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HomeMy WebLinkAbout06-5890 DEBRA A. ANDREE, IN THE COURT OF COMMON PLEAS Plaintiff, CUMBERLAND COUNTY, PENNSYLVANIA V. : DOCKET NO.: nG -- s ft CIVIL ACTION -LAW RICHARD P. ANDREE IN DIVORCE Defendant NOTICE TO DEFEND YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take action within twenty (20) days after this Complaint and Notice are served, by entering a written appearance personally or by attorney and filing in writing with the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the case may proceed without you and a judgment may be entered against you by the Court without further notice for any money claimed in the Complaint or for any other claim or relief requested by the Plaintiff. You may lose money or property or other rights important to you. 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. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING AN ATTONEY. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED OR NO FEE. CUMBERLAND COUNTY LAWYER REFERRAL SERVICE CUMBERLAND COUNTY COURTHOUSE 4T" FLOOR CARLISLE, Pennsylvania 17013 (717) 240-6200 DEBRA A. ANDREE, Plaintiff V. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA . NO. : CIVIL ACTION -LAW : IN DIVORCE COMPLAINT IN DIVORCE UNDER SECTION 3301 C OR D OF THE DIVORCE CODE AND NOW, this.rkay of October, 2006, comes the Plaintiff, Debra A. Andree, by and through her undersigned attorneys, McShane & Hitchings, LLC and Joseph L. Hitchings, Esquire and avers in support of her Divorce Complaint as follows: Plaintiff, Debra A. Andree, is an adult individual currently residing at 435 Delancey Court, Mechanicsburg, Cumberland County, Pennsylvania, 17055. 2. Defendant, Richard P. Andree, is an adult individual currently residing at 9 Victor Lane, Mechanicsburg, Cumberland County, Pennsylvania, 17050 3. Both parties have been bona fide residents of the Commonwealth of Pennsylvania for at least six (6) months immediately prior to filing of this Complaint. 4. Plaintiff and Defendant were married on November 11, 1987, in Camp Hill, Cumberland County, Pennsylvania, and separated on April 21, 2001. 5. There have been no prior actions of divorce or annulment between the parties. 6. The ground on which the divorce action is based is that the marriage is irretrievably broken. 7. Plaintiff has been advised that counseling is available and that the Plaintiff may have the right to request that the court require the parties to participate in counseling 8. Plaintiff requests the court to enter a decree of divorce. 9. No children have been born of this marriage. WHEREFORE, pursuant to 23 Pa. C.S.A. §3301 (c) or (d), Plaintiff, Debra A. Andree, respectfully requests this Court grant a Decree of Divorce, divorcing the parties from the bonds of matrimony. Respectfully Submitted, McShane & Hitchings, LLC i seph L. Hitchings, ire Attorney ID No. 65551 4811 Jonestown Road, Suite 125 Harrisburg, PA 17109 (717) 657-3900 (717) 657-2060 (fax) Attorneys for Plaintiff VERIFICATION I, Debra A. Andree, verify that the statements made in this Divorce Complaint are true and correct to the best of my knowledge. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unsworn falsification to authorities. rD to ;` ebra A. Andree V 0 v A? V O c ?J c"? r.? C :7 E7? ?f G'+ C? 1 "1 tl? DEBRA A. ANDREE, IN THE COURT OF COMMON PLEAS Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. : DOCKET NO.: 06-5890 RICHARD P. ANDREE, CIVIL ACTION -LAW Defendant IN DIVORCE PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Please enter my appearance as attorney in the above-captioned action for the Defendant, RICHARD P. ANDREE, per his request. Date: IV3 6 Respec4CEK, mitt Mela iEsquir e Attorney ID #84445 Scaringi & Scaringi, P.C. 2000 Linglestown Road, Suite 103 Harrisburg, Pennsylvania 17110 (717) 657-7770 C _ ? c `^ i ? = -,,u t _ ?: , ; ., ,? .. ?: ?=, : ? ? - . DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-5890 RICHARD P. ANDREE, : CIVIL ACTION -LAW Defendant : IN DIVORCE PROOF OF SERVICE I, Joseph L. Hitchings, Esquire, of McShane & Hitchings, LLC, attorneys for Plaintiff, do hereby certify that the Divorce Complaint was served on the Defendant on October 20, 2006, via Certified Mail, return receipt requested as reflected on the United States Postal Service Certified Mail Card attached hereto. E 0 CwvWe i0em 1. Ir. arsd & Aisc? comwe Wh 4 if R" d DOVOry ie deae+sd. ! Oft your Herne and addsew an the revue w to we can Pohm the card to you. 0 Aftch this oard to the back of the maltp4ec^ aratn the fresnt tf apace pwn ts. t. AM& Addmssed to: I H n4 ref 4'1c4-or 14n e n;cs? Po-. I i0so a s 0 AG" B. .skoed by (P d Nand c. dt W D. is delvsy eddnrs d rr YES, ever d*4wry ? u 2 3 4 S. SWIM TOO A Dim 0 RMOWAN o Adum Rooeirx for Ii wduolfft d kreusd MaN 13 GXW - 4. Reid DMIrarY1 mat Fad 0 ryes i ,Ir a Number 9692 9+x92 0000 0550 fi00L Pit #WM . 0a002f1f11 OerMwsilwrr l e MCSHANE & HITCHINGS, LLC oseph itchings, sq re Attorney ID No.: 6555 _') 4807 Jonestown Road, Suite 148 Harrisburg, PA 17109 Telephone: (717) 657-3900 Fax: (717) 657-2060 Attorney for Plaintiff ?, :-;' .: ,? <_ ?? __ m z .- 7 -.. ?? s rte-' ` ? .C C _ C ^., ?' c r. ... _. 'r ? ,. - 1r, 9K IN RE: : IN THE COURT OF COMMON PLEAS OF PETITION OF CUMBERLAND COUNTY, PENNSYLVANIA ROBERT E. GOLOFSKY TO TRANSFER STRUCTURED SETTLEMENT PAYMENT RIGHTS 06-6095 CIVIL ORDER OF COURT AND NOW, this 2"d day of November, 2006, bases upon the averments presented in the Petition to Transfer Structured Settlement Payment Rights, and the Court finds, 1. That Robert E. Golofsky is currently incarcerated in the State Correctional Institute at Camp Hill. 2. That the use of the Transferred Payments to pay prior bail obligations and attorneys fees will not improve his standard of living. 3. That under the proposed settlement agreement the Petitioner is surrendering a discounted present value of $29,145.67 in exchange for a transferred payment of $9,088.78. 4. That in addition the Petitioner will be required to pay legal and processing fees of $2,200.00. 5. That after payment of legal and processing fees, the Petitioner will receive only $6,888.78 which represents less than 24% of the discounted present value. 6. That this Transfer of Structured Settlement Payment Rights is not in the best interest of the Petitioner. IT IS HEREBY ORDERED AND DIRECTED that the Petition to Transfer Structured Settlement Payment Rights is DENIED without a hearing. See In Re: Macumber, No. 151 O.C. 2003, 2003 WL 236997753 (66 Pa. D & C. 4th 249, December 19, 2003); In Re: Johnny Bush, 152 Pitts.Leg.J. 207 (2004); In Re: Hilton, No. 2005- 2721, 2005 W L 4171289 (76 Pa. D. & C. 4th 378, October 25, 2005); In Re: Marshall, No. Civ.A. 06 CV 1186, 2006 WL 1682793 (Pa.Com.Pl. April 12,2006); In Re: Bendowski, No. 06 CV 3056, 2006 WL 2988465 (Pa.Com.Pl. August 24, 2006). By the Court, . ?k -? UA \/ M. L. Ebert, Jr., 0 J. bas ZZ •0I AS S C-- An-A HE DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06 - 5890 RICHARD P. ANDREE, : CIVIL ACTION -LAW Defendant : IN DIVORCE PLAINTIFF'S STATEMENT OF INTENTION TO PROCEED Notice is hereby given that the Plaintiff in the above captioned divorce action, Debra A. Andree, intends to proceed with litigating her claims against Defendant, Richard P. Andree. Plaintiff intends to list the matter for a hearing beofre the divorce master. Accordingly it is requested that the case not be terminated, but rather be left open on the docket for the Plaintiff to proceed. Respectfully submitted, Date: "?o -b 4 ? 9 By: Law,A?ffice of Joseph L. Hitchings Oseph L. it hings,.,Esq 're Attorney ID No.: 65554- 5000 Ritter Road, Suite 202 Mechanicsburg, Pennsylvania 1 (717) 458-8123 Fax: (717) 790-6019 5 OF JBPROMMICNEOTAN 2009 OCT 26 PM 3,- 56 CUMBE ;? ,?? "?IfNTY PENNS41AI NN1A DEBRA A. ANDREE : IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA v. : N0.06-5890 RICHARD P. ANDREE Defendant : IN DIVORCE n ~; c-~ p - i EN'T'RY OF APPEARANCE ~ `' - V1 u . -a -,.~ TO THE PROTHONOTARY: ~ ~ `~~ W Kindly enter my appearance on behalf of the Plaintiff in the above captioned Divorc~ `- matter. Date: 3~ ~ Respectfully submitted, RONIINGER & ASSOCIATES ~T~~ Vincent M. Monfredo, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Court ID # 206671 Attorney for Plaintiff WITHDR,~AWL OF APPEARANCE Kindly withdraw my appearance on behalf of the Plaintiff in the above captioned Divorce matter. z /Joseph L. Hitching, ~, F s~h~e Rossmoyne Business Ce 5000 Ritter Road, Suite 202 Mechanicsburg, PA 17055 I DEBRA A. ANDREE Plaintiff V. RICHARD P. ANDREE Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-5890 IN DIVORCE MOTION FOR APPOINTMENT OF MASTER r n M -Cx' r Q Debra A. Andree, Plaintiff, moves the Court to appoint a Master with respect to the following claims: ( X ) Divorce ( X ) Distribution of Property ( ) Annulment ( ) Support ( ) Alimony ( X ) Counsel Fees ( ) 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 a Master is requested. 2. The defendant has appeared in the action by his attorney Frank Sluzis, Esquire. 3. The statutory ground(s) for divorce are: (a) the marriage is irretrievably broken 4. Delete the inapplicable paragraph(s): (a) The action is not contested. 5. The action does not involve complex issues of law or fact. 6. The hearing is expected to take one day. 7. Additional information, if any, relevant to the Motion: Date: 7 Vincent M. Monfredo, Esquire Attorney for Plaintiff DEBRA A. ANDREE Plaintiff V. RICHARD P. ANDREE Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : NO. 06-5890 : IN 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 of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the Cumberland County Court House, High and Hanover Streets, Carlisle. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 Phone: (717) 249-3166 (800) 990-9108 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having busineol"A tfRE t?f lease contact our office. All arrangements must be made at least 72 hours prior to any JkW R? the court. You must attend the scheduled conference or hearing. 331 Cori _3 ec l'?12 awl DEBRA A. ANDREE Plaintiff V. RICHARD P. ANDREE Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA : NO. 06-5890 IN DIVORCE AMENDED COMPLAINT TO INCLUDE SECTION 3301(c) AND SECTION 3301 (d) OF THE DIVORCE CODE AND TO INCLUDE A COUNT FOR COSTS AND EXPENSES AND A COUNT FOR EQUITABLE DISTRIBUTION 1. Plaintiff is Debra A. Endree, who currently resides at 435 Delancey Court Mechanicsburg, PA, Cumberland County, Pennsylvania, 17055. 2. Defendant is Richard P. Andree, who currently resides at 9 Victor Lane, Mechanicsburg, Cumberland County, Pennsylvania. 3. Plaintiff and Defendant have both been bona fide residents in the Commonwealth for at least six months immediately previous to filing of this Complaint. 4. Plaintiff and Defendant were married on November 11, 1987, Camp Hill, PA. 5. There have been no prior actions of divorce or for annulment between the parties hereto in this or any other jurisdiction. 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. Neither Plaintiff nor Defendant is in the military or naval service of the United States or its allies within the provisions of the Soldiers' and Sailors' Civil Relief Act of the Congress of 1940 and its amendments. COUNT II COSTS AND EXPENSES Paragraphs 1 through 8 are incorporated herein by reference as if set forth in their full text. 10. Plaintiff has acquired costs and expenses in filing for the Divorce Master hearing. WHEREFORE, Plaintiff requests your Honorable Court to enter an Order requiring Defendant to provide a payment of a expenses. COUNT III EQUITABLE DISTRIBUTION 11. Paragraphs 1 through 10 are incorporated herein by reference as if set forth in their full text. 12. Plaintiff and Defendant are joint owners of various items of personal property, furniture and household furnishings acquired during their marriage, which are subject to equitable distribution. 13. Plaintiff and Defendant have incurred debts and obligations during their marriage, which are subject to equitable distribution. WHEREFORE, Plaintiff requests your Honorable Court to enter a decree equitably dividing the parties' property and equitably apportioning the debts incurred by the parties COUNT IV COUNSEL FEES 14. Paragraphs 11-14 are incorporated herein by reference as if set forth in their full text. 15. Plaintiff has incurred additional counsel fees in amending her divorce complaint to include additional counts. WHEREFORE, Plaintiff requests that this Honorable Court enter an Order requiring the Defendant to provide a payment for Counsel fees. Respectfully submitted, ROMINGER & ASSOCIATES Date: ' 10 Vincent M. Monfredo, Esquire Attorney for Plaintiff 155 South Hanover Street Carlisle, PA 17013 Supreme Court I.D. #206671 (717) 241-6070 VERIFICATION I verify that the statements made in this Complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904, relating to unworn falsification to authorities. Date: -,?' (? T ' OFr in I nip DEBRA A. ANDREE : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06-5890 RICHARD P. ANDREE Defendant : IN DIVORCE ORDER APPOINTING MASTER AND NOW, this I day of , 2010, e ? 1- i s appointed Master with respect to the following claims: 1. Divorce 2. Equitable Distribution 3. Costs and Expenses 4. Counsel Fees By the Court: ?r - zt 4 Y ' FILED-OFFICE Scaringi & Scaringi, P.C. t}' THE PROT ONO_Fr? P Frank C. Sluzis, Esquire PA I.D. No. 43829 2010 DEC 29 PM 4: C47 2000 Linglestown Road, Suite 106 Harrisburg, PA 17110 CUMBERLAND COON' Te+ (717) 657-7770 PENNSYLV A ?NIi# A, Attorney for Defendant DEBRA A. ANDREE, Plaintiff V. RICHARD P. ANDREE, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. 06-5890 CIVIL IN DIVORCE PETITION TO WITHDRAW AS COUNSEL PURSUANT TO Pa.R.Civ.P.1012 AND NOW comes Petitioner, Frank C. Sluzis, Esquire and Scaringi & Scaringi, P.C., who respectfully request that this Honorable Court grant him permission to immediately withdraw as counsel for Defendant in the above-captioned action and in support thereof avers as follows: 1. Defendant Richard P. Andree is presently a client of Petitioner and Scaringi & Scaringi, P.C. 2. Pennsylvania Rule of Professional Conduct 1.16(b) permits withdrawal as counsel when: a. "withdrawal can be accomplished without material adverse effect on the interests of the client;" Pa.R.P.C. 1.16(b)(1); b. "the client fails substantially to fulfill an obligation to the lawyer regarding the lawyer's services and has been given reasonable warning that the lawyer will withdraw unless the obligation is fulfilled;" Pa.R.P.C. 1.16(b)(5); c. "the representation will result in an unreasonable financial burden on the lawyer or has been rendered unreasonably difficult by the client;" Pa.R.P.C. 1.16(b)(6); or d. "other good cause for withdrawal exists." Pa.R.P.C. 1.16(b)(7). 3. Withdrawal as counsel can be accomplished at this time without material adverse effect on Defendant's case as there is no court appearance scheduled for the near future. 4. Continued representation would result in a financial burden to Petitioner. 5. Petitioner seeks to withdraw as counsel in this matter because it is believed that sufficient grounds exist pursuant to Pa.R.P.C. 1.16(b). 6. No hearing or argument is requested. 7. Discovery is not necessary. 8. Vincent Monfredo, Esquire, counsel for Plaintiff, does not object to this Petition. WHEREFORE, Petitioner respectfully requests that this Honorable Court order that Petitioner's request to withdraw as counsel on behalf of Defendant Richard P. Andree in the above-captioned matter is granted. submitted: Date: I/ LC_ C4 Flank T. Sluzis, Esquire Sarii & Scaringi, P.C. 20 inglestown Road, Suite 106 Harrisburg, PA 17110 (717) 657-7770 CERTIFICATE OF SERVICE I, Desiree A. Brougher, Law Clerk for Scaringi & Scaringi, P.C. do hereby certify that a copy of the foregoing Petition to Withdraw as Counsel in the above-captioned case has been duly served upon the following individual(s) by depositing same in the United States Mail, First Class, Postage Prepaid, addressed as follows: Richard P. Andree 9 Victor Lane Mechanicsburg, PA 17055 Debra A. Andree c/o Vincent Monfredo, Esquire Rominger & Associates 155 South Hanover Street Carlisle, PA 17013 Date: '_Ij umber V, ?'O ( 6 • 15esir6e A. Brougher, Law C k HEP O Scaringi &Scaringi, P.C. OF T R THONOTARY Frank C. Sluzis, Esquire PA I.D. No. 43829 201 l 2 2000 Linglestown Road, Suite 106 Harrisburg, PA 17110 C UM B ER !_ U NT Y (717) 657-7770 A Attorney for Defendant DEBRA A. ANDREE, Plaintiff V. RICHARD P. ANDREE, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA No. 06-5890 CIVIL : IN DIVORCE AMENDED PETITION TO WITHDRAW AS COUNSEL PURSUANT TO Pa.R.Civ.P. 1012 AND NOW comes Petitioner, Frank C. Sluzis, Esquire and Scaringi & Scaringi, P.C., who respectfully submits this Amended Petition to Withdraw as Counsel in accordance with Local Rule 208.3(a)(2) and in support thereof avers as follows: 1. On December 13, 2010, the Honorable Judge Hess entered an Order Appointing Master in this matter. WHEREFORE, Petitioner respectfully requests that this Honorable Court order that Petitioner's request to withdraw as counsel on behalf of Defendant Richard P. Andree in the above-captioned matter is granted. submitted: Date: /?6 /?f Fr C. Sluzis, Esquire Sc ,Vngi & Scaringi, P.C. 0 Linglestown Road, Suite 106 Harrisburg, PA 17110 (717) 657-7770 CERTIFICATE OF SERVICE I, Desiree A. Brougher, Law Clerk for Scaringi & Scaringi, P.C. do hereby certify that a copy of the foregoing Amended Petition to Withdraw as Counsel in the above-captioned case has been duly served upon the following individual(s) by depositing same in the United States Mail, First Class, Postage Prepaid, addressed as follows: Richard P. Andree 9 Victor Lane Mechanicsburg, PA 17055 Debra A. Andree c/o Vincent Monfredo, Esquire Rominger & Associates 155 South Hanover Street Carlisle, PA 17013 Date: OAAg4j, esiree A. Brougher, Law Cl DEBRA A. ANDREE, Plaintiff V. RICHARD P. ANDREE, Defendant AND NOW, this ?j IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA No. 06-5890 CIVIL ACTION -LAW IN DIVORCE ORDER OF COURT day of :'tibw _, 2011, upon consideration of the Petition for Leave to Withdraw as Counsel, Motion to Make Rule Absolute, and noting that no response or objection was filed by Plaintiff or Defendant to this Petition, it is hereby ORDERED that said Petition is GRANTED. Scaringi & Scaringi, P.C. is withdrawn as counsel for Defendant Richard P. Andree in the above-captioned matter. ""a M ? BY THE COURT: `=' r h? e J. Distribution: -`? Frank C. Sluzis, Esquire, 2000 Linglestown Road, Suite 106, Harrisburg, PA 17110 (100e.2- -'Vincent Monfredo, Esquire, 155 South Hanover Street, Carlisle, PA 17013 " 1 111(111 Richard P. Andree, 9 Victor Lane, Mechanicsburg, PA 17055 DEBRA A. ANDREE : IN THE COURT OF COMMON PLEAS OIL? Plaintiff : CUMBERLAND COUNTY, PENNSYLV *— -�i x�. Xm -71 F NO. 06-5890 RICHARD P. ANDREE = Defendant : IN DIVORCE CD I PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Please enter my appearance for the Plaintiff, Debra A. Andree, in the above captioned case. I Date: Lee Mandarino, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Court No. 312895 Attorney for Plaintiff PRAECIPE TO WITHDRAW APPEARANCE TO THE PROTHONOTARY: Please withdraw my appearance for the Plaintiff, Debra A. Andree in the above captioned case. `7 Date: — 3'-/3 Vincent M. Monfredo, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 Supreme Court No. 206671 DEBRA A. ANDREE : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-5890 RICHARD P. ANDREE Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, Lee Mandarino, Esquire, do hereby certify that I served a copy of the Praecipe upon the following by depositing same in the United States mail, postage prepaid, at Carlisle, Pennsylvania, addressed as follows: Richard P. Andree 9 Victor Lane Mechanicsburg, PA 17055 Respectfully submitted, ROMINGER & ASSOCIATES Lee Mandarino, Esquire 155 South Hanover Street Carlisle, PA 17013 (717) 241-6070 j Supreme Court ID #312895 Attorney for Plaintiff Dated: l ,LLR , _ ,l..I -3 FM CUMBERLAND COUNTY PENNSYLVANIA Mary A. Etter Dissinger Attorney for Plaintiff Supreme Ct. ID# 27736 28 N. 32nd Street Camp Hill, PA 17011 (717)975-2480 - Voice (717)975-3924 - Fax DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE PETITION FOR HEARING ON PLAINTIFF'S COMPLAINT FOR ALIMONY PENDENTE LITE AND NOW comes Mary A. Etter Dissinger, Esquire, counsel for Plaintiff, and requests the Court to schedule a hearing on her Complaint for Alimony Pendente Lite. Respectfully Submitted, DISSINGER & DISSINGER Mary A. Etter Dissinger, Attorney at Law Supreme Court ID #27736 28 North Thirty-second Street Camp Hill, PA 17011 (717)975-2840 (717)975-3924 - fax • DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE CERTIFICATE OF SERVICE I, Mary A. Etter Dissinger, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons United States Mail to: Date: Richard P. Andree 9 Victor Lane Mechanicsburg, PA 17055 Mary A. Etter Dissinger Esq. HEP () ; HONb 4 J[JN -3 PM 3: 12 CUMBERLAND COUNTY PENNSYLVANIA Mary A. Etter Dissinger Attorney for Plaintiff Supreme Ct. ID# 27736 28 N. 32nd Street Camp Hill, PA 17011 (717)975-2480 - Voice (717)975-3924 - Fax DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE COMPLAINT FOR ALIMONY PENDENTE LITE And now comes Debra A. Andree by and through her attorneys Dissinger & Dissinger and requests the court to enter an award of alimony pendente lite and in support of her Complaint avers as follows: 1. Plaintiff is Debra A. Andree. 2. Defendant is Richard P. Andree. 3. Plaintiff is unable to sustain herself in this divorce action, or thereafter. 4. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to sustain herself through appropriate employment. Defendant has the means and ability to pay Alimony Pendente Lite and Alimony to Plaintiff. WHEREFORE, Plaintiff requests the Court to enter an award of alimony pendente lite until final hearing and thereupon to enter an Order of alimony in her favor. Respectfully Submitted: Dissinger & Dissinger Mary A. Etter Dissinger Petitioner Supreme Court ID # 27736 28 N. 32nd Street Camp Hill, PA 17011 (717)975-2840 - voice (717)975-3924 - fax VERIFICATION I, Debra A. Andree, verify that the statements made in response to the Defendant's Request for Production of Documents are true and correct. I understand that false statements herein are made subject to the penalties of Pa.C.S. §4904 relating to unsworn falsification to authorit DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE CERTIFICATE OF SERVICE I, Mary A. Etter Dissinger, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons United States Mail to: Date: Richard P. Andree 9 Victor Lane Mechanicsburg, PA 17055 L -2‘1J-1 -7-Va, Mary A. Etter Dissingr, Esq. DEBRA A. ANDREE, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE RICHARD P. ANDREE, Defendant/Respondent : NO. 06-5890 CIVIL TERM IN DIVORCE PACSES CASE: 425114241 ORDER OF COURT AND NOW, this 10th day of June, 2014, upon consideration of the Petition for Alimony Pendente Lite and/or counsel fees, it is hereby ordered that the parties and their respective counsels appear before R. J. Shadday on July 23, 2014 at 9:00A.M. for a conference, at 13 N. Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered. You are further ordered to bring to the conference: (0) a true copy of your most recent Federal Income Tax Return, including W -2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.11c (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you. CC361 If you fail to appear for the conference or to bring the required documents, the court may issue a warrant for your arrest and/or enter an interim order. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the action. Date of Order: June 10, 2014 BY THE COURT, Albert H. Masland, Judge YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 S. BEDFORD ST. CARLISLE, PENNSYLVANIA 17013 (717)249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at: 717-240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled conference. 4 Cab. IN THE COURT OF COMMON PLEAS OF HEW COUNTY, PENNSYLVANIA FAMILY COURT DIVISION DEBRA A. ANDREE, Plaintiff v. RICHARD P. ANDREE, Defendant NO. 06-5890 CIVIL ACTION - LAW ACTION IN DIVORCE PRAECIPE TO ENTER APPEARANCE TO THE PROTHONOTARY: Please enter the appearances of Michael J. Pykosh, Esq., and Katherine L. McDonald, Esq., as attorneys for Defendant, Richard P Andree, in the above captioned matter. Respectfully Submitted, Dated: ‘I%/iii Michael J. ykosh, Esq. Dethlefs-Pykosh Law Group 2132 Market St, Camp Hill, PA 17011 (717) 975-9446 mpykosh@dplglaw.com Supreme Court ID No. Respectfully Submitted, ✓NAktuadiAc-I Katherine L. MdDonald, Esq. ..Dethlefs-Pykosh Law Group 2132 Market St, Camp Hill, PA 17011 (717) 975-9446 kmcdonald@dplglaw.com Supreme Court ID No. 313633 INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Q AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT „,,Q TERMItION OF IWO AAs ) a14 -J 0 -s ci0 CIV1I Date: 07/24/14 `'•4 ' Child Support'EnforcemenT(CSE) Agency ice" -:may,.® Court ❑ Attorney NOTE: This IWO must be regular on its face. Under certain circumstances you must reject instructions http://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154 instructions.Ddf). other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be ❑ Private Individual/Entity (Check One) this IWO and return it to the sender (see IWO If you receive this document from someone attached. State/Tribe/Territory Commonwealth of Pennsylvania City/County/Dist./Tribe CUMBERLAND Private Individual/Entity Remittance Identifier (include w/payment): 6730102748 Order Identifier: (See Addendum for order/docket Information) CSE Agency Case Identifier: (See Addendum for case summary) CLEAR CHANNEL COMMUNICATIONS 20880 STONE OAK PARKWAY SAN ANTONIO TX 78258 Employer/Income Withholder's FEIN 742722883 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: ANDREE, RICHARD P. Employee/Obligor's Name (Last, First, Middle) 203-42-9596 Employee/Obligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) Custodial Party/Obligee's Name (Last, First, Middle) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions http://www.acf. hhs.gov/programs/cse/forms/ OMB -0970-0154 instructions.pdf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. 7427228830 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support $ 0.00 per month in past -due child support - Arrears 12 weeks or greater? $ 0.00 per month in current cash medical support $ 0.00 per month in past -due cash medical support $ 527.00 per month in current spousal support $ 3.00 per month in past -due spousal support $ 0.00 per month in other (must specify) for a Total Amount to Withhold of $ 530.00 per month. r._ tv Qt AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Orer Inrmgon. If your pay cycle does not match the ordered payment cycle, withhold one of the following amount: $ 122.3.E per weekly pay period. $ 265.00 per semimonthly pay period (twice a month) $ 244./02. per biweekly pay period (every two weeks) $ 530.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map. htm for the employee/obligor's principal place of employment. _.r Document Tracking Identifier Service Type M OMB No.: 0970-0154 Form EN -028 11/13 Worker ID $IATT ❑ Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SDU in N. accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: �//'r • e' Masland Date of Signature: JUL 2 5 2014 If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. 0 If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS 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. State -specific contact and withholding information can be found on the Federal Employer Services website located at: http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map.htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, of Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE:agency, you must follow the "Remit payment to" instructions on this form. t� .ti Reporting the.Pay_Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld"from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past -due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti -discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date — 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN -028 11/13 Service Type M Page 2 of 3 Worker ID $IATT Employer's Name: CLEAR CHANNEL COMMUNICATIONS Employer FEIN: 742722883 Employaa/Obligur'sNome: ANDREE, RICHARD P. 6730102748 CSE Agency Case Identifier: (See Addendum for case summary) Onder|dendhoc(SeeAdden6un,foromdenldonketknfbrnation) 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/obligor's principal place of employment (see REMITTANCE INFORMATION). 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, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If perrnitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Triba withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the Iaw of the jurisdiction in which the employer/income withholder is Iocatedorthomaximumomou,dpmnndhadunder000Uon3O3(d)oftheCCPA(15U.S.C.1673(b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Empioyer should calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you are no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by returning this form to the address listed in the Contact Information below: 7427228830 [l This person has never worked for this empoyer nor received periodic income. [) This person no Ionger works tor this employer nor receives periodic income. Please provide the foliowing information for the employee/obligor: Termination date: Last known phone number: Last known address: Final Payment Date To SDU/Tribal Payee: Final Payment Amount: New Empoyer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) byphone at(717)24U-G226.byfax at(717)24O-G248.byemail orwebsite at: vmww.nhildsuoport.otata.po.ua. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER ST, P.O.BOX 32O.CARLISLE, PA. 17O13(Issuer addneos). To Employee/Obligor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT (Issuer name) byphone ot(717)24O-6226.byfax ot(717)240-G24O.byemail orwebsite atvmww.chi|dmupporLotate.00.uo. IMPORTANT: The person completing this form is advised that the information may be shared with the OMB No.: 0970-0154 Service Type M Page 3 of 3Worker ID $1ATT Form EN -028 11/13 ADDENDUM Summary of Cases on Attachment DefendantlObligor: ANDREE, RICHARD P. PACSES Case Number 425114241 Plaintiff Name DEBRA A. ANDREE Docket Attachment Amount 06-5890 CIVIL $ 530.00 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 PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount Docket Attachment Amount $ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): Service Type M DOB Addendum OMB No.: 0970-0154 Form EN -028 11/13 Worker ID $IATT DEBRA A. ANDREE, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE RICHARD P. ANDREE, Defendant/Respondent : NO. 06-5890 CIVIL TERM IN DIVORCE PACSES CASE: 425114241 ORDER OF COURT :n AND NOW, this 24th day of July, 2014, based upon the Court's determination that the Petitioner's monthly net income/earning capacity is $1,172.09 and the Respondent's monthly net income/earning capacity is $3,190.52, it is hereby ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit Five Hundred Thirty and 00/100 Dollars ($ 530.00) per month payable monthly as follows: $527.00 per month for Alimony Pendente Lite and $ 3.00 per month on arrears. The first payment is due in accordance with the Respondent's pay schedule. The effective date of the order is June 3, 2014. Arrears set at $1012.13 as of July 24, 2014. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and, at its discretion, make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money is to be turned over by the PA SCDU for distribution and disbursement in accordance with Rule 1910.17(d). Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the Respondent's name with their PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. cc360 The monthly support obligation includes cash medical support in the amount of $250 annually for unreimbursed medical expenses incurred for the spouse. Unreimbursed medical expenses of the spouse that exceed $250 annually shall be allocated between the parties. The party seeking allocation of unreimbursed medical expenses must provide documentation of expenses to the other party no later than March 31st of the year following the calendar year in which the final medical bill to be allocated was received. The unreimbursed medical expenses are to be paid as follows: 0 % by Respondent and 100 % by Petitioner. [] Respondent [] Petitioner [X] Neither party to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the [1 Petitioner [] Respondent shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, of: 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co -payments; and 8) five copies of any claim forms. It is further Ordered that, upon payor's failure to comply with this order, payor may be arrested and brought before the Court for a Contempt hearing; payor's wages, salary, commissions, and/or income may be attached in accordance with law; this Order will be increased without further hearing by 0% a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Other conditions: This order considers a downward deviation of $280.00 per month as the Respondent is making payment on the mortgage, real estate taxes, homeowner's insurance and home equity loan for the marital home. This Order shall become final twenty (20) after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Office of the Prothonotary for a hearing de novo before the Court. Mailed copies on: July 25, 2014 BY THE COURT xc: Petitioner Respondent Mary A. Etter Dissinger, Esq. Michael J. Pykosh, Esq. DRO: R.J. Shadday Albert H. Masland, J. G304 --1--c) DI2-0 Zll%yJU� ? THONG 14 i C(/ f18 w P" 2: f 7 P�r�'Rs j%�Jfl COUNT Aftif4 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant Docket Number: 06-5890 CIVIL TERM PACSES Case Number: 425114241 DEMAND FOR HEARING DE NOVO Date of Order: July 24, 2014, effective date June 3, 2014 Amount of Order: $530.00/month For the Support of: Debra A. Andree, DOB Date of Request for Hearing: July 28, 2014 Conference Officer: R.J. Shadday Reason for Demand for Hearing/Issues You Plan to Raise at the Hearing: Debra A. Andree's assessed earning capacity of $1,172.09 net per month, or $8.00 gross per hour, is significantly too low. From 2000 through 2012, Ms. Andree was employed as Director of Advertising by Diakon Lutheran Socival Ministries, and her salary in 2012 was $54,864.00 gross per year, or $4,572.00 gross per month. Her assessed earning capacity should not be minimum wage, but should instead be much closer to her salary at her last place of employment. Further, the parties have been separated since April 21, 2001, but Ms. Andree did not file for APL until June 3, 2014. Ms. Andree was able to support herself for more than 13 years after separation, and should not be allowed to claim that she cannot support herself now. YOU ARE REQUIRED TO NOTIFY THE OPPOSING PARTY AND ANY ATTORNEY INVOLVED THAT A REQUEST FOR A HEARING BEFORE THE COURT ON THIS ORDER IS BEING TAKEN BY PROVIDING THEM WITH A COPY OF THIS FORM. ALL APPEALS WILL BE SCHEDULED FOR A REGULAR DE NOVO HEARING. IF YOU CANNOT CERTIFY THAT THE HEARING WILL NOT INVOLVE COMPLEX QUESTIONS OF LAW OR FACT OR BOTH, THAT THE HEARING WILL NOT BE PROTRACTED, AND THAT THE HEARING WILL NOT REQUIRE MORE THAN 60 MINUTES, YOU MUST FILE A PETITION FOR SPECIAL HEARING WITH THE COURT. Name of party filing demand for hearing: Richard P. Andree, Defendant Michael J. 11ykosh, Esq., Attorney for Defendant 7-- - )q Date FF Qf J HE Pt O p ONO )A'_: 2114 AUG 1 I MI 8: 23 CUMBERLAND COUNTY PENNSYLVANIA Mary A. Etter Dissinger Attorney for Plaintiff Supreme Ct. ID# 27736 28 N. 32nd Street Camp Hill, PA 17011 (717)975-2480 - Voice (717)975-3924 - Fax 0 DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE COMPLAINT FOR ALIMONY AND NOW comes Debra A. Andree by and through her attorneys, Dissinger and Dissinger, and requests the Court to enter and award of alimony and avers as follows: 1. Plaintiff is unable to sustain herself during the course of litigation. 2. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to sustain herself through appropriate employment. 3. Defendant has the means and ability to pay alimony to Plaintiff. WHEREFORE, Plaintiff requests the Court to enter an award of alimony in her favor after hearing. cty930 #3a Yd s3 Respectfully Submitted, DISSINGER & DISSINGER (5U Mary A. Etter Dissinger, / Attorney at Law Supreme Court ID #27736 28 North Thirty-second Street Camp Hill, PA 17011 (717)975-2840 (717)975-3924 - fax VERIFICATION I, Debra A. Andree, 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 herein are made subject to the penalties of 18 Pa.C.S. §4904, relating to unsworn falsificat a Ut hot it i e A. DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA • : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE CERTIFICATE OF SERVICE I, Mary A. Etter Dissinger, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons United States Mail to: Date: Michael J. Pykosh, Esq. 2132 Market Street Camp Hill, PA 17011 c*/il Mary A. Etter Dissinger, Esq. Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax F L D -CFF iC;. (!€= HE PRO HCNO U,I;'; 201h AUG 1 € AM 9: 16 CUMBERLAND COUNTY PENNSYLVANIA DEBRA A. ANDREE, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :P ES NO. 425114241 Defendant .Civil No. 6'. -?•0 EXPENSE STATEMENT OF DEBRA A. ANDREE I verify that the statements made in this Expense Statement are true and correct. I understand that f statements herein are made subject to the penalties of 18 P-Q.C.S. §4904 relating to unsworn falsification to authorities Date: ."*IA. EXPENSES HOME Mortgage or Rent Maintenance Condo Fee Home Service Warranty UTILITIES Electric Gas Oil Telephone MONTHLY TOTAL $597.95* $25.00 $112.00 $25.75 $150.00 $30.00 e. a end ee Plaintiff MONTHLY CHILDREN MONTHLY PARENT * Will change August 15, 2014 - In addition to that, my alimony pendente lite is reduced by $280.37 toward contribution for the mortgage and home equity loan on the marital residence on Victor Lane. Cell Phone $130.00 $ $ Water $35.00 $ $ Sewer $40.00 $ $ Cable TV $45.00 $ $ Internet $30.00 $ $ Trash/Recycling $40.00 $ $ TAXES Real Estate $197.00 Personal Property INSURANCE Homeowners/Renters $23.66 $ $ Automobile $63.87 $. $ Life $ $ $ Accident/Disability $ $ $ Excess Coverage $ $ $ Long -Term Care $ $ $ AUTOMOBILE Lease or Loan Payments $385.00 $ $ Fuel $240.00 $ $ Repairs $ $ $ Memberships $ $ $ MEDICAL Doctor $50.00+ $ $ Dentist $28.00 $ $ Hospital $67.00+ $ $ Medication $90.00 $ $ Counseling/Therapy $ $ $ Orthodontist $ $ $ Special Needs (glasses, etc.) $ $ $ EDUCATION Tuition $ $ $ Tutoring $ $ $ Lessons $ $ $' Other $ $ $ PERSONAL Debt Service $619.00 $ $ Clothing $ $ $ Groceries $300.00 $ $ Haircare $95.00 $ $ Memberships $5.00 (CPAFE) $ $ MISCELLANEOUS Child Care $ $ $ Household Help $ $ $ Summer Camp $ $ $ Papers/Books/ Magazines $ $ $ Entertainment $ $ $ Pet Expenses $25.70 $ $ Vacations $ $ $ Gifts $ $ $ Legal Fees/Prof. Fees $900.00 $ $ Charitable Contributions $ $ $ Children's Parties $ $ $ Children's Allowances $ $ $ Other Child Support $ $ $ Alimony Payments $ $. $ TOTAL MONTHLY EXPENSES $4,349.93 $ $ Mary'A. Etter Dissinger., Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax DEBRA A. ANDREE, :IN THE COURT OF COMMON PLEAS OF Plaintiff .:CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE HEALTH INSURANCE COVERAGE INFORMATION REQUIRED BY THE COURT This form must be completed and returned to the domestic relations section. IF YOU FAIL TO PROVIDE THE INFORMATION REQUESTED, THE COURT MAY FIND THAT YOU ARE IN CONTEMPT OF COURT. Do you provide insurance for. the dependents named below? (Check each type of insurance which you provide). Full Name SSN# .Hospital- Medical Dental Eye Prescrip- Other ization tion Note: Before forwarding the form to the party, the domestic relations section should fill in the names and Social Security numbers of the dependents about whom the information is sought. Provide the following information for all types of insurance you maintain, whether or not any of the above-named dependents is covered at this time: Insurance company (provider): NONE Group#: Plan#: Effective Coverage Date: Type of Coverage: Policy#: Employee cost of coverage for dependents: Insurance company (provider): Group#: Effective Coverage Date: Type of Coverage: Policy#: Employee cost of coverage for dependents: Insurance company (provider): Group#: Plan#: Policy#:. Effective Coverage Date: Type of Coverage: Employee cost of coverage for dependents: Insurance company (provider): Group#: Plan#: Policy#: Effective Coverage Date: Type of Coverage:. Employee cost of coverage for dependents: If the above-named dependents are not currently covered by insurance, please state the earliest date coverage could be provided. Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax DEBRA A. ANDREE, :IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DO.MESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons, by First Class United States Mail addressed as follows: Date: Michael J.Pykosh, Esq. and Katherine L. McDonald, Esq. 2132 Market Street Camp Hill, PA 17011 Mary A. Etter Dissinger Attorney for Plaintiff Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax FILED -OFFICE '1 T HE PROTHOHO"AP, r' 20113AUG .II AM 9:4a CUMBERLAND COUNTY PENNSYLVANIA DEBRA A. ANDREE, Plaintiff :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant INCOME STATEMENT OF DEBRA A. ANDREE I verify that the statements made in this Income Statement are true and correct. I understand that fa.se statements herein are made subject to the penalties of 18 Pa.C.S. §x'904 rel.. ng to unsworn falsification to authorities. Date: tt 1 INCOME NONE Plaintiff Employer: Address: Type of. Work: Payroll Number: Pay Period: (Weekly, Bi -Weekly, etc.) Gross Pay per Pay Period Itemized Payroll Deductions: Federal Withholding FICA Local Wage Tax State Income Tax Mandatory Retirement Union Dues Health Insurance ndree Other (specify) Net Pay per Pay Period: Other Income Week Month Year (Fill in Appropriate Column) Interest $ $ $ Dividends $ $ $ Pension Distributions $ $ $ Annuity $ $ $ Social Security $ $ $ Rents $ $ $ Royalties $ $ $ Unemployment Compensation $ $ $ Worker's Compensation $ $ $ Employer Fringe Benefits $ $ $ Other $ $ $ Total $ $ $ TOTAL INCOME $ PROPERTY OWNED *Ownership Description Value H W J Checking Accounts Members 1St $164.00 X Savings Accounts Members 1St $0.00 X 401(K) c.$2,000.00 X Stocks/Bonds $ Real Estate Condo $130,000.00 X Other $ Total $ INSURANCE Hospital Blue Cross Other Medical Blue Shield Other Health/Accident Disability Income Dental Other Company Coverage* Policy No. H W C * H = Husband; -W = Wife; J = Joint; C = Child SUPPLEMENTAL INCOME STATEMENT (a) This form is to be filled out by a person (check one): (1) who operates a business or practices a profession, or (2) who is a member of a partnership or joint venture, .or (3) who is a shareholder in and is salaried by a closed corporation or 'similar entity. (b) Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement. (c) Name of Business: Address: Telephone Number: (d) Nature of'Business: (check one) (1) Partnership (2) Joint Venture (3) Profession (4) Closed Corporation (5) Other (e) Name of accountant, controller or other person in charge of financial records: (f) Annual income from business: (1) How often is income received? (2) Gross income per pay period: (3) Net income per pay period: (4) Specified deductions, if any: 2 Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax. DEBRA A. ANDREE, :IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY,. PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons, by First Class United States Mail addressed as follows: Date: 3////7/27 Michael J.Pykosh, Esq. and Katherine L. McDonald, Esq. 2132 Market Street Camp Hill, PA 17011 Mary . Etter Dissinger Attorney for Plaintiff In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION DEBRA A. ANDREE, ) Docket Number 06-5890 CIVIL TERM Plaintiff/Petitioner, ) vs. ) PACSES Case Number 425114241 e --0, RICHARD P. ANDREE, ) Other State ID Number i m Defendant/Respondent. ) v, r N -G 27- c)r ORDER OF COURT N.) You, DEBRA A. ANDREE, are ordered to appear at the DOMESTIC RELATIONS hearing room, c/o Hearing Room, DOMESTIC RELATIONS OFFICE, 13 North Hanover Street, Carlisle, PA 17013 on Thursday, October 9, 2014, at 8:30 a.m., for a hearing. You are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W -2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. the Income Statement and the appropriate Expense Statement, if required, attached to this order, completed as required by Rule 1910.11(c), 4. verification of child care expenses and, 5. proof of medical coverage which you may have, or may have available to you, 6. information relating to professional licenses, 7. other: ANDREE vs. ANDREE PACSES Case Number 425114241 If you fail to appear for the hearing or to bring the required documents, the court may issue a warrant for your arrest and/or enter an interim Support order. THE APPROPRIATE COURT OFFICER MAY ENTER AN ORDER AGAINST EITHER PARTY BASED UPON THE EVIDENCE PRESENTED WITHOUT REGARD TO WHICH PARTY INITIATED THE SUPPORT ACTION. Date of Order: August 19, 2014 BY TIE COURT: ALBERT H. MASLAND, JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION. ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 32 Bedford Street Carlisle, PA 17013-3302-32 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office at (717)240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. CM -514 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION DEBRA A. ANDREE, ) Docket Number 06-5890 CIVIL TERM Plaintiff/Petitioner, ) vs. ) PACSES Case Number 425114241 RICHARD P. ANDREE, ) Other State ID Number -pa .... -i Defendant/Respondent.)3 • r --= zc' -� ORDER OF COURT v P -z, : c, r....:r>)c j r-„ • You, RICHARD P. ANDREE, are ordered to appear at the DOMESTIC -<- -.- RELATIONS hearing room, c/o Hearing Room, DOMESTIC RELATIONS OFFICE, 13 North Hanover Street, Carlisle, PA 17013 on Thursday,; October 9, 2014, at 8:30 a.m., for a hearing. You are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W -2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. the Income Statement and the appropriate Expense Statement, if required, attached to this order, completed as required by Rule 1910.11(c), 4. verification of child care expenses and, 5. proof of medical coverage which you may have, or may have available to you, 6. information relating to professional licenses, 7. other: ANDREE vs. ANDREE PACSES Case Number 425114241 If you fail to appear for the hearing or to bring the required documents, the court may issue a warrant for your arrest and/or enter an interim Support order. THE APPROPRIATE COURT OFFICER MAY ENTER AN ORDER AGAINST EITHER PARTY BASED UPON THE EVIDENCE PRESENTED WITHOUT REGARD TO WHICH PARTY INITIATED THE SUPPORT ACTION. Date of Order: August 19, 2014 ALBERT H. MASLAND, JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS OFFICE MAY BE ABLE TO PROVIDE YOU WITH INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. Cumberland County Bar Association 32 Bedford Street Carlisle, PA 17013-3302-32 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office at (717)240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. CM -514 Sep 09 2014 2:47PM Dissinger & Dissinger CH DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant 717-975-3924 p.2 : IN THE COURT OF C,MMONaLrig6 : OF CUMBERLAND COUN,TYmmici ..c. : PENNSYLVANIA 20.11 C, 4* 1 coo r- at : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE >C, > 9? —4c —< 'ON PRAECIPE TO ENTER APPEARANCE To the Prothonotary: Please enter my appearance as counsel for the Plaintiff, Debra A. Andree, in the above captioned matter. Date: Respectfully Submitted, `--) 066 Ma4k • 41A. Etter Dissinq , Esq. Attorney for Plaintiff Supreme Court ID# 27736 28 North 32nd Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax PRAECIPE TO WITHDPAW APPEARANCE. Please withdraw my appearance as counsel on behalf of the Plaintiff, Debra A. Andree, in the above captioned matter. Date: Respectfu ubmitted, Supreme Court ID# 312895 3300 --74, G7 14-((f (ior( Sep 09 2014 2:47PM Dissinger & Dissinger CH DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant 717-975-3924 p.2 : IN THE COURT OF C,MMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE PRAECIPE TO ENTER APPEARANCE To the Prothonotary: Please enter my appearance as counsel for the Plaintiff, Debra A. Andree, in the above captioned matter. Date: Respectfully Submitted, ' teN Mary A. Etter Dissinq , Esq. Attorney for Plaintiff Supreme Court ID# 27736 28 North 32nd Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax PRAECIPE TO WITHDRAW APPEARANCE Please withdraw my appearance as counsel on behalf of the Plaintiff, Debra A. Andree, in the above captioned matter. Date: R spectfu ubmitted, Supreme Cour z ID* 312895 3'c L 140( S4e- Came 14( ( 110 ( DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY : PENNSYLVANIA : CIVIL ACTION : NO. 06-5890 Civil : IN DIVORCE CERTIFICATE OF SERVICE I, Mary A. Etter Dissinger, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons United States Mail to: Date: Michael J. Pykosh, Esq. and Katherine L. McDonald, Esq. 2132 Market Street Camp Hill, PA 17011 AND Lee Mandarino, Esq. 3300 Trindle Road Suite 2 Camp Hill, PA 17011 y a Mary A. E ter lkstrrg-e-r--,_Esq. ° INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDRINOTICE FOR SUPPORT (IWO) O AMENDED IWO •• L��/7-L/ ' (�/ 06, _ 5Ou,qA oV\ / Date; 10/28/14 • Child 0 Private Individual/Entity (Check One) NOTE: This IWO must be regular on its faceUnder certain circumstances you must you must reject this IWO and return it 10 the sender (see IWO inutrmctinnnhUp:8vm^w.mcf.hhn.gov/pmgnoms/cme/fonno/OMg'O97O'O154 instructions.pdf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. StatefTribefTerritory Commonwealth ef Pennsylvania CUMBERLAND Private Individual/Entity Remittance Identifier (include w/pamony 6730102748 Order Identifier: (See Addendum for order/docket information) CSE Agency Case Identifier: (See Addendum for case summary) CLEAR CHANNEL COMMUNICATIONS 20880 STONE OAK PARKWAY SAN ANTONIO TX 78258 Employer/Income vvKhhuIder'sFEIN 742722883 ChU (em)'uName(x)(Laxt, First, Middle) Child(ren)s Birth Date(s) RE: ANDREE, RICHARD P. Employee/Obligors Name (Last, First, Middle) 203-42-9596 EmployeefObligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) Custodial PartyfObligee's Name (Last, First, NOTE: This IWO must be regular on its face, Under certain circumstances you must reject (his IWO and return 110 the sender (see IWO instructions http://www.acf.hhs.govforograms/cse/forms/ owo'0970'0154instructions p0tnyou receive this document from someone other than a State or TribaI CSE agency or a Court, a copy af the underlying order must be attached. 7427228830 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBE ANCounty, Commonwealth of Pennsylvania (StatefTribe). You are required by law to deduct these amounts fn.-ay/be Rp10-06/ obligor's income until further notice. zrn r-- ` pm 0.00 per month in current chtld support ^"�� u� 0.00 per month in past -due child support - Arrears 12 weeks or greater? C) yesr— no 0.00 pemonth in current cash medicasupport 0.00 per month in past -due cash medical support 700.00 per month in current spousal support 70.00 per month in past -due spousal support 0.00 per month in other (must specify) for a Total Amount to Withhold of $ 770.00 per month. ct? cr (NO AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Information. If your pay cycle does not match the ordered payment cycle, withhold one of the following amount: � 177.l0per weekly pay period. 385.00 per semimonthly pay period (twice a month) � 35.3 per biweekly pay period (every two weeks) $ 770.00 per monthly pay period. � Lump Sum Payment: Do not Stop any existing IWO uniess you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (10) working days after the date of this Order/Notice. Send ayment within seven (7) working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (8tatm/Tribe), the employer can obtain withholding |imitaUons, time roquinamento, and any allowable employer fees at h#p:8vmwnv.acf.hhn.gov/orogramskzoe/nmvvhire/amp/oyar/uuntaoto/contoct map. h1mfor the emp|oyee/ob|igor'uprincipal place nfemployment. Document Tracking identifier OMB No.: 0970-0154 Service Type MWorker ID SIATT Form EN -028 11/13 ❑ Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SDU in accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal la Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: AlbeffH. Masland OCT 2 9 2014 If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. ❑ If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS 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. State -specific contact and withholding information can be found on the Federal Employer Services website located at: http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map.htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past -due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti -discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date — 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN -028 11/13 Service Type M Page 2 of 3 Worker ID $IATT Employer's Name: CLEAR CHANNEL COMMUNICATIONS Employer FEIN: 742722883 Employee/Obligor's Name: ANDREE, RICHARD P. 6730102748 CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for order/docket information) 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/obligor's principal place of employment (see REMITTANCE INFORMATION). 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, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If permitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers/income withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Employer should calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you are no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by returning this form to the address listed in the Contact Information below: 7427228830 Q This person has never worked for this employer nor received periodic income. Q This person no longer works for this employer nor receives periodic income. Please provide the following information for the employee/obligor: Termination date: Last known phone number: Last known address: Final Payment Date To SDU/Tribal Payee: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at: www.childsupport.state.pa.us. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER ST. P.O. BOX 320. CARLISLE. PA. 17013 (Issuer address). To Employee/Obligor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at www.childsupport.state.pa.us. IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor. OMB No.: 0970-0154 Service Type M Page 3 of 3 Form EN -028 11/13 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: ANDREE, RICHARD P. PACSES Case Number 425114241 PACSES Case Number Plaintiff Name Plaintiff Name DEBRA A. ANDREE Docket Attachment Amount Docket Attachment Amount 06-5890 CIVIL $ 770.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docke Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): Addendum OMB No.: 0970-0154 Form EN -028 11/13 Worker ID $IATT DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner, : CUMBERLAND COUNTY, PENNSYLVANIA vs. RICHARD P. ANDREE, : CIVIL ACTION - DIVORCE : PACSES NO. 425114241 : DOCKET NO. 06-5890 CIVIL TERM : IN DIVORCE Defendant/Respondent. : ORDER OF COURT C) a c -0 r =r n -7- - rT1 = —4 tJH Cr'' Q CD Cr? —+ r: < C3 4-11 --11 > CDS = cD v r.) _:.• -1- y -� c..:1 AND NOW, this 28th day of October, 2014, based upon the Court's determination that the Petitioner's monthly net income/earning capacity is $1,274.03 and the Respondent's monthly net income/earning capacity is $3,194.98, it is hereby ordered the Respondent pay to the Pennsylvania State Collection and Disbursement Unit $770 per month as follows: $700 per month for alimony pendente lite and $70 per month on arrears. The first payment is due in accordance with the Respondent's pay schedule. The effective date of the order is June 3, 2014. Arrears are set at $2,119.38 as of October 28, 2014. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.§ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and, at its discretion, make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the Respondent's name with their PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. All payments received are to be turned over by the PA SCDU for distribution and disbursement in accordance with Rule 1910.17(d). The monthly support obligation includes cash medical support in the amount of $250 annually for unreimbursed medical expenses incurred for the spouse. Unreimbursed medical expenses of the spouse that exceed $250 annually shall be allocated between the parties. The party seeking allocation of unreimbursed medical expenses must provide documentation of expenses to the other party no later than March 31st of the year following the calendar year in which the final medical bill to be allocated was received. The unreimbursed medical expenses are to be paid as follows: 0% by Respondent and 100% by Petitioner. Medical insurance coverage shall be provided by neither party. It is further Ordered that, upon payor's failure to comply with this order, payor may be arrested and brought before the Court for a Contempt hearing; payor's wages, salary, commissions, and/or income may be attached in accordance with law; this Order will be increased without further hearing by 0% a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Other conditions: This order includes a downward deviation in consideration of Respondent's timely payment of the primary mortgage on the marital home. This Order shall become final twenty (20) after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Office of the Prothonotary for a hearing de novo before the Court. Mailed copies on: ()Mack (LI BY THE COURT ALBERT H. MASLAND, cc: Debra A. Andree Richard P. Andree Mary A. Etter Dissinger, Esquire For the Plaintiff Katherine McDonald, Esquire For the Defendant DRO/sjh DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS QF_ Plaintiff, : CUMBERLAND COUNTY, PENNSYLVNI1 rn� s VS. : PACSES NO. 425114241 jw 74;:: c - i c r i RICHARD P. ANDREE, : DOCKET NO. 06-5890 CIVIL TERM Defendant. SUPPORT MASTER'S REPORT AND RECOMMENDATION Following a hearing held before the undersigned Support Master on October 9, 2014 the following report and recommendation is made: FINDINGS OF FACT 1. Plaintiff is Debra A. Andree (Wife), residing in Cumberland County. 2. Defendant is Richard P. Andree (Husband), residing in Cumberland County. 3. The parties were married on November 21, 1987 4. The parties separated on April 21, 2001. 5. Wife filed a complaint for divorce in 2006 and an amended complaint in 2010. 6. On June 3, 2014, Wife filed a petition seeking alimony pendente lite. 7. Wife is 57 years old and is not physically restricted from employment. 8. Wife just started a new job at Home Instead Senior Care providing aid to house- bound senior citizens. 9. Wife earns $8.75 per hour and works 30 hours per week at this position. 10. Wife's most recent prior employment ended in September 2012. 11. From 2000 through 2012 Wife was employed by Daikon Social Ministries (Daikon) as their Director of Advertising earning $58,000 per year. 12. Wife lost that job in 2012 when her employer eliminated several positions for financial reasons. 13. Wife sought similar marketing positions but received no offers. 14. Wife's abilities as a graphic designer are not up to date — during the last few years at her position at Daikon her graphic design skills were not required. 15. The last training Wife received was in 2008, and the software used by Daikon (on which Wife is most adept) is no longer regularly used by graphic designers. 16. Husband's primary employment is working for Clear Channel Broadcasting as a production manager; in 2013 he earned $50,084.76 gross pay at that position. 17. Husband also is the announcer for home games for the Harrisburg Senators. 18. He has worked part-time as the home -game announcer for many years; in 2013 he earned $5,575 from this employment. 19. Husband also occasionally provides freelance voice-over work. 20. In 2013 he earned $6,650 from voice-over work and that was a typical annual income from that source. 21. Shortly before the parties separated they refinanced the mortgage attached to the marital home. 22. After refinancing they were obligated to repay $67,758.01. 23. Husband has made all payments towards that mortgage at a rate of $628.63 per month. 24. When Wife left the marital residence in 2002 Husband and Wife took out a home equity loan of $33,268.35 on the marital home. 25. The home equity loan on the marital home accomplished two things at once: a. Husband installed a new water heater in the marital residence at a cost of $8,591.99; b. Wife received a disbursement of $22,415.01 which she used as a down payment on her new home. 26. Husband has made all payments on the refinanced mortgage attached to the marital home. 27. The parties attended a Divorce Master conference in August 2014. DISCUSSION "Alimony pendente lite means alimony or maintenance 'pending litigation' and is payable during the pendency of a divorce proceeding so as to enable a dependent spouse to proceed with or defend against the action." Jayne v. Jayne, 663 A.2d 169 (1995)(citing 2 Heilbron v. Heilbron, 27 A. 967 (1893); DeMasi v. DeMasi, 530 A.2d 871, alloc. denied, 539 A.2d 811 (1987). Alimony pendente lite is not appropriate where the recipient has acquired assets or income which sufficiently equalizes the financial ability of the parties to pursue the action. Jayne v. Jayne, 663 A.2d 169 (1995). In the instant matter, from the time Wife moved out of the marital home in 2002 until the time Wife lost her employment at Daikon in 2012, the parties remained married but Wife's income was more or less equal to Husband's income. Moreover, neither party seemed especially interested in moving forward with divorce litigation. Accordingly, during that time the two primary justifications for alimony pendente lite were not present. However, the case before the court at this time needs to be decided on the facts as they exist now. Specifically, the matters to be explored are the current earning capacities of the parties and the activity of the divorce litigation. Wife is currently earning only $8.75 per hour and working approximately 30 hours per week. This is obviously far below the $58,000 per year she was earning at her most recent employment. But determining earning capacity is not simply a matter of finding out the highest level of income a party has achieved. Rather, a party's earning capacity is that amount he or she can realistically be expected to earn under the circumstances considering his or her age, health, physical and mental condition, education and training. Riley v. Foley, 783 A.2d 807 (Pa. Super 2001). Here, Wife lost her previous employment through no fault of her own. Since losing that employment she has continually sought new employment. She has applied for at least 15 jobs, she has sought the help of her friends, and she has even applied at a temporary agency. At this time Wife has simply been unable to find work which uses her skills in marketing and pays the salary she once enjoyed. Her unemployment eligibility is over, and she has been withdrawing money from her retirement plan just to keep pace with 3 her bills. Given these conditions, the amount she can realistically be expected to earn right now is her actual hourly rate. However, to hold her to only the hours reported would result in income less than full-time hours at minimum wage. For support purposes, she should be held to full-time hours at her current hourly rate. Wife will file federal taxes as married filing separately and will claim only herself as an exemption, so her net monthly earning capacity for purposes of support is $1,274.03.1 Husband argues Wife has failed to mitigate her income loss adequately. Specifically, Husband asserts Wife's failure to keep up to date with training has limited her job opportunities to such an extent that it should be viewed as a willful failure to obtain appropriate employment. In support of this argument Husband provided the court with a copy of a recent non -precedential decision from the Pennsylvania Superior Court.2 In that case the obligor was found to have willfully failed to obtain appropriate employment because he had voluntarily decided to not maintain his current software training; his decision was then making it difficult to find new employment comparable to his recent lucrative employment as a software consultant. The instant matter differs in two important aspects. First, Wife's previous position did not require continued training on their chosen graphics design software. For the last several years of Wife's employment (the most lucrative years), she was no longer expected to use that software on a daily basis. Second, even if she had stayed current on that particular piece of software, Wife indicated it is no longer in prevalent use, so even the most up-to-date knowledge of its features may not have helped her job search. Accordingly, Husband's argument fails when applied to these facts. ' See Exhibit "A" for calculation of Wife's net monthly income. 2 Andrew Kundratic v. Sophia Kundratic, 1920 MDA 2013 & 1998 MDA 2013 (Sept. 8, 2014). 4 We now turn to Husband's income. Husband has been maintaining multiple jobs for several years. His primary position has always been his employment with Clear Channel Broadcasting, but he has also received income from the Harrisburg Senators and from doing freelance voice-over work as available. The prevailing theory in Pennsylvania is that a person's ability to pay support should be calculated only from their earning capacity at one full-time job. See Haselrig v. Haselrig, 840 A.2d 338 (Pa. Super. Ct. 2003)(citing Akers v. Akers, 540 A.2d 269 (Pa. Super. Ct. 1988)(Cirillo, P.J., dissenting)). Here, Husband's income for support purposes should be derived only from his wages from Clear Channel Broadcasting which were $50,084.76 in 2013. Husband will file federal taxes as married filing separately and will only claim himself as an exemption; therefore, Husband's monthly net income for support is $3,194.98.3 Based on Husband's monthly net income of $3,194.98 and Wife's monthly earning capacity of $1,274.03, it is clear Wife does not have income which would equalize the financial ability of the parties to continue with the litigation which is currently moving forward appropriately.4 The guideline calculation for monthly alimony pendente lite is $768.38.5 However, Husband continues to make monthly mortgage payments on the marital home. A downward deviation to $700 per month is appropriate. See Pa. R.C.P. 1910.16-5(b). Lastly there was testimony provided relative to the refinancing of the marital home in 2002. Both parties agree the money realized from the refinancing was used in large part to help Wife situate herself in a new home. Both parties also agree Husband has been solely responsible for payments towards the refinanced mortgage, and that he has stayed timely in 3 See Exhibit "B" for calculation of Husband's net monthly income. 4 The parties recently attended a conference with the Divorce Master and both sides are gathering information necessary to proceed 5 See Exhibit "C" for guideline calculation. 5 those payments. These payments by Husband could be included for the purpose of calculating support payments, but to do so would preclude their use in the process of equitable distribution. In this matter equitable distribution should be the mechanism through which these funds are addressed. RECOMMENDATION A. Husband shall pay to the Pennsylvania State Collection and Disbursement Unit as support for Debra A. Andree, the sum of $700 per month. B. Husband shall pay to the Pennsylvania State Collection and Disbursement Unit the additional sum of $70 per month on arrears. C. Neither party shall be required to provide medical insurance coverage. D. The effective date of this order is June 3, 2014. October 28, 2014 Date cc: Debra A. Andree Richard P. Andree Mary A. Etter Dissinger, Esquire For the Plaintiff Katherine McDonald, Esquire For the Defendant DRO/sjh Jeff R. La Support Mas er 6 ' File Field Cpticn5 Help Nadigation Menu PACSES Help Func: CASE ID: SEQ NO: MEMBER ID: CANCEL 425114241 0201 Filing Status: Tax Rates for - State: Total Income: GINI Member Net Income Summary ANDREE, DEBRA A. Sel: N Active: N DEBRA A. ANDREE 5730102743 LAWRENJR 10/28/14 09:52 V. ANDREE, RICHARD P. Worker: 21306 Date: 10/27/14 Tax Year: 2014 P Number Exemptions: 1 Spouse's Income: 0.00 3.14 Local: 1.00 FICA: 6.20 Medicare: 1.45 1520.83 Total Expense: 246.80 Net Income: 1274.03 CODE ECP EARNING CAPACITY SIT STATE TAX LIT LOCAL TAX FIC FICA TAX MIT MEDICARE TAX FIT FEDERAL TAX Description NDbOFANQUIRY" 40003.COMMAND.COMPttiLD [BACK] • PL.c:F FI1E:T Amount Typ Frq Src Monthly Allow 350.00 I W E 1520.83 47.75 S M 47.75 15.21 L M 15.21 94.29 M M 94.29 22.05 M M 22.05 67.50 F M 67.50 EXHIBIT "A" PACSES - PRODUCTION - [GINIO File Field Options Help Navigation Menu PACSES Help Func: CASE ID: SEQ NO: MEMBER ID: 425114241 0202 Filing Status: Tax Rates for - State: Total Income: GINI Sel: N 6730102748 Member Net Income Summary LAWRENJR ANDREE, DEBRA A. V. ANDREE, RICHARD P. Active: N Worker: 21306 Date: 10127/14 RICHARD P. ANDREE 10/28/14 09:52 Tax Year: 2014 P Number Exemptions: 1 Spouse's Income: 0.00 3.14 Local: 1.00 FICA: 6.20 Medicare: 1.45 4173.73 Total Expense: 978.75 Net income: 3194.98 CODE WAG WAGES SIT STATE TAX LIT LOCAL TAX FIC FICA TAX MIT MEDICARE TAX FIT FEDERAL TAX Description Amount Typ Frq Src Monthly Allow 50,084.76 I A E 4173.73 131.06 S M 131:06 41.74 L M 41.74 258.77 M M 258.77 60.52 M M 60.52 486.66 F M 486.66 BACK [-REV EXHIBIT "B" In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Plaintiff Name: DEBRA A. ANDREE Defendant Name: RICHARD P. ANDREE Docket Number: 06-5890 CIVIL PACSES Case Number: 425114241 Other State ID Number: Please note: All correspondence must include the PACSES Case Number. Spousal Support Guideline Calculation with Dependent Children 1. Obligor's Monthly Net Income $ 2. Less All Other Support $ 3. Less Obligee's Monthly Net Income $ 4. Difference $ 5. Less Child Obligation for Current Action $ 6. Income Available for Spousal Support $ 7. Multiply by 30% 30% 8. Amount of Basic Spousal Support $ 9. Adjustment for Mortgage $ 10.Total Monthly Spousal Support $ Spousal Support Guideline Calculation without Dependent Children 1. Obligor's Monthly Net Income $ 3,194.98 2. Less All Other Support $ o.00 3. Less Obligee's Monthly Net Income $ 1,274.03 4. Difference $ 1,920.95 5. Multiply by 40% 40% 6. Amount of Basic Spousal Support $ 768.38 7. Adjustment for Other Expenses $ o.00 8. Total. Monthly Spousal Support $ 768.38 Service Type M EXHIBIT "C" Form 0E-523 Worker ID 21306 ANDREE v. ANDREE PACSES Case Number: 425114241 Summary Date: OCTOBER 28, 2014 Monthly obligation amount selected: $768.38 Payment frequency: MONTHLY Obligation amount: $768.38 Deviation reason: 1. 2. 3. 4. 5. Service Type M Page 2 of 2 Form 0E-523 Worker ID 21306 DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff, : CUMBERLAND COUNTY, PENNSYLVANIA vs. : PACSES NO. 425114241 RICHARD P. ANDREE, : DOCKET NO. 06-5890 CIVIL TERM Defendant. INDEX OF EXHIBITS Plaintiff: Exhibit 1 Defendant's 2013 W -2s from Clear Channel Broadcasting and Harrisburg Senators. Exhibit 2 Exhibit 3 Exhibit 4 Exhibit 5 Exhibit 6 Exhibit 7 Exhibit 8 Exhibit 9 Defendant's 2013 federal tax return. Defendant's 2013 W -2s from Clear Channel C) �•nV = Broadcasting Plaintiffs 2013 amended federal tax return. Plaintiffs income statement. z" Plaintiffs expense statement. Mortgage dated August 28, 2001. -o r� rn Installment note dated August 28, 2001; principal amount: $67,758.01. Settlement statement dated August 28, 2001. Exhibit 10 Installment note dated February 4, 2002; principal amount: $33,268.35. Exhibit 11 Settlement statement dated February 4, 2002. Exhibit 12 Account transaction activity for Mortgage of August 4, 2001 and for Home Equity Loan of February 4, 2002. DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff, : CUMBERLAND COUNTY, PENNSYLVANIA vs. : PACSES NO. 425114241 RICHARD P. ANDREE, : DOCKET NO. 06-5890 CIVIL TERM Defendant. INDEX OF EXHIBITS (cont'd.) Defendant: Exhibit 1 Andrew Kundratic v. Sophia Kundratic, 1920 MDA 2013 & 1998 MDA 2013 (Sept. 8, 2014). Exhibit 2 Order dated December 9, 2013 and corresponding Support Master's Report and Recommendation. Exhibit 3 Paystubs from Clear Channel Broadcasting covering pay periods from August 1, 2013 through October 31, 2013. 8 Copy 2 --To Se Filed W th Employee's State, City, or Local Income Tax Return 38-2099803 OMB No. 1545-0008 a Employee's soc. sec, no. 203-42-9596 1 Wages, tips, other comp. 5575.00 2 Fed. income tax withheld 122.47 3 Social security wages 5575.00 4 Soc. sec. tax with held 345.65 b Employer 10number (EIN) 20-8899635 5 Medicare wages and tips 5575.00 8 Medicare tax withheld 80.84 c Employer's name, address, and ZIP code Senators Partners, LLC One Champion Way- City Island Harrisburg PA 17101 d Control number 00`.,050009596005 e Employee's name, address, and ZIP code Richard Andree 9 Victor Ln Mech.2nicsburg PA 17050 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualified plans 12a Cede 13 Statutory employee 14 Other PA EE UI 3.92 12b Code Retirement plan 12c Code Third -party sick pay 12d Code PA 15 State 9334 0642 Employer's state ID no. 5575.00 18 State wages, tips, etc, 171.17 17 State income tax 18 Local wages, tips, etc. 5575.00 19 Local income tax 89.20 20 Locality name 22 - Dauphin County Form W-2 Wage and Tax Statement L4BL 2013 Dept. of the Treasury-- IRS 5209 i Form Wing Wage and Tax LA Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. 2013 Department of the Treasury —Internal Revenue Service a Employee's social security number 203429596 OMB No. 1545-0008 b Employer identification number (EIN) 742722883 1 Wages, tips, other compensation 47480.97 2 Federal income tax withheld 7320.20 c Employer's name, address, and ZIP code CLEAR CHANNEL BROADCASTING INC 200 EAST BASSE SAN ANTONIO, TX 78209 3 Social security wages 50084.76 4 Social security tax withheld 3105.26 5 Medicare wages and tips 50084.76 6 Medicare tax withheld 726.23 7 Social security tips 8 Allocated tips d Control number 1013837 9 . ..,.. 10 Dependent care benefits e Employee's first name and initial Last name Suff. ' RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 1 Employee's address and ZIP code 11 Nonqualified plans 12a • 1 D I 2603.79 13 Statutory Retirement Third -party employee plan :id, par El Ell El 121 e DD i 3863.04 14 Other PA -UI 36.46 12c 3 W 670.00 12d C 15.84 - • . , • - .• . 15 State Employer's state ID number PA 1 18909416 16 State wages, tips, etc. 50084.76 17 State income tax 1537.56 18 Local wages, tips, etc. 50084.76 19 Local income tax 801.36 20 Locality name SUSQUEH Form Wing Wage and Tax LA Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Return. 2013 Department of the Treasury —Internal Revenue Service RAt'iDRE 04416/2014 11:58 AM LL 040 Department of the Treasury—Internal Revenue Service (99) U.S. Individual Income Tax Return tj� /i 20 i 3 I OMB No. 1545-0074 1 IR Use 0 t i k?� ity-D not iteJ6r kt p e i .this space. For the year Jan. 1 -Dec. 31, 2013, or other tax year beginning , 2013. ending , 20 yy,, Et -16 See a�tb N1StrU 4nS. Your first name and initial Richard P Last name Andree Your social security number 203-42-9596 If a joint return. spouse's first name and initial Last name Spouse's social security number 178-50-6218 Home address (number and street). If you have a P.O. box, see instructions. 9 Victor Lane Apt. no. ` Make sure the SSN(s) above and on line 6c are correct. City. town or post office, state, and ZIP code. If you have a foreign address. also complete spaces below (see instructions). Mechanicsburg PA 17050 Presidential Check here if fihirg jnity, fund. Checking not change F--- Election Campaign if you, or your spouse want $3 10 91) lo (his a box below will your tax or refund. You t ] Spouse Foreign country name Foreign province/state/county Foreign postal code Filing Status 1 2 Check only one 3 Single 4) ( Head of household (with qualifying person). (See instructions.) If L_... the qualifying person is a child but not your dependent. enter this Married filing jointly (even if only one had income) child's name here. ► X Married filing separately. Enter spouse's SSN above 5 I I Qualifying widower) with dependent child box. and full name here. ► Debra A Andree Exemptions If more than four dependents, see instructions and check here* Income Attach Form(s) W-2 here. Also attach Forms W -2G and 1099-R if tax was withheld. If you did not get a W-2, see i! uctions. Adjusted Gross Income 6a X Yourself. If someone can claim you as a dependent, do not check box 6a b Spouse c Dependents: d 7 8a b 9a b 10 11 12 13 14 15a 16a 17 18 19 20a 21 22 23 24 25 26 27 28 29 30 31a 32 33 34 35 36 (1) First name Last name (2) Dependent's social security number 1 Boxes checked on 6a and 6b (3) Dependent's relationship to you No of children (4) 1 if on fic who: chi* under age 17 qual. • lived with you for child tax credit (see instr.) • did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above Add numbers on Total number of exemptions claimed lines above ► Wages, salaries, tips, etc. Attach Form(s) W-2 Taxable interest. Attach Schedule B if required Tax-exempt interest. Do not include on line 8a I 8b 1 Ordinary dividends. Attach Schedule B if required 7 53,056 8 Qualified dividends I 9b Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C -EZ Capital gain or (loss). Attach Schedule D if required. If nal required, check here ► Other gains or (losses). Attach Form 4797 IRA distributions 15a U Pensions and annuities 16a lb Taxable amount b Taxable amount Rental real estate, royalties, partnersh'ps, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation Social security benefits 20a b Taxable amount Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income ► Educator expenses Certain business expenses of reservists, performing artists, and fee -basis government officials. Attach Form 2106 or 2106 -EZ Health savings account deduction. Attach Form 8889 Moving expenses. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction Penalty on early withdrawal of savings Alimony paid b Recipient's SSN ► IRA deduction Student loan interest deduction Tuition and fees. Attach Form 8917 Domestic production activities deduction. Attach Form 8903 Add lines 23 through 35 23 24 10 11 12 3,735 13 14 15b 16b 17 18 19 20b 21 22 56,791 25 26 27 264 28 29 30 31a 32 33 34 35 37 Subtract line 36 from line 22. This is your adjusted gross income For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. OAA PLAINTIFF'S EXHIBIT 141tly Z 1(4 36 37 264 56,527 Form 1040 (2013) RANDRE 04/06/2014 11:58 AM Form 1040 (2013) Richard P Andree Tax and 38 Credits 39a Standard Deduction for— • People who check any box on tine 39a or 39b or who can be claimed as a dependent, see instructions. • All others: Single or Married filing separately, $6,100 Marred filing jointly or Qualifying widow(er), $12,200 Head of household, 58,950 Other Taxes Payments It you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions. Amount You Owe 203-42-9596Page 2 Amount from line 37 (adjusted gross income) Check r if: j` 38 56,527 You were born before January 2, 1949, Spouse was born before January 2, 1949, Blind. Total boxes Blind. f checked 1 39a b If your spouse itemizes on a separate return or you were a dua -status alien, check here I. 39b 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59a b 60 61 62 63 64a b 65 66 67 68 69 70 71 72 73 74a ► b ► d 75 76 77 Exemptions. 11 line 38 is 5150,000 or less, multiply 53,900 by the number on line 6d. Otherwise, see instructions Taxable Income. Subtract line 42 Irom line 41.11 line 42 is more Than line 41, enter -0- Tax (see inslr.). Check it any from: a C 8814 (s) b 4972 c Alternative minimum tax (see instructions). Attach Form 6251 Add lines 44 and 45 Foreign tax credit. Attach Form 1116 if required Credit for child and dependent care expenses. Attach Form 2441 Education credits from Form 8863, line 19 Retirement savings contributions credit. Attach Form 8880 Child tax credit. Attach Schedule 8812, if required Residential energy credits. Attach Form 5695 Other credits from Form: a 3800 b 8801 c Add lines 47 through 53. These are your total credits 47 40 41 42 43 44 45 46 7,188 49,339 3,900 45,439 7,285 7,285 48 49 50 51 52 53 Subtract line 54 from line 46. If tine 54 is more than line 46, enter -0- 54 55 7,285 Self-employment tax. Attach Schedule SE Unreported social security and Medicare tax from Form: a _ 4137 b 8919 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required Household employment taxes from Schedule H First-time homebuyer credit repayment. Attach For Taxes from: a C Form 8959 b C Form 8960 C Add lines 55 through 60. This is your total tax Federal income tax withheld from Forms W-2 and 1099 2013 estimated fax payments and amount applied from 2012 return Earned income credit (EIC) Nontaxable combat pay election 1 I 5405 if required Inslruclions: enter code(s) 56 528 57 58 59a 59b 60 61 7,813 64b Additional child tax credit. Attach Schedule 8812 American opportunity credit from Form 8863, line 8 Reserved Amount paid with request for extension to file Excess social security and tier 1 RRTA tax withheld Credit for federal tax on fuels. Attach Form 4136 Credits from Form: a C 2439 b Ei Reserved c ❑ 8885 d 11 62 7,442 63 64a 66 67 68 69 70 71 Add lines 62, 63, 64a, and 65 through 71. These are your total payments ► 72 7,442 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid Amount of line 73 you want refunded to you. If Form 8888 is attached, check here ► Routing number Account number Amount of line 73 you want applied to your 2014 estimated tax ► 175 ► c Type: Checking Savings 73 74a Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions , . ► Estimated tax penalty (see instructions) 1 77 76 371 Third Party Designee Designee's name s Ron Sniegocki CPA Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other Than taxpayer) is based on all information of which preparer has any knowledge. Do you want to allow another person to discuss this return with the IRS (see instructions)? X Yes. Complete below. Personal identification number (PIN) ► Phone no. ► 717-838-2682 Sign Here Joint return? See instr. Keep a copy for your records. 26822 No Your signature Dale Your occupation Entertainment e phone number Spouse's signature. If a joint return, both muss sign. Date Sport's occupation 11 the IRS sent you an Identity Protection PIN, enter it here (see inst .) PrintfType preparers name Paid Ronald E Sniegocki Preparer Firm's name ► Use Only Firm's address ► DM Pr arer sig Dale /06{14 Check _ if self-employed PTIN P00050693 Sniegocki & Associates, P.O. Box 606 Palmyra Firm's EIN ► 25-1822544 PA 17078 Phone no. 717-838-2682 Form 1040 (2013) RANDRE 04/060014 11:58 AM SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99) Itemized Deductions 10i Information about Schedule A and its separate instructions is at wwvv.irs.govischedulea. PP Attach to Form 1040. OMB No. 1545-0074 2013 Attachment Sequence No. 07 Name(s) shown on Form 1040 Richard P Andree Your social security number 203-42-9596 Caution. Do not include expenses Medical 1 Medical and dental expenses (see and 2 Enter amount from Form 1040, line Dental.--..:.:,:..:. 3 Multiply line 2 by 10% (.10). But Expenses born before January 2, 1949, multiply 4 Subtract line 3 from line 1. If line reimbursed or paid by others. instructions) 38 2 1 •ii&],--, 1 l'ii0?; ,Ni;;i:!:l ...„.... 4 •:':''':',.'K 3 if either you or your spouse was line 2 by 7.5% (.075) instead 3 is more than line 1, enter -0- Taxes You 5 State Paid a b 6 Real 7 Personal 8 Other 9 Add and local (check only one yA Income taxes, or . _ General sales taxes estate taxes (see instructions) property taxes taxes. List type and amount See Statement lines 5 through 8 box): lo• 1 5 2 , 754 ......... 4, 60 9 6 1 , 7 92 :::,.;.::::::::i::: 7 Tgii!ii'M 8 63 9 Interest 10 Home mortgage interest and points reported to you on Form 1098 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 Note. person's name, identifying no., and address Ilio Your mortgage interest deduction may be limited (see instructions). 12 Points not reported to you on Form 1098. See instructions for special rules 13 Mortgage insurance premiums (see instructions) 14 Investment interest. Attach Form 4952 if required. (See instructions.) 15 Add lines 10 through 1415 10 2 , 372 mim 2,479 ii.Piiiii 11 12 13 14 Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, Charity see instructions If you made a 17 Other than by cash or check. If any gift of $250 or more, see gift and got a instructions. You must attach Form 8283 if over $500 benefit for it, 18 Carryover from prior year see instructions. 19 Add lines 16 through 18 iiiiiiiiiiiiiiii 16 100 100 17 18 19 Casualty and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) 20 Job Expenses 21 Unreimbursed employee expenses—job and Certain job education, etc. Attach Form (See instructions.) Po Miscellaneous Deductions 22 Tax preparation fees 23 Other expenses—investment, safe and amount 24 Add lines 21 through 23 25 Enter amount from Form 1040, line 38 26 Multiply line 25 by 2% (.02) 26 27 Subtract line 26 from line 24. If travel, union dues, 2106 or 2106 -EZ if required. deposit box, etc. List type ( 25 21 i•ii-iiii&:i' 27 22 23 24 26 line 26 is more than line 24, enter -0- Other 28 Other—from list in instructions. List type and amount ..... , , ........... ... , . , Miscellaneous Deductions ........ , , . iiiVi'i'iii 28 Total 29 Is Form 1040, line 38, over $150,000? Itemized FiCi No. Your deduction is not limited. Add the amounts in the far right column Deductions for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Li Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here ....... .... 29 7,188 ,......... ... ... . .... . fl-"""iiiiiiiii-iiiiii -,-, „ For Paperwork Reduction Act Notice, see Form 1040 instructions. DM Schedule A (Form 1040) 2013 RANORE 04/0612014 11:58 AM SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue Service (99) Profit or Loss From Business (Sole Proprietorship) ► For information on Schedule C and its instructions, go to www.irs.gov/schedulec. ► Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. OMB No. 15450074 2013 Attachment Sequence N 09 Name of proprietor Richard P Andree Social security number (SSN) 203-42-9596 A Principal business or profession. including product or service (see instructions) Entertainment/DJ B Enter code from instructions ► 711510 Business name. If no separate business name, leave blank. Andree Productions D Employer ID number (EIN), (see inslr.) E Business address (including suite or room no.) O. 9 Victor Lane City, town or post office, state, and ZIP code Mechanicsburg F Accounting method: (1) XLI Cash (2) J Accrual (3) _ Other (specify) ► PA 17050 G Did you "materially participate" in the operation of this business during 2013? If "No," see instructions for limit on losses X 14 If you started or acquired this business during 2013, check here ► I Did you make any payments in 2013 that would require you to file Form(s) 1099? (see instructions) — Yes Yes Yes LI No J If "Yes," did you or will you file required Forms 1099? P:aia>i< Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee" box on that form was checked ► Li 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) 7 Gross income. Add lines 5 and 6 ► Part1l>.< Expenses X No No 6 650 6,650 6,650 6 650 2 4 5 6 7 Enter expenses for business use of your home only on line 30 8 Advertising 9 Car and truck expenses (see instructions) 10 Commissions and tees 11 Contract labor (see instructions) 12 Depletion 13 Depreciation and section 179 expense deduction (not included in Part III) (see instructions) 14 Employee benefit programs (other than on line 19) 15 Insurance (other than health) 16 Interest: a Mortgage (paid to banks, etc.) b Other 17 Legal and professional services .. 