HomeMy WebLinkAbout05-3788
o
Thomas D. Gould
Attorney for Plaintiff
I.D. II 36508
2 East Main Street
Shiremanstown, PA 17011
(717) 731-1461
MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 05- 3 7 ~ f CIVIL TERM
KATHLEEN S. JORDAN,
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 is indignities or irretrievable breakdown
of the marriage, you may request marriage counseling. A list of
marriage counselors is available in the Court Administrator's
Office, Fourth floor, Cumberland County Courthouse, Hanover and
High Streets, 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 LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Lawyer Referral Service
Cumberland County Bar Association
32 South Bedford Street
Carlisle, PA 17013
(717) 249-3166
1-800-990-9108
NOTICE QE AVAILABILITY QE COUNSELING
TO THE WITHIN-NAMED DEFENDANT:
You have been named as the Defendant in a Complaint in a
divorce proceeding filed in the Court of Common Pleas of Cumberland
County. This notice is to advise you that in accordance with
Section 3302(c) of the Divorce Code, you may request that the court
require you and your spouse to attend marriage counseling prior to
a divorce being handed down by the court. A list of professional
marriage counselors is available at the Domestic Relations Office,
13 North Hanover Street, Carlisle, Pennsylvania. You are advised
that this list is kept as a convenience to you and you are not
bound to choose a counselor from this list. All necessary
arrangements and the cost of counseling sessions are to be borne by
you and your spouse.
If you desire to pursue counseling, you must make your request
for counseling within twenty days of the date on which you receive
this notice. Failure to do so will constitute a waiver of your
right to request counseling.
Thomas D. Gould
Attorney for Plaintiff
1.D. # 36508
2 East Main street
Shiremanstown, PA 17011
(717) 731-1461
MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO.C6-,3'1\l'iS
CIVIL TERM
KATHLEEN S. JORDAN,
DEFENDANT
IN DIVORCE
COMPLAINT UNDER SECTION 3301(0) OR
3301 (d) OF THE DIVORCE CODE IN DIVORCE
1. The Plaintiff is Mark D. Jordan who resides at 2902
Chesterbrook Court, Apartment 208, Camp Hill, Cumberland County,
Pennsylvania 17011.
2. The Defendant is Kathleen S. Jordan who resides at 3 Sna
Lane, Mechanicsburg, Cumberland County, Pennsylvania 17055.
3. The Plaintiff and Defendant have been bonafide residents
of the Commonwealth of Pennsylvania for at least six months
immediately prior to the filing of this Complaint.
4. The Plaintiff and Defendant were married on September 25,
1993 in Mechanicsburg, Cumberland County, Pennsylvania.
5. There have been no prior actions of divorce or annulment
between the parties in this or any other jurisdiction.
6. The marriage is irretrievably broken.
7. There were two children born of this marriage: Kaitlyn
Louise Jordan, born July 15, 1994 and Abigail Jo Jordan, born
August 15, 1997.
8. The Defendant is not a member of the Armed Services of
the United States or any of its Allies.
9. The Plaintiff has been advised of the availability of
counseling and that Plaintiff may have the right to request that
the Court require the parties to participate in counseling.
10. Plaintiff requests the court to enter a decree of
divorce.
1h-- O. ~
Thomas D. Gould
Attorney for Plaintiff
I.D. # 36508
2 East Main Street
Shiremanstown, PA 17011
(717) 731-1461
VERIFICATION
I verify that the statements made in this Complaint are true
and correct.
I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S. 4904, relating to unsworn
falsification to authorities.
Date: 7/2..6/2-<>0'>
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Mark D. JOrdan
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Lindsay Gingrich Maclay. Esquire
Daley. Zucker & Gingrich. LLC
1029 Scenery' Dri,'e
Harrisburg. P A 17109
(717) 6574795
Imada\',a'dzclaw.colll
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNlY, PENNSYLVANIA
MARK D. JORDAN,
Plaintiff
No. iCiCfS - D3'Wf>
v.
CIVIL ACTION - LAW
KATHLEEN S. JORDAN,
Defendant
(In Divorce)
PROPERlY SETILEMENT AND SEPARATION AGREEMENT
THIS AGREEMENT is made this ~day of ---.1~.u: 2005, BY and
BETWEEN Kathleen S. Jordan, of 3 Sna Lane, Mechanicsburg, Cumberland County,
Pennsylvania, hereinafter referred to as Wife,
A
N
D
Mark D. Jordan, of 2902 Chesterbrook Court, Apartment 208, Camp Hill, Pennsylvania,
hereinafter referred to as Husband.
RECITALS
R.I: The Parties hereto are Husband and Wife, having been joined in marriage on
September 25,1993, in Mechanicsburg, Cumberland County, Pennsylvania; and
R.2: Two (2) children were born of the marriage: Kaitlyn Louise Jordan, whose
date of birth is July IS, 1994 and Abigail Jo Jordan, whose date of birth is August 15, 1997;
and
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R.9: Husband and Wife declare that each has had a full and fair opportunity to
obtain independent legal advice of counsel of their selection; that Wife has been
independently represented by Lindsay Gingrich Maclay, Esquire of Daley, Zucker &
Gingrich, LLC, and that Husband has been independently represented by Thomas D. Gould,
Esquire; and
R.1O: Both Husband and Wife each covenant that they have made full and
complete disclosure to the other of his and her respective property holdings and income;
and
R.ll : Each Party has had an opportunity to verify the financial disclosure of the
other. Discovery, if any, has been conducted to the satisfaction of each Party. Each Party
has had the opportunity to investigate further the financial disclosure of the other, and has
had access to any desired books and/or records to investigate further. Each Party had an
opportunity to do an independent valuation of the assets, liabilities and income of the other
Party. To the extent either Party decided not to pursue further discovery and investigation,
he or she did so voluntarily and specifically waives the right to challenge this Agreement
based on the absence of full and fair disclosure.
NOW THEREFORE, with the aforegoing recitals being hereinafter incorporated by
reference and deemed an essential part hereof and in consideration of the covenants and
promises hereinafter to be mutually kept and performed by t:ach Party, as well as for other
good and valuable consideration, receipt of which is hereby acknowledged, and the Parties,
intending to be legally bound, hereby agree as follows:
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(1)
SEPARATION:
It shall be lawful for e~lCh Party at all times hereafter
to live separate and apart from the other Party at such place or places as he or she from time
to time may choose or deem fit, free from any control, resllraint or interference from the
other. Neither Party will molest the other or endeavor to compel the other to cohabit or
dwell with him or her by any legal or other proceeding. Neither Party shall disparage or
discredit the other in any way, nor in any way injure his or her reputation; nor shall either of
them act or permit anyone else to act in any way which might tend to create any disaffection
or disloyalty or disrespect between the members of the family of either Party. Each Party
shall be free of the interference, authority or contact by the other as if he or she was single
and unmarried except as maybe necessary to carry out the tlrnIS of this Agreement or any
Custody Agreement andlor Order. The foregoing provision shall not be taken to be an
admission of the part of either Husband or Wife of the lawn.dness or unlawfulness of the
causes leading to their living separate and apart.
(2) DIVORCE: The Parties acknowledge that the marriage is irretrievably
broken and that upon the filing of the Divorce Complaint and the subsequent expiration of
the mandatory 90-day waiting period they will secure a mutual consent no-fault divorce
decree in the above-captioned divorce action. Upon the expiration of the mandatory 90-day
"cooling off" period provided for in the Divorce Code, the Parties shall execute the
Affidavits of Consent and Waiver of Notice Forms necessary to finalize said Divorce.
Upon execution thereof, said Affidavits and Waivers shall be immediately filed with the
Cumberland County Prothonotary's Office.
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If either Party fails or refuses to execute and file the foregoing documents, said
failure or refusal shall be considered a material breach of tI1~s Agreement and shall entitle
the other Party at his or her option to terminate this Agreement.
(3)
REAL PROPERlY:
The Parties are the joint owners of certain real
property located at 3 Sna Lane, Mechanicsburg, Cumberland County, Pennsylvania 17055
(hereinafter "Marital Residence"). Contemporaneously with the execution of this
Agreement, Husband agrees that as part of this property settlclment, he will convey all of his
right, title and interest in and to the Marital Residence to Wife, free of all encumbrances
except the outstanding first mortgage with Washington Mwtual Home Loans, which Wife
agrees to assume and pay in due course. The balance on the Parties' joint mortgage
obligation as of January 27, 2005 was One Hundred Twelve Thousand Two Hundred Sixty-
Three and 22/100 ($112,263.22). A copy of the January 27, 2005 statement from
Washington Mutual Home Loans is attached hereto as Ellhibit "A" and is incorporated
herein by reference as if set forth fully herein. Husband shall, simultaneously with the
execution of this Agreement, execute and deliver to Wiife a Special Warranty Deed
conveying Husband's interest in and to the Marital Reside:nce to Wife. Nothing in this
Agreement shall require Wife to refinance the mortgage obligation solely into her name.
Wife shall, pursuant to Paragraph 8 of this Agreement, waive her interest in and to
Husband's FERS pension in return for Husband conveying his right, title and interest in and
to the Marital Residence to Wife pursuant to the terms of this Agreement.
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Wife specifically agrees to hold harmless Husband with regard to all payments
associated with the Marital Residence from the date of separation, forward, including, but
not limited to the mortgage payments, taxes, homeowner's in:mrance and repairs.
(4) DEBT:
A. MARITAL DEBT: Other than those debts enumerated within,
Husband and Wife acknowledge and agree that there are no other
outstanding debts and obligations whidl are marital or for which the
other might be liable incurred prior to the signing of this Agreement
i. Each of the Parties will pay all current bills and outstanding
bills incurred on or before the date of separation of the
parties, January 16, 2005, to the same extent that he or she
has been paying then in the pam and neither Party shall incur
any unusual bill which will bind the other Party. Husband
hereby agrees to return to Wife any and all joint credit cards
or charge plates that he may have in his possession. The
Parties further agree that any debts incurred on said joint
credit cards or charge plate:~ subsequent to the date of
separation, shall be the sole and exclusive responsibility of
the Party who incurred said debts and the debt-incurring Party
shall save harmless the other Party from any obligation or
institutions of suit thereunder. The Parties shall, within
twenty (20) days of the execution of this Agreement, take all
necessary steps to either close any joint credit card accounts
or remove the other Party from the obligation and from the
account.
