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Home My WebLink About01-0538 > r. -. REV-1500 EX+ (6-00) OFFICIAL USE ONLY COMMONWEALTH Of PENNSYLVANIA REV-1500 \L, ~3"\ DEPARTMENT OF REVENUE I DEPT. 280601 INHERITANCE TAX RETURN F;I N~MBEA <).~'5i" HARRISBURG, PA 17128-0601 RESIDENT DECEDENT (';1 COUNTY CODE YEAR NUMBER DECEDENT'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURIT'Y NUMBER Weber Robert B 193-12-8326 DECE- DATE OF DEATH (MM-DD-YEAR) T DATE OF BIRTH (MM-DD-YEAR) THIS RETURN MUST BE FILED IN DUPLICATE DENT 05/03/2001 06/13/1918 WITH THE REGISTER OF WILLS (IF APPLICABLE) SURVIVING SPOUSE'S NAME (LAST, FIRST, AND MIDDLE INITIAL) SOCIAL SECURIT'Y NUMBER Cheryl L. Carey Weber 8 3. Remainder Return CHECK ~' Original Return ~' Supplemental Return (date of death prior to 12-13-82) APPRO- 4. Limited Estate 4a. Future Interest Compromise 5. Federal Estate Tax Return Required ~ate of death after 12-12-82) PRIATE 6. Decedent Died Testate 7. ecedent Maintained a LIving Trust 0 8. Total Number of Safe Deposit Boxes (Attach copy of Will) ~Attach a copy of Trust) BLOCKS 9. Litigation Proceeds Received 10. pousal Poverty Credit{date of death betweel1 0 11. Eltlct\on to tax under Sec. S"''3\A) 12-31-91aod 1-1-95) (Attach Sch 0) tHI\\\\lW'llIPi\lMjjtditit\'c_il1ttiIPiAlite~il~lll!ldlb'ieQ~ffljbaltl~fAll!NI$IlMAtlbl\l_!ili$,~tib!lli!i.C[jjbitll* NAME COMPLETE MAILING ADDRESS COR- Steven J. Schiffman 2080 Linglestown Road, Suite 201 RE- FIRM NAME (If Applicable) Harrisburg, PA 17110 SPON DENT SERRATELLI, SCHIFFMAN, BROWN " CALHOO TELEPHONE NUMBER 717-540-9170 OfFICIAL USE ONLY 1. Real Estate (Schedule A) (1) ;.'p,' - 2. Stocks and Bonds (Schedule B) (2) 0 3. Closely Held Corporation, Partnership or Sole-Proprletorship (3) 0 4. Mortgages & Notes Receivable (Schedule D) (4) 0 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) (5) 24,852 , -_., 6. JoinUy Owned Property \Schedule F) 0 Separate Billing Requested (6) 0 - - RECA- .--, PITULA- 7. Inter-Vivos Transfers & Miscellaneous TION Non-Probate Property (Schedule G or L) (7) 86,349 8. T ota! Gross Assets (total Unes 1- 7) (8) 111,201 9. Funeral Expenses & AdminiS1rative Costs (Schedule H) (9) 22,600 10. Debts of Decedent, Mortgage UabillUes, & Liens (Schedule I) (10) 71,289 11. Total Deductions (total Unes 9 & 10) (11) 93,889 12. Net Value of Estate (Line 8 minus Line 11) (12) 17,311 13. Charitable and Governmental Bequests/See 9113 Trusts for which an election to tax (13) 0 has not been made (Schedule J) 14. Net Value Subject to Tax (Une 12 minus Une 13) (14) 17,311 SEE INSTRUCTIONS ON PAGE 2 FOR APPLICABLE RATES 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116(0'1)(1.2) 17,311 X.O 00 (15) 0 TAX 16. Amount 01 Line 14 taxable at tineal rate 0 X .0 0.045 (16) 0 - COMPU- 17. Amount of Line 14 taxable at sibling rate 0 X .12 (17) 0 TATION 18. Amount of Line 14 taxable at collateral rate 0 X .15 (18) 0 19. Tax Due (19) 0 20. o tCH~Kijeil!;,l!FiI1Oll~_U~jl!ltl:'AR~iOfi~~~AWi\~1 ...........................,..,......................................,......... \. \i':tn/'{X:.\iii"i"':""""""""""""""'"''''''''iiii':\n\j('$e,,$i)!'ll!ltt$iM'lSW~'AW':QUE$t1lllll$\,Pl\t:ll'A~\;"111iNQ:,llee\\\l!lCKM1iT\\\#,'iXM"""i""""'""',.,,....... o PA 15001 Copyright 2000 Grealland/Nelco LP - Forms Software Only NTF 29755 . ... ........................'.:.:.:.:.:.;.~.,....:.~".,.: Estate of Robert B weber Name Address Tax ID 193-12-8326 Executors (page 1) Cheryl L. Carey Weber 615 Williams Grove Road Mechanicsburg, PA 17055- 176-34-9728 PA REV -1500 EX (6-00) Page 2 Decedent's Comolete Address: STREET ADDRESS 615 Williams Grove Road Cumberland CITY I STATE I ZIP Mechanicsburg PA 17055 Tax Payments and Credits: 1. Tax Due (Page 1 Line 19) 2, Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount (1) o o o o Total Credits (A + 8 + C) (2) o 3. Interest/Penalty if applicable D. Interest E. Penalty o o 5. TotallntereSVPenalty (D + E) Ii Une 2 is greater than Line 1 + Une 3. enter the difference. This is the OVERPAYMENT. Check box on Page 1 line 20 to request a refund If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. 8. Enter the total of Line 5 + SA. This is the 8AlANCE DUE. Make Check Payable to: REGISTER OF WILLS, AGENT ............. ".'." ....;.;.:.:.:.:...:,:.'.:;:,:::;:,:::;:::,::::::::::;:,:::::;:::::::::::::::::::::::::::::>~{:!{:::n{:}~{::::,:::::::::.: (3) o 4. (4) (5) (SA) (58) o o o o ....................,.;.;.;.:.;.:.:-:...:::.::,.,:,:::,:,::,:,,::::: ~:))~{?/(/~t(f:~:::::::::::::::':'.:.:.'_... ,.,...:.:,:::,:.:::,:::::::,:.:::::::::::::::::::::::{::::,:::,:.:.:......... "X" iNTHEAPPRbPRIATEsi...bcKs'" Did decedent make a transfer and: a. retain the use or income of the property transferred; .. , . , . ' . , , b, retain the right to designate who shall use the property transferred or its income; c, retain a reversionary interest; or, . , . , ' . . d. receive the promise for life of either payments, benefits or care? 2, If death occurred after December 12, 1982, did decedent transfer property within one year of death without recei\ling adequate consideration?, . , 3, Did decedent own an "in trust for" or payable upon death bank account or security at his or her death? 4. Did decedent own an Individual Retirement Account, annuity, or other non-probate property which contains a beneficiary designation? IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penalties of perjury, I declare that I have examined this return including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete, Declaration of preparer other than the personal representative is based on information of which preparer has anv knowledGe. ~IG~TU~E OF PERSO~ RESPON~I.8~FOR FlUNG RETURN '1 DA~::L ADD RES 615 Wi lia SIG URE OF ~" ADDRESS 2080 Li Yes No ~ I 8 ~ ~ o T A TIVE PA 17055 Harrisbur PA 17110 ........,:.,.,.,.,-;,:-;-;;-;-;,-;,;,;;:,;,;,;.......... ... ... ... ... ... ... ..................'...;..,...;.,.....:;'.....'.~........'.........'.;...'.-..... o PAl5002 NTF 29756 Copyright 2000 Greatland/Nelco LP - Forms Software Only REV-1504 EX + (1-97) SCHEDULE C CLOSELY-HELD CORPORATION PARTNERSHIP or SOLE-PROPRIETORSHIP COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest of the decedent, other than a sole-propiertorship. See instructions for the supporting information to be submitted for sole-proprietorships, FILE NUMBER ITEM NO. 11. Weber Veterinary Clinic DESCRIPTION VALUE AT DATE OF DEATH o Tax Returns for the past five years, including the year of death are attached. All personal property associated with the sole-proprietorship has been listed separately as have all debts of the sole-proprietorship. Although there were accounts receivable owing at the time of death, no effort has been made to collect said debts and no payments have been made on the outstanding accounts. The estimated accounts receivable at the time of death were approximately $6000.00. The veterinary practice is no longer in operation. 9 PA15041 NTF 10873 Copyright 1999 GreaUand/Nelco LP - Forms Software Only TOTAL (Also enter on line 3, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) o 1040 Deparbnent of the Treasury - Internal Revenue Servial Form n IVI ua ncome ax eurn (99) IRS us. only Do not write or staple in this space. For the year Jan 1 - Dee 31,1997, or other tax vear beainnino 1997, endina ,19 1?~~~)4 label Your First Name MI last Name Your Soc::lal s.curity No. (See insb1Jctions.) ROBERT R WEBER 193-12-8326 It a JOint RebJrn, Spouse's First Name MI Last Name Spou.... Social Security No. Use the IRS label. CHERYL L CAREV 176-34-9728 Otherwise, Home Address (number and street), If You Have a P.O, Box, See Instructions. ApartmlllntNo. please pnnt For h~ finding line or type_ P. O. BOX 325 instru ions, see City, Town or Post Office. If Yoo Have a Foreign Address, See Instructions. State ZlPCode instructions in the booklet. Presidential OILLSBURG PA 17019 Vo. No Election Note: Ch<<:J<in~ Campaign ~ Do you want $3 to go to this fund? .. . .... .. ..,............ ........ ...... .... X 'Yes' wl1f not C lJnge your tax or rftduce (See instructions.) If a oint return, does vour snouse want $3 to no to this fund? . X your r"fund. 1 Single Fili ng Status 2 X Married filing joint return (even if only one had income) 3 Married filing separate return. Enter spouse's SSN above & full name here .. 4 Head of household (With qualifying person). (See instructions.) If the qualifying person is a child but not your US I d' 'd II T R t 1997 Check only one box. Exemptions 5 6, dependent, enter thIS child's name here ... Quali in widow(er) with dependent child ear sause died'" 19 . (See instructions.) Yourself. If your parent (ar someone else) can claim you as a dependent on his or her tax return, do not check box 6a ................................. c Dependents: (2) Dependent's social security number (3) Dependent's relationship to you . . .1-- ~:i.~~::- . .1 . ...- No. otyour (4) No. of ~i~~~ on months lived . lived I In your home With you . ... In 1997 . did not live with you due to divorce or Hp.. iUltlon (see Instructions) 21 b X S use. 1) First name Last name If more than SIX dependents, see Instructions. :~~d:Cm. not entered above C:=I c=J Add numbers ..I 21 d Total number of exemotions claimed. entered on .lInes.bove 7 Wages, salaries, tips, etc. Attach Form(s) W-2. 7 13,000. Income Sa Taxable Jnterest. Attach Schedule B if required 8, 163. Attach b Tax-exempt Jnterest. Do not include on line 8a ~I Copy B of 9 DiVidends. Attach Schedule B if requIred . . 9 291. your Forms 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) . 10 W-2, W-2G, & 11 Alimony received. 11 1099-R hero. 12 Business income or (loss). Attach Schedule C or C.EZ .. 12 39 694. .... ..................... If you did not 13 Capital _gain or (loss). Attach Schedule D . 13 -3,000. gel a W -2, see instructions. 14 Other gaIns or (losses). Attach Form 4797 . 14 15a Total IRA distributions ~ I b Taxable amount (see instrs) 15b 1,967. 16a Total pensions and annuities 16a b Taxable amount (see Instrs) 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . 17 3,649. Enclose, but do 18 Farm Income or (loss). Attach Schedule F 18 -15,907. not attach, any 19 Unemployment compensation. 19 payment. Also, please use Form 20a Social security benefits I 20,1 15,564.1 b Taxable amount (see instrs) 20b 7,664. 1040-V. 21 Other Income. List type and amount - see instructions 21 22 Add th~ ~~o~ntsin-th-e fa~ rioht~olu~~ fOr-li~es =; ~21.Thisi; v-;~ tob.llncome ~ - -- .. 22 47,521. 23 IRA deduction (see Instructions) 23 Adj usted 24 Medical savings account deduction. Attach Farm 8853 24 Gross 25 Moving expenses. Attach Form 3903 or 3903.F 25 Income 26 One-half of self-employment tax. Attach Schedule SE 26 1,681. If line 32 IS Z7 Self-employed health Insurance deduction (see instructions) Z7 under $29,290 28 Keogh and self-employed SEP and SIMPLE plans 28 (under $9,770 If 29 Penalty on early Withdrawal of savings . 29 a child did not 30 a Alimony paJd. b Recipient's SSN .. 30. live With you), see EIC In the 31 Add lines 23 . 30a 31 1 681. Instructions. 32 Subtract line 31 from line 22. ThiS is vour adjusted cross income .. 32 45,840. BAA For Privacy Act and Paperwork Reduction Act Notice, see instructions. FDlAOl12 12/10/97 Form 1040 (1997) Form 104ll 1997 Tax Computation If you want the IRS to figure your tax. see Instructions, Credits Other Taxes Payments Attach Farms W.2, W.2G, and 1099.R to page 1. Refund Have It directly deposited! See Instructions and fill in 62b, 62c, and 62d Amount You Owe Sign Here Keep a copy of thiS return for your records. Paid Pre parer's Use Only b If you are married filing separately and yourspouse itemizes deductions or you were a dual-status allen, see instructIons and check here. , . . . . . . . . . . . ." 34b 0 35 Enter ~temized deductions from Schedule At line 28, Or } the larger - Standard deduction shown below for your filing status. But _ of see the InstructIons If you checked any box on line 34a or 34b your: or someone can claim you as a dependent. . Single - $4,150 . Married filing JOintly or Qualifying wldow(er) - $6,900 · Head of household - $6,050 . Married filing separately - $3,450 36 Subtract line 35 from line 33 , .. . ,. . ,.... . .... ~ If line 33 is $90,900 or less, multiply $2,650 by the total number of exemptions claimed on line 6d, If line 33 IS over $90,900, see the worksheet in the instructions for the amount to enter 38 Taxable income. Subtract line 37 from line 36. If line 37 is more than line 36, enter -0- 39 Tax. See instrs, Check If any tax from a Form(s) 8814 b Form 4972.. ,. 40 Credit tor child and dependent care expenses. Attach Form 2441 40 41 Credit for the elderly or the disabled. Attach Sch R 41 42 Adoption credit. Attach Form 8839 42 43 Foreign tax credit. Attach Form 1116. 43 44 Other. Check If from. . 8 Form 3800. b 0 Form 8396 c 0 Form 8801 d Form (specify) 44 45 Add lines 40 through 44 46 Subtract line 45 from line 39. If line 45 is more than line 39, enter -0- . 47 Self-employment tax. Attach Schedule SE. 48 Alternative minimum tax. Attach Form 6251 49 SS and Medicare tax on tip income not reported to employer. Attach Form 4137 50 Tax. on qualilled retirement plans (including IRAs) and MSAs. Attach Form 5329 if required 51 Advance earned income credit payments from Form(s) W-2 . 52 Household employment taxes. Attach Schedule H 53 Add Ins 46 . 52. This IS ur total tax 54 Federal Income tax Withheld from Forms W -2 and 1099 ROBERT R WEBER & CHERYL L CAREY 33 Amount from line 32 (adjusted gross income) . . . .. ..,.,...,., .,.., 34a Check if: [gJ You were 65/01der, 0 Blind; 0 Spouse was 65/0Ider, Add the number of boxes checked above and enter the total here. 54 o Blind ~ 1 552, 55 1997 estimated tax payments and amount applied from 1996 return 55 56a Earned income credit. Attach Schedule EIG If you have a qualifying child. b Nontaxable earned income: amount ~ and type .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 56a 57 Amount paid With Form 4868 (request for extension) , 57 58 Excess SOCial security and RRT A tax withheld (see Instrs) . 58 59 Other payments. Check if from a 0 Form 2439 b 0 Form 4136 59 60 Add lines 54,55, 56a, 57, 58, and 59. These are your total a ments 61 If line 60 IS more than line 53, subtract line 53 from line 60. ThiS is the amount you Overpaid 62a Amount of line 61 you want Refunded to You. ~ b Routing number cType: 0 Checking ~ d Account number 63 Amount of line 61 you want Applied to Your 1998 Estimated Tax .. , "I 63 1 64 If line 53 is more than line 60, subtract line 60 from line 53. This is the Amount You Owe. For details on how to pay, see Instructions. 65 Estimated tax penal . Also include on line 64 , . .1 65 1 1,095. D Savings 193-12-8326 33 Pa e 2 45 840. 34. 1 35 7,700, 36 38 140. ,., 5,300. 38 32,840. ~ 39 4,924. 45 ~46 47 48 49 50 51 52 ~ 53 4,924, 3,361, O. 8,285. ~ 60 61 ~ 62. 2 647. ...~ 64 32. 5,670. YourS'gnature D,'" Under penaltie~ of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my k.nowledge i1nd bellel. they are true. correct, and complete Declaration of preparer (other than taxpayer) IS based on alllnformallon of which preparer has any knowledge ~ ~ Spouse's Signature. If a Joint Return, 80TH Must Sign. Dale 04/09/98 Date Preparer's Irrrro. Slgnah.Jre r Firm's Name (or you~ If self.employed) and Address v..~1L WEN Y S, FUNCK ~ 4677 BOSSLER ROAD ELIZABETHTOWN FDIA0112 12130/97 Your Occupation VET Spouse'sOccupalion BOOKKEEPER Check it seU-ernpl(JyerJ X EIN PA ZlPCode Preparer's SOCial Security No 155-48-9359 17022 Form 1040 (1997) Schedule A & B (Form 1040) 1997 OMS No, 1545.0074 Name(s) Shown on Form 1040. Do Not Enter Name and Social Security Number if Shown on Schedule A. Pa e 2 Your Soci.i Security Number ROBERT R WEBER & CHERYL L CAREY Schedule B - Interest and Dividend Income 193-12-8326 08 Part I Note: If vou had over $400 in taxable interest income, vou must a/so como/ete Part 1/1. Interest 1 List name of payer. If any interest is from a seller.financed mortgage and the buyer used Amount Income the property as a personal residence, see the instructions and list thiS interest first. Also, show that buyer's social security number and address ~ (See Jl~A~~l~L_I~~I02______________________________ 90. Instructions.) ~~I~~~~_____________________________________ 73. ~~:~~~F orm -------------------------------------------- 1 Q99.INT. Form -------------------------------------------- 1099-0ID, or wbstitulestatemenl -------------------------------------------- fTomabrokerilge firm, listlhe firm's -------------------------------------------- name as lhe payer 1 andenlerthelotal -------------------------------------------- interest shown on that form -------------------------------------------- -------------------------------------------- -------------------------------------------- ------------~------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- ------------------------------------------- 2 Add the amounts on line 1 .... 2 163. 3 Excludable interest on series EE U.S. savings bonds issued atter 1989 from Form 8815, line 14. You must attach Form 8815 to Form 1040 3 4 Subtract line 3 from tine 2. Enter the result here and on Form 1040, line 8a. ~ 4 163. Part II Dividend Income (See Instructions.) ~~~~;Y~F orm l099-QIV, or S<Jbstlll..itestatement from a brokerilge firm, list the flrm's name as the payer and enter the total diVidends :shown on thaI form Part III Foreign Accounts and Trusts (See Instructions.) Note: If 01.1 had over $400 in ross dividends and/or other distributions on stock. ou must also com lete Part III Amount 5 listnameof payer. Include gross dividends and/or other distributions on stock here. Any capital gain distributions and nontaxable distributions will be deducted on lInes 7 and 8 ... ~ JQ~ J9.lUJ.Y _V_AhllU:ll~D_ _ __ _ __ __ __ _ __ _ __ _ __ _ __ __ __ _ 921. 5 6 Add the amounts on line 5 7 Capital gain distributions, Enter here and on Schedule D. . ,. . . .1 7 1 8 Nontaxable distributions. (See the instructions for Form 1040, line 9.) . .. .. . m 9 Add lines 7 and 8 9 10 Subtract line 9 from line 6. Enter the result here and on Form 1040, line 9 . ~ 10 You must complete this part If you (a) had over $400 of Interest or dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. 6 921. 630. 630. 291. 11 a At any time dUring 1997, did you have an Interest In or a signature or other authority over a finanCial account In a foreign country, such as a bank account, securities account, or other financial account? See Instructions for exceptions and filing requirements for Form TO F 90.22.1 b If 'yes,' enter the name of the foreign country. ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ 12 DUring 1997, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? if 'yes,' you may have to file Form 3520 or 926. See Instructions ..........",..........,.,...... _ _ . . _ . _ . . . BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0401 10/27197 Schedule B (Form 1040) ',997 Schedule C (Form 1040) Profit or Loss from Business (Sole Proprietorship) ~ Partnerships, joint ventures, etc, must file Form 1065. ~ Attach to Form 1040 or Form 1041. ~ See instructions for Schedule C (Form 1040). OMS No. 1545.()()74 Department ollhe Treasury Internal Re...enue Service (99) Name of Proprietor 1997 09 Social Se<:urlty Number (SSN) ROBERT R WEBER 193-12-8326 B Enter Principal BUlWn... Code (..e Jnetr) I ~ 1958 o Employer 10 No. (ElN), If Any 23-1500750 A Principal Busines.s or Profession, Including Product or Service (see instructions) VETERANAR1AN SERVICES C BUi!iine$$ Name. II No Sepal"ilte Business Name, Leave Blank. ROBERT R. WEBER, VMD E Business Addr (indude suite or room no,) ~ J> -=- _0_"_ ~O_X_ ~2~_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. City,TownorP.O., Stale, & ZlP Code DILLSBURG, PA 17019 F Accountlngmelhod: (1) o Cash (2) DAccrual (3) [)<]Other(SpeCIfy) ~ _HY~R]Q__________ G Did you 'materially partiCipate' in the operation of this business during 19977 If 'No,' see instructions for limit on losses X y~ TIN~ H If you started or acquired this business durin 1997, check here. :Aitt:: Income ~ Gross receipts or sales. Caution: If this income was reported. to you on Form W-2 and the 'Statutory employee' box on that form was checked, see the Instructions and check here.. 2 Returns and allowances. 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42 on page 2) ~o 1 258,987. 2 3 258,987. 4 95,512. 5 163,475. 6 ~ 7 163,475. 5 Gross profit. Subtract line 4 from line 3 . 6 Other Income, Including federal and state gasoline or fuel tax credit or refund 7 Gross income. Add lines 5 and 6 . lP.aftJf ill Expenses. Enter eXDenses for bUSiness use of your home onlv on line 30. 8 Advertising 8 150. 19 Pension and profit-sharing plans . 19 9 Bad debts from sales or 20 Rent or lease (see instructions): services (see instructions) 9 a Vehicles, machinery, and equipment 20. 10 Car and truck expenses (see instrs) 10 12,066. b Other business property . . .... 20b 11 CommiSSions and fees. 11 21 Repairs and maintenance. ....... 21 301. 12 Depletion. 12 22 Supplies (not included in Part III) 22 13 De~reciatlon and section 23 Taxes and licenses. 23 8 020. 17 expense deduction 24 Travel, meals, and entertainment: fnot Included In Part III) see Instructions) .. .... 13 7,798. a Travel ..... 24. 14 Employee benefit programs b Meals and (other than on line 19) 14 6,939. entertainment. 15 Insurance (other than health) . 15 6,729. cEnter 50% of line 24b sub- 16 Interest ject to limitations (see instrs) . a Mortgage (paid to banks, etc) 16. d Subtract line 24c from line 24b . 24d bOther 1Gb 3,722. 25 Utilities 25 7,504. 17 Legal and professional services 17 2,611. 26 Wages (less employment credits) 26 53,006. 18 Office expense 18 3,537. 'D Other expenses (from line 48 on page 2) 'D 11,398. 28 Total expenses before expenses for business use of home. Add lines 8 through 27 In columns ~ 28 123,781. 29 Tentative profit (loss). Subtract line 28 from line 7 29 39,694. 30 Expenses for bUSiness use of your home. Attach Form 8829 30 31 Net profit or (loss). Subtract line 30 from line 29. . If a profit, enter on Form l040,line 12, and also on Schedule SE,line 2 (statutory - employees, see instructions). Estates and trusts, enter on Form 1041, line 3 . if a loss, you must go on to line 32 . 31 39,694. 32 If you have a loss, check the box that describes your investment in this actiVIty (see instructions). · if you checked 32a, enter the loss on Form l040,line 12, and also on Schedule SE, line 2 (statutory l employees, see Instructions). Estates and trusts, enter on Form 1041, line 3 . ........................ r . If you checked 32b, you must attach Form 6198 - For Paperwork Reduction Act Notice, see Form 1040 instructions. J O All investment IS 32a at fISk, BAA n Somemveslmf;nl 32b is notal rISk. Schedule C (Form 1040) 1997 FDIZ0112 07125/97 193-12-8326 Pa e 2 c Ottler (attach explanation) 34 ~~e~?~ett~~~ ~~~~a~~~~~e~~~~.I~~~~. ~~~,~t~t.i~~: c~~t.s:. ~~ .~~I~.~t~~n~. ~:~.e.~~ .~~~~.i~~. ~~~. ~~~~i.~~ .i~~e.~t~?:. . . 35 Inventory at beginning of year, If different from last year's closing inventory, attach explanation . .. ................. ...............,.... ." . . . .. .. 35 2 442. 36 Purchases less cost of items withdrawn for personal use 36 86 772. "3J Cost of labor. Do not Include salary paid to yourself ;, 38 Materials and supplies 38 8 691. 39 Other costs 39 40 Add lines 35 through 39 . 40 97 905. 41 Inventory at end of year. . 41 2,393. oods sold. Subtract line 41 from line 40. Enter the result here and on a e 1, line 4 . 42 95 , 512 . Information on Your Vehicle. Complete this part Only jf you are claiming car or truck expenses on line 10 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file. 43 When did you place your vehicle in servIce for business purposes? (month, day, year) ~ 44 Of the total number of miles you drove your vehicle during 1997, enter the number of miles you used your vehicle for: a BUSiness _ _ _ _ _ _ _ _ _ _ _ bCammutlng _ _ _ _ _ _ _ _ _ _ _ cOther _ _ _ _ _ _ _ _ _ __ 45 Do you (or your spouse) have another vehicle available for personal use? Dyes DNo .. Dyes DNo . Dyes DNo 46 Was your vehicle available for use dunng off-duty hours? 47 a Do you have evidence to support your deduction? b If 'Yes, IS the eVidence written? ... .. . nyes nNo lI?idifMtl"! Other Exnenses. List below business expenses not included on lines 8 26 or line 30. .................. LAB FEES - -- - - - -- -- ------ - - - - --- - - - - -- -- --------- ------- -- -. 3, 026 TEMPORARY HELP --- - - --- -- - - -- - ------------- --- ---- - - 449 -------- - -- - ---- TELEPHONE --- - - - - - --- ---- - -- - --------- --- - --- - -- - ---. 5 781 ------- - - - - -- - - PAGER - - - - - - - - --- -- ---- --- - - - - - - -- - - - - - - -- - -- ------ -- ----- 73 DUES & - S_U~~CYl ~1:I.9~~__ --- - -- - - - -- - - - - -- - - - - - - ---- 307 - - - -- - - -- - - BUSINESS GIFTS 678 ------- - - - - - -- - -- - -------- ---- ------- ---------- --- -- BANK ;.i;.R_Vlt;.E_ CHARGES - - ------- 1 084 ------ - - - -- --- - ----- -- ----- - --- - - - - -- - - - -- - -- - -- - - - - - ------ - - - - - - - - - - - --- - -- -- - - --- - --- - - -- - - 48 Total other expenses. Enter here and on page 1. line 27 ... 148 1 1 398 FD1Z0112 07125197 Form 4562 Depreciation and Amortization (Including Information on Listed Property) Department ollt1e Treas.ury ~ See instructions. Internal Revenue Service (99) ~ Attach this form to your return. Name(s) Shown on Return I Business or Activity to 'Nhich This Form Relates ROBERT R WEBER & CHERYL L CAREY ISch C VETERANARIAN SERVICES le.rUd m;t~~~o~oh~~f:n~~~st;:~~~~rr~'~~~:t~~~~e~~2:~iuO~o~~~e Part f) 1 Maximum dollar limitation. If an enterprise zone business, see Instructions 2 Total cost of section 179 property placed In service. See instructions 3 Threshold cost of section 179 property before reduction In limitation.. 4 Reduction In limitation. Subtract line 3 from line 2. If zero or less, enter -O- S Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separatel , see Instructions .... . . . ... ...... OMS No. 1545.Q172 1997 67 Identifying Number 193-12-8326 1 2 3 4 $18,000. $200,000, 6 5 a) Description of property b Cost (business use only) c) Elected cost 7 listed property. Enter amount from line 27 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from 1996. See Instructions 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs) . 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Carr over of disallowed deduction to 1998. Add lines 9 and 10, less line 12 .. 13 Note: Do not use Part 11 or Part III below for fisted property (automobiles, certain other vehIcles, cellular telephones, certain computers, or property used for entertainment, recreation, or amusement). Instead, use Part V for listed property. le.rMli.1 m~~o~~c9~f.r~~i~ti~r~:.:'~fssets Placed in Service Only During Your 1997 Tax Year 8 9 10 11 12 1,793. Section A - General Asset Account Election 14 If you are making the election under section 168(1)(4) to group any assets placed in servIce during the tax year into one or more general asset accounts, check thiS box. See Instructions, . , . .. , ' , . , . ,. . ' . , .. . . , . ,. '. . . . , .. . . . , , , . ,. , , , , . _ , _ , . ... I Section B - General Depreciation S stem (GDS See instructions (a) (b) Month and (C) Basis ,for depreciation (d) (e) (f) (g) Depreciation Clas::.iflcation of property year placed (buslnesshn..estment use Reco..ery periOd Con..ention Method deduction Inser>ilce only - see Instruclion::.) i NonreSidential real property MM MM MM MM Section C - Alternative Depreciation S stem ADS) (See Instructions 25 27.5 27.5 39 rs rs rs r 5 SI L S/L S/L SI L S/L 16a Class life bI2.ear. 12 rs c 40. ear 40 r 5 MM .iiit."lQii}::. Other De reciation Do Not Include Listed Pro ert ) (See Instructions 17 GDS and ADS deductions for assets placed In service In tax years beginning before 1997 18 Property subject to section 168(f)(1) election 19 ACRS and other depreCiation jl,f ." Summa (See Instructions) 20 Listed property. Enter amount from line 26 SI L S/L S/L 17 18 19 561, o. 20 5,444. 21 Total. Add deductions on line 12, lines 15 and 161n column (g), and Jines 17 through 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see Instructions .", 21 22 For assets shown above and placed in service dunng the current year, enter the portion of the baSIS attributable to section 263A costs . ... . . . ..... BAA For Paperwork Reduction Act Notice, see the separate instructions. FDIZ0812 10120/97 22 Form 4562 (1997) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 laalt;\Y]ii:'j listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for Entertainment, Recreation, or Amusement Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a) through (c) of Section A, all of SectIon B, and Section C If applicable. Section A - Depreciation and Other Information (Caution: See instructions for Jimits for oassenqer automobiles.) 238 Do you have evidence to support the buslness/inveslment use claimed? Ix I Yes I I No 123b If 'Yes,' is the evidence written' . ...1 I Yes Ix I No (a) (b) (e) (d) (e) (I) (g) (h) (i) Typeof,property (list Date placed Buslnessl Cost or Basis lordeprel:iation Recovery Method) Depreciation Elected investment vehicles first) Jnservlce ",. oll1erbasis (buSiness/investment penod Convention deduction saction 179 percentage use only) cost 24 Prooertv used more than 50% in a qualified business use (see instructions): 85 CHEVY 07/01/95 100.00 5,000. 5,000, 5.00 SL/HY 889. 97 CHEVY 12/01/96 100,00 23,741. 13 623, 5.00 200DB/HY 4,555, 25 Prope used 50% or less In a ualifled business use (see Instructions): 26 Add amounts In column (h). Enter the total here and on line 20, page 1 Z7 Add amounts In column (i). Enter the total here and on line 7, page 1 Section B - Information On Use of Vehicles Complete thiS section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. 11 you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exceptIOn to completing thiS section for those vehicles. 26 5,444. Z7 (a) (b) (e) (d) (e) (I) 28 Total busmess/lnvestment miles driven durmg Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 the year (Do not mclude commuting miles) . 5,000 40,000 29 Total commuting miles drIVen dUring the year 30 T alai other personal (noncom muting) miles driven 0 0 31 Total miles driven dUring the year. Add lines 28 through 30 .... . .. 5,000 40,000 Ves No Ves No Yes No Ves No Ves No Ves No 32 Was the vehicle available for personal use dUring off. duty hours? X X 33 Was the vehicle used primarily by a more than 5% owner or related person? X X 34 Is another vehicle available for personal use? X X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questIOns to' determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons. Yes No 35 Do you maintain a written poliCY statement that prohibits all personal use of vehicles, including commuting, by your employees? . 36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1 % or more owners '37 Do you treat all use of vehicles by employees as personal use? 38 Do you prOVide more than five vehicles to your employees, obtain Information from your employees about the use of the vehicles, and retain the Information received? 39 Do you meet the requirements concerning qualified automobile demonstration use? See instructions. . Note: If your answer to 35, 36, 37. 38, or 39 is 'Yes,' you need not complete Section B for the covered vehicles RiirliMF} Amortization (a) (b) (e) (d) (e) m Descnpllon 01 costs Date amortization Amortizable Code Amortization Amortization begins amount Section period or for lJ1IS year percentage 4Q Amortization of costs that be Ins during 41 Amortization of costs that began before 1997 42 Total. Enter here and on 'Other Deductions' or 'Other Expenses' line of your return . FDIZ0812 10/20197 Schedule 0 (Form 104ll) Capital Gains and Losses OMS No. 1545.(J()74 Depanment of the Treasury Internal Revenue Service Name(s) Shown on Form 1040 ~ Attach to Form 1 04ll. ~ See instructions for Schedule D (Form 104ll). .. Use Schedule 0.' for more space to list transactions for lines 1 and 8. 1997 12 Your Socilll Security Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 lJl!jif]"#i1t(iJ Short-Term Ca ital Gains and Losses - Assets Held One Year or Less (8) De!;cription of (b) Date acquired (C) Date sold (d) Sales price (e) Cost or (f) GAIN or (LOSS) property (Example: (Mo, day, yr) (Mo, day, yr) other basis FOR ENTIRE YEAR. 1 00 shar~ 'XYZ: Co) Subtract (e) from (d) 2 Enter your short-term totals, jf any, from Schedule 0.1, line 2 . .. . '. . 2 3 Total short-tenn sales price amounts. Add column (d) of lines 1 and 2 3 4 Short-term gain from Forms 2119 and 6252, and short-term gain or (loss) from Farms 4684, 6781, and 8824 .. . . .. .... .... ... .. .... .. . . . . .. .... 4 5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K - 1 5 6 Short-term capital loss carryover. Enter the amount, if any, from line 9 of your 1996 Capital Loss Carryover Worksheet 6 ~ (a) Descnption 01 property (Example: 100 shares 'XiZ: Co) (b) Date acquired (Iv1o,day,yr) (c) Date sold (Iv1o, day, yr) (d) Sales price (g) 28"4 RATE GAIN or (l.OSS) . (lee In_tructions) 8 9 Enter your long-term totals; if any, from Schedule 0-1, line 9. ... 9 !i~IIII~~IIIIIII~tiIIIIIJI'l'~ !1111111~!~f~~r!~ill'~l~~~!~t~~ ~1'~IJI!~~~I~~ltr.*-fiit!IIJil~itlill 10 Total long-term sales price amounts. Add column (d) of lines 8 and 9 . 10 Gain from Form 4797, Part I; long-term gain from Forms 2119, 2439, and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824. ... .........,....... . 11 11 12 Net tong. term gain or (loss) from partnerships. S corporations, estates, and trusts from Schedule(s) K-l . . .. . .. . .. .. . ..... 12 13 Capital gain distributions 14 13 630. 295. Long-term capital loss carryover. Enter In both columns (f) and (g) the amount, If any, from line 14 of your 1996 Capital Loss Carryover Worksheet,...... .... 14 -15,434. 15 Combine lines 8 through 14 In column (g) 15 ~ 16 -14 * 2S-;' Rate Gain or Loss Includes all gains and losses in Part Ii, column (f) from sales, exchanges, or conversions (including installment payments received) either: . Before May 7, 1997, or . After July 28, 1997, for assets held more than 1 year but not more than 18 months, It also InCludes All 'collectibles gains and Josses' (as defined In the Instructions). BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule D (Form 1040) 1997 FOIA0612 10/24/97 Schedule 0 (form 1040 1997 ROBERT R WEBER & CHERYL L CAREY , Jllit;: Summa of Parts I and II 17 Combine lines 7 and 16. If a loss, go to line 18. If a gain, enter the gain on Form 1040, line 13 Next: Complete Form 1040 through line 38. Then, go to Part IV to figure your tax if: . Both lines 16 and 17 are gains, and, . Form 1040, line 38, is more than zero. 18 If line 17 IS a loss, enter here and as a (loss) on Form 1040, line 13, the smaller of these losses: -The loss on line 17; or . ($3,000) or, If married filing separately, ($1,500). ....................... Next: Complete Form 1040 through line 36. Then, complete the Capital Loss Carryover Worksheet if: . The lass on line 17 exceeds the loss on line 18, or . Form 1040, line 36, is a loss. 'FirMIn Tax Com utation Usin Maximum Ca 'tal Gains Rates 19 Enter your taxable Income from Form 1040, line 38 . 20 Enter the smaller of line 16 or line 17 . 21 If you are filing Form 4952, enter the amount from Form 4952, line 4e , 22 Subtract line 21 from line 20. If zero or less, enter -0- 23 Combine lines 7 and 15. If zero or Jess, enter -0- . 24 Enter the smaller of line 15 or line 23, but not less than zero. 25 Enter your unrecaptured section 1250 gain, if any (see instructions) .. 26 Add lines 24 and 25 , V Subtract line 26 from line 22. If zero or less, enter -0- 28 Subtract line 27 from line 19. If zero or less, enter -0- 20 21 22 23 24 25 26 29 Enter the smaller of line 19 or $41,200 ($24,650 if single; $20,600 if marned filing separately; $33,050 If head of household) ... . . .. .. .. . ... 30 Enter the smaller of line 28 or line 29 . 31 Subtract line 22 from line 19. If zero or less, enter -0- 32 Enter the larger of line 30 or line 31 33 Figure the tax on the amount on line 32. Use the Tax Table or Tax Rate Schedules, whichever applies, 34 Enter the amount from line 29 , 35 Enter the amount from line 28 .. 36 Subtract line 35 from line 34. If zero or less, enter -0- '" Multiply line 36 by 10% (.10) . 38 Enter the smaller of line 19 or line 27 . 39 Enter the amount from line 36 40 Subtract line 39 from Ilne 38. If zero or less, enter -0- 41 Mulllply line 40 by 20% (.20) . 42 Enter the smaller of line 22 or line 25 . 43 Add lines 22 and 32 . 44 Enter the amount from line 19 . 45 Subtract line 44 from line 43. If zero or less, enter -0- 46 Subtract line 45 from line 42. If zero or less, enter -0- 47 Multiply line 46 by 25% (.25) . 48 Enter the amount from line 19 , 49 Add lines 32, 36, 40, and 46 . 50 Subtract line 49 from line 48 . ...~ .44 51 Multiply line 50 by 28% (.28) 52 Add lines 33, 37, 41,47, and 51 53 Figure the tax on the amount on line 19. Use the Tax Table or Tax Rate Schedules, whichever applies, 54 Tax. Enter the smaller of line 52 or line 53 here and on Form 1040, IJne 39 . FOIA0612 10/16197 193-12-8326 Pa e 2 17 -14 804. 19 'Z7 28 29 30 31 32 ~ 33 34 35 36 ~ '" 38 39 4Q ~ 41 42 45 46 ~ 47 45 49 50 ~ 51 52 53 ~ 54 Schedule E (Form 1040) Supplemental Income and Loss (From rental real estate, royalties, partnerships, 5 corporations, estates, trusts, REMICs, 8te) ~ Attach to Form 1040 or Form 1041. ~ See instructions for Schedule E (Form 1040). OMS No_ 1545.0074 Department of the Trea~ury Internal Revenue Sef\llce (99) Name(s) Shown on Return 1997 13 Your Social Security Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 lPidtJ it?] Income or Loss from Rental Real Estate and Royalties Note: Report Income and expenses from your business of rentmg personal property on Schedule Cor C-EZ Report farm rental income or Joss from Form 4835 on page 2, line 39 1 Show the kind and location of each rental real estate Drooertv: 2 For each renlal real estate Ves No A 19YJ~I51~~~~5J~~J_________________________ propertylistedonJ,inel"didyou oryourfamilyus6ltdurlOglhe MECHANICSBURG PA 17055 tax year for personal purposes A X B Sl~~6~~BQAP________________________________ for more than the greater of: MECHAN1CSBURG PA 17055 .14 days, or B X .10% of the total days C rented at fair rental value? ----------------------------------------- (See instructions,) I C Income: Prooerties Totals A B C (Add columns A, S, and C.) 3 Rents receIved. 