Sheriff - Supreme Court

Transcription

IN THE SUPREME COURT OF OHIO
The State ex rel. Dick Flanagan,
Relator,
Original Action
in Quo Warranto
V.
Case No. 13-0239
David M. Lucas,
Respondent.
ANSWER OF RESPONDENT, DAVID M. LUCAS,
SHERIFF OF BELMONT COUNTY, OHIO,
TO FIRST AMENDED COMPLAINT
Christopher J. Gagin (0062820) (COUNSEL OF RECORD)
Of 'CoiinseZ
Tracey Lancione Lloyd (0046702)
Lancione, Lloyd & Hoffman
Law Office Co., L.P.A.
3800 Jefferson Street, Suite 101
Bellaire, Ohio 43906
(740) 676-2034
Fax No. (740) 676-3931
chris. gaginCgaginlegal. com
[email protected]
COUNSEL FOR RESPONDENT, DAVID M. LUCAS
LANCIONE, LLOYD
B:HOFFMAN
Mark E. Landers (0026042)
2071 Aspen Ridge
Dayton, Ohio 45459
(937) 609-5783
[email protected]
'.
LAVv OFF(CF_CO..
L. P. A.
ATTOINEYB AT LAW
CO F0R RFIvAT0R,..D-:
I
53cLLA?RE, OHIQ 439C6
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NOW COMES Respondent, DAVID M. LUCAS, the duly elected Sheriff of Belmont
County, Ohio, in answer to Relator's amended complaint in Quo Warranto:
PARTIES AND JURISDICTION
l. Respondent admits Relator's amended complaint is an original action sounding in
quo warranto but expressly denies Relator is entitled to immediate possession. of the Office of
Sheriff of Belmont County, Ohio, in answer to paragraph 1 of the amended complaint.
2
Respondent admits the allegation contained in paragraph 2 of the amended
complaint.
3.
To the multiple allegations contained in paragraph 3 of the amended complaint,
Respoitdent answers as follows: Respondent admits that his term as Sheriff of Belmont County,
Ohio began on Monday, January 7, 2013, as mandated in R.C. §311.01(A), however, Respondent
was sworn in on Friday, January 4, 2013, by Belmont County Common Pleas Judge, Jolul M.
Solovan, lI. Respondent denies that he did not meet the mandatory qualifications for said office
pursuant to R.C. §311.01(B). Respondent admits the Belmont County Board of Elections
certified him as the duly elected Sheriff of Belmont County, Ohio, as Respondent defeated
Relator in the Noveniber 6, 2012, general election 16,859 to 14,209 (54.26% to 45.74%).
Respondent denies that Relator was the only candidate for Sheriff that met the statutory
qualifications on the ballot, and denies that Relator is the duly elected Sheriff of Belmont
County, Ohio at present. Respondent admits that Relator has commenced this action to remove
Respondent from office but denies that Relator is entitled to the office.
L.ANC(ONE-, LLOYD
& HOFFMAN
4. Respondent admits this action was commenced pursuant to Chapter 2733 of the
LAW OFFECE CO..
L. P. A.
ATTORNEYS AT LAW
Revised Code, in answer to paragraph 4 of the amended complaint.
BEL:_AIRE. ON.{O 43906
I
5. Respondent is without knowledge or information sufficient to form a belief as to
whether Relator has given proper security costs for this action, in answer to paragraph 5 of the
amended complaint.
6. Respondent admits the jurisdictional allegation contained, in answer to paragraph
6 of the amended complaint.
RELEVANT' FACTS
7. Respondent admits the qualifications for the office of sheriff in Ohio are set forth
in R.C. §311.01, in answer to paragraph 7 of the amended complaint.
8. Respondent admits the portion R.C. §311.01(B)(8)(a) is quoted properly, in
answer to paragraph 8 of the amended complaint.
9. Respondent admits the portion R.C. §311.01(B)(9)(a) is quoted properly, in
10. Respondent denies the allegations contained in paragraph 10 of the amended
complaint relative to his supervisory responsibilities, as established in the `Belmont County
Sheriff's Office Firearms Requalification Program Primary and Off Duty Handguns' records,
which are attached hereto and incorporated as if fiillyre-written herein as Exhibit A. Respondent
admits that he retired from the Belmont County Sheriff 5 Department on October 31, 2007,
holding the rank of Major, and states that he was assigned supervisory responsibilities at all
times relevant up to said date.
11. Respondent admits that lie and his wife purchased vacation property in the State
of Florida via General Warranty Deed executed on or about June 30, 2010, as attached hereto an
LANC!ONE. LLOYD
& HOFFMAN
incorporated as if fully re-written herein as Exhibit B, but expressly denies that he has ever been
LAW OFF!CE CO.,
L..P.A.
A7TORNEYS A.T LA`f✓
a resident of the State of Florida. Respondent fiirther denies that the Belmont County Board of
BGL',NRE. OHIO 4390E
2
Elections failed to verify his status as an Ohio resident at all times relevant to this action, in
answer to paragraph 11 of the amezaded coznplaint.
12. Respondent admits that then Belmont County Sheriff, Fred Thompson, attempted
to file a challenge to Respondent's qualifications with the Belmont County Board of Elections on
or about December 23, 2011. Respondent also admits that neither Relator, Gary Landers, nor
any other qualified elector in Belmont County, Ohio attempted to challenge Respondent's
qualifications for almost a full year until Relator and Mr. Gary Landers filed `letters of protest'
in mid-Deceznber 2012. Respondent further denies that the Belmont County Board of Elections
refused to investigate the allegations, as a hearing was held on. or about December 17, 2012, at
which time the protests were rejected, in answer to paragraph 12 of the aznended complaint.
the truth of the allegations regarding 1Zelator's communication with the Belmont County Board
of Elections, or its response, in answer to paragraph 13 of the amended complaint.
14. As set forth in his answer to paragraph 3 above, Respondent admits that his term
as Sheriff of Belmont County, Ohio began on Monday, January 7, 2013, as mandated in R.C.
§311.01(A), however, Respondent was sworn in on Friday, January 4, 2013, by Belmont County
Common Pleas Judge, Johii M. Solovan, 11, in answer to paragraph 14 of the amended complaint.
the truth of the allegations regarding Relator's communications with the Prosecuting Attorney of
Belmont County, Ohio, or his response, in answer to paragraph 15 of the amended complaint.
16. Rcspondent is without knowledge or information sufficient to form a belief as to
LANCIONE, LLOYD
& HOFFMAN
the truth of the allegations regarding Relator's communications with the Ohio Secretary of State
LAW C>FFICE CO..
L,P.A.
ATTORNEYS.ST LAW
BE'U_A.IRE. <7HIO 43906
3
and,/or the Belmont County Board of Elections, or their respective responses, in answer to
paragraph 16 of the amended complaint.
17. Respondent is without knowledge or inforznation sufficient to form a belief as to
the truth of the allegations regarding Relator's communications with the Belmont County Board
of Elections, or its response, in answer to paragraph 17 of the amended coinplaint.
18. Respondent admits that he retired as a Major in the Belmont County Sheriffs
Department on October 31, 2007, having begun his service with the Department as a full-time
deputy sheriff on August 12, 1981, and that he was immediately appointed as a Special or
Reserve Deputy Sheriff, effective on October 31, 2007, in answer to paragraph 18 of the
amended complaint.
complaint.
20. Respondent admits Relator has eorrectty copied R.C. §311.01(H)(1) in answer to
21. Respondent admits the allegation contain in paragraph 21 of the amended
complaint.
complaint.
complaint.
LANCIONE, LLOYD
& HOFFMAN
compla.int.
LAW OFF(CE CO..
L.P.A.
ATTORNE.YS AZ' LAVV
SELL:4IRE. 01110 1.3906
4
25.
Respondent denies the allegations contained in paragraph 25 of the amended
complaint.
26.
complaint.
27.
complaint.
28.
Respondent denies the allegations contained in paragraph 28 of the axnended
complaint.
29.
complaint.
30.
complaint.
Respondent admits that he did not list his Florida vacation property as his official
residence in his Application for Candidaev as said property was never his domicile or `home
address.' Respondent truthfully listed his domicile(s) /`home address' from 1991 to 2011 on his
Application for Candidacy, which included two (2) home addresses within the City of St.
Clairsville, Belmont County, Ohio. Respondent also admits that he ti-utlifully listed himself as a
reserve deputy sheriff from `2007 to Present' on said Application, in answer to paragraph 31 of
the amended complaint.
32. Respondent admits that he and his wife took vacations to their Florida property
from June 30, 2010, to December 7, 2011, but expressly denies that he ever became a resident of
LANCIONE, LLOYD
& HOFFMAN
the State of Florida at any time from October 31, 2007, to December 7, 2011, in answer to
LAW OFFICE CO.,
L.P,A.
ATTORNEYS AT LAW
BELLAfRE. OîIO 43906
5
33. Respondent denies that he ever established a legal residence or domicile in the
State of Florida from October 31, 2007, to December 7, 2011, in. answer to paragraph 33 of the
amended complaint.
34. Respondent denies that he ever established a legal residence or domicile in the
State of Florida from October. 31, 2007, to December 7, 2011, and expressly denies that he did
not pay Ohio State income tax during that period on the strength of his Ohio State tax returns for
tax years 2007-2011, which are attached hereto and incorporated as if fully re-written herein as
Exhibit C (though properly redacted relative to personal information pursuant to S.Ct.Prac.R.
3,12(A)), in answer to paragraph 34 of the amended complaint.
35. Respondent admits that the Honorable Jennifer L. Sargus, then Belmont County
Court of Common Pleas Administrative Judge, approved his qualification for sheriff, in answer
to paragraph 35 of the amended complaint.
36. Respondent denies the allegatiozis contained in paragraph 36 of the amended
complaint, as he provided all documentation requested and/or mandated to the Belmont County
Board of Elections sufficient for them to certify his candidacy.
37. Respondent admits that Respondent has attached two (2) Affidavits and
Respondent's Qualification Document to the amended complaint. However, Respondent
expressly denies that certain paragraphs of Exhibit 1 and 2 represent Relator's personal
knowledge, as paragraph 5 in Exhibit 1 and paragraphs 6, 7 and 8 in Exhibit 2 contain
impermissible hearsay and%or matters outside Relator's personal knowledge, in answer to
paragraph 37 of the amended complaint. Respondent further denies the accuracy of the factual
LANCIONE. LLOYD
& HOFFMAN
allegations contained in Exhibit 1, including but not necessarily limited to paragraphs 1,8, 9, 10,
LAW OFFICE CO..
L. I'. A.
A'T','ORNEYg AT LAW
BELLAIRE, OH1O 43906
6
11, 13 and 14, as well as tlle factual allegations contained in Exhibit 2, including but not
necessarily limited to paragraphs 1, 2, 4, 5, 6, 7, 8, 9 and 12.
CLAIM FOR RELIEF
38. Respondent re-states each and every answer provided in paragraphs 1-37 in
39. Respondent denies that he has usurped, unlawfully holds and/or that Relator is
entitled to the Office of Sheriff of Belmont County, Ohio, as Respondent was properly certified
as a qualified candidate for said office by the Belmont County Board of Elections, and thereafter,
fairly and handily defeated Relator in the November 6, 2012, general election to earn his
entitlement to the emoluments, immunities and privileges appertaining the office Respondent
now lawfully holds, in answer to paragraph 39 of the amended complaint.
40. Respondent denies Relator's entitlement to the Office of Sheriff of Belmont
County, Ohio and denies Relator is competent or qualified to hold said office, in answer to
41. Respondent denies Relator is entitled to a writ of quo warranto removing
Respondent from office and declaring Relator entitled to possession Respondent's office, in
answer to paragraph 41 of the amended complaiiit.
42. Respondent states that paragraph 41 is identical to paragraph 41, and therefore,
included in error. Nonetheless, Respondent re-states the denial stated in answer to paragraph 41
in answer to paragraph 42 of the ainended complaint.
42. Respondent denies Relator's right to any and all relief requested in paragraphs a,
LANCIONE.LL.OYD
& HOFFMAN
b, c and d contained within the amended complaint's prayer for relief.
LAW OFFICECO.,
i. P. A.
AT",`0I3NEYS AT LAW
6ELLAIFiF, QNIO 43906
7
44. Respondent hereby denies each and every allegation coiitained in the amended
complaint not otherwise expressly answered herein.
FIRST DEFENSE
1. At all times relevant, Respondent met each and every qualification set forth in
R.C. §311.01.
SECOND DEFENSE
2. Respnndent; as the Republican nominee, defeated Relator, the Democrat
nominee, in the November 6, 2012, general election by a total of 16,859 to 14,209 (54.25% to
45.74%), as the Belmont County Board of Elections certified to the Ohio Secretary of State
pursuant to law, thereby entitling the duly elected Respondent to lawfully hold the Office of
Sheriff of Belmont County, Ohio for the term commencing on January 7, 2013, and ending on
January 2, 2017.
THIRD DEFENSE
3. Respondent, as a special or reserve deputy sheriff, was at all times a`deputy
sheriff,' and therefore a law enforcement officer, within the meaning of R.C. §311.04.
FOURTH DEFENSE
4. Respondent can conclusively prove that he was a resident of the State of Ohio
and filed and paid Ohio State izicome tax in all tax years relevant, to-wit: 2007, 2008, 2009,
2010 and 2011. See Exhibit C.
FIFTH DEFENSE
5. Relator has failed to state a claim upon which relief can be granted.
LANCIONE, LLOYD
& HOFFMAN
^
LAW OFFICE CO..
L.F? A.
^
ATTORtvE"S AT LAW
BELLA;RE. OHIO 4 9906
8
SIXTH DEFENSE
6. Relator's claims are barred by the doctrines of waiver, estoppel and/or latches, as
Relator, having actual knowledge of election-related matters he now challenges had a duty to
promptly act, yet Relator failed to take any legal action whatsoever froin the time of his
nomination on or about March 7, 2012, through to his `letter of protest' filed with the Belmont
County Board of Elections in mid-December 2012, which includes a delay of 244 days from
primary election to the general election; or 275 (or more) days from the primary election until the
letter of protest was filed. Likewise, it took Relator thirty-two (32) days after Respondent took
office on Jaiiuary 7, 2013, to file the instant Original Action in Quo Warranto on February 8,
2013. All this despite the fact that local newspaper accounts of Lucas' candidacy faithfully
reported his retirement in "October 2007" as early as December 4, 2011.
See Respondent's
Exhibit D.
SEVENTH DEFENSE
7. At all times relevant, Relator was a classified employee with the Village of
Bellaire, Ohio, serving as a Lieutenant with the Bellaire Police Department. As such, existing
Federal and State election laws prohibited him from being a candidate for partisan political office
under the Hatch Act, 5 U.S.C. §§ 7321-7326 and/or 5 U.S.C. §1501-1508, as well as R.C.
§ 124.57. As he failed to resign his position with the Village of Bellaire prior to the filing of his
declaration of candidacy, or at any time prior to the general election on November 6, 2012,
Relator failed to fully comply with all applicable election laws, as R.C. §311.01(B)(3) mandates.
Therefore, Relator was not qualified to be a candidate for, or be elected, Sheriff of Belmont
LA,'VCliJNE, L.LOYD
& HOFFMAN
County, Ohio at the general election held on November 6, 2012, and is not entitled to hold the
LAW OFFICE CO.,
L. P. A.
A i TOftNEYS AT LAW
Office of Sheriff of Belmont County, Ohio.
BEL.LAIHE. OH:O 4390G
9
EIGHTH DEFENSE
8. Respondent reserves the right to raise additional affirmative defenses in this
matter which may become known andior available to Respondent as discovery progesses.
WHEREFORE, Respondent,
DAVID M. LUCAS, respectfully
demands this
Honorable Court dismiss Relator's amended complaint with prejudice, assess the costs of this
action against Plaintifis, including reasonable attorney fees, and all other relief, whether at law or
equity, to which Respondent may be entitled.
Respectfully submitted,
LANCIONE, LLOYD & HOFFMAN
LAW OFFICE CO. L.P.A.
By:
^°
ChiistUpher J. Gagiia, Esq. (t2820)
Of Counsel - Counsel of 'Record
Tracey Laddione Llovd, Esq. (00 702)
Tel. No. (740) 676-2034
Email: [email protected]
traceylloyd^;comcast.net
'I'rial Counsel For Respondent
L.ANCEONE, LLOYD
&HOF"FDAAN
LAVtl OFFICE CO..
L.N.A.
ATTORNEYS AT LAW
➢ ELLAIRE. OHIO 4390fi
10
CERTIFICATE OF SERVICE
I hereby certify that a true copy of Respondent's Answer was served via electronic mail
upon Relator's Counsel of Record, Mark E. Landers, Esq., at mark. lartders. esq. a gmaah com,
pursuant to S.Ct.i'rac.R. 3.11(T3), on this 1^ ` day of May, 2013.
Respectfully submitted,
LANCIONE, LLOYD & HOFFMAN
LAW OFFICE CO. L.P.A.
By
^......^,
^--
Christopher J. Gagin, E ^ q. (U^^ ^^^ 820)
Of Cozcnsel - Ccûn sel of Recc^
LANCIC:NE. LLOYD
a HOFFMAN
LAW OFFICE CO.,
L.P.A.
TC7i2NEYS AT LAW
BELLAIRE, OHIO 49896
I1
Sheriff Fred A . ompson
68137 H.L`.i1iON17 RdAD
^= -/^ ^ A •^.._ . %:}
^-,
.`•^^^ ^/^
ST. CL.-1IfiS'.TLLE, OH 43950-S75i
DISPATCIIER
(740) 695-2212
(740) 69: 7463
Fa^: (7q 0) 69 5-966?
CIVIL OFFICE(740) 692-213 t e[. 109
(7=0) 425•1114 ee.. 109
(740) 7 95-4030 ext. ?0G
BELMC)iNT CC3Ui1?TY; OHIO
â;:•
.T:JL
(741-',) 695-5 i2;
FLix: (740) 695-4`8i
: MERG..^:NCY: 911
SELMONIT CC3f.3NW SHERIRF'S OFr1CE EiREARMS REQUALIEICATIQN PROGRAM
PRIMARY AND OFF DUTY HANDGUNS
NAME: AGcNCY:
WEAPON MAKE:j 1`00DEL J'^^'SERiA±
HITS INIME PREFERRED AREA (PA) COUNT AS A PLUS OyE (-=1)
HITS IN THE ÎC?i^d-PREFERRED ARE (NPA), BUT INSIDE JF. T HE TARGET C?U T Lf,NE ARE A ZERO (0)
ROUNDS NOT FIRED (N;=) ARE ZERO (0)
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pA,T E TESTED;
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TESTED BY:
R~Q=^ ^' ^^ ^ EXP:
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17ISP ATCHr,R
(E40) 695-2212
(740) 695-793i
Sheriff Fred ^^^ A. Thompson
Fas: (70) 695-9662
Citi'TL OFFICE
65137 H>^MîC)tiL ROAD
BEl.'NiOINI CQ [JNTY, OHIO
ST_ uL:iIRSNTI.I.£, Oii. 73950•$757
(740) ??7•1i lSe\t. !,^,9
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E3I.eR3i3zC.'t 911
IS REQUAtIFiCA,T1ON PRflGRAM
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PRI?ti'[ARY ^-1ND OFF DUTY HANDGUNS
NAM E AGENCY:
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HITS IN THE PREFERRED AREA (PA) COUNT AS A PLUS OIVE (:-1)
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;.:
ROUNDS NOT FIRED (Ni ) A;-tt ZERO (0)
HIEaCl11SiDEOt InE I4.rtGaTtJUaLINt(,%IiSS),0FF OF iPEih^RGEt (NII,3S),GFiFIKEDGVtR IH^TIME
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DISPATCFiLR
Sheriff Fred A. Thompson
(t>o) 643.7217
( 0) G5j-7933
f'as: (740) 695-063
CB'IL OFFICE
(i<`.L'r) 6 95-;121 e>t 109
(i;0} 4?j-11I8 est. (09
(7-10) 795--039 est, l09
6S137 I ANi1IOND ROA1-;
BET.MD tT COUNTY. OHIO
ST. CLk_TRS^'ÌLI.E., Opi 43950-8755
3•^L
( 7 z0) 695•5 t 24
=Q) 695-4; c t
t.MS.'t\I.TLl'ICI 911
3ELiL'ifl;tilT COtlN`C"Y SHERIEFfS L)rFlCE rIREARN?S hEQUAL'FiCATION PROGRAM
PRIMARY AND OFF DUTY i°1ANDC-tlNS
>,
AGEtiCY:
NAMt:l L Aar .
