HomeMy WebLinkAbout03-02-15 (2) J 1505614134
�wa-iatFii
REV-1500 OFFIQAL USE ONLY
BureauoflndlvitlualTaxes CounyCo4e Year FileNumber
ao eox2eosoi INHERITANCE TAX RETURN �
Harrisbu Pn nt28-o601 RESIDENT DECEDENT �2 � � `� Q2-2
ENTER DEGEDENT INFORMATION BELOW
$OCi21$BCUtl(Y NlllllbEf D3[E O(DEdIh MMO�VYYY D3[E O�Bi�(h MMD�YVYV
1 2 � 2 2 0 1 4 0 7 1 3 1 9 4 1
DecedenCs Last Name SuKix Decedenfs First Name MI
0 L I V E R J R R A Y M 0 N D F
(If Applicable)Entar Surviving Spouse's Information Below
Spouse's Last Name Suffix Spouse's First Name MI
THIS RETURN MUST BE FILEO IN DUPLICATE WITH THE
REGISTER OF WILLS
FILL IN APPROPRIATE OVALS BELOW
� 1.Originel Re�urn � 2 Supplementel ReWm � 3. Remainder Ratum(tlate of tleath
Prior l0 12-13-82)
� 4.Ngricul�ure Exemp[ion � 5. FUWre Interes�Compwmise�tla�e oi � 6. Fetleral Es�a�e Tax ReWm Required
(tlaleofdeelhonorafler]-1-P012) dee��aker124282)
� ]. Deceden[Dietl Testate ❑ 8. �ecetlent Mainlained a Llving Tmst _ 9.Total Number of Safe Deposil Boxes
(AABGIWpJd(Wll) (AA6LhLOpy0lIN6L)
� 10-Lltigabon Proceetls Recelvetl � 1 i. Non-Pmbeta Trawferee Return � 12. DeferraVElection of Spousal Tmsts
(Schetlula F antl G Assets only)
❑ 13.Business Asse�s ❑ 14. Spouse is Sole Beneficiary
(No�ms�Involvetl)
CORRESPONOENT�iHIS SECTION MOST 9E COMPLEiEO.NLL CORRESPONOENCE ANO CONFIDENTIAL TA%INFORMATION SHOULO BE DIRECTED T0:
Name Day[ime Telephone Number
C H R I S T A M A P L I N 7 1 7 5 4 1 5 5 5 0
Firet Line of Atltlress
8 4 5 S I R T H 0 M A S C 0 U R T
Second Line of Atltlress
S U I T E 1 2
City or Post OHice State ZIP Code
H A R R I S B U R G P A 1 7 1 0 9
Gorresponaenese-mailaatlress: CHRISTAaIJANBROWNLAW • COM
REGISTER OF W ILLS USR aNLY
�
�� �� t�
REGIBTEROFWILI$VSEONLV ? �
DATEFILE�MMDDYYYY - �
N
DRTE�Fl�@�STA_� - �i
�V � [:i
t� .. O
PLEASE USE ORIGINAL FORM ONLY - —d '�
Side 1
I IIIIII IIIII IIIII IIIII IIIII II�II IIIII IIIII IIIII IIIII IIII IIII
L 15�5614134 15�5614134 J
J 1505614234
REV-0500 E%(Fp Decedenfs Social Security Number
oe�ae�rervame: RAYMOND F . OLIVER , JR
RECAPITULATION
1. RealEsta[e(SchetluleA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. •
2. Stocksantl Bontls(Schedule B) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2� '
3. Closety Heltl Corpora�ion, Partnership or Sole-Pmprie�orshlp(Sc�edule C) . . . . . 3. � • � �
4. Mortgages and No�es Receivable(Schedule D) . . . . . . . . . . . . . . . . . . . . . . . . . . 4. •
5. Cash,Bank Deposits antl Miscellaneous Personal Pmpetly(SCM1edule E�. . . . . . . 5. 2 6 9 4 , 0 �
6. Jointly Ownetl Prcperty(Schedule F) ❑ Separate Bllling Requested . . . . . . . 6. 3 7 7 8 6 , 9 8
]. IntervVivos Transfers 8 Mlscellaneous N¢n-,Proba�e Property
(Schedwe G) I_I Separare sining Requestea . . . . . . . z 9 3 8 3 9 . 2 �
e. rowi cross ns:ea�roiai u�es i mro�9n i� . . . . . . . . . . _ _ . _ . . s. 1 3 4 3 2 0 , 1 8
9. Poneral Expenses antl Adminls�rative Cos(s(Schedule H) . . . . . . . . . . . . . . . . 9� 6 5 6 5 . 6 3
10. oeots ot oeceaent.Morcgage Liabilities, and Liens(Scneowe U . . . . . . . . . . . to. 5 1 2 1 . 4 5
�i. ro�aioeauctio�sRo�aio�esea�dio� . . . _ . . . _ _ . . _ . . . . _ . _ . _ . . ii. 1 1 6 E 7 . 0 8
12. NetValueoiEstate(LineeminusLinelt) . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. 1 2 2 6 3 3 . 1 0
13. Chatltable and Govemmen�al 6eques�slSec 9113 Tms�s for which
an eledion to tax has no�been made(Schetlule J) . . . . . . . . . . . . . . . . . . . . . 13, •
ia. Net value subject to iax(Line 12 minus Line 13) . . . 14. 1 2 2 6 3 3 . 1 0
TAX CALCULATION-SEE INSTRUCTIONS FOR APPLICABLE RATES
15. Amount of Line ta taxable
at the spousal[a�rele, or
transfers untler5ec.9116
(a)(1z)X.o_ 0 . 0 0 i5. 0 . 0 �
16. Amount of Line 10 taxable
atlinealra�e x.oa5 8 1 3 0 5 . 7 5 �s. 3 6 5 8 . 7 6
1]. Amounl of Line iC taxable
a�s�eu�g�a� x.�2 � . 0 0 n. 0 . 0 0
ie. AmountofLinei4taxable 4 1 3 2 7 . 3 5 ta 6 1 9 9 . 1 0
at coilateral race x .t5
is. rnxoue . . _ _ _ . . . _ _ . _ _ . . _ . . . . . . . . . . _ _ . . �9. 9 8 5 7 . 8 6
20. FILL IN THE OVAL IF YOU ARE REOUESTING A REFUND OF AN OVERPAVMENT ❑X
Untler penalties ot pepury.I tleclare I�ave examinetl�M1is reNm.'mclutling a0.Wmpanying scnetlNes an0 statemen�s.and lo I�e Oesl ol my knowledge antl belie[
I�is Ime,correct antl comDlele.�eclaration of pr parer ol�er IM1an�M1e Derson responsi�le lorliling t�e reNm Is basee on all mlormation ol w�¢M1 preDarer�as
any knpwletlge.
SIGNATURE 0 RSON RESPO IBLE R FlLIN RETURN � DATE �
'i�J -Z �
nooaess
159 L E ANN COURT ENOLA PA 17025
51 Tl1RE FPREP RC�TI�ER HHNPERSONftESPONSIBLEFORFILINGTHERETl1RN DATE
�Cl� �-Z7-��
noo ss
845 SIR THOMAS COURT, SIJITE 12 HARRISBURG PA 171�9
I II�III IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII siae 2
L 1505614234 1505614234 �
REV-0500 E% �Fp Page 3 Fil¢Num�er
Decedenfs Complete Address: o 0
DECEDENPSNAME
RAYMOND F. OLIVER, JR
sTReeT nooREss
39 Falcon Court
cro srnre na
Mechanicsburg PA 17055
Tax Payments and Credits:
1. TaxDue�Page2,Llne19) (i) 9,857$6
2. Credts/Paymenis
A. Prior Paymems
B.Discaunl 492-89
(Seelnslmalons) TotalCreditslA-e) 12) 492.89
3. Interest
(3)
4. I�Line 2 is grealerthan Line 1 +Line 3,en�er�he difference.This is�he OVERPAYMENT.
Fill in oval on Page 4,Line YO to request a refuntl. 141 0.00
5. IfLinei «�ine3isgreaterihanLine2,en�er�hedlfference.Thlsis�heTAXOUE. (6� 9,364.97
Make check payable to: REGISTER OF WILLS, AGENT.
PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS
1_ Diddecedentmakea�ransferand�. Ves No
a. retaintheuseorincomeof�hepropertylransferretl _. .___. ...... ._. ❑ �
c. retainareversionaryi9natewhoshallusetheompetlytranslerradorilsincome ._._ .._ ❑ ❑X
b. re�alnthetl hitodes
n�eres� ._.._. _.._.. ..... ...... .._ ❑ ❑X
d. receivelhepromise�orlileofei�herpaymea�fs benefitsorcare� __. ___ __ ❑ �
2. I�tlea�h occurted alter Dec.12, 1982,did decetlent Iransfer proper�y within one year of death
wi�houtreceivingadequa�econsidera�ion� .._._.. . ......... ........_ ._. ❑ �
3. Dld decedenl own an'ln ims�for'or Dayable upan tlea�h bank accoun�o�secun�y a�his or hertleatM __ ❑ �
4. �Id decetlenf own an indivldual reliremen�accoun� annuity or o�hernoo-probate pmpetly which
con�ainsabe�eficiarydesigna�ion4__.. .._.._. ...___ ......._ .....__. ❑X ❑
IF THE ANSWER TO ANY OF THE ABOVE�UESTIONS IS VES,YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN.
Por tla�es of death on or atterJuly 1, 1994,antl berore Jan. 1, 1995,ihe tax rale imDosed on the net value o�Iransiers ta or for Ihe use oi the surviving spouse
is 3 percent�72 P.S.§9116(a)(1.1) (i)�.
For da�es of dealh on or afler Jan. 1, 1995,the lax rate imposed on Ihe ne�value of transfers�o or for Ihe use of�he surviving spouse is 0 percen�
[72 P.S.§9116(a)(1.1)(li)].The s�atute tloes not exemp�a Vans�er�o a surviving spouse fmm tae,and the statmary requiremenis for tlisclosure oi assets antl
fling a tax return are still applicable even if the surviving spouse is the only beneficiary.
For dates of deaih on or after July 1, 2000�.
• The tax rate imposed on the net value of transfers from a tleceased chiltl 21 years of age or younger at death to or for the use of a natural parent an
adoptive parent or a step-parent of ihe chlld ls 0 percent�72 P.S§9116(a)(12)].
• The tax�ate Imposed on the netvalue of fransfers m oriorthe use of ihe tlecetlenYs Ilneal bene�iciaries Is 4.5 pemen�,except as no�ed in�72 P.S. �9116(a)(1)�.
• The tax rate Imposed on the net value of trans(era to or for Ihe use of ihe tlecedenCs siblings is 12 percent p2 P_S.§9116(a)(1.3)�-A sibling is defned,
under Section 9102,as an individual who has at leas�one parent in common with the deceden�,whelher by blood or adoption.
FEV-0504 EX�(&12)
pennsylvania SCHEDULE C
orPna*Me�.oFae�F�uv CLOSELY�HELDCORPORATION�
wNeRirnrv:�rnxr+�ruarv PARTNERSHIPOR
e:smeNroeceoera SOLEPROPRIETORSHIP
ESTATE OF FILE NUMBER
RAYMOND F. OLIVER, JR 0 0
Schetlule C4 orG2(including all suppotling mfonna�ionJ mus�be a��achetl foreach Gosely-held corporation/patlnership in�e�es�of�he deceden�,
other Ihan a sole-pmprie�orship. See insWctions for�he suppotling informa�ion�o be submi�ted for sole-pmpriebrships.
ITEM VAWE AT DATE
NUMBER DESCRIPTION OF DEATH
7. Ray's Tax Service: sole proprietorship 0.00
income tax preparation service
no assets, no value (See 20131ncome tax retums attached hereto)
TOTAL(Also en�eron Ilne 3,Recapilula�lon) S Q00
�It mora spaca is needed'msetl a40illonal gheets of Ne same s¢e)
FEV-1500 EX�(0&12)
pennsylvania SCHEDULE E
oeanArMerv.oFae�er+�e CASH, BANK DEPOSITS & MISC.
iN�eairnHCE rax REruRv
ecsioevroeceoervr PERSONAI PROPERTY
ESTATE OF: FILE NUMBER:
RAYMOND F. OLIVER. JR 0 0
Include the pmceetls of li�iqation and Ihe tla[e Ihe pmceetls were recervetl by the estate.
All property loin[ly owned wi[h righ[of survivo5hip mus[be tlisclosed on Schetlule F.
ITEM VALUE AT DATE
NUMBER DESCRIPTION OF�EATH
1. 2004 Chevrolet Cavalier VINiG1JF14F147247573 1,694.00
(See attached Kelley Blue Book)
2. Household goods and furnishings 1,000.00
TOTAL(Also en�er on Line 5,Recapitulafion) E 2 694.00
If more space is neetled, use atltli�ional sheets of paper of the same size.
FEV-0509 E%��01-10)
pennsylvania SCHEDULE F
oePaRrmcH.oraeveNue �OINTLY-OWNEDPROPERTY
iNMEFIiANGEiA%REiOHN
r+�sioerv��eceoENr
ESTATE OF: FIIE NUMBER:
RAYMOND F OLIVER JR 0 0
If an asset wds made jointly ovmed vn�hin one year of the decedenPs da[e o�tleath,il must 6e reported an Schetlule G.
SURVIVING JOINT TENAM(5)NAME(5) H��RESS RELATIONSHIP TO�ECE�ENT
q.Yvonne L. Prutzman 159 Lee Ann Court, Enola, PA 17025 daughter
e. Michele B. Oliver 159 Lee Ann Court, Enola, PA 17025 iriend
c.
JOINTLY�OWNED PROPERTY:
iErtea onrE oesckrnorvoFPaovearv wor ;nreovoeniH
IiEM FOPJOINi MAOE INCWOENqMEOFFlNANCIPLINSi',ill"IONANOBPNKAGGOONINOMBERCRSINI.AIi �AiEOFpEFi11 �ECEDENTS VPLUtOF
NUMBER iENANi JOINi I�ENIIFYINGNOMBEF AiiAGH�EEOFOHJOiNi�v-NELDREALC51AiE. VALUEOFPSSP iM�RE4 DECEDEMSIM[RESi
1. A. 1111973 BELCO Communiry Credit Union savings account 78,65124 33.33333 26,217.08
#71510-0001
2. A,B 7/2011 BELCOcheckingaccount#71510-0040 25,006.06 33.33333 Q335.35
3. A,B 12/2007 BELCO 60 month CD#1007 645.68 33.33333 21523
4. A,B 2/2008 BELCO 60 month CD#1008 64479 33.33333 214.93
5. A,B 4/2008 BELCO 60 month CD#1009 600.80 33.33333 20027
6. A,B 5/2008 BELCO 60 month CD#1010 598.84 33.33333 199.61
7. A,B 7/2008 BELCO 60 month CD#1011 598.07 33.33333 199.36
8. A,B 9I2008 BELCO 60 month CD#1012 59726 33.33333 199.09
9. A,B 12I2009 BELCO 60 month CD#1020 563.11 33.33333 18770
10. A,B 1I2010 BELCO 60 month CD#1021 561]8 33.33333 18726
TOTAL(Also enter on Llne 6,Recapilulatioe) 5 37 786 98
If more spaw is needed,use a0tlltional shee�s of peper ol Ne same size-
Continuation of REV-1500 Inheritance Tax Return Resident Decedent
RAYMONDF. OLNER, JR
Decedenfs Name Page 3 Flle Number
Schedule F-2 -Jointly-Owned Property
�EriEa oare cescw=noNOFaaoaean °�aF onTeovoenrH
irEm Foredoirvi mnoe iNcmoErvnueoFFirvnrvanuNs�rt�rioNnncoarvrcnccocvrrvuueeaoasiwiwa o,�-eotuemn oEceo=_r�s vnweoF
NL'MBER iENANi JOINi 1�=NiIFYINGNLMBER AiiAL40FE��ORl01N"LY-HELDREnLESiniE VAWEOFASSH IMERESi �EGEOENi'SINiEHESi
11. A,B 4/2010 BELCO 60 month CD#1022 558A8 33.33333 186.16
12. A,B 5/2010 BELCO60monthCD#1025 557.55 33.33333 i85B5
13. A,B 7/2010 BELCO 60 month CD#1027 555.35 33.33333 185.12
14. A,B 9I2010 BELCO 60 month CD#1028 553.18 33.33333 184.39
15. A,B 10/2010 BELCO 60 month CD#1029 552.12 33.33333 184A4
i6. A.B 12I2010 BELCO60monthCD#1031 549.92 33.33333 163.37
17. A,B 2/2011 BELCO 60 month CD#1032 54773 33.33333 18258
18. A,B 3/2011 BELCO 12 manth CD#1033 1,016.96 33.33333 339.65
SU9TOTAL SCHEDULE F�1 1,631.10
GRANDTOTALSCHE�ULEFd(Alsoen�eronLine6,Recapitulalion) S 37,786.98
aev�ism ex��oe-ae�
pennsylvania SCHEDULE G
oernarmeuroFReve��e INTER-VIVOSTRANSFERSAND
iNnereirnNcernxaeruaN MISC. NON•PROBATE PROPERTY
aesioENroECEo�rvr
ESTATE OF FILE NUMBER
RAYMOND F. OLNER, JR 0 0
Thls schetlule mue[be completed and Illed A ihe enswer to any oi puastla�s 1 through 4 on page�hree of Ne REV46W Is yes.
