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06-2205
ABRAHAM LAW OFFICES 2157 Market Street, Camp Hill, PA 17011 (717) 763-1700 GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO. JOSEPH FRASSETTA : CIVIL ACTION - LAW Defendant : DIVORCE NOTICE 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 in 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 Court Administrator, 4`h Floor, 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 LAWYER OR CANNOT AFFORD ONE. GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP: Court Administrator 4m Floor, Cumberland County Courthouse Carlisle, PA 17013 (717) 240-6200 GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. JOSEPH FRASSETTA : CIVIL ACTION - LAW Defendant : DIVORCE COMPLAINT AND NOW, comes Plaintiff, Gail G. Frassetta, by and through her attorney, James W. Abraham, Esquire, Abraham Law Offices, Camp Hill, Pennsylvania, 17011, and files the following: COUNT I - DIVORCE (Pursuant to 23 Pa.C.S.A. Section 3301(c)) 1. Plaintiff, Gail G. Frassetta, is an adult individual who currently resides at 329 North 17'h Street, A, Camp Hill, Cumberland County, Pennsylvania. 2. Defendant, Joseph Frassetta, is an adult individual who currently resides at 2911 Merion Road, Camp Hill, Cumberland County, Pennsylvania. 3. Plaintiff and Defendant have been bona fide residents of the Commonwealth of Pennsylvania for at least six (6) months immediately prior to the filing of this Complaint. 4. Plaintiff and Defendant were married on September 10, 1988 in Greenbacksville, Virginia. 5. There have been no prior actions of divorce or for annulment between the parties. 6. The marriage is irretrievably broken. 7. Plaintiff has been advised that counseling is available and that Plaintiff may have the right to request that the Court require the parties to participate in counseling. 8. Plaintiff and Defendant are not members of the Armed Forces of the United States. WHEREFORE, Plaintiff requests Your Honorable Court to enter a decree in divorce dissolving the marriage. COUNT II - EQUITABLE DISTRIBITION 9. Paragraphs 1 through 8 are incorporated herein by reference. 10. Plaintiff and Defendant have accumulated real and personal property and other assets during the course of the marriage, which are marital property and marital assets; as well as debts during the marriage which are marital debts. 11. Plaintiff is entitled to the fair and equitable distribution of Plaintiff's equitable share of said property and assets in accordance with the Divorce Code of Pennsylvania. WHEREFORE, Plaintiff respectfully requests your Honorable Court to equitably distribute the marital property and debts hereto. COUNT III - ALIMONY. ALIMONY PENDENTE LITE. COUNSEL FEES & COSTS 12. Paragraphs I through I I are incorporated herein by reference. 13. Plaintiffs income and/or earning capacity through appropriate employment is substantially and significantly less than Defendant's income and/or earning capacity and has been substantially and significantly less throughout the marriage. 14. Plaintiff has insufficient funds to support herself in accordance with the standard of living and station of life which the parties established during the marriage through appropriate employment; and Defendant's substantially higher income enables Defendant to contribute to the support and maintenance of Plaintiff and to pay alimony in accordance with the Divorce Code of Pennsylvania. 15. Plaintiff is without sufficient funds to support herself and is unable to appropriately maintain herself during the course of this litigation and the pendency of this action; and Defendant's substantially higher income enables Defendant to pay alimony pendente lite to Plaintiff in accordance with the Divorce Code of Pennsylvania. 16. Plaintiff is without sufficient funds to retain and/or continue to retain counsel to represent her in this matter; and without competent counsel, Plaintiff cannot adequately prosecute her claims against Defendant and adequately litigate her rights in this matter; and Defendant's substantially higher income enables Defendant to pay Plaintiff's attorney fees and costs of the litigation hereto. WHEREFORE, Plaintiff respectfully requests Your Honorable Court to award Plaintiff alimony, alimony pendente lite, attorney fees and costs. Respectfully subm'tted: James W. Abraham, Esq. Abraham Law Offices 2157 Market St. Camp Hill, PA 17011 (717) 763-1700 Attorney for Plaintiff. Gail G. Frassetta DATE: 4/20/06 VERIFICATION I, 6rA / (- 6 , 4;0- {- 5 S C 27?P+ , the undersigned, hereby verify and confirm that the foregoing document and the statements made therein are true and correct to the best of my knowledge, information and belief. I further understand that any false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4904 relating to unworn falsification to authorities. DATE: CERTIFICATE OF SERVICE I, James W. Abraham, Esquire, the undersigned, hereby certify that I have served a true and correct copy of the foregoing document, by certified mail, upon the following person at the following address on the date stated herein: Joseph Frassetta 2911 Merion Road Camp Hill, PA 17011 DATE: 4/20/06 James W. Abraham, Esquire _i1 i n ?s ll. 6" ? U .: ? ? ?`, y, s. ?. ? ?, v i ?, ?. n :k l` Washington Mutual Bank, FA The Court of Common Pleas of VS Cumberland County, Pennsylvania Beth A. Fetterhoff and John G. Writ No. 2005-2205 Civil Term Fetterhoff Cpl. Bryan Ward, Deputy Sheriff, who being duly sworn according to law, states that on September 15, 2005 at 6:40 o'clock PM, he served a true copy of the within Real Estate Writ, Notice of Sheriffs Sale and Description, in the above entitled action, upon the within named defendants, to wit: Beth A. Fetterhoff and John G. Fetterhoff, by making known unto Beth Fetterhoff, personally and wife of John G. Fetterhoff, at 56 Broad Street, Newville, Cumberland County, Pennsylvania, its contents and at the same time handing to her personally the said true and correct copy of the same. Kenneth Gossert, Deputy Sheriff, who being duly sworn according to law, states that on October 13, 2005 at 8:36 o'clock P.M., he posted a true copy of the within Real Estate Writ, Notice, Poster and Description, in the above entitled action, upon the property of Beth A. Fetterhoff and John G. Fetterhoff located at 56 Broad Street, Newville, Pennsylvania, according to law. R. Thomas Kline, Sheriff, who being duly sworn according to law, states he served the above Real Estate Writ, Notice, Poster and Description in the following manner: The Sheriff mailed a notice of the pendency of the action to the within named defendants, to wit: Beth A. Fetterhoff and John G. Fetterhoff, by regular mail to their last known address of 56 Broad Street, Newville, PA 17241. These letters were mailed under the date of October 06, 2005 and never returned to the Sheriffs Office. R. Thomas Kline, Sheriff, who being duly sworn according to law, states this writ is returned STAYED per instructions from Attorney Joseph Rejent. Sheriffs Costs: Docketing 30.00 Poundage 14.30 Posting Handbills 15.00 Advertising 15.00 Law Library .50 Prothonotary 1.00 Mileage 23.04 Certified Mail 8.84 Levy 15.00 Surcharge 30.00 Postpone Sale 20.00 Postage .74 Law Journal 257.00 Patriot News 277.94 Share of Bills 20.89 $729.25 Sworn and subscribed to before me This 3? day of-huA-, 2006, A.D. A othonotary So Answers R. Thomas Kline, Sheriff BY V Real Estate rgeant Ck 53J-y 4, SHAPIRO & KREISMAN, LLC BY: JOSEPH REJENT, ESQUIRE ATTORNEY I.D. NO: 59621 2520 RENAISSANCE BLVD., SUITE 150 KING OF PRUSSIA, PA 19406 TELEPHONE: (610) 278-6800 S & K FILE NO. 05-24084 Washington Mutual Bank, FA ; PLAINTIFF VS. Beth A. Fetterhoff and John G. Fetterhoff DEFENDANTS COURT OF COMMON PLEAS CUMBERLAND COUNTY NO: 05-2205-CIVIL AFFIDAVIT PURSUANT TO RULE 3129.1 Washington Mutual Bank, FA, Plaintiff in the above action, sets forth, as of the date the praecipe for the writ of execution was filed, the following information concerning the real property located at 56 Broad Street, Newville, PA 17241. Name and address of Owner(s) or Reputed Owner(s) Beth A. Fetterhoff 56 Broad Street Newville, PA 17241 John G.Fetterhoff 56 Broad Street Newville, PA 17241 2. Name and address of Defendant(s) in the judgment: Beth A. Fetterhoff 56 Broad Street Newville, PA 17241 John G. Fetterhoff 56 Broad Street Newville, PA 17241 Name and last known address of every judgment creditor whose judgment is a record lien on the real property to be sold: Washington Mutual Bank, FA 8120 Nations Way, Building 100 Jacksonville, FL 32256 4. Name and address of the last recorded holder of every mortgage of record: Washington Mutual Bank, FA, Plaintiff 8120 Nations Way, Building 100 Jacksonville, FL 32256 5. Name and address of every other person who has any record lien on the property: NONE 6. Name and address of every other person who has any record interest in the property and whose interest may be affected by the sale: Cumberland County Domestic Relations 13 North Hanover Street P.O. Box 320 Carlisle, PA 17013 Name and address of every other person of whom the plaintiff has knowledge who has any interest in the property which may be affected by the sale: TENANT OR OCCUPANT 56 Broad Street Newville, PA 17241 SHAPIRO & KREISMAN, LLC BY: JOSEPH REJENT, ESQUIRE ATTORNEY I.D. NO: 59621 2520 RENAISSANCE BLVD., SUITE 150 KING OF PRUSSIA, PA 19406 TELEPHONE: (610) 278-6800 S & K FILE NO. 05-24084 Washington Mutual Bank, FA PLAINTIFF VS. Beth A. Fetterhoff and John G. Fetterhoff DEFENDANTS COURT OF COMMON PLEAS CUMBERLAND COUNTY NO: 05-2205-CIVIL NOTICE OF SHERIFF'S SALE OF REAL PROPERTY TO: John G. Fetterhoff 56 Broad Street Newville, PA 17241 Your house (real estate) at: 56 Broad Street, Newville, PA 17241 28-21-0361-040 is scheduled to be sold at Sheriffs Sale on December 7, 2005 at: Cumberland County Sheriffs Office 1 Courthouse Square Carlisle, PA 17013 at 10:00 AM, to enforce the court judgment of $96,125.61 obtained by Washington Mutual Bank, FA against you. NOTICE OF OWNER'S RIGHTS YOU MAY BE ABLE TO PREVENT THIS SHERIFF'S SALE To prevent this Sheriffs Sale you must take immediate action: The sale will be cancelled if you pay back to Washington Mutual Bank, FA the amount of the judgment plus costs or the back payments, late charges, costs, and reasonable attorneys fees due. To find out how much you must pay, you may call: (610) 278-6800. 2. You may be able to stop the sale by filing a petition asking the Court to strike or open the judgment, if the judgment was improperly entered. You may also ask the Court to postpone the sale for good cause. 3. You may be able to stop the sale through other legal proceedings. You may need an attorney to assert your rights. The sooner you contact one, the more chance you will have of stopping the sale. (See notice on page two of how to obtain an attorney.) YOU MAY STILL BE ABLE TO SAVE YOUR PROPERTY AND YOU HAVE OTHER RIGHTS EVEN IF THE SHERIFF'S SALE DOES TAKE PLACE. 4. If the Sheriffs Sale is not stopped, your property will be sold to the highest bidder. You may find out the price bid by calling (610) 278-6800. 5. You may be able to petition the Court to set aside the sale if the bid price was grossly inadequate compared to the value of your property. 6. The sale will go through only if the buyer pays the Sheriff the full amount due in the sale. To find out if this has happened you may call 717-240-6390. If the amount due from the buyer is not paid to the Sheriff, you will remain the owner of the property as if the sale never happened. 8. You have a right to remain in the property until the full amount due is paid to the Sheriff and the Sheriff gives a deed to the buyer. At that time, the buyer may bring legal proceedings to evict you. 9. You may be entitled to a share of the money, which was paid for your house. A schedule of distribution of the money bid for your house will be filed by the Sheriff no later than January 6, 2006. This schedule will state who will be receiving the money. The money will be paid out in accordance with this schedule unless exceptions (reasons why the proposed distribution is wrong) are filed with the Sheriff within ten (10) days after the date of filing of said schedule. 10. You may also have other rights and defenses or ways of getting your house back, if you act immediately after the sale. 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 LISTED BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Lawyer Referral Service Telephone: 717-249-3166 Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 PURSUANT TO THE FAIR DEBT COLLECTION PRACTICES ACT YOU ARE ADVISED THAT THIS LAW FIRM IS DEEMED TO BE A DEBT COLLECTOR ATTEMPTING TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. 05-24084 ALL THAT CERTAIN lot of land and the improvements situated and erected thereon, situate at 56 Broad Street, Borough of Newville, Cumberland County, Pennsylvania, more particularly bounded and described as follows: ON THE South by said Broad Street; on the West by property now or formerly of Clair Sollenberger; on the North by an alley; and on the East by property now or formerly of Glenn Mohn. HAVING a frontage on said Broad Street of Sixty (60) feet and extending in depth at an even width One Hundred Eighty (180) feet to said alley on the North. BEING improved with a Two and One-Half story brick dwelling house and other improvements. BEING the same premises which Harold D. Snyder and Tenna K. Snyder, husband and wife, by Deed dated October 12, 2001 and recorded in the Cumberland County Recorder of Deeds Office on October 16, 2001 in Deed Book 248, Page 3920, granted and conveyed unto John G. Fetterhoff and Beth A. Fetterhoff, husband and wife. 4 SHAPIRO & KREISMAN, LLC BY: JOSEPH REJENT, ESQUIRE ATTORNEY I.D. NO: 59621 2520 RENAISSANCE BLVD., SUITE 150 KING OF PRUSSIA, PA 19406 TELEPHONE: (610) 278-6800 S & K FILE NO. 05-24084 Washington Mutual Bank, FA ; PLAINTIFF vs. Beth A. Fetterhoff and John G. Fetterhoff DEFENDANTS TO: Beth A. Fetterh 56 Broad Street COURT OF COMMON PLEAS CUMBERLAND COUNTY NO: 05-2205-CIVIL Newville, PA 17241 Your house (real estate) at: 56 Broad Street, Newville, PA 17241 28-21-0361-040 is scheduled to be sold at Sheriffs Sale on December 7, 2005 at: Cumberland County Sheriff s Office 1 Courthouse Square Carlisle, PA 17013 at 10:00 AM, to enforce the court judgment of $96,125.61 obtained by Washington Mutual Bank, FA against you. NOTICE OF OWNER'S RIGHTS To prevent this Sheriffs Sale you must take immediate action: 1. The sale will be cancelled if you pay back to Washington Mutual Bank, FA the amount of the judgment plus costs or the back payments, late charges, costs, and reasonable attorneys fees due. To find out how much you must pay, you may call: (610) 278-6800. 2. You may be able to stop the sale by filing a petition asking the Court to strike or open the judgment, if the judgment was improperly entered. You may also ask the Court to postpone the sale for good cause. You may be able to stop the sale through other legal proceedings. You may need an attorney to assert your rights. The sooner you contact one, the more chance you will have of stopping the sale. (See notice on page two of how to obtain an attorney.) YOU MAY STILL BE ABLE TO SAVE YOUR PROPERTY AND YOU HAVE OTHER RIGHTS EVEN IF THE SHERIFF'S SALE DOES TAKE PLACE. 4. If the Sheriffs Sale is not stopped, your property will be sold to the highest bidder. You may find out the price bid by calling (610) 278-6800. 5. You may be able to petition the Court to set aside the sale if the bid price was grossly inadequate compared to the value of your property. 6. The sale will go through only if the buyer pays the Sheriff the full amount due in the sale. To find out if this has happened you may call 717-240-6390. If the amount due from the buyer is not paid to the Sheriff, you will remain the owner of the property as if the sale never happened. 8. You have a right to remain in the property until the full amount due is paid to the Sheriff and the Sheriff gives a deed to the buyer. At that time, the buyer may bring legal proceedings to evict you. 9. You may be entitled to a share of the money, which was paid for your house. A schedule of distribution of the money bid for your house will be filed by the Sheriff no later than January 6, 2006. This schedule will state who will be receiving the money. The money will be paid out in accordance with this schedule unless exceptions (reasons why the proposed distribution is wrong) are filed with the Sheriff within ten (10) days after the date of filing of said schedule. 10. You may also have other rights and defenses or ways of getting your house back, if you act immediately after the sale. 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 LISTED BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Lawyer Referral Service Telephone: 717-249-3166 Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 PURSUANT TO THE FAIR DEBT COLLECTION PRACTICES ACT YOU ARE ADVISED THAT THIS LAW FIRM IS DEEMED TO BE A DEBT COLLECTOR ATTEMPTING TO COLLECT A DEBT. ANY INFORMATION OBTAINED WILL BE USED FOR THAT PURPOSE. 05-24084 WRIT OF EXECUTION and/or ATTACHMENT COMMONWEALTH OF PENNSYLVANIA) NO 05-2205 Civil COUNTY OF CUMBERLAND) CIVIL ACTION - LAW TO THE SHERIFF OF CUMBERLAND COUNTY: To satisfy the debt, interest and costs due WASHINGTON MUTUAL BANK, FA Plaintiff (s) From BETH A. FETTERHOFF & JOHN G. FETTERHOFF (1) You are directed to levy upon the property of the defendant (s)and to sell SEE LEGAL DESCRIPTION (2) You are also directed to attach the property of the defendant(s) not levied upon in the possession of GARNISHEE(S) as follows: and to notify the gamishee(s) that: (a) an attachment has been issued; (b) the gamishee(s) is enjoined from paying any debt to or for the account of the defendant (s) and from delivering any property of the defendant (s) or otherwise disposing thereof; (3) If property of the defendant(s) not levied upon an subject to attachment is found in the possession of anyone other than a named garnishee, you are directed to notify him/her that he/she has been added as a garnishee and is enjoined as above stated. Amount Due $96,125.61 L.L. $.50 Interest FROM 6/25/05 TO 12/7/05 - $2,568.02 Arty's Comm % Due Prothy $1.00 Arty Paid $134.88 Other Costs Plaintiff Paid Date: JUNE 22, 2005 CURTIS R. LONG Prothonot (Seal) .?lI1 C ?_- Deputy REQUESTING PARTY: Name JOSEPH REJENT, ESQUIRE Address: 2520 RENAISSANCE BLVD. STE. 150 KING OF PRUSSIA, PA 19406 Attorney for: PLAINTIFF Telephone: 610-278-6800 Supreme Court ID No. 59621 Real Estate Sale #11 On September 01, 2005 the Sheriff levied upon the defendant's interest in the real property situated in Newville Borough, Cumberland County, PA Known and numbered as 56 Broad Street, Newville, more fully described on Exhibit "A" filed with this writ and by this reference incorporated herein. Date: September 01, 2005 Byi SWA Real Este Sergeant bh :b d bZ NAr SOOZ dd',UHUi Uh id NiiU JAI83HS 3Hl 3Q 33'1330 t THE PATRIOT NEWS THE SUNDAY PATRIOT NEWS Proof of Publication Under Act No. 587, Approved May 16, 1929 Commonwealth of Pennsylvania, County of Dauphin} ss Joseph A. Dennison, being duly swom according to law, deposes and says: ............................... .. .................. Sworn to and subscribe 0o m ovember 2005 A.D. Terry L. Russell, Notary Public ity of Harripurg, Daghin Coun A? NOTABLY PUBLIC My commission expires June 6, 2006 That he is the Assistant Controller of The Patriot News Co., a corporation organized and existing under the laws of the Commonwealth of Pennsylvania, with its principal office and place of business at 812 to 818 Market Street, in the City of Harrisburg, County of Dauphin, State of Pennsylvania, owner and publisher of The Patriot- News and The Sunday Patriot-News newspapers of general circulation, printed and published at 812 to 818 Market Street, in the City, County and State aforesaid; that The Patriot-News and The Sunday Patriot-News were established March 4th, 1854, and September 18th, 1949, respectively, and all have been continuously published ever since; That the printed notice or publication which is securely attached hereto is exactly as printed and published in their regular daily and/or Sunday/ Metro editions which appeared in the 25th day(s) of October and the V and 8`h day(s) of November 2005. That neither he nor said Company is interested in the subject matter of said printed notice or advertising, and that all of the allegations of this statement as to the time, place and character of publication are true; and That he has personal knowledge of the facts aforesaid and is duly authorized and empowered to verify this statement on behalf of The Patriot-News Co. aforesaid by virtue and pursuant to a resolution unanimously passed and adopted severally by the stockholders and board of directors of the said Company and subsequently duly recorded in the office for the Recording of Deeds in and for said County of Dauphin in Miscellaneous Book "M", Volume 14, Page 317, vc A he f Q* D CUMBERLAND COUNTY SHERIFFS OFFICE CUMBERLAND COUNTY COURTHOUSE CARLISLE, PA. 17013 Wd PROOF OF PUBLICATION OF NOTICE IN CUMBERLAND LAW JOURNAL (Under Act No. 587, approved May 16, 1929), P. L.1784 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND ss. Lisa Marie Coyne, Esquire, Editor of the Cumberland Law Journal, of the County and State aforesaid, being duly sworn, according to law, deposes and says that the Cumberland Law Journal, a legal periodical published in the Borough of Carlisle in the County and State aforesaid, was established January 2, 1952, and designated by the local courts as the official legal periodical for the publication of all legal notices, and has, since January 2, 1952, been regularly issued weekly in the said County, and that the printed notice or publication attached hereto is exactly the same as was printed in the regular editions and issues of the said Cumberland Law Journal on the following dates, October 14, 21, 28, 2005 Affiant further deposes that he is authorized to verify this statement by the Cumberland Law Journal, a legal periodical of general circulation, and that he is not interested in the subject matter of the aforesaid notice or advertisement, and that all allegations in the foregoing statements as to time, place and character of publication are true. REAL ESTATE BALE NO. 11 Writ No.. 2005-2205 Civil Washington Mutual Bank, FA vs. Beth A. Fetterhoff and John G. Fetterhoff Atty.: Joseph Rejent ALL THAT CERTAIN lot of land and the improvements situated and erected thereon, situate at 56 Broad Street, Borough of Newville, Cum- berland County. Pennsylvania, more particularly bounded and described as follows: ON THE South by said Broad Street; on the West by property now or formerly of Clair Sollenberger; on the North by an alley; and on the East by property now or formerly Marie Coyne, TO AND SUBSCRIBED before me this 28 day of October, 2005 NOTARIAL SEAL LOIS E. SNYDER, Notary Public Carlisle Boro, Cumberland County My Commission Expires March 5. 