8 9 1,865 10 11 12 13 163 14 5 16a 16b 17 360 18 Office expense (see instructions) 19 Pension and profit-sharing plans 20 Rent or lease (see instructions): a Vehicles, machinery, and equipment b Other business property 21 Repairs and maintenance 22 Supplies (not included in Part 111) 23 Taxes and licenses 24 Travel, meals, and entertainment: a Travel b Deductible meals and entertainment (see instructions) 25 Utilities 26 Wages (less employment credits) 27a Other expenses (from line 48) b Reserved for future use 18 19 20a 20b 21 22 23 24a 24b 25 26 27a 27b 28 Total expenses before expenses fo business use of home. Add lines 8 through 27a I 29 Tentative profit or (loss). Subtract line 28 from line 7 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss. you must go to line 32. 32 If you have a loss, check the box That describes your investment in this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, fine 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited. 28 2,388 29 4,262 30 31 527 3,735 32a 32b All investment is al risk. Some investment is not al risk. For Paperwork Reduction Act Notice, see the separate instructions. DAA Schedule C (Form 1040) 2013 'RANDRE 04/06/2014 11:58 AM SCHEDULE SE (Form 1040) Department of the Treasury Internal Revenue Service (99) Self -Employment Tax ► Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese. ► Attach to Form 1040 or Form 1040NR. OMB No. 1545.0074 Name of person with self-employment income (as shown on Form 1040) Richard P Andree Social security number of person with self-employment income ► 2013 Attachment Sequence No. 17 203-42-9596 Before you begin: To determine if you must fife Schedule SE, see the instructions. May I Use Short Schedule SE or Must 1 Use Long Schedule SE? Note. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. No Did you receive wages or tips in 2013? Are you a minister, membe 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 lax on other earnings? Yes No T Are you using one of the optional methods to figure your net earnings (see instructions)? Yes No Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more? No You may use Short Schedule SE below Ye No 1 Yes Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from sell -employment more than $113,700? Yes No Did you receive tips subject to social security or Medicare tax that you did not report to your employer? 0 Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax on Wages? Yes ► Yes ► You must use Long Schedule SE on page 2 Section A — Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. 1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z 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, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report 3 Combine lines 1a, lb, and 2 4 Multiply line 3 by 92.35% (.9235). If less than $400, you do not owe self-employment tax; do not file this schedule unless you have an amount on line 1 b Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions. 5 Self-employment tax. If the amount on line 4 is: * $113,700 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 56, or Form 1040NR, line 54 • More than $113,700, multiply line 4 by 2.9% (.029). Then, add $14,098.80 to the result. Enter the total here and on Form 1040, line 56, or Form 1040NR, line 54 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (.50). Enter the result here and on Form 1040, line 27, or Form 1040NR, line 27 j 6 1 264 1a 1b 2 3 735 3,735 4 3 449 528 For Paperwork Reduction Act Notice, see your tax return instructions. DAA Schedule SE (Form 1040) 2013 RANORE 04/06/2014 11:58 AM For, 8829 Department of he Treasury Internal Revenue Service (99 Expenses for Business Use of Your Home File only with Schedule C (Form 1040). Use a separate Form 8829 for each home you used for business during the year. mation about Form 8829 and its separate instructions is at www.irs.gov/fo 829. OMB No. 154 -0074 2013 Attachment Sequence No. 176 Name(s) of proprielor(s) Richard P Andree Part Part of Your Home Used for Business Your social security number 203-42-9596 1 Area used regularly and exclusively for business, regularly for daycare, or for storage of inventory or product samples (see instructions) 2 Total area of home 3 Divide line 1 by line 2. Enter the result as a percentage For daycare facilities not used exclusively for business, go to line 4. All others go to line 7. 4 Multiply days used for daycare during year by hours used per day 5 Total hours available for use during the year (365 days x 24 hours) (see instructions) 6 Divide line 4 by line 5. Enter the result as a decimal amount 4 hr. 2 95 1700 5.59% 8,760 hr. 6 7 Business percentage. For daycare facilities not used exclusively for business, multiply line 6 by line 3 (enter the result as a percentage). All others, enter the amount from line 3 ............. 7 .411.11•:: Figure Your Allowable Deduction 8 Enter the amount from Schedule C, line 29, plus any gain derived from the business use of your home and shown on Schedule D or Form 4797, minus any loss from the trade or business not derived from the business use of your home and shown on Schedule D or Form 4797. See instructions See instructions for columns (a) and (b) before completing lines 9-21. 9 Casualty losses (see instructions) 10 Deductible mortgage interest (see instructions) 11 Real estate taxes (see instructions) 12 Add lines 9, 10, and 11 (a) Direct expenses (b) Indirect expenses 10 8 5.59% 4,262 2,512 13 Multiply line 12, column (b) by line 7 14 Add line 12, column (a) and line 13 15 Subtract line 14 from line 8. If zero or less, enter -0- 16 Excess mortgage interest (see instructions) 17 Insurance 18 Rent 19 Repairs and maintenance 20 Utilities 11 12 13 1,898 4,410 247 14 15 247 4,015 16 17 677 18 19 20 4,331 21 Other expenses (see instructions) 21 22 Add lines 16 through 21 23 Multiply line 22, column (b) by line 7 24 Carryover of operating expenses from 2012 Form 8829, line 42 25 Add line 22, column (a), line 23, and line 24 26 Allowable operating expenses. Enter the smaller of line 15 or line 25 ,7 Limit on excess casualty losses and depreciation. Subtract line 26 from line 15 '8 Excess casualty losses (see instructions) 9 Depreciation of your home from line 41 below ) Carryover of excess casualty losses and depreciation from 2012 Form 8829, line 43 " Add lines 28 through 30 Allowable excess casualty losses and depreciation. Enter the smaller of line 27 or line 31 Add lines 14, 26, and 32 22 5,008 23 280 24 28 25 26 27 280 280 3,735 29 30 Casualty loss portion, if any, from lines 14 and 32. Carry amount to Form 4684 (see instructions) Allowable expenses for business use of your home. Subtract line 34 from line 33. Enter here and on Schedule C, line 30. Ifyour home was used for more than one business, see instructions attilltf: Depreciation of Your Home 31 32 33 34 35 0 527 527 Enter the smaller of your home's adjusted basis or its fair market value (see instructions) Value of land included on line 36 Iasis of building. Subtract line 37 from line 36 lusiness basis of building. Multiply line 38 by line 7 'epreciation percentage (see instructions) ?preciation allowable (see instructions). Multiply line 39 by line 40. Enter here and on line 29 above Carryover of Unallowed Expenses to 2014 aerating expenses. Subtract line 26 from line 25. If less than zero, enter -0- cess casualty losses and depreciation. Subtract line 32 from line 31. If less than zero, enter -0- perwork Reduction Act Notice, see your fax return instructions. 36 37 38 39 40 41 42 0 43 0 Form 8829 (201J) 42AND1E 04106/2014 11:58 AM Form 4562 Department of the Treasury Internal Revenue Service (99) Depreciation and Amortization (Including Information on Listed Property) hi- See separate instructions. 10. Attach to your tax return. OMB No. 1545.0172 2013 Attachment Sequence No. 179 Name(s) shown on return Richard P Andree Identifying number 203-42-9596 Business or activity to which this form relates Entertainment/DJ 1 2 3 4 5 6 Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I Maximum amount (see instructions) Total cost of section 179 property placed in service (see instructions) Threshold cost of section 179 property before reduction in limitation (see instructions) Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- Dollar limitation for fax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions (a) Description of property 7 Listed property. Enter the amount from line 29 (b) Cost (business use only) 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 9 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from line 13 of your 2012 Form 4562 1 2 500,000 3 2,000,000 4 5 (c) Elected cost 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Carryover of disallowed deduction to 2014. Add lines 9 and 10, less line 12 11' 13 Note: Do not use Part)( or Part ((1 below for listed property. Instead. use Part V. 8 9 10 11 12 Part 11 Special Depreciation Allowance and Other Depreciation (Do not include listed property.) 'See instructions. 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions) 15 Property subject to section 168(f)(1) election 16 Other depreciation (including ACRS) 14 15 16 84 Part 111 MACRS Depreciation (Do not include listed property.) (See in uctions.) Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2013 17 0 18 If you are electing to group any assets placed in service during the tax year Mto one or more general asset OCCOuniS, check here Section B—Assets Placed in Service During 2013 Tax Year Using the General Depreciation System (a) Classification of property (b) Month and year placed in service (c) Basis for depreciation (business(nvestment use only—see instructions) )d) Recovery period (e) Convention (1) Method (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 h Residential rental property 25 yrs. 27.5 yrs. MM S/L SIL 27.5 yrs. MM S/L i Nonresidential real property 39 yrs. MM S/L MM S/L Section C—Assets Placed in Service During 2013 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12 -year 12 yrs. S/L c 40 -year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions 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 21 79 22 163 For Paperwork Reduction Act Notice, see separate instructions. DAA . . . Form 4562 (2013) RANDRE 04/06/2014 11:58 AM Richard P Andree Farm 4562 (203) 203-42-9596 Page 2 'iti.rf:<Vi. Listed Property (Include automobiles, certain other vehicles, 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 Cif applicable. Section A Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.) 24a Do you have evidence to support the business/investment use claimed? X Yes No 24b If 'Yes," is the evidence written? X Yes No (a) Type of property (list vehicles first) (b) Date placed in service (c) Business/ investment use percentage (d) Cost or other basis (e) Basis for depreciation (businessanveslmenl use only) (6) Recovery period (g) Method/ Convention (h) Depreciation deduction (1) Elected section 179 COs( 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 500/0 in a qualified business use (see instructions) 25 26 Property used more than 50% in a qualified business use: See Stiatement 0/c 1,377 688 79 27 Property used 50% or less in a qualified business use: Vehicl e 01/01/02 20.12% SIL- SIL - 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 28 79 29 Add amounts in column (1), 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 thls section for those vehicles. 30 Total business/investment miles driven during the year (do not include commuting miles) 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 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? (a) Vehicle 1 3,300 (b) Vehicle 2 (c) Vehicle 3 (d) Vehicle 4 (e) Vehicle 5 (r) Vehicle 6 13,100 16 400 Yes No Yes No Yes No Yes No Yes No Yes No X X X Section C—Questions for Employers Who Provide Vehicles for Use by Their Employees 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. 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 Section13 for the covered vehicles. t a`E '\fiC Amnr4i.ifi m Yes No (a)(b) Description of costs Date amortization begins (c) Amortizable amount (d) Code section Amortization period or percentage (1) Amortization for this year 42 Amortization of costs that begins during your 2013 tax year (see instructions): 43 Amortization of costs that began before your 2013 tax year 44 Total. Add amounts in column (1). See the instructions for where to report DAA 43 44 Form 4562 (2013) RANDRE Andree, Richard P 4/6/2014 11:58 AM 203-42-9596 Federal Statements Statement 1 - Schedule A, Line 8 - Other Taxes Description LST Per Capita Total Amount 52 11 63 1 HANORE 64,06/2014 11:56 AM Form 88 9 Depanment of the Treasury Internal Revenue Serwce IRS e -file Signature Authorization ► Do not send to the IRS. This is not a tax return. ► Keep this form for your records. ► Information about Form 8879 and its instructions Is al www.irs.gov/form8879. No. 1545.0074 2013 Submission Identification Number (SID) Taxpayers name Richard P Andree Social security number 203-42-9596 Spouse's name Spouse's social security number 178-50-6218 Part I. Tax Return Information —Tax Year Ending_ December 31, 2013 (Whole Dollars Onl 1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) 2 Total tax (Form 1040, line 61; Form 1040A, line 35; Form 1040EZ, line 10) 3 Federal income tax withheld (Form 1040, line 62; Form 1040A, line 36; Form 1040EZ, line 7) 4 Refund (Form 1040, line 74a; Form 1040A, line 43a; Form 1040EZ, line 11a; Form 1040 -SS, Part I, line 13a) 5 Amount you owe (Form 1040, line 76; Form 1040A, line 45; Form 1040EZ, line 12) 56 527 7 813 7,442 371 4 5 Part 11 Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of my electronic individual income lax return and accompanying schedules and statements for the lax year ending December 31, 2013, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from my electronic income lax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, t authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the lax preparation software for payment of my federal faxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent. Taxpayer's PIN: check one box only IXI I authorize Sniegocki & Associates , PC to enter or generate my PIN ERO firm name as my signature on my tax year 2013 electronically filed income tax return. 26822 Enter five numbers, but do not enter all zeros I will enter my PIN as my signature on my tax year 2013 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Your signature► Date 1. 04/06/14 Spouse's PIN: check one box only I authorize ER0 firm name as my signature on my tax year 2013 electronically filed income tax return. to enter or generate my PIN Enter live numbers, but do not enter all zeros 1 will enter my PIN as my signature on my lax year 2013 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Spouse's signature ► Date ► Practitioner PIN Method Returns Only—continue below Part 111 Certification and Authentication — Practitioner PIN Method Only ERO's EFIN/PIN. Enter your six -digit EFIN followed by your five -digit self-selected PIN. certify that the above numer the taxpayer(s) indicated ab \'e method and Publication 1345 23692326821 Do not enter all zeros PIN, which is my signature for the tax year 2013 electronically filed income tax return for I am submitting this return in accordance with the requirements of the Practitioner PIN horized IRS e -file Providers of Individual Income Tax Returns. ERO's signature ► Date ► 04/06/14 ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see your tax return instructions. UM Form 8879 (7013) PAYER'S name, street address. city, state, and ZIP code Harrisburg Television Inc WHTM-TV 3235 Hoffman Street Harrisburg, PA 17110 717-236-2727 Re PAYER'S Federal Tax ID 251779618 RECIPIENTS Name and Address RECIPIENTS identification No. 203-42-9596 RICHARD P. ANDRE 9 VICTOR LANE MECHANICSBURG, PA 17055 12 Royalties 3 Other Income 5 Fishing boat proceeds 7 Nonemployee Compensation $ 3000.00 No. 1545-0 2013 1099-MISC 4 Fed income tax withheld Miscellaneous Income 6 Med & health care pmts 8 Pmts in lieu of Div or Int 9 Payer made direct 'ri sales of $5000 or more of consumer products 10 Crop Insurance proceeds 11 Foreign tax paid 12 Foreign country or US pos 13 Excess Golden Par Pmts 14 Gross paid to an attomey Copy B For Recipient This Is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be Imposed on you if this income is taxable and the IRS determines that it has not been reported. Account Number 124 Form 1099-MISC 15a Sec 409A deferrals 15b Sec 409A income 16 State tax withheld 17 State/Payer's state no. 18 State income (Keep for your records.) Department of the Treasury - Internal Revenue Service PAYER'S name, street address, city, state, and ZIP code Harrisburg Television Inc WHTM-TV 3235 Hoffman Street Harrisburg, PA 17110 717-236-2727 1 Rents 2 Royalties OMB No. 1545-0115 2013 1099-MISC Miscellaneous Income 3 Other Income 4 Fed income tax withheld PAYER'S Federal Tax ID RECIPIENTS identification No. 251779618 1203-42-959.6 5 Fishing boat proceeds 6 Med & health care pmts RECIPIENTS Name and Address RICHARD P. ANDRE 9 VICTOR LANE MECHANICSBURG, PA 17055 7. Nonemployee Compensation $ 3000.00 8 Pmts in lieu of Div or int 9 Payer made direct sales of $5000 or more of consumer products 11 Foreign tax paid Crop Insurance p 12 Foreign country or US pos 13 Excess Golden Par Pmts 14 Gross paid to en attomey Copy 2 To be filed with recipient's state income tax return, when required. Account Number 24 Form 1099-MISC 1 15a Sec 409A deferraisl 15b Sec 409A income ; 16 State tax withheld. � I f Harrisburg Television Inc WHIM -TV 3235 Hoffman Street Harrisburg, PA 17110 lmpor'tant Tax Return Document Enclosed RICHARD P. ANDRE 9 VICTOR LANE MECHANICSBURG, PA 17055 17 State/Payer's state no. 18 State income Department of the Treasury - Internal Revenue Service Instructions for Recipient Amounts shown may be subject to self-employment (SE) tax. If your net Income from self- employment is 1400 or more, you must file a return and compute your SE tax on Schedule SE (Form 1040). See Pub, 334 for more Information. If no income or social security and Medicare taxes were withheld end you are still receiving these payments, see Form 1040 -ES. Individuals must report these amounts as explained in the box 7 Instructions on this page. Corporations. fiduciaries, or partnerships must report the amounts an the proper line of their tax retums. Form 1099-MISC incorect7 If this form is Incorrect or has been issued in error. contact the payer. If you cannot get this form corrected, attach an explanation to your tax return and report your Income correctly. Box 7. Shows nonemployee compensation. If you are In the trade or business of catching Ash. box 7 may show cash you received for the sale of fish. If the amount in this box Is 5E Income, report it on Schedule C or F (Form 1040). and complete Schedule SE (Form 1040). You received this form instead of Form W-2 because the payer did not consider you an employee and did not withhold Income tax or social security and Medicare tax. If you believe you are an employee and cannot get the payer to correct this form. report the amount from box 7 on Form 1040, line 7 (or Form 1040NR, line 8). You must also complete Form 8919 and attach it to your return. 11 you ore not an employee but the amount in this box Is not 5E income (for example, it is Income from a sporadic activity re ore hobby). port II on Form 1040, Ilne 21 (or Form 1040NR, line 21). R2 Format(c)www.1 O99Express.com TRUSTEE 866-334-89I3 WIOOI OPTlDM BANK POST OFFICE BOX 271129 SALT LAKE CITY DT 84127-1129 CORRECTED mchecked) TRUSTEES Federal identification number 47-O8S8S34 � Employee or self-employed person's Archer MSA ocnotbution"made irt 2013 and 2014 for 2013 PART1CiPANTS security number XXX -XX -9S96 2 T011i contributions made in 2013 � PARTICIPANT 138916 RICHARD P ANDREE 9 VICTOR LN MECBZQNIC8BDRG PA 2013 FORM 5498 -SA HSA, Medicare Advantage MSA Information Copy B For Participant OMB No 1545-1518 Amount umber (seemstructims) 747081 Form 5498 -SA Instructions for Participant Ths information is submitted to the Internaf Revenue Service by the trustee of your health avings account (HSA), Archer MSA, or Medicare Advantage MSA (MA MSA). Generally, contributions you make to your Archer MSA are deductible. Employer contributions are oxcluded from your iricome and are not deductible by you. If your employer makes a contribution to one of your Archer MSAs, you cannot contribute to any Archer MSA for that year. If you made a contribution to your Archer MSA when your employer has conthbutod, you cannot deduct your contnbution, and you will have an excess contribution. If your spouse's employer makes a contribution to yourspnuon'sAnohor/NGA. you cannot make contribution to your Archer MSA if your spouse is covered under a high deductible hea!th plan that also covers you. Contributions that the SociaI Security Adrnnistration niakes to your MA MSA are not includible in your gross income nor are they deductible. Neither you nor your employer can make contributions to your MA MSA. Generaily, contributions you or some�rie other than your employer make to your HSA are deductible on your tax return, mpIoyer contributions to your HSA may be exckided from your income and are not deductible by you. You and your employer can make contributions to your HSA in the same year. o"°Perm ausoand its instructions urForm ea8eand its instructions. Any empoyer contributions made to an Archer MSA are shown on your Form W-2 in Box 12 (code R); employer contributions rnade to an HSA are shown in Box 12 (code W). For more information, see Pub. 909. Participant's identification number. For your protection, this form may show only the last four digits of your social security nu,nbe,(aSm). individual taxpayer me,umca6on number (ITIN), or adoption taxpayer identification number (*T/N). However, the issuer has reported your complete identification number to the IRS and, where applicable, to state and/or Ioca! governments. I7O5D- copy 52 3Total HSA or Archer MSA contributionsmade in 2014 for 2013 � 4 Rollover contributions $ 5 Fair market value * HSA. Archer WA. ° MA MSA I,434'I9 6 HSA Archer MSA���� MA MSA ..... '}{ ' The information in boxes fthrough (keep till is being furnished to the Internal Revenue Service. for you records Account numberMay show an account or other unique number the trustee assigned to distinguish your account. Box 1. Shows contributions you made to your Archer IVISA in 2013 and through April 15.2O14.for 2O13You may beable hxdeduct this amount on your 2013 Form 1040. See the Form 1040 instructions. Note: The informatiori in boxes 2 and 3 is provided for RS use only. Box 2. Shows the total contributions made in 2013 to your HSA or Archer MSA. See Pub. 960 for who can make contributions. This includes quailified HSA funding distributions (trustee -to -trustee transfers) from your IRA to fund your HSA. The trustee of your MA MSA is not required to, but may, show contributions to your MA MSA Box 3. Shows the total HSA or Archer MSA contributions made in 2014 for 2013. Box 4. Shows any roliover contribution from an Archerher MSA to this Archer MSA in 2013 or any roliover from an HSA or Archer MSA to this HSA. See Form 8853 or Form 8889 and their instructions for information about how to report distributions. This amount is not included /n box 1, 2, or 3. Box 5. Shows the fair market vaiue of your HSA, Archer MSA, or MA MSA atthe end pf2O13. Box 6. Shows the type of account that is reported on this Form 5498 -SA. Other information. The trustee of your HSA, Archer MSA, or MA MSA may pravide other information about your account on this form. Note: Do not attach Form 5498 -SA to your !ncome fax refurn. Instead, koep it for your records. Future developments. For the latest information about developments related to Form 5498 -SA and its instruobons, such as legislation enacted after the form and instructions were pub|ished, go to www.irs.gov/form5498sa. I 1 CORRECTED (if checked PAYER'S name, street address, city or town, province or state, country, ZIP or foreign postal code, and telephone no. A ; , . 1 '..1.1.2.r...,$ 1 Rents $C) OMB Ne 1545-0115 Form 1099-M;SC Misceflanecus Income 2 Royalties 3 Other income $ 4 Fedo,l income tax $ withheld y Copy 6 1 For Recipient PAYER'S federal identification number ._. _ f lji. ; RECIPIENT'S identification number .- 5 Fishing boat proceeds $ _ 6 A4. , rat 2?d t s --i z care $ RECIPIENT'S name Street address (including apt. no) -It .;".:':: »` City or town, province or state, country, and ZIP or foreign postal code 7 Nonemployee compensation $ - 8 Subst«te payments in lieu of dividends or irterest $ This is important tax information and is being furnished to the Internal Revenue Service. youIf are required to fife a return, a negligence penalty or other sanction may be imposed on you if -this income is taxable and the IRS determines that it has not been reported. 9 Payer made direct sales of 55,000 or more of consumer products to a buyer (recipient) for resale t+ ❑ 10 Crop incurarsce proceeds $ 11 Foreign tax paid $ 12 Foreign couriiry or u.s. possession Account number (see instructions) 13 Excess golden parachute payments $ 14 Gross proceeds paid to an attorney $ 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld $ 17 Stte;Payer's state no. T$ 18 State income M Form 1099-MISC (keep for your records) www.irs.gov/form1099misc ❑ CORRECTED (if checked) Department of the Treasury - Internal Revenue Service PAYER'S name, street address, city or town, province or state, country, ZIP 1 Rents or foreign postal code, and telephone no. 2 Royalties OMB No. 1545-0115 2©13 Form 1099 -MSC Miscellaneous Income 3 of $ COI te . 4 Federal income tax withheld $ PAYER'S federal identification number RECIPIENT'S identification number 5 Fishing boat proceeds . 6 Medical and'neatth care payments RECIPIENT'S name Street address (including apt. no.) City or town, province or state, country, and ZIP or foreign postal code 7 Nonemployee compensation 8 Substitute payments in lieu of dividends or interest 9 Payer made direct sales of $5,000 or more of consumer products to a buyer (recipient) for resale's 0 10 Crop insurance proceeds $ Copy 2 To be filed with recipient's ate income tax return, when required. 11 Foreign, tax paid $ 12 Foreign country or U.S. possession Account number (see instructions) 13 Excess golden paa•achute payments 14 Gross proceeds paid to an attorney • 15a Section 409A deferrals $ 15b Section 409A income $ 16 State tax withheld 17 State/Payer's state no. 18 State income $ noel_ RA mrt 1e1uu1 irm nnv/fnrm1 n99miSC Department of the Treasury - Internal Revenue Service Copy B --To Be Filed With Employee's FEDERAL Tax Return. 38-20£9803 OMB N. '545-0008 a Employee's soc. sec. no. 203-42-9596 1 Wages, tips, other comp. 5575.00 2 Fed. income tax withheld 122.47 3 Sociasecurtywagas 5575.00 4 Soc.sec.taxwithheld 345.65 b mployer ID number(EIN) 20-8899635 5 Medicare wages and tips 5575.00 8 Medicare tax withheld 80.84 c Employees narne, address, and ZIP code Senators Partners, LLC One Champion Way- City Island. Harrisburg PA 17101 . d Control number 008050009596005 e Employee's name, address, and ZIP code Richard Andree 9 Victor Ln. Mechanicsburg PA 17050 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualified plans 12a Code See inst. or box 12 13 Statutory employee 14 Other PA EE UT 3.92 12b Coda , Retirement plan 12c Coe'' Third -party Sick pay 12d Code PA19334 0642 15 State Employees state ID no. 5575.00 16 State wages, tips, etc. 171.17 17 State income tax 18 Localages, tips, etc. 5575.00 19 Localincometax 89.20 20 localityname 22 -Dauphin County Form W-2 Wage and Tax Staternent 2013 Dept. of the Treasury-- IRS This information is being furnished to the Internal Revenue Service. 3 BW24UP NTF 2577909 This information is being furnished to IRS. If you are required to file a tax return, a negligence penalty/other sanction may be imposed on you if this income is taxable & you fail to report it. Copy 2 --To Be Filed Virth Employee's State, City, or Local Income Tax Return 38-2099803 0M9 No. 1545-0008 a Einployee's soc. sec. no. 203-42-9596 1 Wages, tips, other comp. 5575.00 2 Fed. income tax withheld 122.47 3 Social security wages 5575.00 4 Soc. sec. tax with held 345.65 b Employer ID number (EIN) 20-8899635 5 Medicare wages and tips 5575.00 6 Medicare tax with held 80.84 c Employer's name, address, and ZIP code Senators Partners, LLC One Champion Way- City Island Harrisburg PA 17101 d Control number 008050009596005 o Employee's name, address, and ZIP code Richard Andree 9 Victor Ln Mechanicsburg PA 17050 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualif led plans 12a Code 13 Statutory employee 14 Other PA EE UI 3.92 12b Code 12c Code Retirement plan Third -party sick pay 12d Code PA19334 0642 15 Stale Employer's state ID no. 5575.00 16 State wages, tips, etc. 171.17 17 State income tax 18 Loxal wages, tips, etc. 5575.00 19 Local income tax 89.20 20 Locality name 22 - Dauphin County Copy C --For EMPLOE'S RECORDS (See Noti to Employee.) 38-2099803 OMB No. 1545-0008 a Employee's soc. sec. no. 203-42-9596 1 Wages, tips, other comp. 5575.00 2 Fed. income tax withheld 122.47 3 Social security wages 5575.00 4 Soc. sec. tax withheld 345.65 b Employer ID number (EIN) 20-8899635 5 edicare wages and tips 5575.00 8 Mdicare tax withheld 80.84 c Employer's name, address, and ZIP code Senators Partners, LLC One Champion Way- City Island Harrisburg PA 17101 d Control number 008050009596005 e Employee's name, address, and ZIP code Richard Andree 9 Victor Ln Mechanicsburg PA 17050 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualifiedptans 12a Code See inst. for box 12 13 Statutory employee 14 Other PA EE UT 3.9Z 12b Code Retirement plan 12c Code tritru-porty *MK pay 12d Code PA19334 0642 15 State Employer's state ID no. 5575.00 18 State wages, tips, etc. 171.17 17 State income tax 18 Local wages, tips, etc. 5575.00 19 Local income tax 69.20 20 Locality name 22 - Dauphin County orm W-2 Wage and Tax Statement 2013 Dept. of the Trinsury - IRS Form W-2 Wage and Tax Statement 2013 Dept. of the Treasury -- IRS Copyright 2013 GreatiandiNelco Copy 2 --To Be Flied With Employee's State, City, or Local Income Tax Return _ 38-2099803 once No. 1545-0008 a Employee's sec. sec. no. 203-42-9596 1 Wages, tips, other comp. 5575.00 2 Fod. income tax withheld 122.47 3 Social security wages 5575.00 4 Soc. sac, tax withheld 345.65 b Employer ID number (EIN) 20-8899635 5 Medicare wages and tips 5575.00 6 Medicare tax withhold 80.84 c Employer's name, address, and ZIP code Senators Partners, LLC One Champion Way- City Island . Harrisburg PA 17101 d Control number 002050009596005 e Employee's name, address, and ZIP code Richard Andree 9 Victor Ln • Mechanicsburg PA 17050 7 Social security tips 8 Allocated tips 9 10 Dependent care benefits 11 Nonqualified plans 12a Co de 13 Statutory employee 14 Other PA EE DI 3.92 12b Code Retirement plan 12c Code Third -party sick pay 126 Code PA19334 0642 15 State Employer's state ID no. 5575.00 16 State wages, tips, etc. 171.17 17 State income tax 18 Local wages, tips, etc. 5575.00 19 Local income fax 89.20 20 Locality name 22 - Dauphin County Form W-2 Wage and Tax Statement 2013 Dept. of the Treasury -- IRS 0 CORRECTED (if checked) RECIPIENT'S/LENDER'S name, address and telephone number M & T BANK RETURN SERVICE ONLY P.O. BOX 619063 DALLAS, TX 75261-9063 • PHONE NO. 1-877-686-8424 •caution: The amount shown may not be fully deductible by you. and the cost andts based on tvalueof the n tint secured property may apply. Also, you may only deduct interest to the extent it was incurred by you, actually paid by you, and not reimbursed by another person. OMB No. 1545-0901 2013 Substitute Form 1098 PAYER'S/BORROWER'S name, street address (including apt. no.), city, state and ZIP code ,6-770-22961-0009252-002-1-000-000-000-000 1 Mortgage Interest received from payer(s)/borrower(s)' $ 1,609.49 2 Points paid on purchase of principal residence $ 0.00 3 Refund of overpaid interest $ 0.00 RICHARD P ANDREE DEBRA A ANDREE 9 VICTOR LN MECHANICSBURG PA 17050-1552 4 Mortgage insurance premiums $ 0.00 5 RECIPIENT'S federal IdentIlicadon No. 16-0538020 PAYER'S social security number XXX -XX -9596 Account number (see instruc ions) 100-001-9239564-0001 Form 1098 instructions for Payer/Borrower (Keep for your records) A person (including a financial institution, a governmental unit, and a cooperative housing corporation) who is engaged in a trade or business and, in the course of such trade or business, received from you at least $600 of mortgage interest (including certain points) on any one mortgage in the calendar year must furnish this statement to you. If you received this statement as the payer of record on a mortgage on which there are other borrowers, furnish each of the other borrowers with information about the proper distribution of amounts reported on this form. Each borrower is entitled to deduct only the amount he or she paid and points paid by the seller that represent his or her share of the amount allowable as a deduction. Each borrower may have to include in income a share of any amount reported in box 3. If your mortgage payments were subsidized by a government agency, you may not be able to deduct the amount of the subsidy. See the instructions for Form 1040, Schedule A, C, or E for how to report the mortgage interest. Also, for more information, see Pub. 936 and Pub. 535. Payer's/Borrower's identification number. For your protection, this form may show only the last four digits of your social security number (SSN), individual taxpayer identification number (ITIN), or adoption taxpayer identification.number(ATIN). However, the issuer has reported your complete identification number to the IRS, and, where applicable, to state and/or local governments. Account number. May show an account or other unique number the lender has assigned to distinguish your account. 01/17/14 Mortgage interest Statement Copy B For PayerlBorrower The information in boxes 1, 2, 3, and 4 is important tax information and is being furnished to the internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if the RS determines that an underpayment of tax results because you overstated a deduction for this mortgage interest or for these points or because you did not report this refund of interest on your return. Department of the Treasury- Internal Revenue Service Box 1. Shows the mortgage interest received by the recipient/lender during the year. This amount includes interest on any obligation secured by real property, including a home equity, line of credit, or credit card loan. This amount does not include points, government subsidy payments, or seller payments on a 'buydown" mortgage, Such amounts are deductible by you only in certain. circumstances. Caution: If you prepaid interest in 2013 that accrued in full by January 15, 2014, this prepaid interest may be included in box 1. However, you cannot deduct the prepaid amount in 2013 even though it may be included in box 1. If you hold a mortgage credit certificate and can claim the mortgage interest credit, see Form 8396. If the interest was paid on a mortgage, home equity, line of credit, or credit card loan secured by your personal residence, you may be subject to a deduction limitation. Box 2. Not all points are reportable to you. Box 2 shows points you or the seller paid this year for the purchase of your principal residence that are required to be reported to you. Generally, these points are fully deductible in the year paid, but you must subtract seller -paid points from the basis of your residence. Other points not reported in box 2 may also be deductible. See Pub. 936 to . figure the amount you can deduct. Box 3. Do not deduct this amount. It is a refund (or credit) for overpayment(s) of interest you made in a prior year or years. If you itemized deductions in the year(s) you paid the interest, you may have to include part or all of the box 3 amount on the 'Other income line of your 2013 Form 1040. No adjustment to your prior year(s) tax retum(s) is necessary. For more information, see Pub. 936 and Itemized Deduction Recoveries in Pub. 525. • Box 4. Shows mortgage insurance premiums which may qualify to be treated as deductible mortgage interest. See the Schedule A (Form .1040) instructions. Box 5. The interest recipient may use this box to give you other information, such asthe address of the property that secures the debt, real estate taxes, or insurance paid from escrow. Future developments. For the latest information about developments related to Form 1098 and its instructions, such as legislation enacted after they were published, go to www irs. gov/form 1098. 0 CORRECTED (if checked) RECIPIENTS/LENDER'S name; address and telephone number • M & T BANK RETURN SERVICE ONLY P.O. BOX 619063 DALLAS, TX 75261-9063 PHONE NO. 1-877-686-8424 • caution: The amount shown may not be fully deductible by you. Limitse loan amount and the costandd on uvalueofthhe secured property may apply. Also, you may only deduct interest to the extent it was incurred by you, actually paid by you, end not reimbursed by another person. OMB No. 1545-0901 2013 Substitute Form 1098 PAYER'S/BORROWER'S name, street address (including apt. no.), city, state and ZIP code • 5-770-22961-0009352-002-1-000-000-000-000 t• ' 1 Mortgage Interest received from payer(s)/borrower(s)* $ 902.06 2 Points paid on purchase of principal residence $ 0.00 3 Refund of overpaid interest $ 0.00 RICHARD P ANDREE 9 VICTOR LN MECHANICSBURG PA 17050-1552 4 Mortgage insurance premiums $ 0.00 5 RECIPIENT'S Federal Idenrdkedon No. 16-0538020 PAYER'S social sec xiiy number XXX -XX -9596 Account number (see instruc ions) 100-001-9255933-0001 Form 1098 Instructions for Payer/Borrower (Keep for your records) A person (including a financial institution, a governmental unit, and a cooperative housing corporation) who is engaged in a trade or business and, in the course of such trade or business, received from you at least $600 of mortgage interest (including certain points) on any one mortgage in the calendar year must fumish this statement to you. If you received this statement as the payer of record on a mortgage on which there are other borrowers, furnish each of the other borrowers with information about the proper distribution of amounts reported on this form. Each borrower is entitled to deduct only the amount he or she paid and points paid by the seller that represent his or her share of the amount allowable as a deduction. Each borrower may have to include in income a share of any amount reported in box 3. If your mortgage payments were subsidized by a government agency, you may not be able to deduct the amount of the subsidy. See the instructions for Form 1040, Schedule A, C, or E for how to report the mortgage interest. Also, for more information, see Pub. 936 and Pub. 535. Payer's/Borrower's identification number. For your protection, this form may show only the last four digits of your social security number (SS(\1), individual taxpayer identification number (ITIN), or adoption taxpayer identification number(ATIN). However, the issuer has reported your complete identification number to the IRS, and, where applicable, to state and/or local governments. Account number. May show an account or other unique number the lender has assigned to distinguish your account. 01/17/14 Mortgage - Interest Statement Copy B For Payer/Borrower The information in boxes 1, 2, 3, and 4 is important tax information and is being furnished to the Internal Revenue Service. If you are required to file a return, a negligence penalty or other sanction may be imposed on you if the IRS determines that an underpayment of tax results because you overstated a deduction for this mortgage interest or for these points or because you did not report this refund of interest on your return. Department of the Treasury - Internal Revenue Service Box 1. Shows the mortgage interest received by the recipient/lender during the year. This amount includes interest on any obligation secured by real property, including a home equity, line of crlydit, or credit card loan. This amount does not include points, government subsidy payments, or seller payments on a 'buydown' mortgage. Such amounts are deducible by you only in certain circumstances. Caution: If you prepaid interest in 2013 that accrued in full by January 15, 2014, this prepaid interest may be included in box 1. However, you cannot deduct the prepaid amount in 2013 even though it may be included in. box 1. If you hold a mortgage credit certificate and can claim the mortgage interest credit, see Form 8396. If the interest was paid on a. mortgage, home equity, line of credit, or credit card loan secured by your personal residence, you may be subject to a deduction limitation. Box 2. Not all points are reportable to you. Box 2 shows points you or the seller paid this year for the purchase of your principal residence that are required to be reported to you. Generally, these points are fully deductible in the year paid, but you must subtract seller -paid points from the basis of your residence. Other points not reported in box 2 may also be deductible. See Pub. 936 to figure the amount you can deduct. Box 3. Do not deduct this amount. It is a refund (or credit) for overpayment(s) of interest you made in a prior year or years. If you itemized deductions in the year(s) you paid the interest, you may have to include part or all of the box 3 amount on the 'Other income line of your 2013 Form 1040. No adjustment to your prior year(s) tax return(s) is necessary. For more information, see Pub. 936 and Itemized Deduction Recoveries in Pub. 525. Box 4. Shows mortgage insurance premiums which may qualify to be treated as deductible mortgage interest. See the Schedule A (Form 1040) instructions. Box 5. The interest recipient may use this box to give you other information, such as the address of the property that secures the debt, real estate taxes, or insurance paid from escrow. Future developments. For the latest information about developments related to Form 1098 and its instructions, such as legislation enacted after they were published, go to www irs. go v/form 1098. IIFEDERAL CREDIT UNION St MEMBERS 1" • TOTAL DIVIDENDS PAID 0000 REGULAR SAVINGS TOTAL LOAN INTEREST PAID 0.00 0001 INDIRECT USED AUTOS 126.06 • a Employee's social security number 203429596 Safe, accurate,Visit the IRS website at OMB No. 1545-0008 FAST! Use Re --* file wwwirs.goviefile b Employer identification number (EIN) 742722883 1 Wages, tips, other compensation 47480.97 2 Federal income tax withheld 7320.20 c Employer's name, address, and ZIP code CLEAR CHANNEL BROADCASTING INC , 200 EAST BASSE SAN ANTONIO, TX 78209 3 Social security wages 50084.76 4 Social security tax withheld 3105.26 5 Medicare wages and tips 50084.76 8 Medicare tax withheld 726.23 7 Social security tips 8 Allocated tips d Control number 1013837 10 Dependent care benefits e Employee's first name and initial Last name Suff. RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 f Employee's address and ZIP code 11 Nonquallfied plans 12a See instructions for box 12 7) D 2603.79 13 Statutory Retirement Third -party amooyee Plan sick pay LI lil D 12b ! DD 3863.04 14 Other PA -UI 36.46 12c .1 W 1 670.00 12d ! C 1 15.84 15 State Employer's state ID number PA 1 18909416 1 16 State wages, tips, etc. 50084.76 17 State income tax 1537.56 18 Local wages, tips, etc. 50084.76 . 19 Load income tax 801.36 20 Locality name SUSQUEH Wage and Tax Form VII -2 Statement Copy B—To Be FIIed With Employee's FEDERAL Tax Return. This information is being furnished to the Internal Revenue Service. 2013• Department of the Treasury—Intemal Revenue Service / Wage and Tax . Fort„ ■�m2 Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Retum. 2013 Department of the Treasury—Intemal Revenue Service M a Employee's social security number 203429596 OMB No. 1545-0008 b Employer identification number (EIN) 742722883 1 Wages; tips, other compensation 47480.97 2 Federal income tax withheld 7320.20 c Employer's name, address, and ZIP code CLEAR CHANNEL BROADCASTING INC 3 Social security wages 50084.76 4 Social security tax withheld 3105.26 200 EAST BASSE 5 Medicare wages and tips 50084.76 6 Medicare tax withheld 726.23 SAN ANTONIO, TX 78209 7 Social security tips 8 Allocated tips d Control number 1013837 9 10 Dependent care benefits -e Employee's first name and initial Last name Suff. RICHARD P A'NDREE. 11 Nonqualified plans . 