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Home My WebLink About931661.tiff G WIEDERSPAHN, LUMMIS & LIEPAS ! I -C 1 99' A PROFESSIONAL CORPORATION L 1 ATTORNEYS AND COUNSELORS AT LAW 2020 CAREY AVENUE, SUITE 700 -` " I '(J'` Y CHEYENNE, WYOMING 82001 ATI `RNE > S OFFICE TELEPHONE (307) 638-6417 FACSIMILE (307) 778-1628 ALVIN WIEDERSPAHN 19 OLD TOWN SQUARE CYNTHIA LUMMIS SUITE 238 ALGIRDAS M.LIEPAS FORT COLLINS,COLORADO 80524 DIANE M.LATHROP' MICHAEL H.REESE 'ADMITTED IN COLORADO AND WYOMING February 3, 1993 Bruce Barker Assistant County Attorney Weld County Attorney P.O. Box 1948 Greeley, CO 80632 RE: Hereford Lanes and Homestead Saloon/Zane Richard Pavlica and Zane Nicholas Pavlica Dear Mr. Barker: I apologize for the delay in getting this letter to you. One of the difficulties I have in providing you this information, it that it is beginning to appear to us that Zane Richard and possibly Zane Nicholas are not telling the same story twice. ; t,3, c+::(paring the documents received from the Clerk of the Board of County Commissioners to the documents received from the University of Wyoming to the documents Zane Richard has provided to the Court's we have noticed several inconsistencies. For that reason I am enclosing documents from both entities for your review. 1 . A Memorandum of Management Agreement dated December 15, 1988. (This document indicates that on December 15, 1988, Zane Nicholas was intended to obtain a liquor license - he would have been approximately 16 years of age at that time). 2. The Financial Aid Form Need Analysis Report of Zane Nicholas. (The only significance of this document is that when Zane Nicholas applied for Financial Aid with the University of Wyoming in May of 1991 , he claimed that his real estnt holdings were valued at $15,000.00. This is substantially I 931661 Bruce Barker Assistant County Attorney Weld County Attorney February 12, 1993 than the value of the bar. Also, see the note on page two which indicates that Zane Richard was disabled in an automobile accident and has been unable to work.) 3. The Financial Aid Form Need Analysis Report of Zane Richard. (This report backs up the information provided in Zane Nicholas' report.) 4. An Award Notice from the University of Wyoming to Zane Richard. (There is a handwritten personal note on this from Zane Richard which states that he has been receiving 100% disability and has not been employed since 1988.) 5. Zane Richard's 1040 for 1990. (Under Schedule C he did not take a deduction for the Rent on business property, but he did take a deduction for depreciation.) 6. Handwritten Lease Agreement between Zane Richard and Tami Lynne Van Pelt dated January 3, 1989. (On this Lease you will Note that Zane Richard states that "I, Zane Richard Pavlica: Lease to Tami L. Van Pelt, a portion of my building, . . .") 7. Business Lease between Zane Nicholas Pavlica and Zane Richard Pavlica dated February 20, 1991. 8. Business Lease between Zane Nicholas Pavlica and Zane Richard Pavlica dated December 15, 1988. 9. Handwritten Note from Zane Richard Pavlica dated January 3, 1989. (In this Note he specifically states: "I, Zane Richard Pavlica purchased this establishment also known as R.E.C. Lanes, Hereford, Colorado 80732 with funds from my personal savings from Charles E. Nussbaum and Dorothy L. Nussbaum. 10. Liquor License Application - Change of Ownership dated January 3, 1989. (Our biggest interest in this document is Zane 2 Bruce Barker Assistant County Attorney Weld County Attorney February 12, 1993 Richard's statement under item number 12 "I own the Premises, free and clear of all incumbunses (sic).") I understand from my assistant that you will be forwarding any documents you may have in your file including possibly a letter you wrote for Zane Richard and a memorandum to the file. After your review of these documents, I would appreciate it if we could set up an appointment to discuss this matter further. I am very interested in your impressions of these documents as compared to what you were told by the Pavlicas. We have forwarded discovery to the Pavlicas requesting further information about the two liquor establishments and licenses and will be sending them to you upon their receipt. I have requested a continuance of the March 24, 1993 hearing for a couple of reasons. After receiving the above documents, we find that we need to more discovery with various entities. Secondly, we would very much like to have you testify, and I understand that you will not be available the week of March 24, 1993. Therefore, we have asked for a 45 day continuance. When it comes time to reset the trial, we will consult your calendar as well. I anticipate that your testimony will only take a half day and we are willing to pay your expenses. Your assistance in this matter has been greatly appreciated. Very truly yours, 'er ��/A�M. Liepas AML:jeg enclosures cc: James T. Dinneen (w/o enclosures) 3 MEMORANDUM OF MANAGEMENT AGREEMENT Zane N . Pavlica and Tami Van Pelt are purchasing from Charles E . Nussbaum and Dorothy Lola Nussbaum the business enterprise known as R. E. C . LANES , Hereford , Colorado , including also the HOMESTEAD SALOON and HEREFORD LIQUORS. Zane N. Pavlica is purchasing R . E . C . LANES and the HOMESTEAD SALOON awe 4/7 Tami Van Pelt is purchasing HEREFO12�LIQUORSF i7t✓,s 4, / et.FI tyvn,...i� C; y-:-.,:�ir;6 z; j'`Iti,.� C'/?C, s ss- 55ec ett 9J ,/ 3,ie'.•i1 e c 2 To ena6Sle Zane N. Pavlica and Tami Van Pelt to enter into possession and operation on December 15 , 1988, these parties agree that a Management Agreement shall be executed by all these parties , whereby Zane N. Pavlica and Tami Van Pelt shall operate all of said enterprises as Managers , they paying all expenses , and receiving all income , including insuring the premises , until all legal documents for transfer of ownership are completed and new Liquor Licenses are issued ; and , Zane N . Pavlica and Tami Van Pelt shall promptly apply for appropriate Liquor Licenses to enable Zane N . Pavlica and Tami Van Pelt to acquire all required Liquor Licenses for said business enterprises . An Inventory of all business enterprises shall be completed on or before December 15 , 1988 , in order to enable Zane N . Pavlica and Tami Van Pelt to enter into performance of this Management Agreement ( a more detailed document will be executed as becomes necessary ) . Made and executed in duplicate , this 15th of December , 1988 ; this Agreement shall be binding upon and inure to the benefit of the parties hereto , and their respective heirs , personal representatives , and assigns . 9 is ay,re-ary)con 1- Bx rrFss `Sari I5, //9•121,\Z"2s5 Tfrq (Tami Van Pelt ext4t.e..s&. 4 fre.od Leon 4,1 a// a r4 s c o/1cer ee 1 rac.c> yo ne N . avl c gg ( hC arles E . usR sba m) ("D or ritic a Nussbau ^J w - • r. rrYX pit j Ln .3 a- jII f } if —81 co g P . E ' r - l Jilt Ra 2 P • i I III wZ C') � ' it . � > O .7 • " IN vv a a z a • u I• 1J 0 } 0 w 1 0 0' I 0 CO PP n O10C 0 0 O 0: .i ` 0 1n In T I ti n r-I T .. 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H ;- e3p N .e . m E ' .p _,•; L Cad !vd i s 1 0 m I o o r4?: > rr iw r• < ≤ i ° d } t C L4 L. > o > d 5 I ; F- a - RETgRN7ADDRESS s& - ,e• UNIVER SlaY OF �j ILO WYOMING STUDENT rINANCIALNAID PO BOX 3335 AWARD NOTICE LARAM(30I7E) 766-2116Y 1-3335 Indicated below are the results of our review of your application for financial aid and scholarships. PLEASE DO THE FOLLOWL\G: Ol ENTER either"Accept"or"Reject"for each award in the"response"column on page DATE one. We mug treat the lads of a response as a rejection of the offer. SIGN and date the"Certifications"at the bottom of this page.�3 MAY l fl a 1991 RETURN the completed top copy of this form to our office within three weeks to AWARD PERIOD prevent cancellation of this offer. Retain the yellow copy for your records. STUDEt 1991-1997 Arc 2ANE RICHARD VLICA 4068 I-80 SERVI E ROAD SOCIALSECUB . HILLSDALE WY 82060 ______ 31 520-62-0072 I /6 6(Z/;- __ Z/;l CALCUL N FOR FEDERAL ASSISTANCE • This offer of aid is cooling a (�,/i TOTAL EXPENSES 7,050.00 your continued eligibility v back b CONTRIBUTION OF PARENT 0.00 additional hdonnation or re: CONTRIBUTION OF STUDENT 9,880.00 revised Previous offers are r.1 tuot l � t-- OTHER RESOURCES 0.00 expected matron full-time IP I 1 1, TOTAL RESOURCES 9,880.00 Uy 11,�-1 NEED 0.00 VO-- IrD TOTAL AID 0.00 491r- UNMET NEED 0.00 (9(3h YOUR FINANCIAL NEED WAS LESS THAN THAT OF OTHER APPL AND/OR YOU HAVE BEEN FOUND INELIGIBLE FOR ANY NEED-BASED THEREFORE. YOU HAVE NOT BEEN OFFERED FINANCIAL AID FOR T.,. .. - 1991-92 AWARD YEAR. YOU MAY WISH TO CONSULT THIS OFFICE ABOUT THE PLUS/SLS LOAN, AVAILABLE REGARDLESS OF NEED. YOU NEED NOT RETURN THIS AWARD NOTICE. -Gv ,h el 6 h e ;s aueaav' d No�yce _� / nci \Via,4 v.e-k- 'on,12-0N-Oayecy S4 doe- Jon. ..... cbaN. on S ctc,j Se e u---k+r-( d:sabl.\ICA MO 7 . = 6-1/4cece.�c tv`.t ..r--1s a_ *o pt. s S On.- Fe Lam. 1 z-, 19 91 i+ was t rs Eck 1 '#17)o tic .013 n hat,- Y\OA- 1\CA "h"Li c'�r \&Cc : � A-c tucs v C sere .t4 a,tid Y a 2 �*0 CR- w-c a— 1\ (CO-NCt C'ri V 1t Cc 0.,09 _. oC .Nut Cite tcQ Z he( -4_ wA- .k_ \s ALL._ VYi.ucvsi O` W �p I A-1*(1-12- vv.t 0 aq,) So vne \ v Ed iU - to 1 w iceva " C`- u C'tAr'� 1 ,' tor " -e S A�� '7-F1artk go-0 0epy eMeru s e -P-t�• 1-- O O 000 WYo er�4J2�-�r-�!�?.- :IT 'Ajar ' CLX�t 1- -t- JOHN F NUTTER A `%` ;, c,,,, �&tf$. tea .✓ �1QfAJ��1„ Q DIRECTOR r,. co y'v"C-<f c,� �- ZAeu� • a . CERTIFICATIONS f S ✓...:-,.(77,/ r I ratify Media well use any money I receive under the Title O I amity t ai l am registered with Selective Soviet I have read and understand the m ra fomianoii pswided on IV student financial aid programs only for expenses related PZI I 001 that I am am required so be registered with the front and back of all pages of this Award Notice- ID attendance atthe University of Wyoming.I certify that Selective Savior,because-(drock ate reason) I do not owe■refund on any grant,am not in defauh on D Ian female O I.mn the armed aevicv on active duty(nee: any ban,and have not borrowed in excess of the ban maraca of the Reserve and National Gush as not limits,tinder Title IV programs,at my institution oavidad on active duty.) D I have not reached my 11th birthday. Signs I understand that an offer of fnancia'aid does not guar- X I was boon belae 1960 antee admission to the University of Wyoming or avail- L7 I am a permanent tuldmo of the Federated Sure ..,-4, V, I aLl ability of housing on campus. DLcooneu,the Marshall blonds,a the Republic of Date d Palau. • a.