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" " If W YOU no NU'l' ."ILle A Cf,t\IM IrUH I\LIMONY, PI VISION ()II' PH(Wlm'l'Y, I,A WVlcH'S 1,'mcR OH leXI1ICNSICS, JUWOfm A IlIVOl~()JC OR ANNUI,MICN'I' IS GnAN'I'ICf), yoU MAY 1,0SIC'l'tUC IUGII'I' TO CI,AlM ANY OF 'I'/{/CM, . VUIJ RffOIJU)"I'I\I~lc 'I'/HS "Alllm '1'0 Vuun I,A wVlm A'I' ONCIC, Ifl' VOll flO NOT itA VIC A J,A WYlm on CANNO'/' ^,I'1"0lU> ONIC, nO'l'u OR'I'J~UCflHONIC 'I'HIc OI1'f1'ICIC SIC'I' II'OWI'II mCI.ow '1'0 FINn UIJ'I' Wlfmm YOIJ CAN (/IIi'I' J,ICGAL mCLlI, CIIlt1hurlnlld COIIlIlY 13111' Assoollllloll 4 LIllOl1y i\vollll~ CIII'lisl~, 1'01lllsylvIIIlln 1701:l '1'lllopho/tu (717) 44lJ<Wi6 AMI3HICAN~ WITH /)'~AIl"../'f'lI3S. ACT ofll !.l90 . Tho COIII'I of COlll1llUll I'lllnH of CllIlIhlll'llIlle! COIlIlIY IN 1'011 II 1 rot 1 hy IIIW 10 OOl1lply wllh lho Allll11'IoIIIIH willi lJlsnhliltfos Aol of 1990, ,Pol' IlIfuI'IlHlllullllholll nOlloHSlhlll tilllllllllls nlllll'llnHUln\hlo noool]lIl\odnlfulls nVlIllnhlll 10 dlHllhloe! II1dlvll/IIIlIs hnvlnl! hllSlllllHH hofol'o IIlu llOIl!'I, plOllHO 01111111010111' .offloo, AIl'IIITnllgolllllnlH 111l1s1 ho 111111/0 nl Illl1st 72 holll's prior to IIlIY hOlll'lllg Ol' hllfllilOHH horol'u tlill . 00111'1, YOII fllllsl nUolld lho solwl/nll11/ cOflfol'l',nOO or hom'ln!!, .Inllll1s .I, Knyol', USllllfj'o Allol'lIlIY fill' I'lnlllllrr Lih\ll'ty Lon 4 BIIsl Llhol1y AVoll1l0 Cnl'lIslo, I'A 170 1:1 (717) 44:1-7922 , " ;d'I' ;,,:P;'K~V~'rl\n~ ~mwn" , '" "',i.\'~[(JtOI\lI\PIl!'IOOI'JOI'lI\,I?I\ 'I" '1"" 01\ ,"1 t;:I.Ii?(II\V'AVIlI1\1U 'j ,Ol\l\\lllu.i'~ , ~ )1l1 Y." . 1"(1;/) ~<\a.j:\l?ll ,p ,. ; 'I 't',",'i ",., , " ' '\ ' .1'/0\3 MMIJlil.<j, IIMHY, ' I'lIllnlii'1' , IN Till': ('Olllfl' IlF C(lMMON I'I,HI\1'1 PI" C\JMIWHI,,\NII ('II\INTY, 1'1':NNHYI.VI\NI,\ ('lVII, I\<TI(lN -I,A'" NO, I}H~~Mll (WH, TliHM " VM, MAlfI'lI^ li,IIi\HHY, p~ 1'011\11111\ IN l'lIV<HH'li WAIVlm ()Ii' NO'I\ICI~ <)Ii' INTI';N'I'ION TO ImOIJI'~S'l' I':N'I'HY <)Ii' ^ IHVOIWII m;clUill ' ' . 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"., "1 'l,i 1..'1': " 1\ ~d :\'( '.!!' , ;,~ ''I' :i\l .l~l "j' ;~H\ ",~\, '."\/1 "')~ ,(~.r, ,~~{ /.,~ ,"1,'1 '/'1\ \\~'l '1'\ v! I' \",\,tl ....J,'I~.!'... '"{i'll, r '\~}i ~; .:fl';', .,1,,""11' (Mh 1'1"'" ""'!' ',r~I'( "~,~" '1111\\ " t'" \';~i)-d '.'I;.:dl! ,\(\~'lfj I . I. ,1 ~ ::,j-kll:;; (1"j1.\I,' ''''I!''/' W,}~ ~ "\"'f' ":\!1";\ , . 1,1 ~-" ~ -' \" I: I'l,ll'-,V:- ., .'~!\ .'. )".' VI~I';f\ IJ':/ri"'\ 1 ;,~ '1;'\' : ,\I'Uj~~. If..,J;:,'i,1 i~'H'l' "T:"I'li1; "111\1 1{'(:::,'ll II'It~'(,<< ;,\r;",n, 1:.lC\\.y. I','il,:,~ ".:l,:I:I'\'." ''.\\",1" I"'I.",N \'llItM "~''il')' ,';I'!.,.:;;1j "",1\:" '-1\"'1" ~~ ,1i,{ :1\ '.\"r, 'I /'lI\I\'HJ'~', (I, "'\lmV, .. ., . "lnlnlt"1' ", I '1'1 '1'lIIe f,:npWI' nVn)~'MUll/ 1'1,101\1', Oil., I ,PIlMn'HU.I\Nn (:OPNTY, I'ICNNHYlN 1\11/,1\ I I (~""" i\(.!"'ION . ,.1\ W I I I)".~M(, (~'V","'ICHM I I III/ lHVUIW,O . " MI\H"",^ 'c. 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" I vol'i1~ thnt tho RlnlolllOl1lH H1mlo in IhlR nnlllnvltlll'o tl'\lll nlld COl'l'uot, I IIl1dol'Rtnnll Ihl\l HIIHO Hlnl~llllllllH llol'oin 111ndo \\I'1l HuhJoot to tho ponnltioH nf' 1 H I'll, c,S, Scollon 4904 1'0lllllnlllll 111lHWOrn fIlIRlf1~ntlon III nlllhol'11lllH, Untlll J)f;/lC./i.d4. 120/lj l.,..' -'~" \1 " ,,- 1 'ji Ht\MJJICI, (j, "i\ImV, !'I,,'nml' I IN Tille c:eHllrl' ell" nlMMUN I'I;ICi\/i CW I 'C!IJMIIIIIU,i\NIl C:CHJN'I'V, l'ICNN/iVI"',\NI" I 1 C,,"" i\CTI()N~ lii\ W I I l)H.~M(1 CIVil, 'I'IIHM I I IN IUYUIWIC V, MAIfI'II" IC,lIt\1UW, IMpl"l"nl ", ,I' " ~A.W:'S , 1 .' . I, ^ CIJmplllhllln Plvllrll~ \1I11I~r 1i~~llnns, 3301(~) nl1\133ol(dl Ill'lh~ IJIVl1lW cIIIII> \VIIs fll(lll Iln O~lllh~I' I, 191)!l nnd nil ^nwl1\l\l11 cIl111plnlnt III In~l\ld~ 1l11\ll1nhl~ nlstrlhlltillll \Vns llIlld nll.'"f\o ~3, ;lOOO, ' 2, 'rlwnll1l'l'llIUo Ill' plnllllll'l' nI1l111~I'ontlllf\IIH IITlllrlovnhly \Jl'uk~f\ 1I11111lliWly (111)'8 hllW plllpscd fhlll1l1w llllt~ Ilftlw llllnu I)flho ~Illnplllllll, . 3, I lloIlS(lf\t IIltl10 lln\l'y !lfn llllnl doorollln dlvlINIl, 4, 1111\110l'stlllld Ihnt I mn)' Illslll'luhls IlIlIlOC1'Il1IlUlllllnon)', dlvlslol\ of Jlrnp~l'ly. IIIW)'~I"H fUllS Ill' oXIJ~nsos if'( ,tlo Ilol olnlm thom h~fbl'llll dlvlH'llllls !ll'lInlocl, ., , Wl'It)' Ihlll tlw stntCIl111nls Il1nll~ In Ihlli nff1dllvlt 1\1'0 Irl1~ 1Il1C1 COI'l'llOI, IUl1Ilcl'stllnd (hili fhlsll 81nlon1Onls horoln mllllo nt'll Sl1h.lllllt 10 (ho pcnnHlllH of I R fill, C, S, Slllltlon 4904 l'oll\lhl!llo ulIswurn fillslllllntloll to lI\1thllrltlos, Oncel. / J!rlj(;; ,II j' 12001 '- ItA c:?~ ' -l1.(1X -(', A =-- ,~ MAIt'Iil A ~mY " \, ., " " MM,Jlq, Q,IIAlmV, . I'l!l'nllff I IN TIIIC (]UP\f1' OF C;UMMUN l'l,MH OF . I I C:PI\'HllolHII/\NIl (]mJNTV, l'ICNNHYINt\Nli\. I ,. I CIVil, i\CI'lnN -lAW , I IJH,~M(, CIVil, 'I'ICI~M , , IN IllVnHCIC "V, Mt\I~'I'IlAIC, IIAHIW, 1)pf~'lIlnllt )V AIVICll OJll'lO'I'IClc OJlIN'J'I~N'I'I()N '1'0 IUCOUICST . " illI'I'I\V 011 A IllVOItclC IlICCI~ICIC tJNllIm NICCTION 331l\(c) ()II Tille IllvnnClC cW!.m ' ! " I, I Olll1HOlll In Iho ~1\II'Y PI' II 111\111 POOI'OO \11' PIVlll'OO wllhll\ll 1\ll\lou, , 2, 1 \l11I1~I'Hll\ml 1111111 ml\Y Ip~o rlghlH cOllool'l1hlg 1I11111ll11Y, III vi HI 011 of pI'OPU1'\Y. Inwyor'H f~OH l1I'ol\llOllHOH Iflll\11101 ollllln UWI\1 h~lhro 1\ dlvolW IH Ilrn11IOII, , . 