12a D 2603.79. . - . - 13 Statutory employee Retirement pian Ell miw•patty sick pay ❑ e 01, e DD 3863.04 9 VICTOR LANE 14 Other PA -UI 36.46 12o S W 670.00 MECHANICSBURG, PA 17055 12d d C I 15.84 f Employee's address and ZIP code 15 State Employer's state ID number PA 1 18909416 • 16 State wages, tips, etc. 50084.76 17 State income tax 1537.56 18 Local wages, tips, etc. 50084.76 19 Local income tax 801.36 20 Locality name SUSQUEH / Wage and Tax . Fort„ ■�m2 Statement Copy 2—To Be Filed With Employee's State, City, or Local Income Tax Retum. 2013 Department of the Treasury—Intemal Revenue Service M Wage and Tax Form 111111.2 Statement Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) 2013 Department of the Treasury—Internal Revenue Service Safe, accurate FASTI Use a Employee's social security number . 203429596 This information is being furnished to the Internal Revenue Service. If you are required to file a tax return, a negligence penalty or other sanction OMB No. 1545-0008 may be imposed on you if this income is taxable and you fail to report it. b Employer identification number (EIN) 742722883 1 Wages, tips, other compensation 47480.97 2 Federal income fax withheld 7320.20 c Employer's name, address, and ZIP code - CLEAR CHANNEL BROADCASTING INC 200 EAST BASSE SAN ANTONIO, TX 78209 - 3 Social security wages 50084.76 4 Social security tax withheld . 3105.26 6 Medicare wages and tips 50084.76 6 Medicare tax withheld 726.23 7 Social security tips 8 Allocated tips d Control number 1013837 9 10 Dependent care benefits e Employee's first name and initial Last name Suff. RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 • f Employee's address and ZIP code ' 11 Nonqualified plans 12a See instructions for box 12 :'i D 1 2603.79 13 Stahrtory Retirement Thrret-perty emPlnime Plan sink pay 0 11 0 i 9F., ''''"." ii DD 3863.04 14 Other PA -UI 36.46 ---- 12e iI W 670.00 12d i C 1 15.84 15 State Employer's state ID number PA [ 18909416 18 State wages, tips, etc. 50084.76 17 State income tax 1537.56 18 Local wages, tips, etc. 50084.76 19 Local income tax 801.36 20 Locality name SUSQUEH Wage and Tax Form 111111.2 Statement Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) 2013 Department of the Treasury—Internal Revenue Service Safe, accurate FASTI Use RAND RE 04/06/2014 11:58 AM 1 ii Qwj Department of the Treasury—Interrtal Revenue Service (9g) ■ O ■ O U.S. Individual Income Tax Return ^ O L OMB No. 1545.0074 iR Use ID �iy- rwtvta�.%afxo this P y ee a1 lstruons. or other taxyear beginning 2013, ending 20 For the Jan. 1 -Dec. 31, 2013, o 9 g year Your first name and initial Richard P Last name Andree Your social security number 203-42-9596 If a joint retum, spouse's first name and initial Last name Spouse's social security number 178-50-6218 Home address (number and street). If you have a P.O. box, see instructions. 9 Victor Lane Apt. no_ Make sure the SSN(s) above and on line 6c are coned. City, town or post office, state. and ZIP code. If you have a foreign address, also complete spaces below (see Instructions). Mechanicsburg PA 17050 Presidential Election Campaign Check here if you, or your spouse if filing jointly, warit$3togotothis fund. Checking a box below will Foreign country name Foreign province/stale/county Foreign postal code not change your tax or refund. flYou fl Spouse Filing Status 1 2 Check only one 3 I I Head ofJ household (with qualifying person). (See instructions.) If _ Single 4 Lthe qualifying person Is a child but not your dependent, enter this had income) child's name here. ► Marred filing Jointly (even if only one X Married filing separately. Enter spouse's SSN above • 5 . Qualifying wtdow(er) with dependent child box. Exemptions If more than four dependents, see instructions and check here ►� Income Attach Form(s) W-2 here. Also attach Forms W -2G and 1099-R if tax was withheld. If you did not get a W-2, see ik uctions. Adjusted Gross Income 6a b c and hull name here. ► Debra A Andrea X Yourself. If someone can claim you as a dependent, do not check box 6a Spouse Dependents: (1) First name test name (2) Dependents social security number (3) Dependent's relationship to you Boxes checked on 6a and 6b No. of children chi under on sc who: age 17 qua'. • lived with you , for child • dict not live with secredit )e ) you due to divorce r separation (see instructions) Dependents on 6c not entered above 1 d Total number of exemptions claimed 7 Wages, salaries, tips, etc. Attach Form(s) W-2 8a Taxable interest. Attach Schedule B if required b Tax-exempt interest. Do not include on line 8a 1 8b 1 9a Ordinary dividends. Attach Schedule B if required b Qualified dividends 1 9b 1 10 Taxable refunds, credits, or offsets of state and local income taxes 11 Alimony received 12 Business income or (loss). Attach Schedule C or C -EZ 13 Capital gain or (loss). Attach Schedule D if required. If not required. check here ► 14 Other gains or (losses). Attach Form 4797 IRA distributions b Taxable amount Pensions and annuities 115a 16a b Taxable amount Rental real estate, royalties, partnersh'ps, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation Social security benefits 120a 1 Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income 15a 16a 17 18 19 20a 21 22 23 24 1 b Taxable amount Educator expenses Certain business expenses of reservists, performing artists, and fee -basis govemment officials. Attach Form 2106 or 2106 -EZ 25 Health savings account deduction. Attach Form 8889 26 Moving expenses. Attach Form 3903 27 Deductible part of self-employment tax. Attach Schedule SE 28 Self-employed SEP, SIMPLE, and qualified plans 29 Self-employed health insurance deduction 30 Penalty on early withdrawal of savings ala Alimony paid b Recipient's SSN ► 32 IRA deduction 33 Student loan interest deduction 34 Tuition and fees. Attach Form 8917 35 Domestic production activities deduction. Attach Form 8903 36 Add lines 23 through 35 37 Subtract line 36 from line 22. This is your adjusted gross income For Dlscloaure, Privacy Act, and Paperwork Reduction Act Notice, see separate inatruCtions. DAA 23 24 25 26 27 29 30 31a 32 33 34 35 Add numbers on fines above ► 264 7 53,056 10 11 12 3,735 13 14 15b 16b 17 18 19 20b 21 36 56,791 37 264 56,527 Form 1040 (2013) RANDRE 04/06/2014 11:58 AM Richard P Andree 38 Amount from line 37 (adjusted gross income) Fomi 1040 (2013) Tax and Credits Standard Deduction for— • People who check any box on line 39a or 39b or who can be claimed as e dependent. see instructions. • An others: Single or Married filing separately, 56.100 Married filing jointly or Qualifying widow(er), $12,200 Head of household. $8,950 Other Taxes 39a b 40 41 42 43 44 Tax (see instr.). Check if any from: a El 8814° b ,F1972 c ❑ 45 Alternative minimum tax (see instructions). Attach Form 6251 46 Add lines 44 and 45 47 Foreign tax credit. Attach Form 1116 if required 47 48 Credit for child and dependent care expenses. Attach Form 2441 49 Education credits from Form 8863, line 19 50 Retirement savings contributions credit. Attach Form 8880 51 Child tax credit. Attach Schedule 8812, if required 52 Residential energy credits. Attach Form 5695 53 Other credits from Form: a 3800 b 11 8801 c 54 Add lines 47 through 53: These are your total credits Subtract line 54 from fine 46. If line 54 is more than line 46, enter -0- .......................... ► 55 Self-employment tax. Attach Schedule SE 56 Unreported social security and Medicare tax from Form: a 0 4137 b 8919 57 Additional tax on IRAs. other qualified retirement plans, etc. Attach Form 5329 if required 58 Household employment taxes from Schedule H 59a First-time homebu er credit repayment. Attach Form 5405 if required 59b Taxes from: a L Form 8959 b [] Form 8960 C Instruckans; enter codes) • 60 Add lines 55 through 60. This is your total tax ► 61 203-42-9596 page2 is 56,527 Check You were born before January 2, 1949, _Blind. Total boxes if:{ `Spouse was bom before January 2, 1949, _Blind. } checked ► 39a If your spouse itemizes on a separate return or you were a dual -status alien, check here ► 39b Itemized deductions (from Schedule A) or your standard deduction (see left margin) Subtract line 40 from line 38 Exemptions. If line 38 Is 5150,000 or less, multiply $3,900 by the number on line ed. Otherwise, see instructions Taxable income. Subtract line 42 from line 41. If fine 42 is more than line 41, enter -0- 48 40 41 42 43 44 45 46 7,188 49,339 3,900 45,439 7,285 7,285 49 50 51 52 53 55 56 57 58 59a b 60 61 62 63 64a b 65 66 67 68 69 70 71 72 Refund 73 74a Direct deposit? ► b See ► d Instructions. 75 Amount 76 YOU OWe 77 Payments If you have a quarrfying child, attach Schedule EIC. Federal income tax withheld from Forms W-2 and 1099 2013 estimated tax payments and amount applied from 2012 retum Eamed income credit (EIC) Nontaxable combat pay election 184b 1 Additional child tax credit. Attach Schedule 8812 American opportunity credit from Form 8863, line 8 Reserved 62 63 7,442: 7,285 528 7,813 65 66 67 ................_.,..........: "?% >. Amount paid with request for extension to file Excess social security and tier 1 RRTA tax withheld 69 Credit for federal tax on fuels. Attach Form 413670 Credits from Form: a 0 2439 b a Resented c a r-� 8885 d L.._! 71 >: Add lines 62.63, 64a, and 65 thragh 71. These are your total payments ► 72 7,442 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid .. • 73 Amount of line 73 ou want refunded to you. If Form 8888 Is attached, check here ► fl 74a Routing number ► c Type: Q Checking [] Savings Account number Amount of line 73 you want applied to your 2014 estimated tax ► 175 1 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see Instructions . , • , Estimated tax penalty (see instructions) 177 1 :ig•-- ••••r •• ► 76 371 Do you want to allow another person to discuss this retum with the IRS (see instructions)? ig Yes. Complete below. U No • Third Party Personal identification number (PIN) ► Designee Designee's name ► Ron Sniegocki CPA Phone no. P.71 - 1 268221 Sign Here Joint return? See Instr. Keep a copy for your recarns. -2682 Under penalties of perjury, i declare that I have examined this return and accompanying schedules and statements. and to the best of my knowledge and belief. they are true. correct. and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation Daytime phone number Entertainment Spouse's signature. If a joint return, both must sign. Print/Type preparers name Paid Ronald 5 Sniegocki Preparer Fmn'sname ► Sniegocki & Associ Use Only Firm's address ► P.O. Box 606 Palmyra rer sign DM tes, P $ alien If the IRS sent you an Identity Protection PIN. 1 1 enter II here (see Instr.) Date 06/14 PA 17078 Check 1_._l lf PTIN calf -employed P0005069 Firm•sEIN► 25-1822544 none no. 717-838-2682 Fonn 1040 (2013) RANDRE 04/06/2014 11:58 AM SCHEDULE A (Form 1040) Department of the Treasury Internal Revenue Service (99) Itemized Deductions ► Information about Schedule A and Its separate instructions is at www.irs.gov/schedulea. ► Attach to Form 1040. OMB No. 1545-0074 2013 Attachment Sequence No. 07 Name(s) shown on Form 1040 Richard P Andrea Your social security number 203-42-9596 Medical and Dental Expenses Caution. Do not include expenses reimbursed or paid by others 1 Medical and dental expenses (see instructions) 2 Enter amount from Form 1040, line 38 12 1 3 Multiply line 2 by 10% (.10). But if either you or your spouse was bom before January 2, 1949, multiply fine 2 by 7.5% (.075) instead 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- Taxes You Paid Interest You Paid Note. Your mortgage interest deduction may be limited (see instructions). 5 State and local (check only one box): a b X Income taxes, or General sales taxes 1 6 Real estate taxes (see instructions) 7 Personal property taxes 8 Other taxes. List type and amount ► See Statement 1 9 Add lines 5 through 8 10 Horne mortgage interest and points reported to you on Form 1098 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 no., and address ► 12 Points not reported to you on Form 1098. See instructions for special rules 13 Mortgage insurance premiums (see instructions) 14 Investment interest. Attach Form 4952 if required. (See instructions.) 15 Add lines 10 through 14 7 15 4,609 2,479 Gifts to Charity• If you made a' gift and got a benefit for it, see instructions. 16 Gifts by cash or check. If you made any gift of $250 or more, see instructions 17 Other than by cash or check. If any gift of $250 or more, see Instructions. You must attach Form 8283 if over $500 18 Carryover from prior year 19 Add lines 16 through 18 16•.. 17 18 100 Casualty and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) 20 Job Expenses 21 and Certain Miscellaneous Deductions 22 Unreimbursed employee expenses—job travel, union dues, job education, etc. Attach Form 2106 or 2106 -EZ if required. (See instructions.) ► Tax preparation fees 23 Other expenses—investment, safe deposit box, etc. List type and amount ► 24 Add lines 21 through 23 25 Enter amount from Form 1040, line 38 25 26 Multiply line 25 by 2% (.02) 27 Subtract lino 26 from tine 24. If line 26 is more than line 24, enter -0- 27 Other 28 Other—from list in instructions. List type and amount ► Miscellaneous Deductions Total Itemized Deductions 29 Is Form 1040, line 38, over $150,000? Q No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 28. Also, enter this amount on Form 1040, line 40. Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here For Paperwork Reduction Act Notice, see Form 1040 instructions. OAA Schedule A (Form 1040) 2013 RANDRE 04/06/2014 11:58 AM SCHEDULE C ('Form 1640) Department of the Treasury Internal Revenue Service (99) Profit or Loss From Business (Sole Proprietorship) ► For information on Schedule C and its instructions, go to www.irs.gov/schedules. ► Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. OMB No. 1545-0074 2013 Attachment A Sequence No. 09 Name of proprietor Richard P Andree Social security number(SSN) 203-42-9596 Principal business or profession, including product or service (see instructions) Entertainment/DJ B Enter code from instructions ► 711510 Business name. If no separate business name, leave blank. Andree Productions D Employer ID number (EIN), (see instr.) E Business address (including suite or room no.) ► 9 Victor Lane City, town or post office, state, and ZIP code Mechanicsburg PA 17050 F Accounting method: (1) XI Cash (2) 11 Accrual (3) U Other (specify) ► G Did you "materially participate" in the operation of this business during 2013? If 'No," see instructions for limit on losses H If you started or acquired this business during 2013, check here ► 1 Did you make any payments in 2013 that would require you to file Form(s) 1099? (see instructions) J If "Yes," did you or will you file required Forms 1099? X MONO Yes Q No Yes 3E- Yes No > ?a `ttgi Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the 'Statutory employee" box on that form was checked to 1 6 , 650 2 Returns and allowances 3 Subtract line 2 from line 1 3 • 6 , 650 . 2 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 5 6,650 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) r Gross income. Add lines 5 and 6 ► 6, 650 Enter expenses for business use of your home only on line 30. . 4 6 >' Expenses 7 8 Advertising 9 Car and truck expenses (see instructions) 10 Commissions and fees 11 Contract labor (see instructions) 12 Depletion 13 Depreciation and section 179 expense deduction (not included in Part Ill) (see instructions) 14 Employee benefit programs (other than on line 19) 15 Insurance (other than health) 16 Interest: a Mortgage (paid to banks, etc.) b Other 17 Legal and professional services .. 8 9 1,865 10 11 12 13 163 14 15 16a 16b 17 360 18 Office expense (see instructions) 19 Pension and profit-sharing plans 20 . Rent or lease (see instructions): a Vehicles, machinery, and equipment b Other business property 21 Repairs and maintenance 22 Supplies (not included in Partin) 23 Taxes and licenses 24 Travel, meals, and entertainment: a Travel b Deductible meals and entertainment (see instructions) 25 Utilities 26 Wages (less employment credits) 27a Other expenses (from line 48) b Reserved for future use 18_ 19, gag 20a • 20b .21 22 23 24a 24b 25 26 27a 27b 28 Total expenses before expenses for business use of home. Add lines 8 through 27a 29 Tentative profit or (loss). Subtract line 28 from fine 7 30 Expenses for business use of your home. Do not report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: . Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a Toss, you must go to line 32. 32 If you have a loss, check the box that describes your investment in this activity (see instructions). • if you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enteron Form 1041, tine 3. • If you checked 32b. you must attach Form 6198. Your loss may be limited. } 28 29 2,388 4,262 30 31 527 • 3,735 32a ► 32b All Investment is at risk. Some investment is not at risk. For Paperwork Reduction Act Notice, see the separate instructions. DAA Schedule C (Form 1040) 2013 RANDRE 04/06/201411:58 AM SCHEDULE SE (Form 1040) Department of the Treasury Intemal Revenue Service (99) Self -Employment Tax ► Information about Schedule SE and its separate instructions is at www.irs.gov/schedulese. ► Attach to Form 1040 or Form 1040NR. OMB No. 1545-0074 2013 Attachment A.7 Sequence No. 1 Name of person with self-employment income (as shown on Form 1040) Richard P Andree Social security number of person with self-employment income ► 203-42-9596 Before you begin: To determine if you must file Schedule SE, see the instructions. May t Use Short Schedule SE or Must 1 Use Long Schedule SE? Note. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions. ' No Did you receive wages or tips in 2013? Are you a minister. member of a religious order, or Christian Science practitioner who received IRS approval not to be taxed on eamings from these sources, but you owe self-employment tax on other earnings? Yes No V Are you using one of the optional methods to figure your net eamings (see instructions)? No v Did you receive church employee income (see instructions) reported on Form W-2 of $108.28 or more? You may use Short Schedule SE below Yes Yes ► No - Yes Was the total of your wages and tips subject to social security or railroad retirement (tier 1) tax plus your net eamings from self-employment more than $113,700? No 7 Did you receive tips subject to social security or Medicare tax that you did not report to your employer? No Yes Yes ► Did you report any wages on Form 8919, Uncollected Social -Yes - Security and Medicare Tax on Wages? 1., Y10. ou must use Long Schedule SE on page 2 Section A -- Short Schedule SE. Caution. Read above to see if you can use Short Schedule SE. la Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Z 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, code J1. Ministers and members of religious orders, see instructions for types of income to report on this line. See instructions for other income to report 3 Combine lines la, Ib, and 2 4 Multiply line 3 by 92.35% (.9235). If less than $400, you do not owe self-employment tax; do not file this schedule unless you have an amount on line lb ► Note. If line 4 is Tess than $400 due to Conservation Reserve Program payments on line 1 b, see instructions. 5 Self-employment tax. If the amount on line 4 is: • $113,700 or less, multiply line 4 by 15.3% (.153). Enter the result here and on Form 1040, line 56, or Form 1040NR, line 54 • More than $113,700, multiply line 4 by 2.9% (.029). Then, add $14,098.80 to the result. Enter the total here and on Form 1040, line 56, or Form 1040NR, line 54 6 Deduction for one-half of self-employment tax. Multiply line 5 by 50% (50). Enter the r 1040 line 27 or Form 1040NR line 27 For Paperwork Reduction Act Notice, see your tax return instructions. result here and on Form 6 264 la lb 2 3 735 3 3 735 4 3 449. 5 528 Schedule SE (Form 1040) 2013 RANDRE 04/06/2014 11:58 AM Form 8829 • Department of the Treasury Internal Revenue Service (99) Expenses for Business Use of Your Home ► File only with Schedule C (Form 1040). Use a separate Form 8829 for each home you used for business during the year. ► Information about Form 8829 and its separate instructions is at www.irs.gov/form8829. OMB No. 1545-0074 2013 Attachment 176 Sequence No. Name(s) of proprietor(s) Richard P Andree Your social security number 203-42-9596 >`<': Part of Your Home Used for Business 1 Area used regularly and exclusively for business, regularly for daycare, or for storage of inventory or product samples (see instructions) 2 Total area of home 3 Divide line 1 by line 2. Enter the result as a percentage For daycare facilities not used exclusively for business, go to line 4. Alt others go to line 7. 4 Multiply days used for daycare during year by hours used per day 4 hr 95 2 1700 5.59% 5 Total hours available for use during the year (365 days x 24 hours) (see instructions) 5 6 Divide line 4 by line 5. Enter the result as a decimal amount 8,760 hr. 6 7 Business percentage. For daycare facilities not used exclusively for business, multiply line 6 by line 3 (enter the result as a percentage). All others, enter the amount from line 3 ► 5.59% ... Figure Your Allowable Deduction 8 Enter the amount from Schedule C, line 29, plus any gain derived from the business use of your home and shown on Schedule D or Form 4797, minus any loss from the trade or business not derived from the business use of your home and shown on Schedule D or Form 4797. See instructions See instructions for columns (a) and (b) before completing lines 9-21. 9 Casualty losses (see instructions) 10 Deductible mortgage interest (see instructions) 11 Real estate taxes (see instructions) 12 Add lines 9, 10, and 11 13 Multiply line 12, column (b) by line 7 14 Add line 12, column (a) and line 13 15 Subtract line 14 from line 8. If zero or less, enter -0- 16 Excess mortgage interest (see instructions) 17 Insurance 18 Rent 19 Repairs and maintenance 20 Utilities 21 Other expenses (see instructions) 22 Add lines 16 through 21 23 Multiply line 22, column (b) by line 7 24 Carryover of operating expenses from 2012 Form 8829. line 42 25 Add line 22, column (a), line 23, and line 24 26 Allowable operating expenses. Enter the smaller of line 15 or line 25 27 Limit on excess casualty losses and depreciation. Subtract line 26 from line 15 28 Excess casualty losses (see instructions) 29 Depreciation of your home from line 41 below 30 Carryover of excess casualty losses and depreciation from 2012 Form 8829, line 43 31 Add lines 28 through 30 32 33 Add lines 14, 26, and 32 34 35 9 10 11 12 4,262 (a) Direct expenses 13 (b) Indirect expenses 1,898 4 410 247 14 247 5 4,015 16 17 28 29 30 25 280 26 280 27 3,735 Allowable excess casualty losses and depreciation. Enter the smaller of line 27 or line 31 Casualty Toss portion, if any, from lines 14 and 32. Carry amount to Form 4684 (see instructions) Allowable expenses for business use of your home. Subtract line 34 from line 33. Enter here and on Schedule C, line 30. If your home was used for mon: than one business, see instructions 31 32 0 33 527 ► :35: 527 t Depreciation of Your Home 36 I=nter the smaller of your home's adjusted basis or its fair market value (see instructions) 37 Value of land included on line 36 38 Basis of building. Subtract line 37 from line 36 39 Business basis of building. Multiply line 38 by line 7 40 Depreciation percentage (see instructions) 41 Depreciation allowable (see instructions). Multiply line 39 by line 40. Enter here and on line 29 above 36 37 38 39 40 Ok 41 Carryover of Unallowed Expenses to 2014 42 Operating expenses. Subtract line 26 from tine 25. If less than zero, enter -0- 43 Excess casualty losses aid depreciation. Subtract line 32 from line 31. If less than zero, enter -0- For Paperwork Reduction Act Notice, see your tax return instructions. DAA 42 43 0 0 Form 8829 (2013) RANDRE 04/06/2014 11:58 AM Form 4562 Department of the Treasury Internal Revenue Service (99) Depreciation and Amortization (Including Information on Listed Property) ► See separate instructions. ► Attach to your tax return. OMB No. 1545-0172 2013 Attachment Sequence No. .1 ! 79 Name(s) shown on return Richard P Andrea Identifying number 203-42-9596 Business or activity to which this form relates Entertainment/DJ Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part L 1 Maximum amount (see instructions) 2 Total cost of section 179 property placed in service (see instructions) 3 Threshold cost of section 179 property before reduction in limitation (see instructions) 4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0- 5 Dollar limitation for tax year. Subtract line 4 from line 1. if zero or less, enter -0-. If married filing separately, see instructions 6 (a) Description of property (b) Cost (business use only) 1 500,000 2 3 4 2,000,000 5 (c) Elected cost 7 Listed property. Enter the amount from line 29 8 9 7 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7 Tentative deduction. Enter the smaller of line 5 or line 8 10 Carryover of disallowed deduction from line 13 of your 2012 Form 4562 11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 13 Carryover of disallowed deduction to 2014. Add lines 9 and 10, less line 12 ► Note: Do not use Part 11 or Part III below for listed property. instead, use Part V. it> 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) 15 Property subject to section 168(0(1) election 13 8 9 10 11 12 property) 'See instructions. 16 Other depreciation (including ACRS) �eeeeriep:. a#( MACRS Depreciation (Do not include listed property.) (See instructions.) Section A 17 MACRS deductions for, assets placed in service in tax years beginning before 2013 17 0 nts here ► :....................... ....... or more general- asset accounts, check 1 in service Burin the faxyear into one I 1 18 If you are electing to group any assets placed g gen Section B—Assets Placed in Service During 2013 Tax Year Using the General Depreciation System 14 15 16 84 (a) Classification of property (b) Month and year placed in service (c) Basis for depredation (business/investment use only -see instructions) (d) Recovery period (e) Convention (f) Method (g) Depreciation deduction 19a 3 -year b 5 -year c 7 -year d 10 -year e 15 -year f 20 -year 25 -year g property property property property property property property 25 yrs. SIL h Residential rental property 27.5 yrs. MM SIL 27.5 yrs. MM S/L i Nonresidential real property 39 yrs. MM S/L MM S/L Placed in Service During 2013 Tax Year Using the Alternative Depreciation System 20a Class life SIL 0 12 yea r ................................... 12 yrs. S/L c 40 -year 40 yrs. MM SIL (Xf Summary (See instructions.) 21 Listed property. Enter amount from line 28 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations—see instructions 23 For assets shown above and placed in service during the current year, enter the portion of the basis attributable to section 263A costs For Paperwork Reduction Act Notice, see separate instructions. OAA 23 21 79 22 163 Form 4562 (2013) RANDRE 04/06/2014 11:58 AM Richard P Andree Form 4562 (2(113) 203-42-9596 Page 2 Listed Property (Include automobiles, certain other vehicles, 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 the instructions for limits for passenger automobiles. 24a Do. you have evidence to support the business/investment use claimed? X1 Yes No 24b If "Yes," Is the evidence written? IX Yes No (a) Type of property (list vehicles first) (b) Date placed in service (e) Business/ inpertment use percentage (d) Cost or other basis (e) Basis for depreciation (businesslnvestment use only) (f) Recovery period (9) Method/ Convention (h) Depreciation deduction (1) Elected section 179 cost 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 .............................. 26 Property used more than 50% in a qualified business use: See Statement 2 % 1,377 688 (a) Vehicle 5 (f) Vehicle 6 79 (e) Amortizable amount (d) Code section Amortization period or percentage ear 13,100 27 Property used 50% or Tess in a qualified business use: Vehicle 01/01/02 20.12% S/L- S/L- 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1 29 Add amounts in column 0), line 26. Enter here and on line 7, page 1 1 29 28 79 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 ifyou meet an exception to completing"this section for those vehicles. 30 Total business/investment miles driven during the year (do not include commuting miles) 31 Total commuting miles driven during the year 32 Total other personal (noncommuting) miles driven 33 Total miles driven during the year. Add lines 30 through 32 34 .Was the vehicle available for personal use during off-duty hours? 35 Was the vehicle used primarilyby a more than 5% owner or related person? 36 Is another vehicle available for personal use? (a) Vehicle 1 3,300 (b) Vehicle 2 (c) Vehicle 3 (d) Vehicle 4 (a) Vehicle 5 (f) Vehicle 6 (b) Date amortization begins (e) Amortizable amount (d) Code section Amortization period or percentage 0)(a) Amortization for this year 13,100 16/ 400 Yes No Yes No Yes No Yes No Yes No Yes No X X X Section C—Questions for Employers Who Provide Vehic es for Use by Their Employees 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, 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 conceming 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 i-= Amortization Yes No 42 Amortization of costs that begins during your 2013 tax year (see instructions): 43 Amortization of costs that began before your 2013 tax year 44 Total. Add amounts in column (f). See the instructions for where to report 43 44 DAA Form 4562 (2013) (e) Description of costs (b) Date amortization begins (e) Amortizable amount (d) Code section Amortization period or percentage 0)(a) Amortization for this year 42 Amortization of costs that begins during your 2013 tax year (see instructions): 43 Amortization of costs that began before your 2013 tax year 44 Total. Add amounts in column (f). See the instructions for where to report 43 44 DAA Form 4562 (2013) RANDRE Andree, Richard P 4/6120/4 11:58 AM 203-4-9596 Federal Statements Statement 1 - Schedule A, Line 8 - Other Taxes Description Amount LST $ 52 Per Capita 11 Total $ 63 4 RANDRE 04/06/2014 11:58 AM Form 8879 Department of the Treasury Internal Revenue Service IRS e -file Signature Authorization O. Do not send to the IRS. This is not a tax return. ► Keep this form for your records. ► Information about Form 8879 and its instructions is at www.irs.govfform8879. OMB No. 1545-0074 2013 Submission Identification Number (SID) Taxpayer's name Richard P Andree Social security number 203-42-9596 Spouse's name Spouse's social security number 178-50-6218 ... Tax Return Information —Tax Year Endin December 31, 2013 (Whole Dollars Onl 1 Adjusted gross income (Form 1040; line 38; Form 1040A, line 22; Form 1040EZ, line 4) 2 Total tax (Form 1040, line 61; Form 1040A, line 35; Form 1040EZ, line 10) 3 Federal income tax withheld (Form 1040, line 62; Form 1040A, line 36; Form 1040EZ, line 7) 4 Refund (Foram 1040, line 74a; Form 1040A, line 43a; Form 1040EZ, line 11a; Form 1040 -SS, Part I, line 13a) 5 Amount you owe (Form 1040, line 76; Form 1040A, line 45; Form 1040EZ, line 12) g y) 1 2 3 56,527 7,813 7,442 4 5 371 Taxpayer Declaration and.Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, 1 declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2013. and to the best of my knowledge and belief, it is true, correct. and complete. I further declare that the amounts in Part I above are the amounts from my electronic income tax retum. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, l authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this retum and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until 1 notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment. I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no tater than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary -to answer inquiries and resolve issues related to the payment. 1 further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax retum and, if applicable, my Electronic Funds Withdrawal Consent. Taxpayer's PIN: check one box only Ix) I authorize Sniegocki & Associates, PC ERO firm name as my signature on my tax year 2013 electronically filed income tax retum. to enter or generate my PIN 26822 Enter five numbers, but do not enter all zeros I will enter my PIN as my signature on my tax year 2013 electronically filed income tax return. Check this box only if you are entering your own PIN and your retum is filed using the Practitioner PIN method. The ERO must complete Part Ili below. Your signature ►& Date ► 04/06/14 Spouse's PIN: check one box only 1 I authorize to enter or generate my PIN r ERO firm name as my signature on my tax year 2013 electronically filed income tax return. Enter five numbers, but do not enter all zeros I will enter my PIN as my signature on my tax year 2013 electronically filed income tax return. Check this box only if you are entering your own PIN and your retum is filed using the Practitioner PIN method. The ERO must complete Part III below. Spouse's signature ► Date ► Practitioner PIN Method Returns Only—continue below P Certification and Authentication — Practitioner PIN Method Only ERO's EFIN/PIN. Enter your I certify that the above nume the taxpayer(s) indicated ab method and Publication 13 ERO's signature ► six -digit EFIN followed by your five -digit self-selected PIN. 23692326821 Do not enter all zeros PIN, which is my signature for the tax year 2013 electronically filed income tax retum for t t am submitting this return in accordance with the requirements of the Practitioner PIN thorized IRS e -file Providers of Individual Income Tax Retums. Date 110. 04/06/14 ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see your tax return instructions. DAA Form 8879 (2013) a Wage and Tax Form �-� Statement Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) 2013 epartment of the Treasury—Intemal Revenue Service Sate, accurate FAST! Use a Employee's social security number 203429596 This information is being furnished to the Internal Revenue Service. If you OMB No. 1545-0008 are required to file a tax return, a negligence penalty or other sanction . may be imposed on you if this income is taxable and you fail to report it. b Employer identification number (EIN) 742722883 1 Wages, tips, other compensation 47480.97 2 Federal income tax withheld . 7320.20 c Employer's name, address, and ZIP code - CLEAR CHANNEL BROADCASTING INC 200 EAST BASSE SAN ANTONIO, TX 78209 3 Social security wages 50084.76 4 Social security tax withheld • 3105.26 5 Medicare wages and tips 50084.76 6 Medicare tax withheld 726,23 7, . Social security tips 8 Allocated tips d Control number 1013837 9 _ -. 10 Dependent care benefits ,e Employee's first name and initial Last name Suf. RICHARD P ANDREE . - - - 9 VICTOR LANE MECHANICSBURG, PA 17055 t Employee's address and ZIP code 11 Nonqualified plans 12a See instructions for box 12 1 D ! 2603.79 13 statutory Retirement Third -party employee plan sick pay ❑ 0 ❑ i2b c e DD '( 3863.04 14 Other PA -UI 36.46 12c d W , 670.00 12d d C I 15.84 15 State Employer's state ID number PA 118909416 I 16 State wages, tips, etc. 50084.76 17 State income tax .1537.56 18 Local wages, tips, etc. 50084.76 19 Local income tax 801.36 20 Locality name SUSQUEH Wage and Tax Form �-� Statement Copy C—For EMPLOYEE'S RECORDS (See Notice to Employee on the back of Copy B.) 2013 epartment of the Treasury—Intemal Revenue Service Sate, accurate FAST! Use €1040X (Rev. December 2013) pepartment of the Treasury—Internal Revenue Service Amended U.S. individual Income Tax Return ► Information about Form 1040X and its separate instructions is at www.irs.gov/form1040x. OMB No. 1545-0074 This return is for calendar year Other year. Enter one: calendar year Your first name and initial Debra A If a joint return, spouse's first name and initial 0 2013 0 2012 0 2011 ❑ 2010 or fiscal year (month and year ended): Last name Andree Your social security number Last name Spouse's social security number Home address (number and street). If you have a P.O. box. see instructions. 435 Delancey Court Apt. no. Your phone number (717)512-8855 City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Mechanicsburg PA 17055 Foreign country name Foreign province/state/county Foreign postal code Amended return filing status. You must check one box even if you are not changing your filing status. Caution. In general, you cannot change your filing status from joint to separate retums after the due date. ❑ Single 0 Married filing jointly I Married filing separately ❑ Qualifying widow(er) 0 Head of household (If the qualifying person is a child but not your dependent, see instructions.) Use Part III on the back to explain any changes Income and Deductions 1 Adjusted gross income. If net operating Toss (NOL) carryback is included, check here 10'0 2 Itemized deductions or standard deduction 3 Subtract line 2 from line 1 4 Exemptions. If changing, complete Part 1 on page 2 and enter the amount from line 28 5 Taxable income. Subtract line 4 from line 3 1 A. Original amount or as previously adjusted (see instructions) B. Net change— amount of increase or (decrease)— explain in Part III C. Correct amount 31,177. 8,649. 2 8,250. -173. 3 22,927. 8,822. 39,826. 8,077. 31,749. 4 3,900. 0. 5 19,027. 8,822. 3,900. 27,849. Tax Liability 6 Tax. Enter method used to figure tax (see instructions): Table 7 Credits. If general business credit carryback is included, check here 10-0 8 Subtract line 7 from line 6. If the result is zero or less, enter -0- 9 Other taxes 10 Total tax. Add lines 8 and 9 6 2,408. 1,320. 3,728. 7 0. 0. 8 2,408. 1,320. 9 228. 865. 10 2,636. 2,185. 0. 3,728. 1,093. 4,821. Payments 11 Federal income tax withheld and excess social security and tier 1 RRTA tax withheld (if changing, see instructions) 2 , 623 . 12 Estimated tax payments, including amount applied from prior year's retum 13 Eamed income credit (EIC) 14 Refundable credits from Schedule(s) ❑ 8812 or ❑ M or Form(s) ❑ 2439 0 4136 05405 08801 08812 (2010 or 2011) 08839 08863 ❑ 8885 or (pother (specify): 0 15 Total amount paid with request for extension of time to file, tax paid with original return, and additional tax paid after retum was filed 13 . 16 Total payments. Add lines 11 through 15 Refund or Amount You Owe (Note. Allow 8-12 weeks to process Form 1040X.) 17 Overpayment, if any, as shown on original return or as previously adjusted by the IRS 0 . 18 Subtract line 17 from line 16 (If less than zero, see instructions) 2 , 63 6 . 19 Amount you owe. If line 10, column C, is more than line 18, enter the difference 2 , 18 5 . 20 If line 10, column C, is less than line 18, enter the difference. This is the amount overpaid on this return 21 Amount of line 20 you want refunded to you 22 Amount of line 20 you want applied to your (enter year): estimated tax . 1221 Complete and sign this form on Page 2. 11 2,623. 0. 12 0. 0. 0. 13 0. 0. 0. 14 0. 0. 15 16 2,636. 17 18 19 20 21 0. For Paperwork Reduction Act Notice, see instructions. BAA REV 03/03/14 rro Form 1040X (Rev. 12-2013) PLAINTIFF'S EXHIBIT 1444 X4`1 Form 1040X (Rev. 12-2013) Page 2 Part l Exemptions Complete this part only if you are increasing or decreasing the number of exemptions (personal and dependents) claimed on cine 6d of the retum you are amending. See Form 1040 or Form 1040A instructions and Form 1040X instructions. 23 Yourself and spouse. Caution. If someone can claim you as a dependent, you cannot claim an exemption for yourself 24 Your dependent children who lived with you 25 Your dependent children who did not live with you due to divorce or separation 26 Other dependents 27 Total number of exemptions. Add lines 23 through 26 28 Multiply the number of exemptions claimed on line 27 by the exemption amount shown in the instructions for line 28 for the year you are amending. Enter the result here and on line 4 on page 1 of this form . . 29 List ALL dependents (children and others) claimed on this amended return. If more than 4 dependents, see instructions. (a) First name Last name A. Original number of exemptions or amount reported or as previously adjusted B. Net change C. Correct number or amount 23 1 0 1 24 0 0 0 25 0 0 0 26 0 0 0 27 1 0 1 28 3,900. 0. 3,900. (a) First name Last name (b) Dependent's social security number (c) Dependent's relationship to you (d) Check box if qualifying child for child tax credit (see instructions) ❑ ❑ ❑ Presidential Election Camoaian Fund Checking below will not increase your tax or reduce your refund. ❑ Check here if you did not previously want $3 to go to the fund, but now do. ❑ Check here if this is a joint return and your spouse did not previously want $3 to go to the fund, but now does. Explanation of changes. In the space provided below, tell us why you are filing Form 1040X. ',Attach any supporting documents and new or changed forms and schedules. 'b'btight 10:9911. copies dupes of same amount, discovered all pgs were differen Sign Here Remember to keep a copy of this form for your records. Under penalties of perjury, I declare that I have filed an original return and that I have examined this amended return, including accompanying schedules and statements, and to the best of my knowledge and belief, this amended return Is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information about which the preparer has any knowledge. Your signature Paid Preparer Use Only Preparers signature Date Spouse's signature. If a joint retum, both must sign. Date Self -prepared Date Firm's name (or yours if sett -employed) PrintJtypepreparer's name Firm's address and ZIP code ❑ Check it self-employed PT1N Phone number EIN For forms and publications, visit IRS.gov. REV 03/03/14 TTO Form 1040X (Rev. 12-2013) 1040 Department of the Treasury—Internal Revenue Service (99) ' I ll dMdual, Income Tax Return 13I OMB No. 1545-0074 IRS Use Only—Do riot write or staple In this space. For the year Jan. 1—Dec. 31, 2013, or other tax year beginning , 2013, ending , 20 See separate instructions. Your first name and initial Debra A Last name Andree Your social security number If a joint 'return, spouse's first name and initial Last name ouse's socia seta number Home address (number and street). If you have a P.O. box, see instructions. 4 3 5 Delancey Court 0 Apt. no. A Make sure the SSN(s) above Mia and on line 6c are correct. City, town or post office, state, and ZIP code. It you have a foreign address, also complete spaces below (see instructions). Mechanicsburg PA 17055 0 Presidential Election Campaign Check here if you, or your spouse if fang ajointly,xwant will Io not h ngethis fund. Checking a box below change your tax or refund. ❑ You ❑ spouse Foreign country name Foreign province/state/county Foreign postal code Filing Status Check only one box. 1 0 Single 2 0 Married filing jointly (even if only one had income) 3 kg Married filing separately. Enter spouse's SSN above and full name here. ► Richard P Andree 4 U Head of household (with qualifying person). (See instructions.) If the qualifying person is a child but not your dependent, enter this child's name here. lb - 5 5 ❑ Qualifying widow(er) with dependent child Exemptions If more than four dependents, see instructions and check here ► 0 6a ® Yourself. If someone can claim you as a dependent, do not check box 6a 1 ❑ J b Spouse c Dependents: (1) First name Last name (2) Dependent's social security number (3) Dependent's relationship to you (4) J if child under age 17 qualifying for child tax credit (see instructions) 0 0 0 0 Income Attach Form(s) W-2 here. Also attach Forms W -2G and 1099-R if tax was withheld. If you did not get a W-2, see instructions. Adjusted Gross Income d 7 8a b 9a b 10 11 12 13 14 15a IRA distributions . 16a Pensions and annuities 17 18 19 20a 21 22 23 24 Boxes checked on6aand 6b No. of children on 6c who: • lived with you • did not live with you due to divorce or separation (see instructions) Dependents on 6c not entered above Add numbers on Total number of exemptions claimed lines above ► Wages, salaries, tips, etc. Attach Form(s) W-2 Taxable interest. Attach Schedule B if required Tax-exempt interest. Do not include on line 8a . Ordinary dividends. Attach Schedule B if required Qualified dividends 7 9b 9a Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business Income or (loss). Attach Schedule C or C -EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here P Other gains or (losses). Attach Form 4797 15a b Taxable amount 0 16a 1 b Taxable arnount . . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E Farm income or (loss). Attach Schedule F Unemployment compensation Social security benefits 20a I ] b Taxable amount Other income. List type and amount Combine the amounts in the far right column for lines 7 through 21. This is your total income ► Educator expenses Certain business expenses of reservists, performing artists, and 23 fee -basis government officials. Attach Form 2106 or 2106 -EZ 25 Health savings account deduction. Attach Form 8889 26 Moving expenses. Attach Form 3903 27 Deductible part of self-employment tax. Attach Schedule SE 28 Self-employed SEP, SIMPLE, and qualified plans 29 Self-employed health insurance deduction 30 Penalty on early withdrawal of savings 30 31a Alimony paid b Recipient's SSN ► 32 IRA deduction 33 Student loan interest deduction 33 34 Tuition and fees. Attach Form 8917 34 35 Domestic production activities deduction. Attach Form 8903 36 Add lines 23 through 35 37 Subtract line 36 from line 22. This Is your adjusted gross income For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions. 24 25 26 27 28 29 31a 32 35 10 11 12 13 14 15b 13,249. 16b 17 18 19 26,577. 20b 21 22 39,826. 37 BAA REV 03/03/14 TTO 39,826. Form 1040 (2013) Form 1040 (2013) Page 2 Tax and Credits 38 39a b Amount from line 37 (adjusted gross income) Check { • You were born before January 2, 1949, • Blind. 1 Total boxes Blind. J checked P. 39a alien, check here► 39bri 38 39,826. if: l • Spouse was born before January 2, 1949, • If your spouse itemizes on a separate retum or you were a dual -status Standard 1 Deduction tor— 40 Itemized deductions(from Schedule A)oryour standard deduction(see left margin) 9�) - 40 8 , 0 7 7 . • People who bcheck age ox on lin 41 42 Subtract line 40 from line 38 Exemptions. tf line 38 is $150,000 or less, multiply $3,900 by the number on line 6d. Otherwise, see instructions 41 31 , 7 4 9 . 42 3 , 9 0 0 . 39a or 39b or who can be 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . 43 2 7 , 84 9 . 44 3 , 7 2 8 . claimed as a dependent, Pee instructions. 44 45 46 Tax (see instructions). Check if any from: a • Form(s) 8814 b • Alternative minimum tax(see instructions). Attach Form 6251 ) Add lines 44 and 45 Form 4972 c ■ ► 45 46 3 , 72 8 . • All others: Single or 47 Foreign tax credit. Attach Form 1116 if required . . . . 47 48 Married filing separately, 48 Credit for child and dependent care expenses. Attach Form 2441 $6,100 49 Education credits from Form 8863, line 19 49 Married filing jointly or 50 Retirement savings contributions credit. Attach Form 8880 50 Qualdym 51 Child tax credit. Attach Schedule 8812, if required . . . 51 widow(' $12,200 52 Residential energy credits. Attach Form 5695 . . . . 52 53 Head of household, $8,950 , 53 54 55 Other credits from Form: Add lines 47 through Subtract line 54 from a ■ 3800 b ■ 8801 c ■ 54 53. These are your total credits line 46. If line 54 is more than line 46, enter -0- ► 55 3 , 728 . Other 56 Self-employment tax. Attach Schedule SE 56 Taxes 57 58 Unreported social security and Medicare tax from Form: a • Additional tax on IRAs, other qualified retirement plans, etc. Attach 4137 b • 8919 . . Form 5329 if required .. . 57 58 1 , 0 9 3 . 59a Household employment taxes from Schedule H 59a b First-time homebuyer credit repayment. Attach Fom15405 if required 59b 60 Taxes from: a • Form 8959 b • Form 8960 c • Instructions; enter code(s) 60 61 Add lines 55 through 60. This is your total tax ► 61 4 , 821 . Payments 62 Federal income tax withheld from Forms W-2 and 1099 . . 62 2 , 6 2 3 . 63 2013 estimated tax payments and amount applied from 2012 return 63 -' If you have a qualifying 64a Eamed income credit (EIC) 64a child, attach b Nontaxable combat pay election 164b 1 Schedule EIC. 65 Additional child tax credit. Attach Schedule 8812 65 ' 66 American opportunity credit from Form 8863, line 8 . . . . 66 67 Reserved 67 68 Amount paid with request for extension to file 68 69 Excess social security and tier 1 RRTA tax withheld . . . . 69 70 Credit for federal tax on fuels. Attach Form 4136 . . . . 70 71 Credits from Form: a ■ 2439 b ■ Reserved c ■ 8885 d • 71 72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments ► 72 2 , 6 2 3 . Refund 73 if line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid 73 74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here . ► ■ 74a Direct deposit? ► b Routing number X X X X X X X X X` ► c Type: • Checking • Savings See ► d Account number X X X X X X X X X X X X X X X X X t instructions. 75 Amount of line 73 you want applied to your 2014 estimated tax ' 1 75 1 Amount 76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions ► 76 2 , 23 2 . You Owe 77 Estimated tax penalty (see instructions) 1 77 1 34 . Third Party Designee Designee's name ► Do you want to allow another person to discuss this return with the IRS (see instructions)? ❑ Yes Complete below. Phone no. P. Personal Identification number (PIN) ► El No Sign Here Joint return? See instructions. Keep a copy for your records. Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. Your signature Date Your occupation unemployed Daytime phone number (717) 512 -8855 Spouse's signature. If a joint return, both must sign. Date Spouse's occupation If the IRS sent you an Identity Protection PIN, enter it here (see inst.) Paid Prenarer Print/Type preparer's name Preparer's signature Date Check 0 if self-employed PTIN SCHEDULE A Itemized Deductions OMB No. 1545-0074 (Form 1040) Department of the Treasury Internal Revenue Service (99) ► Information about Schedule A and its separate instructions is at www.irs.gov/schedulea. 0. Attach to Form 1040. Mal 3 Attachment Sequence No. 07 Name(s) shown on Form 1040 Debra A Andree Your IIIIIiinall social security number Caution. Do not include expenses reimbursed or paid by others. Medical 1 Medical and dental expenses (see instructions) 1 and 2 Enter amount from Form 1040, line 38 12 I Dental 3 Multiply line 2 by 10% (.10). But if either you or your spouse was Expenses bom before January 2, 1949, multiply line 2 by 7.5% (.075) instead 3 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- 4 Taxes You 5 State and local (check only Paid a • Income taxes, or one box): l 5 b • General sales taxes 6 Real estate taxes (see instructions) J 6 3 , 040 . 7 Personal property taxes 7 8 Other taxes. List type and amount ► 8 9 Add lines 5 through 8 9 3, 04 0. Interest 10 Home mortgage interest and points reported to you on Form 1098 10 2 , 8 9 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 Note. and show that person's name, identifying no., and address ► Your mortgage interest deduction may 11 be limited (see 12 Points not reported to you on Form 1098. See instructions for instructions). special rules 12 13 Mortgage insurance premiums (see instructions) 13 14 Investment interest. Attach Form 4952 if required. (See instructions.) 14 15 Add lines 10 through 14 15 2, 896. Gifts to 16 Gifts by cash or check. If you made any gift of $250 or more, Charity see instructions 16 267 . If you made a 17 Other than by cash or check. If any gift of $250 or more, see gift and got a instructions. You must attach Form 8283 if over $500 . . . 17 575 . benefit for it, 18 Carryover from prior year 18 see instructions. 19 Add lines 16 through 18 19 842 . Casualty and Theft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) 20 Job Expenses 21 Unreimbursed employee expenses—job travel, union dues, and Certain job education, etc. Attach Form 2106 or 2106-EZ if required. Miscellaneous (See instructions.) I. See Schedule A, Line 21 Statement 21 2 , 096 . Deductions 22 Tax preparation fees 22 23 Other expenses—investment, safe deposit box, etc. List type and amount ► 23 24 Add lines 21 through 23 24 2 , 096 . 25 Enter amount from Form 1040, Zine 38 1251 39, 826 . 26 Multiply line 25 by 2% (.02) 26 797 . 27 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- 27 1, 2 9 9 . Other 28 Other—from list in instructions. List type and amount ► Miscellaneous Deductions 28 Total 29 Is Form 1040, line 38, over $150,000? Itemized M No. Your deduction is not limited. Add the amounts in the far right column Deductions for lines 4 through 28. Also, enter this amount on Form 1040, line 40. . . 29 8 , 077 . ■ Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. 30 If you elect to itemize deductions even though they are less than your standard deduction, check here 1 ► ■ For Paperwork Reduction Act Notice, see Form 1040 instructions. BAA REV 03/03/14 TTO Schedule A (Form 1040) 2013 F.5329 Department of the Treasury Internal Revenue Service (99) Additional Taxes on Qualified Plans (Including IRAs) and Other Tax -Favored Accounts D O. Attach to Form 1040 or Form 1040NR. about Form 5329 and its separate instructions is at www.irs.govlform5329. Name of individual subject to additional tax. If marded filing jointly, see instructions. Debra A Andree Fill In Your Address Only It You Are Filing This Form by Itself and Not With Your Tax Retum Home address (number and street), or P.O. box it mail is not delivered to your home OMB No. 1545-0074 (A813 Attachment Sequence No. 29 tat security number Apt. n City, town or post office, state, and ZIP code. It you have a foreign address, also complete the spaces below (see instructions). If this is an amended return, check here ► Foreign country na Foreign province/statefcounty Foreign postal code If you only owe the additional 10% tax on early distributions, you may be able to report this tax directly on Form 1040, line 58, or Form 1040NR, line 56, without filing Form 5329. See the instructions for Form 1040, line 58, or for Form 1040NR, line 56. Part I Additional Tax on Early Distributions Complete this part if you took a taxable distribution before you reached age 591/2 from a qualified retirement plan (including an IRA) or modified endowment contract (unless you are reporting this tax directly on Form 1040 or Form 1040NR—see above). You may also have to complete this part to indicate that you qualify for an exception to the additional tax on early distributions or for certain Roth IRA distributions (see instructions). 1 Early distributions included in income. For Roth IRA distributions, see instructions 1 13,249 . 2 Early distributions included on line 1 that are not subject to the additional tax (see instructions). Enter the appropriate exception number from the instructions: 0 5 . .. 3 Amount subject to additional tax. Subtract line 2 from line 1 4 Additional tax. Enter 10% (.10) of line 3. Include this amount on Form 1040, line 58, or Form 1040NR, line 56 Caution: If any part of the amount on line 3 was a distribution from a SIMPLE IRA, you may have to include 25% of that amount on line 4 instead of 10% (see instructions). 2 3 4 2,316. 10,933. 1,093. Part II Additional Tax on Certain Distributions From Education Accounts Complete this part if you included an amount in income, on Form 1040 or Form 1040NR, line 21, from a Coverdell education savings account (ESA) or a qualified tuition program (QTP). 5 Distributions included in income from Coverdell ESAs and QTPs 6 Distributions included on line 5 that are not subject to the additional tax (see instructions) 7 Amount subject to additional tax. Subtract line 6 from line 5 8 Additional tax. Enter 10% (.10) of line 7. Include this amount on Form 1040, line 58, or Form 1040NR, line 56 Additional Tax on Excess Contributions to Traditional IRAs Complete this part if you contributed more to your traditional IRAs for 2013 than is allowable or you had an amount on line 17 of your 2012 Form 5329. 9 Enter your excess contributions from line 16 of your 2012 Form 5329 (see instructions). If zero, go to line 15 10 If your traditional IRA contributions for 2013 are less than your maximum allowable contribution, see instructions. Otherwise, enter -0- 10 11 2013 traditional IRA distributions included in income (see instructions) . 12 2013 distributions of prior year excess contributions (see instructions) . 13 Add lines 10, 11, and 12 14 Prior year excess contributions. Subtract line 13 from line 9. If zero or less, enter -0- 15 Excess contributions for 2013 (see instructions) 16 Total excess contributions. Add lines 14 and 15 17 Additional tax. Enter 6% (.06) of the smaller of line 16 or the value of your traditional IRAs on December 31, 2013 (including 2013 contributions made in 2014). Include this amount on Form 1040, line 58, or Form 1040NR, line 56. Additional Tax on Excess Contributions to Roth IRAs Complete this part if you contributed more to your Roth IRAs for 2013 than is allowable or you had an amount on line 25 of your 2012 Form 5329. 18 Enter your excess contributions from line 24 of your 2012 Form 5329 (see instructions) If zero, go to line 23 19 If your Roth IRA contributions for 2013 are less than your maximum allowable contribution, see instructions. Otherwise, enter -0- . 19 20 2013 distributions from your Roth IRAs (see instructions) 21 Add lines 19 and 20 22 Prior year excess contributions. Subtract line 21 from line 18. If zero or less, enter -0- 23 Excess contributions for 2013 (see instructions) 28 24 Total excess contributions. Add lines 22 and 23 25 Additional tax. Enter 6% (.06) of the smaller of line 24 or the value of your Roth IRAs on December 31, 2013 (including 2013 contributions made in 2014). Include this amount on Form 1040, line 58, or Form 1040NR, line 56 artlll 5 6 7 8 11 12 20 9 13 14 15 16 17 18 21 22 24 25 For Privacy Act and Paperwork Reduction Act Notice, see your tax return instructions. BAA REV 03/03/14 Tro Form 5329 (2013) Form 5329 (2013) Page 2 IMIrl Additional Tax on Excess Contributions to Coverdell ESAs Complete this part if the contributions to your Coverdell ESAs for 2013 were more than is allowable or you had an amount on line 33 of your 2012 Form 5329. 26 Enter the excess contributions from line 32 of your 2012 Form 5329 (see instructions). If zero, go to line 31 27 If the contributions to your Coverdell ESAs for 2013 were Tess than the maximum allowable contribution, see instructions. Otherwise, enter -0- 27 28 2013 distributions from your Coverdell ESAs (see instructions) . . . 28 29 Add lines 27 and 28 30 Prior year excess contributions. Subtract line 29 from line 26. If zero or less, enter -0- 31 Excess contributions for 2013 (see instructions) 32 Total excess contributions. Add lines 30 and 31 33 Additional tax. Enter 6% (.06) of the smaller of line 32 or the value of your Coverdell ESAs on December 31, 2013 (including 2013 contributions made in 2014). Include this amount on Form 1040, line 58, or Form 1040NR, line 56 29 31 32 33 Part VI Additional Tax on Excess Contributions to Archer MSAs Complete this part if you or your employer contributed more to your Archer MSAs for 2013 than is allowable or you had an amount on line 41 of your 2012 Form 5329. 34 Enter the excess contributions from line 40 of your 2012 Form 5329 (see instructions). If zero, go to line 39 35 If the contributions to your Archer MSAs for 2013 are less than the maximum allowable contribution, see instructions. Otherwise, enter -0- 35 36 2013 distributions from your Archer MSAs from Form 8853, line 8 . . 37 Add lines 35 and 36 38 Prior year excess contributions. Subtract line 37 from line 34. If zero or less, enter -0- 38 39 Excess contributions for 2013 (see instructions) 40 Total excess contributions. Add lines 38 and 39 40 41 Additional tax. Enter 6% (.06) of the smaller of line 40 or the value of your Archer MSAs on December 31, 2013 (including 2013 contributions made in 2014). Include this amount on Form 0, line 58, or Form 1040NR, line 56 Additional Tax on Excess Contributions to Health Savings Accounts (HSAs) Complete this part if you, someone on your behalf, or your employer contributed more to your HSAs for 2013 than is allowable or you had an amount on line 49 of your 2012 Form 5329. Enter the excess contributions from line 48 of your 2012 Form 5329. If zero, go to line 47 42 43 If the contributions to your HSAs for 2013 are Tess than the maximum allowable contribution, see instructions. Otherwise, enter -0- . . . . 43 44 2013 distributions from your HSAs from Form 8889. line 16 . . . 45 36 34 37 39 41 44 42 Add lines 43 and 44 46 Prior year excess contributions. Subtract line 45 from line 42. If zero or less, enter -0- 47 Excess contributions for 2013 (see instructions) 48 Total excess contributions. Add lines 46 and 47 4g 49 Additional tax. Enter 6% (.06) of the smaller of line 48 or the value of your HSAs on December 31, 2013 (including 2013 contributions made in 2014). Include this amount on Form 1040, line 58, or Form 1040NR, line 56 Additional Tax on Excess Accumulation in Qualified Retirement Plans (Including IRAs) Complete this part if you did not receive the minimum required distribution from your qualified retirement plan 45 46 47 49 50 Minimum required distribution for 2013 (see instructions) 51 Amount actually distributed to you in 2013 52 Subtract line 51 from line 50. If zero or Tess, enter -0- 53 Additional tax. Enter 50% (.50) of line 52. Include this amount on Form 1040, line 58, or Form 1040NR, line 56 50 51 52 53 Sign Here Only If You Are Filing This Form by Itself and Not With Your Tax Retum Under penalties of perjury, I declare that I have examined this form, including accompanying attachments, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which Pre' aver has any knowledge. Your signature / Date Paid Preparer Use Only Print/Type preparer's name Preparer's signature Date Check D if sett -employed PTIN Firm's name ► Firm's EIN ► Firm's address I. Phone no. REV 03/03/14 TTO Form 5329 (2013) Form 8283 (Rev. December 2013) Department of the Treasury Internal Revenue Service Noncash Charitable Contributions ► Attach to your tax return if you claimed a total deduction of over $500 for all contributed property. Information about Form 8283 and its separate instructions is at www.irs.gov/form82 Name(s) shown on your income tax return Debra A Andree OMB No. 1545-0908 Attachment Sequence No. 155 Note. Figure the amount of your contribution deduction before completing this form. See your tax return instructions. Section A. Donated Property of $5,000 or Less and Publicly Traded Securities—List in this section only items (or groups of similar items) for which you claimed a deduction of $5,000 or Tess. Also, list publicly traded securities even if the deduction is more than $5,000 (see instructions). Information on Donated Property—If you need more space, attach a statement. (a) Name and address of the 1 donee organization (b) If donated property is a vehve (see instructions), check the box. Also enter the vehicle identification number (unless Form 1098-C is attached) (c) Description of donated property (For a vehicle, enter the year, make, model, and mileage. For securities, enter the company name and the number of shares.) A Salvation Army Trindle Road Camp Hill PA 17011 CI Misc Woman's clothing and accessori es B 09/25/2013 a Purchase C 575. 0 B D II E C 0 Note If the amount vou claimed as a deduction for an item is $500 or less. you do not have to r mmnlata cne imnc rpt (f) and (g) entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement (see instructions). 2a Enter the letter from Part I that identifies the property for which you gave Tess than an entire interest Ito - If If Part II applies to more than one property, attach a separate statement. b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year ► (2) For any prior tax years ► c Name and address of each organization to which any such contribution was made in a prior year (complete only if different from the donee organization above): Name of charitable organization (donee) Address (number, street, and room or suite no.) City or town, state, and ZIP code d For tangible property, enter the place where the property is located or kept 10- e e Name of any person, other than the donee organization, having actual possession of the property ► 3a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated ca property? the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or to b Did you give to anyone (other than the donee organization or another organization participating with the donee organization in cooperative fundraising) the right to the income from the donated property or to the possession of designate the person having such income, possession, or right to acquire' c Is there a restriction limiting the donated property for a particular use? For Paperwork Reduction Act Notice, see separate instructions. BAA REV 03/03/14 TTO Form 8283 (Rev. 12-2013) (d) Date of the contribution (e) Date acquired by donor (mo., yr.) (f) How acquired by donor (g) Donor's cost or adjusted basis (h) Fair market value (see instructions) (i) Method used to determine the fair market value A 09/25/2013 various Purchase 2,600. 575. Thrift shop value B C D E Part II Partial Interests and Restricted Use Property—Complete lines 2a throuah 2e if vou nave Tess than an entire interest in a property listed in Part I. Complete lines 3a through 3c if conditions were placed on a contribution listed in Part I; also attach the required statement (see instructions). 2a Enter the letter from Part I that identifies the property for which you gave Tess than an entire interest Ito - If If Part II applies to more than one property, attach a separate statement. b Total amount claimed as a deduction for the property listed in Part I: (1) For this tax year ► (2) For any prior tax years ► c Name and address of each organization to which any such contribution was made in a prior year (complete only if different from the donee organization above): Name of charitable organization (donee) Address (number, street, and room or suite no.) City or town, state, and ZIP code d For tangible property, enter the place where the property is located or kept 10- e e Name of any person, other than the donee organization, having actual possession of the property ► 3a Is there a restriction, either temporary or permanent, on the donee's right to use or dispose of the donated ca property? the property, including the right to vote donated securities, to acquire the property by purchase or otherwise, or to b Did you give to anyone (other than the donee organization or another organization participating with the donee organization in cooperative fundraising) the right to the income from the donated property or to the possession of designate the person having such income, possession, or right to acquire' c Is there a restriction limiting the donated property for a particular use? For Paperwork Reduction Act Notice, see separate instructions. BAA REV 03/03/14 TTO Form 8283 (Rev. 12-2013) Debra A Andree Additional information from your 2013 Federal Tax Return 178-504218 1 Some forms were not able to fit all of the information you entered. We've included this information below. Schedule A: Itemized Deductions Line 21 - Employee Business Expenses Subject to 2% Limitation Continuation Statement Description Amount Job search costs 1,047. Microsoft Windows software 127. Envelopes and Pens 19. USB Port Connector, Dock Connector, USB Power Adaptor 67. Printer Ink and Envelopes 24. CMYK Printer Ink cartridges 70. Toshiba Laptop Computer 509. Epson Workforce WF3620 printer 138. Transportation costs to pick up printer 95. Total 2,096. S 4 AMERICAN FUNDS° From Capital Group CAPITAL BANK AND TRUST CO. INCOME FUND OF AMERICA -A P.O. BOX 6164 INDIANAPOLIS IN 48206-6164 Recipient's name and address CB&T CUST IRA/ROLLOVER ( DEBRA A ANDREE 435 DELANCEY CT MECHANICSBURG PA 17055-5454 AMERICAN FUNDS® From Capital Group • (2A -f-1 L -\U\ (11.) CAPITAL BANK AND TRUST CO. EUROPACIF1C GROWTH FUND -A P.O. BOX 6164 INDIANAPOUS (N 46206-8164 Recipient's name and address CB&T CUST IRA/ROLLOVER DEBRA A ANDREE 435 DELANCEY CT MECHANICSBURG PA 17055-5454 AMERICAN FUNDS® From Capital Group CAPITAL BANK AND TRUST CO. CAPITAL INCOME BUILDER -A P.O. BOX 6164 INDIANAPOLIS IN 48206-6184 Recipient's name and address CB&T CUST IRA/ROLLOVER DEBRA A ANDREE 435 DELANCEY CT MECHANICSBURG PA 17055-5454 /f:'. • rr• Payer's federal Identification number Gross diabibution 2013 DistributionsFrom Pensions,AnnuitIes, Retirement or. Profit -Sharing Plans, IRAs, Insurance Contracts, etc. 95-6817943 2,121.00 Recipient's identification number 2a Taxable amount XXX -XX -6218 2,121.00 Recipient's account number 87012126 Fund number 2b Taxable amount not determined Total distribution X Copy C For Recipient's Records This information is being furnished to the Internal Revenue Service. 06 4 Federal income tax withheld 0.00 „I) 7 Distribution code(s) IRA/SEP/ SIMPLE 1 X 12 State Income tax withheld 13 State/payer's state number 0.00 PA/ Payer's federal identification number 1 Gross distribution 2013 Distributions From Pensions,Annuities, Retirement or Profit -Sharing Plans, IRAs, Insurance Contracts, etc. 95-6817943 3,528.71 Recipient's identification number 28 Taxable amount XXX -XX -6218 3,528.71 Recipient's account number 87012126 Fund number 2b Taxable amount not determined Total distribution X X Copy B Report this income on your federal tax return. If this form shows federal Income tax withhetd in box 4, attach this copy to your return. This information is being furnished to the Internal Revenue Service. 16 4 Federal Income tax withheld 0.00 7 Distribution IRA/SEP/ code(s) SIMPLE 1 X 12 State Income tax withheld 13 State/payer's state number 0.00 PA/ r:''' Payer's federal identification number 1 Gross disbibution 95-6817943 3,000.00 2013 DistributionsFrom Pensions,Annuities, Retirement or Profit -Sharing Plans, IRAs, Insurance Contracts, etc. Recipient's identification number 2a Taxableamount XXX -XX -6218 3,000.00 Recipient's account number 2b Taxable amount nor determined X 87012126 Total distribution Fund number Copy B Report this income on your federal tax return. If this form shows federal income tax withheld in box 4, attach this copy to your .h return. This information is being furnished to the Internal Revenue Service. 12 4 Federalincome tax withheld ° 0.00 ; . .ii; ttfi;444.**444,. 7 Distribution "d5(s) IPA/SEP/ 51 MPLE :iMiimi%iEiime:i*:tft* 1 X 12 State income tax withheld 13 State/payer- state number 0,00 PA/ AMERICAN FUNDS' From Capital Group INVESTL MENT CANK O AND DF AMERICA A P.O. BOX 6164 INDIANAPOLIS IN 46206.6164 Recipient's name and address AV 02 000304 24049 H 2 B**SDGT, CB&T CUST IRA/RDLLOVER DEBRA A ANDREE 435 DELANCEY CT MECHANICSBURG PA 17055-5454 Iih'IhiII,lIIIIm101414IIIII4,101l1i11rr401rhlrl si,;r-, n': •_ , Payer's federal Identification number 1 Gros*diabibatlen 95-6817943 4,600.00 2013 Distributions From Pensions, Annuities, Retirement or Profit -Sharing Plans, IRAs, Insurance Contracts, etc. Recipient's identification number 2e Taxable amount XXX -XX -6218 4,600.00 Recipient's account number 2b Taxable amount not determined X 87012126 Total distribution Fund number Copy B Report this income on your federal tax return. If this form shows federal income tax withheld In box 4, attach this copy to your return.";>`v This information N being furnitthed to the Internal Revenue Service. 04 i;:::: 4Federal n`odn1e tax tvithhei •.4n.; s: ... ; y , �^::.:. ;s>:•: <``' %"' " 0.00 '`'`i' °Rf''*">'"?+" ' •tir:`•;::•:••`;;;` .- {>: ;;: ;: :i::` 7 Distribution code(s) SIIdFLE SIMPLE 12 State income tax withheld 13 Stare/payer's state number 0.00 PA/ Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax I4 I:E(i-OFFICE OF THE PROTHONOTARY 2014 AUG 1 I All 9: 46 CUMBERLAND COUNTY PENNSYLVANIA DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 :PACSES NO. 425114241 :Civil No. 06-5890 INCOME STATEMENT OF DEBRA A. ANDREE I verify that the statements made in this Income Statement are true and correct. I understand that fa ' statements herein are made subject to the penalties of 18 P..C.S. §4904 ating to unsworn falsification to authorities Date:7—(L_) INCOME NONE a A. Plaintiff Employer: Address: Type of Work: Payroll Number: Pay Period: (Weekly, Bi -Weekly, etc.) Gross Pay per Pay Period $ Itemized Payroll Deductions: Federal Withholding $ FICA $ Local Wage Tax $ State Income Tax $ Mandatory Retirement $ Union Dues $ Health Insurance $ n.ree PLAINTIFF'S EXHIBIT 10lg64q 4t/7 !JU) l:T1A.]fil3Ell,l _: A-1y4AVJY2 i13 M ti Other (specify) Net Pay per Pay Period: $ Other Income Week Month Year (Fill in Appropriate Column) Interest $ $ $ Dividends $ $ $ Pension Distributions $ $ $ Annuity $ $ $ Social Security $ $ $ Rents $ $ $ Royalties $ $ $ Unemployment Compensation $ $ $ Worker's Compensation $ $ $ Employer Fringe Benefits $ $ $ Other $ $ $ Total $ $ $ TOTAL INCOME $ PROPERTY OWNED *Ownership Description Value H W J Checking Accounts Members 1St $164.00 X Savings Accounts Members 1" $0.00 X 401(K) c.$2,000.00 X Stocks/Bonds $ Real Estate Condo $130,000.00 X Other $ Total $ INSURANCE Hospital Blue Cross Other Medical Blue Shield Other Health/Accident Disability Income Dental. Other Company Coverage* Policy No. H W C * H = Husband; W = Wife; J = Joint; C = Child SUPPLEMENTAL INCOME STATEMENT (a) This form is to be filled out by a person (check one): (1) who operates a business or practices a profession, or (2) who is a member of a partnership or joint venture, or (3) who is a shareholder in and is salaried by a. closed corporation or similar entity. (b) Attach to this statement a copy of the following documents relating to the partnership, joint venture, business, profession, corporation or similar entity: (1) the most recent Federal Income Tax Return, and (2) the most recent Profit and Loss Statement. (c) Name of Business:. Address: Telephone Number: (d) Nature of Business: (check one) (1) Partnership (2) Joint Venture (3) Profession (4) Closed Corporation (5) Other (e) Name of accountant, controller or other person in charge of financial records: (f) Annual income from business: (1) How often is income received? (2) Gross income per pay period: (3) Net income per pay period: (4) Specified deductions, if any: Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax DEBRA A. ANDREE, :IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons, by First Class United States Mail addressed as follows: Date: 87,/f Y Michael J.Pykosh, Esq. and Katherine L. McDonald, Esq. 2132 Market Street Camp Hill, PA 17011 Mary Etter Dissinger Attorney for Plaintiff Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax FILED -OFFICE OF THE PROTHONOTARY 2O14 AUG ! 1 AM .g. 46 CUMBERLAND COUNTY PENNSYLVANIA DEBRA A. ANDREE, Plaintiff vs. RICHARD P. ANDREE, Defendant :IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 :PACSES NO. 425114241 :Civil No. 06-5890 EXPENSE STATEMENT OF DEBRA A. ANDREE I verify that the statements made in this Expense Statement are true and correct. I understand that false/Statements herein are made subject to the penalties of 18 Pa.C/(S. §4904 relates g to unsworn falsification to authorities. EXPENSES HOME Mortgage or Rent Maintenance Condo Fee Home Service Warranty MONTHLY TOTAL $597.95* $25.00 $112.00 $25.75 UTILITIES Electric $150.00 Gas $ Oil $ Telephone $30.00 * Will change August 15, 2014 - In addition to that, my alimony pendente lite is reduced by $280.37 toward contribution for the mortgage and home equity loan on the marital residence on Victor Lane. a' A. An:ree aintiff MONTHLY CHILDREN MONTHLY PARENT ' HU 33 Out JR:aret u3 A10,4V.JY<UH3q Cell Phone $130.00 $ Water $35.00 $ Sewer $40.00 $ Cable TV $45.00 $ Internet $30.00 $ Trash/Recycling $40.00 $ TAXES Real Estate $197.00 $ Personal Property $ $ INSURANCE Homeowners/Renters $23.66 $ $ Automobile $63.87 $ $ Life $ $ $ Accident/Disability $ $ $ Excess Coverage $ $ $ Long -Term Care $ $ $ AUTOMOBILE Lease or Loan Payments $385.00 $ $ Fuel $240.00 $ $ Repairs $ $ $ Memberships $ $ $ MEDICAL Doctor $50.00+ $ $ Dentist $28.00 $ $ Hospital $67.00+ $ $ .Medication $90.00 $ $ Counseling/Therapy $ $ $ Orthodontist $ $ $ Special Needs (glasses, etc.) $ $ $ EDUCATION Tuition $ $ $ Tutoring $ $ $ Lessons $ $ $ Other $ $ $ PERSONAL Debt Service $619.00 $ $ Clothing $ $ $ Groceries $300.00 $ $ Haircare $95.00 $ $ Memberships $5.00 (CPAFE) $ $ MISCELLANEOUS Child Care $ $ $ Household Help $ $ $ Summer Camp $ $ $ Papers/Books/ Magazines $ $ $ Entertainment $ $ $ Pet Expenses $25.70 $ $ Vacations $ $ $ Gifts $ $ $ Legal Fees/Prof. Fees $900.00 $ $ Charitable Contributions $ $ $ Children's Parties $ $ $ Children's Allowances $ $ $ Other Child Support $ $ $ Alimony Payments $ $ $ TOTAL MONTHLY EXPENSES $4,349.93 $ $ Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 — Voice (717) 975-3924 - Fax DEBRA A. ANDREE, :IN THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE HEALTH INSURANCE COVERAGE INFORMATION REQUIRED BY THE COURT This form must be completed and returned to the domestic relations section. IF YOU FAIL TO PROVIDE THE INFORMATION REQUESTED, THE COURT MAY FIND THAT YOU ARE IN CONTEMPT OF'COURT. Do you provide insurance for the dependents named below?. (Check each type of insurance which you provide). Full Name SSN# Hospital- Medical Dental Eye Prescrip- Other ization tion Note: Before forwarding the form to theparty, the domestic relations section should fill in the names and Social Security numbers of the dependents about whom the information is sought. Provide the following information for all types of insurance you maintain, whether or not any of the above-named dependents is covered at this time: Insurance company (provider): NONE Group#: Plan#: Effective Coverage Date: Type of Coverage: Policy#: Employee cost of coverage for dependents: Insurance company (provider): Group#: Plan#: Policy#: Effective Coverage Date: Type of Coverage: Employee cost of coverage for dependents: Insurance company (provider): Group#: Plan#: Policy#: Effective Coverage Date: Type of Coverage: Employee cost of coverage for dependents: Insurance company (provider): Group#: Plan#: Policy#: Effective Coverage Date: Type of Coverage: Employee cost of coverage for dependents: If the above-named dependents are not currently covered by insurance, please state the earliest date coverage could be provided. Mary A. Etter Dissinger, Esq. 28 North Thirty Second Street Camp Hill, PA 17011 (717) 975-2840 - Voice (717) 975-3924 - Fax DEBRA A. ANDREE, :I.N THE COURT OF COMMON PLEAS OF Plaintiff :CUMBERLAND COUNTY, PENNSYLVANIA vs. :DOMESTIC RELATIONS SECTION :Docket No. 853 Support 2013 RICHARD P. ANDREE, :PACSES NO. 425114241 Defendant :Civil No. 06-5890 Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, hereby certify that on the date set forth below I served a true and correct copy of the foregoing document upon the following persons, by First Class United States Mail addressed as follows: Date: 87///i Michael J.Pykosh, Esq. and Katherine L. McDonald, Esq. 2132 Market Street Camp Hill, PA 17011 Mary A. Etter Dissinge Attorney for Plaintiff allfirst 2i � , T Z; e�LE R t��Cn:i l .. RECORDEfi i DEEDS :14UMBERLANO COUNTY -PA 'Di DEC 19 P19 3 13 Allfirst Bank Rom' Delaivare 19988 Medan: Inataf tment Services 601740 PLAINTIFF'S EXHIBIT Lolal►11 I IV MORTGAGE (CLOSED-END CREDIT) PAGE 1 OF 3 Pennsylvania 20011881212420 TAX ID: 38-13-0985-102 This MORTGAGE, is made this Twenty-eighth day of August, 2001 by and between RICHARD P. ANDREE DEBRA A. ANDREE (hereinafter called, whether one or more, 'Mortgagor'), and Allfirst Bank, 25 South Charles Street, Baltimore, Maryland 21201 (hereinafter called "Mortgagee"). WHEREAS, as evidenced by a SiMple Interest Installment Note And Security Agreement dated 08/28/2001 , and incorporated herein by this reference (hereinafter called the "Note"), Borrower, as Borrower Is defined in the Note, is justly indebted unto Mortgagee in the principal amount of $ 63,606.93 and Mortgagor has agreed that this Mortgage will secure the repayment of all the "Obligations", which term means all amounts loaned to Borrower under the Note, and any extensions or renewals tbereof, as it new exists or may hereafter be amended, and all interest on such obligations, and all future advances and readvances under the Note, arid all costs and expenses incurred in respect to the obligations, including reasonable counsel fees incurred to obtain collection after default, and all amount which Mortgagor promises to pay hereunder, as is hereinafter provided: NOW, THEREFORE, THIS MORTGAGE WITINESSETH, That in consideration of the aforesaid indebtedness and of the sum of One Dollar, and to secure the Obligations, Mortgagor does hereby grant, assign and convey unto Mortgagee, its successors and assigns, all that lot of ground and premises located 9 VICTOR LANE in SILVER SPRING TWP , Pennsylvania, known asMECHANICSBURG PA 17050 and more fully described in a Deed from JACK E. BRADLEY AND MONICA A. BRADLEY to Mortgagor dated 04/22/1988 recorded among the Land Records CUMBERLAND COUNTY in Deed Book 33-H Page 723 ,together with the buildings and improvements thereon, and the rights, alleys,iways, waters, privileges, appurtenances and advantages thereto belonging or in any wise appertaining and any right, title, interest or estate hereafter acquired by Mortgagor, and all Insurance proceeds and proceeds from any condemnation or taking by eminent domain (hereinafter called the "Mortgaged Property"). LEGAL DESCRIPTION: 9 VICTOR LANE TO HAVE AND TO HOLD the Mortgaged Property unto Allfirst Bank, its successors and assigns, in fee simple with power of sale. if, however, Borrower shall pay the Obligations in full, and perform its other promises and covenants hereunder, then at any such time Mortgagee will at Mortgagor's request execute and deliver a release to the Mortgagor, and upon the filing of such request, this Mortgage shall be void. BUT ALWAYS PROVIDED, nevertheless, that if this Mortgage and the debt hereby secured are paid in full in the manner provided in the Note, then this Mortgage and the estate hereby granted shall cease and terminate and become void, anything herein to the contrary notwithstanding. Borrower and Mortgagor jointly and severally covenant and promise to Mortgagee as follows: a. All payments on the Note will be made when due, including payments due by acceleration of maturity, and all other conditions, covenants and obligations as required or provided herein, in the Note, or in any other obligation of Mortgagor to Mortgagee, will be performed; and b. Mortgagor covenants and warrants that Mortgagor has fee simple title to the and the right to mortgage the; and c. Mortgagor will pay when due all taxes and assessments and other governmental charges, including electricity, water and sewer rents levied or assessed against the or any part thereof, and will deliver receipts therefor to the Mortgagee uponeequest, and shall pay when due all amounts secured by any prior lien on the; and d. Mortgagor will keep the insured against fire and such hazards in such amount or amounts as may be required by the Mortgagee and the policies and renewals evidencing such insuranceQQ({ shall have attached(�thereto a standard mortgage clause(s) in form acceptable to the Mortgagee; and 8K t 7143pG U 5 55 20011881212420 MORTGAGE (CLOSED-END CREDIT) PAGE 2 OF 3 e. Mortgagor will neither sell, assign or transfer any or all of the or any interest therein not commit nor suffer any strip, waste, impairment or deterioration of the and will maintain the same in good order and repair; and f. In the event of any default in the making of any payment due and payable under the Note, or in the keeping and performance of any of the conditions, covenants and obligations contained herein or in the Note, or in any other obligation of Mortgagor to Mortgagee, Mortgagee may, upon timely notice to Mortgagor if required by law, (i) forthwith bring any action of mortgage foreclosure hereon, or institute other foreclosure proceedings upon this Mortgage, and may proceed to judgment and execution to recover the balance due on the Note and any other sums that may be due thereunder, including attorneys' fees, costs of suit and costs of sale to the extent, if any, provided in the Note and permitted by law, and (ii) enter into possession of Premises, with or without legal action, lease the same, collect all rents and profits therefrom and, after deducting all costs of collection and administration .Xpense, apply the net rents and profits to the payment of taxes and other necessary maintenance and operation costs (including agents' fees and attorneys' fees) or on account of the Note, in such order and amounts as Mortgagee in Mortgagee's sole discretion may elect and Mortgagee shall be liable to account only for rents and profits actually received by Mortgagee; and g. Mortgagor hereby waives and releases all benefit and relief from any and all appraisement, stay and exemption laws now in force or hereafter passed, either for the benefit or rlIelief of Mortgagor, or limiting the balance due to a sum not in excess of the amount actually paid by the purchaser of the ata sale thereof In 8ny judicial proceedings upon this Mortgage, or exempting the, or any part of the proceeds of sale thereof, from attachment, levy or sale under execution, or providing for any stay of execution or other process. The covenants and conditions herein contained shall bind and the benefits and advantages shall inure to the respective heirs, executors, administrators, successors, and assigns of the parties hereto. Whenever used, the singular number shall include the plural, the plural and the singular and the use of any gender shall be applicable to all genders. h. Condominium. If the Mortgaged Property comprises a unit in, together with an undivided interest in the common elements of, a condominium project (the "Condominium f roject") and the owners association or other governing body of the Condominium Project ("Owners Association") holds title to property for the benefit or use of its members or shareholders, the Mortgaged Property shall also be comprised of the Mortgagor's interest in the Owners Association and the proceeds of such interest. In addition to the covenants and agreements made in the Mortgage and Agreement, the Mortgagor and the Mortgagee further covenant and agree as follows: (1) Assessments. The Mortgagor hall promptly pay, when due, all assessments imposed by the Owners Association pursuant to the provisions of the declaration, by-laws, code of regulations of the Owners Association, or other constituent documents of the Condominium Project (hereinafter "Constituent Documents"). (2) Hazard Insurance. So long as the Owners Association maintains a "master" or "blanket" policy, which is satisfactory in form to the Mortgagee, with a generally accepted insurance carrier on the Condominium Project and which provides insurance coverage in such amounts, for such periods, and against such hazards as the Mortgagee may require, including fire and hazards included within the term "extended coverage", then the Mortgagor's obligation to maintain hazard insurance coverage on the Mortgaged Property is deemed satisfied to the extent that the required coverage is provided by the Owners Association policy. The Mortgagor shall give the Mortgagee prompt notice of any lapse in such required hazard insurance coverage. In the event of a distribution of hazard insurance proceeds in lieu of restoration or repair following a loss to the Mortgaged Property, whether to the unit or to comm6n elements, subject to the rights of the holder of any permitted prior mortgage, any such proceeds payable to the Mortgagor are hereby assigned and shall be paid to the Mortgagee for application to the sums secured by the Mortgage. with the excess, if any, paid to the Mortgagor, as their Interests may appear. (3) Public Liability Insurance, The Mortgagor shall take such actions as may be reasonable to insure that the Owners Association maintains a public liability insurance policy acceptable in form, amount, and extent of coverage to the Mortgagee. (4) Mortgagee's Prior Consent. The Mortgagor shall not, except after notice to the Mortgagee and with the Mortgagee's prior written consent, either partition or subdivide the Mortgaged Property or consent to: (I) the abandonment or termination of the Condominium Project, except for abandonment or termination required by law in the case of substantial destruction by fire or other casualty or in the case of a taking by condemnation or eminent domain; (ii) any amendment Id any provision of the Constituent Documents which is for benefit of the Mortgagee; (iii) termination of professional management and assumption of self-management of the Condominium Project Owners Association; or (iv) any action which would have the effect of rendering the public liability insurance coverage maintained by the Owners Association unacceptable to'the Mortgagee. BKI743PG0556 'S -6054A•0001 20011881212420 MORTGAGE (CLOSED-END CREDIT) PAGE 2 OF 3 e. Mortgagor will neither se!l, ssign or transfer any or all of the or any interest therein not commit nor suffer any strip, waste, impairment or deterioration of the and witl maintain the same in good order and repair; and f. In the event of any default in \the making of any payment due and payable under the Note, or in the keeping and performance of any of the conditions, covenants and obligations contained herein or in the Note, or in any other obligation of Mortgagor to Mortgagee, Mortgagee may, upon timely notice to Mortgagor if rewired by law, (i) forthwith bring any action of mortgage foreclosure hereon, or institute other foreclosure proceedings upon this Mortgage, and I may proceed to judgment and execution to recover the balance due on the Note and any other sums that may be due thereunder, including attofneys' fees, costs of suit and costs of sale to the extent, if any, provided in the Note and permitted by law, and (ii) enter into possession of Premises, with or without legal action, lease the same, collect all rents and profits therefrom and, after deducting all costs of collection and administratidn expense, apply the net rents and profits to the payment of taxes and other necessary maintenance and operation costs (including agents' fees and attorneys' fees) or on account of the Note, in such order and amounts as Mortgagee in Mortgagee's sole discretion may elect and Mortgage shall be liable to account only for rents and profits actually received by Mortgagee; and g. Mortgagor hereby waives and releases all benefit and relief froth any and all appraisement, stay and exemption laws now in force or hereafter passed, either for the benefit or relief of Mortgagor, or limiting the balance due to a sum not in excess of the amount actually paid by the purchaser of the at a sale thereof in any judicial proceedings upon this Mortgage, or exempting the, or any part of the proceeds of sale thereof, from attachment, levy or sale u der execution, or providing for any stay of execution or other process. The covenants and conditions herein ,contained shall bind and the benefits and advantages shall inure to the respective heirs, executors, administrators, successors, and assigns of the parties hereto. Whenever used, the singular number shall include the plural, the plural and the singular and the use of any gender shall be applicable to all genders. -•�• h. Condominium. If the Mortgaged Property comprises a unit in, together with an undivided interest in the common elements of, a condominium project (the "Condominiurn Project") and the owners association or other governing body of the Condominium Project ("Owners Association") holds title to property for tffe benefit or use of its members or shareholders, the Mortgaged Property shall also be comprised of the Mortgagor's interest in the Owners Association and the proceeds of such interest. In addition to the covenants and agreements made in the Mortgage and Agreement, the Mortgagor; and the Mortgagee further covenant and agree as follows: (1) Assessments. The Mortgagee shall promptly pay, when due, all assessments imposed by the Owners Association pursuant to the provisions of the declaration; by-laws, code of regulations of the Owners Association, or other constituent documents of the Condominium Project (hereinafter "Constituent Documents"). (2) Hazard Insurance. So long as the Owners Association maintains a "master." or 'blanket" policy, which is satisfactory in form to the Mortgagee, with a generally accepted insurance carrier on the Condominium Project and which provides insurance coverage in such amounts. for such periods, and against such hazards as the Mortgagee may require, including fire and hazards included within the term "extended coverage", then the Mortgagor's obligation to maintain hazard insurance coverage on the Mortgaged Property is deemed satisfied to the extent that the required coverage is provided by the Owners Association policy. The Mortgagor shall give the Mortgagee prompt notice of any lapse in such required hazard insurance coverage. In the event of a distribution of hazard insurance proceeds in lieu of restoration or repair following a loss to the Mortgaged Property, whether to the unit or to common elements, subject to the rights of the holder of any permitted prior mortgage, any such proceeds payable to the Mortgagor are hereby assigned and shall be paid to the Mortgagee for application to the sums secured by the Mortgage, with the excess. if any, paid to the Mortgagor, as their interests may appear. (3) Public Liability Insurance. The Mortgagor shall take such actions as may be reasonable to insure that the Owners Association maintains a public liability insurance policy acceptable in form, amount, and extent of coverage to the Mortgagee. (4) Mortgagee's Prior Consent The Mortgagor shall not, except after notice to the Mortgagee and with the Mortgagee's prior written consent, either partition or subdivide the Mortgaged Property or consent to: (i) the abandonment or termination of the Condominium Project. except for abandonment or termination required by law in the case of substantial destruction by fire or other casualty or in the case of a taking by condemnation or eminent domain; (ii) any amendment to any provision of the Constituent Documents which is for benefit of the Mortgagee; (iii) termination of professional management and assumption of self-management of the Condominium Project Owners Association; or (iv) any action which would have the effect of rendering the public liability insurance coverage maintained by the Owners Association unacceptable to the Mortgagee. 