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IN THE COURT OF COMMON PLEAS
OF CUMBERLAND COUNTY
$ STATE OF PENNSYLVANIA
HOWARD EARL WEIGEL,
94-5251 CIVIL 19
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a PLAINTIFF ,
VLIMIS
_ NANCY CAROL WEIGEL,
DEFENDANT
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DECREE IN
DI VORCE
AND NOW,- Febx.uary .22....... , .... , 19,9 6.. . , it is ordered and
decreed that .....?.9KW. •F,ARh..W?IPEL ........................ plaintiff, K
and .............. NANCY. CAROL, WEIGEL............. ....... .. , defendant, ?
are divorced from the bonds of matrimony.
The court retains jurisdiction of the following claims which have
been raised of record in this action for which a final order has not yet
been entered; ei
NONE
..................,....,.......... ......,.....•.........•..•.....
. ,..........••.•..
By TI a Co 4/r
Attest: Lawrence E.- Welker
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Prothonotary
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HOWARD EARL WEIGEL, IN THE COURT OF COMMON PLEAS OF
PLAINTIFF : CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
V.
NANCY CAROL WEIGEL,
DEFENDANT 94-5251 CIVIL TERM
AND NOW, this 42" day of February, 1996, the following economic order Is
entered concurrently with a decree In divorce,
(1) Nancy Carol Weigel Is awarded the marital property at 1204 Gross Drive,
Mechanicsburg, Cumberland County. Within ten days of this date, Howard Earl
Weigel shall deliver to Nancy Carol Weigel a deed transferring all his title and Interest
to her.
(2) Nancy Carol Weigel shall make all payments for the upkeep of 1204 Gross
Drive, Mechanicsburg, and shall pay all taxes and insurance on the property, plus
make all payments due and owing on the mortgage to Fulton Bank, and hold Howard
Earl Weigel harmless for same.
(3) The following additional marital property is awarded to Nancy Carol
Weigel:
Personal property in her possession.
Proceeds from ITT Hartford insurance policy.
Partial proceeds, $585, from the Jefferson Pilot insurance policy.
(4) The following marital property is awarded to Howard Earl Weigel:
His profit sharing plan.
His Corestates IRA.
Personal property In his possession,
Proceeds from Belco saving account.
Partial proceeds, $964, from the Jefferson Pilot Insurance policy,
1989 Buick (net proceeds),
(6) To complete this equitable distribution of marital property, Howard Earl
Weigel shall pay Nancy Carol Weigel $3,784 not later than twenty days from this date,
(6) Effective this date, husband shall pay wife alimony Indefinitely in the
amount of $436 per month. The current spousal support order docketed In the
Domestic Relations Office of Cumberland County at 879 Support 1992, IS VACATED,
and replaced with this award of alimony. The alimony shall be paid by an attachment
on husband's wages,
By the Court J
Edgar B, Bayley, ^..
Philip H. Spare, Esquire • 6,?0d
For Plaintiff
R. Mark Thomas, Esquire
For Defendant
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HOWARD EARL WEIGEL, : IN THE COURT OF COMMON PLEAS OF
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
V.
NANCY CAROL WEIGEL,
DEFENDANT 94-5251 CIVIL TERM
OPINION AND ORDER OF COURT
BAYLEY, J., February 22, 1996:--
The economic dispute In this divorce case was bench tried on December 14,
1995. The record was closed on February 13, 1996, following the admission by
stipulation of two supplemental exhibits. The Issues to be resolved are the equitable
distribution of marital property and alimony. The parties have been separated over
two years so a decree In divorce will be entered pursuant to the Divorce Code at 23
Pa.C•S. Section 3301(d)(1)•
FINDINGS OF FACT
Nancy C• Weigel, age 60, lives In the marital residence at 1204 Gross Drive,
Mechanicsburg, The parties built the house 24 years ago. Howard E. Weigel, age
61, lives In the home of his girlfriend at 317 Hertzler Road, Mechanicsburg, The
parties were married on April 17, 1954. Husband separated on September 1, 1992.
Husband became intimately involved with his girlfriend before separation, The parties
have a son Timothy, age 37, who temporarily lives with his mother. They have a
daughter Sandra Braybill, age 41, who lives in Elllottsburg. They also raised a foster
child from age 8, Roland Swartz, now 43 who lives in Duncannon. They had another
child who died of leukemia at a young age.
946261 CIVIL TERM
Wife has an eleventh grade education, She Is In good health, For twenty-three
and a half years she has worked as a babysitter In her home.' Her net monthly
Income after deducting taxes Is $668, and after deducting expenses Is $293,' Her
Income Is derived from babysitting two children full-time, and one part-time. Wife has,
at times, babysat five children, At the hearing on December 14, 1995, she was
advertising to babysit another one. She also babysits her niece without charge. She
receives $459 per month In spousal support and Is covered on her husband's
employer provided medical Insurance plan. Upon a final decree In divorce, wife may
continue that plan under COBRA guidelines If she pays $111 per month, The wife's
brother, Russell Bender, has lived with her for a little over a year, and pays $300 per
month for lodging and meals. Russell Is looking for a place of his own. The parties'
son Timothy has lived with his mother since the fall of 1992, and pays her $400 per
month for lodging and meals.
Husband Is a warehouseman for Exel Logistics, formerly Dauphin Distribution,
where he has worked for twenty-six years. His net Income Is $1,681 per month.3 He
plans to remarry and retire after he turns 62 In September of this year. He has some
1. Her only work experience outside of her home was three weeks in a
warehouse twenty-two years ago,
2. Wife provides meals and pays for miscellaneous items for the children each
day.
3. Calculated as follows: weekly take home of $250.96, plus $110.92 taken
out for spousal support assignment, and $25,63 average per week for income tax
refund, equals $388 per week or $1,681 a month.
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946251 CIVIL TERM
arthritis. Husband is 100 percent vested In an employees' profit sharing plan with
Exe? Logistics. His Individual account In the plan Is updated once a year as of
December 31. The value of his account on December 31, 1991, was $63,407, and on
December 31, 1992, It was $70,208.4 For the first eight months of 1992, the plan
Increased an average of $567 per month, or $4,536; therefore we will calculate the
value on the date of separation of September 1, 1992, at $67,943. Husband has an
IRA at Corestates Hamilton Bank which had a value of $3,857 at separation, and a
value of $4,075 on April 30, 1996.
Wife has paid a $290 per month mortgage to Fulton Bank, plus taxes and
Insurance on the marital residence since separation. The mortgage will be paid In full
in August of this year. Since separation, wife has put a new $1,700 roof on the
residence. Her son paid $500 of that amount. Until February, 1994, wife paid off a
water softener Installed In the house before separation, at $129 per month. At the
hearing on December 14, 1995, wife had savings In her checking account of $470.
She owed about $900 In credit charges.
The stipulated value of the marital home Is $92,000. Less the stipulated
mortgage balance of $1,402, the marital value Is $90,598. Husband will keep $290 in
marital personal property and wife will keep $2,130 in marital personal property. At
separation, husband retained a marital account at Belco Savings in the amount of
$276, and a 1989 Buick worth $8,500 on which he owed $6,000. On February 2,
4. As of June 30, 1995, the amount in the plan is $80,419.
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94.5251 CIVIL TERM
1993, he cashed In a marital Jefferson Pilot Insurance policy for $1,549. On July 9,
1995, he cashed In a marital ITT Hartford Insurance policy for $3,199.
EQUITABLE DISTRIBUTION OF MARITAL PROPERTY
In determining equitable distribution of marital property, the factors to be
considered are set forth In the Divorce Code at 23 Pa,C.S, Section 3502(x). Those
factors, however, are not exhaustive nor specific as to the weight they are to be given.
Sergi v. Sergi, 351 Pa, Super. 588 (1986). In the present case;
(1) The parties have been married for almost 42 years, 38 years until they
separated on September 1, 1992.
(2) Neither party has been previously married,
(3) Wife is 60 years old and husband is 61 years old; wife Is in good health;
husband has some arthritis; husband has been employed with one employer for 26
years, and has a current net monthly income of $1,681; wife has been babysitting in
her home for twenty-three and a half years. Her current net monthly income Is $293.
She Is temporarily receiving $400 per month from her son and $300 per month from
her brother, both for meals and lodging. Husband has the job skills necessary to
continue his employment. If she can obtain another child, wife can earn a little more
babysitting. She has no other marketable skills. Neither party expects any
inheritances. Their individual needs are for daily living. Wife has about $900 In credit
card debt and will continue to pay the $290 per month mortgage payment until this
August when the mortgage will be satisfied. Husband now has a 1993 Buick for
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94-5251 CIVIL TERM
which he pays a loan of $306 per month.
(4) Neither party has contributed to the education, training or Increased
earning power of the other.
(5) The opportunity of both parties for future acquisitions of capital assets and
Income is limited by their earning capacities as essentially reflected by their current
Income.
(6) The sources of the income for the parties are their current jobs. Medical
Insurance Is provided through husband's employer; however, after a divorce, wife will
have to pay $111 per month to maintain that plan which Is essential for her. Wife has
no retirement benefits while husband has an IRA with a value of $4,075 on April 30,
1995, and a fully vested employee profit sharing plan that had a value of $80,419 on
June 30, 1995, Neither party now has any cash value Insurance.
(7) Both parties have contributed to the acquisition, preservation and
appreciation of their marital property by the income they have earned from their jobs.
Wife has also contributed as a homemaker.
(8) Husband has the non-marital portion of his profit sharing plan, $12,508,
which Is increasing, and the non-marital portion of his IRA, $218, which is increasing.
(9) The standard of living of the parties was consistent with their combined
earnings.
(10) The economic circumstances of each party are that their living
requirements use up their earnings. There will be no tax consequences as a result of
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94.6251 CIVIL TERM
the distribution of their marital property.
(11) Neither party will be serving as a custodian of any dependent minor child.
The value of the marital estate totals $172,342:
The property at 1204 Gross Drive, Mechanicsburg,
less the Fulton Bank mortgage balance
Personal property
1989 Buick (net value at separation)
Husband's profit sharing plan
(marital portion)
Corestates IRA (marital portion)
Belco savingG account
Jefferson Pilot insurance policy
ITT Hartford Insurance policy
TOTAL
MARITAL VALUE
$90,698
$2,420
$2,600
$87,943
$3,867
$278
$1,649
$3,199
$172,342
The factors In distributing the marital property equitably weigh In favor of wife
in this long marriage. Wife has substantially less earning capacity than husband, and
needs the marital home to continue to earn money in her established job as a
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94-5251 CIVIL TERM
babysitter.° She has no retirement plan and lacks liquid assets. Husband has
substantial Invested assets. We conclude that equity warrants the distribution of the
$172,342 marital estate by awarding wife 56% of the marital property, or $96,512, and
husband 44%, or $75,830. The marital property shall be distributed as follows;
TO WIFE. MARITAL VALUE
The property at 1204 Gross Drive, Mechanicsburg
less the Fulton Bank mortgage balance $90,598
Personal property in her possession $2,130
Proceeds from ITT Hartford Insurance policy $3,199
Partial proceeds from Jefferson Pilot
insurance policy ,$585
TOTAL $96,612
TO HUSBAND
His profit sharing plan
(marital portion) $67,943
His Corestates IRA (marital portion) $3,857
Personal property In his possession $290
Proceeds from Belco saving account $276
Partial proceeds from Jefferson Pilot
Insurance policy $964
5. Wife has reduced the principal balance of the mortgage on the marital
home since October, 1992. She has maintained the property, Invested In a new roof,
paid off the water softener, and paid all taxes and insurance. Under these
circumstances, we will exercise our discretion in not assigning husband any rental
value to the property. Butler v. Butler, 423 Pa. Super. 530 (1993).
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94-6261 CIVIL TERM
1989 Buick (net value at separation) $2,500
TOTAL
$78,830
Husband shall pay wife the $3,784 necessary for her to receive her entire
equitable distribution of marital property, ($90,698 plus $2,130 equals 92,726 plus
$3,784 equals the $96,612 awarded).
ALIMONY
The factors to be considered in awarding alimony are set forth In the Divorce
Code at 23 Pa.C.S, § 3701(b). In the present case:
(1) Husband earns much more and has a substantially greater earning
capacity than wife.
(2) Both husband and wife are In their early sixties, Wife has good health and
husband has some arthritis. Neither has any mental or emotional disability,
(3) Husband's medical Insurance will continue to be covered by his employer.
Wife will have to pay $111 per month to remain a beneficiary on that plan. Husband
has a substantial employee profit sharing plan, plus an IRA. Those assets also
include a total of $12,726 in non-marital property, which is Increasing. Wife has no
retirement benefits. Neither party now has any cash value Insurance.
(4) Neither party has any expectation of inheritances.
(5) This was a long marriage.
(6) Neither party has made a substantial contribution to the education, training
or increased earning power of the other.
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846261 CIVIL TERM
(7) Neither party will be affected by reason of serving as a custodian of a
minor child,
(6) Wife will be able to maintain the standard of living that has been
established during her marriage only If she receives alimony from husband.
(9) Neither party will be getting further education. At her age, with her lack of
outside work experience, wife Is not able to obtain any substantial outside
employment,
(10) Husband's substantial assets are In cash Investments. It Is necessary for
the wife to keep the marital residence she will be receiving In order to continue to
secure income from babysitting.
(11) Neither party brought any substantial property Into the marriage.
(12) Wife contributed to the marriage as a homemaker.
(13) Wife Is in need of more income than she Is able to earn.
(14) Husband left wife for another woman whom he plans to marry,
(16) Alimony awarded to wife will be taxable to her and deductible to husband.
(16) Wife lacks sufficient Income to provide for her reasonable needs,
(17) Wife Is Incapable of self-support through appropriate employment,
We conclude that an award of alimony to wife for an indefinite period of time Is
reasonable and necessary under the circumstances. The purpose of alimony Is to
insure that the reasonable needs of a dependent spouse are met. Nemoto v.
Nemoto, 423 Pa. Super. 269 (1993). Based on husband's current net monthly
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946261 CIVIL TERM
Income of $1,681, and adding $300 per month to wife's $293 net Income per month
after expenses from babysitting,° we will award alimony to wife In the amount of $436
per month. That Is 40% of the difference In their combined Incomes. Weighing all of
the Section 3701(b) factors, and especially considering their long marriage, age and
economic status, we are satisfied that wife, now and In the future, should not be left
with a wide disparity In Income compared to husband.
ORDER OF COURT
AND NOW, this ZL day of February, 1996, the following economic order is
entered concurrently with a decree in divorce.
(1) Nancy Carol Weigel Is awarded the marital property at 1204 Gross Drive,
Mechanicsburg, Cumberland County. Within ten days of this date, Howard Earl
Weigel shall deliver to Nancy Carol Weigel a deed transferring all his title and Interest
to her,
(2) Nancy Carol Weigel shall make all payments for the upkeep of 1204 Gross
Drive, Mechanicsburg, and shall pay all taxes and Insurance on the property, plus
make all payments due and owing on the mortgage to Fulton Bank, and hold Howard
Earl Weigel harmless for same.
(3) The following additional marital property Is awarded to Nancy Carol
Weigel:
6. Of the $700 per month wife Is receiving for rent and meals from her brother
and son, we attribute $300 as income for rent. We attribute $50 per week to each for
the meals wife provides.
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946261 CIVIL TERM
Personal property In her possession.
Proceeds from ITT Hartford insurance policy.
Partial proceeds, $686, from the Jefferson Pilot insurance policy.
(4) The following marital property Is awarded to Howard Ead Weigel;
His profit sharing plan,
His Corestates IRA,
Personal property in his possession.
Proceeds from Belco saving account,
Partial proceeds, $964, from the Jefferson Pilot insurance policy.
1989 Buick (net proceeds).
(6) To complete this equitable distrlbution of marital property, Howard Earl
Weigel shall pay Nancy Carol Weigel $3,784 not later than twenty days from this date.
(6) Effective this date, husband shall pay wife alimony Indefinitely in the
amount of $436 per month, The current spousal support order docketed In the
Domestic Relations Office of Cumberland County at 879 Support 1992, IS VACATED,
and replaced with this award of alimony. The alimony shall be paid by an attachment
on husband's wages.
By the Court, ,i
Edgar B. Bayle , J.
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946261 CIVIL TERM
Philip H, Spare, Esquire
For Plaintiff
R. Mark Thomas, Esquire
For Defendant
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EARL WEIGEL,
Plaintiff
V.
NANCY CAROL WEIGEL,
Defendant
t IN THE COURT OF COMMON PLEAS OF
t CUMBERLAND COUNTY, PENNSYLVANIA
t
t CIVIL ACTION - LAW
t
t NO. 94-5251 CIVIL TERM
AND NOW, this _ f day of L c u-bt k , 1996 upon
LAW ornc6n
SNELBANER
a
BRENNEMAN
consideration of Plaintiff's Petition For Modification of
Alimony, a Rule is entered upon Defendant, Nancy Carol Weigel, to
show cause, if any she has, why the current alimony payment
should not be terminated or reduced.
Said Rule is returnable withttt- - - days--of- serviee-of--t-his
order-upon Defendant's.coumce; R M,*4 mh.m-a,--tea„
d on the day of
?;;-c•ir t'•. ,
I-30 -4
1996 at o'clock M. in courtroom Hd of the Cumberland
County Courthouse, Carlisle, Pennsylvania.
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HOWARD EARL WEIGEL,
Plaintiff
v.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94-5251 CIVIL TERM
PLAINTIFF'S PETITION FOR MODIFICATION OF ALIMONY
TO THE HONORABLE EDGAR B. BAYLEYt
AND NOW, comes Howard Earl Weigel, by his attorneys,
Snelbaker & Brenneman, P. C. and files the within Petition
representing as follows:
1. Following a hearing before this Court on December 14,
1995, the parties hereto were divorced from the bonds of
matrimony by order of Court dated February 22, 1996.
2. An economic order entitled "order and opinion of Court"
dated February 22, 1996 (hereinafter "Opinion and Order") was
entered concurrently with the decree in divorce. A copy of the
opinion and order is attached hereto as "Exhibit All and
incorporated herein by reference.
3. The Opinion and order, inter alia, requires Plaintiff to
pay Defendant alimony indefinitely in the amount of $435 per
month.
uw o.nca
S Nf LOANER
6 4. Plaintiff's economic circumstances have materially
BRENNEMAN
changed since the issuance of the Opinion and order.
6. Plaintiff is retiring from his job as warehouse worker
lwith Excel Logistics effective September 27, 1996.
6. Plaintiff's date of birth is September 29, 1914.
7. Plaintiff's Social security benefit is scheduled to
begin November 3, 1996 with a benefit calculated to be $768
per month.
8. Plaintiff's only other material source of livelihood
after retirement will be from his profit sharing plan awarded to
him as part of this Court's Opinion and Order (see Exhibit A,
page 11) .
9. Upon retirement, Plaintiff's expenses will increase. He
will be responsible for payment of his health insurance benefits
through his former employer at a cost of approximately $111.00
per month.
10. Since the time of the Opinion and order, Plaintiff's
uW mF¢ru
SNELOAKER
e
BRENNEMAN
monthly expenses have increased approximately $122.00 per month
(for 48 months) as a result of a loan he obtained of $3,784.00 to
make the cash payment to Defendant as ordered by this Court (see
Exhibit A, page 11).
11. Defendant's expenses should be lower now than before
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due to the scheduled payoff of the mortgage note on the former
marital residence. The former marital residence was awarded to
her as part of this Courtts Opinion and order (see Exhibit A,
page 10).
12. Based upon information and belief, Defendant will be
eligible to receive social security payments beginning on or
about June 11, 1997, on which date she will reach the age of 62.
13. Defendant's economic circumstances have materially
improved since the entry of the Opinion and order.
WHEREFORE, due to the materially changed economic
circumstances set forth in the foregoing paragraphs, Plaintiff,
Howard Earl Weigel respectfully requests your Honorable Court to
issue a Rule upon Defendant Nancy Carol Weigel to show cause, if
any she has, why this Court should not terminate or reduce the
current alimony payment of $435 per month.
Respectfully Submitted,
By:
uw orrice
SNEI BAKER
a Date: September 27 , 1996
BRENNEMAN
SNELBAKER & BRENNEMAN, P. C.
t,.
Richard C. Sn6lbaker, Esquire
Philip H. Spare, Esquire
44 W. Main Street
Mechanicsburg, PA 17055
(717) 697-8526
Attorneys for Plaintiff
Howard Earl Weigel
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I verify that the statements made in the foregoing Petition
lare true and correct. I understand that false statements herein
lare made subject to the penalties of 18 Pa. C.S. S4904 relating
Ito unsworn falsification to authorities.
Howard Ear WeigV
Dates September ,?` , 1996
uw OFFICES
SNLLOAN[R
e
BRENNEMAN
HOWARD EARL WEIGEL, ; IN THE COURT OF COMMON PLEAS OF
PLAINTIFF ; CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION -LAW
V.
NANCY CAROL WEIGEL, ;
DEFENDANT 846261 CIVIL TERM
BAYLEY, J., February 22, 1998:--
The economic dispute in this divorce case was bench tried on December 14,
1995. The record was closed on February 13, 1996, following the admission by
stipulation of two supplemental exhibits. The issues to be resolved are the equitable
distribution of marital property and alimony, The parties have been separated over
two years so a decree in divorce will be entered pursuant to the Divorce Code at 23
Pa.C.S. Section 3301(d)(1).
FINDINGS OF FACT
Nancy C. Weigel, age 60, lives In the marital residence at 1204 Gross Drive,
Mechanicsburg. The parties built the house 24 years ago. Howard E. Weigel, age
61, lives in the home of his girlfriend at 317 Hertzler Road, Mechanicsburg. The
parties were married on April 17, 1954. Husband separated on September 1, 1992.
Husband became intimately involved with his girlfriend before separation. The parties
have a son Timothy, age 37, who temporarily lives with his mother, They have a
daughter Sandra Braybill, age 41, who lives in Elliottsburg. They also raised a foster
child from age 8, Roland Swartz, now 43 who lives in Duncannon. They had another
child who died of leukemia at a young age.
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946261 CIVIL TERM
Wife has an eleventh grade education, She Is In good health. For twenty-three
and a half years she has worked as a babysitter in her home,' Her net monthly
Income after deducting taxes is $688, and after deducting expenses is $293.° Her
income Is derived from babysitting two children full-time, and one part-time. Wife has,
at times, babysat five children. At the hearing on December 14, 1995, she was
advertising to babysit another one. She also babysits her niece without charge. She
receives $459 per month In spousal support and Is covered on her husband's
employer provided medical insurance plan, Upon a final decree in divorce, wife may
continue that plan under COBRA guidelines If she pays $111 per month. The wife's
brother, Russell Bender, has lived with her for a little over a year, and pays $300 per
month for lodging and meals. Russell is looking for a place of his own. The parties'
son Timothy has lived with his mother since the fall of 1992, and pays her $400 per
month for lodging and meals.
Husband is a warehouseman for Exel Logistics, formerly Dauphin Distribution,
where he has worked for twenty-six years. His net income Is $1,681 per month.° He
plans to remarry and retire after he turns 62 in September of this year. He has some
1. Her only work experience outside of her home was three weeks in a
warehouse twenty-two years ago.
2. Wife provides meals and pays for miscellaneous items for the children each
day.
3. Calculated as follows: weekly take home of $250.96, plus $110.92 taken
out for spousal support assignment, and $25.63 average per week for income tax
refund, equals $388 per week or $1,681 a month.
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94.5251 CIVIL TERM
arthritis. Husband Is 100 percent vested In an employees' profit sharing plan with
Exel Logistics. His Individual account In the plan Is updated once a year as of
December 31. The value of his account on December 31, 1991, was $63,407, and on
December 31, 1992, it was $70,208.4 For the first eight months of 1992, the plan
Increased an average of $567 per month, or $4,536; therefore we will calculate the
value on the date of separation of September 1, 1992, at $67,943. Husband has an
IRA at Corestates Hamilton Bank which had a value of $3,857 at separation, and a
value of $4,075 on April 30, 1995.
Wife has paid a $290 per month mortgage to Fulton Bank, plus taxes and
Insurance on the marital residence since separation. The mortgage will be paid in full
in August of this year. Since separation, wife has put a new $1,700 roof on the
residence. Her son paid $500 of that amount. Until, February, 1994, wife paid off a
water softener installed in the house before separation, at $129 per month. At the
hearing on December 14, 1995, wife had savings in her checking account of $470.
She owed about $900 In credit charges.
The stipulated value of the marital home is $92,000. Less the stipulated
mortgage balance of $1,402, the marital value is $90,598, Husband will keep $290 In
marital personal property and wife will keep $2,130 in marital personal property. At
separation, husband retained a marital account at Belco Savings in the amount of
$276, and a 1989 Buick worth $8,500 on which he owed $6,000. On February 2,
4. As of June 30, 1995, the amount in the plan is $80,419.
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946261 CIVIL TERM
1993, he cashed in a marital Jefferson Pilot Insurance policy for $1,649. On July 9,
1996, he cashed in a marital ITT Hartford Insurance policy for $3,199.
EQUITABLE DISTRIBUTION OF MARITAL PROPERTY
In determining equitable distribution of marital property, the factors to be
considered are set forth in the Divorce Code at 23 Pa.C.S. Section 3602(a). Those
factors, however, are not exhaustive nor specific as to the weight they are to be given.
Sergi v. Sergi, 361 Pa, Super. 688 (1986), In the present case:
(1) The parties have been married for almost 42 years, 38 years until they
separated on September 1, 1992.
(2) Neither party has been previously married.
(3) Wife is 60 years old and husband is 61 years old; wife Is in good health;
husband has some arthritis; husband has been employed with one employer for 26
years, and has a current net monthly income of $1,681; wife has been babysitting in
her home for twenty-three and a half years. Her current net monthly income is $293.
She is temporarily receiving $400 per month from her son and $300 per month from
her brother, both for meals and lodging. Husband has the job skills necessary to
continue his employment. If she can obtain another child, wife can earn a little more
babysitting. She has no other marketable skills. Neither party expects any
Inheritances. Their individual needs are for dally living. Wife has about $900 in credit
card debt and will continue to pay the $290 per month mortgage payment until this
August when the mortgage will be satisfied. Husband now has a 1993 Buick for
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LMIIBIT A
94-6251 CIVIL TERM
which he pays a loan of $306 per month.
(4) Neither party has contributed to the education, training or Increased
eaming power of the other,
(6) The opportunity of both parties for future acquisitions of capital assets and
income is limited by their earning capacities as essentially reflected by their current
Income.
(6) The sources of the income for the parties are their current jobs. Medical
insurance is provided through husband's employer; however, after a divorce, wife will
have to pay $111 per month to maintain that plan which is essential for her. Wife has
no retirement benefits while husband has an IRA with a value of $4,076 on April 30,
1995, and a fully vested employee profit sharing plan that had a value of $80,419 on
June 30, 1995. Neither party now has any cash value insurance.
(7) Both parties have contributed to the acquisition, preservation and
appreciation of their marital property by the income they have earned from their jobs.
Wife has also contributed as a homemaker.
(8) Husband has the non-marital portion of his profit sharing plan, $12,508,
which is Increasing, and the non-marital portion of his IRA, $218, which is increasing.
(9) The standard of living of the parties was consistent with their combined
earnings.
(10) The economic circumstances of each party are that their living
requirements use up their earnings, There will be no tax consequences as a result of
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94-6261 CIVIL TERM
the distribution of their marital property,
(11) Neither party will be serving as a custodian of any dependent minor child.
The value of the marital estate totals $172,342:
The property at 1204 Gross Drive, Mechanicsburg,
less the Fulton Bank mortgage balance
Personal property
1989 Buick (net value at separation)
Husband's profit sharing plan
(marital portion)
Corestates IRA (marital portion)
Belco savings account
Jefferson Pilot insurance policy
ITT Hartford insurance policy
TOTAL
MARITAL VALUE
$90,698
$2,420
$2,600
$67,943
$3,867
$276
$1,649
$3,199
$172,342
The factors In distributing the marital property equitably weigh in favor of wife
In this long marriage. Wife has substantially less earning capacity than husband, and
needs the marital home to continue to earn money in her established job as a
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h:XIIlBur A
G4-5261 CIVIL TERM
babysitter.° She has no retirement plan and lacks liquid assets. Husband has
substantial invested assets. We conclude that equity warrants the distribution of the
$172,342 marital estate by awarding wife 68%6 of the marital property, or $96,512, and
husband 44%, or $75,830. The marital property shall be distributed as follows:
The property at 1204 Gross Drive, Mechanicsburg
less the Fulton Bank mortgage balance
Personal property in her possession
Proceeds from ITT Hartford insurance policy
Partial proceeds from Jefferson Pilot
Insurance policy
TOTAL
TO HUSBAND
His profit sharing plan
(marital portion)
His Corestates IRA (marital portion)
Personal property in his possession
Proceeds from Belco saving account
Partial proceeds from Jefferson Pilot
insurance policy
MARITAL VALUE
$90,598
$2,130
$3,199
$585
$96,612
$67,943
$3,857
$290
$276
$964
5. Wife has reduced the principal balance of the mortgage on the marital
home since October, 1992. She has maintained the property, invested in a new roof,
paid off the water softener, and paid all taxes and insurance. Under these
circumstances, we will exercise our discretion in not assigning husband any rental
value to the property. Butler v. Butler, 423 Pa. Super. 530 (1993).
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EXH ustT A
94.5251 CIVIL TERM
1989 Buick (net value at separation) $2.600
TOTAL
$76,930
Husband shall pay wife the $3,784 necessary for her to receive her entire
equitable distribution of marital property. ($90,698 plus $2,130 equals 92,728 plus
$3,784 equals the $96,512 awarded).
ALIMONY
The factors to be considered in awarding alimony are set forth In the Divorce
Code at 23 Pa.C.S. § 3701(b). In the present case;
(1) Husband eams much more and has a substantially greater earning
capacity than wife.
(2) Both husband and wife are In their early sixties. Wife has good health and
husband has some arthritis. Neither has any mental or emotional disability.
(3) Husband's medical insurance will continue to be covered by his employer.
Wife will have to pay $111 per month to remain a beneficiary on that plan. Husband
has a substantial employee profit sharing plan, plus an IRA. Those assets also
Include a total of $12,726 in non-marital property, which is Increasing. Wife has no
retirement benefits. Neither party now has any cash value insurance,
(4) Neither party has any expectation of inheritances.
(5) This was a long marriage.
(6) Neither party has made a substantial contribution to the education, training
or increased earning power of the other,
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94.6261 CIVIL TERM
(7) Neither party will be affected by reason of serving as a custodian of a
minor child,
(8) Wife will be able to maintain the standard of living that has been
established during her marriage only if she receives alimony from husband.
(9) Neither party will be getting further education. At her age, with her lack of
outside work experience, wife is not able to obtain any substantial outside
employment.
(10) Husband's substantial assets are in cash investments, It Is necessary for
the wife to keep the marital residence she will be receiving In order to continue to
secure income from babysitting.
(11) Neither parry brought any substantial property into the marriage.
(12) Wife contributed to the marriage as a homemaker.
(13) Wife is in need of more income than she is able to earn.
(14) Husband left wife for another woman whom he plans to marry.
(16) Alimony awarded to wife will be taxable to her and deductible to husband.
(16) Wife lacks sufficient income to provide for her reasonable needs,
(17) Wife is incapable of self-support through appropriate employment.
We conclude that an award of alimony to wife for an indefinite period of time is
reasonable and necessary under the circumstances. The purpose of alimony Is to
Insure that the reasonable needs of a dependent spouse are met. Nemoto v.
Nemoto, 423 Pa. Super. 269 (1993). Based on husband's current net monthly
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EXII Ili IT A
94.5251 CIVIL TERM
Income of $1,881, and adding $300 per month to wife's $293 net Income per month
after expenses from babysitting ° we will award alimony to wife In the amount of $435
per month. That Is 40% of the difference In their combined Incomes. Weighing all of
the Section 3701(b) factors, and especially considering their long marriage, age and
economic status, we are satisfied that wife, now and In the future, should not be left
with a wide disparity in Income compared to husband,
ORDER OF COURT
AND NOW, this ZZ day of February, 1898, the following economic order Is
entered concurrently with a decree in divorce.
(1) Nancy Carol Weigel Is awarded the marital property at 1204 Gross Drive,
Mechanicsburg, Cumberland County. Within ten days of this date, Howard Earl
Weigel shall deliver to Nancy Carol Weigel a deed transferring all his title and interest
to her.
(2) Nancy Carol Weigel shall make all payments for the upkeep of 1204 Gross
Drive, Mechanicsburg, and shall pay all taxes and Insurance on the property, plus
make all payments due and owing on the mortgage to Fulton Bank, and hold Howard
Earl Weigel harmless for same.
(3) The following additional marital property is awarded to Nancy Carol
Weigel:
8. Of the $700 per month wife is receiving for rent and meals from her brother
and son, we attribute $300 as income for rent. We attribute $50 per week to each for
the meals wife provides.
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94.5251 CIVIL TERM
Personal property In her possession.
Proceeds from ITT Hartford Insurance policy.
Partial proceeds, $585, from the Jefferson Pilot Insurance policy.
(4) The following marital property Is awarded to Howard Earl Weigel;
His profit sharing plan,
His Corestates IRA.
Personal property In his possession.
Proceeds from Belco saving account.
Partial proceeds, $964, from the Jefferson Pilot insurance policy.
1989 Buick (net proceeds).
(5) To complete this equitable distribution of marital property, Howard Earl
Weigel shall pay Nancy Carol Weigel $3,784 not later than twenty days from this date.
(6) Effective this date, husband shall pay wife alimony indefinitely in the
amount of $435 per month. The current spousal support order docketed in the
Domestic Relations Office of Cumberiand County at 879 Support 1992, IS VACATED$
and replaced with this award of alimony. The alimony shall be paid by an attachment
on husband's wages.
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EXIBrr A
,. ...w 1.
945251 CIVIL TERM
Philip H, Spare, Esquire
For Plaintiff
R. Mark Thomas, Esquire
For Defendant
;saa
1
„
.12.
EXHIBIT A
CERTIFICATE OF SERVICE
It PHILIP H. SPARE, ESQUIRE, hereby certify that I have,
on the below date, caused a true and correct copy of the
foregoing Petition to be served upon the person and in the manner
indicated below:
FIRST CLASS MAIL POSTAGE PREPAID ADDRESSED As FOLLOWS1
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
PTiilip"H. Spare, Esquire
SNELBAKER 6 BRENNEMAN, P. C.
44 West Main Street
P. O. Box 318
Mechanicsburg, PA 17055
(717) 697-8528
Attorneys for Plaintiff
Howard Earl Weigel
Datet September 27, 1996
uw orric[s
SNELBAKER
e
13RENNEMAN
.
EXEL LOGISTICS
L o o I RETIREMENT AND SAVINGS PLAN
STATEMENT OF ACCOUNT AS OF 06/00/96
HOWARD E WEIGEL SSNt 206 24 4639
317 HERTZLER RD LOCATIONt 93
MECHANICSBURG EMPLOYEE NUMBERI 93236
PA 17086
SHORT TERM
GOVERNMENT BOND BALANCED STOCK MONEY MKT
FUND A FUND B FUND C FUND D FUND M TOTAL
BEGINNING BALANCE $84,925.29 $.D0 S.OO $.00 5.00 $84,928 .25
WITHDRAWALS .00 .00 .00 .00 DO DO
LOAN ORIGINATION .00 DO OG GO DO .00
2ND QTR - 1986
CONTRIBUTIONS
ASSOCIATE 401(K) .00 .00 .00 .00 100 DO
EMPLOYER MATCH .00 .00 .00 .00 .00 .00
ROLLOVER .00 .00 .00 .00 .00 .00
1896 FORFEITURES .00 .00 .00 .00 DO .00
2ND OTR - 1986
EARNINGS 628.92 .00 .00 .00 DO 629 .52
2ND OTR - 1886
LOAN REPAYMENTS .00 DO .00 .00 .00 .00
INVESTMENT TRANSFER .00 .00 .00 .00 .00 DO
ENDING BALANCE $89,883.77 5.00 5100 6.00 $.00 $85,993 .77
INVEETPE`:T ELECT;CNC.
2ND QTR CONTR. 100 `G 0 % 0 % 0 % 0 %
TOTAL ACCOUNT BALANCE:
ASSOCIATE 401(K) $.00 5.00 $.00 $.00 5.00 5 .00
EMPLOYER MATCH 5.00 $.00 $100 $.00 $.00 5 .00
PROFIT SHARING $89,553,77 $•00 $.00 $.00 $,GO $85,983 .77
ROLLOVER $.00 $.00 $.00 $100 $.00 5 .00
veer-to-Oate AssoClate 401(k) ContrlbutlOnar $.00
Year•to-Oate Employer Match Contributions: $.00
For quarter-to-date and year-to-do to Investment returns, please cell BeneFIts on Call.
PLAINTIFF'S
EXHIBIT
M
I SUMMARY OF YOUR CURRENT BENEFITS t 06/00/96 1
It you are age 62 or become disabled, you well be entitled l0- ............ $65.553.77
If you die, your beneficiary will be entitled to........ ,.... .....................{66,660.77
If your employment terminstee for reasons other than death or dleablllty prior to ape 62.
you will be entitled to receive your vented balance in accordance with the plan's vesting
schedule. Based on your current percent vented of 100%, you will be entitled to...{66,660.77
Call 1-800-479-9998 for plan information, deferral percentage changes, or investment election
changes. Changes must be made by September 16th to be effective for the fourth quarter.
The company code is 7682. Please refer to your Benefits on Call brochure for more information.
DIRECT INSTALLMENT LOAN TRUTH-IN-LEN DING DISCLOSURES
PISA Bank, National Aasooiation Date liar. 7, 1996
OLMACB Number 4910522
At of the Borrow et
is a Neatly fate.
C?NARGE
the dollar amount the
credit will cost the
Borrower.
Amount Financed
the amount of credit
provided to the Borrower or
on the Borrower's behalf.
4237.11
1.
Borrower's hyment Schedule will be a means in estimalr
Number of Payments Amount of Payments When Payments Are Due
Apr. 1 1996
Monthly bearinnuram
rally: Lender is getting a security interest in deposits or property
by Linder, and: Tate Charge, ( ] Not Applicable. [ ]Elf a payment is not
INone, [ ]Goods orproperty being purchased. made within 15daysolltsduedate,Borrowermaybecharged the
lesser of $10.00 or 5% of the total amount of the payment which
] Red Estate. [ J was not paid in lull.
Prepayment' II Borrower pays off early, Borrower will not have to
pay a penelty.
ddillon, collateral (other than Borrower's principal residence) Required Deposit Balance: [ } Not Applicable. [ ] The
Iring other obligations to lender mry also secure this Note. Annual Percentage Rate does not to a into account your required
deposit balance, Inlenat Charges: .
Assumption: II this loan is secured by a dwelling, someone
t None [ ] Filing fees $ purchasing that dwelling cannot assume the remainder of the loan
ahta Pale: [ )(Not Applicable. on the original terms.
] The Annual Percentage Rate may increase it the Prime Rate published In The Will Street Journal increases, The rate will not increase
I often than once a month. The rate will not increase more than one percentage point in any one month and will not increase mare than
percentage points during the term of the loan. The rate will never increase beyond 18%, Any increase in the rate is a result elan Increase
u IgQAi a cause the number of payments to increase, and/or:
ri ?IKa amount of the final payment to change. The final payment will never be increased to more than 150% of the regular
TIN . For eaamDpla, if your loan were for $10,000.00 at in Initial rate of 1355%, repayable in 48 monthly payments of $270.76, and the
increased to T 4K%a ter 12 payments, increased to 154% after the neat 12 payments, and then remained the same for the term aline
yoy wo Id be required to pay one additional payment of $254.88.
L the amount of the payments to change. The amount of the payments may increase every lour years. The final payment will
it be increased to more than 150% or the regular payment. For example, it your loan were for $10,000.00 at in initial rate of 1354%,
fable in 72 monthly payments of $203.39, end the rate increased to 1445% after 12 payments, increased to 1554% after the next 12
vents, and then remained the same for the term of the loan, the payment amount would increase to $227.12 for the 49th through the
I payments,
] II Borrower's participation in the automatic payment plan is discontinued lot any reason, the Automatic Payment Plan Discount of
percentage points will terminate and may cause the rate to increase. Any increase in the rate will cause the amount of the
rents to increase, For example, if your loan were for $10,000.00 at an initial file of 134%, repayable to 48 monthly payments of
).76, and the Discount terminated after 12 payments, the payment amount would increase to $ for the remainder of
arm of the Note.
your contract documents for any additional information about nonpayment, default, any required payment in lull before the scheduled
and prepayment refunds and penalties.
Itemization of AmQunt
Amount Financed
i
Iq Amount given directly to Borrower
0 4000.00
(2) Amount paid on Borrowds account
11
13) Amount retained by Under for
fill Amount paid to others on Borrower's
behalf
(a) to public officials
S
(b) for credit, Insurance
_----
IQ to
5
(d) to
S
(e) to
S
(Q to
S
10 to
5 _
in) to
S
(i) to
S
Piebald Finance Charge
i
Itemization of Amounts paid by Borrower
at the h,.,a the loan is made:
Ill
S
(2)
f _
13)
_ S
I INSURANCE IS NOT REQUIRED: Credit Life Insurance and Credit Disability Insurance are not required to obtain credit, and will not be provided unless Borrowers sign below and agree to
additional cost(s). Insurance may be purchased on the life of one or two Borrowers. Credit Disability Insurance may be purchased on only one Borrower. II obtained through Lender the
the insurance for the original term of the credit is stated below. "Borrower" who iy insured may not be a Co-Maker.
Single Credit Life Insurance which costs $ 68.50
Single Credit Disability Insurance which costs S 168.61
it Joint Credit Life Insurance which costs $
er does not desire or is not eligible lot credit insurance
Total of Payments
The amount the Borrower will hive
paid after Borrower his made all
payments is scheduled.
Person to be
Signature of Person to be insured for Single CUM Disability Insurance
11 2.
Signatures of Persons to be insured for Joint Credit Life Insurance
Ninatu e o orrdwer
to Borrower(s). The maximum amount of coverage which insured Borrower(s) will receive is set forth in the certificate or policy, as applicable,
'aSingle Interest Insurance: [ X] Not applicable [ ] Lender's Single interest Insurance is required as a condition or this credit. Bolrower canob ne
Iota to Lender If obtained Irom Lender, the cost will be $ PLAINTIFFS
V INSTALLMENT LOAN NOTE LATE CHARGE: Not Applicable. Borrower EXHIBIT 1e
ITIONS: In this Note, theword "Borrower" means each and ail of those who sign below charge for any payment not paid in lull wi,]n Ir. days e
ch and all of those who endorse the check which disburses the proceeds of this loan the lesseral $10 00or 5"e of the lolal amountalthepay e
137.11 *11h interest on the unpaid ha,ance nom the date funds air The
1.
:ed until paid in full I nlerest shall be paid all he r aft' ,r r,r „n.l
[ ] [ ?
[ y] paymentamnunts will not changeover the t c
II r e
'P
ayment Schedule"
-payments to Increase !of taemple, it your loan wen tot SIU,u U UU at in initial rate of saw%, lop yauie fit woe mommy payments or
1210J6,and lMDlacourtterminefedaNef12payments, the payment Amount would Incesseto1 fortheitmondetof
the term oil the Nola
it your contract docmnenIs lot any odddioal into tinthan about nonpayment, do Too II. any road red pay mend in lull before theat heduled
dell and oraoeyment Islands and pemlhu. -
CREDIT INSUNANCE IS NOT NEQUIRED: Credit life Insurance and Credit Disability Insurance ate not required to obtain credit, and will not be provided unltaa Borrowers sign below end appOtto
pay the additional cost(l) Inaurancemaybe purchated oil the lite of one of Iwo Borrowers Credit DisabifityInsurance maybe purchased on only one Borrower Toldidedthsoughlenlltrlhe
cat of the insurance lot the ongmef farm of the credit is stated below "Borrower" who I Insured may not be a Co Maler
I want Single Credit Lilt Insurance which coals S 68.50
1 want Smght Credit Disability Insurance which costs $ 168.61
We want Joint Credit Litt Insurance which costs S
Person to be
Signature at Person to be Insured lot Single CUdit Disablbly Insurance
1--- - 2. -----
Signatures of Perron to be insured lot Joint Credit Life Insurance
Borrower does not desire or is not eligible lot credit insurance. -___ -
31gnalure o gnawer
Notice to Borrorrel The moxtmum Amount Of coverage which insured Borrower(s) will receive is set With in the certificate or policy, is applicable.
LanderOSingle Interest Insurance: [ g] Not applicable [ ]
acceptable to Lender it obtained from Lender, the cost will be $
DIRECT INSTALLMENT LOAN NOTE
DEFINITIONS: In this Note, the word "Borrower" means each and all of those who sign below
and each end all or those who endorse the check which disburses the proceeds of this loan.
The word °w,en^ mum
pW?yAfe?yaLionsl Association
whom
or any person to This Note Nei
BORROWER'S PROMISE TO PAY: To repay this loan, Borrower promises to pay to Lender
S 4237.11 . with interest on the unpaid balance train the date funds ate
J....sd until n.ulm loll ntlne.I 11ha11 be 11.1d 11 the l.I. I.,.Ilnunl ill %.
Borrower pmmmes to make payments in accordance with the payment sch sAg m7API this
Note Borrower promises to pay to Lender all other amounts which may become due underthe
terms of this Note, including, it applicable, Late Charges and Costs of Collection. Borrower
agrees to make payments at the place designated by lender. Borrower may also be required to
pay to Lender certain other charges before lender will give any money to Borrower. These
charges, it any, ate stated above in "lleminuon of Amounts paid by Borrower at the time the
loan it made" and/or in the Settlement Statement.
PAYMENT SCHEDULE: Borrower agrees to pay to Lender the amounts due under this Note
[x ] In uninterrupted monthly payments. 47 payments of S 112.95
and a final payment, which will be billed by Lender, of all remaining unpaid amounts.
Payments will be due on the some day of each month slartmg on Apr. 1, 1996
.
Payments will continue until all amounts due are paid
[ ]tit uninterrupted monthly payments, except for the months shown payments
of S and a final payment, which will be billed by the lender, or all
rem hemp unpaid amounts. Payments will be due on the same day of each month starting on
PROVIDED. HOWEVER, that no payments shall be due during the
months at
or each year
I. ] in a single payment ofS plus accrued interest and all other
amounts due on
In addition, prior to the month at the first scheduled payment as stated above, interest
shell a payable monthly on the unpaid balance and shall be due an the same day of the month
as the later payments.
Thedate that the final payment is scheduled in this paragraph to be due is called the' Maturity
Date" of this Note.
VARIABLE RAZE: ] Not Applicable [ ] The Ines st rate on this Note may change
based on changes in the Inlerest Rate Index Sec the 'Changes In Interest Rate' section on the
reverse side of this Nate.
AUTOMATIC PAYMENT PLAN: [ ] Not Applicable [ ] Borrower authonaes Lender
to deduct the payments on this loan from Borrower's deposit account number
on each scheduled payment due date. The interest rate on this loan
may increase by percentage points ("Automatic Payment Plan Discount") it participa
tion in the automatic payment plan is discontinued for any reason, including (al it any Borrower
chooses to terminate participation; (b) the deposit account Identified above is closed, or h.) If there
are not sufficient funds in the account to make the lull monthly payment on three payment dates
LATE CHARGE: [ ] Not Applicable. [ j Borrower agrees that Lender may assess a late
charge lot any payment not paid in full wI n 15 days of its due dale. The Isle chat ea will be
the lesser of $10.00 or 5% of the total amount of the payment which was not paid in lull. No late
cIT area will be due, however. if the reason that the payment is late Ia either pI ai trib dable to a
late chute assessed on a pilot payment; or for because, after dehull by Burrower, the entire
outstanding balance on this Noll is due. No more then one late charge will be imposed lot any
stn It scheduled payment.
MO%THLY PAYMENT CHANGES:
I J the payment amounts will not change over the term of the loan except AS stated in the
"PAmenl Schedule "
[ ] The payment amounts may increase if Borrower hems ates participation in the automatic
payment plan. Lender will determine the amount of equal monthly' payments that would be
sufficient to repay in full, by the Maturity Dale, the unpaid principal balance that is expected to
be due on the payment change date, at the interest rate in effect at the bore the calculation 1s
being made. lender will noddy Borrower of the new amount of the payment which is due.
] Cha nges in the interest rate may cause the number of payments and/or the amount of
t a final payment to change. One month before the Maturity Date, if necessity, the number at
payments due will increase so that the lin, I payment will not be more than 150% of the
previous scheduled monthly payment.
[ ] Changes in the interest rate may cause the number of payments to change and/or the
amount of the payments to increase, the first change in the payment amount may occur on a
dale 48 months after the due dote of the first monthly payment; subsequent changes, it
applicable, will occur every 48 months thereafter. Not more than 45 days, but not less than 25
days, before the dale of each payment change, Lender will calculate the new payment amount.
The payment amount may increase but will not decrease, except for the final payment. Lender
will determine the amount of equal monthly payments that would be sufficient to repay in full,
by the Maturity Dale the unpaid principal balance that is expected to be due on the payment
change date, at the interest rate in effect at the time the calculation is being made. Lender will
notify Borrower of the new amount of the payment which is due. One month before the
Maturity Dale, if necessary, the number of payments due will increase so that the final
payment will not be more Ihan 1501t of the previous scheduled monthly payment.
MULTIPLE PARTIES: II there is more than one Borrower, each agrees to be responsible to
Lender, individually and together, tar us mend in full of this loan Borrowers agfee that
payment of all or part at the proceeds of this Note to any Borrower at to anyone else at the
direction of any Borrower will be the equivalent of payment to each Borrower and tot the
henelll at all Borrowers
THE ADDITIONAL PROVISIONS ON THE REVERSE SIDE ARE PART OF THIS NOTE.
BORROWER ACKNOWLEDGES RECEIPT OF A COMPLETELY FILLED-IN COPY OF THIS NOTE.
BY SIGNING BELOW, BORROWER AGREES TO BE LEGALLY BOUND BY ALL THE TERMS AND
CONDITIONS OF THIS NOTE. Each of the Borrowers guarantees that the signature of any
Borrower issjenu_re?
a7?Y!!"` av !?=G_
HOWARD E WEIGEL Borrower La ? B --- - ---
_.----------_.--Borrower
CO-MAKERS-SEE NOTICE TO COSIGNER ON THE REVERSE SIDE: Any Borrower who is
designated as a Co Maker agrees to be equally responsible with elf other Borrowers for the
payment of this loan and performance of all promises in this Note.
o Makcr ale
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION
PA
0000000012e(ne. 7193)
tender's Smgle Interest Insurance is required as a condition of this credit. Borrower can obtain the Insurance from anyone
-
Co-?M-aa ker - --...-.- -- -ale
I )
Exel Logistics, Inc. I ,Y
P. O. Box 8100
Chicago, Illinois 60680-8100
October 16, 1996
HOWARD E. WEIGEL
317 Hertzler Rd
Mechanicsburg, PA. 17055
Employee No. 93236
Dear HOWARD E. WEIGEL :
It has been reported to us that as of 9/27/96, you are no longer eligible for
coverage under the Health Benefit Plan of Exel Logistics, Inc. You may elect to
retain the health benefit coverage(s) for up to 18 months. Whoever elects to
continue coverage must pay the premium for the entire period for which
coverage is so continued. The COBRA rates are listed below and are subject to
change on an annual basis. If you currently participate in the spending program
you may continue by paying the premium along with an administrative charge
(please note: these benefits cease their "Pre-Tax" status as of 9/27/96). You
have 60 days from the date of this letter to notify Aon Consulting of your desire
to continue coverage. The charges are as follows:
INDIVIDUAL
Hospital-Surgical/Major Medical $111.18
Monthly payment $111.18
You may wait no longer then 45 days from the date you have signed the
completed enrollment form to send the first payment. The first payment must be
at least enough to cover the total amount of the time which has passed since
your original effective date of 9/27/96 and the date you sent the payment.
Upon receipt of your completed enrollment form by Aon Consulting (our third
party administrator), they will send you a supply of billing coupons to be remitted
with your premiums. Each billing coupon will show the amount due, date due,
and address to which the payment should be sent. If any payment, including the
first, is not received on time, you will lose your right to the continuation coverage
through COBRA.
October 15, 1996 Itr sent
m A NnFF's
E%M91T
?I 0 .
Social Security Administration r
Retirement, Survivors and Disability Insurance `
Notice of Award
Mid-Atlantic Program Service Center
300 Spring Garden Street
Philadelphia, Pennsylvania 19123.2992
Date: June 30, 1996
Claim Number: 208-24-4633A
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG, PA 17055.6164
h??Ilh??lllui?l,lnhlullu,ull,ll,,,lnl6nlllu1lh6oil
You are entitled to monthly retirement benefits beginning October 1996.
Whet We Will Pay And When
• You will receive $768.00 for October 1996 around November 3, 1996.
• After that you will receive $768.00 each month.
Work And Earnings Affect Payments
The monthly earnings test applies only to 1 year. That year is the first year a
beneficiary has a non-work month after entitlement to Social Security benefits.
Our records show that you had or will have at least one non-work month in 1996.
Therefore, we will pay you benefits for years after 1996 based on the total
amount you earn each year.
Other Social Security Benefits
The benefit described in this letter is the only one you can receive from Social
Security. If you think that you might qualify for another kind of Social Security
benefit in the future, you will have to file another application.
Enclosure(s):
Pub 06-10077
Pub 06-10069
C See Next Page PLAIN"nFP8
E"BIT
I ?i
208.24-4633 A Page 2 of 3
Do You Disagree With The Decision?
If you think we are wrong, you have the right to appeal. A person who did not
make the first decision will decide your case. We will correct any mistakes. We
will review those parts of the decision which you believe are wrong and will look
at any new facts you have. We may also review those parts which you believe
are correct and may make them unfavorable or less favorable to you.
• You have 60 days to ask for an appeal,
• The 60 days start the day after you receive this letter.
e You must have a good reason if you wait more than 60 days to ask for an
appeal.
Your Responsibilities
Your benefits are based on the information you gave us. If this information
changes, it could affect your benefits. For this reason, it is important that you
report changes to us right away.
We have enclosed a pamphlet, "When You Get Social Security or Survivors
Benefits... What You Need to Know." It tells you what must be reported and
how to report.. Please he sure to read that part of the pamphlet which explains
how work could change payments.
If You Want Help With Your Appeal
You can have a friend, lawyer or someone else help vou. There are groups that
can help you find a lawyer or give you free legal services if you qualify. There
are also lawyers who do not charge unless you win your appeal. Your local Social
Security office has a list of groups that can help you with your appeal.
If you get someone to help ,you, you should let us know. If you hire someone, we
must approve the fee before he or she can collect it. And if you hire a lawyer, we
will withhold up to 26 percent of any past due benefits to pay toward the fee.
If You Have Any Questions
If you have any questions, you may call us toll-free at 1.800-772.1213, or call
your local Social Security office at 1-717-243-0085. We can answer most.
questions over the phone. You can also write or visit any Social Security office.
The office that serves your area is located at:
BRANCH OFFICE
MINERVA MILLS BLDG
401 EAST LOUTHER ST
CARLISLE, PA 17013
208-24.4833 A Page 3 of 3
If you do call or visit an office, please have this letter with you. It will help us
answer your questions. Also, if you plan to visit an office, you may call ahead to
make an appointment, This will help us serve you more quickly when you arrive
at the office.
Shirley S. Chater
Commissioner
of Social Security
HOWARD E. WEIGEL
Home: 35.00
Maintenance
Utilities 135.00
Taxes (real estate) 66.00
Insurance:
Automobile 33.00
Health 111.18
Automobile:
(Payments, fuel, repairs) 375.00
Medical:
Doctor 16.00
Opthamologist and
optometrist 10.00
Personal:
Clothing 35.00
Food 220.00
Other (household, barber) 15.00
Credit Payments 40.00
Loan Repayment: 112.95
Miscellaneous:
Gift/Charitable contrib. 20.00
Alimony: 435.00
Total Monthly Expenses: $1.659.13
($eoo.oo per year)
($50.00 each quarter)
""FrS
EX 1HIBIT
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' OCT
HOWARD EARL WEIGEL, t IN THE COURT OF COMMON PLEAS OF
Plaintiff t CUMBERLAND COUNTY, PENNSYLVANIA
t
vs. t CIVIL ACTION - LAW
t
NANCY CAROL WEIGEL, t NO. 94-5251 CIVIL TERM
Defendant t IN DIVORCE
PLAINTIFFPS PRETRIAL STATEMENT PURSUANT
TO PA. R.C.P. 1920.33fb)
TOt Honorable Edgar B. Bayley
AND NOW, comes the Plaintiff, HOWARD EARL WEIGEL, by his
Attorneys, SNELBAKER & BRENNEMAN, P.C., and submits the following
pursuant to Pa. R.C.P. 1920.33(b) and this Court's directive
contained in the letter of September 14, 1995.
