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Home My WebLink About03-0466 PETITION FOR GRANT OF LETTERS OF ADMINISTRATION Estate of ~?Z ~ ~"/fl .r' ~/]g~-2~ No. ~1 - ~ - ~b~ also known as To: Register of Wills for the Deceased. County of in the Social Security No. I ~ 2 - ~ ~- q 7 5 ~ Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older, appL ~L~ for letters of administration on the estate of (d.b.n.; pendente lite; durante absentia; durante minoritate) the above decedent. was domiciled at death in ~ ~k~ ~ County, Pennsylvania, with Decendent h ~ ~ last family or principal residence at ~5~ ~~[ ~0~ ~ L~w,t~ ~ (list street, number ~d mumc~pahty) Decendent, then ~ ~ years of age, died ~, ~I~ , 19 ~q , Decendent at death owned property with estimated values as folllows: (If domiciled in Pa.) All personal property $ ~ ~' ~{ (If not domiciled in Pa.) PersonM property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: Petitioner.__ after a proper search ha ~' ascertained that decedent left no will and was survived by the following spouse (if any) and heirs: Relationship Residence THEREFORE, petitioner(s) respectfully request(s) the grant of letters of administration in the appropriate form to the undersigned. / OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA or The petitioner(s) above-named swear(s) 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 representative(s) of the above decedent petitioner(s) will well and truly administer the estate according to law. ~ //~ ~.~/~~b~/ Sworn to or affirm.cO and subscribed f-YX. ~~ ~ day of J his kl~ No. ~ZI - 05 o ~Lm~m Estate of L\c~c~ .~ ~g~K~ 0.~ , Deceased GRANT OF LETTERS OF ADMINISTRATION AND NOW ~ ~O c'~003 ~ .... in consideration of the petition on the reverse side hereof, satis~ctory proof having,~een presented before me, IT IS DECREED that ~D~ is/are entitled to Letters of Admin[~atio~ and in accord with such finding, Letters of Administration are hereby granted to in the estate of ~la~d ~ ~o FEES Letters of Administration ..... $ Short Certificates( ) .......... $ ~' ~ ATTORNEY (Sup. Ct. I.D. No.) Renunciation ................ $ TOTAL ~ $ ~} - DO~ADDRESS Filed ~' ~ -O~ . A.D. 19.~ This 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. Local Registrar No. ' ~ Date Items 8 de 16 & 20 b should read 954 Hummel Avenue ~.:~ H.v z'az COMMONWEALTH OF PENNSYLVANIA - DEPARTMENT OF HEALTH * VITAL RECORDS CERTIFICATE OF DEATH .,. Lloyd S. ~ker ~S~le ]~'ALS/CURI~NUMaE. DAIEOFO~TH , ~rl~d ~. J~yne I 955 H~l Avenue - I~ ~,--~- I's~ DECE~'S USUAL ~CUP~ I KIND ~ BUSINES~IN~RTRY~ ~E~NT EVER ~ OECEDENT'S E~i~ lei M~I~L 'T~' '--" J O Wk~ hie; ~ ~ ~ ~f~ ) I / u ~ ~0 FO~ES// (~ ~ '~ ~ ~,~) / .0~ u~~ I suuv~l~ s~ .... je~ler I jewel~ store / '-~ ~fl I '~~ I ~ 1 ~T' L c~.~.s Pe~sylv~ia 955 H~i Avenue ,.. ~e, PA 17043 ~' ,m.~.~ ~rl~d ~"~' ,,,.~=~=~.~. ~e ~"Eu's"*ue(~'"~'*'t~ward F. Baker ~.'s~.~.~..~.~,.~.) ~,, ~= ~ ~ue ~r~ey '~. ~tty ~ker [,~. aa n~l Ave.,~e,PA 17043 ~,~ ~'~~--- OI ~V 24 1999 L,.Ftley's Ch=ch C~te~ [ Oillsb=g,Pa 171 ~' /~ - % .... [,,~- ' ' 09 ~.~.~.,.=.2~<~,y.~.~.,~ - - I~m~.,o,=yk~ ~.,,.a.,,L ....... .: _ _ ,.~. - ....... t~ mn[~ ave. ~ 'MMEmATE CAUSE {F,,~ Ii~ ~ ~l~ ~ LAW OFFICES Purcell, Krug & Hailer 1719 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 1 7102-2392 HOWARD B. KRUG TELEPHONE (71 7) 234-4178 HERSHEY LEON P. HALLER FAx (71 7) 234-0409 (717) 533-3836 JOHN W. PURCELL JR. JILL M. WINEKA JOSEPH NISSLEY (1910-1982) BRIAN J. TYLER NICHOLE M. STALEY O'GORMAN JOHN W. PURCELL Of Counsel December 1, 2003 Register of Wills & Clerk of Orphans Court Cumberland County Courthouse Carlisle, PA 17013 Re: Estate of Lloyd S. Baker Date of Death: November 20, 1999 Social Security #: 187-16-4752 Dear Sir/Madam: Please be advised this office has been retained by Betty J. Baker to represent her as the personal representative of the Estate, as well as the Estate of Lloyd S. Baker. Enclosed please find one (1) original and one (1) copy of the Certification of Notice Under Rule 5.6(a). Please time-stamp the copy and return same to my office in the self addressed, stamped envelope. Should you have any questions, please do not hesitate to contact my office. Thank you. " [ Sz cerely u HBK/ase Enclosure' REGISTER OF WILLS COUNTY OF CUMBERLAND, PENNSYLVANIA CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Name of Decedent: LLOYD S. BAKER Date of Death: 11/20/99 Will No. 2003-00466 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 12/1/03 , Name Address Betty J. Baker 954 Hummel Avenue Lemoyne PA 17043 Cheryl Bombara 507 Ohio Avenue Lemoyne PA 17043 Notice has now been given to all persons entitled thereto under Rule 5.6(a) except: '- Name: HOWARD B. KRUG, ESCtUIRE Address: 1719 NORTH FRONT STREET HARRISBURG PA 17102 Telephone(234) - 4178 Capacity: Personal Representative X Counsel for Personal Representative JRD/June 30, 1992/17858 OCT 1 5 2003 In Re: Estate of LLOYD S BAKER : ORPHANS' COURT DIVISION Late of LEMOYNE BOROUGH : COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY Estate No.: 21-03-466 : PENNSYLVANIA : : NO. 21-2003-466 NOTICE OF FAILURE TO FILE CERTIFICATION AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 5.6(e), SUPREME COURT ORPHANS' COURT RULE Personal Representative: BETTY J BAKER Counsel for Personal Representative: Date of Grant of Original Letters: 06-06-2003 Date of Delinquency Notice: 09-16-2003 The undersigned, Mary C. Lewis, Register of Wills, in accordance with Rule 5.6, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its certification required by Rule 5.6(e), Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 5.6(e), Supreme Court Orphans' Court Rules, was given by the Register of Wills on SEPTEMBER 16, 2003, and that the ten (10) day notice to file the certification has expired. Accordingly, in accordance with Rule 5.6(e) the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 10-15-2003 ~ ?~x'~c,~.~,X~)g,.~X)0FX~-~^,~_r?~ .~x_~.~lc~ ~llX,~egister of Wilis~\ [3 ~ Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for ~~,.5/.~2~,~4at ~.:3d ~ In Courtroom No. 3. Ifthe Certification of Notice is filed prior to the herring date, the hearing will automatically be cancelled. Geor'~ Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 12/01/2004 KRUG HOWARD B 1719 NORTH FRONT STREET HARRISBURG, PA 17102 RE: Estate of BAKER LLOYD S File Number: 2003-00466 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 will become delinquent on: 11/20/2004 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: 10/10/2005 BAKER BETTY J 954 HUMMEL AVE LEMOYNE, PA 17043 RE: Estate of BAKER LLOYD S File Number: 2003-00466 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: 11/20/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~.~-U~ GLENDA FARNER STRASBAUGH REGISTER OF WILLS cc: File Counsel Judge \- \.,- Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 10/10/2005 KRUG HOWARD B 1719 NORTH FRONT STREET HARRISBURG, PA 17102 RE: Estate of BAKER LLOYD S File Number: 2003-00466 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: 11/20/2005 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, ~.~J~ GLENDA FARNER STP~.SBAUGH REGISTER OF WILLS cc: File Personal Representative(s) Judge . '\.-V JRDIJune 30,1992/17858 Estate No.: 21-2003-466 DEe 1 2 Z005 ORPHANS' COURTDIVISIC COURT OF COMMON PLEAS OF CUMBERLAND COUNTY PENNSYLVANIA In Re: Estate of Lloyd S. Baker Late ofLemoyne Borough NO. 21-2003-466 NOTICE OF FAILURE TO FILE STATUS REPORT AND REQUEST TO CONDUCT A HEARING PURSUANT TO RULE 6.12, SUPREME COURT ORPHANS' COURT RULE Personal Representative: Betty L. Baker Counsel for Personal Representative: Howard B. Krug, Esq. Date of Decedent's Death: 11/20/2002 Date of Delinquency Notice: 11/20/2005 The undersigned, Glenda Farner-Strasbaugh, Clerk of Orphans' Court, in accordance with Rule 6.12, Supreme Court Orphans' Court Rules, hereby notifies the Orphans' Court Division, Court of Common Pleas of Cumberland County, that neither the above named personal representative nor the above named counsel for the personal representative have filed with the Register of Wills or Clerk of the Orphans' Court his, her or its Status Report required by Rule 6.12, Supreme Court Orphans' Court Rule and that the requisite notice, pursuant to Rule 6.12, Supreme Court Orphans' Court Rules, was given by the Clerk of the Orphans' Court on October 10,2005, and that the ten (10) day notice to file the Status Report has expired. Accordingly, in accordance with Rule 6.12 the Court is hereby notified of such delinquency and the undersigned requests that a Court conduct a hearing to determine whether sanctions should be imposed upon the delinquent personal representative or counsel for the delinquent personal representative. Date: 12/12/05 A~~~ Glenda Farner Strasbaugh Clerk of the Orphans' Court Distribution: Personal Representative Counsel for Personal Representative Estate File A hearing is scheduled for February 27, 2006 at 11:00 a.m. in Courtroom NO.2. If the Status Report is filed prior to the hearing date, the hearing will automatically b cancelled. ~ CIl ai f! ~ ~ :g. ~ ,'m CIl5E o 'ijj;; >. CIl lil~ cB;; , <( ,!!l ~ "E '0 ~ (')~cn~13E "CIl~CIlctlCll c .2: " L:. .0 a. ctIQi-g-CIlCll C'lio"E;;[6 ,..:al a~B li} cnoQ)"',,:t:: E';:: E c "'- CIl1nctlctl~C :!::CIlC~cn.g .s~5~:EQ) ~:;; g, 1ii ~ ;; EE'E;;[615 OCll~COt:... 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Cf) (l) :3 0- (l) ,.., t..O ! 9 ~:: CD ,;:: !l) CIl (l) 'P ..., ,a -=::::.. ~ .,< o c: .., :3 !l) 3 51l -- !l) 0- 0- CD CIl _CIl !l) :3 0- N =0 + ~ 3" - ::r Cir c:r o x . t\ ~~i .~ ;~: ;-1 l' f c z =i m o Cf) ~ '-l m CIl ~ $ .p :jj, .iJl ,." ~ ,e') m ;t:;. \\ I l :;:; ~ II -:: = ;;: -::;: lncn- ~ I. en 0 ., :' ~i"'C~ _.iCf) \1) -<. (Q ZfuCD~ ~;~ s;>o~. > dii "T1-" , A CD.i:: b 'J,J1 ~ Ii '" ~ ~. aa LAW OFFICES HOWARD B. KRUG LEON P. HALLER JOHN W. PURCELL JR. JILL M. WINEKA BRIAN 1 TYLER NICHOLE M. STALEY O'GORMAN LISA A RYNARD LATOYA C. WINFIELD f?7J~ ~ r3 ~ 1719 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-2392 TELEPHONE (717) 234-4178 FAX (717) 234-0409 HERSHEY (717) 533-3836 JOSEPH NISSLEY (1910-1982) JOHN W PURCELL OF COUNSEL January 27, 2006 Clerk of Orphans' Court Cumberland County Courthouse One Courthouse Square Carlisle, PA 17013 Attn: Glenda Farner Strasbaugh Re: Estate of Lloyd S. Baker Estate No. 21-2003-466 Dear Ms. Strasbaugh: Enclosed please find one (1) original and one (1) copy of the Status Report under Rule 6.12 for filing in your office. Please return the time-stamped copy to me in the enclosed, self addressed, stamped envelope. It is my understanding that upon receipt of the enclosed Status Report, the hearing scheduled for February 27, 2006, at 11:00 a.m. will be automatically cancelled. If I am incorrect, please notify me immediately. Should you have any questions, do not hesitate to contact me. Sincerely ycyu:cs, .// ,// ..... Ho.;W ard B: K:~-'---' ~_.,~._..._- HBK/ase Enclosures .' " -' -'~ .' " . v..- . STATUS REPORT UNDER RULE 6.12 Name of Decedent: LLOYD S. BAKER Date of Death: 11/20/1999 Will No. 2003-00466 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 No X 2. If the answer is No, state when the personal representative riasqnablY believes that the administration will be complete: 8 1/ 20u6 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 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c . Did the personal representative state an account informally to the parties in interest? Yes No d . Copies of receipts, releases, joinders approvals of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached te--!~is report. ". and Date: 1/27/2006 '(; j (PI 1/ Ii r: - .-- Signajure C-=~_Jc / Howard B. Krua. Esquire Name (Please type or print) 1719 North Front Street Harrisbur<;l PA 17102 Address (717 ) 234-4178 Tel. No . Capacity : Personal Representative X Counsel for personal representative .."""' ~"... ~ ~ >~.J ii J Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 Phone: (717) 240-6345 Date: 11/09/2006 KRUG HOWARD B 1719 NORTH FRONT STREET HARRISBURG, PA 17102 RE: Estate of BAKER LLOYD S File Number: 2003-00466 Dear Sir/Madam: This notice is to serve as a reminder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. 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: 11/20/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice. Sincerely, Glenda Farner Strasbaugh Clerk of the orphans' Court cc: File Personal Representative(s) Cumberland County - Register Of Wills One Courthouse Square Carlisle, PA 17013 phone: (717) 240-6345 Date: 11/09/2006 BAKER BETTY J 954 HUMMEL AVE LEMOYNE, PA 17043 RE: Estate of BAKER LLOYD S File Number: 2003-00466 Dear Sir/Madam: This notice is to serve as a remlnder that the Status Report by Personal Representative under Rule 6.12 is due on the below listed date. As per the AMENDMENTS TO SUPREME COURT ORPHAJ:\lS' COUET 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 lS due by: 11/20/2006 please feel free to contact this office with any questions you may have. If you have already filed your Status Report, please disregard this notice, Sincerely, Glenda Farner Stra Clerk of the Orphans' Court cc: File rnllTlSel Register of Wills of Cumberland County Name of Decedent: STATUS REPORT UNDER RULE 6.12 LLOYD S. BAKER Date of Death: 11/20/1999 Estate No.: 2003-00466 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, 1 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 0 No 0 2. Ifthe answer is No, state when the personal representative reasonably believes that the administration will be-complete: estimate 6 to 9 months 3. If the answer to No.1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes 0 No 0 b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes 0 No 0 c. Copies of receipts, releases, joinders and approval of fomal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. ~ Date: ~III ~ 10& Si Jill M. Wineka, Esquire Name 1719 North Front Street Harrisburg, PA 17102 Address 'v'd "OJ GNVll:d8v~m lCln08 S.N\J11d80 -' Capacity: (717) 234-4178 Telephone No. o Personal Representative Q1 Counsel for personal representative Of] :ll Hd L I Am,,; , 91 LAW OFFICES HOWARD B. KRUG LEON P. HALLER JOHN W. PURCELL JR. JILL M. WINEKA NICHOLE M. STALEY O'GORMAN LISA A. RYNARD LATOYA C. WINFIELD Purcell, Krug & Haller 1719 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-2392 TELEPHONE (717) 234-4178 FAX (717) 783-4939 HERSHEY (717) 533-3836 JOSEPH NISSLEY (1910-1982) JOHN W. PURCELL VALERIE A. GUNN OJ Counsel November 16, 2006 Register of Wills Cumberland County Court House Carlisle, PA 17013 Re: Estate of Lloyd S. Baker No. 2003-00466 Dear Register of Wills: Enclosed for filing, please find an original and one copy the Status Report Under Rule 6.12 in the above-captioned matter. Please return a date-stamped copy of the document to me in the enclosed stamped, self-addressed envelope. Thank you. Sincerely, ~~a~ JMW/bas Enclosures V'1 . U j j,' iu;tP~nJ 18nb0 'S:N1Hd80 .:10 )l~3l8 O~ :2/ Wd L I AON 900l STATUS REPORT UNDER RULE 6.12 BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND , PENNSYLVANIA Name of Decedent: LLOYD S. BAKER Date of Death: 11/20/1999 File No. 2003-00466 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: YES_ NO~ 2. If the answer is "No", state when the personal representative reasonably believes that the administration will be complete: estimate 3 months 3 If the answer to No.1 is "Yes", state the following: a. Did the personal representative tile a tinal account with the Court? YES_ NO_ b. The separate Orphan's Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? YES_ NO_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be tiled with the Clerk of the Orphans' Court and may be attached to this report. Date: /(j I LL//o7 Si9~ rn W~ Jill M. Wineka. Esquire Name (Please type or print) 1719 North Front Street Address Harrisburg PA 17102 {.- r iJ t .. " (717) 234-4178 Tel. No. Capacity: _ Personal Representative -L Counsel for personal representative ~ REV-~ EX ~(fl.OO) . COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1500 INHERITANCE TAX RETURN RESIDENT DECEDENT OFFICIAL USE ONLY FILE NUMBER 2 1 -0 3 04 6 6 ""CoUNTYCOOE ---VEAR- - - NUMBeR- - ~ Z W C W (,) W C DECEDENrs NAME (LAST, FIRST, AND MIDDLE INITIAL) BAKER LLOYD S. DATE OF DEATH (MM-DD-Year) SOCIAL SECURITY NUMBER DATE OF BIRTH (MM-DD-Year) 1 87- 1 6 - 4 752 THIS RETURN MUST BE FILED IN DUPLICATE WITH THE REGISTER OF WILLS 11/20/1999 06/16/1919 (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) Baker Be J. SOCIAL SECURITY NUMBER 1 60- 1 6 - 8 9 8 6 W I- ~ :SII) (J 1Ii:~ W 0..(J J:oo (J 1Ii:....I 0..11I 0.. < [X] 1. Original Retum o 4. Limited Estate o 6. Decedent Died Testate (Attach copy 01 Will) o 9. Litigation Proceeds Received o 2. Supplemental Retum o 4a. Future Interest Compromise (date 01 death after 12-12-82) o 7. Decedent Maintained a Living Trust (Attach copy ofTrust) o 10. Spousal Poverty Credit (date 01 death between 12-31-91 and 1-1-95) o 3. Remainder Retum (date 01 death prior to 12-13-82) o 5. Federal Estate Tax Retum Required .Q.. 8. Total Number of Safe Deposit Boxes o 11. Election to tax under Sec. 9113(A) (Attach Sch 0) THIS SECTION MtJST:-BE COMPLETEP. .ALL-CORRESPONDENCEAND CONFIDENTIALTM.INiFORMATIONiStiOtJLbSEiiibIRECTEDiTO: NAME COMPLETE MAILING ADDRESS Jill M. Wineka Es uire FIRM NAME (II Applicable) Purcell Kru & Haller 1719 North Front Street TELEPHONE NUMBER 717 234-4178 Harrisbur PA 17102 I- Z W C Z o 0.. II) W iii: iii: o (J 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) 11. Total Deductions (total Lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Govemmental Bequests/See 9113 Trusts for which an election to tax has not been made (Schedule J) z o ~ :3 ::) ~ ii: c( (,) W 0:: (1) (2) 558.20 (3) 0.00 (4) (5) 498.48 (6) (7) OFFICIA~E ONLY o = ,- --.I ~c" ~2 CJ ":~1g R '''-::0 OJ ;;>': :~~; ~f, 'T) (; c:~ -, -0 :x w .. (') t-n _ 53 :u --1 )c:. w s:- '_",'J (9) (10) (8) 8,456.00 1,056.68 (11) (12) (13) 8,456.00 -7,399.32 14. Net Value Subject to Tax (Line 12 minus Line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES z o ~ c( ~ ::) D.. ::& o (,) X c( ~ 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 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 (14) -7,399.32 -7,399.32 X .00 (15) X _(16) X .12 (17) X .15 (18) (19) 0.00 0.00 0.00 0.00 0.00 20. D CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT > > BE SURE TO ANSWER'Al.l QUESTIONS ONREVERSE~IDE AND RECHECK MA tit << ". D dd ecedent's Campi ete A ress: STREET ADDRESS 954 Hummel Avenue CITY I STATE I ZIP Lemoyne PA 17043 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2. Credits/Payments A. Spousal Poverty Credit 8. Prior Payments C. Discount (1) 0.00 Total Credits (A + 8 + C) (2) 0.00 3. Interest/Penalty if applicable D. Interest E. Penalty Total Interest/Penalty ( 0 + E) (3) 4. If Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. (5) A. Enter the interest on the tax due. (5A) 8. Enter the total of Line 5 + 5A. This is the BALANCE DUE. (58) Make Check Payable to: REGISTER OF WILLS, AGENT 0.00 0.00 0.00 0.00 PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred; ........................................................................... 0 IZJ b. retain the right to designate who shall use the property transferred or its income; ........................................ 0 IZJ c. retain a reversionary interest; or ...................................................................................................... 0 IZJ d. receive the promise for life of either payments, benefits or care? ............................................................. 0 IZJ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?............................................................................................... 