HomeMy WebLinkAbout01-2080~ ~ ~ ~ w ~ ~ . ~ . ~
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ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS OF
:CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
v. :CIVIL ACTION -LAW
SCOTT A. COHEN, : N0. -~~'a
Defendant : IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must take prompt action. You are warned that if you fail to
do so, the case may proceed without you and a decree of divorce or annulment may be entered
against you by the Court. A judgment may also be entered against you for any other claim or
relief requested in these papers by the Plaintiff. You may lose money or property or other
rights important to you, including custody or visitation of your children.
when the ground for the divorce is indignities or irretrievable breakdown of the
marriage, you may request marriage counseling. A list of marriage counselors is available in
the Prothonotary's Office, Cumberland County Courthouse, Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS
GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAV~VYER OR CANNOT AFFORD ONE, GO TO OR
TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU
CAN GET LEGAL HELP.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
{717} 249-3166
ELISA S. COHEN
' : IN THE COURT OF COMMON PLEAS
CUMBE OF • RLAND COUNTY
Plaintiff ~ PENNSYLVANIA
v' :CIVIL
ACTION _ LAW
SCOTT A. COHEN '
' ' N0. v ~6~ - ~ r- 1 e,~-
Defendant • I
. N DIVORCE
COMPLAINT IN DIV ORCE
AND NOW, comes the _ • above named Plaintiff ELISA S. COHEN b
y and through her attorney, CONNT
ANCE P. BRUNT ES QUIRE, and seeks too '
btain a Decree in Div from the above- orce
namedDefendant, SCOTTA. COHEN, upon the o •
gr ands hereinafter set forth
COUNT I
DIVORCE
1 • Plaintiff is ELIS
A S. COHEN, an adult i ' ' ndividual, who currentl '
y resides at 3415 Hawthorne Drive '
Camp Hill, Penns lvani Y a 17011.
2• Defendant is SC OTT A. COHEN an ad '
alt individual, who curr • ently resides at
US S Enterprise, Norfol k Naval Base, Norfolk ' '
,Virginia.
3 • Plaintiff has bee n a bona fide resident of t he Commonwealth of •
Pennsylvania for at least six 6 mont '
hs immediatel ' y previous to the filing of this Co '
mplaint.
Il ~ ~ • ~ ~ , ~ , 1
r
4. The Plaintiff and Defendant were married on December 19,1987, in Frankfort,
Kentucky.
5 . There have been no prior actions of divorce or for annulment between the
parties.
6. The Plaintiff and Defendant are both citizens of the United States of America.
7. The Defendant is a member of the United States Navy, currently a member of
the crew of the USS Enterprise, stationed at Norfolk Naval Base, Norfolk, Virginia.
8. The Plaintiff has been advised of the availability of marriage counseling and
understands that she may request that the Court require the parties to participate in counseling.
9. The Plaintiff avers that the grounds on which the action is based are that the
Defendant has offered such indignities to the person of the Plaintiff, the innocent and injured
spouse, as to render her condition intolerable and life burdensome.
10. Plaintiff requests the Court to enter a Decree in Divorce.
2
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COUNT II
REQUEST FOR EQUITABLE DISTRIBUTION OF MARITAL
PROPERTY UNDER SECTION 3502(a) OF THE DIVORCE CODE
11. Paragraphs 1 through 7 inclusive of Count I are specifically incorporated by
reference as though fully set forth hereinafter.
12. Plaintiff and Defendant have individually or j ointly acquired real and personal
property during the marriage, in which they individually or j ointly have a legal or equitable
interest, which marital property is subj ect to equitable distribution.
13. Plaintiff requests the Court to determine and equitably distribute, divide or
assign said marital property, pursuant to Section 3 502 of the Divorce Code.
COUNT III
REQUEST FOR ALIMONY PENDENTE LITE, COUNSEL FEES,
COSTS AND EXPENSES UNDER SECTION 3702 OF THE DIVORCE CODE
14. Paragraphs 1 through 7 inclusive of Count I are specifically incorporated by
reference as though fully set forth hereinafter.
15. Plaintiff is without sufficient assets and income to support herself and pay her
attorney's fees and the costs and expenses of this action.
3
. ,
•
' rnin ca aci to su ort the Plaintiff and to pay the
16. Defendant has sufficient ea g p tY pp
' e 's fees and the costs and expenses of this action. Plaintiff s attorn y
' ourt to order the Defendant to support the Plaintiff 17. Plaintiff requests the C
• ' n and to a Plaintiff s counsel fees, expenses and the costs during the pendency of this actin p y
' ion ursuant to Section 3702 of the Divorce Code. of this act , p
COUNT IV
RE VEST FOR ALIMONY UNDER
SECTION 3701OF THE DIVORCE CODE
h 7 inclusive of Count I are specifically incorporated by 18. Paragraphs 1 throug
reference as though fully set forth hereinafter.
' sufficient roe to rovide for her reasonable needs.
19. Plaintiff lacks p p ~Y p
' is unable to sufficientl support herself through appropriate 20. Plaintiff Y
employment.
sufficient roe assets, and income to provide continuing
21. Defendant has p p ~Y~
support for the Plaintiff.
' uests the Court to order the Defendant to pay alimony to Plaintiff 22. Plaintiff req
ursuant to Section 3701 of the Divorce Code. p
4
~ .
COUNT V
RE VEST FOR CUSTODY UNDER
CTION 3323 b OF THE DIVORCE CODE SE
' clusive of Count I are specifically incorporated by 23. Paragraphs 1 through 7 in
reference as thou h fully set forth hereinafter. g
' rima le al and h sical custody of the following 24. The Plaintiff is seeking p ry g p Y
children:
me Residence Na
ron M. Cohen 3415 Hawthorne Drive 9 Aa
Camp Hill, PA 17011
id M. Cohen 3415 Hawthorne Drive 6 Dav
Camp Hill, PA 17011
' re born of the mania a between Plaintiff and Defendant. The children we g
' tl in the custod of Plaintiff, ELISA S. COHEN, who The children are presen y y
e Drive Cam Hill, Cumberland County, Pennsylvania, currently resides at 3415 Hawthorn p
the children have resided with the following persons and 17011. For the past five (5) years,
at the following addresses:
5
~ . • 1
(a) From 11/99 through present
3415 Hawthorne Drive
Camp Hill, PA 17011
With Plaintiff, ELISA S. COHEN
(b) From 12198 through 10199
Qtrs. P-4
Antrim Drive
Mechanicsburg, PA 17055
With Plaintiff and Defendant
(c} From 8197 through l 1198
4768 Farndon Court
Fairfax, VA 22032
With Plaintiff and Defendant
(d) From 12195 through 7197
1298 Spruance Road
Monterey, CA 93940
With Plaintiff and Defendant
The mother of the children is Plaintiff, ELISA S. COHEN, residing at 3415
Hawthorne Drive, Camp Hill, Cumberland County, Pennsylvania, 17011.
The father of the children is Defendant, SCOTT A. COHEN, residing on the
USS Enterprise, stationed at Norfolk Naval Base, Norfolk, Virginia.
6
? ~ A ~ r ~ ~ ~ 1 • M • i
.
25. The relationship of Plaintiff, ELISA S. COHEN, to the child is that of natural
mother.
26. The relationship of Defendant, SCOTT A. COHEN, to the child is that of
natural father.
27. The Plaintiff has not participated as a party or witness, or in any other capacity,
in other litigation concerning the custody of the children in this or any other court.
Plaintiff has no information of a custody proceeding concerning the custody of
the said children pending in a court of this Commonwealth or any other state.
Plaintiff does not know of a person not a party to the proceedings who has
physical custody of the children or claims to have custody or visitation rights with respect to
the children.
28. The relief requested by Plaintiff is in the best interests of the children because
the Plaintiff has served as the primary caregiver for the children since birth and is best suited
to provide them with a stable and wholesome home environment.
29. Each parent whose parental rights of the children have not been terminated and
the person who has physical custody of the children have been named as parties to this
7
k~ ~ •
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action.
WHEREFORE, plaintiff
prays that your Honorable Cou rt enter a Decree in Divorce
as follows:
(a.) dissolvin the marr' g rage between the arties •
p ,
(b~) equitabl distributi ' ' ' Y ng, dividing or assi nin th ' g g e marital property of the a '
p rues,
(c.} orderin Defendan
g t to pay alimony endente ' . li- te, counsel fees eX e
costs of this action to Pl ' ~ p nses and aintiff;
(d•) orderin Defendan
g t to pay alimony to Plaintif • f,
(e.} grantin Plaintiff g primary legal and h sical .
p Y custody of the minor childr the arties sub' en of
p sect to Defendant's ri hts o ' g f partial physical custod •
y, and
(f~) grantin such other • g further relief as the Court •
deems appropriate.
Respectfully submitted
CONSTANCE P. BRUNT
,ESQUIRE Supreme Court ID# 2993
3
Beaufort Professional Ce nter
1820 Linglestown Road
Harrisburg, PA 17110-333 9
(717} 232-7200
Attorney for Plaintiff
8
M r ~ ~
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VERIFICATION
I verify that the statements m
ade in the foregoin Com lai g p nt In Divorce are true and
correct. I understand that false state •
ments herein are made sub'ect to • ~ the penalties of 18
Pa.C.S. §4904, relatin
g to unsworn falsification to authori ties.
DATED: y a a
ELISA S. COHEN
~ ~ • `
ELISA S. COHEN,
IN THE COURT OF COM MON PLEAS OF
CUMBERLAND COUNTY
Plain ' ,PENNSYLVANIA tiff •
v' : CIVIL ACTIO -
N LAW
SCOTT A. COHEN •
g • N0. ~aD ~
Defendant : IN DIV ORCE
PLAINTIFF' S PE TITION F OR SPECIAL RELIEF
IN THE FORM OF AN INJ UNCTION PURSUANT T
2 0 3 Pa. C.S. 3323 3502 d
AND 3702 AND Pa. R.C.P.1920.43 a
AND NOW, comes the Plaintif
f, ELISA S. COHEN b an y d through her
attorney, CONSTANCE P. BRUNT . ,ESQUIRE, and petitions this
Honorable Court as follows:
1. The above-ca tinned actin • p n in divorce was instituted b ' y Plaintiff, ELISA
S. COHEN, on A ril 9 2001 '
p ~ , by the filing of a Com laint I • • p n Divorce, which included int
alia, claims for ~ er equitable distribution of marital •
property, alimony, alimon endente ' Y 1l te,
counsel fees, costs and ex enses a p nd custody of the minor chil • dren of the parties,
2. The parties are the arents •
p of two minor children a ed • . g 9 and 6, who reside
with Plaintiff.
3. Defendant is an active du •
ty member of the United States N • avy and is
equently required to en a e in lon ' g g g cruises at sea.
' 4 t
4• Plaintiff a nd minor child
for theirs ren °f the parties
upport. are dependent u pon Defendant
S• As a me tuber o f the U .
life in nited States Na
surance polic1e Defendant is ' sand has entitle insured by Certa • meet to retirement in
in the event benefits ' of Defendant's which would •
death accord' be distnbute ing to bene~i . d
probate estate. ciary desi ati ~ ons and not as
part of his
6. Defends '
nt is scheduled to
mont leave the cou h cruise ntr~, on A . where he will pri125, 2001
be exposed t for asix- o substantial h '
p ysical danger.
In the ev ent that the De fe
the ec ndant Would di • °nomic claims in t • e prior to the final .
his matter th reSOlu~on o . ~ e divorce acti f limited to he °n would abat
r claims in intes e, and Plaintiff
tact' °r her ri ht would be with res g to elect to take '
pest to Defendant's against the Defends ~ . probate estate o nt s Will
nly.
