Loading...
HomeMy WebLinkAbout00-05717IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. CYNTHIA A. KOEGEL, Plaintiff VERSUS KEITH S. KOEGEL, Defendant No. 00-5717 CIVIL TERM DECREE IN DIVORCE AND NOW, AOKJL- ` , 2004 , IT IS ORDERED AND DECREED THAT AND CYNTHIA A. KOEGEL KEITH S. KOEGEL ARE DIVORCED FROM THE BONDS OF MATRIMONY. PLAINTIFF, DEFENDANT, THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORQ IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; kQ- The Agreement of record entered on May 25, 2004 shall be incorporated, but not merged, into this Decree in Divorce of Court as provided in 23 Pa. C.S. §31 . BY TH COURT: ATTEST: as an Order i. PROTHONOTARY iya _ _ ? ? G?? jl ,?y ? rs ? ? CYNTHIA A. KOEGEL, Plaintiff V5. KEITH S. KOEGEL, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 00-5717 CIVIL TERM NO. IN DIVORCE Defendant PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Grounds for divorce: irretrievable breakdown under Section 3301 (c) 3301 (d)(1) of the Divorce Code. (Strike out inapplicable section) 2. Date and manner of service of the complaint: Certified mail, restricted delivery to the Defendant on August 22, 2000 and received by Defendant on August 24, 2000. 3. Complete either Paragraph A. or B. A. Date of execution of the affidavit of consent required by Section 3301 (c) of the Divorce Code: by the plaintiff May 25, 2004 by the defendant May 25, 2004 B. (1) Date of execution of the plaintiff's affidavit required by Section 3301 (d) of the Divorce Code: (2) Date of service of the plaintiff's affidavit upon the defendant: 4. Related claims pending: None. 'The Agreement of record entered on May 25, 2004 shall be incorporated, but npt dry into this DD ee in Divorce and is enforceable as an Order of Court as provefle i Pa. C.S. §3?c6r5. 5. Indicate date and manner of service of the notice of intention to file praecipe to transmit record, and attach a copy of said notice under Section 3301 (d)(1)(i) of the Divorce Code Waiver of Notice signed by Plaintiff on May 25, 2004 and filed with this Court on 5/27/04 Waiver of Notice signed by Defendant on May 25, 2004 and fi 'th this Court on 5/27/04 Attorney for Plaintiff/D@F@hV@ttt Melissa Peel Greevy Atty I.D. #77950 r CD -j 0 i I '"?v CYNTHIA A. KOEGEL, Plaintiff, V. KEITH S. KOEGEL, Defendant. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW No. 002000 -,S 7/ 7 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 foregoing 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 in 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 other 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: Office of the Prothonotary Cumberland County Court House Carlisle, Pennsylvania 17013 IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS 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 Telephone: (717) 249-3166 CYNTHIA A. KOEGEL, Plaintiff, V. KEITH S. KOEGEL, Defendant. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW No. Civil 2000 IN DIVORCE NOTICE OF AVAILABILITY OF COUNSELIN G TO THE WITHIN-NAMED DEFENDANT: You have been named as the Defendant in a Complaint in a divorce proceeding filed in the Court of Common Pleas of Cumberland County. This notice is to advise you that in accordance with Section 3302(d) of the Divorce Code, you may request that the court require you and your spouse to attend marriage counseling prior to a divorce being handed down by the court. A list of professional marriage counselors is available at the Domestic Relations Office, 13 North Hanover Street, Carlisle, Pennsylvania. You are advised that this list is kept as a convenience to you and you are not bound to choose a counselor from this list. All necessary arrangements and the cost of counseling sessions are to be borne by you and your spouse. If you desire to pursue counseling, you must make your request for counseling within twenty days of the date on which you receive this notice. Failure to do so will constitute a waiver of your right to request counseling. CYNTHIA A. KOEGEL, Plaintiff, V. KEITH S. KOEGEL, Defendant. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW No. Civil 2000 IN DIVORCE COMPLAINT IN DIVORCE UNDER § 3301(c) or § 3301(4) OF THE DIVORCE CODE Plaintiff, by and through her attorney, Melissa Peel Greevy, respectfully represents: 1. Plaintiff is Cynthia A. Koegel, who currently resides at 125 Pine Lane, Plainfield Cumberland County, Pennsylvania, since 1993. 2. Plaintiff s Social Security Number is 178-52-5234. Defendant is Keith S. Koegel, who currently resides at 125 Pine Lane, Plainfield, Cumberland County, Pennsylvania, since 1993. 4. Defendant's Social Security Number is 203-52-8092. Plaintiff and Defendant have both been bona fide residents of the Commonwealth of Pennsylvania for a period of more than six months immediately preceding the filing of this complaint. The parties were married on November 3, 1979 in Harrisburg, Pennsylvania. 7. There are no minor children of the marriage. Neither Plaintiff nor Defendant is in the military or naval service of the United States or its allies within the provisions of the Soldiers' and Sailors' Civil Relief Act of the Congress of 1940 and its amendments. 9. There have been no prior actions of divorce or annulment between the parties. 10. The marriage is irretrievably broken. 11. Plaintiff has been advised that counseling is available and the Plaintiff may have the right to request the court require the parties to participate in counseling. 12. Plaintiff requests the court to enter a decree of divorce. 13. The parties may enter into a written agreement with regard to economic issues. In the event that such an agreement is executed by the parties, the agreement may be incorporated by the Court into the final Decree of Divorce. WHEREFORE, Plaintiff requests that your Honorable Court to enter a Decree in Divorce, divorcing Plaintiff and Defendant. COUNT II 14. Paragraphs 1 through 13 of the Complaint are incorporated herein by reference as though set forth at length. 15. Plaintiff avers that she is the innocent and injured spouse, and that Defendant has offered such indignities to the Plaintiff so as to render her condition intolerable and life burdensome. 16. This action is not collusive. WHEREFORE, Plaintiff requests that your Honorable Court to enter a Decree in Divorce, divorcing Plaintiff and Defendant. COUNT III EQUITABLE DISTRIBUTION 17. Paragraphs 1 through 16 of this Complaint are incorporated herein by reference as though set forth at length. 18. Plaintiff and Defendant have acquired property, both real and personal, during their marriage. WHEREFORE, Plaintiff requests that your Honorable Court to equitably divide all marital property. COUNT IV ALIMONY 19. Paragraphs 1 through 18 of this Complaint are incorporated by reference as if set forth at length. 20. Plaintiff receives Social Security Disability approximately $1069 per month. 21. Defendant is employed at AMP, Inc. earning a gross income in excess of $97,000 per year. 22. Plaintiff has insufficient income and assets to provide for her reasonable needs. 23. Plaintiff requires reasonable support to adequately maintain herself in accordance with the standard of living established during the marriage. WHEREFORE, Plaintiff requests that Your Honorable Court enter an order of alimony. COUNT V COUNSEL FEES AND EXPENSES UNDER § 3702 OF THE DIVORCE CODE 24. Paragraphs 1 through 23 of this Complaint are incorporated by reference as if set forth at length. 25. Plaintiff does not have sufficient funds to support herself and pay counsel fees and expenses incidental to this action. 26. Defendant is full and well able to pay Plaintiff counsel fees and expenses incidental to this divorce action. WHEREFORE, Plaintiff requests that Your Honorable Court enter an order for alimony pendente lite, counsel fees, costs and expenses. Plaintiff verifies that the statements made in this Complaint are true and correct. Plaintiff understands that false statements herein are made subject to the penalties of 18 Pa. Cons. Stat. § 4904, relating to unworn falsification to authorities. Date: Cyn a A. Koegel - Plain ff Date: C2lI [ fJ } Melissa Peel Greevy, Esquire I.D. No. 77950 214 Senate Avenue Suite 105 Camp Hill, PA 17011-2336 (717) 763-8995 Counsel for Plaintiff ?- S cxD ?C? 05/25/2004 11:45 FAX 717 761 3015 JDS&W Johnson, Duffle, Stewart &.Weidner By: Melissa Peel Greevy I.D. No. 77950 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 7661-4540 CYNTHIA A. KOEGEI., Plaintiff V. KEITH S. KOEGEL, Defendant AFFIDAVIT OF CONSENT NO. 00-5717 CIVIL TERM CIVIL ACTION - LAW 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on or about August 18, 2000. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing and service the Complaint. 3. 1 consent to the entry of a final Decree in Divorce after service of notice of intenfion to request entry of the Decree. 4. 1 have been advised of the availability of marriage counseling, understand that the Court maintains a list of marriage counselors and that I may request the Court, require my spouse and I `to participate in counseling and, being so advised, I do not request that the Court require that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unswom falsification to authorities. Date:MdY Q' l Iyia A. Koegel, PI ntift :229525 im 002/005 Attorneys for Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Lul v - - ? N ? 05/25/2004 11:46 FAX 717 761 3015 JDS&W 16004/005 Johnson, Duffle, Stewart & Weidner By: Melissa Peel Greevy I.D. No. 77950 Attorneys for Plaintiff 301 Market Street P. O: Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 - CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANiA Plaintiff 'NO. 00-5717 CIVIL TERM V. CIVIL ACTION - LAW KEITH S. KOEGEL, Defendant AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(e) of the Divorce Code was filed on or about August 18, 2000. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of filing and service the Complaint. 3. 1 consent to the entry of a final Decree in Divorce after service of notice of intention to request entry of the Decree. 4. 1 have been advised of the availability of marriage counseling, understand that the Court maintains a list of marriage counselors and that I may request the Court require my spouse and I to participate in counseling and, being so advised, I do not request that the Court require'that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4904 relating to unswom falsification to authorities. Date: :229525 c cs+ a r ;- N 05/25/2004 11:46 FAX 717 761 3015 JDS&W Johnson, Duffle, Stewart & Weidner By: Melissa Peel Greevy LD. No. 77950 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 CYNTHIA A. KOEGEL, Plaintiff V. KEITH S. KOEGEL, Defendant Attorneys for Plaintiff Z003/005 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-5717 CIVIL TERM CIVIL ACTION - LAW WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OFA DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE 1. I consent to the entry of a final Decree in Divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of properly, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. 1 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. 1 understand that false statements herein are made subject to the penalties of 18 Pa.C.S. §4914 relating to unsworn falsification to authorities. ??Y Date: Cynthla A. Koegel, Play tiff :228525 ?t „tu om ? t`-6i;t! t:? t -- ? > L 5 = cv 0 05/25/2004 11:40 FAX 717 701 3015 JDS&W zoos/005 Johnson, Duffle, Stewart & Weidner By: Melissa Peel Greevy I.D. No. 77950 Attorneys for Plaintiff 301 Market Street P. 0. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 CYNTHIA A. KOEGEL, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA NO, 00-5717 CIVIL TERM KEITH S. KOEGEL, Defendant CIVIL ACTION - LAW WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OFA DIVORCE DECREE UNDER SECTION 3301lc1 OF THE DIVORCE CODE I consent to the entry of a final Decree in Divorce without notice. 2. 1 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. 1 understand that I will not be divorced until a Divorce Decree is entered byRhe Court and that a copy of the Decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Affidavit are true and correct. I undierstand that false statements herein are made subject to the penalties of 18 Pa.C.S. §49 relating to unswom falsification to authorities./ Date: i Keith S. Koe Pendant :229525 U';Rl to Ct n I <i _`r 1? V CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS Plaintiff, OF CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW KEITH S. KOEGEL, Defendant. No.2000-5717 Civil IN DIVORCE RETURN OF SERVICE United States Mail The undersigned makes the following return of service: The Complaint was mailed to Keith S. Koegel on August 22, 2000 at 214 Senate Avenue Camp Hill, PA 17011. The signed receipt, indicating service was made on August 24, 2000, is attached. SIGNATURE AND AFFIDAVIT I, Melissa Peel Greevy, Esquire, certify that I am a competent adult not a party to the action. I verify that the statements made in this affidavit and return of service are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. § 4904 relating to unsworn falsification to authorities. ( / Date: n ?' ?? I //-? i 171 ,9, Melissa Peel Greevy, Esquire Supreme Court I.D. 77950 214 Senate Avenue Suite 105 Camp Hill, PA 17011-2336 (717) 763-8995 Counsel for Plaintiff CYNTHIA A. KOEGEL, Plaintiff, V. KEITH S. KOEGEL, Defendant. ¦ Complete items 1, 2, and 3. Also complete aem 4 if Restricted Delivery is desired. 1 tint your, name and address on the reverse so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, t or on the front if space permits. 1. Article Addressed to: t6-16 15. Kc? ?I?un?ld PA i r1o?l 2. Article umber (Copy from service '419 2.14 an;1- I PS Form 811, July 19 9 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW No.2000-5717 Civil IN DIVORCE by C. ? Agent If n item 1? U Ye: below: ? No 3. Service Type ® Certified Mail ? Express Mail ? Registered Jill Return Receipt for Merchandise ? Insured Mail 11 C.O.D. 4. Restricted Delivery. (Extra Fee) Iff Yes Receipt -- 102595-00-10-0952 CA t na, c- c. CYNTHIA A.KOEGEL IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff CIVIL ACTION - LAW 00 - 5717 VS. NO. CIVIL 19 KEITH S. KOEGEL IN DIVORCE Defendant STATUS SHEET DATE: IA ACTIVITIES: f[?ior?- ? Ft?1?? Rl; iv-Y6 _ /it G, 4 r2IA 00 Alrn. 'Ja M1 CYNTHIA A. KOEGEL, Plaintiff VS. KEITH S. KOEGEL, Defendant TO: Melissa P. Greevy P. Richard Wagner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 5717 CIVIL IN DIVORCE Attorney for Plaintiff Attorney for Defendant DATE: Tuesday, September 10, 2002 CERTIFICATION I certify that discovery is complete as to the claims for which the Master has been appointed. OR IF DISCOVERY IS NOT COMPLETE: (a) Outline what information is required that is not complete in order to prepare the case for trial and indicate whether there are any outstanding interrogatories or discovery motions. (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. DATE COUNSEL FOR PLAINTIFF ( ) COUNSEL FOR DEFENDANT ( ) 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. IN THE COURT OF COMMON PLEAS OF CYNTHIA A. KOEGEL CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW V. KEITH S. KOEGEL NO. 00 - 5717 IN DIVORCE ORDER AND NOTICE SETTING HEARING TO: Cynthia A. Koegel Melissa Peel Greevy Keith S. Koegel P. Richard Wagner , Plaintiff , Counsel for Plaintiff , Defendant , Counsel for Defendant You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 25th day of May 2004 at 9:00 a.m., at which place and time you will be given the opportunity to present witnesses and exhibits in support of your case. By the CUM, J George E. Hoffer, President Judge Date of Order and Notice: 3/22/04 By: Divorce Master 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 32 SOUTH BEDFORD STREET, CARLISLE, PA 17013 TELEPHONE (717) 249-3166 SALOMONSMITHBARNEY A member of clttgroupT January 27, 2003 To Whom It May Concern: 1 (14-9 0'r 0-170oa237-1700 NLJ) C y?. Please be advised that the numeric change of Cynthia Koegel's account, 724-65826-18-527 to 724-65826-18-360, is only to allow two financial advisors to view her account. Cynthia Koegle did not open another account with Smith Bamey and this is her only account held here. Sincerely„ 4'f- `^-- Chad Miller Registered Sales Assistant to Sherri Phillips, CFP Financial Consultant SALOMON SMITH BARNEY INC. 11 North 3rd Street, 2nd Floor, Harrisburg, PA 17101-1702 FAX 717-233-2090 T a n m N w s N W o? mm m 00 Qm 53 fm cn cl) y o 'w' '1 :2 3 a? mm 0 ff ?y ? m ? n+ cC CL n m am am ti°z ? ? taD m co? j 323 21 ?W m 20, °' ?. o ? ?c cm l ? m mm am ?. s a a n m y C1 m O. rmn m j m J R N m? m , am a° b N jy am mb ? m n ? y? ng am y Y m n hi Co V A°Wz? ?nn=w aYi-SCE W?Om v OY GQ°o y?Omno w ''V n w n C y o Z2 a 0 O a W ?! m r 9 O ? ? A Z q2m a m w Nz m 9 O W ? X y M z N N ? Z ro o ? ? S D T y V r m O 9 A i r N k i r a o Z y o ? 2 'a M Z m z h a n 0 3 a m N A H N a m W O a xa a w F CL C 23 CD CD eel` D n n rt ro m 0 A O 1x C 0 < n ?? y ° . m ? O! 11 N O O ° N 0 i'? ml O y w "O "O • +[H[j Z C) m --1 ° C/3 _d `§:p N o m Qs, m ® y vi `C r°n N r''$ m° O Q W O m$ OI €! ID CD go. E n c °<mo ?S1s a ^OCm °'?4 Aj z W :3 EL 20 C,)--. c m a m A D `fls m U m< m co +7f o° r.° W 1 y w w m > >? ,r?Jl3 ? '? a m 'O Q W g a n O S .?.. ?' 4 1'p ?a o o m m .? 19i ?? ?_?=RIB N a.? mU3 a m ,w m °- < o W 3 tl' I ? o a m W I k ?a? IM = y l o y O W n o y< 'G 3 y E2 M Z3 ®T ZAZm <Sm C7 !? e ° ?O xtOm§?I QQ Qm^"? ° < r r O n ° y m J m m O 31 mmn an-o' 3 o. ?m Nwd. < y 4 » -N1 - s a °a o Q- 7 m S'?ax -? e<i W Ro j w m "'?9 ?a = ??? tp = W m? II U O C rM; >y n i1 "T?omi'I?aS?" ?O ?m_dC °w Om m g n ?? O'3 O gay m 3 L=j 3 • =m n m m <o PIS' Zw O yy y l 5 ro m 11 -i T yg 17 n y1 m C 3 NO p7gi t3 < m° < oN <°ya? yilf mo ?Q3 m?4 lin 0 N V L G ]I O ti °? SI I 3 '?'` F f" `' ly W Q?m<D< j o ° llI a Will $ 0 c y? x m m II 25- q 3 n? d s,; $ 5n]$ y yy W y?lla ?N °4^x-5 ._. j.;P Ncp O y W II O? yN,T a,?.l C7 :3 ?w '0 Sit) m ?rl ?a y W Ijll a° ffDn m ?- 1fC) n V', o o c '_. y 1' o a e „II'I,? # i'l 2 Z CID 4 ?,iR;'l fD `Cp (? Q a Q Y l: o y? v a c Iaf,, ° F, '° $+mm ° j, CID FY,uf m o ?' Q o" I.J yySg `?= m ro 3 y : 2111 §11 <melf yi (a 3 y co lyl? m y ° @k1 r 441,111, m S'c RIO ;u;a fill Q y m m W m N IT jim 13N I2N',1 a T f ?Fa a,? y 99 m ?lEs $ all m m W W B 13 3 N m I I?$ d = a:Sld i. =^y im m O T Tq Fi ?i 0 CID Y d O I Q -.1?+? 3 wy°y g(Dmm Eu? mm ?? 1W41i1 a !Hni a, il"ll 1, -4 0) 21. RL 3'1? . s F m #p l x?y1'I ' O 00 fD 151i D b S W &? H Vill D M w D r''.1111 C w O° a N? l I ? Q N N f IR C? ° N ? dW1 I: < j O m C ?1 AFI SI W z 0 J N F D a S D 7 Q. 3 < D Q. 7 D 3 r-I s ? D N v n O 04, 9 0 Ill ° 4 °z c ? m H o m m m O w c n c ? e a= m p O L CS = a H m a a N m pN? 1 b N A m T 3 F u m 8 A m pIN 9 co m C m W d y sm (li N ? O O d O 3 ? CO) ^a n ? a " m =n N ml 51 ? aZ r,: O o < m C 3 O ?m ° m 3m °. y .m. ? a Z O w m m? o Z 55Z (A T mO O ? 3D ai ?O m Z W x d 3 C. O N N d m m 3 ? O N y ? N 5 ? ? W y c ^ k m a a w w Z r CA m C r o m o AIrn-°o ? n ro o y w ao w C w 0 m Im 2 m a 0 m O N a V 9 Z O ?V ? W W o W 0 X 8 A ti L7i N D ? 0 c D ?? O A O Z N a ? Z 5 W ?a z z z a n O G 3 3 G a m V N a a ao N a m W O N W0 m Tt /7 M CD CD rt O r_ h v m m m M A O H ol? 0 g.? Z?w 90 0 mom O ? 3 ? v Q 3 m Qm °Q 3 o ? Q TAG C O_ O ID ej N m m y fD m Q fD-m. O Z y 1. O O_? y .m.' a m = o C c ? 0 = m rm o? ? Q Q y t a Qtp ?o o my a? ?a 00 o? c y m C ? a- a z ?. n o n c m ? y Q' 0 y CD 0 N a Z K Z v N D y S O 1 r D N a m 3 O Z z O N D N 2 a A ti n r D D A N T S T A Om DDv< D'e< { mm < m m { m m N A w m A m m A_ m O m < O m < O m M 0 0 m 0 0 m 0 0 m o w o D o 0is cDi= Gib m N m m m C < m o_ m O_ ? ? b m b u o ? o ? o ?l Sl 8 id d '8 m C O 3 0. 3 tl1 ,m< N O p aIm N O m m N Q ?. a' c Z O y D N ro m Ai O r O m a N C Z O O w o wm m C L A mw m m w v ? O C 6 m S n m o ? s ¢ _ m ,°. A A m m m m m 2 2 m Q o o o ^ ? y o O m 9 Z 0 o2 m Z N y T 0 A N O w O p?p S F w C ID ? 3 a s ~ m = r z o ?V v m m r? a 2 SS` z O O 1O N C s CL a r- 0 3 W M rt o ? o m 7 rh a D o 0 O e = e V N a a m N ? W m a] v m W (p C A Wl ?srrrrr tl?W' i ugs ??g$ P Nil Era M-5 o? Ulu 3 3 e£ 0 a e a w n PpPN° yx?r-1 fl y?au+N+ <x3r @_ m -1 ?a Lim 9 FE 12" 1 2111 AQ.y 8, a i s ?gm ss F?IVi Q S ?g g q' gpIFF',a9g x335S3 m?