�ESCRIPTION OF PROPERTV
ITEM iucwoeniervnumF*rverre>rvsveaee.rHeiaae�nrarvswanoecr�cmnrvo DATEOFDEATH %OFDEG�B EXCLUSION TAHABLE
NUMBER n�eonieo�*Azus'�a.nrrnceacorvorrneoao=oazm��A*e VALUEOFASSET IP(rEREST VALUE
1. BELCOtraditionallRA#0100 0.18100.00 0.18
Yvonne L. Prutzman, daughter is beneficiary
2 BELCO 60 month trad. IRA#2000 6,822.73 100.00 6,822.73
Yvonne L. Prufzmaq daughter is beneficiary
3. 8ELC0 60 month trad. IRA#2001 6,673.83 100.00 6,673.83
Yvonne L. Pru�zman, daughter is beneficiary
4. BELCO60monthtrad. IRA#2002 7,19120100A0 7,19120
Yvonne L Prutzman, daughter is beneficiary
5. BELCO60monthtrad. IRA#2003 7,07628100A0 7,07628
Yvonne L Prutzman, daughter is beneficiary
6. BELCO60monlhtrad. IRA#2004 6,70226100.00 fi,70226
Yvonne L Prutzman. daughter is beneficiary
7. BELCO60monthtretl. IRA#2005 6,507.59100.00 6,507.59
Yvonne L. Prutzman, daughter is beneficiary
8. Vanguard rollover IRA Account#44758223 52,865.13 100.00 52,865.13
Yvonne L. Prutzman, daughter 50% beneficiary
Michele B. Oliver, ex-wife 50% beneficiary
0.00
TOTAL (Also en�er on Cine 7,RecapiWla�ion� 5 93 63920
If more spece is neeaetl.use aadltional sheets ol vaper of Ihe same stre
REV-151t EX�(OB-0J)
pennsylvania SCHEDULE H
oeanarmervroracvervoe PUNERALEXPENSESAND
iunEartANCErnxaEruaH ADMINISTRATIVECOSTS
�EsicErvroECEOEr�*
ESTATE OF FILE NUMBER
RAYMOND F. OLIVER JR 0 0
Decedenfs Eebts must be repotletl on Schedule 1.
ITEM
NUMBER �ESCRIPTIOfJ AMOUNT
A FUNERALEXPENSES'.
1. Parthemore Funeral Home & Cremation Services, Inc., funeral and crema�ion services 3.920.34
B. A�MINISTRATNECOSTS.
1. Personal Represen�a�ive Commissions�.
Name(s)ol Personai Rapresen�alive�s)
Stree�Ftldress
City Sld�e ZIP
Year(s)Gommission PaiB.
p, nnomeyF�s�. Jan L. Brown &Associates 1,500.00
3, FamityEremptlort(If4ece4enfsa44re55isnollhesemeasclalmanfs,atlecM1explana�lanJ
Claiman�
Sireelhtldress
Ciry Sld�e ZIP
RBIBAO�ShIp 01 G9i�11B�t IO D¢GBtl¢��
4. PlObd�EFQQS:
5 A601111IdI1�FEC5'.
6. Taxaemm vreoarerFees. Parks & Company; estimate final intlividual income[ax retums 500.00
z Regis[er of Wills, Cumberland County, Inheritance Tax Retum filing fee 15.00
8. AAA�, transfer fees for vehicle(2004 Chevrolet Cavalier) 53.00
9. USPS�, postage zz_69
10. KMart�, cleaning supplies for apartment 11.01
1 t Staples�, supplies for post death matters 62.34
12. Jan L. 8rown &Associates�, attomey fee 48125
TOTAL(Also enter on Line 9,Recaoi�ula�ion) 5 6 565.63
II more spaca Is needed,use atlJtional shaes of Oeper o��he same size.
REV-t54 E%�(12-4)
pennsylvania SCHEDULE I
oFvnarmEuroFREVENUE DEBTSOFDECEDENT�
wnEei.nNcernxaeruar� MORTGAGE LIABILITIES 8 LIENS
PESiDENiDWEDEM
ESTATE OF FILE NUMBER
RAYMOND F. OLIVER, JR � �
RepoM1 debts incurretl by lhe decedent prior ro death that remained unpaid at lhe da[e af tleath,including unreimbureetl metlical expensea.
ITEM VA W E AT DATE
NUMBER DESCRIPTION OF OEATH
1. PPL Electric U[ilities�.. outstanding bill 39921
2. Discover Card�, ou�standing balance 95.67
3. Verizon; outstanding bill 15720
4. Wesley Apartments�, December final rent 795.00
39 Falcon Court, Mechanicsburg, PA
5. FIIOQ FBO EDS Retirement Plan�, overpayment of pension 544.62
6. Travelers Insurance�, outs[anding auto insurance due 25A0
7. Lebanon VA Medical Center; outstanding medical bill 122.00
8. Capital One; GM mastercard outstanding balance 2.98z.�5
TOTAL(Also enter on Line 10,RecapltulatlonJ E 5,121.45
If more space is neetleq inse�l additional sheets of[he same size.
aev-i5ia�.w�-�oi
pennsylvania SCHEDULE J
oePAa.rEH.oF aeveNue BENEFICIARIES
INHEPIi4NCEiAXREiORN
RESi�BViDEWDENi
ESTATE OF: FILE NUMBER:
RAYMOND F. OLIVER JR 0 0
RElATIONSHIPTODECEDENT AMOUNTORSHARE
NUMBER NAMEANDADDRESSOFPERSON(S�RECENINGPROPERTY DoNotLiSlTmstee�s) OFESTATE
� iAXABLE�ISTRIBUTIONS pnclu4eoutnghtspousaltlistribWionsantl[2retersuneer
Sec.9116(e1�12�_�
1. Yvonne L. Pru�man (daughter) Gneal 81,30575
159 Lee Ann Court; Enola, PA P025 Sch. E, V2 of Sch. F, &
most of Sch. G assets
2. Michele B. Oliver(friend, ex-wife) Collateral 41,327.35
159 Lee Ann Court, Enola, PA 17025 V2 ot Sch. F, & a portion
of Sch. G asse[s
ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 18 OF REV4500 COVER SHEET.AS APPROPRIATE.
❑. NON-TAXABLEDISTRIBUTIONS.
A.SPOUSAL DISTRIBUTIONS UNDER SECTION 9+13 FOR WHICH AN ELECTION TO TAx IS NOT TAKEN'.
1.
1.
B.CHARITABLE AN�GOVERNMEMAL�ISTRIBUTIONS'.
1
1.
TOTALOFPARTII-ENTERTOTALNON-TAXABLE�ISTRIBUTIONSONLINE130FREV450000VERSHEET. S
I�more spacels ncetled.use addllional sheels of paper of�he same size-
REV-1500 Discount, Interest and Penalty Worksheet
Discount Calculation
Total Amount Paid within three calendar months of the decedenPs date of death- 9,857.86
Discount 492.89
Interest Table
Year Days Delinquent Balance Due Interest
this time period [his year this periotl
Before 7981 _.... . . . .
1982
1983
' 1984
� 1985 . ..�. �. � .
1986
1987
1988through 1991 . . .
1992
199Sthrough 1994 . .
1995through 1998 . .
1999 .
2000
2001
2002
2003
2004
2005
2006
2007 .
2008
2009
2010
. 2011 through 2015
TOTALS __
Penalty Calculation
If the decedenPs date ot death was on or before March 31, 1993, insert the applicable amount.
Total Balance Due on January 17, 1996�.
Penalty
ATTACHMENT TO REV-1500
ESTATE OF FILE VLT7BER
RAYMOND P. OLN6R, JR.
I'his is a oon-probate estale. The asseLti listed in the inheritance lax �elurn are all F a�d G
assets exeept for a vehiele and household goods which went to t6e deeedenfs daughter. Yvonne
Prutzman. The deduetions listed on Schedules H and I should be allowed beca�se the
beneficierics of the Schedule G assets and the surviving joint account owners of the Schedule F
assets actually paid the deductible items. See 72 P.S. § 9136.
Kellcy Blue Book Page I of2
r Kelley Blue Book .�_���,�=a ae.o�«<•
� �
���.F. �i
1 1 . -�ir-;�`^:-v I
J
2004 Chevrolet Cavalier 5ell To Private Party
Pricing Report �,,,
52.094 co-a�m
51�694 52,182
6aYm�
$IYIl:CNGP 3D Ca'91im
��, Milea9e:ioe.Rs � 52.35] .
� �—_
Vehicle Highlights '
vnva�evaMvaw.svam�wyou.amam.ayn ��
PotlEconomy: MaxSeatiny5 II/1i�301� ��.
City 23/Hwy Il/Comb 25 MPG
Doors:2 En9ine:4-CYl 2 2llter �.
Orive4ai¢FWD Tnnsmission:Fummatic ��
EPACIass:CompactCars Body5lyle:Coupe .
CountryolOriqim.Unire09aces CounlryolFszemUly:Uni<etl9ares �.
Your Configured Options
. ou,wPsa+ern.aro�wn:.msma�no�inuomm�iwmu�a�. ,.
on�or�s wt yau aoaea wm�e canqwi�mrs a�.
Engine Com/oKanOConvenientt Sahryand5ecunty �
9{yl,22 Li[er Alr CondiOoning Dual Alr Ba95 '��
Transmission 5[eennq WheelsanETires
AuromaUc PowerS[eering 5[eelWhicls �
DnveFain En4rtdinmmfanElnsVum<nbNOn
FWD AM/FM Rereo
CD(Single Disc) I.
Glossary of Terms
Tip:
iceney wue eaokm rnao-�n wwe-m�s e me amwm ya rm o-pen m.xe�e�.nm»u uaae�, .
w�,�.ioaeev�n.m��sren�e��see�Rm��am��me:hk,ca,e�o�,m��ageme��a,: It'scrucialtoknowyourcar's '.
��^����- true condition when you sell it,
,�x-mw�ye�rnenaoe�x,�ye�uKereyewemw�:esnmaceo�.�iyw�z��ea.o,aoheyce� sothatyoucanpricei[ �.
�o�aeremn.+ec+mseammesiyk,cman'm,m��,yea�aooia�so�ww�.enKk,.ne��wo-aoen apPropnately.Considerhaving
����o a m ir.no�e,,e.�ceais�s o�rce,e��am.awg are�m gua�a��eea. your mechanic give you an
objective report.
aaie�r w�e eaox�vn.aro w,ry vai��ma o me sun��q po�n�m,neqo�acon a a�a�o,sak
oetween a pnate evyer am seur.m�z rs an'x is'.au.e wt aces�a'���nwe a�y.a�am'es.me a�ai �.
p[e OeµMs m IM[ah ttNal tdqlt�aM kol markM httas.
http://www.kbb.c om/chev roleVcavalied2004chev ro let-caval ier/coupe-2d/?cond ition=fair... 12/9/2014
E � O�O o�.im.namar��r-xn�aro�,<ss.,� �� CSo� J
° U.S. Indlvfdual Income Tax Retum oMeHo.,us.ao,. �As�,.o.+,�_�,a.,„.d„.a,M„,y,,,u.
FwMaywJa+.t-�[.JI.A/3,aotlbUzysarpcgi�rbq .pt].pqln9 .'!0 SBBS¢pN31ein5L11C1Ipf15.
Ywr first name anE'n�tial Lazt eame Yov sodal eecurlh mxMw
Ra ond F Oliver, Jr
n.ldm.a�m.soa�.r.r�.,�enma �� sooe•'..w.i»�,.+b�..�a.
Hame atldes�N�mber aM etreeil.hYa tave a PA.box,see�irsUucEonx bi na. . Make aure tlro SSN(a)aboVe
39 Falcon Court ermmrneecveca.ec[.
Liry'.twmoo�olfifx.wte.mdIDcoae.nyounareakreie�ae6os.akomn'd�ew�sbebwlseehsvucEonsl. vr�lenutlB�mitaiqypn
Mechanicsbur PA 17055-9316 CMAMYpµvp.�q pYfip
FwnP�caunlry name FnnP�P�r�ce/s�eWcourrt�/ FadP�W+�y mEe EmMlw�W rwtlup yv�g
^4M �Yw ❑��
FllingStatus � � �'^eie a ❑ H..awxws.ndaM+�o�am+�reo>�),Is.si��mKmo.ln
Y ❑ Married flling jolmy(even il mly one hatl incame) tM Quai��g pnaan a e wa dn M ya.tleowart,mta M�
Check ony one 3 ❑ MarrieE filing separntety.Enter spouse's SSN abova cnM'e nvere nva. ►
�z. aM/ull neme here.► s ❑awa�,y.;aowe�wm�a�mn ww
El[BmPtiOns ea � YareeM.H saiwma can da'rnYou as a dMab�4 do not cheGc box 6a . . . . a�+ckaa
b ❑ 8 ouae 1
ue.a aaa.�
c Dlpe�Menin. (tl��'c W�Ke ��btlYkLL�aeGil •pvMwltl�you
�t) R#Mnw laqrone ��M�umla �MmOWapbp-v (w�s) .idrMMWN
� �OwbJww
H RIIXB Slldll�W( ❑
d�e�,�.� w`.'�"d'�
insh�Rions and ❑ ���ro
CheCk IIeIe ►❑ ❑ ❑
tl Total number of exemptlons claimetl . ��j'� 1
Income 7 Wa9es.salaries.tips,etc.Attach Famis)W-2 . . . . . . . . . . . . 1
Ba TaxabN iMerest Atlach Schedula B i/repuired . . . . . . . . Be 4 3 9.
b Tv>ismpt InleresL Do no[tricluee m line Ba . . 8G
ALarh Form�s) ge py��,��s.Attach Schetlub B i/rapuired . pa
W-2 hare.Abo . . . . . .
atfnMForme b OualMad0ivi0ands . . . . . . . . . . BE
W-2fi aM 10 Taveble ra�unds,creCils,or oflu45 ot slate anE local incane taxes . . . . . . 10
108&R M lax 11 Alimary received . . . . . . . . . . . . . . . . . . . . . it
�"�h�. 12 Business iriwme a Qoss).Attach Schetluk C or GEZ . . . . . . . . 7Y 6 09 3.