0 IZJ 3. Did decedent own an 'in trust for' or payable upon death bank account or security at his or her death? ................. 0 IZJ 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? ....................................................................................................... 0 IZJ IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. PA Jill M. Wineka, Esquire, 1719 North Front Street HarrisburQ, PA 17102 For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P.S. 99116 (a) (1.1) (i)]. For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. 99116 (a) (1.1) (ii)]. The statute does not exempt 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 nalural parent, an adoptive parent, or a stepparent of the child is 0% [72 P.S. 99116(a)(1.2)]. The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, 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 of 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. .. ~EV-1503 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE B STOCKS & BONDS ESTATE OF BAKER. LLOYD S. FILE NUMBER 21 03 All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0466 ITEM NUMBER 1. DESCRIPTION 9.5189 shares of PNC Financial Services Group (PNC) @ $58.641 share. See attached dated of death value from Internet. VALUE AT DATE OF DEATH 558.20 TOTAL (Also enter on line 2, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 558.20 . iEV-1504 EX + (6-98) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP OR SOLE-PROPRIETORSHIP ESTATE OF BAKER LLOYD S. FILE NUMBER 21 03 0466 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 NUMBER 1. DESCRIPTION VALUE AT DATE OF DEATH 50% Baker & Price, Inc. See attached Schedule C-1, Opinion Letter of Samuel Thuma, CPA and Corporation's Federal Income Tax Returns for 1997, 1998 and 1999. 0.00 TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed. insert additional sheets of the same size) 0.00 ~ . REV-1505 EX+ (6-98) . SCHEDULE C-1 CLOSELY-HELD CORPORATE STOCK INFORMATION REPORT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BAKER LLOYD S. FILE NUMBER 21 03 0466 1. Name of Corporation Baker & Price. Inc. Address 144 Strawberry Square City Harrisburg 2. Federal Employer 1.0. Number 23-0381007 3. Type of Business Retail Sales State P A State of Incorporation PA Date of Incorporation 11/10/1980 Zip Code 17101 Total Number of Shareholders 2 Business Reporting Year 1999 Product/Service Jewelry/Watch Repair 4. UMBER OF TST ANDING PAR VALUE NUMBER 0 SliARES OWNED BY THE DECEDENT Common Votin Preferred Unknown Unknown 50% $0 $ Provide all rights and restrictions pertaining to each class of stock. 5. Was the decedent employed by the Corporation? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Yes IXI No If yes, Position Annual Salary $ Time Devoted to Business 6. Was the Corporation indebted to the decedent? ....................................... IXI Yes 0 No If yes, provide amount of indebtedness $ 50% 7. Was there life insurance payable to the corporation upon the death of the decedent? ............... 0 Yes IXI No If yes, Cash Surrender Value $ Net proceeds payable $ Owner of the policy 8. Did the decedent sell or transfer stock in this company within one year prior to death or within two years if the date of death was prior to 12-31-82? DYes IXI No If yes, 0 Transfer 0 Sale Number of Shares Transferee or Purchaser Consideration $ Date Attach a separate sheet for additional transfers and/or sales. 9. Was there a written shareholder's agreement in effect at the time of the decedent's death? . . . . . . . . . . . . 0 Yes IXI No If yes, provide a copy of the agreement. 10. Was the decedent's stock sold? ................................................. 0 Yes IXI No If yes, provide a copy of the agreement of sale, etc. 11. Was the corporation dissolved or liquidated after the decedent's death? ....................... 0 Yes IXI No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received. 12. Did the corporation have an interest in other corporations or partnerships? . . . . . . . . . . . . . . . . . . . . .. 0 Yes IXI No If yes, report the necessary information on a separate sheet, including a Schedule C-1 or C-2 for each interest. THE FOllOWING INFORMATION MUST BE SUBMITTED WITH THIS SCHEDULE A. Detailed calculations used in the valuation of the decedent's stock. B. Complete copies 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. List of principal stockholders at the date of death, number of shares held and their relationship to the decedent. E. List 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) ,. ~EV-1508 EX + (6-98) . COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BAKER LLOYD S. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER 21 03 Include the proceeds of litigation and the date the proceeds were received by the estate. All property jointly-owned with right of survivorship must be disclosed on Schedule F. 0466 ITEM NUMBER 1. DESCRIPTION Harris Savings Bank, Passbook Savings Account - Not Yet Received Unclaimed Property No. 2505893 ($165.38) and Unclaimed Property No. 250894 ($333.10). See attached letter from the Bureau of Unclaimed Property VALUE AT DATE OF DEATH 498.48 TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 498.48 -! ~EV-1511 EX+(12-99) '* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF BAKER. LLOYD S. SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS Debts of decedent must be reported on Schedule I. FILE NUMBER 21 03 0466 ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Musselman Funeral Home, Inc. 6,037.00 2. Gingrich Memorials 869.00 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative (s) Social Security Numbe~s)/EIN Number of Personal Representative(s) Street Address City State Zip Yea~s) Commission Paid: 2. Attorney Fees Purcell, Krug & Haller 1,500.00 3. Family Exemption: (If decedenfs address is not the same as claimanfs, attach explanation) Claimant Street Address City State Zip Relationship of Claimant to Decedent 4. Probate Fees Cumberland County Register of Wills 18.00 5. Accountanfs Fees 6. Tax Return Preparer's Fees 7. Register of Wills - JCP fee, Short Certificates 13.00 8. Register of Wills - additional Short Certificates 4.00 9. Register of Wills - fee to file PA Inheritance Tax Return 15.00 TOTAL (Also enter on line 9, Recapitulation) $ 8456.00 (If more space is needed, insert additional sheets of the same size) ~ '<Y-"" "'. ",* COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF SCHEDULE J BENEFICIARIES FILE NUMBER RAKFR I nyn ~. 21 03 n4RR RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I. TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1. Betty J. Baker Spousal 955 Hummel Avenue, Lenoyne, PA 17043 100% (Entitled to $30,000.00 plus 50% of balance. Decedent had one child, Cheryl Bombara, who is also the daughter of Betty J. Baker). 2. Cheryl Bombara Lineal 507 Ohio Avenue, Lemoyne, PA 17043 0% (As the Estate is worth less than $30,000.00 net, there is no residue to divide). ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18, AS APPROPRIATE, ON REV-1500 COVER SHEET II. 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 1. TOTAL OF PART 11- 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) IN RE: IN THE COURT OF COMMON PLEAS CUMBERLAND CO., PENNSYLVANIA ORPHANS' COURT DIVISION ESTATE OF LLOYD S. BAKER, DECEASED NO. 21-03-0466 TABLE OF CONTENTS 1. Yahoo date of death value for PNC Financial Services Group stock as of November 20, 1999; 2. Opinion letter of Samuel D. Thuma, CPA regard value of Decedent's 50% share in Baker and Price, Inc.; 3. Corporation's Federal Income Tax Returns for 1997, 1998 and 1999; and 4. Letter from the Bureau of Unclaimed Property regarding Unclaimed Property Nos. 2505893 and 250894 regarding a Harris Savings Bank, Passbook Savings Account. jtorical Prices for P N C FIN SVCS GR - Yahoo! Finance ~",----JJ http://fmance.yahoo.com/qlhp?s=PNC&a= 1 0&b=20&c= 1999&d= 1 0.. Yahoo! MY81abme, j'IIatIea~Sign Out Help - ___1ii1 .... V1i~bse~~ch~! -oeJ ....:-- ....... Dow 't 0.03% Nasdaq 't 0.05% Mon, Dee 3,2007, 1l:33AM ET - U.S. Markets close in 4hrs 27mins. Symbol Lookup Finance Search m AMERITRADE TRADE FREE FOR , 30 DAYS ... GEr $tOO '.' ~I'" .,., At l1:13AM ET: 73.03 ... 0.18 (0.25%) E*TRAO' FINAHCJA OTrade Smarter I- Fidlllil:j( ; r~, ~ <;,""'>< ,~~v= >>'ww~ ~TI*};i,"'" " Historical Prices Get Historical Prices for: I Bi.D1 ~ :.,- "", ';"~t< :~f$;:,"":,:~;,,,_:;dt SET DATE RANGE ADVERTISEMENT 19-Nov-99 58.73 58.85 58.42 58.73 618,200 44.05 Start Date: I Nov I ~ 11999 End Date: I Nov I po--I1999 III~~I illID> . __Jif#U~m: Eg. Jan 1, 2003 l!:: Daily o Weekly o Monthly o Dividends Only First I Prey I Next I Last PRICES Date Open High Low Close Volume Adj Close* * Close price adjusted for dividends and splits. First I Prey I Next I Last rib; Download To Spreadsheet 21 Add to Portfolio '0.' Set Alert El Email to a Friend Get Historical Prices for Another Symbol: I 1111 Symbol Lookup lof2 12/3/2007 11 :36 AN SAMUEL D. THUMA CERTIFIED PUBLIC ACCOUNTANT P. O. BOX 366 DILLSBURG, PA 17019 717-432-9752 (FAX) 717-432-2097 January 25, 2006 Mr. Howard B. Krug, Esq. Purcell, Krug and Haller 1719 North Front Street Harrisburg, P A 171 02 Re: Estate of Lloyd S. Baker DOD: 11-20-1999, DOB 6-16-1918 SS# 187-16-4752 Dear Mr. Krug: Per your request, I have evaluated the tax filings and other information regarding Baker and Price, Inc., a Pennsylvania Corporation. Mr. Baker was a 50% shareholder in Baker and Price, Inc. The following is my evaluation of the financial information to determine the value of Baker and Price, Inc. as of November 20, 1999: 1. Per form 1120 filed on March 10,2000, the company loss $7,860 from Operations. 2. The corporation has been loosing money since 1992 and had a Net Operating Loss Carryover of $45,651. 3. The corporation had a deficit in Retained Earnings of$34,636. 4. The Balance Sheet reflects a Cash Overdraft of $8,812, Accounts Receivables of$377 and Inventory of$100,110. All Fixed Assets were fully depreciated. 5. The Liabilities reflect amounts owed to the Pa. Department of Revenue for Sales Tax of $20,464 and Corporate Taxes of$549. In addition, the company had outstanding loans to its Shareholders of $85,298. 6. If the corporation was sold, there would be no Goodwill because the age of the Shareholders, age of the fixtures and lack of Earnings. . Mr. Howard B. Krug January 25, 2006 Page 2 Based on the aforementioned information, the value of Baker and Price, Inc., as a going concern, would be zero, since the corporation could not survive without substantial input of additional loans from Shareholders to cover the deficit in Cash and payment of the Sales Tax liability of $20,464. Therefore, the value at date of Death would be zero and a possible debt of the Estate of$1O,232 for Sales Tax because as a 50% Shareholder, he would be personally liable. If you have any question on the above valuation, please call me. Sincerely, --- Samuel D. Thuma, CPA U.S. Corporation Income Tax Return For calendar year 1997 or tax year beginning ,1997, end. .19 ~ Instructions are se arate. See a e 1 for Pa erwork Reduction Act Notice. Name No., street, and room or suite no. City/town, state, and ZIP code B Employer Identification no. BAKER AND PRICE INC ; 23-0381007 144 STRAWBERRY STREET C Date incorporated HARRISBURG, PA 17101 11 10 80 Form 1120 Department of the Treas4ry Internal Revenue Service A Check if a: 1 Consolidated return B (attach Form 851) 2 Personal holding co. (attach Sch. PH) 3 Personal service corp. (as defined in Temporary Regs, sec. 1.441-4T -- see instructions) OMS No. 1545-0123 1997 D Total assets (see page 5 of inst.) E Check a plicable boxes: (1 Initial return 2 Final return $ 1 a Gross receipts/sales 116 073. C Bal ~ 1 C 2 Cost of goods sold (Schedule A, line 8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Dividends (Schedule C, line 19). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 5 Interest.. '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Capital gain net income (attach Schedule 0 (Form 1120)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Net gain or (loss) from Form 4797, Part II, line 18 (attach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Other income (see page 6 of instructions -- attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Total Income. Add lines 3 throu h 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., ~ 11 12 Compensation of officers (Schedule E, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13 Salaries and wages (less employment credi!::l~" . .... . . . _ . '.' . . .,. ......." ,-,"': ,.... . . . . . . . . . . . . . . . . . . 13 14 Repairs and maintenance . . . . . . . . . . . . .;. . r._ ,'. . .; . . . . . . . . . . . . . . , . ,. .: ,'. . . . . . . . . . . . . . . . . .. 14 15 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . : . ':.' '.;'. . . '. . . . . . . . . . . . . .. . . .: . . ,!~ . . . . . . . . . . . . . . . . . .. 15 16 Rents.............................'.. ,..:. ..~. . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . 16 17 Taxes and licenses. . . . . . . . . . . . . . . . . . ';:~~"_'" . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 17 18 Interest............................................................................. 18 19 Charitable contributions (see page 6 of instructions for 10% limitation) . . . . . . . .. . . . . . . . . . . . . , . . . . . . 19 20 Depreciation (attach Form 4562) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 21 Less depreciation claimed on Schedule A and elsewhere on return. . . . .. 21a 21 b 22 Depletion............................................,.............................. 22 23 Advertising.......................................................................... 23 24 Pension, profit-sharing, etc., plans . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 24 25 Employee benefit programs. , . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 25 26 Other deductions (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 26 27 Total deductions. Add lines 12 through 26. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , .. ~ 27 28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11 28 29 Less: a Net operating loss deduction (see page 9 of instructions). . . , . .. 29a 50 877. b Special deductions (Schedule C, line 20) . . . . . . . . . . . . . . . , . .. 29b 30 Taxable Income. Subtract line 29c from line 26 . . . . , . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . . . . . . . . . . 31 Total tax (~C~~~~~:e~~~~;e~~)' . . . . . '1' . . . . . . . . . . . . . . . . , . . . . . ,':::=:::::i::::::=::::i:i:::::::i::=:::::::::i::::;::::::i::::i;;::;::=::" . 32 b ~::;:::.~ed ;:'~::;:.;:: . . . .. ~~~ .ll~llI_11 C Less 1997 refund applied for on Form 4466 32c ( ), d Bal ~ 32d e Tax deposited with Form 7004. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 32e f Credit for tax paid on undistributed capital gains (attach Form 2439) . . . .. 32f g Credit for Federal tax on fuels (attach Form 4136). See instructions. . . . .. 32 33 Estimated tax penalty (see page 10 of instructions). Check if Form 2220 is attached. . . . . . . . . . . . . ~ 34 Tax due. If line 32h is smaller than the total of lines 31 and 33, enter amount owed. . . . . . . . . . . . . . . . . . 35 Overpayment. If line 32h is larger than the total of lines 31 and 33, enter amount overpaid. . . . . . . . . . . . 36 Enter amount of line 35 you want: Credited to 1998 estimated tax ~ Refunded ~ Under penalties of perjuryi I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge ana belief, it is vpe, correct, and complete. Declaration of preparer (OHler than taxpayer) is based on all information of whicli preparer has anY\IWowledge. ~ ...~':, I ~ PRESIDENT ('"'>. Si nature of officer f... i Date Title Preparer's ~ r Date Check if self- Preparer's SSN signature r f: 03 employed 157-88-1556 Firm's name (or ~ -BRUCE E BAYUK PC EIN ~ 23-2044968 yours if self-employed) r SOUTH FRONT STREET ZIP code ~ and address WORMLEYSBURG PA 17043-1395 7 112012 NTF1Z084 GLD2670 Income Deduc- tions (See Instruc- tions for limita- tions on deduc- tions.) Tax and Payments Sign Here Paid Preparer's Use Only CAA 104 116 88 27 797. 073. 903. 170. 27 170. 1 444. 2 114. 6 690. 300. 145. 1 303. 10 22 4 908. 904. 266. 50 877. -46 611. BAKER AND PRICE INC . Cost of Goods Sold See a e 10 of instructions. Inventory at beginning of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .~ . . . . . . . . . . . . . . . . . . . . Cost of labor . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additional section 263A costs (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other costs (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1 through 5 ......................................................... Inventory at end of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2 . . . . . . '..' . . . . . . . . Check all methods used for valuing closing inventory: (i) ~ Cost as described in Regulations section 1.471-3 (~~! Lower of cost or market as described in Regulations section 1.471-4 (III) Other (Specify method used and attach explanation.) ~ ' b Check ~f there wa~ a writedown of subnormal good~ as described in Regulations section 1.471-2(c). . . . . . . . . . . . . . . . . . . . . . . . ~ U- C Check If the LIFO Inventory method was adopted thiS tax year for any goods (If checked, attach Form 970). . . . .. . . . . . . . . . . . . . ~ 0 d If the LIFO inventory method was used for this tax year, enter percentage (or amounts) of closing inventory computed under LIFO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e If property is produced or acquired for resale, do the rules of section 263A apply to the corporation? . . . . . . . . . . . . . . . f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If ''Yes,'' attach ex lanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No r$$jiji.tW~F:o.? Dividends and Special Deductions (See page 11 of (a) Dividends (c) Special deductions instructions.) received (b) % (a) x (b) Complete Schedule E onlv if total receipts (line 1a plus lines 4 throuqh 10 on paqe 1, Form 1120) are $500,000 or more. (b) Social security (c) Percent of Percent ~ co~oration (f) Amount (a) Name of officer time devoted to stoc owed 1 number business Cd) Common C e) Preferred of compensation o/c o/c o/c o/c o/c % o/c o/c o/c o/c o/c o/c o/c o/c o/c 2 Total compensation of officers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Compensation of officers claimed on Schedule A and elsewhere on return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Subtract line 3 from line 2. Enter the result here and on line 12, paoe 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 1 Dividends from less-than-20%-owned domestic corporations that are subject to the 7'1% deduction (other than debt-financed stock) . . . . . . . . . . . . . . . . . . . 2 Dividends from 20%-or-more-owned domestic corporations that are subject to the 80% deduction (other than debt-financed stock). . . . . . . . . . . . . . . . . . . 3 Dividends on debt-financed stock of domestic and foreign corps. (sec. 246A) . 4 Dividends on certain preferred stock of less-than-20%-owned public utilities. . 5 Dividends on certain preferred stock of 200Io-or-more-owned public utilities .. 6 Dividends from less-than-20%-owned foreign corporations and certain FSCs that are subject to the 70% deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Dividends from 20%-or-more-owned foreign corporations and certain FSCs that are subject to the 80% deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Dividends from wholly owned foreign subsidiaries subject to 100% deduction (section 245(b)). 9 Total. Add lines 1 through 8. See page 12 of instructions for limitation. . . . . . . 