8 • Other tha n Defendant's • .
insura military retirem nce proceeds th ent benefits and •
ere are no significa possible life
rob nt assets Which w p ate estate. °Uld be art o
p f Defendant' s
9• Because t he assets hel '
no d in De fenda t be part of a nt s name are i
probate estate t n f0~s which heir dis ositi would
desi p on would be c gnation, and plain ontrolled b ben . ff would be l Y eficiary
eft Without su f ' to meet her r ficient incom
eaSOnable needs an a °r assets under he d the reasons r control
thew ble needs o f t Y ere distribute he minor chil
d t0 some thir dren of the a d party, p rues if
2
and p 14.
laln ' The
t tlf~'s Dc he car fcnd t
chjl d ccr ant rcn dcv has Dc and. clop a1Wa
fcnd by t mcn ys b ant' he t has ccn
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ca mo fcct Mary rccr. V cs t cd b wa c
he .Yhcr ~ ca park rolc ~cr
0 1 s ha v as th °f the rdcr 1, c be cps pa .
dlrc Aurs cn r ma ICs
a1 ctln aant cqulr ~ car ' 1 nc ~ Dc t° 2 cd t cta ccs fcn 3 p o kcr
sa dant a, C makc for be ~'prc to •S. bcc
ncf • mlu mal ~3S aus cla ms ntal ~2 d c o f
~o the ~ a f sa • rco 111 Alal , ldpo • • ~ as saran ntjff
llcjc duc cc rc s, and p0llc' qucsts
pc~dl dcsl jcs tha ng ~ ~atl on hl t the
dcs • 12 nal r ngp s lj fc Coa 1~ csol lair • no rt c
atc Alal utlo tl ff w c . ntcr and nt~ f~. n o~ as th x1st1~ an
ccoa male also the c c sol .
nts tale rc a con c p ' payln °f a Alal q csts °ml ~ma g
etc ny na stiff that c clal ry s Na arc . as th the ms o
' lac c C°tr nth pct lull puma rt c c .
djn ng s ry s ~tcr pa~jc g f~a pccl ur~1V an 0 s. 1 rc f ca or rdcr ,
sofa . ley bcn drr too hls r c~c cc
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cc°no nt be any r c~dan ha hro ml ncl` ctjr t to
Vc ha a~ho c cla . Its t c~c d t ut t Im hl'o nt
~ he b he s of ugh ts. cnc ma.~ the the
~t o a c pa Unl f~ ~ o f rtjcs, tcd cdlc the •
al sc partjc
~jccs s, the an Alai . dot n~
her ~f a l n
Ill d th to ~ ~1
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g~ for `~°cs n as Dcf h~rsc otha cnda ,
lean ~c ac nt s d the ccss
. mjno t° an Ursa dren. r c
A rchll y0thc
ant to galVal ~cfc 23 A cnt m
ndant a' C•S. cdlcal
t° co ~3S 5cn °pcr ~2(d cat atc Al .
s fort as rc alntl f he.P galrc frc
c cco lalnt. d to gacst n°ml lff are pr°Vl s that
c cl ~ d th do co the
alms c ml ntl~ C°a °f the ~°r c • aing ~ cnr
pa hll d me cr a rtlcs rcn o decal n fthe sc~.
partjc 1 ccs 3 s, pc •
ndln
g
a~ 16
the pxt~hd~ds~a~ $~~aus~D ~ ~f
a~,~rs alh~ff~d th ~js~ during w ~h 'wit till b
dlr~c that It IS Im e ~ii~or chll h~ch h~ ~i11 ~ 1~~Vl~g 1j1@
b~h~ ting. D~ f~~d Pera~V~ that dr~~ are dope b~ ~x~~s~d t co~~~ lfi
coo ficla~' ofan ~ht t~ d~signa ~s ~Onorabl hd~~t upon . ~ c~hsjderab m~dlat~lY to
~1 perat~ ~s r~ Y 11 f~ Insur t~ ~d ~riai~ • ~ Coin ~ht hjm, Plaint f 1 ~ danger a~ embark on
alnt~ ffa~d ~ qujr~d to pro ~ic~ o~ ~s 11 f tale plalhh~. ~r iii i~i~d1 f b~li~~~s ~h d b~~ause
~ ml~Or chll ld~ C~~tlll~j ~ ~d °fhis .~S Sale ~t~ ~~mAora d th~r~f~re pjr
°f the p hb' m~djcal S~ mlll ta~'r~~r~ ma~'su~lV ~rd~r
~'ti~s to rvi~~s rnent b or
~if'jjE ~V~IdAe~a~ ~~°~ermlllt~h~f~ anQ'to
~~r Issuin ~~t ~d In'~ b~n~~t
r~li~ g ~ ~1~ upo ~ pl~l~~ffr~s ~~r~b1~Pr~ • S fir
f r~qu~ste ~ D~f~ndaht ~~Ct~11Yr~ ~trdj~~ to ~ o f d h~r~~ shop , SC~~,A quests this ~I
,In Pla ~ order t~~1 1d nOt b~ gray C~I~EN to s °~~rabl~ Coy
ln~ff as the S p~ranly ~'e~t • tad Farr fh~r h~~ ~aus~~ if ~ tO ~nt~r
is mi1~ta °l~ 'plaint ffr~q~ an.Y he hasp
rY r~~r~ ~'nmary sal ~~g D~fenda~t~ ~S
~~~5 and 0th rhent be~~~ts ~ Vor b~~~~cl~ per~ding h~a~~ is the
~r m1llt~ ben ~ ~f g~ t~ d~slb~iat
t e~, t~ ~~operat~ a ~Y 1~ f~ lnsu e
n~ 0 f ~ for plaint f S r~qulred to ra~~~ ~n his
an order p fCoUrt ~~d the mi~o ~r~Vid~ ~o~h fo]lowing hea~~ r ~hil~e nu1~bJ
Directin gprOVld1~ ~ of ~epa~~s.
we b Defendant to mai~ain ~j Ins g ~ f~jjOws: re in existence uran~
at the date ode fll~b' of pl Poli~ies on his lif
Divorce, paying all necessary ~Iu al~nff'S C, e K'hich
and enjoining Defen ms ~~reo~ ~ °mplalnt In
any way encurrib ant frorr~g ~Y loans due' ~d pro .
Order Bring the pra o fsaid ~~m Said polio • ~1lljjj7ng Of Court; Policies
' p~~di l~s ~r 1~ ng ~~~r
4
ti
B. Direct.
ing De fen dart to
bene deli ~cia mate an ry ° fan d main .
y 11fe Ins tarn pl .
p°lic1es urance aintiff as provided p°Iic1es ' the ri
thou insuri p ma gh his ng his ry sertic life, in .
C• a with t cludin
Direc he Un gall Ong De ited Sta
. fendan tes N • ri t t0 desl avy~ p ma s grate .
rY urvivo and m r bene alntaln p .
any n ciary o lain tIf attire a f all re ' f as th
s he ma t~remen a sole ben y have i t accou
efts thr ' ncludln nts or be ough the g specific nets o f
ec United ally hi • . onomic States s i11illta
claims Na ry yeti of th pendi reme
e parties, ng final nt
D 'and res0lutio Direc • n °f the
Ong De f endant to
c°ntinui cooperate ng medic as requir
al serve ed to
the pia ' ces and provide intiff and other mi , and mai , the mi lita ntaln
reso nor c ~ ry bene fi
lut~o hildre is for n of the n of the the be ec0nom . part1es nett ° f
Ic claims ' pendin
°f the ~ g final pa~1es.
Res ec
p tfull Ysubmitt ed~
C~ NSTA NCE p
Supre . BR me Co vNT
B urt ID ' ES U eau #29 Q I fort 933 RE
. Pro fes 182p L sional C Inglesto enter
Ha~~s ~ Roa burp d
~1 g~ A 171 ~ 7 2 10. 32. 333
72pp 9
Attorn ey for pia . innti~ff
•
VERIFICATIO N
I verify that the s
tatements made in t he foregoin pl ' ~ . .
Relief In The g aintiff s Petition For ' Form ~f An In' Special
function Pursuant To 23 And Pa. C.S. § 3323
Pa. R.C.P. § 3502 1920.43 a axe (d) And 3 702 true and c
orrect. I understand that made subject to t false statements '
he penalties of 1 herein are 8 Pa.C.S, 4904 . § , relatin t
authorities. g ° unsWOrn falsificati on to
DATED:
o~ a~
ISA S, C HEN Plaintiff
~'0
~ 7
.
6
ELISA S, CORE
N • ' PV THE COURT Plaintiff OF COMMON
CUB PLEAS OF ERLA~ COQ
TY~ pENNS YL V AAA
v.
' CIVIL ACTION _ LAW
SCOTT A, CORE N •
Defendant . N0.01-2080 CIV
IL TERM
ORDER OF CO URT
AND NOW, this 1 • 2 day of A ril 2 p 001, upon conside '
ration of plaintiff s pe for Special Rel' tition
1ef in the Form o • fan Injunction P ursuant To 23 Pa. C.S.
3502 d §33230,
( and 3 702 and Pa. R.C.P. 1920.4
3(a)~ a hearin is g scheduled for Mo • 23 20 ndaY~ April
O1, at 11.30 a.m. in Courtroom No. 1
Cumberland Coun tY Courthouse, Carli
Pennsylvania. sle,
BY THE COURT
Wesley Oler J ~ , • J. .
Constance P. Bru
nt, Esq. Beaufort Professio ~
nal Center • 0
1820 Lin les -I ~ g town Road ~I Harrisbu ~
rg, PA 17110-3339 5
Att ~ orney for Plaintiff
Scott A. Cohen
USS Ente rise
Norfolk Navel Ba se
Norfolk, VA
:rc
~ 1'' ~ ~~a i r ' I r `L ~ r' i
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r
ELISA S. COHEN, : IN TH E COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVA
. NIA Plaintiff ;
:CIVIL ACTION -LAW
SCOTT A. COHEN • . N0. 01-2080
Defendant : IN DIVORCE
AFFIDAVIT OF SERVICE
I, Shari R. Gorman, paralegal for Constance P. Brun ' t, Esquire, do hereby certify that
on April 10, 2001, I did serve on Defendant SCOTT
A. COHEN, true and correct co ies of p
the Complaint In Divorce and of the Plaintiffs ' ' •
Petition For Special Relief filed on A ril 9 p
2001, in the above-captioned matter b ersonall • y p y delivering them to him at 3 :3 5 .m. at
p
Plaintiff s residence at 3415 Hawthorne Drive ' Camp Hill, PA 17011.
~l~f,C.
SHARI R. GORMAN
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MMON PLEAS OF • HE COURT OF CO IN T LVANIA
A S. COHEN, COUNTY, PENNSY , ELLS ; CUMBE~~D
Plaintiff
L ACTION -LAW CIVI v.
N0. 01-2080
SCOTT A. COHEN,
IN DIVORCE
Defendant
Y PENDENTE LITE
ION FOR ALIMON AINTIFF S PETIT PL
N b and through her
ner ELISA S. CORE y D NOW, comes the Petitio , AN
e following Petition For S DIRE, and files th
CEP . BRUNT, E Q attorne , CONSTAN y
Limon Pendente Lite: A y
' It individual currently
• • S. COHEN, is an adu ' tiff/Petitioner, ELISA 1, Plain
' land County, Pennsylvania.
've Cam Hill, Cumber • t 3415 Hawthorne Dry p residing a
is an adult individual
t SCOTT A. COHEN, DefendantlResponden ,
2. The
• ase Norfolk, Virginia. • rise Norfolk Naval B , residing at USS Enterp ,
' om faint In Divorce in • ifflPetitloner filed a C p A X19, 2001, the Plaint
3. On p ' endente 1 to in Count III.
• e raised a claim for alimony ve matter, in which sh
the abo
• 'sbur Area Community ' ' loner is employed at Harri g
4. The PlaintlfflPetit • • rear an amount which is
s a roximately $25,000 pe y
Colle e from which she earn pp g ildren of the parties. ' erself and the minor ch
' ro erl rovide for h insufficient to p p y p
~ h ~ .
I `1
5. Defendant/Res ondent is employed by the United States Navy, from which p
he earns a roximately $49,000 per year, plus various benefits and allotments. pp
6. PlaintifflPetitioner isunable toprovide and maintain the standard of living
to which she and the minor children were accustomed and is need of alimony endente 1 to to
su ort herself and the minor children of the parties and to adequately protect her rights and pP
interests in the pending divorce action.
7. Defendant/Respondenthas sufficient assets and income to provide
continuing support to Plaintiff/Petitioner.
WHEREFORE, Plaintiff/Petitioner prays this Honorable Court to enter an Order
directin Defendant/Res ondent to pay alimony endente 1 to to PlaintifflPetitioner in g p
accordance with the guidelines set forth in the Rules of Civil Procedure.
Respectfully submitted,
CONSTANCE P. BRUNT, ESQUIRE
Supreme Court ID# 29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110-3339
(717} 232-7200
Attorney for Plaintiff/Petitioner
2
~ ~ ~ • .
VERIFICATION
I verify that the statements made in the fore oin Pl ' ' ' • g g aintiff's Petition For Allmon
Y
Pendente L to are true and correct. I understand that • false statements herein are made sub ect J
to the penalties of 18 Pa.C.S. §4904 relatin to unswo • •
g rn falsification to authorities.
