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IN THE COURT OF COMMON
PLEAS
OFCUMBERLANDCOUNTY
STATE OF /:it;G~i~"
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PENNA.
NANCY 11. M9l!I!iMI,TII
Pla.iJlt"i.i..L
No.
9B - 6342
VERSUS
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RICHARD L. MONISMITH
IN DIVORCE
Defendant
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DECREE IN
DIVORCE
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AND NOW,
4~~,_,L.L,__ . U~=-, IT IS ORDERED AND
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NANCY A. J10NtsMJTil
DECREED THAT
PLAI NTI FF,
RICHARD L. MONISMITH
AND
, DEFENDANT,
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
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NONE.
The terms of the Divorce Master's Agreement dated December
2B, 2001 are incorporated but not merged into this Decree.
By THE CO;Ji
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PROTHONOTARY
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NANCY A, MONISMITH,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO, 98 - 6342 CIVIL TERM
Plaintiff
VS.
RICHARD L. MON/SMITH,
Defendant
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonola/}':
Transmit the record, together with lhe following information, to the court for entry of a divorce decree:
1, Ground for divorce: irretrievable breakdown under Section 3301(c) JJQl (e/)(1) of the Divorce
Code. (Strike out Inapplicable section),
2, Dale and manner of service of the complaint: Affidavit of Service dated 11/16/98.
3. (Complete either paragraph (a) or (b)),
(a) Date of execulion of the affidavit of consent required by Seclion 3301 (c) of the
Divorce Code: by the Plaintiff 12/28/01 ; by the Defendant 12/28/01
(b) (1) Date ef elto6utisR sf the rlaiRtiff's affie/a"it roEjuiFCe/ BY SostisR JJ01(e/) of
the Diverse Cse/o:
(2) Oats sf servise of tho PlaiRtiff'G affida'o'it uflsn tho Dof€Ae/aAt: _
4. Related claims pending: None
5, Complete either (a) or (b),
(a) Date and manner of service of the notice of intention to file praecipe to
transmit record, a copy of which is attached:
(b) Date Plaintiff's Waiver of Notice in 3301(c) Divorce was filed with the
Prothonotary: 12/28/01
Date Defendant's Waiver of Notice in 3301(c) Divorce was filed with the Prothonotary:
12/28/01
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Car9' J Lindsay, Attorney for Plaintiff
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IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
9B-C J<!.1..CIVIL
NANCY A. MONISMITH,
Plaintiff
RICHARD L, MONISMITH,
Defendant
IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
You have been sued in court. If you wish to defend against
the claims set forth in the following pages, you must take prompt
action. You are warned that if you fail to do so, the case may
proceed without you and a decree of divorce or annulment may be
entered against you by the court. A judgment may also be entered
against you for any other claim or relief requested in these
papers by the plaintiff. You may lose money or property or other
rights important to you, including custody or visitation of your
children.
When the ground for the divorce is indignities or
irretrievable breakdown of the marriage, you may request marriage
counselling. A list of marriage counselors is available in the
Office of the Prothonotary at Cumberland County Courthouse,
Carlisle, Pennsylvania,
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF
PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE
OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO
CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE.
IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE,
GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO
FIND OUT WHERE YOU CAN GET LEGAL HELP.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
NANCY A. MONISMITH,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
98 - (. WL CIVIIJ
vs,
RICHARD L, MONISMITH,
Defendant
IN DIVORCE
COMPLAINT UNDER SECTION 3301(c) or 3301(d)
OF THE DIVORCE CODE
1. Plaintiff is Nancy A. Monismith, who currently resides
at 1495 Longs Gap Road, Carlisle, North Middleton Township,
Cumberland County, Pennsylvania 17241, since 1969.
2. Defendant is Richard L. Monismith, who currently resides
at 1495 Longs Gap Road, Carlisle, North Middleton Township,
Cumberland County, Pennsylvania 17013, since 1969.
3. Plaintiff and Defendant have been bona fide residents in
the Commonwealth for at least six months immediately previous to
the filing of this Complaint.
4. The Plaintiff and Defendant were married on November 9,
1968, in Carlisle, Cumberland County, Pennsylvania.
5. The parties separated on September B, 199B.
6. There have been no prior actions of divorce or for
annulment between the parties,
7. The marriage is irretrievably broken.
B, Plaintiff has been advised of the availability of
marriage counselling and that the Plaintiff may have the right to
request that the court require the parties to participate in
counselling,
WHEREFORE, Plaintiff requests the Court to enter a decree of
divorce.
I verify that the statements made in this Complaint are true
and correct. I understand that false statements herein are made
SAlOIS
SHUFF, FLOWER
& LINDSAY
ATroRNEYS'AT'LAW
26 W. HIgh Street
Carll5le. PA
NANCY A. MONISMITH,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 9B - 6342 CIVIL TERM
IN DIVORCE
Plaintiff
vs.
RICHARD L. MONISMITH.
Defendant
NOTICE
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 at the Cumberland County Court House, Carlisle,
Pennsylvania, 17013,
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYERS FEES OR EXPENSES BEFORE A DECREE OF DIVORCE OR ANNULMENT IS
GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVENUE
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
SAlOIS, SHUFF, FLOWER & LINDSAY, P.C.
Attorneys for Plaintiff
By:
monismilh amondod complaint for diva reo
lib March 2fl, 2001
r
WHEREFORE, Plaintiff prays this Honorablo Court to enter an award of
alimony in an amount suHicientlo provide (or her reasonable needs.
COUNT IV. ATTORNEYS FEES AND COSTS
15, The averments in paragraphs 1 through 14 are incorporated herein by
reference as if set out in full.
16, Plaintiff has paid for the cost of appraisals and other costs as well as
for attorneys' fees necessary to advance the case toward resolution, Plaintiff is
without income sufficient to pay for attorneys' fees and costs,
WHEREFORE, Plaintiff prays this Honorable Court to order Defendant to pay
her attorneys' fees and costs,
,
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SAlOIS, SHUFF, FLOWER & LINDSAY, P,C.
Attorneys for Plaintiff
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By:
SAIDIS
SHUFF, FLOWER
& LINDSAY
A1TORNEYS.ATIL\W
26 W. High Slreet
Carlisle. PA
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March 2tl, 2001
VERIFICATION
I, the undersigned, hereby verify that the statements made herein are true
and correct. I understand that false statements herein are made subject to the
penalties of 1lJ Pa, (,;.8, 9 49U4, relating to unsworn falsilicalion to authorities,
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Nancy A. Monismith
Date: '/' ":)fi-:J:I JI
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SHUFF, FLOWER
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ATIORNEYS.AT'L\W
26 W. High Street
Carlisle. PA
monismllh nmondod complallll for (hvou:u
f,b Docurnbur 7>>. 2001
NANCY A, MONISMITH, IN THE COURT OF COMMON PLEAS OF
I Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
II VS, CIVIL ACTION - LAW
NO. 98 - 6342 CIVIL TERM
I RICHARD L, MONISMITH,
Defendant IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
~3301(c) OF THE DIVORCE CODE
1, I consent to the entry of a final Decree of Divorce without notice.
2, I understand that J may lose rights concerning alimony, division of
property, lawyer's fees or expenses if I do not claim them before a divorce is granted,
3, I understand that I will not be divorced until a Divorce Decree is entered
by the Court and that a copy of the Decree will be sent to me immediately after it is
filed with the Prothonotary,
I verify that the statements made in this Affidavit are true and correct to the
best of my knowledge, information and belief. I understand that false statements
herein are made subject to the penalties of 18 Pa,C,S, 4904 relating to unsworn
falsification to authorities,
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Nancy A. Monismith, Plaintiff
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NANCY A, MONISMITH,
Plalnllff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO, 98 - 6342 CIVIL TERM
IN DIVORCE
V5.
RICHARD L. MONISMITH,
Defendant
WAIVER OF NOTICE OF INTENTION TO REQUEST
ENTRY OF A DIVORCE DECREE UNDER
~3301(c) OF THE DIVORCE CODE
1, I consent to the entry of a final Decree of Divorce without notice,
2, I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if I do not claim them before a divorce is granted.
3, I understand that I will not be divorced until a Divorce Decree is entered
by the Court and that a copy of the Decree will be sent to me immediately after it is
filed with the Prothonotary,
I verify that the statements made in this Affidavit are true and correct to the
best of my knowledge, information and belief, I understand that false statements
herein are made subject to the penalties of 18 Pa,C,S, 4904 relating to unsworn
falsification to authorities.
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Ri ard L, Monismith, Defendant
Date: /J ~/l/'cX)/
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SHUFF. FLOWER
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AlTORNEVS.AT'LAW
26 W. fIIgh Street
Carll5le. PA
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DATE
COUNSEL FOR PLAINTIFF
COUNSEL FOR DEFENDANT
(b) Provide approximate date when discovery will be
complete and indicate what action is being taken
to complete discovery.
NOTE:
PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE
FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE
CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE
AT THE MASTER'S DISCRETION.
AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL
OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY
COUNSEL, INDICATING THAT DISCOVERY IS NOT
COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL
STATEMENTS WILL BE ISSUED AT THE MASTER'S
DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A
PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY
IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL
STATEMENTS WILL BE ISSUED IMMEDIATELY.
THE CERTIFICATION DOCUMENT SHOULD BE RETURNED
TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF
THE DATE SHOWN ON THE DOCUMENT.
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CAkUSI.[, 1'f.NN\Yl.VANIA 171113
T""""N' (717) 243,3341
FACS'''''LE (717) 243,IK\O
INTF.RNET. www.mdwo.cnm
January 23, 2002
E, Robert Elicker, II, Esquire
Office of Divorce Master
9 North Hanover Street
Carlisle, PA 17013
RE: Nancy Monismith v, Richard Monismith
No. 98-6342 - Cumberland County C,C,P,
Our File No, 10 \66.\
Dear Mr. Elicker:
.~..
ArnlRNI:VS &. CcHINSflWKS AT L\w
WII.llMt ..: MARTSON
J(lIIN II, FUW"R III
EUWARD L ScuuRI'r
DANIEL K. DEAROORfF
TIIOM.\.\ J. WIl.lIAMS .
Iv" V, alTO III
Cf,OIlGC 8. FALL[R JR...
CARL C. RISCH
MARK A. l1tNUNGER
DAVID R. GAllOWAY
e8u.uo C:UTIJJEDCIVJL T~AL Sr.tCIAUST
I am enclosing the signed Settlement Transcript. I believe we are now in a position to move
forward with concluding the divorce action,
Very truly yours,
MARTS ON DEARDO
~
ELS/tde
Enclosure
cc: Carol J, Lindsay, Esquire (w/enc,)
F:\FI1.ES\DATAFILE\Genllrcu!\IOI66_rc,)
S & OTTO
INFORMATION' AOVICE. AOVOCACy'M
NANCY A. MONISMITH,
Plaintiff
IN 'ruE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - LAW
RICHARD L, MONISMITH,
Defendant
NO. 98 - 6342 CIVIL
IN DIVORCE
NOTICE OF PRE-HEARING CONFERENCE
TO: Carol J. Lindsay
Attorney for Plaintiff
Edward L. Schorpp
Attorney for Defendant
A pre-hearing conference has been scheduled
at the Office of the Divorce Master, 9 North Hanover Street,
Carlisle, Pennsylvania, on the 22nd of October, 2001, at
9:30 a.m., at which time we will review the pre-trial
statements previously filed by counsel, define issues,
identify witnesses, explore the possibility of settlement
and, if necessary, schedule a hearing.
Very truly yours,
Date of Notice: 8/22/01
E. Robert Elicker, II
Divorce Master
i
NANCY A. MON!SfolITII,
Plaintiff
IN T!ll'; COUHT OF COMHON PLEAS OF
CUMBEHLAND COUN'I'Y, PENNSYLVANIA
VS.
CIVIL ACTION - LAW
!UCIIAHD L. folONU;111TII,
DcfC'nddJ11
NO. 98 - 6342 CIVIL
IN !Jl VO[{CE
~~DULED PH!,-IIF:AHING CONFEHENCE
TO: Carol J. Lindsay
Attorney for Plaintiff
Edward J. Schorpp
Attorney for Defendant
A pre-hearing conference has been scheduled at the
Office of the Divorce Master, 9 North Hanover Street,
Carlisle, Pennsylvania, on the 23rd day of November, 2001,
at 8:30 a.m., at which time we will review the pre-trial
statements previously filed by counsel, define issues,
identify witnesses, explore the possibility of settlement
and, if necessary, schedule a hearing,
Very truly yours,
Date of Notice: 11/7/01
E, Robert Elicker, II
Divorce Master
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OFFICE OF DIVORCE MASTER
CUMBERLAND COUNTY
COURT OF COMMON PLEAS
9 North Hanover Slreel
Carlisle. PA 17013
(717) 240-6535
E. Robert Elicker, II
Divorce Master
Tracl Jo Colyer
Ollice Manager/Reporter
West Shore
697,0371 Ext 6535
July 27, 200 I
Carol J, Lindsay
Attorney at Law
SAlOIS, SHUFF, FLOWER & L1NDSA Y
26 West High Street
Carlisle, P A 17013
Edward L. Schorpp, Esquire
MARTSON, DEARDORFF, WILLIAMS
& OTTO
10 East High Street
Carlisle, PA 17013
RE: Nancy A. Monismith \'5. Richard L. Monismith
No, 98 - 6342 Civil
In Divorce
Dear Ms, Lindsay and Mr, Sehorpp:
I have reviewed the documents regarding certification of discovery and note that
although there were some items listed on Mr, Sehorpp's certification, by now the
discovery should be complete, This document was dated in April 200 I. Consequently, I
. am going to proceed with a directive for pretrial statements.
A divorce complaint was filed on November 9, 1998, raising grounds for divorce
of irretrievable breakdown of the marriage. No economic claims were raised in the
complaint. Attorney Dale F, Shughart, Jr" filed the complaint; attorney Lindsay is now
representing the Plaintiff. I am unable to find in my file a withdrawal of appearance by
Mr, Shughart and an entry of appearance of Ms. Lindsay, I assume that attorney Lindsay
will take care of completing the docket record with regard (0 the status of the attorneys
representing the Plaintiff,
On April 5, 200 I, an amended complaint was filed raising economic claims of
equitable distribution, alimony, alimony pendente lite, and attorney fees and costs.
I assume that there is no issue with regard to grounds for divorce and that the
parties will either sign affidavits of consent or have been separated for a period in excess
of two years,
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. .U)JS;SHUFF, FLOWE~ &. LINDSAY
. ,"ri16:W:;'iOHST'Aur II'" MARKIlT STREET
",CARUna;'A 11011 CAM' HILL. PA nOli
~~i1:iONB(lll) 24),6211 PlIONB 1m) m.)M)~
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CliRTII'lll0 COPY:
.-
NANCY A, MONISMITH,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY. PENNSYLVANIA
CIVIL ACTION - LAW
NO, 98 - 6342 CIVIL TERM
IN DIVORCE
VS,
RICHARD L. MONISMITH.
Defendant
MOTION FOR APPOINTMENT OF MASTER
Nancy A, Monismith, moves the court to appoint a master w,th respect to the following claims:
(XI
( )
(XI
( )
Divorce
Annulment
Alimony
Alimony Pendente Lite
IXI
I I
IXI
(X)
Distribution of Property
Support
Counsel Fees
Costs and Expenses
and in support of the motion states:
(1)
is requested.
(2) The Defendant has appeared in the action through his attorney, Edward L.
Schorpp, Esquire
13) The statutory ground(s) for divorce islare 3301 (c) or (d) of the Divorce Code.
14) Delete the inapplicable paragraph(sl.
(al The action is not contested,
(bl An agreement has been reached with respect to the following
claims: NOw .v< "..i!d d <' it> ~
(cl The action is contested w,th respect to the following claims:
Cu.L f,,'t:t ell , n "'-
The action /~c(.omplex issues of law or fact.
The hearing is expected to take i d~
Additional information, if any. ~levaZto thl/",ot : none,
J 1~/o/ (", 7' t'\. .
ij Caroi J. Lin say, Attorney for Plaintiff
Discovery is complete as to the claimlsl for which the appointment of a master
\'
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151
161
171
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Date:
SAIDIS
SHUFF, FLOWER
& LINDSAY
AnoRNEYSeAT'IAW
26 W. High Street
Carlisle, PA
ORDER APPOINTING MASTER
-T/A i '/
o AND NOW, this _ ' ,j day of ,/ ~/2.A.&L
r _/!.,..../, "A.;t' U",///., Esquire, is appointed master with
following claims: Divorce, Aiimony, Counsel fees, Costs, Equitabie Distribution,
, 2001,
respect to the
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By the Court,
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I'lalntiff
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ORDER OF COURT
AND now, this l-g~
day of April 2000 upon consideration of the within Petition a Rule is
issued upon the Respondent 10 show cause the relief requested should not be provided, Rule
returnable 2.0
days from the date of service hereof,
By the Court:
Ad
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C'PUJ)/ ''f'Cl
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NANCY A. MONISMITH,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVNAIA
NO 98.6342 CIVIL TERM
CIVIL ACTION. LAW
IN DIVORCE
V5.
RICHARD L, MONISMITH,
Defendant
PETITION TO COMPEL DISCOVERY
NOW comes Nancy A, Monismith, Plaintiff above, by and through her counsel, FLOWER,
FLOWER and LINDSAY and Petitions this Honorable Court as follows:
1, The parties hereto are husband and wife having been joined in marriage on November
9,1968 and separated on September 8, 1998, On July 12, 1999, Petitioner served on Respondent
a set of Interrogatories and a Request for Production of Documents,
2, After an extension of time in which to provide discovery, Petitioner requested the
discovery requested in a leller of August 31, 1999, Incomplete discovery was provided thereafter
and on November 18, 1999, Petitioner provided a leller outlining the documents still to be provided,
A copy of that leller is provided hereto as Exhibit A.
3. Although one piece of information was provided, the balance of the discovery requests
have not been provided, These documents include those necessary to evaluate Respondent's
retirement benefits which are a major asset of the marital estate,
),
WHEREFORE, Petitioner prays this Honorable Court to order Defendant to provide the
discovery set out in the leller of November 18, 1999,
FLOWER, FLOWER & LINDSAY
AlIorneys for Plaintiff
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Carol J. Lind~ay: Esquire
11 East High Street
Carlisle, PA 17013
(717) 243-5513
I.D, #44693
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By
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Edward L. Schorpp, Esquire
November 18.1999
Page 2
5. Please provide the statements for the Merrill Lynch account from
November 1, 1997 to the present. The statement provided indicates
that a Merrill Lynch account was closed out at some point in time.
Thank you for your assistance,
Very truly yours,
FLOWER, FLOWER & LINDSAY. P.C,
Carol J, Lindsay
CJUljb
Enclosures
ee: Nancy Monismllh (w/anel)
FILE COPY
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CERTIFICATE OF SERVICE
day of "//>11
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Lindsay, Esquire, of the law firm of FLOWER, FLOWER & LINDSAY, P,C.. Attorneys, hereby certify
AND now, this
---',
, .
, 2000, I, Carol J,
that I served the within Petition this day by depositing same in the United States Mail, First Class,
Postage Prepaid, in Carlisle, Pennsylvania, addressed to:
Edward L. Schorpp, Esquire
127 West High Street
Carlisle, PA 17013
FLOWER, FLOWER & LINDSAY
Attorneys for Plaintiff
By:
Carol ,Lindsay, Es ire
10 44693
11 East High Street
Carlisle, PA 17013
(717) 243-5513
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NANCY A. MONISMITII
Plainliff
: IN TilE COURT OF COMMON I'LEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
vs,
: NO: '),~,I1J.f2
: CIVIL ACTION-LA W
RICHARD L. MONISMITII
: IN DIVORCE
RESI'ONSE TO l'ETlTION TO COMI'EL ()JSCOVERY
AND NOW, comes the defendant, Richard L. Monismilh, by and through his allomey,
Edward L. Schorpp, Esq" and responds to plainliff's Pelition to Compel Discovery as follows:
I. Admilled in pari and denied in part. The averments of Ihis paragraph arc
admilled, excepting the averment of the dale of separation, which is denied. The parties continue
to cohabit.
2, Admilled,
3, Denied, More than "one piece of information was provided" prior to the filing of
plaintiff's petilion to compel. As of lhis dale, Defendant has provided substantially all of the
requested information and a release 10 obtain the balance of the documenls requested.
LAW OFFICE OF EDWARD L. SCHORPP
BY-'~~~
Edward L. Schoepp, sq,
Attorney for Defendant
127 West High Slreet
Carlisle, P A 17013
(717) 243-9258
,
;\
Vi:RIFI( 'Al'l( IN
I \'crill' that thc statcmcnls cuntaincd hcrein arc truc and currcct. lundcrstand tlmt
falsc statcmcnts hcrciu arc madc suhjcctlU thc Jlcnaltics uf 18 l'a,c'S.A, *4904, relating tu
unsworn ralsilication to authoritics.
~
Edward L. 'chorpp
DATE: May If ,2000
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NANCY A, MONISMITlI,
Plairllill
: IN TIlE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
vs.
: CIVIL ACTION-LAW
: No. lJl!.h3~2 CIVIl. TERM
RICHARD I.. MONISMITII,
Defendant
: IN DIVORCE
I'ETITION TO COMPEL IHSCOVERY
NOW COMES, the Defendant, Richard L.Monismith, by and through his counsel,
Edward L. Schorpp, Esq., who petitions Your Honorable Court to compel discovery upon the
following:
I. 00 October 15, Il)l)l), Defendant served upon Plaintiff discovery interrogatories
and a Request for Production of Documents,
2. Plaintiff provided incomplete answers to the interrogatories and did not produce all
documents requested.
3. On May 11,2000, Defendant requested more complete discovery and provided
Plaintiff's counsel a list of matters requested; a copy of this correspondence is attached hereto
and marked Exhibit "A,"
4, As of the date of the filing of this Petition, none of the requested discovery has
been provided,
5. The requested items are necessary for the evaluation of Plaintiff's business and the
valuation of certain intangible assets in her possession and control.
WHEREFORE, Defendant prays Your Honorable Court to order Plaintiff to provide
complete discovery as requested in Exhibit "A,"
LAW OFFICE OF EDWARD L. SCHaRPI'
~~.
Edward L. Schoepp, Esquire
Attorney for Defendant
127 West High Street
Carlisle, PA 17013
(717) 243-9258
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May 11, 200lJ
Carol J. Lindsay, Esq,
Flower, Flower & Lindsay
11 East High Street
Carlisle, PA 17013
RE: Nancy Monismith v. Richard Monismith
Dear Carol:
1 have reviewed your client's responses to our discovery requests and find that she has
provided incomplete information, Please provide the following:
1. A complete copy of the book(s) from 1997 to the present in which she has
recorded all of her customer receipts, not just the entries reported for tax
purposes,
2, A complete copy of the book(s) from 1997 to the present in which she has
recorded only those receipts reported on tax returns.
3, Any documentation in her possession for the years 1997 to the present evidencing
all tips received.
4, All bills of sales/invoices for purchase of any of the business equipment identified
in her responses,
5. A current statement for the Prudential account and identification of the origin of
all funds deposited into the account since inception,
6. A Slalement renecling Ihe currenl balance of her IRA account,
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VERIFIC^TION
I verily that the statemcnts contained hercin are true and correet. I understand that
false statemcnts herein are made subject to the penalties of 18 Pa,C.S,^, ~4904, relating to
unsworn falsification to authorities.
~~.(~
Edward L. chor
Dated: 7-10 -c:o
NANCY A MONISMITI/.
Plainliff
: IN TilE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY. PENNSYLVANIA
VS.
: CIVIL ACTION-LAW
: No. lJ/{-6342 CIVIL TERM
RICI/ARD L. MONISMITII.
Defendant
: IN DIVORCE
CElnlFICATE OF SEI~VICE
I hereby certify that a copy of the foregoing document, Petition to Compel Discovery. \Vas
served this date by depositing same in the Post Ol1ice at Carlisle, Pennsylvania, first-class mail,
postage prepaid, addressed (IS lollo\Vs:
Carol J. Lindsay, Esquire
FLOWER. FLOWER & LINDSA Y
I I East High Street
Carlisle, P A 170 I 3
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Edward L. Schorpp, Es .
Dated: '/-1 t? - 00
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NANCY A MONISMITII,
Plainti mRespondent
IN TilE COURT OF COMMON PLEAS OF
CUMBERl.AND COUNTY, PENNSYLVANIA
v.
NO. 98.6342.. CIVIL ACTION.. LAW
RICHARD L. MONISMITII,
DefcndantlPetitioner
IN DIVORCE
ORDER
AND NOW, this M dayof'12d~<{/fIL6.P.~, 2000, anerconsideration ofthewithin
Petition for Sanctions,11~iffi{;~ sct thcreon for;(;,3 0 o'clock fLm. on U c.~~ 7,
2000 in Courtroom No.4, Cumberland County Courthouse, Carlisle, Pennsylvania.
BY THE COURT,
cc:
Carol J. Lindsay, Esquire
Attorney for Plaintiff
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Edward L. Schorpp, Esquire
Attorney for Defendant
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NANCY A. MONISMITII,
I'hlintiff/RespulIllent
IN TilE COURT OF COMMON I'LEAS OF
CUMBERLAND COUNTY, I'ENNSYL VANIA
v.
NO. ()8-6342 - CIVIL ACTION -I.AW
RICHARD L. MONISMITH,
DcfcndantlPetitioner
IN DIVORCE
MOTION OF I>EFENIlANT RICHARD L 1\10NISI\1ITII
FOR SANCTIONS
AND NOW, comes Dcfcndant, Richard L. Monismith, by and through his attorncys,
MARTSON DEARDORFF WILLIAMS & OTTO, \Vho pursuant to Pol. R.C.P. No. 1930.5 and 4019,
movcs Your Honorable Court to imposc sanctions on the Plaintiff, Nancy A. Monismith, upon the
following:
1. Defendant/Petitioncr is Richard L. Monisrnith who is reprcscntcd in this mattcr by
MARTSON DEARDORFF WILLIAMS & OTTO, Ten East High Strect, Carlislc, PA 17013.
2. Plaintiff/Rcspondent is Nancy A. Monismith, who is reprcsentcd in this matter by
Carol J. Lindsay, Esquire, SAlOIS, SHUFF, FLOWER& LINDSAY, 26 Wcst High Strcet, Carlisle,
PA 17013.
3. This is a divorcc action in which equitable distribution of marital property and othcr
economic claims arc at issue.
4. On October 15, 1999, Dcfcndant/Pctitioncr served upon Plaintiff/Respondcnt
discovery Interrogatories and a Rcquest for Production of Documents.
5. Plaintiff/Rcspondcnt providcd incompletc answers to thc Interrogatories and did not
produce all documents requested.
6. On July 13, 2000, in rcsponsc to Defendant's Pctition to Compel Discovery, this
Court entcred an Order to show causc why the rcqucsted discovcry should not be provided.
7. To datc, Plaintiff/Rcspondent has not shown cause why discovery should not be
provided and has not provided thc requcsted answers and documcnts.
8. In response to furthcr inquiry by DefendantlPetitioner's counscl, counsel for
Plaintiff/Respondent communicatcd hcr intention to respond within ten days of September 26,2000;
a copy of said communication is attach cd hcreto and marked Exhibit "A."
l.AWOITICE.'i
IAMFS D. FLOWER
)OIlN E. SLlKE
ROBERT C. SAlOIS
GEOFFREY S. SIIUFF
)AMES D. FLOWER, JR.
CAROl.). LINDSAY
)OIlNNA). KOPECKY
KARl. M. l.EDEDOIIM
JOSEPH l. IIITCHtNGS
THOMAS E. FLOWER
SAIOIS, SHUFF, FLOWER & LINDSAY
A I'ROI'ESSIONAI. CORI'OllA TION
26 WEST II/GII STREJrr
CARLlSl.E, PENNSYI.VANI,\ 17013
TEl.EI'1 lONE: (717) 243-6222 .I'ACSt~III.E: (717) 243-6486
EMAIL: uttornl.'y@ssfl.l.lw,rom
OF COUNSEl.
Al.DERT II. MASl.AND
WEST SHORE OFFtCE:
2109 MARKET Sf RElIT
CAMP 1I1l.I., PA 17011
TEl.EPIIONE: (717)737.3405
FACSIMIl.E: (717)737-3407
REPl. Y TO CARLISLE
September 26, 2000
Edward L. Schorpp, Ezquire
MARTSON, DEARDORFF, WILLIAMS & OTTO
10 East High Street
Carlisle, PA 17013
Re: Monismith v. Monismith
Dear Ed:
Thank you for your patience with regard to your discovery requests. I have
forwarded to my client and expect to be able to provide you a response within the next
ten days,
Thank you for your help.
Very truly yours,
SAlOIS, SHUFF, FLOWER & LINDSAY, P.C.
~
Carol ,J. Lindsay
CJUtjb
cc: Nancy Monismith
EXHIBI11 II A"
CElrrlllcsn: OF SEHYKf
I, Tricia D. Eckenroad, ,Ill authori/,'d agent lllr Martson Deardorff Wi !limns .... OliO, hcrchy
certify llwt II copy of the Illregoing Motion IiII' Sanctiuns was scrved lhis dale hy depositing samc
in the Post Oflice 011 C,lrlisle, I'A, first class mail, pust,lgc prepaid, nddressed:ls li.)!Iows:
Carol J. Lindsay, ESljuire
SAIDIS, SIIUFF, Fl.OWER
.... I.INDSA Y
26 West lIigh Strcet
Carlisle, P A 17013
MARTSON DEARDORFF WILLIAMS & OTTO
(~1oW"i;;,f) r efIMO',f
en E:lst High Strect
Carlislc, PA 17013
(717) 243-3341
Datcd: October 26, 2000
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JOHN E. SLlKE
ROBERT C. SAtDIS
GEOFFREY S. SHUFF
JAMES D. FLOWER. JR.
CAROL J. L1NOSA Y
JOHNNA J. KOPECKY
KARL M. LEDEBOHM
JOSEPH L, HITCHINGS
rnOMAS E. FLOWER
LAWOFl'lCES
SAlOIS, SHUFF, FLOWER & LINDSAY
A PROFESSIONAL CORPORATION
26 WEST HIGH STREET
CARLISLE. PE='INSYLVANtA 170IJ
TELEPHONE: (7t7) 243-6222. FACSIMILE: (717) 243~1l6
E~IAIL: .1Iom.y~..n.l.w.<om
WEST SHORE OFFICE:
2t09 MARKET STREET
CAMP HILL, PA 17011
TELEPHONE: (7t7)737.3405
FACSI~IILE: (71:')737.3407
REPLY TO CARLISLE
April 20. 2001
Edward L. Schorpp, Esquire
MARTSON, DEARDORFF, WILLIAMS & OTTO
10 East High Street
Carlisle, PA 17013
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Re: Monismith v. Monismith
Dear Ed:
Regarding the discovery requests you listed for the Master, I believe the only
ones in my client's possession exclusively is her 2000 Income Tax Return and the
beauty salon expenses which I fOlWarded to you last October. Are you asking for
updated beauty salon expenses from October 2000 to the present? I will ask my client
to provide her income tax return for 2000 and expect you will ask your client to provide
the same for our review prior to or at the Pre-Trial Conference.
The pension plan did not have to be valued. I enclose a copy of the 1999
Personal Retirement Benefits Statement which you provided to us. It provides a cash
value for the pension plan. I have checked on this plan before and been advised by
Carlisle Companies that the plan is a defined contribution plan, not a defined benefit
plan, and that it has a definable balance.
By copy of this letter, I am advising the Master that I do not believe there is any
discovery requests which should impede the setting of a date for Pre-Trial Statements
and a Pre-Trial Conference.
Thank you for your help.
CJUljb
Enclosure
cc: Nancy Monismilh
E. Robert Elicker. II. Esquire
Very truly yours,
SAlOIS, SHUFF, FLOWER & LINDSAY, P.C.
O/~t&0
Carol J. Lindsay
I,\\IES D. 1'I.()\\'E1l
JOliN E. SI.IKE
IlOBEln Co SAIIJIS
GEOFI'llEY S. SIIUH
jA\lES IJ. FI.OII'EIt )It
C,\IlOl. J. I.INIlSA I'
jOIINN,\ J. KOPECKY
KARL \I. I.WEIIOII\I
lOSEI'll L It/TCIIINGS
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"ACSI\t//.E: (717)7.17,:\.107
!iEr[..Y.:[9_C~\gLI!i),E
April 17, 2001
E. Robert Elicker, fI, Divorce Master
9 North Hanover Street
Carlisle, PA 17013
RE: Monismith v. Monismith
No, 98-6342 Civil Term
Dear Mr. Elicker:
case.
Enclosed please find the Certification that discovery is complete in the captioned
Very truly yours,
SAIDI~~H~U'7fF\OWER & LINDSAY, P.C.
111"'-[R I J<
VUvt.L- y ~
Carol J. ~indsay
CJUtjb
Enclosure
NANCY A. MONISMITH,
Plaintiff
IN TilE COUHT O~' COMMON PLEAS OF
CUMBEHLAND COUNTY, PENNSYLVANIA
vs.
NO. 98 - 6342 CIVIL
HICHAHD L, MONISMITII,
Defendant
IN DIVORCE
TO: Carol J. Lindsay
Attorney for Plaintiff
Edward J. Schorpp Attorney for Defendant
DATE: Wednesday, April 11, 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate whether there are any outstanding
interrogatories or discovery motions.
,
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ArruRNEvs & COVNSF.UORS AT LAw
WillIAM F. MARTSON
JO"N R. Fowu.. III
E.DWARD L SClloarr
DANIEL K DEARDORFF
THUMAS J. WILLIAMS.
Ivo V. On'o III
GWR(;[ n. FALLER JR..
CARL C, RIse"
MARK A. DENUNGf.R
.HuAau Cf.KTJrIW CML TP,lAt. S'OCJA,UST
Tf.N EAsT BIGIf Sl1Cf.H
C.....Rusu:.I'F.Nf>;!>'(LVASIA 17013
TEUMmSL (717) 243-3341
FAo'''''L (717) 243-1850
INTERNET www.mdwo.com
April 18, 2001
E. Robert Elickcr, II, Esquire
Officc ofDivorcc Mastcr
9 North Hanover Strcel
Carlisle,PA 17013
RE: Nancy Monismith v. Richard Monismilh
No. 98-6342 . Cumberland County C.C.P.
Our File No. 10 I 66.1
Dear Mr. Elickcr:
I am enclosing Defendant's Discovery Ccrtification.
Very truly yours,
MARTSON DEARDORFF WILLIAMS & OTTO
~~
Edward L. Schorpp
ELS/tde
Enclosurc
cc: Carol J. Lindsay, Esquire (w/enc.)
F:\FILES\DAT^FllE\G~lIt,ur\IOI66.re 1
INFORMATION. ADVICE. ADVOCACY'"
JAMES D. FI.O\\'EIl
101 IN E. SI.IKE
1l0llEln c. S,llDIS
CEOFFllEYS.SIIUFF
JAMES D. FLOIVER, lit
CAROLj. LINDSAY
jOlINNA j. KOPECKY
KARL M. LEDEllOII~1
JOSEPH I.. I IITCI liNGS
THOMAS E. !'LOIVEIl
1.,\\\'llHlcrs
SAlOIS, SHUFF, FLOWER & LINDSAY
A I'Rol'I'~~I"N,\I. U Ill" 'll,IIION
2.. \\T~IIIICII STIlEEI
CAllIISI.I:.I'ENNSY/.I'IINI,117111.1
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WEST SllollE OIJ1Qi;
21lJ<J M,\RKEr STREET
CAMP 1111.1..1',\ 17011
TEI.EI'IIO:>lE: (717)7.17.:1405
FACSIMII.E: (717)737.:14117
IlEI'I.\' TOCAlll.lSl.E
July 3. 2001
E. Robert Elicker, II, Divorce Master
9 North Hanover Street
Carlisle, PA 17(11~
RE: Monismith v. Monismith
No. 98-6342 Civil Term
Dear Mr. Elicker:
I have been served with a second set of Interrogatories, the purpose of which is
to obtain some information regarding my client's earning capacity. She is a self-
employed operator of a beauty shop. We are proceeding to obtain that information for
Mr. SChorpp, but in the meantime, I would very much appreciate your setting this matter
for a pre-trial conference. Given the timing in these cases, and my assurance that we
will proVide the information Mr. Schorpp is requesting, to the extent we have it, within
the next two weeks, I am requesting that you set the pre-trial statement date and a date
for a pre-trial conference so this matter can proceed. In the latter part of last year, we
had provided to Mr, Schorpp the information he requested regarding my client's
business. Now he wants more and I have no objection to giving it to him, but I do
believe that the equitable distribution values are known and set. Mr. Schorpp is looking
to offset an alimony claim by claiming a higher earning capacity for my client. He is
welcome to make that claim, but we want the matter proceeding.
Thank you for the help.
Very truly yours,
SAID~S, s. HUFF'f]A7 '\I}'ER & LINDSAY, P.C.
II /.Itjj~' L
C/4(, c. ~
Carol J. tinds y
CJUtjb
cc: Nancy Monismith
M'Dw&6
IN'O<<MAlION -Al"'1C," AlMM:A~:Y
Antl~~1 \\ & CUCN\lUnll'O AT l...~.
WilLIAM F. MAkTSON
11IIIN lI. I"IWI" III
EOWAtI.U I.. Snuul.l'l'
()ANlfI. K. UUROORfF
Tfln~lA.' J WIUIAM5.
1\'0 V. Orru III
(~WRr.r. U. FAI.lER JR.-
CARL C. Itl<ell
MAkK A. Ol::NUN(;U
"lhM_11 0111111111 Cl\n ".I,U Sn:ClAU(T
Tt:N EAsT HIGII STRUT
CAausu.l'f.NSSVLVANI." 1701.\
T'U:MIlINr. (717) 243.334\
fACSIMILE (717) 243.\8\0
lNTEllNtT www.l11dwo.~unl
August 16,2001
E. Robert Elickcr, II, Esquirc
Office of Divorcc Mastcr
9 North Hanovcr Strcct
Carlislc, PA 17013
RE: Nancy Monismith v. Richard Monismith
No, 98-6342 . Cumberland County C.C.P.
Our File No. 10166.1
Dear Mr. Elickcr:
I am enclosing Dcfcndant's Pre-Hcaring Memorandum. Notwithstanding, I must advise you
that discovcry has not been completed, as Plaintiff has not answered additional interrogatories
propounded by Defendant. I would hopc that those answers are provided by the deadline for filing
Pre-Hearing Memorandums. Otherwise, I will movc the Court for sanctions. This additional
discovery concerns Plaintiffs claim for alimony, and is information rcquired by our cxpcrt in order
to render an opinion on Plaintiffs earning capacity.
Very truly yours,
MARTS ON DE
~
Edward L. Schorpp
ELS/tde
Enclosure
cc: Carol 1. Lindsay, Esquire (w/enc.)
Mr. Richard Monismith (w/enc.)
F;\fILES\J)A T Afl LE\Oenhr cun IOI66.n:2
INFORMATION. ADVICE. ADVOCACY",'
.....
10/0~/Ol TIlr 11:01 rAX 7172~S0361
\'0:. ' '2 Y?-
C.~RLISLE SIXI'EC
~OOI
1 <l c~)
COBRA EXIT INTERVIEW
Tllis is 10 advi!ill youllwl YOllr coverage under thc Carlisle SynTcc Incorporatcd Group medical
plan willl!nd
YOII may choose 10 continue your coverage beyond this dale lor a period of ..ll..lnonlbs, by
paying a monthly premium which is l!<jualto what il costs the company to providc cquivalcnt
medical coveragc plus n 2% utlministrntive fee,
If you have dependcnts, you havc the option to continllc their coveragc. Tfyou are married, your
spo\lSCl may make a separate election. You havc 60 days from the datc your coverage tenninatcs
or from the date of the no lice to l!loct continuation coveragc, whichever is later, to make a
decision, If you elect coverage within this 60 day period, you will have 45 days from the elate of
election to pay the first premium and subsequent prcmiums owed to bring your account eurrcnt.
