HomeMy WebLinkAbout96-02149
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MARITAL SETTLEMENT AGREEMENT
THIS AGREEMENT, made this ~ day of ~lCl~d12oo'L.bY and
between Bruce A. Janasik, hereinafter referred to as "Husband", and Lori Janaslk,
hereinafter referred to as "Wife".
WITNESSETH:
WHEREAS, Husband and Wife were lawfully married on March 27, 1984; and
WHEREAS, certain differences arose between the parties as a result of which
they separated on April 3, 1996, and now live separate and apart from one another, and
are desirous of settling fully and finally their respective financial and property rights and
obligations as between each other, Including, without limitation by specification: the settling
of all matters between them relating to the past, present and future support and/or
maintenance of Wife by Husband or of Husband by Wife; and in general the settling of any
and all claims and possible claims by one against the other or against their respective
estates for equitable distribution of all marital property; and a resolution of all mutual
responsibilities and rights growing out of the marriage relationship any provisions of prior
agreement between them to the contrary notwithstanding; and
WHEREAS, the parties hereto, after being properly advised by their
respective counsel, Husband, by his attorney, Edward J. Weintraub, Esquire, and Wife,
by her attorney, Carol J. Lindsay, Esquire, have come to the following agreement.
NOW THEREFORE, in consideration of the above recitals and the following
covenants and promises mutually made and mutually to be kept, the parties heretofore,
Intending to be legally bound and to legally bind their heirs, successors and assigns
thereby, covenant, promise and agree as follows:
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1, SEPARA TION:
It shall be lawful for each party at all times hereafter to live separate
and apart from the other as such place or places as he or she may from time to time
choose or deem fit.
2. INTERFERENCE:
Each party shall be free from Interference, authority and contact by the
other, as fully as If he or she were single and unmarried, except as may be necessary to
carry out the provisions of this Agreement. Neither party shall harass the other nor
endeavor to molest the other, nor compel the other to cohabit with the other nor In any way
malign the other, nor In any way Interfere with the peaceful existence, separate and apart
from the other In all respects as If he or she were single and unmarried.
3. WIFE'S DEBTS:
Other than the debts Indicated In Paragraph 5 below Wife represents
and warrants to Husband that since April 3, 1996, she has not, and In the future, she will
not, contract or incur any debt or liability for which Husband or his estate might be
responsible and shall Indemnify and save Husband harmless from any and all claims or
demands made against him by reason of debts or obligations Incurred by her.
4. HUSBAND'S DEBTS:
Other than the debts indicated in Paragraph 5 below, Husband
represents and warrants to Wife that since April 3, 1996, he has not, and In the future he
will not, contract or Incur any debt or liability for which Wife or her estate might be
responsible and shall Indemnify and save Wife harmless from any and all claims or
demands made against her by reason of debts or obligations Incurred by him.
!S. OUTSTANDING MARITAL DEBTS:
Husband and Wife acknowledge and agree that they have no
outstanding marital debts and obligations of the Husband and Wife Incurred prior to the
signing of this agreement, except as follows:
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PERSON(S) NOW
DESCRIPTION AMOUNT RESP_ONSlSl.E
A. Keystone Financial loan $4,114 H
B. Household Credit loan $3,273 H
C. Wachovla Credit Card $6,358 H
D. Fleet Credit Card $4,461 H
E. MBNA Credit Card $3,116 H
F. EDS Federal Credit Union loan $2,132 H
The parties agree that Husband shall hereafter be responsible for paying
debts A through F.
Husband agrees to pay the outstanding Joint debts and further agrees to
Indemnify and save Wife harmless from any liability for such debts or obligations.
In the event that either party contracted or Incurred any debts, other than
those specifically Identified herein since April 3, 1996, the party who incurred the debt shall
be responsible for its payment regardless of the name In which the account may have
been charged and agrees to indemnify and hold harmless the other for any liability for such
debts.
6. MUTUAL RELEASE:
Except as provided in this Agreement, each party waives his or her
right to alimony and any further distribution of property because both agree that this
Agreement provides for an equitable distribution of their marital property in accordance with
the Divorce Code of 1980. Subject to the provisions of this agreement, each party has
released and discharged, and by this Agreement does for himself or herself, and his or her
heirs, legal representatives, executors, administrators and assigns, release and discharge
the other of and from all causes of action, claims, rights or demands whatsoever In law or
equity, which either of the parties ever had or now has against the other, except any or all
cause or causes of action for divorce and except in any or all causes of action for breach
of any provisions of this Agreement. Each party also waives his or her right to request
marital counseling pursuant to 23 Pa.C.S.A. Section 3302.
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7, EQUITABLE DISTRIBUTION:
A. Contents of Wife's Residence:
As of the date of the execution of this Agreement, the parties
have equitably divided their personal property. Husband relinquishes his right, tille, claim
and Interest In and to the furniture, fixtures, goods, appliances, equipment and personal
Items In the possession of Wife.
B. Contents of Husband's Residence:
Wife relinquishes her right, title, claim and Interest In and to the
furniture, fixtures, goods, appliances, equipment and personal Items In the possession of
Husband.
C. Motor Vehicles:
With respect to the motor vehicles owned by one or both of the
parties, they agree as follows:
(1) Wife shall retain the 1994 Ford Escort or the procellds
of selling It.
(2) Husband shall retain the 1998 Mazda Pickup or the
proceeds of selling it.
(3) All automobile titles and insurance policies will be
corrected to reflectlhe ownership of each vehicle.
D. Individual Retirement Accounts, Pensions And
Employment Benefits:
Wife shall retain sole ownership and control of her Toys R Us
401 k. Husband shall retain sole ownership and control of his EDS pension. Upon the
execution of this Agreement, Husband shall transfer to Wife the entire balance In his
Vanguard Fund 401 k ($6,720.10 as of September 30, 2001) and shall execute any
documents necessary to do so. Wife shall receive any appreciation In the Vanguard Fund
from execution to transfer and shall bear any decline as well. Should a QDRO be required,
It shall be prepared by counsel for Wife and reviewed by counsel for Husband. Husband
warrants that he has not withdrawn any funds from the Vanguard Fund 401k since April 3,
1996.
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E, Joint Bank and Charge Accounts:
All Joint bank and charge accounts, credit card accounts and
any other joint accounts shall be terminated and each party shall take those steps
necessary to have the other removed as a responsible party from any such account. Wife
shall retain all of the current balances in her curren\ savings and checking accounts.
Husband shall retain all of the current balances in his current savings and checking
accounts.
F. Stocks
Husband shall retain sole ownership and control of the EDS
Stock account and the First Capital Stock Account. Wife waives and relinquishes any right
or claim to these stock accounts.
G. Property to Wlfa:
The parties agree that Wife shall own, possess, and enjoy free
from any claims of Husband, the property awarded to her by the terms of this Agreement.
Husband hereby quitclaims, assigns and conveys to Wife all such property together with
any insurance policies covering that property, and any escrow accounts relating to that
property. This Agreement shall constitute a sufficient bill of sale to evidence the transfer
of any and all rights in such property from Husband to Wife.
H. Property to Husband:
The parties agree that Husband shall own, possess, and enjoy
free from any claims of Wife, the property awarded to him by the terms of this Agreement.
Wife hereby quitclaims, assigns and conveys to Husband all such property together with
any insurance policies covering that property, and any escrow accounts relating to that
property. This Agreement shall constitute a sufficient bill of sale to evidence the transfer
of any and all rights In such property from Wife to Husband.
I. Miscellaneous Property:
All property not specifically addressed herein shall hereafter he
ownEJd by the party to whom the property is titled, and If untitled, the party In possession.
This Agreement shall constitute a sufficient bill of sale to evidence the transfer of any and
all rights In such property from each to the other.
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J, Tax Liability:
The parties believe and agree that the division of property
heretofore made by this .A.greement Is a non-taxable division of property between co-
owners rather than a taxable sale or exchange of such property, Each party promises not
to take any position with respect to the adjusted basis of the property assigned to him or
her with respect to any other Issue which Is inconsistent with the position set forth In the
preceding sentence on his or her Federal or State Income tax returns.
8, LIFE INSURANCE:
Each party shall continue to own any life Insurance policies currently
In effect, without restriction as to the designation of beneficiaries.
9. ALIMONY:
Via wage attachment through Domestic Relations, pursuant to a
Stipulation for An Agreed Order of Alimony prepared by counsel for Husband, Husband
shall pay alimony to Wife In the amount of Eight Hundred Dollars ($800.00) per month
commencing December 1, 2001 and ending September 30, 2003. In addition, Husband
shall pay Fifty Dollars ($50.00) per month on his arrears until satisfied. Alimony shall
terminate in the event of Wife's death, cohabitation or remarriage. For tax purposes, all
alimony payments are intended to be deductible by Husband and includible as income to
Wife. The parties shall execute any documents necessar/to convert their current alimony
pendente lite order through Domestic Relations to an Agreed Order of Alimony.
10. HEALTH INSURANCE:
Husband agrees to continue to provide and pay for Wife's medical and
hospitalization coverage until entry of a final decree In divorce. Thereafter Wife shall be
solely responsible for her own health care expenses and any unisured medical expenses,
11. ALIMONY PENDENTE LITE, COUNSEL FEES AN EXPENSES:
Husband and Wife acknowledge and agree that the provisions of this
Agreement providing for the equitable distribution of marital property of the parties are fair,
adequate and satisfactory to them, Both parties agree to accept the provisions set forth
in this Agreement in lieu of and in full and final settlement and satisfaction of all claims and
demands that either may now or hereafter have against, the other for alimony pendente lite,
counsel fees or expenses or any other provision for their support and maintenance before,
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during and after the commencement of the proceedings for divorce or annulment between
the parties.
12. INCOME TAX RETURNS:
The parties have heretofore filed joint federal and state tax returns.
Both parties agree that In the event any deficiency in federal, state or local Income tax Is
proposed, or any assessment of any such tax Is made against either of them, each will
Indemnify and hold harmless the other from and against any loss or liability for any such
tax deficiency or assessment and any loss or liability for any such tax deficiency or
assessment and any Interest, penally and expense Incurred in connection therewith. Such
tax, Interest. penalty or expense shall be paid solely and entirely by the Individual who is
finally determined to be responsible for the actions, misrepresentations or failures to
disclose separate income resulting in tax liability. The parties shall file separately in 2001
and thereafter.
13. WAIVERS OF CLAIMS AGAINST ESTA TES:
Except as herein otherwise provided each party may dispose of his or
her property in any way, and each party hereby waives and relinquishes any and all rights
he or she may now have or hereafter acquire, under the present or future laws of any
Jurisdiction, to share In the property or the estate of the other as a result of the marital
relationship, Including without limitation, dower, curtsey, statutory allowance, widow's
allowance, right to take Intestacy, right to take against the will of the other, and right to act
as administrator or executor of the other's estate. Each will, at the request of the other,
execute, acknowledge and deliver any and all Instruments which may be necessary or
advisable to carry into effect this mutual waiver and relinquishment of ail such Interests,
rights and claims and both parties will revoke prior wills or testamentary documents.
14. AGREEMENT NOT PREDICATED ON DIVORCE:
It Is ~pecifically understood and agreed by and between the parties
hereto and each of the said parties does hereby warrant and represent to the other, that
the execution and delivery of this Agreement is not predicated upon nor made subject to
any agreement for institution, prosecution, defense, or for the non-prosecution or non.
defense of any action for divorce; provided, however, that nothing contained in this
Agreement shall prevent or preclude either of the parties hereto from commencing,
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Instituting or prosecuting an action or actions for divorce, either absolute or otherwise, upon
Just, legal and proper grounds; nor to prevent either party from defending any such action
which has been, mayor shall be Instituted by the other party, or from making any Just or
proper defense thereto. It Is warranted, covenanted and represented by Husband and
Wife, each to the other, that this Agreement is lawful and enforceable and this warranty,
covenant and represontatlon is made for the specific purpose of inducing Husband and
Wife to execute this Agreement. Husband and Wife each knowingly and understandingly
hereby waives any and all possible claims that this agreement Is, for any reason illegal or
for any reason whatsoever, unenforceable in whole or In part. Husband and Wife each do
hereby warrant, covenant and agree that, in any possible event, he and she are and shall
forever be estopped from asserting any Illegality or unenforceability as to all or any part of
this Agreement.
15. SUBSEQUENT DIVORCE:
Husband at his cost by his counsel has filed an action for divorce under
Section 3301(cj of the Divorce Code.
Simultaneously with the execution of this Agreement, both parties will
execute Affidavits of Consent and Waivers of Notice to enable counsel for Husband to
proceed with a no-fault divorce as soon as possible, providing counsel for Wife with a
duplicate decree.
