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Home My WebLink About01-5925STEPHEN ZIMMERMAN PLAINTIFF VS KIM ZIMMERMAN DEFENDANT IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY PENNSYLVANIA CIVIL ACTION -DIVORCE NO. >t 2001- ~ a S wlnTicF TO DEFEND You have been aced m court. If you wish to defend against the claims set forth in the following pages, You moat take action arance personally or by attorney caDdpfd°sg m d entering a written appe set forth against You. You are notice are served, by our ~~~ or objections to the claims writing with the court Y roceed without you and a decree of divorce or warned that if you fail to do so the case the court. A judgme~rt maY ~°O ~ C°~~ agemst annulment maY be entered agai°at Y m these Papers by the plaintiff. You may lose you for any other claim or relcef requested ~ custody or visitation of your money or property or other rights important to you, including children. own of the When the ground for divorce is indignihea or irretrievable breakd ou may re4~ °sarna~ counaeGng. A list of marriage counselors is available in at the Brat floor in the Dauphin Court Courthouse, Front and marriage, y the Office of the Proth burg PennaYlvsmis. Market Streets, Harr- IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF ORPANNULMENWT 1 RGRANTED YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD T~-xE TH[S P`U'ERTO YOUR LAWYER ?-T ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFO~ Off' GO TO OR TELEYHO~~ YOU~AN GET LEGAL AEL ,rO ~D OUT Dauphin County Lawyer Referral Service 213 North Front Street Harrisburg, PA 17101 (717)232-7536 STEPHEN ZIMMERMAN : IN THE COURT OF COMMON PLEAS PuuNriFF :CUMBERLAND COUNTY PENNSYLVANIA VS CIVIL ACTION -DIVORCE KIM ZIMMERMAN DEFENDANT NO. s 2001 -s9a5 COMPLA_1NT IN DIVORCE AND NOW, comes the Plaintiff, Stephen Zimmerman, by his attorney, Gail Guida Souders, Esquire, and pursuant to Section 3301 (d) of the Pennsylvania Divorce Code, seeks to obtain a Decrce in Divorce from the Defendant, Kim Timmerman, upon tbe grounds set forth: COUNTI DIVORCE 1. Tbe Plaintiff, Stephen Zimmerman, is an adult individual residing at 15 Wayne Road, Camp Hill, Pennsylvania, 17011. 2. The Defendant, Kim Zimmerman, is ao adult individual residing at 6303 Brandy Lane, Mechaoicsburg,Pennaylvania 17050. 3. P1aiMiff has bcen bona fide resident of the Commonwealth of Pemaylvania for at least sia (ti) months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on October 20,1979 in Mechanicsburg, Pennsylvania. 5. Plaintiff has been advised of the aveilabifity of counseling and that Plaintiff may have the right to request that the Court require the parties to participate in counseling and does not request the same. 6. There have bem no prior actions of divorce or snnuhnwt between the parties in this or any other jurisdiction. 7. Tbe Plaintiff and Defendant are both citizens of the United States of America. 8. The Defendant is not an active member of the Armed Services of the United States. 9. The parties have two children Kristen D.O.B. 4/24/87 and Shawn D.O.B. 1/23/89. 10. The Plaintiff avers that the grouuda on which the action is based are: (b) That the marriage is irretrievably broken under 23 Pa. Const. Stet. § 3301(d). (b) The parties have been separated since June 10,1999. 11. The plaintiff requests this Honorable Court to enter a Decree of Divorce. WHE1tEFORE, Plaintiff requests your Honorable Court enter a Decree as follows dissolving the marriage between the parties. /gespecttully submitted / C~ Gail Guida Souders Attorney for Plaintiff Guida Law Offices 503 North Front Street Harrisburg, PA 17101 Supreme Court H1 # 68740 I verify that the statements made is this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unsworn falsification to authorities. DATE:~O /5 ~~ PI.A TFF ATTORNEY ~ R PLAINTIFF a ~ ~. o -,' r~ na --; ~~ ~ ~~~~ ~~ ~ ~ "O G y .r ~n ~~ N C.J >- [~ r> N W~ [V ~ `-~ ~ c~~-5 u 1_ F a. ~~ C~~ t ~F N _~~ ~ ~ " i11 L13 ` i,. ~, h V C fY?Cl V G 3 I ^ Q ~ ~ ~ O ~^ ') H U ~~ ~ r o ~ ~ Q n . 3 LL u (~1 Q S ~~ o[ ~- J ~ O ~_ O Z z I~ t+1 Q 0 2 V STEPHEN ZIMMERMAN Plaintiff . v. HIM ZIMMERMAN Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -DIVORCE NO.O1 - 5925 PRAECIPE TO ENTER APPEARANCE To the Prothonotary: Please enter the appearance of the Family Law Clinic on behalf of Kim Zimmerman, the Defendant, in the above-captioned matter. Date: U b I GINA M. CARNES Certified Legal Intern L. HENNING THOMAS M. PLACE ROBBRT E. RAINS Supervising Attorneys FAMILY LAW CLII~]IC 45 Norkh Pitt Street Carlisle, PA 17013 (717)243-2968 C O n 's- ~ o ~ r rt r~ z z _~.r ~`'; ~ ~ by ~ ~~ '~ri J ~ '^ STEPHEN ZIMMERMAN Plaintiff v. KIM ZINIlVIERMAN Defendant Iri THE COURT OFO~ n'IM ENN y~VANIA CUMBERLAND CIVII. ACTION -DIVORCE NO.O1 - 5925 CERTIFICATE OF SERVICE I, Gina M. Carnes, certified legal intern at the Family Law Clinic, hereby certify that I am serving a true and correct copy of the Praecipe to Enter Appearance on Gail Guida Souders, Esq. , at Guida Law Offices, 503 North Street, Harrisburg, PA 17101, by depositing a copy of the same in the United States mail, this 26`s day of October, 2001. Gina M. Carnes Certified Legal Intern THE FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 (717) 243-2968 c~ o ~-, -- -„ ~m ~ -- :SJ ""{ _r r_ ~ .-. ~ =. r' C: `.; ''~ lC. ...,~ ° O :<> ~ c - _~ -' =zi In the Court of Conunon Pleas of Ctrtnberland County, Pennsylvania Phone: Fax: Plaintiff Name: Stephen Zimmerman Defendant Name: xim Zimmerman Docket Number: D~ _ 5925 PACSES Case Number: Other State ID Number: Please Wore: All corrccpondence must include the PACSES Case Number. Income and Expense Statement THIS FORM MUST BE FILLED OUT (If you aze self-employed or if you aze 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.) r / INCOME STATEMENT OF K1 Y~ g1 mrt'I~mQYI , pe~~ev~dt~rl-~- I Pei-h over Section I: Income and Insurance INCOAtE: Employer vv eto ~-wr f Address IM SOr\ Yt. Type oC Work ht Lr' Payroll No.$~jy2 Gross Pay per Pay Period S Itemized Payroll lkdunions: A~IPVAAO. Federal Withhold' S Social Security S U(p [-Deal W e Tax S 1 , $O State Income Tax S 3. I a1 Retiremem S Sav' ands $ Credit Union 5 Irfe htsutanre 5 Heahh ImonrKe S e t taCG S S Other Deductiorm (specify) s s Ner Pay per Pay Period S 1 (J~ • (D { OTHER (Fill in Appropriate Colttmn) INCOME WEEK MONTH YEAR Interest S 5 $ Dividends Pension Amuit Social Security Rents Royalties Ex nsc Account Gifts Unem lovment Workmen's Cum ensation Other Other TOTAL S S S TOTAL INCOME S PROPERTY Ownership ' OWNED DESCRIPTION VALUE H W J Checking Accounts S Savings Accounts Credh Union StockslBonds Real Estate Other TOTAL IS Q * H=Husband; W=Wife; f=Joint Form [N-008 Sen~ice Type Worker [D ~.~ttklJ rrrrwn l6 { 21 ~ O l -{-6 I ~ 19 ~02 Income and Expense Statement PACSES Case Number Coverage " INSURANCE COMPANY POLICI' k H W C Hospital C Bl A-e.-iv1a, C~'UtAS1OW'~'S~ ~ / / ue ross Other Medical Shi ld Bl ~~~~~ Ch~bGIY~~.~S~ / `~ ~/ ue e Other Healdt/Accident Disability Income Dental / 1,. 11 ~ ~-~ lY1 LISG r$~ / l/ V Other * H=Husband; W=Wife; C=Child Section II: Supplerttental Income Statement a. This Cortn is to be fdkd out by a person (1) who operues a busineas or practices a profession, or (2) who is a member of a partnership or joint venms, or (3) who is a shueholder in and is salaried by a closed corporation or similar entity. b. Attach to this atatemem a copy of the following documents relating to Ne panrcrsh~, joint venture, busircss, profession, corpors[ion or similar emiy: (1) the most ¢cem Federal Income Tax Return. and (2) the most recem Profa and Loss Statement c• Name of business: Address and telephorc nuodter: d. Namre of busuress (c me) (I) panrcrship (2) joint venture (3) prokasion (a) closed wryontion (5) other c. Name of accountam, convolkr or oNer person in charge of financial records: f. Annual income from busioess: (l) How often is mwme texived? (2) Gross income per pay period: (3) Net inwme per pay period: (4) Specified deductions, if any: Pace 2 oC3 Fonn IN-008 Income and Expetlse Statement Section III: Expenses PACSES Case Numher Imtruc[ions: Only show extraordinary expenses in dtis section udess you fdlcd ow Section II on peer iwo. The categories in 1)OLD FONT are especially important for calculating child support. !f you are requesting Spousal Sup)wrt/APL or it you assert your case carrot be determined according [o the guideliffi grids or formula, this section must be fully completed. (Fill in Appropriate Column) EXPENSES WEEK MONTH YEAR Home Mungage/Ram S - S - S - Maimm~arrce - -'~ - Utilities - - Electric S - S - S - Gas -` - _ Oil -. __.. _. Telephone - - -- Water - - -~~- Sewer - Em lovmeat - - - Public Transpoa. f -' S - S - Lunen - - Taxes Real estate S ---_- $ -'-- S Personal Property - - - Insurance Hotrcowror's S - S -- S - Automobde - Life - - Accidem - Health - Other - __ Aummobile Payrrcnts 5 S - S - Fuel ~ _ ` Repairs - Medical Doctor S S - S 5 Dentist - _. Orthodontat - - - Hospital - -" Medicine -- - ~S Pee a (glasses, braces, orth 'c ~- -" EXPENSES (Fill in Appropriate Column) (continued) WEEK AfONTH YEAR Education Private School S - S -- S - Parochial School - - - College -- ~-- Religious - - Petsonal Clothing S - S - S S Food - ~jD Barber/ _ _ CRdh Payments CRdh Card Charge - - _. Memberships - - - Loans CRdh Union s - 5 ~- S -- Miscellaneous Household Help 5 - S - S - Child tare _. - Papers/books a s -. _ _ Entena'uunem -- -. _.