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HomeMy WebLinkAbout98-02568 'I i I ! ),! ~! <:) I ~i ~ ~'\ ~ \ o ' ~, \ \ \ I / / r j I ~ ~I - :~ I ~j I ~I , I ~i ",",J I '""I . .! u..' ~j Al ~1 I . Af I 'if 4' \' , ; bl, ~'" ~1 ,I" r.l""',;,' (i, " 5. T\1e parties agreed on the record that the court resolve all of the economic issues as follows: Mr. Mottern has a profit sharing plan with Sheaffer [sio] Truoking. The marital portion of the profit sharing plan will be divided by means of QDRO with 60% of the marital portion going to wife and 40% going to husband. Wife will obtain the preparation of the QORO and will pay the first $250.00 of the fee to have that done. If there is additional fee in excess of $250.00, the parties will split that additional cost. For purposes of detennining the coverture fraction, there ia one issue that needs to be ironed out regarding husband's start date of participation in the plan. We understand that Mr. Mot tern worked for Sheaffer [sic] Trucking on a part-time basis before he started full-time and we do not know exactly when, for plan purposes, he began to participate after the marriage or he may have had a brief period of participation prior to the marriage. We need to get those dates squared away so the QDRO oan ,properly compute the coverture fraction. 6. Bill Lackey, of Shaffer Trucking, Inc., reports that Defendant began participation for plan purposes on July 1/ 1978. 7. Because there was some 12 years between the Date of Marriage (09/17/78), and the Date of Distribution (08/30/00), it is submitted that the difference between the Start Date (07/07/78) and Date of Marriage (09/17/78) is de minimis; for convenience, the Coverture Fraction should be computed at 100%. Date: -'~ Re'PV1if;rced. M.tth'W~helman. E'qui" 2108 Market Street, Aztec Building Camp Hill, Pennsylvania 17011-4706 ID# 72655 Tel. (717) 763-1800 liability for provision of the Participant/s benefits described below i8 incurred, shall also be subject to the terms. of this Order. Also, any benefits accrued by the Participant under a predecessor plan of the employer or any other defined contribution plan sponsored by the Participant / s employer / whereby liability for benefits accrued under such predecessor plan or other defined contribution plan has been transferred to the Plan, shall also be subject to the terms of this Order. Any changes in plan Administrator, plan Sponsor/ or name of the plan shall not affect Alternate Payee/s rights as stipulated under this Order. 5. pursuant to State Domestic Relations Law. This Order is entered pursuant to the authority granted in the applicable domestic relations law of the Commonwealth of Pennf!Ylyania. 6. For provision of Marital property Rights. This Order relates to the provision of marital property rights and/or spousal support to the Alternate Payee as a result of the Order of Div9~ between Participant and Alternate Payee. 7. Amount of Alternate Payee's Benefit. This Order assigns to the Alternate Payee an amount equal to ~J:xty Eerce~t (6Q!l of the Participant' s Total Account Balance accumulated under the plan as of Augu~t 30/ 2000. Such amount will be withdrawn from the Participant / s investment accounts (other than any loan account of the Pnrticipant's) pro rata. Further, such Total Account Balance shall include all r~mounts maintained under all of the various accounts and/or subaccounts established on behalf of the Participant. Such Total Account Balance shall be determined wi thout regard to any account reduction caused by Participant's prior loan(s), if any, from the Plan. The Alternate payee/s portion of the benefits described above shall be segregated and separately maintained in Account(s) established on her behalf and shall additionally be credited with any interest and investment income (or losses) attributable thereon from the plan's valuation date immediately following August 301~_QOO, until the date of total distribution to the Alternate Payee. e. Commencement Date and Form ot Payment to Alternate Payee. If the Alternate Payee so elects, she shall be paid her ben~fits as soon as administratively feasible following the date this Order is approved as a CDRO by the plan Administrator and the Order is final, or at the earliest date permitted under the terms of the Plan, if later. Benefits will be payable to the Alternate Payee in any form or permissible option otherwise available to Participant under the terms of the Plan, including, but not limited to/ a lump sum distribution. 9. Alternate Payee's Rights and Privileges. On and after the date that this Order is deemed to be a QDRO, but before the Alternate Payee receives her total distribution under the Plan, the Alternate Payee shall be entitled to all of the rights and election privileges that are afforded to Plan participants and beneficiaries, including, but not limited to, the rules regarding in-service withdrawals and distributions, the right to designate a beneficiary for death benefit purposes, and the right to direct Plan investments, all to the extent permitted under the provisions of the Plan. 10. Death of Alternate Payee. In the event of the Alternate Payee's death prior to her receiving the full amount of benefits called for under this Order and under the benefit option chosen by the Alternate Payee, such Alternate Payee's beneficiary(ies) / as designated on the appropriate form provided by the Plan Administrator, shall receive the remainder of any unpaid benefits under the terms of this Order, and in accordance with the benefit option selected by the Alternate Payee. 