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DATED: ~ ~ ~ ~l ~
ELISA S. COHEN, Plaintiff/Petitioner
CERTIFICATE OF SERVICE
• ~iL, I, CONSTANCE P. BRUNT, ESQUIRE, do hereby certify that on the day
f
of , 2001, I served a true and correct copy of the Plaintiff s
Petition For Alimony Pendente Lite, by depositing same in the United States Mail, first class
postage prepaid, in the Post Office at Harrisburg, Pennsylvania, addressed as follows:
Scott A. Cohen
USS Enterprise
Norfolk Naval Base
Norfolk, VA
Defendant
CONSTANCE P. BRUNT, ESQUIRE
Supreme Court ID# 29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110-3339
{717} 232-7200
Attorney for Defendant/Petitioner
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ELISA S. COHEN
' IN THE COURT OF COMMON PLEA
S OF PLAINTIFF
• CUMBERLAND COUNTY, PENNSYLV V. ANIA
SCOTT A. COHEN '
DEFENDANT 01-2080 CIVIL ACTION LAW
•
' IN CUSTODY
ORDER OF COURT
AND NOW, Tuesda , A ri117 200 P ~ 1 ,upon consideration of the a
it is hereby directed that ttached Complaint, parties and their respective counsel a ear befor M '
pP a elissa P. Greevy, Esq, , the concili at 214 Senate Avenue, Suite 105, Cam Hill P ator,
A 17011 on Monday, Ma 07 2001
for aPre-Hearing Custod Confer y at 11.00 a.m. Y ence. At such conference, an effort will be m
if this cannot be acc ade to resolve the issues in dis ute~ or omplished, to define and narrow the issues t p '
o be heard by the court, and to enter into order. All children age eve or older ma a temporary
y also be present at the conference. Failur provide grounds for entry of a tem ora or a to appear at the conference may
p ry permanent order.
The court hereby directs the artier to ' p furnish any and all existin Protection
Special Relief orders and g from Abuse orders, Custody orders to the conciliator 48 h '
ours prior to scheduled hearing.
FOR THE COURT,
By: I sl 1 V~elissa P, ree vv, Esa.
Custody Conciliator
The Court of Common Pleas of Cumber
Americans with land County is required by law to com Disabilites Act of 1990. For inforinatio p1Y with the accommodations availabl n about accessible facilities and reasonabl
e to disabled individuals Navin business be e All arrangements must be made at 1 g fore the court, please contact our office
east 72 hours prior to any hearing or business attend the scheduled conference or hearin , before the court. You must
g
YOU SHOULD TAKE THIS PAPER T
HAVE AN ATTO 0 YOUR ATTORNEY AT ONCE. IF Y RNEY OR CANNOT AFFORD ONE G OU DO NOT
FORTH BELOW TO FIND ~ 0 TO OR TELEPHONE THE OFFICE OUT WHERE YOU CAN GET LEG SET
AL HELP.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, Pennsylvania 17013
Telephone (717) 249-3166
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ELISA S. COHEN,
IN THE COURT OF COMM Plaintiff
' CUMBER ON PLEAS OF LAND COUNTY, PENNSYL
• VANIA v.
CIVIL ACTION - LAw
SCOTT A. COHEN,
Defendant
No. 01-2080 CIVIL TE RM
ORDER OF COURT
AND NOW, this 23rd
day of April, 2001 upon consideration of Plain '
tiff's Petition for
Special Relief in the Form o fan In ~ u
~ nctlon Pursuant to 23 Pa. C.S. Section
3323 (f) , 3502 (d) a
nd 3702 and Pa. R.C •P. 1920.43(x), and
following a hearin
g, the petition is de need.
By the Court,
J• ~lesley 0 e Jr. Constance P. Brunt
Beaufor Esquire
t Professional Cente 1824 Linglestown R r
Harri oad sburg, PA 17110-3
For the pl ~ ~ 339 aintiff
Samuel L. Andes, Es '
525 N. 12t quire ~ h Street ~
Lemoyne, pA 17043 c•
For t he Defendant ~
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OMMON PLEAS OF
THE COURT OF C IA . IN TY pENNSYLVAN
SA S. COHENr CUMBERLAND COUN ELI •
Plaintiff
. IVIL ACTION - LA C
v.
COHEN, 1_2080 CIVIL TE
SCOTT A No. 0 Defendant
ORDER OF COURT f A rilr 2001r upon
this 23rd day ° P
AND NOwr
S eCial Rel1ef in f ~ s Pet st son for P
' on of Plasntif conssderati •S, Section
ant to 23 pa. C
an Injunction pursu the Form °f a and . P . 1920.43 ~ ) ,
3702 and pa, R.C
3502 (d) r and 3323 (f) , resented by
'ch Plaintiff was rep a hearing at whs
following dant appeared by and Def en
ce P. Brunt, Esquire,
Constan record is declare
ted himself, the le hone and repreSen
to P visement. ' taken under ad
d and the matter ss close ,
By the Court,
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J, es1eY 0 r
P. Brunt, Esquire
Constance Professional Center
Beaufort ad
1820 LingleStown Ro . pA 17110-3339
Harrisburg, ~ ~ f f For the plaints
L• Andes, Esquire Samuel
525 N, 12th Street
Lemo ner PA 17043
y dant For the De f en
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Defend NO' 01'2080 ~ D~0 CAE TE
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pa~SeS# 9231 03398
O~~R AND N OF COU
Pende 0~, this 2 m RT me Lite ~d/or 5 day.: of A .
before R.J. S c°unSel fees . , pril, 200.1 upon 17013 hadda on fu ' !t is hereby dir consideration, ai~er which th ne S 2p01 a19; 0 acted that the °f the attached p . .
entered, NOT a conference ofl~ ~A•M for a c Parties and their r etitlon for A1.
heard h E' The sup ° icer °n ferenCe~ at eSPeCtive co 1monY afore RJ P rt COnfere maY reCOmrnend 13 N, H unSel a
' Shad~ay, ice pr~'10us1 that an ~r~er f anover St., Car , PPear .y .c~~ - - or A1~ony Pe 11s1e, pA
YOU are a Charley Ca ndente Llte be der ordered r°the~ will no
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1 a true co (2) your PY °f yon' mo ~ . ~
pay stubs for (3) the Incom the p
e~dEx ~ 1 en ~ ~nclu . 910.11 p P se ~ dmg ~V-2's as
(4) verificati filed
(S) proof °n °f child care ~ ~pleted a . of medical core s requued by Ru
rage le IFyou fail to a '"u mayhave, orm
want for your Ppear for the co ay have availab
arrest, n ferenCe or br, Ie to you mg the requh'ed d
ocuments~ the Co
~ may issue a
Mail cop1eS o By Tl~ CO
4-25. n Pe ' ' Geor ~T, 01 to, tltloner ge E. Hoer, Pr
eSident Judge Respondent
Constance B Date o ford fit, Esquire
er. Apri12S~ 2001
YOU HAS
REP T~ RIGHT R. , sha SENT YO TO A LAW d aY, Confe OR TEEEP U' IF YOU D YER~ CIO renCe O~cer
LEG HONE THE O NOT HAV MAY ATTEN AL HELp• OFFICE SET E A LA~'yE D THE CON
FOR TH BEE R OR CANN FENCE
OW TO F~ OT AFFORD AND DO~WHE ONE~GOTO
CLIMB ~ YOU MA
ERLAND CO Y GET U1VTy BAR
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ELISA S. COHEN . IN THE COURT OF COMMON PLEA
Plaintiff, S OF CUMBERLAND COUNTY
PENNSYLVANIA
V. No. . ,
012080 Civil Action -Law
SCOTT A. COHEN, .
In Custody Defendant.
ORDER OF COURT
AND NOW, this 4th day of Ma 2001 ' ' •
Y, ,the Conciliator, being advised b Plain y tiff s
counsel that the parties have reached an a eem
gr ent, hereby relinquishes jurisdiction in this case.
FOR THE COURT,
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Melissa eel Greevy, Es uire q
Custody Conciliator
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ELISA S. COHEN IN THE COURT OF CO
MMON PLEAS OF CUMBERLAND COUNT
pl • Y, PENNSYLVANIA alntiff
v' :CIVIL ACTION -
LAW
SCOTT A. COHEN '
N0. 01-2080
Defendant : IN CUST ODY
STIPULATION OF THE
PARTIES
AND NOW, come the above- captioned parties, by their res ectiv
p e counsel of record, and stipulate and a ee as
gi' follows:
1 • The above-ca tinned ' ' • p action was initiated b the film '
. Y g on Apri19, 2001, of a Complaint In Divorce cont ' ' '
aining a claim in Coun_ b Plain ' Y tiff, ELISA S. COHEN
for custody of the two minor children of the parties.
2• A pre-hearin custod g y conference has been schedule d before MELISSA P.
GREEVY, ESQUIRE on Monday, May 2001 at 11 '
.00 a.m.
3• The parties b their Y counsel, agree that the Court sh all enter the attached
Order to temporaril resolve •
Y the claims raised in the cus ' tody action between them.
N
CONSTANCE P. BRUI~JT ESQUIRE E
Attorne for P L L• AND , ES UIRE y laintiff Q Attorney for Defendant
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IN THE COURT OF COMMON PLEAS OF
ELISA S. COHEN,
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
:CIVIL ACTION -LAW
SCOTT A. COHEN, : N0. 01-2080
Defendant : IN CUSTODY
TEMPORARY ORDER OF COURT
D NOW this ~ da of ~ , 2001, upon AN Y
Stipulation Of The Parties filed herein,
It is hereb ORDERED AND DECREED as follows: y
. Plaintiff and Defendant shall enjoy shared legal custody of their A
minor children, AARON M. COHEN (DOB: 05121191) and DAVID
M. COHEN DOB:1211 b/94). In the event that the parent then (
Navin h sical custody of the said children is unable to reach the gp Y
other arent after reasonable efforts, that parent shall have the p
authori to make such maj or decisions as are appropriate for the
health education, safety, religious training, and general welfare of
the children.
B. Plaintiff ELISA S. COHEN, shall have primary physical custody of
the sub' ect minor children, subj ect to such rights of partial physical J
custody by Defendant as the parties shall from time to time agree.
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C. The pre-hearin custod g y conference scheduled for Ma '
y 7, 2001, is
hereby continued enerall • g y, subject to being rescheduled
upon the
Motion of either pa ~Y•
D• The Parties acknowled •
ge that this Order is entered on a temporary
basis because SCOTT A. C '
OHEN is currentl out of th Y e country on
active duty with the United Sta •
tes Navy and the parties a ee t gi' hat
they shall renegotiate and rev' '
ise their arrangements for Gust ody of
the children upon his returns •
ometime in the fall of 2001. This Or der
is entered without re'udice ' p ~ to the rights of the arties an
p d any
claims or defenses the ma • Y y have, regardin their Gusto ' '
g dy position at
that time.
BY THE COURT;
J.
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In the Court of Common Pleas of CUMBERL
D AND County, Penns Ivan. OMESTIC RELATIONS SECTIO y la
N
ELISA S. COHEN
)Docket Number Pla~naff 01- 2 0 8 0 CIVIL
vs. ~
SCOTT A . COHEN )PACSES Case Number 923103398/D3Q611
) Defendant
Other State ID Number
ORDER
AND NOW, to wit on thi S 5TH DAY OF JUNE, 2001
IT ~ HEREBY ORDERED that the
~ Complaint for Su PPo~ or Q Petition to Modif
y or ®Other ALIMONY PENDENTE LITE PETITION fil
ed on APRIL 18 20 01 In the above captioned
matter is dismissed without re'u p ~ dice due to:
ORDER OF SPOUSAL SUPPORT BE
ING ESTABLISHED UNDER DOCKET N AND PACSES N0.972103351. 0.297 S 2001
Q The Complaint or Pe ' ' • tition may be reinstated u on wr' ~ •
petitioner, P itten application of ~ • the plaintiff
BY THE Cp[JRT:
, DRip• RJ Shy •
xc: pl~.ntiff ~ Kevin A, s
~ JUDGE
Canst~ce Brunt, ~;;~e
Service Type M Fo
rm 0E-506 Worker ID 210 05
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BURTON NEIL & ASSOC
B , IATES, P.C, y. Burton Neil, Esquire
Identification No.11348
26 South Church Street
West Chester, PA 193 82
610-696-2120
Attorney for Plaintiff
CITIBAI~ (SOUTH DAI{O
TA) N.A. .
. IN THE COURT OF COM MON PLEAS
Plaintiff VS. : CUMBERLA~ COUNTY
PENNSYLVA~A
CALVIN S BARD JR ~ NO.2001-02081
Defendant and
MEMBERS FIRST FEDE RAL CREDIT UNION
Garnishee
CSR. ACTION -LAW
Praecipe to Dissolve A ttachment
To the Prothonot • ~'Y~
Dissolve the attachmen
t against Members First Fe deral Credit Union
garnishee.