- Pay TV -- -'. '--. Vacation - _ -- Gifts 5 - - Legalfees _ - _ Chartable _ __. -. ther hdd -- Ahmoay P _. _. _ Other S - S - S - Total WEEK MONTH YEAR Expenses• S S (pS,D$ S 1 verify that the statements made in this Income and Expense Statement ate tme and correct. 1 understand that false statements herein are subject to the criminal penalties of l8 Pa. C.S. § 4904, relating to unsworn falsifica~ton to authorities. / c~~ Date Plaintiff or Defendant Page 3 of 3 Form IN-008 Service Type Worker ID ~1/EIS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. S OCTAL SEC. NO. WK. END oge t egaza tea a8 ea a KIM A ZIMMERMAN 5 07/07/01 CONTROL N 010647 NRS/RATE/EARNINGS 22.00 6.50 9.00 7.50 TOTAL EARNINGS FICA MEDICARE FED WITHHOLDING PA STATE TAX LOCAL TAX OCC PRIVILEGE 143.00 67.50 zlo.go 13.05 3.05 4.61 5.89 2.11 .00 rAxes DEDUCTIONS TOTAL TAXES TOTAL DEDUCTIONS PAY 28.71 00 181 3208736. .00 .00 a733.1a 293.46 68.62 47.14 132.52 47.35 10.00 .00 00 41)9, EIS MARKETS, INC. - PAYROLL N0 WK. END 5 6 6 . SOCIAL SEC. 3 2 2 5 _ EMPLOYEE N0. 07;14/01 NAME EMPLOYEE LOCATION & s5az4 184 as as54 YEAR TO DATE 058 1 KIM A ZIMMERMAN N C RRENT EARNIN /TAXES/DEDU N OF TIO 38 141 .00 O0 EXPLANATI HRS/RATE/EARNINGS 6.50 21.75 . 37.50 • 7,50 5.00 4q 12.02 CONTROL # 010688 TOTAL EARNINGS 178.88 11.09 304.55 71.21 TAXES FICA 2.59 47.14 MEDICARE FED WITHHOLDING .00 5.01 137,53 49,14 PA STATE TAX 1,79 10.00 LOCAL TAX .00 OCC PRIVILEGE ,00 20.48 TOTAL TAXES ~ I p~DUCTI0N5 TOTAL OEC+~JCTYOY S .00 PAY I -1 WETS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION 8 . NAME EMPLOYEE N0. I SOCIAL SEC. NO. KIM A 2IMMERMIJJ S542a ~+. 1aa 48 esga EXPLANATION- F EARNIN S/TAXES/DEDUC71ONS~-' HRS/RATE/EARNING$ CONTROL # 010740 17.50 6.50 5.25 7.50 70TAL L•ARNINOS TAXES FICA MEDICARE FED WITHHOLDING PA STATE TAX- LOCAL TAX GCC PRIVILEGE TOTAL TAXES :~EOUOTIONS ~', TOTAL DEDUOTIOiu$ ~~ . i :. END 08/04/0'.• I~ 113.75 39.38 153.c3 9.49 2.22 .00 4.29 1.53 .00 t7.5; ... 3275794 .00 .CO 5367.78 332.81 77.82 49.57 150.29 5%`. 70 ~J.00 .W .00 F ,. I J WETS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE I 058 ~ 89424 KIM A ZIMMERMAN HRS/RATE/EARNINGS CONTROL # 010588 TAXES DEDUCTIONS OCTAL SEC. N0. Asa as eega 22.75 6.50 5.25 7.50 TOTAL EARNINGS FICA MEDICARE FED WITHHOLDING PA STATE TAX LOCAL TAX DCC PRIVILEGE TOTAL TAXES TOTAL DEDUCTIONS WEIS FAMILY PICNIC - SEPTEMBER 23, 2001 PICNIC SLIPS MUST BE RETURNED IMMEDIATELY 401(K) CHANGES DUE BY 9/74/07 AY WK. END 08/29/01 147.88 39.38 787.26 11.67 2.72 7.12 5.24 1.87 .00 22.56 .00 764.70 ~'~ 3327001\ 00 .00 585z.az 362.85 84.85 51.09 163.86 .58.54 10.00 73~.~9 00 127. ARKETS, INC. - PgyROLL PLOYEE LOCATION & NAME 058 1 EMPLOYEE NO• SOCIAL SEC. f KIM A ZIMMERMAN 85424 184 48 8854 CONTROL X 010558 HRS/RATE/EARNINGS TAXES DEDUCTIONS 11.25 6.50 5'DD 7.50 TOTAL EARNINGS FICA MEDICARE FED WITHHOLDING PA STA 7E TAX LOCAL TqX OCC PRIVILEGE 707AL7AXES WEIS FAMILY PICNIC TOTAL DEDUCTIONS PICNIC SLIPS MUST BE RETURNEDRIMMEDIA~TELY 401(K) CHANGES DUE BY 9/14/01 .~ e~ 1, as C. END 09/01/01 73.13 37.50 110.69 6.86 1.60 .00 3.10 1.11 .00 12.67 .00 a+ a6 3343340 .Op .00 5963.05 369.71 86.45 51.09 166.96 59.65 10.00 743.86 OO WETS MARKETS, INC. - PAYROLL ' EMPLOYEE LOCATION & NAME EMPLOYEE NO. SOCIAL SEC. NO. ~ WK. END 058 1 s542a tea 4e ea54 ' Oy/22/D, ~, 3 3 9 2 6 2 7 KIM A ZIMMERMAN EXPLANATION OF EARNINGS/TAXES/DEDUCT IONS CURRENT YEAR TO DATE _ _ _ - HRS/RATE/EARNINGS CONTROL q 010661 14.00 6.50 91 .00 .00 4.25 '7.50 31 .88 ~ .00 TOTAL EARNIt;uS 122 .88 6334 .94 TAXES FICA 7 .62 392 .77 MEDICARE 1 J8 91 .84 FED WITHHOLDING .00 51 .09 ~, PA STATE TAX 3 .44 177 .37 LOCAL TAX 1 .23 63 .37 OCC PRIVILEGE .00 10 .OU TOTAL TAXES 14 .07 786 .44 DEDUCTIONS. ,;;.TOTAL OF.,DL'7I0^!S . v0 , 00 I i ,a.,. ~~ , , ~ "°A~' " NET PAY 108. 87 _ ._ 5548 .50 WEIS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE N0. SOCIAL SEC. P 058 1 85a2a t84 48 685a KIM A ZIMMERMAN NRS/RATE/EARNINGS CONTROL p 010759 TAXES 14.25 6.50 5.00 7.50 TOTAL EARNINGS FICA MEDICARE FED WITHHOLDING PA STATE TAX LOCAL TAX OCC PRIVILEGE TOTAL TAT'9S DEDUCTIONS T07AL DEDUCTIONS DIREC: DEPOSIT IS AVAILABLE NOW. SEE SUPERVISOR. NET PAY . END 10/06/01 92.63 37.50 130.13 8.07 1.89 .00 3.R4 1.:-0 .OU ta.9o 00 t1g.23 3426375 .00 .00 6662.07 413.(15 96.59 53.67 186.53 66.64 10.00 626.48 00 LEIS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. SOCIAL SEC. I o5a 1 65aza 1aa 48 a65a .KIM A ZIMMERMAN HRS/RATE/EARNINGS CONTROL N 010748 17.75 6.50 TOTAL EARNINGS TAXES FICA MEDICARE FED WITHHOLDING ' PA STATE TAX LOCAL TAX OCC PRIVILEGE TOTAL TAXES DEDUCTIONS TC7AL ;tEDUCTIONS DIRECT DEPOSIT IS AVAILABLE NOW. SEE SUPERVISOR. PA . END 10/13/01 115.38 115.38 7.15 1.67 .00 3.23 1.15 .00 13.20 :00 1oz.1a 3442943 .DD 6777.45 420.20 98.26 53.67 189.76 67.79 10.00 e39.6s 00 77 WETS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. SOCIAL SEC. NO. WK. END D58 85424 184 48 8854 ,G/2G/D, 3 4 5 9 37 7 KIM A 2IMMERMAN HRS/RATE/EARNINGS CONTROL # 010607 13.50 6.50 87.75 .00 5.00 7.50 37.50 .00 TOTAL EARNINGS 125.25 6902.70 TAXES FICA 7.77 427.97 MEDICARE 1.82 100.08 FED WITHHOLDING .00 53.67 PA STATE TAX 3.51 193.27 LOCAL TAX 1.25 69.04 OCC PRIVILEGE .00 10.00 TOTAL TAXES 14.35 854.03 DEDUCTIONS TOTAL DEDUCTIONS .00 .00 DIRECT DEPOSIT IS AVAILABLE NOW. SEE SUPERVISOR. NET PAY I „0.90 I 6048.67 WETS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. 058 ~ 85aza KIM A ZIMMERMAN CONTROL N 009885 HRS/RATE/EARNINGS TAXES DEDUCTIONS '~OCIAL SEC. NO. WK. END ,ea ae 8854 "'D9/°' 3 4 9 0 8 3 0 17.50 6.50 .113 .75 5.25 7.50 39 .38 •00 .00 TOTAL EAiNINGS 153 .1 3 T~93.aa FICA 9 49 MEDICARE 446.02 FED WITF.HOLDING 2 22 104.30 PA STA 7F. TAX 4 0O 29 53.67 LOCAL T;iX 201.42 OCC PRI'/ILEGE 1. 53 71.95 . 00 10.00 rorAL s„XES 17 53 . 887.36 TOTAL DEDUCTIONS I .00 I .00 NET PAY 195.60 6306.ae WEIS MARKETS, INC. -PAYROLL WEBS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. SOCIAL SEC. NO. 058 1 -85424 KIM A ZIMMERMAN 184 48.8854 EXPLANATION OF EARNIN S/TAXES/DEDUCTIONS CONTROL q 009372 HRS/RATE/EARNINGS 13.25 6.50 5.00 7.50 4.00 6.50 70TAL EARNINGS TAXES FICA MEDICARE FED WITHHOLDING PA STATE TAX LOCAL TAX TOTALTAXES DEDUCTIONS UNITED FUND TOTAL DEDUCTIONS PART-TIME OPEN ENROLLMENT DEADLINE IS 1/18/02, PAY WK. END 01/05/02 86.13 37.50 26.00 148.63 9.26 2.17 .00 4..19 1.50 17.14 .50 •50 3630424 .00 .00 .00 323.39 20.05 4.69 .00 9.06 3.24 37.oa 1.00 1.00 WEIS MARKETS, INC. - PAYROLL EMPLOYEE LOCATION & NAME EMPLOYEE NO. SOCIAL SEC. NO. WK. END 058 1 85424 184 488854 01/12/02 KIM A ZIMMERMAN 3644730 NRS/RATE/EARNINGS CONTROL # 009295 12.50 6.50 81.25 .00 TOTAL EARNINGS 81.25 404.64 TAXES FICA 5.04 25.09 MEDICARE 1.18 5.87 FED WITHHOLDING .00 .00 PA STATE TAX 2.28 11.34 LOCAL TAX .81 4.05 TDTAt TAXES 9.31 46.35 DEDUCTIONS UNLTED FUND .50 1.50 TOTAL DEDUCTIDNS .50 1.50 PART-TIME OPEN ENROLLMENT DEADLINE IS 1/18/02. PAY I ~1.aa WEIS-MARKETS, INC. - PAYROLL EMP TION & NAME o5a t KIM ~ ZIMMERMAN CONTROL N 009182 .OYEE N0. 85424 HRS/RATE/EARNINGS TAXES DEDUCTIONS OCIAL SEC. NO. I WK. END taa ae sa5a of/t9/oz 11.25 6.50 73 .13 TOTAL EARNINGS 73 .13 FICA MEDICARE 4 .53 FED WITHHOLDING 1 .06 PA STATE TAX 2 .00 .05 LOCAL TAX 73 TOTAL TAXES 8 37 UNITED FUND . 50 TOTAL DEDUCTIONS . 50 PaY 64.26 365.8958 .00 477.77 29.62 6.93 .00 13.39 4.78 54.72 2.00 2.00 421 , !15. 7,904.25 63.67 3 Social san:uriry wages 4 Social Security tan withheld 7,904.25 480. D7 5 Medicero xmges and tips 6 Medicare tae withheld 7, 9G4.25 114.59 a Control number Dept. Corp. Employer use only D8BG3 c Employer's na e, addres; and ZIP code 71000 SAR I~ ~ SECOtJD S T. P 0 BOX 471 ' SUNBURY, PA ~7gp1 b Employer's FED ID number d Emplcyeai SSA number 24-0755415 184-48-8854 ] Social security tips B Allocated tips 9 Advance EIC payment 10 Dependant care benefits 11 Nonqualilied plans 12a gee insirumions ler bon R 13 tdmarY employee etirement plan hir -party smh pay 14 Other rEmplpyae'sfirrt nameendinitiel Lest name KIM A ZIMMERMAN MEgi N R~BU A I RG~A 17050 f Em to ens eddnsa and ZIP mde Stec mplpyar's fate ID PA 4- 755415 tde wages, tips, em. 7 9 4 5 $tatq In a taY pm . LOEI imam teA 21.32 9. 