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HomeMy WebLinkAbout07-5525Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 SERRATELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 -telephone (717) 540-5481 - facsimile cbovanowskiCa.ssbc-law.com Attorney for Plaintiff, Evelyn Teresa Lantz EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW NO. 07 sS.?S CIVIL TERM IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the office of the Prothonotary, Cumberland County Courthouse, High and Hanover Streets, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES, OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 S. Bedford Street Carlisle, Pennsylvania 17013 (717) 249-3166 NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita o en persona o por abogado y archivar en la corte en forma escrita sus defensas o sus objeciones a las demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una Orden contra usted sin previo aviso o notificacion y por cualquier queja o alivio que es pedido en la peticion do demanda. Usted puede perder dinero o sus propiedades o otros derechos importanates para usted. LLEVE ESTA DEMANDA A UN ABODAGO INMEDIATAMENTE. SI NO TIENE ABOGADO O SI NO TIENE EL DINERO SUFICIENTE DE PAGAR TAL SERVICIO, VAYA EN PERSONA O LLAME POR TELFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 32 S. Bedford Street Carlisle, Pennsylvania 17013 (717) 249-3166 Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 SERRATELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 - telephone (717) 540-5481 - facsimile cboyanowski(a) ssbc-1 aw. com Attorney for Plaintiff, Evelyn Teresa Lantz EVELYN TERESA LANTZ, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW V. : NO. o0* 1- ssas LAWRENCE GEORGE LANTZ, Defendant : IN DIVORCE COMPLAINT IN DIVORCE COUNTI DIVORCE CIVIL TERM AND NOW comes the above Plaintiff, Evelyn Teresa Lantz, by her attorney, Cara A. Boyanowski, Esquire, and seeks to obtain a decree in divorce from the above-named Defendant, upon the grounds hereinafter set forth: The Plaintiff, Evelyn Teresa Lantz, is an adult individual who resides at 10 Thyme Court, Mechanicsburg, Cumberland County, Pennsylvania 17050. 2. The Defendant, Lawrence George Lantz, is an adult individual who resides at 10 Thyme Court, Mechancisburg, Cumberland County, Pennsylvania 17050. 3. The Plaintiff and Defendant are sui juris, and both have been bona fide residents of the Commonwealth of Pennsylvania for a period of more than six months immediately preceding the filing of this Complaint. 4. The Plaintiff and Defendant were married on March 11, 1987, in Santa Ana, California. 5. The Plaintiff and Defendant are both citizens of the United States of America. 6. There have been no prior actions in divorce between the parties. 7. Plaintiff avers that four children have been born of the marriage, namely, Nicole Lantz, born November 9, 1986, Dustin Lantz, born October 8, 1992, Rebecca Lantz, born August 17, 1994, and Victoria Lantz, born September 28, 1998. 8. The Plaintiff and Defendant are not members of the Armed Services of the United States or any of its allies. 9. Plaintiff has been advised of the availability of counseling and that she may have the right to request that the Court require the parties to participate in counseling. 10. The causes of action and sections of Divorce Code under which Plaintiff is proceeding are: A. Section 3301(c). The marriage of the parties is irretrievably broken. After ninety (90) days have elapsed from the date of the filing of this Complaint, Plaintiff intends to file an Affidavit consenting to a divorce. Plaintiff believes that Defendant may also file such an Affidavit. B. Section 3301(d). The marriage of the parties is irretrievably broken. The Plaintiff and Defendant separated on September 11, 2007. WHEREFORE, Plaintiff requests your Honorable Court to enter a Decree in Divorce, divorcing Plaintiff and Defendant. COUNT II EQUITABLE DISTRIBUTION 11. Paragraphs 1 through 10 of this Complaint are incorporated herein by reference as though set forth in full. 12. Plaintiff and Defendant have acquired property, both real and personal during their marriage from the date of their marriage until the date of their separation. 13. Plaintiff and Defendant have been unable to agree as to an equitable division of said property. WHEREFORE, Plaintiff requests your Honorable Court to equitably divide all marital property. COUNT III ALIMONY 14. Paragraphs 1 through 10 of this Complaint are incorporated herein by reference as though set forth in full. 15. Plaintiff lacks sufficient property to provide for her reasonable means and is unable to support herself through appropriate employment. 16. Plaintiff requires reasonable support to adequately maintain herself in accordance with the standard of living established during the marriage. WHEREFORE, Plaintiff requests your Honorable Court to enter an award of alimony in her favor. COUNT IV ALIMONY PENDENTE LITE, COUNSEL FEES, COSTS AND EXPENSES 17. Paragraphs 1 through 10 of the Complaint are incorporated herein by reference as though set forth in full. 18. Defendant earns in excess of $78,000.00 gross per year and has withdrawn marital assets totaling approximately $26,000.00. 19. Plaintiff has employed counsel, but is unable to pay the necessary and reasonable attorney's fees for said counsel. 20. Plaintiff is unable to sustain herself during the course of this litigation. WHEREFORE, Plaintiff requests your Honorable Court to enter an award of Alimony Pendente Lite, interim counsel fees, costs and expenses, until final hearing and thereupon award such additional counsel fees, costs and expenses as deemed appropriate. I verify that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. Date: Cj P By: Evelyn T. Lantz, Plaintiff I At 0 OV\A ln"?I 14 By: l.. AU Cara A. Boyanowski, squire Attorney No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 Attorney for Plaintiff U ? o Am 1\3 2-1 o:b Cara A. Boyanowski, Esquire Pa. Supreme Court ID No. 68736 Serratelli, Schiffman, Brown and Calhoon, P.C. 2080 Linglestown Road Suite 201 Harrisburg, Pennsylvania 17110 Telephone (717) 540-9170 Fax (717) 540-5481 Attorney For Plaintiff EVELYN TERESA LANTZ, Plaintiff/Petitioner V LAWRENCE GEORGE LANTZ, Defendant/Respondent : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-5525 CIVIL TERM : CIVIL ACTION - LAW : IN DIVORCE PETITION FOR HEARING ON ALIMONY PENDENTE LITE AND NOW COMES, Evelyn Teresa Lantz, Plaintiff/Petitioner in the above captioned action, by and through her attorney, Cara A. Boyanowski, Esquire, and the firm of Serratelli, Schiffman, Brown & Calhoon, P.C., who petitions this Court for a hearing relative to her count for alimony pendente lite as set forth in her Complaint in Divorce, and avers as follows: 1. Petitioner/Plaintiff is Evelyn Teresa Lantz, an adult individual with a mailing address of P.O. Box 841, Mechanicsburg, Cumberland County, Pennsylvania 17055. • 2. Respondent/Defendant is Lawrence George Lantz, an adult individual residing at 10 Thyme Court, Mechanicsburg, Cumberland County, Pennsylvania 17050. 3. The parties were married on March 11, 1987 and separated on September 11, 2007. 4. The Petitioner/Plaintiff filed a Complaint in Divorce under Section 3301(c) of the Divorce Code on September 19, 2007. 5. Said Complaint in Divorce contained a count for Alimony Pendente Lite, Counsel Fees, Costs and Expenses. 6. By reason of the institution of the action to the above term and number, Petitioner/Plaintiff will be and has been put to considerable expense in the preparation of her case, in the employment of counsel and the payment of costs. 7. The Petitioner/Plaintiff's income is disproportionately lower than the Respondent/Defendant's income, and Petitioner/Plaintiff is without adequate funds to pay the costs and expenses of this litigation, and is likewise, without adequate funds to maintain herself during the pendency of the litigation. 8. The Petitioner/Plaintiff is employed by Dr. Bhat, and earns approximately $14,000.00 in gross wages annually. 9. The Respondent/Defendant is employed by NHS of PA and the Cumberland Valley School District, and earns approximately • $50,000.00 in gross wages annually. WHEREFORE, Petitioner/Plaintiff prays this Honorable Court schedule a hearing to determine Petitioner/Plaintiff's award of alimony pendente lite. Respectfully submitted, Cara A. Boyano ski, Esquire Pa. Supreme Court ID No. 68736 Serratelli, Schiffman, Brown & Calhoon, P.C. 2080 Linglestown Road Suite 201 Harrisburg, Pennsylvania 17110 Telephone (717) 540-9170 Fax (717) 540-5481 Attorney For Plaintiff/Petitioner VERIFICATION Due to time constraints and the unavailability of my client, I, Cara A. Boyanowski, Esquire, am signing this Verification on behalf of my client, Evelyn Teresa Lantz, and verifying that the statements made herein 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. Section 4904 relating to unsworn falsification to authorities. IJ?J• Date: 10-31-0? Ohm Cara A. Boyanow ki, Esquire Attorney for Evelyn Teresa Lantz CERTIFICATE OF SERVICE I, Cara A. Boyanow??ss?k``i??, Esquire, do hereby certify that on the N'S? day of ()0-DWvv , 2007, I served a copy of the foregoing upon the Respondent/Defendant by depositing it in the United States mail, postage prepaid, addressed as follows: Lesley J. Beam, Esquire KOPE & ASSOCIATES, LLC 4660 Trindle Road Suite 201 Camp Hill, PA 17011 R.J. Shadday, Conference Officer Cumberland County Domestic Relations Office 13 N. Hanover Street P.O. Box 320 Carlisle, PA 17013 OYLU1, all-IOA . Cara A. Boyano ski, Esquire C.) ` i C;p '.? EVELYN T. LANTZ, Plaintiff/Petitioner VS. LAWRENCE G. LANTZ, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 07-5525 CIVIL TERM IN DIVORCE PACSES Case No: 781109594 ORDER OF COURT AND NOW to wit, this 14th day of November 2007, it is hereby Ordered that the Petition for Alimony Pendente Lite in the above captioned matter is dismissed without prejudice pursuant to the parties' incomes and both parties having a child support obligation for their two children. DRO: R.J. Shadday xc: Petitioner Respondent Lesley J. Beam, Esq. Cara A. Boyanowski, Esq. Form OE-001 Service Type: M Worker: 21005 BY THE COURT: C) f7l.. i'_ : )' Q CA) Cara A. Boyanowski, Esquire Pa. Supreme Court ID No. 68736 Serratelli, Schiffinan, Brown & Calhoon, P.C. 2080 Linglestown Road, Suite 201 Harrisburg, PA 17110 Telephone (717) 540-9170 Fax (717) 540-5481 Attorney for Plaintiff EVELYN TERESA LANTZ, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA VS. : No. 07-5525 CIVIL TERM LAWRENCE GEORGE LANTZ, : CIVIL ACTION - LAW Defendant : IN DIVORCE MOTION FOR APPOINTMENT OF MASTER Evelyn Teresa Lantz, (x ) Plaintiff ( ) Defendant moves the court to appoint a Master with respect to the following claims: (X) Divorce (X) Distribution of Property ( ) Annulment ( ) Support (X) Alimony (X) Counsel Fees (X) Alimony Pendente Lite (X) Costs and Expenses and in support of the motion states: 1. Discovery ( x ) is ( ) is not complete as to the claims(s) for which the appointment of Master is requested. 2. The non-moving party ( x ) has ( ) has not appeared in the action ( ) personally ( x ) by his/her attorney Lesley J. Beam, Esquire. 3. The statutory ground(s) for divorce is/are 3301(c) of the Divorce Code. 4. Check the applicable paragraph(s) by check mark: ( ) The action is not contested. ( ) An agreement has been reached with respect to the following claims: N/A ( x) The action is contested with respect to the following claims: Divorce; Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses 5. The action ( ) involves ( x ) does not involve complex issues of law of fact. 6. The hearing is expected to take (hours) 1 (days). r 4- K V 7. Additional information, if any, relevant to the motion: Wife filed her divorce complaint on September 19, 2007, whereas, Husband filed his divorce complaint on September 20, 2007. Both parties have averred that their marriage is irretrievably broken, but Husband has also raised fault grounds, i.e., adultery and indignities. Dated: 0 a I A "Attorney for ( x ) Plainti ( ) Defendant ORDER APPOINTING MASTER AND NOW, 200 _ _ appointed Master with respect to the following claims: Esquire, is Divorce; Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses BY THE COURT: J. DISTRIBUTION: MOVING PARTY Name: Evelyn Teresa Lantz Attorney's Name: Cara A. Boyanowski, Esq. Attorney's Address: 2080 Linglestown Rd., Suite 201 Attorney's Telephone # (717) 540-9170 Attorney's Facsimile # (717) 540-5481 Attorney's E-Mail: cboyanowskiki?ssbc-law.com Party's Address and Telephone # if not represented by counsel: N/A NON-MOVING PARTY Name: Lawrence George Lantz Attorney's Name: Lesley J. Beam, Esq. Attorney's Address 4660 Trindle Road, Suite 201 Camp Hill, PA 17011 Attorney's Telephone # (717) 761-7573 Attorney's Facsimile # (717) 761-7572 Attorney's E-Mail Party's Address and Telephone # if not represented by counsel: N/A . • - v 4T1 Cara A. Boyanowski, Esquire SERRATELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cboyanowski@ssbc-law.com Attorney for Plaintiff, Evelyn Teresa Lantz EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW NO. 07-5525 CIVIL TERM IN DIVORCE INVENTORY AND APPRAISEMENT OF Evelyn Teresa Lantz (X) Plaintiff ( ) Defendant files the following inventory and appraisement 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. (X) Plaintiff ( ) Defendant verifies that the statements made in this inventory and appraisement are true and correct. (X) Plaintiff ( ) Defendant understands that false statements herein are made subject to the penalties of 18 Pa. C. S. 4904 relating to unsworn falsification to authorities. (, To;?,, Evelyn T. Lantz, (X) Plaintiff ( ) Defendant ASSETS OF PARTIES (X) Plaintiff ( ) Defendant marks on the list below those items applicable to the case at bar and itemizes the asse ts on the following pages. (x) I. Real Property (x) 2. Motor Vehicles () 3. Stocks, bonds, securities and options (x) 4. Certificates of deposit (x) 5. Checking accounts, cash (x) 6. Savings accounts, money market savings certificates () 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, inventions, royalties O 14. Personal property outside the home () 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with company) () 16. Employment termination benefits -- severance pay, workman's compensation claim/a ward 2 () 17. Profit sharing plans () 18. Retirement account plans (x) 19. Individual Retirement Accounts () 20. Disability payments () 21. Litigation claims (matured and unmatured) () 22. MilitaryN.A. benefits () 23. Education benefits (x) 24. Debts due, including loans, mortgages held (x) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) (x) 26. Other: Foster Care checks received by Husband from Perry County 3 LANTZ v. LANTZ Date of Marriage - March 11, 1987 Date of Separation - September 11, 2007 (20 years) MARITAL ASSETS Assets Wife's Husband's Master's Notes Value Value Value Real Estate 10 Thyme Court TBD Property has been listed for Mechanicsburg, PA (List price is sale. (Marital Residence) $375,000.00) Mortgage exists on property through First Horizon in the amount of $257,749.99 as of November 2007. Retirement Assets Retirement Account $7,465.83 Wife liquidated retirement (Wife) account. Cash and Investment Assets The First National Bank of $19,211.66 Husband liquidated three Mifflintown certificates on November 9, 13 separate Certificates of Deposit 2007. Members First Federal Credit Union $1,044.14 Value as of Date of Separation. Checking Account Members First Federal Credit Union $26,122.73 Value as of Date of Separation, Savings Account with add back of $25,000.00 withdraw on September 4, 2007, which Wife received no benefit from. Monthly checks received from Perry Approx. September 2007 - March 2008 County, titled in joint names $4,200.00 Automobiles 2004 Ford Escape $1,960.00 Outstanding loan balan ce of MARITAL ASSETS (Wife) approximately $7,600.00 as of June 2008. FMV ($9,560.00) 1996 Lamborghini Approx. Outstanding loan balance of (Husband) $7,700.00 $10,388.60, as of January 2008. FMV ($18,000.00) 2002 Mercedes $0.00 (Husband) Outstanding loan balance of $24,095.00, as of January 2008, is more than FMV ($16,435.00) 1988 Lotus TBD No loan on this vehicle. (Husband) Conversion Van Trade in Husband traded van in to (Husband) Value TBD purchase 2004 Mercury Mountaineer. 1995 Chevrolet Camaro Approx. No loan on this vehicle. (Husband) $3,175.00 1998 Chevrolet Monte Carlo Approx. Outstanding loan balance of (Husband) $1,350.00 $1,349.55 as of January 2008. FMV ($2,700.00) Life Insurance Policies Life Insurance Policy TBD Husband Life Insurance Policy TBD Wife Miscellaneous Household Goods and Furnishings Jewelry/Fur Coat Approx. Articles are presently in the (Wife) $10,000.00 possession of Husband. Debts Capital One $1,269.76 Balance of credit card as of Date of Separation. Citi Card $3,984.44 Balance of credit card as of Date of Separation. MARITAL ASSETS WAMU $1,110.34 Balance of credit card as of Date of Separation. Chase $4,389.07 Balance of credit card as of Date of Separation. Bank of America $2,355.61 Balance of credit card as of Date of Separation. Bank of America - Business $1,187.80 Balance of credit card as of Date of Separation - Husband Bank of America - Business $3,755.40 Balance of credit card as of Date of Separation - Wife Bank of America $34,426.96 Balance of credit card as of Date of Separation. Citi Card Approx. $2,000.00 Balance of credit card as of Date of Separation. Kohl's charge card Approx. $500.00 Balance of credit card as of Date of Separation. RBS Approx. 4,622.00 Balance of credit card as of Date of Separation. FIRST HORIZON 4ow Horizon Way Irving TX 75063 AU Things Financial. MORTGAGE ACCOUNT STATEMENT For mortgage 1-800-364-7662 Check here if your address, phone numbers check here and complete the form on the account information: Monday - Friday lam - 7 pm CT or Social Security 'number(s) are incorrect ? reverse side if you would like the automatic O and complete the form on the reverse side. payment option. Pay online at: www.firsthorizon.com 42435-0008014-002-14000-100400-000 LAWRENCE G LANTZ EVELYN T LANTZ 10 THYME CT MECHANICSBURG PA 17050-3199 Account Number: 0043493162 Home Phone: 717-691-1803 Work Phone: 717-7894773 For additional financial. services: Nancy E. Patt. (888) 541-8113 npatt@fusthorizon.com www. firsthorizonusa. com/nancypatt Unon racaint of nn--# ACCOUNT INFORMATION PAYMENT SUMMARY Account Number 0043493162 Property Address: Principal & Interest $1,561.43 Current Statement Date 11/05/07 10 THYME COURT Escrow Interest Rate for 12/01/07 5.50000% MECHANICSBURG PA 17050 Total Amount Due $2,079. Current Principal Balance* $257,749.99 Payment Due Date 1/07 Current Escrow Balance $1,758.79 Interest Paid Year-to-Date $13,107.62 WK low Taxes Paid Year-to-Date $3,732.70 LE NDS" 2 f?3 "This is your Principal Balance only, not the amount required to pay your account in full. Note: Payments sub?Ntted through your online banking maybe reJected if the payment is less than your current.payment amount if Your bans in a deli uent status or if you have, Ned a TienkNptCy case that is sBll active. Payments will automatically be retumed to the remitter of the funds. ? ACCOUNT ACTIVITY Description Due Date Date Paid Amount Principal Interest Escrow Fees Other MortgageJus Paid 10/23/07 -153.54 .00 .00 -153.54 .00 .00 Payment Applied 11/01/07 11/05/07 2,079.94 378.34 1,183.09 518.51 .00 .00 IT IS VERY IMPORTANT THAT YOU REPORT ANY POSTING ERRORS TO FIRST HORIZON CUSTOMER SERVICE WITHIN 30 DAYS OF THIS BILLING. E"ORTANT MESSAGES PRIVATE MORTGAGE INSURANCE DISCLOSURE Private Mortgage Insurance: Your mortgage loan requires private mortgage insurance (PMI). PMI protects lenders and others against financial loss when borrowers default. Charges for the insurance are added to your loan payments. Under certain circumstan ces, federal law gives you the right to cancel PMI or requires that the PMI automatically terminate. Cancellation or termination of PM does not affect any obligation you may have to maintain other types of insurance. Borrower Requested Cancellation of PMI: Your have the right to request that PMI be cancelled on or after either of these dates: (1) the date the principal balance of your loan is first scheduled to reach 80% of the original value of the property or (2) the date the principal balance actually reaches 80% of the original value of the property. PMI will be cancelled on these dates if (1) you submit a written request for cancellation; (2) you have a good payment history; and (3) we receive, if requested and at your expense, evidence that the value of the property has not declined below its original value and certification that there are no subordinate liens on the property. A "good payment history" means no payments 60 or more days past due within two years and no payments 30 or more days past due within one year of the cancellation date. "Original value" means the lesser of the contract sales price of the property the appraised value of the property at the time the loan was closed. Automatic Termination of PMI: If you are current on your loan payments, PMI will automatically terminate on the date the principal balance of your loan is first scheduled to reach 78% of the original value of the property. If you are not current on your loan payments as of that date, PM will automatically terminate when you become current on your payments. In any event, PMI will not be required on your mortgage loan beyond the date that is the mid-point of the amortization period for the loan if you are current on your payments to that date. State law may supersede federal regulation in TX, MN and CA. Termination may be subject to additional investor requirements. For further information about PMI Cancellation or to determine if you can cancel the PMI on your loan, contact us at: First Horizon Home Loans, Mail Code 6412, P.O. Box 630387, Irving, TX 75063 or call our Customer Relations Department at 1-800-364-7662. Your dreams of home ownership.., accelerated Find out how the Equity Accelerator ®program can help you save up to thousands of dollars in c interest and help you pay off your loan sooner. Call 1-8007294-4457 today for your FREE personalized savings analysis. Q X rt X X X X X X X '. X 9 O N tD p [D Q ? tD is 3 ? ® 3 °- o? W O O O C13 0 ao 0 W 0 O O W o l o o 0 a wa '17 41 a ?- r, 7 5 a 9 o a.- w o?8 m aN< a°a v?3 M?mw'? - mmm = p ?.?3 ma. ' mu°, m .. ' T a S m m o D O D ?? ?b o m to z ° O vv? m w. M . _ g p c ' C w e 10 3 m. w .? cr ? v xx o O .7 - 09 _ m + - IP p W OY W - - 7. - Of- V - lJ7 A) 00 cn?nwco _ N m m - W a a 0 Q ". Z vs m m ?p pApp A ? 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R N `r m a o h z c°?i O v 41 isy .2 C _0 p 00 LU p t [ry M C m ?. ` M N CID rJ M co L°n A a ti 0 xcn y ? n u va 02 jr Y E w? w c LL H o ? w O CV m a.. r ASSIGNMENT OF DEPOSIT ACCQUNT# I References in the shaded area are for Lender's use only and do not WA the apdicabfriy of this document to any particular loan or item. Any item above containing has been omitted due to text Iongae liftsd afions. Grantor: Lawrence G Lantz Lender: The First National Bank of Mlfflintown Evelyn T Lantz 2 North Main Street PO Box 313 PO Box 96 Landfsbur+g, PA 17040 MAffintown, PA 17e58 THIS ASSIGNMENT OF DEPOSIT ACCOUNT dead August 31, 2006, Is made and executed between Lawrence G Lantz and Evelyn T Lantz ('Grantor") and The First National Bank of Mltfllntown ("Lander'). ASSIGNMENT. For valuable consideration. Grantor assigns and grants to Larder a security Interest In the Colaleral, Including without llrrdtatlan the deposit amounts described below, to secure the Indebtedness and agrees that Lender shall have the rights stated In this Agreement with respect to the Collateral. In addition to all other rights which Lander may have by law. COLLATERAL DESCRIPTION. The word "CoOateraP means the following described deposit accounts ('Account"): . All existing and future accounts with Lander with an approximate balance of 91,01@.06, and all amendments, extenelone, renawels, replacemMtts of the aocoants (all Called the "Aooount"}, and all existing and future amounts in the Account, and all existing and future Interest and other earnings on the Account, and all proceeds i All existing and future accounts with Lender with an approximate balance of $1,060.72, and all amendments, extensions. renewals, replacements of the accounts (all called the "Account'), and all existing and future amounts In the Account, and all existing and future Interest and other earnings an the Account, and all proceeds x All existing and future accounts with Lander with an approxhna* balance of 35,126.64, and all amepetmems. extensions, renewals, replacements of the scommis (all called the "AcommM and all existing and future amounts in the Account, and all a daft and future Interest and other earnings on the Account and all proceeds All existing and future accounts with Lender with an approximate balance of $1,327.54, and all amendments, ectortalwhs, renewals, replacements of the accounts (ail called the "Account"}, and all existing and future amounts in the Account, and an existing and future interest and other earnings on the Account, and all proceeds i All existing and future accounts with an approximate balance of 91,024.82, and all amendments, extension;, renewals, replaosmerM of the accounts (all called the "Account"), and all eodsdng and future amounts In the Account, and all existing and future interest and other earnings on the Account, and all proceeds All existing and future accounts with Lender with an approximate balance of 91,021.50. and all amendments, ax Im alone, renewals, replocaments of the accounts (all called the 'Account"), and all existing and future amounts in the Account and all exlaft and future interest and 4fher earnings on the Account, and all proceeds . AD exiating and future accounts with under with an apprexlmate balance of 31,015.@@, and all amendments, extensions. renewals, replacements of the accounts (ail called the "Accarnt"), and all existing and future amounts In the Account, and all existing and future Interest and other earnings on the Account, and all proceeds All "Ung and future accounts with tender with an approximate balance of $1,81@.33, and all arnandmernts, extensions, renewals, replacems to of the accounts (all called the "Account"), and all edging and future amounts in the Account, and all existing and future Interest and odor earnings on the Account, and all proceeds AN existing and future accounts with Lender with an approximate balance of $1,016.47, and all amendments, extensions, renewals, replacements of the ax:caunts (all called the "Account"), and all existing and future amounts In the Account and all existing and future Interest and other eamings on one Account, and all proceeds All existing and future accounts with Lender with an approximate balance of 91,008.04, and all amendmente, extensions, renewals, rerpbpmeMa of the accounts (all coo the "Account"), and all existing and future amounts In the Account. and ail existing and future interest and other earnings on the Account and all proceeds All *Aging and future accounts with Lander with an approximate balance of $1,008.29, and alt amendments, extensions, renewals, raplacamants of the accounts (all called the 'Afxount'? and all existing and future amounts In the Account, and all existing and future Interest and other earnings on the Account, and sit proceeds AN existing and future accounts with Lander with an approximate balance of :1,006.2@, and all amendments, extensions, renewals, replacements of the accounts tall called the "Aaocunt"), and all existing and future amounts In the Account, and all existing and future Interest and other earnings on the Account, and all proceeds Ail existing and future accounts with Lander with an approximate balance of $1;500.00, and all amendments, extensions, renewals, replacements of the accounts (aft called the "Account"), and an existing and future amounts M the Account, and all existing and future Interest and other earnings on the Account, and all proceeds together with (A) all interest, whether now accrued or hereafter accruing. (e) all additional deposits hereafter made to the Account; (C) any and all proceeds from the Account; and (D) all renewals, replacements and substitu i ne for any of the foregoing. RIGHT OF SETOFF. To the extent permitted by applicable law, Lender reserves a right of setoff In all Grantor`s accounts with Lender (whether checking, savings, or some other account). This includes all accounts Grantor holds jointly with someone else and all accounts Grantor may open In the future. However, this does not include any IRA or Keogh accounts, or any trust accounts for which setoff would be prohibited by law. Grantor authorizes Lander, to the extent permitted by applicable law, to charge or setoff all sums awing on the indebtedness against any and all such accounts, and. at Lender's option, to administratively freeze all such accounts to allow Lander to protect Lendoea charge and setoff rights provided In this paragraph. GRANTOR'S REPRESENTATIONS AND WARRANTIES WITH RESPECT TO THE COLLATERAL With respect to the Collateral, Grantor represents and promises to Lender that Ownership. Grantor is the lawful owner of the Collateral free and dear of all loans, liens, encumbrances, and claims except as disclosed to and accepted by Lender in writing. Send Inquires to: 5000 Louise Drive ` PO Box 40 Mechanicsburg, PA 17055 www.membemist.org Main Switchboard: (717) 697-1161 or (800) 283-2328 EZ Call: (717) 697-4372 or (800) 283-4372 ® TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 MEMBERS 1St TeleBranch: (717) 795-6049 or (800) 237-7288 FEDERAL CREDIT UNION 11764 1 AV 0.312 41120-11764 LAWRENCE G LANTZ w NICOLE T LANTZ co 10 THYME COURT s MECHANICSBURG PA 17050 Statement of Accounts Aug 25, 2007 thru Sep 24, 2007 Account Number: 282817 Account Balances at a Glance: Checking: 1,159.59 Savings: 1,122.73 Certificates : 18,000.00 Loans: 7,128 95 Money Management: 0.00 Page : 1 of 4 Your current Member Loyalty Reward level is Gold At Members 1st your security is our top priority. Please read the enclosed insert for more details. CHECKING ACCOUNTS 11 - CHECKING Date Transaction Descrip tion Additions Subtractions Balance Aug 25 Balance Fonward Aug 31 Deposit 5.70 Sep 04 Deposit 200,00 205.70 Sep 05 Withdrawal Transfer To Loan 01969 '00 1,165.70 TRANSACTION DATE - 09/0412007 194.52- 971.18 Sep 10 Deposit by Check600 00 Sep 10 Withdrawal ACH FORD MOTORCREDIT 1,571.18 TYPE'- FMCC EBILL ID: '381612444 1,215.30 DATA: BILL PAYMENT CO: FORD MOTORCREDIT Sep ,11 Withdrawal ACH'PROG SPECIALTY TYPE: INS PREM ID: 903879986 DATA: BRANCH12"DEIJIT ` ACH I71 16? 