3, I \lI1IIOI'Hllllld Ihl\\' I wllllWI ho dlvllrOo\1 1I1l11l11 IllvPl'OU docl'oo IH olllol'cll hy Iho Coml 111111 Ihlll II cop>' 01' tho dool'co will \10 'HOIlI 10 'mo Il\1incdhlloly 111\01' II I~ nlod wlthlho I'rothllllolllry, ' I vorlly Ihll( 1t1ll HIl\lollllllllH 1\1\1110 In Ihl~ nrllllnvlt 111'0 (1'110 lI1\d corl'ool, .1 IIlHlorH\lInd Ihlll f\IIHC HllllolllllnlH Illlroln1l1l1dolll'0 Hllh.lccl (0 Iho pOllll\lloH of 1 H PlI, C,S, Sucllon 4904 rolnllnl! III II1lHWorn tillHltlulItlon II1l\lllhlll'lIl~H\ Illltel '~h J ,1. ,2110t '-11 'J;i- -. ;' ~. , ~ 4MA1l'i'lI ICIJI~itV J)cfcnllllllt (,~ i ,i ,~ , ;;;1 !'l I'" ,,' , 5~Y'~\~~L 0). H~l: k/l " . . (:j.,l\)nh\F fY\r\f~T\\ (~, V)I':\'AN~,'\ I'" [):~?;)\\~XIY\l' ,H . . .... . ,;);.,.)1 '6'(<' 'I.'ad tl:(~I)t''''\~IU''''(~~';''I,k. "J,o:"i,.:, , ri-r-J\.-Mit'l[Q~I;l<.1> f I ('I.-'f ('1--'111 ", ..t.lIt\^l,.~( y....".,t"I<lL, ~J' {1't~,1 (I ,J1.q , t'r:o.t 1/1ID",;{t" tlu((/~1 L M-VIf\' lh'-~ ~ ~.j. :AI' q,""l ..l' ""Llt;d v".I, l () t~t ..,....\L'-O' (~, d...~"'^"l (If.f\J1.~ , "t\l/I.1JA~J 1-1'lu.i, -(f\ '-'I.~,l'/,\.,J.trl 'V~:J(';!l.h\1 , .C~"~~.':f:~>~~t~:I;Ec:i~~:51,.,tl!," ~,1 ~'" /}I\t..:;:h.Gltllt...,.~l-,~,4t t}"lJtJ ;~~:\L 't;J l."-L,-,~~~ilr:r~ ."'J, L--L, l(U' (....':~l"jtt"Ml Lu.k..I.~~, ...1.." ~.v, 0-~_t"" ~1: 1'....lv'(~~M-7... t~ ."t--\llr;t,l C....'N' ,..4.r"V\"~ ~l r;;[Lt/(J ~/~"" llol-"I,'i" QhlWI 7, ,J,>..ttUl:~,,,,..-+ 1/N'..J,t.~ <-" t"'~~""".../{,J 1. (~tn" ~l(",-, ~\fI1 ,IN..'v' l~ d'U\~ IA..~ l~ /'\{''ii 'yy\(.;I.Q~ c~""iliw,~tf." . " 0/(1' l,Jcw'l' d.,)\..J.u.,.t,'n,...:;:;tvvy ""'Cl-J"J(,iT.I,J (JtI'''''''~lj. 1.:&.t'.JM..A(./ f' ,~~ (\.'~{.'Vv\..L~:<-. 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(.).,l\)nhlf .' rYY\f~\\ (~ ' I i{ '1'111': Ollllll'i' 01" cn~1MnN I'ldWi (1\" ()IIMIII'lIl1,"NP pOIJN'l'Y I I'HNNIIY1.vf\Nl" ' Y)i!,\, II. /J ,I . Ar "f'" \ \," U);VJ'\'X1Y~:i' f. , UIVl I, Ml','ION ",1'''11 No;'~8d:)I(dL,) CIVil, I~ IN Jll VOHCio: ll"'t'\'!'\III.1H U~J'l'I' IWI' I':, Ml'I' 1 VI 't' I Jo:H 1 6/)6,OD 'l.r;\C'~R\'~'~\!~h'1'\ ....... ... '11!' ~O/{/") ',.., '~1~~ln/q)'n(~))\)G:,(I~Yi1f)n'. ., . ... ., ." .".. . . cpl'i:Jr ,1(?O . ,'"il:.}+,:>'ll;~1 "j" "'l'~,,~~'~,J ,\bl~ . 01'," n,-c,J,() A'/- P:']JJ t " , ~/) /~"'I"'(';"" ,'",ol /.'1, ".'1 / If'" I", in' I. (,(II ,./[0' ( /(.,.." 1.)';','(/"'..'... ' ,,'.' /.', .," {, :'' .l' I. ' -/" ( ( ::<"'I':~',' ';i ,'" :..<,,1, /:'h,"~t:/,;;t;';);;'\F,"I.';1 at/( I,ll' . it' :( "'ir,,,:': (,I' I :/,I/"n':I""!.i!Luu, .,.,.ufl.!:I'i:I'/!)"I~'L(/j, th" i(,:I'". . ,,''''',,_._. t.. '1,1 ',,, ".d 1/, III {'///I "o. ,,( / (I" ,I ('11 , ..... r.n.. ,.... 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("1'4-tA' c1.~~.,-, 'l~'i'\ l=bJ./Y' ).,/ dY.\~')Q.,,,,JU't;;;[.1;> 'yn.<01QII~1 '~~~W,,'q"H .' .. d -''\.J.(.v',-n...,!.tit..,....J (-I>\.\,'J(II<I,; rJtI,~..."'~ti.4j . 1>4..f'.i4t1..(.( ,~-.t.{ l'\.t~(,~",-(~ I ..., ' I,AW ()rl'lc:I'u lRWfN !\1rKNJQHT & NUGJ-WS N(I(/HNII,INII'I,\' ,\(,IN('/!,(.f"II,'M'I(/II/:/11 ,I.I,\II!.\'O,II(I(I/II:,I' 111:1110('(',11111(I(/111:,\ ,\(,fll^'f1, ,\('I/WIN/I. Il(l(/(/I..I.I'(("III/.1.I"N , w/,',~r 11(J~lI'/lIir l'I((HI'SSIPI'/Ii/, /1111/011'/11 (iP \\'l'sr /'()~lm/!l' Ilmli!.'/' (.'1\/1/./8/,(,', /'l1'//ySI'1 VI\/yl,! I ml;I';/~2;! 17111 2'11I'2;W:( . fAX (1/11 ~'III'fi,1li4 IWAI ",\fIlVIIV@,I'UI'Mll/fr,(,'(/,\f 1/./1101/1,\ /HU'M' (M"'/~11i I/.IIIOI/I,I',/HII'IN"IN, (IV,I! y,l'! 11I11'/.1', IlIlIl<\' ,I lIill'/N (lV.Ih'M'! 11I1,1'1,,, INII'/<\,,( M,^'N/CIII/ (M',IV~!I INiI'IY, ,\(,^,\'I(//It,1 l/llei((I"I' (I~~I' J " I' I\prlll.1,2001 I I I , N, HOII/Cn'I' I~I,ICI~ICH, II IllVQlWIC 1\1I\/iTlq~ II NOH'I'II IlI\NUYlm folTHlCWI' CI\HI,IIlI,IC,1'I\ '7nl~ Hie, II A/un' v, IIl\liliY Nu, 1111 :;. ~fi4(iII" nh'llI'pp " POlll' MI', I1I1\Jkol'l '~l1plnsod plollso I1ml \1IW (I) I\llIy O~oOIIl~d \1l'lgll1l1ll1g1'IlIlIllOI1I with rO!ll1nll\1 lho 11\10\'0, l'oful'ol1opd Illl\llol', " " 1110l\so ~(Jl1tllot 1110 Il1lho ol'Ol1t thul'o 111'0 nllY IIIIOHII\1I1S \11' Olll1Ulll'l1H, VOl')' tI'I1IY}\1\ll's, mWIN. MoKNIOIIT& IIU<-l"WS ~~u~I\-)(j4 P(lllg"~~~lul' , paM;knm Bl1uln~lIr~ OUI .rnll\o~ ,J, I<nyol', /lsl]\Ilro , Mnl'lhn /l, IllIrry I /, " ' " I' " .' \, " " " IlllPbc1l1r\ ,iEI 51Y YUflJ:'fJ of' <l90,e\l\C1 n,fj1r\ep ell: ll.;l 1310 Spl:J1]9 !