2009 .A GAIL G. FRASSETTA Plaintiff V. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PA : DOCKET NO. 06 2205 CIVIL CIVIL ACTION LAW IN DIVORCE PRAECIPE TO THE PROTHONOTARY: Kindly withdraw the appearance of Debra D. Cantor, Esquire, as counsel of record for the Defendant in the above-captioned matter, and enter my appearance on behalf of Defendant Joseph Frassetta. ,, Fso re Debra D. Captor PA ID No. McNees Wallace & Nurick, LLC 100 Pine Street Harrisburg, PA 17101 (717) 232-8000 " 1-644 Pa ela L. Purdy PA ID No. 85783 308 N. Second St., Suite 200 Harrisburg, PA 17101 (717) 221-8303 (717) 221-8403 (fax) pipurdy@verizon.net Date: CERTIFICATE OF SERVICE The undersigned hereby certifies that on the day of ??'?'??? 2007, a true and correct copy of the foregoing document was served by first- class mail, postage prepaid, upon the following: Debra D. Cantor, Esquire McNees Wallace & Nurick LLC 100 Pine Street Harrisburg, PA 17101 James W. Abraham, Esquire Abraham Law Offices 45 East Main Street Hummelstown, PA 17036 P(jtj ?- - 10-"?/ 11 Pamela L. Purdy 1 j ?... ?,? ?? {?..,1 '"?J ? ? ° C `? "`.!? C .??7 ?+? 1 ABRAHAM LAW OFFICES 45 East Main Street, Hummelstown, PA 17036 (717) 566-9380 GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff. : CUMBERLAND COUNTY, PENNSYLVANIA V. :NO. 06 - -2995' JOSEPH FRASSETTA Defendant CIVIL ACTION - LAW DIVORCE PLAINTIFF'S INVENTORY Plaintiff, Gail G. Frassetta, files the following Inventory of all of the property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three (3) years as verified by Plaintiff pursuant to Plaintiffs Verification attached hereto and made part hereof. ABRAHAM LA* OFFICES James W. Abraham, Esq. 45 East Main Street Hummelstown, PA 17036 (717) 566-9380 Attorney for Plaintiff, Gail G. Frassetta DATE: 1/28/08 ASSETS OF THE PARTIES Defendant marks on the following list those items applicable to the above-captioned action and itemizes the assets on the following pages. ( x) 1. Real Property ( x) 2. Motor Vehicles ( x) 3. Stocks, bonds, securities and options ( ) 4. Certificate of Deposit ( ) 5. Checking accounts, cash ( x) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8. Trusts ( ) 9. Life Insurance policies (face, cash surrender value/ beneficiaries) ( ) IO.Annuities ( )11. Gifts ( )12. Inheritances ( )13. Patents, copyrights, inventions, royalties ( )14. Personal property outside the home ( )15. Business (owners, percentage of, positions held) ( )16. Employment termination benefits/severance pay, workers comp. ( )17. Profit sharing plans ( x) 18. Pension plans (employee contributions/date plan vests) ( x )19. Retirement Plans, IRAs ( ) 20. Disability payments ( ) 21. Litigation claims (matured/unmatured) ( ) 22. Military/V.A. Benefits ( ) 23. Education benefits ( x) 24. Debts, including loans, mortgages ( x) 25. Household furnishings and personalty (include as total category; attach itemized list if distribution of assets is disputed. ( ) 26. Other: 2 MARITAL ASSETS ITEM NO. PROPERTY DESCRIPTION 1 Marital Residence - 2911 Merion Road, Camp Hill, PA ($200,000) 2 Vehicles: 1993 Toyota Camry; 1993 Dodge Caravan 2 PPL Stock ($7,500); 2 US Savings Bonds ($1,900) 6 Fidelity Select Mutual Fund ($14,000 withdrawn by Husband post-separation 9/15/06) 6 AIM Mutual Fund ($5,400) 6 American Century Fund ($2,184) 6 Ameritrade Stocks ($668) 18 Husband's SERS Pension SERS ($84,200) 18 Husband's T.Rowe Price 401(k) ($93,000) 18 Wife's IRA ($7,680) 18 Wife's Virginia Retirement ($23,203) 25 Household furnishings ($10,000) ALL OWNERS Joint Joint Joint Joint Joint Joint Joint Joint Husband Husband Wife Wife Joint 3 ITEM NO. DESCRIPTION 24 Mortgage Marital Residence 24 2"d Mortgage Marital Residence MARITAL DEBTS CREDITOR First Horizon DEBTORS AMOUNTS Joint 81,500.00 First Horizon NON-MARITAL ASSETS Joint 1,400.00 Plaintiff is not aware of any non-marital assets for purposes of equitable distribution. NON-MARITAL DEBTS ITEM NO. DESCRIPTION CREDITOR DEBTORS AMOUNTS 24 2"d Mortgage First Horizon Husband $5,000.00 Post-separation withdrawals by Husband 9/15/06. PROPERTY TRANSFERRED Plaintiff is not aware of any other transfers or conversions by Defendant. Plaintiff reserves his rights as to any claim or defense as to property transferred or converted by Defendant. 4 VERIFICATION I, Gail G. Frassetta , the undersigned, hereby verify and confirm that I have reviewed the foregoing document and the information contained therein is true and correct to the best of my knowledge, information and belief. I further understand that any false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. DATE: H??- CERTIFICATE OF SERVICE I, James W. Abraham, Esquire, the undersigned, hereby certify that I have served a true and correct copy of the foregoing document by first class mail, upon the following person(s) at the following address(es) on the date stated below: Pamela L. Purdy, Esq. 308 North 2nd Street, Suite 200 PO BOX 11544 Harrisburg, PA 17108 DATE: 1/28/08 James W. Abraham, Esquire C?: "?? ?. c ?? ?? ? C_ --i _ : V rp I"' ??,? --- , ? ?3 ? _ _, :: t ;-:r .. 'i _ :a t? ?= C:.. ABRAHAM LAW OFFICES 45 East Main Street, Hummelstown, PA 17036 (717),566-9380 GAIL G. FRASSETTA Plaintiff V. JOSEPH FRASSETTA Defendant IN THE COURT OF COMMON PLEAS, CUMBERLAND COUNTY, PENNSYLVANIA : No. 06 - 2205 CIVIL CIVIL ACTION - LAW DIVORCE PLAINTIFF'S INCOME & EXPENSE STATEMENT Plaintiff, Gail G. Frassetta, files the following Income & Expense Statement in the above-captioned action in divorce in accordance with Pa.R.C.P. 1920.31 as verified by Plaintiff pursuant to the Verification attached hereto and made part hereof. ABRAHAM LA OFFICES James W. Abraham, Esq. 45 East Main Street Hummelstown, PA 17036 (717) 566-9380 Attorney for Plaintiff, Gail G. Frassetta DATE: 1/28/08 INCOME Employer: Williams Sonoma Gross pay per period: $14.50 Wr hour - $30,576 annual Deductions: (see attached pay stub dated 12/28/07 with year to date income & 2003, 2004 and 2005 tax returns) Federal Withholding: Social Security: Medicare: Local Wage Tax: State Income Tax: Unemployment: Retirement: Savings Bonds: Credit Union: Health Insurance: Life Insurance: Union Dues: Other (Specify): Net Monthly Income: $ 2,125.50 Other Income (Net Amounts): Month Year Interest: Dividends: Annuity: Social Security: Rents: Royalties: Expense Account: Gifts: Unemployment compensation: Worker's compensation: Other (Specify): Spousal Support: (receives $213; current calculation is minimum $263) 213 2,556 Total: $ $ TOTAL NET INCOME: $ 2,338.00 $ 25,500.00 2 I EXPENSES Residence: Rent Maintenance Homeowners insurance Utilities: Electric Gas Telephone Water/Sewer Oil Personal: Food & Clothing Other: Cell Phone Automobiles: Payments: Insurance: Repairs/Maintenance/Fuel: Medical: Doctor: Dentist/Orthodontist Hospital Medicine Special Needs (eye care, etc.) Education: Private/Parochial School College: Credit Payments: Credit cards Charge accounts Memberships Outstanding Loans: Creditor: Month 810 11 76 63 82 450 112 261 110 100 5 I Year 9,720 132 912 756 984 5,400 1,260 3,132 1,320 1,200 60 3 Month Year Miscellaneous: Household help: Child care: Pay/Cable/TV/Computer 44 Legal Fees: 350 528 4200 Charitable contributions , Vacation Entertainment Gifts Other: Additional child expenses/yr: 117 5 . 1,410 1. sports equipment $199 2. photos - school /sports $ 65 3. sports registrations $348 4. school lunches $678 5. summer pool pass $120 Total: $1,410.00 TOTAL EXPENSES: $_ 2,591.50 $_ 31,098.00 4 View Paychecks - Detail Page 1 of 1 Note to financial institutions: This electronic representation of Gail G. Frassetta's paycheck was provided from Williams DOne Sonoma Direct, Inc.'s ProBusiness Payroll WorkCenter system on 1/14/2008. F loye;° ld Social Security Status Exemptions / Allowances Number G. FRASSETTA 089094 XXX-XX-8302 Married US-4/0 PA-4/0 D334649 cods: P aygroup WSD g Earnings Regular Hourly Pay Overtime Sick Pay Vacation Pay Holiday Pay Floating Holiday Pay Holiday Worked Gift Certificate Merchandise Prizes over $50 Total Gross Taxes Federal Income Tax Social Security (FICA) Federal Medicare Pennsylvania Income Tax Pennsylvania Unemployment EE Camp Hill Boro EMST (Cumber) Camp Hill Boro Res (Cumberlan Total After-tax Deductions STD 55% Life Ins Supp (associate only) Merchandise Prizes over $50 Gift Certificate Total W2 Gross Net Pay Division Department Hire Date Period Start Period End Fay Date 1 3003 08/28/00 12110/07 12/23107 12/28/ Rate Units Current To Dat id Time Off Plan Current Accrued Balance 14.5000 80.00 1,160.00 . 4 FLOAT - 21.7500 7.60 165.30 456.39 SICK 2.46 68.51 - - - 458.36 VACATION 5.54 59.49 1,684.00 683.52 Direct Deposit Accounts 454 64 Amount - - - 391 55 Checking- 2331107254 391.55 1,095.90 - 160.80 1,325.30 30,57619 VMftmMm --- 49.45 906.89 82.17 1,895.76 19.21 443.36 40.69 938.73 1.19 27.51 - 52.00 26.51 611.57 219.22 4,875.82 8.70 220.65 1.48 38.48 - 129.99 - 100.00 10.18 489.12 1,325.30 30,576.79 1,095.90 Williams Sonoma Direct, Inc. - 3250 Van Ness Avenue San Francisco, CA 94109 https://workcenter. secure.probusiness.com/wp_prwc21 /payroll/vp_taskpage.asp?selected_t... 1 / 14/2008 VERIFICATION I, Gail G. Frassetta , the undersigned, hereby verify and confirm that I have reviewed the foregoing document and the information contained therein is true and correct to the best of my knowledge, information and belief. I further understand that any false statements made herein are subject to the penalties of 18 Pa.C.S.A. Section 4904, relating to unsworn falsification to authorities. DATE: 14-o5 Deparimant of the Treasury - Internal Revenue Service 1040 2003 1 Form U.S. Individual Income Tax Return (99) IRS use only - Do not write or staple In this space. For the year Jan 1- Dec 31, 2003, or other tax yew begirifft 2003, erx" 20 OMB No. 1545-0074 Label Your *at name ml Last name Your social securKy number (See Instructions.) Joseph Frassetta 179-46-3383 Use the If a joint return, spouse's first name MI Last name spowa's social security number IRS label. Gail G Frassetta 196-42-8302 Otherwise, please print Home address (number and sweet). If you have a P.O. box, see inswucfions. Apartment no. . Importantl A or type. 2 911 Merion Road You must enter your social cxy, town or poet office. If you have a foreign address, see instructions. State ZIP code security number(s) above. Presidential Election Cam Hill PA 17011-0000 Cam i pign pi, Note: Checking 'Yes' will not change your tax or reduce your refund. You Spouse Do you, or your spouse if fill a joint return, want $3 to to this fund? . ? Yes No [X] Yes No Filing Status 1 N Single 4 Head of household (with qualifying person). (See 2 Married flute jointly (even ff only one had income) instructions.) If the qualifying person is a child but not 3 Married separately. Enter spouse's SSN above & full nora hewer dependent, enter this child's Check only one box. name here . ? 5 Quaifft widow(er) with dependent cdlild. (See instructions.) 6a ® Yourself. if your parent (or someone else) can claim you as a dependent on his or rlo. or boxes Exemptions her tax return, do not check box 6a ........ . ..... . . .. .. . . .. . .. .? 2 b Spouse .. No. Of If more than five dependents, see instructions. c Dependents: (2) Dependent's (3) Dependent's (4) rf oil social security relationship el 1 First name Last name number to you tax credit (see insas) e Quinn M Frassetta 226-71-6609 Son FX] Ilya due Cameron H Frassetta 231-75-7315 Son X °r ( on Add dren S c who: ived with you . 2 old not wMh you b divorce on s« nsbs? . . Dependents ec not me wed above . numbers on liras .............................. . . d Total number of exemptions claimed . ? 4 7 Wages, salaries, tips, etc. Attach Form(s) W-2 .. ... ... . . .. . .. . . .. . . . . . . 7 62,064. Income 8 a Taxable interest. Attach Schedule B if required . ..... ... . .. .. . . . . .. . .. . 8 a 36. b Tax-exempt interest. Do not include on line 8a . . . . . . . 8bJ Attach Fortes 9 a Ordinary dividends. Attach Schedule B if required ... ... .. .. . . .. .. ... W, 98 17 0 . W-2 and W -2G b f wand 9 b here. Also attach tsov rn ....... .... .... ......... ... . J Form(s)1099-R If 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) .. . .. . . . . .. .. w 10 - tax was withheld. 11 Alimony received . ..... ... .. ....... . .. .. .... .. . . . . . . . .. . . 11 12 Business income or (loss). Attach Schedule C or C-EZ .... . . . . ... . ... . . 12 t 13 a Capful gun or (loss). Att Sch D if regd. ff not read, do here • - - .. .. . . • ? El If did 138 -3,000. you no b =51a =&e= get a W-2, see . . .. .. ...... . . . . . ... .. 113 b Instructions. 14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 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 ... ... . . ... ...... .. .. . . . . .. .. Al t 19 paymen so, . please use 20 a Soar secufQy benefits ... ... 120 a I I b Taxable amount (see instrs) 20b Form 1040-V. 21 Odwincome SEE STATEMENT ------------------------------------- 21 645. 22 Add the amounts it the far ri ht column for lines 7 throw h 21. This is r total Income .. ? 22 59 , 915 . 23 Educator expenses (see instructions) ......... ... . 23 Adjusted 24 IRA deduction (see instructions) ................ G 24 ross Income 25 Student loan interest deduction (see instructions) ....... 25 26 Tuition and fees deduction (see Instructions) ... ... .. .. 26 27 Moving expenses. Attach Form 3903 .... ... .. ... .. 27 28 One-half of self-employment tax. Attach Schedule SE ..... 28 29 Self-employed health insurance deduction (see instrs) . . ... 29 30 Self-employed SEP, SIMPLE, and qualified plans ... ... 30 31 Penalty on early withdrawal of savings ... .. ....... . 31 32 a Alin" paid b Redpierfs SSN ... ? 32 a 33 Add fines 23 through 32a . ... . .. .. ...... ... .. ... . . . .. ... . . . .. .. 33 34 Subtract line 33 from line 22. This is our a usted gross incom e . . . . . . . . . . . . . ? 34 59,915. SAA For Disclosyre, Privacy Act, and Paperwork Reduction Act Notice, ses instructions. FDIA0112 01116M Form 1040 (2003) Form 1040 6031 Josenh & Gail G Frassetta 179-46-3383 Paae2 Tax and 35 Amount from line 34 (adjusted gross income) .... ... ... ... .. . . . . . . .. .. 35 59,915. Credits Standard D for eduction _ People who 36 7 a Check T H You were bom before January 2, 1939, 11 Blind. Total boxes if Spouse was born before January 2,1939, Blind. checked ? 36a b If you are married filing separately and your spouse itemizes deductions, or you were a dual-status alien, see instructions and check here • • • . • • • . • ? 36b Iltembed deductions (from Schedule A) or your standard deduction (see left margin) . . . . .. .. .. . . , 37 2,730. checked any box 36 Subtract line 37 from line 35 . . . . . .. . . . . . • . • . - . • . • . • . • . • . • • • . • • 38 47,185. on line 36a or be e claimed who o can as an b a 38 if line 35 Is $104,625 or less, multiply $3,050 by the total number of exemptions claimed on line 6d. If line 35 is over $104,625, see the worksheet in the instructions • . • . . . . - • . 9 2,200. dependent, see instructions. . 40 Taxable income Subtract fine 39 from fine 38. If line 39 is more than line 38, enter -0 . ....... . ......... ... ...... . . .... 40 34,985. 41 Tax (see kustrs). Check fi any tax is from a [] Form(s) 8814 b ? Form 4972 • . ..... .. . .... 41 4,546. e Ail others' Single or Married 42 Alternative minimum tax (see instructions). Attach Form 6251 • .. .... .. . . . .. . . 42 filing separately, 43 Add lines 41 and 42 . . .. . .. ..... . . . . .... .. . . . . ... . . . . . . . ? 43 4 546 . $4,750 44 Foreign tax credit. Attach Form 1116 if required . . . . . . . . 44 Married filing 45 Credit for chid and dependent rare expenses. Attach Form 2441 .... . 45 89. u jointly or 46 Credit for the elderly or the disabled. Attach Schedule R . .. . 46 } wido era, 47 Education credits. Attach Form 8863 ...... ........ 47 $9,500 48 Retirement savings contributions credit. Attach Form 8880 • . . 48 Head of 49 Child tax credit (see instructions) ...... .. .... • - 1,200. x. t` household, $7 000 50 Adoption credit. Attach Form 8839 .... .. . .. 50 » Fx n , 51 Credits from: a F] Form 8396 b [] Fort 8859 . . . . . . . . 51 s 52 Other credits. Check applicable box(es): a F] Form 3800 b 8801 c ? Specify ' 1 52 e 53 Add lines 44 through 52. These are your total credits . ... . . . . . .. . . . . . ... . . 53 1,289. 54 Subtract line 53 from line 43. If line 53 is more than line 43, enter -0 . . .. . . . . . . . . ? 54 3,257. 55 Seff-w yment tax. Attach Schedule SE .. ..... ...... . . . .. .... .. . . . .. . . 55 Other 56 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 . . . . . . . . . . 56 Taxes 57 Tax on qualified plans, Including IRAs, and other tax-favored accounts. Attach Form 5329 9 required . . ..... 57 58 Advance earned income credit payments from Form(s) W-2 . ... • . . • . . . .. ... .. 58 59 Household employment taxes. Attach Schedule H ... .. . ... . . .. . . . . . ... . . 59 60 Add ikres 54-59. This is your total tax . . .............. . . . . .. . . . ..... ? 60 3,257. Payments 61 Federal income tax withheld from Forms W-2 and 1099 .. . 61 2,828. If you have a 62 2003 estimated tax payments and amount applied from 2002 return • .. . 62 qualifying 63 Eamed income credit (EIC) . . . . . . .. .... .. ... . 63 child, attach r Sch l EIC d 64 Excess social security and der 1 RRTA tax withheld (see instructions) . . . 64 e u e . 65 Additional child tax credit. Attach Form 8812. 65 66 Amount paid with request for extension to file (see instructions) . . . . • . 66 67 Other pmts from: a [] Form 2439 b [] Form 4136 c [-] Form 8885 67 68 Add fines 61 ftm* 67. These are your WW pefflumts . . . . . . . . . . . . . . . . . . . . . . ? 68 2,828. Refund 69 if line 68 is more than fine 60, subtract fine 60 from line 68. This is tine amount you overpaid ... . . ..... 69 Direct deposit? 70a Amount of line 69 you want refunded to you . ... . • . . .... . .. . .. . . . .. ? 708 See instructions and fill in 70b, 70c, and 70d . ? b Routing number ... . I ? c Type: Checking Savings 01 d Account number . ... . 71 Amours of line 69 you wart appfied to 2004 estimated tax ? 71 s Amount You Owe 72 73 Amount you owe. Subtract fine 68 from fine 60. For details on how to pay, see inswcdons . ... .. . . ? Estimated tax penalty see instructions • . . . . . . - • . • 73 72 429. Third Party Do you want to allow another person to discuss this return with the IRS _name (see instructions)? ... . . . ... ..... .... .. . ... ... .. . .. . . [] Yes. Complete the following. ® No Identification Designee's Phone ? no. o- nub PIN ? Designee Sign Under penalties of perjury, I declare that I have examined this return and accompanying sdvdulea and statements, and to the best of my knowledge and betid, ihey are true, coned, and complete. Declaration of preparer (other than taxpayer) is taxed on all Informatkm of which preparer has arty knowledge. Here Your signature Date Your occupation Daytime phone number Joint return? See instructions. / Forester Keep a copy Spouse's signature. If a joint return, both must sign. Date Spouse's occupation `r for your records. / Homemaker Preparees Date I I Preparers SSN or PrnN Paid signature I Check if sdf?rnployed Preparer's smrosuname Self-Prepared Use Only (y dfamployed),, EIN address, anti ZIP code Phone no. Form 1040(2003) FDIA0112 01/16/04 SCHEDULE A Itemized Deductions OMB No. 1545-0074 (Form 1040) 2003 ? y1B r?,ry Kemal Revenue service (99) `Attach to Form 1040. ? See Instructions for Schedule A (Form 1040). 07 Name(s) shown on Form 1040 Your sWal security number Joseph & Gail G Frassetta 1 179-46-3383 Medical Caution. Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see insinxtions) . .. .. .. .. . .. . . . 1 1,889. r Dental Expenses 2 Enter wwrt from Form 1040, fine 35 . . .1 2 59,915. ?. 3 Multiply line 2 by 7.5% (.075). . . . . . 3 4,494. 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- .. .. ... . . . . ... .. . . 4 0. Taxes You 5 State and local Income taxes .... ....... . . . ..... . 5 2,467. Paid 6 Real estate taxes see instructions 6 3 , 22 8 . (See 7 Personal property taxes . . . . . . . . .. . . . . . . . .. . . . 7 instructions.) 8 Other taxes. List type and amount ? -- I 8 ` f s } 9 --------- -------------------- Add lines 5 through 8 . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 5,695. Interest 10 Hon* mtg interest and points reported to you on Form 1098 . ... ... .. 10 5,625. You Paid 11 Home mortgage interest not reported to you on Form 1098. If d h ; pai to t e person from whom you bought the home, see instructions and show that person's name, identifying number, -` and address (See instructions.) ------------------------------- ------------------------------- Note. -------------------------------i _ _ __ _ ______ _ , 11 Personal i i 12 _ i __ . . _ rl0 Points t re on Form . ported you 1098 See instrs for spd is 12 nterest s not 13 Investment interest. Attach Form 4952 R required. deductible. (See instrs.) ..... . .... . . . .. .. ......... .. 