1,044.14 CO: PROG SPECIALTY J Sep 13 Deposit by Check Sep 13 Check 000212 Tracer 0022318858 247 3,291.56 Processed Check - Chase ?- - 560.91- 2,730.65 uto TYPE CHECK PYMT ID: DATA: 0000000000 Sep 14 Withdrawal ACH COVENTRY HE 'LTH TYPE: 5110187 ID: 00069 1 DATA. CTD ACH I 1 391.33-J 2,339.32 CO: COVENTRY HEALTH r Sep 15 Withdrawal Debit Card ' 54'01? J 2,285.31 09/14 424862497882 BONAN q FAM RESTAURANT Cge&BE Sep 15 Withdrawal Debit Card 18:01 2.267.30 09/14 68000101182789 A? NCB ME Sep 16 Withdrawal Debit Card fF1 CA, , , I __ - _B 4_ 09/ 14 328019888994 A a ??{ A141 ' '?fi bL j PA-Nl t j 243.76 V 2 , 023:54 I _W_ Sep 16 Withdrawal Debit Card. 09/15 674732700560012 GIANT FOOD STORES #1005 MEC 181.26 1,842.28 Sep 17 Withdrawal Sep 17 Withdrawal Debit Card 1,797.74 80228 09/16 t38577862804MDF9 MCDONALD'S F22804 MECHANIC 1,797.74 Sep 17 Withdrawal Debit Card 09/16 08577862804MDF1 MCDONALD'S F22804 MECHANIC 5 69? 1,792.05 Sep 18 Withdrawal Debit Card 25. 00-v/ 1,767.05 St , Send Inquires to: Main Switchboard: (717) 697-1161 or (800) 283-2328 5000 ??• PO Box 40 Louise Drive EZ Call: (717) 697-4372 or (800) 283-4372 Mechanicsburg, PA 17055 TDD: (717) 697-5312 or (800) 283-2328 ext. 5312 41111-11764 Aug 25 , 2007 t Sep 24 , 2007 MEMBERS t`, www.mernberslst.org TeleBranch: (717) 795-6049 or (800) 237-7288 Account Number: : 282817 Page: 2 of 4 Date Transaction Description Additions Subtractions Balance 09/17 156636000153307 GIANT FUEL #5 MECHANICSBUR Sep 19 Check 000213 Tracer 0919006034 158.56) 1 608.49 -' Sep 20 Withdrawal Debit Card , 593.49 15.00-? 1 09/19 049800000001958 SHEETZ 00001958 MECHANICSB , Sep 20 Withdrawal Debit Card 9 18-? _ 1 584 31 09/19 049800000001958 SHEETZ 00001958 MECHANICSB , . .? Sep 20 V Withdrawal Debit Card 9.18- 1 575.13 ? 09/19 049800000001958 SHEETZ 00001958 MECHANICSB , Sep 20 INN n Withdrawal Debit Card 20.79-? 1 554 34 09/19 674732700560014 GIANT FOOD STORES #005 MEC , . Sep 20 Withdrawal Debit Card 20.02- 1,534.32 09/19 156636000153307 GIANT FUEL #5 MECHANICSBUR Sep 20 Withdrawal ACH CHASE 100.00-V 1,434.32 Sep 21 TYPE: EPAY ID: 5760039224 CO: CHASE Withdrawal Debit Card / 8.34?? 1 425.98 09/20 049800000001958 SHEETZ 00001958 MECHANICSB , Sep 21 Withdrawal Debit Card 7.66-? 11 18.32 09/19 456002277998 BURGER KING #596 007 ETTERS P Sep 21 Withdrawal Debit Card / 19.42-41 1,398.90 Sep 21 09/20 21-8012201748 HOLIDAY INN GRANTVILLE GRANT Withdrawal ACH WAMU/PVN PAYMT ? 40.00- 1,358.90 TYPE: CREDITCARD. ID: 9200412181 DATA: ONLINE DEBIT CO: WAMU/PVN PAYMT / Sep 21 Check 000214 Tracer 0921007084 30.38?? 1,328.52 Sep 22 Withdrawal Debit Card 10.65-Y 1 317.87 09/21 08577862804MDF1 MCDONALD'S F22804 MECHANIC , Sep 22 Withdrawal Debit Card 7.10- 1,310.77 09121 674732700560071 GIANT FOOD STORES #005 MEC Sep 23 Withdrawal Debit Card 25.00-? 1,205:77 09121 03-9116835928 HOLIDAY HAIR MECHANICSBURG P / Sep 24 Withdrawal Debit Card 126.18 , 1,159.59 09/23 674732700560010 GIANT FOOD STORES #005 MEC Sep 24 Ending Balance 1.159.59 CHECK SUMMARY Check # Amount Date Check # Amount Date 000212 560.91 Sep 13 0002 14 30.38 Sep 21 000213 158.56 Sep 19 3 Checks Cleared for 749.85 SAVIN GS ACCOUNTS 00 - REGULAR SAVINGS Date Transaction Description a Additions Subtractions Balance Aug 25 Balance Forward 22; 285.10 Aug 31 Deposit by Check 3,000.00 25,285.10 Aug 31 Deposit Dividend 1.000% Annual Percentage Yield Eamed 1.000% from 08f0112W7 through 081311200 6.03 25,291.13 Sep 04 Withdrawal by Check % 25,000.00- 299` 13 Sep 05 Deposit by Check 931.60 . 1 222.73 Sep 08 Withdrawal 100-00- , 1 122.73 Sep 24, Ending Balance , 1,122.73 CERTIFICATE ACCOUNTS 40 - 6 MONTH CERT Maturity Date - Mar 05, 2008 Date Transaction Description Additions Subtractions Balance Sep 05 Balance Forward 0 00 Sep 05 Deposit by Check 5,000.00 . 5,000 00 Sep 24 Ending Balance . 5,000.00 P-finl emir nn Send Inquires to: 5000 Louise Drive Main Switchboard: (717) 697-1161 or `800) 283-2328 PO Box 40 EZ Call: (717) 697-4372 or 800) 283-4372 MEMBERS 1 Mechanicsburg, PA 17055 TDD: (717) 697-5312 or (800) 283-2328 W. 5312 41137_11764 Account Aug ' 2007 Number: tr: Sep 24; 2007 y www.membersist.org TeleBranch: (717) 795-6049 or (800) 237-7288 282817 Page: 3 of 4 41 - 6 MONTH CERT Maturity Date - Mar 05, 2008 Date Transaction Description Sep 05 Balance Forward Additions Subtractions Balance Sep 05 Deposit by Check 0.00 Sep 24 Endng Balance 1,000.00 1,000.00 1,000.00 42 - 6 MONTH CERT Maturity Date Mar 05, 2008 Date Transaction Description Sep 05 Balance Forward Additions Subtractions Balance Sep 05 Deposit by Check 0.00 Sep 24 Ending Balance 1.000.00 1,.000.00 1,000.00 43 - 6 MONTH CERT Maturity Date - Mar 05, 2008 Date Transaction Description Sep 05, Balance' Forward Additions Subtractions . Balance Sep 05 Deposit by Check 0.00 Sep' 24 Ending Balance 3 ,000.00 3,000.00 3,000.00 44 - 3 MONTH ERT C Maturity Date - Dec 04, 2007 Date Transaction Description Sep 05 Balance Forward Additions Subtractions Balance Sep 05 Deposit by Check 0.00 Sep 24 Ending Balance 2,000.00 2,000,00 2..000.00 45 - 3 MONTH CERT Maturity Date -Dec 04, 2007 Date Transaction Description Sep 05 Balance Forward Additions Subtractions Balance Sep OS Deposit by Check 0.00 Sep -24 Ending Balance 2.000:00 2, 000 00 2,000.00 46 - 3 MONTH C ' _ ERT Maturity Date - Dec 04, 2007, Date Transaction Des ' tion Sep 05 Balance Forward Additions . - Subtractions Balance Sep 05 Deposit by Check , 2 000 00 0,00 Sep 24 Ending Balance , . 2,00 0.0 0 t / . / \ (.00 2,000 47 - 6 MONTH C ERT Maturity Date - Mar 05, °2008 _ ? I+ Date Transaction Description t . Sep 05 Balance Forward a Additions Subtractions Balance ,. Sep 05 Deposit by Check' F 0.00 Sep: 24 Ending Balance 1,000.00 1,000.00 1,000:00 48 - 6 MONTH CERT Maturity Date - Mar 65; 2008 Date Transaction Description Sep 05 Balance Forward Additions Subtractions Balance 4-. Sep 05 Deposit by Check Sep 24 Ending Balance .. , 000.00 0.00 1, 000 .00 s-. 4.•-x.E-; a r.?.rv ^y'rTi+- TY T'?f.`IT 1,000 OU . LOAN ACCOUNTS 01 - INDIRECT USED AUTOS Date Transaction Description Amount Aug 25 Balance Forward Interest Fees Principal Balance Sep 05 Payments Transfer From Share 11 194.52 55 50 0 00 - 7,229.9 TRANSACTION DATE -09/04./2007 . . 139.02 7,129.95 5 1 nnfinnort nn WInwinn naru3 - __ Send Inquires to: 5000 Louise Drive Main Switchboard: (717) 697-1161 or (800) 283-2328 * PO Box 40 Mechanicsburg PA 17055 EZ Call: (717) 697-4372 or (800) 283-4372 Aug 25, 2007 thru Se TDD: (717) 697-5312 or (800) 283-2328 ext 5312 p 24, 2007 , „www.memberslst.org . 41123-11764 TeleBranch: (717) 795-6049 or (800) 237-7288 Account Number: 282817 Page: 4 of 4 Date Transaction Description Sep 24 Ending Balance Amount Interest Fees Princi al Balance Annual Percentage Rate 8.990% Daily Rate .024630% 7 ,129.95 "-' YTD SUMMARIES _- * TOTAL DIVIDENDS PAID TOTAL LOAN INTEREST PAID - 00 REGULAR SAVINGS 01 INDIRECT USED AUTOS ?? 11 CHECKING 0.? 527.31 - .?_ 40 6 MONTH CERT 000 1. 41 6 MONTH CERT 000 o 42 6 MONTH CERT 000 _ 43.6 MONTH CERT 000 44 3 MONTH CERT 0.00 45 3 MONTH CERT 0.00 46 3 MONTH CERT 0.00 47 6 MONTH CERT 0.00 48 6 MONTH CERT 0.00 Total Year To Date Dividends Paid 7 68 NOTE: . Total includes closed shares Don't forget about our new Member Loyalty Rewards Pro r g am. The more products you have with us, the more benefits you'll receive Ask an associate for d . etails or visit our website at www.membersl st.org for details. h r -zp COUNTY OF PERRY New Bloomfield, PA 17068 (717) 582-2131 26$27 115 LARRY & EVELYN LANTZ 1096 12/04/2007 [Vee?nor Number Vendor Name Voucher Date PO Number Invoice Amount 0 NOV 0 600.00 WLCK85111TP s? o?MME powwes.iraa. pnl na-7272 REORDER FORMA 030501 26827 Check Number TOTAL: $600.00 PRINTED IN U.S.A. f -3 COUNTY OF PERRY New Bloomfield, PA 17068 (717) 582-2131 27310 115 LARRY & EVELYN LANTZ 1106 01/08/2008 Vendor Number 27310 Vendor Name Voucher Date Check Number PO Number invoice Amount 0 DEC 07 620 00 ?ilSflh ?3(d e 20 WLCK85111TP CAPITOL TOTAL atglNE/0 I'CAM/,INC. 1717) 771-7272 REORDER FORM 031507 $620.00 PRINTED IN U.S.A. Kelley Blue Book - Private Party Pricing Report - Ford, Escape Page 1 of 2 THE 'RUSTED RESOURCE • BLOW i Se advertisement 2004 Ford Escape XLS Sport Utility 4D BLUE BOOK" PRIVATE PARTY VALUE ??.. Condition Value Excellent $10,260 (Selected) Good $9,560 Fair $8,675 Average Consumer Rating (327 Reviews) Read Reviews 4.5 out of 5 Review This Vehicle Vehicle Highlights Mileage: 51,000 Engine: V6 3.0 Liter Transmission: Automatic Drivetrain: 4WD Selected Equipment Standard Air Conditioning Tilt Wheel Dual Front Air Bags Power Steering AM/FM Stereo Roof Rack Power Windows Cassette Power Door Locks Single Compact Disc Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This -.._-. advertisement - ..-..- gotr • T SignTHEIR Drive Event is b( k. For o l i od i myou can get ony new 2008 VAss mWn mod for pmicticcaly just yoursigncture. Offer ends March 31, 2W8 See Offer Details -40 sign HENd "l - Ever ?t,?t? ?' ?' -l_ , Close Window t---- ??••?•n=. -?.h ?r%rn/uuR/T 1cPc]C.ars/Pricin2Report.aspx?Manufacturerld=15&Yearld=20... 3/10/2008 Kelley Blue Book - Private Party Pricing Report - Ford, Escape Page 2 of 2 value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings +v+i" Excellent (Selected) CCU= $10,260 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Good w' $9,560 • Free of any major defects. • Clean title history, the paints, body, and interior have only minor (if any) blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Fair $8,675 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the paint, body and/or interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor 0 <r N/A • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 3/10/2008 '---- /f- 1.1.i.., m/WRR/ITcP(lC:are/PricinaReport.aspx?Manufacturerld=l5&Yearld=20... 3/10/2008 C-7pitalone auto finance" THIS IS NOT A BILL Important Messages Re AUTO DEBIT REMINDER garding Your Account: Account Summary Capital One Auto Finance makes it easy Account Number 3500024 Loan .Type 1001 to access and update your existing Statement Date 01/05/2008 account wherever you are. Payment Due Date 01/23/2008 Use account services to help you: Past Due Amount $0.00 • Update personal information Current Amount Due $350 64 • View payment history . Late Fees. $0.00 • Update payment date Other Fees- $0.00 , e Get a payoff quote Miscellaneous Fees $0.00 All of these options are available 24 Total Amount Deducted . $350.64 p hours a day, 7 days a week! R Account Balance* $10,388.60 -` Login to your accounts lode at y www.ca italoneautofinance.com -' Your Aocount Baliin'ce contains all aocount activity up to the time this statement was generated. Any account activity that has occurred since this stat th t A emen e is not reflected in ccount Balance above. In order 62obtain an exact payoff amount and instructions for payoff, please call Customer Service toll free at 1-800-946-0332 ; e . Send Additional Payments To: Send Inquiries and Payoffs to: Capit al One Auto Finance. n .. Capital One Auto Finance P. O. BOX 93016 PO Box260848 o Long Beach, CA 90809-3016 Plano, TX 75026-0848 . If you have questions about your account, please call Customer Service at 1-800-946-0332 and provide y ur ac o count number, shown at theaop of this statement. We may monitor and record all contacts with o t y u assure quality service. o e important disclosures on reverse side T ACCOUNT RECEIPT. KEEP THIS AS A RECORD OF YOUR AUTOMATIC PAYMENT. I Kelley Blue Book - Private Party Pricing Report - Mercedes-Benz, CLK-Class 2002 Mercedes-Benz CLK-Class CLK320 Coupe 2D BLUE BtlW PRIVATE. PARTY VALUE Condition Value Excellent $17,455 Good $16,435 (Selected) Fair $15,160 Average Consumer Rating (55 Reviews) Read Reviews 4.5 out of 5 Review This Vehicle Vehicle Highlights Mileage: 50,000 Engine: V6 3.2 Liter Transmission: Automatic Drivetrain: RWD Selected Equipment Standard Slip Control Air Conditioning Power Steering Power Windows Power Door Locks Telescoping Wheel Optional Single Compact Disc Cruise Control AM/FM Stereo Cassette Bose Premium Sound Dual Front Air Bags Front Side Air Bags ABS (4-Wheel) Traction Control Leather Dual Power Seats Moon Roof Alloy Wheels Page 1 of 2 advertisement ---- ,_,_L ....., /Vl:)uRT,-AP,,r,,/Prir-i„QuP„nrt asnX?Manufacturerld=31&Yearld=20... 3/10/2008 THE TRUSTED t( RCE sE advertisement Close Window . Kelley Blue Book - Private Party Pricing Report - Mercedes-Benz, CLK-Class Page 2 of 2 Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. Vehicle Condition Ratings Excellent - $17,455 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. -ol'i" Good (Selected) Coco $16,435 • Free of any major defects. • Clean title history, the paints, body, and interior have only minor (if any) blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Fair t $15,160 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the paint, body and/or interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor N/A • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 3/10/2008 1.+M.•//\1MMAT 1<h1i r.nm/KRRA JsedCars/PricinRReport.aspx?Man'ufacturerld=31&Yearld=20... 3/10/2008 • Kelley Blue Book - Private Party Pricing Report - Chevrolet, Monte Carlo Page 1 of 1 '-µ -• ??--?- -•• 1,1.1, ??-??rrRRR rcP.ir nrq/Prir.inuRenert.asnx?Manufacturerld=9&Yearld=199... 3/10/2008 CHASE ! i UNDELIVERABLE MAIL ONLY - CAF P.O. BOX 78067 PHOENIX, AZ 85062-8067 00046713 ALS Z135607-100000011000 LAWRENCE G LANTZ EVELYNLANTZ 10 THYME CT MECHANICSBURG, PA 17050-3199 November 23, 2007 through December 23, 2007 Loan Account: 10610111330605 Customer Service Information Visit our Website. www.Chase.com I Payment by Phone: 1-800-346-9127 Account Information: 1-800-336-6675 Hearing Impaired: 1-800-524.9765 Loan Information Summary Current Interest Rate 8.99% Principal Balance as of 12-23-07 $24,095.80 Current Payment Amount $560.91 Amount Past Due $0.00 Total Fees and Charges Total Payment Due on 01-11-08 $6661,J PD e4, 0'57 ?rtunities To You ,/*/dM Chase Presents The Fol Page 1 of 2 Since Your Last Statement n Welcome to the network of quality products and services for Chase Auto Finance 6??? customers. To see how we can help protect you from the unexpected, call 1-800-336-6675 and ask about Chase Payment Assurance. Manage your account online anytime at www.Chase.com If you can't make your auto loan payment because of certain life events, Check out your new Chase auto loan statement! We've revised your you don't have to worry - if you have Chase Payment Assurance.-Simply- - - monthly statement to make it easier to read. You loan summary can - - call 1-800-336-6675 to learn how we can help prepare you for the now be found just below the contact information in the top right unexpected. Some restrictions apply. comer of the statement. Plus, we've added more room to provide you with offers from our network of quality products and services. Enjoy! Important Messages About Your Account • For a current payoff quote, please visit our website at www.Chase.com. See reverse of statement for important information pertaining to your loan. Kelley Blue Book - Private Party Pricing Report - Chevrolet, Camaro Page 1 of 2 IWIWAW THE TRUS71D RESOURCE advertisement 1995 Chevrolet Camaro Coupe 2D BLUE BOOK41 PRIVATE PARTY VALUE Condition Excellent 4,1 Good (Selected) Fair Average Consumer Rating (321 Reviews) 4.7 out of 5 Vehicle Highlights Mileage: 120,000 Engine: V6 3.4 Liter Transmission: Automatic Drivetrain: RWD Selected Equipment Standard Value $3,575 $3,175 $2,675 Read Reviews Review This Vehicle Air Conditioning AM/FM Stereo Power Steering Dual Front Air Bags Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle donation purposes. se advertisement - L ? ??•=?=n=. -i.>, ?...,,/KRR/T 1cPci(".ars/PricinizReport.aspx?Manufacturerld=9&Yearld=199... 3/10/2008 -.11-1 advertisement _.... _.. I Kelley Blue Book - Private Party Pricing Report - Chevrolet, Canaro Page 2 of 2 Close's Cpndjtion Ratings xce en 0 $3,575 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust. • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. *?O Good (Selected) i% $3,175 • Free of any major defects. • Clean title history, the paints, body, and interior have only minor (if any) blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Fair $2,675 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the paint, body and/or interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor N/A • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly. A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 3/10/2008 httn• //www.khh.con/KBB/UsedCarslPricingReport.aspx?Manufacturerld=9&Yearld=199 3/10/2008 Kelley Blue Book - Private Party Pricing Report - Chevrolet, Monte Carlo Condition Excellent *0 Good (Selected) Fair Average Consumer Rating (83 Reviews) Value $3,050 $2,700 $2,250 Read Reviews 4? < 4.3 out of 5 Review This Vehicle IWIIY B THE TRUSTED RESOURCE advertisement 1998 Chevrolet Monte Carlo LS Coupe 2D BLUE BOOK" PRIVATE PARTY VALUE Vehicle Highlights Mileage: 100,000 Engine: V6 3.1 Liter Transmission: Automatic Drivetrain: FWD Selected Equipment Standard Air Conditioning Power Door Locks Cassette Power Steering Tilt Wheel Dual Front Air Bags Power Windows AM/FM Stereo ABS (4-Wheel) Page 1 of 2 104- Se advertisement -- Blue Book Private Party Value Private Party Value is what a buyer can expect to pay when buying a used car from a private party. The Private Party Value assumes the vehicle is sold "As Is" and carries no warranty (other than the continuing factory warranty). The final sale price may vary depending on the vehicle's actual condition and local market conditions. This value may also be used to derive Fair Market Value for insurance and vehicle ,,++... Ii.,,,,, - Irl,l, ,•„m/KRR/T Tcec1C'ars/PricinsReport.aspx?Manufacturerld=9&Yearld=199... 3/12/2008 -------..-_. advertisement - - .. • Kelley Blue Book - Private Party Pricing Report - Chevrolet, Monte Carlo Page 2 of 2 Close nn ow Bona ion purposes. Vehicle Condition Ratings Excellent LVLN= $3,050 • Looks new, is in excellent mechanical condition and needs no reconditioning. • Never had any paint or body work and is free of rust, • Clean title history and will pass a smog and safety inspection. • Engine compartment is clean, with no fluid leaks and is free of any wear or visible defects. • Complete and verifiable service records. Less than 5% of all used vehicles fall into this category. Good (Selected) $2,700 • Free of any major defects. • Clean title history, the paints, body, and interior have only minor (if any) blemishes, and there are no major mechanical problems. • Little or no rust on this vehicle. • Tires match and have substantial tread wear left. • A "good" vehicle will need some reconditioning to be sold at retail. Most consumer owned vehicles fall into this category. Fair x $2,250 • Some mechanical or cosmetic defects and needs servicing but is still in reasonable running condition. • Clean title history, the paint, body and/or interior need work performed by a professional. • Tires may need to be replaced. • There may be some repairable rust damage. Poor r N/A • Severe mechanical and/or cosmetic defects and is in poor running condition. • May have problems that cannot be readily fixed such as a damaged frame or a rusted-through body. • Branded title (salvage, flood, etc.) or unsubstantiated mileage. Kelley Blue Book does not attempt to report a value on a "poor" vehicle because the value of these vehicles varies greatly, A vehicle in poor condition may require an independent appraisal to determine its value. * Pennsylvania 3/12/2008 httn • //www. khh. com/KBB/UsedCars/PricingReport. aspx?Manufacturerld=9&Yearl d=199... 3/12/2008 Nadonal4iiy. PO Box 856153 Louisville KY 40285.6153 The address noted above is a payment-processing center only. To mail correspondence or request payoff information, please contact customer service at 800-352-0186. 52113 0006807-002 'lllltlllll111?1111111111IIII111111111111111111111111111111111 LAWRENCE G LANTZ 10 THYME CT MECHANICSBURG PA 17050-3199 fill llhIIfill 1r11thllnn11llInfill lultIllln1116r11lllll Installment Loan Statement Including Activity Through: December 19, 2007 Total Due Summary Payment Due: $279.02 Past Due Payments: - due immediately --- $.00 Minimum Amount Due: $279.02 Due Date: 01/07/08 Total Late Fees Owed: $ oO Total Other Fees Owed: $ . oo Total Payment and Fees: $279 02 Ending Principal Balance* . $1,349.55 'This is NOT your payoff amount. Loan Account Number: 46-987-5734224500 Payments Remaining: 5 Transaction Detail Date Description Total 12/10/07 Payment 2-79.02 /b Ck-19 os?' L b n Principal Only Payments - Any branch can process this transaction. Or send your payment and written instructions to the following address. Please include your name and account number. National Citv. P. 0- Box 5570 I nn 71x17 Cla..eh.,d (lu A A 4 n4 nc?n ..,1. We u,vucpn anvur consouaanna vourmonth/v biiis? If so, National City can help you save money and time. We have a wide range of product offerings, including unsecured and mortgagee-secured loans and lines of credit. To discuss your options with a National City Loan Specialist, simply stop by your nearest National City office, call 1-800-347-LOAN (5626), or visit us at NationalCity.com. Equal Housing Lender. DE-009 FINANCE Previous Balance Payments & Credits CHARGE Transactions New Balance Minimum Payment Due Date $- $40.00 + $7.80 ^` + C'µ°$356.63. _ $1,492.24 $42.00 =30, Sep, 06, 2007, - Oct. 05, 2007 Page 1 of 1 PLEASE PAY AT LEAST THIS AMOUNT MasterCard Platinum Account Rewards Summary 5178.0525.0955.9219 11 Previous available balance: - 1,654 IVOHal* Earned this period: 356 Your Account Information REWARDS (reneol$ transactions posted during this billing cycle) TOTAL CREDIT LINE $2,000.00 Available Balance: 2,010 TOTAL AVAILABLE CREDIT $587.76 payments Credits & Adjustments CREDIT LINE FOR CASH $1,000.00 AVAILABLE CREDIT FOR CASH $587.76 , 1 01 OCT CAPITAL ONE ONLINE ACH PA YMENT $40.00- Finance Charges (Please see reverse for important Information) Transactions Balance rate Periodic 'Comesporiding FINANCE 2 ` 06 SEP CIRCUIT CITY SS #3120 MECHANICSBURG PA 3 $74.19 applied to rate APR CHARGE 07 SEP LA FITNESS 8005234853 CA $34.99 Purchases $1,358.52 0.01915% 6.99% $7 80 - +4- 07 SEP- LAfITNESS-0005234863 CA _ . _ $34.99 . Cash $0.00 0.05425% 19.60°4 $0 00 5 10 SEP LA FITNESS 8005234863 CA $34.99 . ANNUAL PERCENTAGE RATE applied this period: 6.99% 6 10 SEP LA FITNESS 8005234863 CA 7 21 SEP DUTY'S LOCK SAFE & SEC CAMPHILL PA $34.99 $142.48 At Your Service 1.800.955.7070 To cap Customer Relations or to report a lost or stolen card: ® Send payments to: Capital One Bank • P.O. Box 70884 Charlotte, NC 28272-0884 A Send Inquiries to: Capital One - P.O. Box 30285 • Sall Lake City, UT 84130-0285 For more Information on your Rewards: Visit: www.capilalone.comlpointsrewards Cali 1-800-228-3001 ® Have a question about a charge on your statement? Please refer to the Billing Rights Summary on the back of your statement orvisit www capitalone, com/dispulles Capital One Home Loans offers a variety of no hassle home loan products, including first mortgages, refinance and debt consolidation loans, as well as home equity loans and lines of credit. Our team of experienced professionals understands that your situation Is unique so your loan solution should be too. You'll have the one-on-one attention 0 - the same personal loan consultant from call to close, Visit www.capitalonehomeloaris,com for more information. Capital One is an Equal Housing Lender. 6056 0051 506 1 '07 5' 071005 PAGE I of 1 COLR240A OlDN6056 87443 PLEASE RETURN PORTION BELOW WITH PAYMENT OR LOG ON TO WWW.CAPITALONE.COM TO MAKE YOUR PAYMENT ONLINE NNNN-NNNN-NNNN-NNYN 214072190000420001 Citi Cards 360° offers a variety of safeguards and services. • Firm Deal • Due Date Options • Citi® Identity Theft Solutions • Fraud Early Warning • Alerting Service • Use Credit Wisely Website PMV03010807 ???i?N?wrmi?rim Access your account online: citicards.com Account Member LAWRENCE LANTZ Account Number 54241807 83331314 How to Reach Us ? ' a 1-800-633-7367 Customer Service BOX 6500 SIOUX FALLS, SD 57117 ThankYous" Points Po1rts transferred to your i o T b ?? F?l# kYou' hankY u Mem er Account; , - Full details can be found in the ThanMu points Surnmar}r section of this statement. At a Glance i Previous Amount over past- Finance Total Now Balance Credit une Due Charges Balance $4,031.24 $0;00' $0.00 $28.20 $3,984.44 Payments, Credits Sale Post 07/31 Standard Purchases CLICK-T,O-PAY PAYMENT, THANK YOU Sale Post Description 08/07 PURCHASESVINANCE CHARGE*PERIODIC RATE Categorized Purchase Activlty Alr Travel Auto Rental ; `Entertainment Health Care Lodging 0.00 0.00 0.00 0.00 0.00 hlerchanl?ise ,. 0.00 Miscellaneous Organizations Other Travel Restaurants Services', V_ ehkle Servkes 0.00 0.00 0.00 0.00 0.00 0.00 Previous Balance (4) Purchases $, Advances (•) Payments i Cnd is 0 FINANCE CHARGE I=) New Balance Purchases 4,031.24 0.00 75.00 28.20 3,984.44 Advances 0.00 0.00 0.00 0.00 0.00 Total 4,031.24 0.00 75.00 28.20 3,984.44 ,..e 6092 0749 105 tsj. rota DETACH HERE ' 2 7 25 070924 PACE 1 of 1 COLR294D N000 DIAD6092 30075967 Important Messages "Visase review and keep both the enclosed Privacy Policy and the important Notice(s) of Changes to your Account AW9wnmL*** DEFAULT APR: Your Default APR may vary with the Prime Rate. Your Default APR is 31.99% or the Prime Rate plus 23.74%, whichever is greater (as of July 20(Y7,31.99% ANNUAL PERCENTAGE RATE; 0.0876% corresponding daily periodic rate). Overwhelmed back to school expenses? Cash can be ours using oheoks to access your cretit line. FOR BILLING ERRORS AND IMPORTANT INFORMATION, SEE REVERSE OF PAGE 1. Balance Category Average Daily Periodic Correspondi ng Finance Grace Daily Balance Rate APR Charges Teens Purchase - Current Cycle $1,136.20 .0424%* 15.49%* $14.93 Term A Cash - Current Cycle $0.00 .0644%* 23.49%* #0.00 Terre B Eftctive ANNUAL PERCENTAGE RATE (AP R): 15.76% - "These rates may vary. The Conespmftg APR Is the rate of Interest you pay when you oany a balance on purchases or cash advances. The Ef adve APR rep to your total finance charges - including transaction fees such as cash advance and balance transfer fees - e>grroeeed as a parosrrhpe. For 24-hour Autoinated Account hda mathm, please call 14NWW 02-WAMU(9M) or visit us at www.warnucands.com Your account Is lowed by Washington Mutual Bank, Henderson, NV. CHECK TERMS AND CONDITIONS: When you use thin oheol ft we will charge a Cash Advance fee of 3% of the amount of the advance ($10 minimum), which Is a FINANCE CHARGE. To use this chadk(s), your aamurd mud be current and have enough avaftle crack. Your available credit may be leas if recently your credit lire was lowered or a payrrwd was returned. This ahedk(s) mid be used by 1 1 /1 5 1117 and cant be used to pay any Washington Mutual account. Retuned creak fee: $29. Overlimit fee. $W. Finance charges aowus from the date each ohedk Is preserded to us. N you are currently receiving a promotional APR for Cash Advances, this APR will apply to this cheddh) for the rest of" promotional period. After that (or if you are not nw&V ng a promotional APR), you non-IMrodudwy APR for Cash Advances under you Account Agreement vA ap ft may vary, and in currently 23.48%. For Us offer, the Cash Advance fee will be added to the Purohass Balance and be subject to your APR for Purchases. Opening/Closing Date: 08126/07 - 09125107 10/20/07 t;Uu, uj„jc-, 1-800-946 e- S In U CHAS O Payment Due Date: Minimum Payment Due. $87.00 . . Espanol 1-888-446-33. TDD 1-800-955-8060' Pay by phone 1-800-436-7958 Outside U.S. call collect 1-302-594-8200 VISA ACCOUNT SUMMARY Account Number: 42,66 8410 7872 0768 ACCOUNT INQUIRIES Previous Balance $4,455.10 Total Credit Line -$100.00 Available Credit $7 '500 $3,110 P.O. Box 15296 Wilmington, DE 19850-5298 Payment, Credits Finance Charges +$33.97 Cash Access Line Available for Cash $1,500 $1,500 PAYMENT ADDRESS New Balance P.O. Box 15153 Wilmington, DE 19886-5153 VISIT US AT: www.chase.com/c reditcards CHASE: FREEDOM.R_EWARDS SUMMARY Previous Month's Balance Rewards Redeemed this Period Current Rewards Total LOZ IZOYr W •seopuas Jo A1JSdoJd alp JOl;uewSSAJOApe etp noA pei!ew em;! Jo 'lumplew Gyi e1BJado Jo umo am;! A!dde IOU op suopel!w!I asayl 'SSOJPPe Bug!ew JnoA 10 SO" 001 U!yluA Jo alels awoy JnoA ui spew sera osetpJnd etll PUB 09$ ueyl ejow sem Gaud asetpJnd otp uatlm Riuo uoiloalad s!yi aAey noA •soo!AJes Jo spooB ail uo enp junowe 8iµ Bu!u!eweJ atp Aed of aney IOU Raw noA 'IueyoJaw ail yl!m welqojd laaJUoo of tµ!B; POOB u! peul eABy noA pue '(rloayo a LW spew sesetlaind 6u!pnpxa) pied 1!paJo a tµuM paseyoJn d noA lm se3wes Jo spoo6;o R;!lenb Big 41!m wSlgoJd a aney noA ;I :sesegared We3 APoj3 mi elea Ismilg ma30 01 pa!npegos si 1 awAed ogawolne eyl aJo;eq skp sseuisnq eaJtµ Iseel le sn yOeSJ isnw (lu, welels sq u umoqs 8µ8l o non s'juaujAed uoq al ail S 1 Pol 96 o8M JagwowpJe3 e1µ 6u!sn) B J s! 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Z - p i `o a Q?- a g ma3 m¢ ad 0F-! i coo 088 ag - m O io l m m "a cm U = O S E O C m ? mp 15a m E. 4) C, 0 to T w A m ? U C ? m E .?m. 3 ¢ Z C 0 ml 0 m F rn C m :C9, ao 0 p ? O O N co T U G ? C m its $ I N N .. N - . . x c$ CD So o ? o 13 F - z OU < wQQ NYe0 = m U QOOF w ?wF"w ¢ J = O°a~ 0 0- -Z >:zaQ JQ}L7j Q Z m 01 U-5 ww N ¢Q w ui? U J w a: F w2?Q LJJ >- °¢aQz wmo? m?Ca LLJ aw ag D } wa Cl) J J aF Z m Z O 2 J U? Lu m } = Q wU oQ 00 Q? C Q az b0 w o6 2p mz rn n z N 0 r F J Z w U? va 5; ul w F-- U) 0 CO =U CL to >-p } lr QO aw U Hw 3: (n } w° =O 028 COO 0 w U Z r J U ¢O _ a: °C a OLL FW UZ M LL w QQ 0 Zz j ooo: Jz ?O w m mo= °? ?°, ?