\Vll 11\ 10 , Newyqlo, PonnfJylY~nicl, whore.ho ~. iyofJ fllono, . \10 ip. i\ hi9h pehool or'1(1\\i\to, CU1.TC3ntly he i fJ ol1\ployed !)y ZiI1\11\81:11\f.l11 Rool:ing rind nol:fJ $3;15, 00 pl~l: weol~, IIcJ :Is "lpo nlOo:lyil]9 fI pC1nI:J:lon from tho 1:ecler,,1 goveJ:lll1\lHlt (llyJl f1C:ll:viol, in tllll <l1\\oqn\: ot: $'160,00 pm: 11I0nth , Huab<lnd if3 pe\ying t\w pl\m of: $106,61 t:0l" mecUoi\l :lnf.l\lrc\rICe ooyqnlge t:or poth pflrtisB, Upon the entry 01: i\ diyorcedocree, wi1:e Will be exol\~ed 1:rom tho coyer<lge provided under hl1s!)elncl' fl pll.ln, Compl\\:ing the income of:,hllpbi\nd from the job wi.t:h r.il1\l1\erl11i\n l~oonng <In(1 his pel1fJion, i.t: "ppec\l:p th.EI\: hl\fJhElnc1 ifJ ne\:\:in9 i\rounc1 $;1 ,IDO, 00 per 11\0n I: \1 , When t:he fJUPPOj:t: onlqr WflS el1te1:o(1 f:or wife, hupbilnd WElfJ yeporl:.j,n8 1ncome of: i\rol\l]cl $1,3'70,00 1'1 mOl]th, Hl\sbl'lnd 1ppartJally disabled as a re~l\lt 01: f.I l~nee 1l]jury whioh contri)Jlltecl to his retirement from the jop that he held with the l:ederCll government I Wife ~s 54 yeClrs of: ag6, ~hd refJides I'It 300 South Pitt Street, Cflrlisle, PennsylvCln1u, where she lives <llone, tlhe is e] high f.lchool grC\(lUl'lte and' is currently II unemployed, She hap flPpliedfor social Seol1rity Dil3abilH,y, !)l.\t the outoome 01: \:hoae proceedillg/3 ip not i,l11mineilt, She SI\l'fers 1:rom HbromyalgiEl Elnd chronic fatigue IJyndrome, '1'he j o\:>p which ahe hl'ls held We1~e m1n1mum Wflge Id.nds 01: jobs wh1ch dic;1 not 'provh~e her sqbstant ial income, " "" Her spousfll SUPPOl:t in the amount of $376 ,00 per month and funds thl'lt she 113 \.\sing from the payment ,to "her by husband 1:or the refll estnte a1:e what she is ourtently I\aing ~o supporthersel1:, Upon the entry 01: a rHvorae decree wi.fe w,Ul have ,to pl:ovi,c1e her bwn medial'll illsurflnoe coverflge, and, cOlmAol should prqyic;1lOJ L\ cost Cor thElt ooverage, Counsel for wHt:l' i.s 1'11130, goi.n9 to inquil:e' " , of his client al3 to whether or not she hEls to inour any coat fOr Proscription drugs, ' When husband mortgaged tho propevty.wherG he is dUJ:l:ently'living, which waf] the I:onner marital rel3idenoe, he inCJI\J:l:ed a monthly debt on a.,15 year mortgage of $69'7,00, " ' '1'h8 only ouher mCll:i.tfll 'asset which is s~bjeat to distribl\tion 1s wife's interest 1n husbl'lnd'/3 l)ension wHh the 1:ederCll gov8ri\mont, Mr, l<ayer has ' estimClted that, wUe 'Il ent.itlemetlt would be m:ound $100,00 "I', "., '" " " INCOMT: AtIP. {~xr~Nsg ST^H:M~NT OF ~:,.. _.....___,._..__._. (r;!.-:1.7YN.,_"tjt2.,-q&~L-_--.-.--,,:..,._.,,---~,-------.- . .. I 6S~1 Jf-..~._,lL.,_'C-ij [.1......... Pllll....,_._____~_ OW; j.. '1/-s:!.n,{!J.-- TII16 flTI\TI:M~m MUST IJf. ml.f.p qUT (11'10\1 n(O ~~\I,ornplo'lq\1 or II you 010 ool,1r\r.III)y n IlLllllnlloO 0lwlllel1 YOII oro o\'{no( In \'111010 or In par(, you 111\15\ /11110 1111 Dill 11\0 ,P\lpploll1on\lIllneoll1o Slo\0I110f11 '/11111.11 oppUofO on tho Ins\ pngo 01 \111ft IncolTlo Ml~ f.~p~nllo statoll1onl,) . " lNCOM~~ (lI) \'(IIIIOlllfll\l<1I'1 , ' , '7' -2 I 'J "AI~ ' r.:rnployo( ~. Ad<lf(lU& _,_,e.~,l}N:fo.@:Mi1N..'.ln.{<;P.!'/~:{.Lt--,,--,------_-_"_.n_--- .. . JOll TlllolPooerlpllon .__J:s.!::'.Q{,...-QfHfLe.lL.-.:....-----..:.:...----,-.---'--.-.,,-~ I'i1Y I'orlo(l (\'Iookly, \ll'\'IOllkly, (nontllly).__,_!t,-liV/!.~!1 . ~,..--_. Or0511 f1ny p.or PI,y Porlod ""I"l",.,nlll\~(,~/,g,IH~'~~"'''nllll..HI''IH''''1I1'''''....l'.tltl""jl\\'t'''''''''i''llH,q!!'\l,,,,"~..-i:l1I(1. f.l~ 1'0'/1011 Ood\lr.tlono: " . 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Ooyorooo I II W 0 ..._Ic.." ....e:..._ A, Thin lorn111\usI 1>0 1I110tl 0\1\ llyn pOlnon who (cl1oc~ ono): , --- (ll opolnloB n 1)\JsII106!1 o( IHncllcoB n prolosnlonl or ........-.., m In n mO/fll>or 01 n pilrlnorshlp or )olnl \,onlll(oj or -..,,-- (3) Is, n slWoll0ltlor In nntll~ s~llIllod by II clono<1 corpornllon or 01111111\1 ontlty: 13, 1\llnoh 10 Illln 6111101110nl II copy 01 1110 lollowlno (Ioculnonlo roll1l1no 10 Iho IJuoll1oBs, prolosnlon, portnolshlp, lolnl\'onl\lro, c9,porn\lol\ or nlmll,lf ontily, (1) Ihqlnosl (ocol1l Fotlo(nllncomo r~x 110luln, nncl (2) lho,mont roc on I Prollln!1<1 Loss 81nlo111011\. , c, Nnmo o1l\tl ,Add/oss of l>\Islno!lB: .---,.....---..--,r"--.-.-..--:---..::...-__".-.,-.------'-,-"--- .---.".-.-.---.,,--,.--'''.-..--,,-.,.,..:.-..,....,--..,.-....-.'--.'-.''''__ Tolop1l0l1o N ul11l>or ...:.....,...___~---- D, Nnma nnd 1\<I.<llonn (II <lllIoronl 1I1On C) 'QI occounlnnt, cOl1lrollor or "PIlIU( potson In chntoo 01 IInnnclnl rocor(ln l ".____w.w._--;'~-.-..----.wu~-,._,...----...-.---,_~_______.___._.__.____._____._._..___----.;..:.._.__--<.....;_~~~'~ , _.-..,-_.__.._..-----_._-_...-_._.......~---_._..~..._......_~~._._-~.--------_._-_..--------- n. (1) Annuall"co(no frofn bU8Ino!i~ """""""'''''''''''''''''''''''''''11'''''''''"'''''''1\'"..","'lit"..,,,,,,,,..,, S-~"r___--:-__" (2) '10\" olton Is l',corno rocolvod'! """.,Ij"""'''''';''''''''"ll''''''''''''''''''''''''''lll."".tt..t1t..t1I1,,,,j,oj, S__~. ,. j~," (3) t)'to'oalncorno pot pny pprlod ",.,{,_,"HI."",.It"""""'"''I''H''''''''H'''''''''IHH'''"""'II.."'H,,,y,,,,1 $..... I' (1\) Nollncof1lo IHlr'pny I>orlo<l 1111"''''''''''''''''''''''''''''''''''';'''''''''''1''''''11111111''''''IoIt,Io"HI,I""I;jl,;, $.~___....._~~..;.;.- (5) Spocllle d bdllc;llonn I', any ,,,,.,;,,, """''';'''I,."','"'''''''H,,,,,,,,,,,,,,,,,ltlt'''''''''li".',''";':'"1""111111"1"11 $........ " " 'I i" " i' " " Inlhll CIl\ll1 nf Cn1\l1\lnn 1l11l11S nf ClJMm\l\I~!\Nn Cnllnl)'l Il~nnHrlvl\,,11\ Ilq~H~\T1I: IH:I'~TIIlNH 1',q,lIn~ liD, Po\l\I,IHI,t:, l',1i'1101l 'lh""~1 (7\7) ~,IO.m5 FII~I (717) HO.