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Home My WebLink About96-02286 I I I 'l I " f ~ I , 1 I , '! ~ 1 , , \. I I~' " . , .~ ~ ~ ~ ~~ , " ,,' " ,Ii:, ;1,:(, ,,1,1,:,' i 1/:,) / Ij :", "I ."'. I' ';1. '. , /,i"(.. j 1;.".:. ! "This award of alimony may be modified at in accordance with law and shall be terminated upon remarriage of wife". 5. At the time the Agreement was entered the Petitioner was a full-time dock worker at Roadway Express with gross weekly earnings, including regular and over-time pay, in excess of Six HundI'ed ($600.00) Dollars per week. 6. Although your Petitioner does not know how the sum of One Thousand ($1,000.00) Dollars per month was arrived at by his prior attorney and the attorney for the Respondent, he assumes the amount was based upon the factors set forth in Section 3707 of the Divorce Code. 7. Your petitioner has experienced a substantial and continuing change of circumstances which entitles him to have the Alimony Order terminated and/or modified in accordance with Section 3701(e) of the Divorce Code. S, Specifically, on June 16, 1998, Petitioner was determined by his orthopedic surgeon, Robert J. Maurer, M.D. to be totally disabled due to a shoulder injury which occurred at work. A true and correct copy of the Disability Certificate is attached hereto, made a part hereof and marked Exhibit "B". 9. Dr. Maurer will be operating on Petitioner's shoulder on Thursday, June 25 at the Polyclinic Hospital. 10. petitioner will receive his last paycheck from Roadway on Thursday, June 25. 11. Petitioner may not be able to return to work depending upon the success of the surgery. Assuming the surgery is VERIFICATION Donald L. Mains, Sr. hereby verifies that the facts set forth in the foregoing Petition are true and correct to the best of his knowledge, information and belief, and understands that false statements herein are made subject to the penalties of 18 Pa.,c.S. ~4904 relating to unsworn falsifications. , ....c2~ ~ ~ ,J--v ~ ! DATE: June 24, 1998, " , , , , " II, , ..' " \1..'/ I, L I ',' \ ) 9SJ 1//) Orthopaedic SUl'geons uj Central Rnllsyl\'ania, LTD. ~800 Orern Strw l.hrTllbur~PA 17110 I (717). 2JM97o Fa. 2)4.2IJ7 , - 99 !';o'ember Ome Clmp Hill PA 17011 (717).761.8644 Fa. 761.68~O ~ Willow Mill Par. Road Mechln"lburW PA 170H (717).2)4.~976 F.. 2)4.21 J7 )2 Nonhwtll Om'e, Sulle 20 I HmheyPA 170J) (1I7).~)J.m 8 F&ll 5JJ.4490 Thomas H, Malin, MD,. F,AC.S John S Rychak. MD, Wilham J Polscheck, M,D, Bahnl Balolil. M,D, Crll8 W, Fulu. MD Emul R, Rubbo. MO, Roben J Maurer. MD, DISABILITY CERTIFICATE ". . DATE {I, Ie>, jrs Thia ialo cen'ICy Iha,.Dm.af i1lI/lcw ItJ Hu bee" under my pr ulon Clle, p. lease s"I~~JJ"Ojj EMPLOYER ( ~~~j :; PHYSICIAN'S ST A TEMENT _+-___ ~ DIAGNOSIS TREATMENT ~ .. _ ~ 0 .r ^-^.... c --..... COMMENTS/RECOMMENDATIONS May not return 10 work ~ (;/f.9Ylo TOlal DiubilllY 10 Llllhl DulY -,_/- May return 10 reilular work _ May rerum to hlilhr dulY Msy conllnue hllhr dut) _Full Tlmo _Part Time / / -- -,_/- HOURS _No ReSlrlClIons __Less than 10 pounds _Less IhlUl 2' poumb TESTS OROERED MEDIC ^ nONS PHYSICAL THERAPY OTHER FOLLOW UP Wlnl _Slnlnll _No Llflinll __Slandlllll __ChllllJlnll ___MoYlnlil Ma~llIno" I'.e? . _ DATE & [(; )(,/(S ,,- , , j}~d ,,,2l!l{tf~~ 1> ~......~""" ;: Y!-J,I1' r PiWSICIA. '5 SIG~A'rURE '- I I f3 1/ DONALD L MAINS, SR. P1l1ndff : IN mE COURT OF COMMON PLEAS OF : CUMBERLAND COUNlY, PENNSYLVANIA VI. . . BEVERLY A. MAINS, Defendant I DOCKET NO. 96 .2286 CIVR. TERM EQUITABLE DISTRIBUTION AGREEMENT The parties hereto agree as follows: I. PENSION. The share of Wife in the pension benefits as a result of employment with Volkswagon and with Roadway Express shall be 60% for the Wife and 40% for the Husband, I . whether defined benefit, defined contribution, or 40 I k program. One or both of the pensions is administered by the Central Pennsylvania Teamsters Pension Fund, P.O. Box 15223, Reading. PA 19612-5223. 2. Husband shall insure that the beneficiary and survivor annuitant of any pension benefit shall be the Wife. Copy of this agreement and order of court shall be sent to the pension fund administrators. 3. The marital ponion of the pension shall be that which was acquired prior to the date of fins! separation, April ) 4, ) 996. 4. The coverture fraction of the pension interests will be based upon 34 years of marriage. 5. ALIMONY. Upon the effective date of entry of the divorce decree, support under the Domestic Relations Order of lune 4, 1996 shall terminate, except for any amounts in arrears on said date. ^nears may be enforced by Wife throuah the Domestic Relations Section of II A-I II "l .' the Coun of Common Pleas. Upon the effective date of the divorce decree, alimony is awarded to Wife in the amount of S 1,000 per montb payable through the Domesdc Relations Section, payable $230.77 per week. This award of alimony may be modified in accordance with law and shall be terminated upon remarriage of Wife. 6. PERSO~AL PROPERTY. Personal and household property has been divided by and received by the panics and each releases any claim in property in the possession of the other party . 7. LEGAL FEES. Each party shall bear their own legal fees. 8. VEHICLE. HUliband agrees to convey all of his right, title and interest in 1993 Dodge Sundance, presently in the name of both panies to Wife by execution of tbe certificate of title by Husband at tbe time of execution of agreement, to be deposited witb his attorney in escrow, to be delivered to Wife upon entry of divorce dc-::ree. Wife shall assume the underlying obligation on the vehicle. 9. DEBTS. Husband agrees to pay debts contracted by either or botb parties as follows: A. Securily Pacific B. Master Card C. Medical bills to date of this agreement D. Uncle Ken Troup Wife agrees to pay debts contracted by either or both panics as follows: A. Betty Gsell Each party agrees to save, indemnify, and hold harmless the other party from ID)' claims arising as a result of the failure of either party to pay the debts set forth above. 10. Except as herein otherwise provided, each party may dispose of his or ber ~ ill "A-2" ') any way and each pari)' 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 Junsdlclion to share in the propeny or the estate of the other as a result of the manlal relalionship, Including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in 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 advisabJe to carry Into effect this mutual waiver and relinquishment of all such interests, rights, and claims. II. Each parly hereto ackowledges that he or she has read this entire agreement; that he or she understands the meaning of the agreement; and that he or she agrees to the terms thereof. The parties acknowledge that by signing below they ratify and affirm the agreement and intend to bind themselves to the settlement as a contract obligating them~clves to the terms thereof and subjecting themselves to the methods and procedures of enforcement which may I' , ! be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS p~./~... ~ Donald L. Mains, Sr. ~~1~n~ -' Beverly Ann ~ins , ~L~ Date: May 18, 1998 "A_)" :> ("") ,!'I ';1 l:~: ~',d , -"1 .. ;.;-'] (II ., ,to , I , C...., III!] .. ". ,;t") .0 ' " . 'J .' ;\") ,;.? )tt'l I' .,J l :-> ..., ~. :t:'" ::-: I I I' i 'I ~ ~ ~ ~ ~ ~ ~ 'I q .... ... 'lI':' 'lOC' .... ~( . , ~, . \ ~I ~; ',", W' ~I !ill , , ~) . ' M' . , ~i ~ W '!I lI.< ~I " ~I .1 !4' '.'1 '1 ~~ ~I' '.' ~', ',-: '1 ~I W" ",0 ( , ~I' .. ~ ~ ~ ~ ~ ~ ~ ~ 8 ~ a . .~-,~_.'~,*~,.~~~..*.~.~*.~.~.*,~.,~.~.~.~.~.~.~.~.*.~. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF ;~~~~ PENNA, DONALD L, MAiNS, SR, Piaintiff :'\ ( I ~ 6 - 2 2 B 6 C I V IL TER~ l) r,I'-II- BEVERLY A. MAINS, Defendant DECREE IN DIVORCE AND NOW, . 11"1/1.41-' S-~ 199B. . '. it is ordered and decreed that and DO~ALD L, MAiNS, SR,. '. plaintiff, defendant, ,BEVERLY. A" MAINs are divorced from the bonds of matrimony. The court retains jurisdiction of the following claims which have been raised of record in this actIOn for which a final order has not yet been entered; The issuacce of Quulified Domestic Relntions.~rder~ d~~idln. the pl~{riflffrs retirement/pension plans pursuant to the Equitable .Oist.tibu.tion Agre",meot dated. .~llly.L8, 1.996. . .(/j?1 AlIc,l: ft.-t..., r' ~7.' /;)I~:t6,,~'7 ..,(:&~ ,/4 Ie:'"' ~k t;-7: :;7' ,; Prolhollol.try ,.*..~....~..~,.~.~.,~,.~.~"~,.~,~,.~.,~.~"~.,~..~,~,~ .:.:. ';4 ,~ \ I~ :W .. , . :~ I.:. I; (;t ('" I~ ~ ., ., "~ I':' 1:0. I~ ~ ,~ * i,t r~ w '.' :~ , . '~ :~ 1 . ~ ~ '~ ,~ ~ ': ~ ",' , :~ .1. ~ ~ ~ ~ ~ :~ :~ ~ .~ :~ 0; :.: 1 ,\ 'l'~.' (/~ . (J,/. {~;i'K;~' -d- a-4 }.If~a.e~~ "l' C/~. '71~ ~~ -d ~~1 ..63~/"""" " .. ...,. I \ \ \ .1 ., . I " ,! ",', '. , , ,I . , 1 ~ ~ ~ ~~ B ~ ~1.;J ~- ~ iL r< .9 o .- S :; =llll: ~1! ~ i ~ I'i ~ ~ < ~ III a ~ ~ .. . I 'Il . ..... , , " 1 , '., "' ,...., .-....'....,. ':-'''\.