The parties further agree that each of them shall be responsible for
their own attorney's fees.
The parties shall be bound by the terms of this agreement, which shall
be incorporated by reference into the Divorce Decree, shall not be merged in such Decree,
but shall In all respects survive the same and be further binding as an enforceable contract,
conclusive upon the parties.
16. BREACH AND ENFORCEMENT:
If either party breaches any provision of this Agreement, the other
party shall have the right at his or her election, to sue for damages for such breach, or seek
such other remedies or relief as may be responsible for payment of legal fees and costs
incurred by the other in enforcing his or her rights under this Agreement. Reasonable
Interest shall be assessed from the date of breach.
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A. This Agreement may be specifically enforced by either Husband
or Wife In Equity, and the parties hereto agree that If an action to enforce this Agreement
Is brought In Equity by either party, the other party will make no objection on the alleged
ground of lack of Jurisdiction of said Court on the ground that there Is an adequate remedy
at law. The parties do not intend or purport hereby to Improperly confer jurisdiction on a
Court in Equity by tl1is Agreement, but they agree as provided herein for the forum of equity
In mutual recognition of the present state of the law, and In recognition of the general
Jurisdiction of Courts in Equity over agreement such as this one.
B. Notwithstanding anything to the contrary herein, Husband and
Wife may also proceed with an action at law for redress of his or her rights under the terms
of this Agreement, and In such event it Is specifically understood and agreed that for and
In specific consideration of the other provisions and covenants of this Agreement, each
shall waive al1Y right to a jury trial so as to expedite the hearing and disposition of such
case and so as to avoid undue delay.
C. Each party further hereby agrees to pay and to save and hold
harmless the other party from any and all attorney's fees and costs of litigation that either
may sustain, or incur or become liable for, In any way whatsoever, or shall pay upon, or in
terms or provisions of this Agreement by reason of any of the terms or provisions of this
Agreement by reason of which either party shall be obliged to retain or engage counsel to
Initiate or maintain or defend proceedings against the other at law or equity or both In any
way whatsoever, provided that the party who seeks to recover such attorney's fees, and
costs of litigation must first be successful in whole or In part, before there would be any
liability for attorney's fees and costs of litigation. It is the specific agreement and intent or
the parties that a breaching or wrongdoing party shall bear the burden and obligation of any
and all costs and expenses and counsel fees incurred by himself or herself as well as the
other party in endeavoring to protect and enforce his or her rights under this Agreement.
17. ADDITIONAL INSTRUMENT:
Each of the parties shall from time to time, at the request of the other,
execute, acknowledge and deliver to the other party any and all further Instruments that
may be reasonably required to give full force and effect to the provisions of this Agreement.
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18. VOLUNTARY EXECUTION:
The provisions of this Agreement and their legal effect have been fully
explained to the parties by their respective counsel, and each party acknowledges that the
Agreement Is fair and equitable, that it is being entered into voluntarily, with full knowledge
of the assets of both parties, and that It is not the result of any duress or undue Influence.
The parties acknowledge that they have been furnished with all information relating to the
financial affairs of the other which has been requested by each of them or by their
respective counsel.
19. ENTIRE AGREEMENT:
This Agreement contains the entire understanding of the parties and
there are no representations, warranties, covenants or undertakings other than those
expressly set forth herein. Husband and Wife acknowledge and agree that the provisions
of this Agreement with respect to the distribution and divisions of marital and separate
property are fair, equitable and satisfactory to them based on the length of their marriage
and other relevant factors which have been taken into consideration by the parties. Both
parties hereby accept the provisions of this Agreement with respect to the division of
property in lieu of and In full and final settlement and satisfaction of all claims and demands
that they may now have or hereafter have against the other for equitable distribution of their
property by and any court of competent jurisdiction pursuant to 23 Pa.C.SA Section 3501
at, seC!. or any other laws. Husband and Wife each voluntarily and intelligently waive and
relinquish any right to seek a court ordered determination and distribution of marital
property, but nothing herein contained shall constitute a waiver by either party of any rights
to seek the relief of any court for the purpose of enforcing the provisions of this Agreement.
20, DISCLOSURE:
Husband and Wife represent and warrant to the other that he or she
has made a full and complete disclosure to the other of all assets of any nature whatsoever
In which either party has an interest, the sources and amount of the Income of such party
of every type whatsoever and of all other relevant and material facts relating to the subject
matter of this Agreement.
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21, MODIFICA TION AND WAIVER:
A modification or waiver of any of the provisions of this Agreement
shall be effective only If made In writing and executed with the same formality as this
Agreement. The failure of either party to insist upon strict performance on any of the
provisions of this Agreement shall not be construed as a waiver of any subsequent default
of the same or similar nature.
22. PRIOR AGREEMENT:
It Is understood and agreed that any and all property settlement
agreements which mayor have been executed prior to the date and time of this Agreement
are null and void and have no effect.
23. DESCRIPTIVE HEADINGS:
The descriptive headings used herein are for convenience only. They
have no effect whatsoever in determining the rights or obligations of the parties.
24. INDEPENDENT SEPARA TE COVENANTS:
It Is specifically understood and agreed by and between the parties
hereto that each paragraph hereof shall be deemed to be a separate and independent
covenant and agreement.
25. APPLICABLE LAW:
This Agreement shall be construed under the laws of the
Commonwealth of Pennsylvania.
26. VOID CLAUSES:
If any term, condition, clause or provision of this Agreement shall be
determined or declared to be void or Invalid in law or otherwise, then only that term,
condition, clause or provision shall be stricken from this Agreement and in all other respects
this Agreement shall be valid and continue In full force, effect and operation.
27. AGREEMENT BINDING ON HEIRS:
This Agreement shall be binding and shall inure to the benefit of the
parties hereto and their respective heirs, executors, administrators, successors, and
assigns.
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MARITAL SETTLEMENT AGREEMENT
THIS AGREEMENT, made this \~~~l clay of ~(htl120at..bY and
between Bruce A. Janaslk, hereinafter referred to as "Husband", and Lori Janaslk,
hereinafter referred to as "Wife".
WITNESSETH:
WHEREAS, Husband and Wife were lawfully married on March 27, 1984; and
WHEREAS, certain differences arose between the parties as a result of which
they separated on April 3, 1996, and now live separate and apart from one another, and
are desirous of settling fully and finally their respective financial and property rights and
obligations as between each other, including, without limitation by specification: the settling
of all matters between them relating to the past, present and future support and/or
maintenance of Wife by Husband or of Husband by Wife; and In general the settling of any
and all claims and possible claims by one against the other or against their respective
estates for equitable distribution of all marital property; and a resolution of all mutual
responsibilities and rights growing out of the marriage relationship any provisions of prior
agreement between them to the contrary notwithstanding; and
WHEREAS, the parties hereto, after being properly advised by their
respective counsel, Husband, by his attorney, Edward J. Weintraub, Esquire, and Wife,
by her attorney, Carol J. Lindsay, Esquire, have come to the following agreement.
NOW THEREFORE, In consideration of the above recitals and the following
covenants and promises mutually made and mutually to be kept, the parties heretofore,
intending to be legally bound and to legally bind their heirs, successors and assigns
thereby, covenant, promise and agree as follows:
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1, SEPARA TION:
It shall be lawful for each party at all times hereafter to live separate
and apart from the other as such place or places as he or she may from time to time
choose or deem fit.
2. INTERFERENCE:
Each party shall be free from interference, authority and contact by the
other, as fully as if he or she were single and unmarried, except as may be necessary to
carry out the provisions of this Agreement. Neither party shall harass the other nor
endeavor to molest the other, nor compel the other to cohabit with the other nor In any way
malign the other, nor In any way interfere with the peaceful existence, separate and apart
from the other In all respects as If he or she were single and unmarried.
3, WIFE'S DEBTS:
Other than the debts Indicated In Paragraph 5 below Wife represents
and warrants to Husband that since April 3, 1996, she has not, and In the future, she will
not, contract or incur any debt or liability for which Husband or his estate might be
responsible and shall indemnify and save Husband harmless from any and all claims or
demands made against him by reason of debts or obligations incurred by her.
4. HUSBAND'S DEBTS:
Other than the debts Indicated in Paragraph 5 below, Husband
represents and warrants to Wife that since April 3, 1996, he has not, and in the future he
will not, contract or incur any debt or liability for which Wife or her estate might be
responsible and shall Indemnify and save Wife harmless from any and all claims or
demands made against her by reason of debts or obligations Incurred by him.
!S. OUTSTANDING MARITAL DEBTS:
Husband and Wife acknowledge and agree that they have no
outstanding marital debts and obligations of the Husband and Wife incurred prior to the
signing of this agreement, except as follows:
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PERSON(S) NOW
OESCBJe.TION t\MQU~ BESfQ~SlSLE
A. Keystone Financial loan $4,114 H
B. Household Credit loan $3,273 H
C. Wachovla Credit Card $6,358 H
D. Fleet Credit Card $4,461 H
E. MBNA Credit Card $3,118 H
F. EDS Federal Credit Union Loan $2,132 H
The parties agree that Husband shall hereafter be responsible for paying
debts A through F.
Husband agrees to pay the outstanding Joint debts and further agrees to
indemnify and save Wife harmless from any liability for such debts or obligations.
In the event that either party contracted or Incurred any debts, other than
those specifically Identified herein since April 3, 1996, the party who Incurred the debt shall
be responsible for its payment regardless of the name In which the account may have
been charged and agrees to indemnify and hold harmless the other for any liability for such
debts.
6. MUTUAL RELEASE:
Except as provided in this Agreement, each party waives his or her
right to alimony and any further distribution of property because both agree that this
Agreement provides for an equitable distribution of their marital property in accordance with
the Divorce Code of 1980. Subject to the provisions of this agreement, each party has
released and discharged, and by this Agreement does for himself or herself, and his or her
heirs, legal representatives, executors, administrators and assigns, release and discharge
the other of and from all causes of action, claims, rights or demands whatsoever In law or
equity, which either of the parties ever had or now has against the other, except any or all
cause or causes of action for divorce and except in any or all causes of action for breach
of any provisions of this Agreement. Each party also waives his or her right to request
marital counseling pursuant to 23 Pa.C.S.A. Section 3302.
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7. EQUITABLE DISTRIBUTION:
A, Contents of Wife's Residence:
As of the date of the execution of this Agreement, the parties
have equitably divided their personal property. Husband relinquishes his right, title, claim
and Interest In and to the furniture, fixtures, goods, appliances, equipment and personal
Items In the possession of Wife.
B. Contents of Husband's Residence:
Wife relinquishes her right, title, claim and Interest In and to the
furniture, fixtures, goods, appliances, equipment and personal items In the possession of
Husband.
Motor Vehicles:
With respect to the motor vehicles owned by one or both of the
parties, they agree as follows:
(1 )
c.
Wife shall retain the 1994 Ford Escort or the proceeds
of selling it.
(2) Husband shall retain the 1998 Mazda Pickup or the
proceeds of selling it.
(3) All automobile tilles and Insurance policies will be
corrected to reflect the ownership of each vehicle.
0, Individual Retirement Accounts, Pensions And
Employment Benefits:
Wife shall retain sole ownership and control of her Toys R Us
401k. Husband shall retain sole ownership and control of his EDS pension. Upon the
execution of this Agreement, Husband shall transfer to Wife the entire balance In his
Vanguard Fund 401k ($6,720.10 as of September 30, 2001) and shall execute any
documents necessary to do so. Wife shall receive any appreciation In the Vanguard Fund
from execution to transfer and shall bear any decline as well. Should a aDRO be required,
It shall be prepared by counsel for Wife and reviewed by counsel for Husband. Husband
warrants that he has not withdrawn any funds from the Vanguard Fund 401 k since April 3,
1996.
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E, Joint Bank and Charge Accounts:
All Joint ba'1k and charge accounts, credit card accounts and
any other Joint accounts shall be terminated and each party shall take those steps
necessary to have the other removed as a responsible party from any such account. Wife
shall retain all of the current balances in her current savings and checking accounts.
Husband shall retain all of the current balances in his current savings and checking
accounts.
F. Stocks
Husband shall retain sole ownership and control of the EOS
Stock account and the First Capital Stock Account. Wife waives and relinquishes any right
or claim to these stock accounts.
G. Property to Wife:
The parties agree that Wife shall own, possess, and enjoy free
from any claims of Husband, the property awarded to her by the terms of this Agreement.
Husband hereby quitclaims, assigns and conveys to Wife all such property together with
any Insurance policies covering that property, and any escrow accounts relating to that
property. This Agreement shall constitute a sufficient bill of sale to evidence the transfer
of any and all rights in such property from Husband to Wife.