WEAPON MAKE: M0 DEL SERlA_#:
HJTS IN THE PREFERRED AREA (PA) COUNT AS A PLUS ONE (=1.)
H1 T S IN THE NION-PREE-ERRED ARE (NPA); BUT INSIDE OE THE T ARGET OUTLINE ARE A ZERO (0)
ROUNDS t4l) t FlR=i.^ (l'ir) ARE ZERO (0)
^!TSOLTSIDEOET'iE T„RGETfÛTl.iîE( ti^.SS),Ofii=OF`ltÊ TARGET (irî55) CRIlRED^VEk THE 111iE
LIMIT (OT) ARE A EYIÎUS ?(-i). EXTRA ROUNDS FiKED(^Cs.r=} A:!?E MINUS i
STAGE ^ P;; <<: A: lF: iV1eSS: OT: E°; :
S T AG _E 2 2 Fif T S IN THE PREFERRED AREA, :1 'r'( TlN T:.-E Hi~AD OR Hit 1P
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-('FV°^'^? fO B(.SO rt-̀.diilS3il>°tYi d1V^C COiI%Sc; î fiT3ai"y 1 31ear`Ji? 01111^^
;ESTE^D
BY:
:
^:
e
Sheriff Fre d A. Thomps on
DISPATCHER
(740) 69,-22 (2
(740) 695-7933
Fax: (740) 695-9662
CIi II. OxFICF
68137 HAMMOND ROAD
BELMONT COUNTY, n-HIO
ST. CLASRS1xLiE; Or^. 43950-8755
{7aD) 695-2121 ext. 1(19
(74t}) 42 5-: 11 78 ext. 1(19
(740) 795-4030 :xt. :09
JAIL
(74o) 69;-5124
Fax: (740) 695-1=781
E'riER..r^-E,'OY: 911
BELMONT COUNTY SHERtFF'S OFFICE F1REARMS PEQÂL4F3CATÔN PROGRAM
TACT9CAL R[FLE/CARSINE
NAME: AGElVCY:^ '~
^^
WEAPON MA#^^: nn cDEL^
SERIaL #:
HITS IN THE PREFERRED AREA (PA) COUNTAS A PLUS ONE (Y2)
HITS IN THE NON-PREFERRED ARE (NPA), BUT INSIDE OF TrE TARCET-OUTLlNE ARE A ZERO (0)
ROUNDS NOT FIRED (NF) ARE ZERO (0)
HITS OUTSIDE OF THE TARGET OllTLINE (NIlS5), OFF OF THE TARGET (MiSS), OR FIRED OVER THE TIME
LIMIT (OT) ARE A x`Vl#Nt!S 2(-1). EXTRA ROUNDS FIRELì (ERF) ARE MINUS 1(4).
STP,GE 1 PA ^^PA: NF: M#SS: O T: ERF:
STAGE ^'. PA:^, N PA: Nr: YliSS; OT: ERF:
STAGE 3 PA:NPA: NF: MISS: OT: ERF:
STf1G E 4
Pf1: 1I
f^1;A:_^ i^t=: IVi15s:
OT :
7^
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STAGE 5 PA: NPA:__j NF: IVtiSS: OT; ERE:
SUB TOTALS:
TOTAL: ^ O
5-li^'m ^ --
MfSS: OT: ERF: e7
(PASSING IS A MiNIUMOr- 54)
DATE TESTEII: --G_-{ -3-=1
PASSEB: (---°' EAILEL?:
TESTED BY ^ . ^r
REQT
EXP.
TESTED BY:
R EQ^T--
EXP:
.^.
Sheriff
A. Thompson
DISPATCHER
(740) 695-2212
(740) 695-7933
Fax: (740) 695-9662
CIVIL OFFICE
(740) 695-2123 ext. 109
(740) 425-1118 ext, l09
(740) 795-4030 ext. 109
68'137 HAMMOND ROAD
BELMONT COUNTY, OHIO
ST. CI.AIIZSY?LLE, OH 43950-8755
JAIL
(740) 695-5124
EMERGENCY: 911 FzY: (740) 695•4781
BELMOiVT COUNTY SHERiFF'S OFFICE FIREARMS REQUALIFICATION PROGRAM
NA M E:
•
^^
f
DUTY VUEAPOiV: Hand Gun
FIREARM INFORMATION:
Manufacture
Seria! #
Caliber ^_
Auto Revofver
❑
^^
^
""" ' ^ ^Y` ^ ' DATE:
SUB MACHINE GUN
FIREARM INFORNfA77ON:
Manufacture
Serial #
Caliber
M^nufacture ^'
Seria! #
Caliber
Auto [] Revolver 7
PASS FA!L
PAS-5 FAIL
STAGE 1.
STAGE 2,
STAGE 3,
STAGE 4.
STAGE 5.
STAGE 1
STAGE 2
STAGE 3
STAGE 4
STAGE 5
S'f AGE 6<
SHOT GUN
FIREARM INFORMATKJN;
-77, _`
Semi-Auto
PASS FAIL
S4.
L--- ,
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5, 1 '
,
STAG E ?1
ADM 1.
OFF DUTY BACK UP iNEAPOhI
FIREARM lNFCtRMAT1ON:
ADI^VI G (
TATtCAL ASSAULT RIFLE/CARBINE
FIREARM INF,PRMATION;
Manufacture C0^.-^°
Seriaf #
Caiiber I
PJIa nufactu r2
Seria! r
Caliber
PASS FAIL
PASS FAIL
STAGE 2.
STAGE 1.
STAGE 2.
Manufacture
Serial r
Caliber
Auto ❑
Revolver ❑
P RO?=IC!ENCY
PASS FAIL
STAG E 1.
STAGE 2.
STAGE 3.
STAG E 4.
STAGE 4.
STAGE S.
DEPUTY SIGNATURE:
} ^ s^..^m....^..
RANGE INSTRUCTOR'S SIGNATU ^ E;
^tL4 hCertification # ^'^✓ ^^^^c
C" -'eYi1fiC8iiG(1
INSTRUCTOR COMMENTS
# E 0 ys-
Sheriff Fre A . 1%. ompson
68137 HA-WAOND ROAD
ST. CLA_IfiSV7LLE, O?3 439j0-8755
I3TSPATCHER
(740) 695-2212
(740) 695-7933
Fax: (740) 695-9662
CTUIL t)fFIGE
(740) 695-2121 ext. 109
(740) 425-1118 ext. 109
(740) 795-4030 ext. 109
JAI.i.
(740) 695-5124
Fax: (740) 695-4781
EMERGENf' x a 911
BELtV1ONT COCIIVTY SHER9FF'S OFFICE FIREARMS REQUALIFICATION PROG
/9 ^
^.-- t
-`-^'^
NAME:
DUTY WEAPON: Hand Ci
FLREARM lNFORMATION:
Manufacture
Seriaf #
Caliber
^
Auto 0 Revolver ❑
DArE:
SUB MACHINE GUN
Manufacture
Serial #
Caliber
Auio
❑
Revolver7
PASS FAIL
PASS FAIL
STAGE 1.
STAGE 1
STAGE 2
STAGE 3.
STAGE 4:
STAGE 5
STAGE 6
STAGE 2,
STAGE 3.
STAGE 4.
^^f
SHOT GUN
FIREARM INFMMATION:
Manufacture
Serlal #
Caliber
Pump,RL Semi-Auto ❑
PASS FAIL
STAGE 1. ^^
STAGE 2. ^ G
5TAGE 3.
STAGE 4.
STAGE 5.,
CiAGE 71
ADM 1^
n r; f1- ^,
AQM 3.^
OFF DUTY BACK UP WEAPON
Manufacture
ASSAULT RIFLEjCARBINE
FIR EARM 1 NFORIVMATION:
Manufaeture
t^_^ f^ r e" ^
Seria(
Serial #
Caliber
FiRMRtv1 iNFOKiViA T iON>
Manufacture
5eral #
Caliber
Auto ❑
Revolver ❑
PROFICIENCY
PASS FAfL
Caliber PASS FAIL
PASS FA[L
STAGE1, r4
E 2.
STAGE 2.
STAGE 1STAGE 2.
STAGE 3.
STAGE 4,
STAGE 4.
STAGE 5. ^
DEPUTY SIGNATURE:
RANGE INSTRUCTOR'S SIGNATURE:7^\4 Certiiication #
Certitication #!-^ c^ ^ >
INSTRUCTOR COMMENTS
^
^-^^ ^^=-^. ^^ ^ ^ t^^'kx, ^^
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(740) 635 -2212
(740) 695-7933
tia:: (74i)f95^9662
Me'i ei ^ 5 i:C„>
C7'f0i 69:-2121 ext. 1Qn
(740) ?21•? i 1S 1,^,9
(740) 79 -- J C e;c`. i09
9Î-i
(740) 695.5124
Fax: (74'0) 695-= 781
NAME:
^^LMOn^ T COU3.^g-Y VHERHi=Wy^ ^^Fo'CE FIRaEARMS REQ^
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Ca3ibCr
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Auto =7 Revolver E7
Auto /-7Rsyolver
PASS FAIL
PROr ICi^^^CY
STAGE 1.
STAGE 2,
SffRGE 3;
SiAE 4.
STAGE 5"l
TACTICAL AM
F1REARr1
ÎFLEJ CAIRS
Aanu;acttlre
Serial 4
Serial ^; ^
Caliber
SiAGE 9
SiAGE 2
STAGE 3.
SÂGE 4.
SaAGE5.
1STAGE 6.
Caliber
PASS FAIL
P.
TAG E 1.
T"ACE 2.
°C',4GE 3, ^..,^.
FAIL
TAG E
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x._
PF
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RANGE 1^^,'S i RUCÊ"OR'S 54G^l^, f^JI;sE: ^^^':
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.
(740) 695-22I2
(740) 695-7933
Fas: (740) 695•9662
Cb-ViL, OPFICE
(740) 695-2121 cxt< 109
(740) 425-1 I I8 e;xt. 109
(740) 795-4030 ext. 10g
68137 Ii.A1v3MONt7 ROAD
BEI.-MONT COUNTYy 0810
ST. ^^ AIRSVIi....-i.^ ^^-H43950-8755
fATL
(.`/40) 6955124
EPlSERGET'dCYt 911 Fax:
( 740) 695-478I
BELNIONT COUNTY SHER^FF°S OFFlCE FIREARMS REQ.UALIFHCA7'iON PROGRAM
NAME:
_ -i^^,n r`7/lG,r
Date:
®UTY WEAPON: Hand Gurs
AAanufacture
Serial #
Serial #
Caliber
Ga.uge
Auto Q Revo!ver Q
^'UMp^ $6mi-AutO E7
PASS„ EAIL
STAGE 1.
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5.
STAGE 6.
PA5S FAIL
STAGE ^. f
STAGE 2, ,O
STAG E 3.
STAGE4, ^
STAGE5.
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SUB MACHiNE GUN
TACTICAL ASSAULT
F[REARMINFORMAT lOM
TIOIV:
Manufacture
Serial #
Serfal #
Ca3faer
Caliber
PASV FAf L
STAGE 1.
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5.
STAGE 6.
PASS FAIL
STAGE 1.
STAGE 2:
STAGE 3. 1
STAGE 4.
STAGE 5.
DEPUTY SIGNATURE:
RANGE iNSTRUCTOR'S SIGNATURE: Certification #
t, --'ri(fiCa!loE1
INSTRUCTOR COMMENTS:
Aa^20 v9__?y__
4
t^^' ^^'
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Sheriff
ummpson
aô) 69s zsg<
(740) 69^7933
Fax; (740) 695,9662
68237 HAMMo1VD ROAD
ST. Gd.AMSV72,LE, OH 43930•8755 BELMONT CC)^^ O^¢n) 655
c^zt21®x ^
^ ^^^ (740) 425•1l ls
exc. tiw
(740) 795-4034 ezc, Yqg
EB4ERGGEriiC X: 911 JAM
(74fl) f,55?2#
Fax7 (740) 695,47$1
BELM4NT COUN7Y SfÊR1FF`S ®FF!r^ ^^^^^RIMIS REû
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DATE:
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Caliber
Serial #
`ra
Seriai #
Caiiber
Auto ZZ7 Revcsiver I^
Gauge
AutoZ:7 a$voiverz=
ST'AGE 1.
S'T^C l 2.
STAGE 3.
STAGE 4.
PumAz--/
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Serni-auto t^
PROFICIENCY
PASS Â1L
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DEF'tJTY SIGNA7'tJRIE.
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RANGE 1NSTRUCTOR'S SiGNAT'URE:
Certification #
Gertificatton
:NS7`RLtC7'OR`S C^^MENTS:
611 C:^:)
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(7 ^'^53-22tS
(7447 695,793?
Fax: (740) 695-g66;
68137 H[AAiMf3ri1D ROAD
ST. CI.,ÎIt5Y7fLa u, ®&I 43950•8l55 B
695-2E3: est¢. 9p9
^F^TCE
ELMONT C0jjj`9 t-^ô ^"(740)
(740) 42S-t I 7 B eact, 109
(740) 79&603© ext. lpg
FJURGBPIC'f's 921
JAIL
(740) f93 S i24
c7ô^^s.47^t
BELMONT C^'i€.^^V7^^ SiÊRlFF'S OFFICE FIREARMS RE
QUALIFICATION PR®(3RqM
QUALIFiCA7iON
NAME. --- ,D:^ F-^, s7g:^s
nt trv ^,^^^^,q.,_ .._ . _ -_ -
DATE:
SerJa! #
caliter
AutoCT
Revolver [--7
r
Z50m^ -auto Q
PROFICIENCY
PAs
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DimPtlTY SEGNATURE:
RANGE INSTRUCTOR'S SIGNA
Certification #
%S7°RtiCTOFt'S COMMENTS:
Ce:taficatio;a #
Sher
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Fred A Thognpson
e
D7ilA'E^^
(740) b95-a212
(740) 695.7933
Fax: (7$0) 695-4662
68137 HAMmoND ROAD
ST°. CL^.VUU, OH 43950-8755 BELMONT i^^ ^ Gfi**1^ p^2^
^^'y ^ô
( 940) 645-2821 "t; iG9
(7$0) 413-Y i 1seat. 7 6g
( 740) 795-4030 est, tpg
EX=GEPdC$': gvg
.1AX
(7,'93) 695"-5 i 24
Fas f7fA) 695 §7î
^ ^. . a^^, FIREAR Mo-^
^ REQUAt,i^^ÂTION P^^GRAM
BELMONT ^+OUN^ S^'EERI.^F4- ^^î^°°^
NAME:
0
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DATE:
Serta! 4
Serial #
Ga#ibes
AutssE
R,vo#varQ'
Serial
Cariber
Gaugg
AutoE^ Rev®tvar Q
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PumpL7 sesn9-euto
PASS f7A3L
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DEPUTY SrGNATURE:
RANGE 9^STRUCTOR'S SIGNATURE:
êrt,fication#
certificaa^d`RL^CTOR°^ ^^^^^^NTS.
^t^-
Sher
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Fred
Thompson
DYSl^N^g^
(740) sss-aazz
(740) 6915-7933
Fas; (740) 643-$662
68137HAMM€SND ROAD CiM OFMCE
A.
sT. ummvuiE, €sF. 43950-9755 (740) s^g-aaa:
avkuo (74 J) 425 f F l t^ e^t, 1 0
^7^G3 795 ^,t3Û ezt. 109
EMF3GENLYe
9l
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JAM
c7^> 695-5124
(740) E9547&1
BELMON?' COUNT°Y SHER5FFS OFF8^^ ^^ÊARMS REQUALIFQCATIOi^ ^^^GRA
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NAME:
DATE:
Serial
5^rial ^
11
Cal3ber
Auto
nr 1 ; 4 f ,
Serlal #
Ca1Ibee
Y Rsvo)ver .Q
PA$S KA9L
tauto_M
Gaug®
Ravolvar Lr7
PumpC7
8arnt-auto Q
PROFICIENCY
PASS FAIL
E 3.
E 4.
p AR R ^^S9L
ST
DEPUTYSIGNATUREs
RANGE fNSTRUCT®R'S SiGNATURE:
êft'€ficat4on 4
4'STRUCi OR'S COMMENTS:
--,°°-.,,-n--^.-o•-..e.Fw
Sh eriff Fre dA .
ompson
DISPATCHER
(740) 695-2212
(740) 695•7933
Fax: (740) 695-9662
68137 HAMMOND ROAD
ST. CLAIRSVI:LI.E, OH 43950-8755
CIYTL OFPICE
(740) 695-2121 ext. 109
(740) 425<I118 ext, i09
(740) 795-4030 ext. I09
JAIL
Eh1ERGSiVCY: 9lfl (740) 695-5124
Faxc {740) 595•478I
BELMONT COUNTY
SHERIFF'S OFFICE FIREARMS REQUALIFICA,T7OR! PROGRAM
hIAME:
®ate; _7E;` j <)
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Serial #
Serial #
Caliber
Serial #
Caliber
Auto 2S 7 Revolver If-7
Gauge 1 2-
Auto C] Revoiver ^
Pump22:7 Semi-Au#o
P
STAGE 1.
STAGE 2.
STAGF 3.
STAGE 4.
STAGE 5
STAGE
FAIL
PROFICIENCY
PASS F
PASS FAIL
'AGE 4 P
AGE 3.
'AGE 4.
ASSAULT i26FLE!
Serial #
Caliber
PASS FAIL
STAGE 'I.
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5.
,TAGF6.'
DEPUTY SIGNATURE:
RANGE fNSTRUCTOR'S SIC
#
1NSTRUCTaR CQMtv1EP
S er f Fred A Thompson
h
i
f
.
(740)
DZS'ATC2-is;R
695-22T2
;740; G95-793;
Fm (740) 695-9662
68131I#,AM?rTf3ND ROAD GPVT.Z.OFEICE
(7
12
sT. Ci AIRsIQLL E> OH 4395e 8755 ÊYIhÔNT COUNTY, OHIO
40) î^ > > Is ^X,. ^09
(740) 795-4030 ext. lo9
JAIL
EMERGENCY: 911 (740) 695•5124
Pax: (740) 695-4781
BELMONT COUNTY SHERIFF'S OFFICE
FIREARMS REQU.ALIFICATION PROGRAM
f
2,V (e
fÂIN
1
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Date; `^ ^^ ^ Z
DUTY WEAP®N: Hand Gun C3FF ^tJT1°i E3A^^t t)^ ^ÔNI R
C'1C7Cr107Fd fAlCnraeea^s-,..aI
wn T 1 11 Ll
INF
Manufacture
3nufacture
SeriaE #
Serial ^
Caliber
Caliber
Auto 2^ Revolver ^
14
Gauge rar
Auto ZW Revolver L=
PASS FAIL
STAGE 1.
STAGE 2.
STAGE 3.
STAGE 4.
STAGE v.
,TAGE 6.
Seria3 #
PROFICiENCY
^
PumpQ Semi-Auto []
PASS FAIL
STAG$
1,1
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AG
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5, ((
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Mr.
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LE/ CARS
PASS
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'AGE 4.
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DEPUTY SIGNATURE:
RANGE 1NSTRUCTOR'S SIGNATURE: Cerfiitlcation
^^®^^^',.^
INSTRUCTOR GOMMENTS:
"'SrerCiI1Ci9t16n fr
^
^---
Sheriff Fred A . Thompson
DISPATCHER
(740) 695-2212
(740) 695-7933
Fax:(740) 695-9662
681371•3FsbtMCDIeTD ROAD
CMI. OFFICE
5"f. CF.r"sSRSviU,E, 014- 43950-8765
BELMONT ÔUN117, OHIO
(740) 695-2121 ext. 109
(740) 425-1118 ext. 109
(740) 795 1030 ext. 109
,)AIA.
(740) 695-5124
EMERE'rEPYCYt 911
1'a-x: (740) 695-47H1
BELMONT COUNTY SHERtFF°^ OFFICE FIREARMS REQUALIr'iCATiON PROGRAM
NtkEVlE:
^
^
f
Datie:
^..
C3t1TY VYEAPOfV: ffaP3t9 Gtln GF F DOTYS MA[:6t 6i^
;nufacture .
Serial ^
anuiacture
omSerial #
Calibe,
Serial,4
Caliber
Auto Zf!7 Revolver ^J
f'
Gauge
Auto Z= Revoiver=
FAIL
STAGE 1.