8 pca wegea, pps, etc. 7 904. 5 c ty name W e T HORE TAX Employee Reference Copy Wage and Tax n00 W-2 Statement L Copy C Ipr empleyaas ncorda. OMB Np. 1545-0008 2001 W-2 058-01-85424 KIM A ZIMMERMAN 6303 BRANDY LANE MECHANICSBURG PA 1705 1 ~~ ~ ~pS ~~f }t~.4 $Y TfID ql*~N Rt I ~ ; ~9 ~ f ~ k Y LS t h Tr. -f d qiM~w~ 4~Iy~ b fk2 ~'y,gxe~ }~~',I Kn~h~a~j,~y~T } q. ~~ T tRi ~ f P a.Y"u~ " N 'Ay A ~ x . ~ fp"~~~+ .: A P ~L sss I ~ h Y} dla rA V { S tin ` , ~ f , 3 ~ . rx ~ ". ~ y.m S ~dh rt~e ^k 4 ~'` N ~ ~ ~ ~ Yd '* C. j a~'3 k3 y ~ .. ,t 3x ~ 5 ey ~ .Satre iW~Aj~'T/~#~A9 iy ' p f 0 IY 2 '{ k«#at ~~yy'y ~ ~"~ ' 4 ~^ q if i} ~ L d g p ki~ p 9~~`4 t 1 ~ °k~ e~US uM £ ' i 'M1 at } p y : r ,L~ ~ -I.,i ~"'^~4~ f `4u~~Y b~ 'h , v }i Y e1i E # i Y {.b ~ q .yY `S`'. %> V ; ~ Y X Y t..~yprcx $, ~~ j..`F fi 1'"r3' ~$ ~ ~~~ ~ ' r ,$ ~$(; 4 1. 3y t~ Mf /7r W ~' f„. ++y~ v ~ s =ixp S z 4~ `25 ~' ~` x x~ N:,~IM'1~ p ~ he h'i+~e ~lN`4~l I ~"& t '' }w. °x , ~ is Y` 5 t + ~$"~ µ ~, S s k . @ y` , x~ R yh n ~ R & , { ' t r y ~ i4Y ,. ~a x rl ! tk* , ~' ~Y . # ,~ aate~ i,rX' '` 6 kl ib ~ ~ *~. «{ ~, h ~ a T ~ k ~tnpIpyN gah «a'b~ .nywrv~f.ae P ! I~ b L'~5~~~ ~ A. ~.' S P,y Y '%~ ~ b y ' t ~ a 3$ ap,~t 44pp rolzlpfin~aAm ,r ~ OMyt 1 !A 'Ebh ae #S'~ ~I L'F #' r ; a . z # m~.~ .. ~q`C~mNla91}1~~ 2.. ~ p ~Y ~~ r d~ ` ' R F ~ < . l } #' ' h ' y boa&t ` ~~ ~ ~ . w. . ,f § yr ~ ~ r,~ m i 1#~a"? a, iddrian? ind EIP oed#: . ~ ~~' ~ # ~ s `~ Pd,nBm.r-~,IYdwary aind sla wd. ~ ~ S `°~ z ~ ~ixdL y r':a . ri 1 'Q S+a~ai1 ¢sXlP tbd}` ~ 4 ~ I~O p .' S BOX X71 URY A t78bai ` ' ~ ST P" 807t +1Tt ' . i ' ~ ° ~w ~ Y f ~ t 47t ~ ~ ~ ~ ~ < p p . , l iy98 1 ~ r ~> ~ t7 $0`` t a . , b EmpieyR'a~fEO ID number d EioPlayei a«$SA~nypWr ~ 24-0756415 ~ 184'48»8864 ~ 4 Emplbya's F 610 `mrmbsr d E~RIOY4v SSA mimbar 2~ 0765416 ~b Empl yar'a'(!Eb 10 nymlpr ;-' d Emplp f x' T R Ameb•r 7 Soenl. eacushy pps S Albcatad'a i + 184-488854 1 S tl ' 24 0755415 1$q-#t~.a~J85A p ed aeepnhy ripe . S Allopetad Bpa , 7 Socal s eprN a l Y as ~ 8 Allbeabd:dpp 9 Advance EIC payment 10 pspmdant pore be dha n 9 Advance EIC paymem 10 Depandam can benNRa 9 Advanw EIC paymaN 70 OepmOamean MnNiu 11 Npnqurilifiad plena 12e Sd idn ct idi b 1 ~ ru ens ee 13 1 Nonqugllaad Plana 12a .See inavudtiona for boa 12 gl Nenquddudp6no 12a Sea matrbdtiena for Spa 12 ~atat tors Rpt errant Thi d-parry mD~YS pla am~pay 74 Other 13 emP~yi pl+'nnmgnt sol~dv~ymy l4 Other pp 1S ie emsd + mY 14 Otbr mpY4 i ¢k p Y e pl a Y l mploYSi afirst name end lnitiel Lest name KIM A ZIMM • mplpyu aiirat nemundm tiel Lut name • mplaYns irat namam Im a LaaY name ERMAN KIMA. ZIMMERMAN ' KIM A' ZIMMERMAN 8303 BRANDYLANE MECHANICSBURG PA 17050 8303 BRANDY LANE MECHANICSBURG PA 17050 6 3 RANDY LANE MECHANICSBURG AA 17050 f Em to ens addgn end 21P code l Stale Ipyar's taN I IB Stets wages ti tc. PA 2p4-0755415 '/ ~b4.25 f Em to as add ass and ZIP code 1 Stau Em yar'a k4L ID 18 tau wegaa tl a, etc. PA ~4 0756415 '/ 6 (Em to ei r addres end.ZlP~ede tats 1 "'° w.gn u p em, 2p4Y07 5 1 Stau neome tax 19 Laeal income ter 04.25 1 Sute income tax PA 5 A ~ 664.26 2210 32 .79.06 -iSl_eci ws n spa t4. ry name s EST Load income tai 221 .32 78.08 oca wa a ape etc. pau nam g a~ 1 taro inppma us 221 .32 Lopa inppma tea 78.08 7 904. Z5 W SHORE TAX y e 7 804.25 WEST SHORE TAX ae w a tp to epY name a e~J~804 45 EST S Federal Filing Copy State Filing Copy . RE TAX City or Local Filing Copy W ~f Wage and Tax 2001 Statement t Wage and Tax 2001 W-2 Statement ,A, A Wage and Tax e~ O~ ~L Copy B to ba filed with employee's FEDERAL Income Tae Retounrn C ono xa. ins-pen opy 2 to be filed with employei s STATE Income Tee Return YY G Statement tour a ~. r n~.e .w. -..-~-..-.. ...,, .........- one tw-ens STEPHEN ZIMMERMAN IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent CUMBERLAND COUNTY, PENNSYLVANIA ~• CIVIL ACTION -DIVORCE HIM ZIMbIERMAN NO.Ol - 5925 Defendant%Petitioner . CERTIFICATE OF SERVICE I, Jennifer Heverly, Certified Legal Intern, Family Law Clinic, hereby certify that I served a true and conect copy of the Income and Expense Statement, with attached Payroll and W2 Statements, upon Gail Guida Souders, Esq., at Guida Law Offices, 503 North Street, Harrisburg, Pennsylvania 17101, by depositing a copy of the same in the United States mail this `s` day of February, 2002. Date 2 Jen ' everly Ce ied Legal Intem FAMILY LAW CLINIC 45 N. Pitt St. Carlisle, PA 17013 717-243-2968 ~~ ~ ~ r ; r n i ~.~ ~' ~ ~ r~~_ ~ F L J I.i_ rJj (~ u_ cv 7 o tv STEPHEN ZIMMERMAN, IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent :CUMBERLAND COUNTY, PENNSYLVANIA v CIVII. ACTION -DIVORCE KIM ZIMMERMAN, Defendant/Petitioner NO. O1 - 5925 INVENTORY OF HIM ZIMMERMAN Defendant files the following inventory of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three yeazs. Defendant verifies that the statements made in this inventory are true and correct, to the best of her knowledge, information, and belief. Defendant understands that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom falsification to authorities. .//h Defendant, im Zimmerman ASSETS OF PARTIES Defendant marks on the list below those items applicable to the case at baz and itemizes the assets on the following pages. (X) 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 mazket and savings certificates (X) 7. Contents of safe deposit boxes ( ) 8. Trusts (X) 9. Life insurance policies (indicate face value, cash surrender value and current beneficiaries) 10. Annuities 11. Gifts 12. Inheritances ( ) 13. Patents, copyrights, inventories, royalties ( ) 14. Personal property outside the home ( ) 15. Business (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( ) 16. Employment termination benefits -severance pay, worker's compensation claim/award ( ) 17. Profit sharing plans (X) 18. Pension plans (indicate employee contribution and date plan vests) (X) 19. Retirement plans, Individual Retirement Accounts ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. Military/V.A. benefits ( ) 23. Education benefits (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) ( ) 26. Other MARITAL PROPERTY Defendant 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: Item Description Number Of Property Home at 15 Wayne Road, Camp Hill, PA 17011 1996 4-door sedan Checking Account at Commerce Bank Checking Account at at a local credit union 6 Savings Account at a local credit union Names of All Owners Stephen and Kim Zimmerman Stephen Zimmerman Kim Zimmerman Stephen Zimmerman Stephen Zimmerman 7 Unknown contents of safe deposit box Stephen Zimmerman 9 Life Insurance Policy Stephen Zimmerman 1 g Pension Plan with employer, Stephen Zimmerman Washington International 19 Retirement Account with employer, Stephen Zimmerman Washington International 2g Household Furnishings Stephen and Kim See attached itemized list Zimmerman PROPERTY TRANSFERRED Item Description Date of Consid - Person to whom Number of Property Transfer eration Transferred 2 V W car 2001 LIABILITIES Item Description Names of Names of Number of Property All Creditors All Debtors 24 Home Mortgage Stephen and Kim Zimmerman Defendant reserves the right to correct and/or supplement this Inventory to the extent that she acquires additional information regarding assets and/or liabilities. 3 Home Furnishines still in residence: A. Master Bedroom: 1. Queen Bed with Headboard 2. Dresser 3. Dresser with Minor 4. Nightstand 5. Lamp 6. 2 pair of green draperies B. Children's Bedrooms 1. Single Bed with Drawers 2. Red, Caz-shaped Bed with Drawers 3. Dresser with mirror 4. Red and White Dresser 5. Wooden Toybox 6. Desk and Chair C. Living Room: 1. Draperies on Bay Window 2. Computer 3. Love Seat 4. Couch 5. Recliner 6. 2Hexagon-shaped End Tables 7. Lamp 8. Large scenery Picture (mauve and blue) 9. Scenery Picture (canyon) 10 . Television 11 . VCR and video tapes 12 . Stereo and compact discs D. Dinine Room 1. Tailored Blinds on two windows 2. Gold-framed Scenery Picture 3. 