6054A-0001 20011881212420 MORTGAGE (CLOSED-END CREDIT) PAGE 3 OF 3 (5) Notice to Mortgagee. in addition to notices required to be given to the Mortgagee by the terms of the Mortgage, the Mortgagor shall promptly give notice to thle Mortgagee of any material amendment to any provision of the Constituent Documents and also of any amendment to a material provision thereof. Examples of material provisions include, but are not limited to, those which provide for, govern or regulate: votinglIor percentage interests of the unit owners in the Condominium Project; assessments, assessment liens or subordination of such lie s; the boundaries of any unit or the exclusive easement rights appertaining thereto; or reserves for maintenance, repair and replacement of the common elements. i. The covenants and conditions\herein contained shall bind and the benefrts and advantages shall inure to the respective heirs, executors, administrators, successors, and assighs of the parties hereto. Whenever used, the singular number shall include the plural, the plural and the singular and the use of any gender shall be applicable to all genders. ... IN WITNESS WH EE,OI='the Mortgor Chas hereunto set hand and seal, Witness Witness DEBRA A. AND EE STATE OF PENNSYLVANIA COUNTY OF SS ); On this _ day of 16,9 Aril 20 © / before me the undersigned officer personally appeared known to me (or satisfactorily proven) to be the person(s) whose name(s) is (are) subscribed to the within Instrument, and acknowledged that (he, she or they) executed the dame for the purpose therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and notarial seal. My Commis ion Expires: Notary I certify that the address of the within -named MORTGAGEE, and the address to which this document should be returned is: Allfirst Bank P.O. Box 17292 Baltimore, Maryland 21203 Signature On behalf o(Mort9a•ee Notarial Seal Frances V. Hubbard Notary Public Lower Paxton T , Dauphin County My Commission fres June 6, 2005 Member,PennsyfvanlaAssodationof Notaries This Mortgage was prepared by Allfirst Bank, P.O. Box 17292, Baltimore, Maryland 21203 •6054A.0001 L.S. • � v t E1 20011881212420. SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT MORTGAGE LOAN - PAGE 1 OF 3 DATE 08/2812001 Pennsylvania For value received, the undersigned (herein called "Borrower"), jointly and severally, if more than one, promises to pay to the order of Aiifira Bank, 25 South Charles Street, Baltirnore, Maryland 21201 (herein called "Bank") at any of its offices the principal amount disclosed beloa with interest on the unpaid principal balance from the date of this Simple Interest Installment Note And Security Agreement (herein calle "Note") at an annual interest rate dihclosed below until paid. PRINCIPAL AMOUNT O;F $ 67,758.01, ANNUAL RATE OF INTEREST0F7.490 Payments: Borrower promises to make payments at the times and in the amounts set forth in the payment schedule on the Truth-In-Lendint Disclosure Statement. If payments 'are made early then the total of payments, finance charge, the number of payments and the amount payments may be less than disclosed. If payments are made late, then the total of payments and the finance charge may be more that disclosed. Any adjustment which Is necessary because of an early, late or partial payment, will be made at the Bank's option either bi adjusting the next payment or by adjusting the final payment. Prior to the due date of the final payment the Bank will notify Borrower of thi amount due. All payments will be applied to interest, principal, fees and insurance premiums as determined solely by the Bank in accordance with applicable law. All principal, interest, fees and expenses not yet pald will be due on the date of the final payment, Alt principal remaininc unpaid at maturity will continue to accrue interest.at the rate disclosed above. Security: Borrower is giving a security interest in: 9 VICTOR LANE MECHANICSBURG PA 17050 • .K.' Security Agreement: To secure the payment of this Note, all costs and expenses Incurred in the collection hereof, and the payment of any other liabilities of Borrower(s) to Bank , whether Joint or several, now existing or hereafter Incurred, direct or contingent, mature or unmatured, together with interest on all of the foregoing, Borrower(s) hereby transfers, pledges, grants a security interest in and delivers to the Bank property (herein collectively called 'Collateral") listed under "Security", including all proceeds thereof. The surrender of this Note, upon payment or otherwise, shall not affect Bank's right to retain the Collateral as security for any other liabilities of Borrower(s) to Bank, whether joint or several. Bank waives the right to treat any household goods, other than household goods purchased with the proceeds of this Note, as security for this Note. Bank's rights and Borrower's duties regarding the Collateral are set forth in the Protection of Security Interest section below and, if the Collateral is real property, in the Mortgage or Deed of Trust. Insurance of Collateral: Bank shall require Borrower(s) to maintain hazard insurance, flood insurance, and any other insurance coverage that Bank deems necessary to insure the Collateral, with Bank named as loss payee or mortgagee in any policy for such insurance, until all SUMS due under this Note and all other liabilities of Borrower(s) to Bank, whether joint or several, have been paid in full. Borrower may obtain this insurance from any person Borrower chooses who Is acceptable to the Bank. If Borrower fails to provide or maintain required insurance, Bank may obtain such insurance and the cost of such insurance will be either added to the principal amount then remaining or be immediately due and payable, at the Bank's sole iscretion. Borrower(s) grants to Bank a securityinterest in the proceeds of all insurance policies insuring the Collateral, as well as a security interest in all unearned or returned premiums for such insurance. Borrower(s) hereby appoints Bank as Borrower's attorney-in-fact to endorse any draft or check for the proceeds of such insurance, or return of unearned premiums. Protection of Security Interest or Collateral: Borrower(s) shall not pledge, sell, exchange, lease, mortgage, encumber, conceal, remove or otherwise dispose of any Collateral without the prior written consent of Bank. Borrower(s) will not create or permit any liens or security interests other than Bank's to attach to any of the Collateral after the date of this Note. Borrower(s) shall keep the Collateral in good operating condition and repair, reasonable wear and tear excepted. Borrower(s) shall promptly execute any documents and pay any related fees, necessary to perfect and continue perfected Bank's interest in the Collateral. If Borrower(s) fails to perform any covenants and agreements contained in this Note, or in any other document or writing executed by any Borrower(s) in conjunction with this Note, Bank may, at its sole option, make such appearances, disburse such sums, and take such action as is necessary to protect Bank's interest in the Collateral, and all such sums so disbursed shall be added to the then unpaid principal balance of this Note, shall be due and payable upon demand, and shall' bear interest_ at the rate herein provided until paid. Borrower(s) irrevocably designates any of Bank's officers, employees, agents and attorneys (with power of substituliorl) as Borrower's attorney in fact to sign Borrower's name to any financing statement, continuation statement. security interest filing statement or other document as Bank may request in order to perfect, preserve, maintain or continue the. perfection or priority of Bank's security interest in the Collateral. Right of Offset: Borrower(s)-grants alnd acknowledges the Bank's right of offset in any of the Borrower's property in the Bank's possession at any tirne as security for Borrower's obligations under this Agreement. Such property includes individual and joint deposit accounts held by the Borrower or for the Borrower's benefits • Late Charge: Borrower(s) shall pay all single late charge of 10% of the delinquent payment, or $20.00, whichever is greater, for each payment which is more Than 15 days late. Such late charges shall be immediately due and payable. Return Check Charge: Whether or not any payment is overdue and in addition to any late charge, Borrower(s) agrees to pay $15.00 upon second presentment to cover costs incurred by Bank if Borrower(s) submits any payment by check that is later returned unpaid. Prepayment: Borrower(s) may prepa the principal amount outstanding in whole or in part at any time without penalty. Any partial prepayment shall be applied against the principal -mount then outstanding and shall not postpone the due date of any subsequent payments or change the amount of such payments, unless he Bank shall otherwise agree in writing. YS-S052A.0101 20011881212420 SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT MORTGAGE LOAN - PAGE 2 OF 3 Default: Upon the happening of any of the following events, each of which shall constitute a default hereunder, all amounts then remaininc unpaid under this Note shall, at the sole option of Bank, without notice to or demand on any Borrower(s) become immediately due anc payable: (a) the failure to pay any payment when'due; (b) the death or incompetency of any Borrower(s); (c) the filing of any petition under the Bankruptcy Code. or any similar federal or state statute by or against any Borrower(s); (d) any application for the appointment of a receiver o; the making of a general assignment for the benefit of creditors by, or the insolvency of any Borrower(s); (e) the entry of a judgment agains any Borrower(s); (f) the issuing of any attachment or garnishment, or the filing of any lien against any property of any Borrower(s); (g) the taking of possession of any propeky of any Borrower(s) at the instance of a government authority; (h) the assignment or sale by any Borrower(s) of any equity in any of the Collateral without the prior written consent of Bank; (i) failure to keep the Collateral insured; (j) failure 0 any Borrower(s) to observe or perfofm any other duty or responsibility contained in this Note or in any other document or writing executed by any Borrower(s) in conjunction with this Note. Upon the occurrence of any event of default, Borrower(s), jointly and severally, promises to Pay, all costs of collection of this Note, including reasonable attorney's fees. Upon the occurrence of any event of default, Bank shall have the nght to take possession of the Collateral,' and shall have the right without legal process to enter any premises where the Collateral may be found for the purpose of taking possession ofIthe Collateral, provided such entry shall be done lawfully. The Borrower(s), jointly and severally, shall be and remain liable for any deficiency !remaining after applying the proceeds of disposition of the Collateral, first to the reasonable expenses o1 retaking, holding, preparing for saleselling the like, including attorney's fees and expenses incurred by Bank, then to the satisfaction of the indebtedness evidenced by this Note. Upon the occurrence of any event of default, Bank may require Borrower(s) to assemble the Collateral and make it available to Bank at a place designated by Bank. Rights and Remedies: Bank or any subsequent holder hereof, shall have all rights and remedies with respect to this Note and the Collateral which are provided for by law or equity. No delay or omission on the part of Bank in exercising any right hereunder shall operate as a waiver of such right or any other right under this Note, or otherwise, granted to Lender .by law or equity. The failure of Bank at any time or times to enforce its rights under this Note stribtly in accordance with the same shall not in any way be construed as having created a custom or usage contrary to the terms of the Note, or as having in any way or manner modified the same. The procurement of insurance or the payment of taxes or other liens or charges by Bank shall not be a waiver of Bank's right to accelerate the indebtedness evidenced by this Note. Each and every party to this Note, either as mker, endorser, surety, guarantor, or otherwise, hereby waives demand, presentment, notice of dishonor and protest, and assents to any extension or postponement of the time of payment, or any' other indulgence, and to any substitution, exchange or release of Collateral granted to any Borrower(s) by Bank. This Note shall be the joint and several obligation of all Borrowers, Co -Signers, and Co -Owners and shall be binding upon them, their heirs, executors, administrators, successors, and assigns. In the event any provision of this Note shall be deemed invalid, the invalidity of such provision shall not effect any other provision of this Note. Governing Law: This Note wilt be goovemed by the laws of the Commonwealth of Pennsylvania, unless federal laws apply. Fair Credit Reporting Act Notice.[ Borrower(s) has the right to dispute the accuracy of information Bank has reported to a Consumer Reporting Agency. If Borrower(s) wish to do so, write to Bank at the address listed below. Please include Borrower(s) name, address, account number and a brief descnptidn of the problem. • In order to improve customer servie, Borrower(s) information may' be shared among the affiliates of Allfrrst Financial Inc. However, Borrower(s) has the right to opt out f this information sharing, other than the sharing of transaction or experience information, by notifying Bank in writing at the addresslisted below within 30 days of when this notice is given, Please include Borrowers) name, address, account number, telephone number and social security number. Each Borrower on a joint account may direct that only his or her information not be shared among affiliates. Allfrrst Bank Customer Information Services Mail Code: 501-120 P.O. Box 1596 Baltimore, Maryland 21203 The following notice applies only if this loan is used to purchase goods or services from a seller which has a business affiliation with the Bank: NOTICE: ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS SUBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD \SSERT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO OR WITH THE PROCEEDS HEREOF. RECOVERY HEREUNDER BY THE DEBTOR SHALL NOT EXCEED AMOUNTS PAID BY THE DEBTOR HEREUNDER. ACKNOWLEDGMENT: EACH OF T j UNDERSIGNED ACKNOWLEDGES RECEIPT OF A COMPLETED COPY OF THIS NOTE AND SECURITY AGREEMENT, AND T -IE EbISCLOSURE STATEMENT, 1 WITNESS WITNESS YS•5052A•0101 (SEAL) 08/28/2Q01 ER StGNATU DEBRA A. ANDREE 9 VICTOR LN MECHANICSBURG, PA 17d50-1552 DATE 08/28/2001 °Are 20011881212420 SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT MORTGAGE LOAN - PAGE 3 OF 3 } NOTICE TO CO-SIGNER You are being asked to guarantee this debt. Think carefully before you do. If the Borrower doesn't pay the debt, you will have to. Be sure you can afford to pay if you have to, and that you want to accept this responsibility. You may have to pay up to the full amount of the debt if the Borrower does not pay. You may also have to pay late fees or collection costs, which increases this amount. The Bank can collect this debt frdnllyou without first trying to collect from the Borrower. The Bank can use the same collection methods against you that can be used against the Borrower, such as suing you, etc. If this debt is ever in default, that fact may become a part of your credit record. CO-SIGNER'S SURETY AGREEMENT: The undersigned "Co-Signer(s)" below, promise to pay to the order of the Bank the principal amount of this Note, plus interest, fees, insurance premiums and other charges and expenses, as provided in this Note. Co-Signer(s) intend to be legally bound by all the terms Of this Note, jointly and severally, with the Borrower. Co -Signers) are making this promise to induce the Bank to make the loan to the Borrower, and acknowledge that the proceeds will be used only for the Borrower's benefit. Co-Signer(s) agree that the Bank may seek immediate payment from Co-Signer(s) without making any prior demand for payment upon the Borrower. Co-Signer(s) also acknowledge receh ing a completed copy of this Note. (Seal Co•Signer's Signature Co•Signer's Signature Address 1' Date Address Date OTHER OWNER OR CO.OWNER'S SECURITY AGREEMENT: You, undersigned, either individually or together with the Borrower, being all of the owners of the Collateral, grant the Bank a security interest in the Collateral listed in the "Security" section above. If the Collateral consists of personal property, you agree 10 the terms regarding the Security Agreement and Collateral contained in this Note. If the Cotiateral consists of real property, you also agree to execute and be bound by the Mortgage or Deed of Trust. You are granting this security interest to induce the Bank to r ake the loan to the Borrower and to secure the payment of all amounts due under this Note. If, upon default and sale of the Collateral, there emains any amount due on the Note, you will not be obligated to pay the Bank that amount unless you are also a Co -Signer. ..iseal) Signature Signature G052A-0101 Address Date Address Date 20011881212420 DATE 081281001„ TRUTH -IN -LENDING DISCLOSURE STATEMENT MORTGAGE LOAN Pennsylvania CREDITOR: Allfirst Bank 25 South Charles Street Baltimore, Maryland 21201 TRUTH -1N -LENDING DIStCLOSURE STATEMENT Amount Financed - The amount of credit provided to or on behalf of Borrower. $ 67,758,01 FINANCE CHARGE The dollar amount the credit will cost Borrower. $ 45,395.39 THE PAYMENT SCHEDULEWILL BE SECURITY Total of Payments - The amount Borrower will have paid after making all payments as scheduled. $ 113,153.40 ANNUAL PERCENTAGE RATE The cost of Borrower's credit as a yearly rate. 7.480 % NUMBER OF PAYMENTS AMOUNT OF PAYMENTS WHEN PAYMENTS ARE DUE ' - 180 $ - 628.63 , MONTHLY, BEGINNING . 1Q/08/2001 „ • y.. • $ • . $ Bank has a right to offset property or money in its possession to repay amounts owed by Borrower to Bank. Borrower is giving a mortgage or deed of trust on the land and improvements located at: 9 VICTOR LANE MECHANICSBURG PA 17050 .._ LATE CHARGE If any part of the payment Is more than 15 days late, a late charge will be Imposed of 10% of the delinquent payment, or $20.00, whichever Is greater. PREPAYMENT If Borrower pays off early, Borrower will not have to pay a penalty, See the rest of this document and the Simple Interest Installment Note and Security Agreement and the Mortgage or Deed of Trust for additional information about nonpayment, default, a d required repayment in full before the scheduled date, any prepayment refunds and penalties. INSURANCE Property insurance is required for any property that secures this loan and Borrower may obtain Property Insurance from anyone that is reasonably acceptable to Bank. Credit Life insurance is not required to obtai credit and will not be provided unless Borrower signs and agrees to pay the additional cost of such insurance. Type Premium Borrowers) Signatures, Please '... xtto o 'name. Single Credit Life Joint Credit Life $ 4 125.58. ; .::: • e r.rt : • - ' ., F' $ Name ignature Name .. _. Signature . ...: „ \tame Signature Credit Disability $ 1 L .. .. , , ,—.. ., . Name Signature Any Borrower may apply for credit life insurance, and Joint Borrowers may apply for joint credit life insurance. Joint Borrowers in Maryland and Virginia must be married to apply for joint credit life insurance. The premium, if any, is included in the Principal Amount. If the insurance does not become effective or Is terminated for any reason, the unearned pre ium will be applied to the unpaid Principal Amount. This will reduce Borrower's total liability but there will be no reduction in the monthly payment until the re aining Principal Amount is paid in full. Only one Borrower may be insured for Credit Disability. The Insurance Is subject to acceptance by the Insurer and to theiterrns of the Notice of Proposed Credit Insurance. Borrowers may cancel such insurance at any time. ys.&53A•0908 Settlement Statement Optional Form for Transactions without Sellers — " U.S. Department of Housing and Urban Development • OMB Approval No. 2502.049' p118a.1212420 Name 3 Adtkess or Renewer's) RICHARD P, ANDREE 9 VICTOR IN MECHANICSBURG, PA 17050-1552 DEBRA A. ANDREE 9 VICTOR LN MECHANICSBURG, PA 17050-1552 • Name & Address of Lander: Allfirst Bank 499 Mitchell Road Millsboro, Delaware 19966 thoperly location 9 VICTOR LANE . MECHANICSBURG PA 17050 ..., .„ .. ,.,. ..,„ ,...,,.,..-, - . rr'''' . '. ... ' . .',..''''' . '''''; 7 Settlement Agent Place of Settlement; 4950 JONESTOWN ROAD HARRISBURG, PA 17109-0000 ..-- ... Loan Number . . -• ' "•:%, • :, - ' •••• . ' Settlement Date. 08/28/2001 • L. Settlement Charges -.. M. Disbursement to Others .. . 800 Items Payable in Connection with Loan '' " ' . 1501. - • - WASHINGTON MUTUAL .... 63,606,93 901 Loan origination tee *A to . , • 13112 I nen disown, % to „...,,. . . i'• •-..- - 1502. 1103 Appraisal tee lo Alltirst Mortgage Corporation Pat ($ B04 Credit report to • .. . . ,. . . . 1503, —. .. . 005 Inspection 190 (0 .. ., . 809 Mortgage insurance application 1118 10 ,. . .. —, , .,,,n • .' ":.1,: ' ' ' *"..: ,--' ". ...., 1504. NV Mortgage broker tee to MS I, tond Codification fee to Palma. Lazar & POO ($ ) ,.,.. 1505 . .... .• - • 130q r hod Certification (09 10 Geo-Trec. Pod ($ ) . ... 010 .. . 1506 . n11 .. ... .... . . .900 001/15 Required hy Lender to be Paid In Advance .. ... .. , : .. 1507 901 Intomst from 10 51 , .. , ... p er. day 9117 Mot tgago insurance premium for Months to — 1508 . .. . 003. Hazard insurance premium tot i as(s) to . ... , • 1509. • . ..-- • 1510. 1000 Reserves DeposRed with Lender \ .... • - _. Ino 1!truant instvenra months a $ , _, .,,... ... . . 'ii...1N••••,,•.` ... " per month .0-....14, '. . .. 1511. .. toe* Mortgage Insurance months a s per month .„.. , 1003 City ptoperty taxes months a $ per menlh 1512. PUXIN EXI. 1004 County oropony laxos months gl ' '; ;;', Per month : "7,'''7.':-• 1005 Annual assessments months a $ . , ; ..;;, ' I ... .4... ... : • .t per month .. -...;,:r.' e"P 1513. .. ,. ., . 113 *61 ill CI 1005 moMhs a $ per month . C3S.G078A-9008 "., ; . ' • ' "" • ' • '• • .._.. n ••• • 2.001,18621420 1007 1 © 5 , .., , ,•• Per month . 1514. 1008 month, © $ ' ., .1_,.., , . ;. per month ,,. e• v... • . . ... . 1100, Title Charges 1515. 1101 Settlement or closing fee to 1107 Ahatred nr tine search to PbC ($ R , .. ) . . 1520, TOTAL DISBURSED (enter on line 1603) 63,606.93 • • 1103, Tete examirtation to • • . •-.... , . . ,,. r.,,,',., ..::' . .4 ,4, • -.'.:'•'::. 1104 Title insurance binder to POO ($ ) 1105 Document preparation to I ....., ..„ 1106 Notary f ees to ... , ....... .. — ... ,. 1107 Attorney's fens to (includes above sem numbers. . . . .. .. ) . 1(00 Title Insurance to (includes above demnumbara .. ,,t, : .., • .. -.i. •. '. t. ' '''," . '-• " )-.. 1100 Lenders coverage $ . . ... ..,.. ...... 1110 Owner's coverage - • . .. 1111 . ... 1112 . • — , ' -* ' • d'''. ••••i• .,...-,:::: '.. ••••• .*. t. iiiiiti• - 1113 . 1200 Government recordng and Transfer Charges •• N. NET SETTLEMENT . 1201, r40cwd°1 roas CUMBERLAND POC ($ , „, ) 25.50 . 1202. City/County laidslontps, POC (t CUMBERLAND . \ ) • • • ' P 1600, Loan Amount • • . _ .. $ ....—...--.....___...su........_. 63,832.43 ... 1703 Sulo lextstomps .... •• • 1704 \ •• • - ' . " ''' - 1601. Plus Cash/Check from t 505. .. . . Borrower 1300 Additional Settlement Charges - - r :.„..” ,...\.' • • ':;: • --1:: • • --• 1602 Minus Total Settlement Charges 1400) 25.50 1301 Survey to I .411• . : .., ..., (line 1302 Pest Inspection lo• t 4. 00, : • - . ,,,..-, • • 1603. Minus total Disbursements lo Others 1520) 63,606.93 1303. Archlieclurattengineetkv 0419(050 10 ((ine 0.111 Building pemlit lo . .-.. 1004. Equal Disbursements to Borrower 1.inc . . . (after exaltation of any applicabie -ed 13($ , . ..... rescission period (800i by law) 1302 .... '' ' t • 1, ' ' , '''', i..-.... t ,t,.. 7,... r. , 5 •,'; 140n Tntal Settlement Charges (enter or, line 1602) . ' " - orro s Sig a ARD P. ANDREE 1078A.9908 A ---""rte 20020231601540 SIMPLE INTEREST INSTALLMENT NOTE AND SECURITY AGREEMENT MORTGAGE LOAN - PAGE'S OF 3 Pennsylvania DATE 02/04/2002 For value received, the undersigned (herein called "Borrower"), jointly and severally, if more than one, promises to pay to the order of Allfirst Bank, 25 South Charles Street, Baltimore, Maryland 21201 (herein called "Bank") at any of its offices the principal amount disclosed below with interest on the unpaid principal balance from the date of this Simple Interest Installment Note And Security Agreement (herein called -- "Note) at an annual interest rate disclosed below until paid. PRINCIPAL AMOUNT OF $ 33,268.35 ANNUAL RATE OF INTEREST OF7.690 Payments: Borrower premises to make payments at the times and in the amounts set forth in the payment schedule an the Truth -In -Lending Disclosure Statement. If payments are made early then the total of payments, finance charge, the number of payments and the amount of payments may be Tess than disclosed. If payments are made late, then the total of payments and the finance charge may be more than disclosed. Any adjustment which is necessary because of an early, late or partial payment, will be made at the Bank's option either by adjusting the next payment or by adjusting the final payment. Prior to the due date of the final payment the Bank will notify Borrower of the amount due._ All payments will be applied to interest, principal, fees and insurance premiums as determined solely by the Bank in accordance with applicable law, All principal, interest, fees and expenses not yet paid will be due on the date of the final payment. All principal remaining unpaid at maturity will continue to accrue interest at the rate disclosed above. Security: Borrower is giving a sectutity interest in: 9 VICTOR DRIVE MECHANICSBURG PA 17050 Security Agreement: To secure the payment of this Note, all costs and expenses incurred in the collection hereof, and the payment of any other liabilities of Borrower(s) to Bank , whether joint or several, now existing or hereafter incurred, direct or contingent, mature or unmatured, together with interest on all of the foregoing, Borrower(s) hereby transfers, pledges, grants a security interest in and delivers to the Bank property (herein collectively called "Collateral") listed under "Security", including all proceeds thereof. The surrender of this Note, upon payment or otherwise, shall not affect Bank's right to retain the Collateral as security for any other liabilities of Borrower(s) to Bank, whether oint or several. Bank waives the right to treat any household goods, other than household goods purchased with the proceeds of this Note, as security for this Note. Bank's rights and Borrower's duties regarding the Collateral are set forth In the Protection of Security Interest section )etow and, if the Collateral is real property, in the Mortgage or Deed of Trust. nsurance of Collateral: Bank shall require Borrower(s) to maintain hazard insurance, flood insurance, and any other insurance coverage hat Bank deems necessary to insure the Collateral, with Bank named as loss payee or mortgagee in any policy for such insurance,until all ;ums due under this Note and all other liabilities of Borrower(s) to Bank, whether joint or several, have been paid in full. Borrower may obtain its insurance from any•person Borrower chooses who is acceptable to the Bank. If Borrower fails to provide or maintain required insurance, lank may obtain such insurance and the cost of such insurance will be either added to the principal amount then remaining or be immediately 'ue and payable, at the Bank's sole discretion. Borrower(s) grants to Bank a securityinterest in the proceeds of all insurance policies Insuring le Collateral, as well as a security interest in all uneamed or returned premiums fr such insurance. Borrower(s) hereby appoints Bank as 'orrower's attomey-in-fact to endorse any draft or check for the proceeds of such insurance, or return of unearned premiums. rotection of Security Interest or Collateral: Borrowers) shall not pledge, sell, exchange, lease, mortgage, encumber, conceal, remove or therwise dispose of any Collateral without the prior written consent of Bank. Borrower(s) will not create or permit any liens or security terests other than Bank's to attach to any of the Collateral after the date of this Note. Borrower(s) shall keep the Collateral in good operating mdition and repair, reasonable wear and tear excepted. Borrower(s) shall promptly execute any documents and pay any related fees, ;cessary to perfect and continue perfected Bank's interest in the Collateral. If Borrower(s) fails to perform any covenants and agreements ,ntained in this Note, or in any other document or writing executed byany Borrower(s) in conjunction with this Note, Bank may, at its sole )tion, make such appearances, disburse such sums, and take such action as is necessary to protect Bank's interest in the Collateral, and all ich sums so disbursed shall be added to the then unpaid principal balance of this Note, shall be due and payable upon demand, and shall ar interest at the rate herein provided until paid. Borrower(s) irrevocably designates any of Bank's officers, employees, agents and lomeys (with power of substitution) as Borrower's attomey in fact to sign Borrower's name to any financing Statement, continuation itement, security interest filing statement or other document as Bank may request in order to perfect, preserve, maintain or continue the rfection or priority of Bank's security interest in the Collateral. ght of Offset Borrower(s) grants ;and acknowledges the Bank's right of offset in any of the Borrower's property in the Bank's possession at y time as security for Borrower's obligations under this Agreement. Such property includes individual and joint deposit accounts held by the rrower or for the Borrower's benefit. to Charge: Borrower(s) shall pay a single late charge of 10% of the delinquent payment, or $20.00, whichever is greater, for each payment ich is more than 15 days late. Such late charges shall be immediately due and payable. turn Check Charge: Whether or not any payment is overdue and in addition to any late charge, Borrower(s) agrees to pay $15.00 upon 'ond presentment to cover costs incurred by Bank if Borrower(s) submits any payment by check that is later returned unpaid. payment: Borrower(s) may prepay the principal amount outstanding in whole or in part at any time without penalty. Any partial prepayment 11 be applied against the principal amount then outstanding and shall not postpone the due date of any subsequent payments or change amount of such payments, unless the Bank shall otherwise agree in writing. ,52A•0101 PLAINTIFF'S EXHIBIT jbliq t44. '4111 20020231601540 MORTGAGE (CLOSED-END CREDIT) PAGE 2 OF 3 e. Mortgagor will neither sell, assign or transfer any or all of the or any interest therein not commit nor suffer any strip, waste, impairment or deterioration of the and will maintain the same in good order and repair; and f. In the event of any default in the making of any payment due and payable under the Note, or in the keeping and performance of any of the conditions, covenants and obligations contained herein or in the Note, or in any other obligation of Mortgagor to Mortgagee, Mortgagee may, upon timely notice to Mortgagor if required by law, (i) forthwith bring any action of mortgage foreclosure hereon, or institute other foreclosure proceedings upon this Mortgage, and may proceed to judgment and execution to recover the balance due on the Note and any other sums that may be due thereunder, including attorneys' fees, costs of suit and costs of sale to the extent, if any, provided in the Note and permitted by law, and (ii) enter into possession of Premises, with or without legal action, lease the same, collect all rents and profits therefrom and, after deducting all costs of collection and administration expense, apply the net rents and profits to the payment of taxes and other necessary maintenance 'and operation costs (including agents' fees and attomeys' fees) or on account of the Note, in such order and amounts as Mortgagee in Mortgagee's sole discretion may elect and Mortgagee shall be liable to account only for rents and profits actually received by Mortgagee; and g, Mortgagor hereby waives and releases all benefit and relief from any and all appralsement, stay and exemption laws now in force or hereafter passed, either for the benefit or relief of Mortgagor, or limiting the balance due to a sum not in excess of the amount actually paid by the purchaser of the at a sale thereof in any judicial proceedings upon this Mortgage, or exempting the, or any part of the proceeds of sale thereof, from attachment, levy or sale under execution, or providing for any stay of execution or other process. The covenants and conditioris herein contained shall bind and the benefits and advantages shall inure to the respective heirs, executors, administrators, successors, and assigns of the parties hereto. Whenever used, the singular number shall Include the plural, the plural and_ the singular and the use of any gender shall be applicable to all genders. - h. Condominium. If the Mortgaged Property comprises a unit in, together with an undivided interest in the common elements of, a condominium project (the "Condominium Project") and the owners association or other governing body of the Condominium Project ("Owners Association") holds title to property for the benefit or use of its members or shareholders, the Mortgaged Property shall also be comprised of the Mortgagor's interest in the Owners Association and the proceeds of such interest. In addition to the covenants and agreements made in the Mortgage and Agreement, the Mortgagor and the Mortgagee further covenant and agree as follows: (1) Assessments. The Mortgagor shall promptly pay, when due, all assessments imposed by the Owners Association pursuant to the provisions of the declaration, b,y-laws, code of regulations of the Owners Association, or other constituent documents of the Condominium Project (hereinafter "Constituent Documents"). (2) Hazard Insurance. So long as the Owners Association• maintains a "master" or "blanket" policy, which is satisfactory in foram to the Mortgagee, with a generally accepted insurance carrier on the Condominium Project and which provides insurance coverage in such amounts, for such periods, and against such hazards as the Mortgagee may require, including fire and hazards included within the tdrm "extended coverage", then Ithe Mortgagor's obligation to maintain hazard insurance coverage on the Mortgaged Property is deemed satisfied to the extent that the required coverage is provided by the Owners Association policy. The Mortgagor shall give the Mortgagee prompt notice of any lapse in such required hazard insurance coverage. In the event of a distribution of hazard insurance proceeds in lieu of restoration or repair following a loss to the Mortgaged Property, whether to the unit or to common elements, subject to the rights of the holder of any permitted prior mortgage, any such proceeds payable to the Mortgagor are hereby assigned and shall be paid to the Mortgagee for application to the sums secured by the Mortgage, with the excess, if any, paid to the Mortgagor, as their interests may appear, (3) Public Liability Insurance. ThellIMortgagor shall take such actions as may be reasonable to insure that the Owners Association maintains a public liability insurance policy acceptable in form, amount, and extent of coverage to the Mortgagee. (4) Mortgagee's Prior Consent. The\ Mortgagor shall not, except after notice to the Mortgagee and with the Mortgagee's prior written consent, either partition or subdivide the Mortgaged Property or consent to: (i) the abandonment or termination of the Condominium Project, except for abandonment or termination required by law in the case of substantial destruction by fire r other casualty or in the case of a taking by condemnation or eminent domain; Oil any amendment to any provisi n of the Constituent Documents which is for benefit of the Mortgagee; (iii) termination of professional ma agement and assumption of self-management of the Condominiuni Project Owners Association; or (iv) any action which would have tf a effect of rendering the public liability insurance coverage maintained by the Owners Association unacceptable to th Mortgagee. •0001 4.40"-tr A 20020231601540 MORTGAGE (CLOSED-END CREDIT) PAGE3OF3 (5) Notice to Mortgagee. In addition to notices required to be given to the Mortgagee by the, terms of the Mortgage, the Mortgagor shall promptly give notice to the Mortgagee of any material amendment to any provision of the Constituent Documents and also of any amendment to a material provision thereof. Examples of material provisions include, but are not limited to, those which provide for, govern or regulate; voting or percentage interests of the unit owners in the Condominium Project; assessments, assessment liens or subordination of such liens; the boundaries of any unit or the exclusive easement rights appertaining thereto; or reserves for maintenance, repair and replacement of the common elements. 1. The covenants and conditions herein contained shall bind and the benefits and advantages shall inere to the respective heirs, executors, administrators, successors,'and assigns of the parties hereto. Whenever used, the singular number shall include the plural, the plural and the singular and the use of any gender shall be applicable to all genders, IN WITNESS WHEREOF the Mrtgagor has hereunto set hand and seal, Witness Witness Witness or DEBRA A ANDREE ( Cel°I` irhis to be recorded In Cumberland County PA Witness STATE OF PENNSYLVANIA COUNTY OF Ss On this 611'day of fr;fji✓'G141 yG� /L 4 GY4d 1 (SEAL) (SEAL) Magor_ ,& Recorder of Deeds 20 86?) , before me the undersigned officer personally appeared ndre.e_ Glu d,44dd,44 h. . Ah IreC . known to me (or satisfactorily proven) to be the person(s) whose name(s) is (are) subscribed to the within instrument, and acknowledged that (he, she or they) executed the dame for the purpose therein contained. IN WITNESS WIdEREOF &ave hereunto set my hand and ne al seal. My Commission Expires: I I U Return to.