eg 3,010, | elaine Teese
S Donors Te t nm
Fe Gis 2 Ziel s+ 20 00,0 OLR =
lease eae]
RECTO AVENUE SREY 4
DPA Cutey, 2
ADP Code 4D
S Restore Recess cas ae aT
arom |
To Cass NS Tremere
75u- 193 ighenfward.sakalam@aee | ton
ES an een ocean teed SS Doren Taye ertaaen NEE
tay DALE
Sui WSF
x
S
¢
o
=
SE hele PEST
Pariit= Computation of Taz
TU Tea NG Subeao Tan Poe im Lo
1S Aepicsti Deron Taxae 6. 0%
18 Toa! Oxers A 130 GOOD
Ties a Oey
ATA Payrrrts fy rer ts Ourrg be Caer Voor
1B Forogy Dover's Tax ad Senctb era Sain TP TO NED i
“ATC Tax Pon Pevoxs) Fed Rear fh san Arendt Ream |
{7D Taal Tax esPayres rains 8 7
18 TaxPayabin| Operon r laa nO)
Pras
9A Sarre
198 rere
196 Gorerarse
190 Tal Porsies Sir hrs AO I
2OTOTAL AMOUNT PAYABLEAOversynert) Szraftn nd)
ere) I
2.0)
3 G00 le
TF rn dp Pa red 8 are oe oe SSSR RSD wen ETFS TTS
‘etn rare nen a be po msn td fae be por coen pe dopa eames Fee TTR
SSS et pes Pte Renae es ea er ar
Ferrers ‘Sad TSS
es GLekwwaed aLeovewDrs
SO at EET are Ope aad Rear waaTTT GRA BETS TS PORTIS TPS PRR SW TT
neat SeaaToe ates |
[seared [titesrrenn acorn
Part I= Detalls of Payment
Details of Payment | “sqaee™ | __Number Date aaucarrenn “Amount
Fi Cesvewk Debt Mere) |
22Chex {
23 Tax Debit Nero
7 Chen Ge ee
peprii tiie
Nadie Valen
Waa Res Fa Sn SBA EGETBIR Form No.
1800
anor 2018 ENC)
Pose
Donor’s Tax Return
Deel]
ii
F Donor's Name
Mort £,2:214,41410,0,0, 0,041 CDW EN PALS Gib ENN WALRiPy
[LBS
Part iv=Compu
jon of Tax
25 Personal Poparies anPervcowan 11 14811 00,0] +01
26 Real Proper Fem Pat craig 111 1311101 0.0.0] +10.0)
27 Teal Gin this Retum fam athe sSanze) 11 47101 00,0 | +10}
ess Decco
By Peper preity Ppp ppg iy fet
a
PP tr fyi fel
Pp i fe
et siti iia fusi tii
|33 Tote! Deductions Allowed (Sum afters 22 i 32) pitpitpii ett
54 Tot Net Grins tim reas am) 11 1 1710101 00:01 «10.01
[35 Add: Total Prior Net Gifts During the Calendar Year (tem 26 Retum Previa) Fed witin Pa year) Pippi posi tel 4
6 eal Net Gs arto on 11 hap apol-lod
a7 tess Beene Gt 111 12)5,0;0,0,0/.|0,0)
[38 Total Net Gits Subject to Tax (tem 36 Lees tom 37) pi OOO!
Pan ~Scheduies
chedule A= Deseipion of Donated Parag (Aedes Tasasagy
Schedule A Dosen aaa PST aE
T-cAsh — 10. 4.00
Stott odsc00-
a
E
fe
o
tre {oo
FAX DECLARATION.) TOTRPRGWERT [-ELASERCATION
OG LIPR_cny Z
“Schedule B = Continuation ofthe Description of Donated Real Property
'AREA | _ FAIR MARKET VALUE (FMM) PER TD FV PER BI ZONAL VALUE)
059m: 155.00 310,000.
FAR MARKET VALUE
310,000,
"TOTAL (Ta Pot fom
T pitescnta Rapaor GR Condrvon Poplar CL Goer GL Goveonant at R gear TTT
‘Re Resseds!Contomewsn CCConmar)Gersomiium PSPaning Sit GPGowem|Pupce Paris
210,000
‘ApD-Are Pry Davomect(eeu we eu.
Bia Farm nr
1800 | Donor’ Ss alex Return
aire tan nneen onpeemmicnn tml ——___|
saa
jawee |
Fo Om G.g.0.0.1.1.com]
Donee's Taxpayer
[oe AS BoeSSAct: Tot Pree Net Gis Darra te Cotrxie Yew faew Nat Ram Arwen) Peni yh
S6Teal NAGS Srv eS
S7 Less Exp GA
7
i
58 Tot Net Ges Subect iD Tax aoe We ons) |
sped “4.
13k. ooleio: oO
ee
1512.010.0.0/+/ 0.0}
12,5,0,0 00.00)
Panv = Schedules
‘Schedule A — Description of Donated Personal Propery iach actors cin TROT
PARTEUARS.
Cast
howe 0.0)
TREES
30,000