2 Animal Pictures 4. Television 5. Dining Room Table and Four Chairs E. Kitchen: 1. Stove 2. Microwave 3. Refrigerator 4 4. Dishes 5. Eating and Cooking Utensils 6. Pots and Pans 7. Crystal - A Flask and 3 Glasses 8. Wok 9. Under-cupboard Can Opener 10. Crock Pot 11. Toaster 12. Glasses 13. Beer Stein from Germany Miscellaneous: 1. Washing Machine 2. Dryer 3. Gas Grill 4. Patio Table with Umbrella and Four Chairs 5. Picnic Table Home Furnishings no longer in Residence: 1. VCR and video tapes 2. Lamp 3. Books 5 STEPHEN ZIMMERMAN, IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent :CUMBERLAND COUNTY, PENNSYLVANIA ~ :CIVIL ACTION -DIVORCE KIM ZIMMERMAN, DefendanbPetitioner NO. O1 - 5925 CERTIFICATE OF SERVICE I, Jennifer Heverly, Certified Legal Intern, Family Law Clinic, hereby certify that I served a true and correct copy of the Defendant's Inventory upon Gail Guida Souders, Esq., at Guida Law Offices, 503 North Street, Harrisburg, Pennsylvania 17101, by depositing a copy of the same in the United States mail this 25th day of February, 2002. ~'". r . _~ Jennifer everly Certifie Legal Intern FAMII.Y LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 717-243-2968 6 ~ r ~~ ~-> -T, .,, ~y /_ ~ ti.) ~ f~l . ~, _-i cn =Z STEPHEN ZIMMERMAN Plaintiff v. KIM ZIMMERMAN Defendant INCOME AND EXPENSE STATEMENT IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA N0. 01-5925 CIVIL ACTION - LAW IN DIVORCE Attached hereto is the Income and Expense Statement of Defendant submitted pursuant to Pa. R.C.P. No. 1920.31. V C V v Gail Guida Souders Attorney for Plaintiff 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 in part, you must also fill out the Supplemental Income Statement which appears on pages 8 and 9 of this Income and Expense Statement.) INCOME AND EXPENSE STATEMENT OF STEPHEN ZIMMERMAN INCOME Employer:WASI~sNGrol~l CTROLVP L2^rNS~R+NQA~~~ps0N,~/AI~IIL ~ 1~~ I~cT•r. Address: ~~~ ~Q~r ~~~~' ~~C/I~~v xriJ47(~CJ~~~ I I 1 ~ ~ /~~2.7 Type of Work: SHS~PsNG Dzs~PA-~HE~ Payroll Number: ',~j~ Pay Period (weekly, biweekly etc.): Gross Pay per Pay Period: $ ~ ZZb~~~ Itemized Payroll Deductions: Federal Withholding $ `~r ' c56 Social Security ~ 2 'c 2"' Local Wage Tax I I ~~~ ~~~~ State Income Tax Retirement Savings Bonds Credit Onion Life Insurance Health Insurance ,,( ~ V7 rj6 f ~~~~~~Other (specify) pp 16,"'~ Net Pay per Pay Period: $ -155.26 gs - w~ Other Income: Week (Fill Interest Dividends Pension ,~Ly Month Year in Appr priate Column) s s Annuity Social. Security Rents Royalties Expense Account Gifts Onemployment Comp. Workmen's Comp. s I a ~ `lvo,t. Total $ $ $ ~ 01 ~ '^"" TOTAL INCOME $ Q 55 . o"t 6 - Q5. ~ £~.KZ-`~ EXPENSES Weekly ,Monthly Yearly (Fill in Appropriate Column) Home Mortgage/rent $ $ 5 6~'~ 5 $ ,.~( Maintenance ~ rJp ,- Utilities ~f' Electric ~p~ -~1 ,~~WQ~V~~ Gas ~ ~ p° 1~~' O Oil Telephone~l,C~ - Water J V (1~ Sewer ~ ~ i t 5X~ .. ""' "U 3 ~ ~6'~'~ TRRS~ Employment Public $ $ $ Lunch Taxes Real Estate $ $ $ I ~ `~~~ ~ ~~ Personal ~ Income Insurance Homeowners ^ ~ „( ~~I V Automobile ~1 ~ T `~ Life $ Accident Health Other Automobile Weekly Monthly Yearly ~J"V""'"-_ (Fill in Appropriate Column) s s ll~ 3 56.E ~ - ~-U' Payments $ $ $ Fuel ,6 '"V~(~ I"~UW ~y Repair 3~- ~~~~.~~T~UU(9~~d Medical~~ ~ 6 ~ V Doctor $ $ $ ~)_ 3-(~S'6 ~-tiuuz~ ~J~Q~,, Dentist Orthodontist Hospital Medicine ro~~pb- ~~1 Special needs (glasses, ~~ ~1,O.TV braces, orthopedic devices _ ~p ~/ Education QQn~x'~,(-~ ~~~ "'° Private school $ $ $ Parochial school College Religious Weekly Monthly Yearly (Fill in Appropriate Column) Personal Clothing S ` a ,, $ $ ~ 2~~ Food 6 ~ ~f ~XIV W.~Q~J W_,(X~yV~~~~~,'~ .krQ~Q) ~/ww.q Barber/hairdresser ~"~ ,~, ~nU~~VW Credit payments (y h ~~ Credit card ~(J)Q/'~' ~ ~ ~~ 11J~~/.n~, 1lNYA'h°t~D~1 Charge accounpt ~. ~~~ "~~~ Memberships ^T.~O".d'-J\,~-- /~~~r/~/~~, l ~ 5 ~ y~/~,/ Loans I } 5~~ ""'- Credit Dnion $ $ $ Miscellaneous Household help $ $ $ Child care ~]r,[~ \" f/ Papers/books/magazines `^'`~/- / Entertainment Pay TV CIA~P+, ~~ ~ 1 w,~W+ Vacation \~ ~ a~~~ Gifts Weekly Monthly Yearly (Fill in Appropriate Column) Legal fees $ $ $ Charitable contributions Other child support Alimony payments Other TOTAL EXPENSES $ $ $ PROPERTY OWNED Ownership* ~y Description Value H W J Ac`~ ~T" Checking accounts 1T ~~~ l ~~ ~ 1~~ 'J~ Savings accounts ~ !!/~ (`~ Credit Union ~ n~ r I~ J ~S"J~.~O~ {/"3 D I-~~ I verify that I have reviewed this form with my client and to the est of my knowledge the answers herein are true and corre t Gail Guida S uders Attorney for Plaintiff oo~ ,yQ ~YBN ~ r VI I ~ S4 ~ N T VI~1 m S ~. __ i _.. _ N -. ~ __ _ _. Wi tfA 8 ~ 1 m ~ 5' D ~ a O Z N 3 3 3 0 a i s _. m u 3 SCS m xKm y3 0 o O mkt A ~ ~ = 3m 3 , ~ m 3 N rm3 _ Q m n my ' = 0 ~ F y A n A( '~ 3 f m'n~ ~ C W v Z m a m x ~ r 1 z• H A ~ ° < ~ ~~ V`' ~4 Vm'V '~N.~ ~~ n V 0 N ~ 3 r 3 n ' ° I b O '~'Y$ A Q amn o . 3 ° u' p p N .'. $ ~ V D 9 + C ~ N i • A 1~~ A A' r °a ' ~ ~ _~ - . ,,e v . ' ': no m m g ~ _ ~ ~ o' m .. N m a. ~~O s~i E rv m ~ R _. ~ G a ro D .. = 9 a ~I lw m f m q $ I ^~ p< ~ ~ I ~ $ a ~ Bm z 3 m mg : ~m o ~ oa ~ ~ n ~ D ~ £ ' NS a s ~^ ~ m I ~ ~ .Ni i ~ ~ m R " R ~ ~ .. ,z a eEw ° ~ ~ 3~~ ~ N S 1 N V1 A IN H O C7 ~ Nw a~-~P A~ ~~_$ ~~ m Z p ~ Z P and n r m o D ~ Ng 3 o~ ~' V ~ c 3 ~; ~'s e= 3 ~~ ~ mq n cN `" ' a 3~ ~"0 .m ~ m 3 0 _- n - o i ~+y °~ ~ ~ V~ Ac yn' arv C rv m $D C~ m. ~ N ~ o% ~m P c ' m $~ >a I I I c GROUP UNIVERSAL LIFE FOR THE EMPLOYEES AND FAMILIES OF IBM GROUP POLICY NUMBER; A28064-G GROUP UNIVERSAL LIFE STATEMENT OF CASH VALUE CERTIFICATE OWNER: ZIMMERMAN, STEPHEN 15 WAYNE ROAD CAMPHILL PA 17011 Insured's Name Certificate Number Basic Life Amount Cash Value Cash Value as of 12/01/00 Premium Received"* Total Expenses Subtotal Interest Credited Cash Value Balance as of 11/30/01 Certificate Loan Activity Death Benefit Amount as of 11/30/01**''` Spouse/Domestic Partner Employee STEPHEN 0021526 72,000.00 Employee OWNER NUMBER: 187-44-9576 STATEMENT PERIOD: 12/01/00 - 11/30/01 Spouse* KIM ANN 0421497 60,000.00 Spouse" 67.80 50.20 168.39 125.10 224.52- 166.80- 56.13- 41.70- 2.72 2.00 14.39 NONE 10.50 NONE 72,014.39 60,010.50 •~~• "Premium Received" includes the Cash Accumulation contributions and the Cost Of Insurance premium. **" Death Benefit Amount is the sum of the "Basic Life Amount" and current "Cash Value Balance" as of the date of death. wiorz GROUP UNIVERSAL LIFE FOR THE EMPLOYEES AND FAMILIES OF IBM GROUP POLICY NUMBER: A28064-G STATEMENT OF ACCOUNT AS OF 11/30/01 CERTIFICATE OWNER: OWNER NUMBER: 187-44-9576 ZIMMERMAN, STEPHEN 15 WAYNE ROAD STATEMENT PERIOD: CAMPHILL PA 17011 12/01/00 - 11/30/01 Employee Spouse* I. BENEFIT SUMMARY Insured's Name STEPHEN KIM ANN Original Effective Date 12/01/87 12/01/87 Certificate Number 0021526 0421497 Basic Life Amount 72,000.00 60,000.00 Accidental Death and Dismemberment Rider Yes Yes Child Rider Yes None ~ 510,000 per eligible child) II. MONTHLY COST SUMMARY Employee S ouse* Rating Class Non-Smoker Smoker Term Insurance Cost 14.91 11.10 Administrative Expense Charge 1.00 1.00 Accidental Death and Dismemberment Rider Cost 1.80 1.80 Child Term Insurance Cost 1.00 0.00 Total Monthly Expense 18.71 13.90 III. ANNUAL COST SUMMARY Employee S ouse* Term Insurance Cost 178.92 133.20 Administrative Expense Charge 12.00 12.00 Accidental Death and Dismemberment Rider Cost 21.60 21.60 Child Term Insurance Cost 12.00 0.00 TOTAL ANNUAL EXPENSE 224.52 166.80 PREMIUM RECEIVED DURING STATEMENT PERIOD OF 12/01/00 to 11/30/01** 168.39 125.10 "* If you are participating in the Cash Accumulation Option the "Premium Received includes your Cash Accumulation contributions and Cost Of Insurance premium noted above. THE GROUP UNIVERSAL LIFE PROGRAM IS OFFERED AND ADMINISTERED BY SEABURY & SMITH, INC., AND UNDERWRITTEN BY METROPOLITAN LIFE INSURANCE COMPANY. FOR UPDATED INFORMATION CALL OUR TOLL-FREE NUMBER 1-800-247-5628. " Spouse/Domestic Partner see reverse side JV10~2 == ,_ ._.__- =-- - NOTICE OF DEFERRED VESTED BENEFIT INTERNATIONAL BUSINESS MACHINES CORPORATION Social Security Number: 187449576 IBM Serial Number: 795854 A deferred vested benefit is payable to you under the terms of the IBM Retirement Plan. $458.00 is payable to you on a Single Life Basis commencing the first day of the calendar month coincident with or following your 65th birthday (i.e., the first of the month following your 65th birthday unless your birthday is on the first day of the month in which case payments begin on that day) and continuing thereafter for your lifetime. You may elect to have the monthly vested rights benefit commence any month after attaining age **62**. The vested rights benefit described above will be reduced if you elect to receive payment earlier than age 65 or if you receive a joint and survivor annuity under the terms of the Plan. If you are married, a 50% joint and survivor annuity will be automatically applied unless you complete the Election of Retirement Date and Income Basis form choosing an alternate form ofpayment and you obtain your spouse's approval, where necessary. All payments are subject to the terms and conditions of the Plan to the extent allowed by law. The vested rights benefits payable to you, or on your behalf, are obligations of the IBM Retirement Plan. Date Issued: Sep 21 2001 RETIREMEN O BM SERIAL N MVESTED BEN EFIOTRNO TCE BER. 795854 Age 65 Benefit: $ 458.00 I hereby certify that this notice was issued to me as a former IBM employee and that I will attain age on as evidenced by the attached or previously supplied proof of age. Payments of my vested rights income should commence on (Year) and are to be sent to me at the address shown below until fu~1Ce(Month) 1, My marital status is (check one): _ Marred _ Single Spouse Date of Birth Signature Address THIS DEFERRED VESTED BENEFIT NOTICE SUPERSEDES ALL PRIOR DEFERRED VESTED RIGHTS CERTIFICATES OR NOTICES. STEPHEN ZIMMERMAN : IN THE COURT OF COMMON PLEAS PLAINTIFF :CUMBERLAND COUNTY PENNSYLVANIA VS CIVIL ACTION -DIVORCE KIM ZIMMERMAN ; NO.01-5925 DEFENDANT CERTIFICATE OF SERVICE I, Gaii Guida Souders, Esquire, Guida Law Offices, hereby certify that I served a true and correct copy of the Plaintiff's Inventory upon Jennifer Heverly, Certified Legal Intern, 45 North Pitt Street, Carlisle, Pennsylvania 17013, by depositing a copy of the same in the United States mail. ~ -- "' 1a :~ ~~ ~' ' ~.. v ~ '/ / ~..