° zQ F ?888E8 m z Z ? p za R2 F ao o ?c 0 ° cc UO iUp U= C!Q wit .. mzWao QQ Jw zir • N W CC - C jr c W WM Ow mF O} ........................... .................. ............. t....+..+ + -+.............. ................ m...y .... N N W m a ...... U ..._- O F z > Z N mr • aZw wF }F- T CDC. U) DU ?Om Zj ?•. - `m' - ? ? - Uz w? U g DO a V w LL w mQ W a r N 0 W w r c o C C o¢ m ? > - 8 C ID W LL cc J C H O U m Q C m Y C° W w 'B U C U. U F p F CC C) -OU C O m C ,. o ?6 • C O R OUm m Om 0> y cc N rFf m >ad¢ E ° 30 Qcdg m uU; yaro? T.4 Er?10 o m U m¢ $ t", Lu 3 m m m o a¢' WQrma ca m a a?laaUaait z am v Ua-« 1 r Bank of America I-I Platinum Plus Credit Limit $10,000 Billing Date 09-02-0" - For Business Cash Limit $10,000 Days in Billing Cycle 3 - e Cardholder Statement Cash Advance Balance Available Credit $0.00 Payment Due Date $8,812 Minimum Payment Due 09-25-0, $24.0: iA 0 LAWRENCE G LANTZ - 0 3609 MARKET ST i Account Number: - ~ 5474 1501 0082 1528 . New Balance $1,187.8( ZV Page 1 of 1 CARDHOLDER ACTIVITY Posting Sale Date Date Category Reference Number Transactions Amount 08-27 08-27 23973400000847000117458 BA ELECTRONIC PAYMENT 30.0008 08-31 08-31 PURCHASE *FINANCE CHARGE* 12.27 Customer Service Finance Char ges Total Annual Perce ntage Rate 11.99% Account Summary 800.673.1044, 24 hours Average Daily Annual Periodic Previous Balance $1,205.53 www.bankofamerica.com Daily Periodic Percentage Finance Payments - $30.00 Balance Rate Rate Charge Credits - $0.00 Outside the U.S. PURCHASES $1,204.70 0.03285% 11.990/0 $12.27 Purchases/Other + $0 00 509.353.6656, 24 hours CASH $0.00 0.06641% 24.240/9 $0.00 Debits/Other Fees . For Lost or Stolen Card: Cash Advances + $0.00 800.673.1044, 24 hours Overlimit Fees + $0.00 Late Payment Fees + $0.00 Finance Charge + $12.27 Send Billing Inquiries to: New Balance = $1,187.80 BANK OF AMERICA PO BOX 15184 WILMINGTON DE 19850-5184 Please seethe reverse side for information about your account. Bankof America Platinum Plus Credit Limit $10,000 Billing Date 09-02-0 For Business Cash Limit $10,000 Days in Billing Cycle 3 Cash Advance Balance $0.00 Payment Due Date 09-25-0 Cardholder Statement Available Credit $6,245 Minimum Payment Due $75.8. N-- 9 o New Balance 53,755.41 a EVELYN T LANTZ 0 3609 MARKET ST -? F Account Number: ?L 5474 1501 0082 1,536 0 Page 1 of i CARDHOLDER ACTIVITY Posting Sale Date Date Category Reference Number Transactions Amount 08-27 08-27 23973400000847000117466 BA ELECTRONIC PAYMENT 80.0008 08-31 08-31 PURCHASE *FINANCE CHARGE* 38.68 80. D 0931u- Customer Service 800.673.1044, 24 hours www.bankofamerica.com Outside the U.S. 509.353.6656, 24 hours For Lost or Stolen Card: 800.673.1044, 24 hours Send Billing Inquiries to: BANK OF AMERICA PO BOX 15184 WILMINGTON DE 19850-5184 Finance Charges Total Annual Percentage Rate .11.99% Account Summary Average Daily Annual Periodic Previous Balance $3,796.78 Daily Periodic Percentage Finance Payments - $80.00 Balance Rate Rate Charge Credits - $0,00 PURCHASES $3,797.45 0.03285% 11.99•/0 $38.68 Purchases/Other + $0,00 CASH $0.00 0.06641% 24.24% $0.00 Debits/Otber Fees Cash Advances + $0,00 Overlimit Fees + $0.00 Late Payment Fees + $0.00 Finance Charge + $38.68 New Balance = $3,755.46 Please see the reverse site for infonnadon about your account. Prepared for. LAWRENCE G LANTZ September 2007 Statement Credit Line: $36.200.00 749 75640 3139 65 Cash or Credit Available: Summary of Transactions = B1111116 4 g Cycle and Payment Information Previous Balance $34,640.47 Days in Billing Cycle 31 Payments and Credits $650.00 - Closing Date., , 09/01/07 Cash Advances + 'W In Purchases and Adjustments + Payment bus bate 09/30/07 Periodic Rate Finance Charges + Transaction Fee Finance Charges + New Balance Total.. t." o Amount 65Q.0Q C.. . Corresponding Annual Balance Subject to Cafe9ory Periodic Rate Percentage Rate Finance Charge Cash Advances _ A. Balance"Transfers, Checks 0.041068% DLY 14.99% $34,285.54 B ATM, Bank 0.041068% DLY 14.99% $0.00 . Purchases 0.0410118% DLY 14.99% $0.00 . Annual Mirnnnf- 0a4- 4- 44,*,-. 93I11;-- 13-A A. .. Bankof America Forlnfm7m ion on.YoUrAccount Visit . www.bankofamerica.com MeilEg me?es to: " BANK OF AMERICA P.O. BOX 15721 WILMINGTON, DE 19888-5721 Mail Balin21nquines to. BANK OF AMERICA P.O. 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V ? 0 datL- PaW MWWt Paid check # DataM and foflov peytnnt Mstruetktnsep rerarse • Make check payable to: Cltl Cards 1542418034917D676 0355500 2141335 0034500 0312 S z Total New Balance: $21.413.35 Minimum Amount Due: Payment Due Date: be Print changes of address, phone number or email below' Account Number: 54241803 9917 0676 • if you provide an emak address, re may use b to cnntxt youn0 Pays ?-pay atamt your account We may also use your emah addreu to se you in enna[lon about pmtlucts a d servkes you midbt find -eful. laea 003257S MC 00 A i EVELYN T LA14TZ PO BOX 841 MECHANICSBURG PA 17055-8841 Js 19111 lies I CITI CARDS P.O. BOX 182564 COLUMBUS. OH 43218-2564 I.1.aI.ell..elel.eelll..l...l.i.l,jeak>.:et..l.l.hl t s? U' a ., Mande yow clwount online. Cock on w Kol11`s,gh " from www.kohis,com. Or Call 1-800-564 tot automated access. Spend $6W or more on your Kohrs Charge from 2/1/2008 -1131/2009 and qualify for exclusive MVC privileges through February 2010. Page 1 of 1 Account 035-6622-548 as of May 26.2001 Your Payment is Due on Jun 26, 2008 Previous Balance S 1,612.13 Total Charges + 25.00 Total Payments 0.00 Total Credits 0.00 FiTwnce Charge + 29.42 New Balance S 1,66655 To Avoid Finance Charge Pay 1,666.55 Minimum Due 72.00 Amount Past Due 311.00 Total Pcwnwt Now Du o 363.00 Transaction Summary of Account 035-6621-548 Totc>i MAY 26 Late fee .......................................................................................................».................................. $25.00 MAY 26 Finance Charge ............................................................................................................................. $29.42 Ne ttave not received the required payments on your 66664A It is important you call us within the next 6 :clays at' 888-T68-5741 to tesoWet this mailer, r Available v L" Credit Type Charge Pwcenlags Pedocbc Rate Balance Charge I 100 N 21.90% 1.43% 2.13 $29A2 Notice: See reverse We for important infonnation. <'7: Quantity greater than 99 Name or Address Change? Account number 035-6622-548 Would you like to receive a-malt sales notification? Dte Date Jun 26, 2006 Check box and write information on reverse side. New Balance $16".66 Total t d paymen now ue 383.00 `` 1 Kohl's Payment Center tail this portion with your payment. PO BOX 2983 MILWAUKEE WI 53201-29133 g 61.Lw11.o1JILo...16dd61rd..L..Ndolodlollul AmountPoid 22796P T1306 131 lodl6..10nur1.LIJ...LL..IUL.ddo.d6rlladoll EVELYN T LANTZ 136 COLLEGE HILL RD NOTE: Do awn mcaih.gaoa k ENOLA PA 17025-2109 PLEASE MAKE CHECK PAYABLE IN U.S. DOLLARS 0000800 035662254652 0038300 0166655T 1 R ibi Ma po BOX 18204 BRIDGEPORT, CT 06601-3204 14800-7474156 Il.lflliiltl/Illiiitlltl?iltl/flit.lill.lllilll.ti.lltlftltlfl CR& 4 'SERVICES PROV 8102440 2010 Illl1tt1111lilfelltflllltflflflllfllllfllllf/flfllliifflflflll 1383 1 MB .360 04-111228-6053-ROYL-033-7.006 Iifllflfliitiltlffllttf.tilffllfltiifll.llilltfilliitl.ll1ii11 stP0001363 ti tltlilllllfitiflliftlllliflltlitf/lllffl.it1111tff11f11 loll Account Ilwrlber 5W 14ol UM6612 .6 No New BaWnee NOW DUE DUE Payment Due Date $IAKM L%n mrxn Amount Due Past Due AM041 t Total Erobsed 1.... i C heck for change of address. Complete new address on reverse. 0540107686912 000109250 000462252 . -- -- - - -- bCreditcareServices. .... - - ...... .. -..-oeWdr Here, gift this top portion and your payment shouie he irKdueed in the erneiope. Me" vox che& peVahoa Account Number: 55451401 0766 5912 CUSTOMCASH MASTEWARD PLATINUM Biabg Period: 0312108 - 04111/08 peyt Total Available Cash Advance Avallabie Cash aoces Closing Date MirwPaymentriu t Due Due Daft CredN Limn crew edo limit $0 0411108 N1.0.92.50 NOW DUE you Ore entire New Olertoe by are Payment Dee Dare Ior every billing cycle. This grace period to nance Balan cce e Transfers, sanssferrs, . Cash Cash Advances ifPay OF Previous Balance. See We boa of your statement for derails about Vow -GRACE 011 Rwdu- PERIOD". trcan ot avoid apply finance does you BALANCE SUMMARY previous Balance N 4,533.89 0.00 payrnents and Credits Cash Advances + 0.00 00 0 Purchases and Other Charges + . Total FRHANCE CHARGES + 88.69 New Balance N 4,622.52 YOUR ACCOUNT IS $958.87 PAST DUE. THIS IS YOUR LAST OPPORTUNITY TO CALL US AT TANCE PLAN OPTIONS AND TO AVOID A CHANCE 14300-747-8155 TO DISCUSS YOUR PAYMENT ASSIS FOR MORE PAYMENT OPTIONS? VISIT US AT OF LEGAL COLLECTIONS. LOOKING FREE ONLINE PAYMENTS OR EXPLORE PAYMENT WWW.RBSNBPAYASSIST.COM TO MAKE ASSISTANCE PLANS. CUSTOMCASH REWARDS SUMMARY every time you use your CustomCash ber 00 Prior Cuslomcash Balance + , 0 Remem you earn 3% cash back in the highest 00 MasterCard 0 Cuslomcesh Earned This Month (3%) + , . 00 merchant category in which you spend the most each 0 CuslomCash Earned This Month 0%) = . 0.00 month and I% cash back on all your other purchases. CuatornCash Total CustomCash Redeemed and Paid to You This Month 0.00 *=3% ?=1% Total CusfonCash Remaining = 0.00 ACCOUNT ACTIVITY _ Transaction Description Reward Level Amount Trans Date Post Date Refergnce Number PURCHASES AND OTHER CHARGES PlIRG41?SE FM41114CE CHARGE 5.08 0411 041 t PURCHASE FINANCE CHARGE 83.55 0411 04111 Account Nurntllbt; 5,5451 1 07686912 page 1 of 4 f? T3 ?- CA tv -< Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 telephone (717) 540-5481 facsimile cboyanowski@ssbc-law.com Attorney for Plaintiff, Evelyn Teresa Lantz EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW NO. 07-5525 CIVIL TERM IN DIVORCE INCOME AND EXPENSE STATEMENT UNDER RULE 1920.31 I hereby file the Statement of Income and Expenses required under Rule 1920.31 and verify that the information therein contained is 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.A. §4904, relating to unworn falsification to authorities. 9 XJ -, b-?s 0? Date: By: Evelyn T. Lantz, Plaintiff ? t INCOME AND EXPENSE STATEMENT OF EVELYN TERESA LANTZ INCOME Employer: Dr. H. Douglas Cluck, DMD Address: 1106 Carlisle Road Camp Hill, PA 17011 Type of Work: Office Manager Pay Period: Weekly Gross Pay Per Pay Period: $600.00 ($15.00 per hour x 40 hours) Itemized Payroll Deductions: Federal Withholding $ 20.50 Social Security $ 37.20 Local Wage Tax $ 6.00 State Income Tax $ 16.80 Medicare $ 8.70 PA UI $ .12 Child Support $259.73 Net Pay Per Pay Period $250.95 OTHER INCOME: None. TOTAL MONTHLY INCOME: $1,087.45 EXPENSES MONTHLY HOME: Rent Renter's Insurance Utilities: Electric Cellular Telephone EMPLOYMENT: Lunch AUTOMOBILES: Payments Fuel Repairs Insurance MEDICAL: Doctor Medicine PERSONAL: Clothing Food Barber/Hairdresser $625.00 $7.67 $150.00 $200.00 $100.00 $355.00 $180.00 $50.00 $59.00 $15.00 $20.00 $50.00 $400.00 $20.00 Credit Card $500.00 Toiletries/Make-up $50.00 MISCELLANEOUS: Newspaper/Magazines $15.00 Entertainment $50.00 Gifts $25.00 Legal Fees $100.00 Pet Supplies $20.00 TOTAL MONTHLY EXPENSES $2991.67 '?, ?'_ ?, ??. ?,, `? .?. S m AI a j DATE TO-THE ORDER OF CHECK NUMBER NET AMOUNT DESCRI ? C l C?4,?o? Sts?OpOr? r' ?c aS"9 -73 i t } i 1 CHECK NET DATE TOT ORDER OF i , , : : NUMBER AMOUNT 4 i nesc PTWIO ¦ LGL2 0411312006 12:02 PM . 01 U Label (See instructions on page 12.) UsethefRS label. Otherwise, please print or type. Presidential Election Can L A B E L Depa t-g of the Tresw i- Wemal Revemw.Servioe For the year Jan. 1-Dec. 31, 2007. or corer tax per bookwirg .2007 Your first name and in" Last name Use 20 I MEVELYN Ts am name and loco I rLaw rierm& j%w7 H Home address (number and sheet), If you have a Pi-0- boor, see papa 12. E 10 THYME COURT R E ; Ity, town or post eltoe, state. and ZIP code. V you have a foreign address, see page 12. Apt. no. 9a -------- =n +..v?ra - dean- your tax or refund. 1 ? Check here 4 you. Or your spouse tf filing jointly, want $3 to go to this fund (see page 12) ? . You n sacra Filing Status Check only 1 Single 2 Married ?n91oMAY (even it oNy one had irrcomne 4 the quetfyn9 pbraon is a o1tYd not VOW e this dad's m mm here 3 Married iTmt separately. Eller epoctse's SSN above 5 a Quaff y vrid."m %0 dependent d0d (see page 14) and h/ name hare. 1 6a Yourself tf someone can claim your as a dependent, do not dnedt box 6a on etch 2 Exemptions b Spouse .......... -10 anDORM c If more than four dependents, see page 15. Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2, see page 19. Enclose, but do not allach, any payment. Also, please use Form 1040-V. d 7 8a b 9a b 10 11 12 13 14 15a 16a 17 18 19 20a 21 23 Adjusted 24 Gross Income 25 26 27 28 29 30 31a 32 33 34 35 36 37 For Disclosure, 1364M DAA Dependents: (2) DependoWs (3) DependoWs (4) . e dew 1 Frst rurne Last narrre social security ncrrcber relationship b wd ."me REBECCA L LANTZ- 209-74-648 CHILD VICTORIA M LANTZ :' 178-78-424 CHILD DUSTIN B LANTZ 172-74-891 CHILD Total soother of Pvmnr ai- Wages. salaries, tips. air. Attach Form(s) W-2 .... . .. Taxable interest. Attach Schedule B if ....... ...... ............... . . Tax-exempt interest. Do not include on fine 8a ........................... ( 8b Ordinary dividends. Attach Schedule B if required .......... Queified dividends (see page 19) . . . . . ... .......... . . . ... ... . 9b Taxable refunds. credits, or offsets of state and local income fazes see ( page 20) .......... Alimony received ...... ........................ Business wxxxne or (loss). Attach Schedule 'C or C-EZ.......... . /r.??.?,........... Capital gain or (10"). Attach Sdwdtdo D if regcrirW. M not rat! 'red, dwrx hue O ............................. ? I 1 ther gains or (losses). Attach Form 4797 LJ IRA distributions . . . . . . b Taxable amount (see page 21) Pensions and amtities 1 b Taxable amount (see page 22) Rental real estate, royalties, Partnerships.-S corporations. trusts. etc. Attach Schedule E Farm kxxmte or (loss). Attach Schedule F - ........... Unemployment compensation Social security benefits . 20a - ..... ... . b Ta bl ..... Oth i xa e amount (see page 24) j er ncome. List type and amocmt (see page 24) PRIOR YEAR NOL ._ .. ........ Add the amounts in the far ' column for lines Z 21. Ttds is total income ? Educator expenses (see page 26) Certain business - .' expenses of reservists, perfomntngartists. and 23 fee-basis government officials. Attach Form 2106 or 2106-EZ 24 Health savings account deduction. Attach form 8889 25 Moving expenses. Attach Form 3903 ... One-half of self-employment tax. Attach Sdiedide SE . . . . . . . . . . . . 26 -T - Self-employed SEP, SMAPLE, and qualified plans ....... y ............... . Self b 28 -em p yed health insurance deduction (see page 26) 29 .......... Penalty on early wi8ndrawal of savings ............. 30 211 ..... . Alimony paid b Recgx ' " eM's SSN ? 31a IRA deduction (see page 27) Student ban interest deduction see ( Page 30) 1 32 33 Tuition and fees deduction. Attach Form-11917 Domestic production activities deduction. Attach Form 8903 ..... 34 35 Add lines 23 through 31a and 32 ducxgh 35 : .... . Subtract line 39 rrorrn lone 22. This a . .. . . .. . . . is u Sted . . . . . .... Act, and Pa perwork Reduction Act Notice, see • _ Page 83. . . . ............ . OMB No. 1545.0074 Yo social Security rNNntrer 12tr9-52-0468 Spouse's social aWA"y reenter 124-50-1131 O You must enter Your SSN(s) above. 13 Cheddng a box below wit not e in this mace- No. or chtdten on sc who: . eved wtt, you 3 • 6d not eve vdtr you duo lo 40vome orsependan (sae page is) DtMrra«ds on 6c am, ' ered abs., AW numbers n Ihta stow o+ F51 12,027 -1 99 211 % 14,978 Form I (?? (2007) Form 21ao ((200) U: ENCE G & EVELYN T LANTZ Tax 38 Amount from One 37 (adjusted gross income) . . .................. . an 39a Check I 8 You were bom before January 2, 1943, HBkW. Total boxes Credits if. l Spouse was bom before January 2,1943 , Bend. checked ? 39a Standard b a yaw spmm aena: n an a seperao rearm or you vim a duet-atoxa aim sae paps 31 and deck ham Deduction ? 39b for- 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 41 Subtract line 40 from rune 38 ........... . who • .................... . . . . . . . . . . chedc?ed any 42 if line 36 is $117,300 or less. muW* $3,400 by the lolpl lumbar of - - . ....... . cla .....pt... ..... fiche . ..... . boot on line sd, tf line 38 is over $117,300, we Ilve rroriciheat on page 33 .... 39a or 39b or 43 Taxable Income. Subtract fine 42 tram ire 41. tie 42 is more than bw 41. ceder 4). .......an. .................... . who can be claimed as a 44 Tax (see page 33). Check if any tax is from: a ? Form(s) 8814 b Form 4972 dependent. c ? Form(s) 8888 see page 31. 45 Alternative minimum tax (see page 36). Attach Form 6251 • AN others: 46 Add lines 44 and 45 .... .... ... ..... .. . SkiWe or ................................ = Married n9 47 Credit for chid and dependent care expenses. Attach Form 2441 47 $5,350 48 Credit for the elderly or the disabled. Attach Schedule R 48 ........... 49 Education credits. Attach Form 8863 Married filing ............... ........... 49 jointly or 50 Residential energy credits. Attach Form 5695 5o 1 •, ........... ?wying 51 Foreign tax credit. Attach Form 1116 if required 51 $10,700 52 Child tax credit (see page 39). Attach Form 8901 if required 52 Head of 53 Retirement savings contributions credit. Attach Form 8880 53 household, 54 Credits from: a Q Form 8396 b 11 $7,850 Form 8959 c ? Farm 8839 54 55 Other credits: a ? Form 3800 b ? Form 8801 c ? Form 55 ....................... 56 Add lines 47 through 55. These are your total credits 57 Subtract fine 56 from rule 46. If fine 56 is more than line 46, enter -0...... ..... . ................. . Other 58 Self-employment tax. Attach schedule SE 59 Unreported social or Taxes security and tax borne a ? Fonn 4137 b ? Form 8919 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 H required NO 61 Advance earned income credit Payments from Form(s) W-2, box 9 62 Household employment taxes. Attach Schedule H ........................................ 63 Add fines 57 through 62. This is your total tax 64 Federal income tax withheld from Forms W-2 and 1099 Pa ments 65 2007 estimated tax .. - . e payments and amount applied from 2006 return tj5 t you have a 66a Earned income credit (EIC) 4.050 ..... ...................... 668 q? election . .. . chid, attach b Nontaxable combat pay ? 66b Sdhedhre EIC. 67 Excess social secrecy and tier 1 RRTA tax withheld (see page 59) 67 68 Additional child tax credit. Attach Form 8812 68 69 Amount paid with request for extension to fie (see page 59) 69 70 Pa ymethts from: a Form 2439 b ? Form 4136 c ? Form 8885 70 71 Refundable credit for prior year n**num tax from Form 8801, fine 27 71 2 Add Ines 64, 65, 66a, and 67 two ugh 71. These are ymw total payments ........ . Refund 73 If One 72 is more than fine 63, subtract line 63 from fine 72. This is the amount you overpaid Direct deposit? 74a Amount of fine 73 - . - - You want nafturulect to you.- If Form 8888 is attached, elect there ... ? ? See page 59 ? b Routing number and III in 74b, X ???_? c T ? Checking ? Savings 74c, and 74d, ? d Account number or Form 66x6. 75 Amount of Nne 73 you warn applied to our 2008 estimated tax ? 75 Amount 76 Amount you owe. Subtract fine 72 from ine 63. For details on how to pay, see page 60 You OWe 77 Feti-tod -- ---- -- 129-52-0468 Pa ; 3a 14,978 to 10,700 41 4,278 42 17,000 44 0 0 747 ???7 72 4,050 73 3 303 74a 3,303 76 Third Pa You want to allow another person to discuss this return with the IRS (see page 61)? Yes. Complete the fopowira, No Designee Designee's Personal identification number (PIN) ? t(-?-"?? name Sign under ?str«ue at. Istill 11!1:! ? 11111g,1111111! 111 11 11101iiiii and mp?le e. Dacia ji ere redxrt and accompatf .1v .ch.atas and statements anPhone d to the best or bellet. Here Your signature Pre Parer (other than taxpa on all information of which preparer h s 111:11'11111111;i;?j; -WW j . Date Your occupation y Daytime phone number Joint See page 13.' , tL-YO'rcoPy Spouse's signature. t a joint return. both must sign. Date Spouse's occupation Paid signature 9natwe .iC,?G6wG P IF r II Preparer's Finn's name (« MORROW Use Only yours if sei-employed), , PO BOX address, and ZIP code 1MMUT Inv, DAA Dale Check 4/13/08 se ff-empd PA 17068 PreParer's SSN or PTIN a 7-2-f/52--14748/0134 EIN 33 Phone no. 717 582-2211 Form 1040 (2007) LGL2 04113/2006 10:37 AM SCHEDULE C (Form 10%0) 1 .Wirrial Reve ueSenice Name of proprie1w Profit or Loss From Business (Sole Proprietorship) ? Partnerships, joint ventures, eta., must file Form 1066 or Form 10658. :h to Form 1040,1040NR, or 1041. ? See Instructions for Schedule C IF 2007 Ynn 1040. Sequerim 09 Social seete'Ny wrobw (SSN) EVELYN T IJMZ 124-50-1131 A Principal business or profession, including product or service (see page C-2 of the instructions) B Enter code from C? pages C-8, 9, 810 722210 C Business name. If no separate business name, leave Maroc. D Employer 113 number (EIN), If any E Business address (including suite or room no.) ? 10 THYME COURT City, town or post office, state and ZIP code MLCHANICSBDItG PA 1'1055 F Accounting method: (1) 99 Cash (2) Awxual (3) Other (speciy)? Did You "maten* p pate" in the operation of this business during 2007? If "No; see page C-3 for limit on bases yea., No H If you started or acgidred this business during 2007, check here Part Income umss receipts or sakes. cautt m if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked, see page C-3 and check here ? 1 28,162 2 Rattans and allowances 3 ........................................ Subtract line 2 from tithe 1 ............................ ... ...................... ..... ........ . 2 ........ 3 28 162 4 Cost of page goods sold (from krhe 42 on page 2) . ...................... ........ , 5 ... . Gross profit. Subtract line 4 from fine 3 ................................ .... 5 28 162 6 06her income, h icki&V federal and state yafoine of fast tax credit or rdhshd (see papa G3) , Gross Income. Add lines 5 and 6 .......... . ................ . . ..... . . ............................ ... 6 ........ ? 7 8 162 ...... f? rt tl , Expenses. Enter a nses for business use of vour home on on line 30. .... , 8 Advertising 8 848 18 Office expense 18 9 C d t k .............. . ..... ar an ruc expenses (see 4 19 Pension and profit-sharing plans 19 page " ) .... 9 20 Rent or lease (see page C-5): 10 Commissions and fees .......... 10 a Vehicles, machinery aria equipment 20a 11 C t t l b , on rac a or (see page C-4) .... 11 b Other business property lob 8 240 12 De l ti ........ ....... , p e on ........ . .............. 12 21 Repairs and maintenance 21 13 nd De redation ti 17 p a sec on 9 ex ertise d d ti 22 Supplies (riot intktded in Pari IIQ . ... 22 15 236 p e uc on (not included in P rt 111 23 Taxes and licenses ............. ...... . 23 a ) (see 24 Travel, meads, and entertainment: page C-4) ...................... 13 a Travel 24 14 Em lo b fit _ ........... ..- .......--- ....... a p yee ene programs b Deductible Wheals and (other than on We 19) ' '- 14 entertainment (see page C-6) 24b 15 Insurance ( th th h l ... ...... o er an ea th) . _ . . 15 807 25 UtBifies 26 2 966 16 Interest: ......... " -??'-'•••••- ....... L a Mort a e ( aid t b k 26 Wages (less employment credits) 26 _ g g p o an s, etc.) 16a 1,512 27 Other expenses (from line 48 on b Other ......................... 16b page 2) 27 441 17 Le al and f i l ....................... ....... g pro ess ona services ........................ 17 28 Total expenses before expenses for business use of hone. Add lines 8 through 27 in columns ................ ? ... 28 30 050 29 Tentative profit (loss). Subtract fine 28 from fine 7 30 . . . . . . . . ................. Expenses for busi f ............ .. . . .. . . . .. . . .. 29 -1 888 ness use o your home. Attach F orm 8829 t1 Net profit or (loss) S bt l . u ract ine 30 from lane 29. • If a profit, enter on both Form 1040, line 12, and Schedule SE, line 2 or on Form 1040NR, tine 13 (statutory employees, see page C-7). Estates and trusts, enter on Form 1041 lithe 3 U , . 31 -1, 888 32 If you have a loss, dhedc the box that describes your investment in tits activity (see page C-7). J s If you checked 32a, end the loss on both Form 1040, line 12, and Sehedub SE, ore 2 or on 32a MAN inveft nt is at risk. Form 1040NR, line 13 (statutory employees, see page C-7). Estates and trusts, enter on Form 1041, 32b Sane investment is not line 3. , • If you checked 32b, at risk you must stack Form 6188. Your loss may be limited, For Paperwork Reduction Act Notice, see page C-8 of the Instructions. Schedule C (Form 1040) 2007 DAA ' LG12 04/IMW081o:37 AM EVELYN T LANTZ 124-50-1131 Schedule C (Form 1040) 2007 CAFE Part III_ Cost of Goods Sold (see page C-7) P z 33 Method(s) used to value closing hwerfty. a E] Cost b [] Lower of cost or market c E] Other (attach e*Wwfion) 34 Was there any charge in deiennwwV quantities, costs, or valuations between opening and dosing lnve*W If "Yes," attach explanation Yes No 35 Inventory at beginning of year. If dillbrent from last year's dosing inventory, attach explanation 35 36 Purchases less cost of items withdrawn for personal use 37 Cost of labor. Do not include any amounts paid to yourself 37 38 Materials and supplies ....................................................................... {... 38 39 Other costs ..................................................................... 39 ........ ...................... 40 Add lines 35 through 39 .................................................................................. 41 Inventory at end of year .............................................................................. [41 42 Cost of goods sold. Subtrad line 41 from line 40 Elmer the result here and on page 1 be 4 142 PAWN Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 on page C-4 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (month, day. year) 44 Of the total number of miles you drove your vehicle during 2007, enter the number of miles you used your vehicle for a Business . . . .. . . . . . . . . . . . . . . . . . . . ... b Comnjuling (see instructions) . c Other ........................... 45 Do you (or your spouse) have another vehicle available for personal use? Yes No 46 Was your vehicle available for personal use during off-duty hours? Yes No ..• . • • .... ....................... 47a Do you have evidence to support .... your deduction? ...?. Yes No .............. b If "Yes," is the evidence written? ....... .. . Yes No 48 Total other expenses Enter here and on page 1 Nne 27 z ' 4g 441 DAA Schedule C (Form 1040) 2007 LGL2 04113r2008 10:37 AM SCHEDULED (Form 1040) Capital Gains and Losses Deparbnent of the Treaacxy ? Attach to Form 1040 or Form f 040NR. ? See Instructions for Schedule D (Form 1040). Internal Revenue Service ? Use Schedule D-1 to Mt addMieral rrAna o- c.., rr- ,r _A e 2007 Name(s) shown on return -- ^ er - - Your social searrMy rassher LAWRENCE G & EVELYN T LANTZ 129-52-0468 Part I Short-Terin Capital Gains and Losses-Assets Held One Year or Less (a) D Wpm of vrovedY (b) ° (c) Doe add (d) Saba price (e) Cost or osier basis (Exam0e:100 sh. xyz Co.) -quww (Mo., fty, yr.) (Mo., day, yr.) (see ~ 0-7 of the bstuch ns (no D-7 of (f) Gain or (loss) Subbad (e) from (d) 1 2 Enter your short-term totals, if any, from Schedule 0.1, firm 2 . . ................... . . ...... 2 3 Total short-term sales price amounts. Add lines 1 and 2 lo column (d) ..... 3 " L . 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684 6781 and 8824 , , 5 N t h . . . . . . . .. . . . . . . . .. . . . . 4 e s ort-term gain or (Ws) from (los) partnerships, S corporations, es tales, and trusts from Schedule(s) K-1 ............. .................................... . . . . . ..................................... . . . Sh t t erm capital loss pnyover. Enter the amount, if any, from Inc or - of your 10 Capita! toss Carryover worksheet on page D-7 of the instructions ............................................................ 6 7 Net short-term capital n a (loss). Combine Imes 1 through 6 in cookxm rain a Long- I erm capital Gains and Losses-Assets Held More Than One Year (a) Descriptor of property (b) Daft (c) onto add (d) Sales pd- (e) Cost or o#w basis (Example: 100 sh. XYZ Co.) acquired (see papa 0-7 d (sea pays 0-7 d (fl Gain or (loss) Mo., (Mo.. day, yr.) tie in?rcrctions the Yrsarrcfiora Subbed (e) from (d) 8 to 9 Enter your long-term totals, if any, from Schedule D-1, line 9 9 10 Total long-term sales pr''ice amounts. Add Ines 8 and 9 in - column (d) 10 11 Gain from Form 4797, Pan 1; tong-tern gait from Forms 2439 and 6252; and long-term gain or (loss) from Forms 4604, 6781, and 8824 ......................... ............................... 11 2.959 12 Net ........... long-term gain or (loss) from partnerships. S corporations, estates. and trusts from Schedule(s) K-1 ....................... 12 13 Capital gain distributions. See page D-2 of the instructions 14 Long-term capital loss 13 carryover. Enter the amount, if any, from line 15 of your Capital Loss Carryover Worksheat on page D-7 of the instruction's 15 Net long-term capital gain or (loss). Combine lines 8 through . 1 14 4 in in ..... ... 14 coltrrrn (f). Then go to Part 111 on the back ............. .............................................. 152 95 9 For Paperwork Reduction Act Notice, see Form 1040 or Form 1040NR instructions. Schedule D (Form 1040) 2007 DAA LGL2 04/13/2008 10:37 AM LAWRENCE G & EVELYN T LANTZ 129-52-0468 Schedule D (Form 1040) 2007 Page 2 Part III Summary 16 Combine fines 7 and 15 and enter the result ..................................................................... If One 16 is: • A gain, enter the amount from One 16 on Form 1040, fir* 13, or Form 1040NR, One 14. Then go to line 17 below. • A loss, skip Ones 17 through 20 below. Then go to One 21. Also be sure to complete fine 22. • Zero, SW Ones 17 through 21 below and enter 40- on Form 1040, One 13, or Form 1040NR, Me 14. Then go to One 22. 17 Are Ones 15 and 16 both gains? ® Yes. Go to fine 18. ? No. Skip lines 18 through 21, and go to One 22. 