HomeMy WebLinkAbout95-03129
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RUSSELL E. LAHAN,
IN THE COURT OF COHHON PLEAS
CUMBF.RI.AND COUNTY, PENNSYLVANIA
NO. rho ....31...Y;' CIVIL TERM
Plaintiff
vs.
KATHRYN R. LAMAN,
CIVIL ACTION - LAW
IN DIVORCE
Defendant
NOTICI TO 01'110 AID CLAI" RIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against
the claima .et 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
againat fOU for any oth.r claim or relief reque.ted in the.e papera
by the P aintiff. You may lose money or prop.rty or other rights
important to you, including custody or visitation of your children.
When the ground for the divorce i. indignities or
irr.tri.vable breakdown of the marriage, you may request marriage
coun..ling. A lilt of marriage counselors is available in the office
of th. Prothonotary, Cumberland County, Carllale, Penn.ylvania.
Ir YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF
PROPIRTY, LAWYIR'S FilS OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS
GRANTID. YOU MAY LOSI 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
OrrlCI SET PORTH BILOW TO PIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator
CUMBERLANO COUNTY COURT HOUSE
1 Courthouse Square
Carlisle. PA 17013-3387
(717) 140-6200
BATURIN b BATUi.iN
BY:'~~,_~} L D '/ J. 111 . P:, c-1/ LI r-
Floyd M, ~lurin, Esquire
(Altorney 1.0. No. 07044)
.
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717 Notth Second Slteel
Hattishutg, PA 17102
(717) 214-2427
OATI!lJ: Juno l) I \I)I)~
RUSSELL E. LAMAN.
IN TilE COURT OF COMMON PLEAS
CUMBERI.AND COllNTY, PENNBYl.vANIA
PI aint iff
vs.
NO.
CIVIl, TERM
KATHRYN R. LAMAN,
CIVIL ACTION - LAW
IN DIVORCE
Defendant
COUNT I
COMPLAINT UNDER SECTION 3301{c)
OF THE D~E CODE
I. The Plaintiff is RUSSELL E. LAMAN, an adult individual,
sui juris, who currently resides at 24 Kennedy Lane, Bteelton,
Dauphin County, Pennsylvsnia 17113.
2. The Defendant is KATIlRYN R. LAMAN. an adult individual,
sui juris, who currently resides at 137 E Street, Carlisle,
Cumberland County, Pennsylvania 17013.
3. The Plaintiff has been bona fide resident of the Common
wealth of Pennsylvania for at least six (6) months immediately prior
to the filing of this Complaint.
4. The Plaintiff and Defendant were married on August 26,
1994, in Newville, Cumberland County, Pennsylvania,
5. There has been no prior action for divorce or annulment
of the marriage between the parties hereto In this or any other
jur I sdi ct! on.
6. The Plaintiff and Defendant are both citizens ui Ihe
United states of America,
7. The Defendant is not a member 011 ad j VI' dill Y of It",
AImee! Forcl's of th,' llllllne! ntall's of America nol ,lilY of lis allies,
0, "h.. I'lalnl i If olV"I" that th.. lJlOlllllln 1l1'''1l whIch thIs
actlull IS bas,'" Is thilt th.. 1I1,]11I,1'J'" I" 1111'11 i.'v,tldy broknll,
- I -
9. Plaintiff h~s been advised that counseling is available
and that Plaintiff may have the right to request t.hat the Court
require the parties to participate tn counseling.
COUNT I I
COMPLAINT UNDER SECTION 3301Ia){6)
OF THE DIVORCE CODE
10. All of the averments in Paragraphs I through 9 are
incorporated herein as though each was set forth under Count It as in
Count I.
11. In the alternative, Plaintiff avers that the Defendant
hath offered such indignities to the person of the Plaintiff, the
innocent snd injured spouse so as to render his condition intolerable
and lif. burd.nsome.
WHEREFORE. Plaintiff requests the Court to ent.r a Decree
in Divorc. dissolving the marrisge between the Plaintiff and
Oe fendan t .
Respectfully submitted.
BATURIN & BATURIN
Byd J DO j tv)...e;~ 1 U r(....
Floyd M. B~in. Esquire
I.D. No. 07044
(Attorney for the Plaintiff)
717 North Second Street
Harrisburg, PA 17102
(717) 234-2427
OATED: Juno 9, 1995
. l .
VERIFICATION
I VERIFY THAT THE STATEMENTS MADE IN TillS COMPLAINT ARE
TRUE AND CORRECT. I UNDERSTAND TIIAT FIILSE STIITEMENTS HEREIN liRE MADE
SUBJECT TO THE PENALTIES OF 18 PA. C.S. 4904 RELATINO TO UNSWORN
FALSIFICATION TO IIUTHORITIES.
DATH: June 9, 1995
~~d~-
RUSSHLL H. LAMAN
(SIlAL)
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RUSSELL E. LAMAN,
IN THE COURT OF COMMON PLEAS
CUHBERI.AND COUNTY, PENNSYLVANIA
Plainll ff
vs.
NO.
95-3129 Civil Term
KATHRYN R. LAHAN,
CIVIL ACTION - L^W
IN DIVORCE
Oefendant
CERTIFICATE OF SERVICE
I, Floyd H. Baturin, Esquire, of the law firm of Baturin &
Baturin, attorneys for the Plaintiff in the above captioned maHer,
do hereby certify that on June 13, 1995, I deposited in the United
States Mail. at the United States Post Office, Federal Bquare
Station, Harrisburg. Pennsylvania. an article of Certified Mail,
Return Receipt Requested, marked "Restricted Delivery", a certified
copy of the Complaint in Oivorce and Notice to Defend and Claim
Rights attached thereto, bearing Article No. P125 163 925, addressed
tol Kathryn R. Laman, 137 E Btreet, Carlisle, PA 17013.
The said article of Certified HaU, IS shown by the Postal
Return Receipt Card was received by the Defendant herein June I.,
1995, and according to same, was signed by her, to witl Kathryn
Laman, which card is attached hereto and marked IS Exhibit "A", along
with the deposit slip dated June 13, 1995, for said article of
Certified Hail aforementioned.
BATURIN & BATURIN
Byl --0/ D tJ A ~f/, .j~'aJ u r- " ~
Floyd M. B turin, Esquire
(Attorney 1.0. 07044)
717 Horth Second Street
Harrisburg, PA 17102
(717) 234-2427
(Attorneys for Plaintiff)
Datedl June IS, 1995
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VS.
IN THB COURT 011 COMMON PLBAS or
CUMBBRLAND COUNTY. PENNSYLVANIA
NO. 95-3129 CIVIL TBRM
CIVIL ACI'ION . LAW
RUSSELL E. LAMAN.
Pllllllllff
KATHRYN R. LAMAN,
Dcfclldlllll
IN DIVORCE
PRAECIPE TO ENTER APPEARANCE
TO THE PROTHONOTARY:
PlclISC clltcr lilY uppcllnmcc liS coullscl for thc UboVC-IIIIIIICd Dcfclldlllll, Kulhym R. Lulllllll,
Datcd: July 3, 1995
CCI Floyd M. Baturin, Esquire
Attorney for Plaintiff
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RUSSELL E. LAMAN,
Pluintlff
vs,
IN THE couln OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-3129 CIVIL TERM
CIVIL ACnON - LAW
KATHRYN R. LAMAN,
Dcfcllllnnl
IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BE":N SUED IN COURT. If YOIl wish to dcfcnd ugalnst thc claims set forth In
thc following pagcs, you must tukc prompt action. You arc wUnlcd that if you fall to do so, thc case
muy ;mJCccd without you und a dccrcc of dlvorcc or annulmcnt may be cntcrcd against you by the Court.
A judgmcnt may also be cntcrcd against you for IIny othcr cllllm or rcllcf rcquc~1cd In these papers by
thc Plaintiff. You may lose moncy or property or othcr rights hllportant to you, Including cU~1ody or
visitation of your chlldrcn.
Whcn the grounds for divorce Is Indlgnitics or irrctrlcvublc breakdown of the marrluge. you may
rcque~1 marriagc counselling. A list of nUlrrlllge counsclors Is avallllble In the Prothonotary's Office at
thc Cumberland County Courthouse. Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES, BEFORE A DIVORCE OR ANNULMENT IS GRANTED,
YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT
HA VE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET
FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator - Fourth Floor
Cumberland County Courthouse
Curllslc, Pcnnsylvllnlu 17013
Tclcphonc (717) 240-6200
Jumcs J, Kuycr, Esqulrc
Attonlcy for Dcfcndullt
4 Eust Liberty A vcnuc
Curllslc, PA 170 J:\
(717) 243.7922
IWSSELL E. LAMAN,
l'lalntlff
IN THE COURT Oil COMMON I'LEAS OF
CUMUERLANl> COUNTY, I'ENNSYL VANIA
vs,
NO, l)~.312l) CIVIL TERM
CIVIL ACI'ION - LAW
KATHRYN R. LAMAN,
l>efellllllnt
IN DIVORCE
DEFENUAN1"S ANSWER TO COMPLAINT IN IHVORCE
ANI) COUNTER.CLAIM
COUNT I
Complalnl under Section 3301(c) or lhe I)Ivon:e Code
I. Admitted.
2, Admitted In purt. Defendant's correctllddress is 131 South East Street. Carlisle, PA 11013.
3. Admitted.
4. Admitted.
~. Admitted.
6. Admitted.
1. Admitted.
8. Denied. TIle Defendant Is unaware as 10 whether the l'lainliff believes the lIlarrlale Is
Irretrievably broken. Slrict proof Ihereof is demilnded at trial.
9, Defendant Is unaware liS to whelher 1'IIIIIIIIff has been advised that coonselllng is available
and Ihut the I'lalnllff IIlIlY hllve Ihe right 10 request thlll the Court require Ihe parties to pllrtlclpate In
counselling.
COUNT II
Curnpllllnlonder Serllon 3301(11)(6) or III" "Ivorce Cod"
10, All of the IIvcnlll'nls In I'lIrngruphs I through I) lire incorvorufcll hl'rein liS though each
wus scl forth undcr Counl II us In Count I.
II. Dcnlcd, II Is spcclflclllly dcnlcd IlllIt thc Dcfcndllnt hus offcrcd such Indlgnltlcs 10 thc
person of Ihe Plalnllff who perceives hllllself 10 be thc Innocent and Injurcd spouse so as to render
his condition Intolemblc and life burdensomc,
DEFENDANT'S COUNTER-CLAIM
COUNT III - Equllable Distribution
12. All of thc avenncnls In Pamgmphs I through II are Incorpomtcd herein as though each
was sel forth undcr Count III liS In Counls land II.
13. During the llIarrlage. Ihe parties accumulated certain real and personal property which Is
subject to distribution.
COUNT IV - Allnlony
14. All of the avennents In Paragraphs I through 13 lire Incorporated herein as though each
was set forth under Count IV as In Counts I, II and III.
IS. Defendant Is presently unemploycd.
16. Defendant Is. al present. unablc to support herself through appropriate employment.
COUNT V - Allmony P,,,d,,,t' Ut, and Coullllel Fees and ElIlpl!llllel
17. All of lhe IIvennents Inl'aragmphs I through 16 IIrc Incorpomted herein as lhough each
was sel forth under Counl V as In Counts I. II. 111 and IV.
18. Defendant does not have sufnclenl funds 10 support herself and PIlY the counsel fees and
expenses Incidental 10 Ihls IIclll1n. Plulnllff rccelves substunllallncome und Is fully uble to pay
Defendant allmony pelle/filII! IIII.'. counsel fces und expenses lncldentul to this divorce uctlon.
WHIlRIlFORU. thc Ilcfcllllunt rClJncsts this Honorublc Court to grunt thc rcqucstcd rcllcf, us wcll
us uny othcr such rcllcf thuI this Honoruhlc Court dccms upproprlutc.
Respectfully submitted,
VEK....ICAl'ION m'I'I,EAIHNGS
l11e furegulnlll'elltlun Is bused upon Infunnutlun which hus been guthered by my
cuunsel und myself In the prcpurutlon of this uctlon. TIle hlllguage of the Petition may In part
be the languuge of my counscl und nol my own. I huve rcad the statemcnts made In this
I'etltlon ullll to lhe elltcnt thut It Is based upon Infonnatlon which I huve given to my counsel,
It Is tOle allll correct to the best of my knowledge. Information and belief. To the extent that
the cuntellts uf the statcmcnls are that of counscl. I have rellcd upon counsel In making this
Verll1cutlon, I understand Ihut flllse statements herein lIlade lire subject to the penalties of 18
Pu.C,S.A, Section 4904, relating to unsworn falsll1catlon to llllthorltlcs.
~ \~wtCtM
Kathryn R. Laman
Dale: 7 - ') - '/5
CERTIFICATE at'SERVICE
I hereby cel1lfy thllt IIlnlll copy of the foregoing Defcndllnt's Answcr 10 Compllllnt In Divorce
und Connter-Clllhn wus servcd on the following person(s), Plrst c1I1SS mllll, postuge prepuld, by
forwurdlng II tOle IInd correct copy unlo:
Floyd M. Blllurln, Esquire
Blllurln " Blllurln
717 North Second Slreel
IIl1rrlsburll, PA 17101-3101
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RUSSELL E, LAMAN,
IN THE COURT 011 COMMON PLEAS 011
CUMIlERLAND COUNTY, PENNSYLVANIA
NO. 9S.m9 CIVIL TERM
CIVIL ACI'ION . LA W
1'IIIIIItlff
vs,
KATHRYN R. LAMAN.
Dcfclldllnt
IN DIVORCE
ORDER OF COURT
AND NOW, this ll" dll)' of Septcmber. 1995, II Rulc Is Issued uponl'llIlntlffto show cnusc
wh)' Ihls Pctltion 10 Compcl Discovcry should nol bc gmllled IInd 1'IIIIntlff ordcred 10 t1Ie his answcrs
10 DcfC.'I1dllnl's lntcrrllglltorlcs or suffcr thc sllnctlons rcqucstcd In Defendant's pru)'er for rellcf,
Rulc rctunlllblc tcn (10) dll)'s IIftcr scrvicc.
BY THE COURT,
J.
cc: Flo)'d M. Bnlurln, Esqulrc
A\lonlc)' for 1'IIIIntlff
C'..tf~"'" ()H....:.c..<. 1/:l~/c;S"
.j,P.
Jamcs J. KU)'er, Esqulrc
A\lonlc)' for Defcndanl
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WHElWH )IW. U~f~lIdulIl rl'lIU~sts Ihut your HOlloruhl~ Coul1lssu~ u mlt. UpOIl Pluillllff 10 show
ClllISl'. us follows:
A. Why this I'~titloll to COlllp~1 Discovery should 1101 he grulltcd ulld Plullltlff ordcrcd to t1Ie
his ulIswcrs to DcfclldUIII's IlIlcrrogutorlcs wilhlll ICII (HI) duys frum thc dute of scrvicc hcrcof;
U. Why I'lulllllrf should 1101 bc prcclUdcd rwmllltrllllucillg cvhlellC~ Illopposlllou 10Dcr~lIdlllll's
~COIIOlllic cluims uglllllst PluilltitT, II' III1Y; lIlId
C. Why 1'llIllItlrr should 1101 b~ ord~r~d 10 PllY D~f~lldllll1's r~usollllbl~ COUlIsel r~cs lit Ih~ rulc
of $IlKHKI pcr hour illcurrcd IlIoblulllillg UII Ord~r cOlllpclllllg dlscov~ry uml illlposlllg SUIIClloIIS. if ullY.
Rcspcclfully sublllllled,
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L1bqrfy LoO'
4 Ebt Ubcrty Aveull~
Curlisl~. PA 170lJ
VERIFICATION OP I'LEAI>IN<lS
'111~ rorl'lloluglloclIIUl'ut Is hUSl'lIupou Iurorlllutlou which hus hl'l'U gulh~rl'lI hy Illy couusclllud
lIIYliClr lu th~ pl'~purullou or Ihls uellou, TIll' luuguug~ or thc lIOCUIII~UIIIIIIY, lu plll1, hc thc IlIlIgUlIgc
or lilY cOUIISCIUllllllot lilY OWII, I huve I'l'ull th~ sllltCIll~lIts lIIullc Iuthls lIOCUIII~lIt IIl1l1lu thc cxl~lIt thlll
II Is huscllllpoll illlimuutloll which I huw glwlI 10 lilY cuulIs~l, It Is lrll~ ulld corr~ctlolh~ hcst or illY
klluwlcdg~, IlIrorlllullou uud hcll~f. To th~ ~xt~1I1 thut IIIl' cOIII~lIls or th~ sllltCIllCllts IIr~ Ihllt ur coulIscl,
I huve rcllellupolI coullsel III ll1uklllg Ihls V~rlncutllJlI. I IIl1lterstlllld Ilml rlllsc stulelllcuts hcrclu lire
lIIulle subJ~ct 10 th~ pcullhll'S or IN I'A, c'S, 1l49lJ4, rdutiug tOUIISWOrJI flllslrtClltlllllIII lIuthoritlcs,
Ilutc:
q / !YJ/f/(
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IIs~1 for IlcfcllltUUt,
Ii
CERl'....ICA1.E m'SI<:RVICI<:
I hcrcby ccrtify tlllll u truc copy of thc forcgolugl'clltioll to COl1lpel Dlscovcry WIlS scrvcd UII
I'luillllfl's couusel, Flrsl c1uss l1Iull, poslugc prcpuid, hy fnrwunlillgulruc Illld corrccl copy ullto:
.'Iuyd M. D"lurln. I<:squlre
Dlllurln & Dlllurln
717 Nurth ~ClInd Slre!!1
Hllrrlshurll. PA 17102-3202
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v.
IN THE COURT or COMMON PLEAS
CUMBERLAND COUNTY, PINNSYLVANIA
No. 95-3129 Civil Term
CIVIL ACTION - LAW
IN DIVORCE
RUSSELL E, LAHAN,
PI a1ntHf
KATHRYN R. LAHAN.
Defendant
PLAIII'I'IFF' S AIl&WU '1'0
DErlNDANT'S rIRS'I' SIT or 1.'IAA001'1'OAIIS
'1'01 James K. Kayer. Esquire
Kayer and Brown
Liberty Loft
4 E. Liberty Avenue
Carllale. PA 17013
(Attorney for Defendant)
Attached are the Plaintiff's Answers, Rus.ell E. Laman, to Defend.nt'.
rirst Set of Interrogatories Propounded Upon Plaintiff, In connection with the
above-captioned action,
BATURIN , BATURIN
Datel October 4. 1995
BYI~fu J m .g~ IVr.h
rloyd M. .aturin, I.quire
(Attorney 110. 07044)
(Attorney. for Plaintiff)
717 lIorth Second Street
Hlrri,burg. PA 17102
(717) 234-2427
..
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IHJSSELL E LAMAN.
"Iailllll f
IN THE COURT OF COMMON I'LEAS OF
CUMIIEIH.ANI> ('( IUNTY, I'ENNSYL VANIA
,s
Nil, I)~,.' 12l) CIVIL TERM
CIVIL AenON . LAW
KATHI{YN It LAMAN,
I h'fl' 111111 III
IN DIVOI{CE
I)Et"ENI)ANT'S t'IRS'I' SE'I' Ot" INTERROGATORIES PROI'OUNDED UPON PLAINTIFF
Thl' IIbl1V1"l1IUnell Dl'felldllul, by hN 1II10rney, JlIlIles J. Kllyer, Esqlllre, hereby requests Ihlll the purty
10 wholll Ihese inlenl1glllnrles IIrl' lllldressell IIl1swer fully, lu wrlllllg alld uuder ollth, the followlllg
IlIlerrogulorles pursllllnl to thl' Rules of Civlll'rocellure.
DEFINITIONS AND INSTRUCTIONS
Ullless lIelllltell by the cOlllellt of the IlIlerroglllory, the fl1l1owlllg lIenlllllolls ure to be considered to be
IIppllcubll' to 1111 illlrrro!l"toril's l'lI1l1l1ll1ed herelll:
(AI "DocUlnellls" Is 1111 1I11-llIcluslve tenn referrlllg to III1Y writlllg ulld/or recorded or graphic maller,
however prodUCl'd or repmdnced, The tenll "dOculllellts" Iucludes, wllhoul IlInlllllloll, correspondence.
Itlelltorlll1llu, Iuteroflke COllllltllnlclltlollS, tlIlnutes, reports, 1I0les, schedules, unalyses, druwlngs, dlllgrams.
tables, graphs, chllrts, nUll'S, surveys, books of IICCOUllt, ledllers, IlIvolces, purchuse orders, plelldlng8,
questlollllulres. colllUlCls, hills, checks, drufts, dlurles. logs, proposllls, prllll-OIl1s, recordings, telegrams,
Ohns, tllll reI urns, IIl1lt f1l1l1l1clul slllletllellts, IIlul ull other such doculIlellts tllllglble or relrlevllble of OilY
kllld, "Docnlllellls" IIlso hlcllllle IIny prelhllillllry 1I0tes uml drllfts of 1111 the forelloh1ll, III whalever fonll,
for elllullple, prillted, I Ylll'd , 101lllhulld, short hilmi, 011 I'" per, pllrer lupe, IIIbullllll1l8 cllrds, rlbboll
blneprlnls, IIlUllnel1c Iupe, IIllcronhll, nltlI, 1Il0tloll picture nllIl, phollollrnph records, or olher fonn.
(Il) Wllh respect 10 doclllllenls, Ihe terlll "hlentlfy" lIlellns tOlllve the dUll', III Ie. uuthor ollll oddreslll'ei
"Idellllfy" with respl'ct to docUlnenls further IIlelllls:
(I) To describe II docnlnellt sufflcienlly well 10 ellllble the IlIterrollutor to kllow wbat RIICh
doculllenl Is Ululto rl'lrleve II fmln II flIe 01 wherever h IIlIlY be locllledi
(iI) To dl'scrll'l' II In II 1I1111111er sultllble for IIse liS II descrlplloll 11111 SUbpoelllli
(ili) TOlllVl' thl' 11111I11', mhlress, poslllon or tllle of Ihe rersoll(s) who has custody of the document
und/or l'oples Iherl'oL
(e) "'delltlfy" when ust'd III referl'lIl'I' 10 1111 imlividullllllelllls:
(I) To stllte hls/lll'r full 11111I11';
(II) 1'Il'sl'nt 11',1111'111'1' IIl1drl'" or III,t kllowlI rl'sldenCl';
"
,;'
(IIi) PU,'SI'1l1 or lusI kllowll bllSilll'SS uddtl'ss;
(Iv) PrcsclIl clllploycr or lusl kllOWIl clllploycr;
(v) Whcther cwr clllploycd by UIlY purty 10 Ihls u~lloll. umllf so, thc dmcs hc/shc wus elllploycd
hy such purty, thc IIUIllI' of such purty, umllhc lust poshloll held us UII elllployee of such pllrty,
(0) Whellcver thl' exprl'ssloll "ulld/or" Is uscd hlthcse IlIterrogulorlcs, thl' IlIfortlllllloll culled for shollld
be scl Ollt both III thc CllIIJllllcllve IIl1d dls.l"ICllve, 11I111 whcrcver the Illfortnullon Is scl ont In Ihc
disjunctive, II should bc !lIven scpllrlltcly for euch und evcry elelllelll songht.
(El Whenever II dUle,lIll1ounl or olhl'r cl'llIpnlullollor ngllre Is reqnesled, the exocl dote, HIlIOIIIlI or other
cOlllputotlon or figurc Is 10 lx' given unless II is 1ll)1 known; IInd then, the approllhnllte dale, alllount or
other cOlllputatlonor fi!lure shollld be given or the hest eslhnule thereof; allll the allswer shall state that
the dute, 1I1l11l111lt or olhl'r Clllllpulullon or ngure Is Ull eslllllulc or IIpprolllnlllllon,
(F) No IInswer Is to he left hlllnk. If the IIIlSWer to un Illterro!llllory or subpllrllgraph of IIn Interrogatory
Is "none" or "unknown", such sllIlelllent IIlllst be wrlttcn In the answer. If the qncstlonls Inapplicable,
"N/A" lIlust he w:htenlu the unswer, If IInuuswer Is olllltted beclluse of lhe c1l1hn of prlvilelle, the basis
of privilege Is 10 he sllIled,
(0) All questions liS tollellls of property, owued or possessed, aud liS to lhe value of such property shall
be IInswered liS of the dllle of sepnrllllon, dllle of IIcqlllslllon IInd ~() dllYs prior 10 the dllte of hearlu8.
(H) 111ese luterrol!ulorles lire conllnlllnl!. IImluny Infortnatlon secured suhsequenl to the flIh1llOf your
answers which would huve bcen lnclndllbll' In Ihl' unswers hud II heen known or uvulluble, are to he
supplied by snpplclllentulunswers,
.
.
~
.
INn:RR()(iAl'ORI..:S
I. Sl'l fi'r1h .he pfl"ell' lIIhln'ss Whl'fl' )'011 UH' IIl'lImlly n'sldlllp,
l4 KCllllcdy LUllc
StccltlJlI, 1',\ 17013
2, As 10 your Pfl'Sl'llI feshll'lll'l', sel li1l1h Ihl' Illllnwlllg:
(II) If Il'used.
( I) The IIl11nlllll of rell' nil II yeurly ulld 1lI0u'hly busls,
$140,00 II m\Jllth rClltul Jllu~ utllltlcs
(Puhllc lI\Justlll! thrlJugh lJuuphlll CUllllly lIuusllIg AUlhurlty)
(2) Dille nf cnllllllelll'elllelll of leuse Ulltl dllle of tenlllllatloll of lease,
y('"rly Icusc . cunvncllccd Ju\)' 1995
(b) If uWlled,
N/u
( I) '111e site nf Inl nil whkh the resldellce Is localed,
N/"
(2) I'resclII U'SC"lIll'lIl fnr .u~ plllpOSl'S,
N/,\
"
.
(.1) E~lllIIlIll' uf prl'~l'n' mllrkl" \'lIhll',
N/,\
(4) Any IIpprnl~lIl~ of Ihe propel1y wilhilllhe III~llhret.' yellrs, IInd If su, 1I11IlCh copies or
N/"
lhe IIpprlllsuls,
(c) cuslor ullIlulenllnce or the residence, includlnll but not limited to repulrs, utilities, lIIortllalle.
N/"
luxes, U1ulIlIlY olher expenses Itemlzlull ellch Item speclncully.
N/"
(d) Name of III1Y person or persons occnpylnll the residence wllh YOll.
N/"
(e) Numher or rooms.
N/I\
I
'.
If) 1l1"I'rlpllolI or l'lIdl HlOIII II' h' IN',
N/,\
(11) II' IlIlOllll'r pl.IMlIIl....Cllpil" this rl',ldelll'I' with YOII. list ull cOlllrihllllollS, If uny. helnlllllude
hy Sill'll person or Ill'NlIIS 10lhl' l'osl or 1IIIIIIIIellllllce of this residence,
N/,\
l If YOII lire employed, l'lher IhulI self,eml'loyetl or olher than hy U l'ul1nershlp in which YOII are a
PIlI1I1l'r. set thrlh thl' 1'0110\\'11111:
N/,\
(II) Nllme 1I11lludtlress or l'ntl'loyer.
N/,\
(h) I'osllloll hl'ld \\'llh enlplnyer.
N/,\
(c) Whl'lher YOII hlll'l' ellll'relllnlo uny wrluen employment allreemenl wilh your elllplo)'er.
N/,\
.
(d) If your l'mploymrlll is bllSl'll IIpOIl II WrlUl'1I rmployml'l1I lI11rl'rmrllt or husrdllll u wrlttl'lI
UllrrcllIl'l1I wlthlll IIIl' lust fin> Yl'lIrs, uuudl u wpy of IluII up.rremellt llllll/or ullreellll'lIls,
N/,\
(e) If 110 wrlul'II111Hl'l'Il1elll p.overns your employmellt. set forth whethl'r YOllr sulury Is husedllll
ClllllllllsslolIS uud/or pil'n'work,
N/I\
(f) If emploYl1leut Is husedllll COIlIl1IlssllllIS lIf ullY Illlture, set fllnh lhe llrllss 1I11100111t lIf your
sulllryor dmw. 1I11lllhe lenus of ClIlIIlIIlssillllS.
N/,\
(11) If ellrnllllls lire hllSedl1u piecework. set forth the piecework sClIle.
N/,\
(h) Suite for ellch PIlY period. III1lI from Jllullllry I, lIf this year lint II the dale lhat these
IlIterrllllatorles lire III1SWNl'd:
N/,\
( I ) The pl'rlod covered,
N/,\
(2) The I,UOSS PllY received.
N/'\
(J) The hours worked,
N/,\
,;
(4) Ill'llIl/lIlllIll 1I11'lIdllll'III1~111I1I1Il'lIl1l'll'lI frllllllhl' I!fllsS slIllIry, specllyhll! Ihl' IIl1turl'
0111111111I11011111 1I11'IIdl 1I1'lhll't 11IIL
III"
(~l Nl'l slllllty tl'I'I'IVl'II,
11/0
Ii' If 110 IIICOlllt' Illx rt'llItII hils beell tlIetl for III1Y of the prevlolls five clllelltlltr yeltu, ItS 10 slIch
yellrs, set fUrl h:
11/"
( I ) llross 1111'01111' ItOI11 t'lIIploYl11t'll1.
11/"
(2) Olher IIICUl11t', IlIcllIlIllI[I Cllphllll!lIll1S III1lI tnx.free IlIclIllle, speclfylllg ellch hem uf
other IlIcol11e, liS III tlescrlptlulI, 1I11101l1l11llltl suurce,
II/U
-'
4, If )','ur .'llIl'llI)'III.'11I hils h""1I wilh Oil.' "llIl'loy.'r for till' )'.'llIs 01 If )'our "lIlploYIII"lIt wllh your
PIl'Sl'II1 l'llIl'lo)'l'l hilS h,','1I for I.." Ihllll fi\'(' )"'IIIS. ,.'1 flllth liS 11I"IIl'h l'lI1plo}I'r, dllllllllth., nVl'-Yl'lIr
IWIlod. llldllllilll! )0111 1'"',.'III"IIII"OY"I.
N/,\
(II) Nil I II.' IIl1d Illhlr.,,, 1I1 l'lI1plll)'l'f,
N/,\
(h) DUle, or ell1plUYlIll'llL
N/,\
(c) l'lIsl1lolls h,'I.1.
N/,\
(ll) Om" eumllllls ftllllltlllll elllplllYIIIl.'IIt.
N/,\
~, I>u YOII hllVl' IIIIY ,11Id IlIll'll'sl. plll1l1l'lshlpllllerest, or ""Y olher tlllullclullllterest III your employer
ulher thulIIIS 1111 elllplo)'l"'"
N/,\
.
fl. If Yllur unswer III Inll'rflll!Ulury #5 Is In Ihl' ufflnnullw, sel fllrth us tll un)' snch Inleresl, Ihe
fllllllwlnll:
II/u
(u) Type uf Inlerl'sl hcld, mill If slock. Ihe Ulllllnnt llf shures held,
II/u
(h) DUle Inleresl wus ucqnlred.