13 14 Add lines 10 through 13 ..... . ... . .. .. . . ..... . ... . . . . . . . ...... 14 5,625. Gifts to 15 Gifts by cash or check. If you made any gift of $250 or more, Charity see instructions 15 953. ade a you 16 Other than by cash or check. If any gift of $250 or m gift go t benefit s a more, see instructions. You must attach Form 8283 If r i see fo over $500 . . . . . . . . . . . . . . . . . .. . . 16 457. . instructions. 17 Carryover from prior year ... . . . .. ...... ... ... 17 18 Add lines 15 through 17 .. ... .. ..... . .. . . .. . . . . . . . . . . .. . . 18 1,410. Casualty and Theft Losses 19 .................. Casualty or theft loss(es). Attach Form 4684. See instructions. 19 Job Expenses and Most 20 Unreimbursed employee expenses - job travel, union dues, Other job education, etc. Attach Form 2106 or 2106-EZ if Miscellaneous required. (See instructions.) ? Deductions -------------- - - - - --------------------------- EmQloyee Business-Expenses - - - - - - - 412. - - ------- --- --- 20 412. 21 Tax preparation fees ................ .. . ..... 21 (See 22 Other expenses - investment, safe deposit box, etc. List instructions.) type and amount ? Miscellaneous_Expenses _ _ _ _ _ _ _ _ _ _ 135! - - - - - - - - - - - --- 22 135 23 Add lines 20 through 22 .. ..... ..... .. . .. ... .. 23 547. 24 Enter amount from Forth 1040, line 35 ... 124 59, 915 . _ 25 Multiply line 24 by 2% (.02) .. . . . . .. ..... . .. . .. 25 1,198. 26 Subtract line 25 from line 23. If line 25 is more than line 23, enter -0 . . . . .... ... . . .. . 26 0. Other 27 Other - from list in the instructions. List type and amount ? Miscellaneous -- ------------- Deductions -----------.--------.------------ ------- ------ 4 27 Total 28 Is Form 1040, line 35, over $139,500 (over $69,750 if MFS)? Itemized Deductions © No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 27. Also, enter this amount on Form 1040, line 37. . 28 730. 12 F] Yes. Your deduction may be limited. See instructions for the amount to enter. , BAA For Paperwork Reduction Act Notice, we Form 1040 instructions. FDIA0301 1011&M Schedule A (Form 1040) 2003 SCHEDULE D OMB No. 1545-0074 (Form 1040) Capital Gains and Losses 2??3 Deparhrrent of ft Treasury Internal Revenue service (99) ? Attach to Form 1040. ? See Instructions for Schedule D (Form 1040). ? Use Schedule D-1 to list additional transactions for lines 1 and 8. 12 Nan*s) shown on Form 1040 Your social security number Jose h & Gail G Frassetta 1 179-46-3383 Short- Term Ca ital Gains and Losses - Assets Held One Year or Less (rao)) Description of f0 sham XYZ Cho) (b) Dete acquired (Mo, day, yr) (c) Date sold (Mo. day, yr) (d) sales price (see instuctions) (e) Cost or o0w basis (see instructions) (f) Gain or (loss) Subtrad (e (g) pam4ay 5 gain -(.Ore blose elow) 1 2 Enter your short-term totals, if any, from Schedule D-1, line 2..... . .... 2 ' 3 Total short-term sales price amounts. Add lines 1 and 2 in column (d) . .... . 3 1 1 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684 , 6781, and 8824 ..... . .. ... ... ... ... .. ..... ... . .. 5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trus from Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . 5 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your 2002 Capital Loss Carryover Worksheet ... . .. . . .. .. .. . . . ... .... . 6 7 aCombine lines 1 through 5 in column (g). If the result Is a loss, enter the result. Otherwise, enter -0-. Do not enter more than zero ........ .... .. ...... . 7 a bNet short-tern capital in or (loss). Combine lines 1 through 6 in column b Lon -Term Capital Gains and Losses - Assets Held More Th an O ne Year (a) Description of 10share(ExaXYZ Cc) m le: (b) Date acquired (Mo. day, yr) (C) Date sold (Mo, day, yr) (d) sales price (sea instructions) (e) cost or other basis (see insMictions) (f) Gain or (low) =*no (e) - (g) Post-May 5 gain (see below) ) 8 9 Enteryour long-term totals, if any, from Schedule D-1, line 9. ...... . .. 9 10 Total long-term sales price amounts. Add lines 8 and 9 in column (d) .... . .. 10 11 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 .... . ... ... ... . . 11 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . . .... . . ... . . ... ... ... ... .. . ... . 12 13 Capital gain dislnbuliom. See inslrs ........ ............ ....... . ... 13 14 Long-term capital " carryover. Enter the amount, if any, from line 13 of your 2002 Capital Loss Carryover Worksheet .. ............ ........ ... 14 -6,743. 15 Combine lines 8 through 13 in column (g). If zero or less, enter -0- . ......... .. 15 16 Net Iong45erm capital gain or (loss). Combine limes 8 through 14 in column (f) . . . . .. 16 -6,743. Next: Go to Part 111 on page 2. 'Include in column (9) all gains and losses from Column (f) from sales, exchanges, or conversions (including installmerN payments received) altar May 5, 2003. However, do not include gain attributable to urrecaphired section 1250 gain, 'collectibles gains and losses' (as defined in the instructions) or efiole gain on quellfied and business stock (see instrs). SAA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule D (Form 1040) 2003 FDIA0612 01110!04 Schedule D (Form 1040) 2003 Joseph & Gail G Frassetta Loss 179-46-3383 17 a Combine lines 7b and 16 and enter the result. If a loss, enter -0- on line 17b and go to line 18. If a gain, enter the gain on Form 1040, line 13a, and go to line 17b below ... . ......... . .. . .. . . .... . b Combine lines 7a and 15. If zero or less, enter -0-. Then complete Form 1040 through line 40 . .. . ... ... . Next: a If line 16 of Schedule D is a gain or you have qualified dividends on Form 1040, line 9b, complete Part IV below. • Otherwise, skip the rest of Schedule D and complete the rest of Form 1040. 18 If line 17a is a loss, enter here and on Form 1040, line 13a, the smaller of (a) that loss or (b) ($3,000) (or, if married filing separately, ($1,500)) (see instructions) . .. . .. . . . . . ... . .. ... . . . . . . . . . Next: • If you have qualified dividends on Form 1040, line 9b, complete Form 1040 through line 40, and then complete Part IV below (but skip lines 19 and 20). • Otherwise, skip Part IV below and complete the rest of Form 1040. Page 2 -6,743. 0. -z nnn Tax Computation Using Maximum Capital Gains Rates If line 16 or line 17a is zero or less, skip lines 19 and 20 and go to line 21. Otherwise, go to line 19. 19 Enter your unrecaptured section 1250 gain, if any, from line 18 of the worksheet in the instructions . . . . . . . . . 19 20 Enter your 28% rate gain, if any, from line 7 of the worksheet in the instructions . .. . . . . .. ... . .. .. . . 20 If lines 19 and 20 are zero, go to line 21. Otherwise, complete the worksheet In the instructions to figure the amount to enter on lines 35 and 53 below, and skip all other lines below. 21 Enter your taxable income from Form 1040, line 40 . . . .... .. ... . .. .. .. .. .. .. . . . . .. . . 21 22 Enter the smaller of line 16 or line 17a, but not less than zero ........... 22 23 Enter your qualified dividends from Forth 1040, line 9b .. ..... ....... . 23 24 Add lines 22 and 23 ............ ............ ...... .. 24 25 Amount from line 4g of Form 4952 (investment interest expense) . .. . .. .... 25 26 Subtract line 25 from line 24. If zero or less, enter -0- .... ..... ........ . .. .. . . . . . . .. 26 27 Subtract line 26 from line 21. If zero or less, enter -0- . .. ... .. . .... .. . . . . . .. . . . . . . .. . . 27 28 Enter the smaller of line 21 or: • $56,800 if married filing jointly or qualifying widow(er); e $28,400 if single or married filing separately; or 28 * $38,050 if head of household - If line 27 Is greater than line 28, skip lines 29 through 39 and go to line 40. 29 Enter the amount from line 27 ...... . ..... ....... ....... . 29 30 Subtract line 29 from line 28. If zero or less, enter -0- and go to line 40 ...... . 30 31 Add lines 17b and 23 131 ^s.=;' 32 Enter the smaller of line 30 or line 31 . .. . ... ...... .. . .. .. ... 32 33 Multiply line 32 by 5% (.05) .... ..... .... .... .. . .. . . .. . . .. . .. .. .. . . . . . . . . 33 If lines 30 and 32 are the some, skip lines 34 through 39 and go to line 40. 34 Subtract line 32 from line 30 .. .... .. .. . . ................ 34 35 Enter your qualified 5-year gain, if any, from line 8 1 of the worksheet in the instructions . . . .... .. .35 36 Enter the smaller of line 34 or line 35 • .. .. . ........... 36 Vt 37 Multiply line 36 by 8% (.08) .... ..... ...... ..... . .......... .. .. .. . .. . . . .. 37 38 Subtract line 36 from line 34 .... .. .... ... . ............. 38 1 I'M' 39 Multiply line 38 by 10% (.10) .. . . ... . ... ............ ... . . . . . ... . . .. . .. . . 39 If lines 26 and 30 are the same, skip lines 40 through 49 and go to line 50. 40 Enter the smaller of line 21 or line 26 .. .. .......... . .. .. ... . . 40 41 Enter the amount from line 30 (if line 30 is blank, enter -0-) . ..... .. . . ... 41 42 Subtract tine 41 from line 40 . . . . . . . . .. . .. ..... .. ........ 42 v 43 Add lines 17b and 23' 43 44 Enter the amount from line 32 (if line 32 is Wank, ender 4) 44 ,w k;. 45 Subtract line 44 from line 43 45 46 Enter the smaller of line 42 or One 45 . . . .. . . .. . .. .... .. .. . . .. 46 47 Multiply line 46 by 15% (A 5) ....... . ... .. ........... . .. . . . . ... . . . . . . .... 47 48 Subtract line 46 from line 42 . . . . . . . . . . . . . . . . . . . . . . . . . . . . L 48 I '' s 49 Multiply line 48 by 20% (.20) .. .. .. . .. . . . . . ..... ..... .. ... ... .... . . . . .. . . 49 50 Figure the tax on the amount on line 27. Use the Tax Table or Tax Rate Schedules, whichever applies ... . ... 50 51 Add lines 33, 37, 39, 47, 49, and 50 . .. . . . . . . . . . .. . . . . .. . . . . . . . . . . . . . . . . . . . . 51 52 Figure the tax on the amount on line 21. Use the Tax Table or Tax Rate Schedules, whichever applies . .. .. .. 52 53 Tax on all taxable Income. Enter the smaller of line 51 or line 52 here and on Form 1040, line 41 .. . . .. . . 53 'If lines 23 and 25 are more than zero, see instructions for the amount to enter. Schedule D (Form 1040) 2003 FDIA0612 01116104 Child and Dependent Care Expenses OMB No. 1545-OM I Form2 1 I 1,, Attach to Form 1040. 2003 Deparbnent of the . Ilnbwml Service Tressury (99) ? See separate instructions. 21 Name(s) shown on Form 1040 Your social secu ity number Joseph & Gail G Frassetta 1179-46-3383 Before you begin: You need to understand the following terms. See Definitions in the instructions. e Dependent Care Benefits a Qualifying Person(s) • Qualified Expenses • Earned Income Persons or Organizations Who Provided the Care - You must complete this part. (if you need more space, use the bottom of page 2.) 1 (a) Care provider's name (b) Address (no., street, apt no., city, state, and ZIP code) (c) Identifying no. (SSN or EIN) (d) Amount paid (see instructions) Churches Affiliated Child Care Center, Inc. 41_7_S_. _22nd-St. -Camp-Hill, PA_ 17011 417 South 22nd St., Ca Hill, PA 17011 251-56-9477 446.00 Did you receive No Complete only Part II below. dependent care benefits? Yes Complete Part III on page 2 next. Caution. If the cane was provided in your home, you may owe employment taxes. See the instructions for Form 1040, line 59. ® Credit for Child and Dependent Care Expenses 2 Information about our qualifying persons . If you have more than two qualifying s, see the instructions. (a) Qualifying person's name (b) Qualifying person's social (c) Qualified security number expenses you incurred and paid in 2003 for the person First Last listed in column (a) Quinn Frassetta 226-71-6609 223. Cameron Frassetta 231-75-7315 223. 3 Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part 111, enter the amount from line 26 . . . . . . . . . . . . . . . . . . 3 446. 4 Enter your earned Income ........ .... .. .. ............ .. . . . ... .. . . . ... 4 42,522. 5 If married Ming ntly, enter your spouse's earned income (if your spouse was a student or was disabl see the instructions); all others, enter the amount from line 4 . . ... ...... . . . . . . 5 19,542. 6 Enter the smallest of line 3, 4, or 5 . ......... .. ............ . . .. . ... . . .. . .. 6 446. 7 Enter the amount from Form 1040, line 35 . . . . . . . . . . . . . . . . . . . . . 1 7 8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 If line 71s: If line 71s: But not Decimal Over over amount is Over $0-15,000 .35 $29,000- 31,000 .27 15,000 - 17,000 .34 31,000 - 33,000 .26 17,000 -19,000 .33 33,000 - 35,000 .25 19,000 - 21,000 .32 35,000 - 37,000 .24 21,000 - 23,000 .31 37,000 - 39,000 .23 23,000 - 25,000 .30 39,000 - 41,000 .22 25,000 - 27,000 .29 41,000 - 43,000 .21 27,000 - 29,000 .28 43,000 - No limit .20 9 Multiply line 6 by the decimal amount on line 8. If you paid 2002 expenses in 2003, see the instructions ... .. .. 9 890 10 Enter the amount from Form 1040, line 43, minus any amount on Form 1040, line 44 . . . . . . . . . . . . . . . 1o 4,546. 11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Form 1040, line 45 . ......... . . . .... ...... ... ... .. .. ... . . . .. . . 11 89. BAA For Paperwork Reduction Act Notice, see separate Instructions. Form 2441 (2003) FDIA3212 10/30/03 But not over 59,915. Decimal amount Is Form4562 I oMBNo.lsasolrz Depreciation and Amortization (including Information on Listed Property) 2003 Depatbrient of the Treeaury ? See separate instructions. Inlernel Revenue Service ? Attach to our tax return. 67 Narne(s) shown on return klen hnp number Joseph & Gail G Frassetta 179-46-3383 Business or activity to which this form relates Sch A Misc Deductions Erection To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part 1. 1 Maximum amount. See Instructions for a higher limit for certain businesses . . .. . . . . ... . . . . . . .. 1 $100 , 000. 2 Total cost of section 179 property placed In service (see instructions) ...... . . . . . .. . . . . ... .. . . 2 3 Threshold cost of section 179 property before reduction in limitation .... ... .. . . ...... . . ... . 3 $400,000. 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- . .. ... . .. .. . . .. . . . .. 4 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . 5 6 a Description of property b cost (business use only) c Eiacw cost y 7 Listed property. Enter the amount from line 29 ... . ..... ... . ....... .. 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . .. .. . . .. . .. . 8 1 9 Tentative deduction. Enter the smaller of One 5 or line 8 ....... ..... .. .. . .. . .. . . .. .. 9 10 Carryover of disallowed deduction from line 13 of your 2002 Form 4562 . . . . . . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs) . .. . . 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 . . .... . . . . . . . . . 12 13 Ca ver of disallowed deduction to 2004. Add lines 9 and 10, less line 12 ....... ? 13 .. h Note: Do not use Part H or Part 11l below for listed property. Instead, use Part V. S cial Depreciation Allowance and Other Depreciation Do not include listed 14 Special depredation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions 14 15 Property subject to section 168(f)(1) election (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (including ACRS see instructions) . 16 ............................. . ?Ml MACRS DeDreciation (Do not include listed DroDertv.) (See instructions) Rartinn e i7 MAUKS aeaurxions for assets plated in service in tax years beginning before 2003. . . . . . . . . 17 18 If you are electing under section 168(i)(4) to group any assets placed in service during the tax year into one or more general asset accounts. check here . . . . . . . . . . . . . . . . . . . . . . . . . ? (?'. .a <u,. (a) classification of property (b) Month and year placed in service (c) Basis for depreciation (businessrnnveslrnent use only - see instructions) (d) Recovery period (e) convention M method (g) Depredation deduction 19a 3-year property . b 5-year ro c 7-year property d I 0-year property e 15-year property f 20-year property .... . 25 ear property .... 25 rs S/L h Residential rental 27.5 s MM S/ L property ...... ... 27.5 rs MM S/L I Nonresidential real 39 rs MM S/L property ... ...... MM S / L Section C - Assets Placed In Service Durina 2003 TaY Year Usinn the ANamnHwo Mnror_istinn Cvatam 20 a Class life . .. . . . . . . S / L b 12-year . . 12 rs S/L c40- ear.. . .. . . . . . 40 rs MM S/L 21 Listed property. Enter amount from line 28 . .. .......... .... ... . . . . .. . . . . .... 21 90. 22 Total. Add amounts from line 12, Imes 14 tirough 17, Wines 19 and 20 in cokrtnn (g), and line 21. Enwr here and on tine appropriate lines of your retum. Paitlw o and S corporations - see kwucikim ..... ......... . .. . .. . .. . . . . ... 22 90. 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs .... ........... 23 BAA For Paperwork Reduction Act Notice, see instructions. FDIZ0812 10/28/03 Form 4562 (2003) Section B - Assets Placed In Service During 2003 Tax Year Using the General Denreclatian Svstam Form 4562 2003 Joseph & Gail G Frassetta 179-46-3383 Pa 2 Listed PfOperty (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depreciation and Other Information (Caution: See instructions for limits for passenger automobiles.) 24 a Do you have evidence to mmnrt tine httsinesslimreshnent uce el*rwd? . . .? Yes - n Nn 2dh H Yac ' is Mw auiAnrre WrAtan9_ You Nn (a) (b) (c) (d) (e) (17 (9) (h) (1) Type of property (list Date placed inve Business/ t Cost or Basis for depredation Recovery Method/ Depreciation Elected vehicles first) in service other basis (business/investinent period Convention deduction section 179 use Percentage use only) cost 25 Special depredation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use see instructions 25 Compag Presario stem 04/01/02 25.00 1,800. 450. 5.00 SL/HY 90. ?k M, 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . .. . . .. . . . . . 28 90. Z9 Add amounts in column (i), line 26. Enter here and on line 7, page 1 . . 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner,' or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles. (a) (b) (c) (d) (e) (f) 30 Total business/investment miles driven during the the year (do (do not include commuting Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 miles - see instructions) . .... . . . . . . 31 Total cm m" miles driven during the year .... . 32 Total other personal (noncommuting) miles driven .......... . . . . . . . 33 Total miles driven during the year. Add lines 30 through 32 ..... ...... . . . Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use during oft-duty hours? ... .... ... . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . .. .. . 36 Is another vehicle available for personal use? . Section C - Questions f or EmD IOVers Who Provide Ve hicles for Use by Their EMDIoVeeB Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, Yes No by your employees? .... .. .. . . . .. . ... ........... ... .... .... . . .. ... . . . .... . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See instructions for vehicles used by corporate officers, directors, or I% or more owners . . . .. . . .. ... .. . 38 Do you treat all use of vehicles by employees as personal use? . ..... ... .... .. .. ... . .. . .... . .. .. . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . .. .. ... .... . . . . . . . . . . . . . . . . . . . . .. . ... . 41 Do you meet the requirements concerning qualified automobile demonstration use? (see instructions) . .. ... . . .. .... . Note: ff your answer to 37, 38, 39, 40, or 41 is Yes,' do not complete Section B for the covered vehicles. Amortization (a) (b) (c) (d) (e) (f) Description of costs Date amortization Amortizable code Amortization nn,onization begins amount section period or for this year percentage A7 Amnrfi7atinn of Amortization of costs that began before your 2003 tax year. . . . . . . . . . . . . . 27 Property used 50% or Term in a nualified husinec¢ IMP (cRa inctnirtinn-0- FDIZ0812 10/28/03 Form 4562 (2003) Form 1040 Other Income Statement 2003 Line 21 Statement Name(s) Shown on Return Social Security Number Joseph & Gail G Frassetta 1179-46-3383 (a) Taxpayer (b) Spouse 1 Child's investment income, from Form 8814............. 2 Gambling winnings: a From Form W-2G ....................... . . . . b Not reported on Form W-2G ..................... 3 Taxable income from Form 1099-MISC: a Substitute payments in lieu of interest or dividends ......... b Other income, prizes, awards, etc ................... 600. c Alaska Permanent Fund ........................ 4 Taxable qualified tuition program distributions from Form 1099-0 .............................. 5 Taxable Grants from Form 1099-G .................. 6 Taxable Coverdell ESA distributions from Form 1099-Q .... . 7 Foreign earned income and housing exclusion, from Form 2555 . 8 Net operating loss carryover from a prior year ........... 9 Other income, from Schedule(s) K-1 ................. 10 Taxable distribution from Archer Medical Savings Accounts, and Long-Term Care Insurance Contracts, from Form 8853... . 11 Refunds or reimbursements of deductions claimed in a prior year: a Reimbursement for deducted medical expenses ......... . b Refunds of deducted taxes (other than state or local Inc. taxes) (enter type of fax) ........ . c Recapture of deducted moving expenses ............. . d Reimbursement for deducted casualty or theft loss ........ . e Reimbursement for deducted employee business expenses... . f Other refunds or reimbursements ................. . 12 Recoveries of bad debts deducted in a prior year......... . 13 Jury duty pay .............................. 45. 14 Bartering income not reported elsewhere ............. . 