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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
CATHERINE A. BUHRIG
PENNA.
STATE OF
Plallmtiff
No. 2000 - 633
VERSUS
ROBERT L. BUHRIG, JR.
Defendant
DECREE IN
DIVORCE
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AND NOW,
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, 2607, IT IS ORDERED AND
DECREED THAT
CATHERINE A. BUHRIG
, PLAINTIFF,
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ROBERT L. BUHRIG, JR.
, DEFENDANT,
AND
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ARE DIVORCED FROM THE BONDS OF MATRIMONY,
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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;
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P~IDperty Settlement Agreement dated May 31, 2002 is incorporated
into this Order.
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MATRIMONIAL SETTLEMENT AGREEMENT
THIS AGREEMENT, made this 3 J day of
/71 c^ Y
, 2002, between
ROBERT L. BUHRIG, JR., hereinafter called "Husband" and CATHERINE A. BUHRIG,
hereinafter called "Wife".
WITNESSETH:
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The parties hereto, being Husband and Wife were lawfully married on November 30,
1991 in Lancaster County, Pennsylvania;
There were no children born ofthis marriage;
Diverse and unhappy differences, disputes and difficulties have arisen between the parties
and it is the intention of HUSBAND and WIFE to live separate and apart for the rest oftheir
natural lives, and the parties hereto are desirous of settling fully and finally their respective
financial and property rights and obligations as between each other including, without limitation
by specification: the settling of all matters between them relating to the ownership and equitable
distribution of real and personal property; the settling of all matters between them relating to the
past, present and future support, alimony pendente lite, alimony and/or maintenance of each
other; and in general, the settling of any and all claims and possible claims by one against the
other or against their respective estate.
NOW THEREFORE, in consideration of the premises and mutual promises, covenants
and undertakings hereinafter set forth and for other good and valuable consideration, receipt of
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which is hereby acknowledged by each of the parties hereto, HUSBAND and WIFE, each
intending to be legally bound hereby, covenant and agree as follows:
I, INCORPORA nON OF PREAMBLE
The recitals set forth in the Preamble of this Agreement are incorporated herein and made
a part hereof as if fully set forth in the body of the Agreement.
"
2. AGREEMENT NOT A BAR TO DNORCE PROCEEDINGS
This Agreement shall not be considered to affect or bar the right of HUSBAND and
WIFE to an absolute divorce on lawful grounds if such grounds now exist or shall hereafter exist
or to such defense as may be available to either party. This Agreement is not intended to condone
and shall not be deemed to be condonation on the part of either party hereto of any act or acts on
the part of the other party which have occasioned the disputes or unhappy differences which have
occurred or may occur subsequent to the date hereof. The parties acknowledge that their marriage
is irretrievably broken and that they shall secure a mutual consent no-fault divorce pursuant to
the terms of Section 3301(c) of the Divorce Code in WIFE's Cumberland County divorce action
docketed to number 2000-633 Civil Term. The parties shall execute and file all documents and
papers, including affidavits of consent, necessary to fmalize said divorce simultaneous with the
execution of this Agreement.
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3. EFFECT OF DIVORCE DECREE
The parties agree that unless otherwise specifically provided herein, this Agreement shall
continue in full force and effect after such time as a final Decree in Divorce may be entered with
respect to the parties,
4. AGREEMENT TO BE INCORPORATED IN DIVORCE DECREE
The parties agree that the terms of this Agreement shall be incorporated into any Divorce
Decree which may be entered with respect to them.
5. NON-MERGER
It is the parties' intent that this Agreement does not merge with the Divorce Decree, but
rather shall continue to have independent contractual significance. Each party maintains his or
her contractual remedies as well as court ordered remedies as the result of the aforesaid
incorporation or as otherwise provided by law or statute. Those remedies shall include, but not be
limited to, damages, resulting from breach of this Agreement, specific enforcement of this
Agreement and remedies pertaining to failure to comply with an order of court or agreement
pertaining to equitable distribution, alimony, alimony pendente lite, counsel fees and costs as set
forth in the Pennsylvania Divorce Code or other similar statutes now in effect and as amended or
hereafter enacted. It is the specific intent of the parties that Paragraph 19 regarding alimony is not
subject to modification in amount or duration of said alimony payments.
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6. DATE OF EXECUTION
The "date of execution" or "execution date" of this Agreement shall be defined as the date
of execution by the party last executing this Agreement.
7. DISTRIBUTION DATE
The transfer of property, funds and/or documents provided herein shall only take place on
the "distribution date" which shall be defined as the date of execution of this Agreement unless
otherWise specified herein.
8. FINANCIAL DISCLOSURE
The parties confirm that each has relied on the substantial accuracy ofthe financial
disclosure of the other, as an inducement to the execution of this Agreement and that both parties
are satisfied that full and fair disclosure of assets, income and expenses has been made by each
party.
9. SEPARATION
Husband and Wife shall at all times hereafter have the right to live separate and apart
from each other and to reside from time to time at such place or places as they shall respectively
deem fit, free from any control, restraint, or interferences whatsoever by the other. Neither party
shall molest the other or endeavor to compel the other to cohabit or dwell with him or her by any
legal or other proceedings. The foregoing provision shall not be taken to be an admission on the
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part of either Husband or Wife of the lawfulness or unlawfulness of the causes leading to their
living apart.
10. PERSONAL PROPERTY
The parties hereto mutually agree that they have divided all furniture, household
furnishings, appliances and all other household personal property between them, and they
mutually agree that each party shall from and after the date thereof be the sole and separate
owner of all tangible personal property presently in his or her possession. Husband and Wife
agree that all items of personal property and automobiles distributed pursuant to this Agreement
are or have been distributed and accepted by each party in their current condition.
11. AUTOMOBILES
With respect to the motor vehicles owned by one or both of the parties, it is agreed as
follows:
(a) The 1987 Buick LeSabre and 1992 Buick Regal shall become the sole and
exclusive property of Wife. Wife agrees to remove the 1992 Buick Regal from the stone lot
behind Myers Funeral Home, Inc. in Mechanicsburg, Pennsylvania, no later than May 31,2002.
Wife hereby specifically acknowledges that she currently has in her possession both the 1987
Buick LeSabre and the 1992 Buick Regal along with all keys and owner's manuals. Husband
represents and warrants that he is aware of no liens against either vehicle and that he does not
have the titles to these vehicles in his possession.
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(b) The 2000 Buick Regal, purchased after separation, shall remain the sole and
exclusive property of Husband,
The titles or assignment of any lease agreements to said vehicles shall be executed by the
parties, if appropriate, for effectuating transfer as herein provided on the date of execution of this
Agreement and said executed titles/assignments shall be delivered to the proper party on the
distribution date. For the purposes of this Paragraph the term "title" shall be deemed to include
"power of attorney" if the title or lease agreement to the vehicle is unavailable due to financing
arrangements or otherwise. In the event any vehicle is subject to a lien, encumbrance, lease or
other indebtedness the party receiving said vehicle as his or her property shall take it subject to
said lien, encumbrance, lease or other indebtedness and shall be solely responsible therefore and
said party further agrees to indemnifY, protect and save the other party harmless from said lien,
encumbrance, lease or other indebtedness. Each of the parties hereto does specifically waive,
release, renounce and forever abandon whatever right, title and interest he or she may have in the
vehicle(s) that shall become the sole and separate property ofthe other pursuant to the terms of
this Paragraph.
12. DEBTS
Husband shall assume full and complete responsibility for any balance owing on the
parties' joint GM card, Account Number 5437-0004-8233-6965. Further, Husband and Wife
acknowledge and agree that said account has been and shall remain permanently closed.
The parties acknowledge that they have no other joint debts.
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A liability not disclosed in this Agreement will be the sole responsibility of the party who
has incurred or may hereafter incur it, and each agrees to pay it as the same shall become due,
and to indemnify and hold the other party and his or her property harmless for any and all such
debts, obligations and liabilities, From the date of the execution of this Agreement, each party
shall use only those credit cards and accounts for which that party is individually liable and the
parties agree to cooperate in closing any remaining accounts which provide for joint liability.
,
13. FICTITIOUS NAME REGISTRATION
Husband agrees to execute any and all documents simultaneous with the execution of this
Agreement, necessary in order to remove his name from the Fictitious Name Ownership
Certificate of "Signature Desserts". Wife shall provide all necessary documents to effectuate this
Paragraph no later than the execution date of this Agreement. Wife agrees to be solely
responsible for any and aU costs and/or expenses associated with same.
14. EMPLOYEE BENEFIT PLANS
The parties acknowledge and agree that Husband is entitled to certain benefits pursuant to
the Dodge Company, Inc. 401(k) plan. Husband and Wife hereby acknowledge and agree that the
marital portion of the 401(k) plan had a value of$37,191.21 as of January 28,2000, at which
time the parties were separated. The parties agree that Wife shaU receive sixty (60%) percent of
the marital portion of the 401(k) plan value ($37,191.21 as ofJanuary 28,2000) plus or minus
investment gains or losses on that balance only through the date oftransfer to Wife. Husband and
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Wife specifically agree that any and all contributions to the 401(k) plan, including the investment
gains or losses on those contributions, made after January 28,2000, shall be considered non-
marital and shall remain the sole property of Husband. A Qualified Domestic Relations Order
shall be prepared by Wife's counsel which satisfies the Dodge Company, Inc.'s guidelines for
such documents. Wife agrees to assume any and all costs and/or expenses associated with the
preparation ofthe Qualified Domestic Relations Order and the distribution of said funds.
, Except as provided herein, each of the parties does specifically waive, release, renounce
and fofuver abandon all of his or her right, title, interest or claim, whatever it may be in any
Pension Plan, Retirement Plan, Profit Sharing Plan, 401K Plan, Keogh Plan, Stock Plan, Tax
Deferred Savings Plan and/or any employee benefit plan of the other party, and hereafter said
Pension Plan, Retirement Plan, Savings Plan, Tax Deferred Savings Plan and/or any employee
benefit plan shall become the sole and separate property in whose name or through whose
employment said plan is carried.
Husband represents and warrants that he has no other pension or retirement plan except as
set forth above, namely the Dodge Company, Inc. 401K plan. Wife represents and warrents that
she had no pension or retirement plans at the time of separation.
15. DIVISION OF INDIVIDUAL RETIREMENT ACCOUNTS
The parties acknowledge that they are the owners ofthe following Individual Retirement
Accounts:
a. Roth IRA Account #287-133256932-8 owned by Husband with a balance of
$4,472.63 as of March 31, 2002;
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b. IRA Account #287-133099892-0 owned by Husband with a balance of$3,726.43
as of March 31,2002;
c. Roth IRA Account #287-133256943-8 owned by Wife with an approximate
balance of$4,472,63; and
d. Conversion Roth IRA Account #287-822502291-7 owned by Wife with an
approximate balance of$3,726.43.
, The parties agree that they shall each retain their respective Individual Retirement
Accouftts and that each of the parties does specifically waive, release, renounce and forever
abandon whatever right, title, interest or claim, he or she may have in the accounts that are to
become the sole and separate property of the other pursuant to the terms hereof.
The parties both represent and warrant that each has no other Individual Retirement
Accounts other than the accounts set forth above. Wife hereby specifically acknowledges that
Husband owes her no Individual Retirement Account statements or any other documents related
to her Individual Retirement Accounts.
16. STOCK
The parties acknowledge that they are the individual owners of the following stock:
a. Approximately 1.053 Shares Coca-Cola stock owned by Husband with an
approximate value of $56.19 as of Apri115, 2002;
b. Approximately 1,053 Shares Coca-Cola stock owned by Wife with an
approximate value of$56.19 as of April 15, 2002;
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c. Approximately 1,428 Shares Frances Denney stock owned by Husband with an
approximate value of -0- as of April 15, 2002;
d. Approximately 8 Shares Microsoft stock owned by Husband with an approximate
value of $447.44 as of April 15, 2002;
e, Approximately 100 Shares K -Mart stock owned by Wife with an approximate
value of$138.00 as of April 15, 2002; further Wife acknowledges that said stock certificates
have been received upon execution of this Agreement.
"f. The Prudential account titled in Mrs. Carolyn Postlethwait's name as trustee for
Wife shall be the sole and exclusive property of Wife.
The parties agree that they shall each retain his or her respective shares of stock and that
each of the parties does specifically waive, release, renounce and forever abandon whatever right,
title, interest or claim, he or she may have in the stock that is to become the sole and separate
property of the other pursuant to the terms hereof.
Wife hereby specifically acknowledges that she has in her possession all stock certificates
and other documents related to her stock.
17. LIFE INSURANCE
Husband hereby acknowledges that he currently is the owner of a life insurance policy,
specifically: Provident Mutual Life Policy # 1190429460 with a death benefit of $250,000.00 .
Wife hereby waives any and all interest she may have in said policy.
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Wife hereby acknowledges that she currently is the owner of a life insurance policy,
specifically: Provident Mutual Life Policy #1190456810 with a death benefit of $250,000.00.
Husband hereby waives any and all interest he may have in said policy.
18. GM REBATE
Husband shall pay the sum of$I,947.27 to Wife at the time of execution ofthis
agreement to satisfy any and all interest Wife may have had in the GM Rebate earned on the GM
Credit 'Card. Wife specifically acknowledges that she has received said payment.
19. ALIMONY
The parties acknowledge that there is currently an alimony pendente lite order through
Cumberland County Domestic Relations, P ACSES Case Number: 399102253, Docket Number:
00-633 Civil in the amount of$570.00 per month. Husband agrees to pay the sum of Four
Hundred ($400.00) Dollars per month directly to Wife effective May I, 2002. Payment for each
month shall be made prior to the last day of the month for which payment is owed. Said sum of
$400.00 shall be NON-MODIFIABLE as to the amount or duration by either party or the Court
and shall forever terminate upon the death of either party or Wife's remarriage or Wife's
cohabitation or at the end of eight years (96 months with May 2002 being counted as the first
month), whichever occurs first. Unless terminated prior, final payment shall be owed for and
payments shall forever end byApril 30, 2010. Both parties acknowledge that Wife's current
roommate, Mr. Ronald Quaid shall not be considered "cohabitating" with her, based on Wife's
representation under oath that wife and Mr. Quaid are not presently engaged in an intimate
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relationship. Should Wife and her current roommate, Mr. Quaid enter into an intimate
relationship that relationship shall be considered cohabitation. Wife shall be obligated to inform
Husband in writing of her marriage or cohabitation with any person no later than thirty (30) days
therefrom.
Wife agrees to execute all necessary documents in order to terminate the Alimony
Pendente Lite Order docketed to Cumberland County Domestic Relations, P ACSES Case
Number: 399102253, Docket Number: 00-633 Civil effective April 30, 2002. In the event there
is an afrearage owing, it shall be paid by Husband to Wife within 30 days of Cumberland County
Domestic Relations advising Husband of said amount. In the event Husband has overpaid to the
extent he has a credit, then said credit shall be refunded to Husband by Wife within 30 days of
notice of said credit by Cumberland County Domestic Relations.
The parties acknowledge and agree that the action pending before The Honorable J.
Wesley Oler, Jr., pertaining to alimony pendente lite reimbursement of medical premiums owed
to Husband by Wife and retroactive reduction of the alimony pendente lite, Civil Action No. 00-
633, shall be withdrawn.
It is the intent of the parties that all payments, which are designated as alimony under this
Agreement, shall be includable as income by Wife under Section 71 ofthe Internal Revenue
Code and deductible by Husband under Section 215 of the Internal Revenue Code. Wife's social
security number is: 175-52-8931. Husband's social security number is 118-50-8548. The parties
agree to treat the payments set forth above consistently on their federal income tax returns.
Wife shall be obligated to inform Husband in writing of any change in the mailing
address for purposes of sending said alimony payments within thirty (30) days therefrom.
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20. COUNSEL FEES AND COSTS
Both parties shall be responsible for the payment of the fees owed or already paid to their
own attorney. Husband and Wife do hereby waive, release and give up any rights which they may
respectively have against the other for payment of counsel fees and costs.
21. OTHER WRITINGS
"Each of the parties hereto agrees to execute any and all documents, deeds, bills of sale or
other writings necessary to cany out the intent of this Agreement at the execution of this
Agreement where possible or within five (5) days of presentation of said document.
22, DISCLOSURE AND WANER OF PROCEDURAL RIGHTS
Each party understands that he or she has the right to obtain from the other party a
complete inventory or list of all of the property that either or both parties own at this time or
owned as of the date of separation, and that each party had the right to have all such property
valued by means of appraisals or otherwise. Both parties understand that they have the right to
have a court hold hearings and make decisions on the matters covered by this Agreement. Both
parties understand that a court decision concerning the parties' respective rights and obligations
might be different from the provisions of this Agreement.
Each party hereby acknowledges that this Agreement is fair and equitable, that it
adequately provides for his or her needs and is in his or her best interests, and that the Agreement
is not the result of any fraud, duress, or undue influence exercised by either party upon the other
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or by any other person or persons upon either party. Both parties hereby waive the following
procedural rights:
a. The right to obtain an inventory and appraisement of all marital and non-marital
property as defined by the Pennsylvania Divorce Code.
b. The right to obtain an income and expense statement of the other party as
provided by the Pennsylvania Divorce Code.
c. The right to have property identified and appraised.
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d. The right to discovery as provided by the Pennsylvania Rules of Civil Procedure.
e. The right to have the court determine which property is marital and which is non-
marital, and equitably distribute between the parties that property which the court
determines to be marital, and to set aside to a party that property which the court
determines to be that parties' non-marital property.
f. The right to have the court decide any other rights, remedies, privileges, or
obligations covered by this Agreement and/or arising out ofthe marital relationship,
including but not limited to possible claims for divorce, child or spousal support,
alimony, alimony pendente lite (temporary alimony), equitable distribution, custody,
visitation, and counsel fees, costs and expenses.
23. FURTHER DEBT
Wife shall not contract or incur any debt or liability for which Husband or his property or
estate might be responsible and shall indemnify and save harmless Husband from any and all
claims or demands made against Husband by reason of debts or obligations incurred by Wife.
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24. FURTHER DEBT
Husband shall not contract or incur any debt or liability for which Wife or her property or
estate might be responsible and shall indemnify and save harmless Wife from any and all claims
or demands made against Wife by reason of debts or obligations incurred by Husband.
25. MUTUAL RELEASE
"Except as othelWise provided herein and so long as this Agreement is not modified or
canceled by subsequent agreement, the parties hereby release and discharge absolutely and
forever each other from any and all rights, claims and demands, past, present and future
specifically from the following: spousal support from the other, alimony, alimony pendente lite,
division of property, claims or rights of dower and right to live in the marital home, right to act as
executor or administrator in the other's estate, rights as devisee or legatee in the Last Will and
Testament of the other, any claim or right as beneficiary in any life insurance policy of the other,
any claim or right in the distributive share or intestate share of the other parties' estate.
26. JOINT INCOME TAX PRIOR RETURNS
The parties have heretofore filed joint federal and state returns from the date of marriage
through tax year 1999. Both parties agree that in the event any deficiency in federal, state or local
income tax is proposed, or any assessment of any such tax is made against either of them, each
will indemnify and hold harmless the other from and against any loss or liability for any such tax
deficiency or assessment therewith. Such tax, interest, penalty or expense shall be paid solely and
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entirely by the individual who is finally determined to be the cause of the misrepresentations or
failures to disclose the nature and extent of his or her separate income on the aforesaid joint
returns.
27. FINAL EOUITABLE DISTRIBUTION OF PROPERTY
AND RESOLUTION OF ALIMONY
The parties agree that the division of all property set forth in this Agreement is equitable
and in 'the event an action in divorce is commenced, both parties relinquish the right to divide
said property in any manner not consistent with the terms set forth herein. It is further the intent,
understanding and agreement of the parties that this Agreement is a full, final, complete and
equitable property division and settlement of entitlement to alimony which is also the basis and
foundation of the alimony provisions in Paragraph 19 above. In the event Wife files a Petition to
reopen the alimony provisions herein in an attempt to modify either the amount or duration, the
equitable distribution provisions of this Agreement shall be void and payments under Paragraphs
14 and 18 shall be immediately returned to Husband.
28, ENTIRE AGREEMENT
This Agreement constitutes the entire understanding between the parties, and there are no
covenants, conditions, representations or agreements, oral or written, of any nature whatsoever,
other than those herein contained.
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29, LEGALLY BINDING
It is the intent of the parties hereto to be legally bound hereby and this Agreement shall
bind the parties hereto and their respective heirs, executors, administrators and assigns.
30. FULL DISCLOSURE
Each party asserts that she or he has made a full and complete disclosure of all the real
and personal property of whatsoever nature and wheresoever located belonging in any way to
each 01\ them, of all debts and encumbrances incurred in any manner whatsoever by each of them,
of all sources and amounts of income received or receivable by each party, and of every other
fact relating in any way to the subject matter of this Agreement.
These disclosures are part of the consideration made by each party for entering into this
Agreement.
31. COSTS TO ENFORCE
In the event that either party defaults in the performance of any duties or obligations
required by the terms of this Agreement and both extra-judicial and judicial proceedings are
commenced to enforce such duty or obligations, the party found to be in default shall be liable for
all expenses, including reasonable attorneys fees, incurred as a result of such proceedings.
32. AGREEMENT VOLUNTARILY AND CLEARLY UNDERSTOOD
Each party to this Agreement acknowledges and declares that he or she respectively:
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(1) Is fully and completely informed as to the facts relating to the subject matter and
their Agreement as to the rights and liabilities of both parties;
(2) Enters into this Agreement voluntarily after receiving the advice of independent
counsel;
(3) Has given careful and mature thought to the making of this Agreement;
(4) Has carefully read each provision of this Agreement;
(5) Fully and completely understands each provision of this Agreement, both as to the
subject-matter and legal affect.
33. AMENDMENT OR MODIFICATION
This Agreement may be amended or modified only by a written instrument signed by both
parties.
34. SEVERABILITY
If any term, condition, clause or provision of this Agreement shall be determined or
declared to be void or invalid in law or otherwise, then only that term, condition, clause or
provision shall be stricken from this Agreement and in all other respects this Agreement shall be
valid and continue in full force, effect and operation. Likewise, the failure of any party to meet
his or her obligations under anyone or more of the paragraphs herein, with the exception of the
satisfaction of the conditions precedent, shall in no way void or alter the-remaining obligations of
the parties.
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35. LAW APPLICABLE
This Agreement shall be governed, construed and enforced under the statute and case law
of the Commonwealth of Pennsylvania.
36. HEADINGS NOT PART OF AGREEMENT
Any headings preceding the text of the paragraphs and subparagraphs herein, are inserted
solely for convenience of reference and shall not constitute a part of this Agreement nor shall
they affect its meaning, construction or effect.
BY SIGNING THIS AGREEMENT, EACH PARTY ACKNOWLEDGES HAVING
READ AND UNDERSTOOD THE ENTIRE AGREEMENT, AND EACH PARTY
ACKNOWLEDGES THAT THE PROVISIONS OF THIS AGREEMENT SHALL BE AS
BINDING UPON THE PARTIES AS IF THEY WERE ORDERED BY THE COURT AFTER
A FULL HEARING.
IN WITNESS WHEREOF, the parties hereto have executed this Agreement the day and
year first written above.
WITNESS:
ROBERT L. BUHRIG, JR.
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CATHERINE A. BUHRIG
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: NO, 2000 - 633 CIVIL TERM
: CIVIL ACTION - LAW
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CATHERINE A. BUHRIG,
Plaintiff,
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
ROBERT L. BUHRIG, JR.,
Defendant,
: IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
TO THE PROTHONOTARY:
Transmit the record, together with the following information, to the Court for entry of a
divorce decree:
1. Ground for Divorce: Irretrievable breakdown under Section (x)3301(c) ()3301(d)(I)
of the Divorce Code. (Check applicable section.)
2. Date and manner of service of the Complaint: Defendant accepted service on
February 4, 2000 as evidenced by a signed "Acceptance of Service".
3. (Complete either paragraph (a) or (b).
(a) Date of execution of the affidavit of consent required by Section 3301(c) of the
Divorce Code: By Plaintiff: May 26, 2002; Defendant: May 26, 2002 .
(b) (I) Date of execution ofthe Plaintiffs affidavit required by Section 3301(d) of the
Divorce Code: _; (2) Date of service of the Plaintiffs affidavit upon the Defendant:_.
4. Related claims pending: None.
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5. Complete either (a) (b).
(a) Date and manner of service of the notice of intention to fIle praecipe to transmit
record, a copy of which is attached:
(b) Date Plaintiff's Waiver of Notice in ~3301(c) Divorce was filed with the
Prothonotary: June 4, 2002.
(c) Date Defendant's Waiver of Notice in ~3302(c) Divorce was filed with the
Prothonotary: May 31, 2002.
Hubert X. Gilroy, Es
Attorney for Plain .
Broujos & Gilroy, C
4 North Hanover Street
Carlisle, P A 17013
717-243-4574
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 2000-633 CIVIL TERM
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
IN DIVORCE
AFFIDAVIT OF CONSENT AND
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE
UNDER 3301(C) OF THE DIVORCE CODE
(1) A Complaint in Divorce under Section 3301(c)
of the Divorce Code was filed on February 3, 2000.
(2)
The marriage of
broken and ninety
filing and service
Plaintiff and Defendant
(90) days have elapsed
of the Complaint.
is irretrievably
from the date of
(3) I consent to the entry of a final decree of divorce without
formal notice of the intention to request entry of a divorce
decree.
(4) I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses, if I do not
claim them before a divorce is granted.
(5) I understand that I will not be divorced until a divorce
decree is entered by the Court and that a copy of the Decree
will be sent to me immediately after it is filed with the
Prothonotary.
I verify that the statements made in
correct. I understand that false
subject to the penalties of 18 Pa.
unsworn falsification to authorities.
this affidavit are true and
statements herein are made
C. S. Sec. 4904 relating to
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 2000-633 CIVIL TERM
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
IN DIVORCE
AFFIDAVIT OF CONSENT AND
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE
UNDER 3301(C) OF THE DIVORCE CODE
(1) A Complaint in Divorce under Section 3301(c)
of the Divorce Code was filed on February 3, 2000.
(2) The marriage of plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of
filing and service of the Complaint.
(3) I consent to the entry of a final decree of divorce without
formal notice of the intention to request entry of a divorce
decree.
(4) I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses, if I do not
claim them before a divorce is granted.
(5) I understand that I will not be divorced until a divorce
decree is entered by the Court and that a copy of the Decree
will be sent to me immediately after it is filed with the
Prothonotary.
I verify that the statements made in this affidavit are true and
correct. I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S. Sec. 4904 relating to
unsworn falsification to authorities.
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DATED
Robert L.Buhrig, J
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SUITE 201
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CATHERINE A. BUHRIG,
Plaintiff,
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
v
: NO. 2000 - 633 CIVIL TERM
: CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant,
: IN DIVORCE
AFFIDAVIT OF SERVICE
I, Hubert X. Gilroy, being duly sworn according to law do depose and state that a copy ofthe
Complaint and Notice to Plea filed in the above referenced matter was served on Defendant
Robert L. Buhrig, Jr. on February 4, 2000. A copy of the Acceptance of Service is attached
hereto and marked Exhibit A.
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Hubert X. Gilr , Esquire
Attorney for aintiff
Broujos & ilroy, P.C.
4 North Hanover Street
Carlisle, PA 17013
717 - 243-4574
Sworn and subscribed
before me this ~
day of J v.4 ,2002
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Notarial Seal
Bridget Ann Corcoran, Notary Public
Carlisle BolO, Cumberland Coun\y
My Commission Expires Juoe 10. 2006
Member, PennsylVanlaAssoclationolNolarieS
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CATHERINE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYL V ANlA
v
: NO.: 2000 - 633 CIVIL ACTION - LAW
ROBERT L. BUHRIG,
Defendant
: IN DIVORCE
ACCEPTANCE OF SERVICE
I, Robert L. Buhrig, hereby acknowledge that I accepted service of the Divorce Complaint
filed in the above matter, which Complaint did include a Notice to Plead and a notice of
availability of various rights including counseling, said acceptance of servicing taking place
on February 4, 2000.
Date:
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CATHERINE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v
.
: NO. 2000. b~
CIVIL ACTION
ROBERT L. BUHRIG, JR.,
Defendant
: IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
You have been sued 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 counseling. A list of marriage counselors is available in the
Prothonotary's Office at the Cumberland County Courthouse, Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF
PROPERTY, LAWYER'S FEES OR EXPENSES, BEFORE A DIVORCE OR
ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM
ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF
YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO
OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT
WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PA 17013
717-249-3166
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CATHERINE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v
.
: NO. 2000 - {,..?\3
CIVIL ACTION
ROBERT L. BUHRIG, JR.,
Defendant
: IN DIVORCE
COMPLAINT
Plaintiff, Catherine A. Buhrig, by her attorneys, Broujos &: Gilroy, P.c., sets forth the
following:
1
Plaintiff, Catherine A. Buhrig, is an adult individual whose legal residence is 1 07 Shirley
Lane, Boiling Springs, Cumberland County, Pennsylvania.
2
Defendant, Robert L. Buhrig, Jr., is an adult individual whose legal residence is 107 Shirley
Lane, Boiling Springs, Cumberland County, Pennsylvania.
3
The parties were married on November 30, 1991.
4
There have been no prior actions for divorce or annulment in this or any other jurisdiction
within the knowledge of the Plaintiff.
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5
Both parties have resided continuously in the Commonwealth of Pennsylvania and in
Cumberland County for at least six months prior to the commencement of this action.
6
In accordance with Section 3301 (c) of the Divorce Code, the marriage between the parties
is irretrievably broken.
7
The parties possess various items of personal and real property which constitutes marital
property and is subject to equitable distribution by the Court.
8
Plaintiff is without sufficient assets to sustain herself during the pendency of this divorce
action and Plaintiff seeks alimony pendente lite.
9
Plaintiff is without sufficient assets to sustain herself after the entry of a divorce decree and
Plaintiff seeks alimony.
10
Plaintiff is without sufficient assets and requests that the Defendant pay her counsel fees and
costs of appraisals and other costs involved in the divorce action.
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WHEREFORE, the Plaintiff requests your Honorable Court to enter relief as follows:
A. Directing that Plaintiff be divorced from the Defendant.
B. Directing that the marital property of the parties be equitable distributed.
C. Directing that the Defendant pay the Plaintiff alimony pendente lite.
D. Directing that the Defendant pay the Plaintiff alimony.
E. Directing that the Defendant pay the Plaintiff's attorneys fees and costs of the
divorce litigation.
F. Such other relief as may be appropriate.
BROUJOS &: GILROY, P.c.
OfJ-
By
Hubert X. Gilroy, Esqui
Attorney for Plaintiff
4 North Hanover Street
Carlisle, PA 17013
717-243-4574
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I verify that the statements in the foregoing pleading are true and correct. I understand that
false statements herein are made subject to the penalties of 1 8 PaCS 4904 relating to
unsworn falsification to authorities.
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Catherine A. Buhrig
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Theresa Barrett Male
Supreme Court #46439
115 Pine Street
Harrisburg, PA 17101
(717) 233-3220
Counsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRlG, JR.,
Defendant
CIVIL ACTION - DIVORCE
ORDER
AND NOW, March ---..2.L-, 2000, upon consideration of Defendant's Application
for Special Relief, the Court ISSUES a RULE on Plaintiff to show cause why the Court should
not grant the relief requested in the application.
The Rule is returnable ten (10) days after service.
BY THE COURT:
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Theresa Barrett Male
Supreme Court #46439
115 Pine Street
Harrisburg, PA 17101
(117) 233-3220
Counsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
PROPOSED ORDER
AND NOW, March
, 2000, the Court GRANTS Defendant's Application
for Special Relief. Within five (5) days of the date of this Order, Wife SHALL:
1. execute a listing agreement for sale of the marital residence. Pending the sales
settlement, Wife shall pay directly to Husband fifty percent (50 %) of the first and second
mortgages, plus fifty percent of the real estate taxes and the property insurance premiums, with
such payments to be received by Hsuband sevenn (7) days in advance of the date on which such
payments are due.
2. execute all documents required to transfer the certificate of title of the 1992 Regal
to Husband.
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3. provide Husband with all documents, including W-2s, 1099s and interest
statements, necessary to prepare their joint federal, state and local income tax returns. The court
further directs Wife to sign the returns.
4. reimburse Husband his legal fees in the amount of $750.00.
Pending settlement on the sale of the marital residence, or entry of the divorce decree,
whichever occurs first, Husband is awarded exclusive use and possession of the marital
residence. Wife shall not enter into or upon the premises without Husband's prior written
authorization.
BY THE COURT:
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Theresa Barrett Male
Supreme Court #46439
115 Pine Street
Harrisburg, P A 17101
(117) 233-3220
Couusel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DNORCE
DEFENDANT'S APPLICATION FOR SPECIAL RELIEF
PURSUANT TO RULE 1920.43
Count I - Sale of Marital Residence
1. Plaintiff Catherine A. Buhrig ("Wife") filed her complaint in divorce on February
3, 2000 raising, inter alia, claims for equitable distribution.
2. The parties own as tenants by the entireties improved real estate situated at 107
Shirley Lane, Boiling Springs, Cumberland County, Pennsylvania.
3. The marital residence is encumbered by a primary mortgage in the amount of
$1,135.00 per month and a second mortgage in the amount of $775.00 per month, for a total
expense of $1,910.00 per month.
4. The real estate taxes and the property insurance, which are not escrowed, are
approximately $200.00 per month.
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5. Wife vacated the premises on or about January 27, 2000.
6. Since vacating the premises, Wife has not made any payment or contribution
toward the payment of the mortgages or other expenses of the property.
7. Since Wife left the premises, Husband has been paying the mortgages and all
other expenses related to preserving and maintaining the property.
8. The parties cannot afford to keep the property if they remain separated and living
in separate households.
9. Wife has filed a claim for support, which, if successful, will further reduce
Husband's available income to pay the mortgages, the real estate taxes and the property
insurance.
10. On February 29, 2000, Husband's counsel forwarded to Wife's counsel a
proposed settlement agreement under which Wife received the marital residence.
11. In the alternative, Husband has suggested both privately to Wife and through
counsel that they list the property for sale as soon as possible.
12. Wife has not responded to Husband's settlement proposal.
13. Wife has not responded to Husband's request that they list the property for sale.
14. If the parties do not list the property for sale soon, they will miss the peak sales
season.
15. If the parties do not list the property for sale soon, they may become delinquent
on the mortgages and the real estate taxes which are due soon.
2
Wherefore, Husband requests this court to enter an order directing Wife to execute a
listing agreement and further directing that she pay fifty percent of the first and second
mortgages, plus fifty percent of the real estate taxes and the property insurance premiums.
Count II - Exclusive Use and Possession
of Marital Residence
16. Husband incorporates by reference the averments set forth in the preceding
paragraphs.
17. Wife vacated the premises on or about January 27, 2000.
18. Wife continues to enter into the residence, despite Husband's request that she not
do so.
19. Wife's refusal to stay out of the marital residence is depriving Husband of the
peaceful and quiet enjoyment of his living space.
20. The court has the authority to award one party exclusive use and possession of
the marital residence during the pendency of the divorce action.
Wherefore, Husband requests this court to enter an order awarding him exclusive use and
possession of the marital residence pending sale of the property or divorce decree, whichever
comes first.
Count III - Motor Vehicles
21. Husband incorporates by reference the averments set forth in the preceding
paragraphs.
3
22.
Regal.
23.
24.
25.
26.
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During the marriage, the parties acquired a 1987 Buick LeSabre and a 1992 Buick
The certificates of title to both vehicles are in joint names.
Wife currently has possession and use of the 1987 LeSabre.
Husband currently has possession and use of the 1992 Regal.
Husband believes and therefore avers that there is no dispute that each party will
retain the vehicle currently in that party's possession.
27. Husband's vehicle has in excess of 185,000 miles.
28. Husband relies on his vehicle for his sales job.
29. Husband soon may need to trade in the Regal.
30. Wife has refused to execute the documents necessary to transfer the certificates
of title.
Wherefore, Husband requests the court to enter an order directing Wife to execute all
documents required to effect the vehicle transfer.
Count IV - 1999 Income Tax Returns
31. Husband incorporates by reference the averments set forth in the preceding
paragraphs.
32. The parties had federal and state income tax withheld for 1999 based on filing
joint income tax returns.
33. The April 15 deadline is fast approaching and Wife refuses to cooperate with
Husband in preparing the joint returns.
4
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34. If the parties have to file income tax returns as "married filing separately", they
will incur substantial additional tax liability.
Wherefore, Husband requests the court to enter an order directing Wife to provide
Husband with all documents, including W-2s, 1099s and interest statements, necessary to
prepare their joint federal, state and local income tax returns, and further directing Wife to sign
the returns.