-r: .e.: T:.IC rn..• Tel Mr FINAN^Ial Ad1 r:F-•PF P T'y G .e (, Lcea _ y,�� f Deoartmenl or the Treasury—Internal Revenue Service 31040e90 _no _ 96_,0cG U.S.U.5. Indlvldua ome Tax Return (x) For the year tan-Dec 31 1990 or other taa year beginning .1990.ending 1. ?") ,19 OMB No.1545.0074 Label Your first name and initial _ \Last name Your social security number (See L ,qNE .JI/ (r —9 3 wdc, 4/ Sea 62 62 r7O72 Instructions a ' /f��(� on page 8.) • II a point return,spouse's first name and initial Last name Spouse's social security number E L Use IRS label. Home address(number and street).(If you have a P.O.box.see page 9) Apt.no Otherwise. N '/ n For Privacy Act and please print rt 4'o 6 9 T-So J2c T4, yr�Ox So Paperwork Reduction or type. E City,town or post office.state,and ZIP code.(If you have a foreign address,see page 9) Act Notice,see Presidential /7, //s c/.. (,e/ SO6 1 a J Instructions. Note:Check m "Yes"will Election Campaign ' Do you want$1 to go to this fund? Yes No not change your In or See a e 9. If•oint return,does your soouse want 51 to go to this fund? Yes No reduce your refund 1 _ Single.(See page 10 to find out if you can file as head of household.) Filing Status 2 _ Married filing joint return(even if only one had income) 3 _ Married filing separate return. Enter spouse's social security no. above and full name here. ► Check only one box. 4 k Head of household(with qualifying person).(See page 10.)If the qualifying person is your child but not your dependent, _ enter this child's name here. ► 5 Qualifying widow(er)with dependent child(year spouse died ► 19 ).(See page 10.) 6a ❑X Yourself If your parent (or someone else)can claim you as a dependent on his or her tax No.of boles Exemptions return,do not check box 6a.But be sure to check the box on line 33b on page 2 checked on 6a Spouse and 66 Q— / b O S (See No.of your Instructions a Dependents: (2)Check (5)No.CI months on page it under (3111 age?or older,dependent (Q o t you children on 6e P B social Leconte number relationship to sou .L5)No You'none who: 10.) (I)Name(lust,radial.and last name) age lin 1990 ef./c-Am/AS ._S-1r7 Ye,n“' Cc"' /Z • lived with you a / • didn't live with you due to divoica or If more than 6 separation Dee dependents,see page 11) — Instructions on No.of other page 11. dependents on6c — d II ur c-hild didn t live with but is claimed a5 dependent under a pre•1985 a reement.check here ► ❑ Add numbers F you your 6 entered on • Total number of exemptions claimed tines above ► 7 Wages..salarie etc.(attach Form(s)W-2) 7 Income 8a Taxable nteres (also attach Schedule B at over$400) , 8a — Attach b Tai-eaem nitre nco (see page 13).DON'T include on tine 8a! 8b I I 7 a Copy 8 of your 9 Divides c e(a attach Schedule B if over 5400) 9 Forms W.2,W-26. 10 and W-2P here. 10 T bk, s of state and local income taxes.if any.from worksheet on page 14 11 onyr ived 11 If you do not il I 12 uvness in e or(loss)(a h ciliate C) 12 (9/6 7 have a W-2, see 13 I page 8. 13 or(loss)(a 4g7 he a) 14 Capital uti 'po '. line 13(see page 14) 14 I I 15 0th j ins (losses , •ch .rm4797) 15 I -9 Attach check or money order on 16a Total IRA drst utions . 16a 16b Taxable amount(see page 14) 16b top of any Forms l7a Total pensions a ities 17a 17b Taxable amount(see page 14) 17b a 18 Rents.royalties.partnerships,estates,trusts,etc.(attach Schedule E) 18 /O � . ,q5 ��J 9 Farm income or(loss)(attach Schedule F) 19 I 'C I I _/s c Unemployment compensation(insurance)(see page 16) ti :I:) Social secuot benefits. .I 21a I I 21b Taxablrnount(see page l6) 216Sroy 1N 22. Other income(list type and amount—see page 16)NOL tsHFf. wo 22 I Cj a/7:S 12fAdd the amounts shown in the tar nght column far frne5 7 through 22.This is your total Income ► 23 I /o$T /8D Your IRA deduction,from applicable worksheet on page 17 or 18 , 24aIlL t b SPoises;RAdeduchon,Iromapphcableworksheetpnpael7or18 24bI I 25 One rail of seibemolcyment tan(see page 18) 25 1 I 26 Self.e'r idled health msLrance deduction.from worksheet on page 18 26 1 27 Keogn retrement plan and self-employed SEP deduction 27(See 28 Penalty on early withdrawal of savings 28Instructions 29 Alimony paid. Recipient's SSN ► i ` 29 on page 17.) 30 Add lines 24a through 29 These are your total adjustments ► 30 Adjusted 31 Suo:ract line 30 from line 23. This is your adjusted gross income- If ears amount is less than $20.=64 acd a child':red with you.see page 23 to find out if you can claim the'Earned Income IF) Gross Income erecr' !b crr•e57 De 31 1 G$ZIY ... 39 Fo.r,INC 1199Ct Par 2 32 Amount from line 31 l,.ulusted gross income) . . . . . . . . . . . . . . . 132 Z4:-CZ if 5 Tax 33a Check if ;J You were 65 or older E Blind; 0 Spouse was 65 or older 0 Blind. i Compu- Add the number of boxes checked above and enter the total here ► 33a tation b If your parent(or someone else)can claim you as a dependent.check here . . . ► 33b 0 A If you want IRS c If you are married filing a separate return and your spouse itemizes deductions,or you to figure your are a dual status alien.see page 19 and check here ► 33c 0 tax.see Instructions on • Your standard deduction(from the chart(or worksheet)on page r page 19. 34 Enter the 20 that applies to you).OR 34 < "7 s o larger //��/ • Your itemized deductions(from Schedule A.line 27). r//// of. If you itemize,attach Schedule A and check here. . . ► ❑ �/ 35 Subtract line 34 from line 32 35 <69 4F> 36 Multiply 52.050 by the total number of exemptions claimed on line 6e 36 e 1 •u 37 Taxable income.Subtract brine 36 from line 35.(If line 36 is more than line 35,enter•0-.) . . , 37 _L 7 0 6k 38 Enter tax.Check if from.a I=I Tax Table.b❑ Tax Rate Schedules,or c ❑ Form MI5(see page 21) (If any is from Form(s)8814.enter that amount here ► d I .) , , 38 , O 39 Additional taxes(see page 21).Check if from: a ❑ Form 4970 b ❑ Form 4972 . . . 39 40 Add lines 38 and 39 ► 40 I a 41 Credit for child and dependent care expenses(attach Form 2441) 41 I 42 Credit for the elderly or the disabled(attach Schedule R) . . . 42 I Credits 43 Foreign tax credit(attach Form 1116) 43 (See 44 General business credit.Check if from. Instructions on page Zl.) a 0 Form 3800 or b 0 Form(specify) 45 / 45 Credit for prior year minimum tax(attach Form 8801) . . . 46 Add lines 41 through 45 46 47 Subtract line 46 from line 40 (If line 46 is more than line 40.enter-0-) ► 147 0 48 Self-employment tax(attach Schedule SE) 48 0 Other 49 Alternative minimum tax(attach Form 6251) 49 Taxes 50 Recapture taxes(see page 22).Check if from:a 0 Form 4255 b 0 Form 8611 . 50 51 Social security tax on tip income not reported to employer(attach Form 4137) 51 52 Tax on an IRA or a qualified retirement plan(attach Form 5329) 52 53 Advance earned income credit payments from Form W 2 53 54 Add Imes 47 through 53 This is your total tax ► 54 0 • 55 Federal income tax withheld Of any Is from Form(s)1099, check ► ❑) 55 56 1990 estimated tax payments and amount applied from 1989 return 56 Payments 57 Earned Income credit(see page 23) 57 58 Amountpaid with Form 4868(extension request 58 Attach Forms ) W'2.W'2G. 59 Excess social security tax and RRTA tax withheld(see page 24) 59 and to 60 Credit for Federal tax on fuels(attach Form 4136) 60 front. ' 61 Regulated investment company credit(attach Form 2439) . . 61 / ,/ 62 Add lines 55 through 61.These are your total payments ► 62 O 63 If line 62 is more than line 54.enter amount OVERPAID ► 63 O 64 Amount of line 63 to be REFUNDED TO YOU ► 7 64 a Refund or 65 Amount of line 63 to be APPLIED TO YOUR 1991 ESTIMATED TAX to 165 I I Amount 66 If line 54 is more than line 62. enter AMOUNT YOU OWE.Attach check or money order for full You Owe amount payable to"Internal Revenue Service."Write your name,address,social security number daytime phone number,and"1990 Form 1040"on it 66 0 J6i Estimated tax penalty(see page 25) 167 I I X / //��ff/WM Sign /Under• nalties of perryry,l declare tha a examined this return and accompanying schedules and statements.and to the best of my knowledge and belief, Leturn / they are I e.correct.and co fete r cbr ,on of preparer(other than taxpayer)is based on an information of which preparer has any knowledge. Yo ..faire Date I. Y r«pupation coPY y; O e! r r//.��'/'�. ` J f ryouy SPou s signature 0 joint return.BOTH must sign) at Spouse's occupation records. Preparer's social security no. Date Prepare( p Check it Paid signer a sell•emplaye0 ❑ . Preparer's • Firm's name(or yours E.I.No. .• Use Only if sell.employed)and address 21P code SCHEDULE C Profit or Loss From Business OMB Na i5 5 74 (Form 1040) (Sole Proprietorship) 11890 Pat..,erships,Joint Ventures,Etc., Must File Form 1_ .5. Attachment Departmental tee vice ► Attach to Form 1040 or Form 1041. ► See Instructions for Schedule C(Form 1040). Seouence No.09 Internal Revenue Service (X) Name of proprietor Social security number(SSN) Z.a'E ,e ✓7M - SZO i 6Z 0072 A Principal business or profession,including product or service see Instructions) B Enter principal business code ' / (from page 2) ►Icyl(oI7 lo ! tea., A//E� fF� /CE cat..re fs 0..,0 Business name and address .t'FOQ? L/IuEJ D Employer ID number(Not SSN) (include suite or room no.) r az< fro fleztZza co 'V : y1 /IoIgI3 IS I7 E Accounting method: (1) © Cash (2)❑ Accrual (3) ❑ Other(specify)► F Method(s)used to Does not apply(if value closing inventory: (1) ® Cost (2)❑ Lower of cost (3)❑ Other(attach (4) or market explanation) checked,go to line H) Yes I No IX G Was there any change in determining quantities,costs,or valuations between opening and closing inventory?(If'Yes,'attach explanation.) I X H Are you deducting expenses for business use of your home? (If'Yes,'see Instructions for limitations.) I Did you'materially participate'in the operation of this business during 1990?