Free Motion to Dismiss - Rule 12(b)(1) - District Court of Federal Claims - federal

Case 1:05-cv-00743-FMA

Document 19-3

Filed 12/07/2007

Page 1 of 8

Defendant's Exhibit 2

B-14

,~i-.- Department of tile Treasury~lnt i Revenue Service

Case 1:05-cv-00743-FMA

Document 19-3

Filed 12/07/2007 Page 2COpy n"AVR'$ of 8
OMS No b450074

! 1 N ,U 'è U.S.'1ndividuallncoh.¿ Tax Return
For the yedr January 1 ,December 31, 1986, or other tax year beginning

û~861(2)
, 1986, ending

Use
IRS labeL.

Your ~rrst name dnd initial (if Jomt return, also give spouse's riame arid initial)

Last riarre

Otherwise,

Present ho-;;e addr~-'s (;¡-umbe7 and street Or r~ra' route)(f you h~e a P O. Box, see page 4 of Instructions) ------1 spou~;'S-~OCi;l~~~~~ty n-;rrber
City, tON,1 or post office, state, and ZIP code

or type,

please print

------.--.---.~.._--__~..__~_.______ __ _
11f this address iS different from the one : shown on your 1985 return, check here ~

Presidential Election Campaign

~ Do you want $1 to go to this fund? No Note: Checking "Yes" wil/
not change your tax If joint return, does your spouse want $ i to go to this fund? reduce yourrelund or
1

Filing Status
Check orily
one bux

2 3

4

5 :- ---I
Exemptions
Always clieck

t~ f 'j II ,

i ForSingle Privacy Act and Paperwork Reduction Act Notice, see Instructions
Married filing jOint return (even if only one had income) Marred filing separate return, Enter spouse's SDcial security no, above and full name here, _______._._ n_ ____

Head of household (with qualifying person), (See page 5 of Instructions) If the qualifying person iS your unriarried child

but not your dependent. enter child's name here_ ,__..._. ____~____,____~____ ____
Qualifying widow(er) with dependent child (year spouse died ~ 19 ) (See page 6 of Instructions)

6a

Yourself

65 or over
.-' 65 or over

Blmd

Enter number oj
boxes cbecked

b I Vi Spouse

_ Blind

c First names of your dependent children who lived with you_

tiie box labeled Yourself
Check other hoxps If they apply

---._------_._.-_.~_._~_.~--_.-~----

J

1-

J

on 6a and b ~
Enter number of children

~
l_~_~--

d ~l;~~;_ai~;~ o::r:~_~de~~:~::~ ~:I;~r:nÕo):nu:~wltti yo~e~ag~6)_~ --=== .. J
e Other de endents --. . -T3) Number have income Did dependenE(S) Did you prOVldeJ PIN ' -1 (2) Relationship -l'. months '"ed 01 r4) 01 more Ihan one
half O.f.1 () ame in your home $1,080 or morel dependent's support'

f

listed on 6c ~
Enter number of children

Iisfed on 6d ~
Entei number of other

- -- -------."----- --~-_. ---~- ~--------I

Total number of exemptions claimed (also complete line 36),

----.-.~-...J --.- --..--j._----- --------.-1...--...--. ---i -__~ _ '_____--__ .___--_..___~___

dependents ~
Add nu m beis entered in

Income
F'leasR dttdCll

7 Wages, salaries, tips, ete. (attach Form(s) W2)
8 Interest income (also attach Schedule B If over $~90),
9a Dividends (also attach Schedule B if over $400) .!g,_,~

boxes above ~

+

. . u') 'S,/3' yt--~/ -S-S C 0 -L ~ .9b Exclusion ;iOç:

Forms W2, W2C, and W2P here
If you do not have

Copy B of your

c Subtract line ,)b from line 9a and enter the result

10
11

Taxable refunds of state and local

income taxes, if any, from the worksheet on page 9 of Instructions,

a W2, see
page 4 of

Alimony received
Business income or (loss) (altach Schedule C)

Instructions

12 13

v" " --- ~ L:__u_ -- I T10, _ 11-- _I
KHc - ,--....'~ __

112 ---~: i
16

Capital gain or (loss) (attaçh Schedule 0)