13 Capital galn n�lOss).Attach ScheOule 0 H reauiraC.If nol required,check�ere ► ❑ 13
I�yw tlitl not 14 prtier 9yns or Aosses).Atlach Fortn 4]9l. . . . 1{
getaW-2, �y IRAdistribNions . 15a bTeuadaeimxh . . . 15b 3,700.
see InsWctions.
16a Pensims anC annuNes 18a 0 Tavade amainl 18b 6 535.
17 Rmtal�eal esfaie,royaitles,partnerships,5 corpaations,Ws�s,atc.Attsch Schedule E 17
1B Fartn iricome a(bssl.Attach$chedWa F . . . . . . . . . . . . . . 7B
19 UnemPbYmaRcprV�saUon . . . . . . . . . . . . _ . . 1Y
20s Sadal securily bxrefMs �1W � 19,916. � b Tara0le arrwunt . . . 20E 4 9 9.
2l ONer iricmie.Lie[rype anC amount �
-_____""_""_""__"_"_______"_""""_"_""_'___"""_"_.
2Y Cwnbire ihe arraints in ihe far ngM cdumn fw lirws]ihrwB��t.Thls 1�yw roW Incpiy � � 17�216.
YJ Educa�weaV�ses . . . . . . . . . . ?3
Adjusted u c��w��or,�a.�.rn.�no�ro ansv.�e
Gross lee-Da4sgovemmanidficlalaptlacliFam21p6a21pFQ z�
Income yr HeeMi savin9s x.count Eeductlon.Attech Farm 8889 . 25
28 MoNn9 expensm.Anach Form 3903 . . . . . 26
z� o�nda v�a�r-a,�pwym��w�.nnam saKa�b sE . n a 2�.
2B Shc-anpoyeC SEP,SIMPLE,and pualified plans . 28
2B Shc-emdoY�����inwrance tleAuccion . . . PB
30 Penally on early wMErawal of¢avings. . . . . 30
31a Alimanypaitl bRecipiant's55N ► 37a
32 IRA daduction . . . . . . . . . . . . 3Y
33 SNtlmt loan interest ded�clion . . . . . . . 33
34 TUXim and leas.Attach Fortn 891]. . . . . . 31
35 DanesUc paductim actlNties tletluction.AnacM1 Fam 8903 35
36 Atld lirres 231M1�o�9h 35 . . . . . . . . . . . . . . . . . . . 38 9 27.
37 SuDtract lirie%Gom line 22.Tl�is is yom atl�wtstl groo Income . ► 3] 16 78 9.
Fw Dixloeure,Prhacy Aet,and Pnperwwk Retluctlm Act Notice,eee eepare[e Inetruct}om. � �
BM REV 419Y1�PF0 Fpm ��� POI�
i�io.o��a�m v�e 2
Tax and � A^'�um hpn lina 3�(aJlusted gross income� . . . . . . . . . . . 38 16, ]8 9.
CIBdI[5 �8 Gheck I � You wae Oan Oefwe January 2, t 909. ❑ BIirM. �Total Ea�ec
�: I � �es was bom belwe January 2. 19a9. ❑ Blily. ehecked� 39a 1
yyra� e tl your spouse eemizes on a separole retum a yau wae a dW-stalus alien, check he�e� aeb�
���0� 00 Memizetl ded�ctlwro�irom Schedule A)w your stanEard Aaductlon(see lett margin) . . �0 7, 600.
fw—
.pwpy wM It Sublracl lirie 00 M1om lirie 3B . . . . . . . . . . . . . . . . . . . �t 9. 18 9.
�zo n�r�e s2 EsemPtlau.ntiieaeefl5o.000«I¢s.muhbNSa.9ootrlmenimermiw6e.Wrew�u.ueirsmr.tian as 3. 900.
J9a a 39E w � Ta�able IMome. Subtaq line d2 hom Xrre dl.tt liro 42 is mae Uan lirie al.errtd-0. . . /3 5.28 9.
c�la4 0 m a H Taa (see usbw,ibns�.CAeck tl any Iran: a � Portn(s)8814 b Q Fortn 4W2 c ❑ M 528.
id����• �5 iUlemative miMmum taz (see instrucibns).Attach Farm 6251 . . . . . . . �5
insmx.i�ms. �8 Atltl lires 44 aiW 45 . . . . . . . . . . . . . . . . . � �6 528.
•M ot�ds: 1] Forei9n�ax ueEil.Attach Fam 1116 A repuired . . . . �7
Sirgb a
ManieE fllirg IB GeCN la c1�iIC arW depmtleM cara expenses.AMacli Fam 3Cdt OB
55,�100��• � Educatim credils hom Form BBGf.line 19 . . . . . 4B
MartieC filirg 50 RallremeM savi�gs conWbulions creAit.Atlach Fam 8800 50
�y rg 57 ChIW taa aMil.Attad�Schedule 8812,H repuire0. . . 51
°�� 5Z RasiAen[ial mergy rietlXs.Attach Form 5695 . . Sf
512.TIp � Ww aedis han Form: a� �� b� 8801 c❑ 53
H�aa
nO1��• 5� Add lines a]thrcwgh 53.Thesa are yaur�otal credka . . . . . . . . . . . . SI
58.950
55 Subtract line SC hom Ivie<6.H lina SA is mwe Nan line 46,mter-0- � 55 52 8 .
�}h8f 58 SNI-employmmt taa.A[lach Scl�etlule SE . . . . . . . . . . . . . . . 58 854 .
TaX@S Sl UnaporteE social sacurily antl MeCicare tar hwn Fam: a �Ot3] D � 8919 . . 5]
58 Mtlitiaal W on IPAs.ptlier W�M�ratiran�ent plans.etc.Atlacli Fmn 5329 M repuvetl . . 58
5Bm HouseldC emdoY^b^�ta es han ScM1eEWe H . . . . . . . . . . . . . . 59a
b First-time bwneWyx oetlX repaymer�l.Atta l�Fam 5/OS il reQuired . . . . . . _ . 58b
60 Taxes hwn� a �fam 8959 b �Farm 8960 c �Instructions;enta code�s) fi0
6t AtlE lines 55 ihou h 60.This is our[oW bx . � 61 1, 382.
PayTenLS � FeCeral i�ome�aa w�hhtld Irom Fpms W-2 aM 1099 . .62 . . .1, 99 2.
83 2013 estima�eE�ar paynien6 arW amwn�appiad hvm 2012 ratum 83
II yw INve a 618 feTlE NCOTG flldll(FJG7 . . . . . . . . . . 608
O�alil�n^9 b Nonlaval�le com�al PaY deGlion 6/b
c�iltl.anacM1
SCM1etlu�e EIC. 65 ACEiIiaW rhiW lax c�e4R Attach Sc�cdule BB12 . . . . 65
66 Ameriran opport�nity credil hom Fortn 8863.lina B. . . fi6
el Rese�ve0 . . . . . . . . . . . . . . . 8]
69 l��qun1 paitl wi�n repues�la exlrnsm b(le . . . . 88
6B Ezcess soual secvrily anC M1d 1 RRTA tar wilMieW . . . 69
'/O Credil la ledaal Iss on IUNs.Atlac�Fam 0136 . ]0
n c,mn.��v�: , p zaas e p r�m �0 eeas d O �i
]2 AEA lines 62,63,61a,aM 65lhrwgh�1.Thesa xe ywr total pspnanl� . � ]2 1 94 2 .
RB�YOf1 ]3 N lina J3 is mae Uian Iine 61,su04ac1 line 61 M1om lirie]2.This is tM1e a�wv�t yov overpalE ]0 560.
]4a NrwuM oi line�3Ya wairt reNnCetl to you.H Form BBBB is attached.chxk Me . ►❑ ]4 560.
a,«�o��► n adrtng���, � I ►o rw,: Q a,�re � sa.;�
s� ► e n�„n��,n„ i o i o 0 0 0 0 0 � i s i o !
����. ]5 Mqunt ot Fne]3 w wanl to 2D1�aatlmaM0laa► ]5
AmOunl ]6 Nnount ypi owe.SubVacl line]2 hom line 61.Fw delails on Iaw to pay,see insVuclions ► ]6
YOu Owa » Eslimatvd tat sce inslructbns Tl
Third Party DO'�°�warrt to albw anomer person m Eiuuu inis retum wiln Ow IRS(see inshuclions�9 � Vea.Complate Gelow. ❑ Na
Designee �re��� � P��b���
ame � Ra mond F Oliver Jr no. ► 1717�691-1305 rumeer i ► 12345
19f1 wmw��wo>Nr.ieeevemai�.:.�:.eu..,��ya+��w�riw.�e,�„a.me�.a�emu,.eeaw�.r�+.eueraeaw,
Here ^bvs.w..�..n.se�qn..w�,.mw�anro++lome�mwi•w+mlueu.amaY�.iomau�w.n�nro+s�+..'rv�mw.
Joimretumi5ee Yovvgr�alue Da�e Youraccupalur DayGmaqwrw�vm0er
rswa�ims. Retired/SE (717) 691-1305
K�accyyla $ppa¢�ssig�Iva.Ila�wn�ieNn.poNrrn�clign. Dale S�ause'sa:[�qa�im XtlMlfl$svApvmkMilyRqeclim
)wr rewJs. RN.mta il
M sriet
Paid °ini�rww=v��s��. nma>'::re�wa oaa cn«H �n vnH
Prepare� Ra ond F Oliver Sr Raymond F Oliver Jr 03/OBR014 s*n«npw� P00433590
USeOnly c.ms�.w � RAY'S TAX SERVICE F:msEIN �
v.m•iaeeress� 39 FALCON CT MECHANICSBURG PA 17055-4316 cnmem. 1717) 691-1305
�vawl��ano Fmn1040(to�a)
Form �oao Social Security Benefits Worksheet 2013
Line 20 � Keep lor your records
Name(s)Shown on Relum Social5ecunry NomDer
Raymond F Oliver, Jr
Social Secunry/Railroad Re6rement benefi�s �eceived in 2012 . . . . . . . O
Taxpayer Spouse
A Total net benefi�s hom Box 5 of all SSA-7099 forms . . . . . . . . . . 19, 416.
B Total feAeral tax withhel0 hom box 6 0(all SSA4099 forms 1, 992.
C Tofal Medicare B premiums withheltl trom all SSA-7099 torms. . . .
D Totnl Medicare C premiums withheld from all SSA-70991ortns. . . . .
E Total Medicare D premiums withheld from all SSA-1099(o�ms. . . .
Note: If sel(-employed, Medicare premiums are de0uclible as
Self-Employed Heal�h Insurance. If selFemploye0.en�er premiums
on t�e business acliviry/ortn(Schedule C,F,etc),nol on Lines C, D
and E a6ove.
F TOWI net benefits from Box 5 of all RRB-7099 fortns . . . . . . . . . .
G 7oGl federal�ax withheld hom box 10 0/all RRB-0099 fortns
H Total Medicare premiums hom Box 11 of all RRB-00991ortns . . . .
1 Add amounts hom line A and line F above.Also enter[his amounl on
Form 1690.line 20a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 19, 9 16.
2 EMer one-half of line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 9.708 .
J Add ihe amounts on Fortn 1640,lines 7(be(ore adoption�enefits exGusion),
8a(before U.S.savings bond interes�excWsion), 86,9a, 101hrough 1d,
15b, 16b, 17 through 19,and line 2t Also indude cenain income o(bona fde
residenLs o(Amencan Samoa or Puerto Rico. . . . . . . . . . . . . . . . . . . . . . 3 16, 71� .
4 Enter ihe lo�al of any exGusions/atljustmen�s for
• Foreign eamed inmme or housing ezdusion . . . . . . . . . . . . . . . . . . . . 4
5 Add lines 2, 3, and 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 26, 425.
6 Amount fmm Fortn 1040.lines 23 ihrough 32, plus any wn�e-in amounts
on line 36(oNer t�an foreign housing deduction). . . . . . . . . . . . . . . . . . . . 5 qp�,
7 Subl2ct line 6/rom line 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 25, 998.
8 Enter E25,000(532,000 if martieA�ling jdntly;SO if married(ling separa[ely
antl you lived wiN your spouse al any time in 2013) . . . . . . . . . . . . . . . . . . 8 25, 000.
9 Sublracl line 8 from line 7. I(zero or less, enter-0. . . . . . . . . . . . . . . . . . . 9 998.
M Iine 9 fa zero or less, slop here; none of your wcial security benefi�s are
taxable. ENer-0-on Fortn 1040,line 20b. If you are marrietl filing separalely
and you Iivetl apart hom ywr spouse for all o(2013,enler'O'lo Ne nghl of the
word 'benefits'on line 20a. If Ilna 9 is more than zero,go to line 70.
70 Enter E9,000($12,000 i(mamed filing jointly; SO if mamed filing separately
antl you lived wilh your spouse at any lime in 2013) . . . . . . . . . . . . . . . . . . t0 9,000.
71 Subiract line 10 hom line 9. It zero or less, enier-0. . . . . . . . . . . . . . . . . . . �� p_
12 En[er Ihe smaller of line 9 or line 10. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7p 998.
13 Enleron�halfo(linel2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 499.
74 En�er Ihe smaller of line 2 or line 13. . . . . . . . . . . . . . . . . . . . . . . . . . . . 7� g g9,
15 Multlply line 11 by 85%(BS). If line 11 is zero,enter-0- . . . . . . . . . . . . . . . 15 0.
16 Add lines 14 and 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 499.
17 MUItlPIy line 1 bY 85 h (.85). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 16,504 .
78 Taxable social securiry benefi�s. Enler Ihe smaller of line i6 or line 17 . . . . . . . 7g 499.
I/pnor year lump�sum benefi�s were received, go to line 19, olherwise,
skip line 19 and en[er Ne amoun[frwn line 18 on line 20.
79 Taxable benefifs with lump sum election. Enter the amount from line 20 of�he
Lum�Sum Social Securiy Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . �9
20 Tazable Soc(al Security benefits. Enter the smaller o(line 18 or line 19
Also enter this amount on Form 1040,line 206. . . . . . . . . . . . . . . . . . . . . 10 4 99.
