Perry Tax Return 2010

8/3/2019 Perry Tax Return 2010

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.--or ftfll&EllJ Tviw, al,{\,,Tt'; ,,, Pu c* c,,,', ,,' ^tt to* t' c ig'ot - 'o,rrt 8(,,1 .zstrs ctrc 611.,ot67tlo_9'll'J Y DEIACH HERE Y,_ 4868 Application for Automatic Extension of TmeTo File U,S. lndividual lncome Tax ReturnFi. ca!dr yor 2OlO. .r othf t yo{ Hrrno .Zoto.drdho

!T{ES R. PERRY & }.{. NITA PERRY1010 coLoRDOusTrN, Tx 7870L4 Eslmato of lolal taxlhbilty for 2010 ...5 Tol12010 paymsnts6 Balanco duo. Subtract lne 5 22,000.I Chocft hers lf you aro 'out of the counbf and a U.S.cit0n or rosld8nl ...............,... > nI Cfpa< tc tf yor o orm to4oNR 6 1o:lotlR.Z rld dd no{ ro..lwt/06 .e rr srlPl. {'b.d lo U,s, k.ome r wlhhddho .,.... f-l

from lno 4

f PT PERR 30 o tt,ot,e b?o


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SCHEDULE A(Form 1040)

MedicalandDentalExpenses

lnterostYou PaidNote.Your mortgagenterstdgductron maybe limted (s6onstructions).Gifts toChartyll you made agift and got abeneft lor it,see instructionsCasualty andTheft LossesJob Expensesand CertanMscellaneousDeductons

TaxesPaid

OtherMscellaneousDeductions

STMT 6

Schedule A (Forr 104O)2010

oMB No. 1545-0074Itemized Deductions> Attach to Form 1040. > See lnskuctions for Schedule A (Form 1o4O).

Cauton. Do not include expenses reimbursod or paid by others1 Medical and dental expenses (see instructions)2 Enter amount from Form 1040, lne38. .3 Multiply line 2 by 7.5% (.075)

67

Stale and local(check only one box):n Il rn"o.e ta,ur, o,- L .. .. . S.EE . S.TATEMEI{T ..7b El Genorat sales taxos ,lReal state taxes (soo instructions)New motor vehiclo taxes from lne 11 of tho workshoot on page 2 (for crtainvehcles purchasd in 2009). Skp ths line f you checked box 5bOther taxes. List type and amount >

't21314

Points not reportod to you on Form 1098. Soo instructions for spcial rulsModgage nsurance promums (seo instructions) ..... ..lnvostment intorest. Attach Form 4952 if roqured. (See instructions.)Gfts by cash or check. lf you made any gift of $250 or more, see instructionsOther than by cash or check. lf any gift of $250 or more, see instructions.You must attach Form 8283 if over $500Carryovor from prior year ....................

21 Unrembursod employeo expnses , job travel, union duos, job ducaton, etcAtlach Form 2106 or 2106-EZ if requred. (Se ntructions.)22 Tax proparaton foes ....................23 Other exponss . invostment, safe deposit box, etc. List typo and amount

>_ gEE_ _S_T!rEU_EN! _s_24 Add lins 21 through23..25 Enter amount from Form 1040, line 386 Multipty li 25 by 2o/o (.O21

Hom mortgage nterest and points roported to you on Form 1098.. __. _ ........Home modgage interest not reportod lo you on Form 1098. ll paid lo the prsonrom whom you bought tho home, see instructions and show that porson's name,identifyinq no., and addrss >

ft

1617

28 Othor from list in nstructions. Ljst typo and amount

TOtal 29 Add the amounts in tho far rght column for lines 4 through 28. Also, onter this amount on Form 1040,Itemized tine 40Deductions go tt y,o, "reci io t".ir" ir"i"" """" i^"rsh ;hr .," '"" ;;; ;;;;il;; ;"ir| ,"".LHA o1o5o1 12-21-lo For Papt work Reducton Act Notce, se Form lO4O nsuctions.52O1O. O3060 PERRY, JMES R.4400916 786859 630 530 2


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Schdule A (Fo.m 1040) 2010 Pge 2for Lne 7 -New motorvehcletaxes

(Attach toForm 1040.)

01s50212.21 t1n^o't ?o a Eo 2^ 6a^l 1^rll ttrEW

Worksheet Before you begin: /

Use thisworkshoet 2to figure themount toentr on 3lne 7.

Enter the state or local sales or excise taxes you pard in 2010for the purchs of any now motor vohiclo(s)after February 16,2009, and bfore January 1, 2010 (see instructions)Enter the purchse price (befofe Iaxes)of the new motor vohcle(s)

You cannot take this deduction if the amount on Form 1040, line 38, is equal to or greater than $135,000($260,000 f madod riling jointly)./ See the instructions for lin 7 on pago 4.6

ls the amount on lin 2 moro than M9,500?X No. Enterrhe amount from line 1fJ Yes. Frguro the portion of th tax from lno 1tht is altrbutablo to th lkst $49,500of the purchase prc of each new motorvohicle and enter it here (soe nstructos).4 Enterthe amount from Form 1040,line 38 ...... .. . _5 Enlor the totalof any-. Amouts rom Form 2555, lines 45 and 5Oi IForm 2555.E2, line 18;and Form 4563, Iine ;5, Iand I. Excluson of ncome from Puerto Rico )6 Add lins 4 and 5 . .7 Entr $125,000 ($250,000 if married filing jointly) .... ...........I ls th amount on lne 6 more than th amount on line 7?ff No. Entor the amount from line 3 abovo on Schodulo A,line 7. Do not compote tho rest ofthis worksheet,n Yes, Subtract lne 7 from lne 6I Divdo th amount on lng B by $10,000. Entor the result as adecimal (rounded to at loast thres places). lf tho rosult s L000or more, entor 1.000

fO Multiply lino 3 by jne 9It Deducton lor new motor vehlole taxes. Subtract lino i0 from lns 3. Entor tho rosult here

7 Schedule A (Form l04O) 2010

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SCHEDULE B(Form 10404 or 1040) lnterest and> Attch to Form 1O4OA or 1040, Ordinary Dividends> See instructons. Ali'll9ll," oeList name of payer. lf ny intorost is from a seller'financed mortgago and the byr used thoproporty as a personl residonc, soe page 8.1 and list this interest first. Also, show thatbuyer's social security numbor and addross >

PLAINSCAPITL BNK

2 Add tho mounts on lino 13 Excludablo intersst on series EE and I U.S. savings bonds issuod after 1989.Attach Form 88154 Sublract line 3 from line 2, Enter the rsult here and on Form 10404, or Form 1040, line 8aNote, lf line 4 is ovor $1.500.5 Lst name ofpayer >

You must complote ths pad f you (a) had over $1,500 of taxable nterest or ordinary dvdsnds; (b) had a loroignAt any trme durino 2010, did y0u have an nterest in or acountry, such as a bank account, securities account, or (requremenls for Form TD F 90-22,1 ........... .......

authorty over a tnancal accou nt n a f0re0nSee paoe B-2 for exceptio0s and filin0b lf Yes,' entr the name of the foregn country >A Durng 2010, did you receive a distrbution from, or wore you the gnlor of, or transfrol to, a foroign trust?"Yes." vou mv hve t fle Form 3520.LHA For Paperwork Reducton Act Notice, seo separate insuctons. Schedule B (Forrn IO+OA or lO4O) 2OlO7tnl n n?nn DDv

Part Ilnterest

Note. lf youroceivod a Form1099.tNT,Form 1099-OlD,or substitutostatement froma brokorage firm,lst the frrm'sname as thepayer and onterthe total interestshown on thatform.

