nodco. see Ins "ctlo,s. F'amt 7db4 (".v. 10-2000) CAP. 0 70041 NTF 3"24S? Copyright 2 00 Grel tlllnd/N'ICo Lp.. Forma: Software Only 'Form 4562 DeprElciatlon and Amortization (Including information on Listed Prop.rty) oMa No. ei4e-0112 Oepartm.nt 01 thl Treasury lnt.mal F1.v.nu Service (99) >See se arate Instruc dons. :> Attach this form to IJr return, ausiness or activity to which thia fOIT11 rillA\llS CH'S PRIN ING C IRS H PRINT G Election To Expense Certain Tal1glble Property (Section 179) Noto: if you have any "listed property,"ccmplete Part V before you complete Part I. 1 Maximum amount, See page 2 of the Instructions 'or a higher limit for certain busine..es 1 2 Total cost of section 179 property placed In servlc", See page 2 for instructions 2 3 Threshold cost of secijon 179 property before redllctlon In limitation 3 4 Reduction in Iimha~on, Subtract line 3 from line 2 If %ero or lesa, enter -0- 4 5 Ooliar IImhation tor tax year, Subtract line 4 from Ii"e 1, If %ero or less, enter -0-, If married flllng separately, see page 3 of the Instructions 6 (a) Oescrlpijon of property (b) COsHbUt"... u.. 001,) 161 089. 7 Wsted property, Enter amount from line 27 ,."" , , '.", " , " , , , " " '.' ,.,. 7 8 Total elected cost of section 176 property, Add arn,unls In column (c), lines 6 and 7 9 Tentative daductlon, Enterthe smaller of line 5 or Ii"e 6 "."""".",..,.....,..".,.......,. 1 0 Cerryover of dlsaliowed deducUon from 2000. See page 3 of the Instructions 11 8usin.$S incom.llmitatlon. tnter $Mallel 01 buatnlln income ('lot Ill$S than ztfO) or fin. 5 (... inlt.) ';'.~ 12 Sectopm 176 expense deduction. Add lines 9 and 10, but do notenter more tnan line 11 13 Conyover Of disallowed deduction to 2002. Add IInns 6 and 10, less line 12 1 Note: Do not use Part II or Part III below for listed ro e ,Instead use Part V, : jlljjN ." S eelal De reelatlon Allowance and Ot er De reelatlon Do not II'IClude Istad ro a Special depreciation aliowance for certain property (Other than listed property) acquired after 14 September 10, 2001 (see page 3 ofthe instructions I 15 Property subject to section 168(1)(1) election (.ee page 4 of the Instructions) 16 Other depreclaijon (includlnq ACFIS) (see pape 4 01 the instructions PliffiUfl MACRS Depreciation (Do not Include listed ro e , See a e 4 of the Instl'llctlona. A 17 MACRS deductions for assets placed in service in lax years baglnning before 2001 , 14 1$ 16 18 17 101. 3 HY (a) Classlflcanon of property 19 a 3-year property b 5-year property e 7-year property di0- ear ro e e 15-year property f 20-year roperty 9 25-year property h Re.ldenijal rental property J Nonresidential real property 119 988. 7 HY o DB 47. eetion stem o S/L MM S/L MM S/L MM S/L MM S/L (See a 5 oftM ihsttUctlons. SlL S/L SiLo MM 25 yro. 27.8 ro. 27.5 yrs. 39 yrs. 20 a Class I fe b -ear e 40-year ummar (See a e 8 of the Instruction., 21 Listed prop&rty. Enter amount from line 28 ..",.,.,., I , . . . . , , , , , , . . . , . . . , , , . , , . , , , , ~ ; . , I I , 22 Total. Add deductions from line 12, 11"6814 through 17. lines 19 and 20 In column (g), and Une 2.1~ Enter here and on the appropriate lines of your return. Partnerships and S corporations __ see ine'ttuatlont . " 22 23 For aSsets shown above and plac~d in service during the current year, enter the ortion of the basis attributable to section 2B3A cost~ . . . . . . , . . . . . . . . . . . . . , . . . 23 For Paperwork Reduction Act otice, see the separate IrstnJctlons. 12 yrs, 40 yrs. 1 KIRSCH'S PRINTING, INC Form 456'.:1 2001) Rev. 3-2002 ,.J!rtt) Usted roperty (Include automobiles, ,:ertaln other vehlcl . cellular telephones, certalh computers, and ~rop.rty u.ed for entertainment, recreAtion I or amusement.) I Note: For any veMiele for which you .re usillg the standard mllelge raU> or deducting kIlaBlllll<penlle, completil cnly 24a, t4b, columns a throu h (c 01 SeCllon A, all of Seotion e, ond SeCllon C if a cabla. ectlon A ~- Depree atlon and ther nformat on (Cautlcn: ea page a ofthelnstrur:tlonafor IIm1\ll fer palleen ar ilUtcmobllas,) 24a Do you have evidence to support business/InvestmEnt use claimed? ves No 24 if ''YlI8,"IB the evldance wrillIn? ves No (a) (b) (c) 8us./ (d) Ie} (f) (g) (h) (I) T f P erty Date Investment C t 8 Is or depr. Recover; Method/ Depreclallon 1lI1lOted (11~~~~hlel:fltllt) P~~~f In er~:':ta e '>lh~~ b'::;.IS (bu. 'nv~~nt penod Convention deduction $II~n 179 25 Specllll depreciation allowance for listed propert acquired atter September 10,2001, and used more than 50% In a qualijled business use 'see page 7 of the In ctlono): . . . . . . . . , . . . , .. .."'" "~f- """'r l~r'" ..... """"'" 27 Prcperty used 50% or less In a qualified business USE (See page 6 of the I stNctlons.): % 23-2$19707 a 82 25 S/L- S/L- S/L- Add amounts In column (h). lines 25 through 27. En"" the total here and n line 21, page 1 , , . . . . , . . ,. .28 0 . 29 Add smoun1B In column (I), line 25. Enterthe total he'8 and on line 7, pag 1..........,....,..,.".".,.",..,. 0 . Section E: - Intormatlo~1 on Use of Vehicles Completa this section for vehicies u.ed by e soie proprilrtor, partner, or othe~"more than 5% owner," or related person. if you provlda vehlolee to % your employees, flrst answer the questions in Section C 10 see If you meet e exception to completlno thl. seo1Ion for thoe. venlcie. (a) (bl (c) (d) (e) (f) 30 Total business/Investment miles driven ~ehtokll1 Vehle 2 Vehicle 3 Vtlhlcie 4 Vehlele 5 vehicle e during year(do "ot Inc!P,ld. commuting miles) 31 Total commu~ng mile. drtven during year I 32 Total other personal (noncommuting) ! miles dnven " . . . . . , " . . " . " . " . . , . " 33 Totsl miles driven during the year. Add I lines $0 through 32 . " , " .. " " . , .. " , . 34 Was the vehiele available for personal usa Ve" No Ves iNo Ves No V4l$ No Vea Ne ves No dUring oft-dUty nours7 . . . . . . . . . . , . . . . , . J 35 Was the vehicle used primarily by a more I than 5% owner or related person? . . . , . . . , 36 Is another vehicle avalleble lor personal use? ,.... , . . . , . ., . . . ,. . .. . , , , . .. . , Section C - Questions for Emllloyers Who pr~Vlde Vehicles for Use by Their Employee$ Answer the.e questlons to determine /I you meet an e"c'ptlon to completing eC1Ion B for vehicles used by employ_ whll art not more thin 5% owner or related persons. (See page 6 01 the Instructions) 37 Do you maintain a wrlIlen polley statement that prohibits all personal use 0 vohleles, Including commuting, by your 1e. No employees? . . . . . . . " " " . . " . " . . " , , . " , , . , . . . .. " " . " ". ."...".""................ 38 Do yoU maintain a written policy statement that prohlt its person.1 use of v hleles, except commLl~ng, by your employee.? S.e page 6 of tne instNctlons for vehicles usad by ccrporate officers, dlreJtors, or 1% or more owners. , . . . . , . . .. . . , . , . .. 39 Do you treat all use of vehicles by emplOYees as pers'lOal use7 40 Do you provide more than flve vehiCles to your employees, obtain Informa on from your employees about the use Of the vehicles, and retain the Information reoQ/ved? . , . . , , . . . '. . . . . , . . , . , . . I. . , . . , . , . . , . . . . . . . . , I . . , . . . . . . , . . 41 Do you meet the requirements concernlng qualifled S<ltomoblle demonstta on u9&7 See pege S of the lnatructlona Note: If your answer to 37, 35, 39, 40, or 41 is ''Yes,'' ,jo not complete S on 8 for the covered Vehicles. .~~i Amortlzat on (a) DesCription of costs (b) Date amortlzatlon begins (e), Amorti ble smou 1 (d) Code section Ie) AmoilJ2ation periOd or percsnlllge (f) AmorilzetkJn for thl8 yellt 42 Amortl2atlon of costs that bagins durin your :2001 ta> year (98a past! 9 01 he inst.) 43 Amortization of costs that bogan before 2001 44 Total. Add emcunts 111 column (t), See page 9 of thenstructions for wne Ie re crt. . . . , , . . . . . . . , . . . 43 44 Forh14ell2 (2001) (/lev. ~'2002) SCHEDULE K-1 Shareholder's Sllare at Income, Credits, Deductions, etc. OMS No. 1 Mll-0130 (Folrm 1120S) ~ See separate InstrucUons. 2001 . oep~m.nt af the Treasury For calendar year 2001 or tax year Interllal Revenue S.rvic. beelnnlng 01/01.' .2001, and endlne 12/31/ ,2001 Shareholder'e Identllylng number ~ 201-16-:,919 Comorauon's ldentlfvlnlf number ~ 23:-ilS 19707 Shalaholde"'s name, address, and ZIP code Corporatlon'a name, add_, and ZIP erode EUfENE & JOYCE KIRSCH KIRSCH'S PRIN~ING, I~C 15' 5 KATHRYN ST 1515 KATHRYN $'1' NE, CUMBERLAND, PA 17070 "EW CUMBERLAND, PA 17070 A nareholder's percentage 01 Slook ownership lor t... year (s..lnstructions for SChedule K-l) . . . , , . . . . . . , , . . , . . . ,. , , 16 0 . 000000% 81 ternal Revenue Service Center where corporation ~Ied Its return ~ CINCINNATI, OH , C. "" shener registration number (see Instructions for 3che~u~ K-1). . , . . . , , . . . . , , . , , . , , . . . , , . , . . . , , , . ,. II> . OJ heck aoollcable boxes: (1) n Final K-l 12\ Amended K-l (a) Pro rata share nenlS (b) Amount (0) Forth 1040 fllill'll enler the amouht In column (b) Oh: 1 Ordinary inco",", (loss) from trade or bl siness activities. . , . . , . , 1 l!IJ..l:l6iZ. Se. the Shfo:holde...s 2 Net income (loss) from rental reol estatE. activities . , , . . , , . . . . . 2 l>lneltuOlioh. or $cnsdule 3 Net Income (Ioso) from other rental acti,'ltias . , , , . . . . , , . , . , ,. _ K-l (F0ITl11 ~ 20$). 