Count V - Counsel Fees
35. Husband incorporates by reference the averments set forth in the preceding
paragraphs.
36. Husband has incurred in excess of $750.00 in legal fees in attempting to resolve
the issues raised in this application.
37. These fees are a direct and proximate result of Wife's failure to cooperate.
Wherefore, Husband requests the court to enter an order directing Wife to reimburse
Husband his legal fees in the amount of $750.00, plus additional fees which Husband will incur
in connection with this application.
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Theresa Barrett Male, Esquire
Supreme Court # 46439
115 Pine Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel For Defendant
Date: March 22, 2000
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VElUFICATION
I. Robert L. Buhrig, Jr., slate upon pc.",,11Il knowledge Of infol1l1alion lllld belief that
lite averments set forth in the fOregoing document aro true.
I u~d that f.llse $fatements bemin lIR\ made SUbject to the paWti~ of 18 Pa. C.S.
S 4904, m1atirli to JIIISW<Inl 1aIsi1btion to authorities,
~~
Date: ~ ) 2 ;J.. , 2000
/
PROOF OF SERVICE
I hereby certify that I am this day serving the foregoing document upon the persons and
in the manner indicated below which service satisfies the requirements of Pa. R.C.P. 440:
Service via fax and first-class mail addressed as follows:
Hubert X. Gilroy, Esquire
Broujos & Gilroy, P.C.
4 N. Hanover Street
Carlisle, PA 17013
Attorneys for Plaintiff
L~
Theresa Barrett Male, Esquire
Supreme Court # 46439
115 Pine Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel for Defendant
Date: March 22, 2000
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CATHERlNE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v
: NO, 00 - 633 CIVIL ACTION
ROBERT L BUHRlG, JR,
Defendant
: IN DIVORCE
DEMAND FOR HEARING
DATE OF ORDER: June 25, 2001
. AMOUNT: $570.00 per month
FOR: Alimony Pendente Lite
REASON(S):
Hearing Officer deviated from guidelines inappropriately based upon contribution wife is
receiving from roommate for costs of rent, utilities, etc.
Date::2( y / j(
Hubert X. Gi y, Esquire
Attorney fI Plaintiff
Broujo Gilroy, P,C.
4 No Hanover Street
Carlisle, P A 17013
(717) 243-4574
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PACSES In 399102253
CATHERINE A. BUHRIG,
Plaintiff jpetitioner /Respondent
vs,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: DOMESTIC RELATIONS SECTION
: CIVIL ACTION - LAW
ROBERT L. BUHRIG,JR.,
Defendant/Respondent/Petitioner
: NO. 00-633 CIVIL TERM
ORDER OF COURT
AND NOW, this 25th day of June, 2001, based upon the Court's determination that
Petitioner's monthly net income/earning capacity is $1,995.60 per month and Respondent's monthly
net income/earning capacity is $3,636.44 per month, it is hereby Ordered that the Respondent pay to
. the Pennsylvania State Collection and Disbursement Unit, $570.00 per month payable monthly as
follows; $570.00 per month for alimony pendente lite and $0.00 on arrears. First payment due on or
before the last day of the month. Arrears set at $506.77 as of June 25, 2001. The effective date of the
order is August 15,2000.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa.C.S.~ 3703. Further, if the Court
finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare
the Respondent in civil contempt of Court and its discretion make an appropriate Order, including,
but not limited to, commitment of the Respondent to prison for a period not to exceed six months.
Said money to be turned over by the P A SCDU to: Catherine A. Buhrig. Payments must be
made by check or money order. All checks and money orders must be made payable to P A SCDU
and mailed to:
P A SCDU
P.O. Box 69110
Harrisburg, P A 17106-911 0
Payments must include the defendant's P ACSES Member Number or Social Security Number in
order to be processed. Do not send cash by mail.
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This Order shall become final ten days after the mailing of the notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
DRO: R. J. Shadday .
MaileilJ'opies on
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BYTHECOURT,
Petitioner
Respondent
Lori Serratelli. Esquire
Hubert Gilroy, Esquire
rl/0
esley Oler, Jr.
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Theresa Barrett Male
Supreme Court #46439
513 North second Street
Harrisburg, PA 17101
(717) 233-3220
Counsel For Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
CATHERINE A. BUHRIG,
Plaintiff
DOCKET Number DR 29,636
PACSES Case Number 3991002253
v,
00-633 Civil Term
ROBERT L. BUHRIG, JR.,
Defendant
Other State ID Number
DEFENDANT'S MOTION TO TERMINATE APL
OR, ALTERNATIVELY, DECREASE SUBSTANTIALLY THE AMOUNT
1. Plaintiff Catherine A. Buhrig ("Wife") is 30 years old, and currently resides in
Dauphin County.
2, Defendant Robert L. Buhrig, Jr. ("Husband") is 31 years old, and currently
resides in Cumberland County.
3. The parties were married on November 30, 1991, and separated on January 23,
2000.
4. On January 31, 2000, Wife filed a complaint for spousal support, docketed to
Buhrig v. Buhrig (# 00076 S 2000; PACSES # 349101941).
5, On February 3, 2000, Wife initiated this action, seeking a divorce decree under
section 3301 (c) of the Divorce Code on the grounds that the marriage is irretrievably broken,
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6. Wife's divorce complaint raised economic claims for equitable distribution,
alimony, alimony pendente lite ("apl"), counsel fees and expenses.
7, On or about April 14, 2000, Wife filed a petition for apl.
8. On June 5,2000, the Court entered an order withdrawing Wife's spousal support
complaint. A true and correct copy of the order is attached as Exhibit 1,
9. On June 7, 2000, the Court entered an agreed order setting apl at $870 per month,
plus $50 per month on arrears. Husband also agreed to pay Wife $1,200 within ten days of the
date of the order. A true and correct copy of the order is attached as Exhibit 2.
10, Since entry of the June 7, 2000 apl order, Wife's circumstances have changed
materially, including:
a, Wife is sharing an apartment with a male individual.
b. Wife's reasonable monthly expenses are reduced.
c, Wife has secured a new job.
d. Wife now has an increased salary plus medical coverage.
11. In contrast, in 2000, Husband experienced an involuntary reduction in his income.
12. The apl amount was calculated on the basis of Husband's 1999 earnings,
13. Since February 2000, Husband has paid $188.05 per month to maintain Wife's
health insurance coverage.
14. Husband anticipates that the health insurance premium which he pays for and on
behalf of Wife will increase to $200.09 per month on or about March 15, 2001.
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15. Since June 2000, Husband has paid Wife apl in the sum of $7,640.00, plus health
insurance premiums in the sum of $2,256,60, for a total of $9,896,60,
16. Wife has delayed resolution of the economic issues because she has a financial
incentive to do so,
17, Wife has not fIled an affidavit of consent.
18. Wife has not filed an inventory, income and expense statement, or relevant federal
income tax returns as required by Rille 1920.33 and by Rule 1920.31.
19. Concurrently with the filing of this motion, Husband is filing an inventory, an
income and expense statement, relevant federal income tax returns, motion for appointment of
the master, affidavit of consent, and waiver of notice of intention to request divorce decree.
Wherefore, Defendant requests the Court to terminate with prejudice Plaintiff's award
of alimony pendente lite, including his liability for Defendant's health insurance. In the
alternative, Defendant requests the court to reduce the apl to a nominal order of $25,00 per
week, with immediate termination of Plaintiff's medical insurance responsibility.
Respectfully submitted,
Theresa Barrett Male, Esquire
Supreme Court # 46439
513 North Second Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel for Defendant
Date: February 9, 2001
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In the Court of Common Pleas of CUMBERLAND
DOMESTIC RELATIONS SECTION
County, Pennsylvania
CAT!'IERINE A. BUHRIG ) Docket Number 00076 S 2000
Plaintiff )
vs. ) PACSES Case Number 349101941
ROBERT L. BUHRIG JR )
Defendant ) Other State ID Number bR.. OIq 3& ~
Order
AND NOW to wit, this
JUNE 5, 2000
it is hereby Ordered
that:
THE COMPLAINT FOR SUPPORT FILED ON 1/31/00 IS WITHDRAWN AT THE REQUEST OF THE
PLAINTIFF IN THIS MATI'ER,
!~~@~DW~m
U~ JUN 0 9 2000 ~
By
BY THE COURT:
00: ./!try L. 1ckes
0::. plaintiff ali 00fer:rlant
0::: Iil:ert~, ESq.
0::: 'llEIEsa l3:n:rett-Mlle, ESq.
JUDGE
Service Type M
Form OE-520
Worker ID 21102
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DR 29,636
PACSES ID 399102253
m~@lEDW~m
UU JUN 1 2 2000 W
CATHERINE A. BUHRlG,
Plaintiff/Petitioner
vs.
: IN THE COURT OF COMMON AS
: CUMBERLAND COUNTY, PEN
: DOMESTIC RELATIONS SECTION
: CIVIL ACTION - LAW
ROBERT L. BUHRlG,JR.
Defendant/Respondent
: NO. 00-633 CIVIL TERM
ORDER OF COURT
AND NOW, this 7th day of June, 2000, based upon the Court's determination that Petitioner's
monthly net income/earning capacity is $N/ A per month and Respondent's monthly net
income/earning capacity is $N/ A per month, it is hereby Ordered that the Respondent pay to the
Pennsylvania State Collection and Disbursement Unit, $920.00 a month payable monthly as follows;
$870,00 per month for alimony pendente lite and $50,00 per month on arrears, First payment due
within ten days in the amount of$I,200,00 as agreed upon, Arrears set at $4,350,00 as oOnne 7,
2000, The effective date of the order is February 3,2000.
This order is based upon an agreement of the parties through their counsel. Husband is to
make a payment in the amount of$I,200.00 within ten days of this order.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa,C.S,g 3703, Further, if the Court finds,
after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the
Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not
limited to, commitment of the Respondent to prison for a period not to exceed six months,
Said money to be turned over by the P A SCDU to: Catherine A Buhrig. Payments must be
made by check or money order. All checks and money orders must be made payable to P A SCDU and
mailed to:
P A SCDU
P,O, Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's P ACSES Member Number or Social Security Number in order
to be processed. Do not send cash by mail.
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Unreimbursed medical expenses that exceed $250,00 annually are to be paid 0% by the
respondent and 100% by petitioner.
This Order shaII become final ten days after the mailing of the notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
DRO: R. 1. Shadday
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BY THE COURT,
Petitioner
Respondent
Hubert Gilroy, Esquire
Theresa Barrett Male, Esquire
J.
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VERIFICATION
t, Robert L. Buhrig, Jr., state upon personal knowledge or information and belief tbat
the averments set forth in the foregoing document ace uue.
I understand that false statements herein are made subject to the penalties of,18 Pa. C.S.
i 4904. relating to UDSwom falsification to authorities,
Date: .2/7 , 2001
-
PROOF OF SERVICE
I hereby certify that I am this day serving the foregoing document upon the persons and
in the manner indicated below which service satisfies the requirements of Pa. R.C.P. 440:
Service via first-class mail addressed as follows:
Hubert X. Gilroy, Esquire
Broujos & Gilroy, P.C.
4 N. Hanover Street
Carlisle, PA 17013
Attorneys for Plaintiff
~~
Theresa Barrett Male, Esquire
Supreme Court # 46439
513 North Second Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel for Defendant
Date: February 9, 2001
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DR 29,636
PACSES In 399102253
CATHERINE A. BUHRIG,
Plaintiff/Petitioner
vs.
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: DOMESTIC RELATIONS SECTION
: CIVIL ACTION - LAW
ROBERT L. BUHRIG,]R.
Defendant/Respondent
: NO. 00-633 CIVIL TERM
ORDER OF COURT
AND NOW, this 7th day ofJune, 2000, based upon the Court's determination that Petitioner's
monthly net income/earning capacity is $N/A per month and Respondent's monthly net
income/earning capacity is $N/ A per month, it is hereby Ordered that the Respondent pay to the
Pennsylvania State Collection and Disbursement Unit, $920.00 a month payable monthly as follows;
$870.00 per month for alimony pendente lite and $50.00 per month on arrears. First payment due
within ten days in the amount of$I,200.oo as agreed upon. Arrears set at $4,350.00 as ofJune 7,
2000. The effective date of the order is February 3, 2000.
This orderis based upon an agreement ofthe parties through their counsel. Husband is to
make a payment in the amount of$I,200.00 within ten days ofthis order.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa.C.S.9 3703. Further, if the Court finds,
after hearing, that the Respondent has wi1lfully failed to comply with this Order, it may declare the
Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not
limited to, commitment ofthe Respondent to prison for a period not to exceed six months.
Said money to be turned over by the P A SCDU to: Catherine A. Buhrig. Payments must be
made by check or money order. All checks and money orders must be made payable to P A SCDU and
mailed to:
PASCDU
P.O. Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's PACSES Member Number or Social Security Number in order
to be processed. Do not send cash by mail.
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Unreimbursed medical expenses that exceed $250.00 armually are to be paid 0% by the
respondent and 100% by petitioner.
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This Order shall become final ten days after the mailing of the notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
DRO: I~. J..~h.addaY
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BY THE COURT,
Petitioner
Respondent
Hnbert Gilroy, Esquire
Theresa Barrett Male, Esquire
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CATHERINE A. BUHRIG,
PlaintifflPetitioner
IN THE COURT OF COMMON PLEAS OF
CUMBIERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
ROBERT L. BUHRIG, JR.
DefendantlRespondent
NO. 00 - 633 CIVIL TERM
IN DIVORCE
DR# 29,636
PacseS# 399102253
ORDER OF COURT
AND NOW, this 10'" day of May, 2000, npon consideration of the attached Petition for Alimony
Pendente Lite andlor counsel fees, it is hereby directed that the parties and their respective counsel appear
before RJ, Shaddav on June 7. 2000 at 9:00 A.M. for a conference, at 13 N. Hanover St., Carlisle, P A
17013, after which the conference officer may reconunend that an Order for Alimony Pendente Lite be
entered.
YOU are further ordered to bring to the conference:
(1) a true copy of your most recent Federal Income Tax Retnrn, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Stntement attached to this order, completed as required by Rule
1910.11iD
(4) verification of child care expenses
(5) proof of medical coverage which you may have, or may have available to you
IF you fail to appear for the conference or bring the required docnments, the Court may issue a
warrant for your arrest.
BY THE COURT,
George E. Hoffer, President Judge
Miil~~opies on
5~11~()O to:
Date of Order:
Petitioner
< Respondent
Hubert Gilroy, Esquire
Theresa Barrett Make, Esquire )j
Mav II. 2000
R
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE
REPRESENT YOU. IF YOU DO NOT HAVE A LA WYlER OR CANNOT AFFORD ONE, GO TO
OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET
LEGAL HELP.
CUMBERLAND COUNlY BAR ASSOCIATION
2 LIBERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
FJLED-DFFICE
C"" Tn';: PI)()H""fI'\"'''Y
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OO/'lllY 10 Pi'! 4: 09
CUIABERl),r'iD COUNTY
PENNSYlVANIA
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Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
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v
: CIVIL ACTION - DIVORCE
ROBERT L. BUHRIG, JR.,
Defendant
: NO. 2000 - 633 CIVIL
PETITION FOR ALIMONY PENDENTE LITE
Plaintiff, Catherine A. Buhrig, by her attorneys Broujos & Gilroy, P. C., sets forth the following:
1.
Plaintiff has filed a divorce action at the above term and number.
. Plaintiff is without sufficient assets to maintain herself during the pendency of the divorce
action.
3
Plaintiff requests your Honorable Court to grant her alimony pendente lite.
1JItlY
Hubert X. Oi y, Esquire
Attorney for laintiff
Broujos & '!roy, P.C.
4 North anover Street
Carlisle, PA 17013
(717) 243-4574
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I verify that the statements made in the foregoing document are true and correct. I understand that
false statements herein are made subject to the penalties of 18 PA.C.S. Section 4904 relating to
unsworn falsification to authorities.
DATE:
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Catherine A. Bubrig
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CAmERINE A. BUHRIG,
PJaintifti'Petitioner/Respondent
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY,PENNSYLV ANIA
VS.
CML ACTION - DIVORCE
ROBERT L. BUHRlG, JR.,
Defendant/RespondentIPetitioner
NO. 00-li33 CIVIL TERM
IN DIVORCE
DR# 29,636
PacseS# 399102253
DEMAND FOR HEARING
DATE OF ORDER: "Jtirie,25;ZOOl"
AMOUNT: $570.00 per month
FOR: Alimony Pendente Lite
REASON(S):
Wife's earninq capacity is hiqher than assessed'~
by hearinq officer.
PARTY FILING DEMAND FOR HEARING: Robert L. Buhrig, Jr.
July 5, 2001
gnature ate
{f:'hn Sheridan, Esquire
or Lori K. Serratelli, Esquire
i ERRATELLI, SCHIFFMAN,
, BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 201
Harrisburg, PA 17110
(717) 540-9170
Attorneys for Robert L. Buhrig, Jr.
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DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
LORI K. SERRATELLI
2080 LINGLESTOWN RD
HARRISBURG PA 17110-9693
Generic Address Sheet
Service Type M
Form eM-521
Worker ill 21205
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CATHERINE A. BUHRIG,
Plaintiff7Respondent
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYL V ANlA
vs.
: No. 00-633 Civil
ROBERT 1. BUHRIG,
DefendantlPetitioner
: CIVIL ACTION - LAW
: IN DNORCE
ORDER
AND NOW, this _ day of
,2001, upon consideration of
the within Petition for Vocational Evaluation, it is hereby ORDERED and DECREED that
Plaintiff7Respondent submit promptly to a vocational evaluation by DefendantlPetitioner's
vocational expert, Andrew D. Caporale, by supplying three available dates during the month of
Augnst, 2001 to the DefendantlPetitioner's attorney when she would be available for the
evaluation at the Law Offices of Serratelli, Schiffman, Brown & Calhoon, P .C., 2080
Linglestown Road, Suite 201, Harrisburg, Pennsylvania.
J.
--
CATHERINE A. BUHRlG,
PlaintifflRespondent .
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYL VANIA
vs.
: No. 00-633 Civil
ROBERT L. BUHRlG,
DefendantlPetitioner
: CIVIL ACTION - LAW
: IN DIVORCE
PETITION FOR VOCATIONAL EVALUATION
TO THE HONORABLE, THE JUDGES OF SAID COURT:
AND NOW COMES, DefendantlPetitioner, Robert L. Buhrig, by and through his
attorney, Lori K. Serratelli, Esquire, and the law firm ofSerratelli, Schiffman, Brown &
Calhoon, P. C., and files this Petition for Vocational Evaluation and in support of same,
respectfully represents and avers the following:
1. The DefendantlPetitioner is Robert L. Buhrig, who currently resides at 209 Louisa
Lane, Mechanicsburg, Pennsylvania 17050.
2. PlaintifflRespondent is Catherine A. Buhrig, who currently resides at 1517 Rothsville
Road, Lititz, Pennsylvania 17543.
3. The DefendantlPetitioner has currently been ordered to pay spousal support in the
amount of $570.00 per month pursuant to a Domestic Relations Order of Court dated June 25,
2001. Both the DefendantlPetitioner and Plaintiffi'Respondent have requested a hearing de novo.
4. DefendantlPetitioner filed a Motion for Appointment of Master through his previous
attorney, Theresa Barrett Male on February 9, 2001, but no hearing has been scheduled on the
outstanding property and alimony issues.
,~
5. DefendantlPetitioner believes that PlaintiffIRespondent is currently underemployed
and has a higher elll:lling capacity.
6. DefendantlPetitioner has retained the services of Andrew D. Caporale to assess
Plaintiffi'Respondent's earning capacity and Mr. Caporale has given a preliminary report on
Plaintiff7Respondent's eaming capacity..
7. DefendantlPetitioner believes it is essential that Mr. Caporale evaluate
Plaintiff7Respondent in order to complete his report on PlaintifflRespondent's earning capacity.
WHEREFORE, DefendantlPetitioner respectfully request that this Honorable Court to
order and decree that Plaintiff7Respondent be evaluated forthwith by Andrew D. Caporale.
Respectfully submitted,
. f"
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Lori K( S rratelli, Esquire
T
ill NO. 27426
SERRATELLI, SCHIFFMAN,
BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 201
Harrisburg, P A 1711 0
(717) 540-9170
Attorney for DefendantlPetitioner
,
VERIFICATION
I, Lori K. Serratelli, Esquire, attorney for the Defendant/Petitioner, have personal
knowledge of the facts contained in the foregoing document and therefore do verify that the
information contained therein is true and correct to the best of my knowledge, information and
belief.
burig.pve
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CATHERINE A. BUHRIG,
Plaintift7Respondent
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
: No. 00-633 Civil
ROBERT L. BUHRIG,
DefendantlPetitioner
: CIVIL ACTION - LAW
: IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. Serratelli, Esquire, do hereby certify that on this Ii t{ray of f~ ' 2001, I
served a copy of the foregoing document by United States Mail, First Class, postage pre-paid, to
the following person(s):
Hubert X. Gilroy, Esquire
4 North Hanover Street
Carlisle, P A 17013
Attorney for Plaintifi7Respondent
/1'.-; ,
Lori V rratelli, Esquire
SERRATELLI, SCHIFFMAN,
BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 201
Harrisburg, P A 1711 0
(717) 540-9170
Attorney for DefendantlPetitioner
"
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG,
Defendant
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this 29th day of May, 2002, upon relation of Hubert Gilroy, Esq., that
the patiies have reached an agreement in the above matter, the hearing previously
scheduled for May 30, 2002, is cancelled.
BY THE COURT,
~
J es1ey Oler,
Hubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
Lori K. Serratelli, Esq.
2080 Linglestown Road
Suite 201
Harrisburg, PA 17110
Attorney for Defendant
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
CATHERINE A. BUHRIG ) Docket Number 00-633 CIVIL
Plaintiff )
VS. ) PACSES Case Number 399102253/D29636
ROBERT L. BUHRIG JR )
Defendant ) Other State ill Number
ORDER
AND NOW, to wit, on this
12TH DAY OF JUNE, 2002
IT IS HEREBY
ORDERED that the APL.; order in this case be 0 Vacated or OSuspended or
<y Terminated without prejudice or 0 Terminated and Vacated,
effective
MAY 1, 2002
, due to:
THE PARTIES'S MATRIMONIAL SETTLEMENT AGREEMENT. THERE IS A CREDIT OF $266.00
ON THE ALIMONY PENDENTE LITE ACCOUNT.
BY THE COURT:
DRO: RJ Shad-day
xc: plain tiff
defendant
Lori Serratelli, Esquire
Hubert Gilroy, Esquire
JUDGE
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Service Type M
Form OE.504
Worker ill 21005
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LIEN SATISFACTION
Pacses# 399102253
No. 633-00 CV
DR# 29636
Name: Robert Buhril!
Social Security Number: 118-50-8548
Judgment Lien Satisfied as of: June 12. 2002
Amount Paid: $ Case Closed
Signed:
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(Lien Coordinator)
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(Date)
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SERRATELLI
SCllIFFMAN
BR( )WN &
CALHOON, Pc.
LORI K. SERRATELlI
STEVEN j. SCHIFFMAN
MICHAEL F. BROWN
RONALD L. CALHOON
ANDREW j. OSTROWSKI
DEBORAH L. PACKER
STEVEN O. SPAHR
MAURA B. MUNDY
MELANIE L. ERB
GARTH A. STEPHENSON
Of Counsel
IMD & DC Bars Only}
JOHN D. SHERIDAN
Of Counsel
SUITE 201
2080 lINGLESTOWN ROAD
HARRISBURG, PA
17110.9670
(717) 540.9170
FAX (717) 540-5481
July 11,2001
E. Robert Elicker, Master
Office of Divorce Master
9 North Hanover Street
Carlisle, P A 17013
Re: Catherine A. Buhrig v. Robert L. Buhrig
No. 00-633 Civil
Dear Mr. Elicker:
On behalf of Robert L. Buhrig, I am writing to request that a pre-
hearing conference be scheduled in the above captioned matter. A Motion for
Appointment of Master was filed by Mr. Buhrig's previous attorney, Theresa
Barrett Male on February 9, 2001.
Thank you for your attention.
Very truly yours,
SERRATELLI, SCHIFFMAN
BROWN & CALHOON, P.C.
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LKS/dae
cc: Hubert X. Gilroy, Esquire
Robert L. Buhrig
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JOHN H. BROUJos
HUBERT X. GU.ROY
BROUJOS & GILROY, P. c.
AITORNEYS AT LAW
4 NORTH HANOVER SfREET
CARLISLE, PENNSYLVANIA 17013
TELEPHONE: (717) 243-4574
FACSIMILE: (717) 243-8227
INTERNET: brgilroypc@aol.com
NON-TOLL FOR HARRISBURG AREA
717-766-1690
February 27, 2001
E. Robert Elicker, Esquire
Divorce Master
9 North Hanover Street
Carlisle, PA 17013
Re: Buhrig v Buhrig
Dear Bob:
I have received your certification with respect to discovery in the above matter. I am
meeting with my client within the next two weeks or so after which I will be in a position
to file the certification.
The parties just sold the marital home (at a loss) and things have been on hold pending
that sale.
Sincerely yours,
dch
cc: Cathy Buhrig
Theresa Barrett Male, Esquire
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THERESA BARRETT MALE
COUNSELOR AT LAW
THERESA BARRElT MALE
513 NORTH SECOND STREET
HARRISBURG, PENNSYLVANIA 17101
SUSAN C. ApPLEBY, PARALEGAL
JONATHAN J. MALE, LEGAL ASSISTANT
March 5, 2001
(717) 233.3220
FAX (717) 233.6862
E. Robert Elicker, II, Esquire
Office of Divorce Master
9 N. Hanover Street
Carlisle, PA 17013
Re: Buhrig v. Buhrig (# 2000-633)
Dear Bob:
In response to your inquiry regarding discovery, I have this date served on plaintiff a request
for production of documents and a notice of deposition.
Therefore, as indicated in my motion for your appointment, discovery will be complete by the
time we have the pre-hearing conference.
Sincerely,
IL~IJiuc-
Theresa Barrett Male
TBM/sca
cc: Hubert X. Gilroy, Esquire
Robert L. Buhrig, Jr.
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THERESA BARRETT MALE
COUNSELOR AT LAW
THERESA BARRE1T MALE
513 NORTH SECOND STREET
HARRISBURG, PENNSYLVANIA 17101
SUSAN C. ApPLEBY, PARALEGAL
jONA1'HAN J. MALE, LEGAL ASSISTANT
March 6, 2001
(717) 233.3220
FAX (717) 233-6862
E. Robert Elicker, II, Esquire
Office of Divorce Master
9 N. Hanover Street
Carlisle, PA 17013
Re: Buhrig v. Buhrig (# 2000-633)
Dear Bob:
Enclosed is defendant's discovery certification.
Sincerely,
~~~
Theresa Barrett Male
TBM/sca
Enclosure
cc: Hubert X. Gilroy, Esquire (w/enc)
Robert L. Buhrig, Jr. (w/enc)
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 00 - 633 CIVIL
ROBERT L. BUHRIG,
Defendant
IN DIVORCE
TO: Hubert X. Gilroy
Attorney for Plaintiff
Theresa Barrett Male
,
Attorney for Defendant
DATE: Friday, February 23, 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate whether there are any outstanding
interrogatories or discovery motions.
Defendant has served plaintiff with a request for production of documents and a
notice of deposition.
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(b) Provide approximate date when discovery will be
complete and indicate what action is being taken
to complete discovery.
April 15, 2001
1/01
DATE
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COUNSEL FOR PLAINTIFF ( )
COUNSEL FOR DEFENDANT (vi'
NOTE:
PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE
FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE
CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE
AT THE MASTER'S DISCRETION.
AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL
OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY
COUNSEL, INDICATING THAT DISCOVERY IS NOT
COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL
STATEMENTS WILL BE ISSUED AT THE MASTER'S
DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A
PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY
IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL
STATEMENTS WILL BE ISSUED IMMEDIATELY.
THE CERTIFICATION DOCUMENT SHOULD BE RETURNED
TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF
THE DATE SHOWN ON THE DOCUMENT.
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COUR'r OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA
CATHERINE A. BUHRIG
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG
Defendant
CIVIL ACTION. DIVORCE
MOTION FOR APPOINTMENT OF MASTER
Defendant moves the court to appoint a master with respect to the following claims:
( x
(
( x
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)
)
Divorce
Annulment
Alimony
Alimony Pendente Ute
( x
(
( x
( x
)
)
)
)
Distribntion of Property
Support
Counsel Fees
Costs and Expenses
and in support of the motion states:
(1) Discovery is not complete as to the claims for which the appoinbnent of a master is requested, but will
be complete by the time the master sets the hearing date.
(2) The plaintiff has appeared in the action by her attorney, Hnbert X. Gilroy, Esquire.
(3) The statutory ground for divorce is 3301 (c).
(4) Delete the inapplicable paragraph(s):
(a) The action is not contested.
(13) ;'-..n B:gfSeHl6Bt Bas B8SR rsashed ,,'ith FeSfJset tB the fsl1S1dag elaims:
(c) The action is contested with respect to the following claims: distribution of property. alimony,
counsel fees, and costs and expenses.
(5) The action does not involve complex issues of law or fact.
(6) The hearing is expected to take ~ hours.
(7) Additional information, if any, relevant to the motion: None.
;{,-f-ol ~-
Date:
Attorney for Defendant
ORDER APPOINTING MASTER
AND NOW, February J. 0
the following claims: All listed above.
, 2001, E. Robert Elicker, 11, Esquire is appointed master with respect to ~
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CATHERINE A. BUHRIG,
Plaintiff
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: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2000 - 633 CIVIL
ROBERT L.BUHRIG, JR.,
Defendant
: CIVIL ACTION - DIVORCE
ANSWER TO DEFENDANT'S APPLICATION FOR SPECIAL RELIEF
Plaintiff, Catherine A. Buhrig, by her attorneys, Broujos 8{ Gilroy, P.c. sets forth the
following in response to Defendant's Application for Special Relief:
1
Admitted.
2
Admitted.
3
Admitted.
4
Admitted.
5
Admitted. By way of further answer, Defendant constructively forced Plaintiff to vacate
the property by his actions. Furthermore, Plaintiff has not abandoned the real estate.
6
Denied. Plaintiff has paid electric bills, gas bills and other bills which have been put into
her name. Additionally, funds were paid from joint assets prior to Plaintiff vacating the
marital home whereby bills relating to the home were paid in advance.
7
Denied. Wife is not aware what bills Husband has been paying since she vacated the
marital property.
8
Denied. On the contrary, Husband has adequate income to pay the mortgage pending the
resolution of the economic issues in the divorce.
9
Admitted that wife has filed a support claim. Denied that Husband will be unable to pay
the mortgage, taxes and property insurance if Husband is obligated to pay the spousal
support. By way of further answer, Husband has wrongfully denied his support obligation
to Wife. Husband's income is three times that of Wife.
10
Admitted that a settlement proposal was received. By way of further answer, the terms of
such settlement proposal are not binding on any party and are not relevant to this petition.
By way of further answer, Husband has consistently tried to dictate to Wife a settlement
that is grossly unfair to Wife and, by the filing of this petition, Husband is attempting to
further pressure Wife into agreeing to an economic resolution of the issues in a divorce
pursuant to the terms as dictated by Husband.
1 1
Denied. The answer as set forth in Paragraph 1 0 above is incorporated herein by reference
thereto.
12
Denied. Wife's attorney has responded to the settlement proposal and advised Defendant's
counsel of wife's position. Wife feels she is entitled to alimony for a considerable period
of time in light of the length of the marriage and the disproportionate incomes of the
parties. Furthermore, Husband has suggested a distribution of marital assets that is
approximately 80% to Husband and 20% to Wife, which such proposal is completely
meritless and considerably below what the Wife will be entitled to receive if this matter
proceeds to a Master's Hearing.
13
Denied. Wife is under no obligation to list the marital real estate for sale. By way of
further answer, Wife's counsel has responded to Husband's proposal to list the property
for sale.
14
Denied. The home in question is a very attractive home and could sell easily any time it is
listed. Additionally, the peak sale season will last through August of this year.
15
Denied. Wife believes the Husband has sufficient assets to pay the mortgage.
WHEREFORE, Wife requests your honorable court to dismiss Husband's petition.
16
No responsive pleading is required.
17
Admitted.
18
Admitted.
19
Denied. Husband has been able to live in the property. By way of further answer,
Husband has no right to exclusive possession of the property.
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20
Admitted that the court has authority to award one party exclusive possession of the
marital residence. Denied that the circumstances of this case require the Court to take
such extraordinary measures. By way of further answer, Wife asserts that Husband is
attempting to gain a tactical advantage in the divorce action and in the distribution of the
marital assets by virtue of seeking exclusive possession of the marital home.
WHEREFORE, Wife requests this honorable court to dismiss the Petition for Special Relief.
21
No responsive pleading is required.
22
Admitted.
23
Admitted.
24
Admitted.
25
Admitted.
26
Denied. Issues with respect to the vehicles have not even entered into settlement
negotiations between the parties. By way of further answer, the exact fair market value of
the respective vehicles has not yet been determined.
27
Denied. Wife has no knowledge of this information Proof thereof is demanded.
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28
Admitted.
29
Denied. Wife does not have any information on Husband's desire to trade in the
automobile.
30
Denied. Husband's attorney has not made any specific request to handle the vehicle's title
certificates in the settlement negotiations. By way of further answer, Wife is under no
obligation to transfer vehicles pending a resolution of all economic issues in the divorce
and Husband is not entitled to a piecemeal equitable distribution of marital assets.
WHEREFORE, Wife requests your honorable Court to dismiss Defendant's Petition for
Special Relief.
31
No responsive pleading is required.
32
Denied. Wife has income tax withheld at a higher single rate.
33
Admitted.
34
Denied. Wife is without sufficient information to determine the accuracy of this allegation.
By way of further answer, Wife is under no obligation to file a joint tax return and this
court lacks any authority or jurisdiction to dictate that the Wife join in the filing of a joint
tax return.
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WHEREFORE, Wife requests you honorable court to dismiss Husband's Petition for
Special Relief.
35
No responsive pleading is required.
36
Denied. Proof thereof is demanded. By way of further answer, fees incurred in
connection with this Petition are monies which should be properly paid by Husband. This
Petition is completely meritless and lacks any legal basis or any precedent whereby a Court
will interfere with the economic issues in a divorce case at this stage in the proceedings.
37
Denied. The allegations as set forth in Paragraph 36 above are incorporated herein by
reference thereto.
WHEREFORE, Wife requests your honorable court to enter an order dismissing Husband's
request for Special Relief.
Respectfully submitted,
at
Hubert X. Gi oy, Esquire
Attorney fo Plaintiff
Broujos & i1roy, P.c.
4 North anover Street
Carlisle, PA 17013
(717) 243-4574
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I verify that the statements made in the foregoing document are true and correct. I understand that
false statements herein are made subject to the penalties of 18 P A. C.S. Section 4904 relating to
unsworn falsification to authorities.
DATE: #3/tJCJ
,
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Catherine A. Buhrig
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Supreme Court #46439
115 Pine Street ()
Harrisburg, PA 17101 ~i-
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Counsel for Defendant ~ ~
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLV~ :e~
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NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
ORDER
AND NOW, April ;;2 L.J.
, 2000, upon consideration of Defendant's Motion for
Hearing, the Court GRANTS the motion.
The hearing on Defendant's Application for Special Relief Pursuant to Pa.R.C.P. 1920.43
~4 o:~
is set for Mt\lr " , 2000 at L tt..m. in Courtroom 1/!ifK I
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Cumberland County Courthouse, I Courthouse Square, Carlisle, Pennsylvania.
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Theresa Barrett Male
Supreme Conrt #46439
115 Pine Street
Harrisburg, PA 17101
(717) 233-3220
Counsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
DEFENDANT'S MOTION FOR HEARING
1. On March 24, 2000, Defendant filed an Application for Special Relief Pursuant
to Rule of Civil Procedure 1920.43.
2. On March 29, 2000, the Court, per the Honorable J. Wesley Oler, Jr., issued a
show-cause order, which Plaintiff timely answered.
Wherefore, Defendant requests the court to schedule a hearing and thereafter enter an
order granting the relief requested in his application for special relief.
L~1k
Theresa Barrett Male, Esquire
Supreme Court # 46439
115 Pine Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel For Defendant
Date: April 12, 2000
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PROOF OF SERVICE
I hereby certify that I am this day serving the foregoing document upon the persons and
in the manner indicated below which service satisfies the requirements of Pa. R.C.P. 440:
Service via first-class mail addressed as follows:
Hubert X. Gilroy, Esquire
Broujos & Gilroy, P.C.