14 15 16

40% of capital gain dJstributlons not reported on line 13 (see page') of Instructions) Other gains or (losses) (attach Form 4797)
Fully taxabll' pensions, IRA distributioiis, and annuities not reported on line 17 (see page 9)

f:: ~ ¡r d

17a Other pensípns and annuities, including rollovers, Total received i 17a I I b Taxable amount, if any, from the worksheet on page 10 of Instructions
18
Rents, royalties, partnerships, estates, trusts, etc. (attach Schedule E)
F arm income or (loss) (attaCh Schedule F)
b Taxable amount, if any, from the worksheet on page 10 of Instructions,
Tax-exempt

19

/3~l:',
,- - --rJ -lf

Please
attach check

or money
order here

120a ¡ i -~----~-=_ 21a Social security benefits (see page 10) I 21a ! --:-=__ Taxable amount, if any, from worksheet on page 11 intecest _.______
20a Unemployment compensation (insurance), Total received
b

22

Other income (list type and amount-see page j 1 of Instructions) __________,__~___,_

23 Add the amounts shown in the far ri ht column for lines 7 throu

-_._-----~.._-----..

Adj ustments

to Income
(See Iristruetions
on page 11.)

24 25 26 27 28 29 30
31

Moving expenses (attach Form 3903 or3903F) Employee business expenses (attach Form 2106)
IRA deduction, from the worksheet on page 12

Keogh retirement plan and self'employed SEP deduction Penalty on early withdrawal of savings
Alimony paid (recipient's last name m____~___________ and

u~ ___~_ ÙCJe Q ,/ _--____+_ .

---~i

Ö t,/

--r

:.

--t-----+-~
31

social security no. --.----_--_m_.___~__)
Deduction for a married couple when both work (attach Scheduie W)

Add lines 24 throu h 30. These are our total adjustments

Adjusted
Gross Income

32

Subtract line 31 from line 23, This is your adjusted gross income. If this line is less than
$11, 000 and a child lived with you, see "Earned Income Credit" (line 58) on page 16 of

¿,/o G',j

.000257

Instructions. If au want IRS to fi ure our tax see a e 13 of Instructions , , ~

32

B-15

/).0/'/: ..

Form 1040 (1986)

Case 1:05-cv-00743-FMA
33

Document 19-3

Filed 12/07/2007

Page 3 of 8

Amount from line 32 (adjusted gross income),
If you itemize, attach Schedule A (Form 1040) and enter the amount from Schedule A, Ime 26 ,

Tax

34a

Compu-

tation
(See Instructions

Caution: If you have unearned mcome and can be claimed as a dependent on your parents'
return, see page 13 of Instructions and check here ~ 0 ' Also see page 13 if you are married
filing a separate return and your spouse itemizes qeductions, or yoi, are a dual.status alien,
b If you do not itemize but you made charitable contributions, enter

7 ~ V
Page 2

--.

on page 13)

your cash contributions here, (If you gave $3,000 or more to any one organization, see page 14.)
d Add lines 34b and 34c. Enter the total 35 Subtract line 34a or line 34d, whichever applies, from line 33

34b

c Enter your noncash contributions (you must attach Farm 8283 if aver $500) 34c

36 Multiply $1,080 by the total number of exemptions claimed on line 6f (see page 14)
37 Taxable income. Subtract line 36 from line 3~ fJter the result (but not less than zero) " ,

~.z i è) ;1,

~3;i(j v
v

38 Enter tax here. Check if from 0 Tax Table, lJTax Rate Schedule X, Y, or Z, or 0 Schedule G 39 Additional taxes (see page 14 of Instructions), Enter here and check if from 0 Form 4970,
o Form 4972, or 0 Form 5544

~ô3¿~- -:~
/"7c: .3 3

~...cJ.~ v

40 Add lines 38 and 39 Enter the total,

Credits
(See Instructions

41 42

Credit for child and dependent care expenses (attach Form 2441)

41

on page 14)

43 44 45 46 47

(attach Schedule R) 42
Add lines 41 through 43, Enter the total

Credit for the elderly or for the permanently and totally disabled

Partial credit for political contributions for which you have receipts 43

Subtract line 44 from line 40, Enter the result (but not less than zero) ,

--

Foreign tax credit (attach Form 1116) 46
General business credit. Check if from 0 Form 3800,
o Form 3468, 0 Form 5884, 0 Form 6478, or 0 Form 6765 47