4 Portfolio income (loss): . . ,,: 4 8 Interest, , , . . . . . . , , , . , . . , . . . , , , , . . . . . . , . , . . . . . . , . . , . . 48 2,663. Sch. e, PIlIt I, line 1 , b 4b + Ordinary dividends, . . , . . , . , , . , . , . . , , . , . , , . . . . . , , , , ., , . $ch, e, FIlIt ii, line 5 C Royolties, , , , , , , , , , , . , . , , , , . . , . , . . , , , . , . , . . , . , , . , . . , , 4c $ch. E, Plrt I, line 4 d Net short-term capitol goln (loss), , . . . . . . . , . , , . , . . . . . . , . , . 4d Sch. 0, line 6, 001. (1) (Lo ) e (1) Net long-term cepna/ gain (loss) ,.,...,.....',....... 4el1l $ch. 0, line 12, col, (t) I (2) 28% rote gain (loss) . . . . , , . , . , . . , , , . , , . . , , . . . . . , , . . 4e(2) Sch. 0, line 12, col, (g) Une 4 01 wolkshaet lor (3) Qualmed 5-yeargain,..........,...............,.. 4e13\ $ch. 0, line 2e I Other portfolio income (loss) (attach .cl1edule) .... , . , . . . . . . . 41 I~nl" on ''''(f."I' nl'b1~ourr. rn. ~ Shareholde"'o ~ ruoUone ler $chedula 5 Net .action 1231 gain (loss) (other than due to c..uany or thell) 5 - (FOITl11~llCIS). 6 Othar Income (loss) (attoch sehedule) , . , . . . , . . . . , . , . . , . , . . 6 Ilnt.r Ctlll3f~~bl. IIl.t11ytlurtt 1'1'1,) 7 Chahtable contributions (attach seha,du e) , , . . . . . . , . . , . . . . . . 7 Soh. A, line 1~ at 16 Oed c- S Section 179 expense deduction, . . , . , . . . . . . , . , . . . . , . , . , , . 8 14,400. } SN th6 SHaltholde"" UO" 9 Deductions related to portfolio income (loss) (attach schedule) . , 9 InattucUone lor $chedula I 1<-1 (Form 1120S). 10 Other deductions (attach schedule) . . . . , . . . . , . . , , . , . . . , . , . 10 IhV. t- 118 Interest expen.e on Investment deb1>l . . , . . . . , . . . , . , . . . . . . . 118 Folm 41l5~, line 1 men b (1) Investment Income included on linss 4a, 4b, 40, & 41 above l1b(1l 2.663. } S~ Sw:thOlds...o Inter st i2i Inve_ent exoensaslncluded on line 9 above. . . . . . . , . . In ,r~f on$lor )<\~edule l1b(2) K- Form 1\llCIS , 128 Credllfor alcohol used ss ruel ., . .. . , . , .., .. ." . ". . " '" .' Form El47S, Ilns 10 b Low-Income housing credit: . ~ ,';.. ~ } Form 8U8, ilne 8 I (1) From section 420)(5) partnershipo . . . . . , , . , . . . . , . . . . ,. 12b(ii' (2) Otherthan on line 12b(1) .. . , . , . . , .. , " .. . .. , . . , .. . . 12b(2\ cr+o c Qualified rehabUltation expenditures relnted to rental real estate activities. . , . . . . . . , . . , . . . . . . . , . , . . . . , . . . . , . . . , . . , , . , . 12c I: d Cradi1>l (other than credns shown on lines 12b and 12c) related Sa. the Sha/eholde"t , to rental real estate actlvltles. . . . . , , . , , . .. . . , . , . . . . . . . . . . , 12d l>lnattuOliona lor Schedule e Credits related to other rental activities. .. ,. .. .. . . .. . . .... . . 12e K-1 (Form 1 1 2051). 13 Other credits. ..,...........,......"..,............,. 13 For aperwork ReductJon Act Notlc_1 see the lnstru(:tlons 10r Form 1120$. Schadule K-1 (Form 1120S12001 CAA 1 120SK112 NTF 2556744 Copyright 20:11 Qrtatland/Nlllco - Form" Software Only SChedule K-1 (Form 1120S) (2001) EUGENE & ,fOYCE K!RSCH (a) Pro rata Share Iten IS 14a Depreeiation adjustni6n1 on property plaoed in servioe aller 1986 AdJust- b menta Adjusted gain or lOss. .. . . .. . . .. . .. , . . .. .. ... .. .. .. . .. . . "Tax C Depletion (other than olland gas) . , . , . ....... ... . ., . .. ., .. Pro1- d (1) Clross Inoome from oil, gas, Or geot,ermel properlles . . . . . . rt,:~~e (2) DedUctions allooable to oil, gllB, or 'leolhermaJ propenles. . , e Other ad'ustmentB and tax refer.noa It,'ms (attach sohedule ... 15a Name of foreign oountry or U.S. pOsse.. Ion ~ b Gras. Incomafromall sources.......,.................... C Groes Income souroed at shareholder le'/el , . . . . . . . . . . . . . . . . . d Foreign gross inoome sourced at Gorponte level: (1) Passive .. . .. . . .. . . .. . .. . .. .. . . .. . .. .. .. . .. . .. .. . (2) Usted categories (attaoh sohedule) . . . . . . . . . . . . . . . . . . . . (3) Cleneral IImhatlon . . . . . . . . . . . . . . . .. . . . .. .. . . . .. .. .. . e Deductions allocated and apportiOned .: shareholder level: (1) Interest e><pense. . . . . . . . . . . . . . . , . . . . . . . , . . . . . . . . . . . (2) Other.................,.,...........,.....,...,. f Deductions allooated and apportioned .: corporate ievel to foreign sourCe Income: (1) Passive................,.,...................... (2) usted categories (attACh schedule) . . . . . . . . , . . . . . . . . . . . (3) Generalllmhatlon.................................. 9 Totel foreign taxes (check one): ~ 0 Paid 0 ACcrued. . . . h Reduction In taxes available for cradh "tach schedule ........ 16 SectIon 59(e)(2) expendhure.: a Type ~ b Amount, .. , .. . .. . .. . . .. . .. . . .. . .. .. .. . .. .. .. .. . .. .. . 17 Tax-exempt interest Income .... .. . . . .. .. .. . .. .. .. . .. . .. . 18 Othertax-exemptlncoma........,...................... 19 Ncndeductlble expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . Other 20 Property distributions Qnoludlng cash) other than dividend distributions reported to you on Form 10.9-DIV . . . . . . . . . . . . . . 21 Amount 01 loan rapayments lor "1..O_ns F'om Shareholderll" . . . . . 22 Recapture of low-Inoome housing oredlt: a From section 420)(5) partnerllhlps. . . . . , . . . . . . . .. . . . . . , . . . . b Other than on line 22_. . . . .. . .... .. .. . .. . , . .. .. . .. . .. .. .. 22b 23 Supplementallnlormatlon required to bs reported separately to each shareh Idlllr (attech _ddltional sohadui.. n rmlre apace Is needed): For.. .Ign Tax.a Sup- pl.- mental Infor- mation CM 1 120SK112 NTF 25587045 CopyrlQIH 20,01 Gr.at!and/NtUoo "" Forll1# Saftwar'e Only (b) Ah10unt 14 375. 201- 6-1919p e 2 (e) Form 1~ flilltO entet the 1IIt1ll0Hlln column (b) on: $18 the SMteholdera Inlllruil1ion. for SChedule 1(-1 Worm 11g0S) and Inlllructions lot flortn 11251 ~Ottn 1118, Part I "~dlin 1118, Part II lhllnWUC1ICnslor olin t118 arloe. IhiltltJ!ltlons for qhedule K-1 (FOrm 1120S). l'otln 1040, line 6b 9H the $hlleMlders Ihllttuoflone for $<lhedlJle K-1 (FOrm 11008). Form '.11, line 8 Schadule It-I (Ferm 1120$) 2001 i SCHEDULE K-1 Shareholder's SI1are of Income, Credits, Deductions, etc. , (Form 11205) i .. Su S4pal'ate In8lrllcllone. .J For calendar year 2001 or tax year F.:i,~r~:~::u':;::J:"'Y be Innln 01/01/ ,2001, and endln 12/311 ,2001 Shareholder'. Iden In number" 210 - 56 - ./ 3 61 Co orallon'. Iden Ih numb.. .. Shareholder'. n e, addre.., and ZIP code Corporet!on's name, addJ'e$li, and ZIP code KEVINLEE . KIRSCH IRSCH'S PRI~tING, XNC 1514 KATH YN STREET 1515 KATHRYN S~ NEW CUMBEiAND, PA 17070-11!l5 EW CUMBERLAND, FA 17070 A Shareholder's percentage of stoCk ownership for tal< year (see InstrucUons for Schedule K-1) , , , , . , , , , , , , , . , , , . , , . , . ~ 0 . 000000% B Internal Revente Service Center where corporsijon "'ed Its return .. CINCINNA'!'I, OR C Tax shelter reg~$lJ'aijon number (sll8lnstnJctions for Schedule K-1), . . . , . .. . , . . . , . . . . . . . , . , . . . .,. . . , . .. .. OMS No.,154S-0l30 2001 D Check applies Ie boxes: (1) 0 Final K-1 121 n Amended K-1 I (a) Pro rata share nems (1)) Amount (0) Folm 1040 flllllt enter tha amount In column (b) ani 1 O~lnery income (loss) from trade cr be slness acUvllles, , . . . . , . 1 127.908. } s.flhe Shareholder's 2 Net Income (lass) from rental resl estst.- actilllijea , . . . . . . . . . . . 2 InstrUctlone fol Schedule 3 1 income (10") from othar rental activltl" . , . , . . . . , . . , . . . . 3 K-1 (Folm 112OS). 4 F rtfolio Income (loss): [? 8 I resL..",....,.,...",...,.,.,.,.,..."...."... 4a 1.776. Seh, e, Fart I, line 1 b O~lnery dividend.. . . . . , , . , . . , . . , . , . . . . . . . .. .. . ... . . . . 4b $eh. e, Part II, line 5 Income C R yeJijes...........,.......,.....,........"...."" 4c Seh. E, Part I, line 4 (Lo.s) d N tahort-term eapneJ gain (loss) , " .. .. . , " . " " .. .. .. . " 4d Sen. C, line &, col. (f) e (1) Net long-term cspneJ gain (loss) . , . , . . , . . . . . . . , . , . , . . 48(11 Seh, C, line 12, 001. (1) (2t 2&% rate gain (ioss) . . , .. . , " ... .. ... . .. .. , '.. . " " 4e(21 $en, C, line 12, col. (g) Un. 4 01 worksheet 101 (3 QuaJlfled5-yeargaln..."...."................... 48(31 $eh, 0, line Ia9 IF.""" ..""..b\" f Other portfolio Incoms (loss) (attach schedUle) ,......... . . , . 4f rtl1 of y~ur .'tIl.tn, NJt section 1231 gllln (lose) (other than due to casually or thell) See Shllreholder'e InstructJonslol Schedule 5 5 K-1 (Falin '1:aoS). 6 Other income 110"' (attach schedule) , , . . ' . . , . . . . . , . . . . . , . 6 h1nt'I'Qnla"PIIDf.bl. I'll of Ylllirr*tU(I1., 7 ctritable contrlbu1ions (attach schedu s) . . . . . , . . . , , . . . . . . . 7 $eh. A, IIn.1& or 1e Ceduc- a S tion 179 expense deduction, . . , , , , , . . . . . , , . . . , . , . . , , , 8 9.600. } S88 the Shareholder. tlons 9 o ucUon. related to portfolio Income (loS9) <_ch schedUle) , . 9 InetnJctionef<l1 Schedule 1() Other deductions (attach .ohedule) . . . , , . . , . . . . . .. . , , . . . , , 10 1(-1 (Falin 1120S). Inve.I- 118 Int rest expense on Inveatmant debts. , , . , , . . . . . , . . . . . , , . . 11a Form'lllIl2,lIne1 ment b (1 Investment Income Included on IIn9S 4a, 4b, 4c, & 4f abolle 11b/1) 1.776. } See Shareholder'. Interest 12 Investment e)(~en$e8 Included on line 9 above, . . . . . . . . . l1b(2} In~ctione f01 S.1hedule 1(-1 arm 1120S . 