3 1,400. 3,000. 3 4,400. 4 Rovaltles received 4 4 Expenses: 5 Advertising 5 6 Auto and travel (see Jnstructions) 6 7 Cleaning and maintenance 7 8 CommiSSions 8 9 Insurance. 9 10 Legal and other professional fees. 10 11 Management fees, 11 12 Mortgage Interest paid to banks, ete (see Instructions) 12 12 13 Other Interest 13 14 Repairs 14 751. 15 Supplies. 15 16 Taxes 16 17 Utilities 17 18 Other ~ Oisl). -------------- ------------------~--- 18 ---------------------- ---------------------- 19 Add lines 5 through 18 19 751. 19 751. 20 Depreciation expense or depletion (see Instructions) , .. 20 20 21 T ctal expenses. Add lines 19 and 20 21 751. 22 Income or (loss) from rental real estate or royalty properties. Subtract line 21 from line 3 (rents) or line 4 (royalties). )f the result IS a (loss), see Instruc- tions to find out If you must file 649. 3,000. Form6198 .. ... ..... . 22 23 Deductible rental real estate loss. Caution: Your rental real estate 1055 on line 22 may be limited See instructions to fmd out if you I must file Form 85B2 Real estate profeSSionals must complete line 23 42 on page 2 24 Income. Add positive amounts shown on line 22. Do not include any losses 24 3, 64~~ 25 Losses. Add royalty losses from line 22 and rental real estate losses from line 23. Enter total losses here. ... 25 26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 39 on page 2 do not apply t~ou, also enter this amount on Form 1040, line 26 I 3,649. 17. OtherWise, Include this amount In the total on line on page 2 ."."..""", _ , , _ , ' , . , , . . '. _ , . . BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ2301 09109197 Schedule E (Form 104()) 1997 Schedule F (Form 1040) Profit or Loss from Fanning OMS No. 1545.0074 Deparonent of the Treasury Intemal Revenue Service (99) Name of Proprietor ~ Attach to Form 1040, Form 1041, or Form 1065. ~ See instructions for Schedule F (Form 1040). 1997 14 Social Security Humber (SSN) ROBERT R WEBER A Pnncipal Product. Descnbe in One or Two Words Your Principal Crop or Activity for the Current Til)( Year. CROPS 193-12-8326 B Enter Principal Agricul\l.Jral Activity Code (from page 2) ... 120 o Employ.r 10 Number (ElN), " Any C Accounting method: (1) IRJ Cash (2) 0 Accrual E Did you 'materially participate' In the operation of this business during 19977 If 'No,' see instructions for limit on passive losses . . .. .. . .. .. .Txl Yes I I No l:l!!iiI:PtIt:nW Farm Income - Cash Method. Complete Parts I and II (Accru.1 method tup.ye" complete P.rt, II and III, and line 11 01 Part I.) Do not include sales of livestock held for draft, breeding, sport. or dairy purposes; report these sales on Fonn 4797. 1 Sales of livestock and other items you bought for resale. I 1 I 2 Cost or other baSIS of livestock and other Items reported on line 1 . I 2 I 3 Subtract line 2 from line 1 3 4 Sales of livestock, produce, grains, and other products you raised 4 5a 10lal cooperallVe dlSlflbullons (Form(s) 1099-PATR) . _ ~ I Sb Taxable amount. 5b 6b Taxable amount. 6b 6a Agncultural program payments (see Instructions).. 6a 7 Commodity Credit Corporation (CCe) loans (see instructions): a CCC loans reported under election. 7a b CCC loans forfeited. . . . . . I 7bl I 7 c Taxable amount . 7c 8 Crop insurance proceeds and certain disaster payments (see Instructions): a Amount received In 1997 . I 8a I I 8b Taxable amount 8b c If election to defer to 1998 IS attached, check here . .~ 8 d Amount deferred from 1996. 8d 9 Custom hire (machine work) income 9 10 Other Income, including federal and state gasoline or fuel tax credit or refund (see Instructions) 10 11 Gross income. Add amounts in the right column for lines 3 through 10. If accrual method taxpayer, enter the amount from page 2, line 51 ..,..,.,...'.,.....,..,.....,., .. 11 I ellrt !t! ::,::'J Farm Expenses - Cash and Accrual Method. Do not Include personal or living expenses such as taxes, Insurance, repairs, etc, on your home. 12 Car and truck expenses (see Instructions - also attach Fonn 4562) 12 215_ 25 Pension and profit-sharing plans 25 13 Chemicals. 13 26 Rent or lease (see instructions): 14 ConservatIOn expenses a Vehicles, machinery, and (see Instructions) 14 equipment 26a 15 Custom hire (machine work) . 15 b Other (land, animals, etc) . . 26b 2:7 Repairs and maintenance. 2:7 1 238. 16 Depreciation and section 179 28 Seeds and plants purchased 28 expense deduction not cla(med elsewhere (see Instructions) 16 4,98l. 29 Storage and warehousing. 29 17 Employee benefit programs 30 Supplies purchased 30 1,085. other than on line 25 . .... 17 31 Taxes. 31 3,359_ 18 Feed purchased .... 18 2,238. 32 Utilities 32 1,063_ 19 Fertilizers and lime 19 33 Veterinary, breeding, and medicine. 33 20 Freight and trucking 20 34 Other expenses (specify): 21 Gasoline, fuel, and oil 21 a 34a ------------------ 22 Insurance (other than health) . .. 22 1,728. b 34b -----~-----------* 23 Interest: c 34c ------------------ a Mortgage (paid to banks, etc) 23a d ------------------ . 34d bOther ..... 23b e - . 34e ----------------- 24 Labor hired (less employment credits) 24 f 34f 35 Total expenses. Add lines 12 through 34f .. 35 15,907. 36 Net fum profit or (loss). Sublraclline 35 from Ime 11. If a profit, enter on Fonn 1040, line 18, and also on Schedule SE, line 1. If a loss, you must go on to line 37 (estates, trusts, and partnerships, see instructions) . .... 36 -15,907. 37 It you have J loss, you must check the box thaI describes your Investment 10 UlIS Jctlvlly (~oc 1fI::;lrucllOn::;). If you checked 37a, enter the loss on Form l040,line 18, and also on Schedule SE, line 1. If you checked 37b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ0212 11/05/97 ~ '5l a X tsllaIC~~~tmenl Some imestmenl 37b is not at risk. Schedule F (Form 1040) 1997 ScheduleF(Form 1040) 1997 ROBERT R WEBER 193-12-8326 Pa e2 , Jbt', F arm Income Accrual Method (see instructions) Do not include sales of livestock held for draft, breeding, sport, or dairy purposes; report these sales on Fonn 4797 and do not include this livestock on line 46 below. :a ~;~;~(;)~~;;~;~;~)::uuCt~~n:alns, and o~er Prod] :J ~e year, 40a Agricultural program payments, . . W ...... 38 39b Taxable amount 39b 40b Taxable amount 40b 41 Commodity Credit Corporation (Cee) loans: a eee loans reported under election. . 410 b eee ioans tortelled . 141b1 141 c Taxable amount 41c 42 Crop insurance proceeds. 42 43 Custom hire (machine work) income 43 44 Other lncome, including federal and state gasoline or 1ue! tax credit or refund. 44 45 Add amounts in the right column for lines 38 tnrough 44 46 Inventory of livestock, produce, grains, and other products at beginning of the year 47 Cost of llvestack, produce, grains, and other products purchased during ttJe year 45 46 47 48 Add lines 46 and 47 . . 48 49 Inventory of livestock, produce, grains, and other products at end of year 49 50 Cost of livestock, produce, grains, and other products sold. Subtract line 49 from line 48* 50 51 Gross income. Subtract line 50 from line 45. Enter the result here and on page', line' , .. 51 "If you use the unlt-livestock-price method or the farm-price method of valuing Inventory and the amount on line 49 is larger than the amount on line 48, subtract line 48 from line 49. Enter the result on llne 50. Add lines 45 and 50. Enter the total on lIne 51. [llia:w"M'Il Principal Agricultural Activity Codes Caution: File Schedule C (Form -1040), Profit or Loss from Busmess, or Schedule C-EZ (Form 1040), Net Profit from Busmess, Instead of Schedule F it . Your prinCipal source of Income is from providing agricultural services such as 5011 preparation, vetennary, farm labor, horticultura!, or management for a fee or on a contract basis, or . You are engaged In the bUSIness of breeding, raising, and 'aong for dogs, cats, or other pet animals. Select one of the follOWIng codes and write the 3-dlgit number on page 1, line B: 185 Food crops grown under cover, inCluding hydroponic crops 211 Beefcattle feedlots 212 Beetcattle, except leedlats 215 Hogs, sheep, and goats 240 Dairy 250 Poultry and eggs. including chickens, ducks, pigeons, quail, ete 260 General livestock, not specializing In anyone livestock category 270 Animal specialty, includ.ing bees, iur-bear\ng animals, horses, snakes, ete 280 Animal aquaculture, including fish, shellfish, mollusks, frogs, etc, produced WIthin confined space 290 Forestproducts, including forest nurseries and seed gathering, extraction of pine gum, and gathering of forest products 300 Agricultural production, not specified 120 Field crop, including grains and nongrains such as cotton, peanuts, feed corn, wheat, tobacco, Irish potatoes, etc 160 Vegetables and melons, garden-type vegetables and melons, such as sweet com, tomatoes, squash, ete 170 Fruit and tree nuts, Including grapes, berries, olives, ete 180 Omamentallloriculture and nursery prOdUcts FDlZ0212 06/23197 4562 Depreciation and Amortization OMBNo 1545{)172 Form (Including Information on Listed Property) 1997 Departrrlent of lt1e Trea~ry "" See instructions. Inlemal Revenue Service (99) ... Attach this form to your return. 67 Name(5) Shown on Return I Business or Activity to Y\'hich This Form Relates Identifying Number ROBERT R WEBER & CHERYL L CAREY ISch F SINCLAIR ROAD, MECHANICSBURG 193-12-8326 i'!~.!!tJ".:dJ Election to Expense Certain Tangible Property (Section 179) (Note: If you have any 'listed property. ' complete Part V Defore you complete Part J.) 1 MaXimum dollar limitation, If an enterprise zone business, see instructions 2 Total cost of section 179 property placed in service. See instructions 3 Thresnold cost ot sectlon '79 property before reduction in limitation ' 4 Reduction In limitatIOn. Subtract line 3 from line 2. If zero or less, enter -0- 5 Dollar limitation ,for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing se aratel I see Instructions '. ..... ... , .. .. ., "..... . ..' ....,..... 1 2 3 4 $18,000. $200,000. 6 a) Description of property b Cost (business use only) 5 7 Listed property. Enter amount from line 27 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 , 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10 Carryover at disallowed deduction from 1996. See Instructions 10 11 BUSiness Income limitation. Enter the smaller of business Income (not less than zero) or line 5 (see instrs) 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than (lne 11 12 13 Carr over of disallowed deduction to 1998. Add lines 9 and 10, less line 12 . ~ 13 Note: Do not use Part JI or Part II! below for listed property (automobiles, certam other vehicles, cellular telephones, certain computers. or property used for entertainment, recreatIOn, or amusement). Instead, use Part V for listed property. I~jftln: J MACRS Depreciation for Assets Placed in Service Only During Your 1997 Tax Year (Do Not Include Listed Property) Section A - General Asset Account Election 14 l( you are makIng the election under sectIon 168(i)(4) to group any assets placed in service during the tax year int.o. .on.e ar mare general asset accounts, check thiS box. See Instructions. , . .. , , . ' . . . , . ' , - -. .. . .. .. , , . . . , . , . - , , . .. ' . -. . -- Section B - General De redation S stem GOS) See instructions (a) (b) Month and (c) Basis for deprecialion (d) (e) (f) Classlficabon of property year placed (bUSiness/investment use Recovery period Convention Method In service only~seelnstrucllons) ~~ (g) DepreciatiOn de<iuction b 5-year property i NonreSidential real property MM MM MM MM reciation S stem ADS) See instructions 25 27.5 27.5 39 rs rs rs rs 51 L 5/L 51 L 51 L 51 L MM 51 L 5/L 5/L 17 18 19 2,484. 997. 20 O. 21 Total. Add deductions on line 12, lines 15 and 161n column (0), and lines 17 through 20. En.ter here and on the appropriate lines of your return. Partnerships and-S corporations ~ see Instructions. . . 22 For assets shown above and placed in servIce dUTlng the current year, enter the portion of the baSIS attributable to section 263A costs BAA For Paperwork Reduction Act Notice, see the separate instructions. 21 4,981. FQlZOBI2 10rzom 22 Form 4562 (1997) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 liPartMf/".l Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for Entertainment, Recreation, or Amusement Note: For any vehicle for which you are uSing the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a) through (c) of SectIOn A, all of Section B, and Section C if applicable. Section A - Depreciation and Other Information (Caution: See instructions for limits for Dassenaer automobiles.) 238 Do you have evidence to supporllhe business/investment use claimed? . .. .Ix I Yes I I No 123b If 'Yes,' "the evidence written? I I Yes Ix I No (a) (b) (e) (d) (e) (I) (g) (h) (i) Type of property (lisl Date placed BU5lOessJ Cost or Basis for depreciation Recovery Methodl Depreciation Elected investment vehicles first) In service "" other basis (buslness/llwestment period Convention deduction section 179 percentage use only) cost 24 Property used more than 50% in a qualified business use (see instructions): FARM TRUCK 07/01/90 100.00 12 650. 12,650. 5.00 150DB/HY O. 25 Pro e used 50% or less in a ualified business use see Instructions: 26 Add amounts In column (h). Enter the total here and on line 20, page 1 26 'Z7 Add amounts In column (I). Enter the total here and on line 7, page 1 Section B - Information On Use of Vehicles Complete thiS section lor vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. (a) (b) (e) (d) (e) (I) 28 Total bUSiness/investment miles driven dUring Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 the year (Do not Include commuting miles) 5,000 29 Total commuting miles driven dUring the year . 30 Total other personal (noncom muting) miles driven 0 31 Total miles driven dUring the year. Add lines 28 through 30 5,000 Yes No Yes No Yes No Yes No Yes No Yes No 32 Was the vehicle available for personal use dUring off-duty hours? X 33 Was the vehicle used primarily by a more man 5% owner or related person? . . X 34 Is another vehicle available for personal use? X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to'determlne If you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons. Yes No 35 Do you maintain a written policy statement that prohibits all personal use 01 vehicles, including commuting, by your employees? 36 Do you maintain a written poliCY statement that prohibits personal use of vehicles, except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1% or more owners '37 Do you treat all use of vehicles by employees as personal use? 38 Do you provide more than five vehIcles to your employees, obtain information from your employees about the use of the vehicles, and retain the Information received? 39 Do you meet the requirements concerning qualified automobile demonstration use? See instructions. Note: If your answer to 35, 36, 37, 38, or 39 IS 'Yes, 'you need not complete Section B for the covered vehicles PibiYli Amortization (a) (b) (e) (d) (e) (I) DescnptJOn of costs Date amortization Amortizable Code Amorliziltlon Amortization begins amount Section period or tor this year percentage 40 Amortization of costs that be Ins dUrin 41 Amortization of costs that began before 1997 42 Total. Enter here and on 'Other Deductions' or 'Other Expenses' line of your return FDIZ0812 10/20/97 Schedule SE (Form 1040) Self-Employment Tax OMS No. 1545.0074 Department of the Treasury Internal R&'Iflf\Ue Sef'llCe (99 ~ Attach to Fann 1040. ~ See instructions for Schedule SE (Form 1040). 1997 17 Name of Pe~on with Self.Employment Income (as showll on Form 1040) Social Security Number of Person With SeU-Employmenllncome ~ 193 -12 - 8326 ROBERT R WEBER Who Must File Schedule SE You must flle Schedule SE it . You had net earn!n.9.~ from self-employment from other than church employee income (line 4 of Short Schedule SE or tine ~ of Long Schedule SE) of $400 Of more, Or . You had church employee income of $108.28 Of more. Income from services you pertormed as a minister or a member of a religious order is not church employee Income. See Instructions. Note: Even if you have a.loss or a small amount of income trom self~employment, it may be to your benefit to file Schedule SE and use either 'optional method' In Part /I of Long Schedule SE See Instructions. Exception: If your only self-employment Income was from earnings as a minister, member of a religious order, or Christian Science practItIOner, and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write 'Exempt - Form 4361' on Form 1040, line 47. May I Use Short Schedule SE or Must I Use Long Schedule SE? Did You Receive Wages or Tips in 1997? No Ves No Was the total of your wages and tips subject to social security or railroad retirement tax plus your net earnings from self-employment more than $65,400? Ves Are you a minister, member of a religious order, or Yes Chflstlan SCience practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings? No Are you uSing one of the optional methods to figure your net earnings? (see Instructions) No Old you receive tips subject to social security or Medicare Yes tax that you did not report to your employer? No Old you receive church employee income reported on Form W,2 of $108.28 or more? No You May Use Short Schedule SE Below Vou Must Use Lo"9 Schedule SE Section A - Short Schedule SE. Caulion: Read above to see If you can use Short Schedule SE. Net farm profit or (loss) from Schedule F, Itne 36, and farm partnerships, Schedule K.' (Form 1065), line 15a -15,907. 2 39,694. 3 23,787. ~ 4 21.967. 5 3.361. 2 Net prottl or (loss) tram ScheduleC, Itne 31; Schedule C.EZ, line 3; and Schedule K.' (Form 1065). line 15a (other than farming). Ministers and members of religious orders, see Instructions for amounts to report on thiS lIne. See Instructions for other income to report. .. .. .. . . .. ... ..... . .. . ." . . . .. .. , . . . 3 Combine lines land 2 4 Net earnings from se/f..employment. Multiply hne 3 by 92.350/0 (.9235). \f less than $400, do not file this schedule; you do not owe self-employment tax .. .. ....................,......'......... 5 Self-employment tax. If the amount on tine 4 is: . $65,400 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 47. . More than $65,4D0, multlply.ltne 4 by 2.9% (.029). Then, add $8,109.60 to the result Enter the total here and on Form 1040, Jine47. 6 Deduction for one-half of seU-employmenllax. Multiply Itne 5 by 50% (.5). Enter the result here and on Fonn 1040,line26 .. .... . ...,.... . BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA1101 07125197 J I 6 I 1,681. Schedule SE (form 104D) 1997 Form 4562 Depreciation and Amortization (Including Information on Listed Property) Department of the Treasury to- See instructions. Internal RevenlJe Service (99) ... Attach this form to your return. Name(s) Shown on Return I Business or Activity to Which This Form Relates ROBERT R WEBER & CHERYL L CAREY Section 179 Summary I:ft.rl:ir fNd ~~t~~~0~on~~n~~~5;:~~~~r1~'~~~:t~~fte~~;:~uo~o~~~e Part J) 1 MaxImum dollar limitation. If an enterprise zone business, see Instructions 2 Total cost of section 179 property placed in service. See instructions. 3 Threshold cost of section 179 property before reduction in limitation , 4 Reduction In limitation. Subtract line 3 trom line 2. If zero or less, enter -0- If zero or less, enter -0-. If married filing OMBNo.I545-0172 1997 67 klentitylni Humber 193-12-8326 1 2 3 4 $18,000. 3 293. $200,000. O. 5 Dollar limitation for tax year. Subtract line 4 from line 1. se aratel , see instructions (a) Description of property 5 18,000. See Additional section 179 ro er 7 Listed property. Enter amount from line 27 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 8 3,293. 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 3,293. 10 Carryover of disallowed deduction from 1996. See instructions 10 O. 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs).. 11 18,000. 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12 3,293. 13 Carryover of disallowed deduction to 1998. Add lines 9 and 10, less line 12 ." 13 o. )(\ @if~ ~f:gi{H\/"::::"::';""" Note: Do not use Part /I or Part IfI below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers, or property used for entertainment, recreation, or amusement) fnstead, use Part V for listed property. U~.fflkt;j.l m~~~~Euef.r~;l~ti~r~:':>rf,.fssets Placed in Service Only During Your 1997 Tax Year 375, 2 918, 6 TABLEs/WTG ROOM b) Cost (business use only) 375. C Elected cost Section A - General Asset Account Election 14 ..; (I) Method (g)Deprecla~on deduc~on MM MM MM MM s/L s/L s/L s/L 51 L See instructions MM s/L 51 L s/L 17 18 19 20 21 Total. Add deductions on line 12, lines 15 and 16 In column (g), and hnes 17 through 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see Instructions.. 21 22 For a55ets shown above and placed m service dUring the current year, enter the portion of the baSIS attributable to section 263A costs BAA For Paperwork Reduction Act Notice, see the separate instructions. 22 Form 4562 (1997) FD1Z0812 10120/97 Section 179 Expense Report ~ Keep for your records 1997 PAGE 1 Name(s) Shown on Return Social Security Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Description Business Use Elected Activity of CostlBasis Section 179 Property Expense Sch C VETERANARIAN SERVICES - 1997 TABLES/WTG ROOM 375. 375. Sch C VETERANARIAN SERVICES - 1997 OFFICE FURN 1,418. 1,418. Sch F SINCLAIR ROAO. MECHANICSBURG - 1997 TRACTOR 1,500. 1,500. Frorn K.] (5): Current year. ~ Prior year carryover Totals: Current year 3,293. Prior year carryover. Form 1 040 Department 01 the Treasury - Internal Revenue Service U.S. Individual Income Tax Return 1(99) IRS use only - Do not write or staple In thIS space I 1998 For the year Jan 1 .Dee 31, 1998. or other tax year beainninn , 1998, endlna , 19 OMB No 1545-0074 Label YO\.l{ f\\s\Name MI laslName Your Sodal Security Number (See,r)slruCllons_J ROBERT R WEBER 193-12-8326 Ii a Jam\ Return, Spouse's First Name MI LaslName Spouse'$ Sodal Security Numbe, Use the IRS label. CHERYL L CAREY 176-34-9728 Otherwise, Horne Address (number aM street). 1/ You Have a P.O. Box, See Instwcllons Apeutment No. . Important! . please print or type. P, 0, BOX 325 You must er.ter your SOCIal City. To.....n or Post Office. It You Have a Foreign Address. See Instructions. Slate ZIP Code security number(s) above. Presidential DILL5BURG PA 17019 Yes Na Election Note: Cht'Clrm~ Campaign ~ Do you want $3 to go to this fund? X 'Yes' will not C ilnge your tal< or reduce (See Instructions,) \f a lomt return, does your spouse want $3 to go to thiS fund? X yourrefufld 1 Filing Status 2 ,X 3 Check only 4 one bOx 5 6a X Exemptions Single ; Married filing JOint return (even if only one had income) Married filing separate return. Enter spouse's SSN above & full name here .. Head of household (WIth qualifying person). (See instructions.) If the qualifying person is a ChIld but not your dependent, enter this child's. name here ~ Qualifying widow(er) With dependent child (year spouse died ~ 19 ). (See Instructions.) Yourself. If your parent (or someone else) can claim YOl) as a dependent on hiS or her tax return, do not check box 6a \f more than SIX dependents, see Instructions. Income Attach Copy B of your Forms W-2, W-2G, and 1099-R here. If you did not get a W.2, see Instructions. Enclose, but do not staple, any payment. Also. please use Form 1040-V, Adjusted Gross Income If line 33 IS under $30,095 (under $10,030 If a child did not ltve With you). see EIC in the Instructions. BAA b X Souse c Dependents: -~ No. 01 bOlles checked on 6i1 ilnd 50 ....- No. 01 your (4) II ~i::n~~ on qualifying crllld . liv~d lor chdd tall with you credll(see . " \ns\ruc\ons) .. dldnol tve I With you due to divorceo( sep- lIIrllltion (see instl'lJctlons) d Total nurnber of exem hons claimed 7 Wages, sa lanes, tIpS., etc, Attach Form(s) W-2 8 a Taxable Interest. Attach Schedule B If reqUIred b Tax.exempt mterest. Do not Include on line Sa . 9 Ordmary diVidends. Attach Schedule B if required, 10 Taxable refunds, credIts, or offsets of state and local income taxes (see Instructions) 11 AII/llony received 12 Busmess lrlcome or (loss). Attach Schedule C or C.EZ 13 Capital gain or (loss). Attach Schedule 0 14 Other gains or (losses). Attach Form 4797 15a Total IRA distributions, . 1 15a) I b Taxable amount (see Irlstrs) 16a Total pensions & annuities . ~ b Taxable amount (see Instrs) 17 Rental real estate, royalties, partnershIps, S corporations, trusts, etc. Attach Schedule E 18 Farm Income or (loss). Attach SChedule F .' 19 Unemployment compensation 20a SOCial secunty benefits I 20al 15,996.) b Taxable amount (see Instrs) 21 Other Income. List type & amount - see mstrs _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ 22 Add the amounts in the far ri ht column for Imes 7 throu h 21. ThiS is our total income .. 23 IRA deduction (see instructIons) 23 24 Student loan Interest deductIon (see instructions) , 24 25 Medical savings account deductIOn. Attach Form 8853 25 26 MOVing expenses, Attach Form 3903 26 27 One-half of self-employmer1t tax. Attach Schedule SE 27 28 Self.employed health msurance deduction (see Instructions) . 28 29 Keogh and s.elf-employed SEP and SIMPLE plans 29 30 Penalty on early Withdrawal of savlrlgs 30 31 a Alimony palO, b Reclp\enfs SSN ... 31 a 32 Add lines 23 through 31a 33 Subtract line 32 from line 22. Tnls IS your adjusted gross income For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FOIA0112 11/02198 (2) Dependent's SOCial securlly number (3) Dependent's relationship to you Firs! name Last name Dependents ~m6cl\Ot entered ilbolle A.ddnumbers entered on lines ilbove 7 8a I 8bl 21 CJ .11 CJ ~ 2 17,308, 225, 9 473 , 10 11 12 32,318, 13 -3,000, 14 15b 2,978 16b 17 3,500, 18 -13,134, 19 20b 8,814, 21 22 49,482, 1,356, 32 ~ 33 1,356. 48,126, Form 1040 (1998) Form 1040 (1998 Tax and Credits Standard Deduction for Most People SIngle: $4,250 Head of household: $6,250 Married filing JOIntly or Qualifying wldow(er): $7,100 Married filing separately: $3,550 Other Taxes Payments Attach Farms W,2 and W-2G to page 1. Also attach Form 1099,R If tax was withheld. Refund Have It directly deposited! See Instructions and 1111 In 66b, 66e, and 66d Amount You Owe Sign Here JOIn\ return? See Instructions Keep a copy for your records. Paid Preparer's Use Only L ROBERT R WEBER & CHERYL L CAREY 34 Amount from line 33 (adjusted gross Income) 35a Check if: X You were 65/older, I \ Blind; 'Spouse was 65/older, Add the number of boxes checked above and enter the total here b If you are married hhng separately and your spouse Itemizes deductions or you were a dual-status alien, see instructions and check here. 36 Enter the larger of your itemized deductions from Schedule A,llne 28, Or standard deduction shown on the left. But see Instructions to find your standard deduction If you checked any box on line 35a or 35b or If someone can claim you as a dependent 37 Subtract line 36 from line 34 38 36 7,950. 37 40,176, 38 5,400, 39 34,776, .. 40 5,216_ 193-12-8326 34 Pa e 2 48,126. Blind. ~ 35a 1 .. 35b' I 11 line 34 is $93,400 or less, multiply $2,700 by the total number of exemptions claimed on line 6d. If line 34 IS over $93,400, see the worksheet In the Instructions for the amount 10 enter. 39 Taxable income. Subtract line 38 trOrrllme 37. If line 38 is more than line 37, enter -0- 40 Tax. See Instructions. Check if any tax from a i I Form(s) 8814 b i ! Form 4972 41 CredIt for ct'lI\d and dependent care expenses. Attach Form 2441 41 42 Credit for the elderly or the disabled. Attach Schedule R 42 43 Child tax credit (see instructions) 43 44 Education credits. Attach Form 8863 44 45 Adoption credit. Attach Form 8839 45 46 Foreign tax credit. Attach Form 1116 if reqUired 46 47 Other, Check If from a I Form 3800 b : Form 8396 c Form 8801 d I Form (specify) 48 Add lines 41 through 47. These are your total credits 49 Subtract Ime 48 from line 40. If line 48 is more than line 40, enter -0- 50 Self-employment tax. Attach Schedule SE 51 Alternative minImum tax. Attach Form 6251 52 Social secunly and Medicare tax on tip Income not reported to employer, Attach Form 4137 53 Tax an IRAs, ather retirement plans, and MSAs. Attach Form 5329 \1 requIred 54 Advance earned Income credJl payments from Form(s) W.2 55 Household employment taxes. Attach Schedule H . . 56 Add lines 49-55, ThiS IS our total tax 57 Federalulcome tax wIthheld from Forms W.2 and 1099 58 1998 estimated tax payments and amount applied from 1997 return 59a Earned il1come cr~dit Attach Scheuule fie If you have a Quallfymg child. b Nontaxable earned Income: amount .. and type. . .. _ ~ _ _ ~ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ 60 Additional child tax credit. Attach Form 8812 61 Amount paid with Form 4868 (request for extension) . 62 Excess social security and RRTA tax withheld (see Instrs) 63 Other payments. Check if from . a i Form 2439 b Form4136. 7,927. 47 48 .. 49 50 51 52 53 54 55 .. 56 5, 216 2,7!!' 57 58 2,199. 59. 60 61 62 63 64 Add lines 57, 58, 59a, and 60 through 63, These are your total a ments 65 If line 64 IS more than line 56, subtract line 56 from line 64. This is the amount you Overpaid 66a Amount of line 65 you want Refunded to You ~ b Routing number ... c Type: Checking ~ d Account number 67 Amount of line 65 you want Applied to Your 1999 Estimated Tax. . "1 67 ( 68 If line 56 IS more than line 64, subtract line 64 from line 56. This IS the Amount You Owe, For details on haw to pay, see instructIons .. 68 69 Eslrmaled lax penalty, Also rnelude on Ime 68 169 I 249. )"J""""" Unde! pena\hes oj peljUlj. \ declare Ihat \ Ilave examined this relIJrIl and accompanYing schedules and statements. and to the best of my knowledge and belief. they are true, correct. and complete, Declaration of pleparer (other than taxpayer) IS based on all Information of which preparer has any knowledge .. 64 65 .. 66. 2,199, Savings 5,977 , YO!Jr Signature Date Daytime Telepnone Number (optional) Yow Occupation ~ VET Spouse's Occupallon Spouse's Signature. If a JOlllt RetwrI, Both Must SI\lr\, Date ~ BOOKKEEPER Date Preparer's SOCial Security No Prepa,er's .. ~gnatIJre_!",__________ 04/06/99 . Check II self-e_~Eloyed _~~___.L66 - ~.8 - 93 59 FIrm'S Name (Of yours If self.employed) aM Address WENOY S. FUNCK, CPA ~ 4677 BOSSLER ROAD ELI ZABETHTOWN 17022 EIN P A ZIP Code FOIA0112 11111198 Form 1040 (1998) Schedule A & B (Form 1040) 1998 OMS NQ. \545-0074 Pa e 2 Name(s) Shown on Form 1040 Do Not Enler Name and SOCial Security Number If Shown on Schedule A Your Sod.J Security Numb.r ROBERT R WEBER & CHERYL L CAREY Schedule B - Interest and Ordinary Dividends 193-12-8326 08 P rt I bl a ate: ' you a over m axa e Interest income, vou must also comD/ete Part 1If. Interest 1 List name of payer. If any Interest 1$ from a seller-financed mortgage and the buyer used Amount the properly as a personal residence, see the instructIOns and list this Interest first. Also, show that buyer's sOCial secunty number and address ~ (See !I~A~~~~_I~~I________________________________ 90. Instructions.) WSTFCU 77. ------------------~------------------------- Note: It you ~~I~~_______________________________________ 38. (er::el~ed a Fmrn WSTFCU 20. 1099INT, Form -------------------------------------------- 1099.010, or subsllluleslatemenl -~------------------------------------------ horn a tllo\<.erage ~Irm. r.stllle firm's -~--~--~-------------------~---------------- n2;measlhepilyer 1 and enter the tolar ----~--------------------------------------- Interest shown on lhattorm -------------------------------------------- ----------~--------------------------------- -~------------------------------------------ --~----------------------------------------- ~--~------------------------------~--------- -------------------------------------------- -~--~--~------------------------------------ ~---------------------------------~-------- 2 Add the amounts on line 1 2 225 3 Excludable lnterest on series EE U.S. savings bonds issued after 1989 from Form 8815, hne 14. You must attach Form B815 to Form 1040 . 3 4 Subtract line 3 from line 2. Enter the result here and on Form 1040, Ime 8a ~ 4 225 Part \I Ordinary Dividends (See InstructIOns,) Nolll: 11 you recelvedaForm 1099.DIV, or SJbshtulestalernent tram a brokerage. Ilrm, list the flrrn's name as lhe payel Jrldenlerlheordlnary Q,,,,oendsshowll on thallarm Part \II Foreign Accounts and Trusts (See InstructionS) N If h d $400 . Note: If ou had over $400 in ordinar dividends, au must also complete Part 111. Amount 5 List name of payer. Include only ordinary dlvdends, Report any capital gain dlstnbutlons on Schedule 0, line 13 .. ]Q~JQ~D~_~~~~f~~~___________________________ 473. 5 6 Add \he amounts on line 5. Enter the total here and on form 1040. Ilne 9 .. 6 You must complete this part if you (a) had over $400 of Interest or ordinary dividends; (b) had a foreign account; or (c) received a dlstnbutlon from, or were a grantor at, or a transferor 10, a foreIgn trust. 7a At any time dunng 1998, did you have an lnterest in or a signature or other authOrity over a financial account In a foreign country, such as a bank account, SeCUrities account, or other financial account? See instructions tor exceptions and f,llng requirements for Fo[m TO F 90.22,1 b If 'yes,' enter the name of the foreign country .. _ _ _ _ ~ _ _ _ _ ~ _ _ _ _ _ _ ~ _ ~ _ _ _ _ _ _ _ _ BAA 8 During 1998. did you receive a distribution from, or were you the grantor of, or transferor to, If 'yes,' you may have to frle Form 3520. See Instructions ror Paperwork Reduction Act Notice, see Fonn 1040 instructions, FDIA0401 10/30198 I X Schedule B (Form 1040) 1998 a foreign trust? DepartmenlottlleTreasury Internal Revenue ServIce (99) Name of Propnelor Profit or Loss from Business (Sole Proprietorship) ... Partnerships, joint ventures, etc, must file Form 1065 or Form 1065--8. ... Attach to Form 1040 or Form 1041. ... See instructions for Schedule C (Form 1040). OMS No 1545,0074 Schedule C (Form 1040) 1998 09 Social Security Number (SSN) ROBERT R WEBER 193-12-8326 A PIlI'1<:;,pal BU~lI1es~ 01 PlOle551Qn, IncluDing Product or ServIce (see Instructions) B Enter New Code from Instructions I VETERANARIAN SERVICES C Busrne5s Name, If No Separate BUSIness Name, leave Blank. .541940 D Employer 10 Number (EIN), if Any ROBERT R. WEBER, VMO 23-1500750 E Bus,ness AddreSs (Include sUlle or room no,) ... P.O. BOX 325 C ly Town or Post OffIce Slate & ZIP Code - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - . , . .. DILLSBURG, PA 17019 F AccountIng method: (1) ,Cash (2) : Accrual (3) Ix! Other (specify) . HYBRID G Did you 'materially participate' in the operation of this bu~iness durmg 1998? If 'No,' see ins\7u-;;-tJ~n~ fo~l~~ ~nlo~~; - - !X! Ye; - - N~ H If you started or acqUired thiS business durinG 1998, check here ~ IPilifli?}1 Income 1 Gross receipts or sales. Caution: If this income was reported to you on Form W-2 and the ~D 'Statutory employee' box on that form was checked, see the instructions and check here 1 271,351. 2 Returns and aHowances 2 3 Subtraclllne 2 trom line 1 3 271,351. 4 Cost of goods sold (from line 42 on page 2) 4 94,205. 5 Gross profit. Subtract lIne 4 from line 3 . 5 177,146. 6 Other Income, Including federal and stale gasoline or fuel tax credit or refund 6 7 Gross income. Add lines 5 and 6 ~ 7 177 , 146. IR:i!rtlli(1 Exoenses. Enter exoenses tor bUSiness use of your home onlv on Ime 30. 8 AdvertiSing 8 690. 19 PensIon and proflt-s.hanng plans. . . 19 9 Bad debts from sales or 20 Rent or leas.e (see instructions): servIces (see InstructIons) 9 a Vehicles, machmery, and equipment 20. 10 Car and truck expenses (see Instrs) ... 10 11,154. b Other bUSiness property. 20b 3, 500 . 11 CommisSions and fees. 11 21 RepairS and maintenance 21 3,920. 12 Depletion ... 12 22 Supplies (not Included in Part III) 22 9,976. 13 Depreciation and section 23 Taxes and licenses 23 10,589. 179 expense deduction 24 Travel. meals, and entertainment: (riot Included In Part Ill) (see Instructions) . 13 11,735. a Travel 24. 231. 14 Employee benefit programs b Meals and (other than on line 19) 14 6,070. entertainment. 15 Insurance (other than health) . 15 3,249. cEnter 50%) of line 24b subject to limitations 16 Interest (see instructIons) a Mongage (paid to banks, etc) 16. d Subtract line 24c trom line 24b .... 24d bOther 16b 3,983. 25 Utilities 25 4,636. 17 Legal & profeSSional services . 17 1,901. 26 Wages (less employment credits) 26 53,319. 18 Office expense 18 3,937. 27 Other e:l.penses (horn Ime 48 on page 2) 27 15,938 28 Total expenses before expenses for business use of home. Add lines 8 through 27 in columns ~ 28 144,828. 29 TentatIVe profit (loss). Subtract line 28 from line 7 29 32,318. 30 Expenses for business use of your home. Attach Form 8829 . ... 30 31 Net profit or (loss). Subtract line 30 from line 29 . If a profit. enter on Form 1040, line 12, and also on Schedule SE, line 2 (statutory - employees, see instructions). Estates and trusts, enter on Form 1041, line 3 . If a loss, you must go on to line 32. 31 32,318. 32 If you have a loss, check the box that des.cnbes your lnvestmentln this activity (see Instructlons). . If you checked 32a, enter the loss on Form 1040, line 12, and also on Schedule SE, line 2 (statutory employees, see Instructions). Estates and trusts, enter on Form 1041, line 3. J } All Investment IS 32 a at risk . If you checked 32b, you must attach Form 6198. 8AA For Paperwork Reduction Act Notice, see Form 1040 instructions. Some Investment 32 b IS not at risk. Schedule C (F arm 1040) 1998 fDlZ0112 10128198 Schedule C (Form 1040) 1998 ROBERT R WEBER lPiirllll:i'l Cost of Goods Sold See Inslruclions) 33 Method(s) used to ....alue closing inventory: a Cost 193-12-8326 Page 2 C I _;1 Other (attach explanation) 34 Was there any change in determining Quantities, costs, or valuations between opening and closing inventory? 