HomeMy WebLinkAbout95-04468
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ROBERT J. KIRKI'ATRICK.
l'lalntlll'
: IN TIlE COURT OF COMMON !'LEAS OF
: CUMBERLAND COUNTY, I'ENNSYL VANIA
: CIVIL ACTION. LA W
v.
: NO, 95.4468 CIVIL TERM
SUSAN J. ALLISON, limncrly
SUSAN J, KIRKI'A'I'RICK,
Defendant
: IN I>IVORCE
ORDER OF COURT
AND NOW, this ,'(,. day of March, 2001, upon considcration of the within
Petition and upon Motion of Wayne F. Shade, Esquire, allomey for I'ctitioner, a Rule is
Issued upon Defendant to show cause why the indefinite alimony award In favor of
Defendant herein should not be terminated or reduced,
Rule retumable within ..z. () days of date of service hereof,
By the Court.
Wayne F. Shadc, Esquire
AlIomey for l'lalntill'
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Lori K. Serratelll, Esqulrc
Serratelll. Schillillun, Brown & Clllhoon,II,C.
AlIomeys lilr Delcndllllt
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ROBERT J, KIRKPATRICK.
1)lainli fT
: IN TIlE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LA W
v.
: NO. 95-44611 CIVIL TERM
SUSAN J. ALLISON, fonncrly
SUSAN J. KIRKI)ATRICK.
Defcndant
: IN DIVORCE
PLAINTIFF'S PETITION FOR TERMINATION
OR REDUCTION OF INDEFINITE ALIMONY
TO THE HONORABLE, mE JUDOES OF SAID COURT:
The Petition of PlalntifT ROBERT J. KIRKPATRICK, by his allomey, Wayne F.
Shade, Esquire, respectfully represents, as follows:
I.
Petitioncr ROBERT J. KIRKPATRICK Is an adult Individual and the Plaint 1fT
herein who resides at 400 SugorloafCourt. Longwood. Florida 32779.
2.
Rcspondcnt SUSAN J. ALLISON, fonncrly SUSAN J, KIRKMTRICK,ls on
adult Individual and thc Dcfcndont hcreln who resides at 1079 Ncwville Rood, Carlisle.
Cumberland County, I)cnnsylvllnlu 17013,
3,
On April 311, 1997, IIl>ccrcc In Divorcc WIIS entcrcd In thc IIbovc-coptloncd muller.
4,
Prior to issuance of the Decree, the parties enlered into a written agreemcnt In thc
omcc ofthc Divorcc Mastcr, A copy of said agrecmcnt Is attachcd hcrcto and
incorporatcd hcreln by retercncc us though lully set fbrth,
5.
In numbcrcd ~60fsaid agreemcnt,lllaintilTwas rcquircd to pay thc sumof$275
per weck as alimony to Dcfcndant.
6,
Thc sllmc numbcrcd ~6 acknowlcdged that Dclendant was cntcring into a two-ycar
reglstcrcd nursing progrllm and rcclted that the alimony uward would be reviewable upon
a substantial changc in circumstances.
7.
At thc timc of said agrccmcnt lor alimony, Dcfendant rcprcscntcd that shc was
working part-tlmc and caming Icss than $5,500 per ycar bcforc tuxcs us sct Ibrth in thc
Pre-lIcarlng Confcrcnce Memorandum of Janual)' 17, 1997,
8.
In scttlng thc uwurd ofulhllony, thc Mustcr uttrlbulcd u nct cumlng cupucity to
Dcfcndunt of $15,000 pcr ycur,
9,
I'luintlll'bclicvcs und thcrclorc uvcrs thut Dclendunt hus complctcd thc rclercnccd
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^"m"", 1I1.~ cduculionul prognllllllnd no\\' CllnlS m\lrC lhun $30,O()() pcr YCllr,
u W~llllImncl SUrfl
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Since entry Ill' the award llfalhnllny. downsizing in the localtclephone industry
necessitated Plalntlll's move to Florida Ifhe wanted to keep his Job.
II.
Inereascs In 1'lalnUIT's cost of living In Florida have excccdcd his modcstlncreases
In salary.
12,
Plaintiff has rcquested that Defcndant agree to tennination ofthe alimony award.
but she has rcfused to agrce.
13.
Plaintiff requcsts the Issuancc of a Rulc to Show Cause why the alimony award
should not bc tcnnlnated or rcduccd on the basis of a substantial change In circumstanccs,
WIIEREFORE.I'lalntlll'respcctfully requests that your Honorable Court Issue a
Rule upon Dcfendant to show cause why thc award of Indellnite alimony should not be
tennlnatcd or reduced on the basis of a substantial changc In circumstances.
Respecllully submllled.
L1/ ~~~" ~
Wllyne,F. Shade. Esquire
Suprcme Court No, 15712
53 Wcstl'lIInfret Street
Cllrlisle. I'ennsylvunlll 17013
Telcphonc: 717-243-02211
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I veritY that the statcments made In the roregolng Petltion for l'ennlnatlon or
Redllcthm of Indefinite Allmoll)' are lrue and cllrreel, I undcl'lland Ihal ralso statemenls
herein are made lubJetlto the penalties of 18 Pn. C,S, 14\104, relatlna to IInswum
f.lslficallon to authorities,
Date: Mareh f, ,2001
~il4!f-".:k-
Robert J, rkpatrl
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ROBERT J. KIRKPATRICK, IN TilE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
vs. NO. 95 - 446B CIVIL
SUSAN J. KIRKPATRICK,
Defendant IN DIVORCE
TilE MASTER: Today is Thursday, April 24, 1997.
Thie is the date set for a Master's hearing in the above
captioned case. Present in the hearing room are the plaintiff,
Robert J. Kirkpatrick, and his counsel Wayne F. Shade, and the
Defendant, Susan J. Kirkpatrick, and her counsel Lori K.
Serratelli.
This action was initiated by a complaint in divorce
filed on August 22, 1995, raising grounds for divorce of
irretrievable breakdown of the marriage. Counsel have advised
that the parties will sign and file affidavits of consent and
waivers of notice of intention to request entry of divorce
decree today following the statement of the agreement on the
record. Therefore, the divorce can be concluded under Section
3301(cl of the Domestic Relations Code.
In a counterclaim filed on behalf of the
Defendant, the economic claims of equitable distribution,
alimony, and counsel fees and expenses have been raised.
The parties were married on March 25, 1966, and
separated on Hay 14, 1993. They are the natural parents of two
adult children.
After extensive negotiations this morning, the
Master has been advised that the parties and counsel have
reached an agreement with respect to the outstanding economic
claims. The agreement is going to placed on the record in the
presence of the parties. The agreement as placed on the record
will be considered the substantive agreement of the parties and
not subject to any changes or modifications except for
correction of typographical errors which may be made during the
transcription. The parties and counsel are going to return
later today to review the agreement for typographical errors,
and any correction of typographical errors will be made, after
which the parties and counsel will affix their signatures. The
signing of the agreement later today is simply an affirmation of
the terms of the agreement which are going to be stated on the
record at this time.
After the agreement hae been affirmed by the
parties' and counsels' signatures, the Master will prepare an
order vacating his appointment. counsel can then file a
praecipe transmitting the record to the Court requesting that
the Court enter a final decree in divorce. Ms. Serratelli.
MS. SERRATELLII with respect to the equitable
distribution claim, the parties have agreed as follows:
1. Husband shall transfer all of his right, title, and
interest in the marital residence located at 1079
Newville Road, Carlisle, Pennsylvania, to wife. Wife's
counsel shall prepare the deed and present the deed to
husband's counsel for signature.
Husband shall assume the existing first mortgage on the
marital residence currently owed to Harris savings with a
balance as of April 23, 1997, of $6,826.69.
Wife shall assume the 1997 home equity loan recently
acquired and co-signed by husband in the amount of
$5,000.00. Wife agrees to indemnify and hold husband
harmless on said home equity loan.
2. With respect to personal property, the parties shall
retain all personal property in their respective
possessions and each waives any claim to the property in .
the other's possession.
3. Wife shall receive 848 shares of sprint Common stock and
266 shares of 360 communications stock. Husband will
take care of any paperwork related to the transfer of the
stock to wife.
4. Wife shall receive the sum of $58,500.00 as a rollover
from husband's 401(kl plan with sprint and hueband shall
be responsible to prepare or conclude any paperwork
related to that rollover.
5. with respect to the partiee' marital debt, husband shall
assume all marital debt including the aforesaid mortgage
on the marital residence. With respect to the marital
debt, which husband hae agreed to assume, husband also
agrees to indemnify and hold wife harmless from any and
all claims arising out of said marital debt.
6. Husband shall pay the sum of $275.00 per week, payable
biweekly, as alimony to wife upon issuance of the decree
in divorce. said payments shall continue through the
Domestic Relations Office pursuant to a wage attachment.
The calculation of the alimony award is based on the
aotual net yearly earnings of husband at $48,500.00 and
the assessed earnings of wife of $15,000.00 per year.
The alimony award shall be reviewable upon any
eubstantial change in ciroumstances. The parties do
aoknowledge that wife is entering a two year assooiates
RN degree program at Ilarrisburg Area community College
beginning september 1997 for a period of two years.
7. Husband agrees to designate wife as irrevocable
beneficiary on his company policy as long as he is
employed with his current employer sprint and as long as
it is available as a company benefit in the amount of
$100,000.00.
8. Each party will assume their own counsel fees and costs.
9. Except as herein otherwise provided, each party may
dispose of his or her property in any way and each
party hereby waives and relinquishes any and all rights
he or she may now have or hereafter acquire under the
present or future laws of any jurisdiotion to share in
the property or the estate of the other as a result of
the marital relationship ino1uding without limitation,
statutory allowance, widow's allowance, right of
intestaoy, right to take against the will of the other,
and right to act as administrator or executor in the
other's estate. Each will at the request of the other
execute, aoknow1edge, and deliver any and all instruments
which may be neoessary or advisable to carry into effect
this mutual waiver and relinquishment of all such
interests, rights, and claims.
MS. SERRATELLI: Susan, you have heard me read the
the terJlle of the agreement. Do you understand them clearly and
aoknowledge that this is your free and voluntary agreement?
MS. KIRJ(PATRICK: Yes, I do.
MR. SHADE: Mr. Kirkpatrick, you have heard the
agreement recited. Do you have any questions about it?
MR. KIRKPATRICK: No, I don't.
MR. SHADE: Do you acknowledge this as your free
"
and voluntary aot and signing it this afternoon will constitute
such?
MR. KIRKPATRICK: Yas, I do.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
eettlement as set forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind myself to the settlement as a contract obligating myself to
the terme of settlement and SUbjecting myself to the methods and
prooedures of enforcement which may be impoeed by law and in
partioular section 3105 of the Domestic Relations Code.
WITNESS:
DATE:
....,.-.. ,
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.:'C. ,~flt/,} .~ &4(,,'
WaYlle F. Shade
Attorney for Plaintiff
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ttorney for Defendant
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ROBERT J. KIRKPATRICK, IN THE COURT OF COMMON PLEAS OF
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
ve. NO. 95 - 4468 CIVIL
SUSAN J. KIRKPATRICK,
Defendant IN DIVORCE
THE MASTER: Today is Thureday, April 24, 1997.
This is the date set for a Master's hearing in the above
oaptioned oase. Present in the hearing room are the Plaintiff,
Robert J. Kirkpatriok, and his oounsel Wayne F. Shade, and the
Defendant, Susan J. Kirkpatriok, and her oouneel Lori K.
Serratelli.
This aotion was initiated by a oomplaint in divoroe
filed on August 22, 1995, raising grounds for divoroe of
irretrievable breakdown of the marriage. Counsel have advised
that the partieD will sign and file affidavits of oonsent and
waivers of notioe of intention to request entry of divoroe
deoree today following the statement of the agreement on the
record. Therefore, the divorce can be concluded under Section
3301(c) of the Domestic Relations Code.
In a oounterclaim filed on behalf of the
Defendant, the eoonomic claims of equitable distribution,
alimony, and counsel fees and expenses have been raised.
The parties were married on March 25, 1966, and
separated on May 14, 1993. They are the natural parents of two
adult children.
PLAINTIFF'S
I~
After extensive negotiations this morning, the
Master has been advised that the parties and counsel have
reached an agreement with respect to the outstanding economic
claime. The agreement is going to placed on the record in the
presence of the parties. The agreement as placed on the record
will be considered the subetantive agreement of the parties and
not subject to any changes or modifications except for
correotion of typographical errors which may be made during the
transcription. The parties and counsel are going to return
later today to review the agreement for typographical errors,
and any correction of typographical errors will be made, after
which the partiea and couneel will affix their signatures. The
signing of the agreement later today is simply an affirmation of
the terms of the agreement which are going to be etated on the
record at this time.
After the agreement has been affirmed by the
parties' and counsels' signatures, the Master will prepare an
order vacating his appointment. Couneel can then file a
praecipe transmitting the record to the Court requesting that
the Court enter a final decree in divorce. Ms. Serratelli.
MS. SERRATELLII With respect to the equitable
distribution claim, the parties have agreed as follows:
1. Husband shall transfer all of his right, title, and
interest in the marital residence located at 1079
Newville Road, CarliSle, Pennsylvania, to wife. Wife's
counsel shall prepare the deed and present the deed to
, .
husband's counsel for signature.
Husband shall assume the existing first mortgage on the
marital residence currently owed to Harris Savings with a
balance as of April 23, 1997, of $6,826,69.
Wife shall assume the 1997 home equity loan recently
acquired and co-eigned by husband in ths amount of
$5,000.00. Wife agrees to indemnify and hold husband
harmlees on said home equity loan.
2. With reepect to personal property, the parties shall
retain all personal property in their respective
posseesions and each waives any claim to the property in
the other's possession.
3. Wife shall receive 848 shares of sprint Common stock and
266 shares of 360 Communications stock. Husband will
take care of any paperwork related to the transfer of the
stock to wife.
4. Wife shall receive the sum of $58,500.00 as a rollover
from husband's 401(kl plan with sprint and husband shall
be responsible to prepare or conclude any paperwork
related to that rollover.
5. With respect to the parties' marital debt, husband shall
assume all marital debt inoluding the aforeeaid mortgage
on the marital residence. With respeot to the marital
debt, which husband has agreed to assume, husband also
agrees to indemnify and hold wife harmless from any and
all claims arising out of said marital debt.
6. Hueband shall pay the sum of $275.00 per week, payable
biweekly, as alimony to wife upon issuance of the decree
in divorce. said payments shall continue through the
Domestio Relations Offico pursuant to a wage attachment.
The calculation of the alimony award is based on tho
actual net yearly earnings of hueband at $48,500.00 and
the assessed earnings of wife of $15,000.00 per year.
The alimony award shall bo reviewable upon any
substantial change in circumstances. 1'he parties do
acknowledge that wife is entering a two year associates
RN degree program at Harrisburg Area Community college
beginning September 1997 for a period of two years.
7. Husband agrees to designate wife as irrevocable
beneficiary on his company policy as long as he is
employed with his current employer sprint and as long as
it is available as a company benefit in the amount of
$100,000.00.
8. Each party will assume their own counsel fees and coste.
9. Except as herein otherwise provided, each party may
diepose of his or her property in any way and each
party hereby waives and relinquishes any and all righte
he or she may now have or hereafter acquire under the
present or future lawe of any juriediction to share in
the property or the estate of the other as a result of
the marital relationship including without limitation,
statutory allowance, widow's allowance right of
intestacy, right tc take against the will of the other,
and right to act as administrator or executor in the
other's estate. Each will at the request of the other
execute, acknowledge, and deliver any and all instruments
which may be neoessary or advisable to carry into effeot
this mutual waiver and relinquishment of all SUch
interests, rights, and claims.
MS. SERRATELLI: susan, you have heard me read the
the terms of the agreement. Do you understand them clearly and
acknowledge that this is your frep and voluntary agreement?
MS. KIRKPATRICK: Yes, I do.
MR. SHADE: Mr. KirkpatriCk, you have heard the
agreement recited. Do you have any questions abcut it?
MR. KIRKPATRICK: No, I don't.
MR. SHADEl Do you acknowledge this as your free
04....
and voluntary aot and signing it this afternoon will oonstitute
such?
MR. KIRKPATRICK I Yes, I do.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
settlement as eet forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind .yself to the settlement as a oontract Obligating myself to
the terms of settlement and SUbjecting myself to the methods and
procedures of enforoement which may be imposed by law and in
partioular Section ]105 of the Domestic Relations Code.
WITNESS I
DATE I
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t//~fl/I' -;,,-~.6'
ay e F. Sha e
Attorney for Plaintiff
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Print thls Pago BlgnO" Holp
Viow History Dopolllt Detail Go
WEB Advice 04127120011 A242646 I 2981.93 I 692.20 I
I Deduction Doscrlptlons
I'ersonallnfomlatlon 1I0t shown as per the preferencc selected on the Login screen
OllGANllATlIIN t:MPI.o"F.F. PA" rt:RIIIP nnn, un:nUA"\'ICI: n:III:RAIJlrIAn:
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1YPEQt'PA" {;RlIS!I l:lIRUNT ".1'."
1I0ll1S AMIII1NT nrE OF Dt:PI1(.'lIIlN TAXAla.r. WAnF.
EX\' RI'TS 0,00 78,97 FLX CREDITS -49.42 -395.36
REGllLAR 80.00 2902.% EMPLlFE 8391 67128
LIFE INS IN 58,05 Slll'L LTI> 17.83 14264
IILTII RHlMII 33.33 2(,6(,4
FICA 17828 1671.% 2875.36
MEDICAIUl 4169 391.02 2K75.36
RS\' IlEDllCTN 174.18 1571,(,4
RSP SUPI'LMT 1((',12 1047.76
FE()ERALTAX 570.81 54J3.23 I 258506
WAGE ATJ'ACII N I 550,(XI 49501X)
UNII'AC-()ESIO LOll 8.00
STATE PAC FUND 4 IX) 32,00
UNITED WAY -24 III IX) KO.IXI
WAGE ATTAC" FEE 200 18m
()IIlDEI' 35(IlXl J204(X)
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.. TOTAL .. 2981. 93
----- -------
AS OF 0412112001
---------- -..-
VAl: AVAIL 200lXl
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VAl: llSED om
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EMBED BAL o IX)
FI.OAT 16lXl
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Fl.oAT USED om .. TOTAl. .. 20KIJH
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4/l01ll11:llI'M
F.1KI (71"/1 240-6240
In the Court of CQ8mon Pl.a. of Cu.berland County, pann.ylvania
1l0Mf:5TIC IIf:l.ATIOHS 5f.Cl'lOH
P.O. BOX 320, CAIIl,15l,f.. I'A nOIJ
Phonel (1171 240-6225
Date: May 31, 2001
Plaintiff Name: Robert J. Kirkpatrick
Defendant Name: Susan J. Allison
Docket Number: 95-4468 Civil Term
PACSES Case Number:
Other State 10 Number:
.1.... Nottl I All cornepondlaOe ~.t. inolude the fAC..I c... "'C
Incft.. and E~n.. s~.~--.nt
THIS FORM MUST BE FILLED OUT
(If you are self-employed or if you are ssladed by a business of which you are owner
in whole or in part, you must also fill out the supplemental Income Statement which
appeara on the last page of this income and eKpense statement. I
INCOME STATEMENT OF ROBERT J. KIRKPATRICK
I verify that the statements made in this Income and EKpense Statement are true
and correct. I understand that false statements herein are subject to the
criminal penalties of 10 Pa,C.S. 54904, relating to unsworn falsification to
authorities.
Date
IHCOIG
Employer:
Address:
IXPJ:"III
Ho_.
Mortgage/llent
Maintenance
Utili tI es
f.lectric
Gas
011
Robert J. Kirkpatrick
Sprint-Florida, Inc.
6860 West 115th Street, Overland Park, KS
WlIK
t<<llITH
YIAR
1,104.00
150.00
240.00
20.00
I
PLAINTIFF'S
EXHIBIT
&
Telepholle 150.00
Walor 35.00
Sowor 77.00
IlIflloya.nt I
rubllc
Transporla tI 011
LUllch 322.00
'1'..... 289.55
Real Estsle
Personal Properly
Income
In.urana.1
lIomeowners 72.67
Automobile 153.75
Life 88.77
Accident
lIeslth 221. 28
Other
AutoaobUel
Payments 362.20
Fuel 90.00
Repai r8 11 0.00
Madiaall
Doctor 20.00
Dentist 20.00
Orlhodolll 1 st
1I09pllal
Medicine 40.00
Spec! a 1 lIeed. 120.00
(tjlll6900, uraces,
orlhopudlc
duvlcen)
IduoaUon I
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Private Ochoa 1
Parochiai School
College 140.00
Religious 40.00
Paraonall
Clothing 400.00
Food 600.00
Barber/Reaulician 40.00
Credit Paymentsl 994.99
Credil Card
Charge Account
Memberahip. 10.00
Loanal
Credit Union 200.00
HiaaaUanaoua I
Hou.ehold /leiI'
Child Care
Papers/Books/ 15.00
Magazines
Entertainm.nt 80.00
Pay TV
Vacation 200.00
Gift. 100.00
Legal Fee. 100.00
Charitable 80.00
Contributions
Other child
Supporl
Alimony paymcnt. 1,100.00
TOTAL EXPENSES 7,786.21
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PROPlRTY
OMNID DESCRIPTION VALUE II W J
Checking Account. 200.00 X
Savings Accounts 500.00 X
Credit Union 200.00 X
Slocks/llonels 4,000.00 X
Resl Estate 50,000.00 X
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I IN THE COURT OF COMMON PLEAS !
. OF CUMBERLAND COUNTY ~
. 8
; STATE OF .. PENNA. l
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8 HROB,ERT J, KIRKPATRICK. 'I 8
. Plaintiff NO'H~~~A.~6.~HCr..\I.r.~".~,ERM.
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. ,.~USAN J.. KIRKPATRICK. .
8 Pefe!ldant" .
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8 DECREE IN ~
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~ AND NOW, .. .. .. .. . .. .. ~~'l~C ;J:c?:.., 19 ?.7.. ... It II ordered and 8
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. decreed that """"'" ,~9~~.~~ ,~:, ,~~~~,P,~~~!.~~ , , , , , , , , , , , '. plaintiff, .
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~ and..... .. ... . .. .. .. .. .. ~!1,s.~~. J....~r.~~~'r~,~~~.. .... .., .. " defendant, ,
: are divorced from the bonds of matrimony. ~
. The court retains jurisdiction of the following claims which have :
. been raised of record In this action for which a final order has not yet .
. been entered: .
:, .
- ~,?~.e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . I .
.
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ROBERT J. KIRKPATRICK. : IN THE COURT OF COMMON PLEAS OF
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
: CIVIL ACTION - LAW
v. :
: NO. 95-4468 CIVIL TERM
SUSAN J. KIRKPATRICK, :
Defendant IN DIVORCE
PRAECIPE TO TRANSMIT RECORD
To the Prothonotary I
Please transmit the record, toqether with the followinq
information, to the Court for entry of a divorce decree:
1. Ground for divorce: Irretrievable breakdown under
53301(0) of the Divorce Code.
2. The date and manner of eervice of the complaint wsre
Auqust 23, 1995, by acceptance.
3. Date of execution of the Affidavit of Consent required
by 53301(cl of the Divorce Code by Plaintiff was April 18, 1997,
and by Defendant was April 24, 1997.
4. Related claims pendinq: None.
Date I April 24, 1997
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Way F. S a e
Attorney for Plaintiff
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ROBERT J. KIRKPATRICK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 95- 4'-1~f( CIVIL TERM
v.
SUSAN J. KIRKPATRICK,
Defendant
IN DIVORCE
NOTICE TO DEFEND AND CLAIM RIGHTS
You have been eued in Court. If you wish to defend against
the claims set forth in ths following pages, you must take prompt
action. You are warned that if you fail to do so, the case may
proceed without you, and a decree of divorce or annulment may be
entered against you by the Court. A judgment may also be entered
against you for any other claim or relief requested in these
papers by the Plaintiff. You may lose money or property or other
rights important to you, including custody or visitation of your
children.
When the ground for the divorce is indignities or
irretrievable breakdown of the marriage, you may request marriage
coun.e1ing. A 1i.t of marriage counselors is available in the
Office of the Prothonotary at
CUMBERLAND COUNTY COURTHOUSE. CARLISLE. PENNSYLVANIA 17013
IF yOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF
PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT
IS GRANTED, YOU HAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU
DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE/ GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator
Fourth Floor
Cumberland county Courthouse
carlisle, Pennsylvania 17013
Telephone I (717) 240-6200
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Wayn F. S a e
Attorney for Plaintiff
WAYNll F. SHAUll
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17011
ROBERT J. KIRKPATRICK,
plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO. 95- '4-<f tr.8 CIVIL TERM
v.
SUSAN J. KIRKPATRICK,
Defendant
IN DIVORCE
COMPLAINT
1.
Plaintiff in this Action in Divorce is ROBERT J.
KIRKPATRICK, an adult individual who resides at 9892 Mccreary
Road, Shippensburg, cumberland county, Pennsylvania 17257.
2.
Defendant is SUSAN J. KIRKPATRICK, an adult individual and
citizen of the united Stat.. of America who resid.. at 1079
Newville Road, carliale, Cumberland county, Pennsylvania 17013.
3.
Defendant has been a bona fide resident of Cumberland
county, PennsYlvania, for more than six months previously to the
filing of this complaint and continuing to the commencement of
this Action in Divorce.
4.
Plaintiff and Defendant were lawfully joined in marriage on
March 25, 1966, in Adams county, Pennsylvania.
5.
The parties have been living separate and apart since on or
about May 14, 1993.
WAYNB F, SHAIlII
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6.
plaintiff avers as the grounds on whioh this aotion is based
that ths marriage of the parties is irretrievably broken.
7.
There have been no prior aotions for divoroe or annulment of
this marriage in Pennsylvania or in any other jurisdiotion.
8.
Both parties to this Aotion in Oivoroe are legally oapable
of managing their own oonoerns.
9.
Defendant hsrein is not a msmber of the armed foroes of the
united states of Amerioa.
10.
There were two ohildren born to the parties, neither of whom
is dependent.
11.
Plaintiff has been advised that oounseling is available and
that Plaintiff may have the right to request that the Court
require the partie. to partioipate in oounseling.
WHEREFORE, Plaintiff demands judgment dissolving the
marriage between the parties.
wa{C~s([~
Attorney for Plaintiff
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I verify that the .tatements made in this pleading are true
and correct. I understand that false statements herein are made
subject to the penalties of 18 Pa.C.S. 54904 relating to unsworn
falsification to authorities.
Datel Auguet 18, 1995
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IOB.RT J. aIRaPATRICK, IN THE COURT OF COMMON PLEAS
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
v. : No. 95-4468 civil Term
IVIAM J. aIRKPATRICK, : CIVIL ACTION - LAW
Defendant IN DIVORCE
ANSWER AND COUNTERCLAIM
AND NOW COMES the Defendant, Susan J. Kirkpatrick, by and
through her attorney, Lori K. Serratelli and the law firm of
SERRATELLI, SCHIFFMAN, BROWN and CALHOON and answers plaintiff's
Complaint in Divorce as follows:
1. Admitted.
2. Admitted.
3. Admitted.
4. Admitted.
5. Admitted.
6. Admitted.
7. Admitted.
8. Admitted.
9. Admitted.
10. Admitted.
11. This is not a factual averment to which a response is
rsquired.
COUNTERCLAIM
COUNT I
12. Paragraphs 1 through 11 are hereby incorporated by
reference herein.
13. Defendant states that the Plaintiff and Defendant
possess various items of both real and personal marital property
which are subject to equitable distribution by the Court.
WHEREFORE, Defendant requests that this Court:
(a) Equitably distribute all property, p\rsonal and real
owned by the parties I and
(b) For such further relief as the Court may deem equitable
and just.
COUNT II
14. Paragraphs 1 through 11 are hereby incorporated by
reference herein.
15. By reason of the institution of the action to the above
term and number, Defendant will be and has been put to
considerable expense in the preparation of her case, in the
employment of counsel and the payment of costs.
16. The Defendant's income is disproportionatelY lower than
Plaintiff's income and Defendant is without adequate funda to pay
the costs and expenses of thie litigation, and ie likewise,
without adequate funds to maintain herself during the pendency of
the litigation.
17. The Defendant is employed by sprint earning a gross
ealary of approximately $65,000.00 per year.
18. The Plaintiff is currently a student and employed on a
part-time basis at A La Tarte.
WHEREFORE, Defendant prays that your Honorable Court grant
an Order upon plaintiff to pay your Defendant, alimony pendente
lite, counsel fees and costs of the litigation.
.'
COUNT I II
19. Paragraphs 1 through 11 are hereby incorporated by
reference herein.
20. Defendant is unable to adequately support hereelf
through appropriate employment.
