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Home My WebLink About06-7166 Cara A. Boyanowski, Esquire Supreme Court I.D. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, P A 17110 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cbovanowski@ssbc-Iaw.com SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW v. . . : NO. Ol- - 7/1,). d(J{'/~ JARED N. WORMAN, Defendant : IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, High and Hanover Streets, Carlisle, Pennsylvania 17013. 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 S. Bedford Street Carlisle, PA 17013 (717) 249-3166 NOTICIA Le han demandado a usted en la corte. Si usted quiere defenderse de estas demandas expuestas en las paginas siguientes, usted tiene viente (20) dias de plazo al partir de la fecha de la demanda y la notificacion. U sted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra de su persona. Sea avisado que si usted no se defiende, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier queja 0 alivio que es pedido en la peticion do demanda. U sted puede perder dinero 0 sus propiedades 0 otros derechos importanates para usted. LLEVE EST A DEMANDA A UN ABODAGO INMEDIA T AMENTE. SI NO TIENE ABOGADO 0 SI NO TIENE EL DINERO SUFICIENTE DE P AGAR TAL SERVICIO, VA Y A EN PERSONA 0 LLAME POR TELFONO A LA OFICINA CUY A DlRECCION SE ENCUENTRA ESCRlT A ABAJO PARA A VERlGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 32 S. Bedford Street Carlisle, P A 17013 (717) 249-3166 Cara A. Boyanowski, Esquire Supreme Court 1.0. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, PAl 711 0 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cbovanowski@ssbc-Iaw.com SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA : CIVIL ACTION - LAW v. . . : NO. Ol,. - '7 /~? ~lU.\"ITtC.4-"Y\ JARED N. WORMAN, Defendant : IN DIVORCE COMPLAINT IN DIVORCE UNDER SECTION 3301(c) OR SECTION 3301(d) OF THE DIVORCE CODE AND NOW comes the above Plaintiff, Sara L. Worman, by her attorney, Cara A. Boyanowski, Esquire, and seeks to obtain a decree in divorce from the above-named Defendant, upon the grounds hereinafter set forth: COUNT I DIVORCE 1. The Plaintiff, Sara L. Worman, is an adult individual who resides at 522 Springhouse Road, Camp Hill, Cumberland County, Pennsylvania 17011. 2. The Defendant, Jared N. Worman, is an adult individual who resides at 206-R Spring Lane, Enola, Cumberland County, Pennsylvania 17025. 3. The Plaintiff has been a bona fide resident of the Commonwealth ofPennsy1vania for at least six (6) months immediately prior to the filing of this Complaint. 4. The Plaintiff and Defendant were married on June 25, 1960, in Harrisburg, Dauphin County, Pennsylvania. 5. The Plaintiff and Defendant are both citizens of the United States of America. 6. Plaintiff filed a complaint in divorce against Defendant at Cumberland County Court of Common Pleas docket number 01-7083. This action was terminated and purged from the docket on November 14, 2005. Defendant filed a complaint in divorce against Plaintiff at Dauphin County Court of Common Pleas docket number 5544-CV-2001-DV. This action was withdrawn by Defendant in February 2002. 7. Plaintiff avers that there are no children born of the marriage under the age of eighteen years. 8. The Plaintiff and the Defendant are not members of the Armed Services of the United States or any of its allies. 9. Plaintiff has been advised of the availability of counseling and that she may have the right to request that the Court require the parties to participate in counseling. She has declined counseling. 10. The causes of action and sections of Divorce Code under which Plaintiff is proceeding are: A. Section 3301(c). The marriage of the parties is irretrievably broken. After ninety (90) days have elapsed from the date of the filing of this Complaint, Plaintiff intends to file an Affidavit consenting to a divorce. Plaintiff believes that Defendant may also file such an Affidavit. B. Section 3301(d). The marriage of the parties is irretrievably broken. The Plaintiff and Defendant separated in July 2000. WHEREFORE, the Plaintiff prays your Honorable Court to enter a Decree in Divorce from the bonds of matrimony. COUNT II EQUITABLE DISTRIBUTION II. Paragraphs 1 through 10 of the Divorce Complaint are incorporated herein by reference as though set forth in full. 12. Plaintiff and Defendant have acquired property, both real and personal, from the date of their marriage, June 25, 2960, until the date of their separation, July 2000. 13. Plaintiffand Defendant have been unable to agree as to an equitable division of said property. WHEREFORE, Plaintiff requests your Honorable Court to equitably divide all marital property . COUNT III ALIMONY 14. Paragraphs 1 through 10 of the Divorce Complaint are incorporated herein by reference as though set forth in full. 15. Plaintifflacks sufficient property to provide for her reasonable means and is unable to support herself through appropriate employment. 16. Plaintiff requires reasonable support to adequately maintain herself in accordance with the standard of living established during the marriage. WHEREFORE, Plaintiff requests your Honorable Court to enter an award of alimony in her favor. COUNT IV ALIMONY PENDENTE LITE, COUNSEL FEES, COSTS AND EXPENSES 17. Paragraphs 1 through 10 of the Divorce Complaint are incorporated herein by reference as though set forth in full. 18. Defendant receives employment wages through Land Rover, as a courier, and has assets that have not yet been ascertained. 19. Plaintiff has employed counsel, but is unable to pay the necessary and reasonable attorney's fees for said counsel. 20. Plaintiff is unable to sustain herself during the course of this litigation. WHEREFORE, Plaintiff requests your Honorable Court to enter an award of Alimony Pendente Lite, interim counsel fees, costs and expenses, until final hearing and thereupon award such additional counsel fees, costs and expenses as deemed appropriate. . . . 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.A. 94904 relating to unsworn falsification to authorities. BY:~~~iff Date:~~I~r By:(lOllb~s~ Cara A. Boyanowski, Esquire Attorney No. 68736 2.080 Linglestown Road Suite 201 Harrisburg, P A 1711 0 (717) 540-9170 Attorney for Plaintiff ~ 1~ ~ ~ (S2 ~ ~ l); ~ ~ ~ o I iq. """ 6' ...0 9' ~ o ~ c v- I [f(,.j ~~ ~ . :::; C) G Q'~"-n ~ :: ~" c;:r. -4 .., t::l __,_ l~; P1 ["i, ::;g n fn - . '17 CO CJ ,c'l", -0 :.~~~ r~ ::;;: ~ . ': \'1 ( )1 ';,? 5~ w ~ --.l , A~ Cara A. Boyanowski, Esquire Supreme Court J.D. No. 68736 2080 Linglestown Road Suite 20 I Harrisburg, PAl 7110 (717) 540-9170 telephone (717) 540-5481 Attorney for Plaintiff Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA SARA L. WORMAN, vs. JARED N. WORMAN, Defendant : NO. 06-7166 : CML ACTION - LAW : IN DIVORCE AND CUSTODY AFFIDAVIT OF SERVICE Cara A. Boyanowski, Esquire, being duly sworn according to law, deposes and says that she is an attorney at law duly authorized to practice in the Commonwealth of Pennsylvania, and that on the 3rd day of January, 2007, she did serve upon Jared N. Worman, the Defendant in the foregoing case, a true and correct copy of the Complaint in Divorce by sending same to him, by certified mail, restricted delivery, addressed to 206-R Spring Lane, Enola, Pennsylvania, 17025. The receipt for said Complaint is attached hereto as Exhibit "A~1t Said copy ofthe Complaint was duly endorsed with notice to Defendant to appear and answer or the matter would proceed without him. Sw2I" to ~scribed before me Ibis ~ayof ~C\ ,2007. ~~ NOTARIAL SeAl DlBRA A EVANGEUSn Notary PublIC SUSQUEHANNA 1WP.DAUPHIN COUNTY My CommllsiOn bpi'.' Mav 7. 2008 By:~W1SlL Cara A. Boyanowski, E quire Attorney No. 68736 2080 Ling1estown Road Suite 201 Harrisburg, P A 17110 (717) 540-9170 Attorney for Plaintiff i " 3'e~ ~ !fled Mall [J Express Mall [J eglstered [J Return Receipt for Merchandise [J Insured Mall [J C.O.D. 4. RelItrIClidDilMiYt1f!)llll1W) 7004 2890 0000 0991 8256 . 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 retlim-the card to you. . Attach this card to the back of the mailpiece. or on the front if space permits. 1. Article Addressed to: -hud N, WOrffio..n rot., - R ~v1 n'i LO.N €'f\ O\Q, PA \:to~'3 2. Article Number (Transfer from service label) PS Form 3811, February 2004 Domestic Return Receipt 102595-02-M-1540 ~- (') ~ ~ -0 \"P qJf;; zf- ~~~,' ~C' 1':;(': ?_..,C) $c: Z ~ r--.') = = ...... <- ;po :;l: I CO -0 3 W .. o U1 ~ ~f.!1 :89 gn :".c:fi b::!J ,:..,," (') /- \r1 ~ ~ Cara A. Boyanowski, Esquire Pa, Supreme Court ID No. 68736 Serratelli, Schiffman, Brown & Calhoon, P.c. 2080 Linglestown Road, Suite 20 I Harrisburg, P A 17110 Telephone (717) 540-9170 Fax (717) 540-5481 Attorney for Plaintiff SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA vs. JARED N. WORMAN, Defendant : No.Olo- =l \ lot., C\U\ \ \Urn : CIVIL ACTION - LAW : IN DIVORCE MOTION FOR APPOINTMENT OF MASTER Sara L. Wonnan, (x ) Plaintiff ( ) Defendant moves the court to appoint a Master with respect to the following claims: ( x ) Divorce ( ) Annulment ( x ) Alimony ( x ) Alimony Pendente Lite ( x ) Distribution of Property ( ) Support ( x ) Counsel Fees ( x ) Costs and Expenses and in support of the motion states: 1. Discovery ( x ) is ( ) is not complete as to the claims(s) for which the appointment of Master is requested. 2. The non-moving party (x) has ( ) has not appeared in the action ( ) personally (x) by hislher attorney Jeanne B. Costoooulos. Esauire. 3. The statutory ground(s) for divorce is/are 330Hc) of the Divorce Code or 330Hd) of the Divorce Code. 4. Check the applicable paragraph(s) by check mark: ( ) The action is not contested. ( ) An agreement has been reached with respect to the following claims: N/ A ( x ) The action is contested with respect to the following claims: Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses 5. The action ( ) involves (x) does not involve complex issues oflaw of fact. 6. The hearing is expected to take _ (hours) 1 (days). :.... 7. Additional information, if any, relevant to the motion: None. Dated: l- \ l-O+ Q~J1llJ?x}~tOllQWs0 Attorney for ( x) Plamtiff ( ) Defendant ORDER APPOINTING MASTER AND NOW, ,200_, appointed Master with respect to the following claims: , Esquire, is Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses BY THE COURT: J. MOVING PARTY NON-MOVING PARTY Name: Sara L. Worman Name: Jared N. Worman Attorney's Name: Cara A. Boyanowski, Esq. Attorney's Name: Jeanne B. Costopoulos, Esq. Attorney's Address: 2080 Linglestown Rd., Suite 201 Harrisburg, P A 17110 Attorney's Address MARIA P. COGNETTI & ASSOCIATES 210 Grandview Avenue Suite 102 Camp Hill, P A 17011 Attorney's Telephone # (717) 540-9170 Attorney's Telephone # (717) 909-4060 Attorney's E-Mail: cbovanowski@ssbc-Iaw.com Attorney's E-Mail Party's Address and Telephone # if not represented by counsel: Nt A Party's Address and Telephone # if not represented by counsel: NI A r--' ~,,~:)- C' -...l <- :;,':" ......-;c'.. ~'..- N N ~ -4 :'c-n \,Y'I':::"; -rJ cl'}, ....t.'l\_..... :.-~)! (~~) ":r: -:-"\~A. ':~; ;:"') ~-3 \I' -~> ~ --1j ::.r: <.;? (~) .r; ~ . MARIA P. COGNETTI & ASSOCIATES JEANNE B. COSTOPOULOS, ESQUIRE Attorney I.D. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorneys for Defendant SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 06-7166 CNIL TERM JARED N. WORMAN, Defendant : CNIL ACTION - LAW : IN DNORCE DEFENDANT'S PETITION TO STAY COMPLAINT IN DIVORCE PURSUANT TO Pa.R.C.P.1920.6 AND NOW comes Defendant, Jared N. Worman, by and through his attorney, Jeanne B. Costopoulos, Esquire, and respectfully represent as follows in support of this Petition to Stay Complaint in Divorce: 1. Petitioner is Jared N. Worman, Defendant above (hereinafter referred to as "Husband"), currently residing at 206-R Spring Lane, Enola, Cumberland County, Pennsylvania, 17025. 2. Respondent is Sara L. Worman, Plaintiff above (hereinafter referred to as "Wife"), currently residing at 522 Springhouse Road, Camp Hill, Cumberland County, Pennsylvania, 17025. 3. Wife filed a Complaint in Divorce at the above term and docket number on or about December 18, 2006. 4. Previously, on November 21,2001, Husband filed a Complaint in Divorce in the Dauphin County Court of Common Pleas at docket number 5544 CV 2001. 5. The divorce filed in Dauphin County has not been withdrawn by Husband or dismissed by the Court. WHEREFORE, Defendant respectfully requests this Honorable Court to stay the Complaint in Divorce filed by Plaintiff until resolution of the divorce proceedings currently pending in Dauphin County. Respectfully Submitted: MARIA P. COGNETTI & ASSOCIATES By: ~ - JEANNE B. COSTOPOUL6S;ESQUIRE Attorney LD. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, P A 17011 Telephone No. (717) 909-4060 Attorney for DefendantlPetitioner Jared N. Worman Date~~7 . . , VERIFICATION I, J ared Worman, hereby verify and state that the facts set forth in the foregoing document are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. ~4904 relating to unsworn verification to authorities. Date: 1-)d~!J7 < ' CERTIFICATE OF SERVICE I, Jeanne B. Costopoulos, Esquire, Attorney for Defendant herein, Jared N. Worman, do hereby certify that on this date I served the foregoing document by depositing a true and exact copy thereof in the United States mail, first class, postage prepaid, addressed as follows: Cara A. Boyanowski, Esquire 2080 Linglestown Road, Suite 201 Harrisburg, P A 17110 By: MARIA P. COGNETTI & ASSOCIATES ~OSTOPOULO~Ullm Attorney LD. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, P A 17011 Telephone No. (717) 909-4060 Attorney for DefendantlPetitioner Jared N. Worman Dated: //224; -:-' r Q ~:;~ ....-. 1"--) c= ~~:~ -..,; o -n .-\ :J:, '1 p- 'Fn 06 ,;-;: .t~ . '~'t I:~~ '-~~ ~:o ~ '-- -",.- z N <...V ~ -...... '":'! 01 --J It. , , Cara A. Boyanowski, Esquire SERRA TELLI SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, P A 17110 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cbovanowski@ssbc-Iaw.com Attorney for Plaintiff, Sara L. Worman SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA : CIVIL ACTION - LAW v. . . : NO. OLD - 4 \lL>~ Q;\V \ \ Tum JARED N. WORMAN, Defendant : IN DIVORCE INVENTORY AND APPRAISEMENT OF Sara L. Worman (X) Plaintiff ( ) Defendant files the following inventory and appraisement of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. (X) Plaintiff ( ) Defendant verifies that the statements made in this inventory and appraisement are true and correct. (X) Plaintiff ( ) Defendant understands that false statements herein are made subject to the penalties of 18 Pa. C. S. 4904 relating to unsworn falsification to authorities. s~~L (X) Plaintiff ( ) Defendant 1 . . ASSETS OF PARTIES (X) Plaintiff ( ) Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. (x) 1. Real Property ( ) 2. Motor Vehic1es ( ) 3. Stocks, bonds, securities and options ( ) 4. Certificates of deposit ( ) 5. Checking accounts, cash ( ) 6. Savings accounts, money market savings certificates ( ) 7. Contents of safe deposit boxes ( ) ( ) 8. Trusts 9. Life Insurance policies (indicate face value, cash surrender value and current beneficiaries) ( ) 10. Annuities ( ) 11. Gifts ( ) 12. Inheritances ( ) 13. Patents, copyrights, inventions, royalties ( ) 14. Personal property outside the home ( ) 15. Businesses (list all owners, including percentage of ownership, and officer/director positions held by a party with company) ( ) 16. Employment termination benefits -- severance pay, workman's compensation claim/award 2 . . ( ) ( ) 17. 18. (x) 19. ( ) 20. ( ) ( ) ( ) 21. 22. 23. (x) 24. Profit sharing plans Pension plans (indicate employee contribution and date plan vests) Individual Retirement Accounts Disability payments Litigation claims (matured and unmatured) MilitaryN.A. benefits Education benefits Debts due, including loans, mortgages held ( ) 25. Household furnishings and personalty (include as a total category and attach itemized list if distribution of such assets is in dispute) ( ) 26. Other: 3 :0 . WORMAN v. WORMAN Date of Marriage - June 25, 1960 Date of Separation - July 2000 (40+ years) MARITAL ASSETS Assets Wife's Husband's Master's Notes Value Value Value Real Estate Marital Residence: Fair Market Two liens exist on the Value: 522 Springhouse Road property: $230,000.00 Camp Hill, Pennsylvania (jointly titled) 1. Washington Mutual Loan No. 8013105641: $11,707.15 as of 11/1/06. Wife pays this loan. 2. Sovereign Bank Loan No. 6819007914: $30,302.07 as of 10/11106. Husband satisfies one-half of this home equity loan, i.e., $168.00. Wife resides in the Marital Residence. There was an understanding between the parties and Wife's mother that Wife's mother would sell her own real property, located in Harrisburg, Pennsylvania, and provide those funds to Husband and Wife, and then reside in the Marital Residence 4 . . MARITAL ASSETS as a 1/3 owner. Specifically, Wife's mother sold her real property in 1974, receiving $15,000.00. She provided this money, along with another $5,000.00 (3/1974) to Husband to purchase the Marital Residence. She also expended the sum of$14,444.00 to renovate and remodel the existing kitchen of the Marital Residence in June 1980. Since the date of the separation, she has contributed approximately $3,150.00 to the upkeep and maintenance of the Marital Residence. Retirement Assets Raymond James Retirement Account TBD Husband withdrew Account No. 73500402 approximately $6,000.00 from (Husband) this account in April 2002, specifically against the Court Order dated January 4, 2002. INFO. NEEDS TO BE UPDATED BY HUSBAND. Pershing Individual Retirement $38,560.95 Value of account as of Account September 2006. Account No. 3VJ-225713 (Wife) Wife has made contributions to the account since the parties' date of separation: 2000 - $2,000.00 2001 - $0.00 2002 - $0.00 2003 - $3,000.00 5 . , MARITAL ASSETS 2004 - $3,500.00 - 2005 - $4,500.00 Loans/Debts Separation Financial Agreement $11,680.00 The parties, in July 2000, with Reimbursement to Wife from the assistance of their financial Husband advisor Doris Pletcher, entered into a separation financial agreement, whereby, the parties agreed to equally share the mortgage payments on the marital residence and equalize the draws each received from the respective retirement accounts. Wife's calculation, as of November 2006, were that Husband owed her $3,000.00 toward the first mortgage payments and $8,680.00 toward the equalizing of the retirement withdraws ($31O.00/mo x 28 months). 6 . . e . t>ck1bi-J- 4- -- ---...... ::E .. .. ::r s- IC o ~ ;::::2P ~~ j ... '" o '" \Ii ! , , r ; i \ i ~@ .'0" =t"U)::J'- olboe: 3 ~.~ .. ~coir: . 0 it= ~ 3.e ::l :l .. (\110 ~ ~ 0 s g e: o "" . o :; ::E :l <" III om.. ~ f>> CD ~ <II III ~~5. !!t, s: m- .lIl f= a. :5" VI 0' 0-0.. 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HOME LOANS 10194570087083 . .~ ,',.~- ~''''','c~=, ,~_, ,~_",~~,_,=_,~,~._~.~,.,~~,.,Page; ,,4. . of.4 Loan Number 8013105641 I Escrow Account History for the Prior Payment Period The following is a comparison of the anticipated and actual Escrow Account activity for the previous payment period, Anticipated amounts are taken from your last analysis, Your most recent monthly payment during the past year was $1,113.66, of which $877.54 was for principal and interest and $236.12 went into your Escrow Account. At the time of your last analysis, your anticipated lowest balance was $472.24. In reviewing your account activity, your actual low escrow balance was $649.49. Note: An asterisk (*) in the chart below indicates a difference between what actually occurred and what was anticipated, This difference may be due to a change in Escrow items such as an increase in your insurance premium or a change in the due date of your property tax, Insurance and Tax payments may be disbursed before their due dates to allow for more mail and posting time at the insurance company or tax office, An "E" in the chart below indicates expected activity. Deposits to Escrow Payments from Escrow Escrow Balance (credits to escrow) (debits from escrow) Month Anticipated Actual AntIcipated Actual Description Projected Actual Starting 8.I.nl>> 708.33 997.Y7 Oct 05 236.12 242.78 · 944.45 1,240.75 Nov 05 236,12 242.78 · 1,180.57 1,483,53 Dee 05 236.12 242.78 · 1,416.69 1,726.31 Jan 06 236.12 485.56 . 411.00 · FIRE/HOMEOWN 1,652.81 1,800.87 Feb 06 236,12 242.78 . 389.00 . FIRE/HOMEOWN 1,499.93 2,043.65 Mar 06 236.12 . 1,736,05 2,043.65 Apr06 236.12 . 508.20 549.23 · crr fTWNNIU 1,463.97 1,494.42 May 06 236.12 485.56 · 1,700,09 1,979,98 Jun 06 236.12 485.56 · 1,936.21 2,465.54 JulO6 236.12 236.12 2,172.33 2.701.66 Aug 06 236.12 . 1,936.21 2,052.17 . 5CHOOlTAX 472.24 649.49 Sep06 236.12 . 708.36 649.49 Total 2,833.44 2,663.92 2,833.41 3,012.40 ~ !!!!!!!!!!! iiiiiiiiiiiiii - ~ - ~ - !!!!!!!!!!! iiiiiiiiiiiii - !!!!!!!!!!! ~ - - - - === iiiiiiiiii ~ - iiiiiiiiii !!!!!!!!!!! ~ !!!!!!!!!!! STATEMENT OF ACCOUN'FJ75426-S019 t Sovereign Bank'. Account Number: Statement Period From: Statement Period Through: Days in Statement Period: Current Balance: Credit Line Amount: Available Credit: Year to Date Interest: 6819007914 08/20/2006 09/19/2006 31 30,302.07 34.000.00 3,909.26 1,759.95 SARA L WORMAN \JARED N WORMAN 522 SPRING HOUSE RD CAMP HILL, PA 17011-1454 IS Minimum Payment: Payment Due Date: 337.71 10/11/2006 111111I,"111111I,,11,"11"111,1,,1,1,1"1,,1,,1,1,,1,11,1,11 IMPORTANT MESSAGES PROVIDING RED CARPET SERVICE(SM)... .THAT'S WHY WE'RE HERE. ACCOUNT BILLING SUMMARY ACCOUNT BALANCE SUMMARY Principal Due FINANCE CHARGES Due Past Due Amount Late Charges Due Total Minimum Payment Due $126.38 $211.33 $0.00 $0.00 $337.71 Beginning Balance Advances Payment Received FINANCE CHARGES Ending Balance $30,429.81 $0.00 $339.07 $211.33 $30.302.07 SUMMARY OF VARIABLE RATE REVOLVING ACCOUNT BALANCE 08/20/2006 Periodic FINANCE CHARGE 09/19/2006 Corresponding ANNUAL PERCENTAGE .0002260273 ANNUAL PERCENTAGE RATE $30.160.33 Ending Balance $211.33 RATE 8.2500 8.2500 $30,302.07 Periodic Rate From Periodic Rate Through Daily Periodic Rate* Average Daily Balance '" The dai~y periodic rate may vary. TRANSACTION ACTIVITY SINCE YOUR LAST STATEMENT Posting Date Effective Date Activity Description Amount 08/20/2006 BEGINNING PRINCIPAL 09/06/2006 09/06/2006 REGULAR PAYMENT 339.07 TO PRINCIPAL 126.91 TO **FINANCE CHARGE** 212.16 09/19/2006 ENDING PRINCIPAL Balance 30.217.65 30.090.74 30.090.74 ~a,~1,1 \ q\ '&1 e. -------- EXh! hit B '. SARA L. WORMAN, Plaintiff IN THE COURT OF CO:MM:ON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LA W JARED N. WORMAN, Defendant NO. 01-7083 CIVIL TERM IN RE: PLAINTIFF'S PETITION FOR SPECIAL RELIEF IN THE FORM OF AN INJUNCTION PREVENTING REMOVAL. DISPOSITION. ENCUMBERING OR ALIENATION OF PROPERTY UNDER ~ 3505 OF THE DIVORCE CODE AND P A.R.C.P. 1920.43(A) ORDER OF COURT AND NOW, this 4th day of January, 2002, upon consideration of Plaintiffs "Petition for Special Relief in the Form of an Injunction Preventing Removal, Disposition, Encumbering or Alienation of Property under ~ 3505 of the Divorce Code and Pa.R.C.P. 1920.43(a)," both parties are enjoined from disposing; transferring, encumbering, concealing, selling, removing, or alienating any marital property absent a written agreement between the parties and both parties shall provide to the other party an accounting of all withdrawals from any marital assets, except those which have been ......, previously agreed to by the parties. V~. A hearing is scheduled for Thursday, March 14, 2002, at 9:30 a.m. in Courtroom No. 1 in the Court of Common Pleas of Cumberland County in Carlisle, Pennsylvania, for purposes of considering whether this order should be continued, modified or vacated. . BY THE COURT, fn ;' ;~~;~"~'I::Y ~;,~~;;;;':'~fft ~"~'::"';"'<;i; ;}i<"'~';'\;:~'! i'li"iU """'1"'\'.' "LJ'" -~...'-) ".....t _l ,'. ::.~. ,',. "',.lot! Hh.. .:.,,;,,{: '-it ';:"41:',,~ ~_l,h.'l f:a i....U U.:H:~, ~ d,. "l'l,j.. .! . .,~ -, /:\J .~ ih ......,. ........ I"l t VI, ,~,lo{S... . t ,.,v.,~.. ~ .._~, .S". '_'" ......r;...~ I ..,~ .~ ....p.t5l.:.... . ' . g1.;om:onotary /" Exhibit "A" .., ~. " "",,,~"""""\~"""'''';;-'~-''~''"'''i''\''';''''''~'''"i~rrr'"I~_ SARA L. WORMAN , Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA v. CIVIL ACTION - LAW JARED N. WORMAN, Defendant No. 01-7083 CIVIL TERM ORDER OF COURT AND NOW, this 30th day of May, 2002, upon consideration of the Plaintiff's "Petition for Special Relief in the Form of an Injunction Preventing Removal, Disposition, Encumbering or Alienation of Property under Section 3505 of the Divorce Code and Pa. R.C.P. 1920.43(A) ," and pursuant to an agreement reached in open court in the presence of the parties and their respective counsel, Kathleen Daley, Esquire, on behalf of the Plaintiff, and Jeanne Costopoulos, Esquire, on behalf of the Defendant, it is ordered and directed as follows: 1. Both parties are enjoined from disposing, transferring, encumbering, concealing, selling, removing, or alienating any marital property absent a written agreement between the parties, except for those withdrawals which have been previously agreed to by the parties. 2. Each party will furnish the other with their respective 2001 year-end IRA statements showing all withdrawals made during 2001. 3. With regard to 2002, the parties shall Exhibit "B" =- ',. ....c..iC.:<.....:_..,.... ',--.'..-..,... J ,-,furnish each other with a copy of each monthly statement received for the IRA account as each monthly statement is received. 4. This order is entered without prejudice to Plaintiff's right to bring an action in contempt seeking additional remedies, including attorney's fees and costs, for violation of the temporary order. By the Court, J. Kathleen Daley, Esquire For the Plaintiff Jeanne B. Costopoulos, Esquire For the Defendant wcy . . ~ ';, "Ik .,., ,";b'_t_ ';' '"~""::",_;",!:",,: .:,;:;."",-;,\,:~:~;" ;_~>-j' ',,/r .: '(:'::5,~7,:,,: .',ilit :;;' ,,,e.,.-;,,: ,.,<,,,;,:,;,~;,,~~, ", -o,.~...." '<c',. :,"~~ .' ,'"., -.;.