II/u
(c) ConsldetlltlulI puld, If UIIY, for Ihut Interest.
II/u
(d) Present vulne of thuI interest und hllW yon calculate that Interest.
I
II/u
.
7, If Yllm stol'k 1lIll'n'st III Y"III' 1'lIIplll}'l't I'XCI'I'ds f1w (~~) lll'rl'l'lIl of Ihe IsslIed stod of your
eluployl'r. '1'1 forth: 1I/1I
(u) NUlIIl'ltIulllddn'ss Ill' IIl1otlll'r shll:khllldl'rs hllhllllp lIIorl' 1111I11 f1w (~',l) pt'rcelllof thl' Issued
,IIlI'k Ill' lhut l'lllllplllly,
11/..
(11) PoslIllllIs IlI'ld hy such Illhl'r sIIlI'kholllers,
11/..
(1'1 SlIlurll's received by eudt of thl' slockholders,
11/"
lit) Ulvhlellds puld 10 I'uch of Ihl' slockholdl'rs,
1I/11
(e) AllY ulld ullother puymellls llIudl' by Ihe cotporutlolllo such olher stockholder.
II/II
R, ()Ot's uuy persoll related hI Y"U OWIl more thull five (~% ) percellt of Ihe issued stnck of your
rlllplllyrr"
11/11
,
I}, If )'ullr UIIS\\'l'r lu iUll'rnl~ulor)' ilK is III Ihl' ufI1nnuliVl'. s~1 funh:
II/II
(U) NUllIl' umlllllllrl'ss uf sluckhullll'r(s),
II/II
(h) NlIlIlb~r of sllItrl's ullll percentulll' uf iSSlIl'd stuck held by thllt stockholdl'r.
II/II
(c) Rl'llltlllllship uf Ihlll SlllCkhuldl'r tu )'UII.
II/II
(1I) Position held hy Ihlll sluckhollll'r,
II/II
(e) Yl'llrly slllllry of lhlll slockhohll'r.
10, If YI1ur el11ployl'f Is U plll1l1l'fshlp, Is UII) PI'I'OIl lelull'lIll1 )011 II pllt1l1l'f 111 1111I1 pllt1I1I'rshlp'!
II/U
I L If your UlIswel 1\1 IlIll'rTOl!Ul0IY II III Is IlIlhe utnnllllllve, Sl't fot1h:
II/U
(ul NUII1l' Ul1llulltlrl'ss of Ihul put1l1er,
II/ll
(11) Ih'lullollshlp of IhuI pllt1I1l'r 10 )OU,
II/ll
(e) NUl11e llllll ulIdll'" of 1111 olhl'r pllt1I1l'fS,
IIlll
1-1, S~I rorth ul1Y hOlliN'S 1\'('('ll'l'd hy you hOIll YOllr \'lIIl'loy\'l 111 lh~ I'USI tlw \'UI~l1dllr Yl'lIrS, SIUHI111
lh\' 11111011111. dUll' f('\'\'lvc" UI1" Whl'lhl'r f('('('lv\'d III \'II,h or SOI1I\' pllll'r liml1, l1/u
I~, III addlljolllo sulury, htlIlUS\'S,l'~J1CII'l' ullo\\'ulI\'cs. docs your cmploycr, ul his C~pCIISC, provide you
wllh UIIY olhcr ClIlollIlII\'lIls, huvlllp u lIlom'lury vulllc'!
lI/n
Ie.. II ynur IlIlSW~r In IlIlcrrnplllnry No. I ~ Is IlIlhe Urrlrtllullvc, IIs1 ~Ilch such hcnefll Hlld Its coslof
value,
II/n
"
17. Do YOII l'unldl'Ull' IlIulIY n'llrl'lIll'lIl, I'l'lISllJlI plulI. prolll shurllll! plUlI, or olhl'r deferred plll1l7
II/II
(II) If your UIIS\\'l'r 10 IlIll'rrol!ulory No, 17 Is III thl' IIfnrnlltllve, lIullch II copy of III1Y I'hlll,
whether 11 he rellrelllclII, I'clIslolI, I'rofll shllrlllll. or III1Y olhcr dcferrcd plllll. IIml provide thc followlllll
hlfllrllllllloll:
II/l!
(I) DlIll' of hinh,
JUlie 28. 1 \134
(2) DIIIl' of IIlllrrlllllc.
AU8U~l 26, 1\1\14
P) If II corporulioll prnvidhll! II plllll. dlllc of IIICl1J'pOmlioll.
II/l!
(4) If II pllnner~hlp, ~ole proJ1rlelor~hlJ1, or IIny olher foon of entity, illite of fonnatlon.
II/II
(~) Dlllc of SCpllrlllloll,
""I!U~l 28, It)\l4
,hlll(' ll, 11)1)5
(fl) 1>1111' 1>ilw\'l' l'1I111plllilll \III' nll"1.
IK, I>id )'1111 rl'\'l'iw 1111)' flll'llruhll' d~lenlllllllllolll~ll~r' frOl1l IIlI~rnlll Ih'velllle Service, If SlllIlllIl'h:
II/II
(II) Copy of 1\11)' fllvoruhll' 1I1'Ienllllllllloll lellers IsslIed hy Ihe Illlernul Revellue Service for UIlY
plIlIlS,
II/II
(h) Whllt WIIS the 1I11l01ll1f showlloll the ('orporutloll's hUl1I 1120, or OIlIlIlY tllll reWnl OIell for
the IlIst five (~) yellr' "' the cOlltrlhlltioll 10 the plllll'! ^llllcll II copy of the frollt pllge of the
Corpmnlloll's Fllrlll 1120 for the IlIsI five (~) yellrs, 1I11ll, If II sole proprlelorshlp, or p"t1IlI'rshlp, or IlIlY
olher fonn of ellllty, II copy llf thl' till! relurn OIed for Ihllt elltlty, wherelllthe umoullt of the contribution
to thc pllln Is shoWII.
II/II
(c) Do YOIII.r III1YOIlI' elsl' hllH' II l'oPy of Forl1l ~~()().l' for III1Y of the plllllS for the lust five (~)
yeurs'! If so, 1I11IlCh II I'llp)' of Form ~~(K'.C for IIlly of the plulls for the IIISl five (~) years,
II/U
(II) List UIlY 1111I11111 hellents frol1lllllY predecessor cl1lployer or from prior self-employment, which
lire ill II frozell or IIdlve slllle, II' MI, plellse provide f\llllllld speclnc Illfnnlllltlnll concerning the SlIme,
II/U
(e) Is there I\IIY lIetlve or froll'll IlIllivldlllll rCliremcllt IIccn\lll1'1 If, so, pleusc provide:
11/..
"
(I) Cllrtl'llI \'lIhll' of lhl' I!{^,
II/U
(2) prior 10 1'1112, WII~ 1I11}' cOlllrlhllllollmude III exce~s of $I,~(K)'()O IIIIIIIY olle yellr.
II/U
0) for po~l 1'1111 cOlllrlhllllolls. were III1Y mllde III excess of $2,000.00.
II/U
(4) If ellher (2) or (J) IIhow \\'l're 11IU11e III excess of Ihe fillllres liS set forth, Illlllcllte the
yellrs III which the exCl'SS cOl1lrlhllllollS were IIlllde,
II/u
1'1, Allllch copies llf corporule re~ollllillnS eSlllh1ishllllllhe lIuhlllly for the corporutloll to cOlltrlbute 10
pensloll, profil ~llItrlllll und/or olher rellrement or deferred plulI III the lust five (~) yellrs.
II/U
20, 11' II T1AA/CIWF pl'n~illn. pll'II~I' pllll'hlt' thl' followillj!:
11/..
(II) whllt rlllily lIfl' YOII lIorkilll! for, II hi )011 work for, IIndl'r which cOlllrlhllllon~ were 111111\1' of
TIM/CREF'!
II/II
(h) IICClllllllllltloll ~llItrlllrllt~ for thl' III~l riVI' (~) yellr~,
II/II
(c) hllve IlIIY vohnllllry Cllntrlhllllolls heenlllude III thr TIA^/CREF'! If Sll, please provide specific
1IIIIIIllII the SlImc,
II/II
(d) will YOII sign 1111 IIl1lhorizlltloll form. 1111011'11111 liS to dell I directly with the pension, proflt
shllrlnll, rellrrmrlll or drfcrml 1'11111. 111111 If so, ~Illlllhr IIltllchClllllllhorlzutlon fllnn,
II/II
(e) ultllch coplr~ of IIl1lhr plllns,
II/II
(f) pt\'~cllt 1'111111' of Yl1nr IlIlcrc~t In CUi'll pllln,
II/II
(11) 1IIIIIIl' "I' Ihl' IlIhnilllslIlIlnr(s) IIl1lltl.r trllstl'e(S) "I' slIltl plllll,
11/11
(h) lIule "I' iSSllllllce "I' y"ur IlItl'resL
11/11
(I) III1tt1e "I' hellerldllry'!
11/11
21. Are )'01111 pllt1ldpllllt 111 the stock opll11110r hunlls pllln'!
11/11
22, If )'ollr allswer to N", 21 Is III the IIITlrnllulve. 1IllllCh II copy of thllt pllln IIt1ll stlltl':
nlll
(a) AttlOllnts, lIaturl' IIluleKtl'nlof sllch Interest.
11/11
(h) T)'I'(' of 1'11111,
II/II
(c) 1>111(' of 1"11I11I('(' of your i111l'rrsL
II/II
(d) NlIlIll'd h~II('nclllry of slIch 1'11111,
II/II
(e) Hllve YOII exercised III1Y oplloll wllhllllhe IlIsI f1ve yellrs? If your IIl1swer Is ill the affinnllllve:
1I/11
(I) Wh~1I WIIS th(' oplloll exercised'!
II/II
(2) Whllt WIIS th~ sourc~ of fUllds 10 PIlY for slIIlIe?
II/H
(.1) ""IV IlIallY shlltl's tI" YIIIII'II"l'lIlly ""hllhnl Y"" nhlnllll'tI hy l'xl'rclslllll yuur "1'111l1I"
II/u
(4) Thl' f1'lIIalnlnp 111'11"",,
n/u
(~) The 1I11111s thell'lIl1,
n/u
21 Dues your ellll'lllyer PIlY 1111)' llt'rSllllul expellSl's ull yuur IICCLlllllt?
11/11
24, If your ullswcr 10 IlIIerroglllory /lB is III the lIff1nlllllivl'. scl for1h. us 10 euch slIch PUYlllcllt Illude
In Ihe present culell<lur )'l'ur to <lUll' UII<I In Ihl' prevlolls lhree culen<lur Yl'urs:
n/u
(U) DUll' of pll)'1II1'nl.
11/0
(h) Pu)'el'.
n/u
(c) 1'lIrpose.
II/u
(d) Amollllt of puymelll.
n/o
25, If you were elllplo)'ed prlur 10 your lIumluse, sel forth:
(u) Name alld u(ldress of ull employers belween Ihe dllle uf the tenlllnulion uf YUllr schuullnll tu
the dute of your pre~enlmllrrluge. Priur tu 1980 - belf.emplu)'ed . UUlu budy/puillt wurk
1980 tu 198J ' Self empluyed - AutuOlUbile budy/pullll wurk
1983 tu 11)89 - Uull'b Tuwillg & Gumge
Cumerull St reel, Hurr I sburg, 1',\
1989 tu Muy 1995 - self-emplu)"ed . Aulu bud)'/pullll wurk
(b) Inclusive dUles uf ClIlp oyment.
See 15(u) ubuvc
(c) Type work performed.
Autumublle budy /pulllt work
(d) Gross olllluollllcome from employment during the years uf employment.
1980 lo 198J . self-employed - upprux, Sll,OOO/yr grubb
198J lu 1989 . UUll'b Tuwlllg - upprux, $400.00 weekl)' grubs
1981) lu Mu)' 191)5 -self-empluyed - yeur elldlllll 1994 $13,173,00 grubs
priur tu 11)80 . lIul uvulluble currelllly/ullklluWlI
(Dur1t18 lust 5 )'eurb lux retumb lIul rcudlly uvulublc, but cuml1l8 lebb euch )'eUr Ub I
hud J strukes durl1l8 lhul time. hUbpllulllcd ufter IUbt struke fur 1 OlUllths . had tu use
26. Have you ever uti elided college? If su, stule: cullC tu help wulll fur u periud of time
thereufter)
t{)
(s) Name of college and/or colleges,
II/U
(hI YI'lIr, IlIlCIIlII"\'
II/Il
(I') 1l1'lIh'I", II lillY,
II/II
(II) Mll,lor IltCII' 01 '1IIIIy,
II/II
27. If )'ollllrl' self,elllplo)'\'II. llr were self.elllplo)'ell wlthill the last !I )'ears, state:
(ll) I'la!:e 01 hll,IIll'S',
Cly Ruud
C1), Y"rk C"\Il1l). I'A
141 N, Corneroll St.
Illlrrlsburg, PA
utld
(h) Tu"ll' 11111111' IIS\'ll.
IIIIS!; 'I> ,\lIl" RCJlIII r
(~.) TYIl\' of hIlSIII\'SS,
Autumublle hud),/plIlllt wurk
(d) Slnlemellt of IlIcollle nlld \'Xpells\'s 11I111 nssets nlld IInhllilles for the Inst flve yenrs. Atlnch
nllY flllnnclnl stnlemellt isslled durlllg Ihnt lime, or If YOII do lIot hnve copies, IIIl1l1e of the pnny who hils
copies.
Recurds lIut uvulluble. Recurds lust due tu belllg III the husp1Lul 5 limes over
the lust 5 yellrs uud 4 dlfferellt relucut tUlls u\su reluted tu Illlless. 1 hud lIu IlIcome
utld expellse stutemellts ulld whuLever recurds 1 hud. the whereubuuts ure ullklluW11,
(e) lIemlze nil expellses pnld III the Inst five yenrs for trnvel. nlltoll1ohlle. entenslnlllellt. petty
cRsh. 11I111 persolllllllellls, stnthll! ns to ellch:
II/U
(I) Dllte of pnYlllell!.
(2) Amollllt of ('nYlllell!.
II/U
(~) Purpose of pnymen!.
II/II
2M, If YOII IIrl' II IIll'llIhl'r Ill' II l'al1l1l'"hll'. ,llIll':
II/u
(II) NlIlIll' t11llllldd'l'" 1I11111/,al1l1l"',
II/u
(h) AIllOIIIII of drnwllllls or l'IIt11II1IlS of l'lIch r"l1nl'r Inlhl' IlIsl fivl' clIll'ndllr )'l'lIrS,
II/II
(c) IIl'Ill111l1101lllS 10 dllll'. IIlllollllt IIl1d J1l1rJ1osl' of 1I111ll01lll's druwlI frolll J1l1l1l1l'rshlJ1ot char,ltd
10 )'ollr druwlnllor CllpillllllcWlIlI1 dlltillll Ihl' J1I1SI fivc )'Cllrs,
II/u
hll Sllllcllll'nl of )'our Cllpillll IIn'OIIllI liS showlI III hClllnnlnllllnd end of ellch of tilt lasl fivt
Plll1nershlplnwllll' IIIX relllms filed, ,/,eclfylllll the pcrlod covercd h)' ('lIch slIeh retlln),
II/II
Ie) IIClllllllllolI of 1111 ('xllt'n,(" pllhl III Ihl' 111" Ihe l'Illcndllr YCllrs for ttllvel, lIlIlolllohlle,
cnlcl1l1ll11l1elll. /,l'lIy l'lI,h IIl1d I'l"SlllIlI1 Ill'Ill'. '1"111111"' III l'lll'h slIch Ill'lII, Ihe 1'011011'11111:
II/II
( I ) !lllll' Ill' 1'1I}lIll'liI
II/II
(2) AllIlllIlIl llf 1'1I)'lIll'IIL
II/It
(.\) I'urposl' llf 1'1IYIIIl'IIL
11/0
29. Set fol1h nlllllher 1111'011I1' received. lllher tllllll heretofore set forth IlInnswers to the inlerrogatorles,
whether reportuhle or 1I0t fllr federnl inclllnl' tux purposes, during the currenl yenr Rnd the pnst five
cnlellllar yeurs und ns tll ench such Itelll of income, sel fol1h:
II/It
(u) Dnll' received,
(h) Alllount received.
II/a
(c) Nnme Ullllllltdress of person, flrlll or corporllllon from whom received.
II/It
(III TYl'l' 1111I1l'11Im',
11/"
(l') Whl'lhl'r lI'n'iH'd illl'lI~h. l'U'llilllr Imlll'rluls.
II!"
~(), Stutl' whl'thl'r YIlII hUH' fill'd u hll.'ul, slut I' Ilr fl'lIl'ml illl'llllll' tux rl'llInI for thl' pust five culel1\lar
Yl'urs,
)'t'!, . 111cIII, Slllle 1I11d federul
If sllch u rl'llIrtI IVUS flll'll for UIIY Ilf Ihl' pu~t fin' cull'lIl1ur Yl'urs. fllr eul'll such year:
(u) Sel forlh u l'IIl'Y of thl' full tel mil, 11)1)4 CliP), lIllllchcd,
(CuplCb IIf prevlullb )'ellr!" lIllcmpllllll lu luclIle)
(h) Stull' thl' l1ff1n' Ill' thl' Itlll'nllIl l(nl'lIl1e Sl'rvln' whl'rl' I'Ul'l1 sllch tl't11t11 wus flied.
\/'lfrl/ul Rfvellllt' SNvtCC
I 1t Ill" ph la, 1'/\
(c) NlIllll' 1I11l11l1l1lrl'" Ill' thl' pl'NIII \lr nUll wllllprl'pllrl'lIl'lIl'lI ~lIch rl'tllfll,
19l)4 liil!. prepared h)': IllILh Fry
725 Cl)' Ruml
CI y, 1',\
hI) NlIllIl' 1I11l11ll11lrl'" \If 1Il1pl'Nln~ wllll 1I11w COpll'~ of ellch rl'lIlf11,
IllI!.!.c1l Ii, Lumall (!.e 1 f)
(e) NlIlIle 1I11l11ll11lre~~ of 1Il1pl'r~l1ns whll slllllellelldl return,
Rus!.e\1 Ii, LumclII(self)
(0 NlIlIle 1I1111111111rl'ss of 1I11Y persons willi wholll ~nlll return wns mell,
All reLUfIIS were filed wlLh Lhe uppruprluLe Lux ufflee(s).
(Il) Allneh l'oples of nil sllch retllflls med for Ihe pllSt nve (~) cnlellllnr yenrs,
Set' IIlLcrruguLurlcs 30. (u),
31. If YOlllln~ nlllelllnl'r of npnnnershlp. nllnch copies of lhe Inslllve pnnnershlp relnms med with the
hllefllnl Hl'vl'lIlle Sl'r\'in',
11/"
J2, If YOllUH' lIlI offker, dirl'l'!llr 11r ll\\'lIl'r of fil'l' (~I,O Ill'rl'elll or mort' of ~lock IlIulIY cnrpllrulllllI,
Ull1lch copie~ of Iht' IU'1 fil'l' fl'dl'rnl Im'omt' lll~ relurlls flh'd hy t'lIch sllch COrpl1rlllloll,
(II) If YOllll\\'lIlnl1H' Ihllll fll'l' (~~) Iwrcelll of lhl' ~!lll'k of S1,dl cnrpl1r11lloll, list thc followllli1:
II/II
(I) "oslllolls hl'ld. 1I,lilll!, IlIdlvhllllllly, t'lIch dllllllle of 'lll~lIiollover the Jlusl five yellrs.
II/II
(2) Nulmc of Ihe hnsillcss,
II/II
(J) Nnmher of shllres ht'ltI.
II/II
(4) I'l'rcclltullt' or oWllershlp,
11/11
"
(~) NIII1I~ of oth~r dlr~clors IIml prlllciplIl ornc~rs of Ih~ corporation.
II/II
((,) Any prop~rty owned hy slIch cllI'pornllon I'lli' your henclll.
II/II
ftlf Descrlhe the property held for your hellellt.
II/II
fhl TIle comllllons nndcr which the property Is held for yonr henellt.
II/II
frf l11e cnrrenl fair 1I111rket vlllne of thc property.
II/II
felf Incomc IIml cxpenscs,lf allY. which yon recelvcd alld paid with regard to slIch
propcrty within the IlIsl Ilvc yellrs,
II/II
II/U
,U, Sl'l forth U Ilsl of 1I111110llil's hOIfIlW\'11 h)' )'011 lhllill!! lhl' cllm'lll yellr 111111 the pllst nn' cull'lIItur
Yl'UIS, sl'llillll fllllh liS 10l'uch Sill'll Sl'I'UlllIl' 11\'lIowlllp:
11/11
(u) Dilll' Whl'lI l'lICh 111111'11111 WIlS 11\11f1llH'11.
11/"
(h) AllIollul hOHllWl'd,
11/11
(c) NlIllIe II11l1uddrl'ss of l\l'rsoll, nnll or 11 corpOflllloll fmlll whom horrowe\l,
(d) Melhod III whkh flllllls were received, Le" cllsh or check,
11/11
(e) Whelhl'r 101111 \l'IIS l'vhlelll'ed or Sl'cured hy 1111)' 1I011'or 1111)' other evidellce of 811Ch 01111'811011,
11/11
(f) Nil II II' IIl1d IIlldll'~~ 11(1111)' 1'1'IMlIl Whlll'O,slll"I'd IIr lI"l1rlllll'l'd such IIIUII,
II/II
(Ill If 101111 is ~I'I'Utl'd III 1'1111 IIr hi lull, dl'~I'rl)1l101lIlf sl'clllhy 111\'1'11,
II/II
(Ill DIIII'S II III I 1I11101l1l1s of 11II)' )111)1I11'lIls IIl1tdl' 011 UC\'llIlttl of ullY such 10lln IInd melhod of
)1uYlllenl.
II/II
(Il Preselll ulI)1l1ld nnloUlI1.
II/U
tIl DUll's lIIUIUlIlOIIIIlS due 011 10uII hulnllce,
II/U
(k) Rule of htlerl'sl 011 10UII,
II/U
_. -
.'.. ...... .~.... ... ___un_ _n., _ <I ._
Cotllllthlllal /ilIles, security allreements. cl1t1lracll1bllglltlons, fillllllcllIll stlltelllents, promissory ur jUl1llmenl
1I0tes, stating whether Ihe oblllllllioll is Individual, jollll, or joint 1I11d severn!.
(a) Slale the name alld address of each creditor.
lIurrl!>bllrg lIu!>plllll
lIurrl!>bllrg, P'\
(b) TIle fonll of obllllatloll.
Multiple hellrt by-pu!>!> !>urgery, hu!>pltullzotlulI und medlcul ulld
reluted !>ervlce!>
(c) The date Ihe obligation was Incurred.
Muy lYY4
(d) TIle conslderallon received for the obllgollon.
Medicul bill!> III exce!>!> of $100,000,00 plu!>
required to gu tu my phy!>icloll Ollce u mUllth fur fullow-up curc und RllJlllturlng
with euch vi!>ll $100 plu!> my pre!>cripllulI!> cuch molllh which urc opproximately
$100
Il i!> lrylllg lo be delennincd If Medicul '\!>!>l!>lullce hus puid on}' of the!!e
medlcul bilh, ulld If !>u If Mr, LumulI will huve to rclmbur!>c Mcdlcul
'\!>!>I!>lunce Wid/or if Medlcul '\!>!>i!>lunce wu!> II co-pll}'ce
( ) ~e!>c.r.lnliou!> ulld ufflicei vl!>il!>liurebllclllll puld b)' Mr. Lumlln.
e tJescnp lOll 01 any securll y II veh for I e 0 ga !In.
n/ll
- -...~
,~ . ...;.......... .
:::::.iii ;; _..- - f._.. -." I. ~ ....1 .-.... ~.
--
..
_..-------.....~
(f) Allllllllllllf Ih~ nrll!llllllllhlll!lIll11IL
$100,000.00 f
(Ill l{lIll' llf i1llm'~lllll thl' llhlll!lItl\1IL
II/II
(h) I're~ellt IIlll'u!d hulullce 1111 the llh11ltllllllll,
lJllrlC'lr:nnllled
(I) UUle uml Rlllllllllt llr l'uch lllslulhllelll rel'uYlllelll dill',
II/II
tI> 11~lIIlle thl' dl~p\I~IlI111l llf the rlllld~ received,
II/II
Ill) Thl' Cllllsldetlllioll Illwll for till' ohllllnlilllL
II/II
(h) Sl'cllrlty lliwll for IIIl' ohlilllttion,
II/II
~6, SlIlte whelher YOIlOWIl, leltse or lIoes nny Ill'NJII, I1nll,enli1y, CllllxlHllion or other puny supply you
the use of, un ItUIOIllOhill', truck. or olher Illolor vehicle, If so, fur ench uUlolllohlle,lrt1ck, or olher lIIotor
vehicle, slule:
)'('S.
(OWII)
(u) Yeltr.
11)75
Ulld 11)87
(h) Muke,
Chcvrult'l
1I11r1
Furd
(c) Model.
Munlc Cllrlu
liscurl
(II) Lin'IISl' 1IIIIIIbl'I,
MulllC CUr I u .
,\XJ\ 0715
bcurl
,\!'V 11)68
(~) NUIIII' ulIlluddll'SS of Ihl' I~glll OII'IIl'\'
Ru!>!>d I Ii, Lilmilll
24 Kelllledy LullC
Stcc Ilull, PA
FlIrd E!>curl Wu!> purclw!>cd fur by Mr, LumuII fur hi!> duughlN Cry!>lul Struu!>s, It Is
III Mr, LumulI'!> tllllnC', huwcvcr, hi!> duughler muh!> u1\ PUYIl1Cllts lIII the Cllr us the Cllr
I!> her cur ullll fur her per!>lIlIlIl u!>e. Mr. LUlI1ulI hu!> culltrlbuted Ih) lI1ullC)' tuwurds thlli
velLlcle. .
n Nltlll~ 1II11llllhlll'SS nf Ihe reglslerellowller,
Rus!>cJ1 Ii. Lumoul
24 Kelllledy LUlie
Steel lull, I'A
(buth vchlcleli)
19l Dull' or pllldlltSI',
~ll1l1le Cllrl.. . .Jul) 11)1)5
li!>curL Murch 11)1)5
(h) NUIIII' Itlld Illldll'sS of lhl' p~ISOII or Ilnn frolll wholll the uutolllohlle, truck, or other lIIotor
vehicle WitS purchllsrd,
MlIlIle Curl.. Willi huught frum u prlvlIle lllrllvlduul
brurl Willi purchu!>ed frum IIl1rvcy's Autu Sule!>, WIlYllC Slrcel, lIurrlbburll
(i) I'urdllls~ prkl' of the uUIOlllnhlle. tnll'k, or llllll'r lIIotor vehicle,
Monte Curle, SIOO.OO
!iscort $1,000.00
(I) NUI1II' Ulld mlllress of l'uch pl'rsoll who hus I11mle pUYlllellls 011 the UIIIOlllOhlll', lruck or olhl'r
lIlolor whicll'.
Furd E!;curl - Cr)'!;llll Slrou!;!;
24 KClulcd)' 1.ullc
Slcc Ilull, P'\
(k) How lOll!! YOll huw heell drivlllg eueh ulIlOl11ohlle. lruek or olher lIlolor whldl',
~Iulllc ClIrl" - SllIce July 1995
37. Slale whelher YOllOWIIIIIIY fllrultllrl'. hOllsehold !!oods,.II'\wlry, furS,lIMlfllets, works of 11M, or othl't
persollal propeMy, olher Ihllll securities, If so. for elleh itel11, slule:
Fumllure ulId huu!;ehuld guud!;
(II) Col1lplete deserlplloll.
Llvlllg ruum fumllure
Iledruum !;ulle
DIIIClle SCl
1V
(11) 11Idlcllle dllll' of pmchllse,
Furllllure /huu!;chuld Ilem!; hllve beell uccumulllled uvr.r Pll!;l 25 )'eufb
1V I!; 25 reur!; uld
(c) Source of fllllds IIsed III lhl' purchllse,
1I11klluwII / cll!;h pllrchu!;c!;
(d) EslltllUll'd presl'llI vulue,
~lIl1tl11,.1 \',.Iu(' - "pprux, $3()(),()()
(I') Vllhll' IIllhl' dill I' uf ~I'pilrnlloll,
'\pprux. $300,00
(0 I'rl'~I'nl IllCllllolI,
24 Kellllrd)' Lune
Steel Lull. P'\ 17113
(g) Nlllnes IIIIlI Ulldre~~es of euch olher person with lInownershlp IlIleresl In slIch II ems.
1I/11
38, Alllny lilliI' liming yom 1I1l1rtlll!le. were yon engoged In ony bnslness enlerprls\'. \'llher soldy or
jolnlly wllh olhers'! If so. for I'uch bnsllles~, ~Illle:
Yrs
(Brief!)' fur severul mullth!;)
(u) Nllmc uI1I1 uddrl'~~ of Ihe bIlSIIll'S~,
Russ's Aulu Repulr
141 N. (Iullerull Slreel
lIarrlsburg, P'\
(h) Ponn of Ihl' bu~lne~s orgullllllllon (corporullon, punnershlp, sole proprlelorshlp),
Sule pruprlclur!;hlp
(cl NIIIIll' of ('uch olTlcl'r lIr punlll'r In the business,
1I111
hI) Dull' ou which \'lIur hlleresl in thl' husiness cOll1menced,
Augu. lYY4
(el Your (lIpitul contrihutlon llllhe bnslness,
lIu cllpllu]
If) Your proponlonllle shllre In the ownership und profits of the business.
IOO'f,
(~) The unllllul ~roSS proflls of the business during the pust five yenrs,
St'(, ] lJlJ4 Illculllr.' Tux Rt'lurll llllllChcd
.
, .
~l}, Wus UIlY hllsllless IlIl'l1Ilolll'd III the precedlllg ulIswer tolllterrogltlory N~8 dlscolltllllled, sold, or wus
your IlIterest tl'nllllluted'! If so. stUll',
(U) NUllll' of thl' hllsille",
II/U
(h) DUll' of discolltilllllllll'l', tl'r1ll1t1l111011 ulIll/or sule.
II/U
(c) AllIollllt of 1lI0lley receiwllIIs II reslIl1 of the dlscolltlll\lat1ce, tennlt1atlot1 or sale.
II/U
(d) AIlIOllllt of lhe lotul sule price.
1I/11
(e) To wholll sold,
II/U
(t) WIIS tlll're II wrlttl'lIlIgreellll't1t" If so, uttllch U copy of lhe IIgreemet1t.
