HomeMy WebLinkAbout06-22-12 (2)15056051058
REV-1500 EX (06-05) OFFICIAL USE ONLY
PA Department of Revenue County Code Year File Number
Bureau of individual Taxes ~ INHERITANCE TAX RETURN ~~ I ` ®~ W~
PO BOX 280601 I W
Harrisburc. PA 17128-0601 °' RESIDENT DECEDENT
ENTER DECEDENT INFORMATION BELOW
Social Security Number Date of Death Date of Birth
297-14-5377 07/01 /2011 03/03/1925
Decedent's Last Name Suffix Decedent's First Name MI
Farrell James K
(If Applicable) Enter Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
Farrell Lois A
Spouse's Social Security Number
THIS RETURN MUST BE FILED IN DUPLICATE WITH THE
281-24-4770 REGISTER OF WILLS
FILL INAPPROPRIATE OVALS BELOW
~ : 1. Original Return 2. Supplemental Return
4. Limited Estate
6. Decedent Died Testate
(Attach Copy of Will)
9. Litigation Proceeds Received
4a. Future Interest Compromise (date of
death after 12-12-82)
7. Decedent Maintained a Living Trust
(Attach Copy of Trust)
10. Spousal Poverty Credit (date of death
between 12-31-91 and 1-1-95)
3. Remainder Return (date of death
prior to 12-13-82)
5. Federal Estate Tax Return Required
8. Total Number of Safe Deposit Boxes
11. Election to tax under Sec. 9113(A)
(Attach Sch. O)
;.`t
CORRESPONDENT - THIS SECTION MUST BE COMPLETED. ALL CORRESPONDENCE AND CONFIDENTIAL TAX INFORMATION
Name Daytime Telephoi
Lois A Farrell
Firm Name (If Applicable) REGISTER
First line of address
263 W South St.
Second line of address
~D BE DIRE~`F@D TO: Ta ~ .`_',
$laLnber ~ ,:~_, :_
r?
.17-
~ ~ _
T~
1
.
a~ ~_. t
,_ ; ; .;..
. r ~
i ~ ,
t_5 use ONLY
h
~. ~" -t~
~
_' ~,'3 ~
~' O
State ZIP Code DATE FILED
City or Post Office
Carlisle Pa 17013
Correspondent's a-mail address:
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct and complete. Declaration of preparer other than the personal representative is based on all information of which preparer has any knowledge.
SI~~.ty,Q,TURE OF PERSON RE$`yPONSIBLE,FQR FILING RETURN DATE
ADDRESS
~.~ ~~ < ~ ^" ~ i' i jl! 6
SIGNATURE OF PREPARER OTHER THAN REPRESENTATIVE r DATE
_~~ c. C:,yL 4 ~%2.~i l
~.. '~:'
ADDRESS ` - ) _ -
LEASE USE ORIGINAL F RM ONLY
Side 1
15056051058 15056051058
',
.,
~t_ ~.'
~1 ;~
REV-~5i;2 EX+ (ii-0£;
jl Pennsylvania SCHEDULE A
DE?AHTMENT OF REVENUE
INHERITANCE TAX RETURN REAL ESTATE
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
James K Farrell
H~would be P changednb tween'a willangabuyeaand acwitlling sel e~r~,snebheiebeing compelled torbGy oasell, both having reiasonablelknowledge oflthe relevlantPacpsrty
Real property that is jointly-owned with right of survivorship must he disrlncad ~~ Crha,~ulo c
It more space is needed, insert additional sheets of the same size.
15056052059
REV-1500 EX
Decedent's Social Security Number
Decedent's Name: James K Farrell 297-14-5377
RECAPITULATION.
1. Real estate (Schedule A) . ............................................ 1.
2. Stocks and Bonds (Schedule B) ....................................... 2.
3. Closely Held Corporation, Partnership or Sole-Proprietorship (Schedule C) ..... 3.
4. Mortgages & Notes Receivable (Schedule D) .......................... ... 4.
5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) ..... ... 5.
6. Jointly Owned Property (Schedule F) Separate Billing Requested .... ... 6. 156,431.00
7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property
(Schedule G) Separate Billing Requested..... ... 7. 49,355.00
8. Total Gross Assets (total Lines 1-7) ................................. ... 8. 205,786.00
9. Funeral Expenses & Administrative Costs (Schedule H) .................. ... 9. 8,019.00
10. Debts of Decedent, Mortgage Liabilities, & Liens (Schedule I) ............. ... 10.
11. Total Deductions (total Lines 9 & 10) ................................ ... 11. 8,019.00
12. Net Value of Estate (Line 8 minus Line 11) ........................... ... 12. 197,767.00
13. Charitable and Governmental Bequests/Sec 9113 Trusts for which
an election to tax has not been made (Schedule J) ..................... ... 13.
14. Net Value Subject to Tax (Line 12 minus Line 13) ..................... ... 14. 197,767.00
TAX COMPUTATION -SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line 14 taxable
at the spousal tax rate, or
transfers under Sec. 9116
(a)(1.2) X .0 00 156,093.00 15. 0.00
16. Amount of Line 14 taxable
at lineal rate X .0 45 41,674.00 16. 604.00
17. Amount of Line 14 taxable
at sibling rate X .12 17.