4 N. Hanover Street
Carlisle, PA 17013
Attorneys for Plaintiff
LiLt.1lk-
Theresa Barrett Male, Esquire
Supreme Court # 46439
115 Pine Street
Harrisburg, Pennsylvania 17101
(717) 233-3220
Counsel for Defendant
Date: April 13, 2000
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this S ~day of July, 2000, upon agreement of counsel, the hearing
previously scheduled in this matter for July 6, 2000, is rescheduled to Monday,
September 25, 2000, at 9:30 a.m., in Courtroom No. I, Cumberland County Courthouse,
Carlisle, Pennsylvania.
BY THE COURT,
tU
J
esley Oler, r.
Hubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
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Theresa Barrett Male, Esq.
115 Pine Street
Harrisburg, PA 17101
Attorney for Defendant
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CA TIIERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
,
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this 17th day of July, 2000, upon consideration of the attached letter
from Hubert X. Gilroy, Esq., attorney for Plaintiff, the hearing previously scheduled in
this matter for September 25, 2000, is rescheduled to Wednesday, October 4, 2000, at
9:30 a.m., in Courtroom No. I, Cumberland County Courthouse, Carlisle, Pennsylvania.
BY THE COURT,
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Hubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
Theresa Barrett Male, Esq.
115 Pine Street
Harrisburg, PA 17101
Attorney for Defendant
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HUBERI' X. GILROY
BROUJOS & GILROY, P. c.
ATfORNEYS AT LAW
4 NORTH HANOVER STREET
CARLISLE, PENNSYLVANIA 17013
TELEPHONE: (717) 243-4574
FACSIMILE: (717) 243-8227
INTERNET: brgilroypc@aol.com
NON-ToLL FOR HARRIsBURG AREA
717-766-1690
July 13, 2000
The Honorable J. Wesley Oler, Jr.
One Courthouse Square
Carlisle, PA 17013
Re: Buhrig v Buhrig
Dear Judge Oler:
You rescheduled a special relief petition hearing in the above case from July 6 to
September 25th. This rescheduling was done at the request of Attorney Male and I
indicated we did not have any objection. However, the date of September 25th was not
cleared with my office prior to Attorney Male's office indicating their approval to this
date. I am out of town on September 25th and unavailable for that date. I ask that a new
hearing date be set.
Sincerely yours,
dch
cc:
Theresa Barrett Male, Esquire
Catherine A. Buhrig
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
IN DIVORCE
ROBERT L. BUHRIG, JR.,
Defendant
No. 00-633 CIVIL TERM
ORDER OF COURT
AND NOW, this 4th day of October, 2000, upon
consideration of Defendant's Application for Special
Relief, and following a proceeding in open court in which
Plaintiff was represented by Hubert X. Gilroy, Esquire, and
Defendant was represented by Theresa Barrett Male, Esquire,
and at which it was indicated by counsel that most issues
regarding the application for special relief have been
resolved, and that one issue -- the question of whether
Plaintiff can and/or should be required to join with
Defendant in filing certain tax returns
remains
unresolved, and at which counsel requested that disposition
of this issue be deferred to facilitate further
negotiations, the application is deemed moot as to all
issues except for the tax issue, the hearing on the tax
issue is continued generally, and counsel are requested to
notify the Court at such time, if any, as a hearing on that
issue is needed.
~
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By the Court,
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00 OCT -9 F';": tl: 20
CUMI3E}1'~h\D COUNTY
PENNSYL\!AN!i\
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Hubert X. Gilroy, Esquire
For the Plaintiff
Theresa Barrett Male, Esquire
For the Defendant
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ORDERlNOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of f.'On~ylvania DKT,OQ-633CIVIL'.,
Co.!City/Dist. of CUMBERLAND PACSES 399102253
Date of Order/Notice 10/23/00 DR 29,636
Court/Case Number (See Addendum for case summary)
o Original OrderlNotice
o Amended OrderlNotice
@ Terminate Order/Notice
EmployerlWithholder's Federal EIN Number
THE DODGE COMPANY INC
EmployerlWithholder's Name
165 CAMBRIDGE PARK DR
EmployerlWithholder's Address
PO BOX 193
CAMBRIDGE MA 02140
) RE: BUHRIG , ROBERT L. JR
) Employee/Obligor's Name (last, First, MI)
)
)
)
)
)
)
)
118-50-8548
Employee/Obligor's Social Security Number
5362100476
Employee/Obligor's Case Identifier
(See Addendum fo,. plaintiff names associated with cases on attachment)
Custodial Parent's Name (last, First, MI)
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 0.00 per month in current support
$ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no
$ 0.00 per month in medical support
$ 0 00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 0 . 00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ o. 00 per weekly pay period.
$ 0 .00 per biweekly pay period (every two weeks).
$ 0 . 00 per semimonthly pay period (twice a month).
$ 0 00 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate!date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1CB77-676-9580 for instructions.
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, P.O. Box 69112, Hlarrisburg, Pa 17106.9112
IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
DRO: RJ Shadday
xc: deferrlant
BY THE COURT:
Date of Order:
Gstg1x'r ?h ~ ?N\()
JUrGE
Form EN-D28
Worker ID 21005
Service Type M
OMS No.: 0970.()154
Expiration Date: 12/31/00
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ADDITIONAL INFORMA nON TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment
to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employee/obligor.
3,'" Ro;::POltil'l) LI,~ raydat~are ....r.yVitl.l.vldihg. '{vtl (lIl:Ist l~polL LI,e: payJate!date of n:tl.l,oIJ;IIl) nl'~1I s(.l.Jihg tl.e 1501(11'1;;11[. TI.e
jJc21datelJdLC of nitl,l,oldi"5 is the da~ vI. y.l.kL afllot.IIL nilS nitl.l.eld 1)0111 tl...... {.1I.ph.....,e~'S nilgeS. You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4,' Employee/Obligor with Multiple Support Holdings: If there is more than one OrderlNotice to Withhold Income for Support
against thi,employee/obligor and you are unable to honor all support OrderlNotices due to Federal or State withholding limits, you must
follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest
e><tent possible. (See 119 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S 10: 804HOOU6
EMPLOYEE'S/OBlIGOR'S NAME: BUHRIG. ROBERT L. JR
EMPLOYEE'S CASE IDENTIFIER: 5362100476 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should
have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs
unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-<liscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is
employed governs.
9.* Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.c. 91673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
If you or your ernployee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by Internet @
Requesting Agency:
DOMESTIC RElATIONS SECTION
P.O. 80X 320
CARLISLE PA 17013
Page 2 of 2
Forrn EN-028
Worker ID 21005
Servi ce Type M
OMB No.: 0970~154
Expiration Date: 12/31/00
-~~,
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: BUHRIG, ROBERT L. JR
PACSES Case Number 399102253
Plaintiff Name
CATHERINE A. BUHRIG
Docket Attachment Amount
OO::G'33CIVIL $' 0.00
Child(ren)'s Name(s}:
DOB
......... ............ ..........,....... .........."..........,.,..v,.............,'~...,
'Dii~~~~k:d:~~~.~:::~~~i;:~;:~~~;~:i:~':.~~;I~;;~~;;.;".
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plaintiff Name
Attachment Amount
$ 0.00
Child(ren)'s Name(s):
Docket
DOB
!Bi;i.~~;~~:~:~~!~;~;:;;:~~i;:~.;~!!;~;:;i;I;~!:!;~~i;I~;;:~;!;'!;"""
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
"':::':':':'::::::::':::::':::::::::';:~:':':':":. ":':':':,:,:.:,:.:,:,;;.;.:.,.:.;.:.,,:,:,:::.:,:,:.::::'::'::::::::::::':::':::'::::::':::':':':::::::::::::::;:::::::;::~:::::;i~;:;:;::::::::::';:;:;::::::::::::::::.:..::::,::::.:.:.x.;.,::
ljlf ~h~~k~d;y~~'~~~ ';;;q~i;~d' ;~'~~roii' ;h~~j,ild(;~~i.'
identified above in any health insurance coverage available
through the employee'slobligor's employment.
Service Type M
PACSES Case Number
Plaintiff Name
~ Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
::.:;.::;.;.:.::;.,.:;.,.:,;i.~::;.;..::.:.;.::,.:::.;.:::.;.:.;.::,::::.g.;.;.:;.'.:;.;.::'.::::!.;..:;.:.::;.;.:;.:":
..,....'.'...",.,..........,.
................
..[lIf~h~~k;d;;~~:;~;~~~i;~d;~~~;~II;h~~hild;;~~).........,..,.,.,."..... .
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plai ntiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
.B.ii~~:~~;~:;~~;~;:;:~;~i;~~!;~;:~;:i!I;~:;~~;I~;;:~;{.;
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plai ntiff Name
~ Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
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.D;;i~~~~~~~~~~;~~;~.;~~.~i;:~.:~:~:~:I.:~;~~il~;;:~;;'."',';.ii'.'"
identified above in any health insurance coverage available
through the employee'slobligor's employment.
Addendum
Form EN-028
Worker ID 21005
OMB No.: 0970-ot54
Expiration Date: 12/31100
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.DEC-04-00 MON 02:59 PM CUMB cry DRO
FAX NO. 717 240 6248
P, 03/03
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No. 00- (.,33 Civ; I
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CUMBERLAND COUNTY DOMESTIC Rli:LAnONS
Date of Application: Pee If ~ '2&1TD Request for Support Record Search
Name: t2nthri'l::j-:JY. Kokf-.,+
() , (Lastf , ,I ,(Fil~!),.
Addrcss: :l~P -(.0 N;f)f..i;f'.4fl, /vtJr"+h, UrJk:'.l"'- i
Social Security Number: ... I J X' - S () , :R 5 Lf5:L..-
Domestic Rclations Case Number ifI<nowlI:
~arty R,CqUeSling lnfonnation: (;7 Lb I?P,~ !<rA'111LLLi-/:-fes;s ".-. ..-=
'I ) ) a _I (Prmt l\lllC of Fmn Nallle) " ".~ . \=!:
."L'1 fX~ ( 7()!) .- ...', _ 9::
41 E~f Ora..^g:<:- 9Ve-e-..t- LqVl4CL-s'-tt:'.(" fA
/ (T,lcphone Number) / ( (Address) I ~,:.-1, 7
(1..17)aCfI-ISb3__ v~'1f- <U~~ Q_ ; (,,07-
(F<1x Number) (Sigrlllturc) ~
A Tell Dollar ($10.00) Fee is Due per Social Security Number
171. M. ake check or mOll~, . order payable to: DRB/Lien Search
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X INITIAL REQUEST
Has No Record in Domestic Relations as of:
(DaIC)
Support Arrears As of End of Month Prior to Dale of Application: $02900, tJo
Monthly Total Support Obligation: $ qd.O.oo jfflon-M
The Amount shown above is reflected in the Domestic Relations Section
Otlke of Cumberland County, PennsylV3tlia.
Domestic Relations Case Nllmber: _Pat.::> is !. 3 qq / O-;l~ S- 3
Signed:
~.7h, 6~ .
(DJreClorl Amslant Dlfcctor/LICI\ Coordinator)
/;2-fL, -00
(Dnle)
BRING~DOWN REQUEST
Support Arrears: $
Signed:
As Of:
(Dnlc)
(DjI'CC10r/A~sisln1l1 Director/Lien Cool'dillal~;j-
(Date)
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Supmne Court 146439
513 N..h s.c."" Sum
Harri5burg. fA 17101
(717) 233.3220
C(luJ\$/il1 ti.'( Del~l(li\l~t
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BURRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
INCOME AND EXPENSE STATEMENT OF DEFENDANT
I verify that the statements made in this Income and Expense Statement are true and
correct. I understands that false statements herein are made subject to the penalties of 18 Pa.
c.s. ~ 4904, relating to unsworn falsification to authorities.
Defendant
Z d SSO 1 i7LZ 109 'ONIZO: 9 [ 'lS/S0: 91 [OOZ L Z (OjM)
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513 I'I~/Ib So<on4 Stooet
/lJJrriIburg. PA 171()1
(117) 233.3211)
CouMet rOt Dt~
COURT OF COMMON PLEAS OF CUMBElU.A.ND COUNTYr PENNSYLVANIA.
CATHERINE A. BUHRIG.
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
INCOME AND EXPENSE STATEMENT OF DEFENDANT
I verify thar the statements made in this Income and Expense Statement are true and
correct. I understands that false statements herein are made subject to the penaltieS of 18 Pa.
C.S. ~ 4904, relating to U1ISWorn raisit'lcation (0 authorities.
Defendant
III the COII/1 of Common Pleas of
I'hollt';
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County, I'ennsyl\'ania
Fax:
Plaintiff Name:
Dcfend,\Ill Name:
Docket Number:
PACSES Case Number:
Other State ID Number:
l)ll'ltS(' null': All correspondeuce IUlL'\l include (he PACSES CilSC .'\umbt'r.
Income and Expense Statement
THIS FORM MUST BE FILLED OUT
(If you are self-employed nr if ynu are salaried by a business of which you are owner in whole or pan. ynu musl
also till OUI the Supplementalln,nlll" Statement which appears nn page twO of this income and expense
statement.)
INCOME STATEMENT OF
Rober-~ L. BHAhr-,'~ I
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Section I: Income and Insurance
INCOME:
Employer ~ Il~ C~~f~~~ n~
Address /1.1 . ""b, I po. t).:. ~ll 4 O{J 10,3 ,
Type of Work oS:
'__ Payroll Nt). Gross Pay per Pay Period S lEI s44 Pay Period (\I.'kJy., bj.wkly., etc.)
,
hernjz~d Payroll Deductions:
Federal Withhold" S () Social Securil S Local Wa e Tax S
Slale In<omo Tax S Retiremtn! I S S Savi.n 5 Bonds S
Credit Union S life Insuance S Heallh Insurance S .3
Other Deduclions (specify) r- S S
,', S S 5
Nel Pay per Pay Period S
.~
OTHER (Fill in Appropriate Column)
INCOME WEEK MONTH YEAR
lntere.. 5 S S 1,,1"l
Dividen,"
Pension
Annuitv ,
Social Securitv
Renu
Rllyallics
Exnense Account
Gins
UncmDlovment
Wllrkrnen's
Cumoem;3tion
Olher 1".::1<<>1 \. I."'"
"r loCjQ'... .
TOTAL S J 5:"0 , S IAI'l
TOTAL INCOME S ..,.0 J_ A "A_ -
, ,
Service Type
3.5".:2.8
-
PROPERTY
OWNED
Ownership .
DESCRIPTION
VALUE H W J
.$ H = Hus:band; W =Wilc; J =JI)im
Form IN.O()8
WorkerlD
.
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Income and Expense SliIlclllcnl
PACSES Case Number
INSURANCE
Coverage.
(,{)MI>~NY
POLICY #
H W C
~
Blue Cross
Other
~
Blue Shield
Orher
aeald1l Accident
Vv
e.
Disability Income
()ental
Orher L,'t..,
v
s,
'1l=llu,band; W.7Wifc. C=Cbild
Section II: Supplemental Income Statement
a. This form is to be filled OUI by a person
~ (I) who operates .a business or praclices a profession. or
o (2) who is a member of" partnership or joint venture. or
o (3) who is a sharehold~r in and is salaried by a closed corporation or similar entity.
b. Attach to this statement a copy of the following documents relaling 10 the partnership, joint venture. business, profession,
corporation or similar entity:
(1) the most recent Federal Income Tax. Return. i.nd
(2) the most recent Profit and Loss Stalement
c.
Name of business: ~"b
Address and telephone number:
B.pt'A~x
7/-1'97S'
c.. i=' .s P
)4):1.. m"'rAa.""~.1'bur-gi
:::11')/,,3'
fA
) 7AS::r
d.
Nature of business (check one}
o (I) partnership
o (2) joirtt venlUre
lid"" (3) profession
o (4) closed corporation
o (5) orher
e. Name of accountant, cODb'oller or other person in charge of financial records:
-.l\e",,,,'~ Su,<Vl,.., cPA
,
t.
Annual income from business;
4~"'.'_t>..J.,.J y .A ftJ t'J/)l) ,',., :looo
(1) How ohen is income receivt'd?
Vt'l....,'r...ble. l-dnr- It /l Pe,-.,'od,'c..
v~ne...~1 e. ev.d LA",{!er-lai^
",,,,J
U^sJ"ej<.o</~
(2)
Gras'!. tncome per pay period:
\Jo.M~ble. 4('f'/j)'".'N'06/dy
.#8.1)1')t"J
.
I
J^
::l~
(3)
Net income pec"pay period:
JiN-..kble - Atprl!!x/'/V\ o...JJ.'1
lo~9 :;r:::;..c",,....e,
./f"l-tt>b /,... ;loco - ('IO~' W..#J
SO"e. A-IItt>...J.Jd G'.x.re.Ne- ske1
1999 ~ 3& O()O - R.o....JeJ
, Form IN.OOS
Wnrker 10
(4)
Spcl"ifi~d t1t't!Ut"IIOnS, iI /!lily
Ll2t;,L:\'(...E~~", t<!.r -:. ....-.eJeo.re.
;;loot> ~ :t4, DOC>
P,I~l_l' 2 0' ,1
Service Typo' M
Income and Expense Slatemem
,
Section III: Expenses
PACSES Case Number
Instructions: Only show extraordinary expenses in Lhis section unless you filled oul Section n on page two. The categories
in BOLD FONT are especially important for calculating child support, If you are requesting Spousal Support/APL or if
you assert your case cannot be determined according to the guideline grids or formula, this section must be fully completed.
(Fillln Appropriate Column)
EXPENSES
WEEK MONTH YEAR
Home
Mortgage/Renr S S {P1S s
Maintenance .~"
Utilities
Electric S S ~ S
Gas 3S
Oit
Telephone I~ '\n
Water ':(0
Sewer
Emnlo=ent
Public Transpon. S S {po:; s
_,?1.....Jc J5S
Taxes
Real estate S . S S
Personal Property
Insurance
Homeowner's S $ S J.;l3
Automobile .c::-S
Life 50D
Accident ~~
Health ~"'3
Other'" I <,,, .
Automobile
Payments S S (./ /)1'1 S
Fuel :JS
Repairs qs:
Medical ,
Doctor S S, //l S
Dentist <'0
Orthodontist
Hospital
Medicine //')0
[TpeclaJ needs
(glasses, braces, <7.00
orthonAdic devices
EXPENSES (Fill io Appropriate Column)
(continued) WEEK MONTII YEAR
Education
Private School S S $
Parochial School
College
Religious
Personal
Clothing S $ 7_<<:: S
Food LIS
Barilerl J.5'
Credit Payments
Credit Card SOb
Charge
Memberships JOD
Loans
Credit Union S S S
Miscellaneous
Household Help S $ $
Child care
Paperslbooks
Maaazines
Entertainment :1,.,
Pay TV 2J~
Vacation ::21"J
Gifts ~h
Legal fees tJ^"
Charitahle Jr.
~
Alimony 9;;lo
PaomeD"
Other
).I....k./ S $ ~C>O $
&.s. -""'.'on 3~
I Tolal I WEEK MONTII YEAR
Expenses: $ 170 sS;)/gtf s /;l;l3
I verify that the stalemenlS made in this Income and Expense Statement are true a~d correct. I under!tand that false . .
statements herein are subject to the criminal penalties of IS Pa. e.s. ~ 490 ela to w rn fal c on to authonlJes.
.;1/3/0/
Date'
Service Type M
Page 3 of3
Form IN.ooS
Worker ID
~~
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TAX
Expense and Mileage Report
2000
AlI- Bob Buhrig
Friday, February 02, 2001
Category Amount Reported
Advertising $1,721.34
Breakfast $106.24
Car Rental $39.96
Dinner $1,224.72
Dues, Association Expenses $1,177.53
Entertainment $188.45
Hotel $2,013,04
Lunch $512.47
No Expenses Today $0.00
Office Expense $837.13
Parking $106.75
Postage $578,57
Printing, Copying $258.80
Taxi, Bus $6.00
Telephone - Cellular $3,792.29
Telephone - Local Service $626.63
Telephone - Long Distance $2,212.67
Tips $115.00
Tolls $185.15
Transportation Fare $241. 00
Vehicle - Car Wash $68.97
Vehicle - Gasoline $859.86
Vehicle - Insurance $73.78
Vehicle - Miscellaneous $1,220.00
Vehicle - Parts, Repairs $1,049.21
~ ,~, -" ~. .,,;;
TAX
Expense and Mileage Report
2000
All - Bob Buhrig
Friday, February 02, 2001
Annual Expenses:
$19,215.56
Annual Mileage:
14705
0.325
$4,779.13
Annual Total:
$23,994.68
~-....-~
TAX
Expense and Mileage Report
1999
All - Bob Buhrig
Friday, February 02,2001
Category Amount Reported
Advertising $3,032.08
Breakfast $244.67
Dinner $2,567.28
Dues, Association Expenses $535,94
Entertainment $378.91
Hotel $3,796.80
Lunch $949.08
No Expenses Today $0,00
Office Expense $3,948.82
Parking $56.55
Postage $652.70
Printing, Copying $164.90
Telephone - Cellular $5,173.15
Telephone - Local Service $525.93
Telephone - Long Distance $2,637.53
Tips $160.00
Tolls $301.45
Vehicle - Car Wash $247.30
Vehicle - Gasoline $1,319.33
Vehicle - Insurance $567.34
Vehicle - Miscellaneous $11.11
Vehicle - Parts, Repairs $1,543.92
TAX AII- Bob Buhrig
Expense and Mileage Report
1999 Friday, February 02,2001
Vehicle - Tires $401.42
Annual Expenses:
$29,216.21
Annual Mileage:
27424
0.31
$8,501.44
Annual Total:
$37,717.65
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Supreme Court 1146439
513 North Second Street
Harrisburg, PA 17101
(717) 233-3220
Counsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 200Q-633 Civil
ROBERT L. BUHRIG, JR,
Defendant
CIVIL ACTION - DIVORCE
INVENTORY OF DEFENDANT
Defendant files the following inventory of all property owned or possessed by either party
at the time this action was commenced and all property transferred within the preceding three
years.
Defendant verifies that the statements made in this inventory are true and correct.
Plaintiff understands that false statements herein are made subject to the penalties of 18 Pa. C.S,
~ 4904, relating to unsworn falsification to authorities.
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Supreme Courl #46439
513 North Second. Str.el
Hartillb"". PA 17101
('117) ~3-~220
Counsel for DetClJdanl
COUR.T,OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHBRINB A. BUHRIG,
Plaintiff
v.
.NO. 200()..633 Civil
ROBERT L. BUHRIG.IR.,
Defendant
CML ACTION - DlVORCE
INVENTORY OF DEFENDANT
Defendant f'Iles the following inventory of allpropeny owned or possessed by either party
at !he time this action was commenced and all property transferred within the preceding lhree
years.
DefendAnt verifies that the statements made in tbis inventory are trUe and correct.
Plaintjff understands that false statements herein are made subjecl: to the penalties of 18 Pa. e.s.
i 4904, relating to unsworn falsification to authorities.
i
ASSETS OF THE PARTIES
Defendant marks on the list below those items applicable to the case at bar and itemizes
the assets on the following pages.
( x ) 1.
(x) 2.
( x ) 3.
( ) 4.
( ) 5.
( ) 6.
( ) 7.
( x ) 8.
( x ) 9.
( ) 10.
( ) 11.
( ) 12.
( ) 13.
( ) 14.
( ) 15.
( ) 16.
( ) 17.
( ) 18.
( x ) 19.
( ) 20.
( ) 21.
( ) 22.
( ) 23.
( ) 24.
(x) 25.
( ) 26.
Real Property
Motor Vehicles
Stocks, bonds, securities and options
Certificates of Deposit
Checking accounts, cash
Savings accounts, money market and savings certificates
Contents of safe deposit boxes
Trusts
Life Insurance policies (indicate face value, cash surrender value and current
beneficiaries)
Annuities
Gifts
Inheritance
Patents, copyrights, inventions, royalties
Personal Property outside the home
Businesses (list all owners, including percentage of ownership, and
officer/director positions held by a party with company)
Employment termination benefits - severance pay, workman's compensation
claim/award
Profit sharing plans
Pension plans (indicate employee contribution and date plan vests)
Retirement plans, individual retirement accounts
Disability payments
Litigation claims (matured and unmatured)
Military/V A benefits/Government
Education benefits
Debts due, including loans, mortgages held
Household furnishings and personalty (include as a total category and attached
itemized list if distribution of such assets is in dispute)
Other
2
-
MARITAL PROPERTY
Defendant lists all marital property in which either or both spouses have a legal or
equitable interest individually or with any other person as of the date this action was
commenced:
Item #
Description of Property
Names of All Owners
1.
107 Shirley Drive, Boiling Springs, PA
J
2.
2.
1992 Buick Regal
1987 Buick LeSabre
J
J
3. 8 Shares Microsoft Stock H
3. 1.041 Shares Coca-Cola Stock H
3. 1.041 Shares Coca-Cola Stock W
3. 50 Shares KMart Stock W
8. Prudential Securities #02G-03865 W
9. Provident Mutual life #1190429460 H
9. Provident Mutual life #1190456810 W
19. Roth IRA #287-133256943-8 W
19. Conversion Roth IRA #287-822502291-7 W
19. Roth IRA #287-133256932-8 H
19. Conversion Roth IRA #287-822503856-1 H
19. 401(k) H
25. Miscellaneous Personalty J
3
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NON-MARITAL PROPERTY
Plaintiff lists all property in which a spouse has a legal or equitable interest which is
claimed to be excluded from marital property:
Item #
Description of Property
Reason For Exclusion
2.
Husband's 2000 Buick Regal
Post-Separation
PROPERTY TRANSFERRED
Item #
Description
of Property
Date Consideration
of Transfer
Person to Whom
Transferred
1.
Real Estate is under sales contract
LIABILITIES
Item # Description Names Names of
of Property of All Creditors All Debtors
1. Real Estate
1st Mortgage Northwest Savings Bank J
1. Real Estate
2nd Mortgage Northwest Savings Bank J
1. Real Estate
Taxes Cumberland County Treasurer J
2. 1992 Buick Regal PSECU H
25. HHG/Living Expenses
Capital One Bank H
Household Bank/GM Classic J
MBNA America H
4
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Supreme COUl"C #46439
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(717) :133.3220
COlll\Sel for Dd~
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, lR.,
Defendant
CIVIL ACTION - DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF
A DIVORCE DECREE UNDER ~ 3301(c) OF THE DIVORCE CODE
1. I consent to the entry of a tinal decree of divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property.
lawyer's fccs or expenses if I do not claim them before a divorce is granted.
. 3. T understand that I will not be divorced! until a divorce decree is entered by the
Court and that a copy of the decree will be sent to me immediately after it is filed with the
prothonotary .
I verify that the statements made in this affidavit are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa. C.S. ~ 4904 relating to
unsworn falsification to authorities.
Robert L. Buhrig, J .
Date: February
"7
,2001
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COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA
CATIffiRINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ltOBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION. DIVORCE
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WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF
A DIVORCE DECREE UNDER ~ 3301(c) OF THE DIVORCE CODE
1. I consein to the entry of a fmal decree of divorce without notice.
2. I understand that I may lose rights concerning alimony, division of propeny,
lawyer's fees or ex.penses if I do not claim them before a divorce is granted.
. 3. T undersrand that 1 will not be divorced.until a divoo:e decree is entered by the
Court and that a copy of the decree will be sent to me immediately after it is filed with the
protbonocal)' .
I verify that the statements made in this affidavit are true and correct. I understand &bat
false statements herein, are made subject to the penalties of 18 Pa. e.s. f 4904 relating to
unsworn falsification to authorities.
Date: February 7 , 2001
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SUI,rt;ll\t: COijfL 146439
SI3 Nor1h Second Str.ct
Harrisburg. PA 17101
(717) 2JJ.JZ20
Counsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, m..
Defendant
CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT
L A complaint in divorce under ~ 3301(c) of the Divorce Code was fIled on
February 3, 2000.
2. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of
intention to request entry of the decree.
1 verify that the statements made in this aftldavit are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa. C.S. ~ 4904, relating to
unsworn falsification to authorities.
Date: February
7
.2001
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Ceu.ftAd for Defendam.
. COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA
CATHERINE A. BUHRIG,
. Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIO, JR.,
Defendant
CIVIL ACTION. DlVORCE
(
AFFIDAVIT OF CONSENT
1. A complaint in divorce under ~ 3301(c) of the Divorce Code was fded on
FebruaIy 3, 2000.
Z. The marriage of plaintiff and defendant is irretrievably broken and ninety days
have elapsed from the date of filing and service of the Complaint.
3. I COlISCnt to the entry of a final decree of divorce after service of notice of
intention to request entty of the decree.
r verify that the statements made in this affidavit are tlUe and correct. I understand that
faise' statements herein are made subject to the penaJIti.es of IS Pa. e.s. i 4904, reJa.ting to
UMwom falsification to authOl'Wes.
Dare: February
7
.2001
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Theresa Barrett Male
Supreme Court #46439
513 North Second Street
Harrisburg, PA 17101
(717) 233-3220
Connsel for Defendant
COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
CATHERINE A. BUHRIG,
Plaintiff
v.
NO. 2000-633 Civil
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - DIVORCE
DEFENDANT'S MOST RECENT TAX RETURN
,..~..
-~ .-
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1 wa~, tips, otf1~ camp. 2 Federal income lBx withhe!d
69667.60 t2329.79
3 Sociaf sei;urity wages 4 Socia' securttt tax withheld
74379.53 4611.53
S Medk.are wages and tiP5 6 Medicare tax withheld
74379.53 1078,50
a Control Humber I uepl 1.;0fJl. I tmployBI uSe only
000132 Q8T 100090 A 7
c Employer's name, address, and ZIP code
THE DODGE COMPANY INC
165 CAMBRIDGE PARK DRIVE
CAMBRIDGE MA 02140
. Batch #00369
b EmFl'04r's fED 10 number d Employee'. SSA number
4-1250520 118.50.8548
7 SOCial security tips 8 Alloeatfld tips
9 Advance EIC payment 10 Dependent care benefits
11 N~ualifted plans 12 Benefita Included in box 1
13 See instrs. for box 13 14 other
D 4711.93
15 Statemp.1 Deceased I pens~Plln IlesJllrep. l~comP.
elf Employee's name, address and ZIP code
ROBERT L BUHRIG JR
POBOX 1412
MECHANICSBURG,PA 17055-1412
16 5tateWtplayer's state ID no. 17 State wages, tips, etc.
PA 080 2452 74379.53
18 State Income tax ,. locality name
2044.72 WSTB
20 loce! wages, tips. etc. 21 local Income tax
74379 .53 730.25
Employee Reference COB
W-2 Wage and Tax 2 00
Statement
Copy c 1M emuloyee's reconls. OMB No. 1S45-OOOS J
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This blue Earnings Summary section Is included with ybur W-2tfl help describe portions In more deta
The reverse side Includes general Information that you may also find helpfUl.
1. The following infonnation reflects your final 2000 pay stub plus any adjustments submitted by your employel
Gross Pay 78531.94 Social Security 4611.53 PA. State Income Tax 2044.72
Tax Withheld Box 18 of W-2
Box 4 of W-2 Local Income Tax
1078.50 Box 21 of W.2
SUI/SDl
Box 14 of W.2
730.25
Fed. Income
Tax Withheld
Box 2 of W.2
12329 .79
Medicare Tax
Withheld
Box 6 of W.2
2. Your Gross Pay Was Adjusted as follows to produce your W-2 Statement.
Wages, Tips, other Social Security Medicare
Compensation Wages Wages
Box 1 of W-2 Box 3 of W-2 Box 5 of W-2
PA. State Wages, WSTB
Tips, Etc. Local Wagf
Box 17 of W-2 Tips, Etc.
Box 20 of \'
78,531
4,152
r
74,379
Gross Pay
Less Misc. Non Taxable Compo
Less 401 (k) (O-Box 13)
Reponed W-2 Wages
78,531.94
4,152.41
4.711.93
69,667.60
78,531.94
4,152.41
N/A
74,379.53
78,531.94
4,152.41
N/A
74,379.53
78,531.94
4,152.41
N/A
74,379.53
3. Employee W-4 Profile. To change your Employee W-4 Profile Informatlon"f1le III new W-4 with your payroll de
ROBERT L BUHRDG JR
POBOX 1412
MECHANICSBURG,PA 17055-1412
Social Security Number: 118-50-8548
Taxable MarIfel Stafus: SINGLE
Exemptions/Allowances:
FEDERAL: 1
STATE:
LOCAL:
C 2000 AUTOMATIC DATA PROCESSING. INC.
oin the 40 million Americans who will e~file their income tax returns this year! Visit www.irs.aovfordetails.
-----~--------------------------------r------------~~~dMdD~ach~re~------------T-----------------------------------.
, W~e5, tips, otner camp. 2 r....eral Income...... WRnnela
69667 .60 12329.79
3 SOtiaI security wages 4 Social security tax withheld I
74379.53 4611.53 I
S MeQtcare wages and tips 6 Medicare tax withheld I
74379.53 1078.50 I
a Control Number I Dept corp'l Employer use only
000132 Q8T 100090 A 7
c Ell\pIoyer's nallle, address, and ZIP code
THE DODGE COMPANY fNC
.165 CAMBRIDGE PARK DRIVE
CAMBRIDGE MA 02140
b EDlp'Q4r's fED ID number d EmP11ee'8 SSA number
4-1250520 18-50.8546
7 SQCj.a1 security tips 8 Allocated tips
~qvance EIC payment 10 Dependent care benefits
Il "l:lnqualrtlecl plans 12 Benefib included in box 1
13 S~ instrs. lor box 13 14 other
D 4711.93
15 S~l emp.l DecelIsed I pen$~ plln llegll rap. I Delit comPo
elf E"'ployee's name, addren and ZIP code
ROBERT L BUHRIG JR
POBOX 1412
MECHANICSBURG,PA 17055.1412
16 StMe\im&loyer'sstateIDhO-17 State wages, tips, etc.
PA 10 0 2452 74379.53
18 State income tax ,. locality name
2044.72 WSTB
20 laeal wages. ti~, etc. 2' local income tax
4379.53 730.25
Federal Filing cOP2
W-2 Wage and Tax 000
..~_."'.~.._ "'_~"'"'' ~_~~.!~tteO:'!'~!~~!-"'~T."~.J...lIO. 1545-0008
federal income tax withheld I
, Wages, tips, otheJ" COmp- 2
69667.60 12329.79
3 Social security wage$ 4 Social secllrity tax withheld
'74379.53 4611.53
S Medicare wages and tips 6 Medicare tQ: withheld
74379.53 1078.50
a Control Number I Oept COlp. I Empll7ilfuseonly
000132 Q8T 100090 . A 7
, Employer's name, address, and ZIP code
THE DODGE COMPANY INC
165 CAMBRIDGE PARK DRIVE
CAMBRIDGE MA 02140
b Emploz's fED 10 number d Em~ee's SSA number
4.1250520 18.50.8548
7 Social security tips 8 Allocated tips
9 Advance EIC payment 10 Dependent care benefits
11 Nonquallfied plans 12 Benefrts Included In box 1
f3 14 othc<
D 4711.93
15 Statemp.1 Deceased 1 Pen$~nptan I legllrep. I ~comp.
elf Employee's name, address and ZIP code
ROBERT L BUHRIG JR
POBOX 1412
MECHANICSBURG,PA 17055-1412
16 StatehEt~OYer'15 state 10 no. 17 State wages, tips, etc.
PA 0 0 2452 74379.53
1& State income tax ,. locality name
2044.72 WSTB
20 local wages, tii4' ~ 2f local income tax
4379.53 730.25
PA.State Filing Copy
r'f)!::.~ .:~~~;'~J,:X R,Q,Q~Q
, Wages, tips, other camp. 2 federal Income tax w1tfIht
69667.60 12329.;
3 Social security wages 4 Social security tax withhe
74379.53 4611,!
S Medicare wages and Ups 6 Medicare tax withheld
74379.53 1078.!
a Control Nllmber--lbept, Cmp. I ~mplOYIf use only
000132 QaT 100090
c Employer's name, address, and ZIP code
THE DODGE COMPANY INC
165 CAMBRIDGE PARK DRIVE
CAMBRIDGE MA 02140
b Emplo6er's fED ID number d Empl,ee'S SSA number
.' 4.1250520. ... 18-50.8548
7 Social securily tips 8 Alfocatedtips
9 Advance EIC payment 10 Dependent care benefits
11 Nonqualifled plans 12 Benefits included In box'
13 14 Olf1er
D 4711.93
15 Statemp.1 Decelsed I PenSIXplln I ltgllrep. I DefTI
ejf Employee's name, address and ZIP code
ROBERT L BUHRIG JR
POBOX 1412
MECHANICSBURG,PA 17055-1412
16 stateh~ma'lloyer's state 10 no. 17 State wages, tips, etc.