@ X^22A°-2-4 g 3 Smggh°99. gaapl ?? I g g ,s ?N?. e R spa ga ?. RBgB{y Ag3mz? sq@?3& $3Fpd z ??° Anna cf gg ?$§? n Haw; YNii $ a V T m m N w 8 A m 81 ? y CD CD v N cQ m? m m W O y m ° 0 5C/) v 33 03 v, j. Q? _? C ? m Q mg 0 oa m ? A 3 a l a °. o ? ?w .? o O N "m o m p pov 0 0 ° m m a m p? ?_ IJ V S m V J p O 3 ??-? Vl l7 V r 2p? 2°0 mN'2^ w T a rz O o A?°o ?' C a m w N y m w O o a ? 2 a n 0 m 0 O V 2 -` T O A Z Z pV A z A Z Q n A O. N m ° X y 8 A 1 LI N ifi Z T Z V ? D ? T V r O N a e't u, ? ?1 p C N S T i =y mz j n a 0 3 a N m v m ?s N V A m tD N 3 r 0 o N Q C 6 fD Q. 1 C CD ;a m a N N° 3 CD D 0 n O O W v m m m 0 m a??ma n HIM @a_ M91 3 ee 5 us e ° o r$? Nm 33 6e oc ?9a =6e P. a °p . ?R ?m 0 a m F ?3g S p ro m w a d E d N may o ? p1 0 ID ? n 3 o z ?-om y8 :rn c z SN i RCN Dv ?. yo m,+o nm? ? m c y ?m -? 'a m ? m o m ayo co Qo t so`° $ ems T o -, 0 m w y a? ? O 01 ?_ N om3 Z O N w j O N 04U ? y ooa O ? y 0) ? y O =O Imo ? tU mm? m o ? 5 ? F `,Y ?Q 919 N S O N n ; N acaZya mm5"'? °ornammN am °mmo r °m rrn- C N V O W W U1 v H a 0 0 v a m V A Z p z e222?555 A ? W Z ? 9o X ? V C y = S D L1 N Z ? Z V x D ? V r O y .0 a 0 a 0 a Z . y f. 1 Z Z z n a 0 3 a N a H O v V W O a 0 ER a' CD Imo] C7 'rt m ?F m m 0 m ??sE? a ^, eXXX ???5'S X50'" oR' j7 J7Yl?? ?b'Y t$1V _y IIEI 9a s w$a° o m no a ,e at?uW:?i' FEg i m? _@?8 311 gq @? @ g ?s w e ??a J:x ; -till ail ?N6H saglj? a B Mew E H? fill a` CYNTHIA A. KOEGEL, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant : IN DIVORCE NOTICE OF PRE-HEARING CONFERENCE TO: Melissa P. Greevy P. Richard Wagner , Attorney for Plaintiff , 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 day of March 2004, 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: 1/27/04 E. Robert Elicker, II Divorce Master LAW OFFICES JOHNSON, DUFFIE, STEWART & WEIDNER A Professional Corporation JERRY R DUFFIE 301 MARKET STREET HORACE A. JOHNSON RICHARD W. STEWART P. O. BOX 109 COUNSEL TO THE FIRM C. ROY WEIDNER, JR. LEMOYNE, PENNSYLVANIA 17043-0109 EDMUND G. MYERS WEBSITE: www.jdsw.com DAVID W. DELUCE RALPH H. WRIGHT, JR. TELEPHONE 717.761-4540 DAVID LANZA J. FACSIMILE 717-761.3015 WRITER'S EXT. NO. 118 MARK C. DUFF[E E-MAIL mail®jdsw.com E-MAIL mpgQ n jdsw.com MELISSA PEEL GREEVY MICHAEL J. CASSIDY ROBERT M. WALKER January 15, 2004 E. Robert ElicKer, II, Esquire Divorce Master Cumberland County Court of Common Pleas 9 North Hanover Street Carlisle, PA 17013 Re: Cynthia A. Koegel v. Keith S. Koegel No. 00-5717 Civil Term In Divorce Dear Mr. Elicker: I received Mr. Wagner's letter of January 9, 2004 requesting that the above captioned matter be rescheduled. I would appreciate it if you would have Tracy contact our respective offices to set a Prehearing Conference. Very ART & WEIDNER Meliss"d Peel Greevy MPG:kkm:223100 cc: P. Richard Wagner, Esquire Cynthia A. Koegel JOHN B. MANCKE P. RICHARD WAGNER EDWARD F. SPREHA. JR. LAW OFFICES MANCKE, WAGNER & SPREHA 2233 NORTH FRONT STREET HARRISBURG. PA 17110 January 9, 2004 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, PA 17013 Re: Koegel v. Koegel Dear Mr. Elicker: PHONE 01712347051 FAX (77M 234-70BO We have received a vocational report from Dr. Anderson which now has been copied to the parties. I would appreciate if you could reschedule the above-captioned matter at your earliest convenience. Your attention is appreciated. PRW/dks cc: Melissa P. Greevy, Esq. CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant IN DIVORCE CONFERENCE WITH COUNSEL AND THE PARTIES TO: Melissa Peel Greevy Cynthia A. Koegel Counsel for Plaintiff Plaintiff P. Richard Wagner Keith S. Koegel Counsel for Defendant Defendant A conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 10th day of February 2003, at 9:00 a.m., with counsel and the parties to discuss the outstanding economic issues to determine if there is a basis of settlement of claims. If issues remain after the conference, a hearing will be scheduled at another date. Very truly yours, Date of Notice: E. Robert Elicker, II December 19, 2002 Divorce Master OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240-6535 E. Robert Elicker, 11 Divorce Master Traci Jo Colyer Office Manager/Reporter September 26, 2002 Melissa Peel Greevy Attorney at Law JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street, P.O. Box 109 Lemoyne, PA 17043 West Shore 697-0371 Ext. 6535 P. Richard Wagner, Esquire MANCKE, WAGNER & TULLY 2233 North Front Street Harrisburg, PA 17110 RE: Cynthia A. Koegel vs. Keith S. Koegel No. 00 - 5717 Civil In Divorce Dear Ms. Greevy and Mr. Wagner: Both counsel have certified that discovery is complete; attorney Greevy has indicated that there is some additional updated information which will need to be provided from the accounts. However, I am satisfied that we can proceed with a directive for pretrial statements. A divorce complaint was filed on August 18, 2000, raising grounds for divorce of irretrievable breakdown of the marriage and indignities. Economic claims raised in the complaint are equitable distribution, alimony, and counsel fees and expenses. With respect to grounds for divorce, I assume that the parties will either sign affidavits of consent or have been separated for a period in excess of two years so that there will be no need to schedule a hearing on the grounds of indignities. In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to file a pretrial statement on or before Monday, October 21, 2002. Upon receipt of the pretrial statements, I will immediately schedule a pre- Ms. Greevy and Mr. Wagner, Attorneys at Law 26 September 2002 Page 2 hearing conference with counsel to discuss the issues and, if necessary, schedule hearing. Very truly yours, E. Robert Elicker, II Divorce Master NOTE: Sanctions for failure to file the pretrial statements are set forth in subdivision (c) and (d) of Rule 1920.33. THE ORIGINAL PRETRIAL STATEMENT SHOULD BE FILED IN THE MASTER'S OFFICE AND A COPY SENT DIRECTLY TO OPPOSING COUNSEL. FAILURE TO FILE PRETRIAL STATEMENTS AS DIRECTED BY THE MASTER MAY RESULT IN THE MASTER'S APPOINTMENT BEING VACATED. LAW OFFICES JOHN B. MANCKE P. RICHARD WAGNER WILLIAM T. TULLY MANCKE, WAGNER & TULLY 2233 NORTH FRONT STREET HARRISBURG, PA 17110 PHONE (717) 234-7051 FAX (717) 234-7080 September 25, 2002 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, PA 17013 Re: Koegel Dear Mr. Elicker: Enclosed herein please find the Certification which I have executed regarding the above-captioned matter. Your attention is apprecia' Wagner PRW/dks Enclosure CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant IN DIVORCE NOTICE OF PRE-HEARING CONFERENCE TO: Melissa Peel Greevy P. Richard Wagner , Attorney for Plaintiff , 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 19th day of December 2002, 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: 10/22/02 E. Robert Elicker, II Divorce Master CYNTHIA A. KOEGEL, Plaintiff VS. KEITH S. KOEGEL, Defendant TO: Melissa P. Greevy P. Richard Wagner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 5717 CIVIL . IN DIVORCE , Attorney for Plaintiff , Attorney for Defendant DATE: Tuesday, September 10, 2002 CERTIFICATION I certify that discovery is complete as to the claims for which the Master has been appointed. OR IF DISCOVERY IS NOT COMPLETE: (a) Outline what information is required that is not complete in order to prepare the case for trial and indicate whether there are any outstanding interrogatories or discovery motions. (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. y1,?3/oz. DATE r i f L FOR PLAINTIFF ( ) COUNSEL FOR DEFENDANT () 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. a-r V? CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant IN DIVORCE TO: Melissa P. Greevy , Attorney for Plaintiff P. Richard Wagner , Attorney for Defendant DATE: Tuesday, September 10, 2002 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. (a) It is anticipated that updated income information and W2s will be provided by the Defendant with the filing of the Pretrial Statement and Income and Expense Statement. Additionally, the Defendant will need to provide updated statements for his Savings and Thrift Plan as part of the Pretrial Statement and Exhibits to be filed. The Plaintiff will also need to provide updated statements of investments such as a 401(k) and IRA. Plaintiffs documents will be provided with the filing of the Pretrial Statement. No Motions are outstanding. ,-a ,- (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. DATE C UNSEL FOR PLAINTIFF COUNSEL FOR DEFENDANT ( ) 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. CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff, V. NO: 2000-5717 CIVIL ACTION - LAW KEITH S. KOEGEL, Defendant. IN DIVORCE MOTION FOR APPOINTMENT OF MASTER KEITH S. KOEGEL, Defendant, moves the Court to appoint a Master with respect to the following claims: () Divorce (] Distribution of Property O Annulment O Support Alimony Counsel Fees O Alimony Pendente Lite j( Costs and Expenses and in support of the motion states: (1) Discovery is complete as to the claim(s) for which the appointment of a Master is required. (2) The Plaintiff has appeared in the action by her attorney, MELISSA P. GREEVY, ESQUIRE. (3) The statutory ground(s) for divorce (is) (are): 3301(c) and 3301(d) (4) Delete the inapplicable paragraph(s): (a) The action is not contested. (b) An agreement has-been reached with respect to the following claims: (5) The action (involves) (does not involve) complex issues of law or fact. (6) The hearing is expected to take''/z (hs) (5?ays). (7) Additional information, if any, relevant t e m ,9?e. Date: 823 z 9,Wagner, Esquire for Defendant AND NOW,, 2002, Esquire, is appointed master wi re ect to the following claims: et, _ BY THE COURT: P J. -4m4r) -- c,: , i'^ C-i .5 GD G _ Y jjWA -Lkq,NNDd L1,3 - d3S LO ??y p y .?I tj LAW OFFICES JOHN B. MANCKE P. RICHARD WAGNER WILLIAM T. TULLY MANCKE, WAGNER & TULLY 2233 NORTH FRONT STREET HARRISBURG. PA 17110 PHONE (717) 234-7051 FAX (717) 234-7080 September 11, 2002 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, PA 17013 Re: Koegel v. Koegel No: 2000-5717 Dear Mr. Elicker: Enclosed herein please find an Order appointing you as Master in the above- captioned matter. Your attention is appreciated. gner PRW/dks Enclosure cc: Melissa P. Greevy, Esq. Mr. Keith Koegel CYNTHIA A. KOEGEL, Plaintiff, V. KEITH S. KOEGEL, Defendant. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO: 2000-5717 CIVIL ACTION - LAW IN DIVORCE MOTION FOR APPOINTMENT OF MASTER KEITH S. KOEGEL, Defendant, moves the Court to appoint a Master with respect to the following claims: () Divorce() Distribution of Property O Annulment O Support if Alimony 66 Counsel Fees () Alimony Pendente Lite (Sj( Costs and Expenses and in support of the motion states: (1) Discovery is complete a$ to the claim(s) for which the appointment of a Master is required. (2) The Plaintiff has appeared in the action by her attorney, MELISSA P. GREEVY, ESQUIRE. (3) The statutory ground(s) for divorce (is) (are): 3301(c) and 3301(d) (4) Delete the inapplicable paragraph(s): (a) The action is not contested. (b) An agreement has been reached with respect to the following claims: (5) The action (involves) (does not involve) complex issues of law or fact (6) The hearing is expected to take 1/2 (hs) Gays). (7) Additional information, if any, relevant t e mozi ne. Date: b' 3 --T 7 d Wagner, Esquire for Defendant AND NOW,n t , 2002, ?r„/ Esquire, is appointed master wi re ect to the following claims: Q F7 _ BY THE COURT: P J. LAW OFFICES JOHN B. MANCKE P. RICHARD WAGNER WILLIAM T. TULLY MANCKE, WAGNER & TULLY 2233 NORTH FRONT STREET HARRISBURG, PA 17110 PHONE (717) 234-7051 FAX (717) 234-7080 October 14, 2002 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, PA 17013 Re: Koegel v. Koegel No: 00-5717 Dear Mr. Elicker: Enclosed herein please find the Pre-Trial Memorandum on behalf of my client, Keith Koegel, regarding the above-captioned matter. Your attention is appreciate finer PRW/dks Enclosure cc: Melissa P. Greevy, Esq. (w/encl.) . II Johnson, Duffle, Stewart & Weidner 10/l"-"- , By: Melissa Peel Greevy I.D. No. 77950 Attorneys for Plaintiff 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 00-5717 CIVIL TERM V. CIVIL ACTION - LAW KEITH S. KOEGEL, Defendant INVENTORY OF PLAINTIFF, CYNTHIA KOEGEL Plaintiff files the following inventory of all property owned or possessed by either party at the time the action was commenced and all property transferred within the preceding three (3) years. Plaintiff verifies that the statements made in this Inventory are true and correct. Plaintiff understands that false statements herein are made subject to penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Date: w/aa ld Z- ?.Y. rX Cynthia A. Koegel, PI ' tiff Submitted by, :164014 JOHNSON, D 1 , STEW T & WEIDNER Melissa Peel Greevy Attorney I.D. #77950 301 Market Street P.O. Box 109 Lemoyne, PA 17043-0109 (717) 761-4540 Attorneys for Plaintiff ASSETS OF PARTIES Plaintiff marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. () 1. Real property (X) 2. Motor vehicles () 3. Stocks, bonds, securities and options () 4. Certificates of deposit (X) 5. Checking accounts, cash (X) 6. Savings accounts, money market and savings certificates () 7. Contents of safe deposit boxes () 8. Trusts (X) 9. Life insurance policies (indicate face value, cash surrender value and current beneficiaries) (X) 10. Annuities () 11. Gifts () 12. Inheritances () 13. Patents, copyrights, inventions, royalties (X) 14. Personal property outside the home (X) 15. Businesses (list all owners, including percentage of ownership, and office/director positions held by a party with a company) () 16. Employment termination benefits-severance pay, worker's compensation claim/award () 17. Profit sharing plans (X) 18. Pension plans, thrift savings plans (indicate employee contribution and date plan vests) (X) 19. Retirement plans, Individual Retirement Accounts (X) 20. Disability payments (X) 21. Litigation claims (matured and unmatured) () 22. MilitaryN.A. benefits () 23. Education benefits (X) 24. Debts due, including loans, mortgages held (X) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) (X) 26. Insurance benefits MARITAL PROPERTY Plaintiff lists all marital property in which either or both spouses have a legal or equitable interest individually or with any other person as of the date this action was commenced. Plaintiff reserves the right to supplement this list prior to time of trial. Item Description Number of Property 5. Commerce Bank Account Commerce Bank Account 6. Enterprise Funds Money Market Account and IRA 18. Husband's Defined Pension Benefit 19. TYCO Retirement Savings and Investment Plan American Funds 401(k) Salomon Smith Barney IRA 20. Retro active lump sum Social Security Disability Benefits for 1999 26. Proceeds from Car Insurance Names of All Owners Cynthia A. Koegel Cynthia A. Koegel Cynthia A. Koegel Keith S. Koegel Keith S. Koegel Cynthia A. Koegel Cynthia A. Koegel Cynthia A. Koegel Cynthia A. Koegel and Keith S. Koegel NON-MARITAL PROPERTY Plaintiff lists all property in which a spouse has a legal or equitable interest which is claimed to be excluded from marital property. Plaintiff reserves the right to supplement this list prior to the time of trial. Item Description Number of Property Reason for Exclusion 2. Husband's Pontiac 5. Plaintiff's Checking Account 20. Retroactive Lump Sum Social Security Benefits Post separation purchase Established Post Separation A portion of the benefits were paid following the date of separation PROPERTY TRANSFERRED Item Description Date of Person to Whom Number of Propert y Transfer Consideration Transferred 6. Money Market Funds 8/02 $1,737.06 Hershey Med. Center 14. April (horse) 10/12/02 $1.00 Cindy Rymoff 25. Furniture/Household 11/19/01 $1,114.43 Cynthia Koegel Goods PROPERTY TRANSFERRED TO SATISFY MARITAL DEBT 24. Cash 9/14/00 $10,618.79 Wachovia Credit Card Acct. Cash 9/14/00 $25,244.14 Keystone Financial Cash 9/14/00 $9,780.31 M & T Credit Corp. Cash 9/14/00 $16,837.67 FIIOC Cash 9/19/00 $8.00 Commerce Cash 9/19/00 $1,211.27 Discover Card Cash 11/13/00 $3,096.66 John Broujos Cash 12/1/00 $180.65 Wachovia Cash 4/16/01 $206.00 H & R Block Cash 4%16/01 $3,878.00 U.S. Treasury Cash 4/16/01 $120.00 PA Dept. of Revenue Cash 4/16/01 $36.34 Capital Tax Bureau Cash 9/5/00 $280.00 Tim Zeiders LIABILITIES OF PARTIES No substantial debts are known to Plaintiff at this time. Plaintiff reserves the right to supplement this response prior to the time of trial. CERTIFICATE OF SERVICE AND NOW, this day of October, 2002, the undersigned does hereby certify that she did this date serve a true and correct copy of the foregoing Inventory upon the other parties of record by causing same to be deposited in the United States Mail, first class postage prepaid, at Lemoyne, Pennsylvania, on the date indicated below, to the following persons: P. Richard Wagner, Esquire Mancke, Wagner & Tully 2233 North Front Street Harrisburg, PA 17110 JOHNS ;71E, STEWART & WEIDNER yB issa Peel AGr e e?v ? boo ?. F In the Court of Common Leas of County, Pennsylvania Phone: Fax: Plaintiff Name: Cynthia A. Koegel Defendant Name: Keith S. Koegel Docket Number: No. 00-5717 PACSES Case Number: Other State ID Number: Plesse pole: AB correspondence most ioclpde the PACSES Case Numher. Income and E ex WW Stateanent THIS FORM MUST BE FILLED OUT (If you are self-employed or if you are salaried by a business of which you are owner in whole or part, you must also fill out the Supplemental Income Statement which appears on page two of this income and expense statement.) INCOME STATEMENT OF CA1144 L& A., V=QFjjc:Al _ Section I• Income and Insurance INCOME: >mployer UNEU12Le YEE2 Address Type of work Payroll No. Gross Pay per Pay Period $ Pay Period (wkly., bi-wkly., etc.) jtembeJ Payroll Deductions: Federal W9hhold' $ sow $ Local W Tax $ state Income Tax I s Botiremmt S savings; Bonds $ Credit union $ Lil$ Iasunoce $ Ream hwraaoe $ ed i $ uct ons (?ecffy} older D $ $ Net. Pay Per Pay Period $ Form INA08 Service Type Worker ID * H=Hustanl; W=Wife; I=Joint Dome and Expense Statement PACSES Case Number MUR CE Coverage ¢ AN COMPANY POLICY K H W C m?uncross W1, S?l X Other medical Bbe SbkM omen Heahh/Accideut Disability Income - Dental Other M r lyg 52.52'4 K - * H=Husband; W=Wife; C=Child Section II• Suoorcinental Income St ent a. This form is to be filled out by a person (1) who operates a business or practices a profession, or [] (2) who is a member of a partnership or john vcuume, or ? (3) who is a shareholder in and is salaried by a closed corporation or similar entity. b. Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement C. Name of business: Address and telephone number: d• Nature of business (cheek one) ? (1) partnership ? (2) joint venture (3) promssion ? (4) closed corporation ? (3) other e. Name of accourtam, controller or other person in charge of fmaoetal records: t• Annual income from business: Tgi? (1) How often is income received? (2) Gross income per pay period: (3) Net income per pay period: (4) Specified deductions, if an-y::y y? A Page 2 of 3 Form IN-008 Income and Expense Statement PACSES Case Number Section III: eE poW lw4wtions: Only show extraordinary expenses in this section unless you filled out Section II on page two. The categories in BOLD FONT are especially important for calculating child support. If you are requesting Spousal Support/APL or if you assert your case cannot be determined according to the gaiderm grids or formula, this section must be fully completed. I verify that the statements made in this Income and Expense Statement are true and correct. I understand that false statements heroin are subject to the criminal penalties of 18 Pa. C.S. § 4904, relating to unworn falsification to authorities. D r7 or Defenders T Page 3 of 3 Form IN-008 Total WEEK MONTH YEAR Expenses; $$ o7. $ Od List of Medications A Retail Price as 9/24/02 Effexor XR 150 mg. 60 tabs $210.99 Lamictal 25 mg 90 tabs $287.99 Adderal XR 20 mg 30 tabs $99.99 Detrol LA 4 mg 30 tabs 9 $107.9 $706.96 Total per month DoWft aduram Twahay - knM ROMW smvioe as Label b1stuchOO Usethe RS label. O9herwhse, please print or b". EIBdiF on Karliste cowalon is WXacbm a n.... nr vn cons.,, • IMportan d • You must enter your social secu* number(s) above. You yourrefihrd. .,r«,K -.., P. nVac Filing Status 1 H Single 2 Married fitirg joint return (even 8 only one had income) Spouse 3 Mandel taing separate mtum. Ever space's SSN above & full rare here ... ? Ke i th S Koege t 4 Head of household (with qualifying person). (See instructions.) If the qua6yirg person is a chikl but rat your Check xy dependent, enter this chVi s name here 5 n (Aardvino widower) with dens derd child (veer snouse died ? - 1 rS inAir"dinm-) 6a LK J Yourself. If your parent (or someone else) can claim you as a dependent on his or Exemptwlfs her tax return, do not deck box 6a .............................................. Is n Spouse ...................................................................... s c Dependents: WsoCsechrrlty C ?P number to you drl If more than six dependents, see instructions. Incoute ,_ . _ . - _ .. _...?