HomeMy WebLinkAbout99-02263
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
SANDRA M. ZEIGLER,
Plaintiff
NO. 99-2263 CIVIL TERM
V.
CIVIL ACTION - LAW
IN DIVORCE
LARRY G. ZEIGLER
Defendant
PRAECIPE OF TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following information, to the
court for entry of a divorce decree:
1. Ground for divorce:
Irretrievable breakdown under Section 3301 (clof the Divorce Code.
2. Date and manner of service of the complaint:
A. Date: November 16, 1999
B. Manner: Certified Mail, Restricted Delivery
3. Date of execution of the affidavit of consent required by Section 3301
(c) of the Divorce Code:
a. Plaintiff: December 7, 2000
b. Defendant: November 20, 2000
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Date of execution of the Plaintiff's affidavit required by Section
3301{d) of the Divorce Code and date of service of the Plaintiff's 3301
(d) affidavit upon the Defendant:
a. Date of execution: n/a
b. Date of filing: n/a
c. Date of service: n/a
4. Related claims pending: No issues are pending. All issues have been
resolved pursuant to the Marriage Settlement Agreement between the
parties dated November 13, 2000 which Agreement is to be incorporated
into but not merged with the Divorce Decree.
5. Date and manner of service of the Notice of Intention to file Praecipe
to Transmit Record, a copy of which is attached, if the decree is to be
entered under Section 3301(dl (I) (i) of the Divorce Code:
a. Date of Service: n/a
b. Manner of Service: n/a
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Date Waiver of Notice in Section 3301 (c) Divorce was filed with the
prothonotary:
a. Plaintiff's Waiver: December 13,
b. Defendant's Waiver: November 3 ,
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SANDRA M. ZEIGLER,
Plaintiff
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: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNlY, PENNSYLVANIA
v.
: NO. qf - ;22.&.3
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LARRY G. ZEIGLER,
Defendant
: CIVIL ACTION
: IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HA VB BEEN SUED IN COURT. If you wish to defend against the claims set forth
in the following pages, you must take prompt action. You are warned that if you fail to do so, the
case may proceed without you and a decree of divorce or annulment may be entered against you by
the court. Ajudgment msy also be entered against you for any other claim or reliefrequested in these
papers by the plaintiff. You may lose money or property or other rights important to you, including
custody or visitation of your children.
When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you
may request marriage counseling. A list of marriage counselors is available in the Office of the
Prothonotary, Dauphin County Courthouse, Harrisburg, P A
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS
GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 Liberty Avenue
Carlisle, PA 17013
(71 7) 249-3166
1-800-990-9108
8. Plaintiff has been advised that counseling is available and that she may have the right to
request that the Court require the parties to participate in counseling.
COUNT.
DIVORCE: INDIGNITIES
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9. The Defendant, Larry G. Zeigler, has offered such indignities to Plaintiff, the innocent and
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injured spouse, so as to render her condition intolerable and life burdensome.
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WHEREFORE, Plaintiff requests this Court to enter a Decree of Divorce dissolving the
marriage between the parties pursuant to 23 Pa. C.S.A. ~3301(a)(6).
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COUNT II
DIVORCE: NO FAULT
10. The marriage is irretrievably broken; the parties separated June 9,1997.
Wherefore, Plaintiff requests this Court to enter a Decree of Divorce dissolving the marriage
between the parties pursuant to 23 Pa.C.SA ~3301(c) or 3301 (d)(I).
COUNT II
EOUlTABLE DISTRIBUTION OF MARITAL PROPERTY
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11. During the course of the marriage the parties have acquired various items of both real
and personal property which are subject to equitable distribution by this court.
WHEREFORE, Plaintiffprays this Court to equitably distribute the marital property pursuant
to 23 Pa. C.S.A. ~3S02.
COUNT IV
ALIMONY PENDENTE LITE. COUNSEL FEES. COSTS AND EXPENSES
12. Plaintiff is without sufficient funds to support herself and to pay counsel fees, and the
costs and expenses incidental to this divorce action.
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
SANDRA M. ZEIGLER,
Plaintiff
NO. 99-2263 CIVIL TERM
V.
LARRY G. ZEIGLER
Defendant
CIVIL ACTION - LAW
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301{c) of the Divorce
Code was filed on April 15, 1999.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of
filing and service of the Complaint.
3. I consent to the entry of a final Decree in Divorce after
service of notice of intention to request entry of the decree.
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. Section 4904 relating to
unsworn falsification to authorities.
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MILSPAW & BESHORE
ATIORNEYS AT LAW
130 STATE STREbT
P.O. BOX 946
HARRISBURG, PA 17108-0946
DAWN L. LlSI
717.236.Q181
FAX 717-2)6.07'J1
Imlllp.:.w@mblawnrm,com
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LUTHER E. MILSPAW,jIt.
MARVIN BESHORE
February 11,2000
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Curt Long, Prothonotary
Cumberland County Court House
1 Courthouse Square
Carlisle, P A 17013-3387
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In re: Zeigler v. Zeigler
99-2263 Civil Action
In Divorce
Dear Mr. Long:
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Enclosed is a Motion for Withdrawal of Appearance and Order for filing, along with a
copy of same. Please time and date stamp the copy and return it to our office in the enclosed,
stamped envelope.
Thank you for your attention to this request.
Very truly yours,
MILSP A W & BESHORE
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Elizabet . Gable
Legal Assistant to Luther E. Milspaw, Jr.
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LAW O"IC..
JOHN .. Mo\NCKI.
PO. ftlCHAftD WAONlEft
DAVID IE. HEft.HEY
WILLIAM T. TULLY
MANCKE, WAGNER, HERSHEY 8c TULLY
IUI NO"T" '''ONT .T"lU
"""""..U"G. PA 17110
AftlACOOl,717
234.70151
November 30, 1999
E. Robert Elicker, Esquire
9 North Hanover Street
Carlisle, PA 17013
Re: Zeigler v. Zeigler
No. 99-2263
Dear Mr. Elicker:
Enclosed herein please find the certification I signed regarding the above-
captioned matter. The parties have met and I believe we are satisfied that we are
aware of all the financial infonnation relevant to this matter, and therefore, I am not
aware of any discovery that is outstanding.
Your attention is appreciated.
Sinc.c:relY.'/
// 6:i' ~/
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P., charg agner
PRW/dks
Enclosure
cc: Luther E. Milspaw, Jr., Esq.
MR. MILSPAW AND MR. WAGNER, ATTORNEYS AT LAW
4 FEBRUARY 2000
PAGE 2
and, if necessary, schedule a hearing.
Very truly yours,
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E. Robert Elicker, II
Divorce Master
NOTE:
Sanctions for failure to file pretrial statements are set
forth in subdivision (cl 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.
SANDRA M. ZEIGLER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - LAW
LARRY G. ZEIGLER,
Defendant
NO. 99 - 2263 CIVIL
IN DIVORCE
NOTICE OF PRE-HEARING CONFERENCE
TO: Diane G. Radcliff
, Counsel for Plaintiff
P. Richard Wagner
, Counsel for Defendant
A pre-hearing conference has been scheduled at the
Office of the Divorce Master, 9 North Hanover Street,
Carlisle, Pennsylvania, on the 10th day of JUly, 2000, 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: 3/30/00
E. Robert Elicker, II
Divorce Master
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CUM3::F,U .:J COiJNTY
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SECTION I
GENERAL PROVISIONS
1.01.
INCORPORATION OF PREAMBLE
The recitals set forth in the Preamble of this Agreement are
incorporated herein and made a part hereof as if fully set forth in
the body of the Agreement.
1.02.
AGREEMENT NOT A BAR TO DIVORCE PROCEEDINGS
This Agreement shall not be considered to affect or bar the
right of Husband and Wife to an absolute divorce on lawful grounds
if such grounds now exist or shall hereafter exist or to such
defense as may be available to either party. This Agreement ia not
intended to condone and shall not be deemed to be condonation on
the part of either party hereto of any act or acts on the part of
the other party which have occasioned the disputes or unhappy
differences which have occurred or may occur subsequent to the date
hereof.
1. 03.
DIVORCE DECREE
The parties acknowledge that their marriage is irretrievably
broken and that they will secure a mutual consent no-fault divorce
decree in the above captioned divorce action. Upon the execution
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of this Agreement, or as soon as possible under the terms of said
Divorce Code if said documents can not be signed upon the execution
of this Agreement, the parties shall execute and file all documents
and papers, including affidavits of consent, necessary to finalize
said divorce.
If either party fails or refuses to finalize said
divorce or execute and file the documents necessary to finalize the
divorce, said failure or refusal shall be considered a material
breach of this Agreement and shall entitle the other party at his
or her option to terminate this Agreement.
1.04.
EFFECT OF DIVORCE DECREE
Unless otherwise specifically provided herein, 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.
1.05. AGREEMENT TO BE INCORPORATED IN DIVORCE DECREE
The terms of this Agreement shall be incorporated into any
Divorce Decree which may be entered with respect to them.
1.06.
NON-MERGER
This Agreement shall not merge with the Divorce Decree, but
rather, it shall continue to have independent contractual
significance and each party shall maintain their contractual
remedies as well as court remedies as the result of the aforesaid
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incorporation or as otherwise provided by law or statute.
1.07.
DATE OF EXECUTION
The "date of execution", "execution date" or "date of this
Agreement" shall be defined as the date of execution by the party
last executing this Agreement.
1.08.
DISTRIBUTION DATE
The transfer of property, funds and/or documents provided for
herein shall only take place on the "distribution date" which shall
be defined as the date of execution of this Agreement unless
otherwise specified herein.
1.09. ADVICE OF COUNSEL
The provisions of this Agreement and their legal effect have
been fully explained to the parties by their respective counsel, P.
Richard Wagner, Esquire, for Husband, and Diane G. Radcliff,
Esquire, for Wife. The parties acknowledge that they have received
independent legal advice from counsel of their selection and that
they fully understand the facts and have been fully informed as to
their legal rights and obligations. They acknowledge and accept
that this Agreement is, under the circumstances, fair and equitable
and that it is being entered into freely and voluntarily after
having received such advice and with such knowledge, and that
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execution of this Agreement is not the result of any duress or
undue influence and that it is not the result of any collusion or
improper or illegal agreement or agreements.
1.10.
FINANCIAL DISCLOSURE
The parties confirm that each has relied on the substantial
accuracy of the financial disclosure of the other, as an inducement
to the execution of this Agreement and each party acknowledges that
there has been a full and fair disclosure of the parties' marital
assets and debts and the parties' respective incomes, which has
been provided to each party. The parties further acknowledge that
the financial disclosure has included the disclosure of the marital
assets and debts set forth on the "Marital Distribution Sheet",
attached hereto, marked Exhibit "A" and made a part hereof, and
that it is the parties' intent to distribute those assets and debts
in accordance with the distribution set forth therein.
1.11.
DISCLOSURE AND WAIVER OF PROCEDURAL RIGHTS
Each party understands that he or she has the right to obtain
from the other party a complete inventory or list of all of the
property that either or both parties own at this time oT. owned as
of the date of separation, and that each party has the right to
have all such property valued by means of appraisals or otherwise.
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Both parties understand that they have the right to have a court
hold hearings and make decisions on the matters covered by this
Agreement.
Both parties understand that a court decision
concerning the parties' respective rights and obligations might be
different from the provisions of this Agreement.
Each party hereby acknowledges that this Agreement is fair and
equitable, that it adequately provides for his or her needs and is
in his or her best interests, and that the Agreement is not the
result of any fraud, duress, or undue influence exercised by either
party upon the other or by any other person or persons upon either
party.
Given said understanding and acknowledgment, both parties
hereby waive the following procedural rights:
a. Inventory: The right to obtain an inventory of all marital
and separate property as defined by the Pennsylvania Divorce
Code.
b. Income and Expense Statement: The right to obtain an income
and expense statement of the other party as provided by the
Pennsylvania Divorce Code, except in instances where such an
income and expense statement is hereafter required to be filed
in any child support action or any other proceedings pursuant
to an order of court.