Part llOrdinaryDivdendsNotei lf yourecevod a Form1099.D|V orsubsttutestatement froma brokerago firm,list the frm'snam as thspayr and enterthe ordinarydvldends shownon that form.

Part lllForegnAccountsandTrusts

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SCHEDULE D(Form 1040)Opnmnl ol th lreasuylldd nvnu Sc

from Schodul6(s)K.1 .

o2a51l 12-27-10lt^^o1 tAe qA ?n

Capital Gains and Losses> Attach to Form 1O4O or Form 104oNR. > Se lnstructons for Schedule D (Form> Use Schedule D- l to lst dditonal transactons for les i and 8. YoursocrLsulynumb4(a) Dosdplion oipro6rry(Exampl: 1oo sh. XYz co.)

2 Entor your short.term totals, fany, from Schedule D.1,lino2 .............3 Totalshort-term sales prce amounts.Add linos 1 and 2 in column (d)4 Short.term gain from Form 6252 and short.torm gan or (loss)from Forms 4684, 6781. and 8824 .5 Net short'term gain or (loss) from partnorships, S corporations, estates, and trustsfrom Schedule(s) K-l SEE,STTEMENT,...9,,, ..6 Short{erm capital loss carryover. Entr the amount, if any, from ln '10 of your Captal LossCarryover Worksheet in the instructions() ossqplion orropery{Exrmlo: 100 sh. XYZ C.

Enter your long.term totals, f any, from Schedule D.1, lno ITotal long-term saes prce amounts.Add linos 8 and I n column (d)...Gan from Form 4797, Part l; long'term gan from Forms 2439 and 6252; andIong-torm gain or (loss) from Forms 4684, 6781, and 882412 Net long.trm gan or (loss) from partnerships, S corporatons, states, and trusts. SEE STATEMENT.. 10

I't0

(l| oain or oss

(l)cain d (ross)

i..r.tl

Schedule D (Form 1O) tO

11

13 Capitalgan distributons . . .14 Long.term capitl loss carryovor. Entor the amount, f any, from lno 15 of your Captal LossCarryover Worksheet in the instructions15 Net long-term captal gan or (loss). Combne lins B through 14 i column (0. Then go toLHA For Papowork Reduction Act Notice, see ygur lax return lnstructions

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16 Combine lines 7 and 15 and ente the rsult.lllno16isgn,enterthoamountfromlinol6onForml040, lin 13, or Form 1040NR, fine 14.

Then go to ino 17 below.. lf line 16 is a loss, skp lines 17 through 20 below. Thn go to lin 21. Also be sureto completeline 22.o lf lne 16 is zero, skip linos 17 through 21 below and ontor-0.on Form 1040, line 13, or Form1040NR, lino 14. Then go to line 22.

17 Ar lnes 15 and 16 both gans?f] Yes. Go to line 18.n No. Skip lines 1B through 21, and go to ln 22.18 Enter the amount, f any, from ine 7 of the 28% Rate Gan Worksheet on pago D-8 of thenstruclions..............19 Enter the amount, if any, hom lino 18 of tho Unrecaptured Secton 1250 Gai Worksheet onpage D 9 of the instructions .... .. .....20 Are lines f8 and 19 both zero or blank?f] Yes. Completo Form 1O4O through ine 43, or Form 1040NR through lino 41. Then complete theOualled ovdonds and Captal Gan Tax worksheet in tho Instructions for Form 1040, line 44(or in tho lnstructions for Form 1040NR, lne 42). Do not complete lines 21 and 22 below.E No. Complt Form 1040 through lino 43, or Form 1O40NR through lne 41. Then comploto theSchedule D Tax Worksheet on pag D.'f 0 of the nstructions. Do not complet lines 21 and22 blow.21 lf line 16 s a loss, onter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of:

S E.E,,ST.AEEJ, ENT...1 1Note. When figuring whch amount s smallor, troat both amounts as positivo numbrs.

22 Do you havo qualfed dvidends on Form 1040, line 9b, or Form 1040NR, line 10b?E Yes. Comploto form 1O4O through line 43, or Form 1O40NR through lne 41. Thon complete theOualifed Dvdends and Capital Gan Tax worksheet n th lnstructons for Form 1040, line 44(or n the lnstructons lor Form'1040NR, lne 42).E No, Complete th rst of Form 1O4O or Form 1040NR.

o The loss on ln 16 or I. ($3,OOO), or if marriod tiling separately, ($t,5OO) l

020512 12-2f- \A

14400916 7868s9 630 92010.03060 PERRY,

Schedule D (Form 104O) 2010

'JUES R. 630 _-_..2


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SCHEDULE E(Form 1040)6pall ol lhe frouylnldnlqv6h!Sic l00lName(s) slown on relurn

Supplemental lncome and Loss(From rental real estate, royalties, partnershps,S corporatons, esttes, trusts, REMlCs, etc,)> Attach lo Form 1040, l040NR, or orm 1041. > See l0stflclio0s lor Schedule E (torm

102010,03060 PERRY, arr{Es R.

