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Home My WebLink About97-03512 b .) "l '> /~ OJ ~ ",~ , ,'~ :1 j ;1 ~ 1 .,~ ...., :~~ ;i '~ .>1 'j :11 ')j 'i " \~ ~i " ~,j "j :'~ " , j J ~ ,"; '" ~ ,;,: :~ :-., :'1 ) " ~/ ;,~ ::~ ,;0> ; ..~ ~~~ <.i ; ,,) ; " '-i ~ IT IS INTENDED that this Ordcr shall bc a Qualificd Domcstic Rclations Ordcr and the Court retains jurisdiction to amcnd this Ordcr as might bc ncccssary to implcmcnt this Agrccmcnt. "y~ J. . CONSENTED TO: Datcd: ~'i ([/ 2tJtf() '( Datcd:&'* 5: .)f7{i kw L , '-'-' '. '" Iii. Ifa:1 W {~)t1~/ d 4 c'~ /c.). /b' c~' ~::'tf;;., /M<<~ t{; 4 "J~../ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA LYNN W. ROLF, JR., Plainliff, No. 97-3512 Civil Term vs. MARY P. ROLF, Defendant. IN DIVORCE MARRIAGE SETTLEMENT AGREEMENT r" THIS AGREEMENT, madc this & day of , 2000, by and between LYNN W. ROLF, JR., hcrcinafter referred to as "Husband", and MARY P. ROLF, hereinafter referred to as "Wifc". WI1NESSETH: WHEREAS, Husband and Wife wcre lawflllly married on October 14, 1972 in Norwalk, Ohio and separatcd on January I, 1997; and WHEREAS, ccrtain diffcrcnces have ariscn bctween thc parties as a result of which they have separated and now Iil'c separatc :lI1d apart from one another, and are desirous of settling fully and finally thcir rcspcctivc financial and propcrty rights and obligations as between cach othcr, including, without limitation by spccification: thc scttling of all matters between them relating to thc past, present and futurc support and/or mainteoance of Wifc by Husband or of Husband by Wifc; and in gcneral thc scttling of any and all claims and possiblc claims by onc against the othcr or against their rcspective cstatcs for equitable distribution of all marital propcrty; and a resolution of all mutual responsibilities and rights growing out of thc marriagc rclationship; and WHEREAS, the parties hereto, after being properly advised by their respectivc counscl, Husband by his attomey, Lisa Marie Coync, Esquirc, and Wifc by hcr attorncy, Edward J, Wcintraub, Esquirc, havc comc to thc following agrecmcnt. NOW, TIfEREFORE, in consideration of thc above rccitals and thc following covenants and promiscs mutually madc and mutually to bc kcpt, the parties hcrctoforc, intcnding to bc Icgally bound and to legally bind thcir hcirs, successors and assigns thereby, covenant. promisc and agrcc as follows: 1. SEPARA710N: It shall bc lawful for cach party at alltimcs hereaftcr to live scparatc and apart from the other at such placc or places as hc or she may from time to timc choosc or deem fit. 2, INTERFERENCE: Each party shall bc frce from intcrfercncc, authority and contact by thc other, as fully as if he or shc wcre single and unmarricd, cxccpt as may be ncccssary to cany out thc provisions of this Agrecment. Ncither pllrty shall molcst the other nor attcmpt to endeavor to molest the othcr, nor compellhc other to cohabit with the other, nor in llny way harass or malign thc other, nor in any way intcrfere with the peaccful existence, separatc and apart from thc othcr in all rcspects as if hc or shc wcrc singlc and unmarried. 3. WIFE'S DEBTS: Wifc represents and warrants to Husband that since thcir scparation on or about January I, 1997 shc has not, and in thc futurc shc will not, contract or incur by dcbt or liability for which Husband or his estate might be responsiblc and shall indcmnify, dcfcnd and savc Husband harmlcss from any and all claims or demands madc against him by rcason of debts or obligations incurrcd by hcr. 2 4. HUSBAND'S DEBTS: Husband reprcscnts and warrants to Wife that sincc thcir scpamtion on or about January I, 1997 hc has not, and in thc futurc he will not, contract or incur any dcbt or liability for which Wifc or hcr cstate might be rcsponsible and shall indcmnify, dcfcnd and savc Wifc harmlcss from any and all claims or dcmands made against her by rcason of dcbts or obligations incurrcd by him, 5, MARITAL DEBTS: Husband and Wifc acknowlcdge and agrce that thcy have no outstanding marital dcbts and obligations ofthc Husband and Wife incurred prior to the signing of this Agrccmcnt, cxccpt as follows: a. MDNA VISA $3,500,00 Wife Responsiblc b. Membcrs 1 st FCU $4,000.00 Husband Responsible c. GMC Loan $5,600,00 Husband Responsible d. Mcmbcrs 1st I'SL $4,300.00 Husband Responsible e. 1996 Fcd. & SI. Inc, Tx. $6,425.00 Husband Responsible f, 1997 Fcd Inc. Tx. $ 1,352,00 Husband Rcsponsible Each parly agrccs 10 pay the outstanding marital dcbts as sct forth and dcsignated above and further agrecs to indcmnify, dcfend and savc harmless the other from any and all claims and demands made against eithcr of thcm by rcason of such dcbts or obligations, 6. MUTUAL RELEASE: SubjccI to the provisions of this Agrccment, each party waives his or hcr right to alimony and any furthcr (hSlribulion of propcrty inasmuch as the partics hcreto agrce that this Agreemcnt provides for an cquitablc distribution of thcir marital propcrty in aeeordancc with thc 3 Divorcc Codc of 1980. Subject to thc provisions of this Agreemcnt, cach party has rcleased and dischargcd, and by this Agreement docs for himself or hcrsclf, and his or her hcir~, Icgal rcprescntativcs, exccutors, administrators and assigns, relcasc and discharge the other of and from all causes of action, claims, rights or dcmands whatsocvcr in law or cquity, which eithcr of the parties ever had or now has against thc othcr, cxcept any or all causc or causcs of action for divorce and except in any or all causcs of action for breach of any provisions of this Agreement. Each party also waives his or her right to requcst marital counseling pursllant to 23 Pa. C.S.A. Section 3302, 7. EQUITABLE DISTRIBUTION OF MARITAL PROPERTY: Thc partics havc attempted to distributc thcir marital propcrty in a manncr which conforms to thc critcria set forth in 23 Pa. C.S.A. Scction 3501 ct. scq., and laking into account the following considerations: thc Icngth of thc marriage; the agc, health, station, amount and sourccs of income, vocational skills, cmployability, cstatc, liabilitics and nccds of cach of thc partics; thc contribution of cach party to the education, training or incrcascd caming power of thc other party; the opportllnity of cach party for futurc acquisitions of capital assets and income; thc sOllrccs of income of both parties, including but not Iimitcd to mcdical, rctircmcnt, insurancc or othcr bcncfits; thc contribution or dissipation of each party in thc acquisition, prescrvation, dcpreciation or apprcciation of the marital property, including the contribution of cach spousc as a homemakcr; the valuc of thc propcrty sct apart to each party: the standard of living of the parties established during the marriagc; and the cconomic circllmstanccs of each party at the timc thc division of propcrty is to bccomc cffcctive, Thc ,livision of e.XlStll1g marital property is not intcndcd by thc partics to constitutc in any way a sale or exchange of assets, and thc division is being cffcctcd without thc introduction of 4 outsidc funds or othcr property not constituting marital propcrty. The division of property under this Agreement shall bc in full satisfaction of all marital rights ofthc parties, A. DISTRIBUTiON OF PERSONAL PROPERTY: Thc partics hcrcto havc dividcd bctwcen themselvcs, to thcir mutual satisfaction, all items of tangiblc and inlangiblc marital property. Ncithcr party shall makc any claim to any such items of marital propcrty, or of thc scparate pcrsonal propcrty of eithcr party, which arc now in thc posscssion and/or undcr the control of the othcr. Should it becomc necessary, thc parties cach agrec to sign, upon rcqucst, any titlcs or docllments ncccssary to givc effcct to this paragraph. Propcrty shall bc dccmcd to bc in the possession or undcr thc control of either party if the itcm is physically in the possession or control ofthc party at thc timc ofthc signing of this Agreemcnt. In thc case of illlangihlc personal propcrty, if any physical or writtcn evidencc of ownership, such as passbook, checkbook, policy or certificatc of insurance or other similar writing is in thc posscssion or control of the party. Husband and Wife shall each be deemed to be in the possession and control of his or her oll'n individual accounts with the exception ofa portion of Husband's USPA IRA Account No, 7060527462.7, i.e., $29,500.00 per paragraph 9 infra, Thc said $29,500.00 will bc transfcrrcd to Wife via a Qualilied Domestic Relations Order ("QDRO") to be prepared by Husband's attomcy and thc result of which transfer will not result in any tax conscqucncc at all to Husband, thc transferor. From and after the date of the signing of this Agreement, both partics shall have complctc frccdom of disposition as to his/her separatc property and any property which is in thcir posscssion or control pursuant to this Agreement and may mortgage, sell, grant, eonvcy, or othcrwise cnellmber or dispose of such propCrly, whl.thcr real or pcrsonal, whcther such property was acquired before, during 5 or allcr marriagc, and ncithcr Husband nor Wifc nccd join in, conscntto, or acknowlcdgc any dccd, mortgagc, or othcr instrumcnt ofthc othcr pcrtaining to such disposition ofpropcrty, B. DISPOSITION OF REAL ESTATE: Thcrc is no rcal estatc owncd by thc partics, C. LIFE INSURANCE POLICIES: Wife has rcccivcd USPA wholc Lifc Insurancc policy with cash surrcndcr valuc of approximatcly $4,200.00 as wcll as a tcrm policy through USPA with prcmiums paid through Scptcmbcr 2000 on both policics. Husband has rcccivcd a whole life and term Lifc insurancc policies issucd by USPA. D. TAX LIABILITY: The partics bclieve and agrce that the division of propcrty hcrctofore madc by this Agrccmcnt is a non-taxable division of propcrty bctwccn co-owners rathcr than a taxable salc or cxchange of such propcrty. Each party promiscs not to takc any position with respect to thc adjustcd basis of the propcrty assigncd to him or hcr or with rcspcct to any othcr issuc which is inconsistcnt with the position sct forth in thc preccding scntcncc on his or her Federal or State income tax returns. 8. 1110 TOR VEl/ICLES: Wife has rcccived the 1996 Miata. Husband has receivcd the 1991 GMC Truck, 9. PENSION A.YD RE71REMENT BENEFITS: It is acknowledgcd that a portion of the marital property of the parties consist Husband's USPA IRA Account No. 7060527462-7 and Husband's Military Pcnsion. Thc partics agrcc that Wifc will receive 529,500.00 from Husband's USPA IRA Account No. 7060527462-7 which will be transferrcd and rollcd-ovcr into Wifc's Solomon Smith Bamcy tax-dcfcrrcd IRA Account No. 74665859-1-1384 by way ofa QDRO prcparcd by Husband's counscl upon cxecution 6 of this agreement and issuancc of a final Decree in Divorce. Husband and Wife will promptly execute all documenls ncccssary to accomplish transfcr from Husband's IRA Account to Wife's IRA Account so as to have no lax consequences to Husband. Should there be any tax consequences triggered by the transfcr of funds, Wife shall reimburse Husband for such taxcs. Upon execution of this agrccmcnt and Husband's rClircment from active duly with the U.S. Anny, Wife, as an "altcrnatc paycc" shall by way ofa QDRO prepared by Husband's counsel receive a portion of Husband's pcnsion as selllcmcnt ofpropcrty claims as represented as fifty percent (50%) of the marital portion of Ihe 1110nthly pension which is designaled as seventy-eight and 2/10 (78.2%) of tolal monthly rctircmcnt paymcnl which docs not include that portion of rctirement payment allocated or designatcd as disabilily paymcnt, if any, upon Husband's rctirement from active duly. Wife shall also bc cntilled 10 her proporlional sharc of all COLA's at such a rate and proportion as designated in preccding scntence of this agreement, i.e., 50% of marital portion of the COLA which is designated as 78.2% of the gross COLA. Upon execution of this Agreement, vde agrees 10 waive all Survivor Bencfit Plan ("S13P") benefits or cntitlemenls pCI' 10 U.S.C. 1440 through 14450, el seq, which shc may hal'c in Ihe Ilusband's military pension. Wife spccifically agrccs to exccute all requircd documents to elTecl such wai\'cr provided Husband has placed in cffect for Wifc's sole benefit tcrm lifc insurancc policy(s) totaling 5250,000.00 through Husband allaining 62 years of age. Upon Husband allaining age 62 and continuing through Husband allaining age 72 years of age, Husband shall maintain a SIOO.OOO.OO lermlifc insurance policy(s). Wifc shall be named irrcvocable bencficiary of said Iifc insurancc poltcy(s). Husband's responsibility to maintain Iifc insurance policics shall tcrminale upon the lirstto occur: Wifc's dcath or Husband allaining agc 72 ycars of agc. Counscl for Husband shall prepare or cause to hc prcparcd thc military Qualificd Domcstie Rclations Ordcr for Wife wilhin45 days ofrcccipt of this fully cxceutcd agrccment. 7 10. IIEALTII INSURANCE: Neither party shall bc responsible for any health costs or medical expenses incurred by the other and which are not covered by the other's health insurance policy. Both parties, their successor, estate or hcirs will indcmnify and hold harmless the surviving party from any claim put forth in that regard. Wifc shall rctain any and all medical bcncfits, ifany, which she may be entitled to per fedcral statutcs due to hcr status as an un-remarried formcr spouse of a military member/retiree after the issuancc of a divorcc deercc. Howcver, in no case does Husband guarantee Wife's entitlemcnt to such bcncfits. 11. ALIMONY: Husband hcreby agrecs to pay Wifc alimony in the amount of $571.00 a month through July 1,2001, Husband's mandatory retirement dale from active duly with the United States Anny. Upon Husband's rctircmcnt from activc duty, alimony will terminate. Alimony shall not be subject to incrcasc unlcss Husband fails to pay any part or portion of the agreed upon monthly alimony amount, but in no case will Wifc bc cnlitlcd to alimony past July 1, 2001 and Wifc does hercby so waivc any alimony past July 1,2001. Alimony paymcnts shall bc madc directly to Wife. Wife acknowledges that she shall be obligated to claim all such monthly alimony paymcnts as income for incomc tax purposes and Hushand shall be cntitled to dcduct all such monthly paymcnts for income tax purposes. Husband's obligation to pay alimony will terminate prior to July 1,2001 upon the first to occur of Wife's death, Wire's remarriage or cohabitalion (as that tcrm is defined by Pennsylvania law), or Husband's death or Husband's rctirement from activc duly with thc United Statcs Army. If upon Husband's retiremcnt from aclive duty, there is a dc1ay in paymcntto Wife of retiremcnt per thc QDRO, Husband agrccs to continue to pay Wife $571.00 per month in alimony in 8 limited fashion and that when Wifc rcccives in lump sum fashion or otherwise, of her portion of the military pension pcr the QDRO which compcnsalcs Wife for past due payments from date of Husband's retircmcnt, forward; Wifc agrees that she will immediately reimburse Husband for the prior monthly payments of altmony. It is thercforc thc intcnt of the parties that Wife will not receive both alimony and QDRO paymcnts for the same designaled period, Wife's estate, successors or heirs shall have no right to the rcceipt of any alimony paymcnts aftcr Wife's death. 12. ALIMONY PENDENTE LITE, COUNSEL FEES, AND EXPENSES: The partics expressly waive all claims for spousal support and alimony pendente lite. Notwithstanding thc foregoing, Wifc acknowledges the rcceipt of monthly alimony pendente lite payments in thc amount of 5571.00 made by Husband which shall terminate upon the execution of this Agrcement and thc issuanec of a Final Dccrcc in Divorcc. In no case will Wife receive both a monthly payment for alimony pendente Iitc and alimony pcr thc provision of this Agrcement. Both parties agrec to be rcsponsible for thc paymcnt of thcir own attomcy fees, expenses, and costs associatcd with this divorce procceding and selllement agrecmcnt. 13. INCOME 7:-IX RETURNS: Thc partics ha\'e lilcJ joinl fcderal and state tax returns through and including 1996. Both partics agrec that in thc cl'cnt any dclicicncy in redcral, statc or local incomc tax is proposcd, or any asscssmcnt of any such tax is made against eithcr of lhem, cach will indemnify and hold harmlcss the other from and against any loss or liabiltty for any such tax dcficiency or assessmcnt and any intcrest, penalty and cxpense incurred in connection thercwith. Such tax, intcrcst, penally or expensc shall be paid solely and entlldy by the indi\'idual who is finally delermined to be the cause of the misrepresentations or failures to lhsclose the nature and extent of his or her separate income on the aforesaid joint retullls. 9 14. WAIVERS OF CI.AIMS AGAINST ESTATES: Excepl as hercin otherwise providcd, each party may dispose of his or her property in any way, and each party hercby waivcs and rclinquishes any and all rights he or she may now have or hereafter acquire, under thc present or futurc laws of any jurisdiction, to share in the property or the estate of the other as a rcsult of thc marital relationship, including without limitation, dower, curtsey, statutory allowance, widow's allowance, right and takc in intestacy, right to take against the will of the other, and right to acl as administrator or executor of the other's estate. Each will, at the request of the other, exccute, acknowledgc and delil'er any and all instruments which may be necessary or advisable to carry into cfrect his mutual waiver and relinquishment of all such interests, rights and claims. 15. MUTUAL CONSENT DIVORCE: TIle parties ngree and acknowledge that their marriage is irretricvab1y broken, that they do not desire marital counseling. and that they both consent to the entry of a decree in divorce pursuant to 23 Pa. C.S.A. Section 3301(c) or (d). Accordingly, both parties agree to simultaneous with the execution of this agrecment to execute such consents, affidavits, waivers of notice, or other documents necessary to finalize thc divorce action and to direct their respective attorncys to forthwith file such consents, affidavits. or othcr dOCllIl1ents as may be necessary to promptly proceed to obtain a divorcc pursuant to said 23 1':1. c.S.A. Scction 3301(c) or (d) in accordance with this agreement. Upon request, to the extent pCI'Il1illed by law and the applicable Rules of Civil Procedure, the named defendant in such di\'orcc action shall execute any waivers of notice or other waivers necessary to expcdite such divorcc. It is the intention or the panics that the Agreement shall survive any action for divorce which may be instilutcd or prosecutcd by cither party and no order, judgment or decree of 10 divorce, temporary, final or pcrmanent, shall affect or modify the financialterrns of this Agreement. This Agreemcnt shall be incorporated in but shall not merge into any such judgment or decree of final divorce, but shall be incorporated for thc purposes of enforcement only. 16. BREACII,'ND ENFORCEMENT: If cither party hrcaches any provision of this Agreemcnt, the other party shall have the right, at his or hcr clection, to sue for damages for such breach, or seek such other remedies or relief as may be available 10 him or her, and the party brea:hing this Agrcemenl shall be responsible for payment of legal fees and costs incurred by the other in enforcing his or her rights under this Agreement. 17. ADDITlONAl.INSTRUMENTS: Each of the parties shall from time to time, at the request of the other, execute, acknowledge and deliver to the othcr party any and all further instruments that may be reasonably required to give full force and elTect to the provisions of this Agreement. 18. TAX ADVICE: Bolh parties hercto hereby acknowledge and agree that they have had the opportunity to retain their own accountants, certificd public accounts, tax advisor, or tax attorney with reference to the tax implications of this Agreement. Further, neither pJrty has been given any tax advice whatsoevcr by their respect ire allorncys. Further both parties hereby acknowledge that they have been advised, by thcir rcspcctil'e allorneys, to seck their 0\\11 independent tax advice by retaining an accountant, cerlilied puhlic accountant. tax aHomey. or tax advisor with refcrence to the tax implications inl'oll'ed 111 thiS Agreement. Further, thc partics acknowledge and agree that thcir signatures to this Agreement serve as their acknowledgmcnt that Ihcy have read this particular paragraph and hal'e had the opportunity to scek independent tax advice. II 19. VOLUNTARY EXECUTION: Thc provisions of this Agrecment and their legal effect havc been fully explained to the parties by their respective counsel, and cach party acknowlcdges that the Agreement is fair and equitable, that it is bcing cntered inlo voluntarily, with full knowlcdge of the assets of both parties, and that it is not the rcsult of any duress or undue innucncc. The partics acknowledge that they have been furnished with all information relating 10 th~ financial affairs of the other which has been requestcd by each of them or by lheir respeelive counsel. 