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Home My WebLink About06-6425?/ FRIEDMAN & KING, P.C. Richard S. Friedman, Esquire ID #07176 600 N. Second Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 Tel.: (717) 236-8000/Fax: (717) 236-8080 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant Attorney for Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL ACTION -LAW IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, PA. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, MARITAL PROPERTY, COUNSEL FEES OR EXPENSES BEFORE THE FINAL DECREE OF DIVORCE OR ANNULMENT IS ENTERED, 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. LYUBOV N. KHARLAMOVA, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06-6425 Civil Term MIKHAIL VASEEV, CIVIL ACTION -LAW Defendant IN DIVORCE AFFIDAVIT OF SERVICE COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF DAUPHIN Personally appeared before me, a Notary Public, in and for said Commonwealth and County, Richard S. Friedman, Esquire, Attorney for the Plaintiff, who, being duly sworn according to law, deposes and says that a Notice of Intention to File Praecipe to transmit Record in the above-captioned matter was served upon Defendant, Mikhail Vaseev, by Certified Mail, Restricted Delivery, as evidenced by the attached Certified Mail card, on December 14, 2006. Richard riedman, Esquire PI Sworn and subscribed to before me this day of ,L , 2007. Notary Public COMMCNW,A!TH OF E era;.:°f3??: No'-RIAL SEAL EBARBARA E. PALMER, Notary ]2009 Harrisburg, Dauphin Cissir?nNExpirs May 23, a LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE ¦ Complete items 1, 2, and 3. Also complete item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: - - - - - - Mr. Mikhail Vaseev 521 W. Main Street IIur,welstown, PA. 17036 dresses B. Received by (Prin, 9dName) C. Date of Delivery D. Is delivery different NM Item 17 ? Yes If YES, en Uvery gddress pelow: 13 No 3. Service Type ?ff Certi ied Mail 13 Express Mail ? Registered Metum Receipt for Merchandise E3 Insured Mail 13 C.O.D. 4. Restricted Delivery? (Extra Fee) 13 Yes A. Signature ,?? „yam X C3 Agent 2. Article Number 7004 0750 0002 8071 0609 (Transfer from swvke /aW PS Form 3811, February 2004 Domestic Return Receipt 102585-02-M-1540 t LYUBOV N. KHARLAMOVA, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. : NO. 06-6425 Civil Term MIKHAIL VASEEV, CIVIL ACTION -LAW Defendant IN DIVORCE AFFIDAVIT OF SERVICE COMMONWEALTH OF PENNSYLVANIA : SS: COUNTY OF DAUPHIN Personally appeared before me, a Notary Public, in and for said Commonwealth and County, Richard S. Friedman, Esquire, Attorney for the Plaintiff, who, being duly sworn according to law, deposes and says that a Certified copy of the Complaint in Divorce and the 3301(d) Affidavit in the above-captioned matter was served upon Defendant, Mikhail Vaseev, by Certified Mail, Restricted Delivery, as evidenced by the attached Certified Mail card, on November 8, 2006. Friedman, Esquire Sworn and subscribed to before me this 14,? 1? day of n 2007. 63 A ? ? (-) g J_ Ct?i?e, Notary Public NOTARIAL SEAL blic LBARBARA E. PALME , otary Public my rrisburg,Dauphin ssion Expires May 23, 2009 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 06-6425 Civil Term : CIVIL ACTION - LAW : IN DIVORCE ¦ Complete items 1, 2. and 3. Also conWete item 4 if Restricted Delivery is desired. ¦ Print your name and address on the reverse so that we can return the card to you. ¦ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: Mr. Mikhail Vaseev 521 W. Main. Street Hummelstown, PA 17036 A. Signature / X ? Agent SI-Addressee B. Received by (Printed Name) C. /Daata Deefl Uri ?? V -V? D. Is delivery address M- c-A from item 1? ? Yes If YES, enter delivery address below. ? No 3. Service Type X`'Zertifled Mail ? Express Mail ? Registered -zl Return Receipt for Merchandise 4. Restricted Delivery? (Extra Fee) XP Yes 2. Article Number (Awzferfrom service kw 7004 0750 0002 8071 8209 PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 V6 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for divorce: irretrievable breakdown under 3301(d)(1) of the Divorce Code. 2. Date and manner of service of the complaint: certified mail, restricted delivery, 11/8/06 3. Date of execution of the Affidavit required by Section 3301(d) of the Divorce Code: 11/2/06. Date of filing and service of the Plaintiffs affidavit upon the Respondent: filed 11/3/06, served 11/8/06. 4. Related claims pending: There are no related claims pending. 5. Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached: 12/14/06 Richard S. Friedman, Esquire ZAttorney for Plaintiff 1 I LYUBOV N. KHARLAMOVA, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA V. MIKHAIL VASEEV, Defendant : NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE NOTICE OF INTENTION TO REQUEST ENTRY OF § 3301(d) DIVORCE DECREE TO: Mikhail Vaseev You have been sued in an action for Divorce. You have failed to answer the Complaint or file a Counter-Affidavit to the § 3301(d) Affidavit. Therefore, on or after December 22, 2006, the other party can request the Court to enter a final Decree in Divorce. If you do not file with the Prothonotary of the Court an Answer with your signature notarized or verified, or a Counter-Affidavit, by the above date, the Court can enter a final Decree in Divorce. A Counter-Affidavit which you may file with the prothonotary of the court is attached to this notice. Unless you have already filed with the Court a written claim for economic relief, you must to do by the above date or the Court may grant the Divorce and you will lose forever the right to ask for economic relief. The filing of the form Counter-Affidavit alone does not protect your economic claims. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. 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 THE INFORMATION ABOUT AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A REDUCED FEE OR NO FEE. CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 1-800-990-9108 717-249-3166 DATED: November 30, 2006 Or CUMBERLAND COUNTY BAR ASSOCIATION 32 SOUTH BEDFORD STREET CARLISLE, PA 17013 1-800-990-9108 717-249-3166 Respectfully submitted, FRIEDMAN & KING, P.C. By: Richa S. Friedman, Esquire 600 Second St. , 5th Fl r. P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CL C, ?Cr CIVIL ACTION -LAW IN DIVORCE 1. Plaintiff is Lyubov N. Kharlamova, who currently resides at 3 Wine Circle, Camp Hill, Cumberland County, Pennsylvania 17011. 2. Defendant is Mikhail Vaseev, who currently resides at 521 W. Main Street, Hummelstown, Dauphin County, Pennsylvania 17036. 3. The parties have been bona fide residents in the Commonwealth for at least six (6) months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on February 21, 1999, in Russia. 5. Plaintiff avers that there is a child of the parties under the age of eighteen (18), namely: Sophia Vaseev, age 7 (dob 9/30/99). 6. There have been no prior actions of divorce or for annulment between the parties. 7. Plaintiff has been advised that counseling is available and the Plaintiff may have the right to request that the Court require the parties to participate in counseling. 8. The marriage is irretrievably broken. 9. Neither Plaintiff nor Defendant is in the military service of the United States. r 10. The parties separated on December 1, 2000. WHEREFORE, Plaintiff requests the Court to enter a Decree of Divorce. Respectfully submitted, FRIEDMAN & KING, P.C. Date: lsx'inl? 2? "?&' 9 11 600 N.,Xecond Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 VERIFICATION I, Lyubov N. Kharlamova, hereby acknowledge that I am the Plaintiff in the foregoing action; that I have read the foregoing Complaint in Divorce; and the facts stated therein are true and correct to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Lyubov N. Kharlamova Dated: ?.¢.? .? ? ? 1 '?• ? ? c ? ? a N ?-J ? ? ?.._ ,. ?? t._ ?: GJ _?? ?'°,? t.a t_-a ?? _., .-?-? -, ?,-. ?r ? r... ';:?