0[B No.2010rool l ii'il"Ji," rsYour social security number

Schedule t (Form '1040) 2010630 2

or Loss Note. llyou are r0 the busness ol renlngSchdule C or C-tZ (see aoe E-3) are a0 individual, reDorl farm renlal income 0r loss from Form 4835 on

lncome:3 Bents rece,vedI

Expenss:5 Adverlising6 Aulo and travel(see page E-5) . .7 Cleanrng and mainleonce .B CommssionsI lnsuraoce10 Legaland olher p rofess i0nal feesl1 l\.lana0emenl fees'12 Mortgage interest paid t0 banks, etc(see page E-5)l3 other nterest

14 Repairs15 Spplies16 Taxes17 r..'tliries1B other (lisl) >SEE STTEMENT 12

19 Add lines S lhrou0h 18 .. ........20 Deprecialon expens or depfetion (see page -S)2l Total expenses. Add lifles 19 and 20 .22 ncome or (loss) from r nlal real estaleor r0yafly propeties. Subtract llne 21from line 3 (rents)or line 4 (royaltjes).lf the resull is a (loss), see page -6 tolind out rl you must file Form 6190 ..23 oeduclible renta, real estate loss. CstonYoJr rentalrealestale loss on line 22 maybe limited. See paoe 8"6 to find out fyoumust file F0rm 8582. Realestate professionalsmuslcomplete lne 43 on paoe 224 lncome. Add positve amounls shown on lin 22. Do not include any losses . . .25 Losses. Add royalty lossBs rom line 22 and rentalrealestate lOsses fom lin 23. Enter totaltosses here26 Toll rental real eststo and royalty i0come or (los6). Combne lines 24 and 25. Enler the resutt here.lf Parts ll, lll, lV, and lin 40 on page 2 do not apply to you, also enter this am0nt on Form 'l040,021401 o3-21.11 LHA Fof Psperwork Reduction Act flotice, see insttuclion

2 For each rental realeslate pr0perty listedon lre 1, did you or your family use itduring lhe taxyear for personalpurposesfor more than the greater 01:o 14 days or. 10% ofthe totaldays rented at fairenta,value?RESIDENTTAIJ RENTL PROPERTY

14400976 786859 630


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Ca!tion. The IRS compares amounts reporled on your tax return wilh am0nts shown on Schedule(s) K-1.amount rs not at rsk. check column f on lne 28 and attach Form 6198. See Daoe E-227 Are you rporling ary l0ss nol allowed in a pri0r year due t0 lhe al-risk or basis limitalions, a prior year unallowed loss f0m a

passive activity (if lhat loss was not reporled on Fofm B5B2), or unrelmbursed parlnrship expenses?lhs seclon.

(a)Name

lncome and Loss(f) Passve loss allowd(attach Form 8582 if required)

Nonpassive lncome and Loss

E vu" E r'o{e) check f

()Nonpassive ncomefrom Schedule K-11"4.1

(l) other ncome fromSchedle K-f

601.(o) lncome fromSchedules 0, line 3b

029a Totalsb fotals

3{a Totalsb Totals

021501fi-2r.11/nno1 ?44 a o 4?r

30 Add c0lumns (g) and (j) of line 29a31 Add columns (f), (h), nd (i) of line 29b32 otal parte16hip and S corporaton income of (lo6s), Combine lines 30 and 31. Enter theor Loss and Trusts

{a)Name

Passve lncome and Loss(c) Passive deducton or loss allowed(attach torm 8582 if required)

3637

Add columns (d)and (f) ol line 34aAdd columns (c)and (e)ofline 34bTotelestt and

(a) Name

40 Net farm rentalincome 0r (loss) from Form 4835. Also, complete line 42 below .4l TotalnCome Or (l0SS). Combno tin 26,3e,3z. so, dd 40. Enrtrrhordsutr h*ad on Fo. 1040, tin642 Reconcillallon of farmng snd fish09 ncom. Enler your 0toss farmino and fishing incomereported on Form 4835, lne 7;Schodule K- 1 (Form 1065), box 14, code B; Schedule K-1(orm 1120S), b0x 17, code U; and Schedute K-1 (Form 1041), ine 14, code F (see page E-B)43 RconcilistOn lor feal estate prolessOnalS. Iyou woro rotsrgto prorosstoat(6 ps E-2),nl lho net ncho d (loss) you rpodd s/h{6 on Fdd ro{o dfdm 1o0NR lYon all rntrl rl 6stsl

tLtnl n 2trn !iw

n the totalon line 41 below

MFq ?n )


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Passthrough ,1. R. pERRy co.PRTNERSHlP

Ordinary business ncome (loss).-__Rental real state income (oss) .-..-_ .Other net renta income (loss) __ ....... .Intangible drillng costvdry hole costsSeltcharged passive nterst expenseGuaranteed payments ..........._......_..Section 179 and canyover _.........._...Disallowed section 179 xpense ...Excess farm lossNet income (loss)First passive other .. ... . .Second passive otherCost depltonPercentage depletionDepletign canyoverDisallowed due to 65% lmitatio . ...Unreimbursed expenses (nonpassive)Nonpssive other _..._

INCOME FROM PASSTHROUGH STATEMENT, PAGE 1

Section 1231 qain (loss)

Net short.tem cap. gain (loss)Net long.term cap. gan (loss)

1

lnvestment nterest expense. Sch. A

Chadtable contrib!tions.._..__-.... ...._...Oeductions related to portfolio ncomeOther ..... _. ..............

02155103-03-11T2


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SCHEDULE ENamePassthroughPRTNERSHIP

lnterest income _ ._.._..-_..lnterest from U.S. bondsOrdinary dividends,......Qulified dividends

Depreciation adjustment afte. 12/31 /86Adjusted gan or ossBenefciary's AMT adjustmenl ._.......Depletion {otherthan oif) ... .. .. ........Setf-employment eamings (loss)^VagesGross farming & fishing nc ......._.......Foyattis -......... .. ...Foyafty expensevdepletion __. _ __ .._Undistributed capitalgains credit .. .Backup withholding .Credit f or estmated lax ..... ...............Cancellation of debtMedical insurance . 1040 . .. . ... .. .Dependent care benefrtsRetirement plansoualfied production activities income .. ..Passthrough adjustmeft to Form 1040Penalty on eary withdrawal of savngsNOL ......... ..... .Othr taxes/recapture of credits _..... .Crdits ... -. ...... . .Casualty and theft loss .._..._..._.._.......


lo '15-a642655

42155205-ol-1013


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SCHEDULE ENmePassthrough REvc_LE "alr' TRUsr cRrNT Bo NTT pER.RyESTTE OR TRUS

Ordinary business income (loss) .. ...Rental realestate income (oss) . ....-Other nt rentalncome (loss) ... .. _..lntangible drillng costs/dry hole costsSelfharged passive nterest expenseGuaranteed payments ...__............-_.Sec'lion 179 and carryover ...._..._.....Disalfowed section 179 expense .....Excess frm lossNet ncome (loss)First passive otherSecond passive otherCost deplelionPercentage depletionDepletion crryoverDsallowed due to 65% lmitation . ..Unreimbursed expenses (nonpassive)Nonoassive other

INCOME FBOM PASSTHROUGH STATMENT, PAGE 1

Section 1231 gain (oss)

Net short-term cap. gain (loss)Net long'term cap. gain (loss)

lD 03 60927 80

lnvestment interest expense - Sch. A

Charitable contributio ns -. _ _. -.. _ . _. _ _..... _ .Dcluctons related to portfolio incomeOther -.. .. .......-..-... .