48 49

Add lines 46 and 47. Enter the total,

Subtract line 48 from line 45. Enter the result (but not less than zero) ,

~

48 49
50
51

Other
Taxes
(Including
Advance EIC

50
51

Self-employment tax (attach Schedule Sf),
Alternative minimum tax (attach Form 6251),
Tax from recapture of investment credit (attach Form 4255)
Social security tax on tip income not reported to employer (attach Form 4137) Tax on an IRA (attach Form 5329) Add lines 49 through 54 This is your total tax
Federal income tax withheld

/y(3)
--

Payments)

52 53 54 55 56 57 58 59 60
61

56
57

Payments
W2, W2C, and W2P
to front.

/

~

52 53 54 55

/ .y/ ()3 S

Attach Forms

1986 estimated tax payments and amount applied from 1985 return Earned Income credit (see page 16)
Amount paid with Form 4868

58 59

Excess social security tax and RRTA tax withheld (two or more employers)
Credit for Federal tax on gasoline and special fuels (attach Farm 4136)

60
61 62

62 63

Regulated investment company credit (attach Form 2439)
Add lines 56 through 62, These are your total payments

~

Refund or Amount You Owe

64 If line 63 is larger than line 55, enter amount OVERPAID
65 Amount of line 64 to be REFUNDED TO YOU
66 Amount of line 64 to be applied to your 1987 estimated tax ~ ~~-i

63 64 65

):7 L '¥ )

..
--.

¿! :2 ¿/ j
L) 2.-L/9

------

67 If line 55 is larger than line 63, enter AMOUNT YOU OWE. Attach check or money order for

full amount payable to "Internal Revenue Service," Write your social security number,
daytime phone number, and" 1986 Form 1040" on it
Check ~ 0 if Form 22JO(2210F) is attached

Seepage 17 Penally: $

Under penalties of perjury. i declare tti:.,:d i have examined this return and accompanying sçhedules and statements, arid to the best of Ily knowledge and belief. they are true, correct. and complete. Declaration of preparer (other thaii taxpayer) iS based on allmformation of which prepare! has any kiiowledge

Please
Sign Here

~ Your slgnatUie

Date Date

Your occupation

Spouse's signature (if joint return, BOTH must sign)

Spouse's occupation
Preparer's social security 110

~
PrEparer's ..

RO Si WRt 'te
Certified Public

Paid

sJgnature r

Preparer's
Use Only

___ ""employed __..,_L __L__
_._--_._----_.~---_. ---~--~--_._. -_.~--,

Check if 0
Zi P code

Firm's name (or ~
yours, if self.employed)
and address

_________:!16 FRAN STREET

MEAIRIE lO!lIC:I.HIA 7000 i

t F i No :

B-16

000258

SCHEDtlLES A&B

Case 1:05-cv-00743-FMA

Scl

Jule A-Itemized Deductions
(Schedule B is on back)

Document 19-3

Filed 12/07/2007

Page 4 of 8
OMS No. 15450074

,/

. (Form 1040)
Department of the Treasury Internal Revenue Service (2)
Narrie(s) as showri on Form 1040

~ Attach to Form 1040, ~ See Instructions for Schedules A and B (Form 1040).

Attachment

lJ~86

Sequence No, 07
Your socjal ..security number

e . ~ ' ~- ~ /v.,J ì C 0Medical and Dental Expenses
(Do not include
1

L. c. ~ ì3 C /)\/c ::- Y'
1

Prescription medicines and drugs; and insulin
a Doctors, dentists, nurses, hospitals, insurance premiums

2

you paid for medical and dental care, etc.
b Transportation and lodging

expenses
reimbursed or paid by others.)

2a 2b

cather (Iist--include hearing aids, dentures, eyeglasses, etc.)

~, -------"--------------

(See

Instrue

2c
3

tions on

page 19)
Taxes You

4
5

Add lines 1 through 2c, and enter the total here Multiply the amount on Form 1040, line 33, by 5% (.05)
State and local

6
7

Paid
(See

410 "" Rea I estate taxes , j-G ~ '
a General sales tax (see sales tax tables in instruction booklet)
b General sales tax on motor vehicles,

income taxes

6
7

3 4

5

.,

8

Sa
Sb
9
Total taxes

..
~

Iristrue

tions on page 20.)