_ ??t? `_: -i ::` L Ir LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYY VANIA NO. I CIVIL ACTION - LAW IN DIVORCE NOTICE TO DEFENDANT If you wish to deny any of the statements set forth in this Affidavit, you must file a counter-affidavit within twenty (20) days after this affidavit has been served on you or the statements will be admitted. PLAINTIFF'S AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. The parties to this action separated on or before December 1, 2000, and have continued to live separate and apart for a period of at least two (2) years. 2. The marriage is irretrievably broken. 3. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made on this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.P. Section 49,04 relating to unsworn falsification to authorities. DATED: r ' LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. CIVIL ACTION -LAW IN DIVORCE DEFENDANTS COUNTER-AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. Check either (a) or (b): (a) I do not oppose the entry of a divorce decree. (b) I oppose the entry of a divorce decree because: Check (i) (ii) or both: (i) The parties to this action have not lived separate and apart for a period of at least two years. (ii) The marriage is not irretrievably broken. 2. Check either (a) or (b): (a) I do not wish to make any claims for economic relief. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. (b) I wish to claim economic relief which may include alimony, division of property, lawyer's fees or expenses or other important rights. I understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth on the Notice of Intention to Request Divorce Decree, the divorce decree may be entered without further notice to me, and I shall be unable thereafter to file any economic claims. I verify that the statements made in this Counter-Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. DATE: Mikhail Vaseev, Defendant G,J C: rn 49t r LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE DEFENDANT'S COUNTER-AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. Check either (a) or (b): (a) I do not oppose the entry of a divorce decree. (b) I oppose the entry of a divorce decree because: Check (i) (ii) or both: (i) The parties to this action have not lived separate and apart for a period of at least two years. t,-- (ii) The marriage is not irretrievably broken. 2. Check either (a) or (b): (a) I do not wish to make any claims for economic relief. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. ,?' (b) I wish to claim economic relief which may include alimony, division of property, lawyer's fees or expenses or other important rights. I understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth on the Notice of Intention to Request Divorce Decree, the divorce decree may be entered without further notice to me, and I shall be unable thereafter to file any economic claims. I verify that the statements made in this Counter-Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. / DATE: &Z'?- Z 40??, Mikhail Vaseev, Defendant NOTICE: IF YOU DO NOT WISH TO OPPOSE THE ENTRY OF A DIVORCE DECREE AND YOU DO NOT WISH TO MAKE ANY CLAIM FOR ECONOMIC RELIEF YOU NEED NOT FILE THIS COUNTER-AFFIDAVIT. co fr f 1% Created: 9/20/04 0:06PM Revised: 12/15/06 10:45AM Thomas J. Williams, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 17512 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant LYUBOV N. KHARLAMOVA, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 CIVIL ACTION - LAW MIKHAIL VASEEV, Defendant : IN DIVORCE DEFENDANT'S REQUEST FOR ALIMONY 1. Defendant is unable to sustain himself during the course of litigation. 2. Defendant lacks sufficient property to provide for his reasonable needs and is unable to sustain himself through appropriate employment. 3. Defendant requests the Court to enter an order of alimony in his favor. WHEREFORE, Defendant respectfully requests the Court to enter an order of alimony in his favor. MARTSON DEARDORFF WILLIAMS & OTTO L4/ ..L_ Thomas J. William! Esquire Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: December 15, 2006 VERIFICATION I verify that the statements contained herein are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.A. §4904, relating to unsworn falsification to authorities. Dated: / II al CERTIFICATE OF SERVICE L Tricia D. Eckenroad, an authorized agent for Martson Deardorff Williams & Otto, hereby certify that a copy of the foregoing Request for Alimony was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Richard S. Friedman, Esquire FRIEDMAN & KING, P.C. P.O. Box 984 Harrisburg, PA 17108 MARTSON DEARDORFF WILLIAMS & OTTO By r ricia D. Eckenroad Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: December 15, 2006 r-•? C? ? '? ? r1 r ?-, = ---i _ ?,,... `•'? l..J ?`? ) .?-} +' ? {{'f r ? "? -4 ' -. Created: 9/20/04 0:06PM Revised: 12/15/06 10:45AM Thomas J. Williams, Esquire MARTSON DEARDORFF WILLIAMS & OTTO I.D. 17512 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant LYUBOV N. KHARLAMOVA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-6425 CIVIL ACTION - LAW MIKHAIL VASEEV, Defendant : IN DIVORCE PRAECIPE TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Enter the appearance of MARTSON DEARDORFF WILLIAMS & OTTO on behalf of Defendant in the above matter. MARTSON DEARDORFF WILLIAMS & OTTO r By Thomas J. Williams, Esquire Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: December 15, 2006 CEPJ. IFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent for Martson Deardorff Williams & Otto, hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Richard S. Friedman, Esquire FREEDMAN & KING, P.C. P.O. Box 984 Harrisburg, PA 17108 MARTSON DEARDORFF WILLIAMS & OTTO r '4 nc a D. Eckenroad Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: December 15, 2006 M fµ CC) FRIEDMAN & KING, P.C. Richard S. Friedman, Esquire ID /#07176 600 N. Second Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 Tel.: (717) 236-8000/Fax: (717) 236-8080 e-mail: friedmanandking0hotmail. com Attorney for Plaintiff LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE INCOME AND EXPENSE STATEMENT OF LYUBOV N. KHARLAMOVA I verify that the statements made in this Income and Expense Statement are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. § 4904 relating to unworn falsification to authorities. /," "5-, Date: / p? fi/0 VZZ, , INCOME Employer: M H Technologies, LLC Address: 1 Mountain St., Mr. Holly Springs, PA 17065 Type of work: Machine Operator Payroll Number: 190 Pay Period (weekly, biweekly, etc.): Biweekly Gross Pay per Pay Period: $1,098.00 Itemized Payroll Deductions: Federal Withholding: $ 104.02 Social Security: $ 64.70 Local Wage Tax: $ 15.13 State Income Tax: $ 32.03 Retirement: $ Savings Bonds: $ Credit Union: $ Life Insurance: $ Health Insurance: $ 54.53 Other (specify): Medicare SUIC Net Pay per Pay Period: Other Income: Week Interest Dividends Pension Annuity Social Security Rents Royalties Expense Account Gifts Unemployment Comp. Workmen's Comp. Total $ $ 15.13 $ .99 $811.47 Month Year -0- -0- -0- -0- -0- -0- -0- -0- -0- -0- -0- TOTAL INCOME $1,622.94 per month EXPENSES Weekly Monthly Yearly Home Mortgage/rent Maintenance Utilities Electric Gas Oil Telephone Water Sewer Employment Public Transportation Lunch Taxes Real Estate Personal Property Misc. Taxes Income Insurance Homeowners Automobile Life Accident Health Other Automobile Payments Fuel Repairs 751.43 300.00 25.07 68.02 61.58 25.82 85.50 100.00 175.00 94.68 110.00 Weekly Monthly Medical Doctor 42.00 Dentist 42.00 Orthodontist Hospital Medicine 42.00 Special needs (glasses, 42.00 braces, orthopedic devices) Education Private school Parochial school College Religious 8.50 Personal Clothing Food 400.00 Barber/hairdresser 12.50 Credit payments Credit card Charge account Memberships 42.00 Loans Credit Union Miscellaneous Household Help Child Care 200.00 Papers/books/magazines 16.50 Entertainment Pay TV 49.00 Vacation 50.00 Gifts Legal Fees Charitable Contributions Other Child Support Alimony Payments Other Yearly TOTAL EXPENSES: $2,743.60 PROPERTY OWNED: Ownership Description Value H W J Checking account Commerce Bk. $700.00 W Savings accounts Credit Union Stocks/bonds Real estate - 3 Wayne Circle, Camp Hill $103,000.00 W Other TOTAL $103,700.00 INSURANCE: Coverage Company Policy No. H W C Hospital Blue Cross Health America #1096650001 W Other Medical it it W Blue Shield Other Health/Accident Disability Income Dental Other 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 and 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: 1040 Label (See in- structions) Use the IRS label. Otherwise, please print or type. Presidential Election Car Department of the Treasury-Internal Revenue Service U.S. Individual Income Tax Return 2005 99IRS Use Only-Do not write or staple in this space. For the year Jan. 1-Dec. 31, 2005, or other tax year beginning 2005, ending ,20 OMB No. 1545-0074 Name Spouse's Name (if Joint Return) Home Address City, State, and ZIP Code Your social security number LYUBOV KHARLAMOVA 164-80-5047 Spouse's social security no. 1121 COLUMBUS AVENUE You must enter LEMOYNE PA 17043- our SSN s above. A Checking a box below will not chance vour tax or refund. ? Check here if you, or your spouse if filing jointly, want $3 to go to this fund (see instructions) ? 