21. Defendant lacks sufficient property, including but not
limited to, any property distributed pursuant to Chapter 4 of the
Divorce code of 1980 to provide for her reasonable needs.
WHEREFORE, Defendant requests that the Court grant and award
alimony.
Respectfully submitted,
/It l\,.t Iv- ,~ ,ttJ' ,i I
Lor ,K. Serratell , Eaq.
81RRlT LLI, 8CHIrrHAH IRO..
, CALHOON
2040 Linglestown Rd., suite 106
Harrisburg, PA 17110-9483
(7171 540-9170
Attorney for Defendant
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VERIFICATION
I verify that the statements made herein are true and
correct. I understand that false etatements herein are made
subject to the penalties of 18 Pa.C.S. Section 4904, relating to
unsworn falsification to authorities.
,
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ao.I.T J. KIRKPATRICK, IN THE COURT OF coMMON PLEAS
Plaintiff cUMBERLAND COUNTY, PENNSYLVANIA
I
v. I No. 95-4468 civil Term
I
.UID J. KIRKPATRICK, I CIVIL ACTION - LAW
I
Defendant I IN DIVORCE
CERTIFICATE OF SERVICE
1, Lori K. Serratelli, do hereby certify that on August 30,
1995, 1 served a copy of the foregoing Answer and counterclaim
upon the plaintiff by depositing it in the United States mail,
postags prepaid, addressed as followSI
Wayne F. Shade, Esq.
53 West Pomfret Street
Carlisle, PA 17013
Attorney for Plaintiff
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Lo:V serratelli, Esq.
.IR TILLI, ICHlrrKAH, .10.. .
OA OOK
2040 Linglestown Rd., suite 106
Harrisburg, PA 17110-9483
(7171 540-9170
Attorney for Defendant
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ROBERT J. KIRKPATRICK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
v.
SUSAN J. KIRKPATRICK,
Defendant
NO. 95-4468 CIVIL TERM
IN DIVORCE
PRJUECIPE
TOI Lawrence E. Welker, prothonotary
Plea.e enter our appearance on behalf of Defendant and
acceptance of service and acknowledgment of a certified copy of
the Complaint in the above-captioned matter.
Datel August 23, 1995
SERRATELLI, SCHIFFMAN AND
BROWN, P.c.
re
Attorneys for Defendant
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CL"}UlERL.~iD COUNTY, PE:;:-:S~L\'.\.~t.'
REERl' J. IUR<PATRIO<
Plaintiff
vs.
SUSIIN J. KIR<PATRIO<
NO.
95-4468
19
MOTION FOR APPOlNTHENT OF !lASTER
~II'.~ (Defendant),
following claims:
moves the court to appoint
Stlll\NK J. JURl<PATRIO<
a master with respect to the
( x) Divorce
( ) Annullllent
( x) Alimony
( x) Alimony Pendente
Ute
(x)
( )
(x)
(x)
Distribution of Property
Suppo r t
Counsel Fees
Costs and Expenses
and in eupport of the llIotion statesl
(1) Discovery is complete as to the cla1ms(s) for which the
appointmant of a master is requested.
(2) iThe defendant ;has. ~) appeared in the action (('!Jeonal:",)
(by hie attornev, Lor K. Serratel1i, ,Esquire).
.. (3) The statllfory ground'(s) for divorce (is) (sre)
3301(01
(4) Delete the inapplicable paragraph(s)l
(a) The action is not contested,
(b) An aareement has been reached with respect to the
follovina claw:
c The action ie contested with respect to the followina
claims: divorce. alinDnv. alinDnv oemente lite.. distribution of prn"."'tv. "',",,_1 F_..
(5) Tha action (involves) tal ~."~---~) COllplex iesuae of law
or fact.
(6) The hearing is expected to take 1 daY (hours) (daya).
(7) Additional information, if any. relevant to the motionl
, COlta
Data:
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Lori K. Serrate11i, f r ,a.I-..")
! ,(Defendant)
ORDER APPOIl/TIllG ~ rr I
,l~, I~.N txltL~K,..{..." ,
respect to the following claims: ,.ld cC CL-v-:>
Eequ ire,
AND NOW 0 C r L/
is appointed master with
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ROBERT J. KIRKPATRICK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95 - 4468 CIVIL
vs.
SUSAN J. KIRKPATRICK,
Defendant
IN DIVORCE
ORDER OF COURT
AND NOW, this
L \'r--II day of jl h, } L-" 1997,
the parties and counsel having entered into an agreement and
stipUlation resolving the sconomic issues on April 24, 1997, the
date set for a Master's hearing, the agreement and stipUlation
having been transcribed and subsequently signed by the parties
and counsel, the appointment of the Master is vacated, and
counsel can conclude the proceedings by the filing of a praeoipe
to transmit the record with the affidavits of consent of the
parties so that a final deoree in divorce can be entered.
BY TltE COURT,
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P.J.
Wayne F. Shade
Attorney for Plaintiff
Lori K. Serratelli
Attorney for Defendant
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ROBERT J. KIRKPATRICK,
Plaintiff
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
I
I NO. 95 - 4468 CIVIL
I
I
I IN DIVORCE
vs.
SUSAN J. KIRKPATRICK,
Defendant
THE MASTER I Today is Thursday, April 24, 1997.
This is the date set for a Master's hearing in the above
captioned case. Present in the hearing room are the Plaintiff,
Robert J. Kirkpatrick, and his counsel Wayne F. Shade, and the
Defendant, Susan J. Kirkpatrick, and her counsel Lori K.
serratelli.
This action was initiated by a complaint in divorce
filed on August 22, 1995, raising grounds for divorce of
irretrievable breakdown of the marriage. counsel have advised
that the parties will sign and file affidavits of coneent and
waivers of notice of intention to request entry of divorce
decree today following the statement of the agreement on the
record. Therefore, the divorce can be concluded under Section
3301(cl of the Domestic Relations Code.
In a counterclaim filed on behalf of the
Defendant, the economic claims of equitable distribution,
alimony, and counsel fees and expenses have been raised.
The parties were married on March 25, 1966, and
separated on May 14, 1993. They are the natural parents of two
adult children.
After eKtensivB negotiations this morning, the
Master has been advieed that the parties and couneel have
reached an agreement with respeot to the outstanding economic
claims. The agreement is going to plaoed on the record in the
presence of the parties. The agreement as placed on the record
will be considered the substantive agreement of the parties and
not subject to any changes or modifications eKcept for
correction of typographical errors which may be made during the
transcription. The parties and counsel are going to return
later today to review the agreement for typographical errors,
and any correction of typographical errors will be made, after
which the parties and counsel will affiK their signatures. The
signing of the agreement later today is simply an affirmation of
the terms of the agreement which are going to be stated on the
record at this time.
After the agreement has been affirmed by the
parties' and counsels' signatures, the Maeter will prepare an
order vacating his appointment. counsel can then file a
praecipe transmitting the record to the Court requesting that
the Court enter a final deoree in divorce. Ms. Serratelli.
MS. SERRATELLII with respect to the equitable
distribution claim, the parties have agreed as followSI
1. Husband shall transfer all of his right, title, and
interest in the marital residence located at 1079
Newville Road, Carlisle, Pennsylvania, to wife. Wife's
counsel shall prepare the deed and present the deed to
.
husband's counsel for signature.
Husband shall aseume the existing first mortgage on the
marital residence currently owed to Harris Savings with a
balance as of April 23, 1997, of $6,826.69.
Wife shall assume the 1997 home equity loan recently
acquired and co-signed by husband in the amount of
$5,000.00. wife agrees to indemnify and hold husband
harmless on said home equity loan.
2. With respect to pereonal property, the parties ehall
retain all personal property in their respective
possessions and each waives any claim to the property in
the other'e possession.
3. Wife shall receive 848 shares of sprint Common stock and
266 shares of 360 communicatione stock. Husband will
take care of any paperwork related to the transfer of the
stock to wife.
4. Wife shall receive the sum of $58,500.00 as a rollover
from husband'S 401(k) plan with sprint and hueband shall
be responsible to prepare or conclude any paperwork
related to that rollover.
5. With respect to the partiee' marital debt, husband shall
assume all marital debt including the aforesaid mortgage
on the marital residence. With respect to the marital
debt, which husband has agreed to assume, husband also
agreee to indemnify and hold wife harmless from any and
all claims arieing out of said marital debt.
6. Husband shall pay the sum of $275.00 per week, payable
biweekly, as alimony to wife upon issuance of the decree
in divorce. said payments shall continue through the
Domestic Relations Office pursuant to a wage attachment.
The calculation of the alimony award is based on the
actual net yearly earnings of husband at $48,500.00 and
the assessed earnings of wife of $15,000.00 per year.
The alimony award shall be reviewable upon any
substantial change in circumstances. The parties do
acknowledge that wife is entering a two year associates
RN degree program at Harrisburg Area Community college
beginning september 1997 for a period of two years.
7. Huaband agrees to designate wife as irrevocable
beneficiary on his company policy as long as he is
employed with his current employer sprint and as long as
it is available as a company benefit in the amount of
$100,000.00.
8. Each party will aasume their own counsel fees and costs.
9. Except as herein otherwise provided, each party may
dispose of his or her property in any way and each
party hereby waives and relinquishes any and all rights
he or she may now have or hereafter acquire under the
present or future laws of any juriSdiction to share in
the property or the estate of the other as a result of
the marital relationship inCluding without limitation,
statutory allowance, widow's allowance, right of
intestacy, right to take against the will of the other,
and right to act as administrator or executor in the
other's estate. Each will at the request of the other
execute, acknowledge, and deliver any and all instruments
which may be necessary or advisable to carry into effect
this mutual waiver and relinquishment of all such
interests, rights, and claims.
HS. SERRATELLII Susan, you have heard me read the
the terms of the agreement. Do you understand them clearly and
acknowledge that this is your free and voluntary agreement?
HS. KIRKPATRICK: Yes, I do.
HR. SHADE: Hr. KirkpatriCk, you have heard the
agreement recited. Do you have any questions about it?
MR. KIRKPATRICK: No, I don't.
MR. SHADE: Do you acknowledge this as your free
.
and voluntary act and signing it this afternoon will constitute
such?
MR. KIRKPATRICK: Yes, I do.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
settle.ent as set forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind .yself to the settlement as a contraot obligating myself to
the ter.. of settlement and sUbjecting myself to the methods and
procedures of enforcement whioh may be imposed by law and in
particular Section 3105 of the Domestic Relations code.
WITNESS I
DATE I
~? ~.
~~. S a ~
Attorney for Plaintiff
1110:1'1/7' ~
{~~~
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. Serrate
orney for Defendant
5.5.8,&C. Hbl,Pa.17110
NO, 8602 P. 2/2
. .
IOItIIt' ". a....tuOI, I IN THE COURT OF COIIIOH PLIAS
I CU1UlIIU.AIID COUIITY, PllQfSYLVAlflA
Plaintift I
I No. 95-44'. CIVIL TIRM
v.. I
I
IVIU ". uauaftlGJr, . CIVIL ACTION - LAW
.
Defendant IN DIVORCE
APpynaVTT OF CD.BENT ANb
W&TVWR a~ N~t~E ft. IUTRN~TON TO ..ouw,~
JrIIII'DV o. a. brvft.~ nJ!t!IIl!~ minE.
S.CTYON ~301~e' O. THR ftTVORea ennK
(1)
A coaplaLnt in Divorce under Section 3301(C)
ot the Divorce Cade va. tiled on ,::),~",'" .;):J Jl}']?
The ..~dave of plaintiff and Defendent 1. irretrievably
broken and ninety ('0) day. have alap.ed f~o. the date of
ti1inv the Coaplaint.
I con..nt to the entry ot a tinal decree ot divorce, vithout
tonal notice of the intention to reque.t entry of a divorce
deer...
(i1)
(3)
(4)
r underwt&nd that I amy loee rights concerning aliaony,
divi.ion of property, lawyer'. reel or expenae., it r do not
01&i11 th.. before a divorce 11 qranted.
I underwtand that I viII not be divorced until a divorce
decree i. entered by the Court and that a copy or the Decree
vill M .ent to .. i...diately etter it is filed vitb the
Prothonotary.
(!I)
I verify that the .tate..nts ..de in tIli. affidavit are true end
correot. I underetand that falae etate.ente herein are ..de
.ubjeot to the penalties ot 18 Pa. c.S. Sec. 4.04 reletinv to
uneworn tal.ifieaticn to authorities.
~. . '/
I~'#I / ~/ ..
. '
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. SUSAN J. ,ItIRKPATR CK
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ROBERT J. KIRKPATRICK,
plaintiff
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
I CIVIL ACTION - LAW
I
I NO. 95-4468 CIVIL TERM
I
I IN DIVORCE
v.
SUSAN J. KIRKPATRICK,
Defendant
AFFIDAVIT OF CONSENT AND WAIVER OF NOTICE
OF INTENTION TO REQUEST ENTRY OF A
DIVORCE DECREE UNDER 13301(c)
OF THE DIVORCE CODE
COMMONWEALTH OF PENNSYLVANIA )
) SSI
COUNTY OF CUMBERLAND )
1.
A Complaint in Divorce under section 3301(C) of the Divorce
Code with Notice of Availability of counseling was filed on
August 22, 1995, and served on August 23, 1995.
2.
The marriage of plaintiff and Defendant is irretrievably
broken and ninety (90) days have elapsed from the date of filing
the complaint.
3.
I consent to the entry of a Final Decree of Divorce without
notice.
4.
I understand that I may lose rights concerning alimony,
division of property, lawyer's fees or expenses if I do not claim
them before a divorce is granted.
W A vIm P. SHADD
AIOnW)' at 1...
51 w,.. PaalrcllI'"''
CaI1We, _".
17011
.'
WAYN" F. SHAllII
A-,lIbw
IIW,.......,"'_
C..Ilole, -'fl,,"la
11015
5.
I understand that I will not be divorced until a Divorce
Decree is entered by the Court and that a copy of the Decree will
be sent to me immediately after it is filed with the
Prothonotary.
6.
I have be.n advised of the availability of marriage
coun.eling and of my right to counseling and understand that I
may request that the Court require that my spouse and I
participate in counseling.
7.
I understand that the Court maintains a list of marriage
coun.elors in the Domestic Relations Office, which list is
available to me upon raqueat.
8.
Being so advised, I do not request that the Court require
that my spouse and I participate in counseling prior to a Divorce
Decree's being handed down by the Court.
9.
I verify that the statements made in this Affidavit are true
and oorrect. I understand that false statements herein are made
subjeot to the penalties of 18 Pa.C.S. section 4904 relating to
unsworn falsification to authorities.
Oatel April 18, 1997
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"" 17171 \411\481
~~:Jt. II
october 24, 19~6
E. Robert Elicker, II
Office of Divorce Master
9 North Hanover street
carlisle, PA 17013
Re: Kirkpatrick v. KirkDatriok
No. 95-4468 civil
Dear Mr. Elicker:
Pursuant to your corre.pondenoo or October 9, 1996,
enclosed please rind Derendant'. original Pro-Trial
statement.
Please note that our orrioe will bo relocating on
November 1, 1996. The new addro.. will bel 2080
Linglestown Road, Second Floor, Ilarr1eburq, I'A 17110.
Thank you.
sincerely,
BERRATE1.LI I, BCIlI FFMAN,
DROWN' CAUIOON, P,C.
hi ~\II)~ \ ~ cI
Lofl!k. Serratelli
LKS/dae
Enclosure
cc: Wayne F. Shade, Esq.
Susan J. Kirkpatrick
ROlnT J. KIRKPATRICK, I IN THI COURT or COKMON 'LIAS
'laintiff I CUMBIRLAMD COUNTY, 'IHHSYLVAMIA
I
v. I No. .S-.... CIVIL TIRK
I
SU.AM J. KIRKPATRICK, I CIVIL ACTION - LaW
Dafan4ant I III DIVORCI
DI'.WOA>>fl. IIICOMI AHD 1.'111.. .TATIMllfT
LORI K. SIRRATILLI, 110.
IIRRATILLI, ICHI"KAIf, IRO...
. CALHOOII, '.C.
2040 Linglestown Rd., suite 106
Harrisburg, PA 17110-9483
(717) 540-9170
Attorney fur Defendant
I.COMI AXD ..'1..1 ITATIMINT
Ql
.UIAM J. KIRK'ATRICK
Employer UnemDloved
Address
Type of Work
Payroll Number
Pay Period (weekly, bi-weekly, etc.)
Gross Pay Per Pay Period
ItaKl..D ,aYROLL D.DUCTIO.I.
Federal Withholding
social Security
Local Wage Tax
State Income Tax
Retirement
Savings Bonds
Health Insurance
other (specify)
Net Annual Pay I See Most Recent Income Tax Return Attached.
-1-
OTKI. IIICOMI. Hm$ MONTH UAB
Interest $ $ $
Dividends $ $ $
Pension $ $ $
Annuity $ $ $
Royalties $ $ $
Expense Account $ $ $
Gifts $ $ $
Unemployment compo $ $ $
Alimony $600 Bi-Weeklv $ $ 15.600.00
TOTAL ..TIKATID AKMUAL IIICOMI ..................$ 20.600.00 119951
EXPENSES
WeeklY MonthlY YearlY
KOMI.
Mortgage/Rent $ $ 260.35 $ 3120.00
Maintenance $ $ $ 996.00'
UTILITII..
Electric $ $ 70.00 $ 840.00
oil $ $ 80.00 $ 960.00
Telephone $ $ 50.00 $ 600.00
Water/Sewer $ $ $ 180.00
Garbage $ $ $ 152.00
SUBTOTALS $ $ $- 6848.00
'Expenses paid for home maintenance consist ofl a) basement
Cleaning - $200.001 b) furnace humidifier - $295.001 c) furnace
duct cleaning and electronic filter - $400.001 d) bathroom leak -
$101.00 for a total of $996.00. Anticipated expensee include I a)
$1200.00 - painting of home 1 b) $1000.00 - tree trimming 1 c)
$300.00 - new lawn mowen d) interior house painting 1 kitchen
flooringl cleaning and mortaring chimney.
-2-
INPLOYJlBIIT .
Public Transport $ $ $
Lunch $ $ $
TA118.
Real Estate $ $ $ 1160.37
Personal Property $ $ $ 255.11
Income (1995) $ $ $ 2000.00
1..UauOI.
Homeowners $ $ $ 230.00
Automobile $ $ $ 403.20
Life $ $ $
Health $ $ $
AUTONOIILI.
Payments $ $ $
Fuel $ 20.00 $ $ 1040.00
Repairs $ $ 120.00 $ 1440.00
IIIIDICAL.
Doctor $ $ 15.00 $ 430.002
Dentist $ $ $
Medicine $ $ 79.00 $ 948.00'
Special Needs $ $ $
SUBTOTALS $ $ $ 7906.68
2I am responsible for the $250.00 deductible per year, plus
20\ of all visits, tests which I estimate at $180.00 per year.
'current prescriptions are for: hypertension - 1) $22.00 per
month 1 2) asthma anti-inflammatory inhaler - $35.001 J) dilator
inhaler - $22.00.
-3-
IDUCATIOIII
college (Estimated) $ $ $ 3200.00
Religious $ $ $
'IRSOMAL.
clothing $ $ 100.00 $ 1200.00
Food $ $ 200.00 $ 2400.00
Barber/Hairdresser $ $ 26.00 $ 312.00
credit payment $ $ $
CUDIT CARDS. C.p.ClUy)
Bon-Ton $ $ $ 80.00
vi.a $ $ $ 1300.00
$ $ $
IIII11IRI.nS'
YWCA $ $ $ 25.00
.UA $ $ $ 55.00
Yoaa $ $ 50.00 $ 600.00
WITF $ $ $ 45.00
LOANS:
To Date
Relative (Car Loanl $ $ 100.00 $ 500.00'
IIIICILLUlIOUS.
Household Help $ $ $
Papers/Books/Hagaz $ $ $
Entertainment $ $ 50.00 $ 600.00
SUBTOTALS $ $ $ 10317.00
41 had to borrow $5000.0U from a relative in order to purchase
my vehicle and to pay $1000.00 of the income tax owed for 1995. I
am currently making $100.00 monthly payments on the loan which
began in April, 1996.
-4-
.
Pay TV $ $ $
Vaoation $ $ $ Cannot Afford
Gifts $ $ $ 800.00
Legal Fees $ $ $ 257.505
Charitable contrib $ $ $ 100.00
other Child support $ $ $
Alimony payments $ $ $
other (speoify)
Monetarv Assistance to DaUGhter $ $ 500.00
$ $ $
'UI'l'OTAL' $ $ $ 1657.50
-------------------------------------------------------
'l'OTAL AMMUAL IIPIMIIII
$ 26.729.18
-------------------------------------------------------
PROP..TV 01llllDI
Checking Accounts
Savings Accounts
Credit Union
stooks/Bonds
Real Estate
DESCRIPTION
VALUE
H Ii if.
SEE INVENTORY AND APPRAISEMENT
---
---
---
---
---
other
---
----
--------------------------------------------------------
TOTAL ....................... $
5The ourrent outstanding balance owed 8e of 9/25/96 is
$2482.50. The client has paid $257.50 to date.
-5-
--------------------------------------------------------
INSURANCE
Blue Cross
MEDICAL
Blue Cross
(J) - Joint
(H) . Husband (W). Wife
conno.
COMPANY POLICY j
Throuqh Husband's EmDlover
H Ii ~
Health/Accident
Disability Income
Dental
Other
(H) . Husband
(W) - Wife
(C) - Child
-6-
~~.-<~.~~~
USAN J. IRKPATR K
VERIFICATION
I verity that the statements made herein are true and
correct. I undsrstand that talse statements herein are made
subject to the penalties ot 18 Pa.C.S. section 4904, relatinq to
unsworn talaitication to authorities.
..
.
label
IS..
Inltrucllons
on p"g. 11)
U.. Ih. IRS
Ilb.l. H Home Idd,... tnumb)"nd ,tr"l) II ~ou ha...." PO.. ... P'O- 11.
Olh.rwlS., I 0' fVt=w IlU
please pllnt : Clt(Jown or POI' OfflC', Illlt, and lIP cO( " you h..... I forf'Orll1ddl"'. ,.. P'O' 11
O"yp.,
Prllld.ntl.1 L' 70 1.3
Election Campaign ll. 00 you wan' SJ '0 go 10 Ihl. fund? . . ,
(S.. a, 11.) , It . oint fllurn, dOli our .pouse want $3 10 0 to this fund? .
I Singl.
a Married hllng joinl relum (even If only on. hId Incom.)
3 Marned filing separate ,elurn. Enter spouse', IOclIlllCunly no. 100"1 and full nam, hll". ..
4 Heed 0' hou..hold (w,'h qualifying per.on). (5.. pag.'2.) If Ih. qualifying p.rson lsa child bul nol yo'" d.p.nd.nl,
ent.r thl, child's name here. ..
Quail In wldow(" wllh d. .ndenl child (.are u.a died. 19 . S.. a. 12.
YOUl"leIf,1I your par.nt lor someone IIN) can claim you I' a depend.nt on hi' or hI( tax }
relum, do nol check bOI 6a. eul be .ura 10 check Ih. bol on Iln. 3Jb on page 2 ,
U'I. . , . . . . . . . . . . . , . . . . . . . . , .
o Dependente: I I ,pend'''I', locI,1 I I fo.nd,nU II 140 01 monllll
III F I ItCIJflty numbtr. II born '11&IIOnshlpto Ilvtd I/l JOIlr
.tS film, lut ~Im. in t 5. 1 ~om '" I
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Filing SllluI
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Chack only
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E.empllonl
(S.. page 121
If more Ih.n .11
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Copy I 01 you,
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W.l!G, Ind
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If you did nol
g,' a W.2, 'a'
page 14,
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p.ym.nl and
paym.nl
youcher. See
paga JJ,
Adjullmenll
10 Income
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DeIJ.,tm""1 01 It,. Tf..,lJry-lnl.",.1 'l.",."ua D.,,,,tc.
U.S. Individual Income Till Return
~@95 131
IR~ U.. Qfo,.-o.-. nol "'llt 01' "tOI. "" Itl" IUllU
Fo' th, yea' Jln I-D.c, :11. 1~~, 0' olher tl1l v." beQ,nmnu
You, hIlt name Ind Inlllll J U,I (i~
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Your IOclll IIcurlt)' number
i'l 't . 31/. 7 ~ '1'1
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III /OInt ,.Iurn. spouN',I,,'1 nlml and lMI,,1
l.ul n.me
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For Prlvlev Act Ind
PlplrwOrk R8Cluellon
Act Nollel, I" PI'" 7.
V.. No Not.: ChIding ~r".
WIN nor ch.n~ t'Qur
tar or reduCI )'OUf
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. Tolll numbor of .lIm lion. cl.lmed . , , , . , ,
W.g.., ..1.,1.., lip., .Ie, AII.ch Form(.) W.2 , , . , , , ,
T.ublllnler..llncom. (... p.". 15). Alloch Schedul. e 1/ over 1400
T....iompllnl....1 (... pig. 15). DON'T Includ. on linl 5. Ib
Divldlnd Incoml. AIIach Schedul. B If over 1400 , , , . , ,
Taxabll "fund.. c,edll., or off.." of .lall and 'ac.llncom.,.... (... pig. 15)
Alimony received . . . . . . . . . . " . . . .
eu.ln... Incom. or 00"). Altach Sch.dul. C or C.EZ . , . , , , , ,
Capll.1 gain or 110"), It ,equl,ed, .It.ch SCh.dull 0 I... p.g. 16) , , , ,
Olher "al.nl 0' (10.....). Altach Form 4797 , ~. ,."",.",
TolallRA dl."lbullon., l.!!!J b T"able emounllm pagl161
T9'al panllon. Ind annullIII lJ!!..l b T"abl. emourill"" pig. IS)
IIlnlal real ..Iall, ,oyllll.., pl11n.rshlp.. S corporallonl, 'ru.',. Ite. Allach Schedul. E
F.rm Incom. 0' (10"), AIIach Schedule F . , , , , , , , , , ,
Unlmploym.nl comp.n..llon ('.1 paga 11) , . . . , . . . . ,
Saclal .ecurlly bln.lII. I lOa I I b T"abl. emounlla.. p.g. 181
Olhe, Incom.. LI,'lypaend amounl-..e page 16 .........'..........................
Add the amounts In lhelll ri hi column for lin.. 7 throu h 21. thill. our lotlllncQrM ...
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Spou..'. IRA daducllon (... pall' 19). , , Ub
Moving ..p.n..., Altach FOfm J90J 0' J903.F 24
One-hall of lelf..mployment la". , , 25
S.II..mployed h..llh Insurance deducllon I.aa p.g. 21) :ze
K.09h & ..If.employed sEP plan.. II sEP, ch.ck . 0 21
Penalty on eilrly WIthdrawal of .a"tOgs. . , 21
AIi,"on~ paid. RlClpltnf. SSN ... 29
Add 11"" 2:Ja Ihrou h 29. These ore our lat.1 ad uIlment. . .... ...
Scutracllin. 30 loom 1m, 72 Ihl\ 1\ your .dlUllad grm Incom. It Itllthln 126613 and a child I"ad
With au (leu lholn 19,230 11 a child ..lIdn I live Y\'llh aul. Sf. "(a,"ed Incortl. Cftdlr on p.1 .21 ...
C.l No I I J"oO
3.
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Fonn 1040 1189\)
I
Form IDola 11g9~1
Tax
Compu-
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(S.. page
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If you want
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figure your
lax. "I
page 35.
Credltl
(5.. page
24,)
41
41
47
41
41
110
II
12
13
14
Plymentl 15
M
IT
Other
Texe.
(S.. page
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Allach
Form. W.2,
W.20, and
1099.R on
the front.
M
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11
Retund or 12
Amount 13
You Owe 14
15
Sign
Here
Keep a copy
of ttHS re\Urn
for your
records
Paid
Preparer's
Use Only
32 Amounl from IIn. 31 (.dju.l.d grosslncom.) , . . . . , , , . . , .
33lI Ch.ck II: D You w.r. 65 or old.r, D Blind: D Spou.. wa. 65 or old.r. D Blind,
Add lhl number 0' bo.es checked above and enter the totnl here. " .. 338
b It your parent (or someone else) can clelm you os a dependent. check here .. 33b
a If you are married 11Ilog separalely Gnd your spoule Itemizes deducllons or
you Ire 11 dual'status aUen. Dee page 23 and check here. . . . ., .. 330
\ It.mll.d deducllon. ham Schedula A. Iin. 28, OR 1
34 Ent.r lI\1nd.rd deduction .hown b.low for your filing .talu., BuIll you ch.ck.d
:h. .ny boa on IIn. 33lI or b, go 10 page 23 10 IInd your .landard d.ductlon,
~rolr II you checked bOI 330. your standard deduction IS zero.