11/..
. o. ,
(p) 1I1111111l'l' IIII\' hI you fllr Ihl' MII~ prkl',
II/tl
(II) AllY ~l'I'lIrlly filr Ihl' ~IIII' prkl',
II/u
(I) 1)I~pll~ltlolI of Ih~ proceed~ received 10 dOle,
1I111
I
I
JUllll'~ . KIIY r, [j IlIlre
L1hetfy Loft;
H~, L1heriy Loft
('url ~Ir, I'A 17UU
!71 l 24,',71122
.
"
.
.
'.
CERTII'ICAn: 01" SERVICE
I hrrrhy l'l'Mlfy tlulI Illrul' cPl'y of thr forr(llllng ()rfrndltlll's IlIlrrrl1l1ltll1rles WitS served 011 the
fl1l1mvllllllll'rsun(s), !'irsl dllss 11I1111. PUS11tlW I'rrpltld, hy forwltrdlll[llt lrur Itlld corrrcl copy unlo:
I'fu)'d 1\1. Ihllurlll, E~qulre
Jlltturlll & Ulltllrlll
717 Nurlh Seculld Street
Hllrrl~hurll, PA 17102-3202
Dltlr: 71 Zf /1,
VERIFICATION
Upon my personal knowledge, rnformatlon and belief, 1. Russell E, Lamarl,
hereby verily that the larts avprred and statementa madp in the foregoing
Interro9atories are true and rorrect,
understand that false statementF or averments therein made will aubject
me to the crrminal penalties of 18 PA C,S, Sertion 4904 relating to unSWOln
falsification to autholltier.,
lJutl' I Octubl'r 4. 1\1\15
,)
~1-'1i(l~'\~-
.. -Li. . 4
(SIlAL)
FUSSELL E LAHAN,
1'1 a ifill f I
IN THE GOURT OF COHMON Pl.EIIS
CUMBERLAND COUNTY, PENNSYl.VANIA
v,
No, 9~.3129 Civil Term
KA1'IIRYN ~. LAHTlN,
Defendant
CIVil, ACTION, LAW
IN DIVORCE
~FICATE OF SERVICE
f1' I'd /01, ['1tUllfl, ~:<'I'lIle d II,.) I,w filII' 0f Iiaturlll ~ Baturin, hereby
('ttlIly tlt,t J dl'J"fller! thts dlll' In I)", Uniled stales Hall, at the llniler!
ft~t,p:, Pr,d 0ff1op, HalllSbuI9, Penn~vlvanJa, I'ostaqp Plepald, a cor'Y of
"llall,IJlf's IIItl'W'U 'J'l ("'fPl"il1tl'r ~ltfl nt'1 of Inlenogalorier I'rol,ounded
Upon PlaIntiff", addressed to:
,JaM'!' 1, KaYI'I E~'Jlll rl'
Kayel and Br OWl,
Liberty I,ofl
4 E, l.1bPlty Avenue
Carlisle, 1'1\ 170J 3
(Attorney fOI Defp.ndlr,t',
BATtlklN ~ BATURIN
P,Jt. l1ctd"'J 4, l'JH
By;-:J /0 qA \')1 I Be:'! ,~ 1- I I"\.
Floyd M, Baiurin, Esquire
(Attorney 1.0, No, 07044)
(Attorneys for the PlaintIff)
717 North Second street
lIarrlubuty, 1'/1 17102
(7171 234 24;'"
i'
,
Lab.1
(Sol
InIII\lCIIClII.
on pogo 12'
UM.....".
IIMI.
OIhorwIM,
plUM pnnl
or type,
,,.1'.111I111
111,Uln c..,.lln
Ilto .,2,
I
')
'j
"
','
;;
"
",
,
Filing 1IIIuI
(811 pegI 12,)
ChICk only
_bOX
';,
E.lmpllonl
(SIt p.g. 13,1
'\
"
If morI Ihln II.
deplnd.nll,
_ poge 14,
"
Income
A\IIlIh
CIlIW . 01 W-U'
,...... W."
W.IO. ond
,." ......
II you did nol
11I1 . W'2, III
P4IlI U,
Enclall, bul do
nol .IlICh, II1Y
Plymonl wrth
you. ilIum,
Adlullmlnll
10 'ncoml
CeulIOnI 611
InIIMllanl ' , .
c.,o ?'b-
L
A
I
L
H
.
.
I
u:.~'indi~.:ii.:c= T':"'"';;;; 10111_
'II .. olin l.ooc, Sl, ,..., or - till
V04II flr'l\ nItN tnd Inlhll \.all name
I
",. u.. Ontr-OO not ..,.... ......'"""'....
, '114, _, , ,. OMI No I ,.eo'.
YoUl .oclol...urtIy -
Jb'i5 :~ 4'7/7
-,-'0---
LooI nomo
'or 'rlvlay Aal .nd
'll*Worll ..eduD1lon
Aot Hollo., _ 4.
Y.. No Nolo: CftOC~~ 'Yo.'
tttIM nof c""" ~,
tall Of /NIce )'OU'
IIfl.lnd
Apt no
lIinllle
Monied IIIlng ",",I ..turn (.... . only anelwd 1ncomI)
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onlll \1111 child'. name hII', ·
. Qual widow Wllh 1 child III II died. I I ' 611
.. Ell y....... If y<lUI pIIIllIlor _ _I till cIIIm VO\I II I dIpIndonl an hII or hII ""
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. Total numbII of .. Ion. clIimtd " .",. . ,
, WIlIII. ....., \IpI. Me, At1aCh Form(') W'2 . . . . . . . .
.. T..... 101_1 _ (III ... 151, At1aCh Schedule S If aVeI I4DO ,
II T........., Int_' (III poge II), OON'T IncIudI an h..
. DMdInd 1ncomI, Al1Kh Schtdule . . - 1400 , . . ' . . .
'0 T....... refundl, Clldlfl. or affM\l aI .l8Ie pj IacIl -... ,.... 1- poge I I' '
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'1 1luII/1ItIIncomI or (l01I), Al\ICh Schldull C or c.n , . . , . ' , . ,
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,. 0\lIII glint or ~I, AnICh Form 4717. , 8' . . , , . . , . '
'11 Totll IRA dillrtbu11on1 . IJ!tJ II T...bIU"ou", I- PIIlI tn
,.. Total Pln~onllncllnnurt'" l.!!!.l II "..bIU""u", 111I pogo tn
IT AtnttI .... ...., ""folllel, """.....,."., S corportIIanI, 1",,1.. ltc, Al\ICh Schtdull E
,. F..... Incom. or (l01II, Al\ICh lIcl1IduII F. . . , . , . . . . . . , .
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.. Boc:III _uri!y blnlfrtl lJ!!!.l.--l---I II T..... wnount 111I PIIlI III
I' O\IIlIlncamI, lJIllVPllnd omounl__ poge 11 ,,,.,,,,,,,,,,,,,,,,,,.,,'"''''''''
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.. YQUlIRA -.ctIon (_ ... 111 . . . ,
II 1pouII" IRA -.ctJan (_ poge I I). . '
14 Moving ~, At1tch Form 31103 or 310H
II 0n0-hIlf of Mll-omploymonl ,... . . . ,
.. 8111-emplaytd hII/Ih InIUronca -"'" (- poge 211
11 Koogh ..'1/ImIfl1 plan Ind Mll.....played SEP _n
.. PInIllV OIl III1y ,.-wll al IIvtngI. . ,
II _y pIId Al<iP'I!'l" SSN '"
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COI No "310B
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., ... ... a3 on 14
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II' lOlAl 'AYMINIS AND CREOITS
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II lOlAl CREDIl FOR IAlII 'AID 10 OIHER ITAIIS DR CDUNTMS
II IIII't.DYIII~I INCINIIV! 'AYMINIS CRlDII
II 10TAl "YMI~" A~D CREDItS ",," l"n II III Il' II.oG 1\1
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. "llech 10 'onn 1040 or 'onn 1041. .... Inlwcllonl '0' Ichedul. 0
SCHEDULE C
(Form 1040)
DI$lM'Imenl 011,. I,...ur,
,",,,,,.. Fl........ Mr\<oC' 101
~ I ...-"
Prlnclpel bUII",,1 or prol.1I10"t{nCludlng product or 11f\tICIIH' plge c.t)
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OMU '"__ '~'!!!2!L.
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AntcNnent
Fonn 1040 , uonc. No 011
...... ...."IV ....... IIIHI
BUllne..lddr... (I"Cludlng lUll, or room no I .
ell, town or It OHICI. 11111. and ZIP code
Aceounllng ...Ihod; III l'Jl. C'"h 121 0 Accrual 131 0 Olhllllp ,lyl. ,.
M.thodlSI uHd to Lowe' 0' COlt Other IIUlch Doe. nol apply (If
v.l.. clollng Inv.ntory: III 0 COl' 1" 0 0' mllkll 131 0 ..pl...llon/ III ~ chOcked, Iklp hno HI V.. No
WI' th". any ching. In determining qUlnllli.., COlli. or ~aJu.llon. b.lwH" opining end Clo.,ng Inv.ntory' II .Y'I." attlch
..pl.n.llon .
Old you "mll.J1.lIy plr1IClpll'" In thl operallon 01 thl' bUI'nell dunng 199411' "No," Me Pig. C.2 'or hmlt on 10.....
It VOU 11art.d or Ie ulr.d thll bUllO'" dunn 1994. chICk h.r.
ncom.
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Grall receipt. or 11181, CluUon:" thIs mcom. WI! reported to you on Furm W.2 and the MSt,tutOry
.mplOy.... 00" on 'ha' fa,," WIS chlCleec1. ... ~g. C.2 and cheele "". .
R~lurnl and allo""ancea .
Subtr.ct Iln. 2 Irom hne ,
COli 01 goodl .oId 11'010 hn. 10 on p.go 21
Oroll profit. Subtrlcl lint. from hne 3 .
Olher Income, Including Fed'rallnd 1111. gl.ohn. or fu.111X credit Or ,.fund I'" page C.ill
Grall Income. Add I.n.. 5 and 8 .
II n..., Enter ek enllS for bUllness use 01 our nome onion line 30,
.
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3
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Adv.rtlslng .
Bid debtl Irom '11,. or
..""ell 1_ pag. C,31 ,
10 Car Ind truck ..pen...
1_ page C,31 '
Commllllon. Ind IHS,
Oopllhon,
DeprlClallon Ind .tellOn 179
..pen.. dfiiuctlon lnolloclud,d
In Pill III) II" page C.31
14 Emplove. bln.t.t programa
loth., than on hne 19) ,
Inaur,ne. (other Ihln h.atlh) .
Int"lIl
a MongillO IP.KlIO blnkl, lie 1 '
b 0lhll.
t 7 legal and proftl'IOnll
1'(\'1"1 17
OftIC' ,Ipen.. .
Togl..penH. bllor. ..penl" lor bu..ne.. ule of home. Add hoes 8 through 27 In columns,
T.nllllll. pro'll (Ionl. Subtrlcll.n. 28 horn line 7
E.p.n..1 tor bUI.n..s ull 01 vour home AlIach form 112I .
Nol """II or 110111. Subtllellin. 30 t,om I,n. 29
. III proM. enler on form 1040, Iln. t 2. and ALSO on Schedul. 8E, IIn. 2 lll.tutory employees
1M page C.5) E.l.ltl.nd lrulls, enler on Form 1041. hne:J
. If . lOIS, VOU MUST go on to hne 32
U If VOU I'1IV' a lOll, check Ihe bOI Ihat deSCribes VOUf lnlllllm.nl .n lhlt. aCII\lllv lllte page C !ll
. II \,ou cnecked 321. enler the loSS on form 1040, Iln. 12, and ALSO un &ch.dul. SE, IIn. 2
(Slatutory emploVell lee poloe C!lJ htates ilnrt trusts, enler on FOIm 10"1 Iin. J
. II you cheCked 32b. you MUST allach form 81".
for Plperwork R.ductlon Act Nallet, a.. Form t040 Ina'rucUonl.
.
.
1. P.nllon Ind profll..hlnng pllns
to A.nt 0' 1....1... pig. C.4):
a VIh<_s, _n......, WId oqu_t ,
bOther bUlln... property
31 A.patll .nd m'lnt.n,nce ,
12 Supph'IIMt InCluald In Ptr11111
23 T .... Ind he.n... .
14 T"II.I. me.II. Ind enlenalnm.nt'
. Trlvll ,
b Meals and .n.
tertalnment
c [nl., ~O% 01
IIn, 24b Subll'C!
10 limitations
I'" P'O' C"I ,
d Sublract bn, 24c Irom hili 24b
25 UlIlllltl
21 Wagellll" ImplOVmenl credits I
17 Olh,r ..p.n.lIllrom lin. 46 on
p.g. 21
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Sch.dul. C IForm '0IlII I"
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orml on on Your lei.. Compl"1 lhll part ONLY II you Ir. clllmlng car or Iruek l.penHI on
IIn. 10 and ar. not r.qulr.d 10 fiI. Form 4582 lor thl. bUlln..., S.e Ihe ,n,'ruellon. lor IIn. 13 on pagl
C.3 10 Ilnd out II you mu.t fils,
"
., When did VOU p.... VOU, .lIliCllln lIIViC. lor bUllhI" _...1 (month. d'i, V'''I . ,,"", J " " ". J."" .
.. Of ItlIlolaI nu_ 01 I11IiII VOU dro.. VOUI .ehltll duMg 118<1, lilli' lhe numt"" 01 mIll. VOU uNCI VOUI .IIl..1I101:
. lualnl" .............................,...,. II Commull"8
,,," . Othel
.....,..........,......,.,..........
.. 00 VOU (0' VOU, apou..1 hi.. II1OlhI, .lIliCl. ..."1bII 101 perIOI1II u..1,
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... 00 YOU Ny' ,y.anCl to .uppor1 your deductIon?
II If .V,.,. I' 'hI tytdenC. Wrltt.n? ,
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VII
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RUSSELL E. LAHAN,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 95-3129 civil Term
v.
KATHRYN R. LAHAN,
De fendan t
CIVIL ACTION - LAW
IN DIVORCE
PLAINTIFF'S ANSWER TO
DEFENDANT'S SECOND SET OF INTERROGATORIES
TO: James K. Kayer, Esquire
/;ayer and Brown
Liberty Loft
4 E. Liberty Avenue
Carlisle, PA 17013
(Attorney for Defendant)
Attached are the Plaintiff's Answers, Russell E. Laman, to Defendant's
Second Set of Interrogatories Propounded Upon Plaintiff, in connection with the
above-captioned action.
BATURIN & BATURIN
BYl
-=llou) m ,EqlUrl'~
Floyd M.~rin, Eaquire
(Attorney No. 07044)
(Attorneya for Plaintiff)
717 North Second Street
Harrisburg, PA 17102
(717) 234-2427
Date: October 4, 1995
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.
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r
RUSSELL Ij, LAMAN.
I'lolntlff
IN TlHi COURT or COMMON I'LEAS Ofl
CUMBERLAND COUNTY. l'llNNSYLV ANIA
NO, 9~,~129 CIVIL THRM
CIVIL ACflON ' LAW
vs.
KATHRYN R. LAMAN.
Defendant
IN DIVORCE
pEFENDANT'S SECOND Sf;T OF INTERROGATORIES P,OPOUNDf;Q UPON PLAINTIFF
nle above-named Defendanl, by her atlomey, James J. Kayer, Esquire, hereby requests Ihat Ihe pliny
to whom Ihese Inlerro,alorles are addressed answer fully, In wrltln, and under oath, the follow!n,
IllIerro,atorles pursuant to the Rules of Civil Procedure,
DEFINITIONS AND INSTRUCfIONS
Unless ne,ated by the contellt of the Interrogatory, the followln, deflnltlons are to be considered to be
applicable to slllnterrollatorles contained herein:
(Al "Documents" Is an ail-Inclusive tenn referrln, to IIny writ III' allli/or recorded or graphic matter,
however produced or reproduced. nle tenn "documents" Includes, wllhout IImllallon, correspondtnce,
memoranda,lnterofflce communications, minutes, repons, notes, schedules, analyses, drawln,s, dla'l1Ims,
lables, ,raphs, chans, maps, surveys, books of account, led,ers, Invoices, purchase ordtrs, pleadlll's,
questlolUlalres, contracts, bills, checks, drafts, dlsrles. lo,s, proposals, prlnt-outs, recordlrl's, tele'l1Ims,
I1Ims, tall retums, and flnanclal stlltements, and all other such documents tan,lble or retrievable of Iny
kind, "Documents" also Include any preliminary noles and drafts of Blllhe fore.oh." In whatever form,
for ellRmple, prlnled, typed, lonlthand, shonhand, on paper, paper tape, tabula,ln, card., ribbon
blueprints, ma,netlc tape, mlcroflhl1, nlm, motion picture 111m, phono,rsph records, or other form.
(D) With re.pect to documents, the tenn "Identify" means to ,Ive the date, tille, author and Ilddm_l
"Idemlfy" with respect to documents further means:
(I) To describe a Jocumenl sufficiently well to enable the Interrollator to know what 'lICh
document Is Slid to retrieve II fmm a nle or wherever II may be locatedi
(II) To descrlhe II In 0 manner suitable for use liS a description In a subpoenai
(III) To give the name, address, position or tllle of the person(s) who has custody of the document
and/or copies thereof.
(e) "Identify" when used In referenL'e to an IlIlllvldulIl means:
(I) To stale hili/her fullnomei
(II) I'fe~ent residenL'e oddre~I or lalt known resldencei
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, .4 , ,
.
(Ill) Present or lust known business uddress;
(Iv) Present employer or lust known employer;
(v) Whether ever employed by uny party to this aCllon, snd If so, the dates he/she was employed
by snch party, lhe name of snch party, and the last J1llsltlon held us an employee of such party,
(D) Whenever the expression "and/or" Is used In these Inlerrogatorles, the Info"natlon called for should
be set out both In the conjnnctlve and disjunctive, and wherever the Infonllatlon Is set out In the
disjunctive, It should be given separately for each snd every elemelll sought.
(E) Whenever a date, amount or other computation or figure Is reques1ed, Ihe exact date. amount or other
computation or figure Is to be given unless It Is not known; and then, the approximate date, amount or
other computation or figure should be given or the hes1 es1lmate thereof; and the answer shsll state thst
the date, amount or olher compulstlon or figure Is an estlmale or spprOllimallon.
(F) No answer Is to be left blank. If the answer to sn Interrogatory or subparagraph of an Interrogatory
Is "none" or "unknown", such Slatementmust be wrltlenln the answer. If the ques1lonls Inapplicable,
"N/A" IIIust be wrltlenln the snswer, If an answer Is omitted because of the claim of privilege, the basis
of privilege Is 10 be stated,
(0) All ques1lons as to Items of property. owned or J1llssessed, snd as to the value of such property shall
be answered as of the date of separation, date of acquisition snd 30 days prior to the date of hearing.
(H) These Interrogatories are continuing, and any Infomlallon secured subsequelll to the I1Ilng of your
answers which would have been Includable In the answers had It been known or available, sre to be
supplied by supplementalunswers.
4'
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INTERROGATORIES
40. Set forth I lilt of III ,"onlea retelved by you by WlY of ,If', Inherltlllte, or Iny other lOurte DIther
thllll eamlll'_ or other reportlble IlIt01l\1 or 10IIllI from Ihe Inteptloll of the mlrTla,e. A. to eld., lift
forth: 11/ a
(a) Oa'e retelved,
II/II
(b) Amounl retelved,
Il/U
(t) Nlme and addre.. of per,oll, finn or c:orporltlon from whlth retelved.
II/a
(d) RUlOn or ba.l. of retelpt,
II/a
(e) If ,1ft or InherUallte Will received In form 'other than money, delll:rlbe:
(I) Value II the lime of receipt,
II/a II/a
(2) Whll wa. retelved In lieu of money.
II/a
II/a
(3) Prelllll value.
II/II
II/a
(4) Value a' lime of llparlllon.
II/II
II/II
(5) Da'e retelved,
II/II
n/Il
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41. Set fOr1h a list of 1I111110nles or If In fllnnlllher IllItn 1II0ney given by you by way of gift, beqUtst,
or Inheritance, fmlll the Inctptlllnllf lhe IIIl1rrlllge, As to elich, sel fOr1h:
(II) Ullle glvt'n. 11/0
(h) Alllounl (Ilveu,
11/0
(e) Nallle and address of persou, finn or corporstlon to whom paid,
11/0
(d) Reasou or basis for gift, devise or bequest.
u/u
(e) If 1Ilvt'n other thanlllonles, valut of whal was given 011 the date ,lven alld lis preRnl VlllIe.
II/U
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42, As tll any allll all dleckh1llllcCIlunls lIIalntallled hy yuu or III which you hllll power of slinature In
the pllst nve years, set forth:
(II) Nlllnl' allllllddr\'s~ of hllnk or othl'r nnalldlll IlIstltlltloll,
Curt'blllleb lIumlllull IIl1l1k
1 IInlulI Slreel
Mlddll.'luWII, I'A
(h) Accoullt lIluuher.
6851) 1183
(C) DOll' accoullt clInllllellced,
AUgUlil 11)1)4
(d) Date accoUlltlenllluated, If nll JlIllier active,
II/a
(e) NOllie under which acclIunt Is or was lIIalntalned,
RUbliell Ii, Lunulll lUld CrYlillll SlruUllli
(f) NOllie and address of allY other person who had power of slinature on IllY luch Iccount.
My daughler CrYlIlll1 SlrllUlill
l4 Kenlledy Lune
SlecllulI, I'A
(i) Type of account.
Cherklllg
(h) Nallle IIl1d alhlress of allY other pt'lsun who has power tll draw nn Ihe Iccount,
II/II
I
, J
(I) Amount In account presently.
$150,00 upproxlmotely
Ollr closed, lhe amount In the sccount(s) at the end of each of the 12 prior months to lhe date
of closing. n/u
(k) Allach statement of Bccount(s) for the Iss1 five years.
Requesting copies of stlltements, To be supplied III a later dale,
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43. As to eHch Rllllllny checklnll Rccount covfrellln InterroaRtory 1142, set fol1h:
(II) 1'olllllllllnlhly deposits ellch lIIonlh durlullthe current yeRr amI the pIIs1 five calendar years.
Appruxll11Illel)' $lllll,llll a munlh, If Ils avaIlable.
(b) List or alfach copies of all checks drawnolllhataccounl durin, the currenl year Ind Ihe pilI
calendllr year, speclfylna:
(I) Dale of check.
Checks nul available,
(2) t'lfck number.
II/a
(3) Puyee.
(4) Amoullt.
(~) Purpose.
I '* "
44, As to IUl)' snd all savings sccollnls, certificates of deposit, money-msrket funds, savings certificates
(all hereinafter referred to HS "accoUltl") or similar Items thereto, maintained by yon or over which you
had power of signature or Hny Interest In or deposited monies into or withdrew monies from, durhll the
pllst five yeHrs, state:
(a) Name allll sddress of bunking or other institution,
II/U
(b) "Account" number.
II/U
(c) Date sccollnt opened or purchssed.
II/U
(d) Name under which account 15 or was maintained,
II/n
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(r) If any chHnllrs wrrr lIIadr Inlhr nHlllr uf the account, fUl1llur certlficatr, atalr lhe chanle
lIIade and the dltle uf chanae.
n/o
(f) If accounl Is c1olll'd, slatr dalr of c1oslna.
11/0
(a) Lilt of all wllhdrawals lIIade In the paallhree yearl, Ifllln. forth the date and amount of each
wlthdrawllllllld lhe present balance,
11/0
(h) Who rrcrlved the lIIonles wllhdrawn,
11/0
(I) Ulspllsltlulluf the funds,
11/0
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(j) Amoullt IllllcCOUIlI III Ihe ellll uf rllch yellr durlllllthr lost f1vr years IIlld presrlllly III the
IICCOIIIIl.
II/U
4~. As to RIlY "account" III which YOllr Ilame does not appear. In which you deposited or withdrew
monies, state:
(a) nIl' IlsO)es III which ellch accoulIl appears alld III which you deposited or withdrew monies.
II/U
(b) Name alld IIddress of the IlIstltutlon III which Ihe account Is located.
II/LI
(c) nIl' date alld reasons for the deposit or withdrawal.
II/a
46. Set fonh a list of sll stock, securities other than bonds, Includlnll bul nol limited 10 stocks,
debenlures, monllases, tressllry bllls, mulual funds, (hereinafter referred 10 as "securlly"), owned, held,
purchased. acquired, sold or disposed of by YOII In Ihe pas! five years, either IndlvldulllYI jolnlly, I.
lenlnl III COIIUllon, tmstee for allY other person, custodlall for any other persoll, or IS beneflcllry or
cestui que Imst, or III which you held 0 oolleflclallnteresl.
II/a
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47, AN to rllch Ilt'curlty Ilslrd In your all~wrr 10lnlrllolllltury 1146, Ilt't forth:
(a) Dille of purchase or Ilcqulsllloll,
II/II
(h) Typr uf Ilt'curlly pllrchllsrd alld Illllnhrr of Ilt'cllrltles purchased,
II/II
(e) 1'lIrchallt' price at purchnse.
(d) Method of acqulsllioll If olher Ihnn by purchase and conslderallon for that acquisition.
II/II
(e) Broker throllgh whom purchased, or name and address of person, finn, or corporation, from
whom acqnlred,
II/a
(f) Date sold or otherwise dlspl1~ed of, If lold, Iitt forth the followln.:
II/a
( I) Type and number of securlt les sold,
II/a
(2) Sales price,
II/a
01 Nallle of hroker Ihroullh whom llo11111r persoll, finn or corporallon to whom IOld, If
1101 Ihrough n hroker,
II/a
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(4) Conslderutlollll'celvl'll for e~chunl!l',
n/ll
(5) Nume ulld nddress of person, nnll, corporulllllI wllh whom e~challlled.
n/ll
(I) If stock Is Is allY lIoll.puhllcly listed company, atluch copies of lIst three alllluall1atemenls
of assets IIl1d lIabllllles.
n/ll
(I) TIll' lIallle or IIUlIIl'S III which each of the securllles were realslered.
II/U
(k) If ow lied by allY olher persoll or III Ihe name of allY other person, the name and address of
such person.
11/0
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48, I.Ist all bonds, Includlug Unlled States Savings Bonds, corporate bunds, Illunlclpal bunds, or any
other type of bond, owned, held, purchased or sold, redeellled or disposed of by you In the pas! five (~)
years, whether held In your nallle, Individually, jointly, In common, as trustee for any other person,
custodian for any other person. or ss beneficiary or cestui que trust, or In which you had any beneficial
Interest.
II/U
49. As to each such bond, set fol1h:
(a) Date of purchase or acquisition.
II/U
(b) Purchase price, If purchased,
II/U
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(c) Melhod of IIC4111811101l. If olher Ihall hy purchuM', alld cunslderatlon fur that scqlllslllon.
n/Il
(d) Value ul dull' uf IIcllulslllon,
II/Il
(e) Name and address of broker from whom purchased or name and address of person, I1nn, or
corporation from whom acquired.
II/Il
(f) Name of persoll or persons whose names appeared on bonds,
n/Il
(a) If lold, ISles price, dull' of ISle, and nllllle and addreu of broker throu,h whom lold, or name
and address of person, l10n or corporation to WhOlllliOld, if not throu,h a broker,
II/Il
(h) If dlsJXlsed of other tllllll hy ISle, date of dlsposillon, method of dllpolltlon, consideration
received therefor, and nume and address of hroker Ihrouah whom dlsJXlsed of, or name and address of
person, nnll or corporation tn whum IrRnsferrell.
II/II
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(I) T)'pe and nUll1her of hondo
11/11
0> If ellchallged for an)' other security or bond, or an)' other real or personal property, describe
method of ellchanlle, when ellchanlled, what was acquired, nallle and address of broker from wholll
acquired, or nallle and address of person, linn or corporation, from whom acquired, or who handled the
ellchange.
II/II
'0. As to any real estate, In which )'ou now have or have had anlnlerest durlnl the marrllle, whether
Individually, Jointly, or In partnership fonn, b)' the entirety or In common, or IS trustee for Iny penon
or II beneficiary under an)' trust or held for )'our beneliclallnterest or any oIher method, set forth:
(a) Address.
II/II
(h) Size.
II/Il
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(c) Date of acquisition.
II/II
(d) Method of acquisition.
II/Il
(e) Purchase price.
II/Il
(0 Date and place of recordlnll.
II/Il
(I) Nall1e In which title was taken.
II/Il
(h) Name and address of lrantee.
II/U
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(I) Present loclltloll of deed or other documcnt of title.
II/II
(j) Name and addrcss of all holders of encumbrances; description of and amount of each
encumbrance at date of acquisition of tltlc.
11/0
(k) If present I)' owned, nallle and address of all present holders of encumbrances and description
of and alllounl of each present enculllbrance.
II/U
(I) If presently owned, list of all Improvements made to property, since date of acqulsltlon,llvlnl
date Improvement was made, nature of Improvement and costs thereof.
11/0
(III) !'resent assesslllent for tall purposes, selling forth assessments for land and improvements
separatel)'.
II/II
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(n) Your \lest estimate of:
II/U
(I) l'resent lI1arket value.
II/U
(2) Market value at time of separation.
II/U
(3) If owned prior to lIIarrlale, market value at time of marrla.e.
II/Il
(0) If any appraisal of property was obtained, allach a copy of that appraisal.
II/Il
(p) If not Individually held, the nature and elltent of your Interest.
II/Il
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(ql If not hllllvlllually held, or held under an Interest leu than lellal fee, lhe nallle and address
of each persoll, nrlll or corporation Involved In title with you and the elltent of their Interest In the title.
II/U
(r) Description of alllll1provelllents on the property.
II/II
(s) If sold, set forth:
(I) Date of IlRle.
II/U
(2) SlIle price.
II/U
(l) Nallle and address of Ilrantee.
II/Il
(4) Whether any portion of sale price Is still due by way of nole, bond, raortlll" or III
any oIher lIIanner.
II/U
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m Allach a copy of selllement sheet.
II/U
(t) If disposed of other than hy sale. set forth:
(I) Dllte.
II/II
(2) Name al\lladdress of person, finn or corporation, 10 whom disposed.
II/U
(3) Methud uf disposal.
II/II
(4) Consideration received therefor.
II/Il
(u) How lIIuch was yuur contribution at the tlllle of purchase?
II/U
(I I AIIIUUIIl uf duwn payment.
II/U
I2l Mulllhly paYll1ents, If any, suhsequent thereto.
II/II
(3) Source of funds for purchllse.
II/U
(4) As tu any Impruvell1ents since purchase,
II/Il
fal How much were the lmprovemenls?
II/II
f/lf Method uf paYlllellt for the Improvements.