10 Dividends from domestic corporations received by a small business investment company operating under the Small Business Investment Act of 1958. . . . . . . . 11 Dividends from certain FSCs that are subject to 100% deduction (sec. 245(c)(1)) 12 Dividends from affiliated group members subject to 100% ded. (sec. 243(a)(3)) 13 Other dividends from foreign corporations not included on lines 3,6,7,8, or 11 14 Income from controlled foreign corps. under subpart F (attach Form(s) 5471). . 15 Foreign dividend gross-up (section 78) . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 16 IC-DISC & former DISC dividends not included on lines 1, 2, or 3 (sec. 246( d)) 17 Other dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Deduction for dividends paid on certain preferred stock of public utilities. . . . . 19 Total dlvld~nds. Add lines 1 through 17. Enter here and on line 4, page 1. . ~ 20 Total eelal deductions. Add lines 9,10,11 12, and 18. Enter here and on line 29b, a ::::ssnmu,#':::S{ Compensation of Officers (See instructions for line 12, page 1.) CAA 7 112012 GLD 2870 NTF 12085 23-0381007 Pa e 2 1 2 3 4 5 6 7 8 o 000. 93 903. 183 95 88 903. 000. 903. No 70 80 see instructions 42 48 70 80 100 O. t 23-0381007 Pa e 3 BAKER AND PRICE INC Tax Com utation (See a e 12 of instructions. Check if the corporation is a member of a controlled group (see sections 1561 and 1563) . . . .' . . . . . . . . ~ Important: Members of a controlled group, see instructions on page 12. ~ 2a If the box on line 1 is checked, enter the corporation's share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order): (1) 1$ I (2) 1$ b Enter the corporation's share of: (1) Additional 5% tax (not more than $11,750) (2) Additional 3% tax (not more than $100,000) 3 Income tax. Check this box if the corporation is a qualified personal service corporation as defined in section 448( d)(2) (see instructions on page 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ 0 4a Foreign tax credit (attach Form 1118). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a b Possessions tax credit (attach Form 5735) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b C Check: 0 Nonconventional source fuel credit 0 QEV credit (attach Form 8834) 4c d g':: bU'8='dI::~ a':: Wh;B f: ~ a'::' ~:: 'I e Credit for prior year minimum tax (attach Form 8827) ............... . . . . . 4e 5 Total credits. Add lines 4a through 4e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Subtract line 5 from line 3 ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Personal holding company tax (attach Schedule PH (Form 1120)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Recapture taxes. Check if from: . . . 0 Form 4255 0 Form 8611 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Alternative minimum tax (attach Form 4626). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Total tax. Add lines 6 throu h 9. Enter here and on line 31, a e 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SblfijdQJEiJ.< Other Information See pa e 14 of instructions.) 1 Check method of accounting: a Cash e No 7 b!8! Accrual cD Other(specjfy)~ 2 See page 16 01 the instructions and state the principal: a Business activity code no. ~ 5600 b Business activity ~ RETAIL c Product or service ~ JEWELRY 3 At the end of the tax year, did the corporation own, directly or indirectly, 50% or more of the voting stock of a domestic corporation? (For rules 01 attribution, see section 267(C).) ....' . . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," attach a schedule showing: (a) name and identifying number, (b) percentage owned, and (c) taxable income or (loss) before NOL and special deductions 01 such corporation lor the tax year ending with or within your tax year. 4 Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? . . . . . . . . . . . . . . . . II "Yes," enter employer identilication number and name 01 the parent corporation ~ (3) $ I: 5 6 7 8 9 10 Was the corporation a U.S. shareholder of any controlled foreign corporation? (See sections 951 and 957.). . . . . . . . If "Yes," attach Form 5471 lor each such corporation. Enter number of Forms 5471 attached ~ 8 At any time during the 1997 calendar year, did the corp. have an interest in or a signature or other authority over a financial account (such as a bank account, securities account, or other financial account) in a foreign country? . If "Yes," the corp. may have to file Form TD F 90-22.1. If "Ves," enter name of foreign country ~ 9 During the tax year, did corporation receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? II "Yes," see page 15 of the instructions for other forms the corporation may have to file. . . , . . . . . . . . . . . . 10 At any time during the tax year, did one loreign person own, directly or indirectly, at least 25% of: (a) the total voting power of all classes of stock of the corp. entitled to vote, or (b) the total value of all classes 01 stock 01 corp.? If ''Yes,'' a Enter percentage owned ~ b Enter owner's cou ntry ~ C The corporation may have to file Form 5472. Enter number of Forms 5472 attached ~ Check this box if the corporation issued publicly offered debt instruments with original issue discount . ~ 0 II so, the corporation may have to file Form 8281. Enter the amount of tax-exempt interest received or accrued during the tax year ~ $ If there were 35 or fewer shareholders at the end 01 the tax year, enter the number ~ II the corporation has an NOL for the tax year and is electing to forego the carryback period, check here. . ~ 0 Enter the available NOL carryover from prior tax years (Do not reduce it by any deduction on line 29a.) ~$ 54 329. At the end 01 the tax year, did any individual, partnership, corporation, estate or trust own, directly or indirectly, 50% or more 01 the corporation's voting stock? (For rules 01 attribution, see section 267(c).) .................. If ''Yes,'' attach a schedule showing name and identifying no. (Do not include any inlo. already entered in 4 above.) Enter percentage owned ~ 100 . During this tax year, did the corporation pay dividends (other than stock dividends & distributions in exchange lor stock) in excess 01 the corporation's current and accumulated earnings & profits? (See sees. 301 & 316.) . If ''Yes,'' file Form 5452. If this is a consolidated return, answer here for the parent corporation and on Form 851, Affiliations Schedule, for each subsidia 7 112034 NTF .2086 GLD 2871 5 6 CAA 1 2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15 . Balance Sheets per Books Assets Cash...... ... .... . . . ............. Trade notes and accounts receivable. . . . . Less allowance for bad debts. . . . . . . . . . . Inventories. . . . . . . . . . . . . . . . . . . . . . . . . U.S. government obligations. . . . . . . . . . . Tax-exempt securities (see instructions) . . Other current assets (attach schedule). . . . Loans to stockholders . . . . . . . . . . . . . . . . Mortgage and real estate loans . . . . . . . . . Other investments (attach schedule) . . . . . Buildings and other depreciable assets. . . Less accumulated depreciation. . . . . . . . . Depletable assets. . . . . . . . . . . . . . . . . . . . Less accumulated depletion. . . . . . . . . . . . Land (net of any amortization) . . . . . . . . . . Intangible assets (amortizable only) . . . . . . Less accumulated amortization . . . . . . . . . Other assets (attach schedule). . . . . . . . . . Total assets. . . . . . . . . . . . . . . . . . . . . . . . Liabilities and Stockholders' Equity Accounts payable. . . . . . . . . . . . . . . . . . . . 16 17 18 19 20 21 22 Mortgages, notes, bonds payable In less than 1 year Other current liabilities (attach schedule) . . Loans from stockholders . . . . . . . . . . . . . . Mortgages, notes, bonds payable in 1 year or more. 23 24 25 26 27 28 Net income (loss) per books . . . . . . . . . . . Federal income tax. . . . . . . . . . . . . . . . . . . Excess of capital losses over capital gains. Income subject to tax not recorded on books this year: 5 Expenses recorded on books this year not deducted on this return (itemize): a Depreciation.... $ b ;aor~~~e~;I~n.s. . .. $ c ~~~~~~a~~~ent . .. $ Balance at beginning of year. Net income (loss) per books . . . . . . . . . . . Other increases: 4 Add lines 1, 2. and 3 . . . . . . . . . . . . . . . . . CAA 7 112034 NTF 12087 GLD 2871 104 797. 10 470. 12 000. 90 008. ) 104 797. Tax-exempt $ interest. . . . 8 Deductions on this return not charged against book income this year (itemize): a Depreciation.. $ Contributions b carryover. . . . .. $ 4 266. 4 266. 4 266. Form 1120 Company Name as shown on Form 1120 BAKER AND PRICE INC Year 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 Subtotal 1997 Total 7WSD6A 1 Original NOL Generated 20,662. 869. 203. 32 595. 54 329. 54,329. Used Prior to Current Year NOL Carryover Worksheet ~ -3 452. -3 452. -4 266. -7,718. Remaining Carryover Available In Current Year (Schedule K, line 15) 20 662. 869. 203. 32 595. For Tax Year 1997 Employer Identification Number 23-0381007 Used In Current Year (Form 1120, line 29a) NOL Carryover to 1998 Expired :!\I:;j\II\I:~\\[I\\~\I\\IIIII:[:lll!.:\!\:I::::.:I::l'.I\"l'll~:l\!:\llll::\:..:::: :1:11111111~IIIIIIIIIIIIIII\I\\I:\:I::I:I::l:l:l\l'\I.::!'\.\'\:\\.:.\:'\.::I:: ':\\I\111:\:I\I:[!:\:I~:IIII:!:\::::I:'[:::[!!::'::::::::\::::..::::.1:..:::.::\: o. ....... ....:.:.,:\ :11111111!:!\IIII:I\I:l!!\::l\\::II:.::ll::...'\:,::,::'''::'''\'\:''::\::1.:.\\\'\1 o. 46 611. EP supporting Schedules - 1997 Page: 1 Company: BAKER AND PRICE INC EIN: 23-0381007 ************************************************************************** ~ Form 1120 - Deductions, Line 26 Other Deductions Description Amount -------------------------------------------------------------------------- HOSPITALIZATION INSURANCE LEGAL AND ACCOUNTING OFFICE EXPENSE PARKING TELEPHONE UTILITIES 824. 1,803. 1,600. 3,595. 885. 2,00l. 200. TOTAL 10,908. ------------- ------------- Form 1120 - Schedule K, Line 5 Owners of 50% or more of Corporation's voting Stock 9, o Name ID# Owned ---------------------------------------------------------.----------------- LLYOD S. BAKER BETTY J. BAKER 187-16-4752 160-16-8986 50.00 50.00 Form 1120 - Schedule L, Line 24 Appropriated Retained Earnings Description Beginning Ending RETAINED EARNINGS 648. -31,947. TOTAL 648. -31,947. ------------- ------------- ------------- ------------- S YO C H RCT-101 (9-97) DEPARTMENT USE ONLY PA DEPARTMENT OF REVENUE PA CORPORATE TAX REPORT 1997 DATE RECEIVED BUREAU OF CORP. TAXES RCT -101 o E PT. 280427 .. HARRISBURG PA 17128-0427 STEP A 1. Tax Period Beginning MM DO '('(., Ending MM DO yy DLN Tax Period . 01/01 97 12/31/97 STEP B 2. Use peel-off PA Corp Tax label from the cover of the Tax Instruction Book. Otherwise print or type. Label 3. Check if address change (Complete and file Form REV-854). . 4. Check if filing period change (Complete and file Form REV-854). 5. Check here if tax report is prepared by Tax Practitioner and you ONLY require a name and ad dr. label. DR6 DR7 . Corporation Name Account ID Sn A n BAKER AND PRICE INC 1141-955 TAX DLN AFFIX , Number and Street Entity 10 (EIN) LABEL 144 STRAWBERRY STREET 23-0381007 HERE , City or Town, State, and Zip Code HARRISBURG, PA 17101 STEP C . 6. H PA S 7. U FIRST REPORT 8. U LAST REPORT 9. }tlARENT CORPORATION 1}t LLC 11. U 52-53WEEKFILER Check Applicable Block(s) 12. FAMILY FARM 13. n FIRST CLASS CORPORATION 14. HOLDING COMPANY 15. REGULATE D INVESTMENT COMPANY and See Instructions STEP 0 16. Compute tax liability for Capital Stock/Foreign Franchise, Loans and Corporate Net Income Taxes on pages 2 & 3, then complete this tax summary. Tax Summary A. TAX LIABILITY B. ESTIMATED C. CALCULATION FROM TAX PAYMENTS AND Col. A minus Col. B CREDITS ON DEPOSIT Positive or REPORT FOR CURRENT PERIOD (Negative) CAPITAL STOCK r--- FOREIGN ENTER FRANCHISE TAX . 300. 300. WHOLE ,^'" [ LOANS TAX . UR HECK CORPORATE NET OOL- ERE INCOME TAX . LARS TOTAL . 300. 300. ONLY 17. If Column C TOTAL is greater than zero, complete STEP E. 18. If Column C TOTAL is less than zero, an overpayment exists. Skip to STEP F. 19. If Column C TOTAL is zero, no payment is due. Skip to STEP G. STEP E . 20. Apply Column C TOTAL from STEP 0 by tax. The payment amount for each tax must be zero or greater. Tax Payment DEPARTMENT USE ONLY Application PAYMENT I P CAPITAL STOCK FOREIGN . ENTER FRANCHISE TAX 300. . WHOLE LOANS TAX O. CORPORATE NET . OOL- INCOME TAX O. LARS TOTAL PAYMENT must equal the Column C TOTAL from STEP D. . Make check for this amount payable to: "PA DEPT. of REVENUE" TOTAL PAYMENT 300. ONLY Please check this block only if the total payment shown to the n nght has been (or will be) paid by Electronic Funds Transfer (EFT). . . . . . . . . . . . . . . . STEP F . 21. Check ONLY ONE box to select a refund or transfer method. Overpayment A. Automatically transfer overpayment(s) to current tax period underpaid taxes & remaining portion to the next tax period. B. Au to ~:~i;t~~y $ of the current tax period overpayment(s) to the next tax period after paying any current tax period underpaid taxes & refund the remaining portion of the current tax period overpayment(s). C. Refund the overpayment from the current tax period after payinq any current tax period underpaid taxes. STEP G 1 hereby affirm under penll~es prescribed by law that this r10rt (including any accompanying schedules and statements) has been examined by me and 0 the best of my knowledge an belief is a true, correct and complete re~ort. If prepared by a Signature person other than thet<fXpayer, his declaration is based on all information of which he has ariv know edoe. SIGNATURE OF OFFICER OF CO. I TITLE DATE I TELEPHONE NUMBER Sign Here X 22. ,. PRESIDENT 717-232-8425 STEP H . 23.1 Check h~;'Edo mail settlement notice AND requests for additional info. to preparerls address. Preparer's addr. must be printed or typed below. Settlement Sign PRINT INDIVIDUAL PREPARER OR FIRM'S NAME INDIVIDUAL OR FIRM'S SIGNATURE OF PREPARER Mailing Here X 24.BRUCE E BAYUK PC Address INDIVIDUAL OR FIRM'S STREET ADDRESS TITLE TELEPHONE NUMBER SOUTH FRONT STREET (717)763-8339 CITY STATE ZIP CODE DATE PREPARER'S EIN OR SSN WORMLEYSBURG PA 17043-1395 03/07/98 23-2044968 7 PA1011 NTF 13605 PA RCT-101 (1997) Page 2 M M D D Y Y Oldest Period n Start Here ACCOUNTlD 1141-955 TAX PERIOD END. I TAXABLE PERIOD TAXABLE PERIOD TAXPAYER USE BEGINNING ENDING (WHOLE DOLLARS ONLY) M M D D Y Y M M D D Y Y BOOK INCOME 01 01 93 12 31/93 3,452. 01 01 94 12 31 94 -869. 01 01 95 12 31 95 -203. 01 01 96 12 31 96 -32,595. 12;:31/97 I CORPO- RATION BAKER AND PRICE INC ..~~M~"~I:.~j..I~~iil"iil~i~~!.!II,;.;;:..::.:;:'...':':::::..................... HISTORY OF EARNINGS DEPARTMENT USE ONLY . Additional Periods use these spaces (Skip lines if not required) =:!:: Current Tax Period Book Income (Loss) . [JJ 01/01/97 12/31/97 .-1.. Total Book Income (sum of income for all tax periods within, up to, but not over, 5 years total) 2 ~ Divisor (in years and part years rounded to three decimal places) See Instructions 3 ~ Divide Line (2) by Line (3) . 4 ~ AVERAGE BOOK INCOME -- Enter Line (4) or if Line (4) is less than zero enter "0" . 5 ~ Divide Line (5) by .095 6 ...!...- Sum of capital stock, paid-in capital and retained earnings less treasury stock at the endof the current period 7 ~ Sum of capital stock, paid-in capital and retained earnings less treasury stock at the beginning of the current period 8 9 If Line (7) is more than twice as great or less than half as much as Line (8), add Lines (7) and (8) _ and divide by 2. Otherwise enter Line (7) 9 ~ NET WORTH -- Enter Line (9) or if Line (9) is less than zero enter "0" , 10 ..!.!... Multiply Line (10) by 0.75 11 ~ Add Lines (6) and (11) 12 ~ Divide Line (12) by 2. 13 ~ $125,000 valuation deduction 14 ~ CAPITAL STOCK VALUE - line (' 3)less Line (' 4) but not less than "0". If 100% txb\., enter Line (' 5) on line (17). 15 ..!! Proportion of taxable assets or apportionment proportion, (From Schedule A-1, Line (5) below.) 16 17 TAXABLE VALUE -- Multiply Line (15) by Line (16). If less than zero, enter "0" , . , . . 17 - Multiply Line (17) by .01275, and enter 18 CAPITAL STOCK/FOREIGN FRANCHISE TAX -- this amount (minimum tax is $300) -+ 18 4,266. .' -25,949. 5.000 -5,190. . o -7 681 . -11947.. 0.. ($125,000) 0.. 300. . SCHEDULE A-1: APPORTIONMENT SCHEDULE FOR CAPITAL STOCK/FOREIGN FRANCHISE TAX Enter numerator(s) and denomlnator(s) of fractions used for apportioning capital stock value. Enter the figures only for the apportionment method (Three Factor or Single Factor) used In tax computation. Also enter the apportionment proportion calculated to six decimal places In Line (5) below, Three Factor -- From insert sheet (RCT -106) page 2 or Manufacturing Exemption Schedule (RCT -105) 1a Property Factor -- PA. . . . . . . . . . . . . . . . .. 1a . b Property Factor -- Total. . . . . . . . . . . b . G:EJ 2a Payroll Factor -- PA . . . . . . . . . . . . . . . . . . . ,. 2a . b Payroll Factor -- Total. . . b . ~ 3a Sales Factor n PA . . . . 3a . b Sales Factor n Total. . . . . . . . . . . , . . . . . , . . , b . Single Factor -- From insert sheet (RCT-106) page 1 or Manufacturin ~a Single Factor -- Numerator. . . . . . . . . . . . . , ,. 4a . b Single Factor -- Denominator. . . . . . . , . . , , . , b . 5 Apportionment Proportion -- Also enter on Line (16) in Section A above. . . . . . . . . . . . . . . . . . . ., ~ . 1 TAXABLE INDEBTEDNESS (Complete Schedule B-1 on page 4 of the RCT-101.), .,. , .. ,.. . . . 2 Multiply Line (1) by .004 . . . . . . . . . . . . . . . , , , . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . , , . , . . . . . . 3 Treasurer's Commission (See Instruction Book.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 LOANS TAX -- Line 2 minus Line 3 . , , , , , , . , , , , , . . , . . . . , . . , , . , , . . . . . , . , , , , . , ., -. TAXPAYER -- CHECK OFF ALL THAT ARE ENCLOSED WITH THIS TAX REPORT FEDERAL FORM 1120 OR 1120S (required) RCT-103 RCT-102 FEDERAL FORM 1065(LLC'S) RCT-106 RCT-105 DEPARTMENT USE ONLY (CHECK ALL THAT APPLY) SPECIAL WITHDRAWAL OUT OF EXISTENCE AFFIDAVIT FILED SPECIAL DISSOLUTION SPECIAL MERGER 1 2 3 4 . REV-238 0 SEPARATE COMPANY BALANCE SHEET CONSOLIDATED BALANCE SHEET (reqUIred for parent corps.) CLEARANCE BULK SALE 7 PA1012 NTF 13606 CORPO- RATION BAKER AND PRICE INC ACCOUNT 10 114 1- 9 55 PAGE 3 M D D Y Y TAX PERIOD ENDING TAXPAYER USE DEPARTMENT (WHOLE DOLLARS ONLY) USE ONLY 4 266. . a . b . c . 2 . 3 4 266. a . b . c . d . 4 . 5 4 266. . PA RCT-101 (1997) Income or Loss from federal return on a separate company basis . . . . . . . . . . . . . . . . . . . . . (Anach copy of federal Form 1120 or 11205, etc. to back of the RCT -101) Deductions: ~ Corporate Dividends Received (From Schedule C-2, Line 6) . . . . . . . . . . . . . . . . . . . . . b Interest on U.S. I GROSS INTEREST I I EXPENSES I Securities less (Anach Schedule) c Other (Anach Schedule). See Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL DEDUCTIONS -- Sum of (a) through (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8j ~~:I~~~:~s Line (2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ; Taxes imposed on or measured by net income (Anach Schedule) . . . . . . . . . . . . . . . . . b Tax Preference Items. (Anach copy of Federal Form 4626) . . . . . . . . . . . . . . . . . . . . . . . c Employment Incentive Payment Credit Adjustment (Anach Schedule W) . . . . . . . . . . . . d Other (Anach Schedule) See Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL ADDITIONS -- Sum of (a) through (d). . .. . . . . . . . . . . .. . . . . . . . . . . . . . . . . INCOME OR LOSS WITH PENNSYLVANIA ADJUSTMENTS -- Line 3 Ius Line 4 .... CORPORATION WHICH TRANSACTS ITS ENTIRE BUSINESS IN PA (does NOT apportion) SHOULD SKIP TO LINE (11) AND ENTER LINE (5) THERE. 