~l'I"' PllIll1llff Nflll1PI D~fQllIl"nl NflI11\11 'PoPKOl N\l111\lOrl ri\CIll31l r.nso N\llIlh\lrl Olh\lr ~1l\\O IP Nlllnhllfl I'~c lIol~' o\IIIPlTl'll~I1i"'lC\llll1l1l \11'111110 1110 '1^~H1C!l PiliP N\l\i1hel'. " H I: Jncnmo nnll'I~"Vllnso Stnhlllllllli J' " 'l"1I1~ 110ltM MUS,\, !l1l'pII.LIlP OUT' " " (If YIlII 010 s~If'onlrloyclllll If YOII MO 8010110,1 \1)' 0 hllSlnoss of whloh yon 010 pwnor In whule Of POll, )'\111111\181 O\SII IiIl 0\1\ Ihe 5npplolllolllol Income 511110100111 which appool'll on Ihp 1000ltla~fof Ihls IIIC\l\llo ollll ~~pOllSO 510101/101\1,) ,. lNCOMIl S1'ATIlMlltfr OI1--Ltltl yY 11(( p, I-!cm-l/ " , ' , ',,' I 1 \'orlfy 'lUll Iho 5101011101lls modo IlIlhls Incolllo ol1d ll~poli80 SlololIlPl11 nlo \nIO IInd ol1fTPnl. I \llld~f1iIl\nd H\O\ folso 810lOlllollls he loin ~to s\lhjpol 100Iho orlmlool r~l\ohlos of 18 PII, a,S, 6 <\\>04, 101011n81\1 \ll\$Wom . fpl510pA\IPlllO o\llho\'1I105, ' ," , ;~l,J./ /ol '-/. /fl:dyl,. [C? ~~/rt,..~.) POI~ ' ' \1101111 ff IDpromloll!, ' /1,'::'::-- . INCOMltl' .,...,,' c..;"'! UlIlployct CCll"/{s~1J1o{J1 JJ)s-tro,'d=. """, , ,- -' ,. , A\lll~p8a_ ("..Q,~ 1~d12.L'.')lll PA /'I"I,'~ " Trvo of Work '. "3pelll(LI '{:,,/ iAM,{'I,;;"\hMI-,1lhJ Stlf'fd'.,-t1' (Jt'd e. \1pYro\l No, '. a~oss I'~)' 1l0\, Po)' 1'01'10<1$' ilo'7,i/broy I'OrlO(I,(wtdy,'~'W~!i>, OIQI) /'/ f'~11ry~;~~is fli,f"' ' , /311! I'd Cl) \ 6( /,ll'S, ((f}, rp,!IO III', .' ,I IIOlllI7~<I \1~YIOIl Ooduc,lo'l~1 ::: 'I !j,!il, ,.ad" l.hl'I'/.: .-II (.('!\"~ - ,lel'/,\(ls,'" '"II'~' (MI'h' III 110\lOf\ll Whhhohllllu $~I; /i'1 500101 Seclltlt)' $,:1,1;, ~JJ, 1.o00lWIIgo 'rAA $ II, M1 " .,1 \ , SIIIIP hlcol11o 'r~~ $11,111 1\011\'0\110111 $.~,:I,~" Sovlllus'honds $/', " Ctodh Union .$ // LIfo hlSlltillICO .1; $/ Boohh hlsntilllcP Olhot 00\1110110118 (alloclfy) iI1cd,'cll/("/'F' ff' $;i~ 'II "- ' " ' NoI t'oy pol' \111)' I'otlod $ J II ,c/o '-'(I " ./' .-:----" ." . " ('f -' ' ",. -'.,"1 (llh~,\ (l/v'll'<',l.,h {\"'II (I,.\V ,I.;,---"'~Ji, Jlot1illl'l,008 ". "';'; :1': "">I' 11<',"'l/d,,~, T I'J;1I1'('I"';li,\'~J ,;J.,(,,/JII~.!I'L ,.(;WI)tk~tlbiU~QIl '::: .I.d;:"",."!".,',,,' ..' ,,' , rVI./ I'e-Ib~ ,I </""/)flY'r1e,1.T .1.fllllS-.l,I"lV',.':c 1. .. . , <_i .r.-' f'" - :H' "I (' I"I'~, ,Yf'/U-, 'i, ,,,." ",..." " 1,)(.11,1., . " Service Typo M' " '". . , IIWIIIHQ ~ml f.\~IIIlI\.W ~'~I~I1WIII P,\CSllS c~so Nllll1hur 31Q100G3li oTIIIll\, INCOMJi: (1'111111 l\pprnpll~l~ r.llhllllll) wmCI~ 1\IONl'lI YILI\ 1\ $ y-rr . (1(, IIH~l~SI Dlvldolld~ I I'cns!llI\ AllIlIIhy SPQI~I ~oQllrhy ROI1l~ ' , ,RuyaIlI01- Il~POllSG Aocu\IIlI I .- . Olfl$ Onomplnymol1\ CO\11(ICl\$allon -- $ $ r .... ." "' ,. I{r,rl \'r~,,, 11',1<' 'I (\ II; \, . (( 1,' . I'; ~'J(\(' ,'I' \. - ,1 - ---.. ,...".,. ,/ " WOrj(l\lcl\'~ Com(ICIIS~lInn nts ROl\lnd . Olhcl' Olllor /11If.k :r..d"1'V I//{" (II '--1 .~!l!,)1 '/-'l,,()(, .,~~-'~ ,/ - .-'- TOTAl.. TOTAL 'NCoM~ $ $ $ $ .? ;/,1 ' 1;1.> . (1'11I In Alll'roprlnlo Cul\llllll) " . " .11' ExPENSES WEEI{ YEAR' MONTn nomo Mungago~!IlI.')) Mahllonalloo . Ullllllcs - Illoclrlc OM 011 Tclcllhollo $ /)'SO,(\P $ $ (, (,(10. ~t' , , ~.' . " ;.I,' ~ /, S , (.",,/.,f( 111'1' , 3(. Y.IIi" Al'l" tl':~,'7,DV ...-----. /l.'~ b,ll.~ ._._...1 ..--..", 1\\/(', ',\,(1(\ SelVlc~ 'rY110 M I'ago 2 uf 6 1'111111 tN.DOS \Vulker to U201l " ,IIWllll1~ ~1II111~p~I\I~ Slul~nWIll MCSI1S Ci\~U NIIIlI\l~r 31~l(lOG3a ~ - , ~1ill'H'Ial\a -- (Flllln AIlIl[n\lrIIl19 (illl\nll\\) (~pnlhl\l~lll Wlml~ ~IPN1'1I YMH ~- WIII~r -1 ,I "'J,"lh"v $ $ 1),,1', I fl', 1(" , $ NU, t<l~ scw~rJ " , " , , " ' ~c' " ., " - ~m~lpy"wnl " " ~ -- PIIllllc Trnn~p(lnllllnn $ $ $ /~..." . 1.1lI1llh Iff,OP 'r/'i()I(IP 'l.J'];i:i ~j" l'f,'iil'lrf l! iiII' ~ . /o,o(J ill 'Ii",u' '))I:,'i" _,J , !(J,.''IJ , f - . TII~C!I " , . " 16'L,I,Cipl"Jh Rpnl f.slalo , $ $ $ PpI1iO!lUl.i1l'llpcll'fy Tdl,.)L i;JO,/Il1 ,'- (' , . , /I l"elllhlQ , 1,luomo ,N(, PI) I( , S(fdc~. " " I , ,rl, 00 " , JJIlinl'lln~Q , .., HOllllOwnors /1,,,';,\-, $ $ , : $ 1:( '3 Pi' , 'c I ~"" , A\lIomobllo ., 0'0.'1. :' Ll I Lifo , (.:!. P,'I"" 1,f'tll'I,'~'\_ ..2.."'-/, ()'/) " , Aculdonl , / .-' Itcallh 1>1-""'1':./'1 I'ti,ii;ji' s.:!;; "" ...... ........ " . ~ -. )1%, .'/"1 ,21." 1,:\)( , Olhor " , . - - -- l j" r< (i V lvl!'dJ~~: ('.T. . , Antomohllellf Y~;rl. , , $ , $'.'f."q\'l'd (~ ('ll't" 1>"".11,/ Pllymon\s . , $ .,......-....~- - 11\10\ , ,:l.6,1'"(.." , , I, () 'ItJ. mJ " I'" " Repairs " /,'(110 1'1:;.-, f~("t\.~;: ~"l 1:! h:- ".-;((11110 , II PilI" ~~ , ,'i'/, (J 0 Medical . - btxllllr $ $ ,. $ /J 4<,1 "',LllJ . Donllst (,le11flP!l,:'l UnH"II~.# iil'It/~IIJ '? , , , .Oltllodonllsr (.)"''J11o't;/,'<:jv'R'''1 I~~ ((! iI, ?,D - ,;JUI'J~ '"flll~,i' .oJ;T I" (!"r~y~ l 1'1'/ '19'1 ~ \'ngo J nf 6 Ilonll IN,OOB , W\ltket I\) 2i2ba SetYlcc TYpe M "., ,.,1 , , II\Cllmu ~II\I ~~P~I\S~ ~1~1~llIu'lI 'iX"I~N~li!l (gnlllll1llPlll W~liI~ I'I\C~U~ CII~~ Nllmilcr Jol 0 1 OOG 3 G __ (Fill III APln(lprlo\tCIlIIIIIIII\ ~1(JNT" y,~ ,"~ -.0:----......-: .-"-:"~ ~-- Olfl~ " , l.culllr~ps Chnrllnillp CUlllrlh\lllnn~ Olher Chilli Snl1Pul'l Allmul1Y rllym~nlB 711'1I~1'1'1( /\1'111 "sl,d (', olhpr Tll1'II'!./k Dkd",,",; $ (1/,1 (Iut, ,;}.J 0(,:1, ,'''' .'IN.\I''' '. . r ~ ~~.