STAGE 2e
STAGE 3.
STAGE 4.
STAGE 5.
STAGE6.
3TAGE ?. i
Pump= Semi-Auto C]
PROFICIENCY
PASS F
TAGc f _-7-
PASS FAIL
STAGE 2.
STAGE 3.
------_--^_
STAGE 4.
ST
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cp < Yy-^ ^
î1B N1ACHME G^N^
F(r EARPrt INi~'ORA/fATlOhd,
Manufacture
Serial #
Caliber
PASS FAIL
STAGE 1.
STAGE2.
STAGE 3.
STAGE 4.
STAGE 5. ;
STAGE 6.1
DEPUTY SIGNATURE:
RANGE INSTRUCTOR'S SIGN
Certification
Lerzifrcazion
ifiVSTRUC T OR COMMENi
41
Sher ff Fred A Thompson
i
68137
DiSPA1 CHER
(740) 695-2222
(740) 695-7933
Faz: (740) 695•9662
.
HAMMOND
ROAD
^^^
^^^
ST. C^„^^y OH 43950-8755 BE^10P^^' C^1^3N°`^^, OHIO (740) âs^.igi^^ ^t. r^
(740) 79:-4030 eat. 109
lAIL
(74^n) 695<5 t 24
Fax: (740) 695-4781
BE1 ^^^^ ^^^^^ S,"UERIFFS OFFICE F3s^^^^^^ ^^^^^ÎF8^^^^^^ ^^^GRAM
NAME:
DATE:
anufacYure
Manu;acfutq
Serial #
Serial #
Caliber
êtial i ^, ^ r
GatSbc-t
Auto 1
I Revol+aet ®
AutoQ Rsvcbvsr l=
Gauge
Pump® sersai-a;r#o Q
PASS FAIL
PROFICIENCY
'AGE 1.
ÀGE 2.
'AGE 3.
'AGE 4.
AGE S.
VASS F.
PASS FAIL
•^
su^ MIP,
7
ASSAULT R1FLEC CARS-IR-E
WIN FQRMA l"1 0N;
N;
FIREARM !
anufacture
sesia1 j"
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Caliber
Caliber
FAIL
^,'AGE9.
AGE 2.
ÀGE 3.
AGE 4.
AGE S.
FiSS FAIL
t.
3<
4.
DEPUTY SIGNATURE:
RANGE iNSTRUCTOR'S SIGN
'^
l^L'^^^
êrti#€catioat ^ ^y-
:qS7'R(JC7'OR'^ ^^^ÊNTS:
Sher ff
A Thomumnin
i
68137
Di9PATCHEjR
-a
HAA41lit^l^tD
(7-40) 644-22 t x
(740) 655.74323
e^0A0
Fas:
(740) 693- 96^5
5T. CLAMYIr.t.m, OH 43950-8755 BELMONT CO^^' Gfl'Ix, 0^^
OHIO (740) 595-2121 cxt. j pg
(740) 425-111S rxt. 10$
(740) 795-4030 ext. 109
---
E&4ERGENtY:
911
1Ati.
(740) 695.5124
BELM
ONT COUNTY SHER1FF'S OFFICE FIREARMS P'aEQUALei^^ÂT2^^ ^^^GRAM
1VAME:
^
`°-
DATE:
_ ., _... .,.. d,%m^ I rVey:
arlufacture
Seria9 #
Set°iai #
C^1^b^r
Gauge
Auô E R-svgtver25
PUrr'Pd
Sgrnfi-au8o =
PROFiCiENCY
PASS FAIL
FAIL
1.
AC-1-1CAL ASSAULT R#IF4 J CARB
Fi^^RM,
arcufiacttiara
Gaiiter
PASS FAIL
®^PUTY SIGNATURE:
P,AidGE INSTRUCTOR'S SiGi'JATfJRE:
,
Certification#
Certification #
IS7'Ri^CTOR'S COMMENTS:
S
heriff
A flioinpo
.
I3ISP^3TCiÊR
" 139 ILAIMMt}ND
" t s?, 14 7
ROAD
n
(7740)
^^
695-2212
(740) 693,7933
Fag: (740) 693°W2
0FRCE
S T. Cb<kmsvu-LE, OH 4393ti•8^^^ ^^^n Ir ^fltl (74 }) 693 zIZT
x,. 7 Og
^y ^^^
(740) 423-I118 tat. 109
(740) 793_4030 ext, i09
JAIL
-3) 69r5124
Fax: (740) 695-478I
BELMONT COUNTt. SHERI;Pa1z'S OFFICE FIREAMMS
NAME:
REQUALIFiCA TION PR^ ^RAM
DATE:
s
3nugaetuss
^^ y- ; , ., «; ,••^
Seria! ^ (s
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S®riat #
Calitser
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✓
DEPUTY S#GNATURE:
RANGE INSTRUCTOR'S S€^^^Û-E
^
_42 fa Certification # .-
4Si ^^^ÔW•^ ^^^^^NTS:
• --.^....^._._
She ff Fred A Thompson
ri
DISPATCFIE^
.
i7403 695-2212
(740) 695:7933
Faac: (740) 695-9662
68137 HAM?KON73 ROAD
ST. C^1^rE, OH €3950•8753 C^^ O^C''^
695•2121 ext. 10$
BELMONT CO UNTY,
^^^^ ^^^ (740) 425•1118 ext. 3o9
(740) 795-4034 ext. l 09
JAM
EMERGE141CY: 911 (740) 694•5124
F2X: (740) 695-4781
N A M E:
BEd-MOhiT" COUNTY S
HERIFF'S OFFICE FIREARMS REQUALIFICATION
PROGRAM
®ATE; ^_ - ^Z-0'^7
- ••- -e 5114r4dtSiYfi^!lV1V:
anufaeture^
Serial *
Seriai #
-^^
Caliber
Gauga ) -2
.AutOf^ i7eV0}V@P=
PuRfP497
S$`6'tt-auio Z.::7
PROFICIENCY
S FAIL
? AS S F
i./
Certification
R - • •.•.+. v vv,aaMLcIQ (S.
S
her ff
A Thompson
i
.
(744) 695-231 Z
(740) 695-7933
Fax:(74fl) 695•9662
68137 HAMMOND ROAD
ST. CI.U.ItSS'ILI.E, O'ai
CfY1L (3I±•pICE
43}j0-S755 BEUiON'it C®^ NTyA OHIO (740) 425»I I IB ext. 309
(740) 795-4030 rxt. 1o9
JAIL
EIb4ERCiENC-"1(a 911 (744) 695-5124
Fam (740) 695-4781
^^LM0A%'T 'COYV;NTY ^^LE-RaPi `S vFiFiÊ FIREARMS REQUAL,IFlCAT'ION PROGRAM
NAME :
DA3"E:
D Unl îlEAFON: Nand Gul
FlREARM 1N1^® a^;
OFF t?UTYf BACK UP W?±AP+
FIREARM ( NFORMAT1tJN:
iylanufacture
Manufacture
Caliber S t^^
AutoC"I Revolver4V
&uto= Revotver,2j^^
PROFICIENCY
STAGE 2. t. ^
STAGE 3.
fC E^}^cE,v^ ^;,^1
Seriai # p ^
Caliber 2i -7
PASS FAIL
STAC'sE ^
FiRSARl1V^®RPÂTlQN
141anufacture
- Seria!
-------------#
Serial #
SHOT GUN
PASS FAIL
STAGS 17A717-7
z./
Gauge ^f ^^^
Pu^P ^7 Ssmi-auto Q
PASS FAFL
STAGE 1. ^
STAGE 2. t^°`
STAGE 3. ^'
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S T GE p
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A
.i
SiJd FOAGHfAaE GUN
F1RioARM ( NFGRMAT1fla.
TACI'iCAL ASSAULT RIFLEI CARSIVE
FIREARM IN F0 WATf4N:
8anufacture
Manufacture
Serial #
Serial #
Caliber
Caliber
f'ASS FAI^
TAGE1.
TAG^ 2.
TAG^ 3.
TAG ^ 4.
TAG^5.
FAGE 6.
DEPUTY SIGPdATURE:
^TAG^ ^.
S7'AG^ 2.
STAGE 3.
TAUL: 4.
S7At-; t 5.
Serial #
-------.^,.
Caliber
FASa FAli.
PASS FAIL
sTAt;S 1
STAGE z
L
lrl
ftt'4NGE I(tlSTRUG OR'V SlG1,1Y1
cl^,
^...--;^=^.y✓^ Certification #
Certification #
lNSTRUCTOR'S COMMENTS:
^^✓
q Q^^,p
^°'-'
Sher ff
A Thom-nson
i
DISPATCIiEA
(740) 695-2212
.
(740) 695-7933
Fax: (740) 695-9662
68137 HA?tiMONI3 ROAD CIVIL OFFICE
ST. CI.tiIRSYIi.LE, iîi 43354-8755
,
161^T:^.'i^P^^T C^L-Tj^^
(740 ^z=.i;z1 ext.
to4
OHIO
18cxt. ia9
(740) 7954030 ext. 109
JML
FriERtrEraCY§ 917 F (740) 695-512^?
ix: (740) 695•47a1
BE! ^nNT
S^^R6FF' ^ O ^Fo ^°^ ^t^ ^.'^^^^^ ^^r^R
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^
NAME:
s
jùfL,
DUTY VvEAPON: Fiand Gun
Manufac#ure
i1^d1^
/Y 71
flATE:
OFF DUTl`/ FSA5.
KF WEAPO
STAGE
r;v S}-#O T ii(.!N
FIREAR^TINFORMATION:
M tNFORMATIN
Manufacture G/^°G-r^^:
Serial #
Serial #
Caliber
Caliber
AutoZ^ Revoiver =
PAS..S
STAGE 1.
STAGE 2. 9 '
STAGE 3. V
STAGE 4. V
STAGE 5.
STAGE 6.
STAGE 7, i k
bi
616m
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Auto^7 Revolver =
FAIL
SUB MACHINE GUN-FtP.EARfl]! lNFORMATlON:
Gauge
Pump4p7 Semi-auYo L=
PROFICtENC`(
PASS FAIL
STAGE 1.
_
STAGE 1.
STAGE 2.
PASS FAIL
TACTICAL ASSAULT R1FLE/ CARaiNir
F€REAR11lf IhlFORMATi0id;
STAGE 2. v
STAGE 3. t/
STAGE 4, jf
STAGE 5.
5GOPE-SIGHTEU RIFLE
fV7anufucture
lanufacture
Manufacture
Seriai #
Serial #
Serial #
Caliber
Caliber
Caliber
fE PASS FAlL ^
9.
2.
3.
4.
6.
!
STAG!6.
PASS FAIL
STAGE 1.
STAGE 2.
STAGE 3.
STAGE 4.
PASS FAIL
STAGE 1. j
STAGE 2. I
DEPUTY SIGNATURE:
RANGE INSTRUCTOR'S SlGNATURE:
Certification #
1.îe 6tffi.af.fo^9 tt ^
.::
INSTRUCTOR'S COMMENTS:
00 Lk^f'^;
SP•^ 4 ^-ta f h ed ^wt, ,
Sh
er
iff
^
A
ompson
DISPATCkIER
.
Th
(740) 695-2212
(740) 695-7933
Fax: (740) 695-9662
68i37 IIA^MO^di3 ROAD CI`'II, OFFICE
ST. C^.iRSad;.s r, OH 43950-8755 BE.I'.I19[fkl^dT COUNTY, (740) ^9s-2221 ezt. :c9
s (740)425-1118 ext, 109
(740) 795-4030 ext. 109
OWO
JAIL
EMETtGENCY: 91I (740) 695-5124
Fax: (740) 695-4781
BELMONT COUNTY SHER1FF'S OFFICE FIREARMS REQU,o,LIFICATI(7N PROGRAM
NAME:
E.S"' ^ O
DATE:
S
'
t3U t-i V'aEAgO^.•: I;and Gun O^ :.;UTY/ EACK US' 1McAPON SHQT C'
sU^d
F#REAFZt^f fI^FC?R^lPA
CaRA IA7^ „^,aa eâ^.as
FIREARM INFE7RMATION.
Manufacture
L ^
MaiiufaC$ure
Serial # r p, i y
Manufacture^,^y;L
Serial #
Caliber # ^
Serial #
Caliber
Auto= Ftevolver
Gauge
Auto= RevolverQ
PF'YalyFAI
STAGE 1.
STAGE 2.
S^'AGE 3.
STAGE 4.
STAGE S.
STAGE 6.
ISTAGE 7.
PROFICIENCY
PASS
STAGE .
STAGE 2.
t-tRE-;4RiV1 INFO
Pump Semi-auto Z=
FAS S Â1L.
STAGE '1.
FAIL
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5. ^
N:
TIO
3nufac±ure
Manufacture
Serial n
Serial #
Caliber
Caliber
PASS
FAIL
TAGEI.
STAGE 2.
STAGE 3.
STAGE 4.
STAGE 5.
STAGE 6. -
PASS FAI
STAGE 1.
STAGE 2.
DEPUTY SIGNATURE:
RANGE IAISTRUCT't]R`S SIGNA
Certification #
L.LQoaT?
Certification
1IVSTRUCTOR'S COMMENTS:
# L^ y c/-^
A Thom-n-cann
Sher ff
i
DISFFi1`CHF.R
(740) 695-2212
.
(740) 695-7933
Fax: (740) 695-9662
6$137 HAMMOND ROAD CBqL OFFICE
(740)695-2121 ext. 109
ST. cl.aixStiIz:I.E, ori 43950-8755 BELMONT +Ct3UNTy, OHIO (740) 425-11rs ext. lo9
(740) 795-4030 ext. 109
JAIL
(740) 695-5124
EP>3ERCrENL'l: 911 Fax: (740) 695-4781
nrt nr".a ra e t -s°crrae aa4^ rt
rr r+. ve
^^^^^r^°t' ^.C^€^^ s^^ n^R^ ^r S^r^î
O FF
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^ r-^^c^REQuALiMLATIuiv
FIRE ARMS
PROGRAM
NAivIP:
DA
T
E:
-7
---------------------
fîJT Y 1N4P c7 î; riand iûn t)FF DU T'^ I ?^f^GK EJP 1lUÂPC)N Si-1îT GUiv
FIREARl^f tl`FORMATPON: FIREARM INFORINATIOh#: FfREARM iNFORiL3ATlO#V:
Manufacture ,^^ Manufacture ^^^l^ Manufacture
Serial
Caliber
.
#
rc
Serial
L
#
Serial
Caliber
#
Gauge
Auto RevolverL_7 AutoW RevofverC7 PumpCJ Semi-auto
CJ
f'AS^S FAIL PROFICIENCY
STAGE S. PASS FAfL
STAGE 1,
PASS FAIL
STAGE 2.
STAGE 1.
STAGE3.
STAGE 2.1 ^
STAGE 4.
STAGP S,
!STAGE 'l.
STAGE 2.
STAGE 3.
STAGE 4.
STAGf= 5.
STAGE 6. ..
STAtâc r j
SU8
14 TACTICAL ASSAULT RIr=l.E/ CARBINE
0N: FlREARi;li INFORMATION:
Manufacture
^M3nt fartiire
Serial #
^ Serial #
Caliber
Caliber
PASS FAIL
STAGE 1.
STAGE 2.
STAGE 3,
STAGE 4,
STAGi=• 5. V
STAGE 6. j.>
Manufacture
^ Seriai # Caliber
PASS FAIL
STAGE 1.
STAGE 2.
STAGE 3.
STAGE 4.
-a,u€'t-6t(3tiTED RIFLE
FlRi:A RMYif^FpRM
ATIpN;
PASS FAIL
STAGE '!.
STAGE 2, 1
DEPUTY SIGNATURE:
RANGE INSTRUCTOR'S SIGN ATURE:
;aYion #
rtification # P,7
!i•JSTRUCTOR'S COMMENTS:
UU
Prepared By and Return To;
KELLY A. CAHOO Î
J. Steven Gribble d/b/a Saêtitle
14260 Tamiami Trail
North Port, FL 34287
CHAR' OT rE COUNTY CLERK OF CIRCUIT COURT
OR BOOK 3491, PGS 11341136 3 pg(s)
INSTR # 1947050
Doc Type D, Recorded 06/30l2010 at 02:56 PM
Deed.Doc: $812.00 Rec. Fee: .^",27.00
Cashiered By. JEANL Doc. #:1
Fiie iJo. DN 1D-106
PropertyAppraiser's Parcel l.D. (folio) Number(s)
402131227019
WARRANTY DEED
THIS WARRANTY DEED dated June 30, 2010, by ROBERT MACLEOD and SHARON MACLEOD,
HUSBAND AND WIFE hereinafter cailed the grantor, to DAVID M. LUCAS and BARBARA A. LUCAS,
HUSBAND AND WIFE, whose post office address is 69396 WILLIAMS ROAD, SAINT CLAIRSVILLE,
OH 43950, hereinafter called the grantee:
(Wherever used herein the terms "grantor" and "grantee" ir(clude all the parties to this
instrument and the heirs, legal representatives and assigns of individuals, and the
successors and assigns of corporations)
WITNESSE'1'H: That the grantor, for and in consideration of the suni of $116,000.00 and other valuable
consideration, receipt whereof is hereby acknowledcJed, hereby grants, baryains, selis, aliens, remises,
releases, conveys, and confirms unto the grantee, all the certain land situated in Charlotte County,
Florida, to wit:
LOT 21, BLOCK 1859, PORT CHARLOTTE SiJBDIVISION, SECTION 56, A SUBDIVISION
ACCORDING TO THE PLAT THEREOF AS RECORDED IN PLAT BOOK 5, PAGES
70A-70H, OF THE PUBLIC RECORDS OF CHARLOTTE COUNTY, FLORIDA.
Subject to easements, restrictions, reservations and limitations of recorded, if any.
TOGETHER with all the tenements, hereditaments and appurtenances thereto beiorrging or in any wise
appeitaining.
TO HAVE AND TO HOLD the same in Fee Simple forever.
AND the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee
simpie; that the grar^t(7r has good riy`rit and la4fl.Cl aiithority t0 seii and convey said iarrd; thai the graiitilr
hereby fully warrants the title to said land and will defend the same against the lawful claims of all
persons whomsoever, and that said land is free of all encurnbrances, except taxes accruing subsequent
to: December 31, 2009
t'Jarranty Deed (Indiv;dual to Indrviduai)
:^11
WARRANTY DEED
;Continued)
IN WITNESS WHEREOF,
the said grantor has signed and sealed these presents the day and year first
above written.
Signed, sealed and delivered in the presence of:
(Witness Signatu(Ye)
B -RT MACLEO
SHARON il!IACLEOD
^Signature)
^ ^^^
( tness
_-3734 BLACK BRANT
i%
(Address)
LIVERPOOL, NY 13090-1060
(Address)
STATE OF"N^
COUNTY OPJ'c."^,-l
I, a Notary Public of the Coianty and State first above written, do hereby certify that ROBERT MACLEOD
and SHARON MACLEOD, personally appeared before me this day and acknowledged the due
execution of the foregoing ir(strument. j
.._
..
Witnesmyhand aridgfficial seai, this the
^%t
,^ ^d^3-^.'^-G^di^:^..[c_ .. ^"✓
Notary Public
^-r) day of June, 2010.
^
My Commission Expires:
(SEAL)^'f
Lb'ananty Deetl (lntlivCUai !c Irdrvf^tuaQ
l^^^fi("t^"'J ÛC1+ JfL^L ^Î^7ôz
1
, . . ^
O
!11`
U Ta"if^l'0^8^Mf ^
i i n uis uu mnum
07000166
Please do nofi use sta
Taxpayer Social Security no. (required)
Taxabie years beginning
04"if dereasPd Spouse's Social S=cutity no. (only if joint retutn)
SÎ etted S.
Your frst name
irs IT 1 040 Rev 10107
^ 200^' 1 Insiividua!
dncorne Tax Return
check box
^, if deceased
check box
h1.f, Last name
DAVID
M LUCAS
Spouse's ,`;rst i:ane (oniy if ioini return
) bi.E, Last name
i3ARBARA
A
LUCAS
fAai!ing address (for faster proceSsing, piease use a si?eet address)
59396 WILLIAMS ROAD
ary
ST. CT,AIAZSTrII,Li;
Sta:s ZfP r,cde
Onio county (first four letters)
OH 43950
BELM
F!ome address (if different froiii mailing addrEss) - pl4ase do .sGY sho.r cify or s'cta
ZIP code
Foreign counfy (Flease. provide this informaticn if the mailing address is outsice the US)
f"ore;gn postal code
OiaSo Residency Status (see instructions)
X Resident Nonresident/state Part-year
resident from:
ittng Status -Chec- câe (as repor ied on federai income ta;; return)
Single or head of household or qua7ifying widow(er)
K fVarried filing fointly
Married filing separately enter sgouse's SS# ^
^... . nz e u y Y9: i Ves No
to
Pfea-ze do not use staples, fa.pa- or glue.