20. ENTIRE AGREEMENT: This Agreemcnl contains the entire understanding of thc parties and there are no representations, warranlies, covenants 01' undertakings othcr than those expressly set forth herein. Husband and Wife acknowledge and agree that the provisions of this Agreement with respect to the distribution and division of marital and separate property arc fair, cquitab1e and satisfactory to them based on the length of their marriage and other relevant factors which have been taken into consideration by the parties. Both parties hereby aceeplthe provisions of this Agreement with respect to thc division of property in lien of :1I1d in full and final selllement and satisfaction of all claims and demands that they may now ha\'e or hereafter have against the other for equitable distribution of their propcrty by any court of competent jurisdiction pursllantto 23 Pa. C.S.A. Section 3501 e/. seq. or any other laws. Husband and \\'IIi: each \'oluntarily and intclligently waive and relinquish any righllo seck a court ordered determlllation amI distribution of marital property, but nothing hercin contained shall constitute a wail'er hy either pany of any rights 10 seck the rclief of any court for thc purpose of enforcing the provisions of tl1l5 Agrecment. 12 21. DISCLOSURE: Husband and Wife cach reprcsent and warrant to the other that he or she has made a full and completc disclosure to (he other of all assets of any nature whatsocver in which such party has an inlerest, the sources and amount of thc income of such party or every type whatsoever and of all other facts relating to the subject mailer of this Agreement. 22. MOD1FlCA710NAND WAIVER: A modification or waiver of any of the provisions of this Agreement shall be effective only if made in writing and executed with the same formalily as this Agreemcnt. The failure of either party to insist upon strict performance of any of the provisions of this Agreement shall not be construed as a waiver of any subsequent default of the same or similar nature. 23. PRIOR AGREEMENT: It is understood and agreed that any and all prcperty settlement agreements which mayor havc been executed prior to the date and time of this Agreement are null and void and of no effect. 24. DESCRIP71J'E IIEADlNGS: The dcscriptil'e headings used herein arc for convenience only. They shall have no effect whatsoever in determining thc nghts or obligations of the parties. 25. INDEPEIY/J/:I\T SEPARATE COJlENANTS: It is specifically understood and agreed by and betwcen the parties hereto that each paragraph hereof shall be deemed to he a separate and independcnt covenant and agrecment. 26. API'I./CAIJI.E I.rlW: This Agrecmcnt shall hc construed under the laws of the Commonwealth of Pcnnsylvania. \) 27. VOID CLII USES: 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. 28. AGREEMENT BINDING ON HEIRS: This Agreement shall be binding and shall inure to the benefit of the parties hereto and their respective heirs. executors, administrators, successors, and assigns. 29. DIVORCE DECREES; Husband will provide Wife with duplicate original divorce decree. IN WITNESS WHEREOF, the parties intending to be bound hereto have set their hands and seals the day and year first abol'e wrillen. / . (SEAL) (SEAL) )\l'~{(. MARY PI -. 14 HENRY F. COYNE ATTORNEY AT LAw 3901 MARKET STREET CAMPHILl.,PA 17011 17 17. 737.Q.4e,.t ('r'ji,:.....~.. v&JUL 03 1997 .-..-.........--,~-~-'-_._. . LYNN W, ROLF, JR., PlaintIff : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PA , q -J' t" I) : NO. I . :i) _ CIVIL TERM vs, MARY p, ROLF, Defcndant : IN DIVORCE ORDER OF COURT AND NOW, , upon consideration of the allached Petition, it is hcreby directed that the parties and their respective counsel appear beforc , Esquire, Custody Conciliator on the day of 1997, at o'clock _.m., for a Prchearing Custody Conference. At such confcrenee, an cffort will be made to resolve the issues in dispute; or if this cannot be accomplished, to define and narrow the issues to be heard by the Court, and to enter into a tcmporary Order. All children age five or older may also be prcscnt atlhe conferenec. Failure to appcar at the conference may providc grounds for entry of a temporary or pcrmanent order. Conferencc is to bc held at_ FOR THE COURT By: Custody Conciliator YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE, IFYOU 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. OFFICE OF THE COURT ADl\lINISTRA TOR CUMBERLAND COUNTY COURTHOUSE, 4TH FLOOR CARLISLE, PENNSYLVANIA 17103 (717) 240-6200 COIINT III - - CIISTODY 13. Paragraphs I through 6 arc incorporatcd hcrcin by rcfcrcnce, 14. Plaintiff and Defcndant scck sharcd lcgal custody of Ryan Rolf, born Fcbruary 19, 1981 (Age 16), who resides with Plaintiff at the abovc-identified addrcss. The child was not born out of wcdlock. The child is prcsently in the custody of the Plaintiff at the abovc-identificd address. In thc past five years, the parties' child has rcsided together with the Plaintiff and Defendant at the above-identified address. Thc Father of the child is the Plaintiff who is married to the Defendant. The Mother of the child is the Defendant who is married to the Plaintiff. 14. The relationship of Plaintiff to the child is that of father. 15. The rc1ationship of Defendant to the child is that of mother. 16. Plaintiff has not participated as a party, witness or in any other capacity in any other litigation conecrning the custody of the same child in this or any other state. 17. Plaintiff does not know of a pcrson not a party to the proceedings who has physical custody of the child or claims to have custody or visitation rights with rcspect to the child. 18. The best intcrcst and permancnt welfare of the child would be served by b'l1lnting requested reliefbecausc it is agrccd by the partics that it will be Icss disruptivc to the child to residc with the Plaintiff and for thc Plaintiff to have primary physical custody ofthc child. J ~ " ..... ~. 1Il . '() ~~ \ I;' - v-- t~: , -......... -- UI:- ,.. -'""1 " '-- (). ~ ii~ : . : \'t-- ,'('\ ", "'"" (;, ~ ~~ .-..\ r:: r-- "'" l.. 'r'I , ,.. = ~ ,. -.. ~ l!. r-- .J ~ ~ 'x (:., 0' U ~ -. . COYNE & COYNE, P.C. Attorneys at Law 3901 Market Street .. Camp BJU,PAI7011-4227 (717) 737.0464 ~~ .'. IN TilE COURT OF COMMON l'i:iAS Oi~{iJl\lnimi,AND COUNTY, I'ENNSYLVANIA LYNN W. ROLF. JR" Plaintiff, No. 97-3512 Ch'jJ Term VS, MARY 1', ROLF, Defendant. IN DIVORCE AFFIDA VIT OF CONSENT I. July 1997. A Complaint In Dil'orcc undcr Section 3301(c) of the Divorcc Codc was tilcd in 2. Thc marriage of plaintiff and derendant is irrctriel'ably broken and ninety (90) days have elapsed from the date of filing and ser\'ice or the Complaint. ~ 3. I consent to lhe entry of a final decrec of divorce after service or notiec of intention to request cntry of the decrce. I \'erify that the statements madc in this affidavit arc true and correct. I understand that false statements herein arc made subject to the penalties or 18 Pa. C.S. Scction 4904 relating to unsworn falsification to authorities. Date: J' . / ilL t.r/ii l( {l( { U-r'-(. I LYNN W. ROLF Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW MARY P. ROLF, JR" Defendant No. 97-3512 IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code J"v~ I 'l ~7 ""p,e was filed in Mil)' 19:18'. II\, - 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of the filing and service of the Complaint. 3. I consent to the entry of a final decree in divorce after service oj'- notice of intention to request entry of the decree. I verify that the statements made in this affidavit are true and correct. 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&' pl./ f '1 ;:(1/1 ~ . ) 1 \.. 4.<. <.. /_ '-:) '-- i S'.; -.':) -. ) :.-:-- '.:'. =:;. -. ~. , c- t',; J , t. i . - .u I .',:1 ,- V, , ~J :'3 '_J U . '>,' COYNE & COYNE, P.C.. . AttOrneys at Law 3901 Market Strett CampH1U, PA 17011-4217 (717)737-6464 '.;.. ,~'" ' . . ..=- ., ""', .' '-',-", . ".',", IN TilE COURT OF COI\IMON I'LEAS OF CUI\18ERLANI) COUNTY, I'ENNSYLV ANIA LYNN W. ROLF, JIt, I'laintiff, No, 97-3512 Civil Tcrm \'s. MARY 1', ROLF, Dcfendant. IN J>IVORCE WAIVER OF NOTICE OF INTENTION TO REOIJEST ENTRY OF A I>IVORCE DECREE \lNDER SECTION 3301/c) OF TilE IlIVOUCE (,ODE I. <\ I conscnt to the entry or a linal dceree or dl\'lJl'ee wilhout notice. 2. I undcrstand that ( Illay lose rights concerning alimony, dil'ision of property. Iawyer's fees or expcnscs if I do not claim Ihem hcforc a dil'orce is grantcd. 3. I undcrstand that I will not he dil'orced until a dil'oree decree is cntcred by the Lourt and that a copy of thc decrec will he sent to me immediately altcr il is lilcd with the prothonotary. I I'erily that the statements made in this aflidal'it arc true and corrcct. (understand that falsc statements hcrein arc made subject to thc pcnallles of 18 Pa. C.S. Section 4904 relating to unsworn falsilication to authorities. Datc: /-</ tO~JlII.Lu 26('-(; I /' X:;'",\ c.-U 6{ ;/2' ~, I{ . 1 i' , " t~ I.YNI r~ ~-j .\1 .~ ~-<l_ , .~ ,. " '" ~' i ::" .: " . <- ~-v LYNN W. ROLF, JR., Plaintiff, vs. MARY p, ROLF, Dcrendant HENRY F. COYNE ATTORNEY AT LAw 3901 MARKET STREET CAMP HILL. PA 1701' 17171 737..o.t8" ~ , : IN TilE COURT OF COMMON PLEAS : CUMOr:RLAND COUNTY, PENNSYLVANIA : NO. 3512 CIVIL 1997 : IN DIVORCE AND CUSTODY CERTIFICATE OF SERVICE I, Lisa Marie Coyne, Esquire hercby certify that on July 3, 1997, service was made by Certified Mail, Rcstricted Delivcry, to the Defendant, Mrs. Mary Rolf, C/O Dane Decor, 5430 Jonestown Roa~, Harrisburg, Pennsylvania 17101. See allached rcceipts of scrviee. Dated: 7 - /5"- ? 7 P 84J 068 800 ~ Certified Mail Receibt X.: No InSU"IanCfl COVt'tilglJ prol!l(El1 ~ Do nol US!! j'..H InlC'trliltlon.11 M Ii ':''::::':'~'':::~ (See RClicrsel f;': ;.k-" ::;''f ,~... ..t'!. ,();1 /71& I S . ~5" 1.3.,;- .;2 7 '7 !i.,.,..."""'i'.."...."1 g !,..... '" 0' ,\ I,'" ,'. n'''- -/,7C 5.':5.' tl H,.'.." """'I'! f' P r.' .. .\,~, , . ',....'..'11,.,.,' 'I.".,'", """") TnIA,.' --- / , , ~ , I' if .. u, n ~ f ,.,. , I',.".". ;"', I / ,->, ~")/ \. )... ...J. ~ .. MARIE COY E, ESQUIRE o I Market Strect Camp Hill, PA 17011-4227 (717) 737-0464 Pa. S. Ct. No. 53788 AI/orney For Plaill/iff .,- ''C''. '"',,_,_"?,"-.',"_r' 'l'.""-""";":''''~.'e ~ _V";';,J'.~.",...;... ENDER: . Compl,te it.m. 1 .nd/or 2 lor .dditlon.ll.rviclI. , Complete itlm. 3, .nd 4. & b. , Print your n.me .nd .ddt... on the r.v.,.. 01 thi. form .0 tNt w. tin 'turn thll Clrd to vJt . , Att.ICh thillorm t IrIS~'Ep,he blck It ,plce 10" nol pelmll, r;. i . Wrtle "Relurn Receipt e ted" OI'lthe mil pi.el be ow the .niclt number The Return Receipt wil t w II dellv.tld end lhe dill .lIveted. I 'I ,u: ~t eX: ,9.. J t -, 11:. 3. Article Addressod to: I alao wish to rscelve the following urvlces (for an extra feel: 1, 0 Addresses's Address 2, )( Restricted Delivery Consult ostmaster for fee. 48. Article Number P 8'13 06 r ;rtJo 4b, Service Tvpe o Registered .)(Certified o Express Mail Mr,. ~"-1 A/i C!/I> 'Ott.;t" .& {ev- 5'/30 JO"....5~ ;2..1. 1/o.-r",'.5 /'v'J'/ PIi I 7/0 / o Insured o COD ~ o Return ReceIpt for 1 M rchandi 1, Dele of Delivery ?.3'~ il 8. Addressee's Addre.. lOnly if requested i : end foe io poldl ~ ' ~ 2 ;FOfm . Decomber 1991 ....~~.'" DOMESTIC RETURN RECEIPT LYNN W, ROLF, JR" . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs. . NO, 97-3512 . MARY P. ROLF, . CIVIL ACTION - LAW Dafendant . 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 ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Court House, 1 Court House Square, Carlisle, Pennsylvania, 17013-3387. 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 LAWYER REFERRAL SERVICE 2 LIBERTY AVENUE CARLISLE, PA 17013 (717) 249-3166 LYNN W. ROLF, JR., . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs, . NO. 97.3512 . MARY p, ROLF, . CIVIL ACTION - LAW Defendant . IN DIVORCE ANSWER TO COMPLAINT IN DIVORCE AND NOW, comes Defendant, Mary P. Rolf, by her attorney, Edward J. Weintraub, Esquire, and answers as follows: 1. Admitted in part, denied in part. Plaintiff now resides in Kansas and no longer resides at said address, 2. Admitted in part, denied in part. Defendant currently resides at 416 South Hanover Street, Apartment A-1, Carlisle, Cumberland County, Pennsylvania. 3. Admitted. 4. Denied as a conclusion of law to which no reply is required. 5. Admitted in part, denied in part. Plaintiff is no longer an instructor at the Carlisle Barracks. 6. Admitted. COUNT 1 - NO FAULT 7. No answer required. 8. Admitted. 9. Defendant is unable to admit or deny what Plaintiff has been advised concerning counseling. this Answer and New Matter, Defendant is and has always been willing to negotiate a fair and reasonable settlement of all matters with Plaintiff. 9. To the extent that a written settlement agreement might be entered into between the parties prior to the time of hearing on this Answer and New Matter, Defendant desires that such written agreement be approved by the Court and incorporated in any divorce decree which may be entered dissolving the marriage between the parties. WHEREFORE, if a written settlement agreement is reached between the parties prior to the time of hearing on this Answer and New Matter, Defendant respectfully requests that, pursuant to Section 3104 of the Divorce code, the Court approve and incorporate such agreement in the final divorce decree. Respectf ~mitted: EDWA J. TR 2650 North Third Street Harrisburg, PA 17110 (717) 238-2200 ID #17441 Date: A HORNEY FOR DEFENDANT 1( VERIFICATION I, Mary Patricia Rolf, hereby swear and affirm that the facts contained in the foregoing Answer to Complaint in Divorce and New Matter are true and correct and are made subject to the penalties of 18 Pa. C,S. Sec, 4904 relating to unsworn falsification to authorities. ~\ , \ I Date; :"'/~\ I I ... - '-. I,-rri i }/)' -.C j LYNN W. ROLF, JR.. . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VB, . NO. 97.3512 . MARY p, ROLF, . CIVIL ACTION - LAW Defendant . IN DIVORCE CERTIFICATE OF SERVICE I, Emily A. Fritz, Legal Assistant to Edward J. Weintraub, Esquire, hereby certify that on June 4, 1999, I served a true and correct copy of an Answer to the Complaint in Divorce with New Matter upon Lisa Coyne, Esquire, counsel for Defendant, by depositing same, postage pre-paid, in the United States Mail, Harrisburg, Pennsylvania, addressed as follows: Lisa Coyne, Esquire 3901 Market Street Camp Hill, PA 17011 .. Date: {pj Lj !q9/ ~A ,- o. - C"- ! '. - ..:.: <, ",..:. & ;~ -."( , IJ 1 ~ ( ). ":-:; ., ~, f:.. , '-. , l;--..j t: :~:2 . . .:1" <. ~IL: , - . "I(Q c:: 1.1: ~-j qCl. ,.: -J 'L. 0'\ S 0 0'\ U NEW MATTER COUNT IV. REQUEST FOR SPOUSAL SUPPORT AND/OR ALIMONY PENDENTE LITE AND ALIMONY UNDER ~3701. ~3702 and ~3704 OF THE DIVORCE CODE 10, The prior paragraphs of this Complaint are incorporated herein by reference thereto. 11. Defendant is unable to sustain herself during the course of litigation. 12. Defendant lacks sufficient property to provide for her reasonable needs and is unable to sustain her~elf through appropriate employment, 13. Defendant requests the Court to enter an award of spousal support and/or alimony pendente lite until final hearing and thereupon to enter an order of alimony in her favor pursuant to Sections 3704 of the Divorce Code. WHEREFORE, Defendant respectfully requests the Court to enter an award of spousal support and/or alimony pendente lite until final hearing and thereupon to enter an order of alimony in her favor pursuant to Sections 3701, 3702 and 3704 of the Divorce code. COUNT V. REQUEST FOR COUNSEL FEES. COSTS AND EXPENSES UNDER ~3702 OF THE DIVORCE CODE 14. The prior paragraphs of this Complaint are incorporated herein by reference thereto. 15. Defendant has employed Edward J. Weintraub, Esquire, to represent her in :'-- '""" '- ( ~ : oJ (. t:: , I '" !..J; !7-" r. -', I,; /-. . , t.~ . ; I~ ; , 1,:'': ii: f':' " I i ;:: "- ". '- D lJ', .., (J, U I.\'NN W, 11OI.F,.m. I 'Ia Illllll/lh.."pnlHlclIl IN TilE ('OIlIlT OF COMMON I'I.EAS OF ('IIMIIEIlI.ANII ('OIINH'.I'ENNS\'I.VM/lA VS. ('IVII. ACTION - IIIVOlln: MAil\' IWI' 11OI.F I kll:lUlanlfll..:llllulh:r NO. '/7 - JSI2 ('IVII. TEI{M IN IIIVOIlCE 1I1l# 2l,.HII I olun:n OF ('OI11n ANIl NC 1\V, 1111, I ~Ih <1:11 nl Allt'''1 , 1"'J7, IIpnll CIIII,"kr:llllll nl Iho :llI:lchod 1'01,III,"li,r AhIlUII1\ l''':IHk'lIle 1.111: and/or "':UIIII'..:I Ie..:,. 11., h":h:h~ dlll.:lh.:d Ihallll..: llalll":~ amlthclr n:"'pcLlI\C 4.:01111",\'.'1 ilpp..:ar hd\lIl..' H.I SIl:uJda) UII SCph:llIhcl _\ I'N7 ;11 I) Oil ;J III. hu" a lUIlli.."....Iu.:..:.;1I I' N Ilall\l\"'" Sl . (':1111,11:. IIA 17111,. afh:r \,hu.:h Ihe L:llllk'....IH.:l' ullil'cl Ilia,' n..'cllIlIlIll.'lld Illal all ()nl..:l" Itlr 1\1111I011\ fli.'luh:lllL' 1.111.' 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('(lliHI ,\I)\II~ISlll,\I()H It II III 111 I ()Oll (11\1111 HI."~IJ(,(II!~I\'(,(llHIIHU:SI (' .\IUIStl 1'1 ,~S\ 1.\ .\'i ,\ PIli' ("'1":', .'111_11.1110 LYNN W. ROLF, JR., Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 97-3512 CIVIL TERM DR# 26,801 V, MARY PAT ROLF, 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 ilivorce or annulment may be entered against you by the Court. Ajudgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPSR TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. COURT ADMINISTRATOR, FOURTH FLOOR CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA 17013 TELEPHONE: 717-240-6200 LYNN W. ROLF, JR, Plaintiff v. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PA : NO. 97-3512 CIVIL TERM : DR# 26,801 : IN DIVORCE MARY PAT ROLF, JR., Defendant : PETITION FOR RELATED CLAIMS UNDER THE DIVORCE CODE AND NOW COMES MARY PAT ROLF, defendant in the dbove captioned matter, and asserts the following claims for relief under the above action under Section 3301 of the Divorce Code: ALIMONY and ALIMONY PENDENTE LITE 1. Defendant has been a military wife for the last twenty-five years, and has relied on Plaintiff as the primary source of income in the family during the marriage, Defendant deferred any career of her own to that of the Plaintiff. She is presently employed as a furniture sales person. Her annual income is approximately $25,000. 2. Defendant is in need of alimony pendente lite to maintain herself during the course of this action and of permanent alimony thereafter if she is to maintain her lifestyle. 3. Plaintiff is an officer in the United States Army, with annual earning of approximately $70,000. 4. Plaintiff is financially able to support his wife. - ~ --n -::. ~ <:l <:l f ~ ~ " l'f' " 1:1 -;\l. , '" 'i ~ .,t , I. I" ~ , , ~ I,;" , ". (' I - \I ". U r- ~..- ", .J U MARY PATRICIA ROLF. Plaintiff. * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY. PENNSYLVANIA * vs. * DOCKET NO. 97-3512 CV * PACSES NO, 228000071 * DR NO. 26801 * CIVIL ACTION- LAW LYNN W, ROLF, JR.. Defendant. PRAECIPE FOR WITHDRAWAL OF APPEARANCE Please withdraw my apptlarance on behalf of Plaintiff, Mary Patricia Rolf, in the above captioned matter without prejudice. Date: (P.5-1( .... PRAECIPE TO ENTER APPEARANCE Please enter my app' ~r'lnce on behalf of Plaintiff, Mary Patricia Rolf, in the above captioned matter. Date: W fi4/\vJ- Edward J. Weintraub, Esquire LAW OFFICE EDWARD J. WEINTRAUB 2650 NORTH THIRD SlREET HARRtSBURG, PENN!!YLVANIA 17110 (717) 238.2200' FAX (7t7) 2J8.92BO AUG 3 0 199~ 04" . . . .- lYNN W. ROLF, JR.. . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VB. . NO, 97-3512 CIVil TERM . MARY P. ROLF, . CIVil ACTION - lAW Dafendant . IN DIVORCE ORDER .. f\.. AND NOW, this ~ day of I - ~~~ ~~ . 1999, , is hereby appointed Master in Divorce under the above caption. J. ~~ ~'jJ -q 9 At< LYNN W, ROLF, JR" Plaintiff * IN THE COURT OF COMMON PLEAS * CUMBERLAND COUNTY * PENNSYLVANIA * VB. * NO. 97-3512; 98-0B85 * MARY P. ROLF, * CIVIL ACTION. LAW IN DIVORCE Defendant * PETITION TO VACATE MASTER'S APPOINTMENT AND APPOINT MASTER UNDER PROPER CAPTION AND NOW, comes Edward J. Weintraub, Esquire, Attorney for Mary P. Rolf 1. Plaintiff, Lynn W. Rolf. Jr" filed a Divorce Complaint on July 1, 1997, No. 97-3512. 2. Defendant, Mary P. Rolf, filed an Answer and New Matter on June 4, 1999, 3. Defendant filed an Amended Answer to Complaint in Divorce in August of 1999 to add Alimony, Counsel Fees and Costs as claims in this matter. 4. On May 22, 1998, Defendant erroneously filed a second Divorce Complaintin the matter No. 98-2885 and on April 23, 1999 the Master was appointed, on the Motion of the Defendant, under this caption No. 98-2885. 5. Defendant is by Praecipe withdrawing the erroneously filed complaint in No. 98-2885. 6. Defendant is filing with the within Petition to Vacate the Master under No. 98-2885 and requesting that he be appointed under No. 97-3512. 7. A Pre Hearing Conference was scheduled by the Master for December ''I I) ..--\ '1__ .. c,. c~' L' r- C',' C. =::: m ,~ Old . '>- ~~ I '" ..:J E:: 1,- i l! (,) '':i o thi:~{l.i_;~'"X\1,'. ~~>~:'-' i~1~\Lst_,~,~'!?'2::'f:",... "',.' - - ," ~ 51 BAST IUClH sriUurr';' ''',. ---- . -."'" -." "".- CARLtSLB. PKI70t~3085 '.' (717) 149-6417 . 0 . oF 10 '~~'~~'-,<';? l!~1:,,!l;::;;-::'~- ~))b~Jo~ . , ---;-~. ,.-- i'..~. -~,"I70;"" .0;",""'- < - -it;o.-;::~'.'1,i""';''''7-'.n' ..~Jr"I:T:..1t " ""; ,:~l :.~ ~'-:~"":"l't~i~,~;;:"f"t1'~"~. ;ii--;.r .~~ ':' ". ~;.i,,,.#.t,"'-:.l.", .t:,~,,'.-:-;'i.t-+"~ .- I.>" IJ.-- ~. -~""..~'.~ "r~ it ...., "" ; ~ '1 ~~~-i' '; :t!'<::." __ "tT-:t......A:~l T . , '." ~\~'1. ,,0;; ~_,:.:~': ~, ,0;--\;ITtr':;,n'7't:r..:: " ,t, "i~ ,,' ~:. (':l",f"~"l,.lM-O '\~ ''\I ~l''''~..."'fl} ;'_.~..._,.;::;"'~~::...~,r_'::'<"";~'1.ii.~::"~~~. - AMOUNT OF ORDER: $571 per month FOR THE SUPPORT OF: Mnrv P. Rolf as alimony pendente lite. f vs DR 26,80). : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW MARY p, ROLF, DEFENDANT/PETITIONER LYNN W. ROLF, JR. PLAINTIFF/RESPONDENT : NO. 97-3512 CIVIL APPEAL OF COURT ORDER DATE OF ORDER: September 5. 