11. Death of Participant. In the event that the Participant dies prior to the establishment of separate account(s) in the name of the Alternate Payee, such Alternate Payee shall be treated as the surviving spouse of the Participant. for any death benefits payable under the Plan to the may be amended from time to time, and that the Plan Administrator shall reSArve the right to reconfirm the qualified status of the Order at the time benefits become payable hereunder. 15. Tax Treatment of Distributions Made Under This Order. For purposes of sections 402(a) and 72 of the Internal Revenue Code, any Alternate Payee who is the spouse of former spouse of the Participant shall be treated as the distributee of any distribution or payments made to the Alternate Payee under the terms of this Order, and as such, will be required to pay the appropriate federal income taxes on such distribution. l6. Constructive Receipt. In the event that the Plan Trustee inadvertently pays to the Participant any benefits which are assigned to the Alternate Payee pursuant to the terms of the Order, the Participant shall immediately reimburse the Al ternate Payee to the extent that he has received such benefit payments, and shall forthwith pay such amounts so received directly to the Alternate Payee within ten (10) days of receipt. 17. Continued Jurisdiction. The Court shall retain jurisdiction with respect to this Order to the extent required to maintain its qualified status and the original intent of the parties as stipulated herein. ~. r , II IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY . STATE OF PENNA. Wanda M. Mottern No. 98-2568 VERSUS ~nftld R. Mottern I I '1 !. ,\.( ,: '"l(i DECREE IN DIVORCE AND NOW, AUQUSt 30. at 8:16 A.M. ;WOO_, IT IS ORDERED AND DECREED THAT Wanda M. Mottern , PLAINTIFF, AND Donald R. Mottern , DEFENDANT. ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RI;TAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; Attached hereto, marked as Exhibit "A" and incorporated herein by reference without merger, is the agreeme~t of the parties dated July 12. 2000. By THE COURT: /s/ Etlward E. Guido ATTEST: J. ,{L:/i%;~~ ___ r ~ROTHONOTARY CER'l'IFIED OOPY ISSUED AOOUST 30 000 , , . 'f~'" .......,.,..-,..', , , Robert, born July 19, 1985. After neqotiations this morninq, the Master has been advised that the parties have reached an aqreement with respect to the outstanding economic claims. The agreement is goinq to be placed on the record in the presence of the p'arties. The aqreement as stated on the record will be considered the substantive aqroement of the parties not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. The parties and counsel are going to return later today to review the draft of the agreement for typographical errors, make any corrections as required, and then affix their signatures affirming the terms of settlement as' stated on the record at this time. After the Master has received the 'approved settlement document, tho Master will prepare an order vacatinq his appointment, after which counsel can file a praecipe transmitting the record to the Court requestinq a final decree in divorce. Mr. Hildabrand. MR. HILDABRAND: The parties have reached an , agreement and I will state the terms of the aqreement. 1. Mr. Mottern has a profit sharing plan with Sheaffer Trucking. The marital portion of the profit sharinq plan will be divided by means of a QDRO with 60% of that marital portion going to wife and 40% going to husband. Wife will obtain the preparation of the QDRO and willvpay the first $250.00 of the fee to have that done. If there is an additional fee in excess of $250.00, the parties will split that additional . ~,( t '; f , , .. " . ."'-' ..'....,~,' .cost. For purposes of determinin; the coverture traction, there is one issue that needs to be ironed out re;ardinQ husband's start date of participation in the plan. We understand that Mr. Mottern worked tor Sheaffer Truckin; on a part-time basis betore he started full-time and we do not know exactly when, for plan purposes, he be;an to participate. It may be that he sLarted to participate after the marria;e or he may have had a brief period of participation prior to the marriage; We need to get those dates squared away so the ODRO can properly compute the coverture fraction. 2. With respect to personal property, the personal property presently in the ~ossession of Hr. Mottern will remain his. The personal property presently in the possession of Mrs. Mottern will remain hers with the followin; exceptions of items that will be delivered by Mrs. Mottern to Mr. Mottern. a) Kentucky Flint Lock, long rifle; b) Grandmother's antique trunk; c) Wardrooe closet; . d) Kentucky Flint Lock pistol, .) Black powder bag; f) Eagle claw fly rod; 0) Antique picture of a mountain scene; h) Vial with qold dust and two gold nug;ets. The exchange of the personal property will take place within 30 days of today's date. Upon agreement of the parties as far as a date and a time of exchange, that can be arranged between Mr. Schwartz and myself. , ,Y Mrs. Mottern will make a diligent effort to locate all .of the items specified above. She has indicated that she is not sure if she ha~ the antique picture, the vial with ;old dust and nuggets, the black powder bag, and the Eaqle claw fly rod, but she will certainly attempt to locate them and deliver them in the time specified. 