15 Income from the rental of personal property ............ . 16 Other taxable income: 17 Total. Add lines 1 through 16. Enter here and on Form 1040, line 21 .............................. 645. Form Label (See instructlons.) Dapertrnent of Bra Treasury - Internal Revenue Service U.S. Individual Income Tax Retum 2004 For the M Jan 1- Dec 31, 2004, or oilier tali year beginriirg 2004, endin Your first name MI Last name If a joint return, spouse's first name Use the IRS label. Gail Otherwise, Home address (number and street). If you have a please print or type. 2911 Merion Road city, town or post office. If you have a foreign add Frassetta MI Last name G Frassetta box, see instructions. see IRS Use Only - Do riot write or staple in this spr ,20 OMB No. 1545.0074 Your social security number 179-46-3383 Spouse's social security number 196-42-8302 Apartment no. A Important! You must enter your social state ZIP code security number(s) above. Presidential Election [Camp Hill PA 17011-0000 Campaign s Checking 'Yes' will not change your tax or reduce your refund. You Spouse ( ee Instructions.) Do you, or your spouse if filing a joint return, want $3 to o to this fun . d? ? Yes No X Yes No 1 Filing Status 1 Single 4 Head of household (with qualifying person). (See N 2 Married fibrlg jointly (evert 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 t9ng separately. Enter spouse's SSN above & lull name here ? one box. name here. ? 5 n Qtralif?'ng widow(er) with dependent child (see instructions) Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a.. . . . .. . ? on 6aa a 6b ited - 2 b Spouse . _ No. of children c Dependents: (2) Dependent's (3) Dependent's (4) IF on "'t1O0 " social security relationship 2 ith r s number to you you td W chid 1 First name Last name tax credit • did not (sea mss) Ilia dn t Quinn M Frassetta 226-71-6609 Son I FKJ duesatpoadriavto?orens (saarnatrs) . ' Cameron H Frassetta 231-75-7315 Son X If more than on 6c ndarrts four dependents, irdeed above . see instructions. Add numbers d Total number of exemptions claimed . , cap ve .. ? 4 7 Wages, salaries, tips, etc. Attach Form(s) W-2 .. .. ... .. ... .. .. 7 62,025. Income 8 a Taxable interest. Attach Schedule B if required . ........ . .. .. .. . .. . . ... 88 22. Attach Forni(s) 9 b Tax-exempt interest Do not include on line 8a ........ 8 ti a Ordinary dividends. Attach Schedule B if required .. • ... . ... . • 9a 224. W-2 hers. Also amdr Forms w-211 and 109M 10 b Wmk: 9 b 217. Taxable refunds, credits, or offsets of state and local income taxes (see instructions) . .. . .. . . . . . . . 10 10. if in was slNhhold. 11 Alimony received .. .. ... . . ..... . . ... ... . . . . . . ... . . .. . .. . . 11 ff ou did not 12 Business income or (loss). Attach Schedule C or C-EZ . ..... . . . . . . . . . . . . . . 12 -2,120. y get a W-2, 13 Capital gain or (loss). Alt Sch D if reqd. If not reqd, ck here . . . . .. . .. . .. ... P. 1 13 -3,000.- see Instructions. 14 Other gains or (losses). Attach Form 4797 . . . .. .... ... ... .. ... . . . .. .. 14 1S o IRA distributions .. .... . 158 b Taxable amount (see instrs) .. 15b 16a Pensions and annuities .. . 168 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,Y :18 0 19 Unemployment compensation . 1 • ' use 20 a Sootial seam'ty benefits • ... . { 20 a { { b Taxable amount (see instrs) 20b orm 1040•V. 21 Other income ------------------------------------- 21 22 Add the amounts in the far right column for lines 7 through 21. This is your total Income. ? 57,161. 23 Educator expenses (see instructions) ...... ..... .. 23 Adjusted Gross 24 Certain business expenses of reservists, pertormeIg artists, and fee-basis government ~s. Attach Form 2106 or 2106-Et ........... 24 Income 25 IRA deduction (see, instructions) ...... . . . . .... .. 25 2,000. 26 Student loan interest deduction (see instructions) .. ..... 26 27 Tuition and fees deduction (see instructions) ...... .... 27 28 Health savings account deduction. Attach Form 8889 . ... . 28 29 Moving expenses. Attach Form 3903 . . . . . . . . . . . . . . 29 30 One-half of self-employment tax. Attach Schedule SE . .. .. 30 I 31 Self-employed health insurance deduction (see instrs) . 31 7 'd ?• 32 Self-employed SEP, SIMPLE, and qualified plans ... . . . . 32 33 Penalty on early withdrawal of savings ... . . ..... . . 33 s "1 34 a Alimony paid b Reapienrs SSN . . . ? 34a 35 Add lanes 23 tixotfgh 34a . ..... ...... . .. ....... .. .. . . . ... 35 2,000. 36 Subtract line 35 from line 22. This is our adjusted gross Incom e .. . ... . . .. ... ? 36 55,161. BAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see Instructions. FDIA0112 11l10M4 Form 1040 (2004) Form 1040 2004 Joseph & Gail G Frassetta 179-46-3383 Tax and 37 Amount from line 36 (adjusted gross income) . .... . .. ... . ... . . . ....... 37 75 Credits 311 a Check [- 8 You were bom before January 2, 1940, e Blind. Total boxes ff. Standard Deduction for - • People who checked any box on line 38a or 38b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $4,850 Married filing jointly or Quailfyin widower? $9,700 Head of household, $7,150 b LJ 8801 c ? ?dy 54 <' 55 Add lines 46 through 54. These are your total credits . . .. . .. . . .. . . . . . . .. .. 55 56 Subtract line 55 from line 45. If line 55 is more than line 45, enter -0 • .. . • . .. . ... o- 56 9 Spouse was born before January 2, 1940, Blind. checked ? 38a b If your spouse itemizes on a separate return, or you were a dual-status alien, see instructions and check here . • ........ . ... . . . ... . . ? 38 b Realized deductions (from Schedule A) or your standard deduction (see left margin) ... .. . . . . . . . ,., 39 10 Subtract line 39 from line 37 • . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . 40 91 If line 37 is $107,025 or less, multiply $3,100 by the total number of exemptions claimed on line 6d. If line 37 is over $107,025, see the worksheet in the instructions . . . ..... . . 41 92 Taxable kwome. Subtract fine 41 from line 40. If fine 41 is more than ire 40, enter -0 .. ........... . ... .. .. .. .. .... .... 42 t3 Tax (see instil). Check •rf any tax is from: a F] Form(s) 8814 b [] Form 4972 .. . . .. . ..... .. 43 94 Alternative minimum tax (see instructions). Attach Form 6251 . . .. .. . . . .. .. . .. 44 15 Add lines 43 and 44 . .. . . ...... . . . . .. ... . .. . . . ... . . . . . .. ? 45 16 Foreign tax credit. Attach Form 1116 if required . . .. .. .. 46 17 18 Credit for duld and dependent care expenses. Attach Form 2441 . .... Credit for the elderly or the disabled. Attach Schedule R . . . 47 48 37. 19 Education edits, Attach Form 8863 • . • . • . • . .. ... . 49 50 Retirement savings contributions credit. Attach Form 8880 .. . 50 51 Child tax credit (see instructions) • • • . • . . . . . . • . • . . 51 2,000. M Adoption credit. Attach Form 8839 . .... . . . . . ... . . 52 ' i3 Credits from: a ? Form 8396 b [] Form 8859 . .. . .. . .. 53 A Other Fits. Check applicable box(es): a []Form 3800 2 13,206. 41,955. 12,400. 29,555. 3,695. 3,695. 2,037. 1,658. 57 Self tax. Attach Schedule SE ...... . .. .. ... . . . . . .. .. . ..... . . 57 Other 58 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 . . . . . . .. . . 58 Taxes 59 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required • . . . . • • .. .. 59 60 Advance earned income credit payments from Form(s) W-2 . .. .. .. • . .. . . .... . 60 61 Household employment taxes. Attach Schedule H ..... ... ... .. ... . . .... . 61 62 Add lines 56-61. This is your total tax .. .... ... .. ... ... . .. .. ... . . . .. ? 62 1,658. Payments 63 Federal income tax withheld from Fortes W-2 and 1099 . . . • 63 2,745. Y If you have a 64 2004 estimated ax payments and amount applied from 2003 return .. .. 64 qualifying 65a Earned Income credit (EIC) .... .... .. . .. . .. .. 65a ti I child, attach b Nontaxable combat election . .. ? 65 b rte' Schedule EIC. pay ' i 66 Excess social security and tier 1 RRTA tax withheld (see instructions) 66 67 Additional child tax credit. Attach Form 8812 ... ...... . 67 a 68 Amount paid with request for extension to (fie (see instructions) . • . . . . 68 69 Other pmts from: a F] Farm 2439 b F] Form 4136 c n Form 8885 69 f j 70 Add lines 63, 64, 65a, and 66 through 69. ................................ These are your total payments . ? 70 Refund 71 If line 70 is more than fine 62, subtract line 62 from fine 70. This is the amount you overpaid . • . . . . . . . . 71 Direct deposit? 72 a Amount of line 71 you want refunded to ou • . .. .... .. . .. . . .. . ... . . ? 72a See instructions ? b Routing number . . ... 231372691 ? c Type: X Checldng savings and fill in 72 72c, and 72d. . 1, d Account number .. . .. i 73 Amount of line 71 you want applied to your 2005 esti rratad tax . ? 73 Amount 74 Nrrorart you owe. Subtract line 70 from lire 62. For dt?tais on how to pay, see instructions ........ ? 74 YOU Owe 75 Estimated tax na see instructions 75 2,745. 1,087. 1,087. Third Party = ZL 11- Do you "rant to allow another person to discuss this return with ' 1-1111 --7 the IRS (see Instructions)? .. . . . Yes. Complete the following. No Designee Designee s name ? Phone no. ? Personnel Identification number (PIN) Sign Under parrelties of perjury, I declare that I have examined this return and eccatpenykrg schedules and statements, and to the best of my knowledge and b li f th tr t l D h Here e e , ey are ue, comac and comp ete. eclaration of preparer (o ther t an taxpayer) Is based on all Information of w hich preparer has arty knowledge. Joint return? Your signature Date Your occu occupation Daytime phone number See instructions. / Forester Keep a Copy Spouse's signature. If a joint return, both must sign. Date Spouse's occupation yy' for your records. ? Hompmakar °a ' ::- s.. Pre parers , Paid signature Preparer's Firm's name ( °t Use Only aef . ed) ? 1 Data Self-Prepared , address. and ZIP code FDIA0112 11/10/04 Phone no. Preparer's SSN or PTIN Form 1040(2004) SCHEDULE A Itemized Deductions OMB No. 1545-W74 (Form 1°4°) 2004 Department of the Treasury ' Attach to Form 1040. Internal Revenue Service (99) ? See Instructions for Schedule A (Form 1040). 07 Name(s) shown on Form 1040 Your social security number Joseph & Gail G Frassetta 1 179-46-3383 Medical Caution. Do not include expenses reimbursed or paid by others. and 1 Me*A and deml expenses (see instructions) .. ... ... . . ... .. Dental 1 Expenses 2 Enter amount from Form 1040, One 37 . . . 2 3 Multiply line 2 by 7.5% (.075)... . ... .. . . . . . .. 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . ............... . 4 5 State and local (check only one box): a Income taxes, or .. 8 5 3,019. Taxes You b General sales taxes (see instructions) Paid 6 Real estate taxes (see instructions) . . ...... . . . . .. .. 6 671, (See 7 Personal property taxes . . . . . . . . .. . . . . . . . . . . 7 instructions.) 8 Other taxes. List type and amount ? 9 Add lines 5 thrtw h 8 7 7 7 .. ........... . .. . .. . .. .. . .. ...... 9 3,690. interest 10 Home mtg interest and palms reported to you on Form 1098 ........ . 10 7 , 5 7 6 . You Paid 11 Home mortgage Interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying number, ` and address ? ? (See instructions.) ------------------------------ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -------------------------------I Note. 11 ------------------------------ Personal 12 Points not reported to you on Form 1098. See inntrs for spd rifles ... .. .. 12 interest is not 13 Investment interest. Attach Form 4952 if required. deductible. (See instrs) . ..... . . ... . .. .. ......... . . . . 13 14 Add lines 10 through 13 . ... ... . ..... . . ... .. . . . . . . .. .. . . ... 14 7,576. Gifts to 15 Gifts by cash or chuck. If you made any gift of $250 or more, Charity see instructions . ..... ..... ...... . ... ..... 15 1,525. If you made 16 Other than by cash or check. If any gift of $250 or a gift and more, see instructions. You must attach Form 8283 if v got a benefit over $500 .... .. . ....... .. ..... ....... for it see 16 415. , instructions. 17 Carryover from prior year .. . ......... . ...... . . 17 18 Add lines 15 through 17 . ... . . .... ..... ... ... .. . . ... . . . .. 1s 1,940. Casualty and Theft Losses 19 Casualty or theft loss es . Attach Form 4684. See instructions.) .. ..... . .... . . .. .. 19 Job Expenses 20 Unreimbursed employee expenses - job travel, union dues, and Most job education, etc. Attach Form 2106 or 2106-EZ if Other Miscellaneous required. (See instructions.) ? Deductions -- - Y. f'I - --- ----------------- - Employee Business Expenses 50.-1 20 50 I u .' -------- 21 Tax preparation fees ........ ...... . .. . .... .. 21 F (See 22 Other expenses - investment, safe deposit box, etc. List I " instructions.) type and amount ? _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Miscellaneous Expenses 90 23 Add lines 20 through 22 ... . .. .. . ...... . ' 22 23 90 . 14 0 , mss; I I 7 amoun from 24 Enter 040 , 37 One Form 55 , 16 1 24 pl ? 0 . . . 2) . . .. . b 3 25 ? 1,103. 26 Subtract line 25 from line 23. If line 25 Is more than line 23, enter -0- . .. . . . . . . ... .. . . 26 0. Other 27 Other - from list in the instructions. List type and amount ? --------------- _ Miscellaneous Deductions ------------------------------------------- 27 Total 28 Is Form 1040, line 37, over $142,700 (over $71,350 if MFS)? Ibsmlmd Deductions © No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 27. Also, enter this amount on Form 1040, line 39. ? 28 13 206 E] Yes. Your deduction may be limited. See instructions for the amount to enter. - M , . M BAA For Paperwork Reduction Act Notice, see Form 1040 Instructions. FDIA0301 11102/04 Schedule A (Form 1040) 2004 SCHEDULt C Profit or Loss From Business (Form 1040) (Sole Proprietorship) Departrnent of the Treasury ? Partnerships, joint ventures, etc, must file Form 1065 or 1065-B. Internal Revenue Service ? Attach to Form 1040 or 1041. ? See Instructions for Schedule C (Form 1040). OMB No. 1545.0074 2004 09 Name of proprietor - - Social security number (SSN) Gail G Frassetta 196-42-8302 A Principal business or profession, including product or service (see instructions) B Enter code from instnictions consulting ? 624100 C Business name. If no separate business name, leave blank D Employer 1D number (SN), if any E Business address (including sum or room no.) ? 2 911 Merion Road City, town or post ofilce,state, andZIPcode ------------------------------------------- - - - - - - Ca Hill, PA 17011-0000 F Accounting method: (1) ?jj Cash (2) Accrual (3) Other (specify) ? _ _ _ G Did you 'materially participate' in the operation of this business during 2004? If'No,' see instructions for limit c n Fosses X?Yes No N ff started or acquired this business during 2004, check here . ? .................................. Income 1 Gross receipts or sales. Caution. If this income was reported to you on Form W-2 and the 'Statutory employee' box on that form was checked, see the instructions and check here . . . .. . . . ? 1 600. 2 Returns and allowances .... .. . . . .. . . . . .. . .... .. .. . ... .. . . . . . . . . . . ... 2 3 Subtract line 2 from tine 1 ............ . . . .. ..... . ... ... . . . . . .. . . . . .... . . 3 600. 4 Cost of goods sold (from line 42 on page 2) . ... ..... ............. . .. .. . . . . . . . . . . 4 5 Gross profit. Subtract line 4 from line 3 .. .. . .. . . ....... .. . . . . .. . .. . . . . . . . ... 5 600. 6 Other income, including Federal and state gasoline or fuel tax credit or refund .. . . . . .. . . . . . .. .. . 6 7 Gross Income. Add lines 5 and 6 ? ....................................... 7 600. Expenses. Enter a uses for business use of your home only on line 30. 8 Advertising ... .. .... . 8 19 Pension and profit-sharing plans . . .. .. 19 9 Car and truck a see (see instructions 9 2,625. 20 Rent or lease (see instructions): a Vehicles, machinery, and equipment • • . . 20a 10 Commissions and fees ... .. 10 b Other business property . . .. ... ... 20b 11 Contract labor 21 Repairs and maintenance . ... . .. . . 21 (see instructions) . .. .. ... 11 22 Supplies (not included in Part III) . . . . . . 22 75. 12 Depletion ......... ... 12 23 Taxes and licenses . .. .. . . .. . . .. 23 13 Depreciation and section 179 expense deduction not included in Part 111) 24 Travel, meals, and entertainment: a Travel • • • • • • . . . . . . • • • • • 24a ((see instructions) . .. ... .. 13 b M l d 14 Employee benefit programs ea s an entertainment. . . (other than on line 19) .. ... 14 c Enter nondeduc- 15 Insurance (other than health) 15 tibie amount In- cl d li d 16 Interest u e on ne 24b (see instrs) • . a Mortgage (paid to Mks, etc) . . . . 16 a d Subtract line 24c from line 24b . . . . . . . 24d b Other . .. .... . ...... 16b 25 Utilities .. .. ... . . . . . . . . . .. . 25 17 Legal & professional services.. 17 26 Wages (less employment credits). . .. . . 26 18 Office expense ....... .. 18 20. 27 Other (from line 48 an paqe 2) . ..... 27 28 Total expenses before expenses f or business use of home. Add lines 8 through 27 in columns. . . ... . .. ? 28 2,720. 29 Tentative profit (loss). Subtract line 28 from line 7 .......... ... ... ... .. . .. . . . . . . .. . . 29 -2,120. 30 Expenses for business use of your home. Attach Form 8829 .... .. ... . .. .. ... . ... .. . .... 30 0. 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on Form 1040, tine 12, and also on Schedule SE, qne 2 (statutory employees, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 - 2 , 12 0 . • If a loss, you must go to line 32. _ 32 If you have a foss, check the box that describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on Form 1040, line 12, and also on Schedule SE, line 2 All investment is (statutory employees, see instructions). Estates and trusts, enter on Form 1041, fine 3. 32a at risk. • If you checked 32b, you must attach Form 6198. - 32b n Some i es ment is not at risk. SAA For Paperwork Reduction Act Notice, a" Form 1040 instructions. Schedule C (Form 1040) 2004 FDIZ0112 05106/04 Schedule C(torm1040)2004 Gail G Frassetta . 196-42-8302 Paoe2 33 Method(s) used to value dosing inventory: a U Cost b U Lower of cost or market c n Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and dosing inventory? ? ? If 'Yes,' attach explanation .. . ... . .. .... ...... ... .. . .. .... .. ..... . .. .... . . .. Yes No 35 Inventory at be.9inning of year. If different from last year's dosing inventory, attach explanation . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .. . . . . . . . . . . . . . . . . . . 35 36 Purchases less cost of items withdrawn for personal use .... . . . . . . .. ... . . . .. .. . . . . . . . . 36 37 Cost of labor. Do not include any amounts paid to yourself . .. . . . . . .. . . . . .. . . . . . . . .. . . . . 37 38 Materials and supplies ... . . . .. . . ... . . . . ....... ... ... . .. .. .. .. . . .. .... 36 39 Other costs ..... .. ......... . ... ....... ......... . . . . . . .. . . ...... 39 40 Add lines 35 through 39 .. .. . . .. .. .... . . .... . .. .. ... ... . .. ... . . . . . . . .. 40 41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on page 1, line 4 . . . . . . . . . . . 42 information on Your Vehicle. Complete this part only if you are claiming car or truck expenses online 9 and are not required to file Form 4562 for this business. See the Instructions for line 13 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (month, day, year) ? 0 9 / 2 0 / 2 0 0 3 _ - _ 44 Of the total number of miles you drove your vehicle during 2004, enter the number of miles you used your vehicle for: a Business ------- 7,000 b Commuting c Other ----------- -------7,000 ---- 45 Do you (or your spouse) have another vehicle available for personal use? . . .. . ... . . . . . . . . . .. .. .... Q Yes R No 46 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X? Yea F] No 47a Do you have evidence to support your deduction? . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . X, Yes No b If 'Yes,' is the evidence written? . {X I Yes I I No Other Expenses. List below business expenses not included on lines 8-26 or line 30. 48 Total other expenses. Enter here and on page 1, line 27 ... . . . . ..... . .. . ... .. . ... .. .. 48 1 Schedule C (Form 1040) 2004 FDIZ0112 05/0804 SCHEDULIE D (Form 1040) Depertrnent of the Treasury Internal Revenue Service (99) Nanre(s) shown on Form 1040 OMB No. 1545-0074 Capital Gains and Losses Attach to Form 1040. ? See Instructions for Schedule D (Form 1040). ? Use Schedule D-1 to list additional transactions for lines 1 and 8. 2004 12 Joseph & Gail G Frassetta Your social seaway number 179-46-3383 Short-Term Capital Gains and Losses - Assets Held One Year or Less (a) Desm"on of PAY (Example: 100 shares EM 1e* (b) Date acquired (Mo, day, yr) (C) Date sold (Mo, day, yr) (d) sales price (see instructions) (e) Cost or other basis (see instrrxdions) (f) Gain or (loss) Subtract (e) from (d) 1 2 Enter your short-term totals, if any, from Schedule D-1, line 2 ... . 3 Total short-term sales price amounts. Add lines 1 and 2 in column (d) ..... . . . .... . . . . ... . .. .... .. 2 3 4 short-tens gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . .. . . .... . 4 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 Worksheat in the instructions . .... ... . . . . . .......... . . .. .. . .. . . .. . .. .. .. 6 7 Net short-tern capital gain or (loss). Combine lines 1 through 6 in column (f) .. . ... . . . . . . . .... .. 7 Long-Term Capital Gains and Losses - Assets Held More Than One Year (a) Desatplion of property (E ?) (b) Date acquired (Mo, day, yr) (c) Date sold (Mo, day, yr) (d) sales price) (see instructions (e)Co or other nsbasis S(f) aai o (e) 8 9 10 11 Enter your long-term totals, if any, from Schedule D-1, line 9 ... 9 Total long-term sales price amounts. Add lines 8 and 9 in column (d) . . . . . . . .. . . . . . . . . .. . . . . . . . . . . 