I. INTRODUCTION - BACKGROUND
The following significant background events are submitted in
chronological order:
April 17, 1954: The parties were married.
September 1, 1992: The parties separated.
October 21, 1992: Support Order of $459.00 per month
entered payable from Husband to Wife.
September 14, 1994: Plaintiff (Husband) instituted
this action in Divorce.
II. STATEMENT PURSUANT TO PA R C P 1920,33(b)
The following material corresponds by paragraph designation
LAW 01111:1 u
y NEL&AKIR in accordance with the system of Pa. R.C.P. 1920.33(b).
BRYNNFK1AN
(a)
At the present time, a specific value has
not been established. Plaintiff reserves
the right to have the asset valued.
Balance of mortgage: $1,401.52 (9/95)
Mortgagee: Fulton Bank
(b) Household goods and furnishings remaining in
marital residence as per attached list marked as
Plaintiff's Exhibit PX-1.
Value: $2,130.00
Date of Valuation: March 19, 1993
Household goods in possession of Plaintiff
include: TV, VCR, several handtools, ladder, skil saw,
electric drill.
Value: $290
Date of Valuation: 9-22-95
(c) Howard E. Weigel
Corestates Hamilton Bank
Individual Retirement Accounts
LAW OFFICL4
SNELnAKFA
a
BFENNEMAN
Account #950155918 - 0363219
Account #950155918 - 0209988
Account #950155918 - 0229105
Account ,#950155918 - 0247359
Account ,#950155918 - 0266175
Account ,#950155918 - 0286044
Total
9/1/92
$2,211.40
$ 249.92
$ 123.89
$ 38.17
$ 240.38
$ 110.68
$2,974.44
4/30/95
$3,224.78
$ 275.19
$ 137.81
$ 42.80
$ 270.67
$4,074.99
The increase in value since September 1, 1992 is non-
marital.
(d) Jefferson-Pilot
Life Insurance Policy in name of Howard E. Weigel
Policy No. QP4191603
Cancelled: February 2, 1993
Amount received: $1,549.07
-2-
(a) Harrisburg Belco-Federal Credit Union
Checking Account 0419080 S-4
Value: $36.20 as of September 3, 1992
$428.02 as of August 31, 1995
Savings Account 0419080 S-1
Value: $5.00 as of September 1, 1992
$820.36 as of August 31, 1995
Any increase in value since September 1, 1992 is non-
Imarital.
(f) 1989 Buick Skylark
Value: $8,046.00 (6/8/93)
Encumbrance: $3,535.97 (6/8/93)
(g) ITT Hartford
Life Insurance Policy
Policy #LU0925414
Cancelled: July 9, 1995
Amount received $3,198.56
(ii) NON-MARITAL ASSETS
(a) PNC Bank
Checking Account #50-8045-7328
Balance: $1,601.37
Date: September 8, 1995
Savings Account #50-8018-1202
Balance: $1,730.38
Date: September 8, 1995
(b) 1993 Buick Regal
Value.: $12,000
Date of Valuation: September 21, 1995
Encumbrance: $9,349.62 (9/22/95)
(c) Snowblower
Value: $600
Date of Valuation: September 22, 1995
(d) Chainsaw
Value: $200
Date of Valuation: September 22, 1995
LAW OFFICGu
SNELOAKER
a
BRENNEMAN
(2) IDENTIFICATION OF EXPERT WITNESSES
Chuck E. Bricker, 97 Texaco Road, Mechanicsburg, PA may be
-3-
called at trial to testify to his appraisal of household goods
and furnishings as set forth in PX-1. Plaintiff reserves the
right to engage the services of a real estate appraiser for
possible valuation of the marital residence or other experts as
necessary and will provide the information required under Pa.
R.C.P. 1920.33(b) (2) in a timely fashion.
(3) IDENTIFICATION OF OTHER WITNESSES
Plaintiff has not identified any specific non-expert
witnesses at this time. However, depending upon the resolution
of certain legal issues concerning the identification of marital
assets, it may be necessary to engage specific fact witnesses.
Also, depending upon Defendant's evidence, Plaintiff may require
the testimony of presently unidentified third persons in
rebuttal.
Plaintiff reserves the right to engage and call such other
witnesses as may be required and will provide the information
required under Pa. R.C.P. 1920.33(b)(3) when they become
identified.
(4) LIST OF EXHIBITS
Plaintiff proposes to produce at trial the following
is identified as Plaintiff's Exhibits by the abbreviation
"PX". Copies of the following exhibits are attached to this
"W OFPIC if
SNELBAKLR statement:
a
BRENNEMAN
II
-4-
LAW OIYICL6
SN EL f1AK ER
BRENNEMAN
PX-11 Personal Property Appraisal by
Chuck E. Bricker dated 3/19/93
PX-2t Corestates Hamilton Bank
Statements re: IRAs dated 12/31/92
PX-2A: Corestates Hamilton Bank
Statements re: IRAs dated 4/30/95
PX-3: Jefferson-Pilot Life Insurance Company;
cancellation letter dated 2/2/93
PX-4: Harrisburg Belco Federal Credit
Union; Checking Account Transaction
Description dated 3/11/93
PX-5: Harrisburg Belco Federal Credit
Union; Savings Account Transaction
Description dated 3/11/93
PX-6: Motor Vehicle Sales Contract; Woods
Buick dated 6/8/93
PX-7: ITT Hartford Voucher Statement
dated 7/9/95
PX-8: PNC Bank Statement (Checking and
Savings) dated 9/8/95
PX-9: Agway Invoice for Snowblower dated
6/22/94
PX-30: Dauphin Distribution Services Co.
Employees Profit Sharing Plan;
Benefit Certificate date 12/31/91
PX-11: Exel Logistics Retirement and
Savings Plan; Statement of Account
dated 6/30/95
PX-12: Harrisburg Belco Federal Credit
Union; Checking and Savings
Statement dated 8/31/95
PX-13: Mortgage Account History Report
Fulton Bank dated 9/21/95
-5-
i51 PLAINTIFFOS INCOME
Employert Exel Logistics
Address: P. 0. Box 427, Camp Hill, PA 17011
Type of Work: Warehouse
Payroll Number: 1510493236
Pay Period: Weekly
Gross Pay Per Periodt
Itemized Payroll Deductionst
Federal Withholding 56.23
Social Security 29.32
Medicare Tax 6.86
State Income Tax 13.35
Unemployment Comp. Tax .52
Local Tax 4.77
MEDC 3.87
IRA (voluntary) 5.00
Total Deductions 119.92
Net Pay Per Period:
10ther Income: None
$476.80
$356.88
Attached hereto are:
(1) Payroll check stub for period ending 9/17/95; and
(2) 1994 Federal Income Tax Return and 1994 Pa.
Income Tax Return
LAW OFFICLII
SNELOAKEO
a
BRENNEMAN
-6-
EJEEL $01 W. E0110CX Ro
KTITEWALL, ONTO 43011
NIGEL. NOMNO E E11Nt too-14.4637 14110111111A1 1610411136
717 NEAT2LEA RD EXEXFTIOINt FEOt 01 ETATEt 00 STATE CON i Pill It PA SIC:
WCWXICSBU14 ?A TAR AOEI F04t 11TAM1000 1111 ALTt
11016
Y-T-D
REGULAR 40.00 476.90 1309.10 111401,04 90 EEC TAR 29,32
NOLIDAY 40,00 046," KEOICARE TAX elm
VACATION 111.00 1704,(10 F91) INC TAX M. 22
oYER?IIEI 13.40 27O,µ POP
-STATI 13
901/UC
TAX .11
P111-LOCAL TAX 4.77
TOTAL PIE-TAX 3,E7-
733843
TAX 9TATUlt EINWE
LOCAL COOK: LOCI iHA I=
LOCAL ALTr
WE AA76t 11.1200
Y TO
LOC9t
STATEMENT OF EARNINGS 0 DETACH AT PERFORATION BELOW AND KEEP FOR YOUR RECORDS 0 A PAYROLL SERVICE BY CERIDIAN
Dopes om e1 the Thom" - IxrR•1 W AM" a ft'ko 1694
1040 U.S. Individual Income Tot Return
Label
1099
mak99u•ne
up rage 12.1
V99 the I"
011616
olh•rerop.
Ilene gnat
or type.
assess CAR-RT-SORTssRU07
` OF 208-24-4633 164-30-2566 S26 10 I!-
HOWARD E WEIGEL . R
317 HERTZLER RD 005 S-aoe.
MECHANICSB_URG PA VOSS
¦ 9k5i e ey 99et olnce,eYle, end 2lPcotlo, If you MVe a torsi on ax drew, 991 pole IL
Eleatlon CAME PWgn DO YoU
lea•pags lo.l 11a In
i
Filing Status 2
1699068816) 3
Chess only 4
one boy.
s
N
Exemptions
loop pass 13.) b
For Prlvaoy Act and
PaoenNork Reduction
CSBURG, PA 17055 Ives No Nereheenns"se
- X wngnnehaneeyour
q to go to this fund? Iw er,49499 Your
_ relund.
Single
Manned King joint return (even R only one had Income)
Married King sepia" return. Enter epouN's am eve. no. above & tug name here ? NANCY WEIGEL
Head of household (With qualifying pwwn). (S" pep 13.) R the qumW g person le a child but not your dependen.,
enter this ehild'e name here ?
n,.-uewnw u,Llnudesw u Any dananda st chid (veer eoouM did ? 19 -A. (S" Page 13.)
o DperNlenttsk
111 Name (llmt. If
it mars than a,a
dependenu.
u• Page 14.
Bern on hie or her tax
on Mna 33b on page 2.... t No. of bone
Mae ego an
1
l
........ ...
„1q NO. of No. of Your
Copmad" p YO os.1V04In #hlt=
ertlarship whlrtoYOY h0metn's1 wwhal
e evad with you
e didn't EVe Vdth
yew due to olvares
braeearatlanlw
rape U)
Dependents
on sop not
Mitered above
? Add,lumhen
entM•e an r ;
11 your parent (a someone WAG) can dskn you IS A dsP
return, do not check box Its. But be are to cheok the b
....,.,. ......... , ..,
.., Chao ll see /ol ol0er,
Il undM "401 M\MYS eaesi
I&Land 1111111141119) awl aMlnty"Umber_
d it your child didn't gve with you but Is dakred as your clap, under pre-19s0 aprDwrwn, check .. ?
e Total number of ex bons tletreviun ....... . . . ..... . ................................
7 wag", salaries, tips, .tax Attach Foml(s) w-2 .........................................
Attach Schack" B R over 0400 .......... ......
10)
a
7
sax
25,567
48
.
p
ncome N Taxable Interest income (eve p
is Tax-eaempt Interest (a" page te). oowT Include on one Y........ I Me
.............................
d
le B 0over $400
h S
h
..........
u
c
e
urah 0 Dividend lncome.Attac
......... .
fieets of dote and local Income tale (see Page 16) ....
Fort a
of vow
dit O
s, or o
0--
:. 10 Tellable refunds, cre
w
Formed
..................... . ...... 11
-2020 11 fWrwnyrecelved ....................................
N-:0..nd
1099-R h•r.
..................................
Attach Schedule C or C-E2
l 12
.
o").
12 Buelneee income or (
.................................
I YOU did not
attach Schedule 0
if
uired 13
....
,
req
13 Capital gain or (loss),
ketew-L
....................... .
h Form 4797
Att 14
ac
6009600 1e• 14 Other gains or (losses).
i im ................ by Taxable amount (pg. 17) sib
ons..........
Enclose, but do Igo Total IRA distribut
,ot otuch. env
nnuities
d 106 by Taxable amount (pg. 17) 16b
.....
a
1N Total pensions an
payment wren your
ate. Attach Schedule E..........
wsb
S corporations
wMMhlPe
fti" 17 ,
,
,
,
, P
return. 17 Rental real "tata, roya
...................................
Attach Schedule F
l 1s _
..........
o").
10 Farm Income of(
....................................
ensation pee page 16)
m
nt 19
.......
p
co
19 Unemployme
1101 I I I b Tax" amount (pg.18)
b
fits 20b
.........
ene
20a Social security
21 Other Income.
22 Add the wmums In the fu right column kor lines 7 through 21. This le ur tots! Income........ ? 21
22
25,615
Adjustments 23a Your IRA deduction (des Pape 19) .......................... 23a
ouse'e IRA deduction (sea page 19) ......................
to Income to S 23b
p
Attach Form 3903 or 3903-F ...............
expenses
24 Movin 24
.
g 1
25 One-half of "II-employment tax ........................... 25
CaubsM s.•, , , , Is 26 Son-employed health Insurance deduction (see Pap 21) ........
maVUCUOns
h retirement plan and Self-employed SEP deduction .......
27 Keo 2e
27
g 11
on early withdrawal of savings ......................
26 Penalt 29
y
Redplenf$SSN ? 164-30-2566
ald
9 Admon
as
5 598 1I
.
yp
2
30 Add lines 23a through 29. The" we our total a wtmem". , . • • • ..... .............. • ... ? 30 5,598 .
Adjusted 31 Subtract line 30 from line 22. This Is your ad(uated gro" Inceme. If lees then $20,206 and a child
dy...?- t.......-. 11-4 ..nth u,,,, none then 10.000 it child didn't live with vou), s" "Evened Income Credlr on . 27. ?
31
20,017
1
Form 1U IV 1199
U Amount tram lone 31(edpreted grow Inooms) .........................................
Tax 33 a Cinck B. ? You were se or older. ? Bind; ? bpou•• was 66 or older. ? Bind.
CDmpu- Add the number of bows checked above and enter the oW hares ................ ? 3L
tatlOn Is H your paned (or semeore sise) can dekn you as a dependent, chat* hen......... ? xlb
Tier nets a if you we mental filing wparelely and your epouw mmias deductions or you era
i a dual-sows span. see pop 23 and check inn....... .... , ? 0.70 ?
IMssintmd "Phoutlom from SchoWle A. One 20, On
standard daduwtlon shown below for your filing sows. But It you ohook d
$1 Enter army box on line 038 or b, go to pap 23 to find your Kendard deduction.
um N you OWGIl d box SU, your standard deduction Is ten.
In" • Single - $3,100 a Head of household - $1,60D ' ' ' ' ' '
your, w Married Alrp Mlntly or Ouallfdrp widow(er) - $8.080
• Married filling separately - $3.176
U Subtract One 34 from In* 32 ..........................................................
36 It Are 9218 {63.683 w Ise, multiply $1.460 by the tow mender of exemption dolmed an line ea.
If IM 32 is over $13.663, sea the worksheet on page 24 for the amount to enter ..................
07 TttxaWtsInts e.Subtractpse36from We 36 .............................................
If n•eeb re; anrle fie, antes-•-
b ? Tax Rate Schedules, o (3 CBpIW Gain Tax Worksheet,
If yea want $1 Tea. Check moral
from a 13 Tax Table,
th•la6tp
figure your 01 d ? Form 8616 (w• page 24). Antrum from Form(s) 6814..... ? e
UK. 14. lets greets 36 Addidond texw, Check H freak e ? Form 4670 Is ? Form 4672 ...........................
».
Cradle 41 Gedh for chid and dependent cr• experts. ALL Form 2441....... 41
(see 42 Credit for the oldedy, or tin disabled. Much Scfteduls R , 42
3411 e• 43 Foreign taxfTSdo.Altwh Form 1116 .......................... 43
7•.I
44 Ottw aodlb pea page 26). Check X from ¦ ? Form ea33
b ? Form 6360 a ? Form 6801 d ? Form ea
4$ Add Ones 41 through 44 .......... ..............................................
46 Subtract IM 46 from IM 40. If IM 46 is more than into 40, ante -a- ............ ...... ?
Other 47 SO-wMIormm tax. Att. Sch. BE
Taxes 0 Alternative mtntmum tax. Attach Form 6281 ................ ........'............'.'.
40 Recapture taxes. Chock If from a ? Form 4268 Is ? Form 6611 0 ? Form 6828 ..............
le.• pees 6o Scow ••curtly and M•dka re tax on tip Income not reported to employer. Much Forth 4137 .........
16.)
61 Tax on qualified retk.nrm plane, Iftotucrp IRAs. H requMad, attach Forth 0.726 .. . .. . ........ . ... .
62 Advance traded Income tndlt psymartts from Form W-2 ...................................
53 Add lrm 48 through 62. This is your total tax ........................................... ?
Payments $1 Federal Income IN withheld. 6 any is from Form(s)1009, check ? ? r643 $1 iNot estm
ated tax p•ymenb and smourd appO•d from 1063 return .. $1 Earned Income cr*M If regkrtred, Own Scheddufs EIC (we page 27).
Nontaxable earred moors: amount ..... ? 1 I I
Atuch sec • ?
Wp
torah on 67 Amount paid with Forth 4666 (extension r•qu••t) ................. the cont. $1 Exgw social security and RATA tax withheld (see pope 32) ........ 60 Other payments. Chock 6 from a ? Form 2430 b ? FOrn 4136 ... 60 Add Ones 54 through 60 Thaw are your total plfill .................................. ?
Refund or 61 If One 80 is more than One 63, subtract Imo 63 from Ins 60. This is the arnourd you OVERPAID ;
62 Mourn of Ins 61 you want REFUNDED TO YOU ................... . ..,,.
Amount $1 Amount of one 61 you want APPUED T01t486 WTIMATED TAX.. ? 163
YOU Owe
64 It One 63 Is morethan one 40, subtract Ins so from IM 63. This isthe AMOUNT YOU OWE.
For details on how to pay, IncwdOp whet to write on your payment, 0" paps 32 .................
66 Estimated tax ponaM (eats page 33) Also include on Ire 84 .. I as I I
Under poMwle of Perjury. lallows ma,[hav examined thl¦ r•tu"fine AMOmrantnng•ohedul and eu"mo u andlalM aui
Sign they we true, correct and complete. D•awaeen of preouu(oth•rthNYrpAYOllr bleed on all Information of wiech pr•puer Ill
Here ' yourelgnatur• Date Yaaraccup•aon
LABORER
nltaU"turn 'Opau•V•elonatura.ll•lolnir•dm,BOTH mWUIgn.
xoep A coot Date peod"
T you
•cora•.
Duo
FquN• a.>J I7 Dh•atlf
Paid elgnemr• / IS M ECKARD 2 01 95 lelf-emvloyea ?
Prepararrs H & R BLOCK E.11. No.
nrln's name tar you" tlr code
Use Only address mplaYealana 70 W. MAIN 3T.
lec"hMTr•cA1TAr8. PA
-30-3
no.
CoMMoNW[ALTH of PWNBYI.VANIA
1994 Resident Indlviduel Income Tex Return
13 FIj111alYou FNW Beginning 1t1W1
208-24-4633 1 O%A- •rq-Zoo
N2NNM1rdµNwNNCARWW-RT164R30*2O66 sr. w-
HOWARD_E6WEIGEL
31? HERTZLER RD 4
HE HANICSBURG PA 17065-616
_...?........enrrnn_ DA 17055
[3 cbm*po"oobinaekmpefad*?
Ommkot"=%Mko 717-766-
S. NET INCOME OR (LOSS) FROM RENTS, ROYALTIES, PATENTS AND COPYRIGHTS... e
7, ESTATE AND TRUST INCOME ... . . . ......... 7
8. GAMBLING AND LOTTERY WINNINGS ....................................... 6
- .?........v_..u i...u. dd a a v.d a-00 NOTO E DUCT ILOSSEBD ...... e
INDICATE HOWMANYOF EACH
FORM OR SCHEDULE IEATTACHE'
ornc" Ust
"JMGSTATU&Mbm*00 OCCUPATIOMI
SO smile v/uroco na.n
JD MMned, 1111n1elolnl noun
IA® Marriflleea owatsly LABORER
T? Joint CWle Far Tu Feryvenew srouse's ocalrabon
D[] Deaaepe, PlW rabun
Dole of Guth
SKODMCY aTATUet1Cbo4 G* N A?b?Yee RaaWw4
FOO ftlYWHOMdmtlmM _ 11154to 1154
RL WIr
Pold a rroPYM and fair only ~t to receive a MAa/oddroN
? it. GROSS COMPENBAT10N .............. I .... , , ... • .. • ; -- ---
A
1b,
7
UNREIMBURBED EMPLOYE BUSINESS EXPENBEB........
T
A 10. NET PA TAXABLE COMPENSATION .........................•,...,.,.,..,.,. to
H 2. TAXABLE INTEREST ..................................................... 2
.......... 0
C 3. TAXABLE DIVIDENDS ...........................................
E 4, NET INCOME OR [LOSS) FROM THE OPERATION OFA BUSINESS, PROFESSION OR FARM,.....,. 4
X 8. NET GAIN OR ILOSSIP MOM THE SALE, EXCHANGE OR DISPOSITION OF PROPERTY ............ 6
1
M
0
N
8
AMOUNT OF EXCLUSION FROM LINE 20 OF PA SCHEDULE
`E' a, PA-19(Do Not lnaNdoin Una It Abovel . ..............••.••••
0
R
D
E
r
?
AA
x
12.
Plew Use Your Colro
School Olltstct Code
Attach A8
Requsad Docunwnto
TAX UABILRY MUN UM a Z.OT .V(9 ...................................
TOTAL PA INCOME TAXES WITHHELD........ 11 ====735
ESTIMATED TAX PAYMENTS AND CREDITS This Return Must Be
121 Crwm From IBM PA Return ........................128 Fled On Or Before
121; 19" InalaNnrld Payment .........................12b April 17, logs
120 Payment with 1@94 Requmot for Elimination- , ...........120
P
A
Y
M
E
N
f
5
N 1?.
0
n
E
0
1
5 14
16.
12d TOTAL PAYMENTS AND CREDITS .......................................12d
TAX FORGIVENESS CLAIMED FROM PA SCHEDULE SP
Ise Oaeondente Clamed from Una 1, Pot 111 of PA Bstuduhr ll?....... tie
job Eeglbiely Income from Limas, Pan IV O1 PA e.hedUle 8P......... too
111/ Federal Adlueled Gross Income from Lino 2, Pen III Of PA Bch. Be ... IS.
17d TAX FORGIVENESS FROM LINES.PotIVofPASchsdulo8P ..........................10d
TOTAL CREDIT FOR TAXES PAID TO OTHER STATES OR COUNTRIES ............. 14
EMPLOYMENT INCENTIVE PAYMENTS CREDIT . 16
__-.............e ..,.. nettnrnv rTer.u l,.er .. tad tad. U And 151 ............. Is
A 11. TAX DUE See Instructions for paying your tax due. H less than $1.01, no payment Is required
x
Sw Instructions
For Reporting Estimatoo
Tax Creoh And Claiming
Tax Forgiveness
e of Forms W-2
a of Sched(s) UE
e of Schad(s) A
a of Schod(s) B
a of Sched(s) C
e of Sched(s) RK-1
s of Sched(s) F
a of Sched(s) C-F
e of Sched(s) D
A of Schal D-71
a of Sched(s) 19
e of Sched(s) E
a of Schodp) J
1
a of Schad(s) SP
a of Schools) G
a of Schod(e) W
73
2
IT
o Double Check Your Math
R 18. OVERPAYMENT ......................................................... 18
0 Ila. Amount of Une 18 to be REFUNDED ............................................................. Its
v
p 19b. Amount of Una 18 to be CREDITED to YOUR 1965 ESTIMATED TAX ACCOUNT ........................... 1
N 18c. Amount of Une 18 to be DONATED to the WILD RESOURCE CONSERVATION FUND ....................... 190
ttld Amount of Una IS to be DONATED to the U.S. OLYMPIC COMMITTEE, PA DIVISION ................ ....... led +71
UOd.ro.natbaa of YaOuN, I dooW/ their f lave Y dthis ass Inm dinge eo pNying ooh/duI//A/lalement. and to the be/lof my knowledgeE tokoliti/We. Gdrr/at ACOM01.14.
r r n c te'?
Slgn? x
here sFou/a'a olgnewre 111 filing jointly, BOTH must sign
?X
76
01/95
(6) PLAIN IFFfS EXPENSES
Home:
Maintenance
Utilities
Employment:
(Transportation/ lunches)
Taxes:
Personal Property:
Insurance:
Automobile
Life/Accident/Health
Automobile:
(Payments, fuel, repairs)
Medical:
Doctor, dentist
Hospital
Personal:
Monthly
35.00
135.00
20.00
19.00
33.00
20.00
375.00
12.00
32.00
Clothing 35.00
Food 200.00
Other (household, barber) 15.00
Credit Payments 40.00
Miscellaneous:
Gifts/Charitable contrib. 20.00
Spousal Support Payments 459.00
LAW orncax II Total Monthly Expenses: $1,450.00
SNELBAKER
BRENNEMAN
O
-7-
Insurance Plant Exel Logistics Health Care Plan
Administered byt Godwins, Books i Dickenson
P. 0. Box 15
Winston-Salem, NC 27102
Plan 007882
Policy 0208-24-4697
Defendant spouse is provided with hospitalization, medical,
and prescription coverage. No dental or eye coverage is
provided. Cost to Plaintiff is $9.87 per week as payroll
deduction.
Dauphin Distribution Services Co. Employees' Profit
Sharing Plan
Value: $67,406.90
Valuation Datet December 11, 1991
Documentationt Benefit Certificate (See PX-10)
NOTE: Dauphin Distribution Services Co. is now Exel
Logistics.
Most recent value is $80,418.51. See Exel Logistics
Retirement and Savings Plan Statement of Account as of 6/30/95.
(PX-11).
The increase in value since September 1, 1992 is
non-marital.
(81 COUNSEL FEES
Plaintiff is not claiming counsel fees.
i91 TANGIBLE PERSONAL PROPERTY
See items (1)(i)(b) and (1)(ii)(c) and (d) above.
(101 MARITAL DEBT
LAW OFFICLb
$NLLUAKFR
a (a) Marital residence at 1204 Cross Drive,
BRFN NFMAri Mechanicsburg, Pennsylvania.
Amount of debt as of separation (9/1/92)t $5,924.47
Amount of debt as of September, 1995t $1,401.52
-8
Since the date of separation, Defendant has made
the mortgage payments of $286.00 per month.
(b) 1989 Buick Skylark
Amount of debt as of date of separation: $6,123.98
Car payment: $266.26 per month
initial amount of debt: $14,000 t
Plaintiff made payments of $266.26 per month
from date of separation until purchase of
new car in June, 1993. (See PX-6).
Plaintiff has proposed the following resolution to Defendant
in the past and continues to be willing to resolve this matter on
these terms:
Plaintiff should retain the retirement and savings plan from
his employer, Exel Logistics. Defendant should be awarded the
marital residence subject to the minimal mortgage remaining.
The parties should each retain the personal property in his
or her possession at present. This results in Defendant
receiving the great majority of the household goods and
furnishings. Defendant's request for alimony should be denied
and each party should be responsible for his or her own counsel
fees.
Respectfully submitted,
SNELBAKER & BRENNEMAN, P.C.
By_ char C. $nelba er
Philip H. Spare
?w a..?.•, 44 West Main Street
s"ELenKeR Mechanicsburg, PA 17055
° Telephone: (717) 697-8528
ene""Em.," II Attorneys for Plaintiff
Dated: October 2, 1995
-9-
I verify that the statements made in the foregoing statement
are true and correct. I understand that false statements herein
are made subject to the penalties of 18 Pa. C.B. S 4904 relating
to mnsworn falsification to authorities.
Howard Er Wa ge
Plaintiff
Date r v - -,9 -
LAW OFFICE!
6NELBAKER
e
BRENNEMAN
APPRAISAL
Personal Property of hlj6v44g / /,,?, L 1r2o ?C-,ed55 ()iZ MEurA9 /fig /70?'
Awralsed by Chuck E. Bricker AU094-L flq-? Date
ITEM VALUE ITEM VALUE
3dc ,?/v.?zM, su?-z?
.2 Ae e?=J/Lf /I E ?o.do
d0 so do
d. J
culz"6 SiANd 20,JJ i1n) I)xxe/C d'
,?- T?BL4 .2-d • 0 LLE d d,
C PIAIE,rrze- Seer of - pb LS 414'.6
Tfe4,f-O
?<7 O.d0 (1,01. Q (. 1,4d, I
0 c
,
.ELD ..2 D,JJ { Ld,u
LD / !Al B/A/ V a J o c•
/D,dD e -- i . E /O.JI
!S d4 P, P M I c w VL` d• dJ c
M(6-AO 6vAvg STAN.a
- 2r. 60 s ?oc? 0 0
L 0, J 44 Al eA41,K5 /0, vc
&ddpceg e C) L) 10,61
c 13 r,/ / 40 S.' r- Oar
Ca )u ev _
i'Wfsr-a - r o lJT L G 71,
D 4S j"' dJ U Tt -L - 3- t
J
yl? s 3e do
oc ER / d
E Z,4 /I t, /0,001
E /ado d 57W,,e D b
3T, Ov
?2 ?GL/NEIL' 20,
0
E J uu
C CdL d ? d0
G r c? s??r a d o
c ?? r /v do
/3i? i l?? Y L't c C 0,
_
2 Lu ?_/ ", . - S of
?2 6.
14,1 Aj J/ 4
tic
HAMILTON BANK
P.O. BOX 3959
--- ---- LANCASTER, PA
FC 01-02-08-78
17604
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
---- 317 HERTILER RD
MECHANICSBURG PA
170551-3112
PAGE
1
PERIOD
09-01-92 12-31-92
SOCIAL SECURITY NO. 208-24-4633
RETIREMENT ID. NO. 2082446330
5938-0363219
MATURIT
9-0 ALANCELATDR
PRI
E RATE
206
40
Y b 3 C
R B ,
.
[
CONTRIBUTION FOR 1992 09-81-92 5.00 2,211.40
INTEREST 9- 3-92 111.33 2,322.73
CONTRIBUTION FOR 1992 09-09-92 5.00 2,327.73
COIBUTION OR 192
9 9-15-92
0 5
00 232.73
3
FOR 19
2 22-92
9- 5.00 .73
2;3
7
CONTRIBUTION
FOR
1992 2
10- 4
2-92
5. 00 2
.73
2, 34 7
CONTRIBUTION FOR 1992 10-Q5-92
92 5.00
5
00 2,352.73
35
73
2
CONTRIBUTION FOR 1992 10- 1- . ,
.
CONTRIBUTION FOR 1992 10-25-92 5.00 2,362.73
CONTRIBUTION FOR 1392 10-29-92 5.00 2,367.73
CONTRIBUTION FOR 1992 11-01-92 5.00 2,372.73
CONTRIBUTION FOR 1992 11-15-92 5.0 2,37
7.73
C 1
2 12
08
92 5
00 2
38
73
2
ONTRIBUTION FOR 99 -
- . 7.
;
CONTRIBUTION FOR 1992 12-09-92 5.00 21392.73
CONTRIBUTION FOR 1992 12-13-92 00
N 397 .73
CONTRIBUTION FOR 1992 12-20-92 O 2,4 2.73
CONTRIBUTION FOR 1992 12-23-92 5.00 21407.73
CONTRIBUTION FOR 1992 12-27-92 5.00 2,412.73
ACCRUED INTEREST
- - - - - - - - - - - - AS OF 12-31-92
- - - - - - - 23.45
- - - - - - -
- - -
- - - - - - - - -
*** CONTINUED NEXT PAGE ***
PX-2
P;Ige I of 4
A CoreStates Bank
H
HAMILTON BANK
P.O. BOX 3959
LANCASTERr PA
FC 01-02-08-78
17604
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
PAGE
2
PERIOD
09F01-92 12-31-92
RETIREMENT 10. NO. 2082446330
ACCOUNT 950155918-0209988 TYPE - FIXED RATE RATE 3.920
MATURITY 12-30-93 PRIOR BALANCE
5
01 249.92
ACCRUED INTEREST AS OF 12-31-92 > .
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0229105 - -
TYPE - - - - -
FIXED - - - -
RATE - - -
RATE - - - - - -
2.760
MATURITY 04-02-94 PRIOR BALANCE 23.89
T 10-02-92 3.86 27.75
ACCRUED INTEREST AS OF 12-31-92 0.88
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0247359 - - -
TYPE - - - -
FIXED - - - -
RATE - - -
RATE - - - - - -
5.950
MATURITY 12-30-92 PRIOR BALANCE 38.17
INTEREST 12-30-92 1.16 39.33
ACCOUNT -
950155918-0266175
TYPE
- FIXED
RATE
RATE
4.040
-
** MATURITY 06-29-93 PRIOR BALANCE 240.38
INTEREST 12-29-92 9.84 250.22
ACCRUED INTEREST AS OF 12-31-92 0.07
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0286044 - -
TYPE - - - -
- FIXED
N - - - -
RATE - - -
RATE - - - - - -
4 304
116
6
MATURITY 09-30-93 PRIOR BALA
CE .
ACCRUED INTEREST AS OF 12-31-92 3.67
*** CONTINUED NEXT PAGE ***
PX-2
P:igr 2 of 4
H
A CoreStates Bank
HAMILTON BANK
P.O. BOX 3959
---- _--- LANCASTER,, PA
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
PAGE
3
qq PERIOD
0901-92 12-31-92
SOCIAL SECURITY NO, 208-24-4633 RETIREMENT ID. NO. 2082446330
TRANSACTION DESCRIPTION TRANS DATE ® TRANS AMOUNT BALANCE
ACCOUNT 950155918-0305367 TYPE - FIXED RATE RATE 3.920
MATURITY 12-31-93 PRIOR BALANCE 109.59
ACCRUED INTEREST AS OF 12-31-92 2.19
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0324361 TYPE - FIXED RATE RATE 2.76?
MATURITY 04-01-94 PRIOR BALANCE 117.25
ACCRUEDTINTEREST AS OF 12-31_9210-01-920.84 3.65 120.90
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0343145 TYPE - FIXED RATE RATE 5.950
** MATURITY 01-04-93 PRIOR BALANCE 116.41
ACCRUED INTEREST AS OF 12-31-92 3.48
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0386022 TYPE - FIXED RATE RATE 200
** MATURITY 04-01-93 PRIOR BALANCE 0.83
INTEREST 10-01-92 3.79 74.62
ACCRUED INTEREST AS OF 12-31-92 0.98
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 50155918m7335466 TYPE - FIXED RATE RATE 5.200
** MATURITY 83-30-93 PRIOR BALANCE 331.11
INTEREST 09-30-92 17.72 348.83
ACCRUED INTEREST AS OF 12-31-92 4.65
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
*** CONTINUED NEXT PAGE ***
PX-2
Pngc 3 of 6
FC 01-02-08-78
17604
17055-3112
H
X111 11 A Co?e8tates Bank • •
HAMILTON BANK
P.O. BOX 3959
LANCASTER, PA
FC 01-02-08-78
17604
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
317 HERTILER RD
MECHANICSSURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
H
PAGE
4
PERIODT
09F01-92 12-31-92
RETIREMENT ID. NO. 2082446330
ACCOUNT 9501555918-7335474 TYPE - FIXED RATE RATE 4.000
?? MATURITY 06-25-93 PRIOR BALANCE 142.44
ACCRUEDTINTEREST AS OF 12-31-9212-26-920.09 5.83 148.27
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
PRIOR CASH BAL 3,857.07 DISBURSEMENTS .00
PLUS CREDITS 95.00 FED TAX WITHHE LD .0Q
PLUS INTEREST 157.18 ST TAX WITHHE LD ODU
LESS DEBITS .00 CONTRIBUTIONS SINCE 09-01-92
NEW C ASH BAL 4,109.25 FOR 1991 .00
FOR 1992 95.00
TOTAL ACCRUED INT 45.31 ROLLOVERS .00
TOTAL PLAN VALUE 4,154.56
FAIR MARK ET VALUE OF PLAN AT THE END OF 1992 4,154.56
?R INVESTMENT M ATURES WITHI N 180 DAYS. YO U WILL RECEIVE NO OTHER NOTIFICATION.
YOUR DEPOSIT WILL RENEW WITHIN 10 DAYS AFTER MATURING FOR THE SAME PERIOD AT
THE THEN CUR RENT RATE OF INTEREST UNLES S YOU INSTRUCT OTHERWISE. TO DO SO,
CONTACT YOUR LOCAL HAMIL TON BANK BRANCH OFFICE.
PX-2
un 5 n., Page 4 uE 4 A Coro States Bank
CORESTATES HAMILTON BANK
INCORPORATED AS CORESTATES BANK, N.A.
---- ---- P.O. BOX 3959 FC 01-02-08-78
LANCASTER, PA 17604
HOWARD E WEIGEL
---- 317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
C7
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-0972337
PAGE
1
PERIOD
TT
01101M95 04-30-95
RETIREMENT ID. NO. 2082446330
ACCOUNT 950155918-0363219 TYPE - ACCUMULATOR RATE 3.250
MATURITY 09-03-95 PRIOR BALANCE 3,073.44
CONTRIBUTION FOR 1995 01-09-95 5.
0 30078.44
CONTRIBUTION FOR 1995 01-20-95 ?
5. 0 3,083.44
CONTRIBUTION FOR 1995 01-23-95 5. 0 3,088.44
CONTRIBUTION FOR 1995 02-02-95 5.00 3,093.44
CONTRIBUTION FOR 1995 02-06-95 5.00 3,098.44
CONTRIBUTION FOR 1995 02-13-95 5.00 3,103.44
CONTRIBUTION FOR 1995 02-24-95 10.00 3,113.44
CONTRIBUTION FOR 1995 03-02- 5 5.00 3,118.44
CONTRIBUTION FOR 1995 03-09-95 5.00 3,123.44
CONTRIBUTION FOR 1995 03-15-95 10.00 3,133.44
CONTRIBUTION FOR 1995 03-27-95 5.00 3,138.44
CONTRIBUTION FOR 1995 04-12-95 5.00 3,143.44
CONTRIBUTION FOR 1995 04-1'-95 00
NO 3,148.44
CONTRIBUTION FOR 1995 04-24-95 3,153.44
CONTRIBUTION FOR 1995 04-27-95 5.00 3,158.44
ACCRUED INTEREST AS OF 04-30-95 66.34
ACCOUNT 950155918-0209988 TYPE - 18 MOS FIXED RATE 810
MATURITY 06-30-95 PRIOR BALANCE 2 2.62
- - - - - - - - - - - - - - - - - -
j ACCRUED INTEREST AS OF 04-30-95 2.57
r
i
i
*** CONTINUED NEXT PAGE ***
J
PX-2A
Page l uf 3
H
30" ', "' A Coraitatss Bank 4rnmber FDIC
CORESTATES HAMILTON BANK
INCORPORATED AS CORESTATES BANK, N.A.
---- ---- P.O. BOX 3959 FC 01-02-08-78
---- LANCASTER, PA 17604
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
n
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-0972337
PAGE
PERIOD
01FOOM95 04-30-95
RETIREMENT ID. NO. 2082446330
ACCOUNT 950155918-0229105 TYPE - 18 MOS FIXED RATE 3 200
MATURITY 10-02-95 PRIOR BALANCE 131.14
INTEREST 04-02-95 4.33 137.47
ACCRUED INTEREST AS OF 04-30-95 0.34
ACCOUNT 950155918-0247359 TYPE - 18 MOS FIXED RATE 4.400
MATURITY 12-30-95 PRIOR BALANCE 41.26
ACCRUED INTEREST AS OF 04-30-95 1.54
ACCOUNT 950155918-0266175 TYPE - 18 MOS FIXED RATE 4.880
MATURITY 06-29-96 PRIOR BALANCE 266.26
ACCRUED INTEREST AS OF 04-30-95 4.41
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0286044 TYPE - 18 MOS FIXED RATE 5.593
MATURITY 09-30-96 PRIOR BALANCE 121.43
INTEREST 03-30-95 1.71 123.14
ACCRUED INTEREST AS OF 04-30-95 0.60
ACCOUNT 950155918-0305367 TYPE - 18 MOS FIXED RATE 2.810
MATURITY 06-30-95 PRIOR BALANCE 119.56
ACCRUED INTEREST AS OF 04-30-95 1.12
PX-2A
Page 2 of 3
H
N .m.3' BH
A ConEtafn Bank ? mm?a roic
*** CONTINUED NEXT PAGE ++*
CORESTATES HAMILTON BANK
INCORPORATED AS CORESTATES BANK, N.A.
.... .... P.O. BOX 3959 FC 01-02-08-78
---- LANCASTER, PA 17604
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
ACCOUNT 90155918-0324361 TYPE
MATURITY 1 -01-95 04I01
INTEREST
ACCRUED INTEREST AS OF 04-30-95
ACCOUNT 950155918-0343145 - TYPE
MATURITY 01-04-96 PRIOR
ACCRUED INTEREST AS OF 04-30-95
ACCOUNT 950155918-0386022 TYPE
ACCRUEDYINTEREST6AS OF 04-30-95PRIOR
ACCOUNT 950155918-7335466 TYPE
ACCRUEDYINTEREST6AS OF 04-30-95PRIOR
ACCOUNT 950155918-7335474 TYPE
ACCRUEDYINTEREST6AS OF 04-30-95PRIOR
- - - - - - - - - - - - - - - - - - - - -
C7
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-0972337
PAJE
pp PERIODTT
01F01M95 04-30-95
H
RETIREMENT ID. NO. 2082446330
• 18 MOS FIXED RATE z3.2p00
95LANCE 4.10 130.11
0.33
• 18 MOS FIXED RATE 4.4 0
BALANCE 125. 4
4.64
• 18 MOS FIXED RATE 4 400
BALANOCCE 7$.88
1228 MOS FIXED RATE 4.400 -
BALANCE 373.40
9.71
- - - - - - - - - - - - - - - -
18 MOS FIXED RATE 4.880
BALANCE 157.74
2.72
- - - - - - - - - - - - - -
PRIOR CASH SAL 4,890.58 DISBURSEMENTS .00
PLUS CREDITS 85.00 FED TAX WITHHELD .00
PLUS INTEREST 10.14 ST TAX WITHHELD 00
LESS DEBITS .00 CONTRIBUTIONS SINCE 01-01-95
NEW C ASH SAL 4,985.72 FOR 1994 .00
FOR 1995 85.00
TOTAL ACCRUED INT 96.38 ROLLOVERS .00
TOTAL PLAN VALUE 5,082.10
THIS INFORMATION IS BEING FURNISHED TO THE I.R.S. ON FORM 5498.
BOX 1 IRA CONTRIBUTIONS IN 94 OR 95 FOR 94 265.00
BOX 2 - 94 ROLLOVER IRA CONTRIBUTIONS 0.00
I'X-2A
I'n?;o 3 of 'S
A CoreStatee Bank .. Foc
)tenon-rum
?ti insurance Company
PO Bok 210
Branp?ttbozo, 27420
Telepl1ona Y1 881-3000
FEBRUARY 2, 1993
ME HAIR IGSL
A06NTY1016878
HOWARD I*hLQWEIGEL03
THERAFiOUNTEShom BELOWIIS ENCLOSED ASNFINALDSETTLEMSNTCHECK FOR
$ 1,549.07 AMOUNT OF CHECK ENCLOSED
PAYEEt HOWARD EARL WEIGEL
Ip LICYOWNERS SERVICE DEPARTMENT - 4560
8DJH
B
PX-3
ei•e3i3
THANK YOU FOR SELECTING JEFFERSON-PILOT. IF'YOU NEED ASSISTANCE
WITH YOUR INSURANCE PROGRAM PLEASE CONTACT YOUR JEFFERSON-PILOT
REPRESENTATIVE OR THIS OFFICE.
CRYq.A
ARPIOUROBELCDFEDERAL CREDIT UNION .wm
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IN" NO NA, IONnN6HANItl'"ANIIIPI 1ru1nln6
MAIN OII ItI
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?
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Proceeds is described below halved by:
x
AUT HOPI I I IU I14NATURI
HOWARD E NEIGEL INIJUIR'i ON 113,11,'93
317 HEFT2LFF RD TLR1 DARB 91144 PM
MECHANICSBURG PA 17,0155 SOC. SEC. NDR1 21''j244633
ACCOUNT IIBRI 4190E'9
C'I?EPkI?? EFFECTI:'E1 !iB:l1l.'42
S4 TRANSACTIONS FOR 90/92 THRU 03/93
TRAN TLR TRANS- EFF TRAN ENDING FEE/ DRAFT PAYEFF
DATE /DR ACTION DATE e AMOUNT' !BALANCE? WITH NUMBER DATE
980392 SD TRANS -36.99 863.66 441)0
f TRACE M "}Oi!49f 23691
980492 AUTO xFR 489192 -170.90 693.36
!I804o2 SD TRANS 688.36 -:*Y7
(TRACE N 49i!09127918)
"181;1702 35 3 PA'1MENT 039.36
'!90792 SD TFANS -3'13.21? 643.36 .)•Il4
(TRACE N 0004')372181
IiBl l9^, SD TRANS -49.0-: 3!7.36 0111
1 TRACE N I)i14i1(14371 I )
"701192 SO TFANS •II)B 1"70 149.36 17413
W"tgywlNO sl ?leayy?le sMel?II• "149{1-IHAPt.glKre?r1 n-?tCt?pM-y q p-
tJ--ONPIt?IpILV{RFjIf1B• M - IRA 438.86
0
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(?TEUU?PEI`CMEEV?1 It - MONer MANAC IMINT PLUS ACCOUNT
Your Of/co Cam For You" HARRIwbRC esRVIC9 T9LIYHONI M 1016 111111941,00
N1'cRIO,? N ARRIIBURO III= FEDERAL CREDIT UNION LANCAPIN 4RV1CI IlLIMON4 MW of
Q
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116! ONY{IINI '101..10]6 15001-dHAON LOAN/.. imulM 2
LN.mr IA 11901 CY HnI rA 11011
Proceeds as described below received by:
x
AUTHORIIID IIONATUPIR
S4 TRANSACTIONS FOR 1)8/92 THRU 43/93
TRAN TLE TRANS- EFF TRAN ENDING I FEE' DRAFT PAl'EFF
DATE ;BR ACTION DATE AMOUNT.` BALANCE' WITH 'NUMBER DATE
08 1292 SO TRANS -129.27 3119.39 1 0414
(TRACE N !1"•0417^9349)
1:181392 SD TRANS -286.04 23139 0.113
(TRACE R 0004056248)
481492 29 3 PAYMENT 394,"!4 323.59
48189 SO TRANS -44.1)3 279134 4417
(TRACE M 09001)63117)
1,181992 SO TRANS -17.82 261.72 0416
(TRACE M (r41;n)9399901
082192 09 3 PAYMENT 3011.01) 361.72
(182692 SD TRANS -9.99 !!w, 7-
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TRAM TLR TFAIJS- EFF TRAN
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WITH NUMBER
DATE ;BR ACTION DATF.
982692 SD TRANS -66.26 201.46 0419
(TRACE R )1),)04007731
AT 072592
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-17.75
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PAYE FF
DATE
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TRAN TLF' TRAIT^-- EF11 TPAN ENDING FEE; DRAFT
DATE !BP ACTIDN CIATE AMOUNT 'BALANCE.` f WITH < NUMBER
090492 AUTO XFR 990192 170.04 206.0 ,
150{142 AUTO VFR iIC'i11 C" -17,).91; 35.24
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317 HERTZLER RD
MECHANICBBURO PA 171)56
SAS
INOUIRY ON 03111.'93
TLRt BARB 01t42 PM
SOC. SEC. NBRt 08244633
ACCOUNT 146Rt 41°080
EFFECTIVEt OB/Ol/92
SL TRANSACTIONS FOR 08/92 THRU 03,193
TRAN TLR TRANS- EFF 'TFAN ENDING FEE/ DRAFT
DATE /B R ACTION DATE AMOUNT' BALANCE) WITH NUMBER
1:0)692 PAYROLL 081)792 10.00 265183
081392 PAYROLL OBL492 10.00 265.83
I?B2092 PAYROLL 0132192 10.00 27'.83
OB2592 64 3 TRANSFER -270.83 5.00 709671?
L,3,3492 AUTO XFR 100192 170.00 175.00
100392 AUTO XFR I{10192 -170, Q0 5.00
110492 AUTO XFR 110192 170.00 175.00
1!0492 AUTO XFR 110192 •170.00 5.00
120492 AUTO XFR L20192 1'70.00 175.01!
120492 AUTO XFR 12!1192 -170. i)0 6.,?{1
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i
TRAN TLR FF'ANS- EFF TRAN ENDIt10 FEE; DRAFT PAYEFF
DATE ,'BR ACTION DATE AMOUNT:, BALANCE: WITH NUMBER DATE
0311493 AUTO (FR 0341^3 170.00 176.1)11
030493 AUTO XFR 030193 -170.40 5100
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1?09292
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ban "law lWM1'r plow MATION YOU SEE ON THE WINDOW FORM FOR THIS VERIM 13 PART OF THIS
NCURM AENINNTI To taw dm Pttmoa me W ten d "d Om W.- a W CONTRACT. r INFORMATION ON THE WINDOW FORM OVERRIDES ANY
nWNtlol4atmo rYWMleCWltmrmtn loooonry llomtleWt YOMW,4W/ml ` CONTRARY PROVISIONSM THE CONTRACT OF SALE
IoW W "nnww'I r1WN to W vows "" Iordra wu NY rwi o m VbhkW n,'1100nI0U1 TCNIIY/CONDMDM$i TIOC CONTMCI CONI1FNIl10N TNI NIVIR01 SIDI
Intel" rorNS rWW amo0 Mal" W96WA ll rNmyop WWnlNOwt/ vol, w1 YOU AN OWCATIO TO ALL 1111 TIMN Of PIN COIflMO WMCN APM4N 00 TNI FRONT
Wrr art do VtlYw ow /wts towm You will n, in rrl ft meet to "a wit tar AND MVI11614D11.
11WONIMA0"W10 roeVWwlltnw9 atun,ofNYcm;9 W.rr NOTICE TO BUYER-DONOTSIGN THIS CONTRACT IN BLANK.
"SIP W C"ld l am'AN"$ Rrnd Om n rwM° NO IN AsdtnmrN in am YOU ARE ENTITLED TO AN EXACT COPY OF THE CONTRACT YOU
mrrlw ?N}n?14u1NIt0U1sL ?VaT11FULL NCwNL ?WTMMKMWAK SIGN. KEEP IT TO PROTECT.YOUR LEGAkRIGHTS.
Kul" HOODS 1UICR-(;NC TRUCK, IRC.
IIUU WYtA(W!111
IY. ISIALI WYIA _ IMAL)
BUYER ACKNOWLEDGES RECEIPT OF A COMPLETED COPY OF THIS CONTRACT AT THE TIME Of SIGNING.
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I The V"io n Into. toll. doe.hped to domine is 11111111 WI NAVI IMO VOI A SEPARATE WNMII WARIIANTY.
NOTICE-ANY HOLDER OF THIS CONSUMER CREDIT CONTRACT IS S UBJECT TO ALL CLAIMS AND DEFENSES WHICH THE DEBTOR COULD
ABSENT AGAINST THE SELLER OF GOODS OR SERVICES OBTAINED PURSUANT HERETO ON WITH THE PROCEEDS HEREOF. RECOVERY
HEREUNDER BY THE DEBTOR BHALL NOT EXCEED AMOUNTS PAID BY THE OEBTON HEREUNDER.
NOTICE OF PROPOSE D CRIODI INSURANCE
no Slone,til at this Cwum hNbr mabl Moo that Filmy Credit rase 4,YIlM„4lnpe wd/p 6,mp 6nAI Atu"m W Hoehn 4tulwl,".real0,N be applicable la mil CW RINI I "
ImAld on 1hl from of this Contract ale loth loth type of coverage "II be.nllon be Ihl Immun
W III[I tJ 8-0,0,1 er Idol Inwnl, Emit anal nhe pneanlll
e emnpany name. Mainframe
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ga1911u11 of In1Mo. mat lull, domtwng the -down, in me 10,1 01 P,tpe"hl at the Indmeww t mtwW d Inwwe man", .0 be mailrageop. done
ASSIGNMENT
to I"IUse toll. the 'Assign"' named on mil hone of the Contract In Yudnlle shoornmm Cmam, the SNIP hnabr of w npnN1A Nto t W Ilnum la.wwt rud represent Thill the sale has
bun mMe werred dmlolmrey wit all applicants fatiod. stale and lad bat and ngderlms lmdu6% how Needed ten Avid. I of the Pow wwo U-Holm Cm"atvw Coup 116 Ph CSA 11
2101 gr opt Iunroll IQ Ne Coloul and rho Wal lh lwud thereby so abilour 111 ail dl (font. Imm,N 11,111 W wudq whrgstA W M wbMd cl to The "Phil ol mI Burps 111't lath that, on.
the Conhul it "nnml, erne Prom me sale of the Vemde Consent described, No NI pwpes twists &l of No Not wool had upwtr is twout IN domtpum of the Vehicle W emn"Ounfrt n
tanW4p old watt the draw duwMmoml and/on uMant allorrwl MMI "tNlr, ran1N1 Nd no onto thermal emw1'1 of "es, pod agree chew at other entire edrwd by it, to Boom, ad
~"lot will mlemen1111,91m6 we hue, the., N no third" ua Trial of phmsms all lath thee.. r1' we dull $nmd ulr Me Per AyNmo Motion Vehicle Salo Finance Am and hese our,
talwied "in dl nwkommts thermal in u n id I. the NaniaNOn wtl .nn in. Needed Truth For umml Ad Pel 001 1" alhw 10,1x81 w afford Into. runt Of 110 WItW WOiUMS Id This CmbNt I
"W rNWche IIOa unllluu shwdM a how a emumMwnn form of Argn1 hat pun w Pull he awmd Ian po t*, tat medievalism W the Vehicle hurt mm boon ousperAmd m1 the Salim engage of nor
two pith m1' Much In tlab we"0,m of Mal nglaVabm Ws, the Pemeeuw, Maur Yelnda Solely IUop"wbiltn Act test Ourmll) on the wthw Carom aI Wwdlt Ina" to tat Sella M be the
owing IdolnkW p VrdW(0 rdmu wmadwelel w affirmed to till C W RC and SNMI has no knoMd" of tale k"wlnl the rWiq a olm N the Ignored, ll any such wwwtl a nquwnehl"u
Wmuu be blerbd at e,1' Dml, Serfo. Nall ep.Whau end Cooled Rom Asupdo ahdomNd. eat mg "y thei the emend Mhl throw plus any wild all fain and agenut prod dnmwnd be
AwptMnRlm rMWsWd"m:dy e'IgIwmistttrl and nm"t1u4ve. W shat net sited., onw norm roam ad, that Awml mpht hen or law wen dourey against Seller lnlhnvem
amepNIY4Slnl Ihlemdtwn/"weMB?Ie1NwMmwimniw11NE711SNFiI d miten.um fat itch, N IWIM,,frJA7 pTrr?uIM NO k%.Wmot Salim lofpwl it INWI
0SwnMryr IOMOOVemN be Samoa MMWmww, SWM p0,u/ me on losing eMU/ by Awpl 0,dWAmdWjp,G'wjllnacadloiT HMIAwpM Wph Auipnrr
Ir 1110, WMOaeh in aMONW wth the rlpuchm lolm m hotels BUM, w SINw wMor seen Ian hold Alps In rmwu Irw mop Itl, dWm W EMP ?wNdFnj anwnwro Sea weal w
P"""O Inumd in do%M&4 fom dame ewnd by Epp W Including dmml Its nlwM of Phmlms mw by Some to Autpe.
FOR IYm 18141rM. Seller hwlr ,It swan W awfon unto Our leaving,, its watualnd IMm Ne Othln Cmdad. IN mmh, Sol and w b„m, due merwnwt m4 dl Fpm. hilt sns
wuew M WtllM YthNMdwtm dt bed. Moth hAo 0,w the Amps M Nrl w1'"e4t0, N" kOW a MM Ndoll whmkMwVM KM lass IM Ian this AMWWol. BONN by 1Nuent
htho Inds mt,t"11wd'WnnUTRE000RIL"VON LULLR[t:OURBE"'SIGNREIURCMASE"cops tew plmYrwmWseen wth Aep,u1'tInth Mauch rnMnuwm werat
WWoMm of the prse"A tilled Assignment"
VATHOUT AICOURSI -• Below 1 unwmm, short, moot la me ploseims at The prse"h home here "Auigm.nt" bt mmwl scam
WITH 11ALBF000MA - Biller Ipnu IMI, m addshm lathe pwhgwh wan mlel Auop""t' 11'IAe error el do1wN b1 Dutw m dde IuN "rmw ml the due hie Ihue11 of mr melellnn.n o+.. to.
on" the CMPaI of In the wwpl pdtamNU of enormous, career'. to be pdormll mdo, the Contour he "It Sell- all, m damping by Asdgml. INlhMlh frol the Cmllml loon Au.pms
IN e,eowdul pnO m sun most to the lull mpM bebme al the CmuNl oduwd mould Fmwe .)rn N el me time al wth ngptAw
WITH REPURCHASE - Soler seuuhat m Iddlemn in the Ammons of the pednowh ".rwnNl Arenomer in the even, of a n default h Bar„ min[n del nmtl, Arcane, in 81',...1'8 i•.