02155103-03.11L4


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Interest ncome .__..__....lnterest from U.S. bondsOrdinarydividends ... ..Qualifred dvidends

Depreciation adrstment after 12/31 /86Adjusted gain or lossBeneficiary's AMT adjustment .. ...-.Depletion (other than oif) . .. , .........-.Selfmployment eamings (loss)^VagsGross farmng &fshing inc . _..-. _......Royafties ...... . .,.....Royalty expensevdepletion . -. .. ..Undistributed capital gans credit .....Backup withholdng ,.Crdit for estimted tax ................ _....Cancellation of debtMedical nsurance-1040 .. .... . .....Dependent cre benefts ....._.... ._.Retrement plansoualified production activities incorne .. .Passthrough adjustment to Form 1040Penatty on early withdrawal of savingsNOL ..................Otherlaxesfecapture of credits -. .. ..Credits ................Casuahy and theft loss


lD 03 6092?80

021552o5-01-1015


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SCHDULE ENameP""*rounnESTTE OR TRUST

Ordnary busness income (loss) __. ...Rental real estate income (loss) _._ . .Other net rental income (loss) ... ..__.._lntangible diling costvdry hote costsSelf{hrged passive interest expenseGuaranteed paymentSection 179 and carryover ...._.._.._Dsllowed section 179 expenseExcess fam lossNet income (loss)Frst passive otherSecod passive otherCost depletonPercentage depetionDepleto carryoverDisallowed due to 65% limitation ... .Unrembursed expenses (nonpassve)Nonpassive other._..


Section 1231 gan (loss)

Net short.term cap. gain (loss)Net long.lerm cap. gain (loss)

lD ?4,646?s84

lnvestment nterest expense. Sch. A

Charitable contribLtons.... _._....._..__....Deductions related to portfolo ncomeOther

021551 !6


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SCHEDULE EName .JEs R. PERRYPAsSlhTOUgh REVOCTILE BLIND 'IIRUSI STE GFE4ENT FBO RrCK PERRY DlD IO 74-5461584ESTE OR RUST

nteresl income ...._........lnterest from U.S. bondsOrdinarydividends .....Qualifed dividends

Depreciation adjustment after 1 231186Adjusted gain or lossBeneficiary's AMT adjustment . . . . .Deoletion (other than oif)Selfmployment eamings (loss)^VagesGross farming & fshing inc ...... ........Royaties ...-. -..-..... .Royattyexpenses/dopletion ... .... ...Undistributed capital gains credit ...-..Backup withholding ..Credil for estimated tax .....................Cancellation of debtMedical insuranc- 1040 . . __. ._. _.._Dependent care benefrts ..._......_..__.._Retirement plansouallfied production activtes ncome . ..Passthrough adjustment to Form 1@10Penalty on early withdrawal of savngsNOL ... ...............Othertaxes/recapture of credits.. ...Credits ... ..Casuatty and theft loss .._.._......_.._....


021552 L7


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SCHEDULE EName .l'lEs R- pERRyPassthrough Rp 2O1O uNcEMxNT TRUST _ TERRY VCDNIEL. fRusTEEESTTE OR TRUS

Ordinary business income (loss) .. __ -Bental realestate income (toss) . ._ . .Other net rental income (lgss) .._.. _...Intangible drillng costs/dry hole coslsSetf{harged passve interest expenseGuafanteed payments .,..._..__ .... ....Section 179 and carryover .........,..._Disallowed seqtion 179 expnse ...Excess farm lossNet income (loss)First passive otherSecond passive otherCost depletionPercentage depleiionDepletion carryoverDisallowed due to 65% limitation .....Unrembursed expenses (nonpassve)Nonpassve other

INCOME FROM PASSIHROUGH STATEMENT. PAGE 1

Section 1231 gain (loss)

Net short-term cap. gain (loss)Net long term cap. gan (loss)

1

lo 2'7 -6832469

lnvestment interest exense' Sch. A

Charitable contributions.__.._......._.._.._.Deduclions related to portfolo incomeOther _. _ _. _ . .. ...,..

021551 18


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SCHEDULE ENamePassth.ough Rp 2010 MNG{ENT TRus TERRY HCDNIEL TRUSTEEESTTE OR RUST

lnterest income _..._..-_. ...lnterest from U.S. bondsOrdinarydividends ..... ..Qualified divdends ..-. ...

Dprecaton adjustment after 12l31 /86Adjusted gain or lossBeneficary's AMT adjustment ... .Degletion (o'ther than oil)Sellmployment emings (loss),,^WagesGross farming & fshing inc . _ .__Boyalties.Royatty expensevdepleton . ..Undistributed captal gans credit _ ..Backup withholding .-Credit tor estmated taxCancellaton of debtMedical nsurance - 1O40 _ .. .. ..._Dependent care benefrts .._.._.... .._Retirement plans0ualifed producton activities income ..Passthrough adjustmet to Form 1040Penalty on early withdrawal of savingsNOLOther txes/fecapture of credts _....Credits ._...... ...-..-...Casuahy and theft loss ..__.,_.._...........


lD 21 5832469

42155205-01-1019


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SCHEDULE ENarnePASSthTOUgh TI'B P 2O1O MNGE{{ TRUST TERY UCDNIEI, TRUSEE ID 21,693249'.1EST18 OR RUST

Ordinary business income (toss)... ....Rental rea'estate ncome (loss) , .. __.Other net rental income (oss) ....... .lntangible drilling costvdry hote costsSelf-charged passive nterst expenseGuaranleed payments ._..._._.._......._..Secton 179 and carryover ._ ._......_...Disallowed section 179 expense ......Excess farm lossNet income (loss)First passe otherSecond passive otherC,ost depletionPercentage depletionDepletion carryoverDisallowed due to 65% limilation . . .Unrembursed expenses (nonpassive)Nonpassive other ..


Secton 1231 gai (loss)

Net short-term cap. gain (loss)Net long{erm cp. gain (loss)

lnvestment interesl expense .Sch. A

Charitable contributons...._........._.._...Deductions rltd to portfolio icomeOther . _. ___._. . __ ...