6 Total Nonbusiness Income (or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 INCOME (OR LOSS) TO BE APPORTIONED -- Line (5) minus Line (6) . . . . . . . . . . . . . . . . 7 8 Apportionment Proportion (from Schedule C-1 Line (5)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 INCOME (OR LOSS) APPORTIONED TO PA -- Line (7) multiplied by Line (8) . . . . . . . . . . . 9 10 Nonbusiness Income (or loss) allocated to PA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10 11 TAXABLE INCOME (OR LOSS) AFTER APPORTIONMENT -- Line (9) plus Line (10). Enter amount from Line (5) for corporations which do not apportion. If a Loss, add to form RCT -103. . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11 12 Total Net Operating Loss Deduction (from RCT-l03) cannot exceed $1,000,000 . . . . . .. 12 13 PA TAXABLE INCOME -- Line (11) minus Line (12). If less than zero, enter "0" . . . . . . . . .. 13 14 CORPORATE NET INCOME TAX -- Multi I Line 13 b .0999................... ~ 14 . . 4 266. . 4 266. . O. . SCHEDULE C-1: APPORTIONMENT SCHEDULE FOR CORPORATE NET INCOME TAX Enter the numerator(s) and denomlnator(s) of fractions used for apportioning Income. Also enter the apportionment proportion calculated to six decimal places In Line (5) below. Three Factor -- From insert sheet (RCT -106) page 2. 1a Property Factor -- PA. . . . . . . . . . . . . . . . . . . . .. la . b Property Factor -- Total. . . . . . . . . . . . . . . . b . 2a Payroll Factor -- PA . . . . . . . . . . . . .. 2a . b Payroll Factor -- Total. . . . . . . . . . . . . . . . . . b . 3a Sales Factor -- PA . . . . . . . . . . . . . .. 3a · b Sales Factor -- Total. ........ .. . . . . . . . . . b . c Double Weighted Sales Factor (See instructions) (Line (3a) divided by Line (3b)) x 2. . . . . .. ~ Single Factor -- Apportionment Proportion 4a Single Factor -- PA. . . . . . . .. ~ b Single Factor -- Total. . . . . . . . . . . . . . . . . . . . .. ~ 5 A ortionment Pro ortion -- Also enter on Line 8 in Section C. See instructions SCHEDULE C-2: ~ ~ I: . 1 Federal Schedule C, Line (20), Total deductions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Federal Schedule C, Line (15), Foreign Dividend Gross-Up (Section 78) . . . . . . . . . . . . . . . . 3 DIVidends from less-than-20%-owned foreign corporations listed on Lines (13) and (14) of federal Schedule C -- x 700/0 , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Dividends from 20%-or-more-owned foreign corporations listed on lines (13) and (14) of federal Schedule C -- x 800/0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Dividends listed on Lines (13) & (14) of fed. Sch. C from foreign corporations that meet the "80% voting & value test" of IRC 9 1 504 (a) (2) & otherwise would qualify for 100% deduction under IRC 9 243 (a) (3) if they were a domestic corp. Do not list amts. Included In Item 4 . . 6 Total PA Dividend Deduction -- Add Lines 1, 2, 3, 4 & 5 [Enter above at Sec. C, Line (2a)]. 1 2 3 4 5 6 7 PA1013 NTF 13607 r PARCT-101(1997) PAGE 4 M M D D Y Y CORPO- RATION BAKER AND PRICE INC ACCOUNTID 1141-955 I.SECTlON.Of?GENERAUlN.FORMATIONQUESTlQN.NAJRStt?\ '~l 12. Corporation's records in care of: CORPORTION TAX PERIOD END. 12/31/97 1. Location of corporation's records. 144 STRAWBERRY SQUARE, HARRISBURG,PA 3. Method of accounting, if different than for federal. 4. Location of principal office. AS ABOVE 5. Has federal govt. changed taxable income as originally reported for any prior period for which reports of change have not been filed in PA? Give year(s) 6. Name and AccountlD of any corporation holding all or a majority of the stock of this corporation. 7. Other corporations of which this corporation owns all or a majority of the stock. NAME I FILE IN PA I ACCOUNTID I ENTITY 10 (EIN) 8. Date of 11/10 19 80 9. Incorporated under Pennsylvania incorporation - laws of state of 10. PA Sales Tax License No.2 2 -1 0 6 869 11. Brief description of corp. activity in PA: RETAIL SALES AND REPAIR OF JEWELRY Outside PA: NONE list other states in which taxpayer has activity: NONE It Incorporated outside PA, does corporation solicit sales in PA? Please Check II YES II NO If yes. does the corporation use: Please n n n Check. Employee An exclusive sales representative An independentsales representative? 12. Schedule of real property used in Pennsylvania (buildinqs AND land) OWNEDI RENTED Rented 144 STRAWBERRY SQUARE STREET ADDRESS CITY COUNTY ~ARRISBURG DAUPHIN ,.< ..... .....>..... ................. .... .. ... ......... ......................... ............... ..f96mMqofP\:W~tt~R~...+$&H:w.tnql.l~tlol1 f. SCHE[)ULEB-'1:CdRr?QRArg~QAN.$.TAXJNF9BMAT!QN..?QS.M~Jti~O~~~tJ(M~...~staHWml~J~$tl(ll12. 1. (Foreign Corporations Only) Did your corporation have a treasurer or other fiscal officer resident in PA and paying interest on indebtedness of the corporation? If answer is NO, remaining questions on this Schedule do not have to be answered 2 Did your corporation have indebtedness outstanding to individual residents of PA and/or to partnerships resident in PA? 3. Did your corporation have indebtedness outstanding held by a trustee, agent or guardian for a resident individual taxable in its own right or by an executor or administrator of an estate wherein the decedent was a resident of Pennsylvania? If the answers to question 2 ancl!or 3 were "YES," continue below. 4. Amount of interest actually paid on the 5. Rate of interest applicable to the indebtedness in 6. indebtedness in question 2 or 3 during the question 2 or 3. tax period reported. 1. BYES 2. YES o NO ~ NO 3. DYES ~ NO Nominal value of taxable indebtedness (divide 5 into 4) enter total of this column In Section B on page 2. 7 PA1014 NTF 13608 . . R~.'03 (9.y)) BUREAU OF CORPORATION TAXES NET OPERATING LOSS SCHEDULE File With Form RCf-lOl '*' Neme Of CorporatIon KEf<f ft<ICE. tl'le Account 10 (penn.yIvanl. Box) Number / j- 955 Complete this schedule to compute the amount of net loss carryforward available to be deducted in the current periOd and the net loss carryforward to the next periOd. Enter aU dates and money amounts from periods with returns filed. If no net loss carryforward is available enter "0". If short periods exist in calendar periods or fiscal periods begiMing in 1990 through 1996 e!lter the month, day and year of the beginning and end of all short periods and the net loss carryforward for all short periods in the appropriate row of the table (Do not combine amounts). Column (1) . Enter the month, day and year (MMDDYY) corresponding to the beginning date of each tax period. Start with tax periods begiMing in 1990 or with the entity's very first tax year. whichever is more recent. Enter the current tax period beginning dale in the last row of the table. Column (2) . Enter the month. day and year (MMDDYY) corresponding to the ending date of the tax period indicated in Column (I). Column (3) . Enter the Net Loss Carryforward corresponding to each year end from 1996 RCf-103 (Net Operating Loss Schedule), Column (4). Write "expired" in any row corresponding to tax years which begin in 1994. Column (4) . Enter the amount to be used as a net loss deduction to offset income in the tax periOd beginning in 1997. The total amount of net loss carry forwards utilized should not exceed PA taxable income (RCf-lOl, Line (11), Section C) or $1,000,000 whichever is less. Once the limit ($500.000 for pre-I995 NOL's and $1.000,000 overall or Line (11), Section C of the current period's RCT-lO I) is reached by applying oldest tax years flfSt, enter "0" for any remaining tax years.. Column (5) . Subtract Column (4) figures from Column (3) and enter the difference in this Column. Write "expired" in the rows corresponding to any tax periods which begin in 1990. If RCf-l 0 I, Line (11), Section C of the current tax periOd is a loss, enter that figure in the row corresponding to that period. (2) Tax Period Endinc (4) Amount Deducted (Current Period) (S) Net Loss Car:rrforward to Next Period Total *Total Column (4) only and transfer that total to LIne (12), Section C, RCT-101. Net losses from any tax periods which begin In 1989 or 1994 cannot be used to offset income eamed during tax periods which begin in 1997 and thereafter. The maximum amount of NOL carryforward that can be utilized in anyone year is $1 ,000,000 with the provision that no more than $pOO,ooo of the carryforward can be from tax periods 1990 through 1993. Losses from the oldest tax periods must be used first. Assuming no short periods, net losses should be utilized as follows: Losses from periods 1990 through 1993 can be carried forward to 1995,1996, and 1997. Losses from 1995 can be carried forward to 1996 and 1997. Losses from 1996 and thereafter can be carried forward three tax years. Short periods are considered to be one tax year for purposes of computing the carryforward. ~!i~;:"~,,,;,..:,,.~y,,_,4,....L ,-~:":-'1 .; REV-160S CT(9-96) PA DEPT. OF REVENUE BUREAU OF CORPORATION TAXES DE PT, 280430 HARRISBURG, PA SCHEDULE CO Please Print or Type 17128-0430 Complete and mall this schedule to the PA Department of Revenue at above address. The following Information Is requested under provision of Article 4 of the Tax Reform Code of 1971. C U T NAME OF PRESIDENT BETTY J. BAKER NAME OF VICE PRESIDENT H E R E NAM:.~SECRETARY LLf.D S. BAKER NAME OF TREASURER BETTY J. BAKER NAMES OF CORPORATE OFFICERS PREPARED BY(PLEASE SIGN) 7 PAC01 NTF 8432A PLEASE COMPLETE THE FOllOWING: ACCOUNT 10 1141-955 ~USINESS NAME BAKER AND PRICE INC SOCIAL SECURITY NUMBER 160-16-8986 PHYSICAL LOCATION OF BUSINESS. (If primary physical SOCIAL SECURITY NUMBER location of business is different than mailing address, note the address of the physical location below), SOCIAL SECURITY NUMBER STREET ADDRESS 187-16-4752 SOCIAL SECURITY NUMBER 160-16-8986 CITY 03/07/98 DATE (Cut Here) STATE ZIP CODE ' c U T H E R E Income Deduc- tions (See Instruc- tions for limita- tions on deduc- tions.) Tax and Payments Form 1120 U.S. Corporation Income Tax Return For calendar year 1998 or tax year beginning ,1998, end. .19 ~ Instructions are seDarate. See DaOe 1 for Paperwork Reduction Act Notice. Name No., street, and room or suite no. City/town, state, and ZIP code B Employer Identification no. BAKER AND PRICE INC ; 23-0381007 144 STRAWBERRY STREET C Date incorporated HARRISBURG, PA 17101 11/10/80 OMB No. 1545-0123 Department of the Trea.:;ury Internal Revenue Service 1998 A Check if a: 1 Consolidated return 8 (attach Form 851) 2 Personal holding co. (attach Sch. PH) 3 Personal service corp. (as defined in Temporary Regs. sec. 1.441-4T -- see n instructions) E Check applicable boxes: (1) I Initial return (2) I I Final return (3) I I Chanae of address $ 1a Gross receipts/sales I 126 076.lbLessreturnsandallowances I ICBai~ 1c 2 Cost of goods sold (Schedule A, line 8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Gross profit. Subtract line 2 from line 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Dividends (Schedule C, line 19).. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .. .. . . . .. . . . . . . . . . 4 5 Interest............................................................................. 5 6 Gross rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Capital gain net income (anach Schedule D (Form 1120)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Net gain or (loss) from Form 4797, Part II, line 18 (anach Form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Other income (see page 6 of instructions -- anach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 11 Total Income. Add lines 3 throuqh 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ~ 11 12 Compensation of officers (Schedule E, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 12 13 Salaries and wages (less employment credits). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 13 14 Repairs and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 14 15 Bad debts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. 15 16 Rents............................................................................. 16 17 Taxes and licenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 17 18 Interest.......................,..,.,............".,.."........,..."...,..,...".. 18 19 Charitable contributions (see page 8 of instructions for 10% limitation) . . . . . . . . . . . . , , .. . . . ., . . . . , ., 19 20 Depreciation (anach Form 4562) , . . . . . , . . , . . . , . , . . , . . , . . , . . . , , . " I 20 1< 21 Less depreciation claimed on Schedule A and elsewhere on return. , . , .. 21a I 21b 22 Depletion,......",.,....."...,.....,..,..,.".",.......,.....,.....,....,...,.... 22 23 Advertising......".,..,.......................".,..,.,.,..,.".,.,..,.""""...,. 23 24 Pension, profit-sharing, etc., plans . . , . . . . , , . . . . , . . . , . , , . , , . , . , . , , . , . . , . , , . , . . , . . , . , , . . . ,. 24 25 Employee benefit programs. . . . . . . . . . . . . , , , , . , . . . . , . , , . . , . . . . . . , . , , . . , , , . . . , . . . . . . , , , . .. 25 26 Other deductions (anach schedule), . . . . . . . . , , , . . , . . . , . , . . , . , . . . . . , , , . . , . . , . , , . . , , . . . , , , ,. 26 27 Total deductions. Add lines 12 through 26. , . . , . , . . . . , , , . . . . . , , . . . . . . . , , , , . . , , . . . . . . . . . ., ~ 27 28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from line 11 28 29 less: a Net operating loss deduction (see page 9 of instructions). . , . . " 129a I 46 , 611 .< b Scecial deductions (Schedule C, line 20) . . . , . , , , . , , . . . , . , " 29b I 29c 30 Taxable Income. Subtract line 29c from line 28 . . . , . . . . . . . . . . , , . . . , , . , . . . . , . . . . , . . , . . , . , . . 30 31 Total tax (~C~;~~~~e~~~i~;e~t). . . . . , ~. . , , , . . , . . . . . . . . . , .,:':;.:.....':.;.:":;.":."...'...........:..:... 31.... 32 ~ :::'~:::~.d.::::~:::E:m.." i( ! !~~1!!~1!1:,11il;wWt;;i e Tax deposited with Form 7004. . , . . . . . . , . . . . . , . . , . . , . . . , , , . , . . . " 32e> f Credit for tax paid on undistributed capital gains (anach Form 2439) ...., 32f<< g Credit.for Federal tax on fuels (anach Form 4136), See instructions, . . , .. 320 32h 33 Estimated tax penalty (see page 10 of instructions), Check if Form 2220 is anached. , , . , . . , . , . . . ~ U 33 34 Tax due. If line 32h is smaller than the total of lines 31 and 33, enter amount owed. . . , . . . . . , , , . , , . . 34 35 Overpayment. If line 32h is larger than the total of lines 31 and 33, enter amount overpaid. . . . . . . . , . ,. 35 36 Enter amount of line 35 you want: Credited to 1999 estimated tax ~ Refunded ~ 36 Under penalties of perjuryl I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge ana belief, it is true, correct, and complete, Declaration of preparer lotfler than taxpayer) is based on all information of which pr~pa(er.haS;aR'J'.tnowje~ ~:~ ~ :' ('\ \ (n \ \ r1 I \ \; i I ~ PRESIDENT ,. Signature of officer; ,~. \ I \ ._~. ;' \ · f Date ,. Title ~reparer's ~ .'. .. .... I Date I Check if self- !preparer's SSN signature ,. 06 / 12 / 9 9 employed n 2 05 - 2 2 - 6 4 9 9 BRUCE E. BAYUK, CPA PC EIN ~ 23-2044968 622 GAP ROAD ZIP code ~ LEWISBERRY. PA Use IRS label. Other- wise, print or type. o Total assets (see page 5 of Inst.) 91,278. 126,076. 91,772 34,304 34,304. 11,170. 9,263. 300. 19. 2,398. 10.194. 33.344 960. 46,611. -45,651. Sign Here Paid Preparer's Use Only Firm's name (or ~ yours if self-employed) and address 17339 CAA 8 112012 NTF 17035 GLD 2870 Software by Tax and Accounting Software Corp. BAKER AND PRICE INC Cost of' Goods Sold (See pa e 10 of Instructions. Inventory at beginning of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'. . . . . . . Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ . . . . . . . . . . . . . . . . . . . . . Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Additional section 263A costs (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other costs (attach schedule). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total. Add lines 1 through 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inventory at end of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2 . . . . . . . . . . . . . . . . Check all methods used for valuing closing inventory: (i) ~ Cost as described in Regulations section 1.471-3 (~.i! Lower of cost or market as described in Regulations section 1.471-4 (III) Other (Specify method used and attach explanation.) ~ ' b Check if there was a writedown of subnormal goods as described in Regulations section 1.471-2(c) . . . . . . . . . . . . . . . . . . . . . . . . ~ ~ C Check if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970). . . . . . . . . . . . . . . . . . . ~ 0 d :~::~t~~Oc~n~::~:~ ::t:;~I;;~. ~~~d. ~o.r .t~i.S. t~ .y.e.a~,. ~~t~~ ~.e.r~~~t~:~. (~~ .a~~~t~~ ~~ ~~o.s~~~ . . . . ~ e If property is produced or acquired for resale, do the rules of section 263A apply to the corporation? . . . . . . . . . . ~ f Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If "Yes," attach-ex lanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No m=$&hid.ijf~m=Qt Dividends and Special Deductions (See page 11 of (a) Dividends (c) Special deductions instructions.) received (b) % (a) x (b) ',: e. 1 Dividends from less-than-20%-owned domestic corporations that are subject to the 7P% deduction (other than debt-financed stock) . . . . . . . . . . . . . . . . . . . Dividends from 20%-or-more-owned domestic corporations that are subject to the 80% deduction (other than debt-financed stock) . . . . . . . . . . . . . . . . . . . Dividends on debt-financed stock of domestic and foreign corps. (sec. 246A) . Dividends on certain preferred stock of less-than-20%-owned public utilities. . Dividends on certain preferred stock of 20%-or-more-owned public utilities . . Dividends from less-than-20%-owned foreign corporations and certain FSCs that are subject to the 70% deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dividends from 20%-or-more-owned foreign corporations and certain FSCs that are subject to the 80% deduction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23-0381007 Pa e 2 2 3 4 5 6 7 8 9 10 1 2 3 4 5 6 7 8 "9 5 000. 96 772. 191,772. 100 000. 91 772. 70 80 see instructions 42 48 70 80 100 Dividends from wholly owned foreign subsidiaries subject to 100% deduction (section 245(b)). Total. Add lines 1 through 8. See page 12 of instructions for limitation . . . . . . . Dividends from domestic corporations received by a small business Investment company operating under the Small Business Investment Act of 1958. . . . . . . . 11 Dividends from certain FSCs that are subject to 100% deduction (sec. 245(c)(1)) 12 Dividends from affiliated group members subject to 100% ded. (sec. 243(a)(3)) 13 Other dividends from foreign corporations not included on lines 3,6,7,8, or 11 14 Income from controlled foreign corps. under subpart F (attach Form(s) 5471). . 15 Foreign dividend gross-up (section 78) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 IC-DISC & former DISC dividends not included on lines 1, 2, or 3 (sec. 246(d)) 17 Other dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Deduction for dividends paid on certain preferred stock of public utilities. . . . . 