If you choose: this option. coverage will continue until:
. The expiration of _ months following
, You become a covered employee under another group plan;
. You become eligible for Medicare;
. You fail to make a monthly premium;
, The Carlisle SynTcc Incorporated medical plan is terminated.
The current monthly charge for medical coverage is as indicatcd in the rates below. This charge
includes any dependents presently enrolled. These rate~ arc subject to change whenever the plan's
costs change.
Blue CrossIBlue Shield will be providing you your Notice ofRil!ht to Continue Health Care
Benefits and will also provide you with information on the billing process. (This information will
be forwarded to you through CobraServ out of Palm Harbor, FL.)
***Rates are approximate fees per month ***
Medical
Rates
Dental
Ratcs
PrescriptIon
Rates
Single
Two Party
Family
$136.24
$257.50
$351.50
$1 J.78
$32.99
$32.99
$26,69
$56.04
$70.06
I '7<J, 1/
....--.
T,
explained to me on this date,
, have had my rights under COBRA
.~
w
VII. TANGIBLE PERSONAL PROPERTY:
The parties are living together and have not separated their personality nor
has the personality been appraised.
VIII. MARITAL DEBT:
, .
\'
I,.
Martial all summarized on a list of liabilities attached to the asset list and wifei'
.
claims an offset for post separation payments on account of martial debt.
VillI. PROPOSED RESOLUTION:
Wife seeks 60% of the martial estate and alimony in the amount of $1,000.00
per month. Wife would retain the martial home and refinance the mortgage thereon
so that husband is no longer liable. Husband would retain the cabin and the 1995
Dodge Ram. A transfer to effect equitable distribution would be made from husband's
401 K Plan into wife's IRA. Wife seeks reimbursement of the costs of the appraisals
she obtained.
Respectfully submitted,
SAlOIS, SHUFF, FLOWER & LINDSAY, P.C.
Attorneys for Plaintiff
By:
Carol J Lindsay, Esquire
10#4 93
26 est High Street
Carlisle, PA 17013
(717) 243-6222
SAlOIS
SHUFF, FLOWER
& LINDSAY
^1TOIlNEYS.AT.LAW
26 W. fIIgh Street
Carlisle, PA
..,.
IN THE COURT OF THE
COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
NANCY A. MONISMITH,
Plaintiff
VS.
CIVIL ACTION. DIVORCE
Defendant
NO. 98.6342 CIVIL TERM
IN DIVORCE
RICHARD L. MONISMITH,
CERTIFICATE OF SERVICE
On this.ll2.... day of . (,:'1/1 c-, +- , 201LL I, hereby certify that I served by United
States Mail. postage prepaid, a true and correct copy of the foregoing PLAINTIFF'S
PRE-TRIAL MEMORANDUM upon the following:
Edward L. Schorpp, Esquire
MARTSON, DEARDORFF, WILLIAMS & OTTO
10 East High Street
Carlisle, PA 17013
E. Robert Elicker II, Esquire
9 North Hanover Street
Carlisle, PA 17013
Respectfully submitted,
SAlOIS, SHUFF, FLOWER & LINDSAY
SAlOIS
SHUFF, FLOWER
& LINDSAY
A1TORNEYS.AToL.\W
26 W. High Slreet
Carlisle. PA
By:
f
Carol J.\Li
ID# 44693
26 West High Street
Carlisle, PA 17013
(717) 243-6222
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D.H AGENCY. APPRAISAL SERVICE
APPRAISAL OF
A SINGLE FAMilY RESIDENCE
LOCATION
1495 longs Gap Road
Carlisle. PA 17013
CLIENT
Monismith. Richard l. & Nancy C.
1495 Longs Gap Road. Carlisle. PA 17013
AS OF DATE
March 9. 1999
APPRAISER
Dougtas R. Heineman
B-H Appraisal Service
163 North Hanover street
Carlisle, PA 17013
Telephone No.: (717) 243-1000
Fax No.: (717)243-1718
March 19, 1999
Monismith, Richard L. & Nancy C.
1495 Longs Gap Road, carlisle, PA 17013
Dear sir,
In accordance with your request, I have personally
inspected and appraised the property located at:
1495 Longs Gap Road
carlisle, PA. 17013
The purpose of the appraisal was to estimate the market
value of the property, as improved, in unencumbered fee
simple title of ownership.
The subject property consists of:
7 Rooms
3 Bedrooms
1.5 Bathls)
The Cape Cod style residence contains 1,560 square feet of
Gross Living Area above grade.
It is my opinion that the estimated market value of the
property as of March 9, 1999 is $82.000.
The above information has been automatically extracted from the
appraisal and inserted in this cover page.
NOTE: This is a Summary Appraisal Report. This page is invalid if
detached from the Summary Appraisal Report. It may not be used
solely as an Appraisal for determining the market value for the
subject property, and is only valid with its complete attached
package of URAR forms, color photographs, addenda, Statement of
Limiting Conditions, and original signatures of the State
Certified Residential Appraiser, This complete Appraisal is only
valid for the Client, and is invalid if photocopied in part or in
its entirety, or used by anyone else other than the Client without
the prior written consent from the Client and the State certified
Residential Appraiser.
Respectfully submitted,
r"".-....-----__
'.--......
..~.
~
Douglas R. Heineman
I
,
,
B-H AGENCY, APPRAISAL SERVICE
UNIFORM RESIDENTIAL APPRAISAL REPORT
142~W$.-G5l~q ...l2lLQI!:')i$15!____ _.~.~~I'''' 7,'r.C'odLll0.13___
~!lQQlL2=1l!,_l'ag~.lQL(Attct~L_...!....,~l<lOO__..___
29-o5::Q.4~-Q.4...Q .._._.l".Y"L1999 ___..~.I,..r..~''.1,_1,.OJ!.3~~.I--.''!!!~.L __0_.
('urrrnlOWlltf ~;i.srnith.___._.____._.-_~!!!l!;__[Xl Ownu r--l TC'~J_C~'!!L
re lIim If' 1n.lWholtl t.roj~Ii.~:r)'l~~.__D_J~IJI}__._D__('lIl1Jo.!l!!~i~Il~....tl!t!D~^ onlfL-!!<1~S___O~~
"I!!!!!>J!!<!od 0' 1'mJ<,,~...~M.lg;1l~tor:L'l'cWJship-. ..... .u~"" u,r",,,,.,-.29.~Q5.":"9425:-Q!l9.J:!M-,,,.T,,,,.Qll~L__,no____
s.lIr'rio:eLN/;' 1"_~!_~!ILN/A_________U_I?I",rjll!il!n_lIll<.l S,lIl1uuml,j,r IWIIl ~llllrll!llf.:'~Hl~t_lI,i'!IUIIl"hl" rail! ~}'.~t'lt,L_Q_~
J...."Wl~.,..MoIlisrnith,JUQ1at:~tL, _.~_Nancy C. ^",h,.. 1495 Lorgs.Gap . Road , Carlisle,..PA ._170.13.._
,.-.,r ^d,ln...... J 0 OV I
rile 0.
I "I U,ban Dfl Suhulhllll r J l(uIlI1 I'r\~ulllillmll Slll~k f'"llily humin!!
[ I [ 1 [ I 'h.'UI'",U') I'HIl'I' AliI'
-. _ (lv" 7.\1.)( H.7,\'.l tlnJu 1.\% I \ (1IlIU, bl~)
U....lh..~ [] 1<0"" [xJ S"h" I I S1". Ix I 0."" GO I". 0 H r,,,,i1,
f'mpt1f)''IIluaDn In('ftuin. eJ Stable' [ IIlt-dininll IX-I Tmllnl t 150)li,h 1~Q1; MuI1i.rlmil)'
Iltmand/.uppl)'CJ SboN.e [xJ In hlllarlo:t[ ..OJ OV\"J ~UI'I,I)' I xJ VII.-IIII 111,,\." 11111111'""IOlllilllUlllllllll'''"llnmilll
.M....!!!!!1J~~D..t!~.t.r:l.J_'!~"'~IXJ_):.~,~c~,.U~!v<~~Jl\O~: UYll'lIlIqum.\'1) 95 40 (Vact)
No&c: R...e UllJ 1M ".dlll \"Olllpoclilion or dlt' l\ti.bhOllllluJ 11ft nullIl'IUlli,"1 rlldun.
N'I............ ............ "'" '.....'k..'''. .'D1e_/1E!ighl:orhcxxl,ormarket area is bourd ..to. the NQrth by State. Route.....,
.Jl<t4,_SQlJ.th_by..th~_U,S. .Route...11,. E'lstby state Route .114 an::!. West by st..lteRoute 233.
r-...:lm' thll.rrr~:1 ~ mlJlr.rtubilil)' o( lItt ",1II!"t'ltitA in lllt ntilthhUlhuu,j (I'tll1illlil)' I" '.l11l'lu)'IIl"lIII1IKlllm<llili~" "II1I'I"YIII\.111 'I..hilil)', 1I1'1'tllllllllllllktl. tl...): l1:ljor.
~Y!l,_li!I1P~oyTIllmttshoppirgt schOOls. an::! recreational opportunities are within a short or
; _~le_CQ11ThI.te... ..I)tilities. as .well as p:>lice an::! fire protection are adequate.an::! typical
. J:QLtbul@il_._J::I~..m:the i\I'ea. have on lot . sewage disposal systeJrs an::! well.water..systems.....
_'Ihi.!U~~.!LlPtffi"-f;!_qn_adverse. effect on marketability and is typical for .the area,.....Hares..m.
. _the_i~I;~,U.slnge_t'~.fairmtqgocx:lm .corditionwith average beirq .thepredaninant._ClClrdition.___
. M.rlttl wndilioM in Ihe .uhj<<' ndahborhou,1 (indudillll ~UI'I'''11 (ur 1I1" IIh..w ,'ulIdu,i'lIl.lllduk,llu 11.,'11,'11.1 ..r 1'1111....'1). vlIhl,", dCll\lllIiJI~UI'l'ly. lIud murktlin, lime. . IUlOh 1M dllta CJR
I COJn!"t'tibve ...roI"t'Jti~ rot Illle in lhe nri.bholllf".... 1.I('.II.:,il,I;1II11 ur Iht: III'O:vllkn..t' U( "lIt..-, hll,l l'inlllldnll ':UIM,,.,iUl\., ,.k.): ..A~erage..marke:ti.ng _.t_i.Jnr;!__is_~".
.J1.!LQa$l..L ~11.Eg:_-'6)1JGE!$S.ions.oq::).lt'_ at.. ti.Jres.. an::! are usually uurrler_$3 ,0.0.0.'.' 'Il1e. J:a;let:al..._...._.._
~ h,~~U~gl_I;'Clt~,!LseYeral.j:i.Jresin .the last _twelve..months.....!obJj:gageraj;,es..I;'~in_y.ery_
~i~...Althg.g1uniJJiJTal..incrE!C\Sce5.hal.'e...occur:red . rec:ently ...... . Inventory.. le\(els.._ha\(e_r!ll!lCliJJ~_
_CQ! IS~ fai.J;:ly_~.dy_9..y'i;!Ltbe_tl1iJ;'d.uand.fQurthuquart.erS.Qf'.19~8._ .~izilJ;J,...clQSirq$,_..
but e s' a conca w' sore .
J>roject In(ontlAlion (or 1111>. (lfll......licllble).' (, the dcvclufler/buiklH in \'lflllr"lu(lh,'!',:mc (h'mel'll' ^,~,.,:illlilJlI (1IlIA)'! L. J Yell I_xl No
^JlProllimllle lolAl nwnber ofuniu in lite Aubje.:t...roje...tlllA.._._...___._.-___ . __. ^Illlfll\inl:llo: IUI:lllllllllhcr lIr ullit'l (ur Illlc in the luhj<,,1 ...rojc.:! .__...___.______
l>r:.cribe tmnmon elclntnlllllnd rTcrelllillonl (lIdlili,',: at ' Ie
V'",MI'M See at1;a.ched cj~:Lt'Qr_lW<\l.._descr:iption,. . 'J""I'",ml'''' Modet:!l..te_s.l~_~.......to_BL
Sl~ ''''' 1. 23 Ac I'"""",,,, ['-I y"lfl";:," ."" AveramLfQLm.i,glJl:1QXb(:~~:l.
Srec:ific zonin. clauifkation IInd dtACri...tion J?~f?$;i.g,~t_lq.J..________ Shlll'<! Irre:g\!l..~
Zonins 'omplian~c OCIu'ld 0 l.egll1 nOllCIIl\ronning ((inuulflllhcmJ U~o:) ul-.-_fll;c~lll [-I NII1-CllIinil Ilminlljtt Appear..Q_t9~ ad~~__
Hilhelll&~tUAelUimllrovtd r&ll'r('~!.'!.~c ~D__QlIwrll".;_(~~llll!~IL_. VitI'.' AVel::"&g~J.Qr__~eg___
lhililit'JI l'ublic Ulltcr Of(.Sile Iml,rov,'mcl\1.'I '1")"11\: I'uhlic I'rivuh: Illlkl~cn...jllg ~t\J.r.g/~!..Qal
Electricity []] 200 AMP Sired _Ma_C6l_dam [X] [] Drivewny Surrace Mg~~
Ciu D l"lIrb/gullcr ~ij9ne_.._.______~__ [] [~] ^flJlnrcntc~elllcn\ll None Ol:servecl
Waler 0 On site Sith:wnlk _N9ro__.____ _ . [] CJ FEMA S...ccinl Flood Hllllln! AreA D Yea IX] No
SlInilllry.ewer D on s.l~___ Sln'ctlight. _t:f9.I]:!___.o-.. L.J [] FEMAZonc .Z.Q~_C_MII...Dllle04/J)J./~Z_
Slo"n'~" ..!illi'y__I]QIJ''--_...__ ...D...D.. nl",,~~,~;!0367 QQQ_!LB
Commenlll (1I......llrenl advcne tutlntnlll, enCfUlldUllcnlA, "pcdal n!UICO'I!lll1Cnt~, Hli.le llr<:u, ilIc!(lIl or 1<~1l1 nuu~'''nfllllllil\!( 1.1II1intlll~C, cll:.): N...QlJ~_QQ$eIve:l.
Tn
l.r...:.lion
11~~u.t'hlll1.t __
I xl Nul 1",1, I 11""y
[ ]lnrJlk'ru
25
GENERAL DESCRIPTION
1
No, o( Storiu . 5
Ty"" (V".IAn.) Detached
Daign(Style')
Ex~lin./ProJlOllCd
^.e(Yn,)
EXist'
51
EXTEIUOR Uf:SCRII'noN FOUNDA'l1llN IiASEMfiNT INSUlA nON
Fountllltion Block Slob ._Npne ArcnSq, PI. 720. Roo(
EllteriorWlllIA Vinyl Crowl Spllce .l2..gr:tJ9.l % Fini.hed 0 Ceilin.
Roo( Sur(llCt. Q.;,,-1~ osi..ti.on 1l3~cmcnl !'1111_ ('tilins ,;Joists WlllLt
Guttcn & OWI\II"'~. ~uminu;m SUllIl't'um... NQ WlllLt Block Aoo,
WintlowTypt. I;louble tl!J.rE UllllljlnCllII !'lQ!}S!...RQ.tgJ. Floor Concrete None
Slonn/Scteelll Yes Selllcmenl ,NOJ}e.,jj'oted Ou~ide r~tt)'yes Unknown
MllnufllelurtO HOUle No In(eM.ntillll None Noted
No.o(Unill
ErrecliveA e Yn.
Levell
Lcvel2
1
1
..~~:'___[~F"'''i1={~..
____~_ _._1.__ .
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3 I!l'tlro/lllll'
1~,,~J~lllc Ikdroc!lJ!!!.._ ,lInUII
uumlD:'- Othcr
AretlS ,Ft,
ROOMS
Fo er
Livln
Dining
Kilchen
Duclnent
. ..__.._.__...l_o..5
..~_-L,
J,
Finillhed IIr~ Ibove ratle contrUM:
7 Room'.
1.5 HntJl ~.
6 S Ullre Feel o( arou Uvin Ar~
KITCHEN EQUIP. ATm' AMENlTIl~':i
Rdrigcrnlnr [X] None ex] Fircl,ln<t(.),_ D None
HlmgelClvell [Xl Slnil'lI 0 I'nlio D
Dj.~"'lI.111 0 Drrll,Stuir [~ Utck __ D
1Ji.~hwll.htr [-] Scuulo: Cl l'nr,h.QpY.!-fr CXJ
('(nlnll _CA._.~. Fun/Huc)!1 eX] Huur CI FClI'c._.__ D
Olhtr CF Mkro.....llvc L-J lIellt.'\l [J POlll D Cllrport
C'oruJilion WII~ht'r/l)r...erll Fini~IIl.,1 r I Breezewa Orivewn
Atltlitiol\ll.l ((nlutcA (....ecilll enersy dridcnt itcII\II. (IC.): _~1;;qdJ.~._~O:[k$bop/J.._qq.r_.9~9g~,_~_~j~.o.Y..LirLl.iviJ:g roc:M1, wate+_
softener. Jenn-Air B<ID3!i1.(stov~)-,--____.__
Condition o(the improvcmenll, de...recintion (pb)'liCflI. (unctiolUll, and ClIlemnl), tel'lIil'll nt,otJn!. qunlilY oft'OI1.~ll\Iclion, rcmotldillg'atIt1itior~. etc,: eorrlition of the
. ts an:l the :li1:;Y. of the cons1:,!:y>=tion i,s averag!h-.J:t was ol:servecl that the family
a~"o;d via a non heated breezeway,_the sec:Qrd floor has no bathroom althougl), all
oca on secord flcor an::! sane secord floor doo~ allCM very little headroan
Advene environmenllll conditiOM (.uch U. but nol limited to, hazardoul WlIAlu, loxic lIub.tlInceJI, c1C,) ...rutlll ill tlle improyemenll, on the lite, or in the unmcdinte vicinity or lite .ubjcct
'''''''"Y' . ed
1X:Wkl~-b"~'.,,U'
INTfiIUOR Mlllt:rillLt/Contlition
FIoon ~t.VinyllAvg.
W,I. Panelgg/Average
Trim/FlnilhWood. Avera e
B,lh Aoo, Vmyl/Av~e
BolhW,IM<ol Panel/AveJ;Bge
Voon Wcxxl/ A1&.l;:9ge
HEATINn
Ty...e FHA
Fuel oil
C'ontlilion b,yg..!_
CAR STORAnE:
o
('OOUNCi
Gllruge -1.
AtlAched
Dclllehed
lo(enl'll
Detached.
Uuilt,ln
f. ff
V__ ._V!'l!f.o..BM.llESn:mm~~A"-PMISAUI~O.l!I "'.. No. 030399
SSnMATED SI11l VAU1R, , , , , , , . , , . . . , . . . , . . . . . . . . . , . . '___.. C'0lINftt1111 on ('.. Arrn..ddllktl.,1CMtfn vI &huolt CIIimaU. li.n......lCpre
. ESnMATEU IC.F.PROUll'''ON ('(1ST. Nt;\\' OF IMI'MI)VI~b~n : (uIII .1lkua.tiun lIaI. (ur lUlU. VA MIl fwCA.1ht MimlIed rernainlft'lkONIffIM:
1>0<1"". 1,.5_60_ ~. 1\ 0 1 . 1 0 I~, '" Ow P,,,,,,",)..l)Je__to_tbeJlglLof_tbe.J>\ll;lj~-
JlelInt 120_ "1\01______ 0 prq:>erty,_it_is_tllilul,wn\iser!Ju:piniC1lL--
that_the__cos.t_Approam..tcLV<\l\.l!3~~
: l:c a reliable _Wic:atior...OLwar.Ket-Y<lll.l~k
I For this .reason We _awroaC'h _wasw. ---------
I cxclu:1ed _fmn .thisappraisaLrepo!:t. __see__
: attached ack:lcrdum for_addJ.tiooaL-w---.--
o i infornution (X)l1CeIllirq tha exclusion. of -----
: tilis . at;t'raoch to value. I estimate the.
------..----.-..
O.....,I(..rport______._ !liq 1141'
Tall! r~ {'ott.N,. , . ...,.. ...,
1_ .1"')"Ii...' \ l"",buMl \ 1:-.ll'nl.1
. Iltr......... ~_. -. .. ,
lltpf<<...... Vlkit u, Imrwv,mrntl. .. ,
-}.I..' Vltu. of SiIIlmpfU'Il'.hffll&,. .. \
IN 1(" VAUI" ('OS 111WACH .. ,
111~ ~l!llJU~f l'lJ~II'^AAIII.L Su I ('o~lI'^HAIII.I; NO, 1 . ,~:(~M!'^HAIIIJ~NO)
---- ---- 1495 i.()ri:Js Gap R:l I 236 l'Ulllister Olun:. 8!)!) I.DrY:js Gap Road 1 Olannel Drive
Adol.!",______car .i.l>l~_-..,........... carlisle carlisle carlisle_
ful"''Y_lD_,.hj",._ __ .__.._._...+/~...6__J1\iles I' +1-: _2 llIiles ..:t/.::.._:UJuJ~.
'.k.I',.. . \.. N/A _ ._............._..._......._..... \ 83,000 \' ..._.._........._.._.. \ ._._.....82,.9.99_ __.._.__...._.............1- ___11Ji.Qo
:r;~_.~!,:;!;~A". 1 oJ1s50.8578 II 65.173.11..... ...____159.1787 FJ .
~- ~, ~,~ :~,~ ~,~
'yyj[~....,._~,,~-_ ..IlJSpel:;tion.~, ~ I i C'C'01, ~.I.--- -~'-~-I--'----
V^H1Ji.M~J.!-'-~TMJ~_ IllEHt!2:l.mL_... .._I!liSI~lUI'l1t.S ltl')' ^,IJll'lJlk'lll; 111.'iI'lHI'I1IIS .+(." ~J~t.lnfn __.Jm.'i~II~ll~,~_.. :tU_'..t\dj~ll_l!l'l\
S.Id", P"""". conventional: i Conventional: VA .
~,u~_____ ___._...._.. None 11 Seller Cent.. _-2,000 Nqne__..___.:__..
1",,-,rc~'i!'I',,__ JI/L..__ ___ ..01/12/99 05/15/98 04109.1!:J8____ :....--.---
l.."~,,,,"-______~baIL similar . Similar Similar._._.:.______
1''!!:''~!l!'J!.;'''f''-- _F.ee_S.iJTple. fee siJrple . Fee SiJrple ._ fee Sill1pl~_. -~-----'---"-
"t" ____ ..l.2LP-c;I;:es-- . .0.43 Acres 1,500 I 0,33 Acres 1,500 0,29_Acres_--i--1,.500
Vkw ..A~~gg._.._- .Averag~_ \ Average. AVe@ge________~_._--~.-,_---
~..--""'-"'r",.1 Q:lp:!_Q:>g__ ._Cape.Q:x:l I cape COd_ -- cape_Q:x:l__.. ~'-'-' ---
.!l!!!!i!Y--"~,,,,'i"!!- JlV~9E1---..---Ayerage. I Average AYerq9~______:....__.____
~I' 5.1______,__. _:;3_._____.. .... I 51 52. -. --------.----------
ro"'ttlo. _&..~g~___.___ .Ayerage_ . 1..A..vera.ge Ay!lI'age,___. --:- ---- --.---.
. Above ClrodC! TlIlI!L~m~..,...J)~)lI_ _1!.~tlIL..~ItI"'~-...JI~.lh" ; 'I.'l!llll ,1~lnI~_. Ill!lh'!._, J~~L.-I.~.h~~-...l~~_~
R""",('~l --.1.-'-..3-'_1.5__ __2:.3._,.._1 . 500 ..7, 3..:. 1 500 _6-,-..~--,-__1; 500
(!,~U'" A""__ _1,_5J1'O_~'I..I.',_ . ._1,632_"1'1. 0.. 1, 272-"1' 1'!, . .2,8!\0_ .__1,21\2-"qcl}~~3,-1l!.0.
"""_.. F'~;.h'" FUll Full None 3,000 FUll .
Roonvdklow UrwJc m_.__. U~_ _None__ None - Nqn~ - '-" u_ .
F~lt,,",llhlll!t._ ~_Mq~~- }\deqLJa:t? _... _ -:4,000 AdequaJ;e ., ._:"_4,.000_ SWlqI"___._.___.;_-_.
. ~I'rool" _ -oU./_~.IL_ _lliA::Oil/No h ;2,000 FHA-oilmo __; .....2,.00_0 UIl'.::oilll!o__
r:lle I!rlicimt llema ~~__ J~9D~L____..__ ._:__._._.. J~o~__.___.__. _._-:-- ...________lfQn~
CI.n .1 r. " 1-Detamgl.__ _U:~j:<":;he;1_._ ;_. ___ _ __ _2 _De1:achE~L_;_...::2, .oQo 1__pet1l<;;beJ;l
Po"h. 1'011<>. U~k. CrJv. Front CAN. Front Cov. fr /patio; -500 CAN, Fr /DeJ:fI;.
Fir lace II clC, stoy.sL-_ ~~p.la.~__;__-:.l,9Q(L J"QI1e;.__m__:.__5JtO None
Fence ('001 elC. ~ __N9~_____..;..___.__n_---._J..:Jo~--_._-~____,_NQlJe
. \
o
NolAd'. ....I n+ ,...[}<l...~.:1 .~l,_QoQ. .J1:l:"____h~:s" 1,.!l80 + -:1
Adju.kd Sale.I'rice :.,}::H:(.;:.):::):.:::;~.:~ct.:\' ::,,2:~~\:;)::\)~i~~~::.:' :,9~_ ~ ,';',~" ~~'.
.re'om .nbl. :Lil."W.~q!L..L___82,.QQO_ c...:2Jl;Li()~;1 ~A., 780" ,v,~ (In 1 80.180.
COll1mcn~ on Saltll C'omplltUon (including the lIubjcct propcl1Y'1I cllInpnlibilil)' III t!u: Ild~hhtllh(lu<I. ell:.): _SE:E_AITA.QiEP_AO.Q~. ~ two URAR
011\15 'f@Y not be used solely_1!?_oo_appr.fl:i,S<\J-~QLd-et:,erminil:l9-th.'~-J))<;I,I::!s.et value tQ~ subject -
.p~/ ard are onlY vaUg.J.Lf~_:i,n.a__.l-lanugrjpt_Cpver:.J>'itIu~r:igiJJql sigootu+es of th~L..
state ified ResidentiA.LAW@i~,_c:QIQLMoj:cx.Jr_apbEu~LtbjLf;\)):>jggj:..wd CUll "'rabl.~,..9--L-
Sketch~, arrl ~ro Md~, aqdea:la,__<llId ~~t Qf LiIniti.,oo Con:'litions. See CANer
e or 't' 1 Notes re at' to validit r irements for this aisa
IIT.M stllUECT rOMI'^AAIlI.f. NO. I COMI'^HAIIIl~ NO.2 COMrARAUI.n NO,3
~:::P::~:" =:/:~. ~~/=__~-~~=~I~~/=-- ~~/=
AruaIYlu. of MY current Darcelnenl of Rille. option, or li~tinl of lite Rllhjc":IIHu(lell)' blll.l ul\lll)'Ki~ of 1111)' Ilriot IUIll.l or Kubjcd nnt! cOlnllnrubkll within one yellr of the dale of Ilpprailal :
. ect ard les 11!?j:_~f~.N-~ip_()l.LtbEuj.<!tes-Jis:t!?<L@9viLau;LOO'YiLJJQj;:_,~IL..
resold since then to the b;E;t_Qt'_tI)e_appr:ais;er~_s~l<n<:1Nledg~.'._m -. -- ...---.
INDICATl!DVAWEBYnlESAlJ!SCOMPARlSONAPPROACH............................................................. 1...-J2.,000
INnrcAl1ID VAl.1mnY INCOME API'ROACH If ^ liCllhle 1~limntl'<i Mllrkd J{,'ul' ..0 IMo. x Orn"" Hen! Mullillic:r '" $ 0
Thill a.flpnailllll ill mlldc rxJ 'u iI' 0 lubjcct tn the rcpllin,lllterutiOllll,inKpccti01\l1,nr cnnditiollllli.oltro hc\nw [J lIubjcd 10 cflmpldion pcr pll1l1llllntlllpccilicotioM.
Co"'i,Jo", or Appn;..1 . IlOO'IIJS9 cu;:~_:i,s;_p_r:i.!!!<lrJ).y__~._oq:upiEl:!,. __th!'!r.El~.-ins!.1(tiQJgnt avaJ].abl5l_r~l_.
data to g;w,.lete anJng;&]ll;!..Q3p-it9).i2:<!j;j.91]_mJr()ac::h.(orJ:hi$..r:ep:ld~
Finll.l Reconcilill.linn :~ ATIAClIFJ)_~~._----- ,,,-~---~---"--'~~----
.
The purpoae ofthia Ippl"lliul ilia elItil1\lltc the lnll.rktl vlI.lue of the reQI property Ulnl ~ l.he Rubjecl of UliA report. bll!ltd on t.he IIbove cnndilioM und certifiClllion. contin.ent lUIl.Ilimilina condi.
tiOnl. and meukel vD.lue defUlilion that DRllllJllro in the Ill\.llchal Fraldie Mnc Fonn 4lWrllllllie Mile runn 1004B (ReVPN ~/93 ).
I ~TIlE hWlXET VALUE. AS DEFINED. OF TIlE REAL PROPERTY nlAT IS TIlE SUBJECT OF nllS REPORT. AS OF March 9. 1999
(WHICH IS TIlE DA IN ON AND TIlE EFFECTIVE DATE OF nllS IlEroRn TO BE 1 82,000__
AI'PRA.JS SUPERVISORY APPRAISER (ONLY IP REQUIRED):
.
o U~ DD~Nol
IMpectPropcrt)'
e n
K'IrCh 19. 1 Cl~9
RIrO00569-L
[1&!l~_
NllIne
(}1I.\C RellortSilned
SllIte FA. Slllle C'ertificnlioll ,
SIfIIe Or SIllIe UceMC ,
I.AmFonn sonwm by ^Y CI ~.INC (e) 1994
S....
S....
r'aMie Mile Fonn 1004 6.93
,
"
~
~
.
~lUlln'lmC[ 0' IH'
r:'CJ.rtft or ~["IS
-~
J\n 4 15 Pll I9&l
,.
PIlNIMPUI DIlIlD-~
C\,i\liPit.',I.) :~l,:'ilr
p[WI$nVIot,I..
ID~i!i 3Jubentutt,
ilulle m~e
9;;:'
N,"
Ja.n\l.:U'70
"I.W~"_UN 0..
rlO'll..J Hiu Il..J,.,J -" nixty-11iJ?a..
iBttWl'l'n I!AI:IE II. 51lUGi'.A!lT, uid"", of l:Orth }liddleton TCMlShiJl, C"",barlRnd CountT,
p"M.:rlvonio, party of tho first part, GrllJltor
AtlD
RICPA.'!ll L, I:OI:I3}UTlI and IIAIIlY C. IDl:ISJoIITH, his wire, or R. D. Ii ), Carlisle,
Curlberlalld County, PeM8ylvonia, parties or .the .econd pllZ"t, lIrantees.
.f I~. "tOW porl.
.f IAI ,.. .f four
ttIitltPllllet~ rAM ""..u,..rY ., .A. fit.. ,..,,,.,..... ~
thou.,nd 1'1/0 Jlundrcd Fifty (.)4,250.00)
<.
Doll.... r..fal _, .f IAI Uol,.d 81.,.. of 4..,;"...U.N 'rol, ,..u h, "" ..w ,..tie~ I.W .....N
p"" I. ,A. .old,..,r/" .f il. fi," pori....u"'''' .AI ...u., .u'NlINrJ ., d'N ".,,.,,. I.W r~"
..Am,,/ io ~mb, ",",""I.dg.d. h.",,, .,...ul. &...1-4
.00d. alinwd. ../..".d. ,,'....d. _..,.d. .u _/n.d .u b, """ ".,.... diI "..,. ...~ ..a.
ali<.. .../..". roI..... _..,. .04 toJIfi.. ..10 .110 HId ,.,ties' of 1M H'" ,.., their
. 1";', ad aligu,
.2\11 th:.t certain lot of f:t'ound si tWlto in the Tmm8hip or 1I0rth m.ddlcton,
County of C\l1'lbcrlond and stote or PeM.ylvanio, l'iore portieuloiir bounded and
riC.erib"d .'.:1 1'011011', to uit,
S .;;r:~m:o nt n point in the castern line of the Lone 'e Gnp Rond and at the
linn 01' r.rop"rt:r, Mil or fomerly of SheNoor! Sehlu8sorJ theneo in e northerly
direction 010nl1 the said road ono hundred (100) feet to n ".int at tho line or
land, nou or fomer!,v, of H..u'old 3. SehlUS8erand Habel P.' 5chlusser, his t,uel
.thenee in ,n r-.tl'rly direction alone land, n..,or formerly, of th.. said Schlussor
four I:untlrcd 8DVl!ntl'-eir,ht (1t70) fP.et to a point at tho line of land, noli or
for:-:orlY, of ',li11i"", i3ro1mm!ol1; thence in a diagorol direction alone tho fence
line ""tHeen property, nOl' or io,...,orly, of tho sai!lllrOllna"ell and tho lot "
heroin de.cribed, a dist,nce of threo hundred tHOnty ()20) feot to a point in the"
lino of property, no-. or fomerly, of SheNood 5chllisser; thence in a northerl;v
direction !\lone" land, nOli or fOrMorly of Sherwood 5chlusser, a diotance or one
hundred tHclvo (112) feet to a ""intI: thonce in a '""st"ord;l;rdiroction alolll:
tho sn..,e, 0 di.tance of Throo hUndred ()CO) fcot to a point in the eastern line
of the Lonb's liOjl Road, the Plnee of Beginning.'" , :' . .
ilSil:G the same lot of &round which llarold E. Sehlusser and Mabel P. 5chlUllser,
his tdro, by their deed beorinl: date tho 4th day or !larch; 1950, and recorded in
the Oifiee of the Roeorder of Deeds in snd for. Cumberland Count,., at Carlisle,
PeM8:dvania, inDeed Book 01', Vol. 14, Pege 132; granted and conveyed "unto Milton
ShugMrt and Ilwe N. Shughart,
The said l:U ton Shu~hart having died on the 5th day or 'March, 1967, title to
tho above deefr1bed ;>remises remained 'VOsted by operation or 1811 liolel;v in bill
ourviving spouse, Mamie N. Shughart, (boantor herein.
"t"'
~o,oiIl23pACE 301
..
;
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. '71. -t:d~ CI.'.':;:,'~I'.I..'" ,.'"
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Cumb. Co.. P.. It ,:', ,"" ':
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D... ."<.7r:N.. No..r.-/..~ ! ! . .
Q_,,!",';'lD,'~'.lvJ ( 1)"410.
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.., "" i. u,...., .,,.,,,.JaJ.,. _ ,.., ,,.,";0. 'U r""t,iD&I, ,.aalflll,. _ "..;.,u", "aI" ...,." pJ
"./i', ,",.".,; -"nb .110"" IN "'''', rigA'. ,ilt,. i.'nr,'. rrotnf,. <<I... _ ""'U .1eIHft"., '*4
i. la. 'N 'f-i'l. ."1, .aU ,."y of '1, Ii"~, ,.,,. 0'. i.. u ., "' .,.u IN p""';'''' .W ""I ,."
..J ,.ttll ""'0' .
alo 1!iaut anb to 1;0Ul 1M uiJ ,...i.", ..n/' "', ~oJ ';"1/"'" ,.. ."",.....". ..... "-
,.WI ,."les .['u"...,.,." thoir 1,i" ..J u,i,.... 10 eu (... ..h orJ, "..," ." ..J
luloo[ o[ .,., ,eid, ,."ies 0"1. u~ "", their An" eM .."i~" (Mnn.
!\nb
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TilE SAID 'UrlLlltor, her
41i", ,...... aU ..,.i_""o", N
,OU ,."ie8 bf ,.. liNN pori, their
. .he ......0.1 Grantor, her
II, u"" ~""'" lOW."', ,,'11 au ,,,,, '0 uti wi,l .11
A,i" ..tI ..,lpI, ...,
lftr. .u _ riagahr '1, An,Jit,.w.', eu "..., l".tiuhow JlHriIHJ .. "..,.~ or ~NN.r, 'N ia- .
k'aM" 10 14 N, witl .,,.rltuac,,. .at" 1M ,a ,..,.,1es .llk. "tHiU ,.,; tho1r Atir.
.oJ ..,;g." "1/"';' ,.. ,lid ,,,.., '1 of ,.. fir" ,." oN her hw. .oJ og...., .u .'!4 nor, 0''-
""101I or f'S"'0fU ....,onw. ''''''[._11, clairai.g or.lo cW. 1M""" or.., ,.,. I1n,o/,
~UI/ ... ;"1, b, .1... ''''''''. IV .dRRJ.N7' J.ND FOREYER DBYEND
3Jn JlIJitnt.llll lI~l'rtof '1. IOU! p."'1 of ,., (w.' ,.., """
In,.....'d her l,ad aN "al 'A, tI'l aN I'" /ir" ahO'll" .nu,..
"".... :,' K~ .LL+
~. "V(.~. -- -,'l<.t;Jl- - .. (BUL)'
.. M'''~'''' ." ...",...... .._.n'___N"_ _,_N."
(SEAL)
(SEJ.L).
(SEAL)
(SEAL)
(SEAL)
(SEAL)
(SEAL)
(SEAL)
(SE'AL)
(SEJ.L)
(Si!,4L)
Signed. Sealed and Delivered
ill the Presence ot
._,..... '~"~_'N__,_~."N____' ....~~- ...~......_.._-~...._-
......~...".._..N. ...~.._.._~_.._.__~,_.".'~'_ .-. .........-.. ~ -...... ".". --...
1
I,
Prances Y. Smith
",.....".~~__....___.._.~._ ___._.__"._"N___'..'.
..'
Justice cf the Peace
~::~~';~~dtt
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eoiB 23pACt: 302.
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SKETCH ,MAP AND PHOTOGRAPH ADDENDUM
a....._~a.... MoniAmtt.h
~yAdd,.. 1495 LOnqB Gap Road
ow Carl hie County Cumberland
lAnder Not Applicable
s,... PA
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LOCATION MAP ('SUBJECT PROPERTY)
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~ AM_ ~25J,oo;Js GapR::llld
rllr __C4rlislEL ,'_. amtlerlard
1_.__ ._l'bnismith. .Riclnrd L. & Nancy C.
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l.Mo:rf'onll SoRwnrc b)' "^ Y mm. Inc. 1993
. 7....'..... 17013 _
FRONT OF
SUBJECT PROPERTY
REAR OF
SUBJECT PROPERTY
STREET SCENE
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ADDENDUM TO THE APPRAISAL
FilE NO.: 030399
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BORROWER: Not Applicable
PROPERTY ADDRESS: 1495 Longs Gap Road
CITY: Carlisle COUNTY: Cumberland
ZIP: 17013 CLIENT: MoniRmith, Richard
STATE: PA
L. & Nancy C.
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ADDENDUM TO SALES COMPARISON ANALYSIS
CCCH and CPML are acronyms for Cumberland county Courthouse
(Recorder of Deeds Office and Tax Assessment Office) and Central
Penn Multi-List. Adjustments were made to the Effective Age of the
comparables in relation to the subject's Effoctive Age, Actual Age
was only used as a guide in selecting suitable comparables for
this report. Only bathrooms were adjusted under Room Count. Total
Rooms and Bedrooms were adjusted with the Gross Living Area on the
following line if the GLA of the comparable varied by more than
+/_ 100 square Feet in relation to the subject. All adjustments to
the comparables were made in relation to the Quality, Condition,
and Contribution of the subject's features or lack thereof as
viewed by a typical buyer in the current marketplace.