18. Amount of Line 14 taxable
at collateral rate X .15 18
19. TAX DUE ....................................................... .. 19. 604.00
20. FILL IN THE OVAL IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
15056052059 Side 2
15056052059
REV-1503 EX+ (6-98)
-~ '~ SCHEDULE B
COMMONWEALTH OF PENNSYLVANIA STOCKS & BONDS
INHERITANCE TAX RETURN
RESIDENT DECEDENT
ESTATE OF
James K Farrell
FILE NUMBER
All property jointlV•owned with right of survivorshln m~~~r do rlicr~nead .... c..ti„a,.i., c
t~~ inure space is needed, insert addlUOnal sheets of the same size)
REV-1507 EX+ (g_gg) Y
3 SCHEDULE D
COMMONWEALTH OF PENNSYLVANIA MORTGAGES & NOTES
INHERITANCE TAX RETURN RECEIVABLE
RESIDENT DECEDENT
tJlAlt Uh
James K Farrell
FILE NUMBER
Au property jointly-owned with right of survivorship muef ho dlcrlncn.l ,,,, c..ti..a,.i,.
lu uiuie space is neeoea, msen additional sheets of the same size)
REV-1508 EX+ (6-98)
Y
~~
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF FILE NUMBER
James K Farrell
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.
- (If more space is needed, insert additional sheets of the same size)
REV-1509 EX+ (6-98)
~,
COMMONWEALTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF FILE NUMBER
James K Farrell
If an asset was made joint within one year of the decedent's date of death, it must be reported on Schedule G.
SURVIVING JOINT TENANT(S) NAME ADDRESS RELATIONSHIP TO DECEDENT
A. Lois A Farrell 263 W South St. Wife
Carlisle, Pa 17013
B' Amy E Farrell 243 W South St. Daughter
Carlisle, Pa 17013
C.
Ann F Midgley 263 W South St Daughter
Carlisle, Pa 17013
JOINTLY-OWNED PROPERTY:
ITEM
NUMBER LETTER
FOR JOINT
TENANT DATE
h1ADE
JOINT DESCRIPTION OF PROPERTY
INCLUDE NAP.1E OF FINANCIP.L INSTITUTION AND BANK ACCOUNT NUMBER OR SIMILAR
IDENTIFYING NUMBER. ATTACH DEED FOR JOINTLY-HELD REAL ESTATE
DATE OF DEATH
VALUE OF ASSET % OF
DECD'S
INTEREST DATE OF DEATH
VALUE OF
DECEDENT'S INTEREST
1. A. 1st Energy Corp 157 Shares 6,751.00 50 3,376.00
2 A Nuveen JPS 1370 shrs
11,494.00
50
5,747.00
3 A M & T Bank-acct 9840894746
9,506.00
8.3
792.00
g M & T Bank-acct 9840894746 9,506.00 8.3 792.00
C M & T Bank-acct 9840894746 9,506.00 8.3 792.00
4 A Orrtown Bank 4000035641-36224-36452-36453-38051 125,460.00 8.3 10,455.00
g OrrstownBank4000035641-36224-36452-36453-38051 125,4E0.00 8.3 10,455.00
C Orrstown Bank 4000035641-36224-36452-36453-38051 125,460.00 8.3 10,455.00
5 A Edward Jones -377-11396-1-9 51,250.00 16. 8,541.00
C Edward Jones -377-11396-1-9 51,250.00 16 8,541.00
6 A Bank of America 91000030730210 22,453.00 16 3,742.00
C Bank of America 91000030730210 22,453.00 16 3,742.00
7 A Members lstfcu 319710-42 319710-46 41,384.00 16 6,897.00
C Members 1st Fcu 319710-42 319710-46 41,384.00 16. 6,897.00
8 A Vangartl Voyager 0988115797 1,504,513.00 50 75,207.00
TOTAL (Also enter on line 6, Recapitulation) $ 156,431.00
(If more space is needed, insert additional sheets of the same size)
REV-' ~ EXf ,g-09;
i ~ Pennsylvania SCHEDULE G
DEPARrMENr ~F REVENUE INTER-VIVOS TRANSFERS AND
INHERITANCE TA); RETURN MISC. NON-PROBATE PROPERTY
RESIDENT DECEDENT
ESTATE OF FILE NUMBER
James K Farrell
This schedule must be completed and filed if the answer to any of questions 1 through 4 on page three of the REV-1500 is yes.
ITEM
NUMBER DESCRIPTION OF PROPERTY
INa_~oE THE r~ar%e cE THE TRar;sfEREE, THEIR RE! aTtovsHla ro oECEOFnr atio
THE on-E orrRa;sEEa. aracH a covv of rr:~ eeo EcR KEa~ EsTaTE.
DATE OF DEATH
VALUE OF ASSET
°Ja OF DECD'S
INTEREST
EXCLUSION
prarc_;cas~e,
TAXABLE
VALUE
1 Traditional IRA Chase #3017697532
20,261.00 100 20,261.0(
2 Vanguard IRA 9895916656
29,094.00 100 29,094.0(
TOTAL (Also enter on Line 7, Recapitulation) $ ~ 49,355.00
If more space is needed, use additional sheets of paper of the same size.
REL/-1511 EX~+ !1{!-09}
-~`'`i Pennsylvania
~1 DEPARTMENT OF REVENUE
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES AND
ADMINISTRATIVE COSTS
ESTATE OF FILE NUMBER
James K Farrell
Decedent's debts must be reported on Schedule I.
ITEM
NUPIBER DESCRIPTION AMOUNT
A. FUNERAL EXPENSES:
I" Hoffman Roth Funeral Home 3,749.00
2 Dickinson College-Memorial 1,095.00
B.
1
ADMINISTRATIVE COSTS:
Personal Representative Commissions:
Name(s) of Personal Representative(s)
Street Address ___._ _
City
Year(s) Commission Paid:
State ZIP
2• Attorney Fees:
3,000.00
3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation.)
claimant Lois A Farrell
Street Address 263 W South St.
city Carlisle __ _ state _..._pa zIP 17013
a.
5.
6.
7.
Relationship of Claimant to Decedent wife
Probate Fees:
Accountant Fees:
Tax Return Preparer Fees:
TOTAL (Also enter on Line 9, Recapitulation) I $
If more space is needed, use additional sheets of paper of the same size.