B: POST SEPARATION DEBT: Except as otherwise herein
provided, in the event that either Pmty contracted or incurred any
debt since the date of separation on January 16, 2005, the Party who
incurred said debt shall be responsible for the payment thereof
regardless of the name in which the debt may have been incurred.
c: FlJTlJRE DEBT: Except :118 otherwise herein provided,
from the date of this agreement neithm' Party shall contract or incur
any debt or liability for which the other Party or his or her property
or estate might be responsible and shall indemnifY and save the other
Party harmless from any and all claim$ or demands made against him
or her by reason of debts or obligations incurred by the other Party.
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(5) MOTOR VEmCLES: The Parties adrnowledge that the Parties,
jointly, hold title to a 1998 Pontiac Transport Van, which Van is currently in the possession
of Husband. Wife hereby relinquishes any right, title or interest she may have in and to the
Pontiac Van. Husband shall acquire and maintain separate insurance on and assume full
responsibility for any encumbrance on the Pontiac Van, and shall hold hann1ess and
indemnify Wife from any loss thereon. Within twenty (20) days of the execution of this
Agreement, the Parties hereby agrees to execute any and all documents needed to have the
1998 Pontiac Van properly registered solely in Husband's name with the Pennsylvania
Department of Transportation.
The parties further acknowledge that the Parties, jointly, hold title to a 2003 Toyota
Camry, which vehicle is currently in the possession of Wife. Husband hereby relinquishes
any right, title or interest he may have in and the Toyota Camry. Wife shall acquire and
maintain separate insurance on and assume full responsibility for any encumbrance on the
Toyota Camry, and shall hold hann1ess and indemnify Husband from any loss thereon.
Within twenty (20) days of Wife's receipt of the title, the Parties hereby agrees to execute
any and all documents needed to have the 2003 Toyota Camry properly registered solely in
Wife's name with the Pennsylvania Department of Transportation.
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(6) TANGmLE PERSONAL PROPERTY: The Parties hereto mutually
agree that they have effected a satisfactory division of the furniture, household furnishings,
appliances, tools and other household personal property between them, and they mutually
agree that each Party shall from and after the date hereof be the sole and separate owner of
all such property presently in his or her possession whether said property was heretofore
owned jointly or individually by the Parties hereto. This Agreement shall have the effect of
an assignment or bill of sale from each Party to the other for such property as may be in the
individual possession of the Parties hereto.
(7) SAVINGS BONDS: The Parties hereto own a number of savings bonds.
Wife owns some of these bonds individually. Some of these bonds were Wife's pre-marital
property. A number of the bonds are jointly-owned, and a number of the bonds are owned
by the Children, jointly with one parent. A listing/accounting of the bonds is attached
hereto as Exhibit "B" and is incorporated herein by reference.
All bonds solely in Wife's name, regardless ofwhetber said bonds were marital or
not, shall become Wife's sole and separate property. Husband hereby waives any right, title
or interest he may have in and to the bonds solely in Wife's name. To the extent that
Husband has possession of any of these bonds, he hereby agl'l~s to return the bonds to Wife
within ten (10) days of the execution of this Agreement.
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All the bonds owned jointly by Husband and Wife and shall become the sole and
separate property of Wife. Husband hereby waives any right, title or interest he may have
in and to the jointly-owned bonds. To the extent that Husband has possession of any of
these bonds, he hereby agrees to return the bonds to Wife within ten (10) days of the
execution of this Agreement. Additionally, from time to time as may be necessary to give
full force and effeci to this Paragraph, Husband agrees to execute any and all necessary
documents, within ten (10) days of a request by Wife to do so, to ensure that Wife has full
authority to dispose of, transfer, or cash in, the savings bonds referenced in this Paragaraph.
All bonds owned by either of the Children, either individually or jointly with Father,
which are earmarked for the Children's education or other nt:eds, shall become the sole and
separate property of the Child whose name is on the bond. To the extent that Husband has
possession of any of these bonds, he hereby agrees to retwn the bonds to Wife within ten
(10) days of the execution of this Agreement. Additionally, from time to time as may be
necessary to give full force and effeci to this Paragraph, Husband agrees to execute any and
all necessary documents, within ten (10) days of a request by Wife or the Child to do so, to
ensure that the Children have full authority to dispose of, transfer, or cash in, the savings
bonds referenced in this Paragraph.
The Parties hereto recognize and agree that any and all savings bonds referenced in
Paragraph 7 are earmarked for the education and benefill of the Children and unless
otherwise agreed by the Parties hereto, shall be used solely for that purpose.
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(8) INTANGmLE PERSONAL PROPERTY: Excepi as otherwise
provided herein, each Party hereto hereby relinquishes any light, title or interest he or she
may have in or to any intangible personal property currently titled in the name of or in the
possession of the other Party, including, but not limited to, stocks, bonds, insurance, bank
accounts, individual retirement accounts, employment benefits, including retirement
accounts, savings plans, pension plans, stock plans, 40lK plllllls, and the like.
Husband hereby acknowledges that the marital property of the Parties' may include
any marital portion of Wife's American Funds Money Market, account number 64468327
(hereinafter referred to as "American Funds Account"). Wifes American Funds Account is
solely in her name. The value of Wife's American Funds ACl:ount as of December 31,2004
was Five Thousand One Hundred Forty-Two and 90/100 ($5,142.90) Dollars. A copy of
Wife's December 31,2004 American Funds Account statement is attached hereto as Exhibit
"e" and is incorporated herein by reference. Husband further acknowledges that he has
been informed of his right to obtain an independent appraisal and/or valuation of Wife's
American Funds Account and any marital interest he may have therein, and,
notwithstanding same, Husband hereby forever waives and relinquishes any right, title
interest or claim he might otherwise have in and to Wife's aforesaid American Funds
Account.
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Husband hereby acknowledges that the marital propc::rty of the Parties' may include
any marital portion of the Janus Portfolio (hereinafter refillTed to as "Janus Portfolio").
Portions of the Janus Portfolio are joint and portions of the Janus Portfolio are solely in
Husband's name. The value of the Janus Portfolio as of December 3 1,2004 was Seventeen
Thousand Seven Hundred Four and 88/100 ($17,704.88) Dollars. A copy of the December
3 I, 2004 Janus Portfolio statement is attached hereto as Exhibit "0" and is incorporated
herein by reference. Husband further acknowledges that he has been informed of his right
to obtain an independent appraisal andlor valuation of the Janus Portfolio and any marital
interest he may have therein, and, notwithstanding same, Husband hereby forever waives
and relinquishes any right, title interest or claim he might otherwise have in and to the Janus
Portfolio. Husband hereby agrees that within ten (10) days of a request by Wife to do so,
Husband shall cooperate in the removal of his name from any joint accounts within the
Janus Portfolio. The Parties hereto recognize and agree that the Janus Portfolio is
earmarked for the education and benefit of the Children and unless otherwise agreed by the
Parties hereto, shall be used solely for that purpose.
The Parties acknowledge that they currently hold VilVO (2) Janus accounts, one for
the benefit of each child. As of December 31, 2004, Kaitlyn's Janus account balance was
Two Thousand Five Hundred Sixty-Three and 88/100 ($2,563.88) Dollars (hereinafter
referred to as "Kaitlyn's Janus Account"). A copy of the Oecember 31,2004 statement for
Kaitlyn's Janus Account is attached hereto as Exhibit "E" and is incorporated herein by
reference. As ofOecember 31,2004, Abigail's Janus account balance was Two Thousand
Five Hundred Fifty-Five and 85/100 ($2,555.85) Dollars (hereinafter referred to as
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"Abigail's Janus Account"). A copy of the December 31, 2004 statement for Abigail's
Janus Account is attached hereto as Exhibit "F' and is incorporated herein by reference.
The Parties hereto acknowledge and agree that these accounts shall be retained for the
further education and benefit of the children and that, if possible, Wife shall move these
accounts into a 529 account through her employer. Husband agrees to cooperate in and to
execute any and all necessary documents to effectuate these accounts into 529 accounts, if
possible.
Husband hereby acknowledges that the marital property of the Parties' may include
any marita1 portion of Wife's 40lK with Hoover Rehabilitation Service, Inc. (hereinafter
referred to as "Hoover 40IK"). The Hoover 40lK is solely in Wife's name. The value of
the Hoover 40lK as of December 31, 2004 was Thirty-Three Thousand Six Hundred
Twenty-Nine and 51/100 ($33,629.51) Dollars. A copy of Wife's December 31, 2004
Hoover 40lK statement is attached hereto as Exhibit "0" and is incorporated herein by
reference. Husband further acknowledges that he has been iinformed of his right to obtain
an independent appraisal and/or valuation of Wife's Hoover 401K and any marital interest
he may have therein, and, notwithstanding same, Husband hereby forever waives and
relinquishes any right, title interest or claim he might oth,erwise have in and to Wife's
Hoover 401K.
Wife hereby acknowledges that the marital property of the Parties' may include any
marital portion of Husband's Thrift Savings Plan with the Federal Government (hereinafter
referred to as "TSP"). The TSP is solely in Husband's name. The value of Husband's TSP
as of February 25, 2005 was One Hundred Sixty Thousand One Hundred Forty-Seven and
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59/100 ($160,147.59) Dollars, all of which was vested. A copy of Husband's February 25,
2005 TSP statement is attached hereto as Exhibit "If' and is incorporated herein by
reference. The value of Husband's TSP as of September 2003 was Fourteen Thousand
Eight Hundred Fifty-Eight and 92/100 ($14,858.92) Dollars. A copy of Husband's
September 1993 TSP account statement is attached hereto as Exhibit "f' and is incorporated
herein by reference. The Parties hereto agree that for purposes of this Agreement, the
marital portion of Husband's TSP account is One Hundred Forty-Five Thousand Two
Hundred Eighty-Eight and 67/100 ($145,288.67) Dollars (hereinafter "Marital Portion of
TSP"). Wife further acknowledges that sbe has been infOlmed of her right to obtain an
independent appraisal and/or valuation of Husband's TSP arid any marital interest she may
have therein; however, she has decided that sbe will not undcmake the expense to do so and
both Parties hereto agree to use the Marital Portion ofTSP, as defined above, for purposes
of this Agreement. The Parties further agree that Wife shall be entitled to half the Marital
Portion of Husband's TSP, or Seventy-Two Thousand Six Hundred Forty-Four and 34/100
($72,644.34) Dollars, which Husband sball convey to Wife from his TSP into a qualified
account in Wife's name through the use of a QDRO or otherwise, which sum of money
shall become Wife's sole and separate property. Husband shall, within thirty (30) days of
the date of this Agreement, execute the necessary paperwork to commence the roll-over
process. Except as otherwise herein provided, Wife hereby forever waives and relinquishes
any right, title, interest or claim she might otherwise have in and to Husband's aforesaid
TSP.