1 1 You spouse 1 Single 4 Head of household (with qualifying person). (See instructions.) 2 Married filing jointly (even if only one had income) If the qualifying person is a child but not your dependent, enter 3 Married filing separately. Enter spouse's SSN above this child's name here, ? and full name here. ? 5 Qualifying widow(er) with dependent child (see instructions) Filing Status Check only one box. Exempt If more than four depen- dents, see instr. IOnS 6a b M Yourself. If someone can claim you as a dependent, do not check box 6a ................. . Spouse .................................................................................. c Dependents: (1) First name Last name (2) Dependent's social security no. (3) Dependent's relationship to you ?4) if q f ing.id credo see ual. is insc OPHIA MIKHAYLOVNA VASEEVA 169-82-0835 DAUGHTER X d Total numher of 8oxes checked on 6a and 6b 1 No. of children on 6c who: -lived with you 1 • did not live with you due to divorce or separation 0 (see instr.) Dependents on 6C 0 not entered above Add numbers Hnimarl _----------..........................................................onlinesabove?12 Income 7 Wages, salaries, tips, etc. Attach Form(s) W-2 7 19, 394. 8a Taxable interest. Attach Schedule B if required ........... ................................ 8a Attach Form(s) W-2 here, Also attach Forms b 9a Tax-exempt interest. Do not include on line 8a ............ .......... Ordinary dividends. Attach Schedule B if required 8b ............................ . • . • 9a W-2G and 1099-R if tax was withheld b 10 Qualified dividends (see instructions) ........................ 9b credits, or offsets of state and local income taxes (see instructions) ........ Taxable refunds 10 . 11 , Alimony received .......................................... ................................ 11 12 Business income or (loss), Attach Schedule C or C-EZ .... ................................ 12 If you did not 13 Capital gain or (loss). Attach Schedule D if required. If not required, check here ? 13 get a W-2, 14 Other gains or (losses). Attach Form 4797 .................. ................................ 14 see instructions. 15a IRA distributions .......... 15a b Taxable amount (see inst.) .. 15b 16a Pensions and annuities .... 16a b Taxable amount (see inst.) .. 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E ...... 17 18 Farm income or (loss). Attach Schedule F .................. ................................ 18 Enclose, but do 19 Unemployment compensation not attach, any 20a Social security benefits .....1204 I b Taxable amount (see inst.) . , 20b payment. Also, please use 21 Other income. List type and amount (see instr.) 21 Form 1040-V. 22 Add the amounts in the far right column for lines 7 through 21. This is your total income ? 22 19,394. 23 Educator expenses (see instructions) ........................ 23 Adjusted Gross 24 Certain business expenses of reservists, performing artists, and fee-basis gov. officials. Attach Form 2106 or 2106-EZ ... 24 Income 25 Health savings account deduction. Attach Form 8889 ........ 25 26 Moving expenses. Attach Form 3903 ...................... 26 27 One-half of self-employment tax. Attach Schedule SE ...... 27 28 Self-employed SEP, SIMPLE, and qualified plans .......... 28 29 Self-employed health insurance deduction (see instr.) ...... 29 30 Penalty on early withdrawal of savings .................... 30 31a Alimony paid b Recipient's SSrr ? 31a 32 IRA deduction (see instructions) .......................... 32 33 Student loan interest deduction (see instructions) .......... 33 34 Tuition and fees deduction (see instructions) .... . ........... 34 Copyright form software only, 2005 Universal Tax 35 Domestic production activities deduction. Attach Form 8903 F35 Systems, Inc. All rights 36 Add lines 23 through 31a and 32 through 35 ................ ...... ..................... . .... 36 reserved. US1040$1 Rev. 1 37 Subtract line 36 from line 22. This is your adjusted gross inc ome ? 37 1 , 3 9 4 . BCA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see instructions Form 1040 (2005) r__.,,, enAf% nr T.VTTRr)V WRART.AMOVA 164-80-5047 Paae2 38 Amount from line 37 (adjusted gross income) .............................................. 38 19,394. Tax and 39a Check r 8 You were born before Jan. 2, 1941, 8 Blind. J Total boxes Credits if. L Spouse was born before Jan. 2,194 Blind. checked ? 39a Standard b If your spouse itemizes on a separate return or you were a dual-status alien, ............................................. Deduction see instructions and check here 110. 39b for- 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) ........ 0 , 3 0 0 . • People who k d h 41 Subtract line 40 from line 38 ................................................................ 41 . 12, 094 any c ec e box on line 39a or 39b or 42 If line 38 is over $109,475, or you provided housing to a person displaced by Hurricane Katrina, see instructions. Otherwise, multiply $3,200 by the total no. of exemptions calmed on line 6d 42 . 6, 400 who can be d l i 43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- ...... 43 . 5, 694 a me as a c dependent, 44 Tax (see instr.). Check if any tax is from: a 0 Form(s) 8814 b Form 4972 ........ 44 . 568 see instr. 45 Alternative minimum tax (see instructions). Attach Form 6251 .............................. 45 • All others: ...................................... . . . . . . . ..... 46 Add lines 44 and 45 ............ ..... to. 46 568 . Single, or Married filin 47 Foreign tax credit. Attach Form 1116 if required .............. 47 g separately; 48 Credit for child and dependent care exp. Attach Form 2441 .. 48 $5,000 49 Credit for the elderly or the disabled. Attach Schedule R .... 49 Married filing 50 Education credits. Attach Form 8863 50 jointly or Qualifying 51 Retirement savings contributions credit. Attach Form 8880 .. 51 widow(er), 52 Child tax credit (see inst.). Attach Form 8901 if required .... 52 568. $10,000 53 Adoption credit. Attach Form 8839 ......... . Head of household 54 Credits from: a [] Form 8396 b Form 8859 54 , $7,300 55 Other credits. Check applicable box(es): a Form 3800 b F] Form 8801 c F] Form 55 56 Add lines 47 through 55. These are your total credits ...... ...... .......................... 56 568. 57 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- .................... ? 57 58 Self-employment tax. Attach Schedule SE ................................................ 58 Other 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 .. 59 Taxes 60 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required .... 60 61 Advance earned income credit payments from Form(s) W-2 .................................. 61 62 Household employment taxes. Attach Schedule H .......................................... 62 63 Add lines 57 through 62. This is your total tax .......................................... ? 63 Payments 64 Federal income tax withheld from Forms W-2 and 1099 ...... 64 1,523. 65 2005 estimated tax pymts and amt applied from 2004 return 65 If you have a ? L 66 a Earned income credit (EIC) .............................. 66a 1,862. qualifying child, Nontaxable combat attach Schedule b pay electron • • • • • • • • ? 66b EIC. 67 Excess social security and tier 1 RRTA tax withheld (see inst) 67 68 Additional child tax credit. Attach Form 8812 . .............. 68 432. 69 Amount paid with request for extension to file (see inst) ...... 