4. During the marriage, the parties had taken out a loan with PNC Bank for a bill consolidation. Mrs. Hottern has been \ ,'\ r 'f', ( 1 ~ , ) ~i ~ I \ '... paYing that loan since the date of separation. We underetand, that as of tOday the payoft on that loan is $13,007.05. Mr. Mottern, &It of today, will a9SUllle full and sole responsibility tor all tuture payments and pay ott the outstanding loan, and he will agree to indemnity and hold harmless Mrs. Mottern on that loan tor his tailur$ to make the payments and pay the loan cstt. S. Mr. Mottern will pay to Mrs. Mottern the SUlll of $1,000.00 within sixty days by certitied or cashier's check payable to wHe. 6. At the time of separation the parties had the following outstanding debts: al Providian VISA; bl Dauphin Deposit VISA; 01 Texaco; dl JC Penney. The Texaco and JC Penney bills have been paid. Husband agrees to aSSUllle sole responsibility for payment ot the Providian VISA and the Dauphin Deposit VISA and agrees to hold wife harmless for his failure to do so. Both parties have indicated that at the time of separation all joint credit cards were cancelled and closed and there are no current joint cards existing. 7. Mr. Mottern's obligation to pay Spousal support will continue until the issuance of a divorce decree. 8. The parties both agree to waive any. claims for alimony. 9. The parties' obligations with respect to child support will continued to be handled through the Domestic Relations Office. 10. Both parties agree to sign &ffidavits of consent and .waivers for a nO-faUlt divorce, which will be signed today. 11. Both parties agree to waive any claims for counsel fees or expenses otherwise than were stated previously in this agreement. ,Y 12. The parties are joint owners of a 1994 GEO tracker automobile; Mr. Mottern agrees to transfer his right, title, ;:.. C\ I ~ 9;: ('" )~ t",' .. ::1..-t. I I If' , ~'t \',,,,j) (.', , -co <....j..f... F': ."'!f.., (,,, (~) " , , ;~I , , " ,. C r -'" ". ~n , ,.., .,- LJ {",.. .-,.. , , Ii ::.', dll'1:\ (.;, I b 'Un:: I.H - t=,~ IL 1.'- :':.i c' 0 u " , . . . \ , WANDA M. MOT'fEHN, PlalntJ ff IN Tllli) COUR'1' OF' COMMON PLEAS OU' CVMflEI\LAND COUNTY I PENN$YLVANIA vs, NO. 98 - 2668 CIVIL DONALD R. MOTTERN, Defendant IN DIVORCE TOI Karl R. Hildabrand Attorney for Plaintiff Don~ld R. Mottern Defendant DArE: Wednesday, December 29, 1999 CER'I'lF'ICATION I certify that dIscovery is complete as to the claims for which the Master has been appointed. OR IF' DISCOVr~RY IS NOT COMPLETE: (a) Outline what informatlon is requIred that is not complete in order to prepare the case for trial and indicate whether there are any outstandIng interrogatories or discovery motions, ;, .cJ,-"';"'lC': , )"rl\F!Y ~1~1 n;-' [. ?) PII 1,11 ", 18 ;, [,; I~'"( ":::1' , (,: ~. if '~ ( '- .. !.) " c); (\/ ('\I (: I" L~ ('J'l (n INVI':N'l'ORY & AI'I'RAISEMENT lIem lleNer1lllloll NomeN 01' Number of I','ollcrty Vlllue Ill'-Qwller~ LIrn I. Balik account chcck ing Unknown II us hand 2, Shaffer Trucking. Inc, $174,096,0 I H ushand Protit Sharing 3, 'Personalty $17.616,00 Joint 4, Life Insurance Policy No cash value H/W 5, Ford Truek Trade-I n II ushand 6. Ford Escort H ushand 7, Geo Traekvr Joint 8, Boat Sold Joint mmTS I. Tl'uek Loan Trade-In .Iolnt paid off (H) 2, 1994 Geo Tracker Joint 3, J,C, Penny Joint paid off (W) 4, Boat Sold Joint paid off (H) 5, PNC - Credit Card Closed Joint paid off (H) 6. Texaco - Credit Cnrd Closed Joint Paid off (H) 7. PNC Bank Loan $18,000 approx, Joint (3 Altoona Ave, Enola, PA) . See properly Iisl attached liS Exhihit "C", Exhibit "A" Household Week EXPENSES Home Mortgage/Rent ........,...........,................... $ Maintenance ....................................".,... $ Utllltles (lelephone, heating electric, etc.) ".,.....................,.............. $ Employment (transportation, lunohes) ..'0.........................................." S Taxes Real Estale .............................................. $ Personal Property................................... $ Inoome ..................................................... $ Insuranoe Homeowners """""""'"'''''''''''''''''''''''''' $ Automobile .............................................. $ _ Llfe/Aocldent/Health ............................., $ Othsr ........................................................ $ Auto~~~~II~sf~.~~.~,~1.9.1~~r.xf.:.,.,.,..., '..,.. Msdloal Dootor, Dentist, Orlhodontlst ................ Hospltai .."", ,'" ,.....",..........'..,., ,'.' ,.......... Speolal (glasses, braoes, etc,) .."........... Eduoatlon Private, Parochial Sohool ....................... $ COllege .....".....,......",...........,................... $ Personal Clothing ..............................,.,.,.,............,. $-- $ ---- $ $ Fo~d ................................................,........ $--- $ Othar (household supplies, barber, etc.) .......................................... $ Credit payments and loans .................... $ , Mlsoellaneous Household help/ohlld care ..................... $ __._ Entertainment (Inc, papers, books, vacation, pay TV, etc.) ............ $ Gifts/Charitable contributions .............. $" Legal Fees ............................................... $__ Other child support/alimony , 'i,"'!, '1;i",," payments ....0........................,............... $ ___ Other (speolfy) ..........................,.............;...... $ Total Expenses ............................................. $ Child Week Household Monlh Child, Month L $ $ $ ----- $ $-- $ $ $ $--- JQ~ $ $ -- $ $ $ $ $ $ $ $--- $ $---- $ $ ---- L $ $ ,. $ $ $ $ $ ----.-- $--- I',', $ $ $ $ --'--- $ ..;b - $--- $ $ 9'2 $ $ $ ,..).>..) $---- $ $ $ $ $ 7s-. $ /7r- $ 20' $.'7&,. $ " I $---- $ $ ZCtJ. $ $ $ $ $ $ $ $ $ $-- $ $ $ $ $ $ ., $ ,'" $" ;C' " . 'i I ~. . $ '" $ ".. $ ',:'" $ ---- $~~ $ $ $ $ ,. 'O~ . fiM_ II> 11 co ~ . . I ~ i ". .~ ". '-' I ~ ,jumns of municlpal/I,,- U resident of mUnlcipallllc ese areas for any part of 10llrlg Where YOU resided you, ( lWlon Township WnShip ddlel0n Township 'Wlon Township lnkford TownShip fl/n Township "sboro TownShip ~ !" '" c' u ~ 2 co... ~:; ~ ~ )( '... ~ 0" ~... .0. c5io..z - ~ ffi 00 (i ~ :s ~ "",,," q ~~ I~ n c, L ~ I tIl , .n. ::iM t~ ~ "' .. . i ; l.i ~ ~ j! t . " 'u.. ~ ~ '" ~ ~ u "'" 'U.... ,~ III >- I g~~ " ' g.~ '" L ~i u " . eNe> 11 . Misc, Ammunition Box w/ommunition, 16 ga, shells, black Hunting Supplies powder supplies, rille rest, Cleaning equip, holster -----_..._._~~_.,-.-- -_.-..._-~~-._--.-.-- -.~,.._----- ..- -. ",---,--.-, ..._--_.~-~_...__.~_....._--~ --~-~.._----~--_. Hunting Cloths Hunting Coat, Can1D ('o\'l'ralls, Hats, Gloves, etc, $ 250,00 '--~--"~'----~-'~--- -_._._----~-----,-_.._-~-------. .. ..--------- ....-.--.... .,. ,.- --- ---.--------- Hiking Boots $ 45.00 -----.-..---.~_..__. _.~.._-~_._. .----.--- -.... ..- . '-- --_._..'...... ,__, ...____._n. ......____. _. ._._ . .~__._._____"_____ Westcrn Boots $ 75,00 '-'--"-'--'-'~'-,-,,- .---... ..---.----.....- -... .-..------....-. - .. n.u.______....___._._.u. _+_n._________._ Weight Litiing 150 Ib, Cast Iron Wcight Set $ 75,00, Weight Lilting $ 255,00 Equipmcntlknch. Multi possition $ 75,00,125 Ib, Sand Set $ 40,00. Curling Bar $ 25,00, Dumbclls Set $ 40,00 -----~---_.._----,--_.. --_....._.._--~---...._--_._---_._._.~_.._._-._-_._--~-------------------- .-. 1/8 to 1/24 scale plastic 1TI0dles . apx, 18 pieces S 300,00, i\ccssories, Tools $ '75,00 min, ! -_.......-.._._~--- ~_._-_.~._.-.~------~----_._~----~_.- ---- * Eogl=_Claw Flyrod__ OWI~:.d_prior to marra~:~~~th rca~_,__ Eaglc Claw Ultralight Gilt whilc married, with real Spining Rod --------- --~-.__._-----~--~..- Salt Watcr Rods (2) 10' Surf Rod without rcal $ 50,00 8' party boat rod, with rcal $ 150,00 ._._---------~.__._~------ Tackle Box Apx, 12"x 12"x20" tillcd with lurt~s ---_._---------~~---------- Shimanno Spinning I . two piccc 7' mceL wcight rod with rcal $ 125,00 Rods ( 2 ) I . onc picce 6' mcd wcight rod with rcol $ 100,00 ---~------- _.__._-~-----_._._~_. Shimanno Bait I .8' Casting rod with rcal $ 200,00 Casting Rods I . 7' Bait Casting rod with real $ 150,00 -----~------- .'---.- St, Crox Flyrod I Mcdium wcight 7-8 rod with Browning real ---- Fishing Equipmcnt Nets. Vcsts, Misc, Tacklc Bowcs, Waiders, etc, --~._~ --~-------_.__._~.~_.._- . ------ CD Collection Min, 100 Compact Discs, Est. cost $ 10. ea, ._--~~_.- . --- Antiquc Trunks (2) I Antique Trunk - Flat Top - Gift from parcnts, Cost $ 450,00 2nd Rounded Top Trunk, * Grandmothcrs, Professionally Rcconditioncd $450,00 ~ i,V;;Jelrol;~ Closet--- i\nti~lue, Gra~;il~;~thcrs--- , , -- .~- ._--~._-~~._.._-----~---_.__._.~_.._------ Stem Equipment Tcchinces Rcceivcr, CD Playcr, Dual Deck Cossette Player, Turntable, 8 Track Dcck, 011 by Panosonie, I PI', 18" X 24" Walnut Speakcrs . -- --~ - - --..--- . Magnovox Stel'O Portable CD, Dual Cassctte, i\M/FM Stel'O -~--'._'._----;------ -------------.-.___..~____.~_H.... _._...._._._~___~__. Scoll, Models ---.---------. -. Lawn Mowcr 21" Gas Lawn Mower w/catcher ~--'--_.__._-- -----_.. -' Down Riggcr Fishing cquipmcwnt, Cannon with wcights, ete, ------------. ..__._------_._----.~----.._._-_...~------~~ Kerosinc Hcater and 2 cans 110112 vt. Coolcr 110112 vt TV/vCR -_._~--~_._.__.~----.--,_._---_. Iglo Coolcr ...-.~.~ RCi\ 13" Color TV and VCR in cany case ------ --_._-----------_.._._~-_.__. $ IOO,or, $ 375,00 $ 75,00 $ 50,00 $ 200.00 ,. $ 750,00 $ 225,00 $ 350,00 $ 250,00 $ 150,00 $ 1,000,00 $ 900.00 $ 450,00 --~-- $ 750,00 $ 175,00 $ 40,00 $ 125.00 $ 75,00 $ 60,00 $ 375.00 ________.~~_.~_____ ~ ....._ ,._....oo.__..____..___~.____._.___.....__._~_._______~___.~_~____~ __.~..~~____.. Antilluc Typcwriter Futhel's .__.e, '_'L _.~_.________.._._n__..____...__.__..._o.__~~~.____~._..~_,_...._......n.__o~_ Buttcry Chnrger 12 vI. Cur balter charger and nil' pump __..._._.._ "..~_____._.. no. . ..... . .._.________....,.""_... .. ~~_____.__..~_. ___.._______ Camping Equipment 7. Tents. (1) I () x 203 roollltent, $ 100,00 (I) H X H lcnt, $ 2S,OLl, QUI'cn Si/e Air Mntrcss $ 2S, 4 Single Air Matresses $ 20,00, Pl'Otnnc Stove $ 'IS, and Mise, (clectric cords, canopy, utcnsils, platcs, c(llllait1ed in 4 plastic storage hins ) $ 100,00 ' -~-- ,---- ..........~-------.----.- ..----".,..-~---___ ..._.... ..-'.