H, Property to Husband:
The parties agree that Husband shall own, possess, and enjoy
free from any claims of Wife, the property awarded to him by the terms of this Agreement.
Wife hereby quitclaims, assigns and conveys to Husband all such property together with
any Insurance policies covering that property, and any escrow accounts relating to that
property. This Agreement shall constitute a sufficient bill of sale to evidence the transfer
of any and all rights in such property from Wife to Husband.
I. Miscellaneous Property:
All property not specifically addressed herein shall hereafter be
owned by the party to whom the property Is titled, and If untitled, the party In possession.
This Agreement shall constitute a sufficient bill of sale to evidence the transfer of any and
all rights in such property from each to the other.
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J. Tu Liability:
The parties believe and agree that the division of property
heretofore made by this Agreement Is a non-taxable division of property between co-
owners rather than a taxable sale or exchange of such property, Each party promises not
to take any position with respect to the adjusted basis of the property assigned to him or
her with respect to any other Issue which is Inconsistent with the position set forth In the
preceding sentence on his or her Federal or State Income tax returns.
8. LIFE INSURANCE:
Each party shall continue to own any life insurance policies currently
In effect, without restriction as to the designation of beneficiaries.
9. ALIMONY:
Via wage attachment through Domestic Relations, pursuant to a
Stipulation for An Agreed Order of Alimony prepared by counsel for Husband, Husband
shall pay alimony to Wife in the amount of Eight Hundred Dollars ($800.00) per month
commencing December 1, 2001 and ending September 30, 2003. In addition, Husband
shall pay Fifty Dollars ($50.00) per month 011 his arrears until satisfied. Alimony shall
terminate In the event of Wife's death, cohabitation or remarriage. For tax purposes. all
alimony payments are intended to be deductible by Husband and includible as Income to
Wife. The parties shall execute any documents necessary to convert their current alimony
pendente lite order through Domestic Relations to an Agreed Order of Alimony.
10. HEAL TH INSURANCE:
Husband agrees to continue to provide and pay for Wife's medical and
hospitalization coverage until entry of a final decree in divorce. Thereafter Wife shall be
solely responsible for her own health care expenses and any unlsured medical expenses.
11. ALIMONY PENDENTE LITE, COUNSEL FEES AN EXPENSES:
Husband atld Wife acknowledge and agree that the provisions of this
Agreement providing for the equitable distribution of marital property of the parties are fair,
adequate and satisfactory to them. Both parties agree to accept the provisions set forth
in this Agreement In lieu of and in full and final settlement and satisfaction of all claims and
demands that either may now or h>.lreafter have against the other for alimony pendente lite,
counsel fees or expenses or any other provision for their support and maintenance before,
(~.(InitialS)
6
-4}-(IniliaIS)
.
during and after the commencement of the proceedings for divorce or annulment between
the parties.
12. INCOME TAX RETURNS:
The parties have heretofore filed joint federal and state tax returns.
Both parties agree that In the event any deficiency In federal, state or local income tax Is
proposed, or any assessment of any such tax Is made against either of them, each will
indemnify and hold harmless the other from and against any loss or liability for any such
tax deflcienc:y or assessment and any loss or liability for any such tax deficiency or
assessment and any interest, penalty and expense incurred In connection therewith. Such
tax, interest, penalty or expense shall be paid solely and entirely by the Individual who Is
finally determined to be responsible for the actions, misrepresentations or failures to
disclose separate income resulting in tax liability. The parties shall file separately In 2001
and thereafter.
13. WAIVERS OF CLAIMS AGAINST ESTATES:
Except as herein otherwise provided each party may dispose of his or
her property in any way, and each party hereby waives and relinqlJishes any and all rights
he or she may now have or hereafter acquire, under the present or future laws of any
Jurisdiction, to share in the property or the estate of the other as a result of the marital
relationship, Including without limitation, dower, curtsey, statutory allowance, widow's
allowance, right to take intestacy, right to take against the will of the other, and right to act
as administrator or executor of the othe~'s estate. Each will, at the request of the other,
execute, acknowledge and deliver any and all Instruments which may be necessary or
advisable to carry into effect this mutual waiver and relinquishment of all such Interests,
rights and claims and both parties will revoke prior wills or testamentary documents.
14. AGREEMENT NOT PREDICATED ON DIVORCE:
It Is specifically understood and agreed by and between the parties
hereto and each of the said parties does hereby warrant and represent to the other, that
the execution and delivery of this Agreement Is not predicated upon nor made subject to
any agreement for Institution, prosecution, defense, or for the non-prosecution or non-
defense of any action for divorce; provided, however, that nothing contained in this
Agreement shall prevent or preclude either of the parties hereto from commencing,
(~~~ l
. ~~(Initials)
7
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Instituting or prosecuting an action or actions for divorce, either absolute or otherwise, upon
just, legal and proper grounds; nor to prevent either party from defending any such action
which has been, mayor shall be instituted by the other party, or from making any just or
proper defense thereto. Ills warranted, covenanted and represented by Husband and
Wife, each to the other, that this Agreemenlls lawful and enforceable and this warranty,
covenant and representation Is made for the specific purpose of Inducing Husband and
Wife to execute this Agreement. Husband and Wife each knowingly and understandingly
hereby waives any and all possible claims lhatthis agreement is, for any reason Illegal or
for any reason whatsoever, unenforceable In whole or In part. Husband and Wife each do
hereby warrant, covenant and agree that, In any possible event, he and she are and shall
forever be estopped from asserting any illegality or unenforceablllty as to all or any part of
this Agreement.
15. SUBSEQUENT DIVORCE:
Husband at his cost by his counsel has filed an action for divorce under
Section 3301(c) of the Divorce Code.
Simultaneously with the execution of this Agreement, both parties will
execute Affidavits of Consent and Waivers of Notice to enable counsel for Husband to
proceed with a no.fault divorce as soon as possible, providing counsel for Wife with a
duplicate decree.
The parties further agree that each of them shall be responsible for
their own attorney's fees.
The parties shall be bound by the terms of this agreement, which shall
be incorporated by reference into the Divorce Decree, shall not be merged In such Decree,
but shall in all respects survive the same and be further binding as an enforceable contract,
conclusive upon the parties.
18. BREACH AND ENFORCEMENT:
If either party breaches any provision of this Agreement, the other
party shall have the right at his or her election, to sue for damages for such breach, or seek
such other remedies or relief as may be responsible for payment of legal fees and costs
Incurred by the other in enforcing his or her rights under this Agreement. Reasonable
interest shall be assessed from the date of breach.
c,~1
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8
+-(lnitiIlIS)
A. This Agreement may be specifically enforced by either Husband
or Wife In Equity, and the parties hereto agree that If an action to enforce this Agreement
Is brought In Equity by either party, the other party will make no objection on the alleged
ground of lack of jurisdiction of said Court on the ground that there is an adequate remedy
at law. The parties do not Intend or purport hereby to Improperly confer jurisdiction on a
Court in Equity by this Agreement, but they agree as provided herein for the forum of equity
In mutual recognition of the present state of the law, and in recognition of the general
jurisdiction of Courts In Equity over agreement such as this one.
B. Notwithstanding anything to the contrary herein, Husband and
Wife may also proceed with an action at law for redress of his or her rights under the terms
of this Agreement, and In such event it Is specifically understood and agreed that for and
in specific consideration of the other provisions and covenants of this Agreement, each
shall waive any right to a Jury trial so as to expedite the hearing and disposition of such
case and so as to avoid undue delay.
C. Each party further hereby agrees to pay and to save and hold
harmless the other party from any and all attorney's fees and costs of litigation that either
may sustain, or incur or become liable for, In any way whatsoever, or shall pay upon, or in
terms or provisions of this Agreement by reason of any of the terms or provisions of this
Agreement by reason of which either party shall be obliged to retain or engage counsel to
Initiate or maintain or defend proceedings against the other at law or equity or both in any
way whatsoever, provided that the party who seeks to recover such attorney's fees, and
costs of litigation must first be successful In whole or In part, before there would be any
liability for attorney's fees and costs of litigation. It Is the specific agreement and intent or
the parties that a breaching or wrongdoing party shall bear the burden and obligation of any
and all costs and expenses and counsel fees incurred by himself or herself as well as the
other party In endeavoring to protect and enforce his or her rights under this Agreement.
17. ADDITIONAL INSTRUMENT:
Each of the parties shall from time to time, at the request of the other,
execute, acknowledge and deliver to the other party any and all further Instruments that
may be reasonably required to give full force and effect to the provisions of this Agreement.
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18. VOLUNTARY EXECUTION:
The provisions of this Agreement and their legal effect have been fully
explained to the parties by their respective counsel, and each party acknowledges that the
Agreement is fair and equitable, that it is being entered into voluntarily, with full knowledge
of the assets of both parties, and that it is not the result of any duress or undue Influence.
The parties acknowledge that they have been furnished with all Information relating to the
financial affairs of the other which has been requested by each of them or by their
respective counsel.
19. ENTIRE AGREEMENT:
This Agreement contains the entire understanding of the parties and
there are no representations, warranties, covenants or undertakings other than those
expressly set forth herein. Husband and Wife acknowledge and agree that the provisions
of this Agreement with respect to the distribution and divisions of marital and separate
property are fair, equitable and satisfactory to them based on the length of their marriage
and other relevant factors which have been taken Into conslderaUon by the parties. Both
parties hereby accept the provisions of this Agreement with respect to the division of
property In lieu of and in full and final settlement and satisfaction of all claims and demands
that they may now have or hereafter have against the other for equitable distribution of their
property by and any court of competent jurisdiction pursuant to 23 Pa.C.S.A. Section 3501
et. seq, or any other laws. Husband and Wife each voluntarily and intelligently waive and
relinquish any right to seek a court ordered determination and distribution of marital
property, but nothing herein contained shall constitute a waiver by either party of any rights
to seek the relief of any court for the purpose of enforcing the provisions of this Agreement.
20. DISCLOSURE:
Husband and Wife represent and warrant to the other that he or she
has made a full and complete disclosure to the other of all assets of any nature whatsoever
in which either party has an interest, the sources and amount of the Income of such party
of every type whatsoever and of all other relevant and material facts relating to the subject
matter of this Agreement.
!
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21, MODIFICA TlON AND WAIVER:
A modification or waiver of any of the provisions of this Agreement
shall be effective only If made In writing and executed with the same formality as this
Agreement. The failure of either party to insist upon strict performance on any of the
provisions of this Agreement shall not be construed as a waiver of any subsequent default
of the same or similar nature.
22. PRIOR AGREEMENT:
It Is understood and agreed thai any and all property settlement
agreements which mayor have been executed prior to the date and time of this Agreement
are null and void and have no effect.
23. DESCRIPTIVE HEADINGS:
The descriptive headings used herein are for convenience only. They
have no effect whatsoever in determining the rights or obligations of the parties.
24. INDEPENDENT SEPARA TE COVENANTS:
It Is specifically understood and agreed by and between the parties
hereto that each paragraph hereof shall be deemed to be a separate and Independent
covenant and agreement.
25. APPLICABLE LAW:
This Agreement shall be construed under the laws of the
Commonweaith of Pennsylvania.
26. VOID CLAUSES:
If any term, condition, clause or provision of this Agreement shall be
determined or declared to be void or Invalid in law or otherwise, then only that term,
condition, clause or provision shall be stricken from this Agreement and in all other respects
this Agreement shall be valid and continue In full force, effect and operation.
27. AGREEMENT BINDING ON HEIRS:
This Agreement shall be binding and shall Inure to the benefit of the
parties hereto and their respective heirs, executors, administrators, successors, and
assigns.
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LAW omCl:
EDWI\RD J. WEINTRAUB
lhf,lI NOHnt HIIHIl ~mH.T
IIAHHISIlUH(;. PFNN.SYLVANIA 171111
17171 l:IK lltlll FAX 17171 ~:IK '1lKlI
BRUCE ,\. JANASI"
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1;1\ Till-: COllIn OF COl\ll\lO:'l PLEAS
('l!~IIJEIU.A~U COlfNH', PA
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· 1'10,9(1-2149 ('IVII. TEW\I
.
I.OIU JANASI"
· CI\'II. ACTION. LA W
· IN U1VOIK'1-:
Ucfcndllllt
IlRAEClI'(o; TO TRANSMIT IU:COIUJ
To the Prulhullotllry:
Trunsl11it the recurd. tugethcr with thc 1l1lluwing infmlllUliun. to the cuurt tor cntry of II
divurce dccrce:
I. Ground t'lr dilOrce: irrctricvable brcll"duwnundcr Scctiun 330 I(c) oflhc Divorcc
Codc.