1t 'Yes: attach explanatIon. . . . . . . . . . . . . . . . . . . . . . . . . . . . , .. .' . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . ... .......... 35 Inventory at beginning of year. If different from last year's closing Inventory, attach explanatIon. ,Yes !XINo 35 2,393. 36 Purchases Jess cost of items withdrawn for personal use 36 94,408. 37 Cost of labor. Do not include any amounts patd to yourself. 37 38 Matenals and supplies. 38 39 Other costs 39 40 Add lines 35 through 39 . 40 96,801. 41 Inventory at end of year 41 2,596 . 42 Cost of PiirllVi oods sold. Subtract line 41 from line 40. Enter the result here and on a e 1, line 4 42 94 , 205 . Information on Your Vehicle. Complete thiS part Only if you are claiming car Of truck expenses on hne 10 and are not requIred to file Form 4562 for Ihls bUSiness. See the instructIOns for line 13 to find out if you must file. 43 When did you place your vehicle in service for business purposes? (month, day, year) . 44 Of the total number of miles you drove your vehicle during 1998, enter the number of miles you used your vehicle for: a BUSIness _ _ _ _ _ _ _ _ _ _ _ b Commullng _ _ _ _ _ _ _ _ _ _ _ cather _ _ _ _ _ _ _ _ _ __ 45 Do you (or your spouse) have another vehicle available for personal use? Yes No 46 Was your vehicle available for use during off-duty hours? . I Yes No 47 a Do you have eVIdence to support your deduction? Yes iNo b If 'Y the de e .tte? Y s No es, IS eVI nc wn n. e IPafliVYt\l Other Exoenses. Ust below business eXDenses not included on lines 8 26 or hne 30. LAB FEES - - - - - - --- -- - - - - - - - - -- 3 094 - - - - - - - - - - - - - - - - - - - - ---- - - - - - TEMPORARY HELP - - - -- - ~--- - - -- - - -- - - -- ----- 407 ~------- - - - -- -- - - - - -- - - - - - - }HEJIjQ.NJ - -- - - - - - --- --- - - - - - 6 803 - - - - - - - - - - - - - - - - -- --- - - - - - - - - -- DUES & _S_Uj3~C_Rl ~1:r.9~~ - - - --- - - - -- - --- - - - 1 938 - - - - - -- - - - - - - - - -- -- -- - - _8lJ~tNE~S_ G lFTS - --- - 301 - - - - - - - -- - - - - -- - - - - - - - -- - - - -- - - - -- - -- - - - - BANK ;;~R_Vlt;,E_ ~Ij"'-R~SS_ - - - -- - - -- - - - - 1 203 - - -- - - - - - - - - - -- - - - -- - - - -- -- - J.QlJCFI~O_N - --- - - - -- - - 651 - - - - -- - -- - - - - - -- -- - -- - - -- - - - -- -- - -- - - - - _Ml~CJEA_NEQU_5 323 - - - - - - - - -- -- - --- - - - - - -- - --- - - - - - - - - - -- - - - - - -- - - POSTAGE 1 218 4B Total other expenses. Enter here and on page 1, line 27 14B I 15 938 FDIZ0112 07/06/98 6 COPIER/COMPUTER See Additional section 179 (0 ert 7 Listed property. Enter amount from line 27 8 Total elected cost of Section 179 property. Add amounts In column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction fram 1997, See mstrucUons 11 Business Income limitation. Enter the smaller of business income (not less than zero) or line 5 (see Instrs) . 12 SectIon 179 expense deduction. Add hnes 9 and 10, but do not enter more than line 11 13 Carryover of disallowed deduction to 1999. Add lines 9 and 10, less line 12 . .. 13 Note: Do not use Part II or Part !II below for fisted property (automobiles, certain other vehicles, cellular telephones, certam computers, or property used for entertainment, recreation, or amusement). Instead, use Part V for listed property. !81d'!:lll m~~o~t9uef.rc;;i:Ji~~p~~:lssets Placed in Service Only During Your 1998 Tax Year Form 4562 Depreciation and Amortization (Including Information on Listed Property) Department oj tile Treasury . See instructions. Irl!errlal Revenue Serv,ce (99) .. Attach this form to your return. ;~~s~~h;wn;n:e~u~ER & CHERYL L CAREY l~~r~es~or~~v;~~:h~~;I;;o~m~e~;~ICES !PlIl'tF"'>1 Election to Expense Certain Tangible Property (Section 179) (Note: If you have any 'listed property,' complete Pad V before you complete Part I.) 1 MaXimum dollar limitation. If an enterpnse zone bUSiness, see Instructions. 2 Total cost of Section 179 property placed In service. See instructions. 3 Threshold cost of Section 179 property before reduction In limitation 4 Reduction In !imitation. Subtract line 3 from line 2. If zero or tess, enter -O- S Dollar limitation for tax year. Subtract line 4 from line 1 If zero or less, enter -0-. If married filing separate! ,see lnstruchons a) Description of properly (b)Cosl (busrness use only) (c) Elected cost 2,258. 7 2,258. 5,294. OMBNQ, ,"545-0172 1998 67 tdltntitying Numbltr 193-12-8326 1 2 3 4 $18,500. 7,552. $200,000. O. 5 8 9 10 11 12 O. 7,552. 7,552. 18,500 7,552. Section A - General Asset Account Election 14 If you are making the elecliOn under Section 168(1)(4) to group any assets placed In service dUring the tax year Into one or more general asset accounts. check thiS box. See InstructIOns Section B General De reciation S stem (GDS) (See Instructions) (a) (b) Month and (e) 8asrs for depreciation (d) (e) (f) 00\",<;'\\;(;3\\0\1 01 p(oper\~ yea! place~ (O\.Jsme:.slmveslmen\ use Recovery period Convent,on Method Irl service only - see Instructrons) 25 27.5 27.5 39 25. ear pro ert h Residential rental property j Nonresldenl1a! real property MM MM MM MM Section C - Alternative De reciation 5 stem (ADS (See instructions) b 12. ear c 40.year MM PartUI . 17 GOS and ADS deductIons fOf assets placed In servICe In tax years beginning before 1998 18 Property sub)ecllo Section 168(f)(1) election. 19 ACRS and other depreciation. !PartlV Summa (See Instructions) 20 listed property_ Enter amount from line 26 21 Total. Add deductIons on hne 12, Ime5 15 and 16 m column (g), and lines 17 through 20. Enter here 22 ;h:dd ;;;t;~; ;;~?;~:;~~~;;%~;;~~t~::~:;t~~~::~;;;~~:~:r:n:::::a:~:: - see 'r:1tlons BAA ror Paperwork Reduction Act Notice, see the separate instructions. FDIZ0812 07/23/98 5/L S/L S/L 5/L 5/L 5/L S/L S/L ~ (9) DepreCldtlOr. deduction 17 18 19 561. o. 20 3,622 . 21 I" ..' ......... '. .."-.,..,..".".,-...'.,,..'...,_.... i:<::' ,-" 11,735. Form 4562 (1998) Form 4562 (1998) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 jAillof" \'1 Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers, and Property Used for Entertainment, Recreation, or Amusement Note: For any vehicle for whIch you are usmg the standard mileage rate or deducting lease expense, complete only 23a, 23b, columns (a) through (c) of Section A, alJ of Section 8, and Section C If applicable, Section A - Deoreciation and Other Information (Caution: See instructions for limits for oassenaer automobiles.) 23 a Do you have eVidence to support the bUsiness/Investment use claimed? .1 1 Yes iX ,: No 123b If 'Yes,' is the eVidence written? Ves No (a) (b) (e) (d) (e) (f) (g) (h) (i) Type of property (list Date placed Buslnessl Cost or 8a$ls for depreciation Recovery Methodl Deprec'allon Elected venlclest,rst) 111 service Investment olherbasis (businesslinvestmenl period Conyentlon deduction Section \79 "" use only) cost percentage 24 Pronertv used more than 50% In a aualified business use (see Instructions): 85 CHEVY 07/01/95 100.00 5,000. 5.000. 5.00 SL/HY 889. 97 CHEVY 12/01/96 100.00 23,741. 13.623. 5.00 200DB/HY 2,733. , 25 Propert used 50% or less in a qualified bUSiness use see Instructions): 26 Add amounts In column (h). Enter the total here and on (\I"\e 20, page 1 . . . . j 26 27 Add amounts In column (I). Enter the total here and on Ime 7, page 1 Section B - Information on Use of Vehicles Complete tnls section for vehicles used by a sole propnetor, partner, or other 'more than 5% owner, 'or related person. If fOU provided vehicles to your employees, first answer the QuestIOns In Section C to see If you meet an exception to completing thiS section for those vehicles. (a) (b) (e) (d) (e) (Q 28 Total bUSiness/investment miles driven during Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 the year (Do not Include commuting miles) 10.000 20.000 29 Total commuting miles driven dUring the year. 30 Total other personal (noncommuting) miles driven 0 0 31 Total miles driven dunng the year Add lines 28 through 30 10.000 20,000 Ves No Ves No Ves No Ves No Ves No Ves No 32 Was the vehICle avallable for personal use dUring off-duty hours? X X 33 Was the vehlc\e used primarily by a more than 5% owner or related person? . X X 34 Is another vehicle available for personal use? X X I Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Ans 'Ner these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons. 35 00 you maintaIn a wntten polley statement that prohibits all personal use of vehicles, mcluding commuting, by your employees? 36 Do you maintain a written poliCY statement that prohibits personal use.of vehicles, except commuting, by your employees? See instructions for vehicles used by corporate officers, directors, or 1 % or more owners 37 Do you treat all use of vehicles by employees as personal use? . Ves No 38 Do you provide more than five vehicles to your employees, obtam m1ormatlon from your employees about the use of the vehicles, and retain the informatIOn received? 39 Do you meet the requirements concermng QualifIed automobIle demom,trahon use? See mstructlons Note: If your answer to 35, 36, 37, 38, or 39 is 'Yes, 'you need not complete Section B for the covered vehicles Amortization (a) (b) (e) (d) Code Section (e) (Q Amorhzatlon tor this year Deo.Ct(ot\on oj {:OSls Dale amortization beglfls Amortizable amount Amor1,zalron period or percentage 40 Amortization of costs that begins dUring our 1998 tax ear: 41 AmortizatIOn of costs that began before 1998 42 Total. Enter here and on 'Other Deductions' or 'Other Expenses' line of your return . FDIZ0812 07/23/98 41 42 ROBERT R WEBER & CHERYL L CAREY 193.12.8326 Form 4562, line 6 Additional section 179 property (a) Description of property (b) Cost (c) Elected (bus use only) cost XRAY MACHINE 4,659. 4,659. TURBOWASH 635. 635. Total 5,294. Schedule D (Form 1040) Capital Gains and Losses OMS No. 1545.0074 Department at lheTreasury Internal Revenue Service (99) Name(s) Shown on Form 1040 ~ Attach to Form 1040. .. See instructions for Schedule 0 (Form 1040). ~ Use Schedule 0.' for more space to list transactions for lines 1 and 8. 1998 12 Your SociJd Security Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 'fllirtl'}"'" Short-Term Ca ital Gains and Losses Assets Held One Year or Less (a) Descllptlon of (b) Date acquued (c) Dale sold Cd) Sales price (e) Cost or (1) Gain or (Loss) fogPs~~~e~E~~P6~:) (Mo, day, yr) (Mo, day, yr) (see Instructions) (se~t~;;tr~~:~ns) Subtract (el trom (d) 2 Enter your short-term tOlals, if any, from Schedule D.', line 2 2 ~ 3 Total short-term sales price amounts. Add column (d) of lines 1 and 2 . 3 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781. and 8824 4 5 Net short.term gain or (loss) from partnershIps, S corporations, estates, and trusts from Schedule(s) K.1 5 6 SharI. term capital loss carryover. Enter the amount, If any, from Ime 8 of your 1997 Capital Loss Carryover Worksheet 6 (a) De5cr,ptlon of property (Example: 100 5h..31es XYZ Co) (b) Dale acqUired (Mo,day,yr) (c) Date 50ld (Mo,day,yl) (d) Sales price (see Instruclrons) (e) Cosl or other bas's (see instructions) (n G.in or (loss) 5u6lract (e) from (d) (g) 28% R.te G.jn ortLoss) " (see Instructions} 8 9 Enter your long.term totals, if any, from Schedule 0-1, line 9 9 10 Total long-term sales price amounts. Add column (d) of Imes 8 and 9 10 11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684, 6781, and 8824. 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 11 12 13 Capital gain dlstnbulions. See instructions 14 Long-term capital loss carryover. Enter In both columns (f) and (g) the amount. If any, from line 13 of your 1997 Capital Loss Carryover Worksheet. 13 2,399. 14 -11,804. -11,804. 15 Combine lines 81hrough 14 In column (g) 16 Net long-term capital gain or (loss), Combine lines 8 through 14 In column (f) ~ 16 Next: Go 10 Part III on pa e 2. .. 28%. Rate Gain or Loss Includes all 'collectibles gains and losses' (as defined In the Instructions) and up to 50% of the eligible gain on qualified small bUSiness stock (see Instructions). BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule 0 (Form 1040) 1998 FDIA0612 10/30/98 Schedule 0 (Form 1040) 1998 ROBERT R WEBER & CHERYL L CAREY P.iUlliiN Summa of Parts I and" 17 CombIne hnes 7 and 16. If a loss, go to lme 18. If a gain. enter the gain on Form 1040, line 13. Next: Complete Form 1040 through line 39. Then, go to Part IV to figure your tax if: . Both lines 16 and 17 are gains, and . Form 1040, Ime 39, is more than zero. 18 If line 17 IS a loss, enter here and as a (loss) on Form 1040, line 13, the smaller of these losses: . The loss on line 17; or . ($3,000) or, if married filing separately, ($1,500) . Next: Complete Form 1040 through line 37. Then, complete the Capital Loss Carryover Worksheet if: . The loss on Ime 17 exceeds Ihe loss on line 18, or . Form 1040, fine 37, IS a loss. ,pad:IViii@ Tax Com utation Usin Maximum Ca ita! Gains Rates 19 Enter your taxable income from Form 1040, line 39 20 Enter the smaller of line 16 or Ime 17 of Schedule 0 . 20 21 If you are filing Form 4952, enter the amount from Form 4952, line 4e , 21 22 Subtract line 21 from line 20. If zero or less, enter -0- . 22 23 Combme lines 7 and 15. If zero or less. enter -D. 23 24 Enter the smaller 01lme 15 Of line 23, but not less than zero 24 25 Enter your unrecaptured section 1250 gain, if any (see instructions) > . 25 26 Add hnes 24 and 25 26 27 Subtract line 26 from line 22. If zero or less, enter -0- 28 Subtract line 27 from line 19. If zero or less, enter -0- . 29 Enter the smaller of: -_~ . The amount on line 19, or . $25,350 if smgle; $42,350 jf marned filing jointly or qualifying widow(er); $21,175 It marned tiling separately; Of $33,950 if head oj household 30 Enter the smaller of line 28 or line 29 . 31 Subtract hne 22 from line 19, If zero or less, enter -0. . 32 Enter the larger of line 30 or line 31 33 Figure the tax on the amount on line 32. Use the Tax Table or Tax Rate Schedules, whichever applies 34 Enter the amount from line 29 . 35 Enter the amount from line 28 . 36 Subtract Ime 35 from hne 34. If zero or less, enter -0. , 37 Multiply line 36 by 10% (.10) . 38 Enter the smaller of line 19 or line 27 . 39 Enter the amount from line 36 . 40 Subtract line 39 from line 38 41 Multiply line 40 by 20% (.20) . 42 Enter the smaller of line 22 or line 25 . 43 Add hnes 22 and 32 . 44 Enter the amount from line 19 45 Subtract line 44 from line 43. If zero or less, enter -0. . 46 Subtract line 45 from line 42. If zero or less, enter -0- ......~ .. 44 47 Multiply line 46 by 25% (.25) 48 Enter the amount from line 19 . 49 Add lines 32, 36,40, and 46 50 Subtraclllne 49 from line 48 51 Multiply line 50 by 28% (.28) . 52 Add lines 33, 37, 41, 47, and 51 53 Figure the tax on the amount on line 19. Use the Tax Table or Tax Rate Schedules, whichever applies 54 Tax on taxable income (including capital gains). Enter the smaller of line 52 or fine 53 here and on Form 1040. line 40 FDIA0612 l1f02/98 193-12-8326 Pa e 2 17 -9,405. 19 27 28 29 30 31 32 . 33 34 35 36 . 37 38 39 40 . 41 42 45 46 . 47 48 49 50 . 51 52 53 ~ 54 Schedule E (Form 1040) Supplemental Income and Loss (From rental real estate, royalties, partnerships, S corporations. estates, trusts, REMICs. etc) .. Attach to Form 1040 or Form 1041. .. See instructions for Schedule E (Form 1040). OMS No. 1545.0074 D€partmei1l ot the Treasury Internal Revenue Service (99) Name('::.) Shown em Re\l.lm 1998 13 Yo~r Soci.1 Security Number ROBERT R WEBER & CHERYL l CAREY 193-12-8326 iaa!"tJH :\1 Income or Loss from Rental Real Estate and Royalties Note: Report Income and expenses from your bUSiness of renting personal property on Schedule Cor C-EZ. Report farm rental Income or lass from Form 4835 on page 2. line 39. 1 Show the kind and location of each rental real estate property: 2 For each rental real estate Yes No A 61~ 1'IHL}6~jS_ ~~OYLRJl~1l. _ _ _ _ _ _ _ _ _ _ __ _ __ _ _ __ _ _ _ __ property llsted on (me 1, {hd you or your family use it dunng the MECHANICSBURG, PA 17055 tax year for personal purposes A X B for more than the greater at: --~--------------~--------~-------------- .14 days, or ~----------------------------------------- . 10% of the total nays B C rented at fair rental value? (See instructions.) C Income: Prooerties Totals A B C (Ado columns A, e, ana C.) 3 Rents received 3 3,500. 3 3,500. 4 Royalties received 4 4 Expenses: 5 AdvertiSing ... 5 6 AulD and travel (see Instructions) ... 6 7 Cleanmg and maintenance 7 8 Commissions 8 9 Insurance. . 9 10 Legal and other professional tees. 10 11 Management fees 11 12 Mortgage Interest paid to banks, etc (see Instructions) 12 12 13 Other Interest 13 14 Repairs 14 15 Supplies 15 16 Taxes 16 17 Utilities 17 18 Other ~ (Ii~l) --------------- -----~---------------- 18 ---------------------- -------------~-------- 19 Add lines 5 through 18 19 19 20 DepreCiation expense or depletion (see instructions) 20 20 21 Tolal expenses, Add lines 19 and 20 21 22 Income or (loss) from rental real estate or royalty properties. Subtract line 21 from line 3 (rents) or line 4. (royalties). Jf the result 15 a (loss), see instruc. tions to find oullf you must file 3,500. Form 6198 22 23 Deducllble rental real estate loss, Caution: Your rental real estate loss on line 22 may be limited. See Hlstructfons to find out If you must file Form 8582. Real estate professionals must complete line 42 on page 2 23 24 Income. Add positive amounts shown on line 22. Do not include anv losses 24 3,500. 25 Losses. Add royalty losses from line 22 and rental real estate losses from line 23. Enter total losses here 25 , 26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. if Parts II, III, IV, and line 39 on page 2 do not apply to you, also enter thiS amount on Form 1040, line 17. Otherwise, Include thIS amount lrl Ihe tolal on line 40 on page 2 BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ2301 06/30/98 3,500 Schedule E (Form 1040) 1998 126 i Schedule F (Form 1040) Profit or Loss from Farming OMS No. 1545-0074 O<;\la~trm'!r.\ clIne Tlea"uly Internal Revenue Service (99) ... Attach to form 1040, Form 1041, or Form 1065, or Form 1065-8. ~ See instructions for Schedule F (Form 1040). 1998 14 Name of Proprietor Sod.1 Security Number (SSN) 193-12-8326 ROBERT R WEBER A Pllnc,pal Product. Descnbe 1(1 One Of Two Word,> YOUI ?lInc,pal Crop or ActiVity for the Current Ta~ Year. B Enter New Code from Plrt IV CROPS ~ 111100 I U Employer ID Number (EJN), II Any C Accountmg method' (1) 'xi Cash (2) i i Accrual E Old you 'materially participate' in the operation of tillS business durinG 1998? If 'No,' see instructions for limit on passive losses ..'......,."",.'". X _ Yes IPiidlm..Xq Farm Income - Cash Method. Complete Parts I and \I (Accrua' method taxpayers complete Parts II & III, & line 11 of Part I.) Do not include sales of livestock held for draft, breeding, sport, or dairy purposes; report these sales on form 4797. 1 Sales of livestock and other items you bought for resale. 1 2 Cost or other baSIS of livestock and other items reported on line 1 2 3 Subtfact line 2 from hne 1 4 Sales of livestock, produce, grains, and other products you raised. . 5a Total cooperative distributions (Form(s) 1099.PATR). . . i 5a) 6a AgrICultural program payments (see Instructions) ~ 7 Commodity Credit Corporation (eeC) loans (see Instructions): a CCC loans reported under election. b cce loans forfeIted 8 Crop Insurance proceeds and certam disaster payments (see 'Instructions): a Amount received In 1998 I 8 a I c \f election \0 defer 10 1999 IS attached, check here ~ ; 9 Custom hire (machine work) Income No Sb Taxable amount. 6b Taxable amount 3 4 5b 6b I 7bl 7c Taxable amount. 7a 7c 8b Taxable amount, 8 d Amount deferred from 1997 8b 8d 9 10 Olher Income, Including federal and state gasoline or fuel tax credit or refund (see Instructions) 10 11 Gross income. Add amounts In the rlgl1t column for lines 3 through 10. If accrual method taxpayer, enter the amount from pa e 2, line 51 ... 11 :R~d.R'{ Farm Expenses - Cash and Accrual Method. Do not mclude personal or liVing expenses such as taxes. Insurance, ... repairs., etc, on your home. 12 Car and truck expenses (see mstructlOf\'3. - also attach Form 4562) 12 57. 25 Pension and profll.sharing plans 25 13 Chemicals 13 26 Rent or lease (see instructions): 14 Conservation expenses a Vehicles, machinery. and (see instructIons) . 14 equipment 26a 15 Custom hire (machine work) 15 b Other (land, animals, etc) 26b 27 Repairs and maintenance 27 713. 16 DepreCiation and Section 179 28 Seeds and plants purchased. 28 expense deduction not claimed elsewhere (see Instructions) 16 2,720. 29 Storage and warehousing. 29 17 Employee benef\t programs 30 Supplies purchased 30 662. other than on line 25 17 31 Taxes. 31 4,515. 18 Feed purchased. 18 1,218. 32 Utilities 32 1,455. 19 Fertilizers and lime 19 33 Veterinary, breeding, and mediCine . . 33 20 Freight and truckmg 20 34 Other expenses (specify): 21 Gasoline, fuel, and oil 21 a 34a ------------------ 22 Insurance (other than health) 22 1. 794. b 34b ------------------ 23 Interest: c 34c ------------------ a Mortgage (paid to banks, elc) ... 23a d 34d ------------------ bOther 23b e ------------------ .. 34e 24 Labor hired (less employment credits) 24 f 341 35 Total expenses. Add hnes 12 through 34f ~ 35 13,134. 36 Net farm profit or (loss). Subtract line 35 from Ime 11. If a profit, enter on farm l040, line 18, and also on Schedule SE, line 1. If a loss, you must go on to Ime 37 (estates, trusts, and partnerships, see mstructlons) 36 -13,134. 37 If you have a loss, you must check tile box thal descllbes your lrIVeslment ll\ Uws actlvlty (see H"lstructlDnS). . If you checked 37a. enter the loss on Form 1040, line 18, and also on Schedule SE,line 1. . If you checked 37b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ0212 10/29/98 I X All mvest.menl ~ r 37. "or"., _' 37 b ~o~~T ~7~Tss~rnen\ Schedule F (Form 1040) 1998 Focm 4562 I (99)1 Depreciation and Amortization (Including Information on Listed Property) .. See instructions. ~ Attach this form to your return. Busmess or Actlvlly to Which This form Relates OMB No 1 ~5 -0172 O<:\lalimef1\ oi the Treasury intern<ll Re~enue Service Name(s) Shown on Return 1998 67 Identifying Number ROBERT R WEBER & CHERYL L CAREY Sch F SINCLAIR ROAD, MECHANICSBU IPartli>'I ~;t;~i~~O~Oh;V~~~~~;I;de:;~~rt;:~~O~~I~~t;~r~~o~~~~~i~o"m~kTl ParI I) 3-12-8326 1 Maximum dollar limitation. If an enterprise zone business, see instructions. 2 Total cost of Section 179 properly placed In service. See Instructions 3 Threshold cost of Section 179 property before reductIon in limitation. 4 Reduction In limitation. Subtract line 3 from Ime 2. If zero or less, enter -0- 5 Dollar limitation for tax year. Subtract Ime 4 from line 1. If zero or less, enter -0-. If married filing separately, see Instructions 1 2 3 4 $18,500. $200,000. 5 6 (a) Description of property (b Cost (business use onty) c) Elected cost 7 listed property. Enter amount from line 27 7 8 Total elected cost of Section 179 property. Add amounts in column (c). lines 6 and 7 8 9 TentatiVe deductIOn, Enter the smaller of line 5 or line 8 . 9 10 Carryover of disallowed deductlon from 1997. See Instructions 10 11 Business income limitation. Enter the smaller of business mcome (not less than zero) or line 5 (see inslrs) 11 12 SectIon 179 eltpense deductlon. Add lines 9 and 10, but do not enter more than line 11 12 13 Carr over of disallowed deduction to 1999. Add lines 9 and 10, less line 12 ... 13 Note; Do not use Part 1/ or Part If! below for frsted property (automobiles, certain other vehicles, cellular telephones, certam computers, or property used for entertainment. recreation, or amusement). Instead, use Part V for fisted property. IPartnl MACRS Depreciation for Assets Placed in Service Only During Your 1998 Tax Year (Do Not Include Listed Property) Section A - General Asset Account Election 14 It yOLl are makmg the election under Section 168(i)(4) to group any assets placed In service durrng the tax year Into one or male general asset accounts, check thiS box. See Instructions Section B - General De reciation S stem GDS (See Instructions) (a) (b) Month and (C) BaSIS for depreciation (d) (e) (f) Classlka\<of1 ot prope(\'.1 yea! placeo (busmesslmveslmenl use Recovery period ConvenllOn Method In servICe only - see Instructions) ~ (g) Oeplec'a\\Q(i deductJon MM MM MM MM reciation S stem (ADS) (See Instructions) 25 27.5 27. S 39 rs rs rs rs S/L S/L S/L S/L S/L 25. ear propert h ReSidential rental property j Nonresidential real property rs rs MM S/L SI L S/L HH I. 912 . 808 21 Total. Add deductions on Ime 12, lmes 15 and 16 In column (g), and Imes 17 through 20. Enter here and on the approprtate lines of your return, Partnerships and S corporations - see Instructions 22 For assets shown above and placed In service during the current year, enter II the portion of the baSIS attributable to Section 263A costs _ _ _ _ . . . _ _ . . . . . . _ . _ . . . _ _ _I 22 I BAA For Paperwork Reduction Act Notice, see the separate instruchons. FDIZ0812 07/23198 20 I 121 I I O. 2,720. Form 4562 (1998) Forrn4~2(1998) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 IPilrtV///j Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers and Property Used for Entertainment, Recreation, or Amusement ' Note: For any vehicle for which you are uSing the standard mileage rate or deducting lease expense. complete only 23a. 23b, columns (a) through (c) of Section A all of Section 8, and Section C If applicable. Section A Deoreciation and Other Information (Caution: See instructions for limits for oassenner automobiles.) 23a Do vou have eVidence to support the tll.lsmessf\r\vestment use c~almed? . . Yes IXi No 123b If 'Yes,' IS the evidence wntten? Yes No (a) (b) (e) (d) (e) (I) (g) (h) (i) rype Qf properly (hst Date placed BU51nes~ Cos\ 01 Ba51.,lor oepreclal,on Recovery Method! DepreCiation Elected In...estmenl ~ehlcles first) ,,,service "" other baSIs (business/investment period Convenllon deduction Section 179 pelcentage use only) cost 24 Prooertv used more than 50% In a Qualified business use (see instructIons): FARM TRUCK 07/01190 100.00 12,650. 12,650, 5.00 1500B/HY 0 25 Propert used 50% or less In a uallfled business use (see Instructions): 26 Add amounts In column (h), Enter the total here and on line 20, page 1 26 27 Add amounts In column (I). Enter the total here and on line 7, page 1 Section B - Information on Use of Vehicles Complele this section for vehicles used by a sole propnetor, partner, or other 'more than 5% owner, 'or related person. If JOU prOVided vehicles to your employees, first answer the Questions In Section C to see If you meet an exceptlOrI to completmg this sectiOn for those vehicles. (a) (b) (e) (d) (e) (I) 28 Total bu~mess/ir\'Jestmellt miles dnven dunng Vehicle 1 Vehicle 2 VehIcle 3 Vehicle 4 Vehicle 5 Vehicle 6 the year (Do not Include commuting miles) 5,000 29 10tal commuting miles driven dUring the year . 30 Total other personal (noncommuting) miles driven 0 31 Total miles dnven dUTII1Q the year Add lines 28 through 30 5,000 Yes No Yes No Yes No Yes No Yes No Yes No 32 Was the vehicle available for personal use dUring ott.duty hours? X 33 Was the vehicle used pflmanly by a more than 5% owner or related person? X 34 (s another vehIcle avaIlable fOT I personal use? X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine if you meet an exception to completing Section 8 for vehicfes used by employees who are not more than 5 % owners or related persons. 35 Do you maintain a wTltten polley statement that prohibIts all personal use of vehicles, 'Including commutmg, by your employees I 36 00 you maIntain a wntten policy slatement thaI prohibits personal use of vehicles, except commuting, by your employees? See Instructions for vehicles used by corporate offIcers, directors, or 1 % or more owners 37 00 you treat all use of vehIcles by employees as personal use? . Yes No 38 00 you prOVide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the InformatIOn received? 39 Do you meet the requirements concerning qualified automobile demonstratlOn use? See Instructions Note: If your answer to 35, 36, 37. 38, or 39 is 'Yes,' you need not complete SectIOn B for the covered vehicles 'pattyrl Amortization (a) Description of costs (b) Date amQ(t\zc\(\OI1 beginS (e) (d) Cod, Section (e) (I) Amortizable amount Amortization peflod or percentage Amortization tor this year 40 41 Amortization of costs that began before 1998 42 Total. Enter here and on 'Other Deductions' or 'Other Expenses' line of your return FOlZOB12 07'23198 Schedule SE (Form 1040) Self.Employment Tax OMS No, 1545-0074 Department 01 the Treasury Internal Revenue Service ~ See instructions for Schedule SE (Form 1040). ~ Attach to Form 1040. 1998 17 Name of Person With Sell-Employmenllncome (as shown on Form 1040) Social Security Number of Person with Self.Employment Income. 193 -12 - 8326 ROBERT R WEBER Who Must File Schedule SE You must file Schedule SE if: . You had net earnings from self-employment from other than church employee income (hne 4 of Short Schedule SE or line 4c of Long Schedule SE) of $400 or more, Or . You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a religious order is not church employee Income. See Instructions. Note: Even if you had a loss or a small amount of income from self-employment, it may be to your benefit to file Schedule SE and use either 'optional method' In Part /I of Long Schedule SE. See Instructions. Exception: If your only self-employment income was from earnings as a minister, member of a religious order, or Christian Science practitioner, and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write 'Exempt - Form 4361' on Form 1040, line 50. May I Use Short Schedule SE or Must I Use Long Schedule SE? Did You Receive Wages or Tips in 1998? No Ves Are you a minister, member of a religious order, or I Christian SCience praclltloner who received IRS approval I not to be taxed on earnings from these sources , but you owe self.employmentta, ~N:her earnings? rAre you uSing one of the optional methods 10 figure your I net earnings (see instructions)? Ves Was the total of your wages and tips subject to social security or railroad retirement tax plus your net earnings from self.employment more than $68,400? Ves No No No Did you receive tipS subject to SOCial security or Medicare lax that you did not reporlto your employer? Old you receive church employee income reported on Form W.2 of $108.28 or more? No You May Use Short Schedule SE Below You Must Use Long Schedule SE Section A - Short Schedule SE. Caution: Read above to see if you can use Short Schedule SE. Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K- 1 (Form 1065), line 15a -13,134. 2 32,318. 3 19,184. .. 4 17,716. 5 2 Net profit or (loss) from Schedule C, line 31; Schedule C.EZ, line 3; and Schedule K.l (Form 1065), Ime 15a (other than farming); and Schedule K-1 (Form 1065-8), box 9: Ministers and members of religious orders, see Instructions for amounts to report on this line. See instructions for other Income to report 3 Combine lines 1 and 2 4 Net earnings from self-employment. Multiply line 3 by 92.35% (.9235). If less than $400, do not file this schedule; you do not owe self-employment tax 5 Self.employment tax. If the amount on line 4 is: . $68,400 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 50. . More than $68,400, multiply Ime 4 by 2.9% (.029). Then, add $8,481.60 to the result. Enter the tOIJI here Jnd on form 1040, line 50. 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (.5). Enter the result here and on Form 1040, line 27 BAA for Paperwork Reduction Act Notice, see form 1040 instructions. FDIA1101 10/29/98 I 6 I 1,356. Schedule SE (Form 1040) 1998 Form n IVI ua ncome Tax eturn (99) IRS use only 00 \"lot write 01 ~'tap\eln thir; space F or the year Jan 1 -Dec 31, 1999, or other tax year beainnina 1999, endinn - r -OMS No. 1545-0074 Label Your First Name MI laslName Your Sod,1 $ec\lrlt1 Humber (See m~truc'llcmo;_) ROBERT R WEBER 193-12-8326 If iI joint Return, Spouse's First Name MI Last Name Spou..', 50<:Ial Security Number Use the IRS label. CHERYl L CAREY 176-34-9728 Otherwise, Home Address (number and street). If You HaYe a P.O. Box, See Instructions. Apartment No. .. Important! .. please pnllt or type P. O. BOX 325 You must enter your social City, Town or Post Offi!;e. If You Hal/e a fOl"eigl'. A{klre'S.$, See Instructions. s~~ ZIP Code security number(s) above Presidential DILLSBURG PA 17019 Ves No Election Note: a,eckjn~ Campai{ln ~ Do you want $3 to go to this fund? '.' .. ......... ... X 'Yes' will notc ange If a jOint return, does your SDouse want $3 to ao to this fund? your tall or reduce (See instructions) X YOUI r",luno 1 Ix Single Filing Status 2 Married filing 10lnt return (even if only one had income) 3 f-' Married filing separate return. Enter spouse's SSN above & full name here ~ f- Head af household {with qualifyIng person). (See instructions.) If the qualifying person is a child but not your ~ 4 d Total number of exem tlons claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-2 Sa TaxZlble Interest. Attach Schedule B if required. b Tax-exempt Interest. Do not include on line 8a 9 Ordinary dividends. Attach Schedule B if required 10 Taxable refunds, credits, or offsets of state and loca! income taxes (see instructions) 11 Alimony received 12 Business income or (loss). Attach Schedule C or C-EZ . 13 Capital gain or (loss). Attach Schedule D if required_ If not required, check here 14 Other gains or (losses). Attach Form 4797 15a Total IRA distributions I 15.1 I b Taxable amount (see instrs) 16Zl Total pensions & annuities f16;1 b Taxable amount (see instrs) 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 18 Farm income or (loss). Attach Schedule F 19 Unemployment compensation 20 a SOCIal secullly benellls I 20.1 16 , 336 .1 b Taxable amount (see Instrs) 21 Other Income. List type & amount (see instrs) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 22 Add the amounts In the far r\ hI column for lInes 7 Ittrou h 21. This is our totZlI income ... 23 IRA deduction (see Instructions) . 23 24 Student loan interest deduction (see InstructIons) 24 25 Medical savings account deduction. Attach Form 8853 , 25 26 MOVing expenses. Attach Form 3903 26 Z7 One-half of self-employment tax. Attach Schedule SE Zl 28 Sel~ -employed health insurance dedudlon (see instructions) 28 29 Keogh and self.employed SEP and SIMPLE plans 29 30 Penalty on early withdrawal of savings 30 31 a Alimony paId b Recipient's SSN ... 31 a 32 Add hnes 23 through 31a 33 Subtract line 32 from line 22. This IS our ad'usted ross income For Disclosure, Privacy Act, Zlnd PZlperwork Reduction Act Notice, see instructions. FDIA0112 11116/99 1040 ,--,heck only one box, Exemptions II more than SIX dependents, see Instructions Income AH.ch Copy B ot 'tour Forms W-2 and W-2G here. Also Zlttach F orm(s) 1099-R if tax WZlS withheld. if you did not get a W-2, see I,'lstructlons Erfciose, out do not staple, any payment. Also, please use Form 104O-Y. Adjusted Gross Income BAA Qep'ilrtmen\ 01 \he l're'ilsury - Internal Re...enue Service 1999 US I d' 'd II R 5 6. dependent, enter thiS child's name here.. ... Quah in wldow(er) with de endent child ouse died ~ 19 . (See instructions.) Yourself. If your parent (or someone else) can claim you as a dependent on hiS or her tax return, do not check box 6a 21 1) First name Last name ~ N.. of box.. checked on 61111nd6b - No. of your (4) If ~I~~:~ on qualifyint;j chlld . "14_d for child tax Wtthy-au credit (see instructions) .. did not 1111_ W\tbyoIIlSlleto dl14orclor'.j:>- 1Ir1ltion (MI lutrue1ions) I I Ii I bXSouse c Dependents: (2) Dependent's socia security number (3) Dependent's relationship to you Dependenb on 6c not en\e.r_d abolle Add numbe,.. .nteredon Iinesabolll ~ 7 S. I sbl ~o 9 523. 10 11 12 37,607. 13 1,318. 14 O. 15b 2,732. 16b 17 2,000. 18 - 21,450 19 20b 11,830 21 22 55,663. 1 142. 32 ~ 33 1,142. 54.521 . Form 1040 (1999) Form 1040 1999 Tax and Credits r5tandard ) I' Oedudion - I for Most I People II Single $4,300 I Head of i t""<ousehold: I $6,350 ! Married filing I. ,'Qlntly or Qualifying WidOw(er) I $7,200 I I Married filing separately $3,600 Other Taxes Payments Refund Have It directly aeposlted! See Instructions and fli! In 66b, 66c, and 66d Amount You Owe Sign Here JCrr:t return? See Instructions r< eep a copy far Jour recoras Paid Preparer's Use Only ROBERT R WEBER & CHERYL L CAREY 34 Amount from line 33 (adjusted gross income) ...,. . . . . . , . . . ". . 35a Check if: IRJ You were 65/older, 0 Blind; 0 Spouse was 65/older, Add the number of boxes checked above and enter the total here. [j' 8Iin~. ~ 35. b If you are married filing separately and yourspouse itemizes deductions or you were a dual. status allen, see Instructions and check here.. ... .. 35b 0 36 Enter your itemized deductions from Schedule A, line 28, Or standard deduction shown on the left. But see instructions to find your standard deduction if you checked any box on line 35a or 35b or if someone can claim you as a dependent. . '37 Subtract line 36 from line 34 3B If line 34 IS $94,975 or less, multiply $2)50 by the total number of exemptions claimed on line Gd, If line 34 IS over $94,975, see t~e worksheet In the instructions for the amount to enler . . . '. . 39 Taxable income. Subtract line 38 from line 37. If line 38 is more than line 37, enter -0. 40 Tn (see Inslrs). Check If any tax is from a 0 Form(s) 8814 b 0 Form 4972 41 Credit tor child and dependent care expenses. Attach Form 2441 41 42 Credit for the elderly or the disabled. Attach Schedule R . 42 43 Child tax credit (see instructions) 43 44 Education credits. Attach Farm 8863 44 45 Adoption credit. Attach Form 8839 45 46 Foreign tax credit. AttaCh Form 111611 required, 46 47 Other. Check If from a 8 Farm 3800. b 0 Form 8396 c 0 Form 8801 d Form (specify) 47 48 Add lines 41 through 47. These are your tot.., credits 49 Subtract line 48 from line 40. If line 48 is more than line 40, enter .0. 