128 CrritlOr alcohol used ...Iuel.,.,.,.,.",....,.....,.... ~ Form 8478, line 10 b La -Income houSlng credit: -' . " } Form 8llllS, line a (1 From .ection 42lD(5) partnerships. , . . . . . . . , . , ' . . , . . .. '12bl1' (~1 Other than on line 12b(1) .. . , . .. . .. .. . .. .. .. .. . .. .. . 1211(2) Credlte C ~c .~::: .'~~~~~II~fl.O,~ ~p~~~~ur~~ .'~IU~~~ ~~ .~~~a1 ~~III, ~t~t~. . 12C d Credns (other than credits .ho.....n on Iines12b and 12c) related } ..... ......".. to 1entlll real estate ectJvlUes, . . . . . . . , . , .. . . . . . . , . . . . . . , . . 12d lnatrllotlon. tor Schedule e Cr dlts related to other rentlllacijviijes. . . ' . . . . , ' , , , , . . . . . . . 128 K-1 (Form 11206). 13 O~ ercredns,...,.."...,.".,.",.,...,.,..,.,.,..., 13 For Paperwork Re ~ctJon Act Notice, se. the Instrudlons tal" Form 11205. Sth.dule K-1 (Ferm 11205) 2DOl CAA 1 12DSK 12 NTF 2$58744 Copyright 20)1 Grelitla"d/NlIlco ~ Form. Sa1tware Only Sch.dul. K-1 (Form 1120S) (2001) KEVINLEE g. KIRSCH (.) Pro rata shar. i1enlS 148 D.ptllCla~on adJustment on property pleoed in service sher 1~BIl AdJust- b ments AdJust.d gain or loss.. . . .. . . , . . . .. .. . . . .. . . , .. . .. .. .. , . & Tilt C Depletion (oth.r than 011 and gas) . . . , . , . , . . . . ' . . . , . , . . . . . . Pref- d (1) Gross Income from 011, gas, or g.ot,errnal prop.n1.s . . , . . . r;:~~. (2) DeducUon. allocabl. to 011. gas. or I.oth.rmal prop.n1.. . . . e Oth.r ad ustm.n1S and tax refer.nce il<'mo (attsch schedule ... 158 Name 01 lor.lgn oountry or U.S. poss..,lon . b Gross Income Itom all sourt.... . ' .. . , .. , . . .. .. .. .. .. .. .. .. C Gross income sourced at shareholder le'/81 . . . , . . . . . . . . . . . . . . d For.lgn gross Incom. sourc.d at cOlllor >I. l.v.l: (1) Passive . .. . .. .. . . .. . . . . . .. . .. , .. .. . . , .. . , . .. .. .. (2) Ust.d categories (attach .ch.dul.) . . . . . . . . . , . . . . . . . . , , (3) G.n.r.1 lIm1ta~on .. . .. . . .. . . . . . . . . . . . . . . . . . .. . . . , . . e D.duction. allocat.d and .ppcnlon.d a sharehold.r l.v.l: (1) Int.rest .xp.ns.. . . . . . . . . . . . . . .. , . . , . . . . . . . . . . . . . . . (2) Oth.r,..,............,..,....................... f D.ducUons alloc.t.d and apponlon.d a: corporat.lev.1 to foreign $OUrC9 Income: (1) Passive ., . . . . . . . . . . . . . . . . . , . . . .' . . . . . . . . . , . . . . . . (2) U.t.d oategorl.. (att.ch sch.dul.) . . . . . . . . . . . . . . . . . . . . (3) G.n.ral IIm11lltion . . . . . . . . . , . . . . . . , . . . . . . . . . . . . . , . . . 9 Tctal fcr.lgn taxes (check on.): . 0 Paid 0 Accru.d, . . . h R.ducUon in was .vall.bi. lor cr.dlt (O'Iach schedul.) . . . . . . ., 16 section 59(.)(2) .xpendltur.s: 8 Type. b Amount. . . . . . . . . . . . . . . . . . , . . , , . . , , . . , . , . . . , . . , . . , . . , 17 Tax-ex.mpt interest incorne . . . .. . , .. .. . . .. . .. .. , . . " , ... 18 Oth.rtax-.xemptlncome............................,., 19 Nondeductible expen.... . . . . . , . . , . . . . . , . . . . .. . . . . . . , . . , Other 20 Property distributions (Including cash) olher than dlvld.nd distribution. report.d to you on Form 1099-01V . . . . , , . . . , j , . , 21 Amount 01 io.n r.peym.nte lor '1.o.n. From Shar.hold..... . . . . , 22 Roo.ptur. of iow-Incom. housing credit: 8 From ..cUon 42(j)(5) partn.rshlp.. . . . . . , . . . . . . . . . . . . . . , . , , b Oth.rthenonlln.22...............................,.., 22b 23 Suppl.m.ntallnlorm.tion r.quired to be r.ported s.par.t.ly to eacl1 ahartlholder (a!tach a dltlonalsohedulesIf more ap.oe 18 need.d): For- eign Taxes Sup- ple- mental Infor- mation c.. 1 120SK112 NTF2SS814S Copyright 2001 Gr,atlarid!N.IClO'" I=orm! So1'wUI anlY (b) unt 58', } 210-5iS-7361Pa e 2 (e) Form 1040 filera entertl1e amount In column (b) on: See the ShllJilholde~a In.trUcUon. for Sonedul. K-1 (Fonn 112OS) end In.trUctlon. fOr Form 6251 Form 1116, PIart I Fcrm 1116, PIart 1\ See InstrucUohs for Form 1116 e. are ode . InstrucUons for SchedUle K-1 (Fonn 11 2OS). Form 1040, Une 6b $e. the ShareholdefB InstruoUon. tor Schedule K-1 (Form 11205), Form S61 1, line s Sohedule K-l (Form 1120$) 2001 Name KIRSCH'S PRINT[NG, INC EID No. 23625197071 Attachment to Schedule L-Line 18- Other Current L~abirities , PRIOR YEAR COMENT Y e:AR ACCRUED INCOME TAX I , 300. 'iO O. ACCRUED SALES TAX I 570. 84C . -1,158. . ACCRUED PAYROLL TAX , Total , -288. . l,14/i. Name: KIRSCH'S PRINTING, INC Attachment to Form 1120S, Sch A,Line 5 - Other Cost MATERIALS & SUPPLIES Name : KIRSCH'S PRINTING, INC Attachment to Form 1120S, Linn 12 - Taxes PAYROLL TAXES PA CAPITAL STOCK TAX OTHER TAXES & LICENSES Name : KIRSCH'S PRINTING, INC Attachment to Form 1120S, LinE! 19 - Other Deduct!on VEHICLE EXPENSE DUES & SUBSCRIPTIONS INSURANCE LEGAL & ACCOUNTING TELEPHONE UTILITIES OUTSIDE SERVICES OFFICE EXPENSE TRASH REMOVAL POSTAGE & SHIPPING BANK CHARGES & FEES ID ~ 23-2519707 I 196,651- Tbtai 196/651- ,. j 23-2519707 17,214. 1,094. TOta! lS,30S. 10 . 23-2519707 7,6S6. I 387. I lS,95S. 2,286. 7,162. 16,695. 17,903. i 5,335. TQtJ 1,278. 1,696. 2,84S. 82,234. Name, KIRSCH'S PRIN~ING. tHe 4562 . 10+ 23-25197~7 MQ - Mid Qua~t&r Convention T D-Disposed otf l'ype Blank"'llegul,lr A-AutO L-t.1.Ud property ,...parmer B...g.aX1Hr Ant:o fj.....a..t'II:\eZ' Li,t.do -.---...--.....-..............-..---..................................................-.................................--.......~_. I . I DESCRIPTION IACQ. I DATE IMI I I I COSt/BAS1SIQI~IDIL1..IM.tHOO BUS' I S.e.l0N I D....C1A~10N IAHT 179 I.Rl0R Y'ARICURRSN' ~ILlr. I AM~ oS'REC1A.l0N I l.lttOIt Yli:J\l\ I CURRS" YlWtloA.. BOLD .........-....................-----.........---...........--..............._...---.--........--....---~..........-----_._~..... .1 EQUIPKENT 010197 26,2!JO. ,YIt SIL 100.00 19000. 2 BQUIPMENT ... 21,820. J.OO.OO 3 BQUIPMlN'I' 010198 46,221. 'YIt BIL 100.00 . BQUIPQN'I' 041901 5,792. 3 200Da 100.00 , !QUIPM.!:NT-NE 090199 2,696. X 7 BIL 100.00 6 IMPROVEMENTS 120199 'J ,145. X 39 BIL 100.00 7 EQUIPMENT 070100 16,335. 100.00 16335. , COMPUTERS AN 073101 11,309. 3 200D13 100.00 9 TR1 COLOR PR 092701 29,400. 7 20008 100.00 24000. 10 ENVELOPE SEA 081501 114,588. 7 20008 100.00 TOTAL 281,586. 58335. 7,64~. 21,820. 28,532. 1,'58, 528. 191. 9,244. 1,930. 384, 183, 3,769. 772. 16,375. 58,720. 34.,3:1.5. U.S. Income Tax Return for an S Corporation .. Do not fll. thl. forlll unle.s the oorporatlon has timely flied Form 2663 to eleot to be an S corporation. Department of tll. Tttl.sury Intern..1 Aevenue S.rvic. .. See separate Instructions. For calendar yeer 2000, or tax eer be innin 2000, & endin , 20 A Effective dete of Uee Nome Number, street, room/suite no, City/town, atate, & ZIP code C Employer Identlf ellon no. election es S corp. IRS KIRSCH'S PRINTINGr INC 23-2519707 o 7 1 0 1/19 8 8 label. 0 Date incorporete Other- B Business code no. wl.e, 1515 KATHRYN ST 07/01/198 a (see instructions) print or E Tote! ..seta (S88 structions) 323100 type. NEW CUMBERLAND PA 17070 $ 182 .042. F Check eppllcable boxes: (1) Initial return (2) Flnel return (3) Chengein eddress (4) Amended retu G Enter number of shereholders in the corporation et end of the leX year. . . . . , . . . . . . . . . . . . . . . . .. . . . . . . . . . . . , . , . . . . , , . . . '" ' . .. 1 Caution: Include ani trade or business Income and ex enses on lines 1e \hrou h 21, See the Instructions for more information. 585 517. b 1..88Ireturnhndal!OW&lU:::" CSaJ.... 1c 2 Cost of goods .oid (Schedule A, line B). . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . , . . . . 2 3 Gross profft. Subtract line 2 from IIn810 . , .. .. . .. . .. .. , .. .. . .. .. . .. . .. .. .. .. .. .. .. . . .. .. . 3 4 Net geln (loss) from Form 4797, Part II, line 18 (ettach Form 4797) . . . . . , . . , . , . . . . . . . . . . . . . . . . . . 4 5 Othar Incorne (loss) (anech schedule)" .. , , , .. " , .. .. " , . . . .. " . .. " . , .. . , . " .. .. . . .. , .. 5 6 Total Income los.). Comblnelln... 3 throu h 5.. .. . . , .. .. ' . . .. " " , " . , .. .. . .. . . .. . .. . . ... 6 o 7 Compensation Of officers.. . .. . . . , .. " .. . .. .. " . .... .. .. .. .. .. .. , . " .. .. .. .. . .. .. . . .. . 7 5 8 Selarie. snd weges (less employment credits).. " . . .. .... .. .. . .. . .. " . .. .. . .. .. .. . .. . . , . .. . 8 U 9 Repelrs end meintenence . , . . . . . . . . . . , , , , . . . . . . , . , . , . . , . . . . . . . , . , . . . . . . . . . . . , . , . , . . . . 9 C 10 Bad debts. , , . . , ". .. .. " .. . . , . , . .. , , , .... ... , .. . .. . . .. " . .. " ... .. , , " .. ... . .. , . . 10 TF 10 11 Rents....",,,,,...,,...,,,....,,.......,,...,.....,.......,.......,,.,.....,,... 11 OR 12 Taxes end licenses. . . . , . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . , . , . . . . . . . . . . . . . . . . , . . . , . . . . 12 N s L 13 Interest...."...,...,."......."..,,,..,,.,,,,...........,,.,,..,,.......,,...... 13 (S ~ 14a Dapreciatlon (If required, attach Form 4562) ...................,. 14a 20 225. ~ I b Depreciation olelmed on Schedule A and el.ewhere on return. . . . . .. 14b Ire Subtreot line 14b from line 14e . . . . , . . . , . . . . . . . . . . . . . , . . . . . , . . . . . .. . . . . . . . . . . . , . . . . . . . . 14c N T 15 Depletion (00 not deduot 011 and g,," depletion.) . .. ... , . .. . . " " . " ... " .. .." .. ... . . . ... 