Place your W-2(s), check and Ohio form IT 40P on
top of yocar refiuraa. Place any other seapporling documents
or statements after the last page of your sa#um.
G-- papm..
^^
êssa
ites FRE^r
-- T ryj-- ^.^--Qr-DA ,io_ ^`11
b^ visitin^ taxaohioa90va
Do you vrant $1 to go to th;s fund? y
if joiiri return, does Vo4r spoU5e ^t/aF1t $1 to go to this fund? ^,'
Note-, Checking Yes'will not increase -your tax or decrease your refund,
Ohio county (first four I¢;;ers)
Most electronic filer-s receive refunds
Ofalo Public School District i~4urnber
^^.û-e.ceausxuuv75W
_--
^
1©ii
INCOME AND TAX INFORMATION
I Federal adjusted gross income (from federal forms i04-0, line 37; or 10140-A, fine 21;
or 1M-E7', [in+= 4; or 1040-NR, fine 351) ..... .. ... . . . .. .. ....:.................... 7
10941800
2 Ad;ustments from line 47 on page 3 of Ch;o form IT 1M(encto: e page3) ........ . .. 2
00
3 Oilro adjusted gross iricome (line 2 added to or subtracted from line 1? ............... 3
4 Personal exemption and dependent exemptior{ deduction - maftii3Et^ your perso:ral and
dependent exemptions 3 times $1,450 and enteP the resesi`r here ........
4
5 Ohio taxable income (iine 3 m;nus line 4; enter -0- if line 3 is less ti:an line 4) ........ 5
6 Tax on line 5 (see tax tables in the instructions) . . . . . . . . . . . . . . . . . . . . . 6
7 Credits from Schedula B from fir,e 57 on page 4 of Ohio form iT 104t3 (enciose paue4) 7
8 Ohio +w,.Y less Schedule 43 credits, (line 6 ninus !ine 7; enter -n i
f line 7 is more thar line 6) .......
......^
9 ExefYlCttOn crefift: f'1utTtber of personal and d?nr'rLiei?t aX'mrn,#iCrS . . . . . . . . . . , 3 tiimies °^
pGC . . . . . `^
10 C iu fax less eMmptiorl i redii. (line 8 minus nne 9; enter -0- if fine 8 is less than iine y) ...............
_. ^
2007
ONIA0572 11126J07 €ra^^^ ^^4
10941800
4350 00
10506800
4332 00
0 00
433200
60i:G
a -972Ci ig
IT 1Q4A
0h/O BPfr•7f
^TT bie years beginning in
yS# 6
DAVID M& BA:t213AgA A I^tT
07000266 ! 2007
70a Amount from fine 10 on page 1.....
:..........
17 Joint filing credit (see instructions and enclose
documeri.^..........
............
............
atiort)
, 5 o
ttrr<es lin670a (lirr!if $650) .... . ,. ^„ ^ ,^
... ..,.....
12 Ohio tax less joint fi(ing credif. (line 10a minus line 1+;. if iine 11 is more than
line i0a, enter-0-:) ...... ...........
13 Total credits from line 69 en page 4of Ohio form IT 1040 (enc6csse page 4) ...........
14
l0a
IT 1 040
R-`- 10107
lndividuat
income Tax Return
4272 00
11
214 00
12
405800
13
00
14
4058 00
Ohio income tax before ETlanufacturing eqiJipment grant. (11ne 12 minus lir.e if
iiite 13 is more than line 12, enter -U-:) . . . . . . . . ,
1g fvlanufacturing equipn;ent grant, You roûst inctt^de the grant r^„êst fo; ra . . . . . . . . . . . . a 5
1 ^ Jhio inme tax. (line 14 minus line 15; if line 15 is more than (ine 14, enter -0-,) ..
.. . 16
1; lnterestco
pena;ty on underpayment of estimated tax. Check if Ohio forn-, IT 22_10-1Cj4-0
is enclosed (may be required; see instructions) . . . . . . . . . . . . . INTEREST p^^^LTY® 17
18 Unpaid Ohio use tax (see worksheet in the instructions) .. .......
.. . ..... . USE TAXD 18
19 Total Ohio tax (add lines 16, 17 and 18) . . , . , , . . . . . .
PAYMENTS
19
20 Ohio "PaxWeihheld (box 17 on your W-2). Place V/-2(s) on
top of return . . . . . . . . ,
. . . . . . . , . . . AMOl1N'^ YWTHF#Et.^ ^ 20
00
4[)5° Ov
00
00
405800
427000
21 2v05 over payrnent credited to 2007, 2007 estimated tar pa;înents and 20(171T Tt)P payments ...........
22a Refundable business jobs credit _ 21
b Refundabte pass-fhrough eratity credit
00
00
You must include certifcate(s) You must include fS-1(s)
00
c Historical building rehabilitation credit 22 Total of lines 22a, 22b and 22c. ., 22
00 23 Add linBs 20, 21 and 22 ....... ..
You must include certificate(s) TOTAL ÂY^^NTSO, 2-3
00
427000
+ 24 If iine ?3 is GREATER than lin4 7q ,n rapL linr 1c f^ .
s2
li;
3.... s
.. ..^3 ;°,a r^`
s7
.d^^n^
: :â`^
ÎR e^ -J-',^D IP, 24
^ 25 Amount of line 24 to be credited to 2008 estimated income tax liabiiity .
. ...
- --
+^REâlTO 25
Ani o3lrt of iine 2a that yo^.^ ,
îsh to ^^raa^ to the Milita y irijury R lief :ùnd .:.
; 2^ Amount of line 24 that you
h
'.^
...
^ 1flsto dat^=a'Se for riaturFe preserves, sc°nic rivers
^
protection of endangered specidc .... and
... ...,. ..:. :.. ... . 27
23 Amount of line 24 you vvish to dena-e for
Ohio's wildlife species and conservation of
andangered Nrildlife . . . . . . . . : . .
.....................
. 28
...........................
29 Amount of line 24 to be refunded (subtract amounts on
lines 25, 26,27 and 28 from line 24) YO!!Rr^^^^^ ^29 212 00
?:i.2 0 0
00
00
00
00
30 Amatsrat`(bu Owe (i
f line 23 is less t.han line 19, subtract line 23 from line 19).
;€ payment is enclosed make payable to Ohio Treasurer
Richard Cordray and incliade Ohio form IT knP(sae instructions) AMOUNT YOU ^WEE-6. 30
SIGN HERE (F'N€S9re4) s%3e paE€e 4 of ti?is eè'Gur"i foE' ?€?ai9i?;g ^b?ford3:a'dì' n.
I have read this return. Under penalties of perjury, I declare that,
to thie best of rny
know•ledge and belief, the return and all enclosures are true, correct and complete.
0^
00
For Depa^ênt Use Ondy
Your signature
Ip
f
Spouse's signature (see i struc2ians)
:'hone rarirriber
Preparer's r =mF_ -^^^- "
{please prini) CFT. y'-uRE Pnry L°'^
.-•y45;J
YQu authorize your preparer to contact us reoa
Phon.. .,..^;5er
tiiis ref^r na Yes X#vo
Uode
2007
OH1A0512 71l20/07
Page 2 oE 4
IT 1040
^/T7Q$Ê^ ®A^ C^
1
ssA
1111
11
^ ^^ ^ ^^ ^^ ^ Texable years beginning in A t 1040
Rev 10f07
2007 Iridividua!
4n,r®me Tax Rett.^rn
070003 66
DAVID M & BARBA:t"tA A LUCAS
SCHEDULE A - Income Adjustments (Additions and êductions))
^
Acidiô^r^ - ^dd to the extent not included i.^ fede-ra;! adjusted gross €nco^te (8ine 1).
37 Non-Ohio state or local government interesi and dividends . . . . . . . . . . . . . . . . . . . . . . . . . . 31
00
32 Certain pass-through entity Ohio taxes paid . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
00
33a Federal interest and dividends subject to state taxation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33a
b F?eimbusrs°ment of college tuition expenses and fees deducted in any previous vear(s) b
P ^_osses f.rom sale or disposition of Ohio public obligations . . . . . . . . . . .. . . . . . . . . . . . . . . c
00
00
d Non-medical withdrawals from an Ohio medical savings account and
misceltaneousfederaltax adjustments ....... .............................. ....... d
00
e Reimbursement of expenses previously deducted for Ohio income tax purposes, but
only if the reimbursement is not in federal adjusted gross income ,.
€ Noneducation expenditures from college savings account . . . . . . . . . . . .. . . . . . . . . . . . . . .
e
^
g Adjustment for Internal Revenue Oodesect:ons 16$(k) and 179 depreciation expens;; . . , . . . . . . .. .. . . . . . .
h Ohio Revised Code section 5733.40(A) pass-through entity adjustment .......,., .
^
â
00
00
00
00
00
34 Total addi2e€ans (add fines 31 through 33h and enter here). You must complete the
applicab!e fine items above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Deductaons - Dertuct to 'he extent i€tc6uded in federal ad,usied gross income (9'srae 1)
00
35 Federai interest and dividends exempt from state taxation .. . .. . . . . . . . . . . . . . . . . . . . . . 35
00
36 Ernployee compensation earned in Ohio by full-year residents of neighboring states
and certain incorr,e earned b,v-,F iliiary nonresidents . : . . . . . . . . . . : . . . . : . . . . . . . . . . . . . . 36
0n
37 Military pay for Ohio residents, but only if the military pay is included on line 1
of this return and received while the military rnember was stationed outside Ohio NEW 37
M State or municipal income tax overpayrnents shown on federa! form 1040, line 10 ..... 38
39 Disability and survivorship benefits (do not include pension continuation benefits) ..... 39
Aa3 Qutlfifying ..^(2ciai S'ecurity benefiCs and certain railroad retirenient benefits . . . . : .. . . . . 40
u1vUtIJ
00
00
00
00
----^ ^-^-.^
..... .. . .. . . : . . .
Certain
'
^^ ..,.:.,.dt+.
Oî :i`:ati3riai
Guard CaImburS._-rìc%2fc ant{ hon,3 Fc. CS°?^.G.' ,.:St:4:dC^to;"^s^.. 4,a^,
42
^ J
43 Unsubsidized medical care, long-terrn care insurance and excess rnedir.al
expenses (see worksheet in the instructions) . . . . . . . : . . . : : . . . . . . . . . . . . . . . . . . . . . . . . . 43
00
44 t-unas aeposited into, and earnings of, a medical savings account for eligible
health care e.xl7er'tSes (see worksheet In the !nstructi'Jns,' . . .. . . . . 441
00
(45a Wage and salary expense not deducted due to the federal targeted jobs or the work.
opportunity tax credits ...... ...........................:..............:. ......
45a
00
b Interest income from Ohio public obligations and Ohio purchase obligations and gains
from the sale or disposition of Ohio public obligations . . . . . . .. . . . . . . . . . . . . . . .
b
00
i, Refund or reimbursements sho;vri onfederai form 1040, line 21 for ifnmized
deductions claimed on a prior year federai income tax return . . . . . . . . . . .
d Repayment of income reported in a prior year and miscellaneous federai tax adjustments .. . . . . .
c
d
00
00
e Qualified oraan donor expenses (maximum $10,0v0 per taxpayer) and amounts
contributed fo an individual development accourit . . . . . . . . . . . : . . . . . . . : : . . . . . . . : . . . ..
f Adjustment for Internal Revenue Code sections 168(k) and 179 depreciation expense . . . . . . . . . . . . . . . . . . .
f
46 gotai det$asetaorts (add tines 35 through 45r'). You must complete the applicable line
items above . . . .. : . . . . . . . . . .
e
46
47 h'et adjustrnents - if line 34 is GRER i ER than line 46, enter the difference here and
an tine 2 as a positive arriount< If !ine 34 is LESS than line 46, enter the dif(erence.
her e aîd on !ir te 2 as a negative amount. inclUde this page when you mail your return 47
0
2007
00
00
00
00
It 1040
O'rilAO534 12f05107
Page 3 of 4
®
^^11013^p
°^
{17pYB
atgf
@^39tf A^ ^^t^ ^ g^
gappg
gtp Taxahfe yeats b^gfnning tn
IT 1040
^ Ev 14i47
lndividcfa!
Income Tax R-eftirn
ss^: 07000466
DAVID M BARBARA A T,t3GAS
SC DULE B - Nonbusiness Credits
48 Retirement income credit (see table in the instructions) (limit $200 per retum) , . , , , . , , 48
000
49 Senior citizen credit (tirntt $50 per re#um). You must be 65 or older to claim this credit .49
00
50 Lump surr distribution credit (you must be 65 or older to clairr, t; îs credit) ............ ^€3
S, Ciiiid
00
care and dependent care credit {see wofksheet in the instructions) ............. ^^
52 Lump-sum retirement credit . . . . . . . . . . . . . .
00
...... ................... ........ 52
00
53 If line 5 on page 1 is $10,000 or less, enter $98; othervvise, enter -0- or 1euvA blank ... 53
00
54 Displaced worker trainirtg credit (see the instructions and worksheet)
(di?nrrrc $500 ............................:....................
per t.axpayer) . . . . . . . - °
^
00
55 Ohio political contributions credit (limtt $50 per taxpayer) . . . . . . . . . . . . . . . , . 55
00
56 Ohio adoption credit ( $1,500 per child advpted during the year)
.. . . . . . . . . . . . . . : . . . . . 56
{
57 Total Schedule 8 credits (add (irres 4-.^ through 56) - enter here and on line 7 on
paga 1 ...................................... ..........:.
.... 57
....:....
SCHEDULE C - Ohio Resident Credit
53 Enter the portion of line 3 on page 1 suhiected tn taX by other states or the Jistrici- of
Columbia while you are an Ohio resident (fimits apply - see instructicns) . . . . . . . . .. . . . . 58
53 Enter Ohio adjusted gross income (iine 3 on page 1) . : . . . . . . . . . . . . . ................ 59
00
000
00
00
60 Divide line 58 by line 59 and er;ter the t:luyliipiy this tactor by the
result here . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . an?ount on line 12 on page 2 . 60
00
vayments and overpayment carryforwards from previou y ar id to oth r state o.r
the District of Columbia (lirnit.s apnt.;.,, - see
;iFla
^nstr,,^ctions ^%
^ )
................:.......
^t
0 :l
62 Ernter the smaller of iine 60 or line 61. This is your Ohio resident tax credit. Enter
here an^ nn line 67, ff vau fi{ed a return in 2007 vvith a state(s)_other than O hio, {ist
the tvro-letter state abbreviati©n in he noxes ê oEV^ . . . . . . . . . . . . . . -
' ^^HHEDULE D - MoraresidenWarteYear Resident Credit.
63 f.nterthe portion of Ohio adjusted gross income (li3) that was hot earnEd or received in vhio, Include Ohio
form IT 2023 i-f required (see instfuctions) . . . . , . . .
.. . .. . . 63
64 Enfer the Jhio adjusted gross income (line 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
65 Divide In 63 by In E4 and enter the result here Multiply this factor by the
amount on line 12 on page 2. Enter here and on line 68 be[ofr . . . . . . . . . . . . . . . . . : : . . . 65
SU^^^lARY OF CREDIi S FROPi9 SCHEDULES C, D AND E
66 Enter the amount from Eine 1 i of Schedule E, Nonrefundable Business Cred:ts: T ttis
form is available on our website at tax.ohio.gov ........ ................ ... ..... 66
67 Enter the amount from ;ine 62, above . . . . , ........
. . . . . . . . . . . . . . . . . . . . . . . . . . . 67
68 Enter ttre amount from line 65, above . . . . . . . . . , . , . . . . . . ^
.........................
69 Add lines 66, 67 and 68. Enter here and on line 13 on page 2......... 69
00
00
00
00
00
00
00
MAILi^^ INFORMATION
NO PaYme:rt° Enclosed - Mail to.
Ohio ueparim,ent of 71-axation
P.O. Box 2679
Columbus, OH 43270-2673
Piease do not eaycaose your
tedera; tax rs€eErn unless !ine 1
(f"AG) is -0- or negat^.,e
2007
OFlL10534 12fo5/07
Page 4 of 4
PaYlrlePtEn^°-fo_%d - NiaiE'cca:
Ohio Department of Taxation
f'•Q. Box 2067
Cofumbus; OH 43?7Ct-2C677
IT 1Q40
^ ^ ^ t3epartrnent of
O I TaxatPon
II1I
08000166 20®80,
Taxable year beginning i n
Please do nat ,use stapfe5
Taxpayer Social Security no. (required)
mmum
L1se UPPERCASE ! etters,
I'#` 1040
Rev9/08
lndividuai
-- - - -_ _ ^ income 7-ax Return
if deceased Spouse's Socia( Security no. (only if joint return)
wnwmffiv^
check box
wmmmnmm^
7f deceased
check box
Your first name
hd.l. Last name
DAVIiJ
spouse's first r,ame (on3y if fofnf retutn)
M LUCAS
M.3. Last name
R A RBAR.A
A LUCAS
Mailing address (for faster processing,
n;ease use a<treet ddres;)
69396 WILLIAMS ROAD
city
State ZIP code
Sto CLAIRSVILLE
Horne address (
OFI 43950
if di;ferent from rnaifing a;dress) - p)ease do NOT show city or state
ZIP code
ohio county ( firs, four {efters)
BELM
Ohio county (first four letters)
Foreign country (ptease provide this infarmation if the mailing address is outsidz the US)
Foreign postal code
Ohio ResidencyStafrrs - Check box
for prirnary taxpayer
X Fu1f-year
Part-year Nonresident!
Resident resident indicate state
Filing Status - Check one
(as reported on federal income tax return)
Single or head of househofd or oualifying widow(er)
Check box for secondary
taxpayEr (spouse if married filing jointly)
X Fu11-year Part-year
No; rresident!
Resident
resident indicate state
Piease do not use stapEes, tape or gErre,
P face
W-Z(s),
check and 8hio
fo 1T.4tlt^ on
top
ofyour
ynur
return,
P rm
tace any other suppot#ing documents
or statements after the last page of your return,
X Married filing jointly
Married filing separatel,v •- ^^,
Enter spouses SS#
^ .^'.riito P^!iiiral Pwrty Fund
ba you want $1 tc go to this fund? Yes No
!f Jotnt return, does yuur spouse
want $1 to 9o to this fund?
Note:
Chec <ing 'Yes' will not increase your tax or decrease your refund
Ohio Public School Distric# Number
for 200g
(see instructions) 0706
Go Pape; tess. It°s FREE!
TE'V I-File or 0îio f
è ^L!1Â^
bY visif€na tax,ob1o.caoV.
fiftst electronic ialc-rs
receive refunds
in 5-7 business days by
direct deprasit!
INCOME AND TAX INFORh1ATit7fd
1 Eederal adjusted gross income (
1040-EZ, fine 4; or 1040-NR, line frorn
35) IRS forms 1040, iine 37; 1040-A, line 21;
...:....:........
2 Adjustrr,ents from line 47 on page 3 of Ohio
form IT 1040 (enclose page 3) ,
. 1
2
i 3 Ohio adjusted gross income (
fine 2 added to or subtracted from line 1
4 Personal exemption and dependent exemption deduction - rmltfpiy your personal and
dependent ex.e,mptions 3 times $1,500 and enter the resuft here
3
.....,.. .,,
4
5 Ohio taxable income (line 3 minus line 4; enter -0- if fine 3 is less than line 4) ..
......
6 Tax on line 5 (see tax tables in the instructions)
,•,,,,..............................
7 Credits from Si;heduie B from line 57 on page 4 of
Ohio form I T 1040 (enclose page 4)
8 Ohio tax fess Schedule 8 credits. (line 6 minus line 7; enter
- 0- if fine 7 is more than line 6)
t
:^ cxe,roption credia
tvuri:ber of person,,i and dependent exemptions : : . ,
3 times Q 2v ......
10 Ohio tax less exemption credit, (iine 8 m ^ttStir
, -0-,.
i ^ ^; "iner
if iin8 C is i eSS than ;1n e
9) . . . . . . . . . . . . . .