PA 0 0 2452 74379.
18 Stateincometax ,. locality name
2044.72 WSTB
20 local Wages, ti-14' etc. 2f local income tax
4379.53 730.
City or Local Filing C'2Y
W-2 Wage and Tax OOf
Statement ro"M: '''''''
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Form 1 040 Oapartment ollhe T1eesury - lnlemal Revenue SSNice 1999 1(99)
u.s. Individual Income Tax Return IRS use only - Do not write or slllple in this Space.
For the year Jan I-Dee 31,1999, or other tax year beoinnino , 1999, endino , I ONlS No. 1545.0074
Label Your First Name MI last Name Your Socia' Security' Number
(S_ mstnJdions.) Robert L Buh r i ~, Jr 118-50-8548
If a Joint Return, Spous~'s Fil"'5t Name MI Last Name spouse', Soclll Secu,Uy Number
Use the
IRS label. 175-52-8931
Otherwise, Home Address (number and street). If You Have a P.O. Box, See Instructions. Apartment No. A Important! A
please print
or type. PO BOX 1412 You must enter your social
City, Town or Pos! Omee. If You Have a Foreign Address, See Imilruclions. State ZIP Code security number(s) above.
Presidential Mechanicsbure PA 17055 Ves No IIDt.. Chocki';1,
Election ~, Do you want $3 to go to this fund? ........................,..................... 'Yes' will not angs
Campaign ...." your tax or reduce
(See insttuctions.) If a 'oint return, does your spouse want $3 to go to this fund? ......,......',.,.. ......... your refund.
1 Single
Filing Status 2 Married filing joint return (even if only one had income)
3 Married filing separate return. Enter spouse's SSN above & full name here '.. .. Cat he r i ne A Buhri~
4 Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your
Check only
one box.
c Dependents:
(1) First name
use cUed -- J9 ee instructions.
.., y~u. ~~.~.d:~~nd~.~'.~n.hl~.~r.. ..l- i:~-:;i~...c=!l
..........,............................- No. ot your
(") . children 011
(2) DerendenrS (3) Dependent's .. .f 6cwho: c=J
socia security relationship qualifying child . nvlld
number to you for d:1i1d tall: WIth you .....
credIt (see dld III
inslruchons). no 1111
WIlbyoudueto
dlllorceor.e,. C=I
Ira80n(s..
'n'ltucflDn.) ..
Dependents
onknot r-I
:=d..,....L-J
Exemptions
5
6a
b
If more than
six dependents,
see instructions.
Addnumbers ..I J
d,Total number of exemDtions claimed ~nteredan
.. ... ............ .................................. .. . lines above . ~
7 Wages, salaries, tips. etc. Attach Form(s) W-2 . . . .. . ......... .............,...,,,.... 7 77 071.
Income s. Taxable interest. Attach Schedule B if required. . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . ..... Sa 190.
Attach Copy B b Tax--exempt interest. Do not include on line Sa ............. UE.I
of ~our Forms 9 Ordinary dividends. Attach Schedule B if required ..... . . . . .. . . . . . . . . . . . . . , . . . , . . . . . . . . 9 1.
w- and W-2G
here. Also attach 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) ..... 10 11.
Fonn(s) 1099.R if 11 Alimony received ........."".. .......................... .........."............. 11
tax was withheld. 12 Business income or (loss). Attach Schedule C or C.EZ..,.,....,..."......,........... 12 13 703.
If you did not 13 Capital gain or (ioss). Attach Schedule 0 if required. If not required, check here..,. .. 0 13
get a W.2, see
instructions. 14 Diller gains or (losses). Attach Form 4797 .......,......,....,......................., 14
15a Total IRA distributions.... .~ 2 ,450 .1 b Taxable amount (see instrs) .. 15b O.
16a Total pensions & annuities. 16a b Taxable amount (see instrs) .. 16b
17 Rental real estate, royaities, partnerships, S corporations, trusts, etc. Attach Schedule E .. 17
Enclose, but do 18 Farm income or (loss), Attach Schedule F .. ..............,.........,................. lS
not staple, any 19 Unemploym~nt compensation...............,..,.................................... 19
payment. Also, 20a Social security benellls ..... ~ I b Taxable amount (see instrs) .. 20b
~tease use
orm 1040-V. 21 Other income, List type & amount (,eo instrs) 21
. 22 Add the amo'unts in the far riQht column furlines 7" thr~uah 21.Thi~ is ';'~r totalincome- .. 22 90,976.
23 IRA deducuon (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . , 23
Adjusted 24 Student loan interest deducuon (see instructions) .,...,.,... 24
Gross 25 Medical sayings account deduction. Attach Form 8853 , . . . . , . 25
Income 26 Moving expenses. Attach Form 3903 . . . .. . .. . . . . . . . . . . . . . . . 26
Z1 One-half of self-employment tax. Attach Schedute SE ....... Z1 184.
28 Self-employed health Insurance deduction (see instructions) 28
29 Keogh and self-employed SEP and SIMPLE plans .......... 29
30 Penally on early withdrawal of savings. . . . , , . . . . . . . . . . . . . . . 3il
31a Alimony paid b Recipienl's SSN . . . . .. ,.., 31a
32 Add lines 23 through 31a ,...............,.............."...............,.... ........... 32 184.
33 Subtract line 32 from line 22. This is your adjusted gross Income .. . . . ........"....., .. 33 90.792.
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions.
FDlA0112 11116/99.
Form 1040 (1999)
Form 1040 1999
Tax and
Credits
Standard L
Deduction
for Most
People
Single:
$4,300
Head of
household:
$6,350
Married tiling
jointly-or
Qualifying
widow(er):
$7.200
Married filing
separately:
$3,600
Other
Taxes
Payments
Refund
Have it directly
deposited! See
instructions and
fill in 66b, 66c.
and 66d.
Amount
You Owe
Sign
Here
Joint retum?
See instructions.
Keep a copy
for your records.
Paid
Pre parer's
Use Only
64 Add lines '57, 58. 59a, and 60 Ihrough 63. These are your
tot.1 . ments "................................................................. ~ 64
65 If Iin. 64 is more Ihan lin. 56, sublracllin. 56 fram Iin. 64. This is Ih. amount you Ov.rp.ld ....,.......... 65
66. Amount of line 65 you want Refunded to You.. .. .. .. .. ... ... ...,.. ,. ,.. . . . ,..,.." . ~ 66.
~ b Routing number _...... ... c Type: 0 Checking 0 Savings
... d Account number
67 Amount of Iin. 65 wanl A plied to Your 2000 Estlm.ted Tax. . . . . . . ~ 67
68 If line 56 is more than line 64, subtract line 64 from line 56. This is the Amount You
Owe. For details on how to pay. see instructions .................................... ... 68
69 Estimated tax al. Also include on line 68 ....,......" ,169
Under penalties of peljury, 14ileclare Ihat I have examined 's return and accompanying schedules and statements, and to !he best of-my knowledge and
belief, they are true comp . Dedaratio sparer (other than taxpayer) is based on all information of Mlich preparer has any knowledge.
Date Your Occupation
t
Robert l Buhr; Jr
34 Amount from line_ 33 (adjusted gross income) ..............
35. Check I~ 0 You were 65lolder, 0 Blind; 0 Spouse was 65/older,
Add the number ,of boxes checked above and enter the total here. . . .
b If you are married filing separately and your spouse itemizes deductions
or you were a dL:el-status alien, see instructions and check here. . . . .,. . . .... 35b 0
36 Enter your itemizoed deductions from Schedule A, line 28, Or standard deduction
shown on the lef".... But see instructions to find your standard deduction if you checked
any box on line 35a or 35b or if someone can claim you as a dependent. . . . . , .
'iJl Subtract line 36 lirom line 34 .................... . . . .. .. . . .. . .. .. . .. .. .. .. .
38 If lin. 34 is $94,975 ""less, multiply $2,750 by Ih. total number 01 ex.mplions claimed on lin. 6<1. If lin. 34
is over $94,975, see IIlie worksheet in Iho instructions for the amount 10 enter. . . . . . . . , . . , . . . . , . . . . . . . . . .. 38
39 Tax.ble income. Subtract line 38 from line 37. If line 38 is more than line 37, enter -0- 39
40 Tax (see instrs). CheaIk il any tax is from . OForm(s)8814 b o Farm 4972 ............',....... ~ 40
41 Credit \.. tI1ild and ~ent c.re "'!>Onses, Attach Fonn 2441 .......... 41
42 Credit for Ihe eldlerlyor Ihe disabled. Attach Schedule R . . . .. 42
43 Child tax credit (see instructions) . . .. .. .. .. .. . .. . . .. .. .. ... 43
44 Education credits.. Attach Form 8863. ....... .. . .. ... . . .. ... 44
45 Adoptlon credit Attach Form 8839 .. , .. .. .. . .. .. . . .. .. . . . " 45
46 Foreign tax credit. Attach Form 1116 if required.. .... . . " ... 46
47 Other. Check iffirom .. a BForm 3800 b OForm 8396
c 0 Form 8801 d Form (specify) 47
48 Add lines 41 thlougb<l7. These.reyourtot.lcredlls ...........................................,
49 Subtract line 48lrom line 40. If line 48 is more than line 40 enter ,0. . , . . . . . , . . .. . . . . .. ~
50 Sell-employment ia Atlach ScheduleSE ..........,..........,...............,...............
51 Alternative minimum tax. Attach Form 6251...............,....,..,........,..........
52 Social security and Miedicare lax on lip Income nol reported to .mployer. Attach Form 4137 ...........,.....
53 Tax onlRAs. other retirement plans, and MSAs. Attach Form 5329 if required, ".. ,.. .. ..
54 Advance earne.d income credit payments from Form(s) W-2 .............,.....""....,
55 Household empl6ymentlaxes. Attach Schedule H ....,....,...........................
56 Add lines 49-55. Thi. is ur lot.llax. .. . . .. .... ... . . . . . . . .. . .. . , .. .. , ..... . .. ,.... .. .. ~
01 Federal income lax wilhheld from Forms W.2 and 1099 ....., 01 10 426.
58 1999 estimaled lax peyments and .moual applied from 1998 return. . . . . . .. 58
59. E.mod Incom. credit Ailach Schedule EIG if you have . qualifying child.
b Nontaxable earned income: amount . to-
and type . ~ __~_ _ ______ _ __ _ _ _ _ _ _ _ _ 59.
60 Additional child tax credit. Attach Form 8812 ...,....,...... 60
61 Amount paid with'r~est for extension to file (see instructions) . .. ..... .. 61
62 Excess social security and RRT A tax wilhheld (see instrs) '., 62
63 Olher payments_ Check if from. . . . .. 0 Form 2439
b 0 Form 4136 .......... ................,.........
[j Blind.
... 35a
4 300.
63
~
~
EIN
ZIP Code
Sales Re resentative
Spouse's Occupation
Dale
Preparer's a....
5ignabJre ,..
Firm's Nama
(or yours it
self-employed)
and Address
0W'(?(P/1
Jose h W. Nocito. CPA
300 Arcadia Ct 9370 McKni ht
Pittsburgh
PA
10/02/2000 Check if self-employed
Rd
FDIA0112 11115199
r
118-50-8548
34
Pa e 2
90 792.
36
'iJl
46 242.
44 550.
2 750.
41 800.
8 913.
48
49 8 913.
50 367.
51 5 285.
52
53 90.
54
55
56 14 655.
14 726.
71.
71.
25-1517398
15237
Form 1040 (1999)
,""'
-J' ~ 'j;';
Jr
118-50-8548
Pa 2
33 Lower of cost or market c Other (attach explanation)
34 ri~e~~~~ett~~K ~~~~~~:io~~t~~~l~~~~ .:~~~~i~i~.S., ,~~~t.s.' .~r. 7~~~~~i~~~, ~~~~~:. ~~~.~j~~. ~~~ ~1.O.~i~~. i:.v.e.~t~.::.
35 Inventory at beginning of year. If different from last year's closing inventory,
attach explanation .., , . . . . . . . . ' . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , .
No
35
36 Purchases less cost of items withdrawn for personal use.
36
'ifl Cost of labor. Do not include any amounts paid to yourself.
.............. 'ifl
38 Materials and supplies ....,...............,..............
......,.,.... ............... ....... ..., 38
39 Other costs.............................,............... ..............,.....,......................, 39
40 Add lines 35 through 39 ...... ..... .., ...... ... ... .... . , .. ... , ... . .. .. ... ...... .... ... .... ............ 40
41 Inventory at end of year....... ..... ... .... .... .... .. ..... ... ... .. .... .. ............. ................. 41
oods sold. Subtract line 41 from line 40. Enter the result here and on a e 1, line 4, . . . . . . . . . . . . . .. 4Z
Infonnation on Your Vehicle. Complete this part Only if you are claiming car or truck expenses on line 10 and are not
required to file Form 4562 for this business. See the instructions for line 13 to find out jf you must file.
43 When did you place your vehicle in service for business purposes? (month, day, year)
..
44 Of the total number of miles you drove your vehicle during 1999, enter the number of miles you used your vehicle for:
a Business _ __ _ __ _ _ ___ bCommuting __ _ _ __ _ _ _ _ _ cOther _ _ _ _ ___ __ __
45 Do you (or your spouse) have another vehicle available for personal use?,............................,........".... DVes DNo
45 Was your vehicle available for use during off-duty hours?
........, DVes DNo
......... DVes DNo
47 a Do you have evidence to support your deduction?
~~~~----------------------------------------------------
516.
~~l~b~~~_________________________________________________
273.
~2~~1~~~~@____________________________________________---
50.
----------------------------------------------------------
48 Total other expenses. Enter here and on page 1, line 27 . . . . . . . . , , . . , . . . , , . . . . _ . . . . .
... 48 839.
Schedule C (Form 1040) 1999
FDlZ0112 10121/99
--~
. " ..'~-",
Robert L Buhri Jr
Section B - Long Schedule SE
17 Page 2
Social Security Number of Person
with Sell-Employmenllncome ~ 118 - 50- 8548
Schedule SE (Form 1040) 1999
Naine of Person with Sell-Employment Income (as Shown on Form 1040)
~!fi't;IM@l Self-Employment Tax
Note: If your only: income subject to self-employment tax is church employee Income, skip lines 1 through 4b. Enter -0. on line 4c and go to
line 5a. Income from services you performed as a minister or a member of a religious order Is not church employee income. See instructions.
A If you are a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361, but you had $400
or more of ~ther net earnings from self-employment, check here and continue with Part I ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 Net farm prOfi\ or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-I (Form 1065), line
15a. Note: SkIp thIS Itne If you use the farm optional method. See ins/ructions .......,..",..,.......,..,.. 1
2 Net profit or, (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-I (Form 1065), line 15a
(other than farming); and Schedule K-I (Form 1065-8), box 9. Ministers and members of religious orders,
see instructi:ons for am<;lunts to report on this line. See instructions for other income to report. Note: Ship
this line ifybu use the nonfarm optional method. See instructions......................................... 2
3 Combineiines I and 2 .,.......................................................,..................... 3
4a If line 3 Is more than zero, multiply line 3 by 92.35% (.9235). Otherwise, enter amount from line 3 . , . . , . . . . . ., 4a
b If you elected one or both of the optional methods, enter the total of lines 15 and 17 here..... ,.. ,....., ".. 4b
c Combine lines 4a and 4b. If less than $400, do not file this schedule; you do not owe self.employment
tax. Exceptlpn. if less than $400 and you had church employee Income, enter -0. and con~nue . . , . . . . . . . .. ~ 4c
Sa Enter your qhurch employee Income from Form W-2. Caution: See the I I
instructions :tor definiltofJ of church employee income ......................... l!!J
b Multiply line'5a by 92.35% (.9235). If less than $100, enter .0- .................,.,......................,. 5b
6 Net earnings from self.employment. Add lines 4c and 5b ...,........,...........................,....... 6
7 Maximum amount of combined wages and self-employment earni~ subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier I) tax for 1 .. .. . . .. .. . ... ..... ....... .. ... . ..... 7
8a Total social security wages and tips (total of boxes 3 and 7 on Form(s) W-2)
and railroad retirement (tier 1) compensation... , ..... ... .... , ,. . . . ,.. , . ,. .. . 8a 72 600.
b Unreported tips subject to social security tax (from Form 4137, line 9) ..,'.,.... 8b
c Add lines 8a and 8b. . .. . .. .. .. .. . .. .. .. .. .. .. . .. .. .. .. .. . . . . .. . .. . . . . .. . .. . .. . .. .. .. .. . . .. .. .. . .. . .. . 8c
9 Subtract line Bc from line 7. If zero or less, enter .0- here and on line 10 and go to line 11 ................... 9
10 Multiply the smaller of line 6 or line 9 by 12.4% (,124) ...... . .. . ... .. . .. .. ..' ...... ... . ..' . . ... 10
11 Multipiy line 6 by 2.9% (.029) .........................................,......................,........ 11
13 703.
13 703.
12 655.
12 655.
O.
12,655.
72,600.
72.600.
O.
O.
367.
12 Self-employment tax. Add lines 10 and II. Enter here and on Form 1040, line 50 . .. ........
13 Deduction for one-half of self-employment tax. Muitiply line 12 by 50% I I
(.5). Enter the resull here and on Form 1040, line 27 ....... .. . .. . .. ... ... .. ... 13
Wfa!_ Optional Methods to Figure Net Earnings (See instructions.)
12
367.
184.
Farm Optional Method. You may use this method only if:
. Your gross farm income(l) was not more than $2,400, or
. Your net farm profits(2) were less than $1 ,733.
14 Maximum income for optional methods .............. ................. ........... ..............."..... 14 1,600.
15 Enter the smaller of: two-thirds (213) of gross farm income(l) (not less than zero) or $1,600. Also,
include this amount.on line 4b above. . ...... ..... . .......... ... ............................... ........ 15
Nonfarm Optional Method. You may use this method only if:
. Your net nonfarm profits(3) were less than $1,733 and also less than 72.189% of your gross nonlarm Income(4),
and
. You had net earnings from self-employment of at least $400 In 2 of the prior 3 years.
Caution: You may use this method no more than five times.
16 Subtract line 15 from line 14 . ". ,.. .. ". , ".,...... ........ . .., ...... '" .,....,. , ,.....,... ....... ,... 16
17 Enter the smaller of: two-thirds (21:I) of gross nonfarm income(4) (not less than zero) or the amount on
line 16. Also, Include this amount on line 4b above.. . . . .. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
(1) From Schedule F, line 11, and Schedule K-I (Form 1065),
line 15b.
(2) From Schedule F, line 36, and Schedule K-I (Form 1065),
line 15a.
(3) From Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-l
(Form 1065), line 15a; and Schedule K-' (Form 1055-8). box 9.
(4) From Scheduie C, line 7; Schedule C-EZ, line I; Schedule K-l
(Form 1065), line 15c; and Schedule K-l (Form 1065-8), box 9.
Schedule SE (Form 1040) 1999
BAA
FDlAlI02 11/10199
-
~ ...
-~ '-
Form 5329
Additional Taxes Attributable to IRAs,
Other Qualified Retirement Plans, Annuities,
Modified Endowment Contracts, and MSAs
(Under SecUons 72, 530, 4973, end 4974 of the Intern.1 Revenue Code)
.. Attach to Form 1040. .. See instructions.
OMS No. 1545-0203
1999
Department Df !he Treasury
Internal Revenue &ervice
29
Name of Individual Subject lo Additional Tax. (If married filing jointly, see the instructions.)
Your Social Security Number
Robert L Buhri
Jr
Fill in your .ddress only
if you .re liling this lonn ..
by itself and not with City, Town Or Post Olfice
your tax return
Home Address (number and street). or P.O. Bo)( il Mail is Not Delivered 10 Your Home
118-50-8548
Apartment Number
Slale lIP Code
If this is an amended
return, check here. . .
..
It you are subject only to the 10% tax on early distributions, you
may be able to report this tax directly on Form 1040 without filing
Form 5329. See Who Must File in the instructions.
~ Tax on Early Distributions
Complete this part ,il a taxable distribution was made frorn your qualified retirement plan Oncludlng an IRA other than an
educaUon IRA), annuity contract, or modiUed'endowment contract before you reached age 59-112. If a distribution was
incorrectly indicated on Form 1099-R as an early distribution (no known exception to the additional tax). or you received
a Roth IRA distribution, see the instructions.
Note: You must include the taxable amount of the distribution on Form 1040. line 15b or 76b.
1 Early diatributions included In gross income. For Roth IRA distributions, see the instructions. . . . , . . . . . . . . . . . . 1
2 Early diatributions not subject to additional tax. Enter the appropriate exception number
from the instructions: . .. .... ... .. ............ .... ... ,.. ......,.......... ... .... .... ... .. 2
3 Amount subject to additional tax. Subtract line 2 from line 1 , , . .. , .. .. . .. . .. . . .. .. .. . , .. .. .. . .. .. .. . .. .. .. 3
4 Tax due. Enter 10% (.10) of line 3. Also include this amount on Form 1040, Une 53 .....",.",.."......,.. 4
Caution: If any part of the amount on line 3 was a distribution "om a SIMPLE retirement plan, you may
have to include 25% of that amount on line 4 instead of 10%. See the instructions.
Tax on Certain Taxable Distributions from Education (Ed) IRAs
Complete this part if you had a taxable amount on Form 8606, line 30.
Note: You must include /he taxable amount of the distribution on Form 1040, line 15b.
5 Taxable distributions from your Ed IRAs, from Form 8606, line 30 .. . .. ... ........ , ... .....".............. 5
6 Taxable distributions not subject to additional tax. See the instructions ........." .. ....................... 6
7 Amount subject to additional tax. SubtractJine 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8 Tax due. Enter 10% (.10) of line 7. Also include this amount on Form 1040, line 53 . . . . . . . . . . . . . , . , . . . . . , . , . 8
... ..
rliiiiOOlll Tax on Excess Contributions to TradltionallRAs
Complete this part if you contributed more to your tradltionallRAs for 1999 than is allowable or you had an excess contribution on
line 16 of your 1998 Form 5329.
9 Enter your excess contributions from line 16 of your 1998 Form 5329. If zero, go to line 15 .. ...... . ......... 9
10 If rcour traditional IRA contributions for 1999 are less than Dour maximum
alowable contribution, see instructionsj otherwise, enter. . ..........,..,..... 10
11 Taxable 1999 distributions from your traditional IRAs . . . . . . . . ............. ..... 11
12 1999 withdrawals of prior year excess contributions included on line 9.
See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...".... .... 12
13 Add lines 10, 11, and 12... .... .. , ... ... .... ... .. . ..... ... ... .. . ..... . ..........".................... 13
14 Prior year excess contributions. Subtract line 13 from line 9. It zero or less, enter -0- ........".... .. . ... . .. 14
15 Excess contributions for 1999. See instructions. 00 not include this amount on Form 1040, line 23 .""...... 15
16 Total eXcess contributions. Add lines 14 and 15 .. .. . ,. ... .. . . '.. .. . . . . . . . . . . . .................... .. ...... 16
17 T~~~~;;7~~~d~ ~?:)~o~~t ':.~~;~f1~, Wn~r :e. value .~IYOU~ ~~diti.o,~~'.I,RAa. on.De~:~b:~ .31:. . . . . . , .
17
BAA For Paperwork Reduction Act Notice, see separate instructions.
Form 5329 (1999)
FDIA5012 12127199
.oW ~
Form53291999 Robert l Buhri Jr 118-50-8548 Pa e2
IllJlftlMVJii Tax on Excess Contributions to Roth IRAs
Complete this part it you contributed more to your Roth IRAs for 1999 than is allowable or you had an excess contribution on
line 18 of your 1998 Form 5329.
18 Enter yoUr excess contributions from line 18 of your 1998 Form 5329. If zero, go to line 23 .
19 If your Roth IRA contributions for 1999 are less than your ma:-'Imum allowable ~
contribution, see instructions; otherwise, enter .0- ,. " >, 19 _
20 1999 distributions from your Roth IRAs, from Form 8606, line 17 . . " 20
21 Add lines 19 and 20. ...........................
22 1998 excess contributions. $ubtract line 21 from line 18. If zero or less, enter .0- . .
23 Excess-...contributlons for 1999. See instructions,. ,
24 Total excess contributions. Add lines 22 and 23 . ., . ... ....
18
0,
21
22
23
24
1,500.
1 500.
25 Tax due.. Enter 6% (.06) of the smaner of line 24 or the value of your Roth IRAs on December 31, 1999.
Aiso include this amount on Form 1040, line 53 ... .. ....... . ... , ... .. .. .. .. .. .... ....... , ... , ...... . 25 90.
Tax on Excess Contributions to Education (Ed) IRAs
Complete this part if the contributions made to your Ed lRAs in 1999 were more than is allowable or an excess contribution is
shown on line 20 of your 1998 Form 5329.
26 Enter your excess contributions from line 20 of your 1998 Form 5329. If zero, go to line 31 . . . . . . . . . . . . . . . . . . 26
27 If the contributions made to your Ed IRAs for 1999 are less than the maximum
allowable contribution, see instructions; otherwise, enter .0- ... . . . . . . . . . . . . . . . . Zl
28 1999 distributions from your Ed IRAs, from Form 8606, line 28 .. ,. . , . ... ,. ,. ... 28
29 Add line. 27 and 28.........,.. ..........."........,......,...........,............. ................ 29
30 1998 excess contributions. Subtract line 29 from line 26. If zero or less, enter -0- .... .... ... '......... ...... 30
31 Excess contributions for 1999. See instructions ..........................................,.............. 31
32 Total excess contributions. Add lines 30 and 31 ................ ..................... ....."........ ..... 32
33 Tax due. Enter 6% (.06) of the smaner of line 32 or the value of your Ed IRAs on December 31, 1999.
Also include this amount on Form 1040, IIn~ 53 .. , .. . . .... .. . . . ... ,.. . .. ,"'. .. .... """"" . .... "'" . 33
IJifiW. Tax on Excess Contributions to Medical Savings Accounts (MSAs)
Complete this part If you or your employer contributed more to your MSAs In 1999 than is allowable or an excess contribution is
shown on line 29 of your 1998 Form 5329.
34 Enter the excess contributions from line 29 of your 1998 Form 5329, If zero, go to line 39 ..,..........,...,. 34
35 If the contributions made to your MSAs for 1999 are less than the maximum ~
allowable contribution, see instructions; otherwise, enter .0- ................... 35
36 Taxable 1999 distributions from your MSAs, from Form 8853, line 10 .......,... 36
'37 Add lines 35 and 36... .. ....... ..................... ................................................ 'iJ7
38 Prior year excess contributions. Subtract line 37 from line 34. If zero or less, enter -0- ........... . . . . . . . . . .. 38
39 Excess contributions for 1999. See instructions. Do not include this amount on Form 1040, line 25 ........... 39
40 Total excess contributions. Add lines 38 and 39...,.............,....................................... 40
41 Tax due. Enter 6% (.06) of the smaner of line 40 or the value of your MSAs on December 31, 1999.
Also inciude this amount on Form 1040, line 53 .. , . .. , . .. . , . . . . , . . . . . . . . . . , . . . , . . , , . , . . , . , . . . . , . . . . . . , .. 41
VeJlilJitmll Tax on Excess Accumulation in Qualified Retirement Plans
Complete this part if you did not receive the minimum required distribution from your qualified retirement plan (including an IRA
other than an Ed IRA or Roth IRA).
- .-
42 Minimum required distribution. See instructions ..................................'...................... 42
43 Amount actually distributed to you...,...... , . .. .... ..... . .,. .. .. ... , . .. .., . .,.... . . ...... ............. 43
44 Subtract ilne 43 from line 42. If zero or less, enter -0- ......................,............................ 44
45 Tax due. Enter 50% (.50) 01 iine 44. Also include this amounl on Form 1040, line 53 ....... ........................' . . . . . . . 45
S; nature. Com lete Onl jf u are fili this form b itself and not with our tax return.
Please
Sign
Here
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is bue, correct, and complete. Declaration of preparer (other than taxpayer) is based on ell information of which preparer ha$ any knowledge.
..... Your Signature
.... Date
o.la
Preparar's SSN or PTIN
Paid
Preparer's
Use Only
Preparer's ...
Signature
Check if self.
employed
Finn's Name
(or>ou"U ~
self-employed)
and Address
EiN
ZIP Code
Form 5329 (1999)
FDlA5012 12127199
Form 6251
Alternative Minimum Tax - Individuals
Department of !he Treasury
Internal Rev{!nue SeNice (99)
Name(s) ShljWn on Form 1040
.. See separate instructions.
. Attach to Form 1040 or Form 1 040NR.
1 If you itemized deductions on Schedule A (Form 1040), go to line 2. Otherwise, enter your standard
deduction from Form 1040, line 36, here and go to line 6 ,. H . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . , . .
2 Medical and dental. Enter the smaller of Schedule A (Form 1040), line 4, or 2.1/2% of Form 1040, /lne 34
3 Taxes. Enter the amount from Schedule A (Form 1040), line 9 ....................... . , . . . . .. . .. . . .
4 Certain interest on a home mortgage not used to buy I build, or improve your home ... . . . . . . , . . . . , . , . . . .
5 Miscellaneous itemized deductions. Enter the amount from Schedule A (Form 1040), line 26 ................
6 Refund of taxes. Enter any tax refund from Form 1040, line 10 or
h~...,.,.,.....,.,..,..............,.,..,............,.,.,.....".,.,..,.......,....
7 Inveslment Interest. Enter difference between regular tax and AMT deduction. . . . , . . . . . . , . . . , . . . . , . . . . , . . , .
8 Post-1986 depreciation. Enter difference between regular tax and AMT depreciation"..... .. ...... ..... .. ..
9 Adjusted gain or loss. Enter difference between AMT and regular tax gain or loss ...........,......,.,...,.
10 Incentive stock options. Enter excess of AMT income over regular tax income ..."................,.......
11 Pa$Sive activities. Enter difference between AMT and regular tax income or loss ....... . . . . , ' . . . . . . . . . . . . . .
12 Be,,"flclaries of estates and trusts. Enter the amount from Schedule K'l (Form 1041), line 9 ...........,.,..
13 Tax-exempt interest from private activity bonds iSsued after 817/86.. ".... .... .....,.. ... ..... ... .. .. .....
14 Other. Enter the amount, If any, for each Item below and enter the total on line 14.
a Circulation expenditures. . . . h Loss limitations. . . - . , . .
bDepletion ..... ,. ..' ... .... i Mining costs. ... ....,...
c Depreciation (pre-1987) .... J Patron's adjustment. .. .
d Installment sales .. . . . . . . . . k Pollution control facilities
e Intangible drilling costs. . . . . I Research & experimental
f Large partnerships... , .... mSectlon 1202 exclusion ......
9 Long-term contracts... .... n Tax shelter farm activities. '"
o Related adjuslments . .
15 Total Ad ustments and Preferences. Combine lines 1 throu h 14 . . .... .. . .. . .. .
Alternative Minimum Taxable Income
16 Enter the amount from Form 1040,.line ?i7.1f less than zero, enter as a (loss) ... . .... ... .. .. . .. ... .. ., . ,. ~
17 Net operating loss deduction, if any, from Form 1040. line 21. Enter as a positive amount.. . .. ..... .,. .. .. , .
18 If Form 1040, line 34, is over $126,600 (over $63,300 if married filing separately), and you itemized
de~uctions, enter the amount. if any, from line 9 of the worksheet for Schedule A (Form 1040), line 28
19 Combine lines 15 through 18. . .. . .. ... ..,..... . .. ... . .. . .. . . . ... ... .. . ... ..... , . .. ... .. .. . ... .. .. . .. ~
20 Alternative tax net operating loss deduction. See Instructions. . . . . . . . , , . . . . . . . . . . . . , . . . . . . . . . . . . . . . , . . . . . .
21 Alternative Minimum Taxable Income. Subtract line 20 from line 19. (If married filing separately and
line 21 is more than $165,000, see instructions. ........,.,........,........,..,....,....,..".,.". ·
Exem tion Amount and Alternative Minimum Tax
22 Exemption Amount. (If this form is for a child under age 14, see instructions.)
And line 21 is
If your filing status is. . . not over.. .
Single or head of household....................... $112,500
Married filing jointly or qualifying wldow(er) " .., . ,. ,.. . ,. 150,000... .... .
Married filing separalely .. . . . . . . . . . .. . .. . . . . . . . . . . . . . . . 75,000. . . . . . . . . . . .
If line 21 is over the amount shown above for your filing status, see instructions.
23 Subtract line 22 from line21. If zero or less, enter -0- here and on lines 26 and 28 ...,..............,.". ~ 23
24 I!'you reported capital gain distributions directly on Form 1040, line 13, or you completed Schedule D
(t-orm 1040) and have an amount on line 25 or line 27 (or would have had an amount on either line If you
had completed Part IV) (as refigured for the AMT, if necessary), go to Part IV of Form 6251 to figure line 24.
All others: If line 23 is $175,000 or less ($87,500 or less if married filing separately), multiply line 23 by
26% (.26). Otherwise, multiply line 23 by 28% (.28) and subtract $3,500 ($1,750 if married filing separately)
from the result............... ............... ...... ...... . .. . .. ... ... .... .. ...... ...... ...... ... .. . ~
25 Altematlve minimum tax foreign tax credit. See instructions .. . .. . .. .. . .. .. .. .. .. .. .. . .. . .. . .. .. . .. .. . .. . ,
26 Tentative minimum tax. Subtract line 25 from line 24 ........ .......................................,.. ~
27 Enter your lax from Form 1040, Iiae 40 (minus any tax from Form 4972 and any foreign lax credillrom Farm 1040, line 46) . . . . . . . . . , . . .
28 Alternative Minimum Tax. Subtract line 27 from line 26. If zero or less, enter .0.. Enter here
and on Form 1040, line 51 ,.... .. ,. ... .. '" .. . ,. " .. ..." . . " ,.. .., '" . .... . . ...,.,. . ..... " " . .. ~
BAA For Paperwork Reduction Act Notice, see separate instructions.
FOIA5312 06121199
Then enter on
line 22. ..
$33,750 1
45,000
22,500
OMS No. 1545-0227
1999
32
Your Soclll Security Number
118-50-8548
1
2 O.
3 6 240.
4
5 26 733.
6 -11 .
7
8
9
10
11
12
13
~
14
15 32 962.
16 44 550.
17
18 -825.
19 76 687.
20
21 76,687.
22
22,078.
54,609.
24 14 198.
25
26 14,198.
Zl 8,913.
28 5 285.
Form 6251 (1999)
Form 6251 (1999) Robert L Buhrig. Jr
fi~a_ Line 24 Computation Using Maximum Capital Gains Rates
118-50-8548
Page 2
Ceutlon: If you did not complele Part IV of Schedule 0 (Form 1040). see the instructions before you
complete this part.
29 Enter the amount from line 23 .......,..... . . . . .
30 Enter the amount from Schedule D (Form 1040), line 27 (as refigured for the
AMT. if necessary). See instructions. , , . .. . . ... .. . . . . . . '" .. . . . . . . . " . . .. .
31 Enter the amount fram Schedule D (Form 1040), line 25 (as refigured for the
AMT, jf necessary). See instructions..,............ . ........ ... .. ........... 31
32 Add tines 30 and 31 .................................. .... ........... 32
33
30
Enter the amount from Schedule D (Form 1040), tine 22 (as refigured for the
AMT, if necessary). See instructions...........,.....,.....,.......,.... ,... 33
34 Enter the smaner of tine 32 or line 33 ........., ...... , ..... .. . ... ... ... .. ..... ... .. ......... ...... .. ,.. 34
35 Subtract line 34 from line 29. if zero or less, enter .0- ... .,........,....,............................. ~ 35
36 If tine 35 Is $175,000 or less ($87,500 or less if married fiting ser.arateIY), multipl~ tine 35 by 26% (.26).
Otherwise, multiply line 35 by 28% (,28) and subtract $3,500 ($ ,750 if marriea filing separatety)
from the result .... ...... ..... ............ .... ,................ ,.................... ............. .... 36
'57 Enter the amount from Schedule D (Form 1040), line 36 (as figured for the
regular tax) ......... ......... .....................,.'".........",......, 'Sl
38 Enter the smanest of tine 29, line 30, or line 37 .. . .. . . .. .. .. .. .. . .. .. . .. . ... ~ 38
39 Multiply tine 38 by 10% (.10) .........'..... .... ,... . .. ".. . .. ... . , . .. . ..,... ,.. ,.. ". ,........,... .... 39
40 Enter the smaner ofline29 or tine 30 ............... ........ ............... .~
41 Enter the amount from tine 38 ......,....."............",............,..., 41 ,
42 Subtract tine 41 fram tine 40.............,.................. .. ..........., ~ 42
43 Multiply tine 42 by 20% (.20) .. . .......... ..... ... . . . ..... . . . . .. . .. , ..' '" , , . .. . ... .. .... '" ........... 43
Note: If /ine 31 ;s zero or blank. go to /ine 48.