Vemch, SPUR,..It if the Vehele n "DO... $ad be Mugnn Nil doh.4.d to Beer, and -input nand to In, men difteam of the unllla Imh"lh ap 1',h do the Coa lmt 0,0 the Vr,m1e or.
Awanes of h repurchase son nt uo loud to the lull unpWd balms all in. C IfKt InmuMng Nnoal IInwo Child. N m de data of such Ilpwd.ul
uM 1'10,0,+law n,ll ,flu., I'm SOTICE SFE WHIR SIDE FOR IMPORTANT INFORMATION
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Statement
H
HOWARD E WEJGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-6164
I,?,IIh??IIL„?bl„L6?IIN??JL11„?I,?hhLl
11@
ENCLOSURES
TAR ID NIRI"R 204-24-4633 1-400-337-2262
LAST STMT END DATE 04-10-93
ACCOUNT SUMMARY
L PREVIOUS
1,444.9`3 0[MITS/CREDITS
6E0.00 ('M? GllLtBQ AMOUNT
2 333.38 WITHDRAWALS/OESITS
.00 NEW BALANCE
1,601.37
DAILY ACTIVITY
CHECKS AND DEPOSITS AND
Un EXPLANATIDN OF TRANSACTION OTHER DEBITS OTHER CREDITS ONCE
04-14 YOUR PREVIOUS STATEMENT BALANCE 1,444.13
04-11 DEPOSIT RE70 22337931 440_00 1,364.93
44-16 DEPOSIT REF4 22021633 r9svw 1,734.93
49-U CHECK 102 REF$ 27064004 'Qvv.dd 10426.73
66-23 DEPOSIT RE?B 23793679 664rer, 1,374.73
44-01 DEPOSIT REF4 22307603 01Nr00- 1,074.7E
4416 DEPOSIT REFB 21064000 ib?rM-
CHECK 103 REF4 23396432 -"1-34- 1,091.37
ACCOUNT INFORMATION
MINZNLN BALANCE 1,426.73
AVERABE BALANCE 1,606.62
AV$ COLLECTED SAL 1,3".33
CHARMS/FIRS AMOUNT .00
CHECKS PAID 2
TELEPHONE TRANSFERS 0
SUMMARY OF CHECKS
CHECK DATE CHECK DATE CHOCK DATE
MMIF
AC?
111811
AMOUNT
W2
R
EAI2 NUMBER AMOUNT Un
S 22
4
1
E
0 4
3
-06
lea .22
¦ BA? IN YOUR-CHICK-SEQUENCE
6 INGS
rMAWEL ACCOUNT NUMBER 9202 FOR CUSTOMER SERVICE CALL
TAX ID NUMBER 209-24-4633 1-600-357-2262
LAST STMT END DATE 04-10-93
ACCOUNT SUMMARY
PREVIOUS BALANCE
1,727.16 DEPOSITS/CREDITS
.00 WITHDRAWALS/DEBITS
.00 INTEREST PAID
3.22 NEW BALANCE
1,730.34
DAILY ACTIVITY
WITHDRAWALS AND DEPOSITS AND
2uj EXPLANATION OF TRANSACTION QIHIR_DEBITS OTHER CREDITS BALANCE
0-14 YOUR PREVIOUS STATEMENT BALANCE 1,727.16
CM 79500002 Flnv : 94 PX-8
14ige I of 2
i
n
PNC HAN K
Snmhcentrol, PA
Statement
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-6164
112
LAST PAGE
DAILY ACTIVITY
WITHDRAWALS AND DEPOSITS AND
MU PLANATION OF TRA NSACTION
OTHER D[RITG OTHER CREDITS
69-e6 INTEREST PAYMENT 8.22
ACCOUNT INFORMATION
HININUH BALANCE 1,727.16 INTEREST PAID THIS PERIOD
AVERAGE SALAMI 1,727.27
A" COLLECTED BAL 1,727.27 INTEREST PAID THIS YEAR
CHAEGES/FEES AMOUNT .ee
ULM
1,78e.Se
a.I
la.e
THE ANNUAL PERCENTAGE YIELD EARNED (APYE) ISt 2.37 X
THE HUMBER OF DAYS IN THIS INTEREST PERIOD ISe 21
THE AVERAGE DAILY BALANCE USED FOR THE APYE ISo 10727.27
THE INTEREST EARNED DURDIG THIS PERIOD IS, 3.22
PX-8
Page 2 of 2
000 39500002 Pev 2 94
MECHANICSBURO AGWAY
?6 W. ALLEN STREET
MECHANICSOUR09 PA 17064
Phonv#t 717-766-4726
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CASH SALE
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3? HERTZ ER RD.
M CHANICSBURG,PA. 170 44
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1? ? '. 11,tr (f, '' .
L?? "". ;'r De l i v ery l T,?'re?PN'111?I .
'Qty Product Code Product Description -_- Ropprice Price- Extend
'---- ------------------------------------------------
------------- ----•----------- - -
4v 799.94 799.94
1.00 823060 BNOWTHROWER 4NP 2 STAGE y fA
k
Taxable
THANK YOU!!
Sales Tax
j .Tax Exempt
TOTAL
BANK CARD
LAYAWAY
Pat-
THIS RECEIPT MUST AC,ANPANY RET
I'X-9
rt
799.94
48. 00
0.00
847.93
100. 00
747.95
UNLESS OTHERWISE STATED ABOVE ALL GRAIN IS FOR FEEDING PURPOSES OP
1,,?,,I r :'? i;:`1
V 'i V, V' Y Y V V V ,V Y V V 'Y V V VV V V V V V V V V Y V 'V V V V
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,Nor ?, a, ';i,•
Benefit Certificate
FOR: HOWARD E WEIGEL
SSN: 208-24-4633
AS OF: 12-31-91
DAUPHIN DISTRIBUTION SERVICES CO. EMPLOYEES' PROFIT SHARING PLAN
t 5.,,•1
EMPLOYER
ACCOUNT U . ,:.
'
omvsvn L:
((.
,
X-4:-
12-31-90
At S 55633.66
Employer Contrib. 2019.37
Investment Results 5632.00
Forfeitures 121.87
At 12-31-91 $ 63406.90 (. .:
.
,
Vesting Percent 1006
Vested Amount S 63406.90
y , ti f
?.'.` 5 { Every a%n has been made to {neon the accuracy of dw informafon contained in this Benefit Plan Cartifkaw:
''?;;ra { however, in the event of a 11Kreparcy. actual benefits wAl be determined according to the Plan provialonn. S
11 X- 10
le { ;e 1
Y V V V r r r •J „ u V . r „ „ V V V V . r V V V
?w
EXIL LOGISTICS
RETIREMENT AND SAVINGS PLAN
ICN
l tl tl I? 1 1 C ?
STATEMENT OF ACCOUNT AS OF 06/30/98
HOWARD E WEIGEL
317 HERTZLER RO
MECHANICSBURG
PA 17066
SHORT TERM
GOVERNMENT BOND
FUND A FUND B
BEGINNING BALANCE 678,638.17 6.00
WITHDRAWALS .00 .00
LOAN ORIGINATION .00 DO
CONTRIBUTIONS
ASSOCIATE 401(K) .00 .00
EMPLOYER MATCH .00 •00
PROFIT SHARING .00 .00
ROLLOVER .00 DO
FORFEITURES .00 .00
EARNINGS 1,783.34 .00
LOAN REPAYMENTS .00 .00
INVESTMENT TRANSFER .00 .00
ENDING BALANCE $80.418.81 6.00
INVESTMENT ELECTION S:
2ND OTR CONTR. 100 °/. 0 Y.
BALANCES 07/01/95 : 100 G 0 %
Year-to-Oate ASSOCl ate 401(k) Co ntrlbutlOMS:
Year-to-Date Employ er Match Cont rlbutlone:
SW 206 24 4633
LOCATIONI 93
EMPLOYEE NUMBERI 93236
BALANCED STOCK
FUND C FUND D
6.00 $.D0
.00 .00
DO .00
00 . 00
.DO . 00
.00 . 00
,DO 00
.00 . 00
.00 DO
.DO . 00
.00 . 00
6.00 $. D0
MONEY MKT
FUND M TOTAL
$.DO 678,638.17
.00 .00
.00 DO
.00 .00
.00 DO
.00 .00
.00 .00
.00 .00
.00 1,783.34
.00 .00
.00 .00
$.DO 680,418.81
0 A 0 %
0 % 0 %
$.D0
$.00
0 %
0%
For quarter-to-date and year-to-Cate Investment returns, ple&SO Call BOMOf Its on Call.
SUMMARY OF YOUR CURRENT BENEFITS l 06/90/96 1
If you are ape 62 or became disabled, you will be entitled to, ....................880,418.51
If you die, your beneficiary will be entitled to ..................................880,418.51
If your employment terminates for reasons other than death or disabiI Ity prior to ape 62,
you will be entitled to receive your vested balance in accordance with the plans vesting
schedule, Based on your current percent vested of 100%, you will be entitled to... 860,418.51
Cali 1-800-476-9998 for plan information, deferral percentage changes, or investment election
Changes. Changes must be made by September 15th to be effective for the fourth quarter.
The company coda Is 7882. Please refer to your Benefits On Call brochure for more information.
11x-1 1
Page 2 of 2
MAIN OFFICE;
103 N. 2m Street
P.0. Boa 02
Harrisburg, PA 17108
BRANCH OFFICE;
381 N. Prince St. Salts 120
City Crossings
P.O. Boa 1028
Lancaster, PA 17603
HOWARD E WEIGEL
STATEMENT OF ACCOUNT
BRANCH OFFICU
3600 TrtwW Rom
Camp Hill, PA 17011
BRANCH OFFICE:
CpIW Hadrh Svstem
Hrrtkrr8 HospiW
&NN Hall
205 S. Front Street
Harrisburg, PA 171 Of
J011
709670
M
208-24-463
Page
2
ego QHIt.1RTNAa,0LUB$- ?y
SEPT; X10;' 'FUNOe wt4 ,?
TRANR?ICRRLD' TO YOUR ' !41, r.,
• IIAVINGS OR DRAFT ACOT.,4j, i•',?
•THE,11 N LNG OF OCT1. it
NUMBER
ACCOUNT IT OWNERS
saASVeN www OLOCAIPTION ? ' All NNRI °{'411ANCE
0801 PREVIOUS BALANCE S1-PRIMARY SHARES 768 2
0804 Is PAYROLL OR DIRECT DEPOSIT ACH 10 00 778 2
0611 Is PAYROLL OR DIRECT DEPOSIT ACH 10 00 788 2
0818 * PAYROLL OR DIRECT DEPOSIT ACH 10 00 798 2
0825 Is PAYROLL OR DIRECT DEPOSIT ACH 10 00 808 2
0901 Is PAYROLL OR DIRECT DEPOSIT ACH 10 00 818 2
0831 DIVIDEND 12 820 3
THE ANNUAL PERCENTAGE RATE IS 3.15
THE ANNUAL PERCENTAGE YIELD IS 3.20
THE ANNUAL PERCENTAGE YIELD EARNED IS 3. 20
0831 NEW BALANCE 820 3
0801 PREVIOUS BALANCE S4-SHARE 1173 721 3
0807 DRAFT PAID -9 97 711 4
0807 DRAFT PAIDs -60 00 ? 651
0814 DRAFT PAID ?!?' -130 00 521
0822 DRAFT PAID
.71 -94 33 33 427 0
0831 111
1
DIVIDEND s
' 95 428 0
THE ANNUAL PERCENTAGE R E
-IS .
THE ANNUAL PERCENTAGE ELI)
,IS i+
THE ANNUAL PERCENTAGE JELD,EARNE
0831 NEW BALANCE 428 0
------------------------ C Eli ED DRAF T SUMMAR Y ----- -- ---- - ------- -
0422 0423 0424 0425
-------------------------------------
- -------
--
-----
--
----
--
-------
-
TOTAL DIVIDEND YEAR-TO-DATE TOTAL FINANCE CHARGE YEAR •TD•DATE
fair all sevYpe except IRA. 32.02 for su loans. 0.00
nwe..aa the u s In ...... "I r.. -
I?trdmcaechInternal Revenw Service NOTICE: See reverse side for important information.
*INDICATES EFFECTIVE DATE .,Y_ 12
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CERTIFICATE OF SERVICE
I hereby certify that I am this date serving a true and
correct copy of the within Plaintiff's Pretrial Statement
Pursuant to Pa. R.C.P. 1920.33(b) upon the attorney for the
Defendant by sending the same by first-class mail postage paid
addressed as followsc
R. Mark Thomas, Esquire
54 East Main Street
Mechanicsburg, PA 17055
Richard C. nelba er
Philip H. Spare
SNELBAKER & BRENNEMAN, P.C.
Attorneys for Plaintiff
Dated: October 2, 1995
uw ornc[e
SNEL13AKER
BRENNEMAN II
w- of
ilr,il ,_rl, r. ,.
G-?.
INCOME AND EXPENSE STATEMENT OF
Nancy_C,_ Wci
SSN 164 30 ,2566 DRN.-µ0-tL_/.'t-_DATE
THIS STATEMENT MUST BE FILLED OUT
pf you are self-employed or if you are salaried by a business of which you are owner in whole or In part, you must
also fill out the Supplemental Income Statement which appears on the last page of this Income and Expense
Statement.)
INCOME
(a) WageslSalary
at home
Employer d Address Self-employed
-
Job Title/Description _Fioma Duy .Gaza----- -----
Pay Period (weekly, bl•weekly, monthly)_.mnDthly_ _
Gross Pay per Pay Period ........................................................ ........................................ .................... $_. 6. 0n (avg.
Payroll Deductions:
Federal Withholding .................. $
Social Security ...........................$
Local Wage Tax .......................... $
State Income Tax ....................... $
-
Retirement .................................. $
Health Insurance ........................ $
Other (specify) hoc d...&...Toys$__ AR 00
-------- .,Mis.c .............$ 21 00
-- -- .................$
Net Pay per Pay Period ..... I?g,t...i.1}vANqAT.'B...6.O?f.u ...... ....................................... ....................6 237,00(a g.
(b) Other Income Week Month Year
InterestiDwidends ............ ..........$-_.-_- $-- $.---
Pension/Annuity ..... .................... $--_ $
Social Security ........................... $_ - $ $_
Rents/Royalties ......... ................5__- $
Expense Account ....................... $- S_ $
Gifts .,. _........... _ ....................... 5- _ $ $
Unemployment Compensation.S__- _ $..__....-?
Workmcrl'sCompensation.,... $_ . .-._.._ $__..----------- -
Total, Other Income .................... ..5-_ $--- $
INCOME AND EXPENSE STATEMENT OF
I verily that the statements made in Wit Income and Expense Slate
ment are true and correol. I understand that Islas statements herein
are made subject to the penalties of 18 Pa C S. 4904 relating to
unswom IsIbif1{ation to authorities
Date 9o7 > M ,C.•
? inldf or or 0
Del ant
PLAINTIFF'S
EXHIBIT
I
t_T I Z I`I ?I7
Household Child Household Child
Week Walk Month Month
EXPENSES
Home
Mortgage/Rent ........................................
Maintenance ........................................... i ---
Utilities (telephone, heating
electric, etc,) ........................................ S i S - - i - - - -
Employment (transportation,
lunches) ...............................................
Taxes
Real Estate ..............................................
Personal Properly ...................................
Income .....................................................
Insurance
Homeowners ........................................... S S i - S ---
Automobile .............................................. S i S -- i ---
LIIelAccident/Health .............................. $ S - i -15. QO- i -
Other ........................................................ III-
S
S
i
(payments, fuel,
Automobile
repairs) ................................................. i
Medical
Doctor, Dentist, Orthodontist ................ S S i 140,00 _ $
-
Hospital ................................................... $ - : - $--- S
Special (glasses, braces, etc.) ............... S $ i 30.00 i
Education
Private, Parochial School ....................... .--
College ..................................................... S S i S -
Personal
Clothing ................................................... S $ s_ In no $
--
Food ......................................................... S $ - i 210.00
S -
Other (household supplies,
barber, etc.) .......................................... $ $ -35 00
=
$
----
Credit payments and loans .................... $ $ $ $
Miscellaneous
Household help/child care ..................... S S $
Entertainment (inc. papers,
books, vacation, pay TV, eta) ............ $ $ S26.50
'
-
$
GiltslChantable contributions .............. $ $ S -50.0 O
_
$
Legal Fees $ S $
Other child support/alimony
payments ............................................. $ $ i ---
Other (specify) ............................................... $ i - i --- i -_.
Total Expenses S S S 561_. 50 $
PROPERTY OWNED Description
Checking Accounts .......,
Savings Accounts .,..,,...., t '1 •0 -
Credit Union ,,,,,,,,,,,,,,,,,,,,
Stocks/Bonds
Real Estate ?16La ence
Other . Christmas 5avip"-_. -
Total, Property -
INSURANCE Company
Hospital
Medical ............................ ItDeb rn t' a
Health/Accident ..............-
Disability Income .,.,,.,..,..
Other (dental, etc,) .........
._
('H - Husband, W • Wife, J • Joint, C • Child)
Value
i
i _
s n_nn
i
i -
s _
S ?.
s_
S _1ZA.00
3
s
Policy No.
SUPPLEMENTAL INCOME STATEMENT
A. This form must be filled out by a person who (check one):
(1) operates a business or practices a profession; or
(2) Is a member of a partnership or joint venture; or
(3) is a shareholder In and Is salaried by a closed corporation or similar entity.
Ownership'
N W J
-x-
Coverage'
H W C
_ X_ _
B. Attach to this statement a copy of the following documents relating to the business, profession, partnership,
joint venture, corporation or similar entity.
(1) the most recent Federal Income Tax Return, and
(2) the most recent Profit and Loss Statement.
C. Name and Address of business:
Telephone Number
D. Name and Address (if different than C) of accountant, controller or other person in charge of financial
records: _
E. 0) Annual income from business .............................................................. S- -- -
(2) How often is income received? ............................................................. --
13) Gross income per pay period ................................................................ S-- - - --
(0) Net income per pay period ................................................................................................... S
(S) Specific deductions if any .................................................................................................. S_,- - --
733943
CHICK No,
.
CHICK DATI'
/77/66
U6
HNII W enlNOCA lu) PlRIOO tw,N6: 06/IT//6
W161l NVllll. 01110 47011 PAY PRIOUINCY' WIEMLY
PAY ?IILI 00_____ _06/II/E6
1 ask: -_
70171
6677
161 n617106
M6NIR:
SIC: TAX STATUS: 61 NOLI
00t: LOCI NA LOCO! LOCI
0
LOCAL
r , NORMD
Wt10tL 01 0
T
T? ?RU
T
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%D
iU M LOCAL
ALT:
717 NIPTILIA RD 1AM ??
MICNANIC61UR0 M HID: u
160
?
6 ,
AL
C
I IA6! RATE 11 0700
IT066
__X
0C
ATl5
I N
N M N N
SS
i
1 LA
Y T-D CUPPI NT Y T 0 1
CURRENT
OK.--f}4UPb[U@1 Tb .MP!il NOD. _.
{dS?ll'
I1
. NWPb/UN!
.Tb. _EA"111N06
I OESLA! PT 14N....
. Mg4JN?.
O/DVNT
.
_
00 474.60
40 17?? 1960 160
T
6 269.32 S 17!!.671 ADR Y TO
.
RIOUIM
IgLIDAY 11700 6.46
511
1766,06 AX
CARI
M[0
110 INC TAX 16,77 1116.46
VACATION 17.,60 770.41 MI-STATE TAX 17.76
57 607.771
771
//
OVIRTIM! 601/1.1C TAX . ,
MI-LOCAL TAX
I 4.77 176.61
PLAINTIFFS
EXHIBIT
74056
... ."" .............
TOTAL 11119-TAX 7.17• 147.06• TgTA - 17 ................................... 11
00 4 4 7 T P . Djg ... 1,0. ...... 4. .
7. ei-4TZ17?-111.46_-.-llfl.il-___164.Y6
r 4
hh4EO "
Aul W. il Mom II
WCOCNYN/C, OHIO 43001
034 703044
1010403036 1. 01
rl h
WFIGEL, HOWARD E
317 HERTZLER RD
MECHANICSBURG PA
t70B6 -.I
i
1040 °MPrWbr at tole Trrtvy, - mmmw ftvww ow" 1994
I
N U.S. Individual Income Tex Return
l
-Da
Cie tl
o let" this space
ne t canto Plat
M y
n
ee
rn .
e
For the su Jan. I - Dec. 61 1696, of other 4h ou bs nnln rest an din 16 Chile No, 1646.0014
Label V-""r'•'?"°••^?.•.na tore.-. yakepbW6eobftywe6/
.sass. CAR-RT-SORTeeRO07 208-24-4633
j9ie `
Instructions QF 209-24-4633 164-30-2566 S26 10 1 opwAWs»oWtleoeltyswmbw
as page 17.1 HOWARD E WEIGEL I? 164-30-2566
Una the ree 317 HERTZLER RD 005 Ant. no.
least
olh.twha, t
MECHANICSBURG PA 17055 For Privacy Act and
phase punt Paperwork Reduotlon
of type. City, town ofeoelolh[sJYb, and 2110106.. It you have& foreign address, 6090400 12. Act Notice, soma tier 4.
Presidential MECHANICSBURG PA 17055 Yes No Netolcheahmgtiea,
Election Campaign Do you went 63 to go to this fund? .. ..... , , • ... • . . X u o rl.e ceeyeu?ut
,see page 17.1 II a joint return, does our oases went 43 10 o to this fund? .... . . .. . ........... . . . . . round,
1 single
Filing Status 2 Married filing Joint return (oven It only one had Income)
16as page 16.1 3 X Manned filing sepwale return. Enter spouse's coo, sec. no. above 6 full name hose ? NANCY WEIGEL
Check only 4 Head of household (wlth qualifying person), (tile page 13.) 11 the quallyng person Is a child but not your dependent,
and boa. enter this child's name hose ?
5 Oudl n widower with dependent child (yew spouse died ? 10 1. (Smage pag e 13.)
M IN Yourself. If your parent (or someone else) can claim you as a dependent on his or her tax
Exemptions return, do not check box Ga. But be sure to check the box on line 33b on page 2 • • • • } No, of bares
toes Page 17.1
b[ _t3?oeN .................... . ........ .......b .................... ....... ch on
..... .. h annd do
1
nom.. Cher. 1611t ADD 10, older,
0 Dependenut It undo depandenys social 141 DapandenYe (6) No. of No. or your
oe.llradln
Phlld
on
1 Name lflnt, Initial, and last name1 spa t ueunt number rs4tionshe to YOU
O home W
lW'114 ere who:
e flvsd with YOU _
e didn't live with
You it us to divorce
it more to en e• or separation (see
page 141
4epardon,$,
toe page 14.
DeeenOSnu
en 6cnot
enbnd .sore
d II your child didn't live with you but Is claimed as your dep. under pre-1083 agreement, check.. ?I] Add numbers
• Total nllmher of gYlxTlntlene cl•Imad .................. ................ snoe
....... Ilnulabo don ova ? 1
7 Wages, salaries, tips, etc. Attach Form(a) W-2 ... . .. . . .............................. . ... 7 25,567
Income N Taxable Interest Income (see page 15). Attach Schedule B N over 4400 . .......... . . ..... . . .. sa 48
b Tax-exemptlnterest(see page 10). DON'T Include online as........ 9b L
Anneh 9 Dividend Income. Attach Schedule 8 N over 44oo ....................................... 9
copy a of yaw 10 Taxable refunds, credits, or oNeels of state and local Income taxes lose page 16) ......... . .....
Farms 10-2 10
.
w-20.md 11 Allmonyreceived ................................................................
11
log" hen.
12 Business Income or (lose). Attach Schedule C or C-E2 ........... . . ....... . ..............
12
tl you eel not 13 Capital gain or (lose). It required, attach Schedule D ...... .
..... . ........................
gear w-7
13
.
see page 15. 14 Other gains or (Josses). Attach Form 4797 ............................................. 14
Enclose, but 6o l5a Total IRA distributions.......... 19a b Taxable amount (pg. 17) l5b
rem nt.ah, any
p ay ant wnn yaw tea Toul pensions and annuities .....
nl
leer
Taxable amount (pg. 17)
to
16b
,.turn. 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.......... 17
is Farm Income or (loss). Attach Schedule F ... . ............ . ............................ 1s
19 Unemployment compensation (see page 16) ........................................... 19
20a Socld security benefits ......... 120a 1 L _J Is Taxable amount (pg. IS) 206
21 Other Income. 21
22 Add the amounts In the far fight column for lines 7 through 21. This I s our total Income........ ? 22 25,615
Adjustments 23a Your IRA deduction (elf page 19) .......................... 23a
to Income b Spouse's IRA deduction (see page 19) .. . ................... 23b
24 Moving expenses. Attach Form 3903 or 3903-F ......... . ..... 24
25 One-half of self-employment tax ........................... 25
Caution: see
Instruction..... ? 29 Self-employed heahh Insurance deduction (see page 21)..... , .. 29
27 Keogh retirement plan and self-employed SEP deduction . , ... , .
26 Penalty on early wlthdrswai of savings ...................... 27
21111
29 A rtmonypaid, Reclplent'sSSN 1, 164-30-2566 29 5,598
30 Add lines 23a through 29. These are our total a ustments ...... ...... . ................ ? 30 5 598
Adjusted 31 Subtract tine 30 from line 22. This Is your actuated gross Income. 11 less than 425,296 and • child
Gross Income lived with you lase than 49,000 N child didn't live with you), ses"Earned Income CredN" on . 27. ?
31
20, 017
Form 1111141110 091141
Form-10401094 OW D E WEIGEL 208-24-4633
Psae 2
62 Amount from One 01 (adjudged gross income) . , . , . . .... . . . .. . . . . ...... . I.. . . . " • . • • • • . 3 2 20,017
1>
33 a Check M [3 You were 66 or older, ? Blind; (3 Spouse was s6 or older, 0 Blind,
mom-
C0
Add the number of boxes checked above end enter Una total hers ........ . ...... . ? 0.79
lotion b It your parent (or someone aim) can Clain you so a dependent, check here.... , .... ? 33b ?
sea pap
22.1 a II you are enabled filing sepwtely and your spouse fiemsse deductions or you are
a dual-statue alien, ass page 23 and chock hers . . ....................... . .... ? 0.79 0
Itarnlred deductions from Schedule A, Una 29, OR
Standard deduction shown below tar your filing status. But B you checked
34 Enter
any boa on line 0.79 or b, go to page 23 to find your standard daduction. j I.
the
It you chocked box 660, your standard deduction Is sake,
34
175
3
000 a Head of household - $6
600
e Sin
le - 43 .
,
g
,
your; a Married filing jointly or Qualifying wldow(w) - $0,360 j j j.
a Mari filing Separately - $31,176 ? .
I I Il di
66 Subtract Una 34 from One 32 ................. . . . ..................................... 36 16,842
36 11 Una 32 4 $03,660 or lass, multiply $2,460 by the IoW number of exemptions claimed on line 60.
It line 32 Is over $03,660, serf the workshael on page 24 for the amount to enter .................. 34 2,450
Subtract
Il one 2e 18 mom. ••••••,••,••,•,••,,,••,•••,,,,••••••,•,.,•„
enter line -a• 36from line 06,
37 Taxable lncortre,em Pee 25
37
14,392
,
n yna w.nl 39 Tax. Check 0 from a a Tex Table, Is ? Tax Rate Schedulee, a ? Cg11W 0aln Tsx Workshoe6
ms lxa to
r,yu eyew or d ? Form 0616 (see page 24). Amount ham For (s) 6614..... ?e
30
2,156.
Z. gee page
24. 39 Additional taxes. Check if from a 0 Form 4670 Is ? Form 4972 ...........................
31
40 Add lines 35 and 36 ...................................................... . ? 40 2,156
41 Credit for child and dependent core expenses. Att. Form 2441 ... * ... 41 1 1 11
Credits
2 Credit for the Mdeely or Inc disabled. Attach Schedule R .... , . , ...
4 42
Metals
24.1 43 Foreign tax credit. Attach Form 1116 ..........................
43
II
44 Other credkv (see page 26). Check 0 from a 0 Form 3600 I
b ? Fomn 6390 0 ? Famt 6601 d ? Form 44 I'I
46 Add On" 41 through 44 ............................................................. 46
N Subtract line 46 from line 40. 11 line 45 Is more than line 40, enter -0- ......................... ? 46 2,156
47 Sete-employment lax. Ant, Son. BE ..................................................... 47
Oth
Other
Oth
r
4s Afiernstivs minimum tax. Attach Form 6261 ............................................... 1$
Taxes
49 Recapture taxes. Chock If from ¦ 0 Form 4266 Is 0 Forth Bat I a ? Form 6828 .............. 40
(Seepage
25,1 60 Social eecurlty and Medicare tax on tip Income not reported to employer, Attach Form 4137 .........
60
61 Talk on qualified retirement plans, Including IRAs. If required, attach Form 6329 ................... 61
62 Advance earned Income credit payments from Form W-2 ................................... 62
63 Add lines 46 through 52. This Is your total box ........................................... ? 63 2 156
ments 64 Federal Income tax withheld. II any is from Form(a) 1009, chock No ?
Pa 64 3,289
Ilj
y
66 1a" estimated tax psymants and amount applied train 1093 return .. 66 l wl
N Earned Income cruel If required, attach Schedule EIC (see page 27). I
I
I l?r
Nontaxable earned Income: amount..... ? II
I ,
Al acre
farmaw-2, and type 10
N
il,l
W-20 and
10ee-h an 67 Amount paid with Form 4866 (extension request) .................
67
the r,ont. 6/ Excess Social security and RRTA tax withhold (ace page 32) ........ so l
6e Other payments, Check If from a ? Form 2439 to ? Form 4136 ... 6e (III, n!,.
60 Add lines 64 through 69. These are our total payments ........... ..... ... . .............. ? 6 0 3,289
91 If line eD is more than Una 63, Subtract line 63 from line 80. This Is the amount you OVERPAID ..... ? 61 1,133
Rotund or
62 Amount of line 61 you want REFUNDED TO VOU .................
..
.
.. 62 1,133
?
?
Amount
?
?
63 Amount of Una o1 you want APPLIED TO 1996 ESTIMATED TAX .. ? l 63 l
_
You OWe Ili
64 If fine 63 1s more than line 60, subtract line 00 from One 63. This Is the AMOUNT YOU OWE.
For details on how to pay, Including what to write on your payment, we page 32 ................. 64
66 Estimated tax penalty see a 33). Also Include an line 64 ....... 1651 1 IMF
II!II J'I hill
'r-'
Sign un a at densities a rpsilury,c uocero in Ori news a,u,mnoo erne revumam o accampanynp enne auras area enumsnn anamerns OU,a, mysnowcsagseno Oscar,
they are true, correct. and complete, O*ClaOpon at Prepare, to l hU tham taxpayer). X.4d on all nlarmatlonotme lch preparer has any knowledge.
Here
vouraugnalure Date your occupation
' LABORER
See a aopv
.1 Ulatu," Spouse's signature. It a joint return, BOTH must sign. oars $pause's occupation
tar your
.cards.
prepvsi's ca-p /'/ - ,?
K
KA6 Date
Chock II Vlepwr'noval security no.
Paid slenature
RIS M EG 2/01/95 aeu-employed ? 179-30-3675
Proparer's H & R BLOCK U. No. 23-2314357
Use Only firm's memo (o, yours
116e11-emplayediond 70 W. MAIN ST.
2I?eade
address MECHANICSBURG. PA 17055
. COMMONWMTH OF MNOYLVANIA
1994 Resident Individual Income Tax Return
? Flaoal Yew Fllw Beginning 1004
208-24-4633 1FA
***********CAR-RT SORT**RO07
208-24-4633 WWE 164-30-2566
HOWARD E WEIGEL
317 HERTZI.ER RD
MECHANICSBURG PA 17055-6164
OFFICIAL USE
FILMO 2TATU2t (Caeca CAe)
2? single
J0 Monad. Items a 101n1relure
M® method. filing upueUjy
T ? Joint Cliffs Fat TAN Foigivensso
00
Dauwtl, FlaslreWrn
OCCUPATION
Your ocufpabon
LABORER
Spouu's Ocurp W on
I plMDlNCY aTATUM (Cho * Only It A Pvt-Year AoMd?IO
P? hrtYw Asaldent from 1994to IeM
MECHANICSBURG PA 17055 --CAuk h m If You PWd o pnpYa and You only want to revive a namoiaddren
obolme.t en.
? Cbaob?wNMhIPeoAwPOI PYIsoe
DAYTIME TELEPHONE NUMBER
OFFICIAL UBE
R.ee.tyr.r.a..
1 717-766-0492
4CI100L OIOYAICY NAME (.here You lived Deg 31, 19441 SCHOOLCODE INDICATE NOW MANY OF EACH
MECHANICSBURG AREA 21650 FORM OR SCHEDULE 16 ATTACHED
10 Is, GROSS COMPENSATION ............................. 1s 26 ,259 Please Use Your Correct
A
rr lb. UNREIMBURSED EMPLOYE BUSINESS EXPENSES..... . , fie School District Code a of Fomis W-2
A la NET PA TAXABLE COMPENSATION ........ . .. . .............. . ... . .. . .. . .... tc 26,259 a of Sched(s) UE _
2. TAXABLE INTEREST ............... . ............................ . ........ 2 48 a of Sched(s) A r
H 3. TAXABLE DIVIDENDS ..................................................... 3 e ofSched(e) B _
E 4. NET INCOME OR IL066)FROM THE OPERATION OF ABUSINESS. PROFESSION OR FARM ........ 4 0ofSched(s)C
K S. NET GAIN ORLOSS) FROM THESALE, EXCHANGE OR013POOITIONOFPROPERTY ............ 6 MofSched(s)RK-1
T
_
e of Schad(s) F
Attach All
"a 6a. AMOUNT OF EXCLUSION FROM LINE 20 OF PA SCHEDULE
Required Documents a of Sched(e) C-F
_
PA-10(DoNot lncmdein LinesAbove) ...I...... I.I.... I.....54 0ofSched(s)D
s. NET INCOME OR (LOSS) FROM RENTS, ROYALTIES, PATENTS AND COPYRIGHTS... 4 _
s of Sched(s) 0-71
e 7, ESTATE AND TRUST INCOME .......... . ................................... 7 0 of Schad(5) 19
r E. GAMBLING AND LOTTERY WINNINGS ....................................... a e of Sched(c) E
r10 9. TOTAL PA TAXABLE INCOME (Total Limes IC.2,3,4,6,0,?and F- 00 NOT DEDUCTLO34E61...... B
26,307 _
0of SChed(6)J1
A 10. TAX LIABILITY Multiply Una 9 b 2.8%..026 ................................... 10
X 737
it, TOTAL PA INCOME TAXES WITHHELD ....................................... 11 735
t2. ESTIMATED TAX PAYMENTS AND CREDITS
P 12a Credit From 1003 PA Return .......... . .. . ..........f2a ThIs Return Must Be
Filed On Or Before
Y 126 1904 Installment Payments ............ . ......... . .1126 April 17, 1095
E 12o Payment with 1904 Request for Extension ..............12a
N
T
12d TOTAL PAYMENTS AND CREDITS .......................................12d
n 13. TAX FORGIVENESS CLAIMED FROM PA SCHEDULE SP See Instructions
L 130 OlpendentsClaimed from Lino 1.Part IIIofPASchedule SP....... For Reporting Estimated
li. UbEligibility income from Line 3,Part IVofPASchedule SP......I.. Tax Credit And Claiming
Ta%FOTQIVBResa
13o Federal Adjusted Gran Income from Line 2, Part III of PA Sen. SP ... n
T Od TAX FORGIVENESS FROM LINES, Pan IV of PA Schedule SP ..........................13d a of Sched(s) SP
14, TOTAL CREDIT FOR TAXES PAID TO OTHER STATES OR COUNTRIES ............. 1,4 _
a of Sched(s) G
16. EMPLOYMENT INCENTIVE PAYMENTS CREDIT....... ............... . . . . ...... 15 _
a of Schad($) W
16. TOTAL PAYMENTS AND CREDITS (Total Unes 11. 12d. 13d. 14 and 151 ............. 16
7 3 5 _
T
„ 17. TAX DUE See Instructions for paying your tax due. 0leas than 61.00, no payment Is required ................. 17 ;
0
A 16. OVERPAYMENT ......................................................... 14 Double Check Your
0 190. Amount of Una 10 to be REFUNDED ............................................................. 192 -?
V
P 19b. Amount of Una 1B to be CREDITED to YOUR 1905 ESTIMATED TAX ACCOUNT ........................... 196
M
N 19e. Amount of Una 16 to be DONATED to the WILD RESOURCE CONSERVATION FUND .... . ................:. 190
r
19d. Amount of Una 18 to be DONATED to the U.S. OLYMPIC COMMITTEE, PA DIVISION ....................... 19d
Undn PMAlundfpequ1Y, I declare1ha11 have summed thleretum, including ecddmpanyln echeduluaelatomenb, and to the but of m knowledge a belief It Is Vue, Correct&
Your signature Cate onaturea "Opafer, of er thn tavo w, based on all informsuono whldi
pre parer haeaby knowledge
Signor X XCHRIS M ECKARD q 2;e[ Cv
here Ill signature (it filing jointly, BOTH must Sign even if only one had Income) PrepuWs Telephone Numb@ Cate
?x (717) 766-0901 2/01/95
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,1ppllerson-Pilot
life Insurance Company
PO Boa 21006
GnmaUoro, NC 2720
Telephone 919 691-3000
FEBRUARY 2, 1993
ITIAIJRI AJ IGEL
HE HA I S RGUPA 17055
POLICY NO. QP4191603
HOWARD EARL WEIGEL
0101 nsen
kslfi,101914
TNERAROUNTESAOWNIBELOWIIS ENCLOSED ASNFINALDAETTGENENTCHECK FOR
$ 1,549.07 AMOUNT OF CHECK ENCLOSED
PAYEE: HOWARD EARL WEIGEL
OUR RECORDS INDICATE THIS POLICY WAS ISSUED UNDER A TAX-SHELTERED
INCOMEMTO YOUIS WERSTRONGLYARECOMMENDTTHATSYOUOCHECKATHBIS WITHABLE
YOUR TAX CONSULTANT BEFORE FILING YOUR INCOME TAX RETURN FOR YOUR
CURRENT TAX YEAR.
THANK YOU FOR SELECTING JEFFERSON-PILOT. IF YOU NEED ASSISTANCE
WITH YOUR INSURANCE PROGRAM PLEASE CONTACT YOUR JEFFERSON-PILOT
REPRESENTATIVE OR THIS OFFIfE.
LICYOWNERS SERVICE DEPARTMENT - 4560
I
8DJH
u•5113
PLAINIIFFB
Em1w
It- -
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ITT IIur11'nrd I.Ire and Aimull) hrourunee t'rnnpuny N Q 865881
S+iS lliglmilOO Nnnh
L1T HAW"M ?hiulrnpnli., .11N 55.L.1I.0400
Policy Numbers Puvee Y=hfil Date Account Number
LUUYtyyly 0 -C9-95 304y
56
PAYCAi: rW1lr:AC cokRL wE14BL
PCLICY YhWL
CJ rum k; nar?urearcnacePUnmm+ 1700d66e61
i
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PLAT
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K JA A A A P. A M. A A A P. .. A /! n. r. R l', '• A T, r. A A' r, A h 1%
µi r r l ;e r; nd
h
Benefit Certificate
FORt HOWARD E WEIGEL
?
SSNt 208-24-4633
AS OF: 12-31-91
DAUPHIN DISTRIBUTION SERVICES CO, EMPLOYEES' PROFIT SHARING PLAN '.'
r r;. ,;t ;3
EMPLOYER
h ACCOUNT
At 12-31-90 $ 55633.66
Emplcyer Contrib, 2019.37
Investment Results 5632.00
Forfeitures 121.87 {
- - - - ----
t.
I in
At 12-31-91 $ 63406.90 p
mmmmsvmmmmmm
Vesting Percent 1006 y
is '' Vested Amount $
a 63406.90
r, '1 h mmmmmmmmmmm
` ` y h
1
Every effort hue hen mode tut huure site occuncy of the {nlurmut{on contained in thin Eenent Ron Certlncose;
however, in she event of a discrepancy, xsud benefiu will be detemdned according to the Pion provisions.
, S
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LT- G 12 14 ?!?
"Your BNco Carer for You"
HARRISBURG BELCO FEDERAL CREDIT UNION
MAIN OFFICE
I07N :ern Sunn PC 0-B?
Mnn qP?0 PA 111914
!RO
FA BRANCH OFFICE "RANCH OFFICE
r J
I.P N 11pb 5ng1 Pa IL !• 11):p p:nq 1. .r. N, al
1.1n.aurr PA 11110] 1. mu r^ne . n.
"ARIIIIBURO 5914 VIC IT I LIPHON I NUMBER IE 111177e11c0
LANCASTER SERVICE TI LIPHONI NUMB1 Rr
NI, 11MA 1111N11NMIAI115 IIIANI11L115 11117917770
r nn NlV '.U111l LA ItK IPA 'i 11111071116
-- CAMP HILL 51RVIC1 TE4PHONE NUMBER IN 11117111E L1O
-- TOLL PARK TILIPHON1 NUMIIR/
IIt LLL AUIUMATLO 5LIIV1, I5 11100160ELLE
t I)AN5 1 110 01342 44117
Praceeds as described below received by:
X ...... ...
AUTHORIZED SIGNATURE
i?Q4lr;FLI rt 1r1lili1sr' ,r' 1•., r.
I '
r_Fi1?rl...,F+ur:I_ =,, ;-•,I:,1 _I_'?:. :::I_, rlE?F?: ._':_:}.}?_::
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ca 'i"F r,rJ ?F11: T S Orl rOF 76 THL:1 i n c
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TF'i.'', TI,TRANS :2FF T':ENDrtIG E, 11F IF 1'
LATE E'I- A_'T]Or! TE rahlQUlIT' Cilr.1LrarJ;-Z W TLS tU..IME'I?" A'c
I
M T +AP, $ 3b , r 11»1 536: r 5:.-, !TF'ACE Ir 'Nair{+..:
t4,.J 1'7 XF' 0F-.,' . 171:1, Iaa b`i'3. _'n
'!q )4 Ll 'rFl:;l'1' 68 arr:
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TF'A` E N ..r',1 rr11::? 1 : i
SHAM IP?fspE ND 51:-Z0 W4Ah15/}RPES. „' E4 ._SHARk.OfrAFT$' }_r,? .-q 67-ESC!'//?1ww V,
S1 - MIS AS IrRES - 66- IRA $B -VISA 9NA R[A?tOUN7
YJr_I VF'MAr'E ?ERICLII181 S6 - MONEY MANAGEMENT PLUS ACCOUNT
P AINTIF-
EXHIBIT
LLT a 1` 1
"Your Be/CO Cenl For You"
°j HARRISBURG BELCO FEDERAL CREDIT UNION
MAIN OFFICE
401 r, pntHr,nr PO Nn. H7
BURtl PA I IION
CO BRANCH OFFICE BAANCIIUFFICI
-J faiN I1,Jr5nr.I PO 11I. 1075 M01) 1 r. r.,pr lFnlU
LIn4r11rr PA 111101 .+n91 1..11 PA I!'It 1
HARAISBURO BE "VICE TELEPHONE NUMBEA II 1 111 718ELCO
LANCASTIR 6EAVICI TELEPHONE NUMBERS
INf OlIMAIIIIN ON 511AMS ITAN51'ER5 11111017770
?E[?[ LOANS 0HIIFICATE5 IIIA 5 I II1793 ills
L?s
te CAMP HI LL III R VICE TIL IPHONE NUMB[A 16 1 11 T 110E L CO
-r
._
TOLL FAIR TELEPHONE NUMBIAS
BELLE AUTOMATED SERVICES 180016 BELLE
LOANS 1 800 847 487
1 ?1'lSAt.:'IOPf"', 71]F, ,:3,-HRIJ
F'11N 'Lh "RF,ITS- I:FF
- IATE ER Ac "li:r. CIF)Ti_
(TRACE tr ?'-`4 '1
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SHARE ID LEGEND, SI - REOULAR SHARES S4-SHARE DRAFTS 67-ESCROW
$2 - CHRISTMAS SHARES SS - IRA BB - VISA SNARE ACCOUNT
SS - WHATEVER CLUB SS - MONEY MANAGEMENT PLUS ACCOUNT
Proceeds as described below received by, X •_
?- AUTHORIZED SIGNATURE
y
"Your 8#/Co Gm for You"
HARRISBURG BELCO FEDERAL CREDIT UNION
MAIN OFFICE
A;Ih JmI SPrI Vii lnN;
ww 11{?i illli?•1 1'.l 1 111)H
OURG
Yo BRANCH OFFICE tlPAN[?OF11[I
I111h u?r•F1rr1 VU N.., 111:N INp)t. rVrum
L.n.mm PA I Iti1j.- VA 1:111
Proceeds as described below received by:
HARRI601.10EENVICE TELEPHONE NUMEIH 16 1 111 77 HILC0
LANCANTINEIHVICI TILIPHONENUMBENE
IhL ?;br,Lll ulh qN SMMI l4 H II UHl 1 11 1 7111 7710
B,N'[?•_ 1 ?.ANM1 III ATE 5111A 6 II1/1UJ 1116
LAMP MILL NINVICE TELEPHONE NUMBER IN 111 W NI 11)
TOLL FAIR TELEPHONE NUMBEN6
III LE AI)10M4TkI) bLHVICkN
INIMIN HELLE
i
LOANS 1 NIX)947 4487
X
AUTHORIZED SIGNATURE
"rAt TL14' Tr:IJo° EFF rr,ld f;tILII "tRAF'
I E BR A 11TH T _ „r,pUrlr 2AL - ICE N'_IrIEt ER
s0 Tr%1I, 14E ... a ..':l r'}t 041
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TRACE a ,:,000 : ^-
11 •147 7z' '1 -Pa 9''1
:47'
SHARE 1D LEGEND. 61 - REGULARSHARE6 64 - SHARE DRAFTS 67 -• ESCROW
87 - CHRISTMASSHARES 66 - IRA 69 - VISA OSHARE W ACCOUNT
63 - WHATEVER CLUB Se - MONEY MANAGEMENT PLUS ACCOUNT
"Your Seko C6rn For You"
a CREO , HARRISBURG BELCO FEDERAL CREDIT UNION
i MAIN 0111[1
f11 {I)?^ rrq rybxxl Vn pi.. flC
4. t ? IInuIp.?.I IIA I;IOry
6R ANCN 015111 "RANCH OFFICE
NilLC?J
-EF 170N tlW 1411x., PO If.,. 10.6 J11001,.11111 HOna
LJnr.1111 PA 111503 .,..Iran PA Il01I
14
HARHOO10II11 4INVILL ILIIPH.,nl NUM61111
1 !117711!LCU
LANCA6TIP I INVICI TELEPHONI NL)MPE114
INI0I4MAIM11 ON b11AHL5 MAN' I'I114 171/1017770
DANE 1: 1411FIC AIIA, lllp? 1!111611116
CAMP HILL 6/NVIC1 TIlN ONE NlIM61N 16 1)11!3IIlICC
TOLL FIIEE TELEPHONE NUI IR6
IIELLE AUTOMATCU 1411VICE!, 160016 RILLE
LUAN4 1800 647 AE67
Proceeds as described below received by:
x AUTH01412ED SIGNATURE
TFaPI *1.=
• I, rrli-3 1=EF.
CiNTE CAF :{C^.'::
`• UFI'''I° HI17;_'I" L'-L,111C13: Iaj,'1.: !.„pltLEh1
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rp`04rZ AI:TC L, FP 1J[" b.:l:
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(TRACE q 1;1L;n;,{ • , •i4r" .
111"110EI'll, Z.35
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- TFAtl5FEF fT 1;
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SHARE ID LEGEND: EI - REGULAR SHARES 66 - SHARE DRAFTS S7 -..ESCROW
62 -CHRISTMAS SHARES SS IRA SS - VISA SHARE ACCOUNT
53 - WHATEVER CLUB 66 - MONEY MANAGEMENT PLUS ACCOUNT
JAN 24 '96 16102 L11- LOGISTICS HUMAN PESOURCES
Conrad M. Siegel, Inc,
Actuaries/ Benefits
.,. 500 Nationwide Drive
P. O Box 5900
?•? Harrisburg, PA 17110.5900
1711) 6525633
Fax ;717) 540.9106
January 22, 1998
Ms. Elisabeth Adams
Exel Logistics
PO Box 4i7
Camp Hill, PA 17001.0427
Re: Dauphin Distribution Services Co,
Employees Profit Sharing Plan
Howard E. Weigel
Dear Elisabeth;
P.a
Cooled M. Ilqel. P.I.A.
Hurry M, Wow, Jr„ P.I.A.
Brien S. Senn, F.I A
Clyde It Olnpiah, P.S.A.
Wol L. Mommen, M.A,A.A.
Robert J. Dolan, A.S.A.
David P. Sdtllng. A,I,A
Robert 1, Mledk. P3,A
David H, Klllltk. F.S.A.
)affray S, Mien, P.S.A.
Thomas L. Zimmnman. P.S.A.
Otana A, Hafer, PA A.
Piyal S. Co"Illeks. A S A.
Prank S. Rhodes, F.S A. A.C.A.3.
Chwln 1. Pdedlander, A.S.A.
Holly A. Ron, P.S A.
Inroilod Acluarltl ("1IA)
Kevin A. Erb, A S A,
Health Ativery
As requested, this letter will serve to provide you with information regarding Howard E.
Weigel's benefits under the Dauphin Distribution Services Co, Employees' rofit Sharing
Plan.
First of all, you have requested a statement of Mr. Weigel's account in the Dauphin
Distribution Services Co, Employees' Profit Sharing Plan as of September 1, 1992. Please
be advised that the individual accounts under the plan were updated once a year as of the
plan anniversary date, December 31, Thus, as of September 1, 1992, Mr, Wei gel's account
balance would be the account balance attributable to his account as of December 31, 1991,
A review of our files indicates that Mr. Howard E, Weigel had an account balance under
the plan as of December $1, 1991, of $63,406,90, Mr, Weigel was 100% vested in his
account balance at that time,
You nave also requested a copy of a Benefit Certificate for Mr. Weigel's account in the
plan as of December 31, 1992, We do not have a copy of the individual Benefit Certificate
issued to Mr. Weigel, as of that date, but our files indicate that Mr. Weigel had an account
balance of $70,207.60 as of December $1, 1992. Once again, Mr. Weigel was 100% vested
in his account balance at that time.
Should you have any questions concerning the information as presented in this letter, or
if you nafed any additional information regarding the plan, please do not hesitate to
contact me directly.
Yours sincerely,
.a>AA-9 r, sue:
David F. Stirling, A.S.A,
Consulting Actuary
DFS;bmb
PLAINTIFFS
EXHIBIT
T ?2 i3 9 jLg
y
`7 1 .
January 30, 1996
Attorney Philip It. Spare
Snelbaker & Bremen
44 West Main Street
Mechanicsburg, PA 17055
RE: Howard E. Weigh (SST: 208.24.4633)
Dear Mr. Sparc:
Per our telephone conversation, below is a listing of the monthly Exel Logistics C.O.B.R.A, rates for 1996.
licalthcar DOW
Single Family Single Family
Plan A $121.38 $308.04 Traditional $14.51 $40.16
PlanC $111.18 $276.42 DMO $10.84 $30.44
Information regarding the plan will be sent to the effected party by our corporate office under the COBRA
guidelines.
If you should require any additional information, please contagt me.
Sincerely,
P (h --
J. Brad Martin
Human Resources Manager
cc: File
PLAINTIFPS
EMIBIT
`t
LT 2 6
NFC
P 0 if OX 4(AN?P 1111'.. PA 1 100 1-0417 1,4 VA nn4 A 1.
6D41A lIA AV11 MII 1'161.
ItitPHON[ ,7171 7661745 PAC5LN1Lr !7171 7661660 'ROM I%
INCOME AND EXPENSE STATEMENT OF
Nancy Weigel
SSN 164-30-2566 DR# 20,473
(n) Wages/Salary
Employer & Address: Self-employed at home.
Job Title/Description: Day care Provider
Pay Period (weekly) Monthly
Gross Pay Per Pay Period: $ 796.72
Federal Withholding .................... $ 91.50
Social Security ........................ $ 3.50
Local Wage Tax ......................... $ 3.32
State Income Tax ....................... $ 9.33
PA Unemployment Comp. Tax .............. $
Retirement ............................. $
Health Insurance ....................... $
Other (specify)
Business expenses - Mo to hlv $ 395.33
S
$
Net Pay Per Pay Period ....................... $ 293.74
Monthly Net ................................. $ 293.74
(b) other Incomes
Week Monthly Year
Interest/Dividends $ S S?.
Pension/Annuity $ S S
Social security $ S $
Rents/Royalties $ $ 700.00 $
Expense Account $ S $
Gifts $ S S
Unemployment Comp. $ S $ -
Workmen's Comp. $ $ $
Spousal Support $ $ 458.63 $
Total, Other Income $ $ 1,158.63 $
Total,Monthly Income $ $ 1,452.37 $
EXPENSES
Week
Monthly
Year
Homet
Mortgage $ $ 289.61 $
Maintenance $ $ $
Utilities (telephone, $ $ 235.28 $
etc.)
heating
electric $ $ $
,
,
Employment:
(Transportation, lunches)$ $ S
Taxes:
Real Estate $ $ $
Personal Property $ $ 12.90 $ 154.84
Income $ $ $
Insurance:
Homeowners $ $_18.80 $
Automobile $ $ $
Life/Accident/Health $ _ $ 30.25 $
Children's Life Insurance $ $ $
Other $ $ 3.30 $_
Automobile:
(Payments, fuel, repairs) $ $ $
Medical:
Doctor, Dentist,
Orthodontist $ $ 45.00 $_
Hospital $ $ 11.00 $ 132.00
Special (glasses, braces,
etc.) $ $ 27..?Q $ 330.00
Educations Week Monthly Year
Private, Parochial School $ $ $
College
Personal:
Clothing $ $ 30.00 $
Food $ $ 365.00 $
Other (household supplies, $ $ 35.00 $_
harber, etc.)
Credit Payments and Loans $ $ 105.00 $
Miscellaneous:
Household help/child care $ $ $
Entertainment (inc. papers
books, vacation, pay TV,
etc.) $_ $ 96.00 $
Gifts/Charitable
Contributions $ $ 3.00 $
Legal Fees $ $ 25.00 $
Other child support/alimony
payments $ $ $
Other (Water Softener) $ $ $
Total Expenses $ $ 1,332.64 $
PROPERTY OWNE12 DESCRIPTION VALUE OWI?ffP
H f3 ?
Checking Account:....... PNC B ank $ 469.72
Savings Accounts:....... $
_
Credit Union:...........
Stocks/Bonds:........... $
Real Estate: ............ $
Other: .................. $
- - - -
Total Property $ 469.72
INSURANCE COMPANY POLICY NO.
Hospital
Medical
Health/Accident
Disability
Income
other (specify
(H - Husband; W - Wife; C - children)
COVERAGE
d bl Sc'
SUPPLEMENTAL INCOME STATEMENT
A. This form must be filled out by a person who (check one)t
1. Operates a business or practices a profession; or
2. Is a member of a partnership or joint venture; or
3. Is a shareholder in and is salaried by a close
corporation or similar entity.
?Cv C?
J
CLIE
OF INCOME TAX RETURN
JANET L. 6RACKBILL, MANAGER
Here's how to get 70 W. MAIN ST.
P.11. PCX 2412
year-round tax MFCNANICSPUQr, PA 17055
service. (717) 766-0901
HsR BLOCK
IIM "'I'mf IA.YfI l
H&R BLOCK
THE INCOME TAX PEOPLE
Cwporete Headquarters
4110 Mein Street
Kansas City, Missouri 84111
14W.TAX-7733
YOUAREAN IMPORTANT HAR BLOCK CLRNT.
%l ark you for platin,g,1'nur truss in 11t4'R Block, We've double-checked
your return ter find lvru every dedw Lion and c redit.you 're entitled lo, We're com-
nriNed to excrNence when it comer to your tax ronrn - that means toe work
lard to,{rive you quality service and an accurale tax return.
And, Ihnl cnnunihrrrnl dun+n 't end on A/rri! 15. 6 111 want .you to contact us
il'you have any que.rlions ahoul your lax rourn, rrrrt yrnr :r taxes or for any
reason tit all. Or hetter, yet, (orne in to the //&/? Block office listed on lhef ions
r? this folder and oar es f?erirnrivl trr.r frrrprrrers will take c are of yon personally.