~our: . Slngle-13.900 . Ma",.d IllIng jolntlv or Ouallfying wldowl.r)-S6,550
. H.ad 01 hou..hold-S5,750 . Marrl.d filing ..paral.lv-S3,275
Sublracllln.341romlln.32 . . , . , . . . . . .', , . . . . . .
IIl1n. 32 I. S66.025 or I.... mulllplV S2.500 bV the lolal numb.r ol...mpllon. cl..med on
line 61. If Une 32 Is over '88.025. see the wo,kaheet on page 23 for the amount to enter .
Te.lbt. Incom.. Subtryt line 36 from line 35. It line 38 is more than line 35. enter .0. .
Ta.. Check If Irom . [lJ T.. Tabl., b D T... Ral. Schedul.., c Dcapltal O..n Tax Wort<.
.h.." or dO Form 8615 (,.. page 24), Amountfrom Form(.) 6614 · · ' I
Addllional t..... Cl1l1<k II Ioum . 0 Fo,", 4970 b 0 Form 4972
Add IIn.. 38 and 39, . . , , , . , , . . , .
Cred~ for chold and d.pend.nl core .,p.n..., Allach Form 2441
Cr.dit lor tho .Id.rly or Ih. disabled. AUach Schedul. R . ,
For.lgn 1&1 credil. AUach Fa"" 1116 , , , , , , .
Other credit' (... pag. 25~ Chock II from I D Form 3800
b D Form 8396 0 D Fa"" B601 d D Form (.pocify)_ 44
Add IIn.. 41 through 44 , , . , , . .. , . . .
Subtract IIn. 45 from IIn. 40. If IIn. 45 I. mar. Ihan IIna 40. .nl.r .0.. ~
S.If..mplovm.nll.., Allach Schedul. SE : , , , , , ,
Alt.maliv. minimum lax. AUach Fa"" 6251 . .. , . . . . . .
Recaptura t..... Chock If flam 10 Form 4255 bD Fa"" 6611 cD Form 6626
Socl.llICurtfy and Medlc.ra I.. on lip Incom. not rapollJ'l to .mploVer. Allach Form 4137
T&I on qualified rallrom.nt pl.na, Including IRA., II required, aUach Fa"" 5329 ,
Advance limed Income credit payment. 'rom Fonn W.2
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ROBIRT J. KIRKPATRIOK,
Plaintiff
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
v.
No. 95-4468 CIVIL TERM
IUIAM J. KiRKPATRIOK,
CIVIL ACTION - LAW
IN DIVORCE
Defendant
CERTIFICATE OF SERVICE
I, Lori K. Serratelli, Esquire, do hereby certify that on
october 7-, 1996, service of the foregoing was made as follows I
A copy by United States mail, postage prepaid tOI
Wayne F. Shade, Eeq.
53 West Pomfret Street
Carlisle, PA 17013
Attorney for Plaintiff
I.' j .
) '1 j, " \! : ( I ,'q f t i
Lori K.iSerratelll, Esq.
SERRATELLI, SCHIFFMAN, BROWN
, CALHOON
2040 Linglestown Rd., suite 106
HarriSburg, PA 17110-9483
(717) 540-9170
Attorney for Defendant
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ROBERT J. KIRKPATRICK,
plaintiff
rN TilE COURT 01' COMMON I'LI;M; OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
VB.
SUSAN J. KIRKPATRICK,
Defendant
NO. 4468
19 95
CIVII~
IN DIVOHCE
STA1'US SIIEE1'
DATE:
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l..________
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J., ~t'tt.. ,Vb 0. 1U,'jH""
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OFFIOI OF DIVOIIOI MAITIII
CUMBERLAND COUNTY
COURT OF COMMON PLEAS
9 North Hanover Street
Carlisle, PA 17013
(717) 2~0.6535
.. ...." I"oll.r, II
Divorce MIII'r
Tr.1 .I. C....r
0If1ce MII1IQerlRepoIter
w.., ......
697-0371 Ext, 6535
october 9, 1996
Lori K. serratelli
Attorney at Law
SERRATELLI, SCHIFFMAN,
BROWN, . CALHOON, P.c.
2040 Lingle.town Road
suite 106
Harriaburg, PA 17110-9483
REI Robert J. Kirkpatrick vs. Susan J. Kirkpatrick
No. 95 - 4468 civil
In Divorce
Wayne F. shade, Esquire
53 west Pomfret Street
carliale, PA 17013
Dear Mr. Shade and Ms. Serratellil
By order of Court of president Judge Harold E. Sheely
dated October 4, 1996, the full-time Maater haa been appointed
in the above referenced divoroe proceedings.
A divorce complaint was filed on Auguat 22, 1995, raiaing
grounda for divoroe of irretrievable breakdown of the marriage.
The complaint averred that the parties have been living aeparate
and apart since May 14, 1993. An anawer and counterclaim were
filed in response to the complaint on September 1, 1995. The
oounterolaim raised the economic issues of equitable
distribution, alimony, alimony pendente lite, and oounsel fees
and coats.
I asaume that grounds for divorce are not an issue,
therefore, I am going to proceed with a directive for the filing
of pre-trial statements. In accordance with P.R.C.P. 1920.33(b)
I am directing each counsel to file a pre-trial atatement on or
before Monday, November 4, 1996. upon receipt of the pre-trial
statements I will immediately schedule a pre-hearing conference
, ,'.:....~,~:._;;i!.,;,,:;
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Very truly your.,
I,'
.
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Mr. Shade and M.. Serratelli, Attorney. at Law
9 octol:-er 1996
Page 2
with coun.el to di.cu.. the i..ue. and, if nece..ary, .chedule a
hearin9'
E. Robert Elicker, II
Divorce Ma.ter
NOTE I sanction. for failure to file the pre-trial .tate.ent.
are .et forth in .ubdivi.ion (c) and (d) of Rule 1920.33.
THE ORIGINAL PRE-TRIAL STATEMENT SHOULD BE FILED IN THE
MASTER'S OFFICE AND A COpy SENT DIRECLTY TO OPPOSING
COUNSEL.
c
I
Ii
~r
ROBERT J. KIRKPATRICK,
plaintiff
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
I
I CIVIL ACTION - LAW
I
I NO. 95 - 4468
I
I IN DIVORCE
VS.
SUSAN J. KIRKPATRICK,
D.fendant
NOTICE OF PRE-HEARING CONFERENCE
, coun..l for plaintiff
TOI Wayne F. Shad.
Lori K. s.rratelli
, coun..l for D.f.ndant
A pr.-h.arinq conf.r.nc. ha. be.n .ch.dul.d at the
Offic. of the Divorc. Ma.t.r, 9 North Hanov.r str..t, carli.l.,
p.nn.ylvania, on the 17th day of January, 1997, at 9130 a..., at
which ti.. w. will r.view the pre-trial .tat...nt. pr.viou.ly
fil.d by coun..l, d.fine i..u.., id.ntify witn....., .xplor. the
po..ibility of ..ttl...nt and, if nec...ary, .ch.dul. a h.arinq.
very truly your.,
Oat. of Noticel 11/7/96
E. Rob.rt Elicker, II
Divorce Ma.t.r
ROBERT J. KIRKPA"RICK,
Plaintiff
INTIII' COUIlT 01' COMMON PI."M; OF
CUM13EIlLAND COUNTY, PENNSYI,VANIA
vs.
CIVIL ACTION - LAW
NO. 95-446B CIVil. 19
SUSAN J. KIRKPATRICK,
Defendant
IN DIVORCE
ORDER AND NOTICE SETTING HEARING
To:
Robert J. Kirkpatrick
Wayne F. Shade
Susan J. Kirkpatrick
Lori K. Serratelli
, Plaintiff
, Counsel for Plaintiff
, Oefendant
, Counsel for Defendant
You are directed to appear for a hearing to take
teotimony on the outstanding issuea in the above captioned
divorce proceedings at the Office of the Divorce Maoter, 9 North
Hanover Street Carlisle, Pennsylvania, on the _ 24th
day of April , 1!1.l.1.., at 9100 a .m, at which place and
time you will be given the opportunity to present witnesses and
exhibito in support of your case.
By the Court,
~C14lt j \::: .
Harold E. Sheely,
.Judge
Date of Order and
Notice: 1/17/97
BYI
Divorce Ma~ ter
IF YOU DO NOT HAVE A I,AWYER OR CANNOT AFFOIlD ONE, GO TO Oil
TELEPHONE THE OFFICE SET FORTH 13ELOW TO Jo'lND OUT WHERE YOU
CAN GET LEGAL HELP.
Court Administrator
Fourth Floor, East Wing
Cumberland County Courthouse
Carlisle, I'A 17013
Telephone (717) 240-6200
'.
ROBERT J. KIRKPATRICK, I IN THE COURT OF COMMON PLEAS OF
plaintiff I CUMBERLAND COUNTY, PENNSYLVANIA
I
vs. I NO. 95 - 4468 CIVIL
I
SUSAN J. KIRKPATRICK, I
Defendant I IN DIVORCE
REI Pre-Hearing conference Memorandum
DATE I Friday, January 17, 1997
Present for the plaintiff, Robert J. Kirkpatrick,
is attorney wayne F. Shade, and present for the Defendant, Susan
J. Kirkpatrick, is attorney Lori K. Serratelli.
A divorce complain: was filed on August 22, 1995,
raising grounds for divorce of irretrievable breakdown of the
marriage. On September 11 1995, an answer and counterclaim wsre
filed. In the countercla m the Defendant raised the economic
issues of equitable distribution, alimony, alimony pendente
lite, and counsel fees and expenses
counsel have advised that prior to the hearing to
be scheduled in th.se proc.edings the parties will sign and file
affidavits of consent so that the divorce can be concluded under
s.otion 3301(c) of the Dom.stic Relations Code. With respect to
the factor of marital misconduct as that factor relates to
wife's alimony claim, counsel indicated that any testimony on
that factor will be minimal.
were married on March 25, 1966, and
They are the natural parents of two
The parties
s.parated May 14, 1993.
adult children.
Husband is 53 years of age and resides at 33 Church
Lane, Carlisle, Pennsylvania, in an apartment with a female
friend. He has a bachelor's degree from York College and an MBA
from Shippensburg University. He is a cuetomer eervice manager
with sprint and has an annual gross income of $63,500.00. He
aleo has reported dividend income from sprint stock in the
amount of $1,000.00 annually. Husband has not raised any health
issues. He is currently paying spousal support to wife through
an order entered in cumberland county, pennsylvania, in the
amount of $300.00 per week. Included in the order is an
obligation for husband to carry wife on his medical insurance
coverage through his employment.
Wife is 52 years of age and resides at 1079
Newville Road, carlisle, Pennsylvania, where she lives alone.
Wife i. a high school graduate and is currently taking courses
at HACC. She has indicated to her counsel that she would like
to enroll in an AN program which she thinks she can complete in
two years. Ms. serratelli is going to provide information to
Mr. Shade showing that such a plan is available and that the
degree which wife wishes to obtain can be accomplished in that
period of time. Wife reported earnings for 1995 from support in
the amount of $15,600.00 and wages from part-time employment at
A La Tarte in carlisle of $5,478.00 for a total 1995 income of
$21,078.00. currently, wife is not employed and her only source
of income is the spousal support. Wife indicate~ that she has
high blood pressure and asthma and Mr. Shade has requested
copies of her medical records if there is an issue about her
employability. counsel have suggested that perhaps they can
stipulate that wife has an earning capacity and, therefore, we
will not need to get into questions of medical circumstances and
a need to have wife evaluated by a vocational expert. Also by
being able to stipulate to an earning capacity, we can avoid a
defense medical examination. With regard to the issue of wife's
earning capacity, counsel are requested to try to resolve that
matter within the next month so counsel know whether or not they
are going to need to employ experts with respect to this issue.
Wife, upon the entry of a divorce decree, will be without
medical insurance through husband's employment; therefore, COBRA
benefite will be an expense to wife and husband is requested to
provide information as to the costs of those benefits.
The parties own the real estate where wife
residing at 1079 Newville Road, carlisle, Pennsylvania.
appraisal has been done showing a year ago the property
market value of $86,200.00. Mr. Shade is advancing the
arguement that the property should be increased about 4' to show
a present value. We will take testimony on that position if
necessary as well as any rental value that Mr. Shade wants to
assert in his claim. The property is currently subject to a
mortgage in favor of Harris with a payoff in December 1995 of
around $9,900.00. We will need a current mortgage balance as of
the date of the hearing. At this time wife has indicated that
ehe would like to have the property awarded to her as part of
the equitable distribution and husband has no problem with that
award.
is
An
had a
There was considerable discussion regarding the
value of husband's retirement plan which is separated into
different parts. The pension part of the plan has been valued
by both counsels' experts and there is a dieagreement as to
value of around $28,000.00. Counsel are going to attempt to
resolve that issue. The Master understands that the difference
revolves around the tables used to compute the interest on the
fund and the interest rate assumptions. Another part of the
retirement plan is a 401(k) and that has been broken down into a
TRASOP sprint stock portion, funds in cash, a Magellan fund, and
additional sprint stock. Counsel are going to attempt to use
the various portions of the plan in arriving at a total value
which we may be able to stipulate to which will encompass the
stock and 401(k) interests.
Husband owns a life insurance policy with Franklin
Life and has reported that the policy has a cash value of
$1,600.00.
The parties own sprint stock in the amount of 845
shares and we will value that stock using the current market
value around the time of the hearing.
Reported on the pre-trial statements are three
accounts, two share accounts with the credit union and one with
Mellon checking. Mr. Shade has provided date of separation
values and has indicated that the two share accounts at the
credit union totaled around $200.00 and the date of separation
value of the Mellon checking account was $600.00. Husband
received the benefit of both accounts.
The only vehicle that we need to consider for
purposes of distribution is the 1968 BMW motorcycle. Husband
values the motorcycle at $1,500.00. He is willing to take the
motoroycle and charge himself that amount. We have yet to hear
from wife as to her position with respect to a value on the
motorcyole and Ms. Serratelli can advise Mr. Shade after she
discusses the matter with her client.
On the matter of the household tangible personal
property there has been an opinion by wife based on her list of
items on the pre-trial statement that the property has a value
of $2,700.00. Mr. Shade indicated that there may be a few
personal items which husband wants to retrieve from the marital
residence which he will do in the next couple of weeks.
Apparently there has been some dispute about whether or not a
chest is a marital or nonmarital item and counsel will have to
determine how that issue is to be handled. If the ohest is
included, it is the Master's understanding that wife'S opinion
of value of the property is $2,700.00. If the chest is not
included then the value of marital household tangible personal
property is reduced by $1,800.00. Mr. Shade has indicated that
if this issue with regard to value of the tangible household
personalty cannot be resolved then he will perhaps call in the
services of an appraiser to place a value on the property.
We have discussed the marital debt and Mr. Shade
has provided some date of separation amounts due and owing. The
credit union lien showed a balance at $4,200.00 and the Mellon
Bank loan a balance of $4,950.00. Mr. Kirkpatrick has been
paying these loans since separation. There is also a question
about a VISA account which husband haR been paying and which had
an amount due of $2,400.00 around separation. Ms. Serratelli
indicated that her client was not aware of this account and does
not know what the money was borrowed for. Perhaps Mr. Shade
will be able to provide some information to Ms. Serratelli and
her client as to what the purpose of the funds were borrowed for
to establish the marital nature of that debt.
There are also some other debts listed which
include a Sears debt and a water line lien, and a student loan
which was used for the purpose of assieting one or both of the
children with their schooling. We will have to determine after
some information is developed on these particular loans as to
whether or not they are marital and whether or not we should
include them in the credits that one of the parties may be due
in the final computation for equitable distribution.
A hearing is scheduled for Thursday, April 24,
1997, at 9100 a.m. Notices will be sent to counsel and the
parties.
E. Robert Elicker, II
Divorce Master
CCI Wayne F. Shade
Attorney for Plaintiff
Lori K. Serratelli
Attorney for Defendant
WAYNIl F. SII^\l1l
AlIomtyll bw
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ROBERT J. KIRKPATRICK,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
v.
NO. 95-4468 CIVIL TERM
SUSAN J. KIRKPATRICK,
Defendant
IN DIVORCE
HUSBAND'S PRE-TRIAL STATEMENT
PURSUANT TO PA.R.C.P. 1920.33
I. MARITAL ASSETS
Husband lists the following marital assets I
A. Marital dwelling
B. Increase in value of the real estate
$ 86,200
since the date of the appraisal
c. Contents
4,000
2,700
D. Husband's pension
E. 1,010 shares of TRASOP sprint stock
F. 7,039 Retirement savings interest income
62,600
39,400
shares 9,100
I ~ 3 ,S'"
G. 1,247 Retirement savings sprint stock
shares C I tW. (, [,IIt-,."", I;u.~'/
48,600
H. United Telephone FCU account
I. Mellon Bank checking account
J. 848 shares sprint common stock
K. The Franklin's life insurance cash value
200
600
L. 1968 BMW motorcycle
33,100
1,600
1. 500
$289,600
TOTAL
WAYNU P. 511AIIII
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11011
II. HUSBAND'S EXPERT WITNESSES
Husband may call the following expert witnesses at triall
A. Larry E. Foote for real estate valuation.
B. A representative of Pension Appraisers, Inc., P.O. Box
4396, Allentown, Pennsylvania 18105 for pension valuation.
111. NON-EXPERT WITNESSES
Husband does not expect to call any non-expert witnesses
other than himself.
A. Husband reserves the right to present the testimony of
any non-expert or expert witness listed in the Pre-Trial
statement of the other party herein or in any other document
filed in this matter.
B. Husband reserves the right to present any impeaching or
contradicting evidence which may be necessitated by testimony of
the other party herein or witnesses of the other party herein.
IV. EXHIBITS
Husband reserves the right to introduce any of the
attachments to his Answero to Wife's Interrogatories as exhibits
at trial.
V. INCOME
Husband's income consists of his salary of approximately
$63,500 per year and gross dividends and interest of
approximately $1,000 per year. His net income is approximately
$48,500 per year.
-2-
VI. EXPENSES
The Expense statement of Husband is attached hereto.
VII. PENSION
The actuarial present value of the coverture portion of
Husband's employee pension is $62,600.
VIII. COUNSEL FEES
Both parties will be fully capable of paying their own
counsel fees from their respective shares in equitable
distribution.
IX. TANGIBLE PERSONAL PROPERTY
In the event of the necessity of a hearing in this case, the
value of the household contents will be disputed.
X. MARITAL DEBTS
credit Union loan $ 4,200
Mellon Bank loan 4,950
Meridian visa 2,400
Mortgage 15,000
Student loans 6,200
Water line lien 370
Sears charge 750
Appraisal fee .all.
TOTAL $34,100
WAYNB F. SHAUB
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11011
-3-
XI. PROPOSED RESOLUTION
WAYNIl F, SHAIIIl
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11011
It would appear that the big picture in this case reveals
the current total value of marital property in the amount of
$289,600 including the chest which was a gift to both parties.
wife would not receive credit in equitable distribution for
the payments that she has made on account of the mortgage since
the date of separation because the guidelines require her to make
those payments on the theory that Husband was also contributing
to those payments in the form of a portion of the spousal support
payments. Therefore, we must use the date of separation balance
rather than the current balance of the joint mortgage on the
marital dwelling in calculating the net marital property for
equitable distribution because it was Wife's obligation to pay
that loan from the thousands of dollars of spousal support that
she was receiving each year. If the current balance of that
obligation were used, it would increase the net value of marital
property for distribution; and Wife would be awarded additional
equitable distribution for reduction of the mortgage that it was
her obligation to pay from the spousal support.
Treatment of the other joint obligations that existed at the
date of separation, and on which Husband has made the payments in
order to protect the credit ratings of the parties, would be
different from the mortgage because both parties had the duty to
pay those obligations. Husband has made all of the payments on
those obligations since the date of separation. Therefore, as to
those obligations, the simplest way to resolve them is for
Husband to assume the remaining balances. lIusband's obligation
-4-
to Wife in equitable distribution would then be reduced by 60\ of
the date of separation balance of those obligations. This would
yield the same result as if neither party had made any payments
on those obligations from the date of separation to date, and the
obligations were paid from the marital assets prior to
distribution of them. With respect to the college loans, the
parties had always agreed, even prior to the separation, that
they would pay those loans. Therefore, the net marital property
is $255,500.
We would agree that Wife would receive 60' of the net
marital property in the amount of $153,300. We would propose
that this be in the form of her retaining the real estate, the
contents and the 848 shares of Sprint stock in the total amount
of $122,000. The remaining $31,300 would be in the form of one-
half the net fair rental value of the residence since the date of
WAYNIl F. SHAUl!
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1701J
.eparation and a rollover from Husband's retirement savings plan
under a Qualified Domestic Relations order.
We calculate the net fair rental value at a gross of $9,600
per year less the taxes of $1,160 per year and insurance of $230
per year for a net of $8,210 per year. Again, the mortgage was
paid by both parties in the form of Husband's contribution from
spousal support. Husband's share of the net fair rental value is
$342 per month for the forty-two months from the date of
separation through the middle of November for a total of $14,400.
Therefore, the rollover would need to be in the amount of
$16,900.
-5-
WAYNIl F, SHAIIIl
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(~.fU.Ir. Pnllu)'lYaail
11011
Husband would be responsible for paying all of the remaining
marital debt including the remaining balance of the mortgage.
This leaves the issue of alimony.
In our view, Wife's expenses as set forth in her Income and
Expense statement are generally reasonable. However, in view of
her age and her lack of substantial progress toward a degree over
the past four years, we do not believe that further education
will be completed in time to enhance her employability. Wife
will soon be 51 years of age. with full knowledge of the end of
the marriage, she has completed only 43 credits over the last
four years. At this rate, it would take her several years to
obtain a degree. We would suggest that the limited employment
prospects after graduation at age 58 or 60 would not justify the
expense or the loss of earnings while pursuing further education.
Therefore, we believe that she should obtain full-time employment
at this time. If she were to want to continue to take some
courses, she would have ample resources to do that from the
$33,000 of sprint stock that she would be receiving.
We would offer $800 per month in alimony. Alimony would be
terminable or modifiable by the Court on the basis of a
substantial change in circumstances. It would also terminate
absolutely in the event of the death of either party or Wife's
remarriage or cohabitation with a person of the opposite sex who
is not a member of her family within the degrees of
consanguinity.
-6-
WAYIIU 1', SItAIIU
A_ .. taw
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l'artiIII,'-"1v1lllo
11011
XII. REQUESTED STIPULATIONS
Husband would request a stipulation on the present value of
his employee pension at $62,600.
XIII, TIME NECESSARY
We would estimate that it would require a day and a half to
try this case.
XIV. STATUS OF SETTLEMENT NEGOTIATIONS
It appears that the major area of difficulty is with the
issue of alimony.
Datel October 30, 1996
Respectfully submitted,
tt1tMu ;-L~y.
Wayn" F. a'll;;!e', Esquire
supreme court 1.0. #15712
53 West Pomfret street
carlisle, Pennsylvania 17013
Telephone I 717-243-0220
Attorney for Plaintiff
-7-
, .
INCOME AND EXPENSE STATEMENT OF
ROBERT J. KIRKPATRICK
SSN 165-34-4379 DRI 29,327 DATE I November 4, 1996
(II you Ire 1I\I.ooployocl.r II you Ire IIII,locI by I bualntll .1 which you Ire _r In wh.I..r In port, you "'1 lit. 1111
OUI Ih. luppl.-onll' Inc... II.I.-onl which oppe." on Ih. 1..1 pogo .1 Ihl. Inc... Ind lopln" 11110IIn1.1
I.COIII
(a) Wallu/Salary
Implorar . Addra..' sprlnt, 1201 W.lnut Bottom Road, CarlLale, PA 17013
Job T tl./Da.criptlonl cu.tomar sarvice Manlller
Pay parlod (w.akly, bl-waakly, monthlYI' Hl-weekly
oro.a Pay par Pay Parlod. $2,444.00
Payroll Daductlona,
radaral Wlthholdlnll
soclal sacurity
Local Wall. Tn
Stata Incoma Tax
RaUramant
"aalth Inauranca
othar (apacUy)
Net Pay per Pay Period
(b) Other Income
$1,865.00
Week
Month
Year
675.00 net
Intaraat/Dividenda
pandon/Annulty
loclal security
Ranta/RoyalUea
Ixpan.e Account
oUta
Unamployment
companaation
Workman'a
campanaatian
TOTAL OTHER INCOME
INCOME AND EXPENSE STATEMENT OF
ROBERT J. KIRKPATRICK
I verify that the .tatemanta m.de in thi. Incama and Expenla statam_nt ora trua and
corract. I under.t.nd thlt fala_ Itatementa herein are made lubject to tha
panalti.a of 18 Pa.C.S. 54904 relatLnll to unsworn faleLfLcltion to authorLtlea.
Datal Novambar 4, 1996
Robert J. KLrkpatrLck
........
Household Child Household Child
Week Week Month Month
HOMI - MortQIQe/Rent 400.00
Mlintenlnce
Utilitie. (telephone, 213.75
heltinQ, electric, etc.)
IMPLOYHlNT - (trln.portltion, 130.00
lunche.)
TAllIS - Rell I.tate
Pereonl) 220.00
IncOllll
I NSURANCI - Homeown.r. 47.00
Automobil. 42.10
Life/Accident/Heelth 548.84
Other
AUTOHOIILI - (plyment., fu.l, 200.00
repl1n)
KlDICAL - Doctor, Dentht 20.00
Hoepital
speo ill (Ql....., brlce., 10.00
etc)
IDUCATION - Privlte, plrochill
coUeQ.
PIRIONAL - ClothinQ 100.00
rood 300.00
other (hou.uhold .upplie., 50.00
barber, .tc.)
credit payment. and loan. 414.30
MISCILLANEOUS - Hou.ehold
halp/child cara
Intartainm.nt (ino. paper., 80.00
booka, vacation, pay TV, atc.,
Oifta/charitabla 80.00
contribution.
LaQal rea.
other child .upport/1l1mony 1,331.10
paymanta
OTHER (apacify) YMCA 38.00
TOTAL EXPENSES 4,225.09
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RO.BRT J. KIRKPATRICK,
Plaintiff
V.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
No. 95-4468 CIVIL TERM
SUSAN J. KIRKPATRICK,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
PRE-TRIAL STATEMENT
( ) Plaintiff (X) Defendant, by his/her attorney, Lori K.
Serratelli, Esquire files this pre-trial statement in accordance
with Pa.R.C.P. 1920.33(b).
1. Inv.ntorv .nd ADDr.is...nt. See Inventory and Appraisement.
2. Ixp.rt .itn..s.s.
None at this timet however, Defendant reserves the right
to supplement this statement if necessary.
3. oth.r .itn..s...
None at this timet however, Defendant reserves the right
to supplement this statement if necessary.
4. Ixbibih.
a. Defendant's Income and Expense Statement
b. Defendant's Inventory and Appraisement
c. Attorney Fees and Costs statement (Will be supplied
at hearing)
Defendant reserves the right to supplement this statement,
if necessary.
5. Inee... Refer to Income and Expense Statement
6. IXD.ns.s. Refer to Income and Expense Statement
7. R.tir.m.nt/p.nsion.
See Inventory and Appraisement. Husband has a pension
through his employer, sprint.
8. Couns.l r..sl See Exhibit C.
9. Di.Dut.d P.rlon.l ProDlrtv: None at this time, Defendant
reserves the right to supplement this statement if
necessary.
10. Marltal Debts, See Inventory and Appraisement
11. proposed .esolutlonl
a. Plaintiff is granted a divorce from Defendant.
b. Each party shall retain all personal property in his/her
possession.
c. Wife shall be given access to the parties' safe
deposit box and shall retain all assets in said
safe deposit box.
d. The marital residence shall be transferred to Wife.
Husband shall be re~ponsibile for the payment of the
monthly mortgage payments for the remaining mortgage
with a balance of approximately $9,000.00.
e. Wife shall receive 60' of Husband's sprint pension
in the form of a lump eum payment. Wife shall also
be named as irrevocable survivor beneficiary on
Husband's sprint pension.
f. Wife shall receive 60' of Husband's 401(k) plan in
the form of a lump sum payment.
g. Wife shall receive 60' of any cash surrender value
of Husband's life insurance policy with Mutual Life In..
company of New York.
h. Wife shall receive 60' of the oash value existing
at separation of the UTEFCU Share 01 Account, the UTEFCU
Share 07 Account and the Mellon Bank checking Account
1192-107450.
1. Wife shall receive 60' of the value of the TRASOP
account with sprint in the form of a lump sum payment
plus 60' of the dividends received by Husband from the
date of separation until the present.
j. Husband shall pay to Wife the sum of $1500.00
per month as alimony until death.
k. Husband shall assume all joint marital debt of the
parties.
1. Husband shall cbtain or maintain a life insurance policy
in order to secure his alimony obligation.
m. Husband shall pay Wife's counsel fees and costs.
Respectfully submitted,
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Lori ~.serratelli, Esq.