~''''''~''.llP' ... >"" .....L._..~_.r.~'r..;. . . l. ~a. . - . .._--......--. ..,..-......... ...-, t. --'--'---":tJ .,.,;:r .. . ... .... ~- ,. .._~...- _.~,~ --.........---....~ -...~~.~- ":' ....--- . ," DONALD L. MAINS, SR., I IN THE COURT OF COMMON PLEAS OF Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I VS. I CIVI~ ACTION - LAW I NO. 6 - ,,2, l~ ~ ~ (~l~J. T./Vt.,,- BEVERLY A. MAINS, I Defendant I IN DIVORCE NOTICB TO DBPIND AND CLAIM RIGHTS YOU HAVE BBBN SUBD IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of 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 grounds for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counselling. A list of marriage counselors is available in the Prothonotary's Office at the Cumberland County Courthouse, Carlisle, Pennsylvania. IP YOU DO NOT PILE A CLAIM POR ALIMONY, DIVISION OP PROPBR'!'Y, LAWYER'S PBBS on IXPBNSIS, BBPORE A DIVORCB OR ANNuI.IIBNT IS GRANTBD, YOU KAY LOSB THE RIGH'!' TO CLAIM ANY OP '1'HBJI. YOU SHOULD TAltB THIS PAPBR TO YOUR LAWYER AT ONCB. IF YOU DO NO'!' HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TBLEPHONE TUB OPFICB SBT PORTH BILOW TO FIND OUT WHIRl YOU CAN GBT LBGAL HELP. Court Administrator, 4th Floor Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 Arthur T. MCDermott, Esquire ARTHUR T. MCDERMOTT , ASSOCIATES Fifty East High Street Carlisle, PA 17013 (717) 243-7807 I: :1 ,r I,. I. i :\ , :;, ., .. -... I DONALD L. MAINS, SR. , I IN THE COURT OF COMMON PLEAS OP Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I VI. I CIVIL ACTION - LAW "(i.--- I NO. ('10 j:J he Ct... (' BEVERLY A. MAINS, I Defendant I IN DIVORCE COMPLAINT IN DIVORCE COMES NOW, Plaintiff DONALD L. MAINS, SR., through his attorney, Arthur T. McDermott, Esquire and avers as follows I COUNT I - DIVORCE 1. Plaintiff is Donald L. Mains, Sr., who currently residel at 450 Walnut Bottom Road, Shippensburg, Cumberland County, Pennsylvania. 2. Defendant il Beverly A. Mains, who currently residel at SOB North West Street, Carlisle, Cumberland County, Pennlylvania. 3. Plaintiff and Defendant have been bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. The plaintif f and defendant were married on March 9, 1962 in Cumberland County, Pennsylvania. 5. There have been no prior actionl of divorce or for annulment between the parties. 6. The marriage is irretrievably broken, and the partie. are proceeding under Section 3301(c) of the Divorce Coda. 7. Neither party is a member of the United State. ArMd Forcel. ,.. , , " ~ ~ :[ ....... 00 ~ f' ~ . '<) (V\ . ~ -- 'l~ i i ~ ~ ".. ," ~~ I i: " f I . '111 e ().'.:) , ' ~ \ , ":;:) <:;:) ~ I c. V\~1.t) I . , I -...0" ~ I , \ - ~ I . . ~ " . I , , -- i I I 1 , I , , . DONALD L. MAINS, SR., I IN THE COURT or COMMON PLEAS OF Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I ve. I CIVIL AC'1'ION - LAW I NO. 96-2286 BBVERLY A. MAINS, I Defendant I IN DIVORCE AFFIDAVIT OF SBRVICB BY MAIL PURSUANT TO Pa. R.C.1P. 1920.41a11111iil COMMONWEALTH OF PENNSYLVANIA I I 5S COUNTY OF CUMBERLAND I Arthur T. McDermott, Eequire, being duly eworn according to law, deposes and says that he is the Ilttorney for plaintiff, DONALD L. MAINS, SR., and that he did serve a true and correct copy of the Notice and Complaint in Divorce filed in the above matter, by certified mail, restricted delivery, return receipt requeeted, on the Defendant, BBVBRLY KAlNS, on May 3,1996. The receipt form is attached hereto as Exhibit "A". c::---- ~~ C Arthur T. MCDermott, E~ire -- Sworn to and subscribed before me this 1996. lo~ day of May, ~>> IAl At SHElI.Y O. SEXTON, NOTARY PUBLIC CARLISLE BORO, CUMBERlAND COUNTY MYCOMMISSION EX""U M''''~ It, 1811I Member, Flnneylvanll AIIOClIIIlII oj NIIIIIH - I ~ . I " I 1, l r ) l'.) , , , , .,.., r . p,,' ., J I .. ~ ) :'n " , , ,1;.. , , . - " " '. - ,- .. k' ,. . . ' DONALD L. MAINS, SR, : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSVLVANIA : DOCKET NO. 96.2286 CIVIL TERM Plalntlrr VI. BEVERL V A. MAINS Defendant : IN DIVORCE ANSWER TO COMPLAINT COUNT I . DIVORCE By way of answer, Defendant sets forth th~ following: 1. Admitted. 2. Admitted. 3. Admitted. 4. Admitted. 5. Admitted. 1 6. Denied. 7. Admitted. WHEREFORE, Defendant requests the Court to dismiss this action in divorce. NEW MATTER COUNT II . EQUITABLE DISTRIBUTION 8. Paragraphs 1 . 7 of the CompJaint and Answer thereto are incorporated herein by reference as though set forth in full. 9. The PJaintiff and Defendant have acquired property during their marriage. i\, l'l I' .. ,; Ii 'I; DONAl.D L. MAINS, SR, Phllntlff : IN TIlE COURT OF COMMON PI.EAS m' : CUMR.:RI.ANIl COUNT\', PENNSYLVANIA \'5, 1l0CKn NO. '16 -2286 CIVIL TERM REVERl.Y A. MAINS, lll'rendllJlt Pl.AINTlH'S ,u'FmAVIT OF CONSENT. ACCEPTANCE OF SERVICE ANI) WAIVER 01: NOTICE OF INn:NTION TO REQUEST ENTRY Of' IlIVORCE I)[CRU: UNDER !l3301(C) OF TIlE IlIVORCE COilE I, A Complaint in Divol'I:e under Seetillll .\301(e) llf the Divorce Code was tiled on April 29, 1996. 2. Defendant acknowledged receipt and accepted service of the Complaint on or about May 3, 1996. 3. The marriage of the Plaintiff mu! Defendant is in'etrievahly broken and ninety days have elapsed from the date of the tiling of the Complaint. 4. I consent to the entry of a tinal decree in divorce without notice. 5. I understand that I may lose rights eonceming alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 6. I understand that I will not be divorced until a Divorce Dccrce is entered by the COU" and that a copy of the Decree will be sent tu me immediately aftcr it is tiled with the Prothonotary. 7. I have been advised of the availability of marriage counseling and understand that I may request that the ('ourt require counseling. I do Iwt rquest that the Coul1 require counseling. I verify that the statements made in this aftidavit .Ire true ami correct. I understand that false statements herein are made subject to the penalties of I ~ Pa.C.S. Section 4904 relating to unswom falsitication to .luthorities. May I~, 19l)~ ^- .I:(:,-~ ~ ~~~/:!?!y ~_~'_~> i l- Donald L. Mains, Sr.. Plaintiff n v) I J .: '.,,) " "'r. .,. I I '1 I , ,) ., i '. :'1 (:1 , , . .-;-, -il , , . " I .. I '.' , , ". ...l -. I, . .3 " i 'I 1 r' I I' , I ,I ' I I. 1'1' !:I " 'j' I~ , OFFICI OF DIVORCI MAITIR CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240.6535 I. RolMrt IlIcker, II Divorce Me.ler Treel .10 Colfer Office Meneger/Reporter We.' tho... 697-0371 Exl. 6535 october 30, 1997 John H. Broujos, Esquire BROUJOS & GILROY, P.C. 4 North Hanover street carlisle, PA 17013 Arthur T, McDermott, Esquire ARTHUR T, McDERMOTT & ASSOCIATES 50 East High Street P.O. Box 246 carlisle, PA 17103 RE: Donald L. Mains, Sr. vs. Beverly A. Mains No, 96 - 2286 Civil In Divorce Dear Mr. McDermott and Mr. Broujos: By order of Court of President Judge Harold E. Sheely dated October 22, 1997, the full-time Master has been appointed in the above referenced divorce proceedings, The Master is not certain whether Mr, McDermott is still in full-time practice; however, no other attorney has entered an appearance on behalf of the plaintiff, so this letter is being sent to Mr, McDermott with a copy to Mr. Mains, A divorce complaint was filed on April 29, 1996, raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint, The Master is going to proceed on the basis that the parties will sign and file affidavits of consent to conclude the divorce under section 3301(C) of the Domestic Relations Code. On May 14, 1996, an answer and new matter were filed in response to the complaint. The new matter (appropriately titled counterclaim) raised the economic issues of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. In accordance with P.R.C.P. 1920.33(b) 1 am directing each counsel to file a pre-trial statement on or before i " InIALD L. MAINS, SR., I IN THE COURT OF COMMON PLEAS OF Plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA I 96-2286 CIVIL VS. I NO. I BEVERLY A. MAINS, I CIVIL ACTION - LAW Defendlln t I I IN DIVORCE .1 ORDBR AND NOTICB SETTING HEARING TO: Donald L. Mains, Sr. , Plaintiff Arthur T. McDennot t Counsel for Plaintiff , Beverly A. Mains , Defendant John H. Broujos , Counsel for Defendant You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Street, Carlisle. Pennsylvania on the 18th day of Mav , 1998, at 9:00 a.m.. at which place and time you will be given the opportunity to present witnesses and exhibits in support of your case. Date of Order and Noticel 2/17/98 By: Divorce Master 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. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE. PA 17013 TELEPHONE (717) 249-3166 ... .. DONALD L. MAINS, SR., Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 96 - 2286 CIVIL vs. BEVERLY A. MAINS, Defendant IN DIVORCE RE: Pre-Hearing Conference Memorandum DATE: Friday, February 13, 1998 Present for the Plaintiff, Donald L. Mains, Sr., is attorney Arthur T. McDermott, and present for the Defendant, Beverly A. Mains, is attorney John H. Broujos. A divorce complaint was filed on April 29, 1996, raising grounds for divorce of irretrievable breakdown of the marriage, Counsel advised that the parties will sign and file affidavits of consent and waivers of notice of intention to request entry of divorce decree prior to the hearing to be scheduled. No economic claims were raised in the divorce complaint. On May 14, 1996, the Defendant wife filed an answer and new matter raising economic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and costs. with respect to the factor of marital misconduct as that factor may affect wife's alimony claim, wife alleges that husband had an extra marital relationship while the parties were living together. Mr. McDermott is going to inquire of his client as to whether a sexual relationship existed prior to the separation and if so, he may be able to stipulate to that ongoing relationship. If, however, Mr. McDermott's client states that the relationship with the female friend occurred subsequent to the separation, then we may have to have a hearing on that issue. The parties were married on March 9, 1962, and separated April 14, 1996. They are the natural parents of four children, all of whom are emancipated. Husband is 56 years of age and resides at 450 Walnut Bottom Road, Shippensburg, Pennsylvania, with a female friend. He is a high school graduate and currently is employed as a dock worker. He is a member of the Teamsters Union and his 1996 gross income as reported on his tax return was $38,221.40. Mr. McDermott indicated that husband may retire in May 1990. . Husband is currently under a support order dated June 4, 1996, to pay wife the sum of $200.00 per week. Although husband had suffered a heart attack, he is not currently experiencing any health problems. There is a question about husuand's potential retirement in May and the reasons for that retirement. Mr. Broujos is concerned that Mr. Mains is giving up his earnings to go on retirement when in fact he has an earning potential and capacity to continue earning an income based on the earnings that he showed in 1996 and will show in 1997. If we find that Mr. Mains does have an earning potential and has the ability to have an income in addition to his retirement, we will probably assess an earning capacity against Mr. Mains in determining wife's claim for alimony. Wife is 58 years of age and resides at 6 Lewisberry Road, Lot 6, New Cumberland, Pennsylvania, where she lives with a daughter and a granddaughter. wife has an 8th grade education and has been essentially unemployed during the marriage except for baby-sitting occasionally. She has complained of health issues including a bad back, depression, and stomach problems. Wife is currently covered under husband's medical insurance plan with the Teamsters; how2ver, in the event of husband's retirement we need to know what provisions are being made for wife's continuation of medical insurance benefits. A statement was attached to Mr. McDermott's pre-trial statement showing that the account balance in husband's pension plan as of December 31, 1996, was $84,971.61. Wife would like to have a cash settlement with husband with respect to the pension; however, this may not be possible unless the plan is a defined contribution plan and a portion of the amount in the plan can be rolled over into wife's name. If the pension plan is a defined benefit plan, then husband will be receiving a monthly payment and that monthly payment will be distributed most likely in accordance with a coverture fraction. Mr. McDermott is also going to determine what the monthly benefit will be as we need to know what income would be available to both parties upon retirement of husband in May, and, what, if any, survivor benefits would be available to wife in the event of husband's ultimate death while he is in retireme~t status. Mr. McDermott has noted that wife has a 1990 Sundance (probably Plymouth) in her possession although no value has been noted for that vehicle. Likewise, wife has retained the household tangible personal property and we do not have a value for that property. If we need to get into a computation for equitable distribution aside from the pe~sion issue, then we should have values for the other property thdt was noted. Absent from any inventory here, is any mel~tion of bank statements. Mr. McDermott is going to inquire of his client as to whether there were any other aSGets at time of separation including bank statements, stocks, bonds, or other intangible assets. Mr. McDermott has listed some marital debts on his statement (Exhibit No.4). Husband probably has been paying the debts since separation and we need to know what husband has been paying and what the balances were at sepat"ation so he can be given appropriate credit for payment of marital debt. There is also noted on tha list of debts a loan from Uncle Ken in the amount of $2,400.00 which is joint and a loan from Betty Gsell, which apparently is wife's loan. Counsel should inquire as to the purpose for those loans and who is liable and who is paying back the amount that has been borrowed. If we determine that we need to have a hearing on the issue of whether or not husband was having an extra marital relationship while the parties were living together, the Master should be notified immediately and counsel should be given the opportunity to have a separate hearing scheduled on that issue. witnesses should be exchanged between counsel so we can determine that matter prior to getting into the other factors and issues regarding equitable distribution and alimony. It is also noted as previously stated, that wife has filed a claim for counsel fees and expenses against husband. A hearing is scheduled for Monday, May 18, 1998, at 9:00 a.m. Notices will be sent to counsel and parties, E. Robert Elicker, II Di vorce Master cc: Arthur T. McDermott Attorney for Plaintiff John H. Broujos Attorney for Defendant JIJI'i""I-f.l',\I,I'ill ".' '{'II"""""1'" Cl'lllral I'l"'IIl\\ h ania 'Il'illlbh'l'." Pl"IlSioll Fund r Dr IA~r; I.~ 111,_<" t l . nl"lr, . 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BOX 1'i"l REJ\DING, PA l')f,1:1.~:nJ 1997 F.STTMA'1'[o;1l ~;MLILlJ"J::J:: llJ::NliFIT nTA'I'~:MJ::N'I' :1/"'i/90 I I MALNl:i DONALD L 4bO WALNUT BOT'rOM RD SHTPPIlNSRO!"<G PA l'f';SI SOCIAL IlBctlR tTY 20r,.32-114ij 1. BIRTH DATE l;U~4/11 ;2. SPOUSB NAME - fl!':VF.R(,'{ A :I. SPOUSE BIMTII LJJ\'l'lo:. 10/29/1') 4. SPOUSE SOCIAL gEctmT'l'Y NO. - :nIJ:.IO 221& b. REPORTED DATE OF HIR!:; - 10/24/6'1 6. AGE WHEN HIRlo:LJ 2b 7. VESTED fiTATIJS - 100% VF.STED B. DEI" LNED BENEETI' PLAN LJ::Vl>L 1 <J. LAST CONTIHBtl'l'INfJ llMPLOYF.R . ROADWAY r::XI'RFGS INt' 10. 13'l'ATF:MENT REFt,F,CT,j BF:N'F.FY1'G AC'CI<IJIW 'j'HIWIJUlI. 12/H/1986 11. E1;'I'IMA'I'J:o:CJ NORMAL HI-:TIIolEMFNT [lA'J'E - Ol/01/19!l9 12, 'rOTAI, ACCRUl-:tJ HENEF I'U,; ~ r Ii , i. .. VESTING SI::RVICC; 30 YEARS Ill::Nl::Fl'f SERVICE 30 YE.1\RS BENEFIT F:I\RNRD $C, 1 ').1;4 t I j 'l1IIS STATEMfo:NT If; AN j'.!;'I'lMA'I'l:; UF YOUH ACCHUl::U lJJ::NL::FlI' PhYABLE TN 'J'III,; ~'ORM Of' A S rNt.:Ll:; L IF!,:; l\NNU I'l"i AT NORMI\L RETIRF:MF:NT !lCiF.. TT I 8 <:;UllJ !::c-r TO VERH'LCATLON A1' THE TIME OF RETIREMENT, hND DOfo:f' NOT TAKr: INTO ACCOUNT TIfE FFn;~'r OF RE<:'IPROCJ\L PENSIONS. THF: H~:NFF I T LI';VEI, L [S'I'I::D AllOVE AtitiUMI:;S TIlAT YOU WORKED hT LElIST l n,10 HOlII<:; AT THAT LlWL::L DtJR TNG YOUR jJlS'!' YEAR OF I'AR'l'Iel PhTION UNDER TifF: DF:FTNRD IIENEF ['1' L'LAN. l I .. r I . l , , , DONALD L. MAINS. SR. PlalndlT :IN 'HIE COURT OF COMMON P\.EAS OF :CUl\IBERLANI) COUNTY, PENNSY1'v ANIA VS. DOCKET NO, 96 -2286 CIVil. TERM BEVERLY A, MAINS, llefendllnt MOHON FJ!H APPOINTMENT .OF .MNIT,ER Defendant Beverly A. Mains moves the court to appoint a master with respect to the following claims: (x ) ( ) (x ) ( ) Divorce Annulment Alimony Alimony Pendente Lite (x ) ( ) (x ) (x ) Distribution of Property Support Counsel Fees Costs and Expenses and in support of the motion states: I. Discovery is complete as to the claim(s) for which the appointment of a master is required. The defendant has appeared in the a,tion by her attorney. John II. Broujos, Esquire. The statutory ground for divorce is ilTetrievable breakdown (~3301(c)). The action is contested with respect to the 1'0110\\ ing claims: propcrty, alimony, fees. The action does not involve complex issues of law or fact. The hearing is expected to take 1/2 day. Additional infonnation. if any, l'elevantlO the motion~<D ...-- .---.- . I~\- L ---- -- At 11l for Defendalll . ,I I I ! i I I , 1 I 1. 3. 4. 5. 6. 7. \ I I I \ I I! October 16, 1997 ORDER APPO!!/T1NG MASTER AND NOW, "j_~b.l1.i~___M.. 1997. Robert Eli~ker. Esquire. is appointed master with respect to the following claims: ___L::__:.._~=-----~ S.L'o..;=-..L- --------_.