(If'No."see Instructions for limitations on losses.) . . . : 0 J If this is the first Schedule C filed for this business.check here Part I Income 1 Gross receipts or sales.Caution:if this income was reported to you on Form W-2 and the'Statutory ► O 1 /9�6 0 employee"box on that form was checked,see the Instructions and check here 2 2 Returns and allowances 3 /9 84 v 4 / 3 Subtract line 2 from line 1.Enter the result here 4 Cost of goods sold(from line 38 on page 2) 5 /0 /4, C. 5 Subtract line 4 from line 3 and enter the gross profit here 6 Other income,including Federal and state gasoline or fuel tax credit or refund(see Instructions) 6 7 Add tines 5 and 6.This is your gross Income P. 7 9g 94/ Part II Expenses 1 8 Advertising 8 /7 21 Repairs and maintenance . . . 21 22 Supplies(not included in Part III) . 22 9 Bad debts from sales or services 23 3 73 1 (see Instruct ions) 9 23 Taxes and licenses y///� 10 Car and truck expense(attach Form 4562) . 10 70$ 24 Travel,meals,and entertainment: %//� / / if 24a 11 Commissions and fees I1 a Travel / 12 Depletion 12 b Meals and / /// entertainment . 8' / 13 Depreciation and section 179 expense deduction (not included a Enter 20%of line / in Part Ill)(see Instructions). 13 �7y 24b sonito /� I limitations (see 7 14 Employee benefit programs(other Instructions) . . than on line 19) 14 d Subtract line 24c from line 24b . 24d G S 15 Insurance(other than health) . 15 'G 25 Utilities 25 s` .s "��%��4��/�/��b 26 Wages(less jobs credit) . . . 26 . 16 Interest: Si al � ' � � g ' � t� 1/r/i r i !�,r a Mortgage (paid to banks. etc.) 16a 27aOtherexpenses(listtypeandamount): // ,r /��//f/ ;,fd bOther ,16b £'..C.. $ 3Q9 .. 7 �, /��/k1r�%/� 17 Legal and professional services 17 .90 9, Z"roil`• /73 �/ %ri� =P 18 Office expense 18 a 86 Ode,- Sig 2- //�////?�/�,' 19 Pension and profit.sharing plans x,119 �� / / / / ��ty�'% 20 Rent or lease(see Instructions): r%/////%0�� ///��////a / , � a Vehicles,machinery.and equip 20a �c�s b Other business property. . . 20b 27b Total other expenses . . . . 27b 28 Add amounts in columns for lines 8 through 27b.These are your total expenses D. 28 itt6 29 Net profit or(loss).Subtract line 28 from line 7.If a profit,enter here and on Form 1040,line 12.Also enter the net profit on Schedule SE,line 2(statutory employees,see Instructions).If a loss,you MUST go on to line 29 (9/ 30(fiduciaries.see Instructions) 30a 0 All investment is at risk. 30 If you have a loss,you MUST check the box that describes your investment in this activity(see Instructions). • 30D❑ Some investment is not at risk. If you checked 30a.enter the loss on Form 1040.line 12,and Schedule SE,line 2(statutory employees, see Instructions).If you checked 306.you MUST attach Form 6198. Schedule C(Form 1040)1990 For Paperwork Reduction Act Notice.see Form 1040 Instructions. 107 Schedule C (Form 10401 1990 Pace 2 . Part III Cost of Goods Sold(1 Instructions.) 31 Inventory at beginning of year.(If different from last year's closing inventory,attach explanation) 31 I �ta7 32 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . . . . . 32 l //2.9 9 33 Cost of labor.(Do not include salary paid to yourself.) . . . . . . . . . . . . . . . . . . . 33 34 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 35 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 36 Add lines 31 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 /5 36 (e. 37 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 $Z c v 38 Cost of goods sold.Subtract line 37 from line 36.Enter the result here and on pace 1,line 4 . 38 /0 / 4' 6 Part IV Principal Business or Professional Activity Codes Locate the major category that best describes your activity.Within the major category,select the activity code that most closely identifies the business or profession that is the principal source of your sales or receipts. Enter this 4•digit code on page 1,line B.For example,a grocery store is under the major category of'Retail Trade,'and the code is '3110.'(Note:If your principal source of income is from farming activities,you should file Schedule F(Form 1040),Farm Income and Expenses.) Construction 2675 Agent or broker for other firms— Finance, Insurance, Real 7856 Mailing,reproduction,commercial more than 50%of gross sales on Estate,and Related Services art and photography,and Code commission 5520 Real estate agents or brokers stenographic services 0018 Operative builders(for own account) Retail Trade—Selling Goods to 5579 Real estate property 7872 Computer programming, managers processing,data preparation. General contractors Individuals and Households 5710 Subdividers and developers,except and related services 0034 Residential building 3012 Selling Ooorto4aor,D telephone cemeteries 7922 Computer repair,maintenance, 0059 Nonresidential building by5538 Operators and lessors of buildings, aqnd leasin r or party plan,or from mobile unit perato residential i 0075 Highway and street construction 3038 Catalog or mail order including 7773 Except computer and utomot 3889 Other heavy construction(pipe 3053 Vending machine selling 5553 Operators and lessors olother real (acetic computer or automotive) laying,bridge construction.etc.) l property 7914 Investigative and protective • Building trade contractors, Selling From Showroom, 5702 Insurance agents eor brokers services g Store,or Other Fixed Location 5744 Other insurance services . including repairs 6064 Security brokers and dealers 7880 Other business services 0232 Plumbing,heating,air conditioning Food,beverages,and drugs 6080 Commodity contracts brokers and Personal services i 0257 Painting and paper hanging 3079 Eating paces(meals or snacks) dealers,and secunty and 8110 Beauty shops(or beautician) .I 0273 Electrical work 3086 Catering services commodity exchanges 8318 Barber shop(or barber) 0299 Masonry.dry wall,stone,lie 3095 Drinking places(alcoholic 6130 Investment advisors and services 8334 Photographic portrait studios 0414 Carpentering and flooring beverages) 6148 Credit institutions and mortgage 8532 Funeral services and crematories 0430 Roofing.siding,and sneer metal 3210 Grocery stores(general line) bankers 8714 Child day care 0455 Concrete work 0612 Bakeries selling at retail 6155 Title abstract offices 8730 Teaching of utoring 0885 Other building trade contractors 3236 Other food stores(meat,produce, 5777 Other finance and real estate 8755 Counseling(except health (excavation,glazing.etc.) candy,etc.) practitioners) j 3251 Liquor stores Transportation, Ministers and chaplains -I 8771 Manufacturing, Including 3277 Drugstores Communications,Public 6882 Other personal services I Printing and Publishing Automotive and service stations Automotive services Utilities,and Related Services 0638 Food products and beverages 3319 New car dealers(franchised) 6114 Taxicabs 8813 Automotive rental or leasing. ' 0653 Textile mill products 3335 Used car dealers without driver 0679 Apparel other textile products 3517 Other utomotwe dealers 6361 Bus and limousine transportation 8839 Parking,except valet 0695 Leather.footware,handbags. (motorcycles,recreational 6361 transportation Otnser ortaway passenger 8953 Automotive repairs,general etc. Iranspog(except and specialized 0810 Furniture and fixtures vehicles.etc.) 6338 Trucking or except trash services ion) 8896 Other automotive services(wash, .. 0836 Lumber and other wood products 3533 Tees.accessories.and pans 6395 Courier package delivery towing,etc)0851 Printing and publishing 3558 Gasoline service stations 6510 Trash collection without own dump 0877 Paper and allied Products General merchandise,apparel, 6536 Public warehousing Miscellaneous repair,except 1032 Stone.clay.and glass products and furniture 6551 Water transportation computers 1057 Primary metal industries 3715 Variety stores 6619 Air transportation 9019 TV and audio equipment repair 1073 Fabricated metal products 6635 Travels agents and tour operators 9035 Other electrical 1099 Machinery and machine shops 3731 Other general merchandise stores sequipment repair p 3756 Shoe stores 6650 Other transportation services 9050 Reupholstery and furniture repair 1115 Electric and electronic equipment 3772 Men's and boys'clothing stores 6676 Communication services 2881 Other equipment repair . 1883 Other manufacturing industries 6692 Utilities.including dumps, 3913 Women's ready-to-wear stores Medical and health services . 3921 women's accessory and specialty snowplowing,road cleaning.eta 9217 Offices and clinics of medical 1511Min and miing Mineral Extraction stores and turners doctors M 1511 Metal mining 3939 Family clothing stores Services(Personal,Professional, 9233 Offices and clinics of dentists 1537 Coal mining 3954 Other apparel and accessory stores and Business Services) 9258 Osteopathic physiciansand 1552 Oil and gas 3970 Furniture stores Moreland other lodging places surgeons 1719 Quarrying and nonmetallic mining 3996 TV,audio,and electronics 7096 Hotels,motels,and touns[homes- 999222904741 Podiatrists 3988 Computer and software stores Chiropractors 4119 Household appliance stores 7211 Rooming and boarding nooses Optometrists Agricultural Services, Forestry, 4317 Other home furnishing stores 7237 Camps and camping parks 9415 Registered and practical nurses Fishing (china.floor caenngs,etc.) laundry and cleaning services 9431 Other health practitioners 1933 Crop services 4333 Muzican record stores 7419 Coin-operated laundries and dry 9456 Medical and dental laboratories 1958 Veterinary services,including pets Building,hardware,and garden cleaning 9472 Nursing and personal care facilities 1974 Livestock breeding supply 7435 Other laundry,dry cleaning,and 9886 Other health services 1990 Other animal services 4416 Building materials dealers garment services Amusement and recreational 2113 Farm labor and management 4432 Paint.glass,and wallpaper stores 7450 rpetand upholstery cleaning servIces services 4457 Hardware stores 7476 Janitorial and related services 8557 Physical fits 2212 Horticulture and landscaping 4473 Nurseries andgarden supply stores (building,house,and window Y fitness facilities 2238 Forestry, PDY9597 Motion picture an except logging cleaning) video production 0836 Logging Other retail stores personal %88 Motion picture and tape 2246 Commercial fishing 4614 Used merchandise and antique Business and/orW services distribution and allied services 2469 Hunting and trapping stores(except motor vehicle parts) 9613 Videotape 4630 Gift.novelty,and souvenir shops 7617 legal services(or lawyer) tie rental Wholesale Trade—Selling 4655 Flonsts 7633 income tax preparation 9639 Motion picture theaters x671 Jewelry stores 7658 Accounting and bookkeeping 9670 Bowling centers Goods to Other Businesses,Etc. Sporting - y 7518 Engineering services 9696 Professional sports and racing, 4697 dgoods and bicycle shops 7682 Architectural semces including promoters and managers Durable goods,Including 4812 Boat dealers9811 Theatrical machinery,equipment.wiood, 4838 Hobby,toy,and game shops 7708 Surveying services performers,musicians, metals,etc. 4853 Camera and photo supply story 7245 Management services agents, it CSPreducers,and related 7260 Public relations 2618 Selling for your own account 4879 Opticalgoods stores 7286 Consulting services 9837 amusement D Other 2634 Agent or broker for other firms- 5017 Luggage and leather goods stores 7516 Advertisin except direct^all services and recreational more than 50%ofgross sales 0n 5017 Book stores,excluding newsstands 7732 Employment agencies and commission 5033 Stationery stores rsennelsupply 8888 Unable to Classify 5058 Fabric and needlework stores tie rtin and Nondurable goods.Including 5074 Mobile home dealers 7799 Consumer credit repo 8 ry food,fiber,chemicals,etc 5090 Fuel dealers(except gasoline) collection services _ 2659 Selling tor your own account 5884 Other retail stores 108 SCHEDULE F Farm Income and Expensr - 0Me No.1515-0074 (Form 1040) ► Attach to Form 1040,Form 1041,or Form 1065. 