II/Il
(v) Allach copy of selllement sheets for all purchases and sales.
II/Il
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~ I. If any real est lite listed In iuterrollatory /I~(I has not heen sohll1r I1therwl~e dlsposellof, or produces
any rentu! incolne or other incollle, as to flldlUf the 11Ist Ow (alenilar yeurll, Met fl1l1h:
(H) Address of prll1'1'11Y.
II/U
(b) Name allllatldres5 of ellch person fWIII wholll rent or other Income waR received.
II/U
(c) Amount received from eHch person In eal'll year.
II/U
(d) I'ortlonof premises rentell to each perllon.
II/Il
(e) itemization of u\l ellpensell of malntalnlnJ that real estate In each year.
II/Il
~2. If IIny partnership In which you lire a partner, or any corporation, other than a publicly owned
corporation, or puhllcly owned In which you own more than ten (10) ptrcenl of the .hare. thereof, III
which you are a stockholder, owns any real estate, set forth:
(0) Nallle allllllddreSM of partnership Of corporation. II/U
, '
, .
(h) E_tent 01 your Inll'le~t In sIKh I'nrtn\'I~hll' 01 Iwporattlln.
n/u
(c) Name and address anilInterrslof a\lothrr pl1l1nelM ur Mtllckhnlder..
II/U
(d) Date nf acqlllsltion of each snd. plel'e of real e~ta'e.
II/II
(e) J'urchase price,
II/Il
10 Name and address of ,ratllnr.
II/Il
<,) Description of ench slIch property.
II/Il
(h) I)escrlptlon of Improvements 011 each such IJroperty,
II/II
(i) "resellt ItNSI.'SSment of ellch such purcel. 115tln, laniland hnprnvelllents aeparately,
II/U
. .
(j) l're~ent murket vuhu.' of euch such parcel of real estate.
II/Il
(k) Statement of Income uud ellpenses of each such purcel of real estate for the pa51lhree years.
n/Il
~3, itemize as to the typeN and value of the following assels owned by you at the date of acquisition,
the date of separation, and Its present value:
(a) Automobiles,
(l)
1975 Chevrolet /.Lnte Carlu . Pllid $100 . 07/95
1987 Purd liscort . Purchased in March 1995 by his dllughter Crystal Strauss, but
said vehicle In Russell Ii. Lllmlln's nllll1e,
(h) Aircraft. n/ Il
(c) Boats,
n/a
(d) Jewelry,
n/II
(e) Furs,
(0 Collections,
II/Il
n/a
(I) Householll goods and fUllllture.
Living ruom furniture, bedruom suite Ilnd dinette Set
!lnd 1V
(h) PllllltlllaS lI11ilartwurks.
Il/Il
'3A, As to allY autlllnoblles, aircraft., ami boats, set forth the followllll:
(a) Year, make. lIlodel allll license nUlIlber.
1975 Chevrulet Mullte Cllrlu .
1987 Funl bbcurt
(b) Nallle IIml addrrlS of lealll oWller,
RullllU B. LIIIMJ\
14 Kelllled)' Lillie
Stet' 1 tull, PA
(c) Nlllle ami address of relllstered oWller.
Runell Ii, Lumun
14 Kenned)' LUlie
Steellun, PA
AXA 0715
A1'V 1968
(d) Dille of purchllse,
1965 Mollte Cllrlc - Jul}' 1995
1987 Funl Euscurt .
(e) Name and address of per~on or finn from wholll purchased,
Monte Cllrlu . Bought prlvlltely from an Indlvldulll
Furd Escort. Hllrve}"s Autu Sllles, Wllyne Avenue, Harrisburg, PA
(0 Purchase price,
Monte Cllrlo . SlOO
Escort . S1000.00
(See Answer 53A.(g) below)
(I) Nallle and address of each person who made payment,
Furd Escurt was purchllsed for my daughter, Crystlll Strauss, and
she hilS mnde 1111 pllyments for the vehicle and continues to do so III1d the
vehicle Is for her persolllll use.
(h) How lonll you have been operating said vehicle.
Munle Corio - Shlce Jul}' 1995
(I) Any hlllance duro
II/Il
'4, Set forth the details of the following:
(H) AccOlltltM UWh111 to you.
II/Il
(b) Debts owltll to you,
u/a
(c) Mortllallu helll hy you.
II/Il
(d) PruJll'rty In reversion, remainder, or l'lIJlectancy,
n/Il
(e) Trust In which yon or any of your children are beneficiaries,
n/Il
55. State whether you presently own or have any interest in, or durlnl the pest five yelrl have owned
or hid Iny Interest In, any life Insurance, annuity, or medical polley, If 80, for each policy, Rite:
(I) Name and address of the Insurance company,
UlIlled lnsurllnce CompallY of Amerlcll
Addrcss: (Clln be supplied al II llller lime)
(b) Number of the policy,
(Llln bc suppllcd III 1\ Illler lime)
(c) Type of policy allllallll1Untl1f cl1veralle.
Ilurilll IlIsunlllcc Pullcy . (2) - (JIIC fur Sl,SIlO.OO
(JIIC fur S5,llOIl,00
(d) Date the policy WlIS Issued,
Sl,OOO.OO Pulley. Issucd Ilboul 15 yellrs Ilgo,
S5,OOO.00 Policy. issued wllhill IIlSl l yellrs.
(e) Pace amount of the policy,
S7,500.00.
(f) Amount of the annual premlulIls and how frequently paid.
S51.00 per InOlIlh
(I) Total amount of premiums paid on the policy during the past five years and the nlmel and
addresses of each personlllaklng such payments.
$51.00 per month . 011 lIew policy
Russell Ii. LumulI
24 Kennedy LillIe
Steel lon, 1'1\
(h) NaillI.' and address of each owner of the policy,
Russell Ii. Lumlln
24 Kennedy Lillie
Sleelton, 1'1\
(I) Name and oddress of each heneliclary named In the policy,
My dllughl('r: Cr)'lillll Slruubs
14 Kennedy Lillie
Sleel lUll, I'A 17113
(j) Date of ony chanlll! of henenclary amI the names of each beneficiary added or deleted from
the date of orllllnalllcqulslllun.
June 1\1\14 . Chllnged inlo CrYlilll1 Slruuss' IIUJne from lhe nUJne of ther
deccllsed mulher, Dorulhy M, LwnUlI.
(k) Date of assllllUnent uf the policy and the name of each assignee, If the policy has been
ass lined,
II/Il
(I) Name and address of the Insurance alent or broker for the policy,
Call be Iiupplied III Il 11l1er dllle.
(III) Amount and date of each loan llIade on the policy, If allY.
n/Il
(II) !'resent cash surrender value of the policy,
I
I
j
I
i
!
n/Il
~6, State whether you hHve IIny Insurance or annuity coverage not listed In the answers to the precedlnll
Interrogatories, If so, fur each policy of InsuTIlnce or annuity, state:
(a) Names and addresses or the Insutllnce company.
11/0
(b) Type policy and the amount of coveralle,
n/Il
(c) TIle effective date of the policy,
n/Il
(d) Number of the policy.
II/Il
(e) TIle amoullt of monthly premiums,
11/0
(f) TIle name of the IIl1ent anll/or hroker 111111 the alldress thereof,
II/Il
(2) l'resent Ilt'neliclllry.
11/U
(3) Dille of lhe change In beneficiary.
n/u
(4) Relationship tllthe benenciary,
n/Il
(j) Name and address of each person having custody of any such policies,
n/Il
57, Are youthI.' beneliclary or cestui que trust of any tnlst? If your answer Is In the affirll1ltlve, II to
each such tnlst, set forth:
(a) Name of tnlst,
n/6
(h) NlIllle allll address of selllllr.
11/(1
(c) Name 1111I1 address I1f the trustee or trustees,
II/Il
(d) Date trusl was creatl'lI.
II/Il
(e) AlIach copy of trust alreement,
11/(1
(0 If 110 copy Is IIvallable 10 you, set forth the naillI.' and alldress of Iny person or penon. who
possess(es) a cop>, of that trust allreemenl.
11/(1
~8, Stale the extent, type and locatlun uf all books, papers, recurds and other financial ducuments In
your possesslun or contrul, which wuuld renect YUur Incume or assets,
Mediclll hUh Ilnd currclIl IlIcumc lllx pllpcrs Ilnd hank sllllcmcnlS are
III my rcsldcllcc III 24 KClllledy LIlIlC, Slecllun, PA
'9, Have you received anythlnll of value from any source, Including bulllot limited to gifts, Jud.mentl,
selllernents, litigation, devise, bequest, legacies, Insurance proceeds, loans, dividends, Interest nol
hereinbefore set forth? If so, state:
(a) Source of fund or property,
Il/Il
(b) Reason for receipt,
ilIa
(c) Amount received,
n/a
(d) When and where rl'celved.
II/Il
(e) !'resent lucatlon uf receipts,
n/Il
60, Do you anticipate receipt of allY devise, bequest, alfts or Inheritance? If 80, state:
(0) Amount.
II/a
(b) When recelpl I. anticipated,
II/Il
(c) From whom receipt Is IIlltlclpllled.
II/II
(d) Have you, In your possession, any documents In support of such bequest, devise, lifts or
lnherltllnce?
II/Il
(e) Attach a copy of any snch documents,
II/Il
61. As to any safe-deposit bolles, vaults, safes, or other places of deposit and/or safekeepln.,
(hereinafter for the purpose of hrevlty referred to 88 "place of 8Ifekuplna"), II1Ilntalned by you, or In
which you have deposited any monies, doculllents, or oIher Items of penonal propeny, or In which you
had power of slgllature, or access tu allY such safe-deposit bolles, vaults, safes, or oIher places of deposit
and/or safekeeplllll, III the past five years, state:
(a) Name Plld address of bank or other location.
II/Il
(b) Name under which box or other vault, safe or other place of deposit or safekeeplntl1s or was
1lIIIIIltlllned,
II/II
(c) Name and address of all other persons now havlntl or who had power of slllnature, or access
10 any such safe-deposit hOll, vaults. safes, or other places of deposit and safekeepinll'
n/Il
(d) NUlllber and other means of ldentllicatlon of each such place of safekeeplnll,
II/Il
(e) Date and place of safekeeping commenced,
n/a
(0 List of 1I11ltellls IilCllteil In snch plllce of safekeeping,
n/Il
(ll) Dales of entry hlll1 slIch place of safekeeping.
II/a
~
(h) Items In slIch place of safekeeplnl at tlllle of separation,
n/a
(I) Items 1IIIlIch place of !iltfekeeplnl one year before dale of lieplrallon,
II/Il
(j) Items In such pluce of safekeeping at the lime the action was Instituted,
II/Il
(k) Date such place of safekeeplntt was tennlnated,
n/Il
62. Do you own any personal property not previously referred to? If so, for each Item, state:
(a) Complete description.
II/Il
(b) Present location of the property,
n/ll
(c) Estimated value of the property.
(d) Name ullllalldress of ellch person with IInllwnClshlp Interest In the I'TUl'erty,
II/Il
63. Have YOII submlHed or prepared allY linanclal Ilalements for credit purposes to any Nnklnl
Instltutllln or any linanclallnstltutlon in the past ten years? If your answer Is In the afflnnatlve, set forth:
(a) Name and address of the bank or linanclnllnstitlltlon,
II/Il
(b) Date statement was submitted,
II/a
(c) Attach a ,opy thrreof.
II/a
64, Itemize your IIverogl' munthly living ellpeuses In detail, Including but not limited to, renl, clothing,
food, utllltles, telephone, transportation ond cor. medlcol ami dental. Insurance I1f ony nature, mort gailI.'
and other loan payments, tOiles oml other regular personlll hems uf ony nuture, laundry and c1eanlnll,
transportation, education, entertllltnnent, recreotion, personolllfoomlng ellpenses. alcoholic heverulles,
n1llhtcluh entertainment. motion plclllres entertainment, out-of-town trips, tobacco products, poker,
gambling, (as to gllmbllng. specify the sport or game Involved), sports equipment, any other,
Undclermlllcd III lhls lime. (1lIfurmllllun Is requcslcd lUld CIlII bc
submllled III Il llller llmc)
(,~, Itellllze your presellt IIvlnll expenses 011 a Illunthly basis, Incluillrlll SUPIXlrt of any person other lhan
self, and If you du support IIllY olher person thulI yuurself, stute:
Undetermined Ilt this lime (llIfurmlltlun rcqucsled ulld CIUI he submitted Ilt II lllter time)
(u) NlIllle of such Ilt'rsoll.
Suppurt uf three chlldrell Is lIut currcllt duc lu cmplu)11lclIt StlltllS nlld mcdlclll prublems
(b) ElIpenses allrlbutahle to such persoll.
nlll
66, Did you prepure or have prepared any records, accounts, journals or similar documents show In,
your Income, expenses, assets m liabilities? If SIl, state:
(a) Describe each record.
11/11
(b) Name and IlIldresses or the persons who hllve present custody of the record.
II/Il
(c) Attach a copy or ellch such record, account, Joumal or similar document.
n/Il
67. Do you have bank statements or cancelled checks relative to any financial transactions? If so, set
forth:
(a) Name and address of person In present custody or such statements or cancelled checks,
II/Il
68, Do you belong to IIny club, llTganlzlIllon or assocllltlon ror which you pay dues or rellulaf charles?
Ir so, stale:
n/u
(II) Nllme allllllddress uf ellch such cluh or IlrllllnlZlltlun.
II/II
(h) Amollnt paid annually.
II/a
(c) Method nf payment.
II/II
(d) Dale each lIIembershlp commenced,
n/Il
69, State the nallles ami addresses uf all ~X'rsnlls whu wrrr witness to ur have knowlellge or Infonnatloll
of any relevant facts relatlnll to thi~ llctlulI, or whu pl1s~rss pfllof of .he factI Involved llnd their
relatlollship to you, amllmllcale whclhrr:
(a) AllY wrlllell or recordell stlltrlllelll~ were ohtalned fflllll any such lX'rson.
My dllughlcr Crysllll Slrlluss
l4 KCllnedy Lillie
SleellulI, PA
(b) Nallle and address of person who look h1atement,
II/Il
(e) NOllie and address of person In custody of statement.
II/Il
(d) TIle substance of lillld stlltement, and allach a COllY thereof.
II/U
70, Have you In the past hired any professional accountlnl or bookkeeplnll services to maintain records
of your assets, liabilities, Incoll1e, elll'enses, tall retulIls, and other financial transactions? If so, h1ate the
follow hI II:
(a) Name of person or lirm who has rendered services In the last five years,
II/Il
(b) Address and telephone number therefor,
n/Il
(c) Actual person within a lirm,lr a finn renders the services, who actually perfonns the services.
n/Il
71. Have you executed lIny last Will and Testament? If so, state:
Nu
(lI) Date of ellecutloll,
1I/1l
(b) Place of clIecutloll.
1I/1l
(c) !'resent location of said Last WllIlInd Testament,
II/Il
(d) Who has copies thereof,
II/II
(e) Did you prepare a list of assets and/or liabilities for the purpose of 1It1IBtlon or allY oIher
reason?
(I) If so, attach a copy,
n/a
(2) Who else has copies or said list.
n/Il
(0 Date or revocation of any Last Will and Testament,
II/a
(g) Oate of each Codicil.
n/a
(h) Description or each specllic bequest or devise, Includlllll description or property, name of
address of each beneficiary,
n/Il
(I) Oescrlptlon of each testamentary trust, the property, name and address or the trustee and
beneficiary .
n/Il
<I> Name alld addre~5 uf each allorney whu prepared the Last Wl1Iand Testalllellt and Cudlcll.
theretu,
II/II
72, State the lIames allll addresses of allY and all proposed expert wltllesses and anllell true copies of
all wrluell reports rerlllered to you by auy such pmpoled elIpert witness,
Patent, CoPyrlllht, Trademark or Royalty RI.hll:
II/II
73. 00 you own allY Interest uf allY kind In any patent or copyrl,ht, trademark, etc.?
n/Il
?4, If so, for each Interest owned. slate:
(II) l11e relllstry IIIl11lbcr of the \lutent, CO\lyrlllht, elc. and the date acquired.
n/II
(h) A description of the item patented or copyrllhted, trademark, etc" Includlnlllhe basic terms
of such rlllht.
II/II
(c) Identity of co-holders: TIle name and address of each perSOll, Omlor corporation or oIher
who shares SOllie Interest In the patent or coPyrlllhl and the amount or percenta.e of each Interest.
II/II
(d) TIle amount of annual Income you receive from the palent, copyrl.ht, etc,
II/II
(e) TIle present value,
n/Il
.
(e) 'J11r IlIl1ne IIl1d address ur elld. person furnishing the conslderatlun.
n/II
(0 A descrlpllon of till' prupl'l1Y covered by the agreement.
n/Il
(g) TIle tenns of the agreement.
n/Il
77. Set forth In detaillnc1udlnland III addltlun to the above questions the nature and utent to which
you hold a beneliclallnterest In Any funn of lmst.
(8) Are you a tmstee for any other persun or ft custodian for any oIher person?
n/Il
(b) Du you huld an interest as a benenclary or a cestui que trust?
ll/Il
(e) What Is the elltent of your benenclallnterest?
II/II
.
.
.
78. Attach u copy of .my lTIlstN In which YOll hold an Interest,
n/Il
79, Attach copies of any linanclal statements, statemenls of eamlngs or any other form of stalements
or eamhllls for the last live yellrs for said lnlst or tnlsls,
n/Il
.
.. .
.
CERTlt"ICATE OF SERVICE
I hereby certify that II tme copy of the forellolng ()efendant'N Second Set of Interrollatorles was
served on lhe following person(s), Plrst class mall, postage prepaid. hy forwarlllnll a tme and correct
copy unto:
f10yd M, Baturlll, Elqulre
Baturln " Baturln
717 Nurth Secund Street
Harrllburl, PA 17101.3101
Date: 7/1. 'II tr ,-
VERIFICATION
Upon my perlonal knowled;e. Information and belilf, I, RUIsel1 B. Laman,
hereby verify that the facti averred and atatementa made in the fore;oin;
Interro;atorlea are true and correct.
I understand that felse statements or averment, therein made will subject
me to the criminal penal tie. of 18 PA C.S. Section 4904 re1atin; to unsworn
falsification to authorltlea,
Dille I Ocluber 4, 1995
~~d>~_~
Russell H, Lumall
(SBAL)
. .
. " .
RUSSELL E, LAHAN,
Plainti fI
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
I No. 95-3129 civil Term
v.
KATHRYN R. LAHAN,
Defendant
CIVIL ACTION - LAW
I IN DIVORCE
CERTIFIC1YI OF SIRVICE
I, Floyd M. Baturin, Esquire, of the law firm of Baturin 6 Baturin, h.r.by
certify that I deposited this date in the United States Mail, at the United
states Post Office, Harrisburg, Pennsylvania, postag. prepaid, a copy of
"Plaintiff's Answers To Defendant I s Second Set of Interrogatories Propound.d
Upon plaintiff", addressed tOI
Jamea J. Kayer, Esquire
Kayer and Brown
Liberty Loft
4 E. Liberty Avenue
Carlisle, PA 1?013
(Attorney for Defendant)
BATURIN 6 BATURI"
Datel October 4, 1994
BY~ J04~ YYJ I gq Iv rl'~
Floyd M, sa\urin, Esquire
(Attorn.y I,D. No. 01044)
(Attorneys for the Plaintiff)
111 North Second str..t
Harrisburg, PA 11102
(111) 234-2421
r .
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, .
.
, ~
I~
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1!ltl
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,
I' . . II f ,
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""It"'.'" H" '
'.."'...".. . I"" ,'''. ~ .t! ':" ,.
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, .
.
.
~ ..
RUSSELL E, LAMAN,
Plaintifl
IN THE COURT OF COMMON PLEAH
CUHBERI,AND COUNTY, PENNSYLVANIA
v,
No. 95-3129 Civil Term
KATHRYN R, LAMAN,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
PLAINTIFF' S ANtillER 1'0
DEFENDANT'S FIRST SET OF INTERROGATORIES
TOI Jam.s K. Ksy.r, Esquire
Kayer and Brown
Liberty Loft
4 E. Liberty Avenue
Carlisle, PA 17013
(Attorney for Defendant)
Attach.d are the Plaintiff's Answers, Rusaell E, Laman, to Defendant's
First Set of Interrogatories Propounded Upon Plaintiff, in connection with the
above-captioned action,
BATURIN & BATURIN
Date: October 4. 1995
By:~/"11 J m ,1S"l/Vt"j'.l
Floyd H, Baturin. Esquire
(Attorney No, 07044)
(Attorneys lor Plaintiff)
717 North Second Street
Harrisburg. PA 17102
(717) 234-2427
"
,
I";
vs.
IN TilE COUltT OF COr>lMON 1'1.I1AS Oil
ClJMIIElU.ANIl COUNTY, I'ENNSYLV ANIA
NO. l)~-,1I2l) CIVIL TEIU..l
CIVIL AniON - LAW
IUJSSELL E. LAMAN,
I'llIillllff
KATIlI{YN H. I.AMAN,
I )I'fl'mlllnt
IN I>IVOIH'E
UEt'ENUAN'I"S nKS'I' SET 01<' IN1'EKR()(jA'J'ORIES .'ROJ'OUNUEU V.'ON I'Lj\lNl'IFJ<'
The IIhove.nlllllL'd Drfrlllhllll, hy hl'r IIttomey. Jllmes J, Kllyer, Esqnire, hrreby requests thllt the pllrty
to whulII these Intcrwllutorll's IIrl' IIdlln'sscd uuswcr flllly, In wrltlnll ullll uudcr outh, the fullowlug
luterroguturles pllfsuunt tl1 IhL' 1(IIII's uf Civlll'roccdure.
DEPINITIONS AND INSTlUJCnONS
Unless nelluled by the conlext of Ihc Interwll"lury, till' fullowlnll delinltluns urc to he cunsldered to he
appllcuble tl1ulllnll'rwlluturies cnntulned IlI'reln:
(Al "Documents" Is UII ull-lnclnslVL' lenn rcferrlng tu uny wrillnllullll/or recurded or llraphtc matter,
however prodnced ur rcprudncrll. The term "ilucumcms" Includcs, withuut lhnltlltlutl, currespotldence,
memuratldll, Intcrufflcr cotulltllnlclltlUtlS, mhmles, reporls, tlUll's, schedules,lIt1l1lyses,IIrawlngs, dlugrams,
I"bles, Iraphs, chllrts, mllps, sllrveys. hooks uf uccuunt, lellllers, Itlvolces, purchllse orders, plel\llltll!s,
qtlestlotltlulres, CUUITllcts, bills, checks, dmOs, dlurles, Inlls, prupl1sllls, prlnt-ouls, recurdlugs, telegrams,
fill11s, tllll rellllllS, IInd tltlunclul stlltelllents, IIl1llull uther such IIOCUltlenls tlltlglhle or relrlevllble of Htly
kltld. "Doctlments" IIlso Itlclnlle lIt1y prelhnlnllry notes lIt1d druns of ull the furegoltlll,ltI whatever fonn,
fur eXllmple, printed. Iyprll. Innghlltld. shUllhulll\, ntl pllpt'r, pllper tllpe, tllhtllugltlg canIs. rlhbon
bltleprltlts, tnlll/tletlc IlIpe, mlcrol1hn, 111m, mntlon plclure f11I11, phnnogruph records, ur other fonn,
(II) With lespl'ct tn Ilocnmrnls, the term "llIentlfy" IlII'uns 10 give lhr dllte, litle, lIuthor und addressee.
"Idenllfy" with resPl'Ct to IIOClllllcnls fllTtltl'r IIIrlltls:
(i) To desrtlhe II doc IIl11e lit slIfflclrntly wcll 10 rllllhle lhe hllcrrulllltur 10 knnw whlll stich
doculllent Is 1I11l\ to rctrlrve II fronl II fill' I1r whcrcvcr It IIII1Y he loclltl'lI;
(II) To lll'scrlbr It In II IIl1mnrr sllituhll' for nsc liS 1I11escrlpllon III II suhpocnll;
(III) To IIIVI' tltl' nllllll', IIlldfl'-', p"sltlon or tltli' of Ihl' pl'rson(s) who hilS cnstody of Ihe doctlmetll
ulllllor coph's t hl'rl'llf.
({') "hlellllfy" whl'n uSl'dln rdl'H'nL'I' tll IIn IlIlllvldnllllll1'lIns:
(I) To slllll' hlsflll'r fulllllllUl';
(II) 1'f1''''ll1 1I',idl'III'I' ,,,"hi'" III 11I,t ~1I1lWII H'shll'lln';
'J
,.
(Ill) I'reSI'llt ur lust kuuwll hll,lI1\'s, IIlhhl's,~
(Iv) I'rl'SI'Ilt elllpluyl'r ur lusl kuuwu 1'llIp1UYI'I~
(v) Whelher e\ll'r l,t1lpluYI'd hy uuy putty Illlhl, IIcthlll, ulllllf SU, Ihl' dutl's hl'/she wus l'lIlpluyed
hy sllch purty, Ihl' IlUIllI' uf such puny, ulIll 1111' lust posltlull hl'hlus UIlI'lllpIIlYI'I' uf sllch pllrty.
(I)) Whelll'wr thl' l'xpll'ssluu "ulld/or" I, 11,1'11 III Ihl''1' 11l11'r1Ulllllulll's, Ihl' Illflltlllutiulll'lllll'll fl1r shullld
Ill' set Illlt holh III the l'unlllUcli\ll' UIllI dlsJlllIl'IIVI', ulld whl'reVl'I Ihe Illforlllllllull Is Sl't 0111 III the
dls.lllllctlve, It shllllld hi' 111\11'11 SI'P"rllldy tilr 1'lIch ulldl'vl'ry 1'11'1111'111 sUlljlht.
lEI Whcllever U dute, 1II IlUIl III ur uthl'r CUlllpullltlull ur fijlllrl' Is r1'(IIII'SII'II, the cXlIcllllltC, 1I1l11lllllt or olher
COlllplltlltlollor figllrl' Is 10 Ill' 111\11'11 1lllll'sS It Is Ilut kllowll; IIIllI thl'll, Ihc IIppmxhllllte date, all1lllllltor
1l1her COlllplllutlollllr 111111r1' shollld he I1IV1'llur Ihe hl'sl estltllute thercuf; ullllthe unswct shull stute thul
the dute, 11l1l111111t or olher CUllIplltlltlollUI fijlllte Is 1I11I'stllllute Ilr uppruxltllutlllll.
(f/) NOllllSWl'r Is to he 11'0 hlllllk. If Ihl' IlIlSWI'r IUIlIl IIltern1jlutury UI sllhpurllgruph of 1I1lllltermgutory
Is "nl1ne" or "ullknllwu", such slllll'nwnlll1llst he written ill Ihl' unswl'r. If Ihe Illlestllln Is Inapplicable,
"NfA" lIlust he wrlttl'lllnthl' UIlSWI'r, If IIn IIllswer Is Ilmittedlll'l'lIllsl' of Ihl' c1ultn Ilf privilege, the hasls
of prlvllel1e Is tll Ill' stuted.
(0) All questions as tollellls of pmpeny,llwned or pllssessl'd,llllllllS tlllhe vulue of such property shall
Ill' IInswered liS of the dutl' of sepllrlltlull, (lutl' uf IIcqulslliollllllll .\0 dllYs prlur tll the Illite of heurlllg.
(H) '1111'SI' hllernll1l1lorll's IIII' cOlltlnullljl, 1II1111111Y Infnrlllllllon sl't'ureil suhse1luent tolhe lillnll1f your
IIllswers which wOllld hllvl' 11I'ell IIlChlllllhll' III Ihl' IInsWl'rs 11111111 IlI'ell knowlI or IIvllllllble. lire to he
slIpplled hy slIppll'lIlelltlllllllSWl'rs.
.
IN.....:RROOATORI..:S
1. Set furth the pn'sellt IUldrl'ss whcn' yuu un' uclulllly reshllug,
24 KCllllcdy I.lllle
Stce 1 tull, p" 17U13
2. As tu yuur prcselll resldellce, sel furth Ihe fillluwlng:
(n) If Icused,
(I) 111e IIInllllllluf rent on u yeurly und munlhly busts.
$14U,OU Il mullth relltul plus utilities
(Public lIuuslllg thruugh IJlluphlll Cuunty lIunslllll Anthurlty)
(2) I>ute uf commencement uf leuse und dute uf tennlnatlun uf leuse,
Yeurly Icuse . cunmcllcm( July 11)95
(b) If uwned,
N/u
(I) '111e size uf lulun which the residence Is lilCllled,
N/"
(2) Prescnl usscsslncnt filr tUll purposcs.
N/"
,
t
.... ,
(.1) E~tl1l1l1ll' III' 1'11"1'111 1I11lfkl'l \'111111'.
N/,\
(4) Any IIpprul~lIls of the I'lllperty whhln the lust tlm'e yeurs, 111111 If SI1, IIltach cuples uf
N/"
the IIpprulsllls.
(c) Co~t uf lIIulntelUmcl' uf thl' t1'shlenc\', Inclndlng hlllnutlltnhl'lI to repulrs, utilities, lIIortlulle,
N/"
tu~es, 1I1111uny other ellpen~es Itellllzlnlleuch hem specllically.
N/"
(II) Name of uny person or persons occupying the residence whh you,
N/"
(e) Numher I1f lOoms.
N/"
,
~
~. ,
(d) If your 1'lIIplllYlIll'lIt Is hllsl'd UpOIl U wrltll'lI clllploYlllellt IIgrcclllelll I1r hllsciI 011 II wrllll'lI
IIgreement wllhlnlhe IlIst I1vc ycurs. 1I11IlCh II copy of tlml IIgrccmelll UlIlI/or ugrecml'uls.
N/A
(c) If UI1 wrlltellllllrel'llIelll gllvcrns your cmploYlllclIl, sel forth whclhcr your slllllry Is hllscil OU
cOlllll1lsslollS IIl1d/or plcccwork.
N/A
(f) If emploYlllclI1 Is bllsl'd 011 COlllllllssiollS of III1Y IIl1lurc, sct forth thc gross 11II1IIUUI of your
salary or draw, 1111I1 the tenlls of COlllllllsslolIS.
N/A
(g) If ealllh1lls lire bllsed Oil piecework, set forlh the piecework sCllle,
N/A
(h) Slate fur ellch \lilY period, 1111I1 from Jllnllllry 1, of this year ulIllI Ihe lhlte thut these
Inlerroglltorles lire unswered:
N/A
(I) '111e period cowrell,
N/A
(2) l11e gross puy recelvcll.
N/A
(3) '111e hours Workl'll.
N/I'
"
04
(01) 111'1111/1111011 llf 1'lIl'h dl'dllCliolllll'lhll'ted fmll1 Ihl' !lmss sulury, speclfylu!lthe IIl1lure
olulld UllIOlllllllf I'udl dl'dlll'lioll.