The appraiser is unable to verify the insulation "R" factor. Also,
the presence of Urea Formaldehyde Foam Insulation (UFFI), lead
based paint, asbestos, radon, POlychlorinated Biphenyls (PCB's),
Chlorofluorocarbons (CFC's), Leaking storage tanks (above ground
and underground), Soil contamination, Groundwater contamination,
and poor drinking water quality can not be verified by the
appraiser. The appraiser is not qualified to test for any
contaminates in or around the property, and assumes they are not
present. If any of these items are present, the appraised market
value could be adversely affected or voided. The appraiser has
made every effort to document any observed or apparant
contaminates in or around the subject property for this report.
The appraiser only considered those items attached to the home as
realty, Items not attached such as refrigerator, washer, dryer,
etc. were not considered in the valuation process of this
Approach. Also, no value was given to small storage sheds, swing
sets, swimming pools (above ground and inground), pavillions, or
other exterior structures of perceived value unless otherwise
noted in this report. The property's heating, plumbing, and
electrical systems appear to be functioning properly to the best
of the appraiser'S knowledge. It is noted comparables #2 and #3
occured over six months prior to the appraisal date, all
comparables are located more than one mile from the subject,
and the'price per square foot of gross living area for comparable
#2 varies by more than $10,00 per square foot compared to the
subject. The sales chosen for this report represent the best
available settled comparables from the market search as of the
appraisal date, and are verified with the CPML and CCCH.
ADDENDUM TO FINAL RECONCILIATION
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fr:
This is a summary appraisal report. Both Approaches to Value
support the appraiser's opinion of market value for the subject
property. The Cost Approach reflects a similar acceptable
replacement for the subject using current available building
materials at current market prices. It is not an actual
reproduction cost using original or obsolete building materials
from which the subject may have been built. The Cost Approach is
most representative for new construction or homes under 2 years of
age. Because of the subject's age, the Cost Approach was not
applicable for this report. In the appraiser's opinion, the Sales
comparison Analysis represents the best indication of market value
for the subject as defined on page 1 of the statement of Limiting
Conditions. This Approach to Value was weighted the most in l
estimating the subject's market value as of the
appraisal/inspection date.
As per instruction from the client, the appraiser has not included
a comparable sales photograph addendum in this report. Every
effort has been made to verify the information in this report
using the CCCH, CPML and published photographs of the comparable
sales in the CPML,
Vincent 0, Mellott contributed significantly in the inspection,
data collection, Approaches to Value, market search, photography,
Reconciliation, and compilation of this report,
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DEFINITION OF MARKET VALUE: Tho moot proll.blo prioo whido. P'.P'''Y .h...II bring In 0 ..mp.,ld.. .nd .pon m.rkol
un"', ,n condition. ,.qu'-ltl to,'N ..... the buy., and ..II.r...eh letm; prud.ntly, know"dg..blW' and ...umlng the p,lc.', not
.If,etld by undue .tlmuklt. ImpUdlln~. d.rinltlon i. 1M cOI1.ummlllon of. ..1.,1 of. .pecifi.d d.t. and thl p...lng af tld.
"om ..0., to buy., und., condilionl wh.ttby: 111 buy., and ..1I.f ". Iypiully motiv.t.d; 121 both p'rliu If. Will In'orm.d or
Wid ,dvi..d. .nd 11th Icting tn whit h. con.id.,. hi. own but int"..t; III . ,u.on.bl. time i. ,now.d 'or ..po.ur.ln ,hi op.n
marh.: 141 p.ym.nt I. mid. in t.rm. 01 C8.h in US. dollar. or in ,.rm. 01 flllll"ial ""ng.m.nt. comp.,.bl. th.,.to; .nd (6) the
prlc. ,.p,...nl. ,h. norm.l con.id...tlon far tht prop"1V .01d unllllfect.d 1.1,;, 'Iluialor "..tiv. tin.neing 0' ..I.. conc..llonl-
'rln'ed by anyona ...oclltad wilh th. ..Ia.
. AdJultm.nll to Ihe comp.rlbl.1 mUll ba m.da lor .paci.l or (:F"'IV' fll'.lIclng or 1,1.. conc.nionl. No adjullm,nl1 ar'
n.c....ry 10' tho.. co.t. which .,. nOfm.lly plid by ..n." II I ,..ull of ttad.lion Of Ilw in . mlrh, .r..: ,h,.. COI" ar'
r..dily Id.ntlnlbl. IlncI the ..II., Ply. Ihu. COI" in virtuAlly All ..I.. IIAlIuctionl. Splci.1 or c,..tiv. financing .djultmln'l
can b, mad. to ,h, comp.rlble property by comp.ri,on. t" fi""llcinQ ,,,"" oft.,.d by a third p.rly Inltilulionall,nd.r th.t I.
not .l,..dy Involvld In th. p,operty 0' t,.n..ction. Any adJullm.nl Ihould nol be calculll.d on a m.ch.nlcal doll.r co.t of
thl flnlneing 0' cone...lon but the dollar Imounl 01 'IlY adju'IIll'"1 Ihuuld .ppro.imat. ,h. ma,k.t', ,.aellon to lh. financing
0' cone...lon. bl..d on th. Ipp"J..,', judgm.nl.
STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: Th. app,oi",', CIIII'IC.ltIOlllhot App..r' in ,he appraiul ,.port I. .ubJ.ct to
the lollowlng condition.:
1. The appral,., will not b, ,..pon.ible fa, mall." of legal natura that .lfecteilher Ihe property being appral"d 0' tha till. to It.
The appral.., allum.. that the titl. Is good and ma,ketoble and, therefore. will no! IIndl!r allY opinions about the tille. The propl,ty
I. .pprel.ed on thl ba.l. of It being under r..pon.lble own."hip.
2. The app,ai.., has provided a .kltch In the apprainl ,eport to show approximate dimen.lon. of the imp,ovemenl. and the sketch II
Included cnJy to "..f.,she ,uder 0' she report In visualizing the properly and undll,,"mdin9 the app,ei.e,'. determination of.it'. .Ize.
3. The appr.I.., has Ill.mlned the available flood map' thai a,. provided by lhe Federal Emergency Management Agency (or other
data lourell' and has noted in the appraisal report whether the subjl!Cl .ite is located in an Idenlilied Speci.1 Flood Hazard Arell.
Bacllu" the lIppral..r I, not a su,veyor. he or she makes no guarlln1ee, I!Jlpress or Implied. rega,ding lhe delerminatlon.
4. The appral..r will not give 181llmony or appear in Caliri because he Dr she mode on appraiul 01 the property In question, unle..
.pecllic .rrangement. to do .0 have been made belorehand.
5. The appraiser ha. e.tlm.ted lhe value 01 the land in the cost epproDch at Its highesl end belt use and the improvementl at their
cont,lbutory value. Th..e separate valuations of lhe land lInd improvl!ments must not be used in conjunction with any other appraisal
and are Invalid If lhey ar. .0 used.
6, The appral.e, ha. noted In lhe appraisal report any adverse conditions (such as, needed repabs, depreciation, the presence of
hazardous wa.t... 10xle lubstanees, elc.l observed during lhe inspection of lhe subjecl property or lhat he 0' she became aware 01
during the normal rllearch Involved In performing the appraisal. Unless olherwise stated in the app,alsal report. the appraiser
has no knowledge 01 any hidden or unapparenl conditions of the property or adverse envbonmen1al conditions (including the
p,.sence of hazardous waste. toxic subs lances, elc.) lhal would make lhe property more or less valuable, and hal llllumed that
there are no luch conditions llnd makes no guarantees or wammlies. express or implied, regarding the condition of the property.
The app,alser wlll not be ,esponsible lor any such conditions lhat do exisl or lor any engineering or testing that might be
required to dllcover whether such condidons e'tisl. Because the appraiser is nol an experlln lhe field 01 environmental haza,ds.
the appraisal report must not be considered as an environmenlal assessment of the property.
7. The appraiser obtalnsd the information, 88timet88, and opinions lhat were expressed in the llpprllislll report from .ource. that he
or ahe considers to be reliable and believes them to be true and correcl. The appraiser does not assume responsibility for the
accuracy of such items that were furnished bV 01her parlies.
8. The appraiser will not disclose the contents of the appraisal report except os provided for In lhe Uniform Standards of Professional
Appral.al Pracdce.
9. The appraiser has based his or her appraisal reporl and vllluotion conclusion for an appraisal that Is eubJect to satisfactory
completion, repairs, or alterations on the assumption lhal completion of the improvemenls will be performed In a workmanlike manner.
10. The appralller must provide his or her prior wriUen consent before the lender/client specified in the appraisal report can dlstrlbuta
the appraisal report lIncludlng conclusions aboul lhe property value. the ,appraiser's Idendtv llnd professional designations, and
referenc88 10 any profeulonal appraisal organizations or lhe firm wi1h which lhe npprlliser Is associated) to llnyone other than the
bouower: the mortgagee or its successors end assigns; the morlgage insurer; consultonts: professional appralslll organizations: anv
state or federally approved financial inslitution: or any deparlment agency. or instrumentality 01 lhe United Slates or any etate or
the Dislrlcl of Columbia: excepl lh01 the lender/client may distribute the properly description section of lhe reporl only 10 data
collection or reporting ..rvicels' wlthoUl having to obtain lhe nppraiser's prior wriuen consent. The appraiser's w,IUen consent
and approval must also be obtained before the appraisal can be conveyed by anyone 10 lhe public lhrough advertising, public
,.lallon8. news, sal... or other media.
Froddl. Moc Form 439 6.93
Pogo 1 of 2
Fonnl. Moo Form 10048 6.93
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APPRAISER'S CERTIFICATION: Th. App..lllr.."III.. .nd 'U"" ,''",
1.1 hlv, ,....'ch.d thl .ubl,ct mlrket .t" .nd hlVI .,I,ct.d . minimum of ..".. "cent ..1.. 01 prop.,d.. mOllI ,lmII" and
proal mi" 10 thl .ubJ.c. prop.rty 'or con.lderatlon in thl ..I.. compari.on In.ly.l. .nd hlv' m.d, I doUar .dJu."...n. whln
.pproptl"l to "filet thl mlrkt' ,..ctlon 10 tho.. Itaml 01 .Ignilic.nt '1.,1'11011. It . .ignlliunt l'lm in · comp.rable proptrty
I, .up.rlOt to, or mort ',voI,blt than, ,he .ubj.ct pfop.rty. I "I'll mad. I nlgltivl ,dju'lmant 10 "ducI thl 'diu,.ad ..I.. prlel
01 thl comp.r.bl. and. II . .Ignlllcant 111m In I comp.fabl. prop.rty i. Inle,ior to, 01 I... favor.blt Ihan II~ .ubJle. prop.ny,
I hlV' mid, I po,ltlvl .dJu.,m.nt to Inc'.... th, ,dlu.'ad ..t.. p,ice ullh. co",p"olil..
2. I have takan Inlo con.lderation tha 'actor. that h.ve .n hnp,cl on valua in mv dav.lopmanl of tha a.tlm.ta 01 market valua In
tha eppr,I..1 ,.port. I he...e not knowlnglv withh.ld anv .ignilican' In' ormation hom Iha apprel..1 report and I ballava. to Iha
b..t 0' my knowladg.. that allalatemenl' end information In tha Appr.:~i..l rapfJrt ar. true Dnd corrtcl.
3. I etltad In th. Ippral..1 raport only mv p.rsonal, unbi..od. a'ld pro,...ional enelVlil. oplnionl. .nd conelullon.. which .r'
aubJact onlv to tho contlngenl end limiting .pecitled Inlhi, form.
4. I hava no pr...nt or pro,plctlve Inter..t In Ih' propa"Y that II Ih. .ubject to thl. rllport. and I h'v, no pre..nt or
prosp.ctlve parsonel Inter..t or bias with respect to the p."ticlp~nll In the lIan..cllon. I dId not b.... ,llhar partlallv or
completaly. my analy.ls and/or thll esllmate of markel valua In ,ha oppraiul ,eport on the uce. color. religion. ..... hlndlcap.
familial .talu.. or nallonal origin of .ither tha pro.pecti...e ownllll or occupant. 01 th. lubj.ct prop"ty Of o. ,ha p,...nt own'"
Of occupantl of Ihe properties In th. vicinity of the lubjecl properlY.
6. I have no pr..ent or contamplated futurelnter..1 in the .ubject property, ond neilher my current or lutu,. employmenl nor my
compenutlon for performing Ihls appraisal Is contingent on the appraised VOhH' of th. property.
6. I woe not required to report a predetl1mined value or direction in value that favors the cauae of 1h. ellent or any rela1ad
party. the amount of the value estimate, 1he aUainmanr 0' 1) specific result. or the occurrence of a .ubsequant avant In order to
receive my compensation and/or employment 'or performing. tha appraisal. I did not base the oppralsel report on a ,.que.1ad minimum
valuation. a specific valuation. or 1he need 10 approve a specific mortg.age loan.
7. I performad this appraisal in conformity with the Uniform Standard. of Professional Appraisal Practice thai w.,. adopted and
promulgated by the Appral.al Standard. Board 0' The Apprail8l Foundation and that were In place .s o. the eUectlva date o'thla
appraisal. with the exception of the departure provision a. thoae Standards. which don not llpply. I acknowledge that an .stimate
of is ,.esonable time for exposure In the open morket Is a condition in the definition of market value and the estlmata I developed
I. conslatent whh the marketing time noled in the neighborhood section of this report. unless I he'll otherwls. statad In the
reconciliation section.
8. I have personally Inspecled the interior snd uteri or lire as of the subjecl property and the exterior of all properlle. nsted as
comparablea In the appraisal report. I further certify that I hove noted any opparent or known adverse conditiona In the subject
Improvements. on the subject she. or on any site within the immediate vicinity o' the subject property of which 1 am aware and
have made adjustments for the.e adverse conditions In my analysis of the property value 10 the exten1 that I had market evidence
to .upport them. I have also commented about the ettect o' the adverse conditions on the marke1ability of Ihe subJ3ct property.
9. I personally prepared all conclul5lons and opinions about the real est:ate thai were .et forth In the appraisal report. If I
relied on significant pro'esslonal assis1ance 'rom any IndividUAl or individual{151 In the performance of the appraisal or Ihe
preparation o' the appilllsal r.port. I have named such Individuals Is I and disclosed the specific tasks per'ormed by them In the
reconc111atlon section o' this appraisal reporl. I certify that any Individual so named is qualllled to perform the tasks. I have
not authorized anyone to mako change to any hem In the report: therefore, if an unauthorized change Is mede to Ihe appraisal
report. I will take no responsibility 'or it.
SUPERVISORY APPRAISER'S CERTIFICATION: If 0 suporvisory opproiser signed the oppralselreport. h. or .h. .ertlfies
and agr... that: I directly supervise 1he appraiser who prepared 1he appraisal report. have reviewed the appraisal report. agree with
the statements and conclusions of the appraiser. agree to be bound by 1he appraiser's certiflCa110ns numbered 4 through 7 above.
end am taking full responsibility for the appraisal and the appraisal report.
ADDRESS OF PROPERTY APPRAISED:
1495 Lonqs GaD Road
Carlisle PA 17013
APPRAISER:~
S\~\ ~
N::~~O~ ": Heineman
Dot. Sluned: March 19 , 1999
Stote Cortlfi.otlon #: RL-000569-L
or State License II:
StMe:
Expiration Dale of Certification or License: 06-30-99
SUPERVISORY APPRAISERlonly ilr.quir.dl:
SlgnlJture:
Nome:
Dote Signed:
State Certlficotlon II:
or State License II:
Sta1e:
Expiration Date of Certlficallon or License:
Old Did Not Inspect property
Freddl. Moc Form 439 6-93
Pege 2. of 2.
Fannie Mae Form 100486.93
PENNSYLVANIA STATE BOARD OF CERTIFIED REAL ESTATE APPRAISERS
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BOARD APPROVED CHECKLIST FOR ASSISTANTS
Property: ~ '-I <j 5.. Lu.'\ ~ '5
(,'6 I') 1("" d. (;. r 151-.
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The asslslanllo the slale cerlilied appraiser lor this report has asslsled In 11m following limns:
I;il Sel up the tile with alllorms and general information for Ihls report
Cl1 Assisted In the galhering and entering the dala as Ihe following: Tax Assessmmllh,fnlll"lion and map, Flood
Hazard Informallon and map, Zoning Inlormalion and map, location map, and similar information.
Q?;l Accompanied and assisled In Ihe Inspecllon of the subjecl propDlty lor Ihis repO/t.
fiZI Assisted In the anHly;c;"y 01 Ihe f1iy:msl and Besl Use 01 the sublecl property lor Ihb rcporl.
~ Assisted In the galhering of Ihe information lor the comparable land sales dala, verilied and analyzed Ihe
comparable land sales data for Ihis report.
~ Assisted In the gathering of the Information for the Cosl Approach data. analyzed and selected the cost amounls
. for this report
rtffI Assisted In the galhering of Ihe Informalion for Ihe Income Approach dala, verified and analyzed the rentat data
for this report.
1)(1 Assisted In the galherlng of the informalion for Ihe compmable markel sales dala, vPlilied nnd analyzed Ihn
comparable markel sales dala for this repo,t
I)ll Asslsled In the verifying ollhe dala al the Tax Assessmenl olllee, Ihe Rer.ordm of Deeds Office. County STEB
monthly report, County Microfiche service and/or local MLS Service.
~ Assisted Inlhe exte,lor Inspecllon of the snles, renlals, Imlll mlll olhm ""mpmahles IIsed I", Ihls report.
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Asslsled In the sketch drawing for this report.
Assisted In Ihe entering of the subjec1 and comparable data on the form and Ihe data In Ihe comment areas 01
this report.
Assisted In the IInal reconciliation and Ihe final eslimate of value of Ihe subject property for this report.
Assisted In Ihe linal review 01 this report.
Assisted In pu",ng togelher and packaging Ihe final report.
DATE OF INSPECTION: /lb rc"< 7: /;; :17'
~.11~
I { Sign ur
Vincent D. Mellott
Asslslanlto thl!' Slate Certified Appraiser
"
The slale certified appraiser for Ihis report does hereby verify thatlhe assistanl did assist wilh Ihe items checked and Ihe
state certilled appraiser did review alllhe work done by the assistant of tho ove Iisled Items.
Douglas R. Heineman
Stale Certified Appraiser
)J/tircA /7, 1f7"1
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'h .. - Signalure
RL-000569-L
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Carlisle Companies Incorporated
.
2000 Core Plan Benefit Calculation Worksheet
For Participants Eligible To Receive
December 31,1996 Accrued Prior Plan Benefit
GENERAL INFORMATION
1111 Accounl Numher: 310
fi't Participant's Last Name: M(JI1i!\l11ith
Ill, Particip.lI1t's First Name: Ilichard
'"' Participant's Social Security Number: 168.36,3266
(15) Participant's Sex: mate
,", Participant's !lirthdate: 5120/46
(i7) Participant's Age: 53
(II) Hire Dale: '1/1,1170
'"' Participation Dale: '1/14171
(110) Vesling Service: 29 years
(ill) Crediled Service: 28.75
(ill) Nonnal Retiremenl Age: 65
(iU) Nonnal Relirement Dale: 6/1111
(iI4) Aclual Retirerrenn. Dale: 5/3/00
(iLS) !lenefit Calculation Date: 5/3/00
(i16) Lump Sum Equivalency Factor: 57.2318
em)
(ill)
(iI9)
(ilO)
(i21)
(i22)
(ill)
(124)
(i2S)
(i26)
(127)
(i28)
Earty Rclirement Adjuslment
Years Early:
Months Early:
Early Retiremenl Reduelion Factor' :
II
I
1.000
. See Early RClilcmcnl FIC!otTablc
Beneficiary's Name:
!leneficiary's Social Security Number:
!leneficiary's Sex:
!lenefieiary's !lirthdate:
Beneficiary's Age:
_l'I-,,_n-"L(~s_I!~atefor dJ.v".'ce)..
2\ 1-60,0895
__.'. ___._.__.______..._ ___n.',_
female
---_.~-_._--_.-_.._.. -
10121/48
----..-----..-.,---- -----.
51
Age 65 December 31, 1996 Monlhly
Accrued Prior ptan !lenefit:
$511.99 (Unlc.!u"dj
C!l Account Catculation lnfonnatioa
Starting Account Balance:
Cash Balance Account as of 1/1/1998:
Cash Balance Account as of 1/1/1999:
__$..!.8,3~~~8__ ..__.
$22,4~.Q:!~..__ .._
$26,632.46
CORE PLAN BENEFIT
Grea/est of:
Life annuity ACluarially Equivatent (GATT Assumption Basis) to the accumutated Cash Batance Account.
The accumulated Cash Balance Account includes the Initial Balance and the sum of the Annual Additions
and Interest Credits;
December 3t, 1996 Accnled Prior Plan Benefit;
Please Refer /0 the .January 20, 2000 memo for ins/ructions all ho\l' to complele this worksheet
Page One
1',intedIl20J2000
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'1
FINAL CORE PLAN RETIREMENT BENEFIT CALCULATION
I'arllclpanl" Name: MonislIIilh. R"hard
Soda I Seeurlty Number: 168.)6.326(,
':ore Plan Bonolll Calculation
"I Monthly Cash Ilalancc Ilene lit S 571}.II} l.b~1
(&21 MllIlIhly Accrued Prior Planllenelit S 511.91) j,:'.!l:Ihl",'.ll
(el) Monthly Core l'lan Ilene fit S 571},I') ",.,\,fl,II<I"I':'
Joint and Survivor Adjustment
...~~~...
ic<f; Participanl 53 PI
(dJ Joint Annuilant 51 !.Z4J
((6) % or Continuation 100 %
-.------< '"
l(1) Joinl and Survivor Reduction Faclor 1.0000
(d) J&S Redueed Monthly Core Plan nenefit S 579.19 (dJllmc:llc71
Lump Sum Benefit Adjustment
I""
Lump Sum Equivalency Faelor
57.2318
(116)
(cIO)
Lump Sum Core Plan lIenefit .L:~o__:~13:I~I.97
(d) limn (c9)
Immediate Life Annuity
(ell)
Imlllediale Life Annuily
Lump Sum Equivalency Factor
-~~_.--_._.__.._.~---
157.6930
(ell)
Cash Balance Account
Lump Sum Core Plan Benefit $'__=_=':0.__ 2J23L
((10) oJi~io.lcd by!cll)
Noles:
I. Joint and Survivor Percent ofConlinualion can be 100%,75%,67%, or 50%.
2. (fthe Monthly Core Ptan Benefit equals the Monthly Cash Balance Benelit, Ihenthc Lump Sum
Core Plan Benefit is equal to the Cash Balance Aceounl(cbl).
3. The Lump Sum Equivalency Faclor (ell) used to calculate Ihe Cash Balance Account Immediate
Life Benefit will only equal the Lump Sum Equivalency Factor (i 16) if the participant is retiring.
Page Three
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1':-;(; II.",~. C.,,,,,..II'.\
PNCJBANOC
",illl.lIV ,ll:I:Ullllllltllllhll'; ~1().O101.0262
f'.lIW 10'2
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For Ih. p.rlod 10/29/19981011/25/1098
Numhm ot fmdoslJll's: 0
RICIlARD l MOrnSMITIl OR
IIAIICY A MOrn SMITH
1495 LOIIOS OAP RD
CARLISLE PA 17013-8664
1t for 24.h(l1ll CII!itOIl1Itr Sl'IVit:U or
ClIIlI1111 '.llus: C,1111.000.'/li2.3~81
r:J W,ilu 10: CUSIOIlWI ~OIvico
I '0 Dux GO!!
PillslllllUh P^ 15230.9738
r;J. Wideh fOl our flUW E-Mail addross
L.:::... Visit liS at WWW.fll1ch.ll1k.coll1
~ TOO Il'Illlin:d: 1.800.531.1648
.01 IIr 1111':; 11111"11(',1 {hrl'" finh
PremiuDl Plan
Interest Checking Account SUDlmary
Account numbor: 50-0101-0262
Balance Summary
Beginning
b.llance
1.~lli;).:!:1
Transaction Summary
Chf!d.s f'.1i~/
wlthdraw.lls
Tololl AiM
tr,]ns.lclion5
Interest Summary
AnnuOlt Percenl<Jge
Yield E.uned (APYEI
1.0.1%
fli~h.mll MOlli:>l1lith Or
Nancy A Monismith
tl
Deposits and Chec~.s .1nd olher Ending
othNi'lddltlons deducllons balance
1,;17~,;,:; 2,0[,:1.,1;1 1,0:'1-1.:11
Aver.lge monlhly Ch,uge5
bal:lIlce t1nd fees
1,:1lili.!ili .00
Ban~. card/PaS Accounllnformallon Teller
tr.1ns.1clion5 i'lssislo1nceco1Us lr.1n=>.1cllons
0 " .1
PNC [3,lnl<. MAC Other MAC ATM OlherATM
ATMlr.1nsaclions Ir,lnSilCllons Ir"nsilcl!on5
" " "
Number of lby!> Aver.lge collect'!d Inlerest E"rned
inintereslfJl!rlod b.11.1nce for APYE this period
~~ I,li.l.ti() . ~):I
Please 501' the Activity Oelai15cction for
additional infolmation.
o
As of t t125, a total or $11.85 in interest was
earned this year.
Activity Detail
Deposits and Other Additions
O.lle Amount Description
lfli:1O 7!',2.02 ))l'flo~i1 Rdl'n'IlCl~ i\'u. ll:!~li~i.HIG
II.:ntl 21i~1.~7 I>C'l'mill~ert:n'lICt' i\'u. O:!i;;~lli.1tI7
II:' Iii !'1;lU.:ll Dt'l'l.I\it Ihof('n'llt"t' i\'u. (J:1i7:J:i:l;;()
I 1..'2:, .~I:J lull'll'.,1 P;IYlIIl'lll
: Checks
1 Chetl<.
; numlJer
:!:i;1
:!:i7.j.
:!;;;;
:.!~IO 'j
:!~I J
Amount
O!I.7.1
[,'IlI.lIl)
SO.;!I
1.1:!.i'2
70.0'2
.. Gap in chock sequenco
Thero were 4 Deposits and Other Additions
tOl<lling $1,572.53.
0.11e
p.lld
IOi:!H
lo':W
Ilm.1
II'lJli
11 'I~
Relerence
number
1122110111';!)
Il2.l>lI~II;'.'11
IU.I',I\;"I',!II\
!1'1:0(1'.1 \;', I,;
t1'til.'Ylj~{,
Check
number
2\1'2
:! ~J:I
2~I.l
'2~I;1
2DI.i
Date Reference
Amount paId number
tin,OO II/lti 02i520-12.i
3:l.!17 11/ tl; 112'l!3-~1"':..1
+UH 11/lli O:'W>~$!H
:!7.~1; ll/Irl U2~31;l')2-lt;
:13.9'2 11/12 \)2222il.!J5
There were 10 chocks listed totaling
$1,094.07.
'.
~~
COMMAND .u>
SCROll .2=> SCREEN
REPOAT:rTOPSTHO VERSION:19981016 054633 HIERARCHY COOE:3679021554
PAGE:
RO\I:
COl:
3679021554
Pog~ 1 of 2
Deposit Statement
October 9, 1997 to October 15, 1998
'",
:.'
RICHARD l HONISHITH
1495 lONGS GAP RO
CARLISLE PA 17013-8664
/~
For informntion regarding this statement,
call: 717,243,3212
Personal Billboard
CAll FINANCIAL TRUST'S AUTOHATED TELEPHONE BANKING SERVICE 1-888-539-CAll (2255) FOR AN UPDATED
BROCHURE REGARDING THE STATUS OF KEYSTONE FINANCIAL'S YEAR 2000 EFFORTS.
Savings Clubs
Account Title
.,.
Richard L Monismith
~
,
Account Nunber
3679021554
Beginning
Deposits
Ending
Balance
wi thdrawals
Interest
Balance Number
Fees
Paid
Number
Amount
Amount
$ 0.00
$ 2,108.58
$ 0.00
$ 0.00
$ 38.58
47
$ 2,070.00
Deposit Transactions
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1.....I(t..t;;
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COMMAND aaa> SCROLL ;;=> SCREEN
REPORf:FTDPSfHD VERSION:l?970915 224651 IIIERARCtlY CODE:3679021554
3679021554 Pogo 1 of 1
PAGE:
RO\.I:
Depo4'. Statement
September 07, 1997 to Scptemb~r 15, 1997
RICHARD L MONISMITH
1495 LONGS GAP RO
CARLISLE PA 17013'8664
For infor~tion regarding this statement,
coll: 717'243,3212
Personal Billboard
THE NE~ LOOK OF YOUR STATEMEHT IS A RESULT OF YOUR REOUEsT TO MAKE IT EASIER TO READ ANO
RECONCILE YOUR ACCOUNT INFORMATION4 PLEASE CONTINUE TO LET US KNOW HOW WE CAN BETTER SERVE YOU.
Clubs
Account Title
Richard L Monismith
3679021554
Account Nunber
Bcginning
Balancc
Depos i ts
Number Amount
Wi thdrawa ls
Number Amount
Intcrest
Paid
$ 0.00
Ending
Balance
$ 2,194.36
Fees
$ 0.00
$ 2,149,36
$ 4S.00
o
$ 0,00
COl:
..:'/d
BOOK Kf8, H.A. . PASS800K ACCOUNT INQUIRY 05/04/00 PAGE NO:
ACCOUNT: J679021554 UPOAIE PA5SBOOK?
POST DATE EfF DATE TRAN CODE" OEseR AMOUNT PASSBOOK
09/05/97 09/05/97 452 C ACN OEPOSII 45.00 N
OR TOTAL: S.OO, CR TOTAL: $45.00
:In~~!~:~~~~
CuJtomcr: Nancy Monlmlths Boauty lIut
PrlmlllY Account Nwnber: 0000116211
Page 2 of2
-
Other Withdrawals
1\-16
39.50
im~tIm:i[;;;;.'.' ...;......................
10-31
1\-02
1\-03
11-04
11-09
~~~~~
96,34
295.00
142,35
104.07
304.07
PREAUTIIORIZED PYMT CARLISLE YMCA BANKDRAFT MONISMITII
Daily Balances
.....D.!.~....;..... ...........................i.........:.[{I[[i{~~~~~
11-10 669.07
11-12 238.37
11-16 428.87
11-17 291.40
11-18 115.65
; I>..t.i\i;.
.;..'::...':.;':.:.,.:~~..,.i: " .
1\-19
1\-24
1\-25
1\-30
.....'.-.'..,........','...'......",.
.,.....,.."...,....,'..
i..;.,...,.....;...,..,;.....;.;....,
;::~~~~.~
240.65
328,58
284,10
327.15
'.......,......'..,.,.,.,...,..............
.... .....
..
SCHEDULE C
(Form 1040)
OMU No 1So1S.(lOr4
(0)
Profit or Loss From Business
ISole Proprietorship) ~@99
... Partnershlp',lolnt venturos. otc., mUlt file Form 1065 or Form 1065.8. AllaeNnen1
... Attach 10 Form 1040 or Form 1041. ... $eo Instructions for Schodule C (Form 1040). SeQuenc. No. 09
Soc~1 .ecurity numbor (SSN)
161 ,40 2103
~tm.lllol""'I"'MIlY
1l".UtaI n.....""" s...".
NINno 01 plPpflulo,
Nancy A Honismith
Principal buslnoss or prolession, including product or service (seo pago C-')
Beaut Salon
Business name. If no separate businoss name, leave blank.
A
c
o Employer 10 number IEIN), if any
e 8usino.s oddro.s (Including suite er room no.) ~ ....1A9:!..J,.png.!l...C.UP...~OlHI..... .............................................
Cily. lown lir posl altice, stale. and ZIP code Carl isle Pa 17013
F Acceunting methed: (1) gg Cash (2) 0 Accruol 1310 Olher (specify) ~ .....................................,............
Q Did you "materially participD14': in Ihe oporation of this business during 1999711 "No," $00 page C-2 for limit on losses -lit Yes 0 No
H If you started or acquirod this businoss dUllng 1999, check hero . . . . . .. 0
IDII Income
1 Gross receipts or sales. Caution: If this Income was reponed to you on Form W-2 .md tho "Statutory D '''7 7 (>0 -
employee" box on 1I1iJt form was checkod, sea page C-2 lJnd check horo , . . . , . . 1
2 Returns and allowances 2
3 Subtraclline 2 from line 1 3 ,7?I>O .
4 Cost of goods sold (from line 42 on page 2) 4 :z..JI ~ -
5 Grols profit. Subtract line 4 from line 3 5 ;q. fd. fil-
e Other Income, Including Federal and state gasoline or fuel tax credit or refund (see pllge C-3) 6
7 Gross Income. Add lines 5 and 6 ~ 7 l'I~fI'
. 11 Exoenses, Enter ex enses for business use of 'our home only on line 30.
e Advertising 8 jJ.~ - 19 Pension and profit-sharing plans 19
g Bod debts from sales or 20 Rent or lease (see page C-4):
services (see page C-3) 9 a Vehicles. machinery, and equipment. 20.
10 Car and truck expenses b Other business property 20b
(see poge C,3) . 10 10'11 - 21 Repairs and maintenance . 21 ."-..,1 -
11 Commissions and fees 11 22 Supplies (not included in Part Ill) 22
12 Deptetion 12 23 Taxes and licenses . 23 I~ -
13 Deprociation and section 179 24 Travel, meals, and entertainment: /(J'7<:'" "-
expense deduction (not included a Travel. 24.
in Part Iii) (see page C,3) 13 b Meals and en-
14 Employee benefit programs tertainment
(other than on line 19) . 14 cEnter nondeduct-
15 Insurance (other than health) , IS 2-~ - ible amount In-
cluded on line 24b
16 Interest: (see pageC-S)
. Mortgage (paid to banks, etc.) . 16a z..37 - d Subtract line 24c from line 24b 24d
b Other, 16b 25 Utilities 25 ?~C'l -
17 Legal and professional 26 Wages (less employment credIts) . 26
services . 17 i I <" - 27 Olher expenses (from line 48 on
18 Office expense , 18 ~O page 2) 27
28 Total expenses before expenses for business use of home. Add Jines 8 through 27 in columns ~ 28 {~foJq ~
29 Tentative profit (loss). Subtract line 28 from line 7 29 x::l.uq -
30 Expenses for business use of your home, Attach Form 8829 30
31 Net profit or (loss). Subtract line 30 from line 29.
. If a profit, enter on Form 1040, line 12, and ALSO on Schedule SE, line 2 (statutory employees, <6:L4.q .
see page C-6). Estates and trusts, enter on Form 1041, line 3. 31
32
. If a loss, you MUST go on to line 32.
If you have a loss, check the box that describes your investment in this activity (see page C.6).
. If you checked 32a, enter the loss on Form 1040, line 12, and ALSO on Schedule SE, line 2
(statutory employees, see page CoG). Estates and trusts, enter on Form 1041, line 3.
. II you checked 32b, you MUST attach Form 6198.
}
}
32a 0 All investment is at risk.
32b 0 Some investment is not
at risk.
Schedule e (Ferm 1040) 1999
I
I
I
I
I
I
A
~,;1
.i'.-:.-"--~-~....-'-...
For Paperwork Reduction Act Notice, see Form 1040 instructions.
Cal. No. 11334P
---.
Schedul. C IF"'" 104011!m
IimDIII Cost 01 Goods Sold (see pago C-6)
p~2
33
MIthcd(.) used to _/ O.
value closing Inventory: 8 l!J Coal b 0 Lowor of Cosl or markot c Othor (Qnach explanation)
Was thete any change In detormining quanhtlos. COSIS, or valuations botwuon opunlllg and closIng invonlory? II
"1f8S: auach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . 0 Yea ~
34
35 Inventory at beginning of yeal. If dilferenllrom last year's closing invontory, attach explanation
3S
30 Purchases less cost 0' items withdrawn 'Of personal use
. . . . . . .
36
Zl../J
37 Cost of labor. 00 not include any amounls paid 10 yourself
. . . . . .
37
38 Materials and supplies
.\"
36
39 Other costs . .
39
460 AcId lines 35 through 39
. . . . . .
40
2- ,^ _
41 Inventory at end of year
. . . . . . .
. . . . . . . . . . .
41
42 COlt 01 goods sold. Subtract fine 41 from line 40. Enter tho result here and on page 1./ine 4 42 ~ C/ 1..1... _
Inlormation on Your Vehicle, Complete this part ONLY il you are claiming car or truck expenses on
line 10 and are not required to lile Forrn 4562 lor this business. See the instructions for line 13 on page
C-3 to find out if you must file.
43 When did you place your vehicle in service for business purposes? (month, day, year) Ii'> ........1........./..... .
44 Of the total number of miles you drove your vehicle during 1999, enter the number of miles you used your vehicle for:
8 Business ................................... b Commuting ................................ c Other .....................................
4S 00 you (or your spouse) have another vehicle available for personal use? . 0 Ve. 0 No
46 Was your vehicle available for use during oll.duty hours? 0 Ve. 0 No
478 Do you have evidence to support your deduction? 0 Ve. 0 No
If "Yes," is the evidence written? . 0 Ve. 0 No
Other Expenses, List below business ex enses not included on lines 6-26 or line 30.
.................................................................-....................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
......................................................................................................................
48 Total other exponses. Enter here and on page 1. line 27
. . . . . . . . .
48
Schedule e IForm 10401 1999
Profit or Loss From Business
(SOlo Prop'IoIOllhlp) 1998
· Plrtnerlhlp., Join. yenlur.., lie., mUlt file Form 1065 or Form .Ges-a, Attachment
II> Attlch:o Form 1040 01 FOfm 1041. II> See Inl.rucllon, for Schodule C Form 1040. uanes No. 09
Socii' ...u,1Iy numbo, (SSN)
11';1-40_21 "-'
NAN~L"'-..JtQl{t~HTJI
A PrincIpal businoss or prolossion, inCluding produCI or sorvlCO (500 pago C-l)
,B"BllttJI..hoJ1 ______.
C Busino5s name. II no 5Oparalo bllSll1055 M.1mo, leavo blank.
Nancy A. Kon1sm1th BeAutr HUt
E Buslnes. .,49 ~ Lon~1I 0,,)) 8n',,' -----
~?~~~\'i:io. ZIP Cllrl1 lib FA 1701-,
F Acceunhng me'he~'"l2ill Accrua' (3) 0 Othor (spacify!.
G Did you -malerially participatoR in Iho OpN.lllOn at thIS buslnoss during 1998? II "No: SOD pago C-2lor limit on lossos. . . . . . . Yes
H " ou slar10d or aCQuirod this businoss dunn 1998. check hero . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . II>
Part I Income
1 Gross receipts or sales. Caution: If this income was reported 10 you on Form W-2 and the
-Stat~tory employee- box'on thaI torm was checked. soo page C-3 and check hero .. . . . . . , . . . . . ... 0
2 Returns and allowllncos. . .. . . .. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ... . . . . . . , .. ..
3 Su~tractline2fromlino1.... ......... ........,...
4 Cost of goods sold (from line 42 on page 2) .. . . . . . . . . . . . . . . . . . . . . . . . . . .
...