9990 Department of the Treasury IleSee Instructions for Schedule F(Form 1040). Attachment Internal Revenue Sent. (X) Sequence N N o. 14 Name of proprietor Social security number(UN) ?AWE 144 S.?0 : /2 i 0072 A Principal product.(Describe in one or two words your principal crop or activity for the current tax year.) I Enter principal agricultural activity CZ cope(Porn page 2)► I ZI / IL I C Accounting method: 0 Employer ID number(Not SIN) ® Cash ❑ Accrual Ii Mill ) E Did you make an election in a prior year to include Commodity Credit Corporation loan proceeds as income in that year? . ❑Yes 0 No F Did you'materially participate'in the operation of this business during 1990?(If'No,'see Instructions for limitations on losses.)❑Yes 0 No o Do you elect,or did you previously elect,to currently deduct certain preproductive period expenses?(See Instructions.)0 apceSplynol ❑Yes 0 No Farm Income—Cash Method—Complete Parts I and II (Accrual method taxpayers complete Parts II and III,and Ilna 11 of Part I.) Do not include sales of livestock held for draft,breeding,sport,or dairy purposes;report these sales on Form 4797. 1 Sales of livestock and other items you bought for resale JFoU 2 Cost or other basis of livestock and other items you bought for resale 2 A —36"co 3 Subtract line 2 from line 1 4 4 Sales of livestock,produce,grains,and other products you raised 5a Total cooperative distributions(Form(s)1099-PATR) 54 5b Taxable amount 5b 6a Agricultural program payments(see Instructions) 6a 6b Taxable amount �/ 7 Commodity Credit Corporation(CCC)loans: a CCC loans reported under election(see Instructions) 7 b CCC loans forfeited or repaid with certificates. 17b I I I 7c Taxable amount 7 8 Crop insurance proceeds and certain disaster payments(see Instructions): •� / 4 a Amount received in 1990 I. 8a I I I Bb Taxable amount c If election to defer to 1991 is attached,check here ►0 , Sd Amount deferred from 1989. . d 9 Custom hire(machine work)income 9 10 Other income,including Federal and state gasoline or fuel tax credit or refund(see Instructions) . 10 11 Add amounts in the right column for lines 3 through 10. If accrual method taxpayer, enter the 11 j8o 0 • amount from Page 2,line 51.This is our ross Income Farm Expenses—Cash and Accrual Method (Do not include personal or living expenses such as taxes, insurance, repairs,etc.,on your home.) 12 Breeding fees 12 24 Labor hired(less jobs credit). . 24 76 8 13 Chemicals 13 25 Pension and profit-sharing plans 14 Conservation expenses(you 26 Rent or lease(see Instructions): //, must attach Form 8645) . . 14 a Vehicles, machinery, and equip. 26a 15 Custom hire(machine work) . 15 b Other(land,animals,etc.) . . 26b 27 Repairs and maintenance. . . 27 .74 16 Depreciation and section 179 {0 expense deduction not claimed 28 Seeds and plants purchased . . 28 elsewhere(see Instructions) . 16 475 29 Storage and warehousing . . . 29 17 Employee benefit programs 30 Supplies purchased 30 8'ii other than on line 25 . . . . 17 31 Taxes 31 18 Feed purchased 18 378 32 Utilities 32 19 Fertilizers and lime . 19 33 Veterinary fees and medicine 33 20 Freight and trucking . . . 20 34 Other expenses(specify): //. 21 Gasoline,fuel,and oil . . . 21 a 4,14,A. 34a 22 Insurance(other than health) . 22 bv4u 34b 651 ! /6 23 Interest: b c Vdeisef__Srya 34c a Mortgage(paid to banks,etc.). 23a d ill c% c,rkist— 34d ego* b Other 23b a 34e 35 Add amounts on lines 12 through 34e.These are your total expenses ► 35. 373.C 36 Net farm profit or(loss).Subtract line 35 from line 11.If a profit,enter on Form 1040,line 19,and on Schedule SE,line 1.Ita loss,you MUST go on to line 37.(Fiduciaries and partnerships,see Instructions.) 36 (4 S. 37a 0 All investment is at risk. 37 If you have a loss,you MUST check the box that describes your investment in this activity(see Instructions). }37b❑Some investment s not at risk. If you checked 37a,enter the loss on Form 1040,line 19,and Schedule SE,line 1. If you checked 37b,you MUST attach Form 6198. For Paperwork Reduction Act Notice,see Form 1040 instructions. Schedule F(Form 1040)1990 __. .)15 /ASE L - NJA 4562 _depreciation and AmortIzatlo, OMB No.1545-0172 Form (Including Information on Listed Property) 1J °° 90 Department of the Treasury DI' AttachmentInternal Revenue Service (x) See separate Instructions. Attach this form to your return. Beouence No. 67 Names)shown on return identifying number ZA,4/E 7,-75,U/ci ..a7J— m'r— Co 7.2 Business or activity to which this form relates Part I Election To Expense Certain Tangible Property(Section 179)(Note:If you have any"Listed Property, also complete Part V.) 1 Maximum dollar limitation(see instructions) 1 $10,000 2 Total cost of section 179 property placed in service during the tax year(see instructions) . . . 2 3 Threshold cost of section 179 property before reduction in limitation 3 $200,000 4 Reduction in limitation—Subtract line 3 from line 2.but do not enter less than-0- 4 5 Dollar limitation for tax year—Subtract line 4 from line 1,but do not enter less than-0- 5 (a)Oescnptian of property (b)Cost (c)Elected cost J, yy�J///�///// / 6 �� /v i 7 Listed property—Enter amount from line 26 I 7 / / /1/ti 8 Total elected cost of section 179 property—Add amounts in column(c),lines 6 and 7 8 9 Tentative deduction—Enter the lesser of line 5 or line 8 9 10 Carryover of disallowed deduction from 1989(see instructions) - 10 11 Taxable income limitation—Enter the lesser of taxable income or line 5(see instructions) . . . . 11 12 Section 179 expense deduction—Add lines 9 and 10,but do not enter more than line 11 . . . - 12 13 Carryover of disallowed deduction to 1991—Add lines 9 and 10,less line 12 ► 1 13 I Note:Do not use Part II or Part Ill below for automobiles,certain other vehicles,cellular telephones,computers,or property used for entertainment,recreation, or amusement(listed property).Instead, use Part V for listed property. Part II MACRS Depreciation For Assets Placed In Service ONLY During Your 1990 Tax Year(Do Not include Listed Property) (b)Mo.and yr. (c)Basis for depreciation (d)Recoeery (a)Classification of property nplaced xrecs (Business suse ly—� an°d in (a)Convention (f)Method (g)Depreciation deduction 14 General Depreciation System(GDS)(see instructions): a 3-year property Fiji/7/ b 5-year property c 7-year property � r% d 10-year property///� �� a 15-year property /(%i� 4: I 20-year property //��%�1��r��d.. 27.5 yrs. MM S/L g Residential rental property 27,5yrs. MM 5/L 31.5 yrs. MM S/L h Nonresidential real property ' 31.5yrs. MM 5/L 15 Alternative Depreciation System(ADS)o (see instructions): ji a Class life ///, *Mai 5/L b 12-year % gag 12yrs. 5/L c 40-year 40 yrs. MM S/L Part III Other Depreciation(Do Not Include Listed Property) 16 GDS and ADS deductions for assets placed in service in tax years beginning before 1990 (see 16 instructions) 17 / 17 Property subject to section 168(f)(1)election(see instructions) 18 6'4/ 18 ACRS and other depreciation(see instructions) PartIV Summary 19 Listed property—Enter amount from tine 25 19 20 Total—Add deductions on line 12,lines 14 and 15 in column(g),and lines 16 through 19. Enter here and on the appropriate lines of your return.(Partnerships and S corporations—see instructions) . . 20 O'717/ ///i it"'��I�/:r (/ 21 For assets shown above and placed in service during the current year,enter the portion ��/�t„ of the basis attributable to section 263A costs(see instructions) 21 � For Paperwork Reduction Act Notice,see page 1 of the separate Instructions. Pra6. L _ ,4„//¢ Fenn 4562 (1990)I%C.*, ro. 4562 mepreclatlon and Amortizatle OMR No.1545-0172 (Including Information on Listed Property) 1090 Department of the Treasury Attachment Internal Revenue Service (X) IIII• See separate instructions. Attach this form to your return. Sequence No. 6/ Name(s)shown wn�on return Identifying number Zektit /Fib,/le a S.2 U— ln1 — OO72- Business or aetnity to which this form relates S% r Part I Election To Expense Certain Tangible Property(Section 179)(Note:If you have any 'Listed Property,'also complete Part V.) 1 Maximum dollar limitation(see instructions) 1 $10,000 2 Total cost of section 179 property placed in service during the tax year(see instructions) . . . 2 3 Threshold cost of section 179 property before reduction in limitation 3 5200,000 4 Reduction in limitation—Subtract line 3 from line 2, but do not enter less than-0- 4 5 Dollar limitation for tax year—Subtract line 4 from line 1, but do not enter less than-0- 5 (a)Description of property (b)Cost (c)Elected cost A //it 6 7 Listed property—Enter amount from line 26 • I 7 /if / /// 4. 