~`. 1 ;' ,~ ~ -~ ~ -' Dater ~ ~ ~~ ~ ~~ / Gail Guida Souders Guida Law Offices, P.C. 503 N. Front St. Harrisburg, PA 17101 (717) 236-6440 Supreme Court ID #68740 Q w N it :w i vc:~ ~- ' mn~ ~ ~T '~' L_ N -itn i~= N =- t tl C. ~=i ` ,,,~ (X) -C STEPHEN ZIMMERMAN : IN THE COURT OF COMMON PLEAS PLAINTIFF :CUMBERLAND COUNTY PENNSYLVANIA VS CIVIL ACTION -DIVORCE KIM ZIMMERMAN DEFENDANT : NO. 01-5925 OF STEPHEN ZIMMERMAN Plaintiff files the following inventory of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. Plaintiff verifies that the statements made in this inventory are true and correct, to the best of his knowledge, information, and belief. Plaintiff understands that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsificat1',on to authorities. Plain iff, Stephen Zimmennan 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. (X) 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 (X) 7. Contents of safe deposit boxes ( ) 8. Trusts (X) 9. Life insurance policies (indicate face value, cash surrender value and current beneficiaries) () 10. Annuities () 1 I .Gifts O 12. Inheritances () 13. Patents, copyrights, inventories, royalties O 14. Personal property outside the home () 15. Business (list all owners, including percentage of ownership, and officer/director positions held by a party with company) () 16. Employment termination benefits-severance pay, worker's compensation claim/award O 17. Profit shazing plans (X) 18. Pension plans (indicate employee contribution and date plan vests) (X) 19. Retirement plans, Individual Retirement Accounts ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. Military/V.A. benefits ( ) 23. Education benefits (X) 24. Debts due, including loans, mortgages held (X) 25. Household furnishings and personalty (include as a total category and attach itemized list of distribution of such assets is in dispute) O 26.Other MARITAi. PROPERTY Plaintiff lists all marital property in which wither or both spouses have a legal equitable interest individually or with any other person as of the date this action was commenced: Item Description Names of Number of Property All Owners 1 House at 15 Wayne Road Stephen & Kim Zimmerman 1996 Buick Skylark Stephen (Purchased in October 2001) Zimmerman Checking Account Stephen Americhoice Credit Union Zimmerman $0.00 6 Savings Account Stephen Americhoice Credit Union Zimmerman $1,989.00 Safe Deposit Box With Stephen & Kim No Items of Value Exist In It Zimmerman Life Insurance Policies Stephen Zimmerman a) Stephen-$72,000, Cash Value $14.39 Beneficiary-Earnest Zimmerman b) Kim-$60,000, Cash Value $10.50 Beneficiary-Stephen Zimmerman 18 Pension Plan From IBM Stephen Can Vest at 62 NO Value Until Then Zimmerman 19 IRA With Americhoice Credit Union Stephen Value $3,579.22 Zimmerman 25 Household Furnishings Stephen & Kim See Attached List Zimmerman PROPERTY TRANSFERRED Item Description Date of Consideration Person to whom Number of Property Transfer Transferred 2 1988 V W Fox October 2001 Given Free James Slatt For Parts Item Description Number of Property 24 Home Mortgage $25,002.71 LIABILITIES Names of All Creditors Names of All Debtors Stephen & Kim Zimmerman 24 Pinnacle Health $477.00 24 Holy Spirit $221.00 24 Visa $3,132.72 24 Mastercazd $8,129.16 24 Holy Spirit $150.00 24 Boscovs $63.58 24 Sears $23.95 Stephen & Kim Zimmerman Stephen Zimmerman Stephen Zimmerman Stephen Zimmerman Stephen Zimmerman Stephen Zimmerman Stephen Zimmerman Plaintiff reserves the right to correct and/or supplement this Inventory to the extent that he acquires additional information regarding assets and/or liabilities. Home Furnishin¢s Still In Residence A. Master Bedroom: 1. Queen Bead With Headboazd 2. Dresser 3. Dresser With Minor 4. Nightstand 5. Lamp 6. Two Pair Of Green Drapes 7. Stereo and Compact Discs B. Children's' Bedrooms: 1. Single Bed With Drawers 2. Desk and Chair 3. Dresser With Mirror 4. Caz Bed With Drawers 5. Dresser 6. Desk With Chair 7. Stereo 8. Stereo C. Living Room: 1. Drapes On Bay Window 2. Sofa 3. Love Seat 4. Recliner 5. End Table 6. Computer (Children's) 7. Computer Desk (Children's) 8.Television 9. VCR 10. Lazge Scenery Picture 11. 3 Lamps 12. Surround Sound Receiver With Speakers D. Dinin Rg oom: 1. Blinds On Two Windows 2. Table & Six Chairs 3. Large Gold Framed Scenery Picture 4. Two Animal Pictures 5. Television E. Kitchen: 1. Stove 2. Microwave 3. Refrigerator 4. Dishes 5. Eating & Cooking Utensils 6. Pots & Pans 7. Radio/Cassette Player 8. Flask &Glasses-Crystal 9. Can Opener 10. Crock Pot 11. Toaster 12. Glasses F. Miscellaneous: 1. Lawn Mower 2. Dryer 3. Washing machine 4. Vacuum Cleaner G. Items Removed Form Residence: 1. Lamp 2. Books 3. VCR 4. 100 To 200 Video Cassette Movies STEPHEN ZIMMERMAN : IN THE COURT OF COMMON PLEAS PLAINTIFF :CUMBERLAND COUNTY PENNSYLVANIA VS CIVIL ACTION -DIVORCE KIM ZIMMERMAN DEFENDANT : NO. 01-5925 CERTIFICATE OF SERVICE I, Gail Guida Souders, Esquire, Guida Law Offices, hereby certify that I served a true and correct copy of the Plaintiff's Inventory upon Jennifer Heverly, Certified Legal Intern, 45 North Pitt Street, Cazlisle, Pennsylvania 17013, by depositing a copy of the same in the United States mail. Date: \ !) ~. !' VI ~ (?~~ l/7 Gail Guida Souders Guida Law Of~'ices, P.C. 503 N. Front St. Harrisburg, PA 17101 (717)236-6440 Supreme Court ID #68740 M `~ C) C < F.. C-` _ 7 v c"> ~ C~ 4 r -~- - _._~' W ~`-,.~ ~ t1J LLl ~ ~ O - U }t~r+ Zt rr] rr~ rvl a rt vs K t ,~ 21 vn rr~ r >ma n Case No. O ~ ` ~ ~ ~ S Statement of Intention to Proceed To the Court: S 1'~ ~ 1'(1 /) ~ I '(Y117~/I 1~ G ~ intends to proceed with the above captioned matter. //q1'~ //' ~ / ~~ Print Name (JAIL(7ui0A ~cuDtrpGS Sign Name V"~ ~ __ Date: ~ I`I ~ Attomeyfor~f/1 Explanatory Comment The Supreme Court of Pennsylvania has promulgated new Rule of Civil Procedure 230.2 governing the termination of inactive cases and amended Rule of Judicial Administration 190]. Two aspects of [he recommendation merit comment. I. Rule ojcivil Procedure New Rule of Civil Procedure 230.2 has been promulgated to govern the termination of inactive cases within the scope of the Pennsylvania Rules of Civil Procedure. The termination of these cases for inactivity was previously governed by Rule of Judicial Administration 1901 and local roles promulgated pursuant to it. New Rule 230.2 is tailored to the needs of civil actions. It provides a complete procedure and a uniform statewide practice, preempting local rules. This rule was promulgated in response to the decision of the Supreme Court in Shop v. Eagle, 551 Pa. 360,710 A.2d 1104 (1998) in which the court held [hat "prejudice to the defendant as a result of delay in prosecution is required before a case may be dismissed pursuant to local rules implementing Rule of Judicial Administration 1901." Rule of Judicial Administration 1901(6) has been amended [o accommodate the new rule of civil procedure. The general policy of the prompt disposition of matters set forth in subdivision (a) of that rule continues to be applicable. II Inactive Cases The purpose of Rule 230.2 is to eliminate inactive cases from the judicial system. The process is initiated by the court. After giving notice of intent to terminate an action for inactivity, the course of the procedure is with the parties. If the parties do not wish to pursue the case, they will take no action and "the Prothonotary shall enter an order as of course terminating the matter