- ',," _ ';",,;'"J'A;1.;';'~ SARA L. WORMAN, Plaintiff : IN THE COURT OF C0Ml\10N PLEAS CUMBERLAND COUNTY, PENNSYLVANIA : CIVil.. ACTION - LA W v. : NO. JARED N. WORMAN, Defendant : IN DNORCE REOUEST FOR ADMISSIONS 1. Do you admit that the Court of Common Pleas of Cumberland County entered an Order on January 4,2002, which provided as follows: AND NOW, this 4th day of January, 2002, upon consideration ofPlaintifrs "Petition for Special Relief in the Form of an fujunction Preventing Removal, Disposition, Encumbering or Alienation of Property under ~3505 of the Divorce Code and Pa. R.C.P. 1920.43(a)," both parties are enjoined from disposing, transferring, encumbering, concealing, selling, removing, or alienating any marital property absent a written agreement between the parties and both parties shall provide to the other party an accounting of all withdrawals from any marital assets, except those which have been previously agreed to by the partes. AMwer~ 2. Do you admit that you have withdrawn the sum of $6,000 from an IRA account on or about April 15, 2002, contrary to the terms ofthis Order? Answer: %;, . ,----- Exhibit "c" , 3. Do you admit that you had previously withdrawn sums from the account located at Raymond James under account number ill 73500402, titled as Jared N. Worman, IRA, Raymond James & Associates, Inc., that were greater than those authorized under your agreement with Sara Worman? Answer: ~5 ~ 4. Do you admit that you took the action described above without notice to or approval from Sara Worman? Answer: I {~ ?- '- 5. Do you admit that market conditions and withdrawals have reduced the value of the marital accounts from a December 31, 1998 market value of$356,828, to a December 31,2001 value of $192,093? J ~5G 82.8 AS. () F ,z...- '?:J I, 98 II / 5~'O - -roTAt- WI-rbl-b(4.w,Al-5 BY If.:4~t> Answer: '345; ~2-B . I q z' 0" 3 - A S () F 12-"'3 /~ I I - ~ 15,. 2.."bS" - '1:>1Jrf --u, ~;'ILI'GT !:JEcu N E '"t'/UoAJTHLf PIIYtJuT5 6. Do you admit that a document identified as Exhibit "Al> purports to be a true and correct copy of the fee agreement executed between Sara Worman and Daley Law Offices? Answer: """';;ir.""";;,,;,,,,,,;,.,;,, _ ".:',....~,.....~...- " -.,- ;,~..) 7. Do you admit that Exhibit "A," that has been furnished to you, purports to be the bill from Daley Law Offices to Sara Worman for charges related to the Petition for Special Relief and for expected costs for the contempt action filed by the Petitioner? Answer:~ 8. Do you admit that you have no information in your possession that could establish that Exhibit "A" or Exhibit "B" as an erroneous or incorrect statement of the fees and costs incurred or expected to be incurred by the Petitioner in bringing the initial action seeking injunctive relief or in the action for contempt? Answer: L/P?" 9. Do you believe that you have any legal basis for the Court to fmd that your withdrawals which occurred in April 2002, were contrary to the express language provided by the Court's Order? Answer: tfes: M~ tJAAI/6t> /)J~utE (J2Eb()~t> Fv/?.TH Eft- Bft MV fA VIP?... Y2- 7lIE- 11A"~/aAaJ;. OiJ 52.-2.. ~P~/AJtUt~U ~E ~ /..G A IJ IE: '? /Yt/3... W t Tff N (j ~ 0 I) f!..c..E. y: OF FINNJcML 5Ac):::-u P AJ~ t..A1UiE. \)AJARE'5i~ G'tfGNSJ:r$ ?lJc.N AJ , ) /\'1 'I ;2.L? 0 J F.6h, 77t '){ ~} t..L.. ;r:. W A b NO c.}fo JC~ t3 iJ T 70 () SE /~t ~ I AJ V G$(!vi ~T A c;.C{J O,Vlt DALEY LAW OFFICES 7' . (. . ~ .(......... K hleen Carey Daley At orney LD. No. 30078.. 1029 Scenery Drive Harrisburg, PAl 71 09 717-657-4795 Attorney for the Plaintiff (} ~)J UJ~-2f~4- / . ' . . e e fxh\bit L .s:: m n ,. ~ S ~~, '" Ut '" :r Ut ; = '" -' '" ~ ::I:;:;Ol => ::E" ()~ -c: c... -I=> n ,. ~ ;a ot: Oc... '" ~'" '" "'0 "'r+ :r - ~3'i '0 t: - '=i; m 0 3":;l oe1.. .0 ii' c: & ~' """'0< C':l UI 'i:P-. .. Cl:lCl:l "'en n iD ~og ~~~~ CD 0 l><ll :r '" )( III => -...1::2'" e n N -I"" a lit 0 '-'lJ'l:%l CZlCZl '"%.l e ..::I' ~ -< e -n...... o n' :I U>~::I o::~=tl:l .-...... o. = I-' ~ z<ll .... zO '" 7" -u a. t"'ZO CD ~ -...I rill t"'O CZl w Q) ().I~- ~ -...In" o::t"'> '" ...... ~oS~ 0 ...... ().II::I ...... mlQ .... i--IC ~ AJif --.JCZl>t'" e; ::I Ot":lCZl~ M' :::~C':lO ;..oc:~ 0 - ~E;CZl w '" UI >-3 0 :; - ~ 0 CD = ~ >-3 - .... ~ ~ ::d '" 0 0 l 0 '" - 11>0 ~ >< , -= .... - ,0 00 0 0 [t '" 00 0 0 - 'tl 00 0 0 t:l 0 '" > 0 0 0 0 0 '" 0 '" - 0 '" i N "'IU 0 N !lie .:"" () In "'- - e ... ~ ",::;j ;::j t If 0 ::"l1U 0 en w~ 8 ~ 0 '0 i. ,., nom ~ "'> ::I :r ;c'c1 S'R !!: '" -- iro a => ~::I - ;s- - r ::I c :I C "'IU I " III =>::1 mil. ,"-, c...-. I>> !II 0 0 ..... r =>~~ il.z g. n "'- Co b Ie .. ~ it ~~ 8 a-. . ~~. - -VC a \0 .t 0 ~. 5' _In 0 ~ ::I c:: gOiS m :I '" ::I ::I ::a :s. go .... "'U1 0 c:: - ia,r-+c: a ::r !!. < ~:"! g: 0 III ~ a !L .:s ri !i' ii' 2'" ~ w & ::r s i~ S - ,. III _ I>> I 0lJ1 IU - i = ...... I O~ 0> 0> '1 ID 2~ '" -s.-s. -s. -s. a .... _us ~ IIi - ....,..., ~ :' iil!I!1 I>> I~ - :I .- '" !!Io It 0 it ~. ~: ~ w ~ r~ .sa i If. ...., i'~ ~ I ~ 1'.J ~ 1-,., .0 I ;" ,.. I ' ~ '" , " po .: ~ i 1 ..... :; ~ - "''''i-~ I'" , ~ 5' - i Lf ! !!OO! !!o .", . ~ ~ 1 n~ - f PI~ ~- 1 ~ --t ,,>I,. 0 .' ...~ . it!!!. ... u> II> ~' it: .~ i~' i~ 'n ii- ,~ i~ !!l~ ~ ~ ! -!:l.. ~_ ~i- ~~ - - ~ w w f 'it II> Su> - III !II '~ i5i'II> II> ~ ~ _ w 2:== Ii \O"-'W l 0 ~ - ~!J':--I .... '" ~ ,to> 0:>0- L '''' .., In ""'0'" '" II .. 18/28/2886 14:25 7179758646 .' fl' PAGE Ell/en .. ~ :L .. FAX The Conte-Browne Group Doris Pletcher Wealth Preservation and Financial Strategies 2009 Market Street Camp Hili, PA 17011 Date (()~~~ Number o~es including cover sheet L. To: Attn: G4<'1 ~r~ From: D. Pletcher , . Phone 717-901..7373 Fax Phone 717..975..0646 Phone Fax Phone IJ 17- .PIo-5N/. cc: o 4~uJd-~',v. J1',4 ~-Wd fI,tI C:ZO(!)O - ~ ~". - e2c4>/J~ ~~ c2 t!)O :J. . . ~~~-bcA7 ~~r. ~ o::JoQ.3 - .;J'~(JD tH? ~~_ 1I'J:S80.:: ~.1"-- ~ ~ - RF~FJVFO TJMF n~T?n ~'?QPM ~ -- e f~~)\Olt P e ~V~l :Ol '6 '9nv 3~Il 03AI3JH . . I' "Flnancial Monthly Settlement" (Until House Js Sold &lor, Olwrce Is Finalized) Expenses: Sara & Jared will pay/mo. - $SOO.oo, due 3rd of mo., to First USA (for Ii 9J.o, Q,~ombined charges, total to be determiDed 7/31) " , $550.00. due 1st of month, to Fleet Mortgage -bJ, ~~, 'tit. 'ill .-. t Io1b $34.00. " ., to Automatic OataProcessing - health insurance) , Total: $1084.00, due by 20th ofpr8\lous month (Note: August bills will haw been paid by 7/31) Sara will pay "'esan lease am't, 280.78/mo.. and Jared wil~ sell either the Jaguar or the AIfa. ASAP. paying Sam half of the combined sale and the current (as of 7/31) appnlised \8Iue of the other car. Carlneurance. to Erie Exchange, will be due as ~"ows: $332. 00 -due 9/1 $333.00 - due 12/1 . $333.00 - due 3/1 We will each pay half. $166.50, due by 20th of pnMOUS month, contingent to Sara possessing key to car, stored at 522. Note: Garage opener will be available to Jared, only, until car 16 $old. Monthly "Draws" from Raymond James Financial- $2550.OOIctach , (Note: Sam will subtract $700.00, Soc. s~.. tom her draw, monthly, and, Jared will subtract $9OO.00/mo., when he begins to collect his $.S. in January) Therebr: Jared will get $2550, until 112001, then $1650 Sara will get $1850 ~ j-- R.J.F. DispelSion: $2860, tom Jared's account, and $1540, tom Sara's. We will "split" any earned wages (ie, tom V.N.A.. H.L.R.. etc) - due by the 20th Of the month. Any cap/tat improwments to the house. prior to its sale. or the dho~e" with. apProval by both parties, ,will be paid by Sal'll. and deducted fi'om the selling price, and repaid to her. or tier beneficiari.., at the time of the safe, or Ute, di\Orce. ~~ ~ad-~"'~ ~ ~R:A 'UiOA. mAJJ . ': '.JA ~ E.O WOi:l.. (nJHJ fl j.J D R\ l~ .. ~fj II, ~o.o Q;~,~ ':.', . aJ J~~ 7 -J I-()O Notarial Seal Doris M, PlelCher, Notal)' PubHe , Camp HlII8oro, Cl.lmber1and ~ My COl'nmlasion Elrpires Sept. 28. 2000 Member, j:l.MtY/Vlltlla Association of Norarles ~~Jw~7-I/-CXJ 'i .. Zg 39t1d lt1~OI^t1H3aal3I~dW3H P968tzUtL 9'[:0t 900G/60/80 ---------------~ -- ,; /' ~)L \".I~' t t:- July 17. 2000t ~y 6t'l"'*>od before me Jwed Wol1D8ll 9I'ld ~m ;:.~ W<JtJJWl- Thollla cd I.. oopy oflh.,;n_ ofpcnooall""P""Y' .. .; Q.~ h>.~ Doris M. P1erd1er Notarial Seal Public 00,11 M. PIetch8!~fa!L Cou~ Oamp Hili Boto. Cuy"u..._.... . My comrnlSllOn Ellpires Sept. 28. - ,Member. pennsylvania ASSociation of NotarieS '" ~ E13 39t1d ltl~OI^tlH3a al3I~dW3H P9681:Z:Z:L'tL 91::131: 91313Z:/613/813 ~. J,1j \9.-~l~ [D~:h:'~[1~;~~i~In~'I"v,v, - FURNITURE INVENTORY (fJ~ T~/j Living Room:MSofa- (bought by Mother '74) ~(4) Gold Chairs'(From N. Kocher) M Glass Coffee Tabl~ - " " '^ Large Framed Picture (trees) -" " (fQ J' (2) End Tables - B. W"fDUlD CV~ (2) Green L~ps :. --UWL 1\ Drop-leaf Table (Mother's) , ~ Black lamp -N. Kocher ,. / ~ ;I \ Gold chair andottoman - , ~e,'U) or-fmJ otA.,i-'. / l-\ (Enclosed) Etagere - (bought by Mother '74) , ~ B!ue Brocade Chair - Grandma Fair's -- ~ ~:~:: ~ . CJ;ij, or ~:J) ? '~Mountain Lion Sculpture - N. Kocher's Dining Room~Cdntempory Hutch - ~ ~ 1\ Traditional " - Mother's M Table - bought by Mother in late '80's . tt\ (j) ~s ~.J>o t by Mo~er '74) FamIly Roo~:~ ' \S C-pFile. ' ';:, " J '(2)"En.fT'86ies- .s Blue C~nt:mpo~ C ..., '" J Blue S()fa ," , ~ ~" " Chair with Ottorn ' - ' ',':.' > J'" (Straight) Chair -' " 5 Desk. ~ ii SMetal Director's Chair- ~ Electric Barcalounger -Itli~, i' , .~ Wooden Coffee Table "',J,;~,.l;");'..:;!k-'1<~ii,~i:l'~~,,;<,~~b.i~;; ':"" :':.',~ ~ilJJ. ',." " ~i.' " "" ...~~...,.,..f:.'...... ,~".':::" ::. )1":.....,..." '. :~...:~:!:~:~\'....~. !!\.Z'; '" M}i~,,: ...... '_,~.i.. ~Ivory Lamp.. ' ' "S Brown Ceramic Lamp .' HBrass Wall Sculpture - ." Framed Columbian Need] or - \, '~ ~~ (2) Framed Postel'S .'1/'~: : _ '.',,' " "J ' Wooden Stereo/Record CabInet ~bwlt by . "J ".Bookcase~ " ",'''''' "~ Stereo Compo~~ceiver- ",J.d ,1~~tJ~&"~\)~:mn.#l) 1, bL~~ ~[~ .. , " t~. ~lI(~ 1>>kfJ- 'h ~ l~~OI^~H3a al3I~dW3H pg68r~~LrL 9r:0t 900~/60/80 1..+-~-~~ ~~ . P0 39~d vWSl:Ol '6 'nnv 3WIl a3^I3J3~ v c .. J .2. ~ J1.c~ -'I1k.-~~ ~k_~ ~ lJ- ~4{,A- ~ V;}.... .~*-:!il4/p ~(11OIoo); 14l1.11~/~ ..?7 . ., b be. .solt1c>l-'~M'~+~ .\~....:~ - .. 90 39\;;1d l\;;1~OI^\;;1H3e al3I~dW3H P968tZZLtL 9t:0t 900Z/60/8B lNVSl:Ol '6 '8nv 3WIJ. OHI3Jn ~. .J . S)c.D. Player .'. ~T~,~- ~v.- · .(H~use is wir~:. 4wall speak~, -12 mL.R.- ~~2inF.R.-~ ) c:3BrassFloor Lamp: ~ .J Kitc~~ I~~~'1~~~~?::; ~ Moili~ m 7<j~..~ ~ (2) Lower Chairs - " "" "" 1D ~"" .jt(* ~ Rocking Chair .. "" " ,,(( d I ~ ! (2) Stools - ~ . e!J~ ~, ..Jlr ~ Egyptian R~ -=- bought by Sara & Mother in '96 eD\WJd.J<<- Hall: 'WOol Rug - ~ tit Framed Mirror...., N. Kocher's M M~ther' s Bedroom: (all items belon to ~ Jared's ; (2) Single Beds- ~ Plastic Etagere I oJ Leather Chair and an -':. .I Brass Lamp - ~~ T. V,- was B. Worman's \..U \ ~-an- ?'\ I eo J. Frauled Van GogJ1 Print - present to Jared by Sara ~ \:!:}w Framed Nude - N. Wonnan's_ -~ Guest Room: (2) Single Beds - ~ : j Des~.-~. ~ .0 Chair" _ '\ S Bureau- $ Plastic Etagere - N. Kocher's . ~ ~ Wooden' Cabinet for components - :J~~~ ~Brass Reading Lamp - ~ t4\ Yellow Table Lamp - Mother's 0T.V.-~ Sara's Rooii.!S'Double Bed (with headboard)..~ .s Brass Lamp- '\..,~ S Bedside Stan~ M 'Silver' Lamp- N, Kocher's ~ Barcalounger - .. S Bureau- ~ . 913 39tid lti~OI^tiH3a al3I~dW3H P96BTllLTL 9T:13T 91313l/613/B13 VNSl:Ol '6 'nnv 3V'JIl CHI3J3~ ~ Yr, " T.V,-~ life -S Large Dresser (with Mirror) -,.. " SBrass Lamp , ~ L _ - R- ,.s Large Framed Print (byM. Gatt) - ~ . M. LithOgra~SO - N. Kocher J Hall: SDllil1Book,ClIse:~ .. '. &._,~ . S Larger Book Case - ~~ "David" Sculpture - Recreation Room: Piano - Mother's Desk: -" , Pool Table...., bought by mother iil '74 Sewing Machine - Mother's Cabinet Stereo-. " 1 SharpStereo- ~ _Sdt: ..... L....;/ (5) Bookcasei - , '.--.~t1... ,~', a '''~'Yf' .s Treadmill. ~ ' ... . .4" G. (.) &2) Speak= . ::s. . . \0 ~\r\~~ Computer with Printer _ . Basement: Refrigerator- ... . , '. _ M Freezer - bough y Mother fro Ddfenbaughs ~ Washer - Mother's Dryer -~, , Wooden Cabinet (with glass doors)- Mother s ~Patio: Gas brill - ~ , M Wrought Iron Dining Set - N. Kocher s S" "Chairs and able- Garag~ower- Snow Blower - Exercycle.. ~ W~ ~F~ .. h;ffl~~~~ ~ f!~ ~ s1\<1IO-m f"~ tt~P-1t--=- ~ ~~~ ~F~, -Jim) Prol TDbk -~~ ~B~,~ hJIoLi~) ~J" ~" 1: br- f'dttl br.!tk t!.""-Jz,,.~ fl3td -b&k-, If ~1J,,q -h>l~ ~rrd )(j) l~~OI^'iJH38 al3I~dW3H P968100L1L 91:~1 9~~0/6~/8~ L~ 39'iJd VCJ ~, t"-..) o ,I -~ ::r.:: TI r!1== ,. :;1 C:J I ~:': ! ~ (- C' .) 