SCHEDULE C
(Fo,m 1040)
OlpI,lml"'olllll r'U''''1
Inl""IJ"I~I"IJIS.''''ICI (011
Namo 0' propnotor
OIr,IIn No IS45-G014
Enll' NEW cod.r,om Plg'l C~ & 9'"
A1 2112
D Emptoyer 10 no. (EIN),I! any
5 Gross prom. Subtract line 4 'rom line 3 " ... ... . .. . . . . ... .. ..,..,... .. . . . ... ... ..... . . . . ... 5
6 Other income, Including Federal and stato gasoline or fuel tax credit or refund (see page C-3) .. . . . . . . . . 6
.................................................. 7
Ex enses. Enter expcnsos lor business use 01 your home onlyon line 30.
Advertising................ 8 19 Pension & profit-.sharing plans. 19
Bad debts from sales or 20 Rent or lease (see page C--6):
services (see page C-3) 9 a Vehlclos. maChinery. and oqlJipmenl. 20a
10 Car and truck expenses b Other business property . . . . .. 20b
(see page C-,3) ... .. .. 10 6 'i9 . 1 0 21 Repairs and mainlenance . .. .. 21
11 Commissions and fees. . . . 11 ?2 Supplies (nol included In ParI Ill) . . . 22
12 Deplelion................. 12 23 Taxes and licenses .......... 23
13 Depreciation and section 179 24 Travel, meals, & entertainment:
expense deduction (not incruded a Travel. . . . . . . . . . , . . . . . . . .. 24a
inParllllj(seopageC-4) ........ 13 bMealsand
14 Employee benefit programs entertainment
( Ih h I' 19) 14 CEnter 50% 01
o ert anon lOe ....... line24b
15 Insurance (other than heAlth).. 15. subject to
16 Iimifations
Interest: (see page C-6).
a Mortg~ge (paid 10 banks. elc.). 16a 2A1 .96 d Subtractllne 240 frem line 24b. 24d
bOther.................... 16b 25 Ulilllies.................... 25
17 Legal ~nd professional 26 Wages (less employmenl credils). . . 26
.entices. ... ... " . .... .... 17 1 06.00 27 Olher expense. (from line 48 on
180fficeexpense............. 18 page 2) ................... 27
28 Total expenses before expenses for business use 01 home. Add lines 8 through 27 in columns. . . . . . ... 28
29 Tentative profit (loss). Sublraclline 28 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30 Expenses for business use of your home. Attach Form 8829 .... . .. . ... .. . . . . . . .. . . . ... . . .. .
31 Net profit or (loss). Subtract line 30 from line 29.
. If a profit, enter on Form 1040, line 12, and ALSO on Schedule SE, line 2 (statutory employees.
see page C-f;). Estates and trusts, enter on Form 1041, line 3.
. If a Joss, you MUST go on 10 line 32.
32 If you have a loss, check the box that describes your investment in this activity (see page C-f;).
. If you checked 32a, entor the loss on Form 1040, line 12, and ALSO on Schedule SE, line 2
(statutory employees, see page C-f;). Estales and trusts, enter on Form 1041, line 3.
· If au checked 32b, ou MUST attach Form 6198.
For Paperwork Reduction Act Notice, see Form 1040 Instructions.
CAA 8 C12 NTF 16944 GLD 2852
1
2
3
4
14 1';1';.0;0
.
. ~
121 R."O;
121 A.IlO;
1 ".7
. q
1 '3/10.00
o .91
29 7"~'3.14
30
}
}
31 70';'3.14
32a 8 All investment Is al risk.
32b Some investment is not
at risk.
Schodule e (Form 1040) 1998
... .."
SchodulO C (Form 1040) 1098
Part III Cost of Goods S.old 1",,~~'!.C.71_____________.
33 MOlhod(s) used to lowor of cost Othor (attach
valuo closing Invontory: a [JCost bOor mar1(Ot C 0 oxplanatlOn)
34 Was ltloro any chango In delermlnlng qU<1ntlho', cosls. 01 v,llualK)ns botwoon oponing and cloSing Invontory?I'
.Yos; altnch oxplanation . . . . ' . .. ......
p .2
...oy"
[iNO
35 Invontory ill beginning of yoar. II dllforonllrom last yoar's clo~lnu lnl/Hnlary, anach ollplanalion
35
- -
36 PUfcha&os loss CO!;t 01 itom:> wllhdmwn fnr personal uc.n
36
21'i2R.f.0:
37 Cost of labor. Do nol includo any amounts paid to yourself
37
38 Malorials and supplies. . . .
38
39 Othercosls...... ......
39
40 Add lines 35 through 39 . . .
40
0:
,.,.............................
41
41
-
Inventory at end 01 year.. .. . .. . . . ,
42 Cost of goods sold, Subtract line 41 from line 40. Enter the result here and on p:l e 1, lino 4 . . . . . . . 42
Part IV Information on Your Vehicle, Complelo this part ONLY it you are claiming car or truck e'penses on
line 10 and are not required to file Form 4562 for this business. See the instructions for line 13 on page C-4 to
find out if you mustlilo.
43 When did you place your vohicle in service lor business purposes? (month, day, year) ..
44 Of tho lotal number of miles you drove yourvehicte during 199B. enter the number 01 miles you used your vehicle for:
a Business
b Commuting
C Other
45
Do you (or your spouse) have another vehicle available for personal use? . . .
DYe.
ONe
ONe
ONO
.....................,........
46 Was your. vehicle available for use during off~uty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . .. 0 Yes
47a Do YOll have evidence to support your d~duction? . . . . . . . . .
DYe.
..........................................
No
International HAir Show
Paving Driveway
410.00
:"
90;000
"';
:~.:
,.
48 Total other ex nsos. Enter here and on a e 1, lino 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
CAA 8 12 NTF 16945 L 2852
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ThiS reOOr1 is made 10 ass,st Ihe client Joh'lna Kooedtv Esoulre IS oreoann a case 01 divorce actIOn for her client RId1.<1rd Monismlth. The
A raIser uSffll onl the maf_1l1 aDOl'oach In value due 10 lime ilnd cost Clll1slfamlS 01 the c1len! and may nol be 'uUy undefstood wlthoul addillon
wofkconta'nedlnlhaAooralser'sllre
c......_ ob en Ilppraisal and Report ldenlificatien
......,..,.,..n In. SUllIlImIs ..... 1.Z. 1.1, 1.4. fin.., USpap.reI.I.., is~ r....... iIisc"".I:
APPRAISER:
Slr/.IU~ cr;;..~ 11,._)
'b'lll' TimothvS'"chrack
fJ:III!S':fI~ Janu;lrv242001
SliHcCrllill(J1rIir" RL-D0149g.L
(fS,.llrLI(('I','.'"
:Ul' PA
{'r.r"l:orC;llrcIL!Y1LII(.)lIil1'(J Ilfi'l".1' 6/30/2001
SUPERIIISOIlY lIPPIIA/SER (..oy if requirecl),
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lOl 24 laLrel MI. Tree Farm Tract 2lau,el Mln Tree Farm laurel Mln T,eo Farm TfdCI56, laurel Mln Treo Farm
""('1('".\ Thr8eS , Three Sonno'l PA Thrf!llSfJt1ntJ\ PA Thrrtft Sonnas PA
~'I.m.!vl""..Il,..: lQ_ 1I4rro1o 112 mole
<;"0..;,." , " 000 '" 900 < 49 900
""'''(1'''''.1.,""./.", '" . !n750 71710 < 115510
fJ(.I~\i",!...t,,"'.<"n... Courthouse Ml.s COtJrthou"le
~~;U ~U.I.',t\~~t., It 'j ;.1I'1~... " . ~'IO. \~.. " II'IH, 'A', " . .11'111I, -, \.....'..
~lk...("I[',WH:~ < """" 0 """" 0 """" 0
('or,,-....~'w'. .. ~" 0 """" 0 00'. 0
'~'. ,.n"",. 413OJ9<J , 0 11/7411999 : 0 5'14.'99 : 0
" ,~ '1I1r fAir : 0 lair . 0 r,w , 0
""" 12 12_16 BerM , 0 lDReres : "'2,000 33 acres , -18,900
"~ avera l!-v.rd"l a~"ra "-wdS : 0 averaOP-wds : 0 avera ,,-wds : 0
l~--..r:r!~.! Cabon Cabon : 0 C.lbtn : 0 Cabon , 0
An..(1 WI' IYr', 1 20 12yrs : 0 24 : 0 20 : 0
'''''''"". averil . : .7500 a~PIf" . . 0 ;Wllta " : 0
AlxM'Cr,~(, " 'R.~"",' ~ ~" 1,'1. .ll, ".,' I'.!h 1(,1 . f'.,,," , II.'" ""'" 'fl,-,n,.' ~"",, ,
Roorneo,.n 5 , 0 3 I 0 : '2.500 3 1 0 : +2.500 , 1 0 : +2,500
r'lr,"IM"~Arl"l 1.128<;"/1 4M'.' " +6480 4f10','l! .64f10 432'.' " +696D
H.r.'ffH1.\f.-rJll) Diers/crawl DlerSfcrawl Dlllfs/crawl 0 Dtetsfcrawl 0
J<"'~H', p.'..... (~"':,.
ro,. ,,-r.t , nonft ~" 0 nonll 0 00"" 0
wdMovo wrlslovn 0 wrl~lo~n 0 wd"llovo 0
fronl rchdeck fronl DOrch .'000 l-deck 0 none ...2.500
"'1A/!.' IIrl,~: ';."C.",._ :s 2480 :{ to,980 " 6.940
Ac,L'>ll'll5.lll"PII(C . " .., . '/. '. .... :1,
01 CrlmrAN,l~lt..", -' ..' 474f10 45R80 ..' \ 42960
0 P.-.... "-,I~ tOJIR/Qfj MOO 712f79
Dr"" rI Prrrv ,,~" < 44!iOO < < 14,000
Ar.Jiy'>I.,d ,tI)'n;tIt"I.Jll(,\1r'~'IO''.lk' 1ft:!'. (t lrJ,u; l~ It\' '~tl,lll f11'f"!/,W'I: '~'~'fJ', rA 1h fllO" '0">" I,' '..I. fl,lf,:fnrrf.~,lt;h Sub'ectlsnolCurrentf Ilsledor
fors.aleaccordln 10 visual insoecllon and looar reoresentallVe.
s...R1rr~ry l1'.III"'CIlnr.WMI' ,W!: ",II,r rGI'rl~',(, ThaA rai"lerhasm,ldetlVi"llmlln"l cllonollhfle.lflrlOronJ ollhflllublaCl.andi'Jalrorel , ondala
from the courtl'louse t,1. (ocords forlhe llubeClllnd Salll"l III & 113. S<lleIl2da'lll!l rovldlldfrnmHunlln dOnCoun MlSrecorc!!l. All !Iale!l are over 1
ellrnlrlbular'lUsr.c1bnr.ausr.lhr. Arl'!lnlhoSAmO"lut)c1i~i'1l0nM;lhn~ub'r.C':1. Th.S"lubdIVI~lonlor;MlmOWh;Jlunl ue,nlhall"l3mrlo"lu 11 dirt ro.1d and
3milO!lfromlhonoilrcslrneClricalsourCll. Thoacwssior;uoasl(!t) mounlilint\}<ld_soaccoss,bil'l Inlhowinlorl!lvcrvllmiled. ThoA orillscrhad
Iroublel9a-chin Hlllsubfeclwilha4-whlleldnv8vehtde. ThaI is whv all comnarables are from Ihis Subdivision. Ins lIe oflheir aoe. A1lcomoarables
are also over 10% ind'Vldual and 25% adluslmenls dUll 10 dwellln and 101 SIIIIS. and Sale #2 is over 15% nel i1dlUSlmtlnls for the same reasons. "ol
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n-r.;lPll,JI"II,~miCI' f81';r.r; O.,,,h/,rrlJ(L\rr-r1rt'rJI'l.rp,I' ..",: -r1f,1~,~"r, "" It,' I;.,..I"'~.I '''Ii'"lb'I.," riA'(:II,,,,. Ibllll-lnI!.1rl,l'11I"1 h I ,'.r In'I' rOIni:!d((: "
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BASEOONM I8J EXTIIllOR INSP[CTIJN fROM THE: STREET OR AN o 'HERIOR All) EXTERIOR "SP(CJk)N, I ESTIMATE THE MARKET VALUE. ASOEflNEO,Of T1iEREAL
PROPERTY THAT IS THE SI.IJJECT Of ms REPORT TO B[ S 45,000 ,ASOf J,lflU,lrvlB,2001
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[Io'JI!h 'W,"". ,., nl,"-1 .~'.: ,,' I,',~",' .,.11." '1.1-0
,:',!.
PURPOSE OF APPRAISAL: The ptrpo.-.e olthl'-' appratsal IS to e<.IlfTlate the market value 01 the leal prllp('rly th.1Il\ the \UlltKI 01 1M I~ b.a~ on .
quarua!IVe.-.alescomp.lll'>Ol1anaty.-.l"'OIu<;crnamollga!Jllllnancell'all\JttlOll
DEFlNtnONOfIrlARKETVAUJE: rite mo'>t proba!)le pllce which a propelly ..l\ouId bllng In 11 compelrtlw and open fndIket undeI an
condtllOM lequi'>ite to a lall ....Ie. the buyt'f and ~1eI. each acttlg prudently. knowledgeably 1Ind a\">tlrrnng the prlt!! I" rot affected by U10Je
slllTlJkIs Implicit in this derlnrtlon I" the cOll'>UmmatlOl1 01 a sale a.. 01 a "pccllied date .nd lhe pa"\fn!l 01 I~te I,om sellet 10 buyeI
under condltlOn'i whl.'feby- (1) buYI!I and wllcf ale typlcatty molNatl'd, (2) both panre.. are W!U ,"fOlrned Of wel advi'>ed. .nd each itCtlng
in what he cOMidel" hiS own be'>l inleJe..t; (3) a leaWfldble time 1.. allowed 101 elpo'iUle rn the open m.vkel; (4) paymenl 1\ made
In tCfm.. of t.l'!oh In U.S dolL".. Of In term.. of IlnarlClCll allangemenlS compalable thelcto: and (5) the prrce rl'pfC'>e~s the nurmal comlllelatlon
101 the propetty sold unaffe<:ted by special 01 creative Ilnanclng 01 ..ale.. conce....IOIl'>. 9'anted by anyone a"~I;lled wllh the !WIle
. AdjU'!otmcnt.. to the compalable.. must be made 101 ..peclal 01 CleatlVe financln9 01 '.MIte.-. conce.....o,.... No adjL;..tmem.. a'e f'leCC'!owy lot Itlo.-.e
co.-.f'!o wtuch ale nOlmally patd by '!ol!IleI.. a.. a te5U~ 01 lrad~lon Of law IfI a market atea: the.-.e Cll'>l..-. are teadlly identifiable !oflCl! the
'!ol!Iler paY'> the-;e CO'>l.. In VlJlually alt !WIle.. lran'!oilCllon.. Spei:loll or Cteillrve Ilnancrng adjU\tmenl.. can be made to the comp.vable
property by companwo.. 10 financtng te,m.. olfe,ed by a third party In5llwtlonal render thaI t'!o nol al'eady Involved tn the properly 01
IJan'!oilctlO/l Any adJU'\tment ..hotJld not be calculated on a mechamcal dallal 101 dolLu Cll'>l 01 the 1illJIlClng 01 cooce.....on but the doU..
amount or any adjustment ..hou!d applOlrmate the ma'kt....-. reacllon to the rrnJntlng or COOCl!'!o51llfr. based on the appral\efs jUdgment
STATEMENT OF UMlTlNG CONDITIONS AND APPRAISER'S CERTlACATlON
CONTINGENTANDlIMJTINGCONDITIONS: The app,ai.-.ef.. cenlllcallon that appea,s in the appral\Jl teport I.. '!oObjec1to the following CondlbOrlS'
1. The apprai~er will not be lespon..ible for maner5 01 a legal fI.iIlu'e lIlat JUctt e~he' the propeny berng i1pprar:.ed OJ the hlle to It Tim apprai'!oel' a5wme..
that the t~1e i.-. good and matketable and, therelOle, win not ,ender any oprnion.. abelll the tille The property tS appraIsed on the
ba.-.is of II being under Ie.-.pon..lbleownershlp
2. The appralS-et h.Js provltled any rt'qlJlred ..kelch in the appraisal ,eper! to show app'o.imale dlmen.-.ions 01 the improvemenls and the ..ketch
is lIlclllded only 10 a.-.sist the ,eader 01 lhe reptlfl in vr;ualwng the propclly and Undt'f.-.tandrng the app,al5Cf'.-. delerminatKlll 01 ~.-. "'Ie.
3. The apprar')Cl wilt not give testrmony or appea, III coon lIecau5l! he or she made an apprai.-.al 01 the propeny In que.-.lron, oole.... spet:if:c
anangemenl..to do '!oO have been made bc!orehand
4. The apprai.-.e, ha.. noted in the apprarsal report any advelS-e condil;on.-. (.-.uch a.. but not !lmrled tll. needed repai,... the pre'!o/!nce 01 halilrdous
waslrs, lo.ic '!oIJbstances. /!le.) ob..t>fVed during the inspection 01 the '!ollbjecl plOpeny or that he 01' she became awate 01 dU'ing
the OOImaJ tc'!oCalCh involVed in performing the app,aisal Unle.-... otlTerwl5e ..taled in the appral'!oill 'l!pOfI. the appl'ai'!ot'f ha.. no knowledge
of any hidden or unapparent condition.. of the propeny Of adVt"se environmental condltlon.-. (inc~dil1g the presence 01 hazardous
wa..tes. toxic substances. etc,) that would make the property mOl'e Of les.. valuable, and has assumed that there are no such conditioos and
make.-. no gualanlee.-, 01 wanantte... explessed 01' implied, regarding lhe condition of the propeny Thi:! apprai'!oel' wiA nol be
re..ponsible rOl any such condItion.. that do eli.-.t 01' lor any engineering Of te..ling that might be rl!qUill'd to discOVCf whl.'(her such Cl.'nditiOll'!o
eXI..t Becau'!oC lhe applal..er i.-. not an elper\ in the field 01 environmental hala,ds. the apprai.-.al report fIIIJ'!ot not be considered
as an envilOnmental as.-.es..ment of thcp,openy.
5. Theapplaisl!loblainedtheinrormatton.e.-.limale.-..andopi,lIOfl.-.thOlt were elplessed in the app,aisal Iepor1 flom soorcC'> thai he or.-.he eonsidefslo be
'eliable and believe.. them to be true and COllect The app,al..er dllC'i nOI assume re.-.pon..lbtlity fOl lhe acculacy of such ~erTl!i that were ILrnished by
other partie...
6. The apprai..er will not drsclose the contents of Ihe applaisdl repon e.cept a.. plovided Il.'r in lhc UnilOl"m Standard.. of Proll!'!osional Applai'!oal Practice,
7. The apprai.-.er mU"1 provide his Of her priOl wlltten con..ent bellll"e the lendCl/clicnt .-.pecrfil'd in lhe apprai'!oill report can di!.lribute the apprai'!oJl
'eport (incltJding concltJ.-.ion.. abOllt the plOpelly valtJe. the applaise"s idenmy and profe...-.ional dll'!oignation.-.. and references
to any plOfe.-.sional appraisat Ofganilations 01' the lirm wilh which the appmi.-.er is a.-..-.ociated) to anyone otht" than the booower;
the mortgagee Of its 5llcce..SQffl and a.-..-.ign.-.; !he mortgage in511re,: con.-.ullant'!o; prolessional appraisaf llI"ganilalion'!o; any .-.tate Of
'ederally applOved financial in..tIMion: or any dcpanmenl. agency, or in.-.trumentallty of lhe Un~ed Stale.-. 01' any ..tale or the District 01
Columbia: except that !he lende"chenl may distrlbule the report to dala collection or repolling service(s) wilhOl/\ having to obtain lhe
applaiser'.. pr;Of w'itten con..ent. The applai.-.er'.. Wlitten conwnt and approval mu.-.t al.-.o be oblained befOle the apprai'!oal can be
conveyed by anyone lolhe public Ihroogh i1dVCl1ising, pubhc relatron.., news ..-.ale5.0l'0Iherml'dia
8. Theappral.-.el has based his or hel app.aisal 'epon and valuation conclu.-.ion lor an appraisal Ihat i.. subjcct to complellon pcr plansilnd..pecificatlons on
onthcba..i..ofilhYPolhe'icalcondrttOnlhaltheimplOvcmenl..have been compleltod.
9. The app.aise' ha.-. based his or her apprai'.MIllepOll and valuation conclu..ion 101 an i1pprarsalthat i.-. .-.ubjectto completion, repair.-.. 01' atteration.. on the
a...-.umption that completion or the improvement.-. wrll be pe,formed in a wOl'kmanhke manne'
,',\(;1 I CI .~
"r' till - lill;\1 :'\:(; ',:' :i'!"~"^'" ,l::I:',lI',,~1 ',dl'l.cll ~~ .ll.! IUI~I,! 'I'~ _ 1.~X.;\t,\\tODl
farrreMac l(Jm 20,5 996
'."'.".1
u..........ri.... ~tati". ArW
.
salR
'll\'~'\\'
,...... ..."...........,. ~..l.......
AmAISlR'SClRfVtCAnON. IhrApJ.J...."I""'.,n...,rMlh.ll
1 j pffturmpJ thI\ .ppr~ by III pet\OlWlly fl'ill'!-''''q Imm ,,,. \If"", Ih.. \l.Alj"t1 prl~lff1y ...Ill nroqtll..t.~.d .tnd rollJ\ ~ ...
~iItJlf 'WIn l~\ II\M> ol/ll'rwI'ot' lr1dIc:.Ilrd" tM "'Jull"'" I dI'>O 'fr.pl'llrd ltwo WlI"d II' till' ~l p1<Jtl"T,1 III ~"","t.nq un.~
.., ~ dILI"'orn I~ p&tJk MIdIa' piN"" "UtI" "nd 1lII'IX.l'lQ lhro Ir......h 1/' m, ~tH:.,.-rd.tt\l~ flltr.~, 4flp""'"
ftISUt IIlnIw r""Y ~ III.Mo ~t' '"'",1ft.!"'" .t.u~ Ihr pt.y\f(dl 11'IMMII'ft\IIl.\ II' Itwo 'oItJrll pl,,!..I, tf1d IhI' u"'l~JI'" ~ tll ","",kip
1M"",...
I I II.", '.......dll'll .Ill! """'Y'l'd II.. 11I"'1'.Il.h~' ,,~,... dnd ulll'fI'~J'>Ih"'It'I' If' tt., "''''''\' lr""h1 "'.... .."d h_ Iplulf'l'l II..
IDfT1W'J.bII< wtI'.. f1 till., ...port ItJ.JI .w!' It.... '''''''I "Y4'~lhll' I., Il.. \utlfl'(l I'('V"", I ""11'" u'lI.I, thAI ",,"jll"""
IllfflPil'oIble IflMh4 d.It" I'l"'" In tho> 91'111"'" ".....~... ....." I" rll'lll'hop ~ frhJ!Jlr ',JI..', LWTliJolI...,n ........,..., I,. U... ....'1"1 p"'prftJ
I h.Ivto lM.1'f1 no ultl'>lll"''''lIn ,,.,... l.tl.l"'\ Ih.d 11.t~.. "11 'mp.K1 un .dtw on m, Unl'lupml'1ll tJ ltwo '\fllTlJlr tJ mMh14 ...... III
.". 'W....., Irpurl I rut"" Cl'l"I.t, 1M I rot.". l1oh'lJ ..ny otpp.l'.nl III .""wn ilI1vfIll:' lln1lbil,.. ." t"" \U'ljI'l' "l1pIl~II'l1h, un
thr ....1 ...., 01 on IfIY ""I! wl\tNrl the 1IM1l'dl,t!1! VIUMY 01 the '>UbJI't1 ,..,Clpl.'fly 01 .,."..h I .1m 'W'-I". hot.... lllll">llll'frd (hnf IItmw
cOllditlolt\ In my 1lN/y"a'" 01' the pt'1lpi.'fly V"~1e 10 \hi! '111"nl Itl.tl I hoKl rT\dfkl"l t'Vldl"ntl! 10 '-tIpplI1lhfom, .1lIl "'''VI! (ommentl"d ..bolA Iflf ~I'(I 01
IIW Mtwr-.. condltlOn\ on the m....k..dbII..y 01 the \44JjI!cl lIopt'fTy I hd'o'l! no' ~llIlWlngly Wlthhttt .ny '>Il1'4oC," ~11I,"",1I11l 11111" the .AlI.......
ltpU'l Jnd I bHeYe, 10 the ~ 01' my kl1OWllodge, tltd. d. \lJ'l"mt'rh Jnd ",IOInldllllll 1fI1ht" dppl'JI\dl It''poIMe lfLe.!lId lOll"'"
· I \tdIt'd III the oIppta",,' 'PpoI'l ony my own Pf"l''>lJIldI. untJoI'>l'd. dlld pI'OIL""\IOfId' "lIdly...... 0Jllrll0Il". oIr1d lOIl(~.., WIll(h .wI!'
\lilJI!C1 only III the contll19l!nt and .ITlII.og Cood~IIIII" '>JlI.'t:I'll"ll In Ihl'> 101m
1 NVI! no p1'l"Wnt OF PU)'>pi.'tIM! !nlen"'l In lhl" lIopi'fly lha' I'> the '>I.lbJI't1 01 lhl.. '''pon. dnd t Il.t~e no pt'~,>(,I~ 01 p1U">pt;'CllYe pi.'f\Ol1ol1
"~r..t Of bw.. WIth 'e'>pl."'C1 In ltle p;tnl(lpdrll\ In 'hI! IIdn....cllOn I eM nut bJ'>l'. l~Ihl. poll"lldgy Of Compll~l"ly my .t\JIy"''' ar.s;Of lhe
~1fYW~ 01 m.IIkd villue In lhe appl'J!\J1 Il'JlOft on tht 'dCI!, colo!. 1C~!J'on. \el, age, m"rfJI ..lJrlt\, hM1doCilP, loIltllkJl '>I.Itu.., or n.n.lOl'1d1
Of9'l of rtthI'I' lhe pt'O'ipecllW 0WIll'f" or occupdnt.. 01 Ihe 'itlbJl'Cl 1I000rty or 01 Ull! prl"\l!f~ UWIll'f\ or occop.lIT1.. 01 !he pfOpt.'flIt"i
IIllheVIC""yolthe\ObjKIpt'opt'ftyoronanyolhl'rbd\I\p'ohlblledbyLlw
fj 1 hJyto no pt'MfIII or conlemplaled MOIl! If'Ill'le\t III the '>Ubjec' 1I000"Y. Jnd nc.Iht'I my cOIren! or luUe employmenl nor my
~tonlorpl'l1ormlMgtt1F\app'oIIYll\contlngenton(heappt'ill'>F.'dVdloeollhl"plopl'I'ty
1 I wa\ not: requ.ed 10 repon J p1edetl'l'mlOL'd voIlue or dIFI!CIKlfI III value lhat laVOl''' lbe cau-,e 01 the c~erlt or any ,ct.Jled Pol"Y. tile
arrwnt 01 !he vdlue e-.tnTJale. the altammellt 01 it ..petlle re~, or the occurrence 01 a \Ub'>tQUI!nt Mnt In ol'lll"l' 10 'l!Ci!lVC my
COFnpensabon i1nd101 employment IOf pellormlng Ule appral'kll I did nol ba'iC Ule appFal\Jr r~poII on a 'cqonled mllllflljm va!uJlIor1,
iI\pI!C!'r:vawOOn,OI!hencedtoapprovl!a..petlloCmongageloan
8 1 e~llTJaled the rTIolrke. value 01 the real p1'openy fhal !i Ihe ~ubJec' ollhli lepoft bJ'iCd on the '>illl!i tomp.Ul">on appl'o,lCh to value I
It.rthef Cl!ftlfy 1IId' I Comldl'fed Ihe C~I ilnd IncllmC dpplOOChco> '0 valUe. but, ltuoogh mUTual il!}l'l.'I!ment w'Ih the chent, did nO! develop lhem. IlI1Ie..i
1 h.Jve'notlld Olher'M'>e In tM,epoft.
!I I perfonned lhI.. applill'idl a.. it limited apl)'alYl, subJetl to Ihe Dcpanure Pro~I~lon at the UndOlm Standard.. 01 PloIC'i"IOI1al Appl'al'>ill
Placllte Ulat Wt!Ie adopted and p1omOlgdted by Ule Appra!....1 Standa,d.. BOJrd 01 Tbe Applal'>Jl foondoltlOl1 and lhal Wt'fe UI place ai 01
tile elfKIIve dolte 01 the appral\Jl (unlc.... I hdve olherWl'>e IIKlIt.lled in thl.. lepoft thai lhe appl'JI.-.al I'> a complete appralSdI. in which
caw,lheDcp.vturePlOVl..iOl1doesnolapplyl
10 I acknowledge IhaI an e..llmatc 01 a lea'iOllablc lime lor elpO'>Ure In lhl! open Il1Jrket I.. iI cOMilIon In lhl! defiMIOfI 01 ma,kel value.
The elpO'>UFe tme a!owclJled wllh Ihe e..lill1Jtl! 01 markel vJlue 'Of lhe MlbJetl pl'openy Ii consl,,'ent wtth Ihl! markellng lime noted
In tile Nl!lghborhood scctlOrt 0' Ihls report The mal~ellng pefll!d conclodt'll 101' 'hI! subject pt'OpL'fty al the C'Slimaled malket value !s
aM cOMi'>tent 'Mlh lhe marketing lime noled In the Neighborhood ..etllOn
11. I per..on.aUy prepJrl'd all conclU..ions and opllllons aboot llIe ,eal I!slall! Olal wl.'Ie set lonh In lhe appraisal repoft.
IOItherCertlfylhalnooneprovidcdsiglllfltilnlplOle....ionalas..i~ancI!IDmeinlhedevelopment 01 this appral'>ill
SUPERVISORYAPPRAJSER'SCERTlFICATlON: II a iupcrvi'iOl'}l appl'aiSl'f signoo the apprai5<J1 repon, he 01 .-.he ceftlflcS and il!1eeS that I
I direclly !lUpl!fVisc (he appraiSl'l' who pl'lopaled Ole appraisal 'epon. have examinoo lhe appraisal repon ltll' comphance with lhe Uniform Standards
01 PlolCSi1Ofla1 Apprai5<J1 Practice, agree wilh lhe Slalemenls ilnd conclusions 01 Ihe appraiSe', a!jfee 10 be bound by Ihe appl'aiser's
certJrltatiDnSntJlTlberedSttuooghlatJove,andamtakJnglullresponsibililylOl'theapP'aisalandtheapplaisalfeport.
APPRAISER: Timothv srackO
Signalure: ~) d.!L/z...
Name; Timothv Schrack
Company Name: Schrack ReallY
Company Address: 615 WilshinQlon Sl.
Hun!inCldon,PA 16652
Dale of ReporUSignalure: Januarv 24, 2001
StateCertificalion #: RL-0014M-L
or Slate License #:
Slale: PA
Expiralion Date of Cerlification or License: 6/30/2001
SUPERVISORY APPRAISER (ONLY IF REQUIRED):
Signalure:
Naml!:
Company Name:
Company Address:
Dale 01 Rcpo,USignature:
StaleCcltiricalion #:
orSlaleLicenSl!#:
Slale:
Expiralion Date of Certiflcalion or Licensc;
ADDflfSS DF PROPERTY APPRAISED:
L0I24 Laurel MI. Tree Farm
ThreeSorinos, PA 11264
SUPERVISORY APPRAISER:
SUBJECT PROPERTY
o Did nol inspecl subject property
B Did inspect exterior of subject property from Slreet
Did inspecl inli'!rior and exterior of subject properly
COMPARABLE SALES
D Did nol inspect exlerior 01 comparable sales from slreel
o Did inspect exlerior of comparable sales from slteel
APPRAISED VALUE DF SUBJECT PRDPfRTY I
EFFECTlVE DATE DF APPRAlSAllrlSPECTlDN
LENOER/CUENT:
Name:
Company Name:
Company Addrcss:
45.000
Januarv 182001
"M.I iell!
f,II",I'l.:>Mlefam2Q559,00
',.1" ;'I!~ - .!OIM .'(.x 'I"~ ,'ill',:,j~'" ,1:11;',lI'"il'.I.ftv,,!!r :;, ,II. ItiIX],' !~. ~. :.<lll)-AIA\IOlJl
..:.1'4._-1
Kelley Blue B\lllk U~-d ('ur VlIlues
Page I of2
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CHlCI\ our IHl !llSr lllALS IN yalll< Al<lA
Chck oolho Imago atxMJ to VlM1hls oovenlscr
Pennsylvania' October 3. 2000
1989 Ford Bronco II Sport Utility
Engine: V6 2.9 Liter
Trans: Automatic
Drive: 4 Wheel Drive
Mileage: 226.000
Equipment
XLT
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Tilt Wheel
Cruise Control
AM/FM Stereo
Consumer Rated Condition:
Good
"Good" condition means that the vehicle is free of any major defects. The
paint. body and interior have only minor (if any) blemishes, and there are no
major mechanical problems. In states where rust is a problem, this should be
very minirnal, and a deduction should be made to correct it. The tires match
and have substantial tread wear left. A clean is assumed. A
"good" vehicle will need some reconditioning to be sold at retail; however
major reconditioning should be deducted from the value. Most recent model
cars owned by consumers fall into this category.
Trade-In Value
$1,595
Trade-In value represents what you might expect to receive from a dealer for
this consurner owned vehicle. Keep in mind that the dealer must then absorb
the cost of rnaking the vehicle ready for sale, advertising, sales commissions,
arranging financing and insurance and standing behind the vehicle for any
mechanical or safety problems.
Copyright 0 2000 by Kelley Slue Book Co.. All Rights Reserved. 5ep-Oct 2000 Editico. The infoonation in
this report was printed frcm the Kelley Blue BOOt Web site (www.kbb.ccm) a'ld is intended fa' the
persmaI use of the custc:mer cWy cnt may 00 be sc*:l cr tr.:nsmiUed 10 anol.her paty. We assume no
responsibility for Mas or anissions.
http://www.kcllyblucbook.comlkb/ki.dIVk\V.kc.ur?kbb;587209&;t&39& I 2;FT;B I &
10/03/2000
Kelley B1uc Ilook Used Cur Vulues
I'uge lof I
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'-..i.'~1..:" ".", .
.. _ ..:-aIII,-
Click 011 It., Itll~ ;OMJlo~sd lhts Wvu1rsor
Pennsylvania' October 3. 2000
1989 Ford Bronco II Sport Utility
Engine: va 2.9 Liter
Trans: Automatic
Drive: 4 Wheel Drive
Mileage: 226.000
Equipment
XLT
Air Conditioning
Power Steering
Power Windows
Power Door Locks
Tilt Wheel
Cruise Control
AM/FM Stereo
'--, Retail Value
)
$4,160
Suggested retail represents the price a dealership might ask for this make
and model vehicle. This represents a fully reconditioned vehicle in excellent
condition with a clean . This retail price is not a trade-in or private-
party value, but rather assumes that a dealer has absorbed the cost of
rnaking the vehicle ready for sale, reconditioning, advertising, sales
commissions, arranging for financing and insurance and standing behind the
vehicle for any mechanical or safety problems. Many late model vehicles at
this price have passed an inspection program or carry a warranty. Actual
dealer selling price may vary from this price.
Copyright 0 2000 by K~ley Blue Book Co.. All Rights ReseMld. Sep.OcI2ooo Edition. The Infoonatlon In
this report was pOnted from the Kelley Blue Bc.dt Web site (W'oWI.kbb.cc:m) and Is intended fa'the
ptna\llI use d lhe custcmer only <rd may na be sdd ex lransmitted 10 MOther pcr1y. We assune no
responsibility for errors or omissions.
... ..:-ilt_...
._~~
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http://www.kcllyblucbook.comlkb/ki.dll/kw.kc.ur?kbb;277564&;r&40& I 2;FT;B 1 &
10/03/2000
f"inancial ~
Trusl~
\.".""" "~
INDIVlDl: .
nETIRl
ACO'"
NANCV A MONISMITH
1~95 LONGS GAP RO
CARLISLE PA 17013-866~
787-0042103
'HH
.0-4521
, PRlVlOUS BAlANCl .I
AMOUNTS CREDI'TED TO ACCOUNT: .. VARIABLE VIELD
. CU~H1'VtAR
" CONTJI8I.111OH .
ROllovtR .
--
cOfmllllUTlON
. INTtR!ST '
.~NT'~
5,691.88
. . PRIOR YfAA' _
. TOTAL CRfOITS
I
,00 ~
400,00
.00J
267. :Vj
667,35
AMOUNTS DEBITED FROM ACCOUNT:
.00
.1I;ji!~" - .'II;!; ~d"'" ..~
" "",'.'IIl'.~- ,
,
.00 _t_ .00 \
TOTAL DEBITS i
. PREMA1\JRI:
D1STRtBUTlON
.00 \
.00
SEE BACk ,=OH E;<PLANA TIO\: OF TEHMS
NEW BALANCE 1
i
6,359,.23.
TRANSACTIONS
_ .1.-" _~ -.:c1.~..;jl~I:':"
12-31-97 PREVIOUS BALANCE
03-30-98 CURRENT VEAR CONTRIBUTION 03-30-98
04-07-98 INTEREST DEPOSIT
05-07-98 INTEREST DEPOSIT
06-05-98 INTEREST DEPOSIT
07-07-9B INTEREST DEPOSIT
08-07-98 INTEREST DEPOSIT
09-04-98 INTEREST DEPOSIT
10-07-98 INTEREST DEPOS]T
11-06-98 INTEREST DEPOSIT
12-07-98 INTEREST DEPOSIT
THE VEAR END BALANCE (FAIR MARKET VALUE) IS
BEINIG REPORTED TO THE INTERNAL REVENUE SERVICE
,...I.;li,,"rr:;!;
,
BALANCt. }
5,691.88
6,091.88
6,163.46
6,187.52
6,212.48
6,236,73
6,261.89
6,287.15
6,311. 70
6,336.74
6,359.23
400,J3 I
71.53 I
24.06
24.96
24,25
25.16
25.26 I
24.55
25.04
22.49
.
1999
PERSONAL RETIREMENT
BENEFITS STATEMENT
This slnlemen' has been prep",ed lor:
02304
AICHAAD L. MONISMITH
Cmhslc SynTcc Incorporated - Hourly
Te help you beller plan 'or your rellfemenl and undersland Ihe value of the beneMs
providod to you by C~II 11$10, Wl! havo propnrod ostim3tos 01 your rolill.ll1lonl hOIll!hl~;,
These eslimates rellecllhe benefits you could receive from:
. The Aeliremenl Plan for Employees of Carlisle Corporalion;
. The Carlisle Corporalion Employee lncenlive 401(k) Savings Plan; and
. Social Security.
Your estimated retirement benefits arc based on information as 01 January 1, 1999,
including;
Personal Data
Social Securily Number:
Dale of Birth:
January 1, 1999
Annual Base Salary:
W-2 Earnings (1998)':
168-36-3266
May 20, 1946
$31,012.80
$3S.232.96
Service Data
Dale of Hire:
Crediled Service:
Vesling Service:
Aetiremenl Plan
Participalion Dale:
Employee Incentive Savings
Plan Participation Dale:
Seplember 14, 1970
27.33
28.00
Seplember 14, 1?71
January 1.1983
. Note: For the estimates shown in this statement, we annualized your 199B W-2 earnings if you
did not work for the entire year.
rmIm
Dear Carlisle Employee:
We are pleased to present
you with your 1999 Personal
Retirement Benefits Statement,
which reflects all of the retire-
ment benefits that are provided
to you and your lamily by
Carlisle.
Because the Company's
profitability influences the
amount of pay credits In the
Retirement Plan, and the
Company's match to the 401(k)
Savings Plan is in Carlisle
stock, your retirement benefits
are directly linked to Carlisle's
success, Your efforts help to
ensure the continued success
of Carlisle and provide greater
benefits for your retirement.