44 Enter the amount from line 29 .......................... ............".... .~
45 Add lines 35, 38, and 42 ...... ........ .............. ........".,....,...... 45
46 Subtractline 45 from tine 44........................ ....................,... 46
47 Multiply line 45 by 25% (.25) ..............,.............,. ................................,.......... 47
48 Add tines 36, 39, 43, and 47 ..,..........................................,........................,... 48
49 If tine 29 is $175,000 or less ($87,500 or less if married filing serarately), multiply line 29 by 26% (.26).
Otherwise, mUiljply tine 29 by 28% (.28) and subtract $3,500 ($ ,750 if married fiting separately)
from .the result... . .. .... .. .. ........... .... .... . . . ..... . .. . ... .. ... .., ..... ..... .. .. .. , ......... .... 49
50 Enter the smaner of tine 48 or tine 49 here and on tine 24. . . . .. . ..' .. . . . . .. .... ... . .. . .. ............. .... 50
FDIA5312 06/21/99
29
Form 21 06-EZ
Unreimbursed Employee Business Expenses
OMS No. 1545.1441
Department of lhe Tre.asury
Internal Revenue Service (99)
Your Name
~ Attach to Form 1040.
1999
54A
Occupation in Which You Incurred Expenses
Socl.1 Security Nl.lmber
Robert L Buhrt , Ir
Vou may use this form Only if All of the following apply:
. Yau are an employee deducting expenses attributable to your job.
. Vou do not get reimbursed by your employer for any expenses (amounts your employer Included In box 1 of your Form W-2 are not
considered reimbursements).
. If you are claiming ~ehicte expense, you are using the standard mileage rate for 1999.
118-50-8548
Caution: You can use the standard mileage rate for 1999 only if: (s) you owned the vehicle and used the standard mileage rate for the
first year you placed the vehicle in service. Or (b) you leased the vehicle and used the standard mileage rate for the portion of the lease
period after 1997.
~ Figure Your Expenses
1 Vehicle expense using the standard mileage rate. Complete Part II and then go to line la below.
a Multiply business miles driven before April 1, 1999, by 32-1/2' (.325) ........" 1. 1 958.
b Multiply business miles driven .fter March 31, 1999, by 31 , (.31) ".....".".. 1b 5 587.
c Add lines la and lb..............................,..................,.."..........................., 1c 7 545.
2 Parking fees, tolls, and transportation, including train, bus, etc, that did not involve overnight travel or
commuting to and from work.............................. ..........,.......,.................. . . . . . . . 2 338.
3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Do not
include meals and entertaInment.... ....... . . .. . . . . .. .... . . . . .' . .. "" .... ... . . .. . . .. ..., . .. ... .. . .. . 3 3 438.
4 Business expenses not included on lines 1 through 3. Do not include meals and entertainment ............" 4 15 272.
5 Meals and entertainment expenses: $ 3,888. x 50% (.50) (Employees subject to
Department of Transportation (DOT) hours of service limits: Muitiply meal expenses by 55% (.55) instead
of 50%. For more details, 'see instructions.) ............".............................................. 5 1 944.
6 Total expenses. Add lines Ie throu9h 5. Enter here and on line 20 of Schedule A torm 1040). (Fee.basis
state or local government officials, qualified performing artists, and individuals wi disabilities: See the
instructions for special rules on where to enter this amountY-......................................,...... 6 28,537.
lIilttlll!llnformation on Your Vehicle. Complete this part Only if you are claiming vehicle expense on line 1.
7 When did you piace your vehicle in service for business use? (month, day, year) .................. ..... .. .. .. .. . ...... ... 01/01/99
8 Of the total number of miles you drove your vehicle during 1999, enter the number of miles you used your vehicle for:
a Business 24.047 bCommuting 0 cOther 0
9 Do you (or your spouse) have another vehicle avaiiable for personal use? ... . . . . . .
10 Was your vehicle availabie for use during off-duty hours? . . .. .. ." ..... ,......... '.' '.' .....:. ':' ,:. ':.'. '.::. :.':.:::::.:: ::.::.:.:.:.:.:::::: ':.:. ':;,KX
11a Do you have evidence to support your deduction? ...................... r.;
b If 'Yes,' is the evidence written? ..,................................,......
Ves
Ves
Ves
Ves
~ No
F No
f=o No
No
BAA For Paperwork Reduction Act Notice, see separate Instructions.
Form 2106-EZ (1999)
FDlA7501 10120/99
"
,~~ ~ltial
Form 4562
Department of \he Tnl8SUry
InlernaJ Revenue Service (99)
Name(s) Shown on Return
Depreciation and Amortization
(Including Information on listed Property)
~ See Instrucllons.
... Attach this form to your return.
Business or Activity 10 'M1ith This Form Relates
OMB No.1 545.()172
1999
67
IdentlfylnuNumber
Robert L Buhri , Jr Form 2106 Sales Re resentative
,." :ii iN/1M Election to Expense Certain Tangible Propertv (Section 179)
(Note: If you h.ve any 'listed property. ' complete Part V Defore you complete P.rt I.)
1 Maximum dollar limitation. If an enterprise zone business, see instructions . . . . . . , , . . .. ..,........
2 Total cost of Section 179 property placed in service. See instructions .,. ,. . . . , .. , .. . .., , , . ...
3 Threshold cost of Section 179 property before reduction in limitation... .. , ... . .. .. . . . . . . . . ..... ., ..'
4 Reduction in limitation. Subtract line 3 from line 2. If zero or iess, enter .0- .."............"..........".,
5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter .0-. If married filing
sa aratal I see instructions. . . . . . . . . . . . , . ." . . . . . . . , . . . . . . . . . . . . . . . . . , . , . . , . . . , . ' . . . . . , , . . . . , , . . . . . . . . .
118-50-8548
1 $19.000.
2 2 798.
3 $200.000.
4 O.
6
com uter
b Cost (buslnElss use only)
2 798.
7 Listed properly. Enter amounlfrom line 27.......................... .........".... 7
8 Tolal elected cosl of Section 179 properly. Add amounts in column (c), lines 6 and 7 .....".".............. 8
9 Tentative deduclion. Enler the smaller of line 50r line 8.....,............................." ............. 9
10 Carryovero/disalloweddeductlon from 1998. See Instructions...,....,.,.,.........".,....,"..........,. 10
11 Business income limitation. Enter the smailer of business income (not less than zero) or line 5 (see instrs) ... 11
12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 ........,............ 12
13 Carr over of disallowed deduction 10 2000. Add lines 9 .nd 10, less line 12......... ~ 13 O.
Nofe: Do not use Part 1/ or Part 1/1 below for listed property (.u/omobiles, certain other vehicles, eellillar telephones, cer/ain computers or
property used for entertainment, recreation, or amusement). Ins/ead, use Part V for listed property. .
Il1i!f:%mMACRS Depreciation for Assets Placed in Service Only During Your 1999 Tax Year
(Do Not Include Listed Property)
2 798.
2 798.
Section A - General Asset Account Election
14 if you are making the election under Section 168(i)(4) to group any assets placed in service during the tax year Into one
or more general asset accounts, check this box. See instructions, . , . . , . , . , . , . . . . . . . . , . . . . . , , , . . . . . . , . . . . . . . . . . . . . . . . , . . . .
Seclion B - General De reciation S stem GDS (See instructions
(b) MonU, and (c) ~asis for depredalion (d) (e)
year placed (buslnesVinveslment use Recovel)' period Convention
in service only - see instructions)
... ~u...
(I)
Melhod
(g) Depreciation
deduction
S/L
S/L
S/L
SIl
Sit
16aClasslife ............... S/l
b12- e.r................. rs Sit
c 40- ear................. rs MM Sit
. i'; . Other De reciation Do Nollncludelisled Pro ert ) See Instructions)
17 GDS and ADS deductions for assets placed in service in tax years beginning before 1999 " , . . . . . . . . . 17
18 Property subjectto Section lG8(!)(1) election....... ....... . .. ... ...... .... .... . ....... ..' ............ 18
19 ACRS and other d eciation.."......."......"...............,..................................... 19
".. Summa (See instructions)
20 Listed property. Enter amountfrom line 26 ."".... . . .. . . .. .. .. .. .. .. . . .. . .. .. .. .. .. .. .. .. .. ... 20
21 Total. Add deductions on line 12, lines 15 and 16 in column (g). and lines 17 through 20. Enter here
and on the appropriate lines of your return. Partnerships and S corporations - see instructions . . . ' . . . . . . .. 21
22 For assets shown above and placed in service during the current year j enter
the portion of the basis attributable to Section 263A costs. . . . . . . . . . . .
BAA For Paperwork Reduction Act Notice, see instructions.
.... 22
FDlZ0812 1012\199
Form 4562 (1999)
..........
,-"" .'~';
Form45621999 Robert L Buhri . Jr 118-50-8548 pa e2
:,ij!:!fliWnW Listed Property - Automobiles, Certain Other Vehicles, Cellular Telephones, Certain Computers,
and Property Used for Entertainment, Recreation, or Amusement
Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 23a 23b
columns (a) Ihrough (c) of SeclJon A. all of SectJon 8, and Section C If applicable. ' ,
Section A - De reciation and Other Information Caution: See instructions for fimits for assen er automobiles.
23a Do you have evidence 10 supfJOrt the business/investment use claimoo? . X Yes No 23b If 'Yes,' is the evidence Milten? . . . X
I (a) (' D (b) ed B",\~l"J c(d,) (e) (I) (g) (h) .
Type 0 property list ate plac investment os or Basis for depreciation RactlVllry Melhod! DeprecIation
vehicles flfsl) in se..rvice use other basis (businesslinvesbnent period Convef)lion deduction
percentage use only)
No
(I)
Elected
Section 119
cost
24 Prooertv used more than 50% in a Qualified business use (see instructions):
auto 01/01/99 100.00
25 Pro er used 50% or less in a uallfied business use see Instructions :
26 Add amounts in column (h). Enter the total here and on line 20, page 1 ..,..",.........,.......... 26
27 Add amounts in column i . Enter the total here and on line 7, a e 1 ........................................'..... Z7
Section B - Information on Use of VehIcles
CDmplete this section for vehicles used by a sole proprietor, partflN, or other 'more then 5% owner,' or related person.
If you provided vehicles to your employees, first ansWer the questions in S..tion C to see if you meet an exception to completing this s..tion forth0s8 vehicles.
(a) (b) (c) (d) (e) (I)
28 Total business/investment miles driven during the year Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6
(Do not include commuting miles - see instructions) .,
29 Total commuting miles driven during the year ,..,...,
30 Total other personal (noncommuting)
miles driven.......,..,..".,.......",..,
31 Total miles driven during the year. Add
lines 28 through 30......,.................
Ves No Ves No Ves No Ves No Ves No Ves No
32 Was the vehicle available for personal use
during off. duty hours? ..,..,.".,....,..,..
33 Was the vehicle used primarily by a more
than 5% owner Dr related person? . . . . ... ,..
34 Is another vehicle available for
personal use? ...,........,..,.....,......
Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees
Answer these questions to determine ;(you meet an exception to compleUng Section B for vehicles used by employees who arenatmore than
5% owners or related persons.
Yes No
~ 35 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting,
by your employees? ,.,.. , , . , . . . . . . . . . . . , . . . , . . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . . , . . . . . . , . , . . . , . . . . . . . .
36 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your
emplayees? See instructions for vehicles used by corporate officers, directors, or 1% or more owners.... . .. .
37 Do you treat all use of vehicles byempl~yees as personal use? .. ..,.....,.........,..,.....,..,...'..,.....,..",
38 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the
vehicles, and retain the information received? ,.. .." . "." , , . . ,.. .. " . , "., . ,.,. ,. . . "'" . ","""'" ., . ., , . .. .,..
39 Do you meet the requirements concerning qualified automobile demonstration use? See instructions ,........,....,.
Nole: /fyaur answer /035,36, 37, 38, or 39 is 'Yes, 'you need not complete Section B for the covered vehicles.
Amortization
(a)
Description of costs
(b)
DateamorUzalion
begins
(c)
Amortiubfe
amount
(eI)
Code
Section
(e)
Amortization
period or
pemmf>ge
(I)
AmortiZlltfon
forlhisyear
40 Amortization of costs that begins durin our 1999 tax ear:
Form 4562 (1999)
41 Amortization of costs that began before 1999 ........... . ... .. . ... ...... ... ............ ... ....... .. ,
42 Total. Enter here and on 'Other Deductions' or 'Other Expenses' line of your return . ,. .,..... ,. " ,.......
FDlZ0812 10/21199
Schedule A
Lines 20, 22, 27
Miscellaneous Itemized Deductions Statement
.. Attach to return (after all IRS forms)
1999
Statement
Name(s) Shown on Return
Robert L Buhrig. Jr
S octal S ecurtly Number
118-50-8548
Employee Business Expenses - Subject to 2% Limitation
1 Unreimbursed employee expenses from Form 2106 . .... . . . . . . . . . . ... 1 28,537.
2 Excluded expenses from Form 2555 "............ . . . . . . . ... ..." ..... ... 2
3 Other unreimbursed employee business expenses:
a Union and professional dues. , , .. .. , .. . .. .. .. . . . . .. . . ."". ..........."..... 3a
b Professional subscriptions .",..........",.....,........................,... b
c Uniforms and protective clothing ......,...........,........,.......,......... c
d Job search costs....,... .... ......... .........."......,..'.......".. ....... d
e Other:
e
4 Total unrelmbursed empfoyee business expenses. . . . . . . , . . . . . . . , . . . . . . . . . . 4 28,537.
Miscellaneous Expenses - Subject to 2% Limitation
Investment I
Expense t
5
6
7
8
9
Depreciation and amortization deductions. . . . . . . . .. ... . , , . , .... .... ... ..~
Casualty/theft losses of property used in services as an employee. . , . . . .
REMIC expenses, from Schedule E . ,.. .. . . . . . . . . . , , ... .. ... . . .. .. .. ... . .
lnvesfment expenses related to interest and dividend income ..,......,.
Deductions related to portfolio income, miscellaneous deductions, and
excess deductions on termination, from Schedule(s) K-1 ,...............0
Miscellaneous deductions excluded on Form 2555 .. .. . . .,. . . . . . .. . . .. . .. D
Other miscellaneous expenses:
a Investment counsel and advisory fees...... ........... .................~
b Certain attorney and accounting fees .. .. .. . . . . .. .. . ... .................
c Safe deposit box rental fees.. . . . . .. .. . .. . . . . .. .. ... .. .................
d IRA custodial fees ....................................................... X
e Other:
5
6
7
8
9
10
11a .
b
c
d 12.
e
10
11
12 Total miscellaneous expenses....... , ....... .. .. . , , . .. ... ... .. .. .... ..
-
-
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-
- 12
12.
Other Miscellaneous Deductions - Not Subject to 2% Limitation
13 Federal estate tax paid on decedent's income reported on this return . , . . . . . . 13
14 Miscellaneous deductions excluded on Form 2555 .........,......,.......". 14
15 Impairment-related expenses of a handicapped employee, from Form 2106 , . 15
16 Amortizable bond premiums on bonds acquired before 10/23/86 .... . . . . . . . . . 16
17 Gambling losses (to the extent of gambling income) .....,......,............ 17
18 Casualtyllheft losses of income-producing property .....,.......,.......... .. 18
19 Other miscellaneous deductions: .
19
20 Total other miscellaneous deductions.. .. , .. ... .. , ... '" .. ,. ... ... ",..... ,. 20
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9900113011
~, , ' -"
'.'-'~, .-c
1999 PA-40
Page 1 of 2
L
118-50-8548 8U 175-52-8931 EX 0 RS R
BUHRIG JR ROBERT L A 0 FS M
FY 0
PO BOX 1412 SC
MECHANICS8URG PA 17055 PN 717-574-6135
LA 87071.00 18 30481 .00 1C 56590.00
2 190.00 3 1.00 4 13577 .00
5 .00 b .00 7 .00
8 .00 9 70358 .00 10 .00
11 70358.00 12 1970 .00
---------------------------~~~f~d~~~~9~~~;--------------------------.
Local Information. Enter where you lived as of 12/31199.
School District:
School Code:
County:
Municipalily:
Extension, check this box.
Amended Return, check this box.
Fiscal Vear Flier. check this box.
Residency Status. (Check the correct box)
R X Resident
NR Nonresident
P Part.Vear Resident
From:
To:
Type Filer. (Check only one box)
S Single
J Married, Filing Jointly
M X Married, Filing Separately
F Final
D Deceased
Date of death
1 a Gross compensation, from PA Schedule W.2S, or your Forms W.2 or other statements. ... ... .,
1 b Unreimbursed employee business expenses, from PA Schedule UE ... . . . . . . , . . . . . . . . . . , . . . , ,
1 c Net compensation. Subtract line lb from line la ,.. ., . .. .. . . . .
2 Interest income, Complete and enclose PA Schedule A if over $2,500 ...............,.......,
3 Dividend income. Complete and enclose PA Schedule B if over $2,500 ..........
4 Net income or loss from the operation of business, profession, or farm ........
5 Net gain or loss from the sale, exchange, or disposition of property ..........................
6 Net income or loss from rents, royalties, patents, or copyrights
7 Estate or trust income. Complete and enclose PA Schedule J .
8 Gambling and lotlerywimlngs..,........,...,....,....,...
9 Total gross Pennsylvania taxable income. Add only the positive income amounts from lines lc,
2.3,4, 5, 6, 7, and 8. Do noladd any lossesreported on lines 4, 5, or 6 .....................
10 Contributions to Vour Medical Savings Account. See the instructions .........".......,.....
11 Adjusted Pennsylvania taxable Income. Subtract line 10 !rom line 9 ..... ,..... .....,.. ..... ..
12 Pennsylvania tax liability. Multiply line 11 by 2.8% (0.028). Also enteron line 13, page 2
PAlA0412 10106/99
L
EC FC
OJ CITIIIJ OJ
9900113011
10 87,071.00
lb' 30,481.00
1c 56,590.00
2 190 .00
3 1.00
4 13,577 .00
5 .00
6 .00
7 .00
8 .00
9 70,358.00
10 .00
11 70,358.00
12 1,970.0C@
9900113011
....J
, :.,,' ,
....J 9900213019 L
1999 PA-40
Page 2 of 2
BUHRIG JR ROBERT L 118-50-8548
13 1970.00 14 1963.00 15 .00
16 .00 17 100.00 18 .00
19 100.00 20A 00 20B 00
21 .00 22 .00 23 .00
24 .00 25 .00 26 .00
27 .00 28 2063.00 29 .00
30 93.00 31 93.00 32 .00
33 .00 34 .00 35 .00
36 .00 37 .00
13 Total Pennsylvanla tax lIablllty.
Enter yourlaxllabllity from line 12 on page 1 .......,..",..............,.......,.......... 13
14 Tolal PennsylvanIa lax withheld, from W-z PA Schedule W-2S, or your Forms W-2 or olher slalemenls . . . . . . , . . . . _ . . . 14
15 Credit from your 1998 Pemsylvanla Income Tax Return..... 15 . 00
16 1999 eslimated Installment payments ................,..,.. 16 .00
17 1999 extension payment.................. ............... 17 100 .00
18 Nonresident tax withheld on your PA Schedule(s) NRK-l .... 18 . 00
19 Total estimated payments and credIts. Add lines 15, 16, 17, and 18 . . ,. .. ...... , . ". ,. .., 19
Tax Forgiveness Credit. Complete lines 2Ga. 2Ob, 21, and 22. Read instructions.
20a Filing Status: Unmarried or separated Married Deceased 20a
20b Dependents, Part S, line 2, PA Schedule SP .............. . .... . .. . .. .. . , , . ... .... 20b
21 Total eligibility income. PartC, line II, PA Schedule SP .................................... 21
22 Tax Forgiveness Credit from Part D, line 16, PA Schedule SP .........................,..... 22
23 Totai credit for taxes paid to other states or countries. Enclose your PA Schedule G or RK.1 . . 23
24 Pennsylvania Empioymenllncenlive Payments Credit. Enclose your PA Schedule W, RK-l or NRK-l ..."..."... 24
25 Pennsylvania Jobs Crealian Tax Credit. from enciosed c"tificale or PA Schedule RK-I or NRK-l ..,.......... 25
26 ~~ng~~~.fujj: ~~t~;~~.~CYCII~g .'n~:~.rn.~~t T a~. er:dit: . froll1e~c'ose,~ ~:rti~i~~te .":. , . . . . . . " 26
27 ~r"~'A"~6~~~u~~R"';C:;r"N'~r~~'oPm.e~t.T~x .C~~di~,. fr.o~,~?c'osed.~~rll,fi~~te......,....,..... 27
28 Total Payments and Credits. Add lines 14. 19 and 22 through 27 .. . . . .. , .. . .. .. . .. .. . .. .. .... 28
29 Tax Due. If line 13 is more than line 28, enter the difference here ......,......,.....,...... 29
30 Overpayment." line 28 is more than line 13, enter the difference here. . . . . . , . . . . . . . . . . . . , . . .. 30
31 Refund - amount of line 30 you want as a check mailed to you. . . . . . . . . . . . . . . . . . . . . Refund 31
32 Credit - amount of line 30 you want as a credit to your 2000 estimated account. . . , . . . , . . . . . " 32
33 Donation - amount of line 30 you want to donate to the Wild Resource Conservation Fund "" 33
34 Donation - amount of line 30 you want to donate to the U.S. Olympic Committee, PA Dlvl_ion .. 34
35 Donation - amount ot line 30 you want to donate to the Organ Donor Awaren.._ TrUst Fund " 35
36 Donation - amount of line 30 you want to donate to the KoreaMetnam Memorial, Inc , . . . . . . . ., 36
9 Donation - amount of line 30 you want to donate to Breast and Cervical Cancer Research . . . " Sl
The total of IIn.. 31 through 'if1 must equal line 30.
Under penalties of perjury, I (we) declare that I (WEli) have examined Ihis rahlm, ihCfuding all accompanying schedules and statements, and to the best of my (our) belief they
ate true, cortecl, and complete.
Your Signab.lre Date Your Occupation
Sales Representative
Spouse's Occupation
1,970.00
1 , 963 . 00
100 . 00
00
00
.00
.00
.00
.00
.00
.00
.00
2,063.00
.00
93.00
93.00
.00
.00
.00
.00
.00
.00
Spouse's SignabJre if Finng Jo;nUy
Date
Preparer or company name, aUler than taxpayer(s)
Preparer or Company Name (please print)
Joseph W. Nocito, CPA
300 Arcadia Ct 9370 McKnight
Pittsburgh
s;,nawF[:L
L--- 9900213019
Date
Telephone Number
Rd
PA 15237
W IJ1 ozh / GfJ k1-
.
PAlA0412 10106/99
10/02/00
(412) 367-7711
9900213019
....J
^ ,
---1
PA Schedule UE 9901713017
Allowable Employee Business Expenses
PA-40 UE (09.99) 1999
PA DEPARTMENI OF REVENUE
Name of Tallpayer Claiming ElCpansBiS;
OFFICiAl USE ON... Y
Social Security Number:
Robert L Buhr;g Jr
Employer's Name:
jEmployer's Address:
118-50-8548
Employer's F ederallD Number:
Dodge Co
DeiScribe the Duties of the Job in Which You Incurred These ExpeniSes:
04-1250520
Employer's telephone Number:
Sales Representatjve
Part A. Employee B.usiness Expenses.
Caution. You may not use line 4 of Form 2106 or Form 2106EZ. You must itemize these expenses in Part G of this schedule.
Vehicle expenses. Standard mileage rate.
Filing tip. If you do not file Form 2106 or 2106EZ, enter your total business miles I and multiply by the
federal standard mileage rate I . Enfer the result on line 1.
1 Enter the amount from your FOrm 2106 or line 1 of Form 2106EZ ..".........,....................... 1 7 545.
Vehicle expenses. ActuE:!f travel and mileage expenses.
2 Enter the amount from your Form 2106. Make the following adjustments. ..........., ... ,...... . ....... 2
3 Add back the Inclusion amount. This adjustment does not apply for Pennsylvania purposes. . , . . . . . . . . . . . 3
4 Depreclafion. You may use any generall~ accepted method. If not using your Form 2106, enter your
depreciation expense and complete line .....................".....,....................,........ 4
5 Depreciation method ",,,,,''''''''
6 Actual travel and mileage expenses for Pennsylvania purposes. Total lines 2,3, and 4........ ........ .. 6
7 Parking fees, tolls, and transportation. Enter the amount from your Form 2106 or Form 2106EZ . . . . . . . . . . 7 338.
8 Away from home overnight. Enter the amounlfrom your Form 2106 or Form 2106EZ........ , ........... 8 3 438.
9 Meals and entertainment expenses. Enter the amount from your Form 2106 or Form 2106EZ ,..,....,... 9 3 888.
10 Tolalexpensesfor Part A. Add lines 1 or 6 and 7, 8, and 9 .. . .. .. . .. . . , . .. ... , ........ .. ... , . .. . . .. .. 10 15 209.
Part B. trec mDlovee usmess XDenses.
11 UnIon dues. List Union name(s) and amount(s) paid. Enter total. Attach additional sheets, if needed.
Name of union(s) and amount(s) ..... . 11
12 Work clothes and uniforms. Required as a condition of empioyment and not suitable for everyday use.
Description .. .. .. . .. .. . 12
13 Small tools and supplies. Required as a condition of employment and not provided by your employer.
Description.,.......,. . 13
14 ProfessIonal license fees, malpractice Insurance, and fidelity bond premiums. Required as a condition of your employmenl
Description.......:... . 14
15 Tolal expenses for Part B. Add lines 11, 12, 13, and 14.. . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . , . . . . . 15
D' tE
B
E
Part C. Office or Work Area Ex enses. You must answer All three uestions or the de artment wlil disallow our ex enses.
Cl Does your employer require you to maintain a suitable work area away from the employer's premises? ..' Cl 1 Yes
C2 Is this work area the principal place where you perform the duties of your employment? . . . . . . . . . . . . . . . . . C2 1 Yes
C3 Do you use !hIs work area regularly and exclusively to perform the duties of your employment? .......... C3 1 Yes
If you answer Yes to All three questions, continue. If you answered No to Any question, you may not claim at home expenses.
Actual office or work area expenses. Enter expenses for the entire year and then calculate the business portion.
a Depreciation expense (homeowners only) ..-,...........,.. ."~ ... . . . .. . . ".. . ......... . .... '" . ... ... . ....
b Reai estate taxes..... ....... .. , .. . ..... ..' . . . .... . .. .. . .. . . . . . . , .. . ..... , .... , , .. .... , . ...... ... .. .
c Mortgage interest (homeowners only) ............,................................................
d Utilities.......................................... ................ ..........,............"....
e Property insurance. , .... . ... ... .. . .... .... _. .. .. ........ . ... . , . '" ..................
f Property maintenance. Itemize the type & amt of maintenance expenses incurred . . . .
g Olher apportionable expenses. Itemize (he type & amt of Ibese expenses. . .
h Rent (renters only)...................,.........,.......,............................................
i Total. Add lines a through h. Enter the total here.......................................................
j Business percentage of properlY. Divide the total square footage of your work area by the total square
footage of your entire propertY. Round to 2 decimal places. . . . . . . . . . . . . . . . . . . . . .. , . . .. .. . . , . . . . . . , . . .. . .
kApportioned expenses. Multiply line i by the percentage on linej...........................,.............
1 Total office supplies. Itemize supplies you purchased exclusively for use in your office or
work area .. . .
16 Total expenses for Pert C. Add lines k and I .....,........
2 No
2 No
2 No
Total I
............ 16
L
9901713017
PAJA1412 11123/99
99[]1713[]17
.....J
, ,. .- ~
---1
9901813015
PA Schedule UE
Allowable Employee Business Expenses
PA-40 UE (09.99) 1999
PA DEPARTMENT OF REVgNUE
Name of Taxpayer Claiming ElCpenses:
OFFICiAl USE O~ y
Social Securily Number:
Robert L Buhri Jr
Part D. Moving Expenses.
8 Enter the number of miles from your old home to your new workplace.
b Enter the number of miles from your old home to your old workplace. . .
c Subtract Iin. b from Iin. a and .nler Ih. difference "'.' . . .. . , , , .. . , . . .. . .. . .. , .
If line c is 50 miles or more, continue. If not at least 50 miles, you may not claim moving expenses.
118-50-8548
a
miles
miles
miles
b
c
17 Transportation expenses in moving household goods and personal effects, . . , . . , . . . . . . . . , . . , . . . . . . . , . . . 17
18 Travel, meals, and lodging expenses during the actual move from your old home to your new home ...... 18
19 Total eXDenses for Par1 D. Add lines 17 and 18 ...... .. ..... .. . ... '" '" .. , " , .....'...... .... '" .... 19
Part E. Education Ex enses, You must answer All three uestions or the de artment will disallow our e enses.
E1 Didyour employer or a law require that you obtain this education to retain your present position or job? .... ..
11 you answer Yes, continue. If you answer No, you may not claim education expenses.
E2 Did you need this education to meet the entry level or minimum requirements to obtain your job? . . . . . . . . . .... 8 1 Ves
E3 Will this education program or course of study qualify you for a new business or profession? ,......,........ 1 Yes
If you answer No to both questions, continue. If you answer Yes to either question, you may not claim education expenses.
20 Name of college, university or educational institution
21 Course of study
22 Tuition or fees ..........................................,................,....................... 22
23 Course materials ..... ........ ..... "",,,,,,,,,,,, ......"''''''''',,,'''' ......... ...... ........ 23
24 Travel expenses. .. . . .. .. .. .. .. .. . .. . .. .. . . . , , .. .. . . .. .. . , . . . .. , . . . .. . . .. . , . .. .. .. , .. . , .. .. " . .." 24
25 Total ex en.es for Part E. Add lines 22, 23, and 24 .. .. .. .. . .. . . .. .. . .. . .. .. " .. , " . .. . . . .. .. .. . .. ... 25
2 No
82 No
2 No
Part F. DeDreciation EXDenses. Do not include vehi.cles fuse Part A\ and office or work area (use Pari Cl exoenses.
(a) Description of property (b) Cost or (c) Depreciation (d) Depreciation (e) Section 179 (I) E~ense
other basis method deduction expense Add ( + <e)
26 TotaJ expenses lor Part F.Add column f ...................."..........................""........ 26
art . Isce aneous xpenseS.ltemize the type and 'amount of your additional expenses, includina expenses from Form 2106 or Form 2106EZ
a Depreci at i on (not vehicles) a 2,798.
bAdvertising b 2 665.
c Dues c 20.
d Offi ce Expenses d 961.
e See Schedule e 8 828.
V Total miscellaneous exoenses for Part G. Add lines a throunh e . . . . . . . . . . . . . . . , . . , . . . . . . . . . . . . . . . . . . . V 15,272.
p
G M'
II
E
28 30 481.
29 Reimbursements. Enter reimbursements that your employer did not report as taxable wages on
your Form W-2 . .. .. . . .. .. .. .. . , .. . , .. . .. . .. .. . , . . . .. .. .. . .. . . . . .. , . .. .. . , , . .. .. . .. .. . .. . . 29
30 Nelexpenseorreimbursemenl ......,.......,.............,....................................... 30 30,481.
If line 2815 More than line 29, enter the difference on line 30 and include on line lb, unreimbursed employee business expenses,
on your PA.40.
If line 29 Is More than line 28, enter the difference on line 30 and include the excess on line la, gross Pennsylvania compensation,
on your PA.40.
L
9901813015
PAIA1412 10/29/99
9901813015
-1
"
',.-' w
---1
P A-40-C (9-98)
'*
9703113010
L
Attach to Form
PA.40, PA.65 or PA.41
Commonwealth of Pennsylvania
Profit or Loss from Business or Profession
Sole Pro rlelorshl
1999
Schedule C
PA DEPARTMENT OF REVENUE
Social Security Number of Proprietor
Name of Proprietor as Shown on Pennsylvania Tax Return
Robert L Buhri Jr 118-50-8548
A Mainbusinessactivi ~ Funeral Director roduct or service ~
B Business name" Robert L Buhri Jr C TaxpayerldenlificationNumber
D Business address (number and street) PO BOX 1412 118-50-8548 C
City, state and ZIP code ~ MechanicS-bur - - - - -- - - - - - - -- -PA -170'55- - - --
E Method(s) used to value closing inventory, check the appropriate box:
(1) 0 Cost (2) 0 Lower of cost or market (3) 0 Other Of other, attach explana~on) C
F Accounting method, check the appropriate box:
(1) IRJ Cash (2) 0 Accrual (3) 0 Other (specify) ~ Yes No
G Was there any change In determining quantities, costs or valuations between opening and closing inventOf)l? .............
If 'Yes' attach explanation.
Did you deduct ex enses for an office in our home? .. , , . . . . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18 Gross receipts or sales...... "'''''''' .. ... ... ... .. ".. . ..... .............
bReams and allowances....".,........................,................... lb
c Balance (subtract line lb from line la) .................................."............................. 1c
2 Cost of goods sold and/oroperations (Schedule C.1,line 8)......,...,................"....".........., 2
3 Gross profit (subtract line 2 from line 1c) . .. .. . ,. ... ........ . .. .... ..... '" .......... ... .. .......... ... , 3
4 Other income (attach schedule) include interest from accounts receivable, business checking accounts and
other business accounts. Also inclUde sales of-operational assets. See instruction booklets ................,
Total income add lines 3 and 4 .....................,.............,....,........................... ~
17 220.
17 220.
6 Advertising .............................
7 Amortization ............................
8 Bad debts from sales or services, . . . . . , . , .
9 Bank charges ...........................
10 Car and truck expenses........"........
11 Commissions......,....................
12 Depletion.........................."...
13 Depreciation (explain in Schedule C.2) " ...
14 Dues and publications. . . . . . . . . . . . . .. . . . ,
31 Wages ...............................
1 072. 32 Other expenses (specify):
. Dues
b J~[~E~ri:e===========:
c ..!1i~c_el1.a.!l~Qu.?_ __ _ __ __.
516.
273.
50.
d
15 ~::W,','ii~ .ben~~it progr~~s .other.th.an... . ; = = = = = = = = = = = = = = = = = =:
16 Freight (not included on Schedule C.l) .... g __ ______ _ ____ _ _ _ __.
17 Insurance.,....................,........ h _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
18 Interest on business indebtedness......... I __ _ ___ __ _ __ _ _ _ ____.
19 Laundry and cleaning.................... j ___ __ __ _ _ ___ _ _ __ __.
20 Legal and professional services.. .. .... .. . 400. k _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
21 Office supplies.......................... 354. I _____ __ _ _ ___ _ _ ___ _.
22 Pension and profit-sharing plans !oremployees """ m _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _.
23 Postage......................... n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ .
24 Renton business property,............... 0 __ __ __ ___ ___ _ __ _ __.
25 Repairs................"".."......... P ________ _ _________.
26 Supplies (not included on Schedule C.l) ... q _ _ _ _ _ _ _ _ _ _ __ _ _ _ __ _'
27 Taxes ..............."................. r __________________.
28 Telephone...............,.............. 33 Reduce expenses by the total business
611 credits claimed (for example,
29 Travel and enteriainment , . . . . . . . . . . . . . . . . . Employment Incentive Payments
30 Utilities.........,....................... Credit on the PA-40 .................
34 Total deductions add amounts in columns for lines 6 throu h 32r and deduct line 33., ...,.,....... .. ... .. ~ 34-
35
3 643.
Net profit or loss (subtract line 34 from i1ne 5). Enter total here and on the appropriate line of Pennsylvania
tax return .. , .. . .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. . , . . , .. . .. . .. . .. . .. , .. . .. , .. . .. .. . .. .. . . .. .. .. . .. .... 35
13,577.
L
9703113010
PAIZ0612 11/12199
9703113010
-.J
, ~
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---1
Schedule C
9703213018
L
PA DEPARTMENT OF REVENUE
Name of Proprietor as Shown on Pennsylvania Tax Return
Social Security Number
Description of property
Date
acquired
Costar
other -basis
Depreciation
allowed or allowable
in prior years
(a) (b) (c)
1 Total additional first-year depreciation (do not Include in items below)
2 Other depreciation:
Buildings "'"''''''''''''
Furniture and fixtures. . . . . .
Transportation equipment. .
Machinery & oth equipment
Oih (specify) _ _ _ _ _ _ _ .