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Wife hereby acknowledges that the marital property of the Parties' may include any
marital portion of Husband's Basic Benefit PlanIPension (hereinafter "Pension") through
the Federal Employee's Retirement System (FERS). The Pension is solely in Husband's
name and according to an appraisal by Pension Appraisers, Inc, the value of the marital
portion of Husband's Pension is Fifty-Six Thousand Thirty-Three and 91/100 ($56,033.91)
Dollars. A copy of the June 30,2005 Pension Valuation is attached hereto as Exhibit "f'
and is incorporated herein by reference. In exchange for Husband signing over his right,
title and interest in and to the Marital Residence, Wife hereby forever waives and
relinquishes any right, title interest or claim she might othenll'ise have in and to Husband's
aforesaid Pension.
(9)
TIMESHARE:
The Parties hereto are joint owners of a Timeshare in
James County City, Virginia at Manor Club at Ford's Colony (hereinafter "Timeshare").
Contemporaneously with the execution of this Agreement, Husband agrees that as part of
this property settIement, he will convey all of his right, title and interest in and to the
Timeshare to Wife. Husband shall, simultaneous with the execution of this Agreement,
execute and deliver to Wife a Special Warranty Deed conveying Husband's interest in and
to the Timeshare to Wife. From the date of execution hereof, Wife hereby agrees to
indemnify and hold harmIess Husband with respect to any and all obligations associated
with the Timeshare.
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(10) WAIVER of ALIMONY: The Parties acknowledge that each has income
and assets satisfactory to meet his and her own reasonable needs. Each Party waives any
claim he or she may have, one against the other, for alimony, spousal support or alimony
pendente lite.
(11) DIVISION OF BANK ACCOUNTS:
The Parties acknowledge that
they jointly own a savings account with Diocese of Harrisblllfg, which as of December 31,
2004, had an account balance of One Thousand Twenty and 89/100 ($1020.89) Dollars. A
copy ofthe December 31, 2004 Diocese of Harrisburg Account Statement is attached hereto
as Exhibit "K" and is incorporated herein by reference. Husband agrees that simultaneous
with the execution of this Agreement, this savings account shall become the sole and
separate property of Wife. Husband hereby relinquishes any right, title or interest he may
have in and to the joint Diocese of Harrisburg Savings Account. All other joint bank
accounts have been closed or divided to their mutual satisfaction prior to the execution of
this Agreement.
Additionally, the Parties acknowledge that the Children each have accounts with
Member's First Federal Credit Union, with Husband as joint owner thereof. The Parties
agree that the Children's accounts shall remain the property of the Children and shall be
used for the benefit of the Children. As of December 31,2004 Kaitlyn's account had a
balance of Three Thousand Six Hundred Thirteen and 691100 ($3,613.69) Dollars and
Abigail's account had a balance of Three Thousand Five Hundred Seventy-Six and 861100
($3,576.86) Dollars.
/.'
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Further, the Parties hereto acknowledge and agree that Wife, individually, has a
savings account with Commerce Bank, account number 0626561013, which as of March
31, 2004, had a balance of Fourteen Thousand Twenty-I'our and 73/100 ($14,024.73)
Dollars (hereinafter "Commerce Account"). A copy of the December 31, 2004 Commerce
Account statement is attached hereto as Exhibit "L" and is incorporated herein by reference.
Husband agrees that simultaneous with the execution of this Agreement, this Commerce
Account shall become the sole and separate property of Wife. Husband hereby relinquishes
any right, title or interest he may have in and to Wife's Commerce Account.
(I 2) AFTER-ACQUIRED PROPERTY: Each of the Parties shall own
and enjoy, independently of any claims or rights of the other all real property and all items of
personal property, tangible or intangible, hereafter acquired, V\1th full power to dispose of the
same as fully and effectively as though he or she were unmanied. Any property so acquired
shall be owned solely by that party and the other party shall have no claim to that property.
(13) TAX MATTERS: The Parties have negotiated this Agreement with the
understanding and intention to divide their mutual property. The Parties have determined
that such division conforms to a right and just standard wi11h regard to the rights of each
party. The division of existing marital property is not, except as may be otherVlise
expressly provided herein, intended by the parties to constitute in any way a sale or
exchange of assets. It is understood that the property transfers described in this Agreement
fall within the provisions of Section 1041 of the Internal Rl,venue Code, and as such will
not result in the recognition of any gain or loss upon the transfer by the transferor.
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(14) DEPENDENCY EXEMPTIONS: For so long as Wife is the primary
custodian, the Parties agree that Wife shall be entitled to claim the deduction for the
dependency exemption for the parties minor children under Section 152(e) of the Internal
Revenue Code of 1954, as amended. If necessary, Husbarld agrees that he will sign the
Internal Revenue Form 8332 or any other declaration requirl:rl by the Treasury Department
or the Internal Revenue Service to implement this Agreeml:nt and agrees to provide such
declaration to Husband, within ten (10) days of a request to sign such document.
(15) ARRANGEMENTS FOR COLLEGE: Husband and Wife agree to
provide financial support for their Children's undergraduate: college educations, provided
that (1) such contribution would not create undue financial hardship; (2) each child
demonstrates an ability, willingness and desire to pursue and complete a course of study; (3)
each of the parents is consulted and permitted to participate in the choice of educational
institution and course of study; and (4) each child makes all reasonable efforts to obtain
grants, scholarships and/or educational loans. To the extent that a college fund, trust or
UGMAIUTMA account may exist, such financial resourc~s shall be exhausted before
Husband or Wife shall be required to make any contributions,
(16) CHILD SUPPORT: The Parties hereto have reached an agreement with
regard to Husband's payment of child support to Wife. The fully-executed Stipulation and
Agreement for Payment of Child Support is attached hl:retO as Exhibit "M" and is
incorporated herein by reference as if set forth fully herein.
KSJ KS3
Page 17 of25
MDJ ~tV
(17) LIFE INSURANCE: The Parties acknowledge that Wife has a $135,000.00
term life insurance policy through her employment with Hoover. Husband will be removed
as beneficiary of this life insurance policy upon entry of a Final Decree in Divorce and Wife
shall list the children, as irrevocable beneficiaries under the policy.
The Parties further acknowledge that Wife has a $100,000.00 term life insurance
policy. Husband will be removed as beneficiary of this life insurance policy upon entry of a
Final Decree in Divorce and Wife shall list the children as irrevocable beneficiaries under
this policy.
The Parties further acknowledge that Husband has a $200,000.00 life insurance
policy through his employment with the federal government. Husband shall retain this
policy and upon entry of a Final Decree in Divorce, Husband shall list the children as
irrevocable beneficiaries under the policy.
Neither Party shall borrow against or in any way encumber the life insurance
policies referenced in this Paragraph.
(18) ATTORNEY'S FEES: Except as otherwise provided herein, each ofrthe Parties waives the right to receive a payment for counsel fees form the other, and each
shall be responsible for his or her own counsel fees, costs and expenses, if such fees or
expenses are incurred.
KSJ K S3
Page 18 of25
MDJ -7hl';f;f
Wife has paid the initial consultation fee ($150.00) 8J~d retainer ($500.00) to Daley,
Zucker & Gingrich, LLC, and Husband has agreed to pay all other fees and costs associated
with the finalization of the Divorce, Custody and Support matters. Wife will provide to
Husband redacted copies of the invoices and Husband shall pay to Wife Twenty-Five
($25.00) Dollars every two (2) weeks, to coincide with his pay, until Wife is paid back in
full.
(I 9) ADVICE of COUNSEL: The Parties hereto acknowledge and declare
that each has had a full and fair opportunity to obtain independent legal advice of counsel of
their selection; that Wife has been independently represented by Lindsay Gingrich Maclay,
Esquire, of Daley, Zucker & Gingrich, LLC, and that Husband, has been independently
represented by Thomas D. Gould, Esquire.
Each Party acknowledges and accepts that this agreement is, under the
circumstances, fair and equitable, and that it is being entered into freely and voluntarily
after having received such advice and with such knowledge as each has sought from
counsel, and the execution of this agreement is not the result of any duress or undue
influence, and that it is not the result of any improper or illegal agreement or agreements.
(20) ADDmONAL INSTRUMENTS: Except as otherVlise herein provided,
each of the Parties shall from time to time, at the request oftbe other, execute, acknowledge
and deliver to the other Party, within ten (10) days of any request to do so, any and all
further instruments that may be reasonably required to give full force and effect to the
provisions of this Agreement.
KSJ \<.sj
Page 19 of25
MDJ hnttf
(21) INCOME TAX: The Parties hereby acknowledge that have filed joint
federal, state, and local income tax returns for the year of 2004. The Parties hereto agree to
equally divide any and all income tax returns for the tax year 2004. The Parties hereto
agree to file separate returns for all ongoing years, specifically including 2005 and 2006.
(22) BANKRUPTCY: The Parties hereby agree that the provisions of this
Agreement shall not be dischargeable in Bankruptcy and expressly agree to reaffirm any
and all obligations contained herein. In the event a party files: such bankruptcy and pursuant
thereto obtains a discharge of any obligations assumed hereunder, the other Party shall have
the right to declare this Agreement to be null and void and lto terminate this Agreement in
which event the division of the Parties' marital assets and all other rights determined by this
Agreement, including alimony, shall be subject to court determination the same as if this
Agreement had never been entered into.