SCHEDULEC Profit or Loss From Business oueHo.�sasuma
cFo� ,oao� isa.aoa,+a�o,��o� 2Z0013
oapanm�i oi me Lrasury �Fw informatian on ScM1etlule C and'Ra insLuc�ions,go lo www.irs.gov/uheJWec. qnac�mrn�
mtemai aevenue Senica ty9� ►Attach to Form 1010,1dONR,w 1001;parOnerships gmraly must file Form 1065. sepumce Ho.09
Name ol proprelp�
Sacial aecur��Y nvnCer�SSN�
Raymond F Olivec, Jr
A Rincipalbu5inessor0�olccsion,inclutlingpoductaservice(screinsWctims) Bbn�wO�M1anxmuucyore
Tax Prepara[ion ► 5 4 1 2 1 3
C Businessname.IlnoseparateWsinessname,leaveblank. oEmpoyslp�veys�,�e¢ir���
Ra 's Tax Service '�
E BusineuaAdress(nclutlingsuitearoomno.) ► 39 Falcon Cou[t
"'""'_'_"__-_-___'_'"'"'"'""_______"""'"__"__"___-__""_""'_____"___"__'"
Ciry,bwnapostotfce,state antl2lPcode Mechanicsbur , PA 17055-9316 �
f Accpmtlng met�od: (t� �Cash � ❑Ac<rual �3� ❑Other(sperily) ►
'"_"__-__"_'"""'_""_-__-'___-_'___'"_'""_ _
G DiA you'matenally participe�e'in tha operation of this�usiness dunng 2013?I/"No;sea insUuctions iw limit on losses . �r�s �No
H It you started or acquirad Nis business dunng 2013,check here . . . . . . . . . . . . . . . . . ► ❑
I �id you make any paymmis in 2013�ha�woula reQuire you to file Form(s)1099?(see insVuctions� . . . . . . . . ❑Yes �No
J Ii'Yas,'did ou or vnll u fila� uirM Portns 1099T . ❑Yas �No
Income
1 Grosa receipts w sales.See insiruclions lor line 1 end check the box if Mis incoma was raportetl�o you on
Fortn W-P an�the'Statu�ory employee"box on�hat lorm was checked . . . . . . . . .� ❑ 1 16� 82� .
2 ReNms and allowances . . . . . . . . . . . . . . . . . . . . . . . . R
J Sub4acl line 21ran lirre 1 . . . . . . . . . . . . . . . . . . . . . . . 3 16, 827.
� Cost ol goods sold(�line 42) . . . . . . . . . . . . . . . . . . . . . 1
5 Grose potlL Subtract li�w 4 han line 3 . . . . . . . . . . . . . . . . . . . 5 16�827.
6 Olher income,i�ludiig IeAral and state gasdine or tuel tax cratl�w reNn�(sea insb�ctions) . . . 8
] (3rom Ncome. Add lines 5 and 6 - . � T 16, 82 7 .
. . . . . . . . . . . . . . . . . . .
Ex nses EMer expenses fw business use of yaur home onty on line 30.
8 Ativertising . . . . . 8 10. 18 �caexpanse�seainsiructions) 18 855 .
B Gar anE huck eapenses(see 1H Pensim arM pofit-shanng plans . 1B
inswdions). . . . . B 3,2 61. 20 Rent or lease(see inshuc[ions):
10 Commissions and tees . 10 a Ve�ida5.machinery,arM aquiqnmt 2(la
t t Contrecl labw(see insbuclions) 11 b Otha buiriess property . . . 2py
12 Depletion . 1R 21 RapaireanAmaintenance . . 21 2. 456.
13 Depreciation and section 1]9 Y2 Suppliaz�nW includeE in Part II1) . Y! 415.
exP�x tleduction (not 23 TazesanAlicenses . . . . T3 63.
iricl�dtd in Pat II� �see
insWc[ims�. . . . . 13 1, 492. 20 Travel,meals,aMentertainmenl:
U EmploY� �nelit pog�ams a Travel. . . . . . . . 1.y
(other ihan on iine 19). . 11 6 �etluctible meals an0
15 Insurance(o�her��anhealih) 15 entertainment�seeinstruclions) . YAb
t6 In�eresf. 25 lHilRias . . . . . . . Z5 621 .
a Mortgage(paid to banks,Nc� 18a Z6 Wages A�s emdoynren[cretlits�. 26
b Other . . . . . . 166 T/a Otherexpenses�homline48) . . 2]a 897 .
11 Legal aM polessimal sernces 17 0 Reaerved 1«hrturo ux . . 27b
?B Total oxpenaes bef«e expenses Iw business use of home.Ada lines e t�roug�27a . . . . . � ► 2g 9, 97 0.
PB Tentative pofit or�oss�.$ubtract line 28 hom line] . . . . . . . . . . . . . . . . 28 6, 857.
� Expenses �w �usir�ess use of your hpna. Do nol report ihese ezpenses elsewhera. Attach Fwm 8829
unlvcs�sng[�e simdifiea meMotl(see insWctians).
SImplMed meMaA fllxa onM enter tM1e total spuare footage ot(a)your�ome:
and(b)Ne part o/your Iame usetl lor business: .Usa Ihe Simplifietl
Method Wqkshee�in��e insWclions lo�igure the arnoun[to enta on line 30 . . . . . . . . 3p g 1 q ,
31 Net proM m Qoaa�. Subhact line 30 hom line 29.
• Ii a pofit.enler m DotM1 Form 1010,li�w 12(a Fam 1010Nq,line 1�and on ScMtlub$E.line 2.
�I Yov c�xked tha Oox m line 1,see instructions).Esta�es and husts.rn1a on Form 1041,tine& 31 6, 04 3.
• II a Ioss,yo�must go lo line 32.
3Y II yoo have a loss,c�eck t�e box that desc�ibes your investment in�his activily(see insbuctions�.
• I/you checkM 32a,enter ihe loss on bo�� Form 10/0,Iina lY,(w Form t01pNq,1lrw 13)antl
on Schedub SE, line 2 QI you cM1ecketl tha bor on�ine 1, see the line 31 insbuciims).Es�ates antl � � /�I investmenl is at.isk.
hosis,m[er on Form 10H,line 3. 326 0 �^e investment is nat
• It you checked 32b,you must atlarh Form 61%Vour loss may be limited.
dl nsk.
Fw Paperwork ReAuction Act NoGee,xe the aeparate inaWctlons BM Ae/owvi�PRo Sdiewb C�am�OW�ZO�J
s�,eew.c 6��wm zo�3 v.pa 2
Cost of Goods Sold (see insiructions)
ai raeupA(sl usen m
value cbslrg inventwy a ❑ Cost b ❑ Lowa ol cost or makel c ❑ Other(ettach eadanatlml
3� wes Nere arry cnr�pe in Eetertrnninq quanixies.msts.a reluatims benveen opaning end dming imentaya
tl'1'�,'attad�eadan�bn . . . . . . . . . . . . . . . . . . . . . . . . . . ❑ Yu � No
3$ ImerRwy at beglnnNg d year.11 di/fxent hnm last Y�s Gosirg Mventory.altadi azpW�atlon . . . 35
36 Purchazes bss cost ol itans wMOrawn Im P��al use . . . . . . . . . . . . . . 38
3] Cosl d IaOa.Do iw�iriGude arry arnax�is paiC ro ywusett. . . . . . . . . . . . . . ]�
3B Materials arN supWias . . . . . . . . . . . . . . . . . . . . . . . . JB
3D Olhato6k. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3B
AO MA firiss 35 Wough J9 . . . . . . . . . . . . . . . . . . . . . . . . �0
tl InVMloryatendofYear . . . . . . . . . . . . . . . . . . . . . . . . I1
�2 Cosl o}poo0�aold S�btracl line<t hom line 40.Enter Na ruull here arM m Iv�e 4 . . �2
IMpmation on Your VeMcle. Comp�ete this part only it you ara claiming car or truck expenses on line 9
and ara rwt required to file Fortn 4562 for this business. See the instructions fa line 13 to find ou! if you must
file Form 4562.
�3 Wlien diA Ya W�eYar vahicb N�servica la Euvmss purposes7(mmU�.OaY.Y�) �____ "
- _"___-__""'"
M Of Ne[otal number ot mibs yw draw your veMcb dring 2013,mter ttre numper ot rtules yau useG ydv vehicle for
, eus�riass e ca,.�Mnine(see wnl�wYiais) c om«
______'_____......__ '_'__-_____-____"_. ...__'""""'"_""......_........_
0.5 Wa your vMiGe avallable/a P>�al ux durn9 d1�u�Y Irourst . . . . . . . . . . . . . . . �Vm � No
�s oo rW�«rd,.wa��l ns��m�.maa e��s m.ad�,a��. . . . . . . . . . . . . . p re. ❑ No
Na Do Ya Iwve avWer¢e to mOf�Your Aetluctbn9 . . . . . . . . . . . . . . . . . . . . Q Ym � No
b X•Yes:h iM rnEawre written7 . � Ym � No
. . . . . . . . . . . . . . . . . . . . . . . .
Other E:peneea. List bebw business ex ses not included on lines�26 a line 30.
ppp 79.
YMCA Dues 640.
GMCard_""'_"'"_""_""_"_"____""_"""'_-________"'"_""_____________"_- _""__""_"'"_'"""__"'_'""' 39.
Quickfinder Book 52 .
windows8 eook 37.
�e Total other expenees. Enter hae arq on lino 2]a . �e B 47.
FEV 0]AY��PRO Sd�eOuM C ffwm 1WQ 21H3
�J � � �� � S� � � -- � ; �
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Tt'vLxo� �� s�,_� o � 5a,�o2 a ,�3
�'-iRRC1a ) ��� �i '�"�. 5� ,�n ,�.-2 5.- ,? � I . 98
h�y�e ' 's % i�l 3 r, o /��P�- 6 � ,�� �13 .� �
Mhv � �o) ' I i , 3� r�
T�„ ,�. � ; r � �>�.�� �_ Si-7
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o_,�ro � a,b> o.- ; J �s. ,�� � , z.2
�/�✓, iJS � 7��7 �'_ V 143. ; '9 ( 3 .� 3
orc� � ,c� �.�� '.z�., �,7 � D��.� �7� '-�7 � I . f8
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i 6 �. 49
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6 'i�i . ao �l� �(r, cT, bJ �: - A�=i 0"7Z." .,
39. 00 ��I� (yM ,'r4P, �.t ',UJ �OG�i�o
S 1 , `�� '��'� a� �s a�r. �-..i,.,,
� ., ('�I�NT -��� ��1__.:_E�- �-/, '7'7
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;'��:� -��� � 1 3 0 ��
�
6C�H'EDU�LOE SE Self-Employment Tax oMe Ho. ises-owa
oepanmmt oune neawry �1MO^^a�1O^aboul Schedule SE and Na separate inswctions is at www.irs.gav/uhedubse. � �O 13
imema�nevmue Service ry9 tAttach ta Form 1090 or Form 1010NR. Anacnrrimt
Sepuence No. 1]
Name o�person wi1�W1.qnqpymen�in<ome(a5 sliown on Fpm 1p40) Social sacuriry num�er oi person
Raymond P Oliver, Jr withseM-employmmtincome►
Be{ore you bcgin:To determine it you must file Schedule SE,see the insiructions.
May I Use Short Schedule SE or Must I Use Long Schedule SE?
Note. Use Ihis flowchart ony if you musl fle Schedule SE If unsure,see Wiw Musf File Schedu/e SE in Ihe instructions.
o�e rw.ec.i.e...se.w ua h xmri
No y�
Are you a mnista, member of a rNigious wdw, w CM1nniai yyaz Me iMal d
Sclence paclNmar xtw receivetl IRS appoval�wl�o ba Wed Yn Y�wagas arq Yps suEject lo social sacuMy Yse
amirgs hom iM1ase sourtn.WI Y�awe seH-employmmf w reitroatl retierner�t Na 1)�aa Wu+ Yov nN eamin9a hom
Iv on ol�n eamn9sl �-��VbYmaM mwe Man f11�.]00'f
Mo
Ne
Ne you uvng me ol�M optlonal met)wtls to Igure your ret yK Utl you r«eive�ps wEjact to sacial security or Metliraie tm yK
�in�s Isee'inswnionsl? mai you aid nw rqron m your emqoya�
Ho �°
�i0 you rec e clvrc� emplqee income �see insuuclions) Yea �O � � ��0� ar'Y wagas on Fwm 8919. Uncdlecte0 Sociai Ves
reoaneemFwm W-2oiEt081Bamwei
Secunry arb MaOcare Tav on Wagas?
Ne
Yw mT'usa SM1M SCMdia SE Oslow Yw nw��um lon0 SdeMb SE m PZBe R
Seetion A—Shorl Schedule SE. CaWion. Featl above to see it you can use Short ScheCule SE.
ta Net fartn profit or Qoss) 4om Schedule F, line 34, and fartn partnerships, Schedule K-i (Form
1065)� box 14,code A . . . . . . . . . . . . . . . . . . . . . . . . 1a
b If you receivea social secunry re�iremmt a disability benefits, en�er�he arnouril ot Cpiservation Rwwve
Program payments included on Schedule F,line 4b,a IateA on Schetlule K4 (Fwm 1065),bw 20,coAe Z 16 ( �
2 Net profit or(loss)hom Schedule C, line 37; Schedule GEZ, line 3; Schetlule K4 (Fortn 1065),
box 14, cotle A (o�her than farming); and Schedule K4 (Form 1065-8), box 9, code J1.
Minis�ers and members of religious ortlers, see ins�ructions �or types oi income lo report on
ihis line.See insiruc[ions tor other income to report . . . . . . . . . . . . . . 2 6,a 4 3.
3 Com�ine lines ta, 16,and 2 . . . . . . . . . . . . . . . . . . . . . 3 6,043.
4 Multiply line 3 by 92.35% (.9235). If less Ihan 5400, you tlo not owe sett-employment tae; do
not file ihis schetlule unless you have an amount on line 1 b . . . . . . . . . . . ► 4 5,581 .
Note. If line 4 is less ihan E400 tlue to Conservation Reserve Program payments on line tb,
see instructions.
5 Self-employment fac It Ihe amount on line 4 is:
•5113,700 or less,mWtiply line 4 by 15.3%(J53�. Enter�he resutt here and on Farm 1090,line%,
w Fortn 10qONR,lina 5/
• More Ihan$113,700, multiply line 4 by 2.9%(.029).Then, add$14,098.80 to the result.
Enter the total here and on Form 1040,line 58,or Form 1090NR,line 51. . . . . . . 5 854 .
6 Deduclion for onrhaM of seH-employmeM tac.
Multiply line 5 by 50% (.50�. Enter�he result here and on Fortn
7040,line 27,or Fortn t000NR,line 27 . . g 42�
Fw Paperwak Reduction Act Notice,see yourtak reNm Msttictims. BM aEv owliaaao ScnemJes[�u.m ipp�p��
F�„�8829 Expenses for Business Use of Your Home oMa�� ,�+s-��a
�Fle onty wiU Schetlub C�Fwm 1040).Use a separate Fortn B82B br each '�j O� �!
hane you usetl iw Eusiness tlunng tlro yeac �� �7
Depa�men�ol�ne ireawrv AnazM1ment
intmui aevmue savice i5s� �InformaM1on aboN Form 0819 antl ks separate insbuctlons is at www.lrs.gov//ormBB?9. �q��e Ho.176
Name�s�d poqiela(5) Vour s cul tea,ily n mber
Raymond F Olivec, Jr
PartofVourHomeUsedTorBusiness Tax ereparation
1 Area used regularly antl ezclusivety for business, regularly tor daycare, or tor storage o�
inventory or product samples(see ins�ructions) . . . . . . . . . . . . . . . . 7 q g
2 Total area of home . . . . . . . . . . . . . . . . . . . . . . . . . 2 625
3 Divitle lina 1 by line 2.Enter Ihe result as a percmtage . . . . . . . . . . . . . 3 7.68 %
Fq deycare Iacilities not used exGusivey for business,go to lirre 4.NI athers go to line 7.
d Muttiply days used tor daycare tlunng year by hours used per day 4 hr.
5 Total hours available fa use dunng Me year�365 days z 24 hours)(see inslructions) 5 e,7 60 hr
fi Divitle line 4 by line 5.Enter Ihe result as a decimal amount . . 6
7 Business percen�age. For daycare facilkies not used exclusively for business, muNiply line 6 by
line 3(enter the resuR as a percentaga).All others,enter ihe amount trom line 3 . . ► 7 7.68 %
Fi ure Your Allowable Deduction
8 Enter ihe amount M1an Schedule C, line 29, plus any gain derived hom ihe business use ol yo�r
�ome and shown on Schedule D a Fortn 4797,minus arry loss trom�he irade or business not denvetl
hom ihe business use of your home and shown on Schedule D or Fortn 4797. See instructions g 6, 85"] .