• Group 9 2150 Cabot Blvd Ik/est Langhorne, PA;aaf�}}dd77 I certify that the address of the within -name MOR. GAGEE, and the address tp5which this.dooument should be returned is: Notary Allfirst Bank P.O. Box 17292 Baltimore, Maryland 21203 Signature ehalt 0 Mortgagee This Mortgage was prepared by Allfirst Ba fnn„ Notarial Seal Frances V. Hubbard, Notary Public Lower Paxton Twp , Dauphin County My Commission Expires June 6, 2005 ik, P.O. Box 17292, Baltimore, Maryland 21203 RK175IPr,i1A1A LS. 20020231601540 NOT10E OF PROPOSED CREDIT NSURANJCE Single Premium Insurance Coverage Underwritten by MONUMENTAL LIFE INSURANCE COMPANY A Legal Capltal Stock Company (Herein CaUed: The Cornpany) Home Office: cxanouuChase Streets, Baltimore, Maryland u1uoc Administrative.Office: 1100 Johnson Ferry Road, Suite 300, Atlanta, Georgia 30342 CREDITOR ' BENEFICIARY: AU8mtBank Schedule of Benefits Oriy that coverage for which a premium charge is shown below shaH be effective: RtCHARDANDREE Debtor's Prnted Name Co -Debtor's Printed Name Account/Certificate No.: 20020231601540 Maximum Amount Maximum Amount of $75O/Month of Lffe Insurance: $60,000 - Disability Insurance $63,000 Aggregate SingIe Ufe Decreasing Term - |Coverage 0ODebtm OCo-Debtor Li Joint Life Decreasing Term - Net Coverage Total Disability Cove Debto El Co -Debtor � Benefit Term uyInsurance Premium 31,007.00 180 � 2,022,35 The credit tif&insuran yOu lied for Willhc effective only if we, Monumental Life Insurance Company, agree to insure you. lfwe agree to insure you, a Certif9catewhich more fultyUihuseot to you within 30 days, If we don't insure wiU6num(or�budcvcredit b>your uoonun ofany premium ou�� ' U,youdo¢rae�uuCc�i�ou�,a - refund, or a credit, contacyour Lender required,If we agree to insure you, the insurance Will be effective: 1) If evidence of insurability is not indcb�dtothe of � Ui i you— /mdoothe date the —-- insurer deternines the evidence ofinsuraility to be satisfactory, This insurance covers only the person oign�the for life insurance, The amount of decreasing term life insurAnce will be: (1) the unpaid principal on the date of death ; plus (2) any payments made that were not scheduled until after the date of death; less (3) any scheduled payments that are more than 60 days late on the date of death. Subject to the terms of Group Credit Teim Policy, we will pay the amount of insurance in force as of the date of your death. The amount under one or more certificate(s) issued under the policy will never be more than the Maximum Life Benefit. If you select joint ur f ' one death benefit will be paid. or accept ypremium in error for coverage --___---Maximum Life Benefit, the Company hasithe right within 60 days from the date of the ioan to reduce excess coverage and refund the excess charge or terminate coverage and r fund the full charge paid, provided you are alive on the adjustment or termination date. We won't pay any claim if you commit stiticide, while sane or insane, within 12 months of the Effective Date. If you select joint life coverage, an appropriate refund of the premium applicable to the deceased debtor shall be made and the surviving debtor's coverage shall continue. __ You are not eligible for this insurance if yOu are over Age 65 on the Effective Date. Any age restriction shall be used only to e ermine your initial eligibility for coverage. It may not be used as a basis of terminating . existing coverage or denying claims. This Idoes not preclude the Company from challenging a fraudulent misstatement of age duriog the contestable period, provided the inforMation regarding age is contained in a written instrument signed by you And copy given to you. If you correctly state your age in writing and a certificate is issued in error, the Company has 60 days from the date of the loan _ . to terminate coverage and refund the premiUm paid, provided you are alive on the termination date. For joint life coverage, insurance _ for the eligible debtor shall continue, and an appropriate refund of the portion of the premium applicable to the ineligible debtor shall . be made. Ifyourinxu before the scheduloan, unearned premium wifl be promptty refunded or credfted to the person entitled to the refund. The re ,und will be calculated according to the Actuarial Method. 91-0304ML PA ., o Setti&nent Statement Optional Form for Transactions without Sellers U.S. Department of Housing OMB Approval No. 2502.0491 and Urban Development 20020231601540 Name & Address of Borrower(s); RICHARD P. ANDREE 9 VICTOR LW MECHANICSBURG, PA 17050-1552 Nance & Address of Lender: Allfirst Bank 499 Mitchell Road Millsboro, Delaware 19966 Property Location: 9 VICTOR DRIVE MECHANICSBURG PA 17050 Settlement Agent: . Place ofSallie/ilea 4950 JONESTOWN ROAD HARRISBURG, PA 17109-0000 Loan Number. Settlement Dale: 02104/2002 L.. Settlement Charges M. Disbursement to Others ___ _ �� 500. Items Payable In Connection with Loan 1501, HOME EQUITY LOAN 8,591.99 801. Loan orlginatton fee 16 to 802. Loan discount 14 to 1502, 803. Appraisal fee to Allfirsl Mortgage Corporation POC ($ ) 165.00 804. Credit report to 1500 805. Inspeclion,fee to 806. Mortgage insurance application fee 10 1504, 807. Mortgage broker fee to 808, Flood Certification fee to Pelma, Lazar & POC ($ ) Ulsh, LLP 13.50 1505. 809. Flood Certification fee to Geo -Tree PQC ($ 810. . 1506 511. 900. Items Required by Lender to bo Pald In Advance 1507. 901. Inlerost from to ®S per day 902. Mortgage insurance premium for months to 1508, 903. Hazard insurance premium for year(s) to 1509. 904. 1510. 1000. Reserves Deposited with Lender 1001. Hazard Insurance months @ S per monlh 1511, 1002. Mortgage insurance months g 5 per month 1003. City properly taxes months fa 5 per month 1512.1 w PLAINTIFFS EXHIBIT 1004. County property taxes months @ 5 per month 1005. Annual assessments months @ $ per month 1513 10 6Y1• Ill l 1008. months (1 43 per month 3S -6078A•9908 Form HUD -1A (2/94) 2002023160.1M)- 1007. • months @ $ per month 1514. 1008. _ months @ 3 per month 1100, Title Charges 1515. 1101, Settlement or closing fee to 1102 Abstract or title search to . POC ($ r ) 35.00 1520. TOTAL DISBURSED (enter on I'me )603) 5,591.99 1103, Title exerninalionto 1104, The insurance binder to POC ($ } 1105. Document preparation to 1106. Notary fees to 1107. Attorney's lees to (includes above ilem numbers 1 1108. Title Insurance to (includes above item numbers } 1109. Lender's coverage $ . 1110. Owner's coverage 1111. 1112. 1113. 1200. Government recording and Transfer'Charges N. NET SETTLEMENT 1201. Recording Feess: CUMBERLAND POC ($ ) 25.50 1202. City/County tax/stamps: CUMBERLAND POC ($ ) 1600. Loan Amount $ 31,246.00 1203. State tax/stamps: 1204. 1601. Plus CashlChe.ck from Borrower _ $ 1205. .. 1300. Additional Settlement Charges 1602. Minus Total SeWement Charges (line 1400) $ 239.00 1301. Survey to 1302. Pest inspection to 1603. Minus total Disbursements to Others (lino 1520) $ 8,591.99 1303. Architectural/engineering services to 1304. Building permit to . • - - •• - 1604. Equal Disbursements lo Borrower $ 22,415.01 1305, (atter expiration of any applicable rescission required by law) 13088. period 1307, 1400, Total Settlement Charges (enter on line 1602) 239.00 3-6078A-9908 Form HUD -1A 2/94) o Account Number: Collateral: Interest Rate: Original Note Amount: Principal Balance': Maturity Date Financed Insurance: 100-001-9255933-0001 ACCOUNT DUE DATE 9 VICTOR LN MECHANICSBURG PA 1 7050-1 552 7.69% 02/20/17 Single Life 2010 Finance Charges Paid Year -To -Date: $1.378.21 y loan in 'This is NOT a payoff amount. To obtain the full amount required to pay your full, please call us at 1-877-686-8424 . 12/20/10 PavmentBreakdown $313.15 Principal and Interest TOTAL AMOUNT DUE $313.15 $344.46 If received after 01/04/11 Includes late charge Transaction Date Account Number: Collateral: Effective Date Interest Rate: Original Note Amount: Principal Balance`: Maturity Date Financed Insurance: [lesrrintinn 100-001-9239564-0001 9 VICTOR LN MECHANICSBURG PA 17050-1552 09/05/16 Single Life Late Total i taro (Marna Roroivo�t Prinrinar 2010 Finance Charges Paid Year -To -Date: $2,717.74 r ..a„nrr amount. To obtain the full amount required to pay your loan in ACCOUNT DUE DATE Payment Breakdown Principal and Interest TOTAL AMOUNT DUE If received after 01/20/11 Fees Principal 0,1 anro 01/05/11 $628.63 $628.63 $691.49 includes late charge ANDREW KUNDRATIC Appellant/Cross-Appellee v. SOPHIA KUNDRATIC Appellee/Cross-Appellant Nos. 1920 MDA 2013, 1998 MDA 2013 Superior Court of Pennsylvania September 8, 2014 NON -PRECEDENTIAL DECISION Appeal from the Order October 2, 2013 In the Court of Common Pleas of Luzeme County Domestic Relations at No(s): 946-2006 BEFORE: FORD ELLIOTT, 'P.J.E., OLSON and STRASSBURGER, 11 JJ. MEMORANDUM OLSON, J. Appellant, Andrew Kundratic, appeals from the order entered on October 2, 2013. Sophia Kundratic (hereinafter "Ms. Kundratic") filed a cross-appeal from this same order. We affirm in part, vacate in part, and remand. Appellant and Ms. Kundratic married on May 9, 1992 and had one child during the course of their marriage. On May 2, 2006, Appellant instituted divorce proceedings against Ms. Kundratic. Shortly thereafter, Ms. Kundratic filed a complaint for child and spousal support. On October 1, 2007, the trial court adopted the parties' support agreement as an order of court, directing that Appellant pay "83, 100.00 per month, allocated $1, 500.00 for and toward the support of one minor child[, ] S1, 364.00 [for] spousal support[, ] and $236:00 as [Appellant's] pro rata contribution for health insurance."[]]Trial Court Order, 10/1/07, at 1-2. On May 19, 2008, Appellant filed a petition to modify the October 1, 2007 support order. As Appellant claimed, he was entitled to a reduction in his support obligations because his employer had reduced his "per diem reimbursement for living expenses." Appellant's Petition to Modify, 5/19/08, at 1. On March 24, 2009 and April 13, 2009, a hearing on Appellant's modification petition occurred before a hearing officer. At the conclusion of the hearing, the beating officer determined that Appellant's year -2008 gross annual wages were $109, 369.72, Appellant's year -2008 gross per diem allowance was $40, 067.00, and Appellant's year -2008 "mileage, meals[, ] and entertainment" reimbursement was $12, 203.00. Hearing Officer's Report and Recommendation, 8/20/09, at 9. With respect to Appellant's petition to modify the support order, the hearing officer determined that Appellant had failed to demonstrate that a material and substantial change in circumstances had occurred since the entry of the original support order. Id. at 9-10. Therefore, the hearing officer recommended that the trial court deny Appellant's petition to modify the support order. Id. at 11. Appellant filed exceptions to the hearing officer's August 20, 2009 report and recommendation. On December 30, 2009, the trial court denied Appellant's exceptions and adopted the hearing officer's report and recommendation as an order of court. Trial Court Order, 12/30/09, at 1. Approximately two -and -a -half years later, the trial court entered a modified support order in the case. Specifically, on May 18, 2011, the trial court entered an order terminating Appellant's obligation to pay the $236.00 per month for health insurance. Trial Court Order, 5/18/11, at 1. Appellant and Ms. Kundratic filed the instant cross -petitions to modify the support order in 2011 &ndash; or, over three years ago. Appellant filed his petition to modify the support order on July 11, 2011. Within Appellant's petition, Appellant claimed that his income bad decreased since the entry of the last support order. Therefore, Appellant requested that the trial court reduce his support obligations. Appellant's Petition to Modify, 7/11/11, at 1-2. Ms. Kundratic filed her cross -petition to modify the support order on July 29, 2011. Ms. Kundratic prayed for an increase in Appellant's child and spousal support obligations because she no longer had health insurance coverage and because she believed that Appellant's income had increased since the entry of the last support order.[2] Ms. Kundratic's Petition to Modify, 7/29/11, at 1-2. In August 2011, one or both of the parties appeared at an office conference before a conference officer and the conference officer rendered his support recommendations.[3] On August 29, 2011, the trial court entered an interim order, wherein the trial court adopted the conference officer's recommendations as an interim order of court. Interim Order, 8/29/11, at 1-2. The interim order declared that Ms. Kundratic's net monthly income was determined to be $1, 216.84 and that Appellant's net monthly income was determined to be $8, 161.54. Interim Order, 8/29/11, at 1-2; see also Pa.R.C.P. 1910.12(b)(1) and (2). Based upon these determinations, the trial court ordered Appellant to pay $1, 680.00 per month in spousal support and $1, 340.00 per month in child support, for a total support obligation of $3, 022.00 per month. Interim Order, 8/29/11, at 1-2. Following entry of the interim support order, Appellant filed a written request for a support hearing *fit , ,:r.n tto tr, ,Jt eitx,n O avi4111; Wtul.tlsgq.. ..4 r.,rn t •, !grit 7anu'n.r.lt, T:..ri3o 4; gnarl•, 4biTiltI dir tiro .I,.-rs:••rn udr s1:nm,7m,s40 -if nir(N; sallo ritaa 1i ;r'n;"r b•.4-4:-044 +'J; !-'3;tr1."Uri..S'1V7 +531114 ,r iTivai Ertl ,y)uP.r:trf :i: t.a n Ll : rtD 7n,ltiu:� Ltt:t:xlrs/ vim, hu.; ir.,hrrrrrnors, .1i It. 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On September 15, 2011, a "request for scheduling of [a] hearing" was entered on the docket, declaring that the support hearing would be scheduled for "the next available date." Docket Entry, 9/15/11, at I. The hearing was then scheduled, continued, and rescheduled multiple times during the ensuing year. In the interim, the parties' child reached the age of emancipation. Therefore, by order entered September 28, 2012, the trial court modified the prior support order and terminated Appellant's obligation to provide child support. Trial Court Order, 9/28/12, at I. On October 22, 2012, the support hearing was finally convened before the hearing officer. The hearing officer explained the evidence that was presented during the hearing, as well as the conclusions that she generated from the evidence: [Appellant and Ms. Kundratic both] reside in Luzerne County, Pennsylvania. The parties were married on May 9, 1992 [and the parties had one child during the course of the marriage. The child] reached the age of majority [in 2012]. [On May 2, 2006, Appellant filed a complaint in divorce against Ms. Kundratic, seeking a decree in divorce and an order equitably dividing the marital property. Complaint in Divorce, 5/2/06, at 1-4. At the time of the October 22, 2012 support hearing, the divorce and equitable distribution matter had proceeded in the following manner: after a number of masters hearings, the trial court entered its divorce decree on September 21, 2011; the decree stated that Appellant and Ms. Kundratic were divorced and that the trial court was incorporating the master's equitable distribution reports and recommendations into the decree; Appellant filed a notice of appeal from the divorce decree and raised a number of claims on appeal, including that the trial court erred in valuing the marital residence; and, at the time of the October 22, .2012 support hearing, Appellant's appeal from the divorce decree was still pending before the Superior Court.[4] [During the October 22, 2012 support hearing, Appellant claimed] that his income decreased in 2011 and that he was laid off from his employment as of January 1, 2012. He ask[ed] that his support be recalculated and that his actual 201 1 and 2012 income be used ... for computing his support obligations. [Appellant] also claim[ed] that [Ms. Kundratic, ] who has been unemployed since 2009[, ] be assigned an earning capacity equal to her earning capacity in 2009. [Appellant claimed] that [Ms. Kundratic] failed to mitigate her [] income [loss after her employment was terminated in 2009]. [Ms. Kundratic] claim[ed] that [Appellant] was laid off for cause or[, ] in the alternative[, ] that he [] failed to mitigate his [] income '[loss] since his 2012 job lay .off. She [requested] that [Appellant] be assigned an earning capacity equal to his 2011 earnings. The parties' only child lives with [Ms. Kundratic] and was eligible for support until her emancipation [in September] 2012. The parties were separated but married until September 20, [2011]. By ... [djecree entered on September 21, [2011], the parties were divorced from the bonds of marriage. [Appellant, ] however, appealed the economic issues of the divorce[. As such, the hearing officer concluded that Ms. Kundratic] bas a right to [receive alimony pendente lite ("APL") until the economic issues are resolved]. [At the time of the October 22, 2012 support hearing, Appellant was] 51 years old and [possessed] an associate['s] decree in [c]omputer [s]cience with significant [on-the-job] career training.... On December 30, 2009, an order was entered affirming [a] [r]eport and [r]ecommendation [of] the [h]earing [o]fficer. [The order] denied [Appellant's] request for a decrease in support and determined that [Appellant's] 2008 gross annual wages were $109, 369.72, that his gross per diem allowance was $40, 067.00[, ] and that his mileage, meals[, ] and entertainment reimbursement totaled $12, 203.00. [Appellant's] 2008 gross annual income from his employer was [thus] determined to be $161, 639.72. [Appellant's] 2011 [i]ncome [t]ax [r]elists an annual wage of $89, 539.00. In addition[, Appellant's] attorney relayed to the [blearing [o]fficer that [Appellant] had received a [tax-free] per diem allowance of $40, 067.00 and $12, 203.00 for mileage, meals[, ] and entertainment. His total 2011 annual income from his employer equaled $141, 809.00. [As the hearing officer concluded, Appellant] proved that a material and substantial change in circumstances [] occurred[, ] which warrant[ed] a recalculation of his support obligations effective July 21, 2011. [Specifically, a] review of [Appellant's] 2011 [i]ncome [t]ax [r]eturn [] and the information relayed by [Appellant's] attorney to the [h]earing [o]fficer indicate that [Appellant] ha[d] a gross annual income of $144, 757.00 [in 2011]. After appropriate deductions of $13, 554.00[, Appellant] ha[d a 2011] net annual income of $131, 193.00. Pursuant to [Pa. R.C.P.] 1910.16-2(a)(1) [and] (c), in 2011[, Appellant] ha[d] a [20111 net monthly income of $10, 929.58. [Appellant claimed that, on December 31, 2011, ] he was laid off from his employment and [he] immediately applied for unemployment compensation. [During the support hearing, Appellant introduced] into evidence .[] his [b]enefit [d]etermination from [the] New Jersey -•i •,(f ,.11;11. ^lrii 1 ,- 43 (!rt1:)Uir.1.1 r.ai .Fa4r1rrq.1 I 11r1.«t1?,W1,T. 1 cJ6'tn7 hrtu [w d)irr r,.r'h1 1./(1r7 ,I1'7 t}in..ritrii m; 11111 1 • ', irrr:J t-nt '"1 •u 4,1,ri/il itis 71#'14117 r i,(1! t:rdrn. y.Z 'u in twrihc!.4 iurl Ls•to.r4 >r ry1r/.' r..'ri.e a.;r Irat]t^u • .,• y(6) • {2 (1141!:i .O". lU "tr• y Jri1 :rru+l ha tv).h 7 7'• ':.ft'. 71.1.1 .(.!'til )r.nu.. x., dd' ', 1'4(49. •.11.'1111.1,1 ( .Jt311'•011 Drtrn; rI ta-Jitlo ;tiL•.:vrr 5d3 .r:;'Y: rA .j.)to+ib -.d: h't .aurfz! y•1.;:-:^.{ UI 1.', 1•S :. ?t.41 ''111:.'.111-L .M '.t • u i 5`.]rtW0.h79 ;AD 711111'11" 1'7/1 1 '.711-s, .1,1(1:k'r.lnmil: •..:itt::11 to, l:va ir3' '�. t:J r.�r] ..1.1V :tail :el V' arr.. . 7,21-( (y t i. r ,,:t!•,•;t�. tier, •.1rt,t."f. 1 Ino rt: $ .1 ry 4;7•,Th (d r4111 -1).w .r,nr nsa trn, .1111+. tC1,Jr,t in9tcliryrr. s c.trrr r':rs t ::,fry ::w •e2 rrl gr. t'1yu7 anhrpd( tsr 1 [ ui rrnrbu'rr; xr#1,9I71 bn•- r„x14i1 L iuP 14-0)S,7 (- la, 16;7V:.! 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(I,1114trr e r t(slttN I abrru . ri 1efy.'P]1';�.i.')0�.1t 011. 5rtlLii7 Nnidr;^11-(uta.:1- 114-wr.(t: Department of Labor and Unemployment Insurance Office to substantiate his testimony that he is receiving [$611.00] gross per week or $2, 267.30 gross per month. According to the [m]ember [d]ata [i]ncome [s]creen on PACSES, for [Appellant], he received additional compensation from his employer during the first quarter of 2012 that totaled a gross amount of $3, 891.00 or $324.00 gross [per] month. Based on the above, [Appellant's] total gross monthly income is $2, 971.72. After appropriate deductions pursuant to [Pa.R.C.P.] 1910.16-2(a)(6) and (c)[, Appellant's] 2012 net monthly income is $2, 524.16. [Ms. Kundratic] allege[d] that [Appellant] lost his job for cause or[, ] in the alternative, [that] he [had] not mitigated his [] income [loss. Ms. Kundratic requested that the hearing officer assign Appellant] an earning capacity equal to his 2011 income. [Appellant] testified that he was employed as a software consultant by Quorum Consulting for 10 years and[, beginning in 2005, Quorum Consulting assigned Appellant to work in a New York State bank. Appellant] testified that his termination on December 2011 was a surprise. [The evidence demonstrates] that Quorum had a one year contract with the [blank that ended [on] March 31, 2012[, ] but [the contract provisions declared that the contract] could be terminated earlier pursuant to a separate agreement. [Appellant] allege[d] that he was laid off without cause by Quorum and that the receipt of unemployment compensation proves [that he was laid off without cause]. Although case law [holds] that an official action by an agency [is not] binding on the [c]ourt[, ) it is the obligation of the challenger to prove it was otherwise. . [As the hearing officer concluded, Ms. Kundratic] did not meet this burden. [Appellant] was [cross-examined] as to his software training and [as to whether his training] was current. No one from [Appellant's] place of employment testified nor were any documents from the employer's [h]uman [r]esources [d]epartment .submitted to substantiate [Ms. Kundratic's] claim that [Appellant] was terminated for cause. [Ms. Kundratic] also claim[ed] that [Appellant] ha[d] not mitigated his [wage loss] and that work is available for [Appellant]. Again, [the hearing officer concluded that Ms. Kundratic] failed to prove this allegation. [Appellant] was [cross-examined] by [Ms. Kundratic] as to [the efforts Appellant undertook to find employment, ] but no evidence was submitted to substantiate that work was available to [Appellant's] unique skill set. As of [the October 22, 2012 hearing, Appellant had] only been unemployed [for ten] months. The [h]earing [o]fficer [concluded] that [Appellant's] lack of success [at finding employment was] due to the economic conditions in Northeast Pennsylvania, not [to a] lack of trying by [Appellant]. [The hearing officer concluded that, in 2012, ] Appellant ha[d] an income equal to the amount .ofunemployment compensation he [was] receiving plus the additional income of $3, 891.00. [Appellant's 2012] net monthly income [was] $2, 524.16 pursuant to [Pa.R.C.P.] 1910.16-2(a)(6) and (c). [At the time of the October 22, 2012 hearing, Ms. Kundratic was] 45 years old, and [] a high school graduate. [Ms. Kundratic] is attractive, articulate[, 1 and has no physical disabilities nor does she have any child care. responsibilities. [Ms. Kundratic] testified that she worked at Lord & Taylor [department store] in a non -managerial [full-time] job for [17] years. Her pay increased from $14.00 [per] hour to $37.00 [per] hour over the course of her employment. She was laid off in January 2009 and applied for and collected unemployment benefits through 2009. She testified that she [had not] worked full time since her lay-off. She [testified] that she [] looked for [full-time] work at K -Mart, Wal-Mart[, ] and Wegman's. She even reapplied to Lord & Taylor but was told that all [non -managerial] jobs were part time. [Ms. Kundratic] testified that she has been working at Bath & Body Works since 2011. She entered her 2011 [i]ncome [t]ax [r]etum to substantiate her income. [At the time of the October 22, 2012 hearing, Ms. Kundratic] receive[d] $7.62 [per] hour and work[ed] about 24 hours [per] week. She testified that Bath [& Body Works was] unable to give her more hours. [The hearing officer concluded that, although Ms. Kundratic had] been diligent in applying for employment, a more discipline[d] approach [was] required to demonstrate that [Ms. Kundratic was] trying to mitigate her [] income [loss]. [At the time of the hearing, Ms. Kundratic had] been unemployed for four years [and Ms. Kundratic claimed that] her only sources of income [were] her spousal support and her wages from [Bath & Body Works]. When it was clear to [Ms. Kundratic] that only [part-time] work was available to her based on her credentials, she should have developed a plan to improve her chances, perhaps considering additional schooling, training[, ] or at [] least taking on two [part-time] jobs. [The hearing officer concluded that Ms. Kundratic] failed to prove that she [] attempted to mitigate her lost wages since her layoff in 2009. Pursuant to [Pa.R.C.P.] 1910.16-2(d)(4), [Ms. Kundratic] [was] given an earning .capacity equal to a [full-time] minimum wage job[, which is] $15, 080.00 [per] year[, ] or$1, 256.67 [per] month. After appropriate deductions[, Ms. Kundratic's] net monthly income for 2011 and 2012 [was] $I, 121.45.... In calculating support for the period beginning July 21, 2011 through December 31, 2011, [the hearing officer concluded that Appellant's] net monthly income [was] $10, 929.58 and [Ms. Kundratic's] net monthly income [was] $1, 121.45. The amount of child support and spousal support [was] determined in accordance with the support guidelines which consist of the guidelines expressed as the child support schedule set forth in [Pa.R.C.P.] 1910.16-3, the formula in Rule 1910.16-4[, ] Sutiuri, t,. :� K'!tt tau°A7?;* t.�Nj r:1' iv'1:'.r.crntr_ ',Mt* ,.r.' + ([fOr /11,4'.:1,+t1f•1 Or1.14'4,t.% lu rrPrr;ri 1. .cit: <'• :tn7Lar,q : +.i i? aZT. (..: d! e4r:,r7n1 01P1 .! 11 t51t4,roil Belt tP.l it; .0-- 41p1 (f boa arta •r -t ( (,,V, iji.hru?i •.t; ,�vr. ; .7 rJ tai:i::tgr:!:h z*.l.] tot„ubrit} b'int+ iCi ram Sr.: r.i irrt . ,rt'Irr . !s 1ta,,i,rrg r► 1 sRtt • it :1^P.tita! 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RV :fn Viat er. •:al •trail -over .t rntI J1,rrtt:os f:,;,a r,.41;•a:fftu !..'✓ir7u rx '.r'1(%urnllj 'fist As,11 d ttusltl .[: L9 luutit.i'f aI 111 .r!'r,u t-rubn)d (,w u1 vertu!;'.::et C': rivet`s v+.i•Nfpri a au•a is a rmq ui 1.41:Eh& ad! 10 uti12ri^:l63 ,:sft btb[,,,t1ti'r'i 'PI/ t•:L:i:m/1,r73Mogni trs1•fdt.f,; .. 144r!jtnr•7. .44frll . 7 `fy (1•'• ,Il"�(l:ii •.� rr96 y' .11/ ? 1' 1/4't nivY -1:l fJti15't'+l ut ex) ban gr,Ynt cf .,:i nf;yE tti �u •f_ ,1,t jral°lY_31gf.,' , : i f' } 1 n'A ltr..,lgr, +1•'%� ,atbmud E;:r7:r3:1:t:r .177 w •:,tr tl.1i0.:3111^.: rrOiriniJ bszn v4 i f � t r,rt1`•;;( t i} Ir177.(1[1 i`G'C•'lgffl (.rl. llajti.11 :..al) :.,9 [s Drtr-tisnuil • .1 Steil+r to !tar tf1' ;«ctr.r :ol hn11.n.4[..r11 •:.;• l.xn (b}rtt ttattIP t{q' j ire/ ;b.Jttl:rl l (1.11 14.A ,iti^11..:,:hit^ (, ?E 1:1 v: .1r1 :i*rn 8.6 h- 1,Iaa:titrnit ( (:n,.l?x194I 57titrl.',r,1111,-i i 1:,7:1ifn:ti{ wt,t) <d f.4jobnt4l . ''•'tt 41 [+,znintt.rr+rry:�j•.::•� on Hirt ( atter•-wulgrrn it;tcl t'tt+ ra1.11•.'trf .',:. A•. , rtr S1tt:t:f;ed. ,. h Y.:atr1•144._ tell 10 At. n.1 It•N: ;rrpr!m (4'1ruYl..lr,71JP1 s.'St.in n3d tfrin ¶bat t isli,rytlr•4n[lc.:t .tor .tS sy,w�'? 1, ftrul lint/. q ,:i] .c!"r'r'rrf :r1.., seri; bgtta:tr1t, ,t,it+:;srar.,t2.Tn incl (rnaltxl;A 'd11J,.in4,4rn•Jl. 11. ,i'hltiljl,w ::ll'lA4..f..: •.,lt t. ?Lb [ew .na-r:JOh1fi] xJ /Putt/! to : sl (a t`, lug _ 10f07.ti:4r:7.11 aarj:inni` (1tttaLggA sretztiat [ .t.1 rt: 'u3 t+•'rrl::rttia 1;:iiia ;_n ,:,a? _ell t.r;r-s,,•.,t,jn�2J'to lr,,vsrtsytl q' :tt,uaairtrt 114st and the operation of the guidelines as set forth in these rules.... In calculating the support for the period beginning January 1, 2012 through September [26], 2012[, the hearing officer concluded that Appellant's] net monthly income [was] $2, 524.16 and [Ms. Kundratic's] net monthly income jwas] $1, 121.45. The amount of child support and spousal support [was] determined in accordance with the support guidelines which consist of the guidelines •expressed as the child support schedule set forth in [Pa.R.C.P.] 1910.16-3, the formula set forth in Rule 1910.16-4[, ] and the operation of the guidelines as set forth in these rules... . In calculating the support for the period beginning September [27], 2012 forward[, Appellant's] net monthly income'[was] placed at $2, 524.16 and [Ms. Kundratic's] net monthly income [was] set at $1, 121.45. The amount of spousal support [was] determined in accordance with the support guidelines which consist of the guidelines expressed as the [] support schedule set forth in [Pa.R.C.P.] 1910.16-3, the formula set forth in Rule 1910.16-4[, ] and the operation .of the guidelines as set forth in these rules.... . [Ms. Kundratic] lives in the marital home and she is responsible for the mortgage payment, the real estate taxes, the school taxes[, ] and [the homeowner's] insurance. She is responsible for a total of $1, 761.61 [per] month for the items listed above. Since the house expenses exceed 25% of [Ms. Kundratic's] income, taking into account the spousal support/APL [and] child support of this recommendation, [the hearing officer determined that Ms. Kundratic] [was] entitled to a contribution from [Appellant] of up to 50% of the excess amount as part of her total award. [The hearing officer concluded that, ,pjursuant to [Pa.R.C.P.] 1910.16-6(e)[, Ms. Kundratic] [was] entitled to a mortgage deviation. In applying the mortgage deviation[, ] the total amount of expenses paid by [Ms. Kundratic] [was] $1, 761.61. Utilizing the formula set forth [in] the [g]uidelines, [the hearing officer determined that Ms. Kundratic was entitled to] receive a contribution from [Appellant] of $248.07 from July 21, 2011 through December 31, 2011. From January 1, 2012 through September [26], 2012, [Ms. Kundratic] [was to] receive a contribution from [Appellant] of $638.65. From September [27], 2012 forward, [Ms. Kundratic] [was to] receive a contribution from [Appellant] of $670.49 [per] month. Hearing Officer's Report and Recommendation, 12/13/12, at 6-9; Hearing Officer's Amended Recommendation, 12/14/12, at 10-11. On January 3, 2013, the trial court entered an interim order that was consistent with the hearing officer's amended recommendation.[5] Amended Recommendation and Interim Order, 1/3/13, at 1-4; see Pa.R.C.P.. 1910.12(e). In relevant part, the interim order read: 1. From July 21, 2011 through December 31, 2011: [Appellant] is obligated to pay $1, 425.71 [per] month for the support of the minor child, $2, 514.73 [per] month for [the] support of the spouse and $248.07 [per] month towards the mortgage expenses of the marital home. 2.From January 1, 2012 through September 26, 2012: [Appellant] is obligated to pay $564.21 [per] month for the support of the minor child, $25L53 [per] month for [the] support of the spouse and $638.65 [per] month towards the mortgage expenses of the marital home until September 20, 2012. From September 21, 2012, [Appellant] is obligated to pay $564.29 [per] month for the support of the minor child, $251.53 [per] month as APL and $638.65 [per] month towards the mortgage expenses of the marital home. 3.From September 27, 2012 forward: [Appellant] is obligated to pay $561.08 [per] month for APL and $670.49 [per] month towards the mortgage expenses of the marital home... . Amended Recommendation and Interim Order, 1/3/13, at 1-2. On January 2, 2013, Appellant filed exceptions to the hearing officer's report and to the trial court's interim order.[6] On January 16, 2013, Ms. Kundratic filed her own exceptions to the hearing officer's report and to the trial court's order.[7] On August 7, 2013, the trial court heard oral argument on the parties' exceptions. By order entered October 2, 2013, the trial court denied Ms. Kundratic's exceptions in their entirety and granted in part and denied in part Appellant's exceptions.[8] Trial Court Order, 10/2/13, at 1. Specifically, the trial court denied all but one of Appellant's exceptions; it ordered that Appellant's exceptions were granted only to the extent that "[t]he spousal support/APL is terminated effective February 1, 2013." Id. Appellant and Ms. Kundratic filed timely notices of appeal from the trial court's order. Appellant raises the following claims on appeal:[9] [L] Whether the trial court erred by failing to address the calculation of [Appellant's] net monthly income[?] To the extent that the trial court affirmed the calculation of the hearing [officer], it committed error. ,E.14,11 ;,..!"rntoLl ,:rjelk: ?tr. rottort 11J.q c' SIn't • ICE f. :12(.0tcli'l "lot itit,"! (T1. Ii•VtJiti it-4%Tijfcid 4t 1,1,14.1.1mAl tt:nosr 1 -(nit k7.1. le, .1z tuttlo tor,rvin -.4ro .%4T1 1.73t6 'f.f) aft tIttorv.i. %di} Irau(1. it..Jrtta, 'toes.11 rtptt: ..74..;7,1111 ebt. •"o Su.. tS i,vb1 ti 01./tat.l. Tot (Omen (1t -if 1S. 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AP./ 210f,' ;V:AT-4nrAlJZ' la ftrt,i'_t 10/.1 n(titt fettIrt4i;tio, .tf*..rsrtt 41 .14S! .aluott.rimatt,=.11 4"1...f110 gurn.411 sr) 11:61:.,ntn,):5! tm5trtA a 1,10 ,cfi‘r.V-1 1 I -of 1.. jt(.1'11 -n7 t, T;(10., Its r t I r..* •:1(1 • 414. if M11,111s g 1,3;:r1)til& {PO ^`04/61r+Oi14.(05! ?nm. [2.] Whether the trial [court] erred by failing to address the calculation of [Ms. Kundratic's] net monthly income[?] To the extent that the trial court affirmed the calculation of the hearing [officer], it committed error. [3.] Whether the trial court erred by failing to consider [Ms. Kundratic's] erroneous tax returns, which had been used in order to calculate her net monthly income[?] [4.] Whether the trial [court] erred by failing to address the inclusion of a mortgage deviation[?] To the extent that the trial court affirmed the hearing [officer's] inclusion of a mortgage deviation, it committed error. [5.] Whether the trial court erred by not tenninating alimony pendente lite, effective July 10, 2012, the date litigation concluded on the divorce appeal[?] [6.] Whether the trial court erred by failing to consider the duration of the marriage in determining the duration of the award for alimony pendente Appellant's Brief at 3-8 (some internal capitalization and italicization omitted). Within Ms. Kundratic's cross-appeal, Ms. Kundratic raises eight claims.[10] [1.] Did the trial court err in deciding the exceptions without a record or transcripts of the hearing before the [hearing officer]? [2.] Should [] Appellant's July 21, 2011 petition to modify the support order be dismissed due to a lack of a change in material circumstances? [3.] Should [Ms. Kundratic's] actual 2011 and 2012 income be used to determine support rather than an earning capacity? 14.] Did the [trial court] err in terminating [Ms. Kundratic's] spousal support/APL effective February 1, 2013? [5.] Was [Ms. Kundratic] eligible for a mortgage deviation? [6.] Should ,[Appellant] be placed at an earning capacity rather than unemployment compensation? [7.] Were the circumstances surrounding [] Appellant's lay-off voluntary? [8.] Does [] Appellant have a duty to mitigate his circumstances after a lay-off from his company? Ms. Kundratic's Brief at 13-14 (some internal capitalization omitted).[11] We will first consider Appellant's claims and then we will consider Ms. Kundratic's claims. As we have held: When evaluating a support order, this Court may only reverse the trial court's determination where the order cannot be sustained on any valid ground. We will not interfere with the broad discretion afforded the trial court absent an abuse of discretion or insufficient evidence to sustain the support order. An abuse of discretion is not merely an error of judgment; if, in reaching a conclusion, the court overrides or misapplies the law, or the judgment exercised is shown by the record to be either manifestly unreasonable or the product of partiality, prejudice, bias or ill will, discretion has been abused. In addition, we note that the duty to support one's child is absolute, and the purpose of child support is to promote the child's best interests. Bulgarelli v. Bulgarelli , 934 A.2d 107, 111 (Pa.Super. 2007) (internal citations omitted). "A [c]ourt may only modify an existing support award when the party requesting the modification shows a material and substantial change in circumstances since the [existing o]rder was entered" Crawford v. Crawford, 633 A.2d 155, 164 (Pa.Super. 1993) (internal quotations and citations omitted). "The change in circumstances must be 'permanent, ' meaning it is irreversible and indefinite in duration." Id. Further, "[t]he most recent [support] order is the one that is pertinent to the determination of whether a change in circumstances has occurred" Samii v. Samii, 847 A.2d 691, 695 (Pa.Super. 2004). "The burden of demonstrating a material and substantial change rests with the [requesting] party, and the determination of whether such change has occurred in the circumstances of the [requesting] party rests within the trial court's discretion." Kimock v. Jones, 47 A.3d 850, 855 (Pa.Super. 2012) (internal quotations and citations omitted). Moreover, although Pennsylvania Rule of Civil Procedure 1910.19(a) declares that a petition to modify a support order "shall specifically aver the material and substantial change in circumstances upon which the petition is based, " Rule 1910.19(c) provides that, pursuant to a petition for modification, "the trier of fact may modify or terminate the existing support order in any appropriate manner based upon the evidence presented without regard to which party filed the petition for modification." Pa.R.C.P. 1910.19(a) and (c); see also Brickus v. Dent, 5 A.3d 1281 (Pa.Super. 2010) (father filed a petition to decrease his support obligations; this Court held that the hearing officer had the authority to increase father's support obligation, even though mother had not even filed :a cross -petition to modify the support order). Appellant first claims that the trial court erred when it adopted the hearing officer's determination of Appellant's net monthly income. Appellant's Brief at 12. Specifically, Appellant claims that the .calculation of his year -2011 net monthly income was incorrect because the calculation "attribut[ed] to,[Appellant] income that [did] not exist" and because the trial court did not "apply[ certain] appropriate deductions." Id. at 12-13. Appellant's claims are meritless. According to Appellant, the bearing officer incorrectly attributed $52, 203.00 to Appellant's year -2011 income. Appellant claims that the only evidence presented at the bearing was that Appellant's year -2011 income was $92, 554.00 &ndash; and yet the hearing officer concluded that Appellant's year -2011 income was greater than $140, 000.00. Id. As the hearing officer explained, it calculated Appellant's year -2011 income in the following manner: [Appellant's] 2011 [i]ncome [t]ax [r]eturn lists an annual wage of $89, 539.00. In addition[, Appellant's] attorney relayed to the [h]earing [o]fficer that [Appellant] had received a [tax-free] per diem allowance of $40, 067.00 and $12, 203.00 for mileage, meals[, ] and entertainment. His total 2011 annual income from his employer equaled $141, 809.00. ... [When other sources of income are included, Appellant's year -2011] gross income [is] $144, 757.00. After appropriate deductions of $13, 554.00, [Appellant] has a net annual [year -2011] income of $131, 193.00. Hearing Officer's Report and Recommendation, 12/13/12, at 6-7. Although not explained within Appellant's brief, Appellant seems to claim that the hearing officer erred in concluding that, in 2011, Appellant received a gross $40, 067.00 per diem allowance and a $12, 203.00 reimbursement for "mileage, meals[, ] and entertainment."