BURTON & ASSOC
IATES, P.C. j} 'A'F
77`F i
BY. Lx....,~ ~ • A ~ , ~
Burton Neil, Es u'
q ire Attorney for Plaintiff
~ making this communi
cation, we advise that our fi ' rm is a debt collector.
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James, Smith, Dietterick & Connelly, LLP
Susan A Kadel, Esquire
Attorney for Defendant
Attorney I.D. No. 44837
Post Office Box 650
Hershey, PA 17033
(717) 533-3280
ELISA S. COHEN,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
V.
SCOTT A. COHEN,
Defendant
: No. 01-2080
CIVIL ACTION - LAW
IN DIVORCE
MOTION FOR APPOINTMENT OF MASTER
Scott A. Cohen, Defendant, moves the court to appoint a Master with respect to the
following claims:
(X) Divorce
() Annulment
(X) Alimony
(X) Alimony Pendente Lite
and in support of the motion states:
(X) Distribution of Property
() Support
(X) Counsel Fees
(X) Costs and Expenses
(1) Discovery is complete as to the claim(s) for which the appointment of a master
is requested.
(2) The Plaintiff has appeared in the action by her attorney, Constance P. Brunt,
Esquire.
(3) The statutory ground(s) for divorce is/are: Section 3301(d) of the Divorce
Code.
(4) Check the applicable paragraph(s)
() The action is not contested.
() An agreement has been reached with respect to the following claims:
(X) The action is contested with respect to the following claims:
Alimony, Alimony Pendente Lite, Distribution of Property, Counsel Fees
and Costs and Expenses.
(5) The action does not involve complex issues of law or fact.
A&
(6) The hearing is expected to take one (1) day.
(7) Additional information, if any, relevant to the Motion: None.
Respectfully submitted,
Date: 2 00 '7
/ usan . Kade , Esquire
Attorney for Defendant, Scott A. Cohen
James, Smith, Dietterick & Connelly
P.O. Box 650
Hershey, PA 17033
(717) 533-3280
Attorney I.D. No. 44837
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
CERTIFICATE OF SERVICE
I, Susan M. Kadel, Esquire, of James, Smith, Dietterick & Connelly, LLP, attorney for
the Defendant, Scott A. Cohen, hereby certify that I have served a copy of Defendant's Motion
for Appointment of Master on the following on the date and in the manner indicated below:
U.S. MAIL, FIRST CLASS. PRE-PAID
Constance P. Brunt, Esquire
1820 Linglestown Rd.
Harrisburg, PA 17110
DATE: daa?
JAMES, SMITH, DIETTERICK & CONNELLY
B
M. el, Esquire
Attorney for Defendant
Post Office Box 650
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 44837
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ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
PRAECIPE TO ENTER APPEARANCE
TO THE PROTHONOTARY:
Please enter the appearance of Susan M. Kadel, Esquire, on behalf of the Defendant, Scott
A. Cohen, in the above-captioned action.
Date:
By-,
usan Maadel, Esquire
James, Smith, Dietterick & Connelly
Post Office Box 650
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 44837
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ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
NOTICE TO THE PLAINTIFF
If you wish to deny any of the statements set forth in this Affidavit, you must file a
Counteraffidavit within twenty (20) days after this Affidavit has been served on you or the
statements will be admitted.
DEFENDANT'S AFFIDAVIT UNDER
SECTION 3301(d) OF THE DIVORCE CODE
1. The parties to this action have been separated since November 1, 1999, and have
continued to live separate and apart for a period of at least two (2) years.
2. The marriage is irretrievably broken.
3. I understand that I may lose rights concerning alimony, division of property,
lawyer's fees or expenses if I do not claim them before a divorce is granted.
I verify that the statements made in this Affidavit are true and convect. I understand that
false statements herein are made subject to the penalties of 18 Pa. G.S. Section 4904 relating to
unsworn falsification to authorities.
Date: 0 b s f-,? D o )?. - ? A
Scott A. Cohen, Defendant
2-d
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t
ELISA S. COHEN,
Plaintiff
V.
SCOTT A. COHEN,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
: No. 01-2080
: CIVIL ACTION - LAW
: IN DIVORCE
INVENTORY
OF
SCOTT A. COHEN
Defendant files the following inventory of all property owned or possessed by either party at
the time this action was commenced and all property transferred within the preceding three (3)
years.
Defendant verifies that the statements made in this inventory are true and correct. Plaintiff
understands that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904
relating to unworn falsification to authorities.
Date:
7
Scott A. Cohen, Defendant
ASSETS OF PARTIES
Defendant marks on the list below those items applicable to the case at bar and itemizes the
assets on the following pages. If an item has been appraised, a copy of the appraisal report is
attached.
(X) 1. Real property
(X) 2. Motor vehicles
(X) 3. Stocks, bonds, securities and options
O 4. Certificates of Deposit
() 5. Checking accounts, cash
O 6. Savings accounts, money market
() 7. Contents of safe deposit boxes
O 8. Trusts
() 9. Life insurance policies (indicate face value, cash
surrender value and current beneficiaries)
() 10. Annuities
() 11. Gifts
() 12. Inheritances
() 13. Patents, copyrights, inventions, royalties
() 14. Personal property outside the home
() 15. Businesses (list all owners, including percentage
of ownership, and officer/director positions held
by a party with a company)
() 16. Employment termination benefits - severance pay,
workman's compensation claim/award
O 17. Profit sharing plans
() 18. Pension plans (indicate employee contribution and
date plan vests)
(X) 19. Retirement plans, Individual Retirement Accounts
() 20. Disability payments
() 21. Litigation claims (matured and unmatured)
(X) 22. MilitaryN.A. benefits (retired)
() 23. Education benefits
() 24. Debts due, including loans, mortgages held
() 25. Household furnishings and personalty (include as a
total category and attach itemized list if
distribution of such assets is in dispute)
() 26. Other
MARITAL PROPERTY
Defendant lists all marital property in which either or both spouses have a legal or
equitable interest individually or with any person as of the date this action was commenced.
ITEM NUMBER DESCRIPTION
OF PROPERTY NAMES OF ALL
OWNERS
1 Timeshare in North Carolina Joint
3 Ameritrade Account Joint
3 Janus Contrarian Account Joint
3 Approx. 144 Savings Bonds Husband
19 Janus IRA Husband
19 Janus Roth IRA Husband
19 Janus Roth IRA Wife
22 Increase in value during
marriage of US Military
Retirement Pa Husband
NON-MARITAL PROPERTY
Defendant lists all property in which a spouse has a legal or equitable interest which is
claimed to be excluded from marital property.
ITEM NUMBER
DESCRIPTION
OF PROPERTY
REASON FOR
EXCLUSION
PROPERTY TRANSFERRED
ITEM DESCRIPTION DATE OF CONSIDERATION TRANSFEREE
NUMBER TRANSFER
LIABILITIES
ITEM NUMBER ( DESCRIPTION I CREDITORS DEBTORS
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
CERTIFICATE OF SERVICE
I, Susan M. Kadel, Esquire, of James, Smith, Dietterick & Connelly, LLP, attorney for
the Defendant, Scott A. Cohen, hereby certify that I have served a copy of Defendant's Inventory
on the following on the date and in the manner indicated below:
U.S. MAIL. FIRST CLASS. PRE-PAID
Constance P. Brunt, Esquire
1820 Linglestown Rd.
Harrisburg, PA 17110
DATE: 'el. I a,?
JAMES, SMITH, DIETTERICK & CONNELLY
By:
Susan NT-Kadel, Esquire
Attorney for Defendant
Post Office Box 650
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 44837
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ELISA S. COHEN,
Plaintiff
V.
SCOTT A. COHEN,
Defendant
IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
No. 01-2080
CIVIL ACTION - LAW
IN DIVORCE
INCOME STATEMENT OF:
SCOTT A. COHEN, DEFENDANT
INCOME
Employer:
Address:
Type of Work:
Payroll Number:
See 2005 Federal Income Tax Return attached (2006 Federal Income Tax
on extension).
Pay Period (weekly, biweekly, etc.):
Gross Pay per Pay Period:
Itemized Payroll Deductions:
Federal Withholding
Social Security
Local Wage Tax
State Income Tax
Retirement
Savings Bonds
Credit Union
Life Insurance
Health Insurance
Unemployment Tax
Other - Medicare
Net Pay per Pay Period: $
MONTHLY YEARLY
(Fill in appropriate column)
OTHER INCOME
Interest
Dividends
Pension
Annuity
Social Security
Rents
Royalties
Expense Accounts
Gifts
Unemployment Comp.
Worker's Comp.
Alimony
Child Support
TOTAL NET INCOME $ $
VERIFICATION
I, Scott A. Cohen, verify that the statements made in this pleading are true and correct.
understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904
relating to unworn falsification to authorities.
d
Date: T1001
Scott A. Cohen
/? Department of the Treasury - Internal Revenue Service
Form 1 040 U.S. Individual Income Tax Return 2005 h99) IRS Use Only -Do Trot write or staple in this space.
For the year Jan 1 - Dec 31, 2005, or other tax year beginning 2005, ending 20 OMB No. t 5-0074
Label Your first name hill Last name Your social security number
(See instructions.) SCOTT A. COHEN LCDR 127-56-6943
Use the If a joint return, spouse's first name MI Last name Spouse's social security number
IRS label.
Otherwise, Home address (number and street). It you have a P.O. box, see instructions. Apartment no. You must enter your
please print
or type.
PSC 813 BOX 141 social security
b
b
City, town or post office. If you have a foreign address, see instructions. num
er(s) a
ove.
State ZIP code
Presidential FPO, AE 09620 c(ha king a box below will, not
Election
Campaign ` Check here if you, or your spouse if filing jointly, want $3 to go to this fund? (see instructions) ................. ? You [] Spouse
Filing Status 1
Single 4 Head of household (with qualifying person). (See
X
2 Married filing jointly (even if only one had income) instructions.) If the qualifying person is a child
but not your dependent, enter this child's
Check only 3 Married filing separately. Enter spouse's SSN above & full name here. ?
one box. name here .. ? 5 n Qualifying widow(er) with dependent child (see instructions)
Exemptions 6a
X Yourself. If someone can claim you as a dependent, do not check box 6a.........
...
Boxes
d6bed
6
d 6b
1
b Spouse .............................................. .......................... n
? ..
on
a
an
No. at children
c Dependents: (2) Dependent's (3) Dependent's (4) if on lived o:
social security relationship qua?rn9
hild with
hild f
ou
(1) First name Last name number to you • ... .
or c
c
y
(? rstrs) • did not
?tle with you
due to divorce
or separation
(see instrs)...
If more than
-J Dependents
on 6c not
F-1
four dependents entered above.
,
see instructions. Add numbers
d Total number of exemptions claimed ...........
............ on tines ?
............................... above....
1
7 Wages, salaries, tips, etc. Attach Form(s) W-2 ........................................ 7 40,504.
Income 8a Taxable interest. Attach Schedule B if required ........................................ 8a 495.
b Tax-exempt interest. Do not include on line 8a ............. 8b
Attach Form(s) 9a Ordinary dividends. Attach Schedule B if required ..................................... 1401
9a
338.
W-2 here. Also b ouattd divs
(see mstrs) ................................................ 9b 338.
- `
K
attach Forms
W-213 and 1099-R 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) ...................... 10
if tax was withheld. 11 Alimony received ................................................................... 11
12 Business income or (loss). Attach Schedule C or C-EZ .................................
1
ot
ou 12
y
WiZn
13 Capital gain or (loss). Att Sch D if reqd. If not reqd, ck here ......................... ? F1
get 13 -1,052.
see instructions. 14 Other gains or (losses). Attach Form 4797 ............................................. 14
15a IRA distributions .......... 15a b Taxable amount (see instrs) .. 15b
16a Pensions and annuities .... 16a b Taxable amount (see instrs) .. 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.. 17
Enclose, but do 18 Farm income or (loss). Attach Schedule F ............................................ 18
not attach, any 19 Unemployment compensation .... ...................................................
a
ment
Also 19
p
y
.
,
lease use 20 a Social security benefits......... 20a b Taxable amount (see instrs)..