50 Self. employment lax. Attach Schedule SE 51 Alternative minimum tax. Attach Form 6251 52 SOCial security and Medicare tax on tip Income not reported to employer. Attach Form 4137 53 Tax on IRAs, other retirement plans, and MSAs. Attach Form 5329 if required 54 Advance earned Income credit payments from Form(s) W.2 55 Household employment taxes. Attach Schedule H 56 Add lines 49.55. ThiS IS urtotaltn 57 Federal Income tax withheld from Forms W-2 and 1099. 58 1999 estimated tax payments and amount applied from 1998 return 59 a Earned Income credit. Attach Schedule EIG If you have a Qualifying child. b Nontaxable earned income: amount ... and type .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 60 AddItIonal child tax credit. Attach Form 8812 61 Amount paid With request lorex/enslon to file (see instructions) 62 Excess social security and RRT A tax withheld (see instrs) 63 Other payments. ChecK If from a 0 Form 2439 b 0 Form 4136 64 Add Unes 57, 58, 59a, and 50 through 63, These are your total a ments 65 II line 64 IS more than lme 56, subtrac\ lme 56 from line 64. This IS the amount you Overpaid 66.11 Amount of line 65 you want Refunded to You ~ b Routing number ~ d Account number 57 58 2 703. 59. 60 61 62 63 ~ c Type: o Checking ~ o Savings 67 Amount 01 line 65 you want Applied to Your 2000 Estimated Tn ~167 I 193-12-8326 34 Pa e 2 54 521. I 36 8,050, '07 46,471 3B 5.500, 39 40,971, ~ 40 6,106, 48 ~ 49 50 51 52 53 54 55 ~ 56 6 106, 2,283 8,389 ~ 64 65 66. 2,703, 68 If line 56 IS more than line 64, subtract line 64 from One 56. ThiS IS the Amount You Owe. For details on how to pay, see Instructions .... 68 , 5,686. 69 Estimated tax penalty. Also Include on lIne 68 \ 69 I [})~i!:::j:: :::::::;:!:};:!:::{\}(:(it (//)//:;:;:;,<:> Under penalties 01 perlury. I declare ltIat I have examined thiS return and accompanying schedules and statements, and 10 Ihe best of my kno....ledge and belIef, they ;lfe lrue, correct, and complete. Declariltlon 01 preparer (other than taxpOiyer) I!; ba'ioed on a(llniormat\(>fI 01 which preparer has any knowledge Your Slgnal1.Jre Dilte Your Occupation ~ ~ Spou&e's Signature If a Joint Return, Both Must Sign Date VET Spouse's OCcupation BOOKKEEPER EIN P A ZlP Code Date 04/06/2000 Chl:tCk If self-employed X Preparer',> lit.. S.gnatu.e ,.. Firm's Name (or yours If sel~-employed) .llnd Address FDIA01)2 11115199 POOl1l469 17022 Form 1040 (1999) Pa e 2 Schedule A & B (Form 1040) 1999 OMS No_ 1545-0074 Nilme(s) Shewn on form \040, Do Not El1ter NamB and SOCIal SectJrity Number if Shown on Schedule A You, Soelll Securl'Y Number 193-12-8326 ROBERT R WEBER & CHERYL l CAREY Schedule B - Interest and Ordinary Dividends 08 Note: If ,<,au had over $400 In ~axable \nteresl income, YOU must also como/ete Part III. Part I 1 Ust name of payer. If any interest IS from a seller.financed mortgage and the buyer used Amount Interest the property as a personal residence, see the Instructions and ]Ist this Interest fIrst. Also, show that buyer's social security number and address. ~ JE~~TQ~~fL~A~~~!______________________________ 94. (See Instructions ~~l~~_______________________________________ 69. for Farm 104(). line 8a,) ~~l~~_______________________________________ 126 ~~l~~_______________________________________ 24 J~I~~~~~~VJ~~~j~~~~t_________________________ 21 Hote: If you -------------------------------------------- received ..fOlm 1 D99-IN1 , Forn-> 1 1099.010 " -------------------------------------------- subStitute statement -------------------------------------------- (rom il ore\i,efage fIlm, hstthe firm's -------------------------------------------- name aslhe payer and enter the tctal -------------------------------------------- Interest shown on tnallolm -------------------------------------------- -------------------------------------------- ------~------------------------------------- -------------------------------------------- ------------------------------------------- 2 Add the amounts on line 1 .. 2 334. 3 ExcludZlble interest on series EE and I U.S. savings bonds issued after 1989 from Form 8815, line 14. You Must attach Form 8815 .", ..... ....... .... .. 3 4 Subtract line 3 1ram line 2. Enter the result here and on Form 1040, line 8a ~ 4 334 Part II Ordinary Dividends (See Instructions 1'01 i='orrn 1040, j,ne 8a,) Note: If you received a Ferm 1 099.Q1V , or substl(l.;testatement ~'om a OH)I<e'<lqe firm, I'S! tIlefllm'f, name as the p..yer i1r1denterlt1eordinary d,v.,dends shown on that form Part III Foreign Accounts and Trusts (See .'r,SlruCllons.) Note: It ou had over $400 In ordinar dlYldends, au must also com lete Part III. Amount 5 li:;t name of payer. Include only ordinary diVidends, If you received any capital gain drstTlbutlons, see the instructions for Form 1040, line 13 .... 523. !-)(~ JQ.UI}Y _V_A!llE_ .E~~D_ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ - _ _ - -- ------~------------------------------------- -------------------------------------------- ----------~--------------------------------- ---------~-~---~---------------------------- -------------------------------------------- -------------------------------------------- -----------------------------~-------------- -------------------------------------------- 5 -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- 523. 6 Add the amounts on line 5, Enter the total here and on Form 1040, (ine 9 .. 6 You must complete thiS part If you (a) had over $400 of interest or ordinary div'ldends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreIgn trust. Yes. No 7a At any time dUring 1999, did you have an Interest in or a sIgnature or other authonty over a finanCial account In a foreIgn country, such as a bank account, secuntles account, or other financial account? See Instructions for exceptions and filing requirements for Form TO F 90-22.1 .... ., . b If 'yes,' enter the name of the foreign country ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ Mt \,....,-,.,.., ",.,-,:.".:-,., :.....'..."...-.'.'-'.-...-,.,: :,:(:::::::;:::,:::\:::/:::-..,... 'C_',":""-"":"""",:',"""":". ,:,:,.",.~:,;,:". "::""':"" <:::::::",:,:,::,,-:::::,:; , X BAA 8 DUring 1999, dtd you rece\\le a distnbutlOn 1ram, ar were you the grantor ot, or transferor to, a foreign trust? If 'yes,' you may have to file Form 3520. See Instructions, , , ' , ". . . ' , . .. ' - , . . , ' . , . . , . . For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0401 10113199 Schedule 8 (Form 1040) i999 Schedule C (F orm 1040) Profit or Loss from Business (Sole Proprietorship) .. Partnerships, joint ventures, etc. must file form 1065 or Form 1065-8. ~ Attach to Form 1040 or Form 1041. ~ See Instructions for Schedule C (Form 1040). Departmentaf the Treasury Internal Revenue 5ervl~e (99) Name of Propnelor OMS No. 1545-0074 1999 09 ROBERT R WEBER Soclel s.curtty Number (SSN) 193-12-8326 B En., Code from In.tructlou A Prlne,pal Business or Profession, Including Product or Service (ue instructions) VETERANAR1AN SERVICES 1 ROBERT R. WEBER, VMD -541940 o Employer 10 NUm~r (EIN), If Any 23-1500750 C Business Name. It No Separate a...sineu Name, Leave Blank E Busmes...Address<""\clude~\t.orroomno)" J...:. _O_._~O_X_~2-.?_ ____ _ _ __ ___ __ _ _ __ __ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. City Town or Post Office State & ZIP Gode DILLSBURG, PA 17019 f AccDuntlng method: (1) 0 Cash (2) U Accrual (3) IKl Other (specify) - liY~R).Q _ _ _ _ _ _ _ _ _ _ _ _ G D:d you 'materially partiCipate' in the operation of this business during 1999? If 'No,' see instructions for limit on losses l8J Yes No H If au started or acquired this business durin 1999, check here ~ Piiltl.i' Income Gross receipts or sales. Caution: If this Income was reported. to you on Form W-2 and the 'Statutory employee' box on that form was checked, see the Instructions and check here 2 Returns and allowances 3 Subtract Itne 2 from line 1 4 Cost of gOOds sold (from line 42 on page 2) ~D 5 Gross profit. Subtract line 4 from line 3 6 Other Income, Including federal and state gasoline or fuel tax credit or refund, 7 Gross income. Add lines 5 and 6 . P.tl"I~ ;''1 Expenses. Enter expenses for business use ot vour home onlv on line 30. 8 AdvertISing . .' 8 1.035. 19 Pension and protit.sharlng plans 20 Rent or lease (see instructions): I Vehicles, machInery, and equIpment b Other business property 21 Repairs and maintenance 22 Supplies (not included In Part III) 23 Taxes and licenses 24 Travel, meals, and entertainment: I Travel 9 Bad debts from sales or services (see Instructions) 9 10 Car and truck expenses (see IOstrs) ., 10 11 CommiSSions and fees ,,11 12 Depletion 12 13 DepreCiation and Section ) 79 expense deduction (not Inciuded In Part III) (5ee ln5tructlons) 7,400. 4,855. ... 13 14 Employee benefit programs bMeals and (other than on line 19) . , .. 14 entertainment 15 I ( th th h Ith) 15 14 924 c Enter nondeductible I nsurance 0 er an ea . , , . amount Included on line 16 Interest. 24b (see instructions) a Mortgage (paid to banks, elc) . _ . 168 d Subtract line 24c from line 24b bOther . . .. 16b 4,801. 25 Utilities 17 legal & professional services,. 17 1 811. 26 Wages (less employment credits), 18 Office expense 18 1,645. Z7 Other expenses (from Ime480n paQe2) 28 Total expenses before expenses for bUSiness use of home, Add lines 8 through 27 in columns 29 Tentative profit (loss). Subtract line 28 from line 7 30 Expenses for bUSiness use of your home. Attach Form 8829 31 Net profit or (loss). Subtract line 30 from line 29. . If a profit, enter on Form 1040, line 12, and also on Schedule SE, line 2 (statutory employees. see Instructions). Estates and trusts, enter on Form 1041, line 3. . If a loSS, you must go on to line 32, 32 If you have a loss. check the bOx that deSCribes your Investment in thiS activity (see instructions). . If you checked 32a, enter the loss on Form 1040, line 12, and also on Schedule SE, line 2 (statutory employees, see Instructions), Estates and trusts, enter on Form )041, line 3. } } . !f you checked 32b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice. see Form 1040 Instructions. FOIZ0112 10121199 1 2 3 4 5 6 ... ~ 7 19 20. lOb 21 22 23 24. 246,957. 246,957. 70,364. 176,593. 176,593. 2,000. 575 9,706. 9,635. 162. 24d 25 5,852. 26 61 101. ZI 13,484. ~ 28 138,986. 29 37,607. 30 31 37,607 IVl AU lnvestmertt !s 32a ~ atnsK. n Some lnvestm. ent 32b IS not at fisk Schedule C (Form 1040) 1999 Schedule C (Form 1040) 1999 ROBERT R WEBER lP.iJltllli.%d Cost of Goods Sold see Instructions 33 Method(s) used to value closing inventory: 193-12-8326 Page 2 c Other (attach explanation) 34 Y(~Ye~7~ett:~~ ~~~~a~~~~~et~~minin~ ,qUantities., .~~St.5, .~r. v~~~a~i~~S. ~~~~e,n. o~.e.~i~~. ~~~. ~'OSin~, in.~~ntor~~ 35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation ., . . . 35 2 596. 36 Purchases less cost of Items withdrawn for personal use. 36 70,088. '57 Cost of labor. Do not Include any amounts paid to yourself. . 07 38 Materials and supplies 38 39 Other costs 39 40 Add lines 35 through 39 40 72,684. 41 Inventory at end of year. 41 2,320. 42 Cost of .iJd\.') oods sold. Subtract line 41 from line 40. Enter the result here and on pa e 1, line 4 42 70,364, Information on Your Vehicle. Complete this part Only if you are claimin9 car or truck expenses on line 10 and are not required to file Form 4562 for thiS bUSiness. See the Instructions for line 13 to find out If you must file. 43 When did you place your vehicle in service for business purposes? (month, day, year) . 44 Of the total number of miles you drove your vehicle during 1999, enter the number of miles you used your vehicle for: a BUSiness _ _ _ _ _ _ _ _ _ _ _ b Commuting _ _ _ _ _ _ _ _ _ _ _ cOther _ _ _ _ _ _ _ _ _ _ _ 45 Do you (or your spouse) have another vehicle available for personal use? . DYes DNo Dyes DNo Dyes DNa 46 Was your vehicle available for use during off. duty hours? 47 a 00 you have eVidence to support your deduction? b If 'Yes. IS the eVIdence wntten? ... ... nYes nNo IPtrtWil Other EXDenses, list below business exoenses not included lines 8 - 26 line 30. ,Jl. ,., ,,;.;; on or LAB FEES - - - - - - - - - - - - - - - - - - - - - - - - - - - -- --- - - - - -- - - - - - -- - - - - - 2, 688 Jfr:1p_Of3~RY - HELP - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - - - - - - - - - - - - 480. - Jf~EPIjQNE - - - - - - - - - - - - - - - -- - - - - - - - - - ----- - - - - - -- - - - -- - - - - - - - 5, 470 .0 ~ ES_ & S_UI3~Cnf'.U9~S_ - - - - - - - - - - - - - - - - - -- - - - - - - - - -- - - - - - - - - - - - - 870. - ~~~tNf~S_ GIFTS - - - - - - - - - - - - - - - - - - --- -- - - - - - ----- -- -- - - - 181 - -- - - - BANK 2~RY1~E_ i=f:lA_R~f~ - - - - - - - - - - - - - - - -- - - - - - - - - - - --- - - 1 , 334 - - - - - - - - - JQl(CN-IO_N - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - -- - - 260 _MJ ~CJl ~A]JfQU_S - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - 50 See Line 48 Other EXDenses 2 151 48 Total other expenses. Enter here and on page I. hne 27 148 13. 484 Schedule C (Form 1040) 1999 FDIZQ112 10/21/99 ROBERT R WEBER & CHER. "CAREY 193-12'<"0<6 Schedule C Li ne 48 Other Expenses POSTAGE PRINTING INTERNET 1,283. 670. 198. Total 2,151. Schedule D (Form 104il) Capital Gains and Losses OMS No. 1545-0074 Oepartment 01 tl1e Treasury If\tllrr.al Re~enue Service (99) Niunll(S) Shown on Form 1040 .. Attach to Form 1040. ... See instructions for Schedule 0 (Form 1040). ... Use Schedule 0-1 for more space to list transactions for lines 1 and 8. 1999 12 Your Soda' Security Hum~f ROBERT R WEBER & CHERYL L CAREY 193-12-8326 IP~"I%t "i] Short-Term Ca "tal Gains and Losses - Assets Held One Year or Less (a) Descnptlon of (b) Date acquired (C) Dale $Old (d) Sales price (8) Cost or (f) Gain or (Lo..) property (Example (Mo, day, yr) (Mo, day. yr) (see Inslf1.jcbom.) other ba$15 Subtfllct (e) from (d) 100 shares XYZ Co) ($ee instructions) 2 Enter your short-term totals, If any, from Schedule 0-1, line 2 . . 2 .~ 3 T ota! short.term sales price amounts. Add column (d) of lines 1 and 2 3 4 ~~8~;'~~~8~2~ from For~ 6252 and short-'er.~.g~~n or (l~~~) ~~~. :.o.r~s.~, . 4 5 Net short-term gaIn or (105s) from partnerships, S corporations, estates, and trusts tram Schedule(s) K-l 5 6 Short-term capItal loss carryover. Enter the amount, if any, trom line 8 of your 1998 Capilalloss Carryover Worksheet 6 (a) Des~rlptlol1 of property (Example 100 shares XYZ Co) (b) Dale acquired (Mo, day, yr) m Gain., \La.., Suotract (6) rom (d) (g) Za-I.RI.t4G1.Il\ or (lou) . (see instructions below) AXP EQUITY VALUE FUN B Various 09/28/99 5,000. 5 505. -505. 9 Enter your long. term totals, If any, from Schedule 0.1, line 9 . '0 T otallong-term sales price amounts. Add column (d) of lines 8 and 9 9 10 5,000. Gain from Form 4797, Part I; long.term gain from Forms 2439 and 6252; and long.term gaIn or (loss) from Forms 4684,6781, and 8824.... .... ... ...,.. 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts tram Schedule(s) K.1 11 11 7 000. 12 13 Capital gain distributions. See Instructions 14 long-term capItal loss carryover. Enter in both columns (f) and (g) the amount, If any, from line 13 of your 1998 Capital loss Carryover Worksheet ......,.,. 13 1 228. 14 -6,405. 15 ComOlne lines 8 through 14 in column (g) 16 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f) Next: Go to Part III on a e 2. .. 28'/. Rate Gain or Loss Includes all 'collectibles gail,s and losses' (as defined in the Instructions) and up to 50% of the eligible gain on qualified small business stock (see Instructions). BAA For Paperwork Reduction Act Notice, see fQrm 1040 instructions. Schedule 0 (F orm 1040) ] 999 FDIA0612 12129/99 Schedule D (Form 1040) 1999 ROBERT R WEBER & CHERYl L CAREY :P.lIl{{'!'W Summa of Parts I and II 17 Combine lines 7 and 16. If a loss, go to line 18. If a gain, enter the gain on Form 1040, line 13 Next: Complete Form 1040 through ilne 39. Then, go to Part IV to figure your tax if: . Both lines 16 and 17 are gains, and -Form 1040, line 39, IS more than zero. 18 If line 17 IS a loss, enter here and as a (loss) on Form 1040, line 13, the smaller of these losses: -The 105s on line 17. or . ($3,000) or, If married filing separately, ($1,500) 193-12-8326 Pa e 2 17 1,318. Next: Skip Part IV below. Instead, complete Form 1040 through line 37. Then, complete the Capital Loss Carryover Worksheet in the Instructions if: . The loss on line 17 exceeds the loss on line 18, or . Form 1040, line 37, !S a loss. Tax Com utation Usin Maximum Ca 'tal Gains Rates : ..,Ilft..' 19 20 21 22 23 24 Enter your taxable Income from Form 1040, line 39. Enter the smaller of line 16 or line 17 of Schedule 0 If you are filing Form 4952, enter the amount from Form 4952, line 4e Subtract line 21 from line 20. If zero or less, enter -0- . Combine lines 7 and 15. If zero or less, enter -0. Enter the smaller of line 15 or hne 23. but not less than zero 19 40 971. 20 1 318. 21 22 1 318. 23 O. 24 O. 25 Enter your unrecaptured section 1250 gain, If any, from line 16 of the worksheet In the Instructlons 25 595 . 26 Addllnes24and25 26 595. ZJ Subtract line 26 from line 22. It zero or less, enter .0. Z7 28 Subtract line 27 from line 19. If zero or Jess, enter -0- 2.8 29 Enter the smaller 01:_ -~ . The amount on line 19. or . $25,750 II Slngle; $43,050 If married filing JOintly or qualltvlng widow(er); 29 $21,525 If marned filing separately; or $34,550 If head of household 30 Enter the smaller ot line 28 or line 29 30 40,248. 31 Subtract line 22 from line 19. If zero or less, enter .0. . 31 39,653. 3t Enter the larger at line 30 or line 31 ~ 32 40 I 248 . 33 Figure the tax on the amount on line 32. Use the Tax Table or Tax Rate Schedules, whichever applies 33 Note: If line 29 IS less than line 28, go to line 38, 34 Enter the amount from line 29 34 40 971. 35 Enter the amount from line 28 . 35 40 248. 36 Subtract line 35 from line 34, If zero or les$, enter -0. . . ..... 36 723. 07 Multiply line 36 by 10% (.10) 07 Note: If line 27 IS more than zero and equal to line 36, go to lrne 52. 38 Enter the smaller of line 19 or line 27 ... ....,.~ 39 Enter the amount from line 36 . . . , . . . , .. 39 , 40 Subtract line 39 from line 38 . ,~ 40 41 Multiply line 4() by 2()'10 (.20) 41 Note: If line 25 IS zero or blank, skip lines 42 through 47 and read the note above line 48. 42 Enter the smaller of line 22 or line 25 42 43 Add lines 22 and 32 . .\ 43 \ 44 Enter the amount from line 19 ". f44l 45 Subtract line 44 from line 43, If zero or less, enter -0. 45 46 Subtract line 45 from line 42. If zero or less, enter -0- . . . . ~ 46 47 Multiply line 46 by 25% (.25) 47 Note: If line 24 IS zero or blank, go to line 52. 48 Enter the amount from line 19 .'. .~ 49 Add lines 32, 36, 4(), and 46 ... 49, 50 Subtract line 49 from line 48 , 50 51 Multiply line 50 by 28% (.28) 51 723. 40,248. 40,97] . 6,034. 72. 52 Add lines 33.37,41,47, and 51 53 Figure the tax on the amount on line }9. Use the Tax Table or Tax Rate Schedules, whichever applies 54 Tax on all taxable income (including capital gains). Enter the smaller of line 52 or line 53 here and on Form 1040, line 40. . _. _.. """"',. _.". _"'.,",.." _."........... _,.".....,.,. FDIA0612 12/29/99 52 53 6, ]06. 6,146 54 6,106. Oepartmenl ot1i1e Treasury Internal Rl.'~@nue ServIce (99) Name(s) Shown on Return Supplemental Income and Loss (From rental real estate, royalties, partnerships, 5 corporations, estates, trusts, REMICs, ete) ~ Attach to Form 1040 or Form 1041. ~ See instructions tor Schedule E (Form 1040). OMS No. 1545.0074 Schedule E (F orm 1040) 1999 13 'l"Gln S.od~l s.curl~ Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 11?i!It'F' "I Income or Loss from Rental Real Estate and Royalties Nole: Report Income and expenses ~om your business of renllng personal property on Schedule C or C-EZ. Report farm rental income or loss from Form 4835 on page 2 line 39 1 [Snow the kind and location of each rental rllal estate : A 1615 WILLIAMS GROVE ROAD rECHANI~BUR(-PA-U055----------------------- B , C r----------------------------------------- r----------------------------------------- I 2 For each rental real estate Yes No property listed on lirle 1, did you or your family use it durmg the tax year for personal purposes A X for more than the greater of: .14 days, or B . 10%of the total days rented at fa(r rental value? (See instructions,) C 3 Rents received 4 Rovaltles received Expenses: 5 AdvertiSing 6 Auto and travel (see Instructions) 7 Cleaning and maintenance 8 Commissions 9 Insurance 10 legal and other professional fees. 11 Management fees 12 Mortgage Interest paid to banks, etc (see instructIOns) 13 Other Interest 14 Repairs 15 Supplies 16 Taxes 17 Utilities 18 g~W' ~ 3 4 A 2 000. ProP4Srties B c Totals (Add columns A. 8, and C,) 3 2,000. 4 Income: . . 5 6 7 8 9 10 11 12 13 .. 14 . .. 15 . 16 17 12 18 19 Add lines 5 through 18 19 19 20 DeprecliltlOn expense or depletion (see Instructions) " 20 21 Total expenses Add lmes IS and 2{) 21 22 Income or (loss) from rental reai estate or royalty propertIes. Subtract line 21 from line 3 (rents) or line 4 (royalties). If the result IS a (loss), see lnstruc. lions to find out if you must file Form 6198 ...22 2,000. 23 Deductible rental real estate loss. Caution; Your renral real estate ioss on fine 22 may be Jimlted See Instructions to find out If you must file Form 8582. Real estate professionals must complete Ime 420noage2 ..23 24 Income, Add positive amounts shown on line 22. Do not include any losses 25 losses. Add royalty losses tram line 22 and rental real estate losses from line 23. Enter total losses here 20 ... 24 25 2,000. 26 Total rental real estate and royalty Income or (loss), Combine lines 24 and 25. Enter the result here. 11 Parts 11, 111, IV, and line 39 on page 2 do not apply to you, also enter this amount on Form 1040, line 17, OtherWise, Include this amount In the total on line 40 on page 2. BAA For PaperHork Reduction Act Notice, see Form 1040 instructions. FDIZ2301 10/21/99 2,000 Schedule E (Form 1040) 1999 126 I Schedule F (Form 1040) Profit or Loss from Farming OMS No. 1545-0074 Department 01 the Treasury Internal Re~enue Sel'o'l<;e (99) Name of proprietor ~ Attach to Form 1040. Form 1041, form 1065, or Form 1065-B. ~ See instructions tor Schedule F (Form 1040). 1999 14 CROPS Soclll Security Humbef {SSN} 193-12-8326 B EllterCod.tromPlutlV ~ 1JJ100 o Employer 10 Humber (E1N), If An)' I ROBERT R WEBER A PrincIpal Proouel. DeSCribe In One or Two Words Your Principal Crop or Activity lor the Current Tax Year. C Accounting method: (1) [8] Cash (2) 0 Accrual E Old you 'materially participate' In the operation of this nusiness dUring 1999? If 'No,' see instructions tor limit on passive losses '. fxl Yes n No [PlIdl!':,'1 Farm Income - Cash Method. Complete Parts I and II (Accru_1 method taxpayers complete P_rtoll & III, & line 11 of Part I.) 00 not include sales of livestock held tor draft, breeding, sport, or dairy purposes; report these sales on Form 4797. 1 Sales of livestock and other items you bought for resale. 1 2 Cost or other basis of livestock and other items reported on line 1 . 2 3 Subtract line 2 from line 1 4 Sales of livestock, produce, grains, and other products you raised. Sa Total cooperative distributions (Form(s) l099.PATR) '.. I ~Il 6a Agncultural program payments (see Instructions). . ~ 7 Commodity Credit Corporation (ecG) loans (see Instructions): a eee loans reported under election b eee loans ~ortelted 8 Crop Insurance proceeds and certain disaster payments (see instructions): a ,A,mount received in 1999 I Bal c If election to defer to 2000 IS attached, check here ~ U 9 Custom hire (machine work) income 5b Taxable amount. . 6b Taxable amount. 3 4 5b 6b 504. I 7bl 7 c Taxable amount 7_ 7c 8b Taxable amount ad Amount deterred from 1998 8b 8d 9 10 Other Income, including federal and state gasoline or fuel tax credit or refund (see Instructions) 10 11 Gross income. Add amounts in the right column for lines 3 through 10. If accrual method taxpayer, enter the amount from a e 2, line 51 ~ 11 504 > '.J~.~rt'lIm.? Farm Expenses - Cash and Accrual Method. Do not include personal or living expenses such as taxes, Insurance, .. . repairs, etc, on your home, 12 Car arid trllck expenses (see instructions 370. - also attach Fonn4562) 12 25 Pension and profit.sharlng plans. 25 13 Chemicals 13 26 Rent or lease (see instructIons); 14 Conservation expenses a Vehicles. machinery, (see Instructions) 14 and equipment. 26_ 15 Cus10m hIre (machine work) 15 b Other (land, animals, ete) 26b 7J Repairs and maintenance 7J 10,421. 16 Deprew3tlon and Section )79 28 Seeds and plants purchased 28 expense deduction not ,claimed elsewhere (see Instructions) 16 1,909. 29 Storage and warehousIng . 29 17 Employee benefit programs 30 Supplies purchased 30 334. other than on line 25 . , 17 31 Taxes. 31 3,599. 18 Feed purchased 18 2,213 . 32 Utilities. 32 1,187. 19 F e(tli\z.ers and lime 19 33 Veterinary, breeding, and medicine 33 20 Frelgtlt and trucking 20 34 Other expenses (specify): 21 Gasoline, tuel, and oil 21 - .P!!~S_ _ _ _ _ _ _ _ _ _ __ _ _ . 34_ 73. 22 insurance (other than health) 22 1,373 . b~l~~_____________. 34b 475. 23 Interest c 34c ------------------ a Mortgage (paid to banks, etc) .. 23, d 34d ------------------ bOther 23b e 34e ------------------ 24 Laber rmed (less employment credits) 24 1 341 35 Total expenses. Add lines 12 through 34f. .. 35 21, 9S4. 36 Net farm profit or (loss). Subtract line 35 from line 1] If a profit, enter on Form 1040,.II/1e 18, and ilso on Schedule Sf, line 1. If a loss, you must go on to line 37 (estates, trusts, and partnerships, see instructions) 36 -21,450 37 If you have a loss, you must check the box that describes your investment in thiS activity (see instructions). . If you checKed 37a, enter the loss on Form 1040, line 18, and also on Schedule SE, line 1. . If you checKed 37b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDlZ0212 10/22/99 -~ !7 a X ~\\a]:il~~:ment ~ b Some jn~l:!5Iment . ~I 1$ not 31 n5k Schedule F (Form 1040) 1999 Schedule SE (F orm 1040) Self-Employment Tax OMB No 1545-0074 Departmental the Treasury Intern;!l Re'ienwe Sef'llCe (99) .. See instructions for Schedule SE (Form 1040). ~ Attach to Form 1040. 1999 17 Name 0' Person with SeIf.Employment Income (as shown on Form 1040) Social Security Number 01 Person With Self.Employment Income. 193. 12 - 8326 ROBERT R WEBER Who Must File Schedule SE You must file Schedule SE if; . You had net earnings from self-employment from other than church employee income (line 4 01 Short Schedule SE or line 4c of long Schedule SE) of $400 or more, Or . You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a relIgious order is not church employee Income. See Instructions. Note: Even if you had a loss or a small amount of income from self-employment, it may be to your benefit to file Schedule SE and use either 'optional method' In Part II of Long Schedule SE See mst{l)ctlOns. Exception: Jf your only self. employment income was trom earnings as a minister, member of a religious order, or Christian Science praclltloner, and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write 'Exempt - Form 4361' on Form 1040, line 50. May I Use Short Schedule SE or Must I Use Long Schedule SE? Did You Receive Wages or Tips In 19991 No Ye. Are you a minister, member of a religious order, or Yes Christian SCience practitioner who received IRS approval not to be taxed on earnIngs from these sources, but you owe self. employment tax on other earnings? No Was the total.of your wages and tips subject to SOCial secunty or raIlroad retirement tax Rlus your net earnings from self-employment more than $72,600? Yes No Are you uSing one of the optional methods to figure your net earnings (see Instructions)? No Did you receive tips subject to social security or Medicare tax that you did not report to your employer? Yes No Did you receive church emplO$'ee income reported on [Foem W.2 of $108.28 or more. No You May Use Short Schedule SE Below You Must Use Long Schedule SE Section A - Short Schedule SE, Caution: Read above to see If you can use ShOrt Schedule SE. Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K.1 (Form 1065), line 15a -21,450, 2 37,607, 3 16,157, ~ 4 14,921, 5 2,283, 2 Net profit or (loss) from Schedule C, line 31; Schedule C.EZ, line 3; Schedule K.j (Form 1065), line 15a (other than farming); and Schedule K.1 (Form 1065.8), box 9. MinIsters and members of religiOUS orders, see Instructions for amounts to report on thiS line. See Instructions for other (ncome to report 3 Combine lines 1 and 2 4 Net earnings from self-employment. Multiply line 3 by 92.35% (.9235). If less than $400, do not file tnls SChedule; you do not owe self.employment tax. ... . .. 5 Self-employment tax. If the amount on line 4 is: . $72,600 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 50. · More than $72,600, multiply line 4 by 2.9% (,029), Then, add $9,002,40 to the result. Enter the lotal here and on Form 1040, line 50. 6 Deduction for one.h.if of .elf.employment tax, Multiply line 5 by 60% (,5), Enter the result here and on Form l040,line"'Zl . .. . ,..........., BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. I 6 I 1,142, Schedule SE (Form 1040) 1999 FDIA11Ql 11110199 Department 01 tr\e Trea,,"ury lr1terllai Revenue Service (99) ,'Jame(~) Shown on Re~m Sales of Business Property (Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 200F(bX2)) ... Attach to your tax retum. ... See separate Instructions. OMS No 1545-0184 Foem 4797 ROBERT R WEBER & CHERYL l CAREY 1999 27 Enter here the gross proceeds from the sale or exchange of real estate reported to you for 1999 on Form(s) )099.S (or a substItute statement) that ou will be Includln on line 2, 10, or 20 . . 1 .PiII!'tJ;f;; Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions from Other Than Casualty or Theft - Property Held More Than 1 Year (b) Date acquired (C) Dale sold (d) Gro!foS ules <e) Depr'6CiatlOll (f) Cost or other (g) (i.llln or (Lo..) (month, day, year) (mor1tn. day, year) pnce iilllowed or bilSIS, plus Subtract (f) horn allowable SIr'lce Improvements and the ~m 01 acquISItion $xposn'Se ol sal"" (d) and (e) 2 (a) Oescnp(\Of\ 01 property 3 Gain, If any, from Form 4684, line 39 4 Section 1231 gain from Installment sales from Form 6252, line 26 or 37 5 Section 1231 gain or (loss) from Ilke.kind exchanges from Form 8824- 6 Gain,:f any. from line 32, from other than casualty or thett 3 4 5 6 O. 7 Combine lines 2 through 6. Enter the gaIn or (\05S) here and on the appropriate line as follows Partnerships (except electln~ large partnerships). Report the gain or (loss) following the Instructions for Form 1065. Schedule K, line 6. Skip lines 8,9, 11, and 12 below. 5 corporations. Report the gain or (loss) following the Instructions for Form 1120S, Schedule K, lines 5 and 6 S~lp lines 8.9, 11, and \2 below, unless hne 7 IS a gain and the S corporation IS subject to the capital gains tax All others. If line 7 is zero or a loss, enter the amount from line 7 on Une 11 below and skIp lines 8 and g, If ',\",e 7 IS a gain and you did not have any prior year section 1231 losses, or they were recaptured In an earlier year, enter the gain (rom line 7 as a long.term capital gain on Schedule 0 and skip lines 8,9, and 12 below 8 ('1onrecaptured net section 1231 losses from prior years (see Instructions) 9 Subtract line 8 from line 7. If zero or less, enter .0-. Also enter on the appropriate line as follows (see Instr"Jctlons) 9 5 corporations. Enter any gain from line 9 on Schedule 0 (Form \ 1205), line 14, and skip lines 11 and 12 below All others. 1\ ~Ine 9 IS zero, enter the gain from line 7 on line 12 below. If line 9 IS more than zero, enter the amount from Ime 8 on line 12 below. and enter the gain from lIne 9 as a \ong.term capital aln on Schedule D. Ordinary Gains and Losses 10 Or dinar clln5 and losses not included on lines held 1 ear or less: 11 LoSS, If any, tram line 7 12 Gain, II an)', from line 7 or amount from line 8, if applicable 13 Ga:n, i1 any, from line 31 14 Net ga,n or (lOSS) from Form 4684, lines 31 and 38a 15 Ordinary ga:n from installment sales from Form 6252, line 25 or 36 16 Ordinary gain or (loss) from like.klnd exchanges from Form 8824 , 17 Recapture of section 179 expense deduction for partners and S corporation shareholders from property CISpcsitions oy partnerships and S corporatIOns (see Instructions) .. ., 18 ComQlne lines \0 through 17. Enter the gain or (loss) here, and on the appropriate line as follows a F or an except IndiVidual returns: Enter the gain or (loss) from line 18 on the return being flied. b For ,ndlvldual returns: (l)lf the ioss on line 11 includes a lass trom Form 4&84, Ime 35, column (b)(Ii), enter that part of the loss here, Enter the part of the 105S from Income-producing property Oil Schedule A (Form 1040), line 27, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 22. IdentIfy as from 'Farm 4797, line 18bn).' See Instructions . . . 11 12 13 14 15 16 O. 17 18 o 18b(1) BAA (2)~~rd~t~O~~~I~~e12aln or (loss) on line 18, excluding the _lOSS, 11 ar\y, _on hne ,18b(1). f"or Paperwork Reduction Act Notice, see separate instructions. FDIZ100\ 11/Clffl Enter here and on I 18b(2) o Form 4797 (1999) Form 4797 (1999) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 1P.1lIitd Gain from DisDosition of Prooertv Under Sections 1245. 1250 1252 1254 and 1255 19(a) Description of SectJon 1245, 1250, 1252, 1254, or 1255 property: (b) Date acquired ~C) Date so\d (mo, day, yr) mo, day, yr) A 10 WEST SIMPSON ST. MECH Various 12/01/1999 B c D These columns relate to the properties on Property A Property B Property C Property 0 line519Athrouah19D.. ". .... .., ~ 20 Gross sales price (Note: See line 1 before completing.) 20 70 000. 21 Cost or other baSIS plus expense of sale 21 18 325. 22 Depreciation (or depletion) allowed or allowable. 22 18 325. 23 Adlusted baSIS. Subtract line 22 from line 2~ 23 O. 24 Total aam. Subtract line 23 from line 20 24 70 000. 25 If S.ction 1245 prop.rty: a Depreciation allowed or allowable from line 22 . 251 b Enter the smaller of line 24 or 25a 25b 26 If Section 1250 property: If straight line depreclatron was used, enter -0. on line 269s except for a corporation subJect to ectlOn 291. a AdditIOnal depreciation after 1975 (see instrs) .. 261 b Applicable percentage mulllp(lOO by the Ul\11~r 26b 01 Ilrle 24 or line 26a (see instructions) c Subtract line 26a from line 24. If reSidential rental property or line 24 IS not more than line 26a, skip lines 2bd and 26e 26c d Additional depreciation after 1969 & before 1976 26d e Enter the smaller of tine 26c or 26d , 26. f Section 291 amount (corporatiorls only) ... 261 g Add lines 26b, 26e, and 26f 260 O. 27 If Section 1252 property: Sklplhis section It you did not dispose 01 farmland or If this form IS being completed for a partnership (other lhan an electlrlg large partnership) a Soli, water, and land clearing expenses 271 b line 27a multiplied by a~Pllcable 27b percentage (see Instruc Ions) .... c Enter the smaller of line 24 or 27b 27c 28 If Section 1254 property: a Intangible drilling and deyelopment costs, expenditures for development of mines and other natural deposits. and mining exploration costs (see instrs) 281 b Enter the smaller of line 24 or 28a .'. 28b 29 If Section 1255 property: a Apphcable percentage of payments excluded from Income under Section 126 (see Instructions) 291 b Enter the smaller of line 24 or 29a (see instrs) 2gb Summa of Part III Gains. Com lete ro er columns A throu h 0 throu h iin. 29b before oln to line 30. 30 Total gains for all properties. Add property columns A through D, line 24 31 Add property cDiumns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on lina f3 32 Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion from otner than casual or theft on Form 4797, lIne 6 ..,.,..........,...... .., . ....,. . 32 .'iiff!V} Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less (See instructions.) 30 31 70,000. O. O. (I) Section 179 (bJoSection 2 F(bX2) 33 Section 179 expense deduction or depreciation allowable In prior years 33 34 Recomputed depreciation. See Instructions 34 3S Recapture amount. Subtract line 34 trom line 33. See mstfuct\OI"lS lor where to leport , 3S i BAA FOIZ1OO2 06122/99 Form 4797 (1999) 7 _Isled property. Enter amount from line 27 8 Totai elected cost of Section 179 property. Add amounts In column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or Ime 8 10 Carryover of disallowed deduction from 1998. See Instructions 11 Bus\ness Income limitation. Enter the smaller of business Income (not less than zero) or line 5 (see Instrs) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Carr over of disallowed deduction to 2000. Add lines 9 and 10, less line 12. ~ 13 Note: Do not use Part If or Part III below for fisted property (automobiles. certain other vehicles, celfu/ar telephones, certam computers, or property used for entertainment, recreation, or amusement), Instead. use Part V for listed property IPliltWi! MACRS Depreciation for Assets Placed in Service Only During Your 1999 Tax Year (Do Not Include Listed Property) Focrn 4562 Depreciation and Amortization (Including Information on Listed Property) ::'eOilrtmenl 01 the Treil!.\Jry ~ See instructions. Intern,lI Re.enue Ser,'1ce (99) .. Attach this form to your retum. ';~~~;h;wnRon :eE~;ER & CHERYL L CAREY l~U~I~e$$COr~~v~tyEt~:~t~~h;;~m ;e~a~8!.VI CES IPlllttl Election to Expense Certain Tangible PropertY (Section 179) (Note: If you have any 'listed property, . complete Part V 5e?ore you complete Part I.) 1 MaximUm dollar limitation, If an enterprise zone business, see instructions 2 Total cost of Section 179 property placed In service. See instructions 3 Threshold cost of Section 179 property before reduction in limItation 4 Reduction In limitation. Subtract line 3 from line 2. If zero or less, enter -0- S Dollar limitation for tax year, Subtract line 4 from line 1. If zero or less, enter -0.. If married filing separatei , see Instructions 6 OFFICE E c) Elected co!.t 1 765. a) De!.criptlon01 properiy (b)CO$t(bu$iM$SU$eonly) 1,765. 