Thank you for your commit-
ment and contribution to
Carlisle,
Sincerely,
~
Stephen p, Munn
Chairrnan and Chief Executive
Officer
02304
Your Retirement Plan Benellt
As 01 Ooccmbor 31, 1998. your
account balanco IS $26,632, You '''0
100% vostod In you, "ccounl
balanco,
At ogo 65, your osllmalod account
balanco is $115,719. This balanco
can bo conve~od Into a monlhly
bonolit 01 $976.
Those ostimales usa lho 1999
interost credit 01 5.52% and assumo
o 6% intorost crod,tlor allluture
years. The aclual intoresl cred,ted to
your account will vary depend,ng
upon future interest rales.
Transition Retirement Benefil
When you retire, you will be eligible
for a special transition retirement
benelit which equals Ihe greater of:
. The benefil provided by your cash
balance account: or
.The pre-1997 final average pay
benefit using your highest five
consecutive years of pay, including
pay earned aner 1996,
YOUR RETIREMENT PLAN BENEFITS
Tho Rellremont Plan provlOO:' Ihroo kinds 01 bone'.ls: bcnot.ts 10 you whon you mltro.
00001115 to your surVivors In thu oyent 01 your doath, and btmollls 10 you II you bocomo
dl~ablcd, The Company P':IYS thC' cOli,., cost ollh15 plan tor you
Your rollromonl plan bonolllls aquatlo your cash balance account. You can oloct to
rncUlYU your unlun huncht .l:i 11 onoluno paymont or as a monthly bonofil payablo to you
liS long as you hvc. Your Docomhur 31, 1098 and projeclod ago 65 account balancos
mo shown on the lell, Also shown IS tho monlhly bonulit that your ago 65 accounl
balanco can be conver1ed Inlo.
Interest Credit
Each year your cash balance account rl.'Ceivos an Interest credit. Last yoar. tho inlerost
crod,t was 6.53%; this yoar 11'5 5,52%. The Inlerest cred,t is based on U.S. Treasury
Interest rales in the December precodlng tho plan year.
Pay Credit
Each yoar your cash balanco accounl also rece,ves a pay cred,!. Tho pay cred,l is
delermined by lhe following schedule:
Credited Service
Less than 5 years
5 - 9 years
10 - 14 years
15 - 19 years
20 - 24 years
25 or more years
Percenlago 01 Pay
2%
3%
4%
5%
6%
7%
Additional Pay Credit
From lime to time, additional pay credits to your cash balance account may be granled
depending upon the profitability of Carlisle. For 199B. Carlisle declared an additional pay
credit of 0.75%.
2
02304
YOUR RETIREMENT PLAN BENEFITS (continued)
Cash Balance Account-December 31. 1997 to December 31,1998
Your cash balanco account orew wIth !Oleresl and pay credIts from Decumber 31. 1997
to December 31, 1996.
December 31, 1997 Cash Balance Account: S 22,436,76
1996 Interest Crcd,'-6.53% 1.465.12
1996 Pay Crodit- 7% 2,466.31
Addllional1996 Pay Crcdit-O.75% 264.25
December 31, 1996 Cash Balance Account: S 26,632.46
Your cash balance account increased by $4,195.68 in 1998. an increase of 19%.
Optional Forms of Payment: Benefits for Your Survivors
Instead of a onetime payment or lifetime annuity, you can elect 10 receive an optional
form of payment thai will centinue your benefil to your beneficiary when you die. The
retirement plan provides 100%, 75%, 67%. and 50% Joint & Survivor and Ten Year
Certain & Life optional torms of payment. If you elect one of Ihese oplional forms 01
payment, retirement plan payments during your lifetime will be reduced to provide
payments to your beneticiary after your death.
Preretirement Death Benefits
It you die with at least five years of vesting service, your beneficiary may receive your
cash balance account as a onetime payment.
Disability Benefits
If you become permanently and tolally disabled, you may receive disability benefils. You
must be eligible to receive Social Security disability benefits in order to qualify for this
benefit.
You may elect to receive your cash balance account as a onetime payment at any lime
after becoming eligible for disability benefits. if you decide to leave your cash balance
account in the plan, it will continue to receive interest and pay credits until age 65. The
future pay credits will be based on your pay allhe time 01 your disability.
J
02304
Your Account Balances at
Rellrement
Your accounl balances ,n the
Retirement Plan and Ihe 401(k) Plan
arc availablo to you as a onollmo
payment 01 rchremenl. II you elect to
receive a onetimo paymenl of your
accounl balances, you will no longer
be a participant in Iheso plans.
You can reinvest these aceounls in
an Individual Relircment Accounl
(IRA) or use the accounts for your
retirement income. The key is these
accounts arc yours 10 use as you
wish.
YOUR ESTIMATED COMBINED RETIREMENT ACCOUNT
BALANCES
The table bolow IIluslrate" your prO)oclod Rohremenl Plan cash balance and 401(k)
Plan account balances at five dIfferent retirement ages.
Projected Ago 5S Account Balances
Rohremenl Plan
401 (k) Plan
Total
ProJecrod Age 57 Account Balances
Rehremonl Plan
401(k) Plan
Total
ProJected Age 60 Account Balancos
Reliremenl Plan
401(k) Plan
Total
Projected Age 62 Account Balances
Retirement Plan
401 (k) Plan
Total
Projected Age 65 Account Balances
Retirement Plan
401(k) Plan
Total
6
6"1. Future
Contrlbullons to
lhe 401(k) Plan
$
47,921
91.665
139,586
s
$
$
62,602
128.522
19t,124
$
91,761
159.t39
2S0,900
$
$
S
104,923
195,605
300,S28
$
S
115.719
263,580
379,299
02304
. ..
.---,. --- . .-. ~.-
10/tR/01 10:37 F.U 7172437001
SIlII'I'I~G
1aI01
CARLlSL
Carlisle Companies, Incorporated
Account Statement
Slalemenl Dal.: 1O-('-2IXII
Soc. Sec. Num: 168-36-3266
Empluymenl SWIIS: AClive
I/IMI-I92
RICHARD L MONISMITH
t49~ I.ONGS OAP ROAD
CARI.ISLE PA 17013
Here is a summ'..y nr your Carlisle Corporalinn Employee Incentive Savings Plan account as of
September 3D, 2001-
Personal Information
~.
Carlisle Corporal ion Employee Incenlive
Savings Plan Elected Rales
Before-Tax
8%
ARcr- Tn
0%
Birthnale
Hire Date
Locatioo
05-20-1946
119-14-1970
CARLISLE SYNTEC-WK
Contribution Rates
Your Contribution Credits
!
Pre-87 Nl.r-Tax Conlribulions
Prorated Nt.r-Tax Contribulions
Befon:- Tax WilbdlRwHble Amoolll
$0.00
$0.00
$24,408.11
;.t
.i1
':!"hverc:d by Hewitt
C6U99-000492
~
E
~!'
f,;
I
10/16/01 to:36 FAX 7172457001
SIIIPPING
1611-36-3266
Account Slalement, Page 2
Investment Elections
Slahle Value Fund
Total
100%
100%
Activity From July 1, 2001 through September 30, 2001
SIobl. Vala. Large Comp Slk Compa., Sloc:k 1'....1
Opening Balance $32,305.46 $1,403,62 $38,776.14 $12,485.22
Conlribulions
Before-lax n8.62 0.00 0.00 778.62
ER Maleh 0.00 0.00 389.33 389.33
Inveslmenl Resulls 424.61 207.80- 7,399.24- 7,182.43-
Closing Balance $33,508.69 $1,195.82 $31,766.23 $66,470.74
Equivalent Shares 1,133.293971
Stock Price $28.0300
Closing Balance By Account
Before-Tax
Employer Match
Tolal
1'olal
$34,704.51
$31,766.23
566,470.74
A~ of September 30,2001 you were 100% vested in tbe company malching account. Your vested accounl
balance was $fi6,470.74.
For More Information
Ifyn. need additional informalion, call Benefils Express"" all-888-292-454O. This interactive
telephune syslem Is availahle 24 hours a day, 7 days a week, except between lhe hours of 2 a.m., and
I p.m., EST on Sundays. For specific queslions regarding lbe plan, please contact your Local Human
Resource Rcpresentalive.
Benefits Express is a rr.3demllrk of IIcwitl Associates U.C.
C6099..flOO492
(fI
~91
1"IIU!'lII,\I^llIltif"'~'I'" 11111"'I~\ II,"
'''.alN Il:::.~II"loi;..,,\r
Ilc",cJ IJ_. I ~ ul I: , I :: r\1
,
AUG 2 () 2001~
NANCY A. MONISMITII,
PI<linliff
IN TilE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. ')8.(,342 - CIVIl. ACTION. LA W
RICHARD L. MONISMITII,
Dcfendant
IN DIVORCE
HUSBAND'S PRE-TRIAL STATEMENT
AND NOW, comcs Defendant, Richard L. Monismith, by <lnd through his <lttomeys,
MARTSON DEARDORFF WILLIAMS & OTTO, and filcs Ihis Pre-Trial Statcment undcr P<I.
R.C.P. 1930.33 (b) as follows:
I. ASSETS:
I. Marital Asscts.
<I. Thc marital residcnce is locatcd at 1495 Longs Gap RO<ld, Carli sic, P A with
an appraiscd value of$82,000 in 1999.
b. Husband has one-third owncrship intcrcst in <I hunting cabin which was
valucd at S I 9,800.00 in 2000.
c. 1989 Bronco II which is in thc possession ofWifc and valued at $2,877.00
d. 1995 Dodge Ram which is in the possession of Husband and valucd al
$2, I 09.00.
e. PNC Account
f. Fin<lnciaI Trust Savings Club
g. Wife's Financial Trust Busincss Account.
h. Carlislc Company, Inc. 36 sharcs - stock
II, EXPERT WITNESSES:
a. Douglas R. Heineman, B-H Agency, scc rcport attachcd showing the fair market
valuc ofthc marital residcnce locatcd at 1495 Longs Gap Road, Carlisle, PA.
b. William Burkholder, Jack Gaughen Realtor, scc rcport attached showing the
estim<ltcd value ofjoinlly own cd cabin locatcd at Lot #26A, Orbasonia, PA.
....
,
VIII. COUNSEL FEES:
Not applicahle.
IX. PERSONAL PROPERTY:
This is an issue as lhc partics havc nol divided the personal property.
X, MARTIAL DEBT:
a. Therc is a mortgage of $ 12,700.00 remaining on thc marital residence.
b. There is a Iicn on /-Iusband's Truck of$IO,OOO.
XI. PROPOSED RESOLUTION:
a. 50/50 split ofthc marital asscts, with Wife receiving:
I. Marital rcsidcnce, and Wifc assumes mortgage;
ii. Carlisle Company stock;
iii. 1989 Bronco II;
iv, Prudcntial account;
v. Financial Trust Busincss account;
vii. Balance to reach 50% transfcrred from /-Iusband's40lK to Wife's 40 I K/IRA
b. Husband kecps all other listed asscts.
c. Husband pays alimony of$300.00/month for 36 months.
MARTSON DEARDORFF WILLIAMS & OTTO
BY~~~
Edward L. Schorpp, Esquir
Ten East High Strcct
Carlisle, PA 17013
(717) 243-3341
Datcd: August IS, 200 I
Attorneys for Defcndant
...
B.H AGENCY. APPRAISAL SERVICE
APPRAISAL OF
A SINGLE FAMilY m:SIOCNCC
LOCATION
1495 Longs Gap Road
Carlisle. PA 17013
,
CLIENT
Monlsmlth. Richard L. & Nancy C.
1495 longs Gap Road. Carlisle. PA 11013
AS OF DATE
~.
,,~
.J~
r'~
'-~
;~
March 9. 1999
A P P R A I S E R Douglas R. Heineman
..
e-H Appraisal ServIce
163 North Hanovor streot
CarlIsle, Ph 17013
Telephone No,: (717)243-1000
Fax No,: (717)243-1718
March 19, 1999
Monismith, Richard L. & Nancy C.
1495 Longs Gap Road, Carlislo, FA 17013
Dear Sir,
In accordance with your request, I have personally
inspected and appraised the property located at:
1495 Lonqs Gap Road
carlisle, PA. 17013
The purpose of the appraisal was to estimate tho market
value of the property, as improved, in unencumbered fee
simple title of ownership,
The subject property consists of:
7 Rooms
J Bedrooms
1. 5 Bath (s1
The Cape Cod style residence contains 1,560 square feet of
Gross Living Area above grade.
It is my opinion that the estimated market value of the
property as of March 9, 1999 is $82.000.
The above information has been automatically extracted from the
appraisal and inserted in this cover page.
NOTE: This is a Summary Appraisal Report. This page is invalid if
detached from the Summary Appraisal Report. It may not be used
solely as an Appraisal for determining the market value for the
subject property, and is only valid with its complete attached
package of URAR forms, color photographs, addenda, statement of
Limiting Conditions, and original signatures of the state
Certified Residential Appraiser. This complete Appraisal is only
valid for the Client, and is invalid if photocopied in part or in
its entirety, or used by anyone else other than the Client without
the prior written consent from the Client and the State certified
Residential Appraiser.
Respectfully submitted,
'--'_..._~----
/ ~'i\ n
'-c..c~~~
I'
,
~
,
',\,
Douglas R. Heineman
........... -----, -- .---, - __UNifORM RESIPENTlA~ IIPfAAISII), REPOR! _. _ 1..'OJOJ99_._
IlInMA1lVstTliYAUJB., ., 11.__1...."'.,.....1......_....__.............
D11WATEU If.J'IfIIKiC"UH I'ClST,~I;W Of INllltlVIMI.'H' ... ,..........." "" HI'll, VA ...'..14,..........,~__
".-.__1.'60.... "..... o. 0 i"..'.......'..tI.xI to t!llI age OC UIO IalllJtc\;
_llamt____..7Z0_.. ".'.. 0 i prtp<ltty. it llJ tII1a DRJrIlllJor'. CP1n1tfl
-------- -- ..--. .. - I thot thoO;ot ~ to Yllluo -.Ill not
-...----- .. ".'.- 'J;>o G roll""l. 1rdlcat1C1l'..oCIlIU1<.crt.Yllluo.
T..._r.._...... . . .. O. 'For th1:l.l'\\lllal tII1a /tRll'OIXh _.
::"-_":~L~':'_.....L E.w"," o. ~=~t:n~J~:.'- ;
-- v....._. 0 I .. . __._ OinCOtIll.1ti<n ocn:;>om1rq_ tho e>>:::lualQLOC___._, j
.At..Y".IJ...~. ., thia..awrnoch to value.__lcatwte_the..__. l
25-10 yoarn
_lTf~___ ____'J!.II!H3m.. _.. XUMI'AMAIlI,I'NU.J n),MI'r'ftAlll'MIL ._ __. ___(':f!}frr\JlNIltJlluJ.
1495 lon:.Js Gap RoI ~J6 _I lister OlUrC 855 lLnJs Gap 1b.1d I OWlroI Drtw
__c:ar ~P.!'"._...._,. Q\rUlle.. "__. __=11:110. CarU.I'L__..
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o..-J., CXX1f, CXDf, QM, <XOI, (R.IL , CCOi, aML
1~ .....=f.._CHIl.....,.._.______ -=f.-CFML....r - ----L'~.QI.-Qlf1".r;----.- ,
b ... UN _-'!fi.~rn~hu,_~.. _Jtl-.M'k1rnf~ ---J!.U!~~---.!!p.J.:..lUrnC!N !U,.....~
!H!~5-':;P';i::" Q:rwenticml: Conventional IVA '
........, , . ~ Ji~IlQ_______. __ -S011Q.L();)ntt;.__.:'2,OOOi~_~..____._-.;__
.l1l/12JJi!L_" ___....__. 05115/~a___. _ _ -___..lJI'iL09J'J8__c_ ,
S!mJ.lar..._____I.__ __ .S_lmiliU"_._, .. __.__.JSlmiW___I._____,
- _S!.lIple__,__ J'ee_S.iJlplLc... -.-.fFee...silrtlle--'---_____:
-I1,A~_I\a'<>s_......,___1.500_ _Q. ~3.1\<:tl>s__,.... _1. 500tO.-2~__....L..5oo,
v AYJlr<lge__;_____, -Awra9L-_,.;.,_____1AV!l.tilge___.:.....-_____;
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..c-.... ~~~_ _5F-=--..:...-=~~~ ~~~ge-:_==..:_..:_~j~=_..:...-_==__..I
Cool"'" A~___ .Awr~__-c_"_'__ -A'I!lX'.~ge.__._____.____~A~_____'.__ __.._..
. A.....u..J. oC!,....!M..~---1'!.rll!.....!.~UloJ."~....._~.....; ..!!~~......~"'!'_:I!o:ltM_, T.~...t,lldo:n:-_~.; I
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- . ,
a-o.low(!lod...L-_ None______Nooe_______,_.:...-_u~_ .tiQfle.____.___ _. .___,,_N9ne.__~_____...____,__,
"" --- .1\l;k<J\la..~__.. ...71._QQO. .l\dE!quate._ ___'"4.000_ lmilllL_._ ..._________1'
<C_,"<-- :.O.il[NQ _-'-__~.OOQ.. .flfA:.Ojll/lo__:__2.00l1 FlfA..:.OUJ/lQ_:_2..000
'"....,~.. 1Jc:ne'. __MQM..______._____~__-'-__._._I
o .f<' -~.d1ec;I !letil~____ .2_Doti\<;ll<;<;l_;__7~.QOO _Do1;adwd _
................ OW. Front Cl:;v, Front - Cov,fr/Patio, -500 Cov.Fr/Deck - -1.000
. no, ~P1&loe -J".QQO _NQi1e__--..i._~ .:;i!JO
" f'oo( eta, _ .N.Qf'Je__,~.__.. None
"'dAd'. + [XI-:, -l,OQQ fJd7 n---)____l,e.6Q i... -, ._--:~O
IwIjI.Io,dS...j'Oce 'r..~lf';~SN!*:',;2~3 "';SHcl:~ 09;.lr~~)'H'*.i
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- !lQl&l:.'..J'llLM..JlPPt'ili.."".l.~~_k~QLtl'cJll/;!J~.
am are cnlv valid if f~.A..t!<!n=j!ll:~..i..t!l...otigiML.u9lli\P,Jrgl.....QLtI1"-
idential~.....Q2.lQLOOQt=~~ Il1IPjf<(;J;..ML~g;~~
~~LQf~iDL.Q;millons~=-_
TI'EM SlnuECT m"lI'IIRARLf:NO. I ('OMrllltA1!lJ::NCLl C"OMI'AlVr.ltlJ::NOJ
..... r...... Do. 01/09/69 01/12/99 05/15/98 04/09/98
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. Tho p"ro".r., "'..., " "",... "" 'M." ..,,, .r",,~, P"""Y ...".. ..bj.. .;';.::;:,~;;:,-:;.;" .....;;::..""",, "" <o..:r..,... '~'..n' _d ""'~. '~~I
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(WHICH IS TIlE OA '"1\"110' AND TIlE EFFEC11VE DAn; OF "liS IIE1'ORn TO DEI ____a~,Qo..o__. I
. ~~~1- -\}.h::::::: _P____d__ ~~~:,:,:'~R~Arr~S~~~~~y'~""lnRED)' ___._D ,,,' Dud".. I
. ~ - 1< ~He~_,_ ___ ~:~'-'<:.....___*___.____ ___.________ h.."nll'fPr.rly
IlatolR~&'!':!L~1.9-J_t~.22_ ______ ~J,~.i~~_._____ ______________.____1
SIDle (".rI,"",I;"., RL-0005~. -__~.!!'!~_,.I?A. ~!u.!!.!:~llifu!!!!!.'!!_____. , Sbl'.1
1'"m,'Tr~--r,;o'rl:-~~~;;(jWtf. ~ly!.rl~~ [:~tl!.~~f'~jjW.'---'- fllllfl;e "j"i'Wmj~tTv]-
\, .... ... ~ ....-.....
J '-'
'lnun"mer"'...
'~cJ'ruo'=,"n
J\f9 4 i. HI IS
,.
........... .................
CIl"",rIIL.l.tJ:Hi'lI,
rumSfLYAI.I",
m4ts 3Jub1nturt~
~all, m~t
9;;:'
Jahu.v:'"
,....~.,_r-IOw
..,.,
,....... N'.. H..Jt.tI." d,xtY...1'I1na..
ilttDlrtn IW:rs II. 9IIUGIfA!II'. "idOl/, or lIortl1lt1ddl.t<ln _hip, Cl'o>Iberltlld Coull.,.,
Pwnn,:,ll'Mh, party or t.he ruet. rut, Granter
AIID
RICf.A.'U L. l:Ol:IiI'aTH and N,lteY c. tIWISHlTH. h1II wire, at R. D. 13, Carllele,
O'aMberlancl County, PenNylvania, part.1e. or "the ..con.:! part, llrant.e...
."A. ",.,J..... mltnRilstt~ 2W ....OU,..r7 .,..."...,..."....J......w. .....
'1'1.,..., four t.houa:-.nd TIIO Hundred Fifty (.:.h,2S0.00)
DMI.,.. ""U ftII1fW, " ,At u.u,J "d" ., A..mflo 1ft" .. Inl, ,..., 1M..u pwt1e~ au .....
,." .. .... ..u pw<I .,,,, ".., ,......... HI'" 'A....u., oM ..,-, of ...... "....... '" ....,.
.knol II A,.,,', MhM,J"J, h:1vo fNMfl,..........
Hltl. .Inti, ,,'''/f,tI, ,.,1,.,,1. ""IfIf"I, ..J ."./;",1 n4 6, ...." ~ I. fNII, ...,.,.. ....
-'in, "'/IO/f. rrlt.", ....w,. 'N ."./i,. nit 1M ..14 ,...t1ell ., IN ..... ,.. their
J"ir, ." OHipI,
All t.h:t cort3in lot or &round situate in tM Tcmn:Jh1p ot north .addloteD,
County orC\1l'Ibcrlllr.d ;u1d Stnt.e of Penn:']ylvanh, riore p:uoticulDi1:;r bounded and
ribcrib...d fljJ !ollOl", to Hit. .
fH,ir:jlIl:O Ilt..:l "oint in thc oOlltcrn lino ot the Lene'8 Oap Rond and at the
linn 01' r.rop"rt:l, now or ,t'omorl,y of Shorwood SchlU!lsorJ thence 1n I northerly
direction 1110nl~ tho nid road one hundred (100) teet to 11 '!?Oint at thlt Une or
l.:md, nO\1 or fomorl.v, or H.vold z. Schl~aer and KAbel P. SchlWlser, his witel
.thence in nn r~:Jtl'rl.v direction alone lMd, nou or ronnorl.,y', or the nid SchlU3ser
tour humlrcd 'evont~'-o1r.ht (h7D) ffl:lt to A tloint at tho line or land, noli or
for;-:orly, of :'I11113l'l i!ro1mm!oll;thence in a diDftOn.3l direct10n alone tho rence
line bot.ueen property, nOl{ or i'o~arly, or t.ha ,ud t1r'O\lr18,-"ell and the lot
herein doacribcd, a distnrice af threo hundred twenty (320) toot to & j')01nt in the
lino or propert.y, J'lO",I or tomerly, or S~erwood SchluslIIerJ thence 1n a northerly .
direction nlonft-1ond,no11 or fomerl,y of Sherwood Schlus:lOr, & distAnce or one
hundred twolvo (112) feet to a 'X)intJ : thence 1n a 'we:stw.:.rd;b'd1rection along
t.ho S:'1..,O, .:l diat.3.Ree of Three hUndred ()OO) feet to a point in the eut.ern 11M
ot the l.on~la: l,/:I.p RoAd, the ~nce of Deftinning.. '. .
n::!J:G the Sa:rle lot of e:ro\D'\d which Harold B. SchiU5,er and Mabel P. Schltll'cr,
his ~r1fQ, by their deed beo.rin(:: date tho Ltb dtl,Y ot Jlarch, 19S0, and recorded in
the Oitielll or the. Recorder of Deeds 1n and tor C1JI!Iberland Count1, It Carlisle,
Penn:sylY'an1a, in Deed Dook "1-, Vol. 3..4, Po.g:e 132, grat:ted and cO"n78d unto Hlltoa
Shughort and tl&Jl'de N. Shughart.
The sdd r:uton Shu~hart having died on the 5th day otHarch, 1967, t1t.lo to
the abovo des;.r1b~ prcl'lises reMained wstod by operation at 1_ .011117 in h1a
:surri:vin; spouse, !Wrt1e N. Shughart, Grantor herein.
l~oiI> :.larACE 301
'i
-! .
..
CO)fIIQN"IALTII 0' ,INN.YLVAH."
f II,
<nUN"., .~JLa~UR
o. ,,~,'4.;"'~ 44,., --1./&trJ."f'T'...
..6?_"'.....
.
. .I/"~, pn,l'Mll, .'''I!t4 _.-.liAoJ.t-'Jhs&cha!"t.
........r ~ .
..
,- fl .,' (w HJIIIue.ril, rr-n) .. ... fA. "",.. .u....... -11~~'~;~ "',
..m. "",..,.,. nJ .d...,/,I,H'''-' ___ .... -_ ..,"'101 toW,... ,.,1I,.,;If: ~~ ~~~~~~:.
IN WITN'" WH",.or.'.........." -I ~~'I1I.W".t 1.~.f::Jf~ \b~~'
. :fI..I',L' 'tll
, ,.. ...:i).
II, .......... ,.,w, \r C ..... ~. .-,'. ,d"\Y,,"
, ~,--~".'"'''''"'' ,I
, Am6, ""'" u,..u.!i',v, LftMraH .,~, O.alII," '~"'DHl," '~..... :...'1.~,?,....
fl _ ~ ~ /.c . ~" ........
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,
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oJ:
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C!:::UIONWBALTH OP PENNSYLVANIA . I
" Ii . " " /J J
~OUNTY. 88,
BlP'5bb I~ th~Ollice !or ll<cordiug ot DeedJ, MorIgap; etC.1o ilId tor the CounlJ
'o~~DeedBoo~..,.VoL .,1_:1 P.d6/_
IlIUov . 11, H..d aM Seal ot Olli~ 1IIiI. . . -V4 d&1 of
AnDoDominJIDJI" V' . -7-,'
,-;' /y-:.;. I ~,..f',.J;.,. '1.., ..
loolB23rAGt 303 <--:r~
i
.
_un..o Not.lWlicllblo
_ ..... 14~ taT.lIllOI1l@<1
r.. ..0U::1101o. . "_ c.\ft.<:rl,.1d
,.... Jt:lo1mith. R1<:lw'<l L, . N.v1<.y C.
\_ !'A
1.1.".
170lJ .
FRONT OF
SUBJECT PROPERTY
REAR OF
SUBJECT PROPERTY
//
'",,",
/...
STREET SCENE
u....rr-urll\.\ull....,"Cb).IMYIlNJ.;.1l"..I'j9,1
---ADDUlDUM-____
.
ADDENDUM TO TIlE APPRAISAL
FILE ND.: 0]0]99
-----------------------------------------------------------------
BORROWER: Not Applicable
PROPERTY ADDRESS: 1495 LonlJe Cop 'load
CITY: Carlisle COUI/TY: Cumberl.lnd
ZIP: 17013 CI.I EIIT: Monlsml th, Rlch.ud
STATE: PA
L. , Ilancy C,
-----------------------------------------------------------------
ADDEI/DUIl TO GAI.ED COMPARISOII AIIALYSIS
eCCH and CPML 4tH acronyms for Cumborland County courthouso
(Recorder of Doeds Oftico and Ta~ ASDossmont Ottice) and Central
Penn Multi-List. Adjustments were made to tho Errectlve Age of tho
comparablo. In relation to the sUbject's Ettoctlvo Age. Actual Age
was only used 48 a guide in selecting suitable comparable. for
this report. Only bathrooms wore adjusted under Room Count. Total
Rooms and Bodrooms worD adjusted with the Cross Living Aroa on the
following line it tho al.A of the comparable varied by more than
+/- 100 Square Feet In relation to the subject. All adjustments to
the comparables wore made in rolation to tho Quality, Condition,
and Contribution ot tho subject's features or lack thereof as
viewed by a typical buyor in the current marketplace.
The appraiser is unable to verify the insulation fiR" factor. Also,
the presenco o{ Urea formaldehyde foam Insulation IUFFI), lead
based paint, asbestos, radon, POlychlorinated BiphenylS (PCB's),
Chlorofluorocarbons (CFC's), Leaking storage tanks (above qround
and underground), Soil contamination, Groundwater contamination,
and poor drinking water quality can not be verified by the
appraiser. The appraiser is not qualified to test for any
contaminates in or around the property, and assumes they are not
present. If any of these items are present, the appraised market
value could be adversely affected or voided. The appraiser has
made every effort to document any observed or apparant
contaminates in or around the subject property for this report.
The appraiser only considered those items attached to the home as
realty. Items not attached such as refrigerator, washer, dryer,
etc. were not considered in the valuation process of this
Approach. Also, no value was given to small storage sheds, swing
sets, swimming pools (above ground and inground), pavillions, or
other exterior structures of perceived value unless otherwise
noted in this report. The property1s heating, plumbing, and
electrical systems appear to be functioning properly to the best
of the appraiser'S knowledge. It is noted comparables 12 and #3
occured over six months prior to the appraisal date, all
comparables are located more than one mile from the subject,
and the price per square foot of gross living area for comparable
12 varies by more than $10.00 per square foot compared to the
subject. The sales chosen for this report represent the best
available settled comparables from the market search as of the
appraisal date, and are verified with the CPML and CCCH.
ADDEI/DUM TO FINAL RECONeILIATIOII
This is a summary appraisal report. Both Approaches to Value
support the appraiserts opinion of market value for the subject
property. The Cost Approach reflects a similar acceptable
replacement for the subject using current available building
materials at current market prices. It is not an actual
reprOduction cost using original or obsolete building materials
from which the SUbject may have been built. The Cost Approach is
most representative for new construction or homes under 2 years of
age. Because of the SUbject's age, the Cost Approach was not
applicable for this report. In the appraiser'S opinion, the Sales
Comparison Analysis represents the best indication of market value
for the SUbject as defined on page 1 of the Statement of Limiting
Conditions. This Approach to Value was weighted the most in
estimating the subjectts market value as of the
appraisal/inspection date.
OUIIIlJM
As por Instruction trom tho client, the appraiser has not included
a comparable salos photograph addendum in this roport. Every
eftort has boon made to verify the information In this report
using tho CCCH, CPHL and publishod photographs of the comparable
sales in the CPHL.
Vincsnt 0, Hoilott contributed significantly in tho inspection,
data collection, Approachos to Value, market search, photography,
Reconciliation, and compilation of this report.
EMENTO~onDUWNS
DEFINITION OF MARKET VALUE: TN mDt' ,roll."k "iel whkh . ,"Ott"t, ,h_lelI blln, In. 'O"",llIIY, 1M "'" ",arlie'
........ II ........... ,....1. 1.. llir ..... 1M buy., and .........tIt .,two, "'lHMl1"r. know.."..bl, .nd "'UINA,"" "..... "1M
........ ..,.......~. Imploltlnltolt ...'iAIl1onle... .__",.thln .r. .......f..p.elfl.. d,t''''dtN ,.....f.....
.... .... ,. ~ un'" 1lI0IU."'" ..hellll,: 111 buy.,....d ....,." 'rII.ully moU"lltd; 121 blllh pat,l.. Ifl WI. Inl__elI".
.,.. !HI..... en4 II'" ecdn, In whll ht ._Ie.." ..iii own b". int.,..t: 1:11 . ,..un,b" "",.1. ,Uowld'lK' ",MlN' In v.. ....
.....t; 141 ""","t" m,. In "rIM.1 e.... In U e. dull." Olin 'Nm. u' fill,nd.l 1",n,I"","11 comp...ble lMfI'o; Ift4 III ...
,rIM ,.,r..'nte"" nou,," eon.lMr.llon 'Of 1M prOfl.,I, .old """'u"l,d It... 'ple;" 0' o;rul1\,. '~'ncln.. ..t.. cOfta...lone'
"en... '" any_ ...00I.1Id wllh the ..I,
. Alffwlmfnll t..,.. Clomp."bl.. "'w" b. m.d. lor .ptcl,1 GI tI..Il.. Im"u:inll .r ..r.. cone...i_ No ,dl\l.l~rtlt .,.
..........y 'It lhoe. CI..I. whlch .,. norm.'~ plid b" ..11.11 .. . """"1 of lud'lion or I.w in . m.....' "..; d.... 'OIt. If.
"HI" !4enun"a. ,Inc. the ...., P''fI the" cool. In vlrlll"" .. ... ".n..cllOflI. Sp.el" 01 C,..tlVl fllllfldn, ...l""nt.
.... b. "'.. ,. the com,."b!. plop"ty b, comp"j,,,,,. to IIR'"c...., I"m. oll".d II". lhlld '1ft" ""tiflllionll"nd., thlt ..
ftOI ...,., In.otw4 In th. p,.,.'" Of "",..odon. An, .dj""_nl .h",ld 1101 b. c.leull"d on . _chlnlcll duhf COIl ot
N tlnandnt or Clonc...lon b,,' Ih. do'" .mounl 01 In" Idjlltf_nl .hovld 'PPIO"lm,l. the m"kel" r..cllon to the ''''IoIIC....'
" CIOftot.1JIonI .....d on the IpPlll,,,', jud,menl.
STATEMENT OF liMITING CONOITIONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: Th. Ipp"i..,', c"llfi":lIlon lh,t ,pp..r.ln Ih. .ppr.I,,1 IIpOI1 It I"bjeel 10
the 1001owln, condltlON:
1, The .",...., wlU "01 b. re'p_lbl.lew mIner, 111"1111 nllUII lh" ,1l.cl.llh" Ih. PIOp"l~ b.ln, .ppreit.d ot !h. llllt 10 II,
The ap".Ie" ..."m.. th,t lke Ihl.l. good .nd mark",bl. and, th".fot., will nOl "nd.r 'ny (lplnlon, Ibout ,h,lhl.. Th. P'op"'~
.. .p"...d on ,ho b..l. ., II b.lng ""d" ,..pon.lbl. ownllllllp.
Z, The Ippr.., hll provldld . .kltl;:h I" tho Ipp,,11I1 r,pllrllo Ihow 'PPlOlIlm.1I dlml"llon. of Ih, Improv.""nl. ,nd th. .k.lch I'
Inchlded only '0 ...11t th, ,..d".f Ih, "pott I" '111".lllln, I'" p'op."y .nd und'"I.ndin, th. ,ppr.l..,'. det"min.tlon 01 It'. .111.
3. The .pp"." h.. 'IIIml",d the .v.ll.bl. flood m.p. lh""e proyld.d b" the F'd".1 Emerll.ncy M,".g.m.nt AgenO)' lot olh"
d.1I ._ce.) .nd h.. not.d In the 'pp"I,,1 IIpOlt whllher lh. lubj.ct .iI. i. 10c'l.d in .n Id.nllli.d Sp.clll Flood Hu.rd Ar...
lie.".. lho .pp"I.., I. not. .u,veYOJ, h, OJ .h. m.k.. no gllll"nll1. IIpru. or Impli,d. "I1JPding Ih. d."rmln.llon.
... Tho 'pp,.Ie" will not ,Iv. '''limon" or .pp..' In cllurt b'Ulllf h. ~I .h, mild, olin app"i"l 01 th, p'op.ny In qU"IIM, unit..
.p.dflo Mltna.ment. to do '0 hl'l' b"n m.d, b.lor,h.nd.
6, Th. .pprel." h.. ,"lm.,.1I Ih, '1olu. olth. I.nd In Ih, co.lapproach 1111. hlgh"l Ind b..t "" Ind the Improv.menl. .t th.ir
contrlb"tOl'~ yelut, Th... ..pout. valullionl IIllh. Ilnd and Impro'l.m.nl. mUlt nlll b, utld In conJuncdon wllh .ny olh" .ppr,i",
.nd," In.,nd It th,~ '"'0 ulld.
8. The 'PP'~.a' h.. nOI,d In the .ppr.I,,1 "port any Id~.n. condition. l'llch II', need.d "p.l", d'PIICI,lilln, th. pr...nc. lit
hUlld_ w..t.., 'Ollie lub.l,nell, .lc.1 ob"''1ld during Ih. in'p,cllo" of Ih. lubjlct property or Ihll h, or Ih. b.c.m. aWl" 01
durlnllthe norm.' "..I,ch Involv.d In perlolmln, Ih. app,.i..l. Unl... otherwi.. .11I.d In Ih. .pprli..1 "port, the epp"I..,
h.. no knllwl,d". of .ny hldd.n 0' unlpp."nt condillllnl 01 th. prllperly (I' odyer.. .nvl,llnm.nlal condillon. !includln, Ih.
p"..nCl of h.Zlfdoll. w..t., 1IIIIIn .ubel.nc.., .tll.llhll would mo"" Ih, p'operl~ mOil or 10.. val"abl., .nd h.. ..Ium.d Ihal
there '" no .uch condldon. .nd milk.. no ,u".nte.. or war,.ntl". 'IIPI'" Ot Implied, "Ilardln, lh. eondlllon 1I11h. prop.rt~.
Tho .ppt.I.., wUl nOI b. ".ponllbl, lor .ny .uch cllndltlon. Ihol do e"i.t or for eny ,ngine"ing 0' t..tlnll thtl might b,
required 10 dllcov" whllher IUch condition. uhl. Blceu.. Ihe lIpPlel..r i. nol In ..p"lln lh, lield ol."vlronm.nl,l hourdl,
th, .pp,ate., report mU.1 nol b. con.ld.red II en .nvlronm.nl.I......m.nt 0' the proplrty.
7. Th, .ppr.I." ob1.1n,d Ih./n'ormlllon, "llmllt... IInd opinion. th.1 WIll ..pr....d In Ihe .ppr.I,,1 report from .ourc.. Ihll h,
Of .he con.ld.,. to b. r.lllbl. and b.n,v.. Ih.m to b. Ilue .nd co'rect. The eppraiut dOel notallum. r..ponllbllity for the
acculICY of .uch h.m. th,1 w.r. lurnllh.d by other Pllti...
B, Th. Ippt.le" will not dl.clo.. Ih. eonl.nll of the approi", "porlucept al provided lor In Ihe Uniform S"ndatdl 01 Ptollll,lonel
ApPf.luIPllet!cl.
9, Th. Ipptall" hll' ba..d hi. or her appraisal reporl lInd valuation conclulion lor an lIppralllal Ihal II lub/ecI 10 totl,'aclllry
compl.tlon, "p.ln, Ot ollerallon. on Ih. allumptlon Ihll1 compl,lion of the improvllmenls will b. performed in a workmonlik. monnlr,
10. Th. .ppral.., mUlt provld. hi, or het prior wrlllen clln.lnl belor. Ih, lenderlclillt1l .p.cifl.d In Iheappral'lll teporl clln dllllllbul.
lh. epplallll r.pon llncludln, conelu.lonl aboul Ihe prop.rty Ylllu., the opp,aiur'. IdenlhVandp,ol...lon,ld"illnalion,. and
,,'.renc.. to any prol...lonalappralul o,g.nlnllon, or thelilm with which th. approi..t te assoclotedl to .nyon. olher than Ihe
borrower: the morlllOIlO. or h. IUCC.IIO,. und alllgn.: Ih. mortgage in,,,'er; conlullanle: proles.lollal oppralul organlUllon.: IIny
.ut. or f.lI.rlll~ Ipprov.d IInanclftl Inltilullon: or tin'" deplrlmlnt Ilgency, or inetrum.nllllily 01 Ihe Unil.d Slalll or .ny atate or
lh. Dlllrlcl of Columbia; ucepl thai Ih. I.ndlltlcll.nl mllY dislrlbute Ih. prop"ly do.crlpllon Slc110n 0' Ih. raporlllnlv 10 dalll
coll.ctlon 0' reportln, ."vlcelll wllhoul h.vlnlllo oblllln Ih. .ppr.inr'l prior wrllle" conllnl. Th. opptlll..r'. wrlll.n conllnl
.nd .pprov.1 mUll .r.o b. otulIln.d bllloll Ih. appralul can b. con'ley.d by Ilnyooe 10 Ihe publiclhrough ,dyerlllln" public
111111001, n'WI, ..1.., orolh" madia.