10 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-tens gain or (loss) from Forms 4684, 6781, and 8824 ... ..... ............ ....... . . .. . ... .. ....... 1 12 Net long-tern gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 . . .. . . 12 13 Capital gain distn'btll)orts. See instrs ..... .. . .. . . . ........ .. . ... ... .. .. . . . ... . . 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions .. ... .. .. ......... . .. . ..... . . . .... . . . . .. .. 14 -3,743. 15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f). Then go to Part III on 2 15 -3,743. o.+n ror raperwomc neoucuon ACC noxice, see rorm i"v Insrrucsfons. SChedule D (Form 1040) 2004 FDIA0612 11/02/04 Schedule D (corm 1040) 2004 Joseph & Gail G Frassetta 179-46-3383 Page 2 Summary 16 Combine lines 7 and 15 and enter the result. If line 16 is a loss, sidp 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 .... . . . . . . .. . ... .. .. 18 I - 3 , 74 3 . 17 Are lines 15 and 16 both gains? r] Yes. Go to line 18. n No. Skip lines 18 through 21, and go to line 22. 18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions . . . . ... . .. . . ? 18 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ? 20 Are tines 18 and 19 both zeroor Wank? F1 Yes. Complete Form 1040 through line 42, and then complete the Qualified Dividends and Capital Gain Tau Worksheet in the instructions for Form 1040. Do not complete lines 21 and 22 below. F] No. Complete Forth 1040 through line 42, and then complete the Schedule D Tau 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 - 3 000 • ($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? ® Yes. Complete Form 1040 through line 42, and then complete the Qualified Dividends and Capital Gain Tax Worksheet in the Instructions for Form 1040. E] No. Complete the rest of Form 1040. Schedule D (Form 1040) 2004 FOIA0612 11102104 Forrn2"l Child and Dependent Care Expenses y ?OMB No.1545.OOW ? Attach to Form 1040. 2004 Internal Revenue Serv?io?ery (99) ? See separate instructions. 21 Name(s) dv m on Forth 1040 Your sodal sscuAty number Joseph & Gail G Frassetta 1179-46-3383 Before you begin: You need to understand the following terms. See Deflnltlons in the instructions. • Dependent Care Benefits • Qualifying Person(s) • Qualified Expenses Persons or Organizations Who Provided the Care - You must complete this part. (If you need more space, use the bottom of page 2.) 1 (a) Care provider's name (b) Address (no., street, apt no., city, state, and ZIP code) (c) Identifying no. (SSN or EIN) (d) Amount paid (see instructions) Churches Affiliated Child Care Center 417 South 22nd Steet ---------------------- Ca Hill, PA 25-1569477 183.00 Did you receive No ----C Complete only Part II below. dependent care benefits? Yes - Complete Part III on page 2 next. Caution. If the care was provided in your home, you may owe employment taxes. See the instructions for Form 1040, line 61. Credit for Child and Dependent Care Expenses 2 Information about vour ausilfvlna person(s). If you have more than two oualifvina Dersons. see the instructions. (a) Qualifying person's name irst Last (b) Qualifying person's social security number (c) Qualified expenses you Incurred and paid in 2004 for the person listed in column (a) Quinn Frassetta 226-71-6609 183. 3 Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part III, enter the amount from line 32 . ... . ...... . . . . . 3 183. 4 Enter your earned Income. See instructions . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . 4 42,990. 5 If married filing jointly, enter your spouse's earned income (if your spouse was a student or was disabled, see the instructions); all others, enter the amount from line 4 .. .... . . . . . . . ...... 5 16,916. 6 Enter the smallest of line 3, 4, or 5 . .. ... ... .... .. . . .. . .... . . . . . .. . . . . . . .. .. 6 183. 7 Enter the amount from Form 1040, line 37 . .. .. .. .. .. .. . . . ... . 7 55, 161 . 111 8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 If line 7 is: If line 7 is: But not Decimal But not Decimal Over over amount is Over over amount $0-15,000 .35 $29,000- 31,000 .27 15,000 - 17,000 .34 31,000 - 33,000 .26 17,000 - 19,000 .33 33,000 - 35,000 .25 19,000 - 21,000 .32 35,000 - 37,000 .24 21,000 - 23,000 .31 37,000 - 39,000 .23 23,000 - 25,000 .30 39,000 - 41,000 .22 25,000 - 27,000 .29 41,000 - 43,000 .21 27,000 - 29,000 .28 43,000 - No limit .20 9 Multiply line 6 by the decimal amount on line 8. If you paid 2003 expenses in 2004, see the instructions . .... . . 10 Enter the amount from Form 1040, line 45, minus any amount on Form 1040; line 46 . . . . .... . . . . . . . . 11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Form 1040, line 47 .... . .. ... .. ... ....... .. . ..... . ... . . .. . .. . . BAA For Paperwork Reduction Act Notice, see separate instructions. X 0.20 37. 695. 37. Form 2441 (2004) FDIA3212 11/16/04 Form 4562 === ry Depreciation and Amortization (Including Information on listed Property) ? See separate Instructions. ? Attach tour tax return. OMB No.1545-0172 2004 67 Name(s) shown on return kMn#W g number Joseph & Gail G Frassetta 1179-46-3383 Business or activity to which this form relates Sch A Misc Deductions Election To Expense Certain Property Under Section 179 Note: K trou have anv listed nM..ty_ comp eta Rut V before you comn/ete Part I_ 1 Maximum amount. See instructions for a higher limit for certain businesses . . . .. . . .. .. .. . . . . . . .. 1 $102,000. 2 Total cost of section 179 property placed in service (see instructions) ...... .. .... .. ... . . . . ... 2 3 Threshold cost of section 179 property before reduction in limitation .... . .. ..... .. . .. ... . .. . 3 $410,000. 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0 - ... .... .. .. ... . . . . . . . 4 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing ........................................... separately, see instructions.. 5 6 a Description of property b cost (business use only) c Elected cost 7 Listed property. Enter the amount from line 29 . . . . . . . . . . . . . . . . . . . . . 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 .. . . . . . . .. . . . . .. 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 .. .... .. .. . .. ... . . .. . . . . .. . .. 9 10 Carryover of disallowed deduction from line 13 of your 2003 Form 4562 . . . . . . . . . . . . . . . . . . . . . . 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs) . .... 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 ..... . . .. . . . ... 12 13 Carryover of disallowed deduction to 2005. Add lines 9 and 10, less line 12 . . ? 1 13 y Note: Do not use Part 11 or Part Ill below for listed property. Instead, use Part V, Special Depreciation Allowance and Other Depreciation Do not include listed 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) . ..... . .. . . ........ .......... . . . . ... . . .. ... . . 14 15 Property subject to section 168(fx1) election (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 16 Other depreciation (inctudina ACRS) (see instructions) .... .. . .. . .. . .. ... . .. . ... . .... 16 SraeMnn e 17 MACRS deductions for assets placed in service in tax years beginning before 2004. ... . .. . .. 17 18 If you are electing under section 168(i)(4) to group any assets placed in service during the tax year into II one or more general asset accounts. check here . . . . . . .. . . . . . . . . . . . . . . . . . . . . ? n f = r , . (a) classification of property (b) Month and year placed in semce (C) Basis for depreciation (businesshnvestrnent use only - see instructions) (d) Recovery period (e) Convention (f] McMod (g) Depreciation deduction 19a 3-year Property ... .. . b 5-year property ..... . c 7-year property . . . . . . d 10-year property e 15-year property f 20-year property . g 25-year property ... . 25 r s S/ L h Residential rental 27.5 rs MM S/L property . ........ 27. 5 rs MM S / L i Nonresidential real 39 rs MM S/L property .... . .... MM S / L Section C - Assets Placed in Service Durina 2004 Tax Year Usina the Alternative Denreclattion Svstem 20a Class life . . . S/L b 12-year . . . . . . . . . . 12 rs S/L c40- ear.......... 40 rs MM S/L 21 Usted property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 90. 22 Total. Add amounts from One 12, lines 14 through 17, Ines 19 and 20 in a* = (g), and line 21. Enter here and on the appropriate fines of your return. PaMerships and S corporations - see instructions .. ... ... . . .. .. . . .. .. . 22 90. 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs ..... .. ........ 23 BAA For Paperwork Reduction Act Notice, see separate Instructions. FDIZ0812 09/30104 Form 4562 (2004) Section B - Assets Placed In Service Durina 2004 Tax Year Usina the General Denreciatien Svstem Form 4562 2004 Joseph & Gail G Frassetta 179-46-3383 Page 2 Li$tt3d Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable. Section A - Depredation and Other Information Caution: See instructions for limits for passe er automobiles. 24a Do you have evlden a to mooort the husinessrKly rk use rlniwd? . F X1 77Mn 2ah If 'Yac ' is lha ft-Aara urrittan? - Y Ync tun (a) (b) (? (d) (e) (17 (g) (h) (1) Type of property (list Date placed ? investment Cost or Basis fix depredation Recovery Method/ Depredation Elected vehicles fast) in service other basis (businessAnnve tment period convention deduction section 179 use percentage use only) 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use see instructions 25 5 r Compaq Presario stem 04/01/02 25.00 1,800. 450. 5.00 SL/HY 90 . "'- 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 . . . . . . . . . . . 28 90 . ZO Add amounts in column (i), line 26. Enter here and on line 7, page 1 29 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner; or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to comDletina this section for those vehicles. (a) (b) (c) (d) (e) (1) 30 Total businesslinvestment miles driven during the year (do not include commuting Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 miles - see instructions) . ... .. . . . . . 31 Total comma" miles driven during the year . . . . . 32 Total other personal (noncommuting) miles driven ...... ..... . .. . . . 33 Total miles driven during the year. Add lines 30 through 32 ...... . . ... .. . Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use during off-duty hours? ..... . . . . .. . 35 Was the vehicle used primarily by a more than 5% owner or related person? . .... . 36 Is another vehicle available for personal use? Section C - Questions f or EmD lovers Who Provide Ve hicles for Use by Their Emolovess Answer these questions to determine if you meet an exception to completing Section 8 for vehicles used by employees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, Yes No by your employees? .... . . ... . . ... .. . ........ ... .. ... . . . .. . . ... . . .. . . ... .. . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See instructions for vehicles used by corporate officers, directors, or 1 % or more owners . . . . .. . .. .. ... . 39 Do you treat all use of vehicles by employees as personal use? . .. ......... ... .. . .. . . . .. . .. . ... . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? .. . . . .. .... . . ... ... ... . . . .. . . . . . .. . . . .. . .. . 41 Do you meet the requirements concerning qualified automobile demonstration use?.(see instructions) . .. ... . . ...... . Note: d your answer to 37, 38, 39, 40, or 41 is Yes,' do not complete Section B for the covered vehicles. Amortization (a) (b) (c) (d) (e) M Description of costs Date amortization Amortizable Code Amortization M ortbmtion begins amount section period or for this year percentage 4Z Amortization of costs that begins durinsa Your 2004 tax vear (see instructions): 43 Amortization of costs that began before your 2004 tax year ... ...... ... . .. . . .. . .. . . . . . . 44 Total. Add amounts in column Co. See instructions for where to report . . . 44 FDIZ0812 09/30/04 Form 4562 (2004) 27 Proonarty used 500/ nr Iess in a nrralifiad hucinaQc rrca rcaa inatnrrtinnah- Form 1040 Department of the Treasury - Internal Revenue service U.S. Individual Income Tax Return 2005 1 (99) IRS Use Only - Do not wft or staple In M apace. For the year Jan 1- Dec 31, 2005, or other to year begirining 2005, end' '20 OMB No. 1545.0074 Label Your first name ml Last name Your social seourny number (See instructions.) Joseph Frassetta 179-46-3383 Use the If a joint return, spouse's first name MI Last name Spouse's soda) sseurlly number IRS label. Gail G Frassetta 196-42-8302 Otherwise, Home address (number and street). If you have a P.O. box, see instructions. Apartrnent no. You must enter your please print or type. 2 911 Merion Road s social b r(s) ) above, number(s) above. City, town or post office. If you have a foreign address, sea instructions. State VP code Presidential Ca Hill PA 17011-0000 change your tax or?refund. rat Election Campaign , Chedo 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 U Head of household (with qualifying person). (See ti If th lif t i hil N 2 Married "jointly (even il' only one had income) Ins ruc ons.) y e qua ng person is a c d ' but not your dependent, enter this child s Check only 3 Married fling separately. Enter spouse's SSN above & full name here ? one box. name here. ? 5 n Qual i widow(er) with de pendent d* (see a>sbuctionts) Exemptions 6a Yourself. If someone can claim you as a dependent, do not check box 6a. . . .. ..:: on Go an' 6b 2 b Spouse . . No. of children c Dependents: (2) Dependent's (3) Dependent's (4) if on Sc who: 0 hr social security relationship ? ? ith 2 number to you q Id you .. w . 1 First name Last name tax Credit a did not (see insbs) We wldr you 4 - Quinn M Frassetta 226-71-6609 Son at g dues atpoadr . is"Inaft) . . Cameron H Frassetta 231-75-7315 Son X If more than oo,,n b not four dependents entered above , see instructions. Add numbers lines d Total number of exemptions claimed . .. ? 4 7 Wages, salaries, tips, etc. Attach Form(s) W-2 . ... ... .. ... .. .. . . .. .. .. 7 66,065. Income 8 ........................ a Taxable interest. Attach Schedule B if required 8 a 3 7. b Tax-exempt interest. Do not include on line 8a . . .. . . . 8 bj "WWI Attach Form(s) 9 a Ordinary dividends. Attach Schedule B if required ... ...... .. . . . . . ... . 9a 280. W-2 here. Also I- r, Forms b e 1 ). . 9 b i i ~i . W-2G and 1089-R -2G 10 Taxable refunds, cred ts, or offsets of state and local income taxes (see instructions) . . . .... . . .... 10 if tact miss witlrlield. 11 Alimony received . . .... .. ......... ... ... .. . .. .. .. ... . .. 11 If you did not 12 Business income or (loss). Attach Schedule C or C-EZ . ... . . . . . . . . . . .. . .. . . 12 1,125. get a W-2, 13 Capital gain or (loss). Att Sch D 9 regd. 9 not regd, ck here . .. ... . . . . . . .. . ? [] 13 - 74 3 . see instructions. 14 Other gains or (losses). Attach f=orm 4797 . . . . . . . . . . . . . . . . . . . . . . . . . 14 15 a IRA distributions .... ... 15a b Taxable amount (see instrs) .. 15b 16 a Pensions and annuities ... 16a b Taxable amount (see instrs) .. 16b IT 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 rat attach, any 19 Unemployment compensation ... .... .. ... ........... . . . . . . . .. . 19 ?e mo o' "" r 20 a Sotlal seady benefits . .... . 120a l b Taxable amount (see inst s) .. 20b 1040-v. am 21 Other income 21 22 Add Add the amounts Jn the far ri M aaiumn for fis 7 through 21. This is your total income .. r ZZ 66,764. 23 Educator expenses (see instructions) ............ . 23 Adjusted Gross 24 Certain business expenses of reservists. pentorrnxng artists, and fee-basis govemment officials. Attach Form 2106 a 2106-EZ .. ... .. .... 24 ?F Income 25 Health savings account deduction. Attach Form 8889 .... . 25 26 Moving expenses. Attach Form 3903 .... ........ .. 26 r 27 One-half of self-employment tax. Attach Schedule SE . . . . . 27 8 0 . :" F 28 Self-employed SEP, SIMPLE, and qualified plans . .. . .. . 28 I 29 SeIF-employed health insurance deduction (see instluctions) ... .. . . 29 30 Penalty on early withdrawal of savings . .. . . . . . . . . . . 3p 31 a Alimony paid b Recipient's SSN... ? 31 a l 32 IRA deduction (see instructions) . ... ... . . . ..... . 32 33 Student loan interest deduction (see instructions) . .. .... 33 xK, 34 Tuition and fees deduction (see instructions) ...... ... 34 t. ' 35 Domestic production activities dedutsim. Attach Form 8903.... .... 35 f 36 Add lines 23 - 31a and 32 - 35 . . . . . .. ... . . . . . . . .. . . . . . . . . . . . . . . . . 36 80. 37 Subtract line 36 from line 22. This is our adjusted gross Income .. . ? 37 66,684. SAA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see Instructions. FDIA0112 11/07/06 Form 1040 (2005) t Form 1040 (2U05) Joseph & Gail G Frassetta 4 179-46-3383 Peas2 Tax and 38 Amount from line 37 (adjusted gross Income) . . ........ . " . .. . .. . . ... . . 38 66,684. Credits 39a Check 8 You were bon before January 2, 1941, 8 Blind. Total boxes if. Spouse was bon before January 2, 1941, Blind. checked I- 39a Standard b If your spouse itemizes on a separate return, or you were a dual-status Deduction alien, see instructions and check here . . . . . . . . . . . . . . . . . . . . . lo- 39 b r - L . 0 People who 40 Itemized deductions (from Schedule A) or your standard deduction (see left marcpn) .. . .. .. . .. .. 0 6,728. checked any box 41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 49,956. line 39a or or who can 39b be claimed as a 42 If fine 38 is over $109,475, or you p to aperson displaced by Hurricane Katrina, see instructions. Otherwise, rnu $3 ,200 by the total number of exemptions claimed on line 6d . . .. . . . . .. "`' 42 12,800. dependent, see instructions 43 Tax" income, Subtract One 42 from line 41. If One 42 is more than line 41, enter -0 ... .... ... . .. . . . . ... . . . . . .. . • 43 37,156. . 44 Tax (see instrs). Check N any tax is from: a 7 Form(s) 8814 b [] Form 4972 . . . . . . . . . . . . . . 44 4,846. • Ail others: 45 AltemaHve minimum tax (see instructions). Attach Form 6251 ... .... . . .. ... .. 45 0. Single or Married 46 Add lines 44 and 45 ..... ..... ... . . . .. ... .. ... . . . . ... ? 46 4,846. filing $5 000 separately' 47 Foreign tax credit. Attach Form 1116 if required • . . . . . . . 47 48 Credit for child and dependent care expenses. Attach form 2441 ..... 48 5 r Married filing jointly or 49 Credit for the elderly or the disabled. Attach Schedule R .... 49 f ' .., Quallfyi i 50 Education credits. Attach Form 8863 ... • . . . . ...... 50 , widow(e , $10,000 51 Retirement savings contributions credit. Attach Form 8880 . . . 51 52 Chid tax credit (see instructions). Attach Form 8901 if required . . . . . " 52 2,000. '.. ^ Head of household 53 Adoption credit. Attach Form 8839 . .. .. . . . . . .. .. 53 ` , $7,300 54 Credits from: a 11 Form 8396 b [] Form 8859 . ..... • . . 54 55 Other credits. Check applicable box(es): a n Form 3800 b E] 8o0 rc F] Form 55 56 Add lines 47 through 55. These are your total credits . . . . . . . . . . . . . . . . . . . . . 56 2,005. ST Subtract line 56 from One 46. If fine 56 is more than line 46, enter -0 . . ? 57 2,841. 58 Self erriptoyment tax. Attach Schedule SE ... ..... . .. . .. . . . . . . . . . . . . . . ... 58 159. Other 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 . . . . . . . " . . 59 Taxes 60 Additional tax on IRAs, other qualified retirement plains, etc. Attach Form 5329 9 required .. . . . . . .. . . 60 61 Advance earned income credit payments from Form(s) W-2 ... .. . .. . . . . . .. ... 61 62 Household employment taxes. Attach Schedule H . . . . . . . . . . . . . . . . . . . . . . . 62 63 Add Ones 57-62. This is our tM tax .......... . ...... .. . ... . . . . . .. ? 63 3,000. Payments 64 Federal income tax withheld from Forms W-2 and 1099 .... 64 3,032. s3 If you have 8 65 2005 estimated tax payments and amount applied from 2004 return . . . . qualifying 66a Earned Income credit (EIC) ... .. . .. . .. .... . 65 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 fie (see instructions) .. ... . 69 70 Payments from: a n Form 2439 b F] Form 4136 c F] Form 8885 70 71 Add Ines 64, 65, 66a, and 67 through 70. .................... These are your total payments ... ......... . ? 71 3,032. Refund 72 fi fine 71 is more than fine 63, subtract One 63 from line 71. This is the amount you overpaid • . . . . . . . . . 72 32. Direct deposit? 73a Amount of line 72 you want refunded to you . . . . . . . . . . . . . . . . . . . . . . . ? 73a 32. See instructions ? b Routing number . . . .. and fill in 7 73c and 73d d 1, d Account number .. . .. k 231381116 ? c Type: X Checking Savings 045253921644 ?{ , . 74 Amount of line 72 you want ed to our 2M estinnW tax . ? 74 Amount 75 Amount you owa. Subtract One 71 from One 63. For details on how to pay, see instructions . .. . . ... ? 75 You Owe 76 Estimated tax penalty see instructions .. .. .. ... .. 76 L? Third Party Do you want to allow another person to discuss this return with the IRS (see irnstructions)? .. . . .. Yes. Complete the No Designee Designee name ? no. ? ? number (PIN) Sign Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the beat of my knowledge and th !reli f t t d l D l ey are e , rue, correc , an comp ete. ec aration of preperer (other than taxpayer) is based on all information of w hich preparer has arty knowledge. Here Joint return? Your signature Date Your occupation Daytime phone number See instructions. Forester Keep a copy Spouse's signature. tf a joint retum, both must sign. Date Spouse's occupation for your records. Homerna ken Paid Preparer's Use Only Prepaer's signature Date I I Preparees SSN or PTIN Firm'snama Self-Prepared (or yours if EIN address, ZIP code phn FDIA0112 11107/05 Form 1040 (2005) SCHEDULE A Itemized Deductions OMB No. 1545-0074 (Form 1040) 2005 oepaivrient of me rresuy 1- Attach to Form 1040. Attachment Intemal Revenue service (99) P. See Instructions for Schedule A (Form 1040). seyaeaca No. 07 Name(s) shown on Form 1040 Your social secuAty wafter Joseph & Gail G Frassetta 1179-46-3383 Medical Caution. Do not include expenses reimbursed or paid by others. and Dental 1 Medical and dental eXpe ws (see irsiructiorls) . . .. . . . . . . . . . . . 