1997 - mailed September 15. 1997 DATE OF APPEAL: 9118/97 REASON FOR APPEAL: The amount of the alimony pendente lite order was not determined as reauired bv Pennsvlvania uniform support l!Ilidelines. Respondent's income was not calculated as directed bv Pa R.C.P. Rule 19.16-5: the !!TOSS income was improperlv reduced bv husband's voluntnrv payment for colle!!e expenses of parties' older son. contrnrv to authority of Pa R.C.P. 1910.6-5 (bl. NAME OF OBLIGOR/OBLIGEE REQUESTING APPEAL: M P. Rolf /',/ ('\ (/ \ ii, \ /') \ L.~'...,'~' I' \ L ~. I '- BY: Andrea C. Jacobsen, Esq. JACOBSEN & MILlills 52 East High Street Carlisle, PA 17013 (717) 249.1427 Attorney No. 20952 c) Ii ~ /'17 I I '- r- G I;. '" :-:'l__ I;:: .. '-'-;~,. - I.... :-~! f.).... ~'': ') ......., f -t. I I.. .::l 1_ " u.. '::-J 1'-. ~(:. ~ >- CO .."u) ....,.. t.i: hJ ~._ {..-, T'._ :.:.;t-U Ij": ~ ~ uJ :!'Jc... c' Vl -"'.; "- r- :s (.) Cf' U ,- ,... ]~)}~1~;~t~~t~:~~r;:~!.~~;~;<:::. ';;".:~.': ;":';;'::;'~f~~~~~;:\:<';;J,,:?f~:f~f.~I~~fi~rtl~\ vs DR 26,801 : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW MARY p, ROLF, DEFENDANT/PETITIONER LYNN W, ROLF, JR. PLAINTIFF/RESPONDENT : NO. 97-3512 CML CERTIFICATE OF SERVICE I, Ginny Massey, hereby certify that a true and correct copy of the Appeal of Court Order was duly sent to Counsel for the Defendant, Lynn W. Rolf, Jr., by depositing it in the U.S. Mail, on September 19, 1997, addressed as follows: Lisa Marie Coyne 3901 Market St, Camp Hill, PA 17011-4227 , I hereby verify that the statements made in the foregoing 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, Dated: September 19, 1997 d 111{ ,. '- C') (: (~ "" .,- , I::: 'T' ":J.f" "S\,' ,) ~:: ( "," ',' r~. l . .~ \~~ '-~ ...: l_~ I '. 0- lli( '" .~. tr, Cll.. \'f' U.i~'" . ~ . ..... ~l C'_. ::.;iQ l...... l.~ ':rl.. i-- V) l'. r- ::1 U CT' <.J MARY R. ROLF, PLAINTIFF V, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION LAW PACSES CASE NO. 228000071 LYNN W. ROLF, JR., DEFENDANT 97-3512 CIVIL TERM ORDER OF COURT ,- AND NOW, this 0 day of May, 1998, following a hearing on the merits of wife's appeal from the entry of an order of APL in the amount of $571 per month, effective August 5, 1997, the appeal, IS DISMISSED,1 By the Court, , , ~~ ~ Edgar B. Bayley, J. Edward Weintraub, Esquire For Plaintiff CC'6' '-'-- ,M(L~l&..( !>jt,,/98. ..J f' Lisa Coyne, Esquire For Defendant DRO :saa 1. The Pennsylvania Support Guideline Computation pursuant to Pennsylvania Rule of Civil Procedure 1910.16-50) is attached as Exhibit A. '- i.r, - 1-:'" (:;.: I , ,; , ( ., . r~ t;.' '. ~) t.: i " I , ~. . , -- l i:w:, j t..' l'~ U ; MARY R, ROLF, PLAINTIFF V. LYNN W. ROLF, JR., DEFENDANT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUN1Y, PENNSYLVANIA CIVIL ACTION LAW PACSES CASE NO. 228000071 97.3512 CIVIL TERM PENNSVVLANIA SUPPORT GUIDELINE COMPUTATION HUSBAND WIFE Gross income per month 6,617 2,349 Net income per month 4,302 1,n6 Difference 2,526 Multiply by 40% Monthly APL 1,010 Recomputation 3,292 2,786 Each parent's monthly child support obligation 426 364 Monthly APL with offset 646 Diviation 752 Monthly net APL 571 EXHIBIT A 2. Husband's continuing funding of the undergraduate education of the parties' son Zachary, which funding both parties anticipated while living together, warrants the deviation pursuant to Pennsyvlania Rule of Civil Procedure 1910.16-4. LYNN W, ROLF, JR" . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs, . NO, 97-3512 . MARY p, ROLF, . CIVIL ACTION - LAW Defendant . IN DIVORCE PETITION TO MODIFY ORDER OF ALIMONY PENDENTE LITE TO THE HONORABLE JUDGES OF SAID COURT: The undersigned Petitioner respectfully represents that: 1. Petitioner is Mary Pat Rolf and resides at 416 South Hanover Street, Apt. A-1, Carlisle, Pennsylvania. 2. Respondent is Lynn W. Rolf, Jr. and resides at 610 Scott Avenue, Fort Leavenworth, Kansas. 3. Petitioner was the Plaintiff in an action instituted in the Court of Common Pleas of Cumberland County, Pennsylvania and the Respondent was the Defendant in said action. 4. An order dated August 5, 1997 was made in said action whereunder Defendant was ordered to pay Domestic Relations Section recommended alimony pendente lite in the amount of $571.00 per month. 5. Mother has been paying child support to Father for the support of Ryan who was 18 years old on February 19, 1999 and graduated from high school in May, 1999. 6. That since the entry of the existing order there has been a material and substantial change in circumstances in that: 0 r::J. ~ -.- r-- " r:~ -4- (": I. , - ..,. ('.. j, - , I r ( -'('J l' , v. In .., ,. .~; , '.J - '"'J ;- c; . , .. ..:, i . "~ , I . ,-- ,."i '.- e; "" ..) ':;' U LYNN W. ROLF. JR" * IN THE COURT OF COMMON PLEAS Plaintiff * CUMBERLAND COUNTY PEN NSYLV ANIA * vs. * NO. 97-3512 * MARY p, ROLF, * CIVIL ACTION - LAW Defendant * IN DIVORCE PRETRIAL STATEMENT OF DEFENDANT MARY p, ROLF 1, List of Marital Assets: See Defendant's Inventory and Appraisement attached. 2. Exoert Witnesses: a. Patricia Powers will testify as to the present value of the personal property in Defendant's possession. b. Harry Leister will testify as to the present value of Plaintiff's pension earned during the marriage. 3. Other Witnesses: None, except for the parties. 4, Exhibits of Defendant: a. Paystubs of Husband and Wife b. Blue book - car valuation c. USPA retirement statement d. Military pension statement e. Appraisal of military prints by Meredith Roush f. Appraisal of Defendant's personal property g. Federal, state and local tax returns h. List of The Moss Portfolio with values of Moss prints I. Report of Harry Leister on the value of Plaintiff's pension 5. Defendant's Income: See Defendant's Income and Expense Statement attached. 6, Defendant's Exoenses: See Defendant's income and expense statement attached. 7. Valuation of Defendant's oension: See Inventory and Appraisement of Defendant and Report from Harry Leister attached. 8. Counsel Fees. Costs and Exoenses: Defendant seeks the award of counsel fees of $10,000 from Plaintiff plus payment of $450 for valuation of Plaintiff's pension by Harry Leister. 9. Personal Prooertv: The parties have divided in kind their personal property by mutual agreement. However, there is no agreement as to the value received by each. Appraisals are attached for value of artwork and personal property in the possession of Defendant. 10. Marital Debts as of the oarties date of seoaration: In the month prior to separation, Plaintiff withdrew $20,000 from the USPA IRA to pay debts alleged to be marital. 11, Proposed Resolution of Economic Issues: a. Assets would be distributed 55% to Defendant Wife and 45% to Plaintiff Husband. b. Plaintiff Husband's Military Pension (marital portion) would be subject to a Military Qualified Domestic Relations Order with all payments, whether by lump sum or periodic, divided 45% to Plaintiff Husband and 55% to Defendant Wife. Wife's portion will include any increases due to cost of living adjustments and Husband's election of a survivors annuity in her favor. c. Husband would pay to Wife modifiable alimony for an indefinite term in the amount of $1,377 a month, based upon their current incomes. PRESENT TO TO ASSET VALUE HUSBAND Wl.E.E Vehicles 1995 GMC Truck $ 15,000 $ 15,000 1991 Nissan Truck $ 5,500 $ 5,500 USPA Fidelity Destiny IRA $ 84,235 $ 24,235 $ 82,000 USPA Fid. Dest. Mutual Fund $ 9,083 $ 9,083 USPA Life Insurance CSV 45% 55% Household $ 6,600 $ 4,000 $ 2,600 Military Prints $ 32,485 $ 32,485 Moss Prints $ 3.000 $ 3.000 Total $159,903 $ 72,303 $ 87,600 Military Pension $963,978 45% 55% Respectfully submitted: (~ld ~LRIjJUL I ~ Joyce Mandel, Esquire Edward J. Weintraub & Associates 2650 North Third Street Harrisburg, PA 17110 (717) 238-2200 10 #17441 A HORNEY FOR DEFENDANT LYNN W, ROLF, JR., . IN THE COURT OF COMMON PLEAS Pllllntiff . CUMBERLAND COUNTY PENNSYLVANIA . vs, . NO. 97-3512 . MARY p, ROLF, . CIVIL ACTION - LAW Dllfllndllnt . IN DIVORCE INVENTORY AND APPRAISEMENT OF DEFENDANT. MARY P. ROLF I, Mary p, Rolf, file the following inventory and appraisement 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. I verify that the statements made in this inventory and appraisement 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. / ) U--< ~ ~ -l ~).J. A-- Mary P. ROl~5 '" - \. ASSETS OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages, If an item has been appraised, a copy of the appraisal report is attached. ( ) 1, Real property (X) 2, Motor vehicles ( ) 3, Stocks, bonds, securities and options ( ) 4. Certificates of deposit ( ) 5. Checking accounts, cash ( ) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8, Trusts (X) 9. Life Insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) 10, Annuities ( ) 11. Gifts 12. Inheritances ( ) 13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( ) 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( ) 16. Employment termination benefits - severance pay, workman' s compensation claim/award ( ) 17. Profit sharing plans (X) 18. Pension plans (indicate employee contribution and date plan Vests) (X) 19. Retirement plans, Individual Retirement Accounts ( ) 20, Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. MilitarylV.A. benefits ( ) 23, Education benefits ( ) 24, Debts due, including loans, mortgages held (X) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute ( ) 26, Other e: 0 III ~ '" C. ~ '" .c: - - 0 e: >- Jo~ e: III .c: - .~ ~ 0 .?: Q) III l'l 0 III 0 iO 0 0 ::> 0 0 " l'l Q) 0 Q) 0 - C!) N 0 lD V 0 '0 e: q q ';; ~! III III M <J> <J> <J> <J> <J> <J> <J> - III '" ~ '" - e: '" -<j :0 o 0 III en ";:; - III U '5 "'<( 0- ::> '" '" - - ~ III III 0 >0 iO OJ oS! III '" > "'- III ':j .c: III > m" '" III ~ O' ::> o . 0 -- C. III 0 III o III .c: U III 0 .0 ~ 0 ~ '" .c: - 'Qj -j .c: .. o. '" u'O '" - ,- '" ::: .c: u - i: e: III e: '" 0 '0 ,- E e: >-E III eo '0 '0 '0 '0 '0 '0 '" U III J e: e: e: e: e: e: c.1Il "'- III III III III III III .0 .0 .0 .0 .0 - .0 - - o III E iO e: III III III III III e: III e: e: c. i: Ill_ i: ::> ::> ::> ::> ::> '0 ::> '0 '0 iO e: Z 0 :I: :I: :I: :I: :I: .., :I: .., .., .~ 0 '0 ~ ,- <( e: III - E :il III a: ::> '" u. III '" :Q .; .; >- co:2 '" u '0 III III e lIl- u ::> a. 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III 10 iij >..0 ::J " 'S; :c ,S - III '" ~ '" · 'j - ,S ... CO Q) .- '" o CD m'- :0 ti.ao 10 010_ - '3 u>o 0- '" ~ 0 iij it Cl ~ .. " .. .c III III ~ '" '" III '" ::J ,. 0 '" c.", <II ~ .c:; -j - o Cl 0._ J:> C '" ,-:.0 10 o '" ~ u 0 '" '" .c ~ _c. 'Cij cu .c.c III j u- '" ,- c E .c ,- ;::; "'- .s '~ Z 0 ,." - '" ~ ~ '" ~ c.'" 0- ~ III c.C - ~ iij- <II C - '" <II '" =..0 il - <II C '" ~.c c.c '" u u ~ ni:E III '" o ;: 0 ~ LIABILITIES OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the liabilities on the following pages. Secured ( ) ( ) ( ) 1 . Mortgages 2, Judgments 3. Liens ( ) 4. Other secured liabilities Unsecured (X) 5. Credit card balances 6. Purchases 7, Loan payments 8. Notes payable 9. Other unsecured liabilities ( ) ( ) ( ) ( ) Continaent or Deferred ( ) 10. Contracts or Agreements ( ) 11. Promissory notes ( ) 12. Lawsuits ( ) 13. Options ( ) 14. Taxes ( ) 15. Other contingent or deferred liabilities ~ J u c: ,- Ql 'C E .g >'0 Ql" c: a..a.... 'C Ql U c: Ql E E Ql u~ a Ql c: u ~ .. III ..iii .. Oa:l. ~ c: a .;: u .. Ql - "j 0 ~ a .. .. +oJ >- C1) :: 0 'C 0 Ql 5.~ rti c: ci .c o:so.g N - E .. c: u - a <C::i a <( .". III .. c: a I "' iii c. > > ~j c: .'=' .. 0):':: .c ~.c .. .. ~ O:J .~ ~ a Ql c: a iii ~-J "' Eiii Ql III ..- ::J Z a a c. "' .c - a .c ~ a ~ Ql ~ -I .c - 'ijj Eiii - ..- a Z a "' Ql ~ :0 "' ~ Ql U iii c: .. "' iii .; a:l '! 'C - ~ c: .. .. ";:;. U 'C .g.= ~ c: U'_ '6 Ql - III Ql Ql Ql- U 0 0 ~ III LYNN W, ROLF. JR.. . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VB. . NO, 97-3512 . MARY P. ROLF, . CIVIL ACTION. LAW Defendant . IN DIVORCE INCOME AND EXPENSE STATEMENT OF DEFENDANT, MARY P. ROLF I, Mary P. Rolf, Defendant, file the within Income and Expense Statement. verify that the statements made in this inventory and appraisement 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: '--t :-12' G-j 1 1 1'"\ "-,1_<--'--\ .t c 0,-,'( Mary P. Rolf (~ -'{ t1c;c; '.l . , . . , " In tho Court or COI1ImOll Pleas or County, PauuyIV8n/. PlIone: Fax: Plaintiff Name: Defendant Name: Docket Number: PACSES Case Number: Other Srale In Number: I'Itw IIOtC: All'IlT. . It "lncllle Ilia I'ACIil'S c.e ........ In~ and EmH,,,,, Stateml!!lt THTS FORM MUST BE F/LLBD OUT (It you arc iClf-cmpIoYed or if)'UU are saIuled by . buslneu ot I\'hicll you .\'0 UWDl:r In IWole or JIIIl, you ll1Wt a1~ fill uutlhe Su{lJlIL~IICDlll! racoDle Slaltmem which IJljlearI on the IUl pare o( this Income 11111I cxJlC1l'" ~'Q/emell\.) lNCOMESTATEMEJliTOF M.M1.f (J d 1<0/1 I verify that tbe mremenll DIllie In thb rneonae .00 mjlCllSe SlIIe1ncnt II1l uue .uxI CIlITeCl. I undcmard tlw faI:.:u Il:UClllCOU berdn are subJect to the crlmlnalllell~ltiCl uf 18 1'1, C.S. f 4904, rclarillllo unsworn falslllc&Linn to lurhodtles. Darc Plalntllf or DefeooaJll INCOME: '-rl { . , Employer It't 1lYlS'r/llbk.r &J.i.try Adclress g~o SkQ. 31-red , LelYlO'jtlL , /<< 170'/3 'f)'JICufWDlt !vrM/we- f;tJ.q, ". Payrnll Nu. Gruss Pay per PAY Period $ '7S&,q 2 hy Period (wkly" bi-wXIy., ere.) 6i -u.'f~.y ,;"4<'<<Uf W~,i."i ""Cot't 'Uu/ 1.- , . [Ill ". l..' f. ~h"l(r ,IJA~'M, L'lt 5..1. ~~f\1J.1d)/c."h .11 ll, -7 . "-'<\' llclnl1.l:d PAyroll DecluctlolJ.\: '. l'ecIel':ll WithhOlding $'N,}.) Social Security $57.9/ lrull Wa;e TA.l $7.57 Srm Income T~~ $;)././9 Rerireoull/ $ Savinp 1l0Dds $ Credit Union $ Ufe InSl"-.oc:e $ He.&Ith IMJnoo: $ Ocher OoductloM (SIX-clt'y) $ S Net Pay per Pay .Pcriocl $ / J.'IS/~tvc. o.'er 'I fr/~ItHl puio<t) Service 1'yJlC FOrGIIN-008 Worlccr IJ) Income and Expense Statemem PACSES Case Number 228000071 OTHER (Fill in Appropriate Column) INCOME WEEK MONTH YEAR Imerest $ $ $ Dividends Pension Annuity Social Security Rems Royalties Expense Accoum - : Gifts .- ", - - Unemployment Compensation Workmen's Compensation IRS Refund Olher /IlL ~'7/ Other TOTAL $ $ /51{' $ TOTAL INCOME $ (Fill in Appruplialc ColullIn) EXPENSES WEEK MONTH YEAR Home Mongage/Rel1l $ $ $ Maintenalu:e Utilities Elcclric Gas Oil U'>U.- Telephone $0 ~ Pagc 2 of 6 FormIN-008 Service Type M Worker ID 21301 Income and Expense Statement PACSES Case Number 228000071 (Fill in Appropriate Column) EXPENSES (continued) WEEK MONTH YEAR Water $ $ '--- $ Sewer ~ Employment Public Transponation $ $ $ Lunch ~/n7J ~' Jil, tf1J ~ iff). I \1axes Real Estale $ $ $ Personal Propeny Income /~ -,.,-, 'C /t:;cv ." -US ,/l(;fJ P~sg nn Insurance Homeowners $ $ $ Automobile (p tf.Ja Life Accidem Health Other Automobile Payments S $ /)39, g9 s Fuel 7>(,O,O() Repai~ertJ Ice ;Pit'!) Medical it Doctor ,'1^.."llli~o;_,t $ c5?~ &J ,%. $ ,j (), ()() S,JtlJ~' IUV Demist v . Onhodontist J)t:/j/i Page 3 of 6 Foml1N-008 Worker ID 21301 Scrvice Type M Income and Elpense Statemelll PACSES Case Number 228000071 (Fill in Appropriale Column) EXPENSES (continued) WEEK MONTII YEAR Hospital Medicine Special needs (glasses, $ braces, onhopedic ~op,-A/J" devices) Education Private School $ S $ Parochial School College Religious Personal Clothing $ $ $ /, tfIJ Food J)/17) BarberlHairdresser """"3/J /~O /ill/Ie. Credir PaYllIems: 11/.:5 t:0 "/t. 1=, J!' Credie Card VISo....- C)\..Lit / . Charge AccoulII /!/lJl/7Tl A J Memhn,l;ip.. fJ1(1.duj'J J j) I.- h""' qo I {'jn flll 'tT J 10 Loans (I^Ii.-Ir.J.~\() - :J :(q, %C? Credit Union S $ S Miscellaneous Household Hetp S $ $ Child Care Papers/Books/Magazine 0) S, tf7J Emenainlllelll d.j , fJ7) i.tJ/tJ1le1 ~k7I Pay TV /J .I /:)., If?) Vacation Service Type M Page 4 of 6 Form IN-DOS Worker II) 21301 Income and Expense Slatemenl PACSES Case Number 229000071 COYfragf · INSURANCE Health! Accidenl Disability Income Dental Other · H - Husband W - Wife C - Combined J - Joinl COMI'ANY I'(JUCY' H W C SUDDlementallncome Statement a. This form is to be filled out hy a person (I) who operales a business or practices a ~rofession, or (2) who is a member of a partnership or jOlllt venture. or (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 followinll documents relating to the partnership, joint venture, business, profession, corporation or Similar entity: (I) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement c. Name of business: Address and telephone numbcr: d. Nature of business (check one) (I) partnership er.. (2) joint venture (3) profession (4) closed corporation (5) other e. Name of accountant, controller or othcr pcrson in charge of financial records: f. Annual income from business: (I) Hnw olicn is income received'! (2) Gross incomc pcr pay period: (3) Net income per pay period: (4) Specified deductions, if any: Service Type M Page 6 of 6 Form1N.OO8 Worker ID 21301 LYNN W, ROLF, JR" . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs. . NO, 97.3512 . MARY p, ROLF, . CIVIL ACTION. LAW Defendant . IN DIVORCE INCOME AND EXPENSE STATEMENT OF DEFENDANT, MARY P. ROLF I, Mary P. Rolf, Defendant, file the within Income and Expense Statement, verify that the statements made in this inventory and appraisement 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. \ I' Date: I \ \ fA ' \ , ( ., (.. ...-1 .~ ' I,y,r, . I l ),\ \ I ,\. I.-'~.,- \ Mary P. Rolf ( '. ,. dd C' · ". ) ! , ,t 'C .cJ.! { , In tho Court or Common Pleas or County, l'emuyIVAnI. Phone: Fax: Plaintiff Name: Derendant Name: Doclcct Number: PACSES Case Number: Other Stale ID Number: n.w IIOIC AI"" . . JC "'II1cJal~ rile PACIirS Cale Piuabcr, Inmnuo and Em.-""" Statement Tf{TS FORM MUST BE FILLED OUT (If you arc ie/f-i:lDpIoycd or if)'UU are salulcd by 1 burineu of ",hid. you lTO UWDet In IWole or /lUl, YOll mwt al\O fill uutl& SujlllIL11ICOrallllCoole SWtment wb!cllal'JlC&tll on dt~ Iur page of IhU Income Mlod UJ'Q'" ~Ulement.) INCOME STATEMENT OF MIL' Lf (J ""t /20/1 , I verify that rhe swellletltll1la~e In thl.~ Inconle Ind 1ixpe~ Swelllent Il1I true and CllCTCCl. 1lllll1C11t1nd th.lt fal)'U IIUemetIU berein are subject to lb. crimInal jle1lA1riC4 uf 18 Pa, C,S, f 4904, rclarilll: ro unsworn falslllcalion to aulborlrles, Date Plaflldtr or Defendallt INCOME: yf ( Enq1Jo~r / I.... ,'>15, ~1lt( Ii.. r 6zcL'IJ. 11/ j I Address '6(,.'0 SIa.Q ,C,t-licf , L-c'Il1C~"IL A< /7<J'f3 'f)'IlCufWwl: rl/.-rL~hrc.-5tt..-i(:s Paymll Nu. ~.Pay per Pay Pc:riod $ '75 (".q 2 '" ~~ Period (wkly., bi-wkIy., ere.) 6; 'l<.'l'{~~ ('\c..tL.{'U~. ...ll.;.,.fU; IdtC.h( .l.",~. .L II;{. - t ',' 'tHCr dl.f(N(('lL ,. I . f, 1 {'t'~fLflj'>Il-'h .v t-l{ \ ~. _, I Sl{.u'\ ltc,"fT.l:d Payroll DeducUOll.t: fed~r:ll WilhhoJdinB $q'/,'l~ Sol:ial Securily $ 57.'11 ~I Wa;e 111 $7, '57 Slare IncolT\l: T.~ $11./1 ReliremeOl $ Sav~ 80Dd, $ Credilllniou S Ufe Insur4llCe $ Heallh IMlr1IlCC $ Olher Doducliol\\ (s!,<'t'Ify) S $ Nel PlY rcr Pay Pcriod $ I .2Y~-/'-?'H'. ,1(1 'I,.t.;.rt!, j."':,.t) Service 1)pe Foru,I'N-OOP Wml<cr ID Incume and ExpclL~e Slalemcm J>ACSES Casc Numht:r 228000071 OTI!ER (Fill in Appmpriate Culumn) INCOME WEEK MONTI! YEAR Imeresl $ $ $ Dividends Pellliinll Annuity Sudal SecurilY Rems Ruyalties Expense ACCllum .-- Gifts - - - Unempluymem Cumpe""'tinn Workmcn's Cumpensatiun I RS Refund Olher IU'L ,~. 7/ Other TOTAL $ $ /516 $ TOTAL INCOME $ IFill in Appmptiate Culumn) EXPENSES WEEK MOSTll YEAR lIome Mun~a~e/Rem $ $ "',.- $ Maintenance Utititics Electric Gas ::/ /JK[ '(}(J Oil T deplulIle (itl-fJitrt. (, Service T) pc M Page :2 of 6 Furm1N-008 WtlI~er II) 21301 InClllllO and Expensc Slalolllolll PACSES C,lSC NUlIlhor 228000071 (Fill in Approprialo ClllulIln) EXPENSES (continued) WEEK MONTII YEAR Wator $ $ ,- $ Sewcr '.- Employment Puhlk Trall'pllnalillll $ $ $ -- Lunch fMJ", If7J L:ht 4/ / () I l1/J 4(', . axes Roal Estato $ $ $ Porsllnal Propeny /' .--? -- c.: lCe-'. Income / --Le /(1 eN 7-~-sg I. J Insurance Hnmt:llwl1ers $ $ $ AUlnlllllhilo (P 'f. 7-A Lifo Acddolll Hcallh Olhor Automobile Paymollls $ $ (:]39 ,~9 $ Fud 7' t,c, O() Ropai~'" (L.' ,ceo P;;../J J Medical 1J /YJ1l '9 DllClur .v&k/Jit.tl ~ 1" $ ~ 5,"7: {)ii $ j{'. (,(1 $ -:--ptu .1-' / t' (l rU'liltfr " ., I.' L' It' . , , , DOlllisl Onhlldllllli'l ') ~ Pago 3 Ill' 6 FmIllIN.OO8 Wurkor ID 21301 Sorvico Type M IlIcum~ alld E'p~ll'~ Slal~IlI~1Il PACSES Case NUlllh~r 228000071 (Fill ill Apprnprial~ CUIUIIIlI) EXPENSES (continued) WEEK MONTII YEAR f1uspilal Medicin~ Sp~cialll~~ds (glass~s, '~O() hrac~s, unhupedic dcvic~s) <f(.-tLM2J Education Privat~ SdllX11 $ $ $ Parndlial Sdllxll Cnll~g~ Rdigiuus Personal Clothing $ $ $ J, /!7l F<KKI _ t' /f7J 8arh~r/f1airdress~r 'It:?"/l /7;O/JtlJ!<. Credit Paym~ms: t'';:5 c(J . It, r-, If Cr~dil Card t//SlC - C/lLU I . . Charg~ AccUUIIl 1'v1/J 177) Ii J 7J M~lnbcrr"ipl.: mo,<J1[{ (!.tAJ/ f.- t!' qo C/Yl~lt[L t/O Loans (1fiJ1 , - It ,u () ,.J ::; q, 'W Cr~dil UlliulI $ $ $ Miscellaneous Huus~huld f1dp $ $ $ Child Car~ Papers/Buuks/ Magali IIC :<J I ''II , " '...) I ( I Entertainment ,-1:) , (1/) 111!clild 1/171 ""I u,(,-'; Pay TV " .,-- -. Val.:alhUl Pa~t: 4 Ilf (, FnrIllIN-008 \V",k~r ID 21301 Service Type M ),-" /~-- LYNN W. ROLF. JR.. . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs. . NO. 97-3512 . MARY P. ROLF. . CIVIL ACTION - LAW Dafendant . IN DIVORCE INVENTORY AND APPRAISEMENT OF DEFENDANT. MARY P. ROLF I. Mary P. Rolf. file the following inventory and appraisement 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. I verify that the statements made in this inventory and appraisement 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. ASSETS OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. If an item has been appraised, a copy of the appraisal report is attached. ( ) 1. Real property (X) 2. Motor vehicles ( ) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit ( ) 5. Checking accounts, cash ( ) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8. Trusts (X) 9. Life Insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) 10. Annuities ( ) 11. Gifts ( ) 12. Inheritances ( ) 13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( I 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( I 16. Employment termination benefits - severance pay, workman' s compensation claim/award ( I 17. Profit sharing plans (Xl 18. Pension plans (indicate employee contribution and date plan vests I (Xl 19. Retirement plans, Individual Retirement Accounts ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmaturedl ( ) 22. Military/V.A. benefits 23. Education benefits ( ) 24. Debts due, including loans, mortgages held (X) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute ( I 26. Other e o '" ~ '" c. ~ '" .s= ~ o > e III -5 '~ ~ o ~ jij " "C 'S: '6 ,!: ~ '" '" ~ '" ~ ,!: '" :0 III ~ '5 0- '" ~ o jij Cl ~ III '" > III .s= '" '" '" " o c. '" .s= ~ o .0 o Q; .s= ~ 'ijj .s= .. u"C :c 8 ;: e e '" ,- E >E t: 0 '" u c.", o C\l 0.;: jij e .E .2 III ~ E ~ '" "i6:.c '" ~ ;: ~ :.: C'O ~"C e Ol ~-5 e_ .2! 0 Ol '" a C\l ~ 5 ~ o e ~ '0 ,- ~ e p' 11.>1 _e) o 0 II) ';::: c: C\l u Ol<( " Ol - ~ C\l C\l >a Ol_ ~~j > m'- ~ a' o ._ ~- '" 0 o '" U C\l d '" J ~: ~ Z 0 II u ~ ",11. Ol_ a ~ a a ~ It> ~ "C e C\l .0 '" " J: '" u " ~ u ::E I.? It> en en ~ N a a ~ It> "C e C\l .0 '" " J: '" u " ~ l- e C\l '" '" z ~ en en ~ N Ol - ~ "C e C\l "C e C\l .0 '" " J: '" Ol :Q a 11. '" e Ol - ::; <( 11. Ul ::J en <Xl ... en C'i co en "C e C\l .0 '" " J: e o '.. e Ol 11. > ~ C\l :r= ::E <Xl ~ It> M N .j <Xl "C e C\l .0 '" " J: <( !!: ~ '" Ol a > ." 'ijj "C u: <( 11. Ul ::J en ~ M <Xl a oj ~ e '0 ..., "C e " u. ~ '" Ol a > ," 'ijj "C u: <( 11. Ul ::J en a a co o ~ "C e C\l .0 '" " J: > t: Ol c. o ci: "C '0 .s= Ol '" " o J: '" N It> <Xl '<t N M a a a C'i ~ c '0 ..., ~ e '0 ..., '" ~ e ~ > :;; ~ ~ '" ~ ,!: ci: '" '" o ::E '" N '" N ~ ,~ I :;; E '" ~ E III 0 al_ a ~ - "C Ol "C " U ~ x C Ol " a Ol ~o~ .0 a ~ "C Ol E 'OJ U ~ ,~ c .s= ~j u :.2 ;: ~ '" Ol _0) ~ Ol a a ~ en ';:; .!: III U Ol Ol<( :0 " Ol III - ~ ~ CIl CIl '5 >0 0- Ol 0 jij Cl Gl_ ~ ':1 CIl '" > Cii'- CIl ... 0'- .s= a ,_ ~- Ol '" a '" C' " U ~ <( a c. '" CIl .s= U :.2 ;: -j .!: a ,_ > Ol ~ t: III Ol 0 C. 0 0. ~-J jij ~ Ejij ';: CIl_ III Z a E jij '" ~ 11 ~ c CIl > "C t: II c Ol Ol C. 0; a 0 ~ c. ~ LIABILITIES OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the liabilities on the following pages. Secured ( I ( I ( I ( ) 1 . Mortgages 2. Judgments 3. Liens 4. Other secured liabilities Unsecured (Xl 5. Credit card balances 6. Purchases 7. Loan payments 8. Notes payable 9. Other unsecured liabilities ( ) ( ) ( ) ( ) continl~ent or Deferred ( ) 10. Contracts or Agreements ( ) 11. Promissory notes ( ) 12. Lawsuits ( I 13. Options ( I 14. Taxes ( I 15. Other contingent or deferred liabilities ~ ) u c .- Ol "C E .g >"'0 '" '" C 11.11.", i:j Ol U C Ol E . E Gl 0 U~ .It u Ol C ~ '" '" ",- '" c~. ;: c 0 .., u '" Ol - "j 10 o '" a "C "'>I>>~ a c~~ a Ol :3'- co C 0 .s= o :a 0 .2 ~ N - E co c U 0 <(:::;0<( '" '" c 0 I '" ~ Ol C. > > J C .t:: '" Q)= .s= ~.o'" ~ '" '" '" '~ 0:::;;: ~ 0 Ol C 0 jij LJ '" Ol Ejij '" "'- " Z 0 0 c. '" .s= ~ 0 .0 0 ~ Ol LJ .s= ~ 'ijj Ejij '0 "'- Z 0 '" Ol ~ :.0 ~ '" Ol U jij C '" '" jij ~ ~ al ~ I~ "C ~ C '" '" ~ ,- U "C ,9- . ~ c U .- Ol '6 0; '" Ol Ol U 0 0 ~ '" LYNN W. ROLF, JR., . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VS. . NO. 97-3512 . MARY P. ROLF. . CIVIL ACTION. LAW Defendant . IN DIVORCE CERTIFICATE OF SERVICE I, Beth A. Theurer, Legal Assistant to Edward J. Weintraub, Esquire, hereby certify that on May 28, 1999, I served a true and correct copy of Defendant's Income and Expense Statement, Defendant's Inventory and Appraisement and Defendant's Pretrial Statement upon Lisa Coyne, Esquire, counsel for Defendant and E. Robert Elicker, Esquire, Master, by depositing same, postage pre-paid, in the United States Mail, Harrisburg, Pennsylvania, addressed as follows: Lisa Coyne, Esquire 3901 Market Street Camp Hill, PA 17011 -. E. Robert Elicker, II, Esquire 9 North Hanover Street Carlisle, PA 17013 Date: t&// /~9 , I -'--', " ~ . '.{,j :-U, "/ Beth A. Theurer I!'U'~ >- a, ~ ~ ..:2 ,- N ::J t.u9 ,.-)~ (.>c:i %: tJ~ fE:I: a... ,'")?j ~... :;;f,j c N :.- I ...Jz LU'-'. rii~ ~t:.~ ::z: ::;) 1-: -, .... u. 0\ :3 0 0\ U LYNN W. ROLF, JR., . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs. . NO. 97-3512 . MARY P. ROLF, . CIVIL ACTION. LAW Defendant . IN DIVORCE AMENDED PRETRIAL STATEMENT OF DEFENDANT MAHY P. ROLF 1. List of Marital Assets: See Defendant's Inventory and Appraisement attached. 2. Exoert Witnesses: a. Patricia Powers will testify as to the present value of the personal property in Defendant's possession. b. Harry Leister will testify as to the present value of Plaintiff's pension earned during the marriage. 3. Other Witnesses: None, except for the parties. 4. Exhibits of Defendant: a. Paystubs of Husband and Wife b. Blue book - car valuation c. USPA retirement statement d. Military pension statement e. Appraisal of military prints by Meredith Roush f. Appraisal of Defendant's personal property g. Federal, state and local tax returns h. List of The Moss Portfolio with values of Moss prints I. Report of Harry Leister on the value of Plaintiff's pension 5. Defendant's Income: See Defendant's Income and Expense Statement attached. 6. Defendant's Exoenses: See Defendant's income and expense statement attached. 7. Valuation of Defendant's oension: See Inventory and Appraisement of Defendant and Report from Harry Leister attached. 8. Counsel Fees. Costs and Expenses: Defendant seeks the award of counsel fees of $10,000 from Plaintiff plus payment of $450 for valuation of Plaintiff's pension by Harry Leister. 9. Personal Prooerty: The parties have divided in kind their personal property by mutual agreement. However, there is no agreement as to the value received by each. Appraisals are attached for value of artwork and personal property in the possession of Defendant. 10. Marital Debts as of the parties date of seoaration: In the month prior to separation, Plaintiff withdrew $20,000 from the USPA IRA to pay debts alleged to be marital. 11. Proposed Resolution of Economic Issues: a. Assets would be distributed 55% to Defendant Wife and 45% to Plaintiff Husband. b. Plaintiff Husband's Military Pension (marital portion) would be subject to a Military Qualified Domestic Relations Order with all payments, whether by lump sum or periodic, divided 45% to Plaintiff Husband and 55% to Defendant Wife. Wife's portion will include any increases due to cost of living adjustments and Husband's election of a survivors annuity in her favor. c. Husband would pay to Wife modifiable alimony for an indefinite term in the amount of $1,377 a month, based upon their current incomes. PRESENT TO TO ASSET VALUE HUSBAND WJ.EJ; Vehicles 1995 GMc Truck $ 15,000 $ 15,000 1 991 Nissan Truck $ 5,500 $ 5,500 USPA Fidelity Destiny IRA $ 84,235 $ 24,235 $ 82,000 USPA Fid. Dest. Mutual Fund $ 9,083 $ 9,083 USPA Life Insurance CSV 45% 55% Household $ 6,600 $ 4,000 $ 2,600 Military Prints $ 32.485 $ 32.485 Moss Prints $ 3.000 $ 3.000 Total $159,903 $ 72,303 $ 87,600 Military Pension $963,978 45% 55% Respectfully submitted: I -;t Ll Ilk Jo ce Mandel, Esquire Edward J. Weintraub & Associates 2650 North Third Street Harrisburg, PA 1711 0 (7171 238-2200 ID #17441 ATTORNEY FOR DEFENDANT LYNN W. ROLF, JR., . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VS. . NO. 97-3512 . MARY P. ROLF, . CIVIL ACTION. LAW Defandant . IN DIVORCE INVENTORY AND APPRAISEMENT OF DEFENDANT, MARY P. ROLF I, Mary P. Rolf, file the following inventory and appraisement 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. I verify that the statements made in this inventory !3nd appraisement 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. i) iAA .~ -(- P J~o..------. Mary P. Rolf . ASSETS OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. If an item has been appraised, a copy of the appraisal report is attached. ( ) 1. Real property (X) 2. Motor vehicles ( ) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit ( ) 5. Checking accounts, cash ( ) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8. Trusts (X) 9. Life Insurance policies (indicate face value, cash surrender value and current beneficiaries I ( ) 10. Annuities ( ) 11. Gifts ( ) 12. Inheritances ( ) 13. Patents, copyrights, inventions. royalties ( ) 14. Personal property outside the home ( I 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with companyl ( I 16. Employment termination benefits - severance pay, workman' s compensation claim/award ( ) 17. Profit sharing plans (X) 18. Pension plans (indicate employee contribution and date plan vests) (X) 19. Retirement plans, Individual Retirement Accounts ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. Military/V.A. benefits ( ) 23. Education benefits ( ) 24. Debts due, including loans, mortgages held (X) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute ( ) 26. Other c o '" ~ Gl 0. ~ " -5 ~ ! Jo~ ~ '~ ~ o ~ jij " "C 'S: '6 .!: ~ '" Gl ~ Ol ~ ,!: Ol :0 '" ~ '5 0- " ~ o '" Ol ~ '" Ol > III .s= '" Ol '" " o 0. '" .s= ~ o .0 ~ o ~ Ol .s= ~ 'ijj .s= .. u"c .- Ol .s=u ;: c e Ol ,- E >E t: 0 Ol u c.", 0", 0.;: jij c .~ 0 ~ .- III ~ E ~ '" 'ii:c '" ~ ~ Ol '" ~ :.: EO ~"C C Ol "'.s= "C~ c_ .2! 0 Ol '" o III ~ ~~ ci:~ _C] o 0 en .~ III U Ol<( " Gl - ~ III III >0 Ol_ ~~I > n;.- ... 0'- o . ~- '" 0 o '" U III - j- 0._ Ol ~ III o '" J Ol_ L~ ;: Z 0 :11 Ol_ o ~ 8 8 an ui ~ "C C III .0 '" " J: '" u " ~ I- U ::E I.? 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'i) Q) .s=.:; ~-J .~ c: .s= ,- ;:.:; ,!: .~ Z 0 >'0 ~ '" ~ ~ Ol ~ o.Ol 0- ~ .. o.C III - ~ jij~ '" C ~ Ol .. Ol :.:: .c U ~ '" C III ~.s= c.s= '" u - ,- ",.s= o ;: M LIABILITIES OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the liabilities on the following pages. Secured ( ) ( ) ( ) ( ) 1. Mortgages 2. Judgments 3. Liens 4. Other secured liabilities Unsecured (X) 5. Credit card balances ( I ( ) ( ) ( ) 6. Purchases 7. Loan payments 8. Notes payable 9. Other unsecured liabilities contingent or Deferred ( I 10. Contracts or Agreements ( I 11. Promissory notes ( ) 12. Lawsuits ( ) 13. Options ( ) 14. Taxes ( I 15. Other contingent or deferred liabilities ~ ) u c .- Gl -g E 'c >'C Gl CIl C 11.11.", i:j Gl U C Gl E E Gl U~ 0 Gl C U ~ CIl '" ",- III o 8l. ~ C 0 '., U III Gl - ") a ~ o III III ... >- CD ~ a "C a C~~ Gl ::J::: co C 0 .s= o :c c .2 ~ E co c 0 N - 0 <(;:]0<( '" CIl C 0 I '" ~ '" 0. > > ~) C ." III m= .s= ~.o ~ III III '~ 0:::; ~ 0 Gl C 0 jij ~-J '" Ol Ejij III 11l_ " Z 0 0 0. '" .s= ~ 0 .0 ~ 0 ~ Ol ~ -I .s= ~ 'ijj Ejij - CIl_ 0 Z 0 '" Ol ~ :s '" ~ '" u jij C III '" jij ~ m ~ ~~ "C ~ ~ C '.:0 . III III a.:':: U "C ';: ~ C Ol U ,_ '6 ~ '" '" Ol Ol_ ~ 0 0 u ~ It> LYNN W. ROLF, JR., . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . VS. . NO. 97.3512 . MARY P. ROLF, . CIVIL ACTION - LAW Defendant . IN DIVORCE INCOME AND EXPENSE STATEMENT OF DEFENDANT, MARY P. ROLF I, Mary P. Rolf. Defendant, file the within Income and Expense Statement. verify that the statements made in this inventory and appraisement 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: f1q~ Vh'-4-:v.:t- RJ;-j- Mary P. Rolf ( . I " " \J ." . , . . In tho Court or cOJUmon Pleas or County, l'emuylvln.. PIIonc: Fb: Plaintiff Name: Defendant Name: Docket Number: PACSES Case Number: Other Scale lD Number: I'bctIlOfC: AltwI. . -(e"lncWeIMPA!:.'iESCarc~. In~ and Envn.... Statemeut TliTS FORM MUST BE FILLBD OUT erf )'ou arc Io\:lf-i:lllplo)'Cd or if)'UU arc alarled by 1 buslneu of ~hich )'Ou 11'0 UWIltt In IWole or IWl. )'0\1 ~ a1~ 611 uutlhe SutllllL,n&:alllllllCoOlC SWtmelll whIch IJlJ'C&I1 on lite Ian page of thU Income ..ud uJlCI1IO .tatmIClll.) INCOME STATEMENT OF I1.tLftj (Jd Roll- I verIfy thu rile =menta owle In rhU Income ancl1l.t{lC1l'lC SlIlClIIcnt 111I UUe IIIlI entTCCl. J uncltr1tlnclthAt fa/)'U IlUetIICIlI.C herein Ire sub)tctlO rhe crimInal llcUAltiCl uf 18 Pa. C.S. '4904. n:Jarirw 10 WISWOrn falsfllcatlnn to luthodrles. Dill: Pl&fnd/J or Defcll<!IJ1I INCOME: '-r1 I . . EIlI{llo~r / No uns 'rnt.(A~..r 6zJ.,U ry Address ~~O Sla.tt 3/-red , t.C'tYlOIII'U , Ia. /70'(3 . . 'C)'f1CofWod: rur~lvrc- ;;~ ". PIymll Nu. ~ PlY per Pay ~.,;od S '75 &.q 2 11~ ~cdo:d (wkly., bi-wkIy.. ere.) 6i -u.oe0~ '''4<<4.1.r w"","1 Mee"".'-<uI .[!i, l..i I. .n.f'1CI ,u,"<.u;(,"1 "ft S~ . i~t\1"'1d>"'n tll l i -7 . \, Itclnll..d PAyroll O~uctlOll~: froml Wilhholding sq</.}.) Soc:i al Securily $57.9/ 1.<<:.1\ WI;e TIU $7.57 Sr~rc Income T~~ SJ.1.J9 RcrirC~1ll $ S.v~ BoodE $ Credh Union S Ufc Insur'llCe S Hwlh IMlmx:e S Other OClducliot\'l (sp<'Clfy) S S Nel Pay rer PAY Pcriocl S / J'IS/~<t...e, Qver 'I ,>t~nfi., pui"t{) Service l}re FomlIN-008 Worlccr ro Income and Expense SUllemenl PACSES Case Number 229000071 OTHER (Fill in Appropriate Column) INCOME WEEK MONTH YEAR loteresl $ $ $ Dividends PellSion AMuity Social SecurilY ReDls Royalties Expense AccouDl '- : GiflS - .- ..-.,' UnemploymeDl Compensation Workmeo's Compensation IRS Refund Other /lPL .17/ Olher TOTAL $ $ /516 $ TOTAL INCOME $ (Fill in Appropdat~ ColullUl) EXPENSES WEEK MONTH YEAR Home Mortgage/Rent $ $ $ Maimenance Utilities Electric Gas Oil UU Telephone $?) Page 2 of 6 Form1N.OO8 Service Type M Worker ID 21301 Income and Expense Stalement PACSES Case Number 229000071 EXPENSES (continued) (Fill in Appropriale Colunw) WEEK MONTH YEAR Waler Sewer $ $ '-- $ - Employment Public Transponalion $ $ $ Lunch ~ I tf7J Q1t..4/ ' .. IO,~ ~ L/-(). qaxes Real Estale $ $ $ Personal Propeny /~ ..,-; , C J/'./'", Income , , US .11 (J () .p_~-S g ,-, ,-, Insurance Homeowners $ $ $ AUlomobile (p If. 7h Life Accident Heahh Olher Automobile Payments $ $ ~a9 x9 $ Fuel f>bO,QD Repai~e.rtJ IC.e. ;PlthlJ Medical ~uv~ Doclor.M1h"l VAPjAt $ 0( ~ tf1) .% $ !JO, 00 $ r Dentisl u " Onhodontisl Page3nf6 Fnnn IN,008 Service Type M Worker ID 21301 Income and Expense Statement PACSES Case Number 228000071 (Fill in Appropriate Column) EXPENSES (continued) WEEK MONTH YEAR Hospital Medicine Spetial needs (glasses. $~.A"''' braces. onhopedic devices) Education Privale School $ $ $ Parochial School College Religinus Personal Clothing $ $ $ J,10 Food !, /f7J Barber/Hairdresser -nu/ /~O "A ,'Ie Credit Payments: !//SC0 -It. r:, If Credit Card !//Sa,..- eJu..u I ' Charge Account /l._,~ IJ Mt:n.b..:r ohiplt ~(IJ..Ijl t- II qo (!;Y'-I,flJ J IT J 1-0 Loans r"AA. , -Ie Ju\ 0 .:J:{q, gq Credit Union $ $ $ Miscellaneous Household Help $ $ $ Child Care Papers/Books/Magazioe r!J 5, tf1J Eotenairmlenl dS, 07J iIJ!cf'/Jtf .;JA-71 /),L /..J.,67) Pay TV Vacalion Page 4 of 6 Form1N.OO8 Worker 10 21301 Service Type M Income and Expense Statement PACSES Case Number 228000071 COYer_IC · INSURANCE Health/Accident Disability Income Dental Other · H - Husband W - Wife C - Combined J - Joint COMPANY POLICV I H W C Supplemental Income Statement a. This form is to be filled out by a person (1) who operates a business or practices a profession, or (2) who is a member of a pannership or jOint venture. or (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 followinll documents relating to the pannership, 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 business (check one) (1) pannership (2) joint venture (3) profession (4) closed corporation (5) other e. Name of accountant, controller or other person in charge of financial records: f. Annual income from husiness: (I) How often is income received'! (2) Gross income per pay period: (3) Net income per pay period: (4) Specified deductions, if any: Page 6 of 6 Fonll1N.OO8 Worker II> 21301 Service Type M Conrad Iv!. Siegel, Inc. Actuaries/Benefits CunraLl M. Siegel. F.SA II.UT)' M. l.(i~l~r. Jr.. F.S.A Ihim S SJnn. FS.A. CI)fJc E. Gingrich, F.S.A 8u1 L. Mummert. E.A. Ruben J. Dolan. A.S.A. [).nill F. Slirling. A.S.A. Robert J. Mrazik. F.S.A. DJ\'id If. Killick. FS,A. ldfre)l S. Mycrs, F.S,A. Thuma! L. Zimmcnnan. F..S.A Glt.-nn A. lIafer. F.SA. I\nin A. Elb. F..S,A. Fronk 5, Rh<><ks, FSA,. ACA S Chari\.'\ n. Friedlander. F..SA Ilolly A, ROll, FSA John W. Jdfrc:y. A,S.A. Iknisc: M. Polin. F.S,A. Richard C. Srnilh. A,S.A. Thomas W. R<<\c, A.S,A. Jand M. Lcymc:islcr. CEUS M.llk A. Onnsal!. A.S.A. September 2, 1998 ,).) , ,I ";~.~ '1\ 1\.1", 1\ 'I . "I, '. ' ....... .., Edward J. Weintraub, Esquire 2650 North Third Street Harrisburg, PA 17110 Re: Colonel Lynn W. Rolf, Jr. Dear Mr, Weintraub: You provided me with the following information concerning Colonel Lynn W. Rolf, Jr.: 1. Date of birth - July 3, 1948, 2. Date of entry into the military service - June 3, 1970. 3, Date married - October 14, 1972, 4. Date separated - March 8,1997. 5. Monthly military pension for Rank 0-6 after 28 years of service - $4,523. Currently, Colonel Lynn W. Rolf, Jr. is 50 years of age (age nearest birthday). The Military Retirement System is a defined benefit pension plan. Since Colonel Rolf entered the military service before September 8, 1980, he is eligible to retire after 20 ye;:rs of service, He completed 28 years of service on June 3, 1998, Thus, he is eligible to retire now. The following table shows the present value of the monthly pension of$4,523, the "coverture fraction" and the present value of the pension earned during the marriage: Present Value Present Value Retire Monthly Pension Coverture Pension Earned At A[!e of $4.fi23 Fraction Durin!! Marria[!e 50 $1,108,021 ,87 $963,978 52 9.16,090 ,87 823,098 C>- u' -- , c; \:: \.-;; -' l' " , :t: t:~. -~\ ...:j , ,." f."';'\ ,/) I '.; t~;:: L. 'iJ "1 ,... " C" ~j cj U' C> LYNN W. ROLF, JR.. . IN THE COURT OF COMMON PLEAS Plaintiff . CUMBERLAND COUNTY PENNSYLVANIA . vs. . NO. 97-3512 . MARY P. ROLF, . CIVIL ACTION - LAW Defendant . IN DIVORCE CERTIFICATE OF SERVICE I, Beth A. Theurer, Legal Assistant to Edward J. Weintraub, Esquire, hereby certify that on June 11, 1999, I served a true and correct copy of Defendant's Amended Pretrial Statement upon Lisa Coyne, Esquire, counsel for Defendant and E. Robert Elicker, Esquire, Master, by depositing same, postage pre-paid, in the United States Mail, Harrisburg, Pennsylvania, addressed as follows: Lisa Coyne, Esquire 3901 Market Street Camp Hill, PA 17011 . E. Robert Elicker, II, Esquire 9 North Hanover Street Carlisle, PA 17013 Date: ~ / II JC({; I I f> I . ''i.'X1IAl .v-t, Beth A. Theurer 7/u...-<__..... ...... ',- ,... ,- ~-: (-": .- .. i , - " , , , . , -" : .. :-) ; " , .. , , , ; .J .f.:... . . . Co .J ,~.... ::'''' (J >', ~.. _.'-_0_.",,,, COYNE&COYNE, P.C. . Attomeysat L.aw . , 3901.MarltetStftet " CampBW,PA170U..U27 (717) 737..0464 ." ,. .... LYNNW.ROLF,JR., I'!aIJIIIfJ' . . IN TlJECOVRTOF COMMON l'UWl OF CUMBERLAND COtlNl'Y, PENNSYLVANIA Y. . . No. !17-351~ CMI Tam MARY P.llOLF, DtlClldllllt IN DIVORCE JNVENrORY 01 LYNN W. ROLlI, JR, LYNN W. ROII-, J'R.,liIcs \be ro1lowlDs inw:zIXlrY of an propertY owoed or poACS$ed by ellbtr pany al tile tinle ttlis actIoa \lIlS ~ m1 aU ...upCl1Y lnlISfmcd widIID me ~iIla three )'all. LYNN W. ROJ17. JR. vet\llcIlIllt the ~ llI&Ile ill this Jnvemory _lJ1lC IDd col1CCt. LYNN W. ROLF, JR. IIIIlImtaolIs that fabc ~- berciD arc m* sub)cd to Ihc penaI1icS of 18 1'1. C.S. 04904 JeIaliDg to 1IIllWOlD f1ls~ lD ZDlboriIlcs. DATE /~~ CJ9 ,U) . ROLF. JR. - €00"d dStlS0 6S/Of/Zf 0tL~-~-Et6 J.300-:JS!l:l ASSETS OF PARTIES Plaintiff. LYNN W. ROLF, JR., marks on the list below those items applicable to the Real property Motor vehicles Stock, 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 Inheritances Patents, copyrights, inventions, royalties Personal property outside the home Businesses (list all owners, including percenll:ge of ownership. and officer/director positions held by a party with company) Employmenttennination 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 Education benefits Debts due. including loans, mortgages held Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) Other case at bar and itemizes the assets on the following pages. () I. (X) 2. (X) 3. () 4. (X) 5. (X) 6. () 7. () 8. (X) 9. () 10. () II. () 12. () 13. () 14. () 15. () 16. () 17. () 18. (X) 19, () 20. () 21. (X) 22. () 23. (X) 24. (X) 25. () 26. MARITAL PROPERTY Plaintiff lists all marital propeny 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 Properly Names of All Owners Number 1. Military Pension Husband 2. USPA-IRA Husband 3. USPA-MulUal Fund Husband 4, Moss and Stivers prints Joint 5, Household furnishings and collections Joint 6. USPA-Life Insurance policies Joint 7. 199t GMC Truck Husband 8, 1996 Mazda Miata Wife 9. PNc Bank Accounts Joint 10. Bank Accounts Wife LIABILITIES Item Names of AU Names of AU Number Description of Property Creditors Debtors I. Taxes owed because of liquidation of IRS Husband portion of IRA and Mutual Fund to pay marital debt 2. Credit account Sears Husband 3. Credit account DPP Husband 4. Credit account Mastercard Husband 5. Line of Credit PNC Husband 6. Personal Service Loan Members I" Federal Husband Credit Union 9, College tuition, books, room & board University of Kansas Husband for children LYNN W. ROLF, JR., Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. No. 97-3512 Civil Tenn MARY P. ROLF, Defendant IN DIVORCE PROOF OF SERVICE I. Lisa Marie Coyne, Esquire. hereby certifY that on December 10, 1999, I served a copy of the Plaintiffs Inventory by first class mail, postage prepaid addressed as follows: Edward J. Weintraub, Esquire 2650 North Third Street Harrisburg, PA 17110 Fax No. 717-238-9280 ~ DATE f DEC_''! "I - squire ,. n: -" " .' c:; ) . , ....;~ 1 :-~ ..., :!) , " L -,J , : ~1.. ,-. \".'" :...., l." ,j ,; it . ':.:':;;."'