[12] According to Appellant, during the October 22, 2012 hearing, there was no evidence that Appellant received such income. Appellant's Brief at 12. Appellant's claim fails automatically, as Appellant does not contest the bearing officer's factual declaration that Appellant's own attorney corresponded with the hearing officer and "relayed to the [h]earing [olfficer that[, in 2011, ] [Appellant] bad received a [tax-free] per diem allowance of $40, 067.00 and $12, 203.00 for mileage, meals[, ] and entertainment." Steiner v. Markel, 968 A.2d 1253, 1256-1257 (Pa. 2009) (an appellate court may not litigate for the parties or "reverse a trial court judgment on a basis that was not properly raised and preserved by the parties"). Further, Appellant's claim fails because Appellant sought a downward modification in his support obligations and, as such, Appellant bore the burden of proving "a material and substantial change in circumstances since the [existing o]rder was entered." Crawford, 633 A.2d at 164. With respect to Appellant's year -2011 income, the "existing order" in this case was.a May 19, 2011 modification order, which terminated Appellant's obligation to pay $236.00 per month for health insurance. Trial Court Order, 5/18/11, at 1. We note that the May 19, 2011 order did not alter Appellant's support obligations &ndash; and these support obligations were based, in part, upon an earlier factual determination that Appellant's year -2008 gross per diem allowance was $40, 067.00, and Appellant's year -2008 "mileage, meals[, ] and entertainment" reimbursement was $12, 203.00. Hearing Officer's Report and Recommendation, 8/20/09, at 9; see also Samii, 847 A.2d at 695 ("[t]he most recent [support] order is the one that is pertinent to the determination of whether a change in circumstances has occurred ... [even if the most recent order did not] change the amount of support ordered"). Simply stated, Appellant did not provide any evidence or argument during the October 22, 2012 hearing that his "gross per diem allowance" or his "mileage, meals[, ] and entertainment" reimbursement had been eliminated or altered since the entry of the May 19, 2011 order. N.T. Hearing, 10/22/12, at 49. To be sure, during the October 22, 2012 hearing, Appellant explicitly testified that, in 2011, he received "a per diem" and that the amount of the gross year -2011 per diem "was already given at past bearings." Id. This testimony suggests that Appellant's gross year -2011 per diem had not changed since the entry of the prior support order. Therefore, the hearing officer did not err in concluding that Appellant's year -2011 income included $52, 270.00 in combined "gross per diem allowances" and "mileage, meals[, ] and •entertainment" reimbursement. Further, the trial court did not :err in adopting the hearing officer's report and recommendation on this issue. Appellant also claims that the hearing officer incorrectly determined his year -2011 net income by failing to deduct certain "ordinary and necessary expenses. attributable to [Appellant's] job." Appellant's Brief at 12-13. This claim fails because Appellant failed to allege or argue that his "ordinary and necessary [work] expenses" changed since the prior support order was entered and because, in raising the argument to this Court, Appellant completely ignores the fact that the hearing officer determined Appellant received reimbursement for his work expenses. Hearing Officer's Report and Recommendation, 12/13/12, at 6-7. The trial court then adopted this recommendation as its own. Therefore, since Appellant does not challenge the trial court's factual determination that Appellant was reimbursed for his work expenses, Appellant is not entitled to reliefon this claim. For Appellant's second claim on appeal, Appellant contends that the trial court erred in adopting the hearing officer's determination that Ms. Kundratic has "an eaming capacity equal to a minimum wage job of $15, 080.00 per year." Appellant's Brief at 14. According to Appellant, in assigning Ms. Kundratic a minimum wage earning capacity, the hearing officer "failed to consider" Ms. Kundratic's earnings history and the fact that Ms. Kundratic "suffers from no disabilities and has no child care obligations." Id. In this case, the hearing officer was well aware of Ms. Kundratic's earnings history and the hearing officer knew that Ms. Kundratic does not have a disability and that she had limited childcare obligations. Hearing Officer's Report and Recommendation, 12/13/12, at 8 ("[Ms. Kundratic] is attractive, articulate and has no physical disabilities nor does she have any child care responsibilities. [Ms. Kundratic] testified that she worked at Lord & Taylor in a non -managerial full time job for [17] years. Her pay increased from $14:00 an hour to $37.00 an hour over the course of her employment."). After considering these fact &ndash; and after considering Ms. Kundratic's "[a]ge, education, training, health, [and] work experience" &ndash; the hearing officer determined that Ms. Kundratic's earning capacity was at the level of a.full-time, minimum wage job. The trial court then adopted the hearing officer's conclusion. Therefore, when the hearing officer calculated Ms. Kundratic's earning capacity, the hearing officer indeed considered Ms. Kundratic's earnings history, and the fact that Ms. Kundratic neither has a disability nor has extensive childcare obligations. Appellant's claim to the contrary has no basis in fact. The claim thus fails. Third, Appellant claims that the trial court erred in adopting the hearing officer's determination of Ms. Kundratic's net income, as Ms. Kundratic "failed to include certain taxable income" in her income tax returns. Appellant's Brief at 15. Appellant has not supported this argument with any relevant discussion, citation to the record, citation to evidence, or citation to law. Therefore, Appellant's third claim on appeal is waived. Commonwealth v. Miller, 721 A.2d 1121, 1124 ("[w]e decline to become appellant's counsel. When issues are not properly raised and developed in briefs, when briefs are wholly inadequate to present specific issues for review, a court will not consider the merits thereof') (internal quotations and citations omitted). Fourth, Appellant claims that the trial court erred in adopting the hearing officer's inclusion of a mortgage deviation in the support order. Appellant's Brief at 15. According to Appellant, the inclusion of a mortgage deviation constituted error because, during the October 22, 2012 hearing, the parties presented no evidence of the amount Ms. Kundratic was required to pay for the mortgage on the marital home and because Ms. Kundratic did not request a mortgage deviation. Appellant's Brief at 15. These claims fail. In relevant part, Pennsylvania Rule of Civil Procedure 1910.16-6(e) declares: The guidelines assume that the spouse occupying the marital residence will be solely responsible for the mortgage payment, real estate taxes, and homeowners' insurance. Similarly, the court will assume that the party occupying the marital residence will be paying the items listed unless the recommendation specifically provides otherwise. If the obligee is living in the marital residence and the mortgage payment exceeds 25% of the obligee's net income (including amounts of spousal support, alimony pendente lite and child support), the court may direct the obligor to assume up to 50% of the excess amount as part of the total support award.... This rule shall not be applied after a final resolution of all outstanding economic claims. For purposes of this subdivision, the term "mortgage" shall include first mortgages, real estate taxes and homeowners' insurance and may include any subsequent mortgages, home equity loans and any other obligations incurred during the marriage which are secured by the marital residence. Pa.R.C.P. 1910.16-6(e). At the outset, Appellant is incorrect to claim that the hearing officer had no evidence of Ms. Kundratic's mortgage obligation. Indeed, Ms. Kundratic introduced her total monthly mortgage obligation into evidence during the support hearing. Ms. Kundratic's Exhibit 4-C. Ms. Kundratic also introduced into evidence her real estate tax obligations. Ms. Kundratic's Exhibits 4-A and 4-B. Appellant is also incorrect to claim that the hearing officer did not have the authority to order a mortgage deviation. Pennsylvania Rule of Civil Procedure 1910.19(c) declares that, pursuant to a petition for modification, "the trier of fact may modify or terminate the existing support order in any appropriate manner based upon the evidence presented without regard to which party filed the petition for modification" Pa.R.C.P. 1910.19(c) (emphasis added). In this case, Ms. Kundratic requested an upward modification in Appellant's support obligation and, during the support hearing, Ms. Kundratic presented the hearing officer with evidence regarding her income, her mortgage obligation, and her real estate tax obligations. Appellant did not object to this evidence. Moreover, under Pennsylvania Rule of Civil Procedure 1910.16-6(e), a mortgage deviation may be granted where "the obligee is living in the marital residence and the mortgage payment exceeds 25% of the obligee's net income." Pa.R.C.P. 1910.16-6(e). Here, since the hearing officer had evidence regarding Ms. Kundratic's net income, mortgage obligation, and real estate obligations, the hearing officer had the authority to "modify ... the existing support order in any appropriate manner based upon the evidence presented." Id. The hearing officer thus had the authority to recommend a mortgage deviation in this case and the trial court had the authority to adopt the hearing officer's recommendation. st•^ , 131'+Id••41 itld) tuG7c,,t4 Irir t .Yy+_7v -' 'w '''IS 1..1r ,,.L•(:. 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We will thus limit our discussion regarding the APL award to the issues raised in Ms. Kundratic's appeal. With respect to Ms. Kundratic's appeal, Ms. Kundratic first claims that the trial court erred when it "decid[ed] the exceptions without [receiving] . . . transcripts of the hearing before the [hearing officer]." Ms. Kundratic's Brief at 13. This claim is waived, as Ms. Kundratic did not raise the claim before the trial court. Pa.R.A.P. 302(a) ("[i]ssues not raised in the lower court are waived and cannot be raised for the first time on appeal"). Further, even if the claim were not waived, the claim would fail because there is no evidence that the trial court decided the exceptions before it received the transcript of the hearing. Therefore, Ms. Kundratic's claim fails. Second, Ms. Kundratic claims that "Appellant's July 21, 2011 petition to modify the support order [must] be dismissed due to a lack of a change in material circumstances." Ms. Kundratic's Brief at 16. This claim is waived because Ms. Kundratic never raised the claim at any point in the lower court proceedings and because Ms. Kundratic did not raise the claim in her exceptions to the hearing officer's report and recommendation. Pa.RA.P. 302(a); Pa.R.C.P. 1910.12(f) ("[m]atters not covered by exceptions are deemed waived"). Third, Ms. Kundratic contends that the hearing officer erred in attributing to her a full-time, minimum wage earning capacity. According to Ms. Kundratic, "[t]here was no evidence in the record that she could find a job at that amount" and "[t]here was no evidence in the record that she failed to [] mitigate her circumstances." Ms. Kundratic's Brief at 25-26. This claim fails. Pennsylvania Rule of Civil Procedure 1910.16-2 provides that, generally, "the amount of support to be awarded is based upon the parties' monthly net income." Pa.R.C.P. 1910.16-2. Nevertheless, Rule 1910.16-2 lists certain exceptions to this general rule. As is relevant to Ms. Kundratic's current claim, Rule 1910.16-2(d)(4) declares that, "[i]f the trier of fact determines that a party to a support action has willfully failed to obtain or maintain appropriate employment, the trier of fact may impute to that party an income equal to the party's earning capacity." Pa.R.C.P. 1910.16-2(d)(4). To determine a party's earning capacity, the rule states: Age, education, training, health, work experience, earnings history and child care responsibilities are factors which shall be considered in determining earning capacity. In order for an earning capacity to be assessed, the trier of fact must state the reasons for the assessment in writing or on the record. Generally, the trier of fact should not impute an earning capacity that is greater than the amount the party would earn from one full-time position. Determination of what constitutes a reasonable work regimen depends upon all relevant circumstances including the choice of jobs available within a particular occupation, working hours, working conditions and whether a party has exerted substantial good faith efforts to find employment. Pa.R.C.P. 1910.16-2(d)(4). As explained above, during the support hearing, the evidence demonstrated that Ms. Kundratic was a 45 -year-old high school graduate with no physical disabilities and limited childcare responsibilities. N.T. Hearing, 10/22/12, at 21. Further, Ms. Kundratic testified that &ndash; until she was laid off from Lord & Taylor in January 2009 &ndash; she had worked at Lord & Taylor for 17 years, in a full-time position, earning at least $14.00 per hour. Id. at 22. Notwithstanding her extensive work history, maturity, good health, and physical abilities, Ms. Kundratic .testified at the October 22, 2012 support hearing that she was currently employed at Bath & Body Works in a mere part-time capacity, earning $7.62 per hour &ndash; and that she had not worked in a full-time position since she was laid off from Lord & Taylor in 2009. Id. at 25. As the hearing officer concluded, given Ms. Kundratic's "[a]ge, education, training, health, work experience, earnings history and child care responsibilities, " it was inconceivable that Ms. Kundratic could not secure a full-time, minimum wage job in the over -three -years since she had been laid off from Lord & Taylor.[13] Pa.R.C.P. 1910.16-2(d)(4). The hearing officer thus concluded that Ms. Kundratic had "willfully failed to obtain ... appropriate employment" and that the officer was required to impute to Ms. Kundratic an income equal to a full-time, minimum wage job. Hearing Officer's Report and Recommendation, 12/13/12, at 8-9. The trial court then adopted the hearing officer's recommendation in its order of court. Put simply, the trial court did not abuse its discretion when it adopted the hearing officer's recommendation and imputed to Ms. Kundratic an earning capacity equal to a full-time, minimum wage job. The amount constitutes a realistic measurement of what Ms. Kundratic should be earning, considering her "age, health, mental and physical condition[, ] and training." D.H. v. R.H., 900 A.2d 922, 930 (Pa.Super. 2006) (internal quotations and .citations .omitted). Ms. Kundratic's claim on appeal fails. For Ms. Kundratic's fourth and fifth claims on appeal, Ms. Kundratic contends that the trial court erred in terminating her APL and mortgage deviation effective February 1, 2013. We agree. Therefore, we vacate this portion of the trial court's order and remand. As we have explained, on January 3, 2013, the trial court entered an interim order that was consistent with the hearing officer's amended recommendation. Further, within the hearing officer's report and recommendation, the hearing officer explained that it reconunended Ms. Kundratic receive APL and mortgage expenses because Appellant had appealed the equitable distribution award to the Superior Court &ndash; and Appellant had thus frozen the equitable distribution award and the award of the marital home to Ms. Kundratic pending the appeal. Moreover, at the time of the support hearing, Appellant's appeal was still pending before this Court.[141 Appellant filed exceptions to the hearing officer's recommendation and to the trial court's interim order, claiming that the hearing officer should have recommended that Appellant's APL obligation terminate on July 10, 2012 &ndash; which was the date that oral argument on Appellant's first equitable distribution appeal occurred before the Superior Court. Appellant's Exceptions, 1/2/13, at 1. On October 2, 2013, the trial .court entered an order denying in part and granting in part Appellant's exceptions. It ordered .that Appellant's exceptions were granted only to the extent that "[t]he spousal support/APL is terminated effective February 1, 2013." Trial Court Order, 10/2/13, at 1. The trial court provided no explanation for the order or for the seemingly random termination date. Now on appeal, Ms. Kundratic claims that the trial court erred in terminating her APL effective February 1, 2013. We agree. We have explained: "[u]pon entry of a decree in divorce, any existing order for spousal support shall be deemed an order for alimony pendente lite if any economic claims remain pending." Pa.R.C.P. 1920.31(d). Alimony pendente lite ("APL") is defined as "[a]n order for temporary support granted to a spouse during the pendency of a divorce or annulment proceeding." 23 Pa.C.S.A. § 3103. Pursuant to 23 Pa.C.S.A. § 3702, alimony pendente lite is allowable to either spouse during the pendency of the action. However, "[t]he award of APL is not dependent upon the status of the parties but on the state •of the litigation. This means, in theory, that the APL terminates at the time of divorce which usually concludes the litigation." DeMasi v. DeMasi, 597 A.2d 101, 104 (Pa.Super. 1991). In DeMasi, our Court held that a divorce is not final for purposes of APL until appeals have been exhausted and a final decree has been entered. Thus, while APL typically ends at the award of the divorce decree, which also should be the point at which equitable distribution has been determined, if an appeal is pending on matters of equitable distribution, despite the entry of the decree, APL will continue throughout the appeal process and any remand until a final [o]rder has been entered. Prol v. Prol, 840 A.2d 333, 335 (Pa.Super. 2003) (some internal quotations and citations omitted) (emphasis in original). In the case at bar, the trial court abused its discretion when it terminated both the APL and the mortgage deviation effective February 1, 2013.[15] Certainly, Appellant's appeal of the equitable distribution award is still pending in this Court &ndash; and Ms. Kundratic is entitled to receive both APL and a mortgage deviation until the economic claims are resolved. Id. Therefore, we vacate this portion of the trial court's order and remand for further proceedings. For Ms. Kundratic's final claims on appeal, Ms. Kundratic contends that the trial court erred when it adopted the hearing officer's recommendation and held: 1) that Appellant's December 31, 2011 termination from employment was involuntary; and 2) that, during the ensuing time, Appellant had attempted to mitigate his income loss by finding other employment. Ms. Kundratic's Brief at 29-33. We conclude that the trial court did not abuse its discretion when it held that Appellant's termination was involuntary, but that the court did abuse its discretion when it held that Appellant attempted to mitigate his income loss. Although we have quoted a segment of Pennsylvania Rule of Civil Procedure 1910.16-2 above, we will quote the portions of the rule that are relevant to Ms. Kundratic's current claim: Rule 1910.16-2. Support Guidelines. Calculation of Net Income Generally, the amount of support to be awarded is based upon the parties' monthly net income. (d) Reduced or Fluctuating Income. (1) Voluntary Reduction of Income . When either party voluntarily assumes a lower paying job, quits a job, leaves employment, changes occupations or changes employment status to pursue an education, or is fired for cause, there generally will be no effect on the support obligation. (2) Involuntary Reduction of and Fluctuations in, Income. No adjustments in support payments will be made for normal fluctuations in earnings. However, appropriate adjustments will be made for substantial continuing involuntary decreases in income, including but not limited to the result of illness, lay-off, termination, job elimination or some other employment situation over which the party has no control unless the trier of fact fids that such a reduction in income was willfully undertaken in an attempt to avoid or reduce the 141411? it7.4 :tcrMP(Fe.::: •rp.e 01, 'kin In srrc,Ig•nJt (L.:';rmmkt aria:1t11.:7: lrott:rtor.Ir•n'rilril ,(I6m ;ilo 2l1 it440.1G jiJb'a Irtn •di 4rrl (r. 7.`T,i Siii nt :eti ban .:'It. Al :Pod .lr•Irarlicirss it 1!1;1•4 rYke7t1 '..7 RI 1.s :Of .4 'r1rr,td:3 svtlxiit, rivtsrY:b ;gc;mont lotltr,lnctW tit x rill? :' •1 i i:a.� rr �rinLl{'1.71}f. ,. t ir:i15 • tc Luz ,ti thns+, rur: i writ 'fi •'.mat ti ilia1 z+' lah^ua b,r...Ir!r, r'.,•vi sli,.,n as isaili:tn :.UeluwaN art .L?+} .wt •nr 71:t:t.1) ?irrrr.ey: 'All Vint! noutul111 7+ 1e a 1•nto? 1:171 .rrt: to :svirt: i °i; 114:::'r r1•;,t'a1;ti trtT T',.i0/v4 ,A:4 ildrmil iv! ia7P.. rtr ilrt: xti t+.•:!inti.. rza.ja Ir:dl 14.!!7:7tr¢u:4 atJd 7ti I, rrartt+ Ian, jinn. Tall J Ir trr$ tbttAit,: ars:::L.rid V..611 hr.* rotlrbrs:trrno:.r ir.ni'o entltt:tl?rt►L.tis,i 0%111 PCIL :tiluri5i 11.15 ,1 t l lrtrtla:: i t«•;l (1 ;r4 yl rtu! ,tr: ii (' bin; ;Tit imrIrlir,, +;:1 1rt7nIxolpmtt' t). <rl triit}nivfis 1. .rt tn,.11: •i1A ,9rni, 31ru:, . .til •, •;.raryotgr;r,, t!!o gntbn l tri .E,71 htf(o1.ni Ltt•I Jill trait .1> li?lt,r_ y'll E .t, ts, '1_1:14 ' aiiLtL.•uri tt•;ii f4!^_ri Zi r rtk rro, : .-^b c•1. s:: support obligation. (4) Earning Capacity. If the trier of fact determines that a party to a support action has willfully failed to obtain or maintain appropriate employment, the trier of fact may impute to that party an income equal to the party's earning capacity. Age, education, training, health, work experience, earnings history and child care responsibilities are factors which shall be considered in determining earning capacity. In order for an earning capacity to be assessed, the trier of fact must state the reasons for the assessment . in writing or on the record. Generally, the trier of fact should not impute an earning capacity that is greater than the amount the party would earn from one full-time position. Determination of what constitutes a reasonable work regimen depends upon all relevant circumstances including the choice of jobs available within a particular occupation, working hours, working conditions and whether a party has exerted substantial good faith efforts to find employment. Pa.R.C.P. 1910.16-2. With respect to the first subpart of Ms. Kundratic's claim, Ms. Kundratic contends that the trial court abused its discretion when it determined that Appellant's December 31, 2011 termination from his employment was involuntary. According to Ms. Kundratic, the evidence demonstrates that Appellant's termination was voluntary because Appellant testified that lie was laid off [from his employment] because he failed to keep up with the current training needed to effectively do his job:" Ms. Kundratic's Brief at 29. Ms. Kundratic has misread the record evidence and her claim on appeal thus fails. During the October 22, 2012 support hearing, Appellant never testified that his failure to "keep up with [his] current training" caused his December 31, 2011 job termination. Rather, Appellant testified that he is a software consultant and, shortly before he was laid -off from work, he was employed by a "head hunting" service named Quonun Technical Services, Inc. N.T. Hearing, 10/22/12, at 28. Quorum then contracted Appellant's services to a company named JRI America. Id. at 37-38. Appellant testified that, when "the insurance [became] too high to insure [Appellant] on th[e particular] job" he was working at JRI America, either JRI America or Quorum terminated their particular contract. As a result, Appellant lost his job. Id. at 28, 29, and 37-38. Moreover, we note that, on cross-examination, Ms. Kundratic's attorney specifically asked Appellant whether he was laid -off because he was not up to date on his training. Appellant responded: "[n]o. The reason that [] Quorum told me the reason was insurance. They couldn't afford the insurance any more. To insure me on that site." Id. at 63. After hearing Appellant testify during the support hearing, the hearing officer concluded that Appellant's December 31, 2011 lay-off was involuntary. The trial court adopted this determination. Therefore, Ms. Kundratic's claim on appeal &ndash; that the trial court abused its discretion in concluding that Appellant's termination was involuntary, as Appellant testified that "he was laid off [from his employment] because he failed to keep up with the current -training needed to effectively do his job" &ndash; is factually baseless. The claim fails. With respect to the second subpart of Ms. Kundratic's final claim on appeal, Ms. Kundratic contends that the trial court abused its discretion in concluding that, after Appellant was laid -off from work, Appellant had attempted to mitigate his income loss by endeavoring to obtain appropriate employment. Ms. Kundratic's Brief at 31-33. We agree with Ms. Kundratic that the trial court erred in this regard. Therefore, we vacate the portion of the trial court's order that based the support award on Appellant's actual, unemployment compensation insurance income &ndash; and we remand so the trial .court may determine Appellant's earning capacity and enter an appropriate support order. During the support hearing, Appellant testified that &ndash; after he was laid off from work in December 2011 &ndash; be posted his resume on two online employment websites. Appellant testified that he currently visits one of the online employment websites "about every two or three days." N.T. Hearing, 10/22/12, at 51. As a result of these efforts, Appellant testified that he has received a number of telephone inquiries regarding employment in his field of software consulting &ndash; but that he has received limited interview opportunities and no job offers.[16] However, during the support hearing, Appellant admitted that he has voluntarily decided not to maintain his current software training and that, because of this decision, it is now "very difficult" for him to find a job. Appellant testified: Q: You've indicated earlier that you're not keeping up on your training. As a matter of fact, it's harder for you to get a job because you don't keep up on your training. Is that correct? A: Now it is. Yes it is... . Q:... You testified earlier that it's very difficult to get a job if you're not up on your training. Is that correct? A: Yes. Q: And you, you were the one who decided whether or not to get additional training or not? 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I. 1: ,mitrrnA iUli l,.,ra^r vrtruirnr., a r•t 1:ai ii a:rn tr'ai "44" u+pvt .Srah tr/Flo:Ir 1t1L1),!igh 7yit no 1(! 4'q't 51:170. ,9:1 not (ani �wi 1`17 ,Jin ,ti•:r_51nhIi1f to '•0,'2.0: tr.,/ .1( lsdrratlrq ttsril ati".u04+ 1l tb.i x17111711 t-YI'.I':,,q:u oil 1771 r !/s ,t.,1414"7 ,171rsn4403z I:nn,lcn)slrlr9rv:r;rgatot/ t.ri noun' Ts ,Tab 00 qtr ten a -t a:t tt;;r-^x! ;L1rt.iel tc'•r xi dhri'x tr,1 t nr,E171 711717 6t11 .G'sbt*.ren tra.(r.,mf. ;11.r 4 t v at .,91tat:s7nt'Lys noaatn- msr,•r.,Q !1 a: a 1) r ani oT ..Yom >tnr; 5snr ra. n.:At :rritl : t'n :.rr.^7 ra.!A rig:, t s:U t3r rv,b {t r-4 la'1 ,1A _•nitt4d .-'ft A: If they were coming out with new software. Yes it was my decision. Q:... So one of the reasons that you can't get a job right now is that you're not up to date on your training. You agree with that. Right? A: That could be part of it. Cause there' a lot of .... Q: Right. A: Could I finish the [answer]. There's other. I can still get a job with training of [2005] up if I can find a place that has that software not the newer software. Q: But that limits the amount of places you can find a job. Correct? A: i guess so (inaudible) any place for a job. N.T. Hearing, 10/22/12, at 40, 43, and 44-45. In determining that Appellant had attempted to fmd appropriate employment following his lay-off, the hearing officer and the trial court simply failed to consider Appellant's above admissions. This constitutes an abuse of discretion. To be sure, Appellant admitted that his willful failure to update his software training has made it so that it is now "very difficult" for him to find appropriate employment in his field. In other words, Appellant has admitted that he has "willfully failed to obtain . . . appropriate employment." Pa.R.C.P. 1910.16-2. As a result of Appellant's admissions, we must vacate the portion of the trial court's order that based the award of support on Appellant's actual, unemployment compensation insurance income - and we ,cwand so the trial court may determine Appellant's earning capacity and enter an appropriate support order. Order affirmed in part, vacated in part, and remanded. Jurisdiction relinquished. Judgment Entered. Notes: [*1 Retired Senior Judge assigned to the Superior Court. [1] Although the original support order was dated September 27, 2007, the order was entered on October 1, 2007. [2] The Pennsylvania Rules of Civil Procedure establish two competing procedures for support proceedings. According to Rule 1910.10(a), "[t]he [support] action shall proceed as prescribed by Rule 1910.11 unless the court by local rule adopts the alternative hearing procedure of Rule 1910.12." PLR.C.P. 1910.10(a). Luzerne County has adopted the procedure delineated in Rule 1910.12. See Pa.R.C.P. 1910.10 note. [3] There is no record of whether both parties appeared at the office conference. However, the case proceeded as though one of the parties failed to attend the conference. See Pa.R.C.P. 1910.12(b)(2). [4] We note that, on October 22, 2012, this Court affirmed in .part and vacated in part the equitable distribution award. We then remanded the case to the trial court, so that the trial court could "consider all of the evidence of record ... and determine the fair market value [of] the marital residence for equitable distribution purposes." Kundratic v. Kundratic, 62 A.3d 463 (Pa.Super. 2012) (unpublished memorandum) at 4. The trial court rendered its decision on October 1, 2013 and Appellant again appealed the equitable distribution award to this Court. Appellant's appeal of the equitable distribution award was decided by this Court in a memorandum filed on July 9, 2014. On or about August 12, 2014, Appellant filed a petition for allowance of appeal with our Supreme Court which, as of the date of this memorandum, was still pending. [5] The interim order was dated January 2, 2013. [6] Appellant raised the following exceptions to the trial court: 1. The calculation of [Appellant's] net monthly income was incorrect 2. The hearing officer failed to give any consideration to [Ms. Kundratic's] erroneous tax returns, which had been used in order to calculate [Ms. Kundratic's] net monthly income in previous years. 3. Inclusion of mortgage deviation was improper. 4. The calculation of [Ms. Kundratie's] net monthly income was incorrect. 5. The hearing officer failed to terminate alimony pendente lite, effective July 10, 2012, the date litigation concluded on the divorce appeal. 6. The hearing officer failed to consider the duration of the marriage in determining the duration of the award for alimony pendente lite. Appellant's Exceptions, 1/2/13, at 1 (some internal capitalization omitted). [7] Ms. Kundratic raised the following exceptions to the trial court: 1. The [hearing officer] erred in finding that [Ms. Kundratic] has an earning capacity when she has been actively seeking employment after her unemployment ;I zr^ad .1(l 'u11e : it euiat Z 91:1 11)01 '(I (E/111 .0001 ,11-i ::.`i '. ;. r11"t .1r}Si 1c' 1114.,--7:n+1 M birdW:.,G SOU 4.411114 LJ. u(.t. r.rl v4neu7 :111.0"./0 t Oj1'I .1.'.1.s..e9 .,•41 d.�1 SIa,51 t4,1c.tgtir. x;ru,r dl+d nil din lr Irs„rn crJ tr :roil ;tl u. LryL:: -mea ;err., sr11 .Ia t•, r11.,>vv.Vrto r>iTt, 3411 �r:,1,1m1•Jr!11,11111.ur1r.Lt1 rs; Int`u7:1:,r^11r.lii iLJrl111 ill?! 9 .i.:I.iel 'r 7 rut. I ,,df ,:111; .._ 17.10,31 1:11 .1.1111 37ttO .'�: [t•. ,14t/L,/ W7 s ++ ;1Lti •u :.• :ae :r*.7 rl:srl. ,u Ir..rullr- Irrt) vA of r!1.1 '441 Fr -1 of vex; Sr.'ul ,'II .40. A't: uvrult;t..ii, 7n.. 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The [hearing officer] erred in finding that [Ms. Kundratic] has an earning capacity when she has attempted to mitigate her circumstances with no results in the economy in Luzeme County with unemployment over 9%. 3. The [hearing officer] erred in fording that [Appellant] mitigated his circumstances and setting his income at his unemployment compensation benefits amount. 4. The [hearing officer] erred in fording that [Appellant] actively sought employment when he testified that he has not sent any resumes out and has not posted any updated resumes and has only contacted two friends. 5. The [hearing officer] erred in finding that [Appellant's] termination wasn't willful. 6. The [hearing officer] erred in not finding that [Appellant] testified that he did not update his required skills in order to keep his job. 7. The [hearing officer] erred in setting [Appellant's] income at [unemployment compensation] level instead of keeping him at an earning capacity of his last job of $10, 929[.00] net per month. Ms. Kundratic's Exceptions, 1/16/13, at 1. [8] But see Pa.R.C.P. 1910.12(h) ("If exceptions are filed, the interim order shall continue in effect. The court shall hear argument on the exceptions and enter an appropriate final order substantially in the form set forth in Rule 1910.27(e) within sixty days from the date of the filing of exceptions to the interim order...."). • [9] The trial court ordered Appellant to file and serve a concise statement of errors complained of on appeal, pursuant to Pennsylvania Rule of Appellate Procedure 1925(b). Appellant complied and, within his Rule 1925(b) statement, Appellant listed the claims he currently raises on appeal. [10] The trial court did not order Ms. Kundratic to file a Rule 1925(b) statement and Ms. Kundratic did not file a Rule 1925(b) statement in this case. [11] For ease of discussion, we have re -numbered Ms. Kundratic's claims on appeal. [12] These two amounts total $52, 270.00, which is fairly close to Appellant's claim that the trial court erred in attributing $52, 203.00 to his income. (131 We note that, during the October 22, 2012 hearing, Ms. Kundratic testified that she had only submitted "six or seven" job applications since July 2011. N.T. Hearing, 10/22/12, at 20-21. [14] Indeed, as we write this memorandum, Appellant's appeal of the equitable distribution award is pending before our Supreme Court. [15] As we have already explained, the trial court properly ordered that Ms. Kundratic was entitled to a mortgage deviation in this case. [16] Within Ms. Kundratic's brief to this Court, Ms. Kundratic claims that Appellant was given "two [] different job offers . . . that he turned down." Ms. Kundratic's Brief at 33. Again, Ms. Kundratic has misread the record testimony. Indeed, Appellant specifically testified that he has received no job offers since he was laid off from work. N.T. Hearing, 10/22/12, at 47. Moreover, Ms. Kundratic incorrectly declares that "Appellant turned down a job with Disney in [his employment] field making $50.00 per hour." Ms. Kundratic's Brief at 32. in fact, Appellant testified that he merely turned down a job interview with Walt Disney World &ndash; and that he did so because the interview was in Florida. N.T. Hearing, 10/22/12, at 33. DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff, : CUMBERLAND COUNTY, PENNSYLVANIA vs. RICHARD P. ANDREE, Defendant. : DOMESTIC RELATIONS SECTION : DOCKET NO, 853 SUPPORT 2013 : PACSES NO. 425114241 ORDER OF COURT AND NOW, this 9th day of December, 2013, this matter having been heard by the Support Master on the Plaintiffs Complaint for spousal support, upon recommendation of the Master (see Support Master's Report and Recommendation attached hereto) it is ordered and decreed that the Plaintiff's Complaint for spousal support is dismissed. Albert H. Masland, cc: Debra A. Andree Richard P. Andree Lee Mandarino, Esquire For the Plaintiff Michael J. Pykosh, Esquire For the Defendant DRO/rjs C.11 DEFENDANT'S EXHIBIT ,totzeiki DEBRA A. ANDREE, : IN THE COURT OF COMMON PLEAS OF Plaintiff, : CUMBERLAND COUNTY, PENNSYLVANIA vs. RICHARD P. ANDREE, Defendant. : DOMESTIC RELATIONS SECTION : DOCKET NO. 853 SUPPORT 2013 : PACSES NO. 425114241 SUPPORT MASTER'S REPORT AND RECOMMENDATION Following a hearing held before the undersigned Support Master on December 9, 2013 the following report and recommendation are made: FINDINGS OF FACT 1. The Plaintiff is Debra A. Andree, who resides at 435 Delancey Court, Mechanicsburg, Pennsylvania. 2. The Defendant is Richard P. Andree, who resides at 9 Victor Lane, Qshanicurg, Pennsylvania. cc- o —(-'r- c7 3. The parties were married in November, 1987. 1., —IQ, , CDC -0 4. The parties resided together at 9 Victor Lane, Mechanicsburg unti Z; 2011. when the Plaintiff moved from the marital home.y'' y7 w 5. On September 27, 2013 the Plaintiff filed a Complaint for spousal sfipport..- 6. The Plaintiff filed a Complaint for divorce in 2006 and an amended Complaint in 2010. 7. The Plaintiff is 56 years of age and is a high school graduate. 8. The Plaintiff is not currently employed. 9. The Plaintiff was last employed as Director of Advertising by Diakon Lutheran Social Ministries. 10. The Plaintiff worked for Diakon from December, 2000 until September, 2012 when she was laid off through no fault of her own. 11. The Plaintiff had an annual salary of $54,864.00 in 2012. 12. The Plaintiff is currently receiving unemployment compensation benefits of $1,151.00 gross bi-weekly. {° t 13. The Plaintiff has applied for approximately 15 jobs over the past year primarily in the marketing/advertising field. 14. The Plaintiff is registered online with several employment search sites. 15. The Plaintiffs tax filing status is married/separate. 16. The Defendant is employed full-time by Clear Channel Broadcasting where he has eamed $39,450.00 through September 30, 2013. 17. The Defendant is employed seasonally by Senators Partners, LLC where he has gross annual income of $5,325.00. 18. The Defendant has part-time self-employment income with net profit of approximately $2,465.00 annually. 19. The Defendant's tax filing status is married/separate. DISCUSSION A dependent spouse is entitled to receive spousal support until it is proven that conduct on the part of the dependent spouse constitutes grounds for a fault divorce. Crawford v. Crawford, 633 A.2d 155 (Pa. Super. 1993). However, a spouse seeking support following her non-consensual separation from the marital home has the burden of proving that her spouse's conduct justified her leaving the home. McKolanis v. McKolanis, 644 A.2d 1256 (Pa. Super. 1994). In this case the Plaintiff has the burden of establishing that she is, in fact, a dependent spouse, and secondly that either her husband consented to her departure from the marital home, or absent consent, that her husband's conduct constituted adequate legal cause for her departure. In the opinion of this Master, she has failed to meet this burden. The testimony revealed that the Plaintiff departed the marital home in 2001 while employed as the Director of Advertising for Diakon Lutheran Social Ministries. With the income derived from that employment she was self-supporting for over eleven years. She has not established that she was financially dependent upon her husband during the marriage, at the time of separation, or for eleven years after the separation. Secondly the Plaintiff offered no testimony of whether her husband consented to the separation, or absent that consent, what conduct on the part of her husband constituted adequate legal cause for the separation. For the foregoing reasons, a recommendation is made that the Plaintiffs Complaint for spousal support be dismissed.' RECOMMENDATION The Plaintiffs Complaint for spousal support is dismissed. December 9, 2013 Date Michael R. Rundle Support Master cc: Debra A. Andree Richard P. Andree Lee Mandarino, Esquire For the Plaintiff Michael J. Pykosh, Esquire For the Defendant DRO/rj s 1 This decision will not preclude the Plaintiff from filing a claim for alimony pendente lite in the ongoing divorce action. 3 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 MICHAEL J. PYKOSH, ESQ. 2132 MARKET ST CAMP HILL PA 17011-4706 DECEMBER 9, 2013 Fax: (717) 240-6248 Distribution Cover Letter Plaintiff Name: DEBRA A. ANDREE Defendant Name: RICHARD P. ANDREE PACSES Case Number: 425114241 Please note: All correspondence must include the PACSES Case Number. Dear MICHAEL J. PYKOSH, ESQ. Please note the attached document and/or correspondence. This information is being sent to update you on the above captioned case. Sincerely, R. J. SHADDAY Service Type M Form CM -520 Worker ID 21303 f CLEAR CHANNEL .e CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE • SAN ANTONIO, TX 78209 US BANK • MIAMISBURG, OH Page 1 of 1 Employee Information RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52258599 Check Date: 8/30/2013 Period End: 8/31/2013 Frequency: SEMIMONTHLY „ .. Descriptio o r Earnings Rate gttgiWI3 V 17• i)1)aCM- 1 . Perlod REGULAR TALENT 2,104.17 33,666.72 955.00 DEFENDANT'S EXHIBIT (ol1AIi 'grO Total Earnings: 2,104.17 34,621.72 Deductions oescr pti. € rrent r ) Date Descr ption. Taxes Current 17 . aD pL�R9- 401K DENTAL MEDICAL VISION AFLAC AI LTD STD 105.21 15.97 64.00 3.62 8.23 4.93 7.21 1,731.11 255.52 1,024.00 57.92 131.68 78.88 115.36 FED WITHHOLDNG MEDICARE SOC SEC PA 1246-SUSQU PA SUSQUEHANNA TW PA UNEMPL EE PA WITHHOLDNG 286.46 29.31 125.32 32.34 2.17 1.47 62.05 4,881.27 482.78 2,064.28 532.72 34.72 24.24 1,022.12 Total Deductions: 209.17 3,394.47 Total Employee Taxes: 539.12 9,042.13 Company Paid Benefits Direct - Deposit Amount Descrip ;on @MiG5g 1,` i- Q) oG - Account 1"X9• Account NET LF IMP 401K 0.66 52.61 10.56 865.63 Checking ****1667 1,355.88 axab e Wages Summary ross Wages ' De • uct ons axe M Net Pay $1,355.88 Current: Year to Date: 1,916.03 31,563.73 2,104.17 34,621.72 209.17 3,394.47 539.12 9,042.13 1,355.88 22,185.12 CLEAR CHANNEL CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE • SAN ANTONIO, TX 78209 US BANK • MIAMISBURG, OH Page 1 of 1 RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 Employee Information Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52268951 Check Date: 9/13/2013 Period End: 9/15/2013 Frequency: SEMIMONTHLY Earnings REGULAR 2,104.17 35,770.89 TALENT 620.00 1,575.00 .._ Total Earnings: 2,724.17 37,345.89 Deductions De cr p on (02&t 401K 136.21 1,867.32 FED WITHHOLDNG 433.71 5,314.98 DENTAL 15.97 271.49 MEDICARE 38.29 521.07 MEDICAL 64.00 1,088.00 SOC SEC 163.76 2,228.04 VISION 3.62 61.54 PA 1246-SUSQU 42.26 574.98 AFLAC AI 8.23 139.91 PA SUSQUEHANNA TW 2.17 36.89 LTD 4.93 83.81 PA UNEMPL EE 1.91 26.15 STD 7.21 122.57 PA WITHHOLDNG 81.09 1,103.21 Total Deductions: 240.17 3,634.64 Total Employee Taxes: 763.19 9,805.32 : ...; .. . Company Paid Benefits Direct Deposit Description 0,10M8 S'Er? grka, '' Ac .oun itag Amo nt Ac •oun NET LF IMP 0.66 11.22 _ Checking ****1667 1,720.81 401K 68.11 933.74 Summary Net Pay Taxa le Wages Gr�ss Wages ; Deductions E' WO:0i Current: 2,505.03 2,724.17 240.17 763.19 1,720.81 $1,720.81 Year to Date: 34,068.76 37,345.89 3,634.64 9,805.32 23,905.93 CLEAR CHANNEL CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE • SAN ANTONIO, TX 78209 US BANK • MIAMISBURG, OH Page 1 of 1 Employee Information RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52279298 Check Date: 9/30/2013 Period End: 9/30/2013 Frequency: SEMIMONTHLY a: oescrr. ro "ours Earnings •@RPM moil) eLea Pe•rod REGULAR TALENT 2,104.17 37,875.06 1,575.00 Total Earnings: 2,104.17 39,450.06 Deductions escnp ion @Winn V3E17 QO CUP Descr ption Taxes aili5taig WifftiOCZda 401K DENTAL MEDICAL VISION AFLAC AI LTD STD 105.21 15.97 64.00 3.62 8.23 4.93 7.21 1,972.53 287.46 1,152.00 65.16 148.14 88.74 129.78 FED WITHHOLDNG MEDICARE SOC SEC PA 1246-SUSQU PA SUSQUEHANNA TW PA UNEMPL EE PA WITHHOLDNG • 286.46 29.31 125.31 32.34 2.17 1.47 62.05 5,601.44 550.38 2,353.35 607.32 39.06 27.62 1,165.26 Total Deductions: 209.17 3,843.81 Total Employee Taxes: 539.11 10,344.43 Company bescriptron Paid Benefits 013;20 s L";tO CE Direct Account 50? - Deposit Account mount NET LF IMP 401K 0.66 52.61 11.88 986.35 Checking ****1667 1,355.89 Summary Gag P Net Pay $1,355.89 Deductions axes -x-bl- Wages Gross Wages 209.17 3,843.81 539.11 10,344.43 Current: Year to Date: 1,916.03 35,984.79 2,104.17 39,450.06 1,355.89 25,261.82 f CLEAR CHANNEL CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE * SAN ANTONIO, TX 78209 US BANK• MIAMISBURG, OH Page 1 of 1 Emp oyee Information RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52289638 Check Date: 10/15/2013 Period End: 10/15/2013 Frequency: SEMIMONTHLY Earnings,,- -il REGULAR TALENT • 2,104.17 39,979.23 1,575.00 Total Earnings: 2,104.17 41,554.23 , Deductions Iyj Date Description Taxes JIi1 Sji Date De crtption 401K DENTAL MEDICAL VISION AFLAC Al LTD STD 105.21 15.97 64.00 3.62 8.23 4.93 7.21 2,077.74 303.43 1,216.00 68.78 156.37 93.67 136.99 FED WITHHOLDNG MEDICARE SOC SEC PA 1246-SUSQU PA SUSQUEHANNA TW PA UNEMPL EE PA WITHHOLDNG 286.46 29,31 125.32 32.34 2.17 1.48 62.05 5,887.90 579.69 2,478.67 639.66 41.23 29.10 1,227.31 Total Deductions: 209.17 4,052.98 Total Employee Taxes: 539.13 10,883.56 r7: ! Company Descrip on Paid Benefits 0.Iifiat1J vie, (0 IkD2 Direct Account AZZ Deposit Ac oun Amoun NET LF IMP 401K 0.66 52.61 12.54 1,038.96 Checking ****1667 1,355.87 ax ble Wages Summary Gross Wages Deductions Taxes Za PeY0 Net Pay $1,355.87 1,916.03 37,900.82 2,104.17 41,554.23 209.17 4,052.98 539.13 10,883.56 Current: Year to Date: 1,355.87 26,617.69 CLEAR CHANNEL CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE • SAN ANTONIO, TX 78209 US BANK • MIAMISBURG, OH Page 1 of 1 Emp RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 oyee Information Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52299979 Check Date: 10/31/2013 Period End: 10/31/2013 Frequency: SEMIMONTHLY De cription ours Earnings Period REGULAR TALENT 2,104.17 42,083.40 1,575.00 Total Earnings: 2,104.17 43,658.40 Deductions VZIft)(ka?Descnptlon ? Descript on 016Gliii 401K DENTAL MEDICAL VISION AFLAC Al LTD STD 105.21 15.97 64.00 3.62 8.23 4.93 7.21 2,182.95 319.40 1,280.00 72.40 164.60 98,60 144.20 FED WITHHOLDNG MEDICARE SOC SEC PA 1246-SUSQU PA SUSQUEHANNA TW PA UNEMPL EE PA WITHHOLDNG 286.46 29.31 125.32 32.34 2.17 1.47 62.05 6,174.36 609.00 2,603.99 672.00 43.40 30.57 1,289.36 Total Deductions: 209.17 4,262.15 Total Employee Taxes: 539.12 11,422.68 Company escription Paid Benefits i?t Date Direct Account Itcp Deposit Account Amount NET LF IMP 401K 0.66 52.61 13.20 1,091.57 Checking ****1667 1,355.88 Taxable Wages Summary Gross Wages Wit tio 1 axes Zig geV Net Pay $1,355.88 Current: Year to Date: 1,916.03 39,816.85 2,104.17 43,658.40 209.17 4,262.15 539.12 11,422.68 1,355.88 27,973.57 CLEAR CHANNEL CLEAR CHANNEL BROADCASTING INC • 200 EAST BASSE • SAN ANTONIO, TX 78209 US BANK • MIAMISBURG, OH Page 1 of 1 Employee RICHARD P ANDREE 9 VICTOR LANE MECHANICSBURG, PA 17055 Information Employee ID: 1013837 Social Security #: XXX -XX -9596 Fed W/H Status: SINGLE/0 Res/Work State: PA/PA Paycheck#: 52248021 Check Date: 8/15/2013 Period End: 8/15/2013 Frequency: SEMIMONTHLY Description o r Earnings Cis V`Z�D. a] a1 @ 1 • Peno• REGULAR TALENT 2,104.17 600.00 31,562.55 955.00 Total Earnings: 2,704.17 32,517.55 Deductions Iii Trq0 UM Description Taxes €urrenttO bC it oescr ption X13 401K DENTAL MEDICAL VISION AFLAC AI LTD STD 135.21 15.97 64.00 3.62 8.23 4.93 7.21 1,625.90 239.55 960.00 54.30 123.45 73.95 108.15 FED WITHHOLDNG MEDICARE SOC SEC PA 1246-SUSQU PA SUSQUEHANNA TW PA UNEMPL EE PA WITHHOLDNG 433.70 38.01 162.51 41.94 2.17 1.89 80.47 4,594.81 453.47 1,938.96 500.38 32.55 22.77 960.07 Total Deductions: 239.17 3,185.30 Total Employee Taxes: 760.69 8,503.01 ` Company Paid Benefits Direct Deposit Amount oescnp ion Current ti;canCifo2 Accoun 1A• ccount NET LF IMP 401K 0.66 67.61 9.90 813.02 Checking ****1667 1,704.31 ;:`,_ Taxable Wages Summary Gross Wages Deductions axes fid? Net Pay •$1,704.31 Current: Year to Date: 2,486.03 29,647.70 2,704.17 32,517.55 239.17 3,185.30 760.69 8,503.01 1,704.31 20,829.24