19 Total dividends. Add lines 1 through 17. Enter here and on line 4, page 1. . ~ 20 Total s e~lal deductions. Add lines 9,10,11,12, and 18. Enter here and on line 29b, a e 1.. . .. . . . . . . . .. ~ tsaledUhfJ;'i Compensation of Officers (See instructions for line 12, page 1.) Complete Schedule E onl if total recei ts (line 1 a Ius lines 4 throu h 10 on a e 1, Form 1120) are $500,000 or more. (b) Social security .ee) Percent of Percent of corporation (f) Amount time devoted to stock owned . number business (d) Common (e) Preferred of compensation o/c o/c % o/c o/c o/c 1 (a) Name of officer o. o/c % o/c o/c o/c o/c o/c o/c o/c 2 Total compensation of officers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Compensation of officers claimed on Schedule A and elsewhere on return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Subtract line 3 from line 2. Enter the result here and on line 12, a e 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CAA 8 112012 NTF 17036 GLD 2870 BAKER AND PRICE INC 23-0381007 Pae3 Tax Com utation See a e 13 of instructions. Check if the corporation is a member of a controlled group (see sections 1561 and 1563) . . . .. . . . . . .. ~ Important: Members of a controlled group, see instructions on page 13. ~ 2a If the box on line 1 is checked, enter the corporation's share of the $50,000, $25,000, and $9,925,000 taxable income brackets (in that order): (1)1$ I (2)1$ I (3) $ b Enter the corporation's share of: (1) Additional 5% tax (not more than $11,750) $ (2) Additional 3% tax (not more than $100,000) $ 3 Income tax. Check if a qualified personal service corporation under section 448(d)(2) (see page 13) . . . . ~ 4a Foreign tax credit (attach Form 1118). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4a b Possessions tax credit (attach Form 5735) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b C Check: D Nonconventional source fuel credit D QEV credit (attach Form 8834) 4c d General business credit. Enter here & check which forms are attached: ~ 3800 D~ D~ D~ D~ D~ D~ ~ D 8835 D 8844 D 8845 D 8846 D 8820 D 8847 8861 e Credit for prior year minimum tax (attach Form 8827) ... . . . . . . . . . . . . . . . . . 5 Total credits. Add lines 4a through 4e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 Subtract line 5 from line 3 ................................................................. 6 7 Personal holding company tax (attach Schedule PH (Form 1120)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 8 Recapture taxes. Check if from: . . . D Form 4255 D Form 8611 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Alternative minimum tax (attach Form 4626). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 10 Add lines 6 through 9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10 11 Qualified zone academy bond credit (attach Form 8860) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 11 12 Total tax. Subtract line 11 from line 10. Enter here and on line 31, a e 1 ....................... . . . . .. 12 $effijdijl~iK Other Information (See page 15 of instructions.) 1 Check method of accounting: a Cash e No 7 Was the corporation a U.S. shareholder of any controlled bl8l Accrual cD Other (specify) ~ foreign corporation? (See s~ctions 951 and 957.). . 2 See page 17 of the instructions and state the: If "Yes," attach Form 5471 for each such corporation. a Business activity code no. (NEW) ~ 4 4 8 3 10 Enter number of Forms 5471 attached ~ b Business activity ~ RETAIL At any time during the 1998 calendar year, did the corp. C Product or service ~ JEWELRY have an interest in or a signature or other authority over a 3 At the end of the tax year, did the corporation own, financial account (such as a bank account, securities directly or indirectly, 50% or more of the voting stock of account, or other financial account) in a foreign country? a domestic corporation? (For rules of attribution, see If ''Yes,'' the corp. may have to file Form TO F 90-22.1. section 267(c).) ................................ If ''Yes,'' enter name of foreign country ~ If ''Yes,'' attach a schedule showing: (a) name and During the tax year, did corporation receive a distribution identifying number, (b) percentage owned, and (c) from, or was it the grantor of, or transferor to, a foreign taxable income or (loss) before NOL and special deductions of such corporation for the tax year ending trust? If ''Yes,'' the corporation may have to file Form 3520. with or within your tax year. At any time during the tax year, did one foreign person 4 Is the corporation a subsidiary in an affiliated group or a own, directly or indirectly, at least 25% of: (a) total voting parent-subsidiary controlled group? . . . . . . . . . . . . . . . . power of all classes of stock of the corp. entitled to vote, or If ''Yes,'' enter employer identification number and name (b) the total value of all classes of stock of corp.? If ''Yes,'' of the parent corporation ~ a Enter percentage owned ~ b Enter owner's country ~ 5 At the end of the tax year, did any individual, partnership, C The corporation may have to file Form 5472. Enter number corporation, estate or trust own, directly or indirectly, of Forms 5472 attached ~ 50% or more of the corporation's voting stock? (For rules Check this box if the corporation issued publicly offered of attribution, see section 267(c).) .................. debt instruments with original issue discount. .. .. ~ D If ''Yes,'' attach a schedule showing name and identifying If so, the corporation may have to file Form 8281. no. (Do not include any info. already entered in 4 above.) Enter the amount of tax-exempt interest received or Enter percentage owned ~ 100 . accrued during the tax year ~ $ 6 During this tax year, did the corporation pay dividends If there were 35 or fewer shareholders at the end of the (other than stock dividends & distributions in exchange tax year, enter the number ~ 02 for stock) in excess of the corporation's current and If the corporation has an NOL for the tax year and is accumulated earnings & profits? (See sees. 301 & 316.) . electing to forego the carryback period, check here. . ~ D If ''Yes,'' file Form 5452. If this is a consolidated return, Enter the available NOL carryover from prior tax years answer here for the parent corporation and on Form 851, (Do not reduce it by any deduction on line 29a.) Affiliations Schedule, for each subsidia . ~ $ 54 329. CAA 8 112034 NTF 17037 GLD 2871 INC 23-0381007 Pa e 4 End of tax year (c) (d) 17 678. 8 956. 8 956. 100 000. 1 2a b 3 4 5 6 7 8 9 10a b 11a b 12 13a b 14 15 Trade notes and accounts receivable. . . . . Less allowance for bad debts. . . . . . . . . . . Inventories. . . . . . . . . . . . . . . . . . . . . . . . . U.S. government obligations . . . . . . . . . . . Tax-exempt securities (see instructions) . . Other current assets (anach schedule). . . . Loans to stockholders . . . . . . . . . . . . . . . . Mortgage and real estate loans . . . . . . . . . Other investments (anach schedule) . . . . . Buildings and other depreciable assets. . . Less accumulated depreciation. . . . . . . . . Depletable assets. . . . . . . . . . . . . . . . . . . . Less accumulated depletion. . . . . . . . . . . . Land (net of any amortization) . . . . . . . . . . Intangible assets (amortizable only) . . . . . . Less accumulated amortization . . . . . . . . . Other assets (anach schedule). . . . . . . . . . Total assets. . . . . . . . . . . . . . . . . . . . . . . . Liabilities and Stockholders' Equity Accounts payable. . . . . . . . . . . . . . . . . . . . 278. 13 776. 16 17 18 19 20 21 22 Mortgages, notes, bonds payable in less than 1 year Other current liabilities (attach schedule) . . Loans from stockholders . . . . . . . . . . . . . . 84 248. Mortgages, notes, bonds payable in 1 year or more. Other liabilities (anach schedule) . . . . . . . . Capital stock: a Preferred stock. . . . . . . b Common stock. . . . . . . 23 Additional paid-in capital. . . . . . . . . . . . . . (attach 24 Retained earnings -- Appropriated sch.) . . 25 Retained earnings -- Unappropriated. . . . (attach 26 Adjustments to shareholders' equity sch.). . 27 Less cost of treasury stock. . . . . . . . . . . . . ) 28 Total liabilities and stockholders' e ui ... 9 1 278. Note: You are not re uired to com lete Schedules M-1 & M-2 below if the total assets on line 15, column d of Schedule L are less than $25,000. ~ti~pAJ~M+J Reconciliation of Income Loss er Books With Income er Return (See page 16 of instructions.) 1 Net income (loss) per books . . . . . . . . . . . 960. 7 Income recorded on books this year not 2 Federal income tax. . . . . . . . . . . . . . . . . . . included on this return (itemize): 3 Tax-exempt $ Excess of capital losses over capital gains. Interest. . . . 4 Income subject to tax not recorded on books this 500. 500. 746. 19 -27 19 -26 year: 5 Expenses recorded on books this year not deducted on this return (itemize): a Depreciation.... $ b ~:r~~~e~:i~n.s. . . .. $ c ~~~~~~~~~ent . . .. $ 8 Deductions on this return not charged against book income this year (itemize): a Depreciation .. $ Contributions b carryover. . . . .. $ 6 Add lines 1 throu h 5. . . . . . . . . . . . . . . . . $CJi~dQlij:M+2 ro 1 Balance at beginning of year. . . . . . . . . . . 2 Net income (loss) per books . . . . . . . . . . . 3 Other increases: 960. 4 Add lines 1, 2, and 3 . . . . . . . . . . . . . . . . . CAA 8 112034 NTF 17038 GLD 2871 6 7 960. 8 ear line 4 less line 7 960. Form 1120 Company Name as shown on Form 1120 BAKER AND PRICE INC Year 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 Subtotal 1998 Total 8WSDSA1 Total Original NOL 20,662. 869. 203. 32 595. 54 329. 54 329. Used In Prior Years -3,452. -4 266. -7 718. -8 678. -960. NOL Carryover Worksheet t For Tax Year 1998 .. ~ Employer Identification Number 23-0381007 Carryover to 1998 1998 Deduction (Schedule K, line 15) (Form 1120, line 29a) NOL Carryover to 1999 Expired 20,662. 869. 203. 32 595. o. o. .... .. . ................................... ................... .......................... ............................................ ...................... ......... o. .. Supplemental Schedules - 1998 Company: BAKER AND PRICE INC Page: 1 EIN: 23-0381007 " Form 1120 - Deductions, Line 17 Taxes & Licenses Description Amount -------------------------------------------------------------------------- TAXES - OTHER 300. TOTAL 300. ------------ ------------- Form 1120 - Deductions, Line 26 Other Deductions Description Amount -------------------------------------------------------------------------- INSURANCE LEGAL AND ACCOUNTING OFFICE EXPENSE PARKING TELEPHONE UTILITIES 1,170. 1,700. 3,345. 1,340. 2, 126. 513. TOTAL 10,194. ------------- ------------- Form 1120 - Schedule K, Line 5 Owners of 50% or more of corporation's voting Stock % Name ID# Owned -------------------------------------------------------------------------- LLYOD S. BAKER BETTYJ. BAKER 187-16-4752 160-16-8986 50.00 50.00 Form 1120 - Schedule L, Line 24 Appropriated Retained Earnings Description Beginning Ending -------------------------------------------------------------------------- RETAINED EARNINGS EXCESS CONTRIBUTIONS -27,681. -26,721. -25. TOTAL -27,681. -26,746. ------------- ------------- ------------- ------------- PA Corporation Taxes REV.853R Annual Extension Request Edty ID If:IN) -0 ., 0<:'7 REV-853R CT (2-98) IN PA DEPARTMENT OF REVENUE BUREAU OF CORPORATION TAXES . cA\'\ t>- N_ Corpontlo.. (Eatsr N.. Add,..,) Strait CIty Slats ZIP PA D~ent of Revenue Dept Harrisburg PA 17128-0425 Depar1ment Us. Ollly ~ 1 CSIFF tax payment 00 00 00 00 2 Loans tax payment 3 CNltaxpayment ............., 4 Total Payment $ (Add lines 1, 2 and 3.) ......... Date Telephone Please Read the Instructions Before Com Sign.sture Cut Here - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - P ACZ050 1 12/17/98 S y C H RCT-101 (9-98)TS DEPARTMENT USE ONL'{ PA DEPARTMENT bF REVENUE PA CORPORATE TAX REPORT 1998 DATE RECEIVED BUREAU OF CORP. TAXES RCT -101 DEPT. 280427 r HARRISBURG PA 17128-0427 STEP A 1. Tax Period Beginning MM DO yy~ Ending MM DO yy DLN Tax Period . 01/01 98 12/31/98 STEP B 2. Use peel-off PA Corp Tax label from the cover of the Tax Instruction Book. Otherwise pnnt or type. Label 3. Check if address change (Complote and filo Form REV-854). . 4. Check if filing period chango (Comploto and filo Form REV-854). 5.D< Check here if tax reportis prepared by Tax Practitioner and you ONLY require a name and addr. label. . Corporation Name Account ID DR6 DR7 BAKER AND PRICE INC 1141-955 S n An AFFIX ~ Number and Street Entity ID (EIN) LABEL 144 STRAWBERRY STREET 23-0381007 TAX DLN HERE , City or Town, State, and Zip Code HARRISBURG PA 17101 STEP C . 6. H PA S 7. U FIRST REPORT 8. U LAST REPORT 9'l1-lARENT CORPORATION 10rt LLC 11. U 52-53 WEEK FILER Check Applicable Block(s) 12. FAMIL Y FARM 13.n FIRST CLASS CORPORATION and See Instructions 14. HOLDING COMPANY 15. REGULATE 0 INVESTMENT COMPANY STEP D 16. Compute tax liability for Capital Stock/Foreign Franchise, Loans and Corporate Net Income Taxes on pages 2 & 3. then complete thiS tax summary. Tax Summary A. TAX LIABILITY B. ESTIMATED C. CALCULATION PAYMENTS AND Col. A minus Col. B FROM TAX CREDITS ON DEPOSIT Positive or CAPITAL STOCK REPORT FOR CURRENT PERIOD (Negative) FOREIGN . 300. 300. E NTE R FRANCHISE TAX ""'[ LOANS TAX . WHOLE OUR CORPORATE NET . HECK - INCOME TAX DOL- ERE LARS TOTAL . 300. 300. ~ 17. If Column C TOTAL is greater than zero, complete STEP E. 18. If Column C TOTAL is less than zero, an overpayment exists. Skip to STEP F. 19. If Column C TOTAL is zero, no payment is due. Skip to STEP G. STEP E . 20. Apply Column C TOTAL from STEP D by tax, The payment amount for each tax must be zero or greater. Tax Payment DEPARTMENT USE ONLY PAYMENT Application I P - CAPITAL STOCK FOREIGN . ENTER FRANCHISE TAX 300. LOANS TAX . WHOLE O. CORPORATE NET . DOL- INCOME TAX O. LARS TOTAL PAYMENT must equal the Column C TOTAL from STEP D. . Make check for this amount payable to: "PA DEPT. of REVENUE" TOTAL PAYMENT 300. ONLY Please check this block only if the total payment shown to the . n right has been (or will be) paid by Electronic Funds Transfer (EFT). . . . . . . . , . . . . . . . STEP F . 21. Check ONLY ONE box to select a refu nd or transfer method. Overpayment A. f- Automatically transfer overpayment(s) to current tax period underpaid taxes & remaining portion to the nex11ax period. B. Automatically $ of the current tax period overpayment(s) to the nex~ tax period after paYing any current tax transfer period underpaid taxes & refund the remainmg portion of the current tax period overpayment(s). C, Refund the overpavment from the current tax oeriod after pavinq anv current tax oeriod underpaid taxes. STEP G I hereby affirm under penalties prescribed by law that this r'lfort (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge an belief is a true, correct and complete re~ort. If prepared by a Signature person other than the taxpayer, his declaration is based on all information of which he has any know edge. SIGNATURE OF OFFICER OF CO. I TITLE DATE I TELEPHONE NUMBER Sign Here X 22. PRESIDENT 717-232-8425 STEP H . 23.1 Check here to mail settlement notice AND requests for additional info. to preparer's address. Pre parer's addr. must be printed or typed below. Tax Preparer's Sign PRINT INDIVIDUAL PREPARER OR FIRM'S NAME INDIVIDUAL OR FIRM'S SIGNATURE OF PREPARER Mailing Here X 24.BRUCE E. BAYUK CPA, PC Address INDIVIDUAL OR FIRM'S STREET ADDRESS TITLE TELEPHONE NUMBER 622 GAP ROAD (717)938-0100 CITY STATE ZIP CODE DATE PREPARER'S EIN OR SSN LEWISBERRY. PA 17339 06/12/99 23-2044968 DEPARTMENT USE ONLY (CHECK ALL THAT APPLY) 8 SPECIAL WITHDRAWAL 8 OUT OF EXISTENCE AFFIDAVIT FILED SPECIAL DISSOLUTION SPECIAL MERGER 8 CLEARANCE BULK SALE 8 BANKRUPTCY SHERIFF SALE 8 PA1011 NTF 19699 PA CORPORATE TAX REPORT 1998 M M D D Y Y COR PO- TAX PERIOD I 12/3 RATION BAKER AND PRICE INC ACCOUNT 10 1141-955 ENDING 1/98 ~lml~~III]:!~~~~~~W~~~~i~~&I~:i:: TAXABLE PERllilD TAXABLE PERIOD TAXPAYER USE DEPARTMENT BEGINNING ENDING (WHOLE DOLLARS ONLY) USE ONLY . ..... ................................................ .... .." ....... HISTORY OF EARNINGS M M D D Y Y M M D D Y Y BOOK INCOME Oldest Period -- Start Here ~ 01 01 94 12 31 94 -869 . 01 01 95 12 31 95 -203 . 01 01 96 12 31 96 -32 595 . 01 01 97 12 31 97 4 266 . Additional Periods use these spaces (Skip lines if not required) - GJ 01/01/98 12/31/98 960 . 1 Current Tax Period Book Income (Loss) ~ - .-1. Total Book Income (sum of income for all tax periods within, up to, but not over, 5 years total) 2 -28,441 2- Divisor (in years and part years rounded to three decimal places) See Instructions 3 5 . 000 ~ Divide Une (2) by Line (3) . 4 -5,688 . . 5 AVERAGE BOOK INCOME -- Enter Line (4) or if Line (4) is less than zero enter "0" . 5 0 . - 6 Divide Line (5) by .095 6 - -6,746 . ....!... Sum of capital stock, paid-in capital and retaIned earnings less treasury stock at the end of the current period 7 8 Sum 01 capital stock, paid-in capital and retained earnings less treasury stock at the beginning of the current period 8 -7,681 . - 9 If Line (7) is more than twice as great or less than half as much as Line (8), add Lines (7) and (8) and divide by 2. Otherwise enter Li ne (7) 9 - . 10 NET WORTH -- Enter Line (9) or if Line (9) is less than zero enter "0" . 10 0 - 11 Multiply Line (10) by 0.75 11 - 12 Add Lines (6) and (11 ) 12 - 13 Divide Line (12) by 2. 13 - ($125,000) 14 $125,000 valuation deduction 14 - 0 . 15 CAPITAL STOCK VALUE - Une (13) less Line (14) but not less than "0", If 100% txbl., enter Line (15) on Line (17). 15 - 16 Proportion of taxable assets or apportionment proportion. (From Schedule A-1, Line (5) below.) 16 - 17 TAXABLE VALUE -- Multiply Line (15) by Line (16). If less than zero, enter "0" . . . . . 17 - Multiply Line (17) by .01199, and enter . 18 CAPITAL STOCK/FOREIGN FRANCHISE TAX -- this amount (minimum tax is 5300) --. 18 300 SCHEDULE A-1: APPORTIONMENT SCHEDULE FOR CAPITAL STOCK/FOREIGN FRANCHISE TAX Enter numerator(s) and denomlnator(s) of fractions used for apportioning capital stock value. Enter the figures only for the apportionment method (Three Factor or Single Factor) used In tax computation. Also enter the apportionment proportion calculated to six decimal places In Line (5) below. Three Factor -- From insert sheet (RCT -106) page 2 or Manufacturing Exemption Schedule (RCT -105) 1a Property Factor -- PA. . . 1a . b Property Factor -- Total . . . . . . . . . . . . . b . ~I 2a Payroll Factor -- PA . . . . . . . . . . . . . . . . .. 2a . b Payroll Factor -- Total. b . ~ 3a Sales Factor -- PA . . . . . . . . . . . . . . . . . . . . .. 3a . b Sales Factor -- Total. . . . . . . . . . . . . . . . . . . . . b . ~ Single Factor -- From insert sheet (RCT -106) page 1 or Manufacturing Exemption Schedule (RCT -102) ~a Single Factor -- Numerator. . . . . . . . . . . . . . .. ~ I · b Single Factor -- Denominator. . . . . . . . . . . . .. ~ . 5 Apportionment Proportion -- Also enter on Line (16) in Section A above. . . . . . .. 5 . . 1 TAXABLE INDEBTEDNESS (Complete Schedule 8-1 on page 4 of the RCT -101.). .. ......... 1 2 Multiply Line (1) by .004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Treasurer's Commission (See Instruction Book.) . . . . . . . . . . . . . 3 4 lOANS TAX -- Line 2 minus Line 3 ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. -~ 4 . TAXPAYER -- CHECK OFF ALL THAT ARE ENCLOSED WITH THIS TAX REPORT ~ FEDERAL FORM 1120 OR 1120S (required) ~ RCT-103 o FEDERAL FORM 1 065(LLC'S) ~ RCT -106 8 RCT-102 RCT-105 8 REV-238 0 SEPARATE COMPANY BALANCE SHEET CONSOLIDATED BALANCE SHEET [required lor parent corps.) 8 PA1012 NTF '9700 PA CORPORATE TAX REPORT 1998 RCT -101 PAGE 3 Income or Loss from federal return on a separate company basis . . . . . . . . . . . . . . . . . . . . . (Attach copy of federal Form 1120 or 1120S, etc. to back of the RCT -101) Deductions: ~ Corporate Dividends Received (From Schedule C-2, Line 6) . . . . . . . . . . . . . . . . . . . . . b Intere~t on U.S. I GROSS INTEREST I I EXPENSES I SecuritIes less (Attach Schedule) c Other (Attach Schedule). See Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL DEDUCTIONS -- Sum of (a) through (c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bj ~~:I~~~~:~s Line (2) . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . rn Taxes imposed on or measured by net income (Attach Schedule) . . . . . . . . . . . . . . . . . b Tax Preference Items. (Attach copy of Federal Form 4626) . . . . . . . . . . . . . . . . . . . . . . . c Employment Incentive Payment Credit Adjustment (Attach Schedule W) . . . . . . . . . . . . d Other (Attach Schedule) See Instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TOTAL ADDITIONS -- Sum of (a) through (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INCOME OR LOSS WITH PENNSYLVANIA ADJUSTMENTS -- Line 3 Ius Line 4 ,.,. M M D. D Y Y TAX PERIOD ENDING TAXPAYER USE DEPARTMENT (WHOLE DOLLARS ONLY) USE ONLY 960. . a . b . c . 2 . 3 960. a . b . c . d . 4 . 5 960. . CORPORATION WHICH TRANSACTS ITS ENTIRE BUSINESS IN PA (does NOT apportion) SHOULD SKIP TO LINE (11) AND ENTER LINE (5) THERE. 6 Total Nonbusiness Income (or loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 7 INCOME (OR LOSS) TO BE APPORTIONED -- Line (5) minus Line (6) . . . . . . . . . . . . . . . . 7 8 Apportionment Proportion (from Schedule C-1 Line (5)). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 INCOME (OR LOSS) APPORTIONED TO PA -- Line (7) multiplied by Line (8) . . . . . . , . . . . 9 10 Nonbusiness Income (or loss) allocated to PA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 10 11 TAXABLE INCOME (OR LOSS) AFTER APPORTIONMENT -- Line (9) plus Line (10). Enter amount from Line (5) for corporations which do not apportion. If a Loss, add to form RCT -103. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . .. 11 12 Total Net Operating Loss Deduction (from RCT-103) cannot exceed $1,000,000 . . . . . .. 12 13 PA TAXABLE INCOME -- Line (11) minus Line (12). If less than zero, enter "Q" . . . . . . . . .. 13 14 CORPORATE NET INCOME TAX -- Multi I Line 13 b .0999................... ~ 14 . . 960. . 960. . o. . SCHEDULE C-1: APPORTIONMENT SCHEDULE FOR CORPORATE NET INCOME TAX Enter the numerator(s) and denomlnator(s) of fractions used for apportioning Income. Also enter the apportionment proportion calculated to six decimal places In Line (5) below. Three Factor -- From insert sheet (RCT -106) page 2. 1a Property Factor -- PA. . . , . . . . . . . , . . . . . . . . .. 1a . b Property Factor -- Total . . . , . . . . . . . . . . b . 2a Payroll Factor -- PA . . . . . . , . . . . . . .. 2a . b Payroll Factor -- Total. . . . . . . . , . . . . . . . . . b . 3a Sales Factor -- PA . , . . . . , . . . . . . . . . . . . . . . .. 3a . b Sales Factor -- Total. . . . . . . . . . . . . . . . . . . . . . . b . c Double Weighted Sales Factor (See instructions) (Line (3a) divided by Line (3b)) x 2. . . . . .. ~ Single Factor -- Apportionment Proportion 4a Single Factor -- PA. . . . . . . . . . . . . . . . . . . . . . .. ~I b Single Factor -- Total. . . . . . . . . . . , . . . . . . . . .. IT! 5 A ortionment Pro ortion -- Also enter on Line 8 in Section C. See instructions SCHEDULE C-2: PA DIVIDEND DEDUCTION SCHEDULE ~ ~ . 1 Federal Schedule C, Line (20), Total deductions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. 1 2 Federal Schedule C, Line (15), Foreign Dividend Gross-Up (Section 78) . . . . . . . . . . . . . . .. 2 3 Dividends from less-than-20%-owned foreign corporations listed on Lines (13)and (14) of federal 3 Schedule C -- x 700/0 . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . 4 Dividends from 20%-or-more-owned foreign corporations listed on Lines (13) and (14) of federal 4 Schedul.e C -- x 800/0 . . . . . . . . . . . . , . . . . . . . . . . . . , . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Dividends listed on Lines (13) & (14) of fed. Sch. C from foreign corporations that meet the "80% voting & value test" of IRC g1504 (a) (2) & otherwise would qualify for 100% deduction under IRC g 243 (a) (3) if they were a domestic corp. Do not list amts. Included In Item 4 . . 5 6 Total PA Dividend Deduction -- Add Lines 1, 2, 3. 4 & 5 [Enter above at Sec. C, Line (2a)). 6 8 PA1013 NTF 19701 . . . PA RCT -101 (199a) P,l,GE 4 M M 0 0 Y Y COR PO- TAX PERIOD RATION BAKER AND PRICE INC ACCOUNT 10 114 1-955 ENDING 12'/3 1/98 [S6CTION...Pl?GeNERAWINFORMATIPN....QUESTlONNAIa.e?< >~):})f(?{::::::-: : . 1. Location of corporation's records. 12. Corporation's records in care of: 14 4 STRAWBERRY SQUARE , HARRISBURG,PA CORPORTION 3. Method of accounting, if different than for federal. 4. Location of principal office. AS ABOVE 5. Has federal govt. changed taxable income as originally reported for any prior period for which reports of change have not been filed in PA? Give year(s) 6. Name and Accou nt 10 of any corporation holding all or a majority of the stock of this corporation. 7. Other corporations of which this corporation owns all or a majority of the stock. (Consolidated balance sheet must be submit1ed.) NAME FILE IN PA ACCOUNT ID ENTITY ID (EIN) a. Date of 1 1/ 10 19 8 0 9. Incorporated under Pennsylvania IncorporatIon - laws of state of 10. PA Sales Tax License No. 2 2-106869 11. Brief description of corp. activity in PA: RETAIL SALES AND REPAIR OF JEWELRY Outside PA: NONE List other states in which taxpayer has activity: NONE If incorporated outside PA, does corporation solicit sales in PA? Please Check I I YES !Xl NO If yes, does the corporation use: n An independent sales representative? Please n Employee n An exclusive sales representative Check 12. Were any PA assets or activities of the corporation sold or transferred to another entity during the tax year? If yes, list name & address of the new owner 13. Schedule of real property used in Pennsylvania (buildings AND land) OWNEDI STREET ADDRESS CITY COUNTY RENTED Rented 144 STRAWBERRY SQUARE HARRISBURG DAUPHIN 1~8H~R~~~~t~fS8~RR5A,-g~geN~T~~'NFR~M~1-18~> .....F?r~ighp()fPArau~hS ........Start.Wi1h question 1. . '.[)~mestl~Coi"pQratlol"ls""~Start wlthquestlon 2- .. .....,..."..,......--....."...,...,... .............. -.. -.. ................. ...... ..... ...."...... ...... ... ........ 1. (Foreign Corporations Only) Did your corporation have a treasu rer or other fiscal officer resident in PA and paying interest on indebtedness of the corporation? If answer is NO, remaining questions on this Schedule do not have to be answered 1. B YES ~ NO 2. Did your corporation have indebtedness outstanding to individual residents of PA and/or to partnerships resident in PA? 2. YES NO 3. Did your corporation have indebtedness outstanding held by a trustee, agent or guardian for a resident individual taxable in its own right or by an executor or administrator of an estate wherein the decedent was a resident of Pennsylvania? 3. D YES ~ NO If the answers to question 2 and/or 3 were "YES," continue below. 4. Amount of interest actually paid on the 5. Rate of interest applicable to the indebtedness in 6. Nominal value of taxable indebtedness (divide 5 indebtedness in question 2 or 3 during the question 2 or 3. inlo 4) enter total of this column in Section B tax period reported. on page 2. 8 PA1014 NTF 19702 RCT-103 (9-98) NE TS BUREAU OF CORPORATION TAXES Taxable Period Ended (MM/DDIYY) 12 31 98 NET OPERATING LOSS SCHEDULE File With Form RCT -101 Name Of Corporation BAKER AND PRICR INC Account 10 (Pennsylvania Box) Number 1141-955 Complete this schedule to compute the amount of net loss carryforward available to be deducted in the current period and the net loss carryforward to the next period. Enter all dates and money amounts from periods with returns filed. If no net loss carryforward is available enter "0", If short periods exist in calendar periods or fiscal periods beginning in 1995 enter the month, day and year of the beginning and end of all short periods and the net loss carryforward for all short periods in the appropriate row of the table (Do not combine amounts). Column (1) -- Enter the month, day and year (MMOOYY) corresponding to the beginning date of each tax period. Start with tax periods beginning in 1995 or with the entity's very first tax year, whichever is more recent. Enter the current tax penod beginning date in the last row of the table. Column (2) -- Enter the month, day and year (MMOOYY) corresponding to the ending date of the tax period indicated in Column (1). Column (3) -- Enter the Net Loss Carryforward corresponding to each year end from 1997 RCT -103 (Net Operating Loss Schedule), Column (4). Column (4) -- Enter the amount to be used as a net loss deduction to offset income in the tax period beginning in 1998. The total amount of net loss carryforwards utilized should not exceed PA taxable income (RCT -101, Line (11), Section C) or $1,000,000 whichever is less.* Column (5) -- Subtract Column (4) figures from Column (3) and enter the difference in this Column. If RCT -101, Line (11), Section C of the current tax period is a loss, enter that figure in the row corresponding to that period. (1) Tax Period (2) Tax Period (3) Net Loss (4) Amount Deducted (5) Net Loss Beginning Ending Carryforward to (Current PerIod) Carryforward to Current Period Next Period 01/01/96 12/31/96 28,532. 960. 27,572. O. O. O. O. O. O. O. o. O. O. o. O. O. o. O. O. o. o. o. o. o. o. O. O. Total 960. *Total Column (4) only and transfer that total to Line (12), Section C, RCT-101. Net losses from any tax periods which begin in 1989 or 1994 cannot be used to offset income earned during tax periods which begin in 1997 and thereafter. The maximum amount of NOL carryforward that can be utilized in anyone year is $1,000,000. Losses from the oldest tax periods must be used first. Assuming no short periods, net losses should be utilized as follows: Losses from 1995 and thereafter can be carried forward ten tax years. Short periods are considered to be one tax year for purposes of computing the carryforward. 8 PA1031 NTF 19712A REV-160S CT(10-97)TS PA DEPT. OF REVENUE BUREAU OF CORPORATION TAXES DEPT. 280430 HARRISBURG, PA SCHEDULE CO Please Print or Type 17128-0430 Complete and mall this schedule to the PA Department of Revenue at above address. The following Information Is requested under provision of Article 4 of the Tax Reform Code of 1971. C U T H E R E NAME OF PRESIDENT BETTY J. BAKER NAME OF VICE PRESIDENT NAME.~ECRETARY LLO~u S. BAKER NAME OF TREASURER BETTY J. BAKER NAMES OF CORPORATE OFFICERS SOCIAL SECURITY NUMBER 160-16-8986 SOCIAL SECURITY NUMBER PLEASE COMPLETE THE FOLLOWING: ACCOUNT 10 1141-955 18USINESS NAME BAKER AND PRICE INC PHYSICAL LOCATION OF BUSINESS. (If primary physIcal location of business is different than mailing address, note the address of the physical location below). c U T SOCIAL SECURITY NUMBER STREET ADDRESS 187-16-4752 H E R E SOCIAL SECURITY NUMBER 160-16-8986 CITY 06/12/99 DATE PREPAREO BY(PLEASE SIGN) 8 PAC01 NTF 20852 (Cut Here) STATE ZIP CODE ' 1 120 Department of the Treasury Intemal Revenue Service 1999 Form .U.s. Corporation Income Tax Return ~ Instructions are seDarate. See instructions for Paperwork Reduction Act Notice. r IRS use only - Do not write or staple in tnlS space. For calendar year 1999 or tax year beginnina . 1999, ending ~ . I OMS No 1545-0123 A Check if a: Name B Employer Identification Number 1 Consolidated rebJrn 0 Use IRS BAKER AND PRICE INC 23-0381007 (attach Fonm 851) .. . label. 2 Personal holdi~ Otherwise, Number, Street. and Room or Suite Number (It a P.O. box. see instructions.) C Date Incorporated ~~.eru1~ ~t-W' . . . . . . 0 please 144 STRAWBERRY SQUARE 11/10/80 3 Perso:J;al servj~ corp print or City or Town Slate ZIP Code 0 Total Assets (see instructions) ~s de ned In emp type. egs Section 1.441 -4T n - see instructions} . . HARRISBURG PA 17101 E Check applicable boxes: (1) I I Initial return (2) I Final return (3) I I Change of address $ 91,675. 1 a Gross receipts or sales 1 116,151 . I b Less returns & allowances .1 c Balance ~ 1c 116, 151. 2 Cost of goods sold (Schedule A, line 8) ...... ... , ............. . . . .......... . . . ... . .. . "... . 2 95,742. 3 Gross profit. Subtract line 2 from line 1c "" . . . ,........... . . . " . ... . "'. . . . .. . ... . ,.... . 3 '20, 409. I 4 Dividends (Schedule C, line 19) . ... . .,. . . . .......... . . . ....... . ... , . . ..... . ... , . . 4 N 5 Interest 5 C ... . .. . ... . ...... . .. . ....... . .... . .. . .. . .. . ... . .. . .. . .... . 0 6 Gross rents . .. . ....,. , ...... . .. .' .., . .. . . . . . . . . . ..... . ... . . . . . . . . 6 M 7 Gross royalties. . . 7 E . . ... . .. . ..... . . . . . . . .... . .. . . . . . . . . .,. . 8 Capital gain net income (attach Schedule D (Form 1120)) . .... . . . . . . ,'. . ,...,... . 8 9 Net gain or (loss) from Form 4797, Part II, line 18 (attach Form 4797) 9 10 Other income (see instructions - attach schedule) .. . ... . ........ . ... . .. . ..... . 10 11 Total income. Add lines 3 through 10. . . . .... . ,.... . . . .. . ..... . ...... . .... . ..,.. . ~ 11 20,409. .... . . .. . . 12 Compensation of officers (Schedule E, line 4) ...... . ... . . . . . . . . .,. . .. . ... . ..... . .... . 12 0 13 Salaries and wages (less employment credits) .. . ... . . . . . . . . . . . . ... . ... , . . . . , . . .. . .. . 13 E F 14 Repairs and maintenance 0 .... . ....... . ...... . ,.... . ... . ... . . .. . . . . . . . 14 0 R 15 Bad debts 15 U ...... . ,.... . .,. . ... , .. . ...... . .. . .... . . . . . C L 16 Rents 16 12,103. I ...... . ... . .. . . . . . . . . ..... . . . . . . T M 17 Taxes and licenses. 17 500. I I . . 0 T 18 Interest .. . .. . 18 56. A N T 19 Charitable contributions (see instructions for 10% limitation) .. . ..... . . . 19 S I 20 Depreciation (attach Form 4562) . .~ 0 .. . ... . N 21 Less depreciation claimed on Schedule A and elsewhere on return . 21 b 5 s .. 218 E 22 Depletion. 22 E 0 ... . . . . . . . . . . . . . . .. . .... . N 23 Advertising 23 3,283. I ... . .... . .... . . . . . . , . . . . ..... . . . . . . . ..... . N 0 24 Pension, profit-sharing, etc, plans. . . 24 5 E .......... . . . . . . . , . . ..... . .. . .. . T 0 25 Employee benefit programs . . ......... . ,..... . ..... , .... . .... . ... . ... . .... . ..,. . ... , .. . .. . 25 R U . See. Other .Dedwcti.(m~ StalemeClt . . u C 26 Other deductions (attach schedule) .. . . . .,.., . .. . ,.., . 26 12,327. c T Z7 Total deductions. Add lines 12 through 26 ~ 'lJ 28,269. T I . . ..' . ... . ........... , ... . . . . , . . .. J 0 28 Taxable income before net operating loss deduction and special deductions. Subtract line 27 from Ime 11 28 -7,860. 0 N N S 29 Less: a Net operating loss (NOL) deduction (see instructions) ~I 45,651 s ,.,. . b Special deductions (Schedule C, line 20) .. . ... . ...... . .... . .. 29b 29c 45,651. 30 Taxable income. Subtract line 29c from line 28 30 -53,511. T 31 Total tax (Schedule J, line 12) 31 A . . . . ... . .... . .. . ... . X 32 Payments: a ~~iJ!t~~e{J'19~~nt . . ~ ...IIII'.:'i!I!~II:I.::':I~.:I.:.::I.~:I!!'III:l'i::I.:'1::II:"I:.:I:"':III:.:II"':I.:~il:lil':~I'I'II;ill:I:III:.I..III..I:II.!:II":. A b 1999 estimated tax payments .... . N c Less 1999 refund applied for on Form 4466 d B;';lEl 0 32c e Tax deposited with Form 7004. . . . .. . ..... , .... . P f Credit for tax paid on undistributed capital gains (attach Form 2439) A 9 Credit for federal tax on fuels (attach Form 4136). See instructions. 32h y M 33 Estimated tax penalty (see instructions). Check if Form 2220 is attached . . ... . . . ~U 33 E N 34 Tax due. If line 32h IS smaller than the total of lines 31 and 33, enter amount owed 34 T 35 Overpayment. If line 32h IS larger than the total of lines 31 and 33, enter amount overpaid 35 S 36 Enter amount of line 35 you want: Credited to 2000 estimated tax .. . . . . ~ Refunded 36 ~ Sign Under ~enalties of periury. I de::l5're "tl ha~ ~a"!l'l' ned ~s r"t\~"1~cOmpanYin3 schedules and statements, and 10 tne besl of my knowledge and belief, It is true. correct. and ccr'f"tJ'ecla.ti 0 prep reo r tn yer) is base on;" in ~R;tsnI o~ .tN~ preparer has any knowledge Here ~ Signature of OffIcer I n i ! f/' Date\ ( Title ,.<1 '1#~ ~,.y ~ I Check ,f Preparer's SSN or PTIN Preparer's ~/Iltl! ?: ,?/ 1/t self. rxl Paid Signature (1A A'fr.Y/ 10/00 employed 202-42-5563 Preparer's Firm's Name NORMAN R. BURKHOLDER, CPA EIN ~ 23-2513789 Use Only (or yours if ~ 622 GAP ROAD self.employed) and Address LEWISBERRY PA ZIP Code ~ 17339 BAA CPCA0212 12/8/99 Farm 1120 (1999) .' Form 1120 (1999) BAKER AND PRICE INC '" '. Cost of Goods Sold see instructions 1 Inventory at beginning of year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . '.' . . . . . . . . . . . . . . . . . 2 Purchases............................... . ~. . . . . . . . . . . . . . . . . . . . . . . . . . 3 Cost of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Additional Section 263A costs (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Other costs (attach schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Total. Add lines 1 through 5 .......................................................................... 7 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on line 2, page 1 ....................... . . . . 9. Check all methods used for valuing closing inventory; (I) ~ Cost as described in Regulations Section 1.471.3 (Ii) Lower of cost or market as described in Regulations Section 1.471-4 (Iii) Other (specify method used and attach explanation) .. ... .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ b Check if there was a writedown of subnormal goods as described in Regulations Section 1.471-2(c) . . . . . . . . . . . . .. · 8 c Check if the LIFO inventory method was adopted thi~ tax year for any goods (if checked, attach Form 970) ......... . . . . .. · d If the LIFO inventory method was used for thiS tax year, enter percentage (or amounts) LJ of closing inventory computed under LIFO. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9d . If property is produced or acquired for resale, do the rules of Section 263A apply to the corporation? . . . . . . . . . . . . . . . /23-0381007 Pa e 2 , 2 3 4 5 6 7 8 100,000. 95,852. 195,852. 100,110. 95,742. DYes D~ f Was there any change in determining quantities, cost, or valuations between opening and closin invento ? If 'Yes,' attach ex lanation ................................................................... Yes X No : "f: ..,~.. Dividends and Special Deductions (a) Dividends (b) Percentage (c) Special deductions (see instructions) received (a) x (b) 1 Dividends from less-than-20%-owned domestic corporations that are subject to the 70% deduction (other than debt-financed stock) . 2 DividendS from 2O%-or.more-owned domestic corporations that are subject to the 80% deduction (other than debt-financed stock) . . . . . . . 3 Dividends on debt. financed stock of domestic and foreign corporations (Section 246A) . 4 Dividends on certain preferred stock of less-than-20%-owned public utilities. 5 Dividends on certain preferred stock of 2O%-or -more.owned public utilities . 6 Dividends from less.than-20%-owned foreign corporations and certain FSCs that are subject to the 70% deduction ............ 70 80 42 48 70 7 Dividends from 2O%.or-more-owned foreign corporations and certain FSCs that are subject to the 80% deduction ............ 80 8 Dividends from wholly owned foreign subsidiaries subject to the 100% deduction (Section 245(b)) ................................. 100 9 Total. Add lines 1 through 8. See instructions for limitation. . . . . . . . . . ',ll@1tmnt@Ulf&fmtntfftM&IN1M@mm:ttmm@ ~.l"". ~l.~H.:l::tll1.