(<I)
Method of
computing
depreciation
(0)
Life
or
rate
Depreciation for
this year
(g)
(I)
3 Totals".,...".""."."."""""."
3
4 Depreciation claimed in ~chedule c-] . , . . . , . . . . . . .
4
Balance (subtract line 4 from line 3 . Enter here and on Part II, line 13 .... .
.'~( .
If you incur any of the expenses described below, enter the amount of the expense and describe the kinds of costs incurred and
the business purpose.
Expenses
Amount
A Entertainment facility (boat, resort, ranch, etc)
$
B Living accommodations (except employees on business)
$
C Vacations for yourself, your employees or their families.
$
L
9703213018
PAlZ0612 10/19/99
9703213018
.-J
,
Robert L Buhrig Jr
118-50-8548
Supporting Statement of:
Schedule UE (Sales Representative)/Misc expense amount-e
Description
Amount
Postage
Printing
Telephone
Miscellaneous
491.00
163.00
8,064.00
110.00
Total
8,828.00
'"
...
~
, r
REV-276
Application for Extension ofTime to File
"E\I.276 EX (09.99' 1999
PA DEPARlMEIiT OF REVENUE
Print the hrsllwo (2) lelters of the last name if return is for individual or fiduciary,
Print the first two (2) letters of lhe last name if consolidaled or partnership.
.tlO (or Ii partnership (PA65 at PA.40 NRq enter Ihe partnership name starting wi{fl the firs! box of Ihe
,l ~Iame' and conhnue until you have used all the space available (if needed). If you do not have enough
.ace lor the complete partnership name, do not use lhe address lines,
tour Social Secllrlty Uumber Spoun', Soclil Security NU,"ber
9907013016
'*'
OHicial Use Only
Do Not Staple
PA-40, PA-41, PA-40NRC, PA-65
Application for Extension of Time to File
(SlIe pape 2 lor filing instruclions. Be sure 10 answer lI.l1 queslions.)
Please Print or T e AlIlnformalion
Employr.rldentillcation Number
118-50-8548
Last Nam.
FlntNa.me
MI
;'
I
Type of Return (Check one box)
~lndiVidual Return (PA-4Q)
Fiduciary Return (PA.41) .
Consolidated Return (P A.4QNRC)
Partnership Informalion Return (PA.55)
(Check one box) .
!g] 0
PO BOX 1412 Calendar Year Fiscal Year First Time Filer
City orPo,rDfflce Slale ZIP Code Amount of Your Payment
Mechanicsburg PA 17055 $ 100.
Daytime Telephone Number Taxpayer's Signature Date
(717) 574-6135 Spouse'sSlgnalure Dale
An extension 01 time until 10/15/2000 is requested to file the Pennsylvania relurn of the above named taxpayer for the taxable year
monlh/dateJyear
begInning 01/01/1999 and ending 12/31/1999
monlh/datelye1lr monlh/dalelyear
(See Instructions regarding type and length of extension.)
Has an extension of lime to file been previously granted for Ihls laxable year? 0 Yes 0 No Flscaf Year Filer 0 Yes !g] No
If you are sUbmit!lng a payment wilh this application, complele Ihe 'Amounl 01 Your Payment' block above. If you received a preprinted PA-V
payment voucher with your tax booklet, forward the voucher along with your payment and this application.
State In detalllhe reason U,e taxpayer needs an extension (Use additional sheet it necessary): ~athe r t oget he r all
pertinent employee business expense information.
Buhrig Jr
Spouse's Lnt H.me - Only if different from 'att name abewlll
Robert
L
..
SPOUIll', fir.tHamlll
p ,0. Box. Apt No.. Suit.. noot, RR No., elc
Street Humber and kame
o
Signature and Verification
If Prepared by Taxpayer. - Under penalties 01 perjury, I declare that to lIle best of my knowledge and belief, the statements made hereIn are
true and correct.
II Prepared by Someone Other Than Taxpayer. - Under penalties of perjury, I declare lIlat to the besl 01 my knowledge and belief, tne
statements made herein are Irue and correct, that I am authorized by the taxpayer to prepare this applicalion, and that I am:
A member in good standing of the bar of the highest court of (specify jurisdiclion)
X A public accountant duly qualified to praclice in (specify jurisdiction) Penns Y I v an i a
A person enrolled to practice before the Internal Revenue Service,
A duly aulhonzed agent holding a power of attorney. (The power of attorney need not be submitted unless requested.)
A person standing in dose personal or business relationship to the taxpayer who is unable to sign this apptication because ot illness,
absence, Of othef good cause. My relationship to the taxpayer and the reason(s) why the taxpayer IS unable to sign thiS application are:
\..---J
Reasot1(s}:
Si01l UIe I P,epa,er OUle' Than Taxpayer
04/14/00
Date
Payment oITax Required
An extension of time to file an income lax return does not extend the time for full payment of the tax, nor does it preclude the assessment of
penalty and Interest for underpayment of tax due. You Must Pay in full on or before the original due date the amount reasonably estimated as
your Pennsylvama tax due.
RemIttances should be made payable to the Pennsylvania Department of Revenue a.nd submitted with this application and your prepnnted PA.V
Payment Voucher on Of before the anginal due date of the tax return.
Please Print or Type Alllnformatloh.ln the event correspondence regarding thts application is to be returned to the taxpayer at an address
other than shown above, or to an agent acting tor the taxpayer, please complete the section below:
Name Telephone Number
.,...
Joseph W. Nocito, CPA
(412) 367-7711
Address
300 Arcadia Ct. 9370 McKnight Rd.
I City
Ip i ttsburgh
Slate
ZIP Code
PA
15237
I
EC
L
m
fTTTlIl
9907013016
PAIZ0301 10120199
9907013016
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r~LTUHN BY Id:'FHt.. 1 Eil :~~ooo TO:
CAPiTAL TAl'. COU.ECTIOI'J t,UF\EAU
"'1@')99
L~/
TO CON'"TITl;T~ PH(lOF or FlUNG, nil: TAXf'AYE'B'S COI'\{ MUST tic. './H_IO;\r
BY 1m: BUR.rrAU< 1'0. iiI,VI: YOUf'l cor~'1 'JAl..n:>ATH~ 6Y Mtl,U_, liETwm aOTH r-,
Bum:f,U s p~~m T(JXPt\V~ws COpIES ALONG WlTli '" SKU' ~,Dt:)RE:SSt\') STAMP
EfJW;I{WE
1(; $. H,'f\"n\~FF )~IO'll Stj~:l'r
CH't I~U:. Pf 17"i!?~rn<'i
. ~nCI<L "'I'-.HNED INCOME
"'('pix f1ETUI'IN (FOFlM ;;:31)
T,'._x Ot'F!(:[ !1M:: ONLY. DO H01. WAf,f.' IN iH1S /l.A,-,A.
SEE n/~C.;h OF 1'{c.fIJnn FOH
PfiOt.fE NUtlt'1En l\ND OFFICE !-iOUF:;::.;
www.captax.com
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On.lEIi T.A.>:,A8LE EARt.,JED iNCOME (NO INTEREST OFt DIVIDENDS) Complete S6cHon B on Back, .. 4 I
.....'..-..----".'......t""'
W-2 Fi,J\.,JlN1NG3 {Frorn i:'1i,;,:.)chr;:d \jV.~?'~~j ,
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rCYflll n\XABLE EARNED INGO",/)E {,~(rJd Urwi': ~J r'md 41 . < ' . . .
f:: Nf::,TJ,,-O,S.S. Fr~Of\l1 EU8!Nf:SS, pr~OFESSl(lt-.J, on FJl,FiM (ATIACH f+:DEnAI. OR STA.TE HCHEr:UlE C, K Of F}
.,
,
SUBTOTAL (DlIh~rH,t;1' l.k!(~ 6 horn Um3 f:i:!F LESS TH/~N 7."1.:110, ENTER ZERO,
"
n
N!;;I..f'J3QfJI FROM BUSINESS, PiiOFESSION, on FP,RM (A1HGH FE['ERAL on ST!\TF SCIIEDULL C, I( or Fi
TOTAL TA.lGI\BLE EARNED INCOME AND NET PROHrs (Add Lines 7 and B) . . , , , . . . . . . . , . . . . , . , .
9
TAX LV\BIUT'(; 1%." OF UNE 9 (MuWpiy Un(~ 9 by .(1) , , , , , , , . , , >. . , , . . , . . . , . . , . . . . , , , , , , , , , , , ,
,._..__.........,,___...,u__ ...___~__.,......_.,...____............._._...__.._.___ ____~__ ~-~_~ ,,-._..__.____.._._.................,..........._............................__ ____
!!
TOTAL LOCAL lHCOME TAXES 'vViTH, lELD E;>;C:EPT PH!L/\DELPHlA INCOf...H: TAX Wmrn attrK:hE;d
W'.i~'f',., [~)X 21 i ' ;-. , , , < ,., , . . . , . . , . . . . . . . , ~ .
()lJ/"FiTtJ1.l.."'t F'I, Yf,,1EEt'JTb At'ID/()R L /\ST YFAn'S OVl'::nPi\VMENT Cr;'EDITED TO THIS .YEAFl , .
CI1EDITS FOR TM~ES P~\ID TO PHiL/\DELPHIA AJJD/OH STATEB OTflEH Ttjfilf'-j PA (ATTM.Ji LOC,~.l. riCH. C) ,~,ND
011 CF\r~CITS H)H (;Ef:mfIED RE8jDENTS or THE H,t..f1R1SmJf~G )(EYS10NE OPf:lOPTl...iNITY ZONE {!'::OZ) .
I,.
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1-, rOT,'\L WiTHHOLCHNG8 ('Sc P...\y'MENT8lAcklljnE~f., 1 1.12 and 1'3)
! S -r/\X P.i\LANCE DUE !B:Jbli"Jd LH"j('} 14 irom Lirw 10:1 PI-,\lfENT NOr 1\~ECE~~.:,t>.r-rr' If lESS THN~ $1,tiO
j C INTEnr::ST [\t. P[f\U\l..TY (Ge(',' tm,j'l'ucHons,) .
--1---'
! " TOTAL B/\LANCE out: (Add Unes 'I!:) r.md 16) lvk~h(' .:;t"!cDf( pavnb!(, it) ~CTCB" , .
j::) OVEFlPA'YMENT (Slib{r~K'1 Lime 10 Il'(;i!;l Lh'll.~ '14):F lESS THl\N ZEFKJ, ENn::R :::"EnO.
,-, O\/2F:PNdv1E:NT T() DC nt~FUNLlED , . '
W OiJE.RPA'IMENT TO 8E Cf1Ef.Xn:::n TC) NEXT YEl,PI'S 1'A)< , . , . . .
'Ka.!F1 FiESfCL!Nl t\UNiCli- ALlTY
ilOv\.NSHtF,loQ!1)I.!(,:H, (H-j CfrYj
l"AK OFFICE,
~BVCDJBD".'..."'.ftRLrT"~-C
~30925~214CS92~65~
5GUlH ~Iutlf.rCN T~P i
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USE ONLY
i'OUR n~MF
(~_AST, ,r;lfiST, 1'/,1')
[UHRIG RGBEAT L .JR
VI Fa
Hl\"iE~ yOU' I\\C,ifE-D' f'rCli::'/\{ 1'Hl:
\~FG1Nr-m'JG Of' lHE "[/>:( f'n-"iN(~
YEAR TO PRE,:::iEH"j,/, .
!?~i'lW!f(j(X~~"<i-~;;24<.'lf:tW'Xl'\X
01
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101 SliHitfV IN
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PA Schedule UE 9901713017
Allowable Employee Business Expenses
PMO UE (09.99) 1999
PA DEPARTMENT OF REVENUE
Name of Tallpayer Claiming Expen!Ses:
OFFICIAl USE ONl Y
Social Security Number:
Robert L Buhr;g Jr
Employer's Name:
I Employer's Address:
118-50-8548
Employer's FederallD Number:
Dodge Co
Describe the Duties of the Job in Which You Incurred These Expenlies:
04-1250520
Employer's Telephone Number:
Sales Representative
Part A. Employee Bu~ine~s Expenses.
Caul/on. You may not use line 4 of Form 2106 or Form 2106EZ. You must itemize these expenses in Part G of this schedule.
Vehicle expenses. Standard mileage rate.
Filing lip. If you do not file Form 2106 or 2106EZ, enter your total business miles I and multiply by 1he
federal standard mileage rate I . Enter 1he result on line 1.
1 Enter the amount from your Form 2106 or line 1 of Form 2106EZ ........."......,.......,.......".. 1 7 545.
Vehicle expenses. Actual travel and mileage expensas.
2 Enter the amount from your Form 2106. Make the following adjustmenls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , 2
3 Add back the inclusion amount. This adjustment does not apply for Pennsylvania purposes. . . . . . . . . . . . . , 3
4 Depreciation. You may use any generally: accepted method. If not using your Form 2106, enter your
depreciation expense and complete line 5.... ..................... """"'''''' ...... ............. 4
5 Depreciation me1hod ...............
6 Aclua/travel and mIleage expenses lor PennsylvanIa purposes. T otallines 2, 3, and 4. . . . . . . . . . . . . . . . . . 6
7 Par1<lng fees, toils, and transportation. Enter the amount from your Form 2106 or Form 2106EZ .......... 7 338.
8 Away from home overnight. Enter the amount from your Form 2106 or Form 2106EZ . . . . . . . . . . . . . . . . . . . . 8 3.438.
9 Meals and entertainment expenses. Enter the amount from your Form 2106 or Form 2106EZ .....,.,.... 9 3 888.
10 Total expenses for Part A, Add lines 1 or6 and 7, 8, and 9 ,.......,.......,..,....................... 10 15,209.
Part B. Direct Emlllovee Business EX!lenses.
11 Union dues. List Union name(s) and amount(s) paid. Enler total. Attach additional sheets, if needed.
Name of union(s) and amounl(s) . . . . . . 11
12 Work clothes and uniforms. Required as a condition of employment and not suitable tor everyday use.
Description........,.. . 12
13 Small tools end supplies. Required as a condition of employment and not provided by your employer.
Description........... . 13
14 Profeaslonalllcense fees. malpracllce Insurance, and fidelity bond premIums. Required as a condition of your employmenl.
Description ............ .,- 14
15 Total expenses for Part B. Add lines 11, 12, 13, and 14.. .. . .. .. .. .. .. .. .. .. . .. .. .. .. . .. . . . . . . . . . . . . , . 15
Part C. Office or Work Area Ex enses. You must answer All 1hree uestions or the de artment will disallow our ex enses.
C1 Does your employer require you to maintain a sullable work area away from the employer's premises? ... C1 1 Yes 2 No
C2 Is this work area the principal place where you perform the duties of your employment? . . . . . . . . . . . . . . , . . C2 1 Yes 2 No
C3 Do you use 1his work area regularly and exclusively to perform the duties of your employment? .......... C3 1 Yes 2 No
If you answer Yes to All three questions, continue. If you answered No to Any question, you may not claim at home expenses.
Actual offIce or work area expenses. Enter expenses for the entire year and then calculate the business portion.
a Depreciation expense (homeowners only) .,.......... .-:"......,.. .-;. ;""..................................
b Real estate taxes........ ... .. ,. .... ........... '" . ., ..' .. . ... . ..... ..... , ,. .... ...... ......... .... .
c Mortgage interest (homeowners only) ......,.,..........................,.,.,..........,.........,....
dUtilities "'" ................ .................................. ........,........ ............."..,..
e Property insurance.......................................,.". ...,..........,.......".....,...
f Properly mainlenance. Itemize Ihe type & amt of maintenance expenses incurred . . . .
g Other apporlionable expenses. lIemize the type & amt of these expenses . . .
h Rent (renters only) ...........,............................,.......................,.................
i Total. Add lines a Ihroughh. Enter the tolal here...._.. ................................... ..... ........
J Business percentage of property. Divide the total square footage of your work area by the total square
footage of your entire property. Round to 2 decimal places.......,........,...........................,.
kApportloned expenses. Multiply line i by the percentage online j....,..................................,.
J Total office supplies. Itemize supplies you purchased exclusively for use in your office or
work area.... Tota' I
16 Tolal expenses forPartC. Add lines k and I ..,.......,....................................,........ 16
L
9901713017
PAlA1412 11123/99
9901713017
...J
,~" '
_"nO,:,
,-....',
.-~
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9901813015
PA Schedule UE
Allowable Employee Business Expenses
PA.'O UE ,09.99' 1999
PA DEPARlME.NT OF REVENUE
Nill\1l!1 of Ta)(payer Claiming Expenses:
OFFICIAl USE ONLY
Socill' S~(ily Number:
Robert L Buhri Jr 118-50-8548
Part D. Moving Expenses.
a Enter the number of miles from your old home to your new workplace. . , . . . . , . . . a
b Enter Ihe number of miles from your old home to your old workplace. . , . . . . , . . . . . . . . b
c Sublraclline b from line aand ,nl" Ih, diUer,nce ................','...............". . . .. .. .. .. . , , .. .. .. .. c
If line c Is 50 miles or more, continue. If not alleast 50 miles, you may not claim moving expenses.
mUes
miles
miles
17 Transportation expenses in moving household goods and personal errects . . . . . , . . . . , . . , . . . . . . . . . . . . . . . . 17
18 Travel, meals, and lodglng expenses during the actual move from your old home to your new home ....,. 18
19 Total expenses for Part D. Add lines 17 and 18......................................,............... 19
Part E. Educalion Ex enses. You must answer All three uestions or the de ertment will disallow our ex enses.
El Did your employer or a law require that you obtain this education to retain your present position or job? . . . . . .
If you answer YesJ continue. If you answer No, you may not claim education expenses.
E2 Did you need this education to meet the entry level or minimum requirements to obtain your job? . . . . . . . . . ,'.. B 1 Ves
E3 Will this education program or course of study qualify you for a new business or profession? ................ 1 Ves
If you answer No to both questions, continue. II you answer Ves to either question, you may not claim education expenses.
20 Name of college, university or educational instltullon
21 Course of study
22 Tuition or fees ......................................................................,............ 22
23 Course materials ......... ..,......... .............. ............. ...... ...... ....... .............. 23
24 Travel expenses. . . . . . , . . . . . . . . . . . , . . . . . . .. , . . . . . . . . .. .. . . . . . . . . . . . . , .. . . . . . . . . . .. . . . . . . . . . . . . , . ., 24
25 Totalex enses for Part E. Add lines 22, 23, and 24 ... . .. . .. .. . .. . .. . .. .. .. .. .. .. .. .. .. .. , .. . .. .. .... 25
Part F. Deprecialion ExDenses. Do not include vehicles (use Part Al and olllee or work area ruse Part C) expenses.
(a) Description of property (b) Cost or (e) Depreciation (d) Depreciation (e) Section 179
other basis method deduction expense
2 No
B 2 No
2 No
(I) Expense
Add (d) + (e)
26 Total expenses for Part F. Add column f ............................................................ 26
Part G. Miscellaneous EXDenses.lI,mize lh, typ' and amounl Df your addiliDnal exp,nses, inCluding expenses from Form 2108 or Form 2108EZ
a Depreciation <not vehicles) a
b Advert i sing b
c Dues c
d Office Expenses d
e See Schedule e
27 Total misceJlaneous eXDenses for Pllrt G. Add lines a through e ............,............,..........., 27
Total allowable Pennsylvania employee busi~ess exoenses. You must also account for reimbursements, if any.
28 Total expenses. Add lines 10, 15, 16, 19,25,26, and 27 ..... . .. . .. ...... ...... .. ................ , .... 28
29 Reimbursements. Enter reimbursements that your employer did not report as taxable wages on
your Form W-2 ......... ....... ....... . .... , , , , . .. . ...... ..' . .. ... ....... .. ......... ...... ... ..... 29
30 Net expense or reimbursement.. ........ . .' ... '" .. ...... .. . ..... ...... . ... .. , . ., .' .... ..... .,.. .. 30
2 798.
2 665.
20.
961.
8 828.
15 272.
30481.
30.481.
If line 28 is More than line 29, enter the difference on line 30 and include on line lb, unrelmbursed employee business expenses,
on your P A-40.
If line 29 Is More than line 28J enter the difference on line 30 and include the excess on line 1 a, gross Pennsylvania compensation,
on your PA.40.
L
9901813015
PAJA1412 10129199
9901813015
......J
-
.
~'N
.--J
PA-40-C (9-98)
'*
'1703113010
L
Attach to Form
PA.40, PA-65 or PA.41
Commonwealth ot Pennsylvania
Profit or Loss from Business or Profession
(Sole Pro rlelorshl )
1999
Schedule C
PA DEPARtMEtff OF REVENUE
Social Sllcl.lrily Number 01 Propriolor
Name of Proprietor liS Shown on Pennsylvania Tal( Return
Robert L Buhrt Jr
A Main business activl ~ Funeral Director
B Business name ~ Robert L Buhri Jr
o Business address (number and street)J,Q _B_0!5_1_4.!~ __ _ _ _ _ ___ _ __ _ _ _ _ __ _ __
Cit stateandZiPcode~MeChanicsbur PA 17055
E Method(s) used to value closing inventory, check lhe appropriate box:
(1) 0 Cost (2) 0 Lower of cost or market (3)0 Olher (if other, aUach explanation)
F Accounting melhod, check the appropriate box:
(1) IRJ Cash (2) 0 Accrual (3)0 Other (specify) ~
G Was there any change In determining quantilies, costs or valuations between opening and closing Inventory?
If 'Yes' attach explanation.
Did you deduct e enses for an omce in
118-50-8548
roduct or service ~
C Taxpayer Idenlllication Number
118-50-8548
c
c
Ves
No
ur home? . , . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 a Gross receipts or sales....,............................,..................
bReturns and allowances............................................."..... lb
c Balance (subiract line 1b from line la) ..................................."............................
2 Cost of goods sold andlor operalions (Schedule C-1, line B).......,..,...................................
3 Gross profit (subtraclline 2 from line 1 c) ..... , , . . . . .. . . " . . .. . . . . .. . .. . .. . .. . .. . .. . . . . .. . . . . . . . .. .. .. ..
4 Other income (attach schedule) jnclude interest from accounts receivable, business checking accounts and
other business accounts. Also include sales of operational assets. See insb"uction booklets .................
5 Total income (add lines 3 and 4 .......... ...... ..;............,........,........................... ..
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6 Advertising ........."...."...."......
7 Amortization.......... ....,.............
8 Bad debts from sales or services. . . . . . . . . .
9 Bank charges . " " " . .. .. .. .. .. . .. .. . .. .
10 Car and truck expenses..... " ., . " ... ."
11 Commissions.... ...". ."................
12 Depletion....".......",,,.............
13 Depreciation (explain in Schedule C.2) . ....
14 Dues and publications. . . .. . . .. . . . . . . . . . . .
1.
2
3
17 220.
17 220.
31 Wages ...............................
1,072. 32
other expenses (specify):
a Dues
b J~[e:PE~n~===========:
c .!1.!Kell.a_n~Q.~________.
516.
273.
50.
d
15 Employee benefit programs olher than
~h~....................,... f
16 Freight (not included on Schedule C.l) .... g __ _ __ _ _____ __ _____.
17 Insurance.. . . . , . . . . . . . . < , . . . . . . . . . . . . . . . h
13 Interest on business Indebtedness... ....,.. j
19 Laundry and cleaning ..............".... I _ _ _ __ _ _ _ __ ___ _ _ _ _ _.
20 Legal and professional services.." ...".. 400. k _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
21 Gfficesupplies .......................... 354. I
22 Pension and profil.sharing plans for employees ',".. m _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _.
23 Postage ............".................. n __________________.
24 Renton business property .,..........".. 0 ___ _ _ _ _ _ _ _ ____ __ _ _.
25 Repairs..."..."....................... P __________________.
26 Supplies (not included on Schedule C-l) ... q
------------------.
'll Taxes.. ....... ,...............,........ r
------------------.
2B Telephone .................... .. .. .. .. .. 33 Reduce expenses by the total business
29 T I d t t' t 611 credits claimed (for example,
f~~~ an en er allllnen ................. . Emp{oyment Incentive Pa}m1ents
30 U""fles.........................."..... Credit on the PA.40 .................
34 T atal deductions add amounts in columns for lines 6 throu h 32r and deduct line 33 . . . . . . . . . . . . . . . . . . . .. ... 34
e
3 643.
35 Net profit or loss (subtract line 34 from line 5). Enter total here and on the appropriate line of Pennsylvania
laxrelurn..............................."............,...",.,... "................................ 35
13 577.
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'1703113010
PAIZD612 HII2199
'1703113010
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Schedule C
9703213018
L
PA DEPARTMENT OF REVENUE
Name of Proprietor ll;S Shown on Pennsylvania Tax Return
Sodal Suwrily Number
Robert L Buhri Jr 118-50-8548
$~fU~1~_ijr~.;~nl~~;:!ia!9J:ff:trt~Gd~aif. :m;. t. JJl~;K(r>:~.Jf.ilr jf..d~m!l1Wt:W~@!~i~M!i!MWWl;Hm1Mmf}~~t.r~~.: {~: .;m$;~~1&~1:.~wW ~~i.~~~ ; . :l$~*::uf.-i@)t~~i~
1 Inventory at beginning of year (it different from last year's closing inventory, altach explanation) " 1
2a Purchases. ..... . . . . ... ...... ..... '" .,. . . ... . . . . .. . 2a
b Cost of items withdrawn for personal use ............,..... 2b
c Balance (sublraclllne 2b from line 2a) . .. . , " " , .. . .. .. .. .. . , . . " " . .. " .. , .. .. .. .
3 Cost 01 labor (do not include salary paid to yourselQ " .. .. .. , .. , ., .,,,.,,,....,,....,. .. " . .. , "
4 Materials and supplies......,...............,...........".......,...."............"......",,,....
5 Diller eosts (a\lach schedule) ....".....,............,..,..................................."........
6 Add lines 1, 2c, 3, 4 and 5 .. . , . . . .. . .. . . . . . . , , . . . . , . . . .. . . .. . , . . . . . .. . . . . . . . .. . . . .. . .. . . .. . . . . . . . . . . . .
7 Inventory at end of year .......'........'..............'....,'................. "......................
8 Cost of goods sold and/or 0 erations subtract line 7 from line 6 . Enter here and on Part I. line 2 ......... ~
'. 'II
Description of property
Date
acquired
Costar
olher basis
Depreciation
allowed or allowable
in prior years
(a) (b) (c)
1 Total additional first-year depreciation (do not Include In Items below)
2 Other depreciation:
Buildings........"...... .
Furniture and fixtures. , . . . .
Transportation equipment ..
Machinery & oth equipment
Oth (specify) __ __ _ __.
(d)
Melllod of
computing
depreciation
(e)
Life
or
rate
Depreciation for
this year
(I)
(g)
3 Totals............"""........"...
3
4 Depreciation claimed In Schedule C-l . . ,
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . . . . . . , . . . . . . , . . . . . . . . . . , . . .
4
5 Balance (subtract line 4 from line 3). Enter here and on Part 1I, line 13 , . .. . .. . .. . . " . .. .. . .. " .. . .. " ... ~ 5
l$:'qbU~f&ijiih1iilllmiifi~*,..;~Im.i.!@U.mt_t.~
If you incur any of the expenses described below, enter the amount of the expense and describe the kinds of costs incurred and
tile business purpose.
Expenses
Amount
A Entertainment facility (boat, resort, ranch, etc)
$
B living accommodations (except employees on business)
$
C Vacations for yourself, your employees or their families.
$
L
9703213018
PA,Z0612 lDn9199
970321301/1
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Robert L Buhrig Jr
118-50-8548
Supporting Statement of:
Schedule UE (Sales Representative)/Misc expense amount-e
Description Amount
PostaKe 491.00
PrintlnK 163.00
Telephone 8,064.00
Miscellaneous 11 0.00
Total
8,828.00
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CATHERINE A. BUHRlG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v
: No. 2000 - 633 CIVIL ACTION
ROBERT L. BUHRlG, JR.,
Defendant
: IN DIVORCE
RELEASE OF LIEN
I, Catherine A. Buhrig, hereby release real estate located at 107 Shirley Lane, Boiling Springs,
P A (Real Estate) from any and all liens that may be on said Real Estate as a result of a certain
spousal support order entered against my husband, Robert L. Buhrig, Jr., which said order is
docketed at the Cumberland County Domestic Relations Office at Docket # 0076-S-200 and
which is indicated at PACES Case # 399102253
This release is designed solely to release the Real Estate from any potential lien that may attach
to the Real Estate as a result of my husband's arrearage on said spousal support obligation, and
shall in no way impact the amount personally owing to me from my husband. Furthermore, this
release may be relied upon by Penn Attorney's Title Insurance Company (Penn) in connection
with the issuance by Penn of a title insurance property in connection with the Real Estate.
In witness whereof, I have hereunto set my hand this :z. (, day of f' ~ ' 2001.
~d~
Catherine A. Buhrig
COMMONWEALTH OF PENNSYLVANIA
: ss
COUNTY OF CUMBERLAND
On this, the d..~1I- day of ..t,/).,.II u... . 2001, before me a Notary Public, the
undersigned officer, personally a~. Buhrig, known to me (or satisfactorily
proven) to be the person whose name is subscribed to the within instrument, and acknowledged that
she executed the same for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal.
~
j Notarial Seal
Bridget Ann Corcoran, Notary Public
Carlisle Bora, Cumberland County
My Commission Expires June 10, 2002
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CATHERlNEA. BUHRIG,
PlaintifflPetitionerlRespondent
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
ROBERT L. BUHRIG, JR.,
DefendanllRespondentiPetitioner
NO. 00-633 CIVIL TERM
IN DIVORCE
DR# 29636
Pacses# 399102253
ORDER OF COURT
AND NOW, this gth day of March, 2001, a petition has been filed against you, Catherine A.
Buhrig, to modifY an existing Alimony Pendente Lite Order. You are ordered to appear in person at the
Domestic Relations Section, 13 North Hanover Street, Carlisle, Pennsylvania, before R.J. Shadday onAo,il
10.2001 at 9:00 A.M., for a conference and to remain until dismissed by the Court. If you fail to appear as
provided in this Order, an Order for Modification may be entered against you.
You are further ordered to bring to the conference:
(I) a true copy of your most recent Federal Income Tax Return, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Statement attached to this order, completed as required by the Rule
1910.11.
(4) verification of child care expenses
(5) proof of medical coverage which you may have, or may have available to you
IF you fail to appear for the conference or bring the required documeuts, the Court may issue a
warrant for your arrest.
BY THE COURT,
George E. Hoffer, President Judge
F Petitioner
Respondent
Hubert Gilroy, Esquire
Theresa Barrett Male, Esquire
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R. Shadday, Conference Officer
Date of Order: March g. 2001
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU. 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 MAY GET LEGAL
HELP.
CUMBERLAND COUNTY BAR ASSOCIA nON
2 LffiERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v
NO. 2000-633 CIVIL
ROBERT L. BUHRIG, JR.,
Defendant
CIVIL ACTION - LAW
PRAECIPE
Please withdraw the appearance of Theresa Barrett Male,
Esquire, as attorney for the Defendant in the above-captioned
matter.
Dated: ~~ ;(1hJ/
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Theresa Barrett Male, Esquire
513 North Second Street
Harrisburg, PA 17101
(717) 233-3220
Please enter the appearance of Lori K. Serratelli, Esquire,
as attorney for the Defendant in the above-captioned matter.
Dated: ,.l)-/C-,::;uyo/
~~~\E~~~\n\1
lUll APR 0 3 Z001 ~
. Serratelli, Esquire
ELLI, SCHIFFMAN,
BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 201
Harrisburg, PA 17110
(717) 540-9170
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SERRATELLI. SCHIFFMAN, BROWN & CALHOON, P.C.
SUITE 201
:WSO LINGLESTOWN ROAD
HARRISBURG, PA 17110-9670
f'JUL 13 2001h!J
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No. lu33 Gv'," \ ;lena;.-.
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CUMBERLAND COUNTY DOMESTIC RELATIONS
Request for Support Record Search
Date of Application ,] II ) r; I . .__
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Name: ~\ \\\\; g
(Last)
'~~\}e\\
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Address: ~ () (:;n)( \,.\ \ d. ,rl\ e (~.~ .,; i)'\~~J ,..~
Social Security Number: \ \ 2.',-;;-0'~ lZsl.\ Sl
Domestic Relations Case Number ifKnoW:ri:'~ -.
Party Requesting Information:-' T n C _~\n t..,t' (\ ~. [i\: \ \z'e.f., .
(Print Name of Film) . .
;:;; L\ 9 - (pL\::Jl
(Telephone Number)
H~.Z:;dFn.-:.,t-\'\;5\'" !,.\nrt, lc,:\,'<,\('
(Address) '. .... -. .- .,/,;/ .
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(Signafu;e) -'<' - .----
::J L\ <i - 'K '-\ ';;l1
(Fax Number)
A Ten Dollar ($10.00) Fee is Due per Social Security Number
Make Check Payable to: DRSJLiei1 Search
L Il\1J'T.IAL REQuEST -.
Has No Record in Domestic Relations as of:
Support Arrears As of End of Month Prior Date of Application: $01 goo. 00
Monthly Total Support Obligation:.$ . '3' 7 Q -.On I rrwrlt, ~- ..'
I
The Amount shown above is reflected in the Domestic Relations Section Office of
Cumberland County, Pennsylvania. m JUYlbtr ::;:!:" 53 It;.)..f DO 47&,
Domestic Relations Case Nuniber: PM" ~.., J... 3'[<1 j 0 d.;;(S3-
Signed: fJ!Lf.11 IJ7 '1!J~ "".-'d
(Din ctor/Assistant Director! Lien Coordinator)
_ BRJNG.QOWNEE.QUEST -
;;?-Cj- 0 I
(Date)
Support Arrears: $
.As Qf:
Signed:
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CATHERINE A. BUHRIG
Plaintiff
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLV ANXA
v
:DOCKET NO: 00-633
ROBERT L. BUHRIG
Defendant
:PACES CASE NUMBER: 399102253
COURT ORDER
tJfl6ttJ ItG~~e!JdA1T bF ~tJ/lJSeL. J
AND NOW this ,3;'/(:1 day of flu.~, 2001,."the hearing scheduled in the above
matter on August 31,2001 is cancelled and rescheduled for the I;.a day of
(J~/
, 2001 at ~ _l!rM in Court Room No: 1.
die
.
J Wesley Oler
cc: Hubert X. Gilroy, Esquire
>- ...:rLo~K. Serratelli, Esquire
~ ...:lRidde Shadday, DRO
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CATHERINEA. BUHRlG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRlG,
Defendant
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this 16th day of July, 2001, upon consideration of Defendant's
Petition for Vocational Evaluation, a Rule is hereby issued upon Plaintiff to show cause
why the relief requested should not be granted.
RULE RETURNABLE within 15 days of service.
BY THE COURT,
!cI/~
Lori K. Serratelli, Esq.
2080 Linglestown Road
Suite 201
Harrisburg, P A 17110
Attorney for Defendant
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Hubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, P A 17013
Attorney for Plaintiff
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CATHERINE A. BUHRIG,
PlaintifflRespondent
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
: No. 00-633 Civil
ROBERT L. BUHRIG,
DefendantlPetitioner
: CNIL ACTION - LAW
: IN DNORCE
ORDER
AND NOW, this _ day of
,2001, upon consideration of
the within Petition for Vocational Evaluation, it is hereby ORDERED and DECREED that
PlaintifflRespondent submit promptly to a vocational evaluation by DefendantlPetitioner's
vocational expert, Andrew D. Caporale, by supplying three available dates during the month of
August, 2001 to the DefendantlPetitioner's attorney when she would be available for the
evaluation at the Law Offices ofSerratelli, Schiffinan, Brown & Calhoon, P.C., 2080
Linglestown Road, Suite 201, Harrisburg, Pennsylvania.
J.
CATHERINE A. BUHRIG,
PlaintifflRespondent
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
: No. 00-633 Civil
ROBERT L. BUHRIG,
DefendantJPetitioner
: CIVIL ACTION - LAW
: IN DIVORCE
PETITION FOR VOCATIONAL EVALUATION
TO THE HONORABLE, THE JUDGES OF SAID COURT:
AND NOW COMES, DefendantJPetitioner, Robert L. Buhrig, by and through his
attorney, Lori K. Serratelli, Esquire, and the law firm of Serratelli, Schiffman, Brown &
Calhoon, P.C., and files this Petition for Vocational Evaluation and in support of same,
respectfully represents and avers the following:
1. The DefendantJPetitioner is Robert L. Buhrig, who currently resides at 209 Louisa
Lane, Mechanicsburg, Pennsylvania 17050.
2. PlaintifflRespondent is Catherine A. Buhrig, who currently resides at 1517 Rothsville
Road, Lititz, Pennsylvania 17543.