02155103-03-1120


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SCHEDULE ENmePassthrough H! p 2010 MtU{cEutT TRtrslESTTE OR TRUS

lnterest ncome _..._.._....lnterest from U-S. bondsOrdinary dividends ... ..Qualified dividends

Deprecia{ion adjustmer.l aftet 12/31 /86Adjusted gain or lossBeneficary's AMT adjustment .........DeDleton (other thn ol)

Selfmployment eamngs (loss)/VvagesGross farmng &fshing inc ..........Royalties ..-...Royatty expenseldepletion . _. __ __.Undstrjbuted capitalgains credil .. _.Backup withholding ..Credit for estimated tax ............ _.._... _.Cancellaton ot debtMedical insurance - 1040 ... ....... . ..Dependent care benefits .... ......_.... .Betirement plans0ualified production activities income .. .Passthrough adjustment to Form 1040Penahy on early withdrawal of savingsNOL ... ........... .Other taxes/recapture of credits . .. .. .Credits . _.__.-..-_.._.Casualty and theft loss .._.._...............

INCOME FROM PASSTHROUGH STATEMENT. PAGE 2

lo 2't-6832491

02155205-01-102!


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..,. 1116frnmnl f lh. los!rvlntqal Revne Sqvice '{Og)

Foreign Tax Credit(lndvidual, Estate, or Trust)> Attach to Form 1040, 104ONR, 1o41, or 99O-lPERRY

Use a separale Form 1116 for each category 0f income fisted below. See Cale0ores ol lrcome in the inslruclionsamounts in U.S. d0llars except where specified n Part ll below.a E Passive category income cI Sectio0 901(j) iflcomeb f-l Generalcale0ory ncome d E Certain incore re-souced by trealy e E Lump-sum distributions

2010Ai'iliL" rsldentifyng nUmber as shown o psqo I ol vor td rerurn

only one box 0n each Form 1116. Beporl all

I Rcdnt f /nrmp l^rntv ! TTNTrlFn qtP'FRSNole'. ll you paid taxes to onty one lorcgn country or IJ.S. possession, use colun A n Pad I and le A in Parf ll. lf you paid taxs t(more than oneloreign country ot U-5. possesslon, use a separate column and lne for each country or possesson.Taxable lncom or Loss From souces Outsd the United States Checked Above)

g Enter the nme ol the foreign country or U.S.possesson .. I1 Gross income lrom sourcs within c0untry shown aboveand of the lype checked above:

b Check if line 1a is compensation for personal services asn mployee, your tolalcompensation from allsources is$250,000 0r more, and Vou used an alternative basis t0determine ls source (see inslrDeductons and losses (Cat0n: see ,instn/ction9:2 Expenses defntely relaled lo lhe income on line 1a(ttach stalement)3 Pro rata share 0f other deductons n0t detintely related:a Cerlain itemized deducti0ns or standard deducti0nb

cdIa

0lher deductions (attach stalemert)i\dd lnes 3a and 3bGross foreign source ncome .. . .Gross income from allsourcesDivde lioe 3d by lne 3e .[rultiply line 3c by line 3l . .. ..Pro rata share of interest expens:Home mortoage interest (us worksheet 0n paoe 14ol lhe instructions)0ther interesl expenseLosses lrom foreign sourcesb56

or accruedln U.S. dollars

(slTotaltoreigntaxes paid oraccrued (add cols.(o)through (r))

LHA For Paperwork Reduction Act Notlce, see lnstfuctions.

Taxes withheld at source on:axes withheld at source on:

24ro,. 1116 tzorol


25/38

I Fnter the amount from line B. These ar your tolal forer0n laxes pad or accruedfor the calegory 0fincome checkd above Part I

1O Caflyback or cayover (anach delailed c0mputali0n)11 Add llnes 9 and 10 . . .12 Beduction in foreign txes't3 Subtracllinel2lromlinell.Thisislhelolalamountolforei0nlaxesavailableforcredit...14 nler the amount from line 7. This is your taxablc inc0m or (loss) fom sources outside the

U0iled Slales (belore adjustments) for the category of income checked above Parl I15 Adjustmenls to line 14 ... .. . .. ..16 Combine the amounls on lines 14 and 15. This is your net foreign source laxabe i0c0me.

(lf the result is zero or less, you have n0 foreon tax credil for the cate00ry 0f incomeyouchsckedab0vPartl.SkiplineslTthrouOh2l,Howevr,ifyouarefilingmorethan0ne torm 1116, you must complcle line 19.)f7 lndviduals: Enter lhe amounl from Form 1040, line 41, or orm 1040NR, lne 39.Estates and lrusts: Enler your taxabfe income without the deduclion for y0urexemDlionCaulion: lf you fgurcd you tax using the lower rctes on quallied dvldnds or capital gains, see nstructions1g Divide line 16 by lne 17. lf line 16 is more than lrne 17, enter'1'19 lndvdual6: Enler the amounl from torm 1040,|ne 44. lf you are a nonresidnt alien, enler th amount from torm 1040NR,line 42. Eslate6 and tru$ts: Enler the amount from Form f041, Schedule G, line la, or the total of Form 990-T,Caulion,lf you are completing lne 19 fot separate categorye (lump-sum disttbu tions/, see mstuctions.20 Mllply line 19 by line 18 (maximum amounl ofcredl)21 Enlr the smaller of lne 13 or line 20. lf this is lhe only Form 1't 16 you are filing, skip lines 22 through 26 and enter this

complete the line in Parl lV22 Credlfor taxes on passive category income23 Credit l0r taxes on general cale0ory income24 Credl for taxes 0n cerlan income re-sourced by treaty .25 Credit for taxes on lump-sum dstributons26 Add lines 22 through 25 ..............27 Enter lhe 6maller of line 19 0r line 2628 Beduction 0f credit for inlernalional boycott operations . .29 Sublract line 28 from hne 27. This is your forei0n tax credit, Enter here and on Form 1040, line 47;Form 101

o1151112.10-10

14400916 786859 630 252010.03060 PERRY, J.AMES R. 630


26/38

,",_ 1116Dprmnl of rhe-rrasurylnlqnalFvenuService {e9l

I.,TERNATIVE MTNIMTIM TAXForeign Tax Credit(lndivdual, Estate, or Trust)> Attach to Form 1040, 1O4oNR, 1O41, or 990-T.Nmc

ljsc a separate Form 1116 f0r each calegory of income lisled below. See Cateoories of lncome in the nstructi0ns.mounts in U.S. d0llars excepl wherc specified in Part ll below.a Fl Passive category income c E Section 901(j) incomeb f] Generalcategory income d E Crrtain inror, r-sourced by lrealyforegn country ot U.S use a se,arcte colun and lne fot each country or possesslon

Taxable lncome or Loss From Sources Outsde the United States (fo' Category Checked