6k? want you to gel the mast from onr Ia.r service.
1,111 V, we hope you will tell a friend r1 you are pleased with the work we have
donefnr you, F..rul(rnce is urnrrmrrniIment to you - rend rur're tvillin,tr to stake
our rryhrtalion on it. ll look lirru nrd Io srriu,$.y'nu next year.
Pry Willy }ours,
7610 Af-,4 I
A5. Rememher, if you have a question or nerd bell), /Tease call the number
listed on the front q/ llris fidrlrr /i?r year-round seruiee.
p Uaaaned"t of the I'r Y . Inte," Neyrxre xeevlu
1040 1991
dividual Income Tex Return nl
I
-
U
's n
.B. tY limit NO. 1646- 00,
N IY'U unpn
p no trio e11 Jan. - Use. 11, IYYI, JI dIM111 W oral be 'nn'P
Your apruleanlNly hYlaaM
Label oral Pame
Vnur brat item inn mil,al 20p -24-4633
aaPN..7.Pp4La nn PY1M
HOWARD WEIGEL
leas L
mNrucbuna
,on Pago I I I u _
total,
****** CAR-Ri-SORI**CIt07
164-90-2566
label,
Use File Not
164-30-2566 S28 5P For
Oth
eferwaa
apnnl m .
ra" LARp 6 [FANCY C NEIQEL
LAM PaperworkReducUon
typ?
[NNN 1? 1204 CROSS OR 26 Act Notice, ew
E City NECNANICSSURO PA 17055 Instructions.
Proaldentlal Mk.uunae?uuuunu9 an +r'+?u Voa X No Not'! inecamp"Yn^wdl
lu Jr
Election CampaignDO YOU Went $1 to go) to 11113 runs? - VOa X NO nor c1161, your
Bu Pap. 11.) IFF11 lutll, does our 8 OU60 Wont $1 10 o to Inld fund?
single
FIIInQ $t/t Monied hkng jolnl rolum (ovan d only one lied income)
above B lull n ame 1101010
no
c
'
3 .
.
s secse
(darned filing Separate return. Enter spoupo
(Soo page 12) II the qualifying parson le a child but not your dependent,
erson)
lll
.
ymg p
Hued of household (with qtr a
cnaca rimy
tine eo., enter this child's name hero
Ouoll In wldoati with dependent child (ears ouso Ied?19 n rSee naaa 12 ) -
ou as a dependent on no or her tax
n claim
l
y
se) ca
6s loot f it your parent (or sonloono e
i .
But be sure to chock the box on line 33b on pogo 2 nn
No, OF 6 cools,
6
b
Exemptions 4.
ox
return, do not check
.... ..... J
ed On 2
..... eaen
(59, pap. Ig)
. •pIC ec
le ® Spouse. . „. .. ..'...
(7) 11 ape l IF, Old., (al Uependenl
'a , (plNau'
ndaJrveJn No. Of our
y
11,04W On
c Dependents dunuu
pap tn,aenfe aunu to
nOl,dnen,p UU
Y
n'YI
home
6cwM
(11 NemeJlnal, ,n,hal, end lnlna,nel ageI ucunlynuanbea
m
Yuu ?_
e l'?ed wp
e d,dn'1 Yve w,lh
you dW tY divPm
ur upualmn nue
Pape lei
U min than w
daP an dente'
w Pepe q. NJ. PI otM1u
depudenu
antic
hild didn't live with you but is claimed as your dap, under pre-1985 agreement, check. . ?? Are dnua a era
2
It your c
Of
... ...... oouaedve
?
.........
e Total number of exemptions clSlmed. . . . . .. ....... • .. , ' • • 7 24 370
7 WegOe, salaries, tips, sic. (attach Form(s) W-2) ... as 12 6
Income as Taxable interest income (also attach Schedule B it over $300. . .? ,? ?
le Tax-exempt Interest Income (see pg. 16). DON'T Include on line 80 L&b 35
9
9 Dividend income (also attach Schedule B II over $400) ...
Attach
orksheet on pogo 16
f 10
copy o 01 you.
m w
ro
10 Taxable refunds of state and local income taxes, If any,
Forma W-A W-00, ..
. .. 11
hen.
and lpg9-R .. .. .............
11 Alimony received .......... ... ... .
12 2 840
it you ma mat 12 Business income or (loss) (anech Schedule C) ..... ... ...... .... 10 18 5
pet a W-2,
seepage 10. 13 Capital gain or (loss) (attach Schedule D) ......... ... ........ . .
fA
14 Capital gain distributions not reported on line 17 (see page 17) .... ...
... ... . 16
16 Other gains or (losses) (attach Form 4797) .............. .. .. . ......
163 tdb Taxable amount (pg- 17) 16b
163 Total IRA distributions.......... 17b Taxable amount (pg. 17) 1711b
17a Total pensions and annuities ... 173 1111
. ... ...
royalli0s, pennerehlps, estates, trusts, etc, (enaeh Schedule E).
16 Rents
,
19 Farm income or (loss) (attach Schedulo F) ..... ..... - 19
- -n
20 Unemployment compensation (insurance) (see page 18). -
Or
"nacn
check
n I I21b Taxable amount (pg.
21a Social security benefits ... .... 213 16) 2y0
22
.,d4,
top at ma
W-I.Wny Forme
W-16. ur 22 Olharlncome
the tern hl column for lines 7 through 22. This is our total Income. ? 23 27,556
109
9Y-R. 23 Add the amounts shown in
260
24s Your IRA deduction, from applicable worksheet on gaga 21.0 or 21 243
Adjustment s Is Spouse's IRA deduction, from applicable wksht. on page 20 Or 21 24b
201
t0 Income 25 One-hell of sell-employment tax (see page 21) .... 26
26 Soll-employed health Insurance deduction, from wksht. on pg. 22. 26
1 iu page 19.1 27 Keogh retirement plan and call-employed SEP dodIICIIOn ..... 27 _
26 Penalty on early withdrawal of savings 26
29 Alimony paid. Recipient's SSN ? _ 29
10 30 461
30 Add linos 24e through 29, Those are vour total ad allotments
Adjusted 31 Subtract lino 3o from line 23 This ci Your adjusted gross Income.
ou
ith
d
ld l
y
w
ive
It this amount Is Inns than $21 250 and a chi
' to 31 27 095
on 1010 56
Gross Income
45 to find out it you can claim Iho 'Eanmd IOCOrne Crodo
,,, l ;00 page
Form lo4o(mil _HOWARD AND NANCY C WEIGEL 208-24-4633
Pace 2
TeX 32 Amount from line 31 (adjusted gross income) 32 27,095
COmpu- 336 Check II: ? you were 65 or alder, ? Blind, ? Spouse was 66 of older, ? Blind,
tallon Add the number of boxes chocked above and enter Ilia total here ... ? 336
b If your parent (or someone also) can claim you as a dependent, chock hero... ? 33b ?
It ydd want
the IRS to a If you are manned filing a Separate return and your spouse uomixae deductions,
figure your Or you a a a dual-status alien, see page 23 and chock here ................ ? 330 ?
OAK, See page
24. 34 Itemized deductions (tram Schedule A, line 26), OR
Enter Standard deduction (shown below lop your filing status) Caution: If you
the chocked any box on line 33a or Is, go to pago 23 to find your standard
deduction. II you checked box 33c
your standard deduction Is zorc
larger ,
.
of
a Single - $3,400 a Head of Household - $5.000
34 5 700
your: a Merited filing jointly or Qualifying widow(er) - $6,700
6 Marred filing separately - $2.860
35 Subtract line 34 from line 32 ........ ..... .. .. ... ....... 36 21, 395
36 It line 321s $75,000 or less, multiply $2,150 by the total number of exemptions claimed on
line So If line 32 is over $76,000, sea page 24 for th,-n amount to enter .......... ..
37 T
bl
I
S
b
l
li 36 4 300
axa
e
ncome.
u
tract
ne 36 barn
ine 36.
If line 34 18 more than lire 36, enter-g-.1 ..... .... ...'... ... .." ............. ...
37
17, 095
36 Enter tax. Chock it from: 6 ® Tax Table, b ? Tax Rate Schadules, c ? Schedule D,
or of ? Farm 8615 (see page 24). (Amount. If any, from Form(a) 88140,e .) 36 2 561
39 Addltionel taxes (sea page 24). Check If from: a ? Form 4070 Is ? Form 4972 ........... .. 3e
40 Add lines 38 and 30 ....................... .. .................................. ? 40 2 561
Credits 41 Credit for child and dependent care expanses (an. Form 2441) ..... 41
Ise, Papa 42 Credit for the elderly or the disabled (attach Schedule R)... .... 42 -
76.1 43 Foreign lax credit (attach Form 1118) ............ ....... 43
44 Other credits (seepage 25). Chock if from a ? Form 3800
b ? Form 6398 c ? Form 6801 all ? Fotm (specify) 44
45 Add lines 41 through 44 .......................................... ................ 46
46 Subtract line 46 from line 40. Mine 45 Is more than tine 40, enter -0-,) . .... .. .. ...... ? 46 2,561
Other 47 Sell-employment tax (an. Sch. SE) ..... ......... ... 47 401
Taxes 48 Alternative minimum tax (attach Form 6261).. .... .. .. .. .. 46
40 Recapture taxes (see page 26). Check If from: a ? Form 4255 Is ? Form 8611 a ? Form 8828.. 49
60 Social Security and Medicare tax on tip income not reported to employer (attach Farm 4137)... ... 60
51 Tax on an IRA or a quakfied retirement plan (attach Form 5329) .. ...... ......... ... 61
52 Advance earned Income credit payments from Form W-2 .... ..... .. ... I 52
63 Add lines 46 through 52. This is your total tax ...... ... ..... .. ..... ? 53 2,962
Payments 54 Federal income tax withheld (ire any is from Form(s) 1099, check ? ? ) 64 3 113
66 1681 estimated tax payments and amount applied from 1990 return 66 100
66 Earned Income credit (an. Schedule EIC). ..... .. ..... 66
57 Amount paid with Form 4868 (extension request), ....... ..... 67
Foln° W-2. 66 Excess social security, Medicare, and RRTA tax withheld (see page 27) 69
ate-R to 59 Other payments (sea pago 27). Chuck If from a ? Form 2430
ant Its
? Form 4138 ........................................... 69
60 Add lines 64 through 69. These are your total payments...... ... . .............. .. ? 60 3 2 13
Refund or 61 If line 601s more then line 53, subtract line 53 from line 60. This is the amount you OVERPAID.. ? 61 251
Amount 62 Amount of line 61 to be REFUNDED TO YOU. .. ... ...... .............. ....... ? 62 251
YOU Owe 63 Amount of line 61 to be APPLIED TO YOUR 1992 ESTIMATED TAX ? 63
64 If line 531s more than line 60, subtract line 60 from line 53, This is the AMOUNT YOU OWE.
Attach check or money order for full amount payable to "Internal Revenue Somme." Write your
name, address, social security number, daytime phone number, and "1901 Form 1040" on it. 64
,., t...... r,. ter, t ss I I I
Si
n unroll Penalties of Penury
theyalTrue
correct
and . I declare that I have Uam,ned INS 10-11 and accnmpan Wag at OW.$
complete
r
Declaration of
lh
th amt at.lement.. end to the beat of my knowledge anal beret.
g ,
, .
epanr o
sr
P
an laxpdyerl,a basso on an l.lrnrmalldn of winch prepuer has any knowledge.
Here
void signature
Date
Your occu PSl,dn
xegt a copy _ I (WAREHOUSEMAN
Ida hour turn / Spouse's srynatul (if ..or return, BOTH local olgnl Dab Spouse's occupation
records, - -
.-
Psld
Preparer's
Use Only
Plparer'a
signature
Farm's nary, Id, yours
if self-eryployedl and
.unions
CE E M
Prepe,er'a ..'w security rid
Checks
3/02/92 eau-emnmyeo ? 200-36-8051
E,I.No 23-2314357
ZIP Cr,1.
7055
Schedule C Profit or Lose From Business
(Form 1040) (Sole Proprletorehlp)
? Parlnershlps, joint ventures, eta, must file Form 1066,
a,r.,b"."I ul Iho 1""wr ? Attach to Form 1040 or Form 1041. ? Ses Instructions for Schedule C (Form 1040).
nlxlnxlllwrnueeln? a 111
'110" No IM-130FA
1991
All¢hmrnl
oe
a xa"Int9 Nu
NAM, of prapmlur
NANCY C WEIGEL 164-30-2566
A Principal business or profession, including product ar service (sun uetrucuans) a Emur principal bumnoss codu
GARY SITTER (from pago2) 0' 8714
C Business nano I O ro,ybyor ld nurnbe,(Not eeN)
NANCY C WEIGEL ,_ l
E Bualness addioss (Includhlq amla ar mom no) ? 19Q4 GROSS DR
City, town or post Office. steno and ZIP code MECHANICSB_ URG, -PA 17055
F Accounting method. (1) 01 Caslt (2) ? Acoual (3) ? Other (spaclly) 10 _ _ _ _ _ _ _ _ _ _ _
G Method(e) used to (1) ? Cost (2) ? t.awor of cost (3) ? Other (attach (4) ® Does not apply hl
value closing inventory: or market exploitation) chocked. skip line H) rYsts No
H Was there any change In delormimng qualtiuos, cools, ar valuations between opening and closing Invonlmy9 (11 " Yea'' onach explanation)
I Did you "matenelly participate" In the operation al this business during 10019 (If No," see mstiuctions for limitations on losses.) J If this Is the first Schedule C filed for this buslnese, chock note ........ ............. .... ................. .. ? ?
i Gross receipts or sales. Caution: II this intone was reported to you on Form W-2 and the "Statutory employed"
box on that form was chocked, see rho instructions and chock hare.. ..... .. ............
.. ? ?
1
8,
494
2 Returns and allowances........ .... ................ ....... .................. 2
3 Subtract line 2 Irom line 1 ... . ... ............ ... 3 8 , 4 9 4
4 Coat of goods sold (from line 40 on page 2). ... .... ... .. ...... 4
6 Subtract line 4 Iran line 3 and enter the gross profit hare. .. .. 6 8 , 4 9 4
6 Other Income, Including Federal and state gasoline or fuel tax credit or refund (sea instructions). .. 6
!your gross Income ................ ......... .. .. ....
7 Add lines 6 and 6. This ... ? 7 8-, 49,4
!
.M I FenananAs rCnuunnr Fnrer evnannnn for business use of vour home on line 30.1
a Advertleing ................ a 21 Repave and maintenance. ....... .. 21
bt
from sales or
d d
9 B
22 Supplies (not Included in Pen III) .. ..... ..
22 _
a
s
e
services (sue Instructions). .... 9 23 Taxes and licenses. .. ......... 23 _
I0 Car and truck expenses
(see Inse. - also an. Form 4662).
10 24 Travel, meals, and ontertainmant:
24a Travel ..... ......... .... ........
24s
11 Commissions and fees .......
11
Is Meals and _
12 Depletion .................. 12 entenalnment . . . ..... . .
13 Depreciation and section 179
ense deduction (not included
ex c Enter 20°0 of line 24b 6u blect to
limitations (see Inetruchons.) .
p
in Pan Ilq(see instructions.), 13 of Subtract lino 24c from line 24b. 24d
ee benefit
ro
rams
14 Em
lo 26 Utilities ........ ... ........ ...... 26
p
y
p
g
(other than on line 19)......... 14 26 Wages (less jobs credit) ....................... 26
16 Insurance (other than health) .. 16 27a Other expenses (list type and amount):
16 Interest:
a Mortgage (paid to banks, etc.) .
Its FOOD _ _ _ _ _ __ _ _ _ _ _ _ _ _ - _S, 800
TOYS 294
b other .. ........ ......... 1611 MISCELLANEOUS 550
17 Legal and professional services . 17 OFFI_CE_ I_N_ HOME _ _ - - - _ _ _ _ _ 1, 010
1s office expense ..... ........ U _ _ _
19 Pension and profit-sharing plans 1s _ _ _ _ _ _ _ ?- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
20 Rent or lease (see instructions.).
a Vehicles. machinery & equipment
20a - _ - _ _ - - _ _ _ _, _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
b Other business property ... . 20b 27b Total other expenses ................ _ ...... 27b 5,654
26 Add amounts in columns for lines 8 through 27b. These are your total expenses before expenses lax business use
of your home ................... ... ...... ?
26
5,654
29 Tentative profit (loss). Subtract line 26 from line 7.... .... 29 2,840
70 Expenses for business use of your home (attach Form 6929) ... ...... ........ .......... 30
31 Not profit or (lost)). Subtract lino 30 from line 29. II a prohl. enter note and on Form 1040, lino 12. Also
enter the net profit on Schedule SE, lino 2 (statutory employees, see instructions). If a loss. you MUST go
on to line 32 (fiduciaries, see Instructions).....
31
2 , 8 4 0
) } 32a [I All Investment n I unemvestmen at risk
32 If you have loss, you MUST check the box that doscribos your mvdstmont m Rua activity (soo unstructiona. 32b
(] Sonin om is not
If you chocked 32a, enter the loss on Form 1040, line 12, and Schedule SE. lIll) 2 at risk.
(Statutory employees, see instructions) II you checked 32b. you MUST attaci, Form 6196.
•-+ For Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule C (Form 1040) 1991
SCHEDULED Capital Gains and Losses nMOrWI 4014
(Form 10140) (And Reconciliation of Forms 1094.8 for Bartering Transactions) 1991
fly Atiach to Form 1040, 00 See Instructions for Schedule D (Form 1040), AI1r,hmrW
et rnmral or Inr nrrrd'y For more space to list transactions for lines Is and 6a, got Schedule D-1 (Form 1040). Gruumcr No
lnbrNl nWrnu. ar/rln 10 12A
NrmrUl rsdwn an corm Ia40 Ywr ron.l rsonry..elr
HOWARD AND NANCY C WEIGEL LVV-LY-YVJJ
Caution: Add the following amounts $opened to you lot 1001 on Forma 1009-B and logo-S (or on substitute statements). (a) proceeds from transactions
Involving stocks, bonds, and other soclumes, and (b) gloss procoods from real estate transactions not ropmtod on another term or achedulo. II this total
does not equal the IoW of lines lc and So, column (d), attach a sletemont explaning the dilloronre. Soo Inshuctions,
Short-term Ca Its 6s ns an Losses - Assets a One Year or ass
fq ou[ripban dl prgpulY Ip) [gunrd 14 Data and (d) Gnu Pnn lu• 1.) Curl tar utnn Ig l0ati (9) UPiN )AIR than trap,
duu.Iru I If RI,r mgrr lnp, Idl. II IUUr mmr
(errmplr, 1001Nnu l'h IMu., dry, yr.) 11,10'. dry, to.) htlm[I,u no)
ptallnrd of 4'Cd.l nrtrucaudrl Iubintl I'll letter ul wpbr[I I-1 fmm 1-1)
is Stocks, Bonds, Other Becuritiea, and Real Estate. Include Form 1099-9 and 1099-5 Transactions. See Instructions,
lb Amounts from Schedule 0-1, line is (attach S, the
Is Total of All Sales Price Amounts,
Add column (d) of lines to and 1b............
1d Other Transactions (DO NOT Include real estate
D-11...........
them on line
2 Short-term gain from sale or exchange of your home from Form 2119, fine 10 or 14c .. 2
0 Short-term gain from Installment sees from Form 6252, line 22 or 30 .... ....... .... ....... 0
4 Net short-term gain or (lose) from partnerships, S corporatone, and fiduciaries .. ........ 4 ?-
5 Short-term capita loss carryover from logo Schedule D, line 29 . ....... .. ............ 6 ^^
6 Add lines 1a, +b, 1d and 2 through 6, in columns (1) and (g) .... ........ ....... .. 6
7 Net short-term aaln or (loss). Combine columns (p and (g) of tine e .......... ..... ........... .. ...... 7
be et...Na onnA. MA.r aterurltlaa and reel Palate. Include Form 1099-R and 1099-S Transactions. Sea Instructions.
SALE OF STOCK VARIOUS 7/01/91 2,432 2,247 185
611a Amounts from Schedule 0-1, line Be (attach
tie Total of All Sales Price Amounts.
Add column (d of lines Be and Bb .......... .. ..... ?
Bo
2 4 3 2
aA MNer Trana.ennn. in. Nr1T Innluds real athlete transactions from Forms 1099-S on this line. Resort them on line 11i
9 Long-term gain from sale or exchange of your home from Form 2119, line 10 or 14c ...... .... ... 9
10 Long-term gain from Installment sales from Form 6252, line 22 or 30. ..... .... 10 _
11 Net long-term gain or (loss) from partnerships, S corporations, and fiduciaries .... 11
-
12 Capital gain distributions ... ..... ..... ... .. 12 -
19 Gain from Form 4797, line 7 or 9 .. ..... .......... 13
14 Long-term capital loss carryover from 1990 Schodule D, lino 36 14
19 Add lines 6a, 61a, so, and 9 through 14, in columns (f) and (g). 16 1( ) 195
16 Not long-term gain or (loss), Combine columns (1) and (a) of line 15.. 1161 185
For Paperwork Reduction Act Notice, sea Form 1040 Instructions Schedule D (Form 1040) 1991
? I,nar
Dom fowl l991 Allrc
n bit r o,m 104Q. (UP hot ml.r A11n1&no buo91 neualy no,nb., d6 he ern nh nth a 11 d. I
208-24-
2
17 Combine lines ?and 16 and enter the not gain or (lase) 11010. It the result to a gain, also unter lira gain tan Form 1040,
line 13. (Nadi II both lines 16 and 17 are gains, nee Part IV below) ... 17 185
16 11 line 17 Is a (lose), enter horn and as a (lose) on Form 1040, Imo 13, the Smaller of
s The (loss) on line 17; or
Is (63,000) or, It marrlod filing a Separate return, (61.6001. .. ... .............. .... 16
Nodt When figuring whether lire 160 or 16b is smaller, tread both numbers as positive.
Comalote Pen V 11 the loss on line 171s more than the lose on lino 16, OR II Form 104o, 11110 37, is zero.
USE THIS PART TO FIGURE YOUR TAX ONLY IF BOTH LINES III AND 17 ARE GAINS, AND:
You checked Form 1040, You chocked Form 1040,
Sling status boat AND line 37, Is overt 611ng status box; AND line 37, Is overt
1 $40,300 3 $41,076
2 or 6 662,160 4 670,460
19 Enter the amount from Form 1040. line 37 ............. .. ... ........ .... .... ..... ..... ........ 16
20 Enter the smaller of line 16 or line 17. . .... .......... ....... ........... ......... ........ .... 20
21 Subtract line 20 from line 10 ............ ................ ............................. .............. 21
22 Enter: a 620,360 It you chocked filing status box 1; b 634,000 If you chocked filing status box 2 or 5;
a 617,00011 you checked filing status box 3; or d 627,30011 you chocked filing status box 4 ....... .. .... 22
23 Enter the greater of line 21 or line 22, - ..................................?........,.. .............,, 23
24 Subtract line 23 from line 19 .............................. ........................ ................ 24
26 Figure the tax on the amount on line 23. Use the Tax Table or Tax Rate Schedules, whichuvur appli es. ..... 26
26 Multiply line 24 by 28% (28) ... ................................... .............. . ... ....... 26
27 Add lines 26 and 28. Enter here and on Form 1040, line 38, and check the box for Schedule D ... .. .. ..... .... 27
Part Capital Loss Carryovers from 1991 to 1992
S0cti A. - Carryover Limit
26 Enter the amount from Form 1040, line 36. 11 a loss, enclose the amount in parentheses . ... .. ................ 26
29 Enter the lose from line 16 as a positive amount ........... ........ .................. ............ .. 29
30 Combine lines 28 and 29. II zero or less, enter -0- ........ ........... .... ...... . .. . ............ 30
31 Enter the smaller of line 29 or line 30... ............ I ..... I .... ... -1-1 ... I ... I I . 31
Sectlon S. - Short-Term Capital Loss Ca owr to 1992 (Complete this section only if there Is a toss on both lines 7 and 18.
32 Enter the lose from line 7 as a positive Amount .............. .......... .... ........ ................ 32
33 Enter the gain, if any, from line 16 ......................................... 33
34 Enter the amount from line 31 ...................... ................... 34
36 Addline633and34 ...................................... .................. _ .. ................ 35
36 Short-term capital loss carryover to 1992. Subtract line 36 from line 32. It zero or less, enter -0- ............ 36
Section C. - Long-Term Capital Loss Ca owr to 1992 (Complete this section only if there is a loss on both lines 16 and 18.
37 Enter the loss from line 16 As a positive amount ............. ... .......... ..... . ..... ....... 37
36 Enter the gain, If any, from line 7 ...... ................................... 36
39 Enter the amount from line 31 ......... ......... 39
40 Enter the amount, it any, from line 32 .......... 40
41 Subtract line 40 from line 39. If zero or less, enter -0- ........ ....... ...... 41
42 Add lines 38 and 41 ................................ .......................... .............. 42
43 Lana-term caoltal loss carrvolter to 1992. Subtract line 42 from line 37, II zero or less, enter -0- ............ 43
_ (Complete this pert only It you elect out of the installment method and report a note or other obligation at less than full face value.)
44 Check here it you elect out of the installment method, .............. .... .... .... .. .... ? ?
46 Enter the face Amount of the note or other obligation ................ .... ... .......... . 10 _ _ _ _ _ _ _ _ _ _ _
AS Fitter tha oernnntaee of valuation of the note ar other obligation 10
art V I Reconciliation of Forms 1099-B for Bartering Transactions (Complete this pen if you Am.en1 of barlu,ngencore rlmm
Form 1099-e ., 5ubs0tub ?a.m.1n
received onn or more Forms 1000-B or substitute statements reposing bartering Income.) 1.091bd nn roan .' shed.,.
47 Form 1040, line 22 .................................................................. ......... 47
46 Schedule C, D, E, or F (Form 1040) (specify) ? 46
49 Other form or schedule (identify) pt nontaxable. Indicate reason - attach additional shoots it necessary)'.
_ _ _ _ - _ _ _ _ _ _ _ _ _ _ _ . _
49
60 Total. Add Imes 47 through 49. This amount should be the sarnot as the total bartannq income on all Forms 1090-B
and cubsenno etatmTlgnte received for bartannq transae11onu 50
SCHEDULE SE Self-Employment Tex OMB No. 11541.004
(Form 1040) 1®91
lo, Bur InaWetionr for Schedule BE (Form 1040?.
Internal stir of the ceury
Internal Revenue Service
?Attaeh to form 1040. AllaChmamt
3s0u.nCl No. 17
Name or poison min Na-ogkyalwl income 14, drown an Form 10401
6•x41 ucW,ly numb0 "106, a on w,ln
NANCY C WEIGEL .aa-a.abxm.lncum4 ? 164-30-2566
Who Murat File Schedule SE
You must Ole Schedule BE If:
• Your not earnings from sell-omployment from other men church employee income (line 4 of Short Schedule SE or line 4c of Long Schedule SE)
were $400 or mow; OR
• You had church employee Income (as donned In rho instructions)
of $106.26 or more;
AND
• Your wages (and Ups) subject to social security AND Medicare tax (or railroad retirement tax) were lase than $125,000.
Exceptiont If your only sell-employment income was from earnings as a minlsler, member of a religious order, or Christian Science practitioner,
AND you filed Form 4361 and received IRS approval not to be taxed on those earnings, DO NOT the Schedule BE .
Instead, write "Exempt-Form 4361" on Form 1040, line 47.
Note; Most people can use Short Schedule SE on this page. But you may have to use Long Schedule SE on the back,
Who MUST Use Long Schedule SE (Sectlon B)
You must use Long Schedule SE It ANY of the following apply:
• You received wages or Ups end the total of all of your wages (and lips) subject to social security, Medicare,
or railroad retirement tax plus your net earnings from self-employment is more than $53.400;
• You use either "optional method" to figure your net earnings from self-employment (Bee Section B, Pan It, and the instructions):
• You are a minister, member of a religious order, or Christian Science prachboner and you received IRS approval (by tiling Form 4361)
not to be taxed on your earnings from these sources, but you owe sell-employment tax on other earnings:
• You had church employee Income of $108.28 or more that was reported to you on Form W-2; OR
• You received Ups subject to social security, Medicare, or railroad retirement tax, but you did not report those lips to your employer.
Section A - Short Schedule SE (Read above to see it you must use Long Schedule SE on the back (Section B).)
/ Net term profit or (loss) from Schedule F (Form 1040), line 37, and farm partnerships,
Schedule K-1 (Form 1065), line ids ..................................................................
2 Net profit or (lose) from Schedule C (Form 1040), line 31, and Schedule K-1 (Form 1065), line 15a
(other than fanning). See Instructions for other income to report ............. ...... .... ....... ..........
II 3 Combine lines t and 2 ............................... 3 2,840
+ 4 Net samings from self-employment. Multiply line 3 by .9235. If less than $400, do not hie this schadul%
you do not owe self-employment tax. Caution: If you received wages or tips, and the total of your wages (and tips)
subject to social security, Medicare, or railroad retirement tax plus the amount on line 4 is more than $53,400, you
cannot use Shon Schedule SE. Instead, use Long Schedule SE on the back .. .......................... . ... to 4 2,623
S Self-employment lax. 11 the amount oar line 4 Is:
• $63,400 or lees, rtwlUply line 4 by 15.3% (.163) and enter the result.
•
More than $63,400, but leas then $126.009, multiply the amount In excess of $63.400 by
2.9% (.029). Add $6,170.2010 the result and enter the total.
• $125,000 or more, enter $10,246.60.
Also enter this amount on Form 1040, line 47 ................. ..... _ ......... ................. S 401,
Note: Also enter one-half of the amount from line 5 on Form 1040, line 26.
For Paperwork Reduction Act Notice, sae Form 1040 Instructions. Schedule SE (Form 1040) 1991
11 ee4
ml? PREPARER ATTESTATION
f (For Computer Completed Returns)
TAXPAYER SSN SSG .? 3
I INSI NANO AND HI r1Al. IAS I NANO
spoUSE _/</Ir?l --- '° ` SSN
11AS1 NAxIC•:UnINII'IAI. \ LAST NAND.
Tux Year: 1991
I ATTEST THAT ALL INFORMATION
CONTAINED IN THIS INCOME TAX RETURN
WAS OBTAINED FROM
Nume(N) of individuak%) who provided tax return information
AND IS TRUE AND'CORRECT TO THE
BEST OF MY KNOWLEDGE.
PREPARER'S SIGNATURE- Date:
SSN
THIS ATTESTATION MUST REMAIN
ATTACHED TO THIS RETURN WHEN FILED
1'0,.111"4I
.es.
A t
T '
T
A
C
H
CI
H
E
C I
? r
O
A
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F
1
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[
i
Fft-iihawfill fair
Individual Income Tex Return PA t t
For the taxable yew January 1, feet - Docamber 31, loot 40
0 FIwU Year Filer 0 Request for Fittenslon Attached cl
beght"Ing tat Ending lee 1891 L
YOUR 50CIAL 6l CURItYN VMS EN SPOUSE '65
0UAL 5FCU NRYNUM RE R FILING STATUS:IChock One) OCCUPATION'
1
IFren 1 hbnp npuab uI W n)
0
1 6
5,-1929 Your
208-24-4633
164-30-2566 J® Mal 189 d. Fame U.lnLflo turn
List Name Fail Maine And lmbal (It 1-11-1 slam, Won bolh mamas hue) M0 MOn9a,Fhnp S9paral, N9turn WAREHOUSEMAN
Name at spouse 5pousia
of 0aerNrrF*kNCAR-14 T-SORT-W CR07 10 Ju,m4an,to,rank Frwwoso BABYSITTER
F 0 Oanased, Fmel H.lurn
208-24-4633 WE 164-30-2566
HOWARD 8 NANCY C WEIGEL Oil# of Deals
1204 GROSS OR
NE Bit) ENCY STAILIWICheck Om) -
MECHANICSBURG PA 17055-3112 1'p Cad9 A® Hasrdeal
17055 PO P.,t Yast Resident Frdm
0 Check hen If thie Is a change of
1 DAYTIME TELEPHONE NUMBER N 0 Nowe"dom NName of 514191
addreea tram last year's Fort um. 766-4588 NAME /ADDRESS LABEL OPTION
SCHOOL 015TRICT NAME De of Osc.m6u 71, 19111 SCHOOL CODE Ipapn [del Chack hateul you paid A plpanr an d you only wane to r e peur9
? enam Mad dr.as label nett ap.
[IFFICIAl USE ONLY
MECHANICSBURG 21650
Is. GROSS COMPENSATION (Wages, salanes, lips, etc.) ......... .. .... L, 24,56§ THISRCTURNMUSTBE
1b. EMPLOYE BUSINESS EXPENSES FROM SCHEDULE U@..... .. .. tb. _ f FILED ON OR OFFORE
APRIL I6, 1862.
to. TAXABLE COMPENSATION (Una a less Una 1b) ATTACH COPY OF W-2s TO BACK OF FORM ... to, 24,566
2. INTEREST (Complete Schedule A II over $400). . ............. ....... ...... 2. 126
3. DIVIDENDS (Complete Schedule B It over 6400), .
a.
3 5
4, NET PROFITS FROM BUSINESS, PROFESSION OR FARM
(Complete Schedule C end/or Schedule F, enech all K-1 s). ,SEE.. STATEMENT. .1.... ..... q, 2-4.840
c ea, SALE OR EXCHANGE OF PROPERTY (Complete PA Schedule D)... ........ .. ........... . 63. 185
6b. AMOUNT OF ALLOWABLE EXCLUSION FROM ATTACHED Do NOT ADD
E
PA-19 Pan 11, Una 20
( ) ........................... .... ...,.. 6b. OR DEDUCT LINE a?
6. NET INCOME FROM RENTS, ROYALTIES, PATENTS AND COPYRIGHTS
(Complete PA Schedule E) ..................... ....................................... 6,
7. ESTATE OR TRUST INCOME (Complete PA Schedule J) ...... ....... .. .......... .... 7.
9. GAMBLING AND LOTTERY WINNINGS ............................................. 6.
9. PENNSYLVANIA TAXABLE INCOME (Add lines 1c, 2, 3. 4. be, 6, 7. 6. Do not deduct losses .. 9. 27,752
t 10, TAX LIABILITY - 2.6% OF LINE 9 (Muln I Una 9 b ,026 ...... ........... ...... .... ....
t 10. 722
11. TOTAL PA INCOME TAXES WITHHELD (From attached W-2e) .... .... ....... .... .. 11. 637
A 12. PA ESTIMATED TAX PAYMENTS (include extension payments and allowed Credo from 1990) 12
. .....
N .
D 13, TAXES PAID BY PA RESIDENTS TO OTHER STATES (Complete PA Sch, G 6 attach other State's return) 12.
C 1". TAX FORGIVENESS CLAIMED ON PA SCHEDULE SP (Complete PA Schedule SP) ... ..... ....... 149,
u lab. NUMBER OF EXEMPTIONS CLAIMED ON PA SCHEDULE SP ..... .... 14b. PLEASE USE YOUR CORRECT
I
fast. TOTAL HOUSEHOLD INCOME REPORTED ON LN 0 OF PA SCHEDULE SP 14c SCHOOL DISTRICT CODE
T
,
5 15. EMPLOYMENT INCENTIVE PAYMENT CREDIT (Complete PA Schedule W) .... .............. ..... 16,
16. TOTAL PAYMENTS AND CREDITS (Add lines 11, 12, 13, 149, 15 ... ....... ............... .. . . . 16, 637
17. TAX DUE (Subtract Una 16 from Una 10) Make check payable to PA Department of Revenue .. .... 17. 8 5
16. OVERPAYMENT (Subtract Una 10 from Line 16).
... ... .. .
.
°
19
.
............. .. ............
v ,
198. OVERPAYMENT TO BE REFUNDED
...
193
..
..
.
A
A P 1911S. OVERPAYMENT TO BE CREDITED ON 1992 ESTIMATED TAX lob. PLEASE,
EYi life. OVERPAYMENT TO BE DONATED TO 0 DOUBLE CIIECKYOURMATII.
N WILD RESOURCE CONSERVATION FUND .
loc ArrACHALL REQUIRED
....
. LWCUMENT&
T 19d, OVERPAYMENT TO BE DONATED TO a SIGN Title RETURN.
U.S. OLYMPIC COMMITTEE, PA DIVISION .... .. .. ... led,
-••--e--•?--•.-r-n,...,--,,,•., -.w.--rn.u .mw rw,urn, mwu,np errnmpenpne acnepum0 alp mamma, amp eo the 6001 of PlYknowleded and belief Me".,
c0n.dt and t amFleb.
u. a?ynnure Ilele H eo"" Telephone Number
X 717 766-0901
f15pouee'ee,pnalurelifl.,m BOTH must ei pas eYen °a 1IndlWepl preperer,,;marl-,rnrrpaYer, bnaeU Un dll mlprmaLnn
here d only ana Mea mCnma i ,;l y n¢ n o n h,ts,tny M no y I.,,.
X XJANICE E MILLER
H & R BLOCK
J
PA-40AX.D.G.ELJ(0-9+) COMMONWEALTH OF PENNSYLVANIA 1991
Attach to form PA-40. Print of typo all information,
PA n PARE INT OF RI FNUE
NAms a mown on loan PA-10 *us aI dec W,Iy Numhol
HOWARD AND NANCY C WEIGEL 208-24-4633 _
BCHEDU A NTEREBT SCHEDULE B DIVIDENDS
LIST AYERS AND AMOUNTS IF OVER $,
INCLUDE INTEREST FROM SAVINGS AND LOAN LIST PAYERS AND AMOUNTS IF OVER $400
ASSOCIATIONS, CREDIT UNIONS, BANK DEPOSITS, BONDS, ETC. It AdU,UOnaI space is IadwrDO. Attach uxuAa Ahnt.
It Additional aau a nouu.d, attach unalaO, on W
Subtotal .................................. Subtotal,.,......... ...,.............
Share of Interest from partnerships ....... , .... Share of OlVldends from partnerships .
Share of Interest from PA S corporations. . . ..... Share of Dividends from PA S corporations,
.
Enter Total here and on line 2 of PA-40.......... Enter Total here and en line 3 of PA-40......
. .
SCHEDULE SALE OR EXC HAN GE OF PRO,;
Enter all exchanaaa or other dlaooal0on of orocarly. Intludlna rated ar natr.nn.r. ua.N.u..r A...!61. ar 1.1....IU. '-
L a. Kind of property and description
(Example: 100 shares of "7' Co.) Is. Cost
method
code c. Mo. day yr.
(Put date sold
above dotted (Ines
and data acquired
below dotted line) d. Grose sales
price lees expense
of Bale a. Coat or other basis
cost of subsequent
Improvements (If not
purchased attach
explanation) 1. Gain (or lose)
(a Ices e)
-------- -ADJ, --------
ALT.
- - - - - - - - - - - - - - - - - - -
SEE STATEMENT 2
--------
- - - - - - - - - - -
2. Subtotal ......................................... ............... .................. ................ .. 185
3. Gain (or lose) from PA-19. ............. ...... ...... ............... ...... .. .. ............
.......
4. Gain from Installment Sales from Schedule D-1 (REV-166m) . ............... .................. ............... ..
6. Share of net gains (or losses) from partnerships ......... . ..... ........ ... .... .... .. ... ..............
4. Share of net gains (or losses) horn PA S corporations ...... ..... . ...... ....... .. ...... ................. .
7. Taxable return of capital distributions. Enter total distribution $ less adjusted basis $
4. Net gain (or lose). Total column f and enter total here. If a net gain is shown, enter on line 5a.
It a net lose Is shown, enter the word "loss" on line 5a .................................. ..
..................
1851
a.wl MCI nIlu CkjuEO: R. R I elate 9. usled!Wun P, Proration X. Actual
CREDIT FOR INCOME TAX PAID
BY PA RESIDENT TO OTHER STATE SCHEDULE G
Complete separate Schedule for each state and attach a copy see instructions for exceptions
of other state's tax return due to reciprocal a reements.
VAm.a shown an farm.AdO
Sans Ssxunty Numou
t. name of other state or country
2. Income subject to both slates' lax
3. Tex paid t0 other stale. ...... .......
4. Line2 X2.6%(.026) ........................ .................
S. Tex Credit (Enter Smaller of line 3 and 4 hero and on lino 13 of PA-40 return)
FORM PA-40 - STATEMENTS
HOWARD AND NANCY C WEIGEL
208-24-469]
STATEMENT 1 - LINE 4 - BUSINESS INCOME SCHEDULE
Taxpayer Spouse
-------- --------
FROM SCHEDULE C
HOWARD AND NANCY C WEIGEL 0 21840
SCHEDULE C TOTAL 0 2e840
-------- --------
TOTAL BUSINESS INCOME - LINE 4 0 20840
PAGE 1
. A-1 a
i
SCH. D - BALE/EXCHANGE OF PROPERTY - STATEMENTS
HOWARD WEIGEL
208-24-4633
STATEMENT 2
DESCRIPTION DATE DATE SALES COST OR
OF PROPERTY ACQUIRED - SOLD PRICE BASIS LOSS
----------- -------- ---- ----- ------- ----
SALE OF STOCK VARIOUS 7/01/91 2#432 2,247 J
--------
TOTALS
LINE 5a - SALE OR EXCHANGE OF PROPERTY
RECONCILIATION OF GAIN (LOSS)
SALE OR EXCHANGE OF PROPERTY (SEE ABOVE)
NET GAIN (LOSS)
SELF
92
92
PAGE 1
GAIN
185
185
SPOUSE
93
93
S
h
dul
C STATE COPY p
ss From Business
r L
fit aM"No. 1646'00/4
c
e
e o
o
ro
(Form 1040) (Bole Proprietorship) 1991
? Partnershlpe, Joint venture, eto., must file Fonn 1066.
ment oapulel the t,ueW y
of le, Attach to Form 1040 or Form 1041. 10 Sae Instructions for Schad ule
C (Form 1040).
Inucbmanl
09
6.4urno. NO.
internal Rev
anu. ernes a)
Name aI oraonalut an Met Sammy naarbr (661)
NANCY C WEIGEL 164-30-2566
A Principal business or profession, including product or service (sea hlstructloos) B Enter principal business code
BABY SITTER (train Pogo 2) ? 8714
C Business name D ta,yWyr lonuwbr(Ne186N)
NANCY C WEIGEL
E Business address (Including suite or room no.) 10 1204 GROSS DR _
City, town or post office, state. and ZIP Coda MECHANICSBORG, PA 17055
F Accounting method: (1) 0 Cash (2) ? Accrual (3) ? Other (specify) ? _ _ _ _ _ ._ -, ._ _ _• _ _ _ _ _ _ _ _ _ _
Q Melhod(a) used to (1) ? Cast (2) ? Lower of cost (3) ? Other (attach (4) ®Daos not apply III
value closing Inventory: or market explanation) chocked, skip line H) Yes No
H Was there any Change In determining quantities, coots, or valuations between opening and closing Inventory? (If " yes," attach oxplenallon) .
I Did you "materially porocipato" In the operation of this business during feet? (11 " No." see instructions for limitatio ns on losses.) ......... X
J If this Is the flrat Schedule C Ned for this business, chock hero ...................... . ................. .. ... ..... ... .. ?
11 Poet, 1,111 Income
1 Gross receipts or sales. Caution: It this income was roported to you on Form W-2 and file "Statutory employee"
box on that form was checked, see the instructions and chuck here .. ......... .. ... ? ? 1 8 494
2 Returns and allowances..,............................ .. ..... 2
3 Subtract line 2 from line I ........................... , .... ... 3 8,494
4 Coal of goods sold (from line 40 an page 2).......... - 4
6 Subtract line 4 from line 3 and enter the grace proflt hero . .... .. ...... ............ ....... . . 6 8,494
6 Other Income, Including Federal and state gasoline or fuel tax credit or refund (see instructions) .......... .. ....... 6
7 Add lines 6 and 6, Tbls Is our gross Income ...... .... ..... .................................. ....... ? 7 8,494
r12 W a... a ,rtn,Nn,,. C n,nr n„nnnnna Inr hunlnnnn uaa nI emu hm? nn firm In I
8 Advertising ........ . . ...... 6 21 Repairs and maintenance...... ... ...... . . . 21
9 Bad debts from sales or 22 Supplies (not Included In Pen III) . 22
services ("a Instructions)...... 9 23 Taxes and licensee ........ .... .... ........ 29 _
10 Car and truck expenses
(am their. - also att. Form 4662).
10 24 Travel, meals, and entertainment:
24¦ Travel.
24
I1 Commission and fees ...... . 11 b Meals and
12 Depletion .................. 12 entertainment .. _ ......
IS Cepreclation and section 179
expense deduction (not Incuded c Enter 20% of line 241a subject to
limitations (see Instructions.) ......
In Pert Ilq(see Instructions.)..... 13 d Subtract line 24c from line 24b, .... ............. 24d
14 Employee benent programs 26 Utilities ... ............. ........ ......... 26
(other than on line 19)......... 14 26 Wages (less jobs credit) ... ............ ...... 26
15 Insurance (other than health) ... 16 27a Other expenses (list type and amount):
16 Intei
a Mortgage (paid to banks, etc.) ..
168 FOOD ------------------3,800
TOYS _ _ _ _ _ _ _ _ _ _ _ 294
b Other ...... . .............. 16b MISCELLANEOUS _ _ _ _ _ _ _ _ _ _ _• _ 550 `
17 Legal and professional services 17 OFFICE IN HOME _ _ _ _ _1, 0-10
------------------
14 Office expense .............. 19 _
19 Pension and profit-sharing plena 19 _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
20 Rent or Iowa (see Instructions.):
a Vehicles, machinery 6 equipment
208 _ _ _ _ _ _ _ _ _
_ _ _ -- _ _ _ _ _ -- _ _ _ _ _ _ _ _
'.
Is Other business property .. , .... 20b 27b Total other expenses ....... .. ..... ... .. 27b 5 654
26 Add amounts in columns for lines 8 through 27b. These are your total expenses before expenses for business use
of your home ........................... ..... ........ .. .... ..... ?
28
5,654
?t Tentative profit (loss). Subtract line 26 from line 7. . .... ... .. ... ... ............ 29 2,840
10 Expenses for business use of your home (attach Form 6829) .................... ....,...,,.,.,,.,...., 30
11 Net proM or (loss). Subtract line 30 from line 29. If a profit, enter here and on Form 1040, line 12 . Also
enter the not profit on Schedule SE, line 2 (statutory employees, sea instructions). If a loss, you MUST go
an to line 32 fiduciaries, see Instructions). . ..... ...
31
2 84 0
32 If you have lose, you MUST check the box that describes your investment in this activity (see instructions 32a LJ All investment is at risk.
) }
32b ? Some investment is not
It you checked 32s, enter the lose on Form 1040, line 12, and Schedule SE, lino 2 at risk.
(statutory employees, see instructions). It you checked 32b, you MUST attach Form 4196.
H844 For Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule C (Form 1040) 1991
NAB /lock Ouarantee
...Wi stand behind our work
WN/R/Y/R YOU AR/, fj your income tax return is audited,
WN/R/Y/R 1?bY QO II&R Awk till appear with.you at that
... audit at noextra rant and explain how.your
return tees prepared, even than,{eh we can-
not act as.your legal representative.
We re nhuayx Our employer training and system of
available tohelpyou snfquardsor erare/idlydr.sikrnedto assure
the acrtaacygfyourrettrrn. fjtve"take tiny
error in the preparation of your tar return
that costs you any interest or penalty on ad-
ditional tares due, while we tit) not asstane
the liability,fnr the additional taxes, hue
will pay that interest and penalty.
IIWIt Bhwk, Inc, IMM
V
INCOME AND EXPENSE STATEMENT OF
Nancy Weigel
SSN 164-30-2566 DR# 200473
(a) Wages/Salary
Employer & Address: self-employed at home.
Job Title/Description: Day Care Provider
Pay Period (weekly) Monthly
Gross Pay Per Pay Period: $ 796.72
Federal Withholding .................... $_21.50
Social security ........................ $ 3.50
Local Wage Tax .........................
State Income Tax..... $ 9.33
PA Unemployment Comp. Tax .............. $
Retirement ............................. $
Health Insurance ....................... $
Other (specify)
Business expenses - Monthly
$ 395.33
Net Pay Per Pay Period .......................$ 293.74
Monthly Net ................................. $ 293.74
(b) other Income:
k Monthly
interest/Dividends Q $
Pension/Annuity $ _ $ $
social security $ $ $
Rents/Royalties $ $ 700.00 $
Expense Account $ $ $
Gifts $ _ $ $
Unemployment Comp. $ $_ $
Workmen's Comp. $ $ $
Spousal support $ $-458.63 $
Total, other Income $ $ 1.158.63 $
Total,Monthly Income $ $ 1,452.22 $
EXPENSES
Week
Monthly
Year
Home:
Mortgage $ $ 289.61 $
Maintenance $ $ _ $
Utilities (telephone, $ $ 235.28 $
heating, electric, etc.) $ $ $
Employment:
(Transportation, lunches)$ $ $
Taxes:
Real Estate $ $ - $
Personal Property $_ $_, 12.90 $_ 154.84
Income $ $ $_
Insurance:
Homeowners $ $_ 18.80 $
Automobile $ $ $
Life/Accident/Health $ $ 30.25 $
Children's Life Insurance $ $ $ _
Other $ $ 3.30 $
Automobile:
(Payments, fuel, repairs) $
S S
Medical:
Doctor, Dentist,
orthodontist $ $ 45.00 $
Hospital $ $ 11.00 $ 132.00
Special (glasses, braces,
etc.) $ $ 27.50 $ 330.00
Educationt hllBk
Private, Parochial school $
college $
Personal:
clothing $
Food $
Other (household supplies, $
barber, etc.)
Credit Payments and Loans $
Miscellaneous:
Household help/child care $
Entertainment (inc. papers
books, vacation, pay TV,
etc.) $
Gifts/Charitable
Contributions $
Legal Fees $
Other child support/alimony
payments $_
Other (Water Softener) $
Total Expenses $
PROPERTY OWNED DESCRIPTION
Checking Account:....... PNC Bank
Savings Accounts:.......
Credit union:...........
Stocks/Bonds:...........
Real Estate: ............
Other: ..................
Total Property
Monthly Year
tAI
$ 30.00
$ 365.00
$ 35.00 $
$ 105.00 $
$ 96.00 $
$ 3.00 $
$ 25.00 $
$ $
S $
$ 1,332.64 $
VALUE ¢
H f1I sI ?•
$ 469.72
w
S - - - r
I
$ 469.72
,
I '
.•.,.
uj@y$ANC$ COMPANY POLICY NO. COVERAGE
H N -C
Hospital
Medical - - -
Health/Accident
Disability
Income
other (specify
(H - Husband; W - Wife; C - children)
ankL•EMENTAL• INCOME STATEMENT
A. This form must be filled out by a person who (check one):
1. Operates a business or practices a professions or
2. Is a member of a partnership or joint venturer or
3. Is a shareholder in and is salaried by a close
corporation or similar entity.
1
9-A- ej
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1011\l W ii W IYMf^•••"uw..a...... yd........
HOWARD EARL WEIGEL, t
Plaintiff
vs, r
c
NANCY CAROL WEIGEL, t
Defendant :
?I r rl
?4. . ? .°..:.. of .•.E!;J .?6 l.fL 31...Ju
.. ri r,,
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94-5251 CIVIL. TERM
IN DIVORCE
DEFENDANT'S PRETRIAL STATEMENT
I. LIST OF ASSETS
(i) Marital Assets
A. Real Estate: Marital dwelling at 1204 Gross Drive
Mechanicsburg, PA
Appraised value as of 2/7/94 - $92,000.00
Mortgage on property in the amount of approximately
$5,000.00, as of 9/1/92.
B. Profit Sharing Plan in name of Howard E. Weigel with
Dauphin Distribution Services Company.
Value according to Benefit Certificate dated
12/31/91: $63,406.90.
9/1/92 value: unknown by Defendant
Curren value: unknown by Defendant
C. BELCO Checking account no. 419080
9/1/92 value: $526.40
D. BELCO Savings account no. 419080
9/1/92 value: $275.83
E. IRA Hamilton Bank
9/1/92 value: $4,049.56 (at least)
F. Jefferson Pilot Insurance Policy
9/1/92 value: $1,549.07
G. Household furnishings
Three Dressers Two Beds
One Nightstand one Desk
Three Televisions Microwave
Microwave Table Kitchen Table
Four Kitchen Chairs Server
I
I
1 r
r Y ?
? N
?
r r
Eight Pfaltzgraff Dishes Hutch
Pots and Pans Linens
Two Loveseats Two Couches
Three Living Rooms Chairs Four End Tables
Three Recreation Room Chairs Six Lamps
Stereo Misc. Dishes
Rototiller Snow Blower
Gas Grill Extension Ladder
Deck Table and Four Chairs Coffee Pot
Canister Set Stove
Two Refrigerators Dishwasher
Washer Dryer
Freezer Wall Mirrors
Pictures chain saw
Bench Grinder Lawn Mower
Three Shovels Vise
Items Defendant gave to The Salvation Army:
Couch
Loveseat
Items Defendant gave to her niece:
Black and White Television
Items Defendant gave to her brother:
Stereo
II.
Items Plaintiff has in his possession:
Color Console Television
Assorted Tools
(ii) Non-Marital Assets - none
EXPERT WITNESSES
Mark E. Hilbert & Associates
5221 Simpson Ferry Road
Mechanicsburg, PA 17055
Living Room Chairs
Bed
Dresser
VCR
(Appraisal with qualifications attached)
2
III. OTHER NITNESSES
(1) Sandy Graybill
R.D.#1
Box 172D
Elliotsburg, PA 17024
(2) Tim Weigel
1204 Gross Drive
Mechanicsburg, PA 17055
(3) Jackie Bixler
317 Hertzler Road
Mechanicsburg, PA 17055
IV. EXHIBITS
- Daughter of parties
who would testify as
to Plaintiff's
marital misconduct
- Son of parties
who would testify as
to Plaintiff's
marital misconduct
- Plaintiff's paramour of
past five years
Exhibit "A" - Real Estate Appraisal
Exhibit "B" - Benefit Certificate dated 12/31/91
Exhibit "C" - BELCO Checking Account Statement dated
3/11/93
Account No. 419080
Exhibit "D" - BELCO Savings Account Statement dated
3/11/93
Account No. 419080
Exhibit "E" - IRA Statement of Account for
SS# 208-24-4633
Exhibit "F" - Social Security Benefit Statement for
Defendant
Exhibit "G" - Letter dated February 2, 1993 from
Jefferson Pilot
V. DEFENDANT'S INCOME TAX RETURN
(1994 Return attached as Exhibit "H")
VI. EXPENSES
(Previously filed with the Court)
VII. PENSION
3
I?
iI
w,l
Defendant has no pension or retirement benefits other
than social security. Attached as Exhibit "F" is a
recent statement received by Defendant from social
security Administration.
VIII. COUNSEL FEES
(See attached)
IX. DISPUTES AS TO VALUE
Profit Sharing Plan value as of 9/1/92
X. MARITAL DEBTS
(A) Mortgage - $289.65/month (Defendant has made every
payment since 9/1/92.
(B) Water Softener - $129.27/month until 5/95
XI. PROPOSED RESOLUTION
Defendant to be given the exclusive possession of the
marital residence along with a deed to the property in
her name alone. Plaintiff to pay permanent alimony to
Defendant.
Each party to keep all personalty currently in their
possession.
Respectfully submitted,
Date:
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
(717)697-4650
I.D.# 41301
4
APPRAISAL REPORT
of
Weigel, Nancy
1204 Gross Drive
Mechanicsburg, Fa.
PREPARED FOR:
Mark Thomas Esq.
54 East Mein Street
Mechanicsburg, FA 17055
As OF:
February 7, 1994
PREPARED BY:
Mark E. Hilbert & Associates
5221 Simpson Ferry Road
Mechanicsburg, FA 17055
Mark E. Hilbert & Associates
Prapilny d+eaiwuml UNIFORM RE6IDENtAL APPRAI6AL REPORT
wEIGEL
File No. 940041RK
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Mark E. Hilbert & Associates
UNIFORM RESIDENTIAL APPRAISAL REPORT File No. 94004IRK
,
ESTIMATED SITE VALUE .. . . .... ............... - I ...... _22.,M Comments on Cool Approach (such as source of cost
ESTIMATED REPRODUCTION COST NEW OF IMPROVEMENTS: oHtinlate, site value, squire lout calculation s iol for HUD,
Dwelling 64. Ft ® I 554 I ..__.._34,344 VA, and Fn1HA, the estim ated romalnutp 04011011110 life of
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Physlcol Fwluuolal External
A Lose 16.5 X 10 I
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Q
A Depreciated Value of hllptuvionlonts . , .... , .. . - I 67,199 --
Q "Awls" Value of Site Impruvennootb ... ... .. .. I 21444
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1204 Gr oss Drive a E. Woodland Ave. 416 Linden St, 1 Delbrook Ct.