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c. Discovery: The right to have any discovery as may be
permitted by the Rules of Civil Procedure, except discovery
arising out of a breach of this Agreement, out of any child
support action, or out of any other proceedings in which
discovery is specifically ordered by the court.
d. Determination of Marital and Non-Marital prooerty: The right
to have the court determine which property is marital and
which is non-marital, and equitably distribute between the
parties that property which the court determines to be
marital.
e. Other Riohts and Remedies: The right to have the court decide
any other rights, remedies, privileges, or obligations covered
by this Agreement, including, but not limited to, possible
claims for divorce, Spousal support, alimony, alimony pendente
lite (temporary alimony), counsel fees, costs and expenses.
J. . J.2 .
BANKRUPTCY
The parties hereby agree that the provisions of this Agreement
shall not be dischargeable in bankruptcy and expressly agree to
reaffirm any and all obligations contained herein. In the event a
party files such bankruptcy and pursuant thereto obtains a
discharge of any obligations assumed hereunder, the other party
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shall have the right to declare this Agreement to be null and void
and to terminate this Agreement in which event the division of the
parties' marital assets and all other rights determined by this
Agreement shall be subject to court determination the same as if
this Agreement had never been entered into.
1.13.
SOCIAL SECURITY BENEFITS
The parties agree that, subject to the rules and regulations
of the Social Security Administration, each of the parties shall
continue to be eligible for Social Security benefits to which he or
she would ordinarily be qualified as a party to a divorce after a
marriage of ten (10) years or more in duration, if the parties'
marriage is determined to be of ten (10) or more years in duration.
1.14.
PERSONAL RIGHTS
Husband and Wife may and shall, at all times hereafter, live
separate and apart.
They shall be free from any control,
restraint, interference or authority, direct or indirect, by the
other in all respects as fully as if they were unmarried. They may
reside at such place or places as they may select. Each may, for
his or her separate use or benefit, conduct, carry on and engage in
any business, occupation, profession or employment which to him or
her may seem advisable. Husband and Wife shall not molest, harass,
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disturb or malign each other or the respective families of each
other nor compel or attempt to compel the other to cohabit or dwell
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by any means or in any manner whatsoever with him or her.
1.15.
MUTUAL RELEASES
Except as other wise expressly provided in this Agreement,
Husband and Wife each do hereby mutually remise, release, quitclaim
and forever discharge the other and the estate of such other, for
all time to come, and for all pUrposes whatsoever, of and from the
following:
a. Claims Aoainst Prooertv or Estate: Any and all right, title,
interest and/or claims in or against the other party, the
property (including income and gain from property hereafter
accruing) of the other or against the estate of such other, of
whatever nature and wheresoever situate, which he or she now
has or at any time hereafter may have against such other
party, the estate of such other party or the property of the
other party or any part thereof, whether arising out of any
former acts, contracts, engagements or liabilities of such
other.
b. Dower. Curtsev. Widows Riahts: Any and all rights and claims
of dower or curtsey, or claims in the nature of dower or
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curtsey or widow's or widower's rights, family exemption or
similar allowance, or under the intestate laws, or the right
to take against the spouse's will;
c. Life Time Conveyances: The right to treat a lifetime
conveyance by the other as testamentary, or all other rights
of a surviving spouse to participate in a deceased spouse's
estate, whether arising under the laws of (I) the Commonwealth
of Pennsylvania, (ii) State, Commonwealth or Territory of the
United States, or (iii) any other country;
d. Marital Riahts: Any rights which either party may have or at
any time hereafter have for past, present or future support or
maintenance, alimony, alimony pendente lite, counsel fees,
equitable distribution, costs or expenses, whether arising as
a result of the marital relation or otherwise.
e. Breach Exce~tion: The foregoing shall not apply to all rights
and agreements and obligations of whatsoever nature arising or
which may arise under this Agreement or for the breach of any
provision thereof. It is the intention of Husband and Wife to
give to each other by the execution of this Agreement a full,
complete and general release with respect to any and all
property of any kind or nature, real, personal or mixed, which
the other now owns or may hereafter acquire, except and only
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except, all rights and agreements and obligations of
whatsoever nature arising or which may arise under this
Agreement or for the breach of any provisions thereof.
1.16.
WAIVER OR MODIFICATION TO BE IN WRITING
No modification or waiver of any of the terms hereof shall be
valid unless in writing and signed by both parties and no waiver of
any breach hereof or default hereunder shall be deemed a waiver of
any subsequent default of the same or similar nature.
1.17.
MUTUAL COOPERATION
Each party shall, at any time and from time to time hereafter,
take any and all steps and execute, acknowledge and deliver to the
other party, any and all further instruments and/or document that
the other party may reasonably require for the purpose of giving
full force and effect to the provisions of this Agreement.
1.18.
AGREEMENT BINDING ON HEIRS
This Agreement shall be binding and shall inure to the benefit
of the parties hereto and their respective heirs, executors,
administrators, successors and assigns.
1.19.
INTEGRATION
This Agreement constitutes the entire understanding of the
parties and supersedes any and all prior agreements and
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negotiations between them.
There are no representations or
warranties other than those expressly set forth herein.
1.20.
OTHER DOCUMENTATION
Wife and Husband covenant and agree that they will forthwith
(and within at least twenty (20) days after demand therefor),
execute any and all written instruments, assignments, releases,
satisfactions, deeds, notes, stock certificates, or such other
writings as may be necessary or desirable for the proper
effectuation of this Agreement, and/or as their respective counsel
shall mutually agree, should be so executed in order to carry out
fully and effectively the terms of this Agreement.
1.21.
NO WAIVER OF DEFAULT
This Agreement shall remain in full force and effect unless
and until terminated under and pursuant to the terms of this
Agreement. 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 hereafter to enforce the same,
nor shall the 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.
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1.22.
BREACH
If for any reason either Husband or Wife fails to perform his
or her obligations owed to or for the benefit of the other party
and/or otherwise breaches the terms of this Agreement, then the
other party shall have the following rights and remedies, all of
which shall be deemed to be cumulative and not in the alternative,
unless said cumulative effect would have an inconsistent result or
would result in a windfall of the other party:
a. Soecific Performance: The right to specific performance of
the terms of this Agreement, in which event the non-breaching
party shall be reimbursed for all reasonable attorney's fees
and costs incurred as the result of said breach and in
bringing the action for specific performance.
b. Damaoes: The right to damages arising out of breach of the
terms of this Agreement, which damages shall include
reimbursement of all attorney's fees and costs incurred as the
result of the breach and in bringing the damage action.
c. Divorce Code Remedies: The right to all remedies set forth in
Section 3502 (e) of the Pennsylvania Divorce Code, 23 PA.
C.S.A. 3502{e), and any additional rights and remedies that
may hereafter be enacted by virtue of the amendment of said
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statute or replacement thereof by any other similar laws.
d. Other Remedies: Any other remedies provided for in law or in
equity.
1.23.
LAW OF PENNSYLVANIA APPLICABLE
This Agreement shall be construed in accordance with the laws
of the Commonwealth of Pennsylvania.
1.24.
SEVERABILITY
If any term, condition, clause or provision of this Agreement
shall be determined or declared to be void or invalid in law or
otherwise, then only that term, condition clause or provision shall
be stricken from this Agreement and in all other respects this
Agreement shall remain valid and continue in full force, effect and
operation. Likewise, the failure of either party to meet his or
her obligations under this Agreement under anyone or more of the
paragraphs hereunder, with the exception of the satisfaction of a
condition precedent, shall in no way avoid or alter the remaining
obligations of the parties.
1.25.
HEADINGS NOT PART OF AGREEMENT
Any headings preceding the text of the several paragraphs and
subparagraphs hereof, are inserted solely for convenience of
reference and shall not constitute a part of this Agreement nor
- 15 -
shall they affect its meaning, construction or effect.
1.26.
INCOME TAX MATTERS
With respect to income tax matters regarding the parties the
following shall apply:
a.
Prior Returns:
The parties have heretofore filed joint
federal and state returns. Both parties agree that in the
event any deficiency in federal, state or local income tax is
proposed, or any assessment of any such tax is made against
either of them, each will indemnify and hold harmless the
other from and against any loss or liability for any such tax
deficiency or assessment therewith.
Such tax, interest,
penalty or expense shall be paid solely and entirely by the
individual who is finally determined to be the cause of the
misrepresentations or failure to disclose the nature and
extent of his or her separate income on the aforesaid joint
returns.
b. Current Returns: The parties shall file individual Federal and
State Income tax returns for the calendar year 2000.
1.27.
PRESERVATION OF RECORDS
Each party will keep and preserve for a period of four (4)
years from the date of their divorce all financial records relating
- 16-
SECTION II
PROPERTY DISTRIBUTION PROVISIONS
2.01.
FINAL EOUITABLE DISTRIBUTION OF PROPERTY
The parties agree that the division of all property and debts
set forth in this Agreement is equitable and in the event an action
in divorce has been or is hereafter commenced, both parties waive
and relinquish the right to divide and distribute their assets and
debts in any manner not consistent with the terms set forth herein
and further waive and relinquish the right to have the court
equitably divide and distribute their marital assets and debts. It
is further the intent, understanding and agreement of the parties
that this Agreement is a full, final, complete and equitable
property division.
2.02. AFTER-ACOUIRED PROPERTY
Each of the parties shall hereafter own and enjoy,
independently of any claim or right of the other, all property,
tangible or intangible, real, personal or mixed, acquired by him or
her, since June 1997, the date of the parties' marital separation,
with full power in him or her to dispose of the same as fully and
effectively, in all respects and for all purposes, as though he or
-18 -
she were unmarried and each party hereby waives, releases,
renounces and forever abandons any right, title, interest and claim
in and to said after acquired property of the other party pursuant
to the terms of this Paragraph.
2.03.
WAIVER OF INHERITANCE
Each of the parties hereto does specifically waive, release,
renounce and forever abandon any right, title, interest and claim,
if any, either party may have in and to any inheritance of any kind
or nature whatsoever previously, or in the future, received by the
other party.
2.04.
PERSONAL PROPERTY
With respect to the tangible personal property of the parties
including, but without limitation with specific reference to,
jewelry, clothes, furniture, furnishings, rugs, carpets, household
equipment and appliances, tools, pictures, books, works of art and
other personal property ("the Personal Property"), the parties
agree as follows:
a. Division: Husband and Wife do hereby acknowledge that they
have previously divided the Personal Property. Hereafter Wife
agrees that all of the Personal Property in the possession of
Husband shall be the sole and separate property of Husband;
- 19-
and Husband agrees that all of the Personal Property in the
possession of Wife shall be the sole and separate property of
Wife.
b. Waiver: The parties do hereby specifically waive, release,
renounce and forever abandon whatever claims, if any, he or
she may have with respect to the Personal Property which shall
become the sole and separate property of the other.
2.05.
VEHICLES, BOATS AND THE LIKE
With respect to the vehicles, boats, snowmobiles, motorcycles
and the like owned by one or both of the parties, or the trade in
value thereof, identified and valued on Exhibit "A", incorporated
by reference hereto, ("the Vehicles") if the Vehicles have been
sold or traded in prior to the date of this Agreement, the parties
agree as follows:
a. Wife's Vehicles: The 1991 Honda shall be the sole and separate
property of Wife.
b. Husband's Vehicles: The 1995 Accura and the 1994 Regal Boat
shall be the sole and separate property of Husband.
c.
Identification:
Identification of a Vehicle herein shall
include not only the Vehicle, but also the sale or trade-in
value thereof if it had been sold or traded in prior to the
- 20-
date of this Agreement.
d.
Transfer of Titles:
The titles to the Vehicles shall be
executed by the parties, if appropriate, for effectuating
transfer as herein provided on the date of execution of this
Agreement and said executed titles shall be delivered to the
proper party on the distribution date.
e. Title and Power of Attornev: For purposes of this Paragraph
the term "title" shall be deemed to include "power of
attorney" if the title to the Vehicle is unavailable due to
financing arrangements or otherwise.
f.
Liens:
In the event any Vehicle is subj ect to a lien or
encumbrance the party receiving the Vehicle as his or her
property shall take it subject to said lien and/or encumbrance
and shall be solely responsible therefor and said party
further agrees to indemnify, protect and save the other party
harmless from said lien or encumbrance.
g. Waiver: Each of the parties hereto does specifically waive,
release, renounce and forever abandon whatever right, title
and interest they may have in the Vehicles that shall become
the sole and separate property of the other party pursuant to
the terms of this Paragraph.