18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet on page D-8 of the instructions ? .......................................................................... 19 Enter the amount, if any, fmm One 18 of the Unrecaptured Section 1250 Gain Worksheet on page D-9 of the instructions ? ................................................................................. 20 Are fines 18 and 19 both zero or blank? ® Yes. Complete Form 1040 through One 43, or Form 104ONR trough One 40. Then complete the Qualified Dividends and Capital Gain Tax Worksheet on page 35 of the Insbudions for Form 1040 (or in the Instructions for Form 1040NR). Do not complete Ones 21 and 22 below. ? No. Complete Form 1040 trough One 43, or Form 104ONR through One 40. Then complete the Schedule D Tax Worksheet on page D-10 of the instructions. Do not complete Ones 21 and 22 below. 21 If One 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of. • The loss on line 16 or • ($3,000), or if marred OWN separately, ($1,500) .................................................. 21 Note. When fgurft which amount is smaW, treat both amounts as positive numbers. 959 22 Do You have quafifred dividends on Form 1040, One 9b, or Form 1040NR, line 1 Ob? ? Yes. Complete Form 1040 through One 43, or Form 104ONR though One 40. Then complete the Qualified Dividends and Capital Gain Tax Worksheet on page 35 of the Instructions for Form 1040 (or in the Instructions for Form 1040NR). ? No. Complete the rest of Form 1040 or Form 1040NR. Schedule D (Form 1040) 2007 DAA ,, LGL2 OM13l2008 10:37 AM Form 4797 Sales of Business Property (Also Involuntary Conversions and Recapture Amounts Deparbnad of the Treasury Under Sections 179 and 28OF(bx2)) Internal Revenue Swvioe 99 Attach to otw tax lretmL 111- &w senersto hudmueff. Name(s) shown on return 2007 LAWRENCE G & EVELYN T IJSMZ 129-52-0468 1 Enter the gross proceeds from sales or exchanges reported to you for 2007 on Form(s) 1099-B or 1099-S (or substiltrte statement that are Wckxft on fine 2, 10, or 20 see Instructions 1 ..... . ' you ................................. . Part -1 Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casua or Theft-Most ProHeld More Than 1 Year see instructions (a) Deso"on (b) Date ea i*w (c) DWe sold (d) Gnus (a) abwed or baps, pus (B) Gain or (loss) of Properly (mo., day, yr.) (mo., day, yr.) sales price allowable since its era Srrbaact m from are pogulallion of 8016 sum of (d) and (e) BUS SS EQUI _ 2 9 01/0 9 01 0 25,000 13,95W ••'36 000 2,959 3 Gain, if any, from Form 4884, fine 39 . .................................................. 4 Section 1231 gain from installment sales froth Form 6252, fi. nne 26 or 37 5 Section 1231 ............................................ gain or (loss) from Nim-fund exchanges from Form 8824 6 Gain, if any. from line 32, from other Itta n casualty or theft • ................. . ... .. ...... .......... 7 Combine fines 2 ........................ . thralgh 6Enter the gain or (loss) here and on the appropriate ate In fine as follows: Partnerships (except electing large partnerships) and S coqmMons. Instructions for Form 1065, Schedule K Mne 10, or Form 1120520S, Seheduie Report e 9? gain or ) K ru Skip foes 8, 9, 11, and 12 below. Individuals, partners. S corporation shareholders, and all others. If Ilne 7 is zero or a loss, enter the amount 1231 losses or 11 below and skip fines 8 and 9. If fine 7 is a gain and you did not have any prior year section they were with in an earlier year, enter the gain *am fine 7 as a long-term capital gain on the Schedule 8 Nonrecaptured net section 1 your retum losses from Woes 8, 9, 11, and 12 below. P? Year's (see instructions) 9 Subtract We 8 from Yne 7. If zero or less, enter -0-. If line 9 is zero, order the .gain ilrom .... .. fine 7 on an . below If Nne 9 is more fhan zero, enter the amowat from line 8 on Ilene 12 below and order the Ikre 12 . Iona-term capitaloaln On the S edtde D Wd1 with your rgtlsn (see kastrlrcti0ns) 9 from line 9 9 as a i'af? ?I Ordinary Gains and losses (see lnstrtlctlons) 10 Ordinary seiner anA ham .w ..., u..e r ., e _ .. 1- - - - 7 2,959 t, Y 9 11 Loss, rf any, from fine 7 12 Gain, if any, from line 7 or a"mount ount. b.o.rn..fine..8, d . a'pplicable* ................................................... 13 Gain, if any, from One 31 ..................... ................ 14 Net gain or (loss) from Fount 4684, fines 31 and 38a ............................................................. . .. .......................... 15 Ordinary gain from installment sales from Form 6252, fine 25 or 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Ordinary gain or(loss)from lke4*W exchanges from Form 8824 ............................. ' ...............'. 17 Combine lines 10 through 16 ........................................ . ...... . . .. . . .. . .amou. . nt. from . . line. . .17 .on. 18 For an except individual returns, .entrythe.. .the. approp. . .riate. fine. . . . of.your. . ... .. . return.a.nds.ki.p . . . . . . . . . . . . fines a and b below. For individual returns, complete Ones a and b below: a If the loss on fine 1 t includes a loss from Form 4684, One 35, cdumn (b)(ii), enter that part of the lass here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), (fine 28. and the part of the., loss from Property used as an employee on schedule A (Form 1040). line 23. Identify as from "Form 4797, fine 18a-"See instnrctions ................ ........ . b Redetermine the or ..... ... . gain ? (loss) on line 17 excluding the loss, . if any, on k* 18a. Fnter here and on Fonn 1040............ line 14 - - - For Paperwork Reduction Act Notice, see separate inirtuctions. THERE ARE NO AMOUNTS FOR PAGEm For24797 (2007) om LGL2 04/13/2008 10,17 AM SCHEDULE EIC (Form 1040A or 1040) IRevdh?hre?Sdhrvice?? Name(s) shown on return LAWRENCE G EVELYN T Earned Income Credit 1040A Qualifying Chile! Information 1040 Complete and attach to Form 1040A or 1040 EIC - onty if you have a quaifymg chid. LANTZ YOM social secwity number 43 129-52-0468 Before you begin' see the instructions for Form 1040A, lines 40a and 40b, or Form 1040, lines ssa and 66b, to make sure that (a) you can take the EIC and(b) have a chid. • If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See back of schedule for details. • It will take us longer to process your return and issue your refund if you do not fill in all lines that apply CA;110N for each qualifying child. • Be sure the child's name on fine 1 and social security number (SSN) oft lrle 2ag with the child's social security card. Otherwise, at the time we process your return, we may reduce or disallow your EIC. If the name or SSN on the child's social security card is not correct, call the Social Security Administration at 14800-772-1213. Qualifying Child Information Child 1 Child 2 1 Child's name If you have Mare than two quaifft Children, you only have to Id two 10 got the madmun aediL 2 Child's SSN The chid must have an SSN as defend on page 41 of the Form 1040A kutructions or page 47 of the Form 1040 Inshwilons unless the chid was born and died in 2007. If you chid was born and died in 2007 and did rot hove an SSN, order'Diecr on this line and attach a copy of the dnirrs birth certificate. 3 Child's year of birth 4 If the child was born before 1989- a was the d*d under we 24 at the end of 2007 and a student? b was the chid permanency and totaiy fabled during any part of 2007? 5 Child's relationship to you (for example, son, daughter, grandc hind, 6 Number of months child livedwit you in the U.S. during 2007 • If the chid ived trih you for more than half of 2007 but teas than 7 months. enter '7.- • if the child was born or died In 2007 and you horns was the chic's home for the enth time he or she was sit" during 2007, enter *12." 209-74-6485 Year 1994 If tom after 1986, skip lines 4a and 4b; go to line 5. Yes. No. Go to one 5. continue. n Yes. 11 No. Continue. The chid is not a qualifying chid. CHILD 12 months Do not enter more than 12 months. M LANTZ 178-78-4246 Yosr 1998 If born after 1988, skip roes 4a Will 4b; go to line 5. El Yes. El No. Go to lira S. Continue. Yes. 11 No. Continue. The child is not a quaNtyiV chill. 12 months Do not enter more than 12 months. You may also be able to take the additional chid tax credit If your chid (a) was curler age 17 at the end of 2007, and TIP (b) is a U.S. citizen or resident alien. For more detais, see the instructions for line 41 of Form 1040A or line 68 of Form 1040. For Paperwork Reduction Act Notice,%ee Form 1040A Schedule EIC (Form 1040A our 1040) 2007 or 1040 instructions. OMB No. 1m&w74 2007 DAA 0700113095 . PA-40 - 2007 Pennsylvania Income Tax Return ENTER ONE LETTER OR NUMBER IN EACH BOX. Do Not Use Your Preprinted Label 129520468 LANTZ LAWRENCE EVELYN 10 THYME COURT MECHANICSBURG 124501131 G Occupation T Oca,petion N Extension. N Amended Return. R Residency Status. ?. PAiR art-Year Resident from to J Si I&WINIarried, Fling Jointly/Memed, Ffg Separatetfl4nal RetuNDeceased Date of death N Farmers. schodoistridName CUMBERLAND VA PA 17055 21160 to Gross Compensation. Do not -*We exempt income, such as combat zone pay and qualifying retirement benefits. See the instructions. SEE W K S T 1b Unreimbursed Employee Business Expenses. 1c Net Compensation. Subirad Line 1b from tine 1a. 2 Interest Income. Complete PA Schedule A if required. 3 Dividend and Capital Gains Distributions Income. 4 Net Income or Loss from fie Complete PA.Schedule B It required. Operation of a Business, Profession, or Farm. 5 Net Gain or Loss from the Sale, Exchange, or Disposition of Property 6 Net Income or Loss from Rents, Royalties, Patents, or Copyrights 7 Estate or Trust Income. Complete and submit PA Schedule J 8 Gambling and Lottery Winnings. Cgmplete and submit PA Schedule T. 9 Total PA Taxable Income. Add only the positive income amounts from Lines 1c, 2, 3, 4, 5, 6, 7, and 8. DO NOT ADD any losses reported on Lines 4, 5, or 6. 10 Other Deductions. Enter the appropriate code for the type of deduction. See the instructions for additional information. N 11 Adjusted PA Taxable Income. Subtract Late 10 from Line 9. 1a 19493 1b 0 1C 19493 2 410 3 0 4 -1888 5 2959 .6 0 7 0 8 0 9 22862 10, 0 11 22862 EC Page 1 of 2 FC m L 0700113095 ED= 0700 13flct5 J PA-"-2007 0700213109 Social Security Number , 129520468 Name(s) LAWRENCE G LANTZ 12 PA Tax Liability. Multiply Line 11 by 3.07 percent (0.0307). 13 Total PA Tax Withheld. See the instructions. 14 Credit from your 2006 PA Income Tax return. 15 2007 Estimated Installment Payments. 16 2007 Extension Payment. 17 Nonresident Tax Withheld from your PA Schedule(s) NRK-1. (Nonresidents only) 18 Total Estimated Payments and Credits. Add Limes 14, 15, .16, and 17. Tax Forgiveness Credit 19a FiNruj Status: 01 Unmarried or Separated 02 Married 03 Deceased 19b Dependents, Part B, Line 2, PA Schedule SP 20 Total Eligibility, Income from Part C, Line 11, PA Schedule SP. 21 Tax Forgiveness Credit from Part D, tine 16, PA Schedule SP. 22 Resident Credit. Submit your PA Schedule(s) G-R with your PA Schedule(s) GS, G-L and/or RK-1. 23 Total Other Credits. Submit your PA Schedule OC. 24 TOTAL PAYMENTS and CREDITS. Add Lines 13, 18, 21, 22, and 23. 25 TAX DUE. If Line 12 is more than Line 24, enter the difference here. 26 Penalties and Interest. See the instructions. Enter Code: If attaching form REV-1630, mark the box. N 27 TOTAL PAYMENT. Add Lines 25 and 26. 28 OVERPAYMENT. If Line 24 is more than the total of Line 12 and Line 26, enter the difference here. The total of Lines 29 through 35 must equal Line 28. 29 Refund - Amount of Line 28 you wart as a check marled to YO02 Refund 30 Credit - Amount of Line 28 you want as a credit to your 2008 estimated account. 31 Amount of Line 28 you want to donate to the Wild Resource Conservation Fund. 32 Amount of Line 28 you want to donate to the Military Family Relief Assistance Program. 33 Amount of Line 28 you want to donate to the Governor Robert P. Casey Memorial Organ and Tissue Donation Awareness Trust Fund. 34 Amount of Line 28 you want to donate to the Juvenile (Type 1) Diabetes Cure Research Fund. 35 Amount of Line 28 you want to donate to the Breast and Cervical Cancer Research Fund. Signature(s).Unaer pumiNes of peony, t (we) deaae Meat i (we) hove examned M6 rosin, k"xft ar sees and skakements and to Me best d my (our) berief, srey ale sue. curet. and CWnpM, Your Signature Spouse's Signature, if filing jointly 12 702 13 369 14 0 15 p 16 0 17 0 18 p 19a 02 19b 03 20 22862 21 702 22 0 23 0 24 1071 25 0 26 0 27 p 28 369 29 369 30 p 31 p 32 p 33 p 34 0 35 p Preparers Name and Telephone Number Date Firm EN ,?¦ Preparers 5 WTM 251781433 MORROW TAX ASSOCIATES 717-582-2211 Page 2 of 2 L. 0700213109 0700213109 J PA SCHEDULE W-2S 0701910028 Wage statement Summary PA-40 W-U (0"'1) (1) 2007 oFFICwL usE ONLY Summary of PA Taxable Employee, and MfscWWnsous --- Name shoat first on the PA-40 (if Bing jointly) Social Security Ntlmber (shown first) LAWRENCE G 6 WELYN T LANTZ 1129-52-0468 Use this schedule to flat and calculate yow total PA taxable compensation and PA tax wNhhold from all sOtxoes. Part A htstructlons: List each Federal Form W-2 for you and your spouse. N married, received from you ennployr(s). In tine first column enter T for the iacp mss Social Security Number that appears first an the PA tax ream and enter S for are second or spouse SSN. From do Fors W2, enlarearh employers Federal Eompbyer Identification Number (EIN). Enter the rnmuts from to Forms W2 in each coke m. IMPORTANT: You do not have to submit a copy of your Form W2 N you owned ae your 1-- in Pemnsyl-- and your employer reported your PA wiles orracy and wlNmatl tme oerroot amount at PA income tax. You asust subw s copy d you Form W-2 in certain circumstances. See the PA Schedule W-2S instructions for a Net of w hen a copy of a W2 Is requhad. Part B Instructions: List each source of moans received during to tumble Veer on a for or statement other than a Federal Form W2. Enter each payer's mane. List the payment type that most closely, ddescribes the source of your non-employee mmpensrdioa Elder the MW W of other compensation that you owned. N the form or statement does not have separately stated smou ts, enter the amount shown in both Federal and PA columns. IMPORTANT: You must submit a copy of each form and statement that you IN in Part B. whether or not ire payer will" any PA Incoan lac and regardless d wtheghoer or not the income was taxable in PA. CAUTION: The federal and Pennsylvania (stale) wages may be different in lint Arad I? B. If van rhaM manna nnft- amt I mk^&.wr..r.. &a"- __.._....._ -- --'-- ------ ---- Part A - Federal Foams W-2 TIS EmPWoyer EMI from box b Federal waom from box 1 ttsdk>9re wages from boot 5 PA eompemisatonm from boot is PA income sac nsittheld from box 17 T S S 23-6005324 25-1869011 23-2059116 6,480 1,694 3,853 6,480 1,694 3 853 6,480 1,694 3,853 199 52 118 Total Part A - Add the Pennsylvania columns 12,0271 369 Part B - MisceNarleotls and Non-employee Compensation from Federal Fwm 1091R,1099MC, and other SWItanwnts YOU MUST SUBMIT COPIES OF EACH FORM OR STATEMENT LISTED IN THIS PART A. ;j W T C. Payer manna O. tom code E. Total federal amayat F. Adjusted plan basis G. PA compensation H. PA tax wyilitneW S J FIDELITY 1 7,466 7,466 J Total Part B - Add the Pennsylvania cohnnrm 7,46 TOTAL - Add the totals from Parts A and B 19,4931 Enter the TOTALS on your PA tax return on: Line 1a Line 13 Payment type: A. Executor fee B. Jury duty pay C. Director's tee D. Expert witness fee E. Honorariurn F. Covenant not to compete G. Damages or settlement for lost wages, other than personal injury H. Other nonempioyee compensation. Describe: 1. Distribution from employer sponsored retirement. Pension, or qualified deferred compensation plan J. Distribution from IRA (Traditional or Roth) K Distribution from Life Insurance, Annuity or Endowment Contracts L. Distribution from Charitable Gift Annuities '„?. 0701910028 070141.OQ28 -I PA?Schedule C 0703110023 P or Loss From Business or Profession (SOLE PROPRIETORSHIP) PA-40 C (10-07) (1) PA DEPARTMENT OF REVENUE 20 07 rrtcsm. m Fawn P PA-IeSiPA or PA41 OFFICIAL USE ONLY Name of owner as shown on PA tax return: Owner's Social Security Number EVELYN T LANTZ 124-50-1131 A. men asie.s sce ty ?CAFS - . or D. Business address (number and street) 10 THYME COURT .......... City, SUM. and Z7P Code - ? MECHANICSBURG .............. PA 17 Q 55 ............. C E. Method(s) used to value dosing irwritory. Mark the appropriate space withr an '9(": Setae Tax License Nunbw (-s applicable) (1) Cost (2) [] Lower of cost or market (3) Other (f other. aUach explanation) F. Acc=itkV method. the appropriate snow with an 9(": (1) Cash (2) Accrual (3) Other (specify) ? ........................................ ....... Yes No G. Was ttore any change kt determiningquiamues, costs, or vakiations ............................................. Ix Feft NAICS code between opening and dosing inventory? K "Yes," submit explanation. 722210 H. Did you deduct expenses for aooifioein your home? ......................................................... 1. If the business is out of existence as of the end of the current tax year, mark the appropriate space with an W. .... . PAk-TI' Ittqpt e 1. a. Gross receipts or sales 1a. 28 162 b. Retums and aflOMrances ........................................ 1b. _, .;. c. Balance (subtract Line 1b from Line 1a) ........... 1c. 28 162 .................................................... 2. Cost of goods sold and/or operations (Schedule C-1, line 8) 2- ..................... 3. Gross profit (subtract Line 2 from Line ic) ................................................................. 3. 28,162 4. Other Income (attach statement) Include interest from accounts receivable, business dtedcang accounts and other business accounts. Also irxitrde sales of operational assets. See Instructions BooNet. 4. 5. Total income (add Lines 3 and 4) ................ ....... . . . . . .. . . ---.-----...... .... ............... ? 5. 28,162 PART'II obdo> ;u(»is 6. Advertising 848 28. supplies (rot included on schedule c-1) 15,236 7. Amortization 29. Taxes . 8. Bad debts from sales or services ........................... . 9. Bank charges ........................ 31. Travel and entertainment 10. Car and trick expenses 32. Utilities 2,966 ................................ c? 11. Commissions ........................ 33. Wages ................................ 12. Cost depietion but not percentage depietion .. 34. Other expenses (specify): 13. a. Regular depredation a. CREDIT CARD FEES 441 . ....................................... 13. b. Section 179 expense b. . ....................................... 14. Dues and publications . ....................................... 15. Employee berets programs oeer tren an Line 23 d. ...................................... 16. Freight (not included on Schedule C-1) e. . 17. Insurance 8 07 f. ....................................... ........................... . ....................................... 18. Merest on business indebtedness 1#512 g. ........................................ 19. Laundry and cleaning ................. h. . ................ 20. L ....................... ergal and professional services i. .................... 21. Man ................... agement fees I 22. Office supplies ....................... k. 23. Pension and profit-sharing plans for ...... .... ............... . employees 34. Total offrer expenses 441 .................... 24. Postage ............................. 35. Total Expenses. (add Lines 6 through 34) 30,050 25. Rent on business property ............. 8F240 36. Reduce expenses by the total business credits daMued (for wumVie, Empi"mot 26. Repairs Incentive Payments credit) on your PA-40. 27. Subcontractor fees or. r otat Auj=ea txpenses aeouctlons Subtract Line 36 from Line 35 ........................................ ? 37 30 050 38. Net profit or loss (subtract Lane 37" Late 5). E a net loss, mark the appropriate space vAth an "r. Enter the re" on your PA tax return. L. n 38 -1,888 0703110023 SIDE1 07031111023 r opy -For EMPL VEE'S R ORD (See 41.1628061 Notice to Employee on the back of Co B, O No. 1545-0008 a Employee's soc_ sec. no. 1 wages, Bps, doer omw- Z Federal income tax weldhe d 6479-85 129-52-0468 0 00 a Social secu ily wages . 4 Socai socially tax wi0dteld b F_mployet ID raxrtba (EON) 6479 5 "Peumcam wages lips 23-6005324 6479 89 401.76 6 Madame tax Otheld 91 , c .1FW yW S matte, address, and zip code 96 CU1W=RLAND VALLEY SCHOOL DIST 6746 CARLISLE PIKE MECHANICSBURG PA 17050 d Control number 00795 e Entpbyee's name, adtkess, and ZIP code LAi1RENCB LIINTZ 10 THYME COURT MECHANICSBURG PA 17050 7 Social setxrrily " 8 IQs 9 Advance E paynwo 10 t care bane 1 led plans 12a tom, box 12 13 Sbdukuy employee 14 00. 12b Code - U/C 5.85 - d plan fWWi 12e code Tlwd?arly sick pay 12d Code PA 15665045 6479.85 198.96 15 State E s stele ID number 8 Stale etc. 18 Local wages tips air 19 i 1T State ircoma tax S . , - rtconte tax 20 o -y name 6479.85 103.70 Form W_9 W- ?...a n.. SILVER SPRING - ---- cvv a uetx. a Ine t reastay -- IRS This intormabnn is being lurnishee b ace IRS. It you are regdred to life a tax return, a neglige. penalty or other sanction may be brposed m you it On i ncotne is taxable and you but to reptxt it. - - - - - - - - - - --- - - d Tax FafT W! A Stagelr1 t antlf f/tA B?t 2007 e i tips. W%+ves, olhar t d tt.n T asvrv-loran ai Revenue Seivi? 2 F ? r??,, y COpV C - For EMPLOE S RE(Yj" S 01.1£1 No. 154& 0W 1 ZO t dcral income tax .vithhek l ee ,,CB to F-1fVOY- - the back of C a) ( 7 Sod al SeCU frly lif, 3 Soeral security w O{ EmWoyers ,? ZIP cone an-d . dd 104 20 Social secunry fax wehtreM GIANT FOOD STORES, LLC a n" atea4 . 5 Medicare wa es nd 105.OA . Od g a cps 18?4 2 s Mad .m tax with"d - 1149 HARRI58URG PUCE 9 Advance EIC payment .00 . 0 f0 Dependent Care beneBls 2 4.57 ?1 Mnngnaared pin" CARLISLE PA 17013 120 s?irl5nuclxxsr-?---o,b-1 12 do 12b 0a e Emptoyeer's mine, address, end ZIP code 1 izo 1 EVELYN T LANTZ 10 TI4YNE CT M C,4 ICS8IJRG PA 17080 15 ShNx E?klyMS rata m munM.r _ - - _ .- `. ._.• .?. .` - _ to sra>a w.x7e,..hpsMe. 18 -41 Rafvrcncm Tbv - e akn r ot ?m ,aPElgS ?w,,U (EIM 52.00 Ugn1 a 'ErtytgY+e _so?al sec 3 1 ??Mter TM iido-4- is b" hl'4tiro .can MternZa/4ae ena,oo Services . 1 ou are ?eR4ad two a Inx return, y v neg/igar. mw,»ea tole rte.. w tara6la apen`'ny °f other sanarm r noy bn 17 Slate btcattlaX - .- - - - - - '? - - -_ -_ 78 Local wagr GMs. atc_ 1B lecni incc, n? lax 20 ' xuYly name a EmpbYee's social security number This information is being furnished to the Internal Revenue Service. It you are required to file a tax return a ne N en l '124 5 - , g g ce pena ty or other sanction - 0 1131 OMB No. 1545-0006 stay be wed on you if this aurorae is taxable and you fail to report R. tio b Employer identifica n number (E1N) 1 VVagas, bps, otter compensation 2 Federal income tax withheld 23-2059116 3853.15 c Employer's name, address, and ZIP code 3 Social security wages 4 Social security tax withheld I.G.BHAT DDS 3853.15 238.90 300 S.STATE RD 5 Medicare wages and tips 3853 15 6 Medicare tax withheld . 55.87 MARYSVILLE PA 17053 7 Social security tips 8 Allocated tips d Control number 9 Advance EIC payment 10 Dependent care benefits e Employee's first name and iniltal Last name Sun. 11 Nonqualified plans 12a See instructions for box 12 EVELYN T LANTZ 136 COLLEGE HILL RD 13 Plw-lt =P-ly 12b ENOLA PA 17025 plan C d 14 Otter 12c PA-SUI 3.47 ; 12d c If E l ' °a mp oyee s address and ZIP code 15 State Employer's state ID number PA 13121199 16 State wages, tips, . 3853 15 17 State income tax 118 30 18 Local wages, figs, etc. 3853 19 Local income tax 2OLoo tynarne . ------ ------ . .15 69.38 HBG ------ as as w Wynn ftne4 -r.- Form ¦¦ Z Statement dUU7 Copy C or EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) PAYER'S name, sbeet address, ft state, and ZIP oode NATIONAL FINANCIAL SERVICES LLC ?. w n r s . .r.r as A45ENT FOR FIDELITY MGT TRUST COMPANY 200 LIBERTY STREET NEW YORK, NY 10281 RECIPIENT'S Name and Address 0275511 01 AT 0.334 *"AUTO T6 0 0620 17016-97aet2t14 293329 001 001 (n.lll.galllegal s.lirl.I@Ilolls ..N.Iga66ls.tIl.tLll.l.tl EVELYN T LANTZ 12 EASTWOOD OR CARLISLE PA 17015-9799 Department of the Treasury-Intemat Revenue Service Safe, accurate, FASTI Use Qllmr> 1 Gross distribution 2a Taxable amount OMB No. 1545-0119 2007 1 7465.83 $ 7465.83 Form 1099-R: 2b Taxable amotad Tofal Distributions not determined dtsub idon From Pensions, 3 Capital gain 4 Fedo rd income tax Annuities, (ImIluded in box 2a) Whht*M Retirsoment or $ i g Plans, IRAs, 5 Employee contra utorrsl 6 Net ttrhr?¢ed e;tpradat ort Insurance deaignaied Roes ootptb. in eapbyeh's ....6 ias contracts, etc. or insurance premiums This inlonnation is being $ $ to the kdamai Revenue Service. 7 Distribution IRA/ 8 other code(s) SEP/ SIMPLE COPY C I X t % For of 98 Yew Ow"Ite 9b Total -*yea contrwtdiptts Profit-Sharin Recipient's I. Records %$ 10 Slate tax withheld ii StelelPayer's shale ntxnber 12 Slatedistribution Customer sertrioe phone rxlntber 800 544"6666 $ PA-92989574 $ PAYER'S Federal ID1 RECIPIENTS ID i Aecout number 13 Local tax withheld 14 Name of locality 15 Local distribution 04-3523567 124-50-1131 219-061301 _ FORM 1099-R I 0 0701310021 rued more Name of the taxpayer Ming Oft schdtlle _ social Secu ft M nber (shown first) EVELYN T IJMZ 124-50-1131 bnportalnt Each apouS MW Om a eepatana PA SdwMM O b rapat hit ar har sd- M Sip JOil* sassed Propnq. "MUM asst U&M a **waft PA Sdo" D for M* dot PraPWV A apauw M" ad obd NMwr9?a llonaa) aOWM hs aFer apards paws Poaay- ft aY4 aapralMl lut aiglairY awrd PApwV. *nth q mw reports hMw Mars of dro pin Om) ions No PASdad b o for M JM aft. T008)ws carat each aaiaa a Dopy b M WPA Sdw" D. Rod on kmAnwoota. Enter as sda *xdm w oroawr dkpoaYmr drat ar perasni . ON I aM hsaaGO PwPr9'. I I 1 8 titaraad papal. Anww" ion Fedwd SUraddaa OAM not be conW for PA Memo Wr papoaes. W idadsdio Mlnwdrasi0ybiraiudbrM awe. rNo idwebbF"0-Y. sites rMtksImwm*MXInieboc-banans. (a) Describe the Property: 100 shares of XYZ stock, or 10 aces in Dauphin County 1. BUSIMss RQUIPM (b) Date acgtdred: Mong9dsy/year 9/01/05 (?) Dale add: MorrtAky/yeer 9/01/07 (d) Gross sales price less eyes Of sale 25,000 Cost orea)dpAftd basis of ft POP" sold 2 _'04 Gain or ins: (d) mtinus (e) Iff a los8: mark an X in lle•bdx). toss 2,959 Loss Loss Loss LOSS Loss LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS LOSS 2. Net gain (loss) from above sales. LOSS 2. 2 959 .................................................. 3. Gain from ilstalknernt sales from PA Schedule D-1 . .............................. 3. ..... :.... .... 4. Taxable distributions from C corporations. Enter total distribution ............................................... Minus adjusted basis 4. 5. Net gain (loss) from the sale of 6-1-71 property from PA Schedule D-71. ............................. Net PAS corporation and partner" sin from your PA LOSS H 5. s RK-1 or NRK-1 ............ LOSS 6. (a) -- -- b LL . .V...e ?.. conanu a wwough e and lol al on Line 7. ( ) (C) (d) (e) m Address of d Date acquired: Date solo: Gross sales price Cost or adjusted basis Gain or loss: resi ence MondVd MordhkWWvear- less expenses of sale of the propedy sold d n0nus e .. a uo pan nom ens sale a yov piudpal residence. If you rmWzed a loss on the sob of your prlndpal residence. snow a zero. 0701310021 0,70-1310021 J PA SCHEDULE SP 0701110025 Special Tax Forgiveness .1 PA-40 Schedule SP 109-x71 m 2007 Name of taxpayer clakning Tax Forgiveness (if filing a PAAO LAWRENCE G LANTZ Spouse's Name (even if grog separately) Social SSam* timber (shown first) 129-52-0468 Spouse's Social Security Wwnber 124-50-1131 -R I 1. Are you a dependent on -mom taxpayers (Parent WiNdian, stapW nl, aft.) federal tax return? Yes N0 2. N You answered 'Yee above, does the taxpeyar on whose rotten you we a dependent quality for tax krgiveness? Yes NO IMPORTANT: N you anwaare 'No" to Question 1, pleaaa proceed wjyr completing Sdwduie SP. M You answered "Yes' to Question 1, You itxrst answered "Yes' to Question 2 to be lgill, for tax forgiveness and complete Lim 1b: or line 3c. *am Part A below. Part A. Filing Status for Tax Forgiveness. 1- ? Unmarried - use Column A to calculate your Eligibility Income: Mark the Unmarried box on Line 19a of your PA-40, Mark the box Out describes a. your situation: H Single. Umhanied/divorcad on December 31.2007 b. Sigle and claimed as a dependent on anotlher person's PA Seiredrte SP. Ender the otller person's; ,.• SSN: Natne: f r 2. ? Separated - use Coltann A to calculate your ENSH Rty Income. . Mark this box a* it (a) you are aaPeralsd pranant to a Written agreerrlett or (b) You were married, but separated and lived mordhs of tiro year. Marc the unmarried beat on Lire 19a of your PA-40. apart for the fast six 3. ® Married - Mark the Married box on Lice 19a of your PA-40. Enter yoer spouae's nerve and SW above. Mark the box #w describes a. ® Married and dainirg Tax Fggiverbsa yOYf "at°tiO" mY spowe. Use Column A to calwlate BlgRrfifEp Income. b. Married and filing separate =tax reran ""LCCertUication. Mark this box submilti g the same ? information on each PA Schedule SP. We B and C to cdctA le your VW o you and Vote ?? are c E] Married WO a spotme who is a dependent an srw9rer n. person's PA Seihadrte SP or federal income & tax rekrrh_ Use Coltrtrts B and C to calcrfate Eg9ibglty lueome. Enter the otlrerpersonh: SSN: Name: CL ? Separated and tined apart bon mrrryy ErNer Your name and SSN above but for leas Uteic the last six merghs of the year. Use Celhxmns 8 and C to ealarlete Eligibility Income. ? Deoeasad - sae CA to caid/aie you Eligibility ltcoma. 4. Mark the Deceased boot on Line 19e of the PA-40. You must immutiae the dec edeWs kxnme (ace the insauetlons) and briefly describe your metivod: Part B. Dependent Children. Provide all the information for each dependent chid. If more than tow dependent dhidran submit additio l f 1 • Dependent's Name , na a l late in Via format REBECCA L LANTZ Age R Social No IMPORTANT- Only dalm, the 13 CHILD 209-74-64 child or children It" you l VICTORIA M LANTZ 9 CHILD 178-7$-424 c aimed Yoar dependent( s) ederalNwome i DUSTIN B LANTZ 15 CHILD 172-74-89'.1 ,r, 2.16imbarofdependertdydran, Enter on linne 19b Part C. Eligibility Income of PA 40. .. 