See Inswctlons tw cdumna (a� anA ry� belore
completlng Ikies�21. e Urea e iriaven ex
9 Casuatry losses(see insUuctions�. . . . . 9
10 Deductible mortgage interest(see instructions) 10
H Real estate taxes(see instrudions) . . . . 11
12 Add lines 9, 10,antl 11 . . . . . . . . 12
13 Multiply line 12,column(b)by line 7 . . . . 13
14 Adtl line 12,column(a)and line 13 . . . . 14
15 Subtraclline74tromlineB.Itzerooiless,enter-0- 15 6,85"1.
18 Excess mortgage interest(see insiructions) . 16
17 Insurance . . . . . . . . . . . . 17 75.
/8 Rent . . . . . . . . . . . . . . 18 9, 160.
/9 Repairs antl maintanance . . . . . . . 19
20 Utili[ies . . . . . . . . . . . . . 20 1,360.
27 Olher enpenses(see instructions�. . . . . 2/
Yl Add lines 16lhrou9h 21 . . . . . . . . 22 10,595.
23 MuttiplY line 22,column(b)by line 7 . . . . . . . . . . . 73 819 .
24 Carryover of operating eapenses hom 2012 Fortn 8829, line 42. . 24
25 Add line 22,column(a�, line 23, and line 24 . . . . . . . . . . . . . . . . . 25 814 .
28 Allowable opereting expenses. Enter the amaller of line 15 or line 25 . . . . . . . . . 26 814 .
27 Limit on excess casuairy losses anA depreciation.Subtract line 26 hom line 15 . . . . . 27 6, 043.
?B Excess casuatty losses(see instruc�ions) . . . . . . . . . 28
29 Depreciation ol your home irom line 41 below . . . . . . . 29
30 Cartywn ot excess casuatty bsses arM Oepreciation han 2012 Fwm 0829,line 43 30
31 Add lines 28 through 30. . . . . . . . . . . . . . . . . . . . . . . . 31
32 Allowable ezcess casuairy losses and depreciation. En[er[he smaller ot line 27 or line 31 . . 32
33 Add lines 14, 26, and 32. . . . . . . . . . . . . . . . . . . . . . . . 33 814 .
34 Casualry loss portion, i(any,from lines 14 and 32.Carry amount to Fortn 4804�see instructions) 34
35 Allowable expenses tor busiriess use of your home. Subtrac[ line 34 hwn line 33. Enter here
and on Schedule Q line 30. H your homa was used for more than one business,sea instructions ► 3,5 819 .
Depreciation of Your Home
36 Enter the smaller of your home's adjusted basis w Rs tair market value(see insWctions) . . 36
37 Value ol land included on line 36 . . . . . . . . . . . . . . . . . . . . . 37
38 Basis of building. Subtract line 37 from line 36 . . . . . . . . . . . . . . . . 38
39 Business basis of building. Multiply line 38 by line 7. . . . . . . . . . . . . . . 39
40 Depreciation percentage(see instructions�. . . . . . . . . . . . . . . . . . GO %
41 eciation allowaWe sea instructions. Mutti line 39 b line 40.En[er here and on line 29 above 41
Carryover of Unallowed Expenses to 2014
42 Operating expenses. Subtract line 26 hom line 25.If less than zero, enter-0- . . . . . . 42 0.
43 Excess casualry losses and Oepreciation.Subtract line 32 fiom line 31. It less�han zero,enter-0- 43
FwVaperworkReA�MionAClNotice.veeYourUxmNminaWctions. BM nEvoawvi�Pvo Form88291�a�a)
F�,�,4562 Deprecfation and Amortization o^+a��. ��s-o,>:
(Including Iniormatlon on Listed Property) 1�00 y 3
Depa'tmnl ol llre i.eavvy q����
memd��,.sa,wc. 99 �See separate inskuNonz �Attach te Your Gz reNm. seQuence rvo. 179
�vare�sl sNown m,eturn Buvnass w actiNry m wn-rn�r:s fwm reiataa WwMyirp nw.br
Raymond F Oliver, Jr Sch C Tax Prepara[ion
Election To Ecpense Certain Property Under Section 179
Note:I/you have any listed property, comp/ete PaR V be/ore you complete Part I.
/ Ma�cimumamount(seeinsiructions) . . . . . . . . . . . . . . . . . . . . . . . 1 500 000.
2 Total cosl of section 179 property placetl in service(see instructions) . . . . . . . . . . . 2 2 096.
3 Threshold cost ot section V9 property be�we reduction in limitation(see insWctions) . . . . . . 3 2 000 000.
4 Reduction in limitation.SuDtract line 3 hom line 2.If zero or less,enter-0- . . . . . . . . 4 p .
5 Dollar limitation (or taz year. Subtract line 4 from line 1. If zero or less, en[er -0-. If marned filing
separately,see insUuctions 5 500, 000.
. . . . . . . . . . . . . . . . . . . . . . . . .
e lal DaxrP�im m Pwa�v NI Cos�Iwvress us.aMN Icl Eiactea ms�
Tax So£cware 11/13 1 207. 1 207.
7 Lis�ed property. EnterMe amount hom line 29 . . . . . . . . 7
8 Total elec[ed cost o(section 179 propeity.Add amounts in column(c),lines 6 and 7 . . . . . . 8 1, 207.
9 Tentative tleductioa Enter the smaller of line 5 or lina 8 . . . . . . . . . . . . . . . . 9 1, 2 07.
10 Carryover o(disallowed deduction hom line 13 of your 2012 Fortn 45fi2 . . . . . . . . . . . 10
11 Business income limdation.Enter the smaller ot business income(nW less Man zero)or line S(see insWc�ions) 11 7 y 5 p,
72 Section 179 expense detluction.Add lines 9 and 10,bul do not enter mwe than line 11 12 1,207.
/3 C over ot disallowed deduction to 2014.Add lines 9 and 10,less line 12 � 13 0.
Nota: Do not use Pad ll or Part Ill below loi listed . Insfead, use Part V.
Special eciation Allowance antl Other Depreciation (Do not include listed ro .) (See insiructions.)
74 Special depreciation allowance (or Qualified propeity (other than lisled property) placed in sarvice
dunng the tan Year(see inslruc[ions) . . . . . . . . . . . . . . . . . . . . . . 14
15 Propetly subl�to section 168(Q11)election . . . . . . . . . . . . . . . . . . . . 15
16 Olherde reciation mclutlin ACRS �g p.
MACRS De reciation (Do not include listed ro e .)(See instructions.)
Sectlon A
17 MACRS tletluctions fw assets placeA in service in tan years beginning hefore 20t3 . . . . . . 17 57 .
18 If you are electing to group any assats placed in service tlunng the tau year into one or more general
asset accounts, c�eck he�e ► �
Secbon B—Aasets Placed m Service Dunng 2013 Tarz Year Udng ihe Gmeral Deprxiation System
lal ciamnwt�m oi�.oq.iy paue.n Y°'� c a �al Reco.�y
fwr�es�..+en�niue �� lel cm.renr M Mdnoa IHI oewxla��oneeauciia�
ae.:muunrs
19a 3- ear ro
b 5- ear ro e 889. 5.0 HY 200 DB 178.
c 7- ear m
d 10- ear o
e 15- ear ro
f 20- ear ro
25- ear 25yrs. 5/L
h Residen�ialrental 27.Syrs. MM 5/L
P�oPeNY 27.5yrs. MM 5/L
INonresiden[ialreal 39yre. MM 5/L
P�o��Y MM 5/L
Settion C—Asaets Placed in Service Durin 2013 Tax Year Usin the AI[amative Depeciatlon tem
20a CIa551ife 5/L
b 12- ear 12yrs. 5/L
c 40- ear 40yrs. MM 5/L
Summary See instiuctions.)
21 Listed property. Enter amount hom line 28 . . . . . . . . . . . . . . . . . . 21
72 TOWI. Add amounts hom line 12, lines 14 through 17, lines 19 antl 20 in column(g),and line 21. Enter
here and on the appropriate lines of your retum.Patlnerships and S corporations—see instruc[ions yL 1� q q p .
23 For assets shown above and placed in service tlunng�he current year, enter the
podion of the basis attributable to section 263A ws�s yq
Fw Pape.work Reduction Aci Notice,see separate insWe4ona. BM Ae�owa��aao Fwm 4562(zoia)
Fwm,srz i 2
Listed Property Qnclude automobiles, certain other veliicles, certain wmpulers, and property used for
eMertainment,recreation, or amusemeM.)
Note: For any vehicle Iw which you aie usirg the staMaid mileage ia(e or tleducNng lease expanse, complefa ony 24a,
24D, cdumns(�MrougM1(cl o/Section R ell o/Sec�an B.aM Section C il applicable.
Sectlon A— eclatlon aM Other Irrlarmatlw� CaWon: See Me instructlans loi limits Iw eutpr»biles.
2Ca Do have mija¢e to the��e tlsrreC! �Ya Q No 21b H'Ves;b iha eWde�we writtenT �Yes O No
W �1 � ��� PI fW Od PI
TYvedO�Ws�YI� W�epcetl BUFm/ (N Ba1ek.Oq�lan q�y Ms�1wN DeP�� E�ec�eAas�b�liH
vYYdesM1s9 Y�aFNtw �� Cm�aotlwGvk �W�m4�wh �� Gm�artim tletlicUm cwt
y5 SpeUal tlapreciation allowance Iw qualfied listetl poperty placed in servlce durirg
ihe t� Year anA usetl more Nan 50%in a VualifieE busirress use(see inslructians) . y5
28 R used more Man 50%in a uaFfied Dusinass usa:
04 Chevy 11/19/1007 62.00
27 P usad 50%a less in a ualified Wsiness usa:
/L-
/L-
/L-
?B Add amounts in column(hl.lines 25 through 27.Enter I�ere an0 m Gna 21,page 1 . ?B
28 ACd amounCs in coWmn �,line 26.Eritx here and on line 7, e 1 . 28
Seetlm B-6Aonnallon on Uee of Vehiebs
CanP�e Mis seclion fa vehides used Gf a sdeVaV�a.P�g.a other'mora tlwi 5%owrrer:a eaWted Pa�.n you Movidad vehides
�o your amployees.Nsl answx the Ques[ions in Secem C to see il you mee�an enceptlon to cmpletlng Nis secUon fa ihose vehidas.
w a ia ai a� m
70 Total business/urvesbnen�niles Aiven tliaing vsas� vetx s vwae a va�w.• venae s veNw s
the year(do�rol indude carcnuli�g milas) . 5, �13
31 Tolal commuUng mdes driven during the year 0
32 Tota1 other personal (rimcommuting)
mNes driven . . . . . . . . . 3, 501
33 Tdal miles driven durirg ihe year. Add
lines 30 ihrough 32 . . . . . . . 9,214
3� Was [he vehiGe available la personal �'es No Yee Na Ves No Vo No Yee No Yee No
use Ounng oll-dury hours7 . . . . . 7�
35 Was the vehkle used primanly by a more X
Ihan 5% owner d relate0 person? . .
36 Is arwther vehitb avaiWda�a use7 X
Secfion C—Uuestlwn iw Employars MTo Provide Vehicbs Iw Uae by Thek Employaea
Mswer these questions to de[ermine il you meet an axceptim to completirg Section B la vehiGes used by empbyees who ars not
more than 5%owners«relaled persais(sea insfructions).
37 Do You mairrtain a writtan pdicy stateme�H Mat prohibils all personal use of vehicles. induding mrtvriuting. by Yea No
your emP�oYees7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38 Do you maintain a writ[en pdicy statement Nat prohihils persmal use of vehicles. except commu[in9. by your
employees7 See tl�e inslructions for vehkAas usetl by caporate officas,dvectas,a 1%a more owners . .
39 Do you treat all use ol vehkAes by emP�%'ees as Personal usa7 . . . . . . . . .
40 Do you provitle more Man five vehiUes to your employees, obtan information hom your amployees ahout the
usa af Me vehiGas.and relain Me in(wmation received7 . . . . . . . . . . . . . . . . . . .
41 Do you mee��he requiremerrts wnr.emirg qualified aulomo�ile dertwnstratim use?(See instructions.) . . .
Note: H r answx ro 37,38,39,40,w 41 is Nes,'do not can /ete Section B/w fhe covcred vehicles.
AmoNzatlon
N1
W oa.,�y:.m� M fA nn�o,��mm R�
�.+b��awv, � mnunu.am�.v coa..«mn v�a n,we:mm1vubyv
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42 Amor�iiatim of cosis�hat ins durin r 2073 tax ear see instructions:
_L_ _ L
43 Amortiiatlon oi costs Mal be9an helora ywr 2013 tax Year . . . . . . . . . . . . . �3
61 TotaL Add arnounls in cdumn(Q.See ihe insWctions lor where to report . . ��
mv mmn.wo cam 4582 Rot�
Asset Life History 2072
Yeady Allowable Depreciatwn
Name(s) Shawn on ReWm Social Securiy Number
Raymond F Oliver, Jr
Descnp�ion: Tax Software 5/OB Depreciationtype: MACRS Assetclass: 5
CosU
Basis: 608. Depreciable Basis: 608. MetFwd: 200DB Lrfe: 5.00
AMT Cos�/ AMT Depreaable AMT AMT
Basis: 608. Basis' 608. Method: 150DB Life: 5.00
Tax Prior Deduction AMT Prior AMT Deduction
Year Depreciation foriheYear Depreciation (ortheYear
1 2008 0. 122. 0. 91.
2 2009 122. 19d. 91. 155.
3 2010 316. 117. 2G6. 109.
4 2011 G33. 70. 355. 101.
5 2012 503. 70. a56. 101.
6 2013 573. 35. 557. 51.
7
8
9
10
11 __— _.__
72
13
14 —'—'
15
i6 -'—
17 --
18
19 —' —"___
20
27
Z2
13
24
25
26 _
� _—
28 - --
�
30
31 --
� __
� --
�
35
36
37
38
39
40
al
� —_ _.
43 ___._.—__
� Asset Entry Worksheet 2013
�uickZoom to ano�her co o/Asse�Ent WorksheeL .
Name�s)Sbown on ReWm $ocial5ewnly Number
Raymond F Oliver, Jr
Activiry: Sch C Tax Preparation
A55et Infortnatlon • For vehicles,usa the Car and Truck Expenses Worksheet
• For home oHice assets use the Fortn 8829 Asset Entry Warksheet
Descriplionofasse� . . . . . Tax Softwa[e 11/13 Percentageofbusinessuse . . 100.00 0
Dateplacedinservice . . . . 11/02/2013 Sectiont79deduclion . . . . . . . 1, 207.
Cosl or basis . . . . . . . . 1,207. Lantl inGuded in wst . . . . . .
Typeofasset . . . . . . . . . K Computer sof[ware
Nole:Asse�s laced in service after 1998 use�he same rewve eriod fw DoM r ular tax and AMT.