__.._.,._----,------------_..__._-~_.._---- By TI CJtu : 'J:'---" 'J... -A .~-~-- P..1. I _::lL.t'l"Iji::)tiNl 0) -Plltilltlfh Residences in the Commonwealth of Pennsylvania and length of time at each residence , ~ Vi w. /J-1 .1~~.. ~~--# ~/Jr -t'-u-I/.6_/ tI?~a~-1 t'rt..~.~'/ -06'?_-<.~. ~:: A~~ ~~:~ ~~~ ~ ~;~~ '1"/,1,111 "f i>efendant: Residences in the Commonwealth of Pennsylvania and length of time at each residence .LJ SbH"..M E) Child or children: Name(s), age(s), residence of each child and with whom child is residing. n t;::';t:!.2J~~ ~d.~ 3 r/ .~ 12n:r:_::)r~:~ 33 '~=/~-:J7 ~;~ ?- 1>;.'4"';" Grounds for divorce: / ..__/2#;'- ~ l I F) We, parties and counsel in the above captioned divorce proceedings have read the statements set forth above and agree that the information provided herein is true and correct, , . - _. <0# ( ) 9. Life insurance policies (indicate face value, cush surrender value and CUllent beneticiaries) ( ) 10. Annuities ( ) II. Gifts i. ( ) 12. Inheritnnces ( ) )3. Patents, copyrights, inventions, royaltiCh , ( ) 14. Personal propel1y outside the home I' ( ) IS. Business (list all owncrs, including percentage \)1' o\\nen,hip, :lIId oflicer/director positions held by a paJ1y with company) ( ) 16. Employment tenninution benefits .. severunce pay, workt'rs' compensution claim/award ( ) 17. Profit sharing plans ( X ) JR. Pension plans (indicate employee contribution and date plan vests) ( ) 19 Retirement plans, Individual Retirement Accounts ( ) 20. Disabi Ii ty payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. MilitarylV.A. benetits ( ) 23. Fducation benefits ( ) 24. Debts due. includingloaJls, mortgages held ( ) 25. Household furnishings and personalty (inclnde as a total category and allach itemized list if distribution of such asscts is in dispute) ( ) 26. Other Plaintiff is employed as a dockworker undcr the Teamsters National Master Freight Agreement and is a participant in the Central Pennsy)vania Teamsters Pension Fund of 1055 Spring Street, Wyomissing, PA and P.O. Box 15223. Reading, PA 19612-5223. The only issue for equitable distribution is the interest of Defendant in the pension program, Rcmaining issues are: . alimony . counse) fees . costs and expenses "- (1 \/) ,'-, , ..j "'tl 'J ) " I .J ) I , J 1-. \,J , , I . . . , , I , .. I , . '.) I I . , .~ .-..1) , .. , " " 'j' " iI IJ ;.~: . '"~ , I I' , ./ , " III ..' I , . I ,I . " Ii, .J ,;' " II" I I' ., , , BROU,JOS olIl GILROY, P. c. I ATTOIINIV. AT LAw 4 NOIITH HANOVIII ..,IIIIT CA"LISLI, PlNNSYLVANIA 17013 17171 ......7. -'18fO . ',I ',' /f.P~9/ ~ 1'/ .1 \ ~" ... fl. Post-19R6 IRA fund. Defcndant asks the Master for an order directing Plaintiff to provide the IRA and Teamster's Dendit Statement, Pensiun Bo\)klet, and other documents required for the Data Submission FOIm for .U1 appraisal, as of the date of sepamtion, since therc were post- separation contributions. Demand ha.s hcen made as set fo"h in letter of March 19, 1997 to the Central Pennsylvania Teamsters Pension rund and to counsel for Plaintiff verbally and as indicated in lener of MardI 21. 1997. Defendant has no authurity tll force the Fund from pruviding this information. Dcfendant claims a distribution of pension bcnctits in a ratio of 60%, for wiflZ and 40% for husband, botsed upon the lack of earning capability, limitations in income requirements for maintaining a separate household, medical problems (evidenced by Doctor Yucha's statement enclosed). and olher matters set forth herein lUld relevant factors set forth in 23 PaCSA 3502. Defendant asks the Court for an order that her name remain as the primary beneliciary under the pension progranls with Roadway Express. Inc. and the Central Pennsylvania Teamsters Pension Fund. 3. ECONOMIC SITUATlOl\l OF THE PARTIES. A. Plaintiff Donald L. Mains, Sr. -- He is employed as a dock worker Imder the Teamsters National Master Freight Agreement and is a panicipant in the Central Pennsylvania Teamsters Pension Fund He ha., been so employed for 30 years and has a good working record \vith his company. He is 55 ye.u's of age and is relatively good health, considering that he had a he,m attack in 19RO and has worked regularly since, with some limited perio\', when he was not employed for medical rea.,ons. B. Defendant Beverly A. Mains -. Mrs. Mains is not employed at the present time. She was capable only of pc;f"nninll: babysitting functions, which she has not done since the 1--. ........'\ til'St of this year, IUHI had previously worked as a waitress in a delicatessen. She is not a graduate of high school. She has no othel' visible means of SUpp0l1. Mrs. Mains is 5R years of age. Her health is relatively poor, being undcr doctor's care for a number of yew'll for a bad back, depression, and stomach problems. (See Doctor Yucha's statement enclosed) Mrs. Mains has her daughter Linda living with her, who has one child, whom Mrs. Mains helps to take care of. 4. MERETRICIOUS RELATIONSHIP OF PLAINTIFF. The Plaintiff has had a meretricious relationship with another woman for over a year and six months. Although this has no impact on the property distribution. it nevenheless is relevant to the claim for alimony, expenses, and counsel fees. 5. ALIMONY. Defendant is entitled to alimony. She left school in the eighth grade. She has no secondary education or any vocati,mal training. She hus the limited income capability as set fonh above. She has serious health problems and will submit documentation from doctors indicating her poor health condition, in addition to the au ached. She has nomla! living expenses of a residence, food. clothing, and utilities and other expem,es. She is receiving medical coverage under the Plaintift's health coverage. Presently there is an Order of Court dated June 4, 1996, whereby Plaintiff is required to pay $200/week with arrears of $200+-. She has given the Plaintiff no grounds for dIvorce and no grounds for denying support payment currcntly and no grounds exist for denial of alimony. Defendant asks the Court to grant her alimony and to have that amount set by the Domestic Relation.s Oiliee. since there have been raises of Plaintiffs pay since the Order wa.s entcred. In addition, she desires an Order directing that she continue to be covered after di\on;e under a health insurance policy similar to the (lne that he currently ha.s in effect for DIMO~_JOY"~R ~O""t$/ IlKitAlO It H"L..I.OOI. /II 0 J.tJI'UI. fWlW~Vl. M 0 ,'At$ W1WAM W DlMUTlt M 0,'" C5 1Otv.L.DV/,U'PL~O ..IClttM I, fWAMKf.N'I'.. /II, 0 MUA 5H"W,/l\O IOWlDJ PI'"U'Sl)I,/l\D ~JU"Oh,"'lJ nOV.!J'I'tKH.A,MO Ift(X.AIlD J. &w.l /liD IrtVll1D 'WI.! /l\D CIfCOIh .A.. HI-""'5, /<t 0 All.M/"lQ[JMUAAK,MD ORTHOPEDIC INSTITUTE OF PENNSYLVANIA TELEPttONE:(717) 761."30 . <eOO)e34.4020 . FAX: (717)737.;:97 PATIENI"S NAME /1' '.~: 'C: _._1 <. '. ~Y'. , . !::::!.:.<.. ~ /,' ,,--(., ........L- ,/ DATE 6.1"1 7" '!be above patlent should have no heavy liftJ.ng, repeated llftJ.ng, ben:llng, twlstJ.ng, s~ or sitting for long periods of time. -z. / j L/:.(L- -~..,.<-Za -A-<-,"J:- -<--C-" -:~-L.t. , 'l1lank you. '--II lY'-f':'>;X:,<..<1 rf lft.<-d-- /' M. /(/ ~/ .~~~ B. Post-1986 IRA fund. Defendant asks the Master for an order directing Plaintiff to provide the IRA III1d Teamster's Benefit Statement, Pension Booklet, and other documents required for the Data Submission form for an appraisal, as of the date of separation, since there were post- separation contributions. Demand has been made as set forth in letter of March 19, 1997 to the Central Pennsylvania Teamster. Pension Fund and to counsel for Plaintiff verbally and as indicated in leller of March 21., 1997. Defendant has no authority to force the fund from providing this information. Defendant claims a distribution of pension benefits in a ratio of 60% for wife and 40% for husband, based upon the Jack of earning capability, limitations in income requirements for maintaining a separate household, medica) problems (evidenced by Doctor Yucha's statement enclosed), and other malters set forth herein and relevant factors set forth in 23 PaCSA 3502. Defendant asks the Court for an order that her name remain as the primary beneficiary under the pension programs with Roadway Express, Inc. and the Central Pennsylvania Teamsters Pension Fund. 1 ECONOMIC SITUATIO~ OF THE PARTIES. A. Plaintiff Donald L. Mains, Sr. .