II/II
(.~) NI'I SlIllIty rl'l'l'ivl'd.
II/II
(I) If 110 IlIcome 11l1l relllrll hils ht'ell flied for IIUY of the previous t1ve caleudur years, as to such
yellrN, set forlh:
II/II
(I) (lmss Iucollle frolll 1'llIploYlllellt.
11/..
(2) Other Inl'Olllt', lllcludillll cllpltul Illlllls IIl1d tall-free Incollle, specifying each Itelll of
other Incollle, UN to description, Illllounlund source.
II/II
'.
A
4, If your emplllymeul hus heell with 0111' employer for Ilve yeurs or If Yl1ur employmellt with your
presellt employer hus beell for less thuu five years, set forth liS to ellch employer, IInriullthe tlve-Yl'llr
period. Includlnjl your presellt employer,
N/A
(u) Nume und IIddress of employer,
N/A
(h) Dates of employment,
N/A
(e) I'osltlons held,
N/A
(d) Oross eurnlngs from lhut employmellt,
N/A
5. Do you huve uny stock IlIterl'sl, purtllershlpllllerest, or uny othl't lillunclullllteresl III Yllur elllploYI'r
other thun liS un elllployee'!
N/A
"
#
(1. If Yl1l1r IIl1swer tll Inlertlllllllllry #I~ Is In lhl' IItTlnnlltlve, SI'I ti1l1h liS tu IIny slIch Inleresl, lhe
fulll1wlnll:
II/H
(II) Type uf IlIterest held, IIndlf stuck, the IIlllullnl uf shllres helll.
II/H
(b) Dull' !lIterest WIIS uCljlllred.
II/U
(e) Cl1nslderlltlulI flU III, If IIny. fur lhllt Interest.
II/H
(d) \lresellt VIII III' llr Ihul Interest ulld huw YUII CUIClllllte that IlIterest.
II/a
"
7, If Yl1ur slock llllNesl
employer, set lill1h:
III yoIII' elllployer I'M:I'I'ds live (~~,.) pl'IH'1I1 or the Isslled slock or your
II/II
(II) NIIIIlI'IIIl\IIHI<ln'ss of 1111 111 her stockhohll'l's holtlh11llllorl' Ihllll 11\11' (~'I1o) pl'rcl'lItof I hI' IsslIl'll
stock of thllt ~'OIIlPIlIlY.
II/II
(h) I'oslllolls held hy sllch other stockholllers.
11/11
(c) Slllarles received hy I'llch of the stockholders.
II/II
(II) Ulvlllelllls Jlllld tOl'lIch of the stockholders.
II/II
(e) Any llIUlllll other pllymellls IIUHII' hy Ihe corporullon 10 such othl'r shlCkholder,
11/11
8, Docs IIIlY Ill.'rsou rl'llltl'll 10 you OWII more tllllu I1w (~%) 1ll.'r~'I'1I1 Ill' the ISSllt'd stllCk of your
I'mployl'r'!
U/II
'.
4
9. If yuur uuswl'r to IllIcrrolllllury #H Is III thc IIfllnIlUIIVI', Sl't 1'011h:
II/II
(u) NUlI1c und IIlldrcss of stockholdcr(s).
II/Il
(b) Nlllllhcr of shurcs IIl1d pcrccntllgc of Isslled slock held hy thllt stockholdcr,
II/II
(c) Rellltlonshlp of thut slockholdcr to YOII.
11/0
(d) "osltloll hcld hy thut slockholder,
II/H
(I') Ycurly slllllry uf Ihut stuckhuhlcr.
II/II
'.
"
Ill. If Yllur elllplllYI'r is U 1'1II1111'rshlp, is UIIY 11I'ISOII fj'IU11'd 10 YlllI U I'utllll'r III Ihllt I'Urllll'rshlp"
1I/1I
II. If YOllr II11SWl'r to l11h'rrollulory /I III Is 1111hl' IllflnllUll\11', Sl't fllrlh:
11/11
(II) NlIllle 1I11d 1II1i1t1'sS of thllt pllrllll'r.
1I/1I
(h) Relllllollshll' of tlmt 1'1Irluer to YOll,
11/11
(cl NlIllle ullllllllilress of 1I1101hl'r 1'1Iltnl'rs.
I
'.
..
12, Du YIlU rl'crlw IIUY l'xJlrll'I' IIl'Wlml, 11II1'l'11I110wllul'r or n'hllhurs\'IIII'1I1 for l'lIll1'lIS\'S froll1 YUllr
l'IIIJlluyl'r'!
11/01
1.1. If YUllr IIl1swrr to hllNro~lItory /112 Is III Ihl' IIllillllllliw, slllll':
11/01
(II) Tul II I IInllllllll rl'I'I'lwtl hy YUII fur Sill'll 1111 I'XIll'IISe UCCI1UIII, tntvel ulluwullce, or
rehnhurselllellt t1urlll~:
II/II
(I) Currellt l'lIlelldllr y\'ur tu t1I1I1'.
11/01
(2) I.ust prrcetllllll culrlltlur yeur.
11/01
(.1) 'I1ner prior CIII\'IUlllr YI'III'S.
11/01
(h) If rl'ill1hlll'I'IIII'1I1 Is hll'I't1 Olll'XllI'IISI' vOlldll'rs sllhlllll1etl, set furth the copies of the ellpensr
vouchrrs SlIllIlIhll'll tilr Ihl' Jl\'rh"ls Sl't forth III 111'111 /11.1(11)( I), (1) lUlIl (.\) uhove.
n/iI
~
4.
14, Set forth IIny honnses recelvrd hy yon frolll )'our 1'lIIpll1Yl'r In Ihe pusI five cull'ndllr Yl'urs, slutlnll
the IlIllount, 111111' received 11I111 whl'lher received In cush or sOllll' olhl'r form. n/II
I~, In addition to sulury, \1onnses, eKllI'nse ullowances, dill'S your clllployer,ut his eKllI'nse, provide yon
wllh any other emolnments, huvlnllll monetllry vlllue'!
n/Il
16, If your IInswer to Interroglltory No, 15 Is Inlhe lIff1rnllltlve, list ellch such bene lit IInd lis cust uf
value,
II/II
.
.
17. 1>(1 YUII I'lInlcll'lIll' III III1Y f1'llrl'IIII'III, pI'lIslol1 1'11111, profll Sllllllllllpllll1, or ollll'r lIefl'rTl'lIplllll'!
II/II
(u) If yuur ulI"wr Iu 1lIll'lI11I!Ulory No. 17 is III Ihl' ufIlrrllllllw, ulluch u cupy of ulIY I'lul1,
whelhl'r II he T1'llremelll, 11I'1ISI11Il, profit shurlll!!, or UIIY ulher Ilefem'd plllll, ulld provllle the fl1l1l1whlll
Il1fOlll1utlul1:
11/11
(I) (Jute uf hlrth.
Jlllle 28, 11)34
(21 Dule of murrh1lle,
AlIllIISl 26, 11)1)4
(3) If II corpunlllon provldlllllll I'lun, lIule of Il1corpurlllllln,
1I/11
(4) If II l'urtl1ershlp, sllle pl'Opril'lorshlp, ur III1Y other form of entity, Illite of fonlllltlol1,
Iilll
(~) Dille of M'Pllrlltloll.
'\III\IISl 211, 11)1)4
.
((.) 111111' 111'\111'1' 1'I"l1p'"1111 \\11' 1111',1
.Il1l1f' IJ, ]I)'H
IH. DII\ YI1I1 H't'I'IV\' ltlly h.'Olllhll' ,1,'11'11111111111011 11'111"" "011I 11111'1111111(1'11'11111' Sl'rvll'I', If sOIlIlIlCh:
11/"
(II) ('opy olllllY tllvoruhh' dl'tl'lmllllllloll 11'111'" 1"111'1\ hy thl' 1IlIl'llIlIllh'vl'lIlIe Sl'Tvkl' for IIIIY
phlllH,
1I/1I
(h) Whlll WIIH Ihr II 1111111 lit ..how II 1111 Ihl' l'orl~lf'lllloll'H 1101111 1120, or OIlIlIlY tll~ retllrn tiled for
the hlHt five (~) Yl'lIrH 110, thl' I'Illltrlhlllloll 10 the plllll'! ^lllldl II WilY uf the frollt pUlle of the
Curpurulhm',l1llnll 1120 for thl' III,t fill' (~) )I'Hr", 111111, If II ,ule Plllprll'lur..hlp, or I'urtlll'rshlp, or IIIIY
other fonllol' ellllty, IIt'Upy ul' Ihl' tll~ 'I'tlllll f1h'll fur thllt 1'lItlty, whl'relllthe 1I1I1l1ll1lluf Ihe eOlltrlhlllloll
tu the plan I.. ..hUWII,
11/"
(e) Du YOIIOI IIII)UII., 1'1'1' hllll' II ropy of "01111 ~~(NII' for IIIIY uf IIII' plllllH fur thl' IlIst five (~)
yellr..'! If SII, IIl1l1ch II ropy \If 11111111 ~~lNIl' for ItIIY of Ihl' plllllS fUI till' IlIsl 1"1\1(' (~) Yl'lIrs,
11/"
1I1l 1.1..1 III1Y IIIl1lull hl"lI'ril.. fflllllUIIY PII'dl'C1'ssor 1'lIlIlloYl'r or from prior sclf-ClIlploYlIlelll, which
ule In II h0/1'1I or urllw "lilli', 11',11, pll'lI'I' p,ml,I,' 1'1111 II lid 'Ill'dtk lllfllllllutlllll l'IlIlI'ellllnlllhl' "lilliI'.
III II
h') I.. Ihl'lI' IIIIY IKli\(' UI h0/1'1I Irllllvhhllllll'tltl'II11'II1 III"Cllllllt'! If, "I, 1'11'11'" pwvlde:
11/"
.
.
(I) l'IIIII'lIt \'lIhll' III' IIII' IJ(A,
II/II
(2) prlllr III 1')H2, WU~ 1111)' l'lIl1t1lhllthltl lIuull' 11l1'xce~s of $1.~()(U)(lllluIlY olle YI'llr.
II/II
(.1) for posl 19"1 conlrlhlltloll~, were IIIIY IIIl1de 1III'Xl'l'SS of $2,()(KI.()(I.
II/II
(4) II' ellher (2) or (,II uhow wl're tllIllle 1IlI'Xl'I'SS of thl' I1llllrl's as sel forth, llldicate the
yenrs III which the excl'~s cl1l1lrlhlltlollS wl'rl' Illlldl'.
II/II
II). AlInch wpll's of curporllll' rl'SOllltlolls l'~llIhll~hllllltlll' IIl1hlllly for thl' corpurntloll to conlrlhllle to
Il('nslllll, prot1t ~hllrllll! IItlll/or olllN Il'tlrl'lIIl'lltor dl'fl'lWd plUlll1I till' IU~I 11\11' (~) Yl'llfS,
II/II
'.
.
20, If II TIAAI( 'IWI' PI'II,IIlII, pli'll'I' plmhll' IIII' fllllllwlllll:
11/"
(III whlltl'llIlty 1111' >"U 1111I~11I1I rill, Ilhl )\111 wlllk rill, IlIIlh'l whldl cllntrlhlltlllllS wl'n' 11\IIlll'Ilf
TIAA/('IWF!
11/.'
(h) 1I1'\'nlllnllltlllll ,11111'1111'111' rllllhl' 111'1 t1V1' (~I Y~ltr"
ntH
(c) hllVl' uny Vllll1lllllry cl,ntrlhlltlllns 1l\'~1I1111111~ tn Ih~ TIAA/CIWP'Ilf SII, plellse provide specific
1111111 1111 the Sllllle,
II/H
hI) will YI1I1 slllll 1111 IIl1thorlllllllln 1'0111I, II110wlnll liS tn 1ll'lIlll1t~clly with the pension, profit
Iharlnll' rellr~lIIent lit 111'I'errell plllll, 1IIUllf so, sll1n the IIttllchl'lllIlIlhlltllllllnn fl1nn,
ntH
(I') IIttllch \'l1flles 1'1' 1111 thl' phlllS,
ntH
(f) prl'S1'nl vllhll' of your 1llll'll'st In l'II\'h fllllll.
II/U
.
(11) 1111111I' 111 till' IllhllllllsIlUII1I(s) 1I11,l/l1r 1111'11',,(,) 111 'lIill \,11111,
II/II
(h) IIUII' 1111'SIUlIICI' 111 )'l1ur 11l1l'rl"1.
II/II
(i) IlUIllI' uf hC.'III'f1c1l1ry'!
II/Il
21. Are you II pllrtlcil'llnt luthl' stuck uptluuur huuus piau?
II/II
22, If your IIIlSWl'r tu Nu, 21 Is Iuthl' ufflrnllltlw, lIullch II cupy uf thlll plllulIllll stale:
II/II
(II) AIllUUllls, Ilulllre 1I1llll'XII'IIt Ill' 'lIch Inll'!I"!.
II/II
.
.
(h) TYI'I' of plnll,
II/II
(c) I>nll' of 1"lIIt11n' of your hUI'II's!.
II/II
(II) NlltIIl'll hell~lklllry of slIch plllll.
II/II
(e) HlIve YOlll'xl'rcls~lIl111Y uplloll wllhlnthe IlIst Ove yellrs? If YOllr llnswer Is III the lIfflnlllltlve:
II/II
(I) Whl'II WIlS ,hi' oplloll l'xl'rdsl'lI'!
II/II
(2) Whlll WIIS Ihl' 'ourn' of hlluls 10 I'"Y Illr smlll'"
lI/iI
(,\) II11WIIIUIIY ShUll'S Illl Y"IIPIl"I'llIly hlll<llhlll Y"llllhlUilll'll hy 1'~I'Il'islllll Yllur llptlllll'!
II/II
(4) Th~ rl'III1III1II1!1"pIiIlIlS,
II/II
(~) '111~ IIl11lts thl'r~llll,
II/II
2:\, Does your ~lIIployer PIlY III1Y pl'rsonlll ~lIl~IISI's 1111 YOllr IIccollnt'1
II/II
24. If y"ur III1SWl'ltllllltl'lllllllltlllY Hl.l is ill IIII' "'fitllllltiVl', SI'I l(llth, liS tlll'lIl'lI slid. JIll Y1lI1'lIt II 1111 Ii'
IlIthl' 11r1'sl'lIl l'lIll'IUlllr )'1'lIr 111111111' IIl1d hi IIII' 1'1I'l'illllS Ihtl'l' 1'1I11'lIdur YI'ms:
II/II
(II) 1>1111' lIf 1'1IYIIII'IIl.
11/'.
(h) I'I1Yt't',
II/U
(c) l'urpIlSt'.
II/Il
(II) AlI1l1l1l1l of I'11)'11It'1I1.
II/U
~/
25, If you were ell1pluyed prior tu yuur mllrrluge, set I'lluh:
(a) Name and address of ull elllpluyers belweenlhe dute uf the tennlnlltlon uf yuur schlKllIn,l to
the dale of your presenl Inllrrluge. Prlur lu 1980 . locH .emplu)'ed . IIulu budy/pullll wurk
1980 lu 1983 - Self empluyed . Aulumublle hud)'/Pllllll wurk
1983 lu 1989 . Dull'S Tuwing & Guruge
Curnerull Slreel, lIurrlloburg. PA
1989 lu Muy 19\15 . self-empluyed . Aulu budy/pullll wurk
(b) Inclusive dutes uf emp nyml'nt.
See l5(u) Ilbuve
(c) Type work performed.
AUlomubile budy/p"inl work
(d) Gross allnual Income from employment during the yellrs of empluyment.
1980 lu 1983 . se1f.empluyed - Ilpprux, $ll,OOO/yr grulos
1983 lu 1989 . ()UIl'S Tuwlllg . Ilpprux, $400.00 weekly gruss
1989 lu Muy 1995 -self-empluyed. yell I' eliding 1\1\14 $13.173.00 gruss
priur lu 1980 . lIul uVlltlllble currenlly/ullklluwlI
(During lusl 5 yetlrs lux returns lIul reudll)' tlvuluhle, hul eumlng less euch )'etlr IlS I
hlld 3 slrukes durlnll lhul lime. husplluJ tzed Ilfler lusl slruke Fur l ffiVlIlhs . hlld lu use
26, Have you ever IIllended college? If so, sUIte: cune llJ help wulk fur u perlud uf lime
lhereufler)
tll
(a) Name of college lind/or colleges.
II/II
(Il) Yl'nrs IIth'lIdl'll.
11/"
(~.) I>I'llrl'I'S, If lillY,
II/II
(d) MIIJur IIrells uf study,
11/11
27, If YUllllre self-empluyed. ur werl' self-empll1yed wlthlnlhe IlIsl ~ yellrs, state:
(II) I'llIce llf III1SIIlI''',
CI r Ruml
Clr, Yurk ClIUlll), 1''\
"lid
141 N. Cltlllcrllll Sl,
lI"rrl!>hurll. P'\
(II) Trude IIl1ml' 11'1'11.
RII!>!> , s AUlu Rt'(lul r
(c) Typl' uf hll,lnl"s,
'\111 tlllk,h I 1(' htld)/putlll wurk
(dl SII1II'I1II'1I1 uf hll'llIlII' 11I1III'~pl'II~I'S 1I111111~SI'ls 1ll1llllllhlllth's for Ihl' Illst rtw yellls. Alllll'll
Ilny fllllllldlll slIlIl'melll ISSIII'llllllllllll1hllllillle, or If YUII dUllut hllVl' l'upil's, Illlme uf thl' 1'1II1y whu hils
cllples.
R('curds lIt1l uvulluhlt., l{(octlnls lusl Ihlt. lu 11('11111 III lilt' huspllul S L1mt.s uv('r
lhe lusl S )'('urs 11I1114 dlff('n'lIl n.ltll'ullulls ulsu r(')lllt'd lu tlll1t'ss, I hud lIu llIt:um('
Illld ('XP('IIS(' slult'mt'lI1!, 11I\11 whultvt'r fe'cunls I hud, lht. wlwn'llhullls ur(' IIl1klluWlI,
(e) Ilemlze 1111 elllll'IlSI'S paid IlIlhl' Illst flw Yl'llrs fur trawl. II1llUlllllhlle, entertllhllllent, Ilflly
cllsh, 1l11l1llfrsllllllll1l'lIIs, sllllhllllls tll 1'lIch:
II/U
(I) Dille uf PIIYIIII'III.
(2) Amullllt uf I'llytllelll.
II/U
(.1) I'lIIpl1se Ill' pllYlllelll,
II/u
2K. If YOII ml' II 1Il1'lIlh~r of II PII"lIll'l,hlp, '11111':
II/U
(II) NIIIII~ l\Iullllldrl'ss of 1111 PII"lIll'''S,
II/U
(h) AIIlOllllt of drnwill[!s or ellrnillgs of 1'lIch pllrtll~r III th~ IlIst t1vc clllendllr yeurs.
II/II
(c) Itellllzlltionlls tOlhlll', Ulllollnl 111111 plllpl1SI' of ulllnoulcs Itrllwn frolll J1urtllership or chHrllell
111 yonr drnwln[! or cupillll uccollnt dllrlll!llh~ pllsl f1vl' y~urs.
II/II
(II) Stul~lII~nt of YOIII Cllpillll uccollnt us shown lit Ix'glnnln!! 1I1llll'ud of I'uch of the IlIsl live
purtncrshlp InCllll1e 1Il1l rei urns t1I~d, spl'cifyln!! th~ p~rlod covcrl'lI hy 1'lIch slIch H'llIrn.
II/II
(~l h~lIIi7.lItloll of 1111 l'lIp~IIS~S plllll In lhl' lust rivc clIll'nllllr y~lIrs for tTllvcl, IIl1lolllohlle,
cntcnllhllll~III, Iwlly cush l\Iullwrslllllll IIl'IIIS, sllIlhllllls tOl'lIch slIch 1II'nl, thl' followlllg:
II/U
( I ) ()lIt~ of PIlYIIII'III.
II/II
(2) AIIIIHIIII lit 1'1I)IIIl'IIt.
II/II
(.\) I'lIrl'OSl' lit I'lIyllIl'lll.
II/II
29, Set fol1h ul\ olhl'r IlIcome rl'l'elved, olhl'r thllll heretofore sel forth IIIUllswers tolhe Interro~UlorleN,
whether reportuhle or 1101 lilt federul illcome t11~ purposes, durlllllthl' cllrrellt yellr 11I111 the pllst Ove
cuJelldar yeurs ulIllllS to ellch such 111'111 of IIICl1me, Sl't forth:
II/II
(U) 1>1111' received,
(b) AIllOUIlI received,
II/Il
(c) NUIllI' ulllluddress of pl'rson, firm or l'llll'lll'llllon from Whlllll received,
II/II
(Ill T)'pl' or 1111'0111I',
II/II
(e) Whl'lllI~r rl'C1'lvcd III CIIsh, crI'dil or 1IIIIII'Iillls,
II/II
:Ill. Stllte whl'lher YOII hllvc riled II loelll, Slllll' or fellernllllcllllle IIIX rl'IIITIl fur the pllsl live calendar
yellrs.
Yes. ll1CIII, Sllllt' IIIIlI ft'llt'rul
If such II return WIIS n1ed for IIUY of the pllsl nw cllleudllr yellrs, for ellch such year:
(II) Sel forth II copy of Ihl' 1'1111 rl'tllrn, 11)1)4 ClIPY ulluchecl,
(cuples uf (lH'vluus yt'lIrs. IIllt'mpLfIlR lu llJcult')
(h) Slllle Ihe Oftkl' of Ihl' 11111'111111 1{I'wuul' SI'lvkl' whl're 1'lIch such relurn WIIS n1l'll,
1/llf'r1/i1lllfV['II/lr Sf'rvln'
I It ilf" pll ,., J,\
(c) Nil II II' ulld Illldrl'ss III' thl' ll('rslIlI IIr t1rm whll prepurl'lt l'uch slIch returll.
11)1)4 WII!i JlrcJlllrclt h)': Illllh Fr)'
715 (;1)' Ilulld
(;1)', 1'1\
(d) NUllle 1I111111lldress of uII perslllls whll huvc cllpll'S of euch retllrn,
RII!i!icll IJ, LUl11ulI (!icln
(e) Nume uIIIludltress of ull'l('rsolls who siglled euch retllm,
RU!isell IJ. LUI11oll(!iclf)
10 Nllllle 1tI1l11\lldress of IIny persons with whom sllld refilm WIIS tiled.
All relurllS were filcd wlLh lhe uppruprlule lux ufflce(s),
(g) AlIuch cuples uf 1111 sllch relllrns llIelt for the pust five (5) clllendur yellrs,
Sce 11Ilerruglllurlc!i 30. (u),
31, If Yl1l1l1re II lI1elllll('r of II purtnershlp, ulluch copies I1f the lust tlve pllrtnershlp retllrns tiled with Ihe
Internlll Revell lie Sl'rviCl',
II/II
, .
-'2, If YIlII IIr1' 1I111llTlcl'r, dlrl'l'lllt IIr IIWIIl't Ill' fI\'I' (~%) ll('rl'I'111 IIr IIlml' Ill' stllck IIIIIIIY cnt\lntlltllll1,
IIHllch cllpli's Ill' thl' IlIsl fI\'I' fl'dl'llIllrl('llllll' 111~ 11'1 III liS flll'll hy 1'lIdl Sill'll cnrplltulllll1.
(u) If YIlII IIWII IlIlItl' 1111I11 fI\'I' W!O Pl'll'I'lIt Ill' thl' shICk Ill' slIch l'Ilr\llltullllll, IIsl Ihl' flllll1wlllg:
II/II
(I) 1'llsitlllllS held, IIs1111g, lrullvldlllll1y, 1'lIch ChUllgl' Ilf JKISltlllll l1Vl'r the \lust live yeurs,
II/II
(2) Nuturl' llf the hIlSllll""
II/II
(~) Nllmher Ill' shurl's hl'lll,
II/II
(4) Pl'rl'l'l1tulll' Ill' Ilwlll'rshlp,
II/II
(~l NIII1lI' of 01111'1' Illrl'l'lllrS 1111111'11111:11'111 onkl'ls llf thl' l'IlIPlllllllllll.
II/II
((,) AllY propcrty OWllcd hy slIch cllrpul'Iltlon !in your IWllen!.
II/ II
faf Dcscrilw {he Prlllwrty hl'ld for YUllr lWllel1t.
II/II
f/l( '1111~ cl1lll\itll1l1s II1111cr which the prolwl'lY Is helll fur YOllr hellel1!.
II/II
Irf The cllm'lIl flllr ll1l11kl'l VII I Ill' of the proPI'rty,
II/II
N/IIICllll1l' 1I11l1I'XPI'IISI'S, If lillY, which YI111 t1'I'elvl'llllllll palil with tCllllnl In slIch
prllpt'rty wllhllllhl' IlIsI IIw yeurs.
II/II
:U, SI'I forlh II list of 1111 1111 III h's hOIlO\\'I',1 h)' )'011 ,hlllll!! thl' \'11111'111 )'I'ur IIl1d thl' pllsl f1V1' clIll'lIdllr
Yl'tns, sl'lllllll forth liS tOl'lIch Sill'll sl'l'lInlll' 1~llllIWIIl!l:
II/H
(II) I>lItl' whl'lIl'lIch 1I111111l1l1 WIlS hlllllllVl'd,
ntH
(h) ^llIl1nnt horrowed.
II/U
(c) NIIIlII' 1I1l1111l1drcss I1f Ill'rsoll, I1ml or II CllrJlurullol1 frolll whulII borrowcll.
II/H
(d) Melhod III which fllllds wl'rc n'I'I'IVI'd, I.e" ClIsh or chcck,
n/II
(d Whl'lllI'r 101111 WIIS cvldl'III'l'd ur S1'CIIII'11 hy IIl1y 11011' or III1Y uthcr evldcnce uf slIch ohlll!lIt1oll,
II/II
(f) NUlIle ulllluddrl'~~ of ulIY 11I'1~01l who co-sllllll'lI or llUllIullll'el1 ~uch IllUlI,
II/II
(ll) If 101111 Is ~ecured III pllrt or III 1'1111, descrlplloll of ~ecllrlly given.
II/II
(It) Dules und UIIIOIIlIls of UIIY pUYlIlellts Illude 011 IIccollnl of uny sllch 10uII und method of
payment.
II/II
(i) l'resellt IIl1puld UIIlOllnt.
II/Il
(j) Dates lIIUllllllOllllls IIl1e on loun hulunce,
II/Il
(k) Rute of Interest on 10UII,
n/II
~, .,'
cUllllltlulIlll NIles, sl'(.'lIrlty lI~rcl'lill'Ill~, cuntrlll" uhlltlll1hms, 111111111'11111 \I1ih'llIl'nts,l'rulllls~ury III JIlII~lIll'lIl
nutes, sIath1tl whelher Ihe uhllllllllulI Is II1lllvllluIII, .lullll, '" .Iulllt 111111 M'verul.
(a) Stale the naillI.' alld luldreSN uf each credltur.
lIurrl~hurllllllhplljd
Ilurrl~hurll, 1',\
(h) 111e fonn uf ubllllllliull,
Multiple heurl h)"pUlolo loUfl~er)', hUloflltullwllull ulld l1Iedlcul Illld
reluted loervlcelo
(c) The date the obll.atlon WI' Incurred,
Mu)' 1994
(d) 111e cunslderatlon received fur the ubllgatlun.
Medleul hlll~ III exn'~lo uf $l1111,llllll,llll plu!>
required lu 8u tu 111)' flh)'lotelulIlllIl'e u mllllth fur fulllJW'Ur. cure Illld Dlullllurlllf
wllh ('ueh vl~ll $1011 plus my' flr('~crtpll"lI~ ('uch mullth W Ilch ure uppruxlmule y
$ \lJll
It t~ trrl1l8 l" h(' dNermlll('d If M('dlcul 1\~~I!>tullce hilS puld ull)' uf these
m('dleul hills, ulIll tr loll tr Mr. I.lUnulI will huv(' tu relmhur~(' Medlelll
"~!:i I ~lllllee uud/ur If Melllelll ,,~~ I lolllllC(' wu!> u [,,'pll)'e('
( ) l>J'e!>c:.rl/lttuu!> 1))111 url'lc~1 Vllo1l!>I"re11IeIII1l puld h)' Mr. I.UI1lIlIl,
e \Jescnp'lloll or pnr seClllly II ve I for tie OJ la nil.
II/II
,- ~
-,"w
,. .,-..-
..~--=-......... -.-1 .....~~.i. ...... '-.._~
If) AIIIOlllllllf till' IIrlllllllllllhlllllltlllll,
$10ll,OllO,Oll I
(II) 1{1I1e of IIlINl'st 011 ,hi' I1hlllllllll1l1,
II/II
(h) Present III1J1uld hululICl' 011 the oh1il!"lloll,
1Il1dclt'rmlllcd
(I) l>ute ulld amollllt Ilfl'lIch IlIslllllmellt repllYll1ellllllle,
II/II
(j) itemize thl' illsJlllsltlollllf the fllllils rl'cl'lved,
II/II
II/II
.\~. StUll' whl'lhl'r III1Yllllr, (whl,thl'r llldlvilhllll, CI1rl'UTIIIIIlII, I'Ut1I1I'rshll" or IIIlY Ilth~r rlltlly ur pUt1y)
UWI'S YUII UIIY 1Illlllry. If SU, stUtl':
(U) NUlIlr II11llulhll'I'SS 111' tIll' i1I'hlur.
II/U
(h) Thl' UIIlUIIIII uf Ihr dl'hl.
lI/U
(e) 111~ funn uf the uhll[!utlun,
11/11
(d) The illite the uhll[!ullun wus Inenrr~d,
lI/u
(e) 'nle dllll' the uhll[!lIllulI heeulll~ dlle ulIlI uwln[!,
II/U
(f) The eUl1llllluns for I'UYll1ent uf the Ilhll[!ut lUll ,
11/11
. ,
(Il) '111l' ClllIslderutloll gl\ll'lI fill' lhl' lIhll!llltloll.
II/II
(h) Security 111\11'11 I'm lhl' ohllllllt 1011 ,
II/II
36, StRte whether YU\lOW\I, lellsl' or dlles IIny perso\l, I1nn, e\ltlly, corpuruliu\I or uther pllrty NIIJlJlly YO\l
the use of, IlIllllltullIuhlll', truck, or other tnolm vehlcll'. If Nil, fur ellch lI\1tlllllUhlle,lruck, or other mutor
vehicle, stiliI':
Yes, (Own)
(II) Yellr.
1975
UIIlI 11}87
(h) Milke,
Chevrulcl
UIIlI
Furd
(c) Model.
MlIlIlt' Curl..
Ii!lc..rl
, ,
(d) Llt'I'lIsl' 111111111('1.