(23) COMPLETE DISCLOSURE:
Each of the Parties hereto
acknowledges that he or she is aware of his or her right to seek discovery including, but not
limited to, written interrogatories, motions for production of documents, the taking or oral
depositions, the filing of inventories and all other means of discovery permitted under the
Pennsylvania Divorce Code or the Pennsylvania Rules of Civil Procedure. Each Party
further acknowledges that he or she has had the opportunity to discuss Vlith counsel, if
desired, the concept of marital property under Pennsylvania law and each is aware of his or
her right to have the real and/or personal property, estate and assets, earnings and income of
the other assessed or evaluated by the courts of this Commonwealth or any other court of
competent jurisdiction. The Parties do hereby acknowledge that there has been full and fair
KSJ kS;:(
Page 20 of25
MDJ /]'hllf
disclosure to the other of his or her respective income, assets and liabilities, whether such
are held jointly, in the name of one Party alone or in the n.lll1le of one of the Parties and
another individual or individuals. Each Party agrees that any right to further disclosure,
valuation, appraisal or enumeration or statement thereof in this Agreement is hereby
specificaIly waived, and other than provided herein, the Parties do not wish to make or
append hereto any further enumeration or statement. Specifically, other than already
provided, each Party waives the need for copies of additional bank statements, insurance
policies, retirement plan statements or any other documentalion. Each Party warrants that
he or she is not aware of any marital asset, which is not iderltified in this Agreement. The
Parties hereby acknowledge and agree that the division of assets as set forth in this
Agreement is fair, reasonable and equitable, and is satiSfactOlY to them. Each of the Parties
hereto further covenants and agrees for himself and herself llnd his or her heirs, executors,
administrators or assigns, that he or she will never at any time hereafter sue the other Party
or his or her heirs, executors, administrators or assigns in any action of contention, direct or
indirect, and allege therein that there was a denial of any rights to fuIl disclosure, or that
there was any fraud, duress, undue influence or that there wals a failure to have available to
him or her full, proper and independent representation by lega~ counsel.
KSJ 1<5:f
Page 21 of25
MDJ /lVJf
(24) WAIVER of APPRAISALS: The Parties acknowledge that they are
aware of their respective rights pursuant to the Pennsylvania Divorce Code to obtain formal
valuations or appraisals of the real estate, the personal property, the vehicles, and 401K's
and IRA's, some or all of which were acquired during the marriage and therefore constitute
marital property. However, the Parties have determined that they will not undertake the
expense to have these items appraised and/or valuated, and that the division of property as
set forth in this agreement, represents a fair and equitable distribution.
(25) RIGHTS and RESPONSmILITIES: Husband and Wife acknowledge that
each of them has read and understand his and her rights and responsibilities under this
Agreement and that they have executed this Agreement under no compulsion to do so but as
a voluntary act.
(26) FULL SETTLEMENT: Except as herllin othernise provided, each
Party hereby releases the other from any and all claims, or demands up to the date of
execution hereof It is further specifically understood and agreed by and between the
Parties hereto that each Party accepts the provisions herein made in lieu of and in full
settIement and satisfaction of any and all of said Party's rights against the other for past,
present and future claims on account of support, maintenan(;e, alimony, alimony pendente
lite, counsel fees, costs and expenses, equitable distributioll of marital property and any
other claims of the Party, including all claims which have been raised or may be raised in an
action for Divorce.
KSJ Ksf
Page 22 of25
MDJ/1>"aJ
(27) RELEASE of ALL CLAIMS: Except as otherVlise provided herein,
each Party releases and discharges completely and forever the other from any and all right,
title, interest or claim of past, present or future support, division of property, including
income of gain from property hereafter accruing, right of dower or curtesy, the right to act
as administrator or executor of the estate of the other, the right to a distributive share of the
other's estate, any right of exemption in the estate of the othl:r, or any other property rights,
benefits or privileges accruing to either party by virtue of their marriage relationship, or
otherVlise, whether the same are conferred by statutory or common law of the
Commonwealth of Pennsylvania, or any other state, or of the statutory or common law of
the United States of America. Except as provided herein, thl: Parties specifically waive any
and all rights that they may have to equitable distribution of marital property and/or alimony
and counsel fees, except those counsel fees sought in the event of a breach of this
Agreement, or any other marital rights as provided in the PemlSylvania Divorce Code, Act
26 of 1980 or any amendment thereto.
It is further specifically understood and agreed by and between the Parties hereto,
that each Party accepts the provisions herein made in lieu of and in full settlement and
satisfaction of any and all of said Parties' rights against the other for any past, present and
future claims on account of support; maintenance; alimony; alimony pendente lite; counsel
fees, costs and expenses, except those counsel fees, costs and/or expenses sought in the
event of a breach of this Agreement; equitable distribution of marital property and any other
claims of each party, including all claims raised by them in any future Divorce action
between the Parties.
KSJ K S.J
Page 23 of25
MDJ /NJJ
(28) SEPARABILI1Y of PROVISIONS: If any term, condition, clause
or provision of this agreement shall be determined or declar,:d to be void or invalid in law
or otherVlise, then only that term, condition, clause or provision shall be stricken from this
Agreement and in all other respects this agreement shall continue in full force, effect and
operation.
(29) GOVERNING LAW: All matters affecting the interpretation of this
Agreement and the rights of the Parties hereto shall be governed by the laws of the
Commonwealth of Pennsylvania.
(30) INCORPORATION into DIVORCE DECREE: The Parties agree that
this Agreement shall continue in full force and effect after such time as a final Decree in
Divorce may be entered with respect to the parties. Upon entry of the Decree, the
provisions of this Agreement may be incorporated by reference or in substance, but they
shall not be deemed merged into such Decree. The Agrl:ement shall survive any such
Decree in Divorce, shall be independent thereof, and the Parties intend that all obligations
contained in this Agreement shall retain their contract:wal nature in any enforcement
proceedings, whether enforcement is sought in an action on the contact itself at law or in
equity, or in any enforcement action filed in a Divorce action.
KSJ KSJ
Page 24 of 25
MDJ flYoof
(31) BREACH: It is expressly stipulated that in the event that either Party
breaches any provision of this Agreement, he or she shall be responsible for any and all
costs incurred to enforce the Agreement, including, but not limited to, court cost and
counsel fees of the other Party. In the event of breach, the other party shall have the right, at
his or her election; to sue for damages for such breach or to seek such other and additional
remedies as may be available to him or her.
(32) ENTIRE UNDERSTANDING:
This Agreement constitutes the entire
understanding between the Parties and there are no covenants, conditions, representations,
or agreements, oral or written, of any nature whatsoever, other than those herein contained.
(33) AGREEMENT BINDING on PARTIES and HEIRS: It is understood
and agreed that not only the Parties hereto, but also their heirs, administrators, executors
and assigns, shall be bound by all the terms, conditions and clauses of this Agreement.
IN WITNESS WHEREOF, the parties hereto, intending to be legally bound
hereby, have hereunto set their hands and seals to this Agreement the day and year first
above written.
WITNESS:
~ 1s:b4Jndtk,)
~l S. Jord
-11w. dh~. ~
Thomas D. Gould, Esquire
Attorney for Husband
~~#~
Mark D. Jordan;TIefendant
KSJ ",.:;1'
Page 25 of25
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fla Washingto9 Mutual
HOME LOANS
Washington Mutual Bank, FA
Customer Service: Toll free 1.866.926.8937 Se habla espanal
TDO: Dial 7-1-1 for relay assistance
www.WaMuHomeLoans.com
#BWNCLNN
#3959729601926396#
200451001 AT0.292 -Auro T60901617055-4B68 MA1
1..,111,"11I...,1,1.,1,1..1..11..1,.11..1..1.11...,.11...11,1
MARK D JORDAN
KATHLEEN 5 JORDAN
3 5NA LN
MECHANICSBURG PA 17055-4868
I Your Next Payment
Next Payment Due:
Principal and Interest:
Escrow:
Current Payment:
T otel Amount Due:*
$
$
$
<.C:
March 01, 2005
1.126.04
274.31
1,400.35
1.400~
I Important Messages
* To avoid a late charge of $56.30, we must receive your
payment of principal, interest, and any escrow deposi-ts
and/or past-due paym~ts by 03116105 during our business
hours. If this date falls on a weekend or holiday, your
payment must be received by the next business day.
Please see the reverse side for Recent Account Activity.
20045100004514
Page 1 of2
Home Loan Statement
January 2005
Statement Date:
Activity Since:
Your loan Number:
January 27, 2005
December 31, 2004
5972601263
I Your Property and Loan Information
Property Address: 3 5NA LANE.
LOWER ALLEN lWP. PA 17055
$ 112,263.22
5.75000%
1,914.76
Principal Balance:
Interest Rate:
Escrow Balance:
$
Did You Know?
It is not nece;sary to send us your regular current real estate
tax bill unless we reguest it. In most cases, the current real
estate tax bill, is a copy of the bill the taxing authority has
alrea_dy supplied to the mO,rtgage company for loans with an
escrowaCCOLIOt. Itis generally the customer's responsibility-
to pay supplemental, occupancy and special assessment
bills.
I Year to Date Account Activity
Principal Paid: $
Interest Paid: $
Property Taxes Paid: $
Insurance Paid: $
585.31
540.73
0.00
0.00
Please return bottom portion with your payment (allow 7-1Q days for po$tsl ~eIive'ry).