2008 IT 1040
OHIA0512 72/12/og
Page i of 4
S
6
7
8
S
10
91447 00
-212 00
91235 00
4500 00
86735 00
3176 00
200 00
2976 00
60 00
29'^rJv^
2008 Ir 1040
^ `^ ^ T xation
ent of
I ^' ^ ^^^^ razaElE year beginning in
II
SS#
08000266 2008
DAVID M & BARBARA A TtJCA
,, s
Rer 9/08
IT 1040
tncfividuat
irncome Tax Return
l0a Amount from line 10 on page 1.., ............
ioa
11 Joint filing credit (only for married filing jointly fiters; see instructions and
enclose documentation) 5 % times line 70a (iirnit $650) . . . . . . . , . : .
11
12 Ohio tax less joint filirig credit. (line i0a minus line 11; if line i 1 is more than
line 1 Qa, enter -0-.), . . . . . . .
14600
12
277000
13
00
14
1s
2770 00
00
13 Totaf credits ,`rorn line 69 on page 4 of Ohio form IT 1040 (enctose saage 4)
14 ON^
2916 00
iriconie tax befor
e fTianufacturing equipment grant, (line 12 minus iine 13; if
line 73 is more than line 12, enter -0-.) , . . . , . . , . , ,
19 Vlanufacturing eauipment grant, YoL, muxst'
include the grant request form . . . . . . , , . . .
16 Ohio income tax. (line 14 minus line 15; if line 1-5 is more than line i4-, enter -0-.) ,, , 16
17 Interest penalty on underpayment of estimated tax. Check if Ohio form IT/SD 2210
277000
is enclosed (mav be required; see instructions) . . . . . . . . . . . . . . INTEREST PENALTY D 17
18 Unpaid Ohio use tax (see worksheet in the instructions). . .. . . . . : . . . .. . . . USE EAX ^ 18
19 Total Ohio tax (add lines 16, 17 and 18) , , , . , , , ,
TOTAL TAX A 19
PAYMENTS
20 Ohio Tax Withheld (box 17 on your W-2). Place W-2(s) on
top of return . .. . . . . . . . . . . . . , . . . . .. . . . . . . AMOUNT WITHHELD )^ 20
21 2007 overpayment credited to 2008 ,
2008 estimated tax pavments and 2008 IT 40P ex.jerlsion payments ...... 21
22a Refundable business jobs credit: b Refundable pass-through entity credit:
You must irlclude certificate(s) You must include K-1(s)
00,
00
2770 00
2256 00
00
00
00
c Historical building rehabilitation credit: 22 Total of lines 22a, 22b and 22c .. , 22
You must include certificate(s)
00
00 23 Add lines 20, 21 and 22 ......... ......
TOTAL P,•rx,YMEN T SP, 23
2G^)V(JV
REFUND t)R APJfOtiNT YOU OWE !f your refund
is less than $1.0i, tio refund will be issued. If you owe Is iess than $T.01, no payment is eecessary.
24 If Iic E 23 is GREATER than rine 19, subtraci (ine 19 from iine 23 .......... ,-,MOUNT OVcAPAtD^ 24
nn
J LJ
25 Amount of line
. 24 to be credited to 2009 estimated income tax liability :,,,.
DREpIT^ 25
26 Amount of line 24 that you wish to donate to the Y1ilitary lnjuy Relief r: und ......,,. ,.. 26
27 Amount of line 24 that you wish to donate
for Ohio's w;fdlife species and ccnse Y,ation
uf endangered .ri?diife
. . . . . .. . , . . .
... ................................ 27
28 Amouni of line 24 you wish to donate
for nature preserves, scenic rivers and
protection of endangered species . . . . . . . . . . . . . .
............. ..................... 28
29 Amount of fine 24• to be refur^ded (subtract amounts on
00
00
0 C)
00
lines 25, 26, 27 and 28 from line 24)
YOUR REFUND ^ 29 00
30 Amount You Owe (if line 23 is less
than line 19, subtract line 23 frorn line 19).
If payment is enclosed make check payable to Ohio Treasurer
of State and include Ohio form IT 40P(see instructions)
AMOt1NT YpU pWE^ 30
SIGN HERE (reqtrired) - see page 4 of this return for mailing information.
i have read this return. Under penalties of perjury, I declare that, to the best of my
knowledge and belief, the return and all enclosures are true, correct and comp9ete.
Your signature
For Department Use Only
Date
Spouse's signature ( see instructions)
Preparer's name (see instrs)
514 00
num`,er
c t,T ati^ne u o.
.^,.:,u^
?^'Ei'3;:2;t7 : mt,.,
Do you authorize your preparer to contact us regarding this return? Yes X No
2008 17` 1040
oHIa0512 12/? p/og
2of4
Code
2008 IT 104Q
^.•^/
^
]j
i
bd `
d^p
j ^ ePartm
^ ^n elif of
`j1
uo not mail page 3 if line 2(ort page 1) is -0- or blank
1111111 111
Taxahle years tiegittr,ing in
^^^t
a^^ g pg^^g ^y
4
t8'°ttl
08000366
DAVID M & BARBARA A LtICAS
F
Rev
200^ lndiv^ dual
lrtcr^ ltte Tax Refiurn
SCHEDULE A - income Adjustments (Additions and
D eductions)
Additions (
add income items only to the extent not included on page 1, line 1).
31 Non-Ohio state or local government interest and dividends . . . . . . . . . . . . . .
......,,:...
^ 32 Certain pass•tf7rough entity Ohio taxes paid and Ohio Revised Code section
5733.40(A) pass-through entity adjustment . . . . . . . . . . . . . : . . . . . . . . . . .
33a Federal
interest
. . ..
and dividends
subject to state taxation
,,. . . . . . . . . .
31
00
32
33a
^
b Reimbursement of co.fege f fion expenses and iep.s deducted in anL previous year(s)
c Losses from sale or disposition of Ohio ^ pub l
oblig at ions
......................
i c ^^^,ions
00
00
c
d Non-medical withdrawals from an Ohio medicai savings account, lump sum
distribution add-back and rr,iscellaneous federal income tax ad;ustmenis , , , , , , , , ,
00
d
e Reimbursement of expenses previously deducted for Ohio income tax purposes, but
only if the reimbursement is not in federal adjusted gross income . . . . . . . . . . . . . . . . .
f Noneducation expenditures from college savings account . , , . , . , . . . ,
00
e
g 5/6 adjustment for IRC sections 168(k) and 179 depreciation expense ......,.. ,,
^ 34 Total additions
(add lines 31 through 33g and enter here). You must complete the
applicable line items above , . , . . . , . , .......
................ ....... ..:...........:.
Deductions (
deduct income items ontY#o the extent included in page 1, )ine 1)
Important: See caution in the instructrons.
35 Federatinterestand dividends exempt from state taxation .....:....................
.36 Employee compensation earned in Ohio by full-year residents of neighboring states
and certain income earned by mtitary nonresidents : . . . . . . . . . . . . . . . . . :
..............
37 Military pay for Ohio residents, but only if the military pay is included on line 1 of this
return and received while the militarv member was stationed outside Ohio ,,,,
38 State or municipai income tax overpayments shown on federal form 1040, line 10
39 Disability and survivorship benefits (do riot include pension continuation benefits) .,,,,
00
00
00
f
9
34
00
35
00
36
00
37
01 0
2212 00
00
38
39
i 40 Quafifying Social Security benefits and certain railroad retirement benefits . . , . . . . , . , , , 40
41 Corrtributions to CoCegeAdvantage 529 savings plan and/or
ourcnases of ?litior credi}s , , , , , , , , , , , , , , , , , ;1
I 42 Certain Ohio National G;aard
reirFtbursements and benefits (see instructions) .......... 42
A
P3 i.'i 7eir?luuizcd lor Gait : care iii3uratlce prerflillr(ls; unsubsidized heaith care !ns{,lrance preniiiim s
atn .Xi SJ health carc eXpefkses (see worksheet in tll8 instructions)
.............. 43
44 Funds deposited into, and earnings of, a medical savings account for eii,ible
health care expenses (see worksheet in the instructions) , . , . , . , , , . , ,
45 a Wage expense not deducted due to the targeted jobs or the work opportunity tax credits........ .........
00
00
00
00
44
45a
00
n0
b
00
b interest income from Ohio public obfigations and Ohio purchase obligations and gains
from the sale or disposition of Ohio public obligations ...,,,...
c Refund or reimbursements shown on IRS form 1040, line 21 for itemized deductions
claimed on a prior year IRS income tax return . , , , . . , , , , ,
d Repayment of income reported in a prior year and miscellaneous federal tax adjustments . . . . . . . . . . . . . . . .
c
d
00
00
e Qualified organ donor expenses (maximum $10,000 per taxpayer) and amounts
contributed to an individual development account , , , , , , , , , , ,
e
f A.djiistment for Internal Revenue Code sectio,n,s 168(k) and 779 depreciation expense . . . . . . . . . . . . . . . . . . .
00
f
00
9
00
g NEtiV Wtilitary retirement income incluaed in federal adjusted gross income
(lrne 1) and military iniury relief fund amounts inciuded in line 1
46 Total deductions (add lines 35 through 45g). You must
complete the applicable line
items above .. .. . . .
.
46
212 00
47 Net adjustmerits - If line 34 is GREATER than line 46, enter the difference
here and
on line 2 as a positive amount. It line 34 is LESS than line 46, enter
the difference
here and ttn ljrte 2 as a rleriativa arflount, include this p^.age t;hert
f ... < ^
you filw yv:•urretur n. 47
200^ IT 1040
3of4
-2'20"v
200$ iT 1040
10
^
^
^
vo not mail page 4'rfffne 7 (
O I ^xpa$iQnentat
on page 7) ANp i3 (on page 2) are both °Q• or biank
Ill 11111111I11
1111111111 7axable years beginning in IT °^ Q40
Rev 9108
^ 200$ Individual
ss# 0II000466
BAVID M & BARBARA A LUCAS Income Tax Return
SCHEDULE B - Nonbusiiless Credits
48 Retirement income credit (see table in the instructions) {
49 Senior citizen credit ( iirnii p50 per returrt).
limit $200 per return) ...... .. 48
200 00
You must be 65 or older to claim this c, edit . 49
00
50 Lump sum distribution credit (you must be 65 or older to claim this credit) ............
51 Child care and dependent care credit (see
worksh eet in the lnstructions) . 5Q
52
Lump-sum
mentcredlt ................
Cetlre
00
-^"
^^
.......... .. .:................... 52
00
53 If line 5 on page T is $10,000 or less, enter $93; other;rise, enter -0- or leave blarik ... 53
00
a4 Displaced worker training credit (see the instructions and worksheet)
Qimit $500 per taxpayer) . . . . . . . .
............................................ ... 54
00
55 Ohio political contributions credit (timit $50 per taxpayer)
. , . , . . . , , , , , ................ 55
56 Ohio adoption credit ( $1,500 per child adopted during the yea) .
00
.. . . . . . . . . . . . . ....,.. 56
00
57 Total Schedule B credits (add lines 48-56) enter here and on page 1, tine7 ,..., ....
SCHEDULE C- Ohio Resident Credit 57
200 00
58 Enter the portion of fine 3 on page 1 subjected to tax by other states or the District
of Columbia while you are an Ohio resident (limits apply • see instructions) ,,.,,,,,
59 Enter Otiio adjusted gross income Pine 3 on 1
pa ge ) .............................. 59
58
(
60 Divide iine 58 by line 59 and enter t"e
^ factor by the
rQsult here . , . , . . . . , . Auitiply this
. : . . . . . . . . . . . . . : . . . . . amount on line 12 on page 2 . 60
DO
00
00
61 Enter the 2008 income tax, less all credits oiher than withholding and estimated tax
payments and overpayment carryforwards from revious years, paid to other states or
the District of Columbia (limits apply - see Iine instructions) ...-;................... . 61
00
62 Enter the smaller of line 60 or ;in,e51 This is your O l o residei-it tax credit. Enter
here and on line 67, below . (, you tri€d a returrt rr, 2008 witn a state(s) other than
Ohio, list the tvio-letter state aubreviation in the boxes below
............... 62
00
^^^^^^Ê ^ - or^resie:iier^tiPar'r-Year
P^t
Resider^z Credit (date of pari-yearresidenc,;;
¢C
63 Enter tha portion of Ohio adjusted gross income
(line 3) that ^vas not earried or received in Ohio, Include
C7idoform ('I 2023 if reRuireL (seeinstr(Jctioiis)
. . . . . . . . . . . . . . . ...............:....:....... 63
00
00
64 Ertter the Ohio adjusted oross income (line 3) , . , . . , , , , , ,
65 Divide In 63 by In 64 and enter the result here „ r . : . . . 64
Multiply this factor by the
amount on line 72 on page 2. Enter here and on line 68 below :.... .. ..
.............. 65
00
SUMMARY OF CRED tTS FPC2^ SCHEDULES C, D AND E
66 Enter the amount from line T 1 of Schedule E, Nonrefundable Business Credits. This
form is available on our website at tax<ohio,gov
, , , , , , ,
00
00
00
00
67 Enter the amount from line 62, above . . . . . . . . . . . . . . . . . . . . .. . . . . . . . ' . 66
............................. 67
68 Enter the amocmt from line 65, above . . . . . . . . . . . . . . : . .
69 Add lines 66, 67 and 68. Enter here and on line 13 on page 2
: . . . . . . . . . . . . . . . . . . . . . . . 69
MAILING INFORMATION
NG Paymertf Enciosed - Mail io;
P.O. 2679
,Box
Co(umbus, OH 43270-2679
Please do not enclose vour
federal tax return o^niPsc lina 1
on page T is °Q- or negative
Payrnen* Enc-iosed - €;iaiE tc:
Ohio D2rtment of T=xBtion
P.O.
0Box 2057
Co(umbus, OH T32'0-2057
2008 tT i ®40
4 of 4
2008 67° 1040
Form 1 Q40
Qualified Div^ dertds and Capital Gain T
ax Worksheet 2008
Line.44
. Keep for your records
Name(s) Shown on Return
^
DAVID M& BARBARA
A LUCAS
Social Security Number
Enter the amount from Form 1040, line 43 1
...,,., ^-^^---~2 Enter the amount from Form -- 69' QA? °
1040, line 9b ........ .. .: .:...... 2
--^, 200 ,
3^you filing Schedu(e D? --- 7
Yes. Enter the gMaiiar of
iine 15 or` 16 of
Schedule D. ff
either line 15 or 16
is a loss, enter -f}- 3
No. Enter the amount
from Form 1040,
line 13.
4 Add lines 2 and 3 ............... 4
5 If you are claiming investment 10! 2d0.
interest expense on Form
4952, enter the amount from
line 4g. Otherwise enter -0- . . .. 5
6 Subtract line 5 from line 4. ,f zero or less, -0- 0^
7 Subtract line 6 from fine 1, If zero or less, enter 0- , 6 y
^ 10
'?0G
8 Enter the smaller of: 7 ^ 8
---- s^8 47 10 The arr,ount on line 1 or
0 $32,550 if single or married filing sep,
$65, 1^10 if married filing jointly or
qualifyina widcw(er), or ""' 8-^ 65, 100.
$43,650 if head of household.
9 Is the arnounf on line 7 equaf to or more than the
amount on line 8?
--- yr res, Skro lines 9 and 10; go ,o r? ne. 1 r,
C
X N". ^
a
ii
12
13
14
15
16
17
18
4
..r1L
..
..
7
,i ^,
tte a,ioui't7rontfine / .,,, 9
58;s347.
Subractline9fromline8 .......... ... ....
.are the arôunts on lines 6 and 10 the same? 10 253
^ ves. Ship lines 1 1 through 14; go to line 15
1^.r P-io, Er rfcr the smaller of line 1or line 6,. 1-1
Enter the arnt from
line 10 (if line 10 is blank, enter 0) ,.î2 ^^' ^^^Subtract line 12 from line 11.
'
Multiply line 13 by 15% (.15) ...:. 13 3, 947.
Figure the tax on the amount on line 7. Use the Tax Table or Tax Computation 14
Worksheet, whichever applies. . . . . . . . : , ..
. . ... . . . . . . . . . . : , .. . . . . .. . . . ...::.
. ,. ........:
. . . . . r5
^
Add liries 14 and 15
Figure the tax on the amounnt on line 1. Use the Tax Tab1e or Tax Computation 15
Worksheet, whichever applies, . `
Tax on all taxable income. Enter
the smaller of line 16 or line 17 here and on 17
Form 1040, line 44 ,,.,
.......................... ....... .....,.....,... .... 18
592
8,021,
8,613.
9L 944n
8,613.
o
'
dJepastmeyt o$
^ Tax2tiora
Taxatrleyearbeginning in IT 1040 Rev 12lo4
Illttf
Please use only btack ink.
0900f016`6 2nQ^
J Taxpayer Social Security no. (req!uired)
individual
9nCoiTr+e i°aX RL-tum
if deceased Spouse's Social Security no. (only if joirtt return)
10' Ob= it deceasod ;
Use UPPERCASE fetters.
Your first rr2me
check box
check box
M•t• Last name
DAVID
M LUCAS
Spouse's first name (only if n
arried filing jointly)
M.I. Last name
BARBARA
A LUCAS
"•"a :^ addrrs.s (for Pester arocessing, use a street address)
69396 Tr7ILi,TAtiS RGAF:r
Ci'ry
State ZIP code
ST. CLAIRSVILLE
CR 43950
Home address (if di;ierent from mailing address) - please do NOT show city
or state
ZIP code
C0unty (first four lett'crs)
BELM
county (first four ietters)
Foreign cour,try (please provide ttiis infnrmatfon iP the mailing address is outside the US)
Foreign postal code
Ohio Residency Status - Check applicable box
X Full-year Part-year
resident resident Nonresidentf Db
indicate state
Filing Status - Check one (as reported on federal income tax return)
Sinate or head of household or gualifydng vridow(er)
Check applicable box for spouse (if married filing jointiy)
X Full-year Part-year
resident resident Nor,residentl
indicate state
use
Place your1N-^(sj,
ck {paylabde to Ohio Treasurer
o€ State) and Ohio form IT 40p
on top of your return.
Place any other supporting documents
or statements after the last page of your return.
Married filing separately Enter spouse's SS#
1'. n to- ^^Îuss , tt`^ ^^^^!
Ohio Politicat Parhy Fund
Do you want $1 to go to this furid? . Yes No
T^r IeFiqe or ®hfo e^^biì^dâs
. . , . .... .. . , . . . , . : . . r
aY visiting ta?^ôlwliorgovo
^ if joint return; does your spouse want $7 to go to this fund? x
Natc: Ci,ecKir;g '1ès` 4viil not increase your tax or decrease your refund.
^'
^^
o
rddoSt electronic
receive
their ^°iyfltfl^s
Ohio School Distrdct Nurnhed
€vr2rJ09
5°7 business days bV direct de ;C^f^^l^!
(see instructions)
0 7 in
0 6
1 tr'Jr"OM>r' AND TflY :NFOf?MAì'!0"d
j
I Federal arljusted gross income
(from
line 37; 1040A, line 21;
1040EZ, line 4; or 1046NR, line 35)
. . . !RS
. . . .forms
. . . . . 1040,
..
....,.. ....................... 1
2 Adjustments from line 47 on page 3 of Ohio form IT
7040 (enclose page 3) ........... 2
3 Ohio adjusted gross income (tine 2 added to or subtracted f;om line 1) . . . .
...........3
4 Personal exemption and dependent exemption deduction - multiply your personal and
80449 00
00
8044900
dependent exemptions 3 times $1,550 and enter the result here . : . . . . . . . . . . . . . . 4
4 650 00
5 Ohio taxable incdme (line 3 minus line 4; enter -0- if iine 3 is less than line 4) ........ 5
6 Tax on line 5 (see tax tables in the instructions) ,,,.,..
...... ....................... 6
7 Credits from Schedule B from line 57 on page 4 of Ohio
form IT 1040 (enclose page 4) 7
8 Ohio tax iess Schedule B credits, (line 6 minus (ine 7; enter -0- if line 7 is more than line 6) ,,,,,,,,
..,,, 8
5 Exzmption credit Number of personaf and dependentexempfions , , . , , , , , , , , 3 times $20
10 Ohio tax less exemptiori i;reuit (line 8 minus line 9; enter -0- if line 8 is less than line 9) ..............
2009 IT 1040
tONiA0532
104
9
10
75799 00
2660 00
200 00
2460 00
6000
24Qn 00
2009 IT 1040
omo
Tat^tntenof
111111111111111111111111 âxable year beginnin9 in ,T 1040 Rev 7v^
2009 Individual
sS# 09000266
^^
Income
Tax Retum
DAVID M BARBk12AA ^^,OAS
^^
17 Amount from line •10 on page 1 , . . . . . , . , . .
............... ....... 11
12 Joint filing credit (only for married filing jointly filers; see instructions and
enclose docur;êntation) 5 % times line 11 (limit $650) . . . . . . . . . . . . . ,.,.........: 12
2400 00
.'t.2 0 00
13 Ohio tax less joint filing credit (fine 11 minus line 12; if !ine 12 is more than
line 11, enter-0-.) ... ....... .....