69 70 Payments from: a[] Form 2439 bo Form 4136 Co Form 8885 70 71 Add lines 64, 65, 66a, and 67 through 70. These are your tota l paym ents ................ ? 71 3,817. Refund 72 If line 71 is more than line 63, subtract line 63 from line 71. This is the amount you overpaid 72 3,817. Direct deposit? 73a Amount of line 72 you want refunded to you ............................................ ? 73a 3 , 817. See instructions ? b numt n XXXXXXXXXXXXXXXXXX 0. c T e:[] Checking F1 Savings and fill 73 Account 73C, and 73d. . 111. d number XXXXXXXXXXXXXXXXXXXXXXXX 74 Amount of line 72 you want applied to your 2006 est. tax ? 74 Amount 75 Amount you owe. Subtract line 71 from line 63. For details on how to pay, see instructions ? 75 You Owe 76 Estimated tax penalty (see instructions) .................... 76 Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? UX Yes. complete the follow. No 3 number al identification 9799 Designee Damenee'?JUAN B GALARZA II ' no°ne? 717-629-710 Sign Under penalties of perjury, I declare that 1 have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, th y re true, correct, and complete. Declaration of preparer loth than taxpa er) is based on all information of which preparer has any knowledge. Here ur si t re Dat Dour occupation Daytime phone number Joint return? r QI??/ LABORER See instrr Keep a COPY Spouse's signature. If a joint return, both must sign Date Spouse's occupation for your records. _ Preparers' Check if Preparer's SSN or PTIN Paid signature self-employed 178-44-4586 Preparer's Firm's name (or GALARZA CO E TAX EIN Use Only yours if self- employed), ' 168 E KI REET address, and ZIP code LANCASTER PA 17602- Phoneno. 717-299-6364 BCA Copyright form software only, 2005 Universal Tax Systems, Inc. All rights reserved. US1040$2 Rev. 1 Form 1040 (2005) I:VVee IV h Department of the Treasury Internal Revenue Service Andover, MA 05501-0025 17043 IRS USE ONLY 019692.239234.0073.002 1 AT 0.308 692 I1??III???III?off11111gill IIII11191111111111111111111111111111 y= LYUBOV KHARLAMOVA 1121 COLUMBUS AVE LEMOYNE PA 17043-1726991 019692 Why We Are Sending You This Notice I-V I.-JJ I-V L!•t V1T t_i WI 0 0 For assistance, call: 1-800-829-0922 Your Caller ID: 113165 Notice Number: CP12A Date: April 17, 2006 Taxpayer Identification Number: 164-80-5047 Tax Form: 1040 Tax Year: December 31, 2005 Amount of Refund $212.00 We are writing to you because there is an error on your 2005 Federal Income Tax Return. We will explain why we made the change and what you need to do. Why We Made The Change We have changed the amount of your Earned Income Credit because a social security number(s), taxpayer identification number(s), last name(s), or birth date(s) was not correct or was missing. Because of recent tax law changes affecting the earned income credit and dependent exemption(s), you may no longer be eligible for the earned income credit or to claim the exemption(s). We changed your filing status. We refigured your tax using the Single filing status based on the info-nation on your tax return. • Each dependent listed on your tax return must have a valid Social Security Number (SSN) or Individual Taxpayer Identification Number (ITIN). For one or more of your dependents the last name doesn't match our records or the records provided by the Social Security Administration. As a result, we didn't allow one or more of your exemptions. This change may affect your taxable income, tax, or any of the following credits: • Credit for Child & Dependent Care Expenses • Education Credits • Child Tax Credit • Additional Child Tax Credit Page 1 Andover Service Center 164-80-5047 Tax Period: December 31, 2005 2005 Tax Return Form 1040 as of April 17, 2006 y 019692 Line Item On Your Return Your Figures IRS Figures Adjusted Gross Income $19,394.00 $19,394.00 Taxable Income $5,694.00 $11,194.00 Total Tax $.00- $1,311.00 Total Payments $1,523.00- Amount of Overpayment $212.00- Less: Penalties (computed below, if applicable) $.00 Less: Interest computed through April 17, 2006 (computed below) $.00 Less: Amount. applied to next year's estimated tax $.00 Total Amount of Refund Per This Notice (Interest added, if an) $212.00 Other Information • In general, you must file a. claim for rehmd within three years after you filed your return or two years after you paid the tax, whichever is later. • The deadline does not apply in cases where we haven't formally denied your claim for a refund.. In other words, when we've changed your account because of an error we found, you can send us information that corrects a change anytime and still keep your right to go to court; if we haven't reviewed your account in our examination function. • If you have not already received your refund check, it should arrive within 6 weeks. • Estimated Tax Filers Note: If you pay estimated taxes, check your computation of estimated tax to see if you should adjust your estimated tax payments. For tax forms, instructions and information visit www.irs.goy (Access to this site will not provide you with any taxpayer account information). Page 3 Andover Service Center 164-80-5047 Tax Period: December 31, 2005 S ?k 019692 CUThITRE Return this voucher with Sour payment or correspondence. ? Correspondence enclosed: Your Telephone Number: Best Time to Call: Write your Taxpayer Identification - AM PM Number, ta-. period and tax form number 19,394 11,194 on your inquiry or correspondence. 101605743 W1 200614 12A Internal Revenue Service Andover, MA 05501-0025 28221-073-33337-6 LYUBOV KHARLAMOVA 1121 COLUMBUS AVE LEMOYNE PA 17043-1726991 164805047 PO KHAR 30 0 200512 SCHEDULE EIC Earned Income Credit 1040A OMB No. 1545-0074 (Form 1040A or 1040) Qualifying Child Information 1040 EIC 2005 Complete and attach to Form 1040A or 1040 Attachment Department of the Treasury Internal Revenue Service (99) only if you have a qualifying child. Sequence No. 43 Name(s) shown on return Your social security number LYUBOV KHARLAMOVA 164-80-5047 Before you begin: See the instructions for Form 1040A, lines 41a and 41 b, or Form 1040, lines 66a and 66b, to make sure that (a) you can take the EIC and (b) you have a qualifying child. • If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See instructions for details. • It will take us longer to process your return and issue your refund if you do not fill in all lines that apply for each qualifying child. • Be sure the child's name on line 1 and social security number (SSN) on line 2 agree with the child's social security card. Otherwise, at the time we process your return, we may reduce or disallow your EIC. If the name or SSN on the child's social security card is not correct, call the Social Security Administration at 1-800-772-1213. Qualifying Child Information Child 1 Child 2 1 Child's name First name Last name First name Last name If you have more than two qualifying children, you only have to list two to get the maximum credit. SOPHIA MIKHAYLOVN 2 Child's SSN The child must have an SSN as defined in the instructions unless the child was born and died in 2005. If your child was born and died in 2005 and did not have an SSN, enter "Died" on this line and attach a copy of the child's birth certificate. 169-82-0835 3 Child's year of birth Year 1999 Year If born after 1986, skip lines 4a and 4b; If born after 1986, skip lines 4a and 4b; go to line 5. go to line 5. 4 If the child was born before 1987- a Was the child under age 24 at the end of 2005 and a student? Yes. No. Yes. No. Go to line 5. Continue Go to line 5. Continue b Was the child permanently and totally disabled during any part of 2005? 1-1 Yes. No. Yes. No. Continue The child is not a Continue The child is not a qualifying child. qualifying child. 