2 3 Married taxpayers tang jointl!' use Column A and Eligibility Income . Table 2. Single filers, quslilying separwed filers, end N fft for Married gxpayas filing separately. and taxpayers Separated but not for the le t a decedent use Column A and luucomue Table 1. M s six months of tine yew we Columns 8 and C. and Eligibility b)come Table 2 Column A Un Finarried or Married The EliglbfiitY Income Tables are an page 35 of the PA-40 booklet _ Married FRhm Senaratahr 22 8 62 PA taxable income from Line. 9 of Your PA40 Col rnn B Taxpayeer Column C 0 1. Nmmsabre Yteraal, dlvrdehds, acrd aaYs ahadkr aavxa.@ad rxbsee 2, 0 a?rrl 0 • - cmvrwr If Income 1Or Columns B and C- add fortes 1 ttrOtruh 10 for each spouse and enter the toh D. Calculating Your Cax Forgiveness Credit _ 702 PA Tax Lis " from Your PA-40 Line 12 if amended retwn, see insblrctior)s Less Resident Credit from PA-40 Line 22 702 0701110025 070111GO65 )cy. enter Mle name shown first) FORM 531 - FINAL EARNED INCOME TAX RETURN WEST SHORE TAX BUREAU PHONE: ]'17-761.4900 WEB SITE: WWW.WESTAB.ORG TAX YEAR L 2(07 ATTACH APPROPRIATE COPIES flF' STATE 3E"EXtl s ANIIIDR'ALR Ur2'$L1R9Y8 YOU ARE REQUIRED BY LAW TO FILE THIS RETURN ON OR BEFORE APRIL 15th EVEN IF NO TAX IS nllF nR IF Al I TAY uac hoc? ---- FULL YEAR RESIDENT YES O NO 13 MUNICIPALITY [ -------------- SILVER SPRING TWP 35535 37244 A l4$004nd sad wits wey bM tie on V* torrk howev. e m st be rfporra IR >ePProw cohmw* .loW ?a (coawokh o or Inoome or expanses) k;ra poomed LANTZ EVELYN aseol LANTZ LAWRENCE G - 10 THYME CT MECHANICSBURG PA 17050 Irv.lllr.rlllr.r.Irl.Ilrrrrrllrrrrltlri..i.ll.rrrlllllrrrirrll IF YOU MOVED DURING THE TAX YEAR COMPLETE THE FOLLOWING MOV ING INFORMATION: In to n in Addrou OkA R hx in ota I at Moved in Moved OIA 12131 12131 CU &? ;- i A$ TIP A - NAME J? TIP B - NAME J+ 1. Gross Earnings from Empbymen# Endose W-2s 2. Otller Earned Income Endaae i01e4irSC t 10aa R ExduOV CODES 3,4& 71 "996C 3 . Allowable Non-Reirnbursed Employes Business Expenses Endoae PA Sch UE 3 4. Taxable Earnings Ada Lima 1 A 2 Subtrad Lire 3 f' 5. Net Loss Attach PA Sdh C, F. RK-1 wWw NW-1 NOTE: PA Sdt C-F is not accept". 5 - 'red" 6. Subtotal Suetrad Line 5 tram Lyre a 6 Y? 7. Net Profits Attach PA Sdh C. F. RK-i aiWq NRK-1 NOTE PA Sch C-F 1s not acce faw p 7 8. Total Earned Income Line 6 + Line 7 o DO NOT ROUND Past this point a /o ?/f PO 9. Tax Liability Line 8 nsopted by tax rate (sea tack or Return fw tax rates) a -ry 40Q 10. Quarterly Estimated Payments/Credit From Previous Tax Year ? 10 . O 11. Earned Income Tax Withheld Genere/y the amokad is shown In Boot 19 of alladmd W-2s ti 12. Mise Credit . See worksheet on back of tam fw cdohde&V Phiedalphl Kkg of Stale Credo 12 13: Total of 10, 11, & 12 13 ?O 7 14. REFUND/CREDIT ShdWad Line 9 from Line 13 NOTE: NO Refunds under $1.08 1 15. CREDIT TO NEXT YEAR/CREDrr TO SPOUSE Nand Year ? Spouse ? is 1 6: TAX DUE M Lire 9 is Waal r Man Lire I"W*ad Line 13 km Lkw 9 is ?f . 17. Interest + Penalty 0% Per month sler Apr* 15M) 17 16. TOTAL AMOUNT DUE Lire 16 + Line 17 uort=-: Amounft Ls yr s1m n@ed nor the pstg. to MAKE CHECKS PAYABLE TO WEST SHORE T - AX BUREAU. A FEE OF $20.00 WILL B E CHARGFn VA P n l ouen ruh=rh.? • - - ?_,-, --• ......- -..-.....-,. o.o ?ehhwn hhne hn hne oast a my knowledge and belief, it b a true, n-? .. - -. aowrare and r.omplele relhm. 717-6-S-2- a.xY MEMBERS tST FEDERAL CREDIT UNION 5000 LOUISE DRIVE P.O. BOX 40 MECHANICSBURG PA 17055 IMPORTANT - TAX DOCUMENT ENCLOSED First Class Presorted U.S. Postage PAID DataMail '`"'" ""`"""`"'***"*AUTO"5-DIGIT 17050 LAWRENCE G LANTZ 10 THYME COURT MECHANICSBURG PA 17050 `105?r-INT' IMPORTANT - TAX DOCUMENT ENCLOSED ?CORRECTED (if checked PAYER'S name, street address, city, state, and ZIP code and telephone no. Payer's RTN (optional) OMB No. 1545.0112 MEMBERS 1ST FEDERAL CREDIT UNION 5000 LOUISE DRIVE P.O. BOX 40 1 Interest income MECHANICSBURG PA 17055 181.os 717-795-6049 W07 Interest income 2 Early withdrawal penalty $.51-18 Form f PAYER'S Federal i le ficatron rxrmbe RECIPIENTS identification number 3 interest on U.S. Savings Bonds and Trees. obligations Copy B 23-1360906 129-52-0468 $ 0.00 For Recipient IECIPIENT'S name Street address (Yw*K*V apt. no.) City, stale, and ZIP code Federal income tax withheld Investment expenses LAWRENCE G LANTZ This is important tax Information ands 10 THYME COURT $ 0.00 $ 0,00 I being furnished to the MECHANICSBURG PA 17050 s Foreign tax paid 7 F - Foreign country a U.S. os i Interns Revenue Service. If you are $ 0.00 p sess on required to file a return, 8 Tax-exempt interest 9 Specified private activity a negligencepenitm ity other sanction may be bond irhlerest imposed on you it this -- Account number (see instructions) T income is taxable and the IRS determines that 0000282817 $ 0.00 $ 0.00 it has not been Fonm1099-INT reported. (keep for your records) Depadment of the Treasury - Internal Revenue Service ' U CORRECTED d check PAYER S name, street address, city, state, ZIP code, and 18I8phone no. 1ST NATL BANK OF PAYER'sRTN(optiornaQ I M PO BOX 96 IFFLINTOWN Form 1099-INT MIFFLINTOWN PA 17059 0313-10206 79 63)1 A? (saAccount e sae t? 2 Penalty CSI 717-436-2144 ere Interest PAYER'S federal ' ib ation number RECIPIENTS 109niificahm numbly 2591 $160.05 Income 3 Interest on U.S. Savings Bonds and Treas. obligations 23-0873877 RE ' 129-52 -0468 $ 00 GPIENT s name, address and ZIP code . 4 Federal NN;oare fax rritlMleld 5 Investment expenses LAWRENCE G LANTZ $.00 $ .00 10 THYME COURT MECHANICSBURG PA 17050 ssae a Foreign paid forte" country u.S. Possession $.00 _ 1 t $ Tax-exempt interest 9 Specified private -t,,ity bond interest Copy 8 For Recipient This - is important tix information and is being furn ished to Me Internal R $.00 $.00 evenue Service. or oth er sanction may be imposed on you if this incomes M, If you are required to fie a return, a negligence penalty J* and the IRS determines that it has not been reported (Keep for your records.) . TYPE COMMON SENSE Account ACCOUNT NUMBER 1145689 INTEREST EARNED FORFEITURE FEDERAL TAX WITHHELD STATEMENT SAVINGS Accou 61057857 6.56 .00 00 6 MONTH Certificate 4042466 19.54 .00 . 00 2 YEAR Certificate 4050013 24.26 8.21 . 00 6 MONTH Certificate 4050238 25.09 21.56 . 00 6 MONTH Certificate 405062 7 110.35 41.31 00 12 MONTH Certificate 4050980 29.41 9.88 . 00 6 MONTH Certificate 4089339 26.19 9 .06 . 00 6 MONTH Certificate 4089 701 22.20 .20 8.23 . 00 6 MONTH Certificate 4091084 23.77 8.16 00 6 MONTH Certificate 4091099 24.23 8 18 . 00 12 MONTH Certificate 4091117 2 . 8.18 . 00 6 MONTH Certificate 4091123 255.30 .30 8.90 . 00 6 MONTH Certificate 4091146 22.00 8 . 00 6 MONTH Certificate 4091167 .65 23.65 8.13 . 00 35.17 12.12 . .00 SCHEDULE C (Form 1040) Department of the Tremvy Intemel Revenue service Profit or Loss From Business 2!ve N?. 1545-W74 (Soft orstiip) 20007 ? Partnerships, joint ventures, etc., must file Form 1065 or 1065-B. NO- Attach to Form 1040, 1040NR, or 1041. b- See instructions for Schedule C (form 10401 Sequence Attachment Name of proprietor No. no SOOW _ ,? v{ I security number (SW A Principal business or ofession, including product or service (see page C-2 of the instructions) B Enter code from pages C-8, 9, & 1 rig C Business name. If no separate business name, leave blank. E Business address (including suites City, town or post office, state, a F Accounting method: (1) ? G Did you "materially participate" in H ff? If you started or acquired this busi U 7 Income v D Employer 10 number (E1f11, If MW ------------------------- -------- ------------------------ Other (specify) ? ---------- - - - 07? If "No," see page C-3 for limit On,losses ? Yes U1 No ? ? 1 Gross receipts or sales. Caution. If ti - N-2 and the "Statutory employee" box on that form was ch. ? ! / "' ? El ? 2 Returns and allowances . • , . . , • . . • . . . . . 2 3 Subtract line 2 from line 1 . . 3 4 Cost of goods sold (from line 42 on page 2) . . , , . , . 4 - 5 Gross profit. Subtract line 4 from line 3. . . . . . . _ , _ 5 6 Other income, including federal and state gasoline or fuel tax credit or refund (see page C-3). 7 Gros i d ' 6 s ncome. Ad lines 5 and 6 . 7 Expenses. Enter expenses for business use of your hom e only on line 30. 8 Advertising . . . . 8 _ _ 18 Office ex 18 --? pense 9 Car and truck expenses (see 19 Pension and profit-sharing plans »_ page C-4) . , . . _ 9 _ 20 Rent or le _ i 10 Commissions and fees 70 ase (see page C-5): a Vehicles m hi 20a , ac nery, and egt®pment 11 Contract labor (see page C-4) 11 b Other busi gas 2 l ness property. , , e o 12 Depletion , . . . 12 21 Re airs and m i t 21 p a n enance 13 Depreciation and section 179 22 Supplies (not included in Part III 22 ?aa expense deduction (not 23 Taxes and licenses _2_3_ included in Part ill) (see page C-4) 13 - - - 24 Travel, meals, and entertainment: a Travel 24 14 Employee benefit programs (other than on line 19). 14 . . . b Deductive meals and entertainm nt e a 24b -- e (se page C-6) 15 Insurance (other than health) -L5- d 25 Utilities 25 Z 9 . . O 16 Interest: 26 Wages (less employment credits) 26 a Mortgage (paid to banks, etc.) . 16a 27 Oth _ b Other 16b er expenses (from line 48 on a e 2) 27 17 Legal and professional services 17 p g - --- --- -- - - 28 Total expenses before expenses for business use of home. Add lines 8 through 27 in columns . ? 28 !9 Tentative profit (loss). Subtract line 28 from line 7 . . . . . . . _ 29 10 Expenses for business use of your home. Attach Form 8829 . . . _ , . 30 11 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12, and Schedule SE, line 2, or on Form 1040NR, line 13 (statutory employees, see page C-7). Estates and trusts, enter on Form 1041, line 3. _ 31 32 If you have a loss, check the box that describes your investment in this activity (see page C-7). • if you checked 32a, enter the loss on both Form 1040, line 12, and Schedule SE, line 2, or on 32a ? All investment is at risk. Form 1040NR, fine 13 (statutory employees, see page C-7). Estates and trusts, enter on Form 1041, 32b ? Some investment is not line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited. at risk. For Paperwork Reduction Act Notice, see page C-8 of the instructions. Cat. No. 11334P Schedule C (Form 1040) 2007 Schedule C (Form 1040) 2007 - - Pere 2 33 Method(s) used to value closing inventory: a ? Cost b ? Lower of cost or market c ? Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . ? Yes ? No 35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation 35 36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . 311 37 Cost of labor. Do not include any amounts paid to yourself . . ... . , , . , . . 37 38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . 38 39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . 39 40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . 40 41 Inventory at end of year , , , , , , , , , , , , , , 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on page 1, fine 4 42 00121- Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 on page C-4 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (month, day; year) ? --------/ --.-.----/ ------ 44 Of the total number of miles you drove your veNde during 2007, enter the number of miles you used your vehicle for: a Business -------------------------- b Commuting (see instructions) ------------- c Other ------------------ .--------•-- 45 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . ? Yes ? No 46 Was your vehicle available for personal use during off-duty h9urs? . . . . . . . . . . . . . . ? Yes ? No 47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . ? Yes ? No b If "Yes," is the evidence written? . . ? Yes ? No Other Expenses. List below business expenses not included on lines 8-26 or line 30. ------------ ! ` `'?` 7` s ~ ? ,2` r ,• --------- --------------------- ----------------------------------- ----------------- -------- - ---------- --------------- ----.---------------------------------------------------- -------------------------- ---------- ------------ - - ------------------------- --------------- --------------------- ---------- ----------- 48 Total other expenses. Enter here anO on page 1, line 27 . f 48 1 GiU U.S. GOVERNMENT PRINTING OFFICE :2007-320-SSE W Printed an mcyobdPapa/ schedule C (Form 1040) 2007 Farm 4797 Sales of Business Property =:= d rie T?seary ( = sti0 osus SerNoe b, Attach to yow tau re4rn.? Sea emperaw instructiom lisme(a) shown or rdm OMB Na 1545-04 2007 Aftechmwt sm*mm 14m 27 r nraner 1 Enter tle gross p moeeds from sales or exdartgas reported to you for 2007 on Form(s)1099-8 or 109" (or aibeNh?6e that you we kckK* g an Ilene 2 19, or 20 (am butr uction4 1 Sales or Ex ec ??o ft Used in a Trade or Bu0im s and Nwokx Conversions From Other Than Ci?dty or Th Pr nerty HWd Unm Than , v.rom sue,.. s. ,k fa Desoripaort of y lbl oats acquked (mo., day. yr.) k) Dare add Om. dap. yr.) (ai dross sales wire f°1a aI 1' *1 $irtoe 14'Cost or 00M r nplrc?e,= and `al Oda or fb«i m I. aoquiealon eetbstse of sale 2 3 Gain, I any, from Form 4684, Kne 39 . . . . . . . . . . . . 3 4 Section 1231 gain from irnstaKnnerk Saba from Form 6252, ire 28 or 37 . . . . . . . . . . . . 4 5 Section 1231 gain or poesy from Mce-Idnd excha nges from Form 8824 . . . 5 6 Gain, it any, from ins 32, from other than casualty or theft 6 7 Cambkne roes 2 !tough 6. 8*ar ft qin or (loss) two and on the appropdate ire as "lows: . . . . . 7 Parb"rd*e (sxospt 6100111141 yrga p hIpai and 8 corporWwuue Repmt the gain or poss) foiowkg; the i nstructions for Form 1066. Schedule K ire 10, ar Farm 11205. Sd%Xkde K line 9. Sidp pose a. 9, 11. and 12 below. b4M"*NPWbW*, S oorpondbn shareholdsra. and ail odms. H Ike 7 iezero0r a loss enter the arneunt , from km 7 on Ire 11 below and ddp unease 8 and 9.8 ire 7 is a gain and you did not have any prior year sad1. m 1231 beaes, or they were recaptured In an eerier yew, enter the gain from km 7 as a bng4eom capitd Oan on the Schedule D tied with your return and sidp Knee 8, 9, 11. and 12 below. 8 Norrecapttred net section 1231 losses from prior years (am bub uctions) 9 Subtract Ine a ban ke 7. N zem or less enter -0- N Ine 9 i 8 . . s gdn from Ine Tan Kra 12 below. If more than zer o. enter tie amount from Ike 8 on Kre?12 below and t th en ulr e gain on the Schedule D tied wMh rectum tip from Ine 8 as a w canary Sans acid losses not Included an ins 11 th..ti.,u. to ut... r..rs --- -- .. • .. -_-- -- •__-. 11 loss, if any, from Nne 7. . . . . . . 11 ) 12 Gain. I any. from ie 7 or amount from Inn 8, if appW able . . . . . . . . . 12 13 Gain, K any, from Me 31 . . . . . . . . . . . . . . . 13 14 Net gait or (toss) from Form 4684, Ines 31 and 38a . . . . . . . . . . . . • 1 4 15 Ordinary gain from I igabnent sales from Form 6252, Ina 25 or 36 . . . . . . . . . . . . 15 16 Ordinary gain or goes) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . 16 17 Combkte ices 10 through 16 . . . . . . . . . 17 18 For all except indtvidual returns, enter the amount from Ire 17 an the appropriate km of your return and sldp lines a and b below. For kbivkkid returns, complete km a and b below: a ff the loss on ire 11 kndudes a loss from Form 4864, tae 35, colmm W enter that part of the loss here. Enter ft part of the loss from Income-produclg propert on Sched l A r y u e Fo m 1040, Ike 28, and the part of the loss from property used as an employee on Schedule A (Form 104!!), Ins 23. Identify as from 'Form 4797, One 18a.' See Itshuctlons . . . . . . . . . . . . . . . . . 18a b Redetemnlte the gain or (lass) on line 17 excl dlg the lose, N any, on Ilse 18a. Enter here and an Form 1040, rte 14 . . . Fnr Pa.u -.4, osd......__.?..?.-- --- - - - - - 18b Cat. No. 130001 Fenn 4797 pm) Faun 4797 PM7) • Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1234, and 1255 Page 2 rim :........,...:.,__. 19 (a) Description of section 1245, 1250, 1252, 125x, or 1255 property: p? Dere fired I (? t>?a sad lnb•. day. n•) (?b .say. r•) A Property B Property C EE D R1,090 oofumns relate to the propertles on Imes 19A VwOugh 19D. ? 2D Gross sales price (INotw See inns 1 belbre corgo s ft) . , L21 21 Cost or other basis plus expense of eels . . . . 22 Depredation (or depletion) allowed or allowable 23 Adjusted basis. Subtract tine 22 from line 21 . . . . . 24 Total gain. Subtract lints 23 frpn line 20 25 If section 1245 property: a Depreciation allowed or allowable bun the 22. . b Enter the wrraller of line 24 or 25e • . . 26 9 section 125D ptnperir: If straight line depredation was used, enter -0- an line 26g, Ompt for a omporadon sitiect to section 291. a Additional depredation after 1975 (see instructions) . b APPROabie percentage multiplied by the emaller of line 24 or line 26a (am instructions) . . . . . . . . . . . c Subtract fine 26a from line 24.0 residential rental properly or line 24 is not more than line 26a, skip fetes 26d and 269 d Additional depreciation after 1969 and before 1976 . . . e Enter ilia smaller of line 26c or 26d . f Section 291 arnount (corporations only) . . . . . . . g Add Ines 26b. 26e, and 26f 27 If section 1252 property; Skip Phis section if you cod not dispose of famdand or 0 this form is being completed for a partnership (other than an electing large p bwrsNp). a Soil, water, and land clearing expenses . . . . . :? b tine 27a multipled by appkade pww t p (see irrMjdions) c Enter the arnaller of line 24 or 27b 28 H section 1254 property; a Intangible drilling and development costs. eMaxiiiiiam for development of mines and other natural deposits, and -nin9 exploration costs (see kwVw x* b Enter the smaller of We 24 or 28a . . . . . 29 If section 1255 property: a Applicable percentage of payments excluded from income under section 126 (see instructions) . . . b Enter the smaller of We 24 or 29a see kwInxMons) Sumnt6ry of Part III Gains. t..4 nrttala rvrv,o.r.. ,• J.- Grie 30. 30 Total gams for all Properties- Add property colurm A Through D. We 24 . 30 31 Add Property ookmats A through D. Cores 25b, 26g, 27c, 28b, and 29b. Enter here and on I e 13 31 32 Subtract NM 31 from line 30. Enter d* portion from casualty or titeR an form 4684. We 33. Enter the portion from other Than or theft on fpm 4797, Wte 8 32 Recaptwe Anv urtts Under Sections 179 and. . (see instructions)roN21 when Business Use Drops to 3096 or t.ess 33 Section 179 expense deduction or depreciation allowable in prior years 33 34 Recomputed depreciation (am instructions) . . . 35 Recapture arnount. Subtract One, 34 from Ine 33 Seethe Instruct ons for where to reom, (a) Section (b) Section 179 260F(b)(4) Fmm 4797 (m7) SCHEDULES A&B Schedule A--Itemized Deductions orB No. 1545-0074 (Form 1040) _ r?j ? .y (Schedule B Is on back) L.c,00? Aftechm" imern? sere ? Attach to Form 1040. ? See histimcdolw for Schedules "0 (Form 10401. Se quence No. 07 Name(s) shown an Form 1040 Your sods{ ssctrlty rwrrrber Medical Caution. Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see page A-1) . 1 Dental 2 Enter amount from Form 1040, brie 38 2 Expenses 3 Multiply line 2 by 7.5% (.075). . . . . , , 3 4 Subtract line 3 from line 1, if fine 3 is more than fine 1, enter -0- . . 4 Taxes You 5 State and local (check only one box): ?p Paid a ? income taxes or 1 , 5 (See b ? General sales taxes J page A-2.) 6 Rent estate taxes (see page A-5) . . . . . . . 6 4- 7 Personal property taxes . . . . . . . . . . 7 8 Other taxes. List type, and amount ?------------------- -- ------------C cp------%°z f?' 8 9 Add fines 5 throu h 8 9 Interest 10 Home mortgage interest and points reported to you on Form 1098 i0 a2 You Paid 11 Home mortgage interest not reported to you on Form 1098.11 paid (See to the person from whom you bought the home, see page A-6 of 0",/Y t page A-5.) and slaw that person's name, KW*dyirtg no. and address 10, r --------------- Note ?C.l C . _ 11 l Personal 12 Points not ed to interest is reported on Form 1098. not for special rules . . . . . . . 12 deductible. 13 Qualified mortgage insurance prem A-7) 13 14 Investment interest. Attach Form (See A 7 page - .) . . . . . . . . . . . . 14 15 Add lines 10 through 14 ? - 15 61 Gifts to 16 Gifts by cash or made any gift of $250 or Charity more, seepage -8 , . . . . . . . . 16o?(J ff you made a 17 Other than by' . If any gift of $250 or more, gift and o see page A-8. attach Fort 8283 if?over $500 17 benefit f t Carryover f t, 18 ear page A see t y 19 Add 16 . . . . . . . . . 18 Casualty and Theft Losses 20 Cas heft loss(es). Attach Form 4684. (See page A-9.) . Job Expenses 21 U employee expenses-job travel, union and Certain d' education, etc. Attach Form 2106 or 2106-EZ Miscellaneous if {red. (See page A-9.) ?------------------- 21 ---------- Deductions 22 T preparation fees. . . . . . . . , . . 22 (See 23 her expenses--ihvestment, safe deposit box etc. List , page A-9.) and amount ?-------------•-------•---------------- 23 2 Add lines 21 through 23 . , . . 24 Enter amount from Form 1040, line 38 25 26 Multiply line 25 by 2% (.02) . 26 27 Subtract line 26 from line 24. If fine 26 is more than line 24 enter -0- , . Other 28 'Other--from list on page A-10. Ust type and amount ? - -- - - - --------------- - Miscellaneous -------------------------------------------------- Deductions Total 29 Is Form 1040, line 38, over $156,400 (over $78,200 if married filing separately)? Itemized ? No. Your deduction is not limited. Add the amounts in the far right,c of urtn Deductions for lines 4 through 28. Also, enter this amount on Form 1040, line 40. ? ? Y Y es. our deduction may be limited. See page A-10 for the amount to enter. - - uw, raw .b mimu ueuuuum,_glem nere? ter . For Paperwork Reduction Act Notice, see Fort 1040 hmitnwKiorm Cat No. 1133OX Sohedille A (Form 1040) 2007 Schedules A&B (Form 1040) 2007 OMB No. 1545-0074 Page 2 Name(s)`shown on Form 1040. Do not enter narne and social security number H ahovm on other side. Your social security number Schedule B-Interest and Ordinary Dividends ? No. 08 Part I 1 List name of payer. If any interest is from a seller-financed mortgage and the Amount Interest buyer used the property as a personal residence; see page B-1 and W this interest first. Also, show that buyer's social secufty number and address ? (See page B-1 --- ---------------------------------- ----------- ----------------------------------------- and the instructions for Form 1040, ----•---- ----•--- -----•- -----------------------•-------------------------•------ line Sa.) -------------- -------- --- ----------------- ----------------------------•---- -----------------------•------- ---------- --------------- ------------------------ -------------- - t --------------- - ou - - - Note If Y' . y received a Form •------- ------------- -------------- ------------ --- 1099-INT. Form --- -------•--•------------------- ------------------------•-------------------------------- 1099-O11), or ---------__ substitute statement from -- ------------------ a brokerage firm, ----•--------•----------- ' list the firm s name as the ----------------- payer and enter the total interest ------------------------------------------------------------------------------------------ shown on that 2 Add the amounts on line 1 _ form 2 . 3 Excludable interest on series EE and I U.S. savings Form8815 bonds issued after 1989. 4 S 3 ubtract line 3 from line 2. Enter the result here and on Form 1040, line 8a ? Nate. If line 4 is over $1,500, you must complete Part IH. 4 Amount Part II 5 List name of payer ? ----------------------- -------------------•--- ---------------- - - Ordinar y ----------------------------- ----------------- -------------------- ....... Di i v dends --------------------- -•--------------------------------------------------------------------- (See page B-1 -------------- ---------•-----------------------------------------•----------- d an the instructions for --------- Form 1040,?------------ line 9a.) ---• ............. --------------------•-- ---------------- •------- ------------------------------------------------------- I ------ -----•------------ --------•-----------•---------------------------- -------------- Note. If you received a Form -•-- •------- ---------•-- ------------•--------- ------------•------------•------ 5 1099-DIV or ------------------------------ ----------- ------------ -------------------------------- substitute statement from - - --------------- a brokerage firm, --------- -------- - list the firm's ------------------- -------------- ---- name as the -•----- payer and enter ---•-------- ------------------------------------------ ---------------------------- the ordinary --------•------------------------ ----------------- ---------- dividends shown ------------------ ------------ ----------- --- ------------------------------------------ on that form - . ------------------ 6 Add the amounts on line 5. Enter the total here and on Form loan liras Qa ? Q Note. If lime 6 is over $1,500, you must complete Part 111. - You must complete this part if you (a) had over $1,500 of taxable interest or ordirmy dividends; or (b) had Part III a foreign account-, or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No Foreign 7a At any time 'during 2007, did ACCOUntS You have an Interest in or a signature or other authority over a financial account in a foreign country, such as a bank account, securities account, or other financial account? and Trusts See page B-2 for exceptions and Ming requirements for Form 7D F 9o-22.1. (See b If "Yes" enter the name of the foreign country ? ------------ --------- • page 13-2.) 8 During 2007, did you receive a distribution from, or were you the grantor of, or truisferor. to,.a foreign mist? If "Yes," you may have to file Form 3520. See page B-2 '. For Paperwork Reduction Act Notice, see Form to4o irmtructions. Schedtde B ('Form 1040) 2007 ED Pdnftd an repycW paW GL' u.s. GGviummE T P1 wimG opnck : nw-Jag-so EMT Receipt Employee's Evidence of Deduction Certificate Tax Collector's Name & Address ITax Amount Levied by: 52.00 SILVER SPRING 2-OPT Employer's Name 6 Address Cumberland Valley School Dist 6746 Carlisle Pike Mechanicsburg PA 17050 Year Employee's Name-Address 2007 LAWRENCE LANTZ 10 THYME COURT MECHANICSBURG PA 17050 ? CORRECTED of rharko,ril RECIPIENTS/LENDER'S name, address, and telephone number + datum The arnornt shown OMB No 1545-0901 BANK OF MIFFLINTOWN T T nW not be k0y dathiclible by you. PO BOX 96 Lft ftI su on the low amount Mortgage MIFFLINTOWN PA 17059 ?? cow aw muper* a". nw e of the An-a P007 Interest you mat' c* deduct interest to Statement ft extent d was inaned by you, 717-436-2144 aclady paid by ytxr, and nor ,a;mM,sed by anther person. Form 10$ RECIPIENTS federal Identification no. PAYER'S social security mmtber 1 Mortgage Interest received from payer(syborrovver(sr COjdy B 23-0873877 129-52-0468 $ 1,512.25 For Payer PAYER'STIORROWER'S name. Street address, City, state, and ZIP code 2 Points paid on purchase of principal residence The nfa't'atpn in boxes 1. LAWRENCE G LANTZ 2, 3, and 4 is imporfard tax "'t°"'a'°' and is bevy furnished to vie Internet 10 THYME COURT $ .00 Revemw service. If you are r i d t ril MECHANICSBURG PA 17050 3 Refund of overpaid Interest equ re o e a return. a rteglgertse penalty or other $ .00 ' may be unposed an you it the IRS determ*ws 4 Mortgage insurance remi m that an u derpayrrwN of tax p u s. results because you .00 overstated a deduction for this mortgage interest or for Account number (see instructions) 5 these points or because you 28177 did inot repon an nterest an `mound of your return. 1JVai>. iv1111wer: iiUUy1549 Instructions for PayerlBo?q(iwer What's new. See the instructions for box 4 for an additional interest deduction which may be available to you. A person (inducing a financial institution, a governmental unit, and a cooperative housing corporation) who is engaged in a trade or business and, in the course of such trade or business, received from you at least $600 of mortgage interest (inducing certain points) on any one mortgage in the calendar year must furnish this statement to you. If you received this statement as the payer of record on a mortgage on which there are other borrowers. furnish each of the other borrowers with information about the proper union of amounts reported on this form. Each borrower is entitled to deduct only the amount he or she Paid and points paid by the seller that represent tiffs or her share of the amount allowable as a deduction. Each borrower may have to include in income a share of any amount reported in box 3. If your mortgage paynents were subsidized by a government agency. you may not be able to deduct the amount of the subsidy. See the instructions for Form 1040, Schedule A, C, or E for tow to report the mortgage, interest. Also, for more information, see Pub. 936, Home Mortgage Interest Deduction, and Pub_ 535. Business Experises. Accocmt number. May show an account or otlner unique number the lender has assigned to distinguish your account. Sox 1. Shows the mortgage interest received during the year. This amount includes interest on any obligation secured by real Property, including a home equity, line of credit, or credit card loan. This amount does not include pants, government subsidy payments, or seller (keep for your records) Payments on a "buy-down" mortgage. Such amounts are deductible by you-only-in certain c:i-curnstaneas.- .