Ft.ddl. Mac Form 439 8.93
Paollo12
FInnie Mae Form 1004B 6.93
Wu.IU(f OF IIM'lINQJ:QNIlIIIO
APPRAISE'R'S CERTIFICATION: 'hi ANt..... ..,..,,-,..-4 ...... Ihtl
..Ih."',...--......................w............... ~ " 1I1II.. "..", ..I.. .t IW..,.,.... _t .!mot.,.....
"..... I. N ....... """t 'f/I ~'11lNl '" IN ... c.....i..,. ."..,.~ .,., fl,.. ",.4. . ...., ""1....1 wtwn
."...".... II ......... .......t ,.......... Ih_ ~_ .. ....IiRu... .,..i'I'~ If . .'....fk...' It,,,, ... . ............ ,r.,.."
III ....... '.. . ..... I......... thM, ... .....It "..,t,. I NI" m... . N....... ....'_n. I. "",- tht .1II...'.ll....."iU
ef", .....,..... -.t. H. -'.....'--",...~.. . 'efftI'",.IilIe .....It, .. tn'"IOl' ,.., or .... In-Of..... th.,. ,he ''''''',t "lIf'''",
I he.. "".. .,..ww. ....'_m I. 1ft..,.... .... ..,.... 'M' PII" II' IN um,'"bill.
I. I h". f..", ~I' ...."""11'" 1M ,..t.,. m'l h,.. M 'mlltet "" ulwln "'., HIt.lotl_tl' of II~ 'ldm'l. .f m.,ht ",hte In
.". ."f.... ..,Wi. . he... NIl 1I",..In." ...idlhel. .,., .1....'.11I"1 in'",m"l"", f,.," the .,p'..... f"OfI ..4 I NIie.., I. tM
het II M, II........... INoI .. .I..._lt .... iftl."",,- '" IktI .",.1,.. ""Dft ,r. If"- ~4 COI'''tl.
3.I.t.". In'" .,,,..... fI,,," onty .., ..".... YnItl...IlI. ~ ".,...Ign.' an.pll. opinlont. anlll o_cJwel_. _hlet. ar.
...,... onI, " 1M ......", IftllI ""1Inf '''Olfltlllln Ihh fCHm
4. 1 ho.... I'lt ,...ont ., "..,.,ti.,. .....,.., In IN p,,,,,.My ,h'l I. lho .ubiocI to thfo II',,". and I ho" no '''''''1 CH
piN"''''''' ,.,.OMI "'''''"' ., bill with ""0101 10 tho ,.wdci,.nll In 'PM Ir.n..ttion I did not b.... .ltho, ,lIlIlily 01
oom,....,.,. "'y an..,.... anlll/ortho o.lIm,,, .f "'.,..., 'nfu. In 'ho .""iu' "pon on Iho lice. color. "Iigion. .... hondiU,.
""""II "'MI. ., n,donll CHI,1n ,f .lthM u.. "OI,.ctl'" OWM" "oecup.nll of tho .ubJ.et PlOp.,ty Of of 1M PII..nt ow",,,
or "...".,u. 0' 8M "op.,III.1n Ute Y1oWt,.r tho .ub".t ,lOp"ly.
&.1 h.... no "...nt., '....t.""'.tld r""". 1tI,,,.., in !.h. .ubj,cI p,op.ny. .nd ,..iIM, my cuu.nt Of' lUll". .mplo,menl nGl' m,
cO"",nlld", for ,"formln, IN. earp'''''''' contJn..nl on th. .pp,.i..d .,.luI ollh. P'op"l)'
I. I w.. not ,..,arld to report . p""''''''''''d "",- 01 di"cliorl In Wllu. Ih'I '.11.,1 tho c.u.. 01 tho clionl Of Iny r.I"ld
party. tho .mount 01 the II.M ..dmll.. tho .n.ln"..nl 0" .p.cttle '..uh. or Ihl Kcun.nco of , .ublllf'Hlnt ."'nt In ordll to
rlcolYl my COnIpWII'lJon and/or .".,lormo"I 'Of ,,,formln, lhe .p,,,i..1. I did nOl b... the 'pp"iul rlport on . ,.quell.d minimum
II......lIon. . .p.elflo 1I.au.llon. Of Ih. N.d to I9P,.III . .,.elfio mon;IIiI' 10'".
1.1 perf.,m.d dW .",.., In oonlo'mltr with l.ho Uni,or," Sl,"d"d. 0' PlOll..lon.1 A"",,,, P"e1lee th't WII. .doptld .nd
'IOmuI;,cod b, tht App"I", I',ndardl lo"d of Tho Applllul 'OUnd.llon .nd thll w". in pl,cI .. of thl .ffICUII. d.t. 01 ddt
'pplIl".. with... ..eepllon.' the dlper"". plOll'lllon 01 tho.. Slanderd.. lOIIhich do.. not .pply. I ,cknowl,d;. thlt .n ..tim'I'
of . r"llIn.w. 11_ 'or "pOl"'1 In en. op.n markol . . condition In the d.linltlon 0' m"ltllll'/UI .nd m. "lIm'I' . dov.lopld
.. cOMlltlnl with Ih. mar""n; IIIl'II nol.d In the nl';hbOlhood 'Ictlon 01 Ihl. "port. Iml... . h..... athorwll. .I.I.d In Ih.
"eoncJIllllon ..ellon.
a. I h.y. P'l1onaUy IMp.ct.d tho Int.rlor ."d olll.rlor "... 01 lh. .ub)"t p,op.rty .nd Ih. ul"lor of .U proplnl.. IiII.d ..
comper.bl.. In tho .pp,a1.., IIport. I furl.her c"lify th.t I h,". noted .ny ollPorent 01 known .dll.t.. eondillOOlln Ih. .ubJoet
Improlllmlnl.. on tho .ubJ.ct .11.. Of on .ny .Ito wllhln Ih. Imll'lldi." vlcinily 01 Ih. ,ubJ." p,op.rly 01 whIch I .m .w". .nd
h.lI, m.d. 'diuetmlnll 'Of Ih..o .d...".. conditione In my .".IV-" ollho p'op.tlY velu. to Ih. I.t.nl th'll h.d merlttl ."'"nco
to luppDft IlMm. . h.lI. aleo comm.nl.d .bout the .ff.ct 0' the .dll"" condidon. on the m.tlttlabilll'l' ollh. .ubJlct plOp.rty.
9. I p,"'on."y p,.p...d all condullonl Ind opl"'onl .bout the ,"I 111'" Ihol w.r. .It lotth In th. Ipp"iul ,.port. II I
1.lIod on .I,n!neon, p,o""'on" ....t.nce from .ny Indillld".1 or Indi...ldu.I/.1 In thl per'ormon" 0' d~ .pprel..1 or lhe
p"PIl.tion 0' tho 1,,"1..1 "pol1. I h.lI. n.m.d .ucn Indl...ldu.,.'IJ .nd di"Io"d Ih. Ipoelfie IlIks perlorm.d b, th.m In the
flconclll.don lIollon 01 thlt .pprli..1 IIport. I clnify thlll Iny Indlllld"II 10 nllm.d I. qUllm.d to p.rform !.ho IlIks.' h.1IO
not '"!.ho,IIId ",yon. to m.k. ch.ng. 10 .ny It.m In!.h. "POrl; !.her. 1011. II .n un."lho,lud ch.ng. I. mldo to the .ppnllll
IIport. I win "k. no r"po",lblnly for h.
SUPERVISORY APPRAISER'S CERTIFICATION: If 0 lup.r...i.ory Ipp,al..r Ilgnld the 'ppnl..t r.port. h. or Ih. Clrlilil.
.nd .;".. mil; . dlllcdy .up.r"'.. tho 'pp"l..r who p,.per.d the opprlliul r.pon. hllll r.viewld thl 'ppr.inl "pon. .;,.. wllh
the .t.l.mlnl. Ind conduelOnl of tho .ppr'/"r. I;t.. to b. bound by tho IIpprol..r'l clnlllcelionl numb,"d 4 through 7 .bo.....
Ind .m 'Iklnlillull '.lp_Ibllil'( for thl .ppr.l", .nd thl Ipprlt,,1 rlPOrl.
ADDRESS OF PROPERTY APPRAISED:
1495 Lonas GaD Road
~i.le PA 17013
:aNM.
Nb:~~eman
Dot. Slgnld; March 19. 1999
Slol. CI,tifteldOn': RL-OD0569-L
orSI.11 Llcen..';
SIOl.;
Ellpt"lton Oil. of Cettlfielllon 01 Llc.n,,: 06 - 30- 9 9
SUPERVISORY APPRAISERlonly If r.qul,.dl:
Signalure;
Name:
Oil' Slgrled;
SIIIII CertiliC:lldon II:
or Stllll Licen... II:
Still':
E.plrationOal. of C.rlillc"lon orLlc.n..:
Otd Did Not Inspoet ptoperty
Freddl. Mac Form 439 6.93
Page 2 012
Fannl. Mae Form 10048 6.93
JACK
GAUGHEN ....E.R~~
REALTOR '"
CAlUI~lt Olllet
1068 lIarri~burg Pike
C.rU.k. PA 17013.1658
717 24J.8080. 717697-2240
717243-0268 rAX
February 3. 2000
To Whom It May Concern:
After research was conducted on subject property located at Lot #26A, Orbasonia,
PAin Huntington County, indicates the following results.
The estimated value of$19,800 for the land and improvements is the most
probable price which the property will sell for in a competitive market if exposed for a
reasonable time.
Sincerely,
Jack Gaughen Realtor, ERA
~ f?~l...lft-/
William Burkholder
Realtor Associate
Indcpcndcnt~ Owned ^nu Operated By NRT Inc.
j 1040
Label
IStt
instructIOnS
on p.ge 19.)
U.. tho IRS
lobel.
Otherwise,
ple3se print
. or typo.
Presldenllel
Elecllon Campaign ..
See a e 19, ,
I
FIling Slatus 2
3
4
Check only
one box.
Exemptions
If more than six
dependents.
see page 20.
Income
Attach
Forms W-2 and
W-2G here.
Also attach
Formls) 1099.R
If tax was
withheld.
If you did not
get a W-2,
see page 21.
Enclose, but do
not attach, any
payment. Also,
please use
Form 1040.V.
Adjusted
Gross
Income
~llI)Olf\1 0; II~ T..........y_lnl%HlOll nQ'.ilifll,~ c...,1;"';'t,l
U.S. Individual Income Tax Return
~lO)OO
,P,
IRS UI4 0Ny-00 r>Qt .....11. 01 ,,~ ., tho, "**
, 20 OMB No ,'..cS.oo7"
Your aoel.' ..eu'l~ "'"~
Single
Married flhng joint return (even it only ona had income)
Married fihng separate relurn. !nler spouse's social secutlly no. above and lull name hers. ...
Head of household (with qualifying person). (See page 19.) If the qU<llifying person is a chird but not your dependent,
enter this child's n<lme here. ...
Quali' in widow(er) with dependent child (year spouse died'" ). (See pa e 19,)
6a XJ Yourself. If your parent (or someone else) can claim you as a dependent on hi!. or her tax}
return, do not check box 6a . . . . . . , . . , , . . . .
b Spouse.........,..,.....,...".
c Dependents: (21 :Jependenl's (3) Oepen~enl's 141 II Q~~~UlQ
l,,'name social securily number relallonshlp,lr1 thlldlelcl'lIldlal
(1) FtrSI name ou cledll set e20
o
o
o
o
o
o
L
A
.
.
L
FOt the Vear Jan. t-oec. 31, 2000, or Olll8f ta... year boglMlng
'(OUt tltst name and If\Iltat La"t name
Richa~d L UOni4mith
. 2000. endIng
d Total number of exempUuns claimed
7 Wages. salaries, tips, etc. Attach Form(s) W-2
8a Taxable interest. Attach Schedule B if required
b Taxaexempt interest. Do not incrude on line aa
9 Ordinary dividends. Attach Schedule B if required
10 Taxable refunds, credits, or offsets of state a~d local income taxes (see page 22)
11 Alimony received .....
12 Business income or (loss). Attach Schedule C or C-EZ .
13 Capital gain or (loss). Attach.Schedule D if required. If not required, check here ..
14 Other gains or (losses). Attach Form 4797 . . ..,... .
15a Total IRA distributions. ~ L-J b Taxable amount (see page 23)
16a Totar pensions"-and annuities l...1~...I U b Taxable amount (see page 23)
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
18 Farm income or (loss). Attach Schedule F . . . . . . .
19 Unemployment compensation ,
208 Social security benefits . 120a 1 " b TaX~bl~ a~oU~1 (s~e ~ag~ 2si
21 Other income. List type and amount (see page 25) ....................................
22' Add the amounts in the far right column for lines 7 through 21, This is
23 IRA deduction (see page ~71. . 23
24 Student loan interest deduction (see page 27) . 24
25 Medical savings account i:Ieduction. Attach Form 8853 25
26 Moving expenses. Attach F~~% 3903 26
27 One-half of self-employment tax. Attach Schedule SE 27
28 Self-employed health insurance,deduction (see page 29) 28
29 Self.employed SEP, SIMPLE, and-qualified plans 29
30 Penalty on early withdrawal of savings 30
31a Alimony paid b Recipient's SSN ... 31a
32 Add lines 23 through 31a , " ,
33 Subtract line 32 from line 22. This is your adjusted gross income
For Disl.:losure. Privacy Act. and Paperwork Reduction Act Notice, see page 56.
II . fOII'll retutn, spouse', IlfSl name and Initial
Lasl name
H
.
"
.
Home adOress (numbel' and str901}. It yOu hawo a PO. 00.(, SINt page 19.
Apt. no
fl1l--.!1aJl...-Kaa d
C,ly, lown Of' post ollico. slalo. and ZIP r.odlt. II you haw!! a loru'Un add'u~s. soo p.Jyo 19
7013-8664
li le Pa
Note. Checking "Yes. will nol change your tax or reduce your refund.
Do you, or your spouse if filing Q joint return, want $3 to go to this fund?
,~
5
Bb
, . ~
Cat. No. 12599G
.
16836 '3266
Spou..'. .oclal..eurlt~ nymbet
A Important! ...
You mUll enler
your SSN!5) abo....~.
You Spouse
DyOl DNa Dyo. DNa
No. 01 bon,
checll,don
8, i/ullill
No. 01 your
chlldtenon&e
who:
. liVId wllhyou
. did nolllve wllh
you du,lo divot"
otsepar.Uon
(selpage20)
Dependenls an ISc
not'nllledaboVl_
Add numben [tJ
'nllredon 2
IInll.bove"
-L
./"
....
32
33
-
Fo'm 1040 12000)
Form 1040 (2O()O1
Tax and 34
Credits 35.
b
SI,nd.rd 36
Oeducllon
'or Malt I~
People
Single:
$4,400
ttead of
nou58nold:
$6,450 39
Mamed tiling 40
JOlnllyor 41
Qualifying
wldow(erl: 42
$7,350 43
Married
riling 44
separately: 45
$3,675
46
47
48
49
Other
Taxes
Payments
If you nave a
qualifying
Cllild, attach
Schedule ErC.
Refund
Have It
directly
deposited! ... b
See page 50
and fin In 67b.... d
67e, and A7d, 66
Amount 69
You Owe
Sign
Here
Joint return?
See page 19.
Keep a copy
for your
records.
o Bhnd.
... 350
50
51
52
53
54
55
56
57
58
59
60a
b
Amounllrom IiM", 33 (.ll1ju"oh~d lJlO~a 11)(;011I0) ,
Chock II: 0 You were 65 Of older, 0 Blind; 0 Spouse was 65 or older,
Add the number 01 bolles chOCked above Bnd enler Ihe tolal hc)re .
If you are m3rtJed f,llng separatoly and your spouse 11emiZfJS deductIons, or
you were a dual.status allon, see page 31 and chock here . ... 35b
Enter your itemized doJuclions ham SChedule A. hne 28. or standard deduction shown
on tho lefl. But 5CO page 31 to f,nd your standard daductlon If you checked any box on
line 3501 or 35b or II someone can Clarm you as 11 dependent
Subtract line 36 ftom hll8 34 .
If 'me 34 is $96,700 or IO!:ls, multiply $2,800 by H1U lotalnumbcr 01 8Xl.lmptlons claimed on
hne 6d. If hne 3.1 i:. over $96,700, s,tjtj Ilia workshoot on page 32 for the amount 10 enlot
Taxable Income. Subtract line 38 from hne 37. If line 38 is mote than Irne 37, enter .0.
Tax (see page 32)_ Check" any 1011.15 Irom 0 0 Form(s) B814 b D' Form 4972
Alternative mmlmum lalC_ Attach Form 6251
Add hnes 40 and 41 ,
Foreign lax credit. AlIach Form 1116 II requircd
Credit for child and dependent care expenses. Atlach Form 2441
Credit lor the elderly or the dis.lbled. Attach Schedulo R ,
Education credils, Allach Form 8863
Child talC credit (see page 36J
Adoption credll. Attach Form 8839 ,
Other. Check If Irom . 0 Form 3800
cO Form 8601 d 0 Form (specify)
Add lines 43 through 49. These are your total credits
Subtraclline 50 ;rom hne 42. It line 50 is more than line 42. enler -0- ,
50
51
52
53
54
55
56
57
..
43
44
45
46
47
46
b 0 Form 8396
49
..
Self.employment tax, Attach Schedule SE .
Social security and Medicare tax on tip income not reported 10 employer. Allach Form 4137
Tax on IRAs, other tetirement plans, and ~SAs. Attach Form 5329 if required . "
Advance earned Income ctedit payments from Form(s) W.2 ,
Household employment taxes. Attach Schedule H
Add lines 51 through 56. This is your total tax
Federal income tax withheld from Forms W-2 and 1099
2000 estimated lax payments and amount applied from 1999 return
Earned income credit (EIC) ,
Nontaxable earned income: amounl . .. I
and type'" ............ ...... ... ..... ....... .... ... ..........
Excess social security and RATA tax withheld (see page 50) 61
Addilionalchild tax credit. Attach Form 8812 , 62
Amount paid with request for extension to file (see page 50) 63
Other payments. Check if from a 0 Form 2439 b 0 Form 4136 64
Add lines 58,59, 60a, and 61 through 64. These are your total payments . ~
If line 65 is more than line 57, subtract line 57 from line 65. This is the amount you overpaid
Amount of line 66 you want refunded to you . ...
..
61
62
63
64
65
66
67.
58
59
60a
~
I
C;>
Routing number
Account number
Amount 01 line 66 au want a lied 10 our 2001 eslJmated lax ,...
It line 57 is more than line 65, subtract line 65 from line 57. This is the amount you owe.
For details on how to pay, see, page 51 , , ...
70 Estimated tax penalty. Also include on line 69 , 70
Under penalties of perjury. I declare that. I have examined this relurn and accompanying schedules and statemenlS, and 10 the best of my knowledge and
beliel, they are true, correct, and complele:Qeclaralion 01 preparer (other than taxpayer) Is based on aU informalion of which preparer has any knowledge.
Your signature / . DBt/ Your occupation Daytime phone number
~ SPO",,'S Signa"". If, joinl rel"m. bOlh . Sl~"9n. ~ay Ihe IRS d,sc"" Ihis "',," with Ih, P"P''''
r shown 'C1ow Isee ",e 5211 Q--1e;' 0 No
Preparer's SSN or PTIN
~reparer's ...
slgnaturo ,
Firm's namo (or ~
yours if self.employed),
address. nnd ZIP code
~US GOVERNMENT PRINTING OFFICE: 2000-0160,502
Paid
Preparer's
Use Only
...
~
~~ Department of the Treasury
~/' Internal Revenue Service
2000
Form 1 040-V I Payment Voucher
II- See instructions above.
Do not use Form 1040-V to pay quarterly estimated
taxes. Use it only to pay any balance due shown on
line 69 of your 2000 Form 1040. See ins!. above.
Enter the amount you are paying $ 10/ _
by check or money order. 0 ()
CrQII out an'f ""01" and pnnllhe COllftClmlormallOll
166-36-3266 161-40-2103
OP.1B No 1~4~ 007~
For PJpe~k R\tdvclron Act Nohee, ~H Form 1G40.ES Inslf\IClo011l
~SlnJII~111.11.1
RICHARD L & NANCY A MONISMITH
1495 LONGS GAP RD
CARLISLE PA 17013-6664
INTERNAL REVENUE SERVICE
PO BOX 8530
PHILADELPHIA PA 19162-8530
168363266 DK MONI 30 0 200012 610
~J
~
1
,~
r;;
~
'.
".
..
"
,'.
-
Profit or Loss From Business
(Solo P,op,lotorohlp)
.. Partn.,.hlp.. Joint y.ntur.., .Ic.. mUlt file Form IOG5 or Form 1065..B.
Anact'lrTll'nl
... AIt.ch 10 Form 1040 or Form 104'. .. S.. Inltructlons for Schedule C (Form '0401. ~ NO 09
Social .e<:loWt'r numtMf fSSN)
161 40 %103
SCHEDULE C
(Form 1040)
~ofINTIH""'1
1riI.". .....-- 5etvu 10,
...;:!!..I.I.....I.....tl(l'..
~@oo
Name of ptOPl'letOf
Naney It. /.tOni4mUh ______
A Principal bus.neas or prof.ulcn, Including pt'OdUCI or 561\'1C8 (Setf page C-' of Ihe lnslruclionsl
BeaU~1I $1l{rl.IL_.______ ___________
C BUSIness name. If no Sl.lpwoto bUSlf\U!l.ll nil/no, 1811'0'0 blank. 0 Emplovo, ID numb.r (EIN), If anv
I
~/.tonJ.4m.ith.._RPn,,~y ~nln..
It Busine.. odd,e.. (Including su,lo or room no) ~ 1.4.9.5 . Long4. . Gap.. .R.oo.d.................. .... .................. .......... ._.
CilY.town or post ol',co, slole. end ZIP code CI,L4,{.u..{e Pa 170jJ
Accounhng molhOd: III IlO COSh (2) 0 Accrual 13) 0 Othor (speclly)" ............. ............ .......................
Did you "materially particIpate" in the opero.llon or thIS bUSiness during 20001 If ~No," seo page C-2 for hm.t on losses . ~ Vel 0 No
II you started or ac Ulred this bUSiness dun 2000, check here . . . .'" 0
Income
2
3
4
Gross receipts or salos, Caution. II thiS income was reported to you on Form W-2 <lnd the "Statutory
employee" box on thai form was checked, see page C-2 and check here ...
Returns and allowl1nces . . . ,
Subtract line 2 from line 1
Cost of goods sold IIrom line 42 on pngtt 2}
1
2
3
4
o
5 Gross profit. Subtract line 4 from line 3 .
6 Other income, including Federal and state gasoline or fue/lax credit or refund (~ee page C-2)
5
e
7 Gross Income, Add lines Sand 6 . . ... 7
Ex enses. Enter ex enses for business use of our home only on line 30.
8 Advertising. . . . " 8 19 Pension and profit-sharing plans 19
9 Bad debts from sales or 20 Rent or lease (see page C-4):
services (see page C.3) " 9 a Vehicles. machinery, and equipment. 20a
10 Car and truck expenses b Other business property. 20b
(see page C-3). . . 10 -..... 21 Repairs and maintenance . 21
11 Commissions and fees 11 22 Supplies (not included in Part Ill) 22
12 Depletion . . . . 12 23 Taxes and licenses. .. 23
13 Depreciation and seclion 179 24 Travel, meats, and entertainment:
expense deduction (nol included a Travel. 24a
in Part III) (se. page C-3) . . 13 b M.ols and
14 Employee benefit programs entertainment
(olher than on line 19) . c Enter nondeduct-
ible amount in-
15 Insurance (other than health) . cludedonline24b
16 Interest: (see page C-5) .
a Mortgage (paid to banks, etc.). 16a 1 d Subtract line 24c from line 24b 24d
b 01her. . . . . . 1Gb 25 Ulilities 25
17 legal and professional 26 Wages (less employment credits) 26
services. . . . . 17 I ~o 27 Other expenses (from line 48 on
18 Office expense. ". . 1 8 0'" page 2) 27
28 Total expenses before expenses for business use of home, Add lines 8 through 27 in columns .... 28
29 Tenlative profit (loss). Subtract line 28 from'Une 7
30 Expenses for business use of your home. Attach Form 8829
31 Net profit or (loss). Subtract line 30 from line 29..
. If a profit, enter on Form 1040, line 12, and also on Schedule SEI line 2 (statutory employees,. }
see page C-5). Estates and trusts, enter on Form 1041, line 3.
. If a loss, you must go to line 32. '..~
32 If you have a loss, check the box that deSCribes your investment in this activity (see page C-5), }
. If you checked 32a, enter the loss ~n Form 1040, line 12, and also on Schedule SE, line 2
(statutory employees, see page C-S). Estates and trusts, enter on Form 1041, line 3,
· If you checked 32b, you must attach Form 6198.
For Paperwork Reduction Act Notice, SBe Form 1040 instructions. Cat. No. 11334P
29
30
31
,
....
2- _
q<l.62-
32a 0 AU Inveslmenlls al risk.
32b 0 Some investment Is not
at risk.
Schedule 0 (Fo,m 1040) 2000
.
-
-
SCHEDULE SE
(Form 1040)
Self.Employment Tax
0;.,10 t-b I54S-OO'..
~@oo
... S"'. '''\truclton, for S'hvdulo SE (Form t0401.
o.p,.,,,...... III .". hN\ufy AlloKhmfnI
lI'l"I\M Ror__ 5.f'w1C. IMJ .. Attach 10 Form 1040. s...,,<oNf'Io:. N/J. 17
"'lI'no (,;1 r.ol,ltSon WIlh '''II.um~lo1rnunt IIlCQlflU (.a:. )huWfl OIl form 10.10) SOCial SeCuflly n",mlx" ur p....rSOI1
......tl1 saU-amployment IOcom" .. 16':40: 2 J 03
Who Must File Schedule SE
You must Mo SChedulo SE If:
. You had nol oarnlngs from soll-omploymonl hOfll othor than ChurCh crnployclJ ItlCOIllt) ('Inu .. 01 SI10rl SchOdulo se or hno 4c 01
long SChodule SE) 01 $400 or moro or
· You had Church employeo Incomo 01 $108.28 or motu. In Como from services you purformccJ as a mltliSler or a member 01 a
religious order is not churCh employeo InComo. SUl.' pago SE-l.
NOlO. Evon if you had a loss or a small amounl ollncoma Irom self-amploymenl, It may be 10 your boneflllO file SChedule SE and
use either "Oplional.method" In Pari II of Long SChedule SE. Sea page SE-3.
Exception. If your oniy self.employmanl incomo was f,om earnings as a mimster, member of a religiOUS order, or Chrislian Science
praCI,lioner and you filad Form 4361 and faceivad IRS apprOval nollo be laxed on Ihose aornmgs, do not file SCllOdule SE. Inslead.
Wille "Exempt-Form 4361" on Form 1040, line 52.
May I Use Short Schedule SE or Must I Use Long Schedule SE?
Did You Recoin Wages or Tips in 20007
No
Ves
Ne you a minister. membet 01 a religious orol.V, 0( Crv.Shan
SCience pt8Chlioner who rCCelved IRS approval not 10 be laAed Yes
on fJ3Inings/tom UlOse Sources, but you Owe self-employment
1.1Jl: on Olher earnings?
Was the IOlal of yOut waOes ana lip, sub/OClto SOCIal secUt'lly Ves
Of railroad reliremenl la~ plus yOOf net fJarnll'lgs It om
sell-employment mote lhan $76.2001
No
..
Ale you L1s'ng one of the optIonal mothOds 10 1'91.1(0 YOIit nfll Ves
earnings (seo page Se-Jj?
No
No
No Old you tecer"e lips SUbjCCllo social :lOCUlI!)' Of Medicare lax Yes
thai you did nol repor1lo your employ or?
Did you receive church employee income repor1ed on Form Yes
W.2 of $108.28 or more?
No
You May Uso Short SChedulo SE Below
f.;
You MUSI Use Long Schedule SE on 1110 Back
~
~
~~
:~,
~C
1'"
''r~
Z~i.
I
Section A-Short Schedufe SE. Caution: Read above to see if you can use Short Schedule SE.
Nel larm profit or (loss) from Schedule F. line 36. and larm partnerships, Schedule K.l (Form
1065), line 15a . . . . . . . . , . . . . . . , . . . . , . . . . . .
2 Nel profil or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065),
line 15a (other than farming); and Schedule K-1 (Form 1065-8), box 9. Minislers and members
of relig.ious orders, see page SE.l for amounts 10 report on this line. See page SE.2 for other
incomeloreporl......,...... ..... ...,...
3 Combine lines 1 and 2, , . . . . . . " .,.....,.,..
4 Net earnings tram self'employment. Multiply line 3 by 92.35% (.9235). If less than $400,
do not file Ihis schedule; you'dO not owe self~employment tax . . . . . . . . . ....
5 Self.employment tax. If the amount on line 4 is:
. $76.200 or less, multiply li~ii'4"by.15.3% (.153). Enter Ihe resull here and on )
Form 1040, line 52. ".
. More Ihan $76,200, mulliply line 4 by 2.9% (.029). Then, add $9,448.80 to Ihe
result. Enter the total here and on, Form 1040, line 52.
....
6 Deduction for one.halt at self.employmenttax. Multiply line 5 by
50% .5. Enter lhe result here and on Form 1040 line 27 .
For Paperwork Reduction Act Notice, see Form 1040 instructions. Cat. No. 113582
1
2 q~_
3' .' ,-
.'
4
Schedule SE (Form 1040) 2000
~ltl9
--I
PA-40 - 2000 (09.00)
Ptllll.ylvanla Incam. Tall Retum
PA Otplnmtnl 01 R.venue, HItrIlbUlIl. PA 11129.000& or ~1C.IAt U';f O'll't
PLEASE PRINT IN BLACK INK. ENrER ONE LETTER OR NUMBER IN EACH BOX. FILL IN OVALS COMPLETELY.
Yu Socaal Secunty ~umtler Spouse', SOCIal Security Number C) Exten.lon. Soo instructions.
0000J.J.00J.5
~ ;
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a:
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W
al
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J.bll-3b-32bb MO
MONISMITH RICHARD
MONISMITH NANCY A
L4'5 LONG GAP RP
CARLISLE. PA L70L3-6bb4
LbL-40-2L03
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Firslline 01 address. P.O. 80"; Apanmenl Num~: S~I~.e; R_~ N_~ . ~~pp~.ab~~ ._
S8Q);1d biie~o;addt;SS: Slreel Address--
- ---._-_..~._------_.,.,--..-
.
Amended Relurn. Fill In this oval if
<<::) you aro amonding your 2000 PA relurn.
c:::>> Fllcal YOBf Flier.. Fill in this oval.
FY boglnnlng _j ---100 & onding ---1---1_
Rusldency SlaluI. Fill In onry one oval.
... R Rosldenl
c:;) N Nonresident
c:::> P Part.Year Resident from ~--100
10 --1---100.
Type Fllc.r. Fill In only one oval,
c::l S Singlo
.-.J Married, Filing Jointly
c:::> M Married, Filing Separately
c:::t F Final Return. Indicate reason:
, .
CtiyOiPoSl OffiCe
'--c-i'-~--..-l--,~.-. .- '...
. 1 I, " t 1 II ~
.;..._._.....o.--:...__._..,..~...__~__. . ._.___.,....
School Code Daytime Telephone Number
. ..'~.., ,'- _ 4. _ .... ..._...... ..... .-.. "'''. .._
~ t~~L!.L~ 1 (J _I L. L.:'. .~._ _~ _ _.__.__ ,~_._._
C
C Nameo school districl where you lived on 12/31/00. County where you Jived on 12/31/00.
'""
'"" .
C
C
~ ~a. Gross Compensation. fr,:'m PA Schedule W-2S, or \'c.;r Form{s) W-2. or other stalcmont~ . . . . . . .
_.w...._.. _. .. -...-siaie...... -ZIP-C:Ode~-
c:::> 0 Deceased. Date 01 dealh ---1--100
Identlflcallon Label Change.
c:::> Fill in this oval if the label you received with this
booklet is not completely correct. or if you did not
file a 1999 PA tax relurn. Do not make corrections
on Ihe labol - DISCARD IT.
Municipality where you rived on 12/31/00.
~b. Unrelmbursed Emclovee Business Expenses. from PA-Sche-dule UE~l, . . . , .. . . .. . . . . . . . . . . . .
"c. Net Compensation. Subtract une.;b"rom-Line-f~i.j..........,..........................
e. Interest Income. Complete and enclose PA Sche9-ule A-:-if over $~f5(foJ .......... . . . . . . . . . . .
.:::-t;/ICClr,':: :,i.:ome. Complete a,id e;,closc ~AS::..;:Jl:;'l3. .. ""ul' $2~!JCiO-:l ......... ....... ....
4. Net Income or Loss from the Operation 01 a Business, Profession. or Farm. . . . . . . . . . . . .. 0
5. Net Gain or Loss from the Sale. Exchange, or DispOsition of Property. ................. 0
6. Net Income or Loss from Rents. Royalties. Patents. or Copyrights. . . . . . . . . . . . . . . . . . . .. ~
7. Estate or Trust/neome. Complete and enclose PA Schedule J. ..................,........
8. Gambling and Lottery Winnings. . . . . . .. . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . .
~:-TotaJ PATaxabl61iiCOiiiOJiild oniYlhe DOSiiv. income aJiiJUiltSiiOm Unes 1c, 2~3:4:'5~O, aniral
DO NOTADD any lasses reported on L1nes'4,'S, or6. ..................................
10. Contributions To Your Medical Savings Account. See the instructions. ...................
11. Adjusted PA Taxable Income. Subtract Line 10"lrom Line 9... . .. . . .......... , ..... . .. ...
~2.J>A-TixCliiDmIY. MiiftljilYClno rniyM'r.:XO;0281;::Also onler on CIii'ef3;Slde2:j
Sldo 1
OFFICIAL. USE ONLY
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P'A-40 - 2000
SOCial $ocun1r Number
i....I.<..C;U: __..~~: ._, . "Zr.!- ~. You, Noma f/)~N~m I.:,,",
0000220012
orf'CIAl USE O~,l't
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16
20b Dependents, P.~ 6, Lino 2, PA Schedule SP.
Spouse's Signature, II lillngJOlnlly:
'~.
Preparer or Company Name, other than taxpayer(s)
Preparer or Company Name !please Pnnl);
L
m'" '\1.,." ,~"
A,." 1_.,: . '~'.. <"~~~:~~1J~~~
Signaf~ 'JfV1o ~!$pa!IH ~Ironlll}: ~~,,\ .. ~:'...,: ;;,y.... ~! ^._
-v, ........:... t 7'1 :'1.'.. . '-"~"".I~I
~E~O f.Mr C'~~~eOiT<'.'I.D~i\~F~~~~(we'EK ~FTEA YOU FILE.
"'\J7~/.l/"
. Sl~e 2
~_~:'PA1.iLI~b-m.'YI~En.1ttr-YOur 18x)lablhti-"Qm Lj~o ~~.On.SI_(jo ,1; .
l!DoJiifl'ATaiWilflliiilikJ/om PASchoaulo W:ZS. QCYOUf[Olm(S) W-Z.QI Ollior slatemontt;
15. Credillrom your 1999 PA locomo Tall Rolurn.
16. 2000 ESlimaled Inslallmenl Paymonts
17. 2000 Exlenslon Paymenl. ...
18. Nonresident Tax WIthheld on your PA SChodule(s) NRK-1. . . . .
19. Tolal ESllmaled Payment. and Credit.. Add lmes 15. 16, 17, and 18.
Tax Forglvenell Credit. Complele Unos 20a. 20b. 21, and 22. Read instrucllons,
20a. Filing Slalus; c::::>> Unmarried or c::> Married c::::>> Deceased
Separated ,__"-.___
21:""rolal EiiQibTIitVTncom~ rrom-Pa!!..~.:J:]D9 1T-FiA-~~fi9.fj~o-SP.l . . . . ~.
-------.-; ~
2~:JaXForalveness Creel! Irom PaifD:-Une-f~PA-SchedurErS~
-.- -~-.
, n j
-
...........................
23, TOlal Credit lor1axos Paid 10 Other States or CounrnDs. Enclose your PA Schedule G or AK.l. . , .
24, PA EmploymenllncentivD Paymenls Credit. Enclose your PA Schedule W. AK.l or NRJ<-l. ...,..
25. PA Jobs Creation Tax Credit, from enclosed cenificate or PA Schedule RK.l or NAK.l. .. . . . . , . .
I\J
B 26. PA Waste lire RecyclinglnvestmenlTaxCredit,lrom enclosed certificate or PASchedule RK-l or NRK-l. . . .
C
~ 27. PA Research and Development Tax Credit, from endosedcenilicate or PASchedute RK.l or NRK.l, ...,
c
g C1B.TO-,;u-p~E'flTS8iiiI1:R1mlrS:Aifcl L1nos 1'(T9. .n022111,ouOh 21J . . . . . . . . . . . . . . . . . . .
c
~-X-OTIE:l1 Line 1315 moreJhan Clne~. ent~Lf~jtterence he.m.,j . . .. . , . . . . . . . . ., . . . . , . .
rO:-OVERPATME'NOTIiie28 Is morelhan lIne 13, enlor the difference hereJ ,..,..,.....,....
Tho tOI.1 0' Onos 3Ylh,ough-37 musl oQUgt:lJM'3.o:J
~fund .. Amount of Line 3i) YOU want as a cheCk mailed to v.Qill . , . . . . , . . . , , . , . ,. Refund
32. Credit - Amount olUne 30 vou wanl as a cred.t to Your 2001 est.mated fax accou.n!J ' . . , , . , . . .
p3. ~~~;~II~~ :-.~~.o.u.n~ ~~ ~~n.e. 3~ .Y~~.~~~n~~~~~f.~m.lh~Ud:R~~~~~c.o~~~~~~~~U~ril........
pr.g~~,::::::,o;. ~~~I~'I~I'o~Je. ~~. ~u. ~~~t. t~. ~~~~'~ .'~ .r~:m~~~~~o.s. ~IY~~~. . . . . . . . . . . . .
5. Donation.. Amount oj Lme 30 au want to donate to the Or an Donor Awareness TniSil
......,.."..................,....,.......,..".......,........,......
. onatlon.. Amount0TDii'e3o au wan! to Oonale to lfiBkoreBIVfe:tnam Memorfannc.
. Donation '. Amount of Line 30 ou want 10 donale to the Breast anaCervlcarCance''''
. . . , . . . . , . . . . , . . , , . . . , . . , . , . , . . , . . . , , . . , . . , . . , . . , . . . , . . , , . , , . .
23.
24.
25.
26.
27.
26.
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30.
31.
32.
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34.
35.
36.
37.
Under.penalties of p'erlury, I (we) declare that I (we) have examined this relurn, IncludIng all accompanying schodules and stalements, and 10 Ihe basi of my (our)
belief the arelr 'correct end com lele, ""_'
Your Signature: DilIO" Vour 0 upallon:
0000220012
0000220012
....J
~
PA '...Flle SCHEDULE SP 0006610014 I
Specie' lex Forglvenl.. Crodlt
PA.SPT.'oF,I.,0900j 2000
... DlPARtMIH" 0' Ri~eNUf. . ' , __
II yo~ con;;oi-T"DFiiO~;~Y~~'llll!i ~.Chlldult' Wllfl your I'A.40ll. II your IIlIng sllllu~ changod and/or
you havo dopundcnl$, you lIlu~1 Mo 1110/10 lorm PA..m llnd PA ScllotJulo SP.