with prejudice for failure to prosecute." If a party wishes to pursue the matter. he or she will file a notice of intention to proceed and the action shall continue. a. Where the action has been terminated If the action is terminated when a party believes that it should not have been terminated, that party may proceed under Ru1e230(d) for relief from the order of termination. An example of such an occuremce might be the termination of a viable action when [he aggrieved party did not receive [he notice of intent to terminate and thus did not timely file the notice of intention to proceed. The timing of the filing of the petition to reinstate the action is important. If the petition is filed within thirty days of the entry of [he order of termination on the docket, subdivision (d)(2) provides that the court must grant the petition and reinstate the action. If the petition is filed later than the thirty-day period, subdivision (d)(3) requires that the plaintiff must make a show in to the court that the petition was promptly filed and that there is a reasonable explanation or legitimate excuse both for the failure to file the notice of intention to proceed prior to the entry of the order of termination on the docket and for the failure [o file the petition within the thirty-day period under subdivision (d)(2). B. Where the action has not been terminated An action which has not been terminated but which continues upon the filing of a notice of intention to proceed may have been the subject of inordinate delay. Tn such an instance, the aggrieved party may pursue the remedy of a common law non pros which exits independently of termination under Rule 230.2. Office of the Prothonotary Cumberland County Curtis R. Long Prothonotary Case # 01-5925 02-2154 NOTICE OF PROPOSED TERMINATION OF COURT CASE To: GAIL GUIDA SOUDERS ESQ The court intends to terminate this case without further notice because the docket shows no activity in the case for at least two years. You may stop the court from terminating the case by filing a Statement of Intention to Proceed. The Statement of intention to Proceed should be filed with the Prothonotary of the Court at: CUMBERLAND COUNTY PROTHONOTARY ONE COURTHOUSE SQUARE CARLISLE, PA 17013 717-240-6195 on or before October 25.2005. Date IF YOU FAIL TO FILE THE REQUIRED STATEMENT OF INTENTION TO PROCEED, THE CASE WILL BE TERMINATED September 16, 2005 Date of [his Notice Ofd n ~ o r ~ -n _ u, r, is ~ N J f~~l.:~ t~ T = i ,; T .: . * ~'_1 . C . ; :e" N ~ ..S STEPHEN VS KIM ZIMMERMAN MAN IN THE COURT OF COMMlON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE Defendant NO. 01-5925 CIVIL TERM NOTICE If you wish to deny any of the statements set forth in this affidavit, you must file a counter-affidavit with in twenty days after this affidavit has been served on you or the statements will be admitted. AFFIDAVIT UNDER SECTION 3301 (d) OF THE DIVORCE CODE 1. The parties to this action separated on June 10, 1999 and have continued to live separate and apart for a period of at least two years. 2. The marriage of plaintiff and defendant is irretrievably broken. 3. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true aad correct. I understaad that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsvtorn falsification to authorities. DATE V.uJGIE} I'JSl-I ~ 2J°J~/~ S 3teplen Zimmerman _.~ ~.> ,., n __ .-~ _ - ;~.~-r ~. ~ ct .. STEPHEN ZIIVIMERMAN : IN THE COURT OF COMMON PLEAS PLAINTIFF CUMBERLANDCOUNTY,PENNSYLVAMA VS CIVII, ACTION -DIVORCE KIM ZIMMERMAN . nEFENDANT NO. 01-5925 CIVIL TERM CERTIFICATE OF SERVICE I hereby certify that on October 18, 2001, I served a copy of the Divorce Complaint upon Kim Zimmerman and in the manner indicated below, which service satisfies the requirements of Pennsylvania Rule of Civil Procedure. 403. Service by U.S. Certified Mail to: Gai Guida Souders, Esquire Guida Law Offices, P.C. 111 Locust Street Harrisburg, PA 17101 717-236-6440 Dated: August 18, 2006 a m b to tIECNANICSBUR G FA 170. ~ Postage $ ^'t tansies Fes S2.ll) Return RecelPt Fee (Enlorsemem Requhedl p1~51J O ReetriPled Delivery Fee slj, 111 1 O (EMoraement Required) , C row Posage 6 Peso $ 84.17 ~ l~e (P/e6se Print Clearly) (to be coml ~ Srrset Apt No.; a PO Box N¢ ~ Stib, ZIP+O ~ 4 ~, . KEy (f'1 Wv ~~~: d ^ CanPMM i11iIrLL 1, 2, end 3. AMo oompiske item 4 it Readicted Delivery is decked. ^ Pdnt your name and address on the reverse tw 7rt we can return the card to you. ^ Albdl this card to the back of the mailpiece, tr t>n the front Pf space permits. 1. Article Addressed re: m Z~mrnumct~ (D 3c~3 ~rzar~dy C~-ne rnee-S~.I,~y ~P~ ~~~ A. neoelw by pRera Pwlr ~M I ~®'e -~! C. Signatt X ~ '-`. O AtldresaN D. la delivery address dllteren fan item 19 O Yes R YES, ender delvey address belovr. 0'l~0 3. Service Type ~Certlfietl Mail ^ Express Mail ^ Registered ^ Retum Receipt fa Merchardles ^ Insured Mail ^ C.O.D. 4. Restricted Delivery9 (Exha Feel ^ Yes 2. Article HurnOer (Copy from service /abeQ '16Gtq ;3~-~~ 539 S 31 PSPS Fo~ 1, July 1986 Daneetic Rseen Receipt 102595-OO~M-0951 .- . , . '~ , ~., Y,4,, ,;_ r~ p.7 L-~. C.:. S C? ~ L ; -' C: is 1~ O .~ '` ~ ( ,... T _ STEPHEN ZIMMERMAN pLAINTIFF/RESPNODENT vs KIM ZIMMERMAN DEFENDANT/PETITIONER IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -CUSTODY NO. 01-5925 CIVIL TERM I, Gillian Woodward, Legal Intern, ou behalf of my client, Kim Zimmerman, accept service of the Notice of Intention to Request Entry of a Divorce Decree and Affidavit Under Section 3301 (d) of the Divorce Code I certify that I am authorized to do so. Date ~ ` Z ,~~b~Q G' 'an Woodward, Legal Intern Dickenson Family Law Clinic 45 North Pitt Street Carlisle, PA 17013 C7 rn p La vc-! fr,,.i - ~ ~ ret~ .~ ~ - n N 'r7Q . c N Jc ? K.-L.: ~.. . ~ , .~1 Yj T 7 . , ~ _ ~: _ m f .... Q r ~ STEPHEN ZIMMERMAN : IN THE COURT OF COMMON PLEAS PLAINTIFF :CUMBERLAND COUNTY, PENNSYLVANIA VS CIVIL ACTION -DIVORCE IQ1VI ZIMMERMAN DEFENDANT NO.Ol-5925 CIVIL TERM NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE TO KIM ZIMMERMAN, Defendant You have been sued in an action car divorce. You have failed t~ answer the complaint or file a counter affidavit to the plaintiff s affidavit. Therefore, on or after August 1, 2006, the plaintiff can request the court to enter a final decree in divorce. If you do not file with the Prothonotary of the court an answer with your signature notarized or verified or a counter affidavit by the above date, the court can enter a final decree in divorce. Unless you have already filed with the court a written claim for economic relief, you must do so by the above date or the court may grant the divorce and you will lose forever the right to ask for economic relief. A COUNTER AFFIDAVIT THAT YOU MAY FILE WITH THE PROTHONOTARY OF THE COURT I5 ATTACHED TO THIS NOTICE. UNLESS YOU HAVE ALREADY FILED WITH THE COURT A WRITTEN CLAIM FOR ECONOMIC RELIEF, YOU MUST DO SO BY THE ABOVE DATE OR THE COURT MAY GRANT THE DIVORCE AND YOU WILL LOSE FOREVER THE RIGHT TO ASK FOR ECONOMIC RELIEF. THE FILING OF THE FORM COUNTER-AFFIDAVIT ALONE DOES NOT PROTECT YOUR ECONOMIC CLAIMS. 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 LEGL HELP. CUMBERLAND COUNTY LAWYER REFERRAL SERVICE 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 (717) 249-3166 r _, f 1• 1 r . ti- STEPHEN ZIlI~IlVIERMAN IN THE COURT OF COMMON PLEAS eLAUVTiFF CUMBERLANDCOUNTY, PENNSYLVANIA VS CIVIL ACTION -DIVORCE KIM ZDI~IERMAN DEFENDANT NO.Ol-5925 CPi3II. TERM Counter-Affidavit under § 3301 fdl of the divorce code 1. Cl~k either (a) or (b): ~/ (a) I do not oppose the entry of a divorce decree. ^ (b) i oppose the entry of a divorce decree because (Check (i), (ii) or both): ^ (i) The parties to this action have not lived separate and apart for a period of at least two years. ^ (ii) The marriage is not irretrievably broken. 2. Check either (a) or (b): ^ (a) I do not wish to make any claims for economic relief. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. ^ (b) I wish to claim economic relief which may include alimony, division of property, lawyer's fees or expenses or other important rights. I understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth on the Notice of Intention To Request Divorce Decree, the divorce decree may be entered without further delay. I verify that the statements made in this affidavit aze true and correct. I understand that false statements herein aze made subject to the penalties of 18 Pa.C.S. § 4904 relating to unswom falsification to authorities. DATE ~-~~2j,IQ( _ T ~ Kim Zi erman NOTICE: IF YOU DO NOT WISH TO OPPOSE THE ENTRY OF A DIVORCE DECREE AND YOU DO NOT WISH TO MAKE ANY CLAIM FOR ECONOMIC RELIEF, YOU SHOULD NOT FILE THIS COUNTER-AFFIDAVIT. . ,z 't N O .