50.00
125.00
8,019.00
io~~~cor oou~r~~~~,_
~~~~~ ~ ~~ ~~ ~~~ ~~~ ~~~~ ~ ~~~ ~~~ ~ ~~~~ ~~~ ~ ~~ ~ I~~~~ ~~~ ~ ~~~~ ~~
J r+
~~
~r
M cn m
o0 h J =
N ~
^'. ,.:
`f
V~ N N
G~ N rf1 G::
C O
h J
O
O
~ O
O p
p
~ i r.
~ ~ ~ ~
1
O
n~
T '1'
`
~ ~/~. ~ ~ ~
rV ~
F..y
~ J L
Q 'O w.~+
W
~ ~ a
-
ti
O f"'1
~ ~ Y'
~
~ ~ G °
v~
~'
C~ a :J
II ~ ~ ~ ~ ~ J
'J C W
U
~ 'tl
G
U '~ N
~ ~
J -~
Z
' ! %:
Z [:
`
W ~ /
Z _
Z ~ ~ J
~
^ ~ _
_
_.. =~
Z Q W N NM
1~
'3 ~ Z LL X O~
_ Z W N ~^
~_.- _
~ ~ ~ ~
o ~ :~.
~ N c~ ~W ~
~ .. M
~
~^' ~
r
~
~rx
_ c~ ¢~=Q
~
z ~ ~.
~
~'-~ ~_~
W ~r~ ~. o Q~Od ~ y r- f^ r _
~
' n .r
Q o tr Q = o ff >~ ~ b
(~ 1 (n ~ N W U N C~ ...~
~'
U
_~.
i`
I
crs
'!. T
.`
'l.
J j.
~ ~
a
o ~
.~
.~
^H
~I
0 ,~
U
FBI ~-^_
~ r_
A _
~ :3
r
r
W
N
Q
2
U
_,
N
~ ~
O ~~
[..
~ f -.
m, ~
0
C
~ ~
a
Q c
o,, c
V
c ~
Q
O
n~
N
`^^!
^^\
^v\
` \ '
ti
~~
~-,
. Q
~i
it
~ ^
4-J
U
J
W
r'te'-.-' t"
c- (S.~
='-7
^~ .~
`
~
~ f,
~i
'~T
~,
f
f _.,-
O
0
0
0
c
v
v
Q
_`
`
i
J^J
J
J
~f. ~ _~
'if T `:
. ^1
~ ~
s,
^1 ^l
d`l iF
tip,
~~
.... ~
\ ^ _
_
M';
1
..i
s :~ ..
~
~ Q
~
~
_ ~
~ ~
f
~+ .. v,
C
.~ .-. ~ L-' l
.`~
I r
:~
C
:~
•l
:/
:J
:.!
c
VJ
VJ
N
r~
[..
O
0
c
c
u
v
~ _ ~-_
~. ~
T
1~ ~~
'h
~~
V
F~
~W
{-~
c
r'd
r-~
O
0
~n
c
0
u
v
Q
~~
Y` T
I.... ~ r. h f. h
'.
-~
..., .
J % ~ Q
=i
_ .--~
~ ~
- ~
.+ 'J
J
:J
:J
J.
J
f
f
I `-~
~,
ir.
I ^
F
~i -. 't
K
41
.a
C
Y
L
s:~
G
C
m
•/ ~
O ~ ~
l[7 ~'
N 3 y
~ ~ e~
°Q
Q +"~
~,
f t `'
~a.. ~-
` ^~~'
~ ''
0
J
0
Q
f-
U
U
F-
LL.
®_
~"~
Y ~
U u-
e.~
i
~~
~T ~D Q~
~ ~ ~ ~
Ltl ~D M
~ ~
p~ S
LSl
i
a j °~
~ N
H ~
z r ~
W
o ~ ~I m
N ~ j
Q N I~ m Z
~ r
~ Z
i Z ~
O
I ~ Q
~~~~~~W~
N
N
M
r~
J
~ H ~
W N ~
~ = Q
Q I- a-
~ ~
~ i1.-
Y N L~9
v~ 3 ~
E Tn ~'
~ ~ Q
'7 N V
i
~ I
c' s ~
~', rn ~
~ I N o.
U ~- I o 0
j ~
~ N I
~p r-I
~ ~' ~
W
y O I
N N
~ ~
2 ~ ~ I
I
li
0 „ C~
~ a ~ L3~
w~ r~
,p G
M C
rn ~.
I S
~I
~
~ ~ of
I
I dl1 4I
i~
~--
I ~
Ind
C
is v ~
L~
- -
~
~ r~ r
2 ' M K;
Y
~ I ,-~ n,
~ I r u'.
S I ~ ~? ~
~ i i i
ii ~ ~
LI
0 QI
~~._
~~~. ___
~~
~L
I
W
C =
U
II ~I z
~ 7=
~ C
Q ~ S
[0 ~ '"
i
(~ U
i c y Z ~ T
U ~ Z ~ d
"
I Id •`
i
~ Z C
U
t ~V
'
N ~
W N l1
T
` 6
il
r 0 m
~ cn
__
I
I
a m o
I
r of ~
i
O ~
Z ~~
O c~ i
~'i
N
7
tf7
J ~
-- ~ r
r
o ~'
ro
II
E
`~~' n
a. c
~~~ C ~
J C7
t
i y
" c
c~
L A
~+
N o,
~ ~~,
m c
~~
Ea ~V
> N
I c O
~ ~
Q
YO
rz
o u ~
J Q
I G Q W
p. U Y
N z
o
/
/ O
~
% LL
U %
~
~ ~- ru z
~ , ~ ~
w
Z // ~ m o
O _ m w ~-
i / H w S
U j ~ ru
% ~
i
Y
~ 3
3
U
O
~%
r~ ,,, g
~ _
~
~
(n ~
1' /'
%
,,,a ~
w O
°
~ z w
~% ~ ~ w
~~ ~ j,.