.IRRlTILLI, .CHIrrMAH,
.. IRon
2040 Linglestown Road
suite 106
Harrisburg, PA 17110
(717) 540-9170
Attorney for Defendant
ROBIRT J. IlaIPATRICI, I IN THE COURT OF COMMoN PLEAS
I
plaintiff ICUMBERLAND COUNTY, PENNSYLVANIA
I
v. I No. 95-4468 civil Term
I
IUIP J. IlRIPATaICI, I CIVIL ACTION - LAW
Defendant I IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. Serratelli, Esquire, do hereby certify that on
October 24, 1996 the foregoing was delivered by U.S. Mail, postage
prepaid, addressed as followSI
The original tOI
E. Robert Elicker, II
Divorce Master
Office of Divorce Master
9 North Hanover Street
carlisle, PA 17013
and a copy tal
Wayne F. shade, Esq.
53 West pomfret street
Carlisle, PA 17013
Attorney for plaintiff
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LoriK. serrate1li, Esq.
SERRATELLI, SCHIFFMAN,
BROWN' CALHOON, P.C.
2040 Linglestown Rd., suite 106
Harrisburg, PA 17110-9483
(717) 540-9170
Attorney for Defendant
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f11tlU 106
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It.UIUIIIlII,1'A 1111094U
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aollaT J. aIaaPATaICa,
plaintiff
I IN THE COURT o~ CoMMON PLEAS
I CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-4468 CIVIL TERM
CIVIL ACTION - LAW
IN DIVORCE
vs.
IUI.. J. aIaaPATaIca,
Defendant
IHVIIlTOav "D APPItAIIIKIHT
01'
IUI" J. aIaaPATaIca
( ) plaintiff (X) Defendant files the following inventory and
appraisement of all property owned or possessed by either party at
the time this action was commenced and all property transferred
within the preceding three years.
( ) plaintiff (Xl Defendant verifies that the statements made
in this inventory and appraisement are true and correct.
( ) plaintiff (X) Defendant understands that false etatements
herein are made subject to the penalties of 18 Par C. S. 4904
relating to unsworn falsification to authorities.
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A...T. or PARTI..
( ) Plaintiff (X) Defendant marks on the list below those
itoms applicable to the case at bar and itemizes the assets on the
following pages.
(X ) 1. Real Property
(X ) 2. Motor Vehicles
(X ) 3. stocks, bonds, securities and options
() 4. certificates of deposit
(X ) 5. Checking accounts, cash
(X ) 6. savings accounts, money market savings certificates
() 7. Contents of safe deposit boxes
() 8. Trusts
(X ) 9. Life Insurance policies (indicate race value, cash
surrender value and current beneficiaries)
( )
( )
( )
( )
( )
( )
10. Annuities
11. Gifts
12. Inheritances
13. Patents, copyrights, inventions, royalties
14. Personal property outside the home
15. Businesses (list all owners, inclUding percentage of
ownership, and officer/director positions held by a
party with company)
( 16. Employment termination benefits -- severance pay,
workman's compensation claim/award
) 17. Profit sharing plans
(X ) 18. Pension plans (indicate employoe contribution and
date plan vests)
() 19. Retirement plans, Individual Retirment Accounts
() 20. Disability payments
a
.
( ) 21.
( ) 22.
( ) 23.
(X ) 24.
(X ) 25.
.
(
.
Debts due, including loans, mortgages held
Household furnishings and personalty (include as a
total category and attach itemized list if
distribution of such assets is in dispute)
() 26. other
.
Litigation claime (matured and unmatured)
Military/V.A. benefits
Education benefits
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MARITAL PROP.RTY, () Plaintiff (X) Defendant lists all marital
property in which either or both spouses have a legal or equitable
interest individually or with any other person as of the date this
action was commenced.
ITEM NO. 1
DESCRIPTION: 1079 Newville Road. Carlisle. PA
VALUE I
86.200.00 DATE OF VALUATION: 1/1/96 IExhibit Al
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIEN: Harris savinQs Bank/12/21/95/S9.931.68
ITEM NO. 2
VALUE I
DESCRIPTION I TRASOP Plan IPlaintiffllExhibit BI
DATE OF VALUATION: 5/27/93/S2.021.27 Shrs.
Stock SDl it after SeDaration
Per Attv. Shade ltr. 8-14-95
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIENI N/A
ITEM NO. 3
DESCRIPTION I Defined Benefit Pension IPlaintiffl
Will be Provided
VALUE I at hearinQ DATE OF VALUATION I
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIENI N/A
ITEM NO. 4
DESCRIPTION:
savinQs Plan 1401kl IPlaintiffl
50.194.00 Plus
VALUE I Interest DATE OF VALUATION I
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIENI N/A
03/31/92 IExhibit CI
ITEM NO.
5
DESCRIPTION: Mutual Life Ins. Co. of New York
VALUE I Unknown
DATE OF VALUATION:
IExhibit 01
NON-MARITAL PORTION:
AMOUNT/NATURE OF ANY LIENI
4
ITEM NO.
.
VALUE I 319.20
6
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DESCRIPTION I UTEFCU Share 01 Account (Jointl
DATE OF VALUATION:
2/28/93 (Exhibit El
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIEN: None
ITEM NO.
VALUE I
7
737.00
DESCRIPTION I UTEFCU Share 07 Account (Jointl
DATE OF VALUATION I
2/28/93 (Exhibit El
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO.
VALUE I
8
863.09
DESCRIPTION I
Mellon Bank Checkinq '192-107450
DATE OF VALUATION I
3/13/93 (Exhibit Fl
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO. 10
VALUE I
155.00
Bedroom . 1
DESCRIPTION: Bed. Chest of Drawers. Table
DATE OF VALUATION I
Present
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO.
VALUE I
11
110.00
Bedroom . 2
DESCRIPTION I 2 Chests. Bedframe
DATE OF VALUATION I
Present
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIEN I None
ITEM NO.
VALUE:
12
120.00
Bedroom . 3
DESCRIPTION: 2 Chests. Bedframe
DATE OF VALUATION:
Present
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIEN: None
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ITEM NO.
13
~ivinaroom: couch. Table. GlaBs Table.
DESCRIPTION I 2 stuft;d Chairs. Table
VALUE I
245.00
DATE OF VALUATION I
Present
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIEN: None
ITEM NO.
Dininarooml Table. Piano.
14 DESCRIPTION I c~;~;r CUDboard. piano
VALUE I
100.00
DATE OF VALUATION:
Present
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO.
VALUE I
15
K~~~~en: old stove. Refriaerator
DESCRIPTION I eral Years oldl
70.00
DATE OF VALUATION I
Present
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO.
VALUE I
16 DESCRIPTION I Third Floor: Sm. Couch. T.V.
35.00
DATE OF VALUATION I
present
NON-MARITAL PORTION: None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO.
VALUE I
17
DESCRIPTION I sun porchl Trussel Table
50.00
DATE OF VALUATION I
present
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
ITEM NO. 18 DESCRIPTION I 1968 BMW Motorcvle
VALUEI Unknown DATE OF VALUATIONI
NON-MARITAL PORTIONI None
AMOUNT/NATURE OF ANY LIENI None
,
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ITEM NO.
19
DESCRIPTION I Dividends Received from TRASOP Plan
from separation until the present
on marital Dortion.
VALUE I Unknown
DATE OF VALUATIONI
NfA
NON-MARITAL PORTION I None
AMOUNT/NATURE OF ANY LIENI None
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NON-MARITAL PROPERTY: ( ) Plaintiff (x) Defendant lists all
property in which a spouse has a legal or equitable interest which
is claimed to be excluded form marital property.
ITEM NO.
DESCRIPTION I
LivinQroom chest
1
VALUE:
1800.00
DATE OF VALUATION:
Present
REASON FOR EXCLUSION I Gift
AMOUNT/NATURE OF ANY LIEN: None
ITEM NO. 2 DESCRIPTION I Cornerstone F.C.U. Acct 4254 (SavinQsl
VALUE I
DATE OF VALUATIONI 9/3/96 (Exhibit Gl
267.37
REASON FOR EXCLUSIONI
Acquired After Separation
AMOUNT/NATURE OF ANY LIEN:
None
ITEM NO.
DESCRIPTION I Cornerstone F.C.U. Acct 4254
3
96.49
DATE OF VALUATION I 8/31/96 (Exhibit HI
VALUE I
REASON FOR EXCLUSION:
AMOUNT/NATURE OF ANY LIENI
ACQuired After SeDaration
None
ITEM NO.
DESCRIPTION I 1991 Honda civic
4
VALUE I Unknown
DATE OF VALUATION I
REASON FOR EXCLUSION I
ACQuired After SeDaration
AMOUNT/NATURE OF ANY LIENI
S4000.00 Loan
ITEM NO.5
DESCRIPTION I six Chairs (DininQ Rooml
VALUE I
S400.00
DATE OF VALUATIONI
Present
REASON FOR EXCLUSION I
ACQuired After Seoaration
AMOUNT/NATURE OF ANY LIENI None
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PROPERTY TRANSFERRED I () plaintiff (xl Defendant lists all
property in which either or both spouses had a legal or equitable
interest individually or with any other person and which has been
transferred within the preceding three years.
ITEM NO.
X DESCRIPTION: United Telecom stock Fund
NAME OF OWNER(S) :
Robert Kirkpatrick
DATE OF TRANSFER I Unknown _ CONSIDERATION I
Unknown
PERSON TO WHOM TRANSFERRED: Husband is in possession of info.
ITEM NO.
DESCRIPTION I
NAME OF OWNER(S)I
DATE OF TRANSFER I
PERSON TO WHOM TRANSFERRED I
CONSIDERATION I
ITEM NO.
DESCRIPTION I
NAME OF OWNER(S)I
DATE OF TRANSFERI
CONSIDERATION I
PERSON TO WHOM TRANSFERRED I
ITEM NO.
DESCRIPTION I
NAME OF OWNER(S)I
DATE OF TRANSFER I
PERSON TO WHOM TRANSFERRED I
CONSIDERATION I
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LIABILITIES I () Plaintiff (X) Defendant lists all liabilities of
either or both opouses alone or with any person as of the date of
separation.
ITEM NO.
1 DESCRIPTION I Relative
AMOUNT OF DEBT PRESENTLY I $5000.00
AMOUNT OF DEBT AT SEPARATION I N/A
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBT I ADDrox. $4000.00 for car loan and $1000.00 toward Davment of
1995 Personal Taxes Owed.
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATIONs
$500.00
ITEM NO.
DESCRIPTION I united Tele. Emploves Fed C.U.
2
AMOUNT OF DEBT PRESENTLY I Unknown - In Possession of Plaintiff
AMOUNT OF DEBT AT SEPARATION I $4051.94 as of 2/28/93 (Exhibit EI
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBT I
Unknown
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATION I
Unknown
ITEM NO. 3
DESCRIPTIONs Mellon Bank Line of credit
AMOUNT OF DEBT PRESENTLY I Unknown - In Possession of Defendant
AMOUNT OF DEBT AT SEPARATIONI $4806.72 as of 3/13/93 (Exhibit II
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBTI
Unknown
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATIONI
Unknown
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ITEM NO. 4 DESCRIPTION I Harris savinas IMortaaael
AMOUNT OF DEBT PRESENTLY I $8.225.60 IExhibit Jl
AMOUNT OF DEBT AT SEPARATION I $15.107.58 as of 5/93 IExhibit Jl
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBTI Exact Date and Amount Unknown
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATIONI 6881.98
ITEM NO. 5 DESCRIPTION I Visa
AMOUNT OF DEBT PRESENTLY I $1800.00
AMOUNT OF DEBT AT SEPARATION I Did Not Exist at separation
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBT I After seDaration - onaoina charaes
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATION I
ITEM NO. DESCRIPTION I
AMOUNT OF DEBT PRESENTLY I
AMOUNT OF DEBT AT SEPARATION I
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBTI
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATIONI
ITEM NO. DESCRIPTION I
AMOUNT OF DEBT PRESENTLY I
AMOUNT OF DEBT AT SEPARATION I
DATE DEBT INCURRED, INITIAL AMOUNT OF INDEBTEDNESS AND PURPOSES OF
DEBTI
AMOUNT PAID BY DEBTOR SINCE DATE OF SEPARATIONI
11
lOa.RT J. IIRIPATRICI,
plaintiff
v.
IU... J. IIRIPATRICI,
Defendant
.....,. ....
I IN THE COURT OF COMMON PLEAS OF
I CUMBERLAND COUNTY, PENNSYLVANIA
I
I
No. 95-4468 CIVIL TERM
I CIVIL ACTION - LAW
IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. SerrateUi, Esquire, do hereby certify that on
October .,1 , 1996, service of the foregoing was made as followSI
A copy by united states mail, postage prepaid tal
Wayne F. Shade, Esq.
53 West Pam fret Street
Carlisle, PA 17013
Attorney for plaintiff
Lor " . Serrate 1 , sq.
SEAkA ELLI, SCHIFFMAN, BROWN
, CALHOON
2040 Linglestown Rd., suite 106
Harrisburg, PA 17110-9483
(717) 540-9170
Attorney for Defendant
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APPRAISAL RBPORT
SINGLB-FAMILY DWBLLING
1079 NBWVILLB ROAD
CARLISLB, PBNNSYLVANIA
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Diversified Appraisal Services
Real Estate AppraIsers and Consultants
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APPRAISAL REPORT
OF
A SINGLE-FAHILY DWELLING
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LOCATED AT
1079 NEWVILLE ROAD
CARLISLE, PENNSYLVANIA
.,
PREPARED FOR
ROBBRT J. KIRKPATRICK
AS OF
JANUARY 31, 1996
..
BY
LARRY E. FOOTE
DIVERSIFIED APPRJ,ISAL .SERVICES
;:' . ll4- WEST LOUTH~R' STREET' .
. .. "CARLISLE, PENNS'i'LVANIA"
17013
(717) '249-2758
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APPRAISAL CERTIFICATE
I hereby certify that upon application for valuation
bYI
ROBERT J. KIRKPATRICK
the undersigned personally inspected the following deecribed
property I
All that certain tract of land, with the improvements
thereon erected, situate in North Middleton Townehip,
Cumberland County, Pennsylvania, bounded snd described as
follows I
Beginning at a point in the center of the stete road
leading from Carlisle to Newville at the intersection of the
Eastern line of land now or formerly of Galen W. Bear and
wifel thence along the center line of said road, South 87
degrees East, 73 feet to a point; thence along the line of
land now or formerly of Margaret B. Lawrence, North 3
degrees East, 200 feet to the line of land now or formerly
of aalen W. Bear and wife; thence by land now or formerly of
Galen W. Bear and wife, North 87 degrees West, 73 feet to
other land now or formerly of Galen W. Bear and wife; thence
by land now or formerly of Galen W. Bear and wife, South 3
degrees West, 200 feet to the center of the state road, the
place of beginning. .
To the
contained in
nBi ther the
compeneation
in my opinion
best of my knowledge and belief the statemente
this report are true and correct, and that
employment to make this appraisal nor the
is contingent upon the value reported, and that
the Market Value as of January 31, 1996 is:
EIGHTY-SIX THOUSAND AND TWO HUNDRED DOLLARS
$86,200
The property was appraised as a whole, sUbject to the
contingent and limiting conditions outlined herein.
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Chief Appraiser
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PURPOSE OF THE APPRAISAL
The purpose of this appraisal is to estimate the Hsrket
Value of the subject property as of January 31, 1996.
Market Valus, as defined by the courts, is the most
probable price estimated in terms of money which a property
will bring if expoeed for sale in the open market, allowing
a reasonable time finding a 'purchaser who ,buy. with
knowledge of all the uses to which it is adapted and for
which it is capable of being used.
Frequently, it is referred to as the price at which a
willing seller would sell and a willing buyer would buy,
neither being under abnormal pressure.
HIGHBST AND BBST USB
Highest and Best Use is defined by tha Apprai..l
Terminology and Handbook, published by the Appraisal
Institute, as "the most profitable likely use to which a
property can be put". The opinion of such uae may be baaed
on the highest and most profitable continuous use to which
the property is adapted and needed. or likely to be in
demand, in the reasonable near future.
However, elements affecting value that depend upon
events or s combination of occurrences which, while within
the realm of possibility, are not fairly shown to be
reasonably probable, should be excluded from consideration.
Also, if the intended use is dependent on an uncertsin act
of another person, the intention cannot be considered.
Based on the above
site. neighborhood, and
present use of the SUbject
defini tion
area, it is
is its Highest
and after seeing
my opinion that
and Best Use.
the
the
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SITE DATA
ADDRESS I 1079 Newville Road
TOWNSHIP: North Middleton
COUNTY I Cumberland
STATBI Pennsylvania
LOT SIZE: 73' x 200'
SBWBRSI On-site septic system
WATBRI Public utility
BLECTRICITY: PP'L
LANDSCAPING I Typical for the area, with a aodded lawn,
trees, and ahrubs.
ZONING
The aubject property ia located in an area which ia
.oned Highway Commercial.
DETRIMBNTAL INFLUBNCBS
The
traveled
road.
subject property i. located on a relatively heavily
road and there is a mobile home park acros. the
DESCRIPTION OF IMPROVBMBNTS
GENERAL DESCRIPTION I Two and one-half story detached single-
family dwelling containing approximately 1,668 square feet
of gross living area, with a detached two-car frame garage,
CONDI~IONI' Exterior:
. Inted?r I.
Averagll . .
:.Fair. to: average: "
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ROOMSI
'. Firs.t Floor: '
second Floorl
Third Floor I
B8Btl",,,ntl
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~ivinqroom,dining room, kitch~n..
Three ~edrooms and full bnthroom.
Bedroom.
Full, with concrete floor.
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EXTERIOR I
Foundationl
Walls:
Sashl
Guttersl
Roofl
storm unitsl
Concrete block.
Brick.
Wood, double-hung.
Painted steel.
Asphalt shingles.
combination throughout.
W.llSI
ceilings I
Triml
Primsrily hardwood,
with some vinyl.
Plester.
Pl.ster.
Peinted end netural
Unished wood.
INTBRIOR, PRINCIPAL ROOHSI Flooringl
.
, ItITCHENI
Cabinets:
Counters I
WaUsI
Flooringl
sink:
Painted metal.
Formica.
Painted plaster.
Vinyl.
Single-bowl, porcelain.
Flooringl Vinyl blocks.
Wallsl Ceramic tile and psinted plaster.
Bathtubl Built-in, with shower.
LavatorYI Vanity.
Water closetl Two-piece.
Hedicine cabinet I Built-in.
8ATHROOHI
CONSTRUCTION I
Joists I
BeamSI
Columns I
Plumbing:
Wood.
Wood.
Steel.
Iron and copper.
HEATING I
Forced hot air, oil-fired.
HOT WATER: Electric, 50-gallon.
ELECTRIC I Circuit breaker system, 200-ampere.
Brick fireplace in the living room, enclosed
side porch, concrete front stoop, concrete rear
patio, detached ,two-car fra~e qarage, asphalt
driveway~' ' '
OTHER:
, GENERAL' CONDITION i The improvemen'tll ar~ considered' 'to' be 'i:'n'
fai~. to aVe~.oe condi~ion on the interior and average
'oondition on the uxterio~. Host oC the rooms have cracked
wallo and ceilingo, and paint 10 pealing (rom the exterior
wood trim Rnd aLuul rain qutters,
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THE COST APPROACH
The Cost Approach to value is based on the principle of
substitution, which proposes that an informed buyer will pay
no more than the cost of providing a aubatitute property
with similar utility.
In eatimating the cost of providing a substitute, the
following funotione are oompleted. The cost of the
improvements, as if new, is estimated. Loss of value dUB to
physioal deterioration, functional obsolesoenoe and external
depreciation, if applicable, ie deducted to represent the
ooat of a su~stitute depreoiated. The land and the velue of
depreoiated aite improvements is added to obtain a value
indioation of the real estate.
The oost new of the improvements wes estimated using
information from Harshall Valuation Servioe, adjusted to the
local ere a and verified with local contraotors.
Dwellingl 1,668 sq. ft. . 844.61 .
Besements 7.4 sq. ft. . 610.55 ·
Porohe., patios, etc.1
Firaplacel
Oaragel 360 sq. ft. . 815.90 ·
Total Bstimated Cost Newl
Depreciationl
Depreoiated Cost of Improvements I
Site Improvements "as is"1
Estimated site Valuel
Indioated Value by Cost Approach I
Rounded tOI
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874,409
7,'49
3,060
2,500
5.724
93,542
-37.417
56,125
2,000
30.000
888,125
888,100
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SALES COMPARISON APPROACH
In arriving at this conclusion of the value of the
subject property, the appraieer made a survey of propertiel
that have sold in the area of the sUbject property.
Consideration was given and adjustments were made on
each comparable sale as to time of sale, size, location, as
well al all other factors that might effect value. A resume
of lome of the sales considered by the appraiser is as
follows I
1l.AWLNQ.....-l
Locationl
Date of Sale I
Sale Price:
Size:
Unit Price I
SALB NO.2
Location:
Date of Sale I
Sale Price I
Sizel
Unit Price I
SALB NO. 3
Location I
Date of Sale:
Sale pricel
Sizel
Unit Price:
147 "A" Street, Carliele.
December 2, 1994.
$85,000
2,030 sq. ft.
$41.87 per sq. ft.
625 N. West Street, carlisle.
October 28, 1994.
$79,900
1,778 sq. ft.
$44.94 per sq. tt.
1183 Newville Road, Carlisle.
June 16, 1994.
680,000
2,112 sq. ft.
637.88 par sq. ft.
The appraiser, in addition to the sales listed, also
considered several additional sales in arriving at his final
opinion of value. After making all of tha necesaary
adjustments, it is the appraiser's considered opinion that
the indicated value of the SUbject property by the Sales
Comparison Approach is 686,200.
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CORRELATION
Correlation may be defined as "the bringing together of
parts in a proper relationship." The parts of this
appraisal report are the following approaches to value your
appraiser usedl
Value Indicated by Cost Approach
Value Indicated by Sales Comparison Approach
$88,100
$86,200
.
These approaches are representative of the market value
of the SUbject property. I have carefully reexemined each
step in each method, and I believe the conclusions
accurately reflect the attitude of typical purchasers of
this type property in this neighborhood. It is my belief
that this reexamination has confirmed the original
conclusions.
The Cost Approach will result in an excellent estimate
if all elements are figured accurately, because no prudent
person will'pay more for a property then the cost to produce
a substitute property with equal desirability and utility.
Purchasers of the type of dwelling typicel of the SUbject
jproperty are more concerned with amenities thsn with
hypothetical replacement of the property. The value of the
cost approach is not disregarded, but given less weight
because more errors in judgement can be made in this
approach.
The sales Comparison Approach was based on several
recent sales of properties similar to that of the subject,
all of which are located in the same general area. The
adjusted sales prices sre most consistent under comparison.
This approach is the most reliable because it reflects the
reactions of typical buyers and sellers in the market.
Therefore, as a rssult of this appraisal and analysis,
it is this appraiser's considered judgement and opinion that
the Market Value of the subject property, as of January 31,
1996. iSI
EIGHTY-SIX THOUSAND AND TWO HUNDRED DOLLARS
S86.2qO
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UNDERLYING ASSUHPTIONS AND LIHITING
CONDITIONS SUBJECT TO THIS APPRAISAL
1. I assume no responsibility for matters legal in nature,
nor do I render any opinion as to the title, which ia
assumed to be marketable. The property is appraised aa
though under responsible ownership.
2. The legal description used herein is correct.
3. I have made no survey of the property, and the
boundaries are taken from records believed to be reliable.
C. I assume that there are no hidden or unapparent
'conditions of the property, subsoil or structures which
would render it more or less valuable. I assume no
responsibility for such conditions or for engineering which
.ight be required to discover such factors.
5. The information, estimates, and opinions furnished to me
end contained in this report were obtained from sources
considered reliable and believed to bs true and correct.
However, no responsibility for accuracy can be assumed by
.e.
6. This report is to be used in its entirety and only for
the purpose for which it was rendered.
7. Neither all nor any part of the contents of this report
(especially any conclusions as to value, the identity of the
eppraiser or the firm with which he is connected) shall be
reproduced, pUblished, or disseminated to the pUblic through
advertiaing media, pUblic relationa media, news media, salas
msdia, or any other public means of communication, without
the prior written consent and approval of the appraiser.
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CERTIFICATE OF APPRAISAL
Your appraiser hereby certifies thatl
1. I have no prssent or contemplated future interest in the
subject property.
2. I have no personal interest or bias with respect to the
subjsct matter of this appraisal report or the p~rties
involved. My findings sre not based on the employment to
make the appraisal, the compensation expected, a requested
minimum valuation, a specific valuation, or the approval of
a losn.
the best of my knowledge and
contained in this appraisal
opinions, and conclusions
true and correct.
belief, the statements
report, upon which the
expressed herein are
,3. To
of fact
anelyses,
based, are
4. This appraisal report sets forth all of the limiting
conditions (imposed by the terms of my assignment or by the
undersigned) affectinq the analyses, opinions, and
conclusions contained in this report.
5. This appraisal report has been made in conformity with
and is subject to the requirements of the Code of
Professional Ethics and standards of Professional Conduct of
the National Association of Real Estate Appraisers.
6. No one other
conclusions, and
set forth in this
then the undersigned preps red the analyses,
opinions concerning real estate that are
appraisal report.
.d.LW~-~
~a%" E. Foote
Chief Appraiser
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SALES COMPARISON ANALYSIS
Ttw.. IOCenl &aiel OII)l'OPOfloes ,1,1t l1'_I'1 ."n.LII "rIlIIHIIIIII.,\i1 In ..lbtut:l ~I'lIIlh''''1 lll!t'l' t:lItl,"I'"I"t III II..' nl.lI~t!1 0\11,11"""1\ 1h6 ,JcU,(":llu'\ ww:ltlk1S i1 doIl.1l adlU,lmclIl ,elllll;I"J
mil...., llllctiorllo Ihola IlCtl" 01 1J,J1~1ll:.lnl lIil'1.11_)l\ btll...ul'fl ll.t luh,llel ~u\ll COI1lU,II,111Io1 l"l}i)tlll"" II .1 ..,1111.;,\111 ,htllllf' U..t COlt'l'-lllbld IlIl)Cldlly " It~eflt)f 10,01 nUtI I.YOfabAa
IhIn. the IUbttel POPUli."., ",,"ull-1 itl.IIU\ln1t.'nl "math.' lhus ,vduclf'U II., uwj.:.lhlcJ "',I~II' ur ~"IlIl'r1 II II IIIJIl"lC,1111I'"'' tlllho CDmlI'I.tJ'lll' tnl",1Or' to. Of 101' I.WI.bad OWl.
thl IUbtoCt ptOPOfty,IIlI", It I M/U\lmcnl,' "",do, Ihu, 1/Y-!I';I\II'J Iho ,,"lr.ah!ll v"luI' nlll.., "lillII'd
IlEM_
SUBJECI
1079 Nowvillt
Rd. Carlisle
Full bsmt.
Avera 0
Oil FHA
2-car ora e
Porch, patio
enc 1. Dorch.
Typical for
the re ion.
Fire lace
Built-ins
COMPAflA(1l[ NO 2
"(;B 11. West Street
CarUa Ie
2 miles
None
12-2-94
Similar
50 x 150
Similar
Brick
95 ears
Similar
lolal I B*mII laIN
8 ' 5' 1
2 030 SQ Ft :
None
10-28-94
Similar
35 x 190
Similar
Brick
94 ea rs
Su erior
'1111 IIdnM I till'li
7 ' 4' 2
1778Sfl.:
4 300
3 000
Similar
Similar
Gas FilA
Carria e hse:.
Two porches ,I balcony,
star. bldR. I 500
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,
,
Similar
S imllar
Gas FilA
None I
Porch, fencd,
enel. arch':
Similar
None
1 000
S imllar
None
Similar
Similar
'."OB
O".B
s
400
5000
~ 000
(2,000)
(2 200
4 000
500
I 000
s
6 300
S BI, 600 S
With ad ustments 011 three com arable soles ore acce
snalysis and confirm m [innl olinion o[ valno of
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COMPAAAOI.E NO 3
1183 Newv lle Road
Carlisle
m Ie
50% bsmt.
S imila r
Oil hot wtr.1
Similar
Wraparound ~orch,
scrnd. ore '. (I 000)
I
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I
Ilone
6-16-94
Similar
242 x 237
Similar
Alum. aldin
94 ears I
Inferior I
IMat tldrlftll IIII'IS I
8 ' 4' 1
2 112 SQfl.l
Similar
None
8 000
3 000
(3,000)
(8 900)
2 500
000
3 000
83 000
direct
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-- -- .-. .-^-.- _.._-~-_._-, -..------.---,.----
l~ 1_'0',' ,t,' .'CIIJlll^I';'J 1,1l^,!,"."'A>)I',I'II,'II' 'fil'>l.',",'I'f~I.II\I'I.I"I'
. ----....------------ ----.'- ,~-----~-----_._-
--- ----.-.-.-----
u_____..._._. _ ., _ _____.__________ ..______d___
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LARRY B. FOOTE
RBAL BSTATB APPRAISBR
BXPBRlBNCB:
1979-Present: Chief Appraiser, Diversified AI,pmisal Services, Carlisle, Pa.
