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HomeMy WebLinkAbout01-0698 Register of Wills of CUMBERLAND County, Pennsylvania PETITION FOR GRANT OF LETTERS ~J-oI-~9~ No. Estate of BARRY E. HIPPENSTEEL also known as , Deceased Social Security No. 175-40-5042 Petitioner(s), who is/are 18 years of age or older, apply)ies) for: (COMPLETE "A" OR "B" BELOW:) GJ A. Probate and Grant of Letters and aver that Petitioner(s) is/are the execut OR Decedent, dated AUGUST 28, 1998 and codicil(s) dates NONE named in the Last Will of the State relevant circumstances, e.g., renunciation, death of executor, etc Except as follows, Decedent did not marry, was not divorced and did not have a child born or adopted after execution of the documents offered for probate; was not the victim of a killing and was never adjudicated incapacitated: o B. Grant of Letters of Administration (c.t.a., d.b.n.c.t.a.: pendente lite, durante absentia; durante minoritate) Petitioner(s) after a proper search has/have ascertained the Decedent left no Will and was survived by the following spouse (if any) and heirs: I Name Relationship Residence I (COMPLETE IN ALL CASES:) Attach additional sheets if necessary. Decedent was domiciled at death in CUMBERLAND County, Pennsylvania, with his/her last family or principal residence at 35 PARSONAGE STREET, NEWVILLE, PA 17241 1:< (list street, number and municipality) Decedent, then 50 years of age, died JUL y+t , 19~, at HERSHEY MEDICAL CENTER (Location) Decedent at death owned property with estimated values as follows: (if domiciled in PA All personal property ......................................... $ (if not domiciled in PA Personal property in Pennsylvania .................... $ (if not domiciled in PA Personal property in County .............................. $ Value of real estate in Pennsylvania........... ........... ............ .......... ...... ...................................... $ Total............. ........ ............... .... .... ... ... ..... ..... .................................... ...... .... ........ ... $ so:; 000.. I, \" . 0'0 0 & J / \-. Q:X::l... Real Estate situated as follows: Wherefor, Petitioner(s) respectfully request(s) the probate of the last Will and Codicil(s) presented with this Petition and the grant of letters in the appropriate form to the undersigned: Typed or printed name and residence RICHARD G. HIPPENSTEEL 425 CENTERVILLE ROAD NEWVILLE P A 17241 RW-1 /0-.J.c;0-5 Oath of Personal Representative Commonwealth of Pennsylvania County of CUMBERLAND The Petitioner(s) above-named swear(s) and affirm(s) that the statements in the foregoing Petition are true and correct to the best of the knowledge and belief of Petitioner(s) and that, as personal representative(s) of the Decedent, Petitioner(s) will well and truly administer the estate according to law. Sworn to and affirmed and subscribed before me this 26th day of July 2001 Q- em t1 v ' ~~eV1~d)~ DECREE O~ER Estate of BARRY E. HIPPENSTEEL also known as ~fi~ Deceased No. 21-2001-698 Social Security No: 175-40-5042 Date of Death: JULY 14,2001 AND NOW, July 27th ,19<: 2001, in consideration of the Petition on the reverse side hereon, satisfactory proof having been presented before me, IT IS DECREED that Letters !XI Testamentary 0 of Administration ((c.t.a., d.b.n.c.t.; pendente lite; durante absentia; durante minoriate) are hereby granted to RICHARD G. HIPPENSTEEL in the above estate and that the instrument(s), if any, dated August 28,1998 described in the Petition be admitted to probate and filed of record as the last Will of Decedent. FEES Letters .................................... Short Certificates( s) .... J!-?...... Renunciation .......................... Extra Pages ( 5) ............... I. T. R. ...................................... JCP Fee........... .... .................. Inventory ................................ Other ...................................... $ 235.00 ~e.~/)M/~d~ i Regist of Wills Mary c. Lewis $ $ $ $ $ $ $ $ 30.00 15.00 5.00 Attorney: HAMIL TON C. DAVIS 1.0. No: 10264 Address: P.O. BOX 40 SHIPPENSBURG Telephone: 717 532-5713 DATE FILED: July 27th, 2001 PA 17257 285.00 TOTAL......................... ....$ MAILED LETI'ERS '10 ATIORNEY HAMIL'ION C. DAVIS l![)'i.R[)'i REV 9/86 This is to certify that the information here given is correctly copied fran: an original certificate of death dul~ filed with me as Local Rc:;gistrar. The original certificate will be forwarded to the State Vital Records Office for permanent ttllllg. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7555254 No. 21-2001-698 t~n I?-in~ Local Registrar ;)~ l~ dt"'O I Date Hl05.144Rev 1/91 COMMONWEALTH OF PENNSYLVANIA I DEPARTMENT OF HEALTH I VITAL RECORDS CERTIFICATE OF DEATH (Coroner) BIRTHPLACE (Clly and PlACE OF DEI(fH (Checf< only one - see "'..rue''''''' on or.,.. _I Slate Of FOfe.gn Counlry) HOSPITAL; Carlisle, Pennsylvani npatlent i]f 7. ... FACILITY NAME (" nol,nshlulion. QlVe st,eet and numbel) Hershey Medical Cent~~.. lei. 0 KINO OF BUSINESs/INDUSTRY TYPE/PRINT IN PEHMANi:NT BLACK INK UNDER I DAY Hour. Minutes DECEDENT'S USUAL OCCUfW"ION (Give kind cA .work M\~~ most 01 worki"lllilll;"" f'1) .11. 11. DECEDENT'S MAILING ADDRESS (SIr.... CitylTown. Slale, Zip Code) 35 Parsonage Street Newville, Pennsylvania 17241 DECEDENT'S ACTUAL RESIDENCE (See ,nst'uehO/lS on _ side) Cumberland SEX a. Male STATE FILE NUMBER SOCIAL~WRITY NUM~ I. 12 2001 ~",)D MARITAL STI(fUS. Married Nave' Matried. Widowed. Di.orOf{r~d SURVIVING SPOuSE elf wile. gMt maJden name) Did deeedent .... In a -ip? IWP Newville Paul R. Hippensteel Tom L. Hippensteel -X.... dee_lived 17d.U dllln llC1uallimita 01 MOTHER'SNAME (F.st. ModdIe. MaiclenSu,name) Sarah B. Bolen It. INFORMANT'S"~l$3mae~e'e"~urg, Pa. 17050 17b. Count c~ylboro LOCI(fION . Cilyrrowrr. St.... Zip Coda SChaefferstown, Pa. 17088 PLACE OF DISPOSITION. Name 01 Cematary, eremalOfy orOlhe,Ptace Conolite Crematory ala. 23b. 23c. TIME OF DEIJH DlJE PRONOUNCED DEAD (Monlh. Day. Year) WI'S CASE REFERRED 10 MEDICAL EXAlAINEAICORONER? 24. .12:25 p.m.M as. July 12, 2001 21. Yearn 27. MRT I: Enter the _. InjurIeI or complicatione which caused the death. 00 notenta, the mode of dying, such as cardiac or ,e&pl,atory arr.... IIf10ck 0' heart laUura. 'Approxornate PART II: Othe' signUocant condIIions coolrillultng '0 dealh. but liot only one ca.... on each line. : intarval_en not resulting In '"" underlying ca.... given in PART I :011181 and_ I i 21c. lICENSE NUMBER FD-014318-L 2ab. , death occurred at the lime. dete and place stated ....... <ll <ll -4..1 Ul ~ OM ::r:: >- lj lU p::) Traumatic brain injury DUE 10 (OR AS A CONSEQUENCE OF): b. DUE 10 (OA AS A CONSEQUENCE OF): DUE 10 (OA AS A CONSEQUENCE OF); d WERE AUlOPSY FINDINGS _,LABLE PRIOR 10 COMPLETION OF CAUse OF DEATH? MANNER OF OEIJH DPifE OF INJURV (Monlh, Day, Year) July 4, o !!9 D NatUfal HomM:ide Y.. D NoD Acck:tent Pending InvestigatIOn Suicjde at. Could not b. det~rmined 2... aab. ceRTIFIER (Check only oneI -CERTifYING 'HV&aC&AN (Physcian C6,.tfying cause of lfeattl 'Ml8fl aooIhet pIlVSiCia11 has pronounc~d uealll arKJ comptolw Item 2J) To lhe _t 01 lily kno-..-. _Ih occuned dllllD lhe cat-<<al and _nner .. a..ted. . . . . . . . . . . . . . . . . . . . . . . . >- ~ o \IJ &l o u. o w :::l <( z .PRONOUHCING AND CERTIFYING PHYSICIAN (Phystcten both pronouncing death and C8ftilying 10 CdUstl" 01 dCdlh) To'" _ 01 lilY knowleclga, _Ih oc:cuned at... _. data, and place, and dill to the ca"",a) and manna....tated.. . . . . . . . . . . . . . . . . . . . . . . . . 'MEDlCAL EXAMINERICORONER On _ buill oI.xamlnllt..... ....u..lnveat..t...... In my opinion. dlath occurred al thl Ume, datI, Ind place, and due 10 Ihe caulell) _ m..........-.............o..........................o........................................................... . 311. AEGIST I~ (~d ,-11 d. NAMEANDAO~~~rrFnw~~1 Home, Inc. 37 East Main Street Mechanicsburg, Pa 1705 ZZc. UCENSE NUMBER DIJE SIGNED (Monlh. Day. 'ilia,) NoD PA 17111 14. ~ LAST WILL AND TESTAMENT I, BARRY E. HIPPENSTEEL, of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney), to the persons therein designated. ITEM III: I devise my residence real estate situated in the Borough of Newville, Cumberland County, Pennsylvania (which has an address of: 35 Parsonage Street, Newville, Pennsylvania, 17241, together with the household goods and furnishings and all other of my tangible personal property (but not including cash or securities and not including any such items specifically bequeathed in Item II above and not including such property which is utilized by me in my businesses)} to my friend and former stepson, TRAVIS FLAHARTY, provided he shall survive me by thirty ~ ~ (30) days. This gift is made free of and is intended to be free of the provisions and limitations of Section 2514, Subsections 16.1 and 16.2 of the Pennsylvania Probate, Estates and Fiduciaries Code. It is my intention hereby that my attorney-in-fact acting pursuant to a Power of Attorney which I am simultaneously herewith executing or have heretofore executed or may hereafter execute or any guardian of my estate should one be appointed, either before or after my possible incapacity or other disability, shall be free to sell, mortgage or otherwise dispose of this real estate, if such sale, mortgage or other disposition shall, in the sole discretion of my attorney-in-fact or guardian, be needed for my care, comfort, support or health, free and unrestricted by the provisions of the above referenced Sections. To carry out my intent and purpose hereunder, I specifically make the above gift free of any rights or claims of the legatees or devisees during my lifetime, and should any such claims be made or asserted, then and in that event, this gift shall become null and void and the property bequeath or devised hereunder or the proceeds therefrom shall pass as a part of my residuary estate pursuant to ITEM VII below. ITEM IV: I have designated my friend and former stepson, TRAVIS FLAHARTY, as the beneficiary on a life insurance policy upon my life, and upon my Individual Retirement Account (IRA) and upon my Brokerage Account for stocks and mutual funds and I want 2 ~ . ~ ~ to confirm such beneficiary designations and bequeath to TRAVIS FLAHARTY any IRA and any stocks or mutual funds that I own at the time of my death. ITEM V: I have designated my daughter, ALLISON WALTERS, as the beneficiary on a life insurance policy upon my life and I want to confirm such beneficiary designation and to bequeath to ALLISON all checking accounts, saving accounts and certificates of deposit (and any other deposit accounts in any bank, savings and loan association, credit union or other institution) that I own at the time of my death. ITEM VI: If my friend and employee, TOM LEHMAN, survives me and at the time of my death is still employed by me in HIPPENSTEEL'S BODY SHOP (Steelstown Road, Newville, Pennsylvania) I give, devise and bequeath to TOM LEHMAN my interest in the business (and the assets thereof) operated by me with my brother, RICHARD HIPPENSTEEL, know as "Hippensteel's Body Shop". Should TOM LEHMAN not survive me or at the time of my death, not be employed by me in Hippensteel's Body Shop, then I give, devise and bequeath my interest in such business to my brother, RICHARD G. HIPPENSTEEL. ITEM VII: I devise and bequeath all the residue of my estate of every nature and wherever situate to my daughter, ALLISON WALTERS, providing she shall survive me by thirty (30) days. Should my daughter, ALLISON WALTERS, predecease me or die on or 3 ~ t before the thirtieth day following my death but leaving descendants who so survive me, such descendants shall receive, per stirpes, the share that such predeceased child would have received had he or she so survived me. ITEM VIII: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM IX: I appoint my brother, RICHARD G. HIPPENSTEEL, Executor of this my Last Will. Should he fail to qualify or cease to act as Executor, I appoint my brother, TOM HIPPENSTEEL, Executor of this my Last will. ITEM X: I direct that my Executor or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM XI: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and/or to reimbursement of out of pocket expenses. ITEM XII: The interests of the beneficiaries hereunder shall not be subject to anticipation or to voluntary or involuntary alienation. ITEM XIII: In addition to other powers vested in my Executor by law and other provisions of my Will, I hereby specifically authorize my Executor to continue the operation of any business in 4 which I may be interested or engaged at the time of my death (regardless of the form or organization of any such business), without the necessity of seeking approval from any Court and without having to give any bond or other security, until such time as my Executor may deem it advisable to sell, liquidate or distribute the same in kind. My Executor shall have all the rights and powers in connection with such business as I had when living. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on six (6) sheets of paper, dated this 2f>-d day of 4u7'-1 sf-, 1998. 6 E~~~(sFAL) The preceding instrument, consisting of this and five (5) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our names as witne~~hereto. ~k ~' residing at Y~VI '/1- 17; ~~f~ residing at ,forbary ;;4 5 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND I, BARRY E. HIPPENSTEEL, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. NOT Art!Al SEAL LOIS A. SOLLENBERGER. Notary PubIc Shippensburg Boro. Cumberland County Mt.,~^!!!l!!,~~n g.~P!~ March 3, 2Q01 COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, WA-t'Y\t Li'ON <=-. ::DA-J\C; and -r"R,NA m. 6ROOIc(e-NS , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. Sworn to or affirmed and subscribed to be f ore me by j4A-w\l L TOr-..) C. 'bAv l 5. and IRll\JA- 0"\.. ~~oof<E7'JS, witnesses, this ..a~ day of ~ ' 1998. ~e-U- Q. ~ INotary Publi i NOTARIAL SEAl , i.DIS A. SOLLENBERGER, Notary PublIC ; ~;,i:;pensburg Boro, Oumbertand Countj U.C?ETmission ~Ires March 31 2Q91 E .-- CRRTTFTCA TTON OF NOTTeR TTNnRR RUT JR 5.6(a) Name of Decedent: Harry F Hippensteel Date of Death: Tllly 1?) ?001 Will No.: 21-01-069R To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above- captioned estate on Septemher 19, 2001 Notice has now been given to all persons entitled thereto under Rule 5 .6( a) except ~ttJ · Signature Name Richard G Hippensteel Thoma~ 0 T ,ehman Allison Walters Travis Flaharty Date: 9/27/01 Address 4~? Centervllle Road, Newville, P A 17241 314 Douhling Oap Road, Newville, P A 17241 19 Fordes Fdee, Royersford, P A 1946R 4414 Spring Road, Shermans Dale, PA 17090 None ~ Name: Hamilton C Davis, Rsq Address: P 0 Hox 40 Shlppenshurg, PAl 72~7 Telephone: 717-~32-~713 Capacity: _ personal representative ~ counsel for personal representative 71 7 530 522,2 07-27-'01 15:59 FROM-ZULLINGER-DAVIS PROF 717-530-5222 T-301 P01/01 U-539 LA W OFFICES OF ZULLINGER - DA \18 PROFESSIONAL CORPORATION JOEL :ft. ZULLlNGlR 14 North Main Street Suite 200 Chambersburg, PA 11201 717-264-6029 Fax: 717.264-) 884 zuln grlaw:~supernet.(;(}m Dale F. Shughart~ Jr, of counsel MAMfi.. TON C. DAVIS 20 East Burel Street, Suite 6 p, 0, Box 40 Shippensburg, P A 17257 717-532-5713 :Fax: 717-530-5222 davi!llaw(w"l1p~m~t...c.Qm To: 9~.Q (~~A6P 0)L~ Subject: ~~ From: Hamilton C. Davis Or: (0 Trina M. Brookens 0 Nichole Fax #: 2L{o -~r7'17 Date:~~ '41) 7.-001 Fax #: ~ 717-530-5222 J. Kellert ~ ~.Il/""'\. . ( pages to you, incluqing this We are transmittil1g a total of COver page. An ORIGINAL: ',>< will not follow; via Messenger via email. Will follow: via U.S. Maili Please call (717) 532-5713 if your copy quality is not adequate or if there are problems with y0ur reception. COtJFIDEt.TTIl\IJ 'l'he inform5ltion cont~in~d in thi3 faC3i~ile me$sagoO! is attorney privileged and contldential information intended only for thG use of the individual or entity named above. If the reader of this message 13 not the ir't~ncied rE'cipient, you dre hereby notified that any dissenllnation, d~stribut.ion, or copy or this co:nmunicat.l.on is strictly prohibited. If you have received thi:s facsimil.o in error, please immediately notify us by telephone dnd return the message via u.s. mail t~~~r~~ ~7i- ~J~ ~ ~ f ../L,"} 5' , f/ I: (/(I/'; /. . /. lti-H :,; (if1 rP0 tz ~ Iv ~. ~~/~ ~- C.u -- z:~ .:- /1." C'~.I' k - -y . /2 ZtJ<)> ~J J--" I LA WfQF'fICES OF . ; ZULLIN<iER - DAvIS PROFESSIO~L 5rPRRf?RAT~~~ JOEL R. ZULLINGER 14 North Main Street Suite 200 Chambersburg, P A 17201 717-264-6029 Fax: 717-264-1884 zulngrlaw@supernet.com c,:' D~1~r ~t..;Shl1ghart, Jr. of counsel HAMIL TON c. DAVIS 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, P A 17257 717-532-5713 Fax: 717-530-5222 davislaw@supemet.com April 11, 2002 Mary Lewis, Cumberland County Register of Wills One Courthouse Square Carlisle, P A 17013 Re: Barry E. Hippensteel Estate File No. 2001-00698 Dear Mary: I am writing to request an extension of up to sixty days for the filing of the Pennsylvania Inheritance Tax Return in the above estate. This estate has some closely held business valuation issues and lacks liquidity, and we are therefore unable to complete the return or make payment at this time. Thank you very much. Sincerely yours, ~r:.{) Hamilton C. Davis for Zullinger - Davis Professional Corporation \. HCD/njk --- -- /6 -(;) ~/ 6'-6 \ COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES D~PARTMENT280601 HARRISBURG, PA 17128-0601 April 22, 2002 '02 fHJf.: 29 P J ::~~2 Telephone (717) 787-3930 FAX (717) 772-0412 Law Offices of Zullinger & Davis 20 East Burd St.- Suite 6 P.O. Box 40 Shippensburg, Pa.17257 i...I . (" . ~vn;; Re: Estate of Barry E. Hippensteel File Number 2101-0698 Dear Sirs: This is in response to your request for an extension of time to file the Inheritance Tax Return for the above estate. In accordance with Section 2136 (d) of the Inheritance and Estate Tax Act of 1995, the time for filing the return is extended for an additional period of six months. This extension will avoid the imposition of a penalty for failure to make a timely return. However, it does not prevent interest from' accruing on any tax remaining unpaid after the delinquent date. The return must be filed with the Register of Wills on or before October 12,2002. Because Section 2136 (d) of the 1995 Act allows for only one extra period of six (6) months, no additional extension(s) will be granted that would exceed the maximum time permitted. ."~)! Sinc~i~y,f, /.:: -'- ;1- /V(/<~!~>,,:ldMf tJ I II tI Jeffrey D. Hollenbush, Supervisor Document Processing Unit Inheritance Tax Division .A v LAW OFFICES OF ZULLINGER - DAVIS PROFESSIONAL CORPORATION JOEL R. ZULLINGER 14 North Main Street Suite 200 Chambersburg, P A 17201 717-264-6029 Fax: 717-264-1884 zulngrlaw@earthlink.net Dale F. Shughart, Jr. of counsel HAMILTON C. DAVIS 20 East Burd Street, Suite 6 P.O. Box 40 Shippensburg, P A 17257 717-532-5713 Fax: 717-530-5222 davislaw@supemet.com November 8, 2002 Register of Wills Cumberland County One Courthouse Square Carlisle, PA 17013 RE: Estate of Barry E. Hippensteel Est. No. 2001 00698 21-01-0698 Dear Sir or Madam: Enclosed herewith please find an inheritance tax return, filed in duplicate, and payment in the amount of Fifteen Thousand Sixty-Three and 31/100 ($15,063.31) dollars, including interest, as payment on the above estate. A check for filing fee in the amount of$15.00 is also enclosed If there are any questions or concerns, please contact me at the Shippensburg office. Thank you. . A/Sin:erely yours, . ~t IL- Hamilton C:'t;vis for Zullinger - Davis Professional Corporation HCD/njk Enclosure COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DAVIS HAMILTON C ESQUIRE PO BOX 040 SHIPPENSBURG, PA 17257-0040 ___h___ fold ESTATE INFORMATION: SSN: 175-40-5042 FILE NUMBER: 2101-0698 DECEDENT NAME: HIPPENSTEEL BARRY E DA TE OF PAYMENT: 11/15/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/12/2001 NO. CD 001845 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $510.74 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: HAMILTON C DAVIS ESQUIRE CHECK#15122 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS $510.74 MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG. PA 17128-0601 REV-1162 EX(11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DAVIS HAMILTON C ESQUIRE PO BOX 040 SHIPPENSBURG, PA 17257 ___n___ fold ESTATE INFORMATION: SSN: 1 75-40-5042 FILE NUMBER: 2101-0698 DECEDENT NAME: HIPPENSTEEL BARRY E DA TE OF PAYMENT: 11/15/2002 POSTMARK DATE: 00/00/0000 COUNTY: CUMBERLAND DATE OF DEATH: 07/12/2001 NO. CD 001846 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $14,552.57 I I I I I I I I TOTAL AMOUNT PAID: $14,552.57 REMARKS: HAMILTON C DAVIS ESQUIRE CHECK#132 SEAL INITIALS: JA RECEIVED BY: REGISTER OF WILLS MARY C. LEWIS REGISTER OF WILLS COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG, PA 17128-0601 REV-1162 EX( 11-96) RECEIVED FROM: PENNSYLVANIA INHERITANCE AND ESTATE TAX OFFICIAL RECEIPT DAVIS HAMILTON C POBOX 040 SHIPPENSBURG, PA 17257-0040 ___u___ fold ESTATE INFORMATION: SSN: 1 75-40-5042 FILE NUMBER: 2101-0698 DECEDENT NAME: HIPPENSTEEL BARRY E DA TE OF PAYMENT: 01/13/2003 POSTMARK DATE: 01/10/2003 COUNTY: CUMBERLAND DATE OF DEATH: 07/12/2001 NO. CD 002035 ACN ASSESSMENT CONTROL NUMBER AMOUNT 101 I $7.16 I I I I I I I I TOTAL AMOUNT PAID: REMARKS: CHECK# 0326 SEAL INITIALS: CW RECEIVED BY: REGISTER OF WILLS $7.16 DONNA M. OTTO DEPUTY REGISTER OF WILLS 'v / 6 ~c:2~b - .s-- BUREAU OF INDIVIDUAL TAXES INHERITANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX HAMILTON C DAVIS PO BOX 40 20E BURD ST, SUITE ~l SHIPPENSBURG PA 17257 DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN 12-30-2002 HIPPENSTEEL 07-12-2001 21 01-0698 CUMBERLAND 101 *' REV-1547 EX AFP (01-03) BARRY E Amount Remitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE ~ RETAIN LOWER PORTION FOR YOUR RECORDS ~ iEV=i54-j-EX-AFP--(Oi-:03)--NOTicE-OF--rtiHER-iTANCE-'~fA'X-APPRA-isEMENT-:--ALi-oWAN-CE-O-i----------------- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF HIPPENSTEEL BARRY E FILE NO. 21 01-0698 ACN 101 DATE 12-30-2002 T AX RETURN WAS: (X) ACCEPTED AS F I LED ) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) 69,000.00 4,417.28 32,500.00 .00 7,159.60 .00 .00 (8) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adm. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governmental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) 11,222.55 If an assess.ent was issued preViously, lines 14, 15 and/or 16, 17, 18 and 19 will reflect figures that include the total of ~ returns assessed to date. ASSESSMENT OF TAX: 15. Amount of Line 14 at Spousal rate 16. Amount of Line 14 taxable at Lineal/Class A rate 17. Amount of Line 14 at Sibling rate 18. Amount of Line 14 taxable at Collateral/Class B rate 19. Principal Tax Due NOTE: 4,837.21 (ll) (l2) (13) (14) NOTE: To insure proper credit to your account, submit the upper portion of this form with your tax payment. 113,076.88 16.nJ:i9 76 97,017.12 .00 97,017.12 (15) (16) (17) (18) .00 X 00 .00 .00 X 045 = .00 .00 X 12 = .00 97,017.12 X 15 = 14,552.57 Cl9)= 14,552.57 TAX CREDITS: PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) 11-15-2002 CDOO1845 .00 510.74 11-15-2002 CDOO1846 510.74- 14,552.57 BALANCE OF UNPAID INTEREST/PENALTY AS OF 11-16-2002 TOTAL TAX CREDIT 14,552.57 BALANCE OF TAX DUE .00 INTEREST AND PEN. 7.16 TOTAL DUE 7.16 * IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. ( IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A REFUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) STATUS REPORT UNDER RULE 6.12 Name of Decedent: Barry E. Hippensteel Date of Death: 07/12/2001 Estate No. 2001-00698 Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State whether administration of the estate is complete: Yes X No_ 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No. 1 is Yes, state the following: a. Did the personal representative file a final account with the Court? Yes_ No X . b. The separate Orphans' Court No. (if any) for the personal representative's account is: c. Did the personal representative state an account informally to the parties in interest? Yes X No_ d. Copies of receipts, releases, joinders and approvals of formal or informal accounts may be filed with the Clerk of the Orphans' court and may be attached to this report. ~ t J- '- HamIlton C. Davis, Esquire P.O. Box 40 Shippensburg, P A 17257 (717) 532-5713 Date: '';11)03 ... I. I '-~qWn0 !!~':J so: [d ii 7nr rD. Capacity: _ Personal Representative XX Counsel for Personal Representative ~ " .J o " vJ k ~ u) dJ ~ o ~ - ::. :'" == :::: - :'" - :'" - - - - - ~ - =- :- - - ()o()~ O)~C(O ~ (\) 3 -' ~' () d" ~ (6'0~(1) ~ c -""'" 1)~~~ ~t;o..~ ->c()~ -1(/)0- ->(\)C(/) o(J)~ (.t.).o~ C() ~o (\) C g- o C (/) (\) (J)1:)N~ ~..o %: 0)3 -0' :)-. 'i OJtO 5 :)~~:) <8- I() C. ~o' $ ~.~ 1:) !ft~. .". 1:) (Il -> () -.l tv <!\ ",X) C.I ,,,,;,ll * ..:,ll C;,\ ,,\:,'" Or.~1 CJ (;::J * \""':\ C::J t(t ;. \c::\~ \,\~ITE1) ~ \c::~\ .s~..., '8 '" 1). ;\\,jl\~ ~ 'i #f t:! 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REV-1500 L\w COMMONWEALTHO""NSYLV>N<A INHERITANCE TAX RETURN FiLE~N(iMilER~ D'PAR:~~,,~~;veN"" RESIDENT DECEDENT ! 21 01 0698 __ ___--.!:!~~IS8U!lG,~~~a.oeo_1___~_ _____,____ _______.___ ____ ____._ _______ "L___~~_~~c90E_._.!5~___~UMB~_____ -'iO-EcEDENrS'NAME(LAS-f,--FIRsr-,-ANDMIDI5lE'fNITJAll-- . ---,----- ---------' --', ----.- n__ SOClAL SECURify-NLfM8E~- -.._-- ---- HIPPENSTEEL, BARRY E. I 175-40-5042 r01\TnJFOEATH (MM"~DD~'i'EAR)---------- -I:JATE\}FmRTH-{M~-DD-'i'EAR:r-- ,---- -- - ,--- ---.-THIS.RETURN MlIST'SE FU..ED IN DUPLICATE WITH THE ~~~P~:;;A~~i) SURVIViNGSPOUSES NAME! ~~~,~i~~~ MIDDlErNjY..L)--------:--sc5CiALSE~i~~l,~~ OF WILLS____ INM, \ -----=--18-11. OriginafReturn- '"~----D--x2.' Supplemental Return "-- -'---'-Crx3.'-RemaliiaefRetumTCI8IeOraeatnpr!orlOf2~i3=lJ~--- 4( V) 0 X 4 limited Estate [] x 4a. Future Interest Compromise (date of death 0 X 5. Federal Estate Tax Return Required ~ ; :It I . after 12-12~B2) w.U I :c: i 9: "0 X 6. Decedent Died Testate (Attacheopy 0 X 7. Deceden\ Maintained a LMng Trust (Altach o Q. ID of Will) copy of Trust) ~ lOX 9. Litigation Proceeds Received 0 X 10. Spousal Poverty Credit (date of death between ___ " 12-31-91 and 1-1-95) iTliI$~C'Tll:I",""'~Gi,jMjf~:~<:~~~~~~Eif~~ol'llolj(~SilQlliJ:l[~~~i~~~\ \2;= IH~il~on C.Davis " " '. - - ICOMPlETEMAILIt~G-ADDRES5' . t....... .'.'" FIRM NAME(lt'applicable} -'. -- ----I 20 East Burd Street Suite 6 I Zullinger - Davis, PC P.O. Box 40 ' 'fElEPHONE NUMBE'--~ I Shlppensburg, PA 17257 I 717/532-5713 ______ I -~----~._-". 1. Real Estate (Schedule A) (1) Rn_nllO~I(.I'4If ffi o w ~ " .... "'z ::!w "," OZ ul( 2. Stocks and Bonds (Schedule B) ~ 5 ~ ~ ~ ~ '" 3-. Closely Held Corporation, Partnership or Sole-Proprietorship 4. Mortgages & Notes Receivable (Schedule D) 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) o 'iSeporate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non.Probate Property (Schedule G or L) 8. Total Gross Assets (total Lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabilities, & liens (Schedule I) 11. Total Deductions (total Lines g & 10) 12. Net Value of Estate (Line 8 minus line 11) 1/ OFFICIAL USE ONLY @Ylp ~ 8. Total Number of Safe Deposit Boxes o X11.Election to tax under Sec. 9113(A} {Attach Sch 0) (2) (3) (4) 69,000.00 4,417.28 32,500.00 OFFICIAL USE ONLY None (5) 7,159.60 (6) None (7) -0- (8) 113,076.88 (9) 11,222.55 (10) 4.837.21 (11) 16,059.76 97,017.12 (12) 13. Charitable and Governmental Bequests/Sec 9113 Trusts for which an election to tax has not been made (Schedule J) 114. ~et Value Subject to Tax (Line 12 minus Line 13) +-- SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (13) (14) 97,017.12 15.Amount of Line 14 taxable at the spousal tax rate, x .00 (15) or transfers under Sec. 9116(0)(1.2) -_._- z 16.Amount of Line 14 taxable at lineal rate x .045 (16) 0 !i -,--, ~ ~ 17.Amount of Line 14 taxable at sibling rate .12 (17) ~ x 8 ---- ------ ~ 18. Amount of Line 14 taxable at collateral rate 97,017.12 x .15 (18) 14,552.57 ~ -","-- --,-._....- 19. Tax Due (19) 14,552.57 --- ~---- "d';; 'i;;:::-U\'i!\' ";1: ,"' 'i/!'+ p", -." ('..., CHECK HERE IF YOU ARE REQUESTING A REFUND QF AN OVERPAYMENT. ":;:iV:','~+;X'- L<Wi;\,:i.i, :.i\; 20. 0 . "-'~.Bl<liURE .TQ:AII.SVVER ALL QII1i:SUONS" O!IIlEVER~ESIDE ANO RECHECl< MAT\'<< <<) . ", . Copyright 2000 form software only The Lackner Group, Inc. ",-;\}iF::',W Fonn REV-1500 EX (Rev. 6-00) Decedint's Complete Address: STREET ADDRESS 35 Parsonage Street CITY -- -- -- -TSTATE PA 'ZIP 17241 Newville Tax Payments and Credits: L Tax Due (Page 1 Line 1 g) 2. Credits/Payments A. Spousal Poverty Credit B. Prior Payments C. Discount Total Credits (A + B + C) 3. InteresUPenalty if applicable D, Interest E, Penalty 510,74 TotallnteresllPenalty (D + E) 4. If Line 2 is greater than Line 1 + Une 3, enter the difference. This is the OVERPAYMENf. Check box on Page 1 Line 20 to request a refund 5. If Line 1 + line 3;s greater than Line 2, enter the difference. This is the TAX DUE. A. Enter the interest on the tax due. B, Enter the total of Line 5 + 5A This is the BALANCE DUE, (1) 14,552.57 (2) 0,00 (3) (4) 510,74 (5) (5A) (5B) 15,063.31 15,063.31 Make Check Payable to: REGISTER OF WILLS, AGENT l~_._1Im!l'1.1."lllllllf.Ii.._Il._II_IIm!l_BII..4_1_. PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes No a. retain the use or income of the property transferred;... -.................................................... 0 181 b. retain the right to designate who shall use the property transferred or its income;.......".......... 0 ~ c. retain a reversionary interest; or.. .................................... ....................... ..................................... 0 Dia d. receive the promise for life of either payments, benefits or care?............... ......................................... 0 ~ 2. If death occurred after December 12, 1982, did decedent transfer property within one year of death without receiving adequate consideration?..................... ......................................,................... ............................... 0 Dia o 181 181 0 IF THE ANSWlER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. 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?..... .......................... .......................... ........................... Under penalties of pefjuiY~ldeClai-e that '-have examinBdlhis rerum, includl/,g acconi-l'8nying schedules and "statements, and to the best of my knOwledge and belief. it is We, carTed and ciimplete:- Declaration of preparer other than the personal representative is based an all information of wI1ich preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN .--. ADDRESS . 452 Centerville Road -._-_._-~--- DAn~--'- R~~'YG.HI}PENSTi" ^ M", L# fJ()f.g\'Z')J~ 1'~s~S~~RN--AOllIrESl>-----OATE-- ~DRESS , , 20 East Burd Street, Suite 6 P,O, Box 40 Shippensburg, PA 17257 '---'-~---- 1I11}02 I For dates of death on or after July 1, 1994 and before January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 3% [72 P,S, ~9116 (a) (1,1) (ill for dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for the use of the surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)l. The statute does not exempt a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and filing a tax return are still applicable even if the surviving spouse is the only beneficiary. For dales of death on or after July 1, 2000: The tax rate imposed on the net value of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adoptive parent, or a stepparent of the child is 0% [72 P,S, ~9116 (a) (1,2)], The tax rate imposed on the net value of transfers to or for the use of the decedent's lineal beneficiaries is 4.5%, except as noted in 72 P.S. 99116 1,2) [72 P,S, ~9116 (a) (1)], The tax rate imposed on the net value of transfers to or for the use of the decedent's siblings is 12% [72 P.S. ~9116 (a) (1.3)]. A sibling is defined, under Section 9102, as an individual who has at least one parent in common with the decedent, whether by blood or adoption. . SCHEDULE A REAL ESTATE COMMON'NEALTH OF PENNSYlVANIA INHERITANCE TAX ReTURN __.._~___~ESIDENT~ENT n____ _ ~ ______.______,,__~________ ___.~____ _________________.. EsiATEOF~- . -..--~----- _~U~_ ----TFILENUMBER------ HIPPENSTEEL,BARRYE. I 21-01-0698 All real property owned solely or as a tenant in common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged between a willing buyer and a Willing selierl neither being compelled to buy or sell, both having reasonable knowledge ofthe relevant facts. Real property wl1icl1 is jointly-owned witn right of survivorship must l)e disclosed on schedule F. ITEM NUMBER -.--f- 35 Parsonage sireet, Newville, PA 17241 (per attached appraisal) DESCRIPTION VALUE AT DATE OF DEATH 69,000.00 69,000.00 TOTAL (Also enter on Line 1, Recapitulation) '* SCHEDULE B STOCKS & BONDS COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDeNT DECEDENT _...,_.._---~--_.._--_._--- - -',.--'------- -'..---'.-'-..--'" ------~- ----'--..------.---------.-.----- ,-._--- ESTATEOF~I~PEN;~EEL~~RR;E:---------~- . ---- -~-IFILENUMBER----- --- 21 - 01 - 0698 All property jointly-owned with right of survivorship must be disclosed on Schedule F. -'ITEM~~- ---- NUMBER I -1- TBNY Clearing Services LLC--- 2 I Prudential Financial Stock I DESCRIPTION I UNIT VALUE I VALUE AT DATE -1 L OF DEATH - 1------1 '-337~OO- I I 30.7615 4,080.28 I I 1 I I I I I I I i I I I I I I i I , I I I ._~-- ---.-------r-----..---- TOTAL (Also enter on line 2, Recapitulation) I 4,417.28 -.1_____ ___ '* SCHEDULE C CLOSELY-HELD CORPORATION, PARTNERSHIP or SOLE-PROPRIETORSHIP COMMONIN'EAL TH OF PENNSYlVANIA INHERITANCE TAX RETURN ______ RES1~~_~ECED_E~ ___ ____~____.___ _-----:--====-::-==:._:~_.::=--~==-------=-::===-_---=-_..~_.:...:J-__=_=___=_==_:..::::__===_:_~___..::=___---: ____ ESTATEOF~-----~---------- IFILENUMBER ~---- HIPPENSTEEL, BARRY E. 21 _ 01 _ 0698 -"--.-.-..-.---, -- --_.__...----._.-._.~- ----- - ._-_._----~-._._-_._---.._--_._--_._--- Schedule C-1 or C-2 (Including all supporting information) must be attached for each closely-held corporation/partnership interest oflhe decedent, other than a sole-proprietorship_ See instructions for the supporting information to be submitted for sole-proprietors hips_ --'-- ,----._-- VALUE AT DATE OF DEATH ------_._~-._._~._-----~--~-_.~~_.~~-----.~-----.~ 50% General Partner Interest in PA General Partnership known as "Hippensteel's Auto Body". See 32,500.00 attached Schedule C-2 and attached valuation discussion. ITEM NUMBER I DESCRIPTION ---- 32,500.00 TOTAL (Also enter on Line 3, Recapitulation) *' SCHEDULE C-2 PARTNERSHIP INFORMATION REPORT COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT __1____ ESTATE OF HIPPENSTEEL, BARRY E. ----~-_._._--_._--.._- I FILE NUMBER------- 21-01-0698 -.1___ ____,____ ______ 1. Name of Partnership Hippensteel Auto Body ---'~ Address 6 West Green Street City NewvTrr.;------ .--- St~;;-j>A Zip Cod;;-T7i4l-- -~- ----~._-- -.,- Federal Employer \.D. Number 25-1445513 Type of Business Auto Body Shop Decedent was a GJ General C Limited Dale Business Commenced 1011/2083 Business Reporting YearCai.endar-- 2. 3, 4_ Produc\lService Motor Vehicle Body RepairlPainting Partner. If decedent was a limited partner, provide initial investment. l I ----, Jilarry E. Hippensteel I Richard G. Hippensteel I I --TPERCENT OF II PERCENTOF'--j I INCOME OWNERSHIP r-SO%T 50% I 50% I 50% I I I I L __-.1 BALANCE OF CAPITAL ACCOUNT $8,832.00 $15,242.00 5. PARTNER NAME 6. Value of the decedent's interest $32,500.00 7. Was the Partnership indebted to the decedent? 0 Yes IliI No If yes, provide amount of indebtedness _._---~ --- 8. Was there life insurance payable to the partnership upon the death of the decedent? 0 Yes III No If yes, Cash Surrender Value Net proceeds payable OWner of the policy 9. Did the decedent sell or transfer an interest in this partnership within one year prior to death or within two years if date of death was prior to 12.31.82? DYes IliI No If yes, 0 Transfer 0 Sale Percentage transferred/sold Transferee or Purchaser Consideration Date Attach a separate sheet far additional transfers and/or sales. 10. Was there a written partnership agreement in effect at the time of the decedent's death? [J Yes II No If yes, provide a copy of the agreement. 11. Was the decedent's partnership interest sold? 0 Yes II No If yes, provide a copy of the agreement of sale, etc. 12. Was the partnership dissolved or liquidated after the decedent's death? 0 Yes III No If yes, provide a breakdown of distributions received by the estate, including dates and amounts received, 13. Was the decedent related to any of the partners? IliI Yes 0 No If yes. explain Richard G. Hippensteel was a half brother 14. Did the partnership have an interest in other corporations or partnerships? Cl Yes II No If yes, report the necessary information on a separate sheet, including a Schedule C.1 or C-2 for each interest. A. Detailed calculations used in the valuation of the decedent's partnership interest. See attached. B. Complete copies of financial statements or Federal Partnership Income Tax returns (Form 1065) for the year of death and 4 preceding years. C. If the partnership owned real estate, submit a list showing the complete address/es and estimated fair market value/so If real estate appraisals have been secured. attach copies. See attached. D. Any other information relating to the valuation of the decedent's partnership interest. . SCHEDULE E CASH, BANK DEPOSITS, & MISC. PERSONAL PROPERTY COMMONWEAl,. TH OF PENNSYLVANIA INHERITANCE TAX RETURN RES10!NT OECEDENT ESTAfE-OF---====-C=~=_-n--=~==----='=C--- ---------cc==---=c--=----cc-I FILENUMBER-=--CC-=-=--==cc- HIPPENSTEEL, BARRY E. I 21 - 01 - 0698 ---- ---.--"- -- .._.,._---_...._.._.__._,_.._-,-~.__._----_._--_._- ._-----_..--,.---------~-,- Include the proceeds of liligalion and the date the proceeds were received by the estate. All property jointly-owned with the right of survivorship must be disclosed on schedule F. PersonaJ Property------- (See attached appraisal) VALUE AT DATE OF DEATH 3,435.00- ITEM NUMBER -1--- DESCRIPTION 2 Firearms (See attached appraisal) 1,255.00 3 Cash in wallet at time of death. 292.00 4 Farmer's National Bank ofNewviIle AccountNo. 6912834 (See attached) 2,173.40 5 Accrued Interest on 4 4.20 7,159.60 TOTAL (Also enter on Line 5, Recapitulation) . SCHEDULE G INTER-VIVOS TRANSFERS & MISC. NON-PROBATE PROPERTY COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESJDENT DECEOENT I ------ _.__.__.-.~----_..._--_._- -------..---.- ---.__._.__._--~_.- ESTATE OF HIPPENSTEEL, BARRY E. I FILE NUMBER I 2\-0\-0698 I , I - -- - Thlsschedule must beCorTipleted8nd flied if the answer to any of questions 1 through 4 on page 2 is yes-: -- ---- ITEM I --- -DESCRIPTION OF PROPERTY ---- -T~ATE OF DEATH I--;k-OFT--T UMBER i Include me name ollhe tTansferee, their relatJonship 10 decedent and the date oflransfer. VALUE OF ASSET" DECO'S - EXCLUSION r TAXABLE VALUE N _ Altachacopyofthedeedforrealestate. I I INTEREST I (IFAPPUCABLE) ! __--1__ -------'--. ~-,......-i---I- I I Horace Mann Annuity I 20,151.24] 0%, ' . Contract No. 0504698720 (See attached statement) I ! I : Schudder SEP Investtnent, Account Nos. 54-8919 I 620-6, I 13,864.41: 0% 52-89060358-\, 53-89191620-6 I (See attached statement) The above items were Qualified Retirement Annuities and I Individual Retirement Accounts. They all passed upon the death of the decendent via beneficiary designation and are thus non-probate. Because the deeendant was only 5\ at his death, his access to these retirement annuities and retirement accounts was restricted and subject to a federal early withdrawal panalty tax of 10%. Thus, under applicable Pennsylvania law, these accounts/annuities are not subject to Pennsylvania Inheritance Tax. 0.00" 2 0.00 3 Horace Mann Annuity Contract No. 0504702280 (See above statement) I I 46,306.851 I I 0% 0.00 I I I I _____._~.___.-L__ TOTAL (Also enter on line 7, Recapitulation) I \ __I '* SCHEDULE H FUNERAL EXPENSES & COM:-:'~=~~,o:';~~~~~';;"N,^ ADMINISTRATIVE COSTS i RESIDENT DECEDENT I ----.---.--.'.---- ------,..--------'-- -~----,._----_.--- --- ----."---- - ~------- ESTATEOF HI~PE~~~~;L~BARR~;,-~- ---- __~_u -- -U\FILENUMBER-c~====== i 21-01-0698 Debts of decedent must be reported on Schedule I. UifEM-1 ------- - NUMBER ~-+FlJNERAI. EXPENSes: 1 I Myers Funeral Home B. _._~.