9

Other taxes (list-include personal property taxes) ~ _ _ . _ _ , ,

10 Add the amounts on lines 6 throu h 9 Enter the total here,
11 a Home mortgage interest paid to financial institutions (report
Interest You

Paid
(See Instructions on page 20.)

deductible points on line 13)

lIa ;; / () À
lIb
12

b Home mortgage interest you paid to individuals (show that
per90n's name and address) ~_ _ _ _ _ _ _ , . , _ _ _

12

Total credit card and charge account interest you paid
:F1_E_C:Cl.':__ -~- i ~/¡ 1-7. __ _ __ _ _ _ _ __

./

13 Other interest you paid (list payee's name and amount) ~

_ c: ~_ _S: __ ~ _ _~_.f: ~~, y Y ? 0_ __ _ _ __ _ __ _

14 Add the amounts on lines lla throu h 13 Enter the total here, Total interest
Contributions
You Made
(See Instruc tions on
is a Cash contributions, (If you gave $3,000 or more to anyone

--~~--------~----~----------------------"------------

13

c/ 9.v 7
~

organization, report those contributions on line 15b.)

ISa -: o'2 t)

b Cash contributions totaling $3,000 or more to anyone
organization, (Show to whom you gave and how much you
gave,) ~ _ _ _ _ _ _ _ _ _ _ _ , , _ , _ _ _ _ _ _ , , _ _ _ _ . . _ _ _ _ , . _ , _ _ _ _ _

page 21)

-----------------~--------------------------------

ISb

Casualty and
Theft losses

16 Other than cash, (You must attach Form 8283 if over $500,). 16 17 18 Add the amounts on lines 15a throu hI 7, Enter the total here, Total contributions, ~ 19 Total casualty or theft loss(es), (You must attach Form 4684 or similar statement. (See pa e 21 of Instructions,) ~

Carryover from prior year 17
20
21

3~

Miscellaneous Deductions
(See Instruc tions on

20 Union and professional dues
21 22
Tax return preparation fee , 0Jher (Iist ty,ge arimount) ~.. _ _ _ _ _ _ _ _ _ , , . _ _ _

1- -l\ - v' -t-- "'(;- -'"- .z- - - -- - - -- - - -- - - - -

page 22)
-, - - - - - - -. - - _. - _ _ _ _ _ _ _ _ _ _ _ _ _", _, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 22

23 Add the amounts on lines 20 throu h 22, Enter the total here, Total miscellaneous, ~
Summary of

~

Itemized Deductions
(See Instructions on

24 Add the amounts on lines 5, 10, 14, 18, 19, and 23. Enter your answer here,

24

25 If you checked Form 1040 ) Filing Status box 12or 4, enter $2,480 f Filing Status box or 5, enter $3,670f
t Filing Status box 3, enter $1,835
26 Subtract line 25 from line 24. Enter your answer here and on Form 1040, line 34a,

25 3~:)c)
(If

page 22)

line 25 is more than line 24, see the Instructions for line 26 on page 22,)
For Paperwork Reduction Act Notice, see Form 1040 Instructions,

. ~ 26 9 d c¿ ::

Schedule A (Form 1040) 1986

~

B-17

000259

Case 1:05-cv-00743-FMA
liedules A&B (Form 1040) 1986

Document 19-3

Filed 12/07/2007

Page 5 of 8

OMS No. 1545-0074 ,Pai¡e 2
Your sO,ciarspcurity number
, ,

"ie(s) as show" on Form 1040, (00 not enter name and social secuflty number if shown on other side)

,,

/

Schedule B-Interest and Dividend Income
irt I

Attachment

Sequence No. 08

terest
come
eE'

If yo~ received mo~e tha!l $400 in interest income, you must complete Part I and list ALL interest received, If you received: ~s a nominee, interest that actually belongs to another person, or you received or paid accrued interest

on securities transferred between interest payment dates, see page 22.