2. DlItc lInd I11l1nncr uf scrvice uf thc cUlllplainl: MlIY 10. 1'il)6 vill Ccrliticd Mail,
Restricted Dclivery, Aflidllvit ofScrvicc tiled May 16,1')96.
3. DlIte uf c.\ccutiun uf thc lIflidllvit uf cunscnt rcquircd by Sccliun 3301(c) of thc
Divorce Codc:
by plllintiff: March 14,2002;
by defendllnl: MlIrch 5, 2002.
4. Dute plllintitfs WlIivcr of Noticc in Scction 3301(c) Divorce was tilcd with thc
Prolhonotary:
by pllliJ1tiIT: silllultllllcuusly with this pruccipe;
by defelldant: sil11ultllllcously with this pruccipe.
5. RcllIlcd c1l1irns pending: :-.Julie.
2002.
6. Plaintiff lIlId lktcndanl hllI'C signcd II Marital Scttlel11cnt Agrcclllcnl dllted March 14,
WIIEREFORE, lhc Court is rcqucstcd tu cntcr II Final Decrcc in Divorcc in complillncc wilh
Scclioll 3301(c) uf thc Divurcc Cude and Pa, R,CP. 1'i20.42(lI)( 11~IIU incorpurule thc lcrms of
t~e MlIrillll Agreel11enl in accord'lI1ce \\llh Scctiun 301~d <4' lInd_~OI(~? ut' the Divurce
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BRUCE A. JANASIK,
Plaintiff
IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY,
PENNSYLVANIA
vs.
CIVil ACTION .. lAW
LORI JANASIK,
Defendant
NO. 96. oJ( 41
IN DIVORCE
CIVIL TERM
N.QJICE TO DEFEND AND CLAIM RIGHTS
You have been sued in court. If you wish to defend against the claims set
forth in the foregoing pages, you must take prompt action. You are warned that If
you fall to do so, the case may proceed without you and a decree in divorce or
annulment may be entered against you by the court. A judgment may also be
entered against you for any other claim or relief requested in these papers by the
plaintiff. You may lose money or property or other rights important to you,
including custody or visitation of your children.
When the ground for the divorce is indignities or irretrievable breakdown of
the marriage, you may request marriage counseling. A list of marriage counselors is
available in the Office of the Prothonotary at:
Office of the Prothonotary
Cumberland County Court House
Carlisle, Pennsylvania 17013
IF YOU DO NOT FilE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
lAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS
GRANTED, YOU MAY lOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A lAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET lEGAL HELP.
Court Administrator
Fourth Floor, Cumberland County Court House
Carlisle, Pennsylvania 17013
Telephone: (717) 240-6200
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7, Plaintiff has been advised of the availability of marriage counseling and
the Plaintiff may have the right to request that the Court require the parties to
participate in counseling.
8. The Plaintiff requests this Court to enter a Decree of Divorce in this
,
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matter pursuant to Section 3301 (c) of the Divorce Code.
WHEREFORE, Plaintiff requests this Court to enter a decree in divorce
, .
pursuant to Section 3301 (c) of the Divorce Code.
I verify that the statements made In this Complaint are true and correct, I ,
understand that any false statements in this Complaint are subject to the penaities
of 18 Pa. C.S. Section 4904 (unsworn falsification to authorities).
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BRUCE A. JAN S K
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Attorney for Plain ff
302 South 18th Street
Camp Hill, PA 17011
(717) 730-7310
Supreme Court ID #41263
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Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
VI,
,
.
: NO. 96.2149
: CIVIL ACTION. lAW
: IN DIVORCE
LORI JANASIK,
Defendant
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under 53301(c) of the Divorce Code was filed on
April 19, 1996.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety
days have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final Decree in Divorce after service of notice of
Intention to request entry of the Decree.
I verify that the statements made In this Affidavit are true and correct to the best
of my knowledge, information and belief. I understand that false statements herein are
made subject to the penalties of 18 Pa.C.S. 4904 relating to unsworn falsification to
authorities.
..----:'\~~~Janal~:~.~n~~
Date: 3/5/0 :l
SAlOIS
SHUff, FLOWER
.. LINDSAY
ATmaNlY5-^Tet,AW
16 w, Hllh Sir,..
C.,lIllt, PA
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EDW\RD J. WEINTRAUB
2600 NORm TltlRO STREET
ItARRISIlUR(;, P~"~!~':~VANIA 17110
/7171 2:1lI221KI FAX 1717/ 2:IlI'12HO
DRUCE A. JANASIK . IN nlE COURT OF COMMON Pl.EAS
Plaintiff . CUMBEIU.ANU COUNTY, PA
.
\'S. . No, 96.2149 CIVil, TERM
.
1.0RI JANASIK . CIVIl. ACTION. LAW
Defendant . IN DIVORCE
AFFIDAVIT OF CONSENT
I. A Complainl in Divorce under Section 3301(c) oflhe Divorce Code was filed
on April 19, 1996.
2. The marriage of Plainliff and Defendanl is irrelrievably broken and ninely
(90) days have elapsed from the date of the filing and service of lhe Complaint.
3. I conscnlto the enlry of a final decree In divorce aner service of nOllce of
inlenlion 10 requesl entry of the decree.
I verify lhalthe slalements made in lhis aftidavil are true and correct. 1 undersland
lhal false slalemenls herein are made subjeclto the penalties of 18 Pa.C.S. Seclion 4904 relaling to
unsworn falsificalion 10 aUlhorilies.
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EDW\RD J. WEiNTRAUB
261\0 NORnt TIIIRD STRE,T
IIARRISBURG. PENNSYl.VANIA 171111
17171 2:1X.2201l FAX 17171 2:1X'l21il1
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BRUCE A. JANASIK
Plalntlrf
· IN TilE COURT OF COMMON PLEAS
· CUMDEIUANI> COUNTY. PA
.
VI.
· No, 96-2149 CIVIL n:RM
.
LORI JANASIK
Defendant
· CIVIL ACTION . LAW
· IN lllVOIKE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY Of' A DIVORCE DECREE UNl>t:R SECTION 3301(c)
OFnn: I>IVOIKE CODE
1. I consenllo the enlry of a tinal decree of divorce wilhoUl notice.
2. lundersland thaI I may lose righls concerning alimony, division of property,
lawyer's fees or expenses if I do nol c1aimthcm before a divorce Is granted.
3. lundersland thaI I will not be divorced unlll a divorce decree is enlered by
lhe Court and lhal a copy of the decree will be senl to me immediately aner il is filed with lhe
prolhonotary .
I verify thallhe stalemenls made in this aflidavil arc lrue and eorreel. (understand lhat false
slalemenls herein arc made subject 10 the penalties of 18 Pa.C.S. Section 4904 relaling to unswom
falsification to authorities.
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WHEREFORE, Defendant prays this Honorable Court to equitably divide the
parlles' property.
COUNT III. ALIMONY
11. The averments In Paragraphs 1 through 10 above are incorporated
herein by reference.
12. Defendant is without means to provide for her reasonable support.
WHEREFORE, Defendant prays this Honorable Court to enter an Order of
alimony.
COUNT IV. COUNSEL FEES
13. The averments in Paragraphs 1 through 12 above are Incorporated
herein by reference.
14. Defendant Is without means to pay her reasonable attorney's fees which
have been exacerbated by Plaintiffs refusal to respond to requests for settlement.
WHEREFORE, Defendant prays this Honorable Court to Order reasonable
counsel fees.
SAlOIS, SHUFf, FLOWER & liNDSAY, P.C.
Attorneys for Defendant
SAlOIS
SHUFF, FWWER
" LINDSAY
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16 W, Hllh SIr"'
C.rh.lr. PA
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ID#<l4693
26 West High Street
Carlisle, PA 17013
(717) 243-6222
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BRUCE A. JANASIK
PlaintIff
* IN THE COURT OF COMMON PLEAS
* CUMBERLAND COUNTY, PA
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vs,
* No. 96.2149 CIVIL TERM
*
LORI JANASIK
Odendant
* CIVIL. ACTION. LAW
* IN DIVORCE
AND NOW, this
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ORDER
) 'l
./ ,<.:. day of (J;'~__
, is hereby appoinled Mas~ in DI orce.
, 2001,
BY THE COURT:
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BRUCE A. JANASIK * IN THE COURT OF COMMON PLEAS
Plaintiff * CUMBERLAND COUNTY. PA
*
n. * No. 96-2149 CIVIL TERM
*
LORI JANASIK * CIVIL ACTION. LAW
Defendant * IN DIVORCE
MOTION FOR APPOINTMENT OF MASTER
Bruce A. Janasik, Plaintiff/Pelilioner, moves lhe Court to appoinl a master with
rcspecllo the following claims:
(,/ ) Divorce
( ) Annulmenl
(,/ ) Alimony
( ) Alimony Pendente Lite
and in support of the MOllon stales:
I. Discovery is complele as 10 the claims for which the appointment of a master is
( ) Distribulion of Property
( ) Support
(
(
) Counsel Fees
) Cosls and Expenses
requesled.
2. The Defendanl has appeared in the action by counsel.
3. The slalulory ground for divorce is the two (2) year separation as of April 3, 1996.
4. The action is nol conIes led and no agreement has been reached wilh respect to the
disputed claims. //---~
5. The aclion does nol involve complex' sues of I _QI' flict.
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Date:
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Edward J. Weintraub, Esquire
Attorney for Plainlifli'Petilioner
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BRUCE A. JANASIK,
Plaintiff
JUL I' 20mr!-
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 96 - 2149 CIVIL
LORI JANASIK,
Defendant
IN DIVORCE
TO: ],;dwa!-d ,J, Weintraub
Attorney for Plaintiff
Carol J. Lindsay Attorney for Defendant
DATE; Monday~ July 9. 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate wh~ther there are any outstanding
interrogatories or discovery motions.
There ia no formal discovery outstanding, Plaintiff may need data on Defendant's
401K and her progress toward graduation. but these sho'.'ld be produced without the
need for formal discovery.
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BRUCE A, JANASIK ... * IN THE COURT Of" COMMON PLEAS
PlaIntiff * CUMBERLAND COUNTY, PA
*
\'1. * No. 96.2149 CIVIL TERM
*
LORI JANASIK * CIVIL ACTION - LAW
Derendant * IN DIVORCE
INVENTORY AND APPRAISEMENT
OF BRUCE A. JANASIK. PLAINTIFF
Plainliff Bruce A. Janasik, tiles the following Invenlory and Appraisemcnt of all
propcrty owncd or possessed by eilher parly althe time the parties were separated.
and correct.
PlainlifTvcrilies thallhc stalemenls made in this InvcnlOlY and Appraisemcnl arc lrue
Plainliff undcrstands thaI falsc stalements herein are made subject to lhe penalties
of 18 Pa. C.S. Sec. 4904 relating to unsworn falsilicalion to aulhorilies.
Ll~.i~~
Bruce A. Jana?ik. Plaintiff
J
Date: -S/1 lu I
ASSETS OF PARTIES
Bruce A. Janasik, Plaintill\Defendant, marks on the list below lhose items applicable
to the case at bar and ilemizes lhe assels on the following pagcs. If an item has been appraised, a
copy of the appraisal report is attached.
( ) I.
(.I) 2.
(.I) 3.
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(.I) 19.
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(.I) 24.
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( ) 26.
Real property
Motor vehicles
Slocks, bonds, securilies and options
Certificales of deposll
Checking accounts, cash
Savings accounls, money market and savings certificates
Conlents of safe deposit box
Trusls
Life insurance policies (indicale lace value, cash surrender value and
current beneficiaries)
Annuilies
Gifts
Inherilances
Palenls, copyrighls, inventions, royalties
Pcrsonal property oulside lhe home
Businesses (list all owners, including percentage of ownership and
officer/direclor posilions held by a party Wilh company)
Employmentltemlinalion bene filS . severance pay, worker's
compensalion claim/award
Profil sharing plans
Pension plans (indicale employee contribution and date plan vesls)
Reliremenl plans. Individual Retirement Accounls
Disabilily paymenls
Liligalion claims (malured and unmatured)
Mililary/V.A. bene filS
Educational benefits
Debls due. including loans, mortgages held
Household furnishings and personalty (includes as a lotal category
and attach ilemized lisl if distribution of sueh assets is in dispule)
Olher
LlABILlTlESOF PARTIES
Plaintiff, Bruce A. Janasik, marks on the Iisl below those items applicable to the case
al bar and itemizes the Iiabililies on the following pages.
SECURED
( )
( )
( )
( )
UNSECURED
("I) s.
( ) 6.
("I) 7.
( ) 8.
() 9.
1.
2.
3.
4.