_, .. _ ........................................ Be Taxable aderesL Attach Schedule B if required ........ - . ?Af sh Forms ham Als -W bTaxQxwW interest. Do not Include an ran as ............. Bb 9 Ordinary dividends. Attach Schedule B if required ..................... ........... 9 o Foraft 1099.8 if 10 Taxable rehmds, credits, or offsets of state and local income taxes (see instructions) ..... 10 taavsaswftMWW 77 Alimony received .................................................................. 71 if 12 Business room or Ooss). Attach Schedule C or C-EZ ................................. 72 you did riot getaW-2 see 13 CROW gain orooss}AttachShcdde0if required.8not muirol,chatshas........... ?11 73 , Instructions. 14 Other gains or (losses). Attach Form 4797 ............................................ 14 15a TOW IRA distributions ..... 75a Is Taxable amaat (see inshs) .. 151 16a Total pensions & annuities . 16a b Tenable man (see msbs) . , 16 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E .. 77 Fnobse, but do 18 Fans h mme or Ooss). ABarh Schedule F ............................................ 18 not attach, any 19 Unemployment compensation ....................................................... 19 of use 20a Saw seoeiry haVAts ...:. D 129al 13, 320.1 b Taxable amount (see irstrs) .. Form10404. 21 tRffhnoome 21 .._..-,.,......_.. I ___...._- GAdlusted 24 Student ban interest deduction (see i shmMons) ........... 24 MCpn1e 25 Ardor MSA deduction. Affach Form S&s3 .................. 25 26 Moving expenses. Attach Form 3903 ....................... 26 27 Ore-half of self-employment tax. Attu SdmdWe SE ....... 27 28 Self-employed health irmnance deduction (see instructions) . 28 29 Self-employed SEP, SIMPLE, and qua9fied plans ........... 29 38 Penalty on early vAvirawat of savings ..................... 30 31 a Aliumy paid Is lbaplatffi SSN .... ? .. 31a, 32 Mdfuon23t1wugu3la .-.-... _ ......._. _ ............................................ 32 33 Suhhad lime 32 from tine 22 This is our adiusted moss hhcome ..................... ? 33 Nmcfb? dockwim names .... 1 d?dAdm M s?.a«x •O"d .asym ..... • dldaw1?u dw lod .. FMWI12 lwoarm Xrm1049a0DIj in and 34 Amourd fromr -fi1ne 33 (adjusted gross income) ......................................... 34 23,655. Cynthia A Koeael 178-52-5234 Page2 Cradlts 35a Check 8: u You were 65dokler, ?Blind; ? Spouse was Winkler. U Blind. Add the number of boxes checked ebove and ender ft total here ............ o- no Steadied b H you are married separetey and r space ihartiaes deductions. Deduction or you were a dust= afiien. see ins uciions and check tare ............. ? 35b • PW* who 35 hooted d (from ScIRM A) oryw rdondard dedudiar (see ldt maipe) .................... 6 ,800. chucked any box 37 Subtract Dote 36 from tine 34 ........................................................ 3a 19,855. 35a or on line who can 35b be claimed as a 38 If fire 34 is $99.725 or less. multiply $2 900 by the total number of exemptions chinned on line Cod. K rate 34 is over $99„ see the worksheet in the instructions ............... 8 ,900. dependent, see inShiclibrS. 39 Taw&hi una, a Adrme3shmoDraw. 9 Dre3g Isomtb rifle 37,ader4 ........... .............. ....... ....... ....... ........ 39 16,955. 40 Tax(ei a kdool Meck d aytax is fomo a ? form(s) 8814 b ? Farm 49)2 ....................... 4fl 2,546. • All otters: SS•mh?[a. 41 Alternative ndrdmwn tax (see instructions). Attach Form SM .......................... 41 54 42 Add firms 40 and 41 .............................................................. 42 2,546. Hew of 43 Foreign tax credit Attach Form 1116 if required ............. 43 household, 44 Coedit for dild acrd depadent cafe a A#Kh fora 2441 .......... 44 45 Credit for the elderly or the dieahled. Attach Schedule R ..... 45 Married filing 46 Education credits. Attach Form 8853 ....................... 46 or 47 Rate red ucbon credit See the worksheet .................. 47 48 Child taw credit (see -mstrucDors) ................ ...... 48 49 Adoption craft Attach Form 8839 .................. ....... 49 klarriedfiDng separately, 50 0graaeftfrun a Fwm30 b QFmm8396 e Q Fam 8101 d ram (aeW _? 51 Add rose 43going ln50 Thaeaelastmlolaedb ............................................ 51 52 Subtract line 51 from Doti 42. if fine 51 is more Vion line 42 enter 4) .................. 52 2,546. 53 Sdf-emplepnadtoot. AleellWW* SE ..................................................... 53 Other 54 Smia1 me* Wed Nedfcae tar an tip income not regaled to anplader. Aeech NO 413) ................. 54 Taxes S5 Tae on qualified plam, iglu irg ling ad Ofttas- Alladr Faro 50 it required ........... 55 56 Advance earned income credit payments from Fomn(s) W-2 ............................ 55 57 Household employment taxes. Attach Schedule H ..................................... 57 58 Adifixes 52-5Z Tos a tatei tax ..................................................... 9 2 546. Payments 59 Federal income tax withheld from Forms w-2 and 1(gg ...... S9 If yet lave a 60 MID '"Do cad tax peynrtub aM aaamtalalied tram 2100 rdmr ........ 60 gt IrTyn'rhg 61 a Eamed lecture credit (EIS ............................... 61a T b NontoomMe earned income ...... 61 b dtiW adlSdheduleaElC. 62 Excess social secamrly and RRTA tax W th eld (see kstrs) ... 62 63 Additional Chia tax credit. Attach Form 8812 ............... 63 64 AuimedpddvdNraryatforadmaimtulle (see imtradiau) .......... 64 45 Other payments. Check if from ..... a Q Form 2439 b [] Form 4136 .................................. ...... 65 FOM112 tentmY 66 Add fines 59.60, 61a, and 62 through 65. These are your polmoods .......... ............................................ 6 Refund 67 H6ne66isamthmlira5$st&latDra58DunranOLThin isthenowyou I id ................ 67 Direct deposit? ` 660 Anualyd Of Ile 67 you wain refunded to you ........... . fiD,rstrr cliore w to Routing number ....... ? e Tlx: ? checking Savings 68c, and 68d. w of Account number ----- 69 and in 68b, kowntof line 67 you and Dedm ialkededtax ......... 1-69 Amount 70 Ammwdymone. said rrrea; fraolire%Far details on how to palyno i ae ............... 70 2,546. YOU OW 71 EstinraW tarn . Also owkde on rate 70 .............. 71 Tidrd Pady 0o yet and to allow wallow pow to dsnus this rolmn with the IRS (see i as)? ......... Yes Comlihil a the Wavvirg. ?No W?vp T No* ? ML =0 aamsa.rmmareriamr Wrwddlge ad tMga ==822 E I? D oa?Nepsr QoMer 1 seesedm aaarrw? .Idac I pnrwffe Weer IMUAedge. He return? Joint YWsgnsee 0010 Yaw OcOpidow 0aymreRhwrew.rmw See i tiros. ? . none -0406 Keep a copy sofiar trim e. Fkhfm vat svar. 0.10 spose80 for your records. ? Dane neprrrs San w PM Paid s ? am o=ff a kasd Peeparel"s M shoSelf-Prepared tJse Only 1 Ear Form il It-, !lame(s)she a, Faro 1010. Cynthia A Koegel yws"WseapayNeMw 178-52-5234 Schedule B - Interest and Ordinary Dividends 18 Part 1 1 lst mane of payer. If any Interest is from a seller-financed ge and the buyer used R ' Amount to property as.a personal residence, see the instructions and d irderest fast Also, koemst show tat buyer's social sectuty number and address ................................. ? Commerce Bank -- - - - - - - - - - - - _ _ _ _ _ _ _ 2,651.84 _ _ _ _ _ _ _ _ _ _ _ _ _ _ (See Instructions ----- forForm IM ------------------------ , ----- -------------- OneBe.) -- ---------------------------- --- ---------- --------------------------------- ---- - ----- -------------------------- - -- --- - --------- aoBe.aYyaau - ------------------------------------------ - maaMaFam 100M, F? - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - 1 - - - - - - t ------------------ --- ----------- - rmmabmkwe - - - ------- s m, fat teeanm's ---------------------------------------- --- =1z0awp1oW ayw wal tutu - -------------.-_--_----_-_?____-_-_-- . _.-_- 11861 S11olln ea affitam. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ---------------------------- ---- - - - --------- ---- -------------------------- ----- - - ------- ---------------------------- -- --- ----------- 2 Add the amourrts on fine i ............................................................. 2 2 651.84 3 Excludable interest on series EE and I US. savings borax saved after 1989 from - Form 8815. line 14. You most attach Form 8815 ........................................ 3 4 Subtractlime 3 from line 2- Filter the result trade and an Form 1(90 lima: Be .............. ? 4 2,651.84 Mote. t lime 4 is over 8900 U must Complete hart 111. Part 9 5 List rome of payer. Inchrde only ordinary dividends. It you received any capital gain Amount Ordinary distributions, see to inSUuciions for Form 1040, fine 13 ..... ? ----- - - ------ D 'nf idends Enterprise Group of Funds __________________ 445.96 _____ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ( ? a for Form 1040 ns --------------------------------- , ---------- lirne 9.) ------------------------------------------- ------------------------------------- - - - -- -- ------------------------------------ - ama ---- -- ----------------------------------------- i a -- su sl,oad ---------------------------------------- - MWO -- Pom, ------------------------------------- d ------ ? e d= ---- 5 , ----- On tlatfalm.. ---------------------------------------- ---- ------------------------------------- ------- -------------------'----------------------- - ------------------------------------------- ------------------------------ ---------- - -- -------------------------------------------- ----------------------------------- - - - --- --- -------------------------------- ---- - - --- --- --------------------------------------- --- - 6 Add the amours on lie S. Enter the total tare and on Form 1040, line 9 ................ ? 6 445.96 Note. it tae 6 is over $400, you must left Part III. Part 81 You must complete this part if (at had over $400 of taxable interest or ordinary dividends: (b) had a foreign Felmign account or (c) rowed a d'strnlfuuhon from, or Were a grantor Of. or a trarsieror to, a foreign trust Yes AgQOunts stuff 7a At any time during 2001, did you have an interest in or a signature or other authority over a financial account TMSK in a foreign country. such as a bank account, securities account, or other financial account? See instructions for exceptions and Eli requirements for Form 7l) F 90.72.1 ............................................. X b If 'Yes,' ender the name of to form country . ? instructions.) 8 During 2D01, did you receive a dmiribulion from, or were you to grantor of, or transferor to, a foreign tout? it 'Yes' yqu-may have to the Form 3520. See Instructions .......... - . .. . ................................ X t1AA ForPaperw ork Reduction Act Notice, see Form 11040 instructions FonnM to olan Schedule 8 form 1040) 2DOl Your CVS.mm price quote request Subject: Your CVS.com price quote request Date: Tue,15 Oct 200217:53:27 -0400 (EDT) From: oustomercare@cvs.com To: cak@epbcnet Dear Valued Customer: Thank you for visiting CVS.com'8. Our records indicate that you recently requested a price quote for some prescription items. The prices for these products are listed below: Medication Request 1 Medication Name: Adderall XR Medication Qty: 30 tablets Medication Strength: 20mg Medication Price: $90.59 Medication Request 2 Medication Name: Risperdal Medication Qty: 15 tablets Medication Strength: 2mg Medication Price: $73.99 Medication Request 3 Medication Name: Effexor XR Medication Qty: 60 tablets Medication Strength: 150 mg Medication Price: $179.99 Medication Request 4 Medication Name: Lamictal Medication Qty:. 120 tablets Medication Strength: 25 mg Medication Price: $343.99 Medication Request 5 Medication Name: Detrol LA Medication Qty: 30 tablets Medication Strength: 4 mg Medication Price: $90.59 For future reference, your price quote number is 265$2. Please be advised that these prices are only valid for online purchases through CVS.com, and they may be subject to change at any time. Actual prescription prices are calculated at the time of your order. For in-store refills, please check the prices at your CVS1pharrnacy®. Here's a note from our pharmacy staff: Thank you for your request. Please be advised that price for the 1st medication listed above is for Adder-all XR 20mg capsule. If you have any questions or require additional assistance, our Customer Care Specialists are available to assist you via email 24 hours a day, 7 days a week. Please contact us at customeroare@cvs.com. 1 of 2 1011512.002 6:29 PM Your CVS.com price quote request As always, we are committed to your satisfaction and sincerely appreciate your business. Sincerely, Customer Care Department www.CVS.com (688) 6074CVS (4287) 2 of 2 4011512002 6:29 PM I 10 / lvo )v CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff, V. KEITH S. KOEGEL, NO: 00-5717 CIVIL ACTION CIVIL ACTION - LAW Defendant. IN DIVORCE PRE-TRIAL MEMORANDUM PURSUANT TO RULE 1920.33(b) 1. FACTS: Husband was born October 11, 1958, and is in good health. He is employed by Tyco Electronics where he has an approximate net monthly income of $4,500.00 per month (as determined by Domestic Relations). Wife is on Social Security Disability allegedly unable to work and has a net monthly income as determined Domestic Relations of $1,376.00 per month. Currently husband is under a $1,259.00 per month APL obligation. 11. ASSETS: The parties owned a marital home, which the parties agreed to sell. From the proceeds of the sale, there were paid a considerable number of marital obligations leaving a balance currently of approximately $85,000.00 which is being held in escrow by wife's attorney. Husband has a Tyco retirement savings and investment plan, which currently has a total market value of $50,480.39 (See Exhibit A). This account had been approximately $65,000.00 in March of 2000, however, it has decreased as a result of the market volatility. Husband has a second Tyco pension, which is frozen at $7,886.72. This pension has been valued by Pension Appraisers, Inc., for a marital value of $26,717.96. There is an IRA which, as of September 30, 2001, has a value of $3,310.00. Wife has a 401(k) having a value of $9,600.00. -z- The parties own personal property in the form of furniture, however, the same was sold at auction and the money placed in the escrow along with the house sale as set forth above. Each party has one horse, which, according to husband, are of equal value. During the time of marriage, the wife received a Social Security lump sum payment for a time frame during which the parties were married, which husband believes is marital. III. DEBTS: Husband does not believe there are significant marital debts as the parties paid off most of the marital debts at the time of the sale of the home, leaving the balance in escrow as set forth above. IV. HUSBAND'S INCOME: Husband's income has been determined as set forth above, his current pay is set forth in Exhibit B attached hereto. -3- Husband will also file an Income and Expense Statement at or about the time of the hearing. V. PENSIONS: As set forth above, husband has two pensions, each of which are valued as set forth above, while wife has a 401(k). VI. COMPLEX ISSUES: Husband is not aware of any complex issues. VII. TRIAL TIME: Husband anticipates the trial to take no longer than '/2 day. VIII. PROPOSED RESOLUTION: Husband proposes a resolution of an equal division of the assets, with a QDRO to be implemented for purposes of the distribution of his now frozen pension at Tyco. -4- There are ample proceeds in the escrow account to otherwise offset his other Tyco savings plan. Finally, husband believes that the wife has capabilities of earning sufficient sums so that no alimony would be necessary. Respectfully submitted, Mancke, Wagner & Tully P. Ri d Wagner, Esquire . #23103 2233 North Front Street Harrisburg, PA 17110 (717) 234-7051 Attorneys for husband/defendant Date: ?- -5- Johnson, Duffle, Stewart & Weidner By: Melissa Peel Greevy I.D. No. 77950 301 Market Street P. O. Box 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 CYNTHIA A. KOEGEL, Plaintiff V. KEITH S. KOEGEL, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-5717 CIVIL TERM CIVIL ACTION - LAW PRETRIAL STATEMENT PURSUANT TO PA.R.C.P. 1920.33 1. BACKGROUND A. Marriage - November 3, 1979 Separation - December 13, 1999 B. Children - The parties have no minor children. C. Complaint: (i) Filed by WIFE on August 18, 2000, docketed to No. 00-5717 Civil Term. (ii) Contested claims - Indignities, Equitable Distribution, Alimony, Counsel Fees and Expenses. (iii) Divorce - It is expected that both parties will agree to a consensual divorce pursuant to §3301(c) of the Divorce Code and file Affidavits of Consent and Waivers of Notice. II. MARITAL ASSETS The marital assets are listed in the Plaintiff's Inventory and Appraisement, filed concurrently herewith. Attorneys for Plaintiff The exhibits attached hereto demonstrate the value of the assets to be distributed. They are as follows: A. Commerce Bank Account No. 0616143706. This savings account contains part of the proceeds from the litigation related to the marital home. The balance of this account as of September 30, 2002 is $78,988.96. B. Commerce Checking Account No. 0513230375 with a balance of $221.03 as of October 9, 2002. The balance in this check account also contained proceeds from the settlement on the litigation regarding the marital home. Much of these funds have been depleted by payment of taxes, credit card debt to Wachovia and Discover, payment of vehicle lease and payment of a vehicle loan. These payments were made with the mutual consent of the parties. Documents evidencing these payments are included in the exhibits filed herewith. C. Enterprise Funds Money Market Account No. 849404361 had a balance of $10,169.49 as of September 30, 2002. There is an IRA account # 634573 which contains a rollover from an American Funds 401(k) which Plaintiff had with Noelker & Hall. The IRA. balance is $2,694.40. Plaintiff added $2,000.00 to the money market account from her retroactive Social Security Disability Benefit to this account after the rollover occurred. D. The Defendant has a defined benefit pension through his employment with TYCO. The marital portion of this pension has been valued at Plaintiff's expense. The value of the pension as of September 12, 2002 was $26,716.93. E. TYCO Retirement Savings and Investment Plan. The Defendant has a retirement savings and investment plan through his employment with TYCO International, Inc. This was established with a rollover from his previous pension plan with AMP, Incorporated Savings and Thrift Plan. The ending balance on this plan as of March 31, 2000 was $65,949.65. The outstanding loan balance on this account was $20,642.46. Both loans were taken prior to the date of separation. Plaintiff made a payment on the loans in the amount of $ 16,837.67. Plaintiff has not received a copy of a recent statement on this Plan. F. The Defendant had a Savings and Thrift Plan through AMP, Incorporated which had vested closing balance of $69,263.25 on December 31, 1999. Plaintiff believes and therefore avers that the AMP Savings and Thrift Plan was transferred to the TYCO Retirement Savings and Investment Plan. G. Plaintiff had a 401(k) through her previous employment with Noelker & Hall Associates, Inc. which balance on December 31, 1999 was $3,623.79. These funds were rolled over into Plaintiffs Enterprise Account. H. Plaintiff has an IRA at Salomon Smith Barney which had a fair market value of $5,887.42 on December 31, 1999. Plaintiff will provide an updated statement as to this asset value prior to time of trial. 