_ __ ~ Interest Income ________
i Interest income from seller-financed mortgages, (See Instructions and list name of

¡ti uc

_+__~ri~unt __

ns on ges e alieJ ;)2 )

payer,) ~ _ _ _ _ _ _ _ _ _ 0 _ _ _ _ _ _ _ _ _ , _ _ _ _ _ _ _ _ , _ 0 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

-it--u~~~-~=J) ---------~._-

,0 iorn plete
it III

2 Other Interest income (list name of payer) ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , _ _ _ _ _
0_ -0_ _ __ __ _________ __~'~;/f1:_-_:~:~:~---------------

_u_______ r¡ ¡l.51' _H.I'!__~;':::-::::::::::::
./i
I ( I I

)) I) ii
iI
I)

~~ ç;

II

21-;~~~

~...
3 Add the arnount~ ~-n-I¡~~~ i -a~d 2-_E-n-t~~ t~i~ -t~t~lh~re ~~cJ ~-n F;;~-iÔ40, ii~~- 8 - -_ ~ 3

F--~-' --

irt II vidend come
,'e

If you received more than $400 in gross dividends and/or other distributions on stock, complete Part II. If you
re~~i~_e._a~ a nomi-~e, divi~~n~~tha~~ctual\y belong to another person, see page 23.

4

",ide ;d ,"com; (ii,' '" me 01 p' yec D':~~::: :;::~, ,,," copl'" g' I" dl,lo bol,,", - -f - A";O"_' - _-

;tiue rh(iri ges 8 ariel 22)
;0 corn plett:

nontaxable distributioris, etc.) ~ ,_ _ _ _ _ _ _ _ _ _ _ _ _ _ . __
__ __ __, __ __ _ __ LírJ ~. _~ 0_~) ~ -: ;-):c:?: :': -- - - -- - - -- -- ~_J 3 '-~n

it III.

.. ......... . . . . . u. .~~~1ttlp &Z;t'fatfT'd-~4 ~ , 1-) :;'7
4

5 Add the amounts on line 4. Enter the total here

6 Capital gain distributions, Enter here and on line 13, Schedule D, * 6
7 Nontaxable distributions. (See Schedule D Instructions for adjustment to basis,) 7

--

8 Add the amounts on lines 6 and 7, Enter the total here
9 Subtract line 8 from line 5, Enter the result here and on Form 1040, line 9a _ ~ L/ .À / *If you received capital gain distributions for the year and you do not need Schedule 0 to report any other gains or

losses, do not file that schedule_ Instead, enter 40% of your capital gain distributions on Form 1040, line 14,
Ht I II If you received more than $400 of interest or dividends, OR if you had a foreign account or were a ireign grantor of, or a transferor to, a foreign trust, you must answer both questions in Part III.

:counls 10 At any time during the tax year, did you have an interest in or a signature or other authority over a financial
id

ireign
struc

account in a foreign country (such as a bank account, securities account, or other financial account)? (See

usts page 23 of the Instructions for exceptions and filing requirements for Form TD F 90,22, L) .

ee If "Yes," enter the name of the foreign country ~ _ _ _ _ _ _ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - JfS on 11 Were you the grantor of, or transferor to, a foreign trust which existed during the current tax year, whether or
ige 23) not you have any beneficial interest in it? If "Yes," you may have to file Forms 3520, 3520A or 926,

If Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule B (Form 1040) 1986

B-18

000260

SCHEDULE D
(form 1040)

Case 1:05-cv-00743-FMA

':apital Gains and Losses

Document 19-3

Filed 12/07/2007

Page 6 of 8

OMS No. 1545,0074

/

and Reconcilation of Forms 1099-8
Ii Attach to form 1040.
~ See Instructions for Schedule D (Form 1040).
For Paperwork Reduction Act Notice, see Form 1040 Instructions.

Department of the Treasury

Internal Revenue Service (2)

Attachment

~w86

Name(s) as shown on Form 1040

~ ~, '4~ -- /l j j

/- -- J _ .

Sequence No. 12
Your social security number

L ~ L c: 6 ~ /1J/ c .. /\ ,

1 Report here, the total sales of stocks, bonds, etc., reported for 1986 by your broker to you on Form(s)

1099-8 or an equivalent substitute statement(s) 1 If this amount differs from the total of lines 2b and 9b, column (d), attach a statement explaining the difference, See the instructions for line 1, Schedule 0 (Form 1040) for examples,

im Short-term Capital Gains and losses__Assets Held Six Months or less
2a Form 1099-B Transactions (Sales of Stocks, Bonds, etc.):

(a) Oesciiption of pr~perty. (b) Sales ac ulred (c) Date soldi -r (e)I is more than (d), LOSS--T---~~~Date p~ice (see basis (s;~-- It _ (e) Co-:o~- (I) (Example, 100 shares 7% q (d)
preferred of "Z" Co) (Mo" day, yr.) (Mo" day, yr_) instructons) iiistructions) subtract (d) from (e)

--- ~- -~ ~~-~ -l~=~~~

i I

- --~---___
!