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R sessmaI,tsF,IY.Ntl Partial Full -500 Partial Partial
R me-@aa.- ataaa Fg/Pg_-_- FR/BR/B$th-_ FL/WPli- -342 ..--. -----
I imm,
Funomm Aver ege----- e?r?r> ---- ----------_. AYarass_.
8 H AW-C uok &4ntr _-_._-_ H AWN-one-- --11,344 KeB/None .--__-- X1,344_
None None __ - - None--- - --- - None
_----
-
N raga- No a. -- --1.344 1_Car_9ara¢s-- -------- L-car-gara¢a- -
Pill Pal.,Oath, Porch/Deck Porch +500 Patio/Deck Patio +500
A Fl•p"a w/Insixt j"Rlac42-
N yo..l. None - -.__--.-_ EnS,_Psr_ch-- -1.442.
-- _I.•.1.! __.1x?._. t____-4,444 Jx(. ? ...-?.n?.{ ?_ 1.344 .. -! _...-??1_ t== _-?-
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I
...........J , _--_94.544
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the best closed sales to Qfla?r__shg Apkrogiatign-o-f-hgns§-A-tL-this market
area has not been trsn9jisa1 in__thal?a? aaYaral_Y$?ra._An apBxsxlmat_ _markar_value twelve
months aao would be _$94,444- - ---- - --- - -- -- ------ - -- --- -- - --- ---
----SUBJECL- _---COM?Af &LF114:2_. --
ITEM -S4AEARABLFU%-I----
D.I., PIItt NW u•'s None None None
N None
sows. r« w.« au N/A
/A N/A N/A
Nuhn wNmwrv N•M 41mar'?_P?ad.._ 4P.riL._6s.ersh
MaYN•.I [nY <wltnl plnmtm al Y:•. .Yllw,, ul NDIy of IN •11Dlt[I pruVUlY N,J t^•IY.. of [nY pnur Wn ul N.Dltcl [rW [....... Was nJhn un• Y•tl .1 IN JN• .l [VVIN.M'.
INDICATED VALUE BY SALES COMPARISON APPROACH . ......................... . ......... .......... I Q2, QQQ_____
1 we
b I m M
II 1 - It
nmNl• " li••' - NAPCI IU INell.l.,N1.1.11.M. uMW[IIN4.1 <wW111unt II.IW ptluw _ WDIa[I 10 <.mV..Iwn WI VINO •IW .W U11gp.M.
TM yprN•Y
R c«dnI.N.I wp,N•.: apRCaiasr.assum?a-.a_markatabls titit and -that all s€_ che_. _sauipmgnr_aaasciatad _
vith the :mDroyement _ia_1a warning-ordgx.
0 NnaR.t.nwllnl.n: a maark?t._apprsach.rainfsra?d..bY-th-q.ssa4_-4ilmash.ls_.a_g==9
tsr.4E_Fa1r----.
Indigo
4 Markim -Wi m _-._Tha_fast. that mho _aaller IS sr 11. rtQt paying any partlon 4f . this g1sling-
N las-no eff gr,-- -thla appraisal gr rl@mkv: _
TN p x'.64.1 IN• •pVIN•N U L..IUn.41M mN.a VW'. ul IN ew Vr uV.r1Y maI It Iba u.DPCI 0 tN...Vm., I, ...J 1011..D....... malun•..A IN. I., LN,amn, [unW ytnl NW Unit,
' to tim.Ne, MJ mN..l vac. J.11101.ll that ua.w.J III IN .N.[IMd F..JJ.. Met Fu-, aJY?I.nn,. MN F.1,11 IOVIU IN.v,aa1 6/2.1 .. _ -.. _ 1
L
I 1 (WE) ESTIMATE THE MARKET VAL , AS FINED, OF THE. REAL PROPERTY THAT IS THE SUBJECr OF THIS REPORT, AS OF
A
T F•bmory _2 1934 011 DATE OF INSPECTION AND THE EFFECTIVE DATE OF THIS RE
' ?
? j ? alV7NNaUNY AYNWaIN wNIY U N¢a UI1CUl
APS•A1sot PORT) TO BE 0 92,444 ,
_.__•
I j
M
nalw• /
• a
- _ Wd UIJ N.1
y VAr
NNna t - -. . NNW nl•...1 PloWay
N Dab Mo«I those February-La194S- __.----___ _ Utl• fl•Ymt S,YIwJ __--__ _
stab fiM4NNllm PBL OOOJAB-L-_ JtmL1?A_._ 51a.[:.IIINt.11.,,..---------_---------
5101. Of State , -------??---- --
-
Presets Mu F«m 70 feel MCS, RlchNa•an, T% 75001 12141010 7703 Pala 2 of 2 ll ws Also Fm 1004 0 03
. , . Mark E. Hilgert &; Associates Proosrly Address --
citwHachanicyburg -__CauniY-?yp?6a[1lnd._ meteth 7JRC"I.VO1__
tender Nark Thomas gag. -
ADDENDUM A
The property's heating, plumbing, and electrical systems appear to be functioning properly to the
beat of the appraiser's knowledge and expertise,
It is noted that comparable No W . _3 occurred over six months prior to the appraisal date
and is/are considered to be the best available.
The vacant land in the area is changing to single family and does not have a negative effect on
the value.
I am unable to verify the insulation 'R' factor, The presence of UREA-FORMALDEHYDE FOAM
INSULATION could not be determined. If UFFI is present, the appraisal market value may be
adversely affected or voided. Any information about insulation stated on the appraisal was
provided by inspection, owner, or agent, and is assumed to bo accurate.
The appraiser is not aware of the existence of Radon Gas and/or Radon Daughters, and does not have
the necessary equipment to test for the presence of same. If a future test shows unacceptable
levels of Radon present, the appraised market value may be adversely effected or voided.
Please be advised that in the market data analysis grid, bathrooms are adjusted for on the first
line and gross living area/room count are adjusted together as a single adjustment on the second
line,
All comparable sales are settled to the beat of the appraiser's knowledge. Verification of
settlement is with County and/or Realtor.
COMMENTS
Every effort has been made to conform to FNMA and FHIXC guidelines; and in most cases, an even
stricter interpretation found common to most investors in the secondary market.
Occasionally it is necessary to use comparable sales that occurred over six months prior to the
appraisal date or have individual adjustments exceeding 10% of the comparable's sales price or
have a combination of both the factors stated above.
Therefore, every subject property cannot be compared to 'ideal' comparable sales. The appraiser
must choose the beet sales available from the market search, which meet investor underwriting
standards and ridelin r Y blis?the professional appraisal association with shich the
appraiser iss, 110 Appraisal Review Appraiser
(X) did () did not spa t property ( ) did ( ) did not inspect property
February 7,1994
f, 1.11 We
ML4, R1ahWd§ %, 14 M081 131410461143
Mark E. Hilbert & Associates
--
_1249.4rett Drivr..
5aruu1y Gwal+arlrnd 5tats PA Lu Sa9s 124@4 ._.__.- - _
LSnder Mark Thomas Esq.
ADDENDUM B
APPRAISAL CERTIFICATION
I certify that, to the beet of my knowledge and belief;
- the statements of fact contained in this report are true and correct.
- the reported analyses, opinions, and conclusions are limited only by the reported
assumptions and limiting conditions, and are my personal, unbiased professional analyses,
and ccnclusions,
I have no (or the specified) present or prospective interest in the property that is the
subject of this report, and I have no (or the specified) personal interest or bias with
respect to the parties involved,
my compensation is not contingent upon the reporting of a predetermined value or direction
in value that favors the cause of the client, the amount of the value estimate, the
attainment of a stipulated result, or the occurrence of a subsequent event.
- the appraisal assignment was not based on a requested minimum valuation, a specific
valuation, or the approval of a loan.
my analyses, opinions, and conclusions were developed, and this report has been prepared in
conformity with the Uniform Standards of Professional Appraisal Practice and also
requirements of the Code of Professional Ethics and the Standards of Professional Practice
of the Appraisal Institute.
the use of this report is subject to the requirements of the Appraisal Institute to review
by its duly authorized representatives.
I have (or have riot) made a personal inspection of the property that is the subject of this
report.
- no one provided significant professional assistance to the person signing this report. (If
there are exceptions, the names of each individual providing significant assistance must be
as stated.)
as of the date of this report, I, Nark E. Hilbert
have completed the requirements under the continuing education programs of the Appraisal
Institute.
A review of this agreement of sales has been determined that personal property items, and/or
intangible items, that are not real property, HAVE NOT been included in the agreement of sale.
Personal property items, and/or intangible items HAVE NOT been considered in determining the
subjects estimated market value.
NO YES
1. _x_
2. -X-
3. _X_
February 7,1994
Date
The subject sold during the last year.
Sale price $ Date
The subject was listed for sale at the time of inspection.
Listing price $
The subject was under agreement at the time of inspection.
Agreement price $
Appraiser
(X) did ( ) did not inspect property
/Mm 1X5 MC$. Wahwdwn, rM 15091 17141460 Ne5
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BUILDING SKETCH
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FRONT
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STREET SCENE
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61011 PA
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Mark E. Hilbert & Associates
ADpENDUM `TO'APPRAISAL
APPRAISAL REQUIREMENTS
MANDATED BY FIRREA
I aertlly 11141 the appraisal California to the Unllorm Standards of Professional Appraisal Practice (USPAP) promulgated
by ilia Appraisal Standerds Board at ilia Appraisal Foundation.
The subject ? (let a] (Is nail listed for dale, the Ilerhry price is if ________._-_ • My estimate of the reasonable marketing
period at ills subject property Is
If an approach to value wise not used, the fallowing is an explanation why It was not considered.
Cosh ----------- ---- '
Merkeh
Incanla:
The appraisal sasignnlent ? twee) ® (was motif based on requested mininmm or specific valuation or an the approval
of a loan.
I ? (have) ® lhave no) financial Interest In the loan transaction and do not stand to benefit In any way from the
value placed an the property.
I ® Iheve) ? (have moil included a separate assessment of personal property, fixtures, or Intangible Items which
are attached to or located on the reel property. These Items El Idol ® (do not) affect the market value of the
real properly.
Any creative financial or sales concessions that are known to the appraiser have been adjusted In the coinparables of this
appraisal.
In performing this appraisal, I was not able to review the:
The above Items should be obtained by the lender when reviewing the appraisal report.
(Insert N/A If Inapplicable)
This appraisal valuation of the subject property Is In an "as le" condition as of the date of Inspection.
I certify that I have the appropriate knowledge and experience that was necessary to complete this assignment.
February 7.1994
DATE
This appraisal report conforms to the Uniform Standards of Professional Appraisal Practice
(USPAP) adopted by the Appraisal Foundation.
The builder/seller is paying % points ($ )
and/or $ in concessions on the subject property.
The following personal property, fixtures, and/or intangible items are not included in the
appraised value but are a part of the sale of the subject property.
ITEM ESTIMATED VALUE
1. Refrigerator/Microwave _ $ 400.00
2. Range/Oven/Hood $ 300.00
3. Dishwasher/Disposal $ 300.00
4. Washer/Dryer $ 350.00
It should be noted that the appraiser is trained in the valuation of Real Property, not
Personal Property, therefore, the above estimated values may have dicrepancies from real
value.
Farm Fit Mca, alnnedree, Tx 76001 12141680 7713
Mark E. Hilbert & Alosoclates
%
DEFINITION OF MARKET VALUEt The most probable price which a property should bring ht a competitive and open market
undo ail conditions 044uleite to 4 fah eels, ilia buyer and seller, each acting pnrdsluly, knowledgeably and assuming the price Is not
effected by undue snmulue. Implicit lit this dalbliuon Is ilia co ou it netian of it sale on of a specified date and ills po4ebnu of 11114 from
seller to buyer under conditions whereby: I I I buyer end seller are typically nmtivniodt 121 both parties are well bnfai nad or well advised,
and each acting lit w11e1 he considers his own beet Intareeli (3) a redsonobls tittle Is allowed for expo"u4 Ire the open nual all (4) pity'
mart 14 made in retain of cash In U. 6, dollars or hl tariffs of financial mrnngemetle comparable lheteta; and (e) the price raprseents
the normal consideration fa the property sold unaffected by special at meetly" f llarlclnu at doles canceselons' granted by arny0ne ss.
soclated with the sole.
' Adjustments to the complicates must be aerie for special or creative financing at sales concessions. No adjudumente are necessary
for those coats which ere normally paid by sellers as a result of tradition or law In a niadet area; those costs ere readily identifiable
cities ilia seller pays these caste In virtually all sates transactions. Special at creative financing adjustments can be made to the
comparable property by comparisons to financing terns ollered by a third parry bneptutiotnl lender that is not already involved In the
property or transaction. Any adjustment should not be calculated on a mechanical dollar for dollar cost of ilia financing or conceselon,
but the dollar amount of any adjustment should approximate the market's reaction to the financing or concessions based on the app.
raiser's judgment.
STATEMENT OF LIMITING CONDITIONS AND APPRAISER'S CERTIFICATION
CONTINGENT AND LIMITING CONDITIONS: The appraiser's certification that appears In ilia appraisal report Is subject to
the following conditions:
1. The appraiser will riot be responsible for maters of a legal aide that affect either ilia property being appraised or tits title to It. The
appraiser assumes that the title Is good and marketable arid, therefore, will not render any opinions about the title. The property Is app-
reload on the basis of It being under responsible ownership.
2. the appraiser has provided a sketch bn the appraisal report to chow approximate dimensions of the Improvements, and the sketch Is
Included only to Insist ilia reader of the report in visuelleing ilia property end understanding the appraiser's determination of Its size.
3. The appraiser has examined the available flood mean that are provided by the Federal Emergency Management Agency (or other date
sources) and has noted In the appraisal report whether the subject site Is located In on Identified Special Flood Heiad Area, Because
the appraiser Is not a surveyor, he or she makes no guarantees, express or Implied, tegntding this determination.
4. The appraiser will not give testimony or appear In court because he or she made an appraisal of the property in question, unless
specific arrangements to do so have been madn beforehand.
6. The appraiser has estimated the value of the lend in the cost approach at Its highest end beet use arid ilia Improvements at their con-
tributory value. Those separate valuations of the land end Improvements must not be used In conjunction with any other appraisal and
are Invalid If they are so used.
6. The appraiser has noted In the appraisal report any adverse conditions (such as, intend repairs, depreciation, the presence of War.
dour wastes, toxic substances, etc.) observed during the inspection of the subject property or that he or she became aware of during
the normal research Involved in performing the appraisal. Unless otherwise stated In the appraisal report, the appraiser has no know-
ledge of any hidden or unapparent conditions of the property or adverse environmental conditions (including the presence of hazardous
wastes, toxic substances, elo,l that would make the property more or lase valuable, and has assumed that there are no such conditions
and makes no guarantees or warranties, express or Implied, regarding the condition of the property. The appraiser will not be reopen.
slbte for any such conditions that do exist or for any engineering or testing that might be required to discover whether such conditions
exist. Because the appraiser is not an expert in the field of environmental hazards, the appraisal report must not be considered as an
environmental assessment of the property.
7. The appraiser obtained the information, estimates, and opinions that were expressed in the appraisal report from sources that he or
she considers to be reliable and believes them to be true and correct. The appraiser does not assume responsibility for the accuracy of
such Items that were furnished by other parties.
S. The appraiser will not disclose the contemn of the appraisal report except as provided for in the Uniform Standards of Professional
Appraisal Practice.
9. The appraiser has based his or her appraisal report and valuation conclusion for an appraisal that Is subject to satisfactory comp.
letion, repairs, or alterations on the assumption that completion of the improvements will be performed In a workmanlike manner.
10. The appraiser must provide his or her prior written consent before the lendertcllent specified In the appraisal report can distribute
the appraisal report (including conclusions about the property value, the appraiser's Identity and professional designations, and
references to any professional appraisal organizations or the firm with which the appraiser Is associated) to anyone other than the
borrower; the mortgagee or Its successors and nnsigns; the mortg"ge insurer; consultants; professional appraisal organizations; any
state or federally approved financial institution; or tiny department, agency, or Instrumentality of the United Staten or any state or the
District of Columbia; except that the lender/client may dintribute the property description section of the report only to data collection or
reporting servlce(sl without having to obtain the appraiser's prior written consent. The opprolnsr's written consent and approval must
also be obtained before the epinagnl can be conveyed by anyone to the public through advertising, public relations, news, sales, or
other media.
er"ede, Mw Imo 430 8 d 03 MCa, 011&vdeen, Tx 79081 12141009 7783 MC3 Ferro LCe Vase 1 of 2 Fw"a Mw Fem 10040 8.93
Mark E. Hilbert & Altisoclates
APPRAISER'S CERTIFICATION: The Appraiser ceitlllee slid noises Ihel:
I , I have researched the subjeel makel mien still have selected o minlnwm of tilled raceit sagas of proportion must sandlot and
proximal* to the subject property fur consideration air ilia salvo comparison analysis and have node a dollar adjustment wheat
appropriate to tallect Ilse market reaction to those Items at elUnlhcant variation. It a sdunlllcarll Item ill a cumpaaable property Is super
lot to, of more favorable than, the subject property, I have made a negative adjust n cil Io Induce me adjusted sales pace at she comp
stable, and If m sdunllloant Item In a coapareble property is Interior Ill, at loon favorable then the subleok property, I have media a Pon
atdve adjustment to Increase Ilia adjusted salon since of the comin able.
2. 1 have taken Into coneldaration the factors that have all anpacl urn value in my developnsm of the eetlnuile of market value In the
appraisal report. I have not knowingly withheld rally mlgn111ean information limn the oppreleal report, end I believe, to the book of any
knowledge, that all statements and Infonndllon In ilia appinual report are true mild correct.
3. 1 elated ten ilia appraisal repot only my own parsoel, unbineed, and prufeasionol annlyele, uplnlone, mild conclusions, which are sub
ject only to the contingent and limping conditions specified Ili Olia 1,1111,
4. 1 have no present ur prospective tiitardet jai the property that Is the subject to this report, end I have no present or proepectiva per
oonol Interest or bids with respect to the participants In the transaction. I did not base, either partially or completely, my analysis
andlor the estimate of market value all the appraisal repot on tie race, color, taliglorn, sex, handicap, familial "fetus, or rational origin
of either the prospective owners or occupants of the subject property or of ilia present owners or oceupents of the properties lot the
vcinlty of the subject property.
8. 1 have no present or contemplated furore Interest it, the subject property, and neither my current or future eanploymernt fiat my
compenu'lon for performing this appraisal is contingent on tits appraised value of the property.
8. 1 was nut required to report a predetermined value or direction her value that favors the cause of the client or env related party,
the amount of the value anumete, the attainment of o specific result, or the occurrence of a subsequent event ht order to receWC my
compensation and/or employment lot performing the appraisal. I did flat base the appraisal report an a requested minimum valuation, e
specific valuation, or the need to approve a specific mortgage loan.
7. 1 performed title appraisal In conformity with the Uniform Standards of Professional Appraisal Practice that were adopted and pro.
mulgated by ilia Appraisal Standards Board of The Appraisal Foundation and that were In place as of the ellocllve date of this appraisal,
with the exception of the departure provision or those Standards, which does not apply. I acknowledge that an estimate of a reason
able time for exposure In the open market Is a condition In the definition of market value and the estimate I developed Is consistent
with the marketing time noted in the neighborhood section of this report, unless I have otherwise stated in the reconciliation section.
8. 1 have personally Inspected the Interior and exterior areas of the subject property end the exterior of all properties listed as comper
ablas In the appraisal report. I further cattily that I have noted any apparent or known adverse conditions In the subject Improvements,
on the subject elle,or on env site within ilia Immodlnte vicinity of the subject property of which I am aware and have made adjustments
for theee adverse conditions In my analysis of the property value to the extent that I tied market evidence to support them. I have also
commented about the effect of the adverse conditions on the marketability of the subject property.
B, 1 personally prepared all conclusions and opinions about ilia real estate that were set faith In the appraisal report. It I relied on Big,
nllicent professional assistance from any Indlvdduat or Individuals In the performance of the appraisal or the preparation of the appraisal
report, I have named such Individual(s) and disclosed the specific tasks performed by them In the reconciliation section of this appraisal
report. I cattily that any Individual so named Is qualified to perform the leeks. I have not authorized anyone to make a change to any
Item In the report; therefore, If an unauthorized change is made to the appraisal report, I will take no responsibility for it,
SUPERVISORY APPRAISER'S CERTIFICATION: If a supervisory appraiser signed the appraiser report, he or she certifies
and sprees that: I directly supervise the appraiser who prepared the appraisal report, have reviewed the appraisal report, agree with
the statements and conclusions of the appraiser, agree to be bound by the Appraiser's Certifications numbered 4 through 7 above, and
am taking full responsibility for the appraisal and the appraisal report.
ADDRESS OF PROPERTY APPRAISED: ]3s4_C.C4s?_P=1ve_,_SechenicabuFQ,_ Tq,._ _. _.. __ _ _
APPRAISER: SUPERVISORY APPRAISER Ianly If required):
Signature ? Signature:
Name: fikr! E_}I#Tbalt__ „_____ Name:
_ _.. ...... _ _ _ •
Date Signed: Fob-rN:y-7.1444 Date Sign "it
Slate Certification No.: RL 0 0111 1-1- State Certification No.:
or Slate License No.: RB_024J55-A or S-ia License No.:
Slate: pennay;vanta State:
Expiration Date of Certification or License: 6/30/95 EX Iratlon Dale of Certification or License:
Did ? Did Not Inspect the Property
!toddle Mee dam 4 30 6 03 MCS, rechedean, TX 75091 12141460 7783 MCS F.,,, LCa Page 2 ell Iexse MM ram 10040 a 03
,
QUALIFICATIONS OF APPRAISER
Mark % Hjlberrl, CRMA, ICA, GRI
ro er ppra aer
Education:
Real Estate Pennsylvanis Title Insurance, Harrisburg
Real Estate Theory and Practice
Real Estate Lew
Real Estate Math
Real Estate Appraisal I
Real Estate Advanced Appraisal
Standards of Professional Practice - Part A
Standards of Professional Practice - Parr. B
Market Extractions
Fannie Mee Review Seminar
Professional Memberships and Designations:
Senior Member - International Organisation of Real Estate Appraisers
American Fraternity of Real Estate Appraisers
Graduate Real Estate Institute
Candidate Appraisal Institute
Harrisburg Board of Realtors
Pennsylvania Board of Realtors
Pennsylvania Association of Realtors
National Association of Realtors
Pennsylvania State Certification Number - RL-000386L
Experience:
C.M. Detweiler Real Estate Inc.
March 1971 to April 1976
Stuerd Derrick Real Estate Inc,
April 1976 to October 1981
RE/MAX Realty Associates
October 1981 to February 1986
Mark E. Hilbert & Associates
February 1986
Real Estate Licence: March 1971
Associate Broker: April 1976
Appraising since 1979
Appraisal Experience:
,,, ,
Appraisals for: first mortgage, second mortgage, equity loans, employee
transfers/relocations, single family, condo.
Cumberland, York, Dauphin and Perry Counties.
Completed Assignments for:
Banks, Savings and Loans, Mortgage Brokers, Relocation Companies, Trust
Departments and Attorneys.
Client List available upon request.
!'l\?
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S n,,n n n n n n n n n n n n n n n nn h n T n n n n ?.?r n n A,^
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}
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\ } a Benefit Certificate ' > e
} {': { FOR: HOWARD E WEIGEL , 9
SSN: 208-29-4633 " ' K
y d'..# AS OF: 12-31-91
? } r:
DAUPHIN DISTRIBUTION SERVICES CO. EMPLOYEES' PROFIT SHARING PLAN '.'
EMPLOYER },K
>`, } K,:,> ACCOUNT
9 At 12-31-90 S 55633.66
Employer Contrib. 2019.37
} {
}Investment Results 5632.00 y
-`rK
Forfeitures 121.87
k At 12-31-91 $ 63406.90 y
svsmsvanmv?
} {
Vesting Percent 1009 ti k
Vested Amount a" 63406.90 {
ti{
a :?.K
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;Every effort hot been mace to insum the accuracy of the infor nuion contained in this Benefit Men Certificate;
however, in the event of a discrepancy, actual benefita will be determined according to the Plan proviaitms.
, r.
:3. EXHIBIT
a .;
¦
"Your Belco Corn For You"
HARRISBURG SELCO FEDERAL CREDIT UNION
MAIN OFFICE
407 N 7oU 511H1 P U 11n1 "I It
I ,...Wm y. PA I I ION
IRANC14 OFFICE BHANCII UFF ICE
176N 0.065,1001 /U Uu. I074 I,tlUU HdI PA 1411.11
Lumalrlm. IA I IUUJ P
Proceeds as described below recdved by:
LANCASTER SERVICE EELEPHONE NUMEIIIE
IN/OHMAI ION ON MIAI115. 1111161 E116
IIIANS, CEIIH4ICAIE6 IIIA 5
l't_ CAMP HILL SEHVII•E TILIPOONk NIIMB1 It 16
TOIL ERIE TELEPHONE NUMBIHO
OJLIE AUTOMATED Sk11VICk6
LOANS
X
ALIT
1 111 701 777U
1 711 797 1114
.1 II 11J UEICI
1 goo 75 BElll
1 900 012 4111
HOWARD E WEIGEL INQUIRY ON 03;11/93
317 HERTZLER RD TLRT BARE 41144 Ph
MECHANICSBURG GA 17055 SOC. SEC. NPR: 248244633
ACCOLIIJT 1111R I 4 191181:1
EFF F.C1 I YE 1 ')8; 171,'9?
S4 TRANSACTIONS FOP 178/92 THRU 1:13/93
TRAN TLR TRANS- F.FF TRON ENDING FEE:/ DRAFT PAYEFF
DATE /BR ACTION DATE < AMOUNT1 1:BALANCEl WITH NUMBER ) DATE
484392 SD TRANS -36.40 863.56 Q,lQl
(TRACE R 0001111;1123691
484492 AUTO XFR 1780192 -170.41:1 693.56
080492 SD TRANS -5.1)1:1 688.56 4409
(TRACE N 0017008-7918 )
080792 55 3 PAYMENT 251:1,01•) 9::18.56
080792 SD TF'ANS -333.211 61)5.36 0410)
(TRACE # 00000372181
r?-, 4111
081192 SD TRANS (8.0ri .36
(TRACE 11 E:10iN:H]1j3711 )
081192 SO TRANS -108.04 1,19.3b 17413
-(-TRAGr&-# EJ4uJ17 iZ6(d3tiL)--... - ------ - --------- ---- -----
SN FET}C D?' `^END, 61 - COM4QP SNARES 81149EA - 6HARF•f;F??FR '1 438 . E)6 67 - E6CF ET L.1 p
Rl1. ?'7= 62 yZ1F1 R 194R1krgAr g? 66 -IRA 66 •- VIBA?6HARC?ACCOUNT
(VIwglFA"LElamLCEW6) 56 - MONEY MANAGEMENT PLUS ACCOUNT
"Your Belco Ceres For You"
HARRISBURG BELCO FEDERAL CREDIT UNION
MAINOFFICE
407 N 2nd 51ru1 - PO On. 67
IluriWar V. PA 11108
1R6
lO (RANCH OF/IC! BRANCH OFFICE
r
778 N Du 511.1t - P 1111- 1070 7000 PEA 170U
Luti nunrr, PA I7 ]607 Can, Hill. . PA 11011
HARRISBURG SERVICE TELEPHONE NUMBER IS 1 117 77 011
LANCASTER SERVICE TELEPHONE NUMBERS
INF014MATION ON SHARES. TRANSFERS /11709721
LOANS. CERTIFICAIES, MA' 5 111130111
CAMP HILL SERVICE TELEPHONE NUMBER 16
11 171723 Oil
1 TOLL FREE TELEPHONE NUMBERS
BELLE AUTOMATED SERVICES 1 800 76 991
LOANS.. ... 1000 BU 44
Proceeds eE described below received by:
x
S4 TRANSACTIONS FOR 08/92 THRU 07,/93
TRAN TLR TRANS- EFF TRAN ENDING FEF
DATE /BR ACTION DATE AMOUNT;
I .BALANCE. WITH
081292 SO TRAIIS -129.27 ?.'r9
iii l)i1iL;:'931}91
(TRACE It
081392 SD TRANS -28x.001 23.59
(TRACE It 0417045b248 )
081492 .^_9 3 PAYMENT 3 1i),i 01 3."39
081892 SD TRANS -44.0` :.'7`).54
(TRACE 11 004)0065117)
081992 SD TRANS -17.32 261.72
('TRACE 11 0000059890)
082192 08 3 PAYMENT 300.00 561.72
082692 SD 'TRANS -9.0711 5'-2.72
(TRACE It 0)071 K0)i 160629 )
082692 SD TRANS W47.72
I TRACE # 000006565-;7) EXHIBIT 11
G
UTHORIZED SIGNATURE
DRAFT PA"EFf?
NUMBER DATE
1);14
U)15
0417
I
041b
4412
i!4 18 I
SHARE 10 LEGEND: SI - REGULAR SHARES S4 - SHARE DRAFTS 57 - ESCROW
62 - CHRISTMAS SHARES S6 - IRA SS VISA SHARE ACCOUNT
80--WHATEVER CLUB SR MONEY MANAOEMFNT P1115 ACCOUNT
"Your Balm CaraE For You"
A? HARRISBURG BELCO PEOERAL CREDIT UNION
MAINOYFICI
403N Ind 5111.1 PU Un. tl7
URO IluuHUUV. PA 11106
BO 4RANCH OFFICE 1HANCH OFFICE
I
176N 0u1,16UP11 PU tla.IWtl 33M1UIundN HmW
Lu¢ubr. PP 110U7 Croup Ile! I'A 11011
Proceed{ as described below received by:
IIAOIII48UNU 61NVIC1 IILIPHONE NUMSER I{'
LANCA511R 61RVIC1 TILIMIONE NWa4l U6
IM OIIMMION t1N SII PI116 I IIAN 6/llld
rI/?,r IUAN6 CkliTI11CAIES IUAS
• I?? CAMY Ill! l 4111 VICE III IYIIUN! N11MU11116 ?
TOLL FREE 111EPHONI NUM44RS
UELLL AIIINMAIk0 hIIIVICkb
LOANS
/. _.._ -....... ---
----- - - AUI HOP11 ZED
1 117 714l1CO
1 111 3391 7774
1 110 747 1114
( 111 -di Usk CO
14011116 OIL ILK
1900 44) 4447
811 -mANSACTIONS FOR 08/9:' THRCI 03/93
TRAN TLR TRANS- EFF TRAN ENDING FEE/ IIRAFT
DATE /SIR ACTION GATE AMOl1NT BALAII17,E Willi NUMBER
082692 6D TRANS 281.46 0419
(TRACE M 00004))00773 )
082792 49 1 ADJ MID AT 072 892 8.()0 2F9.46 0402
082892 SO TRANS -53.06 2:16.41:1 0423
( TRACE H 0000049969)
090192 SD TRANS 1(:).01) 26.411 0420
(TRFICE 0 04)(11)093292)
1191:1192 SCI TRANS •-`',.191:1 221.41;) 0421
( TRACE It 0000093293)
090292 03D TRANS -17.75 '703.4)5 014 2
:...
( TRACE 0 0000019418)
09029:2 5D TRANS -19.71) 183.'?5 11$;'4
(TRACE k 000100393981
09C)392 14 3 TRANSFER • 147. 75 36. 21) 709670
SHARE ID LEGEND: 61 - REGULAR SHARES 64 - SHARE ORAFr6 67 - ESCROW
67 - CHRISTMAS SHARES 66 - IRA 69 - VISA SHARE ACCOUNT
69 -- WHATEVER CLUB 66 - MONEY MANAGEMENT PLUS ACCOUNT
"Your Belco Cams For You"
HARRISBURG BELCO FEDERAL CREDIT UNION
MAIN OFFICE
401N 211d 51110 PO Ba. 87
11011 4114)! p. PA 17108
JRO
AO 4RANCH OFFICE BRANC14 OFFICE
P
178 N OuY161nH - Bn. 1078 360V 1,11 PA 1
LInn11u, PA 17603 Luny Ibll. PP 1701
!011
Proceeds as described below received by:
[,AYEFF
DATE
IOU
14ARRIS4URG SCRVICL II fft,UNE NUMBER IS. 1 111 77 0ELLO
LANCASTER SERVICE TELIP14ONE NUMU1116
INFOHMATION ON 411MIE6, TIAANSFE115 1117 3307 7770
• ).OAN$. CEHTiFICATES, IIIA'S 1717330331118
CAMP HILL SERVICE TELEPHONE NUMUER 16, I11123HELL'O
TOLL PREE TELEPHONE NUMBERS
BELLE AUTOMATED 5E11VICEB 1BOO 75 BELLE
LOANS, ....... .. 1800 442 4462
X
AUTHORIZED SIGNATURE
c 4 TF,'ANSACTICINS FOF', 018/4:' THRU 113!9:3
TRAN TLR TRAIIS - EFF I'R'AN E(IGING FEE DF'11FT I71AYF.FF
DATE /8R ACTION GATE AHOUN'1-: ( BALANCE: WITH NUMBER: DATE
1790492 AUTO XFR 0790192 170.001 2076.20
091)492 AUTO } FR 1-1,: C, I .. 1 ..i 1.1)01 `0
49089' SO TRAMS 36. _ 17 ) , i i0 l4
(TRACE # 00700 0a4467)
09109'2 14 3 DIVIDEND :`.55 IT,
091019~ 14 3 'TRANSFER 2.55 0.00 7019670
$HAAN ID LEGEND: 81 - REGULAR SHARES 64 -- SHARE DRAF'r8 ---- - - ^-_--_B7 ESCROW
$2 - CHRISTMAS SHARES 86 - IRA 80 - VISA SHARE ACCOUNT
83-WHATa VIRC11IR An A1rVly 11., P1 I I' 11111114)! le
"Your Be/co Ceres for You"
ARRISBURG BELCO FEDERAL CREDIT UNION
NAIN O/1IC! I--- •°
4117 N 71x1 Slrrrl Ill um e7 [?
14.ugyq PA 11116 •rr.
RRANCH OPlice eMANCII OFFICE
37ON Dnlr Srrrrl FO It". 1076 IGIW Irirulll l1rM11
l n"HUr, PA IEMU 1..ngl lids PA 11011
HARIIIBBURO 81OVIC1 TILIPHONI NUMBER 11
'
LANCASTER SERVICE TILE/HONE NUMBERS
INFOHMAIIIIN ON SHAIIES, 111ANEF111e
LOANS. C IIILIPICA4eS, IIIA'e
CAMP HILL SERVICE TELEPHONE NUMBER IB
TOLL FREE VILIP14ONK NUMBERS
MILLI AUTOMATED SIIWICIS
LORNE
Proceeds as described below received by: X
1 111 77
1 111311172
1 111 301 11
' 411117041
I
1
HOWARD E WEIGEL INQUIRY ON 03/11/93
317 HERTZLER NO TI-Pt DARE O1t42 GI
MECHANICSDURG PA 1'1'1?5r SOC. SEC. NDRt :08244633
ACCOUI JT NPR t 41"(181)
E'FFECTIVEt (.'I0/1)1/92
St rr;ANSAC'r I ON^ rort 09; 92 T HRU 03,'' 3
TRAN TLR TRANS- Err 1FAN ENDING FEE/ LlrAFT PAYEFF
DATE /DR FICTION DArE AMOUNT: PALANCE; III I'TH NUMBER DATE
1;184692 PAYROLL ( )9x1792 14:1.011 3.55. 83 000292,
4:181392 G1EIYROLL 08149'21 11:1.1)0 36°.83 010089:
0192092 rAYROLL x10~192 117.44 37;.83 0816921
018:.1592 54 3 TRANSru, '.'70.83 5,(1x1 7))9670
1170592 AUTO XFR I x10192 1.71;1,1)0 175.40
101:1992 AUTO XFR I!i419 17i1,rlx) 5.0o
114492 AUTO XrR 1.10192 171),x1!, 175.41,
110492 AUTO X F R 114192 170.1:11 5,11;1
120472 AUTO X F R 12()172 J,71). (H)
175.00
124492 AUTO Xr- R 1201^7^2 1 17,00 5,x111
"049-a F
----AUTO -
X
r
.--- 014193. _
plllJ,•/t I R
$
1[
?
C
ENO ' 61
Bka 11.11 11
r C14R16
1
' : 6
?'
""q °?rFl*1?1 ?j
l'll;l 81-ESCROW
1'121'149;) 6
.
-
TMA6
85
AR
60-AY.17r1E VE?IrCpU8 11,'111,905 1
/
-MONE1T AIJ K17I M ,
E N T PI.1)fA(1k0UNT 89- V16A SHARE ACCOUNT
621:1443 AUTO XrR 1:124:1fs3 )70,(1) 5,1>17
"Your Belco Cares for You"
k.cl ARRI SBURG BELCO FEDERAL CREDIT UNION
MAIN OFFICE ??yy1?x?????401 N 71-H Rrn.l P O Rrr. e7 1 Nct B Ihm•Ixu.. PA 11109
BRANCH OFFICE BRANCH OFFICE
376N OuNSU.n PO R.I. 1078 3600 I..... It. Rn.H
Lrnnun. PA 11603 C..Ip Iblr. PA 11011
Proceeds as described below received by:
X
HARRISBURG SERVICE IELEPhuN1 NUMBER U: 1 71127 aE
LANCASTER SERVICE TELEPHONE NUMBERS
INFIIOMATION ON SHARES, TRANSFERS I?173871
LOANS. CERTIFICATES. IHA' S 17173971
CAMP HILL SERVICE TELEPHONE NUMBER 16 1 717 23 BE
TOLL FREE TELEPHONE NUMBERS
BELLE AUTOMATED SERVICES .. 1100761E
LOANS. .. ........... ... I4W 642 A
ALIT
TRAN TLR
DATE /BR
030493
x'130493
2t rRAri9Ar.;TI0NS ro1:' 1:18/92 TIiRU 03/93
TF'APJS- EFF MAN EM111`10 FEE / DRAFT r1AYErF
ACTION DATE AMOUNT,-BALANCE.- WITH C NUMPER > DATE
AUTO XFR x1301?:1 174,(1) 175.(H,
AUTO X F R 030193 .1717.1717 5.00
S/EAR[ ID L[D[ND SI R1
67-CH
B] W),
r EXHIBIT
1 Q
ARKS -- -- S4 .......... 111111 ASK DRAFTS
/TARES S6 - IRA
LIJ8 Be -- MONBV UANAnAUe.11
BY - ESCROW
89 - VISA SHARE ACCOUNT
HAMILTON BANK
P.O. BOX 3959
LANCASTER, PA
FC 01-02-08-78
17604
?J
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
---- 317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO, 208-24-4633
PAGE
1
PERIODT
U9F01M92 12-31-92
RETIREMENT ID. NO. 2082446330
H
ACCOUNT 8501559
3
9 18-0363219 TYPE - ACCUMULATOR
PRIOR BALANCE RATE 3.000
2,205.40
MATURITY 9-0
CONTRIBUTION -
FOR 1992 pyy 01-9"2
59-03-92 5.110
111.33 2,21140
2,322.73
INTEREST
CONTRIBUTION FOR
OR 1992
1992 09-09-92
09-15-92 5.00
5.00 2,327.73
2,332.73
CONTRIBUTION
CONTRIBUTION F
FOR 1992 09-22-92 5.00 2,337.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 09-29-92
10-04-92 5.00
5.00 2,342.73
2,347.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 10-05-92
10-11-92 5.00
5.00 2,352.73
2,357.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 10-25-92
10-29-92 5.00
5.00 2,362.73
2,367.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 11-01-92
11-15-92 5.00
5.00 2,372.73
2,377.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 11-19-92
12-08-92 5.00
5.00 2,382.73
2,387.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 12-09-92
12-13-92 5.00
5.00 2,392.73
21397.73
CONTRIBUTION
CONTRIBUTION FOR
FOR 1992
1992 12-20-92
12-23-92 5.00
5.00 2,402.73
2,407.73
U 9 12-27-92 5.00 2,412.73
INTTEREST
ACCRUED
- - - - - - - - - - - OF 12-31-92
AS
- - - - - - - - 3.45
- - - - - - - - - - - - - - - - - - -
•++ CONTINUED NEXT PAGE R*R
EXHIBIT
? E
HAMILTON BANK
P.O. BOX 3959
---- ---- LANCASTER, PA
L?
INDIVIDUAL RETIREMENT
ACCOUNT
FC 01-02-08-78
17604
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA
17055-3112
H
SOCIAL SECURITY NO. 208-24-4633
PAGE
2
PERIOD
09EROM 12-301-92
RETIREMENT ID. NO. 2082446330
ACCOUNT 950155918-0209988 TYPE - FIXED RATE RATE 3.920
MATURITY 12-30-93 PRIOR BALANCE 249.92
ACCRUED INTEREST AS OF 12-31-92 5.01
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0229105 - -
TYPE - - - -
- FIXED - - - -
RATE - -
RATE - - - - - - -
2.760
MATURITY 04-02-94 PRIOR BALANCE 123.89
INTEREST 10-02-92 3.86 127.75
ACCRUED INTEREST AS OF 12-31-92 0.88
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0247359 - - -
TYPE - - - -
FIXED - - - -
RATE - - -
RATE - - - - - -
5.950
MATURITY 12-30-92 PRIOR BALANCE 38.17
INTEREST 12-30-92 1.16 39.33
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0266175 - - -
TYPE - - - -
FIXED - - - -
RATE - - -
RATE - - - - - -
4.000
** MATURITY 06-29-93 PRIOR BALANCE 240.38
INTEREST 12-29-92 9.84 250.22
ACCRUED INTEREST AS OF 12-31-92 0.07
- - - - - - -
ACCOUNT - - - - - - - - - - - -
950155918-0286044 - - -
TYPE - - - -
FIXED - - - -
RATE - - -
RATE - - - - - -
4.300
MATURITY 09-30-93 PRIOR BALANCE 110.68
ACCRUED
- - - - - - - INTEREST AS OF 12-31-92
- - - - - - - - - - - -
- - - 3.67
- - -
- - - -
- - -
- - - - - -
*** CONTINUED NEXT PAGE ***
HAMILTON BANK
P,O, BOX 3959
--- ---- LANCASTERo PA
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA
INDIVIDUAL RETIREMENT
ArCOUNT
FC 011-02-09-78
17604
17055-3112
TEL. 800-833-3444
BANK FIN 23-1241350
PAGE
3
PERIOD
09F01-92 12-31-92
SOCIAL SECURITY NO. 208-24-4633 RETIREMENT ID. NO. 2082446330
TRANSACTION DESCRIPTION C?1I TRANS DATE MH TRANS AMOUNT ?J BALANCE
ACCOUNT 950155Q18-0305367 TYPE - FIXED RATE RATE 3.920
MATURITY 12-31-33 PRIOR BALANCE 109.59
ACCRUED INTEREST AS OF 12-31-92 2.19
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0324361 TYPE - FIXED RATE RATE 2.760
MATURITY 04-01-94 PRIOR BALANCE 117.25
INTEREST 10-01-92 3.65 120.90
ACCRUED INTEREST AS OF 12-31-92 0.84
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
** MATURITY 01-045938-0343145 PRIOR BALANCERATE RATE 116940
ACCRUEC INTEREST AS OF 12-31-92 3.48
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-0386022 TYPE - FIXED RATE RATE 200
** MATURITY 04-01-73 PRIOR BALANCE 0.83
INTEREST 10-01-92 3.79 74.62
ACCRUED INTEREST AS OF 12-31-92 0.98
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
ACCOUNT 950155918-7335466 TYPE - FIXED RATE RATE 5.200
** MATURITY 03-30-93 PRIOR BALANCE 331.11
INTEREST 09-30-92 17.72 348.83
ACCRUED INTEREST AS OF 12-31-92 4.65
*** CONTINUED NEXT PAGE ***
In -. n. A Core Stales Bonk ,
H
HAMILTON BANK
P.O. BOX 3959 FC 01j02-08-78
LANCASTER, PA 17604
0
INDIVIDUAL RETIREMENT
ACCOUNT
TEL. 800-833-3444
BANK FIN 23-1241350
HOWARD E WEIGEL
317 HERTZLER RD
MECHANICSBURG PA 17055-3112
SOCIAL SECURITY NO. 208-24-4633
H
PAGE
4
PERIOD
09F01-92 12-31-92
RETIREMENT ID. NO. 2082446330
ACCOUNT 9501559118-7335474 TYPE - FIXED RATE RATE 4.000
** MATURITY 06-25-93 PRIOR BALANCE 142.44
INTEREST 12-26-92 5.83 148.27
ACCRUED INTEREST AS OF 12-31-92 0.09
PRIOR CASH BAL 3,857.07 DISBURSEMENTS .00
00
PLUS CREDITS 95.00 FED TAX WITHHE LD .
00
PLUS INTEREST
LESS DEBITS 157.18
.00 ST TAX WITHHE
CONTRIBUTIONS LD
SINCE 09-01-92
NEW CASH BAL 4,109.25 FOR 1991 .00
95
00
FOR 1992 .
TOTAL ACCRUED INT 45.31 ROLLOVERS .00
TOTAL PLAN VALUE 4,154.56
FAIR MARKET VALUE OF PLAN AT THE END OF 1992 4,154.56
* INVESTMENT MATURES WITHI N 180 DAYS. YO U WILL RECEIVE NO OTHER NOTIFICATION.
YOUR DEPOSIT WILL RENEW WITHIN 10 DAYS AFTER MATURING FOR THE SAME PERIOD AT
THE THEN CURRENT RATE OF INTEREST UNLES S YOU INSTRUCT OTHERWISE. TO DO SO,
CONTACT YOUR LOCAL HAMIL TON BANK BRANCH OFFICE.
M i ,, ,,n A CoroStatos Dank - ,,
' Yotir Personal Rnruhigs and Renelll Eslhimle Statement
from the SOCIAL SF,CURITY ADMINISTRATION
June 1,1995
Iu,IIL„Illuul,I,,I,In,lh„JIu,IInI,Ilhu,lniu,ll
NA14CY WEIC3EL
1204 GROSS Dlt
MECIIANICSBURR PA 17055.3112
A Message from the Commissioner of Social Security
Social security plays no bnporhut tole in the life of nearly every American. To help you undeisinnd Its value fit your
IIle, I not sending! you this Prcvnml l:ionillq% entd Ifelle it lisrinrrrle b'Irrrvrnenr.
'this slnlement shows the estinwled saunas of Soclul Security henefhs you and your flintily nary get. As you plan
your Future linnnccs, keep in mind Social Security henefils are not meant to meet till your financial needs. YOII'll need
other income, such its savings or n pension, when you retire,
The sintenaet lists the earnings reputed to Social Security Im you, Il'your records do not agree, please let its
know right nwny. That's ingnnaaw hecnuse your benefits will he hosed on our record of your earnings,
More than 42 million people receive henefits each nnnnh.'I'lie stoney for these henelits comes from the Social
Security axes you and your employer pay. Your tax dollars also pay Social Security's administrative costs. Those costs
lire only ghoul one cent out of each tax dollar Social Security receives. We invest the Motley nol used firr these parposeS
in U.S. government hunds.'I'hey arc considered tile safest of till Ill vest Inew S.
Because I know you're interested in Social Security's future, I waurl to shoe Some inforouuion with you. The
Inlest repot of the Social Security Board of'Ioasices says the Social Security system can pay benefits for about 15 more
Yeats, 'I'his moms there's time fill Congress to make the changes needed to safeguard the progruns's financial Rattle.
Social Security will he there I'or you.
On Ilse back of this slole0urnl are answers to some hequently asked questions, If you have other questions, we'll
he glad to answer them. We look forward to serving you today and In the future.
armor s?
Shirley S. ('hater
Commissioner of Social Security
You and Your 'I'his Slatemenl provides information ahoul your own Social Security record only. It does
Social Security not talk about benefits you are now getting or might get in the future oo anyone else's
record. We used the following information to prepare your Statement:
Your Name ...................................................... Nancy Weigel
Your Social Security Number ..................... . .. . . .... . .. . .... 1 64.30-2566
Your Date of Birth ............................................. June 11, 1935
Estimated Future Earnings 1994 On ...................................f 2,287
Other Social Security Numbers Also Assigned to You ........................None
68088 EXHIBIT E027585
F
Your Soeinl Security f ill pugs •1, we explahl mole alima coveted euumh;gs 11nd Social Security mid Medlcnre
Earnings laxes.'I he following ''hart shos your rcualcd curnhlgn, II may 1101 Show gone Or 1111
01 your carnhlgs 11(111; lust yearwhec:llt t?ley me nol yet ieconled. 'I his year's enhdngs
will not he lepoued Io us umll next year,
II' your (1wn rcconls 111) 11ot ugrce with file eurohlgs 11ooaullS shown, pll:nse c0f1t11ct us
IOil mvay.
Social Security
Neat" AleNlnmlk IeNdldu 'im"Pi-pdtled I+1lnlahvl IumN
Fmningn I;unwg+ 11111 Paid
1937.511 $30 X) $ 0 S 0
1951 3,(01 (1 0 0
1952 l,(d(1 0 0
1953 .1,(voo 292 4
1954 3,(01 N I 673 13
1955 11,200 0 0
1956 411X; 0 0
1957 •1100 0 0
1959 4,201) 217 4
1959 4,800 838 21
1960 4,80X1 0 0
1961 4,900 0 0
1962 1,8110 0 0
1963 4,81X) 0 0
1904 4,800 0 0
1965 .180(1 0 0
1966 6,(100 0 0
1967 6,6(11 0 0
1968 7,81X) 625 23
1969 7,810 650 27
1970 7,8(X1 567 23
1971 7,81X1 264 12
1972 9,(N H) 300 13
1973 10,801 0 0
197.1 13,240 0 0
1973 14,'11; 1 , 000 70
1976 IS,e191 1,246 87
1977 16.511;) 923 64
1978 17,700 2, 185 155
1979 22')(X) 2, 213 156
1980 2S})(0) 1 , 711 120
1981 29,7;1) 1 , 614 129
1982 32,41X1 I, 391 111
1983 35,700 2, 209 177
1994 37,800 3,098 269
1985 39,600 3, 517 320
1986 42,000 2, 870 269
1987 43,800 3,013 283
1988 45,00() 475 48
1989 •180X1 2, 558 258
1990 51,1(X; 1, 382 171
1991 5.11,400 2, 623 325
1992 55,500 1,944 241
1993 57,610 2, 287 283
1994 (4),6111 Not Yet Recorded
Ii)6 61,21X1
TWO es11nm1edSnchdSecurllylmespnid S 3,676
Medicare
A1.10114nn loelblr Now ltepnlled
Feodngs Feulhlgs
FNlIIIIA1 d rases
You 1•nfd
Medlrele Abl NM NIYIi
111.111 19fA
6,61X1 0 0
7,81X1 625 3
7,800 650 _ 3
7,800 567 3
7,81() 264 1
9,1(X1 300 1
10,81X1 0 0
13,2(X1 0 0
14, I(N) 1,060 9
15,31X1 1, 246 11
16,51X1 923 8
17,700 2, 185 21
22,910 2, 213 23
nmx) 1,711 17
29,700 t , 614 20
32.400 1 , 391 is
35,700 2, 209 28
37,900 3, 098 80
39,600 3, 517 94
42.(0X) 2, 870 83
43.(00 3,013 87
45,IXX1 475 13
48,1)00 . 2, 558 .-74
51,31X1 1, 382 40
125,1(0) 2, 623 76
1.111,20(1 1,944 56
135d01K) 2, 287 66
Nn I-Imil Not Yet. Recorded._ __.
N,. i 1111u
Tolal eslllnnfed Itledicare faxes pllld f 835
2
'Vdell' El5tllllllteetl Your wink under Social Security helps you and your tinnily to qualify for henelit
Stlcild ppSee(.'lll'Ity' payments. The kinds of henell(s you might get lira described below. For each
{eelleel?lls heneflt, you need it ceriain nulhhcr of wink credits (see pnge 5). Ouce yod hinve
enough cladiIs, your henel'fI amounts depend on your avernge earn ings over your
winking lifeline, We used (he earnings fn the churl on page 2 to figure your credits
find eslinm(e your henelf(s. We assumed (hilt you will continue to work and make
about the mane its the lutes( earnings shown on your iecmrds fur 1993 or 1994.
Heliremenl To gel Social Security rellrenfent benefits, you need 40 credits. That Is also how many
Ilenelils you need for Medicare at age 6 5. Your record shows that you have enough credits,
On page. S, we explain about different ages when you can retire. If you worked at your
present rate up to each retirement age, your monthly amount would be about:
At age 62 (reduced benefit) ........................ ................ $ ISO
At full-retirement age (age 6 S) .........................................5 200
At age 70 ............................................................5 280
DIsubI111y On page 6, we tell you about disability benefits. If you become disabled rightnow, you
Ueneiils need 38 credits toqualifyfor disability benefits.Of thesecredits, 20 had tobeearned
In the last 10 years, Your record show that you have earned enough credits within
the right time.
Right now, your monthly disability benefit amount would be about ........ S 185
Fundly II' you get retirennent or disability henefits, your Spouse and young children may also
Ilene0ls qualify for benefits, See pfige 6 for more information shout family henelits.
Survivor If you die, certain members of your family may qualify for survivor benefits on your
Renews record. See page 6 for an explanation of who may qualify.
If you die this year, you need 3 8 credits for your survivors to get benefits. Your
record shows you have enough. If they met all other requirements, monthly
benefit amounts would be about:
For your child ........................................................5 140
For your spouse who is caring for your child ............................ $ 1 40
When your spouse reaches full-retirement age ............................5 190
Forall your family members, If others also qua III y(more children forexample)S 283
We may also be able to oav Your spouse or eliaible children a one-time death benefit of $251
Medicare hospiud and nnedical insurance is a two-pint henel'it progrnn that helps
trotect you from (he high costs of medical care. Hospital insurance benefits (Part A)
help payy the cost when you life in the has{iital and for certain kinds of follow-up
Lure. Medical insurance henefils (Part 13) Inelp flay the costs of doctors' services.
II you have enough work credits, you may qualify for Medicare hospital
insurance at age 65, even if you are still working. You may qualify before age 65 if
?n ou arc disabled or have pennumen( kidney bditue. Your spouse limy also qualify for
ospind insurance of 65 on your record.
Almost anyone who is 65 or older or who qualifies for Medicare hospital
insurance can enroll for nnedical insurance. You must pay if monthly premium for it.
For More Information or To Correct Your Record
After you react this Statement, please call 1-800-772-12 13' If you have any questions, if you need to report
any missing or wrong earnings on your record, If you want to apply for benefits, or If you want this statement
fit Spanish. This statement is not a decision on a claim for Social Security or Medicare benefits. You do
not qualify for any of these benefits unless you apply for them and meet all the requirements. This statement
is lust an estimate of what you may get. In the meantime, your record Is updated every year. You can
request a new statement to make sure it stays correct.
•Secid Security treats all calls conndentnally-.whether they are made to our tall-free number or to one of our local offices. But we Also went to be run that
you receive accurate and courteous service. that Is why we have a second Social Security representative listen to some incoming and outgoing telephone tells.
.?n.mv
T771! 111'llillgfi Itl'l'lll' ll
Wily down Slll'hd Sl'l'lll'h l' We keel) at second of she tlllpllllll tit r'alldltgs lepnsted each Nets smiles your matte staff '
keep a record ornly soclul Scc11lify nunda'r. When yo11 apply lire hcnelils, me check yaul Iecord al nee if you
'
enrnhlgN? lie I I me base Ihe notion tit of your pfiyateats our
ssotked enough men Ihe years to quaIII.$.'I
sour melnl!e candngN Loci your wolkhtg lifetime.
Whal kinds orcurahlgs Almost all kind, ill vmliloymem and Nell cngtloyalenf culnhlp: lire Covered fur Social
may be all my record? Security and Medicare:
• Most wages hove heeu cuscled by Social Security hexes sha'e 1937 and most kinds
tit self engdoymem since 1951.
• Mcdicule taxes till hush kinds o1 cauthtgs Maned its 1966.
• Some I edclal. Shoe and lucid goverrtmumt leorkers do not pay Social Security taxes,
hilt most ill I11e111 do pay Mcdicule taxes tin their "Medicate gmalif icd government
cell I)lltgN."
If you walk lot ss ogrs, spur elll')layer repnns life 111110111111 of yam oarniogs to Social
Seculhy libel she end of each ycat. 11 Null :fir self employed, you rcptilt your act earnings on
Ntimr yrwly inctimu' mx 1011111. '1110 clout tin Inge 2 showN life moo mils ol'carnings reported
w us. II Nail had some 1111111 title cnlploNel timing Ihe year, your earnings Front all of Ihcm
hate been combined.
it my work Is covered Not necessm ily.'fhele life limits ench year till how much cnrnings ire usxahle for Social
ror Srlchd Security and Seclll isy and lot Mcdiratr. Il you cons mole thin Ihe olaxinanlt mnount, file extra
Medicare, (Ito fill my cnrnings will nol he shown.
cornhlgs go on record? 'I he claw on pllge 2 shows file alaximman alllonllf that was laxahle for cash year so far.