-L- DESCRIPTION --- -!AMOUNT ------ , ___ ___ __~_ ~____.___--1___~___ I I I I I I I I I I I I \ I I I I I i I I i I Total of Continuation Schedule(s) i 2,250.47 ------- --_._._~-------+----- TOTAL (Also enter on line 9, Recapitulation) I 11,222.55 2 Rick Hippensteel - Reimbursement of Funeral Meal 2,073.00 778.64 400.00 360.44 WAIVED 3,500.00 285.00 75.00 1,500.00 3 Sarah Hippenteel - Reimbursement of Funeral Expense (Down Payment) 4 Gingrich Memorials ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Social Security Number(s} I EIN Number of Personal Representative(s): Street Address State Zip 2. 3. City Year(s) Commission paid Attorney's Fees Zullinger - Davis, PC.- Hamilton C. Davis Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant Street Address 4. City Relationship of Claimant to Decedent Probate Fees Hamilton C. Davis State Zip 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. 1 Other Administrative Costs Legal Advertising - Legal Journal 2 Reserve For Contingencies and Closing Costs . Schedule H Funeral Expenses & Administrative Costs continued COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT _,.__.__.____,_ ___ _______,_____._.._.,.______ _".___.______.___u ____..___._.__ ._______...._ _ _ _ __ _ _ _____ _ __ ESTATE OF HIPPENSTEEL, BARRY E. .--------.--~.-------.TFiLE-NuM8ER-------- ----- ____~__~-01~628_ ___.__ - -3 ISafe- r-::zo~~-----.------- ------ I 4 I Diversified Appraisal Services 65.00 1,050.00 5 Legal Advertising - The News Chronicle 110.47 6 Richard G. Hippensteel- Reimburse Exector's out of pocket expenses 955.00 7 Dennis Gotshall - Appraisals 70.00 Page 2 of Schedule H '* SCHEDULE I DEBTS OF DECEDENT, MORTGAGE LIABILITIES, & LIENS COMMONWEALTH OF PENNSYlVANIA INHERITANCE TAX-RETURN R.ESlOEN"I' OECEOENi -----..~._---.--,~---.--.-.-..,.---------"-.---- - -------_____ ~_..._ ___ __________ _____L-- _______...__~.__._._._.._____._ ESTATE OF --~---------~-- --- --- --------~TFiLE NUMBER--- ------- HIPPENSTEEL, BARRY E. i 21 _ 01 _ 0698 -'~-------'----'-----'-'------'---------'-'- Include unreimbursed medical expenses. ITEM NUMBER I ---~----- -----------~-----~----~--.---- --- ------- DESCRIPTION AMOUNT ComcastClible Company-- 2 2001-2002 School Real Estate Taxes 3 Fleet Credit Card 4 Sunoco Credit Card 5 Adams County National Bank Line of Credit Account No. 6912834 6 Newville Ambulance 7 Utility Expenses 8 United States Treasury (Decedent's 200 I Income Tax Liability) 9 Pennsylvania Department of Revenue (Decedent's 2001 Income Tax Liability) 10 CTCB (Decedent's 2001 Income Tax Liability) -____L-_____~___~__ TOTAL (Also enter on Line 10, Recapitulation) ~- 23:06 624.35 280.80 20.00 2,409.01 181.05 908.94 138.00 120.00 132.00 4,837.21 REV-1m EX. ('-DOI ... COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES 1 TAXABLE DISTRIBUTIONS (include outright spousal distributions) Travis Flaharty 14414 Spring Road, Shermans Dale, P A 17090 I 2 I Allison Walters 19 Fordes Edge, Royersford, P A I I 19468 3 I Thomas G_ Lehman 1314 Doubling Gap Road, Newville, PA 17241 II. lB. 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AllnSV3I1.13H.1 ~O .1N311\1.1l1Vd3Q lS2L~ \ld S~naSN3ddIHS Ct XOS Od 1331SN3ddI~ 3 A~llVa 00.0 SL.9L"O~ COO.Hl a13HH11M )(\11 301lld BN C10SS;JlJ'o'HS 20/St1lO S012-SB'J 00[2 "JNI ....WDN\lNU 31110 'ON mno:X)\f ANlldViO:> .(s)aJe~sJnoA~o ales 94Ho lU8wiled Ul S!':>f:)9tjO s!Lji OIOf:-OV6W m'DN30IAOCldOIOf:f7X080'd .OUI 'aAJas!nb3 SU9i': 16i':v6 OW81-S I I I I I I I I i i . . I I I I I I ~ RESTRICTED USE APPRAISAL REPORT 6 WEST GREEN STREET NEWVILLE, PENNSYLVANIA PREPARED FOR THE ESTATE OF BARRY E. HIPPENSTEEL BY LARRY E. FOOTE DIVERSIFIED APPRAISAL SERVICES 35 EAST IDGH STREET, SUITE 101 CARLISLE, PENNSYLVANIA 17013-3052 (717) 249-2758 f I I I I I I I I I I I I I I I I I I TABLE OF CONTENTS PAGE NO. Table of Contents....................................................................................................2 Letter of Transmittal.................................................................. .... .........................3 Summary ofImportant Facts and Conc1usions.........................................................4 Appraisal Certificate. ..... ....... ....... ........ ..... ...... ........ ......... .......... .............. ..... ....... ...5 Purpose of the Appraisal ... ......... .......... .............. .............. ....... ." .... ............ ..... ........7 Location Analysis...................................................................................................8 Zoning ........... ..... ..... ................ .......... ........... ..... .......... .... ................... ............ ......10 Ownership History ....................... ...... ........... ...... ....... ........... ............ ............ ........12 Estimated Marketing Time ..... ...... ............. ................. ...... ............ ........................ .12 Economic Trends ................ ....... ....... ..... ............ ............ ............ ................. ....... ...12 Site Description.................................................................................................... .13 Improvements ....... .............. ..... .......... ........... ..... .............. ........ ....... ..................... .14 Taxes and AssessmenL...................... ........... ........ .... ..' .... ....... ..... ............ ....... ......16 Highest and Best Use ............................................................................................17 Cost Approach..................................................................................................... .20 Sales Comparison Approach ................ ... ........... ...... ........ .......... ................... ....... .23 Income Approach.. ............ ........ ......... ......... .......... ......... ................. .............. ..... ...31 Reconciliation and Final Value Estimate ...............................................................32 Underlying Assumptions and Limiting Conditions ................................................33 Certificate of Appraisal....... ..... ............ ....................... ..... .......... ................. ..........36 APPENDIX Qualifications of the Appraiser Photographs ofthe Subject Property Location Map 2 I' I I I I I I I I I I I I I I I I I I, Diversified Appraisal Services Real Estate Appraisers and ConsuNants 35 East High Street Carlisle, PA 17013-3052 (117) 249-2758 FftX (117) 258-4701 October 29,2001 TO: The Estate of Barry E. Hippensteel FM: Larry E. Foote RE: Restricted Use Appraisal Report 6 West Green Street Newville, Pennsylvania At your request, I have appraised the captioned property. The restricted use ap- praisal report of a limited appraisal, which follows this letter, is submitted in support of my opinion of Market Value of the Fee Simple Interest in the property, as of July 12, 2001. I hereby certifY that, to the best of my knowledge and belief, the data, facts, and opinions set forth therein, are accurate, subject to the Statement of Assumptions and Lim- iting Conditions that is also made a part of the report, and that the indicated Market Value of the subject property, as ofJuly 12, 200 I is: SEVENTY THOUSAND DOLLARS $70,000 This restricted use appraisal has been made using the Departure Provision in ac- cordance with the guidelines set forth by the Appraisal Standards Board and is in con- formity with the standards of professional practice ofthe National Association of Real- tors Appraisal Section. I appreciate your having considered me for this assignment and trust that you find the report entirely satisfactory. Respectfully submitted, ~~ Certified General Appraiser GA-000014-L 3 .' ~ ~ I , I I I I I I I I I I I I I I SUMMARY OF IMPORTANT FACTS AND CONCLUSIONS LOCATION: 6 West Green Street Newville, Pennsylvania TAX PARCEL NUMBER: 27-20-1754-133 and 27-20-1754-132 OWNERSHIP: Richard G. Hippensteel and Bany A. Hippensteel. LAND SIZE: Approximately .94 acre. ZONING: Light Industrial/Commercial District. FLOOD HAZARD DATA: The subject site is not located in a FEMA identified flood hazard zone, according to map #421579-OO01-A. PROPERTY RIGHTS: Fee simple interest. SCOPE OF ASSIGNMENT: The scope of the assignment included an analysis of the subject's area, an inspection of the subject property, an es- timation of the property's highest and best use, considera- tion of all three approaches to value, and the application of those relevant to the valuation of the subject. IMPROVEMENTS: One-story detached automotive repair shop. OBJECTIVE: To estimate the market value of the subject property as un- encumbered. USE OF THE APPRAISAL: Estate settlement. EFFECTIVE DATE: July 12,2001. IDGHEST AND BEST USE: Continued use as an automotive repair shop. COST APPROACH: N.A. SALES APPROACH: $70,000 INCOME APPROACH: N.A. VALUE CONCLUSION: $70,000 4 APPRAISAL OF PERSONAL PROPERTY OF THE ESTATE OF BARRY E. IDPPENSTEEL. 35 PARSONAGE STREET. NEWVILLE. P A ON OCTOBER 3.2001: Common buffet Mounted deer head 2 Turtle shells (lot) Full bear skin with head Modern oak-finish lamp stand Desk light Liberty gun safe Round wall mirror Turkey feathers on mount Modern pine desk & chair 2-Drawer metal file cabinet Miscellaneous table linens Fertilizer advertisement plaque Sharp microwave and stand 5-Piece maple dinette set including table & 4 chairs Large modern braided rug 2 Small modern braided rugs @$ 8.00 Modern dish set for 6 Toastmaster blender Robeson portable mixer 4 Old Hickory knives in block Glass candy jar Mr. Coffee coffee maker Miscellaneous deer antlers Stainless flatware set for 8 Miscellaneous pots & pans 2 Common Beam bottles @$ 5.00 4 Granite pie tins @$ 3.00 Small store-type candy jar Small custom-made wooden box with shelves Crockery Kettle slow cooker Nest of 4 Pyrex bowls Miscellaneous Vision ware & bake ware Wapak cast iron skillet 2-Piece softwood step-back cupboard Set of 4 snack trays Dirt Devil upright vacuum cleaner Kidde fire extinguisher 3 Mounted fish @$ 12.00 Sanyo portable color television Modem oak-finish 2-door base cabinet 20-in. electric fan Modem basket $ 20.00 $ 15.00 $ 3.00 $ 45.00 $ 5.00 $ 3.00 $ 450.00 $ 15.00 $ 5.00 $ 30.00 $ 15.00 $ 5.00 $ 5.00 $ 45.00 $ 65.00 $ 25.00 $ 16.00 $ 20.00 $ 12.00 $ 8.00 $ 12.00 $ 8.00 $ 8.00 $ 15.00 $ 15.00 $ 30.00 $ 10.00 $ 12.00 $ 15.00 $ 8.00 $ 3.00 $ 15.00 $ 10.00 $ 30.00 $ 300.00 $ 8.00 $ 30.00 $ 10.00 $ 36.00 $ 45.00 $ 20.00 $ 5.00 $ 5.00 - 2 - Maple coffee table and 2 matching lamp stands (set) Love seat sofa Common floor light Maple open-arm recliner Common table light Recliner Modem room-size braided rug Reed advertisement thermometer 1929 P A hunting license plate (badly worn) Common wooden base cabinet Oak stand (rough) Wards 18-in. electric hedge trimmer Miscellaneous hand tools Coleman cooler Other miscellaneous coolers (lot) Sanyo kerosene heater Wooden storage shelf Metal display rack 2 Small fire extinguishers @$ 3.00 Garden hose 2 Wooden folding chairs @$ 3.00 Craftsman circular saw 2 Common electric drills @$ 8.00 Miscellaneous drill bits Fish grill (wire basket) Small Sears air compressor Miscellaneous folding lawn chairs 2 Saw horses (lot) Child's sled (rough) Miscellaneous extension cords Small charcoal grill Miscellaneous canning jars Oasis dehumidifier (older model) Adirondack toboggan Metal lawn chair Gas grill (older model) Lawn wheelbarrow Miscellaneous lawn & garden tools Small bench vise Metal tool box with miscellaneous tools Meat saw Miscellaneous drawer organizers with contents Set of man's golf clubs with bag & cart Golf umbrella $ 30.00 $ 35.00 $ 8.00 $ 25.00 $ 8.00 $ 25.00 $ 30.00 $ 5.00 $ 8.00 $ 10.00 $ 15.00 $ 15.00 $ 10.00 $ 15.00 $ 8.00 $ 15.00 $ no value $ 5.00 $ 6.00 $ 3.00 $ 6.00 $ 15.00 $ 16.00 $ 5.00 $ 5.00 $ 35.00 $ 15.00 $ 3.00 $ 3.00 $ 5.00 $ 2.00 $ 5.00 $ 20.00 $ 30.00 $ 3.00 $ 5.00 $ 8.00 $ 20.00 $ 5.00 $ 20.00 $ 8.00 $ 30.00 $ 40.00 $ 5.00 Man's hip boots Common fan Other golf bag & cart Boat gas tank Potato crate Miscellaneous boat life preservers (lot) Road Pal emergency car air compressor Miscellaneous golf balls Open wooden cabinet Hand cart for garbage can Minnow seine Wooden cabinet with double doors SerVess push power mower Minnow bucket Raleigh 10-speed bicycle Miscellaneous fishing rods & reels Miscellaneous fishing tackle Miscellaneous fish landing nets Camo back pack Wards electric boat trolling motor 6 Boat oars @$ 4.00 Whirlpool automatic washer Whirlpool dryer Longaberger clothes basket Electric baseboard strip heater Miscellaneous bedding & linens Small G.E. window air conditioner Common swivel rocker Oak wash stand Modem kerosene lamp Double bed with mattress & box springs Walnut-finish dresser with mirror Pine 6-gun cabinet Oak-finish book shelf Folding wooden chair Small air conditioner Sleeping bag Black rifle powder & supplies Wilson baseball glove Common lamp Common lamp stand Miscellaneous oak bed frame & side rails (lot) G.E. clock radio Small fashion fan -3- $ 8.00 $ 3.00 $ 8.00 $ 20.00 $ 2.00 $ 15.00 $ 10.00 $ 15.00 $ 5.00 $ 3.00 $ 5.00 $ 8.00 $ 15.00 $ 8.00 $ 20.00 $ 140.00 $ 60.00 $ 30.00 $ 8.00 $ 35.00 $ 24.00 $ 90.00 $ 60.00 $ 50.00 $ 15.00 $ 20.00 $ 40.00 $ 20.00 $ 120.00 $ 10.00 $ 25.00 $ 55.00 $ 25.00 $ 15.00 $ 5.00 $ 20.00 $ 15.00 $ 15.00 $ 20.00 $ 3.00 $ 3.00 $ 5.00 $ 3.00 $ 3.00 -4- Eskimo ice fishing drill Wooden folding chair 3-Speed fan Clam steamer Wooden storage box for ice fishing Gibson air conditioner (older model) AnaloglDigital Trainer in case Miscellaneous luggage Oval picture frame (angel) Texas Instruments computer keyboard Miscellaneous pictures & frames Floor-type draftsman light Meat grinder Miscellaneous fishing reels Dietz barn lantern Thermos double mantel lantern Coleman double mantel lantern Common fan Coleman camp stove Miscellaneous tennis rackets Stoneware dishes Miscellaneous P A hunting licenses (paper) Sanyo kerosene heater Common oscillating fan APP~ BY: ~./~ 'Dennis 1. Gotshall, Auctioneer/Prop. Dan Hershey Auctioneering Service PA Lic. #AU-002306-L 3 Brown Road Shippensburg, P A 17257 TOTAL: $ 30.00 $ 3.00 $ 8.00 $ 15.00 $ 8.00 $ 10.00 $ 5.00 $ 10.00 $ 5.00 $ 5.00 $ 8.00 $ 15.00 $ 45.00 $ 10.00 $ 12.00 $ 20.00 $ 25.00 $ 5.00 $ 22.00 $ 5.00 $ 5.00 $ 20.00 $ 15.00 $ 8.00 $ 3,435.00 ADDITIONAL APPRAISAL OF GUNS FOR THE ESTATE OF BARRY E. HIPPENSTEEL. 35 PARSONAGE STREET. NEWVILLE. P A ON NOVEMBER 26. 2001: Daisy Model 1894 NRA Centennial BB gun Crossman V350 BB gun 2 Common Daisy BB guns @$ 20.00 Charles Daley 50 cal. flintlock (Serial # 127347) W. Richards Hammerlock 12 gauge shotgun (no serial number) Folsom Arms Co. Hammerlock 12 gauge shotgun (Serial # 192019) Guesto muzzle loading cap & ball shotgun (no serial number) Winchester Model 12 12-gauge shotgun (Serial # 279253) Savage single shot bolt action .22-cal. (S/L/LR) (no serial number) Stevens Model 311 D 16-gauge side-by-side double barrel shotgun (Serial #A311835)............................................................. Marlin Model25N .22-cal. rifle with 3 x 6 Model V22A Weaver scope (Serial #06501404).................................... ....................... Cannon 35mm camera TOTAL: APPRAISED BY: ;jh~/4a/l Dennis L. Gotshall, AuctioneerlProp. Dan Hershey Auctioneering Service PA Lie. #AU-002306-L 3 Brown Road Shippensburg, P A 17257 $ 90.00 $ 25.00 $ 40.00 $110.00 $ 55.00 $ 45.00 $ 65.00 $ 350.00 $ 65.00 $ 185.00 $ 195.00 $ 30.00 $ 1,255.00 ~ ADAMSCOITNTYNATIONAtBANK& FARI\i{ERS NATIONAL BANK OF NEWVILLE .', ));";';0'''01,.1,;'',0". 1,'01./11)' .\"1.'1<1"''; 11,,,,," CHECKING STATEMENT Page 1 9-05-01 Account No. 225290 Enclosure Debits 801 BARRY E HIPPENSTEEL 35 PARSONAGE STREET NEWVILLE PA 17241 It's the time of year for back to school shopping! Remember to take your Visa Check Card. It can be used at the ATM and for purchases---wherever Visa is accepted. It's the card that works like a check. . .only better. 22 529 0 SUPERNOW ACCOUNT * - - - Date 9-05 Previous Balance 8-02-01 2,173.40 +Deposits/Credits .00 -Checks/Debits .00 -Service Fee .00 +Interest Paid 3.04 Current Balance 2,176.44 - - - - - - - -DESCRIPTIVE TRANSACTIONS- - - - - Tracer Description 999 INTEREST PAYMENT - - - - * Amount 3.04 * ~ - - Interest Earned From Days in Period Interest Earned Annual Percentage Yield Earned Interest Paid this Year Interest Withheld this Year - -INTEREST SUMMARY- 8/02/01 To 9/05/01 * 34 3.04 1. 51 31.30 .00 * Date 8-02 Balance 2173.40 ..DAILY BALANCE SUMMARY- .. - - - - - - _ _ _ _* Date Balance Date Balance 9-05 2176.44 ~ND OF STATEMENT Horate mann@ Annuity Statement June 29, 2001 - September 28, 2001 Insuring America. '$ Educational Community PO Box 4657 . Springfield,IL62708-4657 rage 1 all BARRY E HIPPENSTEEL 35 PARSONAGE ST NEWVillE, PA 17241-1313 1,,,111,,,1,,1,1,1.,1,,,11,,,11,,11,,,,11,,11,,,11.,1,1,1.1,,1 005073 Statement For Barry E. Hippensteel (J Contract Information Plan Type IRA Contract Number 0504698720 Contract Effective Date 04/17/1996 Fixed Account Renewal Date 04/17/2006 Fixed Account Renewal Period 05 years '-' Customer Service 1-800-999-1030 @ Website www.horacemann.com Agent Fronk, Donald B. Do you know you can contribute even more for retirement next year? See your Horace Mann representative to learn how you can benefit from the new tax law effective Jan. 1, 2002. Current Investment Allocation $3,292.29 $2,060.72 Asset Category Investment Option Large U,S. HM Equity HM Balanced Fixed Income Fixed HM Balanced Current Premium Allocation By Option By Cate90ry 80% Allocation of Value ~ 26% Total Value 09128/2001 500/0 300/0 o 74% 20% 100% $13,424.42 $1,373.Bl $20,151.24 0% 20% 100% Contract Summary by Investment Investment Total Units on Unit Price Total Value Additions! Gains I = Total Value Option 09/28/2001 09/28/2001 06/29/2001 + Subtractions + Losses 09/28/2001 HM Equity 182.363 $18.0535 $3,745.08 $0.00 $452.79- $3,292.29 Fixed 0.000 $0.0000 $13,258.98 $0.00 $165.44 $13,424.42 HM Balanced 208.809 $16.4482 $3,649.67 $0.00 $215.14- $3,434.53 S20,653.73 SO.OO $502,49- $20,151.24 Total Withdrawals Since 04/17/1996 SO.OO Total Premiums Since 04/1711996 $11,300.00 01 _n11O_ 0OO05"~ij 00005:92 Hora[e mann@ Annuity Statement June 29, 2001 - September 28, 2001 . Insuring America's Educational Community PO 80x 4657 . Springfield, IL 62708-4657 Page 2 of2 Statement For Barry E. Hippensteel o Customer Service 1-800-999-1030 @ Website www.horacemann.com (j Contract Information Plan Type IRA Contract Number Contract Effective Date Fixed Account Renewal Date Fixed Account Renewal Period 0504698720 04/17/1996 04/17/2006 05 years Contract Activity by Investment Investment Option Transaction Date Transaction Type Interest [$165.44] Transaction Amount Unit Price = Units Bought/Sold Fixed 09/28/2001 Total Activity for Fixed ~rall~ Tot~lof All ~<:tivil}t__. so.oo SO.OO M~____..,__._ Account Statement January 1 - September 30,2001 SCUDDER INVESTMENTS Page 1 of 4 SCUDDER TRUST COMPANY CUST SEP NC BARRY E HIPPENSTEEL PO BOX 40 SHIPPENSBURG PA 17257-0040 Social Security Number Shareholder Services ScudderACCESS Internet Address E-mail Address On File (800) 621-1048 (800) 972-3060 .www.scudder.com info@scudder.com ),,,III,,,I,,I,I,I.I,I,,,IIJ...IJ,,,,I..III....I..III...IJ..,1 Your Representative GIFT STEPHEN HD VEST FlNANCIAL SVC 1205 MANOR DRIVE STE 100 r.mCHANICSBURG PA 17055. Scudder News 11l,thiS time of market uncertainty, it's important to guard against overreaction. If youfec;lcpffipeIledt() Inake a change in your investment program, talk with your financial advisor to determine the best strategy to weather short-term fluctuations while addressing your long-terrnobjectives. flortfolio Summary SCilcider Fund. Fund~Account# Share Price x Shares OWned = Mark.t Valve ",.:.1..... .. Retirement Series ill - Retir3 Retirement Series N - Retir4 ;Target 2011 - Trgt2011 Market Value as of 09/30101 53-89191620-6 54-89191620-6 52-89060358-1 $8.49 9.04 10.40 771.989 755.943 45.817 . . $15,222.81 $6,554.19 6,833.72 . 47650 $13,864.41 MClrket Value as of 12/31100 'P:> ;; ,......... 2.1>00 Retirement Account Contributioris, $0,00 '2001 Retirement Account Contributions:. $0.00 Asset Allocation Cotegory Money Market Tax-Free Income Income Taiget Equity Asset Allocation Equity IV alue Equity/Growth Gkibal!Intemational Market Value Portfollo% $0.00 0.00 0.00 13,86441 0.00 {l,00 0.00 0.00 $13,864.41 0.0 0.0 0.0 100.0 0.0 0.0 0.0 0.0 100.0 I ~I~I ~'III~II ~m ~IIIIIIIIII ZSI CNSL . 0 7 1 E 0 ~ CSf 05A2.A70347209430 1847 S lEM035111795RI~'l7'l(/l1 HOrd[e mann@ Insuring America's Educational Community PO Box 4657 . Springfield, fL 62708~4657 Annuity Statement June 29, 2001- December 31,2001 . Page 1 of2 BARRY E HIPPENSTEEL PO BOX 40 SHIPPENSBURG, PA , 7257-0040 1,,,111,,,1,,1,1,1,1,1,,,111,,,11.,,,1..111,..,1..111,..1,,,,1 006796 Statement For Barry E. Hippensteel (j Contract Information Plan Type IRA Contract Number 0504702280 Contract Effective Date 05/1811984 Fixed Account Renewal Date 05/18/2004 Fixed Account Renewal Period 05 years o Customer Service 1-800-999-1030 @ Website www.horacemann.com Agent Fronk, Donald B. Have you visited our website at www.horacemann.com? You can view your account value 24 hours a day, 7 days a week on line. Our Call Center is also available weekdays 7 am to 7 pm CST and Saturdays 8 am to 4:30 pm CST at '-800-999-1030. Current Investment Allocation Allocation of Value EtJiJ 100% 100% Total Value 12/31/2001 Asset Category Investment Option Fixed Income Fixed Current Premium Allocation By Option By Category 100% 100% $47,580.66 $47,580.66 100% Contract Summary by Investment Investment Option Total Unfts on Unit Price 12/3112001 12/3112001 Total Value Additions! 06/2912001 + Subtractions + Gains I = Total Value Losses 12/3112001 Fixed 0.000 $0.0000 $46,306.85 $46,306.85 $0.00 $0.00 $1,273.8t $1,273.81 $47,580.66 $47,580.66 Total Withdrawals Since 05/18/1984 $0.00 Total Premiums Since 05/18/1984 $14,151.05 C, ''i~1 10. 00'2~10<; 0011,01] \1-35&468_' Myers Funeral Home, Inc. 37 East Main Street Mechanicsburg, Pa. 17055 Boyd L. Myers Jr., Supervisor (717) 766-3421 STATEMENT OF FUNERAL GOODS AND SERVICES SELECTED Char~es are only for those items that you selected or that are required. If we are required by Jawor by a cemetery or crematory to use any items, we wil explam in writing below. If you selected a funeral that may reqUIre emhalming, such as a funeral with vic\ving, you may have to pay for embalming. Yo do not have to pay for embalming you did not approve if you selected arrangements such as direct cremation or immediate burial. If\.ve charge VOll for a embalming, \lie \vill explain why below. . For Services of _. _ __Barry_g, Hipflenlitee'-_.~_Ilate OfDeath __ ~_]uiI_12.2()O~ _~ Date of Contract ~~ _JuIL~2001...._ Charge to Tom L. Hippensteel 165 Texaco Road Mechanicsburg, Pa. 17050 -Name --..---.--.-- ---..-- ----..,-.-.- -Addfe5'i-- ---_-.---n---erty-----------------State-----..-.-- Zip'-- ---- A. CHARGE FOR SERVICES SELECTED: I. PROFESSIONAL SERVICES Services of Funeral Director and Staff $ Embalming .' .-~-- $ --~ Casketing, dfessing:- cosmetology ~- -- $- --- --__ Other Preparation of bod)~-'-,----- $-~_-9s.00 Hairdresser/Barber --- ------.--.$--~- ~utop'!;y Re~ain~_=-__=~-===== ~=-~_== ------ --- --- ~-- -- ------.....- StlB-TOTAL PROFESSIONAL SERVICES AI $ 1,790.0.2 2, USE OF FACILITIES AND SERVICES For visitation / wake service $ For funeral ceremony -----------$-- ----- For memorial service----==-~~_== $_ '-Tjo,QO Equipment & services for graveside service $ 295_00 ~---$ SUB-TOTAL FACILITIES AND EQUIPMENT-- A2$~ 645.00 3. AUTOMOTIVE EQUIPMENT Vehicle to trans.fer remains to Funeral Home $ 350,00 Hearse (Casket Coach) - $- - Flower Car! Floral DistrTbution'--~- $------- Ioel Family Car __ __ __~=-~---=-=$___--=~~ Lead Car I Clergy Car- ~_ _ _ _ $ __ __ Utility Car - - $ Out ~fto\~n transportation-----.----- $-'~'- -'-"--'''--$--''- SUB-TC)'rAL AUTOMOIWE EQiJIPMENT - A3$~ _..250.00 TOTAL SERVICES, FACILITIES, AUTOMOBILE A ~ 2,785.00 B. CHARGES FOR MERCHANDISE SELECTED Casket _. ._.___.___ ____ $_____ Other R.eceptacle_<;ardboard_Cre~~tion ___ $_______ loel Outer Burial Ccntamenta\ner $ Acknowledgment Car& ~--~---,--- $---------rncI Register Book. -.------ $ 75.00 Memorial Folders---~.- ~-------- $ Incl Pra) er Cards -,-- -~_=_~___, - f--==---=-=- Temporary Grave Markers $ - i Burial Clothing ------~~-$. _ ----------....- --------.--~._ - DISCLAIMER OF WARRANTIES Other Clothing- ---- -_____ -$ -'-- _ Our funeral home makes no representations or warranties regarding casket Cremation um--=~__===-=_ $ -- -__~_ or outer burial containers. The only warranties, expressed or implied, grante Temporary Container for Cremains $_ _ In_cl in connection with goods sold with the funeral service are the express writte - ~-- warranties, if any, extended by the manufacturer thereof. No other warrantie --------~- $ including the implied warranties of merchantability or fitness for particula fOTAL MERCHANDISE SELECTED-- -'8 $' 75.00 PUfllOse are extended by the seller. I agree that I have examined the items of goods and services selected above and found them to be correct and according to the arrangements I hav requested. I acknowledge receipt of a copy of th~s Statement of Funeral Goods and Services Selected. I rep~e~ent that I have sufflcient.t~nds available f payment of the cash price for. the gOOds and services selected. I also agree to make payment of $ 2073.00 WIthin 30 days: I agree to be )oll)tly and several liable with anyone else who Signs below. A LATE CH!\RGE of 1.5% per month (18~J'er annum) Will be. applied to the unpaid balance begmnrng .30 days afte the date of this contract. I will also pay the Funeral Director all reasonable costs pal by the Funeral DIrector to collect amounts I owe under thiS agreemen. Those costs may include attorney fees and court costs. Any items requested after the date of this agreement will be considered part of this agreement and w I be reflected on the final bill. 1695.00 (Seal) --.--'-PurcIlascr (Seal) --Purc]laser.-- C. SPECIAL CHARGES Forwarding Remains to other Funeral Home $ Receiving Remains form other Funeral Home- $ ------~ Immediate Burial --- $ --.------ Direct Cremation --,==-==:-=-= $=.=-=_----.. $ -- SUB-TOTAL OF SPECIAL CHARGES D. CASH ADVANCED Opening Grave/CryE.!... _______._~______ $________ Newspaper Loc~_.___ _~______.____ $_..---!I?~ Newspaper ___~__________ $_ Clergy / Mass Offering______.__~ $--'- Certilied Copies of Death Certificato,_2..4...._._ $ 48.00 Family Flowe~.__.. _.___._ _. $ _~() Crematory Charge - $- 200.00 ~rem.~tion-.:\ut~9ri~_tlo~ ._.-=-~~---== $__ .. ?_S.OQ $ -----_.. --_.._---~_._- ---------..---,----- '.-'-.-.- ----.-------$-.--.- C$ SUB-TOTAL OF CASH ADVANCED D $ 328.00 --..---- We charge you for our services in obtaining the following: NONE " I SUMMARY OF CHARGES , TOTAL ABOVE ITEMS (A,B.C.D) $ 3,188.00 I I Sales T;c, (if Ap!'L@..__-=%= $ ==-~O~oo I I TOTAL OF ALL SECTIONS __ ______._ S,.--lJ.88.00 I , I I LESS: Payment Macl."- ____.______ $____~I I LESS: Credits PendinL....._ __ _.__._ !...____ ! : LESS: Credits grant~__ Pa~kage Price Discount_._._ ~___J:.~.O~' I BALANCE DUE by Aug 12, 2001 $ 2,073.00 I r - ..-.-__ ___.____ I A late charge of 1.5% per month on t11e outstanding balance (annual rate of 18%) I , will be added to the balance. ! L..._.___._.._ _~_ _____.__~_____' REASON FOR REQUIRED SERVICES OR MERCHANDISE i..' _._--.--.-.~------_._--~~.---.__.-...- i '. Jt,\)' 13,2001 _ -- Contract Diite -------- ------- ^- Chrlstopher-ivCWililams Iicensed tUJ1eiafbJreC'ior: . - . ~~j'>'"~r"';' >"-' ,~;J:"l~:"\'~'7,:r';""":~~:I~ -,l:'e~'~', ", "".~"""""""'''''''''''''_'''''''"'''-'~ -:""-- ':".":-.. '-::.. ~~~",~".~",-~"ry.~~~.tlF~"':',;,. "';--'c.' "-_,'.' 1'- . . "", . , fr~"H ""t' ./',"-,;;.~ '," ,~hvr fJiIr/ U , ype,o . .!~emqna." . '. [;~i:!'tt: ); ;;: ". Sign., ~~~;~r,1" . , ~r.l8ment A 5Q%'de~jt is reqUIred ppor to co~eneem.nfof work.'. :~.-:ie' > ,'$'. ,....,,-':)::<(;(,;,:.:;,:.:. . , " :. :' ,- ",-' , '>, ' ':, >. _ _ I "._, , . '''. ~!'U ':Cpay staled bel~ Upoh,rection regardless 'oIlabortroublesQrShiprrl.nts' or any Othergood'reasonl. nllS ~rde;' or contact eannos b8canceHed ::,' lW,c:uatl?mer unte"_Q~by'bOlhParlies, Tht article hel1llO mention'" shaH remain II'ie property of ~m.. R. G1nvr1Ch M.morl.leuJlltil paid InM and ~'l!~~~~~~'7'",.!"',:~,..~pa~'1~""~ '<;'>'" ;~' ;,~$;:.;.. :r, Iligrje'to'oer&fullyproo~tfaRn.meSandd;ltes foracCtlracyandaoCeptfull~S '$!biotyfaranyerrorsor omlssions:TH&REWILL_E ~ AQDfTlONAL' CHAltOER)RANY LEnERING ADOEo fO,THlS MEMORIAL AFTER EDOHTHECEME~FfY.. !' _' ';;', :.:, '<' " ;" " :,',,,~:, ~,,:, ',r ):.-,:, :;.)......:_ \,.'-.1 _:; "(.f'.~',, '". ~'_, '.',- ',.";: ,,_ ' :, ,'".' <',' '. c' '~. ".,'_/ '_:~ ";:', :;. '";, ';,; f~; all""' to payJhe tmla'nce staled tot the WD~,*,ormed un(ferltJ18 COntract Within thirty (3oj daY. Ot receipt Ofth"finalln~ 'N1urthe~'.g,..., '_." ":, .", . :hat ~eresl sh~lIaCCNe:Bt thJrate of one aM on..haff ~rcenl (1 J-)%) per month OI'lthe ,unpIIld balanclI owed to James R. Gil'JUliCO'Memorlale tIOfpald 'J'. DEPQS1T 11IiIh.~,thh1y (30l daYSof1tiemvo' date, ~n addltlan tliefelo, J'agree ~t it becomeS necessary tor Jame_~, GII1g~ to Institute JegitfProc;ee.<l1ng to COiled", .:~ ,", '. .:';, " _ 1I1Y liinds dtl! from me fOr my ac unt being past dj Ihlr:ty (3Oj days, to pay all C:OlJrt CO$tlS andattarneys l.eeflinCUrredby Jamll$ R Gfng-rlctl ~emo(raJ. Balance Due ~Clfecltnesam. j,' '" < . "" -~ 1 " ,~ <'." ", . . < " , , . ' U~!}Comp}t1~ $ {~t~r' . a'; ~~ . Cust~mer ~ / ~~, W,4':' ~ . .. ," . (I further agree that the above names; spelling, an~ ~ales are correct) 5alesman '- ",Type Of, Sale -:,' "":" ";'.',,'," Qa~eE~lered"'::' " ',','" _'1",,', . \' ORDER FORM .,'j . , , ,'"" & t f,' v- iLettering ~~ ,-- "':i:~" ",- " WHITEfOHice YElI..OWlProduction ' PINK/Customer, ' GOLDENROD/Branch .-..;..;";...,~ "''';''',' ~:-;:r;,::~-.,':":~. "~,rlit.':, ',,-f-:: ^ '. ""!,",:<"'.'.,"".-" -;'-;~'-" ""'-'''"'' "-~~~<'-"':";-"0j,~ri'~' "'1.. ,:,:".,'" PARTY BILL ~TE %.t/~OtJ.. -0/\ '\ NAME '~JJ:pLJ{J/H.A7,;;-(} ADDRESS - , , \ PHONE .. , '\ ITEM Ii FOOD COST @ &.SO DINNER(S) MEAT/CHEESE PLATTER (Lg/Sm) 'BEEF BAR-B-Q 'BAR-B-Q HOT DOGS . 'MEATBALLS I 'wilms ' 'VEGETABLE/RELISH TRAY CHIPS/PRETZELS (Box) "'TOSSED SALAD (Serving) MISC. MISC. MISC. $45.00 $45.00 $55.00 $45.00 $40.00 $10.00 $0.75 , DESSERT -PIE (Slice) . -ICE CREAM (Serving) -FRUIT CUP (Serving) MISC. , MISC. MISC. $'.00 $0.75 $0.75 ORDERED (50. I , TOTAL !;/.?i &V-) I , , I I -"I . SUB TOTAL /,,/./3 ,,'J!) PA SALES TAX 0.06% ,~:~. u,! GRATUITY 0.15% i:I:p,"i '=i I I SUB TOTAL~ II II I ',i ~i I ~I -if -~I , SUB TOTAL..JI DEPOSIT: II FINAL TOTAL: '7'T)(.7,;Jf----J! I BEVERAGE COFFEE (Pot) PUNCH (Bowl) 1/4 KEG (Domestic) 1/2 KEG (Domestic) 1/2 KEG (Import) CHAMPGNE (BU) (Market Price) WINE (BU) (Market Price) SODA (Pitcher) MISC. $25.00 $10.00 $50.00 $80.00 $130.00 $3.25 (\ I J(; ) V~ i i . ...J l' AX Y'E..\A 2001-02 REAL ESTATE TAX NOTICE ."" C"~J;,'@AOl~gR I NG SCHOOL D I STR I CT BETT~OCKENSMITH 108 WEST- STREET NEWVILLE'PA 17241-1008 ~Ci(lOL-RliT . . ~n~:!=-___-9.---..l,Ml' -';,!~ , 611.86' i : I i 624.35\ I \ 6.a6...:L9!_~__.__.J--_. ' , - ~,~ . . %P ACCT NO 27-20-1754-080 HIPPENSTEEL, BARRY ~ 35 PARSONAGE STREET NEWVILLE PA 17241 DATE .. SCHOOL" JULY 1 2001 I:, TUES 9AM-12NOON . CLOSED SEPTEMBER 717-776-5511 ASSESSMENT SILL NO. C2 68,610 222 1-4PM 6-8PM AND FEBRUARY r- lA, - ~ ( sip %52001 "kP M OUf;ING TH1S flE'AIOO i 5'A,'(!,,"S AMCum I ULY-AUGUST' 6.11.86 I' EPT-OCT I ~Ei24. 35~, ._L-..::::E:S6..-29..J PARSONAGE STREET ...-...- LAND LESS THAN 1 ACRE ~IA'I'i'!III'loi.~,.,;9''''''~'H!''Oi!I~I!~~'~l'']I' ~"~'1,~U"'9,;,,~C:j."J'1~'JI~~1'1~~'I';A' 1.1:"""""_""':.11"-_ IF TAXES ARE IN ESCROW, FORWARD THIS BILL TO YOUR MORTGAGE COMPANY IF UNPAID BY 12/20/01 TAXES WILL BE TURNED OVER TO CUMBERLAND CO. TAX CLAIM BUREAU. $1.00 FEE FOR ADD'L RECEIPTS REQUESTED f..c;;H pic I sc.lL..RE.S___Ls..C1LQCC '" -----. . 10 rop "I 1 ~_----'~_lQ.g.Ml:i':-O-MT""""'%"--ML-P---._...rill>"" '''''lli~ri:'''I'l.,.T\''''~''''''''''~ 4.90, 4. 90[ 235.-20r------j--,,~-.-,,-...~.DU"'''''-TH/S..",,'''- ,__~<Y THIS '.0""" '. l 5.00: ,5.001 ,240.00',' ~TI~P~IS~OjJNT (JULY-AUGUST, -2-45:O'O-i, 5.50; 5.50. 264~0 I a TY SEPT-OCT ! .......-2:>u.uQJi I I ____' I rOV 1 I '''275.00 I _______.~..'"_____..L.____.___.___,~_ ___or) ( SEP%52001 .' - -JilF UNPAID BY 12/20/01 TAXES WILL BE TURNED OVER TO ___ ELINQUENT COLLECTOR. ACCT # 027-0000836 TITLE IS 90 JOB TITLE: MECHANIC OR 532-7286 ~~~S6~~~~ DATE OF BILL TAX YEAR 2001-02 PERSONAL TAX NOTICE "'~~$"~~~~NG SCHOOL DISTRICT BETTY L HOCKENSMITH 108 WEST STREET NEWVILLE PA 17241-1008 HIPPENSTEEL, BARRY E 35 PARSONAGE ST. . NEWVILLE PA 17241 DATE .. SCHOOL .. JULY 1 2001 ~. TUES 9AM-12NOON . CLOSED SEPTEMBER 717-776-5511 _>\;:s.;~SS;'.iEN", B!Ll NO. C 2 300 366 1-4PM 6-8PM AND FEBRUARY Dt1~I~~rn1~WI4;~O~ CALL 240-6365 OR 697-0371 EXT 63~~ Diversified Appraisal Services Real Estate Appraisers and Consultants 35 East High Street Suite 101 Carlisle, Pennsylvania 17013-3052 Tel: 717,249,2758 Fax: 717.258,4701 INVOICE DATE: October 29,2001 TO: The Estate afBarry E Hippensteel FOR: Appraisal Reports $250 - Residential appraisal of35 Parsonage Street, Newville, $800 - Commercial appraisal of6 West Green Street, Newville, AMOUNT: $1,050,00 Thank Yau, i.L C~~ c:7'\tJI~-~~ Larry E Foote Certified General Appraiser GA-0000J4-L Tax ill Number 206-36-6731 Invoice No. I I ~___.~___,.______ "....~._"__.___..__.__._____..J SOLD TO SHIP TO ~_-,,~':t6"'''''~ZFt''~::'':Ik~"';;J"r.'''' ")J~;~t_f\l fl..l1.i i~"jm:::~~~~I;~. .m,~.._._,d1<""....'""",,,,: ,_.~-,., i i , \ ---_..._-~--,-,._------~-'- ----'-- -... ..." ....-.. s an fUllera s LIsle G. rick rkpatrick, of Quincy ist Home, or Scot. 'f~pnWO()(! du'\"ilte, .Juty 12, ynesboro , ~;h(~ had for thl"ee 2.':1, lOGS. le was a the late ~d E l'fie r wirJowot' 'kpatrick kpatrid{ 75. .rick was uate of .: High i[r. and :k owned Ie former Meat :lanrJ for iring in arriage, ~mploycd ,Old Na- on the ambers- rick was 'eenwood . Fayet- s a for- school c of the Monthly was ac- mission- chapel. visitinJ{ in the associa- .urch ac- trick is ) duugh~ K. (1V1r::;, cklas of Joanne James) ersburg; Jseph G. Fayet- bert B. Jr. of .. one 1 Gabler ug; l;~ .~ ----.--' Jesse C. Mellott Carlisle .Jes:-,p Chl~ster i\lellott;, 7~), or 7 Hi Alh~n [{n,ld, (;arlis1t', died S;ltunlav .J uJy 1-1. 2001, in U~(: Todd :'vlenwrial Hllnw, Carlisle. EMn Sept. ~9, 1~)22, in Carli:.;J(,. he was the son of the late ,Jacob Colond and Ethel Clarissa Hottry Mellott. He was the widower of S,lra Isabel Goouhart Nldlott. L\lr. Mllllott was a lite-long farmer, former employee of Petermans Power Equipment Inc_, Carlisle, and was a re- tired employee of the Carlisle School District where he was a school bus driver. Eo was a memher of the Waggoners United Methodist Church, where he was a former super- intendent and teacher in Sunday "ehool and a member of class No.1 of the Sunday school. 1\Ir. Mellott was a U.S. Army veteran of World War II, serving with the 394th fnfantry, 99th Division, serving in Germany and at the Battle of the Bulge. He received the Good Con- duct Medal, Good Con- duct Clasp, Expert In- fantry Badge, the EAl\I Hibboll and the Combat Infantryman Badge. Ht;\ is ~urvived by a daughter, Barbara A. Mellott of Carlisle; a son, Richard L. Mellott of Carlisle; a brother, Frank Mellott of Carlisle; a sister, l\larie Kepner of Carlisle; three grandchildren; <lnd three great-grandchil- dren. Mr. Mellott was pre- cc_ded in death by two brothers, Lester ;lnd Colonel; two sisters, Elsie Lay and Elva De- Hart: and a great- grandson, Michael Jumper. Funeral services win be held Wednesday at 10 11. Ill. in \Vaggont!rs United Methodist Barry E. Hippensteel NI.C\vvilk: Barry E. lIippt'nstet'l, ;')(), of .\I"ewville, died Thursd.av. .hdv 12, 20tH, at He,:shey. l\Iedical Center H.'i :) result of a fal!. Born Feb. 5, 1951, in Carlisle, he was a son of Sarah B. (Bolen) Hip- pensteel of Mechuni<:s- burg and the late Paul R. Hippensteel. He was partner and manager at Hippensteel Autll Bodv, Newville. 1\1r. Hi.ppensteel was a member of the Newvitle VFW, Big Spring- Fish and Game Associntion and Sons of the Amt'riean Legion Post 109, Mechanics- burg. He was an avid sportsman. 111 addition to his mother, he is survived by onc daughtcr, Allison Hippensteel of King of Prussia; one stepson, Trnvi.s Flaharty of Stcr~ retts Gap; one brother, Tom Hippensteel of Me- chaniesburg; tWQ hatf- brothers, Pete Bolen of Blain and Richard Hip- pensteel of Newville; and several nieces and nephews. In addition to his fa4 ther, Mr. Hippensteel was prcl:cdcd in death by a half sister, Betty Wenger. IVlemorial services will be held Friday at 2 p.m. in Myers Funeral Home, 37 E. Main St., Mechantcsburg. Pastor Nathan W, Walker will llfficiate. Interment wi\.l be private at the convenience of the fam- ily. Visitation will be Friday from 1 to 2 p. m. in the funeral home. Memorial contribu4 tions may be made to Newville" Friendship Hose Company No.1, P.O. Box 218, Newville, PA 17241. Spaces Road-tested tips to help parents survive the miles with their kids rvlore than 18 million American families will take to the road for SUUlmer vacations this yeur. According to Liz Walsh, president and founder of Survive the Drive and a premiere expert in traveling with kids, the following 15 tips should be required reading for all parents hoping to "survive the drive" with their kids this summer. These tried and true, road- tested tips have hdped thousands of families traveling millions of miles. L Pack a roll of tin foil and let the kids create tin-foil sculp- tures. (Shiny, noisy, easy to sculpt - what could be better or cheaperD 2. Add multi-colored pipe cleaners to the sculpting mix and you'll have master- pieces. 3. Give your kids 25 pennies. Reward them for cooperation. If they have all their money when you stop, promise to double their money. 4. Bring a container of baby wipes - don't ask, just bring them. 5. Give each child a clipboard. It helps keeps papers secure on laps and is great for passing tic-tac-toe and Hang- man games back and forth. 6. Have an easily ac~ cessible change of clothes for every mem- ber of the family. (If you have to ask why, you are in for a REAL surprise). 7. Plan stops. It gives everyone something to look forward to. If you're looking for some- thing out of the ordi~ nary, try www.roadside america.com. S. If heading to the beach or laKe or any place with swimming, pac,k a pool bag with suits, sunscreen, floata- tion devices and towels. Do not bury this bag in th" ~rllnkr The map has other games and activities included. 