Economic5timulus-�ualifiedProperty . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves X No
QuallRed Second GeneratlonlCallulosic Biotuel/elomass Plant Properry . . . . . . . Ves X No
�ualifletlDlsaaterArea-pual�edProperty . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No
KansasDicasterZone-�ualifiedProperty. . . . . . . . . . . . . . . . . . . . Yes X No
GUItOppartunityZone-�ualifietlProperty. . . . . . . . . . . . . . . . . . . . .BReg E�c[ X No
In service in GO Zone Eztension blAg wi�hin 90 days of bldg in-service date . . Yes No % N/A
Percentage for Spedal Depreciation Allowance . . . . . . . . . . . . . .O 100°0 8 50% 30°, X N/A
Elec1 OUT of Spedal�epredation Allowance . . . . . . . . . . . . . . . . . . . . . . . . . Ves No
Elect 30%in place of 50%Special Depreciation Allowance . . . . . . . . . . . . . . . . . Yes No
QuickZoom to view Me Elec�ion slalements. .
Type F: Check if a pdor year relum amended or Form 3115 filed lo change rewvery penod l0 5 yrs. . . .
Check i(General Asset Accoun�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
En�er the IRC secGon under whicti you amorlize�he cost of intangibles. . . . . . . . . . . . . . . .
Regular Tax AMT
Special Depreciation Allowance . . . . . . . . . . . . . . . . . . .
Pnor depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depraciation tletluctlon . . . . . . . . . . . . . . . . . . . . . . . . 0. 0.
DulckZoom to Assel Li(e Hislorv . .. AMT adiuslmenUp f ce 0
MACRS Properry Involved in a Like-kind Exchange or InvolunGry Conversion
EIeMOUTo(regsunderSec1.i68�i}6(i) . . . . . . . . . . . . . . . . . . . �Yes ONo OX N/A
Asset ID(Enter same ID on all related assets). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
I!Uis asset represents entire basis of replacemenl property,enter ezcess basis. . . . . .
If this asset represents exchange0 basis o(replacement property,entec
Date placed in service of relinquished properry . . . . . . . . . . . . . . . . . . . . . . .
Dale ot disposi�ion ol relinquished property. . . . . . . . . . . . . . . . . . . . . . . . . .
MACRS conveMion(o�relinquished property . . . . . . . . . . . . . . . . . . . . . . . .
DeDreciation claimed on relinquishetl property in year of disposi�ion. . . . . . . . . . . . .
AMT tlepreciation Gaimed on relinQuished property in year of d'spos fon . .
Siste Depreciatlon
QWckZoom to select or delete sfates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SWIe(CA info musl be entered in CA state reNm,do nol enler here) . . . . . . . . . . . . . • pp
AsselSta�us . .Non-conformitV - computed usinq s[ate amoun[s
Statecos[orbasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.107.
State Section 179 de0udion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State Seclion 179 dedudion allowed(enter for dispositions only) . . . . . . . . . . . . .
Slale Special Depreciation Allowance. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
State assel Gass . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sta[e deprecia0on melhod . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SL
S�ale MACRS convenlion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .NA
Stale recovery DenoA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . 3.0
State tlePreciable basis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 207.
SWte Pnor depreciation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Stale tlePreciatian deducHon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67.
If Ihis asset represenls entire basis of replacement property,en�er excess basis. . . . . .
I/ezchanged basis, enter depr on relinQuishee pmperty in year of Disposition . . . . . . .
Sla[e gaiMoss basis,i(�iflerent hom state cost . . . . . . . . . . . . . . . . . . . . . . .
InGude asset in stale retum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g Ves No
Raymond F Oliver, Jr PageY
Tax Sof[ware 11/13
Diaposkions-Enter business portion only for Sales D��and ExDense o(sale
Date of disposl�on . . . . . Date acQ,i(di/hom Date in service . .
Report IanA separatel�? . . . Ves No AssN Land
Salespnce . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
E�enuofsale. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Froperty rype . . . . . . . . .
Double dick to link ule to Form 6252 . . . . . . .
Double dick�o link sale lo Hpne Sale Worksheel.
Section 179 deductlon allowed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If Section 7250: AOOiM1onal tlepreuafion after 7975. . . . . . . . . . . . . . . . . . . . . .
Applica0le percentaga . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
/WtliEonal depreciation aRer 1969 and befwe 1976. . . . . . . . . . . .
RegularTa: AMT
Asut gain(loss)basis,d dlReran�(enter 100%of basisj . . . . . .
Asse[gain(loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
LaM 9ain(bss).if seDarate . . . . . . . . . . . . . . . . . . . . . . . .
Parl ol Fwm 4797 to which assel gain(loss)wrrias . . . . . . . . . .
Part ol Form 4797 to wfiirh IanA gain(bss)carrias,if 5e0arote
Personal resiAence Aep afler 5/697(Check to comqne) . . . O�
If daiming a Home ORIu deductim for Uds business,was ihe asset
used in yaur hame ofice? . . . .n WA n Hame Olfire 1 n Hane Olfice 2
Detall Asset InTomlatlon —This section is ralwlated lor mosl assets from�he data entered
above.Use Find Neat Ermr(eadre lo chedc(w any required entries.
Listed MIXxr1Y9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves % No
Subject[o au�o limilatims? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves X No
Truck orvan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves % No
ElecbicpassengervehiGe7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes X No
I(General Asse�Ms,amt,number of au�os/or curtent year limitalion . . . . . . . . . . .
HeavySUVY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves X No
EligiWe Secuon 179 property(wnenl year assets only�? . . . . . . . . . . . . . . . . . . . . x Ves No
Use IRS tables for MACRS propertyl. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
Oualfied Indian reserva6on propert�+ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ves X No
Depredation rype. . . . . . . NP AMT basis,if diflerent . . . . .
Assel tlass . . . . . . . . . . Type lor pra'B7 assets . . . . . .
OepredaEonmethotl . . . . . SL AMTdepeaa4onmethod. . . . .SL
MACRS canvention . . . . . NA f�ulckZoom�a sel 2013 �
Year of depreciatlon . . . . . 1 MACRS convantion . . . . . . . . . . ..
Retovery Gariad . . . . . . . 3.0 AMT recovery Periad . . . . . . . 3.0
DapredaDle Dasis. . . . . . . 0. AMT Cepreciable basis . . . . . . 0.
8879 IRS e-file Signature Autho►ization o""a"° 'S450°,°
Fo,m —
�DonotundtoNeIRS.ThisisnotaWzreNm. L.,/-LVJ13
D nanmem oi me i.eawrv �Keap t�ia iwm Ior Y�r recards.
m�emai aevenue Semce ��n/wmatlon abo�rt Form 8819 and 8s InsWc4ans is at www.irs.gov//orm8819.
Submission Identification Number(SID� '
iaipaya'a name $pdy y�y�.�ympy
Raymond F Oliver, Jr
sowse•c�a�e spw»'s socim aecu+b mmev.
Tax Retum Information—Tax Year Ending December 31,2013(Whole Dollars Onl )
1 Adlusled gross income(Form 1040, line 38;Fortn 1640A,line 22;Form 1040EZ,line 4) . . . . . 1 1 6 789.
2 To�al tax(Fortn 1040,line 61; Fortn 1040A line 35;Fortn 1040EZ,line 10) . . . . . . . . . 2 1, 382.
3 Fetleral income ta<wilhheld(Fortn 1040,line 62; Fortn 1040A,line 36;Fortn 1640EZ, line� . . . 3 1, 9q 2 .
4 Refund(Fortn 1040,line 74a;Form 1640q line 43a;Portn 1040EZ,line l la;Form 1040.SS,Part I,line 13a) 4 5 60.
5 Amount you owe(Fortn 1640,line 76; Fortn 1040A line 45;Fortn 1040EZ,line 12) . . 5
Taxpayer Declaration and Si nature Authorization(Be sure you get and keep a copy of your retum)
UMar penalties oi perjury, I tleclare Il�at I�ave examinetl a copy ot my elecVonk iMiviGual iriwne tar ratiun anE accompanyng srheauies and statemems
for t�e tar year xMvg December 31,2013, aM lo t�e Dest ot my knewlatlge antl EdiN.it�is�rue,cwrect, entl comple�e. I N�M1er�ecWe Mat iM1e amounh
n Part I above are tM1e amounts Fan my NacVmk iMpre�az retum. I crosent lo albw rtry intertr�etliata servica qovitler, hansmRter, p elecVmic retum
onginatw�EPO)to santl my reWm m tM1a IRS aM to receive hom ihe IRS�a)an acMrw�MNgdnent ol receipt«reasm fa�ejMim o/the bansmiwion,(bl roe
ason fw any tlelay in paessing ibe reWm«re(on0,and(c)iM1e aate o1 any relurM. I(applicable,I wlMnze t�e U.S.Treazury antl its tlesignateC Financial
Ager�l to inM1iata an AGH Nec��onic Nntls witlitlrawal(Ckact dabil)erRry�o Ma financial inS�Rutlon accouM Indicatatl in�M1a��qepara�bn soltware Ip payrtiant
ol my tetleral ivas oweE on Mis relum antl/w a paymeM W estimatetl im,aM iM financial institutian to Eebi�iM eniry to iM1is accwnt.Tliis autM1orization is to
in NII�wce anE eXM unM I notM��e U.S.Treasury Finanaal rlgen��o termirate Ma auMaiza�ion.To revoke(rance�a paymaM,1 musl con�aq�lia U.S.
Treasury Financial Pgent at 1-689-�5��53]. Paymant canceilalipr.epuesls must ba received no latd Nan 2 business tlays pria to t�e payment(ultlemmf�
tla�e. I also aNhwize��e linancial insiRutions inwN d in t�e paessing ol Ihe Necbonic payment of taxes to.wNve conftlen[ial iniormation necesvry lo
inpuines arM resdve issms rela�eE�o��a paymenL I NhM1er ackrioxAedge�M1at IM1e personal itlen�ifica�ion number(PIN)bebw is my signature lor my
e4cimnic Income ta+�retum anQ M applicade,my Elechonic Funas Wh�Erawal Consent.
Taxpayer's PIN:check one box onty
� lauthonze RAY'S TAX SERVICE loenterorgeneratemyPW 2 9 8 9 5
Efl0&m iume Fnlei Me nunEne.WI
as my signaWre on my taz year 2013 elecimnically filed income tas retum. ao rotenewa:.roa
❑ I will enter my PIN as my signature on my t� year 2013 eleclronicalty filed income lax retum. Check this box only il you are
entering your own PIN antl your retum is tiletl using lhe Prectitioner PIN melhoC.The ERO mus�complete Part 111 below.
YoursignaWre► Date► 03/08/2014
Spouse's PIN:check one 6ox onty �
❑ I authonze to enter or generale my PIN
ERO Mn name Emn Me mmben.Eul
as my signaWre on my t�year 2013 elecironically tiletl income tarz retum. ��a+�e.+��s
❑ I will enter my PIN as my siqnature on my tae year 2073 electronically filed income tau retum. Check ihis box ony it you are
entenng your own PIN an0 your retum is fletl using ihe Praditioner PIN methotl.The ERO must complete Part III below.
Spouse's signaW re► Date►
Practitioner PIN Method Returns Only--continue below
Certification and AutheMication—Prectitioner PIN MeMod Only
ERO's EFIN/PIN.Enter your siz4igit EFlN fdlowed by your live-Oigi�self-selected PIN. 2 3 0 1 6 1 1 2 3 4 5
00�o�eme.en:..oa
I certity ihat Iha above numeric eniry is my PIN,which is my signaNre�or ihe taz year 2013 elactronically filed income tae retum for
the tazpayer(s)indicated above. I confrtn tha� I am submitting Ihis retum in accordance with t�e requiremenis ot the Prac�itioner PIN
method and Publicatlon 1315,Handbook for Au�honzetl IRS e-fi/e Providers of Indivitlual Income Tax Retums.
�`j /c
ERO'ssignature► I\�M„__;�„� � (/ �ns.�� �� Date► 03/OB/2019
✓'—
ERO Must Retain This Fortn — See Instructions
Do Not Submit This Form to the IRS Unless Requesled To Do So
Fw Vaperwork Reduction Act Notica,sae ywr ta`reNm Insbucllone. gpp q[v ovmi�ar�o Fam 8879�2o�s�
J 1300113665 �
PA-40 -2013
Pennsylvania lncome Tax Return
ENI'ER ONE I,EITER OR IJUMBER IN EACN BOX
N e.�.�e�. N ,�,��a a�mm.
105329895
R Rcsidcrcy S�a�us.
0 L I V E R J R PA Rc�iGcnUNoiuc�iEcnUPan-Yw Residrn�
r.�m �o
RAYMOND F a��p,ua� RETIREDSE S sm%iemt�m,Fu;�glo;�nymf„r;w,
Fling Scpara�dylFinal Remm
Occupa�ion
N Dccwscd
N r..�,ye,wmora:m
N Spouu Da�e o!DeaN
39 FALCON COLIRT
N F.�,rc�,
MECHANICSBURG PA 17055 s�no�io;sv;«r+,,,,,�WEST SHORE
717-691-13a5 21900
I a Gmss Compensation.Do nol indude exempl mcome,such u combat zon<pay and 1 d Q
qwlifying rclirement bencfi�s.Su 1he insnuclions.
Ib Unrcimbursed Employtt Businus Expenses. 1 b Q
Ic NdCompensaM1on.Subtnc[Linel6homLinela. LC Q
2 Imcrminmmc.Comple�ePASchMWeAifrequirc0. 2 439
3 DiviAendandCapilalGainsDistribmionslncome.CmnplcmPA$cANWeBifrequimd. B Q
4 Net Inmmwr Loss fiom Ihe Operetion o!a Busincss,Pro@,crion m Farm. 4 60 4 3
5 Ne�Gain or Loss(mm ihe$alc,Ezchangc or Disposition o(Prupcey. S �
6 Nel Incomc w Loss from Rrnts,Royallics,Pa�cros or Copyrigh�s. �a Q
7 Fsure or Tms�Incoma Complem aud submi�PA&hedWe J. 7 0
8 Gam7ling and Loaery Wmninga Comple¢and submi�PASchedWeT. 8 Q
9 To1a1 PA Taxable Ineome. AAd only Nc posilivc incomc amoums from Lines Ic, 9 6 y g 2
2,3.4,5,6,7 and A. DO NOT ADD any losxs rtponM on LiMs 4,5 or 6.
10 Other Deducfions. Enmr the appmpriate codc(or�he rype of deduc�ion. N 10 Q
Sm�he insWclions for addi�io�ul infortnatlon.
I I Adfasfed PA Taxa6le Income.Subinc�Line 10 fmm Line 9. 11 64B 2
1555
PEV01RL1�PR0
EC Pegetofs FC
L 1300113665 m �m 130�113665 �
J 1300213671 �
PA�0-2013
$ocinl Sawry Numbm
105329895 Name1.0 RAYNOND F OLIVER JR
12 PA Tax Liability.MWtiply Line 11 by J1Y7 percanl(OAJ07). 12 19 9
I J To1nI PA Tax Withheld.Scc�he inswc�ions. 13 0
la Gcdit!mm your 2012 PA Incomc Tnx rtmm. 14 0
IS 20UFstimn�edlnstallmcnlPeymenLs. REV-d59Rinduded. N 15 �
16 2013 Eztrnsion Paymem. 16 ❑
17 NonresidemTezWi�AhcldfromyourPASahedule�s)NRK-1.(Nonr<sidcn�sonly) 1� �
I N Total Fslimated Paymmis and CRdiL�.Add Lincs 14. I5,I6 anA I]. 18 0
Tax Forgivmcss CrcdiL Submil PA ScLcduk SP.