15 ~ I 16 Advertising..,.."..,....."......,...,................,.....,.".....,..,......... 16 R ~ 17 Pension, profft-shorlng, etc., plans. , . . . . ' . , . . . . . . . . . . . . . . , . , . . . . . . . . . . . , . . , . . . . . . . . . . . . 17 g S) 18 Employee beneflt programs. . " . '" , . .. ' , . ... . , .... ..... ... ... .. " . .. ....". . .... , . .. . 18 T 19 Other deductions (attach schedule). ...... , , ". '" " .. ... ... . " . .... . ..... . .." '" . ,.. . . 19 I 20 Total deducllone. Add the arnounlS shown In the far right column for line. 7 through 19. , , . . . . . . . ... 20 o N S Form 11205 I N C o M E 21 23d 24 26 27 Sign Here OMS No, 545-0130 5 5,517. 2 906. 3 ,611. 3 ,000. 4 428. 1,539. 20 225. 1,029. 897. 386. 225. o. o. o. Form 11 OS (2000) i I ! Form 1120S 2000 "I :\' Cost of G ds Id see In.truotion. 1 Inventory al beginning 01 year, , . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 2 Purchase. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cost of labor ..,......................................................................... 4 Additional seelion 263A costa (attach schedule) . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Other costa (attach schedule) .. . . . .. . . .. . . .. .. .. .. . . . .. .. . .. . .. . .. . .. .. .. .. . .. . . . .. .. . . . . . . . 6 Total. Add IIn.. 1 through 5 . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Inventory at end of Year. . . . . . . . . . .. . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cost 01 gooda aold. Subtract line 7 frtlm line 6. Enter here and on pege 1. line 2 . . . . . . . . . . . . . . . . . . . . . . . 9a Check all methOd. used lor valuing closing Inventory: (i) ~ eo.t as described In ReguietiOns eOClion 1.471-3 (iQ Lower Of cost or market as described In Reguiation. section 1.471-4 (ill) Other (spocny method used end attach explanation) '" b Check If there was a writedown 01 "subnormal' goodS as described In Regulations section 1.471-2(c) . . . . . . . . . . . . . . . . . . . . . . . . .' '" C Check If the LIFO Inventory methcd was adopted this tax yaar lor any good. (il chacked, attach Form 970) , . . . . . . . . . . . . . . . . . . . .. '" d if the LIFO Inventory method Was used for this tax year, enter percantege (or amounts) of closing Inventory computed under LIFO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., 9d e Do the rule. of eectlon 263A (for property produced or acquired for resaie) appiy to Ihe corporetion? . . . . . . . . . . . . . . . . f Was there any change in determining quantities, coet, or valuations betWeen opening and clo.ing inventory? . . . . . . . . . If ''Yes,'' attach ex lanation. r'::. Other Information Check method of accounting: (a) I1!l Cash (b) 0 Accrual ReIer to the liet In the instructions and state the corporation's principal: (a) Bu.iness activity '" PRINTING (b) Product or service '" 3 Did the corporation at the end Of the tax year own, dlrectiy or Indlrectiy, 50% or more of the voting eIOck of a domestic corporation? (For rules of attribution, See section 267(c).) II ''Yes,' attach a schedUie ahowlng: (a) name, addr..s, and employer IdentJ1ication number and (b) percentage owned. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Was the corporation a member ala controlled group sUbJoct to the provi.lon. 01 section 1561? . . . . . . . . . . . . . . . . . . . . . , . . . . Check thl. box If the corporation has tiled or Is re~ulred to tile Form 8264, Appllcetion for Regl.tration ola Tax Shelter. . . '" 8 Check this box lithe corporation Is.ued publicly offered debt instrUments with origlnall..ue discount. . . . . . . . . . . . . . . . . '" If so, the corporation may have to file Form 8281, Information Return lor Publicly Offered Original Issue Discount inetruments. 7 if the corporation: (a) filed Its election 10 be an S corporation aller 1986, (b) was a C corporation before II elected to be an S corporation or the corporation ac~ulred an as.et with a basis determined by reference to Its balls (or the basis of any ottier property) in the hands of a C corporation. and (c) has net unrealized buill-In gain (deflnad in section 1374(d)(1)) in excess of the net recogniZed bul~-In gain from prior ye..... enter fhe nel unrealized buill-In gain reduced by net recognized built-In gain from prior year. (.... Ine\ructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '" $ 8 Check thl. box If the corporation had accumulated earnings and profits at the close 01 the tax year (see instructions) . . . . . . '" 0 Note: If Ihe corporation had assets or operated a bu.ines. in a foreign country or U.S, po.....lon. It may ba required to attach Schedule N (Form 1120), Foralgn Operation. of U.S. Corporations, to this return. Sea SchedUle N lor detail.. . "'l'i' Shareholders' Share$ of Income Credits Deductions, etc. a) Pro ratuhare items 1 Ordinary Income (loss) from trade or busina.. activities (pege l,lIne 21) . . . . . . . . . . . . . . . . . . . . 2 Net Income (Io.s) from rentlll real estate activltie. (attach Form 8825) . . . . . . . . . . . , . . . . . . . . . . . 3a Grosa income from other rental activities . . . . . ... . .. .. ... . .. 3a b Expenses from other rentallCtivltle. (attaoh schedula) . . . . . . .. 3b C Net Income (loss) from other rental activities. Subtract line 3b from line 3a . . . . . . . . . . . . . . . . . . . 4 Portfolio income (Ioas): a Interest income , , . . , . . . . . . . . . . . . . . . . . . . , . . . . , . . . . . , . . . . , . , . . . . . . . . . . . . . . . . . . . . . b Ordinary dlvidand$ ............,............................................ .. .. C Royalty income. . . . . . . . . , . , . . . . . . . . . , . , . . . , , . . , . . . . . . , . , . , . . . . . , . . , . . . . , . . . . . . , d Net short"term capital gain (loss) (attach Schedule 0 (Form 1120S)) . . . . . . . . . . . . . . . . . . . . . . . e Net iong-term capltlll gain (loss) (attach Schedule 0 (Form 1120S)); (1) 28% rate gain (Ios.) '" (2) Total lor year. ..," f Other portfolio income (Ioso) (attach acheduie) . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . 5 Net .ectlon 1231 galh (loasHotherthan due to casualty or theftHaltaoh Form 4797) .. . . . . . . . . . 6 Other Income loss) attach achedule ............................................... 1 2 (0) 0 Other (.peclfy)'" 4 5 6 In- come (Lo..) CAA 0 1120512 NTFS:2S8a Copyright 2000 GreatJandJN.lco LP- f:orms So1tNar. Only pa e 2 1 2 3 4 5 6 7 8 156 230. 120 676. 76 906. 276 906. No No lotal amount 1 225. 2 810. Form 11205 (2000) Of Income Credits, Deductions etc. (continued) a ~ro rata shere items 7 Chlll1table contributions (attach acihedUle). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . Deduc- 8 Section 179 expense deduction (.ttach Form 4562) .... . . . , . . . . . . . . . , . . . . . . . . . . . . . . . . . . tlon. 9 Deductions related to ~ortfollo InJome (loss) (hemlze), . . . , . , . . . . . , . . . , . . . . . . . . . . . , . . . . . . 10 Olher deduction. attach .chedul ..,..,.......,.,....,...,......,.....,......,.... 11 8 Interest expen.. on Investmenl d bts . . .. . . .. .. .. .. .. . .. .. . .. .. . . .. .. . .. . .. . .. .. . .. . b (1) inveetmenllncome Included n line. 4" 4b, 4C, end 4f .. . . . . . . . . . . , . . . . . . . . . . , . . . . . . 2 Investmenl ex en... include on line 9 above. .. .. . .. . .. .. .. . .. . .. . .. . .. . .. , . .. . . . 128 Credttfor alcohol used as a fuel (lUech Form 8479) ................"................,. b Low-income housing credtt: , (1) From partnership. to Whlch.ilo. 420)(5) ap~lies for property ~Iaced In .ervlce before 1990. .. (2) Olherthan on line 12b(1) for broperty placed In service belore1990 . , , . . . . . . . . . . . . . . . . . (3) From ~artnershlp. to which .Ilctlon 420)(5) applies for ~roperty placed In service after 1999. . (4) Otherthan on line 12b(3) for ~roperty placed in service after 1999. , . . , . . . , . . . . . . . . . . . . . C QUalified rehabllttation expendltu~. reiated to rental real estele activities (attach Form 3498). . . . . d Credits (olher Ihan credllS shown bn lines 12b and 120) related 10 rental real estate actIvilles. . . . . e Credtts releled to olher rental actl.lties. .. .. . .. .. .. .. .. .. .. , . , .. .. .. , . .. .. . .. . .. .. .. .. 13 OlhercredllS...".......,..',..,.............,................,....,.......... Adju.t- 14a Depreciation adjustmenl on ~rop~rty pieced in service after 1999. . . . . . . . . . . . . . . . . . . . . . . . . . :~nts b Adjusted gain or 109$. . .. .... '1' .., .. . . ...... ..., ...... .. . .. .. . . .. ... ... .. ,. . ,... Tax C Depletion (olherthan ohnd gas). .. , .. .. .. .. .. .. .. .. . .. . .. .. .. .. . .. .. . .. .. .. . .. . .. Prefer- d (1) Gross income from oil, gas, 0 geothermal properties. . . . . . , . . . . , , . . , . , . . , , . . . , . , . , , . ence (2) Deductions allocable to 011. g ,or geothermal properties. . . . . , . . , . . . . , . , . , , , . , , . , . , , . Item. e Olher ad'ustments and tax refer nee Items (anach sehedule ,.".."".,..,.,."",."., 158 Name of foreign country or U,S. pb.....lon .. b Gro.s income sourced al.hereholder level, .. .. , .. .. , .. .. , .. , .. .. . , , .. . .. . .. , .. .. . .. , C Foreign gro88 income sourced at Iborporate level: (1) Passive,.............. ,j""'.'."'.."...."'."".'.""