'I he antnunt was life sane for bath Social Security and Medicare from 1906 through 1990.
'I lie Medicate maxilnlun mnount was higher fiom 1991 through 1991. Beginning bt 1994.
fhcle is fit) maximum fur Medicare. You now- 1)11y fife Medicare sax our till your wages and
sell-cmpluymem Comings,'I'hcre is Gill a limit oil taxable Social Security comings.
hmvcvcr.
Are my mililnry service Your statement shims hasic miliuuy pay you Tuned front active duty or active duty for
comings on record? training since 1957 and lion inactive duty for (raining since 1988.
In some cases. you may also qualify for free earnings c'redifs for military service from
September 19.10 through December 1950. We do not show these file credits on this
statement. We decide it' you quality far them when you apply for benefits.
What about railroad If you worked alt she railroad industry for less than 10 years. your raiload earnings arc
work? included tilt she churn. We considered these earrings when we counted your credits :ual
estimated your hcnef ifs. fit you time 10 fir more years of railroad work, you should contact
a Railroad Resitemenf Bumd office for informlmiun about mihoad pension hemefils.)
Your Social Security Taxes
Why does (lie chart nn Ihe haellal Revenue Service collects your Social Security and Medicare flows. We rho
page 2 say "E slhnaled not keep that record. To estimate file Social Security and Medicare taxes you paid, we
'l'azes You hold"? multiplied your repnrscd cnrnings by the tax talc for each year. 'I lie amounts are shown in
sgxu;ue cnIummN on the chart. If you had hoth mages and self-employment earnings fm the
SMIle slur, we essinafed Ihe saxes :is it'thc loud anuautl was wages. If you had holh Social
Security earnings ;red gmenuncot cnrnings dim qualified for Medicare ill file Nana year, we
estimate Ihe combined Medicare taxes you paid.
Wbat are life tax rates You and your employer each pay Social Security nixes of 6.2 percent our the first
Ibis year" MUM of covered wages. You each also pay Medicare taxes of 1.45 percent on all your
covered wages. If you are Nell employed, your Social Security sax is 12.4 perc'eal amt your
Medicare lax is 2.9 percent tin file same nmoonl% of earnings,
Form SSA-71M_SIN-SI ( 11.93 )
4
l .. .L.WY..Y.JW4YW/q/M'f......-. ,-•y.rw.u•.-..• .. ...?....??w?
Eafrninu Social Security and Medicare Credits
What tire "crldlts"mud A% you work and fifty Sochd-Securify Inxc., you earn Social Security credits: .
haw fill I corn Ihcnl? • lieforC 19'19, when your engdoycr repotted your camblgs every .1 months. Ihey
were culled "yuuuers 4)f coventge." Hack then, you Carted if tI mler fir credit If you
Clotted III ICIN $50 dollars bt it .1 -1114111th quutter.
• Sruling uilh 1979 your employer reports your emniop just once if year and credits
toe hawd fin how, much you earn during life year. *1 he ftouauu It lakes n) earn if
credit changes cash your.
• hr 1995, you gel tae credit lot ouch $O11) of your covered mutual carologs, up to If
nurxinuun ill .1 credits fur the year. no mallet when you work durhrg the year.
How nutty credils fill the page I. we loll Volt how many credits you need 1'or ench kind of henclit nod whether
need for benefits? you IravC enough. Must profile need •10 credits III) yetis of work) fo qualify for henefits.
Younger people aced fewer credits lot disuhilily fir lot Iheh family members ar gel
survlvors hcnelifs if Ihey should die.
Whnl if I do ,all have the credits Nall ahewly earned remain fill your record. and you add Io them as you
enough eredlls yel? rnmbme fur work told pay Suciul Security taxes. lender cerftin conditions, we fully also
use credits you Corned ender it foreign social security system ar help you qualify for
henef its.
What about credits for When you run credits hr Social Security henefits. they also coma for Medicare.
Medleu•e benefits? I Iowe%cl. it Null hose guscrnnuenf courings on which you ply MCdicure lxes hill not
Social Security taxes, Ilime life considered " INhcdicare-qualified government turnings."
'those comings giNc you credits lir Mcdicure but do nol count for Social Security
hcnclits.
Estimating Your ilenetlts
How do you ngure out It Is the earnings fin Yom record, not the annrmr of taxes you paid or the number of
the amount of illy credits you lime. that we use to figure how, much you will get each month. 'file Social
Social Security betcfils? Security l)wv has n speckil formula for ligming henelifs.'the lurmula uses your average
earnings over your entire working life. For most retirement heuelit estimates, we will he
averaging your 15 hest yerS ill emaiagS. II' you become disabled or die before retirement.
we may Ilse fewer years to ligure those benefits.
For the reffrenet estimates, we assumed that you will continue working up to
retirement age. We also assumed you would keep fill earning the anmmut shown as
"Estimated Annual Farnings 199.1 <hu." II' lhal still flocs rot give you 15 years, we will
use some tern years to ligurc your average earnings.
Whet 1 requested a We now, show henrlif eslf nalex in current dollars. If you requested if statement like this
statement like this before September 1991, we had increased your retirement estimate amount fin that
several years ago. lily statement by I pore t fur each rcmmimfng year up to age, 62. This reflected expected
retirement benelit was economic growth. We stopped doing this to make your estimate more consistent will)
higher. What happened? cstfmates prepared ill other pension planning programs.
worked for file If your pension is haled on work not covered by Social Security. the amount of your
government and so did Social Security henclits only he IowCr than shown fin this statement. This could include
lily spouse. Will our pensions front Federal. State or local governments, nunprulit organizations. or foreign
governnretl pensions enfiffex. Your spouse's benefits oil your record may also he affected by his or her pension.
affect our Social Seemly? Far more information, ask us for due 6ce fact sheets "A Pension from Work Not Covered
11N Social Security" and"tfumemmenl Pension 01'1'set."
Retirement lienelils
When call I get Y'ou can get reduced henefits as early as age 62 or gel full-reffrenent benefits lit age 65.
rellremerd heuelits? (Starting fn file year 2019) for people horn fn 1919 or later, this age will incense gradually.
Ily 2027, full-mirement age will he 67 for people hurt) alter 1959.1 Your benefits may he
higher it' you delay refiring until after full-retirement age.
uttinifiiity senetlts
fell pile aliom disability These hellchis alt. paid il'yoo hcrnntr totally disabled before y1111 Irro:h hill Ielirenlcat
hemelils, ngr.'fo gel disability henefiis, thlce things Me lit-tv"Oly:
• 1'011 acrd it celtuin nonlhep, of \volk credits and they had In he corned during a
Specific peliod of Out(,:
• You must 11me it physical or mental condition 111111 has hlsled, or Is expected In 111%1, at
lent 12 months op, to cad in Sloop, death: mad
• Your disability most he sev\oe enough to keep you lion) doing any Suits""""" work,
not just your 111.1 joh.
BenetHs for Your Finally
If I retire or became AS you \votk, you nlsul huild up protection Iir your 11111lily. Benefits nay he payable t1):
disabled, Calk lily faa?ily • four unmlanied childlen under age 18 (under 11) if in high school) or any age if
µC1 beneils wBh me? disabled before age 22: and
• Poor Spouse or diculced spouse at age 62 (reduced), 111 fill reli otmit age, or at ally
age II U I I Iolt lair your kill lllifiled child who is under Ire or disabled.
I Isually, each family mcmher qualities fir a monthly heoclil that is tip ill 50 percent of your
lelireament (1p, disuhilily henelit. Subject to the limit explained helow,
What 111)1)111 illy surchors I lete again, Nolo unmarried young or disabled childlen nuly quolily for monthly
If I Ille? payments. We also pay helleflls 111 wadow,S l,ud \1'Idnwt`I'ti, tiUlllillg:
• At age 511 if' disabled:
• At age hO oedoced):
• Al fill retirement ugc: or
• At any ugc il' your widow up, \vidower is caring 611 your qualilicd child wild is under
age 16 up, disahfed.
Is there a Ihmil on the Y". 'I here is a limit ()It the mnount we call pay ml you and your f;umily altogether. This
benefits we Call gel total depends on the amount of your henelit ;old the nwnher of family nlenlhers who ulsu
eneh month? qualify.'I'lie total vmies, hill is generally equal w ;11111111 150 to 180 percent of your
mlircmenl henel'il. tit may he less lot. disability hemefils.)'Ilie family limit also applies to
hctlclils lot vour survivals.
What if lily spouse also Your Spouse cannot gel hoth his up, her own henelit plus a full henef it on your record. We
worked lung enough can only pay all nnotnu equal to the larger ol'the two henefils. Your spouse should
under Social Security call its and ask how to get a personal Earnings and Benefit 1:stima(e Statement like this.
'
Ill gel benelils? s future betlefits on the
When you holh have Statements, we can help estimate your spouse
two records.
If You Continue to Work
What If I lake my benefits liven il' you are still \corking. you may quality for henelits. until you reach age 70, there
1111d (hen wail to work me limits on ho\v mach you can cart) without losing some or all of your Social Security
some more? rclirenlent bellefits.'t'hese limits change cvery year. When you apply for benefits. we will
tell you what the limits :or at that time and il' \vork would affect your monthly checks and
those of your qualified family memhers.
What If illy family Farnings limits also apply to lumily members \vho get ;my kind of hcncfitS on your
members work? record.'I heir cmnimgs only al lect their o\\ it henelit payments, howeve , not yours.
D1) Ihese li11?i1s also No. I )illemnl rules ;apply 111 people \\h1) gel disahilily henclits. 'I he di-,ability program has
apply if I gel disuhmiN incendi" to help henelicimics reto m to productive work.
benelils?
LOU lilwiUmU Lumpmry
Fr 9 eenosborn 2o,10Q9
C 27420
Telephone 919 691-8000 t
FEBRUARY 2, 1993 AGENTY1016878
M CHAIICBi RGNO PA E17055
HOWARD EARLaWEIGEL03
THERAMOUNTEShOWNIBELOWIIS ENCLOSED ASNFINALDRETTLEMENTCNECK FOR
$ 1,549.07 AMOUNT OF CHECK ENCLOSED
PAYEEt HOWARD EARL WEIGEL
OUR RECORDS INDICATE THIS POLICY WAS ISSUED UNDER A TAX-SHELTERED
PROGRAM. IT IS OUR UNDERSTANDING THAT THIS AMOUNT MAY BE TAXABLE
INCOME TO YOU. WE STRONGLY RECOMMEND THAT YOU CHECK THIS WITH
YOUR TAX CONSULTANT BEFORE FILING YOUR INCOME TAX RETURN FOR YOUR
CURRENT TAX YEAR.
THANK YOU FOR SELECTING JEFFERSON-PILOT. IF YOU NEED ASSISTANCE
WITH YOUR INSURANCE PROGRAM PLEASE CONTACT YOUR JEFFERSON-PILOT
REPRESENTATIVE OR THIS OFFIft.
BQDJHYOWNERS SERVICE DEPARTMENT - 4560
EXHIBIT
`-
ni-eli.1
F
1040-V
OFpmlalllul ul IhY IIYf 411r
di" n" 11 neYll"Ye L Ynn. Not
_
1 late,'YYI Sao., I -LYIle 11u1114Y1
164-3D-2566 - -
11 YlYl?? YIIIYI IVYI OIIYYYY !
4 1 111...
l,?LI?I lY\VIII I II ?ll11141
• F aM^ ll, 1110
Pa?imeMY Voucher 1994
? Uu not stupl0 or ullach into vauchul or ywn pa lunl lu yutd whnn. ___
L nts, the lull lulu 1.11-16 41 y"n I46l,,lne 0 tilt" the"how"l al the pgrye111 ydahit ".Hasa
?W L _li LG- 793
4:11111 r.U, "A h,o)
NANCY C WEIGEL
Eaw lauredo, ne -.-
1204 GROSS DR
E Ills, yaw Illy, still, had tip Lade
MECHANICSBURG, PA 17055 _
-----• -------------------------------
- - - - -- DOIBch 11010
Fla only d yml aro nlakln0 a Puynwnt Willi 1`01"1 1040. Holum Into vouchor Wan chock or money ardor payable to Iho "Internal Revenue 13ervlce,"
Ploaaa Wrnu your suual alicunly nunlbul, days nw phanu number, and "1004 Flnm 1040" un your chock or nwnoy order. Ploaso do not avnd cash.
Enclusu bul du 1111 slaplu u1 allach. your paynwnl Willi this vouchul.
MAIL FORM 1040-V PAYMENTS WITH YOUR RETURN TO:
INTERNAL REVENUE SERVICE
P.O. BOX 85:10
PHILADELPHIA, PA 19162-8590
EXH1131T
1040 umptulmont 4I IN 11,11,411, - 10110101111 IIYYYIIux GYI1nLe
U.S, Individual Income Tax Return
Label
un peQY I: rl A
Uu IM II,b 1
YLYI 11
pIY.pY UI aq II
I
Prior 1dofill al
Election Campaign
r IJ
rnrr 1.9
Flllnp Status
a:.1, l•.Q. 1 J 1
nY.r r;my
.n1, tar
Exempllons
19 YY I:, (1,111
n .•„ ?. lli.m er
Im.? one
Income
Aibcn
Copy 11 YI gnu,
Forms W-1.
W 20.411d
1009 it he,Y.
II
t o Jr1 ,,,11
yYw -r
,Y. L,ar I•
kit- per, Lu1 u,
ul eI1aN rry
nny.r a rl .. nr ,.
rln,
to Income
lJII11Ull.::tl
Inlll uJlnlnna
Fl, lbr'.., JU, 1 -U1,[ 11 I141 4r ullm l,r Is
ran brat near 0-, rwnJl
!IAIICY C WEIGEL
II a1':'lll IYI•I I, :I.'.u[, a ru[I II.\Intl l-I I root
1994 I II,S I,pY
, IVQe. YII J,IIy
1 pp11,r1111Y
1 Jpl nrI II1Y
---
rrnnrYa.l InUlWIrn CYI Jn,I ,Irlnll ll lcu lv.r,l U I:....... ,yY
1204 GROSS DR_ -----...--
/,Ir.lunn ?.r pall ull?r r YI,IY and 21p wdY d pile IH\Y • Lu Ylyn 1,Jdl up p, w1, I:JVY IJ
MECIIANICSBURG, PA 17055
Du you wall $3 to go to Iluu lund9 . .
/ II a ],)fill lululn. dour; your cpmleu PJaill $3 to go 10 tills fond?
NUIY: in I Lhna 1111'
wdlnutfit lo.,
lu ur I YOUc, your
,)hind
1 __._I 5111g10
2 Manlud 1111119 luull mown (uvun d only Ono Imd ulconlu)
_ X Manwd Illing LUpolo,) lululn En(uf GpODUU'U Guc. 6UC no ubuvu 6 fdl nano lulu ? HOWARD WEIGEI.
4 RuuU ul huuuuhuld (wllh qualifying p,nbon). (Suu page 13 ) II Ihu goutdyuul pu15ml to a child but riot your dopondonl,
ulllUf 11116 ihlld'G IWlllu hulit ? _ _ ,-
6 I Ouuldyulq wldow(ul) wnh dopmldenl Cill (goal Gpouoo dfud ? IU ) (Suu )aqu 13 )
64 W yournull. It your pafunl (or Willuunu Owl can claim you uG a dupaldenl On no Or hut lax
lululn, do not clock box 6u But bo bola to chuck Ihu box on llno 33b on pagu 2... .
r _L J_ 1--___
-?
c Dependents:
IN N"I flue L lur141, Jnrl Wel 11.....
2)Cbtl[,
nUnd.l
so.l _•-
(9) It 1,Q1I W,)War,
d.pYnU.m'. ,4c,Jl
NCW IynWOLYr _
(4)U.111 Inl'1,
_ IYIa W:npnlN lp yGU
11
rnd1l,,.u
IrnluY lit'
d It quid child dldn I Ilan rotln YOU but is Clalniod as your dep. under ple-1065 11910WTIonl• ChOCk ? U
e rotor number of uxunl Irons claanud .............. .......... ........ ....... .... .
7 Wages, balanos, lips, u1c. Allach Foml(s) W-2 ............... ... .. .. . . ...
8a Taxable wlwusl mcone (wo pagu 15) Allach Sc.hoduW B d ovLI $4011 ... ...... .
b Tax-exempt uuof eel (SUO pogo 16) oon'r Ina,wY un Ynv na........ Ob
9 Dlvldund Incuillo Allach Schudulu B II Ovul $400...... ... .. . .
10 Tax Obe lulullds, Ctedllu, of 0114015 of 51910 told local Income luaus (buu pagu I6).... ..... . . .
I1 Alltiolly wColvod ................... ......... ..... ....... .. .. .
12 Bu•slnua Itcmnu or (loGb) Attach Schudulu C or C-EZ ...... .
13 Cipltit gall) OI (]dub) it loquuud, altach Schodu(O D ........ .... .. .... . .
14 Othur gall,; of f usbua) Moch Font 4707 .. .................................... . .
I5Q rulai IRA 014111WIIQII- . 154 to Tuxublu .,)tool (pg.
? 17)
16a _ __- b Taxablo urnuum (pg.
TOIal pun -10115 and annuao5. I6a 17)
17 Ruolul tool u4lalu, ruyatlles, parlnwaupe, S cofpofallonu, truclS, utc. Attach Schudulu E....... . .
18 Fatn Incclno of (1055) Allach Schudulu F .. .. ...... ........... ... .... .
19
...... ...... .. ....
...... ... ... ..
Ul)onlploynluril wnlpunsatlun (sow pagu 18)
.. .
200 I
SOCIUI SUCUnty bellOlls 20a to Taxablu anouol (pg. 18)
21 Glhul nlcune -_-
22 Add Ill,) amounts In tau far fight Column lot II119S 7 through 21. This Is our total Income ?
23a Your IRA duducuon (aue pagu 10) 204
b $puu4u 5 IRA dedln.ilull (5oO pagu 19) 231a
24 Moving unpuwlUO AOacu Fume x903 or 39034 24 ---- _--
25 Gllo-IldlItAbLn-UIPpWyIllUnlldx .... 25 281
-_-
? 26 Jell -unipluyud Iloalll IIISllrallclt dodllctrull (4uu pogo 21) 26
27 Huugh ILlluoent pran and salt-wnploylld SEP duduclen 27
28 Pwlany on uuliy Withdrawal ul Savings
29 ANnuny Paid 1Auclp1O111'5 S6tl ? 29
30 _____. ---
Add Imub 23a mliuugn 29. Thu4u atu your total adjustments.... ... . .. ?
01 5uboad lulu 30 hOnl Inu 22. rhlb la your adjusted gross Income. 11 Wss than $25,296 and a c hild
to IWO 41111 YOU OW,tt ,)1911 $9,0001 clidd didn't Ilvu wnh you), suu 'Eunlud Incone Cloda" of 27. ?
n'.e ul 0,1A... It"s pprO
10 UMB N4.
64-30-2566
208-24-4633
.. I .... I For Privacy Act and
paperwork Reduction
Act Notice, lee page 4.
tcu. of Luny,
cn Yr1,tld on
Ge lndeG
hid. dl your
Lnrmrnn 411
u+ uL rid.
e h?od .,In two
1
e dIdn'1 Lrtl wl1h
you owe to altotc,
ltl{%ele UUn IeYY
or
pe QY let
U rep YndYnl,
dr1o lc not
tl1 VI Yd . uo YY
Addlmm Ms
ml"a on
In.. IGuYv ? 1
0
31 1 9 r 217
J-01111 JU4U 114941
.Ya• , 1a C`rl]cr sr-.l-nn-7Kf,A
Paso 2
ru11111 V9e1leY4l 111111..• - ------ -- • -- -- - -
32 AtIoutl honl 11110 J 1 (adjusted (lobs ulculnu) ........ ... .. .... ... ..
32
9 2 17
Tax 33 A Chuck 4 ? You were c5 01 uldurr ? Blind.' ? 50011 le wife 0 or older, ? BIOW
C6mPl1- Add lie numbur of buxuu chucked above cold untul the total hulu .... .... ? 33e
lotion to it your pwum (w tiumuonu ulbe) can Owns you as a dupundunt, chuck here .... ? 33b
511 cay+
1
c it you wu mulled hung superalWy and your spouuu dul0ltee deUUCllUllu of you wu
, u dildi-bldluu ullun, boo pogo 23 end chuck hwu .... ... ?'43C ?
Itemixed deductions lwnl Schudulu A, hire 20. OR
Standard deduction uhuwn bOuw let your Iaing blalue. But II you eheekad
34 Enlul
any box on line 23a or b, g0 lu page 23 to Ind your standwd deduction
Ihu
11 you checked box 33c your owidind deduction to :mo. -
y
3 175
larger
eo0
000 a (load ul huuuuhuld - $6
l
- $3
S 34
,
u
e
lllg
,
ul
(
ya1d a Mailed 11101g lueelY w GuulllVinfl wldowlfirI ' $6,J60
e Mulled filing supalalely - $9.116
36 711LIlaut 1111u J4 Iwnl unu 72 35 _-_6 , 04 2
J5 II file J2 15 $03 060 or luss 11111111pli, 1':.460 by We lual Illllllbel UI UxU11Ip1lU1I3 01111mid 011 h11tl Co
It btu J2 1s owl $6J.060, sue We wulkuhuul on page 24 to$ Ihu amount to unef .. J6 2,450
37 5 :bIJULI 111JU Jb 110111111111 Jfi ........... .. ... ... .......
Taxable Income. 07 3 y 592
36 1
it 1.11
raA. Cl14Lk It Ilalll s 0 Tax Tablu, b ? Tax Rate Schuduluu, C ? Capitol G4111 Tax W0I11010al ,
ne ua w
larr• art"?
or d ? Faun 11016 (s(ju pogo 24) Amount Item Funn(u) 0614..... ? • L
96
536
ra. ,.r 1,+yr
„
:I9
AOdnwnal Idxuu Chuck it hum a ?Fwm 40'70 b ? Form 4072. ... .. ...
.
39
40 Add onus JO e11d JU ...,.... ...,,,... . ? 40 536
41 Credit for child and dupendonl taro expenses. All Form 2441....... 41 _
Credits 42 Credit for 1110 uldully or the disabled Attach Schedule R ...... 42
ill 43 Fweryn Iax uudn Allech Farm 1116 ........ ......... .. 40
44
Other ctudas (suu page 25). Check it Ilonl a ? Form J600 _
b ? Foun UJ06 c ? Form 6601 d ? Folnt 44
46 Add IIISOb 41 though 44 ..... .... ........ ...... .. ..... . 45
46 5ulMOCI Inw 45 11011111110 40 1111110 46 nl more than 1010 40. 0111or -0- .... .... .. .. ? 46 536
47 5oll-employmuw lax, All. Sch. SE 47 562
Other 46 Alternative mmihnun tax. Atloch Fu1n16251 .............. ......... ..................... . 46
T0XB8 49 Rucophsu laxu6. Chock 11 from a ? Farm 4265 b ? Form 6611 C ? Fom18821) ............. . 49
=n d•yY
is I
60
Suadl suuuuy and Mauleole lox an hp ulcomo not reported to employer. Alloch Fonn 4137 ......
.
60
51 fax oil quallhud letirumant plans, Including IRAs. II required, atioch Form 5320 .. ............... . 51
52 Advance named eicmno credit payments liom Foul W-2 ......... ........... .......... . 62
53 Add lines 46 Ihrdu h 62. This is j um total tax.. .. ..... .. ... ? 63 1,098
t
P 54 Federal Intone tax withhold It any is from Funn(s) 1000, chuck ? ? 64 _
aymen
s
65 1604 o411111u1lud lax paynwnlu find amount app11ud from 1003 adtunl . 66 325
_
56 gu 27)
Earned Income credit II wquaud. altach Schudue EIC (sue pa
I
1I
NwIlaaJblu Vatted O'rcurflo anlcuh ?
AIIL.,.
r w,rt w.,
and type ?
68
-
w9PJ ar.u
Isss- is pn
67 ...
Amount paid with Fenn 4660 (exlenslun Iaquusg. ... . 57
me lr"nt 66 Excoss social security and RRTA tax volhhold (see pagu J2) .... 66
59 001u1 payulenlb Chuck It Ilonl a ? Fulm 2439 b ? Ferln 4130.. 69
60 Add Imes 54 Ihreugh 59 Thetiu ale your total paynlenta .. ..... ..... .... ........... .. ? BO 3 2 5
_ 61 II 1111a ti015 more than 11ne 53, subtract 101e 53 bum Ilnu 60. This Is the arnount you OVERPAID ... . ? 61
Refund or 62 .
Airmail of 11110 61 you want REFUNDED TO YOU .............. ......... .... ? 62
Amount 63 I
Amount ul mo 61 you want APPLIED TO 1966 ESTIMATED TAX .. ? 63 1 L
You Owe
64 sublmu rum 60 ham lino 63 This is the AMOUNT YOU OWE.
II Ilnu 571s more Than brio 60
,
Fur dululls fill how to pay, uuludmg what 10 write tin your payn10nl, boo pagu 32 .. .......... . 64 793
1 , 101 al- , 11-1„ \11 hn,l AA I RR 1 20 1 ' 1' 'l l III
unnYr cenalUn .t p bqur y I It:11 re halt N.e uarnnred lnra retl,ul aria acca.van pna scneadlea and e4tlnnenle, and la the but Of my Ynowbdye ind belief.
Sign m•r•t'I. lpn -thud wmphlt IaxaIjr"or,rrnlpnpanrp,lhulbantup• Vert It fa bill tin ail mlmmanun of .1"¢h'rif r er nee Lry anpwl•4ye
Here titer bynelwr Wt. your dpnuyabdn
'
--------------- ----- SELF-EMPLOYED --
x..p.ppnv
ullM1ibrrlrrn ----------------
:4?u Ytl'b YiynJlulu Il al?lntr•ulll,11dr11 rnutl'viyrl IlJ1Y aPddeee Yt[IIU.InIn
I:L Id1•I '
r pr da
1'Iry4•rr Yr O ? ?? ? l / ((? 4. /e v?
A
? CW4 Cnvcx it
- Plapaw a 100410e Cdlny ndr
Paid RSON
M At DE
°°°^ _ r?3£ 1 95 tall......dyed ?
2/0 348-32-3485
-
--Prepare. s - - -- -- - ---- -
H & R BLOCK - 23-2314357
Use Only W. MAIM S'P.
? zll "dd.
- -
11'1""
MECHANICSBURG, PA 17055
Underpayment of Umaho lbxe•0140
'2210 Estimated Tex by tndividuals, Estates, and Trusts 1994
u.Yal„..,.,ill u?. h...... ? One separate Instructions. A11.chnnla 06
Ill YIM111 ..YPUY :Yr.,Y ? Attach to Form 1040, Form 1040A, Form 104ONR or From 1041. a•"°•"" Nu.
NYYnnrlnu u,,.,. wrY l,rn axotd wing sum bpi
NANCY C WE1CEa, 164-70-2566
Note: Ill Inobl lubub two do not flood IV 11111 Form 2210 Told IRS will Uglier guy purally you dwu aril build You it IIIII FW FVIIII ¢210 only it one Of 111010
IAUus set Pan I apply lu yob It you do nut laud IU is Feint 221u, you u111i IIWy Use II W hgl,lu yobl pullWly. Entul 1110 0,llu10111 toll flow 20 or line 30 oil the
pallidly hold ill you[ lululn, bill do nil allat.4 Furnl 2210.
art Reasons For Filing - It Is, b, or a below applies to you, you may flu sun to lowui of uhnonalu ymn puilary Bill you MUST chuck the
_? d:uxub that upply and We Fuun 221U will) your lux lululn If td billow upptiue to you, chuck trial box and 1110 Fulfil "'10 Willi yuut lox ruluilt
1 Chuck whlchom, bolus apply pt nuns apply, use Iha Note above):
a ? You loquosl u waiver. In cerlWn ctrcuntstancus, Iha IRS will wulyu all or pool or the penally. Suu Waiver of Penalty do Pago I ill file 11151luclJolm
b [] You uuu Iha annualized income installment method. It your Income veiled dulmg thu Idol, this nalhod may ruducu Iha dnwuul Of one of Indio
IuqusuU mblulhnenlb. Suu pugs 4 Of Ihu Illsllllcll0110.
c (.? /use 1100 Fuoulul Incwnu tax walthuld 110111 waguu slid you beer it as quid our W1,naWd lux Pugmbub V011011 It wild actually w1111hUld Inuload of fit
uquul W lluulllu oil Ihu payttlerd dui dared. bad Ihu Illdlldclldlls for flood 22,
d [] 'four ruqudcU annul puynlanl Oulu 17 billow) to bauud on your 1009 lax and you Wad of Itling a )uml lutuul out elthul 1003 of 1004 but hot lot
built tomb
Part Required Annual Payment
2 E,llw your 109.1 1.11 JrUI lladllb J411U 111411IM110116) d :a j v
9 Olhul glut (nuu m4hu010114) 3 562
4 Add h,lub 2 and J .......................... .... ...... ...... 4 1 L098
6 Ealnud lncu lu cnldll .. 5
6 Cluau lot Fudulul tux pula tin luulb .. ..... ........... .... .. ... ... e
7 Add Imub5 ands .............................................. ......... ..... 7 0
e ....... ....
Cunelll toil ax SIIUtrall lulu 7 hurl Will 4 .. ............ ...... .. e 1 r 098
9 I
Multiply late a by OOY,b(90),,,.,..., ... l-B L 988 '
10 Wltnholding laxuti Do not urcludu oily U0nialud tax payments on [life lino (see instructional .... ................. ... 10
11 Subtract lulu 10 hum Hold a. 11 lobo than $500, ulep here; do not eo nplale or file this faun. You do not owe tire polially..... 11 1 098
12 Enlur :he ax bhuwn on your 1053 tax lululn (110%of that amount II the adjusted gross Income shown on trial rmuln is
incite than $160.000. or it monad hung separately for 1994, more than $75,000). Caution: Sao mutruchons ........... .. 12 659
13 Required annual payment, Enlur the smeller of lino B or line 12 .......................... .... 13 659
Note: It line 101u a u l to or ulolo than lino 13, std halo; you do not owe Ihu penalty, Du flat hnu Four 2210 unleus you chucked box td above,
Part III Short Method (Caution: Road the dnsbuellond to sea if you can use life short Imlhod. If you chocked box Ib or a lit Pot I, skip I1118
poll slid go to Pmt IV)
14 Enlel Ihu amount. II oily hot), 1111o 10 abuvo..... .. _ ......... ..... .... .... ... 1A
......... ... ........ 16
15 Enwr old rural aniumll, it oily ill otillulatud lax paynlunls you floods.
16 Add 111b1514 alto 15... ......................................................... .....
17 Total underpayment for year. Subllacl hold 16 11011111110 13. 11 Zero or labs, soup halo', you do nut ow0 the ponully Do not
No Funn 2210 unabu you chuchdd box Id above . .. ................... ...... .. ... ... .. .. .....
Is Multiply lulu 17 by 05725 ......................................... .,.....
19 a II IN doluuu un tau 17 was paid on or after 4116/95, unlur -0-
e II Ihu .1111,nrtd on tau 17 vase paid before 4/ 15/55 nlah0 the following computallun to hold the dnloum to unlu oll 11110 10
Amount tin Number of days paid
Ilnu 17 x Wow 4/15195 x 09026 ...
20 PENALTY. Subtract find 10 front line 18. Enlur the iusull hum and on Fount 1040, Irmo 95, Fuirn 1040A, Now 33,
Form 1040118, lams b6, or Foul) 1041, hnu 20 .. .. .. ..... .. 0, 20
For Paperwork Reduction Act Notice, see page I of separate lnstructlona. Fa,ul 2210 owaxl
11604
asst, yy Oil lyYq 14 AIICY C WEIGEG 1G-1-30-2666 va6._2
I-V*Wl Regular Method (sea uw mmluctana it you wu hlulg Finn, 1040NR 1
-
------- - -- - --- 777' . Payment Due Ddu
Secllon A -Figure Your Underpayment
I (e)
4/15/04 (b)
6116104 (e)
0/15/64 (d)
1/16195
21 Required Inetallmentp. II Lux to applies, wail Ilia utiI
huln 5c1ludlllu Al, Inw 20 Olhelwluu, unlul 1/4 of law 13,
Fenn 221x, In mlch cunellll
21
----.---_-.1665.
_-165
_ 165
22 Eoslnulud lux pied and tax willihuld (suu nia111AAUnu) Ful
cuhunn (a) only, aluu lintel Ihu amount Ifuln Will 22 ell hnu 26
II Gnu 22 Is uquul to Of nlolu than We 21 lot all pay hunt
petioles, clop flute, you dU 1101 my u the pullally OU ilol lie
10Ud u Lux In pull t
OU 0111
221o Ullwue
F
22
7 5
75
75
100
Y
.
wn1 . ---
Complete linen 23 through 29 at ono column batiste going ..
to the next column. II
Ilunl 111w 26 of pluvlouu cuhlnln
l
II all
E
,
y,
6uur wnuun
23
22 and r
l
h
A 24 75 75 100
.
llna
dd
24
tnuunlo an hnua 27 and 20 dl Ills pluvwas culunnl
6 Add 26 89 179 269
a
2
26 Sdueacl IoW .15111nnlew 24 It iels Of ulna, anlal -U-
WIIUI IIIU JIIIU1 Inl hunt hnu 22
fUl column (J) only
26
75
0
0
0
, 1
1
?
27 It Ilia amount on line 26 lu Zara, uubllael Illw 24 haul fine 26.
lvvI5U unlul -0-
Olll 27 14 104 III II '
1111
1
II nil li ,III
..
a
26 Underpayment. II Ono 21 Is equal to Of Mile thin file 26,
subtrael line 20 hunt Ono 21 Thon go to hnu 23 Of nuM
go to llnu29 ?
lumn Omulwiw
c
26
89
, 165
165
165
,
o
29 Overpayment It Ilia 29 Is plow mail Irlle 21, subtract law 21
Irani line 26 Than go w hnu 23 of nuxl colonel ..
29
Section B - Figure the Penally (Comptr to linos 30 though 35 of ono cohunn boWlo going to Ilia next column )
n April 16, 1094-June 30, 1994 4116ID•1 6/t5/04 I IIII III I? 1 it 'III
I
I .;
A
T Gaye: Gaye: I
I ".II
IIII IIII IIII IIIIII Ili
II I
E 30 Number Of days FROM lilt) data shown dbovD IInu 30 TO i
II I Ii lu n IIII
I, Ilia data Ihd umounl oil law 28 was paid or 6190/94.
5 it p II Illy II I Ifill
II
E whlchavw Ili owlmr 30 76 1 q
Ills I I
1
l
n 1
ul l bllo
1111 Il 111
I
0
31 Undutpoynldnt Number UI 1
(II
I III IIII' I
I
n d0V GIl IIIW 0
on lino 28
x U7 IIIIII III II
I
I x
(seu lnslruclmns) 365
? 31 $ 1.08 $ 0.47 II Ip II a
I 4
It July 1, 1994-Seplember 30, 1994 6/30/04 6/30194 0/16104 Il
ill ill li l J,
A
yet
32 rhmlbcr of days FROM Ilia dew shown above hnu 82 TO nays. Gays. ?a - l
' li I I ? ?l, ?? 111
I
' I
I 1
?
l
Ilia dale Iho amount un nMU 20 was paid or 9/J0104. 9 15 ' q
II I'I
I
l
1'1 IIh
1 p
u
E WIIICIIVVOr le UJIIwI
32
77
2
y
1
I
ll I
I
.
11 III
I
I
i .
0 38 Undmpdynlunl Nurrlbur of '111 ?I'I1111
I I
?
l
I
1)
' 2
01 1111111 20 days Un tile
x
I
III
li
I
II
II
,
I
(sou m56uuwna) x 365
? 33 $ 0.24 S 3. 12 6 0.54 I
I
I it III IIII I I
n 1994-April 15, 1995
October 1 9/30/04
9/30/94
9/30/04
1/15/95
A , .
Days Oays: Oayr: Gays:
F 34 Nurnbor of days FROM Ilia data shown above file 34 TO
Ihd date Ilia awouil on Ilnd 28 was paid or 4/ 15/95.
E whlchover Is caller ... 34 197 197 90
N
u 36 Undelpuyrnunt Fluolbw of
u on IInu 2ti days on Ilia J4
00
(see 6lehuctwns) x 365 "
? 35 $ $ 2.83 i 8.01 $ 3.66
hero and on Fenn 10.10, [lilt) 85;
36 PENALTY. Add au mnoents oil Ilnes J1, 33, and 33 Ill all eofunlns. Entur the total
.. .... ?
. , .
Fours 1040A fine JJ. Futm I04UNR Ilia 66, or Form 1041, find 26.
36
S 20
SCHEDULE C Profit or LOBE From Business
(Form 10401 (Bole Proprlelorshlp)
Partnerships, Idtnl ventures, eta, mull Ills Form 1066.
Q,WI -Ofo nl I,,r hbue,
I I ? Attach to Farm 1040 or Form 1041. ? ties instructions for Schedule C
IOUq ,,14n4Pnlm
NANCY C WFIGEL _.._.._._._--_.---
A 1,1u1LIp JI uusaw44 w pwlUbbIQ n, II I,.hwulg pwducl Ul 441VILU ',5ue pugu C- I I
CHILD c?RB _
C DIIbIIIUba 114111U It tie bUp UIUIU LUbIIIL'b4 111111111, IUOVU blank.
NANCY C_ WENVA,
D Odious Oncwdun sells olluunLlW) 1, 1204 GROSS DI
mre•oor4
OMU No,
1884
Pllrcnminl 0B
16'1 -70-2566
0 Eulw punupul buaUlusa coda
(hdnlpaDu C-010 8714
----'----' ------ -D 1noun .1 lunUlnbar 1l INkd my
E ubalubb u d _ _ - . - - - - .. - -
cu town III wblulll,x data slidZlPcudu MECHANICSBURG PA 17055
F ACLOUntolg nluuluO 11) Cush (2) n ACCIUW (0) ? Orlin (6pactly) No
G Muulud(s) UUUu W 111 (? CUUI (2) (1 Lnwm of caul (0) ? Olhur WIWI (4) Q? Duua 1101 apply 01
VdIUU LIQUmy orvunwly Or Inmkul Uxplanallull) ChuLkud, Ukgl Imu 11) yet No
N WaU Irmru ally 0langu In dulu11nnan9 qumlunus, costs, of vaulaflu)a butwuuo upunulg slid CIU61119 Invunlwy7 II " YOU," 11111101 urpla)allun .
I old you mmuumly pan¢Ipmu' m Zhu upw anon OI Nro Uuummu Owing 10947 II " No." bus pugu C-2 Wi' 1111111 on IoUbua .. x
J II YOU alullud UI OCLIulwd Hill bubinaba dlrlllla 1904 chUCk told.... ........... ...... ..... .... ? I GIUbs I1LIQUTA4 Of 501UU Caution II IWO uleunla wars reported to you fin Fdtn1 W-2 and Ihu "Slululwy m)plUyco',
bur fin film loon was LIIILhUd. sou pays C-2 and chQLk hum
I
10,670
2 R,.1111ne and ulluwancuo ... ... 2
0
10,670
J SubbaulJm2110111 6nU1
4 (:Qm of goodb bow ur0111 hnU 411 Uh pago 2) 4
6 Glaeb prolt. Subuacl 11 lu 4 Iwnl Old J 6 10,670
5 Offer Uiculnu. riduJmg FUdUlal and biota gaboilllu of lud tax ClOdd or lululld (sou gaga C-2) .... ... 6
7 Gross Income. Ada Ilnus 6 and 6 ......................... .... .... ..... ....... ? 7 10,670
Part if Expensel6 Efilet ON bribes [at buWnouu Qua of your home only fin Ilne 00 _
I AdvuncJng a 20 19 Ponman and piold-uhanng plans ... 19
20 Rmg or Was (sou pugu C-4). ... . .... .
9 Dud dulls 110611 UB104 of
6UIVICU4 (UUU pogo C-3) 9 a Vbtuclus, muchbluly 11 uqulpt n id ..... ...... 20a
b Other buumuss property ... ... . ...... .. 20b
10 Cdr and truck exps11505 21
(sou pugu CJ) to 21 Repass and uldfillul d icu .. ......... . ......... _
11 Comnabblons end IOUs ... it 22 Suppllus (nut Included In Pail 111) ...... . ... ..... 22
12
-
DOpu,uun .,.....,.. 12 29 Taxes and llcensus .................... .. ...
20
24 Travel, moat, and onhntammutil
la p ends 170 a Travel ......... ... .. 240
expeilnba sO de Qe
UUChUII ( ( 1101 nil lncluOUO
In Part III) (sou pago C-J) 10 b Meals and
14
... ... ..
Enlpluyuu buouht ploglmnb 1:111101111111111,011
_
(billet Wall Uri lulu 10) 14 c Enter 60113 01 Illlu 24b subject le
15 ln,urafl o (U1110 than hoalllq 15 _ 200 laistalionu (sou page G•4). .
d Subtract unu 24c lion) Hilo 241b . .. ..... 24d
16
a 111WIL'bl
hlodgaqu tpald lu banks, UIC I 16a 25 Utilities ..... .. 25 _
to dotal 1613 26 Wagon (less enlpluynlunl muddy).... 26
17 Lugdi J11U piUIUb56111J1 SUIVICU4 17 560 27 Othur uxporluuu
is Olhcu u.,punbu Ni (from lino 46 oil page 2) ..... 27 4 744
26 Total expenses Word expellsus for busoloss use of hunt. Add bees 8 through 27111 columns .. ? 26 5 524
29 Tomalivu profit uUba1 1bubeact Ilnu 26 from 11nU 7 29 5 , 146
JO Erpunbus Ire uuslnubb woo of your Lo)m Attach Form 6628.. .. .... .. ..... 30 1 166
11 Net profit or (loss) Subuacl hnu J0 hold We 20.
e 11 a plum Uniul fin Form 1040. line 12, and ALSO Uri Schedule SE, line 2 (blatutoty enlpluyeu5, boo page C- 5).
E4IJle5 "no hu4ta, offer off Folio 1041. Ira 3 l
e It J IUbb YOU MUSr yU Uri to nine 32 / 91 3,980
32 It yUU IIJIV J 1054 cha,.k IIm Lox trial dusulbea your Invuslmunt In tills activity (sue pago C-5)
e fi you LlwckuO J2J, ordm fire loss Uri Form 1040, line 12, and ALSO fin Schedule SE, fine 2 324 ? All Invostmoill is at nak.
(bfaluwly edipluyeob. bus pago C-5) Estafos slid Ilubts, unWr on form 1041, 6110 3. 32b ? Sumo Invuslm unt is not
e It VOU Chucked 9213 you MUST attach Form 6186, at nsk_ -
For Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule C (Form 1040) 1994
T-_ - - NANCY C WEIGE[ 164-70-2566 °ipi 2 1
C t 1/ 104Vllxxx
p7t' I Copt of Goods Sold (sou pagu C-6)
88 hlvullmy Of buglmljlg of Yuji II dllfulu111110111 luol yuel'u cloulllg tr vorl Wry, allach oxplonalloll
74 Purchuuue 1eb cost of dmnu wahdrown lot pursundl use
36 COW of lubul Du not ?ldudu Willy pled to yoursull .. .... ...... ...... ..... 86
86 Mali n ilu and supplluu 86
27 Olhur coela
86 Add hnou 081hnlugh 97. ..............................
06 Invuntory al end of year ._.. ............................................................... 811
40 Coel of Dods sold. SubuueI hnu JO from line 80. Enter the ruaull hard and oil page 1, (ills 4 ..... 40
POrI I Inlormet on on Your Vehicle Complete this poll ONLY It you Lire claiming car or truck uitpunsua on Ilnu 10 and are not required to
h1u Funs 4662 WI true busuldss. Soo Iha nlstrucllon6 lot link) 10 an page C-0 to tlnd out it you must file.
41 whn11 dltl you placu veor vulllCte in eurvicu let butimuee pulpueus? (Illell1h, day, yual)1'
42 01 Iha lalal nurrlbur of in lua you druvu your vuhmle during 1004, moor the numbur of miles you used your vehicle lor.
a Busolocu
b Cononuung c Other
48 Du you (o your spouse( havu another vuhlclu available Wr personal uuu7 ..... .... ? Yes ? No
44 Wau your vvluclu avallablu for u6o during off-duly home').. ............. ? Yee ? No
460 Do you havo uvldmlcu w supporl your doducl1un'7 ........... .......... ..................... . .... ? Yee ? No
b 11 "You,' Is Iha uvldonco wmton?. ... .... ...... .. .. ................ ..... ... ? Yea ? No
Part V I Other E%penpeS, Llsl below bus1n000 expenses not included an lines 0-20 or line 80,
CARBON MONOXIDE DETECTOR 69
_FOOD
MISC 31660
675
TOYS 740
46 Total other expenses. Enter hero and un pagu 1, Imo 27 .............. ..... ......... ....u- 46 4 744
SCHEDULE E Supplemental Income and Lose IOM011146-0014
(For at 1040) (From rental foal astute, roysllleo, partnerships, 1].eg4
S cmporsOcns, estates, trusts, REMICe, etc.) au.nl.ull 13
U m., I,,,.,,, 4 1 1 n. I .......
Of ?Attach to Form 1040 or Form 1041, No Bu Instructlono for Schedule E IForm 104011 . s.ax.x.. flea
tram nH . nn»„ w, ,.,,,, ? Yu W .e1ad uwnty euLeM
NANCY C WEIGEL, 164-70-2566
s Income or Loge From Rents Res Estate and Royalties Note: Rupoll Inconal slid urpunsou boil yuut bualnuas of rolling
pwuun i piopuny an Schedule C or C-E2 (4uu pugu E- t) Hupcll 11um Innhd Meuse of lobs Iwnl Fonn 4696 on pugu 2, Into 30
I Snow Ihu kind and lucollun oI bacr rental real estate property_ _ 2 Fui oath Iuidal foal ubIJIV plupully Yea No
A -H US E REN'PAI. Ilblud on Inut I, did you of ysul
1204 GROSS DR MECIIANICMRG PA lulllilyouts it lot pulbunall:ulpubun A _ X_
6 ---•---?--- lm ne0u Ilmn Ihu gludlul 1,1 14 days
UI lo';t of Ihu tool do" folded at lull a
_.__._-.__-_.--• _.____-__._.___- lunlul vahw du1m01114 la. wooly
C .. .. - ... - _. - _ ... - Ihluu pugu E-11
C
Income: _._.... _..Properlles - Toll
- A g C IAJJ columns A
A, B, fl C.)
9 RUIT141dcUIVUd 9 800 _ 9 800
4 Ruyalllus lucuivuu - N 4
Expenses:
6 Auvwhmny
6 Ali it) ono It avb4 isuu pugu E-21 -
y clualling and IlldllllunallW -
a -of lilt llublal lb
9 1114111 a lice -
19 Loyal and amid plalu4bwnol Iuus
-
11 Monagumunl lout,
12 rdongagu udulubl paid 10 bunks. utc ('4uu pugu E-2)
19 Olhor lnlorusl ..
14 Repairs .... ..
15 Suppllun . ... ... , .... .
15 Toxub
11 ulmlwa ... .....
la?
Is
19 Add hnus 5 I1110ugh 18
20 Dopluuatlun urpunbu of duplulwn boo pugu E-21.
21 Total expenuus Add Ilnus 10 slid 20
22 IIICo1Ou (I-Judi Ilulll Iulllal Iadl 04WI0 UI IUYU Iy ptU-
palllds Subtract 5nu 21 110111 J hunts) ul 4 poyotll0)
II tuoult is (luos), sou patio E-2 W fund Din It you nlusl
must Mild Form 6196 22 0
29 Duuualblu nmlal foal ublatu Iusb 29
24 Income. Add pu4lbvu ai moils 41iuwn till and 22 Do not u¢Iudu any iubrua
25 Losses. Add loyally lu4,u4 huin hnu 22 and luulal foal uulalu 1u45u5 [full) hnu 2a E6110 Ihu total 10a4w hub
26 rowl Iullial foal d4IJIU and wyally IIICUIIIU of pubs) Calllbillo Plus 24 and 25. Elliot Inc loons hulu
It Pa115 11. III, IV. and hnu w tin pays 2 du oul apply to you, also unur this unwunl tin Fuun w40, low 1y.
Olllwwlsu. wc4id., I11cc ar wunl dl Ito total oil Into 40 tin puyu 2
For Paperwork Reduction Act Notice, bee Form 1040 Instructions
)261 0
Schedule E (Form 1040) 1994
SCHEDULE SE
(Fiorm 10401'
II.I..11.1,1111 VI 1,11 I, Ill
Inlunbl lh,u,ub CUmY UI
to rm 11110 6, I'm N,It bell -em
Self-Employment Tex
? Bee Instructions for Schedule BE (Form 1040).
? Attach to Form 1040,
I.Y 01111 Y,x 4,1 Y 4111,
Ma No. Ibbb-ayb
1994
aNfgxl l
w.,l No. 17
buual.Ywnly nulubrl cl pill wd11
bell empluymul nu ? 164-30-
Who Must File Schedule SE
Iml 111114 11110 Schudulu SE it
e I uu loud nut ad111111y6 Iw1n o01-uluplulolnuill howl uthui Ihun church unlpluyuu ulcon.u (fill 4 Of Shull Schudulu SE or line 4c of Lung Schudulu SE)
at $400 Of Iltdle, OR
e YOU had church wnp10yuu 111cwuu 01 $106 211 or nluru. Ilcanm Iran) uulvlcuu yuu pullurmud 4S a 1111111610/ Of u nwnlbul of u wlgrcus utdur
le 1101 clolncu wnpWyuu Inwnry Suu pugu SE- I
Note: EYUII d yuu hued u 1065 01 4 bma11 6111111111 Of Ill Munn 401-1.011ployni 1, It may be to your bunuhl to I9u Schedule SE slid use ullher
bpllunul nluniod, 111 Pull II ul Lung Selmdulu SE. Sou pugu SE-2.
Exception: II yum only cull -unptuynwnl all was 110111 awnings uu minister, nlunlbul of a lolgmua ardor, or Chnsfan Sciornca praclllmwr, and you filed
Furor 4361 8 wcmvud IRS upprovul nol lu be taxed on Ihubu uauings, du not file Schedule SE. Instead, wnlu "Exempt-Form 4361" an Fonn 1040, line 47.
May I Use Short Schedule SE or MUST I Use Long Schedule SE?
Did Y014 receive wanes or tins 111 19947
No
Ala you a iinaawr, nlanlbet ul a 1olgluua order.
of chnstian Squill Paucmlonur who Idculved IRS
approval not to be taxed un ownmga I10111 Ilmsu soulau5.
but you uwu cull-mnpluynwnt lax oil ulliul darlings?
No
Am you utiulg uw of Ina uplo>nu1 mulhods lu figuru your You
nor uummgb I5ud pugu SE-o!)
No
DId you WrucI' "hunch unlptuyuu urcunw rapmtud on?
Fuun -2 ui $108 28 or nloru?
INo
You
Was the Iutal of your wages and lips Subject lu solid su-
cunry and railroad rolmomunl lax plus your nul darlings
Moor call-umploynlenl 1110111 than $60,6007
No
Did you faeulvo lips subject to social security or Medicare
lux thal you did not report to year onproyer?
BE ON THE BACK
Section A - Short Schedule SE. Caution: Ruud above to boo 11 you can use Short Schedule SE.
I Net turn pfolll or (lugs) Isom ScLuaulu F, lino 36, and tarn pannershlps, ?
Schudulu K -I(Fonn 1065), find 154 _ ................ .... ......... i
2 Nat piohl or (loss) Iron Schedulo C, laid 31. Schodule C-EZ, line 3; and Schedule K-1 (Form 1065), line 15a (other than .?
Iannlny). NIIIISlefa and nunbels Of leugluus orders Soo page SE-1 for amounts to report on into tine. See page SE-2 for
other IIll to Idpo(t 2 3,980
3 Combine lines I and 2 . . ....... .................... . ............. . ......... . . 3 3-19-8-0-
4 Net earnings from Self-employment. Multiply low 3 by 02.35°6 (.0235). If loss than $400, do not file this Schedule,
YOU du not awu bull-unlptuynwnl tax ......................... ....... ............ ? 4 3 67 6
5 Self-employment tax. II the slnuunl un inu 4Is. 6 Ilil' l 6,
e $60.600 ur losa, nwlllply Imu 4 by 15 3',a ( 153). Enlef tile rofiull note and un Form 1040, line 47. 2
e Mdla Man $60,1100, multiply Ina 4 by 29bL ( 026). Than, dad $7,514 40 to the pY
lierv arid On Form f-employment
ne 26 tax. 7Mull I lino 6 by 50;. (5 VIII III ? j
6 Enter told nu lot nee a nd oil Formsel
8 2
For Paperwork Reduction Act Notice, see Form 1040 Instructions. 81 Schedule BE (Form 1040) (1994
,.xr
M
802.9 Expenses for Business Use of Your Home aken4. 1645-1166
? File only with Schedule C Dorm 10401. Ube a separate Form 6670 lot sacs
1 X94
home you used for business during the year. Al rchmrot
u.F „11,,.1,,.1 . 6r4uraceho. 88
?Bu separate Instructions,
rl,xl .add..nurny eal¦en
nprnnl ul Glc Vnxtu,lrl
NANCY C WEIGEI. 4-30-2566
I Alva ubud luyulul y and uxclu°IVUIy lot buulnuuu, ruguluty lul day care, or lot uwunluly WUlaga
Suu lnuhucllul'4
2 Tulul wua ul hulllu ..... .... .
3 Divide Ise 1 by 1111 112 Enter me nuuull a6 a pulcunlugu.. ... .. ..... . .
e For day-care facilities not used exclusively for business, 9160 complete lines 4-6.
e All others, sklp lines 4-6 and enter the amount from line 3 on line 7.
l IY days usua lot daY Cale Mining Yuta by heals ubuJ put day ... 4 2 750f1r
4 Mullp
c_.----
5 fetal howl, uvudablu lot wuu durng the yual (3156 days x 24 houla). Sao unAR101 nlu 6 8 7 60f1 r .
6 Divide line 4 by into 5. Elliot Iho rusull us a dUCllllul alflUUVt ... ....... . ...... 6 0. 3139
7 Business pmcuntago Fur day-Colo facilities 1101 used uxCrlrvuly our buslnuss, nudtiply hind 6 by 111JU 3
Jailor Iho nuuull 03 u pUlcunluyu)_ All (Jlltuln, U111411 We aneu11110111 late 3. ?
Part II 1.._Figure Your Anowame ueaucnon
B Enlul Inu alnuunl hull) Srlludulu C. lulu 20, plus ally Out gall) ul (1 05e) UUllved 110111 Ills bu:ililubs ubu of yawl hums
and sw,wn on Schudum D or F-ulm 4707 It India than and plow d l buam uea, bull Illrmcholls
nx.,1,ruewuorlorWr.,1,.W.rlatsleanrel;u.,et.nna6aoa-ter. alu,,.u.•u4„.?. _- -(°I,,,I_L,I..r.,?,..
9 Cabuully lussus Sue Inblrucllunu .. .... .......... B _ _. ____
10 Duductlblu nlungugu Inlulusl. Suu 111511uwulls.... ... 10
11 Flual usloto IdxOS Suo ulslmc"0113 11 1,400
12 Add lulu, 0, W. and 11 .... 12 1,140-0-
13 culuilnl (b) by lulu 7 . , ..
Will 12
lti
l
M ?... 13 352
,
y
u
p _
14 Ace tee 12, Culunul (S) and hills I:1 .. .. .... In,
enter -0- ..... .
ct Ism 14 hurt 11110 8 It zero or lose
S
bt
15 ,
ra
u
16 EXCU66 nwngugu 111101051 Sou ulslructenS. .... ... 16 --' -- -_
17 1114dlJnLu 17 2 3 5
16 FuprrS and nmunallanru .. IB 211
19 Utilities ....... .. ....... .......... 19 _ __ 1 LB 3 1
29 other exprlue5 Sea inwructionli ...... ....... ....... 20
21 Add lines 16 through 20.. ......... ... .. 21 2 277
22 Multiply line 21, Column (b) by tine 7 .................... .. ......... 22 572
_
23 Crryovr of uprating uxpunsus front 1993 Form 8829, lino 41. ..... ......... 23
24 Add lam 21 In culunel (a), 11110 22, and line 23
26
..... ... ... ...
A11uwablu dpol ating uxpunsus Enter the Smaller 01 line 10 or Inu z4
. ... ...... ...... .
26 1-111111 on excess Casually losses and depreciation. Subtract tine 25 Item line 15 ...... ... .... .