# you-Pnip-d-bat&-4-ja -- 2007 that accrued in W by January 15, 2008, this Prepaid interest may be included in box 1. However, you cannot declict the prepaid amount in 2007 even Mough it may be =tided in bout I. If you had a mortgage credit cerffficate and can claim the mortgage interest credit, see Form 8396, Mortgage Interest Credit. If the interest was Paid on a mortgage, home equity, inn, of credit, or credit card loan secured by your pairsonej residence, you may be subject to a deduction lirWation. Box 2. Na all pants are reportable to you. Box 2 shows pants you or the saltier Paid this year for the purchase of your principal residence that are required to be reported to you. Generally, these pants are fully deductible in the year paid, but you must subtract seller-paid pants from the basis of your residence. Other pants may also be deductible. See Pub. 936 or Schedule A (Form 1040) instructions. Box 3. Do rat deduct this amount it is a refund (or credit) for overpayment(s) of interest you made in a prior year or years. If you itemized deductions in the year(s) you paid the interest, you may have to include part or all of the box 3 amount on the "Other income' line of your 2007 Form 1040. No adjustment to your prior year(s) tax return(s) is necessary. For more information. see Pub. 936 and Recoveries in Pub. 525, Taxable and Nontaxable Income. Box 4. Shows mortgage insurance premhims whieh,may qualify to be treated as deductible mortgage interey. Soo the Sch. A (Form 1040) instructions. Box 5. The interest recipient may use this box to give you other information, such as the address of the Property that secures the debt, real estate taxes, or insurance paid from escrow. If the Social Security Number or Tax I.D. Number shown below is incorrect or if the space is blank, please complete and return the T.I.N. Certification on the reverse side of the Statement to the address above. LAWRENCE G LANTZ PROPERTY ADDRESS: 10 THYME COURT TAX YEAR: 2007 EVELYN T LANTZ MECHANICSBURG PA 17050 LOAN NUMBER: 0043493162 10 THYME CT SOCIAL SECURITY NUMBER: 129-5240468 MECHANICSBURG PA 17050-3199 STATEMENT DATE: 01119/06 DISBURSEMENTS FROM ESCROW PRINCIPAL RECONCILIATION PROPERTY TAX $3,732.70 HAZARD INSURANCE $713 00 BEGINNING BALANCE $261,818.10 . MORTGAGE INSURANCE $1,842.48 APPLIED PRINCIPAL $4,448.19 ENDING BALANCE $257,369.91 PAYMENT RECONCILIATION CURRENT TOTAL PAYMENT $2,079.94 CURRENT ESCROW PAYMENT $518.51 t ESCJR16W RECONCILIATION BEGINNING BALANCE $2,081.94 DEPOSITS $6,176.46 DISBURSEMENTS $6,288.18 ENDING BALANCE $1,970.22 INTEREST RECONCILIATION INTEREST PAID $14,288.97 'MORTGAGE INTEREST RECEIVED $14,288.97 FROM PAYER(S)/BORROWER(S) 1 Q f j If your loan transferred to or from First Horizon during 2007, you will receive a separate 1098 statement from each lender m that serviced your account in the 2007 tax reporting year. Please combine both 1098 statements to obtain the full 2007 tax and interest amounts. You may view this statement on our webske, www.firsffmrizm.com. CIPIFJJT'S/LENDER'S name, address and telephone number y wnntt, I tv (IT - aleq( FIRST HORIZON HOME LOANS, 'cubw rhramounrslrrrmawnet bef&*dxhx6rbyyou.Limdsbamd OAIB No. 1545-0901 A DIVISION OF FIRST TENNESSEE BANK, N.A. mM1ofIN9i0e"ta"d& mcaw Aw ay4 ? Qp12d?'??"}'' 4000 HORIZON WAY . ma Also. you ytlu me y m* abdrrct ilRrrast to Mn 007 2 IRVING, TX 75063 alert it on Nwrred by you, actuary 1-800-364-7662 aodk ?? rrot rerabased by Form 1098 PAYERWORROWER'S name, street address (ndtickv apt. no.), city, state and ZIP code age Interest received s)borrower(s ' $ 14288. 7 2 Points paid on ptxchase of prncipal residence $ 0.00 3 Refund of overpaid interest LAWRENCE G LANTZ $ 000 EVELYN T LANTZ Mortgage Insurance remlums 10 THYME CT $ 000 MECHANICSBURG PA 17050-3199 5 RECIPIENT'S Federal IdtrWitaeon No. yER'S song secviry rurnhar r 62-0201385 = ]'"129-5210468 Account number (see instrucdonOb43493162 Form 1098 Mortgage Interest Statement Copy a For Payer The iMonrmoon in boxes 1. Z 33, and??4 is aMoralionanand is bean fu nished io the Service. r Revenue mquir d to tee a na m, ?pe « vosed on you ft IRS detanninis that an :Z=' tax overslatededupion interest w%= point , berates cu, reM?id of it brestt on your return. (Keep W your records) Department of the Treasury - Internal Revenue Service dou7 /P 14 /7Uja r _ VU .e % S 1i'eS _.-- ? old u'Tl i 5G . 1 /Y33B°-° 1 3/.90 -P, A e/ JO O.'9/ C S`l GS.`L 030 °0 /SoG• `t `f D'alA 00 •`3t 15. 39 eo aaO(0i 0 1030 °° S? 55 ?, btt a? .9r Gt S. 3S . a? I? /0 P(,.75 31 Sys?o 1vo.91 s (sta. q .?IiC!•°°? 8 /030 d? qU,I,.`? oa'?r4 pp '?/ frr1?5.39 y?oa /?3a `? p ? 15.39 / o3v dP oa. 9 L?l ?•.3?i' o 1U3 a 00.9 15-3:f 011. F4 a X.93 , g3 MA?ek 0-) a 70 rr?fi o 11/ 99 ? ?: 330 ?w1 ? 3l°3g. ss ? s'' 33 y(a. s 3300 ?? t?e•J 1 ?u h'e s 3' w.a.cc. ?- . ,a r1 ' sc . aou 21 L-10°o ?Sa3G-? 307.a8 a3-?a y?,s _S?wx2 p?i,out :?x I cxu c? c.n 'A -u JUL 0 8 2008 Cara A. Boyanowski, Esquire Pa. Supreme Court ID No. 68736 Serratelli, Schiffman, Brown & Calhoon, P.C. 2080 Linglestown Road, Suite 201 Harrisburg, PA 17110 Telephone (717) 540-9170 Fax(717)540-5481 Attornev for Plaintiff EVELYN TERESA LANTZ, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA VS. :No. 07-5525 CIVIL TERM LAWRENCE GEORGE LANTZ, : CIVIL ACTION - LAW Defendant : IN DIVORCE MOTION FOR APPOINTMENT OF MASTER Evelyn Teresa Lantz, (x ) Plaintiff ( ) Defendant moves the court to appoint a Master with respect to the following claims: (X) Divorce (X) Distribution of Property ( ) Annulment ( ) Support (X) Alimony (X) Counsel Fees (X) Alimony Pendente Lite (X) Costs and Expenses and in support of the motion states: 1. Discovery ( x ) is ( ) is not complete as to the claims(s) for which the appointment of Master is requested. 2. The non-moving party ( x ) has ( ) has not appeared in the action ( ) personally ( x ) by his/her attorney Lesley J. Beam, Esquire, 3. The statutory ground(s) for divorce is/are 3301(c) of the Divorce Code. 4, Check the applicable paragraph(s) by check mark: ( ) The action is not contested. ( ) An agreement has been reached with respect to the following claims: N/A ( x } The action is contested with respect to the following claims: Divorce; Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses 5. The action ( ) involves ( x ) does not involve complex issues of law of fact. 6. The hearing is expected to take (hours) 1 (days). . +e I%k 7. Additional information, if any, relevant to the motion: Wife filed her divorce complaint on September 19, 2007, whereas, Husband filed his divorce complaint on September 20, 2007. Both parties have averred that their marriage is irretrievably broken, but Husband has also raised fault grounds, i.e., adultery and indignities. Dated: ' Z 20c ? Attorney for ( x ) Plainti ( ) Defendant ORDER APPOINTING MASTER AND NOW, 10 , 200x, E. Qdj ? 'D Esquire, is appointed Master ith r 67Pect to the following claims: Divorce; Equitable Distribution; Pendente Lite; Counsel Fees; Costs and BY YRE COUR DISTRIBUTION: MOVING PARTY Name: Evelyn Teresa Lantz Attorney's Name: Cara A. Boyanowski, Esq. Attorney's Address: 2080 Linglestown Rd., Suite 201 Attorney's Telephone # (717) 540-9170 Attorney's Facsimile # (717) 540-5481 .Attorney's E-Mail: !-.boyanowski(&ssbc-law.com Party's Address and Telephone # if not represented by counsel: NIA NON-MOVING PARTY Name: Lawrence George Lantz Attorney's Name: Lesley J. Beam, Esq. _4- Attorney's Address 4660 Trindle Road, Suite 201 Camp Hill, PA 17011 Attorney's Telephone # (717) 761-7573 Attorney's Facsimile # (717) 761-7572 Attorney's E-Mail J. Party's Address and Telephone # if not represented by counsel: N/A r m 4(1?jt Cara A. Boyanowski, Esquire SERRATELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cbovanowski()ssbc-law.com Attorney for Plaintiff EVELYN TERESA LANTZ, : IN THE CO Plaintiff : CUMBERLj : CIVIL ACT V. NO. 2007-5 LAWRENCE GEORGE LANTZ, Defendant IN DIVORC SERVI Cara A. Boyanowski, Esquire, being duly sworn 1. I am the attorney for Evelyn T. Lantz, the action. 2. On or about September 20, 2007, I complaint, complete with the notice requiring Defendant to forth in the divorce complaint or the matter would proceed T OF COMMON PLEAS D COUNTY, PENNSYLVANIA v - LAW CIVIL TERM to law, states the following: in the above-captioned divorce a certified copy of the divorce and answer the averments set him, which was filed with the Cumberland County Court of Common Pleas on September 1$, 2007, by certified mail, restricted delivery, return receipt requested. The said complaint was 10 Thyme Court, Mechanicsburg, PA 17050. A true and to Defendant, Lawrence Lantz, copy of the Domestic Return Receipt (PS Form 3811), signed by Lawrence Lantz, is attach4d hereto as Exhibit "A." . 3. As evidenced by his signature, Defendant, La the certified copy of the divorce complaint on September 24, SERRA By: Cara A. I Attorney 2080 Lin Suite 201 Harrisbui (717) 54( Lantz, accepted service of 7. submitted, ,LI SCHIFFMAN BROWN & , P.C. oyanowski,'Esquire Rio. 68736 lestown Road PA 17110 170 Attorney for Plaintiff L c r C9 Z N C o « a .nrc? .a-Cz Homo funs ?o N Z n ¦ 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: LGwre rgcc Lantz 0 Thy Me- CA u r Waxan 1 C,sbu rq t M A. ? Agent ? Addressee B?-Rey6lved b (Pri ed Nahvey C. o livery W M- / D. Is delivery a dress different from item 1? ? Y If YES, ente delivery address below: ? No 3. Service Typ M50 )KCertified ? Registen ? Insured I 4. Restricted I 2. Article Number 7006 0810 0006 (Transfer from service label) ? Express Mail ? Return Receipt for Merchandise ? C.O.D. very? (Extra Fee) 589 8072 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ?? +?%' ?_,??? :? KOPE & ASSOCIATES, LLC BY: LESLEY J. BEAM, ESQ. ATTORNEY I.D. 91175 4660 Trindle Road, Suite 201 Camp Hill, PA 17011 (717) 761-7573 Ibeam(a-kopelaw.com EVELYN TERESA LANTZ, Plaintiff, VS. LAWRENCE GEORGE LANTZ, Defendant. Attorney for Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 2007-5525 CIVIL ACTION - LAW IN DIVORCE AFFIDAVIT OF CONSENT 1. A complaint in divorce under § 3301(c) of the Divorce Code was filed on September 19, 2007. 2. The marriage of plaintiff and defendant is irretrievably broken and at least ninety (90) days have elapsed from the date of filing and service of the complaint. 3. 1 consent to the entry of a final decree of 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. § 4904, relating to unsworn falsification to authorities. Date: 211 S? 63r nce G. Lantz g???, ?-?a G.? l._J ?? _.?. r?` I'`... . , i' KOPE & ASSOCIATES, LLC BY: LESLEY J. BEAM, ESQ. ATTORNEY I.D. 91175 4660 Trindle Road, Suite 201 Camp Hill, PA 17011 (717) 761-7573 Ibeam(a)kopelaw.com EVELYN TERESA LANTZ, Plaintiff, vs. LAWRENCE GEORGE LANTZ, Defendant. Attorney for Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 2007-5525 CIVIL ACTION - LAW IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER § 3301 (c) OF THE DIVORCE CODE 1. I consent to the entry of a final decree in divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the prothonotary. I verify that the statements made in this Affidavit are true and correct. 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: / d1l 8.6,3 r42J'-- A4,:'a, a rence G. Lantz t ? T ? ?? Y _ .? t'.: ,. .; ?'? `?,:i -,.. °?.; EVELYN T. LANTZ, Plaintiff, vs. LAWRENCE G. LANTZ, Defendant. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA NO. 2007-5525 CIVIL ACTION - LAW IN DIVORCE MARITAL SEPARATION AGREEMENT 1. INTRODUCTORY PROVISION This Agreement is made by and between Evelyn T. Lantz of Cumberland County, Pennsylvania ("Wife") and Lawrence G. Lantz of Cumberland County, Pennsylvania ("Husband") 2. WHEREAS CLAUSES WHEREAS, the parties hereto are Husband and Wife, having been married on March 11, 1987, in Santa Ana, Orange County, California; WHEREAS, certain differences exist between the parties and they have decided to permanently live separate and apart from each other and they intend by this Agreement to fully and finally settle all of their respective rights and obligations as between each other, including, but not necessarily limited to the settling of all interests, rights and/or obligations between them or their estates, whether arising out of their marriage, including, but not limited to: a) the past, present and future support, alimony pendente lite, alimony or maintenance of either party by the other party; and (b) the ownership of all assets of whatever nature, including assets acquired by 1 of g ETL LGL either party prior to or subsequent to the date of execution of this Agreement; 3. CONSIDERATION NOW, THEREFORE, in consideration of the premises and of the mutual promises, covenants and undertakings set forth in this Agreement and for other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged by each of the parties hereto, Husband and Wife, intending to be legally bound hereby, covenant and agree as follows: SECTION I GENERAL PROVISIONS 4. 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. 5. DEFINITIONS 5.01. Divorce Code. The phrase "Divorce Code" or "Code" shall be defined as Pennsylvania C.S.A., Title 23, Section 101 et seq. (effective March 19, 1991). 5.02. Date of Execution of This Agreement. The phrase "date of execution", "execution date" or "date of this Agreement" shall be defined as the date that the last party signs this Agreement. 5.03. Date of Distribution. Except where indicated otherwise, the phrase "date of distribution" of this Agreement shall be defined as the earlier of the date of: (1) death of one of the parties; or (2) the thirty-first day subsequent to the date on which an initial divorce decree is entered without an appeal having been taken, or, if such an appeal G 2 of 26 ETL LGL has been taken, on the date of receipt of notice of final confirmation of the initial divorce decree by the appellate courts. If the distribution date falls on a date when the court which entered the decree in divorce or to which appeal was taken is closed for official business, then the distribution date shall be the next day on which that court is open for official business. 5.04. Internal Revenue Code. The phrase "Internal Revenue Code" or "I.R.C." shall be defined as the Internal Revenue Code of 1986, as amended, or any successor statute thereto. References to sections of the Internal Revenue Code shall refer to sections of the Internal Revenue Code as of the date of execution of this Agreement. 5.05. Asset. The word "Asset" shall be defined as anything of value, including, but not limited to, real and/or personal, tangible and/or intangible property and all financial interests however held. 5.06. Effective Date of Agreement. This Agreement shall become effective and binding upon both parties on the execution date of this Agreement. 6. DIVORCE DECREE 6.01. 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. Wife has filed a divorce action in the Court of Common Pleas of Cumberland County, Pennsylvania, Civil Term, 2007, No. 2007-5525, seeking a divorce decree pursuant to, among other provisions, Section 3301(c) of the Domestic Relations Code. Husband has filed a divorce action in the Court of Common Pleas of Cumberland County, Pennsylvania, Civil Term, 2007, No. 2007-5546, seeking a divorce decree pursuant to, among other provisions, Section 3301(c) of the Domestic Relations Code. The parties hereby agree that the filings shall be consolidated to Docket No. 2007-5525. The parties shall promptly file the affidavits and waivers required to obtain a divorce pursuant to § 3301(c) of the Domestic Relation Code. As defined in the 3 of iU ETL LGL Domestic Relations Code, the parties' marriage is irretrievably broken and they do not desire marital counseling. The parties shall also take all legal steps (including, but not limited to, the timely and prompt submission of all documents and the execution of appropriate waivers of the right to file exceptions and of the right to file an appeal) necessary to ensure that a divorce pursuant to § 3301(c) of the Domestic Relations Code is entered as soon as possible/within one (1) month, but in any event not later than two (2) months from the date of execution of this Agreement. 6.02. Responsibility for Proceeding with Divorce. Husband shall be responsible for the prompt filing of the Praecipe to Transmit the Record and the related required documents. Should Wife want a certified copy of the final divorce decree, Wife shall pay the required fee to secure that document. 6.03. Withdrawal of Other Actions. The parties further shall take all legal steps necessary to ensure that all pending petitions and actions between the parties (including, but not limited to counterclaims or petitions for economic relief), except for the divorce action referred to in Paragraph 6.01 (to the extent necessary to obtain the divorce), are dismissed with prejudice as soon as possible and that no similar actions are instituted, except to the extent necessary to enforce the terms of this Agreement. 6.04. Penalty for Delay. Notwithstanding the foregoing, if, after the execution of this Agreement, either party unreasonably delays or contests the obtaining of a final, unappealed divorce decree, that party shall exonerate and indemnify the other party against and hold the other party harmless from any liability and/or expense, including reasonable counsel fees, incurred as a result of such delay or contest in obtaining the decree. e? V 4ofg ETL LGL 7. EFFECT OF NO DIVORCE Except as otherwise provided for in this Agreement, this Agreement shall remain in full force and effect even if no final decree in divorce is entered. 8. EFFECT OF DIVORCE DECREE, INCORPORATION AND MERGER This Agreement shall continue in full force and effect after a final decree in divorce is entered in any jurisdiction, it shall survive and not merge into any such divorce, and its provisions shall not be affected by the entry of such a decree, surviving any such decree and remaining independent of any such decree. The terms of this Agreement shall be incorporated for enforcement purposes only, but not merged into the divorce decree. The Court entering the decree shall have all of the powers of enforcement, which, at the discretion of the non-breaching party, shall include, but not necessarily be limited to, all of the following: for breach of contract, under theories of equity, and under the Divorce Code, including under § 3105 (which includes contempt). The provisions of this Agreement shall not be modifiable for any reason. 9. ADVICE OF COUNSEL Husband has been represented by Lesley J. Beam, Esquire. Wife has been represented by Cara A. Boyanowski, Esquire. Each party represents that he or she understands that, in the absence of this Agreement and as a matter of law: (1) as a surviving spouse, he or she might be entitled to a greater share in the decedent's estate than is provided for in this Agreement; and (2) as a separated and/or divorced spouse, he or she might be entitled to greater support, maintenance, alimony pendente lite, counsel fees, costs, alimony, distribution of property, or other financial benefits arising from the marital relationship than is provided for in this Agreement. Notwithstanding the foregoing, the parties shall be bound by the terms of this 5 of 96 ETL LGL Agreement. Each of the parties further acknowledges and agrees that, with such knowledge, and after having read this Agreement carefully and fully, this Agreement is fair, reasonable and equitable, that it is being entered into freely, voluntarily, and in good faith, and that its execution is not the result of any duress, undue influence, coercion, collusion and/or improper or illegal agreement. 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 disclosure of the parties' marital assets and debts and the parties' respective incomes. The parties agree to waive any further disclosure and proceed with a settlement of all financial assets and/or debts. 11. DISCLOSURE AND WAIVER OF PROCEDURAL RIGHTS Each party understands that he or she has the right: (1) 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 or owned as of the date of separation; (2) to have all such property valued by means of appraisals or otherwise; (3) to compulsory discovery to assist in the discovery and verification of facts relevant to their respective rights and obligations, including the right to question the other party under oath; and (4) to have a Court hold hearings and make decisions on the matters covered by this Agreement, which Court decision concerning the parties' respective rights and obligations might be different from the provisions of this Agreement. Given said understanding and acknowledgment, both parties hereby waive the foregoing procedural rights. 6 of 6X ETL LG 12. 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, which discharge causes the other party to bear the obligation of the discharger, the other party 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 executed by the parties. 13. MUTUAL RELEASES Except as otherwise expressly provided in this Agreement, Wife and Husband 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 Against Property 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 situated, 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. 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 7 of ETL LGL (i) the Commonwealth of Pennsylvania, (ii) State, Commonwealth or Territory of the United States, or (iii) any other country; C. Marital Rights: 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. D. Breach Exception: 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 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. 14. WAIVER OR MODIFICATION 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. 15. MUTUAL COOPERATION Each party shall, at any time, and from time to time hereafter, and within five (5) business days of request, take any and all steps and execute, acknowledge and deliver to the other party, any and all further instruments and/or documents that the other party may reasonably require for the purpose of giving full force and effect to the C.? 8 of" ETL LGL provisions of this Agreement. 16. 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. 17. INTEGRATION 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. 18. 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: A. Divorce Code Remedies: The right to all remedies set forth in the Pennsylvania Divorce Code, 23 Pa.C.S. § 3502(e), and any additional rights and remedies that may hereafter be enacted by virtue of the amendment of said statute or replacement thereof by any other similar laws. B. Damages: The right to damages arising out of breach of the terms of this Agreement, which damages shall include reimbursement of all reasonable attorney's fees and costs incurred as the result of the breach and in bringing the damage action. C. Other Remedies: Any other remedies provided for in law or in equity. D. Consideration for Reasonable Attorneys Fees: Any award of ?ti ?t 9 ofd/ ETL LG "reasonable attorney's fees" as used in this paragraph shall be based on consideration of (1) the hourly rate charged; (2) the services rendered; and (3) the necessity of the services rendered. Determination of reasonableness shall not take into consideration the amount or nature of the obligation sought to be enforced or any possibility of settlement for less than the obligation sought to be enforced by the non-breaching party. E. Breach Notice: In the event of an alleged breach of any term of this Agreement, the aggrieved party shall provide written notice to the breaching party and his or her counsel of his or her intent to take action to enforce his or her rights under the Agreement and to remedy such breach. The breaching party shall have a period of fifteen (15) days from the mailing of such notice to cure the alleged breach prior to the institution of any proceedings of any nature for enforcement of this Agreement. 19. 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 arising out of such joint filing, each will be responsible for payment of half of such tax and any interest, penalty or other expense arising therefrom and shall indemnify and hold harmless the other from and against any loss or liability as a result thereof. In the event that any refund is received after the execution of this Agreement, from any joint filing from a previous year, the parties hereby agree that the refund monies received shall be split equally between the two parties. B. Current Returns: The parties shall file individual tax returns for the 10 of Q6 ETL LGL current tax year and for every tax year hereafter. C. Preservation of Records: Each party will keep and preserve for a period of five (5) years from the date of their divorce all financial records relating to the marital estate, and each party will allow the other party access to those records as may be reasonably necessary from time to time. 20. EFFECT OF RECONCILIATION This Agreement shall remain in full force and effect even if the parties reconcile, cohabit as Husband and Wife or otherwise, or attempt a reconciliation. This Agreement shall continue in full force and effect and there shall be no modification or waiver of any of the terms hereof unless the parties, in writing, signed by both parties, execute a statement declaring this Agreement or any term of this Agreement to be null and void. SECTION II EQUITABLE DISTRIBUTION OF PROPERTY 21. FINAL EQUITABLE 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. C??V 11 of ETL LGL 22. DISTRIBUTION OF PROPERTY AND DEBTS The parties' assets and debts shall be divided and distributed as follows: A. Marital Premises: The parties hereto jointly own real estate, specifically a house and lot known and numbered as 10 Thyme Court, Mechanicsburg, Cumberland County, Pennsylvania (the "premises" or "residence"). As regards their joint interest therein, the parties agree as follows: (1) No later than the distribution date of this Agreement, Wife shall execute and deliver to Husband a deed conveying to Husband all of her right, title, and interest in and to the residence. Thereafter, Husband shall be the sole owner of the residence and shall be permitted to record that deed and take any other action with respect thereto that he deems appropriate. Husband and Wife hereby agree to sign and execute all forms necessary by law to ensure the transfer of title. (2) Commencing on the execution date of this Agreement, and without regard to when bills for such items are incurred, received or due, Husband shall be solely responsible for all past, present and future costs or liabilities associated with or attributable to maintaining the residence (except as provided herein), including, but not limited to, all real estate taxes, water and sewer bills, gas, electric and telephone service, homeowners insurance, and gardening expenses and repairs, and Husband shall keep Wife and her successors, assigns, heirs, executors, and administrators indemnified and held harmless from any liability, cost or expenses, including attorneys' fees, which are incurred in connection with such maintenance, cost, and expenses or resulting from Husband's ownership interest in the residence. (3) There is presently outstanding against the residence a mortgage in el,-R 12of$ ETL LGL favor of MetLife Home Loans ("mortgage"), under the names of both parties. [It should be noted that this mortgage was formerly held by First Horizon.] At the time of separation of the parties, the principal balance of this debt totaled approximately two hundred and fifty eight thousand, five hundred and four dollars and ninety-five cents ($258,504.95). Commencing on the date of execution of this agreement, Husband shall be solely responsible for the timely payment of all past, present, and future principal, interest and other fees due under the mortgage. (4) Within ninety (90) days of the execution of this Agreement, Husband and Wife agree to take all steps necessary to have the debt transferred out of Wife's name, provided, however, that MetLife Home Loans agrees to such a change. Husband shall be entitled to refinance this property in his name alone, or with the assistance of a co-signer. (5) In the event that Wife shall incur any cost, expense or liability in connection with this debt due to any action or inaction of Husband, Wife shall have the option, in addition to any other rights or remedies provided by this Agreement, or by law, to set off such cost, expenses or liability against any amount owed to Husband pursuant to this Agreement. (6) Husband shall indemnify and hold Wife harmless from any liability, cost or expense, including attorney's fees, incurred subsequent to the execution date of this Agreement in connection with any expense required to be made by Husband including, but not necessarily limited to, the debt/mortgage, property taxes, and insurance with respect to the aforesaid premises, and in the event that Husband should die and, at that time, there should remain any outstanding balance on the debt, it shall be Husband's estate's obligation to promptly satisfy the debt with MetLife. (7) Husband shall keep and maintain an adequate amount of insurance on his life in a face amount of not less than the remaining debt balance for ev-- 13 of% ETL LG so long as he owns the marital residence and a debt thereon exists in the joint names of Husband and Wife. (8) Transfer Tax. Husband shall be responsible for the payment of any transfer taxes relating to the transfer of the premises from Wife. That withstanding, it is the understanding of the parties that transfer of the premises from both parties to Husband is exempt from payment of transfer tax under current tax law. (9) Vacating Residence. Husband and Wife agree that Wife has already vacated the premises as of the date of execution of this Agreement, and that Wife has taken no action detrimental to the premises or Husband's interest in the premises. B. Personal Property: The parties' tangible personal property 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") shall be divided and distributed as follows: (1) To Wife: All personal property currently in Wife's possession. Wife shall also receive her fur coat and jewelry. (2) To Husband: All personal property currently in Husband's possession, excluding Wife's fur coat and jewelry. (3) In the event that Wife's fur coat and jewelry are still at the marital residence as of the date of execution of this Agreement, Husband shall ensure that this property is provided to Wife no later than seven (7) days from the date of execution of this Agreement. Beyond the fur coat and the jewelry, the parties agree that all personal property has already C ? 