-. FQfC! e
Marital Property
Serial Number
M62719011EE
C655228415EE
C664179452EE
C662120975EE
C659576324EE
C660737485EE
C654445842EE
C638504966EE
C633674575EE
C631394359EE
C621866347EE
C628377153EE
C620602119EE
C615153190EE
C614069461EE
C433895314EE
C43461160lEE
C577254694EE
C580516982EE
C595270707EE
C593428319EE
C51480106lEE
C509357499EE
C604419973EE
C551312236EE
C508589625EE
C47262260lEE
C463883463EE
C46456246lEE
C486551260EE
C487085474EE
C487390599EE
C464857197EE
C435321393EE
C447807974EE
C447279122EE
C473224708EE
C503956707EE
C493939466EE
C516789103EE
C522608629EE
C535000496EE
Face Amount
$1,000.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
BONDS
Issued To
Kathleen Sweeney Jordan
KSJ or Mark Jordan
KSJ or MJ
KSJ or MJ
KSJorMJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJorMJ
KSJ or MJ
KSJ or MJ
KSJ
KSJ
KSJ
KSJ
KSJ or MJ
KSJ or MJ
KSJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
Date Issued
12/95
10/98
3/99
1/99
11/98
12198
10/98
3/98
2/98
12/97
10/97
11/97
9/97
8/97
7/97
9/93
I 1/93
8/96
9/96
1/97
12196
3/95
2/95
3/97
12/95
1/95
6/94
2/94
3/94
9/94
9/94
10/94
4/94
12/93
1/94
12/93
6/94
12/94
11/94
5/95
6/95
5/96
Marital Property
Serial Number
C571529260EE
C566915835EE
C58535072lEE
C583607402EE
C572863876EE
C548104065EE
C540825142EE
C530277946EE
C53231380lEE
C535688408EE
C537958058EE
C504924285EE
C552932827EE
C557041288EE
C560611476EE
C606242956EE
C597894925EE
C610977465EE
C60232262lEE
C613727890EE
C639270953EE
C640826767EE
C645749013EE
C649547435EE
C646703663EE
C651235228EE
BONDS (Cont.l,
Face Amount
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
$100.00
Pre-Marital Property
SmalNumb~ Face Amount
C326904942EE $100.00
C326931166EE $100.00
C321469750EE $100.00
C321469792EE $100.00
C321469675EE $100.00
C381703006EE $100.00
C381703147EE $100.00
C382380352EE $100.00
C382380513EE $100.00
C382421940EE $100.00
C321850286EE $100.00
C321850305EE $100.00
C433476895EE $100.00
Issued To
KSJ
KSJ or MJ
KSJ
KSJ
KSJ
KSJ
KSJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
KSJ or MJ
Issued To
Kathleen A. Sweeney
KAS
KAS
KAS
KAS
KAS
KAS
KAS
KAS
KAS
KAS
KAS
KAS
Date Issued
6/96
4/96
I 1/96
10/96
7/96
12/95
10/95
7/95
7/95
8/95
9/95
1/95
1/96
2/96
3/96
4/97
4/97
6/97
6/97
7/97
3/98
5/98
5/98
7/98
6/98
8/98
Date Issued
7/92
9/92
10/92
11/92
12/92
1/93
2/93
3/93
4/93
6/93
6/93
7/93
9/93
BONDS (Cont.)
Abigail's Bonds
Serial Number Face Amount Issued To Date Issued
C650527877EE $100.00 Abigail J. Jorrum or MJ 8/98
L003762040I $50.00 AIJorMJ 8/01
C703632343EE $100.00 AIJorMJ 8/00
C669457194EE $100.00 Abigail L. Jordan or MJ 8/99
C774876630EE $100.00 AIJorMJ 8/03
C745595335EE $100.00 AIJ or MJ 8/02
C620602416EE $100.00 AIJ or MJ 9/97
L560593073EE $50.00 Abigail Jordan or MJ 9/97
L560593072EE $50.00 AIJ or MJ 9/97
Kaitlyn's Bonds
Serial Number Face Amount Issued To Date Issued
C647111155EE $100.00 Kathlyn L. Jordan or MJ 7/98
C668334073EE $100.00 Kaitlyn L. Jordan or MJ 7/99
C695228107EE $100.00 KLJ or MJ 7/00
C744804927EE $100.00 KU or MJ 7/02
C725919039EE $100.00 KLJ or MJ 7/01
C77487663lEE $100.00 KU or MJ 8/03
L527437517EE $50.00 KLJ or MJ 8/94
L52741276lEE $50.00 KU or MJ 8/94
C481348672EE $100.00 KLJ or MJ 8/94
C530511724EE $100.00 KLJ or MJ 7/95
C486474496EE $100.00 KLJ or MJ 8/94
L52738740lEE $50.00 KLJ 8/94
L526789736EE $50.00 KLJ or MJ 8/94
C572437129EE $100.00 KLJ or MJ 7/96
The right choice for the long term3
@ American Funds"
PO Box 2280 .
Norfolk VA 23501-2280
Divi4erid
Confirinatio:n .
becember31; 2004
Your financial adviser
KATHLEEN S JORDAN
3 SNA LN
MECHANICSBURG PA 17055-4868
1,.,III",III""I.I"I,I"I"II.,I"II"I~I,II.",,11",11,1
AMERITAS INVESTMENT CORP.
C/O WEAVER FINANCIAL SRVCS INC
887 S ARLINGTON AVE
HARRISBURG PA 17109-5004
Rep name WEAVER
Transactions
THE CASH MANAGEMENT TRUST OF AMERICA-A
Fund number 09
Account number 64468327
Dividends (reinvest) and capital gains Ire invest) Sheres this
T!.~!!!_~~.~l!...............~l!.~:!.iJ!.~{f!.'!......._.........._........_._................m___.........._.........J}.'!.!{~La.l}!f!-'!.'!Lmm~~!~.!.!E!.{~-'~....._...._.............._..~!!.~!!~~~!!.................._......?~~r:...~~!~'!.~~
12/31/04
BEGINNING SHARE BALANCE
INCOME DIVIDEND
$7 .01
$1. 01]
7.010
5,135.B9o
5,142.900
Ending value as of 12/31/04 was $5.142.90
Year-to-date income summary
............................-.............................-.-....-............................................-.............
Dividends $51.52
Short-term cepital gains $0.00
long-term capitel geins $0.00
For more account information
. Callyourfinancialadviser
. 24-hour automated infonnation and services
American FundsLine@l 800325-3590
American Funds Web site www.americanfunds.com
. Personal assi:;tance - 8 8.m. to 8 p.m. Eastern time M - F
ShareholderSe",ices 1800 421-0180
To add to your investment
__........................._.._.....................................m.._......_._.............................................__......._......_...................................................._........_.._..__.....__............................_..........._..
Make check payable to American Funds
Service Company. Please write your account
number on your "check. Do not send cash.
KATHLEEN S JORDAN
If investing in a new fund, please obtain a
prospectus from your financial adviser or
our Web site.
Fund
Fund Account
numher number
Investment
amount
AMERICAN FUNDS SERVICE COMPANY
PO BOX 2280
NORFOLK VA 23501-2280
1"1,1.,11"1,1,1',,,,,,11,,1,1,,1,11,,1,11,,,1,,',11,,,1,1,,1
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$
Check total
$
40[J8269[J10
Rl"OOQ644663271" CRllllll001171BSSRCM004
0000 14754810 000644683278 0000009
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if '"
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N
KATHLEEN S JORDAN
3 SNA LANE
MECHANICSBI,IRG PA 17055
SSN:
Dale of Birth:
Date of Hire:
HOOVER REHABILITATION SERVICE, INC
166 - 80074
Statement for the period of October 1,2004 to December 31,2004
This statement has been provided by Nationwide Financial, your
employer, and your third party administrator.
'<!1 ' . , r -,
"':' ';'!@.!F '1Kiit'1ijc f,':iii.@jJ~'i'\i"'litJr"lt::" ' :'
~ ,', ~~,;<~, -, .'" ,- ''''' - < ." '~"-"- -,- .~
(,: 11~1i\ie~~~: (~~,j'.~~~f~I~~VrJi~tf~ ' ~,I,'
o " , " ~ '" ~" ." t: \ '
XXX-XX-0662
01/17/1959
10/06/1980
YOUR RETIREMENT PORTFOLIO FROM 10/01/2004 TO 1?f31/2004
Your Recent Retirement Account History'
$33,630
Openin9 Value on 10/01/2004
Contributions
Investment Gain/(Loss)
Total Account Value on 12/31/2004
$29 879,48
$1:404.90 .
$2,345.13
$33,629.51
.
o
o
...
p
$0
$2G.87G $33,630
Sep 30, 2004 Dee 31, 2004
"Corrections made after the close of past periods are not reflected in
this representation.
--
!!!!!!
--
-
--
--
-
--
--
Moderate 61.24 %
-Growth Fund Of America R3
-Investment Co Of Amer R3
Drey Ap~reciation Fnd
Rd Adv Equ Incm Fnd Cis A
Janus Adv Worldwide Fnd
Low 38.760/0
-Capital Income Builder R3
-Income Fund Of America R3
Aim Total Retum Fd Ic
Fed Bond Fnd Cis F
$124.96
$7,708;92
$0.00
$12,760.45
$0.00
$4,692.3G
$8,342.79
$0.00
$0.00
1.255277
1.155718
0.974930
1.420199
0.595893
1275039
1.250576
1.158887
1.387270
--
-
--
!!!!!!
Total Account Value
$33,629.51
. 100%
Low
Due to rounding, Total Account Value percentage may not equal 100%. Your actual
balance may be different if you are not yet fully vested with your employer. Please contact
your employer for details.
00000259
Page 1 of7
. Account Access, Account Balance
Page 1 ofl
Account Access
Your Civilian Account
Account Balance
Your account balance based on the most recent share prices as of close of business
02/25/2005 is shown below. This information is updated by 6 a.m. eastern time of each
business day. On occasion, heavy volume during the nightly processing cyqle may d~lay the
update a few hours.
Contributions to your account are being invested as follows:
G FUND 0% , F FUND 0%, C FUND 100% , S FUND 0%, I FUND 0%
, Investment Fund Shares Share Price Balance Distributior
'\
G FUND GOVERNMENT SECURITIES 742.6190 $10.75 $7,983.16 4.98%
F FUND FIXED INCOME INDEX 1,136.8870 10.46 11,891.84 7.43%
C FUND COMMON STOCK INDEX 10,840.2310 12.94 140,272.59 87.59%
S FUND SMALL CAP STOCK INOEX 0.0000 14.59 0.00 0.00%
I FUND INTERNATIONAL STOCK INDEX 0.0000 15.82 0.00 0.00%
Total $160,147.59 100.00%
IAccount Access Menul
.~;
Your Account Balance I participant Statements I Contribution Allocations llnterfund Transfers I Loans I Withdrawals I Create Your
Own PIN I Your TSP Address Ilocou!
https:lltspweb2.tspsec.tsp.govINASApp/tso/accountBalance.do?GXHC OX 1 <t=')"277 4 7"... 7/?R/?OO'i
APR-13-2005 21:00
P.02
.~ '.