13
?cl
2280 00
00
15
00
16
2280 00
14 Total credits from line 69 on page 4 of Ohio form IT 1040 ( enclose page 4) ,.,,,, .,_,
y5 Manufacturing equipment grant. `v Ot,; ;7iGst iiTCiude the giant request forrr'i .. .. .,
116 Uhio incor,re tax (line 13 minus lines 14 and 15; if the total of I:nes 14 and 15 is r,cre'
rnan iine 13, enter -0-.) . . . . . . . . . . . . . . . . . . . . . . .
37 Unpaid Ohio use tax ( see worksheet
in the instructions) ......... .. ....: 17
18 Total Ohio tax fiability ( add lines 16 and 17) ,,..,,,, TOTAL TAX p=$
................
00
2280 00
19 Ohio tax withheld (box 17 on your W-2), Place W2(s) on top
of this return .
. , . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . Airivu€i T V`Y7T"riHC.LD e 19
?1..u800
120 2008 overpayment credited to 2009, 209 estinaated tax payments and any other 2009 tax payments ........ 20
21 RefundabPe credits. Include certificate(s) and K-1(s):
00
a Business jobs credit b Pass-through entity credit
00
00
c Historical preservation credit d NEW-Motion p:cture production credit
00
00
22 Add rines 19, 20 and 2ja, b, c and d .. . .. . .: :: . .. . . .. . . TO'nAL PQY^^NTGI^ 22
? 1aS 00
If line 2-2 is MORE THAN line 18, go to line 23. If liner22 is LESS'fhfAN line 18, skip to line 27<
23 If line 22 is MORE than line 18, subtract line 18 frorri line 22 : AMOUNT OVBRR,4tD ^ 23
00
24 Arnount of line 23 to be credited to 2010 income tax liability. ......, CREDIT TO 2010D 24
25 Amount of line 23 that you are donating to the foilowing funds:
00
a i`1ilita }'njury reiief v^lature prese r°es/sce rivers cWiidlife species/endangered ;vifd!ife
Uf)
ftOt Or,
26 Line 23 rninus the sum of lines 24 and 25a, b and c ,. ÌrJUR REFUND ^ 26
7 ;f line 22 is iess than ;ine 18, subtract line 22 from line 18 . . . . . . . . . . . . . .............. 27
2 Interest penafty on ur,derpayment of income tax. Enclose Ohio form IT/SD 2210
(see instructions) .......... . . , ... .............°,... ., , .,, . .:.
......,,,.....
......, 28
9 Interest and penalty due on late-paid tax
andlor late-filed return , , , , , , , , , , , , , , , , , ..... 29
0 Add lines 27, 28 and 29. If payment is enclosed make check payable to Ohio
7reasurer of State and I;nclude Ohio form IT 40P (see instructions) ... AMflUN°i` DUt: ® 30
00
1132 00
1900
00
1151 00
If your refund is dess than $1.01, no refund will be issued. If you owe is less than $1.01, no payment is necessary,
[tsia HERE (requircd) - 3ee ,rpage- 4 ETf this return
for rn23'flisFg infor3272tton,
I iave read this return, Under penalties of perjury, I declare that, to the best of my
ki iowledge and belief, the return and all enclosures are true, correct and complete,
Your signaiure
Date
Spouse°s signaf^re (see instrs} Phone
Prea arer's name. (:
mamber (optional)
?e insrrs) . , Fhone <<umreer
Do you authorize y our preparer to contact us regarding this return7 Yes X ido
11
For Department Use Only
20091T 1040
7213i109
a9 nfG
Code
2009 tT 1040
O RO f Department
ER$
ss#
t
of
7axebie year beginnina
09000466 f
F2009
Rev 12/o9
in 1 6 ii.F^tel
I IndiVrduaE
DAVI D K& BARBARA A LUCAS
Income Tax Return
/FLlNE7(0tYP.40E 1)AN!) LPA/E 14(0NPAGE2)ARL'BOTff -!f- OR BLA/+/df, DO NDTIHAlL PAGE4
SCHEDULE 8 - Nonbusiness Credits
48 Retirement income credit (see tabfe in the instructions) ( timlt $200 per return) . . . . . , , , 48
49 Senior citizen credit ( limit $50 per retern).
You must be 65 or older to claim this credit. 49
50 Lump
rp sum distr ibiJtlot i credit lyor.i t tiiS t be v5
or older to ciairil this cr e-dtt) ,,,,,,,,
200 00
00
=v
00
^ ^
51 Child care and dependent
care ^,redit (See ^vSrîsheet in tiie instructions) . 5 d
52 t:urrp-suîi retirement credit : . . . . . . . . .. . . . . . . . . . . . . . 52
00
53 it fine 5 on page f is $10,000 or less, enter $93; otherwise, enter •0. or leave biank... Ss
00
54 Displaced worker training credit (see the instructions and worksheet)
(timit$5o0 pertaxpayerj .................................. ................., 54
00
55 Ohio pofitical contributions credit eli;ri; $vJ per taxFaygr) e . . . . . . . . . . . . . . . . . . . . . . . . . 55
56 Ohio adoption credit ( $1,500 per child adopted during the year)
. . . . . . . . . . : . : . : . . . . . . . 56
00
57 Total Schedule B credits (add lines 48 through 56). Enter here and on page 1, line 7... 57
200 00
00
58 Enter the portion of line 3 on page i subjected to tax bl^ other states or the District
of Columbia while you are an Ohio resident (limits apply - see instructions) ...... ... 58
59 Enter Ohio adjusted gross income (line 3 on page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
60 Divide line 58 by line 59 and enter the result here ..,...
00
00
Multiply this factor by the amount on line 13 on page 2 and enter result here ..... .,.,, 60
00
61 Enter the 2009 income tax, less all credits other than withholding and estimated tax
payments and overpayment carryforwards from previous years, paid to other states or
the District of Columbia (limits apply -- see instructions) . . . . . , . , , , 61
00
62 cnter rtie smaller of line 60 or line 61. This is your Ohio resident tax credit. Enter
here and on line 67 below, if you fiied a return in 2009 with a state(s) other than
Ohio, list the two•ietter state abbreviation in the boxes below . . .. . . . . . . . . . . . . : . . . . . . . 62
VV
SCHEDULE u- Nonresident/Part-Year Resident Credit (date of part-year residency
to
^
33 Enter the portion of Ohio adjusted aross income ( line 3) that was not earned or received in Ohio,
{ncfride
Ohio rprm i i 2023 if required (
see instructions) . . . . . . . . . . . . . . . . 63
i4 Enter the Ohio adjusted gross income ( line 3) , ; , , , , , , , , , , ,
...,......,o............ 64
00
00
;5 Divide In 63 bv In 64 and enter the result here Multiply this factor by the
amount on line 13. Enter here and on fine 68 below . . . . . . . . . . . . . . . . ................. 65
00
i^MMAR`^ OF CREDi i S FROM SCHEDULES C, 0 AND E
3 Enter the amount from line 10 of Schedule E, Nonrefundable Business Gredits.,. . his
form is avaiPabte on our Web site at tax.ohio.go^. . . . . . . . . ..
, , . 66
6 Enter the Gmount from ;ine 62, above . . . . . , . . . . . . . .. . .
...
. .. . 1 . . .. T:. . 67
. ....... .......:..........
00
00
6f i Enter the amoLint from fine 65, above . . . . . ... .. . . . .
......................... ... .. . . 68
6c Add lines 66, 67 and 68.
00
00
Enter here and on line 14 on page 2........ ................ 69
M. ULfNG INFORMATION
NO Payment Ene_.tosep - k-et'r t¢: Do not er?ctoge your federal Pavment erHC__,_
3e^s^d -
N'arlto°
Ohio Department of T3Xa$inn
income tax retc„trn unless line 1 Ohio Der'7ar?mont of Ta"Otio
A O Box 2679 ^^.n ,^.^..^ye 1 of this return :S r^ ^t Rt^,x 2057
Columbus, OH 43270-2674
{,....'^ ^ I .
-9- or n2gatite.
2009 17` I040
OH{AO504 1228109
4of4
Coiumbus, OH 43270-205:
2009 IT 1040
v { ruc use seaptes.
r' ^ YVO ^ iîel3astmeitt of
t-,--}
^.d li
lin
Taxable year beginning in I"r' 1(140 Rev 09/10
Please use only Glack.ink.
!!!!!! 10 00 016 6 ^Z®1 Q Individual
Income Tax Return
Taxpayer5ocialSe(required)
if deceased Sp9use's Social Security no. (only if }oinf refurn}
if deceased
Use UPPERCASE letters.
Your first name
d18ck box check
M.l• Last r+.ame
box
DAVID
M LUCAS
Spouse's ìrst namN (on(y r ioin'
re[u;n)
M.1. ? ast narne
BARBARH
A LUCAS
Mailing address (for faster prncessing, please
use a street address)
69396 GYTi,i,T.ll.1S ROAD
City
State Zip cede
ST. CLAIRSVILLE
County (first four letters)
OH 43950 B);LM
Home address (if different from mailing address) - p!ease do NOT show city nr state
ZIP c°de County (first fnur ietters)
Foreign country (p!ease provitle this intormation if the mailing address is outside the US)
Foreign postal code
Ohio Residency Status - Check applicable box
; Ful1-year Part-year iVonresident! 1^9
resident resident
indicate state
Filing Status - Check one
(as reported on federal income tax return)
Single or head of ho;jse!,otd or quafityi+ng widow(er)
Check applicable box for spouse (if ;narriedfilingjointly)
X Fuii-year Part-year Nonresident! t§-A
resident resident indicate state
Please do not wsC stapfes, tape
glue. Place Vor,r vv.2(s).
,
check ( payable to Ohio Treasureror
of State) and:4hio form IT
40P on top of your return. Also place forms W-2G and 1099.R
if tax was withheld. Place any other supporting documents
or statements after the last page of your return.
fv1arried filing separately Enter spouse's SS-
Go paperless. it's FREE!
^^y, i-îie or Oiîo eForms
by o.JFsif;ing taxeohe©.gov o
; E}hic r'oliticai Party Fund ''es No
; Qo you want $1 to ao to this fland %..:.... Y
lt,o;±?t return, does your spouse want $1 to go to tNs
fund?
tr
Note: Checking 'Yes' wil( not irrsrease your tax or decrease your refund.
Ohio School District Number for2010
(see pages 42-46 of the i nstructions) 0706
INCOME AND TAX {UFORfV1ATEOdd
Most efectronfc filers receive their refunds
in 5-7 business davs by direct depositi
1 Federal adjusted gross income
(frorn IRS forms 1040, line 37; 1040A, line 21;
1040EZ; line 4; 1040NR, line 35; or ' 040NR•EZ, line 10) ...... .,
...........:........ 7
2 Adjustments from line 47 on page 3 of Ohio form IT 1040 (
enclose page 3) ,.......... 2
3 Ohio adjuste(i gross income (line 2 added to or subtracted from fine 1) , , , , , , ,
00
3
67432 00
4
4800 00
4 Personal exemption and dependent exemption deduction - multiply your per sonal and
dependent exemptions 3 times $1,600 al,d erlter the result here .. . . . . . . . . . . . .
67432 00
5 Ohio taxable income (line 3 minus line 4; enter -0- if line 3 is less than (ine 4) ........ 5
6 Tax on line 5 (see tax tables on pages 34-40 of the instructions) ...... .......
,.. . 6
62632 00
2086 00
7 Credits from Schedule B frorn line 57 on page 4 of Ohio form 1T i040 (
8 Ohio tax less Schedule B credifs. (line 6mirtus line 7; enter -0- r lirie 7 is rnore than
enelose page 4) 7
line 6) ...•........ s
9 Exemption credit: Nittltu r of perSorrai a+iu' deFerident exPmptlons ., . . 3 times $20 . . . . . . 9
10 v,'-ia tax iess exemption crer,lt (line 8 mintls ln^
^ n;f tina Ps
Ghnris
,n„ ^ ,
. ~ 9; ent.,
^ ,^..i9)........:... . . . 10
200 00
1886 00
60 rI0
1826 00
2010 tT 1040
oHiA0512 111a711
1 of4
2010 i7' 1040 -
epartm ent
^ ^^ ^ D ^^tJmn
of t^^l^
^
fff 11111111!
illl 111111J11
sS# 10000266
eT 7 440 Rev o9/lo
201+0
DAVID M & BARBARA A L IrC'fis y^-- ( 10a Amouiit from line 10 on page 1,..
10a
l 1 i Joint filing credit: See the instructions en page 19 for ?Irgibihty and documenta iaii requirements Jhis credit
is for married filing jcintly status or,ly). . . , ^ 0 °s trr aes lir.e 10a (limit
^"600) . . . . . . . .
11
Individual
Income 7ax Return
152600
183 00
12 Ohio tax less joint fifing credit {fine }Oa minus !ine 11; 'rf line 11 israore than line 10a, erter -0-. ... . . . . , . 12
13 Tota! credits from line 69 on page 4 of Ohio forrn iT 1040 (enctose page 4)
. 13
1643 00
,0
0
i 14 ivianufacturing equipment grant. You must include the arant rea,uest form ,._.. . 1y
00
j 15 Ohio inconie tax (line 12 minus lines 13 and 14; if thetota! of lines 13 and i4 is •,arethar^ fiiê 12; enter -0 .) 15
J1643 00
^ 16 Interestpena;ty on underpayment of incorne tax. Enclose Ohio form iT1SD 2210 (see
page 20 of the instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . .
17 Unpaid Ohio use tax (see the worksheet on page 32 of the instructions) . ,, ,._,, 17
^ 18 Total Ohio tax iiability (add lines 15, 16 and 117) .,.....,,
TOTAL TAx 13
19 Ohio tax tm:thheld (box 17 on your bU-2;
box 14 on your W 2G; and box TO on
you 10S9-R). Place 4'1•2's, W-2G(s) and 1099-8(s) on top of this retur n...,;. AIYTtDUNT WITHHELD 19
00
00
1643 00
20 2009 overpayment credited to 2010, 2010 estimated tax payments and any other 2010 tax payin2nts ........ 20
21 Refundable credits. include certificate(s) and K-i(s):
1130 00
00
a Busir7ess jobs credit b Pass-through entity credit
00
00
c Historic preservation credit d Motion picte!r production credit
00
00
22 Add lines 19, 20 and 21 a, b, c and d
ne
18
,
.
.
.
.
.
.
.
.
.
.
. . TOTAL PAYMENTS ^ 22
If line 2-2 is MOR^ TH^?^ l i
, go to ti,re 23. If iine 22 is LESS THAN line 18, skip to line 27,
23 !f line 22 is MO°E Tf1t;N iine 13, subt act fine 18 from line 22 ............ AMOUN7' OVERPAID @ 23
'_ 1 3 0 0 0
24 Amount of line 23 to be credited to 2011 income tax liability .. .. CREDIT TO 2011 @• 24
25 A mount of line 23 you wish to donate to the foilowing funds:
00
00
a Military ir,jury re?ief f; Wildlife sfrecr sIendangered wild;fe c Pdarra! areas/endangered species
00
0C
OlJ
26 Line 23 minus the sum of Iines 24 and 25a, b and c ,Enter anrount here then skip to Iine 28
00
513 00
27 if iine 22 is LESS ?}-{AN line 18, subtract line 22 from line ib ........ ArVtC3UN'p DUE 27
28 )nterest and oenalfi, due on
la*e paid taxes andlor late filed return (see page 21 oi the instructions)
...... . . . INTEREST AND PENfiL,T;' 28
tfytJu entered an ad31n6.t^7t oP. fi.^,,. ?5s:{ir,, tLTi^,^ 30, ifyol
00
r.fe;'ed zs ^ ai+ivit`t
Vit iitl$ 27, go to line 2ì,
29 Arnount
due plus interest and penalty (add lines 27 and 28). If payment is enclcsed,
m
ake 7check
to Ohio Treasurer of State and include Ohio form IT-40P (see
page
or 47payable
of the instructions)
AMOUNT DUE PLUS INTEREST AND PENALTY 29
30 Refund less interest and penalty . 0 Q
line 28 is more than line ?6, you hâvp2n amount drreBS bEnter
tract^ne 26 fro+m line 28
and enter this amount on line 29) . . . . . . . , . . .
,.. . . YOUR REFUNDi$ 30 00
lfyour refund is less than $1.01, no refund will be issued. I
f you owe less than $1.01, no payment is necessary,
SIGN HERE ( required) - see page 4 of this
returr for ntailing information,
i have read this return. Under penalties of perjury, I declare that, to the best of my
knowledge and beiief, the return and a!l enclosures are triie, correct and compfetE.
For ^38p^1tCT12lZt Use Qrijy
Your signature
Daie
Spouse's sgnature (see page ; o of the
Phone nurnbr ( optional)
Preparer's name ( see pa F}p o= tie in=iru lons;
SELF-PREPARED
Phone numner
DO you aiitl"1ortZe tioUr preparer to
contact us regarding^
thiS return? Yes X No
i.ode
20T 0 fT1 040
OHtA0572 11
2 of 4
2010 IT 1040
O
^
^^
Y
^^
^ Departm
xat an ent of
^
--__^--_.._----^--T._
^^^p
Taxa6fe year beginning in E p
T 1040 Rev 09/10
Ss# 10000466 2010 ^ lndi'ridua!
iriziVID M & BARBARA A LUCfiS [ncQtne Tax Return
('-' ------ IF[_1NE7(ONPAGE'7)ANpLINE13(ONPAGE2)AR.EBOTH-fT-ORBLANIt,dQIVOTIYIAILPAGE4
+ SCHEDULE B - Nonbusiness Credits
^4E Retirement income credit (see tab;e on page 28 or the instructions) (limit $20" per returr). . . . . : . . ,
1 49 Senior citiwen credit (limit $50 per return),'>òu must be 65 or older to claim this crPdit 49
200 00
00
150 I..u7i1C sum U stnbil (nf,
51 Chi1d care and
.rC;i^
.,^ il
îniî
{`s
„^
mu st
.
be 65 o r i^Cier to cdf111 th
is
credit) . . , , . . , , 50
dependent care credit (see worksheet on page 29 of the instructions) ... 51
0 fi
00
i 52 Lump-su,m retirement credit. . . . . . . . . . . . . . .
53 ff line 5 cn page 1 is $10,000or less, er,ter $93 otherwise, enter -0- or leave biank ... 53
00
54 Displaced worker training credit (see the instructions and worksheet on page 29)
(limit $500 per taxpayer) . . ,
......................
... ..... ...... 54
00
00
55 Ohio political contributions credif (4isliit $50 per taxpayer) . . .. ,,,
56 Ohio adoption credit ($1,500 per child adapted during the ear '55
Y ) ...................... 56
00
00
57 Total Schedufe B credits (add lines 48 tiirougii 56). Enter here and on page 1, line 7,,, 57
200 00
58 Enter
portion of iine 3 on page 1 subiected to +ax by other states or t e District of Cdu
are the
an Ohio resident (lirnits apply ,;ep paga 0 of the instruciions) mbia while you
59 Enter Ohio adlusted gross income (firte 3 on page . 58
59
60 Ji v;de iine 58 by ti;ne 59 and enter the result here (fct:r dioi`s do not rn ;d). ..........
Mply this factor by the amount or^ ;ine ?2 or: page 2
and enter result here ........ '
60
00
67432 00
00
+ 67 Enter the 2010 income tax, less a!1 credits other than withholding and estirnated tax
payments and overpayt-nent carryrorwards frorn orevious yea,-s, paid ;o other states or
ehe District of Colurr:bia (liniits apply - see page 30 of the instructions) ., .. ... .