Enter the name ol lhe foregn country or U.S.ossessionGross inc0me from sources wilhin counlry shown aboveand ol the tYP cncked above:

b Check if li0e 1a is c0mpensatiofi for personal services asan employee, your total compensalion from allsources is$250,000 or more, and you used an alternatv basis t0determlne its instructions)Deductons and losses (Cuto0l Se instrucfiotqi2 Expenses defntely felated lo the income on lne la(tlach slalement)3 Pro rata share olother deducti0ns n0l defnltely relsled:a Certain itemized deductions 0r standard deduction . .b 0ther deductions (atlach slaremenr)c Add lines 3a and 3bd Gross lorei0n source incomee Goss income lrom a,l sourcesf Divide line 3d by line 3eg Multply line 3c by line 3f4 Pro rata share 0f interest expense:a Home mortgage interesl(use worksheet0n page 14oflhe instructions)

b other interest expense ....... ..5 Losses from foregn sources

LHA For Papework Reducton Act Notce, see nstructions.011501

taxes pad or accfued{s)Totalforeionlaxes paid oraccrued {add cols.(o)throgh (r))

2010!i'![?l,,. lg

nu mbet as shown on oe 1of your ld retlrn

one boxon each Form 11'16. Rep0rl alle f] Lump'sum dislributions

Nole: tl you pad taxes to only one lorcgn counfly or U.S. possesslon, use column A in Paft I and line A n Pat Il, Il you pad taxes t]|'ore lhan one

Taxes withheld at source on:axes withheld atsource on:

26

AIJTERNATIVE MINIMUM TAX


27/38

I Enter lhe amounl from line B. These aro your total forei0n taxes paid 0 accrudfor the caleooy 0f ncome checked above Parl I

'to Carryback or carryover (atlach detailed co.pulation)11 Add lines 9 and 1012 Beduction in foreign laxesl3 Subtractlinel2fromlnell.Thisisthetotalamountofforei0ntaxesavalableforcredit....14 Enler the amo{nt from line 7. This is your laxabfe ncome or (loss)om s0urces 0utside lhe

United States (before adjustments) for the cateoory 0f income checked above Part I15 Adjustments lo line 14l6 Combine the am0unts 0r lines 14 and 15. This is you net foreign souce taxable income.(lf the result is zero or less, you have no foreon tax credit for the category of income

you checked above Pat l. Skip lines 17 through 21. However, rf you are filino more lhanone torm l l l6, you must complele line 19.) .. . ...l7 lIdviduals: Enler the amountfrom Fom 1040, line 41, or tom 1040NR, line 39.Istates and lrsls: Enter your taxable income with0ut the deduction for yourexemplf0nCaulion: ll you lgured yourtax using the lower ites on qualied dividends ot capitalgans, se instructions.18 Divide line 16 by line 17. lf lne 16 is more lhan line'17, enter'1'19 lndviduals: nler lhe am0unt fom Form 1040, line 44. ll you are a n0nreside[t alien, enler the amount from torm 1040NR,line 42. Estats and trsts: E0ter the am0unt from Form 1041, Schedule G, line '1a, or the total of torm 990-T,lines 36 and 37Catlion: ll you are completing lne 19 tot sepamto categorye (lump-sum dsttibutons), see nsttuctons.20 lvlulliply lne 19 by fine 18 (maximum amount of credt)21 Enter th smallet of lin 130rline20. lfthisistheonlyForm1116youarefling,skiplines22through26andenterlhis

22 Cfedil for taxes on passve category income23 Credit for laxes on generalcal00ry inc0me24 Credil for taxes on certain ncome re-sourced by lreaty ...25 Credit for laxs on lump-sum dislributions26 Add lnes 22 through2' .27 Enter the rmaller ol line 19 or line 262a Reductr0n of crdit f0r internati0nal boycott operali0ns29 Subtract li0e 28 from lire 27. This is your torei0n tax credt. Enter here and on Form 1040, line 47;

01151r12-1-10

14400916 786859 630 2l2010.03060 PERRY. ,]MES R. 630


28/38


29/38

Form 1116 U.S. and Foreign Source lncome SummaryN,4EJ'4ES R. & M. ANrr PERRY lC

FOREIGNTOTAL-

U.S, PSSTVECompensationDividends/DstributionslnterestCapitalGainsBusiness/ProfessronRnURoyaltyState/LocalRefundsPartnership/S CorporationlrusVEstaleother lncomeGross lncome

Less:Seclion 911 ExclusionCapitalLossesCapltal Gains Tax Adjuslmeot

fotal Income - Form 1116

Deduclions:Business/Prof osslon ExpensesRnYRoyally ExpensesPart0ership/S Corporation LossesTrusLtstate LossesCapitlLossesNon-captalLosseslrdivdual Retremenl Account.lovng ExpensesSelf-employment Tax DeductionSelf-employment Health lnsuranceKeo0h ContributionsAImonyFofeited lnterestForeign Housing Deduction0lher AdjustmentsCaplal Gains Tax Adjustment

Total DeductionsAdjusted Gross lncomeLess ltemized Deductons:

Specfically AllocatedHome l\ortga0e lnterest0ther lnterestRatably AllocaledotalAdjustments to Adjusted Gross lncome

Taxable lncome Belore Exemotions

65,000. 65,000._255.005. 25s.005.26 ,935 . 26 ,935.228,070. 228.010.4,72!.1,057.

L2,500.2 ,079 .

4,845. 4 ,845 .

LO.62 10,623,2L7.447. 217 ,447.

t32,995.4,17 4.23,935.s,388.

18,839.4 ,60t.

L32 ,995 .4,t] 4.73.23 ,935 .5,388.

18.839.4,601.

4,72r.1,057.

12,500.2,079.3,708. 3,708.L8,287. L8.287,199 .160. 199 . 160.

o2793105-01-10I nalo'l 4 ?QQEo


30/38

Form 1116 Allocaton of ltemzed Deductons

Taxes .lnteresl - Nol lncludng lnveslmenl

lntereslConlributions[iscellaneous Deductions

Subject to 2%0ther [iscellaneous Deductions -

Not lncluding Gambling LossesForeign AdiustmentTotal ltemized Deductons

Subjecllo Sec. 68Add ltemized Deductions

Not Sbiect to Sec.68:Mdical/DentalInvestment lnlereslCasualty LossssGambling LossesForegn Adjuslment .:... . ....... .Total ltemzed Deductons

o27A7lf0,19.t0

Oepletion 6570 of Taxable ncore A ocation


31/38

Taxable ncome incuding a available NOL cayover 19 1 , I 6 0 .PIus attowabte deptetion 809.Mnus cost depletionTaxable income before percentage deptetion t92 , 669 .65% 0.6565% of taxable income 125 ,235 .PropertyNumber

1 I.R. PERRY CO.Property Description Percen'lageDepletion

oarAllocatiorRatio

t.000000LmtedPercentage

Iotel025531 051.10

arloCoslDepletion

PercentageDepetion Final

809.BealocationRatio1.000000

ono arlo 809. 1 .00000

.fA}fES R. & M, NITA PERRY J-


32/38

FORM 1040 MISCELI,ANEOUS INCOME STATEMENT 1DESCRI PTT ONTEXS ASSOCIATION GAINST SEXUL ASSAUI,TTOTAI, TO FORM 1040, I..,INE 21

65,000.6s , 000.