1. Plaintiff received retroactive Social Security Benefits for 1999 in the amount of $9,396.00. These benefits were not paid until 2000. J. Insurance Proceeds. The Defendant had total loss of his vehicle in a post- separation collision. The insurance benefits in the amount of $11,767.91 were paid and have been received by the Defendant. K. Plaintiff's Horses. Plaintiff owned and maintained two (2) horses which she used for pleasure riding. She has gifted one horse to a friend due to the financial burden of boarding the horses, and other expenses such as a farrier, dentist and veterinary costs. Plaintiff alone bore these costs since separation. The board cost was $225.00 per horse. Plaintiff reserves the right supplement this response with exhibits documenting these expenses. The horses have been valued at $4,500.00. L. Plaintiff owns a 1999 Ford F150 pickup truck which is unencumbered. This vehicle has a trade in value of $12,125.00. M. Term Life Insurance. Plaintiff has term life insurance with Northwest Mutual Life Insurance in the amount of $100,000.00. It is believed and therefore averred that the Defendant has $150,000.00 in term life insurance and an additional policy for an unknown amount through his employment with TYCO. III. NON-MARITAL ASSETS A. Plaintiff received Social Security Benefits paid in 2000 in the amount of $22,224.00. The amount of benefits apportionable to 1999 was $9,396.00. The non-marital portion of these benefits paid in 2000 was $12,828.00. Defendant claims a portion of these assets. IV. MARITAL DEBTS Marital debts identified in Plaintiff's Statement of Inventory and Appraisement, filed concurrently herewith include the following: A. Wachovia Account No. 4118160215140214 which was paid in full on September 14, 2000 in the amount of $10,618.79. Plaintiff also paid Wachovia $180.65 on December 1, 2000. The Plaintiff paid these marital debts from a checking account which contained proceeds from the sale of the marital home. B. The Defendant had a vehicle lease in his name for a Ford truck presently in the possession and control of the Plaintiff. The Plaintiff paid the obligation on the lease from a checking account which held proceeds from the marital home litigation on September 14, 2000 in the amount of $25,244.14. C. The Plaintiff and Defendant had a vehicle loan for the Defendant's Honda Passport which the Defendant maintained in his possession and control until such time as the vehicle was "totaled" in an incident in which the Defendant was driving. This vehicle had been paid off by Plaintiff with proceeds from the marital home litigation. The loan balance paid in September 14, 2000 was $9,780.31. D. Plaintiff paid a loan with a certified check against the Defendant's 401(k) on September 19, 2000 in the amount of $16,837.67. The certified check to Commerce Bank cost $8.00. E. Plaintiff paid Discover card $1,211.27 on September 19, 2000. F. Plaintiff paid Attorney John Broujos $3,096.66 on November 13, 2000. G. Plaintiff paid H & R Block $206.00 on April 16, 2000. H. Plaintiff paid United States Treasury $3,878.00 on April 16, 2000. 1. Plaintiff paid the Pennsylvania Department of Revenue $120.00 on April 16, 2000. J. Plaintiff paid Capital Area Tax Bureau $36.34 on April 16, 2000. K. Plaintiff paid Tim Zeiders $280.00 on September 5, 2000 for the removal of trash from the barn of the marital home. L. Plaintiff paid Hershey Medical Center $1,737.06 for a medical bill that had not been reimbursed by Defendant's health insurance. V. WITNESSES A. Expert Witnesses. 1. Unless stipulated thereto, Plaintiff expects to call the evaluating actuary from Pension Appraisers, Inc. to testify as to the value of the Defendant's defined benefit pension which report has been included as an exhibit submitted by Plaintiff. 2. If necessary, Plaintiff intends to call Kim Walnes as an expert with regard to the horses valuation and the expenses of maintaining the horses. B. Fact Witnesses. 1. HUSBAND 2. WIFE Plaintiff reserves the right to call additional witnesses for rebuttal if necessary, based upon the testimony offered at hearing. Plaintiff reserves the right to supplement this witness list prior to trial upon proper notice to the hearing master and opposing counsel. VI. EXHIBITS See attached. VII. DEFE'NDANT'S INCOME Defendant's 2000 income from his full time employment with TYCO Electronics Corporation was $122,893.91. Defendant has not disclosed his 2001 income to Plaintiff. However, Plaintiff has no reason to believe that Defendant's earning capacity has changed since that period of time. Plaintiff knows of no health issues which may impact the Defendant's earning capacity. The Defendant's monthly net income as determined by the Cumberland County Domestic Relations Office in an Order dated February 12, 2001 is $4,255.67. The present Domestic Relations Order requires that the Defendant provide Plaintiff with a copy of all bonus checks and 40% of any bonus paid to the Defendant by his employer. Since the February 12, 2001 Order was entered, Plaintiff has received no funds from the Defendant pursuant to the requirement that he pay 40% of the gross of all future bonuses to Plaintiff. Neither has the Defendant provided copies of bonus checks to Plaintiff. VIII. PLAINTIFF'S EARNING CAPACITY Plaintiff is current receiving Social Security Disability in the amount of $1,087.00 per month. Plaintiff works on an occasional free lance basis as an interior designer. Information concerning her income from this limited free lance work was provided at the time of the initial support conference and again with the filing of the Income and Expense Statement. IX. PLAINTIFF'S EXPENSES Defendant presently provides health insurance for the Plaintiff. Plaintiff requires regular psychiatric care which costs approximate $160.00 per month. Additionally, without the reimbursement of health insurance available through Defendant's employment, the Plaintiff would incur prescription medication costs in excess of $700.00 per month, based on retail costs. Plaintiff is currently eligible for Medicare. However, she will be in need of Medi-Gap health insurance coverage. Medicare does not cover prescription costs. Plaintiff also has the expenses for the care and maintenance of her horse in the amount of $350.00 per month. These expenses were ones which the parties had during the marriage. X. COUNSEL FEES AND COSTS Plaintiff believes and therefore avers that Plaintiff expended funds in counsel fees which would have been unnecessary had there been a greater level of cooperation on the part of Defendant. Plaintiff has paid for the valuation of Defendant's defined benefit pension. XI. PERSONAL PROPERTY Personal property from the marital home has been divided by the parties in a fashion satisfactory to each of them. Plaintiff owns a horse trailer for which she paid $5,500.00 in 1998. The horse trailer has not been valued at this time. XII. PROPOSED RESOLUTION A. Alimony. Plaintiff proposes an alimony payment to WIFE in the amount of $1,450.00 per month. The amount would be modifiable based on a substantial involuntary decrease in the earning capacity of either party. It would terminate upon the death of either party or Plaintiff's remarriage or cohabitation. Plaintiff would need the alimony to be secured by Defendant's life insurance. For the period that the Plaintiff is COBRA eligible, Plaintiff requests that the Defendant be ordered to continue her health insurance coverage so that her prescription costs would also be more manageable. B. Equitable Distribution. The Plaintiff would propose a 60%/40% distribution in her favor and recognition of the significant gap between the earning capacities and health conditions of the parties. Plaintiff proposes that the equitable distribution plan provide for the Defendant to keep his frozen TYCO pension and that she receive her distributive portion from the Defendant's 401(k) plan via a greater distribution from the cash proceeds from the settlement on the marital home litigation. Plaintiff would then retain her Enterprise Account, Salomon Smith Barney IRA's, 401(k) and horse and truck. Any consideration to Defendant's claim against the Plaintiff's lump sum Social Security Benefits Award should be adjusted to note that only $9,396.00 of the lump sum benefits were apportionable to the calendar year 1999. JOHNSON, DUFFIE, STEWART & WEIDNER Date: gy: , Melissa Peel Greevy ' :164015 .1 1 VERIFICATION I, Cynthia A. Koegel, do verify that the statements made in the foregoing Pretrial Statementare true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa.C.S. §4904 relating to unsworn falsification to authorities. Cynthia A. Koegel! Dated: m Oa CERT/F/CA TE OF SERV/CE AND NOW, this G/' day of October, 2002, the undersigned does hereby certify that she did this date serve a true and correct copy of the foregoing Pretrial Statement upon the other parties of record by causing same to be deposited in the United States Mail, first class postage prepaid, at Lemoyne, Pennsylvania, on the date indicated below, to the following persons: P. Richard Wagner, Esquire Mancke, Wagner & Tully 2233 North Front Street Harrisburg, PA 17110 JOHNS UFFIE,,?S?TEEW,ART & WEIDNER P 'Melissa Peel Greevy I Johnson, Duffle, Stewart & Weidner By: Melissa Peel Greevy I.D. No. 77950 Attorneys for Plaintiff 301 Market Street P. 0. BOX 109 Lemoyne, Pennsylvania 17043-0109 (717) 761-4540 CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 00-5717 CIVIL TERM V. CIVIL ACTION - LAW KEITH S. KOEGEL, Defendant PLAINTIFF'S EXHIBITS VI. EXHIBITS A. Nationwide Insurance Check 58-201806 in the amount of $11,767.91; B. October 11, 2000 Commerce Bank Statement, Account No. 0513230375; C. October 9, 2002 Commerce Bank Statement, Account No. 0513230375; D. Check Register for Account No. 0513230375; E. October 31, 2000 Commerce Bank Statement, Savings Account No. 0616143706; F. Commerce Bank Savings Account No. 0616143706 ledger; G. September 30, 2002 Commerce Bank Statement, Savings Account No. 0616143706; H. September 30, 2002 Enterprise Account No. 849404361, Money Market Account reflecting balance of $10,169.49; 1. March 19, 2002 Statement of Hospital Account from Hershey Medical Center in the amount of $1,737.06; J. October 2, 2002 Letter to Plaintiff indicating the value of the horses, Crystal and April in the amount of $4,500.00; K. December 31, 1999 American Funds 401(k) Statement for Account No. 63757749 in the amount of $3,623.79; L. September 30, 2002 Enterprise Money Market Account No. 634573 reflecting balance of $2,694.40; M. September 12, 2002 Letter from Pension Appraisers, Inc. to Plaintiff's Counsel valuing Defendant's defined benefit pension at $26,716.93; N. March 31, 2000 TYCO Retirement Savings and Investment Plan Statement for Keith S. Koegel reflecting balance of $65,949.65 and loan balance of $20,642.46; 0. January 31, 2000 AMP Incorporated Employee Savings and Thrift Plan Statement for Keith S. Koegel reflecting balance of $74,046.91 rolled out; P. December 31, 1999 AMP Incorporated Employee Savings and Thrift Plan Statement for Keith S. Koegel indicating vested balance of $69,263.25; 0. March 31, 2000 Salomon Smith Barney IRA Statement of Cynthia A. Koegel reflecting balance of $5,887.42; R. Form SSA-1099 Social Security Benefit Statement of Plaintiff for the year 2000 reflecting lump sum payment of $22,224.00, of which $9,396.00 in benefits were for the year 1999; S. Social Security Administration Retirement, Survivors and Disability Insurance Letter to Plaintiff indicating Medicare eligibility and monthly check amount; T. Social Security Administration Retirement, Survivors and Disability Insurance Notice of Award to Plaintiff dated July 23, 2000; U. Plaintiff's Check No. 93 to Wachovia in the amount of $10,618.79; V. Plaintiff's Check No. 95 to Keystone Financial Lease in the amount of $25,244.14; W. Plaintiff's Check No. 94 to M & T Credit Corp. in the amount of $9,780.31; X. Kelley Blue Book Trade-In Value on Plaintiff's 1999 Ford F150 Super Cab Short Bed Truck; Y. February 12, 2001 Final Order of Court Domestic Relations Section PACSES Case No. 084102851, Cynthia A. Koegel, Plaintiff and Keith S. Koegel, Defendant; Z. February 12, 2001 Summary of Trier of Fact Domestic Relations Section PACSES Case No. 084102851; AA. Check No. 7619 to Pension Appraisers, Inc. in payment of the pension valuation for Defendant's defined benefit plan; BB. Capital Blue Cross Insurance Plan Description for a Comprehensive 750 insurance plan. :164155 adjuster Number Adjuster Number _DES Payment Loss Payment -xpense Payment Expense Payment Deductible Deductible teimbursement Reimbursement otal Paid Total Paid 'oding Coding salvage (y/n) Salvage (y/n) ;ubrogation (y/n) Subrogation (y/n) -haraenble (y/n) Chargeable (y/n) )rive-In (y/n) - Drive-In (y/n) .oss Cause Loss Cause 'ype of Loss Type of Loss ull or Partial Payment Full or Partial Payment 'IN/SSN TIN/SSN 'roperty Property _ M Loss Location IM Loss Location mensified Appraisal Intensified Appraisal 5-8-1 3 -71 c_ 1 Z/1( 36? 1 36g& 1 G/ I Vo &.C NATIONWIDEa INSURANCE COMPANIES + - H RISE G SERVICE CENTER • HARRISBURG, PA 56-1544 Nationwide 5 - 20180.6 l,, L V 5 f-a a /EIPF4 SUE ,Y EXACTLY ?tZARdO AMOUNT kY TO RDER C _ . Void If Nnt Cashed WitM1in MAO Daye?- 84AW OW BAIJK ONE, NA OHIO 11'5820180611' 1:044II54431: 6440 ABOVE CHECK COVERS ITEMS INDICATED BELOW - DETACH STUB BEFORE CASHING AND KEEP FOR YOUR RECORDS NATIONWIDE MUTUAL INSURANCE ? NATIONWIDE INSURANCE COMPANY OF FLORIDA ? NATIONWIDE ASSURANCE COMPANY NATIONWIDE MUTUAL FIRE INSURANCE COMPANY ? NATIONWIDE PROPERTY AND CASUALTY INSURANCE COMPANY ? OTHER NATIONWIDE GENERAL INSURANCE COMPANY ? NATIONWIDE I.NDENINnY INSURANCE COMPANY 5Q. 201806 CHF.[K k O ull/Partial Payment (circle one) FUIVPartiai Payment (circle one) uto Amount Bodily Injury Amount om rehensive Personal Injury I Dllision Medical Payments arsonal Injury PtotectionIMP Lost Wales ninsured/Underinsured Minus Offsets owine and Labor Total :omeowners or Business Amount Amount :rsonal Property. Contents. Jeweirv If medical rovider is payee cal Property, Home. Business Minus offset/usual and customary list. (note type) Total linus deductible/offsets Services rendered to: otal Datelsl of service: slice Report Ex . nF reimbursement to follow: (v/n) Iditional Informunon: R you hu%e any questions, please call My phone numher is ?y?®p Commerce Bank/Harrisburg N.A. .. ®?y?///merce 100 Senate Avenue - P.O. Box Ban Camp Hill, PA 17011 STATEMENT DATE CYNTHIA A KOEGEL 1q/11/00 125 PINE LANE PLAIN+FIELD PA 17081 ACCOUNT NO. 51323Q375 6 CYCLE-00 3 *** CHECKING *** REGULAR CHECKING ACCOUNT NUMBER 0513230375 TAX 10 NUMBER 178-52-5234 PREVIOUS STATEMENT BALANCE AS OF 09/14/00 .*so 000 PLUS 3 DEPOSITS AND OTHER CREDITS 64x371076 LESS 7 CHECKS AND OTHER DEBITS... 630716018 CURRENT STATEMENT BALANCE AS OF 10/11/00 sass. 655.58 NUMBER OF DAYS IN THIS STATEMENT PERIOD 27 - w-b -------------------------------------------- --.w *** CHECK TRANSACTIONS *** SERIAL DATE AMOUNT SERIAL DATE AMOUNT 93 09/19 10618079 94 09121,. 9780@31 95 09121 25244*14 97* 09/19 8000 98 09/22 1211.27 -owe---------.....---------- ---. --------- CHECKING ACCOUNT TRANSACTIONS *** DATE DESCRIPTION DEBITS CREDITS 09/15 DEPOSIT 500Q00oO0 09/19 DEPOSIT 140014.00 09/19 CERTIFIED CHECK DEBIT 160837067 09/25 DEPOSIT 371.76 09/26 AC-DELUXE CHECK -CHECK/ACC. 16000 -+-------------w--: ---w,...---` ....rs.+-"------------ ----- *** BALANCE BY DATE *** .09/14 000 09/15 509000000 09/19 360535054 09/21 19511.09 .09/22 299.82 09/25 671058 09/26 555.58 4 a NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION CYNTHIA A KOEGEL 240 WALNUT BOTTOM RD CARLISLE PA 17013 =m= --_ STATBMM 10ATE 3 Accoverr xo. ACCOUNT NUMBER 0513230375 PLUS 0 DEPOSITS AND OTHER CREDITS ................... .00 LESS 0 CHECKS AND OTHER DEBITS ...................... .00 CURRENT STATEMENT BALANCE AS OF _10/09/02 221.03 NUMBER OF DAYS IN THIS STATEMENT PERIOD 28 ----------------------------------------------------------------------------------- xxx BALANCE BY DATE xxx _ 09/11 221.03 HtLUMIJ ALL GF1AFi6tD UK urlmulla InAI r rrmi . rrvun rn.a.vvrvl -/ FEE BAIANCE BEP DATE OESCPIPTION OF TPANSACTION PAYMENT/DEBIT T fIFIANVI DEPOSR;CREOIT $ $ $ 5Q 000 "' ?DOGV >"i'' 4 ;4fi4 M¢TCRWr( (I?Oa) 4740 31 24lvoo qo -4/4 zawSlc- GAL-C?n? 176 ?jO?fiSty' Jy-oab -' i ? IIi?35G ?? 44*4 .? wS Ito 51 9'L?, t ,?t 13i1 (UMBER I DATE 11 DESCRIPTION OF TRANSACTION Commerce Bank/Harrisburg N.A. C®mmel 4e 100 Senate Avenue P.O. Box 8599 Bank PA Camp Hill, l, PA 17011 CYNTHIA A KOEGEL POO. BOX 213 PLAINFIELD• PA 17081 STATEMENT DATE L10/31/83, ACCOUNT NO. b162437 6 *** SAVINGS *** PREMIER SAVINGS BEGINNING RATE 4,67000 ACCOUNT NUMBER 0616143706 TAX 10 NUMBER 178^525234 PREVIOUS STATEMENT BALANCE AS OF 09/30/00 r,ar 80,186.26 PLUS I DEPOSITS AND OT HER CREDITS 318.04 LESS 0 WITHDRAWALS AND OTHER DEBITS *f"Q CURRENT STATEMENT BALANCE AS OF 1OX31100 rasa, 809504a3q NUMBER OF DAYS-IN THIS STATEMENT PERIOD 31 - ------------------------ -------------------- ------- *** SAVINGS ACCOUNT TRANSACTIONS i>** DATE DESCRIPTION DEBITS CREDITS 10/31 INTEREST PAYMENT 318*04 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - *** BALANCE BY DATE *** 09/30 80,186926 10/31 809504.30 PAYER FEDERAL ID NUMBER 23-2324730 INTEREST PAID YEAR TO DATE. 507,39 ---------- *** INTERESTEARNED'THIS STATEMENT. PER16D *** DAYS IN PERIOD aaasirsaararr•n*irrass??• 31 INTEREST EARNED •r*easiarasaaara•*waakra, 318*04 ANNUAL PERCEWTkG9 YIELD-EARKOA APY11404, 4*77% -------- - --------- - -------------- NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION DATE MEMO AM WOF WRHai1AWAL AMOUNr OF DEPp9R I NiERFbT CREDm - ? `i3?oa lJ oa SE7TLEd fE/?T / RRgJ 50voo - 1439910 91 // /oo 2 v o CcJr7?G/C»!Zr'i1cJ -Ttz?F=? GCJ y 2 - 14doa °- -- ?49? 9 9P /it. - i a wt-JI-10SAM T a&Jb Soo - l 4lo I awoB r- 6W/,w) 1114 43 Commerce 24-Hour Customer Service a„ ,Qa B'c Cumberland & Dauphin Counties* 731-1100 / - - York County • 747.0857 Toll-Free 1.800-YES-2003 America's Most Comrenlept Bank, .'•-..,? This is your mcelpL Checks and other Items are mwhmd far deposit subject to the provisions of the Ung= Commercial Code or any applicable col=n a9reemem. Depostta may not be available for Immediate wltidrawal, 0161.11 09/13/00 0007 616143706# STMT NEW ACCT DEP&CP $143,996.91 1456 CARLISLE OFFICE BR•17-1-15 jRev 12W COMMERCE BANK/ HARRISBURG. N.A. Commerce Bank CYNTHIA A ROEGEL 240 WALNUT BOTTOM RD CARLISLE PA 17013 *** SAVINGS *** PREMIER SAVINGS ACCOUNT NUMBER 0616143706 PREVIOUS STATEMENT BALANCE AS OF 08/3 CURRENT STATEMENT BALANCE AS OF 0 NUMBER OF DAYS IN THIS STATEMENT *** SAVINGS ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 09/30 INTEREST PAYMENT *** BALANCE BY DATE *** 08/31 78,843.15 09/30 78,988.96 Commerce Bank/Harrisburg N.A. 100 Senate Avenue Camp Hill, PA 17011 688-937-0004 0616143706 ACCOUNT NO. CYCLE-052 BEGINNING RATE 2.25000 ........................ 78,843.15 78,988.96 30 PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE DEBITS 23-2324730 1,407.69 CREDITS 145.81 SiATEMENi' DATE 09/30/02 *** INTEREST EARNED THIS STATEMENT PERIOD *** DAYS IN PERIOD ........................ 30 INTEREST EARNED ........................ 145.81 ANNUAL PERCENTAGE YIELD EARNED (APY).... 