Principal Broker, LaRue Deve opment Co., Carlisle, Pa.
1976-1979: Associate Broker, Colonial Realty, Carlisle, Pa.
1972-1976: Realtor Associate, Jack Gaughen Realtor Carlisle, Pa.
Appraisal experience Includes undeveloped land, farms, building lois, single-family
dwellings, mObile homo parks, medical cenlers, motels, apartment buildings and
complexes, office buildings, sorvice stations, veterinary clinics, rehabilitation centers,
retail buildings, daycare centers, warehouses, and manufacturing facllltles.
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BDUCATION:
Bachelor of Business Administration, Pennsylvania State University, 1976.
Associate Bachelor of Business Administration, Harrisburg Area Community College,
1974.
Diploma, Carlisle Senior High School, 1965.
Certificate, Pennsylvania Realtors Institute, GRII, GRill, GRI m.
Certificate, Realtors National Marketing Institute, Cllot, CII02, C1103, CII04,
CII05.
Standards of Professional Practice, American Institute of Real Estate Appraisers.
Real Estate Appraisal Principles, American Institute of Real Estate Appmsers.
APJlralsal Procedures, Appraisal Institute.
ResldenUal Valuation, American Institule of Real Estate Appraisers.
Principles of Income Property Appraising, Appralsallnstitutc.
Case Studies In Real Estate Valuailon AppraIsal Institute.
Report Writing and Valuation AnalysIs, Appraisal Institute
PROFBSSIONAL UCBNSBS:
General Appraiser NGA'()()()()14-L, Commonwealth of Pennsylvania.
Real Estate Broker NRB.()29729.A, Commonwealth of Pennsylvania.
PROFBSSIONAL DBSIGNATlONS:
GRI: Graduate of the Pennsylvania Realtors Institute, awarded by the Pennsylvania
Association of Realtors.
CRS: Certified Residential Specialist I awarded by the Realtors National Marketing
Institute of tho Nallonal Assoc allon of Realtors.
CCIM: Certified Commerclallnveslmonl Member, awarded by tho Realtors National
Marketing Institule of the Nalional Association of Realtors.
CANDIDATB STATUS:
Larry E. Foote is currently a cllndidate for the MAl designation, awarded by the
Appraisal ,Institute.
PROFESSIONAL ORGANIZATION AFFILIATIONS: '
, ';\pp,hijsal Institute. : " ,', " ',' '
,Carlisle Association of Reilllors. ""
, ,l'c!lI1sylvllnia Association of Reallnrs.
NaliOl\al Associatiun of I{ealtors,
Healtors National Marketinll Institllle,
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PAST CLlBNTS:
Dorou~h of Carlisle
Dauphll\ Deposit Dank
Cumberland-Perry Count~ Association for l{elIlrded Clllzcns
Carlisle Suburban AuthOrity
Commonwealth National Dank
Pennsylvania National Dank
Evans Pinancial Corporation
Greenawalt & Company. CPA
Smith's Transfer Corporallon
Carlisle Department of Parks and Reereation
Parmers Trust Company
Carlisle Area School DIStrict
Messiah Homes, Incorporated
BRA Eastern Regional Servlcos .
Cumberland Valley Savings & Loan Association
Chase Home Mortgage Corporation
Defense Activities ~ra1 Credit Union
Pennsylvania State Bmployees Credit Union
Meridian Bank
B-H Mortpge Service Corporation
Friendly Mortgqe Services
United Telephone Bmployees Pederal Credit Union
Cumberland County Commlaaloners
Allstate Bnterprlses Mortgage Corporation
Dickinson Colle,e
PPG Industries, ncorporated
Gettysburg College
Redevelopment Authority of Cumberland County
Record Data Appraisal Service, Incorporated
First United Federal Savings Association
Washlnglon Telephone Federal Credit Union
Hill Financial
Carlisle Building & Loan Association
Sears Mortgage Corporation
Provident Home Mortgage Corporallon
Fulton Bank
United Slates Marshall Service
Central Pennsylvania Savings Association
Coldwell Banker Relocation Services. Inc.
Maenner Relocation. Inc.
CCNBBank. N.A.
GMAC Morgage Corp.
First Bank and Trust Company
Mellon Bank
Orrstown Bank
LCllcrkcllny Federql Crcdil Union
':., lloncl'lus MortgogcCorp. '
, . Vlirious .Iow firms and individuals
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IDHARRIS~
D SAVINGS BANK
P,O. Box 1111
lIani.bu.... PeM.ylvan!a 11105
Phone: 7171236~041
ANNUAL LOAN STATENENT 'OR 1995
"ORTDADE LOAN NO.
1700004438
ROBERT J KIRKPATRICK STA TE"ENT DAlE 12/31/95
IUIAN J KIRKPATRICK
1077 "EWvILLE RD 1/01/95 ESCROY BALANCE .00
CARLIILE 'A 17013
1/01/95 LOAN BALANCE 12,060. "
TUN DUE TR Dill pRlN. INTEREST ESCROY OTHER ESCROY 'R INC IrAL
DATE DATE CO CODE A"OUNT AMOUNT ANOUN T AHOUN T BALANCE BALANCE
106" 1019' RP 167.38 92.97 .00 11,193.17
10'" P 10.41 .00 11,112.76
131" 20195 R' 168.75 91,60 .00 11,714.01
301 " 30195 Er 170.05 90.30 .00 11,'41.96
J01" UN 10.41 .00 11,'41.96
JOI" UN 10.41- .00 11,'43.96
JOI95 P 10.41 .00 11,'31."
13195 40195 R' 171.4S ...90 .00 11,362.10
42695 '0195 Rr 172.77 17.58 .00 11,119.33
52S95 60195 R' 174.10 16.25 .00 11,On.23
6219' 7019' R' 175.44 14.91 .00 10,119.79
72195 Ion, R' 176.79 n.56 .00 10,663.00
12195 90195 Rr 171.16 12.19 .00 10,414.14
92195 100195 R' 179.13 10.12 .00 10,30,.31
103095 110195 R' 110.91 79.44 .00 10,124.40
120195 120195 Er 112.31 71.04 .00 9,942.09
120195 UN 10.41 .00 9,942.09
121295 UN 10.41- .00 9,942.09
121295 P 10.41 .00 9,931.61
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CUAR. INT-RATE 9,250 SDC I AL SEC, . 165-34-4379,
END PAIIl 9.931.68 END ElC , ,00
, PR 1 N PAID 2,128,87 III I OliO ,DO
PAIN o ISO ,00 TAX 01 so ,00
I A I IN T. 1.026,56 IH T PA I 0 1.026,56
I"POATANT TAX IllfOR"ATION
fOLLOYS TIlII PADE
-.
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.. Sprint
IJlO....._MhabtM..,.
SIW_^"""" KSfd10l
(913) 1124,8:193
May 37, 1993
wayne P. Shade
Attomey at Law
5 South Hanovor Streot
Carli8lo, PA 17013
ReI TlU\SOl? Account for Robert J. Kirkpatrick, SSll16S-U-U7lI
Doar Mr. Shade I
As requ..ted, the following information pertain a to
the _loye. Stoole owner.hip Plan (IlS0P) account whioh i. now
the Sprint Retirement sav.l.nge plan TRASOP account for
Robert J. Kirkpatrick I
Per your request the current: TRASOP balance, .e of
Mal'oh 31,19'3, is l,oio.nll ahares of Sprint COI\IIIlOn Stock.
The atook ~rioe .I.e subjeot to change daily and mar be found
~fr: b:r:nc:wor::ar:~oofn -:C~~ha:p:kD~t~~~~!J" u~~~~unlO:r~ ~~
avallable for withdrawal from the Plan as an aotive ."Ploy..
until the ahare. have been held by the Trust for more than 84
months. He currently haa ''1S.'1''1 ohares that have met this
requirement.
The 'l'RASOP is a Qualified Retirement plan under the
Internal Revenue Code. paymentn of any TRASOP benefit" to
anyone other than the participant are made only as the result
of a Qualifiod Domestic RelationB order (QDRO as defined in
the Retirement equity Act of 1984 (the Actl. If 'l'IWIOP
benefita becOI11e parI: of a Bettlement agrftement, a pa~nt
cannot be made from the account until lIuch time liB wo receive
ofUcial notification of the tenia of thp. sattlemont IInd have
verified that the information provlded meets the requirementB
of the Plan. Pleas. forward IIny legal documentu for review
tal Janet ShaWL Mllnoger, Pion Adminintration, ~3JO shawnee
Mia.lon Pkwy, wuntwood. Kannan 66~OG. lIiutributione arn
processed on a quarterly banin on ~'ebrUlu.y 1. May 1. August
1. and November 1.
, .
sinceroly,
G\(V,f\Q.. t. ~o..w:tt
Jun\! I,. Garrett
.: I\ccount ing Cool:'dinncQJ;'
" . Stdck:Vlono Oepartment
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SOCIAL SECURITY NUMBERt I05.~4..~10
UTS . EASTERN GROUP
1201 WALNJT oonOM ROAD
CARLISLE, PA '701~-000S
ATTNt MA, TONY BUOY
BASIC PRE-TAX CONTRIBUTION RATE:
suPPLEIENTAL PRE-TAX CONTRIBUTION RATE:
BENEFICIARY NAME: SUSAN J K IRKPAYRICX
PREPARED EsPECIALLY FOR:
ROOERT J KIRKPATRICK
1010 NEWVILLE AD
CARLISLE PA
170'~
BALANCED GROWTH <lUAnANTtEO 8tHJ LtlITEO TELECOM
STOCK FUll STOCK FlKI INCOME FlKI FlKI STOOC FlNl TOTALS
...--...-...----....----...---.... ...-------..--.. -...--..---..-..- ----........-......- ........--....-......- ------..---......- .......................
CURRENT INVESTIlENT ELECTlClI O. 80. 20. O. O.
--------..--..-.......--..-.......-..-... ------.............. .................---.... ...-..-.------- .......-......--...... --......---............ .............oo..-....
01/01/82 TOTAL ACCOUNT BALANCE , 0,00 $ 17,006,B6 $ 5,B84,02 $ 0,00 $ lO,B2I,38 $ 3~,712,26
BASIC PRE-TAX CONTRIBUTION 0,00 111,78 110,44 0,00 0,00 807,22
rDII'NfI IlATOiIHJ CONTRIBUTION 0,00 0,00 0,00 0,00 448,61 441,BI
GAIN I LOSS 0,00 It4,OO- Its,76 0,00 452,BB- 440,02-
0~/~ 1/02 TOTAL ACCIlLfiT OALANCE , 0,00 $ 17,600,74 $ 6,182,22 $ 0,00 $ 10,Bll, II , ~4,608,07
0~/~ 1/82 BALANCES SY ACCllJNT
..--..........--...............-----....-----
PRE -TAX ACCOUNT 0,00 17,600,74 6,182,22 0,00 0,00 23,101.96
rDII'NfI CDNTRIBUTlON ACCllJNT 0,00 0,00 0,00 0,00 10,011, II 10,817,1\
--............-........ -.------..---- --........-....---.. --..................-- .................--..-- --...................
03/~I/02 TOTAL 8ALANCE 0,00 17,600,74 0,182,22 0,00 10,Bll, II ~4,600,07
lIlE BALANCE IN THE LtlITEO TELECOM STOCK FlKI IS MADE UP Of 476.59~4 SHARES AIll $ 03,70,
TIlE CLOSING PRICE Of LfHTEO TELECOM STOCIC ON 0~/J1/02 IS' 22,5000 PER SHARE,
TflE VESTED VALUE OF VouR COMPANV CDNTRIBUTION ACCOUNT IS $ 10,817,11,
vaJ ARE ALWAVS FULLY VESTED IN VOUR IJ\oN CONTRIBUTIONS,
IJlJIlINO lIlE QUARTER, VWR COMPANV M^TOllNG CONTRIIlUTlON WAS 00. OF YOUR BASIC CONTRIBUTION.
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fiRST QUARTER
YUR-TO-llATE
1992 INVESTlENT PERfORMANCE
BALANC(O
STOCI( FI.Hl
GROWTH
ST()CI( FI.Hl
GUARANTEED
INCllME fl.Hl BlHl FI.Hl
CDlf'ANY
STOCl( FI.Hl
............................
-........-....-..-..--
...---........----- --....................--
....-..-......---......
. 2,700.
- 0, TOO.
. 1,110O.
. 0,100.
. 4.:ZOO.
. 2.700.
. 0,700.
. 1.110O.
. 0,100.
. 4,200.
PAllIA QUARTERLY RATES Of RETUlN fOIl THE FI.HlS ARE AVAIL~E IN YWA
KMAN RESOUlCES OfF IC~,
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NkiWY
THE "UTUAL LIFK IHSURAHCK
COHPAllY or HEll YORK
POLICY LOAN
sn TEIlEHT
IUhU,IIUJJ!,,"JII
"\'
(l lA 1t1~'1 'f.! h j'j 11.lj1l
01 082
099999
PUD UP
121'03/92
, '
ffH ~ 'h~lL:lll~11 1111 101
587 62 50
HR ROBERT JOHH KIRKPATRICK
YOUR OVERDUE LOAN IIlTEREST HAS BEEIl ADDED TO YOUR LOAIl BALANCE,
pnIOR LOAH BALAHCE
PLUS LOAN IHTEREST DUE 10/02/92
HEll LOU( DALAIlCE
$903,63
115.18
409118,81
TO THE EXTENT THAT THE AHOUNT OF LOAH EXCEEDS THE POLICY CASH
VALUE OF THE BASE POLICY, TilE FOLLOWIHG WILL BE HELD
as SECURITY rOR THE LOAIl I (1) caSH VALUE or ANY aDDITIONS,
(2) allY DIVIDEND DEPOSITS,
HHENEVER YOU HISH TO REDUCE YOUR LOAN FURTHER OR REPay IT
ENTIRELY, JUST HAKE OUT a CHECK FOR THE LOAIl DALAIlCE OR A
HIKI"UIl paYHENT or .10,00 AND RETURN IT HITH THE PORTIOIl
BELOH, YOU WILL BE 1l0TIFIED OF IIlTEREST ADJUST"ENTS, Ir AHY,
ON FULL LOAN REPAYHEIlTS,
FOR INrORHATIOIl OR SERVICE, CONTACT YOUR LocaL AGENT
OR THE AGE"CY AT' HONY
5007 CARLISLE PIKE
HECIlAIlICSDURG. PA 17055
THE TELEPHO"E "UHDER IS' (717) 761-1237
IhlllJ lJ.;i;IL 01
1..'1'1 \_~I'jU ,:.llllU
0606 10/02/92
0000
iVJ(:)NY
I /J ")"'" f ,of.. _.
.'In III t,llllIl'
i'HE IIUTUAt. un IIlSURANCE
COMPAIlY OF IIEH YORK
FOR FUTURE
PAYHEIlT
It,llll IU'lII'1 1I,
,.111. .....'. ""11'-, '1111111111 1111011
01 002 507 62 50
IIR ROBERT JOHIl KIRKPATRICK
000056762500 062 ooao 00
IIlR ,RO~ER~ J~RH K!nKPAT~ICK,
'1079 ,IlEl/v,it.I,!, nil,
GA'llI.lInt: I'A '1'/013,
IIlDICATE
AIIOUHT. I'D,
"
LOAH BALANCE AS OF 12/03/92 IS I
~;9110, 0 I, IIITEIl1,S'I' ACcRlIt:S NORY
IlAIloY AIIIl 011 10/02/93 l'r IITJ.I. 1'0 IIOX 1j'/l10
AIIOUIIT 'j'O "'ii'I ,1,1" SYRAGlI:ll: R'( 13221-1j'/l10
IHI
-
"Y'dt.V~U, It"" '''''" "',,C.
1'"It. r 1l.'IIt'I\' "1/(11'11.1///1'//( /Jilt' .\'f/(/....
Insured . Mr Roben John Kirkpatrick
Policy Numbar . 587 62 50
1'./1 111011 SlIlIIlIIlIf \'
Your payment due 10'02195 is calculated as lollows,
Policy Premium $ ,00
Dlua loan Inlerest $ 62,30
Total Amount Due $ 52,30
/'''/1. \ "'IIt'I\
Your lotal Ufo Insurance protection Is.... $ 866,64
Your polley's lotal Cash Value as of 10/02195 Is calculated as 'ollows,..
Polley Cash Value $ 687,67
plul Olvidlnd Additions Cash Value $ 567.20
ltI nUl outstlnding loan balance $ 1,046,06
I
We ere Illelsed to announce that ycur current dividend Is 112.45, It was used to purchase paid.up addltlonallnsL"ance
of 121.00. Your total paid up additional Insurance Is $965,00,
.VYI.I'I' .
dEIIO IllUIIIIIIlU 10:
UtA'LUlU' or Al1(:UlIlU
,
. m~'J - 1"V UNITED TELEPIlONE EMPI.OVEES'
II' FEDERAL CREDIT UNION
, 1'0 uox ""'
CAnLlSlE,I'/\ 17013
, NOll"
Aff: llt\'fIlh IIDUOA...."l)f'U"
INH111IJAlIOH "lOlhOI"Q YOUf
IIIQIIIIIO PIIPUI, IfUlUQ lllROl
NOr1l<(
E>lllitVlIIS[ IIDE roo ''''''Ofll''
lurom,U,IIQflltt CAllE or [RnORI
C)unllOfIlAhOut yOt.!Jl (UClfU
"lAm.. [l15lUtNlln[t) Wtlll UtHA'
ROBERT J ~IR~PATRICK
SUSAN ~rRKPATRIC~
1079 NEWVILLE RD E....'" """.," .,."U,",P,RIOD
CAm_18LE PA 17013-1738
90 02/01/93 1I1f1U 02/2Bl~
OWNERSHIP OF IIlAnE. DEPOSit ANDCER1IFICA1E ACCOUNIS 6110WU Ol~ 11118 "AlEMENt IS Not TA",..FERADlE UtCEPI ON WE BOOKS OF tHE CREDII UNION
fRAN'ACtION EffEClIVE b"ANSACTION tRANSACTIO" PAlI<<:lfIAt. PAYMUUI FINANCE
0'11 DAtE ESCAlP lION AMOU"' HlWLO.,..1 CHARGE
HARE 0 I . . REGLLAR SHARE ACCOUN
EB 1 REVlOU8 BALANCE
EB 9 EB S TM WITHDRAWAL -40.00 EFl
~E8T CARLIL8E CARll 81_E A
EB 11 EB 11 AVROLL DEPOS IT 288.81
EB 22 EB 22 RANBFER OUT -600.00 EFT
FTBS:500
EB 24 EB 23 TM W lTHDRAWAL '-30.00 EFl
.ARL ISLE A
E8 25 EB 215 AVROLL DEF'OS IT 288.81
EB 29 EW BALANCE
)) VEA DIVIDENDS THIS ACCOUNT 2.59 ( (
-------...------------..--------.--. ---....--.--.-- -- -------- -----..-...
HARE 07..SHARE DRAFT ACCOUNT
EB 'REVIOUS BALANCE
E8 EB 1 EF'OSIT
EB EB :2 EPOS IT
EB EB :2 'RAFT II 490 0000028495
EB EB 3 RAFT II 4SB 0000303021
EB EB 3 lRAFT II 499 0000326129
EB EB 3 RAFT II 487 1)000302943
E8 EB 3 RAFT II 491 001)0056:5:59
EB EB 4 lEF'OB IT
EB EB 8 RAFT II 493 I)OO(l(J55291
EB EB 8 )RAFT II 494 0000001550
EB EB 10 RAFT II q92 0000010145
EB EB 16 rRANBFER IN
.FTB8500
16 EB 16 ITHDRAWAL
;ARI.16LE Yt1CA ~ln1BH [.lUES
E8 18 ED lEI RAFT .. q99 000031897:';
E8 18 -ED 18 )RAFT .. .198 (11)(11)31 B"n II
EB 19 ED'19 JEF'On IT
, . .Ell'~'" 'EB ,-,..... rRl\N9Fm IN
. '. -'..:. ~-'-
:FTB8::!OO
EB 2fJ 'Il:W IJAU\t~CE
)) vr:r. -lO"[\1\1, n 1 v 1 DEI'JII0 Till H 1\[;1 :OlIlH
---..-- .~.--_.'- ..__.-~--_.-_._--_.__.- '--' _.- ....-----.--.- -.-.. - - --...
I~~~'!I!'-!!'~ I~!o.,,~!' ,,~lf'
bOt'IAI tlrllllll~ IAI'llIlllIYIPltlllS
IlWAnl1l IIIc-(IVlII111lIlHAII
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__~~lt~,'qP! !'~I~l JJI!:! !!..~_~I_
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411.
371.
660.
60.
3(,.
319.
319.
200.(1()
330.00
-101.53
.-17.88
-91).00
-106.79
-137.11
400.00
-21.00
-300.00
-22.00
200.00 EF'!
246.
446.
776.
674.
596.
5t)6.
400.
2~:.
66:".
641.
341.
319.
519.
-22.00 EFl
497.
-41.33
--398.81
80.00
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45t.
l:"
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137.
73'/.
73'/,
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- -. -~._--_._-_. -.-.-...-...--. -~._--_.~-
..... GONTT NUED U
lIOIICI. GIIIIIVIIIGI HUll. I 1111 1I.\I'lllll ^"1111101U.'^"0ll
BEtlU INUUlltl~tl TO:
HIAllUUn PI A';COJUH
, 'NQrJgi
&U UEvt1l11! IIDE rOil tMPOIlI,ltH
ItIfOIlMAllOti nlQAnOINQ YfJUII
11101'" to warun elllu.a (unonl
,/1 i/.:i9."'j!j ~~~T:,rAIE~~=~I~~fNf~JI.OYEI!S'
I ~ 1'0 "OX 1181
.-.. --- CAnt.ISt E. I'A. 11013
tia.rlkf
GEE m;v[ns[ SlOE ron lMPontANI
ItlfOnU"'IOH III CAlf OF Ennona on
OIll:&f10US ,t.!KJllf YOUR ElECtnoNIO
IIlAUtiJEflSIO'-NIIFIEO WltllLE ftE"' '('
PAGE
:2
ROBERT J ~IR~PATRIC~
6USAN I(IRI(PATRIC~
~~~~ I ~E~V~,~L~ 7~~:3-I 738 [ - ~;"D"~I';~;';'-9-1)" - ------ - --"-;;;'~~'HI PERIOD
02/01/93 lllAU 02/28/93
O\~tjLUlilWOf IHA"E. OEPOi" ANn l;UlllfICAIE ACCOtlNlti bll(IWU Oil JI1I8 btAtl MIIlIIG tint tnAt'5,'EI1ABI E. (ICErl 00 litE BOOKS Of filE CREon UNION
".ff'~~VE -------.---- --m~'n~~~~---.- . __~_u ... ---li.,~~~::mj .--- -piiit~::lr;::,.:,.l.
DAN 01...LOAN ACCOUNT
CENfAaE RATE .... 10.75X PERI DIC RATE F
REVIOUS BALANCE
EW BALANCE
F I NANCE CHAI\13ES TH I S !.OAN . 1)(1 ((
I (II
.01
tALANeI
____..w______________.__.________ ------...-- --. ------ ------..- .-----...--'
DAN 05~..LOAN ACCOUNT
CENTAGE RATE .... 12.00X PERI DIC RATE F
VARJABLE RATE LOAN. THE PERIO[ JC RATE M V
REVIOlIS BALANCE
AVROLL PAVMENT
OVANCE/AOPON
FTBBeiOO
AVRULL PAVMENT
EW DAl.ANCE
FINANCE CHARGES THIS LOAN
TVPE..LINE-OF
.032876- 'l.
VARV.
CRED IT
150.00
-200. (I()
131.06
- 200. 00
18.911
.00
41111.(1'
3983. (I
4183.0
150.00
131.07
18.93
4051.9
4051.9
75.711 ((
"
,.
"
, ,
, ,
iNCOMiTAliulFonMATidtl 'TIME 18 I\l NNtNI3 OUT TO t1RL1ER TTCKr::nr
60C'" "CIlIl'" --- ,...., , U~;,j;u;n;--lu- ,,,,,i niiAtii:e-.... FW~ 1I IEf:CU' B 19TH ANNUAL II INNEm
'"'""''' __ __'~~~I~~~~~'"-'~'~__.. _!i!lMl!!~~t~,,!J!"~!l.Il_11r:.ETlNI3 ON ~IAr~r.H 20, 1993. CONTACT THI
165-,:1'1-'1:179 :'J, ::9 -/:', , 711 r:r~1'1J1l UNlllN lIFfll:r: fllH INFlmMATiON.
flUIICl;. tJll III VI lib I. :111111 011 UWOIlI Alii 1111 OIUU lIOII
. .
ifJ'&\,.~~~.~..~Jit ,i --f:'~-~-dl~i_~;f:*:;~~Plr:';~'H~,~~~~!~~~~r~j'<.~~~~~:~f;'t.~~~~~ti~.:;~,
..
" ,
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~f/~~ .v~o'lfulJ V~~ ti~~t:
PERSONAL BANKING STATEMENT
00904,
19~-107450
P~OIi,', 2 Of ~'
'..
",
ROBERT J KIRKPATRICK
',5USA~ J'KIRKPATRICK
-;---:--
. "
, ,
PERSONAL CHECKING ACCOUNT lU2.107450 (cllntlnllcd)
1~~~~~1rO\CT!Y !!y '. '______=:-=.=======-- .-- .
OJ/05 HAC ATII HITIIORAHAL 1000\20
I~ST CARlllSE CARLISLE PA ,
IIAC ATII rn 1000120
OJ/Ol/tS OJ/06 IIEllDl' Am HlTlIOIlAHAl IOD'O~5
IIJ IIALL 1069EOol CAllllDlE PA .
CIIECK I 6811 .
OJ/09/9J OJ/OO IIAC ATII HITIIORAIIAL 1000110
IIEST CAlllllSE CARliSLE PA
llAC ATII rn 1000110
rtlHK I MID,
CIIECK I 6BI~ .
OJ/IO/91 03/10 IIEllOlI AlIt HlTllolIAIIAl 10002CO
IIJ IIAll 1069lDBI CARlIolE I'A ,
OJ/II/9I OJ/lI IIAC ATII HITIIORAHAL 1000070
92 RT I7JlUlIIDl' 110 tlllllOIl IU
IIAC AHI FEE IU00070 , , , , .
IIAC ATIl oALAlICE JUQUIIIY III 10000.'
'2 RT 17111011011 110 CIIIIIOII 11-1
CIIECK I 600'
CIIECK I 6012 .
DATE
WilD
OZll7ltS
OZll0/93
OZl19I91
OllU/tS
Olll6/tS
OJ/Ol/tS
DJ/OlltS
OJ/OV9I
OJ/05/91
DU'UlfUl!U
CllfCK I 6799
CIIECK I 6002
CIIECK I 6DOJ
CIIECK I 6796
CHECK I 6797
ClIlCK I 600~
DEPOSITS CHECKS
AIID DTIIER AIID OTlIER
ADQlllllll, HUlloRAllAlS
11.0'
51.~5
30.0S
100,00
50,02
100,Bo
25,00
~O.OO
30.00
. . .7&
812.60
50.00
.7&
22.01
10,00
300.00
40.00
.7&
. . 1','0
40,00
. . .75
454.11
DAILY
8ALlNr.1
511.19
UI.47
IU.47
CHECK I 6795
DElIO IIElLDlI ATH IllTlIDRAIIAl IRR79U
IIJ 'IALL 10691001 CARLISLE PA .
OIIU HAC AT/I HlTlloRAIIAL 1000772
CALISLE PLAZA CARLISLE PA, .
.IAC ATII rn 1000772 . .
HISC AUlD/IATED CRED utllTEo TELEPIIOIIE
REO SALARV 9J0226 16034~379
01116 HAC ATII HlTlIDRAHAl 1000190
IIEST CARLlLSE CARLlSL. PA
HAC AT/I fEE 1000190
CHECK I 6806
cHECK I 6807
IU.7I
171.11
I7I.n
cHECK I 6BOB
OJ/OI HAC ATII IIlT1loRAHAL 10000'1
hEST CARlIL8E CARLISLE PA
HAC ATII fEE 1000091
CHECK . 6805 .
IIl.I'
'I". to
. .
40,00
1i0.00
16'1.11
~O.OO
.75
100.00
lS,oo
19B.40
10.00
178.40
40,00
.70
,25
41. '0
50,00
4B.41
" ,
" ,
\'l//)
'( "
iV.... rU( ~w b ~ ~(U .~':
PERSONAL BANI<lt1G STATEMENT
OIR~CT IIIQUIRIES TO,
,MHlOII BMIK IIA
COflMOIlflEAI Tll REOIOII'
'CARl rSI.E SttAllOII
6-65 II EAST ST ,
CARLI Sl E PA 170 l'j-200f,
,717-2f,j-5jll
o
. ...
