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Form 8283 (Rev. 10-95)
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<br />EXHIBIT B2
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<br />Pa~e ?
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<br />Name(s) shown on ~ur income tax return
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<br /> R±chard 3. Dez±el
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<br />Iden~fying number
<br />470-14-3127
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<br />Section B--Appraisal Summary--List in this section only items (or groups of similar items) for which you claimed a
<br /> deduction of more than $5,000 per item or group. Exception. Report contributions of certain publicly
<br /> traded securities only in Section A.
<br /> If you donated art, you may have to attach the complete appraisal. See the Note in Part I below.
<br />I:,~'T~II Information on Donated Property--To be completed b,v the taxpayer and/or appraiser.
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<br /> 4 Check type of property:
<br /> [] Art' (contribution of $20,000 or more) [] Real Estate [] Gems/Jewelry [] Stamp Collections
<br /> [-] Art' (contribution of less than $20,000) [] Coin Collections [] Books [] Other
<br />'Art includes paintings, sculptures, watercolors, prints, drawings, ceramics, antique furniture, decorative arts, textiles, carpets, silver, rare
<br />manuscripts, historical memorabilia, and other similar objects.
<br />Note: If ),our total art contribution deduction was $20,000 or more, .you must attach a complete copy of the signed appraisal. See instructions.
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<br />Description of donated property (if .you need
<br />more space, attach a separate statement)
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<br />(b) If tangible property was donated, give a brief summar~ of the overall
<br /> physical condition at the time of the gift
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<br />(c) Appraised fair
<br />market value
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<br />(d) Date acquired (e) How acquired
<br />by donor (mo., yr.) by donor
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<br />(f) Donor's cost or
<br />adjusted basis
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<br />(g) For bargain sales, enter
<br />amount received
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<br />See instructions
<br /> (i} Average trading price
<br /> of securities
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<br />L
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<br />Taxpayer (Donor) Statement--List each item included in Part
<br /> appraisal as havinq a value of
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<br />above that is separately identified in the
<br />;500 or less. See instructions.
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<br />I declare that the following item(s) included in Part I above has to the best of my knowledge and belief an appraised value of not more than $500
<br />'Der item). Enter identifying letter from Part I and describe the specific item. See instructions. I~
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<br />Signature of taxpayer (donor) ~.
<br />~IA~TilIII Declaration of Appraiser
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<br />Date
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<br />I dectare that I am not the donor, the donee, a party to the transaction in which the donor acquired the property, employed by. or related to any
<br />of the foregoing persons, or married to any person who is related to any of the foregoing persons, And, if regularly used by the donor, donee, or
<br />party to the transaction, I performed the majodty of my appraisals dudng my tax year for other persons.
<br />Also, I declare that I hold myself out to the public as an appraiser or perform appraisals on a regular basis; and that because of my qualifications
<br />as described in the appraisal, 1 am qualified to make appraisals of the type of property being valued. I certify that the appraisal fees were not based
<br />on a percentage of the appraised property value. Furthermore, I understand that a false or fraudulent overstatement of the property value as
<br />described in the qualified appraisal or this appraisal summar~ may subject me to the penalty under section 6701(a) (aiding and abetting the
<br />understatement of tax lia__.bility). I affirm that I have not been parred from presenting evidence or testimony by the Director of Practice.
<br />~re I Signature's_, /~._~_~.~' Tltlel~ ~O~rfM~Y PP ' I~ i,~ .~/--~--~/ 7~-~
<br />Sign . ' ' ~ F~t~ of a ra~sal ~ ~ ~'
<br />cr, uslness adc}~ess~(includin~-o?n~ or~'ui.t~'no.)/~, ~ __ .../ ' ' /,~ ' I ....... Idantifvin~.,_.~ ..--..---humidor
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<br /> City or~wn, .state, ar~ ZIP code .
<br /> ~tx' c ,. g
<br />a~T~I~B Donee Acknowled~lment--To be completed by the charitable organization.
<br />This charitable organization acknowledges that it is a qualified organization under section 170(c) and that it received the donated
<br />property as described in Section B, Part I, above on 1~
<br /> [Date)
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<br />Furthermore, this organization affirms that in the event it sells, exchanges, or otherwise disposes of the property described in Section
<br />B, Part I (or any portion thereof) within 2 years after the date of receipt, it will file Form 8282, Donee Information Return, with the
<br />IRS and give the donor a cop)/of that form. This acknowledgment does not represent agreement with the claimed fair market value.
<br />Name of charitable organization [donee) Employer identJlication number
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<br /> ddress (number, street, and room or suite no.) City or town, state, and ZIP code
<br />Authorized signature Title Date
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<br />Printed on recycled paper
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