19a FilingStaNs: O� UnmarricdorSep�ralyd 02Married O7Deceaud 19d �L
19b Depcndcnvc,PanB.Linel,PA&hedW<SP 19b ��
20 TwnlEligibili�ylnwmcBomPmC,Line11.PASchMWeSP. 20 6482
21 Tax Forgivevess Credil fmm Pan D.Line Ib,PA$chedWe SP. 21 199
22 RcsiJcnt CrWit.Submi�your PA.StAedule(s)G-0.wiih your
PAScAedWqs)GS,G-I.anNo�RK-1. 22 O
D Tael Othcr CrrAits.Submi�your PASchedule OC. 23 0
24 TOTAL PAYMENTS and CBF.DITS.Add Lines 13. I%,21.22 unJ 23. 2 4 199
25 USF.TAX.Add emnunt.Scc inxvuc�ions. 2 S O
2fi TA%DUEJ(1he loul of Line 12 and LiM 25 i.mom�han liM 2a,rnmr ihc Jif(errncc h<ra 26 �
27 Prnnitics and Imercs�.5cc the insuvclions. Ema CNc: 27 �
1(indudingformREV-163U/REK1630A.mvrkihcba. �.J
28 TOTAI.PAYMENT DUF:.Scc ihe iiuwalons. 2b �
29 OVF,RPAYMENTJ(Linc 24 is mure�hun�hc�a+l nf Linc 11.Linc 25 und Linc 2],cn�cr 29 �
�hc difftrcnce hcrt.
The to1W of Lines JO lhrough 36 mucl�qual I.ine 39.
l0 Hefund-Amount of Linc 29 yuu want u e check mnil W�o yw. Relund 3� Q
J 1 Crtdi�-Amounl of Lin<79 yau wm�az e acJit to your 2014 e>�imemd eccoum. 31 ❑
l2 Amoum of Linc 29 you wam w donnm m�he PA tlressl Cvnar Coalition's Rrcut 32 �
.nd Cerrical Cvmer Resevrch Fund.
37 Amow�of Lirc 29 you wm��o donal<m�he W ild Rcsoume Concervatlw Fmd. 33 Q
N Amoun�of Line 29 you wmi w dau¢io ihe Miimrl'FuWy RmdA�va�aePm�vn. 3 4 0
35 Amoum of Line 29 you wem lo domm m�hc Govemor RobM P.Cascy MemoriW Organ 35 ❑
md Tissue Oonation Awartnev'hval Fund.
J6 Amount of LiM 29 you went�o donam m�hc Jmrnile�'lype 1)Diabelea Curt Resen¢h Fund. 36 ❑
$igndN(C(SJ.UMn�ev4ia o(pcpury,I M1'cl�dm W�1 tr'�I h+�'e ev.miml Mia rtrvm.lrcluJin6�II
�mWnYinB u'�uleF aM tui<mcnu.vA x��Ir h�W mY(�141ief.�MY ve vut.nnrn.uq wnpl�.
YuurSignamr< Spouui5ignamrc,ilfilingjoin�ly
Prcpartr's Name and TN<phone Numbcr Da¢ E-File Opt Out fl
RAY' S TAX SERVICE 30814
7176911305 F�'""��N
Prcparcr'sPIIN P0�433590
Pa9e 2 0l z
1555
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1300213671 1300213671
J 1303119372 �
PA-40 Schedule C- 2013
(08-13)Profit or Loss From Business or Profession(Sole Proprietorship)
105329895 OLIVER JR RAYMOND P MCNodoflnvenbry:Cdal,Ifluwcr �
o�<OU M��uvkcl.O�lAn
TAX PREPARATION PREPARE TAXES AcmumingMahad:A=Ammal,Cdssh,(bq1¢r �
RAYS TA% SERVICE H«^��z« y
�.a�:.z e.a�n�a
00000000 541213 s�,���W�or�:�s�u ry
39 FALCON COURT n�>�n�g�mdn���mg p
qu�mi�iu.cos�s or valuafom
MECHANICSBURG PA 17055
i..r,�.a,�:�;w«.��, 1A 16827 =.c�ae�.�ww�+r�. 2 �
in.R�N�,..w.na.,�a. 18 p �.c�«,v�n 3 16827
�=.ay�° LC 16827 •.��^m^������� 4 0
s.rav�� 5 16827
s.nm<��:ms 6 10 xws�pPr�.m����a�am,..s�n.am<ci� . 28 415
,.eAom..�m� 7 p :sn,<, 29 63
x.o.e e�ni:r.om:m.:o.u,.;«. g p m ra.M��< 30 0
e.n,�t�x,.�a 9 0 3ir,..�i,�a�m��,mm.�i 31 0
io.c,..�ew�t<.r��u, 10 3261 �zma�r.. 32 621
u.c�mm�.����. L1 0 »w•au 33 0
iz. co.�e�pmuo,��o�%a�piaioo 12 �
M. Ulhereryevsulspecify):
o.a�amuxo,«�.���+ 13A 235
�ms«�.Mivv=.x�u 13B 1207 A AAA A 79
ia o�.<..�ep�nr��.��o�. 14 0 B YMCA DUES B 640
is.aw��m����v�e�� 15 0 C GM CARD C 39
ie.F,���ni��o�o�srn.mi.cn 16 0 D QUICKFINDER BOOK D 52
n ��.�.,��. 17 0 E WINDOWSB BOOK E 37
ie. m�....io�e�,���..;�a.m.a�.�� 18 0 F HOtlE OFFICE EXPEN F 814
� G �
H H 0
i9.v��a,y.�aa<.���g 19 0 I I 0
m.�aa.�ew�r�.���.�um«. 20 0 J J 0
xi.M.�,e�m���r.« 21 0 K K ❑
zi.oR�.���r.. 22 855
�3.a����,mvAri.m.Mavm� 23 0
za.ro,i.�. 24 0 NT��+��N<�...x�s=• 34 Y661
ss.z���o�w�m�:,v,�v�*�y 25 0 �sTo�.i�,���. 35 10784
za.a<y.�n 26 2456 �nam�<<.p..�.oey�o�,in�,m.:.<,.e��. 36 0
±is�xa�u.�io�r«� 27 0 �z'ro„i.ei�.��a..a�x. 37 1�784
�erv�io��r��.i�.. 38 6�43
t555
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Page 7 of 2
L 1303119372 1303119372 J
1303219388
JPA-00 Schedule C-2013 L
s�wsa„�urN�* 1p5329E95
N�or�� OLIVER JR RAYMOND F
SCMEDULE G7-Cost of Goodn SolO enNp Operafions
I_ Imenlory al bcginning ofycar(ifdiRcrent(rom las�year's closing invrniory,include explana�ion) ], 0
2a. Wrchaus 2A �
16.Cos�of imms wi�hdawn for permnal uu 28 0
2c.Aalnac I�uMu�I.inc ID fmm Lirc 3a 2� 0
i. c�,��n,m.ta��M�Mwa�.a..rva�e��y���u��.�x�mr.�-m.r�.� 3 0
a. M.���am,�awwr: 4 �
s. anR��„i�zwe��nw�io 5 0
6. Ad1l.incsl.h.J.dand5 6 Q
). Imrnmrymcndolyrv 7 Q
x. Cm�af gmd udd anNnr�qenibns I�uMna Linc J hmn I.inc 6)Fmcr nac.nd an Pm 1.Linc i $ 0
SCHEDULE G2-Depreclation(See Instruclions)
L TaalSccuon I]9dcqcciaiinn(Jo no�includc in items below) 1 �
2. Lexs: Seaionl]9deprecia�ioninduAWinSchcdulcGl 2 Q
J. Balance(subvaci Line 2 from Linc I).Emcr h<rc and on Part 11.Linc 136 3 0
a. an�.acv�cd.�iw��.
o<...�o��o�oro�oanr Dnc+c4mrcd CnunrdMr��.i. [kPcciawnallowcYor Ma��Nnf<..nputin6 Ldcorn¢ �pmdamml�x
a1loWablc in pnw yon Jcprcciv�l�m i�is y<ar
(v) fM1l Iq Idl lN fp (RI
w•:��w 4 A 0 0 ❑
F�+�K���• 4B 0 0 p
*•w n-aM� 4 C 0 0 0
M- � 4 D 0 0 0
u.�R
�ro�»
4E o 0 0
4F � 0 0
4G 0 0 0
4H 0 0 ❑
4I 0 ❑ 0
4J 0 0 0
4K 0 0 0
4L 0 ❑ 0
411 0 0 �
4N 0 0 0
40 0 0 0
4P 0 ❑ 0
s. t'a:�: ❑ 5 0
n. �vR.:�.n���zwo�ams�h�d�i<oi 6 0
�. BaluM�e(suqrx�Line 6(rom Linc 5)Enier M1em m0 un P.n I I,Linc �]e 7 0
1555
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Page 2 of 2
L 13�3219388 1303219388 J
� 1301110027
PA SCNEDULE SP
SpecialTax Forgiveness
VPJOS��MukSVI��]) �01 � oniCiuusEp��r
Name ol�eapayer tlaiming Taz Fwgiven¢ss(H 61iy a PMO jdntly,ema��e name snown first) $poy$��n�y NmMer(sM1wn NS�)
RAYMOND F OLIVER JR
Searily NumGer
EIIB�b1�My Waqlons
1. Are you a Jepentlmt on andM1e�lavpayels(paren4 9vaNlan.sleppaan�e�c.��eUnal�ar relumi Ves ❑ Np x❑
2 II you anzwereU'Yes'eDove.Ooes Ne bapayn on xfqse reNm you are a GepenCenl Walify Iw lev Iwgiveneu9 Yes � No �
INPORTANT.I�you answereJ No'�o OuesYon t,qease qvicetl vnN rvmpeung SdiedW¢SP.If you ansverM'Yes io Westion 1,yw mus�alm�ava answereC
'Yei�o�uesUon 210 be Ngide Irc us bgiveneu anA cwnqe�e li�e 1�.u Line 3c.hwn Parl R bebw.
Pa110.Flling SWus IwTax FOryMnass.
1. � Unmxnietl-use Cdunn R b�la�e pur EYpIWWy 4com�.Fi in Ne UnrraneO wal m liie t8a d ywr PAJO.Fi n tic wal tlial auaiGrs pn tiWalpn:
a. � Singk-Unmaen NEivw d on Dec.31,YOt3
C. O Singk aM tlaimeE az e Eepen0enl on arroMm person's PA SMeJule SP Enier Ne oV�er person's'.
SSN:_ _ _ Name_
1. O SeparzleE-uae Ldumn��o wlwWle yam EIIpIWXy Incom�.
rm���m�s wa�my n la)rw aro swa�+iee wrsuam�o a x.men ay.een�mi a(el va•nn mv�ea,w�seo��ee ane rvse aoan m.me ias�v.
mnnns m me rear_ Fn��me unmsniea o s m�e+sa a yw.va<a.
3. p MameE-FiN In Ne Mari d w&on Line t9a ol your PA<0. Ema yow spwu's name eM SSN apove-Fil in tlw wal Mel 0esviEes your siwauon:
a. O Mamed aM dalminp TaM Fagiveness bgellin wit�my spouu.Use Cdumn A lo ralalale EI�p�MIHy M�com�.
0. O MameO arq Rk�g upaiate PR�aa relums. O CeNlicsllen.FAI in I�is wy C¢Nlymg Mal yuu anE your spzu aie su�milting Ne sam¢
Nforma4cn m aaA PA StliMule SP Use Gdumn�B enE t la dculaM your EIqI01111y Ircqn�.
c. O Mama�wiN a spx�se Wp is a OapeMml m anoVix pe�adi's PA Sd�eOule SP w IetlxJ incane IaM�aWm.115E CWumn�B anE G lo(alailala
EII91011My Izmie.Enln NC oNcr person's:
SSN: Name:
4. O Separale0 aM IireO apgi�M1qn my spauu CN Iw less Man Vte lat�six mmNs ol IM1e y2y Uu Cdunina 8 vM C to�I[Wale EIIB�a�MY�ncwne.
Enlet ywr spp�se'S name anJ SSN abo�e.
a. O OeceasaU-use Cdumn A m ralwla�e your EIIB�dllty Mcom�.
FIII in Ne DeceaSN wal on Llne 19a ol M¢PA<0. Ym musl annualize Ne J <Jenfs Incwr�e�see Me Ins�mcHons)enE biMy deun�e ywr me�Mp:
Part B.DepenJent CMMtin.ProNEe aX Me In�ama4an lor eatl�OepeMml tl�ild.H mye IM1an�our 4Cper�U¢r�l diilEren.wbnil aJlNmal 5�MI5�in IM1is Iqma�.
1. DaO�eanfs Name Aga Rela4onsliip Social Sacuriry No. IMPOHt�Ni: Only tlalm Me tliib w rAilUren Ual yw
tlaimM as yaur tlepmtlenl(s) m ym� 2013 FeCe�al
mcm�e ra.rewm.
z. Humex d eeaneem�na�m.
Eme�o���reisodrw�a��o........ z. �
PM G Eli iMl' Income.
MarieE Ia�Wri�f�lirg�antly uae Calumn�aq EIIBILRHy Iricm�e Mematl�aq�Yers Rli�g zepan�Ny.aM�aapayers»�ra�p!WI nd In Ilro las�
Tabb 2. Sin9k fi4rs.pue4lyi�g sape�eleJ fikrs.aq H RYng Iw mmNs W IM1e Y�use Cdumna 8 vM C.aM EII9ldlily IMome T�Me 2.
a aercaenl use Cdumn A aM Eligidldy Incaro Ta�N 1.
Ctlumn A The EYplMlhy IMom�TWo are a+pa9e d6 0l��e PMO EONkt MarrlW Flling S�O�nbly
u�m,�+.a o.x�n.a ca�m�a cowm�c
rnmH+amir Te.wra sow�
+. 6 9 2 Pn u.sae m�e xo,�n�s d yoW anso i. 0
s. 0 Nmtaraek��mcest aimamds a�,a eeins anmor an uanzee�ncome a. 0 0
3. 0 a�mo.,y �. 0 0
a. mauren� eana�nnemanms a. p
s 0 cm:,e..�ms�,e � m s. 0 0
6. NmresiEenllMane-parl- ymaitlmissMu�xui0an�s 6.
]. Q NOnlezede mifary mma-�O nq inWtle wm�l paY ].
0. Galn e�tlWetl hoen t�e uM ol a revEmca 8.
9. NMldxade Mutatiaal azsisldn4 9. Q
to. cesFi receiveE la rsonal pu s ham outsWe your Farw 10.
H. iTotal Ellp�dlky Inrom�la Column•
TWI Ellgibllly IncanM Iw Lelum�u B�nG C-a0E Lines 11Froug�t01w eaM spwise aM min IM1e rolal� 11.
Pan O. Calcubtlng YWr Ta FwqN�n�a�CMN
+z 19 9 vn ra=��w M1wn ax PAiO,Line 1] a a„�e,�om rewm.���swa�s iz 0
�3. � Lesc Resiamt GeOu hwn r PAdO,Lirie 23 13. 0
I�. 1 9 NN PA Tm LiadNty Su�tratl GM 13 bpri line 14 14.