~tullle ClIrlu
AX" ll715
Ii!.curl
,\I'V 1%8
(e) NII1III' ulIlIlIIl,lrl'ss of Ihl' II'IIUI OWIII'r.
Ihl!.!.td I Ii, 1.11I1IlI11
l4 Kellllcdy Lulie
SLct'! Lull, PA
Purd li!.curL WU!. Jlllrchul>ell fur h)' Mr, I.lImUlI fur hi!. duughLer CrysLul SLrauss, IL is
III Mr, I.IJIlIUlI'!. 1Il1llle, huwever, hh duu!!hLer mukes III I PU)1l1CIILS ull Lhe cur us Lhe cur
ls her cur uml fur her Jlcrsullul u!.e, Mr. 1.IIIIIull hus clJlILrlhuLed IIU mulIey luwllrds lhls
ve/lIcle
f) NlIlitc unlludllrl'ss of thc rCIIlstcrl'lI uwner.
Rus!oe II Ii, LUIIIUII
l4 Kelllled)' LUlie
Sleellun, 1''\
(huLh vehIcles)
(II) Dllte of purchusc,
Mullle Cllr1" . .July 11)1)5
Escurl MlIrch 11)1)5
(h) NUllle und 1I11drcss of the p,'rsoll or I1rlll frolll wholll .hl' lllltOllluhlle, truck, or other lIIotor
vehicle wus Ilurcllllsl'll.
Mullle Curlu wus huughl I'rulll u prlvuLe 11Idlvlduul
Bscurl WIIS purchu!.ed ftlJOllIllrvey's '\uLu SHies, WUYlle Slreel, IIurrlsbllr8
(I) Illlrchllse price of IIII' lllllomohill', truck, or other motor V1'hlcll',
Mollle Cur16 . Stoll,110
Illicurl
Sl,Illl0,110
Ol NIIII1C 1111.1 IIlI.ln'ss 01' 1'lIch pl'rSOI1 who hils 1111111l' pl1)'IIII'l1ts 011 thl' IIII1I11110hlll', truck or uther
mutur \!Chldl',
F"nl Ibr"n . Cr)'htul Strllllhh
24 K('lIIwd)' LIlIIt'
Stee I t,,", 1''\
(k) Huw lUll II yuu 1111\11' hl'l'u drlvllllll'lIch III1IUI1111hlll', trllck or uthcr mutor \ll'hldl',
MulILe Curl". Shin' .Il1ly \1)1)5
37, Stlltc whcthcr yuu OWIIIIIIY I'urnllure, hOllsehold guods,.II'wl'lry,l'urs,lIrtlfllCIS, works of IIrt, or other
personlll propcrty, uthl'r thllll securltli's. II' su, fur 1'lIch Ilem, slUte:
FurnlLure oud hUllhehuld guudh
(II) Clllllplete descrlptlllll.
Llvlllg r""m furnlLure
lied ruu," hili L e
IltueLLe SeL
1V
(b) IlIIlIcllle dllte uf pllrchllse,
FurnlLllrc /hullsehuld IL('ms huv(' h('(,1I Ol'CllmllluL('d uv('r pusL 25 )"curs
1V Is 25 )'curs uld
(c) Suurce of rUIIIls uSl'd III thl' purcllllSl'.
IJllkUuWII / l'lIhh pllrrhIlS('h
(d) Estltlllltl'd prcsl'lIt VI1 I Ill',
Mllllmul VIII 11(' . "l'prllx, $3tltl,tltl
(e) Vuhll' lit thl' dUll' of sl'(1nlnl 1011 ,
Apprux, $300,00
(f) "resl'111 10Cllll0l1,
24 KCIIIIClI)' LUl1e
Slt'clLul1, (1,\ 17113
(ll) Names IIl1d IIddresses of ellch other person with IIn uwnershlpll1terest In such Itellls,
II/II
.18, At any time during YUl1r IIlllrrlllge, were yun enlllllled In IIny huslness enlerprlse, either sulely or
Jointly with others'llI' su, fl1r 1'lIch huslness, sllllc:
Yt's
(Brief) y fur st'vt'rul mlll1lhs)
(II) NlIll1e IIl1d 1Illdrcss uf till.' hll~ll1ess.
Russ I s AIIL" Ilt'ptJ! r
141 N. Cllmt'rull Slrt'cl
IIl1rrlshllrg, "A
(h) POrll1 of Ihc hllsll11;'ss orlluI111lltl011 (l'llI(1orlllhlll, Pllrtnershll', sole prol'rll;'torshl(1),
Suit' prIJprlcturshlp
, .
(c) NUIIII' Ill' I'uch llfflcN Ill' pUl'ltll'r III thl' husll1l'SS,
II/II
(II) illite lln which Yllur IntNI'st In thl' Imsllll'ss cllllllllencell.
AIIRIl. IIJIJ4
(e) Your cuplllll cllntrlhutlllntllthe husluess,
1111 cllpllul
(0 Your proportlonute shure In the ownership utilI prufltM of the huslness,
1ll11%
(g) The uunulIl gross profits Ill' thl' huslness IIl11'lnllthl' pust 11\11' yellrs,
~cc IIJIJ4 IlIcumc Tllx \(('lllrll IIlllldwd
, ,
, .
,\l}, WIIS III1Y hllsIIIl'SS 1I11'1I11111l1'd III till' Pll'Cl'lllllllllllSWl'r tll IIUI'rrllll"lllry #,IH IlIsl'lllllllllll'II, Slllll, or WIIS
your 11I11'rl'sl h'rllllllllll'd'! If so, SIIIII',
(II) Nil I III' llf thl' hllSilll'SS,
II/II
(h) (Jlllc of dlscolltlllllllllCC, Il'ftllllllltlllllllllll/or slIll',
II/II
(el Amounl of money received liS II rl'sult 111' lhl' dlscontltlllllllce, termlnutloll or sule,
tI/1I
(d) Amoullt of the totlll suiI' prlCl"
II/II
(1') To wholll sold,
tI/1I
(f) Wlls tlll'rc II wrllh'lIl1llrl'I'llIl'lIl'! If Sll, IIlllldlll copy lll' thl' IIIHI'clIll'nt.
II/II
,
, .,
, .
(Ill BlIhllll'l' lhll' 10 )'011 for Ihl' ~ltll' plil'l',
II/II
(h) AllY ~ecurlly for ,hi' ~ltll' ptlel',
11/11
(I) IJlsposlllollof the proceeds received 10 dllte.
II/II
JIIIlII'S, ' KIIY r. r Illlre
I.lhe~ Loft/
4 Ell LIIII.fly Loli
Curl ~h'. I'^ 1701.1
(71 ) 24.1.7'122
, ,
. ' ,
,
n:R'J'II'ICA'I'I<: 01<' SI<:RVICE
I hcrehy cl'rtlfy (hilt II (rul' copy uf IIII' furelllllllgl>efl'llIllInl's hllerrullllturlcs WIIS served 01\ the
folluwlllll pl'rsllll(s), First c1I1SS 11I1111, pllslllgC prcpllld, hy furwurillllllll Ir\le 111111 currect cupy \llItO:
l"luyd 1\1. ""lurln, to:slJulre
lIuturln &I lIutnrln
717 Nurth Secund Str~1
Hurrl~burM, PA 17102-3202
Dllte: 7/Z1/1,
'lIR.illCAtlJJ1i
Upon my personal knowledge. Inlolmatlon and bellel. I, Russell E. Laman,
hereby verify that the lacts averred and statements made in the foregoing
Interrogatories are true and correct.
I understand that false statements or averments therein made will subject
me to the criminal penalties of 18 PA C,S, Section 4904 relating to unsworn
falaification to authorities,
Dille I OCluber 4, 1995
~u,'t~J:~"&--
(SHAL)
RUSSELL E, LAMAN.
I'lainl i It
IN THE COURT OF COHHON PI.EAS
CUHBER1.AND COUNTY. PENNSYI,VANIA
v.
No, 95-)\~9 Civil Term
KATHRYN R, LAMAN.
Dtlfendant
CIVil. ACTION- LAW
IN DIVORCE
CERTIFICATE or SERVICE
I. Floyd H, Batutln. Esquire. of the law firm of Baturin , Baturin, hereby
certify that I deposited this date In the United States Hail. at the United
Statel POlt office, H.rrlsbur~. Pennsylvania. postaqe prepaid. a copy of
"Plalntlff'l Answers To Defendant's First Bet of Interro~atories Propounded
Upon Plaintiff". addresled tOI
James J, Kayer. Esquire
Kayer and Brown
Liberty Loft
4 !, Liberty Avenue
Carlllle, PA 1?013
(Attorney for Defendant)
BATUklN ~ BATURIN
By;-=J 10 tjJ m .-JSc.) I~r It'\.
Floyd H. Ba~ Esquire
(Altorney I,D. No. 07044)
(Attorneys lor the I'laintilf)
Date: Oclobtll 4. lqH
117 NOlth 8t1cond Street
l\artlsl'IIlII. I'A 1'/102
(1111 ~H}4}1
~"~_inO-:T~Q~"1
,. III ..... ''-,11. '....01 _... ' I,",
Label _ "",..... end ...11I \MI_
,
="11ON k
.. !lIlIIlIl I
11M ... 11II L
...... "
OtherwIN, I
....... pMl S
or type,
"'11..111
IIIIIIIlI c........
lito 1"
il
'\'
'1
,
'J
.,
t'
"
.:
..
..
",
.!
Flllnl ,..IuI
(let pogell.)
ChIck only
GIll 110..
i
,
':
1..m,lIonl
(lito... 13}
"
!
II ...... l/IIn III
...._11.
- poge ,.,
'j
..
.
Income ,
II
...... ..
0.... . II .- .
'_W.L II
w.1Q, ....
,.... ....., "
II you did nol 'I
gII . W,I. _ \I
page 15, ,.
,..
EntloN. bul do ,..
not .nach, I/1V "
pevmenl ..rth
VOU' '"um. II
II
..
1\
M\Ullm.nll ..
..
10 ncom. 1M
CeulIon: lito .
InIllUCt_ . , . .
17
.
.
~CI P"b-
Llel_
ifill UN fJrW\o-OO "Ot writ.., .. In"", ....
. " 0MlI No. , U
Vour _ ,"",",_
J(>'iJ :,4/." 4'7/7
........ - '""'"'-
. . ..... "'urn. _" tnI ...... tnd ""'III
L'
__I_1nd ."0111. vou...... '.0 110',... _ It.
: L . ~,
Apt. no
'or \lrfVRW AoI IIld
'..,work IIoduotlon
Aot NoUe., _ .,
ve. No 11I11: ChlclunO 'y,,'
w'" nor ctt.tnel )'OUt
,.. or rNICe your
..lurid
10 Ihl. fund? ,
IlngIo
~ filing Joint Ntum (_. only GIll had -I
_.. ___...um.InlIr........- ~ no,""" nI III'......""., .
_ of _lOId (With quoIt,1ng I, (_ P.IVI '3,)1"'" ~ _'II child bul not vour d.p."""~
ant., 11111 cIIlld'. nome ...... .
. _ Wllh t child .. died. 18 _ 13.
.. QI ,......,. vour pnnI (cr __... con elolm vou . . .......t on ""or her tall
1IIlum, III ....e_ boa'" Iut III .... 10 Chack !hi boa on 11M 33b on page I ,
"
..
. It., 1 WII.
111.... tI"M, _, ..... I..' -I
11,11-
-... I
.. II -!-
II, II ,.,
-...
.,
. ..........
. ..,....
=:
--.1-
.... ".
'11 r 'I."
III __..... _
Mil ..-.
--.
"
lIIIIlOnM",,.
.....-
l .. .......'. ,""" -Illy
loIII.....
I
.,.,....., 1Itit... VOlt llA II clIiIIlIIl......... "'*. ""'1'" ....... cl1Icl "". . 0
T of .........,
Willi, ........ ..., lie. AltICh Fcrm(ol W.I
,..... _ _ (_ poge III, ANch IchoduIo . II 0.., WJO
,........ _ 1_ !lilli''', DON'T IncludI on line II
DlYIcIond 1ncomI, ANch IchIdulI . S _ WJO , , , , . , ,
T....... rIIundI. GId., cr oIlIoII 01.- and _ - .....1- ... 111 .
AUrnonyteOllfved . . . . . . . . . , . . , . .
,,-lncomIorc-l,An.ch_CorC.EZ , . , , , , , , ,
CtIlH* gMl or (10M), " 'lIlu..... ....." IIc:hIduIl 0 1- page 11) . , , . ,
OII1Itgoinlor~},,_hF""".1I7, . 8' , , . , . , , , , ,
T 04al1M dII\I1bulIIInI , lJ.II..J ... T ...blt lW11OII1I I... pogIl/)
I. pentlOllllllll ....ull.. l.1ILl _ r..obIt lW11OII1I I... pagel/)
IIInIal .... ..... roy"",", pllI1'nor1hipI. . corporlllonl, t"'.... "e, Anach 8<htdull E
F"'" IncomI or (10M}, Atllch 1cI*uIt' . . . . , , , . , . ,
lJntmpIovmInl com lion ( !lIlII") , ,."",." "
IocltI -..ttv bInIllt. - I..obIt lW11OII1Il... pogIllj
0lIIIt 1ncomI, Uot type and omounl__ pegt 11 ...'".... ....".. .. ...... "....",
Add Itin!hll" 1._ 11 11 Thl." ourloltllno_.
Vfl4/Il11A __ (_ page 111I . . . .
Ipouot'. IlIA -.cuon (III pogellj, ' ,
Moving ......-' Anac/l Form 3103 or 3.0H
One-hllll of ..If.omplovmenllU, . . . .
..............Ved hMIIh lnIuranc. cltduClton I- page "1
KIOQh rlllromonl pIOn nI "".~ liP dlductlon
I'onoII1' on lOlIy 01_...01 .1 ...ingt, . , , , ,
-v poId 1IIc.....I..N .
Add IInIII Itv 18 Ih... .. our lolll u _It ·
lubl''''',"1 30 Irom Iinlll !hllll V.u, .... I". 1"'111I' II ""lhln '212M Ind I child lIVId
WIth ou Itlll"'n 1000 ," child dldn' bYI ..,'h OU .11 "II'ntllln"ml elldll' on I 1 27 ·
C.I No II J101
.
B .-
F..n 1040 IltHl
'- lIMO I'''''
'I
,
1'11.
Compu-
..lion
~\1 pege
I'
:\'
"
"J
..
,.~
"
"
,'11
,I
.\
.'1
",
i!
'I.
.
.
" VOl! w.", 11
lIle IFIIlo .
It''.:'''
PIlI u, .
Credits .1
.
r.rpege ...
..
.
,:!
'I
'J'
'.;
'./
,
'J
Other
Tax..
rrpeel
'.ym.nll
.
',I. . AlIIch
:.\ Forma W.2.
W.20hlllld
1018. on
" lhI lion',
.
Rllund or
Amounl
You OWl
8111n
H....
Koop . copy
oflhll Ilium
for YOUI
-,
'lid
'rep.rer'.
U.. Only
" ' ..
.
-
. AmOunt from Ine 11 (IdIuItId grOII ~ . . . . I . . . . . . .
III ChIoIlIll 0 Y.. wn" oroldlr, Olllnd; 0.,.... -.. 01 oldIr, Ollllncl,
Add lIle .....- 01 bo... ohICkld IboVIIIIld anlllllle 10111 her., . , ,....
II "your pnnl (or ___ clllm you .. . dIpInclInf. ohIck hll' . . ... 0
. "you IN nwrlId ftllng aapn'l!y IIIld your apclIlIIltlmll" dlduotlON 01
you IN . duII.llllulIlI.n. III peel as IIIld ohIClI ...... , . , , , ,. 110 0
......111. ~I~ ..".!rom 8chldull At 11nI11. 011
......... ""~"vton IhoWn _ for youl IIIIng IlIluI, lul" you oIlIckecl
.. .. on .. ... 04' II, lIll to peel 13 10 ftnd you, llInclIrd dlductJon.
If you oheOkId .. 110, your IIIrtCWd dIduCllon II 1110,
. 1111811 IUCIO . HIId of houIIhoId .a.eoo
. MIrr1Id ftllng JolrtIIY 01 QuIIIfytng wIdovl\*"".31O
. MIrr1Id.. ......... 13.171
.. EnIII
III
,...
your:
1ubtrICt....l4fromllnlU I . . I . I . . . , . .
. . . . . . .
If IInI II II 11I,110 or 11II, muIlIpIy U,qo ~ lhIloIII numblr of ..ornpttonl ofIImed on
IN II. If IInIUII _113.110, ~ lIle worlIIhIII on peel 14 for "" IIIlOUnl 10 ""11 ,
,..... ....... IubtrICt IInI :II 110m IInI :II, " IInI :1111 mCd thin IlnI :II. an'" -0. ,
T.., ChIoIlIf llom .0 T.. TIIllI. II 0 T..l\IlIllchIdulll. 0 oClpltIl OlIn T.. Wor1<'
ahIII,or ., 0 Fonn .'llIII peel 141, Amounl from Form(l)"14 · · I
AddIIIortIl...... ChIoIl " llom . 0 Form 4170 II 0 Form 4872 ,,'
IIIld
CrIdIt lor child IItd dIpIIodIl,1 C*I......-. AllIch Form 2441
CrIdlt for lhI eIdII1y or III dlIIbIId. AlIIch lIchIdull R , ,
Fcn9l1U cndII, AItIoh Form llIe , . . . . , ,
OIhII.......lIII peel II), ChIcIl "110m . 0 Form :110O
II 0 Form AM . 0 Form 1101 ., 0 Form \IPIClIYl-
Add..."'throu1h'" . I I I .' . . I .
. If 4. 40 "".. .0-
.7 ......'I*,mlllI.... AtIICh Ich."... . . . . . .
. MImII".a mInlnun .... AtIIClh form "I' . . . . . . . . . . . .
.. l'IcIplIn.....lJlIok If ""'" .0 Form 41.. 110 Form .." ooForm III'
. 1ooIII....-v IItd Medlen'" on lip __ nol fIIlOI\Id to~, AfIIch Form 4137
II T.. on quIIlflId .......\.,' plInI, Including IRAI, " -"<l. .ttach Form 5328 .
. ~ IIInad _ crd ",,_llIllom Form W.2, , .".
.. Add..... 62, TIlIIII .......... . , , , , ,.
.. ftMI iIIcomIlII wIllIlIId, "MY Illrom form(I) ,... chIcII. 0
. I" -.... -11I'I"** ord.......1ppIIId from 1813 ilium ,
. .....__....If~, Il\ICh SchIdlAI EIO (III JlI8I
In, Nal "".... -* 1ncomI: IIItOlI1l . I I I
1Itd,."... ....,.........,....,..,....,............,..........
11 Amoli1l paid . Fonn ..... (..\IrtIiOI1 ~. . , .
. belli aaolIl ~ IIIld MTA ... wtthhIId (_ pege :121
. 0IhIr ,..,.._...,lJlIok. ""'" . 0 Form 2~ .0 Form 4131
. Add""'" 118, n.ell...... . , , . . . , ..
II . In 10 11...._ In 13.1Ublrac\ In 13 from 1111110. llllI II thI_ jOU OVI",AlD.
. Amounl oIlInlll you w.",lllFUHlllll TO YOU. , , . , , , , , , ,
. Amount oIl1n1" JOU _ AFf\.lIlI 'UGUIlI. IIT1IIArlD 'AI . 13
.. If 11n153 II mCd thin hlO, lubl,.." 11..10 110m 11nI53, Thll II IhI AMOUNT .tOU OWl.
For cItIIIII on hoW 10 ply. including _'10 wrtt. on your paymenl, ... poge:12 , , ,
. E.,iml,ed ... _ :J:I , AiIO Includll on II.. ...
UndIr"- 01 1*lIrt,1_1ho1 I hi" ,_ !Nt ...",,1I1d ""';C>"_~ __ tnd '1l'_I',1Ild 10 lhl_ 01 my kmwtldilllIld
_, tIwy nINO. _1ncl.....-.llootItlllon oI__lollwlhon ~ _0I1..1n_""" 01_ _hoI"'~,
. VINf ...."'" y"", .."upe'''''
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Firm'. name 101' youtI ~
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COIlIlOllWIAUH or PlNNIYlVANIA
1994 Rllld.nt Indlvldulllnclm. T.. R.turn .
... ~ ...... YIIl'1er ""nnlO' 'H4
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lC. "" 'A IAlA'U COIIKNIAIIO"
2 IAWlII"'lIm
2 IAUIU DIVlOI"D'
4 ""I"COIII OR (IOIII'IIOIIIHI OPEIlAIIO" 01 A 'UIINIII. 'AOIIIIIO" OR 'AAII
, "" a.,," OR IlOlI1 '11011 THE SAlE, IICHA~r O' DllPOllliOS 0' 'AO'UlI
I"un uu T(hll (urttl , ot hlma w.,
StIlOOI[hlllll('on.
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lilt Nollnclu" " L,", , llIOwtl
I lilT 11lC0III 0lI1lO1I1 '11011 RE"lI. IlQllllU 'AlENT' A"O COPYRIOHlI
, IIIATI AND IRUIII"COIII
. GAIIIlIIlG AND LDnlRY 11I1""'"0'
I IA 'A AlIA I T
T
II TOIAl.'A 1IlC01llTAlIIIN1THHElD
" IITlllAlID PAYIIE"" A"D CRIDllI
IIf CIHl "001 lHI 'A 1Ie1.,n "0
''''114 I.._nl '0,_11 III
110 '.ytIII., .iI. '"' .......1101 hi...... II.
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Tllll Return Mil~' 8.
FII,a 0.1 U' Uelgl'
Ap!" II li9~
I,. rDIAl 'AIIIENT, A"O CRlDllI
II TAX IDIlQIVINIIIIROII 'A ICHIDULE IP
tit _"'" CtIlmId l...lllll " 'Itt 1I1."A ..",,1uI1 IP
130 1111'110111, In_ "001 lilli I, ,Itt IV .1 'A 'e"'d.~ IP
IIc ,.... Adlull.d 01011 In..... Ilam llOl I, 'lit III 01 'A 'e..d.1I1P
tSlt lAX IDIlQIVE"E11 ,llQllllfj( ., ,." IV.I 'A S'''d.~ IP
14 TOTAL CRIDIIIDA IAIII 'AID ID OlHEA IlAIEI OR COUNIRIII
" IIIPlOlllm '"CE"TlVI PAIIII"lI ClEOIT
II IDTAl PAYlllhll AhO CREDllI 11.111 I,nll 11 lId '3d II lAd 'II
lId
130
IlD
Ilc
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'or ill'f 1'1'1I~ l ~L"~:t'iJ
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II 1~IRPAlMlhl ,.
1801 Miounl oIllnl " Id III llI'UNDlD "0
110 Amounl 01 lint l'ld III CREDIIID I. IOU A 1881 E.TlIIAHO lAX ACCOUNI II.
Ik Amo.nl.llln. 1110 lllDONATEO I. th. WilD AUOUAeE eOSSIAVAIIOH IUhO ",
lId Amo.nl .,llOl " I. ., DONAHO 10 Ih. U 5 01 I Mile eOMloIllII1 'A DIVISION 10.
.................. 1.......1 ........... .'....' -.....~.... ".~ IM~' ~~_." ~~.HI~!~.~! ,.... ~~jt '~.' ..... _ lilt .... ."'...1....".......
lhllf';lll" II . ~1'.Iif""" "fWlllWl~ btYdll'.f.riwu,III';'''hlhl III"'" 11M.,.......
",n. . 3'1'~~- l(
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~ of .hl II....,
............... _, '01 .. AlUoh 10 ,""" 1040 or ,orm 104.. .. ...In.lnHlUonl lor Ie......... C
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o au."'W neme II ~ HjI...11 bu""... n.m., IIIU l~"~.. . D ''''''''''''10 ...- ~IIII, " "'"
~u.l.>u.., ~U_~~"fL____ -i-~
I lIu.",..._...,oncludl"ll.u,"or,oomnol" Y I No ifh ~ I,!n'fA~f1!V...~f-'-,-~
C,IY, town or !lOtI oNIeI, .1.1., ond liP cod. ____ t-l Afl " i.~_)l.~_____~ J '1 J 0 I
, Accounll"ll ....Ihod, (II 'CI", ell 0 Acclull e31 0 Olhll I'P Itvl" . .... .. ....,.. ..'
a MtIIIod('1 uoed 10 low.. 0' COIl Oth.. (.llIch DOli not .pply (II
.11... olotl"llIlWtnlory: (II 0 CO" III 0 Of m.....' 131 0 IIplanlll""l 141 ~ cheCked. .klp line HI
H W" 'hete any chang. tI1 determlOlng quanNI", cOltl, Of' ~alU'llon. belwH" opining and clollng 'nventory?lf "VII," attach
..pllnalllln",.". ,
Old you "mal.n.ttv par1lctpal," in lhl oper.tlon of 'hll bullne.. dUring 18941 If "No," IN pig. C-2 lor limll on 10.....
I' ou .tarted or ac ul~ 'hi' bUI'"'" dun 1 894, check hefl
0lI1I
ICHlDULlO
(PonnlMOl
Glo.. fICI'pt. 0' hili, C.uUOnl" 'hi' /fI(;ome w.. repor1<<1'O ..au on FOlm W.2 ,"d 'hI "S'.'u'"ry
omp.\>.... boA 0II1h111onn wd eheel"'. "''''1Je C-~ _ e_l ".,. .. 0
. Rolum. end eIIowonc.. , , , , , ,
. llulll,IC' line 2 ~onlllne 1 . , , , ,
4 Cool 01 goodl ooId (~om line 40 on page ~I
. CIIMI ....... lIubtrICl1Ine 4 from line 3 ,
. Olhe' inCome, inCludl"ll Flldeflll end .1.11 \IIIollne Of 'uIII t.. <red" 0' "'und I'" peg. C'2'
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10 A.nl or I.... I'" p.g. C-4):
. V...., rntdl....." WId _I .
_ Olhlt bUlln... property
11 Aep.". end mllnltnanc. ,
U lluppl... InollnCludId In Pill 1111
13 r.... end IIc.n... ,
.. "1\1'1, mll'a, .nd ent,n..nment.
. T"\I'I .
b M..II and .n.
1"tllmn8nl
. Enlor ~O'" 01
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10 hmllallonl
I... plgo C .jl ,
d Subtrlcl hn, 14e ',om hnt 24b
.1 U11II11"
a. Wlgt' (I'" emplOymenl Ctl\!lIll
'7 Olher ..p.nll.thorn hn. 46 on
p.g. 21
Aclvtlllll/lg , .
lid _I. ~om ..Ie. Of
""ile" 'III pege C'3) . ,
CII end truck .'pen_
,_ pege C.31 .
CCfM\I..IlIn. end I....
OepItIIOll,
OIprICIIII"" end IICllon 178
I'pen.. _ucl,,,,, Inotll1Cludlld
on PlOt 11111... peg. C 31
Emplo,.. bentfll "'OU,.m.
101111I lhlll on line II, '
In.u,lI\e.lol"., thin h,,"h) ,
,nl....,
MllIIglge IPIld 10 bInlI., .Ic I '
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LIIIII Ind pIOI.",onll
UN""
ON". . n.
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II
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14
II
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fotel.......... be'm. ..penHa'Of bUlln... u.. uf hom.. Add linea 8 through 27 ,,\ columnl.
Tonllh.. PlOlllllo"l Bublllel line 28 ',om ,,," 7
(ap,n,.. '01 bUlln... UN of your horn. Anath Form lIat
Net "ollt Of (10"1. Sublllel Un. 30 Irom I"" 2g
. II. ptOllt, ent... on Form UMO. line 11, and Al60 un Ic:hed. .., IIn. a tllalulory IlflllpluYUIlfS.
1M pig. C.&l Eltltll and truIII. ,nllf on fo,," 104t, Iin, 3
. 11110... you MUBr go on 10 ,"'. 32
U II ~ou h'v' . lOll, LhtH.k th. bu. Hual dttl{:flbe. VOW .'lV.ltm.f1f Itl thll tlLlllllly II.' pilye C fll
. If ~ou checked 32.. enl.r the lun on Po,", '040, line ", omJ At 50 Oil Sch.dul. 81, IIn. 2
l.tilluIOf~ 'UI~'uY"', U8 lJolU' C r,j hldl.. lUll' 11 <litiS a",I., Oil r 0"" 104' hne J
. II yUU LhltGk.d 320. ~uu MUS' alladl form lUll.
Par P.perwufk Rlductlon Act NotlCl, II. 'oftn 1040 lnlttucllonl.
\:,11 N'l ll)I..I'
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form I uonc. No 01
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32. {J All Ifw8Ilrnent II 81 II.k.
32b LJ nUm8 "lvellment I' not
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8chedul. C Iform 104011804
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. tn_IClfy II blglMlng 01 ~, If dlfllrlnl from 1111 ~'I olollng Invlnlory. """on ..pllnltlOn
.. Pu_ Iou COlt 01 KIII11 wl1hdrlwn 101 f*IOIlIi UN
....
. CoIl 0' labor. Do not Includo ..1Ity plld 10 you,,"11
. ""1_1 IIIld lUpplill .
" au. COItl , , , ,
. Add I.... 33 1/vougII37
. InvlnlClfy It IIIld 01 vow
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-, Bubtrect 11111 38 ',om Ilnl as. Enter lhe ""ull "orl Ind on I 1. 11111 4 40 _
nfonnetlon on Your VlIhlcle. Complet. this psrt ONLY If you are claiming car or true ..pen..s on
IIn. 10 .nd are not required to III. Form 4582 for this buslnell, See the Instructions for line 13 on page
C-3 to find out II you must rile.
.', 4t WhItt d6d you piece your v.hldl in aervic. tor bUll"", purpoMI1 (month, diy', VIII) . ....... ./..........~..... .
,
.1
41 01.... tolIl number of miIII you draVI your YehIOII dUl1ng 1884. Interlhe numblr 01 mlill you UIId your vlIllOlllor:
· ...- ,....,...............,............, .. Commutlne ................................ I Other ,..,..............................,..
.. Do you (Of your _I hlVllIlOthIr Yehlell IvlI~ lor pnonaI UII? ,
,0 YII
DNa
DNa
.. W.. your vll1lell IV-.olor ... during ofl'duty houri?
,0 YIe
4Ia Do you hevI Ivkllnello lupport your deduction?
.. If 'YII." II the IYkllnel wri"In? . , . . .
, 0 YII
.0 YII
B::
- Ottlar Iapen.... List below business ellpen..s not Included on lines 8-28 or line 30,
......................................................................................................................
......................................................................................................................
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41 Total other II HI. Enter her, and on a It, 110' 21
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RUSSELL E. LAMAN,
PI ainll f(
I N TilE COURT OF COMMON PI,EAS
CUMBF.RI.ANll COUNTY, PENNSYloVANIA
No. 9~-31~9 civil Term
v.