---~

--~r~-

i

---- - ---

-_..._-_.._-~--~-----2b Total (add column (d))
2c Other Transactions:

~

--~- - f_--~
6 Short-term capital

3 ShorUerm gain from sale or exchange of a principal residence from Form 2119, lines 6 or 12

4 Short,term gain from installment sales from Form 6252, lines 22 or 30

5 Net short-term gain or (loss) from partnerships, S corporations, and fiduciaries loss carryover from years beginning after 1969
7 Add all of the transactions on lines 2a and 2c and lines 3 through 6 in columns (f) and (g)

8 Net short-term gain or (loss), combine columns (f) and (g) of line 7

Long-term Capital Gains and Losses-Assets Held More Than Six Months
_~_Form 1099:B Transactions (Sales of Stocks, Bonds, etc,):

~ ==
- ~-,~---=---t-_. _~i 1-~ ~-f--~ ~- -

- --i ---

i

---t

"---- .._----

-._'--~-----'~-~t=- i "---,,-_:~_____._ _'_n____

-- -~ -- ='1:: ---H--ì ,,~-

-----

~_0 5"'__ . ~_f "
10 Long

~~:i~tal (add column (d)) 9c Other Transactions:

B.')

term gain ¡rom sale or exchange of a principal residence from Form 2119, lines 6,8, or 12

11 Long-term gain from installment sales from Form 6252, lines 22 or 30 . 12 Net long-term gair or (loss) from partnerships, S corporations, and fiduciaries

13 Capital gain distributions, 14 Enter gain from Form 4797, lines 6 or 8,
15 Long-term ca¡.ìtalloss carryover from years beginning after 1969
16 Add all of the transactions on lines 9a and 9c and lines 10 through 15 in columns (I) and (g)

17 Net long-term gain or (loss), combine columns (f) and (g) of line 16

- ci
Schedule D (Form 1040) 1986

B-19

000261

Case 1:05-cv-00743-FMA Document 19-3 Filed 12/07/2007 C" SCHEÓLJLE f, , )plementallncome Schedule
.(Form 1040)
Department of the Treasury

Page 7 of 8

/'

OMS No 1545,0074

(From rents and royalties, partnerships, estates, trusts, etc.)
~ Attach to Form 1040, Form 1041, or Form 10415.

Internal Revenue Service (2)
Narne(s) as shown on Form 1040

~ See Instructions for Schedule E (Form 1040).

Attachment

lJ~86

Sequence No, 13
Your sO,cial security numner

E -= ~ ~ l'1Ù') ¡ c:0- C' L(:~ C./ii/'C. ~IÎ

la Rental and Royalty Income or (loss) 1 In the space provided below, show 2 For each property listed, did you or a member of your family use for personal purposes any
the kind and location of each rental of the properties for more than the greater of 14 days or 10% of the total days rented at

--t¡¡;'~~P%~FXDJ4~;S~r'~;iç"~~~r¡'~_m..... ---........... .-~i:~

3a Rents received u~_ _---- __ ~ 3 /9 ~l9lties.recelved /'79.J i ;. 4 AdvertiSing 4 ~
Rental and Royalty Expenses I ,
6 Cleaning and maintenance 6 I de ~ ý
7 Commissions, , , , . , ., 7

Rental and Royally Income 3-~~' 4- '" / "f : i -~ -I / I) ~ - i j~d column: ~ BT, and -~)-

U Properties I Totals
-" /, !