1 _ Expenses 2 Enter ardour( from Form 1040, line 38 - 2 3 Multiply line 2 by 7.5% (.075)• . .. .... .. . . . . . . .. 3 4 ................ Subtract line 3 from line 1. If line 3 is more than line 1, enter -0 - 4 5 State and local (check only one box): a Income taxes, or .. .. 5 Taxes You b General sales taxes (see instructions) 8 A Paid 6 Real estate taxes see instructions 6 745 (See 7 Personal property taxes . . . . . . . . . . . . . . . . . . . . . 7 instructions.) 8 Other taxes. List type and amount ? 8 ------ 7 - 7--------- 9 Add lines 5 through - 8 .. ..... . .. ....... .... ... .. .. 9 7,275. Interest 10 Home mfg interest and points reported to you on Form 1098 . .... • . . . 10 7,403. You Paid 11 Home mortgaga (Rest not reported to you on Form 1098. If paid to the person ' from whom you WugtK the home, see inswcuons and show dw person s name, identifying ntar w, and address ? (See instructions.) ------------------------------ ------------------------------ 3 Note. ------------------------------- - - - - 11 Personal 12 Points not reported to you on Form 1098. See;Wn orf spd; s t i i t 12 s n eres r 13 Investment interest. Attach Form 4952 if required. tot deductible. (See inslrs.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 " 14 Add lines 10 through 13 . . .. .. . .... .. . . ... . .. . . .. ... . . . . . . . . . 14 7.403. Gigs to 15 a Total gifts by cash or check. If you made any gift of $250 or Charity more, see instrs . ..... . ..... ..... . .. : .... 158 1,800. b Gft by cash or titedk after August 27, 2005, you OW elect to treat as qualified b f de " cormi itiorrs (see irmuctim). . .. . . . 15b 25. gift and o got a benefit 16 Other than by cash or check. If any gift of $250 or I for it, see more, see instructions. You must attach Form 8283 if i t ti - ns ruc ons. over $500 .... .... . ... .... ... . . .... ... 16 250. 17 Carryover from prior year . . . . . . . . . .. . . . . . .. . . . 17 18 Add lines 15a,16, & 17 .. ........... . ....... . . . . .. . . . .. . .... . 18 2,050. Casualty and Theft Losses 19 Casualty or theft loss(es). Attach Form 4684. See instructions. . ................ 19 Job Expenses 20 Unreimbursed employee expenses - job travel, union dues, . and Certain job education, etc. Attach Form 2106 or 21WEZ If Miscellaneous required. (See instructions.) ? r I ` Deductions ------------ > . ------------------------------ Employee Business_Expenses 974. 20 974. 21 Tax preparation fees .... ... .. .. .. ... .... .. 21 ` j.. (See 22 Other expenses - Investment, safe deposit box, etc. List I instructions.) type and amount ' ` - - - - - - - - - - - Miscellaneous Expenses 90. ------------ 22 '12 90 23 Add lines 20 through 22 . .... .. ... .. . . .. .... . . 23 1,064. I y J 24 Enwr aamrK from Form 1040, line 38 ... 24 66,684. ' 25 Multiply line 24 by 2% (.02) .. ........ ......... . 25 1 3 3 4 , j 26 Subtract line 25 from line 23. If line 25 is more than line 23, enter -0- . .. . ... .... .. 26 0. Other 27 Other - from list in the instructions. List type and amount ? - - - - - - - - - - - - - - - Miscellaneous Deductions -------------------------------------------- 27 ?I 28 Is Form 1040, line 38, over $145,950 (over $72,975 if MFS)? ? Deductions ®No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 27. Also, enter this amount on Form I D40, line 40. ? 28 16 728 E] Yes. Your deduction may be limited. See instructions for the amount to enter. , . 29 gym eWtp llerrkeft4m-ew MA For Paperwork Reduction Act Notice, see Form 1040 Instructions. FDIA0301 11/18/05 Schedule A (Form 1040) 2005 SCHEDULE C-EZ (Form 1040) Deperbnent of the Treasury Infemat Revenue Service Name of proprietor Joseph F'rassetta Net Profit From Business (Sole Proprietorship) ? Partnerships, Joint ventures, etc, must file Form 1065 or 1065-8. ? Attach to Form 1040 or 1041. ? See Instructions. OMB No. 1545-0074 2005 Sequence No. 09A Sodd ssourtty number (SSN) 179-46-3363 General Information You May Use Schedule C-EZ Instead of Schedule C Only If You: • Had business expenses of $5,000 or less. • Use the cash method of accounting. • Did not have an inventory at any time during the year. • Did not have a net loss from your business. • Had only one business as either a sole proprietor or statutory employee. And You: • Had no employees during the year. • Are not required to file Form 4562, Depreciation and Amortization, for this business. See the instructions for Schedule C, line 13, to find out if you must fife. • Do not deduct expenses for busi- ness use of your home. • Do not have prior year unallowed passive activity losses from this business. A Principal business or profession, including product or service B Enter code from Instructions consulting ? 624100 C Business name. If no separate business name, leave blank. D Employer ID number (EIN), if any E Business address (including suite or room number). Address not required if same as on Form 1040, page 1. 2911 Merion Road City, town or post office, state, and ZIP code Camp Hill, PA 17011-0000 Figure Your Net Profit 1 Gross receipts. Caution. If this income was reported to you on Form W-2 and the 'Statutory employee' box on that form was checked, see Statutory Employees in the instructions for Schedule C, line 1, and check here . . . . . .. .. . . ....... . . ... .. .. . . .. . .. ? 2 Total expenses (see Instructions). If more than $5,000, you must use Schedule C . .. . . .. .. . . . . . . . . 600. 3 Net profit. Subtract line 2 from line 1. If less than zero, you must use Schedule C. Enter on Form 1040, line 12, and also on Schedule SE, line 2. (Statutory employees do not report this amount on Schedule SE, line 2. Estates and trusts, enter on Form 1041, Vine 3.) ....... ...... .. . .. .... . . ..... 3 600. Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2. 4 When did you place your vehicle in service for business purposes? (month, day, year) . . ? 5 Of the total number of miles you drove your vehicle during 2005, enter the number of miles you used your vehicle for: a Business - b Commuting (see instructions) c Other --------- ---------- ---------- 6 Do you (or your spouse) have another vehicle available for personal use? . .. . . . . . . . . . . . . . . ... . . . Yes No 7 Was your vehicle available for personal use during off-duty hours? .. . .... ... . .. .. . . . . . . .. .. .. Yes No 8 a Do you have evidence to support your deduction? .. ...... . ... ... . . .. .. .. . .. . . . ... . .. Yes E] No b If 'Yes,' Is the evidence written? . n Yes n No BAA For Paperwork Reduction Act Notice, see instructions. Schedule C-EZ (Form 1040) 2005 FOIA8301 MUM SCHEDULE C-EZ Net Profit From Business (Form 1040) (Sole Proprietorship) ? Partnerships, joint ventures, etc, must file Form 1065 or 1065-B. i Revenue Treasury ? Attach to Form 1040 or 1041. ? See Instructions. r . OMB No, 1545-0074 2005 Name or proprietor Social socurky number ISSN) Gail G F'rassetta 1196-42-8302 General information You May Use Schedule C-EZ Instead of Schedule C e Did not have an inventor at an Only If You: y y time during the year. And Y ou: • Did not have a net loss from our y business. • Had only one business as either a sole proprietor or statutory employee. • Had no employees during the year. • Are not required to file Form 4562, Depreciation and Amortization, for this business. See the instructions for Schedule C, line 13, to find out if you must file. • Do not deduct expenses for busi- ness use of your home. • Do not have prior year unailowed passive activity losses from this business. A Principal business or profession, including product or service B Enter code from instructions Consulting 11 611000 C Business name. If no separate business name, leave blank. D Employer ID number (EIN), if any E Business address (including suite or room number). Address not required if same as on Form 1040, page 1. 2911 Merion Road City, town or post office, state, and ZIP code Camp Hill, PA 17011-0000 Figure Your Net Profit 1 Gross receipts. Caution. If this income was reported to you on Form W-2 and the 'Statutory employee' box on that form was checked, see Statutory Employees in the instructions for Schedule C, line 1, and check here ... . . ... . . ........... . .. . .. ... .. . . ? 1 600 . 2 Total experwas (see Instructions). If more than $5,000, you must use Schedule C .. ... .. .. . . . . . ... 2 75. 3 Net profit. Subtract line 2 from line 1. If less than zero, you must use Schedule C, Enter on Form 1040, line 12, and also on Schedule SE, line 2. (Statutory employees do not report this amount on Schedule SE, line 2. Estates and trusts, enter on Form 1041, line 3 . ...... ... .. .. .. .... .. ... .. 3 525 . information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 2. 4 When did you place your vehicle in service for business purposes? (month, day, year) .. ? 5 Of the total number of miles you drove your vehicle during 2005, enter the number of miles you used your vehicle for: a Business b Commuting (see instructions) _ _ _ _ _ _ _ _ _ _ c Other 6 Do you (or your spouse) have another vehicle available for personal use? . ... . . .. . .. . . . . . . .. . . .. F] Yes E] No 7 Was your vehicle available for personal use during off-duty hours? . . ... ... . . . . . .. . . . .. . ... ... n Yes n No 8 a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . F] Yes n No b If 'Yes,' is the evidence written? . n Yes F1 No BAA For Paperwork Reduction Ad Notice, see Instructions. Schedule C-EZ(Form 1040) 2005 • Had business expenses of $5,000 or less. • Use the cash method of accounting MA8301 11114/05 SCHEDULIE W ' oMa No. 1545-0074 (Form 1040) Capital Gains and Losses 2005 ? Attach to Form 1040. ? See Instructions for Schedule D (Form 1040). J Inevenue Servicery (99) ? Use Schedule 0-1 to list additional transactions for lines 1 and S. SSequ No. 12 Name(s) shown on Form 1040 Your social salty number Josevh & Gail G Frassetta 1179-46-3383 Short-Term Capital Gains and Losses - Assets Held One Year or Less (a) Description of 1Oproperty p ' U shares (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) 1 2 Enter your short-term totals, if any, from Schedule D-1, line 2 .. .. 3 Total short-term sales price amounts. Add fines 1 and 2 in column (d) ........... . . .. .. .......... 2 3 4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . .. . .... .. li 5 Net short-tent gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 ...... 6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover Worksheet in the instructions .. .......... .. ..... .... ... . . . . . ... .. . . ... . . 7 Net short-term capital gain or (Ives). Combine lines 1 through 6 in column (f) . . .. . . . . . . . . . . . . . . . Long-Term Capital Gains and Losses - Assets Held More Than One Year (a) Description of C (np) 100 ales co (b) Date acquired (Mo, day, yr) (C) Data sold (Mo, day, yr) (d) sales price (see instructions) (e) Cost or other basis (see instruction) (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 Ion -term sales price amounts. Add lines 8 and 9 in column (d) ...... . . ...... .. . ... .... .... 110 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 12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 ...... 12 13 Capital gain dWribuuorrs. See instrs..... .. . ... . . . .... ... ........ . . . .. . . ... . . ... 13 14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss Carryover Worksheet in the instructions . . .. . .. .... .. .... . . .. . ... . . .. . ... . . . .. . .. . 14 - 74 3 . 15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f). Then go to Part lit on 15 - 743. vAA 1-or raperwom rZeQUCtIon Act Nonce, we form 1040 instructlons. Schedule D (Form 1040) 2005 FDIA0B12 05/18/05 Schedule D (Form1040)2005 Joseph & Gail G Frassetta 179-46-3383 Paget 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 . . . . . . . . . . . . . . . . . . . . 17 Are lines 15 and 16 both gains? Yes. Go to line 18. No. Skip lines 18 through 21, and go to line 22. 18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet In the instructions.. .. .. . ... .. ? 18 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 zeroor blank? F1 Yes. Complete Form 1040 through line 43, and then complete the Qualified Dividends and Capital Gain Tau 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 tine 16 is a loss, enter here and on Form 1040, line 13, the smaller of. • The loss on line 16 or • ($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? 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 nest of Form 1040. -74 -743. Schedule D (Form 1040) 2005 FDIA0612 0518105 SCHEDULh SE (Form 1040) Deparlrtnent of the Treasury {eternal Reverwe Service Self-Employment Tax OMB No. 1545.0074 M L Name of person with sW-wnpWynmrt tnaame (as shown on Form 1040) Social security number of person Joseph Frassetta with saff-employment income ? 179-46-3383 Who Must File Schedule SE You must file Schedule SE if, • You had net earnings from sell-employment from other than church employee income (line 4 of Short Schedule SE or line 4c of Long Schedule SE) of $400 or more, or • You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a religious order is not church employee income (see Instructions). Note. Even if you had a loss or a small amount of income from self-employment, it may be to your benefit to file Schedule SE and use either'optional method' in Part II of Long Schedule SE (see instructions). Exception. If your only self-employment income was from earnings as a minister, member of a religious order, or Christian Spence practitioner and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write 'Exempt - Form 4361' on Form 1040, line 58. May I Use Short Schedule SE or Must I Use Long Schedule SE? Did You Receive Wages or Tips In 20057 1 No Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other eaminas? No Are you using one of the optional methods to figure your not earnings (see instructions)? No Did you receive church employee Income reported on Form W-2 of $108.28 or more? No You May Use Short Schedule SE Below No 2005 echment auanm No. 17 No Did you receive tips subjed to social security or Medicare tax that you did not report to your employer? Yes You Must Use Long Schedule SE I Section A - Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. 1 Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-1 (Form 1065), box 14,code A ................................................... 2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9. Ministers and members of religious orders, see instructions for amounts to report on this line. See instructions for other income to report .. . .. . . . ... . 3 Combine lines 1 and 2 ...... . ...... .. ...... . .. . . ... ... . . . ... . . . . . ... . 4 Net eamings from self-employment. Multiply line 3 by 92.35% (.9235). If less than $400, do not file this schedule; you do not owe self-employment tax .. . ............ .... . . . . .... .. .. ? 5 Self-employment tax. If the amount on line 4 is: • $90,000 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 58. • More than $90,000, multiply line 4 by 2.9% (.029). Then, add $11,160.00 to the result. Enter the .. . total here and on Form 1040, line 58. 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (.5). Enter the result here and on Form 1040, line 27 ... ........... ... . BAA For Paperwork Reduction Act Notice, see Form 1040 Instructions. Was the total of your wages and tips subject to social security or railroad retirement tax plus your net earnings from self-employment more than $90,000? ? Attach to Form 1040. ? See Instructions for Schedule SE (Form 1040). Yes 600. 554. 85. 43. Schedule SE (Form 1040) 2005 FD1A1101 11/08/05 • SCHEDULEiSEi S'E' (Form 1040) DepeAment of the Tmesury internal Revenue Service Self-Employment Tax ? Attach to Form Ion. ? See instructions for Schedule SE (Form 1 Was the total of your wages and tips subject to social security or railroad retirement tax plus your net earnings from self-employment more than $90,000? OMB No. 1545-0074 2005 Altachrwd Seauence No. 17 Name of person with self-wnpkVmmnt inane (as shown on Form 1040) Social security number of person Gail G Frassetta with self-wnploymentincome ` 196-42-8302 Who Must File Schedule SE You must file Schedule SE if: • You had net earnings from self-employment from other than church employee income (line 4 of Short Schedule SE or line 4c of Long Schedule SE) of $400 or more, or • You had church employee income of $108.28 or more. Income from services you performed as a minister or a member of a religious order Is not church employee income (see instructions). Note. Even if you had a loss or a small amount of income from self-employment, it may be to your benefit to file Schedule SE and use either 'optional method' in Part 11 of Long Schedule SE (see instructions). Exception. If your only self-employment income was from earnings as a minister, member of a religious order, or Christian Science practitioner and you filed Form 4361 and received IRS approval not to be taxed on those earnings, do not file Schedule SE. Instead, write 'Exempt - Form 4361' on Form 1040, line 58. May I Use Short Schedule SE or Must I Use Long Schedule SE? J Did You Receive Wages or Tips In 2005? 1 No Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on earnings from these sources, but you owe self-employment tax on other earnings? No Are you using one of the optional methods to figure your net earnings (see instrucdons)? No Did you receive church employee income reported on Form W-2 of $108.28 or more? No You May Use Short Schedule SE Below f !, No No Did you receive tips subject to social security or Medicare tax that you did not report to your employer? You Must Use Lona Schedule SE Section A - Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. 1 Net farts profit or (loss) from Schedule F, line 36, and farts partnerships, Schedule K-1 (Form 1065), box l4,code A ................................................... 1 2 Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065), box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9. Ministers and members of religious orders, see instructions for amounts to report on this line. See instructions for other income to report ... . ... ... . . 2 525. 3 Combine lines 1 and 2 ..... .. ... . .. . . ......... . ....... . . . ... . . .. . .. . . 3 525. 4 Net earnings from self-employment. Multiply line 3 by 92.35% (.9235). If less than $400, do not file this schedule; you do not owe self-employment tax ... .. .... ... ............ . . . . ... ? 4 485. 5 Self-employment tax. If the amount on line 4 is: • $90,000 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 58. • More than $90,000, multiply line 4 by 2.9% (.029). Then, add $11,160.00 to the result. Enter the 5 74. total here and on Form 1040, fine 58. 6 Deduction for one-half of selfmemplo nt tax. Multiply line 5 by 50% (.5). Enter the result here and on Form 1040, line 27 ......... ..... ... . ti 3 7. BAA For Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule SE (Form 1040) 2005 FOIA1101 11108/05 e F• • Form2441 ` Child and Dependent Care Expenses OMB No. 1545.0074 ? Attach to Form 1040. 2005 tntFtevenue3ervicery (99) ? See separate Instructions. Sequence No. 21 Neme(s) shown on Foam 1040 Your sodal sem ft number Joser)h & Gail G Frassetta 1179-46-3383 Before you begin: You need to understand the following terms. See Definitions in the instructions. a Dependent Care Benefits • Qualifying Person(s) a Qualified Expenses Persons or Organizations Who Provided the Care - You must complete this part. (If you need more space. use the bottom of page 2.) 1 (a) Care provider's name (b) Address (no., street, apt no., city, state, and ZIP code) (c) Identifying no. (SSN or EIN) (d) Amount paid (see instructions) Churches Affiliated Child Care Center 417 South-22nd Steet _ _ _ _ _ _ _ Ca Hill, PA 25-1569477 25.00 -- ------------------- Did you receive No Complete only Part 11 below. dependent care benefits? Yes --- Complete Part III on page 2 next. Caution. If the care was provided in your home, you may owe employment taxes. See the instructions for Form 1040, line 62. Credit for Child and Dependent Care Expenses 7 Infnrmatinn ahnut vra it ntmIHvirm narannisL If you have mnre than two oualifvina nersons. seethe instructions. (a) Qualifying person's name irst Last (b) Qualifying person's social security number (c) Qualified expenses you incurred and paid in 2005 for the person listed in column (a) Quinn Frassetta 226-71-6609 25. 3 Add the amounts in column (c) of line 2. Do not enter more than $3,000 for one qualifying person or $6,000 for two or more persons. If you completed Part III, enter the amount from line 32 .. . . .. . . . .. . .. . ... 3 25. 4 Enter your earned income. See instructions .. . .... ......... . . . . .. . . . . . .. . . . . . .. 4 45,991. 5 If married filing ))'ointly, enter your spouse's earned income (if your spouse was a student or was disabled, see the instructions); all others, enter the amount from line 4 . . . . . . . .. . . . . . . . . 5 21,119. 6 Enter the smallest of line 3, 4, or 5 . . . . . .. ........ . . .. ..... . . . . . . . . .. 6 25. 7 Enter the amount from Form 1040, line 38 . . . . . . . . . . . . . . . . . . . . 7 66,684. 11 8 Enter on line 8 the decimal amount shown below that applies to the amount on line 7 If line 7 is: If line 7 is: But not Decimal Over over amount is Over $0-15,000 .35 $29,000- 31,000 .27 15,000 -17,000 .34 31,000 - 33,000 .26 17,000 - 19,000 .33 33,000 - 35,000 .25 19,000- 21,000 .32 35,000 - 37,000 .24 21,000 - 23,000 .31 37,000 - 39,000 .23 23,000 - 25,000 .30 39,000 - 41,000 .22 25,000 - 27,000 .29 41,000 - 43,000 .21 27,000 - 29,000 .28 43,000 - No limit .20 9 Multiply line 6 by the decimal amount on line 8. If you paid 2004 expenses in 2005, see the instructions . . . .. . . 