1"V ~:-J (.) . ;:;~ , ':\ '> ,eja :< ( ,,) ... Cara A. Boyanowski, Esquire SERRA TELL! SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 201 Harrisburg, PAl 711 0 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) cbovanowski@ssbc-Iaw.com Attorney for Plaintiff, Sara L. Worman SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA : CIVIL ACTION - LAW v. . ; NO. OLD - ~ \ L,LD C\V\ \ -rum JARED N. WORMAN, Defendant : IN DIVORCE INCOME AND EXPENSE STATEMENT UNDER RULE 1920.31 I hereby file the Statement ofIncome and Expenses required under Rule 1920.31 and verify that the information therein contained is 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.A. S4904, relating to unsworn falsification to authorities. Date:+bu"-, ~~ BY:~4Jq(.uLJ ara L. Worman, Plaintiff INCOME AND EXPENSE STATEMENT OF SARA L. WORMAN INCOME Employer: Hempfield Behavioral Health Address: 2447 N. }rd Street Harrisburg, PA 17110 Type of Work: Nurse/Counselor Pay Period: Bi- Weekly (40 hours per pay period) Gross Pay Per Pay Period: $854.80 Itemized Payroll Deductions: Federal Withholding $ 91.00 Social Security $ 53.00 Local Wage Tax - Hbg $ 13.68 Local Wage Tax- WS $ 8.42 State Income Tax $ 26.24 Medicare $ 12.40 SUI $ .77 Retirement $ 51.29 Net Pay Per Pay Period $598.00 OTHER INCOME: MONTHL Y Retirement benefit $ Social Security $862.00 Annuity $ Support $ Gifts $ TOTAL INCOME PER MONTH $2,157.67 HOME: Mortgage Home Equity Yingst Extermination Tru Green Lawn Care UpkeeplMaintenance Carpet Cleaning Grass cutting/snow removal Utilities: Charles Baker Electric Propane Gas Sewer/Trash Telephone Cellular TelephonelPager Water Cable Television and Internet fee TAXES Personal Real Estate EXPENSES MONTHLY $1,128.57 $ 337.71 $ 67.00 $ 56.00 $ 55.00 (Paid $634.00 to Handy Man Matters to repair garage door and miscellaneous items in 2006) $ 16.00 $ 130.00 $ 4.00 $ 186.00 $ 79.00 $ 41.00 $ 57.07 $ 53.81 $ 44.00 $ 53.00 $ 1.00 Escrowed INSURANCE: Homeowners Automobile Health Nursing Liability Insurance AUTOMOBILES: Fuel Repairs Oil Changes Car Registration/Inspection fee AAA MEDICAL: Counseling Services Doctor Dentist Medicine Special Needs, i.e., eyeglasses, Hearing aids, wheelchair, etc. PERSONAL: Household Help Clothing Escrowed $227.17 $154.78 $ 7.42 $ 60.00 $ 64.20 $ 11.00 $ 13.00 $ 8.25 Satisfied by Health Insurance Satisfied by Health Insurance $ 10.33 $ 45.12 $ 55.45 $ 100.00 $ 42.88 Food $ 200.00 Lunch Money (work) $ 60.00 Hairdresser $ 62.40 Nail Appointment $ 25.00 Charge/Credit Cards $1,277.00 MISCELLANEOUS: Papers/Books/Magazines $ 23.75 Entertainment $ 50.00 Gifts $ 50.00 Legal Fees $ 150.00 Charitable Contributions $ 187.75 Nursing License $ 9.16 TOT AL MONTHLY EXPENSES $5,203.82 Hempfield Behavioral Health 2447 North 3rd Street Harrisburg, PAl 711 0 Sara Worman* 522 Springhouse Road Camp Hill, PA 17011 Employee Paystub Check number: PC75 Employee Sara Worman', 522 Springhouse Road, Camp Hill, PA 17011 Earnings and Hours Hourly Regular Rate Deductions From Gross 401-k Qty 40:00 Taxes LOCAL W/H - CAPITAL TAX Federal Withholding Social Security Employee Medicare Employee PA - Withholding PA - Unemployment Employee OPT Local W/H - West Shore Tax Bure Net Pay Rate 21,37 2447 North 3rd Street, Harrisburg, PA 17110717-236-3090 Current YTO Amount Taxable Company Items 854,80 20,515,20 401 K Employer Current YTO Amount -51,29 -1,230,96 Current YTO Amount -13,68 -105,34 -96,00 -2,199,60 -53,00 -1,271,94 -12,39 -297.47 -26,24 -629,76 -0,77 -18,46 -52,00 -218,88 -202,08 -4,793.45 601.43 14,490.79 Pay Period: 11/04/2006 - 11/17/2006 Pay Date: 11/24/2006 SSN Status (Fed/State) SingleJWithhold AllowanceslExtrs Fed-OIO/PA-O/O "'-"-3713 Current 34,19 YTO Amount 102,57 Sara L Worman 522 springhouse Road Camp Hill, PA 17011 2005 U.S. INDIVIDUAL INCOME TAX RETURN SUMMARY Adjusted Gross Income Taxable Income Total Tax Total Payments Payment Due IRS Effective Tax Rate $ $ $ $ $ 11. 09 % 44,610 33,111 4,946 4,226 720 Listed below are forms and related worksheets for your review: - Form 1040 Individual Income Tax Return IF YOU PLAN TO FILE ELECTRONICALLY: After you file your return electronically, you will receive instructions on how to complete the electronic filing process. IF YOU PLAN TO MAIL YOUR TAX RETURN: When you print your filing copy of your tax return, you will receive instructions on where to mail your return. KEEP THIS PAGE FOR YOUR RECORDS -- DO NOT MAIL. 161-32-3713 s,.-.'s1lOCi8l security number 204-28-2471 You must enter your social security .l A number(s) above. . OIecking a box below will not CHill PA 17011 change your tax or relund. .. Check here if you, or your spouse if filing jointly, want $3 to go to this fund? (see instructions) ,.....",.,..,.. ~ 0 You 0 Spouse 1 Single 4 Head of household (with qualifying person). (See 2 Ma 'ed f'l" '" tl ( if I had ' ) instructions.) If the qualifying person is a child rn I !ng JOin Y even on Y one Income but not your dependent, enter this child's 3 Married filing separately. Enter spouse's SSN above & full name here ~ name here ' . ~ Jared N Worman 5 0 Qualifying widow(er) with dependent child (see instructions) YouneIf.,I.f.~~~~.~~~,~'~~~,~~~,~~.~ ~,~~~~~', ~~,~~~.~~~ ~:::::::::::: 1- ~==. (2) Dependent's (3) Dependent.s (4) if an 6c who: C Dependents: social security relationship qualifying'ld withe. Ilved number to you child far ~ you . . , . , tax credit _ did not (see instrs) live with you due to diVarce ar~ <_ instrs) , , , Depeo..... an 6c not ........1IbcIw , Add IUIIbers anll_ ~ d Total number of exem lions claimed ",..,."....,."......,...."...."..,.,...",.".,,' 1IbcIw.,." 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 Sa .,.'.'".'.,. 8b 9a Ordinary dividends. Attach Schedule B jf required ",..""...',.""""""""""" b~~",..,.,."..""".."".."",.,.".""""" 9bl 10 Taxable refunds, credits, or offsets of state and local income taxes (see instructions) , . . , , , . , , . . , . , , , , , , , " 10 11 Alimony received ,.'.".,.',.'"'.""""""'...."".."""'.'"",,,,,..',.,,. 11 12 Business income or (loss). Attach SChedule C or C-EZ , , , , , , , , , , . , , , , , , , , , , , , , . . . . . . . ,. 12 13 Capital gain or (loss). Aft Sch 0 if reqd. If not reqd, ck here . . . , , , . , . .. , . , , , , , . .. , , , , ~ D 13 14 Other gains or (losses). Attach Form 4797 . . , , . , . . , . , . , , , , . , , , , , , , , , . , . , , . , , , , , , , , . , " 14 15a IRA distributions "'."",, ~I I b Taxable amount (see instrs) " 15b 16a Pensions and annuities, " ,[J!!] b Taxable amount (see instrs) " 16b 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E ,. 17 18 Farm income or (loss). Attach Schedule F , . . , , . . . , ' , . , , , , , , , , , , , , , , , , . , , , , , , , , , , , , . " 18 19 Unemployment compensation ""'.""""""""."""",""",...'""".'.",, 19 20a Social security benefits, , " , . D,~ 10,947.1 b Taxable amount (see instrs) " 20b 21 Other income MUNICIPAL ELECTION 21 22 Add the amo~tS in ft.; tarri hi Cok,mn- tOr Hnes i throo -h 21. Thls- is- - ur ~-1IiCOme -~ 22 23 Educator expenses (see instructions) , , , , , , . , , , . . , , , , . . , . " 23 2A Certain business expenses of reservists, performing artists, and fee-basis government officials, Attach Form 2100 or 2106-EZ , , , , , , , , , , , , , , , , , , " 2A 25 Health savings account deduction. Attach Form 8889 , , .".', 25 26 Moving expenses. Attach Form 3903 . , , , , , , , , , , , . . , , , , , , , .' 26 Z1 One-half of self-employment tax. Attach Schedule SE , , , , , " Z1 28 Self-employed SEP, SIMPLE, and qualified plans"",""" 28 29 Self-employed health insurance deduction (see instructions) , , , , . , , , . , , " 29 30 Penalty on early withdrawal of savings , , , , , , , , , , , , , , , , , , , " 30 31 a Alimony paid b Recipienfs SSN , , , , ~ .' 31 a 32 IRA deduction (see instructions) . , , , , , , , , , , , . , , , , . , . , , . , . .' 32 33 Student loan interest deduction (see instructions) '. , , , , . , , .' 33 34 Tuition and fees deduction (see instructions) ,'.'""""", 34 35 Domestic production activities deduction. Attach Form 8903 ",',,',,'," 35 36 Add lines 23 - 31a and 32 - 35 ..'""".""'.'.'""",'.'"""".""""""",..,.,,, 36 '$I Subtract line 36 from line 22. This is our usted ross income '. , , , , , , . , , , , , , , , . . , , ~ '$I BAA For Disclosure, Privacy Act, and Paperwork Reduction Ad Notice. see ins1ruc:tions. FOIA0112 11 f07/fYj Form 1 040 Label (See instTUctions,) Use the IRS label. otherwise, please print or type. Presidential ElectIon Campaign Filing Status Check only one box. Exemptions If more than four dependents, see instructions. Income Attach Fona(s) W-2 here. Also attach Fens W-ZG and lCl!l9-R if tax was withheld. If you did not get a W-2, see instructions. Enclose, but do not attach, any payment Also, please use Fonn lIMO-V. Adjusted Gross Income Department of the Treasury - Internal Revenue Service U.S. Individual Income Tax Return For the Jan 1 - Dee 31, 2005, or other tax Your first name 1(99) IRS Use Only - Do not write or staple in this space. ,20 OMB No. 1545-0074 Y_IIOCi8I-.riIy ........ 2005 ,2005, ending Sara If a joint return, spouse's first name L !.II Worman Last name Home address (number and s1reet), If you have a P,O, box, see instructions. Apartment no, State ZIP code 6a b 1 ) First name Last name 20 19 200. 4 500. 9 305. 85. 49 110. 4 500. 44 610. Form 1040 (2005) Form 1040 Tax and Credits Standard Deduc:tion for- . People who checked any box on line 39a or 39b or who can be claimed as a dependent, see instructions. . All others: Single or Married filing separately, $5,000 Married filing jointly. or Qualifying widow(er), $10,000 Head of household, $7,300 Other Taxes Payments If you have a qualifying child, attach Schedule EIC. Refund Direct deposit? See instructions and fill in 73b, 73c, and 73d. Amount You Owe Third Party Designee Sign Here Joint return? See instructions. Keep a copy for your records. Paid Pre~rer's Use Only Sara L Worman 161-32-3713 38 Amount from line 37 (adjusted gross income) ..,.",."."..""..,.".....,..,...".. 38 4 4 39a ~heck {~You were born before January 2, 1941, 8 Blind. Total boxes If: D Spouse was born before January 2, 1941, Blind. chec:ked ~ 398 1 b If your spouse itemizes on a separate return, or you were a dual-status 0 ahen, see instructions and check here, , . . , , , . , , , . , . . . , . . , , . , , . . , , , , , , . , , . . ~ 39b 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) """""..,.'."., 41 Subtract line 40 from line 38 ", ,', , , , .. . " '.. ,.. .. , .. , , .. . , ., , " , , .., , ,'" ", " ",. '. 42 If line 38 is lMlr $109,475, or you provided housing to a person displllC\ld by Hurricane Katrina, see instructions. Otherwise, multiply $3,200 by the total number, of exemptions claimed on, line 6d "'.',,,,'.,.', 42 43 Taxable'incollle. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 44 Tax (see instrs). Oleck if any tax is from: a DFarm(s) 8814 b 0 Form 4972 ....,...,..".......,', 45 Alternative minimum tax (see instructions). Aftach Form 6251 .""""""""""",', 46 Add lines 44 and 45 , , , , . , , .. . , , .. , , , , . , . , . , , , , , . , , , , , , , , , , .. .. , , , , , , .. .. , . , .. .. , , ~ 47 Foreign tax credit. Aftach Form 1116 if required, , , , , , , , , , . " ~ 48 Credit for child and dependent care expenses. Attach Form 2441 ."",,'.' 48 49 Credit for the elderly or the disabled. Attach Schedule R , , , " 49 50 Education credits. Aftach Form 8863. . . . , , , , . , . , , , , , , , . , , ., 50 51 Retirement savings contributions credit. Attach Form 8880 . ,. 51 52 O1ild tax credit (see instructions). Attach Form 8901 if required ",',,"" 52 53 Ac!option credit. AttachForm 8839. .. , , , . , .. . , , . , , . , , , .. , " 53 54 Credits from: a 0 Form 8396 b 0 Form 8859 .....,.,.,......, 54 55 Other credits. Check applicable box(es): a 0 Form 3800 b 0 ~ c OForm 55 56 Add lines 47 through 55. These are your total credits , , , , , , , , . , , . . . , . , , , , . , , , , . . . , . . . , . Jfi1 Subtract line 56 from line 46. If line 56 is more than line 46, enter -0- . . . . . , , , . , , , , , , , . , ~ 58 Self-employment tax. Attach Schedule SE , , . . , , . . , , . , . , , , . , . , , , . , . , , . . , , , , , . , , , . , , . ' , , , , . , , . , , 59 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 ",.'."."",." 60 Additional tax on IRAs, other qualified retirement plans, etc, Attach Form 5329 if required "...",..,,'..,., 61 Advance earned income credit payments from Form(s) W-2 """"""'.'",.",,,,'.' 62 Household employment taxes. Attach Schedule H """"",.",.,..',."""".'.,'.' 63 Add lines 5].62. This is r tDtal tax , . , , . , , . .. , .. . , . .. .. .. ' , , , . , , . , . .. , . , , , , , , , , .. , , , , . , , ~ 64 Federal income tax withheld from Forms W-2 and 1099 , ,.. " 64 4 226. 65 2005 estimated tax payments and amount applied from 2004 return , , , , , . " 65 66a Earned income credit (EIC) . , , . , , . , . ' , , , , , , , , , , , , , , , , . , . " 66. I" b Nontaxable combat pay election , , , , , ~ 66b I D1 Excess social security and tier 1 RRT A tax withheld ( see instructions) ,,'.', D1 68 Additional child tax credit. Aftach Form 8812 ,.,..'"",'.', 68 69 Amount paid with request for extension to file (see instructionsb' . , .. .... 69 70 Payments from: a 0 Form 2439 b 0 Form 4136 c Form 8885 70 71 Add lines 64, 65, 668. and 67 through 70, Theseareyourtatlll~,..".".".,.",..,.,.""....".,."",."."",."""" ~ 72 If line 71 is more than line 63. subtract line 63 from line 71. This ;s the amount you overpaid, . . , , . . . , . . , , . , , 73a Amount of line 72 you want refunded to ~ ~ b Routing number ..".', 0 Savings ~ d Account number , . , , , , , 74 Amount of line 72 u want lied to .. 2006 estimated tax ' . . , , . . . ~ 74 75 Amount you owe. Subtract line 71 from line 63. For details on how to pay, see instructions """".,,'.', ~ 75 76 Estimated tax nal see instructions .,....'.""..".", 76 Do you want to allow another person to discuss this return with the IRS (see instructions)? ",.""., Yes. Complete the following. ~'s Phone Personal identifk;ation name ~ no, ~ number (PIN) ~ 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 knoiwtedge. Your signature Dale Your occupation Daytime phone number ~ Spouse's signature. If a joint relum, boIh must sign. ~ Pa e2 610. 8 299. 36 311. 3 200. 111. 946. 33 4 4 946. 4 946. 4 946. 4 226. 