5 Auto and travel 5 --_ -~____
._I
i i

8 Insurance!; 7,-1 +1 À +1 J-. 8
9 Legal and other professional fees 9
10 Mortgage interest paid to financial institutions (see Instructions) . 11 Other interest

10 J-l ,À 7 "3

11

12 Repairs,
13 Supplies

12 13 14 15 16

14 Taxes (Do not include windfall profit
tax here, See Part Ill, line 34.),

I ()/ cj

15 Utilities. 16 Wages and salaries,
17 ~hGrl0st0cJ .K~~:'"......."

y)i
.-

7;; "

18 Total expenses other than depreciation and depletion, Add lines 4 through 17

18 c; 9L; 3;

./
~
./

./

19 Depreciation expense (see Part V

Instructions), or depletion (see
Publication 535) . 20 TotaL. Add lines IBand 19,

/ /'
~/c)
--

/'

18 9 ) L¡ ~

"/ l

,.
--

./ .-

19 ¿¡~-".A Y

21 Income or (loss) from rental or
royalty properties, Subtract line 20
from line 3a (rents) or 3b (royalties) 2
22 Add properties with profits on line 21, and enter

);)1-

the total profits here,

23 Add properties with losses on line 21, and enter the total (losses) here
24 Combine amounts on lines 22 and 23, and enter the net profit or (loss) here 25 Net farm rental profit or (loss) from Form 4835, line 34 26 Total rental or royalty income or (loss), Combine amounts on lines 24 and 25, and enter the total here. If Parts II and ILL on page 2 do not apply to you, enter the amount from line 26 on Form 1040, line 18,

Otherwise, include the amount from line 26 in line 36 on page 2 of Schedule E
For Paperwork Reduction Act Notice. see Form 1040 Instructions.

B-20

000262

Schedule E (Form 1040) 1986

Case 1:05-cv-00743-FMA

Document 19-3

Name(s) as shown on Form 1040, (Do not enter n6 dnd social security number if shown on other side)

Filed 12/07/2007Sequence No, 13 of 8 Page 8 'iment

Your social security numbp,

- -': i

/

; Page 2

Income or (Loss) from Partnerships, S Corporations, Estates, or Trusts
1!Cl~e~_~!a loss below, and have amounts invested in that activity for which you are not at risk, you may have to file Form 6198, See Instructions,

Partnerships and S Corporations ---~---(b) Enter (c) Check if

(a) Name

approprite foreign

code 1 partnership

(d) Employer identification number

(e) Net loss
(see Instructions for at~rlsk limitations)

(f) Net Income

Yl4.!2! -'C/1 C-

O ;¡/2~:)Z--CC~ ','0 n ¡¿ f? CA ~-i A

') ~- J9d(Í:YI(,

~-J9~?CJ

3-ó/ )9'7'0/

CJ J; ?o ---

~

~~-~.~-_.~_.__._1 Codes: P for partnership; S for S corporation

27 Add amounts in columns (e) and (f) and enter the total(s) here

27 (70 / 1.3

/)

/
./

28 Combine amounts in columns (e) and (f), line 27, and enter the net income or (loss) here
29 Deduction for section 179 property (from Form 1065, Schedule K-1, and Form 1120S, Schedule K-1),

(See Instructions for limitations) 30 Total partnership and S corporation income or (loss), Combine amounts on lines 28 and 29. Enter the total
here and include in line 36 below
(e) Net loss
(see Instructions for

,.
(I) Net Income

(a) Name

al'rlsk limitations)

31 ( 31 Add amounts in columns (e) and (f) and enter the total(s) here 32 Total estate and trust income or (loss), Combine amounts in columns (e) and (f), line 3L Enter the total here and include in line 36 below
Windfall Profit Tax Summary
33 Windfall profit tax credit or refund received in 1986 (see Instructions) 34 Windfall profit tax withheld in 1986 (see Instructions),
Combine amounts on lines 33 and 34, Enter the total here and include in line 36 below,

32 33 34 35

Summary
36 -l i A L i"w me m (10"), Combi oe Im~:~6. 30 ~ 32. eo" 35 Eo te' to, I h"e eod eo F mm ~ 040. Ime 184 3

/
S-~ p
¿/~~.;

37 Farmers and fishermen: Enter your share of GROSS FARMING AND FISHING

INCOME applicable to Parts I and II (see Instructions) 37
Optional Depreciation Worksheet.-You may use this worksheet to figure depreciation only on property placed in service before
1981, If you placed any property in service after 1980, you must use Form 4562 for all property,
(a) Description ot property

(b) Date acquired

(c) Cost or
other basis

allowed or allowabie

(d) Depreciation
in prior years

~~~~G .
Total (Property A)

) ~ ~T3-

)/3iLc.

jr___(Property B) Total
~~=---_.~-~...~.~_.
Total (Property C)

I=-~i_.

-f-

.-

J_~n~~_L-=f.----

B-21

000263