____________~~n.___~_.._..________.. 9 vI. cordless drill, scars w/ease $ 12S,oo, H" saw $ $ 445.00 I7.S,oo, 3/H " electric drill, '$ 50,00, Jig Saw $ 2S,oo, 1/4 Shect sallder $ 4S,oo, 1/3 shcct sandcr $ 25,00, 21" belt sandel' $ 7S,o(l Powcr Tools Hand Tools Tool Case, 3 hammcrs, hand saws, Icvels, mise tools contained in a 1 S" X 24" X 24" tool box, box alone worth $ SO,L10 $ 75.00 ~~-~ $ 45,00 -.. _..~~ .-------...-..-- $ 26S,oo $ 500,00 Mise, Tools _.. .._b.....____._____~___.._.~_______.__._~._._.__._.___..___..__ ~_____ $ 75,00 Drcnwl Hand Tool, Wellcr Soldcring Iron, Voltagc Mcter, 2 Bikes _"_'.._._~ ____.._m_._"..____.....___._...._____.._,______..~._..._._____._________ ___'__'__~' $ 625,00 I I H speed mountain bikc with acessories $ 32S,oo, I 12 speedl110untain bikc with acessories $ 300,00 ---------~ ~._.__._..._-----~-_._--------~----~~--- Grass Trimmer Gas grnss trimmer, new in 96 -----~--- ------__.~_~_._H~..__.__~._._....H.___.__._~____ 19" color TV , purchased litleI' manage _d_.._H_ ._.__...~~_.__..__.u....____.._.._.~_ I reciently purchased $ 225,00, one purchased from brother in law $ 50,00 -. -___._.____._ _H_..._______._~. I KOSS digital $ 75,00, I Radio Shack $ 40,00 .H.~___~.___ Framed antique mountain scene. was my grandmothers 2 VCR's 2 pI'. stem hadphoncs ~ A~tiqu~ Picture Washer/dryer ~ Gold Vial Small vial of gold, minc prior to marrage contains 2 gold nuggets ~----._-----~-.. -_._.~-_._--------~---._.'------ Deep Freezer Small chest frcezer, gi Il ti'oll1 my parents -~.._--~-- ----. . ~'~._.-_._~------_._-------~ Blead Maker Gill to Wanda fl'OIl1111Y parents H___~_~_____ __________._.'.____..__.,__________.___.__....___ Cradle Wooden erndcl, given to us when daughter was born ---.--.-..-----...-.-- -._-,_.-.--._.._--._._-_.~.- '-~--'---'~'------------- Bronze Cowboy Cowboy on a horse, gift to l11e thmll11Y parents .-.----.--.------.-,.- Walking Cane German walking cane, gift to me prior to manage ----._--- Bear orthe Monlh Collection of 12 bears, with sheft ----._._----~ ...'-_._._-------_._.._~-_._--_..__._~. Indian Jcwclery Braecletllnd ring. scl , signed ----------.-.---~-- ...-__".._..______._______.,....._______.~____u__.. Sega Video Game Video game and extra games $ 80,00 -._---- $ 100.00 $ 275,00 $ 115,00 $ 200,00 $ 300,00 $ 50,00 $ 140,00 $ 169,00 $ 175,00 -.----- $ 98,00 $ 30,00 $ 250,00 $ 275,00 $ 250,00 _~_..._n."_'__~_."'_~___ .. ________k._ .._n_...._____.__.._n..__.__~____.._.....______..~.______._____. "...-----~- Leud Gluss Bowl Wedding gin frollll11Y parents, 18 yrs. old, purchase $ 65.00 price indicated ....~__.__-.~..."...--- __. "....__.. ._....____._....._. ..._.___~..._.. ._.... .________~__.~...._._._.__.__._.._._ ___.u___________.~ Wine Set Imported wine set, with 8 stem glusses, gold trim $ 150.00 ____._._.___..._._.. _'__" _____.... .._.__.._.__n___.__.... ....__..___......_...._... -..-.---.-."-. ..-.........-.-.--.-....-.- -~---~~"-- Chress Sl\t Ceramic Chess Set, Oriental chess pieces $ 40.00 .__.._..______.__.__. .____u_ ...._..... _..__.____._____.u. ...... ...".____... __ .. .. ..._.______..,...._.._._____.___. ...n'__'_ ----.-...~--- Home Interiors I - Deer, $ 40.00, I - large soil' print, mountain l11an $ 115.00 Pictures $ 75,00 _.__..._ _n___._'_._"~' _,_.___...... ..__._n_.______T.______. ..________un____.. .__..____._.._.........._____.. .-- -----~...-.~.~ Broneo Tubes 2 - I new lurge $ 125,00, I older small $ 40,00 $ 165.00 ._._._.___.__._.___u_ ____.___. ............ . u_ ...._.__n__n .._,. .-.------.----. . ...--.- ..-------- -... .,.----~..-- .-,----.~-.---_.- Bandl Table Antique Cracker Barrel with glass top $ 45.00 _._.~_~~_,...._.._._ .. ________.___._.._, "_'_"'___,_'_n _ 0......___________._.... ._______.....______..._ ._.___n_____~ Pelt Board Antique Trapper's pelt stretching board $ 15.00 --_._-~---_._--_....... -"..-_..----~..._._._-_....._...-.--- .. ..... .....__.-~... - -------.-.-.-..---. -~...-._-~-_.~--- Clay Pipes Clay pipes with rack $ 20,00 .._____.__ _.._...___~.____...n__.~_..__.._..____.._.. _.... . .._ ______._..._._.._.._._~_ ----...-0-. -----~- Roll Top Dcsk Roll top dcsk with matching typewriter stand $ 300.00 .-.---....--.-.-- --..-...- -----..-..--.--.......-....-.... ---..~-_.-.._..-.~~_. ----' -----.-.----- Typewritcr, scars Scars portable typl'writcr, latc model with spell check $ 125.00 -~~_.----..---_. --_....-.~-~-~~--_......_--_._--_..-~-_._._-~-... ---'---" Side Tablc I built, apx. 5' X 4' high X 20" wide $ 40.00 _~,___,___'_.__"_"O ..._.___._..__.._._..___.__~._.____.._._____.._...___~._.~~------ _..---.-~-'~~_. Entcl1ainl11ent Stand Stereo and TV cabinct $ 125,00 ---~--~-_.._..... _.....---._---_._.._.-~_.--_...-._-_._~--_..-_..._~._-_.- .-....._~ Antique Whecls I set antique cart whcels $ 20,00 --------_.~..~_. --.. -~-_...._.-.-._-~_.-.._...~----- _.._-----~ Vacums I upright Dirt Devil 10 amp Vac. $ 150.00, I hand $ 195.00 held Dirt Dcvil vac. $ 45,00 .__..__.__._---_.._...~~----------- -- $ 50,00 Trailer Fmme I small utility trailer l\'ame, I have thunc, Wanda holds title, gift to l11e ti'ol11my fathcr --.-.---'- "-~----~ AtltletlS/21/98 Cookware Rcvere Cookwarc, Skillcts, Pots, ast. ------~ -- .._----------_.._~.._- Dinnerwure 8 Place Setting, Wedding gift _._--~-------_._".-~-----~---_.