..".".".'.". (2) Listed categories (attach sch dule)., , , , , , . . . . . . , . . . , . , . . . , . . , , , . . . , . . . . , . . . . . . . . d ~~d::~:;I:~I:~:n~~.~~~~. ~~~'~t's'h'~~~I~~~;~~~I;""""""""""""""" Foreign Taxes (1) Interest expen.e . . . . . . . . . .,. , . . . , . , , . , , . . . , , . , . , . . . . . . . , . . . . . . . . . . . . . . , . . , . . . (2) Olher..."....,........."......,..,.........,....,............,."..,..... e Deductions allocated and apporti~ned at corporate level 10 foreign soureelncome: (1) Passive.,..".,.....,.,.'...,....,....,....".,.,.,...."..,.,.......,..", (2) Listed categorles (attach seh dule).... .. . .. . .. .. . .. .. , .. . .. . .. . .. . .. . , . . .. .. . . .. (3) Generallimttatlon, . . , , . . , . . , . . . , . . . , . , , . . . . . . . . . . . , , . . . . , . . . . , . . . , . . . . , . , . , . . f Total foreign taxes (oheck one): ~ 0 Paid 0 Accrued. . . , . . . , . . . . . . . . . . . . , . . . . . . . . Reduction In taxes available for dll and ross Income from all sources attach schedule . . . , . . Section 59(e)(2) expenditures: Type.. b Amounl ~ Tax-exempt Interest Income. , . . ,,' . . . . . . . . . . . . . . . . . . . , . . , . , . . . . . . . . . .. . . . . . . . , , . , . . Other lax-exempt Income, . . . 'l" . . . , . , . . , . . , . . . . , . , . , . . , , . . . , . , . . , . . . . . . . , . . . . . . . ~:t:d:~:~~e d~::~~7n~ '(;~c;~ 'I~~ '~~'h; 'o;~~; ;h~n' ~I~;~~~~~ ;~~~~~~ ~~'I;n~ ~ 'b~;~~: : : : : : Other ttems and amounts require to be reported separalely to shareholders (attach schedule) , Total dividend distributions paid frbm accumulated earnings and proftts , . . . . , . . . . . , , . . . , . , . . Income (10..). (Requlr.d only 11 chedule M-1 must b. completed.) Combine lines 1 through 6 In column b), From Ih. resutl, btract the 8urn of Iin.. 7 throu h 118, 15f, .nd 15b. . , . , . . , . , Invest... ment Interest 7 8 9 10 118 11b 1 11b 2 12a Credits 16 17 18 19 Other 20 21 22 23 23 CAA 0 1120834 NTF32510 CopyrIght 2 00 Grntl"nd/NelCb I..P- ~orm. Software Only Pa.3 b Total amount 16,335. 2 810. 12 610. 7 700. Form 1120$ (2000) . Form 11205 2000) ;i:. .J W.' ,". . 'qBalance Sheets er Booka I Asaets ~a ~r:: ~~;~ ~~~'~c~~~~~ ;~~i~~~I~: :: :: b less allOwande for b.d debts. . . . . . . . . . . 3 Inventones.. '. . .. . . . . . . .. . . . , . .. . , .. 4 u.s. Government obligations. . . . . . . . . . . 5 Tax-exemptsscunties................ 6 Other current bssets (.n.oh sohedule). . . . 1 lo.nsto Sh~hOlders............,... 8 Mortgage and real estate loans. . . . . , . . . 9 Other Inves nts (.naoh sohedule) . . . . . lOa Buildings and ,other deprecl.ble assets, . . bless .ocumulioted dapreci.tion . . . . . . . . . 11 a Depletable as$ets.................... b less .ocumul~ted depletion. . . . . . . , . , . , 12 land (net o~. y amortlz.tion) . .. .. . .. . . 13 a Int.ngible ts (.mortlz.ble only) . . . . . . b less .ocumul ted amortlz.tion . . . . . . . . . 14 Other assets ( nach schedule). . .... . . .. 15 Total assets, , . . . . . . . . . . . . . . . . . . . . . . Uablllne. and Sharehold.rs' Equity 16 Aooounts p.y.ble. .. . . . . . . .. .. . . .. .. . 17 Mortgagu, naif" bonds payable In III$sth.n 1 yr. 18 Other current I.bilities (.n.oh schedule) . . 19 lo.ns from s eholders . . . . , . . . . . . . . . 20 Mortgage" not. ,bonds payable In 1 y...r or more 21 Other lI.billtiJ (.ttaoh sohedule) . , . . . . , . I 22 C.pltal stook , . . . . .. . . . .. . .. . . . .. .. , 23 Additional paid-in o.pital.............. 24 Retlllnedearnlngs ................... 25 AdjUStments to I Ateholders' equIty (atUolI scrt.) . 26 lesscostoftr .surystook...........,. 27 T otalliabillties and sh.reholders' e un ... 1 0 1 6 2 . 1 a 2 04 2 . :$ii:lii:l"::' . ~. Reconciliation of Income (Loss) per Books With Income (Loss) per Return (You are not required to complete this sohedule II the total .ssets on line 15, oolumn (d), at Schedule l are less than $25,000.) 1 Net Inoome (Idss) per booka ... . . . , . . . . 7 700. 5 Income recorded on boOks lhls year not 2 Incoma includltd!pn Schedule K, lin.. 1 through 8, Included on Schedule K, lines 1 through nDt r.corded on "oaks thi, y..t (itemize): e (Itemize): . a Tax-exempt Int. $ P e 4 12 -4 77 46 1 1 000. -30 -35,627. 3 Expens.. re rded on books this year not Included on S hedule K, lines 1 through 11a, 151, .nd 6b (hem/Zl): II Deprecl.tion $ b Travel and $ entertainment 6 Deductions included on Schedule K, Unes 1 through 11., 1St, and 16b, not charged IgalniltDook income this Ylar (itemlza): a Deprecl.tion $ I 1 Bal.nce .t be~lnning of tax ye.r . . . . . . , . . . . 2 Ordinary Inco'1'" from page 1, line 21 ...,... 3 Other .ddltions . . . . .. . . . .. . .. .. . . . .. . .. 4 loss from p.ge 1, Une 21. . .. . . . .. . .... ... 50therreductiop........................ 16 6 Combine Unes 1 through 5................ -23 7 Distributions 0 herth.n dividend distributions . 12 8 a.lanc. at .Ild of tax year. Subtraot line 71rom lineS. , - 3 5 o 1120S34 NTF 32511 Copyright 2000 GrsatlandlN.lco LP.. Farm. Software Only 7 Add lines 5 and B.................... u h3..,.........,.... 7 00.8 IhCltune{loM)(ScheduJe K,llne 23). L.lne 4 J8" tin. 7 Analysis of Accumulated Adjustments Account, Other Adlustments Account, and Shareholders' Undistributed Taxable Income Previously faxed (see the Instructions) ( I b 0 h ] Ie) Shareholders' .) Acllumu ated () 1 er.d ustments un~liltributed tax.ble adjustments account account income reviousl taxed -30 17. 21, 5. 2 1. O. 7 700. 4 Add lines 1 th f$.Q..@~!lft~ CAA o. o. O. Form 1120S (2ooc) Form 7004 (Rev. October 2000) Application for Automatic Extension of Time To File Corporation Income Tax RetLrn OMB No. 1545-0233 CepaJ1tnentof the Treu.l.lty Interna' Re...enueS.rvlce Name of oorporaUon KIRSCH'S PRINTING, INC Number. street, and room or sufie no. (If a P.O. box or outside the United States, _Instructions.) 1515 KATHRYN ST City or town, state, and ZIP code NEW CUMBERLAND PA Check type of return to be flied: ~ Form 990-C Form 1120 Form 112o-A Form 1120-F I Employer Identification no, 123-2519707 17070 ~ Form 1120-FSC Form 1120-H Form 1120-l Form 1120-No ~ Form 1120-PC Form 1120-POl Form 1120-FlErr Form 112o-FlIC 11!1 Form 11205 D Form 112o-SF e Form 1120-F filers: Check here if the foreign oorporaUon does not maintain an office or place of usiness In the United States. . . . , . . . . . , . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . , . , . . . . . . . . , . . . , . . . . . I> 1 Reque.t for Automatlcextenalcn (..s InstrucUons) 8 Exten.lon dete. I request sn automatic 6-month (or, for certain corporations, a-month) extension of lme until 0 9/15200 1 , to file the Income tax retUrn of the corporation named ve for. . . . . . . . . . , I> year 20 2 0 0 0 or I> 0 tax year b.gi;;;;i;;g , _, and ending b Short tax year. if thl. taX year I. for I.... than 12 months, oheck reason: , ---.D InlUel return 0 Flnai return 0 Change In accounting period :0 Consolidated return to be flied 2 AfflUatad group membera (.ee InstruCUons). If this applloation aiso covers subsidiaries to be Includ~d In a consolidated return, provide the followln Information: I Nama and addrese of each member Of the affiliated IOU Em 10 e Identlflcetlon no. Ii!! calendar ,20_ Tax erlod 3 Tentative tax (see instruottons). . . , . . . . . , . . . . . , . . . . . . . . .. . . . . . . . . . . . . .,' . . , ',':.' . ',: . , . . . . ',: . . 4 Payments and refundable credits: (tee InstrucUons) 8 Overpayment credited from prior year 48 b estimated tax payments for the tax ye.r.....................,.....4b O. C less refund for the tax year applied foronFcrm4466................. 4C ) BIlll> e Crsdit for tax paid on undistributed capital gain. (Form 2439) . . . . . . . . . . . t Credit for Federal tax on fuels (Form 4136) . . . . . , . . . . . . . . . . . . . . . , . . . 5 Total. Add Iin.. 4d through 41(see instrucUons). , . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 0 . 6 Balance due. Subtract Iirle 5 fICm line a. oepoalt this amount using the electronic Federal Tax Ps ment 5 stem El'TPS or with a Federal Tax De oslt FTC Cou on see InstrucUons ......... 6 0 . Signature. Under penalties of perjury, I declare that I heve been authorized by the above-named oorpor on to make this application, and to the best of my knoWledge and belief. the statements made are true, correct, and complete. CPA 03/15/01 (51 nature of oiffcer or ent For Paperwork Reduction Act Notice, s.. Instructions. CAA 0 70041 NTF 32451 CopyrIght 2000 QreatlandlNtlQO Lfl- Forms So1twan Only e Oat. Form 7004 (Rev. 10-2000) 7 Wstad property. Entar amount from line 27. . .. .. .. . .. .. .. .. .. .. .. .. . .. . .. . . . 7 8 Total tlected cost of section 178 property. Add amounts in column (c), lines 6 and 7 . . . . , . . . . . . . . . . . . . . , . 8 9 Tentative deducllon. Enter th$Smaller of line 5 or line 8. . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Carryovtr of disallowed deducllon trom 1988. SeethelnstrUcllons......."...,....................,. 10 11 Buslne.... Incomelimltation. Enter smaller of business Income (not less than zero) or line 5 (seelnstrucllons) . . . 11 12 Secllon 178 expense deduction. Add lines 8 and 10, but do not enter more than line 11. . . . . . . . . , . , , . . . . . . 12 13 C ovar of disallowed deducUOn to 2001. Add lines 8 and 10, less line 12 . . . . . . .. 