--- ." ) \'I\li~", (ili,' /)I{~I'IiI\ .",..-'" ,..~;tf)'(> I tIp " >''1I,:'f '-- . , . . , $ ,,~b,<"l' -- TOTAl; liXl'IilNSllS $ $ $ 1'1I0I'EIl'f\' ' Ownel1ihhl * OWNli:P p~SCIUlrrION V,\LlJE Ii W J chpcklnu !\collllms '!;IQ/ $ -,So't, 1--/ SII\'lnus Aaoollllls 'y ':.}J ), '10 ,/ . ,~ " ", Credit UnlulI ..--- ~-- .. Sloek.llUOlnls --.-" ! I\on\ BSlllle III 1(.1(J ., 11.11 pl,l SI'H1n".\tlf~ll"'1 ' ......... I', Other - .. TOTAL. ,$ 'I () ,; ') '7 ," fl\. .J,) , I " 'NSUnAN()I~ CO~W,\NY 1'00,ICYN COVCl"lIUe * II W C llnspltnl .. IlUIU Clnss Olhur ---- ~ " - MUlllenl IIhlo Shield Olher * II . Hushund W - Wit\) c - COl11hlllUd J . Joint . I'Rllo 5 llr 6 Pur1llIN.()08 WOlket I1J U2b13 SUlvlnu 1'Ylle M INH\JI\MICI~ Illllillhl Applll~11I , PlsnhllllY liwonlli P~mlll 01 ~ · II 'l"tHhlln~ W. Wlf~ c. Cllmllhwd I-101m " "~I ,h\~\IIIW 1111\1 ~~pcIIH~ ~IIII~II\UIII \','\C~!:SCnH~ NIII\IIIVl' J'10100635 ----r. --..., f.'1I\'U"IIIl~ ' (:mll'~NY 1'1l1.ICY # II W, C --.-----.- , -- --- .--.-... fuJunhmurntlll hlPnmpStnlPll1Pll1 ". ThlH form Is to h~, flllod ollt hy " porson 11jll' 10 opprllt~H 1I11111\IncHs or rrlw/lpos 1\ ~rofoslllon, or ' , 2 w 10 IR 1I1l10m )~r of II PUrtljllrall P. Of 0 nl YPIHuro, 01' 3 IV 10 II II IIhur~llPlIlor Inun( ,Ill Sphll'WII 'y u oloso<l o\lrp\lrllllolll1l' slmllnl' OmIIY," Altnph III (\lls RllIlomolll,n POPy of 1119 following 1I1,)01ln1011IS rolilllnu to Iho p"rtlwrshlp, Jllhll vonl\lr~, \l\llIlnORS, protonslon, o()rpomlh>n or slmllnr ontltYI (I) 1110' m01l1 rooom POllorilllnoomo 'l'iI~nol\lrn, IIhll (2) lIP mall I roo~m Prolll pnd LosR SIPIOmpl1l N~mo of 11Usln\lSa\ AlldroslI IInll \Plop lllnO num\)cn Nlltur~ of buslllQ&H (ohenk 0110) (I) purtl1Crshlp (2) Joll1l Vol1ll1ro " (3) profossloll .--, (0\) olosod oorpornllon .-- ' (,) othor , " Nlll110 of nOOQllntnnt. oontrollllr or olhor pcrsol1ln ohllruo llf Ilnnnolul rooords! ", .... .. L h, 0, II, 0, f, Annuullncoll1o frum bUHlnossl " (I) 11011' orton Is III0omo roooi\'od'l ,,',. (2) Gross InPlll1w por iiny porlodl (3) Not Inool\1o 1101' pny pllrlod! " , (,I) SpoclOod lIo(l\lcllol1s, It' any I '" " Service 1'Yllu N Pilue 6 or 6 IlllhlllN.008 Wlltkur II> 21!ll;U ' , " " -,I' ~, 1'IUll'OSlQl HI':HOI,ll'I'IUNI 1\ Is Ilw 1)I1I'I1I\III\11\'H h~lluf Ihll.1 1I1~11'1Il\11I1l11 Hhll\1111 Iw 70% III pul~l1lhll\l 1111\\ :lO'X, III Phlll\\II'l' \1110 III 1l~lill1lll\l1l'H Illll'ul' ~lIl'lIllIg U III\I\U II)' 1111\1 "~I' \IIHl\hlllt)' IIIIU III "I'I' 01111111\1I111g I1wdlolll pl'llhlUll1H, HosI\00\1\i11y sllhl1ll11od, mWlN, I\l\!I\NIClIIT I.... IW<""IS d~' " UVI ' · ,." \ _. u .. _.. ...._ __._ ..__., _. . .._u.._........_..u__._...._ IlI1 II 1-11 1\ N t Millo!'. l1N111lh'0 SIII\I'OIlW CO\ll'I1.D, Nil, ~:l776 (10 Wost 1'(1111)'01 Sll'ool Cmllslo. 1'01l1\~)'1\'1I1111\ 170l:l (717) 24l).2m ^"1l1'l10)' Ihl' P91\)I1(\""\' MlIl't"" Ii, 11111'1')' Dl\lo: .111110 2H, 2(hii) " , , " , , " , 'j, , " ,J ;,i' ," ,. " , '. ')) :';1 _.iIl ;'-\' '" Ii "I' " ,I ", ,," , , . In~lInw "1111 'l~IWn~1l ~1I\'~I'Wnl I'I\C~IlH~!I~~ NIIII\!lvr 31Q~OOIi35 , ,_. . .--- 'G~"'iN~H~S - illllllLAl'lltlll'rhllv CllhllllL - - , .. (~lIlllhl\l~lt) wj!:m~ MONTH YrMII ,. 4 _ '. ~I i,;11 ,~ - ~ '1 t.!f1 ;,e' ,.I'i 1i1l~llllftl)kl')wJl /1I1t.~'(",'(A :i? ,', i ",( ......:t f I:) Mulllvlnu 11(!(I\"~;~r1' :;'i'I'''' '~I(('IN r. ~ , , -- " " ~l1u~la'nuell~l~ , 1 hr"Cu~1 nnhlll ,~Ic , ~ !l(J,nl#"f, I Ilul'lcu~) . , , " -- Il:rhlflllh", " I't!Yllle ~chnol $ $ $ ,-~ Pftfochlft' 80111I01 /" COlle8e r'" - . I1ellslmlij II " . ,./ - - , Pel'llolllll , --. - Clulhl118 '1 !,;h~~~ $ $ $ If (X), "1l1?~t. '~ - ?1S.'''dJf,'t1iit) Flllld " , . .. - Ilarherllllllrdres$or ", ~ IiI<; , _'3{M~fS.1; I\I/Mr " CrelHl J1ftYl1lemSI I' ~ {lM~ '''''''' Ctedll CallI " . Vlr.~ 'c lat8e Mellllll!. " P""l,l(t , .;1/ 8(.S/;7~ " AII/l1/}i'fO " t.!li,N.l, ,~~~'1" Mell\hetllhlp~ " I'), ~-" " " , " LoRt\.! .' ' . I ' I Credll Vninn $ $ $ c) -'--- , " >I " .' , " , ' -- MI!cellancou! " , - llnllsehold Help $ . , $ $ {) , ..... Child Cftro 6 _. I'ftpotslUllnks/MnUftzlhU '2. (J 10 "!Ii. , lltlloIlallliilclI1 / !,""; Q,) I'J:.'/' , " " l'ayTV " ;/.- . .. " Vncatlnll ,/., - SOIVlcll l'Yllo M I'ngo" IIf 6 , f1nhIlIN-008 Wurker 10 2l.aoa J,tM IIHIl (l),IWf1ij" fII~I'~ J/,l~ NII.v~, 11~ crtlr.,_ydl, i'.j ~. V(,~V 1l1(f:'I~ , .J,I"'t,,j; ,I, ) Q,,~ ~ IlPrl~", . 1'1'\1'" si~ 1'1- "." . ,,' 1\\ If " hl\\ll1\~ 111\\11l~l1on~,~ S\UI~I1\OIlI --.r JiX"J!:N~li!i (~nll'hlll~11l (lln~ ,.00"1 I'uus r.hnrlluhloCnnlrl hIli InnJi Olhor Child Snllllol1 AlIlllnny rnYlllollls OilIer $ TOTAl< li:Xl'ENSES $ l'UOI1ER'l'V ,OWNEP Chec~lng AeeQllllls SR\'lnos AeeUlu\1S Credll Unlulitl~~'~~1 ;~ 'SlllCks/lllllllls Renl nSIRlo Olhor TO'I'Al,' '," IIACHIiH CIIS~ NIlll\hul J"Ol(lO~3li ~..~_...,--~._--.._._-----.- -~.--c-.._ (FIII.l!LillP.[\llllllll!:.~~lhl1nn), Wl1lq~ MONTH $ - $ PEScnW'l'iON --..--.--....-- Yli,\1I -----_=1 ,~tL,\'\\\j;~, l, IIM"O~' '. JJ r: ..... ,.....T\')I~...... 110 ,)!r () /I't.l,l! /1V" U';l -J....:a+ "''''I~I ~Ol'''''); }.\n"Il\1'lI ,~o""e\-,s~t '0 , INSUIIANCli C(l~II'AN\' HOS\,l1nl III Ie Crnss 01 lor Medlenl Dille Shield Other * II . lIushlll\ll W - Wlto C. Comhlned J . Jolnl lingo 5 nr 6 SOIVlco Type ~l .