~ O T ~ C~ ~ 'J7f :.. ~ ~ ~p yt . C~ [ ~ ! +T t~ ~ ~ ~..: ~ y -~ ~ • y t~ ~ /~. ~ •~ ~, ) ~' c: \ ~ m , N r- m -~ STEPHEN ZIMMERMAN, IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. :CIVIL ACTION IN DIVORCE KIM ZIMMERMAN, NO. S - 2001-5925 Defendant MARITAL SETTLEMENT AGREEMENT THIS AGREEMENT is made this 3E day of ~p , 2006, between Plaintiff, Stephen Zimmerman ("Husband"), and Defendant, Kim Zimmerman ("Wife"). WHEREAS, Husband and Wife desire to enter into an agreement as to all economic issues between the parties, except child support which is docketed at Zimmerman v. Zimmerman, Docket No. 01186-DR-OS, PAC5ES Case Number 022102256, and to have this agreement made an Order of Court; NOW, THEREFORE, Wife and Husband, each intending to be legally bound hereby, agree as follows: DIVORCE The parties have lived separate and apart since June of 1999. 2. Upon fulfillment of the provisions contained herein, both parties shall promptly file all necessary papers to finalize the divorce pursuant to Section 3301(c) or 3301(d) of 23 Pa. C.S. PERSONAL PROPERTY Upon signing this Agreement, Husband shall grant Ryan Zimmerman access to the marital residence at 15 Wayne Road, Camp Hill, Pennsylvania 17011, and shall allow Ryan Zimmerman to take the dresser which Wife believes to be located in the bedroom of the marital residence and deliver the dresser to Wife as her sole property. 4. Wife hereby assigns to Husband all of her rights in any other furniture, furnishings, rugs, household equipment and appliances, pictures, books, works of art, and any other items of tangible property of whatever nature which are presently located in the marital residence other than the dresser specified in Paragraph 3. These items shall constitute the sole property of Husband. REAL PROPERTY 5. The parties jointly own real estate, the marital residence, located at 15 Wayne Road, Camp Hill, Pennsylvania 17011. 6. The parties agree that Husband shall pay $20,000 to Wife in exchange for Wife releasing and renouncing any further legal or equitable interest in said real estate upon receipt of payment in full. Husband shall refinance and retitle said real estate in his own name. Husband shall assume sole responsibility for any mortgages and any other debt associated with said real estate upon refinancing and retitling it in his own name. The parties shall cooperate in executing any legal papers to allow Husband to refinance the real estate in his own name and retitle it in his own name. The parties agree that they shall fulfill al of th obli at' ns specified in this a ~,~+, 3m~ ps3~23~~~6 paragraph by no later than Iv~q-1, 2006. Time sha 1 be o the essence. RETIREMENT PLAN 7. Wife shall be entitled to one half of the fixed annuity of Husband's IBM Retirement Plan. Wife's counsel, the Famiiy Law Clinic, shall assume primary responsibility for drafting a Qualified Domestic Relations Order to submit to the court for its approval, and to submit to Husband's employer's pension plan administrator. 8. Wife shall bear sole responsibility for paying any costs or expenses that may be incurred in drafting, preparing, or filing said Qualified Domestic Relations Order. MEDICAL INSURANCE COVERAGE 9. Husband shall continue to provide medical coverage for Wife until the entry of the divorce decree. AIMONY, ALIMONY PENDENTE LITE, SPOUSAL SUPPORT 10. Husband and Wife do hereby waive, release, dischazge and give up any rights which either may have against the other to receive alimony, alimony pendent elite, spousal support, or other post-divorce maintenance or support. From the date of entry of the divorce decree, it shall be the sole responsibility of each party to sustain himself or herself without seeking support from the other, except this shall not affect child support which is docketed at Zimmerman v. Zimmerman, Docket No. 0118b-DR-OS, PACSES Case Number 022102256. REMEDIES 11. If either party breaches any provision of this agreement, the other party shall have the right, at his or her election, to sue for damages for such breach, and seek any other remedy allowed under Pennsylvania law. BINDING ON PARTIES AND OTHERS 12. This agreement shall be binding on the parties and their respective heirs, executors, administrators and assigns. INCORPORATION 13. The parties intend this agreement to be incorporated, but not merged, into the divorce decree. This agreement shall continue in full force and effect after such time as a final decree in divorce may be entered with respect to the parties. MODIFICATION TO BE IN WRITING 14. No modification or waiver of any of the terms hereof shall be valid unless in writing and signed by both parties. LAW OF PENNSYLVANIA APPLICABLE 15. This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. INTEGRATION 16. This Agreement constitutes the entire understanding of the parties and supersedes any and all prior agreements and negotiations between them. There are no representations or warranties other than those expressly set forth herein. NO WAIVER OF DEFAULT 17. This Agreement shall remain in full force and effect. The failure of either party to insist upon strict performance of any of the provisions of this Agreement shall in no way affect the right of such party thereafter to enforce the same, nor shall the waiver of any breach of any provision hereof be construed as a waiver of any subsequent default of the same or similar nature, nor shall it be construed as a waiver of strict performance of any other obligations herein. ADDRESSES OF PARTIES 18. As long as any obligations remain to be performed pursuant to the provisions of this Agreement, each party shall have the affirmative obligation to keep the other informed of his or her residence address, and shall promptly notify the other in writing of any change of address by giving the new residence address. 19. Each of the parties has carefully read and fully considered this Agreement and all of the statements, terms, conditions, and provisions thereof, and has consulted with counsel prior to signing below. j~msvvrr~^^- ,~ pp n.ni STEP EN ZIMMERMAN KIM ZI RMAN, Plaintiff Defendant ,~~ "Try GAIL GUIDA-SOUDERS, ESQ. Guida Law Offices, P.C. 111 Locust Street Harrisburg, PA 17101 (717)236-6440 Attorney for Plaintiff ROBE~~HE~-~"~ Certified Legal Intern G r ~~~ ROBERT E. RAINS THOMAS M. PLACE LUCYJOHNSTON-WALSH ANNE MACDONALD-FOX Supervising Attorneys FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 71?-243-2968 Attorneys for Defendant C> ~~ O C -n - -_-t ~ Cf i_ ~ N u: ~,-.: - ~,~~ .. c,:, { STEPHEN ZIMMERMAN Plaintiff V S. KIM ZIMMERMAN Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 01-5925 CIVIL TERM CIVIL ACTION -DIVORCE PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the Court for entry of a divorce decree: Grounds for divorce: irretrievable breakdown under Section Q 3301 c (X) 3301 d of the Divorce Code (Check applicable code) 2. Date and manner of service of the complaint: October 18, 2001 by Registered Mail. 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: Plaintiff-July 13, 2006, Defendant-July 25, 2006. (B) (1) Date of execution of the plaintiff s affidavit required by Section 3301 (d) of the Divorce Code: July 13, 2006 (2) Date of Sling and service of the plaintiff s affidavit upon the respondent filed: Filed plaintiff s affidavit on July 20, 2006; Related claims pending: settled by written agreement on: May 30, 2006 4. (Complete eith (A r (B).) (A) Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached: Service made to attorney on July 25, 2006 (B) (1) Date plaintiff s Waiver of Notice in § 3301 (c) Divorce was filed with the Prothonotary: (2) Date defendant's Waiver of Notice in § 3301 (c) Divorce was filed with the Prothonotary: .Attorney for (X) Pla tiff () ant STEPHEN ZIMMERMAN PLAINTIFF/RESPNODENT vs HIM ZIMMERMAN DEFENDANT/PETITIONER IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -CUSTODY NO. 01-5925 CIVIL TERM I, Gillian Woodward, Legal Intern, on behalf of my client, Kim Zimmerman, accept service of the Notice of Intention to Request Entry of a Divorce Decree and Affidavit Under Section 3301 (d) of the Divorce Code I certify that I am authorized to do so. Date ~~ Z~~~j~Q Gillian Woodward, Legal Intern " Dickenson Family Law Clinic 45 North Pitt Street Carlisle, PA 17013 t'-~ L: ? ~.> ~} >R i": --i N N ' , i~~ , •~ ` ' ~ :.dr_1 C.~ - ~ Ta t-, o __, -,. --+ T i,jr ro ~.,r. ~ ~~ ,, Jn%' `.. __ ,. ,. rv _7 C.:: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. ~, S`i'~~Tcf1 ZIMM~RMAN NO. 0~-5925 CIVIL TliRM VERSUS KIM ZIMM3iRMAN DECREE IN DIVORCE ~"Z-c ~ ~3.Sbp.,n . AND NOW, ,006 IT IS ORDERED AND DECREED THAT Stephen "IilmIDermin AND Klm Zim>~®rllQil ARE DIVORCED FROM THE BONDS OF MATRIMONY. PLAINTIFF, DEFENDANT, THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; ATTEST: J. PROTHONOTARY ~~a1~ %~~ L .