14 of 44 ETL LG been divided to their mutual satisfaction, and that no further transfers of property shall be required. C. Vehicle(s)and Vehicle Loan(s): The parties' vehicles (which shall be defined to include automobiles, boats, snowmobiles, motorcycles, trailers, campers and the like) owned by one or both of the parties, and loans associated therewith, shall be divided and distributed as follows: (1) To Wife: Wife shall receive the following vehicles: a. 2004 Ford Escape XLT Sport Utility 4D. This vehicle is currently held in Husband's name, and is encumbered by a debt in Husband's name. Wife shall be solely responsible for all remaining payments on the vehicle, and shall take a required steps to refinance the full balance of the debt into her name alone within three (3) months of the date of execution of this Agreement; and b. The Chevy Monte Carlo currently in Wife's mother's possession. This vehicle is currently titled in Husband's name, and Husband and Wife shall execute the necessary paperwork to transfer title of the vehicle into Wife's name within sixty (60) days of the date of execution of this Agreement. (2) To Husband: Husband shall receive the following vehicles, value of the vehicles, or debt from the following vehicles: a. 1996 Lamborghini, of which no title transfer is required as said vehicle is currently held solely in Husband's name; b. 2002 Mercedes-Benz CLK-Class CLK430 Coupe 2D. This vehicle was sold to SunMotors for $12,000, resulting in a debt balance of approximately $8,370. Husband shall solely responsible for the full payment of this debt; C. 1988 Lotus Esprit Turbo 2D Coupe, of which no title transfer is required as said vehicle is currently held solely in Husband's name; and d. The full value of the parties' conversion van, which was traded in by Husband post-separation, for a value of $1,200. (3) The parties shall be responsible for securing and maintaining their ? 15 ofJt ETL LGL own automobile insurance on the vehicles assigned to each, respectively, as of the date of execution of this Agreement. The parties agree that each party will solely and fully responsible for any uncovered expenses, costs and/or liability arising from any and all incidents and/or accidents involving their respective vehicles. (4) The parties agree that the 1995 Chevy Camaro purchased during the marriage and given to their eldest daughter as a gift is hereby specifically excluded as marital property, and shall remain the separate property of said daughter. D. Title Transfer: The vehicles owned by the parties respectively shall be owned in full by whatever party with whom custody of the vehicle will lie in accordance with this Agreement. If any vehicle awarded under Paragraph C above should be titled in the names of both parties, the parties shall take all steps practicable to transfer title of the vehicle into the name of the party with whom custody of the vehicle will lay in accordance with this Agreement. Said title transfer of any vehicle under this section must be made in accordance with the law within sixty (60) days of the signing of this Agreement. All costs of the title transfer will be the responsibility of the person receiving title. E. Monetary Distributions/Bank Accounts: All funds in joint and separate accounts, including but not limited to savings, checking, and money market accounts, should be divided and distributed as follows: (1) To Wife: Any and all funds currently held in Wife's name alone, or in Wife's name with third parties. (2) To Husband: Any and all funds in Husband's separate accounts currently in Husband's name alone, or in Husband's name with &_ 16 of 16 ETL L third parties, specifically including, but not limited to, all monies held in the checking account, savings account, and certificates of deposit at Members 1st bank, account number ###817. (3) The parties acknowledge that there are no savings, checking, money market and/or other bank accounts currently held in the names of both Husband and Wife. The parties agree that all distribution of monies from former joint accounts have been done to the parties' mutual satisfaction and no transfer of funds is necessitated. F. Investments: The parties' shares of stock, brokerage accounts and other investments (the "Investments") shall be divided and distributed as follows: (1) To Wife: Any and all shares, accounts, and/or investments currently held in Wife's name. (2) To Husband: Any and all shares, accounts, and/or investments currently in Husband's name. (3) The parties assert that there are no joint shares, accounts, and/or investments held in the names of both parties. In the event that there is any joint share, account and/or investment existing at the time of execution of this Agreement, the parties hereby agree that the share shall be sold and the proceeds divided equally, and/or that the account shall be closed immediately and all monies split equally. G. Life Insurance: The parties' life insurance policies and the cash value of said policies shall remain in the possession of the party under whose name the policy is held. Neither party is entitled to the value or a portion of the value of the life insurance policy of his/her current spouse. U4 v 17 of 31W ETL LGL H. Debts: The parties' marital debts, loans, credit cards and other obligations, not otherwise divided and distributed herein, shall be divided and distributed as follows: (1) To Wife: Wife shall be solely liable for the following debts: a. Her CitiBank credit card, account ending in 0676; b. Her Kohls' credit account, account ending in 548; and c. The RBS (Royal Bank of Scotland) debt, which had a balance at the time of separation of approximately $4,622.00. (2) To Husband: Husband shall be solely liable for the following debts: a. His Capital One credit card, account ending in 6219, b. His Citi credit card, account ending in 6698; C. His WaMu credit card, account ending in 7911; d. His Chase credit card, account ending in 0768; e. His Bank of America card, account ending in 1645; f. The Bank of America debt from the parties' former business, accounts ending in 1528, 1536, and 1544; g. The consolidated Bank of America debt, ending in 65; h. The Gem/Lowes debt; i. The mortgage, as discussed above; and j. The balance of debt owed on the parties' sold Mercedes- Benz, as discussed in further detail above. 1. Retirement Plans: The parties' Pension Plan, Retirement Plan, IRA Account, Profit Sharing Plan, 401(K) Plan, Keogh Plan, Stock Plan, Deferred Savings Plan, any employee benefit plan and/or any other retirement type plans (the "Retirement Plans") shall be divided and distributed as follows: (1) To Wife: Any and all monies held in retirement plans in Wife's 18 ofsl( ETL 4 name, including but not limited to the entirety of Wife's IRA account at Fidelity Investments, account #***-**1301. (2) To Husband: Any and all monies held in retirement plans in Husband's name. 23. MISCELLANEOUS DISTRIBUTION PROVISIONS: The following miscellaneous provision shall apply to the distribution of the parties' marital assets and debts: A. Final Equitable Distribution of Property: The division and distribution 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. B. As Is Condition: Except as otherwise specifically herein provided, and with respect to the transfer of any tangible assets provided for in this Marital Agreement, the parties acknowledge that he or she have had the opportunity to inspect and view the assets that he or she is to receive as his or her sole and separate property and he or she is fully aware of the condition of such tangible asset and is receiving those assets in "as is" physical condition, without warranty or representation by or from the other party. (??V 19 of 16 ETL LGL C. Personalty Transfer: if either party is entitled to any items of personal property in the possession of the other party as of the date of this Agreement, the parties shall promptly make arrangements so as to permit that party to remove the items of property from the other party's possession no later than seven (7) days from the date of this Agreement. D. Waiver. Each of the parties specifically waives, releases, renounces and forever abandons whatever right, title and interest they may have in any property that is to become the sole and separate property of the other party pursuant to the terms of this Agreement. E. Liens: In the event any asset is subject to a lien or encumbrance the party receiving the asset as his or her property shall take it subject to said lien and/or encumbrance and shall be solely responsible and liable therefore. F. Debt Balances and Prior Payments: Any debt herein described shall be deemed to include the current balance owed on the debt. Unless otherwise herein specifically provided, there shall be no adjustment in the distribution provisions for the payment of any portion of the marital debts prior to the execution of this Agreement, whether or not that debt or the prior payment thereof is specifically referenced in this Paragraph, said payment having been taken into consideration in determining the distribution of marital assets and debts herein provided. G. Indemnification: Any party assuming an obligation pursuant to the terms of this Agreement shall indemnify, protect and hold the other party harmless ?? 20 of 26 ETL LGL from and against any and all liability thereunder, including, but not limited to, any attorney's fees and costs incurred by the other party as the result of defending against the obligation and/or enforcing the provisions of this indemnification. H. Non-Disclosed Liability: 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. No Further Joint Debt: From the date of this Agreement, each party shall only use those credit 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. J. No Additional Debt: Each party represents and warrants to the other party that since the separation he or she has not, and in the future he or she will not, contract or incur any debt or liability for which the other party or the other party or the other party's estate might be responsible. SECTION III COUNSEL FEES, SPOUSAL SUPPORT, APL, AND ALIMONY 24. COUNSEL FEES: Each party hereby agrees to be solely responsible for his or her own counsel ? 4 / 21 of 216 E &TL ?GL fees, costs and expenses. Neither shall seek any contribution thereto from the other party except as otherwise expressly provided herein. 25. ALIMONY, APL, AND SUPPORT: The parties acknowledge that by this Agreement they have respectively secured and maintained a substantial and adequate fund with which to provide for themselves sufficient financial resources for their comfort, maintenance and support. The parties acknowledge that the cost of living may increase or decrease, that their respective estates may increase or decrease in value, that either may be employed or unemployed at various times in the future, and that notwithstanding these or other economic circumstances, which may be changes in circumstances of a substantial and continuing nature, the terms of this Agreement are just and reasonable. Therefore the parties hereby expressly waive, discharge, give up and release any and all rights and claims which they may now or hereafter have by reason of the parties' marriage, separation or divorce to alimony, alimony pendente lite, support or maintenance, and they further release any rights they may have to seek modification of the terms of this Agreement in a Court of law or equity, it being understood that the foregoing constitutes a final determination for all time of either party's obligation to contribute to the support and maintenance of the other. From the execution date of this Agreement it shall be the sole responsibility of each party to sustain himself or herself without seeking any support from the other. 26. HEALTH INSURANCE FOR WIFE AND HUSBAND: Husband currently provides health insurance coverage for himself. Wife currently 22 of A &ETL LG provides health insurance coverage for herself. The parties hereby agree that as of the date of execution of this Agreement, and for all times forward, no party shall be responsible for the costs of health care coverage of the other. SECTION IV CLOSING PROVISIONS AND EXECUTION 27. NO INTENDED THIRD-PARTY BENEFICIARIES This Agreement constitutes a contract binding between the aforementioned parties and those parties only. This Agreement provides rights and obligations only to the aforementioned parties. To the extent that this Agreement may benefit another party other than Husband or Wife either directly or indirectly, said party constitutes merely an incidental beneficiary of the Agreement and will be restricted from pursuing legal action should either Husband or Wife breach or allegedly breach this Agreement in any way. 28. DOCUMENT EXECUTION: Wife and Husband covenant and agree that they will forthwith and within at most ten (10) days after demand therefore, execute any and all written instruments, assignments, releases, satisfactions, deeds, notes or other writings as may be necessary or desirable for the proper effectuation of this Agreement, and which shall be executed in order to carry out fully and effectively the terms of this Agreement. Such documents include, but are not limited to, an affidavit of consent, a life insurance change of beneficiary, a life insurance application, deeds, trusts, mortgage applications or refinancing documentation, bank account or safe deposit box releases, checks, Escrowee letters of direction, IRS forms and other tax forms, transfers of automobile, boat or other assets involving certificates of title, letters to creditors, and health insurance documents. 23 of 26 ETL LGL 29. JURISDICTION: This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. While the parties understand that they may from time to time remove themselves from the jurisdiction, it is their understanding and their intention that this Agreement shall be valid and effective without respect to where the parties are domiciled ay any time in the future, or where in the world property owed or controlled by either party is located. If, under the laws of any other jurisdiction either party would be entitled to any right, power or interest under the laws of that jurisdiction, then only to the extent necessary to effect a complete waiver, release or relinquishment of such right, power or interest, and thereby effectuate this Agreement, the laws of such jurisdiction shall apply. If one or more provisions of this Agreement shall be held invalid or unenforceable under the laws of any jurisdiction, the parties intend that such invalidity or unenforceability shall not affect the remaining provisions, which shall nonetheless be valid and enforceable. If it is necessary that any invalid provision be replaced in order to interpret properly the remaining provisions of the Agreement, any such invalid provision shall be replaced by a valid provision which fulfills as closely as possible the intent and purposes of the invalid provision. It is intended by the parties that no additional rights be conferred on them other than as set forth in this Agreement by the laws of any jurisdiction whatsoever. 30. 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 continue in full force, effect and operation. 31. COUNTERPARTS. This Agreement may be executed in counterparts, each of &f4-/ 24 of 26 ETL LGL e ? which shall be deemed to be an original, but all of which shall constitute one and the same agreement. 32. BINDING EFFECT. By signing this Agreement, each party acknowledges having read and understood the entire agreement, and each party acknowledges that the provisions of this Agreement shall be binding upon the parties as if they were ordered by the Court after a full hearing. 33. HEADINGS. The paragraph headings and other captions used in this Agreement are been inserted for convenience and reference only, and do not constitute matter to be construed in interpreting this Agreement, nor shall they be considered to modify the provisions which they precede. IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have signed, sealed and acknowledged this Agreement the day and year below written, which Agreement has been executed in various counterparts, each of which shall constitute an original. WITNESS: ETL LG & 6,-,"OX S EAL Evelyn T. Lantz Date: J ?- - (SEAL) aw nce G. Lan /z Date: 25 of 26 COMMONWEALTH OF PENNSYLVANIA COUNTY OF !AL? v, ) SS: On this, the 1f? day of, 2008, before me, a Notary Public, the undersigned officer, personally appeared Evelyn T. Lantz, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Marital Settlement Agreement and acknowledged that she executed the same for the purposes therein contained. IN WITNESS THEREOF, I hereunto set my hand and official seal. F RIAL SEAL Y E OIPPERY Poft EWM A" 6, 2012 Notary Publ' R- COMMONWEALTH OF PENNSYLVANIA COUNTY OF V?t,-U I• ?1 ) SS: On this, the A" day of em e.v, 2008, before me, a Notary Public, the undersigned officer, personally appeared Lawrence G. Lantz, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Marital Settlement Agreement and acknowledged that he executed the same for the purposes therein contained. IN WITNESS THEREOF, I hereunto set my hand and official seal. Notary Public:; M T ..?"' LEANN M KNSCH Notary Public MIODLETOWN BOROUGH 26 of 26 DAUPHIN COUNTY ETL 1 ,61, ICOM"1109q-Wres Oct 24, 2010 "?iWl4iqG? tA'?1JA11 :i4V'! .:,b?R?R++?i?wa;#?' aye"k thOAMi ?GlJ<:;1tu+R 1'C1T3.friC6A w .4 A Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 SERRATELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 Telephone: (717) 540-9170 Facsimile: (717) 540-5481 Attorney for Plaintiff EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION -LAW : NO. 2007 - 5525 CIVIL TERM IN DIVORCE PRAECIPE TO WITHDRAW ADDITIONAL COUNTS IN DIVORCE ACTION To the Prothonotary: Please withdraw Plaintiff's additional counts for Equitable Distribution, Alimony, Alimony Pendente Lite, Counsel Fees, Costs and Expenses, filed to the above docket number under her Complaint in Divorce, filed with this Honorable Court on September 19, 2007. Respectfully submitted, SERRATELLI SCHIFFMAN BROWN & CALHOON Cara A. BoyanowK,EE quire Supreme Court I.D. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 r - -• CERTIFICATE OF SERVICE I, Cara A. Boyanowski, Esquire, hereby certify that on the date indicated below, I served a copy of the foregoing document upon Defendant's attorney by first class mail, postage prepaid, addressed as follows: Lesley J. Beam, Esquire KOPE & ASSOCIATES 4660 Trindle Road Suite 201 Camp Hill, PA 17011 Dated: - Z - _ SERRATELLI SCHIFFMAN BROWN & CALHOON B Cara A. ABoyannowskki, ui re 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 Attorney for Plaintiff .?? ? ? ? ++ .? ?? ?.... A.„..- k» ""Y? p?L ?.? Z.J'^t Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 - telephone (717) 540-5481 - facsimile cboyanowskinssbc-law.com Attorney for Plaintiff EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW : NO. 2007-5525 CIVIL TERM : IN DIVORCE AFFIDAVIT OF CONSENT A Complaint in Divorce under §3301(c) of the Divorce Code was filed on September 19, 2007. 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 of 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.A. §4904 relating to unswom falsification to authorities. Date: /S 4 .0 By: Evelyn T. L, Plaintiff "antz r v7 -' - r7 Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 - telephone (717) 540-5481 - facsimile cboyanowski@ssbc-law.com Attorney for Plaintiff EVELYN TERESA LANTZ, Plaintiff V. LAWRENCE GEORGE LANTZ, Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION -LAW : NO. 2007-5525 CIVIL TERM : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER 0301(C) OF THE DIVORCE CODE 1. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. §4904 relating to unsworn falsification to authorities. Date: ?Z Js? ?1S By: Evelyn T. L tz, Plaintiff 61 f`:5 y co EVELYN T. LANTZ, Plaintiff VS. LAWRENCE G. LANTZ, Defendant THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 07 - 5525 CIVIL IN DIVORCE ORDER OF COURT (l? AND NOW, this day of , 2008, the economic claims raised in the proceedings having been resolved in accordance with a marital separation agreement dated December 15, 2008, the appointment of the Master is vacated and counsel can file a praecipe transmitting the record to the Court requesting a final decree in divorce. BY THE COURT, W?CCAA'? [ Edgar B. Bayley, P.J. cc: ? Cara A. Boyanowski ZLesley ttorney for Plaintiff J. Beam Attorney for Defendant l fiS /'h? LL ?l C %j LLJ ?..L_ 4 G Yt EZYA) IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA vs. &A-0 216 XXI LAJL?Z (CIVIL DIVISION NO. 07 CIVIL TERM PRAECIPE TO TRANSNUT 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 3301 (c) (strike out inape sect tion) 2. Date and manner of service of the complaint: C,D M P LA r P i t d&5 SC Uf- C&rj 6C-\D OIL %A)i 1) iTO 91,9&-7. 3. Complete either paragraph (a) or (b). a. Date of execution of the affidavit of consent required by 3301 (c) of the Divorce code: by plaintiffoff- S 08 ; by defendant a ' jig k13 b. (1) Date of execution of the affidavit required by 3301 (d) of the Divorce Code: (2) Date of filing and service of the plaintiff's affidavit upon the respondent: 4. Related claims pending: Tp,-ceE c5 A- lnozime &K- J I) n 00 wd /0 P 7TIAI-,T-S C? P?2A i?a0 P. ('EEsnEK? i 5. Complete either (a) or (b) FUZP05&5 bO T N0-J fY1tr : a. Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached: b. Date of plaintiffs Waiver of Notice in 3301 (c) Divorce was filed with the Prothonotary: La /a 3 / Dg Date defendant's Waiver of Notice in 3301 (c) divorce was filed with the Prothonotary: ?; {_ °_ ?t , ,.:. - _` { ;?? ,,: 12/23/200,2 11:31 717-761-7572 KOPE & ASSOCATES PAGE 03/28 . Z EVELYN T. LANTZ, Plaintiff, vs. LAWRENCE G. LANTZ, Defendant. r ?.? OF THE :??" ; ,? T,%Ry NO! EEC 22 Ni !0* k 7 yr. rV l?'???/?rY?l'4 ?!I'? IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA : NO. 2007-5525 CIVIL ACTION - LAW IN DIVORCE MARITAL SEPARATION AGREEMENT 1. INTRODUCTORY PROVISION This Agreement is made by and between Evelyn T. Lantz of Cumberland County, Pennsylvania ("Wife") and Lawrence G. Lantz of Cumberland County, Pennsylvania ("Husband"). 2. WHEREAS CLAUSES WHEREAS, the parties hereto are Husband and Wife, having been married on March 11, 1987, in Santa Ana, Orange County, California; WHEREAS, certain differences exist between the parties and they have decided to permanently live separate and apart from each other and they intend by this Agreement to fully and finally settle all of their respective rights and obligations as between each other, including, but not necessarily limited to the settling of all interests, rights and/or obligations between them or their estates, whether arising out of their marriage, including, but not limited to: a) the past, present and future support, alimony pendent& lite, alimony or maintenance of either party by the other party; and (b) the ownership of all assets of whatever nature, including assets acquired by ??7? I of ETL LGL :2/23/2008 ;.1:31 717-761-7572 KOPE & ASSOCATES PAGE 04/28 either parlay prior to or subsequent to the date of execution of this Agreement; 3. CONSIDERATION NOW, THEREFORE, in consideration of the premises and of the mutual promises, covenants and undertakings set forth in this Agreement and for other good and valuable consideration, the receipt and adequacy of which is hereby acknowledged by each of the parties hereto, Husband and Wife, intending to be legally bound hereby, covenant and agree as follows: SECTION I GENERAL PROVISIONS 4. 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. 5. DEFINITIONS 5.01. Divorce Code. The phrase "Divorce Code" or "Code" shall be defined as Pennsylvania C.S.A.. Title 23. Section 101 et seq. (effective March 19, 1991). 6.02. Date of Execution of This Agreement. The phrase "date of execution", "execution date" or "date of this Agreement" shall be defined as the date that the last party signs this Agreement. 5.03. Date of Distribution. Except where indicated otherwise, the phrase "date of distribution" of this Agreement shall be defined as the earlier of the date of: (1) death of one of the parties; or (2) the thirty-first day subsequent to the date on which an initial divorce decree is entered without an appeal having been taken, or, if such an appeal V? 2 of 26 ET[. L 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 05/28 f has been taken, on the date of receipt of notice of final confirmation of the initial divorce decree by the appellate courts. If the distribution date falls on a date when the court which entered the decree in divorce or to which appeal was taken is closed for official business, then the distribution date shall be the next day on which that court is open for official business. 5.04. Internal Revenue Code. The phrase "Internal Revenue Code" or "I.R.C." shall be defined as the Internal Revenue Code of 1986, as amended, or any successor statute thereto. References to sections of the Internal Revenue Code shall refer to sections of the Internal Revenue Code as of the date of execution of this Agreement. SAS. Asset. The word "Asset" shall be defined as anything of value, including, but not limited to, real and/or personal, tangible and/or intangible property and all financial interests however held. 5.06. Effective Date of Agreement: This Agreement shall become effective and binding upon both parties on the execution date of this Agreement. 6. DIVORCE DECREE 6.01. 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. Wife has filed a divorce action in the Court of Common Pleas of Cumberland County, Pennsylvania, Civil Term, 2007, No. 2007-5525, seeking a divorce decree pursuant to, among other provisions, Section 3301(c) of the Domestic Relations Code. Husband has filed a divorce action in the Court of Common Pleas of Cumberland County, Pennsylvania, Civil Term, 2007, No. 20075546, seeking a divorce decree pursuant to, among other provisions, Section 3301(c) of the Domestic Relations Code. The parties hereby agree that the filings shall be consolidated to Docket No. 2007-5525. The parties shall promptly file the affidavits and waivers required to obtain a divorce pursuant to § 3301(c) of the Domestic Relation Code, As defined in the 3 of a6 ETL L 12/23/2005 11:31 717-761-7572 KOPE & ASSOCATES PAGE 86/28 I Domestic Relations Code, the parties' marriage is irretrievably broken and they do not desire marital counseling. The parties shall also take all legal steps (including, but not limited to, the timely and prompt submission of all documents and the execution of appropriate waivers of the right to file exceptions and of the right to file an appeal) necessary to ensure that a divorce pursuant to § 3301(c) of the Domestic Relations Code is entered as soon as possibletwithin one (1) month, but in any event not later than two (2) months from the date of execution of this Agreement. 6.02. Responsibility for Proceeding with Divorce. Husband shall be responsible for the prompt fling of the Praecipe to Transmit the Record and the related required documents. Should Wife want a certified copy of the final divorce decree, Wife shall pay the required fee to secure that document. 6.03. Withdrawal of Other Actions. The parties further shall take all legal steps necessary to ensure that all pending petitions and actions between the parties (including, but not limited to counterclaims or petitions for economic relief), except for the divorce action referred to in Paragraph 6.01 (to the extent necessary to obtain the divorce), are dismissed with prejudice as soon as possible and that no similar actions are instituted, except to the extent necessary to enforce the terms of this Agreement. 6.04. Penalty for Delay. Notwithstanding the foregoing, if, after the execution of this Agreement, either party unreasonably delays or contests the obtaining of a final, unappealed divorce decree, that party shall exonerate and indemnify the other party against and hold the other party harmless from any liability and/or expense, including reasonable counsel fees, incurred as a result of such delay or contest in obtaining the decree. &- 4of44 ETL LGL 12/23/2ee2 11:31 717-761-7572 KOPE & ASSOCATES PAGE 07/28 s f 7. EFFECT OF NO DIVORCE Except as otherwise provided for in this Agreement, this Agreement shall remain in full force and effect even if no final decree in divorce Is entered. 8. EFFECT OF DIVORCE DECREE, INCORPORATION AND MERGER This Agreement shall continue in full force and effect after a final decree in divorce is entered in any jurisdiction, it shall survive and not merge into any such divorce, and its provisions shall not be affected by the entry of such a decree, surviving any such decree and remaining independent of any such decree. The terms of this Agreement shall be incorporated for enforcement purposes only, but not merged into the divorce decree. The Court entering the decree shall have all of the powers of enforcement, which, at the discretion of the non-breaching party, shall include, but not necessarily be limited to, all of the following: for breach of contract, under theories of equity, and under the Divorce Code, including under § 3105 (which includes contempt). The provisions of this Agreement shall not be modifiable for any reason. 9. ADVICE OF COUNSEL Husband has been represented by Lesley J. Beam, Esquire. Wife has been represented by Cara A. Boyanowski, Esquire. Each party represents that he or she understands that, in the absence of this Agreement and as a matter of law: (1) as a surviving spouse, he or she might be entitled to a greater share in the decedent's estate than is provided for in this Agreement; and (2) as a separated and/or divorced spouse, he or she might be entitled to greater support, maintenance, alimony pendente lite, counsel fees, costs, alimony, distribution of property, or other financial benefits arising from the marital relationship than is provided for in this Agreement. Notwithstanding the foregoing, the parties shall be bound by the terms of this &_ A-Z 5 of q4 ETL LGL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 08/28 V Agreement. Each of the parties further acknowledges and agrees that, with such knowledge, and after having read this Agreement carefully and fully, this Agreement is fair, reasonable and equitable, that it is being entered into freely, voluntarily, and in good faith, and that its execution is not the result of any duress, undue influence, coercion, collusion and/or improper or illegal agreement. 