- 21 -
2.06.
REAL ESTATE
The parties are the owners of a certain tract of improved real
estate known and numbered as 1702 Locust Street, New Cumberland, PA
("the Real Estate") having an approximate value of $80,000.00 and
which is encumbered with a mortgage having an approximate balance
of $50,000.00 ("the Mortgage"). With respect to the Real Estate and
the Mortgage the parties agree as follows:
a. Convevance: Husband shall make, execute and deliver all
documents in the usual form conveying, transferring and
granting to Wife all of his right, title and interest in and
to the Real Estate, and Husband agrees that he specifically
wai ves, releases, renounces and forever abandons all his
right, title and interest therein. The deed of conveyance
therefor shall be executed by Husband on the Date of this
Agreement And delivered to Wife for recordation on that date.
b. Liens and Encumbrances: The said conveyance shall be subject
to all liens and encumbrances including, but not limited to,
the lien of the Mortgage and further shall be under and
subject to any covenants and restrictions of record. Wife
shall hereinafter be solely responsible for the payment of the
Mortgage and shall indemnify, protect and save Husband
~
- 22 -
harmless therefrom.
2.07.
RETIREMENT AND PENSION PLANS
With respect to any Pension Plan, Retirement Plan, IRA
Account, Profit Sharing Plan, 401-K Plan, Keogh Plan, Stock Plan,
Tax Deferred Savings Plan, any employee benefit plan and/or other
retirement type plans of the other party, whether acquired through
said party's employment or otherwise, identified and valued on
Exhibit "A", incorporated by reference hereto, ("the Retirement
Plans"), the parties agree as follows:
a. W~ivpr: Hereafter the Retirement Plans shall become the sole
and separate property of the party in whose name or through
whose employment said plan or account is held or carried and
each of the parties does hereby waive any and all right,
title, interest and claim in and to the Retirement Plans of
the other party except as specifically hereafter provided in
this Section.
b. F.x~pptinn tn W~;vpr: The foregoing notwithstanding, and as set
forth on Exhibit "A" attached hereto and made a part hereof,
Wife shall be entitled to receive as her sole and separate
property the amount of $200.00 per month of Husband's Police
Retirement Plan, together with any and all cost of living
- 23-
adjustments hereafter arising, to be paid to her effective
the date of the entry of the divorce decree and pursuant to a
Qualified Domestic Relations Order to be entered in the above
captioned divorce action. Pending approval of the QDRO by the
Plan Administrator and commencement of payments to Wife by
that Administrator, Husband shall make the payments directly
to Wife. It is further acknowledged and agreed that
Husband's Police pension is being paid and shall continue to
be paid in the form of a joint survivor's annuity thereby
entitling Wife to payment of a specified sum or portion of
husband's retirement upon his death in accordance with the
terms of the Plan and the election. The QDRO shall also
contain provisions requiring to continuation of the joint
survivor's annuity election and the specifying of Wife as the
surviving spouse for purposes of that election.
c. T~x"''' llpnn Withdraw,,': If either party withdraws any sums
from the Retirement Plans distributed to him or her pursuant
to the terms of this Section, that party shall be solely
liable for any and all taxes and penalties resulting from that
withdrawal.
- 24-
2.08.
BANK ACCOUNTS/STOCK/LIFE INSURANCE
The parties acknowledge and agree that they have previously
divided to their mutual satisfaction all of their bank accounts,
certificates of deposit, bonds, shares of stock, investment plans
and life insurance cash value, identified and valued on Exhibit
"Au, incorporated by reference hereto, ("the Accounts"). Hereafter
Wife agrees that all the Accounts held in the name of Husband shall
become the sole and separate property of Husband; and Husband
agrees that all the Accounts held in the name of Wife shall become
the sole and separate property of Wife. Each of the parties does
specifically waive, release, renounce and forever abandon whatever
right, title, interest or claim, he or she may have in the Accounts
that are to become the sole and separate property of the other
pursuant to the terms hereof.
2.09.
TAX PROVISIONS
The parties believe and agree that the division of property
made to be made pursuant to the terms of this Agreement is a non-
taxable division of property between co-owners rather than a
taxable sale or exchange of such property. Each party promises not
to take any position with respect to the adjusted basis of the
property assigned to him or her or with respect to any other issue
which is inconsistent with the terms of this Paragraph on his or
- 25-
her applicable federal or state income tax returns.
2.10.
WIFE'S DEBTS
Wife represents and warrants to Husband that since the
.
t
parties' marital separation she has not contracted or incurred any
debt or liability for which Husband or his estate might be
responsible. Wife further represents and warrants to Husband that
she will not contract or incur any debt or liability after the
execution of this Agreement for which Husband or his estate might
be responsible. Wife shall indemnify and save Husband harmless
from any and all claims or demands made against him by reason of
debts or obligations incurred by her.
2.11.
HUSBAND'S DEBTS
Husband represents and warrants to Wife that since the
parties' marital separation he has not contracted or incurred any
debt or liability for which Wife or her estate might be
responsible. Husband further represents and warrants to Wife that
he will not contract or incur any debt or liability after the
execution of this Agreement for which Wife or her estate might be
responsible. Husband shall indemnify and save Wife harmless from
any and all claims or demands made against her by reason of debts
or obligations incurred by him.
2.12.
MARITAL DEBT
- 26-
During the course of the marriage, Husband and Wife have
incurred certain bills and obligations and have amassed a variety
of debts, identified and valued on Exhibit "A", incorporated by
reference hereto ("the Marital Debts"), and it is hereby agreed,
without ascertaining for what purpose and to whose use each of the
Marital Debts were incurred, the parties agree as follows:
a. Wi fR' Fl nRhtFl: Wife shall be solely responsible for the
following bills and debts:
1. Any and all debts listed under the column designated as
"Value to Wife" on the attached Exhibit "A";
2. Any and all taxes resulting from her withdrawal of funds
from her Retirement Plans set forth in Paragraph 2.07
herein;
3. Any and all other debts, liabilities, obligations, loans,
credit card accounts, and the like incurred in Wife's
sole name, and not otherwise provided for herein.
b. HlI",band'Fl nl"htFl: Husband shall be solely responsible for the
following bills and debts:
1. Any and all debts listed under the column designated as
"Value to Husband" on the attached Exhibit "A";
2. Any and all taxes resulting from his withdrawal of funds
from his Retirement Plans set forth in Paragraph 2.07
herein;
- 27-
3. Any and all other debts, liabilities, obligations, loans,
credit card accounts, and the like incurred in Husband's
sole name and not otherwise provided for herein.
c. Ind~mnifi~~tion: Each party agrees to hold the other harmless
from any and all liability which may arise from the aforesaid
bills which pursuant to the terms herein are not the
responsibility of the other party.
d. C~n~~ll~tion of Joint nphtR: Any joint debt shall be canceled
so that neither party can make any further charges thereunder,
and if said charges are made in violation of this Agreement,
then the party incurring said charge shall immediately repay
the same.
e. Non-niR~loR~d r,iahility: Any liability not disclosed in this
Agreement shall be the sole responsibility of the party who
has incurred or may hereafter incur it, and the party
incurring or having incurred said debt shall pay it as it
becomes due and payable.
f. No FlIrth~r Joint n~ht: From the date of this Agreement, each
party shall only use those credit card accounts or incur such
further obligations for which that party is individually and
solely liable and the parties shall cooperate in closing any
remaining accounts which provide for joint liability.
g. R~finan~~: In the event a party is assuming a liability for
-28-
3.03.
HEALTH INSURANCE
The following shall apply regarding health insurance on the
parties:
a. H..alth Tn,,"ranc.. for 1':pnll"": Any party carrying health
insurance on the other party shall continue to provide health
insurance coverage on the other party until the date of the
entry of the divorce decree. The party for whom that health
insurance is provided shall be entitled to elect Cobra
coverage under the other party's employment policy in
accordance with federal rules and regulations provided that he
or she shall be solely be responsible for the payment of the
costs therefor.
b. Heal th Tn,,"ranc.. fJoctlmentat;nn: Any party having the
insurance coverage on the other party shall be required to
provide the other party with all documentation pertaining to
the insurance including, but not limited to, medical insurance
cards, benefit booklets, claim submission forms and all
statements pertaining to the determination of insurance
coverage as to each claim made thereunder.
THIS SPACE INTENTIONALLY LEFT BLANK
- 31 -
ITEM DESCRIPTION OF PROPERTY VALUE VALUE TO VALUE TO
NO. OR LIABILITY Husband Wife
l. REAL ESTATE AND MORTGAGES
1702 Locust Street 80,000.00
New Cumberland, PA
Mtg on Locust Street lso.ooo eei
a Net Equity for Locust 30,000.00 30,000.00
Street
LIENS . . . '. .' . .
2. MOTOR. VEHICLES AND " . .,. .
a.l Husband's 1995 Accura 11,800.00 11,800.00
a.2 WSFTCU Loan for Husband's (3,lOO.00) (3,lOO.00)
Vehicle @342.00 per mo.
b.l 1994 Regal Boat 32,000.00 32,000.00
b.2 Loan For Regal Boat (22, 500.00) (22,500.00)
c Wife's 1991 Honda 7,000.00 7,000.00
(Insurance Value)
3. CHECKING ACCOUNTS AND ....... ....
.. . .
. .:i t ',".' ,.,. ,',,' . , ..: . . . ',','
CASH'.: .. , . . .. .' .. .' .:; " ,'.".,;
,
a Husband's PNC Checking 400.00 400.00
b Wife's Mellon Checking 188.66 188.66
I.. .. . ...' ...'..... .'. . ~. .1 -cc . "," . :-:- ...
" 4. ~.lW;r~GS.Ac:c:OUNTS, .MONEY
AAR~T?ANDSAVINGS .' . .- ..
.. .' :'.
CERTIFICATES . I. .' .,
.' .: .. . '.. .' .. . .
a Wife's Member's lB' 428.56 428.56
Savings Account
b WSFTCU Savings Account Unknown Entire Value
- 34-
ITEM DESCRIPTION OF PROPERTY VALUE VALUE TO VALUE TO
NO. OR LIABILITY Husband Wife
5. LIFE INSURANCE POLICIES
a Wife's IDS (American Unknown Entire Value
Express) Life Policy
6. PENSION PLANS
a Wife's Blue Cross Pension 40,637.00 40,637.00
Plan
4/3/00 present value is
b Husband's New Cumberland 1861.89/mo 1661.89/mo 200.00/mo
Police Department Pension
"',,,<, ." . '.'
.7. H()l]SElIOLDGOODS .AND .'
'., . FuRNISHINGS. .'
," .
a Wife's Household Goods 5,465.00 5,465.00
B.. . CREDl;ir cARos . '.' .' ....
a MasterCard (10,500.00) (10,500.00)
b Sears 54-8413151048-0 (2,889.64) (2,889.64)
5/25/97
c Discover (1,950.00) (l,950.00)
d Member's 1" Visa (3,604.75) (3,604.75)
4121-4499-9844-9032
6/97
e Corestates Premium Acct. (70.00) (70.00)
01-4902249-3
7/7/97
f Express (252.19) (252.19)
336-766-969
7/6/97
g Limited gold Card (346.11) (346.11)
203-065-347
7/30/97
h Optima True Grace Card (36.53) (36.53)
- 35 -
ITEM DESCRIPTION OF PROPERTY VALUE VALUE TO VALUE TO
NO. OR LIABILITY Husband Wife
3730-292073-61005
6/12/97
i American Express (64.15) (64.15)
3720-364605-21002
6/17/97
j Boscovs (124.83) (124.83)
100698161
6/24/97
k Optima (1,347.73) (1,347.73)
3737-353356-21009
6/21/97
- 36-
....,',...'.,.,~...'-".
SANDRA M. ZEIGLER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
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: NO. 99-2263
: CIVIL ACTION
LARRY G. ZEIGLER,
Defendant
: IN DIVORCE
'.
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.
PETITION FOR WITHDRAWAL OF APPEARANCE
AND NOW comes Luther E. Milspaw, Jr., Esquire, and petitions for an Order permitting
his withdrawal as attorney for Sandra M. Zeigler and in support thereof states the following:
I. LutherE. Milspaw, Jr., Esquire is the attorney of record for SandraM. Zeigler in
the above referenced divorce action.