///% ~ ~~ a
p LL
O
V j
~ o
,
~~~ ; /i ?
~' * * * * * COUNTERSIGNED AND REGISTERED:
* ~' ~' ~' * ~ AMERICAN STOCK TRANSFER & TRUST COMPANY, LLC
9E ~E jE jE [~ IJ") (New YOfk, Nv>
* * * ~ ~ ~ ~ TRANSFER AGENT
~ * ~ ~ ~ ~ ~I AND REGISTRAR
BY rB
~. 'ti1'}' r~ jE i6 3(
u~~y ~ , ~yy .yyyl. * .y~ Au oRIZED SIGNATURE
~' ~f ~ 9E ~ j6 ~ ~ ~ '~ ..
~E ~ ~F ~F i6 3E ~ r`° p
# 3E 3E ~E iF 3E ~ ~ ~ ,
~ ~E 3F i4 ~f '1f 0 ` W ~,,
~ ~ ~ 3E 3F 9E ~ x ~ }
~ ~f ~r ~ ~E jF U ~ X ~~ ~ ~ z
~ ~ ~ ~E ~ ~k W `~ b `i=~ ~` Q w
~ ~~
N ZU
ro ~' ~ y ~ w w
rn ~ ~ ~ w c
z ~ '~' ~ ~ ~~~ ~ °~
ti
~ ~ ~ v ~
I- ~- ~ ~ ~ " ,.-.
W
~ ~ ~ K ~4
~ ~ ~ ~ ~ ti
lr ~ 4 ti
d ~
~•I a
Imo- ~ ~ ~ ~ `~ ~~~~IIIIIIU//~/
' \~ ~ ~ `~~ iii
W O ~ ~~ ~ ~~ ~~0~ Q ~ x' m
~. Z ~ K\j -~d~a IW ~~„~
~ ~ ~~
L,.1 O ,~ ~ G~ ~ ~ p ~'~O U~
~I ~ 1
W ~ .,
~ ~ ~ ~ ~ •~ N
~ O tL ~ ~ x ~ ~
Cb
~ ~ ~ ~ ~ ~~ ti ~ ~_ t,
~ W
• 1~1 ,f Z 'Q ~ Q ~
t3! ~ ~ ~ v~ '- ~ fU
~ G
IL' Q LJ
4 Vl ,..[; ~ m ~ ~ c ~ t~ O F
3 H ~ ~
C3"..B '4 ~~ Q .~ ~ ~: ~ ~'~ rl S ao
,..1 Ct1 l1 ~ ~ 1 ~ C~
~ Sa ~' Lf') ~ w w
e
can ~ ~ ~ c ~ `` ~~ .~ ~ ~s
fU ` F ,~
O ~ ~ ~ . ~ ~,
UI }." B" W ~ x ' ~ ~
W lYJ ~ ,/, (~,n ~ ~ p ;:-~io
~ ~ ~ ti ~~~ ~ ~~ o
Z ~a i ~. ,; ~ ~~ ~ ~ ~
Q
,, a
0
(LOlB) b'800~
68'ShL`£
00'SZ ii-ii-LO L£hi 80'LZ£ ii-90-LO 9£hi 00'058
00'L9 ii-90-LO *££hi 00'000`Sh ii-90-LO 0£hi 00'SZi
00'05 ii-0£-90 SZhT 05'6 ii-TZ-90 *LZhi 00'000`i
ti-hi-LO *6£hi
ii-SO-LO *S£hi
ii-LZ-90 6Z4i
ii-iZ-90 OZhi
A2ltlWWf1S OItld S~73H7
55'605`6$ 37Ntl1tl9 9NION3
55'605`6 9£'0 1N3WAtld 1533131NI iT-Si-LO
bi'605`6 68'ShL`£ 6£hi 2139Wt1N N73H7 ti-hi-LO
80'SSZ`£i 00'ZL9`i 8£hi00000000000 1WAd NJ3H7 3StlH7 ii-£i-LO
80'0£6`hi 00'SZ L£hi N39Wf1N N73H7 ii-Ti-LO
80' SS6 `hi 00' SSZ 735 70SXX Oi£ A2lflStl3al Sft iT-80-LO
80'OOL`hi 00'Zi Z£hi00000000000 1Wd lIlfl S3IlIlI1'1 IOf~ ii-90-LO
00'hh h£hi00000000000 1NAd llI9 ~1~31~~~}~®7 ii-90-LO
00'L9 E£hi 2l39Wf1N A73k7 ii-90-LO
80'LZ£ 9£hi M39WfiN H73H7 iT-90-LO
00'Sih i£hi00000000000 1WAtld~73H7 HNtl9 13921tl1 TT-90-LO
00'000`Sh O£hi i139Wt1N H73H7 ii-90-LO
9i'S95`09 00'058 5£hi M39Wf1N X73H7 ii-SO-LO
9i'Sih`i9 00'5£5 73S 70SXX Oi£ Aaf1Stl3Ml Sf~ ii-ZO-CO
iZ'8LZ`i lISOd30 S1N3WAtld 1I33N39 ii-iO-LO
00'LSh`i 735 70SXX Oi£ AMf1Stl3b1 S(1 ii-iO-LO
56'hhi`8S 00'05 BZhi 839Wf1N X73H7 ii-0£-90
56'h6i`85 00'SZi 6Zhi 2l39Wf1N H73H7 ti-LZ-90
56'6i£`85 Li'ShZ AtldAlIflNNtl 33I1 1tl1N3WHNOW ii-£Z-90
8L'iL0`85 05'6 LZhi M39Wf1N X73H7 ii-iZ-90
00' 000 `i OZhi 2l39W(1N X73H7 ii-IZ-90
8Z'i80`65S 37Ntl1tl9 9NINNI939 ii-9I-90
37Ntl1tl9 SNOI17tliJ18f1S SNOIlI00tl b3H10 X NOI1dIM7530 NOI17tlSNtla1 31tl0
AlItlO 2l3H10 8 SX73H7 1S3M31NI`S1ISOd30 9NI1SOd
N11/\11JV 11VIIUJJY
55'605`6 9£'0 00'£hi`Z h Lh'ZOZ`i5 Oi 8£'£LL`£ S SZ'i80`65
1Nf10Wtl ' ON 1Nf10Wtl ' ON 1Nf10Wtl ' ON
37Ntl1tl9
9NION3 Od 1S3N31NI
1N3Maf17 SNOI17tlN19liS
il3H10 OItld SX73H7 SNOIlI00tl 2l3H10
~ S1ISOd30 37Ntl1tl8
9NINNI939
/~tiVWW11J 1fV11UJJV
S
~ 4~
~~ - ~.