~~ 10 Dividends from domestic corporations received by a small busll1ess II1vestment company operating under the Small Business Investment Act of 1958 ......... Dividends from certain FSCs that are subject to the 100% deduction (See 24S(c)(I)) Dividends from affiliated group members subject to the 100% ded (Section 243(a)(3)) . Other dividends from foreign corporations not included on lines 3, 6, 7, 8, or 11 .... . . Income from controlled foreign corporations under subpart F (attach Form(s) 5471) ... Foreign dividend gross-up (Section 78) ........................... IC-DISC and former DISC dividends not included on lines 1,2, or 3 (Section 246(d)) . . . Other dividends ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deduction for dividends paid on certain preferred stock of public utilities. . . . . . . . . . . %itmlM1~Mtm~nM Total dividends. Add lines 1 through 17. Enter here and on line 4, page 1 ........ · Total s ial.deductions. Add lines 9, 10, 11, 12, and 18. Enter here and on line 29b, a e 1 .................. Compensation of Officers (see instructions for line 12, page 1) Note: Complete Schedule E only if total receipts (line 7a plus Imes 4 through 70 on page 7, Form 7720) are $500,000 or more. (a) (b) (c) Percent of Percent of corporation stock owned (f) Amount of time devoted . Name of officer Social security number to business d Common e Preferred compensation % % % % % % % % % % % % % % % 100 100 100 :m~f~ili~*lirt:~~*~~~~~5f~1@.l 2 Total compensation of officers ....................................... . . . . . . . . . . 3 Compensation of officers claimed on Schedule A and elsewhere on return. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Subtract line 3 from line 2. Enter the result here and on line 12, page 1 ..................... CPCA0212 12/8/99 Form 1120 (1999) :::::::;:::: ::::~:::::.~ 10 At any time during the tax year, did one foreign person :ti:;:\: ~~Jr; ~~~ngd~~~t~ ~~ ~~~I~~~S a~fl;f;~k2~rothO:: 2~~p~reaii~~1 m:::\:: ~ri.ff entitled to vote, or (b) the total value of all classes of ::::::~:::: ::::::i;::; stock of the corporation? X I 'Y :::::::::::: :::;::;:~:::: f es,' ;:::;:::i:" *i,i*'{ a Enter percentage owned · ~:::,:,:::, ,:,@~:: -------------- iMB b Enter owner's country · _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .:':.:;:,: <:;,:.~:'. C The corporation may have to file Form 5472. Enter number of \{{ :m~:t 12 ~~~~E~~~~~~~~:;g~;~~~~~~;;~d~ ~ II 13 ~c:~r:d:~:~ni5t:; ft:::re:~ar;o~-;r~;-t lh; ;nd ~f~; - l!illlll. '::riil: :: ;~~~~~fj:~?;~~~:~:~:;:~:~t~,o~:~:~,;,~g II (Do not reduce It by any deduction on line 29a.) ,;::::,:,::, ":::::i\(: . 4 51 . rti\: ::iJ,iM 23-0381007 BAKER AND PRICE INC Tax Com utation (see instructions 1 Check if the corporation is a member of a controlled group (see Sections 1561 and 1563) Important: Members of a controlled group, see instructions. ~ 2a If the box on line 1 is checked, enter the corporation's share of the $50,000, $25,000, & $9,925,000 taxable income brackets (in that order): (1) $ (2) $ (3) $ b Enter the corporation's share of: (1) Additional 5% tax (not more than $11,750) . . . $ (2) AdditIOnal 3% tax (not more than $100,(00) . . $ 3 Income tax. Check if a qualified personal service corporation under Section 448(d)(2) (see instructions) . . . . . . . . . . . 4a Foreign tax credit (attach Form 1118) . . . . . . . . . b Possessions tax credit (attach Form 5735) . . . . . . . . . . . . . . . . . . . . . . . c Check: 0 Nonconventional source fuel credit 0 QEV credit (attach Form 8834) d G8ener~ines8s cr~nter h8ere :~;heck8whi~7~~ms ar8e at~~~~: 8 8830 H ~:~~ 8835 8844 8845 8846 8820 8847 tj 8861 8 Credit for prior year minimum tax (attach Form 8827) . . . . . . . . . 5 Total credits. Add lines 4a through 4e 6 Subtract line 5 from line 3 ......... 7 Personal holding company tax (attach Schedule PH (Form 1120)) . . 8 Recapture taxes. Check if from: 0 Form 4255 0 Form 8611 9 Alternative minimum tax (attach Form 4626) . . . . . . . . . . 10 Add lines 6 through 9 ... 11 Qualified zone academy bond credit (attach Form 8860) ....... 12 Total tax. Subtract line 11 from line 10. Enter here and on line 31, page 1 ........ :R ~.'<". .:~: if:: ..JW Other Information (see instructions) 1 Check method of accounting: a Cash b I8J Accrual c 0 Other (specify) · 2 See the instructions and enter the: a Business activity code no.. 3~li3JQ _ _ _ _ _ __ b Business activity · _REI. ~.r!: _ _ _ _ _ - - - - - - - ::,....,. .,.:.:.:.:.: 8 3 '~f?iiz;~~si:~~:i~~~;~i~~~:~~ ~ -II see Section 267(c).) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X ~ ~D 3 4a 4b 4c 4d 48 5 6 7 8 9 10 " 12 7 Was the corporation a U.S. shareholder of any controlled foreign corporation? (See Sections 951 and 957.) . .. .. .. If 'Yes,' attach Form 5471 for each such corporation. Enter no. of Forms 5471 attached · If 'Yes,' attach a schedule showing: (i) name and employer identification number (EIN), (b) percentage owned, and (c) taxable income or (loss) before NOL and special deductions of such corporation for the tax year ending with or within your tax year. At any lime dunng the 1999 calendar year, did the corpora- tion have an interest In or a signature or other authority over a financial account (such as a bank account, securities account, or other financial account) in a foreign country? If 'Yes,' the corporation may have to file Form TO F 90-22.1. If 'Yes,' enter name of foreign country · 9 During the tax year, did the corporation receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If 'Yes,' the corporation may have t'O file Form 3520 4 Is the corporation a subsidiary in an affiliated group or a parent-subsidiary controlled group? X ': 'Yes,' enter name and EIN of the parent corporation :iiiliIIIUli[:lli: --------------------------[#0% 5 ~~~~i:~if~;i~~~~~~rfil~; 'I" If 'Yes,' attach a schedule showing name and identifying number. (Do not include any information already entered in 4 above.) Enter % owned" _ _ _~O.9.:.Q.o_ SeeOues5Stmt:\L..,.. .:,~",;{ 6 r~~~!n~i~:~{~~;v:~~nx~~:~i~d~~:~i~f:~~!~~~sends 1.'I.i~.I:: :..11.11.1 current and accumulated earnings and profits? (See :::i:,:::: ::::::::::i: Sections 301 and 316.) X If 'Yes,' file Form 5452. If thiS is a consolidated return, answer here for the parent corporation and on Form 851 Affiliations Schedule for each subsidiar . BAA :::::::::::: :~:::::::::: ~~~~~~i~~. i~~r~t~ :1111111:' :1111':[11.: CPCA0234 10/06/99 Page 3 Yes No X ~~t;~% tl@~ II ttt 1~~~j~g X ~1~~~~~1~~~ ~l~~r ~~~~~t~~ ~~~r~1 ~~~l~i~~ 1~j~~m~~~ X Form 1120 (1999) :$ijIUJ.dijlij~:e.m?:ff BAKER AND PRICE INC Balance Sheets per Books Assets 23-0381007 End of tax year Page 4 1 Cash .... 2a Trade notes and accounts receivable b Less allowance for bad debts. . 3 Inventories 4 U.S. government obligations 5 Tax-exempt seCUrities (see Instructions) 6 Other current assets (attach schedule) . 7 Loans to shareholders 8 Mortgage and real estate loans 9 Other Investments (attach schedule) .. lOa BUildings and other depreciable assets b Less accumulated depreciation 11 a Depletable assets b Less accumulated depletion 12 Land (net of any amortization) 13a Intangible assets (amortizable only) b Less accumulated amortization 14 Other assets (attaCh schedule) '5 Total assets Liabilities and Shareholders' Equity 16 Accounts payable 17 Mortgages, notes, bonds payable In less than 1 year 18 Other current liabilities (attach sch). LI1.18 Stmt 19 Loans from shareholders 20 Mortgages, notes, bonds payable In 1 year or more 21 Other liabilities (attach schedule) 22 Capital stock: a Preferred stock b Common stock Additional paid-In capital Retamed eamlngs - Approp Retained earnings - Unappropriated AdJustments to shareholders' equity Less cost of treasury stock 72 , 5 5 7 . ::::m:::t::::::::::):\:?:::::mlm:::J::J:::::t:::::~: 72,557. O. ::tnmm:::::::U:l:llitt::i::::::::m:::t::i::::::::m: ~~;~)~~11tj~tmm~~~)1/1tr~]f~r1~1~~~~~m~1mj~jr~~jj 91,675. 21,013. 85,298. 500. 19, 500. -34,636. 91,675. 5 Expenses recorded on books this year not deducted on this return (Itemize): a Depreciation $ b Contributions carryover $ c Travel & entertainment $ See Ln 5 Stmt -7,860. 4 Add lines 1, 2, and 3 7 Add lines 5 and 6 8 Balance at end of year (line 4 less line 7) CPCA0234 12109199 -34,636. Other Deductions Worksheet ~ Keep for your records Form 11.20, Line 26 Form 1120-A, Line 22 1999 ~ Employer Identification No. 23-0381007 Name BAKER AND PRICE INC 900. 1 2 3 4 5 6 7 8 9 ................. 10 11 12 13 14 15 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 a b c 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Accounting. . . . . . . . . . . . Amortization...... . Automobile and truck expense Bank charges ...... Commissions .......... Credit and collection costs . Delivery and freight .... . . . . . Discounts ... . . . . . . . . . . . . . . . . . . . Dues and subscriptions ..... Equipment rent ............. Gifts ................. Insurance. . . . . . . . . . . . . Janitorial. . . . . . . . . . . . . . Laundry and cleaning . Legal and professional Meals and entertainment, in full . Less disallowed... .. Meals and entertainment, net. . Miscellaneous....... . . . . . .. .......... ............ Office expense. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Outside services ............... . . . . . . . . . . . . . . . . . . . Parking fees and tolls . . . . . . . . . . . . . . . . . . . . . Permits and fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Postage. Printing ............. Security . Supplies ............ Telephone Tools. Travel. . . .. Uniforms ... Utilities ................ Other (itemize): CONTRACT HIRE 1,473. 700. 116 :1 16c 17 18 19 20 21 22 23 24 25 26 27 .... 28 ...... 29 30 31 1,050. 5,437. 1,387. 218. 1,162. 32 12,327. 32 Total. . . CPCV0601.SCR 12108/99 F 011111120, Line 29a, or Fonn 1120-A, Line 25a Net Operating Loss Worksheets ~ Keep for your records 1999 f, Name BAKER AND PRICE INC Employer Identification Number 23-0381007 NEW LAW: Two year carryback, twenty year carryover NOL Carryover Year A Carryover B Less Carrybacksl Carryovers C Adj usted Carryover 1998 . . .. . . . . . . . . . . . . . . . . .. . . . . .. .. . . . . . . .. . . .. . . . .. . .. 1997................................................. . Total New Law. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OLD LAW: Three year carryback, fifteen year carryover NOL A B C Carryover Carryover Less Adjusted Year Carrybacksl Carryover Carryovers 1998 45 . 651 45 . 65 1 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 Total Old Law 45 . 651 45 , 65 1 BAKER AND PRICE INC 23-0381007 Net Operating Lo~s Summary NOL A B C D E Carryover NOL Deduction Adjustment Remai ni ng Remai ni ng Year Carryover Allowed in Under Section Carryover Carryover Available Current Year 172(bX2) New Law Old Law 1998 . . . . . . . . . . 45,651. 45,65l. 1997 ..... . .... . 1996 . . . . . . . . . 1995 , ...... . . . . . 1994 ...... . .. . 1993 . . . . . . . . . . . 1992 .,....... . 1991 ,......., . 1990 .... . ..... , 1989 ....,..... . 1988 ,.., . 1987 ,.... . . . 1986 ... . " . 1985 .... . ... . 1984 ..... . Totals ... . 45,651. 45,651. Less: Carryover expiring due to 15-year limitation .. . Add: Current year net operating loss. . . ..... . 7,860. Less: Carryback of current year net operating loss. .. . Net operating loss carryover to next year . ...,. . ... . . . . . . . . . . . . . . . 53,511. CPCW7601.SCR 10/15/99 . . , " " BAKER AND PRICE INC 23-0381007 1 - Form 1120, Page 1, Line 26 Other Deductions Statement t . ~ Accounting 900. Insurance 1,473 . Leg;al and professional 700. Parking; fees and tolls 1,050. Supplies 5,437. Telephone 1,387. Utilities 218. CONTRACT HIRE 1,162. Total 12,327. , Form 1120. Page 4, Schedule L, Line 18 Ln 18 Stmt Beginning of End of Other Current Liabilities: tax year tax year PA SALES TAX 20,464. ACCRUED CORPORATE TAX 549. Total 21,013. Form 1120, Sch K, Corporation Ownership Information Ques 5 Stmt Name ID No. BETTY J BAKER 160-16-8986 Form 1120, Page 4, Schedule M.1, Line 5 Ln 5 Stmt TAX PENALTY AND FINES 30. Total 30. BAKER AND PRICE INC 23-0381007 2 Supporting Statement of: Form 1120, pl-2/Line 1a it Description Amount SALES WATCH REPAIR 97,068. 19.083. Total 116.151. Supporting Statement of: Form 1120. pl-2/Schedule A, Line 2 Description Amount MERCHANDISE WATCH REPAIR 79,200. 16,652. Total 95,852. BAKER AND PRICE INC 23-0381007 Form 1120, p1.2: U.S. Corporation Income Tax Return ~ Taxes and Licenses Smart Worksheet A State taxes . B Local property taxes. . C 1 Payroll taxes .. 2 Less: Credit from Form 8846 o Other miscellaneous taxes. E Licenses. . . . . . . . . . . . . . . 500. RCT-lcn (9-99) IN W. PA OEPAR-mENT OF REVENUE BUREAU OF CORPORATION TAXES OEPT 280427 HARRISBURG, PA 17128.0427 Step A , Tax Period . Step B label Affix label .. Here Step C . Chec:lc ADpllcabl. 810.:11(1) Ind S" lnetruc:1lone Step D Tax Summary ~ C[ A H P E L C E K y H o E U R R E Step E Tax Payment Application Step F Overpayment Step G Signature PA Corporate Tax Report 1999 RCT- 101 Department Use Only Date Received . Tax period beginning MM DD YY Ending MM DD YY 1/1 99 12/31/99 2 Use peel-off Pennsylvania Corporate Tax label from the cover of the Tax Instruction Book. Otherwise pnnt or type. 3 Check if address change (complete and file Form REV.854). 4 Check if filing penod change (complete and file Form REV.854). 5 X Check here if tax report is prepared b Tax Practitioner and au Onl require a name and address label. Corporallon N..... ACl:ount 10 DR? A II DlN . DR6 sll Tax DlN BAKER AND PRICE INC Number and Street 1141-955 Entity 10 (EIN) 23-0381007 144 STRAWBERRY SQUARE City or Town State ZIP Code HARRISBURG 6 PA S 7 0 Fint Report LLC 11 052-53 WeekFiler 12 Fami Fann 13 FintClassCo orltion 14 Re ulatedlnvestmentCom an 16 Compute tax liability for Capital Stock/Forei n Franchise, Loans and Cor rate Net Income Taxes on pages 2 & 3, then complete this tax summary A Tax Liability B Estimated C Calculation from Tax Pay'ments and Column A minus Report Credits on Deposit Column B for the Current Period POSitive or (ne atlve) Capital Stock Foreign Franchise Tax. . . . . 200. 200. loans Tax . . . Corporate Net Income Tax . . . . Enter Whole Dollars Only o. 0, 17 18 19 . 20 200. Payment Capital Stock Foreign Franchise Tax 200. · loans Tax O. · Enter Whole Dollars Only . Corporate Net Income Tax .. O. · Tobl Payment must equal the column C Total from Step O. Total I I Make check for this amount payable to: 'PA Oept of Revenue' Payment . . . 200. · Please check this block onl if the total payment amount shown to the right has been (or will be) paid by Electronic Funds Transfer (EFT) 21 Check only one box to select a refund or transfer method. A 0 Automatically transfer overpayment(s) to current tax period underpaid taxes and the remaming portion to the next tax period B 0 Automatically transfer $ of the current tax period overpayment(s) to the next tax period after paYing any current tax period underpaid taxes and refund the remaining portion of the current tax period overpaYl1lent(s). C Refund the overpa ment from the current tax period after paYing an current tax penod underpaid taxes. I hereby afftnn under p.nlltlll prll.:r1bed by law that thll report Onc:ludlng Iny accompanying echedul.. and ltatemente) h.. been ..amined by me and to the beet 01 my lrlIowtedge and bellelll 1 true. correct and .:omplete report. II prepared by 1 person other than the taxpayer, hi. d.daration il b....d on IIllnlormllloo 01 whl.:h he has Iny lrlIowtedge. Signature 01 Olllc:er 01 Com piny Title Sign Here X 22 Step H . 23 Tax Sign Pre~arer's Here X 24 NORMAN R. BURKHOLDER, CPA Maiing Address Individual or Firm's Street Address 622 GAP ROAD C ~ City State ZIP Code Dale (717) 938-0100 Prepa,e,'s EIN. SSN or PTIN LEWISBERRY PA 17339 Department Use Only (check All that apply) FI Special Withdrawal FlOut of Existence Affidavit Filed _ Special Dissolution _ Special Merger PACZ0101 12/18/99 03/10/00 23-2513789 R Clearance Bulk Sale FI Bankruptcy __ Sheriff Sale Form RCT-191IN PA Corporate Tax Report 1999 Corporation BAKER AND PRICE INC Account I~ 1141 - 95 5 ..::::':ltlll.:lllllllilllllilli:111!llllilii:::.I!:1111:111:: TaB~~\~~~~Od MMDDYY ... 01/01/95 01/01/96 01/01/97 01/01/98 Tauble Period Ending MMDDYY 12/31/95 12/31/96 12/31/97 12131/98 Additional periods use these spaces (skip lines if not required) 1 Current tax period book income (loss) ................. "'1 1 I 01/01/99 2 T olal book income (sum of income for all tax periods within, up to, but not over,S years total) . 3 Divisor (in years and part years rounded to three decimal places). See instructions .... 4 Divide line 2 by line 3 5 Average Book Income - Enter line 4 or If line 4 IS less than zero enter '0' 6 Divide line 5 by .095 . 7 Sum of capital stock, paid.in capital and retained earnings less treasury stock at the end of the current pen ad 8 Sum of capital stock, paid. in capital and retained earnings less treasury stock at the beginning of the current period . If line 7 is more than twice as great or less than half as much as line 8, add lines 7 and 8 and divide by 2. Otherwise enter line 7 . .. . . . 10 Net Worth - Enter line 9 or if line 9 is less than zero enter '0' 11 Multiply line 10 by 0.75.""" 12 Add lines 6 and 11 . . . . . . . . . 13 Divide line 12 by 2. 14 $125,000 valuation deduction. 15 Capital Stock Value - Line 13 less line 14 but nolless than '0'. If 100% taxable, enter line IS on IlIle 17. 16 Proportion of taxable assets or apportionment proportion (from Schedule A.1, JlIle 5 below) 17 Taxable Value - Multiply line 15 by line 16. If less than zero, enter '0' 12/31/99 2 3 4 5 6 7 9 M Tax Period Ending I Page 2 y y I M D D 12/31/99 T alp ayer Use (Whole Dollm Only) Book Income -203. -32.595. 4,266. 960. Department Use Only 8 -7,890. - -35,462. 5.000 -7,092. . O. O. -14,636. . -6,746, . 9 10 11 12' 13 14 15 16 17 o. O. . O. O. O. ($125,000) O. . o. 18 Capital Stock/Foreign Franchise Tax - Multiply line 17 by .01099, and enter thl" amount (minimum tax is $200) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .... 18 Schedule A-1: Apportionment Schedule for Capital Stock/Foreign Franchise Tax Enter the numerator(s) and denomlnator(s) of fractions used for apportioning the capital stock value. Enter the ligures only for the apportionment method (Three Factor or Single Factor) used In the tax computation. Also enter the apportionment proportion calculated to six decimal places In line 5 below. Three Factor - From insert sheet (RCT. 1 06) page 2 or Manufacturin Exem tion Schedule (RCT.105) 1 a Property factor - Pennsylvania. . 1 a . b Property factor - Total . b . 1 c I 2a Payroll factor - Pennsylvania 2a . b Payroll factor - Total. b . 2 c I 3a Sales factor - Pennsylvania 3a . b Salesfactor-Total. b . 3cl Sin Ie Factor - From Insert sheet (RCT -106) page 1 or Manufactunng Exemption Schedule (RCT -102) 4a Single factor - Numerator......... ...... ~ I_ b Single factor - Denominator. . . . . .. .,. . n . 5 Apportionment roportion - Also enter on line 16 in Section A above _ . . . . .1 5 I . " :iilJ.jf.~S.~~~ ,:~t''" '.' k ~tiMl~J:~lfMmM~~:f~:l:::t@jJJtt:t:M~~::tm~'m:::~tftMJ:::t::t::WJJ:tttt:~/:::f~~::::t:::::~:~:/::::::::::f:::::Htm:t:Hf:::::m:/J:::t:::::;/m:tr:m::::1:::J:::m:'~m~11:::m::~::m::~::::?~:r::::::::~::::::::::':m1f::::'::::::r::tt~ 1 Taxable Indebtedness (complete Schedule B-1 on page 4 of the ReT.lDl) 1 . 2 Multiply line 1 by ,004 . . . . . . . . . 2 3 Treasurer's commission (see instruction book) 3 4 Loans Tax - Line 2 minus line 3 . . . . . . . . . . . 4. Taxpayer - Check off All that are enclosed with thiS tax report X Federal Form 1120 or 1120S (reqUired) X RCT - 103 Federal Form 1065 (LLC'S) RCT - 106 200. . RCT .102 RCT.105 REV-238 0 Separate Company Balance Sheet Consolidated Balance Sheet (required for parent corporations) PACZ0102 12/17/9 Form RCT-1011N PA Corporate Tax Report 1999 M M Page 3 D D Y Y Corporation BAKER AND PRICE INC AccountlD 1141-.955 I Tax Period Ending I 12/31/99 "...:.:."