- He is employed as a dock worker under the Teamsters National Master Freight Agreement and is a participant in the Central Pennsylvania Teamsters Pension Fund. He has been so employed for 30 years and has a good working record with his company He is 55 years of age and is relatively good health, considering that he had a heart attack in 1980 and has worked regularly since. with some limited periods when he was not employed for medical reasons. B Defendant Beverly A Mains.. Mrs. Mains has no income and is not employed at the present time. She was capable only of performing babysitting functions, which she has l . not done since the first of this year, and had previously worked as a waitress in a delicatessen. She is not a I!raduate of high school. She has no other visible means of support. Mrs. Mains is 58 years of age. Her health IS relatively poor, being under doctor's care for a number of years for a bad back, depression, and stomach problems. (See Doctor Yucha's statement enclosed) Mrs. Mains has her daughter Linda living with her, who has one child, whom Mrs. Mains helps to take care of. 4. MERETRICIOUS RELATIONSHIP OF PLAINTIFF. The Plaintiff has had a meretricious relationship with another woman for over a year and six months. Although this has no impact on the properly distribution, it nevertheless is reJevantto the claim for alimony, expenses, and counsel fees. 5. ALIMONY. Defendant is entitled to alimony. She left school in the eighth grade, She has no secondary education or any vocational training. She has the limited income capability as set forth above. She has serious health problems and will submit documentation from doctors indicating her poor health condition, in addition to the attached. She has norma) living expenses of a residence, food, clothing, and utilities and other expenses. She is receiving medical coverage under the Plaintifrs health coverage. Presently there is an Order of Court dated June 4, 1996, whereby Plaintiff is required to pay $200/week with arrears of $200+. She has giver. the Plaintiff no grounds for divorce and no grounds for denying support payment currently and no grounds exist for denial of alimony. Defendant asks the Court to grant her alimony and to have that amount set by the Domestic ReJations Office, since there have been raises of Plaintiffs pay since the Order was entered. In addition, she desires an Order directing that she continue to be covered after divorce under a health insurance policy simIlar to the one that he currently has in effect Cor Employee Benefit Statement. Pre-1986 D. Post-1986 IRA fund. Defendant a~ks the Ma.~ter for an order directing Plaintiff to provide the IRA and Teamster's Benetit Statement, Pension Booklet, and other documents required for the Data Submission Form for an appraisal, as of the date of separation, since thel'e were post- separation ~ontributions. Demand has been made as set fonh in leller of March 19, 1997 to the Central Pennsylvania Teamsters Pension Fund and to counsel for Plaintiff verbally and as indicated in leller of March 21, 1997. Defendant ha.~ no authority to force the Fund from providing this infOlmation. Defendant claims a distribution of pension benefits in a ratio of 60% for wife and 40% for husband, based upon the Jack of earning capability, Jimitations in income requirements for maintaining a separate household, medical problems (evidenced by Doctor Yucha's statement enclosed), and other mailers set forth herein and relevant factors set fonh in 23 PaCSA 3502. Defendant asks the Coun for an order that her name remain as the primary beneficiary under the pension programs with Roadway Express, Inc. and the Central Pennsylvania Teamsters Pension Fund. 3. ECONOMIC SITUATION OF THE PARTIES. A. Plaintiff Donald L. Mains, Sr. .. He is employed a~ a dock worker under the Teamsters National Master Freight Agreement and is a panicipant in the Central Pennsylvania I " ./ " " . 'I' .!I Teamsters Pension Fund. He has been so empJoyed for 30 years and ha.~ a good working record with his company. He is 55 years of age and is relatively good health, considering that he had a heart altack in 1980 and ha~ worked regularly since, with some limited periods . . ,', ',' jL when he was not employed for m<:dical rea~ons. B. Oefend.Ult Beverly A. Mains.. Mrs. Mains has no income and is not employed at the present time. She was capable only of pcrfonning babysilling functions, which she has not done since the lirst of this year, and had prcviousJy workcd as a waitress in a delicatcssen. She is not a graduate of high school. She has no othcr visible means of support. Mrs. Mains is 5R years of age. IIcr health is rclmively poor, being under doctor's care for a numbcr of ycars for a bad back, depression, and stomach problems. (See Doctor Vucha's statement enclosed) Mrs. Mains ha~ her daughter Linda living with her, who has one child, whom Mrs. Mains helps to take care of. 4. MERETRICIOUS RELATIONSHIP OF Pl.AINTIFF. The Plaintiff ha~ had a meretricious relationship with another woman for over a ycar and six months. Although this has no impact on thc propelty distribution, it nevc..'1thcless is relcvant to the claim for alimony, expenses, and counsel fees. 5. ALIMONY. Defendant is entitled to alimony. She left school in the eighth grade. She has no secondary education or any vocational training. She has the limited income capability as set fon~. above. She has serious health problems and will submit documentation from doctors indicating hcr poor health condition, in addition to the attached. She ha.s normal living expenses of a residence, food, clothing, and utilities and other expenses. She is rccciving medical coverage under the Plaintift's health coverage. Presently there is an Order of Coun dated June 4, ) 996, whereby Plaintiff is required to pay $200/week with an'ears of $20Ih. Shc ha.s given the Plaintiff no grounds for divorce and no grounds for denying support payment currently and no grounds exi~t for denial of alimony. Defendant a~k~ the Court to grwn her alimony and to have that amount ~et by the Domestic Relation~ Office, ~ince there have been raises of Plaintift's pay ~ince the Order was entered. In addition, she de~ire~ an Order directing that she continue to be covered after divorce under a health insurance policy ~imilar to the one that he cun'ently has in effect for her. 6. EXPENSES. Defendant c1aim~ expenses of tiling fees and other expenses incurred by the Defendant. 7. ATTORNEY'S FEES. Defendant claims attomeys fees in the amount of at least $2,ROO, for 2S hours at $IOOihour, which will be supported by documentation at the time of the hearing. S. MARRIAGE. The panies were mWTied on March 9, 1962; the parties became separated April 14, 1996, at which time Plaintiff removed himself from the marital habitation without cause. 9. NEGOTIATIONS. The parties have entered into negotiations during the course of divorce proceedings to no avail. Defendant had submitted a proposed settlement agreement which Plaintiff rejected. 10. EVIDENCE A. No experts will be called. B. A pension evaluation will be submitted prepared by a Florida finn, which will be submiued to the Master and counsel upon receipt. C. Defendant will be called to present her case for equitable distribution of the pension, bWled on information submitted herein. D. Copy of '96 tax return is enclosed, Defendant was only requh'ed 10 pay social I I " , , , secUlity , Feblllary 13, 1998. (SPE(CTFYL~~, S!J.BMITTED, \ - - \ I, ,\\ .~~ ' \~n. . Broujos, Esquir No, 06268 BR. 105 & GILROY, P.C. . COlm~'el for De/em/am 4 North Hanover Street Carlisle, Pennsylvania 17013 717/243-45747171766-1690 . I. I : . , i' I ../ j 1040 Label Is.. pw;je 11 1 Filing Stltus Check only one 00", Exempllons If mOte then 01. depend"".. see tho In.truction. lor line 6c. tncome Attach Copy B 01 you, 'orml W-2, W-2G, end 1_.R h.... II VOlJ did nol g.' 0 W.2. see the WlStNCtion5 for IIno 7 Enclose, but do not attach, any peyment. AI!)O, p'ease enc;IOiVt Form 1040.V (..... Iho instrucllon5 1Of' IIno 621 u~s:"i;d'~ld~;i;;;~;;;'~"T;~"R~t;~e 'PI 'u~~96 'or the ., J..... l...o.c. 31, tt9lS, QI Qltltt t....., MI 11\' fl'''. , IV9f), tlllJI Ill' II" I}<\j 0.1 'llll ...,~. 1)1 tI.ple In I"'" 'P'CI Single Monied I1lIl1g jQlllI relurn (even II onIV "'" hed I/"",me, MIIried ftNng _.Ie "II... lnltllpOUlt', ooclelltCunl)' '" Ibo.. end full ......... hef.. ~ ). 0" ~.l. JI/I./I- Head 01 hou.ehold Iwllh quO/llylng ptr\Of1j. Is.. 1n.INCllon.,) II the qu.llfylno pmon I. a child bul nol vour d'pendenl, 1111. thI. chlld'l name herl. ~ a aulll Wid If wllh d child or died. 1 9 See In.trucllon.. Ii! "0 Y-..If, II your I*ent (ot lOmeone elM) can clllm you ~'" d.pendenl on hi. or her I.. .... "'01" . . .' return, do nol check boll... .. , , . , , .::U':::'.- '- t:J Ipou... .,.; ," ......,,.,, G D.p~J\drM* mon ulll1". H lilt .' 1 '1/1111"'" LIlI..... ....~r' '~I=.", II' . . .liIttllllt.1ta . ........,,- ..:=~ (lit ....1_ .' lIItHHMI It Ie . ..,....... .'m _ . AM".ln ..ltrld 1ft II... "on II> L . I I L H I " I .(L..LI1A11l__..__ ---.A1tU !~..1 It Iloml "hJIn, 'Pf)lJU'fl 11/,1 "line '"d Ulltlotl l.,1 fl'''. Horn, .dd,.u (number IOrJ 11''''1 II )';,~""t,..... .;1 r) tJcJ.. ,~.,~-'~-;-1-f-'" '--~-""-r-';;;i';;- l~LV J lL<J./t'.( ~__L.:,J.'-t!____,M -'____L..__ City, 'own Qt pr)" orrlc" ""1. and liP I;')I'J., II VI}U h..... . IIlf"U" AlJ",.n. '" Il*JI 'I o Do Vou wenl S3 10 go 10 Ihl. fund'l, . . . . . . "0 Inl "Iurn, doe. our" eo want S3 10 0 10 Ihl. lund? . ". , .j:, ~ ,.,I"'lt'~ . .. ,"a~:\ I ---.- ------1---1-__ d Total nurnt.Mtr 01 ..empt 00" i:IBlnutd_ 7 WaQIJ!!!, !')al,lrI"'i, tip", ett;, Allar,'1 forll1(!)) W.2 60' To..bl. Inl.".I. Alloeh fl<;hou"l. n II 0'" '.00. b ,......mpt Inrqrest. 00 NOT indulin on IInee. . ' Ot"k:tlmd 1II';ome, Attach 5dutdLJI" n U ower &400 10 . T~...bl~ refund", Uedltl. 01 oH""'III. 0' "'"'e .nd 1Ot1l1,.cOfTla 11111"5 (lute Inatrucllons) 11 AIlmonV ,,,,oIv-.1 . . , . . II' Busl".,.. Incomo or (100.). Alllch &hod... C Ot c.u . 13 CepI'al goln or (Ioaal. II raquired. allao:ll ~ 0, , 14 Other 00ln0 rJI (IoaMe). A11"''''ann 47g7', ':=LJ' . 160 - Totai IRA d1.lrIbuIl""', . LLII!.1.._._ ___.____ .._ ___ b 1"lbiumo",1 (,..In.I.) '''' Total ptlnllilln. lII'd""- IJ!!J.__ b lolbi. amounll'" "".) 17 : Ronto/ "., "'ola, "'Vall"', portn.rohlp". S c/lfPllfallone. lru.'" .Ie. A"ocn Schedulo E 11 . ,""' Incom. or (10M). Allach Sr),.d,. F. . . . . . . . . It ~plovmont com_'ion . . . . , , . . . 20a Social .ecurlty bonelll. , Lfll!IJ _ ____._ ________1..._.._ J b 1...b10 lmountl'" in,1.I 21 Other Inr.ome, lll\t typl ilnfJ Imr.)lJnl -.fU'. M~&lrur:.llonl\ [_8~L~~~i.: ........". ,.".."...... 12 Add the amount" 6n th,'ar "uhl r.ohjf'1~or line" 7 thfou 21. Thh~ ," our tot.llncome ..- no You, IRA deduction (... .,.lnJ<:lIon'l . . b Spoo.... IRA dadu<:IIOII I".' ."Irucllon.) . 24 Moving ..pen.... Alllr.h form 300.1 or 3903-F 2S On.."a~ 01 .eI'-employmlf1IJ", Anoch Schedul. SE If line 311~ und", II Self-emploved hoanh Ni....nr.. dedtJCtion f"" Inlll.). S28,.9~ (undel 27 ~oo!j/l & .elf-.mplOVed SEP l,lli'" "srp, chllCk . 0 ,g,~OO If a chilli ,. Penally on elrly wlthdrawa' 0' filiI/1m]" , did nl')III~1l With you), Slllt Ihll :It Allmon',' pOIlJ RlKlpNtnI'. ~r,N It Inntrut:llOnrl If)' 30 ArjrJ !1m" ~.'JI throurltl:i'l') , line !S4 31 Subl,..r;llln" 10 'rom 11m. ')'1 HlI'\ H\ VOllr _lUlled grolllncoml 'or Prtw.cy Act and "penIlro,k A.duc"on Ac.t Notlc.. ... paUl " Adjusted Gross Income ~ 23b 2. 28 at 27 28 29 . . . Cal No. 12~9I}G _ . 10 OMU No 11".007. 'lour loci., ,.curhy numb" 2Jv : ~P: loll'- Ipou,,', .oclal.~unt; number Po, halp IIncllllg II.. 'n"truellonl, 1M peg.. . Incl ~ In tha bookl.I, V.. No Noltr Qlecb'G' -Yll-wHlno, c~your"'l)( reduce ~ rtfund, lLJ 7 60 .~ g 10 11 12 I~ 14 lab lib 17 16 11 :lOb Fo.m 1040 119'361 y 0" 07 fOtm '0"0119961 Tax Compu- tation lIyO\J want th. IAS 10 flgut. yOl.lf' tax, ..e the 1n'lNctlonl lot Iln. 37. Credits Other Taxes Payment. Altacll Form, W-2. W-2G. and l099.A on Ih. ~onl. Relund HI.' ~ sent dlrtctlylo your bank KCOt.tlt! SH Inll. trod ~lln ~ d 6Ob. c. tnd d. .1 Amount 12 You Owe Sign Here Keep I copy of thti rerum IOf your records. Paid Preparll" U.e Only 32 Amounllrortl hnd 31 (adjul5led 9'0&15 Income) . . . . . . :)3a ChKk ,I: 0 Vou w.rt 66 0' old.,. 0 Blond: 0 SPOUt. w., 66 0' old". 0 Blond. Add Ihe number of boll.tts checkelt aboll' and enler the lolal here. ... 33a b If you 11" mOrrled filing sep.1rBlely and your 5pOOlSe IlefT'lIleS deductIons Of' you wert It dual~lllllus allen, see Il1Slrucllons and check here . , I "tml.od deduction I I,om Schedule A. Ion. 28. OR 34 Enlet aland.ref deduction shown below tor your fIling slatus. But seo the ..th. instructions it you checked any OOX on hI''' 333 Of' b or someone ,ger cun claim you as a dependenl. 01 your: · Single-S",OOO . MiVflN tIling JOintly or Qualifying widow(e'r-$6,7oo . Head 01 houlSehold-$5.000 . MBm.,d tiling sepiU'lllely-S3,350 Subtract Iln, 34 'rom line 32 . If IIn, 32 il $88,475 or less, multiply $2,550 by the lolal number 0' exemptions claimed on line 6d. IIlln. 32 Is over $88,475, see Ihe work$hflelln the In51. for the amount to enter 37 T.uble Incom.. Sublractline 38 I,om lin. 35. It Ilna 36 10 more tI1an line 35. enlet -0- 31" Tn. Sttln'lNcllonl. Check II 191.1 Includtt any la' I,om . 0 Form(a) 8814 b 0 Fonn 4972 . . . . . . . . . . . . . . . . . . . . C,edlllot </'old and dependenl ca,a ..pen.... Attach Fonn 2441 38 Credit lot tI1. t1derly or the dl..bl.d. Allach Schedul. A . 40 FOf'lgn IIll c'odlt. Altlch Form 1116 41 Olhar. ChKk If from .0 Form 3800 b 0 Fo"" 8396 00 Fonn 8801 dO Form ('POCIIy) 43 Add IIna' 39 through 42 . . . . 44 Subtract line 43 from line 38. If line 43 is more Ihan line 38, enler .O~ . 45 SoU-employment tax. Attach Schedule SE . ....... 4e Alternative minimum tax. Allach Form 6251 , . . . 47 SocIal security And Medicare lall on tip Income not reported 10 employer. An3ch FoT" 4137 48 Tax on qualified retirement plans, Including IRAs. If required. allach Form 5329 , 4' Advanc, eamed incorn., credit paymenls Irom Form(~l W-2 "', SO Houaehold employmenl'""e.. Allach Schadule H. . . ,. " Add IIn.. 44l1vou 80. Thll I. our 10111111.. . . ,,:,~'l '.' 12 .-,tdorel _lOll wttrlIItId frIlm Forml W-2 and 1099 . .'. . ' ,~. il3 I. _tel !Ill peymtnlllO'ld amounl tppIltel lrom 1995 "turn , 14 Iomtd Incomt ....... AItIch Schedul. Ele " you have e qua/dying child. Non_ _Income: amounl. I I I and type . .................................................. 14 Amounl paid wllh Form 4868 ('eque.1 fOf OXltnalon). .. sa -. Exc... IOClaJ Il<:Urity and RRTA tax withhefd (see lnst.),. ee -..... 0II1tr paymtnll. Check It ~om .0 Form 2439 b 0 Form 4138 57 - r Add Ilnel 52l1vO\J 57. Th..e art O\J,'olI' ntl ~ It IIn. 5811 motttl1an line 51. sublraClllne 51 "001 line 58. Thla10 tI1e amount you OVlRPAlD Amounl ollln. 59 you wanl REFUNDED TO VOU. . . . . . .. ... ~ ~ b Aoutlng number ~ 0 Type: 0 ChKklng 0 Saving. . 33b 3S 3S 00.1 ~J . 3t 40 41 42 , 42 . 43 44 45 40 47 40 48 SO 51 , . ~ - '- " ....... sa se iJ7 se se eo. Account number Amounl 01 lint 59 you want APPLlID TO YOUR 11111STlMATlD TAll . el It line Slllmottlhan an. S8. .ublraclllna 58 f,om line 51. Thlalslh.AMOUNT VOUOWI. For d.lalls on how to pay and u&8 'orm 104().V, see instrucllons. ,. ... .... f3 EaUmaled lax penally. Alao Include on line 62.. .. I 03 lJnder ptft81t1e1 0' perjury, I declar. thai I hav. .xamlned thiS return 31\d acCompanyll'19 IChtclUIt. and IIIttrMnl.. and to the belt of '"W' MowtIdDIn 1:*1." th~ ...!rUe. COllect, and compl.t.. O<<ll11atlon 01 p,.parff (olh., than laxpayff) I. bINd on all information of whIt" ptIPWW I'\M My MowtIdgI. ~ You, SlQnO'UIf DOl. YO\J' ompt'lO ~ mull SII;Jn 001. SpoUN', oc:cupallon Pr.partr', lOCi" tlCunty no. OJI' P'.par,,'s ~ iNgnatur. , FIrm', nolm. (or yours ~ .r ,,'r.~loyedl and -... Check I' Mtr..mplO'/td o fiN ZIP cod. @ Pnn'~ on ,...;ycl..:/ ".p.r 'U_!I.OcMf"""""aIIoIr 1__"'. .... ~ ~ _1'0 .J -" " - DONALD L. MAINS, SR., Plaintiff. : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNSYLVANIA VS. BEVERLY A. MAINS, DOCKET NO: 96-2286 CIVIL Defendant IN DIVORCE ::::::::::::::::::;::::::::::::::::::::::::::::::::;::I:::::::::::::::::::::::::::::::::::::::::::::::::: fSE'I'RIAI. Mt:MORANDUM COMES NOW, PLAINTIFF, J>ONALD L. MAINS, SR. and files the pretrial memorandum with the f\J1I-tilllc Masler pcr his instruction sand pursuant to Pa. R.C.P. No. 1920.33 and states as fbllows I. A list of marital assets is appcnded as Exhibit One. 2. No expert witness is to be called by Plaintiff. 3. No witnesses will be called other than Plaintiff. 4. The Plaintiff expects to enter no exhibits. S. The Plaintitl's gross income in 1996 was $38.221.40. (See federal and State Tax Returns auached hcreto as Exhibit Two. 6. No testimony from Plainlilfregarding expenses. 7. PlaintilPs pension plan documents attached hereto as Exhibit Three. 8. No Claim for counsel fees. 9. No evidence to be presented regarding valuations, except possible rebuttal. 10. See Exhibit Four for marital bills at time of separation. , . , 11. PlalntifJ'proposes t give title to all marital property to defendant in exchanser for a set off of 5% of pension. , , , " I I Respectfully submitted, ."--. -:...::;.C--" " J (J c:----' /.c-7.f/ A. . ) /Arthur T. McDennofi, Esqwre l u Date: Fifty East High Street PO Box 246 Carlisle, PA 17013-0246 CC: lohn Broujos, Esquire DONALD L. MAINS, SR., Plaintiff, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA VS. BEVERLY A. MAINS, DOCKET NO: 96-2286 CIVIL Defendant IN DIVORCE :::::::c::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: INVE~TORY PROPERTY Autos 1990 Dodge Sundance OWNERS POSSESSION Joint Wife Furniture (by Room) Kitchen Living Room Dinning Room Set & Refrigerator I 27" Colored TV, Sofa, 2 chairs coffee table Craftmatic Bed and 2 Dressers 2 Craftmatic Beds and 2 Dressers I Cherry Table and 6 Chairs Joint Wife Joint Wife Joint Wife Joint Wife Joint Wife Joint Wife Bedroom III Bedroom 112 Dining Room Snow blower EXHIBIT ONE 'orm 1040EZ U.pllr\m.ll\ or lh. Tr.,ulury--Inh'rnol fta....l'lllu.. Hl!rvlr.! I"come rex Return for Slnale end JoInt FIler. WIth No Dependent. (PI 1996 OMB N.. tr.ili.t)1J7/\ - Your filiI naml autlllllhlll lBlIlnllllle Use the IRS label here Donald L, Mains II a joinl'Ilurn, ,pOlla.', 111111 nBllIe Gnd (mllnl lnst nomlt ,.~o Walnut Bottom Rd HOrn( .d<Stlu [riumbtt InQ roll_III yQ!) l1a~1I a P O. lYJ~. Se4 PO!)' r ,Api no Shippensburg, ~l., 17257 C,ly. 101\" 01 poll 011 It.. ,Illlt. BllIlllP (t)llt It V')I) hO., a hJ/pUjll npl'lrn~5, ~n I:IY}" 1 Income "..aob Copy B 01 Form<l> W.I b.... EnclOle, but do noL attach, any payment wit.h your relurn. NutPll.'h"l'hllll! "r..-~" WIll fI"t d"III~" \11'" /,/\ or ,.dll'" \111/1 I' ',IIHI UU yuu wont ~:J tl) Kil to thiH fund'! ... oint return. docs our K )(JUKl! wont $:1 to 0 to this fund? .. 1 Total waGe., .olorle., and tip.. Thl. .hould bo .hown In box 1 uf your W.2 forml.). Attach your W.2 fo,ml.). 1 2 Taxablo Intore.t Income of $400 or less. tf the totoll. oyer $400, you can nut u.e Form 1040EZ. 2 3 Unemployment compensation locc pORc 91. :\ 4 Add lines 1, 2, and 3. This Is your adjusted gro.. Income. If under $9,500. see pOKc 9 to find out if you con claim tho earned income crcdlt on line 8. 4 Can your parenti (or someone elso) claim )'ou 1m thL'ir return? Y... Enwr smount No. If .Inlle, cntc, 6,660.00. from worksh""t If marrlcd, ellle' 11.800.00. on back. St.c bllCk fur l'xplnnntion. fi Subtract line 6 f,om 11m, 4. If II lie /'i i. III'K'>' thllll IIno 4, enter O. Thlo Is you, tnxobte Incumc. · 6 Enter your Federal income lnx withhl!ld frum lHlx 2 fir our W.2 forml.). 7 Eamed tncome credit loee pllK" 91. Ent.. type and amount of ne;ntoxnble unrned incomo beluw. Typo . 8 Note. You } II mud ch.d Yes or No. e Payments 7 and tex -- 9 Add lines 7 Bnd A (do not include nonlnxBhlll ('orned Income). TheBe 0'" you, total pa)'ments. 9 10 Tax. Use the amount on line 6 lo filld your tn. in th.. tax tohle un pOR". 20-24 of the hookh>t. Th"n. elltl" till' tax frum the table un this line. 10 RefUnd 11Ilf linc 9 is larKer thnn line 10, I'ubtrnct hnc 10 from line 9. This iH y"u, relulld. . b Routing numbe, . 0 Type d Account ChedtlOll: Sl\....inl.lll Illlrnlll'r Hove it lent directly to your bRnk Recount! Sl'O pnge 13 and nil in \lb. c. Bnd d. t. 12 If line 10 iK Illrger thnn line 9, '1ubtrnc:llinc 9 frum linll 10. ThiK IK the amount you ow'" S,'e pllge la fll' d"tllilH on how to Rand whnt lo wrile on llur jj rncnl. 12 I h." re.. ,hLl "'un, V.." ,.".Idll. 0' ~rjury, I dl'r1.r. Ih.1 tn ,he Iwlll fI' m)' Ilnowlfd.- and ~U~" Illf "tun I. Inll, eomet, ad aeeunLfl)' lill,..n ,mllun'" .nd llfIurttl fI' Income I ru:.lnd durin. Ihe t.. ,ur, Amount you owe HI'Il\l~"'~ !'Iillllllllll'I' If jnint f..turn Sian Yflur .iIlMlurP. here ..12 K~pp copy fllr Ilnle YOII' '@co,M 1 ~7 -. -97 I'or Privacy AM:' and Paperwork n.ducHun Act Notict., '1'" p... ~, .;;t .I)h,~-~ - IlIII.' Sllllll~l'~ Ill'l'upnllOn YllurCli.(UPlltllltl Vuur s..ollltlOl'curlt)' numb.r 2 o 6 Spou..'s ...clat .ccurlt)' number :3 8 :3 8 :3 1 \111 . r rl)f OHlo.l\ ljr,l\ flr11'i L COli NI) '26160 :3 2 1 4 4 8 \- 221 5 0 2 2 1 5 0 6 5 ; 0 o 0 6 7 1 ; 0 4 9 2 5 :I :3 5 7 4 9 00 8 2 :3 67 form lo040[l (J.'l'lb) ;EZ'IN~!!~!!~r!!n"I"~I!!I!!!m!~,,~~!URN ~".""n,,,' C . . . 'IOU MUIT P'lLIIV MIDNIGHT, TUI'OAY A''''L 11. 1 "7' . . PA.40EZ (00.S6) Commonw,alth 01 P,nnav1vanlll I 996 PA Department of Re\lenuI RIVi'1lI all th. preprlnled Inlormallon on your labet anlj plllr.e '1m I~e nrlt3 below I- 1'G./,SOCIll!jIc:Yllf)ol'liJlllllfl S~I!"~'. !'iON .~I '}~[~"t~ ~lj"'Ill" f,," ,I!."",} Hf.'~,"11 Ma~e /Illy nt>ceua,y (Orrl.'(!lllIl~ on yOUI lllb.,'uIIIJ chl'l:k Hut !lSN/NAMII"OOnISI Ching. bo. bolow nPI mlR IC/lltk Ollly On., 5 12 ~'''Ul. J 1M 0 ""~U1"'111I"'9 F L_...2!!'..r",'~ o MIIIll"lf""'IlJ.I,,,r:, 01,,,,1 II,h".. t~. , t.rl.H '" 2 0 6 3 2 1 4 4 8 lNl Namt 1[!Qf O'lf "n" 01 flUfIlbI, 11I,1(11 bloc..1IlJ IJf', ~'II. bi<<~ I~ Itpmll M,"I~'I . IMains Donald HI SUtllNunlbet (U1I'bI'~bloc"CI~""'lt,)I"JI51ItPrN'mu 3450 ',,'A 1 nut Bot ~ n~I.1 n'NI. N<1fI~"r lUll. /)I",f /lIn"IID ,rlW.IIr """Ill l~" 'i"rr,t" . Ship p9 ns burg Cd~ /UU. bIW b/orIr /0 ...".", lI6'ltli! f"ll Nil',' /,l"hJ~ 1111~aJ ~fJl.lIll'll ,'II r.D"', Ii ~"H' 'd"..,,,,,, ,I I'I'~'J 11"';!'tl L I.,t',.' 'l1" ,~'.' ,r'" tl Il," OUlh tom It d r -~._----- ~~-----. -. --..- .. ..- N_ME 01 SC~IOOL DISTRICT I.. .ShipPOL:lburgArc:J. 5CflOOL Ol5TRlcr CODE ^I,I':..,.,. P n 1 7 2 5 ~'QI~ 2 1 !l o 0 ''!JC,.j. a SISNlNAM(J,lDDRIIS ellANOI II _NY nl II>' ,It',,,~ ",10"",)11'111 ,!. ,I,ll",,,,,, 1,.),,, I' "r "I[i', l'^ I,,, ""."" th.ck Ihl, Onl II t',",1 "",t"". "'-" 'I"" ,I., 1",.,"1' II'," r,an" dud l,p C0<1' 01111' C,!~ hl1.n~Il,~ buH'''Vh Ol Inll"" 'fJ,II,IV "'II"~ I',') 1M',! 0;., 'i ,P,'lfl NIIOII~ 1,1' ',.,,1 OPTION10"AII,11100ItlU 0' "0".''''''''')''''1'10'111101''''<1.,1'1'', I...!""",, 18 Gross Compensallon Irom W.2 forrn(s) and other stalements AlIaell W.'l 'arms ro the bll,k 01 you, PA.40fl 1b Unrelmburs~~ Employee Business Expanses horn PA Schedule UE 1 c Net PA Taxable Compensation. Sublraclllne 1 b from line 10 PLEA''':: DONOI fNTlnClNI5 HOUND 10 WlfOll nOli AI!'; 2 PA r...blo Inloroll. (ComplOlo .nd allach PA Schodulo A if ovo, $1.000) .10 I .lb I .le I .2 I .3 I 4 I """"'" .5 I 6 $ 3 8 2 2 l' 5 0 5 8 2. 0 0 3 7 6 3 9. 5 0 . 3 PA Tmblo Dlvldond, ICumplo'o and alloch PA Schodulo B if ovor $1.000) . 4 TOTAL PA TAXABLE INCOME. Add hno' Ie. 2 and 3 3 7 6 3 9. 5 0 5 PA TAX LIABILITY Mul"ply lin. 4 by 2.8% (0.0281 1,:.0 5 3. 9 1 6 Tolal PA Tax Wilhheld from W.2 lorm(s) and other slatemenl6 7 Tolal Estimaled Paymenls and Credits. See instructions Household Members from PA Schedule SP, Pari II, line 4 Your Eligibility Income horn PA Schedule SP, Part Ill, tlno 2 1 0 7 Q';1 3 ..7 I 80 . .60 . Thll IIlurn mUll b. W.d on or b,'or. Apl1l1l5, 19') 8b ...... . .6b $ . 8c Your Total Income from PA Schedule SP, ParI III, line I . .8e I . 8d Tax Forgiveness Credit 'rom PA Schedule SP, ParI III, IIno 7 8d I ~ TOTAL CR!nITS AND PAYMENTS. Add hno, 6. 7 and 8d 9 I E 11 I . 1, 0 f/ O. 2 J . o 0 1 6. 3 :2 1 6. 3 2 . 10 TAX DUE. Une 5 Is more than line g, See Inalruclions for How 10 P2Y Use your PA.V Moko Choc~ayablo 10 PA DEPT. O~ REVENUE OVER~AVMENT. L1no 0 I' 'M,o Ihan lino 5 11 12a Amount of line 11 you want as a R.fund Check mailed to you Pl.... do not ulllbout your r.fund unlll . ...klllI.r riling 12b Amount 0' line 11 you want Cr.dlted 10 your 1997 PA Estimated Tax Account 120 I 12b I 12c Amount of line 11 you want 10 Oonll. 10 the Wild Resource Conservation Fund .12c I . 12d Amount 01 line 11 you wllnlto Donll. 10 tile U,S, Olympic Commilleo. PA DivIsion ._.I.UE-llliAL.C.EJJNlIJ2I. Ub. U. AND 12d MUS I EQUAL LINE 11. 110 ra qTUIIII. """ tiel of III" II.. II n!ln oinll'l dlcl.,. 'hI' 1wtl ftm IIImlnld 1111. 1,lllfn, !/Icludln allleeom~'"lln "".dlll.. ,nd IlIt,m,nl., Ind 10 II" bill of m You, ~"'Iur. .~ ---' .'J...:._ t ld~' ,. 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HIRHt DATF 1,',114,1"1 2. spouse NAME - H'VLPLY MAINS J. SPOUS( ,"PTH lJATt - IO,l;!'),I.IY It. SPOUSE 'iOCIAL ',LCUliI IY NO. - 21<J-JO-22111 !I. f'lEPrHn'.ll DAft. nf fll"'c. -H),I,!4,1'>7 o. VESTED <,TATU'i - 10.)". VI STUJ 7. (5 r IMATL IJ 'W""AL >>r I 1'1UHNT UA r'c - 0 1,,10 Ill'}')') 8. 01: IAIL', Uf PH'LOV", CO~PlllI'HIc)N'i POSTUl TO YOUR ACCOUNT FOP TH~ VEAf'I 1~'1') THAr wU', "'.C'.IVU) llV 211'J"I'r7. t. ~tPL flvr I:.J MONrH PO fOFl HOURS PAlO ---.-------..------------------------------------------------------~----------------- TO TAL DOLL MIS ROADWAY l' JlCPPt;I')S INe .,AN. ,'H\ 110 "OAOWAY Lxpr..H.'-JS INC f f. H. ,()f'l 1.10 ROAllWAY r. XIJPt ':)'j (NC MA~. ,90 PIll ROADWAY t~XP~t 5~ tNe AP~. ,'}') 14 j ROAllWAY ~.X~PlS'j INC ~AV. ,f)f) I 10 RClAOWAY FXP~t'5~ [NC JUl'I. ,r)6 170 ROADWAY \-.XPFlFSS INe JUL. ,'HJ 1"")4 ROADWAY L )( ~I..H~ Lj 'j INC AUG, ,,)...; I~t> ROADWAV j... X~-'Pl~)'l I ~lC SfoP, ,'Jf) ~) /")0 ROAOWAV L)(Pr?L~.S ItiC ac r., 'J6 1'>0 ROADWAY [: XPh'f ~~~ [NC NrJV. ,'H) 1 ~J4 ROADWAY r' XP~L ':)'") INC lH C. ,:'1") 1 1~ JHH,Ob :J~I:I. O~ '.>t>I.I>I 4t)tJ.O~ 440.05 'j1!>.45 ~ll.2'1 494.21 1177.00 !ltt 1. ~)O 521.29 ~02.~)..J 9. LAT~ Cl1NTP[fIUTlON',,IAOJU'>TMf:NT'i Tn p'nvlou'> Vl.A"'i - '0 r AL.. . . .... . . .. ... ........ .... . . .. . ... .. . . . . .... ... ....... ..,1 "Ie.. 1h 4e. '\4 10. OP:VELOP";~NT Of ACCU"ULArfD ACCOUNT "ALANe,.. F'n)" 1<',,1')'.> Tn 11,1'1. : A. ACCOUNT IIAL^,lC' A'; 'If 1,>,Ill,lloJ')', - H. Cf)N'h'IIHJ'ln~'-_t ,..HCfIVCO DUPING 1'.;'iO- C. Nr, t:A.,JNll"l(,'~ /\Ulh,l} ()U~JI"l(j l'J'}'J .. O. "CCOUNT HAL."NCe: AS OF 1?,IJI'IQQo.- tlH,J01.41'3 ~., 1 -'ti. 7"-' 10 .it') 1. J ti ~4,'Jll.r,1 . I r,el.UDI: S 119 II. ANNUALlll f' "AI Uf ')1 rUPN t ^~,nHO ON '''.1.-. lflrAoL fUND ...O~ l"~'H) "lit.~ x NOTf: N~.' fAI"I",I"'IG<:) A.1t ACTUALlV C:.Jf:.lll Tt:f.) ro Vlllj:? ACCOUNT IJA'..~ n ON QUAR'E~LV RAlFS 'W ~")l:: TU.H~. TH~j:P.F{hlf T~ll'_" ~~Arl CA!'-H.nT Hl- U~~)~ LJ TO "'f:~ltV r....f. "Nt::T ~: A~~NIN(:'~l AUIH [)fI AMr]UNT A~P1V~-. VUU~.. AccnUll-jT ~\ALANCr-. StHJ'ilfN AIHJ'If: IS SUt\JfCT Tl1 AUI)1 r InN.....nl:-lt-. T(I1NC"} A"',U COPl-.p Cf (1)1\0'-,. EXHIBI'r THJEE 0< ~ r..~ H 0;<: H lIlW ;:.. - 0<'" H ~! ~ p:: u W:>< 1Il I ,.,(~ ." ~ ~:; I ~ I><z . 1Il <Xl ;::J Zi:> Vl Z N ,:::l ~t~~j 00 z H N :;G ~u H ;j I ..: 0< \tl p:: O,:::l X <11 0 ~U!~l Uz . X ~o< . 0< .. CVW '-II i . 0'" ,., 0 u >~ Q q p:: :>< z ~ U I i:'1l. P. ...W 0 ,., 0>-1 :E:::: - ",P< ..:l p:: ... >0< . I.l. ~ DB 0< W ~l ....H 1-- Z . :> ~ ""p:: llC ;;: 't; Ou 0 U) W U ~. U 0 :> ~ 0 c:w ~ U ,:::l ....1>: '" ~ " I I I If Qualified Domestic Relations Orders in the form provided in Exhibits "A" and "B", attached hereto and made a part hereof. Respectfully submitted/ 203 Plaintiff \~~ , Brouj os BROUJ S & GILROY 4 North Hanover. Street Carlisle, PA 17013 Attorney for Beverly A, Mains, Defendant I' , , , DONALD L. MAINS, SR., E'laintiH IN THE COURT OF COMMON PLEAS OF CUMBER~ COUNTY, E'ENNSYLVANIA CIVIL ACTION - DIVORCE NO. 96-2286 CIVIL TERM IN DIVORCE vs. BEVERLY A. MAINS, Defendant QUALIFIED DOMESTIC RELATIONS ORDER AND NOW, this 2. i' day of , 1999, upon 1..;., the attached Stipulation of Counsel for the respective parties, attached hereto, it is ordered and directed as follows: 1. This Order creates and recognizes the existence of an Alternate Payee's right to receive a portion of the E'articipant's accrued benefits under a multi-employer Cefined Benefit Plan which is qualified under Section 501 of the Internal Revenue Code (the "Code") and the Employee Retirement Income Security Act of 1974 (the "ERISA"). It is intended to constitute a Qualified Domestic Relations Order ("QDRO") unde:r.' Section 414 (p) of the Code and Section 206(d) (3) of ERISA. 2. The name, address, date of birth and social security number of the Plan "Participant" are: Dona ld L. Mains 451 walnut Bottom Road Shippensbur.g, E'A 17257 Born: December 14, 1941 SSN: 206-32-1448 Exhibit "A" ~ 3, The name, address, date of birth and social security number of the "Alternate Payee" are: Beverly A. Mains 6 Lewisberry Road Lot No. 6 New cumberland, PA 17070 Born: October 29, 1939 SSN: 210-30-2216 4. The name of the Plan to which this Order applies is the Central Pennsylvania Teamsters Pension Fund (" Fund") Def ined Benefit Plan ("DB Plan"), P. O. Box 15223, Reading, PA 19612- 5223. Further, any successor Plan to the DB Plan shall also be subject to the terms of this Order, 5. This Order is entered pursuant to the authority granted in Section 3502 of the Domestic Relations Code, 23 Pa. C.S. 3502. 6, This Order relates to the provision of marital property rights to the Alternate Payee as a result of the Order of Dissolution of Marriage between the Participant and Alternate Payee issued on August 5, 1998. 7. The Alternate Payee shall be entitled to benefits calculated as a separate interest annuity to continue for her life on the basis of a straight life annuity in the monthly amount equal to 60'lr of the Participant's accrued benefits under the DB Plan on April 14, 1996. 8. Commencement date and form of payment to Alternate Payee: The Participant having passed his normal retirement date, both Participant and Alternate Payee may elect to receive benefits immediately. II A-l" ;); 9. The Order is not intended and shall not be considered in such a manner as to require the DB Plan: (a) To provide any type or form of benefit option not otherwise provided under the terms of the DB Plan; (bl To require the DB plan to provide increased benefits determined on the basis of actuarial value; or (c) To require the payment of any benefits to the Alternate Payee that are required to be paid to another Alternate Payee under another Order previously deemed to be a QDRO. 10. Certification of necessary information: All payments made pursuant to this Order shall be conditioned on the certification by the Alternate Payee and the Participant to the DB plan Administrator of such information as the Plan Administrator may reasonably require from such parties to make the necessary calculation of the benefit amounts contained herein. 11. Continued qualified status of Order: It is the intention of the parties that this QDRO continue to qualify as a QDRO under Section 414(p) of the Code, as it may be amended from time to time, and that the DB Plan Administrator shall reserve the right to reconfirm the qualified statll.'3 of the Order at the time the benefits become payable hereunder. 12. Tax treatment of distributions made under this Order: For purposes of Sections 402(1) (1) and 72 of the Code, any Alternate Payee who is the spouse or former spouse of the Participant shall be treated as the distributee of any . , "A-2" ~, distribution or payments made to the Alternate Payee under the terms of this Order, and as such, will be required to pay the appropriate federal income taxes on such distribution, 13, Constructive Receipt t In the event that the 08 Plan Trustee inadvertently pays to the Participant any benefits that are assigned to the Alternate Payee pursuant to the terms of this Order, Participant shall immediately reimburse the Alternate Payee to the extent that he/she has received such benefit payments and shall forthwith pay such amount so received directly to the Alternate Payee within ten (10) days of receipt. 14. Continued Jurisdiction: The Court shall retain I r' I' , I; , jurisdiction with respect to this Order to the extent required to maintain the original intent of the parties as stipulated herein, 15. Effective 08 Plan termination: In the event that the Participant's benefits, or any portion thereof, become payable to the Participant as a result of a Plan termination or partial termination pursuant to Title IV of ERISA, then the Alternate Payee shall be entitled to commence her benefits immediately in accordance with the terms of this QDRO and in accordance with the termination procedures of the Plan and the benefits be reduced as a result of such termination or partial termination, the~ the "A-J" " , e ...."..."....... shall include all interest, earnings, gains or losses that have accumulated thereon from the valuation date Bet forth in Paragraph 7 hereof. 9. The Order is not intended and shall not be considered in such a manner as to require the RIP Plan: (a) To provide any type or form 0 f bene f it opt ion not otherwise provided under the terms of the RIP Plan; (b) To require the RIP Plan to provide increased benefits determined on the basis of actuarial value; or (c) To require the payment of any benefits to the Alternate Payee that are required to be paid to another Alternate Payee under another Order previously deemed to be a QDRO. 10. Certification of necessary information: All payments made pursuant to this Order shall be conditioned on the certification by the Alternate Payee and the Participant to the RIP Plan Administrator of such information as th~ Plan Administrator may reasonably require from such parties to make the necessary calculation of the benefit amounts contained herein. 11. Continued qual if ied statuil of Order: It is the i l l, I' ~'I f' ,I ! ~ intention of the parties that this QDRO continue to qualify as a QDRO under Section 414(p) of the Code, as it may be amended from time to time, and that the RIP Plan Administrator shall reserve I, :, 'I the right to reconfirm the qualified status of the Order at the time the benefits become payable hereunder. j I , . II B-2" 12. Tax treatment of distributions made under this Orderl For purposes of Sections 402(1) (1) and 72 of the Code, any Alternate Payee who is the spouse or former spouse of the Participant shall be treated as the distributee of any distribution or payments made to the Alternate Payee unde~ the terms of this Order, and as such, will be required to pay the appropriate federal income taxes on such distribution. 13. Constructive Receipt: In the event that the RIP Plan Trustee inadvertently pays to the Participant any benefits that are assigned to the Alternate Payee pursuant to the terms of this Order, Participant shall immediately reimburse the Alternate Payee to the extent that he/she has received such benefit payments and shall forthwith pay such amount so received directly to the Alternate Payee within ten (10) days of receipt. 14. Continued Jurisdiction: The Court shall retain jurisdiction with respect to this Order to the extent required to maintain the original intent of the parties as stipulated herein. 15. Effective RIP plan termination: In the event that the Participant's benefits, or any portion thereof, become payable to the Participant as a result of a Plan terminatioi. or partial termination pursuant to Title IV of ERISA, then the Alternate Payee shall be entitled to commence her benefits immediately in accordance with the terms of this QDRO and in accordance with the termination procedures of the Plan and the benefits be reduced as a result of such termination or partial termination, then the "B- 3" .~ '.' ~ J? '.(~ ,-) "J -, ('; , : ,1;1' : :"'~. J ,"..l ( l)Q !'.l - --, " J , , 0, \ .~J " :-1 ::) --; 'h , --,