20 b
?onn10404. 21 Other income ___________________ 21
22 Add the amounts in the far right column for lines 7 through 21. This is your total income. ? 22 40,285.
23 Educator expenses (see instructions) ...................... 23 =;x' s
r3:f
Adjusted 24 Certain business expenses of reservists, performing artists, and fee-basis
Gross government officials. Attach Form 2106 or 2106-EZ ................... 24 ;K
Income 25 Health savings account deduction. Attach Form 8889........ 25 f`
26 Moving expenses. Attach Form 3903 ...................... 26
27 One-half of self-employment tax. Attach Schedule SE....... 27
•`?"?x•
28 Self-employed SEP, SIMPLE, and qualified plans........... 2,8
•? ;
29 Self-employed health insurance deduction (see instructions) ............. 29 ,•?sh:•f_
30 Penalty on early withdrawal of savings ..................... 30
?
31 a Alimony paid b Recipient's SSN .... ? 404-96-6166 . 31a 8,520. " ..Gs?n
h{<:
32 IRA deduction (see instructions) . ........................
33 Student loan interest deduction (see instructions)........... 33 ;.s,:•rs"
34 Tuition and fees deduction (see instructions) ............... 34
35 Domestic production activities deduction. Attach Form 8903 ............. 35
36 Add lines 23 - 31a and 32 - 35 ....... ........................... ...... . ............: .... 36 8,520*
37 Subtract line 36 from line 22. This is your adjusted gross inco me ... . ............. .. ? 37 31,765'
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FDIAGI Ia 11/07/05 Form 1040 (2005)
Forn).1040
Tax and
Credits
SCOTT A. COHEN
127-56-6943 Page 2
38 Amount from line 37 (adjusted gross income) ......................................... .
39a Check { E ]You were born before January 2, 1941, 8 Blind. Total boxes
if: 5
Standard
Deduction
for -
• People who
checked any box
on line 39a or
39b or who can
be claimed as a
dependent, see
instructions.
• All others:
Single or Married
filing separately,
$5,000
Married filing
jointly or
Qualifyin
widower?
$10,000
Head of
household,
$7,300
40
43
44
45
46
b LJ 8801 c Form 55
56 Add lines 47 through 55. These are your total credits .................................. 56
57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0............. b_ 57
pouse was born before January 2, 1941, Blind. checked ? 39a
b If your spouse itemizes on a separate return, or you were a dual-status
alien, see instructions and check here......... ?
......................
. . . . . . 39 b E
40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ............. ........
11 Subtract line 40 from line 38 ................................................. ........
12 If line 38 is over $109,475, or you provided housing to a person displaced by Hurricane Katrina, see
instructions. Otherwise, multiply $3,200 by the total number of exemptions claimed on line 6d ........ ........
13 Taxable income. Subtract line 42 from line 41.
If line 42 is more than line 41, enter -0............................................... ........
14 Tax (see instrs). Check if any tax is from: a Dorm(s) 8814 b []Form 4972 ................ ........
15 Alternative minimum tax (see instructions). Attach Form 6251 ................... ........
16 Add lines 44 and 45 ......................................................... ..... ?
17 Foreign tax credit. Attach Form 1116 if required ............ 47
18 Credit for child and dependent care expenses. Attach Form 2441 .......... 48
19 Credit for the elderly or the disabled. Attach Schedule R .... 49
M Education credits. Attach Form 8863 ...................... 50 690.
i1 Retirement savings contributions credit. Attach Form 8880... 51
i2 Child tax credit (see instructions). Attach Form 8901 if required .......... 52
i3 Adoption credit. Attach Form 8839 ........................ 53
i4 Credits from: a Form 8396 b ? Form 8859 ................ 54
i5 Other credits. Check applicable box(es): a Form 3800
Form
58 Self-employment tax Attach Schedule SE .....................................................
Other 59 Social security and Medicare tax on tip income not reported to employe. Attach Form 4137 ..................
Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required ...................
61 Advance earned income credit payments from Form(s) W-2 ........................... .
62 Household employment taxes. Attach Schedule H .....................................
63 Add lines 57-62. This is your total tax ..................................................... ?
5,000.
3;200.
23,565.
3,136.
0.
3,136-
690.
2,446.
Payments 64 Federal income tax withheld from Forms W-2 and 1099...... 64 4,194.
If you have a 2005 estimated tax payments and amount applied from 2004 return........ 65
qualifying 66a Earned income credit (EIC) ............................... 66a
child, attach b Nontaxable combat pay election..... ? 66b Wa
l
Schedule EIC. 67 Excess social security and tier 1 RRTA tax withheld see instructions)
tY ( ...... l
67 '
68 Additional child tax credit. Attach Form 8812 ............... 68
69 Amount paid with request for extension to file (see instructions).......... 69
70 Payments from: a [] Form 2439 h [] Form 4136 c Form 8885 70
71 Add lines 64, 65, 66a, and 67 through 70.
These are your total payments .................................................. ......... 71 4,194.
Refund 72 If line 71 is more than line 63, subtract line 63 from line 71. This is the amount you overpaid ..... ........... 72 1,748.
Direct deposit? 73a Amount of line 72 you want refunded to ou ............................... ......... ? 73a 1,748.
See instructions ? b Routing number........ XXXXXXXXXX ? c Type: Checking Savings
and fill in 73b,
73c, and 73d. ? d Account number........ XXXXXXX
w?
;;< :•.:
74 Amount of line 72 you want applied to your 2006 estimated tax........ ? 74
Amount 75 Amount you owe. Subtract line 71 from line 63. For details on how to pay, see instructions ....... ......... ? 75
You Owe 76 Estimated tax penalty (see instructions).. . 176 l = ..p N• M..,
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? .......... X Yes. Complete the following. No
Designee Phone
names ? Preparer no. ?
Personal identification
number (PIN)
?
Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
b
li
f
th
t
t
d
l
l
Here ,
rue, correc
e
e
ey are
, an
comp
ete. Dec
aration of preparer (other than taxpayer) is based on all informa tion of which preparer has any knowledge.
Joint return? Yours nature
Date
Your occupation
Daytime phone number
See instructions. NAVAL OFFICER
Keep a c0PY
for your records. Spouse's signature. If a joint return, both must sign.
/ Date Spouse's occupation " " •'?"'%`'.'% ° %%
r
?_?'?•,.. , ; •'
Date Preparers SSN orPTIN
Preparers X 1550-92-6093
Paid signature
JOEL KNIGHT 6/29/06 Check if self-employed
Preparer's Firms name Joel Knight Tax & Bus Serv
Use Only (cif rr?oyed).? 467 Alvarado Ste 13 EIN 94-2803560
ZIP code nd Monterey, CA 93940 Phoneno. (831) 646-8931
Form 1040 (2005)
FDIA0112L 11/07/05
SCHEgULE D owls No. 1545-0074
,Form 1040) Capital Gains and Le§-*es
0- 2005
Department of the Treasury Attach to Form 1040. a- See Instructions for Schedule D (Form 1040).
Internal Revenue Service (99) Use Schedule D-1 to list additional transactions for lines 1 and 8. Seeqquence No. 12
Name(s) shown on Form 1040 Your social security number
SCOTT A. COHEN LCDR 1127-56-6943
Short-Tenn Capital Gains and Losses - Assets Held One Year or Less
(a) Description of
property (Example:
100 shares XYZ Co) (b) Date acquired
(Mo, day, yr) (C) Date sold
(Mo, day, yr) (d) Saks price
(see instructions) (e) Cost or other basis
;see instructions) (f) Gain or (loss)
Subtract (e) from (d)
1
AMERITRADE
2/10/05
10/14/05
70,335.
71,495.
-1,160.
2 Enter your short-term totals, if any, from Schedule D-1, line T 3 Total short-term sales price amounts. Add lines 1 and 2 in
column (d) .........................................70, 335.
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 88
24 .............
4
-'
M11'
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 ..... 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover
Worksheet in the instructions .........................................................................
6
7 Net short-term capital gain or Voss). Combine lines 1 through 6 in column (f) ............................... 7 -1,160.
5 Long-Tenn Capital Gains and Losses - Assets Held More Than One Year
(a) Description of
property (Example:
100 shares XYZ Co) (b) Date acquired
(Mo, day, yr) (C) Date sold
(Mo, day, yr) (d) Sales price
(see instructions) (e) Cost or other basis
;see instructions) (f) Gain or (loss)
Subtract (e) from (d)
8
9
10
11 Enter your long-term totals, if any, from Schedule D-1, line 9.... 9
Total long-teen sales price amounts. Add lines $ and 9 in
column (d) ................................................. 10
Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) from
Forms 4684, 6781, and 8824 ..........................................................................
1
fh' ;
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 instrs.......................................................................... 13 108.
14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover
Worksheet in the instructions .........................................................................
14
15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f). Then go to Part III on
page 2 ...................................................... .................................
15
108.
. - r av--. -.1uvn nu nVULC, bCC rorm lu•tu instructions.
FDIA0612L 05/18/05
Schedule D (Form 1040) 2005
ScheOulO D (5orm 1040) 2005 SCOTT A. COHEN LCDR 127-56-6943 Page 2
w Summary
16 Combine lines 7 and 15 and enter the result. If line 16 is a loss, skip lines 17 through 20, and go to line 21.
If a gain, enter the gain on Form 1040, line 13, and then go to line 17 below ............................... 16 -1, 052 .
17 Are lines 15 and 16 both gains?
r] Yes. Go to line 18.
r] No. Skip lines 18 through 21, and go to line 22.
18 Enter the amount, if any, from line 7 of the 28°A Rate Gain Worksheet in the instructions ..................
19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in
the instructions ....................................................................................
20 Are lines 18 and 19 both zero or blank?
E]Yes. Complete Form 1040 through line 43, and then complete the Qualified Dividends and Capital Gain
Tax Worksheet in the Instructions for Form 1040. Do not complete lines 21 and 22 below.
No. Complete Form 1040 through line 43, and then complete the Schedule D Tax Worksheet in the
instructions. Do not complete lines 21 and 22 below.
21 If line 16 is a loss, enter here and on Form 1040, line 13, the smaller of:
• The loss on line 16 or 21 -1,052.
• ($3,000), or if married filing separately, ($1,500) }
Note. When figuring which amount is smaller, treat both amounts as positive numbers.
22 Do you have qualified dividends on Form 1040, line 9b?
X Yes. Complete Form 1040 through line 43, and then complete the Qualified Dividends and Capital Gain
Tax Worksheet in the Instructions for Form 1040.
No. Complete the rest of Form 1040.
Schedule D (Form 1040) 2005
FDIA0612L D5118/05
Form lG O V.3
(Rev January 2006)
Department of the Treasury
Internal Revenue Service
Education Credits
(Hope and Lifetime Learning Credits)
? See instructions.
? Attach to Form 1040 or Form 1040A.
OMB No. 1545.0074
2005
achment
"me No. 50
Name(s) shown on retum Your social security number
SCOTT A. COHEN LCDR 1127-56-6943
Caution: You cannot take both an education credit and the tuition and fees deduction (Form 1040, line 34, or Form 1040A, line 19) for the
same student in the same year.
MIRKA M.- Hnne Credit- Cautnn- Ynu rannnt take the Hnne credd fnr more than 2 tax vearc fnr the same stualnnt_
1 (a) Student's name (b) Student's (c) Qualified (d) Enter the (e) Add (f) Enter one-half
(as shown on page 1 social security expenses (see smaller of the column (c) and of the amount in
of your tax return) number (as shown instructions). Do amount in column (d) column (e)
on page 1 of not enter more column (c) or
First
name your tax return) than $2,000` for $1,000*`
_
_
_
- - - -
Last name
each student.
SCOTT A.
---------------
COHEN 127-56-6943 690. 690. 1,380. 690.
---------------
- - - - - - - - - - - - - - -
*For each student who attended an eligible educational institution in the Gulf Opportunity Zone, do not enter more than $4,000.
**For each student who attended an eligible educational institution in the Gulf Opportunity Zone, enter the smaller of the amount in column
(c) or $2,000.
2 Tentative Hope credit. Add the amounts on line 1, column (f). If you are taking
the lifetime learning credit for another student, o to Part 11; otherwise, go to Part III ....................... ? 2 690.
Lifetime Learnin Credit
3 Caution You (a) Student's name (as shown on page 1
cannot take the of your tax return)
Hope credit and
First name Last name
the a teamin (b) Student's social
security number (as
shown on page 1 of
your tax return) (c) Qualified
expenses
(see instructions)
g
credit for the same
student in the
same
ear
y
.
4 Add the amounts on line 3, column (c), and enter the total ............................................... 4
5a Enter the smaller of line 4 or $10,000 .................................................................. 5a
b For students who attended an eligible educational institution in the Gulf Opportunity Zone, enter the smaller
of $10,000 or their qualified expenses included on line 4 (see special rules on page 3) ......................