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 disclosure of the parties' marital assets and debts and the parties' respective incomes. The parties agree to waive any further disclosure and proceed with a settlement of all financial assets and/or debts. 11. DISCLOSURE AND WAIVER OF PROCEDURAL RIGHTS Each party understands that he or she has the right: (1) 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 or owned as of the date of separation; (2) to have all such property valued by means of appraisals or otherwise; (3) to compulsory discovery to assist in the discovery and verification of facts relevant to their respective rights and obligations, including the right to question the other party under oath; and (4) to have a Court hold hearings and make decisions on the matters covered by this Agreement, which Court decision concerning the parties' respective rights and obligations might be different from the provisions of this Agreement. Given said understanding and acknowledgment, both parties hereby waive the foregoing procedural rights. 6 of i K L-TL LG 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 09/28 f 9 12. 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, which discharge causes the other party to bear the obligation of the discharger, the other party 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 executed by the parties. 13. MUTUAL RELEASES Except as otherwise expressly provided in this Agreement. Wife and Husband 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 Against Proearty 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 situated, 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. 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 7 of ETL AL(3Lv1 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 10/213 (i) the Commonwealth of Pennsylvania, (ii) State, Commonwealth or Territory of the United States, or (iii) any other country; C. Marital Rights: 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. D. Breach Exception: 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 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. 14. WAIVER OR MODIFICATION 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. 15. MUTUAL COOPERATION Each party shall, at any time, and from time to time hereafter, and within five (5) business days of request, take any and all steps and execute, acknowledge and deliver to the other party, any and all further instruments and/or documents that the other party may reasonably require for the purpose of giving full force and effect to the e ? /0 8 of 86 ETL LGL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 11/28 provisions of this Agreement. 16. 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. 17. INTEGRATION 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. 18. 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: A. Divorce Code Remedies: The right to all remedies set forth in the Pennsylvania Divorce Code, 23 Pa.C.S. § 3502(e), and any additional rights and remedies that may hereafter be enacted by virtue of the amendment of said statute or replacement thereof by any other similar laws. B. Damages: The right to damages arising out of breach of the terms of this Agreement, which damages shall include reimbursement of all reasonable attorney's fees and costs incurred as the result of the breach and in bringing the damage action. C. Other Remedies: Any other remedies provided for in law or in equity. D. Consideration for Reasonable Attorneys Fees: Any award of 9 of 26 FTL LC 12/23/2006 11:31 717-761-7572 KOPE & ASSOCATES PAGE 12/28 "reasonable attorney's fees" as used in this paragraph shall be based on consideration of (1) the hourly rate charged; (2) the services rendered; and (3) the necessity of the services rendered. Determination of reasonableness shall not take into consideration the amount or nature of the obligation sought to be enforced or any possibility of settlement for less than the obligation sought to be enforced by the non-breaching party. E. Breach Notice: In the event of an alleged breach of any term of this Agreement, the aggrieved party shall provide written notice to the breaching party and his or her counsel of his or her intent to take action to enforce his or her rights under the Agreement and to remedy such breach. The breaching party shall have a period of fifteen (15) days from the mailing of such notice to cure the alleged breach prior to the institution of any proceedings of any nature for enforcement of this Agreement. 19. 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 arising out of such joint filing, each will be responsible for payment of half of such tax and any interest, penalty or other expense arising therefrom and shall indemnify and hold harmless the other from and against any loss or liability as a result thereof. In the event that any refund is received after the execution of this Agreement, from any joint filing from a previous year, the parties hereby agree that the refund monies received shall be split equally between the two parties. B. Current Returns: The parties shall file individual tax returns for the 10 of 1W ETL L 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 13/28 current tax year and for every tax year hereafter. C. Presm-ation of Records: Each party will keep and preserve for a period of five (5) years from the date of their divorce all financial records relating to the marital estate, and each party will allow the other party access to those records as may be reasonably necessary from time to time. 20. EFFECT OF RECONCILIATION This Agreement shall remain in full force and effect even if the parties reconcile, cohabit as Husband and Wife or otherwise, or attempt a reconciliation. This Agreement shall continue in full force and effect and there shall be no modification or waiver of any of the terms hereof unless the parties, in writing, signed by both parties, execute a statement declaring this Agreement or any term of this Agreement to be null and void. SECTION II EQUITABLE DISTRIBUTION OF PROPERTY 21. FINAL EQUITABLE 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. I I of 04 oelv ETL LG 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 14/28 22. DISTRIBUTION OF PROPERTY AND DEBTS The parties' assets and debts shall be divided and distributed as follows: A. Marital Premises: The parties hereto jointly own real estate, specifically a house and lot known and numbered as 10 Thyme Court, Mechanicsburg, Cumberland County, Pennsylvania (the "premises" or "residence"). As regards their joint interest therein, the parties agree as follows: (1) No later than the distribution date of this Agreement, Wife shall execute and deliver to Husband a deed conveying to Husband all of her right, title, and interest in and to the residence. Thereafter, Husband shall be the sole owner of the residence and shall be permitted to record that deed and take any other action with respect thereto that he deems appropriate. Husband and Wife hereby agree to sign and execute all forms necessary by law to ensure the transfer of title. (2) Commencing on the execution date of this Agreement, and without regard to when bills for such items are incurred, received or due, Husband shall be solely responsible for all past, present and future costs or liabilities associated with or attributable to maintaining the residence (except as provided herein), including, but not limited to, all real estate taxes, water and sewer bills, gas, electric and telephone service, homeowners insurance, and gardening expenses and repairs, and Husband shall keep Wife and her successors, assigns, heirs, executors, and administrators indemnified and held harmless from any liability, cost or expenses, including attorneys' fees, which are incurred in connection with such maintenance, cost, and expenses or resulting from Husband's ownership interest in the residence. (3) There is presently outstanding against the residence a mortgage in &eAl 12 of Ili ETL LGL 1212312998 11:31 717-761-7572 KOPE & ASSOCATES PAGE 15128 favor of MetLife Home Loans ("mortgage"), under the names of both parties. [It should be noted that this mortgage was formerly held by First Horizon.] At the time of separation of the parties, the principal balance of this debt totaled approximately two hundred and fifty eight thousand, five hundred and four dollars and ninety-five cents ($258,504.95). Commencing on the date of execution of this agreement, Husband shall be solely responsible for the timely payment of all past, present, and future principal, interest and other fees due under the mortgage. (4) Within ninety (90) days of the execution of this Agreement, Husband and Wife agree to take all steps necessary to have the debt transferred out of Wife's name, provided, however, that MetLife Home Loans agrees to such a change. Husband shall be entitled to refinance this property in his name alone, or with the assistance of a cc-signer. (5) In the event that Wife shall incur any cost, expense or liability in connection with this debt due to any action or inaction of Husband, Wife shall have the option, in addition to any other rights or remedies provided by this Agreement, or by law, to set off such cost, expenses or liability against any amount owed to Husband pursuant to this Agreement. (6) Husband shall indemnify and hold Wife harmless from any liability, cost or expense, including attorney's fees, incurred subsequent to the execution date of this Agreement in connection with any expense required to be made by Husband including, but not necessarily limited to, the debt/mortgage, property taxes, and insurance with respect to the aforesaid premises, and in the event that Husband should die and, at that time, there should remain any outstanding balance on the debt, it shall be Husband's estate's obligation to promptly satisfy the debt with MetLife. (7) Husband shall keep and maintain an adequate amount of insurance ?/ on his life in a face amount of not less than the remaining debt balance for C 13 of. 14 ETL 1_.C 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 16/28 so long as he owns the marital residence and a debt thereon exists in the joint names of Husband and Wife. (8) Transfer Tax. Husband shall be responsible for the payment of any transfer taxes relating to the transfer of the premises from Wife. That withstanding, it is the understanding of the parties that transfer of the premises from both parties to Husband is exempt from payment of transfer tax under current tax law. (9) Vacating Residence. Husband and Wife agree that Wife has already vacated the premises as of the date of execution of this Agreement, and that Wife has taken no action detrimental to the premises or Husband's interest in the premises. B. Personal Property: The parties' tangible personal property 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") shall be divided and distributed as follows: (1) To Wife: All personal property currently in Wife's possession. Wife shall also receive her fur coat and jewelry. (2) To Husband: All personal property currently in Husband's possession, excluding Wife's fur coat and jewelry. (3) In the event that Wife's fur coat and jewelry are still at the marital residence as of the date of execution of this Agreement, Husband shall ensure that this property is provided to Wife no later than seven (7) days from the date of execution of this Agreement. Beyond the fur coat and the jewelry, the parties agree that all personal property has already ?14 of aQ ETL LGL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 17/28 been divided to their mutual satisfaction, and that no further transfers of property shall be required. C. Vehicle(s)and Vehicle Loan(s): The parties' vehicles (which shall be defined to include automobiles, boats, snowmobiles, motorcycles, trailers, campers and the like) owned by one or both of the parties, and loans associated therewith, shall be divided and distributed as follows: (1) To Wife: Wife shall receive the following vehicles: a. 2004 Ford Escape XLT Sport Utility 4D. This vehicle is currently held in Husband's name, and is encumbered by a debt in Husband's name. Wife shall be solely responsible for all remaining payments on the vehicle, and shall take a required steps to refinance the full balance of the debt into her name alone within three (3) months of the date of execution of this Agreement; and b. The Chevy Monte Carlo currently in Wife's mother's possession. This vehicle is currently titled in Husband's name, and Husband and Wife shall execute the necessary paperwork to transfer title of the vehicle into Wife's name within sixty (60) days of the date of execution of this Agreement. (2) To Husband: Husband shall receive the following vehicles, value of the vehicles, or debt from the following vehicles: a. 1996 Lamborghini, of which no title transfer is required as said vehicle is currently held solely in Husband's name; b. 2002 Mercedes-Benz CLK-Class CLK430 Coupe 2D. This vehicle was sold to SunMotors for $12,000, resulting in a debt balance of approximately $8,370. Husband shall solely responsible for the full payment of this debt; C. 1988 Lotus Esprit Turbo 2D Coupe, of which no title transfer is required as said vehicle is currently held solely in Husband's name; and d. The full value of the parties' conversion van, which was traded in by Husband post-separation, for a value of $1,200. (3) The parties shall be responsible for securing and maintaining their eLA 15 OfO ETL .LCTL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 18/28 own automobile insurance on the vehicles assigned to each, respectively, as of the date of execution of this Agreement. The parties agree that each party will solely and fully responsible for any uncovered expenses, costs and/or liability arising from any and all incidents and/or accidents involving their respective vehicles. (4) The parties agree that the 1995 Chevy Camaro purchased during the marriage and given to their eldest daughter as a gift is hereby specifically excluded as marital property, and shall remain the separate property of said daughter. D. Title Transfer: The vehicles owned by the parties respectively shall be owned in full by whatever party with whom custody of the vehicle will lie in accordance with this Agreement. If any vehicle awarded under Paragraph C above should be titled in the names of both parties, the parties shall take all steps practicable to transfer title of the vehicle into the name of the party with whom custody of the vehicle will lay in accordance with this Agreement. Said title transfer of any vehicle under this section must be made in accordance with the law within sixty (60) days of the signing of this Agreement. All costs of the title transfer will be the responsibility of the person receiving title. E. Monetary Distribudons/Bank Accounts All funds in joint and separate accounts. including but not limited to savings, checking, and money market accounts, should be divided and distributed as follows: (1) To Wife: Any and all funds currently held in Wife's name alone, or in Wife's name with third parties. (2) To Husband: Any and all funds in Husband's separate accounts currently in Husband's name alone, or in Husband's name with 16 of 15 ETL T G1 12/23/2008 11:31 717-761-7572 KOPE & ASSWATES PAGE 19/28 third parties, specifically including, but not limited to, all monies held in the checking account, savings account, and certificates of deposit at Members 131 bank, account number #W17- (3) The parties acknowledge that there are no savings, checking, money market and/or other bank accounts currently held in the names of both Husband and Wife. The parties agree that all distribution of monies from former joint accounts have been done to the parties' mutual satisfaction and no transfer of funds is necessitated. F. Investments: The parties' shares of stock, brokerage accounts and other investments (the "Investments") shall be divided and distributed as follows: (1) To Wife: Any and all shares, accounts, and/or investments currently held in Wife's name. (2) To Husband: Any and all shares, accounts, and/or investments currently in Husband's name. (3) The parties assert that there are no joint shares, accounts, and/or investments held in the names of both parties. In the event that there is any joint share, account and/or Investment existing at the time of execution of this Agreement, the parties hereby agree that the share shall be sold and the proceeds divided equally, and/or that the account shall be closed immediately and all monies split equally. G. l.ifee Insurance: The parties' life insurance policies and the cash value of said policies shall remain in the possession of the party under whose name the policy is held. Neither party is entitled to the value or a portion of the value of the life insurance policy of his/her current spouse. C l 17 of dli ETT, t.GL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 20/28 a • H. Debts: The parties' marital debts, loans, credit cards and other obligations, not otherwise divided and distributed herein, shall be divided and distributed as follows: (1) To Wife: Wife shall be solely liable for the following debts: a. Her CitiBank credit card, account ending in 0676; b. Her Kohis' credit account, account ending in 548; and c. The RBS (Royal Bank of Scotland) debt, which had a balance at the time of separation of approximately $4,622.00. (2) To Husband: Husband shall be solely liable for the following debts: a. His Capital One credit card, account ending in 6219; b. His Citi credit card, account ending in 6698; C. His WaMu credit card, account ending in 7911; d. His Chase credit card, account ending in 0768; e. His Bank of America card, account ending in 1645; f. The Bank of America debt from the parties' former business, accounts ending in 1528, 1536, and 1544; g. The consolidated Bank of America debt, ending in 65; h. The GemlLowes debt; L The mortgage, as discussed above; and j. The balance of debt owed on the parties' sold Mercedes- Benz, as discussed in further detail above. 1. Retirement Plans: The parties' Pension Plan, Retirement Plan, IRA Account, Profit Sharing Plan, 401(K) Plan, Keogh Plan, Stock Plan, Deferred Savings Plan, any employee benefd plan and/or any other retirement type plans (the "Retirement Plans") shall be divided and distributed as follows: (1) To Wife: Any and all monies held in retirement plans in Wife's C?w 1.8 of9 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 21/28 name, including but not limited to the entirety of Wife's IRA account at Fidelity Investments, account #***-**1301. (2) To Husband: Any and all monies held in retirement plans in Husband's name. 23. MISCELLANEOUS DISTRIBUTION PROVISIONS: The following miscellaneous provision shall apply to the distribution of the parties' marital assets and debts: A. Final Equitable Distribution of Prouerti: The division and distribution 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. B. As Is Condition: Except as otherwise specifically herein provided, and with respect to the transfer of any tangible assets provided for in this Marital Agreement, the parties acknowledge that he or she have had the opportunity to inspect and view the assets that he or she is to receive as his or her sole and separate property and he or she is fully aware of the condition of such tangible asset and is receiving those assets in "as is" physical condition, without warranty or representation by or from the other party. E ET'i:'t, LA 19 of4 12123/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 22128 C. Personalty Transfer: if either party is entitled to any items of personal property in the possession of the other party as of the date of this Agreement, the parties shall promptly make arrangements so as to permit that party to remove the items of property from the other party's possession no later than seven (7) days from the date of this Agreement. D. Waiver. Each of the parties specifically waives, releases, renounces and forever abandons whatever right, title and interest they may have in any property that is to become the sole and separate property of the other party pursuant to the terms of this Agreement. E. Liens: In the event any asset is subject to a lien or encumbrance the party receiving the asset as his or her property shall take it subject to said lien and/or encumbrance and shall be solely responsible and liable therefore. F. Debt Balances and Prior P"Ments: Any debt herein described shall be deemed to include the current balance owed on the debt. Unless otherwise herein specifically provided, there shall be no adjustment in the distribution provisions for the payment of any portion of the marital debts prior to the execution of this Agreement, whether or not that debt or the prior payment thereof is specifically referenced in this Paragraph, said payment having been taken into consideration in determining the distribution of marital assets and debts herein provided. G. Indemnification: Any party assuming an obligation pursuant to the terms of this Agreement shall indemnify, protect and hold the other party harmless 20 of 26 e ETL L GL ?.2/23/2988 11:31 717-761-7572 KOPE & ASSOCATES PAGE 23/28 from and against any and all liability thereunder, including, but not limited to, any attorney's fees and costs incurred by the other party as the result of defending against the obligation and/or enforcing the provisions of this indemnification. H. Non-Disclosed Liability: 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. 1. No Further Joint Debt: From the date of this Agreement, each party shall only use those credit 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. J. No Additional Debt: Each party represents and warrants to the other party that since the separation he or she has not, and in the future he or she will not, contract or incur any debt or liability for which the other party or the other party or the other party's estate might be responsible. SECTION 111 COUNSEL FEES, SPOUSAL SUPPORT. APL. AND ALIMONY 24. COUNSEL FEES: Each party hereby agrees to be solely responsible for his or her own counsel 21 of 21? ETL LOL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 24/28 fees, costs and expenses. Neither shall seek any contribution thereto from the other party except as otherwise expressly provided herein. 25. ALIMONY. APL. AND SUPPORT: The parties acknowledge that by this Agreement they have respectively secured and maintained a substantial and adequate fund with which to provide for themselves sufficient financial resources for their comfort, maintenance and support. The parties acknowledge that the cost of living may increase or decrease, that their respective estates may increase or decrease in value, that either may be employed or unemployed at various times in the future, and that notwithstanding these or other economic circumstances, which may be changes in circumstances of a substantial and continuing nature, the terms of this Agreement are just and reasonable. Therefore the parties hereby expressly waive, discharge, give up and release any and all rights and claims which they may now or hereafter have by reason of the parties' marriage, separation or divorce to alimony, alimony pendente lite, support or maintenance, and they further release any rights they may have to seek modification of the terms of this Agreement in a Court of law or equity, it being understood that the foregoing constitutes a final determination for all time of either party's obligation to contribute to the support and maintenance of the other. From the execution date of this Agreement it shall be the sole responsibility of each party to sustain himself or herself without seeking any support from the other. 26. HEALTH INSURANCE FOR WIFE AND HUSBAND: Husband currently provides health insurance coverage for himself. Wife currently V, t.! ?1 l 22 of 26 ETL LGL 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 25129 w w provides health insurance coverage for herself. The parties hereby agree that as of the date of execution of this Agreement, and for all times forward, no party shall be responsible for the costs of health care coverage of the other. SECTION IV CLOSING PROVISIONS AND EXECUTION 27. NO INTENDED THIRD-PARTY BENEFICIARIES This Agreement constitutes a contract binding between the aforementioned parties and those parties only. This Agreement provides rights and obligations only to the aforementioned parties. To the extent that this Agreement may benefit another party other than Husband or Wife either directly or indirectly, said party constitutes merely an incidental beneficiary of the Agreement and will be restricted from pursuing legal action should either Husband or Wife breach or allegedly breach this Agreement in any way. 28. DOCUMENT EXECUTION: Wife and Husband covenant and agree that they will forthwith and within at most ten (10) days after demand therefore, execute any and all written instruments, assignments, releases, satisfactions, deeds, notes or other writings as may be necessary or desirable for the proper effectuation of this Agreement, and which shall be executed in order to carry out fully and effectively the terms of this Agreement. -Such documents include, but are not limited to, an affidavit of consent, a life insurance change of beneficiary, a life insurance application, deeds, trusts, mortgage applications or refinancing documentation, bank account or safe deposit box releases, checks, Escrowee letters of direction, IRS forms and other tax forms, transfers of automobile, boat or other assets involving certificates of title, letters to creditors, and health insurance documents. _ 23 of 24, LTL L 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 26/28 29. JURISDICTION: This Agreement shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. While the parties understand that they may from time to time remove themselves from the jurisdiction, it is their understanding and their intention that this Agreement shall be valid and effective without respect to where the parties are domiciled ay any time in the future, or where in the world property owed or controlled by either party is located. If, under the laws of any other jurisdiction either party would be entitled to any right, power or interest under the laws of that jurisdiction, then only to the extent necessary to effect a complete waiver, release or relinquishment of such right, power or interest, and thereby effectuate this Agreement, the laws of such jurisdiction shall apply. If one or more provisions of this Agreement shall be held invalid or unenforceable under the laws of any jurisdiction, the parties intend that such invalidity or u n enforceability shall not affect the remaining provisions, which shall nonetheless be valid and enforceable. If it is necessary that any invalid provision be replaced in order to interpret properly the remaining provisions of the Agreement, any such invalid provision shall be replaced by a valid provision which fulfills as closely as possible the intent and purposes of the invalid provision. It is intended by the parties that no additional rights be conferred on them other than as set forth in this Agreement by the laws of any jurisdiction whatsoever. 34. 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 continue in full force, effect and operation. 31. COUNTERPARTS. This Agreement may be executed in counterparts, each of C? 24 of Iz- WG 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 27128 which shall be deemed to be an original, but all of which shall constitute one and the same agreement. 32. BINDING EFFECT. By signing this Agreement, each party acknowledges having read and understood the entire agreement, and each party acknowledges that the provisions of this Agreement shall be binding upon the parties as if they were ordered by the Court after a full hearing. 33. HEADINGS. The paragraph headings and other captions used in this Agreement are been inserted for convenience and reference only, and do not constitute matter to be construed in interpreting this Agreement, nor shall they be considered to modify the provisions which they precede. IN WITNESS WHEREOF, the parties hereto, intending to be legally bound hereby, have signed, sealed and acknowledged this Agreement the day and year below written, which Agreement has been executed in various counterparts, each of which shall constitute an original, WITNESS: 0ahwiWon". f (SEAL) Evelyn T. Lantz Date: S- (SEAL) w nce G. Lantz Date: 4 FTL L 25 of 26, 12/23/2008 11:31 717-761-7572 KOPE & ASSOCATES PAGE 28/28 y, r COMMONWEALTH OF PENNSYLVANIA COUNTY OF QV, r, ) SS: On this, the k5 A,"" day of DCr`U , 2008, before me, a Notary Public, the undersigned officer, personally appealed Evelyn T. Lantz, known to me (or satisfactorily proven) to be the person whose name is subscribed to the foregoing Marital Settlement Agreement and acknowledged that she executed the same for the purposes therein contained. IN WITNESS THEREOF, I hereunto set my hand and official seal. Mumma WW50"M 'f Notary Public . 1 ONRIIM? 0.rr.v+n E . -b COMMONWEALTH OF PENNSYLVANIA ) SSA COUNTY OF Q Imo, A ) On this, the Z ?01*1 day of Oa-' r. 2008, before me, a Notary Public, the . undersigned officer, personally appeared Lawrence G. Lantz, known to me (or satisfactoribr. proven) to be the person whose name is subscribed to the foregoing Marital Settlement Agreement and acknowledged that he executed the same for the pwposes therein Cot8a?d. IN WITNESS THEREOF, I hereunto set my hand and official seal. Notary Publ" _ M '&J, (`; „gym. UPM M 264K N hAft wooer D^" couw 26 of 26 kk I a W ad.] ETL L EVELYN T. LANTZ V. LAWRENCE G. LANTZ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 07-5525 DIVORCE DECREE AND NOW, De-e.. 3D L o © , it is ordered and decreed that EVELYN T. LANTZ , plaintiff, and LAWRENCE G. LANTZ , defendant, are divorced from the bonds of matrimony. Any existing spousal support order shall hereafter be deemed an order for alimony pendente lite if any economic claims remain pending. The court retains jurisdiction of any claims raised by the parties to this action for which a final order has not yet been entered. Those claims are as follows: (If no claims remain indicate "None.") NONE 01 By the Court, ,?Vlzn a a ?...., r sQ®??