4 8 Total elected cost of section 179 property—Add amounts in column(c),lines 6 and 7 8 9 Tentative deduction—Enter the lesser of line 5 or line 8 9 10 Carryover of disallowed deduction from 1989(see instructions) 10 11 Taxable income limitation—Enter the lesser of taxable income or line 5(see instructions) . . . 11 12 Section 179 expense deduction—Add lines 9 and 10,but do not enter more than line 11 . . . 12 7m 13 Carryover of disallowed deduction to 1991—Add lines 9 and 10.less line 12 ► 113 I %///�//�S/ Note:Do not use Part It or Part Ill below for automobiles,certain other vehicles,cellular telephones,computers,or property used for entertainment, recreation, or amusement(listed property).Instead, use Part V for listed property. Part II MACRS Depreciation For Assets Placed In Service ONLY During Your 1990 Tax Year(Do Not Include Listed Property) (b)Mo.and yr. (c)Basis for depreciation (d)Recovery (a)C4ssd,catan of properly placed (Business •use Dory—see perio0 (e)Convention (I)Method (g)Depreciation deduction in sernce Instructions) 14 General Depreciation System(GDS)(see instructions): a 3-year property e� /��//// // b 5-year property #/�/// c 7-year property %/r d 10-year property �� /d r e 15-year property f�'f1��f 20-year property /i /%///�, 27.5 yrs. MM S/L g Residential rental property 27.5 yrs. MM S/L 31.5 yrs. MM S/L h Nonresidential real property 31.5 yrs. MM S/L 15 Alternative Depreciation System(ADS)(see instructions): a Class life /2//��///�%///l S/L b 12-year a//if A 12 y r s. S/L c 40-year 40 yrs. MM S/L Ma Other Depreciation(Do Not Include Listed Property) 16 GDS and ADS deductions for assets placed in service in tax years beginning before 1990 (see 16 instructions) 17 17 Property subject to section 168(0(1)election(see instructions) 18 ACRS and other depreciation(see instructions) 18 6 79 Part IV Summary 19 Listed property—Enter amount from line 25 19 I 20 Total—Add deductions on line 12,lines 14 and 15 in column(g),and lines 16 through 19. Enter here G 79 and on the appropriate lines of your return.(Partnerships and S corporations—see instructions) . . 20 /// 21 For assets shown above and placed in service during the current year,enter the portion /r /r�/��/, ��// of the basis attributable to section 263A costs(see instructions) 21 // _For Paperwork Reduction ActNotice,see page 1 of the separate Instructions. A, I — ium Form 4562 (1990) 263 • 4797 Sales of Business Prop( y OMB No.1545-0184 Form (Also, Involuntary Conversions and Recapture Amounts Under • lii©90 Sections 179 and 280F) Department of the Treasury Attachment Internal Revenue Service (x) 10 Attach to your tax return. ► See separate Instructions. Sequence No. 27 Names)shown on return Identifying number ZTAJ Of,if r.a So70— G.;— CO7.2 Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty and Theft—Property Held More Than 1 Year 1 Enter here the gross proceeds from the sale or exchange of real estate reported to you for 1990 on Form(s) 1099-S(or a substitute statement)that you will be including on line 2, 10.or 20 1 (e)Depreciation (f)Cost or other (8)1055 (h)GAIN (a)Description of (b)Date acquired (c)Date sold (d)Gross sales allowed basis.plus ((f)minus the ((d)plus(e) properly (mo.,day.yr.) (mo.,day.yr.) price or allowable improvements and sum of(0)and(e)) minus(I)) j • since acquisition expense of sale 2 3 Gain, any,from Form 468alm Section e,,f 21 j M 4 Section ny, gain from installment sales from Form 6252,line 22 or 30 5 Gain,if any,from line 32,from other than casualty and theft 6 Add lines 2 through 5 in columns(g)and(h) ( ) 7 Combine columns(g)and(h)of line 6.Enter gain or(loss)here,and on the appropriate line as follows: // / Partnerships—Enter the gain or(loss)on 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 1120$.Schedule K.lines 5 and 6.Skip lines 8.9. 11,and 12 below,unless line 7 is a gain and the$corporation is subject to the capital gains tax. All others.—If line 7 is zero or a loss,enter the amount on line 11 below and skip lines 8 and 9.II line 7 is a gain and you did not / have any prior year section 1231 losses,or they were recaptured in an earlier year,enter the gain as a long-term capital gain on / / A Schedule D and skip lines 8,9.and 12 below. 8 Nonrecaptured net section 1231 losses from prior years(see Instructions) 9 Subtract line 8 from line 7.If zero or less-enter-0-.Also enter on the appropriate line as follows(see instructions)' S corporations—Enter this amount(if greater than zero)on Form 1120$,Schedule D,line 7,and skip lines 11 and 12 below. All others—If line 9 is zero,enter the amount from line 7 on line 12 below.If line 9 is more than zero,enter the amount from line 8 on lire 12 below,and enter the amount from line 9 as a long-term capital gain on Schedule D. Part II Ordinary Gains and Losses 10 Ordinary gains and losses not included on lines 11 through 16(include property held 1 year or less); 11 Loss,if any,from line 7 12 Gain,if any,from line 7,or amount from line 8 if applicable r 13 Gain,if any,from line 31 �///// 59 14 Net gain or(loss)from Form 4684,Section B.lines 13 and 20a 15 Ordinary gain from installment sales from Form 6252.line 21 or 29 14111 16 Recapture of section 179 deduction for partners and S corporation shareholders from property dispositions bypartnerships and S corporations(see Instructions) I/ 17 Add lines 10 through 16 in columns(g)and(h) �7 18 Combine columns(g)and(h)of line 17.Enter gain or(loss)here.and on the appropriate line as follows / //� ,, �„/ � a For all except individual returns:Enter the gain or(loss)from line 18 on the return being filed. ��/�44%'///1/4 b For individual returns: ��/V/ ,/i�/r/r4 i, (1) "the loss on line 11 includes a loss from Form 4684,Section 8.Part II.column(b)(ii).enter that part of the loss here and ""n//�LG G//ii.4 cn line 21 of Schedule A(Form 1040).Identify as from'Form 4797,line 18b(1)'.See Instructions . . . . . . . (2) Redetermine the gain or(loss)on line 18.excluding the loss.If any,on line 185(1).Enter here and on Form 1040.line 15 s For Paperwork Reduction Act Notice,see page 1 of separate Instructions. Form 4797(1950) 9SO corm 4797(1990s Page 2 Patt111 Gain From Disposition L ;o.ert Under Sections 1245, 1250, 125.., 1254, and 1255 19 Description of section 1245. 1250, 1252, 1254.and 1255 property: Ilateac4u,red Dare sole Imo..as.Yu) Ono.,day.rr.) A L,ues/vc/C /9d9 /s2cD B C D - Property Property Property Property Relate lines 19A through 19D to these columns ► A B c D 20 Gross sales price(Note:See line 1 before completing) to 9 --_ 21 Cost or other basis plus expense of sale 56.r- 22 Depreciation(or depletion)allowed or allowable /'O/ Z.o 54 23 Adjusted basis.Subtract line 22 from line 21 .3.j 24 Total gain. Subtract line 23 from line 20 y 25 section 1245 property: a a Depreciation allowed or allowable from line 22 b Enter the smaller of line 24 or 25a 59 26 If section n 1250 pre you straight acorporation line depreciation iation was used,enter zero on line 26g unless you are a corporation subject to section 291. a Additional depreciation after 12/31/75(see Instructions) . . b Applicable percentage multiplied by the smaller of line 24 or line 26a(see Instructions) t Subtract line 26a from line 24. If line 24 is not more than line 26a, skip lines and 26d 26e d Additional depreciation after 12/31/69 and before 1/1/76 . . --- • Applicable percentage multiplied by the smaller of line 26c or 26d (see Instructions) f Section 291 amount(corporations only) g Add lines 26b,26e.and 261 --- 27 farmland 1 if property:Skip this section if you did not dispose of --- farmland or if you are a partnership. a Soil,water,and land clearing expenses b Line r multiplied o by applicable 2or percentage(see Instructions) c Enter the smaller of line?4 or 27b 28 If section 1254 property: --- a Intangible drilling and development costs,expenditures for development of mines and other natural deposds,and mining esplonlm costs On Insirudwns) . , b Enter the smaller of line 24 or 28a • 29 I• section 12ble ppercentage Applicable percentage of payments excluded from income under section 126(see Instructions) b Enter the smaller of line 24 or 29a --- Summary of Part Ill Gains(Complete property columns A through D, through line 29b before going to line 30.) 30 Total gains for all properties.Add columns A through D,line 24 S4 31 Add columns A through 0,lines 25b.26g.27c,28b,and 29b.Enter here and on line 13.(See the Instructions for Part IV if this is an installment sale) �.� 32 Subtract line 31 from line 30.Enter the portion from casualty and theft on Form 4684,Section B,line 15.Enter the portion from other than casualty and theft on Form 4797,line 5 Part IV Election Not to Use the Installment Method (Complete this part only if you elect out of the installment method and report a note or other obligation at less than full face value.) 33 Check here if you elect out of the installment method ► 34 Enter the face amount of the note or other obligation ► S 35 Enter the percentage of valuation of the note or other obligation ► % Part V Recapture Amounts Under Sections 179 and 280F When Business Use Drops to 50%or Less (See Instructions for Part V.) • (a)Section 179 (b)Section 280F 36 Section 179 expense deduction or section 280F recovery deductions 37 Depreciation or recovery deductions(see Instructions) 38 Recapture amount.Subtract brie 37 from line 36 (See Instructions for where to report.) 260 • i— a /` .. - ',/iW1welt" —F1040 peoanmeni oil -nurv—inieinai Revenue 5en.,ce n a � O �� o _ r.6 04.- • U.S. Indlvivaal Income Tax Return 1❑I (At �,,,i� ' �eycV 2 ' ( re& For the sear Jan-Dec 31 1990 or other .ear beg'nnirg .1990 ending ��" ,19 I0MB No 1545007A Label I Your lust name ana,nitia1 �Last name Your ocial security number ' (See l ZANF Vtr.613ed lyv/,' Szo 42 i OO71 Instructions A it a mint return,spouse's first name inc initial Last name Spouse's social security number on page 8.) C Use IRS label. I. Home address(numoer aria street).(If you nave a P.0.box,see page 9 1 Apt-no Otherwise. N /� For Privacy Act and please print n o .416 9 —do _re, kL 3O, J Paperwork Reduction or type. E CO.town or post once.state.and ZIP code.(II you have a foreign address.see page 9) Act Notice,see /4//5 ;5 e+ //^ 4_ WY Etc, s o J Instructions. Presidential Note:Checking-Yes"will Election Campaign ' Do you want SI to go to this fund? Yes N° not change your tag or (See page 9.) If joint return,does your spouse want 51 to go to this fund? . Yes E .1 No reduce your refund. 