5 Child's relationship to you (for example, son, daughter, grandchild, niece, nephew, foster child, etc.) DAUGHTER 6 Number of months child lived with you in the United States during 2005 • If the child lived with you for more than half of 2005 but less than 7 months, enter "7." • If the child was born or died in 2005 and your 12 months months home was the child's home for the entire time he Do not enter more than 12 months. Do not enter more than 12 months. or she was alive during 2005, enter "12". You may also be able to take the additional child tax credit if your child (a) was under age 17 at the end of 2005, and (b) is a U.S. citizen or resident alien. For more details, see the instructions for line 42 of Form 1040A or line 68 of Form 1040. For Paperwork Reduction Act Notice, see Form 1040A or 1040 instructions. Schedule EIC (Form 1040A or 1040) 2005 BCA Copyright form software only, 2005 Universal Tax Systems, Inc. All rights reserved. USEIC$$1 Rev. 1 US Schedule EIC Earned Income Credit Worksheet 2005 Name: LYUBOV KHARLAMOVA SSN: 164-80-5047 Questions to see if you can claim the earned income credit 1 Is your filing status married filing separately or head of household claiming a nonresident alien spouse? a Yes - STOP. You cannot take the credit ® No - Go to question 2. 2 Were you or your spouse a qualifying EIC child of another person in 2005? Yes - STOP. You cannot take the credit ® No - Go to question 3. 3 Was your home in the United States for more than half of the year 2005? 0 No - STOP. You cannot take the credit ® Yes - Go to question 4. 4 Is your disqualified income (taxable and tax-exempt interest, dividends, net rent, and royalty income, capital gains, and passive income = ) over $2,700? n Yes - STOP. You cannot take the credit ® No - Go to question 5. 5 Do you have at least one qualifying child? ® Yes - Go to question 5a a No - Go to question 8. Qualifying children listed on Schedule EIC ........................................................ SOPHIA 5a If the child is not married, check "Yes". If the child is married, is the taxpayer claiming the ® Y [] N Y a N child as a dependent? .......................................................................... es o es o If "Yes", go to question 5b. b Could any other person claim this child for EIC? If "Yes", continue . ................................ Yes ® No Yes a No c Enter the child's relationship to the other person(s) ................................................ d Is the other person(s) claiming the EIC based on the child? ...................................... H Yes H No Yes No e If the tie-breaker rules applied, would the child be treated as the taxpayer's qualifying child? ........ yes No If you took EIC on your 2004 income tax return, was the EIC reduced or disallowed for any reason other than a math or clerical error? If you did not take EIC on your 2004 tax return, check "No" ..................................................... .....? Yes ® No If "Yes", Form 8862 needs to be filed with the tax return. Questions 6 and 7 apply to taxpayers having qualifying children. 6 Is the total of your taxable earned income less than $31,030 ($33,030 if married filing jointly) if you have one qualifying child; $35,263 ($37,263 if married filing jointly) if you have two or more qualifying children. F] No - STOP. You cannot take the credit ® Yes - Go to question 7 7 Is your adjusted gross income less than the limits listed in question 6? F1 No - STOP. You cannot take the credit 'Yes - Figure credit Questions 8 through 11 apply to taxpayers having no qualifying children. 8 Were you (or your spouse if married filing jointly) at least 25 years of age but under age 65 at the end of 2004? 11 No - STOP. You cannot take the credit. 11 Yes - Go to question 9 9 Can someone else claim you (or your spouse if married filing jointly) as a dependent? 0 Yes - STOP. You cannot take the credit 0 No - Go to question 10 10 Is the total of your taxable earned income less than $11,750 ($13,750 if married filing jointly)? Copyright form software only, a No - STOP. You cannot take the credit. 0 Yes - Go to question 11 2005 Universal Tax Systems, 11 Is your adjusted gross income less than $11,750 ($13,750 if married filing jointly)? Inc. All rights reserved. I I No -STOP. You cannot take the credit. F1 Yes - Figure credit. USWEIC$2 Figure Your Credit 1 Amount from Form 1040 or 1040A, line 7, 1040EZ, line 1 ..................................................... ............... 19,394. a Enter the amount included in line 1 that was received by penal institution inmates for their work ................................................................... ............... b as a pension or annuity from a nonqualified deferred compensation plan or a nongovernmental section 457 plan. This amount should be shown in box 11 of Form W2 and should be included in line 1 above ................. ............... 2 Taxable scholarship or fellowship grant not reported on Form(s) W2 ......................................... .............. . 3 Line 1 minus line 1a, line 1b, and line 2 ..................................................................... ............... 19,394. 4a If you were self-employed or reported income and expenses on Schedules C or CEZ as a statutory employee, see instructions. If a member of the clergy, check ........................................................... .......... . KETRA Use Nontaxable comb at pay included? 1040 Wkt 4 Taxpayer Spouse Both No Nontaxable combat pay .................. 5 Earned income .......................... 19394. 19, 394. 6 Credit from EIC table on line 5 income .. 1862. 7 Adjusted gross income .................. 19394. 8 Credit from EIC table on line 7 income, if line 7 greater than $6.549 ($8,549 if married filing jointly) and no qualifying children $14,399 ($16,399 if married filing jointly) and 1 or more qualifying children 862. 9 Earned inc. credit. It line 7 is less than OfK 50i($8thc0, $?4,400,r$16,400), ?inR 6 18 62 . 1,862. Form 8812 Department of the Treasury Internal Revenue Service i 1040 Additional Child Tax Credit 1040A :88:12]--] Complete and attach to Form 1040 or Form 1040A. OMB No. 1545-0074 2005 Attachment Sequence No. 47 Name(s) shown on return Your social security number LYUBOV KHARLAMOVA 164-80-5047 All Filers 1 Enter the amount from line 1 of your Child Tax Credit Worksheet from the Form 1040 instructions or from the Form 1040A instructions. If you used Pub. 972, enter the amount from line 8 of the worksheet of the publication .. 1 1,000. 2 Enter the amount from Form 1040, line 52, or Form 1040A, line 33 ..............................................1 21 568. 3 Subtract line 2 from line 1. If zero, stop; you cannot take this credit ................ . .......................... 4 a Earned income (see instructions). If your main home was in the Hurricane Katrina disaster area on August 25, 2005, and you are electing to use your 2004 earned income, check here ? 11 .............................................. 4a 19,394. b Nontaxable combat pay (see instructions) ........... 0 5 Is the amount on line 4a more than $11,000? No. Leave line 5 blank and enter -0- on line 6. a Yes. Subtract $11,000 from the amount on line 4a. Enter the result .......... 5 8,394. 6 Multiply the amount on line 5 by 15% (.15) and enter the result ............................................... Next. Do you have three or more qualifying children? ® No. If line 6 is zero, stop; you cannot take this credit. Otherwise, skip Part II and enter the smaller of line 3 or line 6 on line 13. Yes. If line 6 is equal to or more than line 3, skip Part II and enter the amount from line 3 on line 13. Otherwise, go to line 7. 31 432. 61 1,259. M Mt Certain Filers Who Have Three or More Qualifying Children 7 Withheld social security and Medicare taxes from Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse's amounts with yours. If you worked for a railroad, see the instructions ................................................ 8 1040 filers: Enter the total of the amounts from Form 1040, lines 27 and 59, plus any uncollected social security and Medicare or tier 1 RRTA taxes included on line 63. 1040A filers: Enter -0-. 9 Add lines 7 and 8 ................................................................ 9 10 1040 filers: Enter the total of the amounts from Form 1040, lines 66a and 67. 1040A filers: Enter the total of the amount from Form 1040A, line 41 a, plus any excess social security and tier 1 RRTA taxes 10 withheld that you entered to the left of line 43 (see the instructions). 11 Subtract line 10 from line 9. If zero or less, enter -0- ....................................................... 12 Enterthe larger of line 6 or line 11 ............................................................................ enter the smaller of line 3 or line 12 on line 13. Additional Child Tax Credit 13 This is your additional child tax credit .................................................................... 13 432. ;10:4 0 Enter this amount on Form 1040, line 68, or 0A Form 1040A, line 42. For Paperwork Reduction Act Notice, see instructions. Form 8812 (2005) BCA Copyright form software only, 2005 Universal Tax Systems, Inc. All rights reserved. US8812$1 Rev. 1 Form 8867 (Rev. November 2002) Department of the Treasury Internal Revenue Service Paid Preparer's Earned Income Credit Checklist OMB No. 1545-1629 ? Do not send to the IRS. for your records. For the definitions of the following terms, see Pub. 596 for the year for which you are completing this form. • Investment Income • Qualifying Child • Earned Income Caution. Taxpayers who file Form 2555 or Form 2555-EZ cannot take the earned income credit (EIC). Taxpayers who were nonresident aliens for any part of the year cannot take the EIC unless their filing status is married filing jointly. lj? All Taxpayers 164-80-5047 1 Taxpayer's name 0, LYUBOV KHARLAMOVA Year after 2001 for which you're completing this fom12 0 0 5 2 Is the taxpayer's filing status married filing jointly, head of household, qualifying widow(er), or single? ................. .® Yes No 3 Does the taxpayer, and the taxpayer's spouse if filing jointly, have a social security number (SSN) that allows him or her to work or is valid for EIC purposes (see the instructions before answering)? ..................................... .® Yes a No Next, if you checked "No" on line 2 or line 3, stop; the taxpayer cannot take the EIC. Otherwise, continue. 4 Is the taxpayer's investment income more than the limit that applies to the year on line 1? See Pub. 596 for the limit ............................................................................................................. .? Yes ® No 5 Could the taxpayer, or the taxpayer's spouse if filing jointly, be a qualifying child of another person in the year on line 1? ........................................................................................................... .F1 Yes ® No Next, if you checked "Yes" on line 4 or line 5, stop; the taxpayer cannot take the EIC. Otherwise, go to Part II or Part III, whichever applies. Taxpayers With a Qualifying Child Child 1 Child 2 Caution. If there are two children, complete lines 6-11 for one child before going to the next column. 6 Is the child- • The taxpayer's son, daughter, adopted child, or stepchild, or • A descendent of the taxpayer's son, daughter, adopted child or stepchild, or • The taxpayer's brother, sister, stepbrother, or stepsister, or • A descendent of the taxpayer's brother, sister, stepbrother, or stepsister, or • The taxpayer's foster child? .................................................. Yes No Yes No 7 If the child is married, is the taxpayer claiming the child as a dependent? (If the child is not married, check "Yes") .......................................... Yes 11 No Yes No 8 Did the child live with the taxpayer in the United States for over half of the year? ............................................................................ Yes No Yes No 9 Was the child (at the end of the year on line 1) - • Under age 19, or • Under age 24 and a full-time student, or • Any age and permanently and totally disabled? ................................ Yes No Yes No Next, if you checked "Yes" on lines 6 through 9, the child is the taxpayer's qualifying child; go to line 10a. If you checked "No" on line 6, 7, 8, or 9, the child is not the taxpayer's qualifying child. If the taxpayer does not have a qualifying child, go to Part II I on page 2 to see if the taxpayer can take the EIC for taxpayers who do not have a qualifying child. 10a Could any other person check "Yes" on lines 6 through 9 for the child? ............Yes NJ No I Yes I No Next, if you checked "No" on line 10a, go to line 11. Otherwise, continue. b Enter the child's relationship to the other person(s) ................................ c Is the other person(s) taking the EIC based on the child? .......................... Yes No Yes No d If the tie-breaker rules applied, would the child be treated as the taxpayer's qualifying child (see the instructions before answering)? ............................ 11 Yes 11 No Yes No 11 Does the qualifying child have a valid SSN (see the instructions before answering)? ...................................................................... Yes 11 No Yes 11 No Did you check "Yes" on line 117 ® Yes. The taxpayer can take the EIC if the taxpayer's earned income and adjusted gross income are each less than the limit that applies to the taxpayer's filing status for the year on line 1. See Pub. 596 for the limit. Complete Schedule EIC and attach it to the taxpayer's return. If there are two qualifying children with SSNs, list them on Schedule EIC in the same order as they are listed here. If the taxpayer's EIC was reduced or disallowed for a year after 1996, see Pub. 596 to find out if Form 8862 must also be filed. I I No. The taxpayer cannot take the EIC, not even the credit for taxpayers who do not have a qualifying child. For Paperwork Reduction Act Notice, see instructions. Form 8867 (Rev. 11-2002) BCA Copyright form software only, 2004 Universal Tax Systems, Inc. All rights reserved. US8867$1 Rev. 1 164805047 KHARLAMOVA LYUBOV 1121 COLUMBUS AVENUE LEMOYNE 0500110747 PA-40 - 2005 Pennsylvania Income Tax Return ENTER ONE LETTER OR NUMBER IN EACH BOX Do Not Use Your Preprinted Label occupation L A B O R E R Occupation PA 17043 21100 la Gross Compensation. Do not include exempt income, such as combat zone pay and qualifying retirement benefits. See the instructions. 1b Unreimbursed Employee Business Expenses. 1c Net Compensation. Subtract Line lb from Line la. 2 Interest Income. Complete PA Schedule A, if required. 3 Dividend and Capital Gains Distribution Income. Complete PA Schedule B if required. 4 Net Income or Loss from the Operation of a Business, Profession, or Farm. 5 Net Gain or Loss from the Sale, Exchange, or Disposition of Property. 6 Net Income or Loss from Rents, Royalties, Patents, or Copyrights. 7 Estate or Trust Income. Complete and submit PA Schedule J. 8 Gambling and Lottery Winnings. Complete and submit PA Schedule T. 9 Total PA Taxable Income. Add only the positive income amounts from Lines 1c 2, 3, 4, 5, 6, 7, and 8. DO NOT ADD any losses reported on Lines 4, 5, or 6. 10 Medical Savings Account. CAUTION: Seethe instructions. Enter the amount from your Federal Income Tax return. Do not deduct medical expenses or insurance. 11 Adjusted PA Taxable Income. Subtract Line 10 from Line 9. Copyright form software only, 2005 Universal Tax Systems, Inc. All rights reserved. PA40$$$1 Rev.1 ? E EC I N Extension. N Amended Return. R Residency Status. PA Resident/Nonresident/Part-Year Resident from to S Single/Married, Filing Jointly/Married, Filing Separately/Final Return/Deceased Date of death N Farmers. FC 1a 19394 1b 0 1C 19394 2 0 3 0 4 0 5 0 6 0 7 0 8 0 9 19394 10 0 11 19394 1 0500110747 1. 1 1 FT-n 050011074? PA-40 - 2005 Social Security Number 164805047 0500210752 L. Name(s) LYUBOV KHARLAMOVA 12 PA Tax Liability. Multiply Line 11 by 3.07 percent (0.0307). 13 Total PA Tax Withheld. See the instructions. 14 Credit from your 2004 PA Income Tax return. 15 2005 Estimated Installment Payments. 16 2005 Extension Payment. 17 Nonresident Tax Withheld from your PA Schedule(s) NRK-1. (Nonresidents only) 18 Total Estimated Payments and Credits. Add Lines 14, 15, 16, and 17. Tax Forgiveness Credit. 19a Filing Status: 01 Unmarried or Separated 02 Married 03 Deceased 19b Dependents, Part B, Line 2, PA Schedule SP 20 Total Eligibility Income from Part C, Line 11, PA Schedule SP. 21 Tax Forgiveness Credit from Part D, Line 16, PA Schedule SP. 22 Resident Credit. Submit your PA Schedule(s) G and/or RK-1. 23 Total Other Credits. Submit your PA Schedule OC. 24 TOTAL PAYMENTS and CREDITS. Add Lines 13 and 18, 21, 22, and 23. 25 TAX DUE. If Line 12 is more than Line 24, enter the difference here. 26 Penalties and Interest. See the instructions. If attaching form REV-1630, mark the box. N 27 TOTAL PAYMENT. Add Lines 25 and 26. 