=:.i:....~~:~~i"-<lt"j!.::Z.-".....,H_~rJ......_~.-..:..._-.."". LYNN W. ROLF. JR., PlBJliIT : . . Y. MARY P. ROLF. Dcfal"-I . . . . .. ,,_.' COYNE & COYNE, P.C. . Attorneys'atLaw , 3901 Market Street Camp HIll. PA 170114227 (717) 737-0464 . IN THE COURT 0" COMMON PLEAS ()1l CVMBERLAND COUHrY.l'ENNSYLVANJA No. t7-35JZ Civil T_ IN DIVORCE lNCOMEAND EXPENSE STAmMENT OF LYNN W. ROLF, JR. The 1II1derJiguc6 fiIcs 1bc foIlow~ lacolne aW I!xpenle ~"rmf"f1l. I undmlJnd that falle ~ Ilefcin an: made lubject to dlc petllllliA of 18 Pl. C.s. ~. rc:btiD& III utl!WOfll fa1IificalIon lO lUb<<Itle.s. DATE /tJ ~{m L 0tL"-V8S-Et6 "'~;-f..!m.~~:;, ::;,i;~3'\ , ,I' ,'~~,~' i,',.,-./;tE~~~ ..' . ....~I~'!I . BOO-:lS~:l Gifts Uncmploymcnt Compcnsation Workmcn's Compcnsation Othcr (Spccify): Total $0.00 $0.00 $1,300.00 EXPENSES: Weekly Monthly Yearly HOME Mortgagc/Rcnt Maintcnance Utilities Elcctric Gas Oil Telcphone $100.00 Watcr Scwer Trash EMPLOYMENT Public Transportation Lunch 80,00 TAXES Real Estate Personal Propcrty (land) Income (school) INSURANCE Homeowncrs Automobile 150.00 Life Accidcnt EXPENSES: Weekly Monthly Yearly Health Other (Specify): AUTOMOBILE Payments Fuel 250.00 Repairs MEDICAL Doctor Dentist 100.00 Orthodontist Hospital (lab) Medicine Special Needs (glasses. braces...) EDUCATION Private School Parochial College (ICS) Religious PERSONAL Clothing 90,00 Food 500.00 Barber/Hairdresser 20.00 Credit Payments Charge Accounts 842.00 Memberships LOANS Credit Union Other (specify): EXPENSES: Weekly Monthly Yearly MISCELLANEOUS Household Help 70.00 Child Care Papers, Books. Magazines 50.00 ENTERTAINMENT Cable TV 44.00 Vacation (For Self and Children) 1,600.00 Gifts OTHER Legal Fees 400.00 Charitable Contributions 20,00 Other Child Support Alimony Payments 571.00 Other (specify) College Tuitions 833.00 10.000.00 TOTAL EXPENSES $0.00 $4,420.00 $0.00 PROPERTY OWNED Descri tion Value H W J C Checking Accounts Armed Forces $100.00 X Bank Savings Accounts Armed Forces $25.00 X Bank Credit Union $ X Stocks/Bonds USPA-Mutual $ X Fund IRA USPA $ X Real Estate $ Other (s ecif ) $ $ TOTAL $ INSURANCE Hos ital Blue Cross Other Medical Blue Shield Other Health! Accident Disabili Dental Prescri tion Other H W J C *H=Husband; W=Wife; J=Joint; C=Child ClOSC-OOET 913-604-471~ 1,/10/9900,15P P.002 10 DEFE)lSE JWI'! (lilt. Firat. HI) ROLF l YN" \I JR tNIlTl!Ht"IS 'IO"CE AOO M:COUmNC SEAVICE HllllAAT lEAVE AIO U.UIN<:S 11AI0t:1i1 ISOC.IlC,NO'ICRlDt IpU OAIE ,"s SVC EIS IIAAJi(MIADSNlDSSIl 'tRlCD eOl'utD 310\0'1343 06 700603 29 Il888M WI 1.121 1.30 NCY 99 O!OUCII~S AllOrMENTS IUfiUT Iype ........ Ir.>< lmunl I!PO A.oounl .AA't hd .00 A BAIlPU 6694.20 'EllEUll.XEI 1457.97 IlOIlO AOl 12.50 .Yot Ent 6,Ul1,46 B BAS 157.26 flCA'Sce S!CUArTI 350.1lO OISCAEIIONARI All 1000.00 c IlCA'H!OICARE 97.07 AU AllOT 5.00 -Tot Oed 2,240," 0 SUTE lllES Z97.30 INSUIAIlIc:E ALlO1' 37.64 E SGLI 'OR 200,000 16.00 (Mluu.a;: A1.LOT 26.S3 '101 ALII 1.603.19 F DE.TAl 21.33 (NSUUIlCE AI.I.OT 9S.IS C INIUUMCf AllOI 60.37 .l&It Amt 3,007.10 H 8AlOK Aeer ALlOI 366.00 J .(_ Fwd .00 J K a{tI4 Ply l M N 3,007.10 0 lEAVE riCA TUUi PAl OATA TOTAL I 6,111.4<\ 2,240.47 1,603.89 If hi I !_nd IUOod le_...., lEIS S.llloat Ilv<>d U../lo.. FEO Woac'c'icdl !CogollO Il\Isl Ex 1A6:lI.H ho Tld 46.0 5.0 0 '1.0 I .0 I .0 .0 16.0 TANES 669UO I 73436.20 II I 02 I .00 16D37.67 \lOgo PeriOd ISo<: 1I0s< TIO Sac Tax TI1I Hid \/ell, TToIHO<lIO' TlO SIAIE Cd \log, PartOdIIla.. TI1I IH/S/N Eo I", TlO 6694.20 I 72600.00 \101.20 13636.20 I 1067.77 lANEs os 6694.20 I 7)6)6.20 I' 02 3211l.30 RAW typ. BAN D,P"l iu Zip 'hnt I<<rc ISnare $t~tl JFTR: Dt'P'l' let JfTltl BAS Type lC\4tfty no TPC I PACID. .00 I 0 1 0 I : 30.00 ci:SlIVm UJWlKS llD Entitl~t: 75366.06 YTD D.dICU"r\I: ZS279.59 SOCI\l SECUlII' MAX "EI 991100(305) SEE PERSONAL ~lAIEHENI OF Nil COMFENSATION FOR DETAIlS ON YOUR !LQIIILITY Fot SUAVII'OA I.!Mern PLAN ~o 101 MCH.lSE PRICE $D.(lO OEDUC1ED TO DAlE 25.00 BAHl AItKED FOlttE. R.UI( ACe r I 2.66642 1 .AlE YOJ Y2( lEAOY? efT PUPAtED BY CIIEO::INC \itISITE: .NII':II~.DEf!NSllI0~."ll/S'ECJAlS/12K.. . FO~ C!~!RAL IN'DlMATION ABCUT p~y A~D ALLOWANCES YI~ll IHE DF'~ .ra"l0. ~.DfAS.M(L.. fOA TJI'EU AEctrPl D. 1999 ~'2. SE"'ume PEMBERS SHClJLD UPOATe TMe:IR.MIL ADDRESS IlUO~~ OerAUl1IG DUTT llXAIICIl. Of AI form 70Z, fob 94 U!S RC'Cord: ~, tG$OYPS T ROLF l 'NN \I JR LYNN W. ROLF, JR., Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. No. 97-3512 Civil Term MARY P. ROLF, Defendant IN DIVORCE PROOF OF SERVICE I, Lisa Marie Coyne, Esquire. hereby certify that on December 10, 1999, I served a copy of the Income and Expense Statement of Lynn W. Rolf, Jr., by fax and first class mail, postage prepaid addressed as follows: Edward J. Weintraub. Esquire 2650 North Third Street Harrisburg, PA 17110 Fax No. 717-238-9280 DATE Iri)cc.. 7'1 I -" "I r ;" I.' - , ; (.~ , ..( , r. , ;j ~ I j I #,1:1- ~, " l_ ;:;'"l U ... MONTH APRIL MAY JUNE JULY AUGUST SEPT I\{a:~ '<f 1110AM Support for Mary Pat , I l AMOUNT INST-RUMENi:-CK# i $ 200.00--CHECK-~27!f' -n'2oo,oo -C-AS-H.-T----- --j $200,OO-CHECK----1I627 _ $400 check 207 ~O Check'- 252-- I $450 chec~ 296 f 7-Ci'l- c Ie. 3/2.. ;DEFENDAtn"8 f~BfI' ," 1/- t7- "t $' Fe.m 1 040 Label (5"""\1"",'1,0"\) Use the IRS label. Ottler'Nl::.e please pflIit or type. Presidential Election Camp.ign (S',,"\II\.I,lIo'" ) Filing Status Check only one box. Exemptions If more tt1iJr'I 51'( dependents, see Instructions. Income Attach Copy B 01 your forms W.2. W.2G, & 1099.R here, :: ',0'..1 c:~ ::c: gel a \";.2. ~ee In:ilructlcns. Enclose. but do nolatt<lch, any p.:\yment. AISQ, please use Form 10OW.V, Adjusted Gross Income o.~Jrtm'fll or 111. T,u\,Ury - Inl.r",l Ph''''' S.r,.e. 1(9')) 111~, u\' enly 1997 U.S. Individual Income Tax Return For tt1e vei'lr J;;m I . Dee 31, 1 CJJ]. or other lax' em be Ir.nln , 1997, emllnll )'ot;,F",tfl,m. Ml lnlfhm. LYNN W ROLF. JR U"JoontR.lll.rt, 5pouu , F",tfl,m, M' Lnttl,,,,. 110m. AddfU\ (",-,mbt' ,nd \l,..t) II YClUH.~. a P 0 011', 5..I"\ll\>tl,0,,\ "'p.l'tm,,.ttlo 24-E GUARDHOUSE LANE C,ty, To....o 0' Po,t Oll,e. II Ycutt.h' a FOf.'Q" Add"u, S..I",lrll,l,on, Syl. liP Cod. CARLISLE PA 17013 5 b Souse c Dependents: (2) Dependent's SOCI;)1 security number (3) Dependent's relationship to you 1 FIrst name NICHOLAS M ROLF ZACHARY R ROLF RYAN P ROLF L3st name ISDN SON ISON 1312-82-1017 515-92-8435 515-92-8442 1C>:" .~_~ I' -, ,:! -..: :1 I ',1'1 ~ _ ~ 'i;,J ~I ~ .~ ",' 0, ',~ 1"., .~ ..,~ !l ~ d iotal nurr:Oer 01 exemollons~~a,m~:j' --J J oJ 7 Wages, salones, tIOS, etc, Atti)C~ Fcr~(s) W.2 8a Taxable Interest. AltC1cn Schedule 8 If required b Tax-exempt Inleres!. 00 not IncluCe en Itr.e Sa 9 DIvidends. Attacn Scnedule 8 II re~~Hec 10 Tax<lble relunds. credll.~. or of/sets 01 s:<:lte ana IOC<:lllncome taxes (see Inslruct,o~s) 11 Alimony received 12 Bus:ness Income or (105::'). Alt~r:n Sc.,ecule C or C.E: 13 Capita! <Jain or (lass). AttaCh Scned'.J!e D 14 Other gains or (losses). Attacn Form 4i9i 15a Total IRA distributions 1 15al 20.000.\ b Taxable amount (see :nstrs) 16a TOIJI ~er1Sicn~ Jn~ JnnUilles 16al b Taxable ame..nt (see :ns:!s) 17 RentJI reJI e~IJ:e. r~YJl!les. ~:lftnefSh'Ds. S cCII:iJratlOns. tluSIS. etc AIlJCh Scr:e<hh [ 18 Farm Income or (loss). Attach Scned'.Jle F 19 Unemployment compensation 20a SOCIJI security tenellts I 20al 21 Otner Income. List type ana amcu~t - see Instr",C:lon5 'I I 8bl I b Ta.aole amount (see 'I"'s:rs) 21 22 Ad-': tn~ ~;o;:nts~n-t."-e fJ; r~c:;-t ~o:l.i;; ~1-1';:;e~"7 '-ii".-Th;S-I; y~~~ to~iinc~m-. - - - -;1 22 23 :P.A CedJ:::en (see !r.strLi::t:on~) 1123 I 0 . i 24 ~.~eC:IC;1i sJ....,r~g::; iJC::OL;n: ced~c::,~n. ;":~J::~ Form 33:3 2245 Ii 25 M:)vlng e.oenses. ,,\~)C~ Ferm .:~~)3 or 3903-F " 26 Cne hai~:J~ se:lern:::I~J'men! tJl. "'!!.J.::~ Schec:.J:c SE 26 I 2J Self.cmoloyed ne<llth Insurance ceC',.Jctlon (see Ins:~ucld~ns) 11 I 28 i\ecqt1.1nd se;:~mp:~,.ed SEP )r1d S:~,~?~t P::::15 28 29 Penil1ty en t'Jrly wlt:1Craw.)1 01 ~<l'J,r',g::; 29 3OaA':rr.c~1;:.)~ bl<e-::::I~r,:'~S:;~j ~ 296-42-5911 3011 .! I:f'.e 32 I~ t,;1d,~f $29.2':<\J (l,ncJer $9.77') I~ J cnil!j (h1 n8! 1,';(' W::~ )'Dui, ".t~t' E:C In tn(' 31 /\dd lines:-:'3 3J:J 1;'~!n':C:I:]r.':i 32' 31 ^^ TI d' t d ~,ub:r:lC: !:fI'! Irem line _.:. liS Ir, yOl,;r a IUS e ~ross income BAA for Pnvacy Act and Paperwork Reduction Act Notice. see instructions. 2,855 O<'lnOI"",'. C, ,1'\111. 'n It''''p.CI ,19 I?~~~" V.wrsod.ISteunIyNo. 310-50'9343 SpOil.... 50(1.1 Stellnly No. For help lInding line Instructions. see Instructions in the booklet. Yes No 1- NO.olbo... (h(hdon "Illd'b No.olyour childrlnon 'cwho: . liVId lJI'IthyoII . dldnothv. lJI'Ithyolldll.lo dIl,Iolno,..p- .nb,"(n. in,II"cba"'1 (4)No 01 rr.onlhslt'Jed myo:J(ho~e Inls-97 12 12 12 D.pudlnh onlill'" notul.,.d .bov. ~ Do you w,ml $3 to go to IIllS fund? II a 10lnt return, does your $pouse wilnl $3 to 'Ia to thiS fund? 1 _ Single 2 _~ M<:lfflCd tiling 101nt return (even II only one had Incomc) 3 _ t'..1JfflCd Iillng scp<:lrale return. Enter SPOU$c's SSN Jbove A. fu:1 name here ~ 4 'X_ Head at household (WI"" QU<llllylng person). (See InstructIons.) It the QualifYing person IS a cMd but not your depencent. enter thiS chilel's name here ~ Qualllylnq Wldow(er) With dependent cnlld (year spouse died ~ 19 ). (See InstructIOns.) 601 ~ Yourself. If your parent (or someone else) C<ln cl<llm you as a dependent on hiS or her tax return, do not check box 6a Addllvmb." tnt."don Iin...bov. 7 8al 9 I 10 I 11 12 13 14 15bl 1Gbi 17 18 I 19 20bl DEFENDANT'S I ~I:rr . :z. -('" FCIl'OlI2 \::::")7 x HOI. C"~(~,n" 'r,.s wllll'lOICo'l.Jfl;L" roo"" O"f'ltuc,. ,0"",II.",d ~I r--;I II II .. 4 77 . 057, 18, 118, 3,609, 13.520, 94, 322 , 2,855 91.467, ~ 1040 (l(.~J';') Form 1040 i9'.J7 Tax Computation It you want lI1e IRS to figure your tax, see Instructions, Credits Other Taxes Payments Attach Forms W,2, W,2G, <:Ind I099.R to page 1. Refund Have It directly deposited! See Instructions ;:m(j 1111 In 62b, 62c, onct 62d, Amount You Owe Sign Here Keen a cooy 011:115 return tor your recoras Paid Preparer's Use Only LYNN W ROLF, JR 33 Amount from line 32 (adjusted gros~ Income) 34. Ol~k II: 0 You MIl! 65/older, 0 Blind; D Spouse WJ5 65/older, Add the number 01 baxc$ checked above and enter the tol;]1 here b II you tire mamed filing separately and your spous~ Itemlles deduct,ons or you were i:1 dual. status allen, see Instruchons and check here 35 Enlel ftem'led deductions lrom Schedule A, line 28. Or the IUQl!r Standard deduction ~hown below tor your fIling status. But 01 see the InstructIOns It you checked any box on line 34a or 340 yoUI. or someone c;)n c!<:Jlm you <:JS <:J dependent. · Single - $4,150 . Mmrrcd tiling JOintly or Qu;)llfylng wldow(er) --$6,900 · Head 01 household - $6,050 . Married filing separately - $3,450 36 Subtr;)ctllne 35 from line 33 r7 It line 33 IS S90,m or Ifss, multiply S2,65O by the 10lJI number of e~cmpllons clJlmed on line Gd. II line 33 IS over S~,~, see the '.loOlksheet In Ihe Inslructlons lor I~,e Jmounllo entcr 38 Taxable incoma. Sublr<:Jct line 37 tram line 36. l'llne 37 IS morc th;)n line 36. enter .0. 39 Tax. See Inslrs. O1eck.1 Jny lax Irom a ;---; fOlm(s) &214 b 'I fOlm 4972 40 Ct~ll for child and dependenl CJre ClpfnSes. AttJCh form 2UI 40 41 Crecllt tor the elderly or the disabled. Attach Sch R 41 42 Adoption credit. Allnch Form 8839 42 43 Foreign lnx credit. AtlLlch F~'!l1116 43 44 Other. Check If lrom a Form 38CO b' IF arm 8396 ~ " - c ~ Form 8801 d --: Form (specify) 4S Add lines 40 through 44 46 Subtract line 45 frem line 39. It line 45 IS more than line 39. enter .0. 47 SeU.employment tLlX. Att41Ch Schedule SE 48 Alternative minimum tax. Attach Form 6251 49 SS and Medicare l.u on lip Income nol reported to employer, AIlJCh Form 4137 SO hI on Quallt:ed retirement plans (mctudlflg IRAs) Jnd MSt..s. AttJch Form S329l1 rfl:iulred 51 Advance earned Income credIt payments lrom Form(s) W.2 52 HOU$ehQld employment taxes. Att<lCh Scnedule H 53 Add Irl$ 4& . 52 ThiS IS our tohl 1.11 54 Federal Income tax Withheld Irem forms W.2 ana 1099 44 I' 54 55 1997 estimated tax payments and iJmounl applied rram 1996 return 56 a Earned Income credit. AlfJch Schedule fie If you hJve a QUJllt~lrrg chlld b NontalJble eJlned Income amourrt . Jnd type ~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 57 Amount paid With Form 4,1363 (reauest ter extension) 58 Exces~ SOCial security and RRT A tax wl~eJd (see Instrs) 59 Other payments. Check 11 from a Form 2.139 b Form 4136 55 J 571 58 159 60 Add lines Sot. 55. 56a. 57, 58. and 59. Tr.ese are your total oavments 61 If line 60 IS more thJn lme 53, subtrJcllme 531rcm Ime EO ThiS IS the .Jmcunt ytlu OverpJld 62a Amount of line 61 you want Relunded to You . b Routing number cType: '-. Checking ~ d Account number 63 Amcunl ot Ime 61 'f'JU I,I,'Jrrt Applied 10 Your 1998 Edim.lled Tu ..I 63 I D8tlnd .. .. 34b 0 } 13.473, 310-50-9343 33 Po e 2 91 467, 34. 35 6.050, 36 85,417, r7 10,600, 38 74.817, .. 39 16.369, No 45 ," 4S 47 48 49 50 51 52 .. 53 17,721. 16.369, I. 352, 101. ..160 61 .. 62.1 ~ Sa....lngs 13,574, 64 If line 53 IS more tMn line 60. subtract line 60 tram line 53. ThiS IS t'1e Amount You Owe. for details all how to pay, see lnstruC:lons 65 Estimated tax penalty. Also Inc!ude on line 64 1 65 I Uncltr pltnl'lrlt' 01 Plt'rury, I declOI'1t tI'IIII1I"" It..m'n.d t'" ret!..,n and aCCOf'T'p.lny,nq uhe!\lle, OInd \l.ltlt,.,ltn!\ ~,.d!,) thO\' be,! ot my kno",Iel:l;It.1nd tlJ"1!'1 ~.Y a,ll' Ir~" cOffl!'cl and cOf'T'pill'~" Dll'{:3.almn 01 P":.1'll" (otl'.e' ltlan t,lI>pa~'I!") "bOl~f'd;:ln .1:I.n!ormatcn cl....h.ch prepar" 11.1\ any knO'ololltdljl1t You, S'ijnOltl.rl! I DOlle 1 ~ oOl:e ~ P'l!pa'e', lrrro. S,q""lwlt ... IO~ ~l\~ F.,m,rl:.m, (~r ~cur' ,I "'II..mpIO)~n lI1dAdu'''n EY ~ 541 BRIDGE...2.T.B.EET NEW CUMBERLAND fCIAOll~ l-:rJl:N] Ynu. OC~..:lal,on mLITARY SCQl,j~t, Ccc~palJon Ct,ItCk'! Ullt"'c.oyO'd X I,,, PA l!pcO<l' .. 64 4,147, Prl'parer, SO<:lal S<<unl'VCio 189-46-7069 25.1578941 17070 Fcrm 1040 (IS'"7) Schodulo 0 (Form 1040) Capital Gains and Losses O~Ofj() 1~5()(J14 D'~I'~.nl 01 ~. Tltulo'Y Intff11llllh.,IY.::.....'u .. Attach to Form 1040. .. Sea instructions lor Schedule 0 (Form 1040). .. Usa Schedule D.' lor mora space to list transactions for lines 1 and B. 1997 12 tlam.(\)Sho"'rt()nFofrP\1D40 Yow, Sod. I S.uutty Nllmb., LYNN W ROLF. JR I Part I I Short-Torm Ca ital Gains and Losses - Assets Held One Year or Less (a) D.w'pl,nn 01 (b)O.lI'IC'lw.<J (C)O..I.lOld (d) 511.\ pnc. (0) Co,l Of prepttty lEurl1pl, (Mo d,y y'l (Mo, day. yr) oll'lI' bu,' 100 Vl,UIl\ ').YlCo) 310-50-9343 (f)GAIHofllOSS) rOR ENTIRE YEAR, S"bt"tl(') "om (d) 2 Enter your stlOrl.lerm lolals. If any, from ~cnedulc 0.1, line 2 2 3 Total short-term sales price amounts. Add column (d) of lines 1 C1nd 2 3 4 ShorHerm gain from Forms 2119 and 6252, <Jnd short.term gain or (loss) Irom Forms~,67S1,and8824 . _ . 4 5 Net snort.term gain or (loss) Irom partnerShips, S corporatIons. estiltes, and trusts ~om Scnedule(s) K,I 5 6 Short. term capital loss carryover. Enter the amount, II any, Irom line 9 01 your 1996 Ca;Jltal Loss Carryover Worksheet 6 7 Net short-term capital ain or Closs). Combine lines 1 throuGh 6 In column (f) ~ 7 Part II Lon .Term Ca ital Gains and Losses - Assets Held More Than One Year (a) D,w'pllon 01 (b) DJ:' ~eClu,r'd (c) D.1lr \old (d) S".n prier (e) COil or (f) ~IH or (lOSS) prop'rt;. (E'.1mtl, ~'o doOy. )') (Mo (l.1i, ),j c:r.,r b.1\I\ FOR EHT1REYEAR, 100 Vl.iIU 'XVl C<'l) SUb:f.1C: (.) trom (d) (g) 21'4 RATE ~IN ar(lOSS} '(,..instruction,) 1046sh F1D DEST 9.280,1 3,407,1 8 VaflOUS 02/10/97 12.687, 1 I I I I I I I 1 I I I I I 9 Enter ~our long-term totals, 11 any. ~l I from ched:.J!e 0.1, line 9 10 Total long-term sales price amounts. ACd column (d) alllnes 8 and 9 12,687, 11 Gain from Form 4797, Part!; long.term OJln from Forms 2119,2439, and 6252; and long-term gain or (loss) Irom Forms 46s.1, 6781, il!1d 8824 11 12 Net long.term gain cr (loss) frem parlnerSl"lIps, S corporations, estates, and trusts from SChedule(s) K.l 12 13 Capital gJln dlstnbul:Qns 14 Lo~g-term capllalloss C<J,rryover. Enter In both columns (f) and (g) the amount, II any, !rom line 1401 ycur 1996 Capita! Less Carryo"i'er Worlt.st".eet 13 202, 14 15 C)r"'~,r~ I:nes 8 t,.l'C'~:;:1 1~ In column (I]) 15 16 ~I 16 3.609, . 28% Rate Gain or Loss Ir':::iJCe~ all ga:n:. fi:1C losses In P,ut II, COlumn (f) Irom sales, eXC,"1Jnges, or C8r.'..e~5C:1~ (Includ:ng Ir.slall~ent paymen:s rec':!l'.ed) either: . Before M.JX 7, 1']']7, or . ANer Ju!y _8, 19()7, for .J:.sets he~d more lhan 1 year bul not more :h<1n 13 r."l.::r.:hs. It also IIIC'uces All 'col'~::!;ble5 g31ns i)ntj losses' (as defined In the InstructIOns) BAA For Paperwork Reduc1ion Act Notice. see Form 1040 instruc1ions. ')che(J~J't~ 0 (Fon" 1C":::) ,:-,:)7 FDIA:612 lCI2~i'~7 SChedule 0' (Form 1040) 1997 LYNN W ROLF, JR Part III Summa 01 Parts I and II 17 Combine lines 7 and 16. If a lOSS, go to line 18. 1103 (}1In, enter the gilln on Form 1040, line 13 Next: Complete Form IO.~ trlrough line 38. Then, go 10 Par1IV 10 IHJurc yaur lax It: · Both lines 16 and 17 arc gains, Ind. . Form 1040. 110e 38. IS more than lero. 18 It line 17 IS a loss. enfer here Jnd os a (loss) on Form 10....0. lIne 13, tho smlller at these losses: . The loss on line 17; or . ($3,QOQ) or I II lni)rfHH.2 hhng Sepilriltcly. ($1 ,SOD) Next: Complete Form 1040 through line 36. Then, complete ttlC Capital Lon CanyoverWorksheellr: · The loss on line 17 exceeds the loss on line IB, or . Form 1040, line 35. IS a loss. Part IV Tax Com utalion Usin Maximum Ca ital Gains Rates 19 Enter your taxable Income tram Form 1040, line 38 20 Enter the smaller of line 16 or tine 17 20 21 II you are filing Form 4952. enter the amount tram Form 4952. line 4e 21 22 Subtract line 21 tram line 20. It zero or les$. enter .0. 22 23 CombIne lines 7 and 15. II zero or less. enter .0. 23 24 Enter lhe smaller at Iln~ 15 or line 23. but nat le~$ Ulan zero 24 25 Enter your unrec<lptured section 1250 gain. It any (see InstructIOns) 2S 26 Add lines 24 and 25 26 2J Subtract lIne 26 from line 22. It zero or less. enter .0. 28 Subtract lIne 27 fram line 19. It zero or tess, enter .0. 29 Enter the smaller 01 line 19 or $41.200 ($2.1.650 II SIngle: $20.600 It married fIling separately; $33.050 It head ot nouSeholO) .. .. . . 30 Enter tne smaller 01 line 28 or line 29 . 31 Subtract line 22 from line 19. It zero or less, enter .0. 32 En:er tile larger of line 30 O~ line 31 33 Figure the tax on the amount en line 32. Use the TaK Table or Tax Rale Scnedules. whichever applies 34 Enter the amount from l.ne 29 35 Enter the amount tram line 29 36 SUbtract hne 35 trom line 34. If zero or less. enter -0. 310-50-9343 Pa e 2 17 3 609. 18 74,817, 19 3.609, 3.609, 0, 0, 0, Z7 28 3.609. 71.208, 33,050. 33.050. 71,208, 71.208, 15 647, 33,050. 71 , 208. O. 29 30 31 32 ~ 33 34 35 36 ~ :r7 3B 39 40 0, 3,609, 0, 3.609, :r7 Mu:t'ply lIne 36 by 10% (,10) 38 Enter the smaller of line 19 or I:ne 27 39 Enter the <3mount from line 36 40 Subtract line 39 from line 38. It zera or less. enter .0. 41 Multiply line 40 by 20% (.20) 42 Enter the smaller of line 22 or line 25 43 Aoo lines 22 and 32 44 Enter the amount trom line 19 45 Subtract line ~ Irem line 43. II zero or less. enter .0. 46 Subtro..:t line 45 Irom line 42. it zero or less. enter .0. 722 , 0, 0, 0, 47 MultIply line 46 by 25% (.25) 48 Enter trle <3mount from line 19 49 Aoe IIr:es 32. 36, .:.0, and ~ 50 SL.:btr<:lct line.19 from line .:s 0, 74,817, 74,817, 0, 51 MUltiply line 50 by 23% (.28) 52 ~..cc: lines 33,37, -11, ~7. J'"::l51 53 Flg'..Jre t:1e tJ.:. en :!1e J.r'"lCl.:1t en I.ne 1? Use tn-= Ta:.: TaD1e or Tax Rate SCt"lccules, ....nlcnever ap~lles ~ 51 52 53 0, 16.369, 16,655, 54 Tax Enter tne 5maller of I."e 52 or ];r.e 53 here nna ')n Form 1040. line 39 ~154 16,369, F21t.;:6tz 1.;;1(,19' '... --.J PA 40 - 1997 9700211015 L ROLF JR LYNN W 310-50-9343 13 46.00 :'4 46.00 15 .00 16 .00 17 .00 18 .00 19 .00 20A 208 .00 20C .00 21 .00 22 .00 23 .00 24 .00 25 .00 26 46.00 27 .00 28 0.00 29 .00 30 .00 31 .00 32 .00 33 .00 34 .00 35 .00 13 Total Pennsylvania tax !lability. Enter your tax due from line 12. page I 14 Tolal Pennsylvania lax withheld from W.2lorms 15 CredIt Irom your 1996 Pennsylvania Income Tax Return 16 1997 estimated Installment payments 17 P<lyment made WIth your request for an extenSion of lIme to hIe your 1997 PA.40 line 18 is for nonresident partners. shareholders and members only 18 Tax wltnheld as reported on your PA Scnedule(s) NRK.' 19 Total tax withheld, payments and credits. Add lines 15 through 18 ...... lines ~Oa, band c are to list Infonnation from PA Schedule SP 20a Dependents, Part 8. hne 2 20b Total eligibility Income. Part C. line 11 20c Tax forgIveness credit trom Part D. line 16 21 Tolal credit for taxes paId to other states or countnes. Anach your PA Schedule(s) G or PA Schedule(s) RK,\ ZZ Pennsylvania employment Incentive payment credit. Att;;lCh PA SChedule(s) W or PA Schedule(s) RK.1 or NRK.l 23 Pennsylvania Jab creatIOn tax credit. Attach your certificate 01 credit from tne PennsylvanIa Department of CommuOlty and Economic Development or PA SChedule(s) RK.1 or NRK.1 13 46.00 14 46.00 15 .00 16 .00 17 .00 18 .00 19 .00 20. 