1 Single.(See page 10 to find out if you can file as head of household.) Filing Status 2 Married filing joint return(even if only one had income) 3 Married filing separate return. Enter spouse's social security no. above and full name here. ► Check only one box. 4 Head of household(with qualifying person).(See page 10.)If the qualifying person is your child but not your dependent. X enter this child's name here. ► 5 Qualifying widow(er)with dependent child(year spouse died ► 19 ).(See page 10.) r 6a pX Yourself If your parent(or someone else)can claim you as a dependent on his or her tax I No.of bores 'fl Exemptions return,do not check box 6a.But be sure to check the box on line 33b on page 2 checked on 6s and 6b (See b O Spouse No.of your Instructions a Dependents: (2)Click Muaaeter older.dependent's (4)Dependent's (5)85 5(5.535151 children on 6c on page d under caul security number rebiansb,p is IOU Mad is ymr Mme who: 10.) (1)Name(Lrst,imnal.and ldat name) ales in 2990 ,,// / • lived with you O! /y'cA.1.4s. Con y1 • didn't lire with you due to divorce ar If more than 6 - separation(see dependents,see page II) Instructions on No.of other page 11. dependents on Sc — Add numbers pm d II your child didn't five with you but roc Claimed as your dependent under a prei1985 agreement,check here l► ❑ entered on • Total number of exemptions claimed lines above ► 7 Wages.salane .etc.(attach Form(s)W.2) 7 I Income 8a Taxable interes e(also attach Schedule B if over$400) 8a I — % I Attach b Taa.eaem nfere nco• (see page 13).DON'T include online Sal Bbl I Copy 8 of your 9 ()widen c e(a attach Schedule B if over S400) 9 _ Forms Wit.W-26. 10 I and W-2P here. 10 T bl s of state and local income taxes,if any,from worksheet on page 14 — 11 on r rved 11 11 you do not 12 usiness in a or(loss)(a h .edule C) 12 (9/4; 7 have a W'2. see a he a 13 page 8. 13 ' or(loss)(a' ' ) 14 Capital utl -per line 13(see page 14) _ 14 I l 15 0th • ins (losses If tch urm479.7) is I 59 I Attach check or i money order on 16a Total IRA dust utions , 16a 16b Taxable amount(see page 14) 16b i too of any Forms 17a Total pensions an 'ties 17a lib Taxable amount(see page 14) 17b I W 2,W.20,or 18 I W-2P. 18 Rents.royalties.partnerships.estates,trusts.etc.(attach Schedule E) 19 I S I 19 Farm income or(loss)(attach Schedule F) 20 Unemployment compensation(insurance)(see page 16) 20 21a Social security benefits. .I 21a I I21b Taxabie,4 npunt(see page 16) 2lb I I(, 22 Other income(list type and amount—see page 16)eV — e'dfr""'o 22 ! jw/O''J 23 Add:re amounts shown in the tar right column for lines 7 through 22.This is your total income ► 23 I G 4751 II A i% 24a Your IRA deduction. (n,from applicable worksheet on page 17 or 18 24a I I �/Adjustments b Spouses:RA de0uction,tram applicable worksheet on page 17 or 18 /to Income 25 0ne.rail of seiiemolcyment tax(see page 18) 25 26 Setlehrpiaed health insurance deduction,from worksheet on page 18 26 I II t 27 Neogn retirement plan and self employed SEP deduction 27 j (See 28 Penalty on early withdrawal of savings 28 I Instructions i 129 I I • on page 17.) 29 • Alimony paid. Recipient's SSN ► 30 Add Lres 23a through 29 These are your total adjustments ► ! 30 I Adjusted 31 Subract Ime 30 from •ne 23. This is your adiusted gross income. It this amount is less than I I 520.:64 aril a crutd',bed with you,see page 23 to find out d you can claim the'Earned Income 31 ! /GS-2 ti Gross Income C:ecr a-sire 57 39 i /90' ioo01pace 2 from line 31(ao!usted gross income) 132I eGSZ/f > 33a Checkif 1 You were 65orolder ❑ Blind; ❑ Spouse was 65 or older ❑ Blind.Add the number of boxes checked above and enter the total here 0. 33a b It your parent(or someone else)can clam you as a dependent.check here 33b❑IRS c If you are married filing a separate return and your spouse itemizes deductions,r are a Cuabstatus alien.see page 19 and check here ► 33c ❑ on a Your standard deduction(from the chart(or worksheet)on page34 Enter the 20 that applies to you).OR 34 < a`7 ra1 f . larger /a Your itemized deductions(from Schedule A.line 27). j o1' If you itemize.attach Schedule A and check here. Pt 35 Subtract line 33 from fine 32 35 <69 4F> 36 Multiply 52.050 by the total number of exemptions claimed on line 6e 36 , 100 37 Taxable income.Subtract line 36 from line 35.(If line 36 is more than line 35.enter'0'.) . . 37 w.C 6 e 38 Enter tax.Check if from a u Tax Table.b O Tax Rate Schedules.or c O Form 8615(see page 21) (If any is from Form(s)8814,enter that amount here ► d I .) 38 0 39 Additional taxes(see page 21).Check d from: a O Form 4970 b O Form 4972 . . . 39 40 Add lines 38 and 39 at 40 0 1 41 Credit for child and dependent care expenses(attach Form 2441) 41 I IlL 42 Credit for the elderly or the disabled(attach ScheduleR) Credits 43 Foreign tax credit(attach Form 1116) 43, (See 44 General business credit.Check if from: Instructions on page pagege 21 2l..) a ❑ Form 3800 or b O Form(specify) , 44 45 Credit for prior year minimum tax(attach Form 8801) . . . . 45 46 Add lines 41 through 45 46 47 Subtract line 46 from line 40 (If line 46 is more than line 40,enter.0-) ► 147 ) 0 i 48 Self.employment tax(attach Schedule SE) 48 O Other 49 Alternative minimum tax(attach Form 6251) d9 Taxes 50 Recapture taxes(see page 22).Check if from:a50 • p 8 O Form 4255 b O Form 8611 . 51 Social security tax on tip income not reported to employer(attach Form 4137) 51 52 Tau on an IRA or a qualified retirement plan(attach Form 5329) 52 i 53 Advance earned income credit payments from Form W.2 53 54 Add lines 47 through 53 This is your total tax ► I 54 0 55 Federal income tax withheld(If any Is from Form(s)1099.check ► ❑) 5657 1990and amount applied from 1989 return 56Payments 57 Earned Income credit(see Dage 23) 57 Attach Forms 58 Amount paid with Form 4868(extension request) 58 W2.W-20. 59 Excess social security tax and RRTA tax withheld (see page 24) 59 and W-2P to front. 60 Credit for Federal tax on fuels(attach Form 4136) 6061 Regulated investment company credit(attach Form 2439) . 61 1 I 62 Add lines 55 through 61 These are your total payments ► 62 O 63 If line 62 is more than line 54,enter amount OVERPAID '► 63 O 64 Amount of line 63 to be REFUNDED TO YOU ► 64 I o Refund or 65 Amount of line 63 to be APPLIED TO YOUR 1991 ESTIMATED TAX ► 165 I I J/r Amount 66 If 'me 54 is more than line 62.enter AMOUNT YOU OWE. Attach check or money order for full / You Owe amount payable to"Internal Revenue Service."Write your name,address.social security number daytime phone number,and"1990 Form 1040"on it 66 O ,y� Estimated tax penalty(see page 25) I 67 i I :��/g,/��//�7/)��/��GY./r;04 Sign unit, naNes of penury,l declare that I have eumined this return and accompanying schedules and statements,and to the best of my knowledge and belief. they are t e.correct,and complete Declaration of prepare.(other than taxpayer)is based on all information of wench preparer has any knowledge. He Your s nature Date your«cupation N ep a copy o IhR return Spouse signature(ii joint return,BOTH must sign) Date Spouse's occupation f r your r orris. Preparer's social security no. Date Prewrer. Paid Check if signal a sell-employed O _ PflRaFlfr3 Fm ,s name tor yours , El No Use Only ii sell-employed)and address ZIP code 40 M 75/4 a'. aim a . -t ..per /St, 444.9~4L:.y 491.0 , ,. (MIA.✓v , P»32- .r t/4"24- , -/ '+'. ..460‘4., :746.1 f2d(44d � • , 4m. ./ - .,tom -• raft el a._ ,.1..c.�:l ,.�-. et_ au) jea. anti AAA-- t 4? . - ,.ate. oratitom. _As is Jain ann _Ay 7.1-dr rf• • Pile tenel _ .� 'f ,LGf./r.�-r�•‘- ,.t.� r ,, 1v .! ,Grey. A erm4444- }Eta- altial trail 2 "startle / Aek 151 10 • bfra /f 90 -Ad , o /LGna.0 al *A:"... ' y n GtMr P, Lad* .4t4 l/ u.- .awn+ 41/0 J.ti Pt, !µW aye ‘1Osn r, llk. in pat 1441 101/CIRISID AND SWORN TO MOR1 IQ ICS Is DAT O1 JANUARY, 1919. DY IAMB RICHARD fAVLICA AND TANI MINI TAM PELT. WITMIIS NY HARD AND OTfICIAL RRAL. /1 AA MY COMMISSION 101111/1 1/1/19 91$ TINTM IT own CO 10631 830,,''.23 i ,tad BUSINESS LEASE • • ley y This lease is made this a 'I * day of /`e/ietn• t , 19 9/ , between zany uirhnlas Pavlica (the"Lessor')and Zane Richard Pavlica (the"Lessee-1. In consideration of the payment of the rent and the performance of the emenanls and agreements by the Lessee set forth below,the Lessor does hereby lease to the Lessee the following described premises situate in the County of Weld ill the Slate of Colorado;the address of which is see Attached Exhibit "A" Weld County Road 136 , Building 39520, Hereford , Colorftdo 80732 browny AI.,.,, Iq.l Ikw.r.w TO HAW- AND TO BOLD the same with all the appurtenances unto the said Lessee from twelse o'clock noon on the day of— , 19 ,and until Iwelse o'clock noon on the dm of , 19 ,at and for a rental for the full tern of S 6000'00 payable in monthly installments of S50.00 per month. in advance, 1111 Alf Ilehlre Iwclse of clock 110011.1111 the day ol each calendar month during the term of this lease at the orrice otthe Lessor at see Attached Exhibit "A" Colorado without ounce The Lessee,in consideration of the leasing of the premises agrees as follows: I. To pay the rent for the premises above-described. 2. To keep the improvements upon the premises. including sewer connections. plumbing, wiring and glass in good repair. all at Lessee's expense. and at the c xpir lion of this lease to surrender the premises in us good a condition as when the 1.• •e entered the premises,loss by lire.inevitable accident.and ordinary wear excepted.To keep all sides...ilk,.on and around the premises free and deal of ice and snow,and to keep the entire exterior premises free front all litter,dirt.debris and obstructions:to keep the premises in a clean and sanitary condition as required by the ordinances of the city and county in which the property is situate. 3. To sublet no part of the premises.and not to assign the)tase or any interest therein witbout the written consent of the Lessor. 