5b
c Subtract line 5b from line 5a .......................................................................... 5c
6a Multiply line 5b by 40% (.40) .......................................................................... 6a
b Multiply line 5c by 20% (.20) ........................................................................... 61o
c Tentative lifetime learning credit. Add lines 6a and 6b and o to Part III .................................... 6c
Allowable Education Credits
7 Tentative education credits. Add lines 2 and 6c ......................................................... 690.
8 Enter: $107,000 if married filing jointly; $53,000 if single, head of household, or qualifying widow(er) ................................ ................... 8 53, 000.
9 Enter the amount from Form 1040, line 38*, or Form 1040A, line 22............ 9 31, 765 .
10 Subtract line 9 from line 8. If zero or less, stop; you cannot take
any education credits ...............................................
10
21, 235. l
11 Enter: $20,000 if married filing jointly; $10,000 if single, head of household,
or qualifying widow(er) ..................................................... 11 10, 000. 12 If line 10 is equal to or more than line 11, enter the amount from line 7 on line 13 and go.to line 14. If line 10 is less than line 11, divide line 10 by line 11. Enter the result as a decimal (rounded to at least three places) ................................................................................... ilmi,
12
X
13 Multiply line 7 by line 12 ................................................... ........................ 1` 13 690.
14 Enter the amount from Form 1040, line 46, or Form 1040A, line 28 ............. .................. ....... 14 3,136.
15 Enter the total, if any, of your credits from Form 1040, lines 47 through 49, or
Form 1040A, lines 29 and 30 ............................................... ......................... 15
16 Subtract line 15 from line 14. If zero or less, stop; you cannot take any education credits .................. ? 16 3,136.
17 Education credits. Enter the smaller of line 13 or line 16 here and on Form 1040, line 50, or Form 1040A,
line 31 ............................................................................................ 17 690.
* If You are filing Form 2555, 2555-EZ, or 4563, or you are excluding income from Puerto Rico, see Pub. 970 for the amount to enter.
BAA For Paperwork Reduction Act Notice, see instructions. FDIA3601L 01113/06 Form 8863 (Rev 1-2006)
_ cr
Constance P. Brunt, Esquire
Supreme Court ID #29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110
(717) 232-7200
FAX (717) 232-0255
cpbruntgbCPBruntLaw.com
Attorney for Plaintiff
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
V. CIVIL ACTION - LAW
SCOTT A. COHEN, NO. 01-2080
Defendant IN DIVORCE
INCOME AND EXPENSE STATEMENT
OF
PLAINTIFF. ELISA S. COHEN
I verify that the statements made in this Income and Expense Statement 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.
Dated: 6 19 ?o g ?? Lax a-?
ELISA S. COHEN, Plaintiff
INCOME:
Employer: Harrisburg Area Community College
Employer's Address: One HACC Drive
Harrisburg, PA 17110-2999
Pay Period (weekly, biweekly, etc): Bi-weekly
Gross pay per pay period:
Itemized payroll deductions:
Federal withholding:
FICA:
Local Wage Tax
PA Income Tax/Unemployment:
Net pay per pay period:
143.63
137.34
17.95
56.73
$1,795.33
$1,439.68
OTHER INCOME: Weekly Monthly Yearly
Occasional work with PSU and
NCS Pearson (2006 net of
additional taxes)
TOTAL INCOME (Gross):
56.66 245.52 2,946.19
$954.33 $4,135.40 $49,624.77
TOTAL INCOME (Net): $776.50 $3,364.82 $40,377.75
-2-
EXPENSES:
Home:
Mortgage
Electric
Gas/Oil
Telephone
Water/Sewer/Trash
Lawn Care
Home Maintenance
Taxes:
Real Estate (included in mortgage)
Personal
Occupational
Insurance:
Automobile
Homeowner's (included in mortgage)
Automobile:
Fuel
Repairs
Payments
Medical:
Insurance
Doctor
Dentist
Eyeglasses
Medication
Employment:
Lunches
Weekly Monthly Yearly
142.38 617.00 7,404.00
23.08 100.00 1,200.00
23.08 100.00 1,200.00
41.54 180.00 2,160.00
11.54 50.00 600.00
1.92 8.33 100.00
48.08 208.33 2,500.00
3.85 16.67 200.00
1.00 4.33 52.00
28.15 122.00 1,464.00
46.15 200.00 2,400.00
19.23 83.33 1,000.00
100.38 435.00 5,220.00
10.75 46.58 559.00
0.00 0.00 0.00
0.00 0.00 0.00
5.77 25.00 300.00
9.62 41.67 500.00
20.00 86.67 500.00
-3-
EXPENSES: Weekly Monthly Yearly
Business Dinners/Retirements 1.92 8.33 100.00
Employee Gifts 1.92 8.33 100.00
Personal:
Clothing 96.15 416.67 5,000.00
Food 115.38 500.00 6,000.00
Hairdresser 17.31 75.00 900.00
Memberships 0.96 4.17 50.00
Miscellaneous:
Entertainment 23.08 100.00 1,200.00
Vacation 57.69 250.00 3,000.00
Papers/Books/Magazines 11.54 50.00 600.00
Gifts 19.23 83.33 1,000.00
Pet Care 3.85 16.67 200.00
Charitable Contributions 3.85 16.67 200.00
Pay TV 17.31 75.00 900.00
Legal fees 57.69 250.00 3,000.00
Pet Care 19.23 83.33 1,000.00
AAU Basketball Camp 6.92 30.00 360.00
Messiah Soccer Camp 6.73 29.17 350.00
HOBY Leadership 4.81 20.83 250.00
Chorus Trip 1.44 6.25 75.00
School Lunches 4.33 18.75 225.00
Yearbooks 1.92 8.33 100.00
School photos 1.35 5.83 70.00
Band fees 1.92 8.33 100.00
TOTAL EXPENSES:
$1,013.06 $4,389.92 $52,139.00
-4-
CERTIFICATE OF SERVICE
I, CONSTANCE P. BRUNT, ESQUIRE, do hereby certify that on the 1S* day of
0 2008, 1 served a true and correct copy of the Income And
Expense Sta ent Of Plaintiff, ELISA S. COHEN, by depositing the same in the United
States mail, first-class postage prepaid, at Harrisburg, Pennsylvania, addressed to the
following:
Susan M. Kadel, Esquire
James, Smith, Dietterick & Connelly, LLP
P.O. Box 650
Hershey, PA 17033
Attorney for Defendant
CONSTANCE P. BRUNT, ESQUIRE
Supreme Court ID # 29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110-3339
(717) 232-7200
FAX (717) 232-0255
cpbruntO-CPBruntLaw.com
Attorney for Plaintiff
-s-
ray 3LUU 1JULU11
of
Jun 20, 2008
Search Go RETURN TO MENU I SITE MAP I HELP I EXIT
Pay Stub Detail Employee: Cohen, Elisa S.
SSN:404966166
Jun 17, 2008 11:21 am
Deduction History is as of July 1998. Earnings History is as of January 1999.
Pay Stub Summary
Pay Stub Date:
Gross Amount:
Total Personal Deductions:
Net Amount:
Total Employer Contributions:
Employee: Cohen, Elisa S SSN: 404966166
Check or Direct Deposit
Number Document Type Bank Name
459691 Direct Deposit PSECU
459691 Direct Deposit Members 1st FCU
Earnings
Type
VACATION PAY
REGULAR PAY
Hours
Benefits or Deductions
Type
Capital Area Local Tax
Capital Area opt/EMST/LST
Federal Income Tax
Fica Medicare
Fica Old Age Survivors Disabil
HACC Medical Flex ER Portion
HACC Fnd Contribution
PA Unemployment Tax
Post Tax PPo Emp Ded
Pennsylvania State Tax
TIAA/CREF Basic Retirement
Personal Deduction
Pay-Stubs
RELEASE: 6.1
rage i or 1
2,027.70
612.11
1,415.59
386.72
Account Type Amount
Savings 500.00
Savings 915.59
Rate Amount
5.00 135.18
1,892.52
Employer Contribution
20.28 .00
2.00 .00
253.65 .00
29.40 29.40
125.71 125.71
.00 28.84
5.00 .00
1.22 .00
11.21 .00
62.25 .00
101.39 202.77
https://banner.hacc.edu/pls/PRODlbwpkhstb.P_DispPayStubDti?yr--2008&doc_date=20-J... 6/17/2008
1040 Department of the Treasury - Internal Revenue Service
2007
Form IRS Use Only -
U.S. Individual Income Tax Retum Do not write or staple in this space.
For the year Jan 1 - Dec 31, 2007, or other tau year beginning 2007, ending 20 OMB No. 1545.0074
Label Your first name MI Last name Your social security number
(See instructions.) ELISA S. COHEN 404-96-6166
Use the If a joint return, spouse's first name MI Last name Spouse's social security number
IRS label.
Otherwise, Home address (number and straet). If you have a P.O. box, see instructions. Apartment no. You must enter your
please print
or type.
3122 YALE AVENUE social security
number(s) above.
City, town or post office. If you have a foreign address, see instructions. State ZIP coda
Presidential
CAMP HILL PA 17011-5252 Checking a box below will not
change your tax or refund.
Erection
Campaign , check here if you, or your spouse if filing jointly, want $3 to go to this fund? (see instructions) ................. ? []You spouse
Filing Status
g 1 Single 4 X Head of household (with qualifying person). (See
2 Married filing jointly (even if only one had income) instructions.) If the qualifying person is a child
but not your dependent, enter this child's
Check only 3 Married filing separately. Enter spouse's SSN above & full name here
one box. name here .. 5 n Qualifying widow(er) with dependent child (see instructions)
Exemptions 6a
r_1
X
Yourself. If someone can claim you as a dependent, do not check box 6a ............
Y
Bo
an G and 6b. chocked
I on ea and 6h.. 1
b $ se ..................................................................... No. of ctaldren
(2) Dependent's (3) Dependent's (4) of if on 6c who:
c Dependents: social security relationship ydalitying a lived
2
child for child with you
.....
number to you tax credit a did not
1 First name Last name (see instrs) live with you
AARON M. COHEN 223-61-9193 Son due to divorce
or separation
COHEN 224-73-7885 Son
DAVID M (seemstrs)...
If more than . Dependents
on 6c not
four dependents, ordered above.
see instructions. Add numbers
on "nos
d Total number of exemptions claimed ...................................................... above .... ? 3
7 Wages, salaries, tips, etc. Attach Form(s) W-2 ....................................... 7 47,208.
Income 8a Taxable interest. Attach Schedule B if required ........................................ 8a 4,324.
b Tax-exempt interest. Do not include on line 8a ............. 8b
..........
Attach Form(s) 9a Ordinary dividends. Attach Schedule B if required ..................................... 9a
W-2 here. Also b Qualified dividends (see instrs) ................................. 9b
..
.
...
attach Form
W-211 a
d 1099-R 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) ...................... 1
0
n
if tax was withheld. 11 Alimony received ................................................................... 11 5,399.
12 Business income or (loss). Attach Schedule C or C-EZ ................................. 12
If you did not
get a W-2 13 Capital gain or (loss). Alt Sch D if reqd. If not read, ck here ......................... 110. 1:1 13
,
see instructions. 14 Other gains or (losses). Attach Form 4797 ............................................. 14
15a IRA distributions ............ 15a b Taxable amount (see instrs) .. 15b
16a Pensions and annuities ...... 16a bTaxable amount (see instrs) .. 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.. 17
Enclose, but do 18 Farm income or (loss). Attach Schedule F ............................................. 18
not attach, any 19 Unemployment compensation ...................... . ................................ 19
payment. Also,
please use
20a Social security benefits........... 120a' b Taxable amount (see instrs) ..
20b
Form 1040-V. 21 Other income
-
-
-
-
-
- 21
----------------------
--
-
----
-
-
22 Add the amounts in the far right column for lines 7 through 21. This is our total income. 22 56,931.
23 Educator expenses (see instructions) ...................... 23
Adjusted 24 Certain business expenses of reservists, performing artists, and fee-basis
Gross government officials. Attach Form 2106 or 2106-EZ ................... 24 :::•<.>
Income 25 Health savings account deduction. Attach Form 8889.. , ..... 25
26 Moving expenses. Attach Form 3903 ...................... 26
27 One-half of self-employment tax. Attach Schedule SE....... 27 ><`
28 Self-employed SEP, SIMPLE, and qualified plans........... 28 .... .
29 Self-employed health insurance deduction (see instructions). .... .... 29
30 Penalty on early withdrawal of savings ..................... 30
31 a Alimony paid b Recipient's SSN .... . 31 a
32 IRA deduction (see instructions) .......................... 32
33 Student loan interest deduction (see instructions)........... 33
34 Tuition and fees deduction. Attach Form 8917 .............. 34
35 Domestic production activities deduction. Attach Form 8903 ............. 35
36 Add lines 23.31aand32.35 ........................................ ..................... 36 0.
37 Subtract line 36 from line 22. This is our adjusted gross income .. ................... 37 56,931.
BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions. FOIAOI 12L 12/06/07 Form 1040 (2007)
Form 1040 (2007) ELISA S. COHEN
404-96-6166 Pena 9
Tax and 38 Amount from line 37 (adjusted gross income) ......................................... 38 56, 931.