15. Parcenlage ol Taz Fagivmess ham IM1e Ellpidliry Incom�TabM using your 15.
1 . �0 tl nUenls ham Pan 0 eM TOUI EII Idl Incom�hwn Line fl
16. Tu ForpiwMaa CMh. Mulepy Line 1l py Ne Ueumal on llie 15. 18.
199 ema«� .an-aqu�ezi.
isss
aev ionvuvao
J 1301910020
rn scNEou� w-ss
Wage Stnteme�rt S�mmary
vn�o s�n.am.w-zs •101 3
�oe.+a1 orrici.LL�se aav
Summary o/PA�Taxable Employee,Non-emplo ae and Mlscellaneous CompenaaUon
Name sM1own firsl on Ne PAiO(R Rling pintly) Sadel Seanry NumGn(sMwn first�
RAYMOND F OLIVER JR
VartA InaWqiona: Lisl earh Ied¢ral Foim W�2 far ya aM your spwu,dmarreJ,rrrzivetl hom your empbyer�s�. In Me brsl oolumn enter T fa Ne la�payer's Saaal
Seaiily Numb¢r Nat appean first m Ihe PR lax reWm aM eMer S for Ne semiq or spwu SSN. Frvn Ne Fams W-2,entb earh empbyer's(vderdl qen4fiaGon num
Der Enler Ne amoun4 hom Ne Fams W-i m eanc�dumn. IMPORTANf: You Ao not Aave W wbnil a copy of ynur Form W-1 i1 you eameE all yar iMome in
Pennsylvania anJ your amployer repMeE ywr PA wages carectly aM MMhNtl Ihe mrtM aman�d PA ircwne taR. Vou musl suEmk a copy d your Fam W-I in cer-
Gin pramstances.See Ihe PA ScliedWe W-PS inswaans br a lisl d xfim a rapy d a Wd is r¢puireE.
P�rl B In�Wctions: lisl eadi soumx M income receiveE Eunig Ne Uxada year m a tdm a sUten�il oNa tl�an a�eEeral Fo�m W-2. Enler each payer 6 name. �is�
�Dayment lyye Ihal most tlosdy dewibes Ne source M yau�rqn-¢mpbyee cpnp¢nsa�on. Enitt tl�e amounl ol olher cpnpenSaAon Via1 yau eamM. II Me lorm a
slalemenl dces nol Aave upara�ely s�a�e0 amwnls,mlx Ne amwnl shown in bpN lederal aM PA oplumns.
INPONTANT: You musl tuGnft a copy W eadi�oim anE sta�emm�Nal yau lisl in Part B,whetlier or nol Ne payer MN�eIA any PA income Ue antl reqartlless of
whelM1er or nol l�e inmme was U�able in PA. C�UTION: The IeEeral anE PennsyNania(slate)wages may be dilleren�in PaIA and Parl B.
If you need more apace,you may photxopy Nls achadula or maka your own schedules In Nis/ormat.
PartA-Fetleral Forma W-� SEE THE INSTRUCTIONS FOR WHEN TO SUBMIT FORM(S)W-2
T/5 Empbyer's iden4firsYm number han Box G FeEaral wa9� MeAicarc wages PA rdnpm5ation PA�mrnnie lan
M1pn Bp�1 Itm�Bos 5 hpn Bov 16 wiN�eM hom Boi 1]
ToW I Part A-Add tAe Pmnsylvania columns
Part B-Mlscellaneous anE Non<mployee CompensaYon hom federal Fwms 1099-R, 1099lAISC antl oNer statemants
VOU MUST SUBMIT COPIES OF EACH FOftM OR STATEMENT LISTEO IN THIS PART
A B. C. O. E. f. G. H.
T/$ Tyye Paytt nvna 1093R mE To131IeEGral a�rcwnl AEjus�eE plan�asis P/�wmpen5a4on PA Ia+xi1��NC
T J VANGUARD FIDOC 7 3 700 0
T I FIDELITY INVES 7 6 535 0
Tolal Part B-AAtl Me PennsyNania column¢
TOTAL�Add the tofals hom Parts A antl B
Enler the TOTAlS on your PA lax retum on: Line 1 a Line 13
Payment HVe: A.Executw fee B.Jury aury Day C.Director's lee 0.Expert wiNess lee
E.Honoranum F.Covenant not to wmpele G.�amages a settlemeN Iw lost wages,olher ihan personal injury
H.Other nonemployee compensa4on.Descnbe:
I.Disln�ution from empbyer sponsora0 reliremen�.Oension w qualifietl tleferted compenution plan
J. DislnGution(rom IRA(Traettional or ROUi) K.Dlsinbulion trom�tle Insurance,Mnuity or EnAowment Conhacts
L Dislnbulion Imm Chanlable Gill Mnoilies
1555
� 1301910020 RF"0nZ1PiO 130191002❑ J
i' pennsylvania
(1� �,..�.�maRw.,�
Fo�,.� PA-8879 I Pennsylvania e-file Signature Authorization I 2013
Dedaration Con[rol Number/Submission ID
Primary Taxpayer's Name Social Security Number
RAYMOND F OLIVER JR
Secondary TazOayer's Name Social Security Number
PART I Tax Return Information — Tax Year Ending Dec. 31, 2013 (Whole dollars only)
1. Adjusted PA Tazable Income (Form PA-40, Line 11) . . . . . . . . . . . . . . . . . . . . . 1. 6, 982
2. PA 7ax Liabili[y (Form PA-40, Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 199
3. Total PA Tax Withheld (Form PA-40, Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Refund (Form VA-40, Line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Total Payment (7ax Due) (Porm PA-40, Line 28) g p
PAR7II Declaration and Signature Authorization oi Taxpayer
Under penal[ies oi perjury, 1 dedare I have examined a copY o(my electronic individual inmme cax re[um and acmmpanying schedules and
sta[emen[s of my 2013 Fn Tax ReNm (Form VA-40), and to Ihe best of my knowleAge an0 belie�, it is [rve, mrrect anC <omplete. 1 further
dedare[hat[he amounts in Part 1 above are[he amoun[s shown on Me copy of my eleQronic income tax reNm. If applicable, I auMonxe[he
PA Department ot 0.evenue and its designated fnancial agenLs to iniUate an elec[roni<lunds withdawal (direct debit) en(ry to my designated
account for Pennsylvania tayes owed. I also auNonxe my fnancial instiNtion [o GeOit Me entry to my acmun[ and [he fnancial instiNtions
ImolveC in [he pmcessing of my electmnic paymen[ ot [aves to receive mnfitlential infortna[ion necessary to answer inquiries and resolve
issues relate0 [o payment I aerti(y Ihe(unds for[his withd2w are onginating from an accoun[within the Uni[ed States or one ol its temitones.
1 have selecte0 a Oersonal iden[ifiration number as my signaNre Por my electronic income[ae re[um and, if applicable, my eleRronic funds
withdrawal consent.
Primary Taxpayer's Versonal Identification Number (PIN): (check one box only)
� I authO�i22 w+YMOND F OLIVER JR to enter my PIN 29895 as my signa[ure on my
taz year 2013 electronically filed inmme [ax reNm.
❑ I will enter my PIN as my signature on my [ax year 2013 electronically filed income tax retum.
Signature Date -� /�/� �
Secondary Taxpayer's PIN: (check one box only)
� I authorize co enter my PIN as my signature on my
taz year 2013 elec[ronically filed inmme tax return.
❑ 1 will enter my PIN as my signa[ure on my [ax year 2013 electronically fled income [ax re[urn.
Signature Date
Practitioner PIN Program Participants Only - Continue Below
PART III Certification and Authentication
ERO's EFIN/P[N. Enter your six-digi[ EFIN followed by your fve-digi[ self-selecteA PIN z301 61 12 34 5
As a participant in [he PraQi[ioner PIN Vrogam, I certi(y [he above numeric en[ry is my PIN, which is my signa[ure on
the tax year 2013 electronically fled income tax re[um for the taxpayer(s) indicated above. I confirm I am participa[ing
in the Practitioner PIN�pyrogrdm in accordance with the requirements es[ablished for [his progam.
ERO'ssignature �'\�a�� /� �/�,ti.�.�� Date 3���/ �
ERO must retain this form and the supporting documents for three years.
DO NOT SUBMIT THIS FORM TO THE PENNSYLVANIA DEPARTMENT OF REVENUE.
1555 AEvoerzsv>ao
FORM 531 - FINAL EARNE� INCOME 7A% RETURN ^na�nan w�r:,iose�:.�e/o� � : � - - � � ��.-- ... ..
appropriate mpies of Stah Schedules � " � �-
CUMBERLAND COUNTY TAX BUREAU
21 Waterford Dr.,Suite 201,Mechanicsburg,VA 17050 ' � � ""'��
. . ,. ._ .. . .. . .,.. . .
PXONE: 717-590.7997
w[esire www.cumbedandtax.org TA7(YEAR 2013 -• � •,aa�.00�mo,.,mo,,.�,�o
neownEoe.uwmme.��swe.u..oxoneE�one ^ �� ^��^�,�,+e��a,e.�=
�nenismFVFxirxo.a.¢outoniuu�uwesa[�xwimx[m LJ:'lG—L� ,�LLO�7�1 � • 7 n�nemui.
MUNIOFAIITY �
FULLYEANRESIDEN! YES NO
n n�.ea�e,�a.a.m,w eom n.o�m�:m�m,no.,e.e.n.
�ai�mrvo�:m�.i e����n�e'��:eonam wwm,,,.
�.,��u��i,ipdqi..il••rullii�.ii.i�q,p�i,i�i,.iii.,i,��m ,o,��«��:i�ome�,�:o�,��am�o,�.o.�,.,�„�o�ce,m,n�e
""""""hUTO^SCHS-0IGITq050 252 P52 52503
RAYMOND F OLNER JR ��w�•+s�io nie your�oo�u.�num onnne mis yea,,
39 FALCON CT Olme Wul wxw.mmberbnJ�v.a6�o��M1e IinF
ma�umne nn��meers.
MECMANICSBURGPAI]055-4316 TA%VAYERA: QFPNW
TA%PAYfR B:
IF YOU MOVED DURING THE TAX VEAR COMPLEfE THE FOLLOWING MOVE INFORMATION:
�ei. nae,n� m ua.n�
o..e w� �u o.�
..�..e i. .ee.... m we,n.
vOU MU57 r� TAXPAYER A 55 p XXX-XX-9895 T/P A-NAME i T/P 8- NAME i
COMPLETE �7� TAXPAYER B SS N
1.Gross bmings from Employment Entlose w-ds i
2.Allowable Non-Reimbursed Employee Business Expensei Enclose Fn Sch UE 2
3.Othe�Ea�ned Inrome Enclme 1099-MIS</1099-R ExcWEing CO�E53-9&G/1099< 3
DO NOT INCLUDE INTEPEST,DIVIDENOS OR CAVITAt GAINS
a.Taxable Earnings line 1 minm Line 2 Vlus Line 3.CAN NOT BE c 50.00 G
S.Ne[VrofiK A¢acM1 PA R�C.F.PKd anE/or NNK-0 5 / V� I �
'Peport 5 Corp Fmfit On revPr1¢sitle only o �i
6.N¢tLOss !tta<M1GASCM1C,F,RK�lanp/orNPKd
'PeOort 5 CorO Lois on reverse siEe only 6
].$ubtOtal SubM1an Line 6 tmm Line 5 IF LE55 iMFN ZEPq EMER ZERO. ) C :� 3
e.Total Earned Income iine a plus�ine) g , Q � 3
9.TaMliabiliry tineBmWtiplieEbytmmte �,�7��e¢Insvunions� 9 ,� (`/
30.Eametl Inrome Tax Withheld 10
11.Quartedy ESHmated Vaymen[s/[retlit From Vrevious TayYea� 11
IZ.MIseCreEi[ xewoasnee�o�ei�eo�io.m�mom�iningvne.edv��a/owoisumoedn 11 " � � � ��'--��
13.TotaIM10,11&13 33 — � _
l4.REFUND/CREDIT Subhact Cine 91rom Lne 13 NOTF II more than 51.00,entei amount ia
15.CPFUITTONEMYFAR/CflEDRTOSPOWE NeatYear ❑ Spous ❑ 15
16.TA%DUE Rtine9isgreatertbanLine13�5uEvattLinel3fromLine9 g � / �
NOTE Amounb ot 51.00 w more must be pa�E. 16 4�
1].VenahyafterAp�II15th SEEiNSTflURIONS i) _ � �
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Veady Allowable Depreciation
Name(s) Shown on fteWm Social Secur�ty Number
Raymond F Oliver, Jr
Descnption: Equiv a/OB Depreciation type: MACRS Asset class: 7
cosu
Basis: 263. Depreciable Basis: 243. MetFad: 200oB Li(e: 7.00
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Basis: 2G3. Basis: 243. Method: 150DB Life: 7.00
Tax Prior Deduction AMT Prior AMT Deduction
Year Depreciation IoriheYear Depreciation foriheYear
1 2008 0. 35. 0. 26.
2 2009 35. 59. 26. 45,
3 2010 94. G3. 72. 37.
4 2011 137. 30. 309. 30.
5 2012 167. 22. 139. 30.
6 2013 189. 22. 169. 30.
7 201C 211. 21. 199. 2g.
B 2015 232. 11. 228. 15.
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Asset Life History 2013
YeaAy Allowable DepreciaUon
Name(s)Shown on ReNm Social5xunry Numper
R�ond F Oliver, Jr
Descnption: PC 9/13 Depreuationrype: MACRS AssetGass 5
CosV
Basis: 889. DepreaableBasis: 889. Me�hoC: 200D8 ��f Life: 5.00
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Basis' 889. Basis: 889. Method: 150�B Life: 5.00
Tax Pdor Daduction AMT Ptlor AMT DadueHon
Vear Deprecfation fortheVear Depreelation forthaVear
1 2013 0. 178. 0. 133.
2 2019 178. 284. 133. 227,
7 2015 462. 1"/1 . 360. 159.
4 1016 633. 102. 519. 1A8 .
5 201"] 735. 103. 667. 148.
6 2018 838. 51 . 815. 74 ,
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HnRaiseuacann,,, INFORMATION BELOW
RETURN SERVICE REOt1ESTED
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MECHANICSBURG PA 17055
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ATTORNEYS�AND COUNSELORS AT LAW
J+� L. Bxu�cs.tso�iuF Bun�oaF. Kcriinrer.iFca�.asvsrw�r
J��t�i�ei i�e A. Kti.i.v.Fs�p�ix� Ji ur�H A. Ein�.Kz�n.r.nu��iwsrearrv�assisra�i
CNxura M. Ari i�_Fspuur Meussn L. S�in H.i.���„v.etisis i n>r
Pebruary 27, 2015
RegistcrofWills � �
Cumberland County Counhouse `= o � "r i �';
One Cou�thouse Square - � '- 5�
CarGsle. PA 17013 - �
n�
Re: Raymond F. Oliver, Jr., deceased - _�
=9 i
Gentleme�o� Ladies . . rv = �,;
� � `i
Enelosed please find thc following itcros for{ilin�with thc Regisrer of Wills: �
l. An original and hvo copies of the nomprobate Inheritance Tax Retum.
2. Check peyable to Register o{Wi!!s, Agent in die amount oC 59.364.97 repcesentin�the
inheritance taa IiabiliN, shown io be due. This check represents a prepayment of the
Pennsylvania lnheritance Tax for the above-referenced mattec Make sure the check is
marked as reccived within the 3 month period.
3. Check payablc to Regi�r�er n(ff'ills in the amount uf$I5.00 repcesenting the filing fee
for the Inheritance �fax Rcturn.
4. O�iginal death certificate.
Please time stamp and return our file copy of the Inheritance Tnx Return. Also, please provide
us with the appropriatc receipts.
If you have any questions, feel Cree to co�tnct this office.
Sincerdq.
� v�
Christa VQ. Aplin����
CMA,�kyk
Enclosures
cc: Yvonne L.Prutz.man
Olde English Gap • 845 Sir Thomas Court • Suite 12 • Harrisburg. PA 17109
ltlephone(71]�S41-SiiO • Fax0171±31-9?23 • F.nwiP.JLBasmriijanbmtinlax�.cvm • w�uNijmbrownlnu'com
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