20b .00 20c .00 21 .00 22 .00 23 .00 24 Pennsylvania waste tire recycling Investment tax credIt. Attach your certlllcate at credit from the Pennsylvania Department of EnVIronmental ProtectIOn or PA SChedule(s) RK.1 or NRK.l . 25 Pennsylvania research and development tax credIt 26 Total payments and credIts. Add lines 14, 19 and 20c througn 25 Z7 Tax Due. If line 13 IS more than hne 26. Enter tne difference here 28 Overpayment. If hne 26.s more than IJne 13. Enter the difference here 29 Refund - Amount 01 line 28 you want as a check mailed back to you 30 Credit - Amount 01 line 28 you want as a credit to your 1998 EstlmfJted TfJX Account 31 Donation - Amount at line 28 you want to give to the Wild Resource Conservation Fund 32 Don.1Ilon - Amount of line 28 you wJnl to give to the U.S. Olympic Committee, PennsylvanIa Division 33 Donation - Amount or line 28 you want to give to t:'1e Organ Donor Awareness Trust Fund 34 Donation - Amount of line 28 you want to give to the KoreaNietnam Memorial.lne 35 Donation - Amount of line 28 you want to give to Breast and Cervical Cancer Research The total of lines 29 through 35 must equal line 28. SignltIU"'.). Unci.' ptnal~n ot ptfl"ry, I <let II'. 1:"11 I hI'. .um,nlffi ~," ,,,~'n .ncl..c,ng I!I aaompln,.ng \Cht'Cl.;ln In<l \tll.m.ntl. a~d 10:-. tnl 01 my (au.) b.I,.'Itl.y I..ll\l.. cO"IPcl and CO"'pIIP'. lour ::',gnatu'. 24 25 26 'lJ 28 29 30 31 3Z 33 34 35 ....a:. 10<,' U""'lla:'on ::'~lOU'." ~,g"atl..or. Loa!. ~PDU'"'' uc~..pa!'on P'.II"IP.o.campa"yna,..1P altl,'~ant...pay'''''\ t..".a on;lll",tQ.m;lIJOnc!..n,cnl!'lt,lItp;lrlPrf1a"any.no..lfodg" P'.p;I'., O' Lampafly Nam. (;ll.n" p,onl) BRIAN H, CAREY 541 BRIDGE STREET NEW CUMBERLAND PA 17070 \.ial. l"l.p~on. I.u....:;.. .00 .00 46.00 .00 0,00 .00 .00 .00 .00 .00 .00 .00 MILITARY ""<f".lI..r" \"0 0""" (717) 77 .4382 L PAt,10-' I;' 1~"~~.';1 ~~8 ~-:f!)Q'\\Btt lM* 5" - - '2.1 - q, 9700211015 It thiS IS an amended return. mark thiS space. Option for a 1998 Booklet. It you do not want a 1998 tax booklet next yeiJr, cneck here. If you paid a pre parer, ask It he or she 15 uSIng thiS oplton. Daytime Pnone Number: 717-245-3396 loullnlonn~t1on. Enler \loIhere you lived 3S of December 31, 1997. County: CUMBERLAND Mun>"pah~/: MIDDLESEX TOWNSHIP Scneol D'strlCt: CARLISLE AREA FInal Marrted Filing JOintly School District Code: 21110 " ---1 PA 40 - 1997 9700111017 Pennsylvania Income Tax Return Commonwealth of Pennsylvania PA Department of Revenue FI~cnl Year beqlnnlnq and endlnq 310-50-9343 RO A 8 ROLF JR LYNN W AC 24-E GUARDHOUSE LANE PN CARLISLE PA 17013 SC 1A 1630. DO 18 .00 2 .00 3 .00 5 .00 5A .00 7 .00 8 .00 10 .00 11 1630.00 Please lold page along thIS Iln~ Fiscal year filers. mmk thiS space. 310-50-9343 RO ROLF JR LYNN W 24-E GUARDHOUSE LANE CARLISLE PA 17013 Res!dency St.3lus. aec~onlyoneboI Type Fifer. Check only one box. S Sm~le F M X Matrledtlllng J SepJrJlely o DectJ~eo Date 01 Death; R NR P from to x ReSident Nonresident Part.year reSident L o o o FY RS FS o R M 717-245-3396 21110 1C 1630. DO 4 . DO 6 .00 9 1630 . DO 12 46.00 SSN, N,m. or Addr.ss Ch,nq.. II Any of the 3bove mtormJ!;cn you entered IS dilferent !I:;m your 19% PennsY~3rlla l.u return or the l.lbl!:1. .lna 11 you dld nollile 31996 Pennsylv.lnl3 t1); relurn, check thiS t~L 1 a Gross PennsylvLlnla taxable compensLltlon from W.2 forms and other wage stLltements 1 b Unrelmbursed employee bUSiness e)(penses from PA Schedule UE 1 c Net Pennsylvania ta)(able compensatIon. Subtract line 1b from la 2 Pennsyllianla taxable Interest. Comp:ete and at~ach PA Schedule A If o..'er $1,000 3 Pennsyllianra la)(abJe dlvldends. Complete and att<3ch PA Schedule 8 ,1 olier $l,OCO 4 Net Income or (losS) Irem operiJtlan 01 business, professlcn or farm 5 Net ga'n or (loss) tram the S<3le, exchange or diSposition 01 property Sa Amount of gain excluded (from PA Schedule PA.19) 6 Net Income or (loss) tram rent:::., roya:t!es, patents and copyrlgtots 7 Est<3te and trust Income 8 Gambling and lonelY wlr'.nlngs 9 Tohl Gran Pennwlv,nl, huble Income. Adj tr,e Income ,mounts ham lines lc. 2. J. ~, 5. O. 7 J.~j ~ Do Not Subtract Any (Losses) Reported on lines 4, 5 or 6 10 Contributions to your Medical Savings Account (see instructions) 11 Net Pltnnsylvania Taxable Income. SLJDtract line 10 frGrn line 9 12 Tohl Pennsylv,ni, tn Il,bihtv. Mulllply line 11 by 2.1'1, (0.Ql8). [ntervour In dlle here Jnd on line U. p'qe 2 L 9700111017 NIA;A 12 1 :'!G~t<j: 10 1,630 .00 lb .00 1c 1.630.00 2 .00 3 .00 4 .00 5 .00 5. .00 6 .00 7 .00 8 ,00 9 1. 630 .00 10 ,00 11 1 . 630 .00 12 46,00 9700111017 ---1 - 'It ~i ;~ l~ *CIl~ ;,H a ~ ~o. ..... -I . e M l~ ;CD !U) ~--.l ; . ~ '\ . ~i ....or.... ~ ...~ .....0 . ,"0 lj....,. : ~, lj..... 10' "'i. 1 O' ...:~ ;- .~ ~ ..... '" . .. ...!. %~-=m UI~ %~.~ ~ UI, 0:. ."-.1\ ~ j . ll1, 10' o;~~ ..: ~ .,J~ 81 ...' 0'" r...... . .~ r ~ .... ...r'" ~ w~ ....t.n.. .. Ill'" CIlOl i UI. ...c.. . ... "" ~'" , xo "\-- "" . ... \ ...- ..... ~ : ...1Il~ "'0 Z N , Z... ." " ~ "'. . ,. ..... ~ . ... ~ ...z 01 . en....... '" :: ",0 '" ... 111 ~ .... . c.. , ..... .. 0 CO ..,' ,... . CO ...0 0 co UI! CIl" .. ~ . . 8 '" .' . ",' ..J.i; 0 . . III ",' III o' Z ~ . ; .. ~ 0 ... L)~ ~ :: . ~ ~ ~ -0 , -.." ~ : . t r n:: ., On i ;. ~OJ 01' 0 . ~ :z .. ~ . i . p n . I---- ~ . . ; ~ ;;; ~ \ ~ . i III 0\ . , . . ,. ~ \ III . '!' . ~ , . ~ " - 0 . :: 0 i 0 ~ .., 01 .., 01 0 ~UI 111 UI ~il .. . . . '" '" 8 ~ ~ .. .., ~ 8 '" 8 " 0 '" 0 0 . ;: ;; . . . ~ j Oil :- \ r . . ; ;. . . ~ ; . l ! . , i 011 . \ . . I---- '!' \ t ~ i - ;: . ;; . , 0\1 ~ i ~ . ... 0 0 ... . , co 111 01 ... . 01 01 CD ~ CD 0 . ~ ;; 5' ~ 3 !! 0' :'li "." :rll 5"3 ..a -~ c~ 3~ ~;. aa 0.... ~ c;: ~.. i~ 5" ~- It~ ~J . f- :if ~:i c~ aC ii, . a \ S\,? DEFENDAtrt'S I~IBIT , &G" ,>..J .-.__.._.__._----_..__._--_._._-------------_.__._~ , .g...llpI.otn.,COIIIP. 1600.00 , .r. 'nco.....la..nthh. s r.OCI.'I.cUfl1y "",.Q'. 1600.00 MedICII' ",.q.. .nd ups 1800.00 206,88 4 50ClIIIKurlty tl' ",lttlMld 99.20 & ",.dlcl" tal withh.ld 23,20 b EmpI2"" F ED 10 1I\llllbltl . E",pl~"" 55'" "ulllbel 3.1352692 10.50.9343 1 SOC'I' ..currty 'IPS I' AIlOC1tfll bps ....nc. paym.nt 10 D.pend.nt CIr.lMI\I'fM onqloi' . pin' 12 e.ft..rt.l"clud~ In bol , 13 5_111lt'-.,or bol 13 " Ernplayt' UN only ~ A 184 1 l ~ " Il \\ '. " . cont,ol Hum"' Depl COrp. 031050 JFF 670520 c EIl'lpIOY"" lI.m., .dd'...., .nd ZIP c.ode WILSON COLLEGE 1015 PHILADELPHIA AVE CHAMBERSBURG PA 17201 LYNN W, ROLF JR 24E GUARDHOUSE LN CARLlSLE.PA 17013 11 SI,I. EnlfkJy.,...t''''D 11 SI.t.wllQn,\Ips,1I'lC- PA 23 352692 1600,00 1t St.I' Income t.1. l' Loc.1Ify lI.rM 44,80 CHAMBRSB 20 LOCII W'Q'" 'l~. Itc. 2' lOC..lncome ,.. 1600.00 16.00 Fodoral FIling opy ~:..~ :;~o:~;'nt,u3~~1 3up DEFENSE FINANCE AND ACCOUNTING SERVICE MILITARY LEAVE AND EARNINGS STATEMENT 10 ~A~E IlASt, fiRST, Wit Ql.Ll.YIllLlL~ ENTlTLE,.,ENTS TVPE PAy DU[ "IS he P[RIOD COVERED SUMMARY AMOUNT oA"" fWO :;: Hlf .TOT UlJ 7e. !lJ .TOr OED 115,85 eO.J? .rOT ".Lt.U 3ce.Do A B BAS C o E F G H I J K L M N o AMOUNT TVPE AMOUNT TYPE . . I ~OO:83 . 155:70 FICA-SOC SECURITY INSURANCE ALLOT FICA-MEDICARE 113.eg CE ALLOT STATE TAXES 3ag,05 NSURANCE ALLOT Sell FOR 200,000 17.00 INSURANCE ALLOT DENTAL 111.011 BANK Acel AllOT .tlEl AMI 'CR fWD '[OM PAr 3,721.22 TOTAL " lEAVE FICA TAXES PAY DATA AX Y 0 TAX no PACIDH REMARKS: YTO ENTlTLr tQA"'I? '0 YTD DEDUCT r\.c"R q, 31 0 000.410; FORM W-4 OR 2058-' RECEIVEDb VERIFY INPUT BOND NOt PURCHASE PRICE 5 ,DO DEDUCTED TO DATE 25,00 ITO FOAM W'4 RECEIVED, BANK CCNB BANK NA Acel N 5001010635 VERIFY INPUT DFAS Form 702. May 9Z # fr{ II, 'It q~,~1-- r ')'-/ t.. ..luc Lt.{"/'] -:/, J ..' .. .., .', 11 : , L' j.,,'( f /, uw:ratDANT'8, '~BIT' I .,. .1:.t~ In the Court of Common Plea~ of CUMCERLAND Counly, Pennsylvania 1l0.\lf~'TIC IIEI.A TIO);S SECTIO); 1'.0. IIOX JIll. CAIII.ISI.E.I'A. 17111J Phone: (717) 240-6225 Fax: (717) 240-6248 APRIL 3, 1998 Plaintiff Name: MARY p, ROLF Defendant Name: LYNN W, ROLF JR Docket Number: 97-3512 CV PACSES Case Number: 228000071 Other Slate ID Number: J'll'8.\l' Doll': AU corn"pOndl1lC'I' mu't incllldl'lhl'llACSES Ca.\l' ~umbtr. Income and EXDense Statement THIS FORM MUST BE FILLED OUT (If yuu are self-emplny~d or if yuu ar~ salari~d hy a husin~ss uf which yuu ar~ uwn~r in whule or pan. yuu must also tilluullh~ Suppl<m~ntallncum~ St;JI~m~nt which app~ars unlh~ last pag~ uf this inCllm~ and expell'ie stal~m~nt. ) INCOME STATEMENT OF LYNN W, ROLF .1R I v~rify that Ih~ stal~m~nts mad~ in this InCllm~ and Exp~n,", Slal~m~ I fals~ Slal~m~nts h~rdn ar~ suhj~ct tu th~ criminal penalti~s uf 18 P , C. falsiticatiunlU aUlhurili~s, ~ lru~ and curr~ct, I und~rsland thai . ~ 4904. relaling IU Ullswurn Aoril 25. 1998 Dat~ INCOME: Empluy~r U. S. ARMY Addr~ss U.S. ARMY WAR COLLEGE Type ufWurk INsrRUC'roR-- CAREER ARMY OFFICER Payrnll Nu. Gross Pay p~r Pay P~rind $ 6461.76 Pay P~riud (wkly.. hi-wkly.. ~IC.) MJN'Jl1LY It~mized Payroll D~duClillllS: Fed~ral Wilhhulding $1395. s"ucial S~curity $400.6 Lucal Wag~ Tax( OPT) lio.oO Slal~ Incum~ Tax $389.9 R~lir~m~nt $ Savings Bnnds $ Cr~dil Uniun $ Liti: Insurdnce ~7.00 H~alth Insurdnc~ $ Olh~r Deduclinus (specify) m?d kan> ~3.69 Dental \J 09 N~IPayp~rPayP~riud$ 4,301.66!)('r rronth!)('r Support GuidelinE's S~rvice Type M Form I Worker . Pa,:r:rIDAN'r8 "" EXHIBIT ' I-~ '1'2'-"'1' In~nllle and ExpelL~e Slalelllelll PACSES Case NUlllher 228000071 OTHER (Fill in Appropriale Colullln) INCOME WEEK MONTH YEAR Imeresl $ $ $ 18.00 Dividends 118.00 Pell~inn Annuily Snda) St:Curily . Rents Rnyallies EXJl<:tl~e A~~nulII Gifts UnemplnYlllelll CnlllJl<:ll';:uinJl Workmen's CnlllJl<:ll'iatinn I RS Refund Olher Olher TOTAL $ $ $_\>136.0 TOTAL INCOME $ (Fill in Appropriale CnlulllII) EXPENSES WEEK MONTH YEAR Home Mnngage/Relll $ $ $ Mailllellan~e Ulilities Ele~lrk Gas Oil Telephnne S185.00 Servke Type M Page lnr 6 ForIllIN.()()8 Wmker ID 21301 Incllme and ExpeIL~e Slalemelll PACSES Case Numher 228000071 (Fill ill Appropriale Clllumn) EXPENSES (continued) WEEK MONTH YEAR Waler $ $ $ Sewer Employment Puhlic Transpllnatilln $ $ $ ,- .. Lunch $15/WI?ek child 'on',_ ... Taxes Real Estate $ $ $ Personal Propeny Incllme II qq7 \ ~" linn n Insurance Hnmt:ownt:rs $ $ $ Automohile ~?'7 <;4 Life 218.94 Accidelll Heallh Olher Automobile Paymellls $ $ 223.84 $ Fuel 210.54 Repairs 300.00 Medical Dllelllr $ $ $500 00 DemiSI 50.00 Onhodolllisl Page 301'6 Form1N.OO8 Worker ID 21301 Service Type M Incul1l~ and Exp~ns~ Stal~I1I~1Il PACSES Cas~ NUl1Ihcr 22800007l (Fill in Apprnprial~ Cnlunl1l) EXPENSES (conllnued) WEEK MONTH YEAR Huspilal M~didnc Specialn~~ds (glass~s. hr'dc~s. nnhnp~dic d~vic~s) Education Prival~ Schnnl $ $ $ Parochial Schnnl Cnll~g~ $9,660.00 Religinus Personal Clnthing $ $ $1,000.00 Flxlll $500.00 Barher/Hairdr~ss~r '''.00 Cr~dil Paym~lIls: Cr~dit Card Charg~ Accnunt 300.00 M~mhen;hips Loans Cr~dil Uniun $ $ 225.00 (MARITAL DEBT ~ John PLC 250 00 Miscellaneous Hnus~hnld Help $ $ 1 liO on $ Child Car~ Papers/Blx)ks/Magazin~ 16.00 EIIl~nainm~1Il 75.00 Pay TV lQ lR Vacatinn ohnn "" Scrvic~ Typ~ M Pag~ 4 nf 6 Fnrm1N.OO8 Wmk~r ID 21301 Inwme and Expcll~e Stalemelll PACSES Case Numher 228000071 COVl'ruJ,:c . INSURANn: Health/Accident Disahility Income Dental ~v Other * H - Hushand W - Wife C - Comhined J - Joint COMI'ANY l'OLlCY # II W C x X X Supplemental Income Statement a. This t(lrm is to he tilled out hy a person (I) who operates a husiness or practiccs a {lrofession. or (2) who is a memher of a partnership or jmnt venture. or (3) who is a shareholder in and is salaried hy a closed corporation or similar entity. h. AUach to this statement a copy of the followins documents relating to the partnership. joint venture. husiness. profession. corporation or Similar entity: (I) the most recent Federal Income Tax Return. and (2) the most recent Profit and Loss Statement c. Name of husiness: Address and telephone numher: d, Nature of husiness (check one) (I) partnership (2) joint vcnture (3) profession (4) closed corporation (5) mher e. Name of accountant. controller or other person in charge of financial records: f. Annual income lhnn husiness: (I) How otien is income received'! (2) Gross income per pay period: (3) Net income per pay period: (4) Specilied deductions. if any: Page 6 of 6 Form IN .008 Worker ID 21301 Scrvke Type M . ~ IMPORTANT INSTRUCTIONS FOR FILING YOUR RETURN .D 9 TAXPAYER'S COpy Dear Client: In order to complete the filing of your tax returns, follow the instruction: Be sure to Ilgn all your returns at the RED X (I) r.eI II/I'll; ~ l,~&. ~ t!--,l / ?;/ll FEDERAL TAX ( ~ STATE (~) TAX ( ) LOCAL r-~ ) TAX ( ) OTHER () TAX () Your refund is $ Your balance is $ Make check payable to: INTERNAL REVENUE SERVICE Your refund is $ _. 07="-- Your balance due is $ - 0 - Make your check payable to PA DEPARTMENT OF REVENUE Your refund is $ - 0 - -(;)- Your balance due IS $ Make your check payable to REMEMBER: 1. Sign a'1d date all your returns (if joint. both spouses must sign). 2. Enclose your check for payment of any balance due, Print Social Security number, the year and type of return on each check, 3. Mail your tax return in the correct envelope, 4. Place your copy in safekeeping ESTIMATED ( TAX FEDERAL $ $ $ $ $ the facls on your return indicate that you are required to make quarterly estimated payments: STATE $ $ $ ----.--- $ $___ - $-- $ __ u__h_- $ $ _ _ __ . .._on_ $ LOCAL 010197 18 OMB NO. 1545-1309 1997 '1040PC FORMAT U.S. INDIVIDUAL INCOME TAX RETURN PAGE 01 OF 01 MARY PAT<ROLF 296-42-5911 39 310-50-9343 28 416 SOUTH HANOVER STREET APT Al CARLISLE PA 17013 PPECF N SPECF 6D-TOTAL 01 -------------------------------------------------------------------------- FS 3 6A-SELF X 3-SN LYNN W ROLF JR 1040 PAGE 1 7----------------28184 8A-------------------3 11----------------2855 22---------------31042 32---------------31042 1040 PAGE 2 33---------------31042 35----------------3450 36---------------27592 37----------------2650 38---------------24942 39----------------4301 46----------------4301 53----------------4301 54----------------3645 60----------------3645 64-----------------656 FIRM-ELIZABETH SEIDEL- ADD--5721 JONESTOWN--- -ROAD------------- CSZ--HARRISBURG PA---- -171124007-------- TOTAL INCOME LINE 22 TOTAL PAYMENTS LINE 60 SSNP-------161-32-3185 PEIN--------23-2434208 POCC-SALES------------ ADD INFO PDI---------I000000000 SEI------------------- SC------------------14 31042 3645 TOTAL TAX AMOUNT YOU OWE LINE 53 LINE 64 4301 656 Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your Signature ~l=:J-~ Preparer's S~gnatllre For Paperwork Reduction Date Spouse's Signature Date If./Lj.4 V Date Act Notice Statement, see Taxpayer IRS USE ONLY PAGE 01 OF 01 Notice 974 010197 18 Form 1 040 Label 1~'_III'):run'{)n'" Use the IRS label, OtherwIse, please pnnt or t~.pc. PresldenUal Elect/on Campaign (5....1II1o:ruC:'Oll' ) Filing Status Check ani y one box. Exemptions If more than '5IX dependents. see Instructions. Income Altach Copy B of your Forms W.2. W.2G. & 1099-R here. If ~'OU did not gel a W.2, see Instructions. Enclose. but do not attach, any payment. Also. please use Form 1040.V, JooI:"':"'OO'" 01'10.. 1...."l,''I - Ir\~..t".,1 ....~..',".. ~"'f""" I 99 U.S. Individual Income Tax Return tor the 'car Jan I . Dce 31. 1997. or other 1.11 car he Innlnq 1997 1997, cndln ,19 H~ u.... only - Jo IW): "",I.. III 1o:"FIot ,0 thl10 'p,\(. ~,;;g~" Your '1I'~ 'I.,,,,.. y, ...'....,'fl.. Yaur SOC'II Suunty No MARY PAT ROLF 296-42-5911 Spau..', 5o(.al SKwityo No. 1',1 Joon: ~":U"I Sl;nu\..... .1I....>l.1"... y, ..1..:"1.1'0.. 416 50UTlt HANOVER STREET Al 310-50-9343 For help finding line I"swetions. see Ins!Juctlons In the booklet Ves No -"nrn.. 1\.1,"..\\ (uumboor oill.l..~r....~) If "ou '1.1~...1 ,., 0 ,J<'\. ~..... Irl..~rU(..'(Wl.. ^I)anm,,"~ "<<l r..:y 10Wl1 (10' "'tl..~ Otl".. If "ou '1.111" 01 .nr"~l" ^,j.l,...... ~..... lh..~r"'~'ol" S~.l:.. II'" r,(lol.. CARLISLE ~ Do you want $3 to go 10 this fund? If a rOlnl return, does ~'our spouse want $3 to QO 10 thiS fund? PA 17013 x 1 Z 3 4 Smgle .. , Married fdlng JOint return (c\lcn If only one had Income) ,~, Married filing separate return. Enter spouse',," SSN abo\le & full name here ~ LYNN W ROLF. lR Head of household (With Quallfrlng person). (See mstructlons.) If the QU31JfYlng person IS, a chdd but not your dependent. enter thiS chi/d'<j name here ~ QuallfYlnq wldow(er) With dependent child ().ear spouse died. 19 ). (See instructions.) 6a .X Yourself. If your p,:uent (or someone else) can cl31m )'ou as 3 dependent on hIS or her tax return. do not check bOl( 6a 5 b ~ No. 01 bo... cMelted on 61lnd6b - No.otyolP (4) No. 01 ~l=~ on months lived . Iivltd In your home WTthyou In 1997 . dJdnotliw WIth you dull \0 divoru 0' up. arallon (t.H instNc1ioM) Souse c Dependents: (2) Dependenrs socIal security number (3) Dependenrs relatIOnship 10 ~'ou First name last name o.pendllnb on line 6c not.m.rtd ..... d Tota! number of ex em lions claimed 7 Wages, salanes, tipS. etc. Attach Form(s) W.2 Sa Taxable mterest. Attach Schedule 8 If reqUired b Tax-exempt Interest. Do not IncllJde on line 803 l~ 9 DIVidends. Attach SchedlJle B If reqUired 10 Taxable refunds, credits. or offsets of state ;:md local Income taxes (see InstrlJctlons) 11 Alimony recel\led 12 BUSiness Income or (loss). Attach Schedule C or C.EZ 13 Capital gain or (loss). Attach SchedlJle 0 14 Other gains or (losses). Attach Form 4797 15a Total IRA distributions ! 15al I b T3l(abte amounl (see Instrs) 16a Total penSions and annUities I16a1 b Taxable amount (see Instrs) 17 Rental real estate, royalties. partnerships. S corporations. trusts. etc. Attach SchedJle E 18 Farm Irlcome or (105'>). Attach SchedlJlc F 19 Unemplo)ment compensation 20a Sotlal security benellts 1 20al b Taxable amount (see Instrs) 21 Other Income. list t)pe and amount - see Instructions Add numbtra .nttrtdon lintS above ~ 7 8a 9 10 11 12 13 14 15b 16b 17 18 19 20b Zl ZZ 22 Add the ;n~o~nts ~n th~ fa~ r~Qt~t ~olu~~ f;rll;e~ 7 .-21. -Thl'>-IS~ ~u--;. toiaiincom-e - - - ~ 23 JRA deduction (see InstrlJct,oIlS) f 23 24 Medlf.:al '>;]\Ilnqs Jccount dcduclton. Attach Form 8853 : 24 1--- ._~-_.. 25 MO"'lng c..pcn..e.-. Attach Form 3Q03 or 3903 r _.2~5__ ----~______I 26 One tlJlf 01 ..ell ernplo~mcn: 1.J1I .'!tach Sd'Cdlj'C sr 2267-.j_-.---.-- ___...-u_. ___'_____1 If Ilnc 32 15 27 Self emplo~'ed he.Jl!h In,>urarce deducllt'J1l (<;,ee In"ULct,on..) lJnder $29.290 28 KOOI}h anll sell'l'fnllIU\,l.o SiP a'ld S;MPlf. plans -.~~~=~.=--=~==I ~U~~I~~ ~~(/:o~ If 29 rcnall~' on C.Jf'~' w,t11draw.J1 01 ..a""f'1q.. 123-90.at -- .... H_'--'~l live With )'ou). 30a Alimonv Oil", b Rt'fl(h!nf's SSN" _ _______ __." _ ~ee [Ie In the 31 f'dO line.. 73 30.] 31 Irl')truc!;on.. .~~_~~~t.!_~~..!..::~e} 1 _1!!!!!1__1~~1(' ??_ T!I~~~'" i'~_tlr _adju5te~_9ro.u income: .. _ . ..a:- 32.- 8AA For Privacy Act and Paperwork Reduction Act Notice. see instructions. Adjusted Gross Income No'- (Jo#tf".'ng ."ei'WI/lnol c:h.Jnl}ff I'OlJr'.uo"ttd.K'e I'CllI'f.rlJfld II CJ CI CJ 28 2 855, 31.042. 31 , 042, Form 1040 (19971 ;,'..11:- 1.,1', Form 1040 (1997) Tax Computation If you want Ihe IRS 10 f.gure your tax, see Instructions. Credits Other Taxes Payments Attach Forms W,2, W.2G, and 1099,R to page 1. Refund Have It directly deposIted! See Instructions and I,ll ,n 62b, 62c, Jnd 62d, Amount You Owe Sign Here Keep J coP}' 01 thiS return for ~'ol.lr record.. Paid Pre parer's Use Only MARY PAT ROLF 33 Amount from line 32 (adjusted gross Income) 34a Chock If: You lPIue 65/older, . Blind: . Spouse VIas 65/older, Add the number 01 boxes checked above and enter the 101.11 here b If you arc mamed '!lmg separately and your spouse IICffillCS dcducllons or you were a dual-status allen, see instructions and check here 35 Enter ~temlzed deductions from Schedule A. line 28. Or th. luoer - Standard deductJon shown below for your f.llng status. But 01 sce the lnstruchOns If }'OU checked any box on line 343 or 34b )'OiJr. or someone can claim ~'ou as a dependent. · Single - $4.150 . Married fdlng Jomtly or Quallf)'lng wldow(er) - $6,900 · Head of household - $6.050 . Married fdlng separatel)' - $3,450 36 Sublract line 35 from line 33 37 11 Jlne 33 IS $90,900 or less, rnultlply susa by Ihe lotal number of eJemp!lons tlalm..d on line tit. If line 33 IS over $90,900. see the 'R'orkshoetln the Instructions for the amounlto enter 38 Taxable income. Subtract line 37 from line 36. If line 37 IS more than lne 36. enter .0. 39 Tax. See Inslrs. Chock If any tax from a form(s) 8814 b form 4912 40 Cre€ht for child and dependenl care eJpell$es. AMach form 2441 40 41 Credit for the elderly or lhe disabled. Attach Sch R 41 42 Adopl,"n cred,1. AIIJch Form 8839 42 43 Foreign lax credit. Allach Form 1116 43 44 Other. Check If from a Form 3800 b Form 8396 c Form 8801 d Form (spec'fy) 45 Add I,nes 40 through 44 46 Subtraclllne 45 from line 39. If line 45 IS more than line 39. enter .0. 47 Self.employmenllax. Attach Schedule SE 48 Alternalt\le minimum lax. Attach Form 6251 49 SS and Medicare la. on tll'llncome nol reflOned to employer. Attach form 4131 50 Tax on Qualified retirement plans (mludlnlj IRAs) and MSAs. Attach Form 5329 If requm~1 51 Ad\lance earned Income credit payments from Form(s) W.2 52 Household employment taxes. Attach Schedule H 53 Add Ins 46 . 52. ThiS IS our total tal 54 Federal Income tax Withheld from Forms W.2 and 1099 44 54 Bltr,d ~ ~ 34b } 3.645. 