2. Sandra M. Zeigler has discharged Luther E. Milspaw, Jr. as counsel of record and
requested that he withdraw his appearance on her behalf.
3. Despite being advised to do so, Sandra M. Zeigler has not yet obtained counsel
who has been willing to enter an appearance, although Mr. Milspaw has received correspondence
from an attorney indicating that she was now representing Sandra M. Zeigler. A copy of that
correspondence is attached hereto as Exhibit A. Mr. Milspaw has responded to that letter by a
letter dated January 4,2000, attached hereto as Exhibit B.
,.
,
,
SANDRA M. ZEIGLER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
.
,
'/"
v.
: NO. 99-2263
LARRY G. ZEIGLER,
Defendant
.
.
: CIVIL ACTION
.
.
: IN DIVORCE
CERTIFICATE OF SERVICE
AND NOW, this II th day of February, 2000,1, Elizabeth M. Gable, Legal Assistant to Luther
E. Milspaw, Jr., Esquire, hereby certify that I this day served the foregoing Withdrawal of Appearance,
by depositing the same in the U.S. mail, postage pre-paid, at Harrisburg, Pennsylvania addressed as
follows:
Sandra Zeigler
100-E South First Street
Lemoyne, P A 17043
P. Richard Wagner, Esquire
Mancke, Wagner, Hershey & Tully
2233 North Front Street
Harrisburg, P A 1711 0
E. Robert Elicker, Esquire
9 North Hanover Street
Carlisle, P A 17013
Diane G. Radcliff, Esquire
3448 Trindle Road
Camp Hill,PA 17011
MILSPA W & BESHORE
Date: February 11, 2000
BY: rj,~ h1.A~
Eliz eth M. Gable
Exhibit A
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DIANE G. RADCLIFF
3448 Trindle Road
Camp Hill, Pennsylvania 17011
Telephone (717) 737-0100
Voice Mail (717) 558-5518
Fax (717) 975-0697
December 20, 1999
P. Richard Wagner, Esquire
2233 North Front Street
Harrisburg, PA 17110
Re: Sandra Zeigler v. Larry Zeigler
Dear Rich:
I have recently met with Sandra Zeigler who has decided to
retain me to represent her in her domestic case. I would
appreciate it if all future communication on this case be directed
to this office.
I have advised Attorney Milspaw this date of this change in
representation. As soon as I receive his file, I will contact you
regarding any additional information I may need to evaluate this
case. In the interim, should you have any questions or comments
pertaining to this letter, do not hesitate to contact me.
Very truly
\
DGR/dr
Transmission by fax and mail
cc: Sandra Zeigler
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Husband's income from his part-time job with the Cumberland County
Sheriff's Department grosses him approximately $1,400.00 per month, with an
approximate net income of $950.00 per month. Husband also has a pension through
his fonner place of employment for which he receives $1,267.78 per month.
Husband currently rents a property along with his girlfriend.
II. ASSET~:
The following are the primary assets of the marriage:
Asset ValQt Lien
A. The marital home situate at:
1702 Locust Street
New Cumberland, P A 17070 $90,000.00 $50,000.00
B. 1999 Acura Integra $11,800.00 $ 3,100.00
Husband's vehicle
C. 1996 Mercwy Unknown Unknown
Wife's vehicle
D. 1989 Regal Commador Boat $28,000.00 $22,500.00
E. Household furnishings $ 2,000.00 None
'.
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AIm YIhIf .Ym
F. Stereo Equipment, TV
and Computer $ 750.00 -0-
G. Appliances - washer,
dryer and refrigemtor $ 600.00 -0-
H. Hot tub $ 1,500.00 -0-
I. Exercise Equipment $ 215.00 -0-
J. Antique Desk of Husband Unknown -o-
K. Lawn Equipment $ 400.00 -0-
In Wife's possession
L. Checking Account of Husband $ 400.00 -0-
PNCBank
M. Husband's Retirement through
New Cumberland - 20% of
which is non-marital $
N. Wife's Retirement through
Capital Blue Cross and
American Express Financial
Advisors $
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III. MARITAL DEBTS:
In addition to the aforementioned debts on the marital home, the boat and the
car, there are the following debts:
DeJlt Amoun~
A. Mastercard S 10,500.00
B. Sears Charge S 2,900.00
C. Discover Card S 1,950.00
IV. DQSBAND'S RETIREMENT:
Husband bas a retirement through the New Cumberland Police Department
for which he receives a monthly check in the amount of S 1,267.78.
V. !NCOME AND EXPENSES:
See the Income and Expense Statement filed by Husband.
(Husband pays spousal support in the amount of $395.00 per month.)
'.
VI. PROPOSED RESO~VTION::
Wife's alimony claim would be denied since she is co-habitating with her
boyfriend. The house be assigned to Wife who would assume the mortgage on the
home, the boat would become the possession of the Husband, with the Husband
assuming the indebtedness on the same. The parties would equally divide all other
marital debts and any adjustment to which Husband would be entitled (because of
the extensive equity in the home as compared to that of the boat) would be adjusted
through the QDRO which would need to be put in place to distribute Husband's
pension which is in pay status.
Respectfully submitted,
Mancke, Wa~r, Hershey & Tully
/.r---)
/:/.?-)
~y/ / //.
./ .' ard -ef, Esquire
, .0. #23103
( 2233 North Front Street
L./
Harrisburg, P A 1711 0
(717) 234-7051
Attorneys for Defendant
Date: 5t'l/~l)
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~SETS OF PARTIES
Plaintiff marks on the list below those items applicable to
the case at bar and itemizes the assets on the following pages. If
an item has been appraised, a copy of the appraisal report is
attached.
( )
( )
(x)
(x)
( )
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( )
( )
(x)
(x)
(x)
(x)
(x)
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( )
1. Real Property
2. Motor vehicles
3. Stocks, bonds, securities and options
4. Certificates of Deposit
5. Checking accounts, cash
6. Savings accounts, money market
7. Contents of safe deposit boxes
8 . Trusts
9. Life insurance policies (indicate face value, cash
surrender value and current beneficiaries)
10. Annuities
11. Gifts
12. Inheritances
13. Patents, copyrights, inventions, royalties
14. Personal property outside the home
15. Businesses (list all owners, including percentage
of ownership, and officer/director positions held
by a party with a company)
16. Employment termination benefits - severance pay,
workman's compensation claim/award
17. Profit sharing plans
18. Pension plans (indicate employee contribution and
date plan vests)
19. Retirement plans, Individual Retirement Accounts
20. Disability payments
21. Litigation claims (matured and unmatured)
22. Military/V.A. benefits
23. Education benefits
24. Debts due, including loans, mortgages held
25. Household furnishings and personalty (include as a
total category and attach itemized list if
distribution of such assets is in dispute)
26. Other
ITEM NO. -2- DESCRIPTION: Exercise EauiD.
VALUE:$215.00
DATE OF VALUATION 2/23/00
NON-MARITAL PORTION:
AMOUNT/NATURE OF LIEN(S): None
ITEM NO. 12- DESCRIPTION:Antiaue Desk (Defendant's familvl
VALUE: unknown
DATE OF VALUATION 2/23/00
>
,
NON-MARITAL PORTION:
AMOUNT/NATURE OF LIEN(S):
ITEM NO. 11- DESCRIPTION:Lawn EauiDment
VALUE: $400. 00
DATE OF VALUATION 2/23/00
NON-MARITAL PORTION:
AMOUNT/NATURE OF LIEN(S): None
ITEM NO. 11- DESCRIPTION:Defendant's Checkina Acct. - PNC Bank
VALUE: $400.00
DATE OF VALUATION 2/23/00
NON-MARITAL PORTION:
AMOUNT/NATURE OF LIEN(S):
PROPERTY TRANSFERRED
1
l
Defendant lists all property in which either or both spouses
have a legal or equitable interest either individually or with any
other person and which has been transferred within the preceding
three (3) years:
~ (") ~
.:>
r ~ B<l;
"'
~ :r. 7,;
)~ Q.. ~
85:!
In ......Cl)
O. 5z
a:~!-l 0:: fez
lW.u
~- "-" I CJ..
t.- :l: ~
lJ.. 0
0 c (.)
~
."
;
'..m_'''.~:_.,_,..,
Automobile:
Payments
Fuel
342.00
80.00
20.00
Repairs
Medical
Doctor
25.00
Dentist
orthodontist
Hospital
special needs (glasses,
braces)
Education
10.00
Private School
Parochial School
College
Religious
Personal
Clothing
Food
25.00
100.00
Barber / stylist
Credit Payments
Credit Card
15.00
540.00min.
Charge Acct.
Memberships
15.00
Loans
~> :..
"11
. t!.t~
r:h~:r
f':"~~l
l~,I:d:'
r(:4
f.,,,,,,,>
~. r-:<"'i
r'w~
I;..
j;;.
l;::~~
r'I,~':'0
llj
rr'~\
~' ;:~,S~
Ii"
i;;:!
''''+',
",',
./l,(
;:?-
",i;::
~?1!
f~~.~
~r.:;
~{*
~~;
;.'.;!
::",ii
,yX\
,;(fJ
','J.
. .
VERn'ICATION
r verif:y e!1at ce statements made ill e.!le foreqoinq
dOC'.]lIIent are true and correct. I understand cat false
statements herein are made subject t~ the penalties of 18
Fa.C.S. Section 4904, relating to unsworn :alsi=ication to
aut!lori ties.
'-"
;/
/
Dated:
//
~'.r'
(/
1JClO
COUNTY OF CUMBERLAND
CARLISLE, PA.
DIRECT DEPOSIT ADVICE
NON.NEGOTIABLE
No.892790
I
ADVICE OF DEPOSIT - VOID*VOID
NOT NEGOTIABLE VOID*VOID
206-34-8145 01227
LARRY G ZEIGLER
4071 REGIMENT BLVD
ENOLA, F'A 17025
f-.
,
,
54.50 12.53 REGUL
682.89
2224.01
I
OTHER PAY (PRIOR PERIODS) 75.20
TOTAL 682.89 2299.21
OW"toI:eIllJ'I:I:llJ
02/04/00 00892790.
PAIDTHAQUCH DATE
~1/29/00
POSllJON
. NET PAY --
SH8005
206.-34-8145
PNCBK 5001872663
510.46
DATE AMOUNT
02/04/00 ****510.46
CURRENT YEAR TO DATE
RETNT 34.14 114.96
FIT 60.10 216.00
SWT 19.12 64.37
FICA 42.34 142..55
FICAM 9.90 33.33
EI35 6.83 22.99
OPT:!.
510.46 TOTAL 172.43
LARRY G ZEIGLER
VACAT = 51.98
! SHERIFF
594 .. ::~O
{
- eo. ~~
~ ~
N
".,~ z
;,,; :c ;r
.- ~ r;,1~
;: I..
".Q In ::50
,.; Ii" ~-
I.. ... n.:z
(, :'14 0;. tJ.'lff!
.,- oe:
,... :.; ...,
t3 .3 i3
"
.. '..
0:>-
w:Jmg
Z :J .;::
Cll-.~
~ ~ ell ~ ~
...:> It: c5
~ . >- ~ rr
~ W W :>
~~J: ~
U U) 1'1 a::
Z a: R 0::
<CW"~
~J:
"
..
B , OTHER INCOMll.