2.278 ise Ente>r?rUNDS GROUP OF F P.O. Box 219731 • Kansas City, MO 64121-9731 CYNTHIA A KOEGEL 240 WALNUT BOTTOM RD CARLISLE PA 17013-3739 1trrlllnrll Iall rrr11Ili Is U1111111111111111111if rlll111911111 Investment Value on investment Statement January 1, 2002 to September 30, 2002 Investor Services 1.800.3683521 www.enterprisefurids.com Dealer Information NORKIEWICZ 8A9 MONY SECURITIES CORPORATION 000129 4001 CITY AVE SUITE 723 BALA CYNWYD PA 19004.1122 Sat 2002 Page 1of 3 Trading Account Fund Value as of YID M Value as of Fund Symbol Number Number 01p112o02 Investments Rodamptions OyAr1002 MONEYMKT-A ENM)0( 849404361 236 $11,787.50 $0.00 $1,737.06 $10,169.49 Total $11,787.50 $0.00 $1,737.06 $10,169.0 r- Investment Allocation 0.00/6 Sector/Speciahy 0.00/6 Aggressive Stock 0.0% Stock _ 0.01/6 Interoational/Global 0.0% Domestic Hybrid 0.00/6 Income _ ® 100.0% Money Market $10.169.49 MONEYMKT-A 100.0% Money Marketfunds seekthe highestlevel of curremincome eonaistantuPoh preservation of capdel and liquidity. 100.00/0 Total 10,169.49 5210E MS HERSHEY MEDICAL CENTER P.O. BOX 828632 PHILADELPHIA, PA 19182-8632 I1 rime -- Iy V; ?. aiwATU DIP. oATe STATEMENT OF HOSPITAL ACCOUNT AMOUNrPao 1737.06 f PATIENT'S NAME I ACCOUNT NO. I ADMISSION DATE I DISCHARGE DATE I STATEMENT DATE 00D00D0002733510903990319020000173706 MS HERSHEY MEDICAL CENTER P.O. BOX 828632 PHILADELPHIA, PA 19182-8632 *************AUTO**3-0IGIT 170 00000360 2 AT 0.499 05 CYNTHIA KOEGEL PO BOX 213 125 PINE LANE PLAINFIELD. PA 17081-0000 111111111111111111111111111111111111111111111111111141119 111111 IMPORTANT: PLEASE DETACH AND RETURN THE TOP PORTION OF THIS STATEMENT WITH YOUR REMITTANCE TO ASSURE PROPER CREDIT. PLEASE WRITE ACCOUNT NUMBER ON THE CHECk TRANSACTIONS MADE AFTER PATIENT'S NAME C NT NO. 7 THIS DATE WILL APPEAR ON YOUR NEXT STATEMENT 09/10/99 6706 09/10/99 6708 09:/13,/...99, 6700 ,•.. 09:670:3 09/13/99 6708 09/14/99 6700 09/14/99 6703 09/14/99 6706 09/15/99 6700 09/15/99 6703 09/15/99 6704 09/15/9916706 09/15/99 6708 09/16i99 6700 FAMILY THERAPY W/PATIENT EDUCATION/TRAIN SESSION INDIV THERAPY 20-30 MIN GROUP THERAPY 76.00 43.00 55.00 38.00 76.00 43.00 55.00 38.00 76.00 55.00 38.00 81.00 76.00 43.00 55.00 ,;y 2 October 2002 Dear Cindy, As per your request, I have evaluated the following horses, and placed these values on them: Crystal, a grey, 14 year old, Quarter Horse mare $2,500 April, a black, 12 year old Quarter Horse mare $2,000 Sincerely, Kim?es Instructor Former member, US Three Day Event Team PO Box 101 Milford Square, PA 18935 caa+l?rl?°`?11 PO sox 2280 Year-End Statement Page 1 of 2 ® Norfolk VA 23501-2280 Group January, 1 -December 31, 1999 MICHAEL HULL OR DOUGLAS WAGNER Your finaactal adviser OR BOBBY F IKE TTEES LORDEMAN NOELKER & HULL ASSOC INC 401K PSP FBO CYNTHIA A KOEGEL ALLEGHENY INVESTMENTS, LTD. 30 W KING ST 3000 MCKNIGHT EAST DRIVE CHAMBERSBURG PA 17201-1540 - PITTSBURGH PA 15237-6439 Wishing you a joyful New Year For more account information ......................................................................................................... ......................................................................................................... This statement includes all accountactivity forthe year; ¦ Call your financial adviser please save it with your tax records. ¦ 24-hour automated information and services American FundsLine 1 800 325-3590 American Funds Web site www. americanfunds. cam ¦ Personal assistance - 8 a.m. to 8 p.m. Eastern time M-F Shareholder Services 1 800 421-0180 Summary ......................................................................................................................................................................................................................... Fund Account Type of Sharesheld Shareprice Accountvalue number number fund as of 12131 as of 17131 as of 12131 .......... . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . MICHAEL HULL OR DOUGLAS WAGNER OR BOBBY FINE TrEES NOELKER & HULL ASSOC INC 401K PSP FBO CYNTHIA A KOEGEL The Cash Management Trust of America 09 63757749 money market 3,623.790 $1.00 $3,623.79 Total $3,623.79 Year-to-date dividends and capital gains Fund Account Short-term Long-term number number . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dividends capitalgains . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . capital gains . . . . . . . . . . . ........................ MICHAEL RULL OR DOUGLAS WAGNER OR BOBBY PIKE TI'EES NOELKER & HULL ASSOC INC 401K PSP PBO CYNTHIA A KOEGEL The Cash Management Trust of America 09 63757749 $127.29 $0.00 $0.00 Total $127.29 $0.00 $0.00 I111111IIII'?IIIIIIiIIIII II aii JGPMa W4VElfiNllt ?IIFIF 10616 LH5AF501.INVMCP....... AF].......VO]11510] The 141herican Year-End Statement Page 2 of 2 ,® January 1 - December 31, 1999 Group Transactions for MICHAEL HULL OR DOUGLAS WAGNER OR BOBBY PIKE TTEES NOELKER & HULL ASSOC INC 401K PSI? FBO CYNTHIA A KOEGEL The Cash Management Trust of America Fund number 09 Account number 63757749 Dividends and capital gains reinvested Shares this Trade date Description .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dolleramount . . . . . . . . . . . . . . . . . . . . . Share price transaction Share balance . ...................... 01/01/99 . . . . . . . . . . . . ...... Beginning share balance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................. . . . . . . . . ............................... 0.000 03/24199 Direct investment $3,404.09 $1 .00 3,404.090 3,404.090 03/26/99 Direct investment $92.41 $1 .00 92.410 3,496.500 03131/99 Income dividend $2.81 $1 .00 2.810 3,499.310 04/30/99 Income dividend $12.37 $1 .00 12.370 3,511.680 05/28/99 Income dividend $12.83 $1 .00 12.830 3,524.510 06/30/99 Income dividend $12.62 $1 .00 12.620 3,537.130 07/30/99 Income dividend $13.47 $1 .00 13.470 3,550.600 08/31/99 Income dividend $14.00 $1 .00 14.000 3,564.600 09/30/99 Income dividend $13.76 $1 .00 13.760 3,578.360 10/29/99 Income dividend $14.68 $1 .00 14.680 3,593.040 11/30/99 Income dividend $14.67 $1 .00 14.670 3,607.710 12/31/99 Income dividend $16.08 $1 .00 16.080 3,623.790 12/31/99 Ending share balance 3,623.790 Since the fund declares dividends daily, the amount of your income dividend depends on the number of days between the day you paid for your shares and the day the dividend was paid. ooauuouo ill I Illll 11111 ll l 11111 ll l III dFS_g9900n 9pp9y6003.1Ofi1i.1061].CNSAFSOI.INVM[P......AF3...._.00]135303 Enterprise ?. GROUP OF FUNDS P.O. Box 219731 • Kansas C4 MO 64121-9731 STATE STREET BANK & TRUST CUST IRA A/C CYNTHIA A KOEGEL 240 WALNUT BOTTOM RD CARLISLE PA 17013-3739 6rrl16rr1I6m1rlhdlrrrll11111111rlrl„rlr,lllrrl,rlrll Investment Statement January 1, 2002 to September 30, 2002 Investor Services 1-800-368-3527 www.enterpdsefunds.com Dealer Information NORKIEWICZ BAB MOW SECURITIES CORPORATION 001694 4001 CITY AVE SUITE 723 BALACYNWYDPA 19004-1122 r Investment Value on September 30, 2002 Page 1of 5 Trading Account Fund Value as of YTD YTD Value as of frond Symbol Number Number 01/01/2002 Investments Redempdoes 0913012002 MULTICAP-B EMCBX 634573 699 $600.16 $0.00 $0.00 $396.00 SMCOVAL-B ESCBX 634573 693 $1,005.06 $0.00 $0.00 $822.91 EQUITY-B ENEBX 634573 695 $651.33 $0.00 $0.00 $403.15 GROWTH-B ENGBX 634573 685 $827.24 $0.00 50.00 $607.81 INTL GROWTH-B EIGBX 634573 688 $642.88 $0.00 $0.00 $464.53 Total $3,726.67 $0.00 $0.00 $2.690.40 ¦- Investment Allocation Sector/Specio EM 45.3% Aggressive. Stock $1.218.91 MULTICAP-B SMCO VAL-B 14.7% 30.5% Aggressive Steckfunds seek higherthan average growth by investing primarily in equity securities with higharthan average risk [] 37.5% Stock $1.010_96 FRUITY-B GROWTH-B 15.0% 22.6% Stockfunds seek growth of capital overtime primaritythrough equity securities with moderate risk ® 17.20/9 International/Global $464.53 INTLGROWTH-B 17.2% 0.0% Domestic Hybrid _ 0.00/1 Income 0.00/0 Money Market 100.011/6 Total ,694.40 521M PENSION APPRAISERS P.O. Box 4396 • Allentown, PA 18105-4396 1-800-447-0084 • Fax 610-770-9342 September 12, 2002 Melissa Peel Greevy, Esq. V® SFp , ?0 6 fop INC?r e4l rq%bDyy fi 6 L: penapp@pensionappraisers.com W1 : http://ivww.pensionappraisers.coni PO Box 109 Lemoyne, Pennsylvania 17043-0109 RE: Present Value of Keith S. Koegel's Defined Pension Benefit File No. 09-06-02-049-2785G Dear Attorney Greevy: We have determined the marital portion of the present value of Keith S. Koegel's defined pension benefit by the GATT Method as of September 12, 2002 to be $26,716.93. This valuation was developed and prepared in conformity with the requirements of the Actuarial Standards of Practice No. 34. These Standards were developed by the Pension Committee of the Actuarial Standards Board of the American Academy of Actuaries. The purpose is to set standards-for . Members and Other Persons Interested in Actuarial Practice Concerning Retirement Plan Benefits in Domestic Relations Actions. Pension Appraisers, Inc. relies on the requestor to provide the information necessary to value pensions. In some cases, information not provided by the requestor may be obtained from plan summaries on file in Pension Appraisers, Inc.'s offices. All information received from the requestor is reviewed for practicability and reasonableness. Any information in question is verified with the requestor, when possible. Any deficiencies in data may materially affect the results of the appraisal. Pension Appraisers, Inc. utilizes the fractional rule allocation method in valuing all pensions for equitable distribution purposes unless otherwise stated. BIRTH DATE: October 11, 1958 SEX: Male MARRIAGE DATE: November 3, 1979 VALUATION DATE: September 12, 2002 PENSION PLAN: Tyco Electronics Pension Plan DATE EMPLOYMENT STARTED: October 1, 1988 (Assumed date pension holder began participation in the plan) DATE BENEFITS STOPPED ACCRUING: December 31, 1999 (Assumed date pension holder ended participation in the plan) ASSUMED DATE MARRIAGE ENDED: December 11, 1999 AGE WHEN BENEFITS COMMENCE: 65 years "Valuators of Defined Pension Benefits for Equitable Distribution" GATT Actuarial and Mortality Tables Method September 12, 2002 Keith S. Koegel - it 09-06-02-049-2785G Page 2 MORTALITY TABLES: 1983 Group Annuity Mortality Tables INTEREST RATE ASSUMPTIONS: 4.93% 30-Year U.S. Treasury Bond Constant Maturity Rate for the Month of the Date of Valuation. U.S. Treasury Bond Rate: 4.93% ASSUMED MONTHLY BENEFIT: $657.23 Monthly pension benefit the pension holder would receive at retirement age with a fully vested pension based upon compensation and plan provisions as of December 31, 1999. REDUCTION FOR NON-VESTING: 1.0000 Represents a reduction for the probability of service to 100 percent vesting as equal to the portion already completed. REDUCTION FOR MARITAL_COVERTURE FRACTION: 0.9951 Represents that portion of the value of the benefits attributable to the marriage. The numerator of the fraction represents the total period of time the pension holder participated in the plan during the marriage and the denominator is the total period the pension holder participated in the benefits. program. PRESENT VALUE BEFORE REDUCTIONS: Reduction for Non-vesting: Reduction for Marital Coverture: $26,848.49 x 1.0000 x 0.9951 VALUATION FOR EQUITABLE DISTRIBUTION: $26,716.93 OCT. 16.2020 .9! 3.'-43M AMP BUS DEVELOPMENT W '7"74 Iraarsaaeeel eras f. Tyco Retirement Savings and Investment Plan eBWNFxPO ENVOW032017 KEI S KDEQEL M4 37662 35732 E 126 PINE LANE PO Box 21$ PLAINFIEL , PA 17081.0213 he __ _ - - - - sara?e Your Account Summary Be inning Balance $0,00 Yaur Contribullons 1,640,63 - Tycob Dontrlbullons - 1,909.91 Trenstor - - 53,404.44, Change in Aowunt Veluo 9,09437 Ending ealenc® $96,949.65 Addillonat Informal on s Vaated BalAnce $65,949.85 o Dividends a Interest $7,81 4 Ouistandinti Loan Belanos $20,642.46 Loans an an 40011 of your eooount but am not included In yap? andlnp Wane Your ersunit Rate of Return This ste%rnanr Period 15,5% Year to Date 16,15% Your Penonal Hato of A414M Is oafoufated with the ilma-walahhd fomwfa, a fertnula widely weed by fletoriol0l analyats to catoulate ills lnwrsi ignl semin9a of a Penlolm. It raneats 96 results of your Invas ins"I salacaons as Wall 41 any eopvlty In the account There are other Partbnal Rah of Rearm fomf4las 4s44 that may yiald dplarentrewlit. neMArril et thAt past perlomaflat Is m putv4ntoe. of tutme, results Market Value of Your Account Displayed in this Modon la tle value of Your account tat file swarnant wod, in tooth shares and dollar.. Account Statement January 1, 2000 • March 31, 2000 Account Number: 203526099 P. L'1 F resentenvesltare available from 8 30arn to 1100pm CST .any buelness day, Account information is also avg,Wly 24 hours a 4ay through the bsneflfe lyle or www.401k.com. Your Asses Allocation 2 stocks 100% Your investmeMa Are af*ated amonj the glspla ad asset classes ae of 9 and of thte atittymen perwd. Glen 9z mnAa attar d+.e and of Us stetementperlod wit, Ito raflectei In your next statemetb, Perolintegas and totals Iney not be sweet due to rounding. Pike Savings and tnvasIment Pian I stook Inv@at?tV114 Spann Us Eq Index 01000 69.113 552.09 $63.12 Tycn stock Fund 01000 1,664.752 529.16 $37.41 695,$40,65 3.671.28 62,276.37 i _ pleats road 1111a stotsmanl carefully. Any error moat its reported to 05"Ity Investments within ep days 9ervlcaa Company, l .0'Box ' 9233, Boston, MA 02206 lots QCT.1E.?t300'- 3:30P'ht` PMP RUS ,`.kO+ LOPMENT - -- n °^y P. 1,1 TyaO ReOfamenl Savings Statement Period: 011C?12000 to 03/31/2000 and Investment NO Account NutnIcar; 203528092 Market Value of Your Account (continued) Ramwnser that a dMdarw payment to ,kind slatrehoidere reduwts the share prlaa at Ana fund, to a deareass in the share price for the atASOmant paned does nor naaeaaeoly reflect lawar fund nadormarwe 4 Your Contribution Elections as of 04/20/2000 Thin section dlepleya the funds In which your future contiliwllons will ha invented i Savings and Investment Plan I Invashwent Total n s y Index 100° Empiayoetnptoyee Employee TydnCompany Tyco Fidelity l0 Data $33,170.08 $410.16 $020.31 $1.809.81 $9,188.18 Vesting lament 140AD 100.00 100.00 100.00 !00.00 Your Account Activit Ufa this sedan As a summary of hers Ions Iher oeourrod to your account durine trio staramorlt panod savings and Invoalment Pion I Dividends A Interest $697 $0,84 $7.61 Your Loan Activity Loan Date Loan Amount Balance on PNnclPeI Repeld Balance on Interest Paid Pr/nalpal Repald lnterast Pa/d IMAM $ paNdd AVSI/2oDn Ibis Period Vear to Data Year to gate svln99a and InvaslmenrPlan I 0 00 0 00 1 0 0 07113/f999 $15,000.0D $13,975.15 . $ $12,575.15 $0.00 . $ 1 . 0 0/12511997 11,085.00 01807.81 0.00 8607,31 0100 0.00 0,000 1 Loan Totals; $20,842,48 $0.00 ,$20,642.46 $0,00 40,00 $0.00 A Message From TYCO A new Internet based planning tool. You'll Nnd information and icals to help you pre are for a successful future- inokldin9 detailed account Information, asset allocation stratapies, Insightful articles, and iniorsallve caPculatars• ail In one place: The Planning Tab at v1v w.n®tpaneti1s.40f k,mm. ,r uVuA KuUUUgC1 mi?r` Services Company, P.C. Sox 4233, Roew, MA 02205 2015 I AMP U4CORPOR.ATE D JRnu,ary 01, 2000 - Januaty 3 L, 2000 For inL`urrna:ion eal}: Vant"mard Participant Services In lopsUC(),7 }?vr, seas f..:crilectcck (610,; fi69bJ-i.00; AMPA Fm C}rviatile intcrnet,ak: tro68nu,vanyuarri.earn Pagc: I of '5 LL. ??"?': ;?:-,:,,,. 1?111111161IIllll'IIIIIII(II!IIIIICIIIIIIIfIIIIIIIIIIIIlIIIIIIIIII??IIIIC ; AMP RMCORPORATE® January 01, 2,000 - ]anucu°, 31, 2000 For in1for nati n, calls Vann aryl Participanr Secvicen In the s USA (800) S'23-) P t 9- f'_)vesseis Collect (610) 669- 1000 Or via the. intemet at: 4Mwvv.v w7rgut2fd(:,, tr KEITH S. KOEGEL Page, 2 of 5 6}Cgi?I.7 ffii (( ggii{{gg q i I `Njtt S314pg f p N n ardc:,l`?7llr. C I'?66ilI??i Nlf??II 61ft? 11M111111tl????fUN AMP iNCORPORl ATCO January 0l, 2000 - January 31, 2{?O) For information call: Va.npard Participant Services h the USA (M)) 52:3-9.IS'E Overseas C oHect (610) 60-1000 AftmFm Or via thfe intr.lnet at: ww,ntVangva;d,. ,oln KEITH S. KOEGEI_ page s of 5 AMP INCORPORTATCO januarv0l, 2.000 - January 31, 2000 For i nfortnarion salt: valiguatxl Participant senicch In the LISA. (800) 523-1188 Ovc,seas Co!lcct (6]6) 669 -1.000 Cyr v:a the internet at: wet•tv,wnnguardcont KEITH S. KOEGE L Page 4 of S t oun. l?Llf llll?!lill(???III IIIII?I[llle(lllfll111?11? 11141!!I(III?? ?h411?E - iii lai 100/l +051 1!."814 W AMP tMCORPOfZA7FD Jan uaty{11, 2000 -.?muary 31, 1000 For irtfocra'taticm, CA; Vall"uxx'd participant .Se[viQck In the US.A (800) 52,1-11U Ov,3rseas Callect (610) 669 -1006 CSr v:a thr, inrc+.'net at; os;vaa.s n?caar'd.cctrn A&M pa KEITH S. KOE GEL Page 5 of .5 uiAoa IIIIII111111111111111[Illllllllfllll?llilllllllllllill(lllCllEllllkll4aillf AM P AMPINCORPORATED October 01, 1999 - December 31, 1999 For information call: Vanguard Participant Services In the USA (800) 523-1188 Overseas Collect(610)669-1000 Or via the internet at: www.vanguard.com AtvTP1HCORPORI ii, -7 YOUR ACCO,IJ N'T,SUMMARY ,Tti'fs,quarteG' - Openmg?GGafance -C rtbu3ions - EMPL41'EEPREAX _EEF3RAL -.$5 741- ? - .... " - EMPLOYER MR??ti '_I •:;: '. ;:: -:.:-32844 Tyco s?oeitAn.41CHING.C?-FF18 _` o aU - - Earnings Dividends/eapita?gans . _--' $2830 Unrealized-gainfToss 1:4373 67- Other Yansactroris" Loan mtere5k e $'449 Z7 '. TransfersY.YpIloyers4f D06- `- _ :'Ttansfersltdfoversbat, ., 000 . '-. Loan admmisCratlonfees,;'. D 00 Closrngbalanoe... $89,26325' O tstandllg:roanbafance $0 642 46 Closing balance minus, outsfanding loans $?38;62tr 78 - - Vested am4Gtit - -$.fi9,263 2S= _ - This sec-flbn provides you wrtH`t?he 'genera-! rnfarmatton.'aboi -- ". ,` - ino rvi dua-f plan-..accoun.ft.- -Any- tnf6rm4 t7on': labeled as YeOY represents ac trY;i'.ay since January 1 a the current cafen. Contbut; dns shown here. represent money tharwaa rece=r"ved? ' 'the statement-pe['iod`shown aboG;e'. Earni-ngs are-defrned-.:as>; change ?our_`_accoun.t Value:due to the rernvestment _of-- dii and/or;.-d,teres t; as Weil as the'-` change ,f,n Fund'pr?cesr ?D.iv,:? paid by _a Fund. may cause a drop-?n tha.-?und price s'cH, cause an.unrea`l i zed loss in your Func 'dobount-; but i't.' i s o the dividend.amount adde d :to yourac'count:. A de'tailed .ezpI can be found on the reve rse, side of this statement, Page 1 of 6 263:25 =.'?: r t by ion 1674 15614 rs i RoUt 0049487 Need More Information on Investing? Visit the library ... the MoneyWhys' Library The Vanguard'Group's MoneyWhys Library can help answer your questions about Ion-term investing and plan participation. Choose from among these 12 easy-to-read pamphlets: Before You Borrow. Presents the pros and cons of borrowing through your employer's plan. Leaving Your Employer? Outlines the distribution options available to you when you change jobs or retire, and highlights their varying tax irnpiicatiom. A Beginner's Guide to Mutual Funds. Tells you what you need to know before investing in a mutual fund, from a simple definition of mutual funds to getting the most from your fund investments. Why Participate in Your Employer's Plan 7 Shows you the benefits of core iburing through your employers plan, including convenient payroll deductions, tax-deferred contributions, and earnings that can compound over time. Get in the 407(fri Game. Explains how investing in. your employer-sponsored 401(k) savings plan can be the key to a financially secure future. How to Choose a Financial Planner. Outlines the issues you should consider when selecting a financial planner. Coping with investment Risk. COtiers tips to help you handle the short-term ups and downs of the stock and bond markets. Creating the Right investment delis;. Identifies tore easy steps to make your long-term savings work harder for you. It offers suggested target asset mb es for conservative, moderate, and aggressive investors. srl9'ar asst slPoeraart a. Explains how contributing a fixed amount of money in regular installments can work to your benefit in along-term savings program. A Distributions Direct'orj: Discus es 'Clow inutuai fund dividends and capital gains affect your invesu-nent. Social Security and Medicare enef€as. Provides a road map to two federal benefits programs for older Americans to help you better plan your retirement. Measuring Mutual Fund Returns. Explains how mutual fiord performance is measured. You can also ask about the most recent Mon-yin hys Bulletin, which offers timely information on long-term investing. A0 literature is available to you at no charge. Just call Vanguard Participant Services toll--free: 1-800-523-1138 Vanguard Associates areavailable Monday through Friday from 8:30 a.m. to 9 p.m. Eastern time. Those requiring text telephone service ('I1 YTrDD) can call 1-800-523-8004 Monday through Friday from. 8:30 a.m. to 5 p.m. Eastern time. An Associate can provide you with one or more of these helpful guides for plan participants. He or she can also answer questions about the investment options in your plan. provide you with account inforxation, and send you prospectuses, fact sheets, and annual reports on Vanguard funds. You can also visit Access Vanguard"' at ha p:i/ vwiv,vanguarca.com to request literaiare or learn more about Vanguard's funds and strvi,ces. This interactive service on the internee Carl be v"Wed. at no charge by anyone with Internet access. _ ,998 V,mg::ard Mw'ketim; r orpontd, m, Disvibuvc All rights ceucr scL 9 i5; - 15., J.913-L_ _ 6 m N a ?t d a m N W m A N me 0C s ?