Credits 39a Check You were born before January 2, 1943, 8 Blind. Total boxes
if: 10 Spouse was born before January 2, 1943, Blind. checked ? 39a
Standard b If your spouse itemizes on a separate return, or you were a dual-status alien, see instrs and ck here. 39 b
Deduction 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) .....................
f
0
,850.
or -
• People who 41 Subtract line 40 from line 38.......... .
41
49, 081.
checked any box
on line 39a or 42 If line 38 is $117,300 or less, multiply $3,400 by the total number of exemptions
claimed on line 6d. If line 38 is over $117,300, see the instructions ......................
42
10,200.
39b or who can
be claimed as a 43 Taxable income. Subtract line 42 from line 41.
If line 42 is more than line 41, enter -0.......................................................
43
38,881.
dependent, see
instructions. 44 Tax (see instrs). Check if any tax is from: a
c e Form(s) 8814 b n Form 4972
Form(s) 8889 ........................
44
5,271.
• All others: 45 Aftemative minimum tax (see instructions). Attach Form 6251 ........................... 45 0.
Single or Married 46 Add lines 44 and 45 .............................................................. ? 46 5,271.
filing separately, 47 Credit for child and dependent care expenses. Attach Form 2441 .......... 47
$5,350 48 Credit for the elderly or the disabled. Attach Schedule R .... 48
Married filing 49 Education credits. Attach Form 8863 ...................... 49
jointly or
Quallf
in 50 Residential energy credits. Attach Form 5695 ............... 50
y
widow(er?, 51 Foreign tax credit. Attach Form 1116 if required ............ 51 >:><:`•::>
$10,700 52 Child tax credit (see instructions). Attach Form 8901 if required .... , ..... 52 2 000. '>><#<
Head of 53 Retirement savings contributions credit. Attach Form 8880... 53
household, 54 Credits from: a n Form 8396 b FJ Form 8859 c Form 8839.. 54
$7,850 55 Other credits: a Fop b El ?m c E] Form 55
56 Add lines 47 through 55. These are your total credits ........ .......................... 56 2,000.
57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0................... ? 57 3,271.
58 Self-employment tax Attach Schedule SE ..................................................... 58
Other 59 Unreported social security and Medicare tax from: a 11 Form 4137 b E] Form 8919 .................. 59
Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required ...................
60 _
61 Advance earned income credit payments from Form(s) W-2, box 9 .................... . . 61
62 Household employment taxes. Attach Schedule H ..................................... 62
63 Add lines 57-62. This is your total tax ..................................................... ? 63 3 271.
Payments 64 Federal income tax withheld from Forms W-2 and 1099...... 64 5, 695 . <<`?
65 2007 estimated tax payments and amount applied from 2006 return........
If
ou have a 65
y
qualifying 66a Earned income credit (EIC) ............................... 66a
child, attach b Nontaxable combat pay election..... ? 66b
Schedule EIC. 67 Excess social security and tier 1 RRTA tax withheld (see instructions) ......
67
68 Additional child tax credit. Attach Form 8812 ............... 68
69 Amount paid with request for extension to file (see instructions .......... 69
70 Payments from: a [] Form 2439 b [] Form 4136 c b Form 8885 70
71 Refundable credit for prior year minimum tax from Form 8801, line 27...... 71
:.........
12 Add linos 64, 65, 66a, and 67 through 71.
These are our total a merds ...................................
........................
72 5 6 9 5 .
Refund 73 If line 72 is more than line 63, subtract line 63 from line 72. This is the amount you overpaid ................ 73 2,424.
Direct deposit? 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here.. ? 74a 2,424.
See instructions ? b Routing number........ 231382241 ? c Type: X Checking ? Savings
and fill in 74b, ?
d Account number ....... 187340
74c, and 74d or
Form 8888. 75 Amount of line 73 you want applied to your 20M estimated tax........ ? 75
Amount 76 Amount you owe. Subtract line 72 from line 63. For details on how to pay, see instructions ................ ?
Y 76
ou Owe
77 Estimated tax penalty (see instructions ................... 77
.
.........:
.....:........................
....
........:
Do you want to allow another person to discuss this return with the IRS see instructions ..........
Third Party (see instructions)? X Yes. Complete t
he following. .
No
wabignee name ? reAarer no 0. number (PIN) ?
Si n Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
9 belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Here Your signature
Joint return? Date Your occupation Daytime phone number
See instructions. / ADMINISTRATOR
Keep a copy Spouse's signature. If a joint return, both must sign. Date Spouse's occupation
for your
records. 111,
Paid Preparer's '
signature
Preparees Firm's name
Use Only (or ours if
selfyemployed)?
address, and
Date
Check if
ces Of Craig A Diehl
ndle Rd
I ZIP code
1, PA 17011
Preparer's SSN or PTIN
EIN
Phoneno. (717) 763-7613
Form 1040 (2007)
FDIA0112L 12/06107
Schedule B (Form 1040 2007 OMB No. 1545-0074 Pa e 2
Name(s) shown on Form 1040.
ELISA S. COHEN Your social security number
1404-96-6166
Schedule B - Interest and Ordinary Dividends SeeqquenceNo. 08
Part 1 1 List name of payer. If any interest is from a seller-financed mortgage and the buyer used Amount
Interest the property as a personal residence, see the instructions and list this interest first. Also,
show that buyer's social security number and address ................................
MEMBERS 1ST FEDERAL CREDIT UNION _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
---------
. t?
_
2,239.
(See instructions pSECU
for Form 1040
------------------------------------------
- 2,085.
line 8a.)
------------------------------------------
-
------------------------------------------ -
------------------------------------------ -
ceiv; y F
Note. If ou
m
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
-
or
IDWINT, Form 1
substitute statement
fromabiokera
e ------------------------------------------
-
g
firm, list the firm's
name as the
a
er
------------------------------------------
-
p
y
and enter the total
interest shown on
------------------------------------------
-
that form
.
------------------------------------------
-
------------------------------------------ -
------------------------------------------ -
------------------------------------------ -
------------------------------------------ -
2 Add the amounts online 1 .......................................................... .. 2 4,324.
3 Excludable interest on series EE and I U.S. savings bonds issued after 1989.
Attach Form 8815 ..................................................................
..
3
4 Subtract line 3 from line 2. Enter the result here and on Form 1040, line 8a .............. ? 4 4,324.
Note. If line 4 is over $1,500, you must complete Part III. Amount
5 List name of payer ... ?
------------------------------
-
Part 11 ------------------------------------------ -
Ordinary ------------------------
------------------
-
Dividends ------------------------------------------ -
------------------------------------------ -
(See
i
t
ns
ructions for Form 1040, ------------------------------------------ -
line 9a.)
------------------------------------------
-
------------------------------------------ -
Note
lf
ou ------------------------------------------ -
.
y
received a Form
1099-DIVor
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
- 5
substitute statement
from a brokera
e
------------------------------------------
-
g
firm, list the firm's
name as the
a
er
------------------------------------------
-
p
y
and enter the
ordinar
dividends
------------------------------------------
-
y
shown on that form.
------------------------------------------ -
------------------------------------------ -
------------------------------------------ -
------------------------------------------ -
------------------------------------------ --
------------------------------------------ -
6 Add the amounts on line 5. Enter the total here and on Form 1040, line 9a ............... 0, 6 0.
Note. If line 6 is over $1,500, you must complete Part 111.
Part 111
Foreign You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; or (b) had a
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust. Yes No
Accounts
and 7a At any time during 2007, did you have an interest in or a signature or other authority over a financial account
Trusts in a foreign country, such as a bank account, securities account, or other financial account? See instructions
for exceptions and filing requirements for Form TD F 90-22.1 ............................................. X
(See b If 'Yes,' enter the name of the foreign country..
01 >: > >:::::a:c
instructions.) ----------------------------
8 During 2007, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust?
If 'Yes,' you may have to file Form 3520. See instructions ............................................... X
SAA For Paperwork Reduction Act Notice, see Form 1040 instructions. FDIA0401L 06/11/07 Schedule 8 (Form 1040) 2007
Mail Form PA-V payments to:
PA Department of Revenue
Payment Enclosed
1 Revenue Place
Harrisburg, PA 17129-0001
ALONG DOTTED
404-96-6166
COHEN
ELISA
S
CO
$ 132.00
3122 YALE AVENUE
CAMP HILL
PA DEPARTMENT USE ONLY
17011
PAIZ3401L 12/05/07
Make check or money order
payable to the Pennsylvania
Department of Revenue
I
..J
0700113172
PA-40 - 2007
Pennsylvania Income Tax Return
ENTER ONE LETTER OR NUMBER IN EACH BOX.
Do Not Use Your Preprinted Label
404966166
COHEN
ELISA
3122 YALE AVENUE
CAMP HILL
S Occupation A D M I N I S T R A
Occupation
PA 17011
21100
1 a Gross Compensation. Do not include exempt income, such as combat
zone pay and qualifying retirement benefits. See the instructions.
1 b Unreimbursed Employee Business Expenses.
1 c Net Compensation. Subtract Line 1 b from Line I a.
2 Interest Income. Complete PA Schedule A if required.
3 Dividend and Capital Gains Distributions Income. Complete PA Schedule B if required.
4 Net Income or Loss from the 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. Complete and submit PA Schedule T.
9 Total PA Taxable Income. Add only the positive income amounts from Lines lc,
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. N
See the instructions for additional information.
11 Adjusted PA Taxable Income. Subtract Line 10 from Line 9.
PAIA0412L 11/13/07
EC Page 1 of 2 FC
N Extension.
N Amended Return.
R Residency Status.
PA Resident/Nonresident/Part-Year Resident
from to
S Single/Married, Filing Jointly/Married,
Filing Separately/Final Return/Deceased
Date of Death
N Farmers.
School District Name CAMP HILL
1a 49633
1b 0
1C 49633
2 4324
3 0
4 0
5 0
6 0
7 0
8 0
9 53957
10 0
11 53957
1 0700113172 m 0700113172 J
J
PA-40 - 2007
Social Security Number
0700213186
404966166 Name(s) C 0 H E N
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 Lines 14, 15, 16, and 17.
Tax Forgiveness Credit
19a Filing 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, Line 16, PA Schedule SP.
22 Resident Credit. Submit your PA Schedule(s) G-R with your
PA Schedule(s) G-S, 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 including 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 want as a check mailed to you. 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). Under penalties of perjury, I (we) declare that I (we) have examined this return, including all
accompanying schedules and statements, and to the best of my (our) belief, they are true, correct, and complete.
Your Signature spouse's Signature, if filing jointly
Preparer's Name and Telephone Number
(717) 763-7613
Law Offices Of Craia A Diehl
I
12 1656
13 1524
14 0
15 0
16 0
17 0
18 0
19a 00
19b 00
20 0
21 0
22 0
23 0
24 1524
25 132
26 0
27 132
28 0
29 0
30 0
31 0
32 0
33 0
34 0
35 0
Firm EIN Preparer's SSN/PTIN
Date
3464 Trindle Rd
Camp Hill
1 0700213186
Page 2 of 2
PA la 1 111 1/13/07
0700213186 J
0701910028
PA SCHEDULE W-2S
Wage Statement Summary
PA-40W-2S (09-07)(0 2007 OFFICIAL USE ONLY
Summary of PA Taxable Employee, Non-employee, and Miscellaneous Compensation
Name shown first on the PA 40 (if filing jointly) I Social Security Number (shown first)
:UMN 1404-96-6166
Use this schedule to list and calculate your total PA taxable compensation and PA tax withheld from all sources.
Part A Instructions: List each Federal Form W-2 for you and your spouse, if married, received from your employer(s). In the first column enter
T for the taxpayer's Social Security Number that appears first on the PA tax return and enter S for the second or spouse SSN. From the Forms
W-2, enter each employer's Federal Employer Identification Number (EIN). Enter the amounts from the Forms W-2 in each column.