720. No Dale counselor/retired spouse's occupation Date Preparer's .... signature ,... Firm'sname Self-Pre ared ~jf.... addr=~"'" ZIP c:odEt Check if self-employed EIN Phone no, Form 1040 (2005) FOIA0112 11107105 Department of the Treasury IntemaI Revenue 5efvice (99) Name(s) shown on Form 1040 Sara L Medical and Dental Expenses SCHEDULE A (Fonn 1040) Taxes You Paid (See instructions.) Interest You Paid (See instructions.) Note. Personal interest is not deductible. Gifts 10 Charity If you made a gift and got a benefit for it, see instructions. ~and Theft LOsses 19 ::~ ZO Miscellaneous Dedudions (See instructions.) Other Misc:eIIaneous Deductions Total Itemized Deduc:tions Itemized Deductions .. Attach 10 Fonn 1040. .. See Instruc:tions for Sc:heduIe A (Fonn 1040). Worman 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 ..", 2 4 4 610. 3 Multiplyline2by7.5%(.075) ""."""",.,..",..""",.. 3 3 346. 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- .'.'",...,.,......"',,... 5 State and local (c:hec:k only one box): : ~:::I:::es (see instructions) J """., ,..' 5 6 Real estate taxes (see instructions) , . , . . , . . . , , , . , , . , , , , , , , . , , , 7 Personal property taxes , , , . , . , . , , . . , , . . , . , . . , , , , , . , , , , .. , , , , 8 Other taxes. List type and amount.. _ _ _ _ _ _ _ _ _ _ _ _ Other taxes 30. 8 30. 9 Addlines5through8-,-:-,-:-,-:-,~.~,-:-.-:-,-:-.-:-~ ~:-: :-::-::-:~,~.-:-.-:-",."...,."."""",."... 10 Home mtg interest and points reported to you on Form 1098 "",'..,..,,'.' 10 1 992. 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see instructions and show that person's name, identifying number, and address .. 4 1,038. 1 280. 11 12 Points not reported to you on Form 1098. See instrs for spcl rules """",." 12 13 Investment interest. Attach Form 4952 if required. (See instrs.) , , , , , , , , , . , , , , , , , . , , . , , , , , . . , , , , . . . . , , , , . , , , , , , , " 13 14 Add lines 10 through 13 , . , , . . , , , . . . , . . . . " . . ., . . . , , . .. . . . , , . .. , , ., , . ., . . , . . . . '. ,. , , .., , 15a Total gifts by cash or check. If you made any gift of $250 or more, see instrs . . . . . , . , . , . . , , , , , , , . , , , , , , , , , , , , , , , , ' , , , , , , . b Gifts by cash or check after August lI, 2005, that you elect to treat as qualified contributions (see instructions) ".".,..' 15 b 16 Other than by cash or check. If any gift of $250 or more, see instructions. You must attach Form 8283 if over $500, , , ,. ,.. ,'. ,. , , " , .' , ' , " , , , " ." , , , , " , , , , , " , , ,. 17 Carryover from prior year. , , , , , , , , , , , . , , , , , , , , , , . , , . , , , , , , , ., 17 18 Add lines 15a, 16, & 17 ..,.,.""."..""""...,.".."",."."",...".".,...,.,., 2 533. Casual or theft loss es . Attach Form 4684. ee instructions. Unreimbursed employee expenses - job travel, union dues, job education, etc. Attach Form 2106 or 2106-EZ if required. (See instructions.) .. 21 Tax preparation fees ,..",'..'""""""""".'.."""" 22 Other expenses - investment, safe deposit box, etc. list type and amount .. ____________________ ~~~eJ!~~e2~~~~~n~~~__________~~~ 23 Add lines 20 through 22 """"...','.'"""",.....'""" 2A Enter amount from Form 1040, line 38 ,',' ,I 2A I 44 610. 25 Multiply line 24 by 2% (.02) ",..,.."",.,.....'.".....'",. 8 92. 26 Subtract line 25 from line 23. If line 25 is more than line 23 enter -0- ...".'...'.'",.."", Z1 Other - from list in the instructions. List type and amount.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ 28 Is Form 1040, line 38, over $145,950 (over $72,975 if MFS)? @ No. Your deduction is not limited. Add the amounts in the far right column for lines 4 through 27. Also, enter this amount on Form 1040, line 40. Dyes. Your deduction may be limited. See instructions for the amount to enter. 29 If elect to itemize deductions MIl tho are less than r standard deduction check here .. OMS No. 1545-0074 2005 Attac:hmenl 07 Sllql*lCe No, Your soclaI ~ number 1 426. 2,348. 1,992. 2 533. o. Z1 BAA For Paperwork Reduction Act Notice, see Fonn 1040 Instructions. FOIA0301 11/18105 Schedule A (Form 1040) 2005 IRA I ESA I QTP Distribution Infonnation Worksheet ~ Keep for your records 2005 Name(s) Shown on Retum Sara L Worman Social Security Number 161-32-3713 Traditional IRA Information Taxpayer Spouse Complete this section if you had any distribution from a traditional IRA, including any conversions to Roth IRAs. 1 Enter the combined value of all traditionallRAs (including SIMPLE IRAs) on 12/31/05 (See Help) ",',,"',','" 2 If any amounts were recharacterized either to or from any traditional IRA, enter the net amounts recharacterized after 12/31/05 (See Help) , . . , . , , , , , . , , , , , , , ' , , , , , , , , , , , , , , , , , , , , , , , , , 3 Enter the total amount of any traditional IRA distributions that you rolled over, or intend to roll over, to another traditional IRA, but the rollover was (or will be) made after 12/31/05, , , , , , , a Amount of qualified hurricane distributions repaid, , , . , , , , , , , . , , , b Enter the amount on line 3a that was repaid after 12/31/05 ",', c Amount of qualified hurricane home distributions repaid .'""" d Enter the amount on line 3c that was repaid after 12/31/05 ,. ,., 4 Check this box if you converted all of the traditional IRAs you had in 2005 to Roth IRAs in 2005 , . , , , , , , , , , , ' , , , ' , , , , , , , , , , , ' , , D D Roth IRA Infonnation Taxpayer Spouse Complete this section if you had any distribution from a Roth IRA that was not a recharacterization or a rollover. Yes No Yes No 5 Did you have any open Roth IRA accounts on 12/31/05 , , , , , , , , , D W D D Coverdell Education Savings Account (ESA) and Taxpayer Spouse Qualified Tuition Program (QTP) Infonnation Complete this section if you had any distribution from a Coverdell ESA or a OW that was not a rollover. 6 Enter your total qualified higher education expenses for 2005 , , . 7 Enter your total qualified primary and secondary education expenses for 2005 , , , .. , . , . , , , , , , . , , , , . , , , . , , . , , , , , , ' , , ' , , ' , , , , , 8 Enter any tax-free scholarships or fellowships, other tax-free education benefits, and any qualified education expenses that were used by you or someone else on your behalf in 2005 as a basis for the Hope or lifetime learning credit. . , . . . , , , , , , , , , 9 Net available expenses for ESAs. Subtract line 8 from the sum of line 6 and line 7 .""""""".""""""."'."",,, 10 Net available expenses for QTPs. Subtract line 8 from line 6 ,', Form 1040 Line 20 Social Security Benefits Worksheet .. Keep for your records 2005 Name(s) Shown on Return Social Security Number Sara L Worman 161-32-3713 Social SecuritylRailroad Retirement benefits received in 2004 ' , , , . , , . , , , , , . , .. m Taxpayer Spouse A Enter total net benefits from Box 5 of all Forms SSA-l099 ",',',',,', 10,947. B Enter total federal tax withheld from box G of all Forms SSA-l099 C Enter total Medicare premiums withheld from all Forms SSA.l099 '.'" 938. 0 Enter total net benefits from Box 5 of all Forms RRB-1099 ' , , , , , " , ., , E Enter total federal tax withheld from box 10 of all Forms RRB-1099 F Enter total Medicare premiums from Box 11 of all Forms RRB-l099 '" 1 Add amounts from line A and line D above, , , , , , , . , , , , , , , , . , , ' , ' , , , , , , , , , . , ' , , , , , , , 1 10,947. 2 Enter one-half of line 1 .................. ..................................... ..... 2 3 Add the amounts on Form 1040, lines 7 (before adoption benefits exclusion), 8a (before U.S. savings bond interest exclusion), 8b, 9a, 10 through 14, 15b, 1Gb, 17 through 19, and line 21. Also include certain income of bona fide residents of American Samoa or Puerto Rico. , , , , , , , , , , , , , , . , , , . , , . . . , , , , , . . , , , . , , . 3 4 Enter the total of any exclusions/adjustments for: . Foreign earned income or housing exclusion ........................- ........... 4 5 Add lines 2, 3, and 4 , , , , , " " , , , , , , " , , " ", , ., , , , , , , , , " , .' , , , " , " , , , , " . , , , " , , 5 6 Amount from Form 1040, lines 23 through 31 a, plus any write-in amounts on line 36 (other than foreign housing deduction) , , , ' , , , , , , . , , , , , , , 6 7 Subtract line 6 from line 5 " , , , . , , , , ' , , , ' , , , , , , , , , , , , . , . , , , . , . . , , , , , , , , . , , , , , , , , ' . , 7 8 Enter $25,000 ($32,000 if married filing jointly; $0 jf married filing separately and you lived with your spouse at any time in 2005) '. . , , , . , , , , , , , , , , ' , , , , , , , , , ' , , ' , 8 9 Subtract line 8 from line 7. If zero or less, enter -0- , . , , . , , , , . , , , . , , , , , , , , , , , , , , , , , . 9 If line 9 is zero or less, stop here; none of your social security benefits are taxable. Do not enter any amounts on Form 1040, lines 20a or 2Ob. But if you are married filing separately and you lived apart from your spouse for all of 2005, enter -0- on Form 1040, line 2Ob. Be sure to enter '0' to the left of Form 1040, line 2Oa. 11 line 9 is more than zero, go to line 10. 10 Enter $9,000 ($12,000 if married filing jointly; $0 if married filing separately and you lived with your spouse at any time in 2005) . , , . , , , . , , , , , . , , , , , , , , , , , , , , , , , , 10 11 Subtract line 10 from line 9. If zero or less, enter -0. """"",.'""".""""", 11 12 Enter the smaller of line 9 or line 1 0 ' , , .. , , , , , , , , ' , , , ' , , , , , , , , .. , , , , , , , , , , , , .. , , . , , 12 13 Enter one-half of line 12 . , , , , . , , , , , , . , , , , , , , . , , , , , , , , , , , , , , , , , , . . , , , . , , , , , , , , , , , , , , 13 14 Enter the smaller of line 2 or line 13 .. . .. , . , , . , , , , , , , , , , . , . , , , , . , , .. , , , , .. , , , , , , , , , 14 15 Multiply line 11 by 85% (.85). If line 11 is zero, enter -0. , , , . , , , . , , , , , , , , , , , , , , . , , , , 15 16 Add lines 14 and 15 '.' '. , .. , . , , , , , , , , , , , ,.' .. , , , , , , , , , , , , , , , , , , , , " ' , , , " , , , , , , , , , 16 17 Multiply line 1 by 85% (.85) , , , , , , , , , . , , , , , , , . , , . , , . , , , , , , , , , , , , , , , , , , . , , , , , , , , , , , , , 17 18 Taxable social security benefits. Enter the smaller of line 16 or line 17, , , , , , , , , , , , , , 18 If prior year lump-sum benefits were received, go to line 19, otherwise, skip line 19 and enter the amount from line 18 on line 20. 19 Taxable benefits with lump sum election. Enter the amount from line 20 of the lump-Sum Social Security Worksheet. , , , , , , , , , , , , , ' , , , , , , , ' , , .. , , , , . , , , .. .. .. , , , , . 19 20 Taxable Social Security benefits. Enter the smaller of line 18 or line 19 , , , ' " * 20 9,305. . Enter the amount from line 1 on Form 1040, line 2Oa. . Enter the amount from line 20 on Form 1040. line 2Ob. . If line 20 is zero, do not enter any amounts on Form 1040. lines 20a or 2Ob. * This form is calculated on the Worksheets for Social Security Recipients Who Contribute to a Traditional IRA. QuickZoom from this line to access. Tax Payments Worksheet ~ Keep for your records 2005 Name(s) Shown on Return Sara L Worman Social Security Number 161-32-3713 Estimated Tax Payments for 2005 (If more than 4 payments for any state or locality, see Tax Help) Federal State Local Date Amount Date Amount ID Date Amount ID 1 04/15/05 04/15/05 - 04/15/05 - 2 06/15/05 06/15/05 - 06/15/05 3 09/15/05 09/15/05 - 09/15/05 4 01/17/06 01/17/06 01/17/06 Sa b c d Total Estimated Payments .. , , , , Tax Payments Other Than Withholding Federal State ID Local ID (If multiple states, see Tax Help) 6 Overpayments applied to 2005 . . . . . . - 7 Credited by estates and trusts ,.'", 8 Totals Lines 1 through 7 , . , , . , . , , . , lit;:~;,,;:.. I~ 9 2005 extensions ,.""'.,,,,'..','.' Taxes Withheld From: Federal State Local 10 Forms W-2 . . , . , , , . . , , , , . , , , , , ' , , , , . . , , , , . . , . , , , , 2,306. 669. 349. 11 Forms W-2G , , , , , . , , , . , . , , , . . . . , , . , . , , , , , . , . , , , . 12 Forms l099-R """,.,."",.,."..,.'".....,. 1,920. 13 Forms 1 099-MISC and 1099-G ' , , , , , , , , , , . , , . , , ' ,~,~~ 14 Schedules K-1 '.'"".,.',."".,.",...".'",. lS Forms 1099-INT, DIV and DID ..,..,..'.,'.".,. jl0M 16 Social Security and Railroad Benefits, , , , , , , , , , , 17 Form 1099-B ",.',,'..., St Loc - - 18a Other withholding ,,"," St Loc - - b Other withholding '.'",. St Lac - - c Other withholding '."". St Loc - - 19 Total Withholding Lines 10 through 18c, , , , , . , . 4,226. 669. 349. 20 Total Tax Payments for 2005 , " , '" "'" , " , . , , 4,226. 669. 349. Prior Year Taxes Paid In 2005 State 10 Local ID (If multiple states or localities, see Tax Help) 21 Tax paid with 2004 extensions. .. . . , , . . . . . . .. . , , . , , , , . 22 2004 estimated tax paid after 12/31/04 """.,..".,. 23 Balance due paid with 2004 return ........... ,....... 24 Other (amended returns, installment payments, ete) Federal Carryover Worksheet ~ Keep for your records 2005 Name(s) Shown on Return Sara L Worman Social Security Number 161-32-3713 2004 State and Local Tax Infonnation (See Tax Help) (a) (b) (e) (d) (e) (t) (g) State or Paid With Estimates Pd Total With- Paid With Total Over- Applied LocallD Extension After 12131 heldIPmts Return, DaVrnent Amount PA 612. Totals". . 