7 OMS No 1545-0172 1999 67 ldendtylnq Numbec 193-12-8326 1 2 3 4 $19,000. 1,765. $200,000. 0, 5 8 9 10 11 12 O. 1,765. 1,765. Section A - General Asset Account Election 14 11 you are making the electIOn under Section 168(1)(4) to group any assets p~aceo in ser\Jlce dUTlng the tax year Into, on, e or more general asset accounts. check thiS box. See Instructions. . . , _ . . , , , . . , , . . , , . , . , , . _ . . . , , , . , . , , , ' _ , . .. ... Section B - General De reciation S stem GDS) (See Instructions) (a) (b) Month and (c) BaSI$ tor depreCiation (d) (e) (f) Class,I,callon or property year placed (ovsines!./rnvestment use Recovery penod Convention Meij;od In ~NlCe onl)l ~ see lns\ructions) 25 27.5 27.5 39 rs rs rs rs 51L 5/L 51 L 5/L 51 L I Nonresidential real property MM MM MM MM Section C - Alternative De reciation S stem ADS (See instructions) 16a Class life biZ ear 12 rs c 40 year 40 yrs MM IPlid'M/( i(:.1 Other De reciation Do Not Includ. Listed Pro. (See InStructions) 17 GOS and ADS deductions tor assets placed in service in tax years beginning before 1999 18 Property subject 10 Section 168(f)(1) electIOn 19 ACRS and other depreciation !,P:arl4V\" "j Summa (See Instructions) 20 Llsred property, Enter amount from line 26 21 Total. Add deductions on line 12, lines 15 and 16 In column (g), and lines 17 through 20. Enter here and on !he appropriate lines af your return, Partnerships and S corporations - see Instructions 22 For assets shown above and placed In service durrng the current year, enter the pon\on at the baSIS attributable to Section 263A costs. , ' . , . , _ _ . , , , . , , , . BAA For Paperwork Reduction Act Notice, see instructions. S/L 51L 51L 22 FDIZOS12 10121199 ~ , (g) DepreCiation deOU~\lOn 17 18 19 561 o. 20 2,529. 21 4,855 ~it~(iltiin\Wi)i;~;(~:I:Y: .....,-,.-:-:,.,'.:.,.:-'.-.'....,.. :::':"'::':'>?'::/'::'..'-' Farm 4562 (1999) Focm4562 (1999) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 fAilifllt' .iil Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers and Property Used for Entertainment, Recreation, or Amusement ' Note: For any vehicle for which you are uSing the standard mileage rate or deduct.ing lease expense, complete only 23a. 230, columns (a) through (c) of Section A, af! of Section B, and Section C If applicable Section A - Depreciation and Other Information (Caution: See instructions for limits for oassenQer automobiles) 23a Do you have eVidence to support the business/investment use claimed? ..lxl Yes I I No123b If~es:lStheeVl.encew"l\en' .. n Yes IX i No (0) (b) (c) (d) (e) (I) (g) (h) (i) T YDe or property (I,~t Date placed BUslnessl Cost or Basis fordepreci;ilbon Recovery Metnod;l Dep-reciatlon Elected Investment veh,clesllrst) ,nservlce ". clher b;lolitfs. (b.;Slnl>>1J./investmen\ penod Convention dltd\Jctlon Sechon179 percentage u$eonly) cosl 24 Property used more than 50% In a qualified business use (see instructions\: 85 CHEVY 07101195 100.00 5 000. 5 000. 5.00 SL/HY 889. 97 CHEVY 12/01/96 100.00 23 741. 13 623. 5.00 200DB/HY 1 640. 25 Property used 50% or less Ir'r a quali1ied business use {see instructions: 26 Add amounts In column (h). Enter the total here and on line 20, page 1 26 27 Add amounts In column (I). Enter the total here and on lIne 7, page 1 Section B - Information on Use of Vehicles Como/ere rl1l$ $f{;!lan for vehIcles IJsed by a sole prapnetar, partner, or other 'more than 5% owner, 'or related person. If yOu provldea vehicles 10 your employees, first answer the questions in Section C to see If you meet an exception to completing this sectIOn for those vehicles. (0) (b) (c) (d) (e) (I) 28 Total bUSineSS/Investment miles driven durmg tt1eyear Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 (Do not Include commuting miles - see instructions) . 10,000 20,000 29 Total commullng miles dfIVen durmg the year . 30 Total other personal (noncommutlng) rr.lles dflven 0 0 31 Totai miles driven dUflng the year. Add 'lines 28 through 30 10,000 20,000 Yes No Yes No Yes No Yes No Yes No Yes I No 32 Was me ve"1lcle available for personal use X 1 during off.auty hours? X 33 Was ~he veh:cle used primarily by a more I i Ulan 5% owne( or related person? X X I I 34 ;s another vehicle available for I personal use' X X Section C - Questions for Employers Who Provide Vehicles for Use by Their Emp\()y~es Ans wer tHese questions to determme If you meel an excep/iOn to completmg Section B for vehicles used by employees who are not more than 5% owners or related persons 35 Do you maintain a written poliCY statement that prohibits all personal use of vehicles, Including commuting, oy your employees? 36 Do you maintain a written policy statement that prohibits personal use of vehicles. except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1 % or more owners .. '37 00 you treat all use of vehicles by employees as personal use? Yes No 38 Do you provide more than five vehicles to your employees, obtain Information from your employees about the use of the vehicles, and retain the Information received? .. ,. . .. .. . . . . ., 39 Dc you meet the requirements concerning qualified automobile demonstration use? See instructions Note: If your answer to 35, 36. 37. 38. or 39 IS 'Yes,' you need not complete Section B for the covered vehicles PiiilVf." Amortization (0) 4- I , (b) (c) Amortizable amouf'.\ (d) Code Section (eJ (I) DescnptJOn of costs Date amortization begins Amortization period or percentage AmortJ<:ij{lQn lor thiS year Form 4562 (1999) 41 Amortization of costs that beqan before 1999 42 Total. Enter here and on 'Other DeductIons' or 'Other Expenses' line of your return FDIZ0812 10/21/99 Focm 4562 Depreciation and Amortization (Including Infonnation on Listed Property) Depiirtment 0/ the Trea5.ury ~ See instructions. Int€lrlal Re~enue Service (99) ~ Attach this form to your return. ;~~~:~wnRon:e;;ER & CHERYL L CAREY 1;:i~e$~or;~i~~~:;i~hT;i~:o~m,Ae~;~HANICSBU tl'!llitl( ...1 Election to Expense Certain Tangible Property (Section 179) (Note: if you have any 'listed property, ' complete Part V 5elore you complete Part I) l MclXlmum dollar limitation. If an enterprise zone business, see instructions 2 Total cost of Section 179 property placed in service. See instructions 3 Threshold cost of Section 179 property before reductIon In limitation 4 ReductIOn In limitation. Subtract line 3 from line 2. If zero or less, enter -0- 5 ~ollar limitation for tax year, Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separatel , see Instructions 6 c) Elected cost a) Descnption 01 property b Cosl (business use only) OMS No 1545.0172 1999 67 Identifying Number CB3-12-8326 1 2 3 4 $19,000 $200,000. 5 7 ~Isted property. Enter amount from line 27 7 8 Totai eiected cost of Section 179 property. Add amounts In column (c), lines 6 and 7 8 9 Tentative deouctlon. Enter the smaller of line 5 or line 8 9 10 Carryover of disallowed deduction from 1998. See instructions 10 11 BlJs,ness Income limltatlon. Enter the smaller of bUSiness income (not less than zero) or line 5 (see instrs) 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12 13 Car, over at disallowed deduction to 2000. Add lines 9 and 10, less line 12. .. ~ 13 Note: Do no! use Part /1 or Part II/ below for listed property (automobifes, certain other vehlc/es. cellular telephones, certam computers, or property used tor entertainment. recreation. or amusement). Instead, use Part V for fisted property 1l'!i!itOfl m~~~~~~r~;::~~r~:~~~ssets Placed in Service Only During Your 1999 Tax Year Section A - General Asset Account Election 14 ;1 you are making the election under Section 168(1)(4) to group any assets placed In service during the tax year.'n. .\0. .0. ne or more general asset accounts, check thiS box. See Instructions. . . . . . . . . . . . . . . . . . _ . . . . . , _ . . . . . _ . . . . . _ . . . . . Section B - General De reciation S stem GOS (See InstructIons (a) (b) Month and (C) Basis for deprociation (d) (e) (f) Class,f'catlon of property year plilced (buslnesslinvestment use Recovery period Convention Method In ser\lice only - 'ioee mS\NCtlonS) 5/L 51 L 5/L 51 L 51 L 25 27,5 27,5 10 333, 39 25- ear propert h ReSidential rental property i Nonresidential real property MM MM MM MM ADS) (See Instructions) 07/99 Section C - Alternative De reciation S stem MM 5/L 5/L 51 L 21 Total Add deductions on line 12, lines 15 and 16 In column (g), and lines 17 through 20. Enter here a,ia on tr.e appropriate lines of your return, Partnerships and S corporations - see instructions. 22 ~or assets shown above and placed In service during the current year, enter the portion at U-H; baSIS attnbutable to Sectlon 263A costs _ _ _ . . . . . . . _ . . . _ BAA For Paperwork Reduction Act Notice. see instructions. 22 FDIZ0812 10/21199 ~, (g) Depreciation tied\JCtlOf\ 121. 17 18 19 1,738. 50. 21J o. 21 1,909. ;::;;~:::;:~:~:!:~~. -'::'-:':::':':':':"':':::"::-:"';-:'.:. ':""::";::,:,:,:,.:.:.:>:::::=:.: ''''.'.-..-,;-''. /iJJ\iJiJ:tt))::::.,...... Form 4562 (1999) Form 4562 (1999) ROBERT R WEBER & CHERYl L CAREY 193-12-8326 Page 2 [PibtV}}j Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers and Property Used for Entertainment, Recreation, or Amusement ' Type of property (hs( vehlclesf"st) (b) Dale placed In service (d) Cost or otherbasi'i. (e) Basis for depreci..tion (busiMssfirwlKtmen\ use only) (I) Re<:o\lllry pe(loo (h) Depreciation dadl,Jcllon Yes X No (i) E\lKteC Section 179 cost 24 Property used more than 50% in a qualified business use (see instructions): FARM TRUCK 07/01/90 100.00 12,650. 12,650. 5.00 150DB/HY O. 25 Pro er used 50% or less In a uahfled bUSiness use (see instructions: 26 Add amounts In column (h). Enter the total here and on line 20, page 1 26 Z7 Add amounts In column (I). Enter the total here and on line 7, page 1 Section B - Information on Use of Vehicles CCf71plete this section for vehicles used by a sole propnetor, partner, or other 'more than 5% owner,' or related person. i you p(!JVidea vehicles 10 your employees. first answer the questions In SectJon C to see if you meet an exception to completing this section for those vehicles. (e) (b) (e) (d) (e) (I) 28 ~otai bU$lrl€ss/lrlVestment miles driven durmg the year Vehicle 1 Vehlcie 2 Vehicle 3 Vehicle 4 Veh\cle 5 VehIcle 6 (Do not Irlclude commutmg miles - see mstrucllons) .. 5,000 29 Tola,'commullrlg miles driven durmg lheyear 3IJ Total other personal (noncommutlng) I .'lllles driven .. 0 31 Total miles driven during the year. Add ;:nes 28 through 30 . 5,000 Ves No Ves No Ves No Ves No Ves No Ves I No 32 Was the vehicle available for personal use I during at/-duty hours? .. X 33 Was the vehicle used primarily by a more 1 man 5% owner or related person? X 34 is another vehicle available for I personal use? X Section C - Questions for Employers Who Provide Vehicles tor Use by Their Employees Answer Ihese questions to determine If you meet an exception to completmg Section B for vehiCles used by employees who are not more than 5 % c.'mers or related persons 35 Do yeu maintain a written poliCY statement that prohibits all personal use of vehicles, Including commuting, by your employees? 36 Do you maintain a written poliCY statement that prohibits personal use of vehicles, except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1 % or more owners ,.. 37 Do you treat all use of vehicles by employees as personal use? . Ves No 38 Do you provide more than five vehicles to your employees, obtain Information from your employees about the use of the ver,lcles, and retain the Information received? 39 Do you meet the requirements concerning qualified automobile demonstration use? See Instructions Note; if your answer to 35, 36. 37. .38, or 39 is 'Yes, . you need not complete Section B for the covered vehicles Amortization (e) (b) (e) Amortizable ..mount (d) Cod. Section (e) (f) Amo!1IZatlon for !his year DeSCriptIon of cosl1; Date amortization begIns 40 Amortlzat:on of costs that be Ins dUrin Amortization period or percentlQe 41 Ar1ortlzatlon of costs that began before 1999 42 Total. Enter here and on 'Other DeductIons' or 'Other Expenses' line of your return FDlZ0812 10/21/99 Farm 4562 (1999; Form 6252 Installment Sale Income OMS No. 1545-0228 De;lilrtmenl of the Trea1>ury Internal Re,,~.nue Se<'l\<:ce .. See separate instructions. ... Attach to your tax return. .. Use a separate form for each sale or other disposition of property on the installment method. 1999 79 Narne5(~) Shown on Return ld.ntitylnv Nllmb.r ROBERT R WEBER & CHERYL L CAREY 193-12-8326 1 Description 01 property - JQ _\oLE;;I 51,:!P_SQf! 51 ~,_ .t1~I~H_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 2. Date acquired (month, day, year)" Var 1 OUS bOate sold (month, day, year) ... 12/01/1999- - - - -- 3 Was the property sold to a related party after May 14, 198O? See instructions. II 'No,' skip line 4 . 0 Yes !xJ No 4 Was the property you sold to a related party a marketable security? If 'Yes,' complete Part Ill. If 'No,' com lete Part 111 for the ear of sale and the 2 ears after the ear of sale, , ". ,." .. "",.... No iirtl/f'''' Gross Profit and Contract Price, Com lete this art for the ear of sale onl . 5 Selling price Including mortgages and other debts. Do not include interest whether stated or unstated 6 Mortgages and other debts the buyer assumed or took the property subject to, but not new mortgages the buyer got from a bank or other source. 7 Subtract line 6 from line 5 8 Cost or other basis of property sold 9 DepreCiation allowed or allowable. 10 Adlusted baStS_ Subtract line 9 from hne B 11 Commissions and other expenses of sale 12 Income recapture from Form 4797, Part )11 See Instructions. 13 Add lines 10,11, and 12 14 Subtract line 13 from line 5. If zero or less, stop here. Do not complete the rest of thiS form. 15 If the property deScribed on line 1 above was your main home, enter the amount 01 your excluded gain. OtherWise, enter .0.. See Instructions 15 O. 16 Gross profit. Subtract line 15 from line 14 16 70,000. 17 Suotraclllne 13 from line 6, If zero or less, enter .0. 17 O. 18 Contractprice.Addllne7andllnel7 18 70,000. lPiit~:N{(\H Installment Sale Income. Complete thiS part for the year of sale and any year you receive a payment or have certain debts you must treat as a payment on Installment ob(\gatlons. 5 70 000. 6 7 8 9 10 11 12 70 18 18 000. 325. 325. O. o. 13 14 O. 70,000. 19 Gross profit percentage. Divide line 16 by line 18. For years after the year of sale, see instructions. 20 For year of sale only: Enter amount from line 17 above; otherwise, enter .0. 21 Payments received dUring year. See Instructions. Do not include interest whether stated or unstated. 22 Add lines 20 and 21 23 Payments received In prior years. See InstructIons. Do not Include interest whether staled or unstated 24 Installment sale income. Multiply line 22 by ilne 19 24 Z5 Part of line 24 that IS ordinary Income under recapture rules. See instructions. 25 26 Subtract hne 25 from line 24. Enter here and on Schedule 0 or Form 4797. See instructions. . 26 OOlli!'tJIF,'i1 Related Party Installment Sale Income. Do not complete If you received the final payment thiS tax year. 77 Name, address, and laxpayerldentifylng number of related party _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ 19 20 21 22 1.0000 O. 7,000. 7,000. 123 I 7,000. 7,000. 28 Old th; r~l~t;d ~p~riY,d~n;g-this-t;xy~~ ~e;e~ ~r di;p~S~ ~f th; pr;;-p;rt).. ('S~~O~d-d~po;;t~~)? .- ~ ~ - - -, ~ - - U Y-e~ - TI No~ - - 29 If the answer to question 28 is 'Yes,' complete lines 30 through 'g below unless one of the follOWing conditions is met. Check only the box that applies. a 0 The second diSpOSition was more than 2 years after the flrst dIsposition (other than diSpositions of marketable securities). If thiS box IS checked, enter the date of diSpOSition (month, day, year) .. .. b ~ The first disposition was a sale or eXChange of stock to the Issuing corporation. c The second diSpOSition was an involuntary conversion where the threat of conversion. occurred after the first dispOSition. d The secor.d dISPOSItIon occurred after the death of the ong'lnal seller or buyer. . e It can be established to the satisfaction of the Internal Revenue Service that tax aVOIdance was not a prlnclpa! purpose for either of the dIspOSItIons. If thIS box is checked, attach an explanation. See Instructions. 30 Selling price of property sold by related party, 30 31 Enter contract pnce from line 18 for year of first sale 31 32 Enter the smaller of line 30 or line 31 3Z 33 -;-otal payments received by the end of your 1999 tax year. See instructions.. 33 34 Subtract line 33 from line 32. If zero or less, enter .0- 34 35 Multiply line 34 by the gross profit percentage on line 19 for year of first sale, 35 36 Part of line 35 that IS ordinary Income under recapture rules. See instructions 36 "57 SlJbtract line 36 from line 35. Enter here and on Schedule 0 or Form 4797. See instructions 37 BAA For Paperwork Reduction Act Notice, see separate instructIons. Form 6252 (1999) FDIZI501 12/22/99 d Total number of exem tlon5 claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-2 8a Taxable Interest. Attach Schedule B if required b Tax-exempt Interest. 00 not include on line 8a 9 Ordinary dividends. Attach Schedule 8 If required 10 Taxable refunds, credits, or offsets of state and local Income taxes (see Instructions) 11 Alimony received 12 Business Income or (loss), Attach Schedule C or C-EZ 13 Capital gain or (loss). Attach Schedule 0 if required. If not required, check here 14 Other gains or (losses). Attach Form 4797 15a Total IRA distributions 1 15al I b Taxable amount (see Instrs) 16a Total pensions & annUItIes ~ b Taxable amount (see Instrs) 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 18 Farm income or (loss). Attach Schedule F 19 Unemployment compensation 20 a SocIal secunty benefits I 20 a \ I b Taxable amount (see instrs) 21 Other Income. list type & amount (see mstrs) ~. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 22 Add the amounts in the far right column tor lines 7 through 21. This IS your total income ~ 23 IRA deduction (see Instructions) . 23 24 Student loan Interest deduction (see instructions) 24 25 Medical savings account deduction. Attach Form 8853 25 26 MOVing expenses. Attach Form 3903 I rz,~_ /" 27 One-half of self-employment tax. Attach Schedule SE ~ \27 28 Self-employed health insurance deduction (see Instructions) ~2lf' 29 Self-employed SEP, SIMPLE, and qualified plans 29 30 Penalty on early withdrawal of savings 30 31 it AIIIIIOIIY p;lId b fk'CIIWII!\ ~_;~N ~ 3"1 a 32 Add Imes 23 through 31a 33 Subtract line 32 from line 22 ThiS IS your adjusted gross income fOr" Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FDIA0112 11107/00 Form 1 040 label (See InstRlctlons Use the IRS label. Otherwise, please print or type. Presidential Election Campaign (See Instructions.) Filing Status Check only one box. Exemptions If more than SIX dependents, see instructions. Income Attach Forms W-2 and W-2G here. Also attach Form(s) 1099-R if tax was withheld. If you did not get a W-2, see Instructions. Enclose, but do not attach, any payment. Also, please use Form 104O-V. Adjusted Gross Income BAA DECEASED ROBERT R WEBER 05/03/2001 1(99) IRS use only - Do not write or staple in this space I Dep.artment 01 the Treasury - Intern-al Revenue Service U.S. Individual Income Tax Return 2000 For the year Jan l-Dec 31, 2000, or other tax vear beninnlnn , 2000, endlnQ ,20 OMS No. 1545.0074 Your First Name MI Last Name Your Social Security Number ) ROBERT R WEBER 193-12-8326 If a Joint Return, Spouse's First Name MI Last Name 5pone'. Soc.iilll Set-u~ Number CHERYL L CAREY 176-34-9728 Home Address (number and street). jf You Halle a P.o BOl(, See lnstructions Apartment No .. Important! .. 615 WlL LlAMS GROVE ROAD You must enter your social Clty. lown or Post Office. II You Have a FOIeign Address, See ln$lrvclions Slate ZIP Code security number(s) above. MECHANICSBURG PA 17055 .. No ~ Note: Checking 'Yes' will not change your tax or reduce your refund. Do you, or our spouse if fllln a oint return, want $3 to 0 to thiS fund? 1 Single 2 X Married filing 10lnt return (even if only one had income) 3 Married filing separate return. Enter spouse's SSN above & full name here ~ 4 Head of household (With qualifYing person). (See instructions.) If the qualifying person IS a child but not your dependent, enter this child's name here ~ 5 Qualifying wldow(er) WIth dependent child (year spouse died" ). (See Instructions.) 68 X Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a . . . bXSouse c Dependents: (2) Dependent's SOCial security number (3) Dependent's relationship to you ~ ....fOo... checked on 6i1i1nd6b . - No. of your (4) If ~~i~~:~ on qllalifyingchlld . lived for child tax With you credit (see . did nollive Instructions) with you due to divorceor.ep. ilration(see in.tructions} II 1-\ ~I I (1) Flrstname Last name Dependent. onk not el\tered above Add numbers entered on line. above 7 8a I 8b[ "0 9 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 20,659. 1.307. -1,101. 2,942. 400, -7.456. "-, ",../ u 32 .. 33 20.659. Form 1040 (2000) Form 1040 2000 Tax and Credits Standard I Deduction - tor Most People Single: $4,400 Head of household: $6,450 Married filing JOintly or QualifYing wldow(er): $7,350 Married filing separately: $3,675 Other Taxes Payments If you have a L qualifYing child, attach r Schedule E IC.I Refund Have It directly deposited! See Ins.tructlons and fill In 67b, 67c, and 67d. Amount You Owe Sign Here jOint return? See Instructions. Keep a copy for your records, Paid Preparer's Use Only ROBERT R WEBER & CHERYL L CAREY 34 Amount from line 33 (adjusted gross Income) . . , . ." 358 Check If: IKI You were 65/older, 0 Blind; 0 Spouse was 65/older, Add the number of boxes checked above and enter the total here 193-12-8326 34 Pa e 2 20,659. DSllnd. .. 35. 1 b If you are married filing separately and your spouse Itemizes deductions, or you were a dual-status allen, see instructions and checK here ~ 35b D 36 Enter your itemized deductions from Schedule A, line 28, or standard deduction shown on the left. But see instructions to find your standard deduction if you checked any box on line 35a or 35b or if someone can claim you as a dependent Subtract line 36 from line 34 ;J 3B If line 34 IS $96,700 or less, multJply $2,800 by the total number of exemptions claimed on Ime 6d. If line 34 IS over $96,700, see the worksheelm the mstructlons for the amount to enter 39 Taxable income. Subtract line 38 from line 37. Jf line 38 is more than line 37, enter -0- 40 Tax (see irlstrs). Check If any tax IS 1rom is 0 FOIm(s) 88\1\. b 0 f"orm 4972 41 Alternative minimum tax. Attach Form 6251 42 Add lines 40 and 41 43 Foreign tax credIt. Attach Form 1116 if required 44 Credit for child and dependent care expenses. Attach Form 2441 45 CredIt for the elderly or the disabled. Attach Schedule R 46 Education credits. Attach Form 8863 47 Child tax credit (see Instructions) 48 Adoption credit. Attach Form 8839 49 Other. Check If from a n Form 3800. b 0 Form 8396 c 0 Form 8801 d D Form (specify) 50 Add Imes 43 through 4.9. These are your total credits 51 Subtract line 50 from line 42. If line 50 is more than line 42, enter -0. 52 Self.employment tax, Allach Schedule SE 53 Social security and Medicare tax on tip Income not reported to employer, Attach Form 4137 54 Tax on lRAs, other retirement plans, and MSAs. Attach Form 5329 If required. 55 Advance earned Income credit payments from Form(s) W-2 56 Household employment taxes. Attach Schedule H 57 Add lines 51.56. ThiS is your total tax 58 Federal Income tax withheld from Forms W-2 and 1099 59 2000 estimated tax payments and amount applied from 1999 return 60 a Earned income credit (Ele) b Nontaxable earned income: amount ... and type ..._____________________. 61 Excess social security and RRT A tax withheld (5ee lnstrs) 62 Additional child tax credit. Attach Form 8812 63 Amount paid with request 1m extension to hIe (see mstruct\Olls) 64 Other payments. Check if from . . a 0 Form 2439 b 0 Form 4135 65 Add lines 58, 59, 60a, and 61 through 64. These are your total payments 66 IIlme 65 IS more than line 57, subtract Ime 57 from line 65, ThiS IS the amount you overpaid 67 a Amount of line 66 you want refunded to you .. b Routing number .. d Account number 68 Amount af line 66 you want applied to your 200' e1.timilted tal 69 If line 57 IS more than line 65, subtract line 65 from line 57. ThiS IS the amount you owe. For details on how to pay, see instructions 70 Estimated tax penalty. Also Include on line 69 36 8,200. ;J 12,459. 38 5,600. 39 6,859. 40 1 , 031. 41 O. .. 42 1,031. 43 44 45 46 47 48 49 50 ~ 51 52 53 54 55 56 ~ 57 1,031. 1,031. 58 59 60. 2,603. 61 62 63 64 ~ 65 66 ... 6720 2,603. 1,572, 1,572. .. c Type: o CheckIng o SavIngs .168 I ~ 69 I 70 I :::':':~:::::::;~:; ;,.;.,.;<.;.,:;.:.:.:...... ...............:.;.:.:.;.:.:.,.:.,.,.,.,.,.,.,.".:. :,.;:;,;;: .::.V; ",;",:,:,;,:,:';';" :i Under penalties 01 per)l,ry, I declare that I have examined thiS return and accompanying schedules and statements, and to the be:;1 of my knowledge and belief, they are true. correct. and complete. Declaralion of preparer (other than taxpayer) IS ba:;ed on all Information of which preparer ha:; any knowledge fDlAQI12 1Q13Ql00 ) Daytime Phone Nlllnber YOll[ Signature 'lour OCCllpntron Date ., VET Spous.e'." SIgnature If a Joint Return, Both Must Sign Spouse's Occupation Date "Filin as surviVln souse BOOKKEEPER Dale Preparer's .... Signature ,.. Firm's Name (or yours Ii self.employed), Addres'i.. and ZIP Code 07/31/2001 Checkdself.employed WENDY S FUNCK ~ 4677 BOSSLER ROAD ELIZABETHTOWN EIN Phone No (717) 367-1404 Form 1040 (2000) PA 17022 Schedule C (form 10110) Profit or Loss from Business (Sole Proprietorship) ... Partnerships, joint ventures. etc, must file Form 1065 or Form 1065-8. ~ Attach to form 1040 or Form 1041. ... See instructions for Schedule C(form 1040). Department of the Treasury Internal Revenue Service (99) Name of Proprietor OMS No. 1545.0074 Sociill Security Number (SSN) 2000 09 ROBERT R WEBER 193-12-8326 B En.ter CoO trom IMtr\lctio"" I A PrinCipal Business or Profession, Including Product or Service (see instructions) VETERANARIAN SERVICES ~ 541940 D Employer 10 Number (EIN), jf Any C Busme'.>'.; Name If No Separate Busines5 Name, Lea'lf:! Slank ROBERT R. WEBER, VMD 23-1500750 E BC"tysIflTessAddrp"'t(oi"HclUdlngl'luile.o~,rpooCmdno.,.. _6.!~ _W] !:.L)~~S_ ~BQY!_~Ol'Q _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - _ _ - -, I. own or os Ice,Sae, "-, 0 e MECHANICSBURG PA 17055 F Accounting method: (1) 0 Cash (2) 0 Accrual' (3) [] Other (specify) ~ _H'f~R)Q _ _ _ _ _ _ _ _ _ _ __ G Old you 'materially participate' in the operation of this business dUring 2000? If 'No,' see Instructions for limit on losses. tRf Yes No H If you started or acquired this business dUring 2000, check here .. Pildl} Income Gross receipts or sales. Caution: If thiS income was reported to you on Form W.2 and the 'Statutory employee' box all that form was checked, see the instructIOns and check here 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42 on page 2) ~D 5 Gross profit. Subtract line 4 from line 3 6 Other Income, Including federal and state gasoline or fuel tax credit or refund 7 Gross income. Add lines 5 and 6 Pi.J:l\fg\~ Ex enses. Enter expenses for business use of your home only on line 30. 8 AdvertiSing 8 479. 19 Pension and profit-sharing plans 20 Rent or lease (see Instructions): a Vehicles, machinery, and equipment b Other bUSiness property 21 Repairs and mamtenance 22 Supplies (not InclUded In Part III) 23 Taxes and licenses 24 Travel, meals, and entertainment: a Travel 9 Bad debts from sales or services (see Instructions) 10 Car and truck expenses (see mstrs) . 11 COmmlSS.lOnS and Tees 12 Depletion 13 Depreciation and Section 179 expense deduction (not Included In Part III) (see Instructions) 9 10 11 12 4,532. 14,936. 13 2,644. 14 Employee benefIt programs b Meals and (other than on line 19) 14 entertainment 3 7 c Enter nondeductible 15 Insurance (other than health) 15 1 . 18. amount Included on line 16 Interest: 24b (see instructions) a Mor\gage (paid to banks, etc) 16a d Subtract line 24c from line 24b bOther 16b 6, 192. 25 Utilities 17 Legal & profeSSional services 17 1 896. 26 Wages (less employment credits) 18 Office expense 18 1 153. 2:J Other expenses (from hne480n page 2) 28 Total expenses before expenses for business use of home. Add lines 8 through 27 in columns 1 2 3 4 5 6 ~ 7 19 20. 20b 21 2Z 23 24. 171,804. 171,804. 32,337. 139,467. 139,467. 400. 2,880. 4,392. 8,994. 434. 24d 25 4,593. 26 54,123. 27 16,794. ~ 28 138,160. 29 1,307, 30 29 Tentative profit (loss). Subtract line 28 from line 7 30 Expenses for bUSIness use 01 your home. Attach Form 8829 31 Net profit or (loss). Subtract line 30 from line 29. . If a profit, enter on Form 1040, line 12, and also on Schedule SE. line 2 (statutory employees, see Instructions). Estates and trusts, enter on Form 1041, line 3 . If a 1055, you must go to line 32. 32 If you have a loSS, check t~le box that describes your investment In thiS activity (see InstructIons). l . If you checked 32a, enter the loss on Form 1040, line 12, and also on Schedule SE,line 2 (statutory employees, see InstructIons). Estates and trusts, enter on Form 1041, ilne 3. . It you checked 32b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZOl12 11/21100 31 } 1,307. !VI All Investment IS 32a ~ at fisk. :jllllle II\lle~t!1lel\t 32 b IS not at fisk. Schedule C (Form 1040) 2000 SCheduleC(Form 1040)2000 ROBERT R WEBER 193-12-8326 Pa e2 .iii!lilll%/ Cost of Goods Sold (see Instructions) 33 Method(s) used to value closing inventory: a 0 Cost b 0 Lower of cost or market c U Other (attach explanation) 34 Was there any change In determining quantities, costs, or valuations between opening and closing Inventory? If 'Yes,' attach explanation '.' '..,. >. . . . . '. . .. . . . . '. 35 Inventory at beginning of year. If diHerent from last year's closing Inventory, attach explanation 35 2,320. 36 Purchases less cost of items WIthdrawn for personal use 36 32,838. n Cost of labor. Do not Include any amounts paid to yourself '37 38 Materials and supplies 38 39 Other costs 39 40 Add lines 35 through 39 4ll 35,158. 41 Inventory at end of year 41 2,821. 42 Cost of Piirtntr oods sold. Subtract line 41 from line 4D. Enter the result here and on page 1, llne 4 42 32,337. Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 10 and are not required to file Form 4562 for this bUSiness. See the instructions for line 13 to find out if you must file. 43 When did you place your vehIcle in servIce for business purposes? (month, day, year) ~ 44 Of the total number of miles you drove your vehicle during 2000, enter the number of miles you used your vehicle for: a BUSiness _ ~ _ _ _ _ _ _ _ _ ~ b Commuting _ _ ~ _ _ _ _ _ _ _ _ c Other ~ _ ~ ~ _ ~ _ ~ _ _ ~ 47a Do you have eVIdence to support your deduction? DVes DNo Dves DNo Dves 0 No 45 Do you (or your spouse) have another vehIcle avaUab(e for personal use? 46 Was your vehIcle a\lailable tor use dUring otf.duty hours? bit 'Yes, IS the evidence written? . nVes nNo Prt'V Other Expenses. expenses If.'. ))1 List below bUSiness not Included on (lnes 8 ~ 26 or lIne 30. LAB FEES - ~ - - - ~ - - - - - - -- - - - - - ~ - - - - - ~ - - ~ - - ~ - - - - - - - - - - - - - - - 8, 433 ~ - - TEMPORARY - HELP - - - - ~ - - - ~ - - - - - 355 ------- ~ - - - - - - - - - - - ~ - ~ - - - - - - ~ - - - - ~ - - - - ~ TELEPHONE - - - - - - - - - - - - - ~ - - - - - - - - 4, 357. ------- ~ - - - - - - - - ~ - - - - - - - - -- - - - - - - -~ DUES & - S~U EI?C_R] I".T..I .9r:!~ - - - - - - - - - - - -- - - - - ~ - - - - 303 - - - - - - - - - - - - - - ~ - - - - Jl]!~Wi:?S_ GIFTS ~ - ~ - - - ~ ~ ~ ~ ]23 - - - - - ~ - - ~ - - - - ~ ~ - - - - - - ~ ~ - ~ - - ~ - - - - ~ - ~ - BANK ~i:.~VEE_ <:1:!~R~i:.~ - - - - - ~ - - - - ~ -- ~ - - - 76] - - - - - - - - - - - - - - - - - - - - - - - - Jill!,CH!O_N_ - - - - -- - - - - - - - - - - - - - - - - -~ - - ~ - - - - - ~ - ~ ~ - ~ - - - - ~ -~ - - - - 95 111~Cj:1 ~A_N.i:QU5 - - - - - - - - - - - - - - - - - - - ~ - - ~ - - ~ - - ~ - - - - ~ - - - - - - - 1 14] ~ - - - - - See Line 48 Other Expenses 1 226 48 Total other expenses. Enter here and on page 1, line 27 148 16, 794 Schedule C (Form 1040) 2000 FDIZD1] 2 06/23/00 Schedule 0 (Form 1040) Capital Gains and Losses OMS No. 1545.0074 Department 01 the Treasury Internal Re\tenueSefYice (99) Name(s) Shown on Form 1040 .. Attach to Form 1040. .. See instructions for Schedule 0 (Form 1040). .. Use Schedule D~ 1 for more space to list transactions for lines 1 and 8. 2000 12 Your Social Security Humber ROBERT R WEBER & CHERYL L CAREY 193-12-B326 Pitt}}',' Short-Term Ca ital Gains and Losses Assets Held One Year or Less (a) Description of (b) Date acquired (e) Date sold (d) Sales price (e) Cost or (1) Gain or (Io..) property (Example: (Mo, day. yr) (Mo, day, yr) (see instructions) other basIs Subtract (e) from (d) 100 shares XYZ Co) (see Instructions) 2 Enter your short-term totals, If any, from Schedule 0-1, line 2 .. . 2 3 Total shor1~term sales price amounts. Add column Cd) of lines 1 and 2 3 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . '. 4 5 Net short. term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-l 5 6 Short.term capital loss carryover. Enter the amount, If any, from line 8 of your 1999 Capital Loss Carryover Worksheet 6 7 Net short~term capital ain or (Joss). Combine column (f) of lines 1 throu h 6 .. 7 p_rtP(,I"/ Lon -Term Ca ital Gains and Losses Assets Held More Than One Year (a) Descnption of (b) Date acquired (C) Date sold (d) Sales price (e) Cost or (1) G.in or (Ion) property (Example' (Mo. day, yr) (Mo. day, yr) (see instructions) other basIs Subtract (e) from (d) 100 shares XYZ Co) (see instructions) 1625,09 SH (g) 28% rate g.in or (loss) . (see instructions below) 8 AXP EQUI Var I OU5 Y 02/16/00 16,000. 19,610. -3,610. 9 Enter your long. term totals, If any, from Schedule D-1, line 9 10 T otallong.term sales price amounts. Add column (d) of lines 8 and 9 9 10 16,000. 11 Gain from Form 4797, Part I; long. term gain from Forms 2439 and 6252; and long.term gain or (loss) from Forms 4684,6781, and 8824 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K.l 11 2,463. 12 13 Capital gain distributions. See Instructions 14 Long.term capital loss carryover. Enter In both columns (f) and (g) the amount, If any, from line 13 of your 1999 Capital Loss Carryover Worksheet .. 13 46, 14 16 Net long-term capital gain or (loss). Combine column (f) of lines 8 through 14 __ _~,e~!:._0~_!9__~~~~_ on r:lIJ~_~~___~_ ... 28% rate gain or loss includes all 'collectibles gains and losses' (as defined In the Instructions) and up to 50% of the eligible gain on qualified small bUSiness stock (see Instructions). BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FOIA0612 \0/24/00 ~ 15 Combine column (g) of lines 8 through 14 Schedule 0 (Form 104()) 2000 Combine lInes 7 and 16. If a loss, go to line 18. If a gain, enter the gain on Form 1040, line 13 Next: Complete Form 1040 through line 39. Then, go to Part IV to figure your tax if: . Both lines 16 and 17 are gaIns and . Form 1040, line 39, is more than zero. Otherwise, stop here. 18 If line 17 IS a loss, enter here and as a (loss) on Form 1040, line 13, the smaller of these losses; . Tne loss on line 17 or . ($3,000) or, if married filing separately, ($1,500) Next: Skip p"rt IV below. Instead, complete Form lO40through line 37. Then, complete the Capital Loss Carryover Worksheet In the Instructions If: . The loss on line 17 exceeds the loss on line 18 or . Form 1040, line 37, is a loss. ..jjl'tlVi' r Tax Com utation Usin Maximum Ca ital Gains Rates 19 Enter your taxable income from Form 1040, tine 39 20 Enter the smaller of line 16 or line 17 of Schedule D 20 21 If you are filIng Form 4952, enter the amount tram Form 4952, line 4e 21 22 Subtract line 21 from line 20. If zero or less, enter .0- 22 23 Combine lines 7 and 15. If zero or less, enter -0. 23 24 Enter the smaller of line 15 or line 23, but not less than zero 24 25 Enter your unrecaptured section 1250 gain, If any, from line 17 of the worksheet In the Instructions 25 26 26 Add lines 24 and 25 27 Subtract line 26 from hne 22. If zero or less, enter .0- 28 Subtract line 27 from line 19. If lero or less, enter .0. 29 Enter the smaller of: -~ . The amount on line 19 or . $26,250 If single; $43,850 if marned flUng IOlntly or quallfYlr\9 wldow(er); $21,925 If married filing separately; or $35,150 If head of household 30 Enter the smaller of line 28 or line 29 ~ 31 Subtract line 22 from line 19. If zero or less, enter .0. 31 32 Enter the larger of hne 30 or lIne 31 ... 32 33 Figure the tax on the amount on line 32. Use the Tax Table or Tax Rate Schedules, whichever applies Note: If the amounts on lines 29 and 30 are the same, skip lines 34 through 37 and go to line 38. 34 Enter the amount from line 29 . ~ 35 Enter the amount from line 30 35 36 Subtract line 35 from line 34. .. 36 '!!7 Multiply line 36 by 10% (.10) Note: if the amounts on hnes 19 and 29 are the same, SKip lines 38 through 51 and go to line 52. 38 Enter the smaller of line 19 or line 27 ~ 39 Enter the amount from I1ne 36 . 39 . 40 Subtract line 39 from line 38 .. 40 41 Multiply line 4() by 20% (.20) Note: If line 26 IS zero or blank, skip lines 42 through 51 and go to line 52. 42 Enter the smaller of line 22 or line 25 43 Add lines 22 and 32 44 Enter the amount from line 19 45 Subtract line 44 from line 43. If zero or less, enter 46 Subtract line 45 from line 42. If zero or less, enter 47 Multiply line 46 by 25% (.25) Note: If line 24 is zero or blank. skip lines 48 through 51 and go to IIn8 52. 48 Enter the amount from line 19 49 Add lines 32, 36, 40, and 46 50 Subtract line 49 from line 48. 51 Multiply line 50 by 28% (.28) 52 Add lines 33, 37, 41, 47, and 51 53 Figure the tax on the amount on line 19. Use the Tax Table or Tax Rate Schedules, whichever applies 42 ~I o. .0. 45 ~46 ~ 50 54 Tax on all taxable income (including capital gains). Enter the smaller of line 52 or Ime 53 here and on Form 1040, line 40 .. ,..."