^ m -' fCD A ? 3 ?+ N -A E.0 = A a? H m-CO n. - az mO C ?D r 3m di om p C d' m a.q yo 0? AO FN 0 s a 0 s H co d m N 7 ti 'a "t *c ca n-4 r- () r4 Cal to 2 In xtt 0T S'O rn PO ownon'CA a m 0 rn,o r <O.o v A'. r o ? n 'z r y a) O O w ru v o r y o w z 'n m 0 A = T O w° a m 0 0 0 o. m' 0 0 0 m V a 3 3 11z CD C W O. n 0 c v? W ?2 ;v0 Sy' C- j m z Z c r.,; © .? m o m O m W O X M v C-. IC Ozx 6N a° ? r e o b 7 MIS m ? fD z ca O rt n 0 O ? _ C Q m N co 9 N LI R O / am am O N A N a°w?.+Xlsur?r,.,n€ao-'umu?bau.:c seiaw?adxa't,e w ..... ., --_?•e5•??: a?zy? ?iap?NlN?a _ .. 1m5wla,NgnAww u?.llilu:9.!?I?I?fi??ii l?liza??d?PB'?3??ffi•'?- S e? 3m o$ e? S? m? elm °S a3€ n$.m ?.a "3g 0 m3? a 'o gm ?S Sq b E.? m m m mmw a N os? g ??$ m $ q g m OF ? =mg s g 3 3 m a N .go 3 mg3 enm m s So' n m$ O00 Sms $eµ RSg c^o 8a 3@ Be S S SL S n S i 3 m m g esq. b f .mm. 0 9 g0g Q. n 0 S N 9 n Naup.@- v ax3 FoP L' MCZOR av <y2i? $ 'm' my1S Nm'm 3s N`"EDi?•R xir^F°a '?Z?O °e. ?, fmxie m• .f a'4'a'3 .Qqm •t a ? ?' O ?? C? Y? ? N 0 m O gOSfic --? >g.FomOS? v?i ?'3 m s$.F mX~' ?.Gww?RmaR C n@ m31m D-Ry ?@e? ? ^NPm flF. ff NS ??m ?:?p?NS - 3m oz0m v a 3i e o r 5'O eRc ?emm? .g F_a: pp ° m B c A m a i °m °a•3. gg o O <pp N O O Cm J S. 0 I 9 ? Y E• R C O a N s? N' H ?0 R 9 n f 6 a 9`t = ? C O S O R O g 3 me ga c e m??c maq m??° z?i ?c =5 o'?mmus y mm?m?na0°Fym o' - 'm m3 < ?' Z?m a'm 3 3 3 S0 Z2•a m m n,°n u!'in c+nOitm g gaag p!g'Z'It ° e 3g QQ g 3$om .. E°?iebe 80?? a3?484:gR ?.ga^ 'NSF Ramm c 2m FQ q,Z RCS,^°.. n n e o 4^ ++°^ m y R x r ?^ o o a a B$ L` m H u m g 3 3 ?. N.3 °^ ? 3a oa°ym?. ? ?n«65. a to 0 6°n m % nr - m 1 0 •mf `m m O R m ti m 3° o°$ m o ?'?2 .2'Z m A £ o e o S o £^'+Ne Fe % 2m v N 2'0 3 3 ec °' @.e 3 m g g '$ ° m N m g mm. n v°, a °mj?m n 3?m S Y@ 6 o013iwn ?0 ?ge °? ?? °' _ Q 3 O'f •C 3 n e f o ? s° o o°? t ca n N g p ^ < a$ Yo° ? Y'i mmR`m de c.@ m Sea o3? 3- m e ?m3 'R$ mg3 $m'',m ?, I¢ ¢ a?rv• ?Bn ms '3m3 o S',$ ?. ,8_, ?sF s m`c 33 'a•3°ca Sm o ??3 g„ 0?3 3'mm 5 mRS Cr&,m.°-v? BoWE. -yam 'y5 m o"s 'msfa 3 93? m mo? 3''3c .?: y6 p0 m 'pmOO N ?3w °ai a .m -amS £S. ym''.n?y °.mQ'6 m x?. 33.ag$ g3c?' 3. m D E3 ID 6 N 9 n 4 m O C ,R® G R v a A c N w o d o m °o v ? n m r g O v z o m? 0 c m 0 Im w ??htl x ;:y Z x '.V a Q N m Q 3 i u u D L i 3 i i' 1 Oft .d c d? i i i tc i C e i n 0 c a a in 6 m m d s i v m. m m W O R m x 0 d N i o. m N m. m, v. N' 1 i i 1 6 i A N z a oo m c N O i A N d J i A = r u c N 01 1 4 1 m H T 0 0 m 0 i T m Tzdi;::F: p 7 , m 4 1 t :>e, .1 ? T G N p '>'?'a? O y O fD u" l:iF kr [ ' 5 4iiR G ?: ?jrt r o o,?:>a3a Z n Ti . .:.;c;:u U m C ?, P u... ..,? S 3 s .::y o r: ar . ,3z; N, O O s{;;3 3 a nod 4=?`? s ..:. . I' m 1: I'l y:., C 1 ?';L?'oji ' D o p j = ?,;j n m CZ ` ': o , O , MfY::S•F` ? in 'e d ?:r:5iy:?; I O O i5en:!,.. O G x.F.iroY:q ' G G ?<%5' gS A n , n^ Vic, o -. ' P Z ly 3 i 1 ::} n. b ?'G m to x m N C. o ?. CID m . a N ? rf d n :jjj,I: La Z ? rf 1 r ? G ma °: 3 y. , a V N .Q a w N O? m ?.1 b N p ? A V y T d tD n (/1 ui (q n? O ca (D Ro ° Q ? n o ? m gym' R? ?o Tv ^ eyi ? 0 0 O y d P v (4 7 `OC >' m N t a N H O 1 m m m N CD d `yG O N N Q y 0 t Q W N b m v x O 0 e z a 0 0 0 0 m m 0 S 0 V N D 3 fD 3 a o_ n O C ,Oa L O O. CL s ?O n ? Nn w 3 C) rh o D on n O s `z a a R 0 m m r a 0 e 0 R C Q Z V N m aD N w a 03 N V 9 d u m u 0 A FORM SSA-1099 - SOCIAL SECURITY BENEFIT STATEMENT PART OF YOUR HOWN IN BOX 5 MAY BE TAXABLE INCOME. C I 2000: SEE THE REVERSE FOR MORE I FORMATION. Box 1. Name Box 2. Beneficiary's Social Security Number CYNTHIA A KOEGEL 178-52-5234 Box 3. Benefits Paid in 2000 Box 4. Benefits Repaid to SSA in 2000 Box 5. Net Benefits for 2000 (sox3 minus sox a) *$22,224.00 NONE $22,224.00 DESCRIPTION OF AMOUNT IN BOX 3 DESCRIPTION OF AMOUNT IN BOX 4 Paid by check or NONE direct deposit $22,224.00 Box 6. Voluntary Federal Income Tax Withheld NONE ` Box 7. Address CYNTHIA A KOEGEL 125 PINE IN *Includes: P 0 BX 213 $9,396.00 Paid in 2000 for 1999 PLAINFIELD PA 17081 Box 8. Claim Number (Use this number if you need to contact SSA.) 178-52-5234A Form SSA-1099-SM (1-2001) DO NOT RETURN THIS FORM TO SSA OR IRS Social Security Administration Retirement, Survivors and Disability Insurance Important Information CYNTHIA A KOEGEL 125 PINE IN P 0 BX 213 PLAINFIELD PA 17081 Office of Central Operations 1500 Woodlawn Drive Baltimore, Maryland 21241-1500 Date: February 2, 2001 Claim Number: 178-52-5234 HA You are entitled to medicare hospital and medical insurance beginning March 2001. What We Will Pay And When 0 You will receive $1,057.00 for February 2001 around March 21, 2001. After that you will receive $1,057.00 on or about the third Wednesday of each month. Information About Medicare The monthly premium for your supplemental medical insurance is $50.00 beginning March 2001. We will start to take premiums out of your March 21, 2001 check. If You Have Any Questions We invite you to visit our website at www.ssa.gov on the Internet to find general information about Social Security. If you have any specific questions, you may call us toll-free at 1-800-772-1213, or call your local Social Security office at 1-717-243-0085. We can answer most questions over the phone. If you are deaf or hard of hearing, you may call our TTY number, 1-800-325-0778. You can also write or visit any Social Security office. The office that serves your area is located at: SOCIAL SECURITY MINERVA MILLS BLDG 401 EAST LOUTHER ST CARLISLE, PA 17013 C See Next Page 178-52-5234 HA Page 2 of 2 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly when you arrive at the office. 0 R W. Burnell Hurt Associate Commissioner for Central Operations Social Security Administration Retirement, Survivors and Disability Insurance Notice of Award Office of Central Operations 1500 Woodlawn Drive Baltimore, Maryland 21241-1500 Date: July 23, 2000 Claim Number: 178-52-5234HA CYNTHIA A KOEGEL 125 PINE LN P 0 BX 213 PLAINFIELD, PA 17081 You are entitled to monthly disability benefits beginning March 1999. The Date You Became Disabled We found that you became disabled under our rules on September 27, 1998. However, you have to be disabled for 5 frill calendar months in a row before you can be entitled to benefits. For these reasons, your first month of entitlement to benefits is March 1999. What We Will Pay And When ® You will receive $16,879.00 around July 29, 2000. ® This is the money you are due for March 1999 through June 2000. ® Your next payment of $1,069.00, which is for July 2000, will be received on or about the third Wednesday of August 2000. ® After that you will receive $1,069.00 on or about the third Wednesday of each month. ® These and any future payments will go to the financial institution you selected. Please let us know if you change your mailing address, so we can send you letters directly. The day we make payments on this record is based on your date of birth. Enclosure(s): Pub 05-10153 - C See Next Page 178-52-5234HA Your Benefits Page 2 of 4 The following chart shows your benefit amount(s) before any deductions or rounding. The amount you actually receive(s) may differ from your full benefit amount. When we figure how much to pay you, we must deduct certain amounts, such as Medicare premiums. We must also round down to the nearest dollar. Beginning Benefit Date Amount Reason March 1999 $1,044.60 Entitlement began December 1999 $1,069.60 Cost-of-living adjustment Other Social Security Benefits The benefit described in this letter is the only one you can receive from Social Security. If you think that you might qualify for another kind of Social Security benefit in the future, you will have to file another application. Your Responsibilities The decisions we made on your claim are based on information you gave us. If this information changes, it could affect your benefits. For this reason, it is important that you report changes to us right away. We have enclosed a pamphlet, "When You Get Social Security Disability Benefits...What You Need To Know." It will tell you what must be reported and how to report. Please be sure to read the parts of the pamphlet which explain what to do if you go to work or if your health improves. A state or other public or private vocational rehabilitation provider may contact you to talk about their services. The rehabilitation provider may offer you counseling, training, and other services that may help you go to work. To keep getting disability benefits, you have to accept the services offered unless we decide you have a good reason for not accepting. You do not have to wait to be contacted about vocational rehabilitation services. You can contact the nearest state vocational rehabilitation office directly and let them know that you are interested in receiving services. If you go to work, special rules can allow us to continue your cash payments and health insurance coverage. For more information about how work and earnings may affect disability benefits, you may call or visit any Social Security office. You may wish to ask for any of the following publications: ® Social Security - Working While Disabled... How We Can Help (SSA Publication No. 05-10095). ® Social Security - If You Are Blind--How We Can Help (SSA Publication No. 05-10052). How Social Security Can Help With Vocational Rehabilitation (SSA Publication No. 05-10050). 178-52-5234HA Page 3 of 4 If You Disagree With The Decisions If you disagree with the decisions, you have the right to appeal. A person who did not make the first decision will decide your case. We will review those parts of the decisions you disagree with and will look at any new facts you have. We may also review those parts of the case that you believe are correct and may make them unfavorable or less favorable to you. About The Appeals If you disagree with the nonmedical decisions we made on your case, the appeal is called a reconsideration. Some examples of nonmedical decisions are the amount of your payment, and the month your payment starts. You will not meet with the person who decides your case. If you disagree with the disability (medical) decision made by the state, the appeal is called a hearing. Some examples of medical decisions are the date your disability started or whether you are still disabled. If You Want To Appeal • You have 60 days to ask for an appeal. • The 60 days start the day after you receive this letter. We assume you got this letter 5 days after the date on it unless you show us that you did not get it within the 5-day period. • You must have a good reason if you wait more than 60 days to ask for an appeal. • You have to ask for an appeal in writing. We will ask you to sign a form SSA-561-U2, called "Request for Reconsideration," or a form HA-501, called "Request for Hearing." Contact one of our offices if you want help. If You Ask For A Reconsideration And A Hearing If you ask for both a reconsideration and a hearing, we will process the hearing first, even if you made the reconsideration request first. When we make our decisions, we will send you letters explaining our decisions on both the reconsideration and the hearing. How The Hearing Process Works After we send your case for a hearing, an Administrative Law Judge (ALJ) will mail you a letter at least 20 days before the hearing to tell you its date, time and place. The letter will explain the law in your case and tell you what has to be decided. Since the ALJ will review all the facts in your case, it is important that you give us any new facts as soon as you can. The hearing is your chance to tell the ALJ why you disagree with the decisions in your case. You can give the ALJ new evidence and bring people to testify for you. The ALJ also can require people to bring important papers to your hearing and give facts about your case. You can question these people at your hearing. 178-52-5234HA Page 4 of 4 It Is Important To Go To The Hearing It is very important that you go to the .hearing. If for any reason you can't go, contact the ALJ as soon as possible before the hearing and explain why. The ALJ will reschedule the hearing'if you have a good reason. If you don't go to the hearing and don't have a good reason for not going, the ALJ may dismiss your request for a hearing. Things To Remember For The Future We decided that you are disabled under our rules. But, this decision must be reviewed once every 3 years. We will send you a letter before we start the review. Based on that review, your benefits will continue if you are still disabled, but will end if you are no longer disabled. If You Have Any Questions If you have any questions, you may call us toll-free at 1-800-772-1213, or call your local Social Security office at 1-717-243-0085. We can answer most questions over the phone. You can also write or visit any Social Security office. The office that serves your area is located at: SOCIAL SECURITY MINERVA MILLS BLDG 401 EAST LOUTHER ST CARLISLE, PA 17013 If you do call or visit an office, please have this letter with you. It will help us answer your questions. Also, if you plan to visit an office, you may call ahead to make an appointment. This will help us serve you more quickly when you arrive at the office. Carolyn W. Colvin Deputy Commissioner for Operations Vii Make check payable to Wachovia. ? Check box at left and indicate new address and/or phone number on back. KEITH S KOEGEL CYNTHIA A KOEGEL 125 PINE LN PO BOX 213 PLAINFIELD PA 17081 sw balance =u?' ?? Imum Ppymeirt iPaymerrt Date '.' t ` Amoum Elltlaeed y. st- a. m '.tsa. 2200 0 1 00 7 1 1 10611 9 13 YOU MAYAVOIDAMMONAL FINANCE CHARGES ON PURCHASES BY PAYING THE NEW BALANCE BY PAYMENT DATE. POST OFFICE BOX 15515 WILMINGTON DE 19886-5515 41181602151402145 101061879003220055 CYNTHIA Z06601 P.O. $rnc 213 QLAINrIL-Lp F,,& 1-7091 $ /a, LP IS. 7,9 e? Commerce Bank ?Hamaburp, NA , C88 ASHLAND AVE. ?. CARLISLE, PA 11019 Jaw- 1:03130LIG464 54 323037 51 0093 60-18411 313 , .93 _9.14 - &a % PAYMT. NO. ACCOUNT NUMBER 13 0401778001 KEITH S KOEGEL KEYSTONE FINANCIAL LEASE PO BOX 1867 ALTOONA PA 16603-1867 DUE DATE AMOUNT DUE SEP 17-00 $342.67 z AFTER THIS DATE PAY THIS AMOUNT a SEP 28-00 $358.38 LATE FEE $15.71 a 6 0 D U U 6 F N f Z O PA--f c-?f ° I: 5 i89la1 200S 1: 00 40 17 7800 iu' 95 -4, t4 em Commerce "Bank /HI-dsbwg, NA. 88 ABNLAN0 AVE. A. CAHLISL& PA 17013 40313018464 51 323037 sit'" 0095 CYM'(WAt 6313411 213 7.0. w'A P* X108 t g-14 -4C2 F)L.AI? 4 rl aW I? kl T EMEMWM= 234886900 MMUM MMMMMM I -L - 10/02inn _ I: 5 708III000O+I: GYNV«i A. 4g-61;!- ?6). 0)4 Zt0i {-LAIHFIrXLV, PA 1"1081 Commerce Bank 1 Hw#sburg, NA. ' CANLISLr,p 71 013 1:03130184&l: 51 123037 X18411 313 94 _O -I-14 -oo $ 9 780.31 5 1 0044 Kelley Blue Book Used Car Values Page 1 of 2 The Ty d Resource New Car Pricing Build a Car Incentives My Car'S Value Used Car Retail Free Price Quote Buy a Used Car Sell Your Car ; Motorcycles Finandng insurances Lemon Check '• warranties Accessories Ear Reviews . Ear Previews Decision. Guldes Advice k About kbb Rome Equipment Four Doors XL Air Conditioning Power Steering Power Windows Power Door Locks Buy a New Car Buy_a Used_Car List-Your-Car For Sale Online Free Lemon Check Financing Quote Insurance Quote Warranty. _Quote Tilt Wheel Cruise Control AM/FM Stereo Cassette Dual Front Air Bags ABS (4-Wheel) Sliding Rear Window Running Boards - Bed Liner Towing Pkg 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 minimal, and a deduction should be made to correct it. The tires match and have substantial tread wear left. A clean title history 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 $12,125 Trade-in value represents what you might expect to receive from a dealer for this consumer owned vehicle. Keep in mind that the dealer 1999 Ford F150 Super Cab Short Bed Engine: V8 5.4 Liter Trans: Automatic Drive: 4 Wheel Drive Mileage: 61,000 Kelley Blue Book Used Car Values Page 2 of 2 dealer for this consumer owned vehicle. Keep in mind that the dealer must then absorb the cost of making the vehicle ready for sale, advertising, sales commissions, arranging financing and insurance and standing behind the vehicle for any mechanical or safety problems. Get a Private Party Value Get Invoice & MSRP on New Cars Copyright © 2002 by Kelley Blue Book Co., All Rights Reserved. Sep-Oct 2002 Edition. The information in this report was printed from the Kelley Blue Book Web site (www.kbb.com) and is intended for the personal use of the customer only and may not be sold or transmitted to another party. We assume no responsibility for errors or omissions. (v.02091) RECEIVED In the Cowart of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION CYNTHIA A. KOEGEL ) Order Number 01012 S 2000 Plaintiff ) VS. ) PACSES Case Number 084102851 KEITH S. KOEGEL ) Docket Number 01012 S 2000 Defendant ) Other State ID Number '-;r:.' ORDER OF COURT ® Final Q Interim O Modified AND NOW, 12TH DAY OF FEBRUARY, 2001 based upon the Court's - -_ ---determination-that-the-Payee's-nvntlrlynetincome-1s-$ -,-3-7b-?-1T-- -- _and-ctiePayor s - _ monthly net income is $ 4, 255.67 , it is hereby ordered that the Payor pay to the Pennsylvania State Collection and Disbursement Unit ONE THOUSAND, EIGHT HUNDRED AND FIFTY Dollars ($1, 85o . oo ) a month payable BI-WEEKLY as follows: first payment due BY FEBRUARY 28, 2001. ARREARS INCLUDE FEES OF $30.00 DUE DRO. The effective date of the order is 01 / 01 / 01 . Arrears set at $ 5940.52 as of FEBRUARY 12, 2oo1 are due in full IMMEDIATELY. All terms of this Order are subject to collection and/or enforcement by contempt proceedings, credit bureau reporting and tax refund offset certification and will not be initiated as long as obligor does not owe overdue support. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all the means fasted above. For the Support of: Name Birth Date CYNTHIA ADiN KOEGEL 01/12/60 Form OE-518 Service Type M Worker lD 21105 KOEGEL V- K08GEL PACSES Case Number: 08410285]. The defendant owes a total of $ 1, 85o. oo per month payable BI-WEEKLY $1,259.00 for current support and $ s,91. oo for arrears. The defendant must also pay fees/costs as indicated below. This order is allocated and monies are to be applied as follows: Frequency Codes: Payment Amount/ $ 1,259.00 /M $ 0.00 / $ 0.00 j $ 0.00 / $ 0.00 / $ 0.00 / $ 0.00 J $ 0.00 / $ 0.00 / $ 0.00 / $ 0.00 / $ 0.00 / $ 0.00 j $ 0.00 / $ 0.00 / $ 0.00 / $ 0.00 / o.oo j $ 0.00 / $ 0.0o / 1 =One Time B =Biweekly 2 =Bi-Monthly M =Monthly 5 =Semi-Annually S =Semi-Monthly A =Annually W =Weekly D-&ht T LDmad,ptinn R n firian, SPOUSAL SUPPORT CYNTHIA ANN KOEGEL Said money to be turned over by the Pa SCDU to: CYNTHIA ANN KOEGEL Q = Quarterly Payments must be made by check or money order. All checks and money orders must be made payable to Pa SCDU and mailed to: Pa SCDU P.O. Box 69110 Harrisburg, Pa 17106-9110 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. Page 2 of 4 Form OE-518 Service Type M XAT-L- in - KOEGEL V• KOEGEL PACSES Case Number: 084102851 Unreimbursed medical expenses that exceed $250.00 annually per child and/or spouse are to be paid as follows: 6o % by defendant and 40 % by plaintiff. The plaintiff is responsible to pay the first $250.00 annually (per child and/or spouse) in unreimbursed medical expenses. © Defendant0 Plaintiff 0 Neither party to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the 0Plaintiff ® Defendant shall submit to the person having custody of the child(ren) written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, of : 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and $) five copies of any claim forms. Other Conditions: THE ORDER IS SET AT $2504.00 PER MONTH FROM NOVEMBER 21, 2000, THROUGH DECEMBER 31, 2000. THIS TAKES DEFENDANT'S 2000 BONUS'S INTO ACCOUNT AND INCLUDES THEM IN THE SUPPORT, PRORATA FOR 2000. 