Mortgages
Judgmenls
Liens
Olher secured liabililies
Credit card balances
Purchases
Loan payments
Noles payable
Olher unsecured Iiabililies
CONTINGENT OR DEFERRED
( ) 10. Contracls or agreemenls
( ) 11. Promissory noles
( ) 12. Lawsuits
( ) 13. Oplions
( ) 14. Taxes
( ) 1 S. Other conlingenl or deferred liabilities
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BRUC.~ A. JANASIK . IN THE COURT OF COMMON PLEAS
Plaintiff . CUMBERLAND COUNTY, PA
.
n. . No. 96-2149 CIVIL TERM
.
LORI JANASIK . CIVIL ACTION - LAW
Defendant . IN DIVORCE
INCOME AND EXP.~NSE STATEMENT
OF
PLAINTIH, BRUCE A. JANASIK
AND NOW,lhis,;.:);.r day ofJ, 1\..(
, 200 I, Plainliff, Bruce A. Janasik, by and
lhrough his altomey. Edward J. Weinlraub, Esquire, files the wilhin Income and Expense Slatemenl.
Res
lTysiiD~ed:
E ward 1. Wcinlraub, Esquire
2650 North Third Slrcel
Harrisburg, P A 17110
(717) 238-2200
ID #17441
ATTORNEY FOR PLAINTIFF
<.:..-:
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11I':1I1l1~ "lid E'r~lIs" Slal~lII"lIl
PACSES Cas~ NUlllh(r
OrtlER (Fill III Arpmprlale Columll)
INCOME
WEEK MONTH YEAR
11I1(r(SI S S S
Oivid(lIds
-
P~lIslllll
Anllulty
Sodal Sc.:urilY
Rellls
Royahics
--
Expellse ACCllulIl
Gifts
Unemplllymem
Compensalloll
Workmen's
Compensation
IRS Refund
Other
Olher
TOTAL S S S
TOTAL L'ICOME S
11I~1I1l1~ ~nd E'p<lIS~ SI.Il~IlI~l1l
PACSES l'as~ NUlllb~r
EXPENSES (Fill ill Appn>prlal~ COIUlIIll)
(conllnued) \\'EE" MONTlI YEAR
Wal~r S S S
S~w~r
Employmenl
Public Tr~lIspllrlalillll S $ S
lunch 3'0
Taus
R.al ESlal~ S $ S
PersolL'l1 Propcny 300
fncllm. 1-07$ 7L/ 't-r
Insurance
Homeowners $ S $
AUlomobil. SS
life
Accidcm
Heallh III.(
Other
Aulomoblle
Paymellls S $ :Z-Q1 s
Fuel LfO
Repai rs ~SD
,
-
Medical
Doclor S $ $jj.i>
DemisI la~
Onhodllllli." roO
Service T)'pe
Pagc 3 uf 6
FlIrlll IN-OOS
Wurkcr 10
- ,
111<11111. alld E'p.lIl. S,a'.'II<1\I
PACSES Cas. NUlUh.r
EXPENSES (Fill ill ApPl\lprial. CUIUIUII)
(conllnlled) \\'fi E 1\ 1\I0NTlt \'EAR
Hospi'al
M.dicill. l'->
Sp.,ial 1I..ds ISI3ss.s.
hra\.'c:~. Otthllpc:dh: So
d.v;.;.s}
-
Educallon
Privaee Schuul S S S
Parochial S<:huul
ColI.g.
Religious
Personal
Cloming $ S $ -350
-
Food , ~- ;J.. DO
- ~,J.J--'
Barber/Hairdrm.r fo~
Credit Paym.llls:
Credie Card -
Charge A<:<:uulll ~)UV
Memberships
Loans
Credie Uniun S S S
-
Mi!cellaneous
-
Household H.lp S S S
Child Car.
Pap.rs/BI1\'ks/Masazi II.
Emerrainl\lC.'11C I DO
Pay TV Lf!J
Va<.;ilioll
S.rvic. Type
Page 4 of 6
Form IN .008
Wnrk.r ID
BRUCE A. JANASIK . IN 'l'IIE COUR'I' Of' COMMON Pl.EAS
Plalntlrr . CUMO.:RI.ANI> COlJN'I'Y,. PA
.
VI. . No. 96-2149 CIVIL n:RM
.
LORI JANASIK . CIVil, ACTION - LAW
I>dendant . IN mVOIKE
CER'I'IFICATE Of' SERVICE
I, Wendy L. Shive, Legal Assistallllo Edward J. Weinlraub, Esquire, hereby certify
that on July 6, 200 I, I served a true and correct copy of the MOlion for Appointment of a
Master, Plaintiffs Income and Expense Statement, and Inventory and Appraisement upon
Carol J. Lindsay, Esquire, counsel for the Derendunt, by depositing same, postage pre-paid,
Certified Mail, Return Reccipl Requcsted ill the United States Mail, Harrisburg,
Pennsylvania, addressed as follows:
Carol J. Lindsay, Esquire
II East High Street
Carlislc, P A 17013
Date: 7/U/ot
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BRUCE A, JANASIK,
Plaintiff
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL DIVISION. lAW
NO. 96-2149 CIVIL TERM
CIVIL ACTION. lAW
IN DIVORCE
~
VI.
LORI JANASIK,
DEFENDANT'S PRE.TRIAL STATEMENT
I. BACKGROUND:
The par1ies were married March 27, 1984 at Bay City, Michigan and were
separated on April 1, 1996. They are the parents of two children Nathan Bruce
Janasik, born January 16, 1988 and Jonathan Thomas Janasik, born November 7,
1991. Husband has a bachelor's degree and for many years worked for EDS. He Is
now employed by IBM. Wife has an associates degrees and is attending college to
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complete her bachelor's degree so that she can teach in elementary schools. Since
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prior to the parties separation she has been employed by Toys-R-Us.
II. Martial and Non-martial Assets:
The martial assets are summarized on an asset lis! attached hereto as Exhibit
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A. Exhibit A does not list any non-martial assets, nor are there any.
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III. WIJNESSES, LAY AND EXPj:RT:
SAIDIS
SHUFF, FLOWER
" LINDSAY
'T1'OINIII"'T~
l6 W. Hllb S"..,
C.rll"I, PA
The case does not require expert witnesses if the parties can stipulate to the
value of the husband's EOS Pension. Wife intends to testify in her own behalf.
IV. eXHIBIT~:
Attached hereto are the most recent statements for all martial assets in a
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plaintiffs or defendants or in wife's possession. Negotiations in this case have taken
place over several years and updated statements are required for the EOS 401 K
~~
Plan value presently. Attached hereto in addition are all statements of all martial debt
In wife's possession.
V, INCOME and EXPENSES:
Presently, wife Is attending school and working part-time. By order of Court of
July 12, 2001, attached hereto as Exhibit A, from which an appeal was not taken, the
Court determined that her net monthly Income Is $773.57. Her Income Is not
sufficient to meet her reasonable needs. Wife's income and expense statement and
a tax return for the year 2000 will be provided at pre-hearing conference. Her pay
stub Is attached.
VI. PERSONAL PROPERTY:
Personal property has been satiSfactory divided. This includes the vehicles.
VII. PROPOSED RESOLUTION:
Wife seeks sixty (60%) percent of the martial estate and alimony In the amount
of present support, $799.00 per month, through December 31, 2003, six months
after wife's anticipated graduation date. Wife seeks payment of a portion of the
martial estate in cash and the balance fee rolled over from the EOS 401 K.
SAlOIS, SHUFF, FLOWER & LINDSAY, P.C.
Attorneys for Plaintiff
SAlOIS
SHUFF, FLOWER
" LINDSAY
A~\'S-AT.uw
26 W, HIKh 61'"'
Cnll.I.. PA
By:
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Carol J.tindsay,'Esquire
ID# 44693
26 West High Street
Carlisle, PA 17013
(717) 243-6222
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Account Summu.ry
AcculIl'"umh<, 6011 lOOS 1004 7S1 S
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To avoid additional finllnct! (:hal'Jft!s, pay yo I" tUlti'l! n~w
balan" by Ap,j/ n. /'196,
Tron~lI.ctfllnl!
Paym.nt. and .,<,IU.
MAR. II PAYMP.NT - THANK YOU"""..",,,,,,,,..,...,,,,,,_,,_,,,,..,,,,,,,,,,,......,,,,,,,,,.....,,,,,,_..,,,,,,,,..,,,,...."".."".."".,,$ -10.00
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Thank YOU for shoDDlna at Hecht's
MAR J.3 075-0:Lu7 2'1 :L42 JR CAREER SEPARATES J.LI.'I'ICR
MAR 2A Ob:L-:L525 2'1 24'1 JOCKE Y FOR HER :L5.57
APR IJb 032-"l1l'l0 2'1 '1'1'1 PAYMENT RECEIVED-THANK YOU 40.00CR
APR Db Ob:L-2D77 2'1 24'1 JOCKE Y FOR HER :L5.57CR
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Hecht's Account Summary
D-00424"l A
ACCOUNT INQUIRY CALL (1l001 allo 311A ~
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05/21
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0801802583C22 LOWE'S 1405 HECHANICBURO PA V
0816300121C22 JIFFY LUBE 1420 MECHANICSBURG PA V
08004024b4C23 PENN ENCORE IEI00 MECHAmCSBERG PA V
0831200324C23 tREOIT - HAL-MART 188600001006 V
0831200l25C23 HAL-HART 188600001886 HECHAtlICSBURG PA V
0006400416008 TOYS R US 10315 CAHP HILL PA V
7607700064000 CASH ADVANcE CHECK TO fLO~IER
1031800402015 ~AYHENT - THANK YOU FOP YOUR PAYMENT
0830302968017 ~IAl-HART 188000001886 MECHAtlICSBURG PA V
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NEED CASH FOR YOUR PURCHASE7 HITH fIRST CARD YOU CAll GET A CASH ADVANcE AT
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AIlO Y~UR 'I-DIGIT PERSOIlAL IDENTIFICATIOIl tlUHBER I PIN'.
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ADVANCES
f'URCHASES. fIIlAtlCE CHARGES I FEES
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SEND PAYMEIlT TO. FIRST CARO P.O.
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"'cnunl Number Accnum Numl~t
I 04/21/96 I 05/16/96 1 9.000
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BOX 15098 HILHIIlGTON. DE 19886-5098
P.O. BOX 104'1. UNIONDALE. /IV 11553-0999
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BRUCE A JANASIK
1714 ENGLlSIl OR
MECIIANICSBURG PA 11055
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POST OFFICE BOX 15515
WILMINGTON DE 19886-5515
I:
4327304887154UU02 120229777000000084
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BRUCE A, JANASIK.
Plaintiff,
· IN THE COURT OF COMMON PLEAS
· CUMBERI.ANll COUNTY, PENNS\' L VANIA
.
VI.
· No, 96-2149 CIVIl. TERM
.
LORI JANASIK,
Defendant.
· CIVIL ACHON l.AW
· IN DIVORCE
PRETRIAL STATEMENT OF I'I.AINTIH
BRUCE A. JANASIK
I. Li~tofMarilal A~scl~:
See Plaintiffs Inventory and Appraisement attached.
2. ExpcrtWitncsses:
None.
3. Other W itncsses:
None
()
4. Exhibil5-o f Plaintiff: .
..
"
A. EDS Stock
.
B. First Capital Stock
C. EDS Pension
D. Vanguard Fund 40lk
E. Toys-R-Us
F. Keystone Financial Loan
G. Fleet Credit Card
H. Household Credit Loan
I. Wachovia Credit Card
J. MBNA Credit Card
K. EDS Federal Credit Union Loan
L. Tax Returns from 1996 through 2000
S. Plainlitr~ Income:
See Plainti ffs Income ,lnd Expense Statement and pay stub attached.
'..
,
6. Plaintiff's E,xpcnscs:
See Plaintiffs incomc and cxpcnsc statcmcnt attachcd.
7. Valuation of PlaintifCs pcnsion:
Husband's EDS Pcnsion Statcmcnt attachcd,
8. Counsel fees:
Plaintiff proposcs that both partics bc rcsponsible for his/hcr own counsel fees.
9. Personal Property:
It is belicved that the parties should be ablc to divide thc personal propcrty without
Court intervcntion.
10. Marital Debts as of the purties ,date of sepamtion:
Scc No. 11 below.