1,1. Use the time in the car to talk with your kids. Let them ask ques- tions about when you were growing up. Who wa~ your first boyfriend or girlfriend? What subject did you hate in school? What subject did you love? Who was your favorite teacher and why? What was the most emba....assing moment in your life? 14. Ask your kids questions, If you were presiJent, what would be your first law? If you could luvite anyone in the world to dinner, who would it be? If you could make up a new holiday, what would it be? 15. Have the car de- tailed when you get home - until then - Do NOT worry about the mess in the car! Pre-need funerals can be sold only by directors The Pennsylvania Supreme Court declines to hear a Common4 wealth Court ruling that unlicensed sales of pre. arranged funeral ser- vices are illegal. The issue originated in 1996 when a com~ plaint brought against Andrew D. Ferguson III, a Union town funeral director, and Faye Morey, an agent of Baltimore Life Insur- ance Co. Ferguson had been assisting Morey, who was selling pre- need arrangements without a license. The cases were brought to the State Board of Funeral Directors, the Common- wealth Court of Penn- sylvania. and recently to the Pennsylvania Supreme Court. Previously, the Com- monwealth Court of Pennsylvania held that only a licensed funeral director can engage in pre-arranged sales of funeral goods and ser- vices. The Common- wealth Court also af- firmed the State Board of Funeral Directors which in October 2000 suspended Ferguson's funeral license for two years, which was then stayed, and fined him $4,000 for aiding the un- licensed practi~e of fu- neral directing. In addi- tion, Morey was fined $4,000 for practicing fu- neral directing without a license. She was seU~ ing pre-arranged funer- als that were funded by life insurance policies and then assigned to Ferguson's funeral home. The Pennsylvania Supreme Court has de- nied petitions for at. lowance of appeal in the Ferguson and ~lorey cases. It is extremely unlikely that the United States Supreme Court would agree to review the Ferguson and Morey cases, Therefore, the July 2, 2001, Pennsyl- vania Supreme Court order means that the Commonwealth Court ruling will stand and become the law on these issues. Free yourself from smoking Chambersburg Hospi- tal will otfer the Ameri. can Lung Association's Freedom from Smoking Program on six The program win be held in Classroom 1, lo~ cated on the ground floor of the hospital. The cost is $79 per. p,ers?n, "" ""-.J ~ ~ '" LAST WILL AND TESTAMENT~\ (Q) py I, BARRY E. HIPPENSTEEL, of the Borough of Newville, Cumberland County, Pennsylvania, declare this to be my Last Will and Testament and revoke any Will or Codicil previously made by me. ITEM I: I direct that all my just debts (except as may be barred by a Statute of Limitations) and my funeral expenses (including my gravemarker and expenses of my last illness) shall be paid from my residuary estate as soon as practicable after my decease as a part of the administration of my estate. ITEM II: I bequeath those articles of my household furniture and furnishings and those articles of my personal effects and personal property as set forth in a separate memorandum (which is signed by me, dated and makes specific reference to this Will and memorandum, which I shall place with my Will or deposit with my attorney). to the persons therein designated. ITEM III: I devise my residence real estate situated in the Borough of Newville. Cumberland County, Pennsylvania (which has an address of: 35 Parsonage Street, Newville, Pennsylvania, 17241. together with the household goods and furnishings and all other of my tangible personal property (but not including cash or securities and not including any such items specifically bequeathed in Item II above and not including such property which is utilized by me in my businesses)) to my friend and former stepson, TRAVIS FLAHARTY, provided he shall survive me by thirty ;::? ~ ~ .~ (30) days. This gift is made free of and is intended to be free of the provisions and limitations of Section 2514, Subsections 16.1 and 16.2 of the Pennsylvania Probate, Estates and Fiduciaries Code. It is my intention hereby that my attorney-in-fact acting pursuant to a Power of Attorney which I am simultaneously herewith executing or have heretofore executed or may hereafter execute or any guardian of my estate should one be appointed, either before or after my possible incapacity or other disability, shall be free to sell, mortgage or otherwise dispose of this real estate, if such sale, mortgage or other disposition shall, in the sole discretion of my attorney-in-fact or guardian, be needed for my care, comfort, support or health, free and unrestricted by the provisions of the above referenced Sections. To carry out my intent and purpose hereunder, I specifically make the above gift free of any rights or claims of the legatees or devisees during my lifetime, and should any such claims be made or asserted, then and in that event, this gift shall become null and void and the property bequeath or devised hereunder or the proceeds therefrom shall pass as a part of my residuary estate pursuant to ITEM VII below. ITEM IV: I have designated my friend and former stepson. TRAVIS FLAHARTY, as the beneficiary on a life insurance policy upon my life, and upon my Individual Retirement Account (IRA) and upon my Brokerage Account for stocks and mutual funds and I want 2 ~ ~ ~ .......... to confirm such beneficiary designations and bequeath to TRAVIS FLAHARTY any IRA and any stocks or mutual funds that I own at the time of my death. ITEM V: I have designated my daughter, ALLISON WALTERS, as the beneficiary on a life insurance policy upon my life and I want to confirm such beneficiary designation and to bequeath to ALLISON all checking accounts, saving accounts and certificates of deposit (and any other deposit accounts in any bank, savings and loan association, credit union or other institution) that I own at the time of my death. ITEM VI: If my friend and employee, TOM LEHMAN, survives me and at the time of my death is still employed by me in HIPPENSTEEL'S BODY SHOP (Steelstown Road, Newville, Pennsylvania) I give, devise and bequeath to TOM LEHMAN my interest in the business (and the assets thereof) operated by me with my brother, RICHARD HIPPENSTEEL, know as "Hippensteel's Body Shop". Should TOM LEHMAN not survive me or at the time of my death, not be employed by me in Hippensteel's Body Shop, then I give, devise and bequeath my interest in such business to my brother, RICHARD G. HIPPENSTEEL. ITEM VII: I devise and bequeath all the residue of my estate of every nature and wherever situate to my daughter, ALLISON WALTERS, providing she shall survive me by thirty (30) days. Should my daughter, ALLISON WALTERS, predecease me or die on or 3 ~ ~ ~ before the thirtieth day following my death but leaving descendants who so survive me, such descendants shall receive, per stirpes. the share that such predeceased child would have received had he or she so survived me. ITEM VIII: I direct that all taxes that may be assessed in consequence of my death, of whatever nature and by whatever jurisdiction imposed, shall be paid from my residuary estate as part of the expenses of the administration of my estate. ITEM IX: I appoint my brother, RICHARD G. HIPPENSTEEL, Executor' of this my Last Will. Should he fail to qualify or cease to act as Executor, I appoint my brother, TOM HIPPENSTEEL, Executor of this my Last Will. ITEM X: I direct that my Executor or their successors shall not be required to give bond for the faithful performance of their duties in any jurisdiction. ITEM XI: My individual fiduciary shall be entitled to reasonable compensation for his or her services rendered from time to time and/or to reimbursement of out of pocket expenses. ITEM XII: The interests of the beneficiaries hereunder shall not be subj ect to anticipation or to voluntary or involuntary alienation. ITEM XIII: In addition to other powers vested in my Executor by law and other provisions of my Will, I hereby specifically authorize my Executor to continue the operation of any business in 4 which I may be interested or engaged at the time of my death (regardless of the form or organization of any such business), without the necessity of seeking approval from any Court and without having to give any bond or other security, until such time as my Executor may deem it advisable to sell, liquidate or distribute the same in kind. My Executor shall have all the rights and powers in connection with such business as I had when living. IN WITNESS WHEREOF, I hereunto set my hand and seal to this my Last Will and Testament, written on six (6) sheets of paper, dated this 2!>-d day of 4<<7 '" ~ f- , 1998. IS! 6 ~)~t.v1;/(sEAL} BAR E. HI l?ENSTEEL /5/ /5/ ~~?tpJ The preceding instrument, consisting of this and five (5) other typewritten pages, each identified by the signature or initials of the Testator, was on the day and date thereof signed, published and declared by the Testator therein named, as and for his Last Will, in the presence of us, who, at his request, in his presence, and in the presence of each other have subscribed our ~na~/ as ~~nec~sles. h~reto. ~~~kkJ. __ ' residing at AI~t/,'lt i7;. , residing at fo{6wy j7A- 5 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. I, BARRY E. HIPPENSTEEL, the Testator whose name is signed to the attached or foregoing instrument, having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my Last Will; and that I signed it willingly and as my free and voluntary act for the purposes therein expressed. 14 ~~~EALI BARRY . HIP STEEL /s/ Sworn to or affirmed and acknowledged before me by 8MR.'fE. HIPPENSTEEL-, the Testator, this ~C:;~ day of QuO'-~ , 1998. ...p ~ NOTAriIALeEJ\L d)l7uJ.,. Q. . LOIS Po. SQl..LErlli:;f1GER. llCiDly PubIoc N6tary Public I Shiptlllsburg Boro. Cumberland County M' Commission E>.pireo March 3. roo! COMMONWEALTH OF PENNSYLVANIA ss. COUNTY OF CUMBERLAND We, U.<w1'\II..-roN Co. ::o.AJ\ s. and -r'r?II~IA m. 6R.oot<.E:JIJS , the witnesses whose names are signed to the attached or foregoing instrument, being duly qualified according to law, do depose and say that we were present and saw the Testator sign and execute the instrument as his Last Will; that the Testator signed willingly and executed it as his free and voluntary act for the purposes therein expressed; that each subscribing witness in the hearing and sight of the Testator signed the Will as a witness; and that to the best of our knowledge the Testator was at the time eighteen (18) or more years of age and of sound mind and under no constraint or undue influence. /sl Is! Sworn to or affirmed and subscribed to before me by ~A-w\I'-T1)"'" C:. 'bAVIS, and ""TRlll.lA- (h. .(l,~ao~I:7-JS, witnesses, this ..a~ day of n,'-1}'.J- , 1998. Is! ~&-i..- Q. ~ 'Notary Publi i NOr:'RIAL SEAl . '_OIS A. SOll.t'N&RGE!I. N<lWy ~ i~:-,i.'p9m~buro Bora. CumbMtand Councy I .: '; Ccmmioslcn &01.... March 3. 2001 HIPPEN 02f25/2!:102 12:24 PM /'.1".." I Form 1065 u.s. Return of Partnership Income OMS No. 1545-0099 Department o( the Treasury For calendar year 2001, or tax year beginning. ........ ... . and ending . 2001 Internal Revenue Sel"\lice .. See seoarate instructions. A Principal business activity Name of partnership 0 Employer Identification number Auto Bodv Re Use the IRS B Principal product or service label. Hippensteel Auto Bodv 25-1445513 Other- Number. street, and room or suite no. If a P.O. box. see page 13 of the instructions. E ~a~ ~U~iij ~t~ed Repairs wise, 6 West Green Street print F Tot<;ll assets ~ee page 14 of C Business code number or type. City or town. state, and ZIP code the mstructio s) 811120 Newville PA 17241 $ 24 501. G Check appticable boxes: (11 0 Inilialretum (2) 0 f\na\retum (3) 0 Namechange ~) 0 Addresschange H Check accounting method: (1) 0 Cash (2) gg Accrual (3) U Other (specify) II'-- I Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year II'-- (5) 0 Amended return .3 Caution: Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more information. 1. Gross receipts or sales 1. 108 036 b Less returns and allowances 1b 1c 108 036 2 Cost of goods sold (Schedule A, tine 8) 2 56 280 ......... ............... ........... 3 Gross profit. Subtract line 2 from line 1 c ......... ......... 3 51 756 Income ......... . . . . . . . . . . . . . . . 4 Ordinary inc. (loss) from other partnerships, estates, & trusts (aU. sch.) .. 4 .......... 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 5 6 Net gain (loss) from Form 4797. Part n, line 18 ......... 6 . . . . . . . . . . . . . . 7 Other income (loss) (attach schedule) . . . . . . . . . . 7 . . . . . . . . . . . . . . B Total income loss. Combine tines 3 throu h 7 . 8 51. 756 9 Salaries and wages (other than to partners) (less employment credits) .......... 9 10 Guaranteed payments to partners 10 20 1.80 11 Repairs and maintenance 11 365 12 Bad debts .......... 12 Deductions 13 Rent 13 (see pg.15 of 14 Taxes and licenses ... ,gElEl .S.tlTl.t. :to 14 1. 165 theinstruc. 15 Interest 15 34 tions for 16. Depreciation (if required, attach Form 4562).... 16. 153 limitations) b Less depreciation reported on Schedule A and elsewhere on return 16b 16c 153 17 Depletion (00 not deduct oil and gas depletion.) 17 ......... 18 Retirement plans, etc. 18 ......... 19 Employee benefit programs 19 20 Other deductions (attach schedule) ....I3ElE! .?tlTl.t..:l 20 19 81.4 21 Total deductions. Add the amounts shown in the far ri ht column far lines 9 throu h 20 21 41. 71.1. 22 Ordina income loss from trade or business activities. Subtract line 21 from line 8 22 1.0 045 Sign Here Under penalties of perjury, J declare that I have examined this retum. including accompanying schedules and statements, and 10 the best of my knowledge and beliel, il is true, correcl. and complete. Declaration of preparer (olher than general partner or limited liability company member is based on air information of which preparer has any knowledge. May the IRS discuss this return 1/ /I"/J- ~ D"e Check if self.em 10 ed II'-- inSln.lctions '1 Paid Pre parer's Use Only ~ s; ",,,e 0 ,"",, "'oe, 0' "o,,'ed ",bilil Preparer's com an member si nature iUJYWct a Gift & Associates 1.205 Manor Drive, Mechanicsbur PA Preparer's SSN or PTlN POO1.95974 EIN" 26-0006710 jf self-employed), Suite 100 17055 Phone address, and ZIP code 00. 71.7-766-3555 Fo<m 1065 (2OG') For Paperwork Reduction Act Notice, see separate instructions. DAA HIPPEN 02125/200212:24 PM Form 1065(2001' Hippensteel Auto Body 25 1445513 , - PaQe 2 cSc;heduleA Cost of Goods Sold (see Daoe 18 of the instructions) 1 Inventory at beginning of year 1 650 ." ." 2 Purchases less cost of items withdrawn for personal use 2 43,437 ....... .... '" ..... .... ..... 3 Cost of labor 3 13 068 ............ 4 Additional section 263A costs (attach schedule) 4 .' ...... .... ". 5 Other costs (attach schedule) . 5 ." ....... 6 Total. Add lines 1 through 5 6 57 155 ". ". .... .... .... ." .... .... ........ ." 7 Inventory at end of year 1 875 ." ..... .... .... " ..... 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2 . 8 56 280 .... ......... " . . . . . . . 9a Check aU methods used for valuing dosing inventory: (i) ~ Costas described in Regulations section 1.471-3 (ii) Lower of cost or market as described in Regulations section 1.471-4 (iii) Other (specify method used and attach explanation)" ............ . . . . . . . . . . . . . . b Check this box if there was a writedown of "subnormal" goods as described in Regulations section 1.471-2(c) c Check this box if the LIFO inventory method was adopted th(s tax year for any goods (if checked, attach Form 970) d Do the rules of section 263A (for property produced or acquired for resale) apply to the partnership? . e Was there any change in determining quaotities, cost, or valuations between opening and closing inventory? If "Yes: attach explanatfon. , , :~ PH P Ves No Ves No s2fieameB. Other Information 1 What type of entity is filing this return? Check the applicable box; a ~ Domestic general partnership b ~ Domestic limited partnership : ~ ~::i~~j::::~:~~:bililY company : ~ ~~:;sti~im~t~.~ ~j~~~l~t~.~~~~~.r~~~~ _.......... 2 Are any partners in this partnership also partnerships? ..........................................".... 3 During the partnership's tax year. did the partnership own any interest in another partnership or in any foreign entity that was disregarded as an entity separate from its owner under Regulations sections 301.7701-2 and 301.7701-3? If yes, see instructions for required attachment...........................................,...........,.... ............. Is this partnership subject to the consolidated audit procedures of sections 6221 through 62331 If "Yes," see Designation of Tax Matters Partner below. . . . . . . . . . . . . . . . . . , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . , . . . . . . . . . . . . . . . . Does this partnership meet aU three of the following requirements? a The partnership's total receipts for the lax year were less than $250,000; b The partnership's total assets at the end of the tax year were less than $600,000; and c Schedules K.l are filed with t/1e return and furnished to the partners on or before the due date (including extensions) for the partnership return. If "Yes," the partnership is not required to complete Schedules L, M-1, and M-2: Item F on page 1 of Form 1065; or Item JonSchedule K-l ................ ...... ....... ..... ......... ........ Does this partnership have any foreign partners? If "Yes," the partnership may have to file Forms 8804, 8B05 and 6813. Seepage 20 of the instructions ............... ..,........ ...................... \s this partnership a publicly traded partnership as deflOed in section 469{k){2)? ..... Has this partnership filed, or is it required to file, Form 8264, Application for Registration of a Tax Shelter? At any time during calendar year 2001. did the partnership 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 page 20 of the instructions for exceptions and filing requirements for Form TO F 90-22.1. If "Yes." enter the name of the foreign countcy..... .... .,... ......... _............... ............ 10 During the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to. a foreign trust? If "Ves." the partnership may have to file Form 3520. See page 20 of the instructions ......, Was there a distribution of property or a transfer (e.g., by sale or death) of a partnership interest during the tax year? It ''Yes.'' you may elecl to adjust the basis of the partnership's assets under section 754 by attaching the statement described under Elections Made By the Partnership on page 8 of the instructions 12 Enter the number of Forms 8865 attached to this return Designation of Tax Matters Partner (see page 20 of the instructions) Enter below the general partner designated as the lax matters partner (rMP) for the tax year of this return; x x 4 x 5 6 x X X 7 8 9 x X 11 ~ Name of desi nated TM? Address of desiQnated TMP DM ~ Identifying number of TMP ~ 210-32-7496 Richard G. Hi ensteel 452 Centervi1le Road Newville PA 17241 Form 1065 (2001) HIl-"PEN 02/28/2002 12:12 PM Form 1065 (2001) Si:hedule K fa\ Distributive share items Ib) Total amount 1 Ordinary income (loss) from trade or business activities (page 1, line 22) 1 10 045 2 Net income (loss) from rental real estate activities (allach Form 8825). ... 13al 2 3a Gross income from other rental activities i.; b Expenses from other rental activities (attach sch.) I 3b I i c Net income (loss) from other rental activities. Subtract line 3b from line 3a 3c 4 Portfolio income (loss): a Interest income 4a 139 Income b Ordinar'j' dividends 4b (Loss) c Royalty income 4c d Net shorHerm capital gain (loss) (attach Schedule 0 (Form 1065)) 4d o (1) Net rong-Ierm capilar gain (loss) (allach Schedule D (Form 1065)) 4011\ (2) 28% rate gain (loss) ~ (3) Qualified 5~year gain ~ f Other portfolio income (loss) (attach schedule) ...... 4f 5 Guaranteed payments to partners. 5 20,180 6 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797) . 6 7 Other income ([oss\ (attach schedule\ . 7 8 Charitable contributions (attach schedule) ....... ... .... See Stmt 8 .... 9 Section 179 expense deduction (attach Form 4562) . ........ 9 8 235 Deductions 10 Deductions related to portfolio income (itemize) 10 .... 11 Other deductions (attach schedule) ;i 12a Low-income housing credit: {1} From partnerships to which section 420)(5) applies 12al1 (2) Other than on line 12a(1). 12a(2 Credits b Qualified rehabilitation expenditures related to rental real estate act. (att. Form 3468) ... ..... ....... 12b c Credits (other than cr. shown on lines 12a & 12b) related to rental real estate activities ... 12c d Credits related to other rental activities ...... ... 12d 13 Other credits 13 Invest- 14a Interest expense on investment debts ... .... ...... ... ...... ... 14a ment b (1) Investment income included on lines 4a, 4b, 4C, and 41 above ......... .... 14b/1 139 Interest 121 Investment exoenses included on line 10 above 14b'2 Self- 15a Net earnings (loss) from self-employment. ....... .... 15a 21 990 Employ- b Gross farming or fishing income ...... 15b ment c Gross nonfarm income 15c 0 16a Depreciation adjustment on property placed in service after 1986 . ........ .... 16a Adjust- b Adjusted gain or loss . 16b ments ... c Depletion (other than oil and gas) ......... ....... .... 16c and Tax Preference d (1) Gross income from oil, gas, and geothermal properties ..... '.d(. (2) Deductions allocable to oil, gas, and geothermal properties ... ... '.d'2 Items Other adjustments and tax oreference items (attach schedule\ . 0 1 ::: 17a Name of foreign country or U.S. possession" ....... .. ..... .. b Gross income from all sources .... .... ... ....... 117c c Gross income sourced at partner level .... d Foreign gross income sourced at partnership level: F}iiifl Foreign .... (2) listed cate~ories.. (3) General 17dlJ (1) Passive (attach sch. limitation.... ~ Taxes 0 Deductions allocated and apportioned at partner level: (1) Interest expense..... (2) Other ~ 170(2 .... f Deductions allocated & apprtn. at ptorshp. level to foreign source inc.: i (') Passive..... (2) Listed cate~ories.. (3) General 17f(3 [jtachSch. l"imitation .. 9 Total foreign taxes (check one):.... Paid Accrued 0 170 h Reduction in taxes available for credit (attach schedule\ '7h 18 Section 59(e)(2) expenditures: a Type~ b Amount ~ 18b 19 Tax-exempt interest income 19 Other 20 Other tax-exempt income 20 21 Nondeductible expenses. 21 22 Distributions of money (cash and marketable securities) . 22 13 108 23 Distributions of property other than money . 23 24 Other items & amounts reauired to be reoorted ~eD~~~ieJ~'t~' ~~rt~~;s' i~tt. s~h:) , i. '.// Hippensteel Auto Bodv 25-1445513 Partners' Shares of Income Credits Deductions etc Paqe 3 OAA Form 1065 (2001) JoIlPPEN 02125/200212:24 PM 25-1445513 Pa e4 2 Net income (loss). Combine Schedule K. lines 1 through 7 in column (b). sum of Schedule K, lines 8 throu h 11. 14a. 17 . and lBb Analysis by (iiJ Individual (i) Corporate partner type: active (vi) Nominee/Other From the result, subtract the 22 129 1 (v) Exempt or anization (iii) Individual (iv) Partnership Assets a General partners b Limited artners SchedUlet. Balance Sheets er Books uired if Question 5 on Schedule B is answered "Yes," Be innin of tax ear 1 201 Trade notes and accounts receivable b Less allowance for bad debts 3 4 5 6 Cash Inventories U.S. government obligations. Tax-exempt securities Other current assets (allach schedule) Mortgage and real estate loans ............ Other investments (attach schedule) 9a Buildings and other depreciable assets b Less accumulated depreciation Depletable assets . ...................... Less accumulated depletion ...... . . . . . . . . . Land (net of any amortization) Intangible assets (amortizable only) Less accumulated amortization Other assets See Stmt 4 (allach schedule} . . . . . . . . . . . Total assets .................... Liabilities and Capital Accounts payable 7 8 lOa b 11 12a b 13 14 15 16 17 Mortgages, notes, bonds payable in less than 1 year Other current f1abilities .. ,S, ,e. ,e.., S" t, .mt 5 (attach schedule) All nonrecourse loans 1 422 18 19 20 Mortgages, notes, bonds payable in 1 year or more Other liabilities (attach schedule} . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Partners' capital accounts . 24 078 22 Totalliabililies and ca ital . 27 054 :si!hIiHUiIiM~I'" Reconciliation of Income (Loss) per Books With Income (Loss) per Return 22 276 24 501 (Not reauired if Question 5 on Schedule B is answered "Yes,") 1 Net income (loss) per books 1 949 6 Income recorded on books this year not in- .., 2 Income included on Sch. K, In. 1 through eluded on Schedule K. tines 1 through 7 (itemize): 4,6, and 7, not recorded on books this a Tax-exempt interest $ ............ ... ... ..... year (itemize): .. ............ ... ....... ..... ..... .... .., ....... ....... ... ....... ........ 3 Guaranteed payments (other than 7 Deductions included on Schedule K, lines 1 health insurance).................. 20,180 through 11, 14a, 17g, and 18b, not charged 4 Expenses recorded on books this year nOI against book income this year (itemize): inCluded on Schedule K, lines 1 through 11, 14a, 179, and 18b (itemize): a Depreciation $ .... ........ .......... .... a Depreciation $ ..... .... ................. b ~~f~~kfnn~ent ...... $ ............ .... .... .., ......... ...... ... .......... ....... 8 Add Jines 6 and 7 ..... .... ........ ......... .... ........ ... ...... .... 9 Income (loss) (Analysis of Net Income (Loss), 5 Add lines 1 through 4 . 22,129 line 1). Subtract line 8 from line 5 . . 22 129 Si::lledlilliM.2 . Analvsis of Partners' Capital Accounts (Not reQuired if Question 5 on Schedule B is answered "Yes.") 1 Balance at beginning of year _ 24 078 6 Distributions: a Cash 13 108 2 Capital contributed during year 9 357 b Property . 3 Net income (loss) per books 1,949 7 Other decreases 4 Other increases . (itemize): ......... (itemize): .... 8 Add Jines 6 and 7 13 108 ......... ...... 5 Add lines 1 throuqh 4 35,384 9 Balance at end of vear. Subtract In. B from In. 5 22 276 DAA Form 1065(2001) HIPP'EN 02/28/2002 12:13 PM , partner# 1 SCHEDULE K-1 (Form 1065) Department of the Treasury n erna Re en ervi Partner's identi in number'" Partner's name, address, and ZIP code Partner's Share of Income, Credits, Deductions, etc. llI-See separate instructions. OMS No. 1545-0099 175-40-5042 and endin Partnershi '5 identi in number" Partnership's name, address, and ZIP code 2001 25-1445513 For calendar ear 2001 or tOix ear be innln Barry E Hippensteel-deceased 35 Parsonage Street Newville A This partner is a general partner o limited liability company member 8 What type of enlity is this partner? C Is this partner a ~ domestic or a PA 17241 limited partner .64.5 foreign partner? (I) Before change (ii) End of ~ o Individual. or termination year G Tax shelter registration number. ~ o Enter partner's percentage of: Profit sharing % Loss sharing % Ownership of capital. % E IRS Center where partnership filed return: Cincinnati OH 45999-0011 29,OOOO()0' 29,.OOO()()0% 29,OOO()00' H Check here if this partnership is a publicly traded partnership as defined in section 469{k)(2) o Check applicable boxes: (1) ~ Final K-1 (2) o Amended K-1 J Analvsis of Dartner's caoital account: (a) Capital account at (b) Ca?itatcontributed (c) Partner's share of lines td) Withdrawals and (e) Capital account at end of beginning of year during year 3,4, and 7. Form 1065, distributions year (com~~~~ ~~~mns (a) Schedule M-2 throu h d 8 832 565 9 397 0 (a) Distributive share item (b) Amount (c) 1040 filers enter the amount in column (bl on: 1 Ordinary income (loss) from trade or business activities 1 2 913 1see page. 0' Partna" 2 Net income (loss) from rental real estate activities 2 nstructions tor Schedule K-' 3 Net income (loss) from other rental activities 3 (Form 1065). 4 Portfolio income (loss): ,..X....... a Interest .... 4. 40 Sch. S, Part I, line 1 b Ordinary dividends. . ....... 4b 8ch. 8, Part II, line 5 Income c Royalties... 4e 8ch. E, Part I, line 4 (Loss) d Net short-term capital gain (loss) . 4d Sch. D, line 5, eoL In e (1) Net long-term capital gain (loss) 4011 Sch. D, line 12, coL <n (2) 28% rate gain (loss) 4012 Soh. D, line 12, coL (9) (3) Qualified 5-year gain 40/3 Line 4 ot wkst. for Sch. 0, In. 29 1 Other portfolio income (loss) (aU. schedule) . . 41 Enter on apptic. In. of your rtn. 5 Guaranteed payments to partner. 5 14 000 } Sae page 6 01 Partoa" .... Instructions for Schedule K-1 6 Net section 1231 gain (loss) (other than due to casualty or theft) . 6 (Form 1065). 7 Other income (loss) (attach schedule\ 7 Enter on a"'~, In. of "our rtn. Deduc- a C/'1aritable contributions (see inslr.) (at!. sch.l.. ..... S Sch. A, line 15 or 16 tions 9 Section 179 expense deduction. _ ... 9 2 388 } See page. 7 and' of 10 Deductions related to portfolio inc. {an. sch.) 10 Partner's Instructions for 11 Other deductions (attach schedule' 11 Schedule K-1 (Form 1065). 12. low-income housing credit: ii (1) From section 42U)(5) partnerships .. 12a" J~ Form 8586, line 5 (2) Other than on line 12a(1) . ..' 12.f2 b Qualified rehabilitation expenditures related to rental real estate it Credits activities 12b c Credits (other than credits shown on lines 12a and 12b) related >{( } ~_W'.~ to rental real estate activities 12c Instructions for Schedule K.1 d Credits related to other rental activities 12d (Form 1065). 13 Other credits 13 For Paperwork Reduction Act Notice. see Instructions for Form 1065. Schedulo K-1 (Form 1065) 2001 OM Invest. ment Interest Self- employ- ment Adjust- ments and Tax Prefer. ence Items Foreign Taxes Other Supple- mental Informa- tion OM Tax~exempt interest income, Other tax-exempt income. Nondeductible expenses. ' Distributions of money (cash and marketable securities) , Distributions of property other than money Recapture of low.income housing credit a From section 42{j)(5) partnerships 24a b Other than on line 24a 24b 25 Supplemental information required to be reported separately to each partner {at!. additio(lal sch. If more space is (Ieeded): Barry E Hippensteel Hi ensteel Auto Bod (a) Distributive share item 14a Interest expense on investment debts b (1) Investment income lncluded on lines 4a, 4b, 4c, and 4f 2 Investment ex enses included on line 10 15a Net earnings (loss) from self-employment, b Gross farming or fishing income c Gross nonfarm income 16a Depreciation adjustment on property placed in service after 1986 , b Adjusted gain or loss c Depletion (other than oil and gas) , d (1) Gross income from oil, gas, and geothermal properties {2} Deductions allocable to oil. gas, and geothermal properties e Other ad.ustments and tax reference items 17a Name of foreign country or U.S, possession" b Gross income from all sources c Gross income sourced at partner level d Foreign gross income sourced at partnership lellel: (1) Passive (2) Listed categories {attach schedule) , (3) General limitation e Deductions anocated and apportioned at partner level: (1) Interest expense (2) Other. 14. 14b 1 14b 2 15. 15b 15c 16. 16b 16c 16d 1 16d 2 16e 9 h 18 Deductions allocated and apportioned at partnership level to foreign source income: (1) Passive (Z) Listed categories {attach schedule} . (3) General limitation Total foreign taxes (check one): '" "0' Paid ,. 0" Ac'~r~~'d:::::' Reduction in taxes available for credit Section 59(e)(2) expenditures; a Type.... b Amount 18b 19 20 21 22 23 19 20 21 22 23 24 25-1445513 14 P e2 (c) 1040 filers enter the amount in column bon: Form 4952, line 1 }See page 9 of Partner's InstnJclions for Schedule K-1 (Form 1065). 52 5 Sch. SE. Section A or B }see page 9 of Partner's nslructions for Schedule K.l o Form 1065 ' (b) Amount 40 See page 9 of Partner's Instructions for Schedule K-1 (Form 1065) and Instructions for Form 6251. arm 1116. Part I 9 397 Form 1116. Part 11 Form 1116 line 12 }Se8 page 9 of Partner's nstrllc\ions tor Schedule K.1 (Form 1065). Form 1040. line 8b fe pages 9 and 10 of artner's Instructions for Schedule K-l (Form 1065). }orm 8611. line 8 Schedule K-1 (Form 1065) 2001 Hi'PPEN 02125/200212:24 PM Partner# 2 SCHEDULE K.1 (Form 1065) Department of the Treasury Inf rn ! Reven ervlce Partner's identlf in number.... Partner's name, address, and ZIP code Partner's Share of Income, Credits, Deductions, etc. "'See separate instructions. OMS No. 1545-0099 210 -32 -7496 , and endin Partnershi 's identi in number" Partnership's name, address, and ZIP code 2001 25-1445513 For calendar ear 2001 or tax ear be innin Richard G. Hippensteel 452 Centervi11e Rd. Newville PA PA 17241 A This partner is a general partner limited partner o limited liability company member B What type of entity is this partner? ... Indi vidual C Is this partner a ~ domestic or aD' foreign part~~r? . . . . . . . . (i) Before change (ii) End of Hippensteel Auto Body 6 West Green Street Newville, PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse $.... .. ~ .'. ~~.~ Qualified nonrecourse financing. $ . . Other. $ or termination year G Tax shelter registration number ~ o Enter partner's percentage of: Profit sharing % Loss sharing % Ownership of capital. . % E IRS Center where partnership filed return; Cincinnati OH 45999-0011 5.o,ooooqO% H 50,OO()()()0% S.D., .0.00 0 000/, Check here jf this partnership is a publicly traded partnership as defined in section 469(k)(2) .... q 0 Check applicable boxes: (1) 0 Final K-l (2) o Amended K~1 J Analvsis of nartner's canjtal account: laJ Capital account al (b) Capital contributed (c) Partner's share o( lines (d) Withdrawals and <e) Capital account at end of beginning of year during year 3,4, and 7, Form 1065, distributions year (com~:~~ ~~mns (a) Schedule M-2 throu h d 15 246 9 357 975 2 102 23.476 (a) Distributive share item (b) Amount (c) 1040 fliers enter the amount In column Ibl on: 1 Ordinary income (loss) from trade or business activities .. ..' ......... 1 5 023 yea ,age 6 of Panne's 2 Net income (loss) from rental real estate activities ...... .... 2 nstructions for Schedule K-1 3 Net income (loss) from other renlal activities . (Form 1065). ,........ ..d. .......... 4 Portfolio income (loss): a Interest .. .... .... ..... ......... ...... ... ...... 4a 70 5ch. e, Part I, line '1 b Ordinary dividends . q ..... .... .. ...... ... ...... 4b Sch. B, Part II, line 5 Income c Royalties. ... .... .... ..... .... 4c 5ch. E, Part I, line 4 ........ .... ..... (Loss) d Net shorHerm capital gain (loss). ..... .... .. .... ....... .... .... 4d Sch. D, line 5, col. (f) e (1) Net long~term capital gain (loss) ......... ... ... ....... 4e'l Sch. D,line 12, col. (f) (2) 28% rate gain (loss) .... .... ... ..' .. .... ... .... .. .... 4e/2 Sch. D. line 12. col. (91 (3) Qualified 5-year gain. . ... .... ... ..... .... .. .... ... ... 4e'3 Line 4 of wkst. for Scll. D, In. 29 f Other portfolio income (loss) (aU. schedule) 41 Enter on applic. In. of your rtn. ....... .. .... ........ 5 Guaranteed payments to partner. 5 } See ,age 6 a' Parto..'s ........ ... ...... ... ..... .. ..... ..... lnsll\lctions for Schedule K-1 6 Net section 1231 gain (loss) (other tnan due to casualty or theft) . ...... .... 6 (Form 1065). 7 Other income lIoss) (attach schedule\ 7 Enler on a-"Iic. In. of vnur rtn. Oeduc- 8 Charitable contributions (see instr.) (atl. sch.l. 8 Sch. A, line 15 or 16 tions g Section 179 expense deduction. g 4 118 } s.. ,ages 7 aod a 0' 10 Deductions related to portfolio inc. (all. sch.) 10 Partner's lf1structlons for 11 Other deductions (attach schedule) . . Schedule K.1 (Form 1065). 12. Low.income housing credit: (1) From section 42U)(S) partnerships 12af1 J~ Form 8586. line 5 (2) Other than on line 12a( 1) . . . . . . . . ..... ...... 12al2 b Qualified rehabilitation expenditures related to rsntal real estate Ii Credits activities 12b ... ... ... ..... Ifi c Credits (other than credits shown on lines 12a and 12b) related } --'''-' to rental real estate activities 12c Instructions for Schedule K.1 ....... ....... (Form 1065). d Credits related 10 other rental activities 12d 13 Other credits 13 For Paperwork Reduction A.ct Notice, see Instructions for For0l1065. Schedule K-1 (Form 1065) 2001 OM H>zpEN Q,2/251200Z."'l4 PM l'artnerlf ~ Richard G. Hippensteel Schedule K.1lForrn 1065\2001 Hinnensteel Auto Bodv 25-1445513 Pane 2 (aJ Distributive share item (bl Amount (c) 1040 filers Inter the amount In column (bl on: Invest- 14a Interest expense on investment debts 14a FOml 4952. line 1 ... ....... ment b (1) Investment income included on lines 4a, 4b, 4c, and 4f 14bl1 70 ~see page 9 of Partner's nslructions for Schedule K-1 Interest i2l Investment exnenses included on line 10 14b/, (Form 1065). Self. ISa Net eamings (loss) from self-employment. ..,. ISa 905 Sch. SE. Section A or B employ- b Gross farming or fishing income 15b }:see page 9 of Partner's nSlrUClion~\~or Schedule K-1 ment e Gross nonfarm incorT1e 15e 0 Form 1065 . Adjust. 16a Depreciation adjustment on property placed \n service aner 1966 . 16a ments b Adjusted gain or loss 16b See page 9 of Partner's ... lnstJuclions and Tax e Depletion (otherthan oil and gas) . 16e ..~~r Schedule K.1 Prefer. d (1) Gross income from oil, gas, and geothermal properties 16df1 ...... (Form tOGS) and ence (2) Deductions allocable to oil, gas, and geothermal properties 16dl, Instructions for Form 6251. Items . Other adjustments and tax nreference items 16. 11a Name of foreign country or U.S. possession ~ .... Ii b Gross income from all sources. 11b .... ..... e Gross income sourced at partner level ...... 11e .. ......... lIT?! d Foreign gross income sourced at partnership level: (1) Passive ... ........ ....... .. 17df1 (2) Listed categories (attach schedule) . ..... .... . . . . . . . . . . . . ..... .... 17dlZ (3) General limitation ...... ... .. ... '""'......... ....... ... 17d(3t . Deductions allocated and apportioned at partner level: lli=orm 1116. Part I Foreign (1) Interest expense ..... ..... ....... ....... ..... ....... ........ 11.11 Taxes (2) Other .... ....... ......... 17." .. ... ... ......... , Deductions allocated and apportioned a\ partnership level 10 foreign source income: (1) Passive .... .... .... . . . . . , . . . .... ......... 17fll .... ...... 11f" (2) Listed categories (attach schedule) . ..... .... .. ..... ...... .. .. .... (3) General limitation ... ...... ....... 171/3 9 Total foreign taxes (check one):"" 'O"P~;d' 0 Accrued .. 110 Form 1116, Part II h Reduction in taxes available for credit qj Form 11iS. line 12 18 Section 59(e)(2) expenditures: a Type.... ...... .... }SO. page 9 of Pertn.f, ....... ... .... .. .... ... .... nslmetions for Schedule K.1 b Amount .. ... ..". .... ..... ...... .... ... .. 18b (Form 1065). 19 Tax-exempl interesl income ...... .... .. ...... .... .... 19 Form 1040, line 8b 20 Other tax-exempt income ..... ... ..... ....... ... .. ...... ... 20 Other 21 Nondeductible expenses 21 }:. pag., 9 and 10 of .. ..... ...... .. .... ... .. artner's Instruclions for 22 Distributions of money (cash and marketable securities) .. ...... 22 2.102 23 Distributions of property other than money 23 Schedule K-1 (Form 1065). ... ....... ..... 24 Recapture of low-income housing credit: tg a From section 42U)(5) partnerships ........ ....... ..... ... ...... 24. }t=orm 8611, line a b Other than on line 24a 24b 25 Supplemental informalion required to be reported separately to each partner (alt. additional sch. if more space is needed): ........ .... .... ...... ..... .... ... ........ .. .... ..... ... .... .. ..... . . . . . . . . . . .... ... ..................... ...... .. .... ... ........ ...... ...... ...,. ... .... ... .. ......, >... .... ... .... .... .... .... ....... .. .... .... q ... ... ......... .. ....... ... ....... ... ....... ...... ... . . . . . . . .. .... ... .... . . . . . . . ,.... ... ..... ....,. ....... ...... ..... .. ,... ..... ... .... .. ..' ....... .. ... ...... .... ......... ... q. .... ...... ..... .. ........ ..... ... ....... ...... .. ..... .. ... ..... ........ ... .... ..' ....... .. .. .... ... ...... ... Supple- ... .... ....... ..... ..... ... ..... mental ....... ... ...... ... ..... ... .. Informa- ....... ... .... .... ..., ...., ..... ....... ... ..... ... .... tion ........ ........ ..... ... ... ... ..' ... .... .. ...... .".... ... .... ....... ......... ... ....... ...... ..... ........ ... .. ....... ... q ... ... ..... DAA Schedule K-1 (Form 1065) 2001 HfPPEN 02/25/200212:24 PM Partner# 3 SCHEDULE K.1 (Form 1065) Department of the Treasury Intern I v n rvic Partner's tdenttf In number'" Partner's name, address, and ZIP code Partner's Share of Income, Credits, Deductions, etc. .....See separate instructions. OMS No. 1545-0099 161-54-1361 , and endin Partnershi 's identi In number'" Partnership's name, address, and ZIP code 2001 25-1445513 For calendar ear 2001 or tax ear be inn ill limited partner Hippensteel Auto Body 6 West Green Street Newville PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse $ . Qualified nonrecourse financing. $ Other $" 467 Tom Lehman 314 Doubling Newville A This partner is a general partner o limited liability company member What type of entity is this partner? ...... .~.I?-di vi~1:l.~~. Is thls partner a ~ domestic or aD' foreign partner? (i) Belore change (ii) End of Gap Road PA 17241 B C or termination year G Tax shelter registration number . ~ o Enter partner's percentage of: Profit sharing Loss sharing Ownership of capital. E IRS Center where partnership filed return: Cincinnati OR 45999-0011 % }1.000()()Oo/. % 21,OO()()()()'t. 21.0000()0 H Check here if this partnership is a publicly traded partnership as defined in section 469(k){2) ...... . . o % Check applicable boxes: (1) 0 Final K-1 (2) o Amended K.1 J Analvsis of nartner's canital account: la) Capital account at (b) C<lpitaJ contributed (el Partner's share of lines (dJ Withdrawals and (e) Capital account 8t end of beginning 01 year during year 3,4, and 7, Form 1065, distributions year (com~~~ ;~Wmns (a) Schedule M-2 throu h d 409 1 609 -1 200 (a) Distributive share item (b) Amount (e) 1040 fliers enter the amount in column lbl on: 1 Ordinary income (loss) from trade or business activities ... .' ..... ......... 