28 OVERPAYMENT. If Line 24 is more than the total of Line 12 and Line 26, enter the difference here. The total of Lines 29 through 35 must equal Line 28. 29 Refund - Amount of Line 28 you want as a check mailed to you. Refund 30 Credit - Amount of Line 28 you want as a credit to your 2006 estimated account. 31 Amount of Line 28 you want to donate to the Wild Resource Conservation Fund. 32 Amount of Line 28 you want to donate to the Military Family Relief Assistance Program. 33 Amount of Line 28 you want to donate to the Governor Robert P. Casey Memorial Organ and Tissue Donation Awareness Trust Fund. 34 Amount of Line 28 you want to donate to the Juvenile (Type 1) Diabetes Cure Research Fund. 35 Amount of Line 28 you want to donate to the Breast and Cervical Cancer Research Fund. 12 595 13 595 14 0 15 0 16 0 17 0 18 0 19a 0 19b 0 20 0 21 0 22 0 23 0 24 595 25 0 26 0 27 0 28 0 29 0 30 0 31 0 32 0 33 0 34 0 35 0 Your Signature I Date Spouse's Signature, if filing jointly Preparer's Name and Telephone Number Preparer's SSN/PTIN/EIN 717-299-6364 GALARZA INCOME TAX 178444586 Page 2 of 2 1 0500210752 0500210752 1 r .. I WAGE STATEMENT SUMMARY PA-40 W-2S (09-05) 2005 0501910012 Summary of PA Taxable Employee, Non-employee, and Miscellaneous Compensation USE ONLY Name I Social Security Number LYUBOV KHARLAMOVA 164-80-5047 Use this schedule to list and calculate your total PA taxable compensation and PA tax withheld from an sources. Part A Instructions: List each Federal Form W-2 you and your spouse, if married, received from your employer(s). In the first column enter T for the taxpayer's Social Security Number that appears first on the PA tax return and enter S for the second or spouse SSN. From the Forms W-2, enter each employer's Federal Employer Identification Number (EIN). Enter the amounts from the Forms W-2 in each column. IMPORTANT: You do not have to submit a copy2?f your Form W-2 if you earned all your income in Pennsylvania and your employer reported your PA wages correctly and withheld the correct amount of PA income tax. You must submit a copy of your Form W-2 in certain circumstances. See the PA Schedule W-2S instructions for a list of when a copy of a W-2 is required. Part B Instructions: List each source of PA taxable compensation received during the taxable year on a form or statement other than a Federal Form W-2. Enter each payer's name and identification number. List the Code that most closely describes the source of your non-employee compensation. Enter the amount of other compensation that you eamed. If the form or statement does not have separately stated amounts, enter the amount shown in both federal and PA columns. IMPORTANT: You must submit a copy of each form and statement that you list in Part B, whether or not the payer withheld any PA income tax. CAUTION: The federal and Pennsylvania (state) wages may be different. ..L...k..wi...v f61. crHaAido nr -Allen vnnr nwn cr-hartufP_C in this fnrmat_ J, - - - - - - Part A - Federal Forms W-2 T/S Employer EIN from box b Federal wages from box 1 PA (state) compensation from box 16 PA (state) income tax withheld from box 17 T 94-1390387 10888 T 27-0076179 8506 8506 261 - Total Part A - Add the Pennsylvania co lumns 8 5 6 261 1 Part B - Miscellaneous and Non-employee Compensation from Federal Forms 1099R,1099MISC, and other statements YOU MUST SUBMIT COPIES OF EACH FORM OR STATEMENT LISTED IN THIS PART T/S Payer name EIN/SSN Code Federal taxable amount PA (state) compensation PA (state) tax withheld Total Part B - Add the Pennsylvania co lumns 0 0 TOTAL - Add the totals from Parts A and B 8506 261 Enter the TOTALS on your PA tax return on, Line 1 a Line 13 CODES: A. E. H. 1. Executor fee B. Jury duty pay c. uirecwrs Tee U. mxpern WSU 8155 ICtl Honorarium F. Covenant not to compete G. Damages or settlement for lost wages, other than personal injury Other nonemployee compensation. Describe: Early distribution from retirement, pension, or deferred compensation plan. PAAB$$$1 Rev.1 Copyright form software only. 2005 Universal Tax Systems. Inc. All rights reserved. 1 0501910012 0501910012 1 Copy C For EMPLOYEE'S RECORDS 1 ZUOJ See Notice) a Control number 1 Wages, lips, other compensation 2 Federal income tax withheld 00038 8506.20 947.95 3 Social security wages 4 Social security tax withheld b Employer's ID number 8506.20 527.39 270076179 5 Medicare wages and tips 6 Medicare tax withheld 8506.20 123.35 c Employer's name, address, and ZIP code MH TECHNOLOGIES LLC 1 MOUNTAIN ST MT HLY SPGS PA 17065 13 Statut employee Retirement plan Third-pa sick pay e Employee's name, address, and ZIP code LYUBOV KHARLAMOVA 31 -0206 1121-1 COLUMBUS AVE LEMOYNE PA 17043 d Employee's social security number 164-80-5047 7 Social security bps 8 Allocated tips 9 Advance EIC payment .00 .00 .00 10 Dependent care benefits 11 Nonqualified plans 12a See instructions for box 12 00 .00 14 Other CAFE 216 .5 0 12b I L- - 12c 12d 16 State wages, tips, etc. 17 State income tax 15 State Employer s state ID number 8506.20 261.15 PA 91964653 UC 7.85 PA 18 Local wages, tips, etc, 19 Local income tax 20 Locality name 00 .00 WSHR 1/1-6/30 8506.20 123.35 WSHR 7/1-12/3 1 ..,.yo arras ran akakemenc This information is being famished to the Internal Revenue Service. J M J 2 of LL ,b Employer Identification number;N-) 94-1390387 12a See Instructions fa box 12 1 Wages, tips, other compensation 2 Federal income tax withheld c ay name, a ress, and P e 1 1$ 10888.03 574.66 ROSS STOkES, INC. 2b 3Social security wages 4Social security tax withheld 4440 ROSEWOOD DRIVE, BLDG # 4 3 $ 10888.03 675.06 PLEASANTON CA 94588 j c S M di d ti 8 M di t ithh care wages an e ps e care ax w eld 1 $ 10888.03 157.88 1 7 Social securitytips Allocated lips v Employee's Rat name an Mal Last name 472048 4 Advance EIC payment endent care benefits W LYUBOV N KHARLAMOVA aTMe r"a ryrure w?wrM ism a yreee 11 NonquallAed plans 4 n"0 "r vav - E 1 yeuyamr+enaray oer,powemwrrar ee m sic rrarcebsue as area r. 38 STEPHEN ROAD CAMP HILL PA 17011 Copy C For EMPLOYEE'S 14 otltg? RECORDS. (See Notice to PA-UI 10.68 Employee on back.) Carlisle EMST 10.00 d loyee's soaa security number t Employee% address and ZIP code 16480-5047 15 State PA E s state ID number 1 360 92 6 Stale wa s. lips, etc. 10888 ?3 17 State Income lax 33 18 Local w es, tips, etc 8 19 Local Incarrle tax 20 Locality name _ _ _ 4.22 1086 3 _ 217_75 CARLISLE Form W-2 Wage and Tax Statement 2005 Department of the Treasury-Internal Revenue Service OMB# 1545-0006 Copy C for EMPLOYEE'S RECORDS. (Sae Notice to Employee on beck.) `TECHNOLOGIES January 4, 2007 Earnings for Lyubov K6arfamova, Jufy i througfl December 31, 2,006, by moptft-. >Uiy Augt t September October. November December $2168.00 $21f &DG $2196.66 $1892.16 $2145.36 $1942.80 $-12512.32 - Total earnings- for- six month period l TECHNOL E_S, l C F? P'F manager &NIn!Stra ' rvices 1 Mountain Street - Mount Holly Springs, PA 17065-1406 Phone 1.717.486.3434 Fax 1.717.486.5832 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE CERTIFICATE OF SERVICE I, Richard S. Friedman, Esquire, hereby certify that on January 5, 2007, I served a copy of the within Income and Expense Statement of Lyubov N. Kharlamova, by depositing same in the United States Mail, first class, postage prepaid, addressed as follows: Thomas J. Williams, Esquire Martson, Deardorff, Williams & Otto Ten East High Street Carlisle, PA 17013 FRIEDMAN & KING, P.C. 600/N. Second Street Pe6thouse Suite P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 C? r-? ? i ,. ` c =? co t i CD s FRIEDMAN & KING, P.C. Richard S. Friedman, Esquire ID #07176 600 N. Second Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 Tel.: (717) 236-8000/Fax: (717) 236-8080 e-mail: friedmanandking0hotmail. com LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant Attorney for Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, PA. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, MARITAL PROPERTY, COUNSEL FEES OR EXPENSES BEFORE THE FINAL DECREE OF DIVORCE OR ANNULMENT IS ENTERED, 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 1-800-990-9108 717-249-3166 Respectfully submitted, FRIEDMAN & KING, P,C. Y• Richard S: riedman, Esquire 600 N- Second St., 5th Flr. P. O. tox 984 Harrisburg, PA 17108 (717) 236-8000 LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE 1. Plaintiff is Lyubov N. Kharlamova, who currently resides at 3 Wayne Circle, Camp Hill, Cumberland County, Pennsylvania 17011. 