11. Proposed Resolution of Economic lssu~s:
ASSF.TS .:STIMAH:J) TO TO
VAl.UE IIUSBANJ) WIFE
Vehic1c~
94 Ford Escort Wash 0 0
92 Chevy Corsica
Stock:i, Bonds, Securities
EnS Stock (H) H'l'l H'l'l
First Capilal Slock (H) 457 457
Pen:lion
EDS Pen~ion (H) 13.563 13,563
Vanguard Fund (II) 7.604 7.604
IRA. Relirement Plans
Toys R lis (W) 1.2.17 , ,237
Household Properly IOO'~,;) 50n~1 50%
TOTAl. ,\SSF.'fS 2.1,760 22.523 1,237
lIAHILlTIES ESTIMATED TO TO
V,\I.V.: IIUSIMNU WIFE
Olher loans
Keystone Financial (J'f) 4.114 4.114
Household Credil (JTI .1.27.1 .1.27.3
Credi~Cards
Wachovia (JT) 6,.15X 6,.158
Fleel (Jr) 4,461 4.461
MBNA (J'f) 3.116 .1.116
Pension/Ins Loans
EDS FCU (H) 2.1.12 2.1.12
TOTAl. UAHIl.ITIES $23,454 $23,454
NET MARITAL F:STATE: $.106
PERCENTAGE D1STRI8UTIO'l
TO II or W
30%
30.% .
Credits 10 Husband: $9,000 paid on marilal debts lJy Husband between 1996 and I <J'l'I.
Alimony: Husband has paid spousal support since the parties separated in 1996. The were
married in 1984. Wife will graduate in May 2003. Husband proposes continuing as alimony the
monthly suppart of$450 until Wife graduates,terminable ifshe dies, eohabitates or remarries.
R~L.r submitted:
a-~)~_
Edward j. Weintraub, Esquire
2650 North Third Slreet
lIarrisburg. P A 17 I 10
(717) 23M-220n
(D#17441
ATTORNEY FOR Pl.AINTIFF
-
ASSEISOE fARTlES
Bruce A. Janosik, Plainlifl\Defendant, marks on the list below those items applicable
tu the case at bar and itemizes the assets on the following pages. If an item has been appraised, II
cupy of the appraisnl report is auached.
( ) I.
(,/) .,
..
(,/) 3.
( ) *.
( ) 5.
( ) 6.
( ) 7.
( ) 8.
( ) 9.
( ) 10.
( ) II.
( ) 12.
( ) 13.
( ) 14.
( ) IS.
( ) 16.
( ) 17.
(,/) 18.
(,/) 19.
( ) 20.
( ) 21.
( ) 22.
( ) 23.
(,/) 24.
( ) 25.
( ) 26.
Real property
Motor vehicles
Stocks, bonds, securities and options
Certificates of deposit
Checking accounts, cash
Savings accounts, money market and savings certificates
Contents of safe deposit box
Trusts
Life insurance policies (indicate face value, cash surrender value and
current beneficiaries)
Annuities
Gins
Inheritances
Patents, copyrights, inventions, royalties
Personal property outside the home
Businesses (list all owners, including percentage of ownership and
oflicer/director positions held by a party with company)
Employmenlltennination benefits - severance pay, worker's
compensation claim/award
Profit sharing plans
Pension plans (indicate employee contribution and date plan vests)
Retirement plans, Individual Retirement Accounts
Disability payments
Litigation claims (matured and unmatured)
MilitaryN.A. benefits
Educational benefits
Debts due, including loans, mortgages held
Household furnishings and personalty (includes as a total categay
and allach itemized list if distribution of such assets is in dispute)
Olher
'~,I
LIABILLllES..Qff'ARllES
Plaintiff, Bruce A. Janasik, marks on Ihe list below those items applicable to the case
at bar and itemizes the liabilities on the lollowing pages.
SECURED
( ) I. Mortgages
( ) 2. Judgments
( ) 3. Liens
( ) 4. Other secured liabilities
UNSECURED
(wi) 5. Credit card balances
( ) 6. Purchases
(wi) 7. Loan payments
( ) 8. Notes payable
( ) 9. Other unsecured liabilities
CONIlliQENIJ:>RDEE.ERRED
() 10.
() II.
() 12.
() 13.
() 14.
() 15.
Contracts or agreements
Promissory notes
Lawsuits
Oplions
Taxes
Other contingent or deferred liabilities
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In 'he COUI'\ of ConullolI Picas of . CIJI\I.!lErH.MW CoulIly, I'elllisylvania
IlO\lt:snc RHATlO\S
I'.ll. IIll.' Jlll. CARI.ISI.E. J'A. I rOil
Phont: (11'7) 140.612$ Fas: (111) 240.6148
Plaintiff Name:
Defcndalll Name:
Docket Number:
PACSES Case NIJmbcr:
Olher Stale ID Number:
prca.~t UlIlf.'1 AU cnrre\poIlLl(,DC" U1UH InC'lud~ Iht: PACSES CA&.~l: .\'uwh('r.
Income and Expense SlalemeD!
THIS rOR~1 MU~T HE f'lLI.ED OUT
(It' you art s~lf.eOlployed or it' you are saJ.1ried Ill' a husiness ot' \\hkh you are owner in whole or parc. )'OU muse
also fiJl DUIll1e Suppkmemallocollle Srarelllenl which appears lnl rh~ lasl page of Ihis if,,;ome and expense
slalemCIII.)
INCOME STATEMENT OF
I:l r ,,'; e
.J.,^ VJ,(
,
I verify lhalehe Slaren/elllS nude in Ihis Incollle and Expellse Srarelllene are lrue and correce. I undersland Ihar
false Slalemenrs heroin are subjecllO the nilllinal pelullics of 18 PJ. C.S. ~ 4904. relating 10 unswom
falsificaeion 10 aurhoriries.
l. / If'! u (
Dale I
r.\'CO~fE: -c tJ 1,/
Employer -
/_ 4...~. /~ 1
Plaimiff ~r, t;1cfendam
!J
Address 5' L l 7
-.r Of
Type of Work
r. J/",..Jl,._
I
j" . j'
/It:' (' I -i ' ~
f
Gross Pay per Pai' Period S ) /71,;
,
F. //1
j
It.!
A~~I.""'(,JL.~
j
/',</
PayroJl No,
Pay Period (wkly.. hi.wkl)'.. eec.) D1-,vttt:Jy
lIemized Pa)'roll Deducrillns:
Federal Withholding
Olher Deducrinn.s (spedfy)
rv\lL\'~"" oL
-
s /9'i Local Wage Tax $32
, S S3vings BOlld~ $
S ~kalih Insural";e 557
S 5 s
4.
S iJ &c' Sod,l Securil)'
S f,l Relir~lllelll
Slale Income Tax
Credil Union
S Uk IlIsurall"e
Nel P.y per P3)' Perind S
J,Qr 7 co
bd0(d:.l1/
r/
Service Type
FOllIIIN.OO8
Worker to
,:...A
111":111111: allll E-rl:lI,'il: Sral~Il1t:11C
PACSES Ca,,~ NUl1lh~r
OTIIER (Fill ill Appruprial~ Colul1IlI)
I....COME
\\EEK MONTlI YEAR
IlIlr:rr:~c S S S
Diyiuolllh
PtllSitll1
AllJluilY
SueiaIS<euril)'
Rellls
R~yalri~s
--
ExpelLle A",uunc
Gifts
UnemploYl1lenr
Compensalioll ,
Workmen's
Compensaliun
IRS Refund
Other
Olher
TOTAL S S S
TOTAL l"'COME S
-J
(Fill ill Appropriale Colullln)
"~
II'
"
~'
/.
1,'
il
,
..
EXPENSES
WEEK MO:-.iTtI
\'EAR
Home
Morrg.g~/R~lIt
Mai""el1.lnc~
I,f(..
s
s
s
i;i
"
Utililies
.
I
Elemic
I
','
,
ill
, ~\
~.
"
f.:) ~l
Gas
Oil
"
"
ii.
.
Tekplr"M
LI()
__-1____.__
Sel'\'k~ Typo
PaRo 2 of 6
Form IN .008
Work~rlO
In~lIl1l~ ~lId Exp.n,. SI"I.IlI.11l
PACSES C"s~ NUIlIII.r
-
(Fill In Appruprl"l. ColullIn)
EXPENSES
(Lonllnued) WEE" MONTII YEAR
W"I~r S S S
-
S.wa
-
Ernploymelll
Pulll ic TranSI'''r1''li,," S S $
Lunch ..., '0
,")
Ta._es
Real Est"t. S $ $
PersOlul Pr"pert)' .3 i't)
fnCllme 1..;.1/5 7 '-I .7'-t..
Insurance
Homeowners S $ $
Automobile ,~.S
life
Accident
Health II 'i
OIlier
AUlomoblle
Paymellls $ S ~.J?1 S
ruel '-{O
Repai rs ;;z, oS ,~
Medical
D"cwr $ S ~
Deneisl
-
Or/hod""I;" ~ V
Servie. Typ<
P"g. J "r 6
F"rlll 1:-1 008
IV"r,., ID
"U,:IIIl1~ am' ExrC:lIsc: Slilh:lIIC:1I1
P,\CSES Ca,~ NUlllh~r
(Fill in Appruprial~ ClllulIIlI)
EXPENSES
(conllnned) \\' I, E" MONTtI nAil
Ho"piral
M..Jicill~ .i ,-'
Sp~dalll~eds (sla"~,.
hr31,."~S:. llrllulrc:Lfil.' So
d~, k~s)
Educallon
-
Pri,ale SChlllll S S S
Parochial SChllOI
College
Religious
Penonal
Clolhi ng S $ S .sSe
Food , ~ ). (),.:.;
-'
-
Barber lHai rdress~r c'a~
Credi! Paymenrs:
Credil Card -
Charge Accoum ..)~/O:.)
Memherships
Loall3
-
Credil Uniun S S S
MIscellaneou5
Household H~lp $ S S
Child C3r~
Papersl Bll. ,ksl:'-I agazi lie
ElIlmainmelll I 00
r---- LfS
Pay TV
-
V;u.:ui(lII
501'\1" Typo
r;.s~ .a of 6
Fllrm IN .008
Worker 10
1111':111111: illll.J E,"j1C:lbl,' 5r,I((IIII:1I1
PACSES Cas~ J';ulIIl,.,
E.'<PE.'iSES
(COlli Inned)
(Fill ill Arrrllprial~ ClIlulIIn)
MONTlI
\EM{
WEEK
(i,I'I.\
~~T
L<gal F<~s
Charilahk CI','lIrihulillns
I c-' U
Oll'~r ChilLI SUppllrl
AI;'IIIIIl)' PaYlll~'lIs
)0 j'7
Y~'CI
Olher
s
S
s
TOTAL EXPENSES
J{i//7'i
S 5'~eQ
Ownership'
II IV J
'\
\;
X
S
s
"ROPERTY
OWNED
DESCRlI'TION
VALUE
Ch~ckins Ac<:oums
Savings Ac<:oulICs
C' Ii. I.
J'~.~,..' t ...J{
$
So
.z..S
,'"' "".I"/CfJ ...
Credil Uluon
~ /1-(
Slocks/Bonds
Real ESlal~
Olh~r
TOTAL
s
---
1,'iSL'RA:';CE
Co'erage'
COMPANY
l'Ol.l(;Y #
~!e.11J!1 /',_".. ".,
If W C
Hospi,al
Blu. e",ss
Olh~1
M.dical
Blue ShklJ II I " ,
Ollll:r "'Jr'!' t..f'~ P I, V (A
. H . f;ushanJ W. Wile C . Cnmnined J . }oifll
.s ! L N'I?l'J' -i.' 1
~ n ).( ./.j S-{ ,'1
S.rvi,~ T)pe
Pag~ 5 ,,16
Fllr'" J~.008
W\lrk~r ID
"
x
Name. JANASIK,BA
Serial HI 6A2336 Social Sacurity H. 382-7f-4358
<lROSS IIlARNIN<lS
~._--------_._--------------------------._-_._-----._----------..-..-..-..--------
Net Payment. $1,185.82
tor Period Ending. 06/30/2001
CUrrent
Ytlsr to Dmte
06/30/2001 RE<lULAR SALARV
TOTAL GROSS EARNINGS (*) .......................>
.............. --........... --...- -..............-
$3,176.25
$3,176.25
$38.456.25
TAXES Bxmpt Alloc Add'l Prior
.................. .....-.............. ....-................--..
rlCA-MBD $0.00 $45.32 $548.63
rlCA-OASDI $0.00 $193.76 $2,345.85
FRO INC TX S DO $0.00 $679.64 $8,248.90
PA STATE S 00 $0.00 $87.34 $\,057.60
CAIlP SO o S 00 $0.00 $0.00 $10.00
HAMPDIIlN S 00 80.00 $31.82 $356.29
PA UNEMPL S 00 $0.00 $0.00 $0.00
TOTAL TAXBS ....................> $0.00 $1,037.88 $12,567.27
DEDUCTIONS
TDSP401(k) (') (4.00t)
HEALTH CARE PREMIUM (')
SUPPORT ORDER
TOTAL DEDUCTIONS ...............>
$0.00
$0.00
$0.00
$0.00
$127.05
$57.00
$768.50
$952.55
$1,309.65
$684.00
$9,222.00
$11,215.65
NiT EARNINGS ..................................>
$1,185.82
TOTAL NET PAYMENT (transml tted vi.. EFTS. )
----------........-----....-----...-..--------......------....-------..-..------..----------..