401k OF THE GROSS-OF-ALL FUTURE-BONUSES ARE TO BE PAID DIRECTLY TO THE PLAINTIFF. THE DEFENDANT IS TO PROVIDE A COPY OF THE BONUS CHECK TO THE PLAINTIFF WITH HIS PAYMENT. DEFENDANT IS TO PROVIDE DRO-WITH A COPY OF THE BONUS CHECK AND A COPY OF THE CHECK ISSUED TO THE PLAINTIFF. DEFENDANT IS TO PAY 60% OF ANY UNREIMBURSED MEDICAL, PSYCHIATRIC AND PSYCHOLOGICAL EXPENSES, INCURRED BY THE PLAINTIFF IN EXCESS OF $250 PER YEAR, INCURRED SINCE NOVEMBER 21, 2000. Defendant shall pay the following fees: Fee Total Fee Description Payment Frequency $ 5.00 for JUDICIAL COMPUTER FEE Payable at $ 5. o0 per ONE TIME $ 25.00 for COURT COSTS Payable at $ 25. 00 per ONE TIME $ o.00 for Payable at $ o . 0 c per $ 0.00 for Payable at $ o. o o per $ 0.00 for Payable at $ o. 0 o per Page 3 of 4 Form OE-518 Service Type M Worker ID 21105 KOEGEL V. KOEGEL PACSES Case Number: 084102851 DIPORTANT LEGAL NOTICE PARTIES MUST WITHIN SEVEN DAYS INFORM THE DOMESTIC RELATIONS SECTION AND THE OTHER PARTIES, IN WRITING, OF ANY MATERIAL CHANGE IN CIRCUMSTANCES RELEVANT TO THE LEVEL OF SUPPORT OR THE ADMINISTRATION OF THE SUPPORT ORDER, INCLUDING, BUT NOT LIMITED TO, LOSS OR CHANGE OF INCOME OR EMPLOYMENT AND CHANGE OF PERSONAL ADDRESS OR CHANGE OF ADDRESS OF ANY CHILD RECEIVING SUPPORT. A PARTY WHO WILLFULLY FALLS TO REPORT A MATERIAL CHANGE IN CIRCUMSTANCES MAYBE ADJUDGED IN CONTEMPT OF COURT, AND MAY BE FINED OR IMPRISONED. PENNSYLVANIA LAW PROVIDES THAT ALL SUPPORT ORDERS SHALL BE REVIEWED AT LEAST ONCE EVERY THREE (3) YEARS IF SUCH REVIEW IS REQUESTED BY ONE OF THE PARTIES. IF YOU WISH TO REQUEST A REVIEW AND ADJUSTMENT OF YOUR ORDER, YOU MUST DO THE FOLLOWING: CALL YOUR ATTORNEY. AN UNREPRESENTED PERSON WHO WANTS TO MODIFY (ADJUST) A SUPPORT ORDER SHOULD CONTACT THE DOMESTIC RELATIONS SECTION. A MANDATORY INCOME ATTACHMENT WILL ISSUE UNLESS THE DEFENDANT IS NOT IN ARREARS IN PAYMENT IN AN AMOUNT EQUAL TO OR GREATER THAN ONE MONTH'S SUPPORT OBLIGATION AND (I) THE COURT FINDS THAT THERE IS GOOD CAUSE NOT TO REQUIRE IMMEDIATE INCOME WITHHOLDING; OR (2) A WRITTEN AGREEMENT IS REACHED BETWEEN THE PARTIES WHICH PROVIDES FOR AN ALTERNATE ARRANGEMENT. UNPAID ARREARAGE BALANCES MAY BE REPORTED TO CREDIT AGENCIES. ON AND AFTER THE DATE IT IS DUE, EACH UNPAID SUPPORT PAYMENT SHALL CONSTITUTE, BY OPERATION OF LAW, A JUDGMENT AGAINST YOU, AS WELL AS A LIEN AGAINST REAL PROPERTY. IT IS FURTHER ORDERED that, upon payor's failure to comply with this order, payor may be arrested and brought before the Court for a Contempt hearing; payor's wages, salary, commissions, and/or -income_ may be attached in- accordance with law; this Order will be increased without further hearing by o % a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Copies delivered to parties of 5 Date Consented: Plaintiff Plaintiff's Attorney Defendant DRO: M. H. Calvanelli. UO: Cynthia A. Koegel, p1tf. Keith S. Koegel, def. Melissa P. Greevy, Esquire Gary L. Kelley, Esquire Service Type M Defendant's Attorney _ BY CIF CO KT,.__ Page 4 of 4 1 Judge Edgar B. Bayley, Form OE-518 Worker ID 21105 In the Court of Common Pleas of CUM ERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION PACSES Case Number: 0£4102851 1-Docket Number: 01012 S 2000 Other State ID Number: Please note: All correspondence most include the PACSES Case Number. FEBRUARY 12, 2001 6 Y OF TRIER. OF FACT Plaintiff Information Defendant Information CYNTHIA A. KOEGEL KEITH S. KOEGEL Address: Address: 125 PINE LANE PO BOX 13 PLAINFIELD PA 17081 HIGHSPIRE PA 17034-0013 Employer: SELF-EMPLOYED AND RECEIVING SOCIAL SECURITY DISABILITY Attorney: Employer: TYCO ELECTRONICS M S 161 051 _ PO BOX 3608 _ HARRISBURG PA 17105-3608-0£ Attorney: GREEVY, MELISSA P. GARY L KELLEY ® Complaint for Support 11/21100 ? Petition for Modification Filed ? Other Reason for Conference: PLAINTIFF FILED FOR SPOUSAL SUPPORT. Dependent(s) Current Order: $ o . 0 0 / per month NEW COMPLAINT Service Type M Form CM-022 Worker ID 2 1.105 KOEGEL V. KOEGEL Plaintiff Information PACSES Case Number: 08410285, Defendant Information Current Income: $1107/M FROM SSD (NON-TAXABLE) $3647.53/YR 2000, SELF-EMPLOYMENT INCOME $2835.80/BW GROSS, BASED ON $29.85/ HR, 40 HRS/WK + 10 FRS OF OT AT $44.78/HR $1376.16/M NET Tax Return: MARRIED JOINT2 Medical Coverage: THROUGH DEFENDANT Child Care/Tuition: N/A Additional Obligations: N/A Other Information: $4522.67/M NET MAP•RIED/JOINT 2 THROUGH EMPLOYER $23.08/BW FOR HIMSELF & PLAINTIFF N/A N/A BOTH PARTIES APPEARED WITH COUNSEL FOR CONFERENCE ON 2/1/01. DEFENDANT _ ASSERTED THAT OVERTIME WAS CUT BACK. HE PROVIDED A STATEMENT FROM HIS EMPLOYER (AFTER THE CONFERENCE) THAT VERIFIED THAT OVERTIME HAS BEEN SCALED BACK. HE INDICATED AT THE CONFERENCE THAT SINCE THE SCALE BACK HE HAS BEEN GETTING APPROXIMATELY 10 HOURS OF OVERTIME PER BI-WEEKLY PAY CYCLE. DEFENDANT ALSO RECEIVES BONUSES. THE 2000 BONUS WAS INCLUDED IN HIS INCOME FOR 2000 AND USED TO CALCULATE PRO-RATED SUPPORT FOR THE TIME PERIOD OF THE SUPPORT ORDER IN YEAR 2000 (11/21/00 - 12/31/00). ALL FUTURE BONUSES ARE TO BE PAID AS FOLLOWS: THE DEFENDANT IS TO PAY DIRECTLY TO PLAINTIFF 40%; OF ALL GROSS BONUSES. HE IS TO PROVIDE A COPY OF THE BONUS CHECK WITH THE PAYMENT TO THE PLAINTIFF. HE IS TO PROVIDE DRO WITH A COPY OF THE BONUS CHECK AND A COPY OF THE CHECK SENT TO THE PLAINTIFF. DEFENDANT IS TO MAINTAIN MEDICAL INSURANCE ON THE PLAINTIFF AND PAY 60e OF Page 2 of 3 Farm CM-022 Service Type M Worksr IO 21105 KOEGEL V. KOEGEL PACSES Case Number: 084102851 Other Information (continued)- ALL MEDICAL, PSYCHIATRIC, & PSYCHOLOGICAL UNREIMBURSED EXPENSES IN EXCESS OF $250/YR FOR THE PLAINTIFF. Fasts Agreed Upon- METHOD OF HANDLING ALL FUTURE BONUSES. Facts in Dispute and Contentions with Respect to pacts in Dispute: HANDLING OF DEFENDANT'S 2000 BONUSES. * ORDER SET AT $2504/M FROM 11/21/00 - 12,31/00 AND $1259/M EFFECTIVE 1/l/O1. Submitted by: MELISSA H. CALVANELLI Date Prepared: FEBRUARY 12, 2001 Page 3 of 3 Form CM-022 Service Type M Worker ID 21105 In the. Court of Common )Pleats of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6229 Flan: (717) 240-6248 Plaintiff Name: CYNTHIA A. KOEGEL Defendant Name: KEITH s. KOEGEL Docket Number: 01012 s 2000 PACSES Case Number; os41o2851 Other State ID Number: Please note: An correspondence must Winde the PACSES Case Number, Spousal Support Calculation - with Dependent Children (30%-for-line 7) -without Dependent Children (40% for line 7) 1. Obligor's Monthly Net 2. Less Obligee's Monthly 3. Difference 4. Less Child Obligation for Current $ 7,637.13 $ 1.376.16 260.97 $ 0.00 5. Less All Other Support 6. Income Available for Spousal 7. Multiply by 30% or 40% 8. Amount of Monthly: Spousal $ 0.00 $ 6,260.97 40%, $ 2,504.00 Summaa Date: FEBRUARY 12, 2001 Monthly obligation amount selected: $2,504.00 Payment frequency: BI-WEEKLY Obligation amount: $1,155.69 Deviation reason: INTERIM ORDER ENTERED i Service Type M Form OE-523 Worker 1D 21105 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fal: (717) 240-624a Plaintiff Name: CYNTHIA A. KOEGEL Defendant Name: KEITH S. KOEGEL Docket Number: 01012 S 2000 PACSES ase- Number: as41o2es1 Other State ID Number: Please note: AD correspondence must include the PACSES Cause Number. Spousal Support Calculation -with Dependent Children (30Im for line 7) -without Dependent Children (40% for line 7) 1. Obligor's Monthly Net 2. Less Obligee's Monthly 3. Difference 4. Less Child Obligation for Current 5. Less All Other Support 6. Income Available for Spousal 7. Multiply by 30 % or 40 % 8. Amount of Monthly. Spousal $ 4522.67 $ 1.376.16 $ 3,146.51 $ 0.00 $ 0.00 $ 3,146.51 40% $ 1,259.00 Summary Date: FEBRUARY 12, 2001 Monthly obligation amount selected: $ 1,259.00 Payment frequency: BI-WEEKLY Obligation amount: $ s a l. o s Deviation reason: INTERIM ORDER ENTERED Form OE-523 Service Type M Worker ID 21105 JOHNSON, DUFFLE, STEWART & WEIDNER 09/03/2002 7619 VENDOR: Pension Appraisers, Inc. CHECK NO: 7619 OUR REF. N0. YOUR INVOICE NUMBER INVOICE DATE INVOICE AMOUNT AMOUNT PAID DISCOUNT TAKEN 39195 Koegel 09103/2002 135.00 135.00 0.00 JOHNSON, DUFFLE STEWART & WEIDNER ATTORNEYS AT LAW 301 MARKET STREET P.O. BOX 109 MID PENN BANK MECHANICSBURG, PA 17055 60-880-313 LEMOYNE, PA 17043-0109 PH. (717) 761-4540 I PAY One hundred thirty-five and N01100 Dollars Pension Appraisers, Inc. TO THE ORDER OF 7619 CHECK NO. CHECK DATE VENDOR NO. 7619 09/03/2002 TEMP CHECK AMOUNT $135.00 OPERATING ACCOUNT 11000761911' 1:0 3 1 30880 71: 950386?? 311' po W uaprtalbluetrosspwsmors11uu...rnuwuuais11tviuyrcrn:rrarvouatan nuN.uvvvvvr.wNuuou?aa.wuvv,anv,...,Vn,??a,mwugnvucuavwww,,.u?r Our Products For Groups For individuals aduitBasic BlueCHIP Federal Employee Drug Formulary Request Information Site Map Comprehensive Details or Individuals P \ cal;IIzti Room i Search us j Contact Us I Caraur3 Overview l - Detail4 Rates " Part of the Major Medical family of traditional V y products, this plan is easy to use, has limited ?e r paperwork and offers total freedom to choose your physician, specialist or hospital. You minimize your out-of-pocket costs by receiving covered services from a participating health care provider. A number of alternative Comprehensive programs may be available for purchase by individuals. f, Comprehensive covers the following benefits when you see a participating Provider. Ahn , dbirp rltlm s $750 or $1,500 per person , Deductible applies to all services unless otherwise noted OWt df pocket maxilkryttn $3,000 or $6,000 per person PreverrtiVe care Services Some services are covered' ?rcrart o#ice v islts T 20% coinsurance for home & office visits Matemrty cafre 20% coinsurance i Outoatilda hospital service's 120% coinsurance 1 of 2 1011212002 2:46 PM Capital BfueCrosS p VSitorS p ou..JndMduals p Gomprenenswe uetan nup,uvvvwv, xpu ueu vao.wuu vaa.wi....vrv uo ww.ny, ?, ciw,w• Inpatient mjental bealEh care" 20% coinsurance (30 days per benefit period) OUt atrerrt inertia[ '6e'41 eare* 50% coinsurance visits per benefit period) S?e'abuse Cae* 20% coinsurance LffetrtrlernitilYrUllitbenefrt $1,000,000 PeSCppfbn?nlq-couera9e;- Retail- $250 separate deductible Discount at Pharmacy 50% coinsurance Mail Service $30 copayment per subscription (There is a combined $3,000 cy limit ARIMP Home HIPAAA I Legal FAQs Privacy Security I Site Map 2 of 2 10/12/2002 2:46 PM captrai tstueuross p vlsnars p uu... umrvtuuals p wuip aueuarve maL=. w, w,... , . P`; Capital Room 1 Search Us I Contact Us I Care-ors Single 1$229.26 Parent & Children $ 314.09 Family $ 458.52 Applications for Comprehensive coverage: For more information about Check It Out® and Entrusts go to our Special Services page. M Application Application with Check It Out ® application Application with Entrust ® application Application with Check It Out ® and Entrust ® applications FAjt Download Adobe Acrobat Reader (www.adobe.com). mew IAMMP Home I HIPAA I Legal I FA4s I Privacy I Security I Site Map Capital BlueCross (CBC) and Capital Advantage Insurance Company (CHIC) are Independent licensees of the Blue Cross and Blue Shield Association, serving 21 counties in Central Pennsylvania and the Lehigh Valley. TnuSecUrte ® 2002 Capital BlueCross All Rights Reserved Cerwrtrirw 1 of 1 1011212002 2:45 PM Q o? ? 0 ? ? ?dorZ a? ao x ? nd r M L w.? ap 10 • O M r?••mcr m030p 3 rpm omrzm tOMDRI 2XNpr m?n0p p 90 -i m D-O*OH i M3r C h mmV --- p 0 r 0 Z F 4)XMF? ?- r".. o m w N <MO 0 Z z m 4 m 0 m N ool ?W a p or = W= l Nr aw mw oa Z 00 HI ? a ? Q M p n V N 1!! CYNTHIA A. KOEGEL, V. KEITH S. KOEGEL, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO 2000-5717 Plaintiff, CIVIL ACTION - LAW IN DIVORCE Defendant. MOTION FOR APPOINTMENT OF MASTER KEITH S. KOEGEL, Defendant, moves the G the following claims: O Divorce () Annulment ( ) Alimony X O Alimony Pendente Lite X )urt to appoint a Master with respect to Distribution of Property Support Counsel Fees Costs and Expenses and in support of the motion states: (1) Discovery is complete as to the claim(s) for which the appointment of a Master is required. (2) The Plaintiff has appeared in the action by her attorney, MELISSA P. GREEVY, ESQUIRE. (3) The statutory ground(s) for divorce (is) (are): 3301(c) and 3301(d) (4) Delete the inapplicable paragraph(s): (a) The action is not contested. (b) An agreement has been reached with respect to the following claims: (5) The action (involves) (does not involve) complex issues of law or fact (6) The hearing is expected to take 1/2 (hs) (Bays). (7) Additional information, if any, relevant t e pt?Alene. Date: 3 d Wagner, Esquire for Defendant AND NOW, 2002,E Esquire, is appointed master wi re ect to the following claims: ,?T Q? BY THE COURT: AM 11-\ P J. CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant IN DIVORCE ORDER OF COURT AND NOW, this 0 day of 2004, the parties and counsel having entered into In agreement and stipulation resolving the economic issues on May 25, 2004, the date set for a Master's hearing, 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, AA 4n Geo e f er, P. cc: VMelissa Peel Greevy Attorney for Plaintiff ?P. Richard Wagner Attorney for Defendant o.5 -zq-off V!Nv/fl c',PA,,q d Zv)o Z : f ! VV LZ A75 OZ ?DI?71? CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 00 - 5717 CIVIL KEITH S. KOEGEL, Defendant IN DIVORCE THE MASTER: Today is Tuesday, May 25, 2004. This is the date set for a hearing in the above captioned divorce proceedings. Present in the hearing room are the Plaintiff, Cynthia A. Koegel, and her attorney Melissa Peel Greevy, and the Defendant, Keith S. Koegel, and his attorney P. Richard Wagner. The complaint in divorce was filed on August 18, 2000, raising grounds for divorce of irretrievable breakdown of the marriage and indignities. Counsel have indicated that the parties will sign and affidavits of consent and waivers of notice of intention to request entry of divorce decree so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. The complaint also raised economic claims of equitable distribution, alimony, and counsel fees and expenses. The parties were married on November 3, 1979, and separated December 13, 1999. There were no children born of this marriage. After negotiations this morning, the Master 1 has been informed that the parties have reached an agreement with 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 typographical errors which may be during the transcription. The parties will return later today to review the draft for typographical errors, make any corrections as necessary, and then affix their signatures affirming the terms of settlement as stated on the record. Following receipt by the Master of a completed agreement, the Master will prepare an order vacating his appointment and counsel can then file a praecipe transmitting the record to the Court requesting a final decree in divorce. Mr. Wagner. MR. WAGNER: Thank you. Husband and wife in the presence of respective counsel do hereby promise, convent and agree as follow: 1. Commerce Bank checking account, last four digits 0375, shall become the sole and separate property of wife. 2. The Commerce savings account, last four digits 3706, shall become the sole and separate property of wife, with wife agreeing that within 48 hours of the date of the execution of this agreement she shall pay onto husband the sum of $20,000.00. 3. The Enterprise account, last four digits 4361, shall become the sole and separate property of wife. 2 4. The TYCO benefit pension of husband shall become the sole and separate property of husband. 5. The TYCO retirement savings and investment plan shall become the sole and separate property of husband; however, husband shall have cause to be prepared a QDRO wherein 25% of the current value of $104,306.87 shall be payable to wife into a pension plan 401(k), IRA, or other designated account. 6. The IRA at Salomon Smith Barney shall become the sole and separate property of wife. 7. The parties agree on or about March 29, 2001, husband was in an automobile accident for which he received $11,767.91 representing damage to the automobile that was a marital vehicle. The parties agree that those proceeds were payable to husband and remain the sole and separate property of husband. 8. The parties own a horse trailer which said horse trailer shall become the sole and separate property of wife. 9. The parties own a horse named Crystal and the parties agree that the horse shall become the sole and separate property of wife. 10. The 1999 Ford F-150 pick up truck which is currently unencumbered shall become the sole and separate property of wife. 11. Husband agrees to designate wife as 25% beneficiary of the proceeds of policies on his life through his place of employment through TYCO, or any subsequent employer that provides life insurance to husband. In the event that husband has subsequent employment for which there is no life insurance made available as a benefit, or in the event that husband is not employed and has no life insurance, husband agrees that he shall purchase life insurance at a premium not to exceed $25.00 per month and agrees to name wife 500 beneficiary of the proceeds of that life insurance policy. 12. Each party agrees to execute whatever titles or documents that are necessary to effectuate the provisions of this agreement including but not limited to titles, beneficiary designations and waiver forms. Said execution will be by each party upon presentation from the other party of the appropriate document. 13. In the event a QDRO is necessary to give effect to the 3 payment to wife of the 250 of husband's TYCO retirement savings and investment plan, said QDRO shall be prepared within 60 days of the date of this agreement. Said QDRO shall be prepared by husband's counsel. 14. Each party agrees that whatever tangible personal property is in possession of that person shall remain the sole and separate property of the person having possession of that and each party agrees to relinquish, waive and discharge any and all right, title and interest in the personal property in possession of the other. 15. Husband and wife agree that they shall be responsible for their own counsel fees and each waives any claim for counsel fees against the other. Husband and wife agree that they shall waive any claims for support and/or alimony pendente lite as against the other and both agree that the current support obligation being paid by husband to wife shall terminate upon the execution of this agreement. 16. Husband and wife agree that husband shall pay onto wife the sum of $900.00 per month in the form of alimony. Said payment to begin within thirty (30) days of the date of the execution of this agreement. In the event that there is any credit in the support that has been paid by husband, wife agrees to allow husband to deduct that credit from any future alimony payments. In the event that there is an arrearage due, husband agrees to pay that arrearage. 