('h,,, l'k VA WE $ I/O. 'N l, 101.;", :3;.1. '" .t?.b OM. It> r $ l'OWJVN 1t' {itV' (1)';4 ," f.I ) $ $ QWIlellhlll ' II W '., X. f- x:.. CoverAge ' II W C " I1n[l1l1N.008 \Ynrker ID 21'205 . Hi\MI JJ'o:I , (I. III\HIW, PIIIII1\II'I' : IN TIIIH '01 JWI' (l!"(!OMMPN PI.!.:I\I'1'(JII ((1/ it 100 r~, I CI JMllliltl ,I\NIH'OtJNTY, I'liNNHYI ,y I\NII\ (. "HI , , ; ('lVII, M'TloN -loI\W ; No, IJIl-~Mh CIVil, Tnl~M MI\In-lIl\ I':, IIMIW, P\lI~I\\hilll , , ; IN IlIVol~('li I'HWI'HI!\1. H'J'!\'I'I';MNNT lII'WUI~N TIII~ nlVPIWIC M!\I'l'l'Ietk I'IJHHIJ!\N'J' '1'0 I'!\,.IUJI.I.;(W f'IVI I, I'IHIClCUlIIU,; IIJ~U,~~ 'I, I. U!\C,~qlmIJNU Thll 1'111111111'1', HI1I11Il~1 ClIlll1l1 11111'1')'. 1111111 11 molloll 1\11' IIppoll1ll1l1Jl1lnl' IIw Pl\'Ol'llll M\ls\lll' In IIddl'llss 1111111011)' 1111 Mil)' 'I, 2000, Tho I)lllul11hl\ll IllIS' 1'90(1111)' I'lllllllllld llolll1s~1 I1l1d lI11lll' Inlhl'l11nlllontlllll \1\lIWllllllllltoI'lWYS, Ills IIPP1l1'll1ll1h11\ Iho I)lll'omlllnlwllI bo I'lIlslng IholSS\lll Ill' . Oi]llltllblll (IISll'lb\lIlon, 'Thll PlIl'llllS Wlll'll 11111l'l'I~d on Mil)' 15, 1983 III Hpl'll1g RIII1, 1'011IlS)'I\'IIIlIII, . . , TI19)'.I1I1\'ono ohlldl'llllholWoon. tlllll11 , Tllll plll'lIos Inlllllll)' SllPlll'lllll(\ 011 01' IIhOll1 NO\'lll11lwl' L 191)6 IIl1d iWllllclllldthl.l11' llll'lill'lln~l.ls bdlll1)' In Fllhnllll')' 19lJH IIl1d hl'llln)'l'llsldlllg 10g~lhl.l1' IIgllln Ih\:(1 brll.ll' I19I'lod of IIPPI'OXllnllllll)' lllw (I) 10111'0 (2) Il)olltlls, Thll)' hllw sllICll soplll'l\tlld llgnlll " , 1\11\1 hllVllllOlllllllllld 10 JIlI11I1II1 sllPllrllllllllldyplIl'1 ~!1I0C Ihlll II mil, Th~ 1'IIIII111fl'hlls llolll/lIncd tOI'l.lsldll wllhlll Ihlll11l1l'lIl1l hOl11c SII111C lIw Pllr(lllu' HllPIII'lIllon, .. 'rho 1)\1/ulldlll\l hnH I'ollldlld nt 1'11I'101111 IOCllllonH Olllsldll thll1l1ll1'ltlll hlll1lll11l1d ,wllh II 1111 I11hll I' 01'" , , \1I1kl1oWII IIHllvldlllllllll1 ,Vlll'IOIIS 1I11\1l1l, Tho Plllllltll'!' 11111 I'l.llh'cd gOl'lll'lll\llllllllll\plo)'l'll who WIIS IItHt 11l11ploycd III thll Mmy Will' Collcgll Il1ihll cll'llIlIn llnpncl1)', Hll hnll booll o':lldllcd with I\Wnl)'-lIlx (2(;) Ylllll'lI of' gO\'Ol'IlIllolllnl slll'ylce Ihl' IhllllllrpOIlC ol'pellllloll cl\lclllnll~~II~, Eight (Il) ,\ " " , ol'lhoHc l\\'oIlIY-lIlx (26) )'lllll'S \l'1l1'0 dmlllg Ihll plll'llclI' 1I11IlTll\gll, Illl t'llllrod 111 IlJlJl dUll In lIu'gll pnl'llll'dlsnhllll)', HII11111 hllll'cIII'llnllll1t, 11llllntlff' hilS bCllnHlllf~lll\lpln)'lld doing odd .Iohll' HUllh 1111 tI'IlI1SPI)I't1l1g Ill1d dt'I\'lng Amish pOOp11l llround f\lI' IIholiplng nlld othlll' (1I11kll, nnd hUll l'llcllntly . , ", " WOl'k~IIIIH II (IrI\'~1' lill' },IIIHllIII'IHiIIl'H HOlll1l\l\ IWIIll\g I\ppl'o~II1\1'\~\Y :tm~,oo pilI' I\'~ok, 'I'lw P~I\II\III\I\\ IH ~'l Y~l\I'~ or IIl\~' HIIII I\I\~ HI1I'1iII'~\1 11'11\1\ \'lIl'lllHH pllrsl\llll I\H,III<lIIlH willi \\01111'11 ~IIIIIIlH ~\\IIHlllllwl' l\1'~1I1 Illm\lllll~' 111 plll'HIlll\U 111\11 ohlllll1ll1g ~mplo)'I1WI\I, II, HIM!. II:S'I""n1 TIIIl PllIll1l1fr I'IlHIII~H III Ilw 1i1l'IlWI' 1\1111'11111 1I0l1W, hllllll~1I III 112 \VIlHI I\lu Hprll111 1\ \'IlIHIIl, . N\lwvlll~, PI\ I n41, '1'1111 pl\l'\loH 1\11\01'~lIlllll1 1\1\ 1Il\IWIlWI11 l'~lllll'<llIl11 IIIIl IllvlHlol1 or 1'1l1l1 IlH\III11 1II\lll'llw)' IlI'HI H~pl\l'Ill~<I, 'l'IIIH Ill1l'ol'I1WIlI <llIlol\.IIII1\IIII'Y n 11)1J7 I'lls\II\1l1l111 IIIIl wit'll l'~col\'IIlg $~(i,OOO,OOII1 Il 1\ll\1p HIII\1II1110llHldoI'IIII011 Ihl' lilli' h1\~I'IlHI III ,thll 111111'11111 IWl1w, TIIIl PIII'lloH IIlll'o~III1\l1\ Ilw \1'I\lISIl~llol1 ~1I1llllll'llll1g IIIIl 111\\1'1\\11 hOlllll shOIlI(1 bl1 Il~Chl\llld 1\'01\1 1l0llHldcmlloll III III1Y 1\1\\11'1l111l\101l P\l\'HIII\I\1 III Ilhhlll' PIIIW'H Illl\lhllblll <lIH\rlb\lIIOl1l'lghIH, Ill. IN'I'ANmm,11 l'lo:HSONAI. l'IHWlmTY Tho IllIHblll111 IH I'llcolvhlg hlH Iblil'1'II1 pOI1Hlol1 IIH II I'os\lll 01' his ~l1\plo)"l\on\ willi IIII' Ib<lol'nlllo\'Ol'llnWIlI, TIIIl 11\lIibllllll ol\l'l'ollll)' I'\lOIlIVOH 111Il tWI pOIlHlhn bOll~Il\H of IlppI'O~11I111111ly $7(iO,OO pol' 1I1onlh, or tho Iwol\\y-HI~ (2(1) )'IlIlI'H of slll'vl\lo Ihlll ho WIIH 1ll'Il<lllll<l I\JI' willi Ihll .1"01101'1I1 <IoWl'IlllWl\l, 11I01'1l IN IIIl O\'lll'\lIp or HllgllIl)' 11\ Q~IlIlHH 01' olgh\ (H) ylllll'H <lmll\g W11111h Iho ", '1 plil'IIOH WI:\'1l 111111'1'1011, ThlH pOllsloll hllH boon III PIlY SIIIII\H Ihl' IIppl'mdl\\llllll)' olght 1\1\<1 II hllll' (K v., ) yOIlI'H, It Is hollll\'lld Ihllt 1111 olhol' IIItllllglhlo 'IIHHOIH IlliJl\ldll\g Iho plll'lIoH' hlll1k, IICOOlIIIIH hllVo hooll IIIl1\\mll)' III\'hloll 10 tlwll' Hllllslhotloll;' IV, 'I'ANGIIJUC l'I~ltSONAL 1'\UWICltTY Tho PI\l'llos hll\'O nh'olld)' <11\'111011 thoh' hOllHol\ll11l pOHHOHHllJl\ holWOOII thOI1\, 1\ IH \ll\kl\llWI\ lit IhlH th1\O wllothol' tllo wllb Iii IIHHOl'lIllgnllY clnll1\ns (0 (1I0\'lIll10 ol'lhoHo pOHHOHHlol\s, 11\11I0o\'llllt IlIlIt HlI~h II lllllhn Is P\lI'SIIO\\, II will hOllIlIlOSSIll'Y 1011l1lIlpol\d~IlII)' oHtnhllHh tho \'111\10 ol'lIlIlIolIIH pllSSOHHlld hy on~h )1111'1)', " ; I .\ .:/: L .1- ) .'