$1,185.82
OTHER W-2 GROSS EARNINGS
06/30/200\ GLI IMPUTED EARNINGS
TOTAL OTHER W-2 GROSS EARNINGS (*) .........~..>
$5.90
$5.90
$64.05
TOTAL W-2 GROSS EARNINGS ......................>
$2,998.10
$36,526.65
.ee Of Estimate rs 09/02/1QQ8
. ,. .
Based On The information You !lave [lro,iided,
Name
SSN
Date at Birth
Date Of EDS Employmen~
Date Of Expecr.~d Retirement
Ma rt ta 1 Statu...
Spouse Date of llirth
FICA Average
Bruce J,:musik
3B2-74-41'iil
11/26/1959
11/04/1;85
12/01/2024
Married
08/26/1963
$ 48,042.24
At The Tim~ Of Your Expected Retirement On 12/01/2024
Age At Retirement will Elf- 65
8Dtimated EDS And Applicable GM YearR Of Service 11
Monthly
Estimated Final Average Earnings
Maximum Offset
.--. -------
$ 4.00) . 52
Retirement Benefits Are Estimated To Be AD Fnllows:
Single Life Annuity
Present Value Of Single Life Annuity
50\ Joint And Survivor Annuity
75t Joint And Survivor Annuity
loot Joint And Survivor Annuity
5 Year Certain And Life Annuity
10 Year Certain And Life Annuity
$
521.12
$
$
$
$
$
455.46
4<l8.36
404 91
509.17
480.01
. --.a I
. .
Annuli lly
....--..........
$ 48,042.24
$ 3.435.0.1
$ 6.253.44
$ 13,526.57
$ 5,465.52
$ 5,140.32
$ 4,858.92
$ 6.110.0~
$ 5,760.12
The Benet ~t9 Stated Are Only Estimates And Are Provided !"or Information
Purposes Only. All Benefits rayable From The EDS Retirement Plan Are Based
On rinal Average Earningn, Years Of Credited Benefit Service And The M<lximum
Offset Allowance As Of Your Date Of $eparation/Retir~ment From EO$, ~heBe
Estimates Do Not Include Any Benefits Payable From A Prior Retiromcnt Plan.
....,.
.
BRUCE A. JANASIK, * IN TilE COURT OF COMMON PLEAS
Pllllnllrr. * CUMBERLAND COUNTY. PENNSYLVANIA
*
VI. * No. 96.2149 CIVIL TERM
*
LORI JANASIK. * CIVIL ACTION LAW
Defendant. * IN DIVORCE
PRETRIAL STATEMENT OF PLAINTIFF
BRUCE A. JANASIK
1. List of Marital Assets:
See Plaintiffs Inventory and Appraisement attached.
2. Expert Witnesses:
None.
3. Oilier Witnesses:
None
4. Exhibit:; of Plaintiff:
A. EOS Stock
B. First Capital Stock
C. EOS Pcnsion
O. Vanguard Fund 40lk
E. Toys-R-Us
F. Keystonc Financial Loan
G. Flcct Crcdit Card
H. Houschold Crcdit Loan
I. Wachovia Credit Card
J. MBNA Credit Card
K. EDS FCdcral Crcdit Union Loan
L. Tax Rcturns from 1996 through 2000
S. Plaintiffs Income:
See Plaintiffs Incomc and Expense Statement and pay stub allached;
6. Plaintiff's Expenses:
See Plaintifrs income and expense statement attached.
7. Valulltion of Plaintiffs pension:
Husband's EDS Pension Statement attached.
8. Counsel fees:
Plaintiff proposes that both parties be responsible for his/her own counsel fees.
9. Personal Property:
It is believcd that the parties should be able to divide the personal property without
Courl intervention.
10. Marital Debts as of the parties date of separation:
See No. 11 below.
11. Proposed Resolution oi Economic Issues;
ASSETS ESTIMATED TO TO
VALUE HUSBAND WIFE
Vehicles
94 Ford Escort Wash 0 0
92 Chevy Corsica
Stocks, Bonds. Securities
EDS Slock (1I) 899 899 ,
Firsl Capi~11 Slock (II) 457 457 I
I
~
Pension I
EDS Pension (tl) 13,563 1.1.563
Vangua"t Fund (II) 7.604 7.604
IRA. Reliremcnl Plans
ToysRlls(W) 1.237 1.237
lIousehold Properly IOO'~';1 50'~';1 SO%
TOT A L ASSE...S 23.760 22.523 1.237 ,
,
UABIUTIt:S ESTIMATED TO TO
V AU!E IIUSDAND WWE
Other l.uuns
Key'lune I'lI1ane",1 UT) 4.114 4.114
lIuu,dlOl<ll're"n (JT) 3.27.\ 3.273
Cre<litCar<l,
Wachuvia (H) 6.358 6.358
Fleet (H) 4,461 4,461
MIINA UT) 3.116 3.116
Pensiun/lns Loans
EllS FCU (II) 2.1.12 2.132
TOT AI. UABII,rr..:S $23,454 $2.1A54
NET MARITAl. ESTATE: $306
PERCF.Nl'A<a: IlISTRlHlITlON
TO II or W
SO%
SOo/._
Cre<lit< to Hushan": $9,000 pai" un marital debls by Husband between 1996 an<l1999.
Alimony: Husband has paid spousal support since the parties separated in 1996. The were
married in 1984. Wife will graduate in May 2003. Husband proposes continuing as alimony the
monthly support 01'$450 until Wife graduates, terminable ifshe dies, cohabitates or remarries.
R~ submitted:
C-;.---~
ce-~0-
Edward J. Weintraub, Esquire
2650 North Third Street
~"\rrisburg. P A 17110
(717) 238-2200
ID#1744\
ATTORNEY fOR PLAINTIFF
--.-'. ..
ASSETS OF PARTIES
Bruce A. Janasik, PlaintiffiDefendant, marks on the list below those items applicable
tu the case at bar and itemizes the assets on the following pages. If an item has been appraised, a
CUPy oflhe appraisal report i~ attached.
( ) I.
(.I) 2.
(.I) 3.
( ) 4.
( ) 5.
( ) 6.
( ) 7.
( ) 8.
( ) 9.
( ) 10.
( ) II.
( ) 12.
( ) 13.
( ) 14.
( ) 15.
( ) 16.
( ) 17.
(.I) 18.
(.I) 19.
( ) 20.
( ) 21.
( ) 22.
( ) 23.
(.I) 24.
( ) 25.
( ) 26.
Real property
Motor vehicles
Stocks, bonds, securities and optiuns
Certificates of deposit
Checking accounts, cash
Savings accounts, money market and savings eertiticates
Contents of safe deposit box
Trusts
Life insurance policies (indicate face value, cash surrender value and
current beneficiaries)
Annuitics
Gins
Inheritances
Patents, copyrights, inventions, royalties
Personal property outside the home
Businesses (list all owners, including percentage of ownership and
officer/director positions hcld by a party with company)
Ell1ployment/t~mlination benefits - sevcrance pay, worker's
compensation claim/award
Profit sharing plans
Pension plans (indicate employee contribution and date plan vests)
Retirement plans. Individual Retiremenl Accounts
Disability payments
Litigation claims (matured and unmatured)
MilitaryiV.A. benefits
Educational benefits
Debts due, including loans, mortgages held
Household furnishings and personalty (includes as a total o:ategIlIy
and allilch itemized list if distribution of such assets is in dispute)
Othcr
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FILE COpy
DRUCE A. JANASIK * IN nlE COURT OF COMI\ION PLEAS
Plalntlrr * CUMBERLANU COUNTY, PA
*
VI. * No. 96-2149 CIVIl. TERM
*
LORI JANASIK * CIVil, ACTION -I.AW
Odllndant * IN DIVORCE
INCOME ANU EXPENSE STATEMENT
OF
PLAINTIFF, BRUn: A. JANASIK
AND NOW, lhis~ day of ,lud ,2001, Plaintiff, Bruce A. Janasik, by and
through his attorney, Edward J. Weintraub, Esquire, files the within Income and Expense Statement.
Resjlectfull ysU5milled:
./ '.
t;" ,-1//ll ) ----
L ,l
~ '--"
E ward J. Weintraub, Esquire
2650 North Third Street
Harrisburg, PA 17110
(717) 238-2200
JD #17441
ATTORNEY FOR PLAINTIFF
.Inthe COllrt of COIllJllon Picas of . CIJ.I\.lDERLAND County, Pe'lIlsylvania
1l0\ff:STIl: Kn,nIO~S
1'.lI.nllX JlO.l:AKl.ISI.E. I'A. 170lJ
Phone: (117) 240.62l~ Fa~: (717) 240.6248
Plaillliff Name:
DefendalH Name:
Docket Number:
PACSES Case Number:
Other Stare 10 Number:
pr(,lL~t DUll.': All rorrC'\poudl'uct' 11I11" Includl.' che PACSES CiI.'C! ~lIwhc:r.
Income and Expense Statement
THIS FORM MUH iJE r;IL!.ED OUT
(It you are self-employed nr it ynu are salaried by a husiness ot "hidl you are o\Vner in whole ~r pari. )'OU mUSI
also fill oUllhe Suppkmelllallncol1le Sralemelll "hkh appears olllhe lasl page of lhis illeome alld expense
slalemenl.)
INCOME STATEMENT OF
13 y I,./C c..'J
L"C/J,(
I verify Ihallhe SlalemelllS made inlhis IlIeome anu Expense Slalemelll are lrue and correel. I undersland lhar
false stalemelllS herein are subjecllO lhe <liminal pel13lries of 18 Pa. C.S. ~ 4904. relaling In unswom
(alsificalion 10 aUlhorilies. 11 II .
, l- / { ,y / 0 I / /J '" -t. /..
Dale I Plaillliff ori efendanl
l:IICOME: -r
Employer ~ tJ ~
Addrm ~ 1 t 7
Type of Work ! I
F. //1
-f
Payroll No.
f: .fJ" ..,'JI",....
f
JA'(:1f: i
f
Gross Pay per Pay Period $3 17l.v
,
Pay Period (wkly.. hi-wkly.. ecc.)!3t "J(.I/..tl~
A:, 1",.. '('J L,-~
J
/rJ
/',4
Irentized Payroll DeduclilllLl:
Federal Withholdillg $lJ &'U Sodal SecurilY $/9'1 Local Wage Tax $32-
Slale Income Tax $ En Redr.melll $ Savings BOllds $
Credic Union $ Lit'r: InsuriJlll,.'!t $ ~kalrh Insurallce $57
Olher D.duclion.s (specify) rv\H\I~l\.1 (,. $ 45 s
Nel Pay per Pay Periou $ _~B 7, CO
bl- ~\Jult.l".
/!
Service Type
Form IN.OOS
Work(r ID
,
.
"'~"llIe ~lIU E'rellse Sl31tllltlll
PACSES Case NUllIhtr
OTIIER (Fill ill Arrru(lrialt COIUIllII)
I:-.'COME
WEEK MONTH YEAR
flU~rf:s. $ S S
Diviuellu,
Pf:llSillll
AIUIUilY
Sodal Se~uril)'
Rt'US
Royahies - --
-- '-
Expellse Ac~"ul1l
GiflS
Unemplllymem
COmpel15arioll
Workmen's
Compensaliun
IRS Refund
Olher
Ocher
TOTAL S S S
TOTAL L'iCOME S
..
III~Olll~ ~IId E'p.II'~ 51,11.111.11.
PACSES Ca,~ NUIII~.r
EXPENSES (Fill ill Appruprial. COIUIIIII)
(conllnued) wn:" MONTtI YEAR
Wal.r S S S
-
S.w.r
Employmtlll
. --
Pu~lic Tr'"spOrlalioll S S S
lUllch 3D
Tues
R.al Esw. S $ S
Personal Prop.ny 3 {It;>
In~om~ 1.1)75 7 Lf N:.- -
Il150rance
Homeowners S $ S
AUIOOIobil. S.s
life
Accid.1II
II 'I --
Healrh
Olher
AOlomoblle
Paymellls S $ ~J(1 S
Foel '-10
Repairs d-.SiJ
Medical
-
Doctor S S S I j ~
-
DemisI It} ~
OrchodllllliSl ~ 0
.
Servk. TIP.