1 2 109 ts.e peg. <; of Partnof. 2 Net Income (loss) from rental real estate activities ...... .... ... ....... 2 nslructions for Schedule K-1 3 Net income (loss) from other rental activities . (Form 1065). ....... ..,,'" '., 4 Portfolio income (loss): a Interest .... ..... ..' .... ..... ... ......... 4. 29 Sch. B, Part 1, line 1 b Ordinary dividends .. ...... ........ .... ....... '. ,.. .. ....... '., 4b Sch, B, Part II, line 5 Income e Royalties. . . . . 4e Sch, E, Part I. line 4 .... ......... ...... ., ..' .., .... ...... ........ .... (Loss) d Net short-term capital gatn (loss)... ..... ..... .. ...... .. ,. ........... .. 4d Seh. D, line 5, col. (f) e {1} Net long-term capital gain (loss) ....... ...,. .... ........ ....... 4el1 Sch. D, line 12, col. (n (2) 26% rate gain (loss) ....... .... .... ..... .. ....... ..... ....... 4el2 Seh. D, line 12, col. (g) (3) Qualified S.year gain. . ..... ...... ..... ... .... .. 4el3 Line 4 of wksl. for Sch, 0, In. 29 f Other portfolio income (loss) (elll. schedule) . 4f Enter on appllc. In. of your rtn. ........ ....... 5 Guaranteed payments to partner. 5 6 180 } See pege 6 of Partnef, ...... ...... .... Instructions for Schedule K.1 6 Net section 1231 gain (loss) {olher lhan due to casualty or theft.) . .... f; (Form 1065). 7 Other income flos") (attach schedulel 7 Enter on ann~c. In. nf \H\ur rtn. Deduc- 8 Charitable contributions (see ln5tt.) (at!. sch.).. . . . . . , . . 8 Sch. A, line 15 or 16 tions 9 Section 179 expense deduction.. ........ ...... 9 1 729 } Se. page' 7 and 8 01 10 Deductions related to portfolio inc. (at!. sch.) 10 Partner's Instructions for .... Schedule K-l (Form 1065). 11 Other deductions (attach schedulel . 11 12a Low-income housing credit: i'{" (1) From section 42(j)(5) partnerships ...... 12a/1 } Form 8586. line 5 (2) Other than on line 12a(1) ... 12a(2 b Qualified rehabilitation expenditures related to rental real estate IIIi Credits activities 12b .. .. ..iiJ c Credits (other than credits shown on lines 12a and 12b) related } ~_.._. to rental real estate activities 12e Instructions for Schedule 1<.1 ..... ..... .... ... (Form 1065). d Credits related to other rental activities ....... 12d 13 Other credits 13 For Paperwork Reduction Act Notice, see 1nstructions fot Form 10'05. Schedule K-1 (Form 1065) 2001 OM Invest. ment Interest Self. employ- ment Adjust. ments and Tax Prefer. ence Items Foreign Taxes Other Supple. mental Informa. tion OAA b Amount 19 Tax.exempt interest income. 20 Other tax.exempt income. 21 Nondeductible expenses 22 Distributions of money (cash and marketable securities) , , . 23 Distributions of property other than money 24 Recapture of low.jncome housing credit: a From section 420)(5) partnerships b Other than on line 24a 25 Supplemental information required to be reported separately to each partner (all. additional sch, if more space is needed): Lehman ensteel Auto Bod (a) Distributive share item 14a lnlerest expense on investment debts b {1} Investment income included on lines 4a, 4b, 4c, and 41 2 Investment ex enses included on line 10 15a Net earnings (loss) from self-employment. b Gross farming or fishing income c Gross nonfarm income 16a Depreciation adjustment on properly placed in service after 1966 . b Adjusted gain or loss . c Depletion (other than 0\1 and gas) . d (1) Gross income from oil. gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustmenls and tax reference items 17a Name of foreign country or U.S. possession.... b Gross income from all sources c Gross income sourced at partner Jevel d Foreign gross income sourced at partnership level: (1) Passive (2) Listed categories {attach schedule) . . (3) Generallimitalion ".. . . . . . , ' , , . e Deductions allocated and apportioned at partner level; (1) Interest expense (2) Other 9 h 18 Deductions allocated and apportioned at partnership level to foreign source income: (1) Passive ..,.,........ (2) listed categories (attach schedule) . . . . . ' , . , . . (3) General limitation Total foreign taxes (check one):.... '0" P~.id... D" A~~r~~'d"" Reduction in taxes available for credit . Section 59(e)(2) expenditures; a Type'" 14a 14b 1 14b 2 15a 15b 15c 16. 16b 16c 16d 1 16d 2 16e 25-1445513 Pa e 2 (c) 1040 filers enter the amount in column bon: (b) Amount 6 Form 4952, line 1 ]see page 9 of Partner's nstructions for Schedule K-1 (Form 1065). Sch. SE, Section A or 8 ]see page 9 of Partner's nstruclions for Schedule K-1 o Form 1065 . 29 560 See page 9 of Partner's Instructions for Schedule K-l (Form 1065) and Instructions for Form 6251. arm 1116, Part I 1 609 Form 1116, Part II Form 1116, line 12 }see page 9 of Partner's nstructions for Schedule K.' (Form 1065), Form 1040, line 8b }ee pages 9 and 10 of artner's Instructions tor Schedule K.1 (Form 1065). ~orm 8611, line 8 Schedule K-1 (Form 1065) 2001 I-!IPPEN 02/25/200212:24 PM Form 4562 Depreciation and Amortization (Including Information on Listed Property) OMS No. 1545-<l172 2001 Department of the Treasury Internal Revenue Service 99\ Name(s) shawn on return Hi ensteel Auto Bod IJI- See se arate instructions. IJI- Attach this form to our return. ~:a~~~~n~o. 67 Identifying number 25-1445513 tete Part l. 1 Maximum dollar limitation. If an enterprise zone business, see page 2 of the instructions. 2 Total cost af section 179 property placed in service {see page 2 of the instructions) 3 Threshold cost of section 179 property before reduction in limitation. 4 Reduction in limitation. Sublract 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 Jess. enter -0-. If married filin se aratel ,see a e 2 of the instructions. 1 2 3 4 $24000 8 235 $200.000 o 5 BOC E Norki a Oeser; lion of pro ert i ment E ui ment b Cost business use anI 6 1. 660 6 575 c Elected cost 1. 660 6 575 7 Listed property. Enter amount from line 27 8 Total elected cost of section 179 properly. Add amounts in column (c), ]jnes 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from 2000 (see page 3 of the instructions). 11 Business income limitation. Enler the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add Jines 9 and 10, but do not enter more than line 11 .. 13 Car over ofdisaUowed deduction to 2002. Add lines 9 and 1O.le55 Une 12 .. Qtei~ 0 ~ot ~s(e Pilt ~~or rta~~lI 16~~~?r ~~!~~P~~p(rt~J:w~mOrb~~. ce~ajnt ~lre~ VehjCles.~e"u ~ t6 I ~hones. "'part:!i<' MACRS Depreciation for Assets Placed in Service Onlv DurinCl Your 2001 Tax Year(Da nat ;nc~d.I;,'ed property,) Section A-General Asset Account Election 14 If you are making the election under section 168(i}(4) to group any assets placed in service during the tax year into one or more eneral asset accounts, check this box. See a e 3 of the instructions Section B-General De reciatlon 5 stem GDS See a e 3 of the instructions. 7 8 9 10 11 12 8 235 8 235 13 .. ta) Classification of property (c) Basis for depreciation (business/investment use I_ i . (d) Recovery period (e) Convention (f) Method (g) Depreciation deduction 15a 3- ear ro ert b 5- ear propert c7earroert d 10- ear ro erty e 15-year property 120-arroe 25- ear ro ert h Residential rental ro e Nonresidential rea.l ro ert 25 rs. 27,5 $, 27.5 rs. 39 s. MM MM MM MM See a e 5 of the instructions. S/L SIL S/L S/L S/L .....PartiliC. 17 GDS and ADS deductions for assets placed in service in tax years beginning before 2001 18 Property subject to section 168(f)( 1) election 19 ACRS and other de reciation paH:1V Summa See a e 6 of the instructions, 20 Listed property. Enter amount from line 26 . . . . . . . . . 21 Total. Add deductions from line 12. Jines 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 22 For assets shown above and placed in service during the current yea.r, enter the ortion of the basis 8ttribut~ble to section 263A costs For Paperwork Reduction Act Notice. see page 9 of the instructions. OAA 153 16a Class life b 12- ear c 40. ear 20 21 Fo,m 4562 (2001) Page 2 22 There are no amounts for HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2001 2/25/2002 12:24 PM Federal Statements Description Property Taxes Permits Total $ $ Statement 2 - Form 1065. Paae 1. Line 20 - Other Deductions $ Amount 640 3,058 202 102 2,608 931 5,176 575 2,506 2,305 481 1,174 56 19,814 Description Advertising Outside Services Operating Supplies Freight & Postage Utilities Telephone Insurance Vehicle Expenses Legal & Accounting Office Expense Laundry Payroll Taxes Miscellaneous Total $ 1-2 HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2001 2/25/2002 12:24 PM Federal Statements Statement 4 - Form 1065, Schedule L. Line 13 - Other Assets Description Beginning of Year $ 145 $ 145 $ $ Security Deposit Total Statement 5 . Form 1065, Schedule L, Line 17 - Other Current Liabilities Description Beginning of Year $ 1,265 $ 1,265 $ $ Payroll and Sales Tax Liab Total 4-5 .1 HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2001 2/25/2002 12:24 PM Federal Statements Description Interest Income Total Form 1065. Schedule K. Line 4a -Interest Income Amount $ 139 $ 139 , , .1 I I I , I I H1PPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2001 Federal Statements 2/25/2002 12:24 PM Form 1065. Schedule L. Line 1 - Cash Beginning of Year $ 10,820 $ 10,820 Description Total $ $ End of Year 8,953 8,953 Description Form 1065. Schedule L. Line 2a - Trade Notes and Accounts Receivable Beginning End of Year of Year $ 5,495 $ 1,444 3,293 $ 5,495 $ 4,737 Total Description Form 1065. Schedule L. Line 3 - Inventories Beginning of Year $ 650 $ 650 Total $ $ Description Form 1065. Schedule L. Line 11 - Land Beginning of Year Land $ 4,000 $ 4,000 Total $ $ End of Year 4,000 4,000 Description Form 1065. Schedule L. Line 15 - Accounts Pavable Beginning of Year $ 1,711 $ 1,711 Total $ $ End of Year 1,803 1,803 HIPPEN 02l221?Cl)1 4:24 PM Form 1065 u.s. Return of Partnership Income CLIENT'S COP " OMB No. 1545-0099 Department of the Treasury For calendar year 2000. or tax year beginning , and ending. . .. ... ... 2000 Internal Revenue Service ... See seDarat~ 'I~~t~~~tl~~s. A Principal business activity Name of partnership 0 Employer identification numbel' Auto Bod" R" Use the IRS Hinnensteel B Principal product or service label. Auto Body 25-1445513 Other- Number, street, and room or suite no. If a P .0, box, S98 page 13 01 the instructions. E ~a~ ~u~~i ;~ed Ret>airs wise. 6 West Green Street - print C Business code number or type. City or towrl, state, and ZIP code F Totql asset,;: hs~e page 1301 the Instructlo s - 811120 Newville PA 17241 $ 27.054 G Check applicable boxes: (1) 8 Initial return (2) 0 Final return (3) 8 Change in address t-! Check accounting method: (1) Cash (2) ~ Accrual (3) Other (specify) ... I Number of Schedules K-1, Attach one for each person who was a partner at any time during the tax year ... (4) 0 Amended return 2 Caution: Include only trade or business income and expenses on lines 1a through 22 below. Sea the instructions for more information. 1a Gross receipts or sales .,. ..' ..... b Less returns and allowances 1a 1b 116 677 421 1c 116 256 Income 2 Cost of goods sold (Schedule A, line 8) . 3 Gross profit. Subtract tine 2 from line 1c ....,..... ...".... 4 Ordinary inc, (loss) from other partnerships, estates, & trusts (aU. sch.) ... 5 Net farm profit (loss) (attach Schedule F (Form 1040)) .................... 6 Net gain (loss) from Form 4797, Part II, line 18 "."" ,.................. 2 3 4 5 6 62 541 53 715 7 Other income (loss) (attach schedule) .......,. 7 8 T otat income loss. Combine lines 3 throu h 7 8 53 715 Deductions (see pg, 14 of theinstruC- tionsfor limItations) 9 Salaries and wages (other than to partners) (less employment credits) ". . , . . . , . , , . , ' . . 10 Guaranteed payments to partners . ..... ,".,." .,..,.....,..... 11 Repairs and maintenance ........,..........""., ...,. .," ...", ,. ...... 12 Bad debts ............................................. ............... 13 Rent .".,...... .. ,.. "'.,,'.' ..,..."".,.,.",.....",.".... 14 Taxes andUe.osas ................ ................. ........ ... .~ElE!; S1;.In.t. .1... 15 Interest......".,........."" ". ,...... .,............"" ....... ., ,........".....,.,..,. 16a Depreciation (if required, attach Form 4562)".........."..,.. 16a b Less depreciation reported on Schedule A and elsewhere on return 1Gb 17 Depletion (Do not deduct 011 and gas depletion.) 18 Retirement plans, etc, 19 Employee benefit programs 9 10 11 12 13 14 15 25 000 1 105 1 268 153 16c 17 16 19 153 20 Other deductions (attach schedule) ..13E!;El..S.~II\t.2. 20 20 265 21 Total deductions. Add the amounts shown in the far ri ht column for lines 9 throu h 20 21 47 791 22 Qrdina Income loss from trade or business activities, Subtract line 21 from Une 8 22 5 924 Paid Preparer's Use Only Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and slatements, and to the best of my knowledge and belief, it is true, correct. and complete, Declaration of preparer (other than general partner or limited liability ~pa~ member) is based on all Info,malion of which p,epa<e' has any knowledge. ~ ~ ,,\ Cj \ 0 ~ 51 nat,," of ~ Date Preparer's Ill... /7. (.' /J Check jf sl nat',"' I v{L-.{ (J !/..{,{1 /" 0 self.em ~ ed~ Gift & Associates ifself.emp~yedJ, 1205 Manor Drive, address. and ZIP code Mechanicsbur PA For Paperwork Reduction Act Notice. see separate Instructions. DM Preparer's SSN or PTIN P00195974 EIN ~ 23-2349229 Sign Here Suite 100 17055 Phone no. 717-766-3555 Form 1065 (2000) HIPPEN 02122/'-001 4:24 PM Form 1065(2000) Hippensteel Auto Bodv 25-1445513 Pao 2 e ....Seh~dl.ii,fA.. Cost of Goods Sold (see Dace 17 of the instructions) 1 Inventory at beginning of year. .... 1 900 .... ... ... ...... .... ... .... ..... ...... .. .. ..... .. .... ...... .2 Purchases less cost of items withdrawn for personal use 2 45.025 . . . . . . . . . . . ......... .... ... ... ... J Cost of labor .... ... J 16 611 .. ...... .......... ...... .... .. ... ..... .. .... .. ... ... .. .. ... .... ... ..... ..... 4 Additional section 263A casts (attach schedule). 4 ... ....... ... ..... ... ... .. ..... .... ...... .. .. 5 Other costs (attach schedule). ..SE!e Stmt .:3 5 655 ... ... ... ..... ... ... .. ..... .... ... .. ... 6 Total. Add lines 1 through 5 6 63.191 .... ... .... ..... ... ... .... ... ... .. ... ...... ..... .. 7 Inventory at end of year 7 650 ... .... ... ... .. ... .. .. ........ .. .... ....... ... ..... ... ... ..... .... 8 Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2 8 62 541 .. .. .. ...... ... ..... .. ... .. 9a Check all methods used for valuing closing inventory: (I) ~ Cost as described in Regulations section 1.471-3 (ii) Lower of cost or market as described in Regulations section 1.471-4 (Iii) Other (specify method used and attach explanation)'" ........................ .. ....... b Check. this box if there was a wntedown of "subnormal" goods as described in Regulations section 1,471-2(c) c Check this box if the LIFO inventory method was adopted this tax year for any goods (if checked, attach Form 970) d Do tl1e rules of sectIon 263A (for property produced or acquired for resale) apply to the partnership? .................... . e Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If "Yes," attach explanation, ~ .~ ~ ."H~:: No No 1.seli~dl.iiikB Other Information l What type of entity is filing this return? Check the applicable box: a ~ Domestic general partnership b q Domestic limited partnership : ~ ~::i:~ti~~J::~~:bmty company ~ ~ ~~~;sti~im.it~~ ~i~~~I~t~.~~~~~.r~~~~.............. 2 Are any partners in this partnership also partnerships? .,.....................'...... .. ......... 3 During the partnership's tax year, did the partnership own any interest in another partnership or in any foreign entity that was disregarded as an entity separate from its owner under Regulations sections 301.7701-2 and 301.7701-37 If yes, see instructtons for required attachment.... 4 Is this partnership subject to the consolidated audit procedures of sections 6221 through 62337 If "Yas," see Designation of Tax Matters Partner below, . . 5 Does this partnership meet all three of the following requirements? a The partnership's total receipts for the tax year were less than $250,000; b The partnership's total assets at the end of the tax year were less than $600,000; and c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. If "Yes," the partnership is not required to complete Schedules L, M~1, and M-2; Item F on page 1 of Form 1065; or Item j on Schedule K-1 .......,........................,............................... ..........,..........,.... Does this partnership have any foreign partners? .....................,............................................,............. Is this partnership a publicly traded partnership as defined in section 469(k)(2)? ..................... ... .......".............. Has this partnership filed. or is it required to file, Form 8264, Application for Registration of a Tax Shelter? ................... At any time during calendar year 2000, did the partnership 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 page 19 of the instructions for exceptions and filing requirements for Form TO F 90-22.1. If "Yes," enter the name of the foreign count!)'..... ........,.....................,..........,........."..........,.......................... 10 During the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If ""Yes," the partnership may have to file Form 3520. See page 19 of the instructions ............. 11 Was there a distribution of property or a transfer (e.g., by sale or death) of a partnership interest during the tax year? If "Ves," you may elect to adjust the basis of the partnership's assets under section 754 by attaching the statement described under Elections Made By the Partnership on page 1 of the instructions . 12 Enter the number of Forms 8865 attached to this return.... Designation of Tax Matters Partner (see page 19 of the instructions) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: x x x . 'I 8 9 x X X X X X Name of desi nated TMP Pddress of dbsiQnated TMP Identifying number of TMP ~ J.75-40-5042 PA 17241 Fann 1065 (2000) DM HI~PEN 021221'2001 4;24 PM , Form 1065 (2000) Schedule K Income (~oss) Deductions Credits lllVesta ment Interest Self- Employ- ment Adjust- ments and Tax Preference Items Foreign Taxes 18 19 20 Other 21 22 23 24 OM 25-1445513 etc. Hippensteel Auto Body Partners' Shares of Income Credits Deductions a Distributive share items 1 Ordinary income (loss) from trade or business aclivities (page 1, line 22) 2 Net income (loss) from rental real estate activities (attach Form 8825). 3a Gross income from other rental activities 3. 3b b Expenses from other rental activities tattach sch.) . . . . . . . . . . . . . . . . . . . . c Net income (loss) from other rental activities. Subtract line 3b from line 3a . . 4 Portfolio income (loss): a Interest income b Ordinary dividends . . . . . . . . . . c Royaltyincome .................. .......... d Net short-term capital gain (loss) (attach Schedule 0 (Form 1065)) e Net long~term capital gain (loss) (attach Schedule 0 (Form 1065)): (1) 28% rate gain (\oSs)~ , (2) Total for year.. ......... f Other portfolio income (loss) (attach schedule) 5 Guaranteed payments to partners. . . . . 6 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797) 7 Other income loss attach schedule .. 8 Charitable contributions (attach schedule) ....... 9 Section 179 expense deduction (attach Form 4562) 10 Deductions related to portfolio income (itemize) . 11 Other deductions attach schedule 12a low-income housing credit: (1) From partnerships to which section 42U)(5) applies for property placed in service before 1990 (2) Other than on line 12a( 1) for property placed in service before 1990 . . , . . (3) From partnerships to which section 420)(5) applies for property placed in service after 1989 (4) Other than on line 12a(3) for property placed in service after 1989 ,... b Qualified rehabilitation expel\ditures {elated to I"6l1tall"6a\ estate act (a\\. Form 3468) ,........ c Credits (other than cr. shown on lines 12a & 12b) related 10 rental real estate activities ........ d Credits related to other rental activities 13 Other credits .. 14a Interest expense on investment debts ..,............... b (1) Investment income included on lines 4a, 4b, 4c, and 4f above 2 Investment ex enses included on line 10 above .................... 15a Net earnings (loss) from self-employment.............. b Gross farming or fishing income . . . . . . . . . . . . . . . . . . . . . . c Gross nonfarm income 16a Depreciation adjustment on property placed in service after 1986 . . . . . . . b Adjusted gain or loss ........... ............... c Depletion (other than oil and gas) .......... ............ d (1) Gross income from oil, gas, and geothermal properties.... ........... (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustments and tax reference items attach schedule 17a Name of foreign country or U.S. possession.... ..' b Gross income sourced at partner level. . . . . . c Foreign gross income sourced at partnershlp level: ... (2) Listed categOries... (1) Passive ............. (attach sch.) ..... ..... d Deductions allocated and apportioned at partner level: (1) Interest expense ~ """.....""".. (2) Other e Deductions allocated & apprtn. at ptnrshp. level to foreign source inc.; (1) Passive" ........................ (2) ~~:~hc:~~ories"D"""'''''''''''''''' (3) ~~~[i~~" f Total foreign taxes (check one):.... Paid U Accrued . ...... ............ Reduction in taxes available for credit & rass income from an sources attach sch. .. .ll<ala. .Stll\.t .4 (3) General limitation .... Section 59(e)(2) expenditures: a Type~ .....",.. ..""""" Tax-exempt interest income. . . . . . . . . . . Other tax-exempt income ....,.. Nondeductible expenses . . . Distributions of money (cash and marketable securities) . . . . . . . . . . . . . . . Distributions of property other than money Other items & amounts ra uired to be ra orted S8 aratal to b Arnount .... 18b 19 20 21 22 23 Paqe 3 1 2 b Total amount 5 924 3c 4a 4b 4c 4d 293 ~ 4.2 41 5 6 7 8 9 10 11 25 000 12b 12c 12d 13 14a 14b 1 14b 2 15. 15b 15c 16a 16b 16c 16d 1 16<12 16e 293 30 924 ~ 171 17 159 Form 1065 (2000) HIp'PEN 02/22/~001 4:24 PM . Eorm 1065(2000) Hippensteel Auto Bodv ,4I.nal sis of Net Income Loss 1 Net income (loss). Combine Schedule K, Jines 1 through 7 in column (b). sum of Schedule K, lines 8 throw h 11, 14a, 17f, and 18b . 2 Analysis by (il) Individual (I) Corporale partner type: active a General partners 31 2 17 b Limited artners $cl1\!.i:llllift Balance Sheets er Books Not re uired if Question 5 on Schedule B is answered "Yes." 25-1445513 PaCle4 From the result, subtract the assive (Iv) Partnership 1 (v) Exempt or anization 31 217 (ill) Individual (vi) Nominee/Other 10a b 11 12a b 13 1 2a Trade notes and accounts receivable b Less allowance for bad debts 3 Inventories .............................. 4 U.S. government obligations. . . . . . . . . . . . . 5 Tax-exempt securities 6 Other current assets (attach sChedule) Mortgage and real estate loans Other investments (attach schedule) :la Buildings and other depreciable assets b Less accumulated depreciation Depletable assets ....... . . Less accumulated depletion ..... Land (net of any amortization) .,... Intangible assets (amortizable only) Less accumulated amortization ~~:~ha~~~~ule}...,.... .~.~.~.. ~~~~. 6 Total assets ..................... Liabilities and Capital Accounts payable ..,.,..., .......... .S.e.e~t:l1lt .5 1 265 Assets Cash 7 3 14 1S 16 17 Mortgages, notes, bonds payable in less than 1 year Other current liabilities See Stmt 7 (attach schedule) . . . , , , . . . . . , , . . , . . ' . . . . AU nonrecourse loans 18 19 20 Mortgages, noles, bonds payable in 1 year or more Other liabilities (attach schedul&) , 21 Partners' capital accounts 16 , 22 Total liabilities and ca ital .. 20 146 \Sbiiiiai.iillM11 Reconciliation of Income (Loss) per Books With Income (Loss) per Return 24 078 27 054 (Not recuired if Question 5 on Schedule B is answered "Yes." See Dace 30 of the instructions.) \ Net income (loss) per books, . . , . . . , . . . 6,217 6 Income recorded on books this year not in- 2 Income included on Sch. K, In. 1 through eluded on Schedule K, lines 1 through 7 (itemize): 4, 6, and 7, not recorded on books this a Tax-exempt interest $ .".. ...."", ....." ... year (itemize): ..,,,,,..,,,...,, . . . . . , , ."" ......""" ....... .."", ..,. ..",.., ,..". .........".... .....""".. ... ."". . . . , , , . , . . . . , , . , . . ..",,, "".. ,.,. .. 3 Guaranteed payments (other than 7 Deductions included on Schedule K. lines 1 health insurance).....,,,.,,,....,., .. 25 000 through 11, 14a, 17f, and 18b, not charged 4 Expenses recorded on books this year not against book income this year (itemize): included on Schedule K, lines 1 Ihrough 11, 14a. 17f, and 18b (itemize): a Depreciation $ .. ....... ..., .... ......... a Depreciation $ b ~~~~~?nn~ent ... . . . , , . . . ..""" ......",.,....,.. .. ..,. ........ ....... $ .... ... ...... .. "..... " ...", ........... '" ."" ... .......... 8 Add lines 6 and 7 ...... .. ........ .... ...... .'" ........... ...." ..". ....... 9 Income (loss) (Analysis of Net Income (Loss), , . , . . . . . . . , . . . . ........ ... ..,. line 11. Subtract line 8 from line 5 . 31 217 5 Add lines 1 throuah 4 ...... ..,. 31 217 ......... cbijduleM.2........ Analvsis of Partners' Caoital Accounts (Not reauired if Question 5 on Schedule B is answered ~Yes.") .1 Balance at beginning of year, . . , , . 16 335 6 Distributions: a Cash .. ... ..,. 159 ... ..... .... ... 2 Capital contributed during year . . 1,685 b Property ..,. ..".. 7 Other decreases ............. ~ Net income (loss) per books 6 217 (itemize): ....... 4 Other increases . . , .. .". (itemize): ... ..... ...... .,.. ....... ... "'d. ............ ... ...... 8 Add lines 6 and 7 .. ... ..." 159 .'...... ... .... ..... .... ...... 5 Add lines 1 throuGh 4 24,237 9 Balance at end of vear. Subtract In, 8 from In. 5 24 078 s OAA Form 1065 (2000) HIPPEN 02122/2001 4:24 PM Partner's Share of Income, Credits, Deductions, etc. kee separate instructions. ear be innin For calendar ear 2000 or tax 175-40-5042 , and endin Partnershl 'sldenti in number'" Partnership's name, address, and ZIP code Hippensteel Auto Body 6 West Green Street Newville PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse . . . . . . . . . . . . . . . . , . . . . . . Qualified nonrecourse financing. . . Other ............. ........... G Tax shelter registration number ... H Check here If this partnership is a publicly traded partnership as defined in section 469(k)(2) PA 17241 limited partner Check applicable boxes: (1) o Final K~ 1 ital account: (b) Capital contributed during year J Anal sls of artner's ca (a) Capital account at beginning of year SCHEDULE K.1 (Form 1065) Department o( the Treasury n 1 R v rvf Partner's ldenti in number'" Partner's name, address, and ZIP code Barry E Hippensteel 35 Parsonage Street 35 Parsonage Street : Newville A This partner is a general partner o limited liability company member B What type of entity is this partner? .. Indi vidual c: Is this partner a gg domestic or aD' f~~~i9~ p~rt~~~? ' . . . . . C: Enter partner's percentage of: (i) ~'~~ig~flgRe (ii) year End of Profit sharing %. .5.0., .O.O.O()()()'I, Loss sharing % ? 0., .0.00 () () 0.'1< Ownership of capital. % 5 0., 0.0.0 () () O. % E IRS Center where partnership filed return: Cincinnati OH 45999-0011 Income (Loss) (c) Partner's share of lines 3,4, and 7, Form 1065, Schedule M-2 4 197 1 685 (a) Distributive share item Ordinary income (loss) from trade or business activities ........... Net income (loss) from rental real estate activities ................ Net income (loss) from other rental activities . . . . . . . . . . Portfolio income (loss): 3 Interest ............ . . . . . . . . . . , . . . . . . . . . . . , . . . . . . . . . . , . . . . . . . , . . . . b Ordinary dividends ..... ,.....,.......... ,.,... ......,... ... ........... c Royalties.."..... ....... .......... ... ,..,............ .......,... ..... d Net short-term capital gain (loss)..................,.,.........,......... e Net long-term capital gain (loss): (1) 28% rate gain (loss) ......... (2) Total for year ....... ........... f Other portfolio income (loss) (art. schedule) ... 5 Guaranteed payments to partner. . . . . . . . . . . . . 6 Net section 1231 gain (loss) (other than due to casualty or theft) 7 Other income loss arta h schedule 1 2 3 4 8 Charitable contributions (see instr,)(att, sch.)......,...,......,...,......., 9 Section 179 expense deduction .... .... ......... ................ ..... ... 10 De<Juctions related toportfoiioine.la".sch.) .............. .......... ...... 11 ther deduct'ons attach schedule 12a Low-income housing credit: (1) From section 420)(5) partnerships for property placed in service before 1990 ..........,.,.. ..................... (2) Other than on line 12a(1) for property placed in service before 1990 (3) From section 420)(5) partnerships for property placed in seNice after 1989.......,..",........,.........,..,.........,."..... (4) Other than on line 12a(3} for property placed in service after 1989 b Qualified rehabilitation expenditures related to rental real estate activities ...............,...... ............................... c Credits (other than credits shown on lines 123 and 12b) related to rental real estate activities ....... . . . d Credits related to other rental activities 13 ther credits For Paperwork Reduction Act Notice, see Instructions for Form 1065. DM Deduc- tions Credits (d) Withdrawals and distributions 3 109 159 (b) Amount 2 962 147 25 000 8 9 10 11 12c 12d 13 OMS No. 1545--0099 2000 25-1445513 $ $ $. 1,,488 o (2) o Amended K~ 1 (e) Capital account at end of year (combine columns (a) Ihrou h d 8 832 (c) 1040 fliers enter the amount in column bon: } See page 6 of Partner's Instructions for Schedule K~1 (Form 1065). 5ch. B, Part I, line 1 Sch. S, Part 11, line 5 Sch. E, Part I, line 4 Sch. D, line 5, col. In Sch. D, line 12, col. (g) Sch. D, line 12, eol. (n Enter on applic. In. of your rtn. } See page 6 of Partnets Instructions for Schedule K-1 (Form 1065). Enter on a Ii. In. four n. 5ch. A,line 15 or 16 } See pages 7 and 8 at Partner's Instructions for Schedule K.1 (Form 1065). Form 8586, line 5 } See page 8 of Partner's Instructions for Schedule K-1 (Form 1065). Schedule K.1 (Form 1065) 2000 HIPPEN 02/22/2001 4:24 P!'vl Barry E Hippensteel ,Schedule K-1 {Form 1065\2000 Hippensteel Auto Bodv 25-1445513 Paoe 2 (a) Distributive share item (b) Amount (e) 1040 filers enter the amount In column lbl on: Invest- 14a Interest expense on investment debts ... ... 14a Form 4952, line 1 .. .... ..... ...... .. ..... ... ment b {11 Investment income included on lines 4a, 4b, 4c, and 4f 14bll 147 } See page 9 of Partner's .. ........ ...... Instructions tor Schedule K-1 Interest 12) Investment exoenses included on line 10 14b'2 (Form 1065). Self- 15a Net earnings (loss) from self-employment. ... .. ...... ... .. .. ... 15a 27 962 Seh. SE, Section A or 8 employ- b Gross farming or fishing income 15b }: See page 9 of Partner's .. .. ......... ...... nstructions for Schedule K.1 rnent e Gross nonfarm income 15e Form 1065l. Adjust- 16a Depreciation adjustment on property placed in service after 1986 ... ........ 16a moots b Adjusted gain or loss 16b See page 9 of Partner's .. ... .... .. .. .... .. ...... ..... Instructions and Tax e Depletion (other than oil and gas) ...... .... ... .. ...... ... .. .. ..... .... .. 16e .,,~~r Schedule K-1 Prefer- d {11 Gross income from oil, gas, and geothermal properties .. 16df1 (Form 1065) and ..... ... ... ence (2) Deductions allocable to oil. gas, and geothermal properties 16dl2 Instructions for Form 6251. .... .... ...... Items e Other adiustments and tax oreference items Ii 17a Name of foreign country or U.S. possession.... .. ... .. .. ........ ...... .... ..... i- b Gross income sourced at partner level .. ....... 17b ...... .. ..... ....... e Foreign gross income sourced at partnership level: ... ... ... ..... ... ..... {11 Passive ... .. .. ...... .. ..... .... ... ...... ..... ... ... ... ... .. .. 17ell {21 Listed categories (attach schedule) ...... .. .. ..... ...... .. 17e12 .. 17e13 (3) General limitation ...... . . . . . . . .. ... ..... ..... ... ... ..... ..... i??i d Deductions allocated and apportioned at partner level: ~orm 1116. Part I Foreign (1) Interest expense .. . . . . . . . . . . . . . . . . . . . ... .. ... .. ... .............. 17dll 1)xes {21 Other ......... ... ...... .................. ...... ... ............ - e Deductions allocated and apportioned at partnership level 10 foreign source income: .... (1) Passive .. .... ... ........ ..... ....... .. ..... .. 17e'1 ..... ............. 17el2 (2) Listed categories (attach schedule) . . . . ..... .. .... .. ....... .. .... .. {31 General limitation .. ... .. .. 17el3 ... ... U D ..... .. f Total foreign taxes (check one):" Paid Accrued .... ... ... 171 Form 1116, Part II .. 9 Reduction in taxes available for credit and gross income from all I;;~l See Instructions for sources (attach schedule) . Form 1116. 18 Section 59(e)(2) expenditures: a Type~ .. .. .... .. .. ..... ........ .. II }see p'ge 9 of P,rtne', .... .. .. ..... .. . . . . . . . . . . ..... ... ... .. ...... ... .. nstruction5 for Schedule K-1 . . . . . . . . . . . . . . . . . . . . b Amount ... ... .... ... ............. .... ...... .. 18b (Form 1065). .......... .... ... .... .. 19 Tax-exempt interest income 19 Form 1040, line 8b ... ... ...... ... .... ........... . . . . . . . . . ... .... 20 Other tax-exempt income ... ... 20 ........ ............. .. ...... ............. ~ee p'ge, 9 and 10 of Other 21 Nondeductible expenses. . . . . . . . . . 21 .................... .... ...... ......... artner's Instructions for 22 Distributions of money (cash and marketable securities) ........ ..... ........ 22 159 Schedule K.1 (Form 1065). 23 Distributions of property other than money ... ......... ....... .... .. ....... Pi 24 Recapture of low-income housing credit: a From section 42ij}(5) partnerships ...... ............. 24a ~orm 8611, line 8 ......... ... .. ...... b Other than on line 24a 24b 25 Supplemental infonnation required to be reported separately to each partner (att. additional 5ch. jf more space is needed) : ...... .. ........ . . . . . . . . . . . . . . . . . . . . . . .................................................... ... .... ............... ...... . . . . . . . . . . . . . . . ...... .. ...... .. .............. . . . . . . . . . . .... . . . . . . . . . . . ...,.......................... ... ....... ............. ... ...... ......... ...... ... .. .. . . . . . . . . . . . . . . . . . .....- ..... ...... .. .. .... ............ ...... ......... .... .... .... ........... ..... .. ........ ...... .... '" .. .. .. ... ........ ....... ... .... ... .. . . . . . . . . . . . . . ...... ......... .... ... .. .... .. .... .......... ...... ... .. ..... .. ..... ... .... ... ... .. .. .. .... ...... ..... ....... ... ...... .... .......... ... ....... ........ ..... .... ..... .. ... ... ... .. ...... ...... ... ..... ....... ..... .... ... .... ........ ... ...... '" ... ... ... .. ....... .. .. .. ... . . . . . . . ... ......... ..... .... ..... .. .. ... .. .... ..... .. .... Supple- ...... .. .... ... ..... .... .... ... .. .... .. ...... .. .. ..... ... .. ..... ... .. .... .... .... .... .... ...... .. .. ...... ....... ... mental .. ... .. ... ..... .... ... .. ..... .. .. .. .. .. .. .. .. .... ... .... ...... .. Informa- ..... .... .. ..... ... ....... .. .. ... .... ......... ... ..... .. ..... .... ... tlon ... .. ...... .. ... ...... ........ .. .... .... ........... .. ... .. ........ .... ..... .... ..... ............... .... ....... ... ..... .. ...... .. ... .. .... .. ......... ........ .. ....... .. .... ... .. ...... . . . . . . . . . . . . . , . ... ....... .... ..... .... .. .. ... ... .... ... ..... ....... ... ... . ... .. ... .... ... ... .... .. .. .. ...... ... ...... ... .. ..... .... .. .... .... .... ... .. ..... .... ..... .. ..... ......... ... .. .... .... .. .... .. ... ....... ...... ....... ...... ... ............ .. ...... .... ... ... ..... ....... .... '" ........ .. .... ... .... ... .... ... .... ... ... ... ...... ...... ... ... ...... ....... ... ... ....... .. ..... .... ....... ..... ... ... ...... ..... .. .... ..... .. .. ... .. ..... ... ..... ........... .. ..... .... ... ... ......... ... ... ...... ... .. ... ... .. ... ... .... .... .... ...... .. ... ...... ... .... ... .. ... ... .......... ... .. .. ..... .... ........ ...... ... ... ..... ....... .... .... .. ... .. .. .... .... ... ... ... .... ... ..... ... ......... . - OAA Schedule K-1 (Form 1065) 2000 HIPPEN 02122/2001 4:24 PM Partner's Share of Income, Credits, Deductions, etc. -..see separate Instructions, ear be innin SCHEDULE K.1 (Form 1065) Department of the Treasury t rn v n rvi Partner's identlf in number'" Partner's name, address, and ZIP code OMS No. 1545-0099 2000 25-1445513 For calendar ear 2000 or tax 210-32-7496 and endin Partners hi 's identif tn number" Partnership's name, address, and ZIP code Hippensteel Auto Body 6 West Green Street Newville PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse $.... ~ .'.~.~.~ Qualified nonrecourse financing. $ Other $, G Tax shelter registration number .. H Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) . 0 Richard G. Hippensteel 452 Centerville Rd. Newville PA PA 17241 A. This partner is a general partner limited partner o limited liability company member B What type of entity is this partner? .... . .~.~di y~dual.. C Is this partner a ~ domestic or aD' foreign partner? C: Enter partner's percentage of: (I) ~'~~~i~~fl~Re (II) year End of Profltsharing, % "s,O",O,O()()()O'A Losssharing % 5 0, . ,0.0 0 () 0 0% Ownership of capital , % "S,O",O,O,OO()O,'I. E IRS Center where partnership filed return: Cincinnati OH 45999-0011 Check applicable boxes: (1) 0 Final K-1 (2) 0 Amended K-l Ita.1 account: (b) Capital contributed during year J Anal sls of artner's ca (a) Capital account at beginnif'lQ of year 8 Charitable contributions (see lnstr.) (att. sch.) . . . . . . . . . . . . . 9 Section 179 expense deduction............ .......,.... 10 Deductions related to portfOliO inc. (alt. sch.) ..........,.... 11 Other deductions attach schedule 12a low.income housing credit: (1) From section 42(j)(5) partnerships for property placed in service before 1990 .................. ............. ." (2) Other than on line 12a(1) for property placed in service before 1990 (3) From section 420)(5) partnerships for property placed in service after 1989 .....,................... {4} Other than on line 12a(3)for property placed in service after 1989 b Qualified rehabilitation expenditures related to rental real estate activities ............... ,............................. ............ c Credits (other than credits shown on lines 12a and 12b) related to rental real estate activities d Credits related to other rental activities 13 ther red its For Paperwork Reduction Act Notice, see Instructions for Form 1065. OAA Income (1.055) Deduc- tions Credits Ic) Partner's share of lines 3, 4, and 7, Form 1065, Schedule M-2 12 138 (a) Distributive share Item Ordinary income (loss) from trade or business activities Net income (loss) from rental real estate activities Net income (loss) from other rental activities Portfolio income (loss): a Interest ........... b Ordinary dividends ...... c Royalties. ......... d Net short.term capital gain (loss) . . . e Nellong-term capital gain (loss): (1) 28% rate gain (loss) ....... (2) T olal for year '" f Other portfolio income (loss) (art. schedule) 5 Guaranteed payments to partner. . . . . . . . . . . 6 Net section 1231 gain (loss) (other than due to casualty or theft) 7 Other income loss aUa h schedule 1 2 3 4 Cd) Withdrawals and distributions (e) Capital account at end of year (combine columns (a) Ihrou h d 15 246 eel 1040 filers enter the amount in column bon: } See page 6 of Partner's Irrs\fUctions for Schedule K-1 (Form 1065). 3 108 (b) Amount 2 962 146 Sch. e, Part I, line 1 Sen. e, Part II, line 5 Sch. E, Part I, line 4 Sch, D, line 5, col. (f) Sch, D, line 12, col. (g) Sch, D, line 12, col. (f) Enter on applic. In. of your rtn. } See page 6 of Partner's Instructions for Schedule K-1 (Form 1065). Enter on a lie. In. of our rtn. 8 9 10 11 Seh. A,line 15 or 16 } See pages 7 and 8 of Partner's Instructions for Schedule K-1 (Form 1065). Form 8586, line 5 } See page B of Partner's Instructions for Schedule K-1 (Form 1065). 