{, ";\,:, '1,'1,,\' \,iII.". I . J! II'. t'.";, ! f ,/~, I \,\,.,'.,.,{II.)" ,I '=t) I' " ~.';f I ',. I ',' . I), ,I,. ,. 1_." I' \;of'. .' ;I'J":-:I'i'i.. .' ,,' d' H" 1.\ f;AM\J1i:i, Gl IlAl\HY / I. TN '1'11Io: CO\JH'l' OF' COMNON PI.!'jAll () Ii' . PI nlll (: J t t ..1 C\JMmll\l,AND COUN'I'Y / 1'1':NNBY1,VANTA , I VB, 1 NO, !J1J ,- hfi~ (i" CIVIl, I ,MAII'I'IIA In, i1AHllY/ 1 " DIl f'olldilll \. 1 TN !HVOI,CJi: ']'i11i: MAB'1'lt\l" 'I'odny i.13 Wodno[3cl(\Y / Novel1lber 29, iooo, '1'hi.13 ,i.f.l tho dil(:O /l0(: tor il conJ'llrllnCll 111.(:h CPl\nsol nncl "the pal:(:1.lJl~1 PrOHont i.n tho honr1.ng'room are (:ho PI"J.n(:,U'J'/ Si1l1\1l01 G, lIenry/ nnd h{1l COllllllol IJnmos IT, I~ayer/ . , , . E\nd (:he 'DeJ'end<i11 l:, Mip:tlw m. lIi\l:ry / and l1er (JounF.lol Doug Inl3 G, Mi.llor, Thb parl:i.~B h(\ve been, un<iblo l:o roaoh a aomprohol1a1\'0 i~groemont w.tt:h hwpoGl: (:0 the oUl:sl:nnd.i.ng >, " oconomIc cli.li.mllwl).l.ch hi.lVo beellj'I:i'd.BOr\, IHUl\oly, 'oqn.l.l:nble ,d.i.~l:r.i.~ut.i.on and i.lllmony, Counsel~ have advJ.sed, howevor, l:hE\l: l:hey may'" I', ,. , ,'be able to roach an agreement on eqll.i.'table d.i.Hl:ri.bnt.!.on le<\vi.ng, the a J.j,mony c.lil.i.m for the MaB tor 1 B rOBol uti.on, 'J'he.. " MPster hall roques(:ed that he be provi.ded a copy of tho equ.l.l:i.lblo d.i.stri.buUon agreBllllmt by Jat1\.lIlry 31, 2001, " WHh' reApeol: to t:ha al.l.mony .i.ssue"oolinsel ,. ' hi.lv'e i.l1d.i.o~tod thn\: thBY may have oot\dtlct tostimony wh.i.ah W111 ,00I1B.18(: of: tho l:ollUmol1Y of bot:h of the par!:iea, pH .. 'J'hoy dp nail.. ant.i.o.i.patq i.lt thi.s ~i.me hnvi.ng any other w.i.tno~Bes, " " I' '" ,I' j,; " I'"~ " " 'J'hOl'll (11 IW I tI ill) 11111110 j,'U(Jill'Clin(j \;tlll di1t:o of " 1J0pnl'i1t:,lon of' LIlli pilrt:,ioll, hlllJbillFI lIilylnCJ I;ho pi1rt;lun Iwpilrill:ocl NnvolllllUrl, '19!Jfi, nwl W.1f'fl clnlnm I;ho,pilrt:loll :HlPilrnt:lll'1 Nilrnh :11, 1~19n, ,'1'110 ,11111\10 i1prlllclrll t:o br) whnl.hur or IIOt: Ill) ilt:toHIl)tml roco!l(),ll1,nl: Ion conll\:lt:utoc! ,n 1:0Iilllllpt:1on, of '\:ho f1lllrltnl rploll:10nf1h.1p, 'J'ho "~1.1n\:Or hrlll Iwl:od (IOlmIWl,t:o 01 \: t:olllp I: t:o n\:JpII,lill:e \:0 \:llH facts In t:hll3 (Ji1flO ilncl \:lIon prOpil\:O brlofI3fmOIl\()l:in\~'I\III1I3PI:I1\:lng tho! r posH"lollll And pll:lng t:hll,01lS0fl t:hn\: :lllppol:\:'t:h'(J:lr r:rJIJpontJVll POfLl.tJOn. " If (;O\\I)sol ilgl:ee, \:hen tho MollJ\:or wJll denJde \:he 11313110 on \:h,1 ", 13 t:lplIJiltJon Ilnd I'>rlol':3 wl\:hollt: I:ho \locess.1,ty of 1'1 11Oi1d,ng, 'J'horo was i.\lIJO !:iollla dlscIIllsion rflgard.i.ng nn alleged eK1~i1I1li1riti11 rolil\:lonshlp that wife had whioh tho Master ifl ))e,i1l1g Iwked to 00l1l3i(lor w.i.t:h rr1l3peol: (:0' I:ho lnill:Hal " . ., t mil3condnol: iSSIIO, Thero is alao nn allegation that h\lsband alSo engllgo'd .i.1), stich a rolclt:.i.ollfJh.i.p, tho part,ios hav.i.ng an llgrllomen t: t:ha t beqaul,JO of \;110 problern(3 in I:ho.1): own ro,l:11t.i.0l1ah.i.p thoy woulcl aOlldllctt:holnselvoB as j,f t:hoy wero , livll1g .i.n an open IIlllr.i.tal rolationsh.i.p, 1'ho Mas tor has 1nd.i.catecl that H such an [~greemont axlst:\lcl anc\ both parties " oonduct:ed t:helnsolvos in Ilcoor.danqe wi t:h tha I: agreQl11ent, then J' t:ho II\Il d till rnl/Jooncluot: 1:IJS t:lll\Ony \~otlld not 'be vory relevanl: as \I II flwt:or 1n tho Lll.i.mony cla.i.m, ,..f " " , .incolI\o ancl lJxponse 8l:III:olI\onl:13 l)y ~anuary 31, 2001/ ahd als9 t6 Tho part.i.es Bre direotod 1:0 file ourreht /I If; " " Ii " I' " . i !~'~"",i~i~'it'l,yfi'~_i'+~i,rmmt.tt.~:~ ;.-" ....,- ,',i-.,-',,;;;__, , , t ;"-W .'~I, BI\MU8L G, HARRY, . I'lnJntil'f" TN 'l'I,m C<;)Uli'.l' ell" COW1oN Pl,I':NJ ()\o' CIJMlll'lIU,Ai'JD COUl'j'I'V / PI':NNBYlNANTl\ " vs, NO, DQ r B6~6 CIVIL MI\H'l'lIl\ IDIIl\I\liY . .. , , ,,( De/:endilnt IN i)lVOj{C!!: '~ I~( '1'0 I lJilnies.J I I~/I yor l\ttornuy for PlAi~titf Mi1rthil I~, Itar,ry " ,/ pefundi1nt Dl\T81 Monday/ M~y 15, 2000 CI~WI' I1m~l\'J' ION " ,,' I aertify that discovery is complute as to the alnima for which the Mastor hao been appointed, ", OR 1I~ ]HSCOVh1RV IS NO'I' COMPI,m'I'm I " (II) Outll.no \~hllt inl'orl1\a\:l.on is roquirud that is not cClmploto J.n ardor to pnJparo tho casu far t:dal and indJ.clIt:o whotlHH thero i.\ro ilny oul:atandJ.ng .i.nterrogu tor1'oa or d.i.BoDvorY' motJ.onfl, , " ..I' I " " " " " " Ii I' " ,( I I,,', " r I I i d , I.., , '"I 'I \ (j\l!'~11 I..' II ~qN, " 'l'hu Ibl'\!!llllllg 1\111\llll\\~i1('lll1lpll\lllllll Dll'lll'u(l IH hllSuilllplll1ll1l\lrmlllllll1 whluh IHlH hO~11 unllwl'u<l hy m)' CIlIlI1HuIIlIH\ mo III lhc IIl'uplll'lIllllll \ll'lhlH 1\I~\lIlI1, I hilI'\! I:llmlllw HIII\cl1lOl1tH mml\! II\' IhlH 1\I1WI1<1\!<I Cllml'lllllll 1\11<1 \lW)' 111'\' 11'1l\1 nnd 1)(11'1'111'\ III Ihu hUHI Ill' my ktHlwlllil!l~, 11l1\lI'l,l1ll!lll1l1ll<l Iwllul~ 111\lllirHIIIIl<l Ihllllil\H\l HII\Il1llWIlls IWI'\lIIlI11II1I1),1I1'11 Hllh.lu~111l III~ P\!l1l1l\loH Ill' I H I'n, C,S,^, HUl'llIlll 'I()(H, I'ulllllllll III llI1SW1l1'I\ tlIIHII1UI\IIIlI1IIlI\\I\l1Ul'llluH, ' \...rv1." rHb:. C;:' /} ) --'f--f~w-rrt'I~'ii.