Pag. J of 6
FlIrllll:'l-008
Work.r 10
l"<lIl1le an" Expe"se Slal~n'elll
PACSES Case NUllIher
EXPENSES (Fill ill Apprupriale CUIUlIlIl)
(conlfnlle") \lEEK MONTI I "EAlI
Hospilal
--
Medicine 3'--'
Sped.l "eeds (glass.s.
hral.:c:i. tlrllltlpt:uk Sc)
".skes)
Edllcalfon
Prisale Schuul S S S
Parochial Schuul
-
College
-
Religious
Personal
Clolhing S $ $ .350
Food ~LL ...~ ;.2.. 0<-)
Barber/Hairdresser tal
Credit PaymelllS:
Credit Ca,d
Charge ACCOUlll <-)1..)0
M~mherships
LoalU
-
Credil Uniun S $ S
.-
Mlscellaneoll5
Household 'klp S $ $
Child Care
Papers/BullkslMagali lie
Encc:rrainnlt.'11t I 00
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Form IN.OO8
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EXPE:-iSES
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LcgJI FCel
Ch.rit.hk Co"crihuli""s
Othcr Chilli Support
Alilll""y Paymc,"s
Ocher
TOTAL EXPENSES $
PROPERTY
OWNED
ChcckinB Acmums
Savings ACCOUlHS
Crellil Union
Slocks/Bonds
Real ESla'c
Ocher
TOTAL
INSURA:-;n:
Hasp;,al
Blue C"'"
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Medic.1
Blue Shicld
Orhcr
. H . Hushand W . Wik
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DESCRIPTION
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$
$
PACSES Cas, I'lllllh<<
(Fill ill Appwprialo C"lullln)
MONTI I
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VALUE
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Form IN.OO8
WlIrkr,ID
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H....' o1ANASIK.BA
Seriel .. &A2336 Soci.l Security" 382-74-4358
OROSS IlAR/lIHOS
..------------...-------.-..---------------------------------------------------
Het p.yment. $1.185.82
for Period Inding, 06/30/2001
CUrrent
Year to Date
0&/30/2001 RIOULAR SALARY
TOTAL GROBS EARNINGS (.) ......................>
-.--------..-- --------------
$3.176.25
$3.176.25
$38.456.25
TAXIS Bxmpt Alloc Add'l Prior
........ --........ --..---..-...... ..--..-..................
PICA-MID $0.00 $45.32 $548.n
PlCA-OASDI $0.00 $193.76 $2. J4!;. 85
PID IHC TX S 00 $0.00 $6" ,64 $8,248 . 90
PA STATI S 00 $0.00 $87. J4 $1.057. &0
CAMP SO 0 S 00 $0.00 $0.00 $10.00
HAMPDIH S 00 $0.00 $31. 82 $35&.29
PA UNIMPL S 00 $0.00 $0.00 $0.00
TOTAL TAXIS ....................> $0.00 $1.037.88 $12,567.27
DIDUCTIOHS
TDSP 401lkl (", (4.00')
HIALTH CAlli PREMIUM (.)
SUPPORT ORDER
TOTAL DEDUCTIONS ...............>
$0.00
$0.00
$0.00
$0.00
$127.05
$57.00
$7&8.50
$952.55
$1,309.&5
$684.00
$9,222.00
$11.215.&5
NIT IARNINGS ..................................>
$1.185.82
TOTAL NET PAYMENT (tran.mitted vi. IFrS. )
----------------------------..--..------..--------------..-------------..----------
$1,185.82
OTHIR W-2 OROSS EARNINOS
06/30/2001 OLI IMPUTED EARNINOS
TOTAL OTHER W-2 GROSS 8ARNINGS (.) ............>
$5.90
$5.90
$64 . 05
TOTAL W-2 GROSS IARNINGS ......................>
$2,998.10
$3&.5~&.&5
.ce ot BBtimac~ fa 09/02/1998
, .. ,
Based On The lnformat ion You !lave fJr<"lIl1'd,id:
. .. .
Name
SSN
nate or Birth
Date Of EDS Employment
Date Of Expected Retirement
Marital Statua
Spouse Date Of Hirth
FICA Average
Bruce J':ll1uaik
382-74-41'i8
1l/26/1959
J.:I./04/1985
12/01/2024
Married
06/26/1963
$ 48.042.24
At The rime Of 'lour Expected Ret 1 remont On 12/01/2024
Age At Retiremont will np
Estimated EDS And Applicable GM YearA Of Sarvice
65
11
Monthly
Annually
Eetimated f'inal Average Eaminys
Maximum Offaet
. - .. . - . - - ..-
$ 4.00J.~2
$ 48,042.24
$ 3,435.0.1
Retirement BenefitR Are Eslimated To Be As ~ollows.
Single Life Annuity
Present Value Of Single Life Annuity
$
521. 12
$ 6,253.44
$ 13.526.57
$ 5,465.52
$ 5,140.32
$ 4,859.92
$ 6,110.04
$ 5,760.12
0;0\ Joint And Survivor Annuity
75\ Joint And Survivor Annuity
:1.00\ Joint And Survivor Annuity
S Year Certain And Life Annuity
10 Year Certain AmI Life Annuity
$
$
$
$
$
455.46
428.36
404.91
509.17
480.01
the Benetlts Stated Are Only Estimates And Are Provided For Information
Purpoaes Only. All Benefice I'ayable From'I'he EDS Retirement Plan Are Based
On Final Average EarningA, Years Of Credited Benefit Service And The Maximum
Offset Allowance As OE Your Date OE Separation/Retirement From EDS. These
Estimates Do Not Include Any Benefits ~ayah1e From A Prior Retiroment Plan.
1.,Al}.)',i,
Lf\\\! lH.llU.,S
JAMES D. H.llIVER
)OIlN E. SLlKE
IlOH~ln C SAIDIS
GEOfHlEY S. SIIUFF
JAM~S D. ROWEll, JR.
CAROL). LINDSAY
JOHNI-;A). KOPECKY
KARL M. I.ED~BOIIM
)OSEPII \.. HITCHINGS
TllmIASE. fLOIV~R
SAlOIS, SHUFF, FLOWER & LINDSAY
A I'I{lll'FSSlll:"AJ. CllHl'lll{'\ III lN
2l> \VEST IIIGII STlm'.l
CAIU.lSI.E, I'ENNSYJ.\'Ai'>I,\ 170D
TELEPIIONE: (717) 24~-b222 -"'\CSI\III.E: (717) 24~-""llb
E~I/\Il.: dUllrnl.'\"{~'~~f1-I.\w.,:um
, \-~wW,Sl>>tl-l.tw",:om
W~ST SHORE OFFICE:
2109 \It\llKET STREET
CA\lI' HILL. PA 17011
TELEPHONE: (717)737.30/05
FACSIMILE: (717)737.>107
REPLY TO CARl.ISl.E
November 16,2001
E. Robert Elicker, II, Esquire
Office of the Divorce Master
9 North Hanover Street
Carlisle, PA 17013
RE: JANASIK v. JANASIK
NO. 96.2149 CIVIL
Dear Mr. Elicker:
Mr. Weintraub and I believe that the case is essentially settled, and we request a
general continuance of the Pre-Trial Conference scheduled for November 16, 2001.
Thank you for your assistance.
Very truly yours,
SAlOIS, SHUFF, FLOWER & LINDSAY
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C..{l/l( f~~
Carol J. nds y
CJUljb
cc: EdWard J. Weintraub, Esqulra
Lori Janaslk
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* IN Tin: eOlIR'1' m' ('OI\lI\lON PU:AS
* CUMRt:RI.ANI) ('OlINH'."A
*
* No, 96.1149 ('IVII. n:RI\I
BRUCr. A, JANASIK
"Ialntlrr
*
LORI JANASIK
Derendont
* ('IVII. ACTION. LAW
* IN mVORO:
CER'I'IFICATF. m'st:RVln:
I. Wcndy L. Shive, Lcgul Assistuntto hlwunl J. Weintrauh, Esquire, hcrcby certifY
that on April II, 2002, I servcd u truc und correct copy of the certitiell Muritul Sclllclllcnl
Agrcement and Decrce in Divorce on ('urol J. !.ilHlsuy. Esquire, counscl till' the llelcllIlunl,
by depositing same, postugc prc-puid. in the United Stulcs Muil, lIurrisburM. I'cnnsylvlllliu.
addressed us follows:
Curol J. Lillllsuy, ESlluirc
26 West High Street
Curlisle,l'A 17013
Date: 1/1/ d L
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BRUCE A. JANASIK ,
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLKAND COUNTY, PENNSYLVANIA
: CIVIL ACTION. DIVORCE
: NO. 96.2149 CIVIL TERM
Plaintiff
YS.
LORI JANASIK,
Defendant : IN DIVORCE
QUALIFIED DOMESTIC BE.LATLONSOBDfB
THIS order creates and recognizes the oxistoncll of on allernato payee's right to
receive a portion of the participant's benefits payahlll llndur nn employer-sponsored
defined benefit plan, which is qualifiod under Section 4011lf tho Intornal Revenue Code
(the "Code"). This order is intended to constitute a Qllaliflod Domostlc Relations Order
("QDRO") under Section 414(p) of the Code Soctlon 200(d) of the Employee
Retirement Income Security Act of 1974 ("ERISA") find shall be Interpreted and
administered in conformity with such law.
This order is entered pursuant to the i1uthority granted under the applicable
domestic relations laws of the State of Pennsylvania.
1. PLAN
This order applies to the EDS Defined Contribution Plan indicated below (the
"Plan"). Any successor to tt-is Plan shall also be sub/ectto the terms of this order.
EDS 401(k) Plan
2. PARTICIPANT
eamlngsllosses from the liquidation date to the date the benefit is paid. The alternate
payee will have the opportunity to roll over this distribution Into an IRA or another
qualified plan.
7. COMMENCEMENT
The alternate payee shall receive payment as soon as administratively
reasonable following the determination that this order Is a Qualified Domestic Relations
Order.
8. DEATH PROCEDURES
If the participant predeceases the alternate payee prior to payment of the
alternate payee's assigned benefits under the Plan, the alternate payee's benefits will
not be affected. In the event of the participant's death, the account balance which
remains the property of the participant, will be payable to the participant's designated
beneficiary or in accordance with Plan provisions. This order does not require the
participant to name the alternate payee as the beneficiary for the benefits not assigned
to the alternate payee.
In case of the death of the alternate payee prior to distribution of the alternate
payee's benefits from the Plan, the c:ssigned benefits will be paid to the alternate
payee's designated beneficiary or, if none, in accordance with Plan provisions.
._,-.,,~...
4
9. RETENTION OF JURISDICTION
This matter arises from an action for divorce or legal separation in the court
under the case number set forth at the beginning of this order. Accordingly, this court
has Jurisdiction to issue this order.
In the event the Plan Administrator determines that this order is not a Qualified
Domestic Relations Order, both parties shall cooperate with the Plan Administrator in
making any changes needed for it to become qualified. This includes signing all
necessary documents. For this purpose, this court expressly reserves jurlsd!ction over
the dissolution proceeding involving the participal')t, the alternate payee, and the
participant's interest in the Plan.
10. LIMITATIONS
Pursuant to Section 414(p)(3) of the Code and except as provided by Section
414(p)(4), this order:
(i) Does not require the Plan to provide any type or form of benefit, or any
option, not otherwise provided under the Plan;
(ii) Does not require the plan to provide increased benefits; and
(ill) Does not require the payment of benefits to an alternate payee that are
required to be paid to another alternate payee under another order
previously determined to be a Qualified Domestic Relations Order.
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Payments must be made by check or money order. All checks and money orders must be
made payable to Lori A. Janasik or her fonner name Lori Arnold should she elect to resume it and
so notify Domestic Relations and PASCES.
Other Conditions:
All payments received by Plaintiff shall be reported by her as income and deductible by
Defendant for tax purposes.
Defendant shall pay the following fees:
w_Iotal Fllc Description
$3.00 for Judicial Computer Fee
$25.00 for Court Costs
l'aymcntFlcqucncy
Payable at $5.00 per one time
Payable at $25.00 per one time.
IMPORTANT LEGAL NOTICE
Parties must within seven days infonn the Domestic Relations Section and the other parties,
in writing, of any material change in circumstances relevant to the level of support or the
administration of the support order, including, but not limited to, loss or change of income or
employment and change of personal address or change of address of any child receiving support.
A party who willfully fails to report a material ,'hallge ill circumstallces may be adjudged il/
COlllempt of COllrt, alld may be filled or imprisolled.
Pennsylvania law provided that all support orders shall be reviewed at least once every three
(3) years if such review is requested by one of the parties. If you wish 10 request a review and
adjustment of your order, you must do the lollowing: call your allorney. An unrepresented person
who wants to modify (adjust) a support order should contactlhe domestic relations section.
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