STTEMENT ( S )', a2

.fMES R. & M. NITA PERRY


33/38

FORM 1040 STUDENT LON INTEREST DEDUCTION STTEMENT7. ENTER THE TOTI-., INTEREST PID IN 2O1O ON QUAI,IFTED STUDENTI,OANS. DO NOT ENTER MORE THAN $2,5002 . ENTER THE I{OI]NT FROM FORM 10 4 O , I-,TNE 223. ENTER THE TOTAL OF THE MOUNTS FROM FORM 1040, I,INES 23THROUGH 32 PLUS NY WRITE_IN D.fUSTMENTS YOU ENTERED ONTHE DOTTED I,INE NEXT TO I.,INE 3 64. SUBTRACT LINE 3 FROM LINE 25. ENTER THE MOUNT S}IOWN BELOW FOR YOUR FTLING STATUS.* STNGLE, HEA OF HOUSEHOLD, OR OUAI,IFYING WIDOW(ER)_$60,OOO* MARRIED FIIJING 'IOINTI'Y_$].20, OOO6. IS THE MOUNT ON L,rNE 4 MORE THAN THE MOUNT ON I-,INE 5?t I NO. SKIP LINES 6 ND 7, ENTER -O^ ON LTNE 8, AND GO TOLINE 9[X] YES. SUBTRACT LINE 5 FROM LINE 41. DIVIDE LINE 6 BY $15,OOO ($3O,OOO TF MRRIED FII,ING JOTNTJ,Y).ENTER THE RESUI-,T AS A DECTMAI, ( ROIJNED TO AT I,EAST THREEPI,CES). TF THE RESULT TS 1.OOO OR MORE, ENTER 1.OOO

2,500.222 ,292.

4 ,845 .2L7 ,447 .

120,000.

97 ,447 .

1.0002,500..

oMULTTPLY LINE 1 BY I.,TNE 7.STUDENT LON TNTEREST DEDUCTTON. SUBTRCT LINE 8 FROMI,TNE 1. ENTER THE RESUIJT HERE ND ON FORM 1040, LTNE 33 0.

FORM 1040 WAGES RECEIVED AND TAXES WTTHHEI,D STATEMENT

TS EMPLOYER'S NAME AMOI]NTPAIDFEDERI\T-, STATE CITYTAX TAX SD FICA MEDTCREWITHHEI,D WITHHEI,D TX W/H TAX TAX

T OFFTCE OF THEGOVERNORTOTI,S

L32,995. t9 ,97!. 6,622. L,928.L32,99s. 19.911. 6,622. L,928,

33?n1n n?rn DErDv .f l'lfF'q STATEMENT ( S )?n 2, 3)rrrnol ?o a o "

JMES R. & M. ANITA PERRY


34/38

FORM L040 OUALIFIED DTVTENDS STATEMENTORDTNARYDIVIDENDS QUAI,TFIEDDIVTDENDS.}fE OF PAYER

FROM K_ 1 _ REVOCBI.,E BLIND TRUST STATEAGREEMENT FBO RICK PERRY DTD 9-13_96FROM K-1 _ RP 2O1O MANAGEMENT TRUSTTOTI., INCLUDED TN FORM 1O4O. IJTNE 98

3 ,467 .101 . 3 , 413.690.4 ,103.

SCHEDULE A MTSCEL,LANEOUS DEDUCTIONS SUBJECT TO FLOOR STATEMENTDESCRI PTTONFROM K-1 _ REVOCABTE BLIND TRUST STATE AGREEMENT FBO RICK PERRYTD 9-13-96FROM K-1 * RP 2O1O MNAGEMENT TRUSTTOTAL TO SCHEDULE A, LTNE 23

MOIJNT1,000.3 , 370.4,370.

SCHEDUI,E A CASH CONTR]BUTIONS STATEMENTMOUNT508 I.,IMIT AMOUNT308 LfMITESCRTPTION

TEXAS ASSOCIATTON AGAINST SEXUAI., ASSAUI,TI,AKE HII,LS CHURCHSUBTOTAI,STOTAL TO SCHEDUI,E A, I,TNE 16

2,500.10,000.12,500.

12,500.SCHEDUI,E STTE AND LOCAI, GENERI., SAI,ES TAXES STATEMENTDESCRI PTIONSTATE SAI,ES TAX],OCAL SAI.,ES TXTOjtAI-, TO SCHEDUI,E , LINE 5

AMOUNT1,829.585.

34an1^ f^4^ rrErDDv

2,414.

STATEMENT(S) 4. 5, 6,'1T'\rfltc ?n )rr^^14 tQao E o 4?r

.JMES R. & M. NITA PERRY


35/38

SCHEDUI.,E A GENERAI, SALES TAX DEDUCTION WORKSHEET STATEMENT 81 ENTER YOUR STATE GENERL SALES TAXES FROM THEPPLICABI.,E TABIJE.TEXAS

IF, FOR AI.,I, OF 2O].0, YOU LIVED ONI,Y IN CONNECTICUT,THE DISTRICT OF COLUMBIA, INDIANA, KENTUCKY, MATNE,MARYLAND, MASSACHUSETTS, MICHTGAN. NEW'JERSEY,RHODE TSLND, OR I^IEST VIRGTNTA, SKIP LINES 2THROUGH 5. ENTER _O_ ON LINE 6, AND GO TO I.,INE 7.OTHERWISE , GO TO I-,INE 2 .2 TD YOU LIVE IN LSK, ARI ZONA, RKNSAS.CLIFORNIA (LOS NGELES COI]NTY ONLY),COI,ORDO, GEORGT, TLI,TNOIS, LOUTSIANA,MISSOURI , NEI,I YORK STATE, NORTH CROLINA 'SOUTH CAROLINA, TENNESSEE, UTAH, ORVIRGINIA TN 2O1O?rF NO, ENTER *O_.IF YES, ENTER YOUR I-,OCAL GENERL SALESTAXES FROM THE APPLICABLE TABLE. O.3 DID YOUR T-.,OCAL]TY TMPOSE A T,OCA], GENERA].,SAI,ES TX IN 2O1O? RESTDENTS OFCAI,TFORNIA AND NEVADA SEE INSTRUCTIONS.IF NO, SKIP I.,INES 3 THROUGH 5 , ENTER- O - ON LINE 6 .AND GO TO LTNE 7 .TF YES, ENTER YOUR LOCAI, GENERL SAI,ESTX RATE, BUT OMIT PERCENTAGES. 2.OOOOAUSTIN4 DID YOU ENTER - O - ON I.,INE 2 ABOVE?IF NO, SKIP I-,INES 4 ND 5 AND GO TO T-,TNE 6 .IF YES, ENTER YOUR STATE GENERI-., SAI,ESTAX RTE, BUT OMIT PERCENTAGES. 6.25005 DIVIDE I,INE 3 BY LINE 4. ENTER THE RESULT ASA DECT}.,AI, ( ROI'NDE TO AT I,EAST THREE PI,ACES). .32006 DID YOU ENTER _O- ON I,TNE 2 ABOVE?TF NO, MULTIPI,Y LTNE 2 BY I,INE 3 .TF YES , MULTIPI,Y LINE 1 BY I,INE 5 .6A DD I,TNE 1 ND LTNE 6 .6B PART_YER DAYS RTE .6C MUI,TIPLY I,INE 6A BY LTNE 68.7 ENTER YOUR GENERL SI,ES TAXES PATD ON SPECIFIED ITEMS,fF ANY.