"
1",/11",111"""11"11,,,,111,,,1,,11,1,,1,1,1,,1,1"",111
ROBERT J KIRKPATRICK
SUSAH J KIRKPATRICK
1079 IIEHUlllE RD
CARliSLE PA 1701j-1738
0090f.
0~19
192-107450
PAOE I OF j
SlATfl1EIIT
FROM 02/lj/9j TO OJ/12/9j
TRAII8FIRRIII0 HOIIEV, OETTINO ACCDUNT BALAIICI8, I!UI!N pAYINO BILLS CAll
.. AS I!ABV AS plCIIIIIO UP VDUIl TELEpHDNI!. InTIl "ILLDH B BANtl-IV-pHONI!
8IRVICE, YOU CAN DD YDUR IAIIKIIIO ~'HI!RI!VIR VDU FIND A TltLEpHOIII!.
811 YOUR "I!LLIlIl BAttKI!R FOR PI!TAII.B DR CALL 1 BOO 222-9034.
RELATIONSHIP SUMMARY
DIPOSIT ACCIUITS
PIRSONAL CHICKING
TOTAL
BALA/ICI
861 Jl1..
861.09
OUTITIIIDINI
LOAN ACCOUIITS
PERSONAL CHECKING ACCOUNT 192.107450
[!~~!!~~T S~t~tAR"-__~~:=--=,===::~-=-:"-==-=',-===_
OPINIHO 8ALANCE AS Of 02/11/91
TOrAL DIPOSIT8 ANII OTIIIR ADDITIONS INCLUDING ItHlREST IARIIED TillS PERIOD
TOrAL CHICKS AND OTHER HITIIIlBAHALS IIICLUnll10 fllUlllS PIRIOD
ClOlltlO IALANCE AS 0' 01/12/91
~
1,111.9'
1I,9U.1f
-1.IG'.11
an.ot
AVIRAOI ACCOltIT lillA/ICE
&11.50
[ ----- ---- --,._,-- '---.--...n....--.--.-.--------u-----:::::=:J
ACCOUNT ACTlY.!.!.~_.__._ __.. 'UU'_"'U"_ ______._____..____.,,_____________
DATI
POSTID DISCRIPT}gU
DillS/II OPftllllO bAlAtlCE
02116/11 02/16 11ELLDlI ATlI IllTIlDRAffAL '00&40&
CARLISLE SIIAllIlIl CARLISLE PA , .
DillS IIELlOII AlII .,lTlIllnAlIAL 1001271
tlJ HALL 10UUOOI CAlIlISlf PA, ,
02/14 IIlLLDlI ATII fflTlIDIIAItAl '007441
HJ tlALL 10&?EDnl I:AlIlInl E PA
CIIECK . &7?1
CIIECK . L I?O ,
CIIECK . LDOO .
CIIECK I LOO I .
D2Il1l9l PAYtlEIIf 10 PIIIGUt/AI. elllOIl LillI
ID40DZ?DID , .
CllfCK . 61?", . ,
DEPOSITS
AUD OlllEn
ADnlTlOIIS
CIIECKS
AUD OlllER
1tITIIDHAHALS
OAlLY
BALME.
I,IU,"
I&O.OD
60,00
',0,00
80,00
1'..60
B.70
29.18
041,9\
U9,OO
ZB,DO
PERso~jAL' CHECKING ACCOUNT 102-1074511 (clJntlnued)
LA~~~iji{(~C~!!.~!.tC-_ ",~,'.~_:_-o~o-~'~=~_-___oo___o_ ,0- m_'"
.
~/" /}
.' ,I
~
" ,
SVHt "H.~ ~n (~UU ~I:'
PERSONAL BANf<ING STATEMENT
ROD~RT J KIRKPATRICK
SUSA~ J KIRKPATRICK
192-107450
PA9~ 3 OF 3,
OO?O(,
. ._~ - .---.".. ---~._--
DATE
POSTED
01/12191
OEPOSITS
AIIO OTlIER
Al!RJlilU~
CIIEC~S
AIIO OTlIER
t11Tl1D8!l:lALS
QillilJ!.U 011
tuSC AU10llATEO CREO '_Ill EO lELEPIIOIIE
IU1I15010RlO SALAIIY 16~1~4!1~
01/12 IlHLOll A1II HI1110RAHAL .000500
IIJ .lALL 1069E081 CARLISlE PI.. .
SERVICE CIIARGE , , , . , . .
CLOSINO 8ALAtlCE
1,1l2.61
. .
. . . .
. . . 500.00
, " 5,00
01/12/91
---------
ICHECK SUMMARY
_.A1llIl1lT nEFEREllCLIllL-
5.78000000071907210 6007
29,78000000077905&&1 6808
51.4& 0000000&5052656 6809
10.08 000000011810420 68\0
188.80 000000010175000 681\
16.90 000000074158051 68\2
.
20,00 0000000\1.71."
100.00 00000001"01.1'
41.98 00000005\114."
\00.00 0000000,.,1""
50.00 00000001.......
50.00 000000011.0....
kblCKI
6191
6194
6195
6196
6191
61"
'7"
AlIOUlIT PEft fllf.r.n
80.00 000000011901521 6800
25,00 00000005&8&6571 6801
25,00 00000004151&611 6002
\00.00 000000018165552 6801
58.02 000000018151122 6804
14.50 000000071911921 680B
n.09 0000
PLUSE USE TilE ACCOUIlT RECOIItILEIlUlT fORI! LOCATED OIl TilE BAC~ Of TIIIB
&TATEllEIlT TO BALANCE YOUR ACCOUIlT.
COIIVINIINT BAIlKlIlO - TIIAT'S WHAT voU OET WITH A IllLLON BAIIKlIIOCARD.
IN ADDlTIOIl TO TilE SIRVICIS VOU VI OROWN ACCUSTOHED TO, VoU CAll NOtl
HAKE DIPOSITS AT SELECT HELLON AUTOMATED TELLIR HACHIIlIS ACROSS
PIIltISVLVANIAI ASK VOUR HELLON DANIIER FOR DETAILS.
~
. .
P,O, 8Ol< 1181 .
CARLISLE, PA 17013
(717)249.1661
VOICE RESPONSE (717)249'8000
TRANSACTION EXPLANATION
CORNERSroNE
fld...1 c..dll Union
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717-241.168'
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INFOAUATlOH IN CAlE OF (RADRS OR
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SUSAN KIRKPATRICK
1079 NEWVILLE ROAD
CARLISLE PA 17013 1I~~~UIl~; t: . ITATtIoIENTPllUOO
4254 08/01/96 THRU 08/31/96
IIAlAHCl
PREVIOJS BALAJlCE 167.3;
NEW BALANCE 167.3;
-TO-DA E DIVIDENDS THIS ACCOlJllT 3 015 ( (
------ ------------------------------ --------- ------- ------- --------
6HARE 07..6HARE DRAFT ACCOJNT
AUlJ 01 PREVIOJ6 BALANCr 678. 7~
AUlJ 01 AUG 01 DRAFT .. 950 0000073067 -260.35 418.4'
AUCJ 02 AUG 02 DRAFT .. 949/ 0000046367 -14.60 403. 8~
AUCJ 02 AUG 02 DRAFT .. 9152 I 0000304614 -150. 00 353. B~
AUlJ 02 AUG 02 DRAFT .. 9151 / 0000306253 -200.00 153.B~
AUCJ 05 AUG 05 DRAFT .. 948 i 0000413448 -60.00 73.B~
AUlJ 06 AUG 06 DEP06IT 100.00 173. B'
AUlJ 06 AUG 06 DRAFT .. 953 ' 0000405B58 -2B.72 145. 1;
AUlJ 12 AUG 12 DRAFT II 9154 I 0000012223 -2.00 143. 1.
AUlJ 12 AUG 12 DRAFT .. 9156 ' 0000346602 -11.13 131. 9~
AU<3 13 AUG 13 DEPOS IT 820.00 951 . 9~
AUG 13 AUG 13 DRAFT .. 958 . 0000411453 -30.00 921.9~
AUll 15 AUG 15 DRAF1" .. 9159 0000345(124 -24.33 897. 6t
AUll 16 AUG 16 DRAFT II 9515. 0000028784 -25.0el 872.6t
AUll 16 AUG 16 DRAFT II 965 0000026474 -100.0C\ 772.6t
AUll 19 AUG 19 DRAFT II 966 0000331201 -21. 53 7~1. 1:
AUll 19 AUG 19 DRAFT II 964. 0000368253 -251. oel 50": 1:
AU<3 21 AUG 21 DRAFT II 960. 00000(142315 -23.7~ 476.3E
AU<3 21 AUG 21 DRAFT II 963, 0000020707 -:56.27 42(1.11
AUG 22 AUG 22 DRAFT II 962 0000007002 -Ill. 55 308. ::it
AUG 23 AUG 23 ORAFT II 968. 0000374433 -32.09 276.4"
AUG 26 AUG 26 Dr<AFT II 971 . 0000001748 -10.16 266.31
AUG 26 AUG 26 DRAFT II 969 0000001915 -13.50 252.81
AUG 26 AUG 26 DRAFT II 970 0000363587 -49.0(1 203.81
AUG 2B AUG 28 DRAFT Il 972 0000032907 -15.0(1 ISB.SI
AUG 28 AUG 2B DRAFT II 957 0000335855 -40.00 li18.81
AUG 29 AUG 29 DRAFT Il 8000 OOOOOlB152 -24.00 124.81
AUa 29 AUG 29 DRAFT Il 973 (1000382033 -28.32 96.4'
AUG 31 NEW BALANCE 96.4'
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toCIAl. .fCUAllY
HUMOER
INCOME TAX INFORMATION to
TAllA8U! OtYlOlNOS IOIAL FINANCE I8SUED OCTOBER 18T a. 2ND. NOW I S THE
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---.-- NOTlCE:DEE REVERSE BIDEFOR IMPORTANT INFORMATION
199-34-7849
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I'ERSOIIAL CREon LIIlE
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1079 IIEHVIllE RD
CARLISLE rA 17013-1738
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"11112 CUSTO"ER PRO'ILE
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ROBERT J. KIRKPATRICK,
plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 95-4468 CIVIL TERM
CIVIL ACTION - LAW
IN DIVORCE
vs.
SUSAN J. KIRKPATRICK,
Defendant
8U"LIKINTAL DleR11 1M DIVORC. AHD
OUALIrllD DO"18TIC alLATION8 oaDla
AND NOW, this II · day of AUfW.Y , 1997, upon review
of the record in the above-captioned matter, it is ordered and
decreed in accordance with the Agreement of April 24, 1997, between
the parties, a copy of which is filed of record herein, as follows I
The purpose of this Order is to create and recognize the right
of Alternate Payee under S414(p) of the Internal Revenue Code of
1986, as amended, (hereinafter the "Code"), and S206(d) (3) of the
Employee Retirement Income security Act of 1974, as amended,
(hereinafter "ERISA") to receive the designated portions of the
benefits of Participant with respect to the Plan.
1. The Plan. The Plan to which this Order applies is the
sprint Retirement savings Plan, hereinafter referred to as "the
Plan". The Plan is an employee pension benefit plan qualified
under S401(a) of the Code and subject to ERISA.
2.
Identitv of the ParticiDant.
Participant, Robert J.
Kirkpatrick, whose last known mailing address is 33 Church Lane,
Carlisle, Pennsylvania 17013, and whose social Seourity Number is
166-34-4379 was born on January 27, 1943.
3. Identitv of the Alternate Pavee. Alternate Payee, Susan
J. Kirkpatrick, whose last known mailing address is 1079 Newville
Road, carlisle, Pennsylvania
17013, and whose social security Number is 199-34-7849 was born on
November 22, 1945.
4. Amount to be Paid Alternate Pavee. Alternate Payee is
hereby awarded the sum of Fifty-Eight Thousand Five Hundred and
00/100 ($58,500.00) Dollars, or such lesser amount equal to the
Participant's non-forfeitable benefit under the Plan (referred to
in this order as the "Vested Interest"). The Participant's Vested
Interest shall include the amount the Participant could receive in
a lump sum distributior, if the Participant were to terminate
employment as defined under the Plan. such amount shall exclude
(1) any company matching contributions, and investment earnings and
losses on those contributions, that are not yet vested, and (2) the
principal balance, and any accrued but unpaid interest, on any
loan. outstanding from the Plan to the Participant. The
determination of a Participant's Vested Interest under this
paragraph shall be made as of the date on which the separate
account is established as described in the following paragraph.
As soon as practicable after this order is determined by
the Plan Admini,trator to be a qualified domestic relations order
within the meaning of Section 414(p) of the Code and Section 206(d)
of ERISA (QDRO), a separate account shall be established under the
Plan for the benefit of the Alternate Payee (referred to in this
order as the "Alternate Payee's Account"). The Alternate Payee's
Account shall be credited with, and the Participant's accrued
benefit shall be reduced by, an amount determined in the preceding
paragraph. The Plan Administrator shall, promptly after the
Alternate Payee's Account is established, send a letter to the
Alternate Payee (the "Acceptance Letter") informing the Alternate
Payee that the order has been determined to be a QDRO.
5. Allocation Amona Participant's Accounts. When the
Alternate payee's Account is established, such account shall be
credited with, and the Participant's benefit under the Plan shall
be reduced by, a pro rata share of the participant's accounts in
the Plan determined as of the date the Alternate Payee's Account is
established. These accounts shall include all accounts as that
term is defined under the Plan, such as pre-tax basic
contributions, pre-tax supplemental contributions, after-tax
contributions, company matching contributions (if nonforfeitable to
the participant), rollover contributions, and investment earnings
or losses on such contributions.
6. Investment of Assets. When the Alternate Payee's Account
is established, such account shall be credited with, and the
participant's account shall be reduced by, a pro rata share of ths
Participant's investments in the Plan (i.e., the PIMCO Total Return
Fund, the Fidelity OTC portfolio, the Fidelity Equity-Income Fund,
the Fidelity Magellan Fund, the Fidelity Overseas Fund, the
Interest Income Fund, the sprint stock Fund, the 360 stock Fund,
the TRASOP Fund and the TRASOP 360 stock Fund) determined as of the
date the Alternate Payee's Account is established. On and after
the date the Alternate Payee's Account is established, the
Alternate Payee shall have the same ability to designate the
investment of those amounts as the Participant would otherwise have
had with respect to those amounts. All amounts in the Alternate
Payee's Account will separately share in the gains and losses of
the Plan in accordance with the terms of the Plan beginning on the
date the Alternate payee's Account is established until the date of
payment of such amounts to the Alternate Payee.
7. Time and Manner of Pavment. As soon as practicable after
the Alternate Payee's Account is established, the amount assigned
under this Order shall, upon the election of Alternate Payee, be
paid in a lump sum to the Alternate Payee (or, if permitted under
the Internal Revenue code, to the custodian of an Individual
Retirement Account established for the benefit of the Alternate
Payee) . If the Alternate Payee fails to elect a distribution
within 120 days of the date of the Acceptance Letter, the amount
assigned under this Order shall be paid, as soon as practicable, to
the Alternate Payee. Such distribution shall be made in cash with
applicable withholding for Federal income taxes.
8. Death of Alternate Payee. To the extent permitted by the
Plan and section 414 (p) of the code, the Alternate Payee may
designate a beneficiary to receive payment of the Alternate payee's
remaining interest in the Plan, if any, upon the Alternate payee's
death. Any such beneficiary designation shall be made without
regard to any designation by the Participant of a beneficiary with
respect to the Participant's interest under the Plan. In the
absence of an effective beneficiary designation by the Alternate
Payee, or if the named beneficiary predeceases the Alternate Payee,
the amount assigned under this order shall be paid to the Alternate
Payee's estate.
9. Death of particinant. The assignment of benefits to the
Alternate Payee under this order shall not be reduced, abated or
terminated as a result of the death of the Participant. upon the
partioipant's death, the Alternate Payee will not be entitled to
any survivor benefits attributable to the Participant's benefits
under the Plan unless the Participant designates the Alternate
Payee as a beneficiary in accordance with the terms of the Plan.
10. Administration of the Order. A true copy of this order
shall be served on the Plan Administrator. The Plan Administrator
shall determine, within a reasonable period of time after delivery
of this Order, whether the order is a QDRO. The Participant, the
Alternate Payee, and the court intend this order to be a QDRO. The
parties agree that their mutual intent is to provide the Alternate
,
Payee with a benefit under the Plan that fairly represents the
Alternate Payee's marital share of the benefits as described under
Paragraph 4. If this Order is determined not to be a QDRO, the
Plan Administrator shall inform the parties of the reasons for that
determination. The Court retains juriSdiction to nmend the order
for purposes of establiShing its status as a QDRO and the parties
hereby agree to submit to and request the Court to modify the Order
to make it a QDRO in such a manner that will reflect the parties'
intent.
11. RiGhts of the Parties. The assignment under this Order
shall be permanent. From the date of this Order (assuming it is
determined to be a QDRO) and thereafter, the Participant shall have
no further right or interest in the portion of the Participant's
account balance under the Plan which is assigned to the Alternate
Payee pursuant to Paragraph 4 above, and the Alternate Payee shall
have no further right or interest in the portion of the
Participant's account balance under the Plan which is not assigned
pursuant to Paragraph 4 above. Nothing in this Order shall
restrict the participant's ability to obtain a distribution under
the Plan or designate a beneficiary under the Plan, with respect tc
the Participant's remaining accrued benefit determined after the
assignment to the Alternate Payee.
12. Information Furnished to the Alternate Pavee. The Plan
Administrator shall treat the Alternate Payee as a distributee of
the Plan for purposes of all notices and election opportunities
provided by the Plan to its participants. The Plan Administrator
shall provide the Alternate Payee ~Iith annual reports and such
other information as it furnished to participants in the Plan. The
Alternate Payee should advise the Plan Administrator in writing of
any change of name or address or any material fact which may affect
the alternate payee's entitlement to benefits assigned under this
order.
13. Participant, Alternate Payee and the court intend that
thi. Order be a Qualified Dcmestic Relations Order. this order
shall be administered and interpreted in all respects to comply
with the pertinent requirements of the Internal Revenue Code, the
Employee Retirement Income Security Act of 1974 and the Retirement
Equity Act of 1984.
14. The court retains juriSdiction to amend this order, but
only for the purposes of supervision, enforcement and establishing
or maintaining the qualification of the order as a Qualified
Domestic Relations order under and in conformity with the aforesaid
federal statutes.
15. A certified copy of this order shall be forthwith served
upon the Plan Administrator. Said order shall taks effect
" .
immediately and shall remain in effect until further order of the
Court.
16. This Order is a final order.
APPROVED AS TO FORM I
Date I
Date, ~.{ ':J I / ? r 1
t1/~ ~I-
Wayn . Shade, Esquire
Attorney for Participant
. Serratelli, Esquire
SE TELLI, SCHIFFMAN,
BROWN' CALHOON, P.C.
Attorneys for Alternate Payee
BY THE COURT:
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ROBERT J. KIRKPATRICK,
Plaintiff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY,
: PENNSYLVANIA
: CIVIL ACTION - LAW
vs.
: No, 95-4468 CIVIL TERM
SUSAN J. ALLISON, fonnerly
SUSAN J. KIRKPATRICK,
Defendant
: IN DIVORCE
ANSWER TO PLAINTIFF'S PETITION FOR TERMINATION OR REDUCTION
OF INDEFINITE ALIMONY
AND NOW comes Defendant/Respondent Susan J, Allison, by and through her
allomey, Lori K. Serratelll, Esquire and answers PlainlllTlPelltioner's pelitlon for
Tenninallon or Reducllon of Indefinite Alimony, as follows:
1. Admllled.
2. Admllled.
3. Admllled.
4. Admllled.
5. Admilled.
6, Admitted.
7. Admllled.
8. Admilled.
9, Admilled In part. Defendant/Respondenl hIlS eompleled her registered nursing
degree and Is earning $29,120,00 based on $ 17,50 per hour for 32 hours per weel<.
10. Denied. Defendant/Respondent has no Infonl1alion or knowledge that this Is
an accurate slatement and slrlct proof thereof is demanded, Defendant/Respondent docs
admit thai PlalnlllTlPelitioner lold DefcndanllRespondentthal he was required to move to
Florida. Further. DefendanVRespondent believes PlaintIITlPetitloner'.lncomc I. the same,
ifnot higher, than It was in Pennsylvania,
II. Denied. Defendant has no infornlatlo!1 or knowledge thatthlsi. an accurate
statement and .trict proof thereof Is demanded.
12. Admitted. By way of further response, DefendanVRespondentstill has
substantial and reasonable expen.es which her Income, albeit greater than $15,000.00,
doe. not cover. A reduction in alimony will cause a substantial decrease in Defendant!
Respondent'. .tandard of living.
WHEREFORE, DefendanVRespondent re.pectfully request. that Petitioner'.
Petition for Tenninatlon or Reduction of Indefinite Alimony I. denied,
Respectfully .ubrnllled,
Lori . S atell, Esquire
SE TELLI, SCIIIFFMAN,
BROWN" CALHOON, P.C.
2080 L1ngle.town Road, Suite 201
Harrisburg, P A 17110
(717) 540-9170
Attorney for DefendanVRe.pondent
VER.FICATION
I vcrify Ihal thc stalcl11cnts madc in thc forcgoing doculllcnl arc ImlJ and correct. I undcrstand
that falsc statel11cnts hcrcln arc Illadc subjcct to the penaltics of 18 Pa, C.S, Scction4904. rclating to
unswom falsincallon to authoritics,
Date:~
I )"
_.iI, 1'(;/ It.! (/,1 /l )
'Susan J. AI son
ROBERT J. KIRKPATRICK,
Plainllff
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY,
: PENNSYLVANIA
: CIVIL ACTION. LAW
va.
: No, 95-4468 CIVIL TERM
SUSAN J. ALLISON, fonncrly
SUSAN J. KIRKPATRICK,
Defcndanl
: IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. Serralclli, Esquire, do hereby certify Ihal on March~, 2001, a copy of
Ihe foregoing Anawer wuscrvcd upon Ihe Plalnliffby deposlling a copy In Ihe Unitcd
Slatea mail, poslage prepaid, addreased u followa:
Wayne F. Shade, Esquire
53 West Pomfrct Street
Carliale, PA 17013
Attorney fo lainlilTlPclilloner
,~.
K. crratelll, Esq.
S RRATELLI, SCHIFFMAN,
BROWN" CALHOON, P.C.
2080 Linglcstown Rd.. Suite 201
Harriaburg, PA 17110
(717) 540.9170
Attorney for DefendanVRespondenl
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ROBERT J. KIRK(lATRICK,
1'laln\IO'
IN TilE COlJRT OF COMMON I'LEAS OF
CUMlIEI~LANI> COUNTY, I'ENNSYLV ANIA
CIVIL ACTION. LA W
vs,
SUSAN J, ALLISON.
Defendan\
1)5.446K CIVIL
IN RE: PETITION FOR TERMINATION OR REDUCTION
OF INDEFINITE ALIMONY
ORDER
AND NOW. this 10" dllY of April. 2001, hearing In the above ellPtioned mailer Is
set for Thursday, May 24. 2001, a19:30 a,m.ln Courtroom Number 4, Cumberland County
Courthouse, Carlisle. (lA,
BY TIlE COURT.
Wayne F. Shade, Esquire
For the Plaintiff
7 'A, Hess, J. .
t~O~.II.OI
~~
Lori K. Serratelll, Esquire
For the Defendant
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ROBERT J. KIRKI'ATRICK.
PlalntlO'
: I N TIlE COURT OF COMMON I)LEAS OF
: CUMBERLAND COUNTY. PENNSYL VANIA
: CIVIL ACTION - LAW
v.
: NO. 95.4468 CIVIL TERM
SUSAN J. ALLISON, fonncrly
SUSAN J. KIRKPATRICK.
Defendant
: IN DIVORCE
ACCEPTANCE OF SERVICE
,
TO: Curtis R. Long. Prothonotary
Please confirm my continuing appearance on behalf of Defendant in the above-
captioned matter and my acceptance of service on behalf of Defendant of a certified copy
of Plaintiff's Petition for Tennlnatlon or Reduction of Indefinite Alimony and the Order
issued pursuant thereto.
Date: March 11' 200 I
SERRATELLI, SCHIFFMAN.
BROWN & CALHOON, P.C.
By:
Lor . erratelll. Esquire
20 0 Llnglestown Road, Suite 201
Harrisburg, Pennsylvania 17110
Attorneys for Defendant
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vs.
IN THE COURT OF COMMON PI.EAS OF
CUMBERLAND COUNTY. PENNSYL VANIA
CIVIL ACTION - I.A W
ROBERT J. KIRKPATRICK,
Plaintiff
SUSAN J. ALLISON.
Defendant
95.4468 CIVIl.
IN RE: PETITION FOR TERMINATION OR REDUCTION
OF INDEFINITE ALIMONY
ORDER
AND NOW, this Io.j day of May. 2001, al the request of counsel. hearing In the
above captioned molter set for Thursday, May 24, 2001, Is continued to Thursday, May 31, 2001.
at 9:30 a,m. In Courtroom Number 4, Cumberland County Courthouse, Carlisle, PA.
BY THE COURT,
Lori K. Senutelll, Esquire
For the Defendant
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PEj'IN:;YI.W'N~\
ROBERT J. KIRKPATRICK, IN THE COURT OF COMMON PLEAS OF
plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
vs. NO. 95 - 4468 CIVIL
SUSAN J. KIRKPATRICK,
Defendant IN DIVORCE
THE MASTER I Today is Thursday, April 24, 1997.
This is the date set for a Master's hearing in the above
captioned case. prenent in the hearing room are the plaintiff,
Robert J. KirkpatriCk, and his counsel Wayne F. Shade, and the
Defendant, susan J. KirkpatriCk, and her counsel Lori K.
serratelli.
This action was initiated by a complaint in divoroe
filed on August 22, 1995, raisinq grounds for divorce of
irretrievable breakdown of the marriage. counsel have advised
that the parties will sign and file affidavits of consent and
waivers of notice of intention to request entry of divorce
decree today following the statement of the agreement on the
record. Therefore, the divorce can be concluded under section
3301(C) of the Domestic Relations Code.
In a counterclaim filed on behalf of the
Defendant, the economic claims of equitable distribution,
alimony, and counsel fees and expenses have besn raised.
The parties were married cn March 25, 1966, and
separated on May 14, 1993. They are the natural parents of two
adult children.
After extensive negotiations this morning, the
Master has been advised that the parties and counsel have
reached an agreement with respect to the outstanding economic
claims. The agreement is going to placed on the record in the
presence of the parties. The agreement as placed on the record
will be considered the substantive agreement of the parties and
not subject to any changes or modifications except for
correction of typographical errors which may be made during the
transcription. The parties and counsel are going to return
later today to review the agreement for typographical errors,
and any correction of typographical errors will be made, after
which the parties and counsel will affix their signatures. The
signing of the agreement later today is simply an affirmation of
the terms of the agreement which are going to be stated on the
record at this time.
After the agreement has been affirmed by the
parties' and counsels' signatures, the Master will prepare an
order vacating his appointment. Counsel can then file a
praecipe transmitting the record to the Court requesting that
the Court enter a final decree in divorce. Ms. Serratelli.
MS. SERRATELLII with reepect to the equitable
distribution claim, the parties have agreed as follows:
1. Husband shall transfer all of his right, title, and
interest in the marital residsnce located at 1079
Newville Road, Carlisle, Pennsylvania, to wife. Wife's
counsel shall prepare the deed and present the deed to
'.
husband's counsel for signature.
Husband shall assume the existing first mortgage on the
marital residence currently owed to Harris Savings with a
balance as of April 23, 1997, of $6,826.69.
wife shall assume the 1997 home equity loan recently
acquired and co-signed by husband in the amount of
$5,000.00. Wife agrees to indemnify and hold husband
harmless on said home equity loan.
2. With respect to personal property, the parties shall
retain all personal property in their respective
possessions and each waives any claim to the property in
the other's possession.
3. Wife shall receive 848 shares of sprint common stock and
266 shares of 360 communications stock. Husband will
take care of any paperwork related to the transfer of the
stock to wife.
4. wife shall receive the sum of $58,500.00 as a rollover
from husband's 401(k) plan with sprint and husband shall
be responsible to prepare or conclude any paperwork
related to that rollover.
s. with respect to the parties' marital debt, husband shall
as sums all marital debt including the aforesaid mortgage
on the marital residence. with respect to the marital
debt, which husband has agreed to assume, husband also
agrees to indemnifY and hold wife harmless from any and
all claims arising out of said marital debt.