KATIlRYN R. I,AMAN,
Defendant
C I V II. ACTION . LAW
IN DIVORCE
PLAINTIFF'S ANSWER TO
DEFENDANT'S S~ND SET OF INTERROGATORIES
TO: James K. Kayer, Esquire
Kayer and Brown
Li bert y Loft
4 E. Liberty Avenue
Carlisle. PA 17013
(Attorney for Defendant)
Attached are the Plaintiff's Answers, Russell E. Laman, to Defendant's
Second Set of Interrogatories Propounded Upon Plaintiff, in connection with the
above-captioned action.
BATURIN & BATURIN
By:
--=J I 0 l' J \1") ..IS'C) I U r , .~
FI; M.'-i,iluin, Esquire
(Attorney No. 07044)
(Attorneys for Plaintiff)
Date: October 4, 1995
717 North Second Street
Ilarriabufg, PA 17102
(717) 234-2427
J
.
..
. '
IHJSSELL E, LAMAN,
1'1111111111
IN TIlE ('OIl1n OF COMMON PLEAS OF
('IIMIIElU.ANI> ('(llINTY, I'ENNSYI,VANIA
vs.
NO. lj~,,\ 1l'll'lVIL TEI{M
CIV II. ACTION, LAW
KATHRYN It LAMAN,
1II'fl'm1l1ll1
IN I>IVOIU'E
DEFENDANT'S SECONU SET ot'IN'I't;KKOGA1'OKIES I'KOI'OUNUEU VI'ON I'LAINTIFF
1111' Ilbove-lIIuuelll>cfelldllul, hy hl'r lI11orlll'y, JIIUtl'S J. Kllycr, Esquire, herehy rl'quesls Ihllt the pllr1y
10 whom Ihese IlItcrrolllllorles IIrl' IIIldressed IIl1swer fully, III wrltlllll 1111I1 uuder olllh, Ihe folluwlllg
IlIlerrolllllorles pursllllllltolhe 1{IIII's of l'ivlll'nlCedurl'.
DEFINITIONS ANI> INSTIWlvJ'(ONS
Ullless lIeillted by the Cl1lllelll of the IIIIeITI11llltory, Ihe lilllowlllll del1ulllolls ure to be cOllsldered to be
uppllcuble to ullllllerrogulorles cOlllulul'tl herelll:
(M "DoC\llucllls" Is UII ull,llIcluslve tcnll (l'fm I 1111 10 UIlY wrillllg ulIIl/or recordetl or Ilmphlc IIlltlter,
however produced or repnlllllced. '1111' Il'nn "1ItlCulllellls" IlIcludl's, wllhoul Ihullullon, correspondence.
memomndu, hlleroff1ce cOllllnunlcutlons, mluules, repor1S, notes, schedllles. unulyses, druwlnlls, dlullrllms,
tables. gmphs, chur1s, IIl1lps. surveys. hllIlks of uccollul, lellllers, Invoices. pllrchuse onlers, pleudlnis,
questionnaires, C\11l1ructs. bills, checks, llruns, tlillrles, lOlls, prullllSuls, prlut-ollts, recordlugs, telellrams,
mms, tUll relllr1ls. und f1uallclul slalemellls, ulld ull olher such docllIuents llllllllhle or relrlevuble of III1Y
kllld. "DnclIlllents" IIlsolllclude ullY prelimlllury noll'S 1111I1 druns of ull Ihe fnrellolllll, In whatever fonn,
for ellample, prlllled, typetl, IOllllhulld, shOr1haml, 011 pllper, pllper lupe, labululllull curds, rlbboll
blueprints, magnetic lape, mlcrol1hu, film, molloll plclurl' I1hu, phonllllruph records, or other fonn,
(Il) With respect 10 dtlCllluellls, Ihe lerl11 "Idelltlfy" lIIellllS tu IIIVI' lhe Ilule. tille, ulllhur und ullllressee;
"identify" wllh respect to dllClllllellls furl her 1111'11 liS:
(I) 'I'u descrlhe U dtlClllllellt slIfflcll'lIlly well lu elluhll' Ihe IlIlermlllllur tn klluw whllt sllch
dtlClIlIlellt Is IImllu relrll'vl' II frolll 11 1111' ur wherever II III1lY hi' hlclIll'tl;
(II) 'I'u descrlhl' II 11111 1I11llllll'r sllllllhll' fur IN' liS II dl'scripllulI 11111 sllhl'oellll;
(ill) 'I'u Illw Ihe 11111111', IIddrl'ss, puslllulI ur lilli' uf thl' pI'rsuII(s) whu hilS CIISltllly uf the docll1l1enl
ulld/or cuples then'uf.
(C) "Idellllfy" IVhl'lI IIwd III rl'fl'rl'lIl'I' lu 1111 Imllvldlllllllll'III1S:
(I) Tu slIlIl' hls/lIl'r 1'1111 11111111';
(II) I'resl'lIl n'shll'lICl' IIlldn'" or lilsl 1.IIllIVII It'sldt'IICI';
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(III) I'n's"111 or IlIsI kl1o\\'lI hl1sllll'SS IIlldll'ss;
(Iv) I'H'sl'1I1 1'lI1ployrr or IlIsI kl1owl1l'l1ll'loYl'r;
(v) Whl'lhl'l rwr rll1ploYl'd hy III1Y 1'I111y 10 Illls 111'11011, 11I11111' so, Ihl' dllles hl'/shl' WIIS ell1ploYl'd
hy sl1ch pur1y, Ihe 11111111' of sIKh plllly, 1111111hl' IlIsl posllhlll hl'hlus UI1 elllployer of slIch pllr1y.
(Il) Whl'lIewr Ihl' I'xprl'ssloll "lIl1ll/llI''' Is IN,.lll1lhl'sl' Il1ll'lTOl!lIlolll'S, Ihl' 1I11'0rtl1Ull01I 1'11111''' for shollld
he sri oul IlIllh 111 Ihe wlI.llIl1l'llw ul1d .lIs.iI1I1~liw, ulIll whNI'ver Ihe IlIfortllllllol1 is sl'l 11111 III Ihe
dls.ll1l1Cllve, II shlll1ld hr glvrll s.'purulely IiI 1 ru~h 1I11l1 rvcry 1'11'1111'111 sOl1ght.
IE) Whel1ever U dUll', UI11Ul1111 or olher COlllplllllllllll or figurl' Is rl'qllesled,lhe exucl dule. UII101l11t or uther
CUlllPlllutlol1 ur I1llure Is lu hi' glvell I1l1less il is l1ul kl1uwlI; ulld Ihel1, Ihe upprollllllule dille, 1II11Ulll1t ur
olher cOll1plltUllolI or f1gl1re shull I.! he givel1 ur Ihe hest esllll1ule Ihl'rl'uf; ulIlllhe ul1swer shllll slutI' thut
the dille, 11111011111 ur ulher CUIllPlIlUllulI ur figure Is UI1 eslllllllle ur upprollilllUllol1.
(Il) Nllul1swer Is lu he left hllll1k. If Ihl' UIlSWl'r IUIIII IlIlerrogutory ur sllbpUrIIllruph uf UI1 il1terrollutory
Is "none" or "ullklluwn", such slull'lI1enl 1I111s1 he wrlllell III the unswer. If the l)uesllol1 Is IlIlIppllcuble,
"N/A" lI1ust he wrlllenlnlhr ul1swer. If un unSWN Is 01111111'11 hl'clluse of Ihe c1l1hn uf prtvllege,lhe busts
of privilege Is lu Ill' stuled,
(0) All questiolls us 1Illlell1s of prupel1y, uwnl'd or possessed, 11I111 us 10 Ihe vulue of such proper1y shull
Ill' Ullswered us Ilf the dull' uf sepurullul1. dill I' uf uCl)ulsillonulIl1 .10 dllYs prior 10 the dull' of heuring,
(H) 1111'SI' Interrogulurles ure cUlltlnulng. 1I11llllUY Il1funnllllul1 secured suhsequent 10 the I111n1l uf your
answers which would huve heen IlIcllIduhle In Ihe unswers hlld II heen known or uVlllll1hle. ure 10 Ill'
sl1pplled hy sllpplelnenlulllnswers.
'.
~
.
IN1'KRROOA TOIUKS
40, Sel forlh . 11.1 of allnllllllel re~elved by you by way uf ,1ft, Inherllance, nr allY uther sunrce oother
thall tIImln,l or uther reJKlr1llble 1Ill'umt' ur luanl frum Ihe Incepllllll IIf lhe IIllmlulle, As 10 each, lItt
forlh: 11/"
(n) Date received.
11/"
(b) Amounl received.
11/11
(c) Name and addren of perlun. nnn or corporallun fnllll which received.
11/"
(d) Reason or ball I of reCe Ip!.
11/"
(e) If ilft or Inheritance wal recelve,lln form other IhulI mOlley, de5\.'rlhe:
(I) VlIlue al the time of receipt.
11/" II/u
(2) Whal was received In lien of muney.
11/"
11/11
(3) l'relilClII value,
11/"
II/U
(4) Valne ul lime uf sepuruliun,
11/"
II/U
(~) Uute received,
11/"
II/u
((,) If ~uhl, till'" uf slIll'.
II/II
(7) ('ulI~hll'rnllulI lI'I'l'iwtl,
II/It
(H) Dbpllslllnll nf Ihl' ptllL'l'I'ds.
II/It
..
..
41. SI'I furlh II list uf IIlImulli~s or If III furm ulhl'r 1111I11 IIlonl'Y IllwlI hy YOII hy WilY uf 111ft. 1ll'lllIest,
Ilr lnherlllllln', frnlll 1IIl' hln'plloll of Ihl' mllrrlulll'. As IU 1'lIch, s~l ful1h:
(II) IIl1ll' illYI'll. II/II
(h) AmulIlIl plwlI.
II/II
(c) Nume IIltllllddress of Ill'rsoll, Orin ur cllrporulloll to whom puld,
11/0
(d) ReusolI or bllsls for gift, devise or heqllest.
11/0
(e) If Illvell olher lhunnlOnlt's, vullle of whut WIIS given onlhe dUll' glvenllnd lis present vallie,
II/II
,
..
42. As tUUIIY ulld ulI chl'l'kllllllll'l'ulIllls IIl1lll1lulIII'.1 hy yuu or III which yuu hUll puwer uf slllllulure In
1 he pust fl \II' YI'IIrs, sl'l fur1 h:
(u) NUIIII' 111111 Ulhlrl'ss of hllllk or Illhl'r nllllllclul IIISllllIlluII.
C"rt>~lutt>~ II,onlll,,1I Ilullk
1 \JIII,," Strt>ct
~ltrlrllN"WII, (1,\
(h) Accullllt ulIlIIlll'r,
685'1 2183
(c) Dull' 111'1'011111 Cllllllllellced.
'\ugu~t 1'1'14
(d) Dille uccolIIII tenlllllllled, If IIU IUIIller uctlve.
II/u
(e) NaillI' IInder which IICCIlUIIl Is or WIIS nllllllluilled.
Ilussell Ii, 1.1001111 ulld Crystlll Strlluss
(f) NUllle und IIIldress uf uny ulher persuII whu hUll PUWl'r of slgllulure olluny such IICCIlIIllt.
My dllughlt>r Cnslut Strllu~s
l4 Kellllerly LIllie
StCC.Jt"lI, (1,\
(II) Type of III'count.
Cht'l k till!
(h) NlIlIIl' 1II1111tllllrl'SS uf III1Y III her perslIlI whll hilS IlIlwl'r III druw onlhe uccuunt.
Il/u
..
(I) AlIloUnl 111111'1'011111 PrL'SI'1I1Iy.
$150.00 IlpprllX lrTlHt('\ y
llllf closed. the 1II111l1ll11 ill Ihl' IICCIlIIIII(S) 1I11he ell" of t'lIch Ilf Ihe 12 prior mOllths tilthI' dllle
of c1oslllg, 11/ II
(k) Allllch sllltelllellt of IICCIlUIlt(S) tin the Ills! tlve yeurs.
RequestillS cupies uf stutemellts. Tu be supplied lit II luter dllte,
..
4l As IOl'uch ulUlulIY ch.'ckltlllUCl'OlIlIl l'owrL'd III Itlll'rrulllllory #/42, SI" for1h:
(u) TotullIIolllhly 1II'IK1SIIS 1'llCh lIIolllh dllrllllllh~ l'llrrl'1I1 YI'ur ulld Ihe pUSI Ilve culelldur yeurs,
AppruxlmHtcl)' $1ll11.00 II mOllth, If Its IIvIIIIHhle.
(b) List or altach copies of ulI checks druwlI 011 tllllluccolIlIl durlllg lhe Cllrrellt yeur ulld the pllst
culendur year, speclfylrlll:
(I) Dule of check.
Checks lIut IIvHlIuhle.
(2) Chl'ck IIlunher.
II/II
....
..
(~) I'IIYI'e,
II/U
(4) A11l01lut.
II/U
(~) Purpose,
II/U
..
'.
.;
44, As IOIlIlY IIl11lull suvlllllS IICCUllllls, cer1lf1clltes of lIel1l1slt, IIlOlIcY-lIIurkl't fUlllls, suvllllls cer1lOclltes
(1111 herelnllfter referred tOilS "IICCUUIII") or shllllllr Itellls therelo, 1I111111111111ed hy you or over which YOll
hllll puwer Ilf slllllulure or alllY Iuleresl 111 or ,lellllsllellllluules Imo or wllhdrew lIIollles frulll,IIurh1lllhe
pust f1ve yeurs, stute:
(II) NUllle IIl1l1udllress of hUllklll!l or olh\'r IIISlllllllolI.
11/11
(b) "AccoulIl" lll1l11ber,
11/11
(c) Dute UCCOllllt opelled or Pllrchused.
11/11
(d) NUllle ullder which UCCOUllt Is ur WIIS IIIUllllllllled,
II/Il
....
(I') If III1Y dllllllll's WI'H' IIl1l1k' 111 Ihl' 11111111' of thl' 111'1'011111, fllllllor l'I'r1lfkllll', Slllll' thl' chllllgt'
IlImle 1I1ll1111l' IIUII' of 1'111111111'.
II/H
(f) If 111'1'011111 Is dosl'll, stiliI' 111111' of c1oshlll.
11/(1
(g) L1slof ull wllllllruwlIls 111111lr III the pllst Ihree Yt'urs, st'lIll1ll fl1r1h Ihe dllte UIIII IlIl\Ollllt of each
wlthdrnwululIII lhe preselll 1111111111'1'.
II/H
(h) Whu received the 11I01lles wlthllrawlI.
11/(1
(I) Illsl~lsllhlllof Ihe fWllls.
II/u
~
...
Ol AI1IOIIIII 111 IIcCUllII1 III Ihl' el1ll or 1'lIch Yl'lIr ,111r11111lhl' IlIsl 11 VI' Yl'lIl'S 111111 prrselllly ill lhe
IICCoUI1I.
II/U
4~, As 10 III1Y "IICCOlllII" 111 whkh your Illlllll' 1101'S 1101 IIppl'ur, III which YOII 1I1'IlIlsltell or wllhdrew
monies, stiliI':
(II) '1111' IlUIIII'S III whkh ellch IICCOlllllllppl'lIrS ulld III which youlll'llIlslll'lI or wllllllrew mOllles.
Iltu
(11) NUl1Ie 1I1lllllllllress of lhl' IlIsllllltlol1 III which the UCCIlllllt Is loclllell.
n/u
(c) nle dull' ulIIl rellSOIlS for Ihe lIel1l1slt or wllhllrnwul.
II/U
46, Set for1h II list of 1111 shlCk, secllrllles olher IhulI 11I11l1ls, IlIcllIIlIlIll hili 1101 II 111 II I'd 10 stocks,
debentures, mor1gllges, Irellsury hills, 11111111111 fllllds, (hm'lllllfter referre,llo liS "securlly"), oWllell, held,
purchllsed' ucqlllrell, solll or IlIsposell of hy YOII IlIlhe pllsl Ilve yellrs, ellher Inlllvhllllllly, .Iol1l1ly, as
lellulll ill COllllllon, lrllsll'l' for III1Y olhl'r (lI'rsol1, CI1"h1l1l1l11 for III1Y olher 111'11<011, or liS bellef1c1ury or
cl'sllll qlle trllst, or III which YOII hl'hllllll'lIelklllllllll'rl'st,
II/U
"
.
47, As III 1'lIch sl'cmlly IIsll'd III yom IIl1slwr III hUI'lTOl!lIllllY 1/4(), s.'1 li1l1h:
(II) 1>1111' or pmchllSl' IlIIlCljlllsllloll.
II/II
(h) Type or sl'curlly pmcllllsl'd 1II11111111111l\'r of sl'l'lIrllll's pllrchllsl'd.
II/II
(c) I'lIlChllse prlCl' III P"IChIlSI'.
(II) Melhod of IIcqlllslllnll If olhl'r IIIl111 hy pmchllse IIl1d Cllllslderutloll for thalllcqlllsltlon.
1I111
(e) Ilroker throllllh wholll Pllrchused, or 1I1111le ullllullllress nf person, flrlll, nr curJlorllllon, from
Whlllll lIc111llred.
II III
(I) Dute sold nr othetwlsl' dlsllllsed of. If snld, sel fllr1h lhe follnwlllg:
(2) Sules prlcl'.
II III
(I) Type 1I11111111111her Ill' secllrllles sold.
IIIIl
IIIIl
(J) NlIlIII' of hroker Ihrolll!h wholll sold or Il\'rsoll, tlrrll or I'orporutloll tll whnlll sold. If
lint Ihrnllgh u !lrokl'r.
II/U
..
"
(4) NI'l gllllll1r 111~~ rl'slIllIlIlI frulll ~lIll',
II/II
(g) If dl~llIlsed 111', other Ihllll hy slIll',
II/II
(I) 1>1111' of dl~pl1sltloll.
11/11
(2) Methllllnf dlsl1I1SlllolI.
II/II
(3) COllslderulloll received therefor.
11/11
(4) NUlIle ulld uddress of lhe Ilt'rsoll, I1nll or cOl'JlIlrntll1l1lo whol1\ trnllsferred.
11/11
(h) If ellchulIlled for III1Y other secllrlly, descrlhe:
11/11
(I) Dille e~chulIllt',I.
11/11
(2) Where 1'~rhlllllll"1.
II/II
(,\) Whlll \VII~ fl',",'IVI'd III e~dllllllll'.
II!"
..
(4) l'lIl1sldl'lllllllll Il'l'l'I\'elllilr I'~dllllll!l'.
11//1
(~) NIIIIIC 1I111luddll'SS Ill' 1l\'ISIIII, 111111, l'lIlpOrnllllll with wholll ClIcllllullell.
II/II
(I) If slock Is Is III1Y 1I1111'Pllhllcly IIstl'd l'OIIlPIIIIY, utluch copll's of IlIstlhree 11111111111 stutell1ellls
of ussets 1I1111l1uhlllllcs.
II/II
<.I) The IIll111e or 1111I III'S 111 which ellch of Ihe secllrltles werc rl'lllslerell.
II/U
(k) If oWlled hy 1I11Y other persollllr 111 lhc IIUllle of III1Y other persoll, the IIOllle ollllllllllress of
slIch persoll.
II/II
.
..
4R. LIst 1111 hOlUls, IlIchulllljllJllltl'll SllllI's SlIvhljlS 1I0llds, l'OIPOI'IIII' "olUls, 1I111111c1plll \lomls, or UIIY
uthl'r tYPl' uf hOlld, UWIII'd, lu'hl, purdlllSl'd or sold, Il'dl'l'lIIl'd or dlspoSl'd of hy YOII IlIlhe pust I1ve (~)
yeurs, whelher held III YUllr 11111111', hullvhlllully, johllly, III l'UllIIIIUll, liS Inlsll'e for ullY olhl'r person,
clIslodlun for IIIIY olhl'l' pI'lson, or us 1ll'lIl'1kimy ur l'l'sllll 1)111' lrusl, or 111 which yun hmlllllY 1lt'lIenclul
Inll'rI'sl.
11/11
49, As to euch SlIch hund, sel fur1h:
(II) 01111' of pnrchllsl' or III'qnlsltlulI.
II/II
(h) l'urchusI' price, If purchusell.
11/11
.
.
(c) MI'lhlll1 of 1I1'lllIlslllolI, If olher Ihllll hy purdlllsl', lIIull'Ol1shlL'rullulI fur Ihllllll'l(lIlslllul1.
II/II
(II) Vlllue III dllll' uf 1ll'l(lIlsllloll,
H/ll
(e) NIl1l1e 111111 Illlllress Ilf hroker fro1l1 whum purchusell or IIU1l1e ul1d Illldress of persol1, f1nll, or
curpurutlol1 from whum Ilcqlllrell.
H/ll
(f) NIl1l1e uf persulI ur persul1s whuse IlIIl11eS appellrell un bonlls.
H/ll
(Il) If sold, slIles prlcl', lilliI' of sllle, ul1d 1111111e ul111 uddress of hruker throl1gh wh01l1 suld, or IIUl11e
ulld IIddress uf persulI, I1nl1 ur corpllrullul1 10 whom solll, If l1ullhrul1gh II broker,
II/II
(h) If disposI'd of olher 1111I11 hy slIle, dull' uf dlsllllsllloll, melhud nf dlsllIlsltlnll, cUllslderutlon
rl'celvelllherl'for, Illld 11111111' 1I11111Ulllll'SS of hrokl'r Ihrollllh wholll dlspusl'd uf, or 11111111' utllluddress of
IlI.'rsul1, f1rm or curpOHlllnl1 10 whol11 IrlIlIsi'I'HI'II,
II/II
,
.
(I) Type uIIII 1II11l1111'r of IlIlIIlt.
II/II
(j) If ellchllllged fur ullY olher sl'clltlly or homl, or UIlY olher reul or I'ersollul proper1Y, descrlhe
llIelhod of ellchulIge, whell ellchalllled, whut wus UClJulred, lIume umlulldresN uf broker from whom
llclJulred. or IIUllIe lllllluddress of perSOll, f1rlllor cn'1111rllllllll, from whollt ucqulrell, or who hUllItled Ihe
ellchalllle,
II/U
50, As to llllY relll eslute, III which youllow huve or huve hlld UII IlIleresl durlnllthe IIInrrlllge, whether
Individually, .Iolnlly, or In pUr1Ilershlp fnnn, by the entirety or In conllllllll, or as tmstee for llllY person
or as benel1c1ury ullder III1Y lrust or held for your benel1c1ullnlerest or uny other llIethllll, !iel forth:
(a) Adllress.
II/U
(h) Sill'.
II/Il
,
..
..
(c) (>nil' of lIl'lllllsllloll,
II/U
(lI) MelhlKI of uCl)ulslllolI.
II/U
(e) 1'\Irchuse price.
II/II
(f) Dole olld place of recordlllg.
n/u
(Il) NlIl11e III which 11111' WlIS IlIkl'lI.
II/U
(h) Nllllle 1I11lllllhtrl'ss of l!nllIll'e.
11/11
,
(I) l'resl'lIt Iuclltlollllf 111'1'11 or ulhl'r IIllCIIIIIl'II1 of 11111'.
Ii/H
(j) NUllle IIlid IIl1l1ress of 1111 hulders uf ellclIlIlhrnncesj IlescrlpllolI of 1111I1 1I11100111t of ellch
ellcnlllbmnce 1IIIIIIIe uf IICqllisllloll ot' Iltle.
II/U
(k) If presenlly oWlled, 11111111' IIl1d IIddress of 1111 present hulders uf enclllllbmnces and description
uf and IlIllOUllt of ellch presenl ellcllIllhrnnce.
II/U
(I) If presclllly uwnell, IIsl uf 1I111111prllVemenls Illude 10 proper1y, since dllte of acqnlslllon, alvln.
Ilale hnpnwelllent WIIS IlIl1de, 1I11111re ot' IlIIpmvelllellllllld cnsts thereof,
II/H
(III) Preselll IIssesslllenl for hIli purposes, selllllll t'Or1h ussesslllellls for IUlld III1lI hnpmvemenl'
sepllrlltely.
n/H
,
..
(II) Your Iwsll'slllIIlIll' of:
II/II
(I) I'rl'sl'lIl IIIl1rkl'l VUIIlI',
II/II
(2) Mnrkcl VUhll' III 111111' of sepurulloll,
II/II
(3) If oWlled prior tOlllurrh1lle, lllUrket vullle al 111111' of Inurrlage,
II/U
(0) If uIIY upprnlsul of proper1y wus ohllllllCd, 1I11uch u copy of 1111I1 upprulsul.
II/II
(p) If 1101 Indlvhlllully hdd, Ihc lIulurc 111111 ClIlelll of your IlIleresl.
II/II
.
(II) If lIul IlUlivhllllllly hl'hl, ur 11l'ld IIIllll'r 1111 hlll'rl'sl bs Ihllll 11'11111 11'1', lhl' 11I11111' 1II1lllUIllrt'ss
uf 1'1I~h Ill'rSUlI, f1nllur CUlpUlllllulI IlIvulwd 11111111' wllh YUlllllld Ihl' 1'~II'1I1 uf lllt'lr 1lIll'rL'stllllllt,tllle.
11/"
(r) lJescrlptlulI uf 1111 hllprnVl'lIIellls olllhe pruper1y.
11/"
(s) If suld, sel funh:
(I) Dille uf sllle.
11/"
(2) SuiI' prlcl'.
II/U
(~) NUllle IIl1d IUllIress uf I!rnlllee.
II/U
(4) Whl'll1l'r III1Y l"lr1IUII uf sllll' prlcl' Is sllll dill' hy wuy uf lIute, hUl1ll, lIIur1gulle or In
III1Y 111hl'r 11 III 11 1I1'r.
11/,1
.
(~) Alllldl II l'Opy of s1'1I11'II11'11I Shl'l'l.
II/II
(t) If dlsIH1Sl'd of olhl" Ihllll hy slIll', SI'I lilr1h:
(I) (lllll'.
II/II
(2) NIIIIII' Ul1IllldllrL'sS nf Ill'rson, I1nll or cO'lllmUioll, to wholll III slxlsed ,
II/II
(J) MClhlll1 of IIlS)ltlSIII.
II/U
(4) Considernlloll recelvl'lI therefllr.
II/II
(u) Ilow IIl11l'h WllS YOIII U111lllhlllllllllll Ihl' IllIIc Ill' pnrdlllsl''!
II/iI
(I) AIIIIllllII of dllwn pllYlllell1.
II/u
(2) Mlllllhly )lllynll'lIls, If lillY, ,"h'I'I/I1I'1I1 lhl'l'I'lll.
11/.,
.
(.1) SOllln' of fllmls Iilr purdlll"'.
11/'1
(4) As lnulIY I1l1prm'I'II1I'llls sllln' purdlll"',
11/"
11I/IIow 1I111ch Wl'fl' lhl' hllpfUvl'1I1enls'!
11/..
IhI Mellllxl of pUYlllent fur Ihe hnprovt'1I1etlls.
11/..
(v) Allllch copy of selllt'lIlt'nl shl'els for ull purdlllses ulIIl slIles.
1I/11
.
51. If uuy reull'stUII' IIsll'd illlutl'trollulory ff.~O hus 1101 hl'l'u sold or othl'rwlSl' dlspost'll of, or produ~'I's
UIIY reulul hlcollle or ollll'r IlIl'IlIIII', liS 10 1'lIch of Ihl' IlIsl Ilw cull'lulur YI'urs, sel forth:
(u) Address of prnpl'11y.
II/U
(h) NlIIlle uud lIlhlrl'ss of I'uch pcrsoll frnlll wholll relll or othl'r IUcollle wus rc~'elved.
II/U
(c) AmoUllt reccived frnllll'uch persoll III euch YI'ur,
11/0
Cd) Por1lo11 of premises rellled to ellch persnll.
11/0
(e) ltellllZllllll1l of ull expellses of IIlUllllulllllllllhll1 reul estule 111 ellch yellr.
II/U
52, If ullY pllr1l1ershlplll which you IIrc u JlUr1I1l'r, or IIIly Iwpornllllll, other lhllll 11 publicly owned
Corporlllloll, or puhllcly oWIII'd 111 which you OWII IlIorl' IhlllllCII (10) percelll of Ihe shures Ihereof, 111
which you ure u SlllCkhohll'r, OWlls III1Y rl'ul eslllle, scl for1h:
(u) Nllme ulld IUldrcss of pllr1I1I'rshlp or l'Ilrllllrnlloll, II/it
.
<h) ElIlelll Ilf YOllr 1IIII'rl'sI III sill'll PIlr1I1l'rshlp or l'mporlllioll,
II/II
(c) Nume IlIlIllllllln'ss 111111 illh'rl'sl of ull ollll'r pllr1I1CIS or slockholders.
II/II
<d) 1>ule of ucqlllsllloll nf euch slIch piece nf reul eslll1e,
II/II
(e) I'urchuse price.
1I/1I
(f) Name und uddress of Ilrunlor.
1I/1I
(11) ()escrlptlnnnf ellch slIch prnpl'ny.
1I/1I
(h) Description of hllpll1vl'mellls nn t'lIch slIch prnpt'r1y.
II/II
(i) I'H'sl'lIll1SSl'SSlIIl'll1 \If l'lIch SIKh pllrl'l'I, IIsI1i11l11llld ulHllmprovenlt'nls M'lllltlltely,
11/ ,\
1\
1ll1'rr'I'1I1 1I111rkl'I I'lIhll' of 1'1Il'h '111'11 pllrl'l'lllf n'nl I'slnll',
11/"
(k) Slnll'lIIl'lIl or 1111'01111' nlllll'~llI'nsl" of I'ncll ,ndl Pllrl'I'lor rL'lll eslnle for Ihe pllst Ihrl'e YI'lIrs.
11/"
~l itemize liS 10thI' types 111111 vllllle of the followhlllllssets nWIlI'II hy you ut the IIl1le of uCljulsltlon,
lhe dUll' of sepuntlloll, ulIII lis prl'selll vllllle:
la) ^"1olllohlles.
(l)
11)75 Chcvrulct Mullte C"rlu . Putd Sltlll . 1I7/Y5
11)87 Purd fj!;eurL . Pureh,,!;!)d III Mureh 11)1)5 hy h!!; duullllter CrY!ltul
!;illld yehle\!.' 111 llu!l!;cll Ii. LumuII'!l IIllme,
(b) Alrcmft, II/U
StruU!;!l, but
(c) Boats.
II/U
(II) Jewelry,
II/U
(e) Furs,
(f) ('ollel'llolls,
II/U
II/U
(1\) IlllusI'hohlllUlllls 11I111 fllrnllllH'.
Llvlllll ,.u,,1I1 lurutlllrf', 1I('elruurn blllle ulIIl ellllettc Set
oIlId'IV
(d) I>lItl' of purdlllSl'.