.... THRIFT SA~S PLAN
: - P ARTICIP ANJ.<S.T A TEMENT
H, . .~I J .
. Your Thrift Savlng5 Plal"I lTsP) ~CCQUr,.t statement is issued every $ix months. by tne Niltionel Finance Center for the Fe.de.raf
Rlt!irernent Thrfft Investment Bojrd. ~D~ .additional informatiOofl or to ~ot'tect Y4)Ur 8ddre-,s or any of the followinSil items,
pleise oontact yOLlr agency e~'pl'o~f.(ng office.
N.ms: "'ARK 0 JOROAN
5001.1 Sacurity NUlT1ber: 197-40'-€l113
D.te 01 Birth: 05/09/62
For thi,.- period:
05/01193 through 10/31/93
Relirement Covorogo: FERS (K)
Separation StaW!;: Not sepM"it~d
Total Service Raquir"d lor Ye..t~e:' '~ V.a.r. from 09/06/94 (TSP Service ComPutalion Dale)
Parson. I Identification Number. i~N~ ':~485 for the TSP InQultY Lin. 504-255-6777
"[ ,
.'
G FUND
Govertttnent Securities
Invutment FlJnd
F FUND
Fixed (ncQmll InoAx
lnvest"'8 nt Fund
C FUND
Common stock Index
Jnvestmel1t F:ur,d
TOTAL
ACCOUNT
BALANCE
Rates of
Return *
(Numbers in
p.:lrenth!~~$
arC! negative)
G Fund
F Fund
C Fund
,~egin,~r'lg S,II,nce
TnJt)$~On$ ,This Period
~"IIlllS Thi. Poticd
. .
. Ending 9.laoee
'I , .
. ,
l1~Qin~inQ Balanee
TranselotKmS, Thts Period
. I.
"Ear!iil1!ls IThi. Period
, .
. . i;IIdil1ll eollnee
~'.9';bi09 a.lonee
TransaC't)on'" Thi. Period
.' .
Ear:'nin~ This Period
. . ,Eslding Balance
.,
..a..g"",l~g e.Jance
rn'f1s.ac~io,:,s' ,This Period
&ornings'Till. Period
~din'g
Balance
Eh\pioyee
593.4,d
0.00
17.56
611.00
875.24
201.32
46.B4
1.'23.40
3,741.17
605.20
321. 19
4.867.56
5.209.85
1.008.52
385.59
6.601.96
Source elf Contributions
Agem;y A.ui'omatie: (1961 Agency
M.tohlng
2,177,52 1.298.60
0.00 0.00
64.51 38.46
2,242.03 , . SS7 . 06
214.55 759.38
0'/5.92 147.42
11.25 40,2/5
21'2.72 947.0/5
6Ei5.77 2.32S.22
'''7.42 SSS.S 1
~iS. 73 203.92
859.92 3.122,95
3.0":~7.B.4 4.367.20
Ht4.3.4 737,23
1::12..49 2S2.64
3,3E14.61 5.407.07
1993
July Aueu.t Septomber O.tobor
.49" .49% .45% .47"
.55% 1.72% .26% .38%
(,38%) 3.7S% 1.76"> 2,04%
TSP-B~A:
. . . ...
Total
4.069.56
0.00'
,20.53'
4,190.~
1.8,a9.17
3e5.~6
9B.3,!j
2.333. ,~
G.ne,le
, .542.431
5B1.804
B.B=O.4,~
12.644.89
".92~.~
800. 7~
1~.37'3..1~(}c"
lad 12 Mon""""
'No. '92~Oot '9:l1:
6,35"
11.57%
14.94%
. ,A.c:r"....1 r.tn. 01 return IIHer Ildm,lnistTe.'tiv,_ .:aepeMIll.... The rnon.,p.ly rilles of retUrrl 8t8 rl'l. r",..s. l,Islid TD campu!_ thE actUlilI1 al!tfl\rl\g'S on. your IJi;C~ ,ac:h
mcomh, illS ducribed en 'the back of t'hh .l....~.bt. i~. 12-mO-rWt rtlr"$ oi rq(urn shew tha iJ'lw't!l!:tlli:lalll r.erfonnence 01 only 'hi' portioFl of your oIl,CC,(lollt\t that
WI1I InV8$t.d fOT tk$ ~tln 12"mgn1h p.r,ro~' 8,daus.. of th. i'ltnin; .!lnd ~moun\ or '(aut cQntrlbutnrl'\s. nuufund ttllnli1eu. .ntl Qtl"lllr lr1lllnIJlIIe.1.iO!'lJ, you G:1lM'\ot
WlIJII the 12"mDn.th l'Z1tU of tetUfJ'l s.hoNl\.attOVII '0 c.le:Ul&t& your 8ctLu,1 urJllng-; (or t~e Novetr\bclr leU. Ol;!tobor 1993 p.riQd. Th~f. i! risk !)f' h""lInm.nt
loas. in bath. ,.hll , !1M 'hI! C Fundi_ Theu 1::1 PO ,....unnC'1I th" plfi'l ,,'tU' of rllW'" will bv r"p.~fild in thg fIJ!lJr~.
" I=ORM TSP.S-A lFievla.eocf 1119,31
!$ your addre~s ineorrecr? See instruq"t1o~' at top of statsmsnL
MIIY
.51:%
.10""
Z.6~~
June
.51%
1.79%
,32%
t, '.
8402~9'88pN ~~ 2~ '2177 2100655,
1-018'0 ":000009432
IlJJIIJlltIIIJIIIIIIJlllllll.llh\l:~~.lt:'li'lifiliIIIIIIIJlIIIIIII
MA~I( 0 ..rORDljti ~1'
3 SNA LAI.1E
MECHAN!CseClRGI ,p:i,.... i.'7055-4869
'I.,' ..
;. ."',
.'
TSP Clpen Sea50n is Nove'tlbar 15 - January' 3 of ~
To o~lange your con'tribu't1ons a5k you.r pa~:ton"
n01 "Hic. fo~ tho TS~ Election Form' (1SP-"').
To Change the way money a 1 raady in ypur"
aocOlln1: ;s invEls1:ed, a.sk your agenoy <for" an '
lnterfUnd Tr..nshr Request (Form TS~-30).
or cC!.11 'trte TSP InQUiry 1.ine for ~he 'form.
"
'>,
APR-13-2005 21:00
DETAIL OF ACCOUNT A€TJVJTY
N.mal MARK 0 ~O~DAN
A,ctlvlty Fl.yroll
. Code Offic;~
Poy
0:11'11
,.
prOC:.lls
. Dl!l'\. ~~Pl9Y"6
MONTH-END BALANCE APR 1993
o 21006551 05/07/63 O~/10/5~
o 21006551 05/~1/93 OS/24/93
E
MONTH-END BALANCE MAY '563
o 2'005551 05/04/93 05/07/93
o 21006551 05/1B/93 06/21/93
E
MONTH-END BALANCE ~UN 1993
o ~100B551 07/02/93 07/02/93
o 21006551 07/'B/93 07/'9/93
E
MONTH-END BALANCE JUL 1993
o 2100B551 07/30/93 OB/03/93
o 21005551 OB/13/93 09/HIIIl3'
o 21005551 OB/27/93 09/27/93
E
MONTH-END 5ALANCE AUG 1993
o 2100.651 09/10/93 09/13/93
o 2100.551 09/24/93 09/24/93
E
MONTH-END BALANCE SEP 1993
D 21006551 10/08/83 10/12/93
o 21006551 10122/53 '0/26/"3
E
MONTH-END BALANCE OCT 1993
5,~09.55
70.88
70.85
105.0.
5,.S5.57
70. e.e
!O.5e
32.35
'5,83,0.7S
, .
" 70.5S
10.BS
7.67-
5,7&4,.S7
70.8B
" ,85.06
h 85.06
1~.';
'6'.1'81.ge
&s.05
S~.06
2:9.32-
~,32:5.iS
85.05
e.os
l'OB.OB
6'h~O'l .95
For the psrlod: 05/CIl/S3 through 10/31/S3
Source
Sooial Security Numbe" 167-4Cl-S;;3
At'6nc.,.
Autorflo!ltic 11%'
3,047.84
14.18
14.18
29. 15
3,105.35
14.15
14. IS
17.32
3,151.03
14.18
14.18
9.29
3,1BB.68
14,1S
14,18
14. ,a
43.70
3,274,92
14. I a
14.18
4.5S
3,307.86
14.18
14. IS
28.45
3.~64.67
Ap-Dl'\CY
Mo:\ching
4,387.20
S6.71
56.71
70.67
.4.571.2.9
S6.71
56.71
28.B3
4,713.64
55.71
S6.71
0.91
4.827.97
56.71
56.71
55.71
124.70
5.12~.BO
56.7'
56.71
13.94-
5, 222. 29
S6.71
56.71
71.37
5.407.07
13 Fund
4,<l6e.S6
0.00
0,00
20.89
4,090.4$
0.00
0,00
20..5
4. '111. 10
0.00
0.00
20.23
4, '131.33
0.00
0.00
0.00
20.30
olI/. 'IS1.S:i
0.00
0.00
16.84
4,170.47
0.00
0.00
19.62
4, '90.0S
Date 0 f Birth:
Investment I=und
F Fund
1.849.17
36.3a
25.38
;. 97
1,907.76
25.36
2S .36
34.59
1,999.07
2B.38
28.36
11.07
2.068.S8
28.36
31_19
31.19
36.41
:2,194.01
31.19
31.19
5.65
2,262.05
31. 19
31.19
S.75
2,333.18
C Fund
6,726.16
113.41
113.41
182.12
7, 1~5.10
113.41
113..41
23.36
7.365.29
113.41
113.41
2S.17-
7,583.33
113.41
124.76
124.76
293.80
6,240.05
124.76
124.76
63.1S-
8.426.40
124.76
124.76
174.51
9,950.43
P.03
TSP-8""'A
OS/09/6~
Total
12.'644,-,~~
IA1.7:
141 . 7~
204.81
13, \a3,. 3'
',' '
14",7:
1'41 ~ 7~
7B.5t
13,41l5.41
141.7:
141'" '1~'
2'~F5~
13.781'.5;
141. 7:
155. 9~
155,."~
350:~'
14.58S.7(
155.9~
1a5.9/
38.6t
14,858.9:
155.9!