13 Nato: Do not use Part II or Part III bslow for listed property (automobiles, certain olhel vehicles, oellular telephones, certain computers, or property used for entertainment, recreation. or amusement). Instead, use Part V fOI listed property. !. 1:!!llmB!1l MACRS Oepreclatlon for Assets Placed In Service Only Ourlng Vour 2000 Tax Vear (Do not InCI de listed to erty. Section A - General Asset Account Election 14 If you are making the election under section 168Q)(4) to group any assets pieced In service durtng the tax year Into one or more general asse!accounts, check thla box. See the Instructions. , . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Section B - General Oe reclatlon S 8tem GOS (Seethe Instructions. onth an 0) as's or spr, (eI) Recovery (0) y,ar pla~Qd (buainlll../invelltment I./*' rt d Conv .on (f) Method In service anly _ ... InattuctICln') pe 0 SOu 16a CI...llfe b 12- tar 12 re. C 40- ear 40 re. Other Oe reclatlon Do not Include listed to erty, (See lhelnstructions. 17 GOS and ADS deductions for assets placed In service In tax years beginning before 2000 . . . . . . , . , . , . . . . . . 17 18 Property subject to section 168(1)(1) elaction..,........,............"...............,.......... 18 19 ACRS and other de reclation.. .... . . .. . .. . . . . . .. .... . .... .. .. ...... . . ... .... . ... .. .... .. . ... 19 Summar See the Instructions. Copyright 2000 Grllatiand/Nelco"l.t'- Forme SMtware Only 20 Usted proparty. Enter amountftom line 26.. '" .. . ... .. . .. .. ., .. ..... ... .. . . ... .. . .. ... . .... .. .. 20 21 Total. Add deductions from line 12. lines 115 and 16 hi column (g). and IInl911 through 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations -- see Instructions. . . . . . . . . . . . . . . . . . 21 22 For assets shown above and placed in service during the currsnt yearl enter the art/on of the basis attributable to section 263A costs. . . . . . . . . . . . . . . , . . . . . . . .. 22 For Paperwork Reduction Act Notice, see the Instructions. eM 0 458212 NTF 30UG Form 4562 Depreciation and Amortization (Including Information on Listed Property) Oepartment of thl Treasury Internl! A.v.nue Service (iJ9 ... Se.88 .rate Instructions. ... Attach this form to oyr return. Nama(s) shown on return Business or activity to which lhls form relates KIRSCH'S PRINTING INC IRSCH PRINTING $ tlHi; Election To Expense Certain Tangible Property (Section 179) Note: If you have any '1lsted property," complete Part V before you complele Part I. 1 Maximum dollar limitation. ~ an enterprlee zone buslnass, see the Instructions. . . . . . . . . . . . . . . . . . , . . . . . . . 1 2 Total oost of section 179 property placed In service. Seethe InstruCtions. . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . 2 3 Thnsehold cost of secllon 179 property befors reduction In limitation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Reduction In Iimltatlon. Subtract line 3 from line 2. If zero or less, entBr-o-.,..............,....,....... 4 5 Oollar limitation lor tax ye"'. Subtract line 4 from line,. If zarc or less, enter -0-. II marrted filing se ",atal ,..ethe Instructions. .. . . .. . .. . . . . . . . , .. .. .. .. .. .. .. .. . .. .. .. . .. .. . . .. .. .. .. .. . . .. . 5 6 a Oeserl ticn of pro erty (b) Cost (bUsln... us. only) C Elected cost EQUIPMENT 16 335. 16 335. (a) Classification 01 property 25 re. 27.5 re. 27,5 re. 38 yre. SIL MM S/L MM S/L MM S/L MM S/L See the InlitrUctions.) S/L S/L S/L pro e NonreSidential real rope Section C -- Alternative Oe reclatlon S 8tem AOS MM OMB No. 1545-0172 20 0 Attachme.Jt Se ueneel.No, 67 Identifying number 3-25191707 ... .. (g) Oepre' letion dedu 'on 225. 25 Pro e used 5 % or less In a Pa e 2 No (I) Recovery period (s) Methodl Convention (h) Depreciation deduction SIL- SIL- SIL- 26 Add amounts I column (h). Enterth. total here and on line 20, pege 1. . . . . . . . . . . . . . . . . . . . . . . . .. 26 27 Add amounts I column I. Enterthe total here and on IIn. 7, a e 1 ......................................... Section B -- Information on Use of VllhlclllS Complete thl. section lor vehicle. u.ed by a sole proprietor, partner, or other 'more than 5% oWh.r,' or related p.rson. If you provld.d V.hlcles to your .mployee., first ~n.wer the qUes!lons In Seetlon C to see If you meet an exc.ption to COmpleting this .ection for those v.hlcl... 28 Total bU.lne..II~vestm.nt mHos driven (a) (b) (0) (d) (e) (f) during the year do not Include V.hlcl. 1 V.hlcle 2 Vehicle 3 Vehlcl. 4 Vehlcl. 5 V.hlcl. 6 commuting mill -- .....th. Ins!l1Jetlcn.) . . . 29 Tctal commutin mil.. driv.n during y.ar. . . 30 Total other p.ra' pnal (noncommuting) , miles driven. . . ....................... 31 Total mil.s dliV '" durlng the year. Add IIn.s 26 throug 30................... . Vas No Ves No Ves No Ves No Ves No Ves No 32 Wa. the v.hlcl. lavalleble fcr p.rsonal use during cff-duty ours? ................. 33 Was the vehicle u..d primarily by a mor. than 5% owner ".Iated person? .... . .. . 34 I. another vehlc e available for personal use? , ,. . . . ,.: ...................... . Sec.\11 n,C:- ~uestlons TOr m~ll)yers wn.o.pro~.!Sl_ll Y!!.I!IC e.for lite ~.The r,l;mp,lox.ees Answer these qUT~.~ s to ~~~'7"ln~!!.x?u meet an exc ption to completing Seetlon a for vehicle. used y e loyee. who re 01 more than 5% owners or related e ns. e the In ctIons. , Yea No 35 Do you maintai a written policy statement that prohibits all personal use of vehicles, Including oomlnuting, by your .mploye.s? . . .,.............".........,.....................................\......,.........\... 36 Do you maintal e written polley .tetement that prOhibits personal use of vehlo!lls, except commuting, by your .mploye..? S.. the InstrUcf ns for vehicles used by corporate bfflcsl'$, dlrectors, or 1 % or more owners.. . . . . , . . . . . . , . . , . . , . , . , . . , 37 Do you treat all se of vehiclea by .mpioyees as p.rsonal use? . . . . . . , . . . . , . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . 38 Do you provld. . ore than five vehlcl.. to your empioyees, obtain Information Itom your .mploy.es about the u.. of lh. vehicles, and re .m th.lnformation rec.ived? . ... . .., .. ... ... . . . .. ......... . ..... .... ... .... . . .. .. ... .. . . . . 39 Do you me.t th . r.qulr.m.nts cono.rning qualified automobll. demonstra~on u..? See the instrUclIon. . . . . , . . . . . . . . . . . . Note: If vour an "'.r 10 35, 36, 37, 36, or 39 Is "Yea," do not comel.te Section a lor the cover.d vehlcl.s. ~ :~ W~..:. .'... li'ia;~~l Amortl atlon (b) (0) (d) (e) (I) (a Amortization Descriptio! of costs Date amortization Amortlzabl. Code perl~~, Amortization , begin. amount section nercsn e for thl. y.ar 40 Amortization of sts that b.oln. during vour 2000 tax vear (S.. the InstruCtions.): I I I I , I I I 41 Amortization of osts that -.n before 2000 '" .. . .. .... .. . .. ... .. . ... .. .. .. . ..,. .. . .... . ..... I 41 42 Total. Add erno nts In column (fl. See the InS!I1Jction. for where to reoort. . . . . . . . . . . . . , . . . . . . , . . . . . .. I 42 O. 1 CAA 0 456212 I NTF 30860 COPyrlQht 2000 Qru,tl4nd/Neloo l.P ~ Forms S~ftw.re Ol'lly Form 4562 (2000) 'SCHEDULE K 1 Shareholder's Share of Income, Credits, Deductions, etc. OMS NO. 1545-0130 (Form 1120S) I .. See ..pal'a!e Instructions. 2000 Oapil/'tm.nt.of the Tr. For caJandar yaar 2000 or tax yaar ,ry bealnnlna 01/01/ , 2000, and endlna 12/31/ ,2000 lnt.rnal Aevenu. Servl II Shareholder's Id. iiM';;;-numbar .. 201-16-1919 Co"'oI'aUon'. Identlfvlno numbar .. 23-25 19707 Shareholde~. nam , address, and ZIP code COl]loratlon'e nama, sddr..s, end ZIP code EUGENE & OYCE KIRSCH ~IRSCH'S PRINTING, INC 1515 KATH YN ST 1515 KATHRYN ST NEW CUMBE LAND, FA 17070 iNEW CUMBERLAND, PA 17070 A Sharehold~s F rcentage 01 stOck ownersnip lor tw< year (see InlltruOtlons for Sehedule K-1) . . . . , . . , , , . , . . . . . . . . . , .l)() 0 . 000000% B Internal Revenu ~ Service Cenlllr where corporation flied Its ratum" CINCINNATI, OH C Tax shelter regl ~ation number (sa~ inctiOnS lor Seh~~u~ K-1). . . . . . . .. , . . . . . . . . . . . . .. . . . . . . . . .. .. .. D Check aoolicab " boxes: . 11 \ Final K-1 12 Amended K-1 i (a) Pro rata share Items (b) Amount (c) Form 1040 fll&rs enterthe I amount In column (b) on: 1 Or Inary Income (loss) Irom trsde or business activities. , . . . . . . 1 21,225. } see Shareholde~s 2 Ne income (loss) from rentsl real estate sctivlties . . . . . , . . . . . . 2 Inlltructions jar Schedule 3 Ne income (loss) jrom other rental ectivities . , . . . . . . . . . . . . . . 3 K-1 (Form 1120S). 4 Po olio Income (loss): a Int ,rest, .. . ' . ,. ,... . .. .. . ... . . .. .. .. .. . .. , . ... ... ... 4a 2,810. Sch. e, Part I, line 1 b Or Inary dividends. . , . . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . . . 4b Seh. e, Part II, line 5 0 Ro alties..........,................................ . 40 SOh. e, Part I, line 4 Income d Ne short-term cBFltaI gain (loss) . . . . , . . . . . . . . . . . . . , . . . . .. M Seh. D, lina 5, col. (I) (Lees) . Ne 'iong-term capital gain (loss): " (1 . 28% 'ate~o (loss) . .. .. . .. . .. .. . , .. .. .. .. .. .. .... 4 1 SCh. D, line 12, col. (g) (2 Total lor year. .. . .. .. . .. .. . .. .. .. . , . .. .. .. . , . , .. . 4e121 sch. D, line 12, col. (I) f Ot r portfolio income (loss) (anaah schedule) . . . . . . . , . . . . . . 