6. Husband shall pay the sum of $275.00 per week, payable
biweekly, as alimony to wife upon issuance of the decree
in divorce. Said payments shall continue through the
Domestic Relations Office pursuant to a wage attachment.
The calculation of the alimony award is based on the
aotual net yearly earnings of husband at $48,500.00 and
the assessed earnings of wife of $15,000.00 per year.
The alimony award shall be reviewable upon any
substantial change in circumstances. The parties do
ackncwledge that wife is entering a two year associates
RN degres program at Ilarrisburg Area Community college
beginning September 1997 for a period of two years.
7. Husband agrees to designate wife as irrevocable
beneficiary on his company policy as long as he is
employed with his current employer sprint and as long as
it is available as a company benefit in the amount of
$100,000.00.
8. Each party will assume their own counsel fees and costs.
9. Except as herein otherwise provided, each party may
dispose of his or her property in any way and each
party hereby waives and relinquishes any and all rights
he or she may now have or hereafter acquire under the
present or future laws of any jurisdiction to share in
the property or the estate of the other as a result of
the marital relationship including without limitation,
statutory allowance, widow's allowance, right of
intestacy, right to take against the will of the other,
and right to act as administrator or executor in the
other's estate. Each will at the request of the other
execute, acknowledge, and deliver any and all instruments
which may be necessary or advisable to carry into effect
this mutual waiver and relinquishment of all such
interests, rights, and claims.
MS. SERRATELLII susan, you have heard me read the
the terms of the agreement. Do you understand them olearly and
acknowledge that this is your free and voluntary agreement?
MS. KIRKPATRICK: Yes, I do.
MR. SHADEl Mr. Kirkpatrick, you have heard the
agreement recited. Do you have any questions about it?
MR. KIRKPATRICK I No, I don't.
HR. SIIADE: Do you aoknowledge this as your free
.
and voluntary act and signing it this afternoon will constitute
such?
MR. KIRKPATRICKI Yes, I do.
I acknowledge that I have read the above
stipulation and agreement, that I understand the terms of
settlement as set forth herein, and that by signing below I
ratify and affirm the agreement previously made and intend to
bind myself to the settlement as a contract obligating myself to
the terms of settlement and sUbjecting myself to the methods and
procedures of enforcement which may be imposed by law and in
particular section 3105 of the Domestic Relations Code.
WITNESS I
DATE I
<'[;~'II/ /:(.~',{"
Way . F. Sha e
Attorney for Plaintiff
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400 SUGAR LOAF CT
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In the Cou~t of C~on ~l... of Cwaba~l.nd County, ~.nn.ylv.ni.
DOMESTIC RI:I.IITIONS :a:CTIOll
\,,0. BOX .170, CIIIII.IHI.E, I'll 1'1013
I'honol 1'/1'1) 240-(,225
Date: May 31, 2001
Plaintiff Name: Robert J. Kirkpatrick
Defendant Name: Susan J. Allison
Docket Number: 95-4468 civil Term
PACSES Case Number:
Other State ID Number:
n.... "OUlI AU oonetpondenae auat include the lAC... C... wu.ber
Incft-. and Z~.n.. Stat--.nt
THIS FORM MUST BE FILLED OUT
IIf you are solC-omployod or if you are salaried by a business of which you are owner
In whole or In part, YOll must also fill out the supplemental Income Statement which
appears on tho last page of this incomo and eKpcnso statoment.)
INCOME STATEMENT OF ROBERT J. KIRKPATRICK
1 vsrify that the statements made In this Income and Exponse Statement are true
and correct. I understand that false statemenls herein are subject to the
criminal penalties of 10 l'a.C.S. S4904, relating to unaworn falsification to
author 1 t iea.
Date
IHCCMI
Employer:
Address:
IInN.1I
HO_I
Mortgage/llent
MalntonuTlCO
OUI it lea
1:lectr\<:
GaR
011
Robert J. Kirkpatrick
Sprint-Florida, Inc.
6860 West 115th Street, Overland Park, KS
lIIEK
MONTH
YIAIl
1,104.00
150.00
240.00
20.(,0
Telophone 150.00
Wa t" r 35.00
Sown r 77.00
11I1'1 oya.n t I
Public
Tran9portllllon
J,unch 322.00
T...., 289.55
Real Estato
Poraonnl ProporLy
I ncomo
IneuZ'.naez
1I0meowners 72.67
Automobile 153.75
Life 88.77
Accident
Ileal th 221. 28
Other
AutoaobU.,
Paymenla 362.20
Fuel 90.00
Repe 1 rs 110.00
Ne.l1a.11
Doctor 20.00
Dontist 20.00
Orthodontiat
11081'1 tal
Modic lno 40.00
tlpcc 1 al Iltwdn 120.00
(qlausll:J, t)rilCe~:I,
orthopudlr:
dovtr:un)
Educ. ticn I
Privato :;chool
Parochial School
College 140.00
Rol1giouo 40.00
Paraonall
Clothing 400.00
food 600.00
Barber/Beautician 40.00
Credit Payments: 994.99
Credit Card
Charge Account
Memberships 10.00
Loana.
Credit Union 200.00
IChoaUanaoua:
lIouaehold lIell'
Child Care
Papers/Dooks/ 15.00
Magazines
Entertainment 80.00
Pay TV
Vacation 200.00
GIC ts 100.00
Legal rOOD 100.00
Charitable 80.00
Contribution"
Other Child
Support
Alimony PiJymunt8 1,100.00
TOTAL EXPENSES 7,786.21
-1-
.
.
PROnRTY
OMIlID DI8CRIPTION VALUE II W J
Checking Accounl9 200.00 X
Savings Accounts 500.00 X
Credit Union 200.00 X
Stocks/l1onds 4,000.00 X
Resl Est"., 50,000.00 X
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188 page 20,
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Your n'll name ,nd Inlll,l
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Do you, a " II K fill I nl return, wanl $310 10 thll fund? .. .. .. , .. .. , .. ..
X SIIlQie
Man1ed filing joInl r.lurn ("""" II only CIlO hed Incane)
"'-'led filing 1",*lla retum, Enter 1p<ll1.'lloc:IalIOC\Jrlty no, eb<Ml and full name her., ~
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3
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7 WIQII, saIariaI, tipl, etc. Al1llch FOI01(I) W.2.. , .. .. .. , , .. , .. .. , .. .. . .. , .. .. .. .. .. .. 7
II Tuabla Interesl, Al1llch Schadule B Ifrequlred ...................,......"..,..".., II
b Tu...amplln'oreel Do nollndude on line Sa ' , , , , , , , , , , , , Ib
. Ord"'-Y dl\ldendl, Al1llch Schedule S Ilrequired.. .. .. , .. , .. . , .. .. .. .. .. .. .. .. .. .. .. , ·
10 TIllIbIe refundl, credlls, or oIfllla oIllate and IocaIlncane lal<eI (lee page 22) , , , , , . , , , , , , 10
11 Alimony recalwd ,...." , , .. , , , , .. , , , , .. , , , .. .. , , . , , , , , , . .. , , , , , .. , , , , , , . , , , , , , 11
la SUllnosllnlXl11O 01 (loll), Al1llch Schedule C a C.EZ .. .. . .. . , .. .. . .. .. , , , , .. .. .. . .. , 12
13 CapllaI gain a (loll). Altach Schadule 0 If required, If not required, c:hec:k her. . ' , , , , , , , ,0 13
14 Other galnl a (1oIIes), Altach Form 4797 ....,......, , .. .. , , .. , .. . .. .. .. .. .. , .. .. .. 14
151 ToIlIIAAdlll1ibuOonl...., lM!.!1 b T...blOlmoonl(I"_23) , lib
1'" TotoI ponllonllnd ,"",,10'" [1!!] . b T...bIOlmoonl(l" pogo 23), lib
17 Ranlal real eslala, rl7/lllUes, pn1erlhlps, S c:aporlUonl,lJulls, .Ic, "ltach Schedul. E ".", 17
11 FarmlncameOl(IoII),AltachScheduIeF ,..""""",..",..,'" ,.."""""".. 11
::1 ~~~~I,",~i""""""""'" 'I' 'j,' ~~~~:'.;~~n; ;~:;~~ ;~)': :~
al Other Incame, UlllWO and ,"",,"nl (lee page 25) al
aa Add Ihe IIIT1llUnlo In !he f", r hi column for Iln.. 7 Ihrou h 21. Thllll r lotlllncome ' , , , aa
a3 IRA deduclicn (188 page 27) .. .. . .. .. , .. .. , , , .. .. .. .. .., al
24 StudenllOllllnleresl deducUon (lee page 27), , . . , , , . . , , , , " 24
a5 Medlcal..<lngs ecc:ount deducUon. Attach Form 8853, , , , , , " 25
a5 Mo;\ng expen.es, Atlath Fam 3903.. . , .. .. , .. .. .. , , . .. .. 25
a7 On..half oI.oIf-llf11lllolmenllax, Allath Schedul. SE ,.,.,." 27
21 Self-empIO)ed hoallh Inlurance deducUon (.ee paga 29) , , , , ., 25
28 Salf-empIO)ed SEP, SIMPLE, end qualified pianl , . . , . , , , , , ,. 28
30 Penally 011 early Wilhdrawal 01 ..vlng. . . , .. .. , .. .. .. . , . , ", 30
311 AlIITOlY paid b Reclplenl'l SSN. 311
32 Add 11_ 23 thrOUjjh 31....., , , .... , , ..", ...... , . , .., , ...., . , ,.., . , , .... , , , .... 32
33 Sublracllln. 32 'rmlllne 22, This I. rid I Id rOil Income ' ' , , . , , ' , ' , ,
For Ollclolurl, PrlvlCY Act, Ind Plparwork RlducUon Acl NoUce, 1M plgl 56.
IS'
SlrF[W8tlF.1
Incoma
A1lath
Fonne w.a and
w,ao ......
A1'0 attach
Fonn(l) 1011'"
1f1U_
withheld.
If you did not
getaW.2,
lee page 21,
Endoel, bul do
notlltach, any
pI)mOI1l Also,
pleMa UN
Form 1040.Y,
Adjulted
Groll
Incom.
-
29 575.00
29 575.00
DEFENDANl 5
EXHIBIl
z..
1j'~I'OI
L. fLT
29 575.00
FOIm 1040 (lOOO)
.I), ,:::J
Form UMO'(2OOIl1'
Pogo a
Till Ind :14 Amcunllrernllne33(ldjulledgralllncanel "..""..",..".,..."""""",.","" :14 29 575.00
351 Checllll: 0 You_.~ardd<<. 0 Blind; OlpouHwas65ardd<<, 0 Blind. L
Crldltl Add lilt numbor aI bo><ea checl<ed .bo...llnd enter the total h... , , , , , , , , , , , , , " ~ 3511
b II you .. nwrled riling I..,..teiyend your IpwI.ltenUOI deductianl, ar you WIll.
IlInderd .duel.I\aIUI"'. _ page 31l1ld ched< her. .......... ...... ......,..,.. ~ 351> 0
1leduct1on~:II En" your Itemlaed deductlone 'rern Schedule A, line 28, or .......d deduction
lor MOIl lhoowl mlllt lei\. lut_ page 3110 IInd your lland.d deductla1l1 you ched<ed eny box an 4 400.00
People line 3!51ar 35b or II IOITlIa18cenclalmyou..depondent. ""."."".,..,.."""""" :II
61~ n Sublrec1I1ne36lramllne34",.."",.."".."".."",..""""..""..",.".., , n 25 175.00
14, :II II line 3411196,700 ar Ioal, multiply 12,800 by lilt total numbel aI.~1Ian1 claimed mllne 8~, II
HHdal line 3411 C\oW 196,700, _lilt WlI1<Ihoal an page 321ar lilt eno..11o enter , , , , , , , , . , , , , .. , , . :II
hauHhold 31 T.....1e loclll\l8, Sublrectline 36 'rern line 37, II line 3811 mar.lllen line 37, enter .(). , , , , . , .. , , , M 25.175.00
18.4110 40 Tile (1M page 32), Check II eny tax I. '''111 . 0 Farm(I) 8814 b 0 Farm4972 ..,......, 40 3 776
Monlld hllng 41 Alterneti....rrinlnuntax,Attach Farm 8251 "".."".."."",.".",.".""""...," 41
loinUy'" Add 1in1140 end 41 ".......................,......,..............."........,.. ~ 3.776.00
OuaI'l)lng 42 42
-I'" 43 Fanigntax credil. Attach Farm 111811 required..."".." , .." , 43
17,SIlO
Motriodftllng 44 Credit far child end dependenl... upenoee, Attach Farm 2441 , , , 44
_.loIy 48 Credit far lilt oIderty ar lilt dl.ebIed, AlIIch Schedule R , , . , , , , , , , 48
13.175 .. Educ.uancredila, AIlechFarm8863"..""..""....,...". ..
47 Child tax credil (_ page 36) , .. , , , , , .. , , , , , .. , , , .. .. , , . .. , . 47
.. Adaplla1credil. Allech FarmW9.. ,.."",..""..,..,..", ..
41 0-", Check II 'ram a 0 Farm 3600 b 0 Farm 8396
c 0 Farm8801 d 0 Farm (.peclly) 49
10 Add IIIl11 43 lllraugh 49, Thai... yourlolal credll. .."",..",..",..""..,.."...." 10
81 Sublrec1l1ne 10 fram line 42, II line 10 II mare 11I111 line 42 enter.(). ,.......... , ..,.., ,.... ~ 11 3.776.00
Othlr 52 SeII~ttax.AlIIch Sched....SE"..,..""..""..""""..".,..,..",..,., 12
Till.. U SocIal aacurlly end Medlen laIC m tip ~ nal repar1ed 10 8fl'(llo)w. Attach Farm 4137 , . , , , , , , n
Il4 Tile an IRAI, oIher..lIlo .,. ,I planI, end MSAI, Attach Farm 632911 required , , , , , , . , , , , , , , , , , , 14
II ~..nedlncameaedllPl)menIaIrarnFarm(.)W.2."""".."".."..,.." ,..", II
II HauHhaId.....,.,..,.,I...., AlIIch Sched....H.. "",..",..""."...."....",.."" II
17 Add_61 .h.ad.15ll. ThI. I...."lot.l... "..",.."",..,...."".."""". ,.., ~ 17 3 776.00
PlYl1llntl II F....1ncome laIC w11hh11d lram Farmo W.2l1ld 1099 "'" , , , , , II
L II 2000 .timaled tax pa)<ll6.\1a end emaunl eppIIed lram 1999 retum , II
:,:'I)l":' J lOa EImed Income cradlt (EIC) .. .. .. .. .. .. .. .. .. , .. .. .. . .. .. , lOa
child, IItICh b Nmtalolble earned Inccrne: .,...nt , , , " ~ I I
5chIdult ElC, lIld \)1le ~
It Excel. lacIeIlecurtty end RRTA tax withheld (I" page 50) ,,"" It
52 AddIIIa1aI child tax credil Attach Farm 1llI12 , , , .. , , , .. .. , , .. , , . 52
U Amounl pIid willi ,eqUOlt far _Ian 10 file (1M page 50) . , , , , , . U
14 0IhI< P'l"'onll. C_II hom a 0 Form 243g b 0 Form 4138 14
.1 Add 1inII1llI 69 !lOa end 61 II1r"JOh 64, ThaI........or lal.IM'ment. .,..."........." ~ 15
Refund II II line ~ I. mar. then line 67, .ublrect line 67 frern line 65, Thl. IIII1e emaunl you o.erpald "'" . II 0.00
HlI'III .ra AmaunlalllnellllYOUWlW1I..fundedloyou ...... ..,.......".,....,....,......,.... ~ .7.
dlrlCll~ I I I ~ c Type: 0 Checl<Jng 0 Sa~ng.
dopalllldl ~ b Rauting number
6"_&0 I II I I I I I 1-' 1
IIId hll In lib, ~ d Accounlnumber
a7., Ind lid II Amount a1111lO II "'" wlnll..llod \0 .our rocI ..Umotld '" . . , " ~ I II I
Amount II IIMne D71. mar. then llne~, .ublrect line 65 Iran line D7, Thlllllhe IIllOUnl you owe, Far 3,776.00
You Ow. dellllI m ~ 10 pay, ... page 61 .. .. .. . , .. .. .. , , .. .. , , .. .. T .. 'I" .. .. .. .. , , , .... ~ II
70 E.timaled tax <*IaI1v, Alia Include an line 69 ....'"...."....' 70
81gn Hlr.
Join' filum?
6H_tg
K"p I copy
rOl')OUt
ocordo
Undef penalUtI of perjury. I declare hit hi... ,qmlned \hi. filum and accompan)ing Ichedultl and .lItementl, and to the bell of mv knov.1tdge and beli,r,
they 1""\H1. correct. Ind complete_ Ded."tion 01 prepare' (other thin talpl)llr) I, blled on ,tllnlotmltlon 0' ""Nch prep"" h.. .ny knowledge
Your alplufI 011. Your occupation O.)iime phone number
Plld P'Op'"r'O
I Ilgn.lwl
preplrer. I.m" nama (01 ~
U.e Only \OO..lIoaU..mplo~I,
add"... ,nd ZIP cod,
spou.", Ilgnltu,. If . joint return, both mull algn
0.1'
spou..'. occupaln.,n
O.la
FOIm 12OO'J)
.ll' fEWIt "2
"
..J
/7~YJ""':J"c..l
.::JJWI
PA.40EZ. 1111 0000310029 I
PA-4oeZ lot-OO) III
'" __.T or ....NU~
-.."'''',.....
Penn. Ivanla Income Tax Return Commonwealth of Penn.
OFFICtAL USE ONlY
You, SOCiII SlCun" Numbe,
SPOUII'I Sodll S.."ly Number
IdonllllcoUon Lobol Chongo,
Fill In Ihll oVlllf Ihollbol yt.u rocelvod wllh
Ihll booklot 10 not complololy corroct, 0'
If you did nol filo I 1999 PA tl' rolum,
Do nol mlko corroctlonl on Iho labol "
DISCARD IT,
Importlnl, If you movld Inlo or out of
Ponnlylvonlo during 2000, you mUlt filo 0
rMO,
Amondod Rolurn, Fill In 11111 ovll II you
"0 Imondlng you, 2000 PA rolum.
Typl FUer, Fill In only ono OVII.
Slnglo
.
L..INI...
SUSAN KIRKPATRICK
You, FRI Nlmo
MI
SPOUH'I Fnl NI...
toll
SPOUH'llIII NI... . Only if dlllfonl from L..I Namo lboYl
.
Flrll kilt of addr..,. P,O. Bo.: Aplllmtnl Numb..: Suito: RR No. . if Ipphcebll
Mlrriod, Filing JoInUy
J
Second lint oIlddrt.. . 5.101 Add....
Momod, Filing Soporltlly M
Importlnl, If I nntl rolurn or filing '0' I
de....od poroon, you mUlt UIO I PA-40,
S.. Forml Ordoring,
County wIIero you livid on 12/3 lillO,
Cly"PoltOllict
Slalo
liP Codo
en School Codo Dljlimo Tolophollt Number
N
~ NI... of othooI dll.ict wholt you lIvod on 12131/00.
~
unlclPllily whlre you liVId on 12/31100,
29,575,00
11, Oroll ComptnllUon from PA Schodull W.2S, or you, Form(l) W.2, or olher Illtomenll. "".., 10,
lb. Unrolmbu,ud Employ.. BUlln,," E,plnlel, from PA Schedull UE, . , "., ' . , " . , , , , , , , . " lb,
Ic, Nol Complnllllon, Sublroctllnllb from lInola, ..' , . , ..... . .." , ....' , , ," , , . .,.. " , ',1C,
2, Inl"..t Incomo. Comploll Ind onclole I PA Schodule A, If 0,", $2,600, ,"" ' , . , , , , , , , , , , " 2,
3, Dlvldond Incomo, Complolo Ind onclolO 0 PA Schodulo B,II over $2,600, ., ' . , . , . , ' , , . " . , " 3,
I, Totll PA T..lbll Incomo. Add lIn.. Ic, 2, end 3, ",..,.".
"."""", I,
&, PA TIIlIobllily, Mulliply Llno I by 2.8'" (0.02&), "".,'
5,
.,,,,,..,,,,.,,,.....
6, Tolal PA T.. Withhold, f,om PA Schldulo W,2S, 0' your Formll) W,2, or olher 1lllomonll, 6.
T.. Forgiven... Credit. R.ad lhllnllrucUonl.
71 Filing Slolul from you, PA Schedule SP Unmll/lod or Slplrltld Mlrrlod
7b. Tolel Eligiblllly Income, , . , , . , , ' . , ,
7b.
From your PA To'oF,lo Schedulo SP,lIne 10.
6 T.. Fo,gl,ene.. Credll. From your PA 7el,Fllo Schudule SP
6.
DEfENDANT '>
EXHIBIT
g, Tolol Plymenll and Credlll Add lInel 6 ond B
g,
, I'D'
3
!i31'Ol ~IL-r
10. TAX DUE, If line 6 II more thon Line 9. ,mle, tho dlllafsnco here
EC
lido 1
OffiCIAl UII DNLY
..J
L
0000310029
0000310029
1). -~
"
~
-.J
PA-40EZ . 2000
0000410027
.......OUI_1
M DlPMn.NT or UVlNUI C:V'ICW, un OM.V
PennaylvaiiTiTncomeTaxReiurii Commonw...lth-oiPennlyivlniii-------
Your NII11e: Socl.1 S.curtty Numbor
SUSAN KIRKPATRICK
11, OVIII'AYIIINT. 111I.. 9 I. mOlll "'"n lIno e, Inlor thl dlW.ronco hlro, , . , .. , , , , , , . . . , . , . ., 11.
,
EnI.. how ~ ..... your O'IIIJMl)'ll1lnl oppIIod, II IOU only wonl. rofund cI1odl, onlor lhI0m0unlltom 1IM 11 on lilI 12.
You II1lIY noc ........ dnd dopooIl on I pIpII rotum, II you wonl 10 doNI. 10 one or II'oCD ollhlllind.IIIWd bilow, onllll' ... omounl on _linn.
Tho tolaI 01 LIn.. 12 Ihn>ugh 11 mu.1 oqullllnl 11,
12, 1I.l\Ind - Amounl olllnl 11 you wlnlll I chock mlll.d 10 you. .".""'.',.",,. 1I.lund 12,
13, DonlUon - Amounl 011lM 11 you wonllo donol. 10 tho Wild II110urcl ConlllYIUOn Fund, " , " 13,
14, DonIU.n -Amounl olllnlll you wlnllo donalllo th. U", Olympl. Comml"",'A DIvI.lon, 14.
Ie, DonlUon - Amount 01 Llnl 11 you wlnllo donat. 10 thl Orgln Donor AWI..nlll TruI' Fund" Ie,
Ie, Donollon - Amount ollln. 11 you wlnllo donatl 10 thl Korol/Vl.lnlm IIlmorlll,ln.. "",., 1e,
17, DonIUon - Amount oIli1e 11 ~ WII1IIo _10 ........t ond COIYIcol CII1CW RoONldl Fund. 17.
UMor 1IOlIIItlO. of ptIJ\Iry, I'.., Hc:.... th.11 I'" h... 'IImlnldthl. mum,ln.ludlnt .1I....mpon'''''' ..hOdull. "" .11.......11, ... 11th. ...1., my lour)
.11I, "'" ....Int.l Clrnet. Inlll complet..
v..i~ j-- .' .. .
,.. ......~....... f..... joilIy. I
8
..-
~ 'A_W,ZIIOl-llO)
M_Ol'_
Noml(.) .. ohown on )'OUI PA I.. ..Ium:
SUSAN KIRKPATRICK
PLUtl DO NOT CALL AIOUT VOUlllllfUNO UNT" I WlIKI AnlII VOU Fill,
W.a. St.t.m.nt Summ.ry
2000
Soclll S.curtly Numbor.
InttrucUonl. Inlllld 01 lubmllllng your Form(.) W.2, or pholocopllO, you moy wrllllhl nlCOlIl1Y inlurmlllon bilow, KHp your or\ginol Form,") W.2.
lmpoltlnL Your PA compenullon moy bl dlWlllnllrom your Ildorll wig... CluUon, II you bolil.lthlllhl PA .mount on I Form V{.2 il InCOITI", you
mu.llUbmll your octuII Form W.2 with I wrtlfon 1.p/lnOllon Irom your .mployor,
You mUI' .ubmIl olhor llIllmonll lor lI11ounl. YOlJ "" ..parUng .. compo nil lion on your PA I.. rolurn. . :
Inlormltlon From Io.h 'orm W.J,
Numloer 01 '1Im11' W.J
(I)
EmpIoyllld.nllllcollon Number
!10m box B
II you nlld mOl. 'PICI, l"'U nIIY pholocopylhl. .cIlodulo or P"PI" your own IC!lIduIo ~ Ihl. lorrnal.
Includl thl 10111 on Llnl 11 locIudl Ihl 1011I on llno 8
(c) (d)
PA 1..lbll complnllllon PA I.. wllhhlld
'rom box 17 Itom box 18
(b)
Fodorol w.glllrom
box I
. Do nollncludl
lacllincornl I..
withh.ld In
column 'd),
1,
2,
3,
4,
5,
8,
7,
Tot.I,
.
.
.
.
.
.
.
.
.
.
.
.
.
. Do nollnclud.
II' wilhh.ld 10
Inothor 1111. .,
country in
column ,D).
Clullon,
Thl C'Plrtm.nl
'I..NII the
rtghllo roqul"
you, Ictual
Form{.) W.2,
.
.
.
.
.
.
.
lid. 2
L
0000410027
-.J
0000410027
DlrINDANT'S INCONI AND IIPINSI STATKMINT
LORI K. SIRRATILLI, ISQ.
SIRRATILLI, SCHIrrMAN, BROWN
. CALHOON, P.C.
2080 Lingleetown Rd., Suite 201
Harrisburg, PA 17110-9483
(717) 540-9170
Attorney for Defendant
ROBIRT J. KIRKPATRICK, , IN THI COURT or COMMON PLIAS
Plaintiff , CUNBIRLAND COUNTY, PINNSYLVANIA
I
v. I No. 95-4468 Civil Term
,
SUSAN J. ALLISON, formerly I
SUSAN J. ItIRltPATRICK, I
Defendant , IN DIVORCI
11IflNll^Nl ...
I Xttll\11
INCOME AND EXPENSE STATEMENT
Ql
SUSAN J. ALLISON
Employer Harrisburo Hosoital/Pinnacle Health System
Address Front Street. Harrisburo. PA
Type of Work Reoistered Nurse
Payroll Number
Pay Period (weekly, bi-weekly, etc.)
Adjusted Gross Income 1 $40,848.00
See Attached 2000 Income Tax Return
Gross Pay Per Pay Period
ITINIZID PAYROLL DIDUCTIONS.
Federal Withholding 20001
6003.001
Social Security & Medicare 20001
2023.02
Local Wage Tax 2000:
265.95
State Income Tax 20001
742.65
Retirement
Other (specify)
Net Annual Pay Per Year (2000)
Net Annual Pay Per Year (2001)
31.813.38 (includino alimony)
24.675.15 lexcludino alimonv12
IThis represents the tolaltax withheld of 4096,00 plus the amount owln8 ofs 1907,00 for
lax year 2000.
IThis Is based on gross wages ofS29,575,OO less fedcrnllax ofS3716,OO; slate tax of
828,\0 and local tax of295,75 for a net yearly salary ofS24,675,1 5.
Puge -1-
OTKSR INCOIII: I l'iImK MONTH :aAR
Interest $ $ $ ,
Dividends $ $ $_.
Alimony $ $ $ 14.300.001
TOTAL N1iT ANNUAL INCOM. ... I."""" ..,. . 1....$ 31.813.38
EXPENSES
Weeklv Monthly Yearly
HOIII:.
Mortgage/Rent $ $ $
Maintenance $ $ $ 7.900.00.
UTILITISSI
Electric $ $ $ 800.00
Oil $ $ $ 1000.00
Telephone $ $ $ 820.00
Water/Sewer $ $ $ 200.00
Garbage $ $ $ 150.00
SUBTOTALS $ $ $ 10.870.00
Ilncluded in gross income per tax retum ($25,00).
llncluded In groS8 income per tax retum ($ 14,300,00).
4These expenses consist of thc following:
a, Snow Removal . 200,00
b. Outler Clconing . 200,00
e. Anticipated Exterior Painting . 2300,00
d, Tree Trimming . 1200,00
e. Repair of Bedroom & Kitchen. 2000,00
f, Interior Plastering & Painting . 2000,00
Poge .2.