- Kitchen ItCI11S Blender, Mixer, Elcctric Knifc, Air Poppcr, fry Baby, Toaster Ovcn, Electric Skillet -------------~-- Lcather Craft Supplics Rnlls leather, Rabbit skins, misc. "_U. _~_.._._._.__~__...--_~----._--._~-.- Dratting Matcrials Dratting board, Pencils, ivlcdlUnical Pcncils, Trianag!cs, Templatcs, l11isc. $ 250.00 $ 75.00 $ 175,00 $ 200.00 $ 100.00 ._--~---"._.._--_..._---_..~.~- _.~-- .._._~.....--_..__.~.~_._~--------- -.-----.----------.-........-...---..-.--.-. Total Vaili" - Property held prior to marrage -~-~----_._.- Total of property obtuincd while IlHuTicd Total '1t:(;" - ~ t(c \.. ~I-.<U'w~~ ASSET...S OF' PARTIES Plaintiff marks on the list below those items applicable to the. case at bar and itemizes the assets in the following pages. ( ) 1. (x) 2. ( ) 3. ( ) 4, (x) 5. ( ) 6. ( 7, ( ) 8. (x) 9, 10, 11, 12, 13, 14, 15, ( ) 16. (x) 17, (x) 18, (x) 19, ( ) 20, ( ) 21. ( ) 22, ( ) 23. (x) 24, (x) 25. ( ) 26, Dm.'I/ltll'tlI N: 15]/65,1 Real property Motor vehicles Stocks, bonds, securities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certH icates 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 Business (list all owners, including percentage of ownership, and officer/director positions held by a party with company) Employment termination benefits-severance pay, workmen'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 I mortgages held Household furnishings and personalty (include as a total category and attach itemized list of distribution of such assets in dispute Other I,IABILITIES Item N2...- Descript.ion of Prooerty. Names of All Creditors Names of All Debtors 1. 3 Altoona Avenue, Enola, PA (balance approximately $18,000) (credit card debt consolidation) . PNC Bank Joint 2, 1994 Geo Tracker PNC Bank Joint - paid off by Wife 3. Credit Card J.C, Penney Joint - paid off by Wife 4, Credit Card (approximately $5,000) VISA HUsband 5, Credit Cf.\rd VISA - Dauphin Deposit Joint 6, Truck Loan PNC Bank Joint 7, Boat Lo"n Integra Bank Joipt D()('ImwnI II: IS2/6.f./ 5)(hlbltA ASSETS OE PARTIES Plaintiff m~rks on the list below those items applicable to the case at bar and itemizes the assets in the fOllowing pages. () l. (x) 2, () 3, () 4. (x) 5. () 6. ) ,/, () 8. (x) 9. ) 10. ) 11. ) 12. ) 13, ) 14, ) 15, () 16. (x) 17, (x) 18, (x) 19. () 20. () 21, () 22, () 23, (x) 24. (x) 25. () 26. ~"'mN: IW6J,1 Real property Motor vehicles Stocks, bonds, securities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certificates Contents of safe deposit boxes Trusts Life insurance policies (indicate face value, cash surrender value and current beneficiaries) Annuities Gifts Inheritances Patents, copyrights, inventions, royalties Personal property outside the home Business (list all owners, including percentage of ownership, and officer/director positJons held by a party with company) Employment termination benefits-severance pay, workmen'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 of distribution of such assets in dispute Other '...' P&OPER~'Y ~RANSFE~RED Item ~ Deecript ion of. ProDer~ Date of Transfe~ Conaider~tioq Peraon to Whom 'l'ransferreg Docum'nlN.' 1$116$,1 ElChlblt B WANDA M, MOTTERN, Plaintiff v. DONALD R. MOTTERN, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO, 98-2568 CIVIL ACTION - LAW COMPLAINT IN DIVORCE INCOME AND EXPIJ:NSE STA l'EMENT OF PLAINTIFF. WAND.A M. MOT1'E~ /Jocum,,,1 N.. I J}JU I (") IJ) (~ c~ '.-1.\ ~" .~~ "Tc'i.'i :(.1 rnr-: --:} ....... ~1J ij:'!l r.'~ c-~' w ,. 0')-, "u,? ; ~ , co ::, i l~ ':"(1 ' , .f.~ " 'T' I\{.' '~. ,; ::.i; ,. J '" r: ! ~", ~\ .0 ~.. L!~ ,';LII"I " .,) of.. ~ Ii --J '"" 01:" -<: METZGER. WICKERSHAM. KNAUSS & ERB, P.C. BY:~-;:: 2:c~~."... ~~ Karl R, Hildabrand, Esquire Attorney J.D. No, 30102 3211 North Front Street P.O, Box 5300 Harrisburg, PA 17110-0300 (717) 238-8187 Attorneys for Plaintiff ~ T' r .. , ,"1 "\ ~ cO, ",', h, exhibit 0 ";,, Wd"'" (-i:, rROPOSEQ RESOLUTION OF ECONOMIC ISSUES OF PLAINl'tFF WANDA M. MQ'tTERN 1. Shaffer Trucking Profit Sharing AceoLmt: To be distributed 2/3 marital portion to Plaintiff Wanda MOllern and 1/3 martial pOl'lion to Defendant Donald Mollern. 2. Personal properly: To be distributed by agreement of the parties. 3. Balance of PNC loan: Defendant Donald Mollern to pay 2/3 of loan balance and Plaintiff Wanda MOllern to pay 1/3 of loan balance. 4. Defendant to sign off on title to 1994 Oeo Tracker. 5. Proceed'i from sale of boat to be divided equally between the parties. 6. Def~ndantto pay balances on both VISA cards. including Dauphin Deposit VISA. and pay balance on Texaco credit (lard. 7. PlaIntiff to pay balance on JC Penny credit card. Docume., N: /6988$, / THIS FORM MUST BE FILLED OU'l' ~. (It you a~e aelt-eMployed or it you are salaried by a bueinese ot whioh you are owner in whole or in pa~t, yuu must aleo till out the Supplemental Income State- ment whioh appears on the last paqe of thi. Inoome and Expense Statement.) INCOME AND EXPENSE, STATEMENT OF Wanda M. Mottern INCOME Employer I Addrall I Giant Food Store Q59 6520 Carlisle Pike, Meclwnl.csburg, PA 17055 Type of Workl Cashier Payroll Nwnberl Pay Period (weekly, biweekly, etc.)1 weekly Gro.s Pay per Pnv Period, ItemiZed Payroll Deductions por $ 250.00 Pay Period I Federal Withholdinq................$ 18.00 Social Security..................... ~oo--- Local Waqe Tax ..................... 3. 