27 Excuss casually luases Suu dlbewclldnS ..... ....... ..... .... 21
26 Deplecmllon dl your llarre front pall III beluN .. ... 28 242
-
-
29 uss cdwally lussu, and dupreaalnon hum 1993 Fans 8829, Imu 42
tAGJ of .: xl
J1J
I 29
.
V
.
30 Ada onus 21 through 29 .... .... ...
31 Allnwabl0 uxIuuu Casually lussus and ddpt0aallon. Filter the umaller or Imu 26 ut line 30 .. ........ .... .
32 Add lulus 14. 25, and 3t ................. ................. ...... ..... .
33 Casualty loss portion, it any, heat hews 14 and 31. Curry amount to Form 4684, Suction D .... ........ ...... .
34 Allowable uxpunsus for buslnoss use of your home, Subtract line 33 tram lino 32. Enwr hold and on Schudulo C,
11110 30 11 our none wJS u,ud lot mule Iran one busulous, sou instructions... ......... ?
Pert III Depreciation of Your Home
5.146
572
242
36 Eller Ito smaller of your horn's adjusted basis err its lair mmtkol vn'uu, Sue iilslhmsorrJ ........ .... .. ....
line
36 Value 01 land h
.. .. .... .. ...... ... 35
38 3 U b Y U
line 36 11011111110 35
37 eabla of bu IdmgSubtract 37 30 690
36 Business basis of building Multiply Ilse 37 by tine 7 .. ... ....... .. .. .... 36 7 706
reciation pwcruagu Sue Instructions, ..... .....
39 De 39 1 . 819 %
p
40 Du ruclJtiun aidwablu. Mudl hills J8 b lee 39. Eolun hula and ern lie 28 abuvu. Sod lustluctiolr3 40 242
Part IV Carr over of Unallowed Expenses to 1995
41 Operating uxpunsus. Subtract line 25 Irom lino 24 It loss than Zero, enlur -0-
42 Excess Casualty osSus rid deprt'ClJllrl SUblldcl Ilnu 31 Irons laid 30. It lulls Ilea Zero. anet -0- 41
42 0
0
For Paperwork Reduction Act Notice, see page I of separate instructions, For„I 8829 Osu4l
4662 I Depreciation and Amortization
(Including Information on Libted Property)
UrV nr lnnnl ul the hruwy
neI11Yl II 11111 Nn Un IV10II
NANCY C WE [GEL
alre.n tee ur Ic ln.ly lu nN. n Ilse L:,,q nloln
SCIIEDULE C MIEOFF'[CE) !!ANCY C WEIGEI, _
ert I Election To Expense Certain Tangible Property (Section 179)
_ (Note: II you have any 'Llolud Plupuny," cwnplutu Pull V below you emnpluto Pall I.)
Maxmuun dollar Ilmltation (If an enlwpnsu 7utio tJeuinuta, sad Inutrucllolls.) ...... ... .......... .. . .
2 rulul caul el buc11011 1111 peep Urly plscud II) UVIVICU during the lux yUZI oUa Instructions) ... . .... .
0 tnluohuld cunl or uccllun 17U plupully betide raduclluu In lunllalwll ..... .............. ..... .
4 HuUUclmn in hnulullon Subtma hnu 9 hum law 2. II Zulu Of luau, inner -U- ...... .......... .... .
5 Uullm Iunuallun lur lux your. Suulrucl Ilnu 4 Mall 1111U 1 II Zulu uI lobo, unite -0-
(it rriJlrluo Incl. LLEulaluly_Lou InuUucllunu) ... .. .
6 - IV) /LUnnl,?o cl cry prry _ obl [uH -
2
67
7 Lltiled property Enlul amount Main hou 26 .. .... .......................... 7 'r '., '??,".91 i1'I IIiIIIIIIR IIIIp; III
B Total alucred coal of WC11011 170 plepurly. Add unicorns in column (c), lines 6 and 7 ........................... B
B Tunlasvu auductlun. Elliot Ihu bnwliw of lino 6 or line U ........... ................................ .. . B
10 Carryover Of disallowed deduction trail 1099 (sou Instructions) ............... ...................... ... 10
11 Taxable Incumu hnululwn. Enlur Ina anwllur at laxablu mconto (not loss than zero) Of lino 6 (uuu instructions)....... 11
12 Section 179 axpunso deduction Add line* 0 and 10, bal do riot enter inoto Ilian hula 11 ... ........ 12
10 Canyovm at disallowed deduction le 1906. Add hnus 9 and 10, loss law 12 .. ...... . ; . . ? 13 -j 1 !I:I'll ;. l ii
Note: Do riot use Purl II at Poll III buluw lot Ilulua property (automabllos, certain other vuhicreU, cellular IolUphonoU, curtain cumpule(a, at property used for
UMUTILtnmunl, (actuation, of anulbomun). Inbreed, use Part V Ior riled proporty.
art lij MACRS Depreciation For Assets Placed In Service ONLY During Your 1994 Tax Year
(Do Not Include Listed Properly)
IV) Month uuu Ic) aunlol Jrprxcuehml
14 lOee.LUlwn ul prcynrlr Yrar Vleuuln (SpelnrpllnvllUmrnt ue• W)necuvvey (dl (1)M.l h of (el ellpnueuan ded.,eon
.,.. r,......... r....e,,...1 VuloJ CQlr loon
Section A - General Denreclallon Svstem IGDSI (sou Inslrucuonsl.
14a J:Year
le 5-your pre wly
C 7-year propony
of 10-yeur ra urn
_____.,_
e 15-year Properly
--------
I property
9 Ruuldunual rental propuny ,--- -
_
In Nonrosldunuwreal propurl VARIOUS 751 39 MM S /L 10
Stollen a - Alternative Depreciation System (ADS : (sae instructions )
16a class hle
--
b 12-guar .
C 40- our
Part III Other Depreciation (Do Not Include Listed Property)
16 GDS and ADS doducllmw for aGbuls placed trl service in tux yuara beginning beforu 1904 (seo Inuhucrwnu) ... I!-
17 Property subluct to section lUUlf)It) eluctlon (sae Insuucllons).............. .. ....... ... 17 _
16 ACRS and other dep(uclallon (4uo Im,uu.Uons) ... .. is -T3 -
32
Part IV Summary
19 listed property Entor amount from lino 26 .. ................ .. ........ .. iB }r
20 Total. Add d Mu an line anus 14 and 15 111 column (g), and linos Ili Through 10.
Einar nwu and on II IhU tlpplUpfldt JIU I'll" of your ration . 1Pmtnershlpu and S corporations' sou mctruchonU) 20 242
21 Fur ebswb shuwn abuvu and placed tit but Vicu duling Ihu Cullum your, unlar Ihu ponlon
A Ilia Ualilb allllbula0lu lu saUtull 2b0A CUbls (5UU albinl010115) ....... ... ..... 21
rl<..1 For Paperwork Reduction Act Notice, see page / of the separate Instructions.
4562(1994)
cOMMONWEALTII OF PENNSYLVANIA
1994 Renident Individual Income Tex Return
[l Flecal Year Filer Buffluning . - -10114
10,111'.-:CIAI bk Coto I Y NUM If k 11 4YUVOC4 11c'I
I. of N -
ii'aFiklklkrk11r+1+1+kCA-RT SORTxM0007
164-30-2666 ?JE 208-24-4633
NANCY C WEIGELL
1204 GROSS OR
MECHANICSBURG PA 17066-3112
d L•h"b hwed lhwwachw1evul.arheee 0AY11ME iREPNQI
loom wt ywai elw". 717-766-4
EC 11 Got DIST RICI NAME Iwhm you heed Dec 11, 19941 5cliom
eF/104 VIII,
PA
OR III INIS NIAI aNI(JIIr Lk 01.01 UCLIII'Al1UNI
4[[ bmYle auw Jscul.ahnn
IIA 40,10 941 J 11 l' 111.luud holly...... [111,71,
uuli a
Uukll M1?1 Nlarn.J,le,llyaYparattlly SE1,F-EMP1_0Y_ED__.-
--- 1la JuIm I, N?In lm b.1. myLrnuYY bVUUIia U.LUpulnu
IIL I11...,IY.1, F lnalnlem
IIl NUII NLY NIAlI1N: p:hnLl Unly ll Al'wl Yuw heenlu9q
P[?Yulrial Nuuw?Illn 1.u _-___..IYya 1.n_--,-__-.
1994
lip Cud. NAM l Nil 111 Ilk If N I All l k 111'[ 11)"
Ch1LI IIM II )nu pYd a W up.l Yl and p-h 01dy mnl I., 1111 V IY 1 1141.11,00611
055 ?labelaW,.r. _------•__-,-
MECHANICSBURG AREA 21650
? to, GROSS COMPENSATION - , to
r
fit,
UNREIMBURSED EMPLOYE BUSINESS EXPENSES Ib ,--
n 1c. NET PA TAXABLE COMPENSATION .......... ... . ... It
2. TAXABLE INTEREST .....,... ..... ............... ....... 2
c 3. TAXABLE DIVIDENDS ... ..... ....... .. .. .. 0
C e
4,
rlk 11NCGMtd,N IL L,t51FHINT III LGPt IIAIWNOFPaU5lhkb5, PIIOFEbb IJN OR FARM
....
r-
h
6.
NJ I VAIN UI1 IL Ut bl I Ella I It `_IUL,,ACIIANUk GR UIk.FU:It1011 Cl, PRUPLRTY ...
....... 5
Peasu Lisa Your CQuoCt
School 01511IC1 Code
IN D ICAII IIOW MAIN 0 1ACII
F0I1M0IIhCIIk DUIk I5ATTACI1kD
IT of Faints W•2
a 1)l Schud(s) UE
a of Schud(u) A
N cl Schod(s) B
0 of Schada) C
N of Schud(s) RK- I
N of Sclwd(u) F
N of Sclwil(u) C-F
N of Schud(u) D
a of Schud(s) 0-71
N 01 Schud(s) 10
N of Schud(s) E
N 01 Schud(u) J
M
G Attach All
N 6a. AMOUNT OF EXCLUSION FROM LINE 20 OF PA SCIIEUU1.E I
I fiuqunud Ducwnunlu
PA-10 IN. NUl ln.h.d. In L,n. O I LYrrl 68 . L?_-- _.__ -
J 6 NET INCOME OR (LOSS) FROM RENTS, ROYALTIES, PATENTS AND COPYRIGHTS.. . 6
0 .
7.
ESTATE AND TRUST INCOME 7
A B. GAMBLING AND LOTTERY WINNINGS ... ..... 6
01 9, IQIALPATAXABLE INCGMLIT'IIIL,npIC.J.3,4.V0'1anY1 ooNo IDkdUCI1L055k511. 9 3-19-9-0
A 10. TAX LIABILITY Mulh I Life 9 b 2.9 % (.020 ... .......... ............ 10 112
x TOTAL PA INCOME TAXES WITHHELD . ....... .... ...................... . Ii _•
if. _
12 ESTIMATED TAX PAYMENTS AND CREDITS B
. o
This Retunl Must
12a Credit Flom 1993 PA Return ... ......... 12a Filed On Or Below
I'
12b 1994 hlbldlhllulll Paynwnls ..... ... ...12b
60
_
Apml 17, 1995
r
F
12C Paymonl wall 1904 Request lot Extension.. .... ....12c
N
r
12d TOTAL PAYMENfS AND CREDITS ............ ...... ....... ....
Ild 60]
13 TAX FORGIVENESS CLAIMED FROM PA SCHEDULE SP Sue lostIIIC11URS
. IL Urcr?wrnlL ?Ianvalmml,n. 1, Pall Id III PA buudwr sP
- ElnmWd
For A
: n
lox Credit Crodn And Claiming
c IUb kIlg,Ydill7[107"°IIw"' I In.]. Fart IV u l PA bun WUh SP 17b
3b IV011a5s
F
l
T
R ax
a
g
E I1c F.a.rdl AUlu>bd mUel lnLYn,. Irnrn One W. Part Id u r PA 5,d by .. 1111
D
I
Flat IV 0 PA bcMUUIa SP .,., .,
IAA FaIU:NEit E55 FROM LIrIk tl
.10d
,
I14
5 14. TOTAL CREDIT FOR TAXES PAID TO OTHER STAPES OR COUNTRIES.. ... 14 _
16. EMPLOYMEN r INCENTIVE PAYMENTS CREDIT ... ......... .. ....... . . 15
16. TOTAL PAYMENTS AND CREDITS (Total Lees 11, 12d, 13d, 14 and 15 ... 16 60
17
A 17, TAX DUE Sue wWfUCIIuns our Payog your lux duo. II loss Ihan $1.00, n0 payment Is ruquoud r.. _I
it 19. OVERPAYMENT .. .. 16 L
G 100. AITIQL 111 of Lee 1010 be REFUNDED. ... ... ........ ...... . .
P 19b. Amount of 1.100 1a to Lu CREDITED to YOUR 1995 ESTIMATED TAX ACCOUNT
M
N 19c. Amount 01 Lino to to by DONATED to Ih0 WILD RESOURCE CONSERVATION FUND
19d. Amuunl ul Line to to b1) UONATED to Thu U S OLYMPIC COMMITTEE, PA DIVISION
uhavi pallddods UI per ,try, I JYCIaI, that I have
your 3,9nahd.
Dxle
Slrjn ? % _------ _ __L-.--
here SpnuapbYnahlr. 171-1 luhily. NUllllnual l,yn .von ll only 1)n. had urcom.l
......,..., 190
19b
.. .,,. .. 19C
....,..,, 19d
I& elal.nwnts, and I. the seal I1. In
lynx nu. ofpr ap . of her III an 1.
pnpa"r has any knowledge
xJEAN P ANDERSC
Prep...i. telrphune Numh.r
(717) 766-0901
a of Schad(s) SP
a of Sehed(s) G
a of Schad(s) W
2
6
ObOH 9dS)1NVH33W LYU SSULI Vd obnns 31NVH33W
'IO INIMN W Illy n0A 111111,01m 60+o7Jy Yfq NO SSUb9 702 l
095-841-6 1:1!)1 3H A )NVN
i0ij) ++ lb05 lb-mV) 40900041op+lt
iNnom 61 (V6101 A31J1 ICS WklOJ UV163M
0 9952-04-491
Ad03 S.H3AVdXV-
Aa
11-MV
'I J' U - 61 UJI1 i11N Ill'l'1(1l1IN17111761 IO AT IIVN i.II ONN? 1 1
N 63Ud
OIIOIi?,1Ml !Mt) l III tiV ]0105 3111 ION JII___bti JUtItIV UNI11VW IN3UUN0
_ 0?-.
lU3H OJAIIgOIUJJ U1100'JMl MOIiIU UVdA XVI VUNI 1101 N1111VW11011111? IolAv1Afb11 ti6.111tlQV UNI IIVW 010
Si (pi full +nldClfull) NUnl3U 61H1 H1IM BnO 3ONVIV6 AVd Si
11 - "- -? - 6111UdV1J31JV 03NI1 JO HINOW U3d%I JOALlVN3d(INV 16IU41NIOOV 71
1'N I NV i0
Cl Iii I IIJY All JONV IVII OIV-INI) AVJ 'Ol1 :INI I flVIII. l 11 W 'JUUV UV'1 6101 1 3NI
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HOWARD EARL WEIGEL, t IN THE COURT OF COMMON PLEAS OF
Plaintiff I CUMBERLAND COUNTY,
t PENNSYLVANIA
Vs. t CIVIL ACTION - LAW
t
NANCY CAROL WEIGEL, t NO. 94-5251 CIVIL
TERM
Defendant IN DIVORCE
ITEMIZATION OF DEFENDANTOS FEES AND EXPENSES
Rate - $65.00 per hour
r
8/26/92 Initial Interview 1.0 hours
8/27/92 Telephone consultation with Client 0.3 hours
9/28/92 Telephone consultation with Client;
letter to opposing counsel 0.4 hours
9/30/92 Assisted Client in preparing income and
expense statements, re: Support Hearing
scheduled for 10/21/92 1.0 hours
10/15/92 Met with Client to discuss issues being
raised by her husband 0.5 hours
10/21/92 Attendance at Support Hearing 1.4 hours
10/21/92 -11/18/92
Various phone consultations with Client 0.2 hours
11/18/92 Preliminary proposal to opposing counsel 0.5 hours
1/28/93 Reviewed counter-proposal 0.3 hours
2/8/93 Met with client to discuss resolution of
economic issues 0.75 hours
2/9/93 Letter to opposing counsel 0.1 hours
2/19/93 Request for discovery 0.2 hours
3/11/93 Received and reviewed information provided
by opposing counsel 0.3 hours
1/27/94 Made arrangements with Mark Hilbert for
appraisal of real property 0.2 hours
9/16/94 Received Complaint in divorce 0.1 hours
exH181'r
z
9/28/94 Met with Client, prepared Answer and
Counterclaims 1,0 hours
9/29/94 Filed Answer and Counterclaims 0.5 hours
10/27/94 Filed Defendant's Counter-Affidavit 0,5 hours
11/1/94 Prepared and filed income and Expense
Statement 1.0 hours
11/11/94 Reviewed Plaintiff's Petition to
Bifurcate 0.1 hours
11/23/94 Prepared and filed Response to Petition 1.1 hours
11/28/94 Letter to opposing counsel with proposal 0.4 hours
1/4/95 Letter to opposing counsel 0.1 hours
6/23/95 Prepared and filed Motion for Appointment
of Master 0.5 hours
10/1/95 Prepared Pretrial Statement 1.5 hours
10/2/95 Filed and served Pretrial Statement 0.5 hours
Anticipated preparation for and attendance
at Master's Hearing 8.0 hours
21.3 5 hours
Total Fees: $10814.75
Expenses $ 225.00
Fees and Expenses: $2,061.10
Respectfully submitted,
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
pates (717)697-4650
I.D.$ 41301
HOWARD EARL WEIGEL, t
Plaintiff t
t
V. t
t
NANCY CAROL WEIGEL,
Defendant :
IN THE COURT OF COMMON PLEAS OF
CIVIL ACTION
NO. 94-5251 CIVIL TERM
IN DIVORCE
COUNTER-AFYXDAVIT UNDER SECTION 3301(d) OF THE DIVORCE CODE
1. Check either (a) or (b):
&<I (a) I do not oppose the entry of a divorce decree.
C ? (b) I oppose the entry of a divorce decree because
(Check (i), (ii) or both:
(i) The parties to this action have not lived separate
and apart for a period of at least two years.
(ii) The marriage is not irretrievably broken.
2. Check either (a) or (b) :
C ' (a) I do not wish to make any claims for economic
relief. i understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
Gxi (b) I wish to claim economic relief which may include
alimony, division of property, lawyer's fees or expenses or other
important rights.
I verify that the statements made in this counter-affidavit
are true and correct. I understand that false statements herein
are made subject to the penalties of 1.8 Pa.C.S. 54904 relating to
unsworn falsification to authorities.
Date: V A ir,r,4 C_n?t1(_ 11
NANCY CA 114L WEIGEL, Defendant
NOTICE: If you do not wish to oppose the entry of a divorce decree
and you do not wish to make any claim for economic relief, you need
not file this counter-affidavit.
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IN TILE COUItT OF t;OMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
HOWARD EARL WEIGET,
Plaintiff
vs.
NANCY CARO1. WrIGEL,
Defendant
NO. 94-5251 Civil 'Germ 19
MOTION FOR APPOINTMENT OF MASTER
(Plaintiff) (Defendant), moves the court to appoint
a master with respect to the following cLaimst
( X) Divorce (X) Distribution of Property
( ) 'Annulment ( ) Support
( X) Alimony (X ) Counsel Fees
( ) Alimony Pendente Lite (X ) Costs and Expenses
and in support of the motion statest
(1) Discovery is complete as to the claims(s) for which the
appointment of a master is requested.
(2) The defendant (ties) (HdW 4d4Y) appeared in the action 0pzxXXMAA)t)
(by his attorney, R. Mark Thomas ,Esquire).
(3) The staturory ground(s) for divorce (W (are) 3301 (c) and
3.101 (d)
(4 Delete the inapplicable paragraph(s):
(a) 'CB7&xat*Cft1tX1wxwXx=at zkaaic
(b) ?AlpxpcgppatQl4aa4sKtaax4teeatxaaoQtadxttit6dxxxapat?Acax6dle
?FriY Fdl??tt?x3sltA¢litMx
(c) The action is contested with respect to the following
claims: Equitable distribution, Alimony, Counsel fees & Exnenses.
(5) The action (DA7tdiDM) (does not involve) complex issues of law
or fact.
(6) The hearing is expected to take 5 (hours) (dup).
(7) Additional information, if any. relevant to the- motion:
[done sz , - /" /
Date: June 21, 1995
R. Mark Thomas, Esquire
Attorney fcr (Rkadat88R)
(Defendant)
ORDER APPOINTING MASTER
AND NOW ` 19, is appointed master with respect to the following cla.
l 3 t /' l -!Esquire,
By, the Court:
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OFFICE OF DIVORCE MASTER
CUMBERLAND COUNTY
COURT OF COMMON PLEAS
B North Hanover Street
Carlisle, PA 17013
(717) 240.6535
E. Robert tllokerr 11 West shore
Divorce Master 697-0371 Ext. 6536
Treol Jo Colyer
Office Manager/Reporter
TOt The Honorable Harold E. Shealy, President Judge
FROM: E. Robert Elicker, II, Divorce Master
DATEt Monday, June 26, 1995
REt Howard Earl Weigel vs. Nancy Carol Weigel
NO. 5251 Civil 1994
In Divorce
It appearc that Richard C. Snelbaker of my prior law
firm is representing the Plaintiff in the above case. Because of
our prior association I believe it is probably inappropriate for
me to serve as Master in this case and I suggest that perhaps the
case be assigned to a Judge or a special Master.
If there is any difficulty with my returning the file,
please advise.
f?
E. Robert Elicker, II
Divorce Master
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HOWARD EARL WEIGEL,
Plaintiff
Vs.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94- CIVIL TERM
IN DIVORCE
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 divorce is indignities or irretrievable
breakdown of the marriage, you may request that the court require
you and your spouse to attend marriage counseling prior to a
divorce decree being handed down by the court. A list of
marriage counselors is available in the office of the
Prothonotary at the Cumberland County Court House, Carlisle. You
are advised that this list is kept as a convenience to you and
you are not bound to choose a counselor from the list. All
necessary arrangements and the cost of counseling sessions are to
be borne by you and your spouse.
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 WHERE YOU CAN GET LEGAL HELP.
Court Administrator
One Courthouse Square
Carlisle, Pennsylvania 17013-3387
(717) 240-6200
LAW O/.ICLII
SNELOAKER SNELB ER BR NEMAN, P. C.
n
BRENNENIAN _
By ?C? CI
Attorneys for Plaintiff
HOWARD EARL WEIGEL,
Plaintiff
Vs.
NANCY CAROL WEIGEL,
Defendant
t
t
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94- CIVIL TERM
IN DIVORCE
t
t
1.
The Plaintiff in this action is HOWARD EARL WEIGEL, an adult
individual, who resides at 317 Hertzler Road, Mechanicsburg
(Upper. Allen Township), Cumberland county, Pennsylvania 17055.
2.
The Defendant in this action is NANCY CAROL WEIGEL, an adult
individual, who resides at 1204 Gross Drive, Mechanicsburg,
Cumberland County, Pennsylvania 17055.
3.
Both the Plaintiff and the Defendant have been bona fide
residents of the Commonwealth of Pennsylvania for at least six
(6) months immediately previous to the filing of this complaint.
4.
The Plaintiff and Defendant were lawfully joined in marriage
on April 17, 1954, in Silver Spring Township, Cumberland County,
uw OFAICK,
SNELOAKER Pennsylvania.
6
BRENNEMAN 11
5.
There have been no prior actions of divorce or for annulment
between the parties hereto in this or any other jurisdiction.
6.
Neither party is a member of the armed forces of the United
States of America.
7.
The Plaintiff avers as the grounds upon which this action is
based is that the marriage between the parties hereto is
irretrievably broken.
8.
The Plaintiff has been advised that counseling is available
and that Plaintiff may have' the right to request that the court
require the parties to participate in counseling.
9.
The Plaintiff requests the court to enter a decree of
divorce.
WHEREFORE, Plaintiff, HOWARD EARL WEIGEL, prays your
Honorable Court to enter a decree of divorce, divorcing the
i
Plaintiff from the bonds of matrimony heretofore existing between
Ilthe Plaintiff and the Defendant.
LAW OFFICES
$NELIJAKER
a
BRENNEMAN
-2-
I verify that the statements made in the foregoing complaint
are true and correct. I understand that false statements herein
are made subject to the penalties of 18 Pa. C.S. $ 4904 relating
to unsworn falsification to authorities.
Howard Earl We 1
Plaintiff
Dater September /j , 1994
SNEUA R & EN IJAN, P.C.
By
'Richi C. Snelba er
44 West Main Street
Mechanicsburg, PA 17055-0318
(717) 697-8528
Attorneys for Plaintiff
uw orricrn II
SNELRAKER
a
BRENNEMAN
-3-
HOWARD EARL WEIGEL,
Plaintiff
Vs.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94- CIVIL TERM
IN DIVORCE
PFFIDAVIT
HOWARD EARL WEIGEL, being duly sworn according to law,
deposes and says:
1. I have been advised of the availability of marriage
counseling and understand that I may request that the court
require that my spouse and I participate in counseling.
2. I understand that the court maintains a list of marriage
counselors in the Office of the Prothonotary, which list is
available to me upon request.
3. Being so advised, I do NOT request that the court
require my spouse and I participate in counseling prior to a
divorce decree being handed down by the court.
I understand that false statements herein are made subject
to the penalties of 18 Pa. C.S. S 4904 relating to unsworn
falsification to authorities.
Howard Earl Wefigel
LAW O.,ICE, (Plaintiff)
SNELUANE1,
BREN(k Date: September /? , 1994 EMAN
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HVWFkiJ F..FkI_ WE'JCk'L, IN THE COURT OF COMMON PLEAS OF
VJ.alntiti' CUMBERLAND COUNTY, PENNSYLVANIA
va:. CIVIL ACTION - LAW
NANr:Y C'AkQ WF.IGYo' Nc. 54-8161 CIVIL TERM
qutendant IN DIVORCE
rJYL) QF COURT
ANI) NOW, thin 7 • d;jy of November, 1594, upon
ra?nciriernt)on of tho within Petition to Eifurcate Divorce Case
nrsd r)n the m0.1,m of t;nelbnYer 6 Brenneman, P.C., Attorneys for
l+a?' i+ i rner -1 J n i nt i t t, Null: i. s hereby granted upon the
l+eripandent (h-tenidn+. to show cause, if any she has, why the
lu a yar nrni r e l i rrt csrilight in rsa id Petition should not be granted,
rirsid bulb rerurnablor in twrenty (20) days after service hereof.
A ,?ertitirrri ,aipy r,t thin Order with copy of said Petition
rnt i no:hed rih,i1 I uer've nos the Puln to be served.
hervil!e ut uald Mule nhall be made by certified mail, return
re.'elpt r'erirleHtmi, upon the attorney for the Respondent-
Iletendnnt.
By the Court,
, .,,, IAI Iblu
tip, 111 ,. M.1 PI
HOWARD EARL WEIGEL,
Plaintiff
vs.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
No. 94-5251 CIVIL TERM
IN DIVORCE
PETITION TO BIFURCATE DIVORCE CASE
TO THE HONORABLE, THE JUDGES OF SAID COURT:
AND NOW comes HOWARD EARL WEIGEL, Plaintiff, herein, by his
Attorneys, SNELBAKER 6 BRENNEMAN, P.C., and respectfully
represents as follows:
1. Your Petitioner herein is HOWARD EARL WEIGEL, the
Plaintiff in the above captioned action in divorce.
2. The Respondent herein is NANCY CAROL WEIGEL, the
Defendant in this action.
3. The parties were married on April 17, 1954.
4. The parties separated on or about September 1, 1992.
5. Petitioner instituted this action in divorce with the
filing of a Complaint on September 14, 1994, in which he averred,
inter alia, that the marriage of the parties is irretrievably
broken.
6. On October 7, 1994, the Petitioner filed the requisite
affidavit pursuant to Section 3301(d) of the Divorce Code
averring that the parties separated as aforesaid and have
continued to live separate and apart for a period of at least 2
uw oniceu
SNELOAKER 11 years.
BRENNEMAN 11 7. A true and correct copy of said Affidavit was duly
served upon R. Mark Thomas, Esquire, the Attorney for Respondent
by certified mail on October 11, 1994
heretofore filed.)
(See Affidavit of Service
8. The Respondent has filed a counter-affidavit indicating
that she does not oppose the entry of a divorce decree and did
not otherwise contest the averments in said affidavit filed as
aforesaid.
9. The parties have continued to live separate and apart
for a continuous period in excess of two (2) years.
lo. Petitioner desires to begin restructuring his life and
believes that the termination of his marriage to Respondent will
be beneficial in such regard.
11. Petitioner desires to bifurcate and separate the single
issue of termination of marriage from the several economic and
property issues pending between the parties, and agrees and
requires that said economic and property issues and claims be
preserved for resolution by your Honorable Court notwithstanding
the issuance of a decree dissolving the parties' marriage.
12. Petitioner believes and, therefore, avers that no
prejudice will result to Respondent from such bifurcation.
WHEREFORE, your Petitioner respectfully requests your
Honorable Court to bifurcate this action into two parts, to wit:
(a) dissolution of marriage, and (b) all other economic and
property matters included in this actin
SNELBA?KR PR RNEMAN, P.C.
uW OIEICLe1 f• /
SNEIDAKER '?-
n By_ rl(n C. ?...
BRENNEMAN D n1??rA !` Cnulha4c
44 West Main Street
Mechanicsburg, PA 17055-0318
Attorneys for Plaintiff-Petitioner
-2-
II
•
VERIFICATION
It HOWARD EARL WEIGEL, do hereby verify that the statements
made in this Petition to Bifurcate Divorce Action are true and
correct to the best of my knowledge, information and belief. I
understand that false statements made herein are subject to the
penalties of 18 Pa. C.S. §4904 relating to unsworn falsification
to authorities.
Howard Earl WkJigel
Petitioner-Plaintiff
LAW OFFICES
BNELBAKER
e
BRENNEMAN
Dated: November .3 , 1994
•
LAW orllcce
SNELUAKER
a
BRENNEMAN
I hereby certify that I am this date serving a true and
correct copy of the within Petition to Bifurcate Divorce Case and
suggested order of Court upon the attorney for the Defendant by
sending the same by first-class mail postage paid addressed as
followst
R. Mark Thomas, Esquire
54 East Main Street
Mechanicsburg, PA 17055
Dated: November 4, 1994
SNELBAKER & BRENNEMAN, P.C.
Attorneys for Plaintiff
HOWARD EARL WEIGEL,
Plaintiff
vs.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION
NO. 94-5251 CIVIL TERM
IN DIVORCE
ANSWER AND COUNTERCLAIM
AND NOW, comes the Defendant, NANCY CAROL WEIGEL, by and
through her attorney, R. MARK THOMAS, ESQUIRE, and files this
Answer and counterclaim to the Plaintiff's Complaint in Divorce.
ANSWER TO COMPLAINT IN DIVORCE
Paragraphs 1 through 9.
Pursuant to Pa. Rule of Civil Procedure 1920.14, an answer to
the allegation of an action for divorce is not required, and such
allegations are deemed denied.
COUNTERCLAIM - COUNT I
EQUITABLE DISTRIBUTION
10. Plaintiff and Defendant possess various items of both
real and personal property which are subject to equitable
distribution by this Court.
WHEREFORE, Defendant requests the Court to equitably
distribute the marital property.
COUNTERCLAIM - COUNT II
REQUEST FOR ALIMONY
11. The prior paragraphs of this Answer and Counterclaim are
incorporated herein by reference thereto.
12. Defendant is unable to sustain herself during the course
of litigation.
13. Defendant lacks sufficient property to provide for her
reasonable needs and is unable to sustain herself through
appropriate employment.
14. Defendant requests the Court to enter an award of alimony
in her favor pursuant to §3701(a) of the Divorce Code.
WHEREFORE, Defendant respectfully requests the Court to enter
an award of spousal support and/or alimony pendente lite until
final hearing and there upon to enter an order of alimony in her
favor pursuant to 93701(a) of the Divorce Code.
COUNTERCLAIM - COUNT III
REQUEST FOR COUNSEL FEESo COSTS AND EXPENSES UNDER
SECTIONS 3104(a)(I), 3323(b) and 3702 OF THE DIVORCE CODE
15. The prior paragraphs of this Answer and Counterclaim are
incorporated herein by reference thereto.
16. Defendant has employed R. Mark Thomas, Esquire, to
represent her in this matrimonial cause.
17. Defendant is unable to pay her counsel fees, costs and
expenses and Plaintiff is more than able to pay them.
18. Plaintiff is employed and has the ability to pay
Defendant's counsel fees, costs and expenses.
19. Reserving the right to apply to the Court for temporary
counsel fees, costs and expenses prior to final hearing, Defendant
requests that, after final hearing, the Court order Plaintiff to
pay Defendant's reasonable counsel fees, costs and expenses.
WHEREFORE, Defendant respectfully requests that, pursuant to
Sections 3104(a)(I), 3323(b) and 3702 of the Divorce Code, the
Court enter an order directing Plaintiff to pay Defendant#s
reasonable counsel fees, costs and expenses.
Respectfully submitted,
E
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
(717) 697-4650
I.D.$ 41301
VIRMCATZON
it NANCY WEIGEL, verify that the statements made in this
Answer 6 Counterclaim are true and correct. I understant that false
statements herein made are subject to the penalties of 18 Pa. C.B.
S4904, relating to unsworn falsification to authorities.
NAN Y WEI L
1`
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Ln
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M
I
r^J i?
i
CIO
MACH
WALMw
ris 41 LAW
4IN q*spr
iURO, !A IMP
HOWARD EARL WEIGEL, c IN THE COURT OF COMMON PLEAS OF
Plaintiff c CUMBERLAND COUNTY, PENNSYLVANIA
I
Vs. c CIVIL ACTION - LAW
t
NANCY CAROL WEIGEL, c NO. 94-5251 CIVIL TERM
Defendant c IN DIVORCE
PRAECIPE TO ENTER APPEARANCE AND ACCEPT SERVICE
TOc Prothonotary of Cumberland County
I, the undersigned, hereby appear as attorney for Nancy
Carol Weigel, defendant, and accept service of the Complaint and
acknowledge receipt of a duly certified copy thereof.
R. Mar Thomas, Esquire
54 East Main Street
Mechanicsburg, PA 17055
Attorney for Defendant
Datedc September p26 , 1994
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HOWARD EARL WEIGEL,
Plaintiff
VS.
NANCY CAROL WEIGEL,
Defendant
t IN THE COURT OF COMMON PLEAS OF
t CUMBERLAND COUNTY, PENNSYLVANIA
t
t CIVIL ACTION - LAW
t
t NO. 94-5251 CIVIL TERM
t
TO: NANCY CAROL WEIGEL, Defendant
and
R. MARK THOMAS, ESQUIRE
Attorney for Defendant
If you wish to deny any of the statements set forth in this
affidavit, you must file a counter-affidavit within twenty (20)
days after this affidavit has been served on you or the
statements will be admitted.
AFFIDAVIT UNDER
SECTION 3301(d) OF THE
DIVORCE CODE
1. The parties to this action separated on September 1,
1992, and have continued to live separate and apart for a period
of at least two years.
2. The marriage is irretrievably broken.
3. 1 understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
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. S 4904 relating to
unsworn falsification to authorities.
w Date: October 1994
SNE.i IAKi ti Plaintiff
2ru..NCMAN.
HOWARD EARL WEIGEL,
Plaintiff
Va.
NANCY CAROL WEIGEL,
Defendant
TO THE PROTHONOTARY:
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION
NO. 94-5251 CIVIL TERM
IN DIVORCE
Pursuant to Pa.R.C.P 1920.31, please find attached hereto a
true copy of the Defendant0s most recent Federal Income Tax Return
along with a completed Income and Expense Statement. The Defendant
is self-employed and has no pay stubs to submit.
Respectfully submitted,
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
(717) 697-4650
I.D.N 41301
Label
(see L
Instructions A
on page 12.) a
Use the IRS L
label. H
Otherwise, e
planes print N
or type. a
Prenidentlel
Election cempelg
pepanrnenl of the fleas ly-111•111111 ltuvenue riumcis
of the year Jan I -DOC. 31, 1993, or Other toe year beginning . luu
Your lire[ nann• still untial last 11111110
Its SP 164 208.24.4633 28 SP
NANCY C WEIGEL
sea 1204 GROSS DR
MECHANICSBURG PA 17055.3112
1115 tree o
nsing
„. 110
Do you want $3 to go to this fund? , . . .
II a feint return. does Your spouse want b3 to Oo to this fund?
Your social security number
Iy, : ao (.?s& L
spouse's social security IN mb r
Aofia? : 41..23
For Privacy Act and
Paperwork Reduction
Act Notice, see page 4,
Vas NO Notat Checking 'Y#f
Will not change your
tax or reduce your
refund,
1 Single
FOIRg StetOS 2 Married filing joint return (even it only one had income)
(Bee page 12.) 3 Marled filing separate return, Enter spouse's Social secunty no, above end full name here. ? A e wAAb W rte o-CL
Check only 4 Head of household (with qualifying person). (See page 13.) It the qualifying person Is a child but not your dependent,
one'box, enter this child's name here. ? __
s Oualifvina widow(er) with dependent child (year spouse died ? 19 6 (See page 11)
Exemptions
(See page 13.)
If more than six
dependents,
see page 14,
6a ® Yourself, It your parent (or someone else) can claim you as a dependent on his or her tax
return, do not check box 6a. But be sure to check the box on line 33b on page 2
b El Spouse
Dependents; ( Oak ( I aye 1 at alder. ( eollwent's 1 o. of months
c
p) Name Itirst, mlbal, and 451 name[ Ilundet
gat I dependenyseod,tlsaumy
number relationship to
Will Ined in your
home in 1
of II your child didn'I live with you but is claimed as your dependent under a pro. 1985 agreement, check here ? U
re Total number of exemotlons claimed . . . . . . . . . . . . . . . .
Me. at brio
shocked so Is
Ise Ili
No. of your
children on of
she:
• lived with yss
• .21111'1 lire with
you due to
11111111113 of
N/1,1111" (eel
poll 11)
06pdslente an /c
not seine show
Andre n
anlud o es Mil
1
Attach Form(s) W-2
salaries
lips
etc
7 Wa
es r
,
,
.
g
,
1
Income S
e 16)
Attach Schedule B it over $400
ble Interest Income (see pa
Ta fie
. .
g
.
a
xa
Attach to Tax-exempt interest (see page 17). DON'T Include on line Be I So I
Attach Schedule B if over $400
Copy B of your 9 Dividend Income „;;
9.,
. . . . . . .
.
or offsets of state and local Income taxes (see page 17) -
credits
- 10 Taxable refunds
Forms 10
,
,
an
W-20. d
-
received
I 1 Alimon
11
S 0
. . . . . . . . . . . . . . . . . . .
y
1099-111 here.
Attach Schedule C or C-EZ
12 Business income or (loss) 12 A
.
did
not
you
Attach Schedule D
ital
ain or (loss)
13 Ca 13
g
p
.
.
got a
W
2,
see
g -
ain distributions not reported on line 13 (see page 17)
ital
e 10
14 Ca
a
14
. . . .
g
.
p
p
g
Attach Form 4797
15 Other
ains or (losses) Is
.
g
If you are 16a Total IRA distributions 16a . , . , . , .
b Taxable amount (see page 18) ' 16b
.
attaching a
17a Total pensions and annuities
17a
b Taxable amount (see page 18) -
17b
check or money
trusts
etc. Attach Schedule E
partnerships
S corporations
order
put It on 16 Rental real estate
royalties 16
,
,
,
.
,
,
top of any 19 Farm Income or (1055)
Attach Schedule F 10
.
Forms 20 Unemployment compensation (see page 19) 20
W-26, or r
21a Social security benefits 121a I I I Is Taxable amount (see page 19)
1099-R
211a
.
_
List type and amount-see page 20
22 Other income 22
.
.
23 Add the amounts in the far right column for lines 7 through 22. This is your total Income ? 23 1 -1& S
24a Your IRA deduction (see page 20) zas
Adjustments b Spouse's IRA deduction (see page 20) 245
to Income 26 One-half of self-employment tax (see page 21) 26
1 26 Self-employed health insurance deduction (sea page 22) •
(See page 20 26
.
27 Keogh retirement plan and self-employed SEP deduction • 27
+
26 Penalty on early withdrawal of savings 28
. . . .
•
29 Alimony paid. Reuplent's SSN I,
29
•
30 Add lines 240 thrount: 29. These are your total adjustment s . . . . . , . 10 30 I 1 S
Adjusted 31 Subtract line 3U from line 17. rms is your •ojusaa gross meome, it r is amount is less Iran
$23,050 and a child lived with you, see page EIC- I to find out if you can claim the 'Eernstl _ _ `7 [ w D
HA11 PAINT1a IN U 5 a Form 1U4U0993)
_
IF _ ree_, 111
eau .-
• sL....r/?.rni CI CC_IW._Qa
(0 4 / 3 01 _a? Pepe Z
M 10400V931 name -rx.mu - - _ -- - - -- - --
`
02
. . . ,
D2 Amount from Ilne 31 (sit)uated gross income) ,
Tax
?
Dllnd.
? Blind; ? Spouse wall 66 or older,
33a Check iti ? You were 66 or older, E
!71"
Compu-
tatiOn Add the number of boxes checked above and enter Ilia total hare . ? DDa
I, 33b ?
b it your parent (or someone also) can claim you as a dependent, check here
a If you we Inarned filing separately and your spouse deonltes deductions or
? 33
?
o
you are o Jual-status alien, Be* page 24 and check here
Ibemlaed deductions from Schedule A, line 26. OR
34 Enter Standard deduction shown below for your filing status. But If you checked
the ¦ny box on line 33a or It, go to page 24 to find your standard deduction.
"
'
l
ger It you checked box 33c, your standard deduction is taro. ? 34 D 31
on
a Single-53,700 a flood of household-56.450
your:
e Mottled filing jointly or Qualifying wldow(ar)-56,200
e Married filing separately-63, 100 %+++
35
35 Subtract line 34 from line 32 , , . . . . , . , . . , . . . .
36 It line 32 is 681,360 or less, multiply $2,350 by the total number of exemptions claimed on
4
25 for the amount to enter
k
h 06
.
eet on page
s
line Be. It line 32 is over 681,360, see the wor
?
enter .0-
more then line 35
If li
36 i
35
li
f 37
.
,
ne
ne
s
.
rom
37 Taxable Income Subtract line 36
Circle Status:
6 HH OW 38 Tax. Check it from a ® Tax Table, b ? Tax Rate Schedules, a ? Schedule D Tax Work.
ont Form(s) 8814 ? e )
t f
25
A
? 38
r
moun
).
Form 8615 (See page
MFJ MFS shoat, or d
? Form 4970 to ? Form 4972
m
Ch
k If f 3p
ro
n
ec
39 Additional taxes (seepage 25).
40 Add lines 38 and 39 . ? 40
Attach Form 2441
enses
nt care ex
nd
h
f
ld
d d 41
p
.
an
epe
e
or c
41 Credit
i
dit
C
s
re
Attach Schedule R
or the disabled
ld
rl
i
l
th 42
.
y
ot
e e
e
t
42 Cred
h Form 1118
Atta
l
dit 43
. .
ax cre
,
c
(See pope 43 Foreign
25J 44 Other credits (see page 26). Check it from a ? Form 3800
8306 c ? Form 8801 of ? Font (specify)
, ? F
I 44
.
_
orm
t
h 44
46 Add lines 41 throu . . . . . , 45 _
g
46 Subtract line 45 from line 40. If line 45 is more than line 40, enter -0- . ? 46 0
See line 25
Also
hedule SE
t t
Att
h S
l 47
,
.
ac
c
oymen
ax.
47 Self-emp
Oth
er
h F
rm 6251
t
Att 48
. . . . .
ac
o
ax.
46 Alternalive minimum
T
8X@B
Check if from s ? Form 4255 IS ? Form 6611 e ? Form 6826
26)
t
R 49
axes (see page
.
ecapture
40
Attach Form 4137
income not reported to employer
dicare tax on ti
d M
i
l
t 60
.
p
securi
y an
e
a
50 Soc
attach Form 5329
It required
lane
Including IRAs
tirement
lifi
d r
51
T 51
. . .
,
.
p
,
ex on qua
e
e
.
52 Advance earned income credit payments from Form W-2 . . . . . . . . - 52
63 Add lines 46 through 52. This is your total tax . . ? 63
check le C]
II any is from Form(s) 1099
54 Federal income tax withheld 54
,
.
ments
Pa
y
ments and amount applied from 1992 return
66 1993 estimated tax pa 6
6 0
.
y
Attach Schedule EIC
56 Earned income credit 56
,
Attach
aid with Form 4868 (extension request)
Forms W-2
57 Amount 57
,
p
W.2 and
and RRTA tax withheld (see page 28)
Medicare
Excess social securit
58
B
68a
.
y,
,
s
h on
09
Ahech Form 6841
the front
b Deferral of additional 1993 taxes 58b
,
.
59 Other payments (see page 26). Check if from i ? Farm 2439
Is ? Form 4138 69 ..
.
60 Add lines 54 through 69. These are our total payments ? 60
This is the amount you OVERPAID, ?
subtract line 53 from line 60
61 11 line 60 is more than line 53 61
.
,
Refund or
se-
ou want REFUNDED TO YOU
62 Amount of line 61 62
. . . . . .
y
Amount
You OWS 63 Amount of line 61 you want APPLIED TO YOUR 1964 ESTIMATED TAX No - 63
64 It line 53 Is more than line 60, subtract line 60 from line 53. This Is the AMOUNT YOU OWE. +:
, N 6
For details on how to pay. Including what to write on your payment, see page 29 . + 64 1
65 Estimated tax penalty see page 29). A15o include on line 64 66 --...
......?
Sign Under penalties or perjury. I deelme that I have examined this return and accompanying acheduies Arno stalemanla, and to the bat of my knowledge and
bear, they are we, CWKI, and complete. DKINeiixt of prepare, (other than taxpayer) is based an all Information or which papers, has any Fnewledge.
Here Yaw signature Dais Your occupation
Keep a copy ' D A BV + I TT C IR
of this return
for your
Spouses signature It a joint return. BOTH must sign. Date
Of
Spouse's occupation
records. _
Paid Date
f''•pererl a 1
I S
9 Preprriv's SocW security no.
Check it
1; 342C'
3c}$' 3
Prepare''' egnnwe
-
-
4 sef•employed ?
.
Use Only plm9n1MWya ' H&R BLOCK
wdyed)a
i
t
`e
e E.LNO. 23 2314357
a
d
oi
" zlPcode 17055
11411131 1040-2 numeo la u.e.4.
c0_w1 (D
SCHEDULE C Proflt or Loss From Business 011,11 No. 184e•0014
(Form 1040) (Sob proprietorship)
X1993 -
Pertnershlpa. joint ventiIi em, must file Form 1066, Attachment
Internal r;,,,,1; e;wr"r 0 Attach to form 1040 or Form 1041, 1, So* Instructions for Schedule C Form 1040. Sequence No. 00
Name of Proprietor Social security number (SNO
/``y or p C,4 C W EI F?_ "t 1, a1sk
A Principal buelne s or rolesalon. Including product or service lees page C. t) rile/ principal tea nen ao
^?j' A AQjj T F/? (seepage C•6)0 B r? i 14
C Business none. II no sepals!: buslnass name, leave blank. J D Employer ID number (KIN), it an
NA NC VJEt& I L,i
I Business address (including suite or room no.) 10 ......a.p4 _ S _!_)R.... ........... ...........................
City town or post office elate and ZIP code VA EC s4? N 1 (+ 04 r A J-16 5
F Accounting method, (1) iR Cash (2) ? Accrual (3) ? Other (specify) 10 ..................................................
0 Method(s) used to Lower of cost Other (attach Dees not apppply (If yes No
value closing Inventory: (1) ? Cost (2) ? or market (a) ? explanation) (4) S checked, skip fine H)
H Was there any change in determining quantities, costa, or valuations between opening and closing Inventory? If "Yee," attach
explanation • • , . • ' '
1 Did you "materially participate" In the operation of this business during 19094 It "No," see page G2 for Ilmll on losses ,
J It You started or acquired this business during 1993, check her:
1 Grose receipts or sales. Ceutlont If this income was reported to you on Form W-2 and the "Statutory ? 1 0
employee" box on that form was checked, see pope C•2 and check here . . . .
2 Returns and allowances 2
a 0
3 Subtract line 2 from line 1 . . . . . . . . . . . . . • . . • • . , . • 4
4 Cost of goods sold prom line 40 on page 2) . . . . . . • • . . • • . . • • • . 6 90 311
6 Gross profit, Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . • 6
6 Other Income, Including Federal and state gasoline or fuel tax credit or refund (see page C•2) . . _ 7
7 Gross Income. Add lines 6 and 6 . . , . • . . • • • • • . •
E 6 Caution' Do not enter expenses for business use of our home on lines 8-27. Instead, aee line 30.4•
x ense ,
6 lans
rofit-sharin
i
d
P 19
8 Advertising . . . . . g p
ens
on an
p
19
9 Bed debts from sales or 20 Rent or lease (see page C•4): %»?+.
9 and equipment
machiner
hi
l
V 20a
services (see page C-3) . . y,
c
es,
a
e
ert
iness
ro
Oth
b
t 20b
10 Car and truck expenses 10 y
p
er
p
us
o
and maintenance
i
21 R 21
(see page C-3) . . .
rs
epa
1 (not Included In Pan III)
li
22 S 22
I, Commissions and fees upp
es
12 nd licenses
23 T 23
12 Depletion . . . . . . axes a
. . . 77
reciation and section 179
13 De 24 Travel, meals, and entertainment;
p T
l 24a
expense deduction (not Included rave
a . . . .
e C•3)
a
i
Part Ilq (see 13 to Meals and en-
.
g
n
p
tertainment
14 Employee benefit programs ,
ther than on line 19) 14 c Enter 20% of
. . .
(o line
24b subject
rence (Other than health)
16 I 16 mitations
t
l
n o
i
? (see page C•41 r
fe
18 Interest:
tea t line 24c from line 24b
bt
a
f S 24d
a Mortgage (paid to banks, etc.) r
u
c
o
It 26 Utilities
. . . V6
to Other . , . , , , . . .
.
26 Wages 00111 fobs credit) 26
17 Legal and professional .
services 17 (o 27 Other expenses (from line 46 on
. . . . . . .
18 Office expense 18 page 2) 27 44 3 (y 6
0-
h 27 in columns
Add li
8 th
ou
h 28
.
nes
r
g
ome.
28 Total expenses before expenses for business use of
29 b
29 Tentative profit (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . .
8829 30
. . . . . . . . .
30 Expenses for business use of your home. Attach Form
31 Net profit or (loss). Subtract line 30 from line 29.
e If a profit, enter on Form 1040, line 12, and ALSO on Schedule SE, fine 2 (statutory employees,
a
-- ^ ., ? ....,..,....,.. IAA,Ina .1 a,
• If a lose, you MUST go on to line 32. j
32 If you have a loss, check the box that describes your investment In this activity (see page C•6).
e It you checked 32a, enter the loss on Form 1040, line 12, and ALSO on Schedule SE, line 2 32a C3 All Investment Is at risk.
(statutory employees, see page C-6). Fiduciaries, enter on Form 1041, line 3. 32b0 Some Investment is not
e It you checked 321b, you MUST attach Form 8193. at risk.
For Paperwork Reduction Act Notice, sea Form 1040 Instructions. Schedule C (Form 1040) 1993
H831 1040.0 PRINTED IN u. 5 . A.
? Da _we _W_.
schedule C (?wm 1040(1993 Name N R N LY C W E 1 !. EL BON ` ?'?J - psoe 2
® Cost of Goods sold (see page 0-5)
00 Inventory at beginning of year. If different from lost year's closing inventory, attach explanation , ? 30
04 Purchases less cost of items withdrawn for personal use , , , , , , , , , , , , , ? 04
35 Cost of IWwr, Do not Include salary paid to yourself , , , , , , , , , , , , , , 36
00 Materials and supplies , , , , , , , , , , , , , , , , , , , , , , , ? 3e
07 Other costs , , , , , , , , , , , , , , , , , , , , , , , , , , ? 0
08 Add lines 33 through 37 . . . . . . . . . . . . . . . . . . . 36
00 Inventory at and of year . . . . . . . . . . . . . . . . . . . . . 39
40 Cost of goods sold. Subtract line 39 from line 3e. Enter the result here and on ¦ • 15112 0 1 he Information on Your Vehicle, Complete this pert ONLY If yoere claiming car or
line 10 and are not reouired to file Form 4562 for this business.
expenses on
41 When did you place your vehicle In service for business purposes? (month, day, year) ? ........ i........ z..... .
42 Of the total number of miles you drove your vehicle during 1903, enter the number of miles you used your vehicle for
s Business ................................... b Commuting ................................ o Other .....................................
43 Do you (or your spouse) have another vehicle available for personal use? . , . , . . , . . . . . ? Yea ? No
44 Was your vehicle available for use during off-duty hours? . . . . . . . . . . . . . . . . . ? Yes ? No
45a Do you have evidence to support your deduction? . . . . . . . . . . . . ? Yes ? No
b If `Yes,' Is the evidence written? ? Yes ? No
® Other Expenses. Ust below business expenses not included on lines 13-26 or line 30.
1'0 0. f? ............................................................................................ 0
................................................................... 3 9
..................
................ Ml..r~E.t?4A.N.izov........................................................................
.............. To.x ............................................................................................ J19 3
1. line 27
Ne31 1040-SA IIMM4D IN U.S.A.
r ,lle_rs_
u_we_Ot_.
SCHEDULESE Self-Employment Tax rAllachmank (Form 1040) ? see Instructions for Schedule 6E (Form 1040), 93
O"artmeel of the Trwury uence No. 17
inl?eal 111 r Semce 1, Attach to Form 1010.
Name of person wlln eejt•emptoyment income (us shown on Fonn 1040; Social security number of poison
e 1 ... - /1 I. %' . e er with self-employment Income ? 1(04 ;30 ; A S< <i
Who Must File Schedule BE
You must file Schedule BE II;
e Your wages (and tips) subject to social security AND Medicare tax (or railroad retirement tax) were less than $135,000; AND
e Your net earnings from Sell-employment from other than church employee Income (line 4 of Short Schedule BE or line 4e of Long
Schedule SE) were $400 or more; OR
e You had church employee Income of $108,28 or more. Income from services you performed as a minister or a member of a
religious order Is not church employee income, Soo page SE-1.
Notet Even If you have a loss or a smell amount of Income from self-employment, It may be to your benefit to file Schedule BE and
use either "optional method" In Pert II of Long Schedule SE, Soo page SE-3.
Exception. If your only self-employment income was from earnings as a minister, member of a religious order, or Christian Science
practitioner, AND you filed Form 4361 and received IRS approval not to be taxed on those earnings, DO NOT file Schedule BE.
Instead, write "Exempt-Form 4361" on Form 1040, line 47.
May I Use Short Schedule BE or MUST I Use Long Schedule BET
DIG you receive wages or lips in 16037
No yea
Are you a minister, member of & religious order, or Christian Was the total of your wages and lips Subject to aocN security
Sciatica practitioner who lecelved Iris approval not to be Cued Yea or railroad retirement tax plus your net earnings from
on earnings from these sources, but you owe sell•empoyment selLemployment more than $67,6007
lax on other eunings7
Are you using one of the options[ methods to figure your net
earnings (a" page 663)7
Was the total of your wages and lips subject to Meolcere la
plus your net earnings from self-employment more than
5136,0007
Old you receive church employs* income reported on Form
W-2 of $108,29 or mole?
YOU MAY USE SHORT SCHEDULE BE BELOW I
Did you receive tips Subject to soclel sacurtly or Medicare to
that you did not report to your amployar7
YOU MUST USE LONG SCHEDULE BE I
Section A-Short Schedule BE. Caution: Read above to see if you can use Short Schedule BE.
1 Net farm profit or (loss) from Schedule F, line 36, and farm partnerships, Schedule K-1 (Form
1066), line 15a . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Net profit or (loss) from Schedule C. line 31; Schedule C-EZ, line 3; and Schedule K-i (Form
1065), line 15a (other than farming). Ministers and members of religious orders see page SE-1 2
for amounts to report on this line. See page SE-2 for other Income to report . . . .