DESCRIPTION
INTEREST
DIVIDENDS
PENSIONS
ANNUITIES
SOCIAL SECURITY
RENTS
ROYALTIES
EXPENSE ACCOUNT
GIFTS
UNEMPLOYMENT COMPENSATION
WORKMAN'S COMPENSATION
INCOME TAX REFUNDS
SUPPORT OR ALIMONY
COMMISSIONS
TIPS
OTHER (SPECIFY)
TOTAL OTliER INCOMll
MONTHLY
YEARLY
395,14
$395.14
PART III. PROPERTY OWNED
'mi.', J'~"'''1l'~,.,.r;",.~~\C!.''tM:NM1.1!'~~':<h. :t!.">1I}'1:'~l'>J'PI;,'~':'~'.}(.:ll.y/,.".';J.'.r,*,!U'~ '~\'1' \:U''''~ ;'~~>J.t;,:.t~~. !r'-
p ODIR"""~""""n"~~~'f1fk"t,1!,\"r.":.,;'I\"I:iJj" F'" ::.' W ':~70""""~H"D 'q
""'If: ...i:r..,.._,~II;i:;lx.-::;;-~~,&.t.'.u~.q:~f,i~,~.!I':"N..m;\'M'(FiI ~~~,.\VIit.>S:~j;} 'c1:'.J!IJJ.....!..;.:;]..:WG ~m.;:l:", It
TYPE
DESCRIPTION
VALUE
H
W JT
CHECKING
HARRIS
MINIMAl.
x
SAVINGS
MEMBER'S 1sT
35.67
x
CREDIT UNION
STOCKS/BONDS
REAL ESTATE
OTHER
PART T.V. INSURANCE
-~. . ,.. ~'. ""iI.MI' . ."."",~~. '""'~".lClrtJ"'\."'''~.' .~., ""~' ""(j~.,g..'i~~'1j'J:"f,ti;;;I'.~"i;(\ :.'i':'*"'''''''~'"~'i'''"~.'
mum",. .' . . "" <:t'.. 'ii' . ~"'" . ~",.~.. ,. "",.. >~'H)~' ..~ ~';M .~~'1 ./COVRRl\:" . ,^
~~ " ' ''fol: " .\!,t.... ":: ~h."r,U -,i'.tri.iI.: J.~tM(.ffi~WJ~ ~.f.;l:'t,c; i\ro-~'!~' il~ U.,IoII;o~..w...",,~' " .,',ifJ
TYPE COMPANY POLICY NO. H W C
HOSPITAL/SLUE KlIP 143454 X
CROSS
MEDICAL/BLUE KlIP 143454 X
SHIELD
HEALTH ACCIDENT
DISABILITY
INCOME
DENTAL KlIP 143454 X
VISION EDS 207346222 X
OTHER-SPECIFY
,
i
,
i *H=Husband; W=Wife; J=Joint; C=Child
1
PART V. SUPPLEMENTAL INCOME STATEMENT
[Xl CHECK HERE IF NOT APPLICABLE
(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 joint venture, 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 (check block to indicate the document is attached):
(l) The most recent Federal Income Tax Return.
(2) The most recent Profit and Loss Statement.
attached
attached
(c)
Name of Business:
Business Address:
Business Telephone:
(d) Nature of Business (check one)
[ ] l. Sole Proprietorship
[ ] 2. Partnership
[ ] 3. Joint Venture
[ ] 4. Professional
[ ] 5. Corporation
[ ] 6. Other
(e) Name of accountant, controller or
other person in charge of financial
records:
(f) Business Income:
1. Annual income from business:
2. How often is income received:
3. Gross income per pay period
4. Net income per pay period
5. Specify deductions, if any:
;~.'
.,
1~
f!
K
j;
.4'
::
('
.',
:~i
'~
,.
.l
,.
;.,
.,
J
;i
,
;,:
::1
i
~
d
I verify that the facts set forth in the foregoing Income and
Expenses Form, including all attachments thereto, are true and
correct to the best of my knowledge, information and belief. I
understand that false statements herein are made subject to the
penalties of 18 Pa.C,S. 4904 relating to unsworn falsification to
authorities.
o
DATE: ~:::/~!od
j",~~
SANDRA M. Z. G E '
()
'"
MOl SOO
t.
L
r:
!
561. 35 ,.
13,533.61 !
,
::~!:I! r'
028
ZEIGLER,SANDRA M
CURRENT 723.94
Y.T.D 17,884.37
207346222
689.61
17,121.37
123.26
3,580.76
mm~T
74.25
GROSS*"
~~H! tn!Ei1~
. ;~~E,iD*
Er1$ $.f(JO LEOACY DRIVE; H3-IA,.Q PLANa TEXAS lSCZ4 (17Z) $(U.6OCO
DATA SYSTEMS
34.33
774.61
lU m~K)PLAN
~l~U ~fjA!~~
1tB:la f~.
STATEMENT OF EARNINOS AND OlDUCTtON3
028 207346222 11/05/99 MOl SOO
ZEIGLER,SANDRA M ELECTRONIC DATA SYSTEMS-
CURRENT 801. 94 764.49 148.43 37.45 616.06
Y.T.D 18,686.31 17,.885.86 3,729.19 812.06 14,149.67
liT 8U8 '!I:ll-I''''''"' 'l:jl .11"'" i~~:H
GROSS** 88U2 I~~ ~j~~i ~!it~ ~:JUj
OA ~
B D* 1HJg
_!'.! ~LE~C:YQRIVE. H:.~.U p~ TElCAS 1SO:" (m, 6lUo6OCO
028 207346222
ZEIGLER, SANDRA. M
CURRENT 798.28 760.98
Y.T.D 19,484.59 18,646.84
STATEMENT OF EARNINGS AND DEDUCTIONS
MOl SOO
. A
ELECTRONIC DATA SYSTEMS
147.49 37.30 6~3.49
3,876.68 849.36 14,7 3.16
m~T
8U~
7~qg mfKJPLAN
7~~: 2~ ~~H1~~it~
~8~E~D*
GROSS**
-":'i':,> ,- . ".~~;"~.;' '~:!.."':~J. ",,"4ii!f'" :".,,; --',.:.,
!~~:;~,.,;;. .~ii~~-*:;.;, . ':~'_' ;_:","c!-:i.;~~l...-'" ':'-. -,.
. IDS ua,.imAwollrn;H.JoZAolI'nAHo TDGVTJCtI#(mT"1Of.fOCD. .,".
!ni tijf;~il~
lS4:~8 ~B~~
1 JINf
lJ61.98
280.
. ~.. .:l:f. . I
.~.~. d. :.~~_'.f.:' ~.. . I
. ;~':.i {:~: .~.'. ~._o, <ARNI~:AHtJ .,.,.,20: -::-,<:- ..~ i
,
028 207346222 l2/06/99 MOl SOO
ZEIGLER,SANDRA M ELECTRONIC DATA SYSTEMs
ClJRRENT 39nO 369.0~ 44.,0 ,0.97 3g4.9~
V.T.D 19,87 . 9 19,015.8 3,920. 8 8 0.33 15,0 8.0
EI~~T 40.00 :iU I"'" illl m~l~k~ JIlJi:
GROSS*" O~ i~iP.~
EDS SIaJ UlMey O"'VI, H:J.ZA.., ".....NO TlXAs lsaU (m) I(U.SOOO
STATEMIHT 0' tARN/NOS AND otDucnOfG
028 207346222
ZEIGLER. SANDRA M
CURRENT 665.44 633.45
V.T.D 20,540.03 19,649.32
12/21/99 MOl SOO
ELECTRONIC DATA SYSTEMS
113.14 31.99 520'21
4,033.92 902.32 15,608. 0
m~iET
68.25
GROSS*"
611~. ~ft m~K)PLAN
665: 44 D~~J~~
~~ OA~~~
8t A~D*
!Ui mf:i~
14H~ ~B~1
::~t~
1!D.s s.u:o LEGACY OR/VE. HJ.ZA.n PLANa TDGA.s lSOZ" (!11Z) GlU-~
Nrz TTnN Tn
STATEMENT OF EARN/NOS AHO OEDUCTlONS
028 207346222
ZEIGLER,SANDRA M
CURRENT
V.T.D
1,174.80
1,174.80
Ol/05/00 MOl SOO
o . NA
ELECTRONIC DATA SYSTEMS
1,104.88
1,104.88
250.04
250.04
69.92
69-.92
.~T
1~U8
1,ng:88 m~K)PLAN
1,1k~8 ~~~~U~
ijgf{2~:
~N~ I~K)PLAN
19p~ ~~t1~~
. Jdg BuiliDr
GROSS-
"';'"
,~:.,
,.:7~ ~:.:;
; ':~~::i\~': ~~'.,
,'._ _ ,:.:. ~'~.06..:j., . '.. ..~~.
:, ,..'~'~'''.:'~;2Y:~.:;~~ ' .::~-.'
. . .. - "1$.:'
.' . M.-_".~.~..:j
. ... -~.
~::~}f.'1>')'"";~~:?~ .
., .~.....~:-':'"- .
.
028 207346222 Mal soo
ZEIGLER, SANDRA M ELECTRONIC DATA SYSTEMS
CURRENT 7~3.6g 729.3g 138.92 ~4.28 l,UUS
V.T.D 1,9 8.4 1,834.2 388.96 1 4.20
liT 8Ug ;;l!'1i U I"W :ll.ll
GROSS** 1: I A ~i~~
. .. ~ oe ~
IDS s.QJ L!QACY DRIVE, Hj.ZA,.1Z "!.AHa TfXAS 150:4 (171' &u-4OI>>
02.8
ZEIGLER,SANDRA M
2.0734622.2
CURRENT 780.00
V.T.D 2,738.46
725.87
2,560.13
137.99
526.95
Ht~~iP.T
80.00
GROSS**
7~~J8 IfKJPLAN
780.00 Ht~
~i\ N ~m~
. 8~ oe~HI
.....
_ rr:.~ S4CO L.!GACY DRIVe, Hj.2A-1Z PLANQ TEXAS 15014 (Vl2J GlUofJOOO
02.8
ZEIGLER,SANDRA M
207346222.
CURRENT 780.00
V.T.D 3,518.46
710.27
3,270.40
135.65
662.60
Ht~h:T
80.00
GROSS**
7~U8 ~~iKJPLAN
780.00 ~H ~
gn ~~~~
ij8~fOMH1
. ; . ~. .
" .,:;-"
.:.~~:~'~.-- ..
;. -~'f'~.
'~';..:.'.*~;~~. ....
lOS uoo L!'~CY DRIVE. H",ZA.IZ PIANO TEXAS TSat4 (1111 ~
.5TATtMlNTO' rAltH/No.s AND DlDUCT10~
------------ .
Mal SOO
ELECTRONIC DATA SYSTEMS
54.13
178.33
587.88.
2,033.18
u:~g l~iPLAN
~H ~. ~ ~~
1~1:iI CA OAS!~
~~~~ll
lk 2
STATEMENT OF EARN/No.s ANoomUC110HS
Mal SOO
ELECTRONIC DATA SYSTEMS
69.73
248".06
574.62
2,607.80
~1Jg liJPLAN
kg:, '~
27'~ B~~
2~~:~! CA OA~~
.. . .
. .. ,
~ :E;:,\~~~Z~' <.~1;;:;t,"~g~:.:<~?~-if
. iTATDtI'NT.O"/lAItHING:IANtlDlrlUC770~~_
)..
02!r 207346222 MOl SOO
ZEIGLER,SANDRA M ELECTRONIC DATA SYSTEMS
CURRENT 7.87.31 717.14- 137.50 70.17 579.U
Y.T.O 4,305.77 3,987.54 800 .10 318.23 3,187.
~T 80.75 'II:!, mf""'" il:il 1;""
GROSS** 787.31 !~eiB ~U~ . ~~
~ OMBr~ 2~~J, CA 0 ~,
ED8 54CO LEGACY DRIVE, H3-Z,A.1Z PLANO TEXAS 7$(114 (f7Z' $04.fOOO
-----------
. STATtMENT OF EARNlNG:S ANa DEDUCTlOm
d Total number of exem trons claImed
7 Wages. salaries, tips, etc. Attach Form(s) W ~
8a Taxable Interest. Attach Schedule B It reqUtr~': .
b Tax..xempt interest. Do not Include on hne r<;,
9 OrdInary dividends. Attach SChedule B If reQ.J "ed
10 Taxable refunds, credits. or offsets 0' slate ('Ir.: leea, Income taxes (see Instructions)
11 Alimony receIved
12 Business Income or (loss). Attach Schecule : or C.EZ . .
13 CapItal gain or (loss). Attach Schedule 0 It f~qUlrea. If not requIred, checK here . 0
14 Other gains or (losses). Attach Form 4797 , . ..., ... . ...... ... .
15a Totar IRA distrIbutions. ....1 15.1 I b Taxable amount (see rnstrs)
16a Total pensions & annuities . ~~ b Taxable amount (see rnstrs) .