..." _.,'.. ,.", _.,..... ..... _.,'. _.,'.... FDIA0612 10/24/00 193-12-8326 Pa e 2 17 -1,101. 18 19 27 28 29 33 '!!7 41 47 51 52 53 54 Department of the Treasury Internal Revenue Service (99) Narne(s) Shown on Return Supplemental Income and Loss (From rental real estate, royalties, ~artnerships, S corporations, estates, trusts, REMICs, etc) ~ Attach to Form 1040 or Form 1041. ~ See instructions for Schedule E (Form 1040). OMS No, 1545.0074 Schedule E (Form 1040) 2000 13 Your Social Security Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 IPiiii'lml' ::riiI1ncome or Loss from Rental Real Estate and Royalties Note: Report Income and expenses from your bUSiness of renting personal property on Schedule C or C~EZ. Report farm rental Income or loss from Form 4835 on page 2, line 39. Show the kind and location of each rental real estate ro ert : 2 for each rental real, estate 615 WIL LIAMS GROVE ROAD property lISted on Ime I, did you _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ - ~ - - - ~ - - - - or your family use It dunng the MECHANICSBURG, PA 17055 tax year for personal purposes for more than the greater of' .14 days, or . 10% of the_total days rented at fair rental value? (See instructions,) 1 A Yes No A x B B c ~----~------------------~---~~-------~--~ Income: A Pro erties B c C Totals (Add columns A, B, and C,) 3 400. 4 3 Rents received 4 Ro alttes recelved Expenses: 5 AdvertisIng 6 Auto and travel (see Instructions) 7 Cleaning and maintenance 8 Commissions 9 Insurance 10 Legal and other profeSSional fees 11 Management fees 12 Mortgage Interest paid to banks, etc (see Instructions) 13 Other Interest 14 Repairs 15 Supplies 16 Taxes 17 Utilities 18 Other (lIst) .. _ ~ _ _ _ _ _ _ ,.. _ ~ ~ _ 3 4 400. 18 5 6 7 8 9 10 11 12 13 14 15 16 17 19 Add lines 5 through 18 19 20 DepreC1<~lt\On expense or depletlOn (see Instructions) 20 21 Total expenses. Add lines 19 and 20 21 22 Income or (loss) from rental real estate or royalty properties, Subtract Ime 21 from line 3 (rents) or line 4 (royalties), If the result IS a (Joss), see Instructions to find out If you must file Form 6198 22 400. 23 Deductible rental real estate loss. Caution: Your rental real estate loss on line 22 may be limIted. See Instructions to find out if you must file Form 8582. Real estate profeSSionals must complete line 42 on page 2 23 24 Income. Add posItIve amounts shown on line 22. 00 not mclude any losses 25 Losses. Add royalty losses from line 22 and rental real estate losses from line 23. Enter totall055es herr~ 26 T otall-ental real estate and royalty Income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 39 on page 2 do not apply to you, also enter this amount on Form 1040, line 17, OtherWise, Include this amount In the total on line 40 on page 2 ' , . _ . . , . . , , . . . . . BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ2301 I0l19iOO 24 25 400. 26 400. Schedule E (Form 104D) 2000 Schedule F (Form 10<10) Profit or Loss from Farming Department of the TreaStlfY Internal Revenue SeMce (99) Name of Proprietor ... Attach to Form 1040. Form 1041, Form 1065, or Form 1065~B. ... See instructions for Schedule F (Form 1040). ROBERT R WEBER A Principal Product De'.>cribe in One or Two Words Your Principal Crop or Acti....ity for the Current Tal( Year CROPS OMS No_ 1545-0074 2000 14 Soclll Security Number (SSM) 193-12-8326 B Enler Code from Plrt IV ~ I 1111 00 o Employer ID Number (E1N), If Any C Accounting method; (1) fKl Cash (2) 0 Accrual E Did you 'matenally participate' in the operation of thiS business dunng 2oo0? If 'No,' see Instructions for limit on passive losses Ix I Yes I I No I'Piltl:t%H Farm Income - Cash Method. Complete Parts I and II (Accrua' method taxpayers complete Parts II & III. & line 11 of Part I.) 00 not include sales of livestock held for draft, breeding, sport, or dairy purposes; report these sales on Form 4797. 1 Sales of livestock and other items you bought for resale 1 2 Cost or other baSIS of livestock and other items reported on line 1 2 3 Subtract line 2 from line 1 4 Sales of livestock, produce, grains, and other products you raised 5a Total cOQperatwe d\stnbutlollS (Form(s) l099-PATR) \ 5al 6a AgrJcultural program payments (see InstructionS) ~ 7 CommOdity Credit Corporation (CCC) loans (see Instructions): a eee loans reported under election b eee loans forfeited I 7bl 8 Crop Insurance proceeds and certain disaster payments (see InstructIons): a Amount received in 2000 I 8a I c If election to defer to 2001 IS attached, check here .... 0 9 Custom hire (machine work) Income 5b Taxable amount. 6b Taxable amount 7 c Taxable amount 8b Taxable amount 8d Amount deferred from 1999 10 Other Income, Including federal and state gasoline or fuel tax credit or refund (see Instructions) 1.114. 8b 8d 9 10 11 Gross income. Add amounts in the right column for lines 3 through 10. If accrual method taxpayer, enter the amount from a e 2, line 51. . , .. .. . .. 11 1 , 114 . J~.I:I".Q??t Farm Expenses - Cash and Accrual Method. Do not Include personal or liVing expenses such as taxes, Insurance, repairs, etc, on your home. 12 Car and truck expenses (see Instructions - also attach Form 4561) 12 13 Chemicals 13 14 Conservation expenses (see Instructions) 14 15 Custom hire (machine work) 15 16 DepreCiation and Section 179 expense deduction not claimed elsewhere (see instructIons) 16 O. 25 Pension and profit-sharing plans 26 Rent or lease (see Instructions): a Vehicles. machinery. and equipment b Other (land, animals, etc) . 2:l Repairs and maintenance 28 Seeds and plants purchased 2. , 008. 29 Storage and warehOUSing 30 Supplies purchased 31 Taxes. 988. 32 Utilities 33 Veterinary, breeding, and medicine 34 Other expenses (specify): a 17 Employee benefit programs other than on bne 25 . . 17 18 Feed purchased 18 19 Fertilizers and lime 19 20 Freight and trucking 20 21 Gasoline. fuel. and oil 21 22 Insurance (other than health) 22 23 Interest a Mortgage (paid to banks, etc) 23a bO~M Db 24 labor hlled (less employment credits) 24 35 Total expenses. Add lines 12 through 34f 36 Net fann profit or (loss). Subtract line 35 from IlI1e 11 If a profit, enter on fonn 1040, line 18, Jnd also 011 Schedule SE, line 1. If a loss, you must go on to IlIle 37 (estates, trusts, and partners\'ups, see lI1StluctlOllS) ~ If you hnve a loss, you must r.hpck thA nnx that rlp<;(Tlhp':' YOIIf InvP'c;tmf'nf In II"w.... .-]CllvIIV ( .u, WI .11"1 IrlI1iI-I':) b c d . . If you checked 37a, enter the loss on Form 1040, line 18, and also on Schedule SE, line 1. . If you checked 37b, you must attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ0212 10/24/00 26a 26b 27 28 29 30 31 32 33 1,027. 996. 3,131. 420. 34. 34b 34c 34d 34. 341 ~ 35 8.570. 36 -7,456. -~ "5Ja f){l AlllnvesttT1enl ~Is;ltn!'.k. 37 b 0 Some Investm. eo' ~ IS not at nsk Schedule F (Form 104()) 2000 Form 4562 Depreciation and Amortization (Including Information on Listed Property) Department of the Treasury ~ See separate instructions. Internal Re~enlle Ser~ice (99) .. Attach this form to your return. N;~~S~ :h;wnRon :e;; E R & C HER Y L L CAR E Y I ~L~j~eSScor ~~V;YEt~;~C~~h; ;~m ~e~a;~ ICE 5 fe.,UIE! Election to Expense Certain Tangible Property (Section 179) Note: If you have any 'listed property' complete Part V before you complete Part f " Maximum dollar limItation. \f an enterprise zone business, see instructions 2 Total cost of Section 179 property placed in serVice, See instructions 3 Threshold cost of Section 179 property before reduction in limitation 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- OMS No. 1545-0172 2000 67 Identi1yiltO Humber 193-12-8326 1 2 3 4 $20.000. $200,000. 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or le5S, enter .0., If married filing separate I , see Instructions 5 6 (a) Description of property (b) Cost (business use only) (c) Elected cost 7 listed property. Enter amount 1rom \lne 27 7 8 Total elected cost of Section 179 property. Add amounts In column (c), lines 6 and 7 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10 Carryover of disallowed deduction from 1999. See Instructions 1Q 11 BUSiness Income limitation. Enter the smaller of bUSiness Income (not less than zero) or line 5 (see Instrs) 11 12 Section 179 expense deduction. Add lines 9 and la, but do not enter more than line 11 12 13 Carr over of disallowed deduction to 2001. Add lines 9 and 10, less line 12 ~ 13 Note: Do not use Pari 11 or Part III below for listed property (automobiles, certain other vehicles, cellular telephones, certain computers. or property used for entertainment, recreation, or amusement). Instead, use Part V for listed property IP.nrMWNiJ MACRS Depreciation for Assets Placed in Service Only During Your 2000 Tax Year (Do not Include listed property.) Section A - General Asset Account Election 14 If you are making the election under Section 168(1)(4) to group any assets placed in service dUring the tax year into one or more general asset accounts, check this box. See Instructions. .' . .' .' . Section B General OeoreciatlOn System (GOS) (See Instructions) (a) (b) Month and (C) BaSIS for depreci;;.tion (d) (e) (f) Classification of property year placed (business/investment use Recovery period Carwentlor. Method In service only - see instructions) ~ (g) Depreciation deduction ,:,:,:"::;':':': :u/: :;\ff:\: :,:::,:,~: ':""":':',':"':':::' .~i.:fM~F 15a 3.year property b 5-year property c 7.year property d 1O-year property e 15'year property f 20.year property 9 25.year property h ReSidential rental property ., . . j NonreSidential real property . . . ,':.,::.;.:.;.:.:.:.,.:., .".',:,:.:.:.:.::,:.'. .::::;:,;:::;,:. ~:< '."".:..' :;::::.~:. .:.:.,.'.:.::,: ::':::':;::::::: ,:;\\:}W .':':':::' ....., :::::,::::,:::::: .,...'.'.'.':..'.,:.v .....,...:.:.:... ::;:::::'::':~:: :!.:~.:::; ....... .."..... i}{ ;::::::::::':::::::::: ::::::',: :.",.:.: ",'.",:. :"::::::::'::"":'" ',:,~.::",,':"':" ". ..... MM MM MM MM reciation System (ADS) (See instructions) 25 yrs 27 5 yrs 27 5 yrs 39 vrs SI L S/L SI L S/L SI L :':"'::"::'-:,:,:';' 12 rs 40 r 5 MM reciation (00 not include listed propert .) (See Instructions) 17 GDS and ADS deductions for assets placed In service In tax years beginning before 2000 18 Property subject to Section 168(f)(1) election 19 ACRS and other depreciation IPlirtlY}}'j Summary (See Instruellons) 20 Listed property. Enter amount from line 26 21 Total. Add deductions from line 12, lines 15 and 16 In column (g), and lines 17 through 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations ~ see Instructions .. . . .. S/L S/L S/L H*- 18 19 561. 20 2,083. 21 2,644. 22 F or assets shown above and placed In service dUring the current year, enter the portion of the baSIS attributable to SectIOn 263A costs BAA For Paperwork Reduction Act Notice, see instructions. t{/:Wl(:(!.fIWtf( :':'::";"":";':::'. ::!,::j{{,;:)::j:: :~';:~"::;:;'.~p:;f ,:,..:,:,~:,:::: '. :::.,..,.. 22 FDIZ0812 10/26/00 Form 4562 (2000) ForrTl 4562 (2000) ROBERT R WEBER & CHERYl L CAREV . 193-12-8326 Page 2 LP.K!V)~~~r{t~d listed Property (Include automobIles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement) Note: For any vehicle for which you are using the standard mileage rate or deducting (ease expense. complete only 23a, 23b, columns (a) through (c) of Section A, all of SectIOn B. and SectJon C If applicable S A 0.. dO If C S ectioo eDreclatlon an ther n ormlltlon ( aution: ee ins/wetions for limits for passenaer automobiles) 23a Do you have eVidence to support the business/investment use claimed? rX-l Yes [-I No!23b If'Yes,'istheevldencewntten? Jl Yes IXl No (0) (b) (c) (d) (e) (f) (g) (h) (i) Type of property (ltst Date placed Busolnessl Cost or Basis for depreciation Recove/)' Method! Depreciation Elected lIehlcle~ first) In service investmer1t other basis (businessfin\lestrnent penod ConventIon deductIon Section 179 U~ Lise only) cost percentage 24 Property used more than 50% In a Qualified bUSiness use (see instructions): 85 CHEVY 07/01/95 100.00 5,000. 5,000. 5.00 SL/HV 444. 97 CHEVY 12/01/96 100.00 23,741. 13.623. 5.00 200DB/HV 1,639. 25 Propert used 50(1/0 or less in a qua\\1ied business use (see instructions): 26 Add amounts in column (h). Enter the total here and on line 20, page 1 .1 26 2J Add amounts In column (I). Enter the total here and on line 7, page 1 Section 8 - Information on Use of Vehicles Complete thiS section for vehicles used by a sole propnetor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions in Section C to see If you meet an exception to completing thiS section for those vehicles. (0) (b) (c) (d) (e) (f) 28 Total buslnesslinvestment miles dnven Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 during the year (do not Include commuting 5.000 30,000 miles - see Instructions) . 29 Total commuting mJlesdnven dUring the year 30 Total other personal (noncom muting) miles driven 0 0 31 Total miles driven dUring the year. Add lines 28 through 30 5,000 30,000 Yes No Yes No Yes No Yes No Yes No Yes No 32 Was the vehicle available for personal use dUring oH.duty hours? .. X X 33 Was the vehicle used primarily by a more than 5% owner or related person? .. X X 34 Is another vehicle available for personal use? X X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine If you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons. See Instructions. 35 Do you maintain a written poliCY statement that prohibits all personal use of vehicles, Including commuting, by your employees? 36 Do you maintain a written poliCY statement that prohibits personal use of vehicles, except commuting, by your employees? See instructions for 'Jehlcles used by corporate officers, directors, or 1% or more owners '57 Do you treat all use of vehicles by employees as personal use? . Yes No 38 Do you prOVide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the Information received? 39 Do you meet the requirements concerning qualified automobile demonstration use? See Instructions Note: If your answer to 35. 36, 37. 38, or 39 is . Yes, . you need not complete Section B for the covered vehicles Amortization (0) (b) ~---I-----T (c) (d) (e) Amortlz<lble Code Amortization <ll11ount Section period Of percentage (f) Amortization for thl~ year DeSCription ofcosls Dale amortllation begins 40 Amortization of costs that begins during our 2000 tax year (see Instructions) ==F ---- --+- - ~4421 - 41 Amortization of costs that began before 2000 _ 42 Total. Add amounts In column (f). See Instructions for where to report FDIZ0812 10/26/00 Form 4562 (2000) Depreciation and Amortization (Including Intormation on Listed Property) Department of the T re;;lSUfY ... See separate instructions. Inlemal Re~enue Service (99) .. Attach this form to your return. 67 N;~~s~~n;wn;n:e;;ER & CHERYL L CAREY l;~~e;~;~~t~:;;lc~~:~;~r~~e~~NICSBURG ~d;7i;g;:~b;r26 !P~f@U<1 Election to Expense Certain Tangible Property (Section 179) Note: If you have any 'listed property. ' complete Part V before you complete Part I. 1 Maximum dollar limitation. If an enterprise zone business, see instructions 2 Total cost of SectIon 179 property placed in service. See instructions 3 Threshold cost of Section 179 property before reduction In limitation 4 Reduction in limitation. Subtract line 3 from fine 2. If zero or less. enter .0- Form 4562 OMS No. 1545.01 72 2000 1 2 3 4 $20,000. $200.000. 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter .0-, If married filing S8 aratel ) see instructions 5 6 a) Descriplion of property (b) Cost (business use only) (c) Elected cost 7 LIsted property. Enter amount from line 27 7 8 Total elected cost of Section 179 property. Add amounts in column (c), lines 6 and 7 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10 Carryover of disallowed deduction from 1999. See instructions 10 11 Business Income limitation. Enter the smaller of business Income (not Jess than zero) or line 5 (see Instrs) 11 12 Section 179 expense deductIon. Add lInes 9 and 10, but do not enter more than line 11 12 13 Carr over of disallowed deduction to 2001. Add lines 9 and 10, less line 12. ... 13 Note: Do not use Part fI or Part III below for listed property (automobiles, certam other vehicles, cellular telephones, certain computers, or property used for entertainment, recreation, or amusement). Instead. use Part V for listed property !PiltJtiWnil MACRS Depreciation tor Assets Placed in Service Only During Your 2000 Tax Year (Do not Include listed property.) Section A - General Asset Account Election 14 If you are makmg the election under Section 168(i)(4)to group any assets placed in service dunng the tax year into one or more eneral asset accounts, check thiS box. See Instructions. . . . . . . .. ... Section 8 - General De reciation System (GDS) (See InstructIons) (a) (b) Month and (C) Basis tor depreCiation (d) (e) (1) (g) Depreciation Classification of property year placed (buslnesslinvestmenl use P.eco'Jery perIOd COIl\fentlon Method deduction In service only - see instructions) 9 25.year property h ReSidential rental property i Nonresidential real property MM MM MM MM Section C - Alternative Depreciation System (ADS) (See Instructions) 25 27.5 27.5 39 S/L S/L S/L S/L S/L b 12~ ear 12 rs c40~year 40 rs MM Jl'idiQt:'iii Do not Include listed propert .) (See Instructions) 17 GDS and ADS deductions for assets placed In service In tax years beginning before 2000 18 Property subject to Section 168(f)(1) election 19 ACRS and other depreciation Rirt", Summa (See Instructions) 20 Listed property. Enter amount trom line 26 21 Total. Add deductions from line 12, lines 15 and 16 In column (g), and lines 17 through 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see Instructions S/L SIL S/L 17 18 19 2.003. 5. 20 o. 21 2,008. :-";".-:::::,:::;:,;::::~::::;:~: .......;.:...w. ;{w.?r{(.::: 22 For assets shown above and placed In service dunng the current year, enter the portion of the baSIS attributable to Section 263A costs _ , . , ' _ , _ _ _ , . BAA For Paperwork Reduction Act Notice, see instructions. 22 FDIZ0812 IQ/26/00 Form 4562 (2000) Form 4562 (2000) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 feinUM f1jJ Listed Prorerty (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertalnmen , recreation, or amusement) Note: For any vehicle for which you are USing the standard mlfeage rate or dedUGt.mg lease expense, complete only 23a. 23b. columns (a) through (c) of Section A all of Section B. and Section C If applicable Section A Depreciation and Other Information (Caution: See instructions for (,mits for passenaer automobiles_) 23a Do you have eVidence to supporllhe bUSineSS/investment use claimed? Ixl Ves I I No IZ3b If 'Yes,' is the eVidence wnllen? . I I Ves Ixl No (a) (b) (c) (d) (e) (I) (g) (h) (i) Type of property (list Dale placed Buslnessl Cost or Basis for depreciation Recovery Methodl Depreciation Elected Investment vehicles first) In service "" other basIs (buslnesslinvestrnent period Convention deduction Section 179 percentage use only) cost 24 Property used more than 50% In a qual1fied bUSIness use (see Instructions): FARM TRUCK 07/01/90 100.00 12,650. 12,650. 5.00 150DB/HY O. 25 Propert used 50% or less in a qualified business use (see instructions): 26 Add amounts in column (h). Enter the total here and on line 20, page 1 26 2:l Add amounts In column (i). Enter the total here and on line 7. page 1 Section B - Information on Use of Vehicles Complete thiS section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questIons In Section C to see if you meet an exception to completing thiS section for those veh!cles. (a) (b) (c) (d) (e) (I) 28 Total business/Investment miles driven Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 dUring the year (do not Include commuting miles ~ see instructions) . _ 3,000 29 Total commuting miles dnvendunng the year 30 Total other personal (noncom muting) miles driven . 0 31 Total miles driven dUring the year. Add lines 28 through 30 3 000 Ves No Ves No Yes No Ves No Yes No Yes No 32 Was the vehicle available for personal use dUring off-duty hours? . , , X 33 Was the vehIcle used primarily by a more than 5% owner or related person? X 34 Is another vehicle available for personal use? X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine If you meet an exception to completing Section 8 for vehicles used by employees who are not more than 5% owners or related persons, See instructions. 35 Do you maintain a written poliCY statement that prohibits all personal use of vehicles, Including commuting, by your employees? 36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1 % or more owners '57 Do you treat all use of vehicles by employees as personal use? 38 Do you prOVide more than five vehicles to your employees, obtain Information from your employees about the use of the vehicles, and retain the Information received? 39 Do you meet the requirements concerning qualified automobile demonstration use? See instructions Note: If your answer to 35, 36. 37. 38. or 39 IS 'Yes, . you need not complete SectIOn B for the covered vehicles !'flartVl"""""''''1 Amortization Ves No (a) (b) (c) (d) (e) (1) De'i-cnptlon of costs Dateamorlizatlon Amortizable Code Amortization Amortization beginS amo,mt Section period or for thiS year percentage 40 Amortization of costs that begins dunng your 2000 tax ear (see Instructions): 41 42 41 Amortization of costs that began before 2000 42 Total. Add a~ounts in column (t). See instructions for where to report FDIZ0812 10/26/00 Form 4562 (2000) Form 6252 Installment Sale Income OMS No 1545-022B Departmentollhe Treasury Internal Re....enue Service Name(s) Shown on Return .. See separate instructions. .. Attach to your tax return. .. Use a separate form for each sale or other disposition of property on the installment methoc:l. 2000 79 WenutyinQ Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 1 Description of property . JQ _WJ~151t1P551f! 52 '-L fI!;~H_ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ __ _ __ __ __ __ __ 2a Date acquired (month, day, year)" Va r; OU5 bOate sold (month, day, year) .. 12/01/1999 3 Was the property sold to a related party after May 14, 1980? See instructions. If 'No,' skip line 4 0 Yes ~ 4 Was the property you sold to a related party a marketable security? If 'Yes,' complete Part III. If 'No,' com lete Part III for the ear 01 sale and the 2 ears after the ear of sale No eiJrtl:I'It: Gross Profit and Contract Price. Com lete thiS art for the ear of sale onl 5 Selling price including mortgages and other debts. Do not Include interest whether stated or unstated 6 Mortgages and other debts the buyer assumed or took the property subject to, but not new mortgages the buyer got from a bank. or other source . 6 7 Subtract line 6 from line 5 . 7 8 Cost or other basIs of property sold 8 9 Depreciation allowed or allowable 9 10 Adjusted basis. Subtract line 9 from line 8 10 11 Commissions and other expenses of sale 11 12 Income recapture from Form 4797, Part III. See Instructions 12 13 Add lines 10, 11, and 12 13 14 Subtract line 13 from line 5. If zero or less, stop here. Do not complete the rest of this form. 14 15 (f the property descnbed on line' above was your main home, enter the amount of your excluded gain. OtherWise, enter -0-. See Instructions. . . 15 16 Gross profit. Subtract Hne 151rom line 14 16 17 Subtract line 13 from line 6. If zero or less, enter -0- 17 18 Conlract price. Add line 7 and line 17 18 IPiJif.N:'JId Installment Sale Income. Complete thiS part for the year of sale and any year you receive a payment or nave certain debts you must treat as a payment on Installment obligations. 19 Gross profit percentage. DIVide line 16 by line 18. For years after the year of sale, see instructIons 19 20 For year of sale only: Enter amount from line 17 above; otherWise, enter -0- 20 21 Payments received dUring year. See Instructions. Do not Include Interest, whether stated or unstated 21 22 Add lines 20 and 21 22 23 ~~~~~~t~t~~~JI~~~~~t~~~O~ years. See instructions. Do not include interest, W_ 7, 000. jty):( 24 InstaUment sale income. MultIply 110e 22 by line 19 24 25 Part of line 24 that is ordinary Income under recapture rules. See instructions 25 26 Subtract line 25 from line 24. Enter here and on Schedule D or Form 4797. See instructions. 26 1l?tt'llli'Id Related Party Installment Sale Income. Do not complete If you received the final payment thiS tax year. Z7 Name, address, and taxpayer IdentifYing number of related party _ _ _ _ _ _ _ _ _ _ _ ~ _ _ ~ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 1 .0000 O. 2,463. 2.463, 2,463. 2.463. 28 0;; th; r-;I;t;d p;rt~ ~e~eil ; di;p~S; ~f th; ;r;-p;rtY (';e~O~d-d~po;t~r=;:) d~r!~g-t~s-t;x y;a;? - .- - ~ - - - - - ~ 0- y~; - -0 No~ - - 29 If the answer to question 28 is "Yes,' complete lines 30 through ~ below unless one of the fOllowing conditions is met. Check the box that applies. a 0 The second dispOSition was more than 2 years after the first disposition (other than dispositions of marketable securities). if thiS box IS checked, enter the date of diSposition (month, day, year) b ~ The tirst dISposition was a sale or exchange of stock to the Issuing corporation. c The second dispOSition was an Involuntary converSion and the threat of conversion occurred after the fllst dispOSition. d The second diSpOSition occurred after the death of the anginal seller or buyer. . e It can be established to the satisfaction of the Internal Revenue Service that tax aVOIdance was not a pnnclpal purpose for either of the diSpositions. If thiS box IS checked, attach an explanation. See Instructions, 30 Selling prrce of property sold by related party 30 31 Enter contract price from IIn8 ] 8 for year of first sale 31 32 Enter the smaller of line 30 or line 31 32 33 Total payments received by the end of your 2000 tax year. See Instructions 33 34 Subtract line 33 from ltne 32. If zero or less, enter .0. 34 35 Multiply line 34 by the gross profit percentage on Illle 19 for year of first sale 35 36 Part of line 35 that IS ordinary Income under recapture rules. See instructions 36 "57 Subtract line 36 from line 35. Enter here and on Schedule D or Form 4797. See instructions '5l BAA For Paperwork Reduction Act Notice. see separate instructions. FDlZ1501 12127100 ~ Form 6252 (2000) ROBERT R WEBER & CHERYl c -.:AREY 193-12-83~_ Schedule C Line 48 Other Expenses POSTAGE INTERNET 756. 470. Total 1,226. Form 1 040 DECEASED ROBERT R WEBER 05/03/2001 Department of the Treasury - lntemal Revel"lUe Sel"lice U.S. Individual Income Tax Return 1(99) IRS use only - Do not write or staple in this space. 2001 For the year Jan 1 - Dee 31,2001, or other tax year beginning ,2001, endmg ,20 OMS No. 1545-0074 label Your First Name . MI Last Name Your Social Security Number (See 'lnstruclions.) ROBERT R WEBER 193-12-8326 If a Joint Return, Spouse's First Name MI last Name SpoU"'. Social Sec\lrit>>' Number Use the IRS label. CHERYl L CAREY 176-34-9728 Otherwise, Horne Address (number and street). If You Have a P,O. Box, See Instructions. Apartment No . Important! . please print or type. 615 WILLIAMS GROVE ROAD You must enter your social City, Town or Po...t Office, II You Ha'4e a Foreign Atltlress, See Instructions. State ZIP Code security number(s) above. Presidential MECHANICSBURG PA 17055 Election Campaign (See instructions.) Filing Status Check only one box. Exemptions If more than SIX dependents, see Instructions. Income Attach Forms W-2 and W-2G here. Also attach Form(s) 1099-R jf tax was withheld. It you did not get a W-2, see instructions. Enclose, but do not attach, any payment. Also, please use Form 1040-V. Adjusted Gross Income .... No b X Spouse c Dependents: (2) Dependent's social securrty number (3) Dependent's relationship to you ~ Note: Checking 'Yes' will not chang.e your tax or reduce your refund. Do you, or our spouse If fllln a JOint return, want $3 to 0 to thiS fund? . 1 Single 2 X Married filing joint return (even if only one had income) 3 Married filing separate return. Enter spouse's SSN above & full name here ~ 4 Head ot household (with qualifying person). (See Instructions.) If the qualifying person is a child but not your dependent, enter this child's name here ~ 5 Oualiflng wldow(er) With dependent child (year spouse died'" ). (See instructions.) 6a X Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax return, do not check box 6a . ..,. . .. . . . . . . . . . ,. . . . ". . . d 10tal number of exemptions claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-2 8a Taxable interest. Attach Schedule B If required b Tax-exempt interest. Do not Include on line Sa 9 Ordinary dividends. Attach Schedule B if required 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) 11 Alimony received 12 BUSiness income or (loss). Attach Schedule C or C-EZ 13 Capital gain or (loss), Attach Schedule 0 if required. If not required, check here 14 Other gains or (losses). Attach Form 4797 15a Total IRA distributions . . I 15al I b Taxable amount (see Instrs) . 16a Total pensions & annuities ~ b Taxoble amount (see InstTs) 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 18 Farm income or (loss). Attach Schedule F 19 Unemployment compensation 20a Soclal s.ecurity benefits I 20al 21 Other Income ~--~-~------------~-~-----------~---- 22 Add the amounts in the far right column for lines 7 through 21. ThiS is your total income ~ 23 IRA dedu~tlon (see instructions) 23 24 Student loan Interest deductlOn (see Instructions) 24 25 Archer MSA deduction. Attach Form 8853 25 26 MOVing expenses. Attach Form 3903 26 27 One"half of self-employment tax. Attach Schedule SE 27 28 Self-employed health insurance deduction (see instructions) 28 29 S8lf~employed SEP, SIMPLE. and qualified plans 29 30 Penalty on early withdrawal of savings 30 31 a Alimony paid b Recipient's SSN ~ 32 Add lines 23 through 31a 33 Subtract line 32 from line 22. ThiS is your adjusted gross income. BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FDIAOl12 12110101 (1) First name Last name I sbl ~D \ b 1 axable amount (seelnstrs) ~ NO.ofboxe. checked on . 6a and6b . ~ No.o1yollr , . children on (4) if 6cwho: ch~l~a~~i~fiild . lilled tax credit with you (see instrs) . did not livewith)'ou due todlllorce or separation (.eeinstrs) . 7 Sa 9 10 11 12 13 14 1Sb 1Gb 17 1S 19 20b 21 22 2 Dependents on 6<; not entered abolle . Add numbers entered on fines above . ~ o. -10,739. 2,641. -6,189. -1,719. 32 ~ 33 -1,719. '", '~~"/;::;;-..... ';1r\~J! (2001) i'\~::~:~I\~:::/)U':::.J V Form 1040 (2001 Tax and Credits Standard Deduction for - . People who checked any box on line 35a or 35b or who can be claimed as a dependent, see instructions. . All others: SIngle: $4,550 Head of household, $6,650 Married filing jointlx or QualifYing widow(er), $7,600 Married filing separately, 3800 Other Taxes Payments If you have a qualify'lng child, attach Schedule EIC. FDlA0l12 12/1 OIGi Refund Direct deposit? See instructions and fill in 68b, 68c, and 68d. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Preparer's Use Only ROBERT R WEBER & CHERYL L CAREY 34 Amount from line 33 {adjusted gross income) . 35a Check If: [K] You were 65/0Ider, 0 Blind; 0 Spouse was 65/0Ider, Add the number of boxes checked above and enter the total here. 1_ b If you are married filing separately and your spouse itemizes deductions, or you were a dual-status allen, see Instructions and check here 36 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ~ Subtract line 36 from line 34 38 If line 34 is $99,725 or less, multiply $2,900 by the total number of exemptions claimed on line 6d. If I\\\e 34 IS over $99,725, see the worksheet m the instructions . ". . .. 39 Taxable income. Subtract line 38 from Ime 37 If line 38 is more than line 37, enter .0-,..".,. ..., ."", ..,. 40 Tax (see instrs), Check if any tax is from a 0 Form(s) 8814 b 0 Form 4972 41 Alternative minimum tax (see instructions). Attach Form 6251 42 Add lines 40 and 41 43 Foreign t~x credIt. Attach Form 1116 if required 44 Credit for child and dependent care expenses. Attach Form 2441 45 Credit for the elderly or the disabled. Attach Schedule R . 46 Education credits. Attach Form 8863 47 Rate reduction credit. See the worksheet 48 Child tax credit (see Instructions) . 49 Adoption credit. Attach Form 8839 50 other credils from a 8 Form 3800, b 0 Form 8396 c 0 Form 8801 d Form (specify) 51 Add lines 43 througll 50. These are your tnbl tredib 52 Subtract line 51 from line 42. If line 51 is more than line 42, enter .0- . 53 Selt.employment ta)(., Attach Schedule SE. 54 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 S5 Tax on Qualiiied plans, 'Including IRAs, and orner lax-favored accounts, Attach Form 5329 if required. 56 Advance earned income credit payments from Form(s) W.2 57 Household employment taxes. Attach Schedule H 58 Add lines 52-57. ThiS IS your total tax 59 F ederallncome tax Withheld from Forms W.2 and 1099 L 60 2001 estimated tax payments and amount applied from 2000 return , . 61 a Earned income credit (EIC) I b Nontaxable earned Income I 61 bl \ 62 Excess social secunty and RRT A tax Withheld (see instrs) 63 Additional child tax credit. Attach Form 8812 64 Amount palq with request for extension to file (see instructions) . 65 Other payments. Check If from. ,a 0 Form 2439 b 0 Form 4136 66 Add lines 59, 60, 61a, and 62 through 65. These are your total a ments 67 \1 Ime 66 is more than \\ne 58, subtract line 58 from line 66, This is the amount you overpaid. 68a Amount of line 67 you want refunded to you ~ b Routing number ~ d Account number 69 Amount of line 67 you want applied to your 2002 estimated tax . ---I 69 I 70 Amount you owe. Subtract line 66 from line 58- Far detads on how to pay, see instructiolls 71 Estimated tax enalt. Also include on line 70 I 71 I Do you want to allow anotller person to discuss tl1\s return with tne IRS (see instructions)? [2] Yes. Complete the follOWing. Designee's Phone Personal Identification Nall1e ~ Preparer No ~ Number (PIN) ~ Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements. and to the best of my knowledge and belief, they are true, correct. and complete. Declaration of preparer (other than taxpayer) IS based on all information of which preparer has any knowledge Pa e 2 -1,719. o Blind. " .. 35a 36 ;J 13,207. -14,926. :;::;::;:~::::;::: 38 5,800. O. O. O. O. 39 40 41 ~ 42 43 44 45 46 47 4B 49 50 51 ~ 52 53 54 55 56 57 ~ 58 O. O. 59 60 610 543. 62 63 64 65 543. 543. 543. .~ 66 67 68a ~ c Type: 0 Checking .~ o Savings Your Signature Date Your Occupation O"ytime Phone Number ~ VET Spouse's Signature, If a Joint Return, Both Must Sign ~Filin as survivin S Quse Date Spouse's Occupation BOOKKEEPER Date Preparer's ... Signature ~ Firm's Name WENDY S. (or yours If ... self'employed),~ P .0. BOX ~~C;je and ORRSTOWN 06/30/2002 Checkifself.employed FUNCK, CPA 192 EIN PA Schedule A (Form 1040) Itemized Deductions Department af lt1e Tre,asUfY Internal Revenue Ser\llce (99) Name(s) Shown on Form 1040 ~ Attach to Form 1040. ~ See Instructions for Schedule A (Form 1040). ROBERT R Medical and Dental Expenses Taxes You Paid (See Instructions.) Interest You Paid (See instructions.) Note. Personal interest is not deductible. Gifts to Charity If you made a 91ft and got a benefit for it, see instructions. Casualty and Theft Losses Job Expenses and Most Other Miscellaneous Deductions (See Instn.Jctions for expenses to deduct here.) Other Miscellaneous Deductions Total Itemized Deductions WEBER & CHERYL L CAREY Caution. Do not include expenses reImbursed or paid by others. 1 Medical and dental expenses (see instructions) 2 Erter amount tram Form 1040, Ime 341 2 I - 1 . 719 . 3 Multiply line 2 above by 7.5% (.075) 4 Subtract 1ine 31rom line 1. If lIne 3 \s more than line 1, enter -O- S State and local income taxes 6 Real estate taxes (see Instructions) . 7 Personal property taxes ' 8 Other taxes. List type and amount >>- _ _ _ _ _ _ _ _ _ _ ~ _ 9 Add lines 5 through 8 10 Home mtg Interest and points reported to you on Form 1098 11 Home mortgage Interesl not reported to you on Form 1098. If paid to Ihe persoll trom whom you bought tne home, see Instruct'lons and show that person's name, Identifying number, and address ~ ------~---~-------~------------ 12 Points not reported to you on Form 1098. See instrs for spcl rules 13 IrlVestment Interest. Attach Form 4952 jf reqUired. (See Illstrs.) , 14 Add lines 10 through 13 15 Gifts by cash or check. If you made any gift of $250 or more, see Instructions 16 Other than by cash or check. If any gift of $250 or more, see instructions. You must attach Form 8283 if over $500 17 Carryover from prior year. 18 Add lines 15 throu h 17 19 Casualt or theft loss e5). Attach Form 4684. (See instructions.) 20 Unreimbursed employee expenses - job travel, union dues, Job education, etc. You must attach Form 2\06 or 2106-EZ if reqUired. (See instructions.) ... 21 Tax preparation fees 22 Other expenses - Investment, safe depOSit box, etc. List type and amount ... _ _ _ _ _ ~ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ 11 12 13 OMS No. 1545-0074 2001 07 Your Sod.1 Security NUfT\be;r O. 5,096. 316. 7,795. 8,111. 130. O. 23 Add lines 20 through 22 24 Enter amount hom Form 1040, Ime 34 ..1 24 j 25 Multiply line 24 above by 2% (.02) 26 Subtract line 25 from line 23. If line 25 IS more than line 23, enter 27 Other - from list in the Instructions. List type and amount... _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 28 Is Form 104D, line 34, over $132,950 (over $66,475 If MFS)? IKI No. DYes. 27 -~ Your deduction IS not limited. Add the amts In the far right col for lines 4 through 27. Also, enter this amt on Form 1040, line 36. Your deduction may be limited. See instructions for the amount to enter. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. .. 28 13,207. ::~::::::,.::::,:::::,;:;:;:::::;:::;::;:)l~W?j;:~ ::E:f?Ut .... FDlA0301 01/07/02 Schedule A (Form 104D) 2001 Schedule A & B (Form 1040) 2001 Name(s) Shown on Form 1040. 