00 State Income Tax ................... ~~ Retirement. ..~......... ..........~.. ....... . Savinq8 Bonds ...................... Credit Union ....................... Lite Insurance ..... t'. . . . . . . . . . . . , . . Health Insurance .................... 1.00 Other (speoity). FJf;/I..:o, jij, ... . . . . . .. 4.00 Net Pay per Pay Period, -- $ 201. 00 Other Incomel Intel'.at. . . . . . . . . . .. . . 'I . . .... . . . . . . ...$ Dividends. ............................ pension.............. .................. Annuity ...................... ~....... Social Security ...................... Rents................................ . RoYal tiee Week : Month Year (Fill in Appropr.iate Column) $ --- ............................. Expen.e Aocount....................... Gift_. . . . . . . . . '. . . ..................... UneJl\ployment Comp..................... Workmen' 8 Camp. ...... .,. . . ... . . . . . . " . . Total $ $ $ $ $ " -~'~- SUPPLEMENTAL INCOME STATEMENT (a) ( J ( J ( J Thie form is to bsfilled out by II person (ch~Ok ons) I (1) who operates II business or practioes a profession, or (2) who is a member of Q Pllrtnet'Ship or joint venture, or (3) who is a shareholder in and is salaried by a olosed oorporation or similar entity. (b) Attaoh to this statement a copy of the fOllowing relating to the partnership, joint venture, profession, corporation or similar entitYI (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; documents business, -. (d) ( J ( J ( J ( J ( ) (e) - Nature of business (check one) (1) partnership (2) joint venture (3) profession (4) olosed oorporation (5) other Name of aooountant, controller or other person in oharge of finanoial reoords: (f) Annual inoome from business: (1) How often is inoome received? (2) Gross inoome per pay period: (3) Net inoome per pay period: (4) Specified deduotions, if any: pay1ng that loan sInce tho dato of separation, We understand that as of today Uw payoff on that loan is $13,00'1,05, Mr. Mottern, as of today, will assume full and sole responsibility for all future paymerlts and payoff the outstanding loan, and he will agree to indemnify and hold harmless Mrs. Mottern on that loan for his failure to make the payments and pay the loan off, S. Mr. Mottern will pay to Mrs. Mottern the sum of $1,000,00 within sixty days by cert1fied or cashier's check payable to wHe, 6. At the time of separation the parties had the fallowing outstanding debts: al Providian VISA; hI Dauphin Deposit VISA; 01 Texaco; dl JC Penney. The Texaco and JC Penney bills have been paid. Husband agrees to assume sole responsibility for payment of the providian VISA and the Dauphin Deposit VISA and agrees to hold wife harmless for his failure to do sO, Both parties have indicated that at the time of separation all joint credit cards were cancelled and closed and there are no current joint cards eXisting. 7. Mr, Mottern's obligation to pay spousal support will continue until the issuance of a divorce decree. 8. The parties both agree to waive any claims for alimony. 9. The parties' obligations wHh respect to child support will continued to be handled through the Domestic Relations Office. 10. Both parties agree to sign affidavits of consent and waivers for a no-fault divorce, which will be signed today. 11. Both parties agree to waive any claims for counsel fees or expenses otherwise than were stated prevIously in this agreement. 12. The parties are joint owners of a 1994 GEO tracker automobile; Mr. Mottern agrees to transfer his right, title, liability for provision of the Participant's benefits described below is incurred, shall also be subject to the terms of this Order, Also, any benefits accrued by the Participant under a predecessor plan of the employer or any other defined contribution plan sponsored by,the Participant's employer, whereby liability for benefits accrued under such predecessor plan or other defined contribution plan has been transferred to the Plan, shall also be subject to the terms of this Order. Any changes in Plan Administrator, Plan Sponsor, or name of the Plan shall not affect Alternate Payee's rights as stipulated under this Order. 5. Pursuant to State Domestic Relations Law. This Order is entered pursuant to the authority granted in the applicable domestic relations law of the Commonwealth of Pennsylvania, 6. For Provision of Marital Property Rights. This Order relates to the provision of marital property rights and/or spousal support to the Alternate Payee as a result of the Order of Divorce between Participant and Alternate Payee, 7. Amount of Alternate Payee's Benefit, This Order assigns to the Alternate Payee an amount equal to ~!xty percent (60%)_ of the Part ic ipant' s Total Account Balance accumulated under the Plan as of August 30, 2000. Such amount will be withdrawn from the Participant's investment accounts (other than any loan account of the Participant's) pro rata. Further, such Total Account Balance shall include all amounts maintained under all of the various accounts and/or subaccounts established on behalf of the Participant. Such Total Account Balance shall be determined without regard to any account reduction caused by Participant's prior 10an(s), if any, from the Plan, The Alternate Payee's portion of the benefits described above shall be segregated and separately maintained in