17. Both parties agree that the aforementioned provision of alimony shall be subject to a review within three years; however, either party may at any point in time, based upon a change of circumstances, petition the Court for a review of the alimony provisions contained herein. The provisions contained herein regarding alimony shall be payable through the Cumberland County Domestic Relations Office. Both parties agree that they shall promptly notify the Domestic Relations Office of the termination of the spousal support obligation currently in effect in Cumberland County. Both parties agree that they shall execute whatever documents are necessary to give effect of the provisions of the alimony contained herein. Both parties agree that the provision regarding alimony shall be terminated as contained in the provisions of the no-fault divorce act, specifically in the event that wife cohabitates or remarries there shall be no further 4 obligation of husband to pay alimony on to wife. And the death of either party will terminate husband's alimony obligations as contained in 3701, Title 23. 18. Husband and wife agree that wife applied for social security and received a benefit part of which represented a period of time that the parties were married and living together. Husband agrees that wife shall retain all such proceeds from social security and agrees to waive, relinquish, and discharge any and all claim that he may have against those proceeds. 19. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in the other's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interest, rights, and claims. MS. GREEVY: Cindy, you've been here listening to Mr. Wagner describing the agreement that you had discussed previously, do you understand the terms of the agreement? MS. KOEGEL: Yes. MS. GREEVY: Have you had an opportunity to talk with me about it and receive legal advice about it? MS. KOEGEL: Yes. MS. GREEVY: Are you now willing to enter that agreement with the understanding that this is the final agreement? 5 MS. KOEGEL: Yes. MS. GREEVY: Subject to only to modification in accordance with the agreement itself? MS. KOEGEL: Yes. MR. WAGNER: Keith, I am going to ask you a series of questions if I can, please. Were you present during the time that I dictated this purported agreement as amended by your wife's counsel and as amended by Mr. Elicker? MR. MR. conditions as dict MR. MR. and conditions? KOEGEL: WAGNER: ated on KOEGEL: WAGNER: Yes. Did you understand the terms and the record? Yes. Do you agree with those terms MR. KOEGEL: Yes. MR. WAGNER: Do you agree that they shall be entered as a contract setting forth all the rights, duties, and obligations under the divorce code to bring finality to this matter except as it relates to the provisions relating to alimony? MR. KOEGEL: Yes. 6 MR. WAGNER: With that in mind, do you want this entered as an agreement between you and your wife? MR. KOEGEL: Yes. L- I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. DATE: ? I WI for Plaintiff At P d Wagner for Defendant C/L; a 7 CYNTHIA A. KOEGEL, Plaintiff OCT 2 0 7004 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-5717 CIVIL TERM V. KEITH S. KOEGEL, CIVIL ACTION - LAW Defendant IN DIVORCE QUALIFIED DOMESTIC RELATIONS ORDER WHEREAS this Court has jurisdiction over petitioner and respondent and the subject matter of this Order pursuant to Pennsylvania Consolidated Statutes Annotated, Title 23, Sections 3501 et al; and WHEREAS petitioner, respondent and the Court intend that this Order shall be a Qualified Domestic Relations Order (hereinafter referred to as "QDRO") as defined in Section 206(d)(3) of the Employee Retirement Income Security Act of 1974 ("ERISA"); and, WHEREAS petitioner and respondent have stipulated that the Court enter this Order. NOW, THEREFORE, IT IS HEREBY ORDERED BY THE COURT as follows: As used in this Order, the following terms shall apply: (a) "Participant" shall mean Keith S. Koegel whose current address is 133 W. Locust Street, Apt. 204, Mechanicsburg, Pennsylvania 17055, and who was born on October 11, 1958 and whose Social Security Number is 203- 52-8092. (b) "Alternate Payee" shall mean Cynthia A. Koegel whose current address is 240 Walnut Bottom Road, Carlisle, Pennsylvania 17013, and who was born on January 12, 1960 and whose Social Security Number is 178-52- 5234. (c) "Plan" shall mean Tyco International (US) Inc. Retirement Savings and Investment Plan I. (d) "Plan Administrator" shall mean Tyco International (US) Inc. 2. The Alternate Payee is the former spouse of the Participant. 3. Participant and Alternate Payee were married on November 3, 1979, separated on December 13, 1999 and divorced on June 9, 2004. 4. The Alternate Payee's interest in the Plan shall be Twenty-Six Thousand Seventy-Six Dollars and Seventy-Two Cents ($26,076.72) of the Participant's total vested account balance under the Plan. 5. The Alternate Payee shall receive a lump sum distribution as soon as administratively feasible following the determination that an Order is qualified. The Alternate Payee shall initiate the distribution in accordance with the terms of the Plan and the administrative procedures that have been established by the Plan Administrator. The amount distributed to the Alternate Payee will be the value of the Alternate Payee's account on the date the distribution is processed. It is intended that the lump sum distribution to the Alternate Payee shall be a rollover to an existing IRA such that it is a non-taxable distribution. 6. All beneficiary designations will be made after qualification of the Order and segregation of a separate account for the Alternate Payee pursuant to the administrative procedures established for the Plan. 7. The Alternate Payee's award is entitled to earnings (dividends, interest, gain and losses) calculated from May 25, 2004 to the date of segregation and ultimate rollover to the Alternate Payee, in proportion to the amount of the Plan in relation to Paragraph 4 above. 8. In the event that there is an outstanding loan balance as of the valuation date, the loan balance will not be included for purposes of calculating the account balance to be divided. The Alternate Payee's award will be paid from the non- loan assets in the Participant's account on the date that the award is segregated from the Participant's account. 9. The Parties shall cause an original court certified or true copy of this Order to be served on the Plan Administrator's agent. Fidelity Employer Service Company LLC forthwith. This Order shall remain in effect until further order of this Court. 10. Nothing contained in this Order shall be construed to require any Plan or Plan Administrator: (a) to provide any type or form of benefit or option not otherwise available to the Participant under the Plan; (b) to provide the Alternate Payee increased benefits (determined on the basis of actuarial value) not available to the Participant; or (c) to pay any benefits to the Alternate Payee that are required to be paid to another Alternate Payee under another Order that was previously determined to be a QDRO. BY THE Dated: Keith S. Koeg?V Cynt A. Koegel :234496 ,oil 1A? Cj C'I 1,13 CYNTHIA A. KOEGEL, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 00-5717 CIVIL TERM V. CIVIL ACTION - LAW KEITH S. KOEGEL, IN DIVORCE Defendant MOTION FOR ENTRY OF ORDER UPON STIPULATION AND NOW, comes Cynthia A. Koegel, by and through her attorneys, Johnson, Duffle, Stewart & Weidner, and moves your Honorable Court to enter an Order upon Stipulation for the entry of a Qualified Domestic Relations Order entered between Plaintiff and Defendant, a copy of which is attached hereto and marked as Exhibit "N'. Respectfully submitted, JOHNSON, DUFFIE, Date: elissa Peel Greevy ttorney I.D. No. 77950 301 Market Street Post Office Box 109 Lemoyne, PA 17043-0109 (717) 761-4540 Attorney for Plaintiff WEIDNER :237539 C ET /F/ CATEO OF R AND NOW, this 18th day of October, 2004, the undersigned does hereby certify that she did this date serve a copy of the foregoing Motion for Entry of Order upon Stipulation upon the other parties of record by causing same to be deposited in the United States Mail, first class postage prepaid, at Lemoyne, Pennsylvania, addressed as follows: P. Richard Wagner, Esquire Mancke, Wagner & Spreha 2233 North Front Street Harrisburg, PA 17110 JOHNSON, DUI,KE, ST$WART & WEIDNER EXHIBIT "A" CYNTHIA A. KOEGEL, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-5717 CIVIL TERM V. KEITH S. KOEGEL, Defendant IN DIVORCE QUALIFIED DOMESTIC RELATIONS ORDER WHEREAS this Court has jurisdiction over petitioner and respondent and the subject matter of this Order pursuant to Pennsylvania Consolidated Statutes Annotated, Title 23, Sections 3501 et al; and WHEREAS petitioner, respondent and the Court intend that this Order shall be a Qualified Domestic Relations Order (hereinafter referred to as "QDRO") as defined in Section 206(d)(3) of the Employee Retirement Income Security Act of 1974 ("ERISA"); and, WHEREAS petitioner and respondent have stipulated that the Court enter this Order. NOW, THEREFORE, IT IS HEREBY ORDERED BY THE COURT as follows: As used in this Order, the following terms shall apply: (a) "Participant" shall mean Keith S. Koegel whose current address is 133 W. Locust Street, Apt. 204, Mechanicsburg, Pennsylvania 17055, and who was born on October 11, 1958 and whose Social Security Number is 203- 52-8092. (b) "Alternate Payee" shall mean Cynthia A. Koegel whose current address is 240 Walnut Bottom Road, Carlisle, Pennsylvania 17013, and who was born on January 12, 1960 and whose Social Security Number is 178-52- 5234. (c) "Plan" shall mean Tyco International (US) Inc. Retirement Savings and Investment Plan I. (d) "Plan Administrator" shall mean Tyco International (US) Inc. 2. The Alternate Payee is the former spouse of the Participant. 3. Participant and Alternate Payee were married on November 3, 1979, separated on December 13, 1999 and divorced on June 9, 2004. 4. The Alternate Payee's interest in the Plan shall be Twenty-Six Thousand Seventy-Six Dollars and Seventy-Two Cents ($26,076.72) of the Participant's total vested account balance under the Plan. CIVIL ACTION - LAW 5. The Alternate Payee shall receive a lump sum distribution as soon as administratively feasible following the determination that an Order is qualified. The Alternate Payee shall initiate the distribution in accordance with the terms of the Plan and the administrative procedures that have been established by the Plan Administrator. The amount distributed.to the Alternate Payee will be the value of the Alternate Payee's account on the date the distribution is processed. It is intended that the lump sum distribution to the Alternate Payee shall be a rollover to an existing IRA such that it is a non-taxable distribution. 6. All beneficiary designations will be made after qualification of the Order and segregation of a separate account for the Alternate Payee pursuant to the administrative procedures established for the Plan. 7. The Alternate Payee's award is entitled to earnings (dividends, interest, gain and losses) calculated from May 25, 2004 to the date of segregation and ultimate rollover to the Alternate Payee, in proportion to the amount of the Plan in relation to Paragraph 4 above. 8. In the event that there is an outstanding loan balance as of the valuation date, the loan balance will not be included for purposes of calculating the account balance to be divided. The Alternate Payee's award will be paid from the non- loan assets in the Participant's account on the date that the award is segregated from the Participant's account. 9. The Parties shall cause an original court certified or true copy of this Order to be served on the Plan Administrator's agent. Fidelity Employer Service Company LLC forthwith. This Order shall remain in effect until further order of this Court. 10. Nothing contained in this Order shall be construed to require any Plan or Plan Administrator: (a) to provide any type or form of benefit or option not otherwise available to the Participant under the Plan; (b) to provide the Altemate Payee increased benefits (determined on the basis of actuarial value) not available to the Participant; or (c) to pay any benefits to the Alternate Payee that are required to be paid to another Alternate Payee under another Order that was previously determined to be a QDRO. BY THE COURT: Dated: ' 'a?9d Keith S. Ko jy > A. Koegel Cynt I :234496 r.- ? ra C D cn _ s . FY CJ t 3 Li ? 1 rl 4_i n, fq ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 084102851 0Original Order/Notice Co./City/Dist. of CUMBERLAND 00-5717 CIVIL O Amended Order/Notice Date of Order/Notice 07/14/06 O Terminate Order/Notice Case Number (See Addendum for case summary) RE: KOEGEL, KEITH S. Employer/Withholder's Federal FIN Number Employee/Obligor's Name (Last, First, MI) TYCO ELECTRONICS M S 161 051 PO BOX 3608 HARRISBURG PA 17105-3608 203-52-8092 Employee/Obligor's Social Security Number 4832100663 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mn See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o. oo per weekly pay period. $ 0. oo per biweekly pay period (every two weeks). $ 0. oo per semimonthly pay period (twice a month). $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: JUL 17 2006 DRO: R.J. Shadday Service Type M BY T OURT: ..\ G Edgar B. Bayley, edge Form EN-028 OMB No.: 0970-0154 Worker ID $IATT I ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifgleclt you are required. to provide %opy of this form to your mployee. If your employee orks in a state that is di Brent rom the state that issued this or er, a copy must be provi?ed to your employee even ift?re box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee%obligor. 3. payda You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2303325750 EMPLOYEE'S/OBLIGOR'S NAME: KOEGEL. KEITH S. EMPLOYEE'S CASE. IDENTIFIER: 4832100663 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11.Submitted By: DOMESTIC RELATIONS SECTION 13 N. HA OVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employeelobligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Service Type M OMB No.: 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOEGEL, KEITH S. PACSES Case Number 084102851 Plaintiff Name CYNTHIA A. KOEGEL Docket Attachment Amount 00-5717 CIVIL$ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type m Worker ID $IATT OMB No. 0970-0154 A -Aa PI h ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 084102851 OOriginal Order/Notice Co./City/Dist. Of CUMBERLAND 00-5717 CIVIL O Amended Order/Notice Date of Order/Notice 07/14/06 Q TerminateOrder/Notice Case Number (See Addendum for case summary) RE: KOEGEL, KEITH S. Employer/Withholder's Federal FIN Number Employee/Obligor's Name (Last, First, MI) INTERCON SYSTEMS INC C/O PAYROLL 2800 COMMERCE DR HARRISBURG PA 17110-9307 203-52-8092 Employee/Obligor's Social Security Number 4832100663 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 900.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o. oo per month in current and past-due medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ goo. oo per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 207.69 per weekly pay period. $ 415.38 per biweekly pay period (every two weeks). $ 450. oo per semimonthly pay period (twice a month). $ 900. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2)• If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY E COUR Date of Order: JUL 1 7 2006 .. Edgar B. Bayley, Judge DRO: R.J. Shadday Form EN-028 Service Type M OMB N.,097MI54 Worker ID $IATT % ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Iff hecked you are required, to provide a opy of this form to your gm If your employee works in a state that is Merent from the state that issued this order, a copy must be provi?ed to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. paycia You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 8275100082 EMPLOYEE'S/OBLIGOR'S NAME: KOEGEL, KEITH S. EMPLOYEE'S CASE IDENTIFIER: 4832100663 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld front the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. Fortribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Worker ID $IATT r? ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOEGEL, KEITH S. PACSES Case Number 084102851 Plaintiff Name CYNTHIA A. KOEGEL Docket Attachment Amount 00-5717 CIVIL$ 900.00 Child(ren)'s Name(s): DOB ................................... ?Ifchecked,you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. .?. ? ?? ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 0Original Order/Notice Co./City/Dist. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 06/03/04 0 Terminate Order/Notice Tribunal/Case Number (See Addendum for case summary) PE: KOEGEL, KEITH S. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) TYCO ELECTRONICS M S 161 051 PO BOX 3608 HARRISBURG PA 17105-3608 203-52-8092 Employee/Obligor's Social Security Number 4832100663 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 900.00 per month in current support $ o. o0 per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o. oo per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 900.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 207.69 per weekly pay period. $ 415.38 per biweekly pay period (every two weeks). $ 450. o0 per semimonthly pay period (twice a month). $ goo. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. q a1. BY THE CO JUAN - 4 Lnn/ 111N - 4 Zafl4 Date of Order: Form EN-0 8 Service Type M OMB No.: 09700154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ' ? Ig,4hecke you are required to provide a jopy of this form to your Qmployee. If yo r employee orks in a state that is i event rom the state thatissued this o er, a copy must be provided to your employee even if t? a box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4.* wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 5.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2303325750 EMPLOYEE'S/OBLIGOR'S NAME: KOEGEL, KEITH S. EMPLOYEE'S CASE IDENTIFIER: 4832100663 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you-are liable for both the accumulated amount you should have withheld from the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 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 at (717) 24076248 or by internet www.childsupport.state.pa.us Service Type m Page 2 of 2 OMB No.: 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KOEGEL, KEITH S. PACKS Case Number 084102851 Plaintiff Name CYNTHIA A. KOEGEL Docket Attachment Amount 00-5717 CIVIL$ 900.00 Child(ren)'s Name(s): DOB ?lf checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ?if checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type rrt Worker ID $IATT OMB Na.: 0970-0154 l7 a 0 77 ?aCJ - -f -r <7 -c I-M Ir- r7 .a: "t ?' n" rt In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717)240-6248 Defendant Name: KEITH S. KOEGEL Member ID Number: 4832100663 Please note: All correspondence must include the Member ED Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name CYNTHIA A. KOEGEL PACSES Docket Case Number Number 084102851 00-5717 CIVIL Attachment AmountlFreauenc TOTAL ATTACHMENT AMOUNT: $ 900.00 MONTH 900.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 207.69 per week, or 5 0. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, KEITH S. KOEGEL Social Security Number 203-52-8092 , Member ID Number 4832100663 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated OCTOBER 20, 2002 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: 4 Form EN-034 Service Type M Worker ID $IATT I I- . I e In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: KEITH S. KOEGEL Member ID Number: 4832100663 Please note: All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name CYNTHIA A. KOEGEL PACSES Docket Case Number Number 084102851 00-5717 CIVIL Attachment Amount/Freauenc $ 900.00 MONTH TOTAL ATTACHMENT AMOUNT: $ 900.00 Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 207.12 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, KEITH S. KOEGEL Social Security Number XXX-XX- 8092 , Member ID Number 4 8 3 210 0 6 6 3 . OUCB is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated NOVEMBER 16, 2008 is exhausted, expired or deferred. OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: DEC 0 2 2008 JUDGE Form EN-530 Rev.2 Service Type M Worker ID $ IATT ,? ?. t?..'? ?.n,': •.