296-42-5911 33 Pa e 2 31 042, 34. 35 3 450, 36 27 592, 37 2 650, 38 24 942, ~ 39 4.301. 45 ~ 46 47 46 49 50 51 52 ~ 53 4.301. 4.301. 55 1997 estimated lax pa~'ments and amount applied from 1996 return 5S 56a Earned income credil Attach Schedule [IC If yoU ha~e a qualifYing child. bNonla13bleearned Income: amount .. and type .. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 56a 57 Amount paid wllh Form 4868 (request for extension) 57 58 Excess SOCial secunty and RRTA tax Withheld (see Instrs) 58 59 Olh~r pJ)'menls. Check If from a Form 2439 b Form 4136 59 60 Add I,nes 54, 55. 56a, 57, 58, and 59, These Jre your total a ments 61 If line 60 IS more than line iJ, subtract line 53 from line 60. ThiS IS the amount you Overpaid 62a Amount of line 61 you wJnt Relunded to You .. bRoutlng number cT)'pe: Checking .. d Account number 63 AmOiJnt of line 61 you 'RanI Applied to Your 1998 Estimated Tn .. I 63 I 64 If line 53 IS more than line 60. sublraclllne 60 from line 53. ThiS IS the Amount You Owe. For detJds on ho..... 10 pa)'. see Instrucllons ... 64 65 Estimated lax penalt~,. Also Include on line 64 I 65 I ,)".1.., ~"rl;,l~,..o;. oll;..r)lj'~ 1.10"( I,u.. :tlil: j h.j~" ...;,rl11II">.I :r.., ,..'Hill ;lll.1 it! (n"'~""~''''J "hooJul.... ,,,,<J ""''''Tl''II~'' ,,",':Q 7h.. ..,..~: 01 my .no.......,l'J.. All,) 1,..1,..1 :h..y i1'" :'U" (0''''<:: ;,Ih' {omrl..:.. .,)..,I;,l.l'"m 0' l"'''r...'''' ("7h.., :!loOn .;ur......) " 1'>.1,...1 {HI ;,n ",'(llm.l~'OIl 01 ...h,( h P"~iI'''' ho,... ill1~ _O(l""'....:l~. "ow 5''10":''',, J.l!" ~ ",."",.,, '" \f\rl\ r ^ ~"'jll",u,,,,,,.,,........\-jf"t~ .",,,,'.,m" ELlZABETll SEIDEL ,..,>""",' ~ 572TToNESTOWNROAOm ...."..mpl(>y...1) "",A",,.,, IfARRI5BURG --_._._--~~~--------- ~ Spill.....'.. S"JIl'l!ur.. 11 .-, )(lOl'! -1..:,,1[1 jOt-1 Yu~' S"),, J;(.. J.,'.. l-l'l-9(/ Sailings ~OU' On:upj':'OIl SALES SI'OU.,".!> {KC"r,,!"''' D,...~ " ....,'..."lluy...t ~ GO 61 .. 62a 656, .""l;')'''''!> SUI...a1 s..cll":-' \io 161.32.3185 ___~_,,-"____ _23' 243420B --- _.__...___..J'/\ y,.c..," 17112.4007 ~ j;;;,1;:: "',";-.-- -----rorm 1040 (1997) MARY PAT ROLF Sctledulc A & B (form 10.10) \997 nVJ '.., 1',4')00/':' ....u"..c\} Stlo..." on . OIm 1 ().:.(') Jo "l~ t./,'... "-I"'" .11.,1 ~,I(l.)l s..C UII~Y '<<lint,.., ,I ~.ho"'l1 un ~.. tl...l,,"" ^ YOUl Scc;ial SKunty HlImbIr Part I Interest Income (See Instructions.) Hole: If you '..c"rv~jll ~OIfT-, Iml\jT,~OIm 1Q990rJ. Of )ub\~I:u:" :':II~"m"n: 1romllbro~ItI.,'l" '..m,I.\l:l'I-lum.... oamtlM.:h"Pil1'" and..n:"'t~IO:1\1 In:..,.....: sf,own 011 lha:lorm Part II Dividend Income (See Instructions.) Nole: ttyou lOOC..rvl'd II ~orm 1099 JI\'. or lIiuh...:'lu:.....:a:..m..n: ',om iI bro~..ra'J" l,rm,h:.::h..lllm.... n.lm...u:h..pav..r illl<1..n:"r:h,,:o:.11 d,y,d..n,b)l'lo"",,lon :ha:torm Part III Foreign Accounts and Trusts (See Instruction').) P. e 2 296-42-5911 Schedule B - Interest and Dividend Income 08 Note: If ou had over $400 m 1.1JlJblc IIltercst mCOf11t", Ou must iJlSD com fete P;Jft III 1 list name of pa)'er. If an)' Interest I') 'rom a sclledlnanccd mortgage and the bu~er lJ'.)Cd the propert~. as a personal residence. see the mslrucllons and tlSt Ihls mlcrest Ilrst. Also, show that buyer's SOCial c:.ecurlt~' number and addres\ . SQ~~~~~~~~_________________________________ Amount 3, -------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- 2 Add the amounts on line 1 2 3, 3 Excludable Interest on senes EE U.S. savmgs bonds Issued after 1989 from Form 8815. Ime 14. You must attach Form 881510 Form 1040 4 Subtract Ime 3 from line 2. Enter the result here and on Form 1040, line 8a . Note: If ou had over $400 10 ross d,Vidends ;md/or other d,stflbutlons on stock, au must also com 3 4 letePartl/J. Amount 3. 5 LIst name of payer. Include gross diVidends and/or other distributions on slack here. Any capital gain distributIOns and nontaxable distributions will be deducted on lines 7 and 8 . ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- 5 ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- ------------------------------------------- 6 Add the amounts on line 5 6 7 Capital gain distributions. Enter here and on Schedule 0 I 78 I 8 Nonluable distributions. (See the Instructions lor Form 1040. line 9.) r8l 9 Add lines 7 and 8 9 10 Subtract line 9 from line 6. Enter the result here and on Form 1040. line 9 ... 10 YOI. must complete thiS part If )'ou (a) had over $400 of Interest or diVidends; (b) had 3 foreign account; or VIS No (c) received a distribution lrom. or were a grantor 01. or a transferor to. a foreign trust. 11 a At an~. time during 1997, did} Ou have an Interest In or 3 signature or other auttlorlt~' over a finanCial account In a foreign country. such as 3 b.Jrk accollnt. securities account. or other f'nanclal account? See Instructions X for exceptions and fdlng reqUirements for Form TO f 90-22.1 b II '~'es" enter the name of !tIC lorelgn countr~ . _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 12 During 1997, d:d )OU re;:;c,ve a a \tr.tll,t,cn from, or were )ou tile grantor of, or tran...leror to a foreign tnJst? If )cs ~'ou ma~' ha'Je to fde form 35?0 or q?6 See In...!r\lct,n!1., X BAA For Paperwof't( Reduction Act Notice. see Fonn 1040 Instructions. . JI^....:'.I I,l-;:/'G' Schedule B (Torm 1040) 1997 . ...' ~1 ~i ~I II ; ii i i i ~~j ! 1 !. b;~l~; C il WI if II ;; : _! -: -. ~!.l r i ; f~l~l~t I . . I' i ;: in\ ~i } :;: f:;: :;: 1 ~[~t--L~-.. ~ -, J---- ..I... 01 I ~ iLJ Ii Ii i [I f I ! :;: !I!j' ~I I ~ ~ _ L ! ~ I 'I " '.. ...: '" I ~1~_ ill g:l~i~i ~rll ~ i ~ ~ ~ :;1 ~I I I W; Employee Relerence Cop~ 99'''' 2 Wage and Tax Slalemenll ,_!.. c;_c,'" 1"'-"-. ~Moo IU'_ :-:.~,'!4'~'~~~W~.'f, ~~-~,:~p~y,~JY;f,:~r;.?,L'~ f)/tm?~ ~~~~:'.~~f'}f/~:;~'}! '>~,:-~:;,; ~ _~~:~?'i<:'.: ;{~~~) /.-:t..;?i~""""t\<'" "~'I 99.7,'-'''- ',.'~: .;.", ;<~";.:itl~.w~:,tl~~i~~;~;R11 ~Sl..~. .."..:1'1','''' .1'("""S"U'.M'M' A'. RY" -, ,ft,.." ~'. ~:~~;;;i~~'::~_:;': - - . '~<;'-': '-~~':I '!il~-r&r''l~'''-;''::'''';; ,--" '. . ,- I . , ':' - (,1;1''): ')O.:..f~;'1""n:-:.,:- '\"', :! -'_,;,-1, .t.". t'j;~dil~"'.c'ltAllILTCIl tHe'" ' , ':::, {,1~.o!'~;T/A:DAMI DECOIl '-, " "',: ',',';:',}", :216I1AIMIHGTCIlAVE " , '-. ~ ~ ...........,. '. ' /..[:;::,'; ,~JHGlOW., PA'lms, i';i,'~~;>:':"" '; 804t DI21.1847 ~>\\-f~'::';' - i:\~YPAT ROLF ' :'J~1oI1oOur1lv " ~.ill~i' I .,..i ......N. ~i\.;,i ...,.. ..oi. "'..-I ,.. . ....~ '" il : o / uJ l "i ~~Ifl ;", "'. ~ . ; ',',J'-}' 288-42ol1811 ., Pod.... .i. ...' .. 00 00.' ",:t~~ r - "tiCOmPUOnO : ' ",':,;,\:'< " . WAGES Amount Ilox , DoocdptIon" ; GlIOI. WAO!8 28t84.26 . 11oo. a.c..tIy W_ 28t84.26 3. , Modic.,. W_ 28t84.26 5 : Fed. Taxable W_ 28184.26 t M TaxabIt Will" 28t84.26 17 LOWER PA W_ 28184.26 20 WITHHOLDIN08 Dm:liptlon ~ Ilox Pod, InoomI Tox .... a.c..tIy Tax Medk.....Tax PA Incomo Tax LOWERPA W/H 3644.76 2 t747.42 4 408.68 6 789.14 18 281.85 2t , ~ ~ ~ X~1 :::{ :lQg....:II:I I ... ..- _en> ,.. ~ ~.:. ;i" ~.l' .. z ~,.. o "" "'i '0 < o~ ,.. m "'1 '" ~. \ - '" I ( ...- 0'" _m ...m - ON....... m o-....~~tO~ ego.,.. 11: "'i z m-IL - co'" J x '>>0'" .. 1 C1.. z n I !7 ... xm Z . 0- %..- C rO,.. k"'" z: C'll": X ~ .. ; c:;: J __ ~z:ll:lc;l ~ -'z Gi, ~m ;1 ... n ... '" RETURN BY APRIL 15, 199B TO: CAPITAL TAX COLLECTION BUREAU Q...~ 1)L,\L; ~,t\.. ~@97 LOCAL EARNED INCOME TAX RETURN (FORM 531) 10 COll'jlllUIl I'lloof OJ flUNG, THE fAlPAnA S COP'( ,",U51 DE VAlIOAnO fly fltE DUIlEAU TO ItAVE YQUA COpy VALIDATED Dr WAIL, RElUAN BOTH THE llUAlAU 5 AIlO "'xPAHA 5 COPIES ALOHG WITH'" SUf ACDRESSED SUl,IPlnttlVHOP[ SLEIlACK OF fiE lUllN FOil PIIONE NUMIlEll AND OFnCE IIGUIlS 2 [MPlOYIT BUSINESS (: XI'UJSI.S IAII.lCh rf'df'r:ll Form ~lOfi 1'. SI.11t~ Sl!l!,(jul,. UI 11 .J%- '/=1-';)1/ ;;f--jj~p"~ _ 2 , , -~---t- , 3 r AXARU: W 2 EAnNINGS (Sublf.lclllllu 2lrorn tllW 1) 3 _nJI QTIlEn T AXAAlI: fAf1N[ll INCOME (NO INlrl1ESI OR DIVIDENDS, Compll!l!' SI'f:II(Hl B on Back ., 5 TOTAL TAXABlE EAIlNED INCOME (Add l"'",. 3 ,lnd ,II, 5 NlLlQSS FIl0M IlUSINESS, PROFESSION, OR FAflM IA !TACII FEOEIlAL OH ST A TE SCHEDULE I 6 7 SUBTOTAL (Subtracl L,"u 61rom Lmu 51 IF LESS THAN ZERO, ENTER ZERO" 7 8 NET PROFIT FROM BUSINESS, PROFESSION OR FARM (ATTACH FEDERAL OR STATE SCHEDULE), TOTAL TAXABLE EARNEO INCOME AND NET PROFITS (Add Unes 7 and 81, 8 9 TAX LIABILITY: '" OF LINE 9lMul1'ply L,ne 9 by 011 10 TOTAL LOCAL INCOME TAXES WITHHELD (From atrached W.2's, Bo' 211 ' Tl QUARTERLY PAYMENTS AND OR LAST YEAH S OVERPAYMENT CREDITED TO THIS YEAH 12 CREDITS FOR TAXES PAID TO PHILADELPHIA AND OR STATES OTHER THAN PA 'ATTACH SCH G, 13 TOTAL WITHHOLDINGS & PAYMENTS ,Add L,nes 11, 12 and 131 14 ~!'I TAX BALANCE DUE (Subtract L,"e 14 horn LillI! 101 PAYMENT NOT NECESSARY IF LESS THAN $100 15 INTEREST & PENAL TV (See InstructIOns) 16 TOTAL BALANCE DUE (Add Lines 15 and 16) Make clwel<. payable 10 ClGS-' 17 ./ OVERPAYMENT (Subtract Line 10 hem line 141lF LESS THAN ZERO, ENTER ZERO 18 PAYMENT TO IlE REFUNDED OVERPAYMENT TO BE CREDITED TO NEXT YEAHS TAX OVERPAYMENT TO BE CREDITED TO SPOUSES BALANCE DUE FOR THIS FILING YEAR 19 20 TAX('fIICj .__.__..~l__ (B) , ~,f'\ 'I ,',[ '; I,AI.H ._f~ LS_JJ~t~'1~LLt YOUll SOCIAl ';1 ClJIHTY MJMfl! Il A I ;J.Cif.: '/'1 ilA';1 I rll~' Mil ~~l" 1<l)Mr <:) Ll (l 1',' i"-\... '11 ~l.,--l '. <:,- UC\...J '; ,',^"-!'I '" (., t, ,,:.." .." ",'. ,,' 1",,_, l'A;i'1 y\,^~\~''''~ ~<:~ j~'" "," '....", ,.1',"" , , t.,,,,, ,!,\I'I'I,ll/<I'I"'.I.,. ',I ',"',1"'11 CAPITAL TAl( COLLECTION BUREAU MEMBER MUNICIPALITIES 1 he lollowII,g IIHJI1'Clp"III,os "", ""'VI'<lllY "'" C"P""I I", COllecl,on l3u,e"u, Shown beJow e"cll 01 II HI Iwo colomns 01 ,nun,clPal,l,es is lI,e C"plI,,1 ,,,, COllecl,oll Bu,e"u olllce 'h,l' '"''VI''' Iho"o JI1U1l1CIP""'"", II, <I,,,,ng 1IH1 I", YO'II, YOIl WOW" p"r' yo", ,0Sldonl 01 munlc'palilies ",,'e,1 on 110111 lilt' JolI ,11I<1 IIglll "I'Cllon" YOIl ""'Y I,'e YOIll ,plll'n "I ",1111" 01 O'" olllco" II YOIl <1111 ,,01 I,w ,n "ny 0111'0"0 "'eas 10' any pari 01 lilt' ,,,, Y"'II YOIl "houl(! <WI'''e W,lh Olll Illlll,'''1I 111111,1 YOIl "'Ct"""" D'~ j,)"f1I~d II,lllIn hOIll II:; ple,,:;o 'elllln 1110 u" nOllllg wholl) you ,esided (lu'lIIg lilt, I'" YI'"'' II YOIl "'e Ill"",,,, wh,'", YOIl "'" 10 '''1' pl'OIH' on" 01 Dill 011""." "lid We w,lI bo h"PPY 10 "o,,1S1 you DAUPHIN COUNTY 'liHt.sl)lJr~ City .Hlghspllu Borough .Roon Township SIL'l'rlor1 UorollfJll PERRY COUNTY All ""WlICIPillllll~~; JUNIATA COUNTY .Groenwood Township II you Wl~m a rosrdenl 01 any 01 ItIP abovt! mUlllclpallll'!:. lor any pari oflllu fax yuar. ftle wllh IIw ottlCP shown !wlow Capllal Ta. Bureau Harrisburg Division 2301 N, 3rd 51. Harrisburg, PA 17110.1893 Hours: Man, . Thur, 8,00 A,M,. 4,00 P,M, Friday 8,30 A,M,. 4,00 P.M, Phone, (717) 234.3217 CUMBERLAND COUNTY C,nll','I! Uoroll\1tJ .Norlh Nowlan Township ,Cooku T ownsh,p ,Penn Township -Dickinson Township 'Soulh MIddlelon Township ,Low", F,anklOld Townsh,p -Soulh NeWlon Township ,Low", MIlIl,n Townsh,p .Upper Franklo,d Township MI Holly Spllngo BO'Ollgh -Upper M,'II," Townsh,p N,!wvdll~ Uorougt1 . West Pennsboro T ownstlip North Middleton TownShrp 1/ YOll Wi!r!! a reSidant 01 any 01 the abovo munlClpalllles lor any piHt olll1t~ lax year. !lie WlltlltlO allice shown below. Capital Ta. Bureau Hours, Carlisle Division Monday 8:30 A.M,. 4,00 P,M. 195, Hanover ~1. Tue, . Frl. 8,00 A,M, _ 4:00 P,M. Sulle 102 Phone, (717) 243.3725 Carlisle. PA 17013.3336 CAPITAL TAX COLLECTION BUREAU MEMBER MUNICIPALITIES or ntJ lolJowln~ lIlUlll(.lp,lIl:II:~ are $crved by UltJ C;lp,131 1 ax Cullecllon l3urIJillJ. 5110wn below uacll olllw Iwo columns 01 municlpalltlDs is he Capll;11 Tal. COIlI!r.lloll Burt).IU olllet! IIlill ~,{!rvll!:.ll1o:,e IIlUllICljl.\IIII(!:. II, durll1n lIh! lilX year, YOll WCfO i1 pari year rusldunl 01 rnunlClpahlle:.i 151ed all bOttl !IlL:' lel! and (IUlll ~iecllon~. you 1Il;I,' lilt! your return ill t.:lltwr at our oll:,.(':i II you did !"!'QJ live Hl any ollhesD areas for ilny part 01 ho lax ynar, you ~.110"ld !lQ!II:l! WillI our bUfI!:1ll (uul II you leCtllVt: ,I P~r: IJfllll+..'\.! rl~;..;lllrolll w; ph!i1~~u rdurn 1110 U::1 nOllng where you reSided unng lilt.! 1.1... Yt!.Jq, II you ,HI! tHl:JUIL! where you aw to bit:. pllont! Qrlt! 01 aUI DIke:. allej we Will be tlappy to a~sl;.1 YOll. DAUPHltl COUNTY .Haffl~;burU City .f IIOh~'plfl: OOrOW}tl . need T own~,tllp .Slt:.:lloll [JorOlj~Jll PERRY COUNTY .AI! MlJnlclpajIII(J~; .C.uld!.' l:vrOlJ~ltl .Cooku 'l.;m~;IHp .Dlcklll~;:) 1 Township Lower h.mklord Town~t1lp .Lower r.::l~iHl Township .M!. Ho!.y Springs Borougll .NU....NII:!. Corougtl -Norlll r.:.O(~luloll Towflr,!Hp CUMBERLAND COUNTY ,Norlh Newlen TownshIp .Punn Township -Soulh Mlddlelon TownshIp .Soulh Newlon Township .Upper Franklord Township .Upper Mlllhn Township .Wesl Pennsboro Township JUNIATA COUNTY .Greenwood TOWfl:~lllp If you ....iere a rC!ildnnl 01 ,lilY 01 the .abovu lIlLHllClpahllU!i or any part altlle tax year. IlIe With the alke sl~O'.'m below apllal Tax Bureau Hours: arrlsburg Division Mon.. Thur. 0,00 A.M,. 4:00 P,M. 301 N. 3rd 51, Friday 0,30 A,M,. 4,00 P.M. arrisburg, PA 17110.1093 Phone: (717) 234.3217 II yo': .....ere a fCsldunt 01 any Orllle above muniCipalities lor any ~><Irl 011110 tax year, 1110 WIth tho olllce shown below. Capital Tax Bureau Hours, Carlisle Division Monday 0,30 A,M, . 4,00 P.M. 19 S. Hanover SI. Tue" Fri. 0:00 A,M, - 4:00 P,M, Suite 102 Phone, (717) 243.3725 Carlisle. PA 17013.3336 CTION A: T AXPA YER'S EMPLOYER INFORMATION (Complele only if you moved durina the lax vear,) Er.'PLOYER S NAr.1E ,,,'" ",""", '" 'c, '" ,,, ,..", ,",,' : EI,'PLOYERS : OCAL ADDRESS I GROSS EARI,INGS '1<,','.' I : , _~_~___ ~-_..._._~---.-___l____ ~___~=-=i--=~=~~-:_____~__l s I , --~~----- m--i-~ __m__:. .. _~ml___ ._on_. --- m-I-.--~.--l- ---..---on_-~----------.i- I . ----~---i- --~- -- --1 ~ ~--._---_.!~-- ----- --- ---.- - ------.- --- I ----~-.--.-onr__on---------.. ~--i---;~ I I I -r- I ___-----L. I I LOCAL INCOME TAX (BOX 21 OF \'1.2) I S I ---~- , I on---i--- -j--- - t --.--1~--:. -.-- -. __1__ CTION B: OTHER TAXABLE EARNED INCOME PAYMENT FOR IWORK OR SERVICE PERFORMED I RECEIVED FROM (PAYOR) ---~_._------~ ,_._~--_.- AMOUNT j s I ___'=1 I I I I .- , , , r--- , J Pl:f:lICJD liveD H[H[ MOVING INFORMATION (If you moved dUfJl1f} the t.1\ vear, a/so complete Section A above.) t.1All1NG AlJDHESS , Jri ~;~_-y .2L .rii: _~~- E.,yJ~Lc,-.lM)ioJ.j~1 ,'''''' , . ,Jr:L..,y , f../f/.' ~ Ic./,{rl./IJ.t'..\ s.1 -- Api. ,1-/ .0 ! TO 10 I\J ." , Cll Y [JOflOUGH. TOWNSHIP _,_ on _ _____"_j)_ ....___ _. -l -l.!L./!t!tr.....:m...__ I Cbd!Ld.>Jd....._ If thiS IS an amended return, mark thiS space. Option 'or a 1998 Booklet If you do not want a 1998 tax booklet next year. check here. If you paid a preparer, ask If he or she IS uSing thiS option. Daytime Phone Number; 717-243-2335 local Information. Enter v.flere you lived as of December 31.1997. Counly: CUMBERLAND Mun,c'pahly: CARLISLE SchooID,sl"cl: CARLISLE Final Marr,ed F,hng Jo,nlly School District Cod.: 21110 ....J PA 40 -1997 9700111017 Pennsylvania Income Tax Return Commonwealth of Pennsylvania PA Department of Revenue Fiscal Year beQlnnlnQ and endlnq 296-42-5911 RO 310-50-9343 A 8 AC ROLF APT. A1 416 SOUTH CARLISLE MARY PAT HANOVER STREE PA 17013 PN SC 1A 2 5 7 10 28184.00 3.00 .00 .00 .00 18 3 5A 8 11 .00 .00 .00 .00 28187.00 -------------------------------- Please fold page along thIS line Fiscal year fders. mark thiS space. 296-42-5911 RO 310-50-9343 ROLF APT, A1 416 SOUTH CARLISLE MARY PAT HANOVER STREE PA 17013 Residency Status. Check only one box. Type Fifer. Check only one box. S Single F M X Marned Flhnq J Separalel~ o Dece.lsed Dale 01 Death, R NR P from: to: x ReSident Nonresident Part-year reSident L o o o FY RS FS o R M 717-243-2335 21110 1C 4 6 9 12 28184 . DO .00 .00 28187.00 789 . DO SSN, Name or Address Change. JI Any of the above information you enteroo IS dlfferentlrom your 1996 Penruylvanta tal return or the label. and II you did not file a 1996 Penns~lvanta tal return. check thiS bol. 1 a Gross Penns~'lvanla taxable compensation from W-2 forms and other wage statements 1 b Unrelmbursed employee bUSiness expenses from PA Schedule UE 1 c Net Penns)'lvanla taxable compensation. Subtract line 1 b from 1a 2 PennsylvanIa taxable Interest. Complete and attach PA Schedule A If aio'er $1.000 3 Pennsylvania taxable diVidends. Complete and allactl PA Schedule B If oller $1.000 4 Net Income or (loss) from operation of bUSiness. profeSSion or farm 5 Net gain or (loss) fram the sale. exchange or dlspos:t.on of propert) Sa Amount of gain excluded (from PA Schedule PA-19) 6 Net Income or (loss) from rer.ts. ro)'alt'es. patent,,> and cop)'rlght,,> 7 Estate and trust Income 8 Gambling and loller)' winnings 9 Total Cross Pennsylvania taxable income. Add 1hl! Ir.come amounts from "!"e~ Ie 1. 3... ~. (., , and 8 Do Not Subtract Any (La....) R.port.d on Lln.s 4. 5 or 6 10 Contributions to your Medical Savings Account (see instructions) 11 Net Penmiytvania Taxable Income. Sl.tJtrJC: line 10 !Hlm I;ne 9 12 Total PennsylvaniA tat liAbility. Multiply lIMe 11 by 2.81/1 (0,028), Enter your tal due here and on lint 1], paqe 2 L 9700111017 f"^."'.'. ,j','. 1a lb lc 2 3 4 5 Sa 6 7 8 28,184.00 .00 28,184.00 3.00 .00 .00 .00 .00 .00 .00 ,DO 9 10 11 12 28,187.00 .00 28.187.00 789 ,00 9700111017 --1 --I PA 40 -1997 9700211015 L ROLF MARY PAT 296-42-5911 13 789 .00 14 789 .00 15 .00 16 .00 17 .00 18 .00 19 .00 20A 208 .00 20C .00 21 .00 22 .00 23 .00 24 .00 25 .00 26 789 .00 27 .00 28 0.00 29 .00 30 .00 31 .00 32 .00 33 .00 34 .00 35 .00 13 Total Pennsylvania tax lIablll1y. Enter your tax due from line 12. page 1 14 Total Pennsyl....anla lax withheld from W.2 forms 15 Credit from your 1996 PennsylvanIa Income Tax Return 16 1997 estImated Installment payments 17 Payment made with your request for an extenSion of time to file your 1997 PA.40 line 1815 for nonresident partners, shareholders and members only 18 Tax withheld as reported on your PA Scl1edule(s) NRK.' 19 Total tax withheld. payments and credits. Add lines 15 through 18 Lines 20a, band c are to list I"fannatia" from PA Schedule SP 20a Dependents, Part 8. line 2 20b Total eligibility Income. Part C. fine 11 20c Tax forgiveness credit from Part D. line 16 21 Total credit for taxes paid to other states or countnes. Attach your PA Schedule(s) G or PA Schedule(s) RK.l 22 PennsylvanIa employment incentive payment credit. Attach PA Schedule(s) W or PA Schedule(s) RK,l or NRK.l 23 PennsYI....anla/ob creation tax credit. Attach ~'our certificate of credit from the Penn~ylvanla Department 0 Community and Economic Development or PA Schedule(s) RK.l or NRK.l 13 789 .00 14 789 .00 15 .00 16 .00 17 .00 18 .00 19 .00 20a 20b .00 20c .00 21 .00 22 .00 23 .00 24 Pennsyl....anla waste lire reC)'cllng In....estmentlax credit. Attach your certificate of credll from the Pennsylvania Department of EnVIronmental Protection or PA Schedule(s) RK.1 or NRK.1 24 25 Pennsyl....anla research llnd de....elopment tax credit 25 26 Total payments and credits. Add lines 14, 19 and 20c through 25 26 27 Tax Due. II line 13 IS more than line 26. Enter the difference here 27 28 Overpayment If line 26 IS more than line 13. Enter the difference here 28 29 Refund - Amount of line 28 you want as a check mailed back to you 29 30 Credit- Amount of line 28 you want as a credit to }'our 1998 Estimated Tax Account 30 31 Donation - Amount of line 28 you want to give to the Wild Resource Conservation Fund 31 32 Donation - Arnaunl of line 28 you wanl 10 give to Ihe U.S. Olympic Committee, Pennsylvania Division 32 33 Donation - Amount of hne 28 )'OU want to give to the Organ Donor Awareness Trust Fund 33 34 Donation - Amount of line 28 )'oU want 10 give to tile KoreaNietnam Memorial, Inc 34 35 Donation - Amount 01 line 28 )'ou want to give to Breast and Cervical Cancer Research 35 The total orUnes 29 throuqh 35 must equal line 28. StQNlur-<l). .k,.l.., r..".,I~,.., 01 P'!I'''~ I ,j... 1",.. :h.\' l',..~.. ...;,,,,,,,...! '1,,, 1..',,,,, ".. hI,!'''') "II ". '''11'1 ""~'''\J "'\~l"I.., ,lll.l..'.,'..rn..,,~~ ;,,,J:o ~h.. b..M 01 mV (OUl) hooh.., !h~ Illto lru.. ,,,,,..':;!Il.lf<l<t'rl..... ~.TW;-----~~-'-'--' ~--~-_.__._._-_._------.-.--_.._--_.._.__.--. .~;.-;.:---~----~---"V"'iiilnilull,j.'Ofl .00 .00 789 .00 .00 0.00 .00 .00 .00 .00 .00 .00 .00 -r:l~.;~';;r.:--.----~---_._. . SALES ,:;-:-,; -r:r;;;j,~n;I"I""'O" ~j";;R.:.r-,-;;-7Wi~.:-;;;7~~;'l;;:i'r.:;r..I;'-;I-:;;-~t:.-ql;:;,;.:r(,o;:.,Tl;;;t-,!!i';:;;;-,,;-;--;-J',;,l,'7'-l,-:r';-I;-;'-f<;~-tT:;.-:-.,t;; :j-;-:.-..I;,J'1';- ---.- ':"lf~I;;;;'~"'-I-;;;;V~l,",-.=71-1"-;;::':'-I~;;;'1---'--'----~-~-'- --...-.-. .----.-~ -.-.... -.... -. -".. .-. _. '.-'-j,j'T': ELIZABETH SEIOEL S721 JONESTOWN ROAD HARRISBURG 1..1"I:hut'~"'1 ~Y,l;,~.!J... PAl 71 lL100} (717) 545-6385 L f,;(,.\.i.' 1,'1'," 9700211015 --I 9700211015 , - . III the Court of Commoll Pleas of fI JP CUMBERLAND County, Pennsylvania 1J(IM"~'''IC IlEI,ATIlI~S ",ll. IIllX JIll. Co'"I.lSI.E. I'A. 17111.\ Pholle, (717) 240.6545 Fa" (717) 240.6248 AUGUST H, 1991 Plaintiff Name: MARY p, ROLF Defendant Name: LYNN W, ROLF JR Dockel Number: 91-3512 CV PACSES Case Number: ~.- """ De.. 2.~8'o I Other Slale ID Number: l'ku.\l' will': All ('lIrn~pmllll'm'l'lIIl1'lln(:hllle Ihl'I'ACSES Ca.