IMPORTANT: You do not have to submit a copy of your Form W-2 if you earned all your income in Pennsylvania and your employer reported
your PA wages correctly and withheld the correct amount of PA income tax. You must submit a copy of your Form W-2 in certain
circumstances. See the PA Schedule W-2S instructions for a list of when a copy of a W-2 is required.
Part B Instructions: List each source of income received during the taxable year on a form or statement other than a Federal Form W-2. Enter
each payer's name. List the payment type that most closely describes the source of your non-employee compensation. Enter the amount of
other compensation that you earned. If the form or statement does not have separately stated amounts, enter the amount shown in both
Federal and PA columns.
IMPORTANT: You must submit a copy of each form and statement that you list in Part B, whether or not the payer withheld any PA income tax
and regardless of whether or not the income was taxable in PA. CAUTION: The federal and Pennsylvania (state) wages may be different in
Part A and Part B.
If you need more space, you may photocopy this schedule or make your own schedules In this format
Part A - Federal Forms W-2
T/S Employer EIN from box b Federal wages
from box 1 Medicare wages
from box 5 PA compensation
from box 16 PA income tax
withheld from box 17
T 23-1639151 46,074. 48,499. 48,499. 1,489.
T 41-0850527 1,134. 1,134. 1,134. 35.
.
Total Part A - Add the Pennsylvania columns .........
...... ....................... 49,633. 1,524-J
Part B - Miscellaneous and Non-employee Compensation from Federal Forms 1099R,1099MISC, and other statements
YOU MUST SUBMIT COPIES OF EACH FORM OR STATEMENT LISTED IN THIS PART
A
Tis B Type C Payer name D
10"
code E Total federal
amount F Adjusted plan
basis G PA compensation H PA tax withheld
Total Part B - Add the Pennsylvania columns ................................................... 0.1 0.1
TOTAL - Add the totals from Parts A and B 49,633.1 1,524.
Enter the TOTALS on your PA tax return on: Line 1a Line 13
Payment type: A
E
H
J
L
Executor fee B Jury duty pay C Director's fee D Expert witness fee
Honorarium F Covenant not to compete G Damages or settlement for lost wages, other than personal injury
Other nonemployee compensation. Describe:
Distribution from employer sponsored retirement, pension, or qualified deferred compensation plan
Distribution from IRA (Traditional or Roth) K Distribution from Life Insurance, Annuity or Endowment Contracts
Distribution from Charitable Gift Annuities
1 0701910028 PAIA0601L 11/06107 0701910028 J
J
0701210023
PA SCHEDULE A/B
Interest Income
/Dividend Income
PA-40 A/B (09-07) (0 2007 OFFICIAL USE ONLY
If you need more space, you may photocopy.
Name shown first on the PA-40 (if filing jointly) Social Security Number (shown first)
ELISA S. COHEN 1404-96-6166
CAUTION: Federal and PA rules for taxable interest and dividend income are different. Read the Instructions.
If your taxable interest and dividend income are each $2,500 or less, you must report the income, but do not need to submit any schedule.
If either your interest income or dividend income is more than $2,500, you must submit a PA Schedule A and/or B.
PA-40A (09.07) PA SCHEDULE A - PA Taxable Interest Income Seethe instructions.
1 1
MEMBERS 1ST FEDERAL CREDIT UNION
PSECU 2,239
2,085.
2 Total Interest Income. Add all amounts listed (including amounts on additional schedules ................... 2 4,324.
3 Distributions from Life Insurance, Annuity, or Endowment Contracts included in federal taxable income ....... 3
4 Distributions from Charitable Gift Annuities included in federal taxable income .............................. 4
5 Distributions from IRC Section 529 Qualified Tuition Programs for non educational purposes ................. 5
6 Distributions from Health/Medical Savings Accounts included in federal taxable income ...................... 6
7 Interest income from PA S Corporations and partnership(s), from our PA Schedules RK-1 ................. 7
1
8 Total PA Taxable Interest Income. Add Lines 2, 3, 4, 5, 6, and 7. Enter on Line 2 of our PA-40 .............. 8 4.324.
IMPORTANT: Capital Gains Distributions are dividend income for PA purposes.
PA SCHEDULE B - PA Taxable Dividend and
PA40 a (09-07) (n Capital Gains Distributions Income (seethe Instructions.)
2 Total Dividend Income. Add all amounts listed (including amounts on additional schedules .................. 2
3 Capital Gains Distributions - See instructions .......................................................... 3
4 Dividend income from PA S corporation(s) and partnerships, from our PA Schedules RK-1 ................ 4
5 Total PA Taxable Dividend Income. Add Lines 2, 3, and 4. Enter on Line 3 of our PA-40 .................... 5
1 0701210023 PAIA0801L 10/19107 0701210023 1
t t
_ Y.
CJ5
??
'
?
?
.. ? -
?
`,??
?'
Constance P. Brunt, Esquire
Supreme Court ID #29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110
(717) 232-7200
(FAX) (717) 232-0255
cpbru nt0_CPBruntLaw.com
Attorney for Plaintiff
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
V.
SCOTT A. COHEN,
: CIVIL ACTION -LAW
: NO. 01-2080
Defendant : IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set
forth in the following pages, you must take prompt action. You are warned that if you fail to
do so, the case may proceed without you and a decree of divorce or annulment may be
entered against you by the court. A judgment may also be entered against you for any other
claim or relief requested in these papers by the plaintiff. You may lose money or property or
other rights important to you, including custody or visitation of your children.
When the ground for the divorce is indignities or irretrievable breakdown of the
marriage, you may request marriage counseling. A list of marriage counselors is available in
the Office of the Prothonotary at Cumberland County Courthouse, One Courthouse Square,
Carlisle, PA 17013-3387.
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.
THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER.
IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO
PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL
SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE.
Cumberland County Bar Association
2 Liberty Avenue
Carlisle, PA 17013
(717) 249-3166
-2-
Constance P. Brunt, Esquire
Supreme Court ID #29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110
(717) 232-7200
FAX (717) 232-0255
cabruntOCPBruntLaw.com
Attorney for Plaintiff
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff
CIVIL ACTION - LAW
V. .
NO. 01-2080
SCOTT A. COHEN,
Defendant IN DIVORCE
AMENDED COMPLAINT IN DIVORCE
AND NOW, comes the above-named Plaintiff, ELISA S. COHEN, by and through her
attorney, CONSTANCE P. BRUNT, ESQUIRE, and seeks to obtain a Decree in Divorce
from the above-named Defendant, SCOTT A. COHEN, upon the grounds hereinafter set
forth.
COUNTI
DIVORCE
1. Plaintiff is ELISA S. COHEN, an adult individual, who currently resides at 3122
Yale Avenue, Camp Hill, Cumberland County, Pennsylvania 17011.
2. Defendant is SCOTT A. COHEN, an adult individual, who currently resides c/o
Evelyn Apter at 162-41 Powells Cove Boulevard, Beechhurst, NY 11357-1449.
3. Plaintiff and Defendant have been bona fide residents in the Commonwealth
of Pennsylvania for at least six (6) months immediately previous to the filing of this
Complaint.
4. The Plaintiff and Defendant were married on December 19, 1987, in Frankfort,
Kentucky.
5. There have been no prior actions of divorce or for annulment between the
parties.
6. The Plaintiff and Defendant are both citizens of the United States of America.
7. The Defendant is not a member of the Armed Services of the United States or
any of its allies.
8. The Plaintiff has been advised of the availability of marriage counseling and
understands that she may request that the Court require the parties to participate in
counseling.
9. The Plaintiff avers that the grounds on which the action is based are that the
marriage is irretrievably broken.
10. Plaintiff requests the Court to enter a Decree in Divorce.
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COUNT II
REQUEST FOR EQUITABLE DISTRIBUTION OF MARITAL PROPERTY UNDER
SECTION 3502(x) OF THE DIVORCE CODE
11. Paragraphs 1 through 7 inclusive of Count I are specifically incorporated by
reference as though fully set forth hereinafter.
12. Plaintiff and Defendant have individually or jointly acquired real and personal
property during the marriage, in which they individually or jointly have a legal or equitable
interest, which marital property is subject to equitable distribution.
13. Plaintiff requests the Court to determine and equitably distribute, divide or
assign said marital property, pursuant to Section 3502 of the Divorce Code.
COUNT III
REQUEST FOR ALIMONY PENDENTE LITE, COUNSEL FEES. COSTS AND EXPENSES
UNDER SECTION 3702 OF THE DIVORCE CODE
14. Paragraphs 1 through 7 inclusive of Count I are specifically incorporated by
reference as though fully set forth hereinafter.
15. Plaintiff is without sufficient assets and income to support herself and pay her
attorney's fees and the costs and expenses of this action.
16. Defendant has sufficient earning capacity to support the Plaintiff and to pay
the Plaintiffs attorney's fees and the costs and expenses of this action.
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17. Plaintiff requests the Court to order the Defendant to support the Plaintiff
during the pendency of this action and to pay Plaintiff's counsel fees, expenses and the
costs of this action, pursuant to Section 3702 of the Divorce Code.
COUNT IV
REQUEST FOR ALIMONY UNDER SECTION 3701 OF THE DIVORCE CODE
18. Paragraphs 1 through 7 inclusive of Count I are specifically incorporated by
reference as though fully set forth hereinafter.
19. Plaintiff lacks sufficient property to provide for her reasonable needs.
20. Plaintiff is unable to sufficiently support herself through appropriate
employment.
21. Defendant has sufficient property, assets, and income to provide continuing
support for Plaintiff.
22. Plaintiff requests the Court to order the Defendant to pay alimony to Plaintiff
pursuant to Section 3701 of the Divorce Code.
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WHEREFORE, Plaintiff prays that your Honorable Court enter a Decree in Divorce
as follows:
(a.) dissolving the marriage between the parties;
(b.) equitably distributing, dividing or assigning the marital property of the
parties;
(c.) ordering Defendant to pay alimony pendente lite, counsel fees,
expenses and costs of this action to Plaintiff;
(d.) ordering Defendant to pay alimony to Plaintiff; and
(e.) granting such other further relief as the Court deems appropriate.
Respectfully submitted,
DATE: e'li vol Z757/1???
CONSTANCE P. BRUNT, ESQUIRE
Supreme Court I.D. No. 29933
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110-3339
(717) 232-7200
FAX (717) 232-0255
cpbrunt _CPBruntLaw.com
Attorney for Plaintiff
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VERIFICATION
1 verify that the statements made in the foregoing Amended Complaint In Divorce are
true and correct. I understand that false statements herein are made subject to the
penalties of 18 Pa.C.S. §4904, relating to unswom falsification to authorities.
DATED: e1r/a91 ? J610" "
ELISA S. COHEN, Plaintiff
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ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
PETITION TO REVOKE APPOINTMENT
OF MASTER
1. E. Robert Elicker, II, Esquire, was appointed Divorce Master in the above-captioned
matter to consider the issues raised in the proceedings.
2. A settlement has been reached between the parties and counsel.
3. The undersigned, therefore, requests that the appointment of E. Robert Elicker, II,
Esquire, be revoked.
Date: October 22, 2008
Susan M. Kadel, Esquire
Attorney for Defendant
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
CERTIFICATE OF SERVICE
I, Susan M. Kadel, Esquire, of James, Smith, Dietterick & Connelly, LLP attorney for the
Defendant, Scott A. Cohen, hereby certify that I have served a copy of the foregoing Motion to
Revoke Master on the following on the date and in the manner indicated below:
VIA U.S. MAIL, FIRST CLASS, PRE-PAID
Constance P. Brunt, Esquire
Beaufort Professional Center
1820 Linglestown Road
Harrisburg, PA 17110
E. Robert Elicker, II, Esquire
Cumberland County Divorce Master
9 North Hanover Street
Carlisle, PA 17013
JAMES, SMITH, DIETTERICK
& CONNELLY, LLP
Dated: October 22, 2008
By:
Susan M. Ka el
Attorney I.D. #44837
P.O. Box 650
Hershey, PA 17033-0650
(717) 533-3280
Attorneys for Defendant
CO
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OCT ? 4 Z0064
ELISA S. COHEN, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : No. 01-2080
SCOTT A. COHEN, : CIVIL ACTION - LAW
Defendant : IN DIVORCE
ORDER
AND NOW, this ?r3A day of ? ), M 14i' , 2008, the appointment of E. Robert
Elicker, II, Esquire, as Master in the above-captioned proceeding is hereby revoked.
Distribution:
? usan M. Kadel, Esquire, PO Box 650, Hershey, PA 17033
Constance P. Brunt, Esquire, 1820 Linglestown Road, Harrisburg, PA 17110
./E. Robert Elicker, II, Divorce Master, 9 North Hanover Street, Carlisle, PA 17013
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