3. The DefendantJPetitioner has currently been ordered to pay spousal support in the
amount of $570.00 per month pursuant to a Domestic Relations Order of Court dated June 25,
2001. Both the DefendantJPetitioner and PlaintiftlRespondent have requested a hearing de novo.
4. DefendantJPetitioner filed a Motion for Appointment of Master through his previous
attorney, Theresa Barrett Male on February 9,2001, but no hearing has been scheduled on the
outstanding property and alimony issues.
5. Defendant/Petitioner believes that PlaintifflRespondent is currently underemployed
and has a higher earning capacity.
6. Defendant/Petitioner has retained the services of Andrew D. Caporale to assess
PlaintifflRespondent's earning capacity and Mr. Caporale has given a preliminary report on
PlaintifflRespondent's earning capacity..
7. Defendant/Petitioner believes it is essential that Mr. Caporale evaluate
PlaintifflRespondent in order to complete his report on PlaintifflRespondent's earning capacity.
WHEREFORE, Defendant/Petitioner respectfully request that this Honorable Court to
order and decree that PlaintifflRespondent be evaluated forthwith by Andrew D. Caporale.
Respectfully submitted,
Lori . S rratelli, Esquire
ill NO. 27426
SERRATELLI, SCHIFFMAN,
BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 20 I
Harrisburg, P A 17110
(717) 540-9170
Attorney for Defendant/Petitioner
,
.
VERIFICATION
I, Lori K. Serratelli, Esquire, attorney for the DefendantlPetitioner, have personal
knowledge of the facts contained in the foregoing document and therefore do verilY that the
information contained therein is true and correct to the best of my knowledge, information and
belief.
~'
burig,pve
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CATHERINE A. BUHRIG,
Plaintiff/Respondent
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
: No. 00-633 Civil
ROBERT L. BUHRIG,
Defendant/Petitioner
: CIVIL ACTION - LAW
: IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. Serratelli, Esquire, do hereby certify that on this II ~ay of H, 2001, I
served a copy of the foregoing document by United States Mail, First Class, postage pre-paid, to
the following person(s):
Hubert X. Gilroy, Esquire
4 North Hanover Street
Carlisle, P A 17013
Attorney for Plaintiff/Respondent
Lori . atelli, Esquire
SERRATELLI, SCmFFMAN,
BROWN & CALHOON, P.C.
2080 Linglestown Road
Suite 201
Harrisburg, P A 17110
(717) 540-9170
Attorney for Defendant/Petitioner
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CATHERINE A. BUHRIG,
Plaintiff
v
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 00 - 0633 CIVIL ACTION - LAW
. ROBERT L. BUHRlG,
Defendant
: IN DIVORCE
ANSWER OF RESPONDENT CATHERINE A. BUHRlG TO PETITION FOR
VOCATIONAL EVALUATION AND RULE TO SHOW CAUSE ISSUED THEREON
Plaintiff/Respondent Catherine A. Buhrig, by her attorneys, Broujos & Gilroy, P.c., sets
forth the following in response to the Petition for Vocational Evaluation filed by Defendant
Robert L. Buhrig and the Rule to Show Cause issued by this Court on July 16, 2001 in
Il'Csponse to that Petition:
1. Admitted.
and has a higher earning capacity. Denied that Defendant's position is accurate.
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2.
Admitted.
3.
Admitted.
4.
Admitted.
5.
Admitted that Defendant's position is that Plaintiff is currently underemployed
On the contrary, Plaintiff is working full-time at an appropriate employment
positiou.
6. Admitted.
7. Denied. An evaluation is not necessary because an evaluation is not relevant or
admissible in these proceedings for the following reasons:
A. Plaintiff is employed full-time at a rate of $15.00 per hour as a pastry
chef.
R. Plaintiffs work history is such that her current employment is her
highest salary job. During the parties' marriage, Plaintiff either was not
working pursuant to an agreement of the parties or worked part-time. At
the time ofthe parties' separation, Plaintiff was working part-time. After
the parties' separation, Plaintiff then obtained a full-time job ofan hourly
rate of $10.00 per hour. Plaintiff sought better employment in the pastry
chef positions and was able to find her current employment at $15.00 per
hour for full time employment offorty (40) hours per week.
C. Pursuant to the applicable Rules, "earning capacity" may only be argued
for a party" ... who willfully fails to obtain appropriate employment..."
(See Pennsylvania Rule of Civil Procedure 1910.16-2(D)( 4).
D. The facts of this case clearly demonstrate that the Plaintiff has made
deliberate and purposeful efforts to obtain appropriate employment, and
Plaintiff believes that Defendant's actions in requesting that Plaintiff
submit herself to a vocational evaluation constitutes harassment by the
Defendant.
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E. The testimony of a vocational expert would not be relevant or admissible
into testimony unless a court first determines that the Plaintiff has
willfully failed to obtain appropriate employment.
WHEREFORE, Plaintiff respectfully requests that this Honorable Court dismiss
Defendant's petition for a vocational evaluation ofthe Plaintiff.
Respectfully submitted,
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Hubert X. Gilr ,Esquire
Attorney for laintiff
Broujos & ilroy, P.C.
4 North Hanover Street
Carlisle, P A 17013
(717) 243-4574
Supreme Court ID # 29943
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CATHERINE A. BUHRIG,
Plaintiff
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG,
Defendant
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this 27th day of September, 2001, upon agreement of counsel, the
hearing previously scheduled in this matter for October 11, 2001, is rescheduled to
Monday, December 17,2001, at 1:30 p.m., in Courtroom No.1, Cumberland County
Courthouse, Carlisle, Peunsylvania.
BY THE COURT,
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Hubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
Lori K. Serratelli, Esq.
2080 Linglestown Road
Suite 201
Harrisburg, P A 17110
Attorney for Defendant
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ANDREW D. CAPORALE
CAREER SUMMARY
Demonstrated accomplishments in the development, coordination and implementation of
vocational services for the disabled, post-injury individuals and school students. Extensive
knowledge and skill in utilization of the United States Department of Labor's Dictionary of
Occupational Titles and Labor Market Analysis. Analysis includes degree of exertion
required for specific occupations as well as degree of skill, selected characteristics and
existence of jobs with corresponding salaries in the U.S. economy.
CERTIFICATIONS
General Aptitude Test Battery Administration and Interpretation, United States Department
of Labor and Industry.
Vocational Evaluation Specialist, Commission 011 Certification of Work Adjustment and
Vocational Evaluation Specialists, Certificate #V004036.
Approved Vocational Expert, United States Social Security Administration and U.S. Railroad
Retirement Board
Preventive/Rehabilitative Exercise Test Technologist, American College of Sports Medicine,
Certificate #233.
EDUCATION
Master of Science, 1975, The Pennsylvania State University, State College, Pa.
Major: BiomechanicslKinesiology; College of Health and Human Development
Bachelor of Science, 1971, West Chester University, West Chester, Pa. Major: Health and
Physical Education.
PROFESSIONAL EXPERIENCE
Expert Witness, Evaluator, vocational and physical capacities and Director Wellness
Programming
Anderson Associates Psychology & Consulting. Tasks are described in the following
two positions and include additionally the administration of vocational tests, analysis
of earnings capacity, labor market analysis, as well as appearance in various courts as
an expert witness.
Proprietor
Wellness Programming, a physiological and lifestyle assessment, education and
counseling service. Utilizing standardized procedures to perform range-of-motion,
DEFENDANT'S
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muscular strength and endurance and dexterity tests, assess and determine the physical
functioning ability of post injury individuals in relation to the performance of work.
Provide evaluation of fitness levels, nutritional status and health-related lifestyle
factors relating to coronary disease and injury to individuals and corporate groups,
followed by the development of appropriate profiles and written recommendations for
positive lifestyle change.
Physical Tolerance Evaluator
GoodwilI Industries of Central Pennsylvania, Inc. Developed a physical capacities
evaluation program to conform to the criteria of the Rehabilitation Act of 1973 and
physical demand specifications in the U.S. Department of Labor's Dictionary of
Occupational Titles. Implemented physical measurement services to the vocationalIy
disabled and injured clients of the Office of Vocational Rehabilitation, Mental
HealthlMental Retardation Association, Harrisburg School District, Susquehanna
Employment and Training Corporation, Veterans Administration and Workmen's
Compensation recipients. Provided expert witness testimony before judicial bodies
within the Workmen's Compensation system.
Coordinator of Evaluation Services
Goodwill Industries of Central Pennsylvania, Inc. While maintaining the duties of
Physical tolerance Evaluator, supervised an administrative budget, personnel
recruitment and day-to-day operations of the evaluation department, including the
psychological, vocational and physical assessment components. Implemented
computerized systems to administer the General Aptitude Test Battery to disabled
persons and match skilIs and abilities to employer job demands. Consulted with
placement staff to assist in appropriate job placement of disabled individuals.
Facility Director
The First Step Program of GoodwilI Industries, a Department of Health licensed,
Commission on Accreditation of Rehabilitation Facilities accredited, inpatient drug
and alcohol detoxification facility. Supervised an administrative and operations
budget and a staff of 14 full-time professional employees, including licensed
counselors and nurses. Also functioned as Clinical Supervisor, responsible for quality
and completion of bio-psycho-social evaluations and subsequent development of
treatment plans to address the vocational and educational needs of chemicalIy
addicted clients.
ASSIGNMENTS/ACHIEVEMENTS
. President, District IV Chapter of the Pennsylvania Vocational Evaluation and Work
Adjustment Association, 1981.
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. Past Vocational Consultant to the Harrisburg District Veterans Administration
Counseling Unit.
. Guest Lecturer for the Pennsylvania Association of Rehabilitation Facilities regarding
physical capacity's assessment within the rehabilitation setting.
. Proposed and developed a contractual agreement with the Pennsylvania Office of
Vocational Rehabilitation to provide maximal exercise testing and subsequent exercise
therapy to aid in maximizing physical employment potential of disabled individuals.
. Most recently developed a computerized vocational evaluation system to pinpoint
specific job and training recommendations for diverse target groups in accordance
with the Department of Labor's Dictional)' of Occupational Titles. This program
currently serves 5 school districts and more than 80 students per year.
MEMBERSHIPS:
Vocational Evaluation And Work Adjustment Association
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2418 NORTH SECOND STREET
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PHONE: (7t7) 233-7779
FAX: (717) 233-0350
Anderson Associates Psychology & Consulting
ANDREW D. CAPORALE, M.S., CVE
June 21,2001
Lori K. Serratelli, Esq.
Law Offices of Serratelli, Schiffman, Brown & Calhoun
Suite 201
2080 Linglestown Road
Harrisburg, PA 17110-9670
RE: Catherine A. Buhrig
Dear Ms. Serratelli;
Thank you for your referral of Mr. Robert L. Buhrig, your client. Per your request, I have
conducted labor market research and associated current wage structure in the Harrisburg
Metropolitan Statistical area, as well as surrounding areas, which included York, Reading,
Lancaster, and as well as Pittsburgh, Philadelphia and Baltimore, MD, for the positions of
master or head pastry chef and pastry baker, positions for which Mrs. Catherine A. Buhrig,
your client's estranged spouse, is reportedly trained and qualified, as will be detailed. This
research process followed a telephone interview with Mr. Robert L. Buhrig, the purpose
of which was to obtain pertinent data needed to ascertain Mrs. Buhrig's earnings capacity
in these occupations.
During a telephone interview of approximately 40-45 minutes in duration with Mr. Buhrig,
I was provided with educational and vocational background information on Mrs. Catherine
A. BUhrig, his estranged wife. Mr. Buhrig informed me that Mrs. Buhrig, is 30 years of age,
which classifies her as a younger individual, according to Social Security Administration
and U.S. government standards. Therefore, her age is not considered a negative factor
in her ability to obtain gainful employment. They have no children. The following two
sections detail Mrs. Buhrig's educational and vocational backgrounds as described to me
by Mr. Robert Buhrig.
IEDUCATIONAL BACKGROUND
Mrs. Catherine Buhrig holds a Bachelor of Science degree in Psychology from the
University of Pittsburgh, located in Pittsburgh, PA. She is also a graduate in the Culinary
Science curriculum from the International Culinary Academy in Pittsburgh, a 16 month
course, where she specialized in pastry baking. She was also awarded a one week
scholarship to the Culinary Institute of America, located in High Park, New York where she
received advanced training in this specialty. It was also noted by Mr. Buhrig that because
DEFENDANT'S
EXHIBIT
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Preliminary Vocational Report
RE: Catherine A. Buhrig
June 21, 2001
Page 2
of her advanced skill level, Mrs. Buhrig was given the opportunity to teach several classes
in the art of pastry baking for the American Culinary Federation in Pittsburgh, PA.
VOCATIONAL BACKGROUND
Mrs. Catherine Buhrig was employed as a shift supervisor at Friendly's, a family
restaurant, located in Camp Hill, PA, where she reportedly worked for approximately one
year. Mr. Buhrig indicated that she was third in line for a management position at the time
she terminated this job. Her duties included complete daily opening procedures of the
restaurant. She left this position when she and Mr. Buhrig moved to Pittsburgh, PA, where
she then obtained a position as a front end manager of a grocery store, where she
managed approximately 70 people and had hiring and firing responsibilities. She worked
in this position, according to Mr. Buhrig, for well over a year.
She then acquired a position with a large bakery company in Pittsburgh as a pastry chef.
According to Mr. Buhrig, her job title there was "pastry cook". Her primary duties included
product development and directing other employees. Initially, this was a full-time position.
Mr. Buhrig reports, she eventually changed her work status to part time in order to return
to school to finish her bachelor's degree, and to attend the International Culinary
Academy. Overall, she worked for this company for several years.
After returning to Mechanicsburg, Mrs. Buhrig acquired a position with Schenk's, a bakery
shop in Mechanicsburg, where her primary responsibility was cake decorating. She
performed in this capacity for several years on a full-time basis for several years before
electing to change her work status to part-time in order to allow more time for completion
of household chores. It was during this time that Mrs. Buhrig began a self-employed pastry
making venture, Signature Desserts, which she ran from her home for about one year.
According to Mr. Buhrig, she made cakes and pastries privately and was "swamped" with
work, and because of the quality of her work, she was able to charge more for her pastries
than Schenk's, where she continued to work on a part-time basis.
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Following this job, and completion of her culinary academy training, Mrs. Buhrig acquired
a pOSition at the Double Tree Hotel in Pittsburgh, where she worked as an assistant
executive pastry chef. She held this position on a full-time basis for approximately two
years. She did not have hiring or firing responsibilities in this position, but she did
evaluate talent. Her primary duty in this position was baking pastries. She left this job
when she and her husband returned to Mechanicsburg, PA.
Based on the aforementioned information, including her education with International
Culinary Institute and the Culinary Institute of America, as well as her job experience with
USA Gourmet, Inc. and the Double Tree Hotel, Mrs. Catherine Buhrig appears quite
capable of obtaining employment as a pastry chef or head pastry chef with associated
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RE: Catherine A. Buhrig
June 21, 2001
Page 3
earnings, in any upscale establishment. The following labor market research is based
upon this premise.
LABOR MARKET RESEARCH
Several Harrisburg area employers of pastry chefs were contacted in addition to resource
publications of the U.S. and Pennsylvania Departments of Labor and Industry, as well as
computer generated data from the National Restaurant Association, and Salary. com, a
private corporation located in Wellesley, Massachusetts. Wages were found to be
dependent upon the type of facility in which the occupation of pastry chef is performed.
For example, the labor market survey finds that the pastry chef position at a local bakery
shop yields an average annual wage of $16,890 in the Harrisburg metropolitan statistical
area, and ranges from $17,420 in Lancaster, to $17,460 in York, to $17,510 in Reading,
and to $21,190 in the Philadelphia area.
According to the Pennsylvania Department of Labor and Industry, there are more than 700
pastry bakers in the Harrisburg area, which is expected to increase to almost 800 by the
year 2005. According to this same publication, the average number of annual job
openings in this occupation is 32-- in the Harrisburg area alone. There are an additional
25 openings per year in the Lancaster area, 20 in the York area, 15 in the Reading area
and 174 annual job openings in the Philadelphia metropolitan statistical reporting area,
according to the same publication.
Alternatively, salaries for head pastry chefs in four or five star restaurants range from
$45,911 to $64,402 annually, with a median base salary of $53,486 annually in the greater
Harrisburg area. These figures are similar for York, Reading, Lancaster and Pittsburgh,
but increase to a median base salary of $54,392 annually in Baltimore, Maryland, and
$56,416 annually in Philadelphia, PA according to a private salary analysis firm in
Wellesley, MA. According to Karen Rahr, Human Resources Director at the Hotel
Hershey, located in Hershey, PA, a pastry chef or head pastry chef at their facility could
expect to earn between $45,000 and $65,000 annually. Additionally, Karen, a restaurant
manager at Donecker's, a four star restaurant located in Ephrata, PA, indicated that their
pastry chefs earn between $35,000 and $50,000 per year. Based on Mrs. Buhrig's past
vocational accomplishments in the area of pastry chef, and her specific training, she would
indeed qualify for a position in a four or five star restaurant, as a pastry chef, earning these
salaries.
SUMMARY & CONCLUSION
Mrs. Catherine Buhrig is a 30 year old college educated woman. She has had extensive
training and vocational experience in the position of pastry chef. Taking all the
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Preliminary Vocational Report
RE: Catherine A. Buhrig
June 21, 2001
Page 4
aforementioned figures into consideration, an individual such as Mrs. Buhrig is capable
of earning from $16, 890 annually, as a bakery employee in a local bakery shop, for which
she is over-qualified, to $65,000 per year as a master or head pastry chef, for which she
is qualified, at the Hotel Hershey, in Hershey, PA. Minimally, Mrs. Buhrig could expect to
earn between $16,890 as a pastry baker in the Harrisburg area to $21,190 in the
Philadelphia area for an average of $19,040 annually. However, in the opinion of this
evaluator, within a reasonable degree of vocational certainty, and based on her education
and accomplishments, both scholastically and vocationally, this individual could expect to
obtain a master or head pastry chef position earning a mean annual income of $42,500 at
a four star restaurant such as Donecker's in Ephrata, PA to $55,000 at Hotel Hershey, or
an average salary of $48,750 annually. In addition to this average salary one could expect
a conservative fringe benefits package of approximately 1/4 of the base salary.
With respect to job availability, numerous job openings were found throughout the U.S.
including Kent, WAj Pacific Palisades and San Diego, CA, Tulsa, OK, Little Rock, AK, and
Rincon, PR as well as several current openings in Williamsburg, VA. There is currently
an opening for a pastry chef in Hawaii with a starting salary of $70,000 annually. Although
there is not a high demand for upper level pastry chefs in the Harrisburg metropolitan area,
an individual with Mrs. Buhrig's qualifications and experience, should face minimal
resistance in acquiring a position as a head pastry chef or upper level pastry chef position
with one of the numerous four star restaurants in the Harrisburg area, should she desire
to pursue such employment on an active basis. Catherine Buhrig is a young individual,
at 30 years of age, and has no children. Assuming ability or motivation to relocate where
demand for her talents would be higher, such as in the greater Baltimore or Philadelphia
metropolitan areas, the median earnings would exceed the Harrisburg area earnings of
$48,750 per year.
This opinion is rendered within a reasonable degree of vocational certainty. If you have
any questions, please advise.
Sincerely,
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Andrew D. Caporale, M.S., CVE
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ANDREW D. CAPORALE. M.S., CVE
2418 NORTH SECOND STREET
HARRISBURG, PENNSYLVANIA 17110
TELEPHONE (717) 233-7779
FAX (717) 233-0350
VOCATIONAL EVALUATION REPORT
To: Lori K. Serratelli, Esq.
Serratelli, Schiffman, Brown & Calhoun
Suite 201
2080 Linglestown Road
Harrisburg, PA 17110-9670
Phone: (717) 540-9170
Fax: (717) 540-5481
Re: Catherine A. Buhrig
DOB: 12/10170
AGE: 30
November 14, 2001
DEFENDANT'S
EXHIBIT
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Vocational Evaluation Report
Re: Catherine A. Buhrig
November 14, 2001
Page 1
INTRODUCTION
This vocational evaluation serves as a supplement to my preliminary report of July 31,
2001, which was prepared using labor market research with respect to the earnings
potential of a head pastry chef or pastry chef, a position for which Mrs. Catherine Buhrig
is qualified to perform, based upon the information gathered from a telephone interview
with her estranged spouse, Mr. Robert L. Buhrig. This vocational evaluation was
conducted by an interview and testing of Mrs. Catherine Buhrig which took place in my
offices at 2418 North Second Street in Harrisburg, PA on October 2,2001. The purpose
of this evaluation was to assess her vocational potential, consistent with her age,
education, vocational history and other employment-related variables, with respect to
alternative occupations.
SPECIFIC TESTS ADMINISTERED
Jastak Wide Range Achievement Test-Revision 3
Purdue Pegboard Dexterity Test
Minnesota Clerical Test
BACKGROUND
Mrs. Buhrig is a 30-year-old female who currently resides in an apartment in the Harrisburg
area with a roommate. She gave no further details regarding her living arrangements.
She reported no history of any significant physical problems and no significant psychiatric
history, other than the typical stress associated with the current divorce proceedings. She
is currently separated from her husband, and indicated that the duration of this separation
has been a period of just over one year. They were married on November 30, 1991.
There are no children to this union.
EDUCATIONAL BACKGROUND
Mrs. Buhrig was a 1988 graduate of Lancaster Catholic High School, located in Lancaster,
PA, where she reports she was an "A-B" student. She also holds a Bachelor of Science
degree in Psychology from the University of Pittsburgh, which she acquired in 1996, after
attending University of Pittsburgh on two separate occasions, first from 1988 to 1991, then
finishing her degree after attending from 1993 to 1996. She indicates that she graduated
with a 2.7 cumulative grade point average. She also holds an Associate's degree in
Specialized Technology from the International Culinary Academy in Pittsburgh, PA, where
she specialized in pastry baking. This degree was also obtained in 1996, as was noted
in the preliminary report. Mrs. Buhrig was also awarded a one-week scholarship to the
Culinary Institute of America, located in Hyde Park, New York, where she received
advanced training in the specialty of cake decorating.
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Vocational Evaluation Report
Re: Catherine A. Buhrig
November 14, 2001
Page 2
VOCATIONAL BACKGROUND
Although some information was obtained from Mr. Robert Buhrig for the preliminary report,
Mrs. Buhrig provided greater detail with respect to dates and job duties, as well as salary
history and additional positions held, and will therefore be specifically detailed in this
section of the report.
Immediately following graduation from high school Mrs. Buhrig worked for a short period
of time as a bus-person and hostess for Zinn's Diner in Denver, PA, where her primary
responsibilities included clearing tables, seating customers and assisting the wait staff.
This employment was full time during the summer, and part time during the school year.
She earned $6 per hour to start, and was making $6.50 per hour when she left this position
in 1989.
In February 1990, she accepted a position in Greensburg, PA as a deli clerk, where her
primary responsibilities were slicing meats to order. She reports that this was a part time
position, of short duration, encompassing 20-25 hours per week, for minimum wage.
In 1992, she accepted a position as a customer service supervisor at Friendly's restaurant
in Camp Hill, PA. Her responsibilities included grill work, restaurant preparation, some
supervising of employees, doing hourly register readings and cash handling. She
terminated this position at the end of 1992, when she and Mr. Buhrig moved to Pittsburgh.
After moving to Pittsburgh, Mrs. Buhrig acquired a position with Giant Eagle in Gibsonia,
PA as a front end manager, where her responsibilities included scheduling employees,
bookkeeping, and limited hiring and firing duties. Her starting salary for this position was
$300 per week. She remained in this position until November 1993, earning $7 per hour,
at the time of her termination, due to change from full time to part time status during the
course of this employment. She then accepted a position as a pastry cook for USA
Gourmet in Pittsburgh, PA, earning $6 per hour to start in December 1993. She was
earning $9 per hour when this position terminated in July 1997. Her primary responsibili-
ties in this position were making desserts, decorating cakes, and baking cookies, pies and
mousses. While employed by USA Gourmet, Mrs. Buhrig returned to college to complete
her psychology degree, and concurrently obtained her Associate's degree from the
International Culinary Academy.
Following completion of her culinary training, Mrs. Buhrig acquired a position as an
assistant pastry chef at the Double Tree Hotel, also located in Pittsburgh, PA. She
initiated this job in July 1997, and terminating this employment in August 1998, when she
and her husband moved to Boiling Springs, PA, at which time she had been earning
$10.95 per hour. Her primary responsibilities included making cakes, planning desserts
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Vocational Evaluation Report
Re: Catherine A Buhrig
November 14, 2001
Page 3
for banquets, parties, meetings and buffets, as well as decorating plates and cakes for
presentation. After moving to Boiling Springs, PA, in August 1998, Mrs. Buhrig accepted
a position as a cake decorator for Schenk's Pastry Shop in Mechanicsburg, PA. Her
responsibilities in this employment included decorating cakes to order and making cakes
for holidays and display cases. She worked in this capacity for several years, until August
2000, on a full time basis before electing to change her work status to part time to begin
a self-employed pastry making venture called Signature Desserts. She indicated that she
ran this business from her home for 6-8 months and was successful, but gave it up due to
the emotional stress associated with her separation and ensuing divorce from Mr. Buhrig.
She did, however continue to work on a part time basis for Schenk's Pastry Shop, as
indicated, until August 2000. At that time, she accepted the position of Pastry Chef for
Aramark, in Camp Hill, PA, where she remains to the date of this evaluation. Her job
duties in this position include ordering pastries and ingredients, occasionally decorating
cakes, slicing and making cakes for two different cafeterias, and setting up dessert buffets.
At the time of this evaluation, she reports working 40 hours per week, earning $15 per
hour, but did indicate during our interview that she is due for a performance review, in the
near future.
CAREER ASPIRATIONS
Mrs. Buhrig indicates that she enjoys her position as Pastry Cheffor Aramark, and that she
aspires to remain in the field of Pastry Arts, and hopes to eventually open her own bakery
cafe. Although she enjoys the pastry arts filed, she has not ruled out employment
associated with psychology or teaching, and further stated that if everything else failed,
she would consider employment in restaurant management.
SPECIFIC TEST RESULTS
The Jastak Wide Range Achievement Test-Revision 3 (WRAT3) was administered
because of the range of grades and abilities which it encompasses. Mrs. Buhrig received
the following scores on this test:
RAW STANDARD GRADE
SKILL AREA SCORE SCORE PERCENTILE LEVEL
Readina 49 105 63'. PHS
Spelling 47 113 81s, PHS
Arithmetic 49 118 88th PHS
On the WRAT3, Mrs. Buhrig revealed no deficiencies in any academic skill
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Vocational Evaluation Report
Re: Catherine A Buhrig
November 14, 2001
Page 4
areas. She had above average academic skills in the areas of arithmetic and
spelling, and high average skills in reading.
On the Minnesota Clerical Test, Mrs. Buhrig's performance on the Number Comparison
subtest fell at the 50th percentile, indicating average aptitude for simple, rapid-paced
clerical jobs. The norms of bank clerks were used for comparative purposes.
The Purdue Pegboard Test measures dexterity for two types of activity: one involving
movements of the hands, fingers and arms, and the other involving primarily what might
be called "fingertips" dexterity. When compared to norms of industrial applicants, test
results indicate that for the right, which is her dominant hand, Mrs. Buhrig's gross manual
dexterity is at the 90th percentile, and for the left hand, is at the 80th percentile. Bimanual
coordination is at the 92nd percentile, and fine finger dexterity is at the 78th percentile.
These are well above average results, whichwould be expected from an individual whose
work requires fine manipulation of the hands and fingers, in order to be effective in their
duties in the Pastry Arts occupation.
VOCATIONAL IMPLICATIONS
Mrs. Buhrig is a 30 year old female. This classifies her as a younger individual, according
to the U.S. Government and Social Security Administration standards. She has no
children. Therefore, neither age nor commitments are factors in gauging her ability to
sustain work, change careers or accept occupations or jobs in various locations.
Mrs. Buhrig's education is at the Bachelor of Science level in psychology, and at the
Associate's level in the Specialized Technology field of Pastry Arts. Her test scores
identified an individual whose academic prowess measured well above average. She
expressed career aspirations primarily to remain in the field of pastry arts, but aspirations
also included, to a lesser degree, an occupation in the field of psychology, an interest in
teaching, and she reported that as a last resort, she would consider restaurant manage-
ment. Additionally, she expressed a strong desire to eventually be owner/operator of a
bakery cafe.
Mrs. Buhrig possesses a consistent work history since 1992, despite relocating across the
state on two occasions, completing her Bachelor of Science degree in Psychology and
acquiring her associate's degree in pastry arts, which required 16 month of training at the
International Culinary Academy in Pittsburgh, PA. She possesses work skills with respect
to organizing, supervising, planning and particularly in the art of pastry making.
Mrs. Buhrig has several vocational options which fall within her stated interests, past and
current work experiences, education and the results of this evaluation:
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Vocational Evaluation Report
Re: Catherine A. Buhrig
November 14, 2001
Page 5
1. Should Mrs. Buhrig be forced to resort to her least aspired occupation of
restaurant management, she could expect to earn $28,700 annually, in 2001
dollars, according to the U.S. Department of Labor Occupational Outlook Handbook
2000-01 Edition.
2. According to Ms. Marsha Shore, head of the Culinary Arts department at Harrisburg
Area Community College, Mrs. Buhrig meets teacher certification eligibility
requirements with her Bachelor's degree in Psychology, Associate's degree in
Culinary Arts, and experience in the Culinary Arts field, to teach at the community
college level where she could earn $37,710 annually, or atthe vocational-technical
level where the average annual earnings are $31 ,280 in the Harrisburg metropoli-
tan statistical area, according to the 1998 Pennsvlvania Occupational Waaes
publication by the Pennsylvania Department of Labor and Industry.
3. A somewhat less than optimal career aspiration for Mrs. Buhrig would be to
continue in her current occupation as a Pastry Chef for Aramark, in Camp Hill, PA,
where her current earnings are $15 per hour, which annualizes to $31,200, with a
potential increase in the near future, pending the outcome of an upcoming
performance review, as Mrs. Buhrig indicated.
4. Mrs. Buhrig's highest aspiration is to remain in the Culinary Arts field and to
eventually own and operate a bakery cafe. Concomitant with her education and
relatively extensive experience, her most realistic earnings capacity at the present
time would be that of a Head Pastry Chef, where she could expect average
earnings of $48, 750 annually in the Harrisburg metropolitan statistical area, or even
higher in the Baltimore or Philadelphia statistical areas, according to labor market
research as detailed in my preliminary report dated July 31,2001. And should Mrs.
Buhrig be successful in acquiring her own bakery cafe, her earnings could
conceivably be significantly higher.
5. Taking the high and low projected earnings figures detailed above, or $28,700 and
$48,750, yields an average earnings potential of $38,725 annually, which is higher
than Mrs. Buhrig's current annual earnings of $31 ,200, but significantly lower than
her more realistic earnings potential of $48,750 annually, as a head pastry chef,
which is attainable with a reasonable effort on the part of Mrs. Buhrig.
Vocational Evaluation Report
Re: Catherine A Buhrig
November 14, 2001
Page 6
This opinion is rendered to a reasonable degree of vocational certainty.
Sincerely,
arttl'u:t.e,,+tJ {)~<Ct-.Lc
Andrew D. Caporale, M.S., CVE
Certified Vocational Evaluator
ADC/hep
DEFENDANT'S
EXHIBIT
Statement C 2001 AUTOMATIC DA -I.f
(lOVCfOfamoltwee'srecords. ~ OMS No. lS45-000B J.aS.O(J.. pe6
_FoldandCetachHant_
W~es. tips, other QOIIIP. 2 Federallncorne tax withheld j' Wages. tips, other compo 2 Federal income tax withheld ]f Wages. tips, othll:r comp. 2 Federal inc~e tax withheld
69282.39 9333.81 ] 69282.39 9333.81 ] 69282.39 9333.81
Social security wages . Social securlty tax withheld h Social security wages . Social security tax withheld 13 Social security wages . Social security tax withheld
79782.39 4946.51 ] 79782.39 4946.S1 ] 79782.39 4946.51
Medicat'e wages and tips , Medicare tax withheld ] , Medicare tax withheld is Medicare wages and tips , Medicare tax withheld
]s Medicare wages and tips
79782.39 1156.84 ] 79782.39 1156.84 ] 79782.39 1156.84
Control Nwnber I Dept Corp. I Employer use only ] Corp. I Employer use only ] Cmp, I Employef use only
I OJ Control Number I Dept l a Control Number I Dept
000132 Q8T 100090 A 7 : 000132 Q8T 100090 A 7 ] 000132 Q8T 100090 A 7
EmpJoyet'.. nsme. address. and ZIP code : . EmpJDyer's name. addresa, and ZIP code lie Employer's name, address, and ZIP code
-HE DODGE COMPANY INC : THE DODGE COMPANY INC : THE DODGE COMPANY INC
65 CAMBRIDGE PARK DRIVE : 165 CAMBRIDGE PARK DRIVE : 165 CAMBRIDGE PARK DRIVE
;AMBRIDGE MA 02140 ] CAMBRIDGE MA 02140 ] CAMBRIDGE MA 02140
] ]
] ]
] ]
] ]
]
]
EmplOef'S FED 10 number d Emplovee's SSA number lfb EmploJef's FED 10 number . Emp'iiee'l5 SSA number . Emp1oo.er's FED ID num"r . Employee's SSA number
4-1250520 118.50-8548 4.1250520 1 8-50-8548 4.1250520 118-50-8548
Social security tips ] Social security tips
a Allocated ti~ !17 Sociill security tips S Allocated tips 7 . Allocated tips
]
Advance EIC payment I. Dependent ClilIre beneflta ] Dependent care benefrta . Advance EIC payment ,. Dependent care "nefits
I' Advance EIC payment ,.
]
1 Nonqualitied plans 1211 See inatructi.ona for box 12 111 Nonqualitied plana '20 0] " Nonqualjfled plans 12.
o ] 10500.00 ] 10500.00 0] 10500.00
."""" ,2b I 1 14 Other ,2b ] 14 """" 12. i
f2c I ] '2c ] '2. I
]
'2' ] ] ,2<1 , ] f2d ]
]
13Stat emp.lt1el X".,3nt party sick pay ] 13Stat em4Aet ~nl3nt party SlCI pa., ] 13 Stat emPojAet. ~a~3nt plrty sick pay
] ]
] ]
,I Employee's name. addl'e$8 and ZIP code I elf Employee'$ name, address and ZIP code i'" Employee's name, address and ZIP code
~OBERT L BUHRIG JR I ROBERT L BUHRIG JR : ROBERT L BUHRIG JR
) 0 BOX 1412 i POBOX 1412 I POBOX 1412
nECHANICSBURG,PA 17055-1412 i MECHANICSBURG,PA 17055-1412 i MECHANICSBURG,PA 17055-1412
5 Stat.~~mPloyer'lJ state ID no. 16 State wages, tips, etc. 15 Stateb~mployer's state ID no. 16 State wages, tips, etc. 15 State~~mPIOyer'S state ID no. 16 State wages, tips, etc.
PA 080 2452 79782.39 PA 080 2452 79782.39 PA 080 2452 79782.39
1 State income tax 18 Local wages, tips, etc. 17 Stateincometax ~':t? fS Local wages, ti:~: 11 State income tax 18 Local wages, t~:..~ "'^
163'... ~^~"^ "- '6 06 39 ...~ ~.
~ Local income tax 20 Locality nam 19 Local income tax 20 Locality name f9 Local ineome tax iW Locality name
582.86 WST 582.86 WSTB 582.86 WSTB
Federal Filing Copy ] PA.State Filing Copy ] City or Local Filing C'2Y
W - 2 Wage and Tax 2001 i W-2 Wage and Tax 2001 i W-2 Wage and Tax 001
Statement l Statement R.PaM8 No. 1545-0008 I Statement ~M'RJW' 1645-0008
OfPiBtobefiledwitll eftI~. fc"llncomeTu~~o. 1546-0008 j Co9'f2tobefiled wiUJ emplo'fee'sStatelllC01lleTu I/nI, I Cop'f2tobefiled"ith 8flIpIoyee'.CityorLOCII Income u: rn.
.
69282.39 9333.81
Social security wages 4 Social :security tax withheld
79782.39 4946.51
Medicare wages and tips 6 Medicare tax withheld
79782.39 l1S6.84
Control Humber epl alp. I mp oyer use an
000132 Q8T 100090 A 7
Employer's name. addresa. and ZIP code
rHE DODGE COMPANY INC
:65 CAMBRIDGE PARK DRIVE
;AMBRIDGE MA 02140
Batch #00516
Employer's FED ID number
04.1250520
Social security tips
d Employee's SSA number
118,SO.8548
a Allocated tip:.;
Advanc::e EIC payment
10 Dependent Crtre benefits
128 :',iee instructi~ns for box 12
o 10500.00
,
'".