12c 12d 13 Schedule K.1 (Form 1065) 2000 H1P.PEN 02/22/2001 4;24 PM 2000 Richard G. Hippensteel Hi ensteel Auto Bod Invest- ment Interest Self- employ- ment Adjust. ments and Tax Prefer- ence Items Foreign Tjlxes Other Supple.. mental Informa- tton DM Tax-exempt interest income Other tax-exempt income . . . . , . . . . Nondeductible expenses,..............,............... Distributions of money (cash and marketable securities) . . . , . , . . . , . . Distributions of property ather than money Recapture of low-income housing credit a From section 420)(5) partnerships ................,..... .. . .. .. .. .. . .. , .. , b Other than on line 24a 25 Supplemental information required to be reported separately to each partner (att. additional sch. if more space is needed) : (a) Distributive share item 14a Inter8st expense on investment debts b (11 Investment income included on lines 4a, 4b, 4c, and 4f 2 Investment x anses included an line 10 15a Net earnings (loss) from self~employment.. b Gross farming or fishing income c Gross nonfarm income 16a Depreciation adjustment on property placed in service after 19S6 b Adjusted gain or loss.... '........... ....,.... c: Depletion (other than oil and gas) . . . . d (1) Gross income from oil. gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustments and tax reference items 17a Name 01 foreign country or U,S, possession" b Gross income sourced at partner level . , . . . . . . . . , , ' c Foreign gross income sourced at partnership level: ...........,.,...' (1) Passive ...,..,..,..,........, '........ (2) listed categories (attach schedule) . . . . .. ' .. . .. . .. . .. .. . .. . , .. . (3} Generallimitation .............................., '........, d Deductions allocated and apportioned at partner level: (1) Interest expense ,......................... (2) Other e Deductions allocated and apportioned at partnership level to foreign source income: (1) Passive (2) Listed categories (attach schedule).. (3) Generallimitation ...............0. 0" . .. . f Total foreign taxes (check one):'" Paid Accrued... 9 Reduction in taxes available for credit and gross income from all sources attach schedule Section 59(e)(2) expenditures: 18 . Type~ ... b Amount 19 20 21 22 23 24 14. 14b 1 14b 2 15. 15b 15c 16. 16b 16c 16d 1 16d 2 16e 25-1445513 (b) Amount 2 962 146 Pa e 2 (c) 1040 filers enter the amoun1 in column bon: Form 4952, line 1 }See page 9 of Partner's. Instructions for Schedule K-1 (Form 1065). Sch. SE, Section A or B ]see page 9 of Partner's nslNctions for Schedule K.' Form 1065 . See page 9 of Partner's Instructions for Schedule K-1 (Form 1065) and Instructions lor Form 6251. orm 1116, Part I Form 1116, Part II See Instructions for Form 1116. }see page 9 of Partner's nstructiol'ls for Schedule K-1 (Form 1065). Form 1040, line 8b tee pages 9 and 10 of artner's Instructions for SchedIJIe K-1 (Form 1065). porm 8611, line 8 Schedule K-1 (Form 1065) 2000 l HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2000 2/22/2001 4:23 PM Federal Statements Description Property Taxes Permits Total $ $ Statement 2 . Form 1065. Paqe 1. Line 20 - Other Deductions Description Advertising Outside Services Operating Supplies Freight & Postage Utilities Telephone Insurance Vehicle Expenses Legal & Accounting Office Expense Laundry Payroll Taxes Miscellaneous Total $ Amount 723 4,914 799 99 3,035 632 3,828 422 2,389 1,249 633 1,600 -58 20,265 $ 1-2 I HIPPEN Hippensteel Auto Body . 25-1445513 FYE: 12/31/2000 2/22/2001 4:23 PM Federal Statements Statement 3. Form 1065. Schedule A. Line 5. Other Costs Description Amount $ 655 $ 655 Towing Total 3 HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2000 Federal Statements 2/22/2001 4:23 PM Description Statement 5 - Form 1065. Schedule L. Line 6 - Other Current Assets Beginning of Year 1,000 $ $ 1,000 Security Deposit Total End of Year $ $ o Description Statement 6 - Form 1065. Schedule L. Line 13 - Other Assets Beginning of Year $ 145 $ 145 Security Deposit Total $ $ Statement 7 - Form 1065. Schedule L. Line 17 - Other Current Liabilities Description Beginning of Year $ 774 $ 774 Payroll and Sales Tax Liab Total $ $ End of Year 1,265 1,265 - 5-7 "HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2000 2/22/2001 4:23 PM Federal Statements Description Interest Income Total Form 1065. Schedule K. Line 4a -Interest Income Amount $ 293 $ 293 'HIPPEN Hippensteel Auto Body 25-1445513 FYE: 12/31/2000 2/22/2001 4:23 PM Federal Statements Form 1065. Schedule L. Line 1 - Cash Description Beginning End of Year of Year $ 7,048 $ 10,820 Total $ 7,048 $ 10,820 Form 1065. Schedule L. Line 2a - Trade Notes and Accounts Receivable Description Bepinning End o Year of Year $ 957 $ 5,495 Total $ 957 $ 5,495 Form 1065. Schedule L. Line 3 -Inventories Description Beginning End of Year of Year $ 900 $ 650 Total $ 900 $ 650 Form 1065. Schedule L. Line 11 - Land Description Beginning End of Year of Year Land $ 4,000 $ 4,000 Total $ 4,000 $ 4,000 Form 1065. Schedule L. Line 15 - Accounts Pavable Description Beginning End of Year of Year $ 2,220 $ 1,711 Total $ 2,220 $ 1,711 Form 1065. Schedule L. Line 19 - Mortaaae. Notes. Bonds Pavable in 1 Yr or More Description Beginning of Year $ 817 $ 817 End of Year $ $ Total o Federal Employer Identification Number 25-1.44551.3 C PA-65 - 2000 PA-65 (09-00) PA DEPARTMENT OF REVENUE OFFICIAL USE ONLY Commonwealth of Pennsylvania Partnership Information Return PLEASE PRINT IN BLACK INK. ENTER ONE LETTER OR NUMBER IN EACH BOX. FILL IN OVALS COMPLETELY. REVIEW ALL PREPRINTED INFORMATION. I I Extension Reauest. See instructions, Fiscal Year Flier. See Instructions, o Fill in the oval if the partnership files on a fiscal year basis. Indicate fiscal year from to Final Return. See Instructions. o Fill in the oval. Date out of existence 0005914197 --1 p L A C E Partnership's Name ... HIPPENSTEEL AUTO BODY L A 8 Street Name E L 6 WEST GREEN STREET O~ou want a 2001 PA-65 Sooklet? U Fill in the oval if you WILL NOT NEED a 2001 PA Partnershin Booklet. U EIN/Name/Address Change. Fill in this oval if preprinted label is incorrect. or if the nartnershin did nol file a 1999 PA-65. lB. Enter Amounts Received as a ~;S~~~fi~~~~holder. .... City or Post Office H E NEWVILLE, R E Stale ZIP Code PA 17241 Attach all necessary supporting Pennsylvania or other schedules. Follow instructions for Parts A and B. PART I. Determining Total Net Income or Loss from the ODeration of CI Business Profession or Farm. 1a. Total Net Income or Loss from the Operation of a Business, Profession, or Farm. I A. Enter Amounts from the Partnership's Own O'O'erations and Activities. lOSS o la. 5,924 LOSS .... 0 lb. lb. Share of Net Income or Loss from Other Entities. PART II. Apportioned Net Business Income or Loss. 2a. Net Income or Loss from Line 7 of PA Schedule NRH (Own Operations). .. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .. . .. . lOSS o 2.. 2b. Net Income or Loss from Line 7 of PA Schedule NRH (Other Entities). ..",.,.,." LOSS ........... 0 2b. LOSS ........... 0 20. 2c. PA Allocable Business. Profession, or Farm Income 0(' Loss. Add Lines 2a and 2b. PART III. Determining Noncommericallncome or Loss. 3. PA Taxable Interest Income. 3.. 293 3b. 4. PA Taxable Dividend Income. 4.. 4b. 5. Net Gain or Loss from the Sale, Exchange, or Disposition of Property. ............... lOSS ...... 0 Sa. LOSS o 5b. 6. Net Income or Loss from Rents, Royalties, Patents. and Copyrights. .............................. lOSS o 6.. LOSS o 6b. 7b. 7. Estate or Trust Income (Resident Taxable Income). 8. Gambling and Lottery Winnings. . . . . 8.. 9. Total Noncommercial Income or Loss. LOSS .. 0 9.. 8b. 293 LOSS o 9b. L 0005914197 SIDE 1 0005914197 ~ -.J PA-65 - 2000 PA-65 (09-00) PA OEPARTMENT OF REVENUE PART IV. Determining Allocable Noncommercial Income or loss. 10. Net Gain or Loss from the S.le. Exchange. or HIPPENSTEEL Disposition of Tangible Personal Property or Real LOSS Property Located in Pennsylvania. . 0 10a. 0006014195 OFFICIAL USE ONLY 25-1445513 AUTO BODY 11. Net Income or Loss from Rents. Royalties, Patents and Copyrights in PA. lOSS .. 0 11.. LOSS 0 lOb. LOSS 0 llb. 12b. LOSS 0 13. 6,217 lOSS 0 14. 6,217 LOSS 0 15. 16. 12. PA Source Income from Estates or Trusts (Nonresident Taxable Income). PART V. Total Partnership Income or loss. 13. Total Partnership Income or Loss per Books. ................ Total PA Taxable Partnership Income or Loss. Add Lines 1a and 1b (or 2c), 9a and 9b. ... Total Nontaxable or Nonreportable Partnership Income or Loss. Subtract Une 14 from Line 13. ................................,..... PART VI. Determining Pass-Through Credits. 16. Employment Incentive Payments (Erp) Credit, from the enclosed PA Schedule W. 14. 15. 17. Jobs Creation Tax Credit, from the enclosed Certificate of Credit. 17. 18. Waste Tire Recycling Investment Tax Credit, from the enclosed Certificate of Credit. ...... 18. 19. Research and Development Tax Credit, from the enclosed Certificate of Credit. 19. 20a. PA iaxWithheld from Nonresident Partners. 20a. 20b. Final Payment of Nonresident Withholding Tax. . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . 20b. See insert for special instructions for using form PA-V with the PA-65, or with the form PA-40NRC. 20c. TOTAL PA Tax Withheld from Nonresident Partners. Add Lines 20a and 20b. 20c. PART VII. Partnership Distributions. 21. 10TAL Return of Capital Distributions. .... RC 21. 159 22. TOTAL Distributions in Excess of Partner's Capital. EC 22. 23. TOTAl Guaranteed Payments Reportable as Income. MEDICAL SAVINGS ACCOUNT. 24. Medical Savings Account Costs. (See instructions l. SIGNATURE AND VERIFICATION G 23. 25,000 24. Under penalties of pe~ury. I declare that I have examined this return, including accompanying schedules and statements, and to the best of mv knowledoe and belief it is true correct and comnlete. For the partnership: Name - Please print: Barrv E Signature: Hiooensteel "'-7\" \\J\ Preparer, based on all info. of which preparer has any knowledge. Pm{.7m:~~sen8pa(,(,l/17 I 2/~t;/01 Veronica A. Furr Date: Street Address: Gift & Associates 1205 Manor Drive City, State, ZIP Code: Mechanicsbura Daytime Telephone Number: 717-766-3555 Suite 100 fb\\ Title: Tax Matters Partner Daytime ielephane Number: 717-766-3555 PA 17055 L 0006014195 SIDE 2 D006014195 --1 ---1 PASCHEDULE C-F 0006314199 Reconciliation PA-65 C-F 09-00) 2000 A A F VN ADJUSTING FEDERAL BUSINESS EXPENSES FOR PA TAX PURPOSES OFFICIAL USE ONLY Name as shown on PA-65: HIPPENSTEEL AUTO BODY Employer Federal 10 Number; 25-1445513 Detennining Net Income or Loss for PA Income Tax Purposes. If you choose to start with the partnership's Federal Schedule C, F. or Form 1065 to determine its taxable income or loss for PA purposes, complete this schedule. Adjust federal business income and expenses for PA income tax rules. Under PA law, determine net income or loss from the operation of a business, profession, or farm using generally accepted principles and practices. listed below are some of the most common differences (adjustments) between PA and federal rules. PART A. Identification tnformation. Enter the address of the partnershio, its telephone number, and, if applicable, its PA Sales Tax License Number. Business Address: 6 WEST GREEN STREET NEWVILLE PA 17241 PA Sales Tax License Number: Telephone Number: 717-766-3555 PART 8. Receipts from Business Activity. 1. Gross receipts or safes from the federaf schedute. 2. Returns and allowances from the federal schedule. . 3. Realized gross receipts or sales from federal schedule (Line 1 less Line 2). 4. Additional income or loss. See instructions. Itemize income and sources: SeE! St,Il\!;. 1 1. 116.677 2. 421 3. 116 256 4. 5. 62_541 6. 53-715 Total 5. Cost of goods sold and/or operations from the federal schedule. 6. Gross profits. Total Lines 3 and 4. Then subtract Line 5. .......,.. PART C. Business Expenses. 7. Allowable business expenses from the federal schedule. ........ PART O. Adjustments for PA. Purposes. See instructions. You must make the adjustments for the expense categories printed In bold letters, if the partnership Incurred Business meals and entertainment. . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . Sales Tax on depreciable assets. . . . . . . . . . . . . . . . . . , . . . . . . . . . Charitable contributions for business purposes. ........... . . . . . . . . . Uniform capitalization (other than federal tax accounting) under GAAP or FASS. Depreciation, if electing a generally accepted method different than used for federal purposes. Depreciation method: 13. Wages for the Federal JOBS credit. (Add back this amount if included in the total Federal expenses) . . . . . . Filing Tip. Subtract amounts on Lines 14 through 18 if the partnership used these expenses to determine its allowable business expenses (Part 6, Line 7) on its Federal schedule. Wages for PA Employment Incentive Payments Credit cand PA Jobs Creation Tax Credit. .. Payments for owner pension, profit-sharing or deferred Income plans. . . . . . . . . . . Taxes based on gross or net Income Clnd other unrelated taxes. .,. . . . . . . . . . . Payments for owner health and welfare benefit plans. ..... . . . . . . . . . . Expenses for PA Research and Development Tax Credit and/or PA Waste Tire Recycling Investment Tax Credit. . . . . . . . . . . . . . . 19. Other adjustments for differences between PA and federal expenses. Itemize and explain in detail. Enter the net total on Line 19. ..S.e.el3t:Il\t2.. CLI 47.7911 8. 9. 10. 11. 12. that tvne exnense. 6. 9. 10. 11. 12. [ill 14. 15. 16. 17. 18. 14. 15. 16. 17. 18. 20. Total adjustments. Add lines 8 through 19 and enter the net amount here, ...... 21. Total allowable PA business expenses. Add Lines 7 and 20. Enter the net amount here. PART E. Net Profit or Loss for PA Income Tax Purposes. 22. SUBTRACT Line 21 from Line 6. Enter the income or loss here and include on your PA-65. lfyou realiza a loss, pleasefiJl in the oval. .... ............ ~ 47.7911 21. Loss 0 22.1 5.9241 L -1 0006314199 0006314199 -1 PA-65 PARTNERS 0006114193 DIRECTORY ~~.65 Directory (O9;9.?1 2000 OFFICIAL USE ONLY PART VIII PARTNERS DIRECTORY (See Instructions) . If you need space you may make photo copies of this schedule or make your own schedule in this format. IAI IB\ ICI 10\ lEI OWNERSHIP % CODE 10 NUMBER NAME AND ADDRESS BOX NUMBER 1. Barry E Hippensteel .:3!5. .Par.s()I1Clge. .S.t:r:E!Elt. ... .... ............ 35 Parsonage Street 50.000000 RI 175-40-5042 Newville PA 17241 2. . ~;ic:l1ar<i q. .H.ippElIlEit,eEll ... .... ....... ..... 452 Centerville Rd. 50.000000 RI 210-32-7496 Newville. PA PA 17241 3. ...... ...... ................... ......... .......................... 4. .......................................................,....,- ...... 5. ...............................,.............. ...................... 6. o . . . . . . . . . . . . . . . . . . . . . . . . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7. ........ ...,.......,........... ............... .... ........ ..... 8. . . . . . . . . ............. .............. ..... ........... ............. Codes: RI. Resident Individual; NR. Nonresident Individual; PI - Part-Year Resident; P - Partnership: C - Corporation; E - Estate; T - Trust PA SCHEDULE J . Income from Estates or Trusts 2000 Employer Federal 10 Number: 25-1445513 Name as shown on PA-65: HIPPENSTEEL AUTO BODY If you need more space you may make photo copies of this schedule or make your own schedules in this format. List the name, address, and identlflcation number of each estate or trust from which the partnership received a distribution in 2000. Far PA purposes, the partnerstlip stlould have received a PA Schedule L fTom the estate or trust, or a PA Schedule RK-1 or NRK-l, if a partner or a shareholder in a PA-S corporation. Ifvou received a Federal Schedule K-1, Instead of a PA Schedule L, attach It to your PA tax return and enter the amount 01 va ur PA taxable Income. i~\ Name and address of each estate or trust tb\ Federal EIN tel Income Amount $ $ $ $ $ $ Income from PA-S comoratlonfs\ attach PA Schedulers' RK-1 or NRK-1. $ Income from oartnershinfs\, attacl1 PA Schedule(sl RK-1 or NRK-1. $ Total Income from Estates or Trusts. Add column (c) and enter the total here and on PA-65. I I L 0006114193 0006114193 --1 -1 0006514194 PA SCHEDULE RK-1 PART!. Resident Partner's Share of Income, Loss and Credits REV-1675 EX (09-00) PA DEPARTMENT OF REVENUE GENERAL INFORMATION 2000 OFFICIAL USE ONLY A. Is this partner a general partner? 1. gg YES 2. U NO B. Dale this partner's interest in partnership began: Month I Day I Vear MI C. If this partner is not an individual, what type entity is it? Partner's SSN (Individual) 175-40-5042 Partnership EIN 25-1445513 Last Name Hippensteel, Barry E First Name O. Enter this partner's percentage of: Before decrease or j termination ';' 0/. ';' End of year Address 35 Parsonage 35 Parsonage City or Post Office Newville Street Street Stale ZIP Gode PA 17241 Profit sharing Loss sharing 50.000000% 50.000000% 50.000000% 1 488 6 WEST GREEN STREET Ownership of cap. E. Partner's share of liabilities: $ PARTNER'S CAPITAL ACCOUNT - BASIS . For Pennsylvania income tax purposes, a partner's capital account should probably be different from the federal account. . Pennsylvania follows generally accepted principles and practices, and not federal tax accounting. . A reconciliation of each partner's capital account is not required on PA-65. . The partnership must maintain each partner's capi~ tal account. Partnership Name HIPPENSTEEL AUTO BODY HIPPENSTEEL AUTO BODY Address City or Post Office Slate ZIP Code NEWVILLE, PA 17241 PART II DISTRIBUTIVE SHARE OF INCOME AND/OR LOSSES Pennsylvania Income Class Partner's Share of Income Include these amounts on the Lines Amounts Reported Should Be Determined Under or Loss whether indicated for these PA Tax Returns: Pennsvlvania Income Tax Rules distributed or not PA-40 PA-41 PA-65 PA-20S 1. Net Income or Loss from the Operation of a LOSS 0 2,962 Line 4 3 1b 1. Business, Profession, or Farm. .... ........ ....... ..... 1. 147 Line 2 1 3b 3 2. PA Taxable Interest Income. 2. . . . . . . . . . . . . ...................... Une 3 2 4b 4 3. PA Taxable Dividend Income. ................,.... ....... ..... 3. 4. Net Gain or Loss from the Sale, Exchange, or LOSS Une 4 5b 5 0 5 Disposition of Property. 4. ......... ..... ............... 5. Net Income or Loss from Rents, Royalties, LOSS Line 6 5 6b 6 Patents, and Copyrights. .. . . . . . . . . . . . . . . . . . . . . . 0 5. .... Line 7 6 7b 7 6. Estate or Trust Income. 6. ......... ............................. Gamblina and Lotterv Winnings. Line 8 7 8b N/A 7. 7. PART III PARTNER'S SHARE OF ALLOWABLE CREDITS APPLICABLE TO THIS TAXABLE YEAR 8. Employment Incentive Payments Credit. 8. Une 22 See 16 15b ................ . . . . . . . 9. Jobs Creation Tax Credit. 9. Une 23 the 17 15b .......... ....... ....... ....... 10. Waste Tire Recycling Investment Tax Credit. 10. Line 24 PA-41 18 15b ....... ..... ....... 11. Research and Develooment Tax Credit. . ......... 11. Line 25 booklet 19 15b PART IV DISTRIBUTIONS 12. Return of Capital Distributions. .. 12. 159 See instructJons. . . . . . . . . . . . . . . . . . . . . . . . . . . . ... 13. Distributions in Excess of Partner's Capital. .. 13. 14. Guaranteed Pavments. . i:; t.m't' . . . . . . . 14. 25 000 MEDICAL SAVINGS ACCOUNT 15. Partner's Portion of Medical Savings Account Cost. 15. Enter on Line 10 of PA.40. L 0006514194 0006514194 -1 -1 0006514194 PART I. PA SCHEDULE RK-1 Resident Partner's Share of Income, Loss and Credits REV-1675 EX (09-00) fA DEPARTMENT OF REVENUE GENERAL INFORMATION 2000 OFFICIAL USE ONLY A. Is this partner a general partner? 1. YES 2. U NO B. Date this partner's interest in partnership began: Month I Day I Year Ml C. If this partner is not an individual, what type entity is it? Partner's SSN (Individual) 210-32-7496 PartnerShip EIN 25-1445513 Last Name First Name Hippensteel, Richard G. Address . Profit sharing Loss sharing Ownership of cap. E. Partner's share of liabilities: S PARTNER'S CAPITAL ACCOUNT. BASIS . For Pennsylvania income tax purposes, a partner's capital account should probably be different from the federal account. Pennsyfvania follows generally accepted principles and practices, and not federal tax accounting. A reconciliation of each partner's capital account is not required on PA-65. The partnership must maintain each partner's capi- tal account. D. Enter this partner's percentage of: Before decrease or j termination ~ ,(. End of year Address 452 Centervil1e Rd. City or Post Office Newville State ZIP Code 50.000000% 50.000000% 50.000000% 1 488 PA PA 17241 Partnership Name HIPPENSTEEL AUTO BODY HIPPENSTEEL AUTO BODY 6 WEST GREEN STREET . City or Post Office Slate ZIP Code NEWVILLE. PA 17241 PART II DISTRIBUTIVE SHARE OF INCOME AND/OR LOSSES . Pennsylvania Income Class Partner's Share of Income Include these amounts on the Lines Amounts Reported Should Be Determined Under or Loss whether indicated for these PA Tax Returns: Pennsvlvania Income Tax Rules distributed or not PA-40 PA-41 PA-65 PA-20S 1. Net Income or Loss from the Operation of a LOSS Business, Profession, or Farm. 0 1. 2.962 Line 4 3 lb 1. ....... .... ..... ........ 146 line 2 1 3b 3 2. PA Taxable Interest Income. ... .... 2. . . . . . . . . . . . . . . . .. ......... PA Taxable Dividend Income. 3. Une 3 2 4b 4 3. .... .. ...... ............. ........ 4. Net Gain ar Loss from the Sale, Exchange, ar LOSS Disposition of Property. 0 4. Une 5 4 5b 5 .. ........ ... .... ..... ..... ..... 5. Net Incame or Loss from Rents, Royalties, lOSS Patents, and Copyrights. 0 5. line 6 5 6b 6 ..... .... ..... ... .. .... .. ..... Estate or Trust Income. Une 7 6 7b 7 6. ... ....... ........... 6. .. ............. Gamblina and Lotterv Winninos. line 8 7 8b N/A 7. 7. PART III. PARTNER'S SHARE OF ALLOWABLE CREDITS APPLICABLE TO THIS TAXABLE YEAR 8. Employment Incentiva Payments Credit. ......... 8. Line 22 See 16 15b ...... .. ...... 9. Jabs Creatian Tax Credit. ...... ... ........ ... 9. Line 23 the 17 15b . . . . . . . . . . . ..... 10. Waste Tire Recycling Investment Tax Credit. ..... .. ...... 10. Line 24 PA-41 16 15b .. .... 11. Research and Development Tax Credit. . . ... ...... ..... 11. Line 25 booklet 19 15b PART IV DISTRIBUTIONS 12. Return of Capital Distributions. .... ..... 12. See instructions. .. ...... ............. 13. Distributions in Excess of Partner's Capital. 13. ........... ..... .... 14. Guaranteed Pavments. 14. MEDICAL SAVINGS ACCOUNT 15. Partner's Portion of Medical Savings Account Cost. 15. Enter on Une 10 of PA-40. L 0006514194 0006514194 -1 HIPPEN Hippensteel Auto Body 25-1445513 Pennsylvania Statements FYE: 12/31/2000 2/22/2001 4:12 PM Statement 1 - Schedule C-F. Line 1 - Gross Receipts or Sales Description Page 1 Gross Receipts Total Amount $ 116,677 $ 116,677 Statement 2 - Schedule C-F. Line 7 - Allowable Business Expenses from Federal Form Description Amount $ 47,791 $ 47,791 Page 1 Expenses Total 1-2 Hli"PEN {lJll312000 JOG PM Form' 1 (HiS u.s. Partnership Return of Income ell ..NT'S COpy OMB No_ 1545.0099 OepClrtmenl of the Treasury For calendar year 1999, or tax year beginning. . and ending 1999 Internal Revenue Service ~ See seoarate instructions. A Principal business activity Use the Name of partnership 0 Employer identification number Auto Bodv RE IRS Hinnensteel Auto Bodv 25-1445513 B PrinCIpal product or service label. Number. street. and room or suite no. If a P.O. box, see page 12 of the instructions. E 'Ja\e business started Other- Hippensteel Auto Body wise, Renairs please 6 West Green Street 10/01/83 C BusineSS code number print City or town. slate. and ZIP code F T~tal asset~ ~s0e page 12 of or type. :re InstruGllO s 811120 Newville PA 17241 $ 20.146 G Check applicable boxes: (1) 8 Initial return (2) 0 Final relurn (3) 0 Change in address H Check accounting method: (1) Cash (2) I1il Accrual (3) 0 Other (specify) ~ I Number of Schedules K.1. Attach one for each person who was a partner at any time during the tax year .. (4) 0 Amended return 2 Caution: Include only trade or business income and expenses on lines 1a through 22 below. See the instructions for more in!crmatlon. 2 3 Income 4 5 6 7 8 9 10 11 12 Deductions 13 (see page 14 14 of the instruc. 15 tionsfor 16a limitations) b 17 18 19 Please Sign Here Paid Preparer's Use Only 1a Gross receipts or sales ...... b Less returns and allowances 1_ 1b 126.791 . 1c 126 791 Cost of goods sold (Schedule A.line 8) .. ....... ......... ...... Gross profit. Subtract line 2 from fine 1c...... ............................ Ordinary inc. (loss) from other partnerships. estates. & trusts (att. sch.) ........ Net farm profit (loss) (attach Schedule F (Form 1040)) ........................ Net gain (loss) from Form 4797. Part II, line 18 .,....... 2 3 4 5 6 68 569 58.222 Other income (loss) (attach schedule) 7 Total income lIosst Combine fines 3 throuah 7 8 58 222 Salaries and wages (other than to partners) (less employment credits) . . . . . . . . . . . . ." . . . .' .. . . . . . . . . . . . 9 Guaranteed payments to partners.................................................................. 10 Repairs and maintenance.......................................................... ....... 11 Bad debts.................. ................................................................... 12 Rent ....... ..................... .................................................. .............. 13 Taxes and licenses.. ..... ...... ... ... ........ ........ ............ .......... ....~.~.~..~~~~. .~. 14 ~:;r::a.I;~~.(;f. ~~~~;;~d.. ~~~~~ .F~~~'~!i62).'....'.'..."...'."..""" i.1.~~' f.............,.... '4.92 :.~ Less depreciation reported on Schedule A a~d'~i;~~j.;~r.~ ~~ ~~t~;~'.." f16b I 16c Depletion (Do not deduct oil and gas depletion.) .........,..........,.......,..............,........ 17 Retirement plans. etc. ..................,................,................,................,........ 18 Employee benefit programs.. ..............,.......................,......,............. ........ 19 25 000 998 1. 032 629 492 20 Other deductions (attach schedule) . . . . . .....~.~El..~t:!llt:..~ 23.540 20 21 Total deductions. Add the amounts shown in the far rinht column for lines 9 throuQh 20 51 691 21 22 Ordinarv income 'loss' from trade or business activities. Subtract line 21 from line 8 6.531 22 Under penalties of pe-Jjury, 'declare \hat' n8\'e examined this return. including accompanying schedules and statements, and to the best of my knowledge and belief. It IS true. correct. and complete OedaraUon of preparer (other than general partner ~ted liablllty company merr.ber) IS based on all Infomlaoon afwh'ch p,"pare< has any knaW~\\ ? \ \' \ yOV- ~ Sinnature of neneral nar1ner or limited liabilit" comnanv member Preparer's ~ ~nature r Firm's name (or ~ yours il sell-employed) and address Toale 3/13/00 ~ Oa1e Check if seJf-emploved ... I Pre parer's SSN or PTlN n 202-48-5627 I EIN ~ 23-2349229 I ZIP",d_~ 17055 Gift & Associates 1205 Manor Drive, Mechanicsbura PA Suite 100 For Paperwork Reduction Act Notice, see separate Instructions. OM Faml 1065(19991 HIPPEN 0311312000 J 10 PM Form 1065'(19991 Hippensteel Auto Body 25-1445513 Paqe 2 Schedule A Cost of Goods Sold (see page 17 of the insuuctions) b Inventory at beginning of year. Purchases less cost of items withdrawn for personal use Cost of labor Additional section 263A costs {attach schedule) . Other costs (attach schedule) Total. Add lines 1 through 5 Inventory at end of year Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, line 2 . Check all methods used for valuing closing inventory: (i) ~ Costas described in Regulations section 1.471-3 (il) Lower of cost or market as described in Regulations section 1.471004- (iii) Other (specify method used and attach explanation).... .............. Check this box if there was a writedown of "subnormal" goods as described in Regulations section 1.471-2(c) Check this box if the UFO inventory method was adopted this tax year for any goods (if cheeked, attach Form 970) . 00 the rules of section 263A (for property produced or acquired for resale) apply to the partnership? Was there any change in determining quantities. cost. or valuations between opening and closing inventory? If "Ves," attach explanation. S,ee StInt: 3.. 1 750 2 50 848 J 17 676 4 5 195 6 69 469 7 900 B 68 569 1 2 J 4 5 6 7 B 9. . ~ ~ ~ aq .q No ... Yes No c d ... Schedule B. Other Information 1 Yes No What type of entity IS filmg thiS return? Check the aBhcab'e box: a ~ General partnershIp b Limited partnership d 0 lImlled liability partnershIp e Other..... . 2 Are any partners in this partnership also partnerships? 3 Is this partnership a partner in another partnership? 4 Is this partnership subject to the consolidated audit procedures of sections 6221 through 6233? If "Yes," see Designation of Tax Matters Partner below. Does this partnership meet ALL THREE of the following requirements? a The partnership's total receipts for the tax year were less than $250,000; b The partnership's total assets at the end of the tax year were less than $600.000; AND c Schedules K-1 are filed with the return and furnished to the partners on or before the due date {including extensions} for the partnership return. If "Yes," the partnership is not required to complete Schedules L, M-1, and M.2; Item F on page 1 of Form 1065; or Item J on Schedule K-1 .............. ...................... _.........................._...... Does this partnership have any foreign partners? .. ..................... ............................ Is this partnership a publicly traded partnership as defined in section 469(k){2)? . . . . . . . . . . . . . . . . . . . Has this partnership filed, or is it required to file, Form 8~64. Application (or Registration of a Tax Shelter? . At any time during calendar year 1999, did the partnership 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 page 18 of the instructions for exceptions and filing requirements for Form TO F 90-22.1. If "Yes," enter the name of the foreign country..... ........ ......................... ...................... ...... ......... ....................., 10 During the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If "Ves," the partnership may have to file Form 3520. See page 18 of the instructions............................. ... 11 Was there a distribution of property or a transfer (e,g., by sale or death) of a partnership interest during the tax year? If "Yes," you may elect to adjust the basis of the partnership's assets under section 754 by attaching the statement described under Elections Made B toe Partnershl on a e 7 of the instructions. Designation of Tax Matters Partner (see page 18 of the instructions) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: c 0 limited liability company x X X 5 6 7 B 9 X X X X X X Name of ~ desiqnated TMP r Barry Hippensteel Identifying ~ numberofTMP r ~75-40-5042 Address of desiqnated TMP ~ 35 Parsonaqe Newville, PA Street 17241 Form 1065 (19991 OM la) Distributive share items Ibl Total amount 1 Ordinary incorne (loss) from trade or business activities (page 1,line 22). 1 6 531 ....... 2 Net income (loss) from rental real estate activities (attach Form 8825) i .3~i .. ....... 2 3_ Gross income from other rental activilies ...ii ..... I 30 I 0 Expenses from other rental activities (attach sch.) . . ....... .... ....... 0 Net income (losS) from other rental activities. Subtract line 30 from line 3a 30 4 Portfolio income (loss): - In\erest income 4_ 282 ... .... Income 0 Ordinary dividends .. ..... ... 40 ... .... ... ...... ....... ........ ....... .... .... ... .... (Loss) 0 Royalty income. 40 .... ... ... ... .... .. .. .... ..... ........ ...... ..... ............ ...... .. ... .. ..... d Net short.term capital gain (loss) (attach Schedule 0 (Form 1065)) 4d .... ....... ..... .... .. ..... e Net long-term capital gain (loss) (attach Schedule 0 (Form 1065)): i (1) 28% rate gain (loss).... ..... (2) Total for year. . .... .. ...... ~ 4012 f Other portfolio income (1055) (attach schedule) 4f ..... .... ... ...... ... .. .... S Guaranteed payments to partners ..... .... .... 5 25 000 6 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797) 6 Other income 1I0ss\ {attach schedule} .. 7 7 8 Charitable contributions (attach schedule) See Stmt 4 8 335 9 Section 179 expense deduction (attach Form 4562) ... ... 9 Deductions .... ... ... . . . . . . . ... 10 Deductions related to portfOliO income (itemiz.e) ........ ..... .............. 10 Other deductions (attach schedulel ...... .......... .. .... 11 11 12_ Low-income housing credit: ~iij (1) From partnerships to which section 420)(5) applies for property placed in service before 1990 12a(1' (2) Other than on line 12a( 1 ) for property placed in service before 1990 .............................. 12a/2 (3) From partnerships to which section 420)(5) applies for property placed in service after 1989 .' ... .... 12.13 Credits (4) Other than on line 12a(3) for property placed in service after 1989 ............. 12a14' ........... ... .... b Qualified rettabilitation. expenditures related to rent;:!1 real i!state act {at!.. Form 3466} ... 12b .. .... ..... .... 0 Credits (other than cr. shown on lines 12a & 12b) related!o rental real estate activities 120 . . . . . . . . ..... ....... d Credits related to other rental activities 12d ........ ........ ............. .............. .. ........... .... 13 Other credits ... ... ....... .. 13 Invest. 14_ Interest expense on investment debts. ............... ........... ......... 14_ ............................ ment b (1) Investment income included on lines 48. 4b. 4c. and 4f above ''''hi1 282 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Interest (2) Investment exnenses included on line 10 above ........ ..... '4bl2 Self. 15_ Net earnings (loss) from self.employment .......................................... ...............,.. 15_ 31. 531 Employ. 0 Gross farming or fishing income................................ .............. 150 ...................... ment 0 Gross nonfarm income 150 16_ Depreciation adjustment on property placed in service after 1986 ...... .... ........ .. ..... 16_ Adjust. ........ ... b Adjusted gain or toss 16b ments ..... ...... ....... . . . . . , . ........ .... ... .... ..... 0 Depletion (other than oil and gas) ..... ... ....... 160 and Tax ..... ........ ..... ....... ...' ... ......... ...... Preference d (1) Gross income from oil. gas. and geothermal properties. ................ '6dl, .......,.........,.. ...... (2) Deductions altocable to oil. gas, and geotherma\ properties ....................................... '6d12 Items Other adjustments and tax oreference items (anach schedule) e 16e 17_ Type of income" ................. ............... , b Name of foreign country or U.S. possession" ............... 0 Total gross income from sources outside the United States (attach sch.) .... . ." .' ..................... 170 Foreign d Total applicable deductions and losses (anach schedule) 17d Taxes Total foreign taxes (check one):'" 0 Paid 0 A'~~~~d':::::: ~::::::::::: ................ .. e 17e .......... ....... .. f Reduction in taxes available for credit (attach schedule) ....... ........... .... ....... 17f a Other foreian tax information (anach schedule) ....... 170 18 Section 59(e)(2) expenditures: - Type ~ ..... ...... ... ..... ......................... b Amount ~ 180 ... ....... .... ........ 19 Tax-exempt interest income. ... .. .. ... ... . . . . . . . . . . ........ .. ..... 19 . . . . . . . . . . ........... 20 Other tax-exempt income .. ... .... ...... ....... ......... .... .... ...... ..... ..... ....... 20 Other 21 Nondeductible expenses. . . . ....... ....... ....... .... ...... 21 .... ....... 22 Distributions of money {cash and marketat>le securities} 22 2 486 . . . . . . . . ....... . . . . . . . ....... ....... 23 Distributions of property olherthan money.... ........... ........ ............. .... .. ... 23 24 Other items & amounts renuired to be renorted seoaralelv to oartners fatt. Sch.l - . HIPPEN G3Inr,WOG:3 00 PM Fo,m 1065'(199(11 Schedule K Hippensteel Auto Bodv Partners' Shares of Income Credits 25-1445513 Deductions etc OM PaQe 3 Fo'm 1065 (1999) HIPPEN OJIY3J2000 3_00 PM Form ;065 (199'91 Hippensteel Auto Bodv 25-1445513 p Analvsis of Net Income (Loss} aQe 4 1 Net income (loSS). Combine Schedule K. lines 1 through 7 in column (b). From the result. subtract the I 1 I sum of Schedule K. lines 8 throuah 11. 14a, 17e, and lab 31 478 2 Analysis by (I) Corpora Ie (ii) Individual (iii) Individual (v) Exempt partner type: (activel {nassive' (iv) Partnership orqanization (vi) Nominee/Other _ General partners 31 478 b Limited oartners Schedule L Balance Sheets Not re uired if Question 5 on Schedule 8 is answered ~Yes.~ 8e innin of tax ear 2_ 279 End of tax ear Assets _ c d 12_ b 13 Cash Trade notes and accounts receivable.. b Less allowance for bad debts 3 Inventories .......... 4 U.S. government obligations 5 Tax~exempt securities 6 Other current assets (attach schedule) Mortgage and real estate loans Other investments (attaCh schedule) Buildings and other depreciable assets. . Less accumulated depreciation Depletable assets . . . . . . , . . . . less accumulated depletion ..... land (net of any amortization) ............. Intangible assets (amortizable only) ........ Less accumulated amortization Other assets See Strot 5 (attach sd1edule). . . . . . . . . . . . . . . . . . . . . . . . . Total assets .. ..... ..... Liabilities and Capital Accounts payable. . . 7 048 957 7 8 279 750 957 900 1 000 Mortgages. notes. bonds payable in 1 year or more Other liabilities {attach schedule)............................. Partners' capital accounts....,............ T otalliabilities and ea ital 90 724 84 135 6 589 90 84 6 096 9_ b 10_ b 11 14 145 23 726 15 16 17 668 Mortgages. notes. bonds payable in less than 1 year Omer current liabilities See S tm t 6 (anach schedule) . . . . . . . . . . . . . . . . . . . . . . . . All nonrecourse loans 1 038 774 18 19 20 11 677 817 21 22 16 335 20 146 10 343 23 726 ;$dhedol~CMf1; ~:~~n~~~~ai:i~~e~~~n5cO~~:h~~~:~li~::'~e~~~~e~~~e~n~o~: ~~~:~~t;u~~o~:turn Net income (loss) per books 6 47 8 6 Income recorded o-n books this year not in~ Income included on Sch. K, In. 1 through eluded on Schedule K.lines 1 through 7 (itemize): 4. 6. and 7. not recorded on books this a Tax-exempt interest $ 1 2 year(ilemize): ............,............. . ..................................... 7 Deductions included on Schedule K, lines 1 25 000 through 11.14_, 170, and 18b, not charged against book income this year (itemize): a Depreciation $ 3 Guaranteed payments (olher than health insurance) ..................... 4 Expenses recorded on books this year not included on Schedule K. lines 1 through 11. 14a. 17e. and 18b (itemize): a Depredation $ b ~~!~~~fnn~ent S ............. 5 Add lines 1 throu h 4 . 8 Add lines 6 and 7 9 Income (loss) (Analysis af Nellncome {Loss}, 31 478 line 1 . Subtract line 8 from tine 5 31 478 Schedul",M-2 Analvsis of Partners' Canital Accounts (Not reQuired if Question 5 on Schedule B is answered ~Yes.") 1 Balance at beginning of year. . . . . . . . . 10 343 6 Distributions: a Cash 2 486 2 Capital contributed during year . . ..... 2.000 b Property ... 7 Other decreases ....... J Net income (loss) per books........... 6 478 (itemize): 4 Other increases (itemize): ... ... .......... .. .... ... ... ..... 8 Add Jines 6 and 7 2.486 . . . . . . . . . . . . ....... ....... ... 5 Add lines 1 throuah 4 18 8n 9 Balance at end of ....ear. Subtract In. S from In. 5 16 335 OM Form 1065 11999) HIPPEN 0'3/1312000 301 PM Partner's Share of Income, Credits, Deductions, etc. ~ee separate Instructions. ear be innin , and endin Partnershi 's ldenti in number.... Partnership's name, address, and ZIP code Hippensteel Auto Body Hippensteel Auto Body 6 West Green Street Newville PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse Qualified nonrecourse financing Other Tax shelter registration number. ,.. Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) , . SCHEDULE K-1 (Form 1065) Department of the Treasury Int mal R v nue eN! e Partner's identif in number" Partner's name. address, and ZIP code Barry E Hippensteel 35 Parsonage Street 35 Parsonage Street Newville A This partner is a general partner o limited liability company member B What type of entity is this partner? .. Individual C Is this partner a ~ domestic or aD' foreign partner? o Enter partner's percentage of: (1Ioi1~~~i~~<<g~e (ill year End of G Profit sharing % .sa. 0.0.0.0.0..00/. H loss sharing % .so., 0 0..0.0..0 0.0/. Ownership of capital % ...5.0.,0.0.0..0..'10.0/. e IRS Center where partnership filed retum: I Phi1adel hia PA 19255-0.0.11 For calendar ear 1999 or tax 175-40.-50.42 PA 17241 limited partner J Analvsis of oartner's caoital account: (a) CapitatacCQuntal (bl Capilalcontnbu\i!ld beginning of year during year Check applicable boxes: (1) o Final K~1 (c) PartM(s share of lines 3.4, and 7, Form 1065, Schedule M.2 2 444 1 DAD (a) Oistrtbuttve sha.re item Ordinary income (loss) from trade or business activities.................. Net income (loss) from rental real estate activities ..........,.......,.. Net income {loss} from other rental activities.................... ....... Portfolio income (loss): a Interest .......... ....... b Ordinary dividends c Royalties .. ...........,...........................,....... .......... d Net short-term capital gain (loss) ...........".......,.....,............ e Net long-term capital gain (loss): (1) 28% rale gain (loss) .............................................. (2) Total for year..................................................... f Other portfolio income (loss) (att. schedule) ............................. 5 Guaranleed payments to partner.................... ................... 6 Net section 1231 gain (loss) (other than due to casualty or theft}......... 7 Other income floss' fattar'h schedule' 8 Charitable contributions (see instr.) (att. Sch.) ..... S.'?~...S tm~....... 9 Section 179 expense deduction........................................ 10 Deductions related to portfOliO inc. {an. sell.}......"..........,........,. 11 Other deductions (attach schedule' .. 12a Low-income housing credit: (1) From section 42Gl(5) partnerships for property placed in service before 1990 ........"...................................,..... (2) O\her\han on line 12a(1) for property placed in service before 1990 (3) From seclion 42(j){5) partnerships for property placed in service after 1989 ..... .... (4) Other than on line 12a(3) for property placed in service after 1989 b Qualified rehabilitation expenditures related to rental real estate activities. ........... ..,' .... ," ...... .... .... ..... .... ... ...... c Credits (other than credits shown on lines 12a and 12b) related to rental real esta\eactlvities .." ..... ......,.. .... ..... ........... d Credits related 10 other rental activities. . . . . . . . .. ................. 13 Other credits For Paperwork Reduction Act Notice, see Instructions for Form 1065. OAA 1 2 3 4 Income (Loss) Oeduc~ tions Credits (d) Withdrawals and distributions 3 239 2.486 (b) Amount 1 2 3 (i........i 4a 4b 40 3.266 141 wi e11\ ~/21 41 5 6 7 25 aDo. 8 9 10 11 a/l1 a/2\ I....{..{ a/31 al41 .. 12b i 120 12d 13 OMS No. 1545-0099 1999 25-1445513 $ $ $ .......1..4.97 .4.0.9 o (2) o Amended K.1 (e) Capital account at end of year (combine ~I.umns (a) throuoh rdll 4 197 (c} 1040 filers enter the amount in column (b) on: } See page 6 of Partner's Instructions for Schedule K.l IForm 1065). Sch. S, Part I, line 1 Sch. S. Part II. line 5 5ch. E. Part I, line 4 Sch. D.line 5. col. (f) Sch. D. line 12. col. (g) Sch. D.line 12. col. (f) Enter on applic. In. of your rtn. } See page 6 of Partner's Instructions ror SChedule K.l (Form 1065). Enter on aooHc. In. of vour rtfl. 168 5ch. A,line 15 or 16 } See pages 7 and 8 01 Partner's Instructions for Schedule K.' (Form 1065). ~ Form 8586. line 5 } See page 8 of Partner's Instructions lor Schedule K.l (Form 1065). Schedule K.1 (Form 106511999 HIPPEN 03113/2000 3:01 PM Barry E Hippensteel Schedule K.1 (Form 1065) 1999 Hiooenstee1 Auto Bodv 25-1445513 Pano 2 (a) Distributive share item (b) Amount (e) 1040 filers enter the amount in column (b\ on: Invest. 14a Interest expense on investment debts 14a Form 4952, line 1 ment b (1) Investment income included on lines 4a. 4b,4c, and 4f bIll 141 } See page g 01 Partner's Instructions for Schedule K.l Interest {2\ Investment exnenses included on line 10 b'2' (Form 1065). Self- 15a Net earnings (loss) from self.employment 15a 28 266 8ch. SE, Section A or B employ. b Gross farming or fishing income 15b };see page 9 of Partner's Gross nonfarm income nSlrtJction:,for Schedule K.l ment e 15e Form 1065 . Adjust. 16a Depreciation adjustment on property placed in service after 1986 16a ..... ments b Adjusted gain or loss 16b See page 9 of Partner's ............ .................................. ... Instructions and Tax e Depletion (other than oil and gas) 16e ...:?r Schedule K-1 .... ..... ....... . . . . . . . . . . . ....... dll) Prefer. d (1) Gross income from oil, gas, and geothermal properties. ...... ....... (Form 1065) and ence (2) Deductions allocable to oil, gas. and geothermal properties dl21 Instructions lor Form 6251. ... Items . Other adjustments and tax oreference items 16. 17a Type of income ~ ...... ...... ........ ... ... ........... ... .. ...... ~ii Form 1116. check boxes b Name of foreign country or possession ~ .............. }orm ..... Foreign e Total gross inc. from sources outside the U.S. 17e 1116. Part I ...... ..... .... ..... .. Taxes d Total applicable deductions & losses (an. Sch.) .... ..... 17d . Total foreign taxes (check one): ~ 0 Paid "'O'A~~~~d' ...... 17. Form 1116. Part /I 1 Reduction in taxes available for credit (an. sch.) .. .................... 171 Form 1116. Part III n Other foreien tax information (attach 5ch.) : : .. . .. . . II See Instructions for Form 1116. 18 Section 59(e)(2) expenditures: a Type" ...... ........ .............. }see page 9 of PaMets .. .... .............. ...... ........ ... .. .. ..... ... ... .... .... ....... nstructions for Schetlule K.l b Amount ... .... ... .... ... .... ....... ... .... .... .... ...... 18b (Fonn 1065). .... 19 Tax-exempt interest income .... .. .... .... ... ................ ... 19 Form 1040.llno Sb ..... 20 Other tax~exempt income .... .... ..... ........ .. ... 20 . . . . . . . . . . . . . . . . . . . ~ee pages g and 10 of Other 21 Nondeductible expenses 21 ..... ..... ... .... ... ... ..... .......... .. .. artner's Instructions for 22 Distributions of money (cash and marketable securities) .. ............ 22 2 486 23 Distributions of property other than money ~ Schedule K.l (Form t065). ...... ....... .......... .... ... 24 Recapture of low-income housing credit: a From section 42(j)(5) partnerships ..... 24a porm 8611, line 8 ...................... ........... b Other than on line 24a .. 24b 25 Supplemental information required to be reported separately to each partner (at1ach additional schedules if more space is needed): .. .. ................... ............... ............................................... ............... . . . . . . . . . . . . ...... ....... .. ......... ..... .................................. ............................................................... ........... ...... ..... .... .... ... ... ... .............. .......... ................................................... . . . . . . . . . . . . . . . . ...... .... .... ... ..... .... ... ... .. .... .. .............................. ................ ..................... ...................... ......... .... .. ... ... ....... .......... .. .. ...... ..... ....... ...... ....... ..... . . . . . . . . . . . . . . . . ..................... . . . . . . . .... ........... ........ .... .. .. .... .. .... ............ .. .............. . . . . . . . . . . .......... .... ... ............... ..................... ..... .. . . . . . . . . . . . . . . '" .. ... .. ... ......... ........... .... .................................................................................................. ..... . . . . . . . . .......... ... .. ... ....... ......... ............................................................................................ . . . . . . . . . . . . . . . . . . . . .. .... ... .... .. .. .. ........... ...... .......................................................... .......... . . . . . . . . . . . . . . . . ....... .. ... ... .. .. ..... ....... ... ... ........... .......................................................................................... .. ..... ..... .. ..... ... ... ......... ." ........... ... ... .................................................................................. .. ..... .... ...... .. ....... .... ......................... ........................................................................ ............................... .. ....... Supple. .... ..................... ........................................................................ .......... ..... ... ..... .......... ..... mental .... .... ......................................................................................... ..... ... ....... . . . . . . . . . . ......... Informa. ........ ..................................... ...................................................... .. ...... ..... .......... ... ... .. .. .... .. tion ..... ................. ... ........ ...... ... .. .... .......... ..... .... .... .... ... ... ....... ..... .... ..... ..... . . . . . . . . . . . . . . .... ... ....... ........ . . . . . . . . . . . . . .. .. ........ ... .... .... ........ .. .. .... ....... ... .... .... ...... ..... .. ..... ....... ....... .. .. ......... ................. .... ......... ...... -... ... ............ .... ... ..... .. .... ... .... .... .... ..... .... .... .... .. .... ... ... ... .... ..... ... ..... ............... ........... .. .............. .... ..... ......... .......... ...... ...... ........ ... ..... ...... ........ ... ......... ... ......... .. ...... .. ... ... ... ... .... ... ... ..... ....... ..... ..... .... . . . . . . . . ...... .. ..... .. ..... .... ...... ..... ..... .... .. ... .......... ..... ....... ... ... ...... ... ... ... .......... ..... ....... ... ...... ... .... ....... '" ... ..... .. .... .. ... .. ... .. .... .... ... .... ... .. ... ..... ... .......... ..... .... ... ... .. ...... .. ... .... ... ... ... .... .. .... ...... OM Schedule K.1 (Form 1065)1999 HIPPEN 03/1312000 301 PM SCHEDULE K-1 (Form 1065) Department of the Treasury In rn 1 R yen rvi Partner's identif in number" Partner's name. address, and ZIP code Partner's Share of Income, Credits, Deductions, etc. liJosee separate Instructions. ear be innin OMS No. 1545.0099 limited partner . and end in Partnershi 's idenli in number'" Partnership's name, address. and ZIP code Hippensteel Auto Body Hippensteel Auto Body 6 West Green Street Newville PA 17241 F Partner's share of liabilities (see instructions): Nonrecourse Qualified nonrecourse financing Other Tax shelter registration number .... Check here if this partnership ;s a publicly traded partnership as defined in section 469(k)(2) 1999 For calendar ear 1999 or tax 210-32-7496 25-1445513 Richard G. Hippensteel 452 Centerville Rd. Newville PA A This partner is a general partner o limited liability company member B What type of entity is this partner? ~ Indi vidual C Is this partner a Qg domestic or aD. foreign partner? o Enter partner's percentage of: (i)cPr'~~~ik~~BRe (ii) year End of G Profitshanng % 50.000000%H Loss shanng. % .5.0,.0.0.0000% Ownershipolcapilal % SO,.O.o.O.O.o()% E IRS Center where partnership filed return: I Philadel hia PA 19255-0011 PA 17241 $. $. $. q.l.,4.9? .4.08 o Check applicable boxes: (1) o Final K-1 (2) o Amended K-1 J Analvsis of cartner's cacital account: (a) Capital account at (b) Capital contributed (e) Partner's share of lines (d) 'Nithdrawals and (e) Capital account at end of beginning of year during year 3.4, and 7. Fonn 1065. distributions year (com~:~~ ~~~mns (al Schedule M.2 Ihrou h d 7 899 1 000 3 239 12 138 (a) Distributive share item (b) Amount (c) 1040 filers enter the amount in column {bl on: 1 Ordinary income (loss) from trade or business activities ... .. .. .... ..... 1 3 265 } See page 6 of Panners 2 Net income (loss) from rental real estate activities ... ........... ....... 2 Inslructions for Schedule K-1 3 Net income (loss) from other rental activities 3 (Form 1065). ..... .... ...... .... ... ...... 4 Portfolio income (loss): i.'.UUU a Interest 4a 141 Sch. 8, Part I, line 1 ......... ............,....................... .................. Sch. 8, Part II, line 5 Income b Ordinary dividends .................................................... 4b c Royalties 4c Sch. E, Part I, line 4 (Loss) ...................... ..................... . . . . . . . . . . . . . . .., d Net short.term capital gain (loss) 4d 5ch. D, line 5, col. (I) ................... ... ................ 0 Nellong-term capital gain (Joss); iU (1) 28% rate gain (loss) ..... ...... ... .. 0111 5ch. D, line 12, col. (g) ......... ....... e/21 (2) Total for year.. .. .. . .. .... ........... ........ .... .. .... ..... ..... 5ch. D,line 12, col. (I) 1 Other portfolio income (loss) (att. schedule) ........ 41 Enter on applic. In. of your rtn. ... .... ...... ..... 5 Guaranteed payments to partner 5 } See page 6 of Panners .... .............. ....... Instructions for Schedule K.' 6 Net section 1231 gain (loss) (other than due to casualty or theft). ...... ... 6 (FolTl'l1065). 7 Other income f1oss\ 'attach schedule' 7 Enter on annlic. In. of vour rtn. 8 Charitable contributions (see instr.) (att. sch.) .. .... .~.e.e...S tIII.t ....... 8 167 5ch. A, line 15 or 16 Oeduc- 9 Section 179 expense deduction 9 } See pages 7 and 6 of ................ ................... ..... lions 10 Deductions related to portfolio inc. (alt. sch.) . . . . 10 Partner's Instructions for . . . . . . . . . . . . . . . . . . . . . . ... Schedule K.l (Form 1065). 11 Other deductions 'attach schedule\ . 12a Low.income housing credit: (1) From section 420)(5) partnerships lor property placed in service before 1990 ....... ......................... .......... ....... arl\ (2) Other than on line 12a( 1 ) for property placed in service before 1990 a/2\ ~ Form 8586, line 5 (3) From section 42(j)(5) partnerships for property placed in I..i.\. service after 1989 .. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ..... ar31 Credits (4) Other than on line 12a(3) for property placed in service after 1989 a/41 b Qualified rehabilitation expenditures related to rental real estate Ii activities .......... ..... ........ . . . . . . . . . . ...... .,. 12b c Credits (other than credits shown on lines 12a and 12b) related Ii } .--...-.. to rental real estate activities 12c Instructions for Schedule K.l .... .... .,. ..... ..... ...... ........ (Form 1065). d Credits related to other renlal activities ... .... . . . . . . . .. . . . . . . 12d 13 Other credits 13 For Paperwork Reduction Act Notice, see Instructions for Form 1065. OM Schedule K~1 (Form 1065) 1999 H~PPEN. 03/ 1 ~/200q 3 01 PM Richard G. Hippensteel Schedule K-1 (Form 106511999 Hinnensteel Auto Bodv 25-1445513 Paae 2 (a) Distributive share item (b) (c) 1040 filers enter the Amount amount in column (b) on: Invest. 14. Interest expense on investment debts ..... 14. Form 4952. line 1 .. ment b (1) Investment income included on lines 4a. 4b, 4c. and 4f bl11 141 } See page 9 of Partner's Instructions ror Schedule K-1 Interest '2' Investment ex"enses included on line 10 bl21 (Form 106S). Self- 15. Net earnings (loss) from self-employment 15. 3 265 Sch. SE, Section A or 8 ........ ............ .. employ- b Gross farming or fishing income ..... .. ...... ... .... ...... .... .. ... .... 15b }:see page 9 or Partner's ment c Gross nonfarm income 15c . J~struction::or Schedule K-l Form 1065 . Adjust- 16a Depreciation adjustment on property placed in service after 1986 16. 1- ......... ments b Adjusted gain or loss 16b See page 9 of Partner's .... . . . . . . . . . . . . . . ........ . . . . . . . . . . . . . . . . . . . . . . Instructions and Tax c Depletion (other than oil and gas) ..... .. .. ..... . . . . . . . . . . . ..... 16c ~~or Schedule K-1 ...... dl1\ Prefer- d (1) Gross income from oil, gas. and geothermal properties. . (Form 1065) and ence (2) Deductions allocable to oil. gas. and geothermal properties dl21 Instructions for Form 6251. Items e Other adjustments and tax oreference items 16. 17a Type of income'" ..... ....... Form 1116. check boxes b Name of foreign country or possession.... ..... ....... .. Ii, }arm Foreign c Total gross inc. from sources outside the U.S. .... ........ ... ......... ... 17c 1116. Part I Taxes d Total applicable deductions & losses (an. sch.) .. ... 17d . Total foreign taxes (check one):.... D P~id' . "O'A~~~~d' ... ... 17. Form 1116. Part II I Reduction in taxes available for credit (an. Sch.) ....... 171 Form 1116. Part III Other foreien tax information (attach sch.i : ..................... " 17" See Instructions for Form 1116. 18 Section 59(e)(2) expenditures: . Type~ ..... ...... ... .. ..... ....... I }s.e p.g. g of Partn.(s . . . . . . . . . . . . . ........ ...... .. .... .... ... ...... ....... ..... ..... nstructions for Schedule K.1 b Amount ....... .. ...... ..... ..... ........... ......... 18b (Form 1065). 19 Tax~exempt interest income 19 Form 1040, line 8b 20 Other tax-exempt income ........... 20 Other 21 Nondeductible expenses 21 }e. pages 9 and to of . . . . . . . . . . ............. ..... . . . . . . . . . . . . .... artner's lnstruclions ror 22 Distributions of money (cash and marketable securities) .... ......... ... 22 Schedule K.' (Form 1065). 23 Distributions of property other than money ..... ... . . . . . . . . . . . . 23 ....... .. ~ 24 Recapture of 10w.income housing credit: . From section 420)(5) partnerships ....................... ~orm 8611. line 8 ....... ........ 24b I b Other than on line 24a 25 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): .. ..... . . . . . . . . . . ..... ......... ... .... .................. ...,......... . . . . . . . . . . . . ..... .... ..... ........ ....... ...... .. .... ..... ....... ... . . . . . . . ... ..... ..... ....... ... ......... .... ............ ... ...... .. ... ... .... ......... .. .... ..... ..... ... .... ..,. .. ... ... .. ..... .... .. ... .... ...... .. ..... ... .. .... ...... ,...... ........ ......... .. ............ ... ... ............................................ ..... . . . . . . . . . . . . . ........... . . . . . . . . . . . . . . . . ..... ..... ..... ... .. .. ..... ......................-................................................................ ..... ..... .......... ..... .... ..... .... .... .... ........... ..................- ....................................................... .... .... .... ... ...... ... .. .......... ..... .... ............................................................-......,..........................,.................. ... ..... .... ........ ............................................................................-.-. ........................ ....... ... ... ...... .....................................................-..................................................... .... .... .. ..... ...... ........ .... ........ ....... .................-........ .... ........................ ... ............. ..... ....... ... ..... .. ...... ... ... .... .. .. .. .... ......... .......... ......... ...... .. ...................... ..... ... ......... .... ........ ...... ..... -...... ..... .. ........... ...... ........... .. ..... ...... .... ........ .. .. ........ ..... .... .... -... ..... .. ...... ..... Supple- ... ..... ..... ...... ..... ... ..... .. ...... .. ......... ... ..... ........ ...... ..... ..... .... .......... ... ..... mental ........ ... .... ...... ...... ... ...... ... .. .. .. .... .. .... .... ............. ..... ..... ...... ....... .... ............ .. .... ......... Informa- ....... ... .. ........ ..... ... .... ... ... .... ........ ........... .. ..... .... .......... .. ......... ... ... .... ... .... ... .... .... ....... tion ..... .. ... ...... ... ... ... ..... .. ..... ...... ........ ..... .... .. ............ .............. ... ..... ........ .... ... .... .... ..... .... ..... ..... .. .... .. ... ....... ... ..... .. . . . . . . . . . . . . ........... ... ...... .. ... ....... ..... .. ... .... .... ..... ..... ... ... ...... .. .... ... ......... .... ..... .... .. .... .. ...... ..... ..... ........ ..... .. ... ..... ..... .. .. .. .... .. ......... .... ... ..... .. .... ...... ....... ... .... .. ..... .... .. .... .... ...... .... ........... ..... .... .... .. .... ... .... .... ... ......... ... .. .... ... ... ....... .... ..... ..... .. ..... .... ... .. .... .. ..... .... .. ....... .. .... ... .. ....... ......... ... .... .... .. .. ....... ... ........ .... ....... ...... ........ .... .. ....... ...... ... ...... ..... .. .... ... ... ... ..... ....... .... .... ....... ..... .... .... ...... ....... ... .. .. .... ... ... ......... ... ... ....... ... ..... .... ... ... ... .. .... . . . . . . . ... ....... ... ..... ... ........ OM Schedule K-1 (Form 1065) 1999 HIPPEN 03/13/2000 3:01 PM Form 4562 Depreciation and Amortization OMS No. 1545-0t72 Department of lhe Treasury Internal Revenue ServIce (99 Name(s) shown on retum (Including Information on Listed Property) Jli>- See seoarate instructions. .... . . _ _ _ Attachment ,...- Attach this form to vour return. Senuence No. Identifying number 1999 67 Hi~~enstee1 Auto Bodv 25-1445513 Business or activily to which this form relates Requ1ar Depreciation Part I Election To Ex ense Certain Tan 1 Maximum dollar limitation. If an enterprise zone business. see page 2 of the instructions 2 Total cost of section 179 property placed in service. See page 2 of the 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 Jess, enter -0. . 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married tilin se arateJ ,see a e 2 of the instructions Note: If OU have an ~!is:ed ro e .. com I. PI. V before Pt. I. 1 2 3 4 $19.000 $200.000 5 a Descfl lion of ro ert b Cost business use ani c Elected -;':SI 6 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 from 1998. See page 2 of the instructions ...,..... 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add Jines 9 and 10, but do not enter more than line 11 13 Car over of disallowed deduction to 2000. Add lines 9 and 10. Jess line 12 ... 13 e'tta~~ g~o~I~~: o~rt /1 o~ art lI~bFrI~wntO~li~~~ %O~:rt~ ~i~~m~bl~ss c~~~r ol~~t v~hjCleSpi~I~I'b~~I~Pho~es. Part II MACRS Depreciation for Assets Placed in Service ONLY During Your 1999 Tax Year(oo No' 'ndude Listed Prope",,) Section A~General Asset Account Election If you are making the election under section 168(i)(4) 10 group any assets placed in service during the lax year inlo one or more Qeneral asset accounts, check this box. See DaQe 3 of the instructions Section B.General De reciatlon S stem GOS 7 8 9 10 11 12 14 ~fl (a) Classification of property IC) Basis for depreciation business/investmenl use i . See a e 3 of the instructions. (d) Recovery (e) Convention period (f) Method (g) Depreciation deduction 15a 3- ear ro ert b 5- ear propert c 7- ear ro ert d 10- ear propert e 15-year property 20- ear ro ert 25- ear ro e h Residential rental ro e Nonresidential real ro e MM MM MM MM See a e 5 of the instructions. 25 rs. 27.5 rs. 27.5 rs. 39 rs. SlL SIL S/L SIL SIL S:L SiL SIL 17 18 19 20 21 492 16a Class life b 12- ear 12 rs. c 40- ear 40 rs. MM Parflll" Other De reciation Do Not Include Listed Pro e See a e 5 of the instructions. 17 GDS and ADS deductions for assets placed in service in tax years beginning before 1999 ...,..... ,............. 18 Property subject to section 168(f)(1} election ... .. ..., '. ..... ,... ... ..... ,..........,.. 19 ACRS and other de reciation 'Par1'IV Summa See a e6oftheinstructions. 20 Listed 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 the appropriate lines of your return. Partnerships and S corporations-see instructions 22 For assets shown above and placed in service during the current year, enler the ortion of the basis attributable to section 263A costs 22 For Paperwork Reduction Act Notice. see page 9 of the instructions. OM There are no amounts 492 Form 4562(19991 for Page 2 HIPPEN 03/13/2000 301 PM Fu""'562 11999) Hippensteel Auto Bodv 25-1445513 Paqe2 Part V 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, complele only 23a 23b columns la\ throuah {d of Section A all of Section 8 and Section C If 3oolicable. Section A~Oe reeiation and Other Information Caution: See a e 7 of the in tructions for limit for assen er automobiles. 23a Do ou have evidence to su art the busn./lnvest. use claimed? Yes No 23b If "Yes," is the evidence written? Yes No (a) Type of prop. (JistvehlcJes first (b) Date placed in servIce (e) Busn./invesl. ose ercenla e (d) Cost or other basis (e) Basis for depreciation (business/investment u'Seonl (I) Recollery period (gl Method/ Convention (h) Depreciation deduction Ii) Elected section 179 cst 24 Prooert used more than 50% il"l a oualified business use (See oaae 6 of the instructions,): 0/, 0/, 25 PrO ert used 50% or less in a ualified business use See a e 6 of the instructions. . S/L- S/L- 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, a e 1 Section S.lnformation on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other -more than 511A o......ner,R Of related person. 27 If you orovided vehicles to vouf emnlovees. first answer the auestions in Section C to see if IiCIU meel an exceo tion to comoleUno this section for those vehicles. 28 T ota! businesslinvestment miles driven during la) Ib) (e) (d) (e) (I) the year (DO NOT include commuting miles~ Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 see page 1 of the instructions) .. 29 Total commuting miles driven during the year. 30 Total other personal (noncom muting) miles driven ............................ . . . . . . . . 31 Total miles driven during the year. Add tines 28 through 30 ,...........,........ ..... Ve. No Ve. No Ve. No Ve. No Ve. No Ve. No 32 Was the vehicle available for personal use during off-duty hours? .. . . . . . . . . . . . . . . ...... .. 33 Was the vehicle used primarily by a more than 5% owner or related person? .... .p 34 Is another vehicle available for personal use? Section C~Questlons 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 oersons, Ve. No 35 00 you maintain a written policy statement that prohibits all personal use of vehictes, 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 page 8 of the instructions for vehicles used by corporate officers, directors, or 1 % or more owners . ....... ... 37 Do you Ireat 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 relain the information received? ....".........."..."..""......,. .."......... .. .....".. .... ..... 39 Do you meet the requirements conceming qualified automobile demonstration use? See page 8 of the instructions. . ..... ........ p. Note: If vour answer to 35, 36, 37, 38. or 39 is .Ves: vou need not complete Section B for the covered vehicles. , Part VI Amortization la) (b) (e) (d) Ie) (I) ~scription of costs Date amortization Amortizable Code Amorti.::alion Amortization for begins amount section period or this year nercenta.-oe 40 Amortization of costs that benins durinn vour 1999 tax vear: I 41 Amortization of costs that benan before 1999 141 42 Total. Enter here and on ~Olher Deductions. or "Other Exnenses. line of vour retum 142 OM ~...,..... ,d.c;,:;? /1000\ , HIPPEN' Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 3/13/2000 3:00 PM Federal Statements Description Property Taxes Permits Total $ $ Statement 2 - Form 1065. Page 1. Line 20 - Other Deductions Description Advertising Outside Services Operating Supplies Freight & Postage Utilities Telephone Insurance Vehicle Expenses Legal & Accounting Office Expense Laundry Payroll Taxes Miscellaneous Total $ Amount 661 2,603 1,980 134 2,650 580 7,898 677 2,472 1,596 774 1,527 -12 23,540 $ 1-2 HIPPEN' Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 3/1312000 3:00 PM Federal Statements Statement 3 - Form 1065. Schedule A. Line 5. Other Costs Description Amount $ 195 $ 195 Towing Total 3 . HIPP~N 'Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 Federal Statements 3/13/2000 3:00 PM Statement 4 - Form 1065. Schedule K. Line 8 - Charitable Contributions Description Donations 50% 30% 20% Total Total $ $ 335 $ 335 $ $ o $ $ o $ 335 335 4 . HIPPEN -Hippensteel Auto Body 25-1445513 FYE: 1213111999 311312000 3:00 PM Federal Statements Statement 5 - Form 1065. Schedule l. Line 13 - Other Assets Description Beginning of Year $ 145 $ 145 $ $ security Deposit Total Statement 6 - Form 1065. Schedule l. Line 17 - Other Current Liabilities Description Beginning of Year $ 1,038 $ 1,038 $ $ payroll and Sales Tax Liab Total 5-6 . HIPPEN 'Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 Federal Statements 3113/2000 3:00 PM Description Interest Income Total Form 1065. Schedule K. Line 43 . Interest Income Amount $ 282 $ 282 . HIPPEN 'Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 Federal Statements 3/13/2000 3:00 PM Form 1065. Schedule L. Line 1 . Cash Beginning of Year $ U,963 $ U,963 Description Total End of Year 7,048 7,048 $ $ Form 1065. Schedule L. Line 2a. Trade Notes and Accounts Receivable Description Beginning of Year $ 279 $ 279 Total $ $ Form 1065. Schedule L. Line 3 . Inventories Description Beginning of Year $ 750 $ 750 Total $ $ Form 1065. Schedule L. Line 11. land Beginning of Year $ 4,000 $ 4,000 Description Total End of Year 4,000 4,000 $ $ Form 1065. Schedule L. Line 15. Accounts Payable Description Beginning of Year $ 668 $ 668 Total $ $ End of Year 2,220 2,220 Form 1065. Schedule L. Line 19 . Mortgaae, Notes. Bonds Payable in 1 Yr or More Description Beginning of Year $ U,677 $ U,677 Total $ $ ---3 PA-65 -1999 9905913191 Federal Employer Identification Number 25-1445513 C PA.65 (09-99) PA DEPARTMENT OF REVENUE OFFICIAL USE ONLY Commonwealth of Pennsylvania Partnership Information Return PLEASE PRINT IN BLACK INK. ENTER ONE LETTER OR NUMBER IN EACH BOX. FILL IN OVALS COMPLETELY. REVIEW ALL PREPRINTED INFORMATION. I I Extension Reauest. See instructions. Fiscal Year Filer. See Instructions. D Fill in the oval if the partnership files on a fiscal year basis. Indicate fiscal year from to Final Return. See Instructions. D Fill in the oval. Date out of existence P l A C E Partnership's Name .... HIPPENSTEEL AUTO BODY l A B E l Street Name 6 WEST GREEN STREET o~ou want a 2000 PA.65 Booklet? U Fill in the oval if you WILL NOT NEED a 2000 PA Partnershin Booklet. o EIN/Name/Address Change. Fill in this oval jf preprinted label is incorrec!. or if the oartnershio did nol file a 1998 PA-65. lB. Enter Amounts Received as a ~~g~~~Ii~~a~~holder. ...... City or Post Office H E NEWVILLE, R E State ZIP Code PA 17241 Attach all necessary supporting Pennsylvania or other schedules. Follow instructions for Parts A and B. PART J. Determining Total Net Income or Loss from the ODe ration of a Business Profession, or Farm. 1a. Total Net Income or Loss from the Operation of a Business, Profession, or Farm. I A. Enter Amounts from the Partnership's Own O;'erations and Activities. LOSS o 1a. 6,196 LOSS o lb. 1b. Share of Net Income or Loss from Other Entities. . PART II. Apportioned Net Business Income or Loss. 2a. Net Income Or Loss from Line 7 of PA Schedule NRH (Own Operations). .......... LOSS o 2a. 2c. PA Allocable Business, Profession, or Farm Income or Loss. Add Lines 2a and 2b. LOSS .....0 LOSS ...0 2c. 2b. Net Income or Loss from Line 7 of PA Schedule NRH (Other Entities). . . . . . 2b. PART III. Determining Noncommericallncome or Loss. 3. PA Taxable Interest Income. 3a. 282 3b. 4. PA Taxable Dividend Income. . . 4a. 4b. 5. Net Gain or Loss from the Sale, Exchange, or LOSS Disposition of Property. .... .. . .. . .. . . . .. .. ... .. . .. .. .. . . .. .. .. .. .. .... 0 Sa. LOSS o 5b. 6. Net Income or Loss from Rents, Royalties, Patents, and Copyrights. ..... ...... ...... .... ... ." ...... .... ..... LOSS ....... 0 6a. lOSS o 6b. 7b. 7. Estate or Trust Income (Resident Taxable Income). 8. Gambling and Lottery Winnings. ....... 8a. 9. Total Noncommercial Income or Loss. LOSS o 9a 8b. 282 LOSS o 9b. Add ONLY the income amounts on Lines 3 through B. 00 Not Add Any losses on Lines 5 or 6. L 9905913191 9905913191 ~ ~ PA-65 -1999 9906013199 PA.65 (09.99/ PA DEPARTMENT OF REVENUE PART IV. Determining Allocable Noncommercial Income or Loss. 10. Net Gain or Loss from the Sale, Exchange. or HIPPENSTEEL AUTO BODY Disposition of Tangible Personal Property or Real LOSS Property Located in Pennsylvania. .......... .......... 0 lOa. OFFICIAL USE ONLY 25-1445513 11. Net Income or Loss from Rents. Royalties, Patents and Copyrights in PA. LOSS o 11a. lOSS 0 lOb. LOSS 0 l1b. 12b. LOSS 0 13. 6,478 LOSS 0 14. 6,478 lOSS 0 15. 16. .............. 17. 12. PA Source Income from Estates or Trusts (Nonresident Taxable Income). PART V. Total Partnership Income or Loss. 13. Total Partnership Income or Loss per Books. 14. Total PA Taxable Partnership Income or Loss. Add Lines 1a and 1b (or 2c), 9a and 9b. . 15. Total Nontaxable or Nonreportable Partnership Income or Loss. Subtract Line 14 from Line 13. PART VI. Determining Pass-Through Credits. 16. Employment Incentive Payments (EIP) Credit. from the enclosed PA Schedule W 17. Jobs Creation Tax Credit, from the enclosed Certificate of Credit. 18. Waste Tire Recycling Investment Tax Credit, from the enclosed Certificate of Credit. 18. 19. Research and Development Tax Credit, from the enclosed Certificate of Credit, 19. 20a. PA Tax Withheld from Nonresident Partners. . 20a. 20b. Final Payment of Nonresident Withholding Tax. See insert for special instructions for using form PA-V with the PA-65. or with the form PA-40NRC. 20c. TOTAL PA Tax Withheld from Nonresident Partners. Add Lines 20a and 20b. 20b. 200. PART VII. Partnership Distributions. 21. TOTAL Return of Capital Distributions. RC 21. 2,486 22. TOTAL Distributions in Excess of Partner's Capital. .... EC 22. 23. TOTAL Guaranteed Payments Reportable as Income. MEDICAL SAVINGS ACCOUNT. 24. Medical SavinQs Account Costs. (See instructions). SIGNATURE AND VERIFICATION G 23. 25,000 24. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of mv knowledne and belief it is true correct and comnlete. For the partnership: Name. Please print: Signature: ~Jl t;J\ t ,l /0;0 Preparer, based on all information of which preparer has any knowledge. Preparer Name - Please print: I Date: ,3/13/00 Veronica A. Furr Street Address: Gift & Associates 1205 Manor Drive Suite 100 City. State, ZIP Code: Mechanicsbura PA 17055 BarrV' Hinnensteel Title: Daytime Telephone Number: 717-766-3555 Daytime Telephone Number: 717-766-3555 L 9906013199 9906013199 ~ PA SCHEDULE C-F Reconciliation ~~"Jip~~~.~9JNT OF REVENUE 1999 ADJUSTING FEDERAL BUSINESS EXPENSES FOR PA TAX PURPOSES , . ~ 9906313193 Name as shown on PA-65: HIPPENSTEEL AUTO BODY OFFICIAL USE QNL Y Employer Federal 10 Number: 25-1445513 Determining Net Income or Loss for PA Income Tax Purposes. If you choose 10 start with Ihe partnership's Federal Schedule C, F, or Form 1065 to determine its taxable income or loss for PA purposes, complete this schedule. Adjusl federal business income and expenses for PA income tax rules. Under PA law determine net income or loss from the operation of a business. profession, or farm using generally accepted principles and practices. listed below are some of the most common differences (adiustments) between PA and federal rules. PART A. Identification Information. Enter the address of the partnership, its telephone number. and. if applicable, its PA Sales Tax license Number. Business Address: 6 WEST GREEN STREET Telephone Number: 717-766-3555 PART B. Receipts from Business Activity. 1. Gross receipts or sales from the federal schedule. .......... 2. Returns and allowances from the federal schedule. ....................... 3. Realized gross receipts or sales from federal schedule (Une 1 less Line 2). . 4. Additional income or loss. See instructions. Itemize income and sources: NEWVILLE PA Sales Tax License Number: See Stmt 1 5. Cost of goods sold and/or operations from the federal schedule. 6. Gross profits. Total Lines 3 and 4. Then subtract Line 5. .. PART C. Business Expenses. 7. Allowable business expenses from the federal schedule. ................................ .~.~~.. ~~~~. .7.. PART O. Adjustments for PA Purposes. See instructions. You must make the adjustments for the expense categories printed in bold letters, if the partnership Incurred Business meals and entertainment. 8. 9. 10. 11. 12. Sales Tax on depreciable assets. Charitable contributions for business purposes. Uniform capitalization (other than federal tax accounting) under GM? or FASB. Depreciation. if elecling a generally accepted method different than used for federal purposes. Depreciation method: Wages for the Federal JOBS credit. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . Wages for PA Employment Incentive Payments Credit and PA Jobs Creation Tax Credit. .... ............. Payments for owner pension, profit.sharing or deferred income plans. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Taxes based on gross or net Income and other unrelated taxes. ....... . . . . _ . . . . .. . . . . . . Payments for owner health and welfare benefit plans. ...................................... Expenses for PA Research and Development Tax Credit andlor fA Waste Tire Recycling Investment Tax Credit. Other adjustments for differences between PA and federal expenses. Itemize and explain in detail. Enter the net total on line 19. 13. 14. 15. 16. 17. 18. 19. 20. Total adjustments. Add Lines 8 through 19 and enter the net amount here. . . . . . . . .. . . . . . . . . . . .. . 21. Total allowable PA business expenses. Add lines 7 and 20. Enter the net amount here. PART E. Net Profit or Loss for PA Income Tax Purposes. 22. SUBTRACT Line 21 from Line 6. Enter the income or loss here and include on your PA-65. If you realize a loss. please fiU in the oval. ............ Loss o 22.1 6,1961 L 9906313193 PA 17241 1 126 791 2. 3 126 791 Total 4. 5. 68 569 6. 58 222 U::::::I 51,6911 that t 'ne exnense. 8. 9. 10. 335 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 335 21. 52 026 9906313193 .-J . , -.1 PART I. PA SCHEDULE RK-1 Resident Partner's Share of Income, Loss and Credits REV-1675 EX (09-99) PA DEPARTMENT OF REVENUE 1999 GENERAL INFORMATION 9906513198 Last Name Hippensteel, Barry E Address First Name OFFICIAL USE QNL Y A. Is this partner a general partner? 1. ~ YES 2. U NO B. Date this partner's interest in partnership began: Month I Day I Year MI C. If this partner is not an individual, what type entity is it? Partner's SSN (Individual) or EIN (Business. Estate, or Trust) 175-40-5042 Slate ZIP Code D. Enter this partner's percentage of" Before decrease or j termination Profit sharing oA Loss sharing OJ( Ownership of cap. % E. Partner's share of liabilities; S PARTNER'S CAPITAL ACCOUNT - BASIS . For Pennsylvania income tax purposes, a partner's capital account should probably be different from the federal account. . Pennsylvania follows generally accepted principles and practices, and not federal tax. accounting. . A reconciliation of each partner's capital account is not required on PA.65. . The partnership must maintain each partner's capi- tal account. End of year 35 Parsonage 35 Parsonage City or Post Office Newville Street Street PA 17241 50.000000% 50.000000% 50.000000% 1 906 Partnership EIN 25-1445513 Partnership Name HIPPENSTEEL AUTO BODY HIPPENSTEEL AUTO BODY Address 6 WEST GREEN STREET City or Posl Office Stale ZIP Code NEWVILLE PA 17241 PART II. DISTRIBUTIVE SHARE OF INCOME AND/OR LOSSES Pennsylvania Income Class Partner's Share of Income Include these amounts on the Lines Amounts Reported Should Be Determined Under or Loss whether indicated (or these PA Tax Returns: Pennsvlvania Income Tax Rules distributed or not PA-40 PA-41 PA-65 PA-20S 1. Net Income or Loss from the Operation of a LOSS 0 3,098 line 4 3 1b 'a Business, Profession, or Farm, 1. .. ............ ........... .. PA Taxable Interest Income. 2. 141 line 2 1 3b 3 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. PA Taxable Dividend Income. 3. Line 3 2 4b 4 .. . . . . . . . . . , . ... ........... .... 4. Net Gain or Loss from the Sale, Exchange, or LOSS 0 line 5 4 5b 5 Disposition of Property. ............... ......... ....... ... 4. 