IDIPLOYllKN'l' I
Uniforms " Shoes $ $ $ 700.00
Lunch $ $ $ 900.00
TAXES I
Real Estate $ $ $ 1104.70
Personal Property $ $ $ 159,52
Income $ $ $
IHSUJWfCII
Homeowners $ $ $ 230.00
Automobile $ $ $ 403.20
Life $ $ $
Health $ $ $ 30.00
AUTO"OaILII
Payments $ $ $ 5
Fuel $ $ $ 2040.00
Repairs $ $ $ 1000.00
HlDICALI
Doctor $ $ $
Dentist $ $ $ 250.00
Hospital $ $ $
Eye Care $ $ $ 250.00
SUBTOTALS $ $ $ 7.067.42
'Susan docs not currently havc any rar payments, but a payment Is expectcd in the future
as her current automobilc is a 1991 Honda Civil with 5145,000,00 miles,
Pagc -3-
IDUCATION.
Religious $ $ $
PIRSONAL.
Clothing $ $ $ 1200.00
Food $ $ $ 2400.00
Barber/Hairdresser $ $ $ 312.00
CRIDIT CARDS. Cap.cUy)
Visa $ $ $ 1000.00
IIIMBIRSHUS.
YWCA $ $ $ 25.00
AAA $ $ $ 77.00
YOOll $ $ $ 600.00
WITF $ $ $ 45.00
LOANS.
$ $ $
NJ:SCILLANlOUS.
Massage $ $ $ 1200.00
TV/computer/Phone $ $ $ 620.00
Entertainment/Travel$ $ $ 2000.00
SUBTOTALS $ $ $ 9.479.00
Page .4.
. ..-... "-
Pay TV $
Vacation $
Gifts $
Legal Fees $
Charitable Contrib $
Other (specify)
$
$
SUBTOTALS $
$ $
$ $
$ $
1-01 to 3-01
$ $ 353.75
$ $
$ $
$ $
$ $ 353.75
-------------------------------------------------------
TOTAL AHHUAL UPINS.B,
$ 27.770.17
-------------------------------------------------------
..o...n OWNID,
DESCRIPTION
VALUE
H H i1.
Checking Accounts
N/A
Savings Accounts
Credit Union
Stocks/Bonds
Real Estate
Other
--------------------------------------------------------
TOTAL ....................... $
--------------------------------------------------------
(HI . Husband
(WI a Wife
(Jl . Joint
Page .5.
INSUlW1CE
Blue Cross
MEDICAL
Blue Cross
Heal thl Accident
Disability Income
Dental
Other
COV&U.O&
COMPANY
POLICY II
H H l::
--
---
---
---
---
---
---
---
(H) .. Husband
(W) .. Wife
(C) .. Child
Pago -6.
(8ft
1n.lNcllonl
on PIQI 10,) SUSAN J ALLISON
IIMlhll". 10n NllfVILLB RD
~~M, CARLISLI, PI. 17013
plel" print
or typ.,
Pr.lldtnllll ~
Election ClI/lIpllon
8ft . .10.
1
a
3
Check only 4
onl bO..
Add nu"'b,rs
d Tolalnumberofexem tionldalmed -."- - --,~~~~':~oa,~ "
1 W.ges, ..111111, tiPI,.tc, AUlth Form(I)W.2 ....m...___..'_u.,..._m.....__m..._.... ;/0-
II TiQbiiin-.;,;;i;.-AitiChS;;;;j~iiiiii;;;iul;;j'-:...:....-.....:..m:---.-,.....:._:u:..:__m. ~. =--=-~~. ~~~j:
b TIJI....mpllnter..I.Donotlnclud.anlln.ea, , , , , , Ib ;i,ij,i,:
I Ordlnlrydlvld.n~. ,Sth ,.~' J.t,lulrod "' ifJ' -',:r.',.:.I>"....:".,::,''"'' ...!-,------.------
10 Ta.ablor.fund~i .frl.;, III, ,01111 dlocall t:I ta'(I~.P'oa22):;, /of" _.11~I_ _-.-.'-." -.'... 1.~4_-;._n.'.o_:
11 Allmonyrocelv"f, , ' . " "q" Mtf ~'l' , 01 '! '. . " .. ..
n Bu.lnes.lnco"",or(IOU' Sth Cor C,!" ".tl~' ~/, . ,r .!, :', ...!!. .h. ..---.- .-'
13 IIaI .'fL."Ii\..... 'I \ ';0 '11,,1,' , 0
Cap oalnoq_. II On (Iq ,theckh ,\.",.' ....,. '. , I, , ',~ .JL _-...--.....
14 Olllerg.ln.or (10''''). Altach Form 4797 , ' , , , . , , , . , .1~ .-.. '."-"--
III TollllRAdl.tilbuUonl , ,I~ I bTa..bl.aml j~!!' .---....-..-
111 TolllpensJonlBnd annullle., U!!J b Ta..bl.amt J!I!. --.....- ....-- ---
11 R.nlll re.1 esllt., roy.III1., p.r1n.rsl1lp., S corpor.Uon., tiu.ts,atc. Allach Schedul. E . .!! _ ___.___h__ ----
11 F.rm Incom. or (lou),Altath Sthodula F , , ' , , , , .J.~.. .-- -
11 Un.mploym.nt comp.n..tion, , , , , . , . , _ tt_ - -- -- - - .-.
aD. Soclal.eeurllybeneftll , , a b't'aubluml "" aOb 'h_'_ ,.. -
., : 'r' ~. ~. , -7//.
21 Olharlncome L1lttyp..ndamoum.,leepage ,__ ,.u'''r{d*.----.H. ..~- --. -- .;~{;,
t~)~\.~"" Hi M!I , ,.. ;'1", " 21
aa Ad'dih;~'';'~'~~i;l;;thi;~;;I-h'I'~m~;~.;wthr ffihiii..n;r.'~~i~i~,,~~o";~ "m... 22
23 IRAdeducllan (.eepag.27) ,I:,,' , ' . ,.'i' ,,\:!.',. ;";,i'l,;' 'Jt. _: ... _..... - ,{~
24 Studenlloanlnlere.ldeductlon(.eopage271. , , _.~_ . _... . .m__.._.... _%~
as Medlcal..,lnglBccountdeduclion,AllachFarm8853 as .... h. .._.. ..._ %
a8 Movin9 e.pense., Allach Form 3903 . , , , . 28 ;';"h
27 One,hallol.ell.omploymenllll,AllachSthadul.Se __~L." . n __'~~~_ ~ffi
as Sell, employed h.allh In.urance daducllon (see paga 291 a8 ',/,/,
- .-. ~~0;
al Soli. .mplayed SEP, SIMPLE, and quahftod plan. . 29 ."?;;
"...I,
30 Penally on eally withdrawal of ..,Ing. , 30 '" ",
;-;--/,.
31. Alimony paid bR.c1plont'.S5N . 31e '/..',
3a Addlln..23Ihrough3Ia . , .. "" 32
33 Subtiaclllne 32 lIon. Uno 22, This I. our.d ult.d ron Incom. . 33
ForDI.clo.u,", Prlv.cy Act..nd P.poI'Work Rlductlon Act Notlc..... pao. 58,
Ex.mpUonl
II mor.lIlan aI.
dep.ndenll,
oeepog.20,
Incom.
AltIch
FonnlW.hnd
w.aOhere,
A110 .ttach
Form(l"011.R
tttuwn
withheld,
llyoudldnal
gel.W.2,
oeepage21.
Enclo.., buldo
nol.llach..ny
paym.nt. Also,
please use
Form 1040. y,
AdJUlt.d
Groll
Income
KBA
Otpor1menl 01 Ill. Tre.sury. Internel Revenu. S.rvlce "5l'fi'l'O
U.S. Indlvldual'lncoma Tax Return (bWJV
Forllle arJ.n.l.0tc.31 2000 oraltlerta. arb Innln
,20 OMBNo lM5-0074
Your locl.l..curlty number
199-H-78U
Spou.... .ocl.lsacurlly number
., 00"01"""'0' It. I"nlhl" .e,
,
Importantl ,
You mUI' enler
your SSNI') abova.
You Spou..
V.. No
.
8
II
b . ..
e o.pencltnl.:
--IDAr"nom.
} fla 01 bcuu
(",(\l.dol'l
, . , . , , . , 8.1 tnd 6b
, Uo 01 ~OUI
pendenrs 4 " QUilIl ~h~~"1'l en Ie:
relaUonship 10 thll" 10'
_~-!L_ ___ ~.!! j....C;L. Il~.d ""Ih yell_
. dIll not h". wlltl
____. .._ __ _fOloldUI10C!I"Qlt.
i ,J"! < 0' up...ltlan
.,,"'_ _4_ _____.tu.Plgt201
~'!.i.;y. Otp.ndtnl,cn
"f ------ . -6cnOI,"ll1.o
,,,: IDOf'
L1*~\(i;.~~ ~ -_.~_._--
1
F0ll11104012QOOI
farm1040laOOO) fO'040.1Yl,a5
nlln llinlhu,)i:f.nn Ilnnl "'I!, lOOt HAR AI"" .. ~....,.... I....
,
Form 1040 2000
TI. Ind
Cr.dlta
IlI/ldUd
Deduction
lOflloal
People
Single:
14,400
H.ad 01
hOUNhold:
16,4~
Maroed filing
jolnUyor
QuaUlytng
wldow(er):
17,3~
Married
filing
""parat.ly:
13,675
Othll
TI...
Plym.nt.
llyouhavea
quahlytng
child, allach
Schedule EIC.
R.fund
Hav.lt
dlreeUy
d.poslledl
Seepag. ~
.nd III In 67b,
67e, and 67d,
Amount
You OW.
Sign
HlTe
JOlnlfeturn1
So. p.g. 19
K.op 0 copy
laryour
rBcords.
Paid
Prepare,'.
U.. Only
57
51 Federallneo"" la. wllllh.1d ~om Forma W. 2 and 1099 , ,
I' 2000"bmal'd.p~ta&a
lOa Earned Ineonlt_~.."'dlll~~) ,~-
b Nonta..ble eari' Inco' unl,
andtypo. n~_" ..
It Exce...aclal~ RRTi old(N'
.2 AdditiOnal child la. a..UI, Attach Form ee12 , ,
13 I\mountpald willi requnl Iorellenslon 10 fil.t_ ,l!!.g. ~I . ,
M Olllorpaym.nll,Ch.clIII Irom aD Form 2439 bU Form 4136,
.1 Add linn 5fi,69 60a andS1lhrou h64.Tolal rntnl.
51 IIlIn.65la more than lin. 57,aubbacllln. 57 ~om IIn. 65, ThI.I.Ih. amount you ov.rpald
111 l\mountalllnaOOyouwanllllundedloyou " .", n' . , ,
. b Routing numb.r "'1' .. T ., .' Ch.clIln"1tUJ",,ln9S
. d Acccuntnumb.r" 1'1
II Amountallln.OOyouw.nlap I .. I.'. .,i :.., ,"
18 If line 5711 more thon line 65. .u~~ctlln. 65 fr'J IIn., ,;~~~~;'M:~~.~~~~ you ow..
Ford.tall.onhowlop.y,...PIClll51, ",1,,,,,..,./1.,.1,..;.,,.,,,. . ,.. 1,907,
70 Estimated tal snail ,~so Include on Woe 69 70 /. z' /;, ~;ri;.}/~./??~
UflOIII,,",II," 01 "1'111", I d.~I,r. th 1111'1'.1 ,.,rM'," HIl' IIlu,n and JCCO"'f'''''/l1I ICI'I'dl"il.. IIId It.l,,,,.nll. Il'ld to Inl bnl 01 m, ~"0""!14al ."4
b,h,l, InlW "II'u.. cOll,cl,lnd campI,. I P'tll"I,on 01 pr,p"" lolnll tn," ,.p'rl'lll bind Oil .111"'0"",.110" of ....hlch pr,p,'" nn."W ~,.o.I,(ja'
SUSAN J ALLISON
34 Amount~omllne33tadlu.ledgroulnccmel. 'M' , , , , , , . M' .
31la Ch.ckil: 0 You were 65 ar older, 0 Blind: LJ lpou..wa.650ralder, LJBlind.
Addlh.numberolba...ch.ckedabaveand.nlerth.lotalher. . ,. ,.31la
b II you are manled ftllng IIParat.ly and your OPOUN !l.mln. deduction., or 0
youwereadual..latullli.n._pag.3tandch.ckher. , , , , , , , ,.351>
31 Enler your IlemiJId deductlon.lrom Schedule "-lIn. 2B, or .'andard deduction shown
on th.left,.... ....pag.3t 10 lInd yourstandard deduction II you ch.cked anybolon
Iin. 350 or 351> or Ilsomeon. can claim you a.. d.p.nd.nl, , , , , , . , ,
37 Subbaetlln.3B~omlln.34, , , , , , , , , , , , , , , , , ,
31 II IIn. 341.196,700 ar lell, multiply 12,600 by th. tola\ number ol...mption. c1alm.d on
IIn. ed.lllln. 341. aver 196,700, _ the worl<shllt on page 32 lor III. amount to .nler .
= ~:~~:::"~:~~:::III. ~l:ln. . ;4'b ~~~; 4;n~ ' ~l':'.~~~~~O'
41 AIIernativ. minimum \all, chFormB " tr".:1J!" rfl;1,
42 Add Iln..40and 41 , ;.€!V ',' ",' ~ ' ,
43 Forelgn\alcredll,Allach~ bl811req ."" 43,
44 Credlllorc11l1dand d.p.nd.nlcarellpen...,A1tacll Form 2441, 44
45 Credlllorth..Id.~varlh.dl..bled,A1tachScheduIeR 4B
41 Educalloneredill,AttachFarm6663 , , , , , " 41
47 Chlldta.credlll....PI9.36), , ' . , , ' , " 47
41 Adoplloneredll,AllachFonnBB39 , , 'r'1' , " ...
4. Olller.Ch.ckllllom .8 Form 3600 buFarm6396
eDForm8BOl d . Iy) .
80 Add linn 43 through 49 , '
II Subbaetlln. ~ 110m 1In.
12 Sell. .mploymenl tu, ~ ' , ,
13 SaclalNcurlly.nd MeclltaI In .no 0 ~yer; chForm4137,
84 Talon IRAa,olh1l rellr.menlplan.. .nd MSAI,Altacll Form &3291lrequlred ,
I' Advance.arnodlncomeeredllpaym.nla~amForm(.'W.2 , , , , . , , , ,
II HauNhold .mploymenlla....A1tachBcheduIeH , ' , , , " .".
..._........__....___.....__..............-......-....4...---..-.......-...--------.------...------....
12
U
M
Dalo
Your occupation
RN
~ Your signature
For Info only-Do not fil
Spou..'. oIgn,I",o.II.lolnl rolurn, bolh mu.l.ign,
For Info Only-Do not fil
Propar.r'. .. " .
slgnalura ,. II . ( ..
Rrm'. namo (ar ..1t-)jtn-R-1l1;Ol:lK
~~i~~:"~~3'Z'IW~.I,,.~Al{m1t;!. fA 1 nl-r;nOli-
Spouse's occupation
e2
4,400.
2,800.
.
.
6, DOl.
.
4,096.
.
Oa~time phone number
P,oparo". S5N or PTlN
P00029595
EIN 2'5:-17'69li3T"
..,-- Phononn (7171-n3'~'69li9
Form 1040120001
KBA
Form 10.1012000/ fDl040'2V 1.25
Jail" Soli",I'; C:O:p 'lgI\I1998. lOOt tUft Bloc~ '1 S"wlcn,lnt
PAYER'S nllme ,u"t Iddleu. C11y, \Iatl!, /11' rodi' l,rullrlt'IIIIIM\III\U
CORNERSTONE FEDERAL C.U.
S EAST GATE DRIVE
P.O BOX 1181
CARLISLE PA 17013
717 2 9-1661
PAYER S hdtlollllll!ttll.catoon numlll"
.'.,'Wm ltlUN IOllhi\l1ilI)
UMU No U.~.OI12
~@oo
, '
Interest Income
I..", 10BB.INT
IS IIl.,H\lIncnt l!lpOfllt(llt
Copy B
For Recipient
'h.~ i.. 1f11pol'1l1nl1al
tn'orrnalM\l1 and I"
1H'1I\ij IUfllI\hnd 10 tht!
InlctlMI Rft'l't'IlUO
SCI.,I(.O II you .1'0
requlfcd 10 Ille II lulUlll,
a ,wgII(J~nctf pl.'Oolll'f 01
other 'tlncllon IN1 bo
IInpo!tcd on you l'lhl'
InCOllle I' IiII.lDlo ftnet
11m IRS dt!ll'fmll'l'" lhal
II h.1' no, been
III led
Dt.'pnrlmlllll 01 the If,,.,..ury Inll"I'<,1 "ItVI'IIIJtt S...,v"o
UlCIPllNI S Idl'I\ILI+I..lIion ,lllmll."
11\h'II'\1 Innllll11 Illlt IIll hllh't1 U1 hili 1
199-34 -7849
and lIP codo
s
24.97
2 l.lIly O\llIhll.l>'IoII l/f,""lly
J Inltll,\1 on U S S<lYlng\
Ulln.h I1nd hrol\ nhhgolhOn\
SUSAN ALLISON
1079 NEWVILLE ROAD
CARLISLE PA 17013
s
.. .d",llncomt III .."htwld
.00
s
s
6 f olt'~Jn tdl paid
1 lat91 {(In,, 01 U '\ 'lJ\\n\kI'
s
Account numbt'f 10\11.('10,11)
!:,"\:'l
\.:':'-.>.:
5
foom 10BI.INT
(Keep II', your ",cOlds 1
Copr C Fa. EMPLOYEE'S RECORDS
S.. Nollce 10 E!!!Illo Of on bock 01 Co
. ontr04 nllftlOfr , W'g4',IJP'. otherC;ClrT\p
8,
0"'8 No
1&410001
I ftdlr.llf\CQIN I.. ~
2000
'j"
.
'4
..A....
a tal 'lC\lnl~ ..;e~
1I'flIO'I'.tl n~1 26
25-1778644 .Meck.'..,....,.'.ndl~.
0< .
G ftllIoY'" NmI. .ddr.u. ,nJZ: I c-odI
PINNACLE HEALTH HOSPITALS
ATTNI PAYROLL DEPARTMENT
P BOX 8700
HARRISBURG. PA 17105-8700
-----4.
. I&IMCunlytU1lllltlheld
I -.Je.,.ln.1IhheId
~p . ~ c:
d Err.plo....... wel.1 1fK\j'''l nl,l1T'tlf1
199-li=.1849
. E.y... Mme. .~.U. .nil liP todtlo
SUSAN JANE ALLISON
1079 NEWVILI.E ROAD
CARLISLE, PA 17013
; 1" . .~,-'~..~~,. ~~. \ .<.j '- ..... "C. ':':'\'~';..~ ": :}.- '/..' .';:<~:.~j, .;,-.-~l'''\i '~lj~.: "-":'~
.j.~~:~.';';I:tJ~ ..~.:...1-~.i{1.1:.1.:;; 1~'~':l..'\!~;,.,W':,' ~~!!I";.~ \:i:~;~~"'l:;;\:"'~'-!'o"''''''~
..,_',,";..'~""-' -.A~',_..- .,;............w-;,;",.._:' '-. ""...'10-':,,: .-,.~.--:....._'}'" #, ".,
,~iIKWllyllfl' r'l'<JI'~'
'ptOO'r'll "I' b.,-. ~I ~~~L~~~u.I!tf.~ pl.Il"
, s..irlIt,.IOI-';:O;I1---- -----IOihe'-
l"liilulO".---..-n,iiU)..'-o.:.-j,-.;r-- ,"",ion JlIM
II A<JvI~W:' Elcrjj".tlllilf'i
lJ BeIll!4, WI(;luO.4 in hol t
leQ-I1 '1'1--1fer.-;;;, comp---j
---r------- ------- -.----'-----1-----.. ..---..- -"-'--'1
PA 125-1778644 26523.40 742,65'
~" 5~~pl!)I'" ,'.1. 10. 17 SI'''~!:L..~_~ __ !..'~I ",~~~_ __ _4~~ 1.
"LIXI"'., ".me j20 L~~I"'.Olt l'flt ,Ie II \lJ(.,' "-"-l'f"lIl,U i
CARLISLE AREA S 26593,89 265, 9S i
'_m YH W.", tn.t fI, ii;i;nW"t.1 _. ~-'~ ---b;;jr,rir, ii....,iri--:7iAS---'4l.l.tiIlil'
'''" ,,",1011"4110/\ .. bellllllli!IllII..d lQ 1"* IRS II.w '1' 11"'l"I<J tQ Ii. I II' "II..", I ravl1W"""
.,.,...,-0\"''' "ntloun me, toe '"'lOt." uo .,u., . lhIt 1I1C0I"I0I ., lllll&b'tf af\tJ .,Oll '.4 h I.pol" .
VERIFICATION
I verify that the statements made in the foregoing are true and correct. I understand that
false statements herein are made subject to the penalties of 18 Pa,C,S, Scetlon 4904. relating to
unswom falsification to authorities,
_1LiI~4t~?? J
SAN . LLISO '
<"-'U',n:;
, . . ISIx' ~C" L..O J~
ROBERT J. KIRKPATRICK,
Plaintiff
: IN TilE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY. PENNSYLVANIA
vs.
.
.
: No. 95.4468 Civil Tenn
SUSAN J. ALLISON. fonnerly
SUSAN J. KIRKPATRICK.
Defendant
: IN DIVORCE
CERTIFICATE OF SERVICE
I, Lori K. Serratelli, Esquire, do hereby certify that on May 29, 2001, service of the
foregoing was made upon the Defendant, by hand delivery to his allomey, Wayne F. Shade,
Esquire.
Dated: May 29. 2001
La' . erratelll, sq.
S RRATELLI, SCHIFFMAN, BROWN
& CALHOON
2080 L1ngIestown Rd" Suite 201
Harrisburg. P A 1711 0
(717) 540.9170
Allomey for Defendant
wl_, . ",
n
A:\,'
ROBERT J, KIRKIIATRICK,
IIlalntilT
VS,
IN 1'1 IE COURT OF COMMON IILEAS OF
CUMBERLAND COUNTY. I)ENNSYL VANIA
CIVIL ACTION. LAW
SUSAN J. ALLISON.
Defendant
95.4468 CIVIL
IN RE: PETITION FOR TERMINATION OR REDUCTION
OF INDEFINITE ALIMONY
AND NOW. this
ORDER
II" day of June. 2001. following hearing, the petition of the
plaintiff is GRANTED and it Is ordered and directed as follows:
J. Commencing with the week of July I, 200 I, the amount of alimony to be paid from
the plaintiff to the defendant shaH be reduced to $135,00 per week.
2. Commencing with the first week of July in 2002, alimony shaH be reduced to $65.00
per week.
3. Commencing with the first week of July In 2003. alimony shaH be reduced to $30,00
per week.
4. From and after July I, 2004. the order lor the payment of alimony shall be deemed
vacated,
BY TIlE COURT,
/1j
~
\p'\
, .
'.
, :':'JII'
o I .lUll l~' ,1;1 !J; t, 3
CU'\:b...i1l/',\U t.'GUNIY
I'GV.vSlt!\4.tVI4
\'
.
,
'\...
Wayne F. Shade. Esquirc
For the Plaintiff
Lori K. Serratelli. Esquire
For the Dclendant
:rlm
, .
f-~
ORDEIl/NOTlCE TO WITHH~D INCOME FOR SUPPORT
'Mt. !15'- . '/1/{, ~ ('1V1t,
Stlte COmmon....allholP..nnlylvanll )?~FS 'ii'lr;b~oo:.>/
Co.lClty/Dlst, 01 CUMBBRLAND >. I)
DateolOrder/Notlce 07/18/01 eN\. &/3?o ~
Court/Case Number (SH AddMdum 101' "se summllY)
o {)rt~I"..1 Onlt-or/Nulin'
@ Aml'RlL'11 ()nlt'r/Nnllrf1
o TI'tlllln!lI' ()nlt.r/NIIIlII'
Em.~C1Vt'r^",l1hhnll~lr'. fl'Ch',,,1 [IN Numtll'f
SPRINT----WFSC PAYROLL
Eml~II\"rlWllhlvllch'r'. N.ml'
6860 W 1I5TH ST
Eml~IIVI'rlWllhlvll,k'r'. Athtn'..
OVERLAND PARK KS 66~11-~400
I RE: KIRKPATRICK. ROBBRT J.
) [mplnVI"'/OhliIlUf',, NoInw (l.ut. fl"l, Mil
, 165-34-4371
) [",plnY"I./t J1~I)lur', '1M loll ~1'1 urtly Nu",'.',
I
I
I
I
)
577~0000a5
Eml"u~'I'I'/()I~lgur', ellW h~lnllfil'r
ISH Addr...... 1M pllin/lf{ n...... ..sod.rod,,11lt ..... on .1t.dun",1I
fU\tlKU,d PoI"'nl', NoInu'll,nl, Flnl, Mil
SH AddMdum lot ~ndent n.mes .nd birth d.tes .uod.ted with r.ses on .".rhment.
ORDER INFORMA TION: This Is an Order/Notice to Withhold Income lor Support based upon an order lor support
from CUMBBRLAND County. Commonwealth of Pennsylvania, By law, you arc required to dedud Ihese
amounlS from Ihe above.named employee's!ohllgor'slncome until further notice even If the Order/Notice Is not
ISlued by your Slate,
$ 585.00 per monlh InLUrrentsupport
$ 0 ,00 per month In past-due support Arrears t 2 weeks or grealerl 0 yes 00 no
$ 0.00 per month In medical support
$ 0 . 00 per month for genetic test costs
$ per month In other (specify)
for a tOl11 0(. US. 00 per month to be (orwarded to plyee below.
You do not have to vary your pay cycle 10 be In compliance wllh the support order. If your pay cycle does nOl malch
the ordered support payment cycle. use Ihe following to determine how much to withhold: "
$ 135,00 per weekly pay period, - '
$ ~70. 00 per biweekly pay period (every two weeks),
$ ~9~, 50 per semimonthly pay period (twice a month),
$ 585 _ 00 per monlhly pay period,
REMITTANCE INFORMATION:
You must begin wlthholdlnR no later Ihan the first pay period occurring len (10) working days after the date of Ihls
Order/Notice, Send payment within seven (71 workln8 days of the paydate/dale of wllhholdlng, You are entllled 10
dedud a fee to defray Ihe cost of wllhholdlng, ReIer to the laws governing the work state of your employee for the
the allowable amounl, The lolal wllhheld amount. and your fee. cannot exceed 55% of Ihe employee's! obligor's
aggregate disposable weekly earnings, For Ihe purpose of the Iimllatlon on wllhholdlng, Ihe following Information Is
needed (See 119 on pg. 2).
If remllllng by EHIEDI. please call Pennsylvania Slale Collecliorll and Dlibursement Unit (SCOUl Employer
Customer Service at 1.877.676-9580 lor Imlruclions,
Make Remittance Payable 101 PA seDU
Send check 101 Penniylvanla seou, P.O. BOll 69112, Hauliburs, Pa 17106-9112
IN ADDtTtON, PA VMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE 'ACSES MEMIEII ID fshowll
.Ibow.. the EmploYH/ObIl,or's C.se ldelltlfler) 011 SOCIAL SECUlltrY NUMIEII tN OIlDEII TO IE '1I0CESSED,
DO NOT SEND CASH IV MAIL.
BY THE COURTI
Dale of Order:
JUL 1 9 2001
~.
/'
",,~
Service Type M
~"".,...ro''''
...," J l) h"iI..I~..dl.I", 1,I;111lll
Form EN.028
Worker ID $IATT
"L I~I \.!"'" '. i~!:
(': ':. ". "~::JfAHY
, ''If ~
01 AlJG-1 PI1 ill II
CUMti~i1LI\i,t.J COUNlY
PENNSYLVANIA
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS
o I( du', kl!d Y"" ~'I! ,.qullt'd IlIlullvlll.. "'"PY III Ihl. IlIrn' III ylllll..",,,IIl)"....
1, PrloritV: WithhnldlnK undl" Ihl\ Ordm/NlIlht! hd' I1riorlty II\'N .IllY ullll'f It'K..I1 pUll t'\\ undll' St.ll!! IdW dKdlll\' 11m \.111111 1m tIlUH.
Fed,,,..1 t.u, I~vle' in pffelt hnf(Jlp ft~1 .'ipt Ilf Ihl, Ilfdl!r I\.IVI, prltlrity, Ifll1l'ft. ,1ft' f NIt.,..I",. It'vil'\ In l'ft,'cl pIIIJ\U lflllttll' llw fIIqlJll\til1K
oMeney 1I\ll!d t.,llIw,
2. CnmhlnlnK P.lynwnt\: VIIU (.111 C III1Ihlll" wilhlwld ,Illlount' frol11ll\lIIt' Ih,m lll\l! ,.I11JllflY..../ohIlWu.' 1111111111' ill d ,II1KIt, p.lynwnl
tn "..It h dKI!1U Y wquP\t1I1R wlthhllldlnR. Villi Il1U,t,IUJWt'VI", ,t'pJf.lh.ly hltll\lify 11\1' pClrlil'" I)f IllