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IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF I~~l PENNA, BAM JAl'll!1 CllOGNI\Ll!1 t':1I. 96~,452B " IL) \,1'1'.-11<' VIC'rOll CROGl'l~LJ;) DECREE IN DIVORCE <"' _ '"1:"~ o::t ?: S"J." ,.,. AND NOW, ' ,ry~- . ' )..';J-, 19 .99 , It 16 ordered and decreed Ihal ." , .sI'\RI\.:lI'\l'lI~ CI~O(jl'lI\r"Ji:, ' , ' " plolnllH, and"", " "'" ' ,VIC'rGH CROGNI\LE, ,,"," defendant, ore divorced frol11 ,he bonds of matrimony, The courl relolns jurisdiction of the following clailTl!> which hove been raised of rer.ord in Ihis oellon for which 0 IInol order has nol yet been entered: IINP IT IS fUR'rllER ORDERED, that the terms, conditions and covenants set forth in the written property Settlement Agreement made and 'entered I. Ii to by tl1e parties on l\ugust30', 'i999','are'" I.n,cQt\lp,r&ted .into tbis ,Decree, by, ,reference ,tbereto, put. ,not:.,'" merged to thJ.s Decree, J. ,;, , ~ '...nlhnl1nlllry ,~ , . .,'. I ~. , 'i . ' ,~:' ':.;. ,W, ,:0;' ,~;, ,:0;' ':.;. ".;. ,:0;' .:0:' ,;.:- ,:0:' ,;0;' ':.:';.:- ;.: ,:0;.:0: ':+;. ,:41' ,:.: ':0:: I" , , 'I',~"),,,, ~-.I ~ ",~.~ 4~~ f.,).')fl' 7N~ ~~I?J ttf ~, I , , , " " I , , I , " 'I II , ' ," I , ;, J i, SARA JANIII CROONA~m, Plalntiff IN TIll COUR'r all' CIIMMON '1',1:1'\$ CUMBIIIR~AND COUN1'Y, )lHNNSYX.vANU No. 915- 11.11 'If Civ1l Term CIVI~ ACTION - I.AW IN DIVORCE Y. VIC~OR CRoaNA~m, Defendant ~q. TO OI'IND ~p ~~AI" RIQllTJ YOU IIAVE BEEN SUEIJ IN COURT. If you wIsh to detlJnd agalnst thai ala 111I11 ut forth In thlJ follow I nq pa!llJlI, YOll mUll t t.tklJ prompt aotlon. You are warned that 1t you faU to do so, the oue lIlay bo entered agalnllt you for any other allllm or uUet reqUlJutod 1n these papers l.ly the Pla1ntltf. You milY lose money or property or other r1ghts Important to you, lncludlllg oustody or vlsltatlon of your chlldren. When the ground for thll d1vorce If! lndllJn1tles or 1rrutrlevAble breakdown of the marrlage, you may request marr1age aounseUng. IF YOU 00 NOT FILE A CLAIM FOR ALIMONY, DIVISroN OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFOR~ A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE 'rilE RIGII'I' 'ro CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU 00 NOT HAVE A LAWYER OR CANNOT AFFORD ONF., 00 '1'0 OR TELEPIlONE THE OFFICE SET FOR'l'1t BELOW '1'0 ~'lND OUT WHERE YOU CAN GF.T LEGAL HELP. COUR'l' APMINISTRA'I'OIl Fourth Floor Cumberland county Court House One Court ltoulIe Square Carllslo, PA 17013 (717) 240-6200 ,1,':,',',.:,'-',1 ,,1, "11, j," vi :1 " "I (" rl \ f II ,1 'I'. .;1'1 /ii,;'. ',;, 1':)1.'. 1"1 , , ~ ' " ;'11, I', !I , ' i'l " , !;I, " ! , , " ,\ ;1' Ii'! ;;, " , \10 /, 1'r1;i!L I I, """."ll i '< :]/.!!"y,:'llJ t~Ul!}.'1 ~ \\;I/l,h~ I.;,~~V' , '::~J/I]/,~iY~Twtn\~1 {,:"l:' 'j i ',' ~'/I:),I;~ 11;~?,'i1'i1 ) ,,,' 'I r' lIth .j ,II '/Ji! 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" i i I j , i ~ " , , .,' ':' ~ .' ", i, I '1,1, " " " ,'> , , \' ,it, ,\, ," 'I,,!, , ~q ,I II , , I, ' ,\ i,i ., , )." , i I,) !'!\t \1; , ')1 '1'1 , ., SAltA MNI! Clt()ONAI,/.!. PlllllIllll' IN TIll! COlJln OF COMMON PWM; CUMlIl\JtI.ANn COUNTY, PI(NNKYI.VANIA VH. NII,l)l'l..InK VIC'mlt CIt(){INAW, f)lllclldlllll CIVIL ACTION -I.AW IN nIVC)I{l'I~ 1S.U1.J..CE..TO l)t;I''J~N.D~JH.Li\l1\J IUClIl'lli VOU IlAVE IlFFN SUU> IN COlJln, It'you wish III defclld DI!.UlllSllhc clnhtlH Hel Illrth In Ihc fl)lIl1winl!, pU[l.cs, YOUI1lUSllUkc proJ1lpluclion, You un: wumed lhnl if you t'UlIIO do so, thc cllse I1lIlY hc cnlcrcd 1I[l.lIinsl you 11)1' uny olhcr c1uhn or relief rcqucslcd In Ihcsc pupcrs by Ihc Plllinli IT. You l1luy losc l1loncy Ill' properly or olher righls hllporlll/lIlU you, includin[l. CllSIUlly or visiwlionot' your childrcn, When Ihc ground fill' Ihc divorcc is indignities or irrcll'icvllblc hreukdownot'lhc 1lIlllTillgC. you J1II1Y rC1luesIIlluITiugc counscling, IF VOU DO NOT FII.I: A CLAIM FOR AI.IMONY. DIVISION OF PROPERTV, LAWvr.:R'S FH:S OR I:XPENSI:S IlI:FORI': A DIVORCF OR ANNUl.MENT IS GRANTED, YOU MAY I,OSE TIll: ({I(i1IT TO Cl.AIM ANY OF THEM, YOU SIIOlH,D TAKI': TillS PAPI,:R TO YOUR l.A WYFR AT ONCE. IF VOU DO NOT IIA VI: A I,A WYI:R Ol{ CANNOT AFFORD ONE, 00 TO OR TI':I.I:J>IIONI: '1'111: OFFICI': SI':T FORTlIIILI,OW TO FIND OUT WIIERE YOU CAN (WI' I HiAl. IIU ,p, Cumbcrllllld County 1,Ilwycr Rct'crml Servicc Court Adminislrulor CumberlDnd County Courthousc Cllrllsle, P A 17013 (7 I 7) 240-6200 SARA JANE OROGNALE, PlalnUff I IN THE OOURT OF COMMON PLEAS I OUMBERLAND COUNTY, PENNSYLVANIA , , I NO, 96-41528 CIVIL TERM v, , , : CIVIL ACTION - LAW 1 '", .f) ",i , VICTOR CROGNALIi, Defendant , , : IN DIVORCE \', I I II , I I ' 1 I , I t' 1, A Oomplllntln Divorce under Seotlon 3301 (0) of the Divorce Oode WI' ftled on Augu,t 12, 1996, 2, The mlrrlage of Plaintiff and Defendant Is Irretrfevably broken and ninety (90) dlYs hive elapeGld from the date of the filing and servl~ of the Complaint, 3, I consent to the entry of a final Decree In Dlvor~, 4, I understand that I may lose rfghts con~mlng alimony, division of property, lawyer'e fees or expenses If I do not claim them before a divorce Is granted, 15. I verfty that the statements made In this affidavit are tllle and correct, I understand that false statements herein are made subject to the plmallles of 18 Pa,C,S. 64904 relating to unswom falslflcallon to authorftles, \ , Date: !j3 tJ /91 J~~~ s,:~~~ /1z~~a~'h~ ~ff230 , .. ...- , , , '/"1 " ", /, " , I' , , I, " , , , " , , " , ;) , " , " T " 1'>' ~ 'I .J' "J , 11,1') , , , ,', " , "I 'j'r. I 1'" ." .. "jl j: I ;;// ~l ~11 , I, I I' 1',,"1 , I '. ~ ' ". " , I,' , t.. " -' .' !J) , dli'!J '1 I Ci " I :lJrl~ , ~I " , It, m ~l' I I' 1_.1 ~, " " 'I "i , " " ,', " " , , I , " " , , , Ii , ,r I " , , , " , .I, " . , ,I " , I, , 'I' , I' , , " , I, I' , ,I " , II! I I, I I" " !I I' " " 11'1 " , " " , H, " , "I I , I,' , 1 " " \ ,I , , " , 1 '''I , I , , I'! " If , ., , !' I' " J 'I ,I ;) " " I , , , " !! " , I i , " " , , Ii , " , ji ... l'I'~!~W"'~~mwrtJl~'fJi~/i\ifIf,trol'~""lt'"-,iM'tt"",,-"""""I~h': "... ~"., 1" .... . .' ..' LI '. 11" " I! 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I. , . , I I I I ~I I ;; ~ !~ ~ rl , , I' II I ,. I. J 'I, " , , j' ,I 'I 'J II 'II " ~ '. ASSETS OF PARTIES Plalnllff/Oefendant markl on the lilt below thoae Itema appllaable to the aa.e It ber and It.mlzeI the Itlletl on the fQllowlng plg.S, If In Item his been apprallld, I ~opy of the appraisal report 16 attlched, (ll) 1, Real property (ll) 2, Motor vehicles (ll) 3, Stooks, bonds, seourllles and opllons () 4, Certlncltes of depollt (ll) 15, Checking accountB, cash (ll) 6. SlvlngB accounts, money merket and Bavlngs o.rtlnoates (ll) 7, Contents of Bafe deposit bOlleB () 8, Trults (ll) 9, Life Insurance policies (Indloate face value, oash surr.nder value and ourrent benenclarles) (ll ) 10. Annuities () 11. Girts (ll) 12. Inheritances () 13, Patents, copyrights, Inventions, royallles () 14, PerBonal property outside the home () 15, BUlllneBBeB (1I11t all owners, Including percentage of ownership, and officer/director posltlonB held by a party with oompany) () 16, Employment termination benefltB. Beverance pay. workman's compensation claim/award () 17, Proflt sharing plans (>I) 18. Penllon plans (Indicate employee oontrlbullon and dale plan '1.111) (>1) 19, Rellrllment plans, Individual Rellrement Aooountl () 20, Disability payments () 21, L1l1gallon claims (matured and unmatured) () 22, MllltatyN,A. benefits () 23, Educallon benefits () 24, Debts due, Including 10Bns, mortgsges held (x) 25, Household furnishings Bnd personalty (Include BS a 10101 oalegory Bnd BUsch itemized Illst If dlstrlbullon of SUQh assets Is In dispute) () 26, Other , I " I t.~ I I I III '" i ! IQ II ~ t .. i m I SOl!! ~"~ ! ! i II . I II HI ~I II k l r r I t !~1l1 . I Id hilI I J J I J ~IO I U~ .. I I I I I I n'l f i f f f il i j j J j i I .r I I .r f f f f Is i I J~I .. ,~ hi II: .. .. II: .. .. II: ""1111 I II I ~ I IJ f J 'f J J J j ,. j JJ~ ) J JIll 1M i J l~ ~ ~ ~ ! I I! II! m s 1~~~3 ~~~~ ~I I i J)f J~ ~ ~ ; .II... ~~r"? -I'M ,... 1Il1D~ r') ''1 M ...., I I J,,~ ) I .. . ! I I II II I . , .. I . ! HI . i II I r ,~ SM I It II I i I III I: 5: J b~1 ' t t ~ J J I II II ~ J: h ~ II I .. ' . J I II jll III ~8 m I r r f j, It '1 II I J II ill ih I 8 18 1i ~ .l!1 f r r K ; III ~ I ! f!i 1 hll x ,& oj II x x x II x II ~ J IIi ( p 81{. t J @ Bill II i I i I ~ I. ~ I~fi .. J p "Itl I J t ~J J Ilhl J II i~ i!>> il~ I, J; i ~ !~I IlfD!i ~ Ii m " "hW >>1 ..; .., ... ~ '0 u. '" '" su il I r itiJ . . . I ~ I l ij ! I1MJ i I ! Jij I ~r! Jt I III I t ~II ~iil I I I It ! ilh ~ il~ f UJ ~ I~ , '~I I ~.. ~ t f;; I 'II 15 I il II If If .. III I I J I i lul hI f ! 15 I '" oj II 1 pI ; I .11 I I ~ I ~ i .. 1111 i J I 'J I ~I~ J J J II ~~ i ~I~ l! $ ii ;ll II ill I I ~ ~ ~ ~ II ,u" '" ,., .. N liABILITIES OF PARTIES PlalnU" mlrka onth.llat bllow thosellema Ippllolbl.1o th. case .t bar and lI.mlp.th. lIabIllU.. on th. follol'Ang pIg... Gicured, () 1. Mortgsg.. () 2. Judgm.nla . () 3, L1.ns () 4, Oth.r s.cured IIlblllU.. , , Unspcureq I, (xl 6, Credit Clrd balancea () 8, Purchases (xl 7. Loan payments () 8, Notes paysble () S. Other unsecured lIeblllUes , ConUnaenl or De,errect " () 10. Contrects or Agreemenla I , () 11, Promissory not.. () 12, L.awsulla () 13, OpUons () 14, Taxes () Hi. Other contingent or deferred lIablllU.. , . 11.1 I I I I I I I II! !I I I i I ! I I I iull il i ! I I I. MI.II I If Id III ft a " " II , I J~II oj II II II II II II: ! ' I I Ii ddd I I~II b I ' , " I .. J I J II " , ~ S ~ S ~ I ~ ~ ~. ~ ~ ~ II I-' on on II) iii iii III \ , I I' , ' NAltA JANE CIWClNAl.I1" Pllllnllll' v, IIN '1'1 II! COLJRT OF COMMON I'I.HAR I CLJMnmU.AND COUNTY, l'I!NNSYI..VANIA I I NO, 1)6.45211 : CIVil, ACTION -I.AW : IN SUPPORT VICTOR CROGNALE, Olllimdlllll IjSCOME..MU> tX'..~NSE S'l'~n~MENr y'ICTOll ClmGNAU The lallowlng 16 Ihl: IIlCUIl1C IIlld EspcnNc SllIll:ll1l:llllllcd h~ Victor Crognlllll, Dlllimdllnt, In thllllbuW-CllplluJ1cd dlvorcc, /Uzti! MARIA I', COON .' 1'1, ESQUIRE AIlOnll:~ lar Dl:limdllllt DATED: JIlnulll122, 1999 I' i , I I' . I I' o'rBItR I NCOMIilI WI!:IIlK MON'I'li Intnl.t Sl~O.oo Oividend. $171~2~ I1ln/lion pl,751.07 Annuity .. - lIooial Blcurity Sl.O~3tOO Rente Royeltieo .t r EKpenee Account Unemployment Comp, Workmen'/I Camp. TOTAL O'fliER INCOMEI S3.115~32 'JIO'JIAt. NDN'l'HJ.Y n'JI XlfCONlI r '3~115~32 I;) , , , . , ., , " VUi1\R 'I , " . .. ~AJiru.ti lJlllimdulIlmnrkK UlllhllllKI hclmYlhuKllltllmK Ufll,lIcllhllllulhllCIIKU III bur ulld IlllmlzllR lhll IIRRIlIK UII Ihulillluwlng 1'"I&IlK, I I' 1I1111um hllR hllllfl "l'I,rIlIH\lI.I, ulllll'~ lll'lhu upprulRul rllpurllR UIIIIChud, (X ) I. 1~IlUI prupllrl~ ( ) 2, MUlur vchlclcK (X ) 3, SluckK, hUlltlK, KcclJrltlcK ufld upllunK ( ) 4, t'crtlllclIIcs ur dCpuKIt (X ) 5, Chccklllg uccuunlS, clIsh (X ) 6, Suvlngs UCCUUllls, munc)' lIlurkctund Ruvhll&K curllllculllR ( ) 7, CllllIUllls uf' sllle dcpuslt hllXCK ( ) II, TruSIS ( ) 9, 1.lle IIlSUl'lIl1CC pullclcs <IlldlclIlc fhcc vulult, cush Rurrllndur vuluc IIIIlI CUl'rclll hcnullclurlcs. ( ) IU, Anllultlcs ( ) II. Inhcrltllllccs ( ) 12, Putcllls, cupyrlghls, iIlVCIllI<lIlS, I'll)'ulth:s ( ) 13, Persunlll pl'UpCl'ly Ulllsldc thc hume ( ) 14, Buslllcss (lIsl nllllwllcl'S, IlIcludlllg percclllugc ur uwncrshlp ulltlulllccl'/tllrcCI<l1' p<lSltlllllS held hy u )lllrty with comfluny. ( ) 15, Em)lluYlllclIllCl'IlllllUllull hellcllls . scverUllce PllY, wOI'kmun'R cOlllpcnsllllulI c1ullll/uwurd ( ) 16, Prullt shuring plulls (X ) 17, Pcnslull plulIs (indlculc Clllplu)'cc cOlllrlhutllln 1I1ld r.lule plull vesls) (X ) III, Rellrcmcllt pluns, Illr.livlduul RC11re1ll1l1ll Accoullls ( ) 19. ))Isuhllll)' pu)'mcllls ( ) 20, 1.I11gllllull c1ulms (lllulurcr.lulld unlllulurcr.I) ( ) 21. MilllllrylV.A. hCllcHls ( ) 22. 1 :r.lucllllun hellclits ( ) 23. ))ehts yuu owc (und/or your wile or hushullr.I), Inclur.llng IUllns, morlgugcs hcld, Clc. ( ) 24, Ilouschuld lumlshlllgs und pcrsunnlly (Include us ulolnl cUlegul)' und 1I1Iuch UII ilcml;f.cd IIsllrdistrlhulllln ol'Rueh ussels Is III dispulc ( ) 25. Olher . ~ .LJi~ E~IIIlU ITEM DESCRII)TIONI MurltullluKldunCll 211 S 1.IlHIIII Slrulll ClIlllp 11111, "^ I?llll OWNEI{SHWI IluKbllnd ulld Wile POSSESSOI{1 IluKllllno DATE ACQumED: 1962 COST/ACQUISITION VALUEI $20,000,00 DATE OF S~:a)^I~AT10N VALUEt $126,000,00 I)I{ESENT VALUEI -$126,000,00 NAME ANI> ADUltESS OF ANY LIEN HOLllEltl EFFECTIVE IlATE OF LIEN: Dauphin f)upllKII Bunk lIlId Tl'ust April, 1993 NATURE OF LIEN: L1nu Ill' Crcdil PRESENT AMOUNT OF LIEN: -$14,657,00 , , . ~ MAWI.A1J!1Ull!lln:~ ),l'jlllCk ITEM I)ESCIUPTIONr NCR l'i1l1ck m,K751l Khurl!K) OWNF.llSHII)c 'IUKbulld UIlO Wlli: l'OSSESSOlll IhlKbulld nATE ACQUIREJ)c Durhll& lIIurrlugl! COST/ACQUISITION VALUEc J)ATE OF SEI'AltATION VALUEr LJnkllllwn PRESENT VAl.UEr $1.271,11 (1118/99) NAME ANJ) AJ)J)JlESS OF NUIlI! ANY LIEN HOl.J)EI{c EFFECTIVE DATE OF LlENc NATURE OF L1ENc I PRESENT AMOUNT OF LlENt I, ~ MARIT AL 1'llOl'~I\n q I J, !lluL:k I I' '. I ITEM UF.SCIUI'TIONI Nl:R Stuck (2,7~ KhllrcK) OWNEllSIUI't Wltil l'OSSI~SSOltl Wltil I)ATI~ ACQulluml During I>>llrrlllg" COST/ACQUISITION VALUEI I)ATE ew SIWAllATlON VALUEt Unknown 1'ltESI>:NT v ALLJ I~l $135,09 (118/99) NAME ANI> AI)I)IH:SS m" ANY LIEN IWLI)Ellt EFFECTIVE ()An: OF L1ENl Nonc NATURE OF L1ENI I)RESENT AMOUNT OF L1ENt I I . . , 1',' r MAIlITALJ!jlOltr::JlTV J, Nlullk ,I" '\' ITEM DESCRII....ION, I.UCllnl 'I'llch !oHuck (28 NlmrllN) OWNERSHW, Wllu POSSESSOR, Wile OATE ACQUlIlEO, I)urlns llI11rrI1l811 COST/ACQUISITION VALUE, DATE OF SEltAllATION V ALUEI Unknown PRESENT V ALVEI $3,087,000IlK/99) NAME ANO AllI)llESS OF ANV LIEN HOWEll, EFFECTIVE OATE OI~ LIEN, Nonll NATURE OF L1ENI PRESENT AMOUNT OF L1ENI , " MARITAL I',m/'Inln Ii ~laIWll ITEM DESCltlltl'lONr IIm.co Chcckltlll Accllunl OWNERSHIP: IluNblllld lItld Wllil POSSESSORr IIuNblllld DATE ACQUlttEDI DurlnK 1Il11n'llIllll COST/ACQUISITION VALUEr DATE OF SEI)AltATION V ALUEI $57.68 PRESENT VALUEI $61.15 NAME AND AlmllESS OF Nonc ANY LIEN HOWElll EFFECTIV..: DATE OF L1ENr NATURE OF LIEN: PRESENT AMOUNT OF LIEN: " " , , , , , ,I,; I' ....,,''It'" .f"- f,""'- j,-, ... 6, lluVhll&N Accllunl ITEM mr.scrUI'l'IONI 1~llllllnclll'ClJ OWNlmSIIII't IluNbund POSS Ir.SSOl{ t Ilusbnnd llA'I'E ACQlJIIUmt Purl",~ 1l111rrlQgc COST/ACQUISITION VALUEt llA'I'E OF SEI'AltATION V ALlIEI $23.396,65 PIUr.SENT V ALlIEI $21,819,29 NAME ANI) Al>lJImSS OF None ANY LIEN IIOLl>ERr EFFECTIVE HATE OF L1ENI NATURE OF LIENI ! I PRESENT AMOUNT OF LlENI MAIUTAL 1'lt~)II.:lnY I 7, Pcrm ITEM DF.SCIUI'TIONI PIiEl~S P&:nHlulI OWN .:IUUlII'l .w Iii: l'OSSI~SSOltl Wllil DATE ACQUIIUmt Durlllg mnrrlng&: COST/ACQlJlSITION VALUE: DATE OF SF.I'AltATION VALUEr Unkllown I'RESENT VALUEI Unkllown, Iflh&: pnrtl&:5 ur&: ullllble 10 Hlipulnlc 10 vlIluc Husbnnd will hllve npprnlscd, . NAME AND ADDRESS OF ANY LIEN HOLDERI EFFECTIVE IlATE OF LlENI NOli\! NATUltE OF L1ENI PRESENT AMOUNT OF LlENl , ' , I , I I II I I '1 I , , M,.\IUl'AI., rl\OI'J!:I\T~ J..UM ITEM DESCRIPTION! IU!LCO OWNERSHIP, IluNbllnd l'OSSESSOlt! UUNbL\nd DATE ACQUIRED! During lll11rrlullll COST/ACQUISITION V ALUEI DATE OF SEPAltATION VALUE, $7,091,39 PRESENT VALUEI $7,767.40 NAME AND ADDRESS OF ANV LIEN HOLDERI EFFECTIVE DATE OF L1ENI Nonll , )11 NATURE OJ<' LIEN: PRESENT AMOUNT OF LIEN! " 'I I I I I 1 I , I II " Mi\IUTi\I" m:nlli.Arol1l1\lIIl..1l'JE~ PLlI'ltndlllllllslK 1l11lllllrhlllllehlH unt! lIuhllhlcH In which llhlll:r llr hlllh SPUUNIlN hllVll IIn Inllll'CNllndlvldulIlly llr wllh un)' lither pllrSlInUK I,ll'thll dull! UfSl!pllrUlllllu ';I I " I' I I I' " :' ') " 1'-1 I 'II I , , 'I " ", I I ;1 " ,I' , I I " I I I qj I . t. . . ., , MAWl'~L 1,[llTti A~D l..JA1ULIT.U ITEM DESCIUI'TIONI lIollle hlult)' 1.111111 DATE (W INClJlUUNG IlImTI -IYL)O AMOUNT (W OIUGlNAL IlImTI $23.S0(),l)OU AMOUNT 01' 1lI~11T AT I)ATl\ OF SEI' AI{A TION I AMOUIIlT 01' CUIUU~NT I)EUTI $1 Y.I 80,28 (wlthOUlll1tIlI'llRt) $14.657,00 l'E;IUOIllC I'A YMENTI $300,00 per lllol11h until Oelobllr 30, 2003 I)EUTOI{1 Duuphll1 DepllRlt Bunk CREDlTOI{1 IluRbul1d und Wil'i: CURRENT PAVOR I IluRbund U MonieR borrowed were 10 eonRQlldnte Wife's credit curd dobt, ,I 'I I, 'I I' I,! I, m 1;)' G: - " ei I' ~~"f! ..t1 , " , I'{,. ~.: " (Iii;; Q.. ,~ I : 61[1 Q ,'~m - ,,' f: " ~ 1: J. ~l. H ' ,.. ~ ~?, 1 ~~I g: 'i I, II ," ., I' " II' , , , " " ;. I , , , " I' .- -.' -- !I " \ " I. r- ...-. l'i'I',.;'j' f) ;! ;i' ,; (,'nrl , ,\3~ ~Vll ~I 11'1 .~J ?3 , ~UMl\\;.f'ld 'L(' l,,,',,lJI'l'I'Y PENN6~'I.MII,\ ;' iF I" Iii " ji !I 'I I, , " , :1 ., i' of ii' " iI I " " , I' I, '!, i] I" " II " , , " , " I' ,1 'Ii I " " I :) ), ,I Ii ", ;'1 I I .1;11 i~lg r ,\/ I I " " I, I' " I ;\ I .,1'. Ii' (: f , , " , , I 'I 2. INnRFEfieNCf1 Eaoh party shllll ba free from Interferenoa, authority and oonteot by the othor, as fully ad If he or she were single and unmarried, elloept es mey be neoessery to oerry out the provisions of this Agreement. Neither perty shall molest the other nor ettempt to ondeovor to molest the other, nor oompel the other to cohabit with the other, nor In ony way harass or malign the other, nor In any wey Interfere with tho peocoful existence, soparoto ond oport from the othor In ell respects so If he or she ware single end unmarried. 3. WIFE'S DEeTS: Wife represents ond warrants to Husband thot since their seporetlon on October 14, 1996, she has not, ond In the future she will not, contreot or Inour ony debt or liability for which Huebend or his esteto might bo responsible end shell Indemnify end sove Husbond hormless from ony and alllJlalms or demends mode agalnet him by reason of debts or obligations Incurred by her. 4. 1:i.U.~.lIT2l Husband represonts ond warranto to Wife thet slnoe their separation on October 14, 1986, he hes not, ond In the futuro ha will not, contraot or Inour any debt or lIeblllty for which Wife or her estate might be responsible and shllll Indemnify and sove Wife harmless from any and all claims or demenda mede agelnst her by reoeon of debts or obllgotlons Incurrod by him. 6. QUTSTANDING JOINT DEBTS: Husband ond Wife acknowledgo and agree thot they have no outstanding debts and obligations of tho Husband and Wife Incurred prior to tha signing of this Agreement. except as follows: Q.mt RaSDonslble Perty Homa Equity Loon, Dauphin Deposit Bank ($13,031.48 balance as of 6/14/881 Visa oredlt card ($4,068.42 balenoe et DOS) Husbend (see Paregraph 7.B below) Husband & Wife (as set forth below) - 2 - I' CoraBtstol First Union Vila ($2,072.64 belonco at DOS) Husbllnd & Wife (os sot forth bolow) Tho psrtles shllll shoro equally in satisfying tho two Vlso credit IJllrd boloncos noted above, Wile sholl continua to poy tha dabts until thoy ore satisfied end Hushond sholl give Wife on oddltlonol $3,065,53 (1.0.. $4,058.42 + $2,072,64 '" $6.131 ,06 ~. 2 c $3,065,53) roprasontlng ono-I1ol1 of sold amounts, This amount sholl bo paid by Husbond to Wlla through lIn lIdjustlllont to tha oquitoble distribution provision sot forth lotor in this Agroomont. Each party lIgrees to PllY tho outstanding joint debts 06 sat forth herein and furthor ogroas to Indemnify ond SlIVO hormloss tho other from any and 011 clolms and demands mode against olther of tham by roo son 01 such debts or obllgotlons. f3, M1ll!Jh1J3&I"E.Mi&;. Subjoct to tha provisions of this Agraement, each party has releslled al,d discharged, and by this Agroemont doos fCJr hlmsoll or horsolf, and his or her hlllrs, lagal roprasontatlvos, oxocutors, administrators and assigns, roleose and discharge tho othor of and from all cousos of action, claims, rights or damands whatsoover In low or equity, whlr.h olthor of tho portlos avar hod or now has against tha othor, except any or 011 causo or cousos of action for dlvorco and excopt In any or all causos of action for breach of any provisions of this Agraomont. Subjoct to tho provisions of this Agrooment ooch party wolvos his or hor right to alimony and equitable distribution of proporty notwithstanding tha Pennsylvania "Divorce Coda" known as Act No. 26-1980 and as amendod by Act No, 13-1988, Each party l!lso waives his/her right to raquost marital counsollng pursuant to 23 Pa,C,S,A. Section 3302. 7, ~aUIT ABLE DISTRIBUTION OF MA.BJ.MUROPERTY: Tha parties hava attamptad to dlstrlbuto tholr marital proparty In a mannor which conforms to tho crltorla sat forth In 23 Po,C,S.A, Section 31501 !il, ~, and taking into account the following consldarotlons: the longth of the marriage: the fact that It Is tho firct marriage for both Husband and Wlfa, tho age, health, station, emount al1d sourcos of Income, vocational skills, omployoblllty, estate, liabilities and naeds of each of the parties; the contribution of each party to the education, training or Increased earning powor of the other party: the opportunity of each party for future acquisitions of capital assets and Income: tho sources of Incomo of both parties. Including but not limited to medical, retirement, Insuronce or - 3 - other bonoUts: tho contribution or dlqlllpotion of ooch porty In tho I1cqulslllon, preservetlon, deproclotlon or opproolotlon 01 tho fmrltel pro port y, Including tho oontrlbutlon of eoch spouso os 0 hOl11llmokor: tho voluo of tho property set oport to oaoh porty: tho qtondord of living 01 tho portlos estobllshud during tho rnarrlogo: and tho ooonol11lc c1rcumstonCQq 01 ooch porty at tho tlmo tho division ,)f property 10 to becomo oftectlvo, Thu dlvlolon of uxlstlng Illoritlll propurty Is not Intondod by the portlos to constitute In ony way 0 Dole or oxchongo of nssots, lInd the division Is bolng effocted without tho Introduction of outsldo lunds or other proporty not constituting morltol proporty, Thu division 01 proporty undor thlq Agroomont sholl bo In full satlsfoctlon of 011 marital rights of tho porlles, A, QJ.srJ3J6!J.IJ.QH.QH~'16.Q1SAJ...PJlQfJ;BIY.l Excopt os moy bo otharwlllo provldod horoln. the parties horeto mutuolly agrea thot they hove olfoctod 0 sotisfuctory rllvlslon of tho furnllure, houllohold furnishings, opplloncoB, ond othor housohold parsonal propl!rty botween them, and they mutually ogroo that ooch party ~holl from and altor the dota heroof bo the sole ol,d saparato ownor of 011 such tonglblo personal proporty prosontly In his or her possession, oxcopt os sot forth In Exhibit" A" ottochod horoto, which Itoms shall be dlstrlbutad in ocoordonco with Exhibit "A". ond this Aoroamont sholl hove tho effect of on osslgnmont or bill of solo from ooeh party to tho othor for such property os moy bo In tho Indlvlduol possosslon of ooch of the portlos horoto ond as sot forth In Exhibit" A". Tho partlos horoto hovo dlvldlld blltwllon thomsolvlls, to their mutual satlofactlon, 011 Itol11s of tonglblo and Intonglble marltol proporty, Neither party sholl moko any c10lm to any such ItOI11S of marltol proporty, or of tho separate personal proporty of olthor party, which oro now In tho possosslon ond/or under the control of tho other, or which proporty will bo dlstrlbutad In occordanco with Exhibit "A" attachod horeto, Should It bocomo 110cessory, the portlos ooch ogroo to sign, upon roquest, any titles or documonts nocossory to glvo offect to this paragraph. Proporty sholl bo deemed to bo In tbo possession or under tho control of either portv If, In the coso of tanglbhl porsonol proporty, the Itarn Is physically In tho possooolon or control of tho party at tho tlmo of the signing of this Agrooment ond. In tho case of Intonglbla personal property, If ony physical or written evldance of ownarshlp, such os passbook, checkbook. policy or cartlflcoto of Insuronce or other similar writing Is In the possession or control of the party, Except as may ba otherwise provldod herein, Husband and Wife shall eoch be daamed to bo In the possession and control of his or her own Individual pension or othur amployee benefit plans or retirement benefits of any nature with the exception of Social Socurlty benefits to which either perty mey heve 0 vasted or contingent right or Interast at the time of the signing of this - 4 - Agreamenl, end nolther will moko llny clelm ogolnst tho othor for ony Inlerolllln Iluch benefits, From und after tho datu of lha slunlng of this Agreemol1t, both pllrtles sholl hovo comploto froedom of disposition us to hla/her seporoto property llnd eny proporly which Is In their possession or control pursuont to this Agroomont lInd mllY mortgege, soli, gront, convoy, or otherwise encumbar or dlapoeo of Iluch propllrly, whether real or porsol1ol, whother eucl1 proporty was ocqulrod boforll, during or otter morrlage, and nolthor Husbond nor Wlfo nood )oln In, consont 10, or eoknowlodge ony deed, mortgogo, or othar Instrumont of tho othor portelnlng to such die position of property, B, QJ.6JftJJ3!JJJillI....QE.Bf~U.sIAT.El Wife agraes to tronsfor to Husbond Immodlotely upon thll slgnll,g of thle Agreement, 011 of her Interest In ond tlllo to their jolntly.ownod real estslll at 2116 Logsn Street, Camp HIli, Cumberland County, Pennsylvanlo, Husband covononts ond ooreos to poy and dlschargo sold homlJ equity loon In accordanca with Its terms, And ooreos to Indomnlfy Wlla from ony loss by reoson of her default In tha peyment thoroof and ogreos to SBve Wile hormless from ony future lIublllty with regard thoroto, In the evont that Husband foils to pay the dIJbt In occordancll with Its terms, ho ahalllrnl11odlotely reflnonco the home equity loon to remova Wife's nome from the obligation, In the avant that ho defuults on the loan and fells to refinance to remova Wile's noma, tha real ostote shall be eold and the proceeds of the sola utlllzod to setlafy tho Dauphin Deposit homo equity loan, The homo equity loen sholl bo frozen and nolther party shell borrow any additional money on tho homo equity loon, Wlfa's liability on sold loon Is speclflcslly limited to the $ 13,031 dabt existing on the dato this Agreement Is executed, C, TAX LIABILITY: The portlos believe and agree thot the division of property heretofore mode by this Agreement Is a non-taxeble division of property between co.ownars rother then a taxoble sele or exchange of such property, Eoch patty promises not to take any position with rospect to tho edjusted basis of tho property eeslgnsd to him or her or with respect to any other Issue which Is Inconsistent with the position set forth In the preoadlng sentence on his or her Federal or State Incoma tax returns. .5- 8, ~Nr;lION AND RETIREMJ:m PLANl HUllbond has 0 pension with Lucent TochnologlBl (AT&Tl which I. currsntly In poy stotus with Husband rocelvlnQ $2,536,00 (I,e" $2,818 Qntltlsmelll figure. $282 cost of 60% survlvcr onnulty option I gross por month, Husbllnd shell continue to molntoln Wife olllhe Irrovocoble 50% survivor onnulty boneflclary thot ho has seleotlld on his ponslon, In order to provide Wlfo with her shoro of tho morltlll portion of Husband's pension, tho portio IS hovo agrood that Husbond sholl transfer to Wife $916,85 per month from his Lucont Tochnologlos pension through tho uso of 0 Quollfled Domostlc Rolotlol1ll ardor, Tho cOlculotlon of this amount Is aot forth on Exhibit "8" Ilnd takos Into consideration the foct that Husband hos solectod 0 joint lSurvlvor annuity option and Is entllled to 0 credit for tho ol1lount slnco this selection reduced his benefits ond since the survivor ennulty option directly benafltu Wife, It la specifically understood that Wlfa sholl hovo tha right to doslunota e boneflclllry on any benefits which sho recolvos and/or on any portion of Huobond's panslon which posses to her os a joint survivor to which shu Is entitled undar tho tarms of this Agreement, Further, the calculation takos Into account the fact that whon Wlfo retlros, she Is under no obligation to olect a lSurvlvor onnulty option on har SERS pension, tho baneflt of which would Inure to Husbond and, therofore, she can solect en option whloh will provide her with a higher monthly benefit II IShe ISO chooses, Tha parties sholl aqually sham tho cost of the preparotlon of tho Quollfler.l Domestic Relotlons Order. Wife hos a SERS pension (ruferenced obove) 06 0 result of her employment with the Commonwealth of Pllnnsylvanlo and Is currently eligible to retire, It Is Wife's Intention to rlltlra no later than Saptember 10, 1888, and when her ponslon Is In pay stotus, she Is entitled to olact on option that would provide hsr with a maximum omOIJnt of $631,65 gross per month, This f1gura Is available to Wife provided that she does not select a survivor annuity option. Tho parties agree thot upon rotlmment, Wife Is free to seloct any option which she chooses and Husband shull wolve 011 of his right, title and Intarest In Wife's SERS pension, Including, but not IImltad to, the right to hava Wife select a joint survivor annuity option to Inure to Husbend's benefit, 8, LONG TERM 401(KI: Husbend halS 0 Long Term Savings Plen for Manogemant Employaes with Lucent Technologies with e value os of June 1, 1898 of - 6 - $143,900,28. Husband's long term savings plan for managament employeel with Lucent Technologle. (401 KI Ihsll bo divided between the partlel el followSI ToWlfo - To Husband - $06,768,31 $48,131,97 The pertles ogrolt thot Husbond shell obtain an 8/30/99 end of buelnell velue for the 401K, To tho oxtent thot tho volue exceode $143,900,28, Wife shull be entitled to 60% of tho overogo, Sold distribution sholl be dona through tho uso of a Qualified Domestic Roletlonl Ordor, The portlos Iholl equally shoro tho ooat of the preparetlon of the Quallflod Domestic Relotlons Ordsr, 10, JMl Husbond hall IIn IRA account with Bolco Community Credit Union with e voluo os of April 30, 1889 of $7,885,68, Sold IRA account oholl be trensforred to Wife through the use of 0 Ouallfled Domestlo Relotlons Ordsr, Tha parties shell equally shore tho cost of the preporatlon of the Ouollfled Domelllle Relations Order, 11, CHECKING ANJL5AYJr:ms.ACCOUNTS: At tho dote of soparatlon, Husband hod an account with the Belco Community Credit Union, Account No, 220220, with 0 combined bolenoe In the S-1 end S-4 accounts of $38,696.26 at data of separation. The current belonce In sold ecoounts totals $26,886.49, Husband has transforred $26,000 of sold eccoUnt to Wife and Husband shall retain the balance of $ 1 ,896.48 from said eccounts. At the data of separation, Wife hod PSECU accounts (No. 1701 1- 384715) which hod a total volue of $160.00, Husband shall transfer 011 of his right, tltla and Intllrostln sold aGcolJnt to Wife and WI fa shall retain sold account, At the dote of separation, tho portles hod Joint checking hod lIavlngo accountll at Mellon Bonk. The dote of separation bolonce In the checking account was $1,696,00 efter deduction of outstanding checks. The dote of separetlon balance In the sevlngs occount was $6,188,61, Husbend shall retoln the savings account and Wife shell transfer all right, title Ilnd Interest In eald ocoount to Husband, - 7 - 12. BELIANCE FEDERAL cFl~OIT UNION ACCOUtID Husbend hod 0 Rellanco Federal Credit Union aooount, AQoount No. 2441-041-01. The account has boen divided between tho psrtloll III Silt forth on l!lIhlblt "0" etteched horeto, 13. STOCK6l During tho marriage, the portlus oocumulotod AT&T, Boll Atlantlo and Luaont Tochnolcgles etock, both Individually and through Husband's ESSOP Plan with Lucent Technologies, The stooke ocoumuloted were oPPI'o~ll1letoly os follcWll1 AT&T B87 shorae Boll Atlontlo 2,230 shAres Lucent Technologllls 692 shores ESSOP (sharos of Luoont Teohnologlesl 706 sharolS NCR 28,626 sheres Thlt pertlas ogree that thllY sholl divide these stooks In kind with ouch perty rooslvlng 150 parae"t of tho shores of AT&T, Bell AtIantlo and Lucent Taohnologlea and 150 poroent of the Lucent Technologies sharas Inoluded In Husband'o ESSOP. Trol1afor of the ESSOP oholl be done through the use of 0 Ouallfled Domestic Relations Order, The costs essoclated with the Ouollfled DOl11ostlc Ralatlons Order sholl be shared equally by the partlas. parties, Costs of trans for of all stock sholl ba shorad equelly by tha In eddltlon to receiving 60 porcant of the eXisting shares of stock as defined above, Wife shall recelvo stocks with a cosh value of $23,818,17 less any credit to which Husband Is entitled os a result of having modo cor paymentll on Wlfa's behalf as set forth In Peragraph 10 below, - B - latlsfaotlon of 011 clolms ond demonds that Dither moy now or horeDflllr hsvo QgDlnlt tha other for allmo"y pend en to lito, llounsol foos or exponuos or ony othllr provision for their Qupport ond mlllntanonce boforl'l, rJurlnllund altoI' tho aOmll111nOomont of ony prooeedlngll for divorce or onnulrnont botwuon Iho purlles, 18, INC.QMf;..Tl\XEBJQA.l3r.TJJHN.5, Tho portlos flllld joint 'adoral und atula tax "Hums through lox yeor 188e ond Indlvlduol roturns boolnnlng In 1997, For tho yeors In which joint tax returns were fIIod, In tho event any deflcloncy In fodornl, state or locollncomo tox IB proposed, or ony asseUllmunt of any such tux Is mada l'Il1olnst ollhor of thom, eoch will Indemnify ond hold harmlosa tho otlw frol11 and OgOli'llt ony loss or 1I0bllllY for ony slJch tox deficiency or IlSaOU5lnant und ony Intarost, ponalty ond o~penso Inourrod In conneotlon therowlth, Such tax, Intoruat, ponalty or o~ponllO ahull be paid solely ond entlroly by tho Individual who la tlnally dotormlnod to be Iho aaUBo of the mlsropreuontatlons or folluros to dlacloso thu noluro and o~lont of his or hor soparoht Inoomo on tho oforasald joint ru llJrn II , 1 8, WAL'LEfl.S...QU;J.AJM.s_Ag8m~I...f2IATn] Except as haraln otherwise provided, each porty muy dlspoue of his or her property In ony way, and aoch party horoby wolvos and rollnqulslioo ony and all rlghtll he or she moy now hove or heruefter ocqulro, undor the preoont or future laws of ony jurisdiction, to shore In tho prOpllrty or the est ute of tha othor as a result of tho marital relationship, Including without limitation, dower, curtesy, stotutory allowance, widow's ollowonco, right to toke In Intootacy, right to toke egalnst the will of tho othor, and right to oct as administrator or oxacutor of tho othar's estate, Each will, at the roquost of tho othar, oxacuto, ocknowlodgo and dollver ony and all Instrulnants which moy ba nocessory or advlsoblo to carry Into effect this mutuel walvar ond rollnqulshmont of 011 such Interosts, rights ond claims, 20, MI,ITUAI. CONSENLQJ~i. Tha partlas egrao and ecknowledge that tholr marriage Is Irretrlevobly broken, that they do not doslre marital counseling, end that thoy both consent to the antry of a decrea In dlvorca pursuant to 23 Pa,C,S,A. Soctlon 3301 (ct. Accordingly, both parties agraa to forthwith axecute such conoants, affidavits, or other documents and to dlract their respactlve attorneys to forthwith file euch consents, offldevlts, 0,. other documents os may be necossary to promptly proceed to obtain a dlvorr.a pursuant to said 23 Pa,C,S,A, Section 3301(01. Upon - 10 - , requelt, to thll extent permlttod by low and thQ oppllcnblo Rules of Civil Prolloduro, tha named defendant In I\uch dlvoroe aotlon sholl oxecuto eny walvors of notloe or other walvorsnellessory to expodlto such dlvoroe, It Is tho IntonUon of tho parUlln 1l1ot the Agrl'loment shell survlvo any action for dlvorco which moy be Inslltutod or proslJclJted by either party ond no order, judgmllnt or docruo of dlvorcu, temllorory, final or perl11anont, sholl offect or modify tho flnonclol lorllls of this Allreelllont. This Agrellmont sholl be Incorporated In but sholl not marge Into ony I\uch judlltnllnt or ducree of final dlvorco, but sholl be Inoorporeted for thl1 purposus of unforcul11ent only, 2 1 . 6Bf.M;J:LANQ.ff'lE.QB~J;M.El'H1 If olther party breoches ony provision of this Allreement, the other party sholl havo the right, lit his or her election, to sue for domoges for Duoh breaoh, or soek such other remedlas or rellof os may be evolloble to him or hor, and tho party breaching this Agreament shall be reoponslble for paymant of logel faes and costs Inourred by the othar In enforclnll his or har right!! undor this Agreement, 22. ADDITIONAl..lli.6Ifl.ulv1ENTS~ Each of the portles sholl from time to time, at the request of tha other, execute, aoknowledga and dallver to tho other porty ony and all further Instruments thst may be reasonably roqulred to give full forca ond effoot to the provisions of this Agreemsnt. 23, lAX ADVICE: Both partla!! hareto hereby ocknowladge and agree that thoy havo had the opportunity to rotaln their own accountants, certified public ocoountants, tox edvlsor, or tox attorney with raferanca to the tax Implications of this Agreement. Further, neither party has been given any tax advice whatsoever by their re!!pectlve attornays. Furthar both parties hereby acknowledge that they have baen advised, by their respective attorneys, to seek their own Independent tax advice by retaining an accountent, cartlflod public accountant, tax attorney, or tax advisor with reference to the tl;\X Implications Involved In this Agreement. Further, tha parties acknowlodge and allree that their slgnetures to this Agreoment serve as their ecknowledgment that they hRve read this particular paragraph and havo had the opportunity to seek Independent tax edvlce. - 11 - \ 24, ~LUNTARV EXECUtl.olli Tho provisions of this Agroement and their legnl eHeot hove boen fully ellplolnod to tho portles by their respective counsol, ond each perty aoknowledgos that the Agroemant Is fair ond equlteble, tl10t It Is being entorlld Into voluntllrlly, with full knowledge of the ussels of both portles, and thet It Is not the result of ony duress or undue Influence. The pertloB ocknowledgo tl10t thoy hove boen furnished with ell information relating to the financial affairs of the other which hos been requested by eecl1 of them or by thalr respective counsel. 25, OOIBf..MlBffMJ;J'ffi. This Agreemant contains the ontlra llndunltondlng of the parties ond thore ore no representntlons, werrontles, covenants or undertakings othor thon those expressly set forth hareln, Huuband and Wife ecknowledge and agree that tho provisions of this Agrsament with respect to the distribution and dlvlalon of marltol Bnd lie po rote property ara fair, equitable and setlsfoctory to them based on tho length of their marrlolla and othar ralevant factors which huve beon taken Into consldarotlon by tho portles, Both parties hereby occept the provisions of this Agreement with respflct to the division of property In lieu of and In full and final settloment and slltlsfectlon of all claims and demands that thay may now have or hareafter hava agelnst tho other for equlteble distribution of their proparty by any court of competent jurisdiction pursuant to 23 Pa,C,S.A, Sect/on 3501 9.1, !1lliL. or any other lows. Husband and Wlfa each voluntarily and intelllgantly wolve and relinquish any right to seek a court ordared determination and distribution of marital property, but nothing herein contained sholl constitute 0 walvor by either purty of any rights to seek the relief of any court for tho purposa of enforolng the provisions of this Agreement. 26. DISCLOSURE: The parties confirm that thoy hovo relied on the completeness and substantial accuracy of the financial dl5closura of the other as an Inducement to tha execution of this Agreement. The parties acknowledge that there has been no formal discovery conducted In their pending dlvorca sctlon and that neither party hos flied on Inventory end oppralsement as required by Section 3605(b) of the Pennsylvania Divorce Code, Notwithstanding the foregoing, the rights of either porty to pursue a claim for aqultable distribution, pursuant to the Pennsylvania Divorce Code, of any Interest owned by the other party In an esset of any nature ot ony time prior to tho date of execution of this Agreement that was not disclosed to the other - 12 - ,. .' , 'it I' ;, L ~ ' ElIhlblt "B" eINBIO~ PIBTRIBUTION l:lulband'l LUollnt TechI1!lJ.p.llIIlI/A T&I.P.enlloQ Celculatlon of Coveture Frsctlon Husband started employmont Retired 6/68 WJM 36,6 years of larvlce Date of Merrlage (6/21/601 Sepnratlon (1 0/96t 6/60 WJM 34,6 years 94,4% coveture fraction .au 36,6 ... $2,818,00 Husband's grosa monthly pension X 94.6% Coveture fraction $2/663,01 Msrltal portion of monthly bsneflt . 282,00 $2/381.01 Wlfs's SERB Penllon Cslculatlon of 'Coveture Freotloll Wife sterted employment Retired 111/84 1/1/98 1 6 yeara of service Date of Marriage (6/21/60) Seperetlon (10/96) 6/60 12/84 13 years during marrlaga (slightly less) il 16 .. 86.66% coveture fraction $631.66 >s B6.6C)~ $647.30 Wife's gross monthly pension Coveture fraction Marital portion of monthly banaflt ". " " '( I,. '-"-: i'.\ ')1 ,j->J~l'f: '-",1 L111:1 , ;if , 11,1 'Iii" 'il,l " , , , '1'\- , I I, ., ". 'jt': I' " 1':1/, , " " 1 ., 'ii',',,',',! I" " .. , , ; , " ,I, i, " I' 'I , I'll i' ,\. " " I 1 '1'/ , '<I " I , , " I, ." " i'l ,/,t , , " I,'," , , , " , " " " ': " I , ,.-j , , ,I' '\' " I I " , " " " I' '" ",,) ii', Jl, ., Ii, 'i 't.' , "III :', "'; " " 'I' .' I' .! Ii ,If I', " I' I' " ! ;1,;:,',::1 ',' " ''1',.(. illl " 1- '1II)llhl "1"'lliA.Uhloll.HlJjh~~ ,'11 IIp,1 II:~ 'N Ihlll>lv\lrcl! Codu, I!. DulclldulIl rl!~llrW~ thl! rll!hlln cull Huch IILldltlollullilct \V1t1l1!~~I!~ Uti muy hc IIl!cl!~~lIry In I'CHpOlld In Llvldcncc suhmlttcd h)' 1'IIIIIItll1', IV. EXllIIIITS: Thc cxhlhlts tn hc produccd hy Dcfcndllnl will CLlIlHIHI or coplc~ or~lutcll1cnts showlnll vnlucs "rlhc pllrllcs' I1olllc, vnrlous hllnk IIcCOUllls, H\uek~. rcllrcmcnl hcncnts, .101 K IICC'lllllt, II{^ IICCOllnls 1111<1 FStll' I'llIn. 1 kli!ndllnt rescrvc~ Ihc rlghllo nl1i!r Inln Icsllll10ny sllch iILldillonul exhibits us 1ll1I) hc nCCeHSlll)' 10 rcspund tu 'vldcncc ullcrcd hy 1'llIlnlllf. V. INCOME: Ikli!ndllntls rctlred Ihlllll.uccl1lTcchnululllcs, llc currcntly recelws $1.751,07 nllllllhly rrolll his pcnslonllnd $1,043 nlllnlhly Ihllll Soclnl SccurllY, VI. EXI)ENSES: Scc Deli!ndllnt's Incolllc IInd bpcnsc stulclllcnl. VII. PENSIONS: Scc Defcndlll1t's Invcnlor)' IInd ^pprulsclllcnl. VIII. COUNSEL FEES: To dlllC. lJefcn<lul1t hilS cxpcndcd npproxllllnlely $4.235,50 in counsel Iccs IIl1d cxpcnscs. 1 kti!ndllnlllnlidplllcs spcl1dll1g 1111 uddlllolllll $5,000,00 In coul1scllccs unlllll1c IIligmlol1 inlhls Illallcr has hccn concludcd. IX. MAIUTAL BEIlTS: Scc I>clclldlll1t's InVCnl,)r) IInd ^pprulsclllcnl. X. PEI{SONAL I'I{OI'EIrJ'V: Ikli!ndlll1l ducs 1101 dlspulc thc dlvlslun uf personul pruperly, Ilu\\'cvcr, If 1 klcndllntllnd I'lnil1tlff Cllll l1ullIgrcc un the vuluc ofthe pnrllcs' pcrsunul properly, II1CI1, Defcndllnt will hlrc IInnpprlllscr, ~ !I I Ii;li ~i~t~ r I Ii , I .') " ,~ . i , " '" , , ., p2./A ',.J I'(-I_<'(((t( ~~ II/\M .rI\l'lJl CJ\OON/\J.,Ir, lillaint I. U v, IN '1'1111 COUI\T OP' COMMoN PJ.,Ir/\S CUMIIIIR~I\I'IP CUUN'I'V, l'JlNNSVJ.,V/\Nl/\ NO, U ' 46as ClVIL I\CTION - LI\W IN PIvoRell: VICTOR CJ\OON/\J.,JI, Pet.n~,.nt PItB -'l'ItIAJ.,., S'I'A'l'IlMIlNT /\NP NOW, oomu tho plaintiff, BI\I\/\ CltOON/\LlE, by and through her attorn'YII, 'l'ucltor Ar.rllsb....g ,. SWart~, slid fl.l'lI the folloWing Pr.- trial Stat.ment, 1, The morital and non-marital alllletll reletiv. to thill mattllr have beon lIet forth in tho IIlVelltory and I\ppral.llement which wall fil.d with the court on January 22, 1999, The marital Blllletll of the partiQII are v~lued in excellD of $182,000, The non-marital prop.rty of the Plaintiff is valued in excesll of $10,875, 2, Plaintiff expoctll to stipulale to tho value of tho partiell' pensions, however, Plsintiff reserves the right to call an .xp.rt witness to testify as to the values if necessary, Plaintiff is unsure who she would call at this time, however, it expert testimony is needed, she will notify the Master and opposing couna.,( in accordance with the Pennaylvania RUles of civil Procedure as "oon as a determination ia made, ), Plaintiff will testify as to the assets and liabilities of the marriage, her income snd expenses, the cause of the break-up of the marriags and her need fo... alimony, -1- 4. The following il . li.t of eKhibica which ~lainciff intends to introduce at the Malter' II Hearing I plaintiff' a Income l>la1llt if f 'I IEllhlbit 1 ,. ~Kpenlle Statement lllaintiff'lI Plaintlff'lI I1:lIhlblt 2 Inventory ,. Appraillement Legal IHUII Plaint 1 ff' IJ I1:xhlb1l: 3 5, Plaintiff haIJ a monthly net income of ~1,4~7,03, whioh h iteml~ed in the Incoml/ and EXpenIJe Statement which wu filed wlth the Court on January ~2, 1'99, A copy of Plalntiff's mOIJt reoent stllte and federal lncome tax returns h attached hereto and lncorporated hereln, 6, Plalntiff's monthly oxpenselJ are ~3,597, I\n ltemi~atlon of these exvenses has been set forth in the Income ,. Expense Statement whlch was flled wlth the Court on January 22, 19,9, 7, Plaintiff has incurred CounlJel fees in excesa ~f ~1, 055 in accordance with the fee letter which wu slgned on August 14, 1998, A detailed itemi~ation of tbeee services will be provided at the hearing. 8, Tbe parties are in dispute over several issues including but not limited to the grounds for divorce, equitable distribution of property, alimony, counsel fees and costs, and alimony pendente lite, 9. The parties have accumulated marital debts in the amount in excess of ~31,766, wbich have been itemi~ed on the Inv,ntory and Appraisement filed with the Court on January ~2, 1999, -2- 1040A " III'j;IHt,'lllli:lli! \1111 lUlI"LI')' .llllltV' 1~\U\l"~ltll)l."I~'fU U,5, Indlvlduolll1ool110 TOll Rotum <I'I 1997 \ N''';~ I WIll eo III 11 It LI. Ih. ItUS l.llIl, Olh,.I",11O 111,1 ,] '''11'11.''11' ,/l,\ I <". (i. Il'r) I {:: 'l",.I.'I",-."'t .~./?i.)r l I. ~ " I. I. II. t",".1 ".1"" II' ..11' I 1"11 "~.,,.' In" I',,""""'" '" ,"I' ....,., l'I. I'",." I~" oIl".l 111.""1 ". '.'" 11.1 ~ . r 'i' ~ ~ tlOI1 I"wl' l' /. f, ';)t, '" 1o""'~I~tl,II,I' "I,~""'l>.I'~III1' M'~':'I't' .''''llUlIl,11 'J ('" ) .. I I prclllldontlul I:locllOI1 Cumpolgn Fund (ti"u Pllll" 1 ~ I no you WUllt $3 10 no to tl1ln fUl1d'l . , ., . . . WOll1t~I.!21~l':!!!L~~Ul1t $~\~1l10 Il1ltl IUlld'! 1 II 611l1,)Iu 2 t:1 MlIlllud 1111111,) 1,)II1IIUII)1I1 (uvlll1l1 ol1ly (Jllll Iwl IIlC0I110) Cl ~ Mllllil!d 1iI11l11liLlIHlIlIIOIOIIJlI1. t:l1h!1 n\'9'J~O'~ nodul ~UCllll~1"l}\I{\1;ll, I A - uIJOVl) III1<j lull '1U1110 11U10, ~ . V I t T r1,<!....~ /{ G;\ a Ll.."_ II I I' I 'j~,~\ For Prlv;o-i Ao'I~-I;d Pallorwor~. "aduollol1 Acl Nollco, lOa flU DO ~2. Nolol CIIOC",IIU "Yu~" ", 1I0f c/IOIIUO YOIJ/ III' ,,, flllilJed our rolIJlIt/. 04 1.'1 !loud 'Jll1ou~ehollj (wlll1 qUlJlllylll\] pel tillll). (tio<J pll\]e 1 G.) IllhlJ qualifying pOison Is a child bulnol your dopondol1l, cnllJr tills cl1lld'~ nlllllO 11U1l!, ........._u._..__._.____...._ .--. 15 0 ounllfyll1U wldow(cr) wlll1 dependolll c111ld (Y'!lIf npou6e dlod" 111 ), (600 pogo 16.) . . ~nllll, II yu,,, pRl"n\ IUI lu",.un. ul,e) enn dllln, YOII no II dep.noen' un hi. ur het I" ,e\",n, d::l"01 . - (llI,(k bu> au. No,.' ~.... ,- b ruPOU~!_. _________..--.-. _ _.._.._____._ - :~'::r 01) , C DIP.nd.nll, IIn,"'" limn .1. dupen".n'., ,." pouu 10 (3IlJ,p'n~,nl'l 1411~, 01 Ho l' (~I Ocp~nlj('nt'1 WCl.lI IClllllCI1t:hlp /I\on\h,' ch i I 1"_ 1 11fL<lln 1001' . '-'- UJfII~'.'!!'!!'! _l!!.!J!!"!!P---------.. ",uI11 nUl \~. ._ _":~~. ho'" In 1007 ~- .. -----.- . --~_.-._-,. --~----_.----_.-_..-- ......---...--~_._--- _.~---_.-_.--,.. .-_.. 'I. __~_._-_.---- __~__._____.---.-- ,__u. d 'toIalnumbor 01 o~emptlons clolmod , . . . . '- Add numb'''' [Z .ntlnad In . ....... bO!!! .boVI ---- 7 Wogos!..~ola-"lll-sLIIR~~Jc. Attach Forrn(s)..YI.:.:L---.-----.-----.-----.-.---..- 7 Bo Ta)(obl~ .iI1.tE)rost .In~.9.f1100IJ.UCh.f3~I~Od~IIJ.111 required i To~.e~ol1}p~lnl~rOGt.-DO NOT Includo on 111!,oJln.p__.. ..!.--Q!vldend~!lecll 6c11e~!!JJ _~g~I!~,----_.-P-'_-" 9 ~ e 100 Tolol IRA rr-TTIII1 lOb Ta~eblo amount ~ ;:; _dI6trlbutl~- 100 lJ-j.....LlJ-L-1-._- (neo page 19), lOb UJ-LJ:...L-l- 8 110 Tolal pensions rr-TTIII1 11b Taxable nmount EfffiIl ~ end annulllas. 110 .LLJ.....LlJ-L-1.._..__-J~.ae poge 11l). . llb . S ~-J:!.r.~E!2Ymel1tc:o.'1~on5ll~~~f1.:...-..----.--...--_----12 . ;;; 130 Social security . rr-TTIII1. 13b To~eble amount W1m ~ ..---J!C~.ll!!!~__~3n__LLJ.....LlJ-L-1 ____-~~.ll.J1)"--13b ; 14 Add lines 7 tl1lou\]11 13b (lor right columl1). nlls 16 your totolll1come,' .. 14 ' t- . ~ ~!...J.RA~ctlon (se'!.E!!llo 21). ____._ 15 OJ::EEI ;;; 1B Sublroclllno 15 Irom line 14, nlls Is your adjusted groBS Inoomo. Ii5 II undor $29,290 (undor $9,770 II s child did not live wltl1 you), soo the _ EIC Inslrucllons 011 page 27. E! Allodl Copy B 01 W.2 ul1d 1099-~- Db DQllaro COIl' Do~ ~ 16 ~ 1007 Form 104' en' IJ.; \~()n~: 180'led~lo 1 '''','''",'''''' "'h'1'-.y-t!,-,1II """'U. u.'"'' '(I'ol1p f' ~ Intqropt ond'Olvldend'lncomo ' , , "J,~:'!, for.f:orm 1040A 'F1lors .. ,'~ 1..!.I!!!1.".~!.\(~~~I.!)l~ 1 ~)l1I.' '_~.~.l)~J ~I..l _~IX'~"I!I_nl!t'i. IlIal ___ '___h_,.~'}!f)6YL:;T~,:.., '__,(~.<((lfJ""If~C __ . ,. , Port I Interost'lnoomo (500 PBtl~6 10 III1d '40,) , I, , ' , Nohltll YOII received a Form l009-INT; Form 1099-()//J, or aU/Jst/Me alolom.", f,o/ll II 11/I)~eruOIl 111'/11, ' onror "'0 (I/m'5 /!IIn,.) and Ilia lof,,'lnfolOal allOW/! on "'01 (orm, 1 Ll6lnUllul or poyor:U ol1y'Triio;':16tTriiron,-o aollor.III1I1'licu;.;nloi10ago Ill1d Iho buyor uDod tho P/OPO/1y uo n po/DUl1n) fUaldol1ce, BOO, pnoo 40 ond 1I0t thlD 11110/001 0,.1. AIIO, Bhow IhntlJuyol'e uoclol uocu/i1y numoor und uddloDo, :~__-.~--Z)31~::'-;';IF " ""---'--- ' 1997 llMo flo .51b U(W~ , 11011.,. CIIlI. --.-..--.. "-.------" '--"- _._..-..-.+._~_._._--.- . ._--, ...- . .- ,-.---.--... - -... .-.----_.-----'......~.__..-- ,.-- "_...-.-.... ....-.--.....---. . ----..-._.~-,~------- . ._-. -.. ~____.__..".H ....__ -- -------..-.... 'II Add the omounte on IIno 1. (f' Excludoble InloruM on 001105 Efl U,S, D4vfng5 bondel05ueQ oller 1960 lrom form 8e ' You mult attach Form 8815 to Form 1040A . " ' ,.1/; "t{, . Sublraot /lno 3 Irol11l1no 2, Entor tho msult horo and on Form 1040A line /la, ' , .' ,', ~ ~f. ~ I' " Port U . Dividend Inoome(See plIgeo 1 t'l and 49,) . i ". ., , " ,:,,\fir. ( '~ ~otOIIf YOII rocelvod n Form 1099-DIV or substiMo sfotomonl (rom a brokaraf1a 4.rm,:'~/J ,~r\.,hh .flr(tJ'o' . , nome and Iho loflll dMdonds shown on tilllt form, ,. " ,'?"f?}},.,'.,(" ' ': , ",\..1 Y"Uet noma c:!Jl~er .LfE iJ...-An..dn I~ f? 41(~ '_~_ 15 -41 -1'T t? n(( yJ , ~/.JS:.~!JLl- '/E t'. 111 Mrot (" (:.1 8- /11,'(1 ! Ii iii II == II Ii, =: I!!!!! , III 6~ 111117 BeI"..'ul. 1 (Forn, lO4OA) 6 Add the amounls on line 6. Enter tho tolal here and on Form 1040A, Ii;,e 9. 'or P..,.rwo/1< RiHluc1lon Act NoU.., _ Fonn lD4GA 'nl\nJotlon" CoI, No, 1R075R G> "rln'''''M~"."., 'II' 'i.-", ,,' "" ,. ".,' ,"..,. ., )tl9 PENNSYLVANIA STATE EMPLOYEES CREDIT UNION pmH'. NAME AND ADDHIII PINN5YlVANIA STAT! fMPLOYll5 C"toll UNION I CRlIlIT UNION PINf HAMI5DURO, I'A I1II O./UUO HECIPlrNT'~ NAME ANU AUURE~~ ~^,.A J CllOGNALt 12Y6 KING~LEY HU CAMP 11Il.L PA 1'l0 II-loll I, , ACCOUNT NOMUrA I) III ,IU6:1 ,Ill III C I f' II Ni' I; 8lJ1:IAl mU/III v , WENT If ICIIIIUN NUMIIER I 171"~U'.6.1.IU BTATlMINT PlIIIOII PAYEH'~ IUENlll'lCATlON r'D" lo ~.ll~nJ;liJ._~.i1~1:l l tn JUlW ,,.,1 ,TTT";,,, I ",,/ \1,.IiIi'I '. ',' 1'1. " : ~. . Fl' ,'" ":".' ' ,11.,1/,., '.....,"" ".M\O~NT. }'I,' I...~! ',"'" J.!. r, ,~ tJ:!X' :tt'::J..':I.'.',~' ,~, I'OHM 10YY-INT COPY II I'OR RECIPIENT IlilJl lii .I1tl'.U.R T ^ NT lAX .l1iEJlBllAl.HJIi IlJill lii DEI N G L1LliJilii.llfJl lil lJ1.E lNTERNAJ. H.E.Y.f~!J~ llBYJJ;J;..... .IE YJlll IIJlJ;. HEDUIREQ .ro Lll~ II RETURN. II m.GJ.J.>>J;Ji~ ffliAJ..U !.lH D.IJJfll lill/ti;U!Jl.l MAY 1I~ 1J:1fjJ.5.ED D11 ,~ l.E l/JUiJ/KJJllf H IAXAJlll AND .HIt us. DJJJ.;B1U~U JJJAI 11 UM mu .Dlllt B.ffDRJ..fJL. INSTRUCTION~ I'UR RECIPIENT INTEREST PAIl) TO YOU UUR ING TIlE CAl.END/IIl YEt,R IIY PSECU 1213 IF YOU RECEIVE ^ FORM IU99-INT FOR INTEREST rAID ON A TAX-EXEMPT OBLIGATION. Pl.EASE SEE mE INSTRUCTlOtlS FOR YOUI. INCOME TAX RETURN. ---- .. -- .--..----.----------- - ... ..._-.-....._,.. ., ..._~_..-.--_. -.... :NT~REST OR PRINCIPAL FORFEITEU IlECAUSE OF EARLY WlrHDRAWAL OF :IHE SAVINGS. 00 YOU MAY DEDUCT THIS ON YOUR FEDfRIIL INCOME TAX RETURN ONLY ON THE SPECIFIC l.INE OF FORM 1040 UNDER "ADJUSTMENTS TO INCOME." -~.__._.,...._._-_.__.. ._--... ._._-----.-----. 'EDERAl. INCOME TAX WITHHELD, FOR EXAMPLE, PERSONS NOT FURNISHING THFIR TAXPAVER lOENTIFICIITION NUMOER TO THE PAYER IlECOME SUIlJECT TO IlACKUP WITHHOl.DING AT A 31% RATE, SEE FORM W-9, REQUEST FOR TAXPAYER IDENTIFICATION NUMOER AND CERTIF1.CATION, FOR INFORMATION ON BACKUP WITHHOl.DING, INCLUQ& ~ AMOUNI !lli Y!l.!lli lNCOME IAX /lETIJRtj M tAX lUIJiIJllJl, .. . .' .h___ "_"__~_ _._._,____ _ .. 00 --~.---_._._- .. ....._----._-~.._...._-, lOHINEES, IF YOUR FEDERAL IOENTlFICATlON NuMIlER IS SHOWN ON THIS FORM, ,NO THE FORM INCLUDES AMOUNTS II[l.ONGING TO ANOTHER PERSON, YOU ARE :ONSIOERED A NOMINEE RECIPIENT. YOU MUST FILE FORM l099-INT FOR EACH IF THE OTHER OWNERS SHOWING THE AMOUNTS ALLOCAIlLE TO EACH. VOU MUST ,LSO FURNISH A FORM I099-INT TO EACH OF THE OTHER OWNERS. FILE ORMeS) 1099-INT WITH FORM 1096, ANNUAL SUMMARY AND TRANSMITTAL OF 1.5. INFORMATION RETURNS, WITH THE INTERNAl. REVENUE SERVICE CENTER OR YOUR AREA, ON EACH FORM 1099-INT. l.IST YOURSELF AS THE "PAYER" ,ND THE OTHER OWNER AS THE "RECIPIENT." ON FORM 1096. LIST YOURSELF ,5 THE "FILER." A HUSBAND OR WIFE IS NOT REQUIRED TO FIl.E A NOMINEE :ETURN TO SHOW AMOUNTS OWNED BY THE OTHER, 1161 11 9tI .....J YIlII,t.i,)l.lBltilll,ljlll)"'lIjt11111'1 9 70U 3100 15 1111111 II 111\ A",eNDED lulwll, IIII.ln lhlu oyul Hf>OlJt1l6 !iIKlal tiU(lJ/lty NUlI'lbtl 1"'!.,.....1". \/.'...J = PA 40lZ . 1997 PENNSYLVANIA INCOME TAX RETURN .1C' ,. :i,:i (' I '1 I, typo "111lI "'111"'\"'11),111 hi . Ih",.',1 1 ""'II """/11""'. J 0 'JIi!ll~4'11*~J","U. InltllJ.".IIn,..th b c:::J 11"111'" I c:::) 11"111 II c:::J U,,"'.I,oI I I r: "] I -'--. ~ lablt.,ullIu C no! r ~~ t.' ,/ L L-c ~ 1'0 II,,, ~I,I Ii" 1'",,, II..,,, 1111 "0,.1e -... !illuH/I.tItIIIH ~ 1 ,:). (10 K I IV (.;'J L. F f 1< (' II /) '/ / 'I '1 oJ. (t ,1.. I ~ ~ 1)/ PlJtl ou.,;tI,' 51.111 .(ll:.~ll 6(h1)01 UlbllltJ Nnmu 111\11 Cot,lQ 6cflt)Ol Ct)J11 I 1'-/-;-] /',' J) I (I I 1 WII"Or"IIII'1/110I,'AP/~IIU7 < it 1.11 I L. ~I _ r t 7 ,.,,--.li~~!~J.JJ.f~L') Hr~l! [ c:J .:-riiT1niJil..~'IiN, 1i,1II' ~f .41'1'" t'ij"". It .Nr ()lit., I.btf 11111)/,,.,111)11 II d.hl'I"'~ Ii__Tl t'Wl '~lIf; r~ III ttlllln Iii.., IMlll/IlIul1I1 DOllOff) _~!~I.II?_~_~_~_'~~.~~~! UOO~L.t .11 ~OI t'lWl ~'" UQ ~ot ",lll. I vue I., &owrl""! t~,~~_I~,~~_~~~_~.~.._g III ClI'''' "A 111~lIblo ClJlnp,n.alion bOlI1 W'2 lonn. lInd 01110/ wago .1,101ll01l1. ".""""",." 10 ,;l..1 3 &: tJ ,1:'/ ~ ",',' :). ~ (I, I 'I , I I :,J. :171c(> :;..1r?(;C' 7 5'5 tJ51f YQIjI "."II~.mll :) ,} X ,} €IXJiJblJ b I uti Nntlll1 UIt~htlllJ llJhll)hl,lIlU Numb" Ib UIllOllnbnl5ud tlnployoo Ou.lno.. E~lllIll'.' bOIll I'^ 6ellodolo UE .",.." ,...,.""" '... Ih Ie Nol "A T,mllllo COll1pol1anllol1, 6ulllloellll1o III ham 10, ,.,."., 11'1111'11'" 1c 2 PA To,nhlo /111111061 Complolllol1l1 ollllell P^ 6cllollulo A II avo' 51.000, ",.""" 3 PA To~obll/ Dlol<1011116, Complolo 01111 ollnd. PA Sehodulu 0 II ova' 51,000. """" U1 ..... o .0 ..... ,n1 o '0 ,... lr 4 Total PA Tl.Illlble Income. "')lJ lima 11.:, :J ^ J ,,'. I . . I , , , I , , I I , . , , , I I , I I I . I I I 5 Tolal P^ Tu Liability, Mulllply Lilla 4 by ~,B'1o (0,020), , , , . . , , , , , , , , , . , , , , , , , 6 Totnl PA Tn)( Withheld hom W.2 forma and othor 6101l;Jl110nI6. I I , I I . I , . , I I I I I I I I . 7 Totnl PA E61llnnlnd PnYI1l11IlIG rind Crodllli. 500 In5ltucUol16. I I I . , I . , . , I , I I I I I . . 7 8n l)epel1lJllnl6 "em PA ScholJuhJ 51'. Parlll, UIlI'l 2 ,..",.,.,.,..,.,.,. DB 81l Tolot HO/hlllly rtl(OI1l~ lmrn PA SdllltllJlU SP PIIlI C.I.II\LJ 1 I ,.,.,'.........""".". I"" ," t, Oe Tn' FOlg"ono55 ClOdll bOIl1 I'^ Scllodulo SI', 1'11I1 0, lillO lG, ,.", , , , """, " ",."" Oe 9 Total Paymollll and Crodll.. AIJtllll1llb fj '- II",J Ii<: 'I' I , I , I . , . I , , 1'1 I . I , I , , , 'I 9 I 1110 5 a mora IImll L1nll 0, Oilier 1110 dlllorol1eo ho,o, 10 M.k. ,hock, 1"1,hl. 10 PA DEPT. OF REVENUE, Un yoo, PA,V Il>I111. 5..III"n.llIJdlonl on NOW TO PAY. 11 OVERPAYMENT, II L1no 9 I. mOlO 1I111n lIno 6, onlOllllo dlllOlonco 11010 """""""""", " 12 Rerund. AmUllntc.rlllne II YOiJWOnIB6AChtckmlhl(ldlOYI)U ... ,,' I ,., "I' I ," '111'1" 'I"'t 12 13 Credll. ArnCUllI oj! line 11 you wanl 06 0 (radltlo ~'our 1900 t:61lllloI0d 1'0): Accounl ",... t . , . , . . . , .. 13 I~ DOl1ellon. ~,"OU'" 01 LI.o 11 yoo wanll. gl" lolh, Wild Ruource Conlervallon Fund, """.", 14 16 Donetlon. ~mou'" 01 Lln, 11 "0" WDI"lo gl" 10'11' U,O, Olympic Com mill", PA Dlvlllon, "",., 16 16 Donetlon. ~m.unl olltn. II you wanllo glY' 10 th, O,gen Dona, AWlllnl.. T,ull Fund, """,. 10 17 Donetlon. ~m.unl olllna 11100 Wlnllo gl" 10 Ih, Ko,nlVlllnlm Mlmcnlllne, ",.""."""", '7 10 Donellon. Amounl olllno 11 you Wlnllo gly, 10 011..1 & Clrvle.1 Clncl' RIUerch, , , ,. , ,',', "IS Tho 101111 01 line 12 Ihrough 18 mUll 8QUBI Une 11. 01 Hr;I~l U5l ONl" EC L 9100310015 page 7 6 Db MI t:r II' I .j iJ~l(J 0 2 3 4 6 fr rY '-I I [ / 9?00310015 CUIlII, 'II/ 'I 'f. :u- I ~ !JI C c 7;)., ;).5" (I Cl 6(' ('I c. ,p. ~ I '{ - -.-.' - I !. I V I v ~I.,I II:J. (,''/11 _, slUU\ JANE cROaNI\LIt, I IN TK~ COURT OF COMMON l'~EAa I CUMB'R~P COUNTY, l'mNNSY~VANtA l'laintiH I I V, ' I NO. filS-4&28 I VIC'rOR CROGNI\LE, I I CIVI~ I\C'rION - 1JWI Defendant I IN DIVORCE lNCQME AND EXPENSE 8T~rEM~N1 Attached hereto i_ the Income and E~pen_e statement of plaintiff, Sara Jane crogna1e, _ubmitted pursuant to l'a. R.e.l', No, 1920.31. J~rar11Lr~ Attorney for l'laintiff - , I , , ," " , , ' I . \ I. I \ ,I' I,' . , THIS FORM MUI:W AIil J.l'I~~l!lP OUT (It you sr. ..If-employed 0).' if! you BJ:. /JBls).'ilild l;ly a bUill"... of! which you an ClwneJ: in whole OJ: in put I you IlIUlSt aha fill oUt the Supplelllental Il100me St/ltement whloh SPPlilS).'/11 on pagelS 8 and 9 of! this tnoome and Iilxpen/Je Ststement,) INCOMI3 AND IilXPIi:NSIJ) 13'l'/\'l'IilMIi:l'l'l' Op SNt/\ J/\NIi: r.ltOONM,1i: - ll'lCOME EmPlorr I ABace ation Pennsylvania HioheL- EduQsl:ion Assistance IPHEI\,'\I I\ddulSs I 1200 Nortl'J Seventh Str~et. Hsrr~sbur9' PA 'l'ype of Work f Clerioal PSYJ:oll Number I Elnl:llover 11030345 pay Period (weekly, biweekly, eto,) I Gross pay p~r Pay periodl IHweeklv $ 9615.215 Itemized payroll Deductions I Federal Withholding Social Security Local Wage Tax State Income Tax $ 12Q.9'7 59.29 9.!56 26. --'8 Itetirement Savings Bonds Credit Union Life Insurance Health Insurance 4'7.B~' 6.00 14.34 13.87 Other (specify) -, '. ., Weekly Monthly Yearly "i11 in ^ppropriat~ Column) ~if' $ $ $ Aooident Health AutomobUe Payment" $ $ J13U $ ......L.1U- Fulll 115 66 780~ Repairs 60 1500 11M Membership 4 45 Regietrlltion 5 60 Medical, Pootor $ $ 4 $ 60 Pent hI: 18 2 2 rL.. Orthodontist Hospital Medicine 1\2 500 Special needs '~lassesl braoes. orthopeqic devices) lllducation I?rivatfl sohool I?lnochial school College Religious 33 iQL $ $ $ **Husband has been making the car payments since May, 1996, Weekly Monthly Yearl,y (Fill in Appropriate Column) Jilenond Clothing $ $ 125 $ 11500 Food :100 ~i400 Barber/hairdreeser - 83 lJpOO" Credit payn1ents Credit oards 400 4.80p Charge aooount 150 2.241 Memberships AARJil 5 54 Loans credit Un,ion $ $ 29 $ 202 PerlJonal Losn Miscellaneous Household help child oare Papers/books/maga~ines Entertainment $ $ $ - Pay TV Vacation 9 50 27 125 100 600 320 1.500 Gifts 29+ 3.500 BAllA JMIil CIIOCJN/'IJ.I!:, PlaJ.ntHt , IN TUS ~OURT OF COMMoN P~.^B 0' I CUHB.R~^NO COUNTY, P.NNSY~V^NIA I I NO. 91\ . 4~;lQ I I CIVIl. AC'I'ION . ~^W I I IN OIVeRCIl: VII. VIC'I'on CROCJNAI,I!:, Odendant 9RP"~ MP .N9TJCM SI$'r'l'INQ JIJlMtINf'J '1'01 Sara Janll Croonalll , Plaintiff Sandra I" Mllilton I counlltl for Plaintiff Viotor Croonale , DetQndant Maria P. Cognett! , Counsel for Defendant You are direoted to appear for a hearing to take testimony on the outatanding issues in the abOVe oaptionQd divoroe proceedings at the Offioe of the Divorce Master, 9 Hanover Street, Carlisle, Pennsylvania on the of , 1999, at __ pl~ce ~nd time you will be given the opportunity to present witnesses and exhibits in support of your oase. 0.111., lit North day which 'v'" "Q" Prellident Judge Patll of Order ard Noticell I3YI pivoroe Mallter I F YOU DO NOT HAVE A ~AWYER on eM/NOT AFFORD ONE, 00 '1'0 Ol~ 'l'E~EPHONE THE OFFICE BE'l' FOnWI I3Et..OW TO FIND OUT WHERm yOU eM/ OE'r r..EOAl. HEr..P. CUMUI'ill.^NIl C')UNTV H^1l MiSOCIM'I<lN 2 I.llIFWrV ^VI':NlJ~: C^III. 1';1.1-:, I'^ \ 70 1:\ '1'1-:1.1-:1'11' JNI 1'/1 'I) :!o\ '1-116(, ~~ 0"101 0' DIVOACI MAITIA CLJMIl~m^NIl COlJNIY cOllin 01' COMMON "II:M o Norlll Itllllovor Slrool Cm1l51o,I'A 17013 (717) 2~Ollll~!l I. Rob.... IlIlIhr, II Dlvorc. Muler Traol .10 Ool~.r Ollie. M.n'o.IIRepoI'" w... 'hor. Q07.ml7l t:~16536 December 30, 1998 Arthur K. Oils, Esquire EKecutive Houso, Buito 1 101 South Seoond street Harrisburg, PA 17101 REI Sara Jane Crognale vs. Victor crognale No. 96 - 452B civil In Oivoroe Viator Crognale 2116 Logan Btreet camp Hill, PA 17011 Dear Mr. Oi18 and Mr. crognolel By order of Court of prosident JUdge George E. Hofter dated December 1~, 199B/ the full-time Master has been appointed in the abovo referenoed divorce prooeedings. The motion for appointment or. Master indicates that Sandr.a [" Meilton, attorney, is repr.esenting the Defendant1 however, Ms. Muilton has not enter.ed her appearanoe. I am sonding, however, a courtesy copy of this letter to Ms. Meilton. A divorce complaint was filed on August 12/ 1996/ raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint. On May 21/ 199B, an amended complaint was filed raising additional grounds for divorce of indignities and the economic claims ot equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. I am going to proceed on the assumption that grounds for divorce are not an issue. Based on that assumption, I am directing Mr. Oils, counsel for Ms. Crognale, and Mr. Crognale, if he is unrepresented, or his counsel Sandra Meilton, if she enters her appearance/ to each file a pre-trial atatement in aooordance with P.R.C.P. 1920.33(b) on or before Friday, January 22/ 1999. Upon receipt of the pre-trial statements, I will immediatoly schedule a pre-hearing conference with counselor with Mr. Crognale, if he is unrepresented, to discuss the TUCKER ARENSBERG & SWARTZ 1111' .\\\NIII . 'M~."; M"~';^~III ~^",~I~ I. ~~H I.'" ,~lIl"I~Ml,lllIllIlll.l~ 11I~~I,ll ~i1^III" , N~I("IIl.\ Ol/llll~' "^11ft IlIlmlLII'" ';/1111'111"'" ')IJlj\J\lllJ.II1"'II/'"'''''' IlJo.IIN11l^1.\'iHI MM M "i1ql ~II~~~ M ~III.III,,^~ .\'^~1I1 II ~I'H .. ,I! I. HIll', Jlnulry 22, 1888 Robert e, ellck.r, II, Divorce M.ller II N, H.nov.r Stre.t O.nllll, PA 17013 "I~IUI;""" "f I~j~ ~'II)HHIII"",I.'.1,j IH*,I"INl,i,"""lo"'l H')"I'... RE: Crognalll v, Crogn.l. D.ar Mr, Elicker: Encloled herewllh 'or nllng are PlllnUN's Pre.Trlal Statement, Inventory and ApPl'fJlemlnllnd Income and E~penle Statement. Cop III or saml have been prOVided to Marla Oognl<<I, esquire, opposing counsel. Thank you, SLM:gmr Enclosures Sincerely, TUCKl!r ARI!NSBI!RG." 8WARn , I '://. /1 1/1 I. J,III dlo 1'1. /!.(!.:/(J(~ /l. Sandra L, Mlllton ' 1101,1 , , " ',-, 111 NORTH FRONT STR~~T PO BOX 110 HARRISBURG, PA 17101.0160 7r'.~34.41~1 lOO'~67,4'~1 FACSIMILE ?17'~3~'680~ LtwI&toI/l'l'lOl'l1Cl IQ &ulh "',11I ~,... PO 001188' 'L'M&tOwn, I~ 110.....0&01 '17.jWI.:!lll' P.IIbu~O"lCe 1600 On. "PO PI,elf "IIIM)lllgh, f1'\ 'e'~" <1'3 ti6l!i."'p G'MnWurgO'q 13a6ot.tthM'I/161rM( afINf'lWlIIll,Il" IWll 7~"'838""'~ AIrpoIt P'olllUlonltOltICf C~llt 11M Tholll11un '~OIIl1f.)1 ""I)l'1Il rOIil'flIh~I, PA '!llllll .,gplW.l1lfl ['fIlllll '.')(.hlO.II.....,;o.,I Wllb lid. '\ltIlIIWW1l1u~~It'I.....I:'Jln VI:l, IN~~1~3C~)~J~~'~'~' COMMON PLl':MI Ol~ CU M IIJo:U LAN II COUNTY, PI':NNHYLVANIA CIVIL ACTION, LAW tlllro JOlle CrIIllIlIllu PlnllllllT Viator Crolllllllu Doflllldnlll NO ,JJ!J : 'Ill :.! tl qUAJ.llrmu UOMI!:H'l'lC IUa,A'l'lONH olUum J.. 'I'hu pnrllu~ lu thla IIctlulI hllvl/ "lIl"I"I'd illll) II pl'l)p"l'ly H"lll"II11'1l1. AuruulllolIl rlntud AUllual :l0, 1 Il!l!l , Tho Courllllcul'J)IJI'II11,d tl1" Prop'!rly H"llll!ll)lmL Allr"l!llll'lIt Intrllta Docruo uf DI~~ululionuf MIIl'l'illllu dlll"d H"pLl!lllh"r :l:l, IIHHJ. :l, 'l'hi~ Ord"I' CI'"nLl'~ IIlld r"collllilua lh" l!xlal"llc" uf 1111 Allul'llnl" I'lIy","a rluhl tll r"c"lvo n portlulluf th" I'nrtldpnlll'a IWllulHa pnYllhlu ull<l"r nil ulllploy,,1' Hplll1HUrud dotlllud cllIllt'lhutltJll plllll wl1lch ia llllolluml ttJ b" 'tunllfl~u ulld"r Illl"l'IIl1l U"V"IlU" CUdl'Ur I!lHII ("CI)d,,") HOlln), '1'h" Cuurlllltull<la lhla III'd"r lu hu II quullll"d 1l01l1l!Htlc U"llItlollH Ordl!r 1"'lIlUO") withlll lhu 1lll!IIIIIIIU ofCndll ~41.j(p), 'J'h" Courl ,,"l"rH lhiH qJ1lHl purHullllt lu ilH lIulhtJrily ulld"r lh" :l:J P,cH.A. 03602, :I, ThiH qlmo Ilpplll!H lu ll1" l.UC:,,"l 'l'"chllulugi"H, lllc. J,11Il1l T"rlll Hnvilllla 1'11111 liJl' MonUU"Ill"nl ElllpII)Y"l'~ ("l'llIn"). Jo'urtlwr, lhlH Ordl!r HI1nllupply ll) 1I11,\' HuccuaaUl' plun ll) ll10 PlolI or uny ollll'l' plun(a) to which Ilubllily fiJI' provlal'lI1 tJrtl1ll l'urlicipunl'H hUllotltH dllHCl'iblld below i~ lncllrrud, Any bonlll1lH nccrulld hy tl1u l'urtldpunllJndur u pl'lldllCllHHOl' pllln tJf thll employer 01' 1111.1' olh"I' d"tllll!ll cOlllrlbuLioll plull "pIIllHUr"d by Lh" I'nrLicipunL'H lllllplllYUI', whllruby lIubllity fur bUlllllitH IIccrllllU unullr Huch pr"ducuHalJl' plun 'II' oLh"r d,'f1Il"d cllJ1l1'lhutl'lIl plun hnH been trnnHfllrrud tu Lhu I'lnn, BI1ullnlao h" HuhJ"d lo lhl! L"nnH Ill' LhiH Onl,'r. Any chnnllua In I'lnn AdmlnlBlrnlor, Plnll Hponaor, or nUllle ur Llll' I'lull sl1ulllloL ,In,,d AIL"l'Ilntu l'uYllll'a rlghlH ua sllpuluted undur ll1ia Ordel', .j, Victor Crognllle ("l'urliripuIIL") IH u p'lrlicipullL In tl1" I'lun. Hum ,llIlIe Crollnole ("Allernute Pnyee") In the nltUI'llULe P"Y"" li)r purpOHllH of LI1iH 'lIJHO, G, The Purticip"lIl'H num", muilhll-ludureHH, Horinl 6ecurlLy number ulld dute of birth uro: Vicl.or Crollllllle 2115 LOIlUII StreoL Cump Hill, PA 17011 Sodol Security U: :l1l.:l2,Go\:l:l Dute or llirth: D,~c"mbllr 21l, 19:J:J 6. The Altornute POYO"'6 Ilumo, tl1njlll111nddres~, aodnl socurity number nnd dato of birth ore: Surn ,lUlle Crollnnle 1296 KinllHley Houd Cump Hili, PA 17011 Sodol Security II: 171.30.6330 Date of Birth: December 19. 1938 " QOIW I'ullo :I Thu Alturnllto PUYIlU ahull huvu the duty tll nutifY the Plnn AdmllllstrntlJr III wI'lllnllnf UIIY chlllllloa III lhls 1lI1111lnllllddrl/Bs SUhHlll\Ullnlllllhelllllry urthls Order, 7, 'I'ho portlonllf the PurLlcllllllll's /11"'1 belll/I1IB Iluyuble tll the Altornnte Puyee ullder this QDHO Is $all,lIl14.0 I. /l, Thla Qono does lIol require the PlulI lllpr<lvlde nllY tYlleor form nfhellellL tI)I! Plnn doos lIot Illhllrwlsllprovldll. 9, 'I'hlll Qono does lI11t require tl)l! Pllln tllprovldelncrllnsed belletlts. 10, 'I'hla Qono does 1I0l require tho I'lulI lopny nllY helletlta which IIlIlllher ol'der Ill'ovloualy dotorllllned to bo 0 ,\ualltled dlll1lestic relntlons ordor requires thol'lnn to Ilny to uoothor ullorlloLe Ilnyee, II. Tho r~11I1I shnll distribute In onelullIp SUIll theumounl deHlllnnted III Purallrnph 7 (If thlll QORO, us soon liS administratively feolllhle following the I'lnn Adllllnlatrutor'a approvnl of this Order, 12, Thu Altel'lHlte I'uyue 6hulleled whether her puyn)l!nt from the Plnll shllllllu Iluld In cosh In ono IUlllfllllJm payublu direclly to the Altornote I'oyuu III' us II dlredl'ollovur to UII Indlvlduol retire/11enluccoulIlIll' IInolher comfluny's qunlitlud retirument fllun, Such election 6hull hell1udu nnur this Grour Is quullf1ml on nil eJedlllll form provlduo hy l.ucunl Technololllus, Inc, If Lucont Tecl1nolollle6, Inc. III not In reculflt of thu completed election for/11 within 30 dnys n'om the dnto thllt the election form Is mlltleo to thu Alturnlllu Pllyee, lhen her flnymenl will bu 1I10de dlructly to the Alternntu I'llyeeln coah in one IUll1Jl 6um, le6s tho uJlJlllcnhlo Federnllncoll1e tax withholding, la, II Is thelnlentlon of tI)I! pnrlius t.hnt tl116 QDRG continue to 'luoJify na II QDRO unour Code ti414(p), os It moy bu IIl11endud from time to time, ond thnt lhe Pion Admlnlstrotor shull reserve the right to reconllrm the 'luuJitlud stntus of the ordel' ot the time benellts bucome flnyuble hereunder, 14, In the event thnt the Plun Inodvel'lently pnys to the Purtlclpont ony benellt" lhut llru osslgned to the Alternnte Poyee purKunnt to the term6 of this order, tho Partidpnnt ahnll Immedlotely reimburse the Allernutu I'oyee to thu extent that hu hns received auch benellt payments and shllll forthwith pny such nmount so received directly to the Alternate I'ayee within ten (10) dnys of receipt. In the event thntthel'llIn Inodvertuntly poys to the AJternute l'ayoe 'Iny benellts thnt are asalgned to the Purtldpnnt pursunnt to the terms of this order, the Alternate Payee shnll Immediately reimburse the Pnrticlpnnt to the extunt thot she has received such benellt payments and sholl forthwith pny such nmount so received directly to the Porticlpant within ten ()O) duys of receipt. 15, After payment of the amount required by this QDRO, the Alternate Payee sholl hnvc no further claim against the Partlclpnnt's Interest In the Plan. , QUill) PIIKIII\ Ill, 'fhu AltllrtlllLIl JlIIYIIU 1I0.UIllUo .olu ruolllmlllhlllLy for Lhu till! con.u'luunculI o( thu di.Lributhm unl\ur L1l1u QnRO, 17, Untlllhu 1111111 CllllllllutulI flllYlIlulILof IIl1lmllullto puroullnL tlllh!o qnHo, Iho 1111111 ohllll LrulIL t.hu Altol'llllto IIIIYI'l! 110 1I11111'vlv11lU IIflOUIIO rur purflllllullofCmlu n,IOl(ll)1 I I) 11111\ "17. bllt tho AlturtlllLo I'IIYUU IIhlllll'uculvo, 1111 oUl'vlvlllU IIpIIUIIO, ollly tho II1ll0Ullt I\ollcrilwd III IIlIl'IIurllflh 7 or Lhlll <l/JHO, 'I'hulllllu flurpullo ufLhlll IIlIrllurllph 17111111 unllUI'O plIYlllonlhl thu AllurnllLu PIIYUU III thu UVUllt or IIlIrticlpllllt'lI d"lIth pl'hlr II' PIIYIllUllt hy Iho 1'11111111' t1l1lllllluullt dUllcrlhutI in Purllurllph '/01' Ihlll qllHO. III tl]l! IIVUllluf Ihu AILurllllll' I'IIYl,,,'1I dl'lIl11 Jlrh'" hI thu JlIIYlllullt by Lhll 1111111 Ill' 1111 hOllulltll/JlII'IIUIIIIL tu thlllllllHO, thu 1IIIIIIIIhull pllY thlll'lIllllllnllll! hunulltll ulldur thlo <jIJIH) tu L1w Altol'lllllu I'UYUU'II ulIl,IILu, Iii, 'I'hu I'llIn Adllllllllltl'llt.UI' /"'llInpLly IIhllll nlllily thu I'lIrLklpnnt "'111 Lhu Allu/'IIlILo I'IIYOO of Lhu ruculflt ufLh!lIllDHO 1111<1 IIhllIlIlIILl(y Lhu I'lIrtlclJlllnllllld tho AILurtllltu I'IIYUO ur Lho 1111111'11 proclldul'UII rill' <1uLurlllllllnllLho '1ulIllflu<1 IItllLuII IJr thill qllHO, Tho 1'11111 AtllIllnllltrlltor IIhllll duLurllllnu Lho '1uulfllotl IItutulIl)f Lhu qllHO 11'111 11111111 lIutl(y thu I'nl'LlclJlUIIL IInl\ Iho AltornuLo Puyoo of tho dulul'lllllllltllJll with III II rOllll1ll1l1blu Jloriod Ill' lllllu 1I1lu.' ruculJllof lhlll Qnno, Ill, 1'ho Courlllhlllll'utulll JUl'llIllIctlll1l with rUllfluct tl' tl1111 OI'<t.lI' Lo Iho Qxtollt rU'lulrod 10 nJollltllln itu qUlIlIned IIluLulllllld thu 111'1"111111 IlItulIL orthu pllrLlulIUU 1I1iflullllutI herein, A COl'uned copy of thlll dOllllllltlc rulutlollll urduI' IIhllll bu 1I0rYClJ upon Lhu Pllln Admlll!IILrlltor, EXECUTEDthi. ~O~doyor m~ .ludgo ,ad J 4u<-tlAL(;(.q:yU~ 'ALtornllY for t 0 PlolhtifT ;1 Attorney or th fondont D vt ~~~~ PlolntlfT k~&/ Oefendont \ ! .,/' " ,[1 ,',j , ," " I , j \ '" , , I , I: .. J . 'I ....1;." , ". . I,'\l~' . '.. Bara Jano 01'0""010 .. PlalnUIT VI), IN TUB OOUJt'l' UL' OOMMON1'11EA'!J tW OUMUlml,AND COUNTY, PENNSYLVANIA CIVIL AO'J'/ON . lAW NO ,..DD.:.4628 -. Vietor Orolllllllo Defendant QUALJlI'IED DOMES'l'1O IUllLATIONB ommn 1, Tho pnrtlolll.o thlsllot!on hnvl1 ontorod Into n P"lporty Bettlol1lont Agroomollt dlltod AuSUSt 30, 1990, '1'10 Court Incorporoted tho Proport)' Soltlomellt AllJ'llOl1ltlnt Into Ils Dool1lll of DIIIOlut!ol1 ofMBmogo dntod Boplombor 22,1999. I, 2, ThIs Order crenws ond I1lCllgnlv.eu the cldownco of IIn Alwrnol.o Poyoo'o rlghll.o rooolvo o portion of the PorUclpnnt's bOlloflls pnynbll1 IIl1dor 1111 omple)'or Ilpol1sored doflned bo,lont pIon which Is Inlonded 1.0 bo quellficd uuder Inlornul Ruvouuu Code of 10BlJ ("Codo") 0'(01(0), 'l'fJII Court Inl.ondo thlo ordor 1.0 bo u QuoUficd lJolllICOUo U.olllllono Ordor ("QDltO') wlUlIn Ole moaning of Code 04 14(11). 'nle Cuurt enl.ol'll Ulls QDJtO puruuontl.o Ils uuthorlly undor tho 23 p,O.B,^, 03602, ~, 'l'hlu QuitO oppHclI to the Lucent ItcUrel1lent Incomo Pion ('Pion'), I~urthor, 01111 Ordor ohnll uWI)' to 011)' uuccouuor pllln to lho Plnn or IIn)' olhor plllu(o) 1.0 whkh 1Il1blUl)' for provision of the pllrtlcipllnt'n bonoflla deucl'ibcd bclow lu incurred, Any bcnofllll n~rucd by UIO PnrUcipont under u prcdecc/JBor plan of the cmployer 01' nn)' othol' deflnod hcnofit, plun sJ}onaorod by tho PB11.lclpnnl'o clDplo)'l1r, whelllby IlllbiUty for bcncfi16 uccl'uod under such predClCl1lluor plan or oUlcr dofined benofit p!r;n hUll boon trnnoferrcd 1.0 the Plnn, Ilhnll nloo bo sullJecllo tho tol'JllB of this Order, Any chnngeo in Plnn Admlninlrnlol', Plnn uponllOl', or nome of tho Plnn ohnll JI.llt nITcct A1tornnte Pnyee'o nll'h16 1111 nUpulutcd under this Order. 4, Victor CrogJlnlo ("PnrUcipunl") iu II pnrUcipunl in tho Plnn, Snro Juno Crognnlo ("AlltJrnnlo Pnyee") is tho nlternnte pnyeo for pUl'pOBeS of lhio QIJItO, ; "1'.1.1 t'," 5, Tho Pnl't1cipnnt'n nomo, llJuillng oddreBB, ooeilll ueeurit)' number nnd dnl.o ofbLrth nro: Victor Cl'ognnle 2115 LORnn Slroel Cnmp HilI,l'A 17011 Socinl Securily II: 211-22-6123 !Juto of IlIrlh: Decelllber 26, 1033 nl'O: lJ, 'J'ho Altel'llllle I'nyeQ's IHlllIe, mulling uddreBB, uoclul securlly numllor nnd dnte ofblrth Suru J nne Crollnlllo 1206 1<lnllole)' !wod CUlllp Hill,l'A 17011 Socinl Security II: 171-30-6330 Duto of nirlh: December 10, 1038 , ~) , I.J ''"''1' Qmw . IJolll 2 I '1'ho AlwnlotAI poyoo IIholl hovlI tho duty to uoWy 0111 Pion AdmlnleLrotor In wriL\nl of IIny ohnngoe III Ulle moiling oddrceu uulJsoqUllutlll thll olltry of thlu Ordor, 7, 'I'hll Pnrtlclpontle ourrontly ro~olvlullnnlllllUlly ptlllllloll ulIdllr thll11lnll, 8, 'I'hlll QUitO DBulSUlllll Allornotlll'nyoo II porUonIIf thll PIlI'Uolpont'u Ollrl'llntmQnUl1y peneloll, '11111 OlJlouut DBullJlIllll to Uw Alt.ornlltAI Pnyou Ie t010,811lltlr mouth, 0, Poymolllo to Alwl'uato Pnyoollhllll OOIJlIJlOUCtl 00 1101)111111 PQuulhlll, " 10, Pnymonlu oholl cllnUlluo tl) AlIm'nllw I'IIYoo during tho jolntllfoUmo oftllll PorUolpllnt IInd Alt.ornoto Poyoe, 11, If Portlclllont prcdoconllell Alwl'I1ow Pnyoo, UIO Altol'llnto I'nyoo'u rlllht \lln uhlll'O'lIftho PorUcipllnt'u peuslon, 011 oUllulntcd horoln, uhnlllJe wrmlulIwd nlld tho AlwrlIllt.o I'oyoo ehall rceolve n mOIlUlly UfoUIJIQ uurvlvor onnulty IIf 60% ofthll Pllrt.lclpnnt'u OUITIIUtlJlIIUUlly penolon with uUllh eurvlvor onnult.y tAl CAJllIlJlonCll ulllln !Jle dooth lit' tho Pllrtlclllout, 12, If Alwr11llw Poyell predocoasl's I'lIrUolllont, the Alwl'Ilnw Pnyoo'o 1l<II'UoU of Pllrtlolpont'u bOlwfilll, liS sUllulntud horulll, shllll revort to tho I'nrticlllnll!. 13. It Is tho tnwnUoll of Ul0 Illll-tioll thllt thlu Ordor cOlltlnuo \.Q quollfy on n QOHO under 00000414(11), liS It IJIOY bc omollded frolJl limo \II HlJlo, nlld thllt the Pllln Adllllnllltrllt.or sbnll rceQrve tho right t.o rOCtlnfirlll the qUlIllIied StlltUS I)f tho order nt the Umo lJcl10filll bl'como llaYllblo hOl'llunder, 14, In tho ovont that the \'lnn lnndvortontly pny" to tho I'lIrtldpnnt llny benefilll that ora noslgned to tho Alwmnw \'lIyeo Ilurllullnl. to the termo of this order, tho Pn.rtlcl[lnnt sh'lll Immodlately relmburso the Altcrnnlc I'IIYco to the cxwnt thllt he hllll roeolvod /lueh bonllfit pllYlllents nnd shllll forthwith [lny 1l1lel1 nmollnt so recclved directly to tho Altornllto l'IIYl'O within ten (10) doyo of rceell]!. [nlho llvont thnt the l'lnn ilHldvorlently pnY'i to thll Alll'rulllc I'nyeo nny hll'jQflts thllt 111'0 IIssignl'd 10 1l1e I'nrtlclpnnl pmllllllnt to th,' tprlllS oUhis ol'lh'r, the Allernnle I'nyoo shnll immodlntely l'I!imhllrse the I'nrticipnnllo thl! l'xtelll thllt Fhe hns rl'cclved slIcl1 helle fit pnymonls nnd ohllll rorlhwith pny such nll1oullI"II n'cdl'ed dilwlly to till! l'nrticlpnllt wlll1ll1ten (10) dnYIl of rocotllL. Hi, The I'nrtlcipnnt shnllllotlnk,' nil)' nclillll;, IIrnl'lnlltlv,! or othorwlll'!, 1l1nt cnll circumvonllh,' lennllnlld prllvisillll" o( llli" qlll([), or thnl clluld diminish or "xlinl\u;lll1 the r1llhtll IIlld ontitlemelllll or Ihe Alternnte I'n)','" '"' ,,'I rllrlh herPin, I1hlluld Ihe I'lIrticipllnl tllil,! nllY nction or inndionlo Ihl' ,11,trinH'lll o(IIH' ^ll"l'IIlIlp I'ny"u, Ill' shnlllw r"'iuircd III mlll\I' Ilumci'!nl (1nymentll directly lnll1e AIll'l'IIlllp I'n)','" III lh.. "XII'llll111CCS/lHry I,) Ill'ulrnliz" llll' ..Il,'ds orhio; nctionll or inndionllllnd lo the "Xll'Hl Ill' 1l1e All,'mnle I'IIYol"s rulll'lllitlellll':JlS I1crcllnder. lG, Arter pllynll'nl orth,' HIII'lllnl n''illirl'd hy lhis <lIlHO, lh,! ^ltenHlle I'ny,'osl1nll hnvl' no furll1l'r c1ntm nlJninsl tlllll'nrtidpnnl'll inlen'lll inlhc I'lnn. .'.oIIIX~'!I~QU.9""~liW!.ij,,\..\l.., ." ',1,1,': l)p'&q3Ai;'1 ..,'"k!" 17, 'I'ho Alwrnlllo J!Uyolllllluumou 11010 rouponulblllty for tho loJt colllloquollcea of tho distribution ullIlor Ullu QUItO, la, 'I'hlll qnno <luou 1l011'ttl1Uh'o lho PIIIIl to provldo uny lypo or Conn ocbollont tho (lIon dooa not othorwl6Q Ilrovldo, 10, 'I'hl.ll Quno doulIllol rOfllllrll lhll PIIIIl w IIJ"llvldo Incl'ou60<l bOllonta .lowrmlnod on tho bll/lls of /1otuurlnl vnlllo, :W, 'I'hlu <lDltO d'lOUIlIII rU(lulrll lhll (llllll w PllY lIny bOlluntl1 whlclrunoUlol' order provlouuly dowl'mlnod to ho II quuHfie<l <lollloullo rolutlons ',rdol' roqulroulho Plun w palY to nnolhor ollllrnnto IIUYoo, 21. 'rho 1'/1111 A<lllllnlutrntol' prolllptly IIhnllnoljfy tl10 I'nrllclllullt 1I1l<l tho Altornuto lSayee oCtho rocolpt ofUll/l QUitO und uhnllllotlfy tho Pnrtlclpllllt nnrl lho AllIlnlllto l'uyoo of Ole 11lnn's lIl'1lCoduroa for dolllnlllnlnlJ tho qunllfi'ld ulntullofthlu 'lImO, 'rho I'llIn Admlnlutrutor uholl doull'Illlne tho qunlHlod utulUB oCtho QDno UJl<l shullllotlfy tho l'urUclplllllund tho Altornnto (Ioyoo of tho dotonnlllntloll wllhlllu rOllllonnhlo porlod oftllllo ntlcr rccolpt of Oil II QDJlO, 22, 'I'ho Cllurt uhllll rulllln Jurlndlcllon willi roupocll" till.. O...IOl'to tho extent required to molntnln ita quulified Illntuu Ilnd the OrilliJllllllllont of tho pllrtlou ns UtlPUl'lWd herelll, In tho ovonl of n conflict bolween lho 10l'J1l6 of IhlB dOllll!utlc rolutlon8 ordel' nnd tho lorl11/1 of U,O Plnn, 010 tonllu oftho Plnn ahull provnll, A corutlecl COllY of lhlu <lolllcstlc relnUoJlIl order Bhnll bo Berved upon tho I'lnn Adminlstrntor, EXEOU'l'IiJD lhls 7~ tiny of _~ I dcv" , t~_ . 0 ~y.1~~? ktL~?tI~-K- Allllrncy Iilr lho I'lnlllllif CONSEN'I"'O ORDER: /~ a ___:A.t:~L...u_ ..:'._,~<l",_..,_._ f)crcndllJlt ~. , ... . ,~''''~ j:lllt. Jono Oromlllu l'lalnt\fT _I IN'rHliJ COURT OF OOMMON PUMS OF OUMDERLANO COUNTY, PENNSYLVANIA OMLAOTION . lAW VB, ~t Crollnalo Oofendant NO, 06.4628 QUALlFmO DOMES'l'lO ltELA1'IONB ORDER 1, '1'he parties W tblsl\ctlon hove entered InW a Property Settlemont Agroolnont dnlAld August 30, 19G9. The Court InCOl1lerolAld tho Properly Selllement Agreement Into III Oocree 01' Dlsaolutlon of Monioge dated SOlll.ombcr 22, 1999, / , 2. This Ordor creates and recognizes the exl8u!l\r.e of an Alternaw Payee's right 1.0 reClllvo a portion of the Porticlpont's benefil.a payable under on employer aponsorod defined contribution pIon which Is Intended W be quollfied under InlAlrnol Revenue Code of 1986 ("Codo") 040}(a), The Court Intends this order t.o bo 0 Qualified Domestic RoloUons Order ("QDRO') within thdmeonlng ofOode Ool14(p), 1'ho Court onlAlra this QORO pursuant t.o Ita authority under the 23 P.C,S,A. 031502, 3. 'l'hla QORO applies t.o tho Ll\Cent 'l'echnologies, Inc. Employee Sl.ock Ownership Plan ("Plan"). Further, this ardor shall apply t.o any succossor plan t.o the Plan or any other plon(8) to which liability fOl' provision of tho ParUclpanl'B benofil.a dcscribed below Is incurred, Any benofil.a accrued by the Participant under a predeces80r plan of the employel' or ony othol' defined contribution plan spon~ored by the Participant's employer, whereby liability for benefits accrued under such predecessor plan or otber defined contribution plOll hOB been transferred t.o the Plan, sholl also be subject to the I.orms of this Order, Any changes In Pion At.lmtnlstrnt.or, Plnn Bpon80l', or name of the Plan sholl not affect Alternate Payee'B rlghta os stipulated under thJs Order. 4, Vlc\:Qr Crognolo ("Participant") Is a participant In the Plan, Sara Jane Crognale ("Alternoto Payee") Is the altonlato payee for purposes of this QDRO. 5, The Pal'Ucipant's name, malUng address, 80cinl Becurlty numbor and dote of birth ore: Victor Croll'nole 2115 Logon Street Camp Hill, PA 17011 Social Security II: 211.22.0423 Dote of Birth: December 26, 1933 orat 6. Tho Alternate Poyee's nome, mnlllng addresB,80cial security numbor and data of birth Sorn Jane Crogna!ll 1290 1{lngsley Hood Camp Hili, I'A 17011 Social Security II: 171.30.0330 Onto of Birtl1: Decllll1ber 19, 1938 ~:.''''''' '.~'(,jl~1tO . "I~IPllo 2 Tho AltAlnlo\Q Jl/lYoo ~holl hovo the dULy tIl noLlry tho Pion Adllllnf~tro\Qr In writing of OilY cholllle~ III thin m/llllllll uddrenn lubnoquont tAl Lho Imtl")' of thll Ordor, 7, 'rho porUon of tho P/lrUclpnnt'~ ploll hellonlA pnY/lblo \Q tho AltAlrllnto Puyeo under thin Qono In 60% of Lhe nhuren l/l Lho PurUclpont'n Ol'(ounl. a, 'I'hls Q[)JlO doo~ /lot requlro tho Pion tAl provldo OilY typo or forlll of banont thalllon deos /lot othorwlao provld", 0, 'l'hla QOltO doellllot requlrn tho Pion tAl provldo Incrooaedpnnellta, 10, Thin Q[)JlO doon INt roqulro tho Pion tAl poy OilY bonom. which onothor ordor provlounly dowrmlned to hI! II 'lulllllled dorno~t1c rel/ltlons ordor requlros tho Pion \Q poy to onothor oltomo\Q poyoo, \ 11, Tho Pion nholl dlotrlhutAllnone lump ~urn tho co~h oqulvnlont oCthe shores donlgnotlld In llorollroph 7 ofthla QOltO un noon oa Q,dmlnlltroUvely foonlblo following tho Plan AdmlllllLrotor's opprov/ll of thl~ ardor, II!, Tho AIll!rn/lto I'/lyeo nhlllloloct whether her p"yment from the Pllln nholl ho pllld In cosh In onelulllp ~um p/lYllble dh'ectly to Lhe Allornlltel'lIyee or 01 II direct rollover to /In Individual rotlrclIlellt occount ol'lInothor COlllplllly'6 quolfned rotlroment plan, Such olecUonlhll1l be mndo litter thll Ordel' In qUlllffied onlln electl<lII Corm provided by Lucent 'l'echnologlol, 1110, If LUCllllt 'l'echnologlo6, Ino, 16 lIot In receipt of the COlllplell!d election forlll within 30 dOYI frolll tho dote thot tho election forlll ill Illlllll!ll \Q the Altol'llllte Pllyee, then her 11IIYlllellt will hOlJlode directly to tho AIll!rnoto Jl/lyec In clllh In 0110 IUlllp nlllll, le~6 tho lIpplfCllblo FodorollncolJlo lox withholding, 13, It Is tho Intention of the portios thlltthls Qono continue to qUllllfy III a QOltO undel' Code 0414(p), os It lJlay be /lmended from tllIle to lime, Ilnd thllt the I'lnll Administrator Ihall rOSOrvll the rlllht to reconfirm the qualified stotus oCthe ordor Ilt the time benellta bocolllo paYllhle herounder, 14, In the evont thnt tho Plan Inadvertently pllyn to the P/lI'tidpllnt /lny benofits that are asslglled to the Alternllte Poyee pursuant to the terms or this urder, the Parllcipllnt shall immedllltely reimburse tho Alternnte I'/lyeo t" the extont tl1/1t he hns received such bonent payments ond sholl fortl1with pny such nmount so received directly to the Alternllte Payee withill tell (10) dnys of receipt. III the event thnt the I'lnn Inodwrlently pnys to the Alternnte Pllyee ony benefits thllt arc alslgned to the Purllcipullt pursuuntto thll t'mns or this ordar, the Allorn/lte Poyee shull Immedlotely reimburse tl1e Pnrllcipunt to tlw ,!xtent thut she hns received such benefit p/lyment.~ and sholl forthwith pny such nmounl Fa r<'ceived directly [0 lh,. Pnrlidpnnt within ten (0) days of receipt. II), Altor p/lyment of the nlllount required by tl1is QIJHO, tl1e Alternute Puyee Iholl huve 110 further c1llim /lgalnst the I'nrticipnnt'll interest in the Plnll,