~~
3903H3NOlS
Z ~0 i TiOZ `Si' lflf-9i' Nflf
39tld OOItl3d 1N3W31tl1S
89'£ 31tl0 Ol 2ltl3A OItld 1S3M31NI
9£'0 OOI213d 1N3W31tl1S 2103 03NMtl3 153tl31NI
5Z8Z-~IOLi dd 3lSIl21ti0
1S H1f10S M £9Z
1132121dd JIWb
1~3190IW d NNd
ll3?J21dd ~I S3Wdf
ll3?J21t/d d SIOI _
ici£h
Li0 WN W5h£h0 0 00
1S3a31NI H1IM 173135 18W 9hLh680h86
3dA1 1Nf1077tl ' ON 1N(1O77tl
~~ ~~' `
m
N
'Q
r
0
r
M
L
f.9
~~
W
.~
Q
++
d
L
L
U
~ ~
>~
U
W ~
C 7
J
-i J
LL ~
~ ~
~Q
Q u.,
W Z
Y
(r Q
W
QO
lii
Q
z
Z
U
U
a
v
N
N
v
v
M
W
CO
Z
f-
Z
U
U
Q
H
W ~
W N
~ M
F- M
Y
Q =
~ ~
~ Z
~g
t` Q'
o iQ
M
N
N
lCJ
d. N
~ ~
tY
O ~ O
1- o
Z
Q W `-
~~
m I- ~
U ~ ~
0
c W
~O~m
C Z
LL
~ C
~ ~ o
~~~
rn
>, m
~ ~
~ ~
~ ~
~ ~
rn ~
O
N `
U p
N N
~ ~
m Q
~ .~
N U
w C
Y C
C }
a
s +-~
~ m
~ C
~U
s
.~ ~.
a
C t
O 7
U
~ L
N ~
c
c
c ~
m `
~ ~
`J O
~ T
o
~ o
> o
Y
L f9
~ ~
0
~, o
~- .~
J
= Q ~
O
C7 U
~ Z }
W
~Z~
li _
Y Z
UW~
QUO
~~z
~ ~ Y
Z U
O ~ }
~ ~ W
~ W ~
~>N
O~w
~ Cn Q
~ ~
i0o
Y ~ Z
z~aQ~
F=~~
W Z w O
Z U (n ~
O
~ ~
Z~zo
Q N W Q
_Z Q ~ Q
t` ~ H ~ U
~ - U
Q 0 p ~ Z
~UOw
~~~~
Qw~~
~ Q~wO
w ~ f-
~11'Ow~
~ ~ p Q H
to WZU
N~iYp~Z
~._~.~zQ
~ Wages
S LOLL dd d~SllddO __
13~~1S Hl(lOS M S9Z
SOdM 1(' 1~3~~Vd NNd SIO~
'8 ~Q03a) ~l~d~dd 1i S3Wdf ---
blaWW~1J ~6~~Z0
I~I~IIIIIIIIIIIII~III'IIIIIItII~II111~I11I~II1111I1I111~~'llll
S~~SI~Q~ `
~-aU L~
O~J-p
.V1yJ~ m
> a
~ o °~cli
Q ~.~ co
Oa~ia~iL1-N
~Ulai_~
"Z ~~ o
yQ~ 0 ~
j j ~+u~- ~
.1J
~(.~ ~ C ~
3a ` oY
~~~~(O
La ~ ~~
+'~ ~ ~ c
'GZya°i°c
~~~~
~`o~~
O~U.N (D
~~ ~
d ~ ~ - ~
csg~acim
a~
rn _ `m -c~ ~
d ^~C N .~
ULzL O CY
~Qm U O
vW ~~
to ~ ui ~ ~
~"~ TN
~J 1Q N
rnJQ ~
v U~
~YOa
O~~~m
a~ ~ ~ ~v
a+z Nz N
~•V~ ~ ~(d
~~a~~Q
>c~a~oo
~i~ c~UU
~- v
r
S ~~
~, ~_
C~
cn cv
0
I
W
--1
'~~
W
~'
0
J
Q
~~
w',
~~'
'(~
Y'.
~~ CD i
iiz~,
~ 0
~~'
~~
!z
U
~0'.
I~
IH
O'
Iz,
ui
L
y
+.+
V
3
0
o`_
c
N
C
C
cC
+..
C
N
a.+
N
C
~_
h'
O
a~
co
W
C1~
~ 1
W F.