4' (Enter an applicable line of your retUrn.) See Shareholde~s 5 Ne Instructions Jor Sehedule section 1231 gsln (loss) (other than due to casuslty or the1t) 5 K-1 (Form 11205). 6 Ot r Income IIosll) 'attach schedule) , . . . . . . . . , . . . . . . . . , . . 6 lent.~ e? app~~:~.l\e In.of ourret m. 7 Ch 'table contributions (attach schedule) . . . . . . . . . . . . . . . . . . 7 Seh. A, line 15 or 16 Deduc- 8 S. tion 179 expensa daduction . . . , . , . . . . . . . . . . , . . . . . . . . . 8 16.335. } see Shareholde~. tlona 9 De uction. related to portfolio Incoma (loss) (attach schadule) . . 9 Instructions for Schedule 10 Ot ler deductions 'attaoh schedule' . . . , . , . . . . . . , . . .. . . , . . . 10 K-1 (Form 11205). Invest- 11a Int rast expense on Investment dabts . . . . . . . . . . . . . . . . . , . . . 11a Form 4952, line 1 ment b g Investment ihcome Included on lines 48, 4b, 40, & 4f aboY$ 11b(1\ 2,810. } Sea Sharaholder's Instructions Jor ~'ihadule Interest Investment eltOense.lncluded on line 9 abava. , . . , . . . . . 11b(2) K-1 (Form 11205 . 12a cr "It for alcohol usad as fuel. .. . .. .. .. .. .. .. . .. .. . .. . .. 12a Form 8478. line 10 b La -Income housing cradlt " (1 From section 420)(5) partnership. lor proparty placed In 1- earvlce beJore 1990. , . . . . . . . , . . . . . . . . . . , . . . . . . . . . . 12b(1\ (2 Other than on line 12b(1) Jor property placed In .arvlce betora 1990. . . . . . . . . , . . . . . . . , . . . . , . . . . . . . . . . . , . . 12b(2) (3 From section 420)(5) partnerships lor property pieced In Form 8588. line 5 Credits sarvica after 1989 , . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . 12b/3\ (4 Other than on IIna 12b(3) lor property placed In service atter 1989 . . . . . . , . , . , , , . . . , . . , . . , . . . . . . , . j . . . , . , 12b(4) 0 Qu iIIed 'ehabllltation expandltures relatad to rental real estalll ac ltie............................................ . 120 d Cr ,dlts (other than credits shown on IInas 12b and 12c) related } - ,-~~. to ntal realeStale activities. . . . . . . . . , . . . . . . , . . . . . . . . , . . . 12d Instructtons Jor Schedule . Cr Its related to otherrental activities, . . . . . . . . . . . . . . . . . . . . 12. K-1 (Form 11205). 13 Ot rcredits."..,....".,..,........,..,........,.. . 13 For Paperwork A. uction Act Notl.., .ee the In.trucUona jor Form 1120$. $chedule K-1 (Form 112GS) 2000 CAA 0 120SK 12 NTF 32558 Copyright 2000 Gr..tlll.nd/Nlrlco L.P" Form. Softwar. Only :1 i 1 14a Depreciation adjustment on property piaced In service aner 19S6 AdJust- b Is Adjusted gain briO". . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . man .. Tax e Depl9tlon (other than oUand gas) .. .., . .. . ... .. . .. .. . .. . . . Prof- d (1) Gross income Irom 011, gas, or geothermal properties . . . . . . ~::~~. (2) Deductions allocable to 011, gas, or geotnermal properties. . . e OtMr ad ustmenlS and tax rofol'$nce Items attach schedule ... 15a Nante of foreign country or U.S. possession ~ b Gross income sourced at snare holder le.el . . . . . . . . . . . . . . . . . . e Fo....gn gross Income souroed at corporetelevel: (1) PesaJ.e . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Usted oalagorles (attaon SChedule) . . . . . . , . . . . . . . . . . . . . (3) GenerallltTlltatlon.................................. d DedUctions allooated and appor1loned at snarehOlder level: (1) Inlel'$st ..pens. . .. . . .. . . . .... . .. ... . .. .. ... ... .... (2) Otn.r........................................... e Deductions allooated and appor1loned at corporate l.v.1 to foretgn source income: (1) Passive......................................... (2) Usted oategorles (attaon scnedule) . . . . . . . . . . . . . . . . . . . . (3) General limitation. .. .. , .. . . .. .. .. .. . .. . . . . .. .. . .. .. 1 Total foreign taxes (cneck OM): ~ 0 Paid 0 Accrued 9 Fleduction In tllXes a.ailable for oredn and gross income Irom ail sourOOs anachscnedule ............................... 16 Section S9(el(a) expenditures: a Type ~ b AmoUnt. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Tax-exempt Interest Income ............................. 18 Othllrtax-exemptincome............................... 19 Nondeductlble expenses. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . Other 20 ProP'lrl'/ distrlbutlCna Qneiudlng cash) otn.r tnan dlvid.nd dlstrlbutlons report.d to you on Form j099-DIV . . . . . . . . . . . . . . 21 AmoUnt of Joan repaym.nts tor "I.oano From Shar.holders. . . . . . 22 Reoipture of lOW-Income housing eredn: a From seotion 420)(S) partnerships. . . . . . . . . . . . . . . . . . . . . . . . . b OInerthanonllne22................................... 22b 23 Suppl.m.ntallnformatlon reqUIr.d to be reported separately to each shareholder (attaoh additional sonodules ~ mora space Is noodad): Sch.dule K-' For'" elgn Taxes Sup- ple- mental Infor- mation 201-16-1919p 02 (c) Form '040 fliers ontllr tho amount In column (b) on: KIRSCH ,a) Pro rata sharo ItolTlS (b) Amount soo tno Sharoholdor's Instructions for SOhodule K-' (Form '1205) and Instructions for Form $25' Form '1'6, Pan I 12 610. Form 111 e, Pan II See InlIlruotlons for Form 1116 ee 5 areholde s Instructions ror Schsduls 1<-1 (Porm 1'205). Form 1040, line eb } see tne Shareholder's instruotlOnll for Schedule K-' (Form 11205). Form 8611, line e CAA 0 120SK112 NTF 32557 Cop)/i'lght 2000 Great..ndiNelco Lp.. Form' $"tt.......,.. Only Schedule K-1 (Form 11205) 2000 Name KIRSCH'S PRINTING, IN EID No. 23-2519707 Attachment to Schedule L-L4ne 18- Other Current Liabilities PRIOR YEAR CURRENT YEAR ACCRUED INCOME TAX I 300. 300. ACCRUED SALES TAX 496. 570. ACCRUED PAYROLL TAX I -5,307. -1,158. Total -4,51l. -288. d i Name: KIRSCH'S PR~NTING. Attachment to Form r120S, MATERIALS & SUPPLI1S SUBCONTRACTORS Name : KIRSCH'S PR NTING Attachment to Form 11205 INC Sch A,Line 5 - Other Cost 10 # 23-2519707 PAYROLL TAXES PA CAPITAL STOCK T~ OTHER TAXES & LICE~SES Name: KIRSCH'S PR~INTING' INC Attachment to Form ,11205, Line 19 - Other Deduction VEHICLE EXPENSE I DUES & SUBSCRIPTIO~S INSURANCE LEGAL & ACCOUNTING TELEPHONE UTILITIES OUTSIDE SERVICES OFFICE EXPENSE TRASH REMOVAL POSTAGE & SHIPPING GENERAL ADMINISTRATIVE 113,476. 7,200. Total 120,676. 10# 23-2519707 18,362. 200. 5,866. Total 24,428. 10 # 23-2519707 INC Line 12 - Taxes Total 13,764. 136. 11,237. 1,674. 5,655. 14,157. 8,575. 3,300. 914. 42,795. 3,690. 105,897. Register of Wills of Cumberland County, Pennsylvania INVENTORY Estate of Joyce L. Kirsch also known as No 21 Date of Death t2/16/03 04 0029 , Deceased Social Security No. 210-26-6653 Personal Representative(s) of the above Estate, deceased, verify that the items appearing in the following inventory include all of the personal assets wherever situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each item of said inventory represents its fair value as of the date of the Decedent's death, and that Decedent owned no real estate outside the Commonwealth of Pennsylvania except that which appears in a memorandum at the end of this inventory. I/We verify that the statements made in this inventory are true and correct. I/We understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Personal Representative: Name of Attorney: I.D. No.: 81948 .!:", V ~ICL--' \ Eugene G. Kirsch C ,/, =.~,,~.l Benjamin J. Butler Address: 500 N. Third Street, P.O. Box 1004 Dated ;>, '- \"t - c,,,, Harrisburg PA 17108-1004 Telephone: 717.236.1485 Description Closely-Held Corporation, Partnership or Sole-Proprietorship Value 5,000.00 shares Kirsch's Printing, Inc. 178.132.00 ;, Total (Attach Additional Sheets if necessary) 178,132.00 NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative, include the value of each item, but such figures should not be extended into the total of the Inventory. RW-4 .:r BUTLER LAW FIRM 500 North Third Street Twelfth Floor Harrisburg, PA 17101 Tel, 717.236.1485 Fax, 717.236.7777 lawyers@butlerlawHrm.com Mailing Address, Post Office Box 1004 Harrisburg, PA 17108.1004 Ro",t1d D. Bud., ]ana Butler Toole Benjamin]. Buder March 15,2005 Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of Joyce L. Kirsch File No. 21-04-0029 Gentlemen: I have enclosed an original and two copies of the Inheritance Tax Return and Inventory for filing in the above-captioned matter. I have also enclosed my check in the amount of $30.00 for the filing fee. Please clock in one copy of each document and return them to me in the enclosed self-addressed stamped envelope. Your attention to this matter is appreciated. Very tr1>'Yours, . (11//// ';/ff / / . Benjamin J. Butler BJBlclf Enclosures \\I,,""\\\\m""\1ml\l\,,\\m\\l\l\nnl~' .~.. ~;(",,",s:;';---~~ i '" ;I: ."",,"E ",ilfl. It ".. ::s "" ..... ;U .,...,~ 01 - ==... ~ n ~ % , 1--"" C:l ",C ~ VI O-l-" - l$ uJ ;1:.... - i ... n f'I C . j" =-= '" ~ \ .... .." 1"t:1J - i;i . \,d; r- -'" C"' - ~ t) ,- ==....J ~ ~ ~, ... - ~ - :::--> g \ .... VI - ~ ~ . .... ." - -='" " .-< - ., - - ~ '" - _ru .g :l - -~ 4 ~ n - '" \ - -:::0 >' 0 - -J '" - =a- ...J - jl.> ,.I - g , ,-' _ru -f" \J .J - .~ .... '" ::;;;~ .... "" .J ,--- - '. <) a- :l - .. .... , ,-' - -'" w '" t,"" = ""* .(:.. :t:: trI ." ,.il o Ol....~ fJ)~ '9 ~ ~\....~ '" '" ...J ...J ...J ...J '" '" '" rU '" '" 0 0 a- a- ru ru ~ ~ ... '" 1 .,. ,"' t:) "" 'I' I.) . I J) " Cll O\~ t !