612. Other Tax and Income Infonnation 2004 2005 1 Filing status ...... .... ............ ... .... ........... ...... ... 1 3 MFS 3 MFS 2 Number of exemptions for blind or over 65 (0 - 4) .., ......,. 2 1 1 3 Itemized deductions after limitation .,.'."",."'.,."....',, 3 ~ ~ 4 Check box if required to itemize deductions. . , , . , , , , , , . , . . , . , 4 5 Adjusted gross income, , ' , . , . , , . , , , . , , .. . , . , .. , , . , .. , .. . , . .. , 5 44,122. 44,610. 6 Tax liability for Form 2210 or Form 221 O-F . , .. ,. , . , . .' , , , . , , , 6 5,294. 4,946. 7 Alternative minimum tax ,...,.,.".."'.'""..'",'..."",, 7 8 Federal overpayment applied to next year estimated tax .. , . , 8 IRA Information 2004 2005 9a Basis of Taxpayer's IRA(s) as of 12/31 , .. , ..'..', '" , , '" .." 9a b Basis of Spouse's IRA(s) as of 12/31 .... ...... '" ,.,.. ...... b 10a Taxpayer's excess IRA contributions as of 12/31 '.,..',.,.,.. 10a b Spouse's excess IRA contributions as of 12/31 ." , , , , , , . , , , , , b 11 a Taxpayer's excess Archer MSA contributions as of 12/31 . ... 11 a b Spouse's excess Archer MSA contributions as of 12/31 .... .. b 12a Taxpayer's excess Roth IRA contributions as of 12/31 ..,. .., 12a b Spouse's excess Roth IRA contributions as of 12/31 ,.. ...... b 13a Taxpayer's excess Coverdell ESA contributions as of 12/31 .. 13a b Spouse's excess Coverdell ESA contributions as of 12/31 " , b 14a Taxpayer's excess HSA contributions as of 12131 ... ,.. ... ... 14a b Spouse's excess HSA contributions as of 12131 ".""",.'" b Loss and Expense Carryovers 2004 2005 15a Short-term capital loss . , , , , , , , , . , , . , , , , , . , , . , , , , , , , , , , , , , , , , , 15a b AMT Short-term capital loss , , .. ., , .... '..' .. '. , , , , ,. ,.. " , " , b 16a Long-term capital loss ".""""",."...,...,...'..".,,'.' 16a b AMT long-term capital loss . , . , . , , .. , , . , .. , .. , , , , , ' , .. , . , . , , , b 17a Net operating loss available to carry forward, . , . . , , , . , , . , , , , , 17a b AMT Net operating loss available to carry forward",.".",., b 18a Investment interest expense disallowed, , , , ' , , , ' , . , , , , , , , , ' , , 18a b AMT Investment interest expense disallowed ."."""."", b 19 Nonrecaptured net Section 1231 losses from: a 2005 .. .. 19a /...'......../.,.0; b 2004 .... b e 2003"" c d 2002 .... d e 2001 ,'.. e f 2000"" f ,,,c "",,!/,<.. Federal Carryover Worksheet page 2 2005 Sara L Worman 161-32-3713 Loss and Expense Carryovers (cont'd) 2004 2005 20 AMT Nonrecap'd net Sec 1231 losses from: a 2005 ,,', b 2004 . , .. e 2003"" d 2002.... e 2001 . ... f 2000 ,", e d e f Credit Canyovers 2004 2005 21 General business credit, , . . , , , . , , , . , . . , . , .. , . , . , .. . . , . , , . . . .. 21 22 Adoption credit from: a 2005. . , , , .. . .. . , , , . .. , , . , , . . .. . . . 22 a b 2004 ".'.,...,...'......'....,..' b e 2003,.,..,...,..,.,..,........,.. e d 2002,..,......"....,..,......... d e 2001, , , . , , . , . . . , , , , , , . . , , , , , , , , , , f 2000...........,....,.,.,.....,., 23 Mortgage interest credit from: a 2005""..""""."." b 2004 ..',.......'.......' e 2003.,.......,......".. e d 2002".,.,.,."..,.."" d 24 Credit for prior year minimum tax ., . . . , . , , , , . . , . , , , . . . , , . , , . , 24 25 District of Columbia first-time homebuyer credit. '. ,'.' ",.'" 25 26 Amount overpaid less earned income credit, , . , , , , , . . , , . , , , " 26 o. Other Canyovers 2004 2005 Zl Section 179 expense deduction disallowed .,."",'..".".' Zl 28 Excess a Taxpayer (Form 2555, line 44) .",...." 28a foreign b Taxpayer (Form 2555, line 46) '.',.".,. b housing e Spouse (Form 2555, line 44) ,.' . . . . , , , , , e deduction: d Spouse (Form 2555, line 46) . , , , . , . , , , , . d Charitable Contribution Canyovers 29 2004 Carryover of Other Property Capital Gain charitable contributions from: (a) 50% (b) 30% (e) 30% (d) 20% a 2004,.,.., ",.', """"'.',, b 2003.",.".,."."."",.", e 2002"".""."., ",.",.", d 2001,.".""""""",..,. , e 2000..,..,..,.."...".".", 30 2005 Carryover of Other Property Capital Gain charitable contributions from: (a) 50% (b) 30% (e) 30% Cd) 20% a 2005""..""",."",.,.", b 2004".,.""".""......,., e 2003,...,..".,..,. """'..,, d 2002."..""""."" ,.' "" e 2001",.""",.,.",.."." . Sara L Worman 522 Springhouse Road Camp Hill, PA 17011 2005 PENNSYLVANIA INDIVIDUAL INCOME TAX RETURN SUMMARY Taxable Income Total Tax Total Payments/credits $ $ $ 21,827.00 670.00 669.00 Listed below are forms and related worksheets for your review: - pennsylvania Income Tax Return - PA-40 W-2S, Wage Statement Summary 2005, and - PA-40 MC, Miscellaneous compensation 2005 IF YOU PLAN TO FILE ELECTRONICALLY: After you file your return electronically, you will receive instructions on how to complete the electronic filing process. IF YOU PLAN TO MAIL YOUR TAX RETURN: When you print your filing copy of your tax return, you will receive instructions on where to mail your return. Page 1 KEEP THIS PAGE FOR YOUR RECORDS -- DO NOT MAIL. .-J D5DD:LlaD382 PA-40 - 2005 Pennsylvania Income Tax Return ENTER ONE LEn'ER OR NUMBER IN EACH BOX. Do Not Use Your Preprinted Label :L6:L3237:L3 2D428247:L WORMAN SARA COUNSELOR L Occupation Occupation 522 SPRING HOUSE ROAD CAMP HILL PA :L7D:L:L 2:L:L6D 1 a Gross Compensation. 00 not include exempt income, such as combat zone pay and qualifying retirement benefits. See the instructions. 1 b Unreimbursed Employee Business Expenses. 1 c Net Compensation. Subtract Line 1 b from Line 1 a. 2 Interest Income. Complete PA Schedule A if required. 3 Dividend and Capital Gains Distributions Income. Qlmplete PA Schedule 8 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 Totaf PA Taxable Income. Acid 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: See the 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. PAJAD4.12 01/11/06 ~ EC Page 1 of 2 N N R L Extension. Amended Return. Residency Status. PA ResidenUNonresidentlPart-Year Resident from ro M SinglelMarried, Filing JointlylMarried, Filing Separately/Final RetumlDeceased Date of Death N FC L D5DD:L:LD382 OJ ITJJIIJ OJ Farmers. :La 2:L797 :Lb 0 :Lc 2:L797 2 30 3 0 4 0 5 D b 0 7 D 8 0 9 2:L827 10 0 11 21827 0500110382 -1 --.J 0500210398 PA-40 - 2005 Social Security Number 161323713 Name(s) Sara L Worman 12 PA Tax Uability. Multiply Une 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. 2t 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. 2A TOTAL PAYMENTS and CREDITS. Add Lines 13 and 18,21, 22, and 23. 2S 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. Z/ 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 Unes 29 through 35 must equal Une 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 Cervic:aI Cancer Research Fund. I Spouse's Signature. if filing jointly Preparer's SSNlPTlNlEIN I Your Signature IDme Preparer's Name and Telephone Number Self-Prepared Page2of2 L 0500210398 L N 12 13 14 15 16 17 18 19a 00 19b 00 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 670 669 o o o o o o o o o bb9 1 o 1 o o o o o o o o I PAIA0412 01111106 0500210398 ---I --.J 0501910012 WAGE STATEMENT SUMMARY PA4 W-2S (09'05) 2005 SummaI)' of PA Taxable Employee, Non-employee, and Misc:ellaneous Compensation I Social Security Number Sara L Worman 161-32-3713 Use this schedule to list and calculate your total PA taxable compensation and PA tax withheld from all sources. Part A instructions: List each Federal Form W-2 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 Emr'oyer Identification Number (EIN). Enter the amounts from the Forms W-2 in each column. IMPORTANT: You do not have to submi a copy of your Form W-2 if you earned all your income in Pennsylvania and your employer reported your PA wages correctly and withheld the correct amount of PA income tax. You must submit a copy of your Form W-2 in certain circumstances. See the PA Schedule W-2S instructions for a list of when a copy of a W-2 is required. Part B Instructions: List each source of 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 earned. If the form or statement does not have separately stated amounts, enter the amount shown in both federal and PA columns. IMPORTANT: You must submit a copy of each form and statement that you list in Part B, whether or not the payer withheld any PA income tax. CAUTION: The federal and Pennsylvania (state) wages may be different. If you need more space, you may photocopy this schedule or make your own schedules in this fonnat. OFFICIAL USE ONLY Name Part A . Federal Forms W-2 TIS Employer EIN from box b Federal wages from box 1 PA (state) compensation PA (state) income tax from box 16 withheld from box 17 T 25-1877136 20490 21797 669 Total Part A - Add the PennsYlvania columns, , .. , .. . , , , , , , . , , , , , , , , .. , 21797 669 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 TIS Payer name EINlSSN Code Federal taxable PA (state) PA (statel amount compensation tax withhe d Total Part B - Add the Pennsvlvania columns, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , . , . . , , , , , , , , TOTAL. Add the totals from Parts A and B Enter the TOTALS on r PA tax return on: 21797 Une 1a 669 Une 13 CODES: A Executor fee B Jury duty pay E Honorarium F Covenant not to compete H Other nooemployee compensation. Describe: I Early distribution from retirement, pension, or deferred compensation plan. C Director's fee D Expert witness fee G Damages or settlement for lost wages, other than personal injury L 0501910012 PAIA0601 01119106 0501910012 --.J Pennsylvania School District Code Selection Worksheet ~ Keep for your records 2005 Name as Shown on Return SARA L WORMAN Social Security No. 161-32-3713 Listed below are the counties in Pennsylvania. The school districts associated with each county are available by clicking on the field next to your county of residence. You should select the appropriate school district. Based on the school district selected, the program will automatically select the matching school district code. Please select a school district from one county only. School district code selected.. .. ,.. ., ... .... .., ... .. ..... ..... ..'..., " ...'. , .... 21160 n..Lo~"'''''''_ 'A I fa .. IAI rksheet "'l;;i~i~;il;a;~!;i,,:'!l''I 14'......_""'" IV n rmBdon FrO , , , , , . . . . , , . , . . , , . , , , , , , . , , , , . . . . . . . , , . . '."C'7 ,..,';Cf..",......',.. Pennsylvania Counties Adams ........ . Elk .. , , , , .. , , , .. Montour . ....... Allegheny .,... . Erie ,......... ., Northampton . ., Armstrong ..... . Fayette, , , .. , , , , Northumberland Beaver ........ . Forest , , , , . , , , , , Perry "",,'..', Bedford ....... . Franklin . ... .... Philadelphia, , , , Berks .. . .. .. , , , , Fulton ........ .. Pike, .. , , , .. .. , , Blair,.,. ,.,."" Greene...".." Potter . ..... .... Bradford , , , , , , , , Huntingdon. . , , , Schuylkill, , . , . , , Bucks ......... . Indiana , .. , , , .. ' Snyder . ..,. .... Butler .... ...... Jefferson ...... . Somerset, , , .. , , Cambria, , , , , , , . Juniata ......" . Sullivan '" ..... Cameron ...... . Lackawanna , . , , Susquehanna .. Carbon . ........ Lancaster .... .- Tioga.,..""". Centre.. , , , , .. , , Lawrence"..." Union ........ .. Chester . ....... Lebanon, , , , , . , . Venango .. ..... Clarion ........ . Lehigh. , , . . , . , , , Warren ..... ..,. Clearfield , , , , , , , Luzerne ..... ... Washington .. .. Clinton ........ . Lycoming , , , , , , , Wayne .... ..... Columbia, , , , , , , McKean ..... '" Westmoreland, , Crawford ...... . Mercer ....... .. Wyoming ..... .. Cumberland .,. . Cumberland Valley Mifflin ........ .. york""""", , Dauphin .. . , , , . , Monroe, , . , . , , . , Delaware. , , , , , . Montgomery, , , , NEMI8901.SCR 02106I06 Interest Income Worksheet 2005 Name(s) shown on return Sara L Worman Social Security Number 161-32-3713 Interest Income and Adjustments Type T U.S. of Adjustment Payer's Name S Regular Type St Government Ad- Amount Interest J Interest 10 Interest just- (enter as Subtotal ment positive) R.aymond J....es , Asso T 20. 20. - Prudential Incurance T 10. 10. - - Type (blank) E M S Regular Taxable Interest Tax-Exempt Interest State Use Only Seller Financed Type of Adjustment N Nominee Distribution o 010 Adjustment B ASP Adjustment A Accrued Interest H Other Adjustment U U.S. Savings Bond Prev Reported Summary Spouse Taxpayer 1 Subtotal of all interest income ............. ... .................,... 30. 2 Net U.S. obligations . ......... .............................. ....... 3 Net Pennsylvania tax-exempt interest. , , , , , , , , , , , , , , , , , , , , , , , , , , , , , 4 Net taxable PA interest income (Line 1 minus lines 2 and 3) ..... . 30. 5 Schedule(s) RK.l: a Interest income from partnership(s) , . , , , , , , , , , , , , . , , , , , , , , . , , ' , , b Interest income from Pennsylvania S corporation(s) '" ......... 