...::::::;:::li;~.lill!:::II~:.lil:i:~!II:l1::::!lilllil:li:~ilili~illl:liiliiil:llliil~111:11Ir::!:::~:I:liiIJllill!:i!~~i!il:~::!illI1llili.!'::'-.!.:.i::I~:I:!i:I:::-::";:;..::-.:::.:.~~::.1 ~ Income or loss from federal return on a separate company basis 1 (Attach copy of federal Form 1120 or 11205, etc to back of the RCT. 101) ~Deductions: a Corporate dividends received (from Schedule C-2, line 6) .. . . b Interest on U.S. securllies I Gross Interest I I Expense. (attach schedule) less ~ Other (attach schedule) see Instructions Total Deductions - sum of a through c 3 Line 1 less line 2 . . . . . . . . . . . . . . . . . . . 4 Additions: a Taxes imposed on or measured by net income (attach schedule). ........... a . b Tax preference items (attach copy of federal Form 4626) . . . . . . _ . . . . . b . c Employment incentive payment credit adjustment (attach Schedule W) c . d Other (attach schedule) see Instructions d. Total Additions - sum of a througn d 4. 151 Income (or loss) with Penns Ivania Adjustments - line 3 plus line 4 5 - 7, 860. . Corporation Which Transacts its Entire Business in Pennsylvania (does Not apportion) Should Skip to Line 11 and Enter Line 5 There. 6 Total nonbusiness Income (or loss) 6 I . 7 Income (or loss) to be Apportioned - line 5 minus line 6 7 8 Apportionment proportion (from Schedule C.1 line 5) . . 8 9 Income (or loss) Apportioned to Pennsylvania - line 7 multiplied by line 8 9 10 Nonbusiness income (or loss) allocated to Pennsylvania. . 10 Taxpayer Use (Whole Dollars Only) -7,860. . Department Use Only a . b c . . . 2 3 -7,860. . 11 Taxable Income (or loss) After Apportionment - Line 9 plus line 10. Enter amount from line 5 for corporations which do not apportion. If a loss, add to Form RCT. 103 12 Total net operating loss deduction (from R CT -103) cannot exceed $2,000,000 . 13 Pennsylvania Taxable Income - Line 11 minus line 12. If less than zero, enter '0' 14 Corporate Net Income Tax - multipl line 13 by .0999 .. Schedule C-,: Apportionment Schedule for Corporate Net Income Tax 11 -7',860. . 12 O. . 13 O. - 14 O. . Enter the numerator(s) and denominator(s) of fractions used for apportioning income. Also enter Ihe apportionment proportion calculated 10 six decimal plac.. in line 5 below. Three Factor - From insert sheet (RCT -106) page 2. 1 a Property factor - Pennsylvania. 1 a b Property factor - T ota! b 2a Payroll factor - Pennsylvania 2a b Payroll factor - T ota! b 3a Sales factor - Pennsylvania 3a b Sales factor - Total. . b ---.E. Triple weighted sales factor (see instructions) (line 3a divided by line 3b) x 3 ISinor Facto, - Appocbonm'nl Pmpo,I',n 4a Single factor - Pennsylvania... ~ b Single factor - Total " n 5 Apportionment proportion - Also enter on line 8 In SectIOn C. (see Instructions) Schedule C-2: Penns vania Dividend Deduction Schedule 1 Federal Schedule C, line 20, total deductions 2 Federal Schedule C, line 15, foreign dividend gross-up (Section 78) . . 1 c I 2cl . I 3cl I: 5 . 1 2 3 Dividends from less-than-20%-owned foreign corporations listed on lines 13 and 14 of federal Schedule C - x 70% 3 4 Dividends from 20%-or-more-owned foreign corporations listed on lines 13 and 14 of federal Schedule C - x 80% .... .. .. .... .. .... .............. ..... . . 4 5 Dividends listed on lines 13 and 14 of federal Schedule C from foreign corporations that meet the '80% voting and value test' of IRC Section 1504 (a) (2) and otherWise would qualify for 100% deduction under IRC Section 243 (a) (3) if they were a domestic corporation. Do not list any amounts included in Item 4 . . . 5 6 Total Pennsylvania dividend deduction - Jdd lines 1.2, 3, 4 Jnd 5 (enter above Jt SectIOn C. Ime 2J) 6 PACZ0103 12/17/99 t' Form RCT-1(l1 IN PA Corporate Tax Report 1999 Page 4 M M D D Y Y Tax Period Ending I 12/31/99 -:.:.:.;.:.:.:. .:.:.:.;.:.~.:. 144 STRAWBERRY SQUARE, HARRISBURG,PA 3 Method of accounting, if different than for federal. CORPORATION 4 Location of principal office, AS ABOVE 5 Has federal government changed taxable income as originally reported tor any prior period for which reports of change have not been filed In Pennsylvania? Give year(s) NO 6 Name and Account 10 of any corporation holding all or a malorlty of the stock of thtS corporatoon N/A 7 Other corporations of which this corporation owns all or a majority of the stock, (Consolidated balance sheet must be submitted.) Name File in PA Account 10 Entity ID (EIN) 8 Date of incorporation 111 10 19 ~ 9 Incorporated under laws of state of PEN N S Y L V AN I A 10 Pennsylvania sales tax license number 22 -1 06869 11 Brief description of corporate activity In Pennsylvania: R ETA IL SA L E SAN 0 R E P A I R 0 F JE WE L R Y Outside Pennsylvania: NON E list other states in which taxpayer has activity: NONE If incorporated outside Penns Ivania, does the corporation soliCit sales In Penns Ivanla? Please check No If yes, does the corporation use: Please check Employee An exclUSive sales representative An Independent sales representative? 12 Were any Pennsylvania assets or activities of the corporatIOn sold or transferred to another entity dUring the tax year? If yes, list the name :Jnd address of the new owner NO 13 Schedule of real proper used in Pennsylvania (buildings and land) Owned/ Rented Street Address City County RENTED 144 STRAWBERRY S UARE HARRISBURG DAUPHIN !Sii.1iij)J;f~ei_.iNi.m~l6.ifi.mr:m::1rtIIIf:r::rr:II:rltII:ll::IIWfI'::rrr:I::::f::::f:r::::r:::ff1::t:f:r:IIff:r::tt::t::::::r:I::::::::m:::m:If:r'\t:::I':m::::m:m,::w:'::::@):m=:}@m:))tJ'{:! 14 Have you sold or transferred business assets during the taxable year, if so what percent of lotal assets does thiS transaction represent. What IS name and address of purcllaser? % Name Address ~6i.ijijUn,{t.Jj]lfiiigJtijiij..}rii)l6J,'ririi.V.ijriJt;t:J:t:::,:,tt:::J:::t:/:tr:::::',{,'t/t:Jmt::::::'J'::::::ttt//:::/::::mtt/,://=:::/:m::::::'/::J:/,/t,::::m:m:I//=::::/,:U:m:/=::::,:t::y://:ttl (Foreign corporations only) Did your corporation have a tl'easurer or other fiscal officer resident In Pennsylvania and paying interest on Indebtedness of the corporation? If answer IS no, remaining questions on this schedule do not have to be answered 2 Did your corporation have Indebtedness outstanding to IndIvidual residents of Pennsylvania and/or to partnerships resident in Pennsylvania? , , , , , , , , . ,. . 3 Did your corporation have Indebtedness outstanding held by a trustee, agent or guardian for a resident individual taxable in its own fight or by an executor or administrator of an estate wherein the decedent was a resident of Pennsylvania? " ",. '" """"",."" , ',., " " .,."" If the answers to uestion 2 and/or 3 were 'Yes,' continue below. 4 Amount of interest actually paid on 5 Rate of interest applicable to the the indebtedness in question 2 or 3 Indebtedness in question 2 or 3, during the tax period reported, o 20 Yes Yes o No [gJ No 3D Yes [gJ No 6 Nominal value of taxable Indebtedness (divide 5 into 4) enter total of this column in Section B on page 2, Total PACZ0104 12/20/99 l' " RCT -1 03 {9099) IN Bureau of Corporation Taxes '* . Net Operating Loss Schedule File with Form ReT.1Dl Taxable Period Ended (NNlDD/YY) I Name of Corporation ~ I Account 10 (Pennsylvania Box) Number 12131/99 BAKER AND PRICE INC 1141-955 (1~Ta~ P~riod (2) Tax Period (3) Net Loss (4) Amount Deducted (5) Net Loss egannang Ending Carryforward to Current (Current Period) Carryforward to Period Next Period 01/01/98 12131/98 27,572. O. 27.572. , 01/01/99 12/31/99 7,860. Total O. P ACZO 70 1 , 12120/99 . ' " Bureau of Unclaimed Property P.O. Box 1837, Harrisburg, PA 17105-1837 1-800-222-2046 Robert P. Casey, Jr. State Treasurer \1111111111 Treasury Department commonwealth of Pennsylvania Harrisburg, Pennsylvania 17120-0018 99786771 REQUEST FOR CLAIM BAKER LLOYD S EST ATE OF PURCELL KRUG AND HALLER 1719 NORTH FRONT ST HARRISBURG PA 17102 You may be entitled to claim funds that are being held by the Pennsylvania Treasury Department's Bureau of Unclaimed Property. By law, unclaimed property is turned over to the Treasury Department for safekeeping until we can return it to its rightful owner. Financial assets that have become dormant are considered to be unclaimed property. Dormancy in most cases is considered to be five years, although there are some exceptions. We have enclosed a claim form for you. It lists the property that may be yours. In order to claim that property, please follow the instructions below carefully. We will attempt to return any original documents to you. Please do not use any highlighting on any of the documents, and please do not print or copy your claim on colored paper. If you are the owner of the property: 1. Complete and sign the owner claim form. 2. Submit a copy of either your driver's license or your signed social security card. 3. If your name is different from the name listed in Box A of the enclosed claim form, provide us with proof of your name change. Such proof could be a marriage license, for example, or a form called Election to Retake a Prior Name. 4. If there are multiple names listed in Box A of the enclosed claim form, each person named must complete these steps. If any person named is deceased, you must provide an original death certificate for that person. 5. Submit the original property that is listed on the enclosed claim form. If the property is lost or otherwise unavailable, you must submit the enclosed Affidavit and Indemnification agreement after you have signed it in the presence of a notary public. 6. Ifthere is an address listed in Box B of the enclosed claim form, you must provide proof that you resided or did business at that address. If you are a third-party claiming on behalf of the owner: . Complete the steps above plus whichever of the following applies to you: a. If you are a legal representative of the owner (i.e., attorney, have power of attorney, trustee, guardianship), you may claim property by submitting an original agreement or power of attorney, provided compensation, if any, is for a fixed fee or hourly rate, and not contingent upon the value of the unclaimed property. RETURN CLAIM FORM AND DOCUMENTATION TO: Bureau of Unclaime.JtP.top.ert.Y P.O. Box 1837,..Harrlsburg, PA 17105-1837 99786771 1 4/27/2006 ,-,,~.""-~--'" --------...-"" I - . ' · "BAKER LLOYD S ESTATE OF April 27, 2006 Page 2 b. If you are a finder or heir locator, submit an original agreement or power of attorney stating your authority to act, a stated fee that shall not exceed fifteen percent of the property being claimed, a description of the nature and value of the property being claimed, and the name and address of the holder (if known) and whether the property has been paid or delivered to the State Treasurer. If the owner of the property is deceased: · Complete the steps above plus whichever of the following steps applies to you: a. If you are the executor or the administrator of the estate, submit an original Short Certificate, updated within the last two years. You can obtain a current Short Certificate from the Register of Wills office in the county of the decedent's principal residence, or ifthe decedent did not die domiciled in Pennsylvania, then in the county where the property is located (unclaimed property is located in Dauphin County) or in the state where the decedent owner died. b. If the property being claimed has a value of $11 ,000 or less, and if no estate has been opened, or if a period of five years has passed since a personal representative was appointed to the estate, and if the owner died as a resident of Pennsylvania, and if you are the surviving spouse, child, parent, or sibling (preference is given in that order), you must provide a death certificate and the Entitlement by Relationship to Decedent Owner Affidavit. c. If there is not an executor or an administrator (because an estate was never opened), and if the property has a value of more than $11,000, ask the orphan's court in the county where the decedent died domiciled, or if the decedent was not domiciled in Pennsylvania, then in the county where the property is located (unclaimed property is located in Dauphin County) for instructions on how to proceed by completing a Petition for Intestacy Distribution. If the owner is a company: · Complete the steps above plus whichever of the following applies: a. If the company has changed its name from that listed in Box A of the enclosed claim form, you must provide a proof of name change. b. Provide a letter authorizing you to act on behalf of the business. The letter should be on company letterhead, must be signed by a corporate officer other than yourself, and either contain the corporate seal or be signed in the presence of a notary public. Pennsylvania law requires the State Treasurer to sell all stocks, bonds, and other negotiable financial instruments upon receipt of such items. Therefore, in such cases, you will not receive the actual physical certificate but will instead receive a check representing the net value of the shares as of the date of liquidation. After reviewing your claim, we may require even further documentation. We recognize that this process seems cumbersome, but we must make every effort to return funds only to their rightful owners. The entire procedure takes time, and we ask respectfully for your patience as we serve you. Return your claim forms to the Pennsylvania Treasury Department, Bureau of Unclaimed Property, P.O. Box 1837, Harrisburg, PA 17105-1837. If you have any questions, please contact us at 1-800-222-2046 weekdays from 7:30 a.m. to 5 p.m. RETURN CLAIM FORM AND DOCUMENTATION TO: Bureau of Unclaimed Property P.O. Box 1837, Harrisburg, PA 17105-1837 99786771 I 4/27/2006 . . , . Robert P. Casey, Jr. State Treasurer Bureau of Unclaimed Property P.O. Box 1837, Harrisburg, PA 17105-1837 1-800-222-2046 Treasury Department Commonwealth of Pennsylvania Harrisburg, Pennsylvania 17120-0018 11111111111111111111111111111111111111111111111111 99786771 (A) Original Owner's Name BAKER LLOYD S (B) Original Owner's Address as Reported 954 HUMMEL AVE LEMOYNE PA 17043- (C) Holder Reporting Funds HARRIS SAVINGS BANK (E) Holder Address and Contact (D) Last Transaction Date 635 N 12TH ST LEMOYNE PA 17043- SUSAN FYOCK (717)909-2652 (F) Type of Funds Reported 100100999 (G) Certificate, Policy or Check Number PASSBOOK SAVINGS (H) Amount Reported $165.38 (A) Original Owner's Name BAKER LLOYD S (B) Original Owner's Address as Reported 954 HUMMEL AVE LEMOYNE PA 17043- (C) Holder Reporting Funds HARRIS SAVINGS BANK (E) Holder Address and Contact (D) Last Transaction Date 635 N 12TH ST LEMOYNE PA 17043- SUSAN FYOCK (717)909-2652 (F) Type of Funds Reported 100100999 (G) Certificate, Policy or Check Number PASSBOOK SAVINGS (H) Amount Reported $333.10 (A) Original Owner's Name BAKER LLOYD S BAKER BETTY J (B) Original Owner's Address as Reported 954 HUMMEL AVE LEMOYNE PA 17043-1737 954 HUMMEL AVE LEMOYNE PA 17043-1737 (C) Holder Reporting Funds AT&T CORP (E) Holder Address and Contact (D) Last Transaction Date 04/29/1999 ONEAT&TWAY RM3C221G BEDMINSTER NJ 07921- DONNA GREENHALGH (908)234-4947 (F) Type of Funds Reported 4900-111633754 (G) Certificate, Policy or Check Number DIVIDENDS (H) Amount Reported Total Shares Claimed 0.0000 Total Cash Claimed $4.43 $502.91 RETURN CLAIM FORM AND DOCUMENTATION TO: Bureau of Unclaimed Property P.O. BoxJ837, Harrisburg, PA 17105-1837 99786771 I 4/27/2006 ':1<- c-",:-'::"'i.) ~ L,L- L!.- o C) LL.. C"'\ t-- t?' v,) ("-'(5 c5 Li....! LLJ C'L: 0:: A. It') M x: Q... ~ I-CL 0:: ~ =>0 u-Qc' " o - 00 t€ s', ~ lUZ' --I <( U:.c; 0-('; cr::: ";.': O~ C5 (..) w o r- gg C"o.I .... - c :E en en C ...I (.) I- en a: - LL. ... ~ ~ ..........-I ..........-I ~ ::c ~ ~~ ~ o_Z I.Ll '"' 1'\ f-. U '-H.J ~ :::: 1E I"""( !z: -< o C 2 ~ ~ ~ ; ~ o:l '" Ol ~ ..........-I 5 2 ..........-I ~ ~ ~ ~ ~ ~ '" ::8 ~ Q) l/) :J o :r: 't :J o o >. EM - :J..... =l/)OO ==0" =5 ..... ::>"0<( -...... c: ...=o.!!!Q. - ...... - -::Q)Q)Q) = (;) ..0 u; = "5> E ";: = Q) :J ctI -=0:::00 ~ A ... A ~ LAW OFFICES HOWARD B. KRUG LEON P. HALLER JOHN W. PURCELL JR. JILL M. WINEKA NICHOLE M. STALEY O'GORMAN LISA A. RYNARD Purcell, Krug & Haller 1719 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-2392 TELEPHONE (717) 234-4178 FAX (717) 783-4939 HERSHEY (717) 533-3836 JOSEPH NISSLEY (1910-1982) JOHN W. PURCELL VALERIE A. GUNN Of Counsel December 10, 2007 Register of Wills Cumberland County Court House Carlisle, PA 17013 Re: Estate of Lloyd S. Baker No. 21-03-0466 Dear Register of Wills: Enclosed for filing, please find an original and three copies of the Inheritance Tax Return in the above-captioned matter. I am also enclosing a check payable to the Register of Wills for $15.00 for the filing fee. Please return two date-stamped copies of the document to me in the enclosed stamped, self-addressed envelope. Thank you. Sincerely, J~n~. ~ JMW/bas Enclosures cc: Betty J. Baker, Admin. w/o enc. () ,- N = = -..I c::J rr1 ("j (.~.)!~) .:;2-'..n _....~.:;o ::'-l -0 ;po. -0 ::it W c..n \.D STATUS REPORT UNDER RULE 6.12 BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND ,PENNSYLVANIA Name of Decedent: Lloyd S. Baker Date of Death: 11/20/1999 File No. 21-03-0466 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to the 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. Did the personal representative file a final account with the Court? YES_ NO ~ b. The separate Orphan's Court No. (if any) for the personal representative's account is: 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 to this report. 'd' '., V lI)~ ....m8 I un.rV\ c' 'I' j....jdl-lO ..LO IlAj ~),!\ ~lJ I lo.J :10 >ll:J3l8 Ckft Yn- ~. Si9~ Jill M. Wineka, Esquire Name (Please type or print) 1719 North Front Street Address Date: ~I U 10 r Harrisburg PA 17102 2tp II WV L I ~dV SOOl (717) 234-4178 Tel. No. Capacity: _ Personal Representative ~ Counsel for personal representative COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE """"'''''''''''''''En r\"""'~;;,"""~ 'J)-(I,J-'; J" i' r'H ,I'T\,-1tC OF INHERITANCE TAX ~'.;: ":C::"A'P~)(At\~. ~~. ~I, ALLOWANCE OR DISALLOWANCE r-:.cJj,~.1 Ui Ot',:DE !Jl:.T;IONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 03-31-2008 BAKER 11-20-1999 21 03-0466 CUMBERLAND 101 APPEAL DATE: 05-30-2008 ( See reverse side under Objections) Amount Remittedl MAKE CHECK PAYABLE AND REMIT REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 BUREAU IlF INDIVIDUAL TAXES INHERITANCE TAX DIVISION PO BOX 2B0601 HARRISBURG PA 17128-0601 200B t\PR -4 PM I: 41 JILL M WINEKA ESQ PURCELL ETAL 1719 N FRONT ST HBG CLERK OF ORPHAN'S COURT CU'..,.Ar'-"\i ,.,"\ 0'\ . "J.' f~ PA 17102 REV-1547 EX AFP (06-05) LLOYD S I PAYMENT TO: CHANGED (1) (2) (3) (4) (5) (6) (7) .00 558.20 .00 .00 498.48 .00 .00 CUT ALONG THIS LINE --+ RETAIN LOWER PORTION FOR YOUR RECORDS +-- ------------------------------------------------------------------------------------------- REV-1547 EX AFP (03-05) NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE: OF BAKER LLOYD S FILE NO. 21 03-0466 ACN 101 DATE 03-31-2008 TAX RETURN WAS: (X) ACCEPTED AS FILED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) If an assessment was issued previously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of Ahh returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due TAX CREDITS: 14. Net Value of Estate Subject to Tax NOTE: (9) Cl 0) 8,456.00 NOTE: To insure proper credit to your account. submit the upper portion of this form with your tax payment. (8) 1,056.68 .00 Cl1) Cl2) Cl3) Cl4) Cl5) Cl6) Cl7) Cl8) .00 X .00 X .00 X .00 X 8.41>1'> DO 7,399.32- .00 7,399.32- 00 06 00 15 .00 .00 .00 .00 .00 Cl9)= 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 DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE 4. ~I=I=IIWn <:::1=1= I2I=VJ:'OC::::S: c::::rnl= nl:' TI..ITC:::: s:now enD Th.I~Tgllr-TTntrJ<' D~ ,