4. oil use the premises only as agr r3eu In wr'ltt in _and to use the pl noises for no purposes prohibited by the laws of the United States or the Slate of Colorado.or of the ordinances of the city or town in which said premises are locoed,and for no improper or questionable purposes whatsoever.and to neither permit nor suffer any disorderly conduct. noise or nuisance having a tendency to annoy or disturb any persons occupying adjacent premises. 5. To neither hold nor attempt to hold the Lessor liable for any injury or damage.either proximate or remote.occurring through or caused by the repairs,alterations.injury or accident to the premises,or adjacent premises,or other parts of the above premises nut • herein demised.or by reason of the negligence ur default of the ow ners or occupants thereof or any other person.nor to hold the Lessor liable for any injury or damage occasioned by defective electric wiring.or the breakage or stoppage of plumbing or sewerage upon said premises or upon adjacent premises,whether breakage or stoppage results from freezing or otherwise:to neither permit nor sutler said premises, or the walls or floors thereof. to be endangered by os erluading. nor said premises to he used for any put pose which would render the insurance thereon void or the insurance risk more hazardous,nor make any alterations in or changes in.upon,or about said premises without first obtaining the written consent of the Lessor therefor.but to permit the Lessor to place a"For Rent"card or sign upon the leased premises at any time after sixty(MR days before the end of this lease. 6. To allow the I.e ssor to enter upon the premises at any reasonable hour. 7. lo pay all charges for water and water rents and for heating and lighting of the building in which said premises are located. IT IS EXPRESSLY UNDERSTOOD AND AGREED BEI%VEEN LESSOR AND LESSEE AS FOLLOWS: K. No assent.express or implied, to any breach of any one or more of the agreements hereof shall he deemed or taken to he a waiver of any succeeding or other breach. 9. If,after the expiration of this lease,the Lessee shall remain in possession of the premises and continue to pay rent 311O1001 a written agreement as to such possession,then such tenancy shall he regarded as a month-to-month tenancy,at a monthly rental.pap able in advance.equivalent to the last month's rent paid under this lease,and subject to all the terms and conditions of this lease. III. If the premises are left vacant and any part of the rent reserved hereunder is not paid, then the Lessor may. without being obligated to du so,and without terminating this lease.retake possession of the said premises and rent the same for such rent,and upon such conditions as the Lessor may think best,making such change and repairs as may be tequired.giving credit for the amount of rent so received less all expenses of such changes and repairs,and the Lessee shall be liable for the balance of the rent herein reserved until the expiration of the term of this lease. I I. The Lessor acknowledges receipt of a deposit in the amount of S 6Q ._00 ____ to he held by the Lessor fin the Jailbird performance of all of the terms,conditions and covenants of this lease The Lessor may apply the deposit to cute any default under the terms of this lease and shall account to the Lessee for the balance.'fhe Lessee may not apply the deposit hereunder to the payment of the rent reserved hereunder or the performance of other obligations. 12. If any part of the rent provided lobe paid herein is not paid when due.or if any default is made in any of the agreements by the Lessee contained herein,it shall be lawful for the Lessor to declare the term ended,and to enter into the premises.either with or w dhow legal process. and to remove the Lessee ur any other person occupying the premises,using such force as may be necessary. without being liable to prosecution, or in damages therefor, and to repossess the premises free and clear of any rights of the Lessee. It. of ay time, this lease is terminated under this paragraph, the lessee agrees to peacefully surrender the premises to the lessor immediately upon termination. and if the Lessee remains in possession of the premises. the Lessee shall be deemed guilty of forcible entry and detainer of the premises.and. waiving notice,shall be subject to forcible es iction w ith or without process of law. 13. In the event of any dispute arising under the terms of this lease,or in the es ent of non-payment of any suns au ising under this lease and in the event the mailer is turned over to an attorney,the party prevailing in such dispute shall he entitled,in addition to other damages or costs,to receive reasonable attorney's fees front the other pap. 14. In the cs cut any payment required hereunder is not made within ten(10)days after the payment is due, a late charge in the amount of five percent lyhl of the payment will be paid by the lessee, 15. In the event ol a condemnation or other taking by any governmental agency.all proceeds shall he paid to the Lessor hereunder, the Lessee waiving all right to any such payments. 91.015{; No. 1044, Rev.545. Ir3,sf SS LEASE 3$t In. This lease is made with r'— express understanding and agreement that, in 11w • m the Les...' hc..nwv ins,uccm. or is declao ed a bankrupt.then.in either I,the Lessor 11.1) declare this lease ended.and alt of the Le'sce h.tsr t.lc, ,h.ll is uninatc and cease. Tulsa I.EASF shall be binding on the panics.their personal represenuuises.successors and assigns. • ADDITIONAL.PROVISIONS • 13_4_ e( 4 /,«/ 1/a , r�� ;,,�r/ ,�i� j�i5C i'5 A • pr se 1O:eh l.ci-`' .S,c%✓ n ,L,/ (r�ct cG (—'�=i^c', ,, l� ,'G /- SS a , e L5j,I s Le/152 • fix-�r� /- 5 • :iIJ�Z? deel.er J_g " iltreefe tce-l'. 4Z—I t< 1:Sa1R • GUARANTEE For value received hereby guarantee the pa)meat of the rent and the 'terh win:wee of the cosen:ous and agreements by the Lessee in the within Leasc cosenanted and agreed. in manuter and Mon as in said Lease pros Wed. Witness my hand and seal this day of ASSIGNMENT AND ACCEPTANCE For value received. .assignors) hereby assign(si all right.title and interest in and to the within Lease unto assignee(sI —heirs and assigns. with the express understanding and agreement that the said assignors) shall be and remain liable liu the full I,tayment of the rent reserved and the perbamarwe of all the crnenanls and agreements made in said Lease In the Lesseeis)therein named,and will pay said rent and lull) perform said Imenatli.and agreements in case said:assignee(s)shall tail so to do:and in consideration al this assignment the said assignees)hereby:ssume(%)and agree(%)to make all the pa)nents and perlirrnt all the covenants and agreements couained in said Lease. by the I£+sects)therein agreed to he made and perliunled. Wiuiess set) hand and seal this da) of . I') CONSENT OF ASSIGNMENT Consent to the assignment of the within Lease to is hereb) g ken. on the express condition. hsnseser. Mat the assignor shall remain liable Itlr the prompt pa)me nt ul the reps and performance of the covenants on the part of the L•.. •.(s)as herein mentioned.and that no further assignment of said Lease in sub-letting of the premises or any part thereof shall he made ss itnsut further ss Mien assent lirst had therein. Witness my hand and seal this day of . 19 LESSOR'S ASSIGNMENT In consideration of One Dollar to in hand paid. hereby transfer.assign and set user to and assigns interest in the within Lease, and the rent therein reserscd. Witness my hand and seal this day of . I') C110,1 No . 1044 .Rev . 12-88. BUSI"=r,S LEASE BUSINESS LEASE This lease, dated December 15 , 198t'.s between Zane Nicholas pavlica ,as Landlord, and Zane Richara Pavlica ,as Tenant. In consideration of the payment and the performance of the covenants and agreements by the Tenant set forth herein, the Landlord does :hereby lease to the Tenant the following described premises situate in Wela County, in the State of Colorado; the address of which is see Attached Exhibit "A" Weld County Road 136, Building 39520, Hereford , Colorado 80732 Said premises, with all the appurtenances, are leased to the Tenant from the date of December 15 , 1988 , until the date of December 15 , 1998 at and for a rental for the full term of $ 6000.00 • payable in monthly installments ofS50.00 in advance, an the 14 thday of each calendar month during the term of this lease, payable at see Attached Exhibit "A" ,without notice. THE TENANT,IN CONSIDERATION OF THE LEASING OF THE PREMISES AGREES AS FOLLOWS: 1. To pay the rent for the premises above-described. 2. To keep the improvements upon the premises, including sewer connections, pluaing,wiring and glass in good repair, all at Tenant's expense, and at the expiration of this lease to surrender the premises in as good a condition as when the Tenant entered the premises, loss by fire, inevitable accident, and ordinary wear excepted. To keep all sidewalks on and around the premises fee and clear of ice and snow, and to keep the entire exterior premises free fran al litter, dirt, debris and obstructions; to keep the premises in a clean and sanitary condition as required by the ordinances of the city and county in which the property is situate. fp1 ttgg 5- ; y,u.. �1J�.a3� ) �.' a. 3. To sublet no part of the premises, and not to assign the lease or any interest therein without the written consent of the Landlord. 4. To use the premises only as agreed in writing and to use the premises for no purposes prohibited by the laws of the united States or the State of Colorado, or of the ordinances of the city or town in which said premises are located, and for no improper or questionable purposes whatsoever, and to neither permit nor suffer and disorderly conduct, noise or nuisance having a tendency to annoy or disturb any persons occupying adjacent premises. 5. To neither hold nor attempt to hold the Landlord liable for any injury or damage, either proximate or remote, occurring through or caused by the repairs, alterations, injury or accident to the premises, or adjacent premised, or other parts of the above premises not herein demised, or by reason of the negligence or default of the owners or occupants thereof or any other person, nor to the Landlord liable for any injury or damage occasioned by defective electric wiring, or the breakage or stoppage of plumbing or sewerage upon said premises or upon adjacent premises, whether breakage or stoppage results from freezing or otherwise; to neither permit not suffer said premises, or the wall or floors thereof, to be endangered by overloading, nor said premises to be used for nay purpose which would render the insurance thereon void or the insurance risk more hazardous, or make any alteration in or changes, on, or about said presses without first obtaining the written consent of the landlord therefor, but to permit the Landlord to place a"For Rent"sign upon the leased premises at any time after sixty(60) days before the end of this lease. 