17 Rental real estate, royalties, partnerShips, S r:lroorat!ons, trusts, etc. Attach Schedule E
18 Farm income or (loss). Attach ScneduJe F .
19 Unemployment compensation ...,.
20a Social securily benefits ..... I 20al
21 Other income. list type & amount (see mSlrs)
22 Add the amounts In the far n ht colum~ lorl:~~; :; tlir~uah- 21.-Thl;t;' -ot7r totall;c;;me - ~
23 IRA deduction (see Instructions) 23
24 Student loan Interest deductIon (see InslrUc::(,"S) 24
25 Medical savIngs account deduction. Attacn FO"J'''11 8853 2S
26 MOVing expenses. Attach Form 3903 26
Z1 One. half of sell.employm~nt tax. Attach Scn~'Jule SE Z1
28 Self.emoloyea health insurance deduction (se"l InstructIons) 28
29 Keogh and selt.employed SEP and SIMPLE :Ians 29
30 Penalty on early withdrawal at savIngs 30
31 a Alimony paId b Recipient's SSN . . 31.1
32 Add hnes 23 through 31a
33 Subtract line 32 from line 22. Th,s IS your adjusted gross income
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice,s.. instructions.
FOIAOI'2 1lJ16/99
'.",m 1 040
label
(5.. '"Swellons.)
Us. the
IRS Ilbll,
Otnerwlse.
please prlnl
or type.
Presidential
Election
Clmpllgn
(S.. IflstM:tloros.)
Filing Status
Check only
one box.
Exemptions
It more than
IX dependents.
,;ee Instructions.
Income
Attlch Copy B
of your Forms
W.2 Ind W.2G
here. Also attach
Form(s) 1099-R If
tax was withheld.
It you did not
get a W.2. see
Instructions.
EnClose, but do
not staple, any
payment Also,
please use
Form 1040-V.
Adjusted
Gross
Income
E
Oep.rtm.nl 01 ". Tr..wry - Inl..".1 Rhentjl S'Me.
U.S. Individual Income Tax Return
199
IRS 11M CH'''", - Do nol ..r,l. or sbilll. In II., SUtl
1999
For the ear Jan 1.0ee 31. 1999, or other tax ear !'Jeanlnln
Your Fir'1t HI",. MI LISI N......
. 1999. end,n
OMS No 1545.00'"
YIIllr 'oel., SKIl~ Hum".r
Sandra
II. Jo,"t R.k.lm, SpOlll.', F'f11 N.",.
Zel 'ler
~nIN,....
M
.,
207-34-6222
5pOll.... Socl., SUllnty Hllmblf
Hom. Add,." '"",mb... lIrod strlll). If 'You 11..... II P 0 60' 5.. , '''""Clloros
206-34-8145
A Important! ...
You must enter your SOCI81
security number(s) aDove.
Ve, No
"1I.rtm.nINo
100 S First Street
City, Town or Post Olfln "'You Hav, . Forll9" Acldrns. S.. In~"..ebo"l
E
Sl.Itl ZlP COlli
Lemo ne
.... Do you want $3 to go to thiS fund? . .
.,. It a oInt return. does our SPouse want $3 to Ill, 10 tnlS fund?
Single
Married filing ,oInt return (even II only one nad In::ome)
Married tiling separate return. Enter SpOIl:;e's SSN aoove & fUll name here ~ La r r v G Ze 1 g 1 e r
Head at household (Wltn qualifyIng persor",. (See Instructions.) If the QualIfyIng person IS a Child but not your
dependent, enter thiS cnlld's name nere ~
QuaIl In WIdOW ef) with dependent ::nlll: rear soouse dIed ~ 19 ). (See Instrucllons.)
Yourself. If your parent (or someone els~ can Clatm you as a decendenl on hIS or
her tax return, do not cheCk box 6a
b n Spouse
PA
17043
HotI:o..ekll19
'Y".",llnolekal19'
yourtlIO'''du;,
you1,,"'......O
x
1
2
3
4
5
6a
~NO.OIIIOJllS
eft.eltadon
. i. ..11111
..- No.ofYOllf
(4) I' :~~:~ on
qu.lilyln!l child. IIv.d
lot ch,ld tax MtiYOII
I~~~~J:~:) e llld not UIlI
wttl!yolldll.to
divorceD,..".
.ralonll..
Instnlctlonl)
~I
c Dependents:
(2) Deoenoent's
socIal security
numOer
II
(3) Oependenfs
relatJonsl1lp
to you
(1) First name
last name
I_I
I I
D,pendsnl,
o.icno,
.11It.,...
,Iurvl
AddllUmltl,.
Int""'Oll
. IIn...bolll
I 8bl
7
8.
I b Taxable amOllnt (see Instrs)
9
10
11
12
13
14
1Sb
16b
17
18
19
20b
21
22
26.219.
4.743,
32
~ 33
26,219.
Form 1040 (1999)
Sandra M Zei ler
34 Amount rrom line 33 (ad,usted gross Income)
35. Check ": 0 You were 65/0ld8r, OSIII'ld: 0 Spouse was 65/0108(, 0 Blind.
Add the number at boxes cnecked above Clnrl OJnter the total here .. 35.
b It you are married frhng separately and YOLlr ~lJouse Itemizes deductIons IV1
or you were a dual-status al,en, see InstrucllO~ 1$ and cl1eck here , . .. 3Sb ~
36 Enter your Itemized deductions trom SCnflaul,~ A, line 28, Or stlnd.rd deduction
shown on the lett. But see Instructions to llnu -lour standard deduction II you cneCked
any box on line 358 or 35b or If someone c:an r:lalm you as a dependunt
~ Subtract line 36 trom line 34
38 If line 34 IS $94,975 or re:iS, mulllply $2.750 by the lelJI n~rnber of exemptions claimed on line 6d. 111mB 34
1$ over $94.975, .see the ..wrksheelm the ,nstruchons lor thllJmounl !o enler . .. ,.... ..,... ...
39 Tax.ble income. Subtract line 38 trom hn~ 37. Jl hne 38 IS more than line 37, enter .0.
40 Tu (see Inslrs). Check if any tax tsfrom a OForm(s) !814 b o Form 4972
41 Credit for cl1ild and dependent care expenses. Attach r-,rm 2441 41
42 Credit tor the elderly or the dIsabled. AUac" :)t:hedule R . 42
43 Child tax credit (see Instructions) 43
44 Education credits. Attach Form 8863 44
4S Adoption credit. Attach Form 8839 45
46 Foreign lax credit. Attach Form 1116 If reouuEd. 46
47 Other. Check it from.,. BForm 3800 b (]Form 8396
c 0 Form a801 d Form (specify I _ 47
48 Add hnes 41 Il1rougl147. Tl1ese are your total credlh
49 Subtract tine 48 tram Une 40. If line 48 IS mOl t- than line 40, enter .0.
50 Self-employment tax. AI1ach Schedule So .
51 Alternative mInimum tax, Attach Form 625i
52 Social security and Medicare tax on tIP Income not reoorte110 employer. Attach Form 4137
53 Tax on (RAs, other retIrement plans, and II.$As. Anach Form 5329 It required.
54 Advance earned Income credit payments Irorn Form(s) W.2
55 Household employment taxes. Attach ScneClol" H
S6 Add lines 49.55. ThiS is yOur totJI tll
57 Federal Income tax withheld trom Forms W,2 .:lnd 1099
58 1999 eslimaled tax payments and amount applied from '9!Jg return
59. EJmed Income credit. Attach Schedule EIC If you have.:. I!uahfyrng CMlld.
b Nontaxable earned income: amount , .
and type . ~
60 Additional chlid tax c;eClit. AuaCh -F;;r;' 881;'7' - - - - - --
61 Amount paid wllh request tor extension 10 fHe (see lM~llu:.lons)
62 Excess social security and RRT A tax WIlnneld (see mstrs)
63 Other payments. Check if from , 0 ~r)lm 2439
b 0 Form 4136
64 Add lines 57, 58, 59a, and 60 through 63. Tl1ese are your
totalpavments ,. '............ "". , ..
65 If line 64 is more tl1an hne 56, subtract line 56 Irom IlMf';l ThIS IS the amounl you OvefJJJld
66a Amount of line 6S you want Refunded to You
~ b Routing number
~ d Account number
fi7 Amount ot line 65 you want Applied to Your 2000 Estimlted Tu . __I 67 1
68 If line 56 is more than line 64, subtract Ime f,J from line 56. ThIS IS the Amount You I
Owe. For details on how to pay, see InslruC!"1S . __ 68 1,086.
69 Estimated tax penaltv. Also Include on line :'~ ..1 69 I %fJWf&tim%ilMmW~@ftt&f&ti
Und., p.nalti.,; 01 p.rrury. I declar. Ihat I have examined thiS rUm, ~nd ~ccomllanYlnl} sch.dules and slalem'nts. :lnd to tho besl 01 my knowlll'dI}' and
belief. they are tnle. correcl. and comll!lll. O'clarahon olllr,p~rl!' (olner trI:ln tUDayer) .s. based on alt Inlorma\Jon 0' WhIch Drepar,r lias ~nr knowledl}'
Form 1040 1999
Tax and
Credits
5tlndlrd
Deduction
lor Mast
, People
Single:
$4.300
Hoad ot
household;
$6.350
MaUltld tiling
JOintly or
Qualifying
wJcJow(er):
$7.200
Mamed tiling
separately:
$3.600
Other
Taxes
Payments
Re(und
Have it directly
deposited! Soe
instructilJns and
flU In 66b, 66c,
and 66d.
Amount
You Owe
Sign
Here
JOint return?
See InstructIOns,
Keep a copy
for your records,
Paid
Pre parer's
Use Only
S7
58
1. 760.
59.
60
61
62
63
. c iyoe;
o CheCKIng
~
o SavIngs
Your Signature
Date
YourOcCtJpatlon
~
Spouse's SIgn. lure. II a JOlnl Retur". BoUl Must Sll,n
~
Dal'
Telemarketin
Spouse', Occupation
Prep.t.r's....
Sigl\lltute ....
Firm'cName
(at yours if
Slrf..mployed)
and Address
jDat'
I
I Check tlself.emDlored n
bead.
..
Self-prepared
FOIAO' ~2 11115199
207-34-6222
34
Pace 2
26 2]9.
~
36 4.492. [
., 21. 727 .
38 2.750.
39 18,977 .
40 2.846.
48
~ 49
50
51
52
53
54
55
~ 56
2.846.
2.846.
~ 64
65
66.
I. 760.
Oartlm,hlepllon,
Number (opllonal)
t*"'''~iW..%.W>:::::,-;;''':i.:W.''''Wi'WJi':>.'
j,a'f1fit.w id~l~,dWllitf
Jt*'m;:._%W.f:*'~t-t,:,:.tv@<<,~W;;;":
Preparer's SSN or PTIN
Form 1040 (1999)
Sandra M Zeigler
1702 Locust Street
New Cumberland, PA 17070
1998 U. S. INDIVIDUAL INCOME TAX RETURN SUMMARY
Adjusted Gross Income
Taxab I e Income
Tota I Tax
Tota I Payments
Refund
Effective Tax Rate
$ 21.458
$ 12,508
$ 1,866
$ 2.060
$ 194
14.92 %
INSTRUCTIONS FOR MAILING YOUR RETURN
,
Your federal Form 1040 shows a refund of $194,
Please mail your return to the following IRS address postmarked by
Thursday, April 15, 1999.
~
,
;,
.
Internal Revenue Service
Philadelphia, PA 19255-0002
Be sure to sign and date your return and Include the proper amount
of postage on the envelope.
KEEP THIS PAGE FOR YOUR RECORDS -- DO NOT MAIL.
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tlARR1S8URG f'^
111 n.s
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n02 l.OCUST 51
HEW CllHIIE:iU.AHl) rh
171170
'.:'~.::'~'" ' ..7.::::.:::;.;"'::.;:.~......;.,.... ... ,. . " .,'::; ,:.~:~.::~..::~::............,.... : 'd ';.,' :'..