~f1i~=-::-~-"- " " Untl'l ""Ill' _~ I ~(HHI, " " " '.1.' " ,I' (. " " " I,' I' " " I' I)~ III 1:( \ \ I I" I "i I' " " " " , " , " I' '11 /'-.1.' " ", , \;~(1. !' " /,', , " 'i" .'., , " ",' , " " , i" I' " ;i " " v, Ii " " " I, j' I'''' I'" " " 1,'1 " " j' " " H 'd .' , " " " II l' , " , , 'I " , Ii , ' I' " ,,-, '" , ' .. I " " 'i'. n, :' J' , " , ' ,/ ,.' " j; , ' " I' ;i 'I! ' ' ,.11 , " /: " " , , ' ,i ,I' ~, i/ "f 1" " , " \1. H',. {, Ii' I ~ , " , It " 'Ijl I, I' :i ;1 " " !, " " , II' " '. " I' I" " ~l " 'I " 'f;. "" "...., '.i L", " I'to ",i, ',i'\' I"~ ;",(' r' I:: r ':/ " ,i,) ," 'j. " ", , " iJ " " ," " " ;, 'I. " ", "d' p " " I' " " '" '-,< " " ii' 'I' /" " " " -'i," " 'I '1fJ . \ i ~.h }j,:-,. 'I' \'1,1.111' ., " " , I! .1' 'I I' ,,' "' " i' I, . . " ',: " " "., " ," ., " ,. , i\ , , 'I " ,1\ ,. 'i< 'i. i; " " " " { \' ,\l (' ,e '! ':, q " I, Ii " " "" >. I,'., \ ,. , , \ 'to. L \ 'i _, '" .,':'- '!j" "" "" " ., '.", ',) 1\ ,.'1' ,I " " ".f '.' ;1' it .. " I, ,',"1, Ii, "" " " " \ 'I' J) I' If " i; 'p " ',. I, , " " ,,' " ;1 ';' " Ji POl\\p\l\',J'a H"lnt:JoIHI at 1'1 00, l\lJ\lIony 11\1(\11 t:p!:1nJIl<l\:O in \:)10 oyent:. of: I1HlllJj' pnrl;yln (1011\:11, w:I.f:oln ool1"b:lt:f.\\:.ion [\[J r.\ol;ill'1\1 by the nt:ntnto, or rel\\nrringo, (., 'l'lw P<\l:t:!.tlPhll'\:)wr ngl:UlJ t\1I\I: \:hIJ WJf:IJ fih,)11 blOJ eHg:IN.e l:qr 1/.1. li 0 ,00 per I\\onth pnYl11ent l'OP1:O/Jonl:1ng h\'l.l' in\:orput: in \:11"1, hlllllxll1r.\ I u j:edonl1 lX1nIJ.ion, '1'\11) pm:UefJ ,C\ll:I:her ngree \:hf.\t l:hilJ ,1\110\lnt fjl1nll "lno ))e ool'teol:lJr.\ by" \:he pOll\epl:ia Rolnl:lon/J OHioo 1:111:0\10\1 f.\ Wi\gCl i\\:tiwI1I1\en':, 'I'\\e Pf.ll:tiflfo1i\gre8 \:0 dheat l:lllJ f)o\11enl:J.c \(81,\\:io\113 Of/pell" to inarenptl \:he witaln IIhi\ro of the penpion by:!?, of ench yenrlp COllI: of ll,v:l.no qcl:lwltmont, It Ilhil11 I)e th(3 111\ill)f.\nc11 n " reflPol\fJj,))l.Hty t:o proy:l.d(3 the jJol1lel'!l;i.o l~eln\:i:on8 orHacl wit.h n P\:<1(:('IlI\enl: thai- r.\o(J\ll1\entfj 1:1113 aOIJ': of: Hy:l.ng adjn(JLmen\: Within Beven cl<1YIl at h:l.a rooe:l.pt of: unme, In t\1e event that th(3 Domeat:l.a Rel<1tl.onll Of:fiae :1./1 not aap<1ble of ab:l.ding b1 the direation of the pi\rtiea, l.\::l.11 f.\grpecl thi\\: it al1n1l be the wHe I a Clole l~eppol1~d,bl.Hty \:0 obtnin i\ QualHiecl Domeatia Rolationa Order an~ pre-qu<11ify :l.t With the penaion <1dmin:l.atrntor so that deferred cl:l.atribution aan be aahl.eyed thro\.19h t1w, P~)!1P.ion aclminJ.atratol:, " :I, The pal;'ti,ep 1:l.\rther agree tha\: thehUl'!bancl shall POly to wife c1h:eatly a f.l\.\m oC ~GO, 00 per montl1 for ~o months, Thia reprepentB a fin<1l settlement :l.n equ:l.table cliatribution alaimfJ, " 01 , WHh regard to the party I I'! pel:aOnalty I the pa1:t;l.ea agree th<1t the wif:e shall remQvehel' remaining personal itema Crom the home no l<1l:er..thiln J\.\ly 31, 20,\11, with, the eltoepdon '01: <1 gna atoye whioh I1\i\Y rel1\ni,n \.\ntU 8\'\C1h til1\e al'! the pc\'rUea agree, On ,Jt\ly 31, 2001," the wHe ahall alao rEjturn all houl3e keya I'!he haa to the marital home, I' 5, , 'pol:loy wife I a 1.ll\/3bandugreef3 to OOVel: the wHe on hil3 m1to inal\1:C\nlle until October 1, 2001, at whl.ch til1\e ;It will be the j:el'!ponai.bl.HI:y to obtain her o\\'n, auto inauj:anae, 6" 'I'he partJea alao agj:ee to wHhdraw their pendl.n9 appei\l in t~e I3pouI'!a1 s~)port aotion initi<1ted by hUl3band, 'I , m~oopt 'ua herel.n otherwIae proyl.ded, euoh party may dispoae of hi a or her property :l.n i\ny way and eaoh party hereby wa:l..vef3 and l:eHnqt\:l.ahea any and, all. right a he or f.lhe " llIay now have 91' hereafter acquire Wlder the preaent or future 1<1l'1f3 of allY j udl3di,aUon' to share in the property at the .estateof the qther al'! a rea\.\lt.ar the marital relationahip, inoludl.ng w:l.thQtit limitatIon, atat\.\tory allowance, Wi~OW'B a110w&n6e, ilghtof intol'!taay, r:l.ghl: to take against ttieWill of the other, and right to Betas adml.n:l.str~tor or eKecutOr in " " 1:111) o\:I1C1l: I [J Sfoll:c:1\:G, lU<\ol1 will (\1: \:l1p l:o\llIIHl\:of t:ho ol:hm: . (lI(OCl\l\:p, i.\C1I\lwwloClgs, 111'Id (lsJ:lvm,' Imy i\nd n:jl inuI'.r\\IIII'lIll:fJ whioh milY bo nfluoIHHlry or mlvi.rJi.lblll 1;0 Ci.jl.TY Jnl:o ul:fonl: I:I1J.rJ IlIlIt\l(1:1 WElJ Val' nnll rsl:1 nqniphl\\en\: 01: illl fJlloh :lnl:m:Pf.I\:, l'tHI1I:rJ I '<lnd olnillllJ, . , . M'~, 'I(AYRH 1M),', lI<\n:Y I hi'lVo yqll IInel 1.111 OppOl't\ln.i.l:y to 11fli1l: the i:lgresl\\ent tllill:' r I1nvs elolKJl.":I.IJoq <Inti PilI: on I:he rGoo!:'tl? Ml~, ,H?\HW( I YOI> , " Mil, I<J\YIilH I Do YOII \1I1(lo1,'~lt<lnQ tho 1:0),'m13 ot! \:hElI: <lgrsel\\13n\:'? MR, llAIWY I Yes, " M'~, l<J\Yl~RI ?\l1cl are those I:ermu <1ooepl:abJe 1:0 'YOll? MR, HARHY, Yel3, !viR, . M:t:WLlnR, Mrl3, H<lrry I hElve YOll hnd \:he " orrorl:uni,I:Y' 1:0 hear I:he terms ami aonlHI:i'ons tlltl1: hi.we been plflced an the reaorQ' todClY? MRS, H?\RRY, Y~~, I hClve forgotten whether " YO\I menl:l.oneq nbcllt the itwrease I' that Waf.l all tal~el1 aare of)' MR; MILLlnRI Yep, " " !vIRS, HARRY I Ol~qy , 'rl18I1, yes I I h,<\ve, MH, MILLRRI Do you a9l."ee wIth those terms as theY'have been read on 1:0 the b~lcorQ? " I' "