61
00
62 rnter the smaller of line 60 or line 61. This is y our Ohio resident tax credit. Erter
here and on line 67 below. )f you fi#ed a return in 2011 0 with a state(s) other thar,
Ohio, list the two-,etter state abbreviation in the boxes below .
'
.............
..
..
64
0n
SCHEt3ULE D - NonresidentlPart-Yea; Resident Credit (date ofipart-year residency
to
y
63 Enter the portion of Oh,o adjusted aross
income (line 3; th^;t .va earned r r rece
Ohio form f T 2023 if re ruireî (see page 30 o the instructions)
i d ' 0, o n o
64 Enter the Ohio adjusted q . ... 63
gross incom,. (line 3) . . . . . ..........:...
.............. 64
65
Givide
In 63by fn 64 and enter the resutt here(fcur digits; do not round)
lfuitiply this factor
00
00
........:....
by the amount on line 12. Enter here and Dn line 68 below ,....
SUMMARY OF CREDITS FROM SCHEDULES C. D AND E
66 Enter the amount from Iine 11 of Schedule E, Nonrefundable Business
4 redits.(See
page 30 of the instructions) ...,.. .........:....
,........ .........:..
67 Enter the amr
t f ^,me 62 above . . . .
_un. rom
65
00
66
00
OO
67
68 Enter the amount from iine 65 above . . . . . . . . . . . : .
69 Add lines 66, 67 and 68.
Enter here and on page 2, line 13 .... 68
.: ...... ... . 69
00
00
MAILING iiVFORMAT°.1C}N
NO Payme;,t Ei1ctCSe,i ltilalt t3.
Ohio Ceoartrnent nf Taxation
P.0. Box 2679
Co'umf us, ON 4^3270-267n
Enclose yo^ri-federai incorne Ohio Department of Taxafi 6
tax returri if fine 1 on page
i P.O. Box 2057
of this return is -0- or negative.
i;olumbtls, OH 43270-2057
2010 (T 1040
_ OtiIF7504 11107/10
4 of4
201® !T 1040
Oh°Taxable
year eginnmg
ô I DepartmenF
ofpb
TaXatron
Ptease use onfy black ink.
Taxpayer Socia9 Security no: (requfred) I'd
040
Rev:1i/1i
2011
U0:
In diAdual
77000733 --- lt1GUt"P72 Tax Return
eceasea spoiise`s Soca) gepJ^tyno (
onty if Jcint return ) if deceased
Use UPPERCASE ) etters. check box
Your {rst name
L1.l.
DAVID
Last name check box
t LUCAS
Spcuse's first name ( on;y r; joint return)
M•1• !-astname
i;ARBAiA,
fviaiting address {for fas±pr pre
-; --- A t^'J CAS
e r ea^c use a street address)
69336 4VTLLIAIS htOA0
City
State ZIP code
ST. CLA.IFSVILLE
Home address (
dH 43950
if Ci$erent frorn mailing address) - p{ease do t10T show c;ty or state
ZIP code
Forei,-n countnlv (
please provide this inforrnation if your
County (first four letters)
BEL,M
Coun:y ( flrst four letters)
mailfng address is outside the U,S.)
Foteign pcstal code
Qltin Residertc StatUS - Check applicabie box
X Fu'I-year part-- •ear Check appiicabfe box for spouse
( only if married filing jointfy^;
Nonresident
y
res ident
resident Indicate state ^• Full-year
part-year iVcnresideni
sident resident ; i
nd cate statr-
FPf1IZQ Sf3filS - Check one (as reporfed on federal income tax return) rP
Single or head of househoid or qua!ifying widotti°(eri•
r
i¢
^
Mar ied filin.sr separately
(enter spouse's SS#)
Oh'so Po[}tical Parfrur:d
Yes No
Do you want $"i to go to this fund7....... .....
_
frjoint rerurn, does your
spouse want $4 to go to this f nd?, . x
Note: Checking'Yes"wilf noi increase your tax {%rdecre9se your rc:f-ui,ii.
ohiq ScrioUP Drstricz ^'û^-taêr fîr 2F}11
(see pages 4,3-48 of fhe i nstructions) 0706
lNC£3PJtE AiVC TkX I.r~oRMA7roIV
-1. r=ederat adjusted gross income (
from 1RS form 1040, line 37; 1040A, line 21;
1040E2, lirte 4; 1040iVfR, line 36; or 1040NR-EZ, iine i0)............. ..................:.......
2. Adjustments frorn line 47 on page 3 of Ohio
forr7 iT 1040 (
...,... ...,•....•..,1.
7S 928 00
enctose page 3) .................... . .. .. ....2.
3. Ohio adjusted gross income (
line 2 added to or subtracted from line 1).........
.........
4. Personal exen3ption and de erdent
3
A ^ ea:emptian deduction - rnulupiyyourpersona;
and deperidertt exemp6ons
3
times S1,650 and enter ft;e result here....... ....... . .........
:....:.....4.
5. Ohio taxabfe incorne (
line 3 m,inus line 4; enter -0- i
f line 3 is fess than iine
6. Tax on line 5 (see
ee iax tables
;
j
I
^^xi
%Man ied ;iiing joiritly
.,,....d.
on pages 35-41 of the instructions) ........ .... :...... ..
.:.
.. . ........ .........6.
7. Schedule 8
credits from line 57 on page 4 of Ohio forrn IT 1040
F enclose page 4) •,.,,, .
8. Ohio tax iess Schedule B cr edits (
line 6 minus l ine 7; enter 0- if (ine 6 is Ipss than fine 7) ,,,,g•
9. Exerr,ption credif: Numb e
r of personal and d e pendent exerr-rptions
10. Ohio tax less exempt i o n cre t(
3 times 20.........
',
^
g
line 8 rnaî
us tine 9; enter -0- if Iine 8 is less
.rar<,lne9 )•• 10.
a% ®
^
i
.2011 f 1040 pg.Iof4
- -- ' - - REV 12{2012011 TiW
78 928 00
! 950 00
73 978 00
2 4uG 00
200 00
2 240 0.9
60 nn
2 180 00
2011 IT 1040
- --- --- --- ---
^ ^^
1
^
^^
/DePa!tme1tof ^^^ ^^(
AA
Tazao7e year beernning in
.
SS#
Taxation
12011
^-^^ 11000233
{
IT 1040 Rev: 11r11
lnclividual
trlcc^m'cI Tax Return
;10a. Amount frorri line 10 on page 1..._ ...............
2 180 00
11. Joint frling credit, See tha instructions on page 20 for ekigitirkity .. ...• .^^ `^ ^^"'•• 10a.
(this credit is for married filing }ointly status onI ^, % and documentation requirements
y^ 1 p % times line 10a (limit $850) .................11.
218 0 0
12. Ohio income tax lessjcintfiling credit (line 1Ca minus line I :............. ...••„•„ ,
13. Total credits from line 69 on " ^^• °• 12Aa9e 4 of Ohio form IT 1040 (enclose
page 4) ,,,,,
..... ....13.
14. kV1arlUfaCEUrlryo et71_Jiprnent g,"ant. YpU must include the grani
1 962 r?0
reG:iBSt fonT1 .......:...:. ..
;5. Ql ,o +ncom e ia. (iine 12 rr,inus lines 13 and 14; entA Ft 14.
than line 12) ,. r 0 i, ne total of lines 13 and 14 is more
..... ......
...... ... .. ...9
16. Interest penalty on underGavm nt of est mated tax. Enclose
21
1 962 00
r?hio form IT/SD 22110 (see page
ofti;einatructions)
5:
.. .....
1 tj.
17. Unpaid Ohio use tax (see the worksheet on page 33 of the r,nstructrons) , ...,,
. . ,,.• i7.
18. Total Ohro tax liability (add lines 15, 16 and 17)... ,..
,.,,.
. ^,.... .. .'. ..,TOTAL TAX > 18.
19. Ohio tax withheld (box 17 on y
our ',2;
V- box 1-,, , ^n yaur
V! 2^, and box 12 on your 1099-R),
Pkace W-2(s), W-2G(s) and 1099_R(s) on top of this return ,.......
19.
90. 2010 overpayment credited to 20 i 1, 2011 est. tax payments and any othe; tax 5^.^ 20.
2,. Refundable credits. Inc!ude certificate(s) and K-1(s):
a. Susiiiess jobs credit
b. Pass-through entity credit
c. Historic presenration credit
5 00
J. 967 00
. 254 Q0
d, kViotion picture production credit
2 Add lines 19, 20 and 21a b, c atd d...... ....................................
PAYMENTS S 22.
if frne 22 is p^tG2c THAN lire r8, goto itne 23 ff kine'22 is L
ESS THA^! kine 18 ,
23. ^f îne 22 is MORE THAN fine1$sub±r^ k p to line 27.
^ci kine 18 frerr line 22.............. FiivSOUN T OVERPAID 23.
24. Amount of line 23 to be credited to 2012 incorne tax lrabklity,,._..., ,.,
1 254 00
25. Amount of kine 23 that ..,.:.:,. CREDIT TO 2012 24.
. you wish to donate to the foliowing tunds:
a. Military injury r•ei;ef b.Naturak areas/endangered species
C. tnlildki;e species/endangered wildlife d, NcW- Ohio k-'istoricak Sociefiy
26. Line 23 minus the surn of lines 24 and 25a, b, c and d. Enter
here,
skip to line 28
.. .2e.
27. 'f line 221s LESS 7then
.........
....
N?r line 18, subtract kir•e 22 trcr fkr:e 18
%13 ljr^
28. Interest and penaktydue on late-paid tax and/orkate-filed return s4e a e7^ H'vOUN+ DUE 27.
^ ' gfn ^fi n^) ( -F^ g (Jftl"fe
!n J O ^..........
.. â^^r'r'r,^c""
AND
...... ... ............
.... ..... .........
..:, u: ^ ^^^^v i rciû YEEVFik-.1 ^T 26.
If you entered an amount op kine 26, skip to line 30. 1f you entered an amount on line 27, go to kine 29.
29. Amount due plus interest and penakty (add kines 2' arrd 28). If payment is enclosed, make
c,heck payable to Ohio Treasurer of State and include Ohio form !T?l0P (see our Web site at
tax.ohio.gov) ................................... ... AMOUNT DUE PLUS INTEREST AND PENALTY 29.
30, Rcfund less interest and penalty (line 26 minus line 28). Enter the amount here.
(If line 28 is more tnan line 26, you have an amoun' due. Subtract line 26 from
line 28 and enter ihis amount on line 29.) ............
.,.... ...... .., YOUR REFUND w 30.
00
71 ,
If your refund is less than $1.01, no refund will be issued. If you owe kess than $1.01, no payment is necessary
SIGN HERE^re
L1U(red{ - See paae4 ofthis return fo: ma[Iing (r.fomatlni.
I have read this return. Under penaities of perjury, i declare tha%, to the best of rny knowledge and
befier`, the returri and ait enclosures are "rue
correct and cornpiete, For D4parf,nent Use Only
P' Your signature ^LP
Date
Spouse's signature (see page of ihe instructions '--S^'L,^ -£^REPAR'~ D ) Phone number (optional)
Preparer's name (p1a_.aSP prir:t; see p.e 11 of t^^ : ;IL
"^ ^,e insuiict,ois) r'nt?ne rilirn(JEr
170 yr'U autha''IZe yourprepare io contact us regarding this ret<'n?? Yes ^
No
.
2011 IT 1040 pg 2 af4
REV 12/20/2011 TTbV
Cod e
201 1 IT 1 040
Oh ^^ ^ E7epartment of
Taxation
S S#:.
Ii
i i ii iiii i
11000433
Tax o!e year b ginning ir, `
^
IT 1040 Rev. 11/11
2011
i
Individual
lncorrê Tax ^^turn
IF LINE 7 (PAGE 1) AI+IL? LINE 13 (PAGE 2) ARE E3C?TH -C- OR BLANK, DO NO7' MRIL
PAGE 4.
SCHEDuLE B - Nonbusiness Credits
48. Retiremerit income credit (iimit $200 per return). See the table on page 29 of±he instructions.... 48.
200 0,0
49. Senior ditizen credit (you must be 65 or older to claim this credit; Iimit $50 per return), ,.,,..,,,; (^1
.,..4J.
50. Lump sum distribution credit (you must be 65 or oiderto claim this credi r
,)
51 . Child care and dependent
c 50.
are a•edi^ (see worksheet on paqe 30 of the .1
51.
62. Lump sum retirement credit :....:........
53. If iine 5 on Page, is $ 10,0n J0 or , ie„ ^s, ' enter o _...... ..,.... .... .52.
.
$88 UthQt1NlSe, enter - 0 - nr{eavmbfank
.. .... .,.... 53.
54. Displaced worker training credit (see the
instructions and worksheet on page
30) (lirnit $500
pertaxpayer) ...............
......... ..............................._.,.,.. ..... ........... ..............
. ..... ........ ...,.........,.54.
55. Ohio political con,tributions credit (;in7it $50 per taxpayer) .... .............. .. ............
56. Ohio adoption credit ($1,500 per chifd adopted during the year) ....................
...............
55
............. :56.
57. 7otal Schedule B credits (add firies 1_8 through 56). Enter here and on page 1, tine 7..........,:
200 :,0
SCHEDU~E C- Futi-Year Ohio Resident Credit 57.
58. Enter the portion of fine 3 on page i subjected to Pax by other states or the District of
Columbia while you are art Ohio resident (limits apply- see page 31 of the instructions) ... ..........58.
59. Enter Ohio adjusted gross income (fine 3 or, page 1) .....:............ ...
' .. ........ ....:.. . .........59.
60. Oivide line 58 by fine 59 and enter the result here (four digits; do not round
Multiply this factor by thearnourton line 12 on page 2 and enter the result here ..... ...............
..... .... EO.
: 61. Enterthe 2011 income tax, fess all credits other fhan withholding and estimated tax payn-renPs and
overpayment carryfor,vards
from previous years, pa;d to other states or the District of Columbia
(fimits app,y- see- page 31 of the instructions) ....... ......> ..
.. ..... 61.
62 .
Enter the s naller oi line 60 or fine 61. This is your Of:io resid n. [ax r-rndrt, Enter here and o;,
f'ne 67 ueow, if you ried a return for 2011 with a state(s) other ±haii Q,,,o, eiiter the two-lerter
state abbreviation ,n the box(es) befow.:.................
.....:............. ... ..:...:. ,...62.
63. Enter the portion of Oh;o adjusted gross income (
3) ihat was notaarned or received
in Ohio; ( nclude Ohio forrn !'!' 2023 if °,..,irle
^rredpge
°,, of
oi the
....... 63.
64. Enter the Ohio ad usted
) gross income (tine 3 on page 1),,,,,,,,,,,,,,,,,. ,
,.. .....,,_ ............... 04.
65. Divide line 63 by iine 64 and enter the result here (
four digits; dn not rourd).
Multiply this factor by the amdUnton tine 112. Enter here and on line 68 below ........................:..... ..
.. 65.
St rMMAE?Y OF CP,E£;ITS cnov;f SCf°;Ei?vi c$__i.^
r^-A
66. Enter the amount from fine 10 of Sctaedu(e E, Nonre;undablc Business Credits
(see page
31 of the i nstructions) .................. :.
............ . ....:.....,,..,,, .......... ........ .. .......,...66.
67
. -nte,° the amou,ntfrom line 62 ahove ................:
... . . . .....
....:.................:...:,_..........,..,,.........:.
....57.
68. Enter the amount from line 65 above ........ .....
. .,. ,.&8.
69. Add lines 66, 67 and 68. Enter here and on page 2, frhe 13.,. ..,..,, :. .. .
. ...... .................:...............60.
niIA(LtNG iNC7
FRPV1ATtQ{y
NO Payinent Enclosed - Mail to:
Ohio Depar€ment of Taxation
P.O. Box 2F79
Cofr_mh, is: (lu 43 â a ? a ^.,
.-. Iu ° U^
;
Enclose your federat income
tax return if line I .on
- a^^
,ot x
this
return is -0- or ne {t.V4.
Payment Enclosed - fif,aii to:
° O, Box 2057
rlo!umb[is, Ot'1
2 ^^^ IT 1040
pg, 4 of 4
REV 12/20f2u71TTW
432 1 tS-205%
2^^l 1 I`^^040
9Aaf13
5t. t:. Lietting N8w 8X11l9C:anelGdates F9le fOr Stffift, Treasurer - lVeAS, 5ports, JoDS -!tre Itlteiiigetlcer / vVtse6iing NeAs-Ftegister
...i;; ..,.. . .....
. { .._ , .. ( .. ... , _ .
. ... . ., ...^.. , ,... ,..,!:,<,:.. ..4<s ,....., s .. . . . ... r.<, !:.._. _ ... .,,...c , . ....,..',,..
whac"s €rancttag
_.
^.; Only One Hookah Bar in if+t.Va. News 3?t- ,. _
$,.43Ca CE? uYt'lri3 !
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d<n;an / Local ..otumrts
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...
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Candidates File for Sheriff ,
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poiEs
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letters
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^
,.__-..__-_______:.__,._;.... C?ecember rb, 2011
di3 Mnlnar, Tha 2»tetiigencer j 1VheeEing €de•rn Rz9ister
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#
1
A new full-service hank will open and be in operation in St.
Clairsville within the next two months. Premier Bank & Trust,
located in the Piaza tNn_st strip mall, has under constructioa a
branch bank that is being equipped wifi a duad lane drive-through
facility and an ATM machine.
"t-'ie're really excited about having this new ful,'•. service branch,"
exclaimed Denise Penz, chief operating officer. The new 3,000
square foot facility is being constructed at the northern end of the
str;p mail in the Plaza 1;Nestshopping center that is anchored by
Riesbeck's Food Market.
The new bank is located just a few doors from the present irank;
which has t?een a fixture ir. the mall for two years and wilt continue
uninterrupted operations in the same location. During the two
years it has been in the mall, Penz said the bank has been
involved primarify in "wealth management, doing trusts,
investments, estate piann"ing, stocks and bonds."
But changes 4viii come w3t;''s the branch bank. Penz pointed out all
the services offered by banks, such as checking, savings, loans
and other Onaneial dealings will be available at the branch bank.
"CSurtargettlate foroper+ing ti3e branch is Fe6. Y." But she added
it is possible the opening could con•e ttze latter part of January.
With the new branch, Premier Bank & Trust will double its woYk
force. At the present faciiity there are seven employees and the
branch will open with a staftoFseven new employees. Penz noted
chrome
This webpage is not
available
The webpage at
http;/limp.bid.ace.adver
om/site=0000780800/size
Olu=2/bnum=414991801w
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t:hr:y have been taking appfications for several weeks and their
first move will be to employ a branch manager and let him fill the
staff.
One business in the strip mali had to relocate its offices to allow
construction of the new bank.
With the early deadline for filing nominatingpetit'sons for the March
6 primary election just around the corner; candidate activity was
on the increase last week with Belmont County Sheriff Fred
T'hompson confirming he will be a candidate for re-election and
two candidates filing their intentions tio eha#Ee nge for the sheriff's
post.
Iri addition, a former county official has revealed he is getting his
petition tina'ized tobecomethethird person in the race to
succeed Joe Gaudio as Setanont County treasurer. Gaudio
announced last manth he will not seek re-election.
Thompson, w`to has been a countyemplpyee for 35 years - 18 of
them with the sheriff's office - will be bidding to gain his third term
as sheriff; Prior to his law enforcement tenure, Thompson worked
with the public deftnder's office for eigtat years and vaas the bailiff
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W13 St G-tietting New t3anlt Candidate,s Flle ti3r SWlft, f reasurer - News, ,SpoM, Jobs - Ghe Irrteillgencer 1 MlheEling Nervs-Register
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in t3esmant Cor;nty t:ommon i?aeas courttorrssne years.
Without hesitating, Thompson admitted his greatest experience as
a deputy was being the chief coursty investigator in solving the
serial killing of five outdootsm.e,rti, including one from Belmont
County. Xter an investigation that spanned four years and
involved authorities from five counties as well as state
investigators and the FBI, Stark County residerit Thomas Dillon
was arrested. Dillon received a sentence of life in prison and that's
where he died in October:
Dave Lucas of St. Clairsville, who retired with the rank of major
after nearly 27 years on the L3eirnont County sher6fFs staff, has
fi7ed his petition to seek the Republican nomination for sheriff. This
svil3 be Lucas' second effort to gain a nomination. Four years ago
he came up short $50 votes in the Democrat prirnary that included
two other candidates in addition to Sheriff Fred Thampsan.