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OMB No. 1545.oooa
a Controlnumoe,
11 Wa;u. trcs. oli'9&491:'3
b Eme!,oyer's Iden~llcauon ~umlle' SCCl3l stQlnly2"!l'4' 2 2 . 7
7':> 2548221 D'
o EmclOV&e s SOCl3l S8Qjn~ numOet 5 Mea:C3re wa9&S and lips
207 34 6222 20422.7
''i;''''L'Ec't'1Hi'm:'C''8'A'TA SYSTEMS
5400 LEGACY DRIVE
r . NO TX
75024
10~~nfC3ntbenetits
11 NonQUall'iedC1ans
a Emolo~sr.ame.adatllss.andZlPCOCll
-028 ~207346222-
SANDRA M ZEIGLER
APT. E
100 S. 1ST STREET
LEMOYNE PA 17043
15S14llUIOrv
.m..,..
o<<..,.a
O,It"..,
-"~
199916~IA'
E W.2 Wage and Tax
.2: Statement
Copy C tor EMPLOVEE's
RECORDS
laStalulcometalt
571.8
20 LoeaJ "J. ~_
20551.6
1&2':L25
JB:M.W;
1:','. "':"',,.;
U1U.;!C;
18Z6.2!i
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11.!.:3
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2 Fe<lefaIlncomel3ltWlllID8lcl
1684.22
~ Sooalsecuntyt3lCWltlllleld
l266.21
6 M&alCa/'8taxWltnheld
296.13
7SOClaJsecurnytIPS
BAIIocaflKltlOS
9 AdvanceEJCpaymenl
12 8en8Ms u'lC:uded in f)OlC 1
11.61
13 S17lnliftS. 'or boll'" 3.44
14 Other
11 SllIllwageS.!ll:Is'lIlC.
20422.76
19 L.oca!!!)'name
MECHANICSBRG
21 LotaIlrcome flU
205.52
1 panmenl U. rwUUf't-lntemal evenue
This~ISbllnqfumilhedlOlhetntMn&l R~s.Mc8.lI'you'"
requi~ to III a tax filUm, . M9figenco penaIry or oItNtt sancflOn may III
, __u_ __ ._......... ;..__.. toO ..._..'" ..... ".... l.~ ,,. _"
DIANE G. RADCLIFF
3448 TRINDLE ROAO
CAMP HILL. PA 17011
17171737-0100
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
SANDRA M. ZEIGLER,
Plaintiff
V.
LARRY G. ZEIGLER
Defendant
NO. 99-2263 CIVIL TERM
CIVIL ACTION - LAW
IN DIVORCE
CERTrFICATION OF SOCIAL SECURITY ~ERS
In accordance wi th the Rules of Civil Procedure, I, Diane G.
Radcliff, Esquire, Attorney for the Plaintiff, hereby certify that
the social security numbers of the parties are as follows:
1. Plaintiff: 207-34-6222
2. Defendant: 206-34-8145
Respectfully
Road
Hill, P A 17011
urt ID # 32112
Phone: (717) 737-0100
Fax: (717) 975-0697
Attorney for Plaintiff
>: r- E
0__ c
~ J_
W_l~'~: 6 ::>::;:;
C.117
;~~(I (~)~
"
.,.... )~
(~: ~ ,'") '. -f)
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c c..: ,ill:a
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Cl """-
1'- 0 :::>
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.. '
SANDRA M. ZEIGLER,
Plalatllf
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 99-2263
: avn. AcrION
LARRY G. ZEIGLER,
Defendant
: IN DIVORCE
PRAECIPE FOR WITHDRAWAL OF APPEARANCE
TO TIlE PROTHONOTARY:
Please withdraw the appearance of LUTHER E. MILSPAW, JR, Esquire, as counsel for
Plaintiff in the above captioned matter.
Respectfully submitted,
Dated: February 8, 2000
BY:
Luther E. Milspa ,Jr., Esquire
130 Stale Street
P.O. Box 946
Harrisburg, PA 17108
(717) 236-0781
Supreme Ct. # 19226
Attorney for Plaintiff
- .
SANDRA M. ZEIGLER,
Plalntlll'
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
.
.
: NO. 99-2263
: CIVIL ACrION
LARRY G. ZEIGLER,
Derendant
.
.
: IN DIVORCE
CERTIFICATE OF SERVICE
AND NOW, this 8th day of February, 2000, I, E1izabeth M. Gable, Legal Assistant to
Luther E. Milspaw, Jr., Esquire, hereby ccrti1Y that I this day served the foregoing Withdrawal of
Appearance, by depositing the same in the U.S. mail, postage pre-paid, at Harrisburg,
Pennsylvania addressed as foUows:
Sandra Zeigler
100-E South First Street
Lemoyne, PA 17043
P. Richard Wagner, Esquire
Mancke. Wagner, Hershey & TuUy
2233 North Front Street
Harrisburg, P A 17110
E. Robert Elicker, Esquire
9 North Hanover Street
Carlisle, PA 17013
Date: February 8, 2000
BY ~ hr.~,
E' M. Gable
SANDRA M. ZEIGLER, IN THE COURT OF COMMON PLEAS OF
Plaintiff :
. CUMBERLAND COUNTY, PENNSYLVANIA
.
. NO. 99 - 2263
.
vs.
CIVIL ACTION - LAW
LARRY G. ZEIGLER, .
.
Defendant IN DIVORCE
ORDER AND NOTICE SETTING HEARING
TO: Sandra M. Zeigler
Diane G. Radcliff
Plaintiff
, Counsel for Plaintiff
Larry G. Zeigler
P. Richard Wagner
, 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 l7th day
of November ,2000, 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.
r, President Judge
Date of Order and
Notice: 7110/00
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
2 LIBERTY AVENUE
CARLISLE, PA l7013
TELEPHONE (7l7) 249-3166
i>
(
.,1
I
.,
,
SANDRA M. ZEIGLER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 99 - 2263 CIVIL
~~RY G. ZEIGLER,
Defendant
IN DIVORCE
RE:
Pre-Hearing Conference Memorandum
DATE:
Monday, July lO, 2000
Present for the Plaintiff, Sandra M. Zeigler,
is attorney Diane G. Radcliff, and present for the Defendant,
Larry G. Zeigler, is attorney P. Richard Wagner.
This action was commenced by the filing of a
divorce complaint on April l5, 1999, raising grounds for
divorce of irretrievable breakdown of the marriage and
indignities. Counsel have indicated that the parties will
sign and file affidavits of consent and waivers of notice of
intention to request entry of divorce decree prior to the
hearing to be scheduled in these proceedings. The complaint
also raised the economic claims of equitable distribution,
alimony, alimony pendente lite, and counsel fees and expenses.
With respect to the alimony claim raised by wife, her counsel
has indicated she will probably withdraw that claim and
counsel will file a praecipe with the Prothonotary indicating
that withdrawal. Consequently, we are left with the
equitable distribution claim and the counsel fees and expenses
issue.
separated June 9, 1997. They are the natural parents
child, Heather, born June 6, 1979, who is emancipated.
has two children from a prior relationship and husband
three children from a prior relationship.
The parties were married on June 4, 1977, and
of one
Wife
has
Wife is 56 years of age and resides at lOO E
South First Street, Lemoyne, Pennsylvania, where she lives
with a male friend. She is a high school graduate. Her
current employment is with EDS Corporation as a PIC verifier.
Her net monthly income is $l,273.74. She is currently paying
for her medical insurance coverage in the amount of $22.93
biweekly. She has not raised any health issues.
Husband is 55 years of age and resides at
407l Regiment Boulevard, Whelan Crossing, Enola, Pennsylvania,
where he lives with a female friend. He is a high school
graduate and is receiving a pension payment from his prior
employment with the New CUmberland Police Department. The
benefit payable monthly to him is $l,663.24. Currently he is
working part-time as a deputy sheriff with the Cumberland
County Sheriff's Department and nets approximately $950.00
monthly. He is currently paying for his medical insurance the
sum of $l35.l0 per month. Husband has not raised any health
issues.
3
Wife is receiving spousal support from
husband in the amount of $395.46.
The parties own a residence at l702 Locust
Street, New Cumberland, Pennsylvania, which counsel are going
to have appraised. Currently the home is subject to a home
equity loan with an approximate payoff of around $53,000.00.
Wife's son and family, from a prior marriage, are living in
the home and we are uncertain as to whether the son is making
any payments to wife as an occupier of the residence. He is
supposedly doing repairs on the property but there has been no
evidence provided as to what, if any, he has expended in terms
of labor and materials for repairs. Apparently wife is
paying the home equity loan to Mellon Bank in an approximate
amount of $600.00 monthly plus paying the taxes and insurance.
Included in the appraisal will be an opinion by the appraiser
of the rental value for this property.
,
,
f
Wife has a 1996 Mercury v~hicle which she
purchased after separation as a result of an accident with the
marital vehicle, a 1991 Honda. She received $7,000.00 as a
settlement with the insurance company which is the value we
are going to use for that vehicle. Husband has a 1995 Acura
Integra which has been stated on the pretrial statement with a
value of $ll,300.00 and a payoff of around $3,lOO.00.
Apparently there is a loan for the vehicle with the West Shore
Federal Credit Union which husband is paying in the amount of
$342.00 per month. Counsel can value the vehicle using any
books that they want to employ in that valuation and hopefully
will be able to stipulate to the value if they do not agree
with the $ll,300.00 figure suggested on the pretrial
statement.
Husband is in possession of a boat (l989
Regal Commadore) which is docked at Fell's Point, Maryland.
He has been making the monthly payments on the boat in the
amount of $448.00. Counsel are going to have the boat valued.
There is a loan that the parties took out originally for
$40,000.00 which apparently has been reduced by the husband's
payments. Counsel are going to verify the current amount on
that loan which according to the pretrial statement is around
$22,500.00.
SANDRA M. ZEIGLER,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 99.2263
LARRY G. ZEIGLER,
Defendant
: CIVIL ACTION
: IN DIVORCE
1
PETITION FOR WITHDRAWAL OF APPEARANCE
AND NOW comes Luther E. Milspaw, Jr., Esquire, and petitions for an Order pennitting
his withdrawal as attorney for Sandra M. Zeigler and in support thereof slates the following:
1. Luther E. Milspaw, Jr., Esquire is the attorney of record for Sandra M. Zeigler in
the above referenced divorce action.
2. Sandra M. Zeigler has discharged Luther E. Milspaw, Jr. as counsel of record and
requested that he withdraw his appearance on her behalf.
3. Despite being advised to do so, Sandra M. Zeigler has not yet obtained counsel
who has been willing to enter an IIppearance, although Mr. Milspaw has received correspondence
from an attorney indicating that she was now representing Sandra M. Zeigler. A copy of that
correspondence is attached hereto as Exhibit A. Mr. Milspaw has responded to that letter by a
letter dated January 4, 2000, attached hereto as Exhibit B.
Exhibit A
Exhibit B
$'it/o~rC.
IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA
SANDRA M. ZEIGLER,
Plaintiff
NO. 99-2263 CIVIL TERM
V.
LARRY G. ZEIGLER
Defendant
CIVIL ACTION - LAW
IN DIVORCE
PLAINTIFF'S PRE-TRIAL STATEMENT
Sandra M. Zeigler, Plaintiff, by her attorney, Diane G. Radcliff, Esquire files
this Pre-Trial Statement.
TABLE OF CONTENTS
~"~';'~~"l\'>;,'ns",:,"'t' ';)'\'-i~: ~'~1,'j':-""'''':;'''.''':(J-Kt'''''''''~'~'( "" ',"., ..... .....,.,...;,. -',"":.." " " , ,\,. '1" I'" J,..,', ~",,"'lt
,'SRc:rJ:oNY:~ '!,,'i~,g.,;i~'er(~~,:::f.~~~";:r:./! ~j:J(, (,;,~~,,';~;"DBSCRIP,TION\"":-:-' '::,:' <.....::!..'.:'.'~,;;,.';1,~1,:,.:.!-.';~}>..;~i,/:;~~...;.,..t.~.. ;,.,."r.(I,[;P.A... :.G.. B......(.-,::.j~.t~~
'. 1:i...1:;'\;,,..;,.,"......""'.........fJJ ,1;~1.r.,....l...Lin..,v;..,'Jj...;,..',";.',:.,,".\"',.-"',. -" "'~' -', .> ;'..,...,' ',:,'.'", ,'. ...." _,,'.. .... r .....v,
I. BACKGROUND INFORMATION
II. LISTING OF MARITAL ASSETS AND DEBTS
III. LISTING OF PERSONAL PROPERTY
IV. LISTING OF MARITAL DEBTS
V. PENSIONS
VI. LISTING OF NON-MARITAL ASSETS AND DEBTS
VII. INCOMES AND EXPENSES
VIII. COUNSEL FEES AND COSTS
IX. EXPERT WITNESSES
X. OTHER WITNESSES
XI. PROPOSED RESOLUTION
XII. PROPOSED EXHIBITS
DATED:
3-10- oc)
'.'p.."u11y ~
. FF, ESQUI E
48 Tr' le Road
Camp 1ll, PA 17011
Phone: (717) 737-0100
Fax: (717) 975-0697
Supreme Court ID # 32112
Attorney for Plaintiff
Page 1
,.