)1)65 Mulll(' Clll'le
.1111 Y )1)1)5
)987 Furel liu~CIJrt .
(I') NUIIlI' ulld IIddrl'ss of IlI'rsoll or I1nll from whom pllrchused.
M"lIt(' Curl" . lIuught prlvutely frum 111I IlIdlvhluul
Furd Iiscurt . !lurvey's Autu Sule~, WU)'lIe .\velllle, !Iurrlbburg, PA
(f) I'llrChllSe price.
Mullte Curlu . $lOO
IiSCUrl . $1000,00
(See Auswer 53.\.(g) hc)uw)
(1\) NlI11Ie lIIullllldress of ellch person who Illude pllymellt.
F"rel bcurl wus purchH~ed fur m)' c1uughter, Cry~tul Struu~~1 ullcl
she hus rnmlc ull pU)melll~ fur the vehicle "Iul culltilllles tu rI" su uliClthe
vehicle Is fur 11('1' persullul US(',
(hI How 101111 you hllVl' hl'l'lI oll\'rlIlll1l1 suhl vehicle.
~t"III(' C..rlu . SIIil"(, .'111)' Ill').'!
(I) Any hulluK'I' due.
11/0
~4, Set for1h lhe detulls of the follow hIll:
(a) AccoUllls owlllg to you,
11/0
(b) Debts owing tll YIIU,
II/a
(c) MIlr1IlUIlI's he III hy Yllll.
II/U
(tI) I'roPI'l'ly III rl'VI'I'~IOII, 11'1I111111t1I'I', or I'XIII'I'UIIICY.
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(e) Trust In which you or IIUY of your children lire hellel1c1l1rles.
11/11
~~. Slate whether you presently own or hllVl' IIUY IlIlere~t In, or tlurlr1llthe pllsl f1ve yellrs IUl\le owned
or hllllllllY luterest In, III1Y life IlIsurulIl'I', 1I11111111Y, nr 11I1'1111'111 policy. If so, for 1'lIch 1lIIIIcy, stille:
(II) NlIllIe IInd udtlrl'ss Ilf Ihe InsllrlllICe CIlIIIPUIIY,
lIlIt tNI IlIslIrllllc(' C..lllpilll~ ..I' ,\JIINku
"(hln'ss: (Cull hr. sliPI'I 1('11 ill il llll"r t 111I(')
(h) NlIIlIlll'r Ill' Ihe 1~llIcy,
(Cilll ht' slippllr'lI III u luu_'r t 111I(')
(c) TypI' of policy 11111111111011111 of ('o\!Crulll'.
11111'1111 11Il>lIrlllll't' I'IIlley - (2) - (hlf' fur $l,5llU,llll
OIlC fur $5,llllll.llll
(II) DUll' the IlIlllcy \VIIS ISSIIl'11.
$l,Ollll.Oll Pullr)' - tl>l>lIcd IIhUllt 15 )'cllrl> II!!U.
$5,OOll,lllll'ullc)' - 1l>l>II('d wllhtll IIIl>t l )"('lIrl>.
(e) Pllce UIIIUIIIII uf Ihe policy.
$7,5llll.0ll,
(0 AIIIUIIUI of Ihe UllllllulprclIIllIlIls 1II111 huw frel(lIelltly pullI.
$51.ll0 pCI' mulllh
(II) Tul1llulllullllt of IWlllhllllS 1'11111 011 Ihe pullcy lIurllllllhe pusl f1ve yellrs ulIllthe lIallles ulIIl
IlIldresses of euch persulI IIl1tklllll slIch puylllclIlS.
$51.llll pCI' mlllllh - 1111 m'w pili ley
IllIl>l>c!1 Ii. 1.1I11l1l11
l4 KCllllcd)' Lilli!:
StCCllllll, 1'''
(hI NIIIIII' 11I11\ mhln'ss of 1'lIth O\VIIl'f of Ihl' policy.
Illll>~('11 b, 1.1111I1111
l4 Kf'IIIII.d)' Lull/.'
Sl('I' Il..lI, 1'''
(I) NIIIIIC lIIullllhln'" of 1'lICh hl'III'lil'illry lUll Ill'" III Ihl' plllky.
My"ulIllhlN: Cry!>lul Slrull~s
l4 Kt'IIIIt'dy I.llIlt'
Sl('(dt,,", 1''\ 17113
lI> Dull' uf UIlY dlltlll!l' of 1l\'III'lklury 1111111111' IIIIIIII'S of 1'lICh 11l'IIclidllry 11I'"1''' or deleled frolll
the dllle of origllllllllcqlllsllloll.
,hlll(' 1')1)4 . ChuII!l('d llll" Crystul Sl rilll~S I lIillllf' fr,,1II lilt' Ilumt' "f ht'r
dt'rt'u~t'd nkllht'r, D"r"thy M, l.umulI,
(k) DIIII' of ussll!lIl11l'lIl of Ihc policy umllhe 11I11111' of l'uch IIsslglll'l', If lhc IlIllicy hilS heell
asslllllell.
II/U
<Il Nllllle 1I11111111t1ress of Ihc IlIslInlllCe ullelll or hroker for the IlIllicy.
CUll hC' ~IIJlIlI It'd lit U lult'r dutC',
(III) AlIIlIlIllllIllIl IIIIIC of I'uch 1111111 IIIl1de IIl1lhc policy, If III1Y.
1l/11
(Il) l'rl'Sl'lIll'lIsh "lrn'1l111'r VUIIlI' of Ihe policy.
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~tl. Stllll' whl'lhl'r YOII hl1Vl' IIny 111'11I11111'1' or 1I1111111ty CllVl'rllge 1101 IIstl'lIll1lh~ III1SWNS 10 Ihe precelllllll
hllerruglllorll's. If so, lin 1'lIch pl1llcy of IIISlIrllllCe or 1111111111Y, stute:
(II) Nllllles 1II11111111IrL'S'l" l1f Ihl' IlIsurllllcl' COIIIPIlIlY.
11/11
(h) Type policy 1111111he 11I11011I11 of coveruge,
n/u
(c) '1111' effecllve dUle of Ihe IlIlllcy.
n/ll
(d) Nlllllber of the policy.
n/ll
(e) '111C~ 1111I011111 of lIIolllhly prelll I II III S.
n/ll
(f) '1111' nllllle of ,he IIl1elll 11l1d/or hroker 1111d Ihe IIIldress Ihereof,
n/ll
(gl If Ihl're lire IIny 1IlIIIIS on Ihl' policy, stUll':
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(I) '1111' U1I101l1l11l1l11 illite of the 101111.
II/U
(2) Present rnllllllce dill'.
II/a
(h) l'resellt cllsh sllrrenller vlllue Ilf IIUY Jlollcy.
11/11
(i) Hils Ihere heellllllY c1ll1l1lle of hl'lIl'l1c1l1ry Inlhe lust f1ve yellrs'! If so, slIlle:
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(I) l'rlor hellel1c1l1ry Iherellr.
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(2) I'rl'st'II1 hl'III'lklllrY.
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(3) J>lIle of Ihe Chlllllll' '" Ill'lIeflclllry.
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(4) l{elllllollshlplO the hellt'llclllry.
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(/) Nlltlle lI11d IIddress of 1'lI1'h Ill'rsoll hllvlllg custody of IIl1y such policies.
II/II
!l7, Are you the 1ll'lIeflclllty or ~'eslullJlle trust of III1Y Irust'! If your UlIswer Is III the IIf1lrlllllllve, liS 10
ellch SIIch ttllst, Sl't forth:
(II) NllIlle of lrust.
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(h) NUIIII' ulld uddrl'ss Ill' SI'lIl\lr.
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(c) Nllllle 1II1lllllldrl'ss Ill' Ihe lrusll'l' Ilr Irllsll'es.
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<II) Oule lru~t wus crelllell.
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(e) Alluch copy of Irllsl ugreelllenl.
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(0 If no copy Is uvulluhle 10 yon, sel lilr1h the 11111111' ulld llllLlress of Rny persoll or persolls who
pllssess(l's) u copy of thlll trust ullreelllenl.
II/U
~H. Stllll' IIII' 1'~II'III, 1)'111' IIl1d IIlI'lIlillllllr 1111 hooks, pllpers, records IIl1d olher f1mmclul dOCll1l1ellls III
YOllr IIIISSI',~sloll or I'olllml, which Willi'" tl'l1ect your IlIcollle Ilr ussels.
MClllclI1 hi lis 111\11 cllrrC:lIl IlIcumc tux pupers Ulld bUllk stutemclIls urc
lit 111)' l'('sldt'lIl't, ul 24 KC:IlIlc:d)' LUlie, Stc:ellulI, PA
~I}, UIIW YOII rl'celVl'd II11y1hhlll of vlllue fromllllY source, IlIcllldhlll hilt nol Ihl1l1ed to gifls, judgmeltls,
Ntlllelllel1ls, 1IIIIlulloII, devlsl', IlCqUl'SI, legucles, IItSllrullce proceeds, loults, dividends, Interest not
hereinbefore sel for1h'! If so, stute:
(II) Source of flllld or proper1y.
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(h) ReusolI fur receipt.
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(c) ^mollltl received.
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(dl Whell IInd where received.
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(e) "resent locUllolI of receipts.
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60, Do you untlclpate recelpl of uny devise, bequest, gifts or Inheritance? If so, state:
(a) Amollnt.
1I/11
(b) When receipt Is 1I1111c1puted.
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(c) I'rlllll whol11 recclpl Is UllllclpUICll.
II/n
(d) Hllve you. ill Yllur possession, III1Y dllCnlllenls In snppor1 of snch heqnest, devise, gifts or
Inherllllllce7
II/n
(e) Attllch u copy uf IIny snch docunlellt~.
11/11
61. As to IIny sufe.dellllSII hlllles, vuuhs, sufI's, or olher places of deposit ulIIl/or slIfekeeplnll,
(herelnufter for the pnrllllse uf hrevlty referred lu liS "plllce of sufekeeplng"), IIIl1lnlllilled by yon, or In
which yon hu\IC dellllslted alllY llIullles, 11nCllnll'lIts, ur olher Itellls nr pcrsulIlIl proper1y, or In which yon
IUIII power of slglllllllre, or nccess IOIlIlY snch snfe-llellllslt 1lII1Ies, vunhs, SUfi'S, or other plllces uf depuslt
und/or sufekeeplnll, III I Ill' pusl five yeurs, sllIte:
(u) NannI' ullll udllress of hunk or other IllClltlun.
11/11
(h) Nil I III' IIlUlI'r \Vhlch hm or olhl'r Vllllh, slIfl' or ol"I'r )lllln' of dl')loslt or slIfl'kl'l'plllllls or \VIIs
Il1l1hllllllll'll.
II/II
(c) Nume and address of IIl10lher pI'rsolls 1I0W hllvlnll or who hmlllllwer nf signature, or IIccess
to UIIY slIch sufe,deposlt llllll, Vllllhs, sufI's, or olher pluces of deposllulIll slIfekeeplllll.
II/U
(d) Nllmber ami olher IlIellllS of hlenlil1clltlon of euclt slIch plllce of Sllfekeepltlll'
11/11
(e) Dille IIl1d plllce of sufekeeplllll cllllllllencell.
11/11
(f) I.I~I uf 1I11llellls Illl'ull'L1 III Midi plnn' uf sufl'kl'l'pltlll.
II/II
(II) DUll's uf entry IlIlu snch pluce uf sllfekeephlll.
II/ll
(h) hems In snch pluce uf sllfekeeplllllut 1111I1' of sepuruliulI.
II/ll
(I) Items In such plnn' uf ~ufl'kl'I'plllll UIII' Yl'ur hl'furl' L1Utl' of ~I'purullun.
11/41
0) hems III SlIch pllll'l' of slIfekl'eplllllIII lhe IIIII~ Ihl' 111'11011 WIIS IIISIIIIIII'II.
II/II
(k) 01111' stich plllce of safekeeplllll WlIS tennlnllled.
n/ll
62, 00 YOtlOWII 1I11Y pers\lllul proper1y nol prevlollsly referrelllo? If so, for fuch Ilem, stille:
(a) COlllplele lIescrlplloll,
1I/1I
(b) I'resenl locutlnn of Ihe proper1y,
1I/1I
(c) l!sllmUI\'11 vlIllI~ of Ihl' propl'ny.
11/11
(d) NIIIIII' 111111 mltlrl'ss Ilfl'IICh Ill'rsllll wllh 111I nWl1l'rshlplllll'n'sl III the property.
II/II
63, Have you submitted or prepared auy l1ullucllll sllllellleuts for credit purposes 10 any banking
Instltutlollor uny I1nullclllllnstltullonlnlhe pllstlen yellrs7 If your IIlIswer Is In the IIfflnnullve, set forth:
(II) NUllIe ulld IIddress of Ihe hllnk or f1l1l1nclllllnslltlillon.
II/II
(b) Dllte stlllelllellt WIIS suhlllltted.
n/o
(c) Attllch II cnpy Ihl'fI'I1f.
II/II
(d) NII1I11' IIlUlmhlrl'ss Ill' Ih~ lll'rSlIllllr I1r1l1 who pr~pllrl'lllh~ 1l1lClIIllellt.
II/U
(e) Purpose of lhe IloclIlIlenl.
II/II
(f) Persoll ill possesslollllf the IlllClIlIlellt.
II/II
(}4, Itellllze YOllr UVl'rnl!l' 1II0011hly IIvllll! I'XllI'lI'CS III 111'11111, IlIchulllll! hlllllollhllllcd 10, rCIII, c111lhlllll,
flXlIl, IIll1illes, lell'pholll', InlIIS)lOr1UllolIlIlIlIl'ur, IIll'lllcIIIIIIIII 1II'II1uI, IIISlIrllIICl' of UIlY IIIl1l1rl', III1IrtlluIle
ulld other 10uII )luYlllellls, IUXI's 1111I1 olhl'r rL'l!lIll1r pI'rsollll1 1ll'IIIs of III1Y 1I111url', 1IIIIIIIIry lIIlll c1I'III1II1Il,
Inlllspor1utloll, edllclltloll, 1'1I1I'r111111111l'1I1, Il'Cll'UllolI, Ill'rSOlllllllrl101ll11l1! I'XpellSes, IIlc0hollc hl'verulles,
IIlllhtclllh enll'r1ullIIlIl'1I1, 11I011011 plclllrl's 1'lIIl'nlllllllll'llI, olll,of,loWII Irlps, tohllcCIl pnlllllcls, poker,
Ilulllbllllg, (us 10 1!II111hlllll!, spI'c1fy Ihl' ')lon or gllllll' IlIvolvl'lI), sporls e'llllplllelll, III1Y olher.
lJlldclcnllJllcrl lit this l tmc,
submJ ltcd lit II IlItcr limc)
( t IIfunllut tull t s rcqucstcd lIlIIl CUll he
(l~. 111'111171' your pn'Sl'lIt IIvllllll'XIWIISI'S Oll1l11101llhly hllSls, IlIdlldhlll slIPI~lr1 of 1I11Y 11I'rsoll ollll'r 1111I11
self, 111111 If YOll do slIpl'orl III1Y ollll'r 11I'ISOII 1111111 )'OIlIWII', Slllll':
UlldctCl1l1lllcc! lit thl~ tll1lC' (1lIl'ul1l1'll lull n'qll('!.l('d 111111 CIIII he' !.lIhllllllC'd III II IlIlcr tllllc)
(II) Nil II II' of slI~h IWISOII.
SlIpplJrt lJf tllrC'C' chlldrC'1I I!. lIul currC'1I1 duc lu ('mplu}IIlC'1I1 !.IIIIII!. IIl1d m('lllcIII prlJhlC'lIIs
(h) [!lIpellSeS lIllrlhlltllhle 10 SlIch 11I'rsoll.
n/u
66, Did yuu prl'pllrl' or hllve prl'l'llrl'd III1Y rl'conls, IICCIlUllls, IIl1lr1llllx or shllllllr dllClllllellts showlnl
your IlIcol11e. eXlll'lIsl'S, IlsSI'ls or IIl1hllllll'S"! If so, sllIll':
(II) Descrlhe l'llch rl'cllnl.
II/II
(h) Nil I Ill' 111111 mldll'ssl'S of Ihl' 1lI'IMlI1S whu hllVl' PlI'Sl'lIll'lIstlKly uf Ihl' rl'I'otd.
II/II
(c) Atluch UI'O)lY of 1'lIch NIICh rl'l'orll, UCCOIIIII, JUllr1lul or Nhllllur lltlClUllellt.
II/U
(17, ()U YUII hllVl' hUllk NllltelllelllN or I'ullcelled checks relullve IUIIIIY f1l1allclullrullsucllons1 If so, set
furth:
(lI) NUllle lIIuluddtess of )lersnll 111 prest'lIt Cllshllly of slIch sllIlt'lIIellls or clIllct'lIed checks.
11/11
tlH. Uu YOlllx'lulIl1lU III1Y dllh, uttlllllllllllulI ur IIssuclllllollll1r which YUII )lilY dllt'K ur tt'lllllur c1uulleH'/
If NO, stull':
II/II
(u) NIIIIIl' uml mhln'ss of t'urh slll'h c1l1h or oflll1l111JllloII,
11/11
(0) AllIlllIlIl pulll ullnulllly.
II/U
(e) Method \If pllYlllelll.
II/u
(d) llute filCh llIelllhershlJll'llllllnellcetl.
II/u
ftlJ. Slllh' .hl' 11111111" IIIUIIUhlll'''I'' \If ull PI'I'OIl\ whll WI'fl' wlllll'" 111111 hllVl' kllllwll'dlle IIr IlIflll1l11llllll1
uf UIIY relevlIIll liKh rr'lllllll11 III Ihl. 11<'11011, or who I~"""s proof of I hi' 1'11\'1, 1II\'OIvI'd lIIul their
relallollshlp III Y"II, IIml hulkull' whl'llll't:
(II) AllY wrllh'lI or lI'l'lInll'll '11111'11I1'111\ WI'II' ohllllrU'l1 111111I III1Y ,"rh pl'r'"I1,
M) d"lIllhtr.>r Cf)~I,d SII"II~~
14 KI.'IIIII.d) 1."111'
!'ill.'I'll"lI, 1',\
(b) Nllllle 111111 address of persulI whu tl1llk stllle1l1elll.
II/U
(c) NUllle ullllullllress uf persulI 111 cllstudy uf slllle1l1elll.
II/II
(dl '1111' slIhstllllce (If ,"hl '1lIll'lIIellt, IIl1d 1If1l1ch II cupy Iherl'lIl'.
11/"
,
10. HIIVl' YUIIIIIIIII' pllsl hlll'd III1Y pluh'"lulIlIllIl'l'OllIllllIll UI hl~lkkl'I'pltlll Sl'IVII'l" tu 1II1III1II1II1I\'I'u[\l,
of yuur IISSl'ls, Iillhilllil's, ItIl'UlIIl', l'XllL'''Sl'S, 111M lI'II1111S, 1111.1 111111'1 f1l1l1l1dllllnlllsm'lilllls'! If SU, sIIIlI' thl'
lillluwlllll:
(II) NIIIIIl' uf 1ll'ISUII ullltlll ",hlll"I' 1I'IIdl'II'll Sl'lvll'l's III thl' IIISI f1vl' Yl'ltIS,
11/<1
(h) Address ullIllelepllll11e 1I11111her lherffnr.
n/u
(c) ACIIIIII persllll wilhlllll f1rm,lf II f1rlll rfllllers Ihe services, whullctlllllly perfunns the services,
II/II
.
7L HIIV\' you I'XI'I'UII'd III1Y 111'1 Will 111111 'I'I"IIIIIII'III'! If '0, slllll':
Nil
(II) 1>1111' of I'XI'I'lIlh,U,
II/II
(h) 1'1 lice of l'lIl'CllllolI.
II/II
(c) I'resl'lIl 101'1111011 of sIIhll.IIs1 Will 11I111 TI'sllllllelll.
II/II
(d) Who hils copies thl'reol'.
II/II
(e) Did yuu prepllre II IIsl uf IIssels IIl1d/or lIuhllltlL's for lhe purpuse uf 1I111llllluII ur IIIIY uther
rellsun'l
(I) If so, 1I1111ch II cupy.
II/II
(2) Whu else hilS cuples uf slIld IIsl.
11/11
(f) illite of revoclltlulI uf III1Y I.IIs1 Wlllllml Tesllllllelll.
11/11
(II) 01111' uf ellch l'mllei!.
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(h) Ilescrlplloll of ellch slweillc hequesl or devlsl', IlIcludlllll description uf proper1y, name of
Ulldress uf ellch henellclllry.
II/II
(I) Descrlpllun of 1'lIch Il'sllllllelllllry Irusl, the pruPI'I1y, 11111111' IIml IIlldrl'ss of Ihe lmstee _net
helll'llclllry.
II/II
74. If so, hll 1'1Il'h 11I11'r1"1 OWIII'II, ,11111':
(Ill TIll' II'III,"y 1I111111,,'r ulllll' pnll'lIl, Cllpyrlllhl, I'll'. Illllllhl' .11111' Ilcl)lllrl'd.
11/01
(h) ^ t1escrlptlulluf the 111'111 p"II'lIletl or coPyrlllhlell, Irlllleltlllrk, I'll'" IIIcllldh1llthe hllsk tenllN
or such r111hl.
11/01
(c) Identity of CIl,holdl'rs: '1111' 11111111' IIlItllllhlress of ellch I"'rsoll, f1rm or curporutloll or olher
who shares soltle inlerest Inlhl' pllll'lIl or l'oPyrlllhl nnd lhe 1111I0111I1 or percelllllge of euch Interest.
11/01
(d) 1111' IImouut of IIl1l1UlIlllIl'Ilme you rl'l'elve frultl Ihe plllelll, cOJlyrlghl, elc.
11/01
(e) '111l' prl'sl'lIl vllhll'.
II/U
7~. Huvc YUlI, III ulIylhlll' durlllll 1111' )lIISt Iwo YI'urS, hl'l'n U )lurty 10 III1Y cUlllrul't, or UIIY ulher
ugfl'elllelll, whcrl'hy YOII Ilrullll'd 1111 0)111011 tOllllYOIII' 10 )llIrchusl' UIIY or ulI of your ussI'ls'I
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76, If so, for euch cOlltruct Ulld uptloll, stute:
(II) '111e dull' 011 which Ihe ullreelllellt wus lIutde,
II/II
(bl Where the ullreelllelll wus IIl1tde.
II/Il
(c) 1111' IIUllle ulld uddress of t'uch persulI, I1nll or curporutlulI who Is U pUr1y tUlhe ullreelllelll.
II/Il
(Ill WhuI cnllslderullllll wus rL'cI'lwd for Ihe IIgreellll'nl.
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(1') Thl' 111111I1' ulIllmhlrl'ss of 1'lIch I"'ISOII rllr1llshlnl1lh\' \'lllISllll'rulion.
11/11
(I) ^ Ibcrlpllon (If Ihl' Inolll'lIy 1'(IVI'rl't! hy Ihl' 11111'1'1'11I1'111.
11/11
(II) '1111' tl'nns of Ihe IIgreellll'lI1.
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71, Set fur1h In delulllnclmlh11lllnd In IIdditlulI tu the ubu\ll' queslluns the nnture u1ll1 elltelltlu which
you holt! n benef1c1l1lll1lerest In IIIIY forlll of Irusl.
(n) Are youu tnlstee fur nllY olher person ur u CUSllllllulI for IIIIY olher persun'l
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(b) 00 yuu hold nn Interesl us u henel1c1nry ur n cestui que lrust'1
n/a
(c) Whlll Is Ihe I'xlelll of your helll'llcllll hlleresl'l
11/11
,
78, Allllch II copy uf IIIIY Irtlsls In which yun hulllllll IlIll'I'\'st.
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79. Al1l1ch copies of Hny nnllllcllll sllltell1enls, sllltell1enls of ellrnllllls or IIIIY other fonll of sll1telllenls
or eaminlls for the IlIst f1ve yellrs fur sill" trnst or lrt1sts.
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. ' .
.
Ct;K'I'WICA'I'E ()I<' St;KVICt:
I hl'rL'hy CI'r1lfy Ihlllll Inll' !'npy of lhl' fnrellollllllM'l'lltllIlIl's Sl'colul SI'I of hlll'rrolllllnrles WIIS
sl'rwtl Oil Ihe lilllnwillll pl'rSIlIl(s), Flrsl dllss 1111111, posllIlll' prl'pllhl, hy forwlI nil 1111 II trill' 111111 correl'l
copy 111110:
l'loyd 1\1, IIlltllrln, ";~ltlllre
IIlltllrlll & IIlltllrln
717 North Second Stl't'et
IIHrrl~hnrll. I'A 17101.3202
Dute: 71z 'I !{,,-
,
,
/
,.
Jlln 'S J, . Iyer, :sqlllre
LII r1y L fI
,
~ 1st I r1y Aveline
\' rllsle, I'A 17013
(717) 243-7922
" ,
. . . ,
.
'aR1ll CA.T1 Qti
Upon my personal knowledge, information and belief, I, Russell E, Laman,
hereby verify that the facts averred and slatements made in the foregoing
Interrogatories are true and correct,
I understand that false statements or averments therein made will subject
me to the criminal penalties of 18 PA C.S, section 4904 relating to unsworn
falsification to authorities,
Dotc: Octubcr 4. lYYS
~~~~
Russc II Ii. LumulI
(SHALl
, . \ .
RUSSEI,L E, l,AMAN,
PI ai Ill! II
I N TilE COURT OF COMMON PI.EAtl
CUHBEHI,ANO COUN1'Y. I'ENNSYloVANIA
v,
No. 95-3129 Civil Term
KATIlRYN R, LAMAN,
Defendant
ClVIL ACTION - I,AW
IN DIVORCE
CERTIFICATE OF SERVICE
I, Floyd M. Baturin, Esquire, of the law firm of Baturin & Baturin, hereby
certify that I deposited this date in the United states Mail, at the United
states Post Office, llarrisburQ, Pennsylvania, postaQe prepaid, a copy of
"Plaintiff's Answers To Oefendant's Second Set of Interrogatories Propounded
Upon Plaintiff", addressed to:
James J, Kayer. Esquire
Kayer and Brown
Liberty Loft
4 E, Liberty Avenue
Carlisle, PA 17013
(Attorney for Defendant)
BATURIN & BATURIN
Date: October 4, 1994
BY~ J OllJ! ~'1'1 ' IS c-) / l! t~ I .~
Floyd H, Bahrln, Eoqui re
(Attorney 1.0, No, 07044)
(Attorneys for the Plaintiff)
717 North Second Street
lIanisbul9, PA 17102
(717) ~14-2m
vs.
Mi\U I. ~I .J'JG(lI::'~
IN TIlE COllin 011 COMMON "LEAS 011
CUMUEIUAND COUNTY, I'ENNSYLVANIA
NO. 9~.3129 CIVil, TEI\M
CIVIL AniON. LAW
IN DIVOHCE
HUSSELL E. LAMAN,
1'lRlntlff
KATIIHYN R. LAMAN,
lJefcndllnt
OK....:K (W COURT
AND NOW, this ~ dRY of )",/.. I.
, 1996 upon consideration of the
Petitioner's Hequest for LCIIVC to Wlthdmw liS Counsel, this Court Shlllllluthorlze Jllllles
J. KRyer, Esquire to withdraw us counsel fin Kllthl)'n H. LRlIIlln In the above cllptioned
lIl11tler,
BY TIlE COURT:
r\l' // itL'
/
J.
,
~1I
~
0.1,
, \ ~ .f
f\' JI-....'"
cc: Floyd M. Ullturin, Esquire
Attorney for PIRintil'f
James J, Kayer, Esquire
Attorney for Defelldllnt
KRthryn Llllllun,
Defendllnt
'.-)
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ODO .-I ~-l U ~. j CY, , J
UW ''''''lUa:: ..:. "
en lorfO ,..J ;or. .~ 00(
w;;:: I') , -~ ;.... )4 Ct'
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\~
IHJSSELL E. LAMAN,
l'lulntiff
IN TilE COllin OF COMMON I'LEAS OF
('lIMUEIU.AND COllNTY, I'ENNSYLVANIA
NO. 1)~-3129 CIVIL TERM
CIVIL AniON - LAW
IN DIVORCE
VI.
KATIIRYN It lAMAN,
Defendllllt
l't:TITION t'OK U;,WI<: TO WlTlmKAW AS COUNSt;L
COMES NOW, I'elltioller, Jllllles J. Kllyer, ES1luire, who docs hereby liver liS
follows:
I. I'elltloner has previously been retlllned hy Klltlu)'n R. Lllllllln for the purpose
of representation In Ihe divorce IlII11ler In the libovI' cllptloned docket.
2. I'etitioner hilS been IIdvised by the Defendllnt, Dllvld II. Klllhryn R. Lllmlln,
thai Mrs, Laman wishes to represelll herself, pro se, In all further mailers relating 10 this
divorce llellon.
3. The I'etltloner has IIdvised the Defendllllt, Kllthryll R, LIIllIlln, of her right to
oblllln 11llernllle coulIsel, and has IIdvlsed Kllthryn R. LIIllIlln of the rellllllning business
thai Is pending before this IInnolablc Cnurt.
4. IIllvlng been lldvlsed of Ihe adl11tlnnal work thllt llIust he dOliI' to fhllllize Ihls
dlvorL'e, the Defendllnl, Katlll)'n It I.IIIl1UII, hilS lldvlsed coulIsel thllt ahe Is leunlnlltinll
the lI1lorney/cllenl rellllionshtp,
WlllmEFOHE, thc I'etiliullcr '"I'spcI'lfully ll'llucsts this ('ourt tu grunl his
l'l'tiliulI fur tCllvC to Withdruw liS ('uullsl'l fur KlIlluyn It. tllmun.
Hespel'tfully 5uhmittcd,
KA YEH & IIHOWN
/ l,
By: ..' I ','
James J. nycr, Itsqulry;
Supremo 't. I.D., '50838
Liberty tot
4 Easl Uberty Av~nue
Cllrllsle, I'A 17013
(717) 243-7922
Attorney fur Defendant
Dale:
CEHTIFICI\TE OF SERVICE
I hl'/l'hy l'l'rtify thnt II tnll' I'opy 01' the foregoing l'I.;'lTrlON "'OK U:AV": TO
WI1'IIDRAW AS COUNS":I, wns sl'lvl'd 011 the followillg person hy First-dnss mnil,
postnge prepllld nddressed to:
FJoyd M. /Illturiu, Escluire
Ulltllrill & Uaturin
717 North Sel'ClIId Street
IInrrisbllrg, 1'1\ 17102-3202
Knthryn H. lamun
137 South Ellst Street
CllrllsJe, PA 17013
01111': 'J h '(II'I(