0~
J "~
J 'J
W w
~~
~~
Q ~
W
Y Z
Z
(~ Q
w~
~-
~O
O
a
Q
,,Z^
V,
~-
O ~
N N
M
M '7
W' ~'
W ro
m
O W
O~
i ~
c- Z
~ F-
W Z
m~
00
~U
OQ
U~
~i
N
N
L
0
a
Q tD N O
W o ao rn
} v ~ ~n
~ ~ ~ti
- V M
T ~
'.." fA
° ° ~~
ti moo'
W ti ~
W O I
~ ~
to
I-
4J
j 'O 7
~ ~
~ ` J
~ ~ c
~ a~ -
C ~ N
._ ~ ~
~ O ~
o =~
O
M
r
M
r
d
7
C
N
O
U
Q ~ O O O ~
C
O
Q U
~ Z
H -
W Z
Z
Q
o
a
o
V O O ~(
C
W ~ I~ O O
~U ~ ~
~ Z
U~
W
J
OOn
~
(
O
rioocs
0
~
~M 00 (i
~Q. N 00 c
~ ~ M C
W
0.' Z c
w0
w
J
> Q>
tR
0
O
~ O
~ ~
i ~
1 ~
i ~
i M
rt ~
0
0
0
p
~D
ti
r
O
N
m
w
~ W ~
Q oz$ U
N rn ~
~ C
N
o a ~
~
F- Q
~ o v ~ ~
~- (D ~j .C
~ N U ~ ~ N
O
~
Q v in ii
Q vJ
~i-u3 ~
z
1"'
W
Q
0
U
O
O
a
°~
¢~
in r
0
SO'SSZ`9Z
aoue/eA 6urpu3 ~,Z dag
SO'S8Z'SZ
' LLOZ/L~'/80 U6no~[/~ LLOZ/L0/80 wok %~py~"L pacue3 P/ai,~ a6e~ua~a~ /enuuy
bL
8Z °/~' 6 PuaplnlQ }lsodap ~£ 6ny
~
' 6602/6E/LO U6noa
~ LLOZ/LO/LO w~ ~Oy~'L paure3 p/ai,~ a6e~ua~ad /enuuy
6£
9SZ
SZ 6L'8Z °/~' ~ PuaplnlQ }Isodaa ~£ Ind
'
` LLOZ/OE/90 U6no~
~/1 <LOZ/LO/9l`I ~uo11 %~0~"L pa~.ue3 p/er
( a6e;ua~ad /enuu
09
LZZ
SZ
SL'LZ g
y
°/~• ~ puaplnla }lsodaa 0£ un~
J.3~JQIW NNb' :~aunn0 }uicp
S8'666'SZ ~l3b~y~ ~ S~Wt1f :~aunn0 lulaf
aouele8
suogoe~}gns suoglppy p~ewo~ aoue/eg SZ u~/'
uog uosaa uogoesue~l a}ea
6 60Z `9Z dag - a}ea d}i~n}eW 12l3~ H1NOW L 4 - 9ti00
9Z'9bZ'96
'
' aoue/eg 6uipu~ yZ das
6LOZ/6E/80 y6n~~ 6<OZ/0/80 ~o~{ ~~SE'E pacue~ P/ai
~ a6eL:rao~ad /enuuy
9Z
9bZ
91. 6b'Sti ,
%~~£ PuaplnlQ }Isoda~; ~£ 6ny
'
' ~<OZ/6~'/LO U~~
Ul «OZ/60110 u~~ ~Oy~"E pau~e3 p/ai,~ a6eLua~ad /enuuy
SS
OOZ
96 8Z'Sb %00£'£ puaplnla ~lsoda~ lE Inf
'
' 6LOZ/0'/510 U6no~ o
~ LLOZ/60/51'1 goy ~~y~ -~ parue3 P/ar,~ a6e~ua~ad /enuuy
9r
~
96 O1.'c7 °/dJOE't' puaplnla 3lsodaa pE unf
)`~~JQIW ~ NNb' :~aunn0 }ulo^
68'666'96 ~~~~12~t/~ ~ S~W`df :~aunn0 ~ulo,
aouele8
suogoe.~gng suoglPPt! pae~wo~ aoue/eS SZ u~/'
uog uosaa uogoesue~~ a3ea
b60Z `0£ ~eW - a}ep i(}i~n}eW 1213 H1NOW 09 - Zb00
S1NflO~~b ~lb~l~ll~l~~
bb 5 aoue/eg 6uipu,~ ~Z daS
bb S prewoj aoue/e~' SZ ue/'
aouele8- suogoe,~gnS suogippy uog uosaa uogoesue~y a;ea
s~Ninds b~n~3~ - o000
S1N(lO~~b S~NInbS
is~ie}ap ~o~ }~asui pasosoua ay} aag
es}a~oi} }uana Bui~ods 31br1S NN~d uinn o} aoueyo mod ~o~ ~a}u~
•fana~ uan~ue}il aye o} net( anoua t~'iue
s}onpo~d £ 6uiney pue 000`SL$ ~o aoue~eq a}e6a~B6e ut/
'SL'9£S`l.b$ si }s~ aaquaa}dag }o se aoue~eq a}e6a~66e ~no~
'wnui}end si ~ana~ spaennaa ~}~e/(o~ aaquaaW }ua~mo anon
Z ~o L :abed
00' 0 : p~ennad alA 5 adinns
00' 0 : }uawa6eueW /(auow
00 ~ 0 : sueo~
iro ~ 5 : s6uines
00.0 : 6ui~aay~
aoue~~ a }e saoue~e8
O~L6~E :aagwnN ~unoooy
~ ~OZ `tiZ daS nay} ~ l OZ `5Z unf
s}unoooy ~o }uawa~e~s
E 606 6 tfd ~lSll2~b'~
1~~2i1S H1flOS M E9Z
~~~~by~ `~ SIO~
II°I'°'II""II"1'1'1'1"'I"II'I"'ll"II"""111'`'111"'I
ZTTE-£ZZ9 Ob£'0 Ad T ZTTE
88ZL-LEZ (008) :youeagalal
ZLES'1Xa BZEZ-E8Z (008) ~o ZLES-L69 (LLL) :4a1
ZLE7-E8Z (008) ~o ZLEb-669 (L LL) :IIB~ Z3
BZEZ-E8Z (008) :P~gog4o31MS ~lgW
6~o•3sLsiagwaw•nu~M
SSOLL Vd'O~ngs~lueyaaW
Ob Xo9 Od
anl~Q aslno~ OOOS
oL sa~mbu~ puag
uoixn iiaax~ zexaaaa
1S
ens S ~" ~ ~G' ~ ?,F ..vim
~ ~' _ 6 ~
~~~
.~~ ~
T- __.