A. PARTIES:
I. BACKGROUl~ INFORMATION
-ff.ol:~~\}~"'1'"',f\}'~~HfrAB"*'~7~i;.~j}'R)JliM~'t:l{"~;?j!WJ.:iJ1di?!!i(\l:tift1\i1'"j~~.\il-ll)\'1il
. WJ;.l.W&"{:!;rW7f~ . ~.., ~m,"Ko;J~.......zr~...:n1'!:"..,,';ll"'.M~H.....e"'Il.......,.....(.4'.....(f.W1f1lifi.Mi.~~.If.V""''<'~f'u~~
~.Attlt~L~~WYirE~~~~'~~~j~?';~~r~~~~::J1~~{r~m~itl~#(~li;;fk~.~~1;"~if
a~.~\i.if'W.rPJ1."".(ti:':-'''It'~"'''i~::'IlJ.ji,.;:::i:tt .~~lt.m-l.,~.~lll.t~(.!:1;;~;li ,:"j'!'I:,v.'ll"l'~i'\~\!@\!'~l.:rffi'~~.j
Sandra Mae Zeigler
100 East First Street
Lemoyne, PA 17043
56
5/17/43
York, PA
207-34-6222
NAME
ADDRESS
AGE
DATE OF BIRTH
PLACE OF BIRTH
SOCIAL SECURITY NUMBER
: HEALTH
EMPLOYER
OCCUPATION
LENGTH OF RESIDENCY IN PA
EDUCATIONAL BACKGROUND
NAME
ADDRESS
AGE
DATE OF BIRTH
PLACE OF BIRTH
SOCIAL SECURITY NUMBER
HEALTH
Larry Gilbert Zeigler
4071 Regiment Blvd.
Enola, PA 17025
55
3/30/45
Harrisburg, PA
206-34-8145
Good
Cumberland County Sheriff's Department
Deputy Sheriff
Entire Life
High School Graduate
Fairly good: has ~roblems with kidney
stones; stomach d1sturbances and sleep
disorder
EMPLOYER EDS
OCCUPATION PIC Verification
LENGTH OF RESIDENCY IN PA Entire Life
EDUCATIONAL BACKGROUND High School Graduate
Page 2
ITEM DESCRIPTION OF PROPERTY VALUE
NO. OR LIABILITY
ll!l9"'!f,lJil 1'~X:F.E-l'1NS''''-''. ,. "~:"POi,iCIES"'. 'j I;,:;'.t~','j;:." ,..,
__.........,....... ..,.,.."",~_,.,...,..~9.~",) ",_,' C-',_' ".' ...."t:..~:. ':'-:'~_-.:"
Wife's IDS (American Unknown
Express) Life Policy
$1idt~ ~mnti:r:tES'i:)~;~'f{lki(\:' i" :'., .";.,',,, .>... .., :..",:.,;.',,::,. I.. ..'i'::"." ..;r '.:'. -":.1.'. .;,:,.....;:".."..: ,r'.;..:::'.
ti~.._","",r ~=':~~'~"'h'" ^ ..~.';V.~.... ~t' 'l._ 'I.h 'HI: .: !"'>~>J.,.;,,-."",;, <,:,' I >~ -;'. ,:,:),\;~,:;;:::;':',l",,,':;'~.;:,: ,;: ';.j,.',,'~ >';/1;'.';;.:
VALUE TO VALUE TO
HUSBAND WIFE
7.S.,"JT;:Z,i"i;i:,f::,j(:::.
x
~
None Known
'--'-'''''~'''''''Mr.'''.'''-;."''''''...' 'ie',....," h"..".... .."'/::' ,,:r.,.i
SPA. ::;:>; "OPYRIGHTS-",;;-",,,,,\.:,,,: ,,::.;;: ;..; <:ei" ,;i.,
g~""~~~'. .oN, i;:.'t~I...." "'.'''. .."."'I,/:::":..;;-.;,;,::.t;,:)(\",...,,,',.' ::;':i@
-r...v",-IONS~!& 'ROYALTIES;,".!'.'.:. .... "..":.';," .,.;';., ""
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None Known
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Wife's Blue Cross Pension Unknown
Plan
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x
Husband's New Cumberland Paid Monthly
Police Department Pension
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Page 6
ANTICIPATBD PBBS AND COSTS
ITIlMIZATION OP SBRVICBS RBNDBRBD
Hourly Rate And
Actual Cost
Copies of Bills to be supplied
TBD
TBD
IX.
EXPERT WITNESSES
The following is a listing of the anticipated experts who will be called to
testify in this case:
jfl"."l'l?i! "'~'.1'.".'}. ...,. ~j!.~.__'..,"Ju."~'''.''..'i_ ......'.~. '. ..............,......, "'"....0...". """'~''':t.' .........'~.".l ~.. '."'.'".''''''.:..'!;:e''' _~ .
. rwf."; .'''.\U;r~>.i:(\<~SOBJB~~.Orl.TBS'1'IKONr/'~ IRBPORT;IATTACHIliDi Il..PlJ.RiIo:fl '
, ':J';l F:: '.r'JiI'injl~1Is1 ,e (t~ .~IV'.l,\.t(~(~\..':.-"o::~~v/ .-.1".'i\H.'il~.li.:'!':> r\.:J'1 l:r:r;",'l..q"~'~!i/Ir'(,i.'" :)f;l';~f~~\:(", "Ij"') , '11~'~ ......". "
~. .':J\;,%f,'i~~rt:tr~'1.1,~:.;~\,i ,;i~:lh\kt,~l~~tt.<r[;~f,t;H 1.';,;,::~v>..;';::~'h:...r,'~'~~of'~~ll~ll :~j/~H'-;;.'i:I\~~i;j~~rk:J)r~'jo!j,.;\t~~f, ~~J!~'I.;_".t .
None Known at This Time
To Be Determined
None Available
at This Time
To Be
Supplied as
Soon as
Available
Report to describe witness qualifications and experience and state the substance of
the facts and opinions to which the expert is expected to testify and a summary of
the grounds of each opinion.
Additional experts who may be called to testify are not known at this time.
There is a reservation of the r1ght to call additional expert witnesses upon proper
notification to the other party once those expert witnesses are identified and
retained,
X. OTHER WITNESSES
The following is a listing of the anticipated witnesses other than experts who
will be called to testify in this case:
;!r.l:',," .~~'~..W!.,i't.!:."I<!.:J'.k~.',. '~Jl~' :!(.;'!i-,'N(, .ii;'i..',f"J\,M;:~J.?i\.i:~"i:U";.\';:~:JM,.j,'::.~' .{.',...'.~f,:I1l\,-;.~'o;,~',..,......v'.I:'~"~..'.p'r~~;t>l\l'..
~~it{.~H..!~';{~li',.~JI,' , ;.J-iij{p,:.:r:"~i4:t:m.i;;".1,~.A;r;;;A';J". Tlj.~:.;r:l:S1JSJBCT;(OJr~i'1'B$TIHO~
.v,...,.._"'~ ' ,)')",9iiH:,,,1\1O;'.,f': _~ ',..,,:,.. >::Iti:i!",,! .-~,.~,;,......r~;,..,l.~.:.. 'i-"J .,.-.j,: ,l'"."",;"",,,,~~ ""~",."",..._,,!jJ,,,.,., "....",........,....l'.J.~j;
t"'I'~ "","-"-,,,,--~., -,-., I
" '~J" f,~ii;'.l.I.'\ ...,' ..,"
~ '~]iW,;;~ ,:,' .:'w:.:.:?:~u'.: '.~: .:
Sandra M. Zeigler
History of the marriage; Identification and valuation of
marital assets and debts; Other relevant testimony
relating to the factors set forth in the divorce code
Additional witnesses who may be called to testify are not known at this time.
There is a reservation of the right to call additional witnesses upon proper
notification to the other party once those witnesses are identified and Rgree to'
testify.
Page 11
10. Form of Payment to Alternate Payee: The Alternate Payee's benefit
shall be distributed to her in monthly payments based on the life expectancy of such
Alternate Payee. Any actuarial adjustment which might be necessary to convert
Alternate Payee's benefits to one based on the Alternate Payee's lifetime should be
applied to the Alternate Payee's benefits.
I I. Lenl!:th of Time Benefits Will Be Paid to Alternate Payee: The
benefits paid to the Alternate Payee shall be paid to her for her own separate,
independent lifetime, ceasing at her death. As a result, should the Participant
predecease the Alternate Payee after the Alternate Payee's benefit commencement
date, her death shall not affect the Alternate Payee's right to continued benefits.
12. Earlv Retirement Subsidy: The Alternate Payee shall not be entited to
a pro-rata share of any employer-provided early retirement subsidy provided to the
Participant on the date of his retirement.
13. Pre-Retirement Death Benefits: The Alternate Payee shall not be
treated as the surviving spouse of the Participant for any purpose under the Plan,
14. Susoension of Benefits: If the Participant's benefit ceases due to his
return to employment, the Alternate Payee's benefits will not be suspended.
15. Death: In the event of the death ofa party hereto, the Plan shall be
entitled recover any payments issued on the assumption that such person was alive.
If Alternate Payee predeceases Participant prior to the commencement of her
benefits, the Alternate Payee's portion of Participant's benefits, as stipulated herein,
shall revert to the Participant, to the extent pennitted under the Plan.
16. Savinl!:s Clause: This Order is not intended, and shall not be construed
in such a manner as to require the Plan:
(a) to provide any type or fonn of benefit option not otherwise provided
tmder the tenns of the Plan;
In the event that the Plan Trustee inadvertently pays to the Alternate Payee
any benefits that are to remain the sole property of the Participant pursuant to the
tenns of this Order, the Alternate Payee shall immediately reimburse the Participant
to the extent that the Alternate Payee has received such benefit payments, and shall
forthwith pay such amounts so received directly to the Participant within ten (10)
days of receipt.
20. Effect of Plan Termination: In the event that the Plan is tenninated,
whether on a voluntary or involuntary basis, and the Participant's benefits become
guaranteed by the Pension Benefit Guaranty Corporation ("PBGC"), the Alternate
Payee's benefits, as stipulated herein, shall also be guaranteed to the same extent in
accordance with the Plan's tennination rules and in the same ratio as the
Participant's benefits are guaranteed by the PBGC.
21. IRC Section 415 Limitations: In the event that the Participant's accrued
benefit is limited and/or reduced as the result of a benefit limitation irnposed under
Section 415 of the Internal Revenue Code, as amended from time to time, then the
Alternate Payee's share of the benefits shall also be limited and/or reduced in the
same proportion and to the same extent as the Participant's benefits.
22. Overoavment: In the event that the Plan Administrator detennines that
an overpayment has been made to the Participant and/or Alternate Payee for any
reason, including but not limited to, a Plan Administrator's error in the Participant's
pension calculation, or the Participant's retroactive eligibility for Social Security
disability payments, and the parties cannot come to an agreement regarding their
respective liability towards the Plan's recoupment of such overpayments, the Court
shall reserve jurisdiction regarding the allocation of such repayments to the Plan
between the Participant and the Alternate Payee.
23. Continued Jurisdiction: The Court shall retain jurisdiction with respect
to this Order to the extent required to maintain its qualified status and the original
intent of the parties as stipulated herein. The Court shall also retain jurisdiction to
enter such further orders as are necessary to enforce the assignment of benefits to
the Alternate Payee as set forth herein, including, but not limited to, the
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WE DO HEREBY CERTIFY THAT
THE WITHIN IS A TRUE AND COR.
RECT COpy OF THE ORIGINAL
FlL!D IN THIS ACTION
<Y
lAW OFFICES
MANCKE, WAGNER, HERSHEY & TULLY
AnORNEY
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" WRITTIN 1111'010111 TO THe
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t.lAy II fHtlNO AQAlNST YOU
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