Account (5) established on her behalf and shall additionally be credited with any interest and investment income (or losses) attributable thereon from the Plan's valuation date immediately following ~ugust 30, 2000, until the date of total distribution to the Alternate Payee, 8. Commencement Date and Form of Payment to Alternate Payee. If the Alterns'c Payee so elects, she ~llall be paid her benefits as soon as administratively feasible following the date this Order is approved as a QDRO by the Plan Administrator and the Order is final, or at the earliest date permitted under the terms of the Plan, if later. Benefits will be payable to the Alternate Payee in any form or permissible option otherwise available to Participant under the terms of the Plan, including, but not limited to, a lump sum distribution. 9. Alternate Payee'e Rights and Privileges. On and after the date that this Order is deemed to be a QDRO, but before the Alternate Payee receives her total distribution under the Plan, the Alternate Payee shall be entitled to all of the rights and election privileges that are ~fforded to Plan participants and beneficiaries, including, but not limited to, the rules regarding in-service withdrawals and distributions, the right to designate a beneficiary for death benefit purposes, and the right to direct Plan investments, all to the excent permitted under the provisions of the Plan. 10. Death of Alternate Payee. In the event of the Alternate Payee's death prior to her receiving the full amount of benefits called for under this Order and under the benefit option chosen by the Alternate Payee, such Alternate Payee's beneficiary (ies), as designated on the appropriate form provided by the Plan Administrator, shall receive the remainder of any unpaid benefits under the terms of this Order, and in accordance with the benefit option selected by the Alternate Payee. 11. Death of Participant. In the event that the Participant dies prior to the establishment of separate account(s) in the name of the Alternate Payee, such Alternate Payee shall be treated as the surviving spouse of the Participant for any death benefits payable under the Plan to the may be amended from time to time, and that the Plan Administrator shall reserve the right to reconfirm the qualified status of the Order at the time benef.its become payable hereunder, 15. Tax Treatment of Distributions Made Under This Order. For purposes of Sections 402(a) and 72 of the Internal Revenue Code, any Alternate Payee who is the spouse of former spouse of the Participant shall be treated as the distributee of any distribution or payments made to the Alternate Payee under the terms of this Order, and as such, will be required to pay the appropriate federal income taxes on such distribution, 16. Constructive Receipt. In the event that the Plan Trustee inadvertently pays to the Participant any benefits which are assigned to the Alternate Payee pursuant to the terms of the Order, the Participant shall immediately ,reimburse the Al ternate Payee to the extent that he has received such benefit payments, and shall forthwith pay such amounts so received directly to' the Alternate Payee within ten (10) days of receipt, 17. Continued Jurisdiction. The Court shall retain jurisdiction with respect to this Order to the extent reqUired to maintain its qualified status and the original intent of the parties as stipulated herein, WANDA M. MO'r'I'ImN, Plaintiff, : IN 1'HE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. NO, lI8-2568 DONALD R. MO'f'rImN, Dllfllndul1t CIVIL ACTION - LA W- DIVORCE PIUWIOUSLY ASSIGNED 'fO: J. GUIDO AFFlDAVI'f OF SERVICE TO 'fHE PROTHONOTARY: I, Matthew J. Eshelman, Esqulro, verify that the Rulo of November 20, 2001, in the above-captioned maUer was served upon the Defendant by firAt class, Cortified Mail No.1670 0005 27G9 G198, post.ago propaid, l'etul'll receipt roquested on November 23, 2001. I~. SENDER: III Q Compltteltemll I"d/or 2 for additional 1,,!Vlm. I CompItt,lttml 3, "a, .nd 4b. f . C ::~~'/O~~.me.nd .dd".. on th. ",.". olth" torm '0 Ihal w. eo" ,etum 1101. 1, 0 Addr....... Addr... .f I D=~ thi.foonll)lhefrontollhe mallpleco, oronlhe back If lpar,O dool nol 2. 0 Restrioted Delivery j I Q Writ '~'um Receipt RsquestedO on the malfpl.ce below the ar1lcle number I I Ii 0 The <<urn ReceiPt ",-llIlhow 10 whom the .rllele WIS delivered Ind the dalo I deH red. ' - f"~'ldqO 11 . 3_ 't ___ i I r;:;;..wJ;: m~~ :7~:!f~ obati 027'9 ~/9fj,;;;,::,;";; ..{~ u.. eo~~~:'~\'\) o A.gl.t.r.d 0 C.rtlfl.d ? I I...p rh'IOfyhl'l J.3 ~ ~ 0 Express Mall 0 Insured '~ Flnq\llredl r # , 11'-. I . V ; . ' . 0 Return Recelpl/or Mereh dl.. rJ COO l! $ '3 '1 'i ~ . ! ~ ,In 11013 7'OateolOfry I' DI ~'~';"~~':_=----'~- I . ----- ._--1_ ..,tD f'~~ Q t.o. i 5.A ~IVwJBv:(p'lnl --. 8,~~d:::~d;SAddr.. (Only r8qu-'.llIdand t::"f~... . ~... I I (~ nalur. (Addr..... or Age ~:li t If I IJ / ,.I , PSForm3811,Dec.mber19 4 ! I Ellso wish to receive the follow- ing ..rvle.. (lor .n .,tra fe.): sIal Service IFIED MAIL RECEIPT . Mwl Only, No IrlSUfCl/1'{, COV(""'lf' I'rovHI!'(/) -_._-+~ 102595.99.8.0223 Dom..lle A.tum A.e.lpl ~ fl ~ Dute: ~~ Matt.hew ,J. E 'hell11all, Esquiro Law Offices of Put rick F, Lauer, Jr. 2108 Market Street, Aztec Building Camp Hill, Penn!Jylvania 17011-4706 ID# 72655 1'01. (717) 763-1800