6 Total taxable PA interest income, , , , , , , , , , , , , , , , , , , , , , , , , , . , , , , , , ' , 30. OTHV2201.SCR 01107105 WEST SHORE TAX BUREAU 717-761-4900 WEB SITE: www.westab.org FORM 531 INSTRUCTION SHEET NAMES HERE SS# 1 2, Allowable Non-reimbursed Employee Business expenses, 3, Taxable W-2 earnings (1 minus 2) 4, Net Loss (Use line 6 for any Net profits) Include PA Schedules C, F, RK1 and/or NRK1 5. Subtotal (Line 3 minus line 4) IF LESS THAN ZERO, ENTER ZERO 6, Net Profits (Use line 4 for any Net Losses) Include Pa Schedules C, F, RK1 and/or NRK1 7, Total Earned Income subject to this tax (Line 5 plus line 6) 8. Tax Liability - Line 7 multiplied by Tax rate from Table on reverse side 9, Quarterly Estimated Payments 10. Earned Income Tax withheld as per W-2 11. Credit From Last Year (If Credit Due) 12. Miscellaneous credits (Le, Philadelphia Tax or Out-of-State Tax Credit) 13. Total of9 + 10+ 11 + 12 14, REFUND/CREDIT: (Line 13 minus line 8) Enter amount and check one box below: Credit to next year ( ) Refund ( ) 15, TAX DUE: (Line 8 minus line 13) 16. Interest, Penalties & Late Fee , . , LEAVE BLANK IF PAID WHEN DUE 17, TOTAL AMOUNT DUE (Lines 15 + 16) IMPORTANT - The accompanying tax return must be filed with this office by the indicated due date even if no tax is due or if all has been withheld by your employer. Failure to file your return may subject you to a fine of up to $500.00, A HUSBAND AND WIFE MAY NOT FILE JOINTLY ON THIS FORM. TAX CALCULATIONS MUST BE REPORTED SEPARATELY. JOINT FILING (I.E., COMBINING INCOME, ETC,) IS NOT PERMITTED. Failure to receive a local Earned Income Tax Return is no excuse for a taxpayer not filing a return. KEEP THIS PAGE FOR YOUR RECORDS 1. Gross Earnings as reported on W-2, Enclose W-2(s) with your return, d 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 .L - 17 WHO MUST FILE A FINAL RETURN: All residents of the municipalities and school districts listed on the reverse side of this form who are employed or self-employed and all non-residents who work or are self-employed within the municipalities and school districts listed on the reverse side of this form. If you received a tax form but did NOT work, you must still return the form and indicate the reason that no income is shown (full time student, homemaker, disabled, retired, unemployed, etc.) INSTRUCTIONS FOR COMPLETING THE LOCAL EARNED INCOME TAX RETURN FORM 531 Line 1. List GROSS earnings (wages, salaries, commissions, etc.) regardless where received. Attach a copy of the withholding statements ry.J-2) from each employer. If you had no earnings, indicate the reason why (homemaker, disabled, unemployed etc.) Line 2. Business expenses for which an employee has NOT been reimbursed are allowed as a deduction from gross wages, provided such expenses are required by the employer in order for the taxpayer to keep his present job. (Refer to section on Unreimbursed Business Expenses) Business deductions must be taken with regard to each business SEPARATELY as a deduction from the business income thereof and CANNOT be consolidated in any form. Attach appropriate Pa schedules (and Federal schedules if required as support to PA schedules). PLEASE NOTE: Business Expenses claimed without proper supporting documentation will be denied without notification to the taxpayer. Submit separate expense forms for each employer. Line 1 minus Line 2. Enter amount of business loss. Subtotal (Line 3 minus Line 4) IF LESS THAN ZERO, ENTER ZERO. This line is to be used by all who are SELF-EMPLOYED. Refer to section on Net Profits. If a loss is incurred, the amount of the loss must be entered on Line 4. Losses may be applied only in the year in which the loss was actually incurred and may not be carried over to subsequent years. The Net Profit and Loss of each business must be SEPARATELY stated and Net Profit or Net Loss is to be determined SEPARATELY for each business enterprise. Attach appropriate PA Schedule(s). Line 7. Total TAXABLE INCOME. (Line 5 plus Line 6) Line 8. TAX LIABILITY (Line 7 multiplied by resident tax rate) Find your school district and municipality on the list given below and use the corresponding tax rate to calculate your total tax liability. Complete Line 9 if you have made Quarterly payments. Complete Line 10 if you had the PA local income tax withheld by your employer. Complete Line 11 if you had any prior year credit. Enter any Out-Of-State or Philadelphia Tax credits as calculated on the NON RECIPROCAL STATE/PHILADELPHIA CREDIT WORKSHEET. Please note that this credit cannot exceed your local income tax liability on the income taxed by the other state or Philadelphia. Line 13. TOTAL TAX CREDIT (Add Lines 9 + 10 + 11 + 12) Line 14. REFUND/CREDIT (If Line 13 is greater than Line 8, subtract Line 8 from Line 13). Refunds or credits of $10.00 or more must be reported by us to the Internal Revenue Service. No refunds or credits under $1.00. Line 15. TAX DUE (If Line 8 is greater than Line 13, subtract Line 13 from Line 8). Payment must be RECEIVED in this office ON or BEFORE APRIL 15th. There will be a $20.00 fee for returned checks. Line 16. INTEREST & PENALTY. If received after April 15th, add penalty and interest at the rate of 1 % per month. PLEASE NOTE that an extension for filing the tax return DOES NOT EXTEND THE PAYMENT DUE DATE. All tax must be received on or before April 15th. Line 17. TOTAL AMOUNT DUE (Add Line 15 and Line 16). Make check payable to WEST SHORE TAX BUREAU. Line 3. Line 4. Line 5. Line 6. Line 9. Line 10. Line 11. Line 12. IF YOU MOVED DURING THE TAX YEAR PLEASE BE SURE TO COMPLETE THE MOVING INFORMATION ON THE BACK SIDE OF THE EARNED INCOME TAX RETURN. IF YOU NEED ADDITIONAL SPACE PLEASE USE A COpy OR ATTACH A SEPARATE PAGE. PRORATE INCOME AND TAX WITHHELD BY THE NUMBER OF MONTHS IN EACH MUNICIPALITY (LINES 2, 4, 6 and 10). $} 2~~ Z ,--1 -<. r---> c.:)! c.::o --' c._ o -n .~ :::r:T1 rnr.- -0,''1''1 -6C) C3(~1 . -Ti (_~ ihj (3m --.\ 2;:.- ~ ~ .,..-~ .,A",- N N -r) w (..;) J;.- ... ~/? J- JAN 24 l007 rz/ SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 06-7166 CIVIL TERM JARED N. WORMAN, Defendant : CIVIL ACTION - LAW : IN DIVORCE ORDE~ AND NOW this ~ '1. day of " , 2007, a Rule is hereby issued on Plaintiff to show cause why Defendant's Petition to Stay Complaint in Divorce Under Pa.R.C.P. 1920.6 should not be granted. ,- ~ 'hd- Rule returnable J ~ days from service. ~ ~ GA~' .,L'o ~ ~ ~cf~.ffi h~ ~ BYTHECO:!JR-l': /_ J. / Distribution: .... Cara A. Boyanowski, Esq., 2080 Linglestown Road, Ste. 201, Harrisburg, PA 17110 ~~' Jeanne B. Costopoulos, Esq., 210 Grandview Ave., Ste. 102, Camp Hill, PA 17011 . ~., n J-l t/~O 7 '-.p.~ >- '? ~~::: UJC! B~~:-' <5 :::.j w celli ~ lL o "-0 ....:r N z: C- -.:1' N z <<j:'~ -? r-- = = <'-oJ :5 u Cara A. Boyanowski, Esquire Supreme Court I.O, No, 68736 2080 Linglestown Road Suite 201 Harrisburg, PAl 711 0 (717) 540-9170 (telephone) (717) 540-5481 (facsimile) s;.hQ1iin~~ski @ssbc-law_&ol11 Attorney for Plaintiff SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW v. : NO. 06-7166 CIVIL TERM JARED N. WORMAN, Defendant : IN DIVORCE NOTICE If you wish to deny any of the statements set forth in this affidavit, you must file a counter-affidavit within twenty days after this affidavit has been served on you or the statements will be admitted. AFFIDAVIT UNDER &3301(d) OF THE DIVORCE CODE 1. The parties to this action separated in July 2000 and have continued to live separate and apart for a period of at least two years. 1. The marriage is irretrievably broken. 3. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if! do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. 94904 relating to unsworn falsification to authorities. Dateh~{)I~l o ~ ~,: . ,...., c;> = -.J <- o -n -I :I:..,., rn- rr_ -or ,~ - r') C;,J ~~ ~ lp :< ~-, ~ ~ N t,.t:J ;r;'1" -'!I" - .r=- , - o Cara A, Boyanowski, Esquire Supreme Court 1.0, No, 68736 SERRA TELL! SCHIFFMAN BROWN & CALHOON 2080 Linglestown Road Suite 20 I Harrisburg, P A 17110 (717) 540-9170 - telephone (717) 540-5481 - facsimile cbovanowsk i({Vssbc-law ,com SARA L. WORMAN, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA NO. 06-7166 CIVIL TERM JARED N. WORMAN, Defendant CIVIL ACTION -LAW IN DIVORCE PLAINTIFF'S ANSWER TO DEFENDANT'S PETITION TO STAY COMPLAINT IN DIVORCE UNDER Pa.R.C.P. 1920.6 WITH NEW MATTER AND NOW, comes Plaintiff Sara L. Worman, by and through her attorney, Cara A. Boyanowski, Esquire, and answers the averments set forth in Defendant Jared N. Worman's Petition to Stay Complaint in Divorce under PaR.C.P. 1920.6, which was filed on January 23, 2007, as follows: 1. Admitted. 2. Admitted. 3. Admitted. 4. Admitted, 5. Admitted. By way of further answer, an Order of Court was issued by the Honorable 1. Wesley Oler, Jr., on February 26,2002, directing the parties not to proceed at the divorce action filed in Dauphin County at 5544 CV 2001 and to withdraw the divorce action. Apparently, Defendant Jared N. Worman never followed the directives of the court by withdrawing his divorce complaint filed at 5544 CV 2001. WHEREFORE, Plaintiff respectfully requests this Honorable Court dismiss Defendant's Petition to Stay Complaint in Divorce under Pa.R.C.P. 1920.6, direct Defendant to immediately withdraw his Complaint in Divorce docketed at Dauphin County Court of Common Pleas number 5544 CV 2001, and direct the parties to proceed with the Complaint in Divorce docketed at Cumberland County Court of Common Pleas number 06-7166, NEW MATTER 6. On or about December 18,2001, after the filing of Defendant's Complaint in Divorce with the Dauphin County Court of Common Pleas, Plaintiff's counsel filed a Petition to Stay Complaint in Divorce under Pa.R.c.P. 1920.6 with the Cumberland County Court of Common Pleas. 7, On January 4, 2002, the Honorable 1. Wesley Oler, Jr. issued a Rule to Show Cause upon Defendant to show cause why Plaintiff's request that the Dauphin County Complaint in Divorce be stayed or terminated, should not be granted. 8. Defendant did not answer the Rule to Show Cause and on February 20, 2002, counsel for Plaintiff filed a Motion to Make Rule Absolute, 9. On February 26,2002 an Order of Court was entered by the Honorable J. Wesley Oler, Jr., directing that the parties should not proceed at the divorce action pending in Dauphin County and further directed that the divorce action in Dauphin County be withdrawn, A copy of the Order of Court dated February 26, 2002 is attached hereto and incorporated herein as Exhibit "A." 10. Defendant deliberately failed to abide by the directives of the February 26, 2002 Order of Court in that he failed to withdraw his Complaint in Divorce filed at Dauphin County Court of Common Pleas docket number 5544 CV 2001. 11. Plaintiff and Defendant and all of the parties' marital assets are located in Cumberland County, Pennsylvania. The Court of Common Pleas of Cumberland County is the forum most convenient to hear the testimony of this case. WHEREFORE, Plaintiff respectfully requests this Honorable Court dismiss Defendant's Petition to Stay Complaint in Divorce under Pa.R.C.P. 1920.6, direct Defendant to immediately withdraw his Complaint in Divorce docketed at Dauphin County Court of Common Pleas number 5544 CV 2001, and direct the parties to proceed with the Complaint in Divorce docketed at Cumberland County Court of Common Pleas number 06-7166. Respectfully submitted, SERRA TELL! SCHIFFMAN BROWN & CALHOON Oll& Q(be-llOX\ ou~5l\ Cara A. BoyanowsKi, Esquire Supreme Court 1.0. No. 68736 2080 Linglestown Road Suite 201 Harrisburg, P A 17110 (717) 540-9170 Attorney for Plaintiff VERFICA TION I, Sara L. Worman, hereby verify and state that the facts set forth in the foregoing document are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. 94904 relating to unsworn verification to authorities, Date: ^-OZ'I 01 sA~ify~ CERTIFICATE OF SERVICE I, Cara A. Boyanowski, Esquire, do hereby certify that on the \~ th day of February, 2007, I caused a true and correct copy of the within Plaintiff's Answer to Defendant's Petition to Stay Complaint in Divorce Under Pa.R.C.P. 1920.6 with New Matter to be served upon the following counsel of record by depositing same in first class, United States mail, postage paid, from Harrisburg, Pennsylvania: Jeanne B. Costopoulos, Esquire 210 Granview Avenue Suite 102 Camp Hill, PA 17011 SERRATELLI SCHIFFMAN BROWN & CALHOON Q llel (libel{ CU1(}WS ~ Cara A. Boyanowski, Esquire Attorney No. 68736 2080 Linglestown Road Suite 20 I Harrisburg, PAl 711 0 (717) 540-9170 Attorney for Plaintiff 't f!v ~IJ.llol P SARAL WORMAN, Plaintiff/Petitioner fN THE COUJR.T OF COM1\fON PLEAS CUMBERLAND COUNTY PENNSYLVANIA CIVIL ACTION - LA \V v. NO. 01-7083 CIVIL TERM JARED N. WORMAN, DefendantIRespondent IN DIVORCE ORDER AND NOW, this 2L+h day of ~brUll.~_______ ________, 2002, upon consideration of the Petitioner's Motion to Make Rule Ab~:olute, it: is hereby ORDERED '!Pat the )Cl.rt\eS 5"0.\\ I\or proceed oj-the.. o..t no. .5~,l/q C.V. ~l OV ^ divorce actIon now pending in Dauphin County^be withdrawn and that the pe:nding action in Cumberland County be the basis for jurisdiction in this divorce proceeding. BY THE COURT: ('1 ~ ~ ~ ~ 9i3:; '"'" ;~ .'{1~ G1 ~,.;.. in ';.r: - -t:.....,. (.i:1 c) q" c;::,U ::.(' -0 b=B "ZC! :Jt 70 ZfT\ C - 0 ,~ -7 .