12d I
13Stalem et n3rdlMrtysickpay
~tf Employee's name, addrelJs and ZIP code
1 Nonqualified plans
.I Other
~OBERT L BUHRIG JR
J 0 BOX 1412
AECHANICSBURG,PA 17055-1412
State wages, tips. etc.
79782.39
18 Local wages, tips, etc.
79782.39
20 Locautyn.1m"
582.86 WSTa
afe.accurate...~ Vl$itthe I W
ml Use ~atwww.lrS.gov.
EmJlloyee Reference Co~
W - 2 Wage and Tax 2uO 1
5 State Employer's state 10 no. t6
PA 1080 2452
7 State income tax
1632.06
!l Loc::al incomcr tax
~tt'
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This blue Earnings Summary section is included with your W.2to help describe portions in more detail.
The reverse side includes general information that you may also find helpful.
1. The following information reflects. your final 2001 pay stub plus any adjus1ments submitted by your employer.
Gross Pay 82992.06 Social Security 4946.51 PA. Sta1e Income Tax
Tax Withheld Box 17 of W-2
Box 4 of W-2 Local Income Tax
1156.84 Box 19ofW-2
SUIISDI
Box 14 ofW.2
1632.06
582.86
Fed. Income
Tax Withheld
Box 2 of W-2
9333.81
Medicare Tax
Withheld
Box 6 of W-2
2. Your Gross Pay Was Adjusted as follows to produce your W-2 Sta1ement.
Wages, Tips, other Social Security Medicare
Compensation Wages Wages
Box 1 of W-2 Box 3 of W-2 Box 5 of W-2
PA. State Wages, WSTB
Tips, Etc. Local Wages,
Box 16 of W-2 TIps, Etc.
Box 18 of W-2
82.992.06
3,209.67
N/A
79,782.39
Gross Pay
less Mise, Non Taxable Camp,
Less401(k) (D-Box 12)
Reported W - 2 Wages
82,992.06
3.209.67
N/A
79,782.39
82,992.06
3.209.67
N/A
79,782.39
82,992.06
3,209.67
N/A
79,782.39
82.992.06
3,209.67
10.500.00
69,282.39
3. Employee W-4 Profile. To change your Employee W-4 Profile Information, file a new W-4 with your payroll dept.
ROBERT L BUHRIG JR
POBOX 1412
MECHANICSBURG,PA 17055-1412
Social Security Number:
Taxable Marital Status:
Exemptions/Allowances:
FEDERAL: 1
STATE:
LOCAL:
118-50-8548
SINGLE
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DEFENDANT'S
EXHIBIT
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EMPLOYMENT AGREEMENT - COMMISSIONED
This EMPLOYMENT AGREEMENT, dated this 22nd day of January, 2001,
(this "Agreement") is entered into between THE DODGE COMPANY, a
Massachusetts corporation having its principal office at 165 Cambridge Park Drive,
Cambridge, Massachusetts 02140 (the "Company"), and Robert L. Buhrig, Jr. (the
"Employee"), residing at P.O. Box 1412, Mechanicsburg, PA 17055.
In consideration of the mutual covenants contained in this Agreement, the parties
agree as follows:
1. The Company agrees to employ the Employee and the Employee accepts
employment as a representative of the Company upon the terms and
conditions. provided in the Agreement. The Employee will perform the
duties inherent in such capacity and such other duties as may be reasonably
assigned to him. The Employee shall have the status of an "Employee"
within the meaning of the Federal Social Security Act, and he shall not be
deemed to be an independent contractor. The Employee agrees to abide by
the rules, regulations, instruction, personnel practices and policies adopted
from time to time by the Company.
2. The Employee shall solicit orders for the purchase of embalming chemicals,
cosmetics, instruments and related merchandise manufactured and/or
distributed by the Company only from the Territory set forth on Exhibit A
1
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attached hereto (the "Territory"). Any activities outside the Territory
having any relation to the Company's business must be with prior consent
of the Company. The Territory may be changed from time to time at the
sole discretion of the Company.
3. The Employee agrees to devote his entire time and attention to the business
and interests of the Company and, during the term of this Agreement, the
Employee shall not directly or indirectly engage in any other business
activities or employment of any kind without the proper consent of the
Company. The Employee shall submit Work Plans and Daily Reports of
activities in such form and at such intervals as are required by the
Company. The Employee may not travel with or make business calls with
any other person who is on business, whether in a related or unrelated field.
4. Except as otherwise provided in this Agreement, this Agreement is
terminable at will and without cause either by the Employee or by the
Company, upon 30 days written notice to the other party. Said notice shall
be waived if the Employee breaches any of the terms and conditions of the
Agreement, or if he is guilty of misconduct, disloyalty, gross inefficiency
or other conduct constituting good and sufficient cause for termination.
Upon notification to the Employee of his termination by the
Company, no further compensation will be due to the Employee, and the
2
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Agreement shall thereupon terminate, except for the restrictions contained
in Sections 8, 9, and 10 hereof, which shall survive any such termination.
5. The Employee shall receive no salary. As sole compensation for all the
Employee's services rendered under this Agreement, the Employee shall
receive standard commissions at the rate determined from time to time by
the Company. The Employee's commissions shall be calculated on the net
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retail price of all products for which orders are accepted by the Company.
The net retail price of such products will equal the amount shown in the
invoice as due from the customer after taking into account quantity or other
discounts, but excluding charges for packaging, shipping, taxes, insurance,
installation, repair, replacement or similar items. The Company may, in its
discretion, advance the Employee funds against future commissions. In the
event that this Agreement is terminated at any time and for any reason
whatsoever, the Employee shall immediately repay to the Company the
entire outstanding balance of any advances.
6. The Employee shall provide, at the Employee's own cost and expense, an
automobile suitable for traveling throughout the Territory and shall provide
insurance suitable for business use of such automobile, including personal
and property liability coverage in adequate amounts and collision insurance.
7. If the Employee is prevented from performing his services under this
Agreement for any substantial period of time, whether by reason of illness
3
or other cause, the Company may, at its option, elect to replace the
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Employee in the assigned Territory with a substitute representative for the
duration of the Employee's absence.
8. The Employee agrees that all information and know-how, whether or not in
writing, of a private, secret or confidential nature concerning the
Company's business or financial affairs (collectively "Proprietary
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Information") is the exclusive property of the Company. The Employee
agrees not to disclose any Proprietary Information for any unauthorized
purpose, either during or after his employment, without the written
approval of the Company.
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The Employee agrees that written, photographic, recorded or other
materials containing Proprietary Information, whether created by the
Employee or others, that come into the Employee's possession are the
exclusive property of the Company and that the Employee agrees to deliver
to the Company all copies of such materials and all other property of the
Company in his possession upon the termination of his employment (and
sooner, if requested by the Company).
9. The Employee agrees to make full and prompt disclosure to the Company
of all inventions, improvements, discoveries, developments and works of
authorship, whether patentable or not, that are made, conceived or reduced
to practice by the Employee, under his direction or jointly with others
4
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during the Employee's employment by the Company, whether or not during
normal working hours or on the premises of the Company (collectively
"Developments").
The Employee hereby assigns to the Company all of his rights,
title, and interest in and to all Developments and all related patents, patent
applications, copyrights and copyright applications, to the extent
permissible under applicable law.
The Employee agrees to cooperate fully with the Company, both
during and after his employment with the Company, with respect to the
procurement, maintenance and enforcement of United States and foreign
copyrights and patents relating to Developments, which will be the property
of the Company. The Employee agrees to sign all papers that the Company
deems desirable to protect its rights in any Development. The Company
will reimburse the Employee for his expenses of such cooperation. The
Company will consider royalties for marketable discoveries of inventions.
10. For a period of one year after the termination of this Agreement by any
means or for any reason whatsoever, the Employee shall not, directly or
indirectly, (a) within the territorial limits of the United States of America or
any area outside thereof where the Company is engaged in business from
time to time, engage in business dealings competitive with or similar to the
business of the Company with any persons, corporations or associations that
5
.'. --, ....,,,~ ' ., .';'~-.::
are or were customers of the Company or its subsidiaries at any time during
the six months prior to the termination of this Agreement; or (b) engage in
any business competitive with that of the Company or its subsidiaries within
the Territory, whether as a sole proprietor, independent contractor,
Employee, officer, director, partner principal, stockholder or consultant.
The Employee shall also use his best efforts to prevent any relative of the
Employee from engaging in any business similar or related to the Company.
In the event that this Section 10 is determined by arbitrators or by
any court of competent jurisdiction to be unenforceable by reason of its
extending for too great a period of time or over too large a geographic area
or over too great a range of activities, it shall be interpreted to extend only
over the maximum period of time, geographic area or range of activities as
to which it may be enforceable.
II. The Employee agrees that the violation of any of the covenants contained in
Sections 8, 9, or 10 would cause irreparable injury to the Company, that
the remedy at law for any violation or threatened violation would be
inadequate and that the Company shall be entitled to temporary and
permanent injunctive or other equitable relief without the necessity of
proving actual damage.
12. Any and all notices under the Agreement shall be in writing, and, if to the
Company, shall be duly given if sent by registered or certified mail to the
6
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Company at its address set forth above or such other address as the
Company may hereafter designate in writing for the purpose, and if to the
Employee, shall be duly given if sent by registered or certified mail to his
address set forth above or such other address as the Employee may
hereafter designate in writing for the purpose.
13. Any and all controversies or claims arising out of, under or relating to this
Agreement, including any amendments thereof, or the breach thereof, shall
be settled by arbitration in the City of Cambridge, Massachusetts, in
accordance with the rules then obtaining for the American Arbitration
Association; and in connection therewith the parties consent that any
demand for arbitration or any other process, notice or motion or other
application for arbitration to any court having jurisdiction thereof, including
application for judgment upon an award, may be served in or outside of the
Commonwealth of Massachusetts by registered mail or by personal service,
provided a reasonable time for appearance is allowed.
14. The Agreement supercedes all prior agreements, written or oral, between
the Employee and the Company and shall constitute the only agreement
between the parties for the period of employment hereunder. No provision
of the Agreement may be changed or modified, nor shall this Agreement be
discharged, in whole or in part, except by an agreement in writing signed
by both parties.
7
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15. This Agreement shall insure to the benefit of and be binding upon both
parties and their respective successors and assigns; provided, that the
obligations of the Employee are personal and may not be assigned by him.
IN WITNESS WHEREOF, the parties have duly executed this Agreement on the
date first written above.
WITNESS:
THE DODGE COMPANY
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By ~
WITNESS:
EMPLOYEE:
8
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TO: All Dodge Representatives
FROM: Arnold J. Dodge
i/1lATE: May 20,1999
SUBJECT: Marlowe Wood
Gentlemen:
I regret to inform you that Marlowe is no longer with the company. Through a rather
unusual circumstance, and completely by accident, we learned today that Marlowe has had
other employment without the knowledge of the Company, while he was supposed to be
working full time for Dodge. This, as you. all know, is a violation of the Employment
Agreement that each of you has with the company. Thus, we were left with no choice than
to give Marlowe notice, effective immediately.
Hope to give you better, more pleasant news when I write again.
Kindest personal regards to all.
Cordially yours,
Am 'd~
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TAX
Expense and Mileage Report
2001
All - name
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Monday, February 25, 2002
Category Amount Reported
Advertising $1,839.21
Breakfast $172.97
Dinner $1,769.10
Dues, Association Expenses $435.75
Entertainment $705.64
Hotel $3,704.91
Lunch $619.66
No Expenses Today $0.00
Office Expense $1,104.98
Parking $154.35
Postage $642.11
Printing, Copying $609.00
Taxi, Bus $55.00
Telephone - Cellular $4,142.55
Telephone - Local Service $718.93
Telephone - Long Distance $1,637.18
Tips $134.00
Tolls $211.90
Transportation Fare $910.50
Vehicle - Car Wash $231. 79
Vehicle - Gasoline $976.67
Vehicle - Insurance $666.75
Vehicle - Miscellaneous $4,800.00
Vehicle - Parts, Repairs $253.83
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TAX
Expense and Mileage Report
2001
All - name
Monday, February 25, 2002
Annual Expenses:
$26,496.78
Annual Mileage:
15311
0.345
$5,282.30
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TAX
Expense and Mileage Report
2000
All - name
Monday, February 25,2002
Categorv Amount Reported
Advertising $1,721.34
Breakfast $106.24
Car Rental $39.96
Dinner $1,224.72
Dues, Association Expenses $1,177.53
Entertainment $188.45
Hotel $2,013.04
Lunch $512.47
No Expenses Today $0.00
Office Expense $837.13
Parking $106.75
Postage $578.57
Printing, Copying $258.80
Taxi, Bus $6.00
Telephone - Cellular $3,792.29
Telephone - Local Service $626.63
Telephone - Long Distance $2,212.67
Tips $115.00
Tolls $185.15
Transportation Fare $241.00
Vehicle - Car Wash $68.97
Vehicle - Gasoline $859.86
Vehicle - Insurance $73.78
Vehicle - Miscellaneous $1,220.00
Vehicle - Parts, Repairs $1,049.21
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14705
0.325
$4,779.13
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TAX
Expense and Mileage Report
2000
All - name
Monday, February 25, 2002
Annual Expenses:
$19,215.56
Annual Total:
$23,994.68
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TAX
Expense and Mileage Report
1999
All - name
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11
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Monday, February 25, 2002
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Category Amount Reported
Advertising $3,032.08
Breakfast $244.67
Dinner $2,567.28
Dues, Association Expenses $535.94
Entertainment $378.91
Hotel $3,796.80
Lunch $949.08
No Expenses Today $0.00
Office Expense $3,948.82
Parking $56.55
Postage $652.70
Printing, Copying $164.90
Telephone - Cellular $5,173.15
Telephone - Local Service $525.93
Telephone - Long Distance $2,637.53
Tips $160.00
Tolls $301.45
Vehicle - Car Wash $247.30
Vehicle - Gasoline $1,319.33
Vehicle - Insurance $567.34
Vehicle - Miscellaneous $11.11
Vehicle - Parts, Repairs $1,543.92
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TAX
Expense and Mileage Report
1999
All - name
Monday, February 25, 2002
Vehicle - Tires
$401.42
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Annual Expenses:
$29,216.21
Annual Mileage:
27424
0.31
$8,501.44
Annual Total:
$37,717.65
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DCA0017f99
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF PUBLIC WELFARE
DAUPHIN COUNTY ASSISTANCE OFFICE
2432 N. 7th Street
P.O. Box 5959
Harrisburg, Pennsylvania 17110-0959
February 21, 2002
Ms. Catherine A. Buhrig
4581 Larch Drive
Apartment A51
Harrisburg, PA 17109
Dear Ms.Buhrig:
This is to confirm your appointment with the Department of Public Welfare, Dauphin County
Assistance Office as an Income Maintenance Caseworker, Probationary Civil Service status, effective
March 4,2002. Your appointment to this position is at Pay Range 6, Step 1, $1,212.00 biweekly.
As stated in Section 603 of the Civil Service Act, you are required to serve a probationary period of
six months. Your probationary period will begin March 4,2002, the effective date of this action,and
will be completed on August 30, 2002, providing you receive your performance evaluation, which
indicates Regular Civil Service status is granted. Your anniversary date, which is used to generate
your annual performance evaluation, is March, 2003
The Income Maintenance Caseworker classification to which you were appointed is in the F4
bargaining unit for labor relations purposes.
Please report to the Southeast Training Center, 123 Boro Line Road, King of Prussia, PA at 9:00 a.m.
on Monday, March 4, 2002 regarding your work assignment. The phone number for the training
center is (610) 768-3040.
Welcome to the Department of Public Welfare. I wish you success in your assignment.
Sincert;Jly you~ ~
I~ 1. 'f\'~ a,-
!j~ II. Yu~
(Mrs.) Sarah A. Weedon
Executive Director
Dauphin County Assistance Office
for
Mrs. Feather O. Houstoun
. Secretary of Public Welfare
and
Mr. Herman Krevsky, Chairman
Dauphin County Board of Assistance
cc: Personnel Folder
EXHIBIT
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-
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02/2012002
18:57
6526853
PATRICIA MALLEY
PAGE 02
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CATHERINE A. BUHRt~
~5S1 ~C~ DR, AP' ~-51
R'ARl!S8ur.a 1lA 171.09
o ..mpoy~".onl),.,.o, ~fIIII"I$IILnrdtl"OQdll
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EXHIBIT
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02/20/2002 18:57
6526853
PATRICIA MALLEY
PAGE 03
,
.
,.
"".W-2 Wa e and Tex Statement 20tH
~ limllto\lllr'''l ~nll'l". Qd(!r~H. ~nd ZIP eod.
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~AHARK sve HG! PA,IRC
PO BOX 8018
PHILADELPHIA PA 19101
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CATHERINE A BUHRIG
4581 LARCH DRIVE A51
HARRISBURG PA 17109
b r:",'~lny~r Idflonttlloatlor nllfl'lber
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PHILADELPHrA PA 19101
00136
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4581 LARCH DRIVE A51
HARRISBURG FA 17109
18 LClUI WJl.g.., 'I",~, .t~.
1e>159.65
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PHILADELPHIA PA 1910;1.
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4561 LARCH DRIVE AS1
HARRISBURG PA 17109
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-----.~~________~__m___~~~________~_______________~_______~_____________~_
",.W-2 Wage and tex Statement .2001
e F.1'I'l1'11'1'."; n,m.. Iddf'lIllo1l, 11'111 ZIP UIGII
ARAHARK FOOD&SUP SVCS AGENT FOR
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PO BOX 601B
PHILADELPHIA PA 19101
00135
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CATHER1NE ~ SUHRIG
4561 LARCH DRIVE A51
HARRISBURG PA 17109
b EmplDjllllr 1/11I11"1' ~1l~I"M nll'nbflr
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In the Court of Common Pleas of
,.
j--,j
CUMBERLAND
County, Pennsylvania
Phone: (717) Z4O-6225
DOMESTIC RELATIONS SECTION
P.O. BOX 320, CARLISLE, PA. 17013
Fax: (717) 240-6248
MARCH 8, 2001
Plaintiff Name: CATHERINE A. BUHRIG
Defendant Name: ROBERT L. BUHRIG JR
Docket Number: 00-633 CIVIL
PACSES Case Number: 39910225~<?{P30
Other State ID Number:
Please note: All correspondence must include the P ACSES Case Number.
Income and Exoense Statement
THIS FORM MUST BE FILLED OUT
(If you are self-employed or if you are salaried by a business of which you are owner in whole or part, you must
also fill out the Supplemental Income Statement which appears on page two of this income and expense
statement.)
INCOME STATEMENT OF {!ATHUIIJE A. '"B4h~iG'
Section I: Income and Insurance
INCOME:
Emptoyer AfGI1YnAR..L (1"f'D74:~~
Address liD I HIlI!.l<d 5-/ ,<i,I?";" f/<\ /tf'o 7 eo(>'\poN..j.,t # OI3~,
Type of Work '74">R-~ C-h.cl .
Payroll No. t,,!?,Jol GrossPayperPayPeriod$ I:?~ 7. ....0 Pay Period {wkly., bi-wkly.,etc.) bi -'"-'lit
Itemized Payroll Deductions:
Federal WithhOlding $173. '0. Social Security $ 73 "" Local wW; Tax $Il.").?
State Income Tax $33.2.'Z- Retirement $ '/if Saviml'S Bonds $ ~
Credit Union $ (6 Life Insurance $ d Health Insurance $ tL.,'.<Cii
Other Deductions (specify) FJ(:!.A /-IT $ 7.2..c $
$ $
Net Pay per Pay Period $ '8("(.,, 7 'l
OTHER
INCOME
(Fill in Appropriate Column)
WEEK MONTH YEAR
$ $ $
Interest
Dividends
Pension
Annu'
Social Securi
Rents
Ro alties
ense Account
Gifts
Unem 10 ment
Workmen's
Com nsauon
Other
Other
TOTAL $
TOTAL INCOME $
$
$
Service Type M
PROPERTY Ownership *
OWNED DESCRIPTION VALUE H W J
Checking Accounts WA"DV;Il+ $ l'lo,n )<..
Savings Accounts WAvOO;nf 7,18' -X
Credit Union V\.O"'-<.- ~
~~onds /l1'11A.e1- )(.
Real Estate ~O\'L0 rI5
Other 5I-od<- I.~ , &,J-. IA f ><
TOTAL 1$
*
sband; W = Wife; J =Joint
EXHIBIT
I P'Lf
(). ::,Od-. PCI:;
Form IN-008
Worker ID 21205
.
J."
-"
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"
,
.
Income and Expense Statement
PACSES Case Number 399102253
Coverage *
INSURANCE
COMPANY POLICY # H W C
Hosuital k'e.u<J.-,. 17:r-S-J--'8''131 1',
Blue Cross
Other
Medical )<(" S/-ofV--o /75- >;;J-!f7'1 i ><-.
Blue Shield
Other
Healthl Accident K e.. " '5 to "'-L 175-5a..'J'1'3t ^
Disability Income
Dental
Other L. to!. r..."........,.,,, VV-f>'" dLl1+ /190 tlST.,fJ ID X.
· H~Husband; W~Wife; C~Child
Section D: Supplemental Income Statement
a. This form is to be fIlled out by a person
o (1) who operates a business or practices a profession, or
o (2) who is a member of a partnership or joint venture, or
o (3) who is a shareholder in and is salaried by a closed corporation or similar entity.
b, Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession,
corporation or similar entity:
(1) the most recent Federal Income Tax Return, and
(2) the most recent Profit and Loss Statement
c. Name of business:
Address and telephone number:
d, Nature of bus mess (check one)
o (l) partnership
o (2) joint venture
o (3) profession
o (4) closed corporation
o (5) other
e. Name of accountant, controller or other person in charge of fmancial records:
f, Annual income from business:
(1) How often is income received?
(2) Gross income per pay period:
(3) Net income per pay period:
(4) SpecifIed deductions, if any:
Page 2 of3
Form IN-008
Worker ID 21205
Service Type M
-"
,
. ,
.
.
Income and Expense Statement
,
., ~.
Section ill: EXDenses
PACSES Case Number 399102253
Instructions: Only show extraordinary expenses in this section unless you filled out Section IT on page two, The categories
in BOLD FONT are especially important for calculating child support. If you are requesting Spousal Support! APL or if
you assert ymlr case cannot be determined according to the guideline grids or formula, this section must be fully completed,
(Fill in Appropriate Column)
EXPENSES
WEEK MONTH YEAR
Home
Mortgage/Rent $ $"130 $
Maintenance So
Utilities
Electric $ $ {,.,S $
Gas SO
Oil f2!
Telephone ,~
Water 01
Sewer 0{
Em-Io'-ent
Public Transport. $ $ ~ $
Lunch rl5
Taxes
Real estate $ $ {i1 $
Personal Property c1
Insurance
~ n8IMB lL Bl!lf'S $ $ $ /20
Automobile 3lcS
Life /.fCO
Accident
Health <61.08'
Other
Automobile
Payments $ ${Jf $
Fuel /00
Repairs ''100
Medicat
Doctor $ $ $ 400
Dentist /00
Orthodontist
Hospital
Medicine ~
~
(glasses, ~~~~~es
~.kr
EXPENSES (Fill in Appropriate Column)
{continued} WEEK MONTH YEAR
Education
Pri.ate Scl100I $ $ rz5 $
ParocbiaI School 0;
College ~
Religious Ul
Personal
Clothing $ $ 00 $
Food (nO
~:~~I /hO
. resse"
Credit Payments .{>900
Credit Card
Charge .
Memberships
Loans
Credit Union $ $ $
Miscellaneous
Household Help $ $ <Z $
Child care {;Q
PapersJbooks / '>10
Manazines
Entertainment .QS
Pay TV 34
Vacation .sno
Gifts 7,'10
Legal reos ~O('10
Charitable $<J
Co.....:but:o.."
~~~hiId (if
Alimony <Jf
P
Other D..b 'if DO
'...,1. -M\.s.< $ $ 57^"
I
I Total I WEEK
Expenses: $ 93
MONTH YEAR
$:l./3s.0~ $ 7;1,73'""
I verify that the statements made in this Income and Expense Statement are true and correct. I understand that false
statements herein are subject to the criminal penalties of 18 Pa. C.S. ~ 4904. relating to unsworn falsification to authorities.
(,/;2:1 /0/ CuhAL.h' a &L;j
Da~ . ~tifforDerenWmt
Service Type M
Page 3 of3
Form IN-008
Worker ID 21205
-~
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-
-
,
CATHERINE A. BUHRIGr
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 00 - 633 CIVIL
ROBERT L. BUHRIG,
Defendant
IN DIVORCE
TO: Hubert X. Gilroy
Attorney for Plaintiff
Theresa Barrett Male
Attorney for Defendant
DATE: Friday, February 23, 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate whether there are any outstanding
interrogatories or discovery motions.
"......~ .
(b)
......
Provide approximate date when discovery will be
complete and indicate what action is being taken
to complete discovery.
NOTE:
DATE
COUNSEL FOR PLAINTIFF
COUNSEL FOR DEFENDANT
PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE
FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE
CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE
AT THE MASTER'S DISCRETION.
AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL
OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY
COUNSEL, INDICATING THAT DISCOVERY IS NOT
COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL
STATEMENTS WILL BE ISSUED AT THE MASTER'S
DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A
PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY
IS COMPLETEr A DIRECTIVE TO FILE PRETRIAL
STATEMENTS WILL BE ISSUED IMMEDIATELY.
THE CERTIFICATION DOCUMENT SHOULD BE RETURNED
TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF
THE DATE SHOWN ON THE DOCUMENT.
~ ~~"~,..
LIEN SATISFACTION
Name: Robert Buhri::
Social Security Number: 118-50-8548
Judgment Lien Satisfied as of: June 25. 2001
Amount Paid: $ Manual Adjustment done
Signed:
f;:J#lO- (}J. 01~A-
(Lien Coordinator)
_.
Pacses# 399102253
No. 00-633 Civil
DR# 29636
Q-J-7-01
(Date)
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ROBERT A. BUHRIG,
Plaintiff
:IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
v
:NO. 00 - 0633
CIVIL TERM
CATHERINE A. BUHRIG,
Defendant
: IN DIVORCE
COURT ORDER
AND NOW, this '5' ,d day of 1> ~ (' (" ...--., i, cI
, 2001, upon request of the
Defendant for a continuance of the December 17, 2001 hearing in the above matter and it
being represented to the court that the Plaintiffs attorney does not object to the requested
continuance, the hearing scheduled for December 17, 2001 at 1:30 p.m. is cancelled and
rescheduled for the il.5a day Of~ ' 200..;;> at /: 3t'J
-/-.M. in Courtroom No.1 of the Cumberland County Courthouse.
BY THE COURT,
~
Wesley Oler,
~7J~
PI'-l~ivv
j)~J'onfl~
(Jl-q-OJ ~.s
cc: Hubert X. Gilroy, Esquire
Lori K. Serratelli, Esquire
"11\ 1....//"1 ! ('\ I~ I-d
..' I ~ V 1. I/\u_'\a\lj
J ! \ lr.I,_", n'" c'", ""rr;"
A..Li\H \)...) '. ''..~1.7 it::.ir::Hno
is :s :,!j '1- ::13010
"'\t (';,' .:.. ' ,",.:,: ::!(v'
AU.J.,-,_ "'" '.l,\,.-, ,'. _
.j~)I~:i~O"-(j::ni~J
1
JOHN H. BROUjOS
HusllRf X. GiLROY
BROUJOS & GILROY, P. c.
A'ITORNEYS AT LAW
4 NORlH HANOVER STREET
CARLISLE, PENNSYLVANIA 17013
TELEPHONE: (717) 243-4574
FACSIMILE: (717) 243-8227
INTERNET: brgilroypc@aol.cOrri
NON"" TOLL FOR HARRISBURG AREA
717-766-1690
November 29, 2001
The Honorable J. Wesley Oler, Jr.
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Buhrig v Buhrig
Dear Judge Oler:
A hearing is scheduled before you in the above referenced matter for Monday, December
17,2001 at 1:30 p.m.
I was recently appointed a member of the Panel Selection and Management Committee
for the Middle District of Pennsylvania, and Chief Judge Vanaskie has scheduled a
meeting for that committee on Monday, December 17, 2001 at 1:30 p.m. in Harrisburg.
I ask that the December 17, 2001 hearing in the above matter be rescheduled. Attorney
Lori Serratelli is representing Mr. Buhrig, and Lori indicates that in light of my conflict
that she does not object to rescheduling the hearing as long as we keep the matter in front
of you and get the new hearing date scheduled in the not too distant future.
I am enclosing a proposed order for rescheduling, and I ask that Ruth contact my office
with a few dates and Bridget will contact Lori's office to clarify that everyone is available
for the new hearing date.
Thank you for your cooperation.
Sincerely yours,
kGOro,
Of:.
~J., ....
J 2001
dca
Enclosure
cc: Lori K. Serratelli, Esquire
Catherine A. Buhrig
,
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"
CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG,
Defendant
NO. 00-0633 CML TERM
IN RE: ADDITIONAL PERIOD OF HEARING
ORDER OF COURT
AND NOW, this 26th day of February, 2002, an additional period of hearing in the
above matter is scheduled for Monday, April 15, 2002, at 1 :30 p.m., in Courtroom No.1,
Cumberland County Courthouse, Carlisle, Pennsylvania.
BY THE COURT,
~ert X. Gilroy, Esq.
. 4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
~ori K. Serratelli, Esq.
2080 Linglestown Road
Suite 201
Harrisburg, PA 17110
Attorney for Defendant
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
00-633 CIVIL TERM
IN RE: SUPPORT
ORDER OF COURT
AND NOW, this 25th day of February, 2002, upon
consideration of the Petition for Vocational Evaluation filed by
Robert L. Buhrig, and pursuant to an agreement of counsel reached
in open court, the petition is deemed moot. Pursuant to a further
agreement of counsel, no further petitions remain to be disposed
of by the Court, with the exception of the underlying petition
respecting alimony pendente lite.
By the Court,
~t x. Gilroy~ Esquire
4 North Hanover Street
Carlisle, PA 17013
FO~ Plaintiff
~~~ T~' Serratelli, Esquire
2080 Linglestown Road
Harrisburg, PA 17110
For the Defendant
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CATHERINE A. BUHRIG,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
00-633 CIVIL TERM
IN RE: SUPPORT
ORDER OF COURT
AND NOW, this 25th day of February, 2002, upon
consideration of Plaintiff's appeal from the Order of Court dated
June 28, 2001, and of the Defendant's appeal from the same order,
both filed July 9, 2001, and following an initial day of hearing
at which the evidence was not fully received, the record shall
remain open and counsel are requested to contact the Court's
secretary for purposes of scheduling a second day of hearing.
It is noted that, at the time of adjournment on
today's date, Plaintiff's Exhibits 1, 2, 3 and 4 had been
identified and admitted, and Defendant's Exhibits 1, 2, 3, 4, 5
and 6 had been identified and admitted. No other exhibits were
identified or admitted.
At the time of adjournment, the Defendant was
undergoing direct examination by his counsel. The Plaintiff had
completed her case in chief, and the testimony of one other
witness on behalf of the Defendant had been completed.
By the Court,
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~ert X. Gilroy, Esquire
4 North Hanover Street
Carlisle, PA 17013 /
For the Plaintiff
~ri K. Serratelli, Esquire
2080 Linglestown Road
Harrisburg, PA 17110
For the Defendant
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CATHERINE A. BUHRIG,
Plaintiff
v.
ROBERT L. BUHRIG,
Defendant
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
CIVIL ACTION - LAW
NO. 00-0633 CIVIL TERM
ORDER OF COURT
AND NOW, this 6th day of March, 2002, upon agreement of counsel, the hearing
previously scheduled for April 15, 2002, is rescheduled to Thursday, May 30, 2002, at
9:30 a.m., in Courtroom No.1, Cumberland County Courthouse, Carlisle, Pennsylvania.
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",/Itubert X. Gilroy, Esq.
4 North Hanover Street
Carlisle, PA 17013
Attorney for Plaintiff
/~~. Serratelli, Esq.
,/ 2080 Linglestown Road
Suite 201
Harrisburg, P A 17110
Attorney for Defendant
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BY THE COURT,
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CATHERINE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYL VANIA
v
: NO. 2000 - 633
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
STIPULATED OUALIFIED DOMESTIC RELATIONS ORDER
THIS MATTER coming before this Court for the purpose of entry of a Qualified
Domestic Relations Order under Retirement Equity Act of 1984, all parties having been
given proper notice and having agreed to the form and substance of this order, and the
Court being fully advised in the premises;
THE COURT FINDS AS FOLLOWS:
A. On July 18, 2002, the Court entered a Judgment for Dissolution of Marriage
in the above entitled case, dissolving the marriage of the parties.
B. The Judgment provides, in part, for the division of marital property,
including a division of The Dodge Company, Inc. Retirement Plan (the Plan). This Order
is applicable to that Plan.
C. Specifically, the Judgment contains the following provision iu reference to
the division of the Plan:
"14. EMPLOYEE BENEFIT PLANS
The parties acknowledge and agree that Husband is entitled to certain
benefits pursuant to the Dodge Company, Inc. 401(k) plan. Husband and Wife hereby
acknowledge and agree that the marital portion of the 401(k) plan had a value of
$37,191.21 as of January 28, 2000, at which time the parties were separated. The parties
agree that Wife shall receive sixty (60%) percent of the marital portion of the 401(k) plan
value ($37,191.21 as of January 28, 2000) plus or minus investment gains or losses on that
balance only through the date of transfer to Wife. Husband and Wife specifically agree
that any and all contributions to the 401(k) plan, including the investment gains or losses
on those contributions, made after January 28, 2000, shall be considered non-marital and
shall remain the sole property of Husband. A Qualified Domestic Relations Order shall be
prepared by Wife's counsel which satisfies the Dodge Company, Inc.'s guidelines for such
document.
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D. No portion of any benefits under the Plan are required to be paid to any
other alternate payee under any other Qualified Domestic Relations Order and no such
order has ever been entered.
E. The address of Robert L. Buhrig, the Participant under this Order is 209
Louisa Lane, Mechanicsburg, Pennsylvania 17050-6879.
F. The address of Catherine A. Buhrig, the Alternate Payee under this Order is
c/o Carolyn Postlethwait, 1517 Rothsville Road, Lititz, Pennsylvania 17543.
IT IS HEREBY ORDERED AS FOLLOWS:
1. The Alternate Payee shall be entitled to sixty (60%) percent of $37,191.21,
which equals $22,314.72, and which is the marital portion of the account balance of the
Participant under the Plan determined as of January 28, 2000. Additionally, the Alternate
Payee shall be entitled to trnst investment income on the said $22,314.72 since January 28,
2000 as set forth in Paragraph 3 below.
2. The Alternate Payee's interest shall be distributed to her as elected by her in
a manner permitted under the Plan after written consent. Prior to distribution, the
Alternate Payee's interest shall be segregated within the Plan and adjusted as provided in
the Plan for investment earnings, losses, appreciation, and depreciation for the Alternate
Payee's sole benefit.
3. Payments to the Alternate Payee shall commence as soon as administratively
possible following the written election of the Alternate Payee and shall include all trust
investments income allocated to her account after January 28, 2000.
4. Nothing in this Order requires and the Order shall not be construed to
require the Plan to provide any type or form of benefit or any option not otherwise
provided under the Plan.
5. It is intended by the parties that this Order will qualify as a Qualified
Domestic Relations Order pursuant to the Internal Revenue Code of 1986 and the
Employee Retirement Income Security Act of 1974, both as amended by the Retirement
Equity Act of 1984.
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6. A copy of this Order shall be promptly submitted by counsel for the
Alternate Payee to the Plan Administrator.
BY THE COURT,
By:
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~bert X. Gilroy, Esquire
Attorney for Catherine A. Buhrig
~ K. Serratelli, Esquire
Attorney for Robert L. Buhrig, Jr.
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CATHERINE A. BUHRIG,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v
: NO. 2000 - 633
CIVIL ACTION - LAW
ROBERT L. BUHRIG, JR.,
Defendant
STIPULATION
Counsel for the parties hereby agree and stipulate that the court may sign the
attached order in the nature of a Qualified Domestic Relations Order in the above case.
Date: 1.:1/ /Cz, /6"3.
. /
Lo erratelli, Esquire
Attorney for Robert L. Buhrig, Jr.
Hubert X. Gilroy.
Attorney for Cath
Date: loJ (;) t ( D)
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