35tnl n?nr Erw .TMEq p

8 DEDUCTION FOR GENERL SALES TAXES. D I,INES 6C AND 7.ENTER THE RESULT HERE AND ON SCHEDUI.,E A , I,INE 5 AND CHECKBOX "8" ON TIIT I.,INE. 2,4L4,

I ,829 .

585.2 ,4L4.

1.0000002 ,4L4.

STATEMENT ( S ) 86?n )^ A^nO1 ? aO CO "n

.JAMES R. & M, ANITA PERRY


36/38

SCHEDUI,E D NET SHORT-TERM GAIN OR LOSS FROM STATEMENTPRTNERSHIPS, S CORPORATIONS, ND F]DUCIARIESDESCRIPTION OF CTTVITYRP 2O1O MANAGEMENT TRUSTTOTAI, TO SCHEDULE D, PART I, I,INE 5

GAIN OR I-OSS'ir

SCHEDULE D NET LONG_TERM GAIN OR LOSS FROM STATEMENT 10PARTNERSHIPS, S CORPORTTONS. AND FIUCIARIESDESCRIPTION OF ACTTVITYRP 2O1O MA,NAGEMENT TRUSTTOTAL TO SCHEDULE D, PART II, LTNE 12

GAIN OR LOSS 28T GAIN23 ,93s.23,935.

36a^l n?rn t,ErDw STATEMENT ( S ) 9, 1O?n,,1 alaO14 tO4OEO 42al AMFC D

JMES R. & M. NITA PERRY


37/38

SCHEDUI,E D CPITAL I,OSS CARRYOVER STATEMENT 111,2.t6.o

o10.L1.13.

ENTER THEENTER THECOMBINE LENTER THEENTER THEENTER THELINE 15

199,160.3,000.202,760,3,000.zub , t6.

3,000,203 ,7 62 .330,841.

A.I'IOI'NT FROM FORM 1040, LINE 41LOSS FROM SCHEDUI,E D, LINE 21,INES 1 AND 2 . IF ZERO OR I-,ESS ,SMALLER OF LINE 2 OR I,INE 3LOSS FROM SCHEDULE D, LINE 7,GAIN, IF ANY, FROM SCHEDULE D,

AS A POSITIVE .AMOUNT.ENTER _O_S POS ITIVE A.I.OUNT

ADD I,INES 4 ND 6SHORT_TERM CAP ITAI.., LOSS CARRYOVER TO NEXT YER.SUBTRACT I,INE 7 FROM I,INE 5. IF ZERO OR I,ESS, ENTER _O_ENTER THE LOSS FROM SCHEDUI-,E D , LINE 15 , AS A POSTTM AMOIINT 'ENTER THE GTN, IF NY , FROM SCHEDUI,B D ,LINE 7SUBTRACT L]NE 5 FROM LTNE 4. IF ZERO OR I,ESS.ENTER -O_ADD LTNES 10 AND 11LONG-TERM CP ITAI, I,OSS CRRYOVER TO NEXT YER.SUBTRCT LINE 12 FROM IJINE 9. IF ZERO OR LESS, ENTER _O_ 330,841.

SCHEDUI,E E OTHER EXPENSES STATEMENT 1.2.f .R. PERRY CO. _ ROYAI.,TYDESCRT PTTONROYALTY INCOME DEDUCTION I 'J.R. PERRY CO.TOTAL TO SCHEDULE E, PAGE 1. LINE 18

AMOIJNT248.248.

SCHEDULE E INCOME OR (I,OSS) FROM ESTATES AND TRUSTS STATEMENT 13NME EMPI,OYERID NO. PSSVELOSS PSSTVE NONPASSIVE NONPASSIVETNCOME I,OSS INCOMEREVOCABT,E .'BLIND "TRUST AGREEMENTFBO ANITA PERRYREVOCABI.,E BLTNDTRUST STATEAGREEMENT FBORP 20L0MANAGEMENT TRUST

03-609278074-646758427 -6832469

0.

371n 4 ?oao


38/38

MANAGEMENT TRUSTTOTI.,S TO SCHEDULE E , LINE 3 4 0.0. 4 ,607.SCHEDUI-,,E SE NON_ FRM TNCOME STATEMENT 1.4DE SCRT PTT ONTEXAS ASSOCTATTON AGAINST SEXUAI., ASSAUI,TTOTAL TO SCHEDULE SE, LfNE 2

AMOUNT6s,000.65, 000.

SCHEDULE SE NON_ FRM INCOME STATEMENT 15DESCRI PTI ONJ.R. PERRY CO.TOTAI, TO SCHEDUIJE SE, I-''INE 2

AMOI]NT18,839.18,839.

FORM 8903 OPAI FROM PASSTHROUGH ENTITTES STATEMENT 16NAME OF PASSTHROUGH ACTIVITY\T.R. PERRY CO.TOTAI., TO FORM 8903. LINES 7 ND 1.7

OPAI I.IOIJNT WAGES AMOI]NTL4,tt1 . 0.L4,!T7 , 0.

roRM 1116 U.S. AND FOREIGN SOURCE INCOME SI.]MMARYTOTAL PARTNERSHIP / S -CORPORATTON INCOME/ LOSS STATEMENT 17DES CRI PTTONJ.R. PERRY CO.TOTAI, PRTNERSHI P / S _ CORPORT] ON INCOME / I,OSS

NCOME LOSS18,839.18,839.

STATEMENT(s) 13, 14, Ls, L7

Documents

Perry Tax Return 2010