sapoS u~.zZ ZZ~ pTo~ul1/pTo3=0Z3 u~o~~og=8T3 dos=LT3
~~oS=9T3 p.z~M~{a~c{ u~oS =8~ pz~M.zo~ u~oS =L3 ~~Tdszpa~6,3
••°aaoY1
Oj'LL~'9Z ZL'69 g ~ ZL9 ~ ZZ/~~/OZ
~~3v'80S'9Z ZL'69 I Q OL9 ~ IZ/LO/OZ
3~°805 '9Z S8°ZL 8 ~ IL9 ~ ZZ/60/6
~c'9~6'9Z 58°IL I Q OL9 ~ ZT/60/6
~Z°906'92 59'TL 8 ~ TL9 ~ TT/60/8
8~~'690'9Z 59°IL I Q OL9 ~ II/60/8
0`~'690.'9Z 9T°69 g ~ ZL9 ~ TZ/80/L
Z6°562'92 92'69 I Q OL9 ~ ZI/80/L
Z6°~6Z'9Z LZ'ZL S ~ TL9 ~ ZT/60/9
S~T'6ZZ'9Z LZ'TL I Q OL9 ~ IZ/60/9
~~'~'6ZZ'9Z 6L'89 8 ~ TL9 ~ ZI/60/S
~~~' ST '9Z 6L ° 89 I Q OL9 ~ ZT/6~~0/S
~~"~SI'9Z 06°OL 8 ~ TL9 ~ TZ/80/6
96'680 '9Z 06°OL I Q OL9 ~ TT/80/6
aou2T2g ~unourd 33K ~/S a~2g o~g~ndul pa~soa Ldp
oZ uzoz,~ : Toz~uo~ ~as,l,=,1, ~uT.zd=9 Mazy=T
Z_t/60/9 :a~~p ~uzd ~ xaN LZ°LLO'LZ :aou~T~~ ~ua.z.zn;~
nT°l~0 :~sa.za~uT QZ~ 00'000'52 :aaueT~q T~.zzbTZ~
~ ~o T sabESSa~u sEg
7695000006 : zaau~nu ~uno aa~ TTa.za~,3 ~ s-ro7
9Z:L6~ZT ~ainb ul ~isodaQ auizs ZT/8T/~
sapoS u~zZ=ZZ3 pTo~ull/pTo,3=0Z3 u~o~~o8=8T3 doZ=LT3
~~oS=9T3 p.zeM~{o~q uaoS=8~ pa~M.zo~ u~aS=L.~ I~Tdszpa2I63
• • aaoL1
~~'689'8T ZZ•88
~~''9~9' 8T ZZ•88
t_.Z 9S9' 8T ~Z~8
~6 • TZ9' 8T ~Z' ~8
TZ9' 8T. 9T' b8
C8•L8~' 8T 9T'~8
:8•L8S' 8T 86'Z8
88•b~S' 8T 86'ZS
88'bSS' 8I 66.88
~8.OZS' 8T 66.88
b8'OZ~' 8T T8•Z8
~0.88b' 8T Z8•Z8
~0 • 886' r:T 88' 88
0?'b~b' 8T 88.88
aou2Ttg ~unou~
ZT/90/9
80.OLT
~ ~o Z
~ZZ980000~
9~~L~~TT
os
S ~ TL9
I Q OL9
~3 ~ TL9
I Q OL9
8 ~ TL9
I Q OL9
8 ~ TL9
I Q OL9
8 ~ TL9
I Q OL9
S ~ TL9
I Q OL9
S S TL9
I Q OL9
3,3rd ~/S a~~21
u~o.z,3 : To.z~uoS
a~~p ~uzd ~xa~
:~sa.za~uz QZ~
LZ'LZ6'8T
00'000'8T
:.zaau~nu ~unooo~
~Iainbul ~isodaQ atuz,y
~ TT/90/OT
~ TT/90/OT
~ TT/90/6
~ TT/90/6
~ TT/50/8
~ TT/50/8
~ TT/90/L
~ TZ/90/L
~ ZZ/90/9
~ TT/90/9
~ TT/90/S
~ TI/90/S
~ TT/90/b
~ TT/90/~
azs~ndul pa~soa Ldp
bass=Z ~uz.zd=9 Main=T
:aau~T~c{ ~uazzn~
:aoueT~q TeuzbTZ~
sabassaui s~H
TTa.z.z~3 ~ sTO7
ZT/8T/S
sapoS u~zZ=ZZ~
~zOS=9Z3
•••aaoys
LZ'LSL'SZ
99'LIL'SI
99'LTL'SZ
6Z'8L9'ST
eZ'8L9'ST
6 x'069 `5Z
6T'069'ST
L6'009'SZ
L6'009'SZ
T~'89S'SZ
8,J' 6ZS'~I
~J'bz~'~i
~~~'886'~T
aou~T2g
ZT/~Z/S
8Z'L~Z
~ 3o T
X569800006
~;0~86~ZZ
oZ
pTo~u[1/pTo3=0Z3 uzo~~og=8TH doZ=LZ3
p.z~M~{o~q u~oS=g,d pz~MZO~ u~oS=L3 I~~TdsTpa23=6d
IS'6S
TS'68
26'68
26'68
SO'88
SO'88
ZZ'6S
ZZ'68
98'L8
98'L8
80'68
80'68
LZ'~8
LZ'~8
~ unotu~
g ~ ZL9
I Q OL9
g ~ ZL9
I Q OL9
8 ~ ZL9
I Q OL9
g ~ ZL9