:::~(,~) ::u.:::~,:~ ;:rU~:,A ;::::~u~:" la" YCar-:~~:'~VO~i".;'YO~~'~"I-1 ;'9;'nlt:'~e~r~;U~,j~O-Te::ls:~,:':::m:0~~Sk you lor To,
Forgivenoss Inlormallon. you m~y not uso....!.IIJ!!FIf'. x.o.'!...mus~~p_~:~/'D~f!~~!-_.~~~~~5J!'!.'!_~~~..!~!~.~~!!~~~o a paper PA.40EZ.
Type Flier lor lex Forglven,".
c) UNMARRIED Tho Filmg SIal us on your labolls Single Aoad (ho Instruction I for Unmarried for TalC ForglvonolB Purposos You uso Ehgiblllty
. Incomo Tabla 1,
o MARRIED Tho Filing Status on your labol is Marrlod, Filing Jointly, Of Married, Filing Saparatoly. nOfTJumuor Ihat you musl use Iho Jomllncome
lotl:ll, uvon on stl~aralu rululIIs. You usu EIi~!y III<':OIl~'!~!!!~_f~II_!~!_~_~_~1 only.
Nontaxable Incomo for Tax Forgiveness. II llImg as UNMARRIED. use Your Incomo column onl .
Incomo and the Spouse Incomo columns. See tho instructions. Your Income
Spouso's Taxable Incomo. it Married. Filing Separately
1. Nontaxable interest and dividends.
OfFICIAL U~( orlLY
II 11l1ng as MARRIED. completo both Your
Sause Income
,.
00
00
00
00
00
00
00
00
00
00
00
00
00
00
00
Impol1anL II your F,long
Status Is Married, Filing
Separatety, you must
include your spouse's
taxable Income in the
Spouse Income column.
Do not include your tax-
able income because
TeleFlle will include it
when calculating your
Joint Eligibility Income
for your Tax Forgiveness
CredIt
Joint Income
00
2. Alimony, ..".,..,.. . . . . . . . . . . . . . 2.
3. Insurance proceeds and inhorilances. . . . . . . . . . . 3
4. Gills, awards, and priolos. ......... 4
5. Gain excluded on the sale 01 a residence - ill00% excluded. 5,
6. Nontaxable educational assistance. ....... . . . . . . . . . . . . . . 6.
7. Cash receipts, for personal purposes, Irom outside your homo. . . . . 7.
Joint Income II Married, even if filing separately. Enter the tolal of bolh columns, includln your spouse's laxable income,
8. Total Nonlaxablelncomo. Add Lines 1 Ihrough 7. . . . . . . . . . . . . . .. 8. 00 00
If Unmarried, enter Your Incomf;l tolal in Part 3 on your Teletlle Worksheet.
~ II Married. even if liling separately, enler Ihe Joint Income lotal in Part 3 on your Teletile Worksheet.
::J STOP. TeleFJle will calculate the rest of this schedule and lell you !he amount 01 Tax Forgiveness to enter on Line 7 01 your TeleRle Worksheet. If you want to calcu.
::J late your Tax Forgiveness Credit, see the PA TeleFJle Schedufe SP instructions. II you do not wanlto use TeleRle, complete thIS schedule and use it with a PA-40EZ.
;ci Read the Instructions carefully. Complete Lines 9 through 13, ONLY if filing Ihe PA.40EZ,
~ 9. Tolal PA Taxable Income. Enlerthe amounllrom PA-40EZ, Line 4. ..........."".,..,.,....".,...,... 9, 00
::J 10 Total Eligibility Income. II UNMARRIED. add Lino 8 and line 9 (Your Income'o'al) 00
::] II MARRIED, add Line 8 and Line 9 (Jointlncorne column) . , , . , .. , ,.. , . , , . . , . . . , , ., 10.
11. PA Tax Liability. Mulliply Lino 9 by 2.8% (0.028). ................................................... 11. 00
12. Percentage of Tax Forgiveness. Enter Ihe percentage here. ".......,...,..,."..................,.., 12. .
II UNMARRIED, compare Line 10 to Eligibility Income Table 1.1f MARRIED, compare Une 1010 Eligibility Income Table 2.
13. ~~~e~~~~~V:~~~~ ;r:-~~E~~~[~~ ii~~ ~ ~ .b.Y"~~. ~~r~~~t.a.g~. ~~ ~~~e. ~ ~'. . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . , . .. 13, I @Q]
Important You may not claim Tax Forgiveness using TeleFJle if you received Tax Forgiveness for 1999. but changed your marital status in 2000, or if you
did not receive Tax Forgiveness on your 1999 PA tax return. You may not claim Tax Forgiveness using TeleFlle if you received Tax Forgiveness for 1999,
but have a dependent in 2000. You may not claim Tax Forgiveness using TeleFlle if you are a student claimed as a dependent on your parents' 2000
Federal Income Tax relurn, even illhey qualify for Tax Forgiveness on their PA tax return, because you cannot enter your parents' information using TeleFlle.
PA.UE re'oFlle,o'.OOj Unreimbursed Employee Business Expenses
PA DEPARTMENT OF REVENUE II you cannot TeleFl1e, you may use this schedule with your PA-40EZ.
If you need more space, you may photocopy this schedule or prepare your own schedule in this format.
Name 01 axpayer Claiming Expenses; DeJal ecurily Number:
2000
Rleha~d' L Moni~mi~h
mployer's Name;
J 68 - 36
3266
Employer's Address:
Describe lhe duties 01 the jOb in wh h you Incurred Ihese expenses:
mployer's eJephone Number:
LabMU
Direct Unrelmbursed Employee BusIness Expens~s.
1.. Union Dues. List Union name(s) and amouni{s) paid. Enter total. Submit additional sheets, il needed.
2.
Work Clothes and Uniforms. Required as a condilion 01 employment and not suitable for everyday use.
oe5criPtion:--S~ .7"
Small Tools and SupplIes. ReqUIred as a condition of your employment and not provided by your employer,
Description:
1. I
2. I
3. L
4. I
4t;O
I]QJ
tQQI]
~
[QQ;J
3.
4.
Total Un reimbursed Employee Business Expenses. Add Lines 1, 2, and 3.
450
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0006810014
0006810014
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161-40-2103 0161402103
INDIVIDUAL RETIREMENT ACCOUNT
M& T BANK AS TRUSTEE FOR
..
~/~;:;: ;~',', :~~",r,,~ tf~':"';;L'C~
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'x.'.. , f ~< ,,-~( d.
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M&T
TELEPHONE BANKING CTR
PO BOX 767
BUFFALO, NY 14240
800-829-1924
4335 67,027
NANCY A MONISMITH
1495 LONGS GAP RD
CARLISLE PA 17013-8664
~~~~~I 1600538020
[1fiipil.jRf.H~te;KI~m 10 - 2 1- 48 I
~~J!IIlllt_RANSACl1rCl"iIl~illlJP'T(Cl"iliill!i!IJ1~Il)lIlitllil!llHIli1AM~urmt\l.!iiliillllIA~C~
ACCOUNT NO 35-004200212964 ACCOUNT TYPE IBM ADD-VAR RATE 5.700
MATURING 03-20-02 REGULAR IRA
01-01-00 BEGINNING BALANCE
01-07-00 INTEREST
02-07-00 INTEREST
03-07-00 INTEREST
03-13-00 CONTRIBUTION FOR 2000
04-07-00 INTEREST
05-07-00 INTEREST
06-07-00 INTEREST
07-07-00 INTEREST
08-07-00 INTEREST
09-07-00 INTEREST
09-19-00 INTEREST
10-07-00 INTEREST
10-20-00 INTEREST
11-20-00 INTEREST
12-20-00 INTEREST
ACCRUED INTEREST AS OF 12-31-00
23.84
23.93
22.45
300.00
24.95
24.39
25.28
24.56
25.45
25.54
9.93
14.90
13.98
38.99
38.26
14.77
BEGIN PLAN BAL
PLUS DEPOSITS
NET INTEREST
LESS DEDUCTIONS
PLAN
6,931.15
300.00
336.45
.00
SUMMARY
DISBURSEMENTS
FED TAX WITHHELD
ST TAX WITHHELD
TOTAL PLAN VALUE
2000 IRA CONTRIBUTION INFORMATION
THIS INFORMATION IS BEING FURNISHED TO
THE INTERNAL REVENUE SERVICE
BOX 1 - IRA CONTRIBUTIONS IN 2000 OR 2001 FOR 2000
BOX 2 - 2000 ROLLOVER CONTRIBUTIONS
BOX 4 - FAIR MARKET VALUE OF PLAN AT END OF 2000
BOX 6 -
6,931.15
6,954.99
6,978.92
7,001.37
7,301.37
7,326.32
7,350.71
7,375.99
7,400.55
7,426.00
7,451.54
7,461.47
7,476.37
7,490.35
7,529.34
7,567.60
.00
.00
.00
7,567.60
300.00
0.00
7,582.37
IRA
RETURN BY APRIL 16, 2001 TO:
CAPITAL TAX COLLIiCTION,BUREAU
~@oo
LOCAL EARNED INCOME
TAX RETURN (FORM 531)
TOCOHIT1T\I1'I '''00' or FlLlNO. THE 'AXPAYER" COPY MUI' I. VAUDATlI
IY TH' IUPlUU, TO HAYI YOUA COPY VALlDATI!D IY ......L. "nunN 80TH TN
BURUU" AND TAll,AVI"" COPl!t ALQNO WITH ".Ill' AOO"II"O ITAU'II
IHVILOPI.
TAX O,rtCl un ONLY. DO NOT WRnllN THII "AU.
See "General Instruction Sheel"
lthls packet for mailing address labels or
see back of return for addresses,
phone numbars, and office hours.
www.captax.com
W.2 EARNINGS (From allached W.2'.) .. .. . . . .. . . . . . . . .. . . . .. . .. . . . . . . . . . . . . . .. . . . . . . . . . . . .
EMPLOYEE BUSINESS EXPENSES (Allach Fedaral Form 2106 & Stalo Schedute UE). ... . . . .. . .
TAXABLE W.2 EARNINGS (Subtract Line 2 from Line 1) . . . . . . .. . . . . . . . . . . . . . . . . . .. . . . . . . .. . . ..
OTHER TAXABLE EARNED INCOME (NO INTEREST OR DIVIDENDS) Complete Soction B on Back. . .
TOTAL TAXABLE EARNED INCOME (Add Lino. 3 and 4) .. . . . .. . . . . . . . . . . . . . . . . . ... . . . . . . . . . . .
NET LOSS FROM BUSINESS. PROFESSION. OR FARM (ATTACH FEDERAL OR STATE SCHEDULE C. Ko. F)..
SUBTOTAL (Subtract Lino 6 tram Lino 5) IF LESS THAN ZERO. ENTER ZERO. . . . . . .... . . . . .. . . .. .
NET PROFIT FROM BUSINESS. PROFESSION. OR FARM (ATTACH FEDERAL OR STATE SCHEDULE C. K orF)
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add L1no. 7 and 8). . . . . . . ... . . .. . . . . . . .
TAX LIABILITY: 1% OF LINE 9 (Multiply L1no 9 by .01).........................................
101AL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (From allached W.2's. Box 21).....
aUARTERL Y PAYMENTS AND/OR LAST YEAR'S OVERPAYMENT CREDITED TO THIS YEAR.. . . . .
CREDIfS FOR TAXES PAID TO PHILADELPHIAANDIOR STATES OTHER THAN PA (ATTACH LOCAL SCH. G) ANDIOR CREDITS FOR CERTIFIED
RESIDENTS OFTHE HARRISBURG KEVSTONE OPPORTUNITY ZONE IKDZI....... . ............ . . . . .. . . . . ........ ... .... . . . . . ....
TOTAL WITHHOLDINGS& PAYMENTS (Add L1no. ", 12and 13)...............................
TAX BALANCE DUE (Sublract Line 141rom Line lG) PAYMEIH NOT NECESSARY IF LESS THAN $1.00. .. ..... @ .
INTEREST & PENAL TV (Soe In.trucllon.) . . . . . . . . .. . . .. . . . .. . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . .
TOTAL BALANCE DUE (Add Lino. 15 and 16) Mako check payablo to 'CTCf)" . .. . . . . ..... . . ... . . . .,
OVERPAYMENT (Subtract Linol0 from Line 14) IF LESS THAN ZERO. ENTER ZERO..... ..... @ .
OVERPAYMENT TO BE REFUNDED. . . . ... . . . . . . . . . . . .. . . .... . . . . . . . . . . .... . . . . . . . . . ..
OVERPAYMENT TO BE CREDITED TO NEXT YEAR'S TAX.. . ... . . . . .. . . . ...... . . . . .. . . . .. .
OVERPAYMENT TO BE CREDITED TO SPOUSE'S BALANCE DUE FOR THIS FILING yEAR......
I-
2
3
4
5
6
7
8
9
10
11
12 .,
13
14 4- I
.joo
15
16 r.
I
I
17
18 i
19 .4-:.
20 .'
YOUR RESIDENT MUNICIPALITY DAYTIME PHONE NUMBER . .
(TOWNSHIP, BOROUGH. OR CITY) TAX OFFlCE 'eYCDJeO...........eC~LOT..~~~
t\QRTtl MIODLETON niP USE ONLY G33~181633000a149'
YOUR SOCIAL SECURITY 0 168 136 1326b YOUR NAME ~CNISMllH RICHARD l 01 P'l'
NUMBER (LAST, FIRST, Mil
SPOUSE'S SOCIAL @ 161 14'J IHC3 spouse's NAME "CNISlltTtl "JI/CV A <:2 ,
SeCURITY NUMBER (LAST. FIRST, Mil ,
'E YOU MOVED FROM THE IF YES. COMPLETE SECTIONS HOME llt95 lONGS GAP RO
IINNING OF THE TAX FlUNG A & C ON REVERSE SIDE OF THIS ADDRESS CARllSH fA 11013-86
IR TO PRESENT? FORM.
DATE
PAEPARER'S NAME (PLEASE PRINT)
FIRM'S NA~E,(OR ENTER 'S.e.-IF SELF-EMPLOVED)
CAPITAL TAX COI.L~:CTION BUREAU'S :\n::\lImR MUNICU',\I.I'IU:S ANIlIIIVISION INFORMATION
The following munlcirlllilles an: 5ervro hy the Cupilal T.n Culle'linn Burcllll. Shown helow un.' Ihe llulI1idrillilic\ ,,"crvcd hy our Ilarri\hurg anti Curli~le Divi~ion."
110 shown Drc our Divi~mn~' om~ houn. phune numtlCr!\. and varinu\ mailing ;ultlr~l..,c\, Otlr 1)1\'1\11'"" llllke, 1I",lli,,", iUl."' ,l1ttWll under the cnlumn 10 (he figh
.tilled. "If NO Payment or NO Refun&Credil", Mililin~ .ullll1.'\\ lahel.. mC' ilhu r.ruvidl'~llIlllhc "CiCIll'riIJ hl\lnu:lloll Sheel" illllu\ fUfm pad:cl. If Ihey ilre mi5sinp
C';J,~ aJdrc~~ your tiling In the currccll)i\..hiHI1 and IIMillng iI,I.lrc,.. J" ,h.'''",:rihcd k:luw. TlI~IC: ille'.\ dl\tll1,'1 mMrc"l:\ Inr minting )'our rcfllrn(~) b,I'iecJ on whC'lhC"r)'OI
e (I) mu.king a lax p~ymcnl willi yuur telurn, (2) n"~lu.C\I!"g.i1Ii1~ ~l'~~lIlll tlr cn:dit un YUllr fl'lurn. nr dt lihllll)'lIl1f felurn Wllh flO paymellt nr refunll rtllue.~1. If,
Iym.:nt is cllclmed with yuur relurn u'e (he "PA Y~tI~N r I:N{LOSI~() ullllre\oJlilhcl e\lcn If )'IIUf 'lluu\C I' al'll !llmg lllllhc ,alllC Iclurn lInd h.iI'i II refund/credll. or nl
'ymenl or no refundfcredit. Likcwhe a REFUND/CREI>IT lahclhllldn:" t;'~e'i prel.:ctlcncc mer ;1"NuIJilymcnl (lr NO RefulIltlCredit" 'i(XIII~al ,ilualion.
('apil;ll 101\ ('ulll-t lillll Bill t';III-IIOIrri,hllrt: I)h i,iulIl7 )7) B.J-.l217 II1IlIP..: ~tun~'1 hu. Halll..JJJIII. Fri, H:JI);III1'~plll
Ie lIarrbhur Division ~cr\!t~ re.,idclIl\ of Ihe follllwin' ItIl1nlci <lllIle,,;
lJAUI'lIIN COUNTY
Drrbhur Cif Reed Town"hi
i hs ire Boreu h Sleellun Unroll .h
nnl Relurns (Fonn 5.1 I) for residcms of Ihe ilhnvl' Itlllllidp.llilic' "htlultl he lIIailed In appropriale add,e,," a, ,hllWI1 helllw:
If PA YMENT Enclosed: IIlk4uo,'ing IUWU;I;lJ/CREIlIT; If NO Paymen, and NO Refond/Credlt;
CAPITAL TAX COLLECTION BUREAU CAPITAl. TAX CULI.ECTION BUREAU CAPITAL TAX COLLECTION BUREAU
PO BOX 60547 PO BUX (,(J(,89 2)01 N .IM" ST
HARRISBURG PA 17106.0547 IIARRISIlURG PA 17106.1)689 IIARRISBURG PA 17110.189)
I'EKR\' COlINn'
All Munici illilit,
JUNI,\TA COUNTY
(jrc~nW(KKt Townshi
. ('allita) '):1\ ('Ulll.t'lillll Bun':!u - ('lIrlh~h.' I)h biul) (7171 2,tl.J72S Iluurs: l\tou. H:JlJalll-~plll. TIIl'-Fri. H.luU-.JIJlII .
lC Carlisle Division serves rcsident~ of the followlnJ;: municipalilic.\:
CUMBERJ.,\NIl COlJNTY
ulislc Borou h L. Frankford Tw 1. Newville Bom" '11 Penn Townshi
JOke Townshi L. Mifflin Tw . N. Middleton Tw . S. Middletun Tw
i kinson Townshi MI. Hull S rill's Bn. N. Newloll Tw . S. Newton Tw .
nal Returns (Form 531) for residents uflhe municipalilies directly above should be mailed 10 appropriale <Iddress as shown below:
If PA YMENT Enclosed: If RO'luo.,ling REFlJNIJ/CRf;IJ/T: If NO Paymon, and NO RefomVCredit:
CAPITAL TAX COLLECTION BUREAU CAPITAL TAX COLLECTION BUREAU CAPITAL TAX COLLECTION BUREAU
PO BOX 400 PO BOX 698 19 S HANOYER ST STE 102
CARLISLE PA 17113-0400 CARLISLE PA 17113.0698 CARLISLE PA 17113.3336
U. Frankfurd Tw .
U. Mifl1in Tw .
W. Pennshoro Tw .
B
"",Gii~n~tm~r~IT~;i:Mf'1.6YEA INFORMATION (Complete only if you moved durina th~ tax veer.)
V EMPLOYER'S NAME DATE eMPLOYED OURING THIS TAX YEAFI
FROM TO EMPLOYER'S LOCAL ADDRESS GROSS EARNINGS
LOCAL INCOME TAX
(BOX 21 OF W'2)
I
(>'., ~"'~'-"":'.:' "...:..,....-~ ' . "'.
EotiqN B:; OTH.ER TAxABLE EARNED INCOME
;."~..~.J::;'I'..'-,,..c:.\.......J,.<..-,..,.l...: ':, .:' .>. '..' "" .;
V PAYMENT FOR (WORK OR SERVICE PERFORMED)
RECEIVED FROM (PAYOR)
AMOUNT
EC~~ON~:.MOVINGINF()RMATI()N (If you moved durina the tax vear, a/so complete Section A above,)
PERIOD LIVED HERE
TO
TO
TO
TO
MAILING ADDRESS
CITY / BOROUGH / TOWNSHIP
IRRFNT AnnRF~Fi
(IFPJ~F;lf.F!g'tr!H~tJ
11~~
P.O. eox 787. Bu"alo, NV 14240.0767
1099.I"T (OUD No 154$.0112)
t099.DIV (OUD No 154$.0110)
1099.010 lOUD No 1~~0I1"
10M Mise lOUD No 1545-0115)
00490095L
'_A (OlAO No 1545-08771
1009.0 10UB No 154S.07151
10G9.C: tOl.tO No '~5-1U4
toot-S 10MO No 154$.0097)
1098 (OUD No 154$.0001)
E. I.N. 16-0538020
1-800-724-2440
FOR TAX ViAR
RICHARD L MONISMITH
1495 LONGS GAP RD
CARLISLE PA 17013-8664
4319
D
2000
l~PAYER ID NUMBf:A.
168-36-3266
2000 - 1099-INT, INTEREST INCOME
CLUB SAVINGS
BOX 1
ACCOUNT NUMBER
025004920234298
INTEREST INCOME
20.23
TOTAL INTEREST
20.23
-Form 1099~OID:Thls may not be the correct figure to report on your Income tax return. See Instructions on back.
LOOM {1ZIOOl
1091.IN1
1089.0IV
1(199.010
1091""'1ISC
lon.B
1(199.A 1099-C
10U.MORTGAGE
TMlrlormallonnlJdto bog. 1, Z, Ind 3" importalltlUlnfOt.
mallenalld It btlngfurnlllledlotll.lllt.rnal RtvenveS4llVie..
Ilyoul,."quit.dtolil..,IIurn,."gllglnc.ptn8ltyorotller
../\Clion INY be impond on)'Ou If till IRS dl1trmin'lthllt In
undlrplylMntolllllr..ulblbtCIUI.YOUOVI",l.,.d. d.cluclion
lorthi. mortg.g. lnl.r,,'or lor I"" pointlor blClVI'You did
~~. .~~~.. ...'" _foo."~' l..........~~ ._... _....~
Thill i.lmport.nlllxlnforlNhOnlnclit bli"ll'urn'llIIdloll'a
Il'lll.rnaIRIYlnlllSll'llC', II you III rlqui"dtorl~1 rllu,n,'
nlgllg.l1CIp.MllyorOltllfllne1iOnrNrfblimpolldonyoull
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llport.d.
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,.,urn..naghg.nup.nlllyorCll11rIlIltIIOnmlyb.
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RECIPI(PH'SAENOER a ~ ..",'." ."" "'~ n,,",11Otf
OMONo 1~".1~16
8nJllEHT LOAN SEI;VIC1NO CENTER
P.O. BOX 2461
HARRIS8URO, PA 17105
2000
Student
Loan Interest
Stetement
1_233~7
~ IPI N 'S ....lCMnll'~hon no nORROWER S toClal ''-11''', ".,..,t>N
FO't'fl1098.E
1 !)l.n."'Jnanlnllllle"'QCflNed
WRROWER'S IlIme, lit..., ~<lrell. (If)' 'tate.ltP codlll
,
1383
Copy B
For Borrow.r
fhot"~l'-.
"bm.allonand"~
1umi'~lolNolnllll"'"
Rill...,,,, s.rw. "vou
....,e<'lU"edto~~.
1'I'lum..negl'll8rc;1Il
~~(6of>t1fWIr>LI<ll1
md1 be""~oow<lon 10U
,Ilh.,tRSdIIllemlll'",
mlllenund"Plllmenl
oIli"'8'u/l,/:llJcoouW
youOVlll',lllle<l.
<leduc.loon/of'lu<lenl
Iooninfllrnl
~r1mt1nlolt"..Tru'liJ/) tnl.."MR.........Ser-....;
RICIWlD L MDNlSMITH
1485 LONGS GAP RO
CARU9LE, PA 1701:H8ll4
\cc:ounl IlUrTIIMt (opllot1al,
1011O!
l.tructlons {or Borrower
person (including a finanr;iallnstitution. a governmenlal
lit, and an educational institution) that is engaged in a
:Ide or business and, in the course of such trade or
Jsiness, received interest of $600 or more during. tho
lar on a. student loan used solely to pay for qualified
gher education expenses must furnish this statement
you.
You may be able to deduct student loan interest on your
~me tax return if the interest payments were made
(11'"1'.....,......,....""".1
during the (irst 60 months the interest payments were
required. However. the interest reported on this statement
may be different (rom the interest you may deduct. See
the .Student loan Inlerest Deduction Worksheet~ in your
Form 1040 or 1040A instructions. Also. see Pub. 970,
Tax Benefits for Higher Education, for more information.
Box 1. Shows the Interest received by the lender during
the year on this student loan.
III "
PLACE
20~ STAMP
HERE
BEFORE
MAILING
CHANGE OF ADDRESS
TO:
STUDENT LOAN SERVICING CENTER
P.O. BOX 2461
HARRISBURG, PA 17105
STUDENT LOAN SERVICING CENTER
P.O. BOX 2461
HARRISBURG. PA 17105
~'
,.~
T
l~i
.
FIRST.CLASS MAIL
US POSTAGE rAID
LOGAN, UT
PERMIT #431
IMPORTANT TAX RETURN DOCUMENT ENCLOSED
0011937 AV "AUTO T3 0 :roo 1 "/013P.ffl495
1",11I",11I",,,,11,,11,1,,1,,11,,,11,,,1..11,1.,,1.1.11..,1
RICHARD L MONISMITH
1495 LONGS GAP RD
CARUSLE. PA 17013-8664
CHANGE OF ADDRESS FORM
NAME
ADDRESS I
ADDRESS I
CITY
STATE LLJ
ZIP
I I I
I-I
SIGNATURE
,-
I I
7669
.. TAXPAYER COPY..
3/01/2000
III I.L NO
3836
.........,.
f')
ROBIN K. SOLLENI1ERm;R
S HILI. DRIVE
CARLISLE. PA 1?013-96S0
COLL 12/28/00
VALUE I----~---r
200 '
!
""
JOB TITLE
LABORER
CTI, 29 2388
SSN 168-36-3266
S.ooooo
5.00000
4.90 I
4.90!
I
I
5.00
5.00
5.5
5.5
'Ul~
~,
""
M."'U
000"
MONISMITH. RICHARD
1495 LONGS GAP RD.
CARLISLE PA 17013
. .
CNTY PIc
JfUll PIC
-, .:
9.
."
C<lU
CI"(;!
"""'.
PAYMENT HOURS:TUE 10-4 THUR 10-e
LAST SAT:APR-JUN-AUG-OCT 10-NOON
CALL FOR HRS LAST WEEK DISC&FACE
PHONE: (717) 249-0747
EsseD STAMPED ENVELOPE If RECEIPT IS DESIRED
2.0\ 10.0\ DIS NT
2.0\ 10.0\ 3/01/2000
TO
4/30/2000
FACE
5/01/2000
TO
6/30/2000
PENALTY
AFTER
6/30/200
NC
DEADLINE ,TO APPEAL OR _CHA!lGE . JOB 'l'I,TLE, IS 90; DAYS;PRQK,- StLI,:t;J)AfJ:JS
240..6365 OR 691-0371-EXT 6365 OR 53:t-7286Ja'1';:,,636S'::,,(~t~'.i;\:~~i,:t.~,~~i.J::i;'
, . . "-',: ~';"':::'."';;~:;"'-)~.:;,"-;/~<li~~))<i,~~~\~I:t;~."""
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pa,..............,..f"iII'IL"..pIllIIWIIIOI'I.....".....~Sl,ItfItmCU'tI....diII1dtlIellr'fO,l".,
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~1IoId.lIIOl'IIIt'cr..CIfIIIIcal."ctftcUlfl'l""MOItfItI....,..OIIdC....''"''aH.MotIOI~IrtIt..Cr-
..........MiClClfI.~f\OlfIt~.....alc:r_lIfet*etf'CllCtftlMl:llldlPt~~NIidInce,YOI.t
"""be MlfdIO' cM\lCIlOftlilMlllOf\ 'OI'lfI";1lI. 4. t.OffIt IQlIfw 1OtIl...... S1OC.o:lD lnO.ooo" tl'\tmtd ~
"""ftllvtOl.1G9'N' ....."""'.,.,__N""".IfUl..Iu.",yoyIJIomt ltuctlllln.l'IiO"lOfn.tQ.v"vt
1CM1'lI.~1riII"..~INIYblllftlllld,fOIlI\OI.,.,I'IIlIOl\...,.. tH,HomeMortglgllrtttnl 0tlMb0n.
......NoI..poItUIl'.IIClCI'IItHIO'I'OU_IoIJ.,."pora'!'OUO'.........,plldN'f'II/bNPJFCN._d)'Wpt!tcW
ttIiOIIaNl"'lOoMtd...repoftIdlO 'f'OI,I- aer........... powa .,.'*'~ IIltl'lt ~.' 0Iid. W'f'OI,I1I'Iu1l
...1d....1*dpollUtIlf'lllNbUllaI'ffN'~ QNtpol'Cll'lCltftClOl'ltdtnNbl;JI~bI~,5MPt.b1J8
OIyQ1tJl1cNdultA'0l'1ft10GlIlIlJUCI1I:IN
...1..DtIlCll..................~iafrrtckllot~)oflf1..It't'CUma4lin.~~.0fV'...
/fyou.,IdOlOl.tlUlNIn",,,,,lII,ouPlidlWlrW-.lro..dItrIIW'WTlOl.I'lIlflOWI'llnb Jont.... "OI.hlflrcoml.
holyouralX>>forM1OCL......,cIollllltClOl'ltlllttf\lNt........''f'OVdldllllllltmlltcWuctlOlll iI'ltl'llV'lflJlyou
DIId...__No.......,.,.lOyourllFiDf..wltp~.,.....,y.Fot".q.ir'iIotmItJo'\- .AlCCMtla"lnP\b
bl.TautlIIlftlS.........~
...t...TN...,....,.".,_..._IO~'f'OVQCI\If~Mfl..,UlllUtttp..OfinlufIfUDlod"')IYl
......
!!!!!!!!~ ntru....1or -.rrow.,
pinion . 1Ab\.~rilftlS.ntdueltloNllNtitutiOnlt/lltIIIl'lglOldln.trIdtOf
tIuIlM.. Irl",COIIIM of IIoICfttr.cII Of tluINII.llCtMd 1rlI",. fAUOOOf ,"01'" on .ltllll'" loin IIMd JOItty 10 ply
fctqJIIlllldPllCll'*~tlPII*Imultfl.rNlftlN.l\Illll'*'llloyau.
'lbu mlYtlI.bMlOdI$.ICIltuclll'illoIII ,.... on 'f'O\IIlI'I:omI1U ''''''' "'" Ire.... DI'jfMl'Il' """" m.dI duIInlIlhI ftm
IOrnortIII1htllUr..pIVI'I'lIIUwttlllQUirlCl..........II\lIrll".ltltpOftldonllli.lUtIlTItl'llm.Ybldilf....lromth.
""'..\GlrnlY'dICl4s..N-studIrll.olnn...~WortINII"lnyauIF0l'ITl10400f 104QAinItructionl.AlIo.
,,'1&110. T..IlnlftlIotHlQt\ItEduc.ItioI\fOt'mOt'.IrIQ1fN1lon.
1oIl1...SIIOWlI fit""'" raIved bv'IhI IIrIdeI durlngthe yur on lNt ....Ioan.
~.'<::"'-Ir.I.. InIt'I1MaOftIIorIo<<ower
IllQlIt1II1'1 iIllfllllll IIl'ClPIItYf\Il...........fOt' .1otn00wtlo 11M rIIIOI'ItotrGwttllC uti propllly
hII~""""mwf~tolo'.INI<<UnK')WnwrllM~i'mTltOfll:abeelUlloflt.dl~1I\lon
OI~aIinOt'lOalrom,"~II01f'l"11YlMIUtCltJr"'dil'ItrIn:Ibltwllnyour~Ultldb"I'In\l'll
pIOPIIf't.nIUhlll"IlClU'tfAyourdlbClnCllldInIldlll'lglIotNPl'tOIIfY.OI.If""ICII.thlSIlIpoc::Hda.lfyou.blndonId
IhIproptrty.youmlYtlMlra:wNlrom\l'llcllcfllrglofil'dltf:.....lntlllllftOUl'lclthl~bIl..:tofyaurctralld
dItlt Voumt'/IlIoIIM...tomIblr'ldclnrnlRUPlOlNll$IIIIdbllllfA1tIlptOplftVlClhttllNoft/)lndOllmllnt.lOlll.
on~0I...o...,_ad~flIIdbpIIWJNII"""l'QlII6.dtllt.SM"""5oW.SIlIIII'dOherDilpollllcn
d......lotlrlorrnlCklnlborJ:bldoU.lI'Id~
Pro9IrtYrnIII'I.ll'IIIpopIIti.lIuctl,,'pn)I\IIrtlidlrattl"tlrUllgibllprooerty.lIldtlngibllperlOllllproplllythlCiI
hlldblnWatrln 01 uMd In .!rlde Of t:adIne&
IfyoubcrrowldrnorwtonthllprciPlftYYothlll'NOlllllM.uctldyoulhouldr.-lwlhilllll.n-.rt.
1oll1...F<<.lIrd1f.lCQ.IiIllIonfAprtlplltyttlll....MCUrltyfor.1cI1\1tIldllllhowllisgnrlltylhl..rIiIloIth.dIII!IIII
WII~IOIhI.....OI1htdlU~ll'llIthlt:IuIdII'lIandbllllllllofCWllllltlipWllltrllllferredlOthI\IndlJt.
TNllM1b1NdItId.IotIdcan<<IIlIl:LIiOIl"orhdltlytNl~d~OIol:fdonIll;)hd.FoI""bInOOrYrW'f.
thedlttlhownlllhldlUonwtlictllhlllncllrhllnlW<<lIIcItMICIIIIOtncMlhlllhlpI098ItfWl.IbII'ldonedOfttl.dIl.of
.foredoaIrI.tll:ICUIIOr\<<IWniII'.....
Ioc Z. -Showt IhII1'1'lC1U1'1l ofthf dltf: lprh:IpII only! owedtoIN IIrld<< ontl'llloln wflIn thllrUI.1t In the propIIIyWl'
ICqUirId bylt..1endIr OIonlhldltllhl1lndlr1lnl1lnlw0lhld rMlllIllO tnowlhllth.propIItYWII'bandonId.
lair.. -ShOwII/lI f,1r tnIIUI YIIuI oftl'lll"l*tY. Ifthllmounlln bOlr 4 illeu 1h1ll1hl1lTlO'l'll1n t:Jll2. .nd.,,:IU1 dlbllI
CIIaIId.'tOIln'llVhMCIIlCIIIIIloncldlr:.lnc:orM.
"1...ShowIwtIIItlIt.,,:IUWW'pnonIly"bIIlot~dlhllolnllthltllNthlclIbIWUctlllldcr'.lfmodifitd.
IFfflInllwululrnodiflld.
1CIl"_ShoMIhI~dltll~~bvftllrldlrerllbll'ldonldbyyoJ.lf"CCC"'illtIO'M\lhIformlndielUl
lI'lIlITlcutdlfPi~CrlcllCorponIIonIcln~ng",,*,yaulorfeitedVOLttolMlOdly.
tnmuctlon"ot Rtctp.nt
In:IllIrtIflllChlr'9lrn..-'lpCIIIprOOIIdIfrornnnucdor'lllO.,,:IU1IIcl101hl1,.IIT'IIIRlvenUlSorvlol.ThbIOlmb
utldlOl'lllClllthlllproc:MdL
1oI1.._ShowIlhltrlldldltt ofth.tr.1'lIICIlon. Fer IWlgItIl'Iponing,nollCJ'ywlll be prUll'lt.
1oI1b.-F<<broQrll'llUCliorw. rlllYlhowtheCUSPICorrmill:" CWl UrVfOl'lTl Sectdyldenlif'atiol'l ProcedurasJ numberol
:hellemrlpRd.
1olrZ._S/'OWthtprtll:lldllrom~lrwoI\oIrIgllO:b,bOrdI.cdlerdeblobflQltionLc:omrnocllllII.cr'lorwIn:ICOI'CfICU,
!AllSOIllorwlrdOCll'ttlCtl..lIlllWI'Ilnpllll'Cl'leMl.Thilbalcbllld~prtIC8lIdIfrcmregulateclluluruCQItIIaLThI
:wUrtl'klltlndlemwhllhlrgroa.pIClOIIdI Ot'groa prClCMdlleuc:ommlllln.nd opIionprlltl'liulNwere r&pOlled lOIN
RS.AepoI1 tt1l1lrnounlon IchIduII D IForm 10441. ClplIIIGllrll.nd lmIIl.
1oa3. -ShowIlh.fllr II\Iltll\l1lu. of IIl'/trldlcrldlll Ot' IO'Ip crld/ltldlOycu 1CCOU,.'0l PdIIIlaItof plOI)IltyOlleMce'
uwellucuhralvedthrough.blrtlrlXChlngL Raponban.rinQlncom.lnttl'propIrplnoIForm 1040. SolI PW. 525,
rmbllllld NoruublIIncomt. for Inlormlllonon I'lOWIO repor1tt1illrcoml.
1oI.._B<<tuPWlthhOlding...bllow.
1orl5. -Shawl. brIIf dllcrtpt!on dthl "m Of HIVicI lor which the ptOCMdI or banering Incomll. being repotted. FOI
r.lalldlWlrIlCCl1I'1tt1.ndIOlWltdcortrlClJ, "AFC"'orOlt\el.pt)I'OI)IfIItdncrilllonmlYbelt\OWn.
ao..._Showsl/llproftt<<(Ioa)rellUZIlIonregulattdfutulllorfOlIlll"CUIl".n:yconuldlcloseddurlng2CXXl.
101 T.-ShowIIIl'/.,...,..nd ldjuttmertlOthe profItor lloullhown Inboddu. toopencontl"ldJ onOoe6mblr 31. 19'39.
IoIL-SIlc7NIthlurntllzldprolllorGoal onoplllc:ontrlCb held inyout ICIXIIJltonOecembllt31. 2COO. Thtsa 118 COIIIidIred
lOIduof!tl&ldlll.ThllwObeeOrn.IIlIdjUllll'll,.rtportldlnboll7ln2C01.
IoIt._Bo.ese.7..nd811.u.edlOftQurelhlIOO'tgltlprafttorllouJontl~lIedlulutuorforeignc:umrcyconttllCulor
:N'lUr.lnclucllthllllgullonyour2OOJ Form "1', Gllnllnd Louu Flom s.ar0l'l1255 Con!IICU IIld Str.ddlu.
Inttntctlon.foID.btor
I 19II'Cf. ncIlllnltlMlon,or(J'edlunlonClrallOlf~l.dlIttyouCM'$ofseooctmore.thlsIOlm
'Tlustbeprov\dldlO'fW,Cillllrlly.lfyou.rttnlndMlilll.youmustllldudlth.ClncellKllmountonl/'l,.OIherlneom..11n.