6. To allow the Landlord to enter upon the premises at any reasonable hour. IT IS EXPRESSLY UNDERSTOOD AND AGREED BETWEEE'! LANDLORD AND TENANT AS FOLLOWS: 7. No assent, express or implied, to any breach of any one or more of the agreements hereof shall be deemed or taken to be a waiver of any succeeding or other breach. 8. If, after the expiration of this lease, the Tenant shall remain in possession, then such tenancy shall be regarded as a mon-to-month tenancy, at a monthly rental, payable in advance, equivalent to the last month's rent paid under this lease, and subject to all the terms and conditions of this lease. 9. If the premises are left vacant and any part of the rent reserved hereunder is not paid, then the Landlord nay, without being obligated to do so, and without terminating this lease, retake possession of the said premises and return the same for such rent, and on such conditions as the Landlord may think best, making such changes and repairs as may be required, giving credit for the amount of rent to received less all expenses of such change and repairs, and the Tenant shall be liable for the balance of the rent herein reserved until the expiration of the [p %%C. lC44 .11ev . 12-dE . 5USINESS LEASS Wrk L term of this lease. 10. The landlord acknowledges receipt of a deposit in the amount of$ 6 00.00 to be held by Landlord for the faithful performance of all of the terms, conditions and covenants of this lease. The Landlord may apply the deposit to cure andy default tinder the terms of this lease and shall account to the Tenant for the balance. The Tenant may not apply the deposit hereunder to the payment of the rent reserved hereunder or the performance of other obligations. 11. At the Landlord's option, it shall be deemed a breach of these lease if the Tenant defaults(a)in the payment of the rent or any other monetary obligation herein; or (b) in the performance of any other term or condition of this lease. The Landlord may elect to cure such default and any expenses of curing may be added to the rent and shall became immediately due and payable. In the event that the Landlord elects to declare a breach of this lease, the Landlord shall have the right to give the Tenant three(3) day written notice requiring payment of the rent or compliance with other terms or provisions of the lease, or delivery of the possession of the premises. In the event any default remains uncorrected after three(3) days written notice, the Landlord, at Landlord's option,may declare the term ended, repossess the premises, expel the Tenant and those claiming through or under the Tenant and remove the effects of the Tenant, all without being deemed guilty in trespass or of a forcible entry and detainer and without prejudice to any other remedies to which the Landlord may be entitled. If at any time this lease is terminated under this paragraph, the Tenant agrees to peacefully surrender the premises to the Landlord immediately upon termination, and if the Tenant remains in possession of the premises, the Tenant shall be deemed guilty of unlawful detention of the premises. The Landlord shall be entitled to recover fram the Tenant all damages by reason of the Tenant's default, including but not limited to the cost to recover and repossess the premises, the expenses of reletting, necessary renovation and alteration expense, commissions an the rent for the balance of the term of this lease. 12. In the event of any dispute arising under the terms of this lease, or in the event of non-payment of any sums arising under this lease and in the event the matter is turned over to an attorney, the party prevailing is such dispute shall be entitled, in addition to other damages or costs, to receive reasonable attorneys' fees from the other party. 13. In the event any payment required hereunder is not make within(10)days after the payment is due, a late charge in the amount of five(5%) of the payment will be paid by the Tenant. 14. In the event of a condemnation or other taking by any governmental agency, all proceeds shall be paid to the Landlord hereunder, the Tenant waiving all right to any such payments. 15. This lease is made with the express understanding and agreement that in the event the Tenant becomes insolvent, the Landlord may declare this lease ended, and all rights of the hereunder shall be terminate and cease. SHOULD AMC PROVISION of this lease violate any federal, No. 1044 .aev . 12-do 3USIM 3 L:JiL; 910156 state or local law or ordinance, that provision shall be deemed amended to so canply with such law or ordinance, and shall be construed in a manner so as to comply. This lease shall be binding on the parties, their personal representatives, successors and assigns. When used herein, the singular shall include the plural, and the use of any gender shall apply to both genders. ADDITICL PROVISIONS Attest: q4N' GL'/!'/ I(21 t?.%'( n // j ) C.t ,., tH , 5 • i`l.l'4 Attest: -2I1' r��'•r��s� �� '‘ /2_ - / 7 - /[/t.f^ GUARANTEE For value received I hereby guarantee the payment of the rent and the performance of the covenants and agreements by the Tenant in the within lease covenanted and agreed, in manner and form as in said lease provided. Dated: ASSIGNMENT AND ACCEPTANCE For value received ,assignor hereby assigns all right, title and interest in and to the within lease unto assignee, his heirs and assigns, with the express understanding and agreement that the said assignor shall be and remain liable for the full payment of the rent reserved and the performance of all the covenants and agreements made is said lease by the Tenant therein named, and will pay said rent and fully preform said covenants and agreements in case said assignee shall fail so to do; and in consideration of this assignment, the said assignee hereby assumes and agrees to make all the payments and perform al the covenants and agreements contained in said lease, by the Tenant therein agreed to be made and performed. 4 .� . ::o. 1C44 .Rev . 12-88 . 3UU_..EC "�.v,� Dated: CONSENT OF ASSIGNMENT Consent to the assignment of the within lese to is hereby given, on the express condition, however, that the assignor shall remain liable for the prompt payment of the rent and performance of the covenants on the part of the Tenant as herein mentioned, and that no further assignment of said lease or sub-letting of the premises or any part thereof shall be make without further written assent first had thereto. Dated: LANDLORD'S ASSIGN In consideration of One Dollar to tim in hand paid, I hereby transfer, assign and set over to and assign my interest in the within lease, and the rent therein reserved. Dated: a• 'lo. 1C44 . Rev . 12-6d . BUSINESS L:AS� (26C 5 ,1 4.,//e._ . cn.� _ .C ..t cL ILO f rc.z v1'1 lte_ ,I.. al C. .++�-i ,Z L,w�� (?,/ _ 5•D ? 3 / E -u SUBSCRIBED AND SWORN TO BEFORE ME THIS 3RD DAY OF JANUARY, 1989, BY ZANE RICHARD PAVLICA. WITNESS MY HAND AND OFFICIAL SEAL. /� / ,/ NTARY PUBLIC MY COMMISSION EXPIRES: 8/7/89 �- " 915 TENTH STREET GREELEY, CO 80631 890222 ORL 404(Rev.5/83) NOl WRITE IN THIS BLOCK /."` \ STATE OF COLORADO le. -b DEPARTMENT OF REVENUE Fr tlr ul K`, DIVISION OF LIQUOR ENFORCEMENT 1375 SHERMAN STREET DENVER,COLORADO 80261 USE LICENSE ACCOUNT NO. LICENSE ISSUED THROUGH FOR ALL REFERENCE (EXPIRATION DATE) COLORADO LIQUOR LICENSE APPLICATION LIABILITY INFORMATION COUNTY CITY INDUSTRY TYPE LIABILITY DATE k\`�\\\, G �� KEY CODE STATE DFEE CITY COUNTY ��W (03) 0 .--------- TOTAL FEE Instructions on Page 4 of Application. I ALL ANSWERS MUST BE PRINTED IN BLACK INK OR TYPEWRITTEN 1.Name of Applicantis):�7If partnership,liss�jartners names(at least two);if corporation,name of corporation: Date filed with Local Authority: 4,4/ic l I(<l4/A! -1 LitM 3 14,v. 14,c+9 State Sales Tax '/Nr /-r/'f No.: • A /EL Per 2.Trade Name of Establishment: IDBAI Business— Telephone: HoMACS46 S.AVpoiV .aI%3-y - ay87 3.Address of Premises: (Exact location of premises must be given.Give street and number,when possible.If place to be licensed is located in a town or rural —district where it is impossible to give street and number,the lot and block number or part of section where located must be given.) 1 ) uE/D ook.Ltw 1) us/ lab , VA tPIG 395:?n/ lieAreF921� CO/OPRAO . 8075..it f County:V: State: Zip Code: `-k-kfEkra 1/.1GLb Cc4)RAbn 807.32- 4.nn ailing Address: (Number and Street) City or Town: State: Zip Code: PO . RC) x eo - lNe1efre mails t b O/,7.32_ 5. If these premises are now licensed,answer the following: Trade//� Name of Establishment(DBA): State License No.: Type of License:MALT- (Expiration Date: Penr, csrej S /7/Sileo,/ -a 7C, 7.3 d;wbs--f- • r4ntcJ -t/f.; ' 7-22-/7t9 ! KEY STATE LOCAL KEY CODE COLUMN A FEES FEES CODE COLUMN B FEESSTAT 20 ❑RETAIL LIQUOR STORE LICENSE-City $177.50 $22.50 31 ❑WHOLESALE LIQUOR LICENSE 1,000.00 20 D RETAIL LIQUOR STORE LICENSE-County 262.50 37.50 32 ❑WHOLESALE BEER LICENSE 500.00 21 ❑LIQUOR LICENSED DRUGSTORE-City 177.50 22.50 38 El IMPORTER'S LICENSE(Vinous&Spirituous Liquor)25000 21 ❑LIQUOR LICENSED DRUGSTORE•County 262.50 37.50 44 ❑NONRESIDENT MANUFACTURER or 250.00 22 0 BEER&WINE LICENSE-City 152.50 22.50 IMPORTER (Malt Liquor) 22 ❑BEER&WINE LICENSE-County 237.50 37.50 27 0 BREWERY LICENSE 250.00 25 ❑CLUB LICENSE ❑City County 110.00 15.00 28 ❑WINERY LICENSE 250.00 23 D HOTEL&RESTAURANT LICENK�SEOCity❑County 301.25 48.75 43 0 LIMITED WINERY LICENSE 25.00 1.1 40 En TAVERN LICENSE ❑City County 301.25 48.75 26 ❑PUBLIC TRANSPORTATION LICENSE_each 25.00 42 ❑RACE TRACK LICENSE ❑City ❑County 301.25 48.75 41 DARTS LICENSE ❑City County 110.00 15.00 0 OTHER(Specify) (Change of corporate structure,location,trade name,renewal,etc.) 89o7,22 (continued) 1 of 4 coo nti ( nued) Hello