155_9::
202'.96
15,973..7,(
" .'
"
, '
, '
"
" ,
,
o "' Oaposlt
e . EllIrp;nS'~
L .. ~QolIln
P .. MQhthly 1"f:lfI p,pymllnt lilummery
Activity Cod Si
1': ,It, In-tarff,lnd tfI!lP.r.'h!r
Ft, 'II: 'J!cirf.tr.d nctl"'esletl t'nOf.I;.8S
. ,R.i lI: ~~\ored 6MOUl'It!
A." ACiJustml!lnt
c "' E~rnif1g$ tor'r$'~l'ion
Y . Eblllj"fl!l cOIr.a.ctlo~ tlbrufer
V .. Re....ets.a-I of e.~ming!; cotre.ction
B . D~c hl.f!:d abarllje.necl
o = Cou:n-grder,d p.....m.n'(
W. Withdr.lil.....liIl '
M . Minimum di$trlbu'tion
N - II Refund-ed ~)(e-a~~ de.fe~re.[
~DnttdY ~arJtin.q~ ~n CZlJCIJJII~.Q' 'by 'm~~l.yII),5' the. rllU 1)' rerom for 11'Ie mor'1tll. I!l;h.owo D)' the sum of your prior lTlOht"'....nd bel.hl:!. ,n.d on....batl CJ{ ,
1: . ,(~t:al 0 depOSIt.. and 108" rltp.l$ymlllfJ1:. ~qrJ"J ocl'l,. mcmth .hown. Earntngoa are c(fldited at the 1!l1'1l1 of thl; 1T10n'tl'1 '!hown. /It.djunlT).,.t5. ..rning& ;:~rr.lXi"n~,J
tClrlffltLcre.!I., IOIln.;., relltClrul IlfTlo.uftta~ 8n" ,WI'f:hClf.a~11t atfac:t YCII.lr IICQount. for the Qal~L1latfDn of eamin;s !It the. end 01 the mOnth ~hoWl"]. InterfufJd 'tr~lif.r'"
~~oo c:~.'.'dYtOLl( .~cC"houn~_ a1 tdh~ .~d Qf tbe mCl)'\tb .hown. PIIY datI: is l.hc dpte ropor1i'd by your payroll C1'fflce tOt do!lpO!:iU .and OlSl'tcin &djV$Tments.
a e r.. t e "",\9 epO&rU end foan ~'ayme.n~ """.r.. ptoclI8Sad' to you' l!lCCOUl'lt by tht= T,S;l r~Clordlctl-llP.r.
FORM TSp-e-A (Revised, 11/~3)
TOTAL P.03
A
@
PENSION APPRAISERS INC.
p.o. Box 4396 . Allentown, PA 18105-4396
1-800-447-0084. Fax 610-770-9342
JUl 05 2005
E.-MAIL: penapp@pensionappraisers.com
WWW: http://www.pensionappraisers.com
June 30, 2005
Lindsay Maclay, Esq.
1029 Scenery Drive
Harrisburg, Pennsylvania 17109
RE: Present Value of Mark D. Jordan's Defined Pension Benefit
File No. 06-27-0S-210-1630G
Dear Attorney Maclay:
We have determined the present value of the marital share of Mark D. Jordan's defined pension
benefit by the GATT Method as of June 30, 2005 to be $56,033.91. This valuation was
developed and prepared in conformity with the requirements of the Actuarial Standards of Practice
No. 34. These Standards were developed by the Pension Committee of the Actuarial Standards
Board of the American Academy of Actuaries. The purpose is to set standards for Members and
Other Persons Interested in Actuarial Practice Concerning Retirement Plan Benefits in Domestic
Relations Actions. Pension Appraisers, Inc. relies on the requestor to provide the information
necessary to value pensions. In some cases, information not provided by the requestor may be
obtained from plan summaries on file in Pension Appraisers, lnc.'s offices. All information received
from the requestor is reviewed for practicability and reasonableness. Any information in question is
verified with the requestor, when possible. Any deficiencies in data may materially affect the
results of the appraisal. Pension Appraisers, Inc. utilizes thEl fractional rule allocation method in
valuing all pensions for equitable distribution purposes unless otherwise stated.
BIRTH DATE: May 8,1962
SEX: Male
MARRIAGE DATE: September 25, 1993
VALUATION DATE: June 30,2005
PENSION PLAN: Federal Employees' Retirement System
DATE EMPLOYMENT STARTED: September 6, 1984
(Assumed date pension holder began participation in the plan)
DATE BENEFITS STOPPED ACCRUING: January 16, 2005
(Assumed date pension holder ended participation in the plan)
ASSUMED DATE MARRIAGE ENDED: January 16, 2005
AGE WHEN BENEFITS COMMENCE: 60 Years
"Valuators of Defined Pension Benefits for Equitable Distribution"
GAIT Actuarial and Mortality Tables Method
June 30, 2005
Mark D. Jordan - # 06-27-05-210-1630G
Page 2
MORTALITY TABLES: 1983 Group Annuity Mortality Tables
INTEREST RATE ASSUMPTIONS: 4.33 % and 2.33 %
30-Year U.S. Treasury Bond Constant Maturity Rate for the Month of
the Date of Valuation.
U.S. Treasury Bond Rate:
Estimated Cost of Living Adjustment:
Adjusted Rate:
ASSUMED MONTHLY BENEFIT: $1,152.04
Monthly pension benefit the pension holder would receive at
retirement age with a fully vested pension based upon
compensation and plan provisions as of January 16, 2005.
4.33%
2.00%
2.33%
Formula:
1 % of High-three Average Pay multiplied by Years of Creditable
Service equals Annual Benefit
Data:
High-Three Average Pay: $67,900
2005 $ 71,479
2004 $ 68,989
2003 $ 63.232
$203,700
$203.700 = $67,900.00
3 Years
Years of Creditable Service: 20.36 Years (9/6/84 - 1116/05)
Analysis:
0.01 x $67,900 x 20.36 = $13,824.44 (Annual Benefit)
$13.824.44 = $1,152.04 (Monthly Benefit)
12 Months
REDUCTION FOR NON-VESTING: 1.0000
Represents a reduction for the probability of selvice to 100 percent
vesting as equal to the portion already completeld.
GATT Actuarial and Mortality Tables Method
June 30, 2005
Mark D. Jordan - # 06-27-05-21 0-1630G
Page 3
REDUCTION FOR MARITAL COVERTURE FRACTION: 0.5555
Represents that portion of the value of the benefits attributable to
the marriage. The numerator of the fraction represents the total
period of time the pension holder participated in the plan during
the marriage and the denominator is the total period the pension
holder participated in the benefits program.
PRESENT VALUE BEFORE REDUCTIONS:
$100,871.12
Reduction for Non-vesting:
Reduction for Marital Coverture:
x
1.0000
0.5555
x
VALUATION FOR EQUITABLE DISTRIBUTION:
$ 56,033.91
This valuation was not completed in compliance with our understanding of Act 175.
Office of Financial Administration
Diocese of Harrisburg
PO Box 3651
Harrisburg, Pennsylvania 171 05
Phone (717) 657-4804
Fax (717) 671-7021
DATE:
12/31/2004
MARK K JORDAN
AND KATHLEEN S JORDAN OR SURVIVOR
3 SNA LANE
MECHANICSBURG PA
17055
STATEMENT OF ACCOUNT FOR QUARTER ENDING 12/31/2004
Account No. 01-21790
DATE
DEPOSITS
WITHDRAWALS INTEREST PAID
BALANCE
BEGINNING BAL.
12/31/2004
7.81
1.013.08
1.020.89 *
INTEREST PAID YEAR TO DATE
20.89
Commerce
.Banlc
Commerce Bank/Harrisburg N.A.
100 Senate Avenue
Camp HiII.PA 170'11
BBB-93.7~DDD4
STATEMENT DATE
KATHLEEN S SWEEm:y
1970 TECHNOLOGY PK
MECHANICSBURG PA 17050
03/31/05
0626561013
ACCOUlVf NO.
*** SAVINGS *** PREMIER SAVINGS
-ACCOUNT NUMBER 0626561013
PREVIOUS STATEMENT BALANCE AS OF.02/28/05 .... .... ... ....... ......
PLUS -I DEPOSITS AND OTHER CREDITS ...................
LESS 0 WITHDRAWALS_ AND OTHER DEBITS ........ . . . . . . . .
CURRENT STATEMENT BALANCE AS OF 03/31/05 . .... .... ..... ..... ......
NUMBER OF DAYS IN THIS STATEMENT PERIOD 31
BEGINNING RATE
CYCLE-052
0.99500
14,012.89
11. 84
.00
14,024.73
-----------------------------------------------------------------------------------
*** SAVINGS ACCOUNT TRANSACTIONS ***
DATE DESCRIPTION
03/31 INTEREST PAYMENT
DEBIT,S
CREDITS
11.84
------------------------------------------------------.-----------------------------
*** BALANCE BY DATE ***
02/28 14,012.89 03/31
14,024.73
PAYER FEDERAL 10 NUMBER
INTEREST PAID YEAR TO DATE
:23-2324730
34.35
----------------------------------------------------
*** INTEREST EARNED THIS STATEMENT PERIOD
DAYS IN PERIOD .........................
INTEREST EARNED ......... .......... .....
ANNlJAL PERCENTAGE YIELD EAJmED (APY)....
***
31
11.84
1.00%
- ----- - - ----- - - -- -- ------ --------- -- - -.- - - - -... - - - - - ---
NOTE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION
Member FDIC
STIPULATION AND AGREEMENT FOR PAYMENT OF CHILD SUPPORT
THIS AGREEMENT is made this ~ day of 2005, BY
and BETWEEN Kathleen S. Jordan of 3 Sna Lane, Mechanicsburg, Cumberland County,
Pennsylvania, hereinafter referred to as "Mother"
A
N
D
Mark D. Jordan of 2902 Chesterbrook Court, Apartment 20S, Camp Hill, Cumberland
County, Pennsylvania, hereinafter referred to as "Father".
NOW THIS AGREEMENT WITNESSETH lHAT:
WHEREAS, the parties are the natural parerlts of two (2) minor children, namely
Kaitlyn Louise Jordan, whose date of birth is July 15, 1994, and Abigail Jo Jordan, whose
date of birth is August IS, 1997 (hereinafter collectivdy referred to as the "Children"); and
WHEREAS, the Parties wish to determine the child support and college education
arrangements for their Children and have therefore agreed to enter into this Stipulation and
Agreement for Payment of Child Support; and
WHEREAS, the Parties are hopeful that by entering into this Stipulation and
Agreement, Mother can avoid the necessity of having to file for Child Support through the
Domestic Relations Office; and
WHEREAS, the parties have entered into this Stipulation and Agreement freely and
voluntarily, and with such guidance, knowledge and advice as each has sought from counsel
of their choice.
Page 1 of3
NOW THEREFORE, with the aforegoing recitals being hereinafter incorporated by
reference and deemed an essential part hereof and in consideration of the covenants and
promises hereinafter to be mutually kept and performed by each party, as well as for other
good and valuable consideration, receipt of which is hereby acknowledged, and the parties,
intending to be legally bound, hereby agree as follows:
1. Father agrees to pay to Mother at least Six Hundred ($600.00) Dollars bi-
weekly. These payments shall be made to Mother within three (3) days of Father receiving
his paychecks until such time as the Children reach 18 years of age or graduate from high
school, whichever occurs later.
2. Nothing in this Agreement will prevent either party from filing with
Domestic Relations or from seeking a modification or termination of this support obligation
in the event of a substantial and continuing change in circumstances, in accordance with
PaRC.P. 1910.17 and the applicable child support guidelines.
3. The parties bereto understand and agree that Mother, as primary custodian,
shall be entitled to claim the Children as an exemption for income tax purposes, so long as
the Children qualify as dependents for income tax pwposes.
4. Father shall provide health, dental and vision insurance coverage for the
minor Children through his employment.
5. The Parties agree to equally dividl: any and all unreimbursed medical
expenses, which shall specifically include orthodontiu.
6. To the extent that he is economiCllIly able to do so, Father agrees to
financially assist the Children in their pursuit of highclr education.
Page 2 of3
7. All matters affecting the interpretation of this Agreement and the rights of
the Parties hereto shall be governed by the laws of the Commonwealth of Pennsylvania.
8. In the event that either Party breaches any provision of this Agreement, he or
she shall be responsible for any and all costs incurred to enforce the Agreement, including,
but not limited to, court cost and counsel fees of the other party. In the event of breach, the
other party shall have the right, at his or her election; to sue for damages for such breach or
to seek such other and additional remedies as may be available to him or her.
9. This Agreement constitutes the entire II1lderstanding between the parties and
there are no covenants, conditions, representations, or agreements, oral or written, of any
nature whatsoever, other than those herein contained.
IN WITNESS WHEREOF, the parties hl:feto, intending to be legally bound
hereby, have hereunto set their hands and seals to this Agreement the day and year first
above written.
WITNESS:
-7X.._J>. ~
Thomas D. Gould, Esquire
Attorney for Father
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Mark D. Jordan /'
Page 3 of3
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IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
MARK D. JORDAN,
Plaintiff
No. 2.1TD5 - 2;"68
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CIVIL ACTION - LAW
KATHLEEN S. JORDAN,
Defendant
(In Divorce)
AFFIDAVIT OF CONSENT
COMMONWEALTH OF PENNSYL VANIA )
SS.
COUNTY OF CUMBERLAND
)
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on
July 26, 2005.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days
have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final Decree in Divorce after service of the Notice of
Intention to Request Entry of a Divorce Decree.
T verify that the statements made in this Affida.vit are true and corre.~t to the be~t of my
knowledge, information, and belief I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S., Section 4'0 relating to unsworn falsification to
authorities.
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(717) 657-4795
Imaclavrmdzf!law.com
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYL VANIA
MARK D. JORDAN,
Plaintiff
No. 2005- ,,'ffle,
v
CIVIL ACTION - LAW
KATHLEEN S. JORDAN,
Defendant
(In Divorce)
WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY
OF A DIVORCE DECREE UNDER &3301(c) OF THE DIVORCE CODE
I. I consent to the entry of a final Decree of Divorce without notice.
2. I understand that I may lose rights concerning alimony, division of property,
lawyer's fees or expenses if! do not claim them before a Divorce is granted.
3. I understand that I will not be divorced until a Divorce Decree is entered by the
Court and I further understand that a copy of the Decree will be sent to me
immediately after it is filed with the Prothonotary.
I verify that the statements made in this Waiver are true and correct to the best of my
knowledge, information, and belief. I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S. 94904, relating to unsworn falsification to authorities.
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Kat/en S. Jordan, D
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MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2005-3788 CIVIL TERM
KATHLEEN S. JORDAN,
DEFENDANT
IN DIVORCE
ACCEPTANCE OF SERVICE
I accept service of the Complaint in Divorce on behalf of
Kathleen A. Jordan and certify that I am authorized to do so.
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MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2005-3788 CIVIL TERM
KATHLEEN S. JORDAN,
DEFENDANT
IN DIVORCE
WAIVER OF NOTICE OF INTENTION TO REOUEST
ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(0) OF THE DIVORCE CODE
1. I consent to the entry of a final decree without notice.
2. I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
3. I understand that I will not be divorced until a divorce
decree is entered by the court and that a copy of the decree will
be sent to me immediately after it is filed with the prothonotary.
I verify that the statements made in this Affidavit are true
and correct. I understand that false statements herein are subject
to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn
falsification to authorities.
DATED:
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MARK D. JORDAN
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MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2005-3788 CIVIL TERM
KATHLEEN S. JORDAN,
DEFENDANT
IN DIVORCE
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301 (c) of the
Divorce Code was filed on July 26, 2005.
2. The marriage of Plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of the
filing and service of the Complaint.
3. I consent to the entry of a Final Decree of Divorce after
service of notice of intention to request entry of the decree. I
acknowledge that pursuant to Rule 1920.42(e) I have waived the
requirement that I receive notice of intention to request entry of
the decree.
I verify that the statements made in this Affidavit are true
and correct. I understand that false statements herein are subject
to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn
falsification to authorities.
DATED:
II/; /tJ5
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MARK D. JORDAN
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MARK D. JORDAN,
PLAINTIFF
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2005-3788 CIVIL TERM
KATHLEEN S. JORDAN,
DEFENDANT
IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary:
Transmit the record, together with the following information,
to the Court for the entry of a divorce decree:
1. Ground for divorce: irretrievable breakdown under Section
3301(c) of the Divorce Code.
2. Date and manner of service of the complaint: On July 28,
2005 by Acceptance of Service.
3. Date of execution of the affidavit of consent required by
Section 3301(c) of the Divorce Code:
By Plaintiff, November 1,
2005; By Defendant, October 28, 2004.
4 .
Related claims pending:
None
5. Date Plaintiff's Waiver of Notice in ~ 3301(c) divorce
was filed with the Prothonotary on November 7, 2005.
Date Defendant's Waiver of Notice in s 3301(c) divorce
was filed with the Prothonotary on November 3, 2005.
~F).~
Thomas D. Gould, Esquire
Attorney For Plaintiff
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IN THE COURT OF COMMON PLEAS ;
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STATE OF
MARK D. JORDAN,
No. 2005-03788
CIVIL TERM
Plaintiff
VERSUS
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KATHLEEN S. JORDAN,
Defendant
DECREE IN
DIVORCE
IV l>vn..,le.r l()
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, 7_001., , IT IS ORDERED AND
AND NOW,
DECREED THAT MARK D. ,TORDAN
, PLAINTIFF,
AND KATHLEEN S. JORDAN
, DEFENDANT,
ARE DIVORCED FROM THE BONDS OF MATRIMONY.
THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
THE PROPERTY SETTLEMENT AND SEPARATION AGREEMENT DATED AUGUST
8, 2005, IS HEREBY INCORPORATED, NOT MERGED, INTO THIS DECREE
IN DIVORCE.
By THE COURT:
.(1~~~
' ROTHONOTARY
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Lindsay Gingrich Maclay, Esquire
Daley, Zucker & Gingrich, LLC
1029 Scenery Drive
Harrisburg, P A 17109
(717) 657-4795
Imaclavlaldzglaw.com
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
MARK D. JORDAN,
Plaintiff
No.
2005-03788 (Civil Term)
v.
CIVIL ACTION - LAW
l..:ATHLEEN S. .JORDAN,
Defendant
(In Divorce)
NOTICE OF INTENTION TO RESUME PRIOR NAME
NOTICE IS HEREBY GIVEN that KATHLEEN S. JORDAN, the Plaintiff in the above-
captioned matter, having been granted a Final Decree in Divorce on November 10, 2005, hereby intends to
resume and hereafter use the previous name of KATHLEEN A. SWEENEY, aild gives this written notice
avowing her intention in accordance with the provisions of the Act of April 2, 1980, P.L., 23 P.S. 702,
. .. .
~1ts '0
effective July I, 1980.
TO BE KNOWN AS:
~
K"/ HLEEN A. SWEE.
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF DAUPHIN
ON this, the ~Ol day of rJOvertJ b.eA/, 2005, before me, a Notary Public, personally
appeared KATHLEEN S. JORDAN, now to be known as KATHLEEN A. SWEENEY, known to me or
satisfactory proven to be the person whose name is subscribed to the within instrument and acknowledged
that she executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I have hereunto s~.hand en..d .)fn~ial s~a.
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COMM OF "EN ..
I NOTARIAL NSY1VANIA
DEBORAH S HO St:Al
Hampden r;' OVER. Notary Public
My Commlssi6r; E~~~~e~~;~ 3~~2~W9
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