10 Enter the amount from Form 1040, line 46, minus any amount on Form 1040, line 47 . . . . . . . . . . . . . . . . 11 Credit for child and dependent care expenses. Enter the smaller of line 9 or line 10 here and on Form 1040. line 48 .......... .......... ... .. . ... .. .. ... . . . ... . SAA For Paperwork Reduction Act Notice, see separate Instructions. But not Decimal over amount X 5. 4 Form 2441(2005) FDIA3212 11114/05 OMB No. 1545-0172 Fom, 45562 Depreciation and Amortization (Rev January 2008) (Including Information on Listed Property) 2005 I teve w Service ry ? See separate Instructions. ? Attach to our tax return. Sequence No. 67 Name(s) shown on return Identifying number Joseph & Gail G Frassetta 179-46-3383 Business or acdviry to which this form relates Sch A Misc Deductions Election To Expense Certain Property Under Section 179 Note: ff you have an listed pmpe*, corn fete Part V before you complete Part 1. 1 Maximum amount. See the instructions for a higher limit for certain businesses .. . . . . . . . . . . ... . . .. 1 $105,000. 2 Total cost of section 179 property placed in service (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Threshold cost of section 179 property before reduction in limitation .. .. . ....... . . . . . . . .. . .. 3 $420,000. 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- .. .. . .. . . . . . . . . . . . ... 4 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 6 (a) Description of property I (b) Cost (business use only) I (C) Bxied cost 7 Listed property. Enter the amount from line 29 . .. ......... . . ........ 7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 . . . . . . . . . . . . . . . . 8 9 Tentative deduction. Enter the smaller of line 5 or line 8 .. .. . . . .. ...... . . . .. . . . . . . . . . . 9 10 Carryover of disallowed deduction from line 13 of your 2004 Form 4562 .. . .. . . . . . . . .... . . . ... 10 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instrs) . .... 11 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 . .. .. . . . . .. . . .. 12 13 Carryover of disallowed deduction to 2006. Add lines 9 and 10, less line 12 . . ? 18 Note: Do not use Part N or Part 111 below for listed property. Instead, use Part V. S cial Depreciation Allowance and Other Depreciation Do not include listed See Instructions.) 14 Special allowance for certain aircraft, certain property with a long production period, and qualified New York Liberty or GO Zone property (other than listed property) placed in service during the tax year (see instrs) . . . . . . 14 15 Property subject to section 168(f)(1) election ... ......... .... . .. . . . . .. . . . .. ...... 15 16 Other depredation (including ACRS . . . . . .. . .. .... .... . ... .. .. .. .. ... .. . .. . . 16 MACRS Depreciation Do not include listed p See instructions Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2005 .. . . .. . . .. ... .... 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here . . ? 17 : Section B - Assets Placed in Servilm nnrinn 2INK TAY Veer I lain she (`?erel rienrenisllwn C..?•s... (a) Classification of property (b) Month and year placed in service (c) Basis for depredation (business/investment use only - sea instructions) (d) Recovery period (g) Convention (f) Method (g) Depreciation deduction 19 a 3-year rope b 5-year property .. . .. . c 7-year property d 10- ear rope e 15-year property 20-year property 25 ear ... property 25 rs S/L h Residential rental 27.5 rs MM S/L property .. .. . . . . . 27.5 s MM S / L I Nonresidential real 39 rs MM S/L property .... ..... MM S / L section G - Assets Placed in Service During 2005 Tar Year uitinn fhe eife somwa rfe.,.e..issi.... 42-", 20 a Class life . ., - - 8/L - b 12-year . . . . . . ... 12 rs S/L c40- ear_ . 40 rs MM S/L 21 Listed property. Enter amount from line 28 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 90. 22 Total. Add amounts from rme 12, lines 14 through 17, lines 19 and 20 in cohlrtm (g), and im 21. Enter here and on the appropriate Ones of your return. Partnerships and S corporations - see instructions .. . .. . .. . .. . . . .. ... .. 22 90. 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs .... .. ........ . 23 BAA For Paperwork Reduction Act Notice, see separate Instructions. FDIZ0812 1201/05 Form 4562 (2005) (Rev 1-2006) a a ) • 0 to p Form 4562 2005 (Rev 1-2006 Joseph & Gail G Frassetta 179-46-3383 Page 2 Listed Property (Include automobiles, certain other vehicles, cellular telephones, certain computers, and property used for entertainment, recreation, or amusement) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 249, 24b, columns (a) through (c) of Section A, all of Section 8, and Section C if applicable. Section A - Depreciation and Other Information Caution: See the instnut:tions for limits for passenger automobiles. 24 a Do you have eMerim to support the kisilesslirlims(ment use claimed? . X Yes Ne 24b If'Yes_' is Him raw PwP -Wm7. IT Yaa Nn (a) (b) (?) (d) (e) (f) (9) (h) (1) Type of property (list Date pieced investment Cost or Basis for depreciation Recovery Method/ Depreciation Elected vehicles fast) In service use other basis (businessfsrvestrnent period Convention deduction section 179 Percentage use only) cost 25 Special abm1ce for certain aKraft, certain property with a long pradtx5iort period, and qualified New Yak Lib" or GO Ztxte ° y F M r in sortrit:e durlry the tax r and used more than 50% in a qualified business use see msauctions) - 25 I Cmpaq Presario system 04/01/02 25.00 1,800. 450. 5.00 SL/HY 90. 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 ... .. . .. .. . . 28 90 . ca raaa amounts in column (t), line Z6. Enter here and on line 7 page 1 129 Section B - Information on Use of Vehicles Complete this section for vehicles used by a sole proprietor, partner, or other 'more than 5% owner; or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completina this section for those vehicles. 30 Total businesslnvestment miles driven (a) (b) (c) (d) (e) (f) during the year (do not include Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 commuting miles) ...... ... . .. .. . 31 Total commulirtg rules driven during the year .... . 32 Total other personal (noncommuting) miles driven . ......... . . ... . . 33 Total miles driven during the year. Add lines 30 through 32 .. .. ..... .. . . . Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use during off-duty hours? . . . . . . . . . . . . 35 Was the vehicle used primarily by a more than 5% owner or related person? . . ... . 36 Is another vehicle available for personal use? . Section C - Questions f or EmD lovers Who Provide Ve hicles for u.R by Thair Pnrntnvaaa Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions). 37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, Yes No by your employees? ........................ ....... .... .... . . ..... .. ...... . 38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1 % or more owners .... .. ..... . 39 Do you treat all use of vehicles by employees as personal use? ......... . ... .. . .. ... . . . ..... ... . 40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions) ... .. . .. ... .. . Note: if your answer to 37, 38, 39, 40, or 41 is 'Yes,' do not complete Section B for the covered vehicles. (a) (b) (c) (d) (e) Descriptim of costs Date amortization Amortizable Cade Amortization Amortization begins amount section Period or percantap for this year 4j Amortization o costs that began before your 2005 tax year ....... .. .. ... . . . . 4d Tetaf_ Arid arrvwrnte in -d- rA ce,.:.,.........:___ ?_..?_-- •- ___-? 27 Property used 5n%, nr lracc in a nc ralifiad hucinacc uca- FDIZ0812 12/29/05 Form 4562 (2005) (Rev 1-2006) 4 i0 ft A. w CERTIFICATE OF SERVICE I, James W. Abraham, Esquire, the undersigned, hereby certify that I have served a true and correct copy of the foregoing document by fast class mail, upon the following person(s) at the following address(es) on the date stated below: Pamela L. Purdy, Esq. 308 North 2°d Street, Suite 200 PO Box 11544 Harrisburg, PA 17108 DATE: 1/28/08 James W. Abraham, Esquire =? , -?7 °' 7 _, *,? r, Cv ;',a f. ,.? C:? ::?;? ABRAHAM LAW OFFICES 45 East Main Street, Hammeistown, PA 17036 (717) 566-9380 GAIL G. FRASSETTA Plaintiff V. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA 'Z05 NO. 06 -2M JOSEPH FRASSETTA Defendant CIVIL ACTION - LAW DIVORCE MOTION FOR .APPOINTMENT OF MASTER Gail G. Frassetta, Plaintiff, moves the court to appoint a master with respect to the following claims: ( x) Divorce ( ) Annulment ( x) Alimony ( x) Alimony Pendente Lite (x) Distribution of Property ( ) Support (x) Counsel Fees (x) Costs and Expenses and in support of the motion states: 1. Discovery is complete as to the claim(s) for which the appointment of master is requested. 2. The Defendant has appeared in the action by his attorney, Pamela L. Purdy, Esquire. 3. The statutory ground(s) for divorce is irretrievable breakdown. 4. The action is contested with respect to the following claims: Divorce, Eguitable Distribution, Alimony. APL Counsel Fees, Costs & Expenses 5. The action does not involve complex issues of law or fact. 6. The hearing is expected to take 1 day. 7. Additional information, if any, relevant to the Motion: None. Date: 1/28/08 James W. Abraham, Esq. Attorney for Plaintiff, Gail G. Frassetta AND NOW, , 2008, Esquire is appointed master with respect to the following claims: BY THE COURT: 1, CERTIFICATE OF SERVICE I, James W. Abraham, Esquire, the undersigned, hereby certify that I have served a true and correct copy of the foregoing document by first class mail, upon the following person(s) at the following address(es) on the date stated below: Pamela L. Purdy, Esq. 308 North 2nd Street, Suite 200 PO Box 11544 Harrisburg, PA 17108 DATE: 1/28/08 James W. Abraham, Esquire ' ?? Ti S U i M ABRAHAM LAW OFFICES 31 12008, PA 17036 ?i 45 East Main Street, Hummelstown, (717) 566-9380 GAIL G. FRASSETTA Plaintiff V. JOSEPH FRASSETTA Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA X106 : NO. 06 -IM CIVIL ACTION - LAW DIVORCE MOTION FOR APPOINTMENT OF MASTER Gail G. Frassetta, Plaintiff, moves the court to appoint a master with respect to the following claims: (x) Divorce (x) Distribution of Property ( ) Annulment ( ) Support (x) Alimony (x) Counsel Fees (x) Alimony Pendente Lite (x) Costs and Expenses and in support of the motion states: 1. Discovery is complete as to the claim(s) for which the appointment of master is requested. 2. The Defendant has appeared in the action by his attorney, Pamela L. Purdy, Esquire. 3. The statutory ground(s) for divorce is irretrievable breakdown. 4. The action is contested with respect to the following claims: Divorce Equitable Distribution, Alimony APL Counsel Fees, Costs & Expenses 5. The action does not involve complex issues of law or fact. 6. The hearing is expected to take I day. 7. Additional information, if any, relevant to the Motion: None. Date: 1/28/08 James W. AbrAham, Esq. Attorney for Plaintiff, Gail G. Frassetta ?47. AND NOW, 4 , 2008, e. j? 6" , Esquire is appointed master wi respect to the following claims: BY T: rrd CNJ Ln f t. 'J cn CL ? LLJ } LL- f} LL O cxz O C,4 C.? CERTIFICATE OF SERVICE I, James W. Abraham, Esquire, the undersigned, hereby certify that I have served a true and correct copy of the foregoing document by first class mail, upon the following person(s) at the following address(es) on the date stated below: Pamela L. Purdy, Esq. 308 North 2nd Street, Suite 200 PO Box 11544 Harrisburg, PA 17108 DATE: 1/28/08 James W. Abraham, Esquire c? o M P 0 O CA Pamela L. Purdy Attorney ID No. 85783 308 N. Second St., Suite 200 Harrisburg, PA 17101 (717) 221-8303 (717) 221-8403 facsimile pipurdy@verizon.net Attorney for Defendant GAIL G. FRASSETTA, Plaintiff V. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANI/ NO. 06-2205 CIVIL ACTION - LAW IN DIVORCE DEFENDANT'S INCOME AND EXPENSE STATEMENT Defendant, Joseph A. Frassetta, files the attached Income and Expense Statement in the above-captioned action in divorce in accordance with Pa.R.C.P. 1920.31 as verified by Defendant. Respectfully submitted: 0?j I, 70q, &WI ?_ E4 Pamela L. Purdy Counsel for Defendant Gail G. Frassetta vs. Joseph Frassetta Docket Number: 06-2205 PACSES Number: Date of Marriage: 8/10/1988 Date of Separation: 10/07/2005 Income & Expenses For Joseph Frassetta SECTION I. Name ................ Joseph Frassetta Soc. Sec. No .......... Date of Birth ........... 9/22/1964 Address .............. 2911 Merion Road City, State Zip ......... Camp Hill PA 17011 SECTION II. INCOME 1. Monthly Salary ....................................................... 5,140 2. Total Monthly Income ........................................................... $ 5,140 SECTION III. DEDUCTIONS 3. Monthly Federal Tax .................................................. 759 4. Monthly State Tax .................................................... 158 5. Monthly FICA & Medicare Tax ........................................... 393 6. Total Monthly Deductions ....................................................... $ 1,310 7. Monthly Income After Deductions: ................................................ $ 3,830 SECTION IV. AVERAGE EXPENSES HOUSEHOLD'EXPENSES: 8. Monthly Electricity .................................................... 89 9. Monthly Water/Sewer ................................................. 45 10. Monthly Gas or Propane for Heat ........................................ 98 11. Monthly Cable TV .................................................... 43 12. Monthly Household Maintenance, etc . .................................... 48 13. Monthly Trash Removal .................... ; ........................ 15 14. Monthly Other Household .................................... ..... 22 15. Total Monthly Household Expenses ............................................... $ 360 TRANSPORTATION EXPENSES: 16. Monthly Car Payments ............................... ................. 583 17. Monthly Car Insurance ............................... ................. 40 18. Monthly Car Gasoline/oil .............................. ................. 181 19. Monthly Car Maintenance and repair. . . . ...... ......... ................. 190 20. Monthly Car License / stickers ......................... .................. 6 21. Monthly Other Transportation .......................... ................. 54 1 hl T 6. 0 $ 1054 22. Tota Mont y ransportaion xpenses ........................................... , Law Office of Pamela L. Purdy Prepared by Pamela Purdy 4/9/2006 Joseph Frassetta & Gail G. Frassetta Page 1 EXPENSES FOR CHILD(REN): 23. Monthly Child Care .................................... ............... 38 24. Monthly Child Clothing ................................. ................ 56 25. Monthly Child Education Lunches ........................ ................ 2 26. Monthly Child Medical Dentist ........................... ................ 11 27. Monthly Child Vacation & Summer Camp .................. ................ 67 28. Monthly Child Entertainment ............................ ................ 3 29. Monthly Child Other ................................... ................ 19 30. Total Monthly Child Expenses ......................... .......................... $ 196 PERSONAL EXPENSES: 31. Monthly Food / Groceries .............................................. 287 32. Monthly Clothes ...................................................... 28 33. Monthly Employment Unreimbursed Travel ................................. 537 34. Monthly Subscriptions, Books ........................................... 21 35. Total Monthly Personal Expenses ......................................... - $ 873 HEALTH AND MEDICAL EXPENSES: 36. Monthly Health Insurance .............................................. 148 37. Monthly Medical / Doctor ............................................... 84 38. Monthly Optical ...................................................... 15 39. Monthly Dental ....................................................... 52 40. Monthly Drugs & Prescriptions .......................................... 32 41. Total Monthly Health and Medical Expenses ........................................ $ 331 OTHER EXPENSES: 42. Motor Home Loan .................. 200 Mortgage ............... 956 Hearing Aids .................. 167 Verizon Phone/Internet .................. 90 Spousal/Child Support .................. 1,141 Per Capita Tax _ ................ 1 sewer .................. 14 legal fees .................. 517 43. Total Monthly Other Expenses ................................................... $ 3,086 44. Total Monthly Expenses ........................................................ $ 5,900 SUMMARY 45. Total Monthly Income ............................................ ............... $ 5,140 46. Total Monthly Deductions ............... • .. • .. • .. • ............... ............... $ 1,310 47. Total Monthly Expenses ......................................... ............... $ 5,900 48. Total Monthly Income After Deductions and Expenses ............. . . . . . . . . . . . . . . . . . . $ -2,070 Law Office of Pamela L. Purdy Prepared by Pamela Purdy 4192008 Joseph Frassetta & Gail G. Frassetta Page 2 VERIFICATION I verify that the statements made in the foregoing document are true and correct to the best of my knowledge, information and belief. I understand that false statements are made subject to the penalties of 18 Pa. C.S. §4904, relating to unsworn falsification to authorities. Dated: 4.j q 1-16 6'K CERTIFICATE OF SERVICE The undersigned certifies that on the -PA day of May, 2008, a true and correct copy of the foregoing Income and Expense Statement was served by first-class mail, postage prepaid, upon the following: James W. Abraham, Esquire 45 East Main Street Hummelstown, PA 17036 Pamela L. Purdy, Esquire Of Counsel for Defendant -8- C= cw r CID y 4 =C Q L' ) Pamela L. Purdy Attorney ID No. 85783 308 N. Second St., Suite 200 Harrisburg, PA 17101 (717) 221-8303 (717) 221-8403 facsimile plpurdy@verizon.net Attorney for Defendant GAIL G. FRASSETTA, Plaintiff V. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVAW : NO. 06-2205 CIVIL ACTION - LAW IN DIVORCE INVENTORY OF DEFENDANT. JOSEPH FRASSETTA Defendant files the following Inventory and Appraisement of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. Defendant verifies that the statements made in this Inventory and Appraisement are true and correct. Defendant understands that false statements herein are made subject to the penalties of 18 Pa. Cons. Stat. Ann. § 4904 relating to unsworn falsification to authorities. Date: v / ?0 7-1 ASSETS OF PARTIES Plaintiff marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. (x) 1. Real property (x) 2. Motor Vehicles (x) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit (x) 5. Checking accounts, cash (x) 6. Savings accounts, money market and savings certificates ( ) 7. Contents of safe deposit boxes ( ) 8. Trusts ( ) 9. Life insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) 10. Annuities ( ) 11. Gifts ( ) 12. Inheritances ( ) 13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( ) 15. Businesses (list all owners, including percentage of ownership and officer/director positions held by a party with company) ( ) 16. Employment termination benefits--severance pay, workman's compensation claim/award ( ) 17. Profit sharing plans (x) 18. Pension plans (indicate employee contribution and date plan vests) (x) 19. Retirement plans, Individual Retirement Accounts ( ) 20. Disability payments ( ) 21. Litigation claims (matured and unmatured) ( ) 22. MilitaryN.A. benefits ( ) 23. Education benefits ( x) 24. Debts due, including loans, mortgages held _r• -2- ( x) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) ( ) 26. Other -3- z MARITAL PROPERTY Plaintiff lists all marital property in which either or both spouses have a legal or equitable interest individually or with any other person as of the date this action was commenced. Item Number Description of Property Names of All Owners 1. 2911 Merion Road Husband and Wife 2. 1996 Toyota Camry Husband and Wife 3. 1993 Plymouth Voyager Husband and Wife 4. Personalty Husband and Wife 5. PPL Stocks Husband and Wife 6. U.S. Savings Bonds Husband and Wife 7. Fidelity Select Mutual Fund Husband and Wife 8. AIM Mutual Fund Husband and Wife 9. American Century Fund Husband and Wife 10. Ameritrade Stocks Husband and Wife 11. Marital Portion of Husband State Pension Plan 12. TRowe Price 401 K Husband 13. IRA Janus Fund Wife 14. Virginia State Retirement Wife 15. Household furnishings Husband and Wife -4- NON-MARITAL PROPERTY Plaintiff 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 1. Non-Marital Portion of PSERS Pension After separation contributions and increase in value -5- PROPERTY TRANSFERRED Plaintiff l.ists all property in which either or both spouses had a legal or equitable interest individually or with any other person and which has been transferred within the preceding three years: Item Description of Date of Consideration Person to Number Property Transfer Whom Transferred 1. Ameritrade Stocks July 2006 $14,000 Husband 2. PSECU April 3, 2006 $2170.00 Wife -6- LIABILITIES Item Description Names of Number of Property All Creditor 1. Mortgage First Horizon 2. RV Loan First Horizon h Names of All Debtors Husband and Wife Husband and Wife -7- CERTIFICATE OF SERVICE The undersigned certifies that on the , day of May, 2008, a true and correct copy of the foregoing Inventory was served by first-class mail, postage prepaid, upon the following: James W. Abraham, Esquire 45 East Main Street Hummelstown, PA 17036 Pamela L. Purdy, Esquire Of Counsel for Defendant -8- C r,a GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO.06 - 2205 CIVIL TERM. JOSEPH FRASSETTA : CIVIL ACTION - LAW Defendant : IN DIVORCE A HAVIT OF CSES W 1. A Complaint in Divorce under `Section 3301 (c) of the Divorce Code was filed on April 20, 2006. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety 'f90j days have elapsed from the date of service and filing of the CompWrd. 3. I consent to the entry of a Final Decree of Divorce after service of notice of intention to request entry of-the Decree. I verify that the statements made in the Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4404, relating to the unsworn falsificafion to authorities. 1 DATE: 1, aq 1. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that i wit 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 'waiver are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. Section 4404, relating to the unworn falsification to authorities. o.,E H'r M q ? ?, C? _. ? ` , t ?. ` .?.. r-' ?"` ? .. ? .. ? =`? . 6 Pamela L. Purdy, Esquire Attorney I.D. No. 85783 308 N. 2"d St., Ste. 200 PO Box 11544 Harrisburg, PA 17108 (717) 221-8303 tel (717) 221-8403 fax plpurdy@verizon.net Counsel for Defendant GAIL G. FRASSETTA, Plaintiff V. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-2205 CIVIL : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER 43301(c) OF THE DIVORCE CODE l . I consent to the entry of a final Decree of Divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. §4904 relating to unsworn falsification to authorities. Dated: -2- ?' ?"? :?. s;?".. ,? --? ,.., ?? ?? w ?...t a Pamela L. Purdy, Esquire Attorney I.D. No. 85783 308 N. 2^d St., Ste. 200 PO Box 1 1 544 Harrisburg, PA 17108 (717) 221-8303 tel (717) 221-8403 fax plpurdy@verizon.net Counsel for Defendant GAIL G. FRASSETTA, Plaintiff V. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-2205 CIVIL : IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on August 1, 2006. 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. 1 consent to the entry of a final decree of divorce after service of notice of intention to request entry of the decree. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. s?phrFr#'se Dated: /•J Jo/ p p *AD F: 7l r 7 co ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 02/25/09 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number 469108231 365 S 2006 06-2205 CIVIL O Origi nal Order/Notice OAmended Order/Notice OTerminate Order/Notice (Done-Time Lump Sum/Notice RE: FRASSETTA, JOSEPH JR Employee/Obligor's Name (Last, First, MI) 179-46-3383 Employee/Obligor's Social Security Number BUREAU OF COMMONWEALTH* 7551101668 C/O WAGE ATTACHMENT SECTION Employee/Obligor's Case Identifier PO BOX 8006 (See Addendum for plaintiff names HARRISBURG PA 17105-8006 associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 462.92 $ 0.00 $ 0.00 $ 0.00 $ 100.00 $ 0.00 $ 0.00 $ 0.00 for a total of $ per month in current child support per month in past-due child support per month in current medical support per month in past-due medical support per month in current spousal support per month in past-due spousal support per month for genetic test costs per month in other (specify) one-time lump sum payment Arrears 12 weeks or greater? O yes ® no 562.92 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 129.90 per weekly pay period. $ 281.46 per semimonthly pay period (twice a month) $ 259.81 per biweekly pay period (every two weeks) $ 562.92 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: DRO: R.J. Shadday Service Type M OMB No.: 0970-0154 A. Hess, Judge Form EN-028 Rev. 4 Worker I D $ IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If heck you are required toprovide a opy of this form to your mployee. If yo r employee works in a state that is dierent from the state that issued this order, a copy must be provised to your empYoyee even if the box is not checked 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2321722990 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR. 0 EMPLOYEE'S/OBLIGOR'S NAME: FRASSETTA, JOSEPH JR EMPLOYEE'S CASE IDENTIFIER: 7551101668 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT. NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(4) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev. 4 Service Type M OMB No.: 0970-0154 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FRASSETTA, JOSEPH JR PACKS Case Number 469108231 Plaintiff Name GAIL G. FRASSETTA Docket Attachment Amount 00365 S 2006 $ 462.92 Child(ren)'s Name(s): DOB QUINN M. FRASSETTA 06/20/94 CAMERON H, 7! SETTA 6} /09/96 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Service Type M OMB No.: 0970-0154 PACSES Case Number 625110691 Plaintiff Name GAIL G. FRASSETTA Docket Attachment Amount 06-2205 CIVIL$ 100.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Form EN-028 Rev. 4 Worker I D $ IATT w, r.? ' Y -; r GAIL G. FRASSETTA, Plaintiff VS. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06 - 2205 CIVIL IN DIVORCE ORDER OF COURT AND NOW, this day of o , 2009, counsel and the parties having entered into an agreement and stipulation resolving the economic issues on January 13, 2009, the date set for a Master's hearing, the agreement and stipulation having been transcribed, the appointment of the Master is vacated and counsel can conclude the proceedings by the filing of a praecipe to transmit the record with the affidavits of consent of the parties so that a final decree in divorce can be entered. cc: James W. Abraham Attorney for Plaintiff Pamela L. Purdy Attorney for Defendant C.d ? e S m,a-? BY OURT-,? Edgar B. Bayley, P.J. -r_ ` z czzl GAIL G. FRASSETTA, Plaintiff VS. JOSEPH FRASSETTA, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06 - 2205 CIVIL IN DIVORCE THE MASTER: Today is Tuesday, January 13, 2009. This is the date set for a hearing in the above-captioned divorce proceedings. Present in the hearing room are the Plaintiff, Gail G. Frassetta, and her counsel James W. Abraham, and the Defendant, Joseph Frassetta, and his counsel Pamela L. Purdy. This action was commenced by the filing of a complaint in divorce on April 20, 2006, raising grounds for divorce of irretrievable breakdown of the marriage. The Master has received today an affidavit of consent and a waiver of notice of intention to request entry of divorce decree signed by wife and dated January 13, 2009. The affidavit and waiver of wife will be filed by the Master's office with the Prothonotary. Counsel for husband has indicated that she will file a similar affidavit and waiver within a week of today's date with the Prothonotary. Therefore, the divorce can conclude under Section 3301(c) of the Domestic Relations Code. The complaint in divorce also raised economic 1 • claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. After considerable negotiations today and after prior conferences with counsel and the parties, an agreement has been reached with respect to a resolution of the outstanding economic issues. The agreement is going to be placed on the record in the presence of the parties. The agreement as stated on the record will be considered the substantive agreement of the parties, not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. Consequently, when the parties leave the hearing room today, they are bound by the terms of the agreement as stated on the record. The agreement is going to be transcribed and sent to counsel for review for typographical errors. After correction of any typographical errors, if any, by counsel, the agreement will be presented to the parties for signature based on the terms of the settlement as stated on the record today. Upon receipt by the Master of a completed agreement, the Master normally would prepare an order vacating his appointment and counsel would prepare a praecipe transmitting the record to the Court requesting a divorce decree. However, the Master understands that the agreement is going to reflect that the parties are going to 2 keep the Master's appointment in place for approximately 90 days, pending a resolution of certain issues that have to be resolved regarding the real estate of the parties. Consequently, the Master will not vacate his appointment until such time as the Master has been advised that the issues with respect to the marital residence have been completed. The agreement will amplify the settlement terms with respect to the time at which the Master can vacate and the praecipe to transmit can be filed. The parties were married on September 10, 1988, and separated on October 7, 2005. They are the natural parents of two children. The parties share custody, physical and legal, of the children. Upon receipt by the Master of the completed agreement, signed by the parties, the Master will hold the agreement in the file until he is directed by counsel to complete the vacation of his appointment. As previously noted, the parties are bound by the agreement even though there is no subsequent signing of the agreement when they leave the hearing room today. The signing of the agreement is an affirmation of the terms of settlement and the parties will be asked to provide their signatures for the affirmation of the terms. However, if there is no signing, the parties, as noted, are still bound by the terms when they leave the hearing room today. Mr. Abraham. 3 MR. ABRAHAM: As to equitable distribution of the marital estate, the parties have agreed to the following: 1. The following assets shall become the sole and separate property of wife: The former marital residence located at 2911 Marion Road, Camp Hill, Pennsylvania, with a marital value of $115,231.00; wife's Virginia retirement account, with a marital value of $23,203.00; wife's Janus IRA account, with a marital value of $5,319.00; PPL stock, with a marital value of $8,736.00; wife's Toyota, with a marital value of $2,575.00; the Investco/AIM financial account, with a marital value $2,852.00; the American Century financial account, with a marital value of $1,656.00; and from the Fidelity financial account, $1,457.00. The following assets shall become the sole and separate property of husband: Husband's SERS pension with the Commonwealth of Pennsylvania, with a marital value of $84,201.00; husband's mutual fund/IRA, with a marital value of $60,828.00; from the Fidelity account, husband shall receive $7,235.00; the Voyager vehicle, with a marital value of $645.00; and the Ameritrade financial account, with a marital value of $668.00. This distribution of the marital assets between husband and wife has taken into consideration the credits to each party as the parties had agreed during the discussions and settlement negotiations. 2. In regard to the marital residence, the parties have agreed that wife shall refinance the existing mortgages and/or line of credit within 90 days from today's date on or before April 13, 2009. The parties also agree that husband shall vacate the premises within said 90 days, on or before April 13, 2009. The parties agree that husband shall be permitted to remove the hot tub at the marital residence. Husband shall be permitted to remove the post-separation shrubs and trees from the marital residence. Husband shall be permitted to remove the washer and two ceiling fans; all other appliances and/or fixtures shall remain with the property. 3. The property is to remain in the same or similar condition outside of normal wear and tear for this 90 day period. The parties agree to cooperate for purposes of the transition from husband residing at the property to wife 4 residing at the property. 4. As to the marital residence, the parties agree that a deed shall be prepared transferring the property from husband and wife to wife which shall be prepared by wife's counsel. The deed will be held in escrow pending the refinancing of the mortgage and/or line of credit by wife, at which time, and only at which time, will the deed be recorded. For as long as husband resides at the marital residence, husband shall be responsible for the mortgage, utilities, and related costs as to the marital residence. 5. As to personal property, any and all tangible personal property has been divided to their mutual agreement of the parties and neither party shall make a claim of the personal property in the possession of the other except as stated herein. 6. Any and all signatures necessary for purposes of implementing the equitable distribution of property as stated herein shall be provided by the parties upon request. 7. In regard to the alimony, husband and wife agree that husband shall pay $100.00 per month in alimony through Domestic Relations which shall be non-modifiable as to term and amount except for in the event that husband relocates through his current employment to the Harrisburg area. The alimony; however, will be terminable upon the death of either party, the cohabitation or remarriage of wife. The term of this alimony shall be for three (3) years. The alimony shall be considered as income to wife and deductible to husband for federal income tax purposes. 8. Wife waives her her claim for counsel fees and costs. 9. The parties agree that the Master's appointment will not be vacated and the praecipe to transmit will not be accomplished until such time as the Master has been advised that the refinancing has been accomplished and the deed for the real estate has been transferred to wife and husband has vacated the premises. 10. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to 5 take against the will of the other, and right to act as administrator or executor in the other's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interest, rights, and claims. MR. ABRAHAM: Gail, you heard the statement as to the division of assets and as to alimony, the conditions and terms of the agreement as we reached it here today; do you understand what the agreement is and do you agree and acknowledge and accept those terms and conditions as a full and final resolution of this divorce action? MS. FRASSETTA: Yes, I understand the agreement and I acknowledge and accept the agreement. MS. PURDY: Mr. Frassetta, you were present here today and heard the terms of the marital settlement agreement as set forth on record, do you understand those terms? MR. FRASSETTA: Yes, I understand those terms. MS. PURDY: And do you accept them as a full and final resolution of your marital estate and this divorce action? MR. FRASSETTA: I do accept them. THE MASTER: And, Ms. Frassetta and Mr. Frassetta, do you both understand that you are bound by this 6 . .1 1 .) .p agreement even though you do not subsequently sign the agreement affirming this settlement later? MS. FRASSETTA: Yes. THE MASTER: So today, when you leave here, you are bound, even though there is no signatures on the agreement? MR. FRASSETTA: Yes. MS. FRASSETTA: Yes. THE MASTER: Thank you. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS: James W. Abraham Attorney for Plaintiff Pamela L. Purdy Attorney for Defe ant DATE: /-mod-C) 9 7 GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06 - 2205 CIVIL TERM JOSEPH FRASSETTA : CIVIL ACTION - LAW Defendant : DIVORCE AFFIDAVIT OF SERVICE I, James W. Abraham, Esquire, the undersigned, as attorney for Plaintiff, Joseph Frassetta, in the above-captioned action, hereby affirm that the Complaint in Divorce filed herein, was served upon Defendant, Joseph Frassetta, by certified mail on August 29, 2006, as verified by the green return receipt card from the US Post Office, which is attached below: F1 rd? and 3. Also =10ft A. Ddvwy is ded rod _ D AG" ¦. Prk t your rwne and adds. on the rev?ree x Addrw.a 9o that m cen i ftn i the card to you, by c. of DOvary ¦ Attach this cud to the back of the nl8ii "m or on the thorK N specs perrnlte_ dfff ,. Aruaa naar..aa m: w ddb *cm z D . 4 ???-.SSf'PTi'¢ e YES, arrter deNvery JOS&-P'4 s44 la,4 /701 13. WAoTyp Arb~ Md D EWM Md "Ef Replelered D Return Reoelpt for Merohwxfte a kwffl d Md D 0.0m. 4. Reeai W Ddhray? (Kira F" p Ym 7004 0750 000.2 7280 3937 Ps Forst . P t W oeraeds tlwin tbeert a oa ra sw DATE: 4/30/09 r• James W. Abraham, Esquire OF THE 2049 An 30 m i I: 5 b 1l1 iF..- ? 1' ABRAHAM LAW OFFICES 45 East Main Street, Hummelstown, PA 17036 (717) 566-9380 GAIL G. FRASSETTA : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06 - 2205 CIVIL TERM JOSEPH FRASSETTA : CIVIL ACTION - LAW Defendant : 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 x 3301(c) ( ) 3301(d)(1) of the Divorce Code. 2. Date and manner of service of the Complaint: April 29, 2006 by certified mail: see attached Affidavit of Service. 3. Complete either paragraph (a) or (b): (a) Date of execution of the Affidavit of Consent required by Section 3301(c) of the Divorce Code: by Plaintiff on 1/13/09; and by Defendant on 1/20/09. (b)(1) Date of execution of the affidavit required by Section 3301(d) of the Divorce Code: (2) Date of filing and service of plaintiffs affidavit upon the Defendant 4. Related claims pending: None pursuant to 1/13/09 Master's Hearing Asreement. 5. Complete either paragraph (a) or (b). (a) Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached: (b) Date Plaintiff s Waiver of Notice was filed with the Prothonotary: 1/14/09. (c) Date Defendant's Waiver of Notice was filed with the Prothonotary: 1/23/09. Respectfully sub 'tted: James W. Abraham, Esquire Abraham Law Offices 45 East Main Street Hummelstown, PA 17036 (717) 566-9380 DATE: 4/30/09 Attorney for Plaintiff, Gail G. Frassetta FILED-OF ;CE 2099 PR 30 H 1 z- 5 6 GAIL G. FRASSETTA IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. JOSEPH FRASSETTA NO 06 - 2205 DIVORCE DECREE AND NOW, Puyl S , 12WV , it is ordered and decreed that GAIL G. FRASSETTA , plaintiff, and JOSEPH FRASSETTA , defendant, are divorced from the bonds of matrimony. Any existing spousal support order shall hereafter be deemed an order for alimony pendente lite if any economic claims remain pending. The court retains jurisdiction of any claims raised by the parties to this action for which a final order has not yet been entered. Those claims are as follows: (If no claims remain indicate "None.") V O K-a_ The Agreement dated January 13, 2009 attached hereto, shall be incorporated, but shall not merge, into the final Divorce Decree. Attest: J. othonotary 1, 4 - ww? J ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 06-2205 CIVIL OOriginal Order/Notice State Commonwealth of Pennsylvania 469108231 Amended Order/Notice Co./City/Dist. of CUMBERLAND 365 S 2006 Date of Order/Notice 08/04/09 0Terminate Order/Notice Case Number (See Addendum for case summary) OOne-Time Lump Sum/Notice RE: FRASSETTA, JOSEPH JR Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 179-46-3383 Employee/Obligor's Social Security Number BUREAU OF COMMONWEALTH* 7551101668 C/O WAGE ATTACHMENT SECTION Employee/Obligor's Case Identifier PO BOX 8006 (See Addendum for plaintiff names HARRISBURG PA 17105-8006 associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 379.00 per month in current child support $ o. oo per month in past-due child support Arrears 12 weeks or greater? Dyes ® no $ 0.00 per month in current medical support $ 0.00 per month in past-due medical support $ ioo.oo per month in current spousal support $ o . oo per month in past-due spousal support $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) $ one-time lump sum payment for a total of $ 479.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 110.54 per weekly pay period. $ 239.50 per semimonthly pay period 221.08 (twice a month) $ per biweekly pay period (every two weeks) $ 479.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: P_V _ ARG 7 r'fa DRO: R.J. Shadday Service Type M OMB No.: 0970-0154 Form EN-028 Rev.5 Worker I D $ IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If heck. you are required to provide a?opy of this form to youremdloyee. If your employee works in a state that is di erent rom the state that issued this o er, a copy must be provi a to your employee even if the box is not chec ed 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2321722990 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0 EMPLOYEE'S/OBLIGOR'S NAME: FRASSETTA, JOSEPH JR EMPLOYEE'S CASE IDENTIFIER: 7551101668 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is increased to 55% and that 60% limit is increased to 65%u if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker I D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: FRASSETTA, JOSEPH JR PACKS Case Number 469108231 PACSES Case Number 625110691 Plaintiff Name Plaintiff Name GAIL G. FRASSETTA GAIL G. FRASSETTA Docket Attachment Amount Docket Attachment Amount 00365 S 2006 $ 379.00 06-2205 CIVIL$ 100.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB QUINN M. FRASSETTA 06/20/94 CAMERON H. FRASSETTTA 05/09/96 PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker I D $ IATT ?qy THF: 120,39 x:?Cs "J h4 ";, G ! ?? 1 r?r GAIL G. FRASSETTA, Petitioner VS. JOSEPH FRASSETTA, JR., Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 06-2205 CIVIL TERM IN DIVORCE PACSES CASE: 625110691 ORDER OF COURT ,t w AND NOW to wit, this 22nd day of January, 2009, it is hereby Ordered that the Cumberland County Domestic Relations Section dismiss their interest in the above captioned Alimony matter pursuant to the Petitioner's request to terminate the Alimony. There is no balance due the Petitioner and the account is closed with a zero balance. BY THE COURT: Edward E. Guido, J. DRO: R.J. Shadday xc: Petitioner Respondent James Abraham, Esq. Pamela L. Purdy, Esq. Form OE-001 Service Type: M Worker: 21005 January 19, 2010 Cumberland County Domestic Relations c/o Rickie Shadday 13 N. Hanover St. P.O. Box 320 Carlisle, PA 17013 Dear Ms. Shadday, By this letter, I am requesting that alimony be stopped immediately on my divorce order as I am cohabitating. Thank you for your assistance in this matter. Sincerely, i G i G. F sset t a lkk*--