3 Combine lines 1 and 2 . . . . . . . . . . . . . . . . . . . . . . .
4 Net earnings from self-employment. Multiply line 3 by 92.35% (.0235). If less then $400,
do not file this schedule; you do not owe self-employment tax 10 4
5 Solt-employment lax. If the amount on line 4 Is:
e $67,600 or less, multiply line 4 by 15.3% (.153) and enter the result.
e More than $57,600 but less than $135,000, multiply the amount In excess of $57,600 by 2.9%
(.029). Then, add $6,812.80 to the result and enter the total.
e $135,000 or more, enter $11,057.40.
Also enter on Form 1040, line 47. (Important: You are allowed a deduction for one-half of this
amount. Multiply fine 5 b 50°x6 (5 and enter the result on Form 1040, line 25.
For Paperwork Reduction Act Notice, see Form 1040 Instructions. Schedule BE (Form 1040) 1993
1,4I131 1040.16 rAillTeo ie us a.
enses for Business Use of Your Home
Ex We No. 1645, ION
Farm $829
N p
? File only with Schedule C (Form 1040), Use a separate Form 8529 for each ??93
home you used ter business during the year. Aluchmenl
DeoeraneN or die a«wry
we,r,O FW~ 5e & m No See separate Instructions. o.
Ner11Ne) of pfOfxulons)
At A-NCq C u1E1&E-L._ - Your eodel security number
to i30?ok 4
1 Area used regularly and exclusively for business, regularly for day care, or for Inventory stora
See instructions
2 . . . . . . . . . . . . . . . . . . . . . . . . . .
Total area of home
3
, . . , , , , , , , , , , , , , , , , , , ,
,
Enter the result as a percentage
line 2
Divide line 1 b
%
4
5
5
7
. . . . . . . . . . . . .
.
y
e For day-care facilities not used exclusively for business, also complete lines 4-41.
e All others, skip lines 4-4 and enter the amount from line 3 on line 7.
Multiply days used for day taro during year by hours used per day ,
Total hours available for use during the year (366 days x 24 hours). See instructlona
. . 0. 3131
Divide line 4 by line 6. Enter the result as a decimal amount ,
by
Business percentage. For day-care facilities not used exclusively for business, multiply line 8 line 3 enter he result as a ercente e , All others, enter the amount from line 3 . t
%
Im m Figure Your Allowable Deduction
5 Enter the amount from Schedule C, line 29, plus any net gain or (loss) derived from the business use of
your home and shown on Schedule 0 or form 4797. If more than one lace of business, see instructions
8
3 4
Sate Instructions for columns p) and (b) before p) Direct expen ses (b) Indirect open «s
9 completing lines 9-20,
See Instructions
Casualty losses
9
10 .
. . . , .
Deductible mortgage Interest. See Instructions , 10
11 Real estate taxes. See Instructions 11 14 d (o
12 . . . .
and 11
Add lines 9
10 12 I LI-A (a I
13 , , , , . . . . .
,
,
Multiply line 12
column (b) by line 7 13 3
14 ,
column (a) and line 13
Add line 12 14 3$
15 ,
.
If zero or less
enter -0-
Subtract line 14 from line 8 16 2.1010
16 ,
,
,
Excess mortgage Interest. See instructions 16
17 , ,
Insurance 17
15 . . . . . . . . . . . . .
Repairs and maintenance 18
19 . . . . . . .
Utilities 19 1,7 95'
20 . . . . . . . . . . . . . .
Other expenses. See instructions 20
21 . . .
Add lines 16 through 20 21 1.106 1
22 , . . . , . .
Multiply line 21
column (b) by line 7 22 S
23 ,
Carryover of operating expenses from 1992 Form 8829
line 41 23
24 ,
line 22
and line 23
Add line 21 In column (a) 24
25 . . . . . . . . . . . . . . . . .
,
,
Allowable operating expenses
Enter the smeller of line 15 or line 24 28 S
26 , . , . . . . . .
,
Limit on excess casualty losses and depreciation. Subtract line 25 from line 15 28 R 0 12
27
28
29
30 .
Excess casualty losses. See Instructions , 27
Depreciation of your home from Part III below , 28 .Z31
Carryover of excess casualty losses and depreciation from 1992 Form 8829, line 42 29
Add lines 27 through 29
0
2
31 . . . . . . . . . . . . . . . . . . . . .
Allowable excess casualty losses and depreciation. Enter the smaller of line 26 or line 30 31 31
32 Add lines 14
25
and 31
.
. . . 32
33 ,
,
. . . . . . . . . . . . . . . . . . .
.
Casualty loss portion
if any
from lines 14 and 31
Carry amount to Form 4684
Section 8 33
34 ,
,
.
,
. ,
Allowable expenses for business use of your home, Subtract line 33 from line 32. Enter here
and on Schedule C, line 30. If our home was used for more than one business, see Instructions ? ,
34
141
-Depreciation of Your Home
35 Enter the smaller of your home's adjusted basis or its fair market value. See instructions 36 0 0
36 Value of land Included on line 35 36
37 . . . . . . . . . . . . . . . . . .
Basis of building. Subtract line 36 from line 35 . . . . .
. .
. . . 37 al 1 7 0
38 . . .
. .
Business basis of building. Multiply line 37 by line 7
39 .
Depreciation percentage, See instructions
39
3.33
40 De reciation allowable. Multiply line 38 b line 39. Enter here and on line 28 above. See instructions 40
KET ZM Carryover of Unellowed Expenses to 1994
41 Operating expenses. Subtract line 25 from line 24. If less than zero, enter -0- , . . 41
42 Excess casualty losses and depreciation. Subtract line 31 from line 30. It loss than zero, enter -0- 42
For9aperwork Reduction Act Notice, sec page 1 of separate Instructions. Cm. No. 13232M Form 8829 0993)
$ VS 004RNMENT GRINONa OFFICE. 1"3- 3 4 5- 0 9 3
INCOME AND EXPENSE STATEMENT OF
Nancy Weigel
SSN 164-30-2566 DR# 201473
INCOME
(a) Wages/Salary
Employer & Address: Self-employed at home.
Job Title/Description: Home Day Care
Pay Period (monthly)
Gross Pay Per Pay Period: $ 941.50
Federal Withholding .................... $
Social Security ........................ $
Local Wage Tax ......................... $
State Income Tax ....................... $
PA Unemployment Comp. Tax .............. $
Retirement ............................. $
Health Insurance ....................... $
Other (specify)
Business expenses
$ 362.53
$
Net Pay Per Pay Period (Not including taxes) $ 578.97
Monthly Net ................................. $-
Home:
(b) other Income:
Week Monthly Year
Interest/Dividends $ $ $
Pension/Annuity $ $ $
Social Security S $ $
Rents/Royalties $ $ 200.00 $
Expense Account $ $ $
Gifts $ $ $
Unemployment Comp. $ $ $
Workmen's Comp. $ $ $
Spousal Support $ g 62,68 $
Total, Other Income $ a m3.
62
3.68
$
Total,Monthly Income $ J
$ ins $
Week Monthly Year
Mortgage 286.00
Maintenance $ $ $
Utilities (telephone, $ $ 235.28 $
heating, electric, etc.) $ $ $
Employment:
(Transportation, lunches)$
Taxes:
Real Estate
Personal Property
Income
Insurance:
S S_
Homeowners $ $ 18.80 $
Automobile $ $ $
Life/Accident/Health $ $ $
Children's Life Insurance $ $ $
Other $ $ $
Automobile:
(Payments, fuel, repairs) $ $ $
Medical:
Doctor, Dentist,
Orthodontist
Hospital
Special (glasses,
etc.)
$ $ 27.00
braces, $ $
S S
$
S
Educations Isk Monthly year
Private, Parochial School $ $ $
College $ $ $
Personal:
Clothing $ $ 30.00 $
Food $ $ 210.0Q $
other (household supplies, $ $ 35.00 $
barber, etc.)
Credit Payments and Loans $ $ 50.00 $
Miscellaneous:
Household help/child care $ $ $
Entertainment (inc. papers
books, vacation, pay TV,
etc.) $ $ 96.00 $
Gifts/Charitable
Contributions $ $ 3.00 $
Legal Fees $ $ 25.00 $
Other child support/alimony
payments $ _ $ $
Other (Water Softener) $ $_129.27 $
Total Expenses $ $ 1,145.35 $
_
PROPERTY OWNED DES CRIPTION VALUE ¢
8 5I ?
Checking Account:.......
Savings Accounts:....... BEL&O $ 20.00
Credit union:...........
Stocks/Bonds:...........
Real Estate: ............ RE SIDENCE
Other: .................. CHRI STMAS.SAV, $ 174.00 X
Total Property $
INSURANCE COMPANY POLICY NO. COVERAQE
Hospital
Medical HUSBANDI'S
Health/Accident
Disability
Income
other (specify
(H - Husband; W - Wife; C - Children)
SUPPLEMENTAL INCOME STATEMENT
A. This form must be filled out by a person who (check one) t
1. Operates a business or practices a profession; or
2. Is a member of a partnership or joint venture; or
1. Is a shareholder in and is salaried by a close
corporation or similar entity.
I verify that the statements made in this Income and
Expense statement are true and correct. I understand
that false statements herein are made subject to the
penalties of 16 Pa.C.S. §4904 relating to unsworn
falsification to authorities.
Datet/0-3/4y
Defendabt
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i 41
HOWARD EARL WEIGEL, t IN THE COURT OF COMMON PLEAS OF
Plaintiff t CUMBERLAND COUNTY, PENNSYLVANIA
t
Vs. t CIVIL ACTION - LAW
NANCY CAROL WEIGEL, t No. 94-5251 CIVIL TERM
Defendant t IN DIVORCE
AFFIDAVIT OF SERVICE
COMMONWEALTH OF PENNSYLVANIA )
t SS.
COUNTY OF CUMBERLAND )
Richard C. Snelbaker, Esquire, being duly sworn according to
law deposes and says: that he is a principal in the firm of
Snelbaker & Brenneman, P.C., attorneys for the Plaintiff, Howard
Earl Weigel; that he did serve a duly certified copy of
Plaintiff's Affidavit under Section 3301(d) by sending the same
to R. Mark Thomas, Esquire, attorney for the Defendant, by
certified mail number P 290 633 756 on October 7, 1994, under
cover letter, a copy of which is attached hereto, said receipt
for mailing also being attached hereto; that according to the
return receipt card for said certified mail article (attached
hereto) Attorney Thomas received said mailing on October 11,
1994; that the foregoing facts are true and correct to the best
of his knowledge, information and belief'.-;;
lot 4 -
C. Snelbaker
Sworn to and subscribed before me
"W ,,,,«, this /ar day of November, 1994.
SNELUAKER
a
^
BRENNEMAN? .?
?2Ck.rc.?t
IIICHAKD C 5NUSAKEK
KEITH O. IRENNEMAN
PHILIP H. S?AKL
514ELBAKEP. 6 BRENNEMAN
A PIlOPUSIONAL Co"okA11oN
ATTORNEYS AT LAW
M WEST MMN 3rKYE7
MECHANIC5BURG, PENNSYLVANIA 17055
717-B97T 8526
October 7, 1994
P 0. sox 3111
FACSIMILE VIA 697.7651
R. Mark Thomas, Esquire (Certified Mail No. P 290 633 756)
54 East Mein Street
Mechanicsburg, PA 17055
Re: Howard Earl Weigel vs. Nancy Carol Weigel
No. 94-5251 Civil Term
Dear Mr. Thomas:
i hereby serve you with a duly certified copy of the
plaintiff's Affidavit under Section 3301(d) of the Divorce Code.
Very truly yours,
Richard C. Snalbaker
RCS:pjt
Enclosure
HOWARD EARL WEIGEL,
Plaintiff
vs.
NANCY CAROL WEIGEL,
Defendant
t IN THE COURT OF COMMON PLEAS OF
t CUMBERLAND COUNTY, PENNSYLVANIA
t
t CIVIL ACTION - LAW
t
t NO. 94-5251 CIVIL TERM
TOt NANCY CAROL WEIGEL, Defendant
and
R. MARK THOMAS, ESQUIRE
Attorney for Defendant
if you wish to deny any of the statements set forth in this
affidavit, you must file a counter-affidavit within twenty (20)
days after this affidavit has been served on you or the
statements will be admitted.
AFFIDAVIT UNDER
SECTION 3301(d) OF THE
DIVORCE CODE
1. The parties to this action separated on September 1,
1992, and have continued to live separate and apart for a period
of at least two years.
2. The marriage is irretrievably broken.
L w orrice
SNELOAKER
a
BRENNEMAN
3. I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
I verify that the statements made in this affidavit are true
and correct. I understand that false statements herein are made
subject to the penalties of 18 Pa. C.S. S 4904 relating to
unsworn falsification to authorities.
Date: October 7 , 1994
Plaintiff
TRUE COPY FROM RECORD
In Testimony whereof, I here unto set my hand
and the seal of said Court at WOW, Pa.
ThfS_? E day of CDetr, , 19'%`
Prothonotary
P 290 633 766
Receipt for
Certified Mull
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HOWARD EARL WEIGEL, t IN THE COURT OF COMMON PLEAS OF
Plaintiff t CUMBERLAND COUNTY, PENNSYLVANIA
I
Vs. t CIVIL ACTION - LAW
t
NANCY CAROL WEIGEL, t NO. 94-5251 CIVIL TERM
Defendant : IN DIVORCE
DEPENDANTPS RESPONSE TO PETITION TO
BIFURCATE DIVORCE CASE
TO THE HONORABLE, THE JUDGES OF SAID COURTt
AND NOW, comes NANCY CAROL WEIGEL, Defendant herein, by her
attorney, R. MARK THOMAS, ESQUIRE, and respectfully responds as
follows:
1. Admitted.
2. Admitted.
3. Admitted.
4. Admitted.
5. Admitted.
6. Admitted.
7. Admitted.
S. Admitted in part, denied in part. It is admitted that
Respondent filed a counter-affidavit indicating that she does not
oppose the entry of a divorce decree, however, it is denied that by
so indicating the Respondent is willing to forego any outstanding
economic issues, including the maintaining of the status quo with
regard to health insurance benefits and spousal support.
9. Admitted.
lo. Denied. Respondent is without sufficient information or
belief to either affirm or deny this allegation and, therefore,
same is denied.
11. Denied. Respondent is without sufficient information or
belief to either affirm or deny this allegation and, therefore,
same is denied.
12. Denied. Specifically, Respondent would be prejudice by
the entry of a divorce decree that did not make provision for
maintaining the status quo, at least with respect to health
insurance coverage and continued spousal support.
WHEREFORE, your Respondent respectfully requests that this
Honorable Court not bifurcate this action into two parts at this
time, but rather make provision for settling the economic issues
along with the entry of a divorce decree.
NEW MATTER
13. Paragraphs 1 through 12 are incorporated herein as if set
forth at length.
14. On September 29, 1994, Respondent filed an Answer and
Counterclaim to the Plaintiff's Complaint in Divorce.
15. The Answer and Counterclaim set forth a count for
equitable distribution, a request for alimony and a request for
counsel fees, costs and expenses.
16. The Respondent lives in the marital residence and
continues to make mortgage payments on the marital residence and
pay for the maintenance of the marital residence.
17. In order to continue to pay these monthly obligations and
support herself, Respondent needs the monthly spousal support which
she currently receives from Petitioner in the amount of $510.00 per
month.
18. Respondent is also currently covered by Petitioner's
health insurance benefits from Petitioner's employment, and
Respondent can not afford to purchase her own health insurance
coverage.
19. The Respondent would be prejudice by the granting of the
Petition for Bifurcation without these issues being addressed and,
therefore, Respondent opposes the granting of this Petition.
WHEREFORE, Respondent requests that this Honorable Court deny
the Plaintiff's Petition for Bifurcation of this divorce case.
Respectfully submitted,
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
(717) 697-4650
I.D.N 41301
VERIFICATION
I verify that the statements made in this Response to Petition
to Bifurcate Divorce Case and New Matter are true and correct. I
understand that false statements herein are made subject to the
penalties of 18 Pa. C.S. §4904, relating to unsworn falsification
to authorities.
NANCY CAROL WEIGEL
Date: / l- a 3 5 Y
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HOWARD EARL WEIGEL,
Plaintiff
V.
NANCY CAROL WEIGEL,
Defendant
t IN THE COURT OF COMMON PLEAS OF
t CUMBERLAND COUNTY, PENNSYLVANIA t
c
c 94-5251 CIVIL TERM
e
c CIVIL ACTION - LAW
t IN DIVORCE
AND NOW, this 13th day of February, 1996, upon
stipulation of counsel, a letter dated January 22, 1996, from
David F. Stirling, Consulting Actuary for Conrad M. Siegel, Inc.
to Exel Logistics, is marked as Plaintiff's Exhibit Number S and
admitted into evidence. A letter dated January 30, 1996, from
J. Brad Martin, Human Resources Manager for Exel Logistics to
Attorney Phillip H. Spare, is marked as Plaintiff's Exhibit
Number 9 and admitted into evidence. The record is closed.
By the Court,
Edgar B. Bayley, J.
Phillip H. Spare, Esquire
Richard C. Snelbaker, Esquire
For the Plaintiff _ ?,r?.,; , n„n,l„( ?•I15?1?
,A Tt'
R. Mark Thomas, Esquire
For the Defendant
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HOWARD EARL WEIGEL, IN THE COURT OF COMMON PLEAS OF
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
;
V, ;
NANCY CAROL WEIGEL,
DEFENDANT 946261 CIVIL TERM
OF C
AND NOW, this 3rd day of October, 1996, a hearing on the economic Issues
raised in this case shall be held at 8:46 a.m., Thursday, December 14, 1996, In
Courtroom Number 2.
By the Cc
Edgar B, Bayley, J,
Richard C. Snelbaker, Esquire
For Plaintiff
R. Mark Thomas, Esquire
For Defendant
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HOWARD EARL WEIGEL,
PETITIONER
V.
NANCY CAROL WEIGEL,
RESPONDENT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
946261 CIVIL TERM
IN RE: PETITION TO MODIFY ALIMONY
ORDER OF COURT
AND NOW, this J_J_? day of November, 1996, IT IS ORDERED:
(1) That part of the order of February 22, 1996, setting Indefinite alimony In the
amount of $436 per month, IS VACATED as of September 30, 1996.
(2) As of October 1, 1996, petitioner shall pay respondent indefinite alimony in
the amount of $270 per month.
By the Court, J
Edgar B. Bayley] J.
Philip H. Share, Esquire
For Petitioner
R. Mark Thomas, Esquire
For Respondent
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HOWARD EARL WEIGEL,
PETITIONER
V.
NANCY CAROL WEIGEL,
RESPONDENT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
94-5251 CIVIL TERM
IN HE: PETITION TO MODIFY ALIMONY
BEFORE BAYLEY. I
OPINION AND ORDER OF COURT
BAYLEY, J., November 13, 1996:--
Petitioner, Howard Earl Weigel, and respondent, Nancy Carol Weigel, were
divorced by a final decree entered on February 22, 1996. An economic order was
entered supported by a written opinion. Respondent was awarded marital property
totaling $96,512. Petitioner was awarded marital property totaling $75,830. Petitioner
retained the non-marital portion of his profit sharing plan of $12,508 and his IRA of
$216. The economic order provided that petitioner pay respondent "alimony
Indefinitely in the amount of $435 per month." On September 30, 1996, petitioner
filed for a modification of his alimony obligation. A hearing was conducted on
November 4, 1996. The Divorce Code at 23 P.S. Section 3701(e) provides:
Modification and term inatlon: -An order entered pursuant to this
section is subject to further order of the court upon changed
circumstances of either party of a substantial and continuing nature
whereupon the order may be modified, suspended, terminated or
reinstituted or a new order made. Any further order shall apply only to
payments accruing subsequent to the petition for the requested relief.
Remarriage of the parry receiving alimony shall terminate the award of
alimony.
When the alimony order was entered petitioner was a warehouseman for Exei
94-5251 CIVIL TERM
Logistics where he had worked for twenty-six years. His net monthly Income was
$1,681. It was noted in the opinion in support of the economic order that petitioner
"plans to remarry and retire after he turns 62 in September of this year." Petitioner
has not remarried although he continues to share expenses with the woman he has
lived with since the early part of 1995. At the end of September, 1996, petitioner
voluntarily retired at age 62. He now draws $768 per month social security, He plans
to roll-over his retirement and saving plan from Exel Logistics Into an IRA which he
will invest in an annuity that will provide him income. That plan had a balance of
$84,925.25 as of June 30, 1996.'
Respondent will be 62 on June 11, 1997, Respondent continues to baby-sit in
her home as she did when the economic order was entered. She now baby-sits for
two children and grosses $98 per week. Since August 2, 1996, she has advertised
for more children because she lost four children who went to school this year. At the
time the economic order was entered, respondent's net monthly Income from baby-
sitting after deducting taxes was $668, and after deducting expenses was $293. The
parties' son, Timothy, continues to pay his mother $400 per month for lodging and
meals which started in the fall of 1992. Her brother Russell continues to pay her $300
par month for lodging and meals which he began paying 1995. In the economic
order, a total of $300 per month was attributed toward rent with the remaining $400
1. In the economic order, petitioner was awarded all of the marital value of his
retirement and saving plan which at the date of separation on September 1, 1992 was
$67,943. Respondent was awarded the marital home with the value of $90,598.
.2.
946251 CIVIL TERM
per month for the meals respondent provides to Timothy and Russell. Until August of
this year when the mortgage was paid in full and satisfied, respondent had been
paying the $290 per month mortgage on the marital home she was awarded.
In McFadden v. McFadden, 386 Pa. Super. 506 (1989), the Superior Court
stated:
Pennsylvania case law clearly establishes that retirement can
serve as the basis for the changed circumstances of a substantial and
continuing nature necessary to modify an alimony award. In Lee v. Lee,
352 Pa,Super. 241 (1986), we found that the lower court erred when It
refused to consider the changed financial circumstances of the appellant
brought about by forced, early retirement, In Mazzel v. Mazzel, 331
Pa,Super. 432 (1964), we alluded to the fact that voluntary retirement
can also constitute changed circumstances of a substantial and
continuing nature. Further, in Com. ox rel. Burns v. Burns, 232
Pa.Super. 295 (1974), and Com. ex rel. Rose v. Rose, 206 Pa,Super.
429 (1965), we held that a husband's retirement must be considered, in
light of the attendant circumstances, to determine the extent of a
husband's responsibility to support his estranged spouse. Accordingly,
we find the lower court abused its discretion in refusing to consider the
changed financial circumstances of the appellant brought about by
voluntary retirement. (Footnote omitted) (emphasis added,)
The McFadden court also stated "that income from a pension is to be
considered when fashioning an alimony award, even if the pension was previously
subjected to equitable distribution." The Superior Court further stated that the court
must consider the factors in the alimony section of the Divorce Code when
determining whether a modification of alimony is warranted, Those factors are as
follows.
(1) Although retired, petitioner still has substantially more income than
respondent. With his pension and saving plan of approximately $85,000, an annuity
-3-
94-6261 CIVIL TERM
which we will estimate returning six percent will produce at least $6,100 a year in
Income or $426 per month. When added to his social security payment of $768 per
month, that will total $1,193 per month. We will estimate that respondent will net $60
per week or $217 a month for the two children she Is now baby-sitting,° In addition,
she receives a total of $300 a month In rent for total monthly Income of $617,
(2) Petitioner Is age 62 and respondent Is age 61, Petitioner has some
arthritis, high blood pressure and vision In only one eye. Respondent is In good
health. Neither party has any mental or emotional disability.
(3) Petitioner and respondent can each pay $111 per month for medical
insurance under petitioner's COBRA rights resulting from his former employment.
The parties will each be entitled to Medicare when they reach age 66. Petitioner has
a substantial employee profit sharing plan, plus an IRA. Respondent has no
retirement benefits, Neither party has any cash value insurance.
(4) Neither party has an expectation of Inheritances.
(6) This was a long marriage. The parties were married on April 17, 1964,
separated on September 1, 1992, and were divorced on February 22, 1996,
(6) Neither party has made a substantial contribution to the education, training
or Increased earning power of the other.
2. We have to make certain estimates based on the Information in the current
record and the record from the economic litigation. If the circumstances change,
another hearing may be necessary if the parties cannot then agree to adjust the order
entered at this time.
-4-
94-6261 CIVIL TERM
(7) Neither party will be affected by reason of serving as a custodian of a
minor child.
(8) Respondent will be able to maintain the standard of living that was
established during her marriage only If she receives alimony from petitioner,
(9) Neither party will be getting further education. At her age, with her lack of
outside work experience, respondent is not able to obtain any substantial outside
employment,
(10) Petitioner's substantial asset Is his retirement and saving plan.
Respondent's substantial asset Is the former marital residence that she now owns and
needs both to live In and for her employment,
(11) Neither party brought any substantial property into the marriage.
(12) Respondent contributed to the marriage as a homemaker.
(13) Respondent is in need of more Income than she Is able to earn,
(14) Petitioner left respondent for another woman who continues to live with
him.
(16) Alimony awarded to respondent is taxable to her and deductible to
petitioner.
(16) Respondent lacks sufficient income to provide for her reasonable needs,
(17) Respondent Is Incapable of self-support through appropriate employment.
-6-
946251 CIVIL TERM
Given petitioner's health, his past employment, and his education, we find It
was reasonable for him to retire at age 62 and draw early social security. We believe
that he would have retired early even if he had remained with respondent, The
purpose of alimony Is to Insure that the reasonable needs of a dependent, former
spouse are met. Nemoto v. Nemoto, 423 Pa, Super. 269 (1993). The current order
of alimony provided respondent with forty percent of the difference of her former
husband's income. As was stated In the economic order;
Weighing all of the Section 3701(b) factors, and especially considering
their long marriage, age and economic status, we are satisfied that wife,
now and in the future, should not be left with a wide disparity in Income
compared to husband.
Based on our estimated monthly Incomes for petitioner of $1,193 and for
respondent of $517, we will enter an order of alimony using the same forty percent
difference between the incomes as we did when the original alimony order was
entered. That amounts to $270 a month. Accordingly, the following order is entered.
ORDER OF COURT
AND NOW, this /I ?' day of November, 1996, IT IS ORDERED:
(1) That part of the order of February 22, 1996, setting Indefinite alimony In the
anicunt of $435 per month, IS VACATED as of September 30, 1996.
(2) As of October 1, 1996, petitioner shall pay respondent indefinite alimony In
the amount of $270 per month.
-6-
846261 CIVIL TERM
Philip H. Share, Esquire
For Petitioner
R, Mark Thomas, Esquire
For Respondent
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HOWARD EARL WEIGEL,
Plaintiff
V.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94-5251 CIVIL TERM
AND NOW, this day of J , 1997 upon
consideration of Plaintiff's Second Petition For Modification of
Alimony, a Rule is entered upon Defendant, Nancy Carol Weigel, to
show cause, if any she has, why the current alimony payment
should not be terminated or reduced.
Said Rule is `returnable at a hearing to be held on the
30 ? day of 1997 at o'clock 0 . M. in
Courtroom 444 of the Cumberland County Courthouse, Carlisle,
Pennsylvania.
LAW OFFICKS
SNELBAKER,
BRENNEMAN
3 SPARE
17
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HOWARD EARL WEIGEL,
Plaintiff
V.
NANCY CAROL WEIGEL,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 94-5251 CIVIL TERM
PLAINTIFF'S SECOND PETITION FOR MODIFICATION OF ALIMONY
TO THE HONORABLE EDGAR B. BAYLEYt
AND NOW, comes Howard Earl Weigel, by his attorneys,
Snelbaker, Brenneman & Spare, P. C. and files the within Petition
representing as followst
1. Following a hearing before this Court on December 14,
1995, the parties hereto were divorced from the bonds of
matrimony by Order of Court dated February 22, 1996.
2. An economic order entitled "Order and Opinion of Court"
dated February 22, 1996 (hereinafter "Opinion and order") was
entered concurrently with the February 22, 1996 Decree in
Divorce.
3. The opinion and order, inter alia, required Plaintiff to
LAW OLIO[e
SNELBAKER.
BRENNEMAN
a SPARE
pay Defendant alimony indefinitely in the amount of $435 per
I month.
4. On or about September 27, 1996, Plaintiff caused to be
filed Plaintiffs Petition For Modification of Alimony. A Rule
,was entered upon Defendant to show cause why the alimony payments
should not be terminated or reduced.
5. A hearing was held before this Court on November 4, 1996
regarding the issues raised in Plaintiff's Petition For
Modification of Alimony.
6. An Order of Court was issued as follows: "AND NOW, this
13th day of November, 1996 IT 18 ORDEREDS
(1) That part of the order of February 22, 1996, setting
indefinite alimony in the amount of $435 per month, 18 VACATED as
of September 30, 1996.
(2) As of October 1, 1996, petitioner shall pay respondent
indefinite alimony in the amount of $270 per month."
7. A true and correct copy of the seven-page opinion and
Order of Court dated November 13, 1996 entitled "In Re: Petition
to Modify Alimony" is attached hereto as Exhibit A and
incorporated herein by reference.
8. Defendant's economic circumstances have materially
Ichanged since the issuance of the November 13, 1996 Opinion and
I order.
9. Defendant's date of birth is June 11, 1935.
30. Defendant's Social Security benefit is scheduled to
LAW 011108$
SNELBAKER.
BRENNEMAN
a SPARE
begin July 1, 1997 with a benefit of at least $166.00 per month.
-2-
11, Petitioner believes, and therefore avers, that
Defendant's actual Social security benefit will be substantially
greater than $1.66.00 per month. Defendant's economic
circumstances have materially improved since the entry of the
November 11, 1996 Opinion and order.
WHEREFORE, due to the materially changed economic
circumstances set forth in the foregoing paragraphs, Plaintiff,
Howard Earl Weigel respectfully requests your Honorable to issue
a Rule upon Defendant to show cause, if any she has, why this
Court should not terminate or reduce the current alimony payment
of $270 per month.
Respectfully Submitted,
SNELBAKER, BRENNEMAN & SPARE, P. C.
By:
Philip H. Spare, Esquire
44 W. Main Street
Mechanicsburg, PA 17055
(717) 697-8528
Attorneys for Plaintiff
Howard Earl Weigel
Dates July 2 , 1997
LAW OFFICES
SNELBAKER.
BRENNEMAN 3-
6 SPARE
HOWARD EARL WEIGEL,
PETITIONER
V.
NANCY CAROL WEIGEL,
RESPONDENT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
.
IN RE PETITION TO MODIFY ALIMONY
SEFORE BAY E,t .L
ORDER OF COURT
AND NOW, this ? day of November, 1996, IT IS ORDERED:
(1) That part of the order of February 22, 1996, setting indefinite alimony in the
amount of $436 per month, IS VACATED as of September 30, 1996.
(2) As of October 1, 1996, petitioner shall pay respondent Indefinite alimony In
the amount of $270 per month.
By the..Cour
Philip H. Share, Esquire
For Petitioner
R. Mark Thomas, Esquire
For Respondent
:sea
Edgar B. Bayley J.
946261 CIVIL TERM
EXHIBIT A
HOWARD EARL WEIGEL,
PETITIONER
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V,
NANCY CAROL WEIGEL,
RESPONDENT
94-5251 CIVIL TERM
IN RE: PETITION TO MODIFY ALIMONY
BEFORE BAYLEY. J,
OPINION AND ORDER O 0
BAYLEY, J., November 13, 1998:»
Petitioner, Howard Earl Weigel, and respondent, Nancy Carol Weigel, were
divorced by a final decree entered on February 22, 1996. An economic order was
entered supported by a written opinion. Respondent was awarded marital property
totaling $96,512. Petitioner was awarded marital property totaling $75,830. Petitioner
retained the non-marital portion of his profit sharing plan of $12,508 and his IRA of
$218. The economic order provided that petitioner pay respondent "alimony
indefinitely in the amount of $435 per month." On September 30, 1996, petitioner
filed for a modification of his alimony obligation. A hearing was conducted on
November 4, 1996. The Divorce Code at 23 P. S, Section 3701(a) provides:
Modification and termination.-An order entered pursuant to this
section is subject to further order of the court upon changed
circumstances of either party of a substantial and continuing nature
whereupon the order may be modified, suspended, terminated or
reinstituted or a new order made. Any further order shall apply only to
payments accruing subsequent to the petition for the requested relief.
Remarriage of the party receiving alimony shall terminate the award of
alimony.
When the alimony order was entered petitioner was a warehouseman for Exel
1.xlr[BIT A
94-5251 CIVIL TERM
Logistics where he had worked for twenty-six years. His net monthly Income was
$1,681. It was noted in the opinion in support of the economic order that petitioner
"plans to remarry and retire after he turns 62 in September of this year." Petitioner
has not remarried although he continues to share expenses with the woman he has
lived with since the early part of 1995. At the end of September, 1996, petitioner
voluntarily retired at age 62. He now draws $768 per month social security. He plans
to roll-over his retirement and saving plan from Exel Logistics Into an IRA which he
will invest in an annuity that will provide him income. That plan had a balance of
$84,925.25 as of June 30, 1996.'
Respondent will be 62 on June 11, 1997. Respondent continues to baby-sit in
her home as she did when the economic order was entered. She now baby-sits for
two children and grosses $98 per week. Since August 2, 1996, she has advertised
for more children because she lost four children who went to school this year. At the
time the economic order was entered, respondent's net monthly income from baby-
sitting after deducting taxes was $688, and after deducting expenses was $293. The
parties' son, Timothy, continues to pay his mother $400 per month for lodging and
meals which started in the fall of 1992. Her brother Russell continues to pay her $300
per month for lodging and meals which he began paying 1995. In the economic
order, a total of $300 per month was attributed toward rent with the remaining $400
1. In the economic order, petitioner was awarded all of the marital value of his
retirement and saving plan which at the date of separation on September 1, 1992 was
$67,943. Respondent was awarded the marital home with the value of $90,598.
.2.
EXHIBIT A
946251 CIVIL TERM
per month for the meals respondent provides to Timothy and Russell. Until August of
this year when the mortgage was paid In full and satisfied, respondent had been
paying the $290 per month mortgage on the marital home she was awarded.
In McFadden v. McFadden, 386 Pa. Super. 506 (1989), the Superior Court
stated,
Pennsylvania case law clearly establishes that retirement can
serve as the basis for the changed circumstances of a substantial and
continuing nature necessary to modify an alimony award. In Lee v. Lee,
352 Pa.Super. 241 (1986), we found that the lower court erred when it
refused to consider the changed financial circumstances of the appellant
brought about by forced, early retirement. In Maisel v. Maisel, 331
Pa,Super. 432 (1984), we alluded to the fact that voluntary retirement
can also constitute changed circumstances of a substantial and
continuing nature. Further, in Com. ex rel. Burns v. Burns, 232
Pa,Super. 295 (1974), and Com. ex rel. Rose v. Rose, 206 Pa,Super.
429 (1965), we held that a husband's retirement must be considered, in
light of the attendant circumstances, to determine the extent of a
husband's responsibility to support his estranged spouse. Accordingly,
we find the lower court abused its discretion in refusing to consider the
changed financial circumstances of the appellant brought about by
voluntary retirement. (Footnote omitted) (emphasis added.)
The McFadden court also stated "that income from a pension is to be
considered when fashioning an alimony award, even If the pension was previously
subjected to equitable distribution." The Superior Court further stated that the court
must consider the factors in the alimony section of the Divorce Code when
determining whether a modification of alimony is warranted. Those factors are as
follows.
(1) Although retired, petitioner still has substantially more income than
respondent. With his pension and saving plan of approximately $85,000, an annuity
-3-
EXHIBIT A
945251 CIVIL TERM
which we will estimate returning six percent will produce at least $5,100 a year In
Income or $425 per month. When added to his social security payment of $768 per
month, that will total $1,193 per month. We will estimate that respondent will net $50
per week or $217 a month for the two children she is now baby-sitting.' In addition,
she receives a total of $300 a month in rent for total monthly income of $517.
(2) Petitioner is age 62 and respondent is age 61, Petitioner has some
arthritis, high blood pressure and vision in only one eye. Respondent Is in good
health. Neither party has any mental or emotional disability.
(3) Petitioner and respondent can each pay $111 per month for medical
insurance under petitioner's COBRA rights resulting from his former employment.
The parties will each be entitled to Medicare when they reach age 65. Petitioner has
a substantial employee profit sharing plan, plus an IRA, Respondent has no
retirement benefits. Neither party has any cash value insurance.
(4) Neither party has an expectation of Inheritances.
(5) This was a long marriage. The parties were married on April 17, 1954,
separated on September 1, 1992, and were divorced on February 22, 1996.
(6) Neither party has made a substantial contribution to the education, training
or increased earning power of the other.
2. We have to make certain estimates based on the information in the current
record and the record from the economic litigation. If the circumstances change,
another hearing may be necessary if the parties cannot then agree to adjust the order
entered at this time.
-4-
E'XII[UIT n
845251 CIVIL TERM
(7) Neither party will be affected by reason of serving as a custodian of a
minor child.
(8) Respondent will be able to maintain the standard of living that was
established during her marriage only If she receives alimony from petitioner.
(8) Neither party will be getting further education. At her age, with her lack of
outside work experience, respondent Is not able to obtain any substantial outside
employment.
(1o) Petitioner's substantial asset is his retirement and saving plan.
Respondent's substantial asset is the former marital residence that she now owns and
needs both to live in and for her employment.
(11) Neither party brought any substantial property into the marriage.
(12) Respondent contributed to the marriage as a homemaker.
(13) Respondent Is in need of more income than she is able to earn.
(14) Petitioner left respondent for another woman who continues to live with
him.
(15) Alimony awarded to respondent is taxable to her and deductible to
petitioner.
(18) Respondent lacks sufficient income to provide for her reasonable needs.
(17) Respondent Is Incapable of self-support through appropriate employment.
-5-
IiXHISLT A
945261 CIVIL TERM
Given petitioner's health, his past employment, and his education, we find It
was reasonable for him to retire at age 62 and draw early social security. We believe
that he would have retired early even if he had remained with respondent. The
purpose of alimony Is to insure that the reasonable needs of a dependent, former
spouse are met. Nemoto Y. Nemoto, 423 Pa. Super. 269 (1993). The current order
of alimony provided respondent with forty percent of the difference of her former
husband's income. As was stated in the economic order
Weighing all of the Section 3701(b) factors, and especially considering
their long marriage, age and economic status, we are satisfied that wife,
now and In the future, should not be left with a wide disparity in income
compared to husband.
Based on our estimated monthly incomes for petitioner of $1,193 and for
respondent of $517, we will enter an order of alimony using the same forty percent
difference between the incomes as we did when the original alimony order was
entered. That amounts to $270 a month. Accordingly, the following order is entered.
ORDER OF COURT
AND NOW, this 11' day of November, 1996, IT IS ORDERED:
(1) That part of the order of February 22, 1996, setting indefinite alimony in the
amount of $435 per month, IS VACATED as of September 30, 1996.
(2) As of October 1, 1996, petitioner shall pay respondent indefinite alimony in
the amount of $270 per month,
-6-
1XUBIT A
7,442.11 CIVIL TERM
Philip H. Share, Esquire
For Petitioner
R. Mark Thomas, Esquire
For Respondent
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EXHIBIT A
I verify that the statements made in the foregoing Petition
are true and correct. I understand that false statements herein
are made subject to the penalties of 18 Pa. C.B. 84904 relating
to unsworn falsification to authorities.
i
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Howar Ear We g
Datet July 2, 1997
LAW OFFICE!
SNCLBAKCR.
BRENNEMAN
a SPAR[
I, PHILIP H. SPARE, ESQUIRE, hereby certify that I have,
on the below date, caused a true and correct copy of the
foregoing Petition to be served upon the person and in the manner
indicated below:
FIRST CLASS MAIL. POSTAGE PREPAID, ADDRESSED AS FOLLOWS:
R. Mark Thomas, Esquire
54 E. Main Street
Mechanicsburg, PA 17055
uw OFFICE[
SNELBAKER,
BRENNEMAN
a SPARE
Date: July 2, 1997
P p H. Sp re, Esqu re
SNELBAKER, BRENNEMAN 6 SPARE, P. C.
44 West Main Street
P. O. Box 318
Mechanicsburg, PA 17055
(717) 697-8528
Attorneys for Plaintiff
Howard Earl Weigel
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HOWARD E. WEIGEL
V Q
STATEMENT OF EXPENSES AS OF 11
Home:
Maintenance
utilities
Taxes (real estate)
Insurance:
Automobile
Health
Automobile:
(Payments, fuel, repairs)
Medical:
Doctor
Opthamologist and
optometrist
Personal:
Clothing
Food
other (household, barber)
Credit Payments
Loan Repayment:
Miscellaneous:
Gift/Charitable contrib.
Alimony:
35.00
135.00
-66:00 (?O per year)
l" /DOO.cp
33.00
/fr
375.00
16.00 ($50.00 each quarter)
10.00
35.00
220.00
15.00
40.00
112.95
20.00
day nn _. .1-70.00
Total Monthly Expenses: $1,659.13
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Social Security Administration "?iii
Retirement, Survivors and Disability Insurance
Notice of Award
Mid-Atlantic Program Service Center
300 Sppring Garden Street
Philudel phiu, Pennsylvania 19123-'299'2
Dute: larch 24, 1997
Clain Number: 164-30-2566A
NANCY C WEIGEL
120-1 GROSS DR
MECHANICSBURG, 1'A 17066-;1112
LoII6iJlbi,,LL?LLuIL?oIL??lI„LIII,???L?h??lll
You are entitled to monthly retirement benefits beginning July 1897,
What We Will Pay And When
• You will receive $166.00 for July 1997 around August 1, 1987,
• After that you will receive $166.00 on or about the third of each month.
• These and any future payments will go to the financial institution you
selected. Please let us know if you change your mailing address, so we can
send you letters directly.
Other Social Security Beneilts
The retirement benefit is the only one to which you are entitled, with the possible
exception of divorced spouse's benefits. We will let you know as soon as we
decide if you are entitled to divorced spouse's benefits.
Your Responsibilities
Your benefits are bused on the information you gave us. If this information
changes, it could affect yyour benefits, For this reason, it is important that you
report changes to us right away.
We have enclosed a pamphlet, "When You Get Social Security or Survivors
Benefits... What You Need to Know". It tells you what must be reported and how
to report. Please be sure to read that part of the pamphlet which explains how
work could change payments.
Enclosure(s):
Pub 06.10077
C See Next Page
C mss-6> G
SECURITY AUA41NISIMATIGN
n en ,r,•., ,., n,w n,.wlrr,. •? 1
REPORT OF CONFIENTIAL
SOCIAL SECURITY BENEFIT INFORMATION
Informntit)n about a pier Eurl's Social .ii IJe11,011! N . 1hounli'll by law 1; rr.0pt moiler r:erlaln I rcurllstartces specified by
law and regulations, 0hu Sacral Security Admousuahuit dune tiOt ruveul Such ndntmitI on to any parson uacupt that home Iiclary
Imoolved, or hit or her antherltold reprnsrit lanvo
ene ale y i Inme - I Name of parson nr agency from whom a
and addwgs 101111061 for bruufflt Inlunnatlon wag
recelved.
/, ,' • r' ? dnnuflrlery
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The person or agency nanunl in two 111 abovo hits Iuquwtud ullounatnm about your bunehts. The information requested lies
been provided In the Rams cheels0d (-,') Irulow, an,l is temp sent to ynu lot your convenlunce. If YOU WOW the requaslttg agency
(other 01011 yourbnlf) w hove this information, you may Show or soul them this olflcial report.
2. Thu gross amount of your monthly Social 8(rcunly benefit is
-The amount deducted for Modic0ru is - - - --- --
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The net amount of your Social Secmrily check each month is
3. M The above dnsuunt br:came elfecor v
4, Q Your land llSt bv;TL.I ( -----'Pram Immn I ywet -:T h ruugrt InulntI, -yverl
(before deduction for Medicare)
5. The monthly jilt Ollllt of yaw SuppL:num Ld Security Income payment is
0. The above amount berune effective
7. O The total monthly amount of your Socai Security buneht and oupplenlental
security income payment Is
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claim for disability br m fits has not bean complclud, II it o dminrnuned that brnl.lits al', you will receive
not
10. notification of the a au amount tad etl- dale, .-
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HOWARD EARL WEIGEL,
PETITIONER
V,
NANCY CAROL WEIGEL,
RESPONDENT
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: 946251 CIVIL TERM
IN RE: PETITION TO MODIFY ALIMONY
BEFORE BAYLEY, J.
ORDER OF COURT
AND NOW, this _IS?- day of August, 1997, IT IS ORDERED:
(1) Paragraph 2 of the order of November 13, 1996, IS VACATED,
(2) As of August 1, 1997, petitioner shall pay respondent indefinite alimony In
the amount of $97 per month.
By the Court," -,?
Edgar B. Bayley,
Philip H. Spare, Esquire
For Petitioner
R. Mark Thomas, Esquire
For Respondent
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HOWARD EARL WEIGEL,
PETITIONER
V.
NANCY CAROL WEIGEL,
RESPONDENT
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
946261 CIVIL TERM
IN RE: PETITION TO MODIFY ALIMONY
BEFORE BAYLEY. J.
OPINION AND ORDER OF COURT
BAYLEY, J., August 1, 1897:--
Petitioner, Howard Earl Weigel, and respondent, Nancy Carol Weigel, were
divorced by a final decree entered on February 22, 1996. An economic order
provided that petitioner pay respondent alimony indefinitely In the amount of $436 per
month. On November 13, 1996, following a hearing, an order was entered supported
by a written opinion modifying the award to indefinite alimony in the amount of $270
per month. The opinion in support of that order is Incorporated herein and made a
part of this opinion.
Petitioner has now filed a motion to amend the order of alimony entered on
November 13, 1996, seeking to terminate or alternatively to lower that award for a set
period, A hearing was conducted on July 30, 1997. Petitioner, age 62, is retired, His
Income now consists of $790 per month social security and $585 net per month from
a pension for a total of $1,375 per month.
Respondent, age 62, is entitled to social security on her account in the amount
of $166 per month and on the account of petitioner in the amount of $215 per month
for a total of $381 per month. She has $257 net per month income from providing
94.5261 CIVIL TERM
lodging and board to the parties' son Timothy. She has $495 net Income per month
from baby-sitting,' for total net income per month of $1,133.
Petitioner remarried on March 22, 1997, and lives In his new wife's home now
deeded in both their names as tenants by the entireties. His expenses have not
changed significantly since the last hearing nor have respondents. The Divorce Code
Section 3701(b) factors numbered 2 through 17 that we analyzed in our opinion in
modifying the amount of alimony by the order of November 14, 1996, have not
changed.'
The purpose of alimony Is to insure that the reasonable needs of a dependent,
former spouse are met. Nemoto v. Nemoto, 423 Pa. Super. 269 (1993). Both prior
orders of Indefinite alimony provided respondent with 40% of the difference of her
former husband's income. As was stated In the economic order entered when the
parties were divorced on February 22, 1996;
Weighing all of the Section 3701(b) factors, and especially considering
their long marriage, age and economic status, we are satisfied that wife,
now and in the future, should not be left with a wide disparity In income
compared to husband.
Accordingly, pursuant to the modification provision in the Divorce Code at 23
P.S. Section 3701(e), we will again modify the order of indefinite alimony using the
same 40% difference between petitioner's monthly income of $1,375 and
1. Reduced from her gross income are the costs of the food she provides to
the children In her home and taxes.
2, 23 Pa,C.S. § 3701(b).
-2-
94-5251 CIVIL TERM
respondent's monthly Income of $1,133. That amounts to $97 a month. Accordingly,
the following order Is entered.
AND NOW, this 15-t- day of August, 1997, IT IS ORDERED:
(1) Paragraph 2 of the order of November 13, 1998, IS VACATED.
(2) As of August 1, 1997, petitioner shall pay respondent Indefinite alimony In
the amount of $97 per month.
By the Court,,.
Edgar B. Bdyley,
Philip H. Spare, Esquire
For Petitioner
R. Mark Thomas, Esquire
For Respondent
;sea
•3-
PAUL BALLOD,
PLAINTIFF
V.
DEPARTMENT OF
CORRECTIONS,
JOHN ZAVACKI, M.D.,
CARL HOFFMAN, D.O.,
JOHN LESNIEWSKI, MZ,
MUHAIL KONDASH, M,D. and
HERBERT FELLERMAN, M.D.,
DEFENDANTS
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
;
;
: 84-6724 CIVIL TERM
IN RE: MOTION OF MUHAIL KONDASH M.D. FOR SUMMARY JUDGMENT
BEFORE BAYLU,A,
ORDER OF COURT
AND NOW, this _31 day of July, 1997, the motion of defendant, Muhall
Kondash, M.D., for summary judgment, IS GRANTED.
Paul Ballod, AM-2602, Pro se
State Correctional Institution
at Dallas
Drawer K, I-Block
Dallas, PA 18612-0286
Richard B. Wickersham, Esquire
316 N. Front Street
P.O. Box 741
Harrisburg, PA 17108
For Defendant Kondash
By the Court.
f
G, Michael Thiel, Esquire
Office of Attorney General
Torts Litigation Section
16th Fl., Strawberry Square
HarMsburg, PA 17120
For Department of Corrections
Fred T. Howe, Esquire
Suite 700 - Mellon Bank Center
8 West Market Street
Wilkes-Barre, PA 18701.1887
For Defendants Zavacki and Fellerman
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PAUL BALLOD,
PLAINTIFF
V.
DEPARTMENT OF
CORRECTIONS,
JOHN ZAVACKI, M.D.,
CARL HOFFMAN, D,0„
JOHN LESNIEWSKI, M.D.,
MUHAIL KONDASH, M.D. and
HERBERT FELLERMAN, M.D.,
DEFENDANTS
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
94.6724 CIVIL TERM
IN RE MOTION OF MUHAIL KONDASH WD, FOR SUMMARY JUDGMENT
BEFORE BAYLEY, J.
OPINION AND ORDER OF COURT
BAYLEY, J., July 31, 1997;--
On November 28, 1994, plaintiff, Paul Ballod, a state prisoner, filed a complaint
alleging medical malpractice and related violations of his constitutional rights with
respect to medical treatment provided to him In a state correctional institution,
Plaintiff alleges medical malpractice against defendant, Muhall Kondash, M,D. and
four other physicians, As to Or, Kondash, plaintiff alleges:
treatment of my psoriasis and adrenal insufficiency aggravated my pre-
existing stretch marks and caused new ones and caused scars to my
skin from wounds, caused my easy bruising and hemorrhages and skin
atrophy, caused unipolar depression, muscle wasting, arteriosclerosis,
osteoporosis, hypertension, skin discoloration, obesity, carbohydrate
intolerance, liver enzyme damage, endocrine system dysfunction,
Irregular heartbeat, disfigurement and damage of my Immune system,
which are all permanent in nature.
Plaintiff further alleges that Dr. Kondash refused him treatment in December of
1992, improperly sent plaintiff back to his treating physician, failed to tell plaintiff the
cause of his alleged injuries and who caused them, and "abandoned" his case. In
948724 CIVIL TERM
Count I of his complaint, plaintiff alleges that the defendant "did not uses [sic] the
proper degree of skill and care of their professions and have not used the judgement
[sic] of a reasonable man under like circumstances and were negligent , In
Count II, plaintiff alleges that "all of the above Doctors have violated my 8th
amendment right under the United States Constitution to be free from cruel and
unusual punishment also, my Article 1 § 13 Pennsylvania Constitutional right
The final count applicable to Dr, Kondash alleges that "all of the above Doctors
violated my substantive due process rights under the 14th Amendment to the United
States Constitution to be Informed of the treatment and viable alternatives...." Dr.
Kondash answered the complaint denying all of plaintiff's allegations,
On July 24, 1996, Or. Kondash issued Interrogatories to plaintiff regarding
plaintiff's expert witnesses. On July 25, plaintiff answered that he had not retained an
expert and that he planned on calling defendants as his experts. Dr. Kondash then
filed a motion to compel plaintiff to identity his expert and lay witness, On February
6, 1997, the Honorable Kevin A. Hess issued an order granting Dr. Kondash's motion
to compel plaintiff "to file answers to outstanding expert and lay witness
Interrogatories within forty-five days hereof or suffer sanctions, including but not
limited to preclusion of expert testimony." On March 1, 1997, after plaintiff failed to
identity such witnesses, Dr. Kondash filed a motion for sanctions pursuant to Pa. Rule
of Civil Procedure 4019(c)(3). On May 1, 1997, Judge Hess granted the motion and
ordered that "plaintiff is precluded from calling an expert witness at the time of trial of
-2-
948724 CIVIL TERM
this matter and is precluded from calling any lay witness whose name was not
supplied to counsel for defendant with the opportunity to depose such witness In
advance of trial." Or, Kondash then filed this motion for summary judgment pursuant
to Pa, Rule of Civil Procedure 1035,2(2),
In the absence of expert witness testimony on behalf of plaintiff to establish his
medical malpractice action which forms the basis of his civil rights causes of action,
defendant contends that summary judgment Is appropriate because plaintiff, who has
the burden of proof at trial, will be unable to produce evidence of facts essential to
those causes of action. Pennsylvania Rule of Civil Procedure 1035.2(2) permits a
motion for summary judgment when, after completion of discovery relevant to the
motion, "an adverse party who will bear the burden of proof at trial has failed to
produce evidence of facts essential to the cause of action or defense which in a jury
trial would require the Issues to be submitted to a jury." When considering whether
summary judgment is proper, we must examine the record In the light most favorable
to the non-moving parry, with all doubts resolved against the moving party. Demmler
v. Smlthkline Beecham Corp., _ Pa. Super. _, 671 A.2d 1151 (1996).
Resolution of this Issue is similar to that of two of the other physicians who
were defendants in this case. In an order supported by an opinion dated August 16,
1996, the Honorable J. Wesley Oler, Jr., granted the motions for summary judgment
of defendants Carl Hoffman, D.O. and John Lesnlewski, M.D., after plaintiff was
sanctioned by precluding him from presenting expert testimony at trial against those
-3.
948724 CIVIL TERM
defendants, The general rule In a medical negligence action is that "plaintiff cannot
establish a prima facle case of malpractice without, Inter ells, presenting an expert
witness who will testify, to a reasonable degree of medical certainty that the acts of
the [defendant] physician deviated from acceptable medical standards." Maurer v.
The Trustees of the University of Pennsylvania, 418 Pa, Super. 510 (1992). It is
only when the matter under investigation Is so simple, and the lack of skill or want of
care so obvious as to be within the range of the ordinary experience and
comprehension of even non-professional persons that expert testimony Is not
necessary to prove liability in a medical malpractice case, Brannan v. Lankenau
Hospital, 490 Pa. 688 (1980); Westbrook v. Beachy, 41 Cumberland L,J. 180 (1991),
In the case sub udic , due to the May 1, 1997 court order precluding plaintiff from
producing expert testimony against Dr. Kondash, we are satisfied that summary
judgment is appropriate because the allegations of negligence set forth in the
complaint cannot be established without expert testimony. Additionally, plaintiff's
claims of a constitutional nature are substantially inseparable from his malpractice
claim and are equally susceptible to defendant's motion under the present
circumstances. As a general rule, medical malpractice has not been held to
represent an 8th or 14th Amendment violation of an inmate's rights. See Estelle v.
Gamble, 429 U.S. 97, 97 S.Ct. 285, 50 L.Ed.2d 251 (1976); Durmer v. O'Carroll, 991
F.2d 64 (3rd Cir. 1993).
For the foregoing reasons, the following order is entered.
-4
84.8724 CIVIL TERM
AND NOW, this _Sj_ day of July, 1887, the motion of defendant, Muhall
Kondash, M,D., for summary judgment, 15 GRANTED.
By the Court, l
Edga4Bayle , J.
Paul Ballod, AM-2602, Pro se
State Correctional Institution
at Dallas
Drawer K, I-Block
Dallas, PA 18812.0288
Richard B, Wickersham, Esquire
315 N, Front Street
P.O. Box 741
Harrisburg, PA 17108
For Defendant Kondash
G, Michael Thiel, Esquire
Office of Attorney General
Torts Litigation Section
16th Fl., Strawberry Square
Harrisburg, PA 17120
For Department of Corrections
Fred T. Howe, Esquire
Suite 700 - Mellon Bank Center
8 West Market Street
Wilkes-Barre, PA 18701.1887
For Defendants Zavacki and Fellerman
:sea
-6-
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
NANCY C. WEIGEL ) Docket Number 94-5251 CIVIL TERM
Plaintiff )
vs. ) PACSES Case Number 110000042
HOWARD E. WEIGEL )
Defendant ) Other State ID Number
Order
AND NOW to wit, this SEPTEMBER 29, 2008 it is hereby Ordered
that:
THE DOMESTIC RELATIONS SECTION DISMISS THEIR INTEREST IN THE ALIMONY MATTER
PURSUANT TO THE PLAINTIFF'S DEMISE ON SEPETEMBER 26, 2008.
THERE IS NO BALANCE DUE.
BY THE COURT:
N a
EDGAR B, BAYLEY JUDGE
DRO: R. J. SHADDAY
Form OE-520
Service Type M Worker ID 21005
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