~ °~~-,~ ~ ~ rte ~C r>~.,~,~, r~.~ 7 ' : f~PR 1 .; STEPHEN ZIMMERMAN, IN THE COURT OF COMMON PLEAS Plaintiff OF CUMBERLAND COUNTY, :PENNSYLVANIA v. :CIVIL ACTION -LAW DIVORCE EQUITABLE DISTRIBUTION KIM ZIMMERMAN, Defendant No. S-O1-5925 QUALIFIED DOMESTIC RELATIONS ORDER This Order is intended to serve as a Qualified Domestic Relations Order ("QDRO") by which a division and disposition of the Participant's benefit under the IBM Personal Pension Plan will be and is made according to the provision of sections 401(a)(13) and 414(p) of the Internal Revenue Code of 1986, as amended, ("IRC") and Section 206 of ERISA, as amended ("ERISA"). 1. Stephen Zimmerman is a participant in the IBM Personal Pension Plan (the "Plan"). Kim Ann Zimmerman is the former spouse of the participant and is the Alternate Payee as defined under IRC Section 414(p). 2. All notices and other communications by and to the Participant, the Alternate Payee and the Plan Administrator shall be mailed by first class mail, postage prepaid, to the following addresses: To Participant: Stephen Zimmerman 15 Wayne Road Camp Hill, PA 17011 Social Security Number: 187-44-9576 IBM Serial Number: 795854 Birth date: 10/17/1954 To Alternate Payee: Kim Ann Zimmerman 6303 Brandy Lane Mechanicsburg, PA 17050 Social Security Number: 184-48-8854 Birth date: 10116/1957 To Plan Administrator: IBM Personal Pension Plan C/O IBM QDRO Administration P.O. Box 24110 Jacksonville, FL 32241-4110 i Any of the parties may designate another address for the purpose of receiving notices and communications pursuant to this Order by giving written notice to the other parties at the addresses then currently in effect. 3. The allocation and disposition of the Participant's benefit under the Plan relates to a provision of the Pennsylvania Divorce Code, 23 Pa. Cons. Stat. §§ 3101 et seq., and is in accordance with 23 Pa. Cons. Stat. § 3502 of the Commonwealth of Pennsylvania. The interest allocated by this Order is the Participant's accrued Core benefit. 4. The Alternate Payee is awarded under the dividing method as the Alternate Payee's separate property an amount equal to 50% of the Participant's accrued Core benefit as of the date the Participant commences benefits. 5. The Plan is ordered to pay directly to the Alternate Payee, in full satisfaction of the Alternate Payee's interest in the Plan as awarded herein, a monthly benefit commencing no later than the date the Participant commences benefits and continuing for the life of the Alternate Payee. The Alternate Payee shall have the option to elect one of the forms of payment offered by the plan (with the exception of a joint and survivor annuity for a subsequent spouse) at the time of the Alternate payee's commencement. 6. The Alternate Payee shall share in any possible post-retirement plan improvements. ?. The Participant and Alternate Payee shall each be responsible for his or her own federal, state, and local income and other taxes attributable to any and all payments from the Plan which are received by the Participant and Alternate Payee, respectively. The Plan shall provide to Participant and Alternate Payee in accordance with its customary procedure such information as is normally provided to Participants in the Plan with respect to the taxation of distributions from the Plan. 8. This Court reserves jurisdiction over the parties and the Plan until such time as all obligations of the Plan to the Alternate Payee under this Order have been fully paid and discharged. 9. No provision of this Order shall be construed to require the Plan, the Plan Administrator, or any trustee or other fiduciary with respect to the Plan to take any action which is inconsistent with any provision of the Plan as now in effect or hereafter amended. 10. No provision in this Order shall be construed to require the Plan to (a) make any payment or take any action which is inconsistent with any federal law, rule, regulation or applicable judicial decision; (b) provide any type of form or benefit, or any option, which is not otherwise provided under the provision of the Plan and specifically authorized by this Order; (c) provide increased benefits (determined on the basis of actuarial value); or (d) pay benefits to any Alternate Payee which are required to be paid to another Alternate Payee under another order previously determined to be a Qualified Domestic Relations . ~ . • { Order. 11. The undertakings and obligations of the IBM Personal Pension Plan as set forth in this Order are solely those of the Plan. Neither IBM Corporation, any of its subsidiaries or affiliated corporations, nor any officer, employee or agent of any of the corporations (other then the Plan Administrator) shall be deemed to have made any. undertakings or incurred any obligations as a result of this Order. 12. Notwithstanding any other provision of this Order, in the event that the Participant, Alternate Payee or any other party claiming rights under this Order shall make any claim which the Plan Administrator shall determine to be inconsistent with the provisions of this Order or with any provision of the Retirement Equity Act of 1984, as amended, the Plan may forthwith cease making any further payments to any person whose rights under the Plan, in the sole judgment of the Plan Administrator, may be affected by such claim pending resolution of such claim or further order of this Court, and the Plan may also take such further action or actions as may be permitted by law with respect to such claim andlor this Order. r • 1 SO STIPULATED: Stephen M.Li~merman, Participant Kim A. Zimme man, Alternate Payee Date:. ~ 3 Z 3' 2~~ Date: o? -~ ~" -"~ 7 ~'7 : ~~ C Gail Guida Souders, Esq. sica D. Woodman-Hardy, Guida Law Offices, P.C. ertified Legal Intern 111 Locust Street ~n Harrisburg, PA 17101 " (717) 236-6440 ROBER INS Attorney for Plaintiff/ Participant THOMAS .PLACE LUCY JOHNSTON-WALSH ANNE MACDONALD-FOX MEGAN RIESMEYER KATE CRAMER-LAWRENCE Supervising Attorneys FAMILY LAW CLINIC 45 North Pitt Street Carlisle, PA 17013 (717)243-2968 Attorneys for Defendant/ Alternate Payee Date _~ ~ ~ ~~ ~= AND NOW, this ~ ~ day of /Z~ ~ , this Stipulation is hereby approved as an ORDER o this Court. The parties are directed to comply with all of the terms and conditions of the Stipulation. THE COURT: J. f~ ~~~ ~ ~ 2~ ,~r~ t l nt ~~ ,r^,h ~ t e~ STEPHEN ZIMMERMAN, IN THE COURT OF COMMON PLEAS Plaintiff OF CUMBERLAND COUNTY, :PENNSYLVANIA v. :CIVIL ACTION -LAW DIVORCE EQUITABLE DISTRIBUTION KIM ZIMMERMAN, Defendant No. S-Ol -5925 CERTIFICATE OF SERVICE I, Jessica D. Woodman-Hardy, Certified Legal Intern, Family Law Clinic, hereby certify that I served a true and correct copy of the Qualified Domestic Relations Order on Charles Buckner, IBM Personal Pension Plan Administrator at P.O. Box 24110, Jacksonville, FL 32241- 4110, by depositing a copy of the same in the United States mail, certified, restricted delivery, return receipt requested, postage prepaid. Service was complete upon receipt by Mr. Charles Buckner, on the 23`d day of April, 2007 as evidenced by the attached green card (reference number ?005 0390 0003 2632 5492.) y/a~/~~- ssica D. Woodman-Hardy Certified Legal Intern THOM ' M. PLACE L~~~ ~~ ROBERT E. RAINS ANNE MACDONALD-FOX MEGAN RIESMEYER Supervising Attorneys FAMILY LAW CLINIC Counsel for Defendant 45 North Pitt Street Carlisle, PA 17013 (717) 243-2968 Fax: (717) 243-3639 UNITED STATES POSTAL SERVICE Fitst-C~ss Mai postage & Fees Paid LISPS Permit No. G-10 • Sender: Ptease print your name, address, and ZIP+4 in this box • Fl~i/ ~L'.~.5 / CC.J ~UDG{rriall- /-lU rc9 y F!f 111 itliit }}Iiiiffi~i}~i}{1111}}Illii}tlfiil}tii ^ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ^ Print 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, or on the front if space permits. 1. Article Addressed to: / (3 /r1 Prs~na~ /~'tn.5/o!/ Plate C/o / g m Q DRO /-~dm,n;.s~ru~So~ ~ U ~5vx ~`~~~ ~ A. Signature X O Agent o Addre B. Received by ~.~at/~~~1 D. is delivery ~erdCfldrMlf`ein i'!~^ Yes If YES, enter delivery address below: ~ No 3. Servloe Type ~~,~vn V i l>~, `L ~certlfled Mall ^ E>tpn-as Mail 3aa'~l - `~~~ ~ ~ Registered .~Retum Receipt for Merchandise ^ Insured MaN ^ C.O.D. 4. Restricted Delivery? (Extra Fee) Yes 2• 7005 0390 ~f7d3 2632 5492 PS Form 3811, February 2004 Domestic Retum Receipt 102595-02-M-1540 ~? C'~ ~ ~; O 'rt =,-. -c~ ~~.. ~ m r r- -y .., : ~ rs~# ,~~. ~ ~~ ~;~ ±~' .z.. ~;;~' a~ --- -~ ,~,