I Q OL9
S ~ TL9
I Q OL9
g S ZL9
I Q OL9
8 S ZL9
I Q OL9
33K ~/S a~2g
u~oz,~ : Toz~uo~
a~.~p quid ~xa~ L6 ' 080'91
:~saza~uT QZ~, 00'000 'ST
.zac{ulnu ~unooo~
1~~inbul ~zsodaQ amts
~ TT/8?/6
~ ZZ/8?/6
~ IT/~Z/8
~ ZI/SZ/8
~ ZT/5Z/L
~ TZ/5?/L
~ ZZ/6Z/9
~ TZ/6Z/9
~ TT/5Z/5
.J L L/ J ~/~
~ TT/S?/6
~ ZZ/5Z/6
~ ZT/S?/8
~ ZZ/SZ/8
oag~ndul pa~soa Ldp
bass=Z ~uTZd=9 ~aT~=T
aou~T~~ ~:zazznS
:aou~T~c{ T~uzbTZO
sab~ssaiu sEg
TTazz~~ ~ sTOZ
ZI/8Z/5
sapo~ upzZ=ZZ3
~~oS=913
• • • a~oY1
L~'LSL'SI
99'LTL'ST
99'LTL'ST
~G'8L9'8T
~~'' 8L9'ST
6T'0~9'ST
6Z'Ob9'ST
L6'009'ST
L6'009'ST
~T'89S'8T
T ~'89S'~T
~jo'~zs'~T
T6'88b'ST
aouaT2g
~T/SZ/5
8 <" LET
T ~o Z
eS~980000~
~T~8~~TT
pTc~uCl/pTo3=0Z~3 uzc~~cg=8T3 dcZ=LT3
p.z~M~{o~c{ u~cS=83 p.z~M.zo~ u~oS=L3 ~~Tdszpa~=63
T5'68
ZS'68
Z~'68
Zb'68
SO'88
SO'88
ZZ'68
ZZ'68
98'L8
98'L8
80'68
80'68
LT'S8
LT'S8
~unou~
g ~ TL9
I Q OL9
S ~ TL9
I Q OL9
8 ~ TL9
I Q OL9
S ~ IL9
I Q OL9
8 S TL9
I Q OL9
8 ~ TL9
I Q OL9
g ~ TL9
I Q OL9
33Td ~/S a~2g
os u~o.z,~ : Toz~uo~
:a~.~p ~uzd ~xa~ L6'080'9T
:~saza~uz QZ~ 00'000'ST
:.zaat:znu ~unooo~
~aznbul ~isodaQ atuzs
~ TT/8Z/6
~ TT/eZ/6
~ TT/SZ/8
~ TT/SZ/8
~ TT/~Z/L
~ TT/SZ/L
~ ZI/bZ/9
~ TT/~Z/9
~ TT/sz/s
~ TT/SZ/S
~ TT/5Z/b
IT/5Z/b
~ TT/sz/~
~ TT/SZ/8
o~g~ ndul pa~soa Ldp
~asZ=Z ~.uT.zd=9 Main=T
aou~T~a ~ua.z.znS
:aou~T~q T~uzbT.z~
sab~ssaui sEg
TTa~~~3 K sTO7
ZT/8T/5
sapoS u~zZ=ZZ3 pTo~ull/pTo3=0Z3 uzo~~og=8l~ doZ=LI3
~~oS=9I3 p.z~M~{o~q u~oS=83 p.z~M.zo~ u~aS=L3 f~~Tdszpa2I=~3
°••aaoys '
~9'ZZL' ~~ 09'ZOZ S ~ ZL9
"0'06S' ~S 09'Z8T I Q OL9
<~~'06~' bS 8Z'Z8I g S IL9
~iL'L5b' b~ 8Z'Z~I I Q OL9
~L'LSb' ~~ IL'LZI S S TL9
~0'OS8' bS IL'LZT I Q OL9
~0'OSS' bS S9'TSI 8 ~ IL9
u}'86I' bS S9'I~I I Q OL9
8~'86I' ~S OI'LZI S S IL9
~~'T_LO' b8 OI'LZI I Q OL9
~~^~Z TLO' 6S ~:0'I8I 8 ~ IL9
Z'0~6' 8S ~0'I~I I Q OL9
~Z'O~i6' SS 80'8IT 8 S TL9
~.T'ZZ8' ~S 80'8LI I Q OL9
aautT2g ~unotu~ 33FI ~/s a~~2i
oZ u~o.z,~ : To.z~uo~
<.I/I 2/~ :a~~p ~uzd ~xa~ 8I'I~9'SS
~b•L~S :~sa.za~uz QZ~ 00'008'ZS
T ~o T buixu2g ~au~a~.uI buipuaa
IS08 ~0000~ :.zac{u~nu ~un oaa~
?~ ~ 8 b ~ I I ~~inbul ~zsodaQ auiz,y
~ TT/IZ/6
~ II/T?/6
~ TI/6I/8
~ II/6I/8
~ TI/I?/L
~ IT/T?/L
~ TT/T?/9
J II/I?/9
~ IL/0?/S
~ IZ/0?/5
~ IZ/Ii~/b
~ IT/TZ/b
~ IL/IZ/~
o~S~ndul pa~sod ~d0
~asZ=Z ~uT.zd=~~ caaTn=l
aou~T~c~ ~ua.z zn~
:aou~T~a T~uzbz.z~
~saaa~ul sabESSaiu sEH
TTa.z:z~,~ ~~ sTO7
zI/8~/s