/? 01 o ~ '%. .j .i " \ ~ -..1 ~ nJ ~ ~ nJ .r: ~ Glenda Farner Strasbaugh Register of Wills and Clerk of Orphans' Court Marjorie A. Wevodau First Deputy KirnS. Sohonage, Esq Solicitor Register of Wills and Clerk of the Orphans' Court County of Cumberland One Courthouse Square Carlisle, PA 17013 (717) 240-6345 FAX (717)240-7797 INVOICE Bill To: InvoiceNo: Invoice Date: Estate of: Estate No: BENJAMIN J. BUTLER 500 N. THIRD STREET P.O. BOX 1004 HARRISBURG, PA 171081004 Qty 1 Fee Description Additional Probate Fee Total 35.00 $35.00 Total: $35.00 Checks should be made payable to the Register of Wills. Tenns: Net 30. Please return one copy of this invoice with your payment. Thank you. 253 3/16/2005 TOYCE L. KIRSH 21-204-0029 JA BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BDX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE PPi', n, Oi\Er: r"I~~ICi OF DETERMINATION AND ,,~vV'~ - ",_ ISHSMENT OF PENNSYLVANIA ," ('E tATE TAX BASED ON FEDERAL '" ESTATE TAX RETURN *' REV-485 EX AFP (06-05) "!^ - "..!'. "4 20~'; fi. 1- ---. grll~' J "U In_"-' V CI...F~::< DATE 08-08-2005 ESTATE OF KIRSCH JOYCE L DATE OF DEATH 12-16-2003 FILE NUMBER 21 04-0029 COUNTY CUMBERLAND ACN 201 APPEAL DATE: 10-07-2005 (See reverse side under Objections) Anaunt Rsnitted I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: (', BENJAMIN J BUTLER' BUTLER LAW FIRM PO BOX 1004 HBG PA 17108 REGISTER OF WILLS CUMBERLAND CD COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. CUT ALONG THIS LINE -+ RETAIN LOWER PORTION FOR YOUR FILES +- REV=483-EX-AFP-loi=osi----..-NOTICE-OF-DETERHINATION-AND-ASSESSMENT----------------------- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL ESTATE TAX RETURN .. ESTATE OF KIRSCH JOYCE L FILE NO.21 04-0029 ESTATE TAX DETERMXNATXON ACN 201 DATE 08-08-2005 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inheritance Tax Assessed (Excluding Discount and/or Interest) .00 3. Inheritance Tax Assessed by Other States Dr Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritence Tax Assessed .00 5. Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 -IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS REFLECTED AS A "CREDIT" ICRJ, YOU NAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FDRN FOR INSTRUCTIONS.) S ,,<... ~ 08-08-2005 KIRSCH 12-16-2003 21 04-0029 CUMBERLAND 101 APPEAL DATE: 10-07-2005 ( See reverse side under Objections) Amount Remitted I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS 4-- REv:is47-Ex-AFP-io3:osj-NoTIcE-OF-INHERITANCE-TAX-APPRAIsEMENT:-ALLOWANCE-OR--------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX JOYCE L FILE NO. 21 04-0029 ACN 101 BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 280601 HARRISBURG PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE n'-C1"r rY cc"rorFi . h;iJ8I-nCE OF INHERITANCE TAX II' \)v' 1'-'_'-' " C.C N'" ~fIlAIllEHENT, ALLDIIANCE OR DISALLDIIANCE '.:c'..,...._.DF.DEOOCTIONS AND ASSESSMENT OF TAX "OC- "'f' :- L .,", 1"'1 f..,. -;) "t.J '"........ ;.i":1 111.1:;4 l'ijj i . V DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN CLEG:l< II~:T r' BENJAMIN J BUTLER v'. BUTLER LAW FIRM PO BOX 1004 HBG PA 17108 ESTATE OF KIRSCH *' REV-1547 EX AFP (06-05) JOYCE L TAX RETURN WAS: (X) ACCEPTED AS FILED ) CHANGED DATE 08-08-2005 NOTE: I~ an asses..ent was issued previously, lines 14, lS and/or 16, 17, 18 and 19 will r~lect ~igures that include the total o~ ~ returns assessed to date. ASSESSMENT OF TAX: IS. A~unt of Line 14 at Spousal rat. (15) 16. A~t of Line 14 taxable at Lineal/Class A rat. (16) 17. A..unt of Line l~ .t Sibling ,at. (17) 18. A~unt of Line 14 taxable at Collataral/Class B rate (18) 19. Principal Tax Due TAX .00 X 00 . .00 .00 X 045. .00 .00 X 12 . .00 .00 X 15 . .00 (19)' .00 AHOUNT PAID RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Re.l Estata (Schedule A) 2. stocks and Bonds (Schedula B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Horts-ges/Notes Receivable (Schedule D) 5. C.sh/B.nk D~slts/Hisc. Personal Property (Schedule E) 6. ~ointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Totel Assets (1) (2) (3) (~) (5) (6) (7) .00 .00 178.132.00 .00 .00 .00 88.126.28 (S) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/A~. Costs/Misc. Expenses (Schedule H) 10. Debts/Hortgage Liabilities/Liens (Schedule I) 11. Totel Deductions 12. Net Value of Tex Return 13. Charit8ble/Governmental Bequestsi Non-elected 9113 Trusts (Schedule ~) 14. Net Value of Estate Subject to Tax (9) (10) 20,308.04 259.907.12 Illl (12) (13) Il~) DATE _SER INTEREST/PEN PAID (-) ~. TOTAL TAX CREDIT BALANCE OF TAX DUE INTEREST AND PEN. TOTAL DUE IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. NOTE; To insure proper credit to your account, s~it the upper portion of this form with your t.x payll8f'tt. 266,258.28 'RD. '11; 16 13,956.88- .00 13,956.88- .00 .00 .00 .00 ( IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU HAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FOHN FOR INSTRUCTIONS.) COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF DETERMINATION AND ASSESSMENT OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN *' p~"nf:rrC\ r,rn('~ nc l ,i;-\) \ Ij'f'"h./l,... \j, BUREAU OF INDIVIDUAl'[ Alli!j:~~ <-.. c IHHERl1ANCE TAX DIVISION ..,',.' ~..,,: L__ ; - < ) PO 10)( 280601 I ,I , -, .. HARRISBURG PA 17128-0601 REV-7UUAFP (d'-1I51 2ens SfP - 2 PH \2: 01 (:1 09-05-2005 KIRSCH 12-16-2003 21 04-0029 CUMBERLAND 202 APPEAL DATE: 11-04-2005 (See reverse side under Objections) AmDun1: Remi1:1:ed I I MAKE CHECK PAYABLE AND REMIT PAYMENT TO: JOYCE L rl BENJAMINJ BUTlER BUTlER LAW FIRM PO BOX 1004 HBG PA 17108 REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 NOTE: To insure proper credit to your account, sub.it the upper portion of this for. with your tax pa~ent. CUT ALONG THIS LIME -+ RETAIN LOWER PORTION FOR YOUR FILES .- RE'P736--eiCAFP-Tiir:.-02j-----.i-HCj'fici"iiji':--DeTEiiiiiiiAfioti-ANjj-Assesii"eHy------------------------ ---- OF PENNSYLVANIA ESTATE TAX BASED ON FEDERAL CLOSING LETTER .. ESTATE OF KIRSCH JOYCE L FILE NO.21 04-0029 ACN 202 DATE 09-05-2005 ESTATE TAX DETERMINATION 1. Credit For State Death Taxes as Verified .00 2. Pennsylvania Inharitance Tax Assessed (Excluding Discount and/or Interest) .00 3. Inheritance Tax Assessed by Other States or Territories of the United States (Excluding Discount and/or Interest) .00 4. Total Inheritance Tax Assessed .00 5. Pennsylvania Estate Tax Due .00 6. Amount of Pennsylvania Estate Tax Previously Assessed Based on Federal Estate Tax Return .00 7. Additional Pennsylvania Estate Tax Due .00 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 _IF PAID AFTER THIS DATE, SEE REVERSE SIDE (IF TOTAL DUE IS LESS THAN $1, NO PAYHENT IS REQUIRED FOR CALCULATION OF ADDITIONAL IHTEREST. IF TOTAL DUE IS REFLECTED AS A wCREDIr' (CRJ, YOU I1AY B~ DUE A REFUND. SEE IlFU~~t: ro.,...._ -- ---- /'111 Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/15/2005 BUTLER BENJAMIN J 500 NORTH FRONT STREET 12TH FLOOR HARRISBURG, PA 17108-1004 RE: Estate of KIRSCH JOYCE L File Number: 2004-00029 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1,. 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/28/2005 KIRSCH EUGENE G 1517 KATHRYN STREET NEW CUMBERLAND, PA 17070 RE: Estate of KIRSCH JOYCE L File Number: 2004-00029 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS I COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO. I, for decedents dying on or after July I, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing is due by: 12/16/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~~~ REGISTER OF WILLS cc: File Counsel Judge . . BUTLER LAW FIRM 500 North Third Street Twelfth Floor Harrisburg, PA 17101 Mailing Address: Post Office Box 1004 Harrisburg, PA 17108.1004 Ronald D. Buder December 15,2005 ]ana Buder Toole Benjamin J. Buder Register of Wills Cumberland County Courthouse One Courthouse Square Carlisle, P A 17013 Re: Estate of !oyce L. Kirsch File No. 2004-00029 Dear Sir or Madam: Tel: 717.236.1485 Fax: 717.236.7777 lawyers@buderlawfirm.com I have enclosed an original and one copy of a Status Report Under Rule 6.12 for the above referenced estate. Please clock-in and return the copy in the enclosed self-addressed stamped envelope. t Benjamin 1. Butler BJB/mot Enclosure T" ,., -:) :> Ci1 C1 -0 Ii; o C) STATUS REPORT UNDER RULE 6.12 Name of Decedent: Joyce L. Kirsch Date of Death: 12/16/03 Will No. 2004-00029 Admin. No. Pursuant to Rule 6. 12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1 . State whether administration of the estate IS complete: Yes X No 2 . If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3 . If the answer to No. 1 is Yes, state the following: a. account with the Court? Did the personal representative file a final Yes No X b. The separate Orphans' Court No. (if any) for the personal representative's account is: nJa c . Did the personal representative state an account informally to the parties in interest? Yes X No d . Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached t~/thft;ott !) ~ Date: 12/15/05 ~ If/'J-l.. Signature Beniamin 1. Butler Name (Please type or print) 500 N. Third Street, P.O. Box 1004 Harrisburg P A 17108-1004 Address co a " --..~ ( 717 ) 2361485 Tel. No . w_ Capacity: Personal Representative I.::) X Counsel for personal representative ( L'"':., C-, C..:.:..:. C'-...[ ~~