193-12-8326 OMS No. 1545-0074 Page 2 Your Social Security Number ROBERT R WEBER & CHERYL L CAREY Schedule B - Interest and Ordinary Dividends 7 a At any time dUring 2001, did you have an Interest In or a signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account? See Instructions tor exceptloos and filing requirements for Form TO F 90-22.1 b If 'Yes,' enter the name of the foreign country ... _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 8 During 2001, did you receive a distribution from, or were you the grantor of, 0( transferor to, a foreign trust? If 'Yes,' you may have to file Form 3520. See instructions For Paperwork Reduction Act Notice, see Form 1040 instructions. Part I Interest (See Instructions for Form 1040, line 8a.) Note. If you received a Form 1Q99-lNT, Form 1099.0ID, or substitute statement from a brokerage tirm, list the firm's name as the payer and enter the total interest shown on that form Part \I Ordinary Dividends (See InstructIons for Form 1040, line 9.) Note. If you received a Form l099.DIV or substitute statement from a brokerage flrm,llsttf1efirm's name as the payer and enter the ordinary dividends shown on that form. Part III Foreign Accounts and Trusts (See Instructlons.) BAA 1 list name of payer. If any interest IS from a seller-financed mortgage and the buyer used the property as a personal residence, see the Instructions and list thiS Interest first. Also, show that buyer's social security number and address ... 5 jJ ~ QU~ fjAN!J6 _v!- ~ l EJ J C U _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 5jJ~QU~fjA_N!J6 _V!-~lEJJCU___ __ _ _ __ _ _ _ _ _ _ _ _ ___ _ _ _ __ __ M & T }BQ~l~===----=============================== 5jJ~QU~~~N!J6Y!-~~J_~~___________________________ 10 _Wj:~I. 51t1P_SQII! _5J '-'- .t1S:~H_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ ~-----------------~------------------------- ------------------~------------------------- -----------------------~-------------------- -------------------------------------------- -------------------------------------------- -------------------------------------------- ----~-------------------------------------- 2 2 Add the amounts on line l 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989 from Form 8815, line 14. You must attach Form 8815 , . 4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line Sa Note. If line 41s over $400, vou must comolete Part III. S List name of payer. lnclude only ordInary di\Jldends. If you received any capital gain distributions, see the instructions for Form 1040, line 13 ~ 3 ~ 4 --~-----------~-----------------~----------- -------------------~~------------------~---- ----~--------------------------------------- ---------------------~---------------------- -------------------------------------------- ----------------------------~--------------- 5 6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9, ~ 6 Note. If line 6 is over $400, au must com lete Part III. You must complete thiS part If you (a) had over $400 of taxable Interest or ordinary dividends; (b) had a foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. 08 Amount 30 15 14 2,321 155 4,154 6,689 6,689 Amount FDIA0401 lO/OltOl X Schedule B (Form 1040) 2001 Schedule C (Form 1040) Profit or Loss from Business (Sole Proprietorship) .. Partnerships, joint ventures, etc, must file Form 1065 or Form 1065-B. .. Attach to Form 1040 or Form 1041. .. See instructions for Schedule C (Form 1040). Departmental the Treasury Internal Revenue Service (99) Name of Proprietor ROBERT R WEBER A Principal Business or Profession, Including Product or Service (see instructions) OMS No. 1545>0074 2001 09 Social Security Number (SSM) 193-12-8326 B Enter Code from Instructions 1 VETERANARIAN SERVICES C Business Name. If No Separate Business Natt\e, Lea"!! BlanK. ~ 541940 D Employer 10 Number (EIN), if Any ROBERT R. WEBER, VMD 23-1500750 E ~~:nT;~nA~~~~~I(~~:~~~n~t:~:ea~drZlpmc~dt ~~~H~~f~-~~~~-G ~~~~El }~~~ - - - - - - - - ~ - - - - - ~ - - - - - - - - ~ - - - - - -- F Accounting method: (1) 0 Cash (2) 0 Accrual (3) IKI Other (specify) ~ l1Y~RJQ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ G Did you 'materially participate' In the operation of this bUSiness during 2001? If 'No,' see instructions for limIt on losses IRf Yes No H If you started or acquired this business during 2001, check here .. :Aid;JMHt Income Gross receipts or sales. Cautio". If this income was reported. to you .on Form W-2 and the 'Statutory employee' box on that torm was checked, see the Instructions and check here 2 Returns and allowances. 3 Subtract line 2 from line 1 ',' 4 Cost of goods sold (from line 42 on page 2) ~D 5 Gross profit. Subtract line 4 from line 3 6 Other income, Including federal and state gasoline or fuel tax credit or refund 7 Gross income. Add lines 5 and 6 :.,\ift:ftt~J~\ Ex enses. Enter expenses for business use of our home onion line 30. B Advertising B 78. 19 Pension and profit-sharing plans 20 Rent or lease (see instructions): a Vehicles, machinery, and equIpment b Other business property 21 RepaIrs and maintenance. 22 Supplies (not Included In Part III) 23 Taxes and licenses 24 Travel, meals, and entertainment: a Travel 9 Bad debts from sales or services (see Instructions) 10 Car and truck expenses (see Instrs) . 11 CommissIons and fees 12 Depletion. 13 Depreciation and Section 179 expense deduction (not Included In Part III) (see instructions) 9 10 11 12 4,033. 21,200. 13 1,381. 14 Employee benetit programs b Meals and (other than on line 19) . 14 entertainment 3 7 2 8 c Enter nondeductible 15 Insurance (other than health) 15 ,. amount included on 16 Interest line 24b (see instrs) a Mortgage (paid \0 banks, e\c) 16a d Subtract line 24c from line 24b bOther 16b 4,611. 25 Utilities 17 Legal & professional services 17 1,053. 26 Wages (less employment credits). 18 Office expense 18 746. 27 Other expenses (from line 48 on page 2) 28 Total expenses before expenses for bUSiness use of home. Add lines 8 through 27 in columns 29 Tentative profit (loss). Subtract line 28 from line 7 30 Expenses for bUSiness use OT your home. Attach Form 8829 31 Net profit or (loss). Subtract line 30 from line 29. . If a profit, enter on Form 104O,Iine 12, and also on Schedule SE, line 2 (statutory -_~ employees, see Instructions). Estates and trusts, enter on Form 1041, line 3. . If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your Investment In this actl\ilty (see instructIons). . If you checked 323, enter the loss on Form 1040, line 12, and also on Schedule SE, line 2 (statutory employees, see Instructions). Estates and trusts, enter on Form 1041, line 3. . If you checked 32b, you must attach Form 619B. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIZ0112 10/31/01 1 2 3 4 5 6 ~ 7 19 20. 20b 21 22 23 24. 74,720. 74,720. 17,468. 57,252. 57,252. 347. 4,226. 3,848. 24d 25 26 7J ~ 28 3,256. 14,285. 5,199. 67,991. 29 30 -10,739. 31 -10,739. } fVl All investment is 32a ~ at risk. n Some investment 32 b _ IS not at risk. Schedule C (Form 1040) 2001 Schedule C (Form 104D) 2001 ROBERT R WEBER ....4I1Ft Cost of Goods Sold (see Instructions) 33 Method(s) used to value closing inventory a D Cost b X Lower of cost or market c 193-12-8326 Pa e 2 Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing Inventory? If 'Yes,' attach explanation. .. ,"'" ., . . . , . . .' . ,. . .," . . ,. .. . ... , . . 35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation Dyes DNo 35 2,821. 36 Purchases less cost 01 items withdrawn for personal use. 36 14,647. "3J Cost of labor. Do not include any amounts paid to yourself. ~ 38 Materials and supplies 38 39 Other costs 39 40 Add lines 35 through 39 40 17,468. 41 Inventory at end of year 41 O. 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on page 1, line 4, 42 17,468. RiffiilWWd Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 10 and are not required to file Form 4562 for this bUSiness. See the instructions for line 13 to find out If you must fIle. 43 When dId you place your vehicle In service for bus'lness purposes? (month, day, year) . 44 Of the total number of miles you drove your vehicle during 2001, enter the number of miles you used your vehicle for: a BUSiness _ _ _ _ _ _ _ _ _ _ _ b Commuting _ _ _ _ _ _ _ _ _ _ _ cOther _ _ _ _ ~ _ _ _ _ __ 47 a Do you have eVidence to support your deduction? DYes DNo DYes DNo DYes DNo 45 Do you (or your spouse) havel another vehIcle availab~e for personal use? . 46 Was your vehicle a\Jai\able for personal use during off-duty hours? b If 'Yes, IS the evidence written? . nYes nNo rtiftMWiI Other EXDenses. List below business expenses not Included on lines 8 - 26 or I\\\e 30. g~ g~s_ - - - - - - --- -- - - - - - - - - - - - - - - - - --- - --- - - - -- -- -- - - - - - - - 800. JE;l,.EJ'I1QNJ -- -- - -- --- -- - ---- - - - - - - - - - - - - - 1 034 - ---- - - -- - - - - - - -- - - - Jl!!~S_ ~ _S_UJl"-C_R 1I:.1J9!'!S_ - - - - - - - - -- - --- - -- - - - - --- - -- - -- - - -- --- - --- 77 BANK .?~I~YE.E_ iflAR~i:."- -- - - - - - - - - - - - - - - ----------- - ---- -- 771 - - - - - -- EDUCATION - -- - - - - -- 135 ------- - - - - --- - -- - - - - - - - - - - --- - - - ------ -- - - - - - -- N"-CJHANE;QU_S__ --- - - -- - -- - -- - - - - - -- - --- - - - - - - - -- I 830 - - - - - - -- - - - - J'9"-T_A~i:. - - - - -- - - -- - - -- -~-- - -- -- - --- - - - - - - - - - - - - - - - - - - -- - - - - 315 , ]r-JI~Rr-Ji:.T_ - --- - ---- -- -- - --- --- - - ---- - - - - - - -- ---- - - ---- - -- - -- 237 48 Total other expenses. Enter here and on page 1, line 27 148 5, 199 Schedule C (Form 104D) 2001 FDIZOl12 10/30101 Schedule D (Form 1040) Capital Gains and Losses .. Attach to Form 1040. ... See instructions for Schedule D (Form 1040). ... Use Schedule 0-' to list additional transactions for lines 1 and 8. OMS No. 1545-0074 Department of tile Treasury Internal Revenue Service (99) Name(s) Shown on Form 1040 2001 12 ROBERT R WEBER & CHERYL L CAREY 193-12-8326 ":i_ALVdH:!' Short-Term Ca ital Gains and Losses - Assets Held One Year or Less (a) Description of (b) Date acquired (C) Date sold (d) Sales price (e) Cost or (1) Gain or (105s) property (Example (Mo, day, yr) (Mo, day. yr) (see instructions) other basis Subtract (e) from Cd) 100 shares XYZ Co) (see Instructions) Your Social Security Number 2 Enter your short.term totals, if any, from Schedule 0-1, line 2 . . 2 3 Total short-term sales price amounts. Add lines 1 and 2 in column Cd) 3 4 Short-term gain from Form 6252 and shorHerm gain or (loss) from Forms 4684, 6781, and 8824 . . . . .. . . .... . .. 4 5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-l 5 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your 2000 Capital Loss Carryover Worksheet 6 7 Net short-term capital ain or (loss). Combine lines 1 through 6 in column (f) 7 PIlii!UrtH/ Lon -Term Ca ital Gains and Losses Assets Held More Than One Year (a) Description 01 (b) Date acquired (c) Date sold (d) Sales price (e) Cost or (f) Gain or (loss) property (Example: (Mo. day, yr) (Mo, day, yr) (see instructions) other basis Subtract (e) from (d) 100 shares XYZ Co) (see instructions) 8 (g) 28% rate gain or (loss) . (see instructions below) 9 Enter your long-termtotals, If any, from Schedule D-1, line 9 . . . . 9 10 Total long-term sales price amounts. Add lines 8 and 9 in column (d) 10 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4684,6781, and 8824 . .. .. . 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K.l " 11 2, 641. 12 13 Capital gam distributions. See instrs 14 Long-term capital loss carryover. Enter In both columns (f) and (9) the amount, If any, from line 13 of your 2000 Capital Loss Carryover Worksheet 13 14 15 Combine lines 8 through 14 in column (g) 2 , 6 41 . ~;;;~;:~::;;~;; :liirlllrl(~lrj~!~rj~li~~ii :.:.::~:::::~ ... ... .............:~.,.. . ..,.,....... . .... . . ::;;:::::::::::::n:~~:::. ::::::::N{{ /::~::,:: ..-..:...:...:.:.:.:.:.:.:.:.:.:.:-:...:.:.:.....:.;< }}~i:i!t@!Mt!!i 16 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f) Next: Go to Part III on page 2. * 280"" rate gain or loss includes all 'collectibles gains and losses' (as defined In the instructions) and up to 50% of the eligible gain on qualified small business stock (see Instructions). BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0612 10130/01 .......w Schedule 0 (Form 1040) 2001 Schedule D (Form 104D) 2001 ROBERT R WEBER & CHERYL L CAREY 193-12-8326 I.."''''.....,....., T bl G . 0 d obi L ;,,~~im\.";ih axa e am or e ucti e oss 17 Combine lines 7 and 16 and enter the result. If a loss, go to line 18. If a gain, enter the gain on Form 1040, line 13, and complete Form 1.040 through line 39 ..... ..,. ..,. Next: elf both lines 16 and 17 are gains and Form 1040, line 39, IS more than zero, complete Part IV below. . Otherwise, sKip the rest of Schedule 0 and complete Form 1040. 18 If line 17 is a loss, enteLhere and on Form 1040, line 13, the smaller of (a) that loss or (b) ($3,000) (or, if married filing separately, ($1,500)). Then complete Form 1040 through line 37 ,.. . ..,.... . ..... Next: elf the loss on line 17 is more than the loss on line 18 or (f Form 1040, line 37, is less than zero, skip Part IV below and complete the Capital Loss Carryover Worksheet in the Instructions before completing the rest of Form 1040. . Otherwise, sKip Part IV below and complete the rest of Form 1040. ll!.lVi@IJTax Computation Using Maximum Capital Gains Rates 29 Enter your qualified 5-year gain, If any, from line 7 of the worksheet In the Instructions 30 Enter the smaller of line 28 or line 29 31 Multiply line 30 by 8% (.08) 32 Subtract line 30 from line 28 33 Multiply line 32 by 10% (.10) If the amounts on lines 23 and 28 are the same, skip lines 34 through ?:l and go to line 38. 34 Enter the smaller of line 20 or line 23 ' ~ 35 Enter the amount from line 28 (If line 28 is blank, enter -0-) . . 35 36 Subtract line 35 from line 34. 36 OJ Multiply line 36 by 20% (.20) . . 38 Add lines 25,31,33, and 37 39 Figure the tax on the amount on line 20. Use the Tax Table or Tax Rate Schedules, whichever applies 19 Enter your unrecaptured Section 1250 gain" if any, from line 17 of the worksheet In the Instructions. 19 If line 15 or line 19 is more than zero, complete the worksheet in the instructions to figure the amount to enter on lines 22, 29, and 40 below, and skip all other lines below. Otherwise, go to line 20. 20 Enter your taxable income from Form 1040, line 39 ' , . 21 E.nter the smaller of 1'Ine 16 or I'me 17 of Schedule D . 1:11 22 If you are deducting Investment Interest expense on Form 4952, enter the amount from Form 4952, line 4e. Otherwise, enter -0- , ...'.. . 22 23 Subtract line 22 from line 21. If zero or less, enter .0. 24 Subtract line 23 from line 2O.,lf zero or less, enter -0- . 25 Figure the tax on the amount on line 24. Use the Tax Table or Tax Rate 26 Enter the smaller of: . The amount on line 20 or -_t . $45,200 \{ marned filing jointly or qualifying widow(er); $27,050 If single; $36,250 if head of household; or $22,600 if married filing separately If line 26 is greater than line 24, go to line 'Zl. Otherwise, skip lines 27 through 33 and go to line 34. 'Z7 Enter the amount from line 24 28 Subtract line 27 from line 26. If zero or less, enter 01 ::d IgO 10 line 34 II'IIIIJ @jJ@i .:.:.'.:;: ::5:(:',.,;:.:. ::::::::;::H:~, 20 !:~)~:~lI:r~: l)~lti~il~~i >>: 132 I 40 Tax on all taxable income (including capital gains). Enter the smaller of line 38 or line 39 here and on Form 1040, line 40 . BAA FDIA0612 10/29/01 Page 2 2, 641. IIIIIII'i'''''1 33 :,:.;.:.:.,.".;.;. :"':';;.';~:.::;: :;:~::<:~:::~::: ~:~:8:<<::::: ....z"," ....;',..;;:::::;;.. .:;:,;.:.;.;.;.,.:, OJ 38 39 4D Schedule D (Form 104D) 2001 Schedule F (Form 1040) Profit or Loss from Farming ~ Attach to Form 1040, Form 1041, Form 1065, or Form 1065-B. ~ See instructions for Schedule F (Form 1040). DepartJTlenl of the Treasury Internal Revenue SeNlte (99) Name of Proprietor ROBERT R WEBER A Principal Product Describe in One or Two Words Your Principal Crop or Activity for the Current Tax Year. CROPS OMS No. 1545-0074 2001 14 Social Security Number (SSN) 193-12-8326 8 Enter Code trom Part IV I . 1111 00 o Employer ID Number (EIN), If Ally C Accounting method' (1) IRJ Cash (2) 0 Accrual E DId you 'materially participate' in 'Tie operation 01 tillS business dUring 2001' If 'No,' see mstruct'ions for limit on passive losses IX I Yes I I No rl!iD:"A;:::JI Farm Income - Cash Method, Complete Parts I and II (Accrual method taxpayers complete Parts II & III, & line 11 of Part I.) Do not include sales of livestock held for draft. breeding. sport. or dairy purposes; report these sales on Form 4797. 1 Sales of livestock and other i\ems you bought for resale. 1 2 Cost or other basIs of livestock and other Items reported on line 1 2 3 Subtract line 2 from line 1 4 Sales of livestock, produce, grains, and other products you raised. Sa Total cooperatilJedlstributiol'ls"{Form{s) lOSS-PATR) _ \ 5a\ 6a Agricultural program payments (see Instructions) ~ 7 Commodity Credit Corporation (Cee) loans (see Instructions): a ecc loans reported under election b CCC loans forfeited .1 7bl 8 Crop insurance proceeds and certain disaster payments (see instructions): a Amount received In 2001 I 8a I c If election to defer to 2002 is attached, check here ... 0 9 Custom hire (machine work) income 5b Taxable amount 6b Taxable amount 7 c Taxable amount 8b Taxable amount 8d Amount deferred from 2000 10 Other income, Including federal and state gasoline or fuel tax credit or refund (see instructions) 8b 8d 9 10 11 Gross income. Add amounts Inthe right column for lines 3 through 10. If accrual method taxpayer, enter the amount from page 2, line 51 .. ." . . . ." ." ... 11 'flliift!l!Hti Farm Expenses - Cash and Accrual Method. Do not Include personal or living expenses such as taxes, insurance, ........ ........ repairs, etc, on your home. 12 Car and truck expenses (see instructions - also aHactl Form 4562) 12 13 Chemicals 13 14 Conservation expenses (see instructions) 14 15 Custom hire (machine work) 15 16 Depreciation and Section 179 expense deduction not claimed elsewhere (see Instructions) 16 O. 25 Pension and profit-sharing plans 26 Rent or lease (see Instructions): 1,351. a Vehicles, machinery, and equipment. b Other (land, animals, etc) . 21 Repairs and maintenance 28 Seeds and plants purchased 29 Storage and warehousing. 30 Supplies purchased 31 Taxes. 32 Utilities. 33 Veterinary, breeding, and mediCine 34 Other expenses (specify): 17 Employee benefit programs other than on line 25 . 18 Feed purchased 19 Fertilizers and lime 20 Freight and trucking 21 Gasoline, fuel, and oil 22 Insurance (other than health) 23 Interest: a Mortgage (paId to banks, etc) 23a bOther 23b 24 labor hired (less employment credits) 24 35 Total expenses. Add lines 12 through 341 36 Net farm profit or (loss). Subtract line 35 from line 11, If a profit, enter on Form 1040, line 18, and also on Schedule SE. line 1. If a loss, you must go on to IlI1e 37 (estates, trusts, at1d partnershIps, see Instructions) '57 If you have a loss, you must check the box that describes your Investment in thiS actiVity (see Instructions). . If you checked 37a, enter the loss on Form 1040, line 18, and also on Schedule SE, line 1. . if you checked 37b, you "'lust attach Form 6198. BAA For Paperwork Reduction Act Notice, see Form 1040 instructions. 17 18 19 20 21 22 3,693. a b c d e FDIZ0212 10/16/01 26a 26b 27 28 29 30 31 32 33 87. 1,058. 34a 34b 34c 34d 34e 34f ~ 35 6,189. 36 -6,189. ~~ ~ a l)(l All in\l,est.ment ~Isiltnsk 37 b 0 Some inv!ilstment _, ,snolatnsk. Schedule F (Form 1040) 2001 7 Listed property. Enter the amount from line 29 7 8 Total elected cost of Section 179 propel"ty. Add amounts In column (c), lines 6 and 7 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 9 10 Carryover of disallowed deduction from line 13 of your 2000 Form 4562 10 11 Business InCome limitation. Enter the smaller of business Income (not less than zero) or line 5 (see Instrs) 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12 13 Carr over of disallowed deduction to 2002. Add lines 9 and 10, less line 12. ~ 13 Note: Do not use Part II or Part If/ below for listed property Instead. use Part V. :er::. .ill'@'@)) S ecial De reciation Allowance and Other De reciation Do not Include listed ro ert .) 14 Special depreciation allowance for certain property (other than listed property) acquired after September 10, 2001 (see Instructions). .......... .. . , ..... . .. ... . 14 15 Property subject to Section 168(t)(1) election (see instructions) 15 16 Other depreciation (Including ACRS) (see instructions) 16 tRi@::.llll:Mtil MACRS Depreciation (Do not Include listed property.) (See instructions) Section A 17 MACRS deductions tor assets placed in service in tax years beginning before 2001 18 If you are electing under Section 168(1)(4) to group any assets placed in service during the tax year into one or mare eneral asset accounts, check here ~ Section B - Assets Placed in Service DurinCl2001 Tax Year Usina the General DeDreciation Sl/stem (a) (b) Monll1 and (C) Basis for depreciation (d) (e) (f) Classification of property year placed (business/investment use Recovery period Convention Mell10d In service only - see Instn.;ctlons) Form 4562 Depreciation and Amortization (Including Information on Listed Property) ~ See separate instructions. ~ Attach to your tax return. (Rev March 2002) Department of the Treasury Internal Revenue Service Name(s) Shown on Return ROBERT R WEBER & CHERYL L CAREY Business or AclIvlty to Which Th,s Form Relates Sch C VETERANARIAN SERVICES IPilillHMH Election to Expense Certain Tangible Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount. See instructions for a higher lImit for certaln businesses. 2 Total cost of Section 179 property placed in service (see instructions) 3 Threshold cost of Section "\79 property before reduction in limitation 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter .0- 5 Dollar lim'ltation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing 5e aratel I see Instructions. 6 b Cost (business use only) a Description of property 19a 3-year property b 5.vear orooertv c 7-year property d 1 Q-year property e 15-year property f 20-year property Q 25.vear oroperty h Residential rental property _ ' ,. ".". i Nonresidential real property , _, " ....". .>:. ~: ..;......'''.,,:.... ....'.. .....;....,:. ......:~.:.:...:.>: ':~::nwn#::~ .,..;.. ...z. /antMt: >: .;.:.:.: ;.;.:.:.,.;,;.,.,. ~:...:. ....................'........,... ......,.....,..... ............,................... ......,.,.,%'.'.'.:........ :!)tHt t)(::;. .':}:;:F::;::;::-. :::.:;:;::::~:::::V :~:~A~:::::.: ......, f?:\;;::.'.>.':'.'X" :/~i%!!tttn~~ ~;~~n ;;;:;:;:;:; 25 vrs 27 5 vrs 27 5 vrs 39 vrs MM MM MM MM 2001 Tax Year Usin the Alternative De MM 12 rs 40 rs b 12-year . c 40- ear 'Bijif'IVM'{ Summa (See instructions) 21 Listed property. Enter amount from line 28 22 Total. Add amounts from line 12, lines 14 througl117, lines 19and 20 In column (g), and line 21. Enter here and on the appropriate 1\11es of your return. Partnerships and S corporations - see instructions 23 For assets shown above and placed in service during the current year, enter the portion of the baSIS attributable to Section 263A costs.. .. . ., . . 23 BAA For Paperwork Reduction Act Notice, see instructions. FDIZ0812 03/20102 c) Elected cost OMS No. 1545-0172 2001 67 Identifying Number 193-12-8326 1 2 3 4 $24,000. $200.000. 5 S/L 51 L S/L S/L S/L 51 L SIL SIL (g) Depreciation deduction stem 21 820. 22 Form 4562 (2001) (Rev 3.2002) Form 4562 (2001) (Rev 3-2002) ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Page 2 t~':iffil! mmM Listed Prorerty (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertalnmen, recreation, or amusement.) Note: For any vehIcle for which you are using the standard mileage rate or deducting lease expense, complete only 2413, 24b, columns (a) through (c) of Section A, alt of Section B, and Section C If applicable. Section A - Depreciation and Other Information (Caution: See Instructions for tim/Is for passen er automobiles.) 24a 00 you have evidence to support the business/investment use claimed? X Yes No 24b If 'Yes,' is the evidence written? (a) (b) (c) (d) (e) (I) (g) T~'pe of property (list Date placed i~uSI~e~~t Cost or Basi:> for depreciation Recovery Methodl vehicle:> first) In :>el\llce ve~s~ o\t1er basis (business/investment period Convention percentage use only) 25 Special depreciation allowanr;e for listed property acquired after September 10,2001 and used more than 50% in a ualified business use (see instructions) . .... .... . .,.. . ., . .. ,. 25 (h) X No (i) Elected Sedlon 179 cost Depreciation deduction 26 ProDertv used more than 50% In a aualified business use (see Instructlons~: 85 CHEVY 07/01195 100_00 5.000_ 5,000. 5.00 SLlHY 0_ 97 CHEVY 12/01/96 100_00 23,741_ 13.623. 5.00 200DB/HY 820. 27 Pro er used 50% or less In a uahfied business use see Instructions: 28 Add amounts In column (h), lines 25 through 27, Enter here and on line 21, page 1 28 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1 Section B - Information on Use of Vehicles Complete thiS sectIon for vehICles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions In Section C to see if you meet an exception to completing this section for those vehicles. (a) (b) (c) (d) (e) (I) 30 Total business/investment miles driven Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 during the year (do not Include commuting 10,000 10,000 miles - see instructions) . .. 31 Total commuting milesdnven during the year .. 32 Total other personal (noncommutlng) miles driven . 0 0 33 Total miles driven dUring the year. Add lines 30 through 32 ... 10,000 10,000 . Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use during off.duty hours? X X 35 Was the vehicle used primanly by a more than 5% owner or related person? X X 36 Is another vehicle available for personal use? X X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine If you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see Instructions). Yes "'57 Do you maintain a written poliCY statement that prohibits all personal use of vehicles, including commuting, by your employees?. . ., . ,. .,.. .. .. .,.... . .' . . No 38 Do you maintain a written policy statement that prohibits personal use af vehlcles, except commuting, by your employees? See Instructions for vehicles used by corporate officers, directors, or 1 % or more owners ..' 39 Do you treat all use of vehicles by employees as personal use? 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the Information received? .,. .. . .... . . .,. . . .... . 41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions) Note: If your answer to 37, 38, 39, 40, or 41 IS 'Yes,' do not complete Section B for the covered vehicles. llliitlYliUi Amortization (a) (b) (c) (d) (e) (I) Description of costs Date amortjzation begins Amortjzable amount Code Section Amortization period or percent~ge Amortization for this year 42 Amortization of costs that be Ins dUrin our 2001 tax ear see instructions): 43 44 Form 4562 (2001) (Rev 3-2002) 43 Amortization of costs that began before your 2001 tax year 44 Total. Add amounts in Golumn (t). See instructions for where to report. FDIZ0812 03120102 Form 4562 Depreciation and Amortization (Including Information on Listed Property) .. See separate instructions. .. Attach to your tax return. Business or Activity to Which This Form Relates Sch F SINCLAIR ROAD. MECHANICSBURG i:mil,tii;WWI Election to Expense Certain Tangible Property Under Section 179 Note: If you have any fisted property. complete Part V before you complete Part I. 1 Maximum amount. See instrl.{ctions for a higher limit 10r certain businesses 2 Total cost of Section 179 property placed in service (see Instructions) 3 Threshold cost of Sectlon '\79 property be10re reduction in IIm'ltatlon 4 Reduction in limitation, Subtract line 3 from line 2. If zero or less, enter -O- S Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter .0-, If marned filing se aratel , see instructibns . 6 a) Description of property b Cost (business use only) C Elected cost 7 7 Listed property. Enter the amount from line 29 8 Total elected cost of Section 179 property. Add amounts in column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from line 13 of your 2000 Form 4562. 11 Business InCome limItation. Enter the smaller of buslness income (not less than zero) or line 5 (see Instrs) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Carr over of disallowed deduction to 2002. Add lines 9 and 10, less line 12 .. 13 Note: Do not use Part II or Part 1/1 below for fisted property Instead, use Part V. lIiUid lnT:;n S ecial De reciation Allowance and Other De reciation Do not Include listed ro ert 14 ~8oT~e~e~:t~~~~~~:~lowanc.e for c~rt~i~. property (o~~r ~an.li~te.d ~~~~~ry) ~~q~.I~e~ ~fter Se~te,m~~.r 10,. 15 Property subject to Section 168(f)(1) election (see instructions) . 16 Other depreciation (Including ACRS) (see Instructions). !:am.::IIIH:mml MACRS Depreciation (Do not Include listed property.) (See Instructions) Section A 17 MACRS deductions for assets placed in serVlce in tax years beginning before 2001 18 If you are electing under Section 168(i)(4) to group any assets placed In service dUring the tax year Into one or more eneral asset accounts, check here Section B Assets Placed in Service Durin 2001 Tax Year Usin the General De (b) Month and (C) BaSIS for depreciation (d) (e) year placed (bUSiness/investment use Recovery period Convention In service only- see Instructions) OMS No_ 1545-0172 2001 67 Identifying Number 193-12-8326 1 2 3 4 $24.000. $200,000. 5 8 9 10 11 12 14 15 16 O. . (0) Classification of property reciation S stem (I) Method 19a 3.year property b 5- ear ro ert c 7.year property 25 51 L 27.5 MM S/L 27.5 MM S/L 39 MM S/L MM S/L 2001 Tax Year Usin the Alternative De S/L 12 rs 51 L 40 rs MM S/L 9 25-year property. h Residential rental . property j Nonresidential real property (g) Depreciation deduction Section C - Assets Placed in Service Durin b 12- ear c 40. ear 'l'!iWIVHlH Summa See Instructions) 21 Listed property. Enter amourtt from line 28 22 Total. Add amounts from Ime 12, lines 14 through 17, Ill1es 19and 20 in column (g), and lme 21. Enter liefe and or. the appropriate Imes of your return. Partnerships and ScorporatlOI1S - see instructions . .. 23 For assets shown above and placed in service dUring the current year, enter the portlOn of the baSIS attributable to Section 263A costs 23 BAA For Paperwork Reduction Act Notice, see instructions. FDIZ0812 03/20f02 21 O. 22 Form 4562 (2001) (Rev 3.2002) Form 4562 (2001) (Rev 3.2002) ,e_WMiWW ROBERT R WEBER & CHERYL L CAREY 193-12-8326 Pa e 2 Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertalnmenl, recreation, or amusement.) Note: For any vehicle for which you are usmg the standard mileage rate or deductmg lease expense, complete only24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C If applicable. Section A - Depreciation and Other Information (Caution: See instructions for limits for passenger automobifes.) 24a 00 you have evidence to support the business/investment use claimed? .IX"- Yes TI No 124b If 'Yes,' IS the evidence written? I Yes IxlNo (0) (b) (e) (d) (e) (I) (g) (h) (i) Type of property (list Date placed Business! Costar Basis for depreciation Recovery Method! Depreciation Elected vehicles first) In service investment olherbasis (business/investment period Convention deduction Section 179 u'" use only) cost percentage 25 Special depreciation allowance for li~~~d property aC~)ired after September 10,2001 and used more ,I ~f~f1.fi~~lltff~i~j than 50% In a auallfled business use see Instructions .' .. .. . . . . . ..,...... . . . . . . 25 26 Propertv used more than 50% in a aualified business use (see instructions~: FARM TRUCK 07/01/90 100.00 12,650. 12.650. 5.00 150DB/HY O. 27 Pro ert used 50% or less in a ual\f\ed business use (see instructions: 28 Add amounts in column (h), I~nes 25 through 27. Enter here and on line 21, page 1 28 29 Add amounts In column (i), line 26. Enter here and on line 7, page 1 Section 8 - Information on Use of Vehicles Complete thiS section for \lehlcles used by a sole propnetor, partner, or other 'more than 5% owner,' or related person. 1f you provided vehicles to your employees, first answer the questions In Section C to see if you meet an exception to completing this section for those vehicles. (0) (b) (e) (d) (e) (I) 30 Total business/investment miles driven Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 dUring the year (do not Include commuting miles - see instructions) 10,000 31 Total commuting miles driven during the year 32 Total other personal (noncom muting) miles driven 0 33 Total miles driven during the year. Add lines 30 through 32 10,000 Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use dUring off-duty hours? X 35 Was the vehicle used primarily by a more than 5% owner or related person? X 36 Is another vehicle available for personal use? X Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees Answer these questions to determine If you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your employees? ~ 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See instructions for vehicles used by corporate officers, directors, or 1 % or more owners 39 Do you treat all use of vehicles by employees as personal use? Yes No 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? 41 Do you meet the requirements concerning qualified automobile demonstration use? (See Instructions) Note: If your answer to 37, .38, 39, 40, or 41 IS 'Yes.' do not complete Section 8 for the covered vehicles .RiftMltW\ Amortization (0) Description of costs (b) Date amortization begins (e) (d) (e) (I) Amortization for this year All10rtizable aITIo\Jl"lt Code Section ArTlorllzation penodor percentage tax ear (see instructions): 43 44 Form 4562 (2001) (Rev 3.2002) 43 Amortization of costs that began before your 2001 tax year. 44 Total. Add amounts In column (f). See Instructions tor where to report FDIZ0812 03/20/02 Form 6252 Installment Sale Income OMS No. 1545,0228 Departn1ent of the Treasury Internal Revenue Service Name(s) Shown on Return to- Attach to your tax return. ... Use a separate form for each sale or other disposition of property on the installment method. 2001 79 Identifying Number ROBERT R WEBER & CHERYL L CAREY 193-12-8326 1 Description of property ~ J'Q _WJ~I 51r:!P59tLS] ~._l1E.OL _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 2. Date acqUIred (month, day. year) ~ Va r i ous bDate sold (month, day. year) ~ 12/01/1999 3 Was the property sold to a related party (see instructions) after May 14, 19807 If 'No,' skip line 4 0 Yes !RJ No 4 Was the property you sold to a related party a marketable secur'lty? )f 'Yes,' complete Part III. If 'No,' complete Part III for the. ear of sale and the 2 years after the year of sale . .' '., ',." .,il:!iiJ;;@.' Gross Profit and Contract Price. Complete this part tor the ear of sale onl 5 Selling price including mortgages and other debts. Do not include interest whether stated or unstated 6 Mortgages, debts, and other liabilities the buyer assumed or took the property subject to (see Instructions) 7 Subtract line 61rom line 5 , 8 Cost or other basis of property sold 9 Depreciation allowed or allowable. 10 Adjusted basis. Subtract line 9 from line 8 11 Commissions and other expenses of sale. 12 Income recapture from Form 4797, Part III (see instructions). 13 Add lines 10, 11, and 12. 14 Subtract line 13 from \ine 5. 11 zero or less, do not complete the rest of th'IS form (see Instructions) . 15 If the property described on line 1 above was your main home, enter the amount of your excluded gain (see instructions). Otherwise, enter -0. 15 16 Gross profit. Subtract line 15 from line 14. 16 17 Subtract line 13 from line 5. \f zero or less, enter -0- 17 18 Contract rice. Add line 7 and line 17. 18 .:::;iftml}t(:~ Installment Sale Income. Complete this part for the year of sale and any year you receive a payment or have certain debts you must treat as a p~yment on installment obligations. 19 Gross profit percentage. DiVide line 16 by line 18. For years after the year of sale, see Instructions 20 If this IS the year of sale, enter the amount from line 17. Otherwise, enter -0. 21 Payments received during year (see instructions). Do not include Interest, whether stated or unstated 22 Add lines 20 and 21 23 Payments received In prior years (see instructions). Do not include Interest, whether stated or unstated. 24 Installment sale income. Multiply line 22 by line 19 25 Enter the part of Ilne 24 that IS ordinary 'Income under recapture rules (see Instructions) 26 Subtract line 25 from line 24. Enter here and on Schedule D or Form 4797 (see instructions) 26 Ilitf:llll@@ Related Party Installment Sale Income. Do not complete If you received the Iml payment thiS tax year. 2J Name, address, and taxpayer identifying number of related party ~ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 6 7 8 9 10 11 12 No 13 14 19 20 21 22 1.0000 O. 2.641. 2, 641. 1231 9.463. 2, 641. 2,641. 28 Did th; r~l;t;d p;rty ~e~eU ~ dl~p~s~;f th~ pr~p~rtY (';~O~d-d~~;;t;~)-d~n~g-this-t~xy;a;? ~ ~ -. -. - -. -.~. - - 0- y~~ - TI N~ - - 29 If the answer to question 28 is 'Yes,' complete lines 30 through '$7 below unless one of the following conditions is met. Check the box that applies. a 0 The second disposition was more than 2 years after the first disposition (other than dispositions of marketable secuntles). If thiS box IS checked, enter the date oT dIspOSItion (month, day, year) . . ... b ~ The first disposition was a sale or exchange of stock to the iSSUing corporation. c The second d.iSP. oSition was an lnVOlu. ntary conversion and the threat of convers.'on occu.rred aft.er the flr.st dispOSition. d The second diSposition occurred after the death of the anginal seller or buyer. . . e It can be established to the satisfaction of the Internal Revenue Servlce that tax avoidance was not a principal purpose for either of the diSpositions. If thiS box IS checked, attach an explanation (see Instructions). 