5. Net Income or Loss from Rents. Royalties, LOSS 6b 0 line 6 5 6 Patents, and Copyrights. ... .............. . . . . . . . . . . . . . . . . 5. Estate and Trust Income. 6. Line 7 6 7b 7 6. .......... ............. ................ Gamblina and Lottery Winninas. line 8 7 8b N/A 7. 7. PART III. PARTNER'S SHARE OF ALLOWABLE CREDITS APPLICABLE TO THIS TAXABLE YEAR 8. Employment Incentive Payments Credit. . . 8. line 22 See '6 15b ... Jobs Creation Tax Credit. 9. Line 23 the 17 15b 9. .... ................ ................... 10. Waste Tire Recycling Investment Tax Credit. 10. line 24 PA-41 18 15b . . . . . . . . . . . . . . . . . . . . 11. Research and Develooment Tax Credit. line 25 booklet 19 15b 11. PART IV. DISTRIBUTIONS 12. Return of Capital Distributions. . ..... ........... ....... 12. 2,486 See instructions. 13. Distributions in Excess of Partner's Capital. 13. 14. Guaranteed Pavments. Stmt 14. 25 000 MEDICAL SAVINGS ACCOUNT 15. Partner's Portion of Medical Savings Account Cost. 15. Enter on Line 10 of PA-40. L 9906513198 9906513198 ~ .-J' . PART I. PA SCHEDULE RK-1 Resident Partner's Share of Income, Loss and Credits REV.1675 EX (09-99) PA DEPARTMENT OF REVENUE 1999 GENERAL INFORMATION 9906513198 Last Name First Name OFF!CIAL USE ONLY A. Is this partner a general partner? 1. 1!9 YES 2. 0. NO 8. Date this partner's interest in partnership began: Month I Day I Year MI C. If this partner is nol an individual, what type entity is it? Partner's S$N (Individual) or EIN (Business. Estate, or Trust) 210-32-7496 Hippensteel, Richard G. Address 452 Centervi11e Rd. City or Post Office Newville. PA State ZIP Code O. Enter this partner's percentage of: Before decrease or j termination Profit sharing 0/. Loss sharing 0;: Ownership or cap. CIA End of year City or Post Office Slate ZIP Code E. Partner's share of liabilities: $ PARTNER'S CAPITAL ACCOUNT - BASIS . For Pennsylvania income tax purposes, a partner's capital account should probably be different from the federal account. . Pennsylvania follows generally accepted principles and practices, and not federal tax accounting. . A reconciliation of each partner's capital account is not required on PA~65. . The partnership must maintain each partner's capi- tal account. 50.000000% 50.000000% 50.000000% 1 905 PA 17241 PartnerShip EIN 25-1445513 Partnership Name HIPPENSTEEL AUTO BODY HIPPENSTEEL AUTO BODY Address 6 WEST GREEN STREET NEWVILLE PA 17241 PART II DISTRIBUTIVE SHARE OF INCOME AND/OR LOSSES Pennsylvania Income Class Partner's Share of Income Include these amounts on the Lines Amounts Reported Should Be Oetermined Under or Loss whether indicated for these PA Tax Returns: Pennsvlvania Income Tax Rules distributed or not PA-40 PA-41 PA-65 PA-20S 1. Net Income or Loss from the Operation of a LOSS 0 3,098 Line 4 3 1b 1. Business, Profession. or Farm. 1. ... ..... ..... 141 Line 2 1 3b 3 2. PA Taxable lnteresllncome. ..... 2. ........... ......... Line 3 2 4b 4 3. PA Taxable Dividend Income. .............. ..... ..... .... 3. 4. Net Gain or Loss from the Sale, Exchange, or LOSS Line 5 5b 5 0 4 Disposition of Property. .. 4. .... ...... .... .. ........... 5. Net Income or Loss from Rents, Royalties, LOSS 5 6b 6 0 Line 6 Patents, and Copyrights. 5. ............... . . . . . . . . . . . . . . . . . Line 7 6 7b 7 6. Estate and Trust Income. 6. . . . . . . . . . . . ............................ Gamblina and Lotterv Winninos. line 6 7 8b N/A 7. 7. PART III PARTNER'S SHARE OF ALLOWABLE CREDITS APPLICABLE TO THIS TAXABLE YEAR Une 22 See 16 15b 8. Employment Incentive Payments Credit. . . . . 8. ..................... Une 23 the 17 15b 9. Jobs Creation Tax Credit. ............................. ....... 9. ... Une 24 PA-41 18 15b 10. Waste Tire Recycling Investment Tax Credit. .................... 10. 11. Research and Develonment Tax Credit. line 25 booklet 19 15b 11. PART IV DISTRIBUTIONS 12. Return of Capital Distributions. 12. See instructions. ........ 13. Distributions in Excess of Partner's Capital. 13. 14. Guaranteed Pavments. 14. MEDICAL SAVINGS ACCOUNT 15. Partner's Portion of Medical Savings Account Cost. 15. Enter on tine 10 of PA.40. L 9906513198 9906513198 ~ HIPP-EN .Hippensteel Auto Body 25-1445513 FYE: 12/31/1999 3/13/2000 3:00 PM Partner K-1 Statements Hippensteel Auto Body Schedule RK-1 Partner Name> Barry E Hippensteel SSNIEIN" 175-40-5042 Schedule RK-1. Line 14. Guaranteed Payments Description Guaranteed pymts - Ord Income Amount $ 25,000 HIPF'EN' Hippensteel Auto Body 25-1445513 Pennsylvania Statements FYE: 1213111999 3/13/2000 3:00 PM Statement 1 - Schedule C-F. Line 1 . Gross Receipts or Sales Description Page 1 Gross Receipts Total $ $ Amount 126,791 126,791 Statement 2 - Schedule C-F. Line 7 . Allowable Business Expenses from Federal Form Page 1 Expenses Total Description $ $ Amount 51,691 51,691 1-2 HIPPEN 03/16/1999 12:26 PM Form 1065 U.S. Partnership Return of Income OMB No. 1$45-0099 Department nf the Treasury For calendar year 1998, or tax year beginning ....... ' and ending . . ...... ell NT'3~PY Internal Revenue Service ~ See S90arate instructions. A Principal business activity Use the Name of partnership 0 Employer identification number Auto Bodv Re IRS Barrv & Richard Hinnensteel. Ptrs. 25-1445513 B Principal product Of service label. Number, street, and room or suite no. If a P.O. box, see page 10 of the instructions. E Date business started Other- Hippensteel Auto Body wise, Renairs please 6 West Green Street 10/01/83 c NEW business code no. print City or lawn, state, and ZIP code F Total assets (see page 10 of <sei i~e;/027 of instr.) or type. thelnst:n.Jctions) Newville. PA 17241 $ 23,726 G Check applicable boxes: (1) 8 Initial retum (2) 0 Final retum (3) 8 Change in address H Check accounting method: (1) Cash (2) Il9 Accrual (3) Other (specify) ~ I Number of Schedules K-1. Attach one for each person who was a partner at any time during the tax year ... (4) 0 Amended return .2. Caution: Include only trade arbusiness income and expenses on lines 1a through 22 below. See the instructions for more information. . 1a Gross receipts or sales. .... ....... . . .. . . . . . . . . . . . . . . " .... 1a 110 8311 b Less returns and allowances .... ... .... 1b 1c 110 , 831_ 2 Cost of goods sold (Schedule A. line 8) ......... ..................... ... ......... ....... .. 2 63.954 3 Gross profit. Subtract line 2 from line 1c ... ..... .... .... ........ ........ .... .. ..... ..' ... 3 46 877 Income 4 Ordinary inc. (loss) from other partnerships. estates. & trusts (att. sch.) .... . . .......... ....... .. .... .. ..... 4 5 Net farm profit (loss) (attach Schedule F {Form 1040)) ........ ...... .... ..-. .. ...... ... .... ....... 5 6 Net gain (loss) from Form 4797, Part II, line 18 . ....... .... .... 6 0 7 Other income (loss) (attach schedule) . ....... ............ ..... ....... .......... 7 8 Total income (loss). Combine lines 3 throu"h 7 .' ... ... ... .. ..0' 8 46 877 9 Salaries and wages (other than to partners) (less employment credits) ..... ..".. ..... ........ ..... 9 10 Guaranteed payments to partners .... ...... ............ . . . . . . . . . ... ...... ... ... ..... ... 10 25 000 11 Repairs and maintenance . . .... ..... ...... ...... .... ..' .. ." ...... .... 11 910 12 Bad debts ........ ....... .... ." ....... ...... ... . . . . . . . . ....... 12 Deductions 13 Rent .... ........ ... ..... ..... ... ........ ..... ..... ....". ... ... 13 (see page 11 14 Taxes and licenses ....... ... .... ........ ..... ....... ..$~~.S.t.mt.. .1.. 14 897 of Ihe in- 15 Interest...... . ........ ....... i;~al .... .......... 15 880 structionsfor 16a Depreciation (if required, attach Form 4562) . ... ....... ... ...... 2 386 .'. --' limitations) b Less depreciation reported on Schedule A and elsewhere on return 116b I 16c 2 386 17 Depletion (Do not deduct oil and gas depletion.) . . ..' ...... ... ........ .......... ..."..... ....... 17 18 Retirement plans, etc. . ..... ... .. .... ..... ....... ... .... .. ....., ... ....... .... ... .... .... 18 19 Employee benefit programs . ... ...... .... ......' .... ...... ....... ... ....... ......... ..... 19 20 Other deductions (attach schedule) . . ..... ........... .... ......$.~.~ $tmt, .2.. 20 22 282 21 Total deductions. Add the amounts shown in the far rioht column for lines 9 throuah 20 21 52 355 22 OrdinarY income floss' from trade or business activities. Subtract line 21 from line 8 . .......... 22 -5.478 Under penalties of perjury, I declare that I have examined this retum, induding accompanying schedules and statements, and to the best of my knowledge Please and belief, it is true, correct, and complete. Dedaration of preparer (other than general partner or limited liability company member) is bawd on all Sign information of which pre parer has any knowledge. Here ~ ~ Sinnature of "eneral nartner or limited liabil<h' comoanv member Date Preparer's ~ I D<1te Check if l T Preparer's social security no. Paid sionature 3/16/99 se!f-emnloved fIIo- 202-48-5627 Pre parer's Firm's name (or ~ Gift & Associates EIN ~ 23-2349229 Use Only I y""';;o. if self-employed) -- 1205 Manor Drive, Suite 100 j and address Mechanicsbura PA ZIP code ... 17055 For Paperwork Reduction Act Notice, see separate instructions. OM Form 1065 (1998) HIPPEN 03/1611999 12:55 PM Form 1065(1998) Hippensteel Auto Body 25-1445513 PaQe 2 Schedule A Cost of Goods Sold (see page 14 of the instructions) 1 Inventory at beginning of year. ....".. ....... 1 560 2 Purchases less cost of items withdrawn fOf personal use. ......... 2 46 396 J Cost of labor ... .. 3 17 748 4 Additional section 263A costs (attach schedule) . ..... ....... 4 5 Other costs (attach schedule) . .... 5 6 Total. Add lines 1 through 5 . .... .... ....... ... ." .... ...... ...... ...... ...... 6 64 704 7 Inventory at end of year . ..... ....... ...... .......... .. ...... ... ...... q. .... ." q. q, 7 750 8 Cost of goods sold. Subtract fine 7 from line 6. Enter here and on page 1, line 2 . . . ..... ..... ..... ". ..... ". B 63 954 b Check. all methods used for "aluing closing inventory: (i) ~ Cost as described in Regulations section 1.471-3 (ii) Lower of cost or market as described in Regulations section 1.471-4 (iii) Other (specify method used and attach explanation) Iil- ............ ' . . . . .. . . . . .. Check this box if there was a wri1edown of "subnonnal" goods as described in Regulations section 1.471-2(c) . . . Check this box jf the UFO inventory method was adopted this tax year for any goods (if checked, attach Form 970) Do the rules of section 263A (for property produced or acquired for resale) apply fa the partnership? . Was there any change in determining quantities, cost, or valuations between opening and closing inventory? . If "Yes," attach explanation. 8:r~ No No 9a c d . ScheduleS. Other Information 1 What type of entity is filing this return? Check the aPaicable box: a ~ General partnership b Limited partnership d 0 limited liability partnership e Other Iil-. . . . . . . .. . 2 Are any partners in this partnership also partnerships? . 3 Is this partnership a partner in another partnership? . 4 Is this partnership subject to the consolidated audit procedures of sections 6221 through 6233? If "Yes," see Designation of Tax Matters Partner below . . . . . . . . . . 5 Does this partnership meet ALL THREE of the following requirements? a The partnership's total receipts for the tax year were less than $250,000; b The partnership's telal assets at the end of the tax year were less. than $600,000; AND c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. If "Yes," the partnership is not required to complete Schedules L, M.1, and M.2; Item F on page 1 of Form 1065; orllem J on Schedule K-1 .. ... ...... ........ Does this partnership have any (oreign partners? .' . . . . . .' .. . Is this partnership a publicly traded partnership as defined in section 469(k)(2)? .. Has this partnership filed, or is it required to file, Form 8264, Application for Registration of a Tax Shelter? At any time during calendar year 1998, did the partnership 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 page 14 of the instructions for exceptions and filing requirements for Form TO F 90.22.1. If "Yes," enter the name of the foreign country.... .......... ............ 10 During the tax year, did the partnership receive a distribution from, or was it the grantor of, or transferor to, a foreign trust? If ''Yes,'' the partnership may have to file Form 3520. See page 15 of the instructions.... 11 Was there a distribution of property or a transfer {e.g., by sale or death} of a partnership interest during the tax year? If ''Yes,'' you may elect to adjust the basis of the partnership's assets under section 754 by attaching the sta~emen1 described under Elections Made B the Partnershi on a e 6 of the instructions. . Designation of Tax Matters Partner (see page 15 of the instructions) Enter below the general partner designated as the lax matters partner (TMP) for the tax year of this retum: c o Limited liability company x 6 7 B 9 x X X X X X Name of desi!=jnated TMP ~ Barry Hippensteel Identifying ~ number of TM? , 175-40-5042 Address of desi!=lnated TMP ~ 35 Parsonaqe Newville, PA Street 17241 DAA HIPPEN 03/16J1999 1Z:Z6 PM Form 1005 (1998) Schedule K Hippensteel Auto Body Partners' Shares of Income, Credits, Deductions, etc. 25-1445513 Paqe 3 (;l Distributive share items (b) Total amount 1 Ordinary income (loss) from trade or business activities (page 1, line 22) . .' .... ". ....... 1 -5 478 2 Net income (loss) from rental real estate activities (attach Form 8825) .... I;~I ..... 2 3a Gross income from other rental activities ..... ....... b Expenses from other rental activities (att. sch.) . ...... I 3b I c Nel income (loss) from other rental activities. Subtract line 3b from line 3a .. .......... 3c 4 Portfolio income (loss): a Interest income " .... ........ .... ........ ........... ..... .... .... .,.... 4a 199 Income b Ordinary dividends. . .,'" ". .... ..... " ". 4b (Loss) c Royalty income. ..... ..... ...... ........ ...... .,.' .... ... ... " ...... ..... ... 4c d Net short-term capital gain (loss) (atlach Schedule D (Form 1065)) ..' ....,.... .... .. .. ..... ..... 4d . Nellong-lerm capital gain (loss) (attach Schedule D (Form 1065)): (1) 28% rate gain (loss) ~ .... (2) Total for year .. .. ........ ...... ...... ". ~ 40r2' f Other portfolio income (loss) (attach schedule) . ........ ..... . . . . . . . . . . . . .. ...... ......... 41 5 Guaranteed payments to partners . .... ....... . . . . . . . . . . . . .... .... .... ...... 5 25 000 6 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797) . ........... .... 6 1 900 7 Other income floss~ {attach schedule~ . ...... ..... ...... .. .... ............ ...See..Stmt.3. 7 2.000 8 Charitable contributions (attach schedule) . ...... " ..' ....".... .. .. .S.e.e. .S.tmt.. .4.. 8 250 9 Section 179 expense deduction (attach Form 4562) . .... ..' ....... ... .... .. ...... ........ 9 17 047 Deductions 10 Deductions related to portfolio income (itemize) . ....... ". ...... ......... " ......... .. 10 11 Other deductions (attach schedule~ .... ....... ". ...... 11 12a Low-income housing credit: (1) From partnerships to which section 42{j)(5) applies for property placed in service before 1990 12al1 (2) Other than on line 12a(1) for property placed in service before 1990 . .......... .... .... ...... ...... 12a{2 (3) From partnerships to which section 420)(5) applies for property placed in service after 1989 ......... 12a(3 Credits (4) Other than on line 12a(3) for property placed in service after 1989. ..... ...... .. .... ...... 12a(4 b Qualified rehabilitation expenditures. related 10 rental real estate act. (att Form 3468) . . .. . . . ..... ..... 12b c Credits (other than cr. shown on lines 12a & 1Zb) related to rental real e$tate acti....ities . . . .. .... ,,' .. .......... 12c d Credits related to other rental activities ... ......... ..... ............ .... ..... 12d 13 Other credits. ........ ..... ....... ... ... ... .... 13 Invest- 14a Interest expense on investment debts. ...... ...... ....... .... ..... ....... 14a ment b (1) Investment income included on lines 4a, 4b, 4c, and 4f above.... . . . . . . . . . , ". ..... .. .... ... .... 14b(1 199 Interest (2) Investment exoenses included on Ilne 10 above. ....... ..... .... .... ..... ..... 14b/Z. Sell- 15a Net earnings (loss) from self-employment ", .......... ............. ....... ....... .. 15a 19 522 Employ~ b Gross farming or fishing income. ....... ....... .. ....... ....... ...... ... .... ... 15b ment c Gross nonfarm income. ....... 15c 16a Depreciation adjustment on property placed in service after 1986 . ......... .. .......... 16. Adjust- b Adjusted gain or loss..... . 16b ments .... ... ....... ..... .. ...... .... ". ....... ...... c Depletion (other than oil and gas) ..... .... ....... ... .... .... ... .. ........ ..... ... .... .... 16c and Tax 16d{1 Preference d (1) Gross income from oil, gas. and geothermal properties ...... .... ....... " ...... ....... .. ". Items (2) Deductions allocable to oil, gas, and geothennal properties. . .... ...... .... .... .. .. .... .... ..... 16"2 e Other adjustments and tax oreference items (attach schedule) .. .... ... ". ..... .. ...... ..... 160 17a Type of income ~ ...... .... ....... ....... ... ...... . . . . , . . . . . . ...... .. ... ..... ..... .. b Name of foreign country or U.S. possession ~ . ....... ..... ... .... .... .... ... ......... c Total gross income from sources outside the United States (atlach sch.) ..... .. ........ ... .. .. .... 17e Foreign d Total applicable deductions and losses (attach schedule) . 17d Taxes e Total foreign taxes (check one):" 0 Paid 0 ..... ..... .... .... " ... ...... .... Accrued ...... ........ . . . . . . . ....... 17e I Reduction in taxes available for credit (attach schedule) .... ....... .... ". ..... ........ ...... 171 Q Other foreian tax information (attach schedule) . . ......... ....... 17n 18 Section 59(e)(2) expenditures: a Type ~ b AmOunt ~ 18b 19 Tax-exempt interest income. 19 20 Other tax-exempt income . ....... . . . . . . . .. ....... 20 Other 21 Nondeductible expenses, . ..... ...... 21 22 Distributions of money (cash and marketable securities) .... ". 22 4.796 23 Distributions of property other than money. . 23 24 Other items and amounts renuired to be reoo~~~ .~~~~~~~~;~ ~~.~~~~~;~ (~~~'~h 's'~h~d~i~; ..... ...... OAA HIPPEN 03Ji611999 12:26 PM Form 1065(1998) Hippensteel Auto Bodv 25-1445513 PaQe 4 Analvsis of Net Income (Loss) 1 Net income (loss). Combine Schedules K, lines 1 through 7 in column (b). From the result, subtract the 1, I sum of Schedule K,lInes 8 throuah 11, 14a, 17e, and 18b. 6 324 2 Analysis by (ii) Individual (iii) Individual (,) Exempt partner type: (i) Corporate 'active' 'nassive\ (iv) Partnership oraanization (vi) NomineefOther a General partners 6 324 b limited oartners Schedule L Balance Sheets oer Books (Not renuired if Question 5 on Schedule B is answered ''Yes.'') Beoinninn of tax vear End of tax year Assets lal (b\ lcl ld\ 1 Cash .... ..... .....,.. .... - 12 159 . 11. 963 2a Trade noles and accounts receivable .' 9.584 279 b Less allowance for bad debts .. 9.584 279 3 Inventories 560 750 4 U.S. government obligations. ..... 5 Tax-exempt securities. 6 Other current assets {attach schedule} ....., 7 Mortgage and real estate loans.. 8 Other investments (attach schedule) ." 9a Buildings and other depreciable assets ... 75 677 90 724 -,,- , b Less accumulated depreciation.. .... ... 66.706 8 971 84.135 6.589 10a Depletable assets. '. . ........ .. ... ..,".' ,.-..,..-- '__hr b Less accumulated depletion . 11 Land (net of any amortization) , 4 000 .. 4 000 12a Intangible assets (amortizable only) . . .~ .. b Less accumulated amortization .. 13 Other assets ,S."''''..Strnt.. .5 145 145 (artach schedule). ..... 14 Total assets ........ ... 35 419 23 726 Liabilities and Capital 15 Accounts payable. .... 429 668 16 Mortgages, notes, bonds payable in less than 1 year . 17 Other currenlliabaities ..S"''''..strnt..6 1 175 '.. 1 038 (attaCh schedule) ... - 18 All nonrecourse loans .. ,.. 19 Mortgages, notes, bonds payable in 1 year or more 11.677 20 Other liabilities (attach schedule) ...... ... ...... ....... 21 Partners' capital accounts. . 33 815 10 343 22 Total1iabilities and capital... ... 35 419 ..' 23.726 Schediiie M-1 Reconciliation of Income (Loss) per Books With Income (Loss) per Return - (Not reauired if Question 5 on Schedule B is answered "Yes." See nane 23 of the instructions.) 1 Net income (loss) per books. .. .... ... -18 676 6 Income recorded on books this year not in- 2 Income included on Sch. K, In, 1 through eluded on Schedule K. lines 1 through 7 (itemize): 4, 6, and 7, not recorded on books this a Tax-exempt interest $ .. ....... .... .... year (itemize): .... ....... ..... ........ ..' ........ .... .... ....... ........ ...... . . . . . , . . ... ......... ....." .... ... 3 Guaranteed payments (other than 7 Deductions included on Schedule K, lines 1 health insurance) . ... ...... ... 25 000 through 11, 14a, 17e, and 18b, nol charged 4 Expenses recorded on books this year not against book income this year (itemize): included on Schedule K, lines 1 through 11, 14a, He, and 18b (itemize): a Depreciation $ .,... a Depreciation $ ... ....... ....... .... .... b Zh~~~~~nn~ent $ ....... ....... 8 Add Jines 6 and 7 9 Income (loss) (Analysis of Net Income (Loss), 5 Add lines 1 throuah 4 . ..... 6.324 line 1 t Subtract line 8 from line 5 . 6 324 Schedule M-2 Anal sis of Partners' Capital Accounts Not re uired if Question 5 on Schedule 8 is answered "Yes." 1 Balance at beginning of year. . 33 8 15 6 Distributions: a Cash. . 2 Capital contributed during year. . b Property. 3 Net income (loss) per books. - 1 8 67 6 7 Other decreases 4 Other increases (itemize): (itemize): 4 796 5 Add lines 1 IhfOU h 4 . OM 8 15 1399 Add lines 6 and 7 . Balance 81 end of ear. Subtract In. 8 from In. 5 4 796 10 343 HIPPEN 0311711999 11:46AM SCHEDULE K-l (Form 1065) Department of the Treasury er Reven erv' Partner's identi in number" Partner's name, address. and ZIP code Partner's Share of Income, Credits, Deductions, etc. lIlosee separate instructions. ear be innin OMB No. 1.S45-0Q99 1998 For calendar ear 1998 or lax 175-40-5042 Barry E. Hippensteel 35 Parsonage Street Newville PA A This partner is a general partner o limited liability company member B What~peafenti~isthispartner? . Individual C Is this partner a ~ domestic or aD' f~~~i~~ '~~rt~~;? o Enter partner's percentage of: (i)o~~O~i~~~~e (ii) year End of G Profit sharing . .% .5.0.,,0.0.0.0.0.0.% H Loss sharing.... . % ... .5.0. ,,0.0.0.0.0.0.% Ownership of capital .. .% .. .5.0.. .O.O.O.O.O.O~/, E IRS Center where partnership filed return: I Philadel hia PA 19255-0011 17241 , and endi Partners hi 's identi in number.... Partnership's name, address, and ZIP code Barry & Richard Hippensteel, Hippensteel Auto Body 6 West Green Street Newville PA F Partner's share of liabilities (see instnJctions): Nonrecourse ...... ...... ........ Qualified nonrecourse financing Other ..........".. Tax shelter registration number. . . . . . . .,. Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) , . 25-1445513 Ptrs. PA 17241 limited partner $ $ $ q,qQ2 o Check applicable boxes: (1) o Final K-1 (2) o Amended K-1 J Analvsis of cartner's cacital account: (a) Capital aCCO\lnt at (b) Capital contributed (c) Partner's share of lines (d) Withdrawals and (e) Capital account at end of beginning of year during year 3,4, and 7, Form 1065, distributions year (com~~~~ ~~mns (a) Schedule M-2 throu h d 15 804 -9.338 4 022 2 444 (a) Distributive share item (b) Amount (e) 1040 filers enter the amount in colum"; lbl on: 1 Ordinary income (loss) from trade or business acti\lities ....... 1 -2 739 } See page. of P,rtne'. 2 Net income (loss) from rental real estate activities. ... 2 Instroctions for Schedule K-1 3 Net income (loss) from other rental activities 3 (Form 1065). ..... .... . . . . . , . 4 Portfolio income (loss): a Interest. 4. 100 Sch, B, Part I, line 1 ..... ...... .. .... ..' ....... ... b Ordinary dividends. 4b Sch. 8, Part II, line 5 Income ...... ....... .... .. .," -... .... Sch, E, Part I, line 4 (Loss) c Royalties .... ...... ... ..... ..... .... .... ..... ...... ..... ....... 4c d Net shorHerm capital gain ([ass) 4d Soh. D. line 5, col. (f) .... ... ... ... ......... ..... ........ 0 Net long-term capital gain (loss): . (1) 28% rate gain (loss) .. ..... ... ...... .... ... ....... ... 0111 Soh. D.line 12, cot (9) (2) Total for year .' ..... ..... ... el21 Sch. D. line 12, col. (ij f Other portfolio income (loss) (attach sch.) . 41 Enter on appl. In. of your rtn. ... ............. 5 Guaranteed payments to partner .... . . . . 5 25.000 } See page. of Partne'. .... ....... ...... ... .... Instructions for Schedule K-1 6 Net section 1231 gain (loss) (other than due to casualty or theft) . . . . . , . . . . 6 950 (Form 1065). 7 Other income (loss1 (attach schedule\ . ...... .. .See.. .8tmt.. ... 7 1 000 Enter on a......,. line of "our rtn. 8 Charitable contributions (see instructions) {alt. sch.) . . ..;>ee ..;>t<T\t. 8 125 Sch. A,line 15 or 16 .. .... Deduc~ 9 Section 179 expense deduction................ .............. .... .. 9 8.524 1 See page 7 and B of tions 10 Deductions related to portfolio inc. (att. sch.) _ . 10 Partner's Instl'1Jctions for .... ......... ..... ....... 11 Other deductions (attach schedule) ..' ... ... .... 11 _ Schedule K.1 (Form 1065). 12. Low-income housing credit: .... ~ (1) From section 42G)(5) partnerships for property placed in service before 1990 ... .... ....... .... al11 (2) Other than on line 12a(1) for property placed in service before 1990 al2' ~ Fonn 8586, line 5 (3) From section 42Q)(5) partnerships for property placed in -- service after 1989 .. ........ ... al31 Credits (4) Other than on line 12a(3) for property placed in service after 1989 al4\ - b Qualified rehabililation expenditures related to rental real estate activities. ........ 12b c Credits (olher than credits shown on lines 12a and 12b) related 1 ~-,...- to rental real estate activities. 12c lnstruclions for Schedule K-1 ... (Form 1065). d Credits related to other rental activities. 12d 13 Other credits . 13 For Paperwork Reduction Act Notice, see Instructions for Form 1065. OM Schedule K-1 (Form 1065) 1998 HIPPEN 03/16/1999 12:26 PM Barry E. Hippensteel Schedule K-1 (Form 1065) 1998 Hinnensteel Auto Bodv 25-14 4 5513 Paoe 2 {ol Distributive share item (b) Amount (c) 1040 filers enter the amount in column (b) on: 'n\lest~ ment 14a Interest expense on investment debts ....... 14a Form 4952, tine 1 b (1) Investment income included on lines 4a. 4b, 4c. and 41 bl1' 100 -,.. See page 9 of Partner's Interest .. Instructions for Schedule K-l (2\ Investment exnenses included on line 10 .. ..... bl21 (Form 1065). Sell- 15a Net earnings (loss) from self.employment .. ....... 15. 22 261 Sch. SE. Section A or B employ~ b Gross farming or fishing income 15b ~see page 9 of Partner's .. ....... ... .... ...... nstruclions for Schedule K~1 ment c Gross nonfarm income '.. .. 15c . (Form 1065\. Adjust4 16a Depreciation adjustment on property placed in service after 1986 ..... ... 16. ments b Adjusted gain or loss 16b See page 9 of Partner's ...... ... ...... ..... ... ....... ... ...... Instructions and TalC. c Depletion (other than o~ and gas) ....... ....... ..... ........ .. 16c for Schedule K-1 Prefer- d (1) Gross income from oil, gas, and geothermal properties .. .. .. ... ....... dl11 (Form 1065) and ence (2) Deductions allocable 10 oil, gas, and geothermal properties dl21 Instructions for Form 6251. .. ...... Items . Other adjustments and lax nreference items 16. 17a Type of income" ...... ........ .... ... ........ .. Form 1116, check boxes b Name of foreign counlry or possession ~ ..... .. ..... .... ... }orm Foreign c Total gross inc. from sources outside the U.S. .. .. ........ ..... ..... 17c 1116. Part I Taxes d Total applicable deductions & losses (att. sch.) ..... .. ...... 17d . Total foreign taxes (check one):" 0 Paid "'0 Accrued ..... 17. Form 1116. Part II I Reduction in taxes available for credit (att. ach.) ... ... ..... .... ........ .. 171 Form 1116. Part 111 Q Otherforeinn tax information lallach 5ch.\ .. ..... ... ... .. ... 17n See Instructions for Form 1116. 18 Section 59(e)(2) expenditures: . Type~ .... ... ....... .. 1see page 9 of Partne(. - .- ....... .. ..-.... ....... .. ...... .. .. ......... .., nstructicms for Schedule K.1 b Amount .. ... ...... .... ....... ... .. .... ..' ...... 18b (Form 1065). 19 Tax-exempt interest income .. .... ....... .. ..... .... .. 19 Form 1040, line Bb 20 Other tax.exempt income ...... .... .. .... ...... ........ 20 Oth&r 21 Nondeductible expenses 21 te pages 9 and ,. of ........ ... ...... .... .... .... .. artner's Instructions for 22 Distributions of money (cash and marketable securities) ... .. ... .. .. 22 4.022 23 Distributions of property other than money 23 Schedule K-1 (Form 1065). ..... ...... .. ...... .... .. 24 Recapture of low-income housing credit: -. ..-.. a From section 42(j)(5) partnerships. ....... .... .... .. .... ........ .... 24. ~orm 8611. line 8 b Other than on line 24a ... .... .. ..... 24b 25 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): .... ........ ...... .. ...... .. .. ..' .... ..' ....... ..... .. ... ...... ... ........ ..... .. .... .... .... ..... .... ..... ... ... .... .. ....... ..... .... ...... .. ..... ... ...... .... ... ... .... .. ... .. ........ .. .... ... ..... .. .... ..' ... ... .. ...... .. ..... .... ..' ...... ....... ....... ..... ........ ... ... ........ ... ....... ..... ..... .... ..... .. ... ..... ...... ....... ...... .... ... ..... .. ......... . . . . . . . . ..... ... .... ... ...... .. .... ... ...... ... .... .. .... .. ... ..' ..... ....... ..... ...... .... .. .... ... ...... .. .... ........ .... '" .. .... .,.. .... .. ........ '" ..... .. ..... ... .. .......... .... ...... ..,' .. ..' ... .. ........ .... .. .... .......... ..... .......... .... ...... ........ .. ...... .. .... .... .... ... ..... ..... ... ..' ....... ...... ... .. ..... .. ... ...... ...... ....... .. ...... .. .... .. .. .. .. ....... .... .... ... .... ........ .... .... .... .... .... ... ...... ...... ........ .... ..... ..... ... ...... ... ...... ...... ...... ..... .... .. ...... ...... ... .... .... ...... .. .... .. .. ... ....... .... ...... ..... . . . . . , . . ....... ........ .... ... .. .... ... ...... .... .... ..' ...... ...... ...... .. ... .... .... .... ... ... ..... ...... .... ... ..... ...... ... .. .. .. ....... .... .... .... .... .. .... ....... .... ....... ...... ....... ...... ...... ... .... .. ..' .. .. ...... ... ..' ..... ...... ... .... ........ .... .. ....... ... .... ........ .... ........ .. ...... .. ...... .... ....... ..... ... . . . . . . . Supple- .... .... .. ...... ....... ........ ... ..... ..... ...... ... ... ..... ... ....... ....... mental ..... ...... ....... .... ..... .... ... ....... .. .... ....... '" ... ..... ......... .... ... .... ... ... ...., Informa~ ... ....... .. ....... .... ... ..... ... .... .... ....... ..... .. ... ..... .. ...... ... tion ........ .... ...... ... ... ..... ..... ... ..... ...... ".... .. ... ..... ....." .... .... .... ....... ... .... ........ ...... ....... .. .... ..... ....d. .....,. ..... .. ... .. ... ..... DM HIPPEN 031171i999 11'.46 AM Partner's Share of Income, Credits, Deductions, etc. ~ee separate instructions. ear be innin SCHEDULE K-1 {Form 1065} Department of the Treasury nlerna! Reven ervi Partner's identi in number" Partner's name, address, and lIP code For calendar ear 1998 ortax 210-32-7496 Richard G. Hippensteel 452 Centerville Rd. Newville PA A This partner is a general partner o limited liability company member B Whattypeofenlityisthispartner? .. ...I.n.qi.yi,;J,\li;l..L C Is this partner a ~ domestic or aD' foreign partner? DEnter partne(s percen1age of: (i)0~~~i:ij~#6we {ii) year End of G Profit sharing. . . . . . . .% .5.0., .0.0.0.0.0.0.% H Loss sharing. % .5.0., .0.0.0.0.0.0% Ownership of capital.. ....% .5.0.. .0.0.0.0.0.0.% E IRS Center where partnership filed retum: I Philadel hia PA 19255-0011 J Analvsis of partner's cacital account: (a) Capital account at (b) Capital contribu1.ed beginning of year during year PA 17241 limited partner . and endin Partnershi 's identi in number'" Partnership's name, address, and ZIP code Barry & Richard Hippensteel, Ptrs. Hippensteel Auto Body 6 West Green Street Newville PA F Partner's share of liabilities (see instructions)'. Nonrecourse..... ,..,.. ....... ...... Qualified nonrecourse financing. . Other .' Tax shelter registration number. . . ... Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) . . . . . . .. . . . . . . . . . . . . Check applicable boxes: (1) o Final K-1 (d) Withdrawals and distributions (c) Partner's share of lines 3.4, and 7, Form 1065, Schedule M-2 Ordinary income (loss) from trade or business activities. ........ Net income (loss) from rental real estate activities. '. . .. Net income (loss) from other ren1al activities. . .. ....... Portfolio income (loss): a Interest.... ..... . .. . . b Ordinary dividends.... ..... ..... c Royalties.... ................ . d Net short-term capital gain (loss) . .. .' e Net long-term capital gain (Joss): (1) 28%rategain(loss). ..........".. ......... .... (2) Total for year. . . . . . . .. . . . . . .. . .. . . . . .. .. . .. f Other portfolio income (loss) (attach sch.) . . . . . .. . . . . . . . . . . 5 Guaranteed payments to partner.........,.....,.......... ..... 6 Net section 1231 gain (loss) (other than due to casualty or theft) .. 7 Other income (loss' (attach schedule' ....... .. .S.e.e.. .s.tmt.. 8 Charitable contributioos (seein'S\ruct\oo'S){at1.. sch.) ...... .~~~. Stmt 9 Section 179 expense deduction .... ..... .... .......... ....... 10 Deductions related to portfolio Inc. (att sch.) .... .. ,............... ... 11 Other deductions (attach schedule' . . . . . . . , . . 12a Low-income housing credit: (1) From section 42(j)(5) partnerships for property placed in service before 1990 18 011 (a) Distributive share item 1 2 3 4 Income (Loss) Ceduc. tions -9 338 (b) Amount 1 2 3 -2,739 4a 4b 4c 4d 0(1) 0121 41 5 6 7 950 1 000 8 9 10 11 125 8,523 alll a(2) (2) Other than on line 12a(1} for property placed in service before 1990 (3) From section 42Q){5) partnerships for property placed in service after 1989 . . . . . . . . af31 al41 Credits (4) Other than on line 12a(3) for property placed in service after 1989 b Qualified rehabilitation expenditures related to rental real estate activities. 12b c Credits (other than credits shown on lines 12a and 12b) related to rental reat estate activities. . . . . . . . . d Credits related to other renlal activities. 13 Other credits . For Paperwork Reduction Act Notice, see Instructions for Form 1065. OM 12c 12d 13 OMS No. 1545-0099 1998 25-1445513 17241 $ ... $ $ p,pn .....0 (2) o Amended K-1 (e) Capital account at end of year (combin~ columns (a) throu"hfd" 774 7 899 (e) 1040 filers enter the amount in columnlbl-~n: 1 See page 6 of Partner's Instructions for Schedule K-1 (Form 1065). 99 Sch. S, Part I, line 1 Sch. B, Part II, line 5 Sch. E, Part I, line 4 Sch. D, line 5, cof. (D Sch. D, line 12, col. (g) Sch. D, line 12, col. (D Enter on appl. In. of your rtn. } See page 6 of Partner's Instructions for Schedule K-1 (Form 1065). Enter on a""\. line of "our rtn. Sen. A,line 15 or 16 1 See page 7 and 8 of Partner's Instructions for Schedule K.' (Form 1065). . Fonn 8586, line 5 1 See page 8 of Partner's Instruct\oT'l$ for Schedule K-' (Form 1065). Schedule K-1 (Form 1065) 1998 HIPPEN 03116/199912:26 PM Richard G. Hippensteel 1 d 2 1445 Schedule K-1 (Form 106511998 HlPpenstee Auto 80 1\1 5- 513 Paae 2 (a) Distributh,e share item (b) Amount (e) 1040 filers enter the amount in column (b) on: 'nvest- ment 14a Interest expense on investment debts. ..... ....... 140 Form 4952, line 1 b (1) Investment income included on lines 4a, 4b, 4c, and 4f . bill 99 } See page 9 of Partner's Interest Instructions for Schedule K~ 1 12\ Investment exnenses included on line 10 .. ....... b'21 (Form 1065). Soll- 15_ Net earn'lngs (loss) from self-employment. ...... . . . . . . .. .... 153 -2 739 Sch. SE, Section A or B employ~ b Gross farming or fishing income 15b ~see page 9 of Partner's .. ..... ....>> nstructions for Schedule K-1 ment e Gross nonfarm income .. 15c 'Form 1065\.- Adjust- 16_ Depreciation adjustment on property placed in service after 1986 . ...... 16a - ments b Adjusted gain or loss 16b See page 9 of Partner's .. ... ....... ... ........ ...... ..... .... Instructions and Tax c Depletion (other than 0\1 and gas) .... ......... ... .. .... 16c ...~~r Schedule K-1 Prefer~ d (1) Gross income from oil, gas, and geothermal properties. ..... dl11 (Form 106S)and ence (2) Deductions allocable to oil, gas, and geothermal properties. dl21 Instructions for Form 6251. ........ ...' Items . Other adiustments and tax oreference items. ... 16. 17_ Type of income'" ....... ... ... .... ........ .... Form 1116, check boxes b Name of foreign count/)' or possession.... ..... ... .... ........ .. ...... }orm1116,p_rtl Foreign c Total gross inc. from sources outside the U.S. ..... ,... ....... .. ...... 17c Taxes d Total applicable deductions & losses (att. sch.) ..... .... ... ....... 17d . Total foreign taxes (check one):'" 0 Paid D Accrued .. .. ..,. 170 Form 1116, Part II I Reduction in taxes available for credit (att. ach.) . .. . .... . . . . . . . . .. .... .... 171 Form 1116, Part JII 9 Other foreinn tax information (attach sch.) . . ....... .... .... 170 See IflStructiOns for Form 1116. 18 Section 59(e)(2) expenditures: a Type" ...... ........ ....... 150. pago 9 0' Partn.r. ... ..... ..... ... ... ...... ........ -- nstructions for Schedule K-1 b Amount .. ..... ....... ......... 18b (Form 1065). 19 Tax-exempt interest income .... 19 Form 1040, line 8b 20 Other tax-exempt income. .. ..... ....... .. ........ 20 Other 21 Nondeductible expenses . 21 ~. pa"", 9 and 10 of ....... ...... ....... ... .. .. artner's Instructions for 22 Distributions of money (cash and marketable securities) ....... .. ... 22 774 23 Distributions of property other than money. 23 Schedule K-1 (Form 1065). ....... .... 24 Recapture of Jaw-income housing credit: I a From section 42U)(5) partnerships ....... ... . . . . . . . . . . . . . 24_ ~orm 8611, line 8 b Other than on line 243 .....' .... ....... 24b 25 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): ...... .. ... ..... .... .... ..... . . . . . , ... .......... ........ .... .... ....... ..... ............... ....... ... ... ... ....... ... ..... ....... .... ... ...... .. .... .... .... ....... .... ......... ..... .. ... ..... ... ...... .... ....... .. ....... ... ..... ... ..... ...... ..... .. ...... .. .. .... .. ...... ....... ..... ... .... ... .... ... ... ....... .. ... .. .. ..... ...... ...... .. ....... ....... ...... ... ... ....... .. ........ ...... ... .... ... ... ....... ... ..... ...... ... ... ...... ... .. ..... ....... ... .... ...... ... ...... .. ......... .......... .... ....... ...... ...... .. .. .... ... .... ... ..... .... ... ... ..... .. ... ........ .... .. .... ....... ... .... .... ..... .... ....... .. ... ... ......... ..... ... .... ... .... .... ....... ..... ....... .... .... ..... ... ..... ... ..... .. .. ... .... ..... ... ....... ........ ... .... .. .. ....... ..... ........ .... ....... ... .. ...... ..... ...... ........... ........ ... ... .......... ..... .... .... .... .. .... ....... .. .... ... ... .... ....... ...... ..... ......... ....... .... ...... ........ ....... .... ... .. ....... .. ... .... ... ...... ...... .... .,.. ...... ... ....... ..... .... .... ..... ... .... .... .... ... .... ... ... .... ......... ... .... ... ....... .... ... .... ....... ...... ....... ... Suppl.. ...... .... .... .... ........ ... ... ....... .... ... .... ... ... ... ... ...... ...... .. ... .... mental ... ..... ...... ...... .. .. ..... ..... ..... ...... .... ... ... .... .... ...... .. Informa- ... ... ... .. ... .... ... .... ... .. ..... ... .. ..... tion ...... .... ... .... .... ..... ..... ...... ..... ..... . . . . . , . ..... .... ,.... ... .... ... ... .... ...... ... ....... .... ....... ....... ....... ....... ...