\C Number. fnCllllle and Exnense Statement TillS FORM MUST BE FILLED OUT (If you an: sclf.C:l1Iplu}'cu IIr if you afC salaric:d hy a husill!:ss ul" whkh yuu an~ OWller ill who It: or part. yuu must also till 11m the SurrICIIlt:lllalllll,,:IIII1C Slatclllcllt whidl appears IIUtllt: laM pa!:lt: of this incl11llt: and expt:tl'lC: 'tatclllt:III.) INCOME ST,\TEMENT OF Mary Patricia Rolf I vc:rify that the slatCIlIl:11lS ll1;u..lt: illlhis IIIl':lInu: ;IIIU E'~lIst: Statel11t:1It an: true: anll currt:Cl. I ulllJersraml that false: Malt:I11t:llIs hc:n:ill an: suhjcl:t to the: criminal pC:llallirs tlf 18 Pa. C.S. ~ 4904. n:laling lO unswurn t'alsitkalitlll III authc.ritit:s. (1-:'1-' ':V J Dale INCOME, EUlplllycr James C. Hamilton, Inc. T/A Dane Decor 416 S. Hanover Street. Apt. lA Carlisle, PA 17013 ,\duress Type uf Work Furniture Sales Payroll Nil, Gill" Pay per Pay Periuu $Commis s i41~g>eriuu Iwkly" hi.wkly" el,,) 8i -lVeekly Irelllizeu Payroll Ocullcliu,,,, Average 1997 through 8/13/97 S 986.64 gross $ 75.48 Lueal Wage Tax $ 9.37 $ Savings BtUllJs $ $ Healrh h,,"r;ll1ce $ $ $ Feue",1 Wilhhuluillg SllO.55 Sucial SecurilY Slate IIU':lIlllt: T.IX $ 27.63 Relirelllelll rrellillJllitHI $ Lilt: III.,ural1l..:e Olhc:r IkduLlIllll' "I'I.'l.lly) Nl."l I\IY pcr POly Pl.'rind $ 763.11 :1Veral.\e S\,.'rvil.\,.' Type M I:orllll Wllr}..a 111"'11I0 alll! E.pollso SlalOIllOIll PACSES Caso NUIllhc:r 940100001 OTIIER (Fill ill Apprnprialo ClIlulIIlI) INCOME WEEK :\tONTII YEAR 1III0rosI S S S DivillolllJs Pension AlIlIUilY SlIdal So.urilY ROllls RlIyalcks Expense: ACl.:t1ullt Giles LJIIC:ltlpltJYIIIC:llt ClmlpCIl~atilln \Vllrklllt:lI'~ Clllllpcllsalit)lt IRS RdulIll Olhor Othor TOTAL S S S TOTAL INCOME S (Fill ill Apprupr;alo ClllulIlIlI EXPE:-iSES WEEK \IONTII YEAR HUllu' Mttrtg;lgc/l{clII s s 495.00 $ MailllCllalll.:C lIl;lil;es Ekdril.: 21.03 21.17 G", Oil Tdl'flllllll.... 170.00 Page! III h Form IN-OOS Worker ID 21201 Se" i.e Tyl'<' M 11l""llIe alld Expell'ic Slalelllelll PACSES Case NUIlIrn:r 940100001 (Fill ill Appropriate CIIIUIlIIlI EXPENSES (contlnucd) WEEK ~IONTII YEAR Waler S S S Sewer Emllloymen! Puhlh.: TrallSllllf(atilUl S S S LUllch 70.00 Tu\t'S Real ESlate $ S S Pt:rsomll ProperlY 11Il:III11C Insurance HIUlIt:llwllt:rs $ $ S AU[lllllllhih: Liti: '\l.:l.:il.h:llI Heallh Olhe, Automuhile PaYlIlt:llh S $ 421. 39 $ Fud 86.67 Rcpair~ 35.00 Mellical {)udllr $ $ 62.25 $ ()clui'l 5.28 Urtlllllhlllli,1 Page: J III () Forlll IN.OOH Wor.e,ID 21201 ServiLe 'I'll'" M IIICllIIlC alll! Expcllsc Slalelllelll PACSES Casc NUlIlhcr 940100001 (Fill ill Apprupriale Clllumll) EXPENSES (coIIIIIIIIOII) WEEK MONTII YEAR HII'piral Medidlle Spedallleed, (gla"cs. hract:s. tlnlllJ~lIic device,) 29.17 Eclucatioll Privale ScI\lKlI $ $ S Parllchial Schlllll ClIllege RcligilJUS Personal CllIlhing S S 200.00 $ F",d 216.67 BalherlHai rdre"er 85.00 Credil Paymellcs: t1: - ro.oo (4aX)) Credil Card Visa-7S.oo (:ro:l) Chargt' A"':l:uullt 15'; on Memhership, Loans Crcdilllllillll $ $ S Miscelhllll'O'" IIII0sehllld Help $ $ $ Child ('arc P;lpcr~/lh Ill~ ':-,1 M ;agalillt: 5.00 Elllt'rtai1I111t'1II 60.00 Pay TV 26.93 Val.:illil1l1 Pa~t' 4 III lJ Fllrm1N.OO8 W",ker ID 21201 Servile Type M IIII.:lIIm: and Ex~It~c: StalclIICIlt PACSES Case Numh.r 940100001 EXPENSES (<OlIlIlIlIed) WEEK (Fill ill Apprnprial. Clllullml MONTlI YEAR Gifts L.gal Fe.s Charilahk ClllII,ihulillns Olh., Child SUppllrt Alimllny Paymems Olher $ TOTAL EXPENSES $ PROPERTY OWNED DESCRIPTION Cht:L:king '\L:L:IIUmS Commerce Bank, Harrisburg Commerce Bank, Harrisburg Savillg~ Al.:I.:IIUlIlS Credit 1JlliulI SlIl"ks/Bllnds R.al Esrale Olh., TOTAL INSUIlANCE UIMI'ANY Ho:"!pif;11 Blue erll:"!:"! Olhe, Ml'dical Blue Shield Olh., " II . IIl1shalld IV. IVih: C. C"mhineu J . J"illl Throu h ClWlPUS Page 5 III 6 St:rvil.:t: Type ~1 $ $ 40.00 50.00 2255.56 $ $ Ownership' VALUE H W J $ 100.00 X 1.00 X $ l'OLlCY# Coverage * II W C FllrIllIN.OO8 Wll,ke, ID 21201 11I~llIl1e alld Expell,e Slalelllelll PACSES Case Number 940100001 (;onrut.1,c . INSURANn: Health! Accidenl Disahility Inwme Denlal Olher . H - Hushand W - Wife C - Cllmhined J - Jllinl COMI'ANY l'(IUCY # II W C Supplemental Income Statement a, This tilrm is to he tilled lIut hy a perslln ( I) whll IIperales a husiness IIr practices a professilln. IIr (2) whll is a memher Ill' a partnership or jllint venlure. or (3) whll is a sharehlllder in and is salaried hy a c1l1sed cllrpllratilln IIr similar enlily, h, Atlach llllhis stalemenl a clIPy nf lhe fnllnwing dllcumenls relaling lnlhe partnership. jllinl venlure. husiness. protessinn. wrporalinn or similar enlilY: ( I) the mllst recenl Federallncnme Tax Relurn. and (2) lhe mllst recenl Protil and Lnss Slatemenl c, Name Ill' husiness: Address and telephnne numher: d. Nature nf husiness (check one) ( 1) partnership (2) jnint venlure (3) professilln (4) c1l1sed corpllrmilln (5) nlher e, Name Ill' aCWUnlanl. cnnlroller nr nlher persnn in charge nf tinancial recnrds: f. Annual incllme from husiness: ( 1 ) Hllw IIhen is inwme received'! (2) Gross inwme per pay perilld: (3) Net incnme per pay perinu: (4) Specitied deductillns. if any: Page 6 lit 6 FormIN.OO8 Worker ID 21201 Service Type M f:H'i ~~~ ....t'!E-i a.Ui....~ ~H.... ~fili:;,>< ~a.u 0 E3 - ~~ ~~ tJ8 N.o:Z gE-t Olrl t:: H ~7> r-H O\U C>l :x: . E-i~O ~8z .... .... .... -..... . c: ~.~ ..... u:a. .... @ ..... ~ c: ~ ~ ~ H !;!~ ~~ ~i ~~ lI) 8 :1 II II " 'I :'1 or: ::: 2t.s ...:g 1'::0 '''..'1 ~ ,... = ~... ~- = = V) 0( '1, f~ ~ .5 ~ . I I'S ~ ;.r,i !!! :;:J ... ...,\ t' ....0 =_-CC " _ c ,,'- ::: ..3 .s .... ~ :-:: I\: - ~ '5 =J:'t r:1; r'l", r'T1 X . ~ - Ii. ~ I I I I I, . :;: . a. ~ ~ LYNN W. ROLF, JR., IN THE COURT OF CCWolON PLEAS OF Plaintiff CU~IBERLAND COUNTY, PENNSYLVANIA vs. : NO. 97-3512 CIVIL TERM : MARY P. ROLF, CIVIL ACTION - LAW Defendant : IN CUSTODY AND tm, consideration of the attached and directed as follows: ~OFCXXlRT this ~ ~ , 1997, upon it is ordered 1. The Father, Lynn W. Rolf, Jr., and the Mother, Mary P. Rolf, shall have shared legal custody of Ryan Rolf, born February 19, 1981. The parties shall consult with each other and jointly decide issues of significant nature that concern the Child's emotional, educational, physical, and financial well being. 2. The Father shall have primary physical custody of the Child. 3. The Mother shall have partial physical custody of the Child at times mutually agreed upon by the parties and the Child, taking into consideration their respective work schedules, Ryan's school schedule, and other scheduled activities. 4. In the event the Father intends to relocate as a result of a military duty reassigrunent, or otherwise, the parties shall consult with ~ the Child concerning his custody preference in connection with the relocation. The Father shall provide at least sixty (60) days advance notice to the Nother of any intention to relocate and the Child shall not be removed fran the area during the sixty (60) day period (unless otherwise agreed by the parties or ordered by the Court) so as to afford the Mother the opportunity to seek judicial review of the relocation decision. 5. This Order is entered pursuant to an a9reement of the parties at a Custody Conciliation Conference. The parties may modify the provisions of this Order by mutual agreeI:lent. In the absence of mutual agreement, the terms of this Order shall control. cc: Lisa ~larie Coyne, Esquire - Counsel for Father - C'tJ'''''' Andrea C. Jacobsen, Esquire - Counsel for Mother ,}.......Lt( '1>/ ,).,/1'" I .., ...0 .J. LYNN H. ROLF, JR., IN THE aJURT OF COMMON PLE:AS OF Plaintiff : CUMBE:RLAND COUNTY, PE:NNSYLVANIA vs. NO. 97-3512 CIVIL TERM : MARY P. ROLF, CIVIL ACTION - LAW Defendant IN CUSTODY aJS'lOOY ~ILIATICN stJolMI\RY REPCRl' IN ACXXIIDANCE WITII ClImERLAND aumc RULE OF CIVIL PROCEIXJRE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is the subject of this litigation is as follows: NAME DATE OF BIRTH aJRIlENrLy IN aJSTOOY OF Ryan Rolf February 19, 1981 Plaintiff/Father 2. A Conciliation Conference was held on August 19, 1997, with the following individuals in attendance: The Father, Lynn W. Rolf, Jr., with his counsel, Lisa Marie Coyne, Esquire, and the Mother, Mary P. Rolf, with her counsel, Andrea C. Jacobsen, Esquire. attached. 3. The parties agree to entry of an Order in the form as Ilu~ Date / 7 /797 , {;~JL~ Dawn S. Sunday, Esqulre Custody Conciliator LYNN W. ROLF, JR., Plaintiff IN THE COURT OF COMMON PLEAS OF CU~IBERLAND COUNTY, PENNSYLVANIA : vs. NO. 97-3512 CIVIL TERM -'--'-"-- -. MARY P. ROLF, Defendant _.::: ~::.-: --:-." . CIVIL AerION - LA\~ IN CUSTODY A. '26 '- '" ~.J ;;.;/ /lA/' i./ auJER OF CXJURT AND toi, this ,)S-v... day of Q~ consideration of the attached Custody Conciliation Report, and directed as follows: , 1997, upon it is ordered 1. The Father, Lynn W. Rolf, Jr., and the Mother, Mary P. Rolf, shall have shared legal custody of Ryan Rolf, born February 19, 1981. The parties shall consult with each other and jointly decide issues of significant nature that concern the Child's emotional, educational, physical, and financial well being. 2. The Father shall have primary physical custody of the Child. 3. The Mother shall have partial physical custody of the Child at times mutually agreed upon by the parties and the Child, taking into consideration their respective work schedules, Ryan's school schedule, and other scheduled activities. 4. In the event the Father intends to relocate as a result of a military duty reassignment, or otherwise, the parties shall consult with the Child concerning his custody preference in connection with the relocation. The Father shall provide at least sixty (60) days advance notice to the ~lother of any intention to relocate and the Child shall not be removed from the area during the sixty (60) day period (unless otherwise agreed by the parties or ordered by the Court) so as to afford the ~Iother the opportunity to seek judicial review of the relocation decision. ~5. This Order is entered pursuant to an agreement of the parties at a Custody Conciliation Conference.' The parties may modify the provisions of this Order by mutual agreement. In the absence of mutual agreement, the terms of this Order shall control. -n-' - ..... - ",,\"\,.- ...... ....M ",="'r.':{""\ 1\\" .. . I...., ....,.." :.,.'-wh.... In i. ,;;.~~i'i ~:.:~ '.:~:'~ 'j";.~ l:':~... ;d ~';' ~:aad d ' -~. "' .""- .". .r. "I" l- r!'clt'\ ~-: ar: tn~ .::..; ..r _~'.... '-....,J., _' J, "_,., . .... This. H.)S.v...;'Zi ci. C~ :" \7.5.:7.. .....HH.....~cL.0.. .I?~~..... v0f-1'c:f fr.r.tl'Jnc~O'/ cc: Lisa Marie Coyne, Esquire - Counsel for Father Andrea C. Jacobsen, Esquire - Counsel for Mother BY THE COURT, 1.5/~"l..~<- d'. ~..J . /, EJIiI/3/1 ~ " LYNN W. ROLF, JR. , IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA : vs. . NO. 97-3512 CIVIL TERM . MARY P. ROLF, CIVIL AerION - LAW Defendant : IN CUSTODY OJSTOOY ON:ILIATICN SUMMARY REPCRI.' m AcxnIDANCE WITII al1BERLAND CXXlNTY RULE OF CIVIL PRCX::I:IwHE 1915.3-8, the undersigned Custody Conciliator submits the following report: 1. The pertinent information concerning the Child who is' the subject of this litigation is as follows: NAME DATE OF BIRl'B aJRRJ:N1'LY m a:JS'1roY OF Ryan Rolf February 19, 1981 Plaintiff/Father 2. A Conciliation Conference was held on August 19, 1997, with the following individuals in attendance: The Father, Lynn W. Rolf, Jr., with his counsel, Lisa Marie Coyne, Esquire, and the Mother, Ma..ry P. Rolf, with her counsel, Andr~ C. Jacobsen, Esquire. attached. 3. The parties agree to entry of an Order in the form as 4u~ Date ~ Dawn S. Sunday, Esquire CUstody Conciliator /7 /797 . VERIFlCATION The facts set forth in the foregoing are true and correct to the best of the undersigned's knowledge. infonnation and belief and are verified subject to the penalties for unsworn falsification to authorities under 18 Pa. C.S.A. 94904. Dated: I/n/'!t I / . , I l.. I ;i.',.C/ ( /. ./ /./ / >: r-' ,. <- , '. I l'~ II 1 ( - ~ , ) , , l._o , l r:, ( ( " LO- t " i'_' l.; L. r.,;' I llJ.mGlI4.G!r.n:-'V~'Xm:~~~~\.{(t~~.;'" i ;~ ~;.;.--ol~.T''h-.''tJ;~V;}(.;;';':P1'S:'J",,-;'~~;'Vi-'t~t~~ i: 'K, 'tI of"'~' f''''!~'' "'.-. :0: ~:"",,-,>-,':"",'i~:~" .o(,~f:l ":0. <<:,'r,,,~_, ,..~~:.;,~~.......~";"r,;,;...............,,"","""""~"'''';.t;.-...:..)'~ LYNN W. ROLF, JR., Plaintiff IN TilE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs, NO. 97-3512 CIVIL TERM MARY PAT ROLF, Defendant IN CUSTODY AND NOW, this ORDER OF COURT I '3./"^ day of M ~ , 1998, in consideration of the attached Stipulation executed by the parties and their respective legal counsel, the following is hereby ordered with regard to custody: I. The parties shall have shared legal custody of their minor son, Ryan Rolf, now age 17 (born February 19, 1981). 2. The father shall have primary physical custody of the said minor child. 3. The parties agree that at the conclusion of the school year in lune 1998, Ryan may move and relocate from Cumberland County, Pennsylvania to Fort Leavenworth, Kansas with father who will retain primary physical custody of the child. 4. Mother shall have partial physical custody of Ryan at times mutually agreed upon by the parties and Ryan, taking into consideration the parties' respective work schedules, Ryan's school schedule, and other scheduled activities. 5. Parties agree that father will pay for the cost of Ryan's travel at the time of his move from Carlisle, Pennsylvania to Fort Leavenworth, Kansas after Ryan's \;sit \vith mother at the end of the 1997-1998 school year. Further, Father agrces to pay the cost of Ryan's air travel to and from Kansas to Pennsylvania for two (2) additional visits by Ryan with mother during the 1998-1999 school year, One LYNN W. ROLF, JR. Plaintiff v. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PA : NO. 97-3512 CIVIL TERM : IN DIVORCE MARY PAT ROLF, JR., Defendant STIPULATION AND NOW THIS ;;"./ day of 1H111'?c- H , 1998, the undersigned hereby agree and stipulate to the following terms and conditions with regard to the matter of custody: 1. The parties hereby agree and stipulate that they will continue to have shared legal custody of their minor son, Ryan Rolf, now age seventeen (born February 19, 1981), with Father having primary physical custody of the child. 2. The parties agree that at the conclusion of the school year in June 1998, Ryan may move from Cumberland County, Pennsylvania to Ft. Leavenworth, Kansas with Father who will retain primary physical custody of the child. 3. Mother shall have partial physical custody of Ryan at times mutually agreed upon by the parties and Ryan, taking into consideration the parties' respective work schedules, Ryan's school schedule, and other scheduled activities. 4. In particular, it is agreed that Father will pay for the cost of Ryan's travel at the time of his move from Carlisle, Pennsylvania to Ft. Leavenworth, Kansas, after Ryan's visit with Mother at the end of the 1997-98 school year, as well as for the cost of Ryan's air travel to and from Kansas to Pennsylvania, for two additional visits by Ryan with Mother during the 1998-1999 school year. One such visit shall occur, at Ryan's option, over either the Thanksgiving or over the Christmas/New Year school break, aJl(: the other visit dhall uceul' over nit:: Easter or Spring school break, or at such other time as Ryan and Mother may decide. 5. It is further llb'Teed that Mother will provide Father thirty (30) days advance notice of the exact periods of partial physical custody, unless she is not advised by Ryan of his school schedule und visitation preferences in sufficient time to provide such notice. .;~ 0-' -1 '" , -- rn ~ 't 4 ?= /:~ - ---c; --'. ,- - ~~ .-, ---.. , '. '. Attorneys at Law . DEe 0 1 200 3901 Market Street Camp BIll, PA 17011-4227 (717) 737-0464 ". ,.,~' .' .....M IV,Il,,",V/b' "".-'''''..'.'.....:....... ,'," ,:-,..'",. \:I'ii_~-"; .-~.I-...','.~o';'-._:'.;,'-~ ','n_ " ".~'-"J'nJ...".,.n'......" MVV .', "'=;' ""'~ {ii;, 2 2fl1f ! J .....'; ... .. .....{~ftB~~,il~ . "'J~:,(~,~_",::~;",:_;,~,,':J,l.~-""-"'''''- Lvnn W. Rolf, .Jr. Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION. LAW VS. Marv P. Rolf Defendant NO. 97-3512 IN DIVORCE DOMESTIC RELATIONS ORDER 1. The parties acknowledge that Lynn W. Rolf, Jr. is currently accruing a military retirement benefit based on his service in the United States Army. The parties further agree that his former spouse, Mary P. Rolf, has an interest in the military retirement benefits and shall receive from Lynn W. Rolf, Jr.'s disposable military retired pay an amount as set forth below. 2. The Participant's name, mailing address, Social Security number and date of birth are: Lynn W. Rolf, Jr. 610 Scott Avenue Ft. Leavenworth, KS 66027 Social Security No,: 310-50-9343 Date of Birth: July 3, 1948 " 3. The Alternate Payee's name, mailing address, Social Security number and date of birth are: Mary P. Rolf 416 S. Hanover St., Apt. A-l Carlisle, PA 17013 Social Security No,: 296-42-5911 Date of Birth: ::.r:lY 31, 1949 4. The Participant assigns to the Alternate Payee an interest in the Participant's disposable military retired pay. The Alternate Payee is entitled to a direct payment in the amount specified below and shall receive payments at the same time as the Participant. 5. The Participant's rights under the Soldiers' and Sailors' Civil Relief Act of 1940 (50 U.S.C. 9521) were observed by the Court as evidenced by the presence of his legal counsel at the proceedings. 6. This Order assi~ns to the Alternate Payee an amount equal to 39.1 % of the Participant's final disposable retired pay. Disposable retired pay shall not include any amount allocated or designated as disabihty payment. DRO Page 2 In addition to the above, the Alternate Payee shall receive a pro rata share of any postretirement cost-of-living adjustments made to the Participant's benefits on or after the date of his retirement. The pro rata share shall be calculated in the same manner as the Alternate Payee's share of the Participant's retirement benefits is calculated pursuant to this Paragraph 6. 7. The monthly payments under Paragraph 6 shall be paid to the Alternate Payee as soon as administratively feasible following the commencement of the Participant's retirement benefits and shall continue during the joint lives of the parties, and, to the extent pennitted under law, irrespective of the future marital status of either of them; the benefits shall terminate only upon the death of either the Participant or the Alternate Payee. 8. The jurisdictional requirements of 10 U.S.C. Section 1408 have been complied with, and this Order has not been amended, superseded, or set aside by any subsequent order. 9. The Participant and the Alternate Payee acknowledge that they have been married for a period of more than ten years during which time the Participant perfonned more than ten years of creditable military service. The parties were married on October 14, 1972, and separated on January 1, 1997. 10. The Alternate Payee agrees that any future overpayments to her are recoverable and subject to involuntary collection from her or her estate. 11. The Alternate Payee agrees to notify DFAS about any changes in the Domestic Relations Order or the order affecting these provisions of it, or in the eligibility of any recipient receiving benefits pursuant to it. 12. The Participant and the Alternate Payee intend that this Order qualify under the Unifonned Services Fonner Spouses' Protection Act, 10 U.S.C Section 1408 and the following. 13. The parties acknowledge that the following items must be sent by the Alternate Payee to DFAS-Indianapolis Center, Attn: DFAS-IN-DGG #22,8899 E. 56'" Street, Indianapolis, IN 46249-0160. a. A copy of this Domestic Relations Order that divides retired pay and any decree that approves this Order certified within ninety (90) days immediately preceding its service on the applicable military pay center for the United States Army. b. A statement by the Alternate Payee that verifies that the divorce decree has not been modi fied, superseded. or set aside. c, The parties marriage certificate, d, military service, The Participant's name, Social Security number, date of birth and name of e, The Alternate Payee's name, address and Social Security number. DRO Page 3 14. The Participant shall be required to notify the Alternate Payee, in writing, within thirty (30) days prior to his or her actual date of retirement. The notice shall indicate his intentions to retire and elected benefit commencement date. The notice shall be sent via regular first-class mail. For this purpose, the Alternate Payee shall notify the Participant of any changes in her mailing address. 15. For the purposes of interpreting this Court's intention in making the division set out in this Order, "military retirement" includeg retired pay paid or to which the Participant would be ~ entitled for longevity of active duty and/or reserve component military service and all payments paid or payable under the provisions of Chapter 38 or Chapter 61 of Title 10 of the United States Code, before any statutory, regulatory or elective deductions are applied. 1\ EXECUTED this ~ day of t> r Ie -. lou , 7mO. ~ :):5.60 "YTHE C,OURtz il \ ~~ " [//~ /~ ~ Judge . c- CONSENT TO ORDER: ALTERNATE PAYEE/DEFENDANT w "\ )L' I( ')I~~ j(- ) (L L <\, -- I). '- A Signature () Sign Date Date ( .~\ I - I - :YO oc../~ ,--2/ MhJ ~) ATTORNEY FOR PARTICIPANTI PLAINTIFF ) "- /l~ (l~ - SignaJ;re / ATIORNEY FOR ALTERNATE PAYEE ~ Signature 2 7 11kv ;?"''f!?t! - (( - ) - /) (.I Date Date >- ...:r ~ n: ., t ~ ~1 :::>~ . , ,.~ 0-- I , :r:: u;5:: .:::~ I c.... r:1~ r.5f~ ~':-- Cl -'~ .. I (,' ~j-- ,r:z ~: :' ,... :JJU I. E '; )0- .- > (j l:) ::.J => u