"I did my job, I earned rrfykeep. Cdow, I'd like to g'tve sompthing
back to the county,' Lucas asserted. "1 am very qualified and
believe I can do a lot of good for the county." Fie described the
sheriffs office as a business and that he has had the business
experience not only in his service as a deputy but also irt
operating the Pyrot4thnics=Qy-PrPsutti with his ++rife, Bobbie
Presutti-Lucas.
In October 2007, Lucas retired from the sheriff's staf€with the
intention of seeking tho- sheriff's nomination. He served as a road
deputy for FtDur years. In 1995 he was promoted to sergeant on
the road cree^r and just prior to his retiren'reent was elevated to the
rank of major. He has since been in:,rolvcd with the fireworks
company.
Also fii!ng his petition for the sheriff's job was Dick Flanagan, a
veteran memberof the Bellaire Police Department.
Another three-way race has developed for treasurer, with former
Befmont Gounty Commissioner Mike Sianconi of Brookside
revealing that he will be a candidate on ttle Democrat ticket that
already includes two earlier Ners - 3Catherine Curfman and Michael
Shaheen.
Bianconi, who has developed a reputation for being outspoken on
various county issues, in particular those involving taxes paid by
county residents, has had 20 years in public service as both a
county cornrnissionerand as a township trustee. "I'm very active
and I like to be involved in county government," f3ianconi asserted.
3-fe feels dedicated to "community servEce" which started vvay back
when he was a teenager and a resident of woffhurst where he
was very active in the Wolfhurst Volunteer Fire Department.
f1e was elected to two terms as county commissioner, serving from
1992 to 1998. Since then he has scrved as Pease Township
trustee and in nui-nerous other community endeavors.
Candidates from both the Dernocrat and Republican parties have
until 4 p.m. Wednesday to file nominating petitions farthe March 6
primary election - one of two primaries current3y scfredJ$ed in Ohio,
The second one, tentatively set for ]une 12, will be to pick
representatives fron3 the congressional distr;cts that are yet to be
finalized and also choose pre:sidential candidates.
(?riginaiiy there was to be 200,000 ixourids of food to be brought
to Belmont County for distribution to the needy in a six-county
area. But sincs that announcement a month agc, the Mid-Ohio
Foodbank received additional °ood donations to raise the ht:gc
total to over 300,000 pounds.
As a result, an estimated 15,000 people fro+n 8,000 households in
the six county East Ohio area wiil share in the first such special
distribution of 300,000 pounds of food from the Mid-flhisr
Foodbank in Grove City.
Thirty orgaGtizations such as f-oots pantries, Salvation Army,
churches, and others involved in distributing t<sod to the needy in
the six county area of Belmont, Harrison, Jefferson, Monroe,
Guernsey and Noble counties spentTtiursday and Friday ciaim"ing
their share of the huce store of Pood housed in the vacant
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516113
St. C. cietting NewBank c;antlidates Filetor Sheritt, Treasurer - News, Sports, Jobs - The Intelligencer / VVheelfng News-Kegister
Thomas, Chrysler, Dodpe, )eep building that is to be converted
into the new home of the car agency next to the Ohio Valley Mail.
E3ridget DeCrane, Mid-Ohio Foodbank vice president, said the
additionalydonatEons of food included a most generous and
urgently needed contribution of 500,000 baby diapers. "Some
families are going to be very happy to receive the diapers," she
commented.
Belmont County Sheriff Fred Thompson was a bit mlffed last week
over a story that received widespread attention by all the media
involving a building and land purchase in Morristown by
Chesapeake Energy.
It was reported the $330,000 paid for the property was aUeged to
have gone to the Belmont County Sheriff's Department. "That was
totally wrpng," Thompson decJared. "The property was sotd at a
sheriff's auction and the money went to United Bank, who owned
the mortgage for the property." iie said the sheriff's department
received a $317 fee for handling the sale,He added, "$167 of that
went for the appraisal and $150 went for taxes. We (sheriff's
department) didn't get a cent,"
Al Molnar can be reached via email at: [email protected].
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IN THE SUPREME COURT OF OHIO
The State ex rel. Dick Flanagan,
Relator,
Original Action in Quo Warranto
V.
Case No. 13-0239
David M. Lucas,
Respondent.
------------------------AFFIDAVIT OF RESPONDENT', DAVID M. LUCAS
Christopher J. Gagin (0062820) (COUNSEL OF RECORD)
Of f Counsel
Tracey Lancione Lloyd (0046702)
Lancione, Lloyd & Hoffman
Law Office Co., L.P.A.
(740) 676-2034
Fax No. (740) 676-3931
clz ri.s. gagi n@gagi nlega l. corn
tYaceylloydea,coin cast. net
COUNSEL FOR RESPONDENT, DAVID M. LUCAS
Mark E. Landers (0026042)
2071 Aspen Ridge
Dayton, Ohio 45459
(937) 609-5783
rnark. landers, esq@^,gmail. com
I.ANCEONE, LLOYD
& HOFF''v1AN
LAW OFFICE CO..
L. P.A.
ATTORNEY9 AT _P.VJ
BELi-Afft£. OHIO 43906
COUNSEL FOR RELATOR, DICK FLANAGAN
STATE OF OHIO )
) ss:
COUI^TTY OF BELMONT )
NOW COMES, Respondent, DAVID M. LUCAS, having been first duly sworn and
cautioned, who states as follows:
1.
I am the Respondent in the above captioned matter, and I have personal
knowledge of the facts set forth herein.
2
My date of birth is July 24, 1959, and I ain currently fifty-three (53) years old.
3
At present, I am the duly elected Sheriff of Belmont County, Ohio having
defeated my Democrat challenger, Richard "Dick" Flanagan, 16,859 to 14,209
(54.26% to 45.74%) in the general election held on November 8, 2012
4
I am the first Republican Sheriff of Belmont County in at least twenty-eight (28)
years.
5
Prior to my election as Sheriff, I joined the Belmont County Sheriff's Department
as a Deputy Sheriff on August 12, 1981. I was promoted to Sergeant in January
1985, and I was thereafter promoted to Major on August 5, 2007. 1 retired on
October 31, 2007.
6.
In 1994, I was the founding member and first commander of the Special
Operations Branch of the Belmont County Sheriffs Department, which provides
special weapons and tactical support to law enforcement within Belmont County.
7
LANC[ONE, LLOYD
Following my retirement, I continued to serve the Belmont County Sheriff's
Department as a Special, or Reserve, Deputy, with primary assignments involving
& HOFFMAN
LAW OFFfCE CO..
Firearm Instruction/Recertification Supervision and law enforcement service
L. P. A.
ATTORNFYS AT LAW
9ELLAIRE, OHIO 43906
through the Special Operations Branch.
Page l. of 7
8. From November 1, 2007, through to my taking office as Sheriff of Belmont
County, Ohio on January 7, 2013, 1 helped supervise the Belmont County
Sheriff's Office Firearms Requalification Prograrn as a Range Instructor. I served
in this supervisory role prior to my retirement, as well.
9. During that same time period, I was also responsible for, and provided active
training in, Scope Rifle and Sub-Machine Gun recertification/training for the
members of the Special Operations Branch from 2007 - 2011, as I was the only
person within the Belmont County Sheriff's Department that held training
certification from the FBI relative to Scope Rife (Sniper) use and Ohio Peace
Officer Training Acadenly certification relative to Sub-Machine Gun use.
10. As a Range Instructor, I worked full eight (8) hour days on multiple occasions
from November 1, 2007 through July 1, 2012. I have included copies multiple
requalification reports, all of which bear my signature as a Range Instructor, to
my answer to Relator's amended complaint as Respondent's Exhibit A.
11. Though I usually declined compensation, Belmont County, Ohio paid me the sum
of $595.10 for "Instruction-Qualification" in May 2010, via wai-rant number 9720
issued by the Belmont County Auditor on or about June 29, 2010, 1 have attached
a copy of the Warrant Reyuest forin to this Affidvait as a supporting doeument.
12. 1 was also involved in multiple eight (8) hour training days for the Special
Operations Branch, and subject to deployment with the Special Operations
Branch as a sniper/special tactical advisor on a 24 hour / 7 days a week / 365 days
LANCIONE; LLOYD
& HOFFMAN
a year basis from 2007- 2012.
LAW OFFICE CO..
L. P. A.
AT1'ORNF_YS AT LAW
BcLf.AIRF, CH7O 43906
Page 2 of 7
13. During 2007-2011, I was deployed with the Special Operations Branch in Spring
2011 for a possible barricaded gunman on Blaine-Barton. Road in Belmont
County, Ohio for law enforcement activities as a Sniper/Counter Sniper. In
Summer 2012, I was deployed as a Sniper/Counter Sniper with the Special
Operations Branch to provide security for Belmont County Campaign stops of
Vice President Biden and Republican Presidential Candidate Mitt Romney.
14. I fully disclosed my work history on the Candidate Application I completed and
submitted to Belmont County Court of Common Pleas Judge Jennifer Sargus, as
well as the Belmont County Board of Elections.
15. In December 2011, I received notice that then-Sheriff Fred Thompson had filed a
protest with the Belmont County Board of Electiotis challenging whether 1 fully
met the qualification requirements set out in R.C. §311.01(B) to appear on the
ballot.
16. Information about my October 2007 retirement from the Belmont County
Sheriffs Department was widely known throughout Belmont County, and
especially within the law enforcement community, as I unsuccessfully ran for
Sheriff of Belmont County, Ohio in 2008, and my retirement was part of my
candidate profile which was published in the local news media as early as
December 4, 2011. I have attached a copy of that candidate profile to my answer
to Relator's amended coinplaint as Exhibit D.
17, The Belmont County Board of Elections denied Sheriff's Thompson's challenge.
LAN.iIONr'_. LLOYD
BcHOFFMAN
LAW OFFICE CO..
L.P.A.
ATTORNEYS AT LAW
BEL:.AIRE, OHIO 43906
Page 3 of 7
18. As such, to the best of niy knowledge, I fully satisfied all qualification
requirements for the Office of Sheriff, as set out in R.C. §311.01(B), and I was so
certified by the Belmont County Board of Elections.
19. However, Sheriff Thompson's challenge was widely known and discussed within
Belmont County, Ohio.
20
Prior to the primary election, on or about February 2, 2012, Richard Flanagan and
I had a conversation about Sheriff Thompson's attempt to challenge my
qualifications when I appeared at a Bellaire City Council meeting. I have
attached a newspaper account of that meeting to this Affidavit as a supporting
document, which clearly states that Mr. Flanagan and I were in attendance
together on that day.
21.
During that conversation, Richard Flanagan, who at the time was running against
then-Sheriff Thompson for the Democrat nomination for sheriff, said he could not
understand why Sheriff Thompson had tried to challenge my qualifications to be
on the ballot given my work history.
22.
From my conversation with him, it was clear to me that Richard Flanagan held a
full and complete understanding of the allegations Sheriff Thompsozi brought
before the Board of Elections in December 2011.
23.
Except for Sheriff Thompson, at no time prior to the general election held on
November 8, 2012, did anyone, including Richard Flanagan, file a for-inal protest
with the Belmont County Board of Elections, or file a legal action in either
LANCIONE, LLOYD
& HOFFNIAN
prohibition or mandamus, to contest my qualifications for office or in an effort to
LAW OFFICE CO..
L.P,A.
A TTORNEY.SAT LAW
have my name removed from the general election ballot.
8'cL'_ARZE, OHIO 43906
Page 4 of 7
24.
Additionally, as part of my candidate application, I also fully disclosed my
residence historv, which I completed and submitted to Belmont County Court of
Common Pleas Judge Jennifer Sargus, as well as the Belmont County Board of
Elections.
25
There, I disclosed that I had been a resident of the City of St. Clairsville, Belmont
County, Ohio from 1991 to Present. During that time period, I disclosed that I
had two (2) separate residences within St. Clairsville, Ohio.
26.
I did not list a Florida vacation residence my wife and I purchased on or about
June 30, 2010. 1 have attached the Deed to that Florida vacation propei-ty as
Respondent's Exhibit B to my answer to Relator's amended complaint.
27.
Neither my wife nor I have ever established a legal residence within the State of
Florida, nor have we ever attempted to establish residency within the State of
Florida.
28
I have never held a Florida driver's license, nor have I ever registered to vote in
the State of Florida.
29
During the entire period of 1991 to the present, I was, and I remain, a resident of
the City of St. Clairsville, Belmont County, State of Ohio.
30
At all times relevant, I held a valid Ohio driver's license, and I was registered to
vote in the City of St. Clairsville, Belmont County, State of Ohio.
31.
As a result, I have paid Ohio Income Taxes at all times relevant, including tax
years 2007-2011.
LANCIONE. LLOYD
& HOFFMAN
32.
Finally, I have attached my coinplete 2007-2011 Ohio Income Tax returns to my
LAW OFF!CE CO.,
L. P. A.
ATTORtiF_YS AT :.AW
answer to Relator's amended complaint as Respondent's Exhibit C to establish
BELLAIRE, OHiO43900
Page 5 of 7
my tax history, save for the redaction of personal information including our social
security numbers.
Furtlaea, Afânt sayeth not.
David M. Lucas, Ftyspondent
Sheriff of Belmont County, Ohio
STATE OF OHIO ^
) ss:
COUNTY OF BELMONT }
Before me, a Notary Public in and for said County and State, personally appeared the above
natned DAVID M. LUCAS, who acknowledged that he did sign the foregoing instrument, as his free act
and deed.
IN TES'I'IMONY WHEREOF, I have hereunto set my hand and official seal at Bellaire, Ohio this
^day of`
2013.
ly
Notary Public
KATHLEEN R. REES
NOTARY PUBue. STATE OF 00
MY CUtAklisStON EXPIRES ^ rl^^ ^'^?!5^
LAiVCIONE. LLOYD
& HOFFMAN
LAW OFFICE CO.,
l..f?A.
AT7^
vRNI`YCi AT LAW
8E^:_LA17E, OF?iC) 43906
Page 6 of 7
516/13 Heated debate erupts o\(er Beltaire Facebook- TimesLeaderOnlir,e,com ^ News, 6ports, Jobs and c;ommunity Into tor E3eimont County- Times Leader
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Savej Post a comment ! .0 News, k3togs ^ Eve s r^^ tNeb EZToUse.com
BELLAIRE Thursday's council meeting saw several heated debates
regarding business and community ventures in town.
S r .NMktaAMMeO
Council Member Patricia Thornas also complained of an unofFicial
Bellaire Facebook site operated by Dan Brown, local business:nan.
She said the site's posts include unfounded accusations of
wrongdoing on the parts of council and village officials. it also
includes names and contact information for council members,
which is public knowledge:
She added that she had brought up questions about the possible
benefits of a Beliaire Facebook site at a prior meeting,
Brown immediately created the site. Council members expressed
concern that ttie people could believe the site was the town's
official Tnternet presence.
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Council Member Lou Ann Bennett spoke as a private citizen before
council, saying that the Facebook issue vvas out of hand.
"It is an emtiar-rassment,"she said, adding that the site makes a
poor impression for out-of-town Internet users. She said the site
contains inaccurate information and aflegatiorts and gives the
impression of being village-run. She said she was also critical of
Brown's ego and impulsive behavior and said Brown has been a
disruptive and counterproductive influence on civic organizations
and activities.
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Council authorized Law Director Edward Sustersic to ask Brown to
remove "Bellaire, Ohio" from his site and autliorized Sustersic to
incur costs to remove the name.
Northern Mat & Bridae
www.northernm0t.ca
In other matters, Jim johnston ofEiectronirs Recycling Services
reported progress in transitioning an old school building into an
electronics disassembly and recycling station with nationwide
potential. He said the business could brina_ more than 30;obs to
the area and a corresponding increase in other local businesses.
He added that their employees have assisted in various village
projects such ashelping the sc!iooi place a sign at Nelson Field,
helping to purchase a washing machine for the elementary school,
mulching the park, and aiding in holidays, community cleanups and
festivities.
Rentals for access :structures servicinq
oil, gas, and forest ind. AdChoiCBs
"We want to be more involved in the communit5;." Johnston said,
adding that they are working with mayor and council to stay within
regulations. "The whole purpose of us being here is for the
betterment of the town."
He said anyone with questions or who has heard negative rumors
are welcorne to stop at the site and talk to him.
He added that he and Brown are both employed by ERC.
7im Flaniqan, member of I.-onworkers Local 599 but speakinq as a
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11';
5lfi/13 Heated debate erupts over Bellalre iàcebook- firnesLeaberUnline.com J News, Sports, Jobs and C;ommunitylnto tor k3emxrnt C;ounty- Times Leader
private citizen, said it was upsetting that the recycling center was
employing out oFtown wor3cers. He also raised questions about
the buifding permits, saying that the workers did not have a
village permit in hand.
On checkuig with the village, he said he was told Brown paid for
the permits at the same time. He suggested that the village
perform a complete investigation into the work being done at the
buiiding.
He also added his displeasure at the allegations on Brown's
Facebook site.
Code Enforcer Jim Chase said he was not contacted about the
situaticn. He said the permits were issued but might not have
been received by the mayor's secretary for public information.
Chase added that his office was open and he was available to
answer questions.
Brown addressed council, saying he and his familyhave been
threatened online and acknowledged that Facebook postings
have become heated on ali sides.
He added that the ERC building venture was valid and adhered to
regulations.
"I don't believe we've dorie anything wrong or incorrectly. I don't
believe that we've not filed any permits that we needed tc, file,"
he said, adding that state permits were also in order. He also said
he has never claimed tc represent the village online and said he
has acted in good faith to benefit the village.
Mayor Vincent DiFabrizio said all issued would be looked intn. Pricr
to visitors' comments, he also announced that in the future, the
public forum will be strictly moderated. Persons wishing to speak
must come prior to the meeting and fill out a form sncluding the
subjects they wouid be bringing before council. Visitors will be
permitted to speak once per meeting for a period of five minutes.
"We're not going to use these meetings as a chopping block," he
said.
In other matters, Council granted a request from Sustersicfor
$1,800 fior the appraisal of a parking lot. He also gave the opinion
that the present ordinance covering garbage pickup could be
stronger. He suggested a committee review the ordinance.s. In 60
days he will provide some suggested changes.
Also, the finance committee met Wednesday. It is necessary to
clarify holiday pay for employees. A technology committee will be
formed to review tlie Website.
In addition, Frank Manteau visited council to volunteerto assist in
spaying and neutering stray cats. He said grants for such projects
were available and could reduce the cat popuiation in three-to-six
years' time.
DiFabrizio appointed.7oe Campbell to the East Ohio Regional
Board. Campbell reported changes to the board. 1'here was a
recent break on Indian Run across the creek, ,vhich East Ohio
Regional Waste Authority repaired for $100,000. The moneyvdas
in the contingency fijnd so there was no need to borrow or bond.
He noted that North Guernsey Street will require grading. He
added that rates recently increased by 50 cents.
Council Member Jim Williams reported a utility meeting was held
Jan. 31 to discuss decreasing water revenue.
Council approved the appointment of Robert Dodrill to the zoning
committee.
M ichael Shaheen, running for county treasurer, and Dick Flanagan
and David Lucas, running for sheriff, introduced themselves.
DeFrank can be reached at [email protected].
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WARRAh1T NO.
VENDOR CODE
9305
C3EPARTPl1ENTALAPPRrJVAI. BY:
TO:
DAVID Bfl, LUCAS
69396 WILLIAMS ROAD
ST. CLAIRSVILLE, OH 43950
= LFUi^D/ACGOUNT AMOUNT
410022 AGO E-0131-Ap06-At37.0O0 595.10 FOR: INSTRUCTION - QUALIFAICATIONS
INVOICE NO. PART 1
APPROVEDFOR
AND ORDERED PAID
aMM1SSiONER'S APFROVAt_:
NTE:
?URiVAL PAGE
$595.90
Account:
Check:
Amount:
Date Cleared:
642003848
9720
595.10
07/07/10
ti
69043e
OFFICE OF THE Ad1131TOft
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THETREASI#RER OF BELMONT CUUNTY, OHIO
P'ay Exar.&f,
` FIVE HUNDRED NINETY FiVE DOLLARS AND 10/100 •
PAY DA`JfD M. LUCAS
TO THE 593951tV I LL.IAM S ROAD
ORDER ST. CLAiRaVI!_LE. OH 43954
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Warrant# Date Amount
9720 6J2912010 595.10
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Sheriff - Supreme Court

Transcription

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