-' OM HIPPEN 03/16/1999 12:26 PM Form 4562 Depreciation and Amortization OMS No. 1545-0172 Department of the Treasury Internal Revenue Service 199\ Narne(s} shown on return (Including Information on Listed Property) Ii-- See separate instructions. ~ttachment ~ Attach this form to your return. S......uence No. Identifying number 1998 67 Hippensteel Auto Bod" 25-1445513 Business or activity to which this form relates Reqular Depreciation Part I Election To Ex ense Certain Tan Section 179 1 Maximum dollar limitation. If an enterprise zone business, see page 2 of the instructions. 2 Total cost of section 179 property placed in service. See page 2 of the instructions. 3 Threshold cost of section 119 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-O-. If married frIin se aratef ,see a e 2 of the instructions. . . . . . . . . .. Note: If Oil have an "listed ro ,R com lete pt. V before Pt. I 1 $18,500 2 17 047 3 $200,000 4 0 5 18 500 6 a Oescri tion of ro e 1995 Dad e Picku Truck b Cost business use onl 17 047 C Elected cost l7 047 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 fine 5 or line 6 . . . . . .. . . . . . 10 Carryover of disallowed deduction from 1997. See page 3 of the instructions... 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Car over of disallowed deduction to 1999. Add lines 9 and 10, less line 12 .. ... ... 13 o e: 00 not use Part II or Part III below for listed property (automobiles, certain other vehicJespcellular te,lephones, certaIn com>;luters or 'Orooert\f used 10r enlerta\nment recreatIOn or amusement) Instead use art V lor listed mooertv Part II MACRS Depreciation For Assets Placed in Service ONLY During Your 1998 Tax Year (Do Not lod,de ",ted P'operty.) Section A-General Asset Account Election 14 If you are making the election under section 168(i){4) to group any assets placed in service during the tax year into one or more eneral asset accounts, check this box. See a e 3 of the instructions. . 7 8 9 10 11 12 17 047 17 047 18 500 17 047 . Section B-General Denreciation System fGDS\ See Dane 3 of the instructions.) (a) Classification of property (b) Month and (c) Basis for depreciation (d) Recovery (e) Convention (I) Method (g) Depreciation deductiOn year pl~ced In (b~~~_~~i!"vestm~nt use period servIce 15_ 3-vea, ocooertv b 5-year propertv c 7-vea, ocoo~rtv d 1 O-year propertv . 15-yea( property f 20-vear oronertv ~ 25-vear o'onenv 25 vrs, SIL h Residential rental 27.5 vrs, MM SIL orooertv 27.5 vrs. MM SIL i Nonresidential real 39 vrs, MM SIL orooertv MM S/L Section C-Alternative Deoreciation Svstem (ADS ' lSee naQe 5 of the instructions.) 16a Class life SIL b 12-vear 12 yrs, SlL c 40-vear 40 ves, MM S/L Part III Other Depreciation (Do Not Include Listed Propertv.\ (See oaoe 6 of the instructions.l 17 GDS and ADS deductions for assets placed in service in tax years beginning before 1998 ... '" 17 1.275 18 Property subject to section 168(f)(1) election. ." 18 19 ACRS and other deoreciation . . 19 1 111 Part IV Summa See a e6 of the instructions. 20 Listed property. Enter amount from line 26 . 20 21 Total. Add deductions on line 12, lines 15 and 16 in column (9), and lines 17lhrough 20. Enter here and on the appropriate lines of your return. Partnerships and S corporations-see instructions. 21 22 For assets shown above and placed in service during the current year, enter the orlion of the basis attributable to section 263A costs. Z2 For Paperwork Reduction Act Notice, see the separate instructions. OM There are no amounts for 2 386 Form 4562 (199B) Page 2 OMB No. 1545-0184 HIPPEN 03/16f1999 12:26 PM Form 4797 Sales of Business Property (Also Involuntary Conversions and Recapture Amounts Under Sections 179 and 280F(b){2)) ... Attach to our tax return. ~ See se srate instructions. 1998 Attachment 27 Se uence No. Identifying number Pnrfr~~r~~~~~0~es~~r;~ry 99 Name(s) shown on return Hi 1 enstee1 Auto Bod 25-1445513 Enter here the gross proceeds from the sale or exchange of real estate reported to you for 1998 on Form(s) 1099.S or a substitute statement that au will be includin on line 2 10 or 20 . 1 Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualtv or Theft-Prooertv Held More Than 1 Year a) Descri"tion of "ro"ertu (9) GAIN or (LOSS) (hI28'!. RATE GAIN {b) Da~e acquired (c) Date sold (d) Gross sales (e) ~wec~~tion (f)Cos\or other Subtract (f) from or (LOSS) or all~~~le since basis, plus the sum of (d) (mo., day, yr.) (mo., day, yr.) price improvements and and (e) (see instr. below) ac uisition ex ense of sale 2 3 Gain, if any, from Form 4684, line 39 .' ....... ....... ..... ..... 3 4 Section 1231 gain frem installment sales from Form 6252, line 26 or37 . 4 5 Section 1231 gain or (loss) from like-kind exchanges from Form 8824.. .. ...... ....... 5 5 Gain, if any, from line 32, from other than casualty or theft ..... '" . . . . . , . ...... 5 1 900 7 Combine lines 2 through 6 in columns (g) & (h). Enter gain or (loss) here, & on the appropriate line as follows: 7 1 900 0 Partnerships. Report the gain or (loss) following the instructions for Form 1065, " Schedule K, line 6. Skip lines 8, 9, 11, and 12 below. S corporations. Report the gain or (loss) following the instructions for Form 1120S, Schedule K, lines 5 and 6. Skip lines 8, 9, 11, and 12 below, unless line 7, column (9) is a .' " gain and the S corporation is subject to the capital gains tax. All others- If line 7, column (g) is zero or a loss, enter that amount on line 11 below and skip lines 8 and 9, If Hne 7, column (g) 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 or (loss) in each , column as a long-term capital gain or (lass) on Schedule D & skip lines 8, 9, and 12 below. 8 Nonrecaptured net section 1231 losses from prior years (see instructions) ... '" '" 8 9 Subtract line 8 from line 7. For column (9) only, if the result is zero or less, enter -0.. Enter here and on the appropriate line(s) as follows (see instructions): . 9 S corporations. Enter only the gain in column (9) on Schedule 0 (Form 1120S), line 14, and skip lines 11 and 12 below. All others- If line 9, column (g) is zero, enter the gain from line 7, column (g) on line 12 below. If line 9, column (g) is more than zero, enter the amount from line 8, col. (Q) on line 12 below, and enterthe Qain or (loss) in each co!. of Hne 9 as a long-term capital Qain or (loss) on Schedule D. Corporations (other than S corporations) should not complete column (h). Partnerships and S corporations must complete column (h). Al! others must complete column (h) only if line 7. column (q), is a qain. Use column (h) only to report pre-1998 28% rate qain (or loss) from a 1997-98 fiscal year partnership or S corporation. Part If Ordinary Gains and Losses 10 Ordinary Qains and losses not included on lines 11 throu h 17 (include propem held 1 vear or less): . ,': " '" . 11 loss, if any, from line 7, column (9) . ....... ........ ....... ..... 11 12 Gain, if any, from line 7, column (g) or amount from line 8, column (g) if applicable, " 12 , 13 Gain, jf any, from line 31 ..... ......... ..... '" 13 2 000 14 Net gain or (loss) from Form 4684, lines 31 and 38a . .... '" .... 14 15 Ordinary gain from installment sales from Form 6252, line 25 or 36 . . '.. ", .... .. 15 16 Ordinary gain or (loss) from like.klnd exchanges from Form 8824 . 15 17 Recapture of section 179 expense deduction for partners and S corporation share- holders from property dispositions by partnerships and S corporations (see instr.) . 17 18 Combine lines 10 through 17 in column (9). Enter gain or (loss) here, and on the appropriate line as follows: 18 2.000 a For all except individual retums: Enter the gain or (losS) from line 18 on the return being filed. b For individual returns: ~1 ) If the loss on line 11 Includes a loss from Form 4684, line 35, cOlumnJ,b)(ii). enter that ~art of the loss here. Enter the part of the loss from income-producing property on S edule A (Form 040), line 27, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 22. 8bl1 Identify as from "Form4797.1ir\e 1Bb{1}," See ins.\ructions ...... >.. ................. (2) E.edeler~~n~~~e g~~A~r f~?ss)"on line 18, excluding the loss. if any. on line 1Bb(l). Enter. 8bl2 For Paperwork Reduction Act Notice, see separate instructions. DM Form 4797 (1998) HIPPEN 03116/1999 12:26 PM Page 1 of 1 Fo,m47971199B) Hippensteel Auto Body 25-1445513 Pa,e2 Part III Gain From Disposition of Property Under Sections 1245,1250, 1252,1254, and 1255 19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property: (b) Date acquired {c) Date sold (mo, de., ".\ (mo.. d,filv, Yr.' to. Truck 6/01/88 10/01/98 B c 0 These columns relate to the DfoDorties on lines 19A throuoh 190. .. Proo.rtv A prooertv B Pron~ C Proo.rtv 0 20 Gross sales price (Note: See line 1 before completing.) " 20 3 900 21 Cost or other basis plus expense of sale. ........ .. 21 2 000 22 Depreciation (or depletion) allowed or allowable . . . 22 2 000 23 Adjusted basis. Subtract line 22 from Hne 21 . 23 0 24 Total nain. Subtraclline 23 from line 20 . 24 3 900 25 If section 1245 property: . Depreciation allowed or allowable from line 22 . 25a 2,000 b Enter the smaller of line 24 or 25a . 25b 2 000 26 If section 1250 property: If straight line depreciation was used. enter -0- on line 269. except for a corporation subject to section 291. . Additional depreciaUon after 1975 (see Instructions) . ... .. 26. b Applicable percentage multiplied by the sma.ller of line 24 or line 26a (see instructions) . ....... .. 26b c Subtract line 26a from line 24. If residential rental property or line 24 is not more than line 26a, skip lines 26d and 26e . 26c d Additional depreciation after 1969 and before 1976. 26d e Enter the smaller of line 26c or 26d .' ." 26. f Section 291 amount (corporations only) . ....... 261 0 Add lines 26b. 26e, and 26f . 260 27 If section 1252 property: Skip this section if you did not dispose of farmland or if this form is being completed for a partnership (other than an electing large partnership). . Soil, water, and land clearing expenses. ..... ". ........ 27a b Line 27a multiplied by applicable percentage (see instr.) . 27b c Enter the smaller of line 24 or 27b . 27c 28 If section 1254 property: . Intangible drilling and development costs, expenditures for development of mines and other natural deposits, and mining exploration costs (see inSlructions) . . .... .... 28a b Enter the smaller of line 24 or 28a . . . 28b 29 If section 1255 property: a Applicable percentage of payments excluded from income under section 126 (see instructions) .. 29a b Enter the smaUer of line 24 or 29a (see 'instructi~~.s) .. . . 29b Summa of Part III Gains. Com lele ro e columns A throu h 0 throu h line 2gb before oin to line 30. 30 Total gains for all properties. Add property columns A. D, line 24 . 38 3 900 31 Add property columns A through D,lines 25b, 269, 27c, 28b, and 29b. Enter here and on line 13 31 2 000 32 Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684. line 33. Enter the portion from olher than casual or theft on Form 4797. line 6 . 32 Part IV Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less See instructions 1 900 (a) Section (b) Section 179 280FCb)C21 33 Section 179 expense deduction or depreciation allowable in prior years. 33 34 Recomputed depreciation. See instructions. r 34 35 Recaoture amount. Subtract line 34 from line 33. See the instr. for where to recort 35 OAA 3/16/1999 12:26 PM HIPPEN Barry & Richard Hippensteel, Ptrs. 25-1445513 Federal Statements FYE: 1213111998 Description Property Taxes Permits Total $ $ Statement 2 - Form 1065, Paqe 1. Line 20 - Other Deductions Description Advertising Outside Services Operating Supplies Freight & Postage Utili ties Telephone Insurance Vehicle Expenses Legal & Accounting Office Expense Laundry Payroll Taxes Miscellaneous Total $ Amount 351 1,433 400 131 2,000 628 11,211 453 1,988 1,086 752 1,472 377 22,282 $ Statement 3 . Form 1065. Schedule K. Line 7 - Other Income Description Form 4797 Part II Gain(Loss) Total $ $ Amount 2,000 2,000 Statement 4 - Form 1065. Schedule K. Line 8 - Charitable Contributions Description 50% Total $ $ 30% 20% Total 250 $ 250 $ $ o $ $ o $ 250 250 Description Statement 5. Form 1065. Schedule L, Line 13 - Other Assets Security Deposit Total Beginning of Year $ 145 $ 145 $ $ ~ 1-5 HIPPEN Barry & Richard Hippensteel, Ptrs. 25-1445513 Federal Statements FYE: 12/31/1998 3/16/1999 12:26 PM Statement 6 - Form 1065. Schedule L. Line 17 - Other Current Liabilities Description Beginning of Year $ 1,175 $ 1,175 $ $ End of Year 1,038 1,038 Payroll and Sales Tax Liab Total 6 HIPPEN Barry & Richard Hippensteel, Ptrs. 25-1445513 Partner K-1 Subschedules FYE: 12/31/1998 Hippensteel Auto Body Sch K-1 3/16/1999 12:26 PM Partner Name: Barry E. Hippensteel SSN/EIN: 175-40-5042 Schedule K-1, line 7 - Other Income Description Form 4797 Part II Gain(Loss) Amount $ 1,000 Schedule K-1, Line 8 - Charitable Contributions Description 50% 30% 20% Total $ $ 125 125 $ $ o $ $ o $ $ 125 125 HIpf'EN Barry & Richard Hippensteel, Ptrs. 25-1445513 Partner K-1 Subschedules FYE: 12/31/1998 Hippensteel Auto Body Sch K-1 3/16/1999 12:26 PM Partner Name: Richard G. Hippensteel SSN/EIN: 210-32-7496 Schedule K-1, Line 7 - Other Income Description Form 4797 Part II Gain(Loss) Amount $ 1,000 Schedule K-1. Line 8 - Charitable Contributions Description 50% 30% 20% Total $ $ 125 125 $ $ o $ $ o $ $ 125 125 HIPPEN Barry & Richard Hippensteel, Ptrs. 25-1445513 Federal Statements FYE: 12/31/1998 311611999 12:26 PM Form 1065. Schedule A. Line 3 - Cost of Labor Amount 17,748 17,748 Description $ $ Total Description Interest Income Total $ $ Form 1065. Schedule L. Line 1 - Cash Beginning of Year $ 12,159 $ 12,159 Description Total End of Year 11,963 11,963 $ $ Form 1065. ScHedule L. Line 2a - Trade Notes and Accounts Receivable Description Beginning of Year $ 9,584 $ 9,584 Total $ $ Description Form 1065. Schedule L. Line 3 -Inventories Beginning of Year $ 560 $ 560 Total $ $ Form 1065, Schedule L. Line 9a - Buildin~s and other Depreciable Assets Description Beginning of Year $ 75,677 $ 75,677 Total End of Year $ $ o HIPPEN Barry & Richard Hippensteel, Ptrs. 25-1445513 Federal Statements FYE: 1213111998 3/16/1999 12:26 PM Form 1065. Schedule L. Line 9b - Accumulated Depreciation Description Beginning of Year $ 66,706 $ 66,706 End of Year Total $ $ o Description Form 1065. Schedule L, Line 11 - Land Beginning of Year $ 4,000 $ 4,000 $ $ End of Year 4,000 4,000 Total Form 1065. Schedule L. Line 15 - Accounts Pavable Description Beginning of Year $ 429 $ 429 $ $ Total H" PE'~ 1;.'-242AB CLIENT'S COpy u.s. Partnership Return of Income Form 1065 Departrne!l\o; tneTreasury Internal RevenueServ,ce For calendar year 1997,ortaxyear beginning ,and ending .. See se arate Instructions. 1997 B Principal business activity Use the Auto Bod Re IRS PrincIpal ploduct or servIce label. Other- wise, please print or type. Name of partnership Barr & Richard Hi ensteel Ptrs. o Employer ldentlflcatlon number 25-1445513 A Re airs Number, street, and room or suite no. If a P.O. box, see page 10 of the instructions. Hippensteel Auto Body 6 West Green Street E Date business started 7538 City or town, state, and ZIP code Newville, PA 17241 F $ 10 01 83 Total assets (soae ?age to o1the Instructions) 35 419 c Business code number G Check applicable boxes: (1) B Initial return (2) 0 Final return (3) B Change in address H Check accounting method: (1) Callh (2) ~ Accru.1 (3) Other (specify) '" I Number of Schedules K-1, Attach one for each person who was a partner at any time during the tax year ~ (4) D Amended return 2 Caution: Include only trade or business income and expenses on lines 1a through 22 below. See Ute instructions for more information. la Gross receipts or sales. la 95 414 If b Less returns and allowances .... ... Ib 10 95,414 2 Cost of goods sold (Schedule A, line 8) 2 52 847 3 Gross profit. Subtract Hne 2 from line 1c . 3 42.567 tncome q".' 4 Ordinary inc. (Joss) from other partnerships, estates, & trusts (an. sch.) . 4 5 Net farm profit (loss) (attach Schedule F (Form 1040)) 5 ... ...... .... 6 Net gain (loss) from Form 4797, Part II, line 18 . 6 ... ...... ...... 7 Other income (loss) (attach schedule) . 7 8 Total Income f1oss\. Combine lines 3 throuoh 7 . 8 42 567 9 Salaries and wages (other than to partners) (less employment credits) 9 10 Guaranteed payments to partners 10 18 345 ..... ...... 11 Rep airs and maintenance . 11 883 12 Sad debts 12 ...... ... ...."' ...... DeductIons 13 Rent 13 (see page 11 14 Taxes and licenses See 'sc~ecluie 14 702 of the in- 15 Interest. ....." 1;6~r ..... ~ structionsfor 16. Depreciation (if required, attach Form 4562) 3 188 limitations} b Less depreciation reported on Schedule A and elsewhere on return 116b I 16c 3 188 17 Depletion (Do not deduct 011 and gas depletion.) 17 18 Retirement plans, etc. 18 19 Employee benefit programs . 19 ...... 20 Other deductions (attach schedule) . See .. Sche(lule 20 17,220 21 Total deductions. Add the amounts shown in the far rioht column for lines 9 throuoh 20 . 21 40 338 22 Ordlnarv Income /Ioss\ from trade or business activities. Subtract line 21 from line 8 22 2,229 Under penalties of perjury, I decJare that J have examined this return, including accompanying schedules a.nd statements, and to the best of my knowledge Please and belief, it is true, correct, and complete. Declaration of preparer(other than general partner or limited liability company member} is based on all i!\form;:l.tioll 01 which preparer has any knowledge. Sign ~ Here ~ Signature of general partneror Iimitll!d liability company member Date Preparer's ~ Date Preparer's social security no. Paid sIgnature 3/24/98 Checkjf r Preparer's self-employed ~ Firm's name (or Gift & Associates EIN ... 23-2349229 Use Only yours ',t self-employed) ~ 1205 Manor Drive, Suite 100 and address Mechanicsbura PA 17055 Z\Peode. For Paperwork Reduction Act Notice, see separate Instructions. CAA Form 1065 (1997) r-';"'PEN C1242.:18 Form 1065 (19971 Hippensteel Auto Body 25-1445513 Schedule A Cost of Goods Sold (see page 13 01 the instructions) 1 2 3 4 5 6 7 8 9a Inventory at beginning of year Purchases less cost of items withdrawn tor personal use Cost of labor Additional section 263A costs (attach schedule) . Other costs (attach schedule) Total. Add lines 1 through 5 . Inventory at end of year. Cost of goods sold. Subtract line 7 from line 6. Enter here and on page 1, fine 2 .' Check all methods used for valuing closing inventory: (I) ~ Cost as described in Regulations section 1.471-3 (11) Lower of cost or market as described in Regulations section 1.471-4 (III) Other (specify method used and attach explanation) .. . . . . . . . . . . . . . Check this box if there was a writedown of "subnormal" goods as described in Regulations section 1.471-2{c) Check this box if the LIFO inventory method was adopted this tax year for any goods {if checked, attach Form 910) Do the rules of section 263A (for property produced or acquired for resale) apply to the partnership? . Was there any change in determining quantities, cost, or valuations between opening and closing inventory? If ''Yes,'' attach explanation. b c d e Page 2 1 260 2 37 847 3 15 300 4 5 6 53 407 7 560 8 52 847 8 Ve' Ve' : ~ :: Sch<:idul~B Other Information What type of entity is filing this return? Check the applicable box: a ~ General partnership b 0 Umited partnership d 0 Other {see page 14 of the instructions) ........... 2 Are any partners in this partnership also partnerships? . 3 Is this partnership a partner in another partnership? 4 Is this partnership subject to the consolidated audit procedures of sections 6221 through 623:3? If ''Yes,'' see Designation of Tax Matters Partner below 5 Does this partnership meet ALL THREE of the following requirements? a The partnership's total receipts for the tax year were less than $250,000; b The partnership's total assets at the end of the tax year were less than $600,000; AND c Schedules K-1 are filed with the return and furnished to the partners on or before the due date (including extensions) for the partnership return. If ''Yes,'' the partnership is not required to complete Schedules L, M-1, and M-2; Item F on page 1 of Form 1065; or ftem J on Schedule K-1 Does this partnership have any foreign partners? . Is this partnership a publicly traded partnership as defined in section 469{k)(2)? Has this partnership filed, or is it required to file, Form 82V4, Application lor Registration of a Tax Shelter? At any time during calendar year 1997, did the partnership 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 page 14 of the instructions for exceptions and filing requirements for Form TO F 90-22.1. If ''Yes,'' enter the name of the foreign country. ... 10 During the tax year, did the partnership receive a distribution from, or was it the grantor at, or trans(eror to, a foreign trust? If ''Yes,'' the partnership may have to file Form 3520 or 926. See page 14 of the instructions. if Was there a distribution o( propertY or a transfer (e.g" by sale or death) of a partnership interest during the tax year? If "Yes," you may elect to adjust the baSIS of the partnership's assets under section 754 by anaching the statement described under Elections Made B the Partnershl on a e 5 01 the instructions Designation of Tax Matters Partner (see page 15 ot the instrucMns) Enter below the general partner designated as the tax matters partner (TMP) for the tax year of this return: c 0 Limited liability company 6 7 8 9 Name of desiqnated TMP ~ Barry Hippensteel Identifying ~ number of TMP , 175-40-5042 Address of desiqnated TMP ~ 35 Parsonage Newville, PA Street 17241 OM x x X X X X x r<.ii-'PEN 0-:242.48 Form 1~_~5(1:97) ScheduleK Hippensteel Auto Body 25-1445513 Partners' Shares of Income Credits Deductions etc. Income (Loss) a Distributive share Items 1 Ordinary income (loss) from trade or business activities {page 1, line 22} . :2 Net income (loss) from rental real estate activities (attach Form 8825) . 3a Gross income 1rom other rental activities b Expenses from other rental activities c Net income (Joss) from other rental activities. Subtract line:3b from line:3a 4 Portfolio income (Joss): a Interest income b Dividend income c Royalty income d Net short-term capi1al gain (loss) (attach Schedule 0 (Form 1065)) e Net long-term capital gain (loss) (attach Schedule 0 (Farm 1065)): (1) 26% rate gain (loss) ... (2) Tatal for year. . 1 Other portfolio income (loss) (attach schedule) . 5 Guaranteed payments to partners 6 Net section 1231 gain (loss) (other than due to casualty or theft) (attach Form 4797): a 26% rate gain (loss) ... b Total for year. 7 Other income loss attach schedule 8 Charitable contributions (attach schedule) . 9 Section 179 expense deduction (attach Form 4562) Deductions . 10 Deductions related to portfolio income (itemize) < 11 Other deductions attach schedule 12a Low-income housing credit: (1) From partnerships to which section 42(j)(5) applies for property placed in service before 1990 (2) Other than on lina-12.a(1} 10r property placed in service before 1990 (3) From partnerships to which section 420)(5) applies for property placed in service after 1989 (4) Other than on line 12a(3) for property placed in service after 1989 Credits Invest- ment Interest Soll- Employ- ment AdJust- ments and Tax Preference Items Foreign Taxes Other DAA b Qualified rehabilitation expenditures related to rental real estate act. {att. Form 3468) C Credits (other than c:r. shown on In. 12a and 12b) related to rental real estate activities d Credits related to ather rental activities . . 13 Other credits 14a Interest expense on investment debts. b (1) Investment income included on lines 4a, 4b, 4c, and 41 above. . 2 Investment ex enses included on line 10 above. 15a Net earnings (Joss) from self-employment . b Gross farming or fishing income . c Gross no nfarm income 16a Depreciation adjustment on property placed in service after 1966 . b Adjusted gain or loss .' c Depletion (other than oil and gas) . . d (1) Gross income from oil, gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustments and tax reference items attach schedule 17a Type of income .... b Name of foreign country or U.S. possession .... c Total gross income tram sources outside the United States (attach 5ch.) d Total applicable deductions and Josses (attach schedule) .. e Total foreign taxes (check one): ... 0 Paid 0 Accrued. 1 Reduction in taxes available for credit (attach schedule) Other forei n tax information attach schedule 18 SectionS9(eX2) .... e:o;pnd,: a Type . 19 Tax-exempt interest income. 20 Other tax-exempt income. 21 Nondeductible expenses. 22 Oistributions of money (cash and marketable securities) 23 Distributions of property other than money. 24 Other items and amounts re uired to be re orted se aratelv to artners anach schedule b Amt.... Paqe 3 Total amount 2 229 30 ~ 225 18 345 ~ 225 20 574 170 17d 170 171 17 lab 19 20 21 22 23 865 ""IPPEI>< 0:":242.48 Form 1065 (1997) Hippensteel Auto Body 25-1445513 Pace 4 Analysis of Net Income (Loss) 1 Net Income (loss), Combine Schedules K, lines 1 through 7 in column (b). From the result, subtract the 11 I sum of Schedule K,lines 8 throuah 11, 14a, 17e, and 18b 20,799 2 Analysis by (II) Individual (III) Individual (v) Exempt partner type: (I) Corporate lactive) (eassive) (Iv) Partnership oraanization (vi) Nominee/Other a General partners 20 799 b Limited partners .. Schedule L Balance Sheets er Books Not re uired if Question 5 on Schedule B is answered "Yes.' Be innin of tax ear 1 175 Assets Cash 2a Trade notes and accounts receivable. b Less allowance for bad debts 3 Inventories. 4 U.S. government obligations. 5 Tax-exempt securities 6 7 8 Other current assets Mortgage and real estate loans Other investments 9a Buildings and other depreciable assets. b Less accumulated depreciation . 10a Depletable assets, b Less accumulated depletion. . 11 Land (net of any amortization) . 12a Intangible assets (amortizable only) b Less accumulated amortization 13 Other assets See. Schedule 14 Total assets Liabilities and Capital 15 Accounts payable 16 Mortgages, notes, bonds payable in less than 1 year 17 Othllrcurrentliabilities.. ~e:~.. .o?clfedule 18 AHnonrecourse loans 19 Mortgages, notes, bonds payable in 1 year or more 20 Other liabilities 21 Partners' capital accounts . 32 , 22 6 22 Totalliabitities and ca ital 34 , 123 is8fi\iamei\ii%iii Reconciliation of Income (Loss) per Books With Income (Loss) per Return 33,815 35 419 (Not reauired if Question 5 on Schedule B is answered 'Yes." See oaoe 23 of the instructions,) 1 Net income (loss) per books. 2,454 6 Income recorded on books this year not in- 2 Income included on Sch. K, In. 1 through cluded on Schedule K, lines 1 through 7 (itemize): 4.6, and 7, not recorded on books this a Tax-exllmptinterest $ year (itemize): ...... , . 3 Guaranteed payments (other than 7 Deductions included on Schedule K, Jines 1 health insurance) . 18 345 through 11, 14a, 17e, and 18b, not charged 4 ExpensC!s recorded on books this year not against book income this year (itemize): included on Schedule K,lines 1 through 11, 14a, 17e,and 18b(itemize): a Depreciation $ a Depreciation $ b Traveland . , . entertainment $.. . . 8 Add lines 6 and 7 9 Income (loss) (Analysis of Net income, (loss), 5 Add lines 1 throuah 4 . 20,799 line 1). Subtract line 8 from line 5 20,799 SchedOliIM+2, Anal sis of Partners' Ca 1 Balance at beginning of year 2 Capital contributed during year . 3 Net income (loss) per books 4 Other increases . (itemize): . ital Accounts 32 226 6 Not ra uired if Question 5 on Schedule B is answered ''Yes." Distributions: a Cash b Property 865 2 454 7 Other decreases (itemize): . 5 OAA Add lines 1 throu h 4 8 34 680 9 Add lines 6 and 7 Balance at end of ear. Subtract In. 8 from In. 5 865 33 815 HiPpEN CJ24 2:48 ptr Num: SCHEDULE K-1 (Form 1065) Department of the Treasury Internal Revenue. Serllice For calendar ear 1997 or tax Partner's Identl In number ~ 175 - 4 0 - 5042 Partner's name, address, and ZIP code 1 Partner's Share of Income, Credits, Deductions, etc. "'See separate Instructions. ear be inni , and endin Partnershl 's Identl In number'" Partnership's name, address, and ZIP code Barry & Richard Hippensteel, Hippensteel Auto Body 6 West Green Street Newville PA F Partner's share 01 liabilities {see instructions}: Nonrecourse Qualified nonrecourse financIng Other Tax shelter registration number. .. Check here jf this partnership is a publicly traded partnership as defined in section 469(k)(2) Barry E. Hippensteel 35 Parsonage Street Newville PA A This partner is a general partner o limited liability company member B What type of entity i. this partner? ~ Individual C Is this partner a ~ domestic or aD' .f~.r~ign .p~n~.~r?' . D Enter partner's percentage of: (l)o~;~~~~n~~i~nnge (Ii) Eyne~ff G Prolit sharing .% .50 .000000% H Loss sharing .%50 . 000000% Ownership of capital. 0;' 50 .000000% E IRS Center where partnership filed return: I philadel hia PA 19255 PA 17241 limited partner J Anal sls of artner's ca (a) Capital account at beginning of year ftal account: (b) Capital contributed during year (c) Partner's share of Jines 3,4,and 7, Form 1065, ScheduleM-2 1 227 43 1 Ordinary income (loss) 1rom trade Of business activities. 2 Net income (loss) from rental real estate activities 3 Net income (loss) from other rental activities. . 4 Portfolio income (loss): a Interest. b Dividends c Royalties d Net short-term capital gain (toss) e Net long-term capital gain (loss): (1) 2B% rate gain (loss} (2) Total tor year . f Other portfolio income (loss) (attach sch.) 5 Guaranteed payments to partner 6 Net section 1231 gain (Joss) (other than due to casualty or theft): (1) 28% rate gain (loss) (2) Total tor year. 7 Other income loss attach schedule 8 Charitable contributions (see instructions) 9 Section 179 expense deduction 10 Deductions related to portfolio income 11 Other deductions anach schedule 12a low-income housing credit: (1) from section 420)(5) partners nips for property placed in service before 1 990 (2) Other than on line 12a(1) for property placed in service before 1990 (3) From section 42(j)(5) partnersnips for property placed in service after 1969 . Credits (4) Other than on line 12a(3) for property placed in service after 1989 . b Qualified rehabilitation expenditures related to rental real estate activities. . c Credits (other than credits shown on lines 12a and 12b) (elated to rental real estate activities d Credits related to other rental activities 13 Other credits For Paperwork Reductlcn Act Notice, see Instructlons for Form 1065. 15 009 (a) Distributive share item Income (loss) Deduc- tions DAA Check applicable boxes: (1) o Final K-l (d) Withdrawals and distributions (b) Amount 1 115 18 345 6a 6b 7 8 9 10 11 12c 12d 13 OMS No. '545-0099 1997 25-1445513 Ptrs. 17241 $ $ $ o (2) o Amended K-1 (e) Capital account at end of year (combine columns (a) ttlrou h d 15 804 (c) 1040 filers enter the amount In column bon: See page 6 of Partner's Instructions forScnedule K-1 (Form 1065). 113 Sch. B, Part J, line 1 Sch. B, Pan II, line 5 Sch. E, Part I, line 4 sch. D, line 5, coJ. (f) Sch. D, line 12, col. (g) Sch. D, line 12, col. (f) Enter on appl. In. of your rtn. See page 6 of Partner's Instructions for SCMeclule K-1 (Form 1065). Sch. A,line 15 or 16 See page 7 of Partner's Instructions for Scheclule K-1 (Form 1065). f ~rn='.'~' Set. p.age 8 of Partner's Instructions for Schedule K-1 (Form 1065). Schedule K-1 (Form 1065) 1997 HIPPEN Ptr ensteel Auto Bod lnvest- ment Interest Sell- employ- ment AdJust- ments and Tax Prefer- ence Items Foreign Taxes Other Supple- mental Informa- ~on OAA 1 (a) Dlstrlbutlve share Item 14a Interest expense on investment debts. b (1) Investment income included on lines 4a, 4b, 4C, and 4f . . 2 Investment ex enses included on line 10 . lSa Net earnings (loss) from self-employment. b Gross farming or fishing income. c Gross nonfarm income 16a Depreciation adjustment on property placed in service attar 1986. . b Adjusted gain or loss. c Depletion (other than oil and gas) d (1) Gross income from oil, gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e other ad'ustments and tax reference items 17a Type of income ~. . b Name of foreign country or possession ~ c Total gross inc. from sources outside the U,S. d Total applicable deductions and losses e Total foreign taxes (check one): ~ D' Paid . 0" . A~~~'~d . 1 Reducflon in taxes available tor credit . Other forel n tax information attach sch. 18 Section 59(e){2) expenditures: a Type ~ . 14a b1 b2 15a 15b 15e 17e 17d 17e 171 17 18b 19 20 21 22 23 (b) Amount 25-1445513 Pace 2 (c) 1040 filers enter the amount In column (b) on: 19 b Amount 19 Tax-exempt interest income. 20 Other tax-exempt income. 21 Nondeductible expenses 22 Distributions of money (cash and marketable securities) 23 Distributions of property other than money 24 Recapture of low-income housing credit; a From section 420)(5) partnerships b Other than on line 24a . 24b 25 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): 432 Form 4952, line 1 See page 8 of Partner's Instructions for Schedule K-l (Form 1065). Sch. SE, Section A or B See page 9 of Partner's InstruclionsforSchedule K-1 (Form 1065). See page 9 of Partner's Instructions for Schedule K-1 (Form 1065)and Instruclionsfor Form 6251. Form 1116, check boxes Form 1116, Part I Form 1116, Part II Form 1116, Part III See Instructions to~ Form '116, See page !l of Partner's Instructions for Schedule K-l (Form 1065). Form 1040, line 8b See page!l of Partner's Instructions for Schedule K-l (Form 10tiS). Form 8611, line 8 HIPPEN 0:>:24 :2:48 ptr Num: SCHEDULE K-1 (Form 1065) 1~~:r~r:lmrf;~eo~u~h~~:;~~Ury For calendar ear 1997 or tax Partner's Identl In number ~ 210 - 3 2 - 74 9 6 Partner's name, address, and ZIP code 2 Partner's Share of Income, Credits, Deductions, etc. ~See separate Instructions. ear be innin 1997 , and endin Partnershl 's Identl In number ~ Partnership's name, address, and ZIP code Barry & Richard Hippensteel, Ptrs. Hippensteel Auto Body 6 West Green Street Newville PA F Partner's share of liabilities (see instructions): Nonrecourse. $ Qualified nonrecourse financing $ Other $ Tax shelter registration number . ~ .................. Check here if this partnership is a publicly traded partnership as defined in section 469(k)(2) ........... Richard G. Hippensteel 452 Centerville Rd. Newville PA A This partner is a ~ general partner o limited liability company member What type of entity is this partner? ~ Indi vidual Is this partner a ~ domestic or a O' .f~.r~ign.part~~r?.... Enter partner's percentage of' (I) Before change (II) End of G . or terminatIon year Profit sharing. ....%. ..50 ..O.OOOOOoy. H Loss sharing. ... . . .. %. 50. 00000001. Ownership of capital . .. %. 50.00000 Ooy. E IRS Center where partnership filed return: I Philadel hia PA 19255 PA o 17241 limited partner B C D J Anal sls of artner's ca (a) Capital account at bl!ginning of year ltal account: (b) Capital contributed during year (c) Partner's share of lines 3, 4,and 7, Form 1065, Schl!duleM-2 17 217 (a) Distributive share Item Ordinary income (loss) from trade or business activities. Net income (loss) from rental real estate activities Net income (loss) from other rental activities. Portfolio income (loss): a Interest. b Dividends c Royalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Net short-term capital gain (loss) e Net long-term capital gain (loss): (1) 28% rate gain (loss) (2) Total for year. f Other portfolio income (loss) (attach sch.) 5 Guaranteed payments to partner 6 Net section 1231 gain (loss) (other than due to casualty or theft): (1) 28% rate gain (loss) (2) Total for year. .. .. . .. .. .. . 7 Other income loss attach schedule 8 Charitable contributions (see instructions) 9 Section 179 expense deduction 10 Deductions related to portfolio income 11 Other deductions attach schedule 12a Low-income housing credit: (1) From section 42U)(5) partnerships for property placed in Sl!rvice before 1990 (2) Other than on line 12a(1)for property placed in service before 1990 (3) From section 42U)(5} partnerships for property placed in service after 1989 . . (4) Other than on line 12a(3) for property placed in service after 1989 . b Qualified rehabilitation expenditures related to rental real estate activities c Credits (other than credits shown on lines 12a and 12b) related to rental real estate activities. d Credits related to other rental activities 13 Other credits For Paperwork Reduction Act Notice, see Instructions for Form 1065. 1 2 3 4 Income (Loss) Deduc- tions Credits DAA OMB No. 1545-00!l9 25-1445513 17241 o Check applicable boxes: (1) o Final K-1 (2) o Amended K-1 (d) Withdrawals and distributions (e) Capital account at end of year(combine columns (a.) throu hd l 227 43 l8 all (b) Amount (c) 1040 fliers enter the amount In column bon: 1 114 See page 6 of Partner's Instructions for Schedule K-1 (Form 1065). 112 5ch, S, Part I, line 1 Sch. S, Part II, line 5 5ch. E, Part It line 4 Sch. D, line 5, col. (~ Sch. D, line 12, col. (g) Sch. D, line 12, col. (~ Enter on appl. In. of your rtn. o See page 6 of Partner's Instructions for Schedule K-1 (Form 1065). I r rr n 5ch. A, line 15 or 16 See page 7 of Partner's Instructions for Schedule K-1 (Form 1065). f ~~~'.'~' See page 8 of Partner's InstructIons for Schedule K-1 (Form 1065). 12c t2d 13 Schedule K-1 (Form 1065) 1997 fllPPEN OJ242;48 P,tr Num: 2 Invest- ment Interest Self- employ- ment Adlusl- ments and Tax Prefer- ence Items Foreign Taxes Other Supple- mental Informa- tion DAA ensteel Auto Bod (a) Distributive share Item 14a Interest expense on investment deb1S . b (1) Investment income included on lines 4a, 4b, 4c, and 41 " " 2 Investment ex enses included on line 10 . 15a Net earnings (loss) from self-employment" " b Gross farming or fishing income" e Gross nonfarm income 16a Depreciation adjustment on property ptaced in service after 1986"" b Adjusted gain or loss" e Depletion (other than oil and gas)" d (1) Gross income from oil, gas, and geothermal properties (2) Deductions allocable to oil, gas, and geothermal properties e Other ad'ustments and tax reference items" 17a Type of income'" " " b Name of foreign country or possession ... e Total gross inc. from sources outside the U.S. d Total applicable deductions and losses " e Total foreign ta>:es (check one): ... 0 Paid 0" Accrued t Reduction in ta>:es available for credit " Other forei n tax information attach 5ch. 18 Section 59(e)(2) expenditures: a Type'" . 14a b I b2 ISa 15b ISc 17c 17d 17e 171 17 ISb 19 20 21 22 23 (b) Amount 25-1445513 ~e2 (e) 1040 fliers enter the amount In column (b) on: 1 b Amount 19 Tax-exempt interest income. 20 Other tax-exempt income. 21 Nondeductible expenses 22 Distributions of money (cash and marketable securities) 23 Distributions of property other than money 24 Recapture of low-income housing credit: a From section 420>(5) partnerships b Other than on line 24a " 24b 25 Supplemental information required to be reported separately to each partner (attach additional schedules if more space is needed): 433 Form 4952. line 1 See page S of Partner's Instlllctio!'lsforSchedule K-l (Form t06S). Sch. SE, Section A or B See. pa~ 9 01 Partner's Instructions for SChedule K-l (Form 1065). See page 9 of Partner's Instructions for Schedule K-l (Form 1065land Instructions for Form 5251. Form 1116, check boxes Form 1116, Part I Form 1116, Part II Form 1116, Part III See Instructions for Forrn "18. See page 9 of Partner's Instructions for Schedule K-l (Form 1065). Form 1040, line 8b See page 9 of Partner's Instructions1orScneduleK-1 IForm 1065). Form 8611. line 8 Forro .1065, PI 3/24/98 2:48 pm Description Property Taxes Permits Hippensteel Auto Body FYE: 12/31/97 EIN: 25-1445513 Form 1065, Page 1, Line 14 - Taxes Form 1065, Page 1, Line 20 - Other Deductions Description Advertising Outside Services Operating Supplies Freight & Postage Utilities Telephone Insurance Vehicle Expenses Legal & Accounting Office Expense Laundry Payroll Taxes Miscellaneous HIPPEN Amount $ 570 132 702 $ Amount $ 483 1,060 285 128 1,554 325 6,703 945 2,216 1,060 600 1,355 506 17,220 $ Form. 10.65, P4 3/24/98 2:48 pm Hippensteel Auto Body FYE: 12/31/97 EIN: 25-1445513 Form 1065, Schedule L, Line 13 - Other Assets Description Beginning of Year Security Deposit s s 145 S 145 $ Form 1065, Schedule L, Line 17 - Other Current Liabilities Description Beginning of Year Payroll Liabilities $ S 646 S 646 S HIPPEr End of Year 14= 14= End of Year 1.175 1,175