:JForm1040,1l\'OU''''lXlIJXlf'IIloIlpeMellhlporcdler8l1itv.reponlh.canceleddebtonyourllllllltUrn.SMt/'I8lnstruction1
'oryourll.rltullL
~.IOIII.ctral6ddltu.luctlUcertllnltudlr1:loI"'lIrlePIiI.5Z51.c:ertaindlbl"IldUCldbythe.eUtl.lterpurchl"
:... Pub.33.1.11u.lirlldlttmdllttlt..~b.ml.qu'lilledrell propertYbuslneacllbllm Nl. 33.I.ctdetutllnceledin
)ltllavptcyllHP\b,toIJ..rellClllncludibl.inyou'Inc:orn..CoIlOl'~port.CIIlOIIeddel:tlllncam.llyoudidnotdeduclilbul
NOUld hi.... belll.bl'IO do lOonyourllll relllm if you hid peld itAlIC. do not Include Clnceled debts In your rrcomelO the
SlltenlYOUWllrell'l101vert.llyou8lldudllarceltddebllromyourln:omebeclUMilWlSceraledln.bankruptCycueorduring
rwoMtcy, or beclUI. the deblll qUllil11d f.rm debt orqullifildre.1 property bullneu debl.lil. Form M2. Reduction ofTex
l\ttn'bulatDueloOlschtrgloflnd.blednmlJndSectlon1C82BlIlsAdjustm.rtI.
JoJ:1..Sh0Y4t/'18d11.th.detf:WdCll'lOlled.
Jox2.-SIIO\Wtlllemountofd.ttClnCIlld.
Sol: 3. -SJ!OWilrterut lllrduded In th. cel'lOlleddlblln boll 1. See Pub. 525. T,llIbI..nd Non!IllIble Income.
So. 5. -Shows. delCript!on ofth. debt. Ifbox? I. com9IlIed. .1101h0Wt. delCrlpt/on ollhe property.
SOil" -Ifttlobollll rnlrUd. the CJICliIor hu IndlcaIIdlh. debl wIIClnClled In a bankruptcy prOCHdlng.
10117. .1l.lnth'lIITl.cIl8ndtr~lI.' fOfeclOluflor .blndonme,. of propertyoc:currod InCOMealonwtththe Clncenlflonol
hedllbl.thef.rrm.rUtVllu.olthepropertywilbllhown.OIVOUwinraM.leperlteForm1099.A.Acqullitlonor
Sblndonm.nt cfSealrod PtOjlllty. You rnIY lllvelrcom. 0I1oa1 beeaUII ofti'll lCIlullilron or .b.ndonmant. Sae Pub, 544
311" 1nd000lfOilpoltlOlllolAnsu.lorlnfomletlon .bolAforedosurll .nd Ib.ndonmenIJ. .
JacllupWlthholdlng
;I\OWlbaCkUPwlthhOldlng.For.llmpl..llIrlonlnollurnllhlnllllllrtupayerldanllflCltlonnumlMrlOlhlp.yer
>lcomlwb]ecl 10 blckup wllhholdlng II I 31% rlt. on Uft. n p.ym.nll. 5.. 'orm w.e. P.yet'1 Requall for
r",pIVllld.nllflclllon Numbe' .ndCerllflc.tlon.lot Inform'llon Ofl b.ckuPwl\llholdlng.lncludllhlllmourrton
fourlncom.lurllumllluwhhh.ld.
.1I11._IIl._.,..[l.....~...II. 1iIWtnMIIoI'II"~
c...-II.........."........,.. PM.......,....... ......,...,..'NM
...1..0rdlNr'r~...-IftCWI"""1floI'I4'""~..........,..,..~........
...".....-O'W'...,...hd"""_ar 1OI)l_"",,'~"""I""" WIG.....,.,.....
10M3Al.NQUIrt4Ttw1t/ftClU1'11l1W:1udMII'IW'I/NU'ltNwnIn....
n.lIl'lOI.I'Clf\OlIII'IlI'II'IbI.lbIrbJlIon""'II'I~IICd~plIfIUQII\""*'........."'.,."
1nCQIfIII1I.,...,."'bultrt<<....p.,...~NlI..~."....,Il;r"#IIp,#pClII.
......-............----""',---...--
tr\I1I Mlol"raI/'lowll'"box..a.k.II'IdJd....~/rI1ox II """"'" ........""IQII..Gft.,.....O....IOQ,
PlItt """_....... ..NwnrnloxnJb.JdaMyW*""'foIClIIII...... W.... .....11I11III.............
fN.,tlIIblIIOIIPOIW\l1t!\OUI'Il IIIIor2.0I'l.... .c.prI.Ilflll'lOl..,......olfOlll' _,,,.NIlGft""Ofoml
1GQ.SletNFonnIO*).ntlI\.IClO"lll.
... lit. .. S/lowrIftl., Olin from....ar l*NnOIolOllllKtibln. RIClO"I'" """'" .....,....0,.... tOG. ''''I.
hi ,.... urvlCl~~1d 1IiClIOI'I1~ OIi"tO"lctlUindlOllClltlll rUlll'Oll1lft' "'"""" """'01\"""_"
U......l4ltd_ taGaa,"WorlahMt intrll NltutIlnforlcfllO.lllO,,-,", tOIOI
1oa2d...SIctIOI'II202pnfrClfnCtl'l"",,"tlMiAI..odIIIMtlClIO.IO\..cIVIIO'\ s..~D',"" 100
...........
1011.- ThllPllloflllldiltrJWlOI'IilllClf1l&1b1.blCluIIltil.r.""'oIrwCtlllIOl....., --..""",.....-
IOfOl'* t!l1lIJb'!'thllll"oOlll'lllorlguMO;p'I OIIo11'l'1MnW'OU....,w hCi.-...." WOlf" tu tI.,w..."
blliIl.tI()OltMur.noru.lCltdi.rtluIiontll~~Ml'lttI<NgII""'torIIIlf'\CIlll'If\IIft..l\()1IxtIlI...,....
IrWalmll'llllWNlIldExpenMI
ao. 4,.. IIckupWlltIhokItII,SlIbelow
".1.. Art.,.rnourt II'\OlMI 'I \'OUI1tI,f, of ..pennl (J .l\OIIClUbfldy ofI111d '1fulII1d lrMIlI'MI'Il CCltIIOMW, ltI'*tIv.
l'\Ol'I;lUtlIrd oflt!'ed """"If" fulld If voo r... For... ,0&0, ~ '"IV 6Idld till.. 'IPINI' onlhl "OthIr .tWlIII. "" on
khedul."lfonn104ot~IOIIll2"4~mlL TlIistrnO\llltlllndlMClinb1.
loa.. _You '"'1 bt .1lI.to Cltim 1NI1or11flU. "' .dIdl.diOnOt . crldll on F0tIII1040. 1M yoyr '01'" 10*) InIhCtIOI&
'OX".lftdt.S/IoWClIII.t'ld~PlliquldIllngdillfltNliOrll.
NomIMM..s..bt~.
""~"_h"_I'.~". ......,..",'..F.. IftIlIvcOon". AIcIpl.eftt
101I ,t...SI\owIirI...... PldlOyOUdunrlg"'ClfnIM'I'tI'b'!'tIII~- TNldoIIl'ICltir"dlllllirt...~W\*llfyau
'ICIl'o'I.F0l'ITl1otJ.1NTforlrll.,..Plidon.I.....trnPI~.....~tor1lU'ilWllllUlIIwn'\
lOll Z._SI\owIirI...Ofpmcipllforf..ldblClulld..,..,wlthdf....d~....... YourttrfdlO;.QfliloniN.,."...,
on..tIywlmlt.Wllolll'o'lrtgl. hof'orm lIMO.
1OlIJ._S/'lowIIrlI.'.onU.s. SI~1'tQI8ordI. rrMlUrVbil.. TllllUl"f'tIor'ldI.tndTrtlWYlICtIL Thlll"IYClIrttrfl'lCltbul
IaxIbII. SIINl.55O,1rNalm..IrmnlIndEIpIIWII. 'ThiIil"llflll...."""lrorrl...lI'dloclln:ome-"........
ilnotlncludldlnbolrt.
loat._BlCluPwtthholding.'Hbelow.
NomInMt. SH billow.
III~~_.""'_." ,_.........,...... Inswctlonll.fteclIpIent
Amouralhownonttatorm'"*Y'bllUClldto"~tu..YUNl_lncornIltorn"'~IISC:OOl
11IOI" you mullliI..1ttIm and comput.your IIIl..",p/oymInl till on IkhIduII II IFonnl. SIt Nt. m....
[rn~T...torirlorrnlliononltll~lrcornrL.nonx.n.OIIlld11I11C1dyIllldMtclclrlIlul""""""
by....~.~I'l'IIYtm.lOrnUlll!irTlltldtuplylnll'ailyculll..lIClIIWlglfIIIIPf'l'l'*U. StI'''''' 104H1.
EIlIITIICIdTtxrorn:Ndulll.
llyou....ll'llndIYkNlI.rIlPOl11t1t1lQbl.lIIl'l(U'tIlhownonttlillormonyw '0IIfl1040....lNclbtlolM: lCIIhtrt.lldI
ucaporlllonl.ftducllrillorplrtnlrthlpl.llPOIIthtlll'KUUonthlproclllllnlfAyourlllrttumJ
1ox..1andZ._AtportrtrUlromfNI....onSchedlMllfOt'rnlO401.lfyouprovldld~~lOtI'lttawtlOkl
1111 utII. .1. buIinm. or'lI'CId ptIIOIIII pItlpII1y". t:IJIk'JIA fI9OIIonScNlUlCore.EZ!Form 10C1.Forroylillltll on
tIrnbW.COI~lIldlronOl.....P\lb.'".SlII'lIllllOtt..-~oIAee8
ao.lwGllllrllly"tpOr1CW\IN"OthIrlnc:or'nl.hForm10401Ild1dll'Clfy...~.lfIln'IdtOt'bu*lIIIlrw:cmI,
rtpOllthllllllOUllonSdlllU.C,C-EZOfFlform10401. ThelmOlll'lllhownml'fbtPI'J'I'I*UyoullClMd......~
of. dlcwldll'l'lpbvM.lWa.IWlrds.llXltHdll'NlIfII.lncIlIl gemlng proIltI. Ot'OlhItU:XlbllirlCOl'ne.
1ox:.._BlCiupwtthhOldng....bIIow.
eo.l._AfpOt'tOl'lScheOJIICorC-EZlFormI04Ol.
Iolll._GenerIlv.lhowsl\Olllmployl.comPll'llllion.llyou".lnttlttrIdlOlbusinuld~lIsIl.IoI:7mlYllhow
cuhyou tlClivld klrthe lilt of liIh. Glner.n.,. payn'lIntI llported Inlhil boll nlncomllrorn IIIHl, lpIG;rnn. Slruyou
tlCllwdtllllform.rllhlltNn FormW.2, tt1.PI.,...ITIIYhI....CONid.ldyoullll..",~ tndlid IdwltNloldm.rr
IIClJrilyOlMtdlClIIII....R.por1..If..III9IOVfnII'IincomlonSctlIdullC. ca.Ot'FlForrn10<<l1,1l'llI~tM'"
~'"'tuonSchlclullSEIFotmlG40I.HowIvII.lfyou.'.nol:~'eportlhlllmcurtonlhe"W1OIIo
SllJrIt.. Tlpl,EIl:. .lInIdForm 1040.ClllhllRSlorlnflllllllllonlbrMhOwlOl'IP'!1tnyIClCillItCUlIlyIlldMlcbr.ttxea.
IoIr L ..ShowtlUbItiIutI pr,1fIIIU in 'w of dMdIndI ortu.aemp: 1rU,..,1CIIwd Ilvyout brobt on ~ bIhIIf.ftet
tr.flIi'lIolyour l8CI.riIill fOt un In IIhort..... RIPOI'I onttlt .000001rc:ornl.IIlI dForm 1040-
Boxt._llfl'llrked.llt"lOvouofCDlallTlllpro:ll.mon.~.dIpoIlI~OI"",bMllor,..,.tlMlI'l'lOI.rII8d
IOS5.000OImOfI. ThlpeIIOIlllllrtgthil'lluIIlllotlnothMlOfIhOW.doIII"lmounllnlhllboLGlnlraIIy.rlpott.rrrlnc:omt
lromyOVt ..I. oflMll producu onScNduIl C orcaIFOl'ITlI04Ol.
Bo. 13.- """ or "tPP. mlYbllhownloldlrtifyttl.IrcomI.,,:IUrlCli'o"ld:
A.GrOll proc:eeds plldto.n 1II01ne., InCONler:tlonwilhleg.1 MMIL R.port oIIIyttl.uubl. pll1.11nc:omt onyour
""'~
EPP-Excea golden plflChult peymentJ IIlbjealO. 2al' IIlCIHtu.SeI yourForm 100l0inItructIonIfor lhI-TotaITIJ( IinL
TheamOUrllnBo.7isyourtOCalcompensl1lon.
0Ih1lInlonnltlonm.yblprovidtdIOyouInBo.,3wlthou1"".or"EPP".
1I'~~_t1'._.""II..."~"""..I. Inswctlonl tor RIdploInt
0rigIrIal illuecb::ountlOlOlll1he DOlI*' of lIlobfiglllon'llIIIed,tdernptfon prk:IlC IT\IIUIIIyowrltl iItuII prlcIlKqullltlon
prlel for . stripPed bond 0' couponl. 010 iI Uubll U Intern! (Ml thllIf. fA thI obIigIIIon.lf you.ft tht hoIdIr 01 In 010
obllgeIlon,QlIIIlI'IIIy.youmustlrdudl.n.moul'lloIOlOlnyourVOIIIrcomIIICh\'lIlYOUholdthooblgltion.
ObliglliOlll t"lll mlY h.VlOID Include. bond, d/lbe,.ur.. notl.ClrlilleII.. 01 other IYIdrCI of indItf:lIdrlaI;hl'o'lng .tlllm
ofmOtltllln1ylllr.Fctllllrnp!', Ih.OIDlUlum.y.pplyIOClllifiCIIllofdlp()litlCDl~tlmIdrlpoW.bonuI~""'pIIn1,
.nd other d.pod 'rrlngllTllllllJ. .19ICi.lty If th. Plymlnl oll""U111 def.rred urd II\IIutlly. In .ddltlon, 1M OlD ntl..
applytoTrusurylnflllron-lndeled!ltlCll~ies.
If. IIlh. record holder. .,,:IU rlllCllM Form 1099..QtO Ihowlno Irnouru belonging 10 II'lOthIl plllon. 'tOIl "' conlldllld.
nomlnllleclpient. You mulIlD, Foon lOO9-OtO lor uch ofllllotherowntl1ll1cM1ng !hI.moJI'IlIllOClbl.IOuc:h. FvrriIh
e Form 1099-010toeedl owner. File Form/II 1CJ99.01DwiIh FonnlOH.AmlIl SurrmllvIlldTrll'4tllllU1 olU.s.lrlormllfon
Rllume,wiIhth.tnl.rnal R.....nuIServlclCentllloryour.rea.Dn.IChForm lllW-01D.lIICyouIIIlfullll.pIyIf" .ndth.
Olhtr OWNr u lhe .,edpi.,.., On Form 109S.llltyoumllll the "fiIl1..A hlllblnd orwil.1I noc rtQUlred tomu nomlnet
'ItUmlolhow'mounuownedbytheothar.If.,,:IUboughtOllOld.nobllg.t1ondurfngth.vurlndyou'"~.nomilllC!.
you .re not r'llulred 10 lUue or fil. Foml 1099.Q10 Ihowlng III. 010 oUIfI.d r,..IUI.ttOClbl.10 th.lIl1l1Jt!lI'1If oflM
obfigllion.
lox 1.-ShOWlttle OIDonlh, obIlgatlon rOlIhe rwtoflhe~lfyou owned" Rlp)ltthlll'llOUrtln Box 1 u I"",,n:om.on
yourlnccrnetlllrelurn.HowIvIIr.II.,,:IUplIldecqltilitJonorbondpremlum.orlfth.obfigllionll.ltrippedbondorllrippld
coupon. you mull compute your proper ell\OUntofOlO.llyoumullcornpul' VOUr proper 0I0.llIe 'ub, 1Z12, LIlt ofOrlglMI
luueOlscountlnltlllm.nu.longurelll,corre<:tOlOtoreportOnyourwcrllUlI\
Bo.z._ShowsolhGrinlerUlonthiloblfgclonfctthevw.whlchllen.mour1ll1perll.fromttlIOlD,llyouheldtlwlobGgetlon
the entirevur.repol1thlumOUnIlSi,.erastlnc:omeonyouru.reltJlI\ Ifyoudbpoud oftheobllglllonOllCllulf'ldllfrom
.nothlll'holderdurlngthoyear,MtPub. S50,lnvestmetClnc:cm..ndExpenla.forreponlngll'lllrUl:llOns.llthor.lsln.mount
InbOlh bo... 2 .ndS.lhe emountlnbo.Z lulsolntereston. U.s. Trllwryobllgttlolllnd" exemp\ll'omltltundlOCllI
In:om'tues.
Bo. 3. _ShQWII,.erestOl prircipal for1e~ed if you wilhdrewthemOlllV belOl.thtmllUlllydllt oflhe oblrgllion.luch.lfrom
. CD, You mlY daducl this on the "P,n.ttv on utly'Withdrawel of Slvingt.line olForm 1040.
BoIl4._B.ctuPwittvlol6ng.."balow.
Bo1l5. -ShowIthe klentlf.catlon numbe,lCUSIPnumberl OIdto4X/on ofthtobllgetlon. The dWIIptIon IT\IVlrdudethe Ilcx::t
exchtnga.illuet.r.oupontlle..nclyottolmelllri!y.
BOIl,,-ShowsOIOon.U.s. T"lIuryobllg.t1onIOltheparlolth'ytI.,you~dIt.RepOl'1thlllmou"onyoutFlder.1
~::r'~~:~~s':::~~,.1,2u1J~~r~~~~',:epproPrlaU IdjuSlmentllothll.mount. ThI'OIDlsallll1lp\fromllllllnd
BOIl7._My.mountlhownl.your.h.reoflnv'lImanl'IQ)8r11l1of ..lngle-dluREMIC.lfyoum.Forrn 1040.youmIY
dedUCIthes, expensa. ontlle "01h., ..perllu.Une of 8chtdul." IFOIm l040llUbjllCtlOth. Z%IlmiL Thl. .mount I.
Includ,dIn Bol2,
Nomln..,
Iftllll fo,m Includtl .mountl bllonglng 10lnolher parlon. you areconlldered ,nominee reelpl.nt, You mutt m.
Form 1099.01V.1NT wllh lhe IRS lor lath 01 I/'Ie olh.r ownerl to Ihow Ihllr .lIet. of thelncom.. Ind you mUlt
IUlnllh. FOlm 1099.01V.INTto IIch,Ahulband .nd wlf.ll not required lonle .nomlnll,.turn tOlhow.mounll
owned by the other. Selthe 2000 OIll.rallnlln.lC'llolll lor FOlm1109Sl, 1091, 5418. .nd W.20,
.-
; Merrill Lyooh
ESPpW
Employee Stock Purchase Plan
Quarterly Statement
o ,ooooot....".osO..OOtOO'I. 001 002004:15
ITATEUENT PERIOD
08130I2000 TO 1212a12ooo
A=UNf NUUBER
1.1.311.3288
RICHARD ~ UONISUITli
,.DS LONGS GA~ ROAD
CARLlS~E PA
SERVICE CALL OR WRIfE:
101.21.ESPP
). BOX ~30
W BRUNSWICK, NJ OUID-0430
-
17013.??oo
DESCRIPTION
,.. TAX IN~ORJ.AATIO'" ...
I fHIS PERIOD
YEAR.TCJ.OAfE
. REPORfAB~E DIVIDENDS
1.00
$.00
DESCRIPTION
OPENING POSITION
... CURRENT HOLDINGS ...
C~OSlNG POSIfION
12129 PRICE
MARKET VA~UE
H BALANCE
1.56
1.58
$1.58
AL
$1.58
IF YOUR ESPP ACCOUNT EARNED MORE fHAN $10 IN REPORTAB~E OIVIDENDS OR INfER EST
IN 2000, OR IF YOU SO~D SECURIfIES IN 2000, A CONSOLIDATED TAX REPORflNG
STATEMENT WI~~ BE MAI~EO TO YOU BY JANUARY 31, 2001. BE SURE TO ~OOK FOR f1iE
ENVE~OPE THAT SAYS 'IMPORTANT TAX DOCUMENf ENC~OSED" PRINTED IN RED.
ALSO ENC~OSED IS A HE~PFU~ BOOK~ET ENflf~ED 'A GUIDE TO YOUR 2000 MERRI~~ ~YNCH
TAX REPORflNG STAfEMENT( WHICH EXPLAINS STATEMENf INFORMATION IN DETAI~ AND
SHOWS HOW IT SHOU~D BE REPORTED ON YOUR TAX RETURN. IF YOU NEED 10 SPEAK TO A
PARTICIPANT SERVICE REPRESENTATIVE. P~EASE CA~~ WEEKDAYS BETWEEN THE HOURS OF
8:00 AM AND 7:00 PM ET AT THE NUMBER ~ISTED AT THE TOP OF YOUR YEAR-END TAX
REPORTING STAfEMENT.
P~EASE RETAIN THIS AND A~~ FUTURE QUARfER~Y SfATEMENfS FOR fAX PURPOSES.
O.16S3B32SS.(BOOjB21.ESP P
PLEASE SEE THE LAST PAGE FOR ADDITIONAl-IMPORTANT INFORMATION
001002181001100200455
~ Merrill Lynch
~kl1lt~r. S('curilirs IIl~e~lor Prnlection Corporation (SIPe)
',. ':: ':':_.~ d':;':' r: ~" -"
NANCY A. MONISMI'I'll.
Plainti f(
IN 'I'IIE COUH'!' OF cor.IWlN PLEAS OF
cur'lBEHLt\NIJ COUIJ'l'Y. PENNSYLVANIA
vs.
NO. 9H - G.l4:! CIVIL
RICllAHIJ L. MONISMI'I'll.
nefendant
IN IJIVOHCE
ORnER OF COUH'I'
AND NOW, this
J ...,
'c'
(.
,\
day of . '; ;(.i! tL it.V
,1
entered, into an
2002, the parties and counsel having
agreement and stipulation resolving the economic issues on
December 28, 2001, the date set for a four-party conference,
the agreement and stipulation having been transcribed, and
subsequently signed by the parties and counsel, the
appointment of the Master is vacated and counsel can
conclude the proceedings by the filing of a praecipe to
transmit the record with the affidavits of consent of the
parties so that a final decree in divorce can be entered.
BY THE COURT,
cc: vfarol J. Lindsay
Attorney for Plaintiff
~dward J. Schorpp
Attorney for Defendant
j>~ jj
i-O/'-<9-0ft AXS
r
"
f
;
advised that the parties have reached an agreement 'tlith
respect to the outstanding economic issues. The agreement
is going to be placed on the record in the presence of the
parties. The agreement as placed on the record will be
considered the substantive agreement of the parties not
subject to any changes or modifications except for
correction of typographicnl errors which may be made during
the transcription. After the agreement has been
transcribed. it will be sent to counsel to review for
typographical errors. Any corrections necessary will be
made and the parties will then be asked to affix their
signatures to the agreement affirming the terms of
settlement. It is specifically understood. however, that
,>I ')
:
""1
when the parties leave the hearing room today, they are
bound by the terms of settlement and there can be no
substantive changes to the agreement as stated on the
record.
Upon receipt by the Master of a completed
agreement, the Master will prepare an order vacating his
appointment and counsel will then be able to file a
praecipe transmitting the record to the Court requesting a
final decree in divorce. Ms. Lindsay.
MS. LINDSAY: The parties agree to a distribution
of property as follows:
^'-.-'
I
Commencing January 1, 2002, wife shall be solely
responsible for the payments on both loans on the house and
shall indemnify and hold husband harmless on account of any
loss of the marital home. Wife will also be responsible
for the pa~rment of taxes and the insurance on the home.
~\
1. Wife will retain the marital home, and she will also
retain responsibility for the line of credit and the
mortgage encumbering the marital home. Wife will also
retain the 1989 Bronco II, which is unliened, her IRA at
Financial Trust, her Prudential account, and the balance at
the date of separation in her Financial Trust business
account.
Husband will vacate the marital home within 30 days of
the date of this agreement. Wife will refinance the
marital home within 45 days of the date of this agreement
so that husband is no longer liable on the line of credit
or on the mortgage.
".'-"',
2. Husband will retain n~s interest in the cabin in
Huntington County, his 1995 Dodge Ram, which is encumbered
by a lien for which he will be solely responsible and for
which he will indemnify and hold wife harmless, the
Carlisle Syntec 401(k) with the exception noted below, the
Carlisle Syntec pension, and the 48 shares of Carlisle
Company, Incorporated, stock as well as the PNC account and
the Financial Trust Savings Club.
.",,/
3. The parties have agreed to divide their property by
providing to wife 55 percent of the marital estate with an
additional $7,500.00 payment by Qualified Domestic
Relations order.
4. Husband will transfer to w~~e $32,000.00 from the
Carlisle Syntec 40l(k) plan (which plan has a balance as of
September 30th, 2001, of $66,470.74). Counsel for wife
will prepare the Qualified Domestic Relations order but
husband's counsel will provide to her the requirements of
Carlisle Syntec for the QDRO as well as any sample orders
provided by the company.
....)
5. Within ten days of the date of this agreement the
parties will cooperate to transfer the title to the 1989
Bronco II to wife and the 1995 Dodge Ram to husband. In
the event that it is impossible to transfer the Dodge Ram
at this time because it is encumbered, wife will execute a
power of attorney in a form satisfactory to husband's
counsel and prepared by husband's counsel so that when he
obtains the title, he can make the transfer. In the event
that the power of dttorney fails for whatever reason, wife
will cooperate in signing the title to husband's vehicle
upon his request.
6. Husband will retain the items of personal property that
are set out on the list attached to this agreement.
Husband may remove these items from the marital home at the
time that he leaves. Husband shall be the sole owner of
all the property set out on Exhibit A. All other personal
property shall remain in the marital home and shall be the
sole and exclusive property of wife.
7. Commencing January I, 2002, husband will pay to wife
alimony in the amount of $750.00 per month payable in the
amount of $173.08 per week through the Office of Domestic
Relations of Cumberland County. Pennsylvania, and through a
wage attachment. In the event that the wage attachment is
not in place by January I, 2002, husband will make the
payments directly to the Office of Domestic Relations or as
it directs.
'~" )
r.
8. In the event that the mortgage to the marital home is
paid through the direct deduction from husband's checking
account, he will pay to wife the difference between $750.00
per month and the amount of the mortgage payment. Husoand
will keep wife advised of the status of the mortgage
payment and of the address of the mortgage company so that
she can make the payment when it comes to be her turn to do
so.
9. The alimony set out herein shall be modifiable upon a
showing of changed circumstances of a substantial and
continuing nature. Alimony shall terminate upon the death
of either party, wife's cohabitation with a member of the
opposite sex within the degrees of consanguinity, or the
marriage of wife.
10. Husband will prepare and deliver to wife an executed
deed to the marital home which shall be held in escrow by
wife's counsel pending the refinance and final disbursement
of the proceeds of the refinance at which time the deed
will be delivered to wife for recording.
11. Wife will cooperate in executing any documents
required by husband's employer to release her interest in
the balance of the 401(k) plan and in the pension plan.
12. Wife waives her claims for counsel fees and her claim
for alimony pendente lite.
'---..,...'
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f 111I1 1,1.:11' 'Tlil .\1 ,H~;', I ';,,;;, 'I','," .:or ',~".,I ."r'....,~r.' '" ,III 'I'.~t.: 1111. - ; .lj!~I.1I1 AWI[J!
hereinafter referred to as "Alternate Payee" is the Participant's former spouse,
presently a Plaintiff in this divorce action.
7. Parlicipanfs current and last known mailing address is 273 Nroth
Middleton Road, Carlisle, Cumberland County, Pennsylvania 17013.
8. Alternate Payee's date of birth is October 21,1948. Alternate Payee's
current and last known mailing address is 1495 Longs Gap Road, Carlisle,
Cumberland County, Pennsylvania 17013, Social Security Number 161-40-2103.
9. As soon as administratively possible following the Plan Administrator's
acceptance of the Order as a Qualified Domestic Relations Order, $32,000.00 shall
be transferred from Participant's account and segregated in an account for the
Alternate Payee.
10. The taxable portion of the Alternate Payee's distribution shall be rolled
over into an Individual Retirement Account without deduction for taxes or penalty as
requested by the Alternate Payee or, at the Alternate Payee's direction, paid directly to
her exclusive of Federal Income Taxes and penalty. Alternate Payee shall be solely
responsible for the payment of any federal tax withholding as a result of this transfer.
Participant shall have no obligation for the payment of any tax on the $32,000.00
transfer to Alternate Payee.
SAIDIS
SHUFF, FLOWER
& LINDSAY
ATIORNEVS.AT.U.W
26 w. High Slreet
~rlJsle.PA
11. This Order does not require the Plan to provide any benefit or option not
otherwise provided under the Plan, nor does it require the payment of any benefits to
the Alternate Payee which are required to be paid to another alternate payee under
another Order previously determined to be a Qualified Domestic Relations Order, nor
does it require the Plan to provide increased benefits (determined on the basis of
ORDER/NOTlCE TO WllHtlOLU INCOME fOR SUPPORT
/)/'/ /(//) \ ./, ;:'1',)('1/-/(
<S) ()"KIIl.I' (),df"iNuhtr
o Arnf'l1llfOcl()fflc.,INfJ4lcc'
o IrHIlIll,lll'O'tlc',lNuhrr
Slale Commonweallh of Penn'yllitniol
Co.lCilylO',I. of CUMIlKIlIJ\N1)
D..II' o( Ord..r/Nolin' 12/10/02 1).1
Trihun..I/C...... Num'.'r (S...... Addendum (or c.lle ,ummaryl
'If;1, /( .,C"/.)
J) -;J7
/i,.f "'jf,
f m,JlCl)'rr^\'.lhholtlt"'\ I t'ilc".tlll~ Nwnb.',
w' MONISMITIf, RICIIJIIlD L.
I fIl1111l\'f'('/()hll~1l'\ N..ml' n .t\I. I '''I, Mil
CARLISI,F, SYNTEC INCORPORATED
1295 RITNER HWY
PO BOX 7000
CARLISLE PA 17013-0925
160-36-3266
I rnplO'l"I'I'/Uhll)tClf'~ 'HI( 1,11 "'.'( 111,1'1" NUIIlIM"
7047101075
I mplny.,p/OhliRO"\ C.'\4;,'II.'ollll("(
ISf'iI ArId~ndum lor pI.lintilf IWml".
.lUoc;.J'rd with ("If!lf on ,,".mmMI}
Cu\loeli.JII'Jfc'nl''i NJmp UJ~I.I i,!>!. M!)
See Addendum for dependent names and birth ddtes dssocidted with Cdses on alldchment.
ORDER INFORMA HON: fhis is an Order/Nolin- to Wilhhold Income for Support hdsed upon an order for support
from CUMBERLAND County, Cnmmonwedlth of Pennsylv.mi... By 1.1W. you are required 10 deducllhese
amounlS from rhe above-named employee'slohligor's income until further notic,- even if the Order/Notice is nol
issued by your St..le.
$ '150.00 per monlh in currenl support
$ u. 00 per month in past.due support Arre."s 12 weeks or greater? Oyes @ no
$ 0.00 per monlh in medical support
$ 0.00 per month for genetic test costs
$ per month in other (specify)
for a lolal of $ 750.00 per monlh to be forwarded 10 payee below.
You do not have to vary your pay cycle to be in complidnce with Ihe support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much 10 wilhhold:
$ 173.08 per weekly pay period.
$ 346.15 per biweekly pay period (every two weeks),
$ 375.00 per semimonthly pay period (twice a month).
$ 750.00 per monthly pay period,
REMITTANCE INFORMA TlON:
You must begin withholding no later thdn the first pay period occurring len (10) working days after the date of Ihis
Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee. cannot exceed 55% of Ihe employee's! obligor's
aggregale disposable weekly earnings, For the purpose of Ihe limitation on withholding, the fallowing information is
needed (See # 1 0 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDUl Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Cdse Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
.DEe 1 1 2002
-(;
Date of Order:
Service Type M
.:..'~-=E~~?T' 2
Form EN- 28
Worker 10 $IATT
/~-// -0)-
(J.\lBNO,:O')70.()154
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS
o 'I_ chrckrd you .In' n-':luin'(llo "'j)\,itlr.I lOllY of thi, form to ymlf.I,'nl/)Juy.t(.. If yn~lr ('m'iltJYI'I,'_Wnrk\ in ,I \1.111' U1.1l.i'
( Iffl1frnl 'mOl thr \ldll'.h,III\\lJ('( thlli on t". ,It CJI'Y rnu\t IN" pro"J(fI't 10 yuur ('mploy,'c' ('wn II U1I' IM),( 1\ nnl c lu'( ("It.
1. We apprrC'idl('lhr yolunl.lry ('ompli.lO("(' of r ('(IN.llly (t'C O)tfll/l"fllndloln IIihr.... InlMlIy"owfwct hU\ltll'\W\, ,Hul'ndi,IIHIWOf'f'
bu\inrsW' IOfdll'(l on.1 U"\rIV.lliuf1 Ih.11 rhcM)\(' 10 wilhhulft 10 .luurd,II11I' ......Ih Ihi", nolic I'.
2. Priority: \VithholcfinR undrr Ihi... Orcf('r/Notin' h.I" priurity 0\..., ,IIW oll1l'r It'):.11 pron", uncft'r !oll.lh' 1.lw .IK.lil1\1111l' \.1011' infUlnt'.
Fl'drrdl tdX levi(llj, in rffc"(IIH'forl' non'j,)! oj Illir, mdt., 1M\'(' ,HicmlY. IlIIIl'n' ,tn' r('('N,11 t.l\ Il'vit'., in ('Iil'rl pl(',.\(O HIIl!.Ullhl' t(OfIUr\linK
agency li\led below.
3. Combining Paymrnltil You r,m romhinl' wilhlll'lcI ,HlUlunt\ Irolll mOH' liMn 011(> f'rnplnY('i'/ohliAor\ in< omfl in .1 \inAI(I,Myml'nt In
e,)ch dltency rl"(~u('!lljnJt wlthholdlnA. You O1u\;t, howl'vt'r, "(,,,.u,IIt'lv ilh'ntify Ill(' portion of till' \il1~11' JJ.lYIIU'nt Ih.1I i\ ,llIribul.lhll' 10 ('.Ieh
employee/obligor.
4. 'ilrponing the Payd,""JD"", of Wijhholding:You mu.1 n-port Ihe payt!ale/dale of wilhholding when ,ending Ih. payml'nl. Th.
paydateld~ of withhofdin,; i, th~datfl on which amount Wi.11 withhflld {rom th~ rmpl(Jyr<-', WiI!;f'S. You mu..l comply wilh III(' 1.lw of lhe
stale of lhe emploYL-e's!obligor'!! prinrip,ll pl,Ke of {'01plo)'nu'ol with n'\plocllO the tim(' pl'riod.. within whkh you muo;l inllJll'mt'nl the
withholding order .lOn forw.:ucl thl' !ouPfJort p.wnH'nl!t.
5.' Employer/Obligor wilh Multiple Support Holdings: If Ih('fl' I., morl' th.1O ooC' OrcjN/Nolin' 10 Withhol(j Inr01111' for Support ,lg.lin!!t
this employt'C/obligor ,lOci you Jrc un,lblc 10 honor .111 SUPl)ort Ort!pr/Notin", (hJl' 10 FNIN.11 or 51.11(' withholdinJ; Iimil.., ~ou mU!it folio......
the IdW of the st.:lll' of l'mployee'slobligor's principill pl,I('(' of employml'nl. You must honor i111 OnJer.JNo1i(('" 10 tl1(' ~rl'.ll('st ('xll'ol
possible. (S"" # 1 0 below)
6. Terminallon Notification: You musl promplly nolify Ihe Rellues/;ng Agency when the employe./obbgOl ;s no longer work;ng for you.
Please provide the information requested .lncl relurn a copy of Ihis Order/Notice Ie) the Agrncy 1(lenlifi('(1 b('low.
WITHHOLDER'S ID: 1614498090
EMPLOYEE'S/OBlIGOR'S NAME:
EMPLOYEE'S CASE IDENTIFIER:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
MONISMITH. RICHARD L.
7047101075 DATE OF SEPARATION:
7. Lump Sum Payments: You may be n~(luired 10 report itnd withhold from lump sum payments such as bonuses, commi!!sions. or
severance pay. If you h.lve any qurslioo\ about lump sum p.tymenls, contOlct the person or ,lUthority below.
8. Liability: If you fail to withhold income as thf' Order/Notlcr dlreCI!!, you .ue liable for both the accumulated amount you should pave
withheld from lhe cmploYl'(.'!obligor's income and other pl'n.lltic's sel by Pennsylv.lOia State law. pennsylv.loia Stale IJW governs unless
the obligor is employed ill another Sta!f', in which case IhC' law of the Stale in which he or she is employed governs.
9. Antkliscriminalion: You are subject to a fine determined under Stilte law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary olclion against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another St.lle, in which case the law of the St.lte in which he or !!he is employed governs.
10.' Withholding limits: You may nol wilhhold morelhan Ihe lesser of: lllhe amounts allowed by Ihe Federal Consumer Credil
Prolection ACI (1 S U.S.c. ~ 1673 (b)l: or 211he amounts allowed by the Sial. of Ihe employee'slobligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWEl. ADWE is the nel iocome le(t after making mandatory
deductions such as; State, Federal, local taxes: Social Security taxes; and Medicare taxes.
11. Additional Info:
'NOTE: If you or your agent are served with a copy of this order in Ihe state that issued the order, you are to follow the
law of Ihe state Ihal issued Ihis order wilh respeello Ihese items.
Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX .11 (717\ 240-6248 or
by inlernet www.ehildsupport.slale.pa.us
Service Type M
Page 2 of 2
Form EN-028
Worker ID $IATT
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ADDENDUM
Summary of Caws on AIl.1Chment
Defendant/Obligor: MONISMITU, RICHARD L.
PACSESCa....Numl..r 996105042/;1? 31
Plainliff Nam("
NANCY A. MONISMITH
~ Aft.lchmf'nl Am(Hlnl
98-6342 CIVILS 150,00
Chlldl,.n)', N.llnl'I'): 11( JR
I)AC'\I\ (.,t"l' Numh..r
Pl.linliil NimH'
Ooc!...'1 All.n hlnt'nl :\mnunl
5 0.00
Chihllu'nJ'.. N.lllll'(...l:
DaB
Ol( checked, you .1re fl'<luirl'd to ('nrolllhc chilcltr('nl
Identified above in any hCJlth imur.lnce coverage .wJilabl('
Ihrough Ihe employoo's!obligo,', employment.
01f (l1('ckt.'(I, you are rl'Cluired to enroll the child(ren)
idenliiiecl ,lhove in .my he.llth insurance cover.t8c availJble
through the cmployce's!obligor's employment.
"
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PACSES Case Numb.,
Plaintiff Name
~ Attarhmrnl Amollnt
SO.OO
Child!,en)', Namel'}:
PACSES Clo;e NumhN
Plaintiff N.-lmr
Dock.'l AU.Khment Amount
SO.OO
Chilcl(rrn)'s N,lme(s):
DaB
DaB
o If checked, you are required 10 enroll the child!ren)
identified above in any health insurance coyerJge available
th,ough Ihe employee',/obligor', employment.
o If checked, you are required to enroli the child!ren)
identiiied above in .my health insurance coverage available
through the cmployce's1obligor's employment.
J
PACSES Case Numbe,
Plaintiff Name
PACSES Ca,e Number
Plaintiff Name
Docket Altachment Amount
$ 0.00
Child(ren}', Name!,):
Docket Attachment Amount
SO.OO
Child!ren)', Name!,):
DaB
DaB
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Olf checked, you are required 10 enroll the chiidlren)
identified above in any health insurance coverage available
through the employee's1obligor" employment.
Olf checked, you are required 10 enroll the chiidl,en}
identified above in any health insurance coverage available
through the employee's/obligor's employment.
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Addendum
Fo,m EN.028
Worke,lD $IATT
Service Type M
(lMB N<J.; 0<)711.015.1