~ ~ - -< c..J ~ ... MARIA P. COGNETTI & ASSOCIATES MARIA P. COGNETTI, ESQUIRE Attorney J.D. No. 27914 210 Grandview A venue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorneys for Defendant, Jared N. Worman SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 06-7166 CIVIL TERM JARED N. WORMAN, Defendant CIVIL ACTION - LAW IN DIVORCE DEFENDANT'S ANSWER TO PLAINTIFF'S NEW MATTER AND NOW, comes Defendant Jared N. Worman, by and through his attorney, Jeanne' B. Costopoulos, Esquire and avers the following in response to Plaintiffs New Matter filed on February 13, 2007: 6. Admitted. 7. Admitted. 8. Admitted. 9. Admitted in part; denied in part. It is admitted that on February 26,2002 an Order of Court was entered by the Honorable J. Wesley Oler, Jr., directing that the parties should not proceed at the divorce action pending in dauphin county. It is specifically denied that Judge 0ler's Order directed Defendant to withdraw the Divorce action in Dauphin County. 10. Denied. It is specifically denied that Defendant deliberately failed to abide by the directives of the February 26, 2002 Order of Court. By way of further answer, Defendant did not proceed on Dauphin County Court of Common Pleas Divorce .. Action docketed at number 5544 CV 2001, until after the Cumberland County case was dismissed due to inactivity. 11. Admitted in part; denied in part. It is admitted that both Plaintiff and Defendant both currently reside in Cumberland County. It is denied that the Court of Common Pleas of Cumberland County is the forum most convenient to hear the testimony of this case. By way of further explanation, Defendant resided in Dauphin County at the time he filed a Complaint in Divorce in Dauphin County. Currently, Plaintiff resides in Camp Hill, Defendant resides in Enola, undersigned counsel's office is located in Camp Hill, and Plaintiffs counsel is located in Harrisburg. Therefore, both parties residences and both parties' attorneys' offices are located closer to the Dauphin County Courthouse in Harrisburg than to the Cumberland County Courthouse in Carlisle. Dauphin County is the most convenient forum for everyone involved. It is obvious that Plaintiff is not seeking the most convenient forum, but is instead seeking the forum with the most favorable position regarding alimony. Plaintiffs forum shopping should not be supported by the Court. WHEREFORE, Defendant respectfully requests this honorable court to grant his Petition to Stay Complaint. .. Dated: By: Respectfully Submitted: MARIA P. COGNETTI & ASSOCIATES NE B. COSTOPOULOS, ESQ Attorney I.D. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorney for Defendant, Jared N. Worman . VERIFICATION I, Jared Worman, hereby verify and state that the facts set forth in the foregoing document are true and correct to the best of my information, knowledge and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S.A. S4904 relating to unsworn verification to authorities. Date: -31- f) 7 CERTIFICATE OF SERVICE I, Jeanne B. Costopoulos, Esquire, Attorney for Defendant herein, do hereby certify that on this date I served the foregoing Answer by depositing a true and exact copy thereof in the United States mail, first class, postage prepaid, addressed as follows: Cara Ann Boyanowski, Esquire SERRATELLI SCHIFFMAN BROWN & CALHOON, P.c. 2080 Linglestown Road Harrisburg, PA 17110 Dated: ~#7 MARIA P. COGNETTI & ASSOCIATES BY:~ E B. COSTOPOUL~~ Attorney LD. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorney for Defendant, Jared N. Worman -r~ '. cr-, ;. o c:; :< :'-3 -- r-.:> = c::::> --.J :;t: :~-X"* :;:.() N -0 ~ w OJ ~, ~"-.. .~ 7. Additional information, if any, relevant to the motion: None. Dated: 1- \ l-O+ QU111ilR~J101lQu)s0 Attorney for ( x) Plamtiff ( ) Defendant ORDER APPOINTING MASTER AND NOW, '1Y\~ ~I ,2002-, C, ~ fJ~ appointed Master with respect to the following claims: , Esquire, is Equitable Distribution; Alimony; Alimony Pendente Lite; Counsel Fees; Costs and Expenses MOVING PARTY NON-MOVING PARTY Name: Jared N. Worman ~ney's Name: ~eanne B. Costopoulos, Esq. Name: Sara L. Worman Jorney's Name: ICara A. Boyanowski, Esq. Attorney's Address: 2080 Linglestown Rd., Suite 201 Harrisburg, PA 17110 Attorney's Address MARIA P. COGNETTI & ASSOCIATES 210 Grandview Avenue Suite 102 Camp Hill, P A 17011 Attorney's Telephone # (717) 540-9170 Attorney's Telephone # (717) 909-4060 Attorney's E-Mail: cbovanowski(cV,ssbc-law.com Attorney's E-Mail Party's Address and Telephone # if not represented by counsel: Nt A Party's Address and Telephone # if not represented by counsel: Nt A ~ >- ~ wQ Qo u... ?-:' - '.J... 96 00: :::to- u:LU ~ u.. o N ~ ::r: ex: ~ ;:J 4': :3;;f ';}~ ,; ,:I) 17 .~ " L:-. ",,leU g~! C.L ..". ~S (.) N 0:: <( :z: ,-. c::::::o c::::::o c--.4 (") C.:- __1,. ~ ' ~~-'.~ =2 ,....., r:_".-.~." = --.l C- o ., -t -r 01-n . f= -om "1'10 ~;~~~'; ';;:1 ~I5 '-rn ~_J ~ ::0 .< fi: N N v --i.:... w c..) .:;;- SARA L. WORMAN, PLAINTIFF : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA V. JARED N. WORMAN, DEFENDANT 06-7166 CIVIL TERM ORDER OF COURT AND NOW, this 2.-{ day of March, 2007, following a review of the petition for a stay in this divorce action, and the answer filed thereto, the petition for a stay, IS DENIED. :sal V'INVAlASNN3d I 1 1\ In""'"", ("1" '1..['1' l"'r:Mn'"' l\JJ"ii \~..,J..., \.,( "',,' 'rJ~~q11f if V I Z =6 WV I G HVW LOOZ Al:N10NOruO!:ld 3H1:K) 3QI::l:!0:-CI;n1:J~ "1',-'<'- -~ MARIA P. COGNETTI & ASSOCIATES JEANNE B. COSTOPOULOS Attorney I.D. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, P A 17011 Telephone No. (717) 909-4060 Attornev for Defendant SARA L. WORMAN, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : No. 06-7166 CIVIL TERM JARED N. WORMAN, Defendant : CIVIL ACTION - LAW : DIVORCE REQUEST FOR RECONSIDERATION OF DENIAL OF STAY AND NOW comes Defendant, Jared N. Worman, by and through his attorney, Jeanne B. Costopoulos, Esquire, and avers the following in support of this Request for Reconsideration: 1. Petitioner is Jared N. Worman, Defendant, hereinafter referred to as "Husband," currently residing at 206-R Spring Lane, Enola, Cumberland County, Pennsylvania, 17025. 2. Respondent is Sara L. Worman, Plaintiff, hereinafter referred to as "Wife," currently residing at 522 Springhouse Road, Camp Hill, Cumberland County, Pennsylvania, 17025. 3. Husband filed a Complaint in Divorce in Dauphin County at docket no. 5544 CV 2001, on November 21, 2001. Said action is still pending and a Petition for Appointment of Master has been filed. At the time of filing, Husband was residing in Dauphin County. 4. Wife filed a subsequent Complaint in Divorce on December 18, 2006 in Cumberland County at the above term and docket number. 5. Husband filed a Petition to Stay Complaint in Divorce pursuant to Pa.R.C.P. 1920.6 on January 23,2007. 6. Wife filed an Answer to Husband's Petition to Stay Complaint in Divorce with New Matter on February 13, 2007. 7. Husband filed an Answer to Plaintiffs New Matter on March 9,2007 8. On March 21, 2007, the Honorable Edgar B. Bayley issued an Order denying Husband's Petition to Stay Complaint, said Order is attached hereto as Exhibit "A." 9. Husband is requesting reconsideration for the following reasons: a. The Court did not address application of Pennsylvania Rule of Civil Procedure 1920.6(b) regarding Multiple Actions, which states, "If a second action is brought in another county more than ninety days after service ofthe complaint in the first action, the second action shall be stayed until the conclusion of the first action." b. It is believed the Court may not have realized that Wife's instant action was brought over five (5) years after service of the Complaint in the action filed by Husband in Dauphin County. Therefore, Rule 1920.6(b) requires the instant action to be stayed. c. In a letter dated March 26,2007, E. Robert Elicker, IT, who was appointed divorce master on March 21, 2007, has suggested that due to his personal contact with the parties that "perhaps it is in everyone's best interest that [he] recuse [himself]." Said letter is attached hereto as Exhibit "B." There are no such issues regarding the case pending in Dauphin County. 10. Counsel for Plaintiff does not concur regarding this Request. WHEREFORE, Defendant respectfully requests this Honorable Court to reconsider its Order dated March 21, 2007. Respectfully Submitted: MARIA P. COGNETTI & ASSOCIATES By: --~ --- Jl6(NNE B. COSTOPOULOS;-Es,QUIRE Attorney I.D. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorney for Defendant Dated: ];0~7 -- SARA L. WORMAN, PLAINTIFF- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSY\..VANIA ,; v. JARED N. WORMAN, DEFENDANT : 06-7166 CIVIL TERM ORDER OF COURT AND NOW, this .. 1- ( day of March, 2007, following a review of the petition for a stay in this divorce action, and the answer filed thereto, the petition for a stay, IS DENIED. ------ ~th,,-court, Cara A. Boyanowski, Esquire For Plaintiff I Jeanne B. Costopoulos, Esquire For Defendant :sal IAl.D oJ 0 11/',,"1;': L 0 2007 OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240-6535 E. Robert Elicker, II Divorce Master Traci Jo Colyer Office Manager/Reporter West Shore 697-0371 Ext. 6535 March 26, 2007 Cara A. Boyanowski Attorney at Law SERRA TELLI, SCHIFFMAN, BROWN & CALHOON 2080 Linglestown Road, Suite 201 Harrisburg, PA 17110 Jeanne B. Costopoulos Attorney at Law MARIA P. COGNETTI & ASSOCIATES 210 Grandview Avenue Suite 102 Camp Hill, P A 17011 RE: Sara L. Worman vs. Jared N. Worman No. 06 -7166 Civil In Divorce Dear Ms. Boyanowski and Ms. Costopoulos: I am writing to advise that I have had personal contact with both of these parties as a result of my being on the church council at St. Timothy Lutheran Church and subsequently as board president. Sara Worman was the director of Christian Education at the time I was board president and Jared was also active in the church as a member. Before getting involved in this case, I thought I should make both counsel know of my previous contact and involvement with the parties. It is likely that one or both will prefer to have someone else hear the case. I can further advise that Ms. Worman had talked to me several years ago about her marital situation in a non-professional capacity and I learned some information about her husband's alleged conduct with another woman. Ms. Boyanowski and Ms. Costopoulos, Attorneys at Law 26 March 2007 Page 2 Consequently, I leave it up to counsel as to how they want to proceed with this matter suggesting perhaps that it is in everyone's best interest that I recuse myself. Very truly yours, [};(,~~~~ E. Robert Elicker, IT Divorce Master VERIFICATION 1, Jeanne B. Costopoulos, Esquire, attorney for Defendant, have personal knowledge of the facts contained in the foregoing and therefore do verify that the information contained therein is true and correct to the best of my knowledge, information and belief. DATE: ?/?~(o7 CERTIFICATE OF SERVICE I, Jeanne B. Costopoulos, Esquire, Attorney for Defendant herein, do hereby certify that on this date I served the foregoing Request for Reconsideration of Denial of Stay by depositing a true and exact copy thereof in the United States mail, first class, postage prepaid, addressed as follows: Cara Ann Boyanowski, Esquire SERRATELLI SCHIFFMAN BROWN & CALHOON, P.c. 2080 Linglestown Road Harrisburg, P A 17110 Respectfully Submitted: MARIA P. COGNETTI & ASSOCIATES By: JEANNE B. COSTOPOULOS, E Attorney LD. No. 68735 210 Grandview Avenue, Suite 102 Camp Hill, PA 17011 Telephone No. (717) 909-4060 Attorney for Defendant Dated: 31z3(d7 o r-. 2.~ ,...., C~ = -.J ~ :.D> ;::;0 N \.0 ~ .-\ ::r:-n f1\e -e,m ::XJY C)(J..) ~.=fi ( :J. (,'5 .:' - rl1 ~ ~ -u =t: '2 .r::- o SARA L. WORMAN, PLAINTIFF IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. JARED N. WORMAN, DEFENDANT 06-7166 CIVIL TERM AND NOW, this ORDER OF COURT L1~ day of April, 2007, the within motion for reconsideration of the order entered on March 21,2007, IS GRANTED. That order IS VACATED. Pursuant to Pa. Rule of Civil Procedure 1920.6(b), the within divorce action IS STAYED.1 :sal ~ A. Boyanowski. Esquire For Plaintiff ~e B. Costopoulos. Esquire For Defendant 1 We did not enter a stay on March 21,20 ecause of a prior order of J. Wesley Oler, Jr., J., on February 26,2002, "that the parties shall not proceed at the divorce action now pending in Dauphin County at no. 5544 CV. 2001 OV., be [sic] withdrawn and that the pending action in Cumberland County be the basis for jurisdiction in this divorce proceeding." We mistakenly attributed that order to the within divorce action at 06-7166 Civil Term, when in fact it was entered in a divorce action filed by wife against husband at 01-7083 Civil Term. On November 14, 2005, that divorce action was terminated with prejudice in accordance with Pa. Rule of Civil Procedure 230.2. Judge Oler's order was entered pursuant to Pa. Rule of Civil Procedure 1920.6(a). Relief under that Rule is limited to a stay of the first divorce complaint which was filed in Dauphin County. That action has not been withdrawn and the failure to comply with Judge Oler's order does not change that fact. A stay of the current action commenced by a complaint on December 18, 2006, is mandated under Rule 1920.6(b). ~ \4_', 5~~ ll_ " o~:':' . ~:~< r-l....... tJ.. lit t:l... dLiJ U-fE V- a (:) tJ,,) N """'" ~"_. C- - ~ :::::::: C_ ~ r-- = = C"-oI