2. Defendant is Mikhail Vaseev, who currently resides at 521 W. Main Street, Hummelstown, Dauphin County, Pennsylvania 17036. 3. The parties have been bona fide residents in the Commonwealth for at least six (6) months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on February 21, 1999, in Russia. 5. Plaintiff avers that there is a child of the parties under the age of eighteen (18), namely: Sophia Vaseev, age 7 (dob 9/30/99). 6. There have been no prior actions of divorce or for annulment between the parties. 7. Plaintiff has been advised that counseling is available and the Plaintiff may have the right to request that the Court require the parties to participate in counseling. 8. The marriage is irretrievably broken. 9. Neither Plaintiff nor Defendant is in the military service of the United States. 10. The parties separated on December 1, 2000. WHEREFORE, Plaintiff requests the Court to enter a Decree of Divorce. COUNT I 11. The prior paragraphs of this Amended Complaint are incorporated herein by reference thereto. 12. Plaintiff has employed Richard S. Friedman, Esquire to represent her in this matrimonial cause. 13. Plaintiff is unable to pay her counsel fees, costs and expenses, and Defendant is more than able to pay them. 14. Defendant is employed and has the ability to pay Plaintiff's counsel fees, costs and expenses. 15. Reserving the right to apply to the Court temporary counsel fees, costs and expenses prior to final hearing, Plaintiff requests that, after final hearing, the Court order Defendant to pay Plaintiff's reasonable counsel fees, costs and expenses. WHEREFORE, Plaintiff respectfully requests that pursuant to Sections 3104(a)(1), 3323(b), 3702 and 4351(a) of the Divorce Code, the Court enter an order directing Defendant to pay Plaintiff's reasonable counsel fees, costs and expenses. Respectfully submitted, Date: ??? y„?? FRIEDMAN 600 X. Second Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 Ur VERIFICATION I, Lyubov N. Kharlamova, hereby acknowledge that I am the Plaintiff in the foregoing action; that I have read the foregoing Amended Complaint in Divorce; and the facts stated therein are true and correct to the best of my knowledge, information and belief. I understand that any false statements herein are made subject to penalties of 18 Pa. C.S. Section 4904, relating to unworn falsification to q,mpt/Q.,. "it" Dated: alt ?6n LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE CERTIFICATE OF SERVICE I, Richard S. Friedman, Esquire, hereby certify that on February A, 2007, I served a copy of the within Amended Complaint in Divorce, by depositing same in the United States Mail, first class, postage prepaid, addressed as follows: Thomas J. Williams, Esquire Martson, Deardorff, Williams & Otto Ten East High Street Carlisle, PA 17013 FRIEDMAN & KING, P. C 600 N. Second Street Penthouse Suite P. O. Box 984 Harrisburg, PA 17108 (717) 236-8000 ? ??. { ?,, V ? -?- ? _ ? ?' ?"? W -F--- -?... ?--? C"`1 C? ?; ? ? ? ? -,? ? r ? ??? `? -? ;`::?? n ??, c ?: t LYUBOV N. KHARLAMOVA, : IN THE COURT OF COMMON PLEAS Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 06-6425 Civil Term MIKHAIL VASEEV, CIVIL ACTION -LAW Defendant IN DIVORCE NOTICE TO DEFENDANT If you wish to deny any of the statements set forth in this Affidavit, you must file a counter-affidavit within twenty (20) days after this affidavit has been served on you or the statements will be admitted. PLAINTIFF'S AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. The parties to this action separated on or before December 1, 2000, and have continued to live separate and apart for a period of at least two (2) years. 2. The marriage is irretrievably broken. 3. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. I verify that the statements made on this affidavit are true and correct. J-understa that false statements herein are made subject to the penalti0s of 1 N. C.P. S 6tion 4904 relating to unsworn falsification to authorities. Lyubov N. Kharl ova, Plaintiff DATED J?(5.l,dd , -- U LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 Civil Term CIVIL ACTION -LAW IN DIVORCE DEFENDANT'S COUNTER-AFFIDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE 1. Check either (a) or (b) : (a) I do not oppose the entry of a divorce decree. (b) I oppose the entry of a divorce decree because: Check (i) (ii) or both: (i) The parties to this action have not lived separate and apart for a period of at least two years. (ii) The marriage is not irretrievably broken. 2. Check either (a) or (b): (a) I do not wish to make any claims for economic relief. I understand that I may lose rih concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. (b) I wish to claim economic relief which may include alimony, division of property, lawyer's fees or expenses or other important rights. I understand that in addition to checking (b) above, I must also file all of my economic claims with the prothonotary in writing and serve them on the other party. If I fail to do so before the date set forth on the Notice of Intention to Request Divorce Decree, the divorce decree may be entered without further notice to me, and I shall be unable thereafter to file any economic claims. I verify that the statements made in this Counter-Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relating to unswom falsification to authorities. DATE: Mikhail Vaseev, Defendant ? ? Q ?s _^? W ? `: `, -?, ? ?s't ,,.... ? "'Y F:\FILFS\C1ic0\ 12270\12270. l.pra l Created: 9/20/04 0:06PM Revised: 9/11/07 8:53AM Thomas J. Williams, Esquire MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES I.D. 17512 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant TO THE PROTHONOTARY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 CIVIL ACTION - LAW : IN DIVORCE PRAECIPE Please withdraw Defendant's request for alimony filed on or about December 15, 2006. MARTSON LAW OFFICES Thomas J. Willi s, Esquire Ten East High Skeet Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: September 11, 2007 CERTIFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent for Martson Law Offices hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Richard S. Friedman, Esquire FRIEDMAN & KING, P.C. P.O. Box 984 Harrisburg, PA 17108 MARTSON DEARDORFF WILLIAMS & OTTO A d'A lin Of,, I?Ai Y Tncia D. Eckenroad Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: September 11, 2007 ?? N ILn 4 `-L, F: \Fl LES\Clients\ l 2270\ 12270 Lprat Created 9/20104 0.06PM Revised: 9/27107 10:01 AM Thomas J. Williams, Esquire MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES I.D. 17512 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant LYUBOV N. KHARLAMOVA, Plaintiff V. MIKHAIL VASEEV, Defendant TO THE PROTHONOTARY IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-6425 CIVIL ACTION - LAW : IN DIVORCE PRAECIPE Please withdraw Defendant's counter-claim opposing a divorce decree pursuant to 23 Pa. CS §3301(d). This will acknowledge that more than 20 days have elapsed since receiving service of Plaintiff's Notice of Intention to Request Entry of Divorce Decree. MARTSON LAW OFFICES By 77LL?_? W Thomas J. V liams, Esquire Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: September 26, 2007 CERTIFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent for Martson Law Offices hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Richard S. Friedman, Esquire FRIEDMAN & KING, P.C. 3820 Market Street Camp Hill, PA 17011 MARTSON DEARDORFF WILLIAMS & OTTO Tricia D. Eckenroad Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: September 26, 2007 ?...a ) .-=, °'c1 ..,,? _.- ?-`} rc:- _ ?? ?;? ?::Y ;`? /'J i Fem.-?+.. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF PENNA. LYUBOV N. KHARLAMOVA No. 06-6425 VERSUS MIKHAIL VASEEV DECREE IN DIVORCE AND NOW, ?C.T0\0 tr 10 10W IT IS ORDERED AND Lyubov N. Kharlamova DECREED THAT PLAINTIFF, Mikhail Vaseev AND DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; BY THE COURT: N ?s' ATT ST: J . r t s PROT NOTARY e,J ?? 42