30 Selling price of property sold by related party 30 31 Enter contract price from line'18 for year of first sale 31 32 Enter the smaller of line 30 or line 31 32 33 Total payments received by the end of your 2001 tax year (see instructions) 33 34 Subtract lme 33 from line 32. If zero or less, enter -0- 34- 35 Multiply line 34 by the gross profit percentage on line 19 for year of first sale. 35 36 Enter the part of line 35 that is ordinary income under recapture rules (see instructions) 36 '3J Subtract line 36 from line 35. Enter here and on Schedule D or Form 4797 (see instructions) '$7 BAA For Paperwork Reduction Act Notice, see separate instructions. Form 6252 (2001) FDIZ1501 12/24/01 --.J PLEASE 0100115013 L 00 NOT USE YOUR 2001 PA-40 LABEL Page 1 of 2 . 193-12-8326 WE EX 0 RS R WEBER ROBERT R A 0 FS D FY 0 XX 615 WILLIAMS GROVE ROAD SC 21650 MECHANICSBURG PA 17055 PN 1A .00 1B .00 1C .00 2 29.00 3 .00 4 -16928.00 5 1133.00 6 .00 7 .00 8 .00 9 1162.00 10 .00 11 1162.00 12 33.00 --------------------------------------------------------------------. Please fold page along this line Local Information. Enter where you lived as of 12/311Ol. School District: MECHANICSBURG School Code: 21650 County: CUMBERLAND Municipality: MONROE TOWNSH I P Extension, (check this box) Amended Return, (check this box) Fiscal Year filer, (check this box) Residency Status. (Check the correct box) R X pennsyivania Resident NR Nonresident p Part~Year Resident From: To: Type Filer. (Check only one box) 5 J M F Single Married. Filing Jointly Married, Filing Separately Final Return. Indicate reason: o X Date of death Deceased 05/03/2001 1c .00 .00 .00 29.00 .00 -16,928.00 1, 133 .00 .00 .00 .00 1 a Gross compensation, See Instructions 1. 1 b Unreimbursed employee business expenses. See instructions 1 c Net compensation. Subtract line 1 b from line 1 a 1b 6 Net income or loss from rents, royalties, patents, or copyrights 2 3 4 5 6 7 8 2 Interest income. Complete and submit PA Schedule A, if over $2,500 . 3 Dividend income. Complete and submit PA Schedule S, i1 o'Ver $2,500 4 Net income or loss from the operation of a business, profession, or farm 5 Net gain or loss from the sale, exchange, or disposition of property 7 Estate or trust Income. Complete and enclose PA Schedule J 8 Gambling and lottery winnings 9 Total Pennsylvania taxable income. Add only the positive income amounts from lines lc, 2, 3, 4, 5,6,7, and 8.00 not add any losses reported on lines 4,5, or 6 9 10 1,162.00 .00 1,162.00 ~3 .00 10 Contributions to your Medical Savings Account. See instructions 11 Adjusted Pennsylvania taxable income. Subtract line 10 from line 9 12 Pennsylvania tax liability. Multiply line 11 by 2.8% (0.028). Also enter on line 13, page 2 PAIAQ412 12f21101 EC Fe J1 '1,-"'-", ~"",I'" <'\ ,-',": "" 12 \_' ../.// :-~;:) \'\,//_ 'lm If L 0100115013 UJ UIIlI] IT] 0100115013 -1 ....J 0100215011 L 2001 PA-40 Page2of2 WEBER ROBERT R 193-12-8326 13 33.00 14 0.00 15 92.00 16 .00 17 .00 18 .00 19 92.00 20A 03 20B 00 21 1162.00 22 33.00 23 .00 24 .00 25 .00 26 .00 27 125.00 28 .00 29 92.00 30 92.00 31 .00 32 .00 33 .00 34 .00 35 .00 36 .00 13 Total Pennsylvania tax liability. Enter your Pennsylvania tax liability from line 12 on page 1 14 Total Pennsylvania tax withheld. See instructions 15 Credit from your 2000 Pennsylvania Income Tax Return 16 200( estimated lllstallment payments 17 2001 extension payment 18 NonresIdent tax withheld on your PA Schedule(s) NRK-'. (Nonresidents only) , . 19 Total estimated payments and credits. Add lines 15, 16, 17, and 18 Tax Forgiveness Credit. Complete lines 20a, 2Gb, 21, and 22. Read the instructions. 20a Filing Status: Unmarried or separated Married X Deceased 20b Dependents, Part 8, line 2, PA Schedule SP 21 Total eligibility income, Part C, line 11, PA Schedule SP . 22 Tax Forgiveness Credit from Part D, line 16, PA Schedule SP 23 Total credit for taxes paid to other states or countr'les, Subm'lt your PA Schedule G or RK-l 24 Pennsylvania Employment Incentive Payments Credit, Submit your PA Schedule W, RK-l or NRK-l 25 Pennsylvania Jobs Creation Tax Credit. Submit your cerllfication or PA Schedule RK-1 or NRK.] . 26 Pennsylvania Research and Development Tax Credit. Submit your certification or PA Schedule RK-1 or NRK.] 27 Total Payments and Credits. Add lines 14 and 19 and 22 through 26 28 Tax Due. If line 13 IS more thi3.n line 27, enter the difference here 29 Overpayment. If line 27 IS more than line 13, enter the difference here The total of lines 3Q through 36 must equal line 29. 30 Refund ~ amount of line 29 you want as a check mailed to you Refund 31 Credit - amount of line.29 you want a5 a credit to your 2002 estimated tax account 32 Donation - amount of line 29 you want to donate to the Wild Resource Conservation Fund. 33 Donation ~ amount of line 29 you want to donate to the United States Olympic Committee 34 Donation - amount of line 29 you want to donate to the Governor Robert P. Casey Memorial Organ and Tissue Donation Awareness Trust Fund . . .. . . 35 Donation - amount of line 29 you want to donate to the KoreaNietnam Memorial,lnc . 36 Donation - amount at line 29 you want to donate to Breast and Cervical Cancer Research Under penalties of perjury,l (we) declare that I (we) have examined this return, including all accompanying schedules and statements, and to the best of my (our) belief they are true, correct, and complete. Your S~nature: Date: Your Occupation' Dale' Dale: Telephone Number Spouse's Signature, if Filing Jointly' Preparer or Company Name. other than tnpaye~s). ba$ed on all in10nnation 01 which the preparer h.u ant knowledge. Preparer or Company Name (please print) WENDY 5. FUNCK, CPA P.O. BOX 192 ORR5TOWN PA 17244-0192 Signature (opbonal) L PAIA0412 12/26fOl 010021501'1 13 33.00 14 0.00 15 92.00 16 .00 17 .00 18 .00 19 92.00 20. 03 20b 00 21 1,162 .00 22 33.00 23 .00 24 .00 25 .00 26 .00 'Z7 125 .00 28 .00 29 92.00 30 92.00 31 .00 32 .00 33 .00 34 .00 35 .00 36 .00 VET Spouse's Occupation: 06/30/02 (( _ ,;(.7J,7.) 367-1404 \\"')! C 'j\\ "-. .oJ/jr--... ..- \ .-' '. !~. ....J 0100215011 ....J PA Schedule C Profit or Loss From Susiness or Profession (Sole Proprietorship) PA40 C (09-01) PA DEPAIUMENT OF REVENUE Attach 10 Form PA-4() , PA-20SIPA-65, or PA-41 Name 01 Owner as Shown on Pennsyhl,anlOl Tax Return 0103115010 .. OFFICIAL USE aNL Y 20 01 Schedule C OWner's Social Security Number ROBERT R WEBER 193-12-8326 A Main business activit ~ VETERANARIAN SERVICES ; product or service ~ B Business name ~ ROBERT R WEBER C TaxpayerldentificationNumber o Business address (number and street)_61~~_HL)t-~lS-~P'Qy.!'-~0f.i:)------------ 23-1500750 C City, state and ZIP cOde~ MECHANICSBURG PA 17055 E Method(s) used to 'Value closing inventory, check the appropriate box: (1) 0 Cost (2) [\ Lower of cost or market (3)0 Other (If other, attach explanation) C F Accounting method, check the appropriate box: (1) D Cash (2) D Accrual (3)1R] Other (speCify) ~ HYBRID Yes No G Was there any change in determining quantities, costs, or valuations between opening and closing inventory? .' If 'Yes' attach explanation. Did you deduct expenses for an office in your home? 1 a Gross receipts or sales b Returns and allowances cBalance (subtract line lb from line 1a) 2 Cost of goods sold and/or operations (Schedule C-l, line 8) 3 Gross profit (subtract line 2 f\om \ine lc) 4 Other 'Income (attach schedule) Include interest from accounts receivable, business checking accounts and other busIness accounts. Also \nclude sales of operational assets. See Instruction booklets ." ..' . T otallncome (add lines 3 and 4) Jllf" le.( AdvertiSing Amortization Bad debts from sales or serV\ces Bank charges Car and truck expenses. 4,033. 32 Other expenses (specify): Commissions 21.200_ . ..L6~IEtS____________ Depletion. b .JElEJI:IQNJ___________ Depreciation (explain In Schedule C-2) 1,381 _ c Jl~tS_ ~_S_U!?~C_Rl~U.9IJS_ - -- Dues and publications d 116IiK_ ~tR_Vl<;'E_ .ff!I~R~~S_ - -. 15 Employee benefit programs other than e JQl!.CJ.T10_N_ - - - - - - - - - -. on line 22 t l'11~CJ1lA_N.!'QU_S____n__. 16 Frelghl (not Included on Schedule C 1) 9 JQ~T_A~~ - - - - - - - - - - - -. 17 Insurance 3,728 - h J!:JIEl'!:JtT_ - - - - - - - - - -- 18 Interest on bUSiness indebtedness 4, 611 . - ~ - - ~ - - - ~ - - ~ - ~ - - - ~ . 19 Laundry and cleaning j - - - - - - - - - - - - - - - - - - - 20 Legal and profeSSional serVices 1 , 053. k - - - ~ ~ - - - - - - - - - - - - - , 21 OHlce supplies 746 _ 1 _ _ _ _ - - - - - - - - - - - - - - 22 Pension amI pro1i\-snarmg plans for employees m - - - ~ - - - ~ - - ~ - - - - ~ - - - 23 Postage n - - - ~ - - - - - - - - - - - - - - . 24 Rent on bUSiness property 0 - - - - - - - - - - - - ~ - - - - - - 25 RepairS 347 - p ------------------ 26 Supplies (not Included on Schedule C-1) 4,226 - q - - - - - - - - - - - - - - - - -- V Taxes 3, 848 - - - - - - - - - - - - - - - - - -- 28 Telephone 33 Reduce expenses by the total business 29 Travel and entertainment credIts claImed (for example, Employment Incentive Payments 30 Utilities 3 256 _ Credit) on the PA 4() 34 Total deductions add amounts In columns for lines 6 through 32r) and deduct line 33 35 Net profit or loss (subtract line 34 from line 5). Enter total here and on the PA tax return . 1c 2 3 74,720, 17,468, 57,252, ~ 31 Wages 14,285_ 800, 1,034, 77. 771- 135 _ 1,830, 315, 237, . ~ 34 35 67,991- -10,739_ L 0103115010 PAIZ0512 12121101 0103115010 ....J ---1 PA Schedule C PA40 C (09.01) PA DEPARTMENT Of REVENUE 0103215000 Name of Proprietor as Shown on Pennsy)van'13 Tax Return Social Security Number OFFICIAL USE ONLY ROBERT R WEBER '.. '.. ......1FIW1H,ib ill, Inventory at beginning of year (if different from last year's closing inventory, attach explanation) 2a Purchases . . ~ b Cost of Items withdrawn for personal use . .. 2b c Balance (subtract line 2b from line 2a) 3 Cost of labor (do not include salary paid to yourself) . 4 Materials and supplies 5 Other costs (attach schedule) . 6 Add lines 1, 2c, 3, 4, and 5 7 Inventory at end of year 8 Cost of goods sold and/or operations (subtract I,ine 7 kam line 6). $lijjitd~ . JQ~#ilU 1 2.821. 14,647. (b) (d) Method of computing depreC'latlon (0) Life or rate Depreciation for this year Description of property Date acquired Cost or other basIs Depreciation allowed or allowable in prior years (a) (e) (I) (9) 1 Total additional first. year depreciation (do not include in items below) 2 Other depreciation: Buildings Furniture and fixtures. Transportation equipment Machinery & ot'n equipment Oth (specify) _ _ _ _ _ _ _ . 3 Totals 3 4 Depreciation claimed In Schedule C-1 . 4 5 Balance (subtract line 4 from line 3). Enter here and on Part II, line 13 t$j~i..tO;ai4!i1iiP!ljj$jjl~4ijlNilii%ji;l%jjii;<lll gjj@iMl:;Mj :::::%;:,\ :.:::::.:::::::.::: .. 5 irlWi:; ;:;:::;::;:::::jgf:..:.:::.... jj;! If you incur any of the expenses described below, enter the amount of the expense and describe the kinds of costs incurred and the business purpose. A Entertainment facility (boat, resort, ranch, etc) Expenses Amount $ B Living accommodations (except employees on business) $ C Vacations for yourself, your employees, or their families. $ L 0103215018 PAIZ0612 12/21/01 0103215018 ---1 --.J 0101315018 2001 OFFICIAL USE ONLY Name as Shown First on the Pennsylvania Tax Return these schedules or prepare our own sch.edules in this Tormat. SoCiOlI Security Number Shown First: ROBERT R WEBER 193-12-8326 Re. ad the instructions. Enter all sales, exchanges, or other diS.POSltlon. s of real or pers.onal t3. nglble and intangible property. Amounts from federal Schedule D may not be correct for Pennsylvanla tncome tax purposes. Spouses should fIle separate PA Scheduie(s) 0, unless selling jOintly owned property. NonreSidents should carefully read the Instructions concerning Intangible property. 1 (a) Describe the property: 100 shares of XYl stock, or 10 acres in Daupnin County (b) Date acquired Mo/DaylYear (e) Date sold Mo/Day/Year (d) Gross sales price less expenses of sale (e) Cost or Adjusted BaSIS of the property sold (f) Gain or loss (d) minus (e) 2 Net gain or loss from above sales 3 Gain from installment sales from PASchedule 0-1 4 Taxable return of capital distributions . . Enter total distribution Minus Adjusted BasIs, 5 Net gain or loss from the sale of 6-1-71 property from PA Schedule 0-71 6 Net gain or loss from partnerships and Pennsylvania S corporations, PA Schedule(s) RK.l or NRK-1 .. 2 3 1,133. I R= 4 5 6 Taxable aain from the sale of your prinCipal residence. Complete columns (a) throuah (e) and enter vour total gain on line 7. (a) Address of residence (b) Date acquired: (c) Date sold: (d) Gross sales price (e) Cost or (1) Gain or loss Month/DavlYear Month/Day/Year less sale expenses Adjusted BaSIS Cd) minus (e) 7 Taxable gain from the sale of your principal residence. If you realized a net loss on the taxable portion of the sale aT your principal reSidence, enter a zero 8 Total Pennsylvania taxable gain or loss. Add lines 2 through 7. Include the amount on line 5 of your PAAO 7 8 1,133. L 0101315018 PAIA0501 12/21101 0101315018 ......J --.J Schedule D-' REY.1689 EX (09.01) PA DEPARTME:NT OF REVENUE 0102215019 *' OFFICIAL USE aNL Y Please Print or Type Computation of Installment Sale Income ~ See Instructions on page 2 and for your Pennsylvania tax return. Submit PA Schedule 0-1 wlrh your tax return. Use a separate schedule for each sale of property on the Installment method. Social Security Number Federal EIN Corporation 1a'l:. File (Bex) Nl.lmber 193-12-8326 Name(s) as Shown on Retum ROBERT R WEBER For Tax Year 20 01 Description of property Date Acquired: Date Sold' 10 WEST SIMPSON ST., MECH Various 12/01/99 Gross sales price including mortgages and other indebtedness (Do not include Interest whether stated or unstated.) 2 Mortgages and other indebtedness buyer assumes or takes property subject to (Do not include new mortgages from a bank or other source.) 2 3 Subtract line 2 trom line 1 3 4 Cost or other basls 01 property sold. 4 5 Total depreciation allowed or allowable (11 computing the June 1, 1971 value by the Appra\sal Method, enter amount from PA Schedule D.71.) .......................... 5 6 Adjusted basis (Subtract line 5 from line 4.) 6 7 Commissions and other expet1ses of sale 7 8 Add line 6 and line 7 8 9 Gain or loss (Subtract line 8 from line 1.) If result is zero or less, enter zero or the loss and do not complete rest of the form. (Enter the loss on your Pennsylvania tax return.) . 9 10 Subtract line 8 from line 2. If line 8 is more than line 2, enter zero 10 11 Add !ine 3 and Hne 10 1!1l6I.r................. 11 .....~iR'.iJ);AAtliiJtllllmnm; . ::.::::::~::;::;:: f@H%UM#:\ .':::<W~@M ;t)?:%Jtt\:;.::.;: :;:;;;:;:}:::;;:;;;;:::;::;:;;:;:;:;::;::::}::;'; ...................,....... .... ::::::~:,;;~::m: tn:wwar 12 Proportional gain ratio (DIvide line 9 by line 11.) 12 1.0000 13 For year of sale only, enter amount from line 10 13 14 Principal payments received during taxable year (Do not include interest.) 14 855. 15 Total payments (Add line 13 and Ime 14.) 16 Payments received In prior years from thiS sale (Only for sales reported to Pennsylvania using the Installment Method of reporting.) . . .. . . . .. , . ... . . .' . .' 15 855. 16 9,463. 17 Taxable part of installment sale (Multiply line 15 by line 12.) 17 855. 18 Net Interest income received dUring the year on the property sold 19 Taxable gain (Add lines 17 and 18.) Enter here and on your Pennsylvania tax return 18 1,410. 19 2,265. L 0102215019 PAIZ0701 12/21/01 0102215019 --.J ---I PA Schedule F Farm Income and Expenses PA40 F (09-01) PA DEPARTMENT OF REVENUE 0103315016 *' Official Use Only Attach to Form PA-40, PA-20S/PA-65, or PA-41 Name of Owner, as Shown on Pennsylvania lax return 20.Ql Schedule F Owner's Social Security Number ROBERT R WEBER 193-12-8326 A Agricultural Activity Code. (Enter in the code that best describes your principal income B Principal Product. (Describe in one or two words your principal crop pre<!ucing acti\lity. The col'les are l\sted in tne instructions.) .. output for the current tal< year.) ... CROPS If you disposed of commodities received under the payments-in-kind (PIK) program, check the box(es) that apply: Taxpayer ID Number (not 5SN) Feed 10r livestock Sold and reported In income '.A!811#tt Farm Income - Cash Method - Complete Parts I and II (Accrual method taxpayers complete Parts II and III, and line 12 of Part I.) 1 Sales of livestock and other items you bought for resale 2 Cost or other baSIS of livestock and other items you bought for resale 3 Subtract line 2 from line 1 4 Sales of livestock, produce, grains, and other p'roducts you raised. 5 a Total distnbutlons received_Trom cooperatives (from Form 1099-PA1R) . bLess: Nonincome Items 6 Net distributions. Subtract line 5b from line 5a 7 Agricultural program payments: a Cash b Materials and services 8 Commodity credit loans under election (or forfeited) 9 Crop Insurance proceeds 10 Machine work 11 Other Income, including federal and state gasoline tax credit or refund See instructions booklets for mterest Income and sales of operational assets. 1 2 3 4 ..~ . 5b 6 7a 7b 8 9 10 11 12 Gross Income. Add amounts on lines 3, 4, 6, and 7a through 11. If accrual method taxpayer, enter the amount from Part III, line 52 . ~ 12 t:llitOliHJ Farm Deductions - Cash and Accrual Method Do not include personal or living expenses (such as taxes, insurance, repairs, e1c on your home), which do not produce farm income. Reduce the amount of your farm deductions by any reimbursements before entering the deduction. 13 Breeding fees 26 Mortgage Interest paid to financial 14 Chemicals institutions, 15 Conservation expenses 27 Other Interest 16 Depreclatton and Section 179 expense 28 Pension and profit-sharing plans for employees deduction (from Form 4562) .. . . 1,351. 29 Rent of farm, pasture 17 Employee beneflt programs other than 30 Repairs, maIntenance 87. on line 28 , 31 Seeds, plants purchased 18 Feed purchased 3,693. 32 Storage, warehousing. 19 Fertilizers and lime 33 Supplies purchased 1,058. 20 Freight, trucking 34 Taxes 21 Gasoline, fuel, oil 35 Utilities 22 Insurance 36 Veterinary fees, mediCine 23 a Labor hired I 07 Other expenses (specify): b Jobs credit a -------~---------_. c Balance (subtract line 23b from b ---~---------~---_. line 23a) c 24 Land clearing. 38 Reduce e1fnses by the tolal bUSiness-credITs - - . claimed ( or example, EmQloyment Incentive 25 Machine hire Payments Credit) on your PA 40 . 39 Total deductions from Part II. Add lines 13 throu h 37c and deduct line 38 ~ 39 6,189. 40 Net farm profit or loss (subtract line 39 from line 12). Enter here. If a net profit, enter here and on the Pennsylvania tax return ., , ' , , . . ' , , . , , . , . . ' , . . 40 -6,189. L 0103315016 PAIZ0912 12/21101 0103315016 ---I ---I PA Schedule SP Special Tax Back/Tax Forgiveness Credit PA-40 SP (0901) PA DEPARlMENT OF REVENUE Name as Shown First on the Pennsylvania Tax Return' . 0101115012 2001 OFFICIAL USE ONLY Social Securit)o Number' ROBERT R WEBER 193-12-8326 Spouse's Social Security Number Spouse's Name (even if filing separately) Part A. T e Filer for TAX BACKl Tax For iveness. Unmarried. Check this box and the Unmarried box on line 20a of your PA-40, or line 7a of PA-40El. Also check the appropriate box that describes your situatIOn. o SIngle. Unmarried on December 31, 2001. Check this box if divorced. o Single and claimed as a dependent on my parent(s) PA Schedule SP. Enter your parent(s) social security number(s) and name(s). SSN: Name; SSN: Name: o Separated. Check this box and the Unmarried box on line 20a of your PA-40, or line 7a of PA-40EZ.Check this box only if you are separated pursuant to a wrrtten agreement, or married, but separated and liVing apart for the past SIX months of 2001. fR) Oeceased. Check this box if filing for a decedent. Also, check the Deceased box on line 20a of your PA~40, or line 7a of PA-40El You must annualize the decedent's income. Example: Take an average of all Income received by the claimant for thiS year (diVided by the number of months, weeks, or days), and calculate the total for the year. You may use <l1\Y other reasonable method. Check the Decenden\'s box at Your Income column, and briefly explain the method you used to annuallle (heclalmanl'srncomehere LOSS ON BUSINESSES/CAP GAIN TO OOD ONLY o Married. Cl\eck thiS box and the Married box on line 20a of your PA-40, or hne 7a of PA-40EZ, Also check the appropriate box below that deSCribes your SltuatlOrl B Married and claiming Tax Back/Tax Forgiveness together with my spouse. Married and filing separate Pennsylvania tax returns. Enter spouse's SOCial security number and name above. Married With a spouse who is a dependent on hiS or her parent's PA Schedule SP. Enter SSN and name of each spouse's parent SSN: Name: SSN: Name: o Married With a spouse who IS a dependent on the federal income tax return of another person. Enter the SSN and name of the person. SSN: Name: ---D Separated and livlnq apqrt from my spouse but for less than SIX months of 2001. Enter spouse's SSN and name above. P B Ch'l P'd II f r f h d d 'Id S b d I h ed. art . Deoendent ldren. rov! ea the in orma Ion or eaC epen entchl u mita ditiona '$ eets If need 1 Dependent's Name Ane Relationship SSN Total income Important: Only cla'lm a child whom you claim as your dependent on your federal Income tax return. 2 Number 01 dependents for PA Schedule SP. Enter on line 20b of your Pk40 . 2 O. o Certification. If Married, and flllrlg separately, check this box certifying that you and your spouse agree that you carl claim the child/childrerl listed Irl Part B as your allowable dependent(s), Jf1d tt1at your spouse is not clalmmg tne same chIld/children on his/her PA Schedule SP. Part C. Eligibility Income. If filing as Unmarried or Sepal-ated, or for a Decedent, use the Your Income column._lf filing as Married, use the Your Income and Spouse Income columns. Add the totals and use the Joint Income total. Report Income that IS not taxable for PA purposes on lines 2 through 10. See the Instructions. Decedent's annualized income, check the box 0 1 PA taxable Income, from your PA tax return. 1 2 Nontaxable Income, include interest. diVidends, arld gall1s 2 3 Alimony 3 4 Insurance proceeds and Inheritances 4 5 Gifts, awards, and pnzes 5 6 Nonresident Income - Part-year reSidents and nonresidents 6 7 Nontaxable military income. 00 rIOt include combat pay 7 8 Gain excluded on the sale of a residence 8 9 Nontaxable educational assistance 9 10 Cash receipts for persona! purposes from outSide your home. 10 Your Income Spouse Income 1,162. Iffilin9 as Unmarned or Separated or for a Decedent, use Eligibility Income Table 1. If filing as Married, use Eligibility Income rable 2. 11 Total Eligibility tncome. Add 'Ines 1 through 10. Enter on line 21 of your PA-40, or PA-4DEZ, line 7b Part O. Calculating Your Tax BackITax Forgiveness. 12 Pennsylvania tax liability, from your PA-40, line 13, or PA.EZ, line 6 13 Less resident credit, from your PA-4D, line 23 14 Net Pennsylvania tax liability. Subtract line 13 from line 12 15 Percentage ofiax BackITax Forgiveness, uSing your dependents from Part Band your eligibility Income from line 11 .. ..... . . ..... . . . 16 Tax. Back/Tal FGfgi"enessCredit. Multiply line 14 by the decimal from line 15. Enter on PA-40, line 22, or PA-40EZ, line 8 11 I Joint Income Total 1.162.1 Total 33'H 33. 12 13 14 1.00 Enter the decimal. 16 I 33.1 L 0101115012 PAIA29Ql 1212\101 0101115012 ---I REV -1508 EX + (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber Include proceeds of litigatIon & dale proceeds were received by the estate. All prop. jolntlv-owned with right of survivorship must be disclosed on 5ch. F. SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY FILE NUMBER ITEM NO. 11. Cadillac DESCRIPTION VALUE AT DATE OF DEATH 6,000 Sale Price 2 Citizens Bank Account #222-942-7246 12,352 3 Examination Tables and X-Ray Machines 250 Estimate Value (Cost of Appraisal was not warranted) 4 Horse Trailer 2,250 Sale Price 5 Horse Trailer - 7000 GVW 2,500 (Per Attached Appraisal) 6 Lease (Billboard Advertising) 1,500 (5 yrs. at $300.00 per year) 9 PA15081 NTF 10675 Copyright 1999 Greatland/NelcQ LP - Forms Software Only TOTAL (Also enter on line 5, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 24,852 07/11/2002 08:55 7175419444 THE ENSMINGER GROUP PAGE 07 Estate of Robert Weber $ $ $ $ $ $ $ $ $ $ $ >,':"": REV-1510EX+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY FILE NUMBER This schedule must be completed and filed if the answer to any of questions 1 through 4 on the reverse side of the REV -1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE NAME OF THE TRANSFEREE, THEIR DATE OF DEATH DECD'S EXCLUSION TAXABLE VALUE RELATIONSHIP TO DECD & DATE OF TRANSFER. NO. ATTACH COPY OF THE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST (IF APPLICABLE) 11. First Trust IRA Account #003540160001 86,349 100.000 0 86,349 (Beneficiary-Wife) TOTAL (Also enter on line 7, Recapitulation) $ 86,349 9 PA 15101 NTF 10877 Copyright 1999 Greatland/Nelco LP - Forms Software Only (If more space is needed, insert additional sheets of the same size) REV-1511EX+ (1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS FILE NUMBER Debts of decedent must be reported on Schedule I. ITEM NO. DESCRIPTION A. FUNERAL EXPENSES: 1. 1 Ma1pezzi Funeral Home AMOUNT 5,900 B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN No. of Personal Representative(s) Street Address City State Zip Year(s) Commission Paid: 2. 3. Attorney Fees Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Cheryl L. Carey Weber Street Address 615 Williams Grove Road CityMechanicsburg State PA Zip 17055 Relationship of Claimant to Decedent WI FE 10,000 3,500 4. Probate Fees 113 5. Accountant's Fees 6. Tax Return Pre parer's Fees 7. 1 RSR Appraisers & Analysts (Appraisals of Real Estate) 3,000 2 The Sentinel (Estate Ad Publication) 87 9 PA15111 NTF 10878 Copyrighl1999 Greatland/Nelco LP - Forms Software Only TOTAL (Also enter on line 9, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 22,600 REV-1512 EX + <1-97) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber Include unreimbursed medical expenses. ITEM NO. SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES & LIENS FILE NUMBER DESCRIPTION AMOU NT 1. 1 Accounts Recovery Bureau, Inc. Ref, 012141284 (Pinnacle Health Hospitals) 98 2 Accounts Recovery Bureau, Inc. Ref: 012140762 (Pinnacle Health Hospitals) 75 3 Commonwealth of Pennsylvania Department of Agriculture Pennsylvania Veterinary Laboratory 6,217 4 Credit Plus Collection Services (Physicians of Rehabilitation) 763 5 Credit Systems America (Omega Medical Laboratories Acct #, 534010) 556 6 FoodScience Corporation 376 7 GM Mastercard 1,187 8 Internal Revenue Service (Federal Tax Lien - 941 Tax) 4,485 9 Judith Jaxtheimer, VMD Payroll (Less Inventory) See Attached 5,080 10 L.W. Samples, V.M.D. Veterinary Medications 1,503 11 LeFever Bros, Inc. Vehicle Repair 1,997 12 McCarthy, Burgess & Wolfe (Spring Advert. & Publishing File No. 181627) 529 Total from continuation Dages 48,423 9 PA 15121 NTF '0874 TOTAL (Also enter on line 10, Recapitulation) $ (If more space is needed, insert additional sheets of the same size) 71,289 Copyright 1889 Greatland/Nelco LP - Forms Software Only Schedule I (Page 2) Estate of: Robert B Weber Item No. Description Amount 13 Mellon Bank (Personal Credit Line #040701-622) 45,304 14 Moffitt Heart & Vascular Group 265 15 Peterson Imaging 175 16 Ritters True Value Hardware 101 17 SCCI Hospital 852 18 Super-Dog Pet Food Company 45 19 Verizon 954 20 Young's Medical Equipment 726 Total (Carry forward to main schedule) 48,423 REV-1513 EX+ (9-00) COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT ESTATE OF Robert B Weber SCHEDULE J BENEFICIARIES FILE NUMBER RELATIONSHIP TO DECEDENT AMOUNT OR SHARE NUMBER NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY Do Not List Trustee(s) OF ESTATE I TAXABLE DISTRIBUTIONS [include outright spousal distributions, and transfers under Sec. 9116 (a) (1.2)] 1 1. ~heryl L. Carey Weber ~15 Williams Grove Road ~echanicsburg, PA 17055 Surviving Spouse 17,311 ENTER DOLLARAMTS. FOR DISTRIBS. SHOWN ABOVE ON LINES 15 THROUGH 18 AS APPROPRIATE ON REV-1500 COVER SHEET II NON- TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SEC. 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS 1. TOTAL OF PART II -- ENTER TOTAL NON- TAXABLE DISTRIBS. ON LINE 13 OF REV-1500 COVER SHEET $ 0 o PA 15131 NTF 33293 (If more space is needed, insert additional sheets of the same size) Copyrlghl2000 Greatland/Nelco LP - Forms Software Only late of MONROE TOWNSHIP CUMBERLAND County, who died on the 3rd day of May 2001 and, WHEREAS, a true copy of the will as probated is annexed hereto. THEREFORE, I, MARY C. LEWIS , Register of Wills in and for the County of CUMBERLAND in the Commonwealth of Pennsylvania, hereby certify that I have this day granted Letters TESTAMENTARY to CAREY CHERYL L and A/K/A WEBER CHERYL L who have duly qualified as Executor (rix) and have agreed to administer the estate according to law, all of which fully appears of record in my Office at CUMBERLAND COUNTY COURT HOUSE, CARLISLE, PENNSYLVANIA. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of my Office the 6th day of June 2001. WHEREAS, on the 6th dated Auqust 30th 1994 was admitted to probate as Register of Wills of CUMBERLAND County, Pennsylvania Certificate of Grant of Letters No. 2001-00538 PA No. 21-01-0538 ESTATE OF WEBER ROBERT B (LAbl, r'lK::;'l' , MllJlJLJ::) Late of MONROE TOWNSHIP CUM~~KLANU CUUN1Y, Deceased Social Security No. 193-12-8326' day of June 2001 an instrument the last will of WEBER ROBERT B (LA~T, !:<'.LKt:il, IVl.LLJULb) l~ * *NOTE* * ALL NAMES ABOVE APPEAR (LAST, FIRST, MIDDLE) 21-2001-538 LAST WILL AND TESTAMENT OF ROBERT B. WEBER I, Robert B. Weber, of Cumberland County, Pennsylvania, revoke my prior wills and declare this to be my last will: I. Personal and Household Effects: I give all my automobiles, and all other articles of personal or household use, together with all insurance relating thereto, to my wife, cheryl L. Carey, if she survives me by 30 days. If she fails to so survive me then all such property and insurance shall be sold and the proceeds added to my residuary estate. I II. Residuarv Estate: I give the residue of my estate, real and personal: A. To my wife, Cheryl L. Carey, if she survives me by thirty days, or, if she does not so survive me then all such property i 0~PJ/ shall be sold and the proceeds divided as follows: ~ " B. In equal shares to my stepchildren: .Y 1. Brett carey: and 2. shelby Carey. If a stepchild does not so survive me but leaves descendants who so survive me, such descendants shall receive, per stirpes, the share such stepchild would have received had he or she so survived me. III. Beneficiaries Under 21 or Disabled: If any beneficiary becomes entitled to an outright distribution of income or principal and is (i) under 21 or (ii) in my trustee's opinion, disabled by illness or other cause and unable to properly manage the funds: A. As much of such income or principal as my trustee may from time to time think desirable for that beneficiary either shall be paid to him or her or shall be applied for his or her benefit; and B. The balance of such income and principal -- and the net income from those funds -- shall be kept invested and managed as a separate trust for that beneficiary, with the trust funds paid to or for the beneficiary in accordance with the provisions of the preceding paragraph. When the beneficiary reaches the age of 21 or, in my trustee's opinion, becomes free of disability, as the case may be, the balance shall be paid to the beneficiary. If he or she I die. before that time, the ba1a=. .hall be paid to hi. or hi) 0 n.! executors or administrators. ~ ~~ Any funds to be applied under this article either shall be applied directly by my trustee or, if not attributable to my spouse, shall be paid to a parent or guardian of the beneficiary or to any person or organization taking care of the beneficiary. All funds attributable to my spouse, whether held or to be held under this article, shall be subject to the unrestricted right of withdrawal by the beneficiary or the beneficiary's legal representative at all times while in the possession of my trustee. My trustee shall have no further responsibility for any funds so paid or applied. IV. Earlv Endincr of Trusts: If my trustee, in its sole discretion, determines that it is desirable to do so, my trustee may end any trust under this deed. This may be done by paying the then-remaining principal and income of that trust to the person then eligible to receive the income. If any person is a minor or . is, in my trustee's opinion, disabled by illness or other cause and unable to properly manage the funds, my trustee may pay the funds to his or her parent or guardian or to any person or organization taking care of the person. In the case of a minor, my trustee also may deposit the funds in an interest bearing account in the minor's name payable to the minor at majority, or appoint and pay the funds to a custodian for the minor under the Uniform Gifts to Minors Act of any state. All funds attributable to my spouse shall be paid only to my spouse or my spouse's legal representative. My trustee shall have no further responsibility for funds so paid 0 deposited. O~ i~ V. Protective provision: No interest in income or principal shall be assignable by, or available to anyone having a claim against, a beneficiary before actual payment to the beneficiary. VI. Death Taxes: All federal, state and other death taxes payable on the property forming my gross estate for tax purposes, whether or not it passes under this will, shall be paid out of the principal of my probate estate so that the burden falls on my residuary estate, and none of those taxes shall be charged against any beneficiary. VII. Manaaement provisions: I authorize my executrix and trustee: A. To retain and to invest in all forms of real and personal property, including common trust funds operated by my corporate executor or trustee, regardless of any limitations imposed by law I of law ()AI R .n .11 ' /0/, II on investments by executors or trustees, or any principle concerning investment diversification; B. To compromise claims and to abandon any property which, in my executrix's or my trustee's opinion, is of little or no value; C. To borrow from, and to sell property to my spouse or others, and to pledge property as security for repayment of any funds borrowed: D. To sell at public or private sale, to exchange or to lease for any period of time, any real or personal property, and to give options for sales or leases; E. To join in any merger, reorganization, voting-trust plan or other concerted action of security holders, and to delegate discretionary duties with respect thereto; F. To join with my spouse in filing a joint income tax return without requiring my spouse to indemnify my estate against liability for the tax attributable to any income, and to consent to any gifts made by my spouse being treated as having been made one-half by me for the purpose of federal laws relating to gift tax; G. To use administrative or other expenses of my estate as income tax or estate tax deductions and to value my estate for tax purposes by any optional method permitted by the law in force when I die, without requiring adjustments between income and principal for any resulting effect on income or restate taxes; and H. To distribute in kind and to allocate specific assets among the beneficiaries (including any trust hereunder) in such proportions as may executrix may think best so long as the total ::::::t:::~e of any beneficiary's share i. cot affected bY/;:~;1ll1 These authorities shall extend to all real and personal property at any time held by my executrix or my trustee: and shall continue in full force until the actual distribution of all such property. All powers, authorities, and discretion granted by this will shall be in addition to those granted by law and shall be exercisable without leave of court. VIII. Executor: I appoint my wife, Cheryl L. Carey as executrix under this Will, to serve without bond. In the event that my wife predeceases me or is unable to act, I hereby appoint my friend, M. Thomas Sheaffer, currentlY of carlisle, Pennsylvania, as executor under this Will, to serve without bond. I direct that: A. My executor may resign at any time ~1ithout court approval. B. My executor retain Lori K. Serratelli, Esquire as attorney for the Estate. IX. Trustee: I appoint M. Thomas Sheaffer as Trustee under this will, to serve without bond. IN WITNESS WHEREOF, I have set my hand and seal to this, my Last Will and Testament, five (5) pages, th~ 3B day consisting of a and the preceding , 1994. ROB SIGNED SEALED, PUBLISHED AND DECLARED by the above named testator, as and for his Will, in the presence of us, who, at his request, in his presence, and in the presence of each other, have hereunto subscribed our names as witnesses in attestation thereof. ~l ~Mr~ >lei L ~~C\ rl TJ'--'fdf(1)LL~ residing at '-f~?-;; J.~..! p,'1)> ~ ~1j,R> PH I") //0 I '-\\lo \Je.~ dJI\OC ~hlYl PA nOl~ residing at STATE OF PENNSYLVANIA: :ss: COUNTY OF DAUPHIN : I, ROBERT B. WEBER, having been duly qualified according to law, acknowledge that I signed the foregoing instrument as my Last will and Testament, and that I signed it as my free and voluntary act for the purposes the in e~ressed._ '-'-,r'/.J /~ //: .~0 ROBERT B. WEBE . we, having been duly qualfied according to law, depose and say that we were present and saw ROBERT B. WEBER sign the foregoing instrument as his Last will and Testament, that he signed it as his free and voluntary act for the purposes therein expressed; that each of us in his sight and hearing and at his request signed the Will as witnesses; and that to the best of our knowledge he was at that time 18 or more years of age, of sound mind and under no constraint or un~fluence. . lV/'~M<'.~~I .Y wi tness ~ to ~ OIl!- ~ w' ness P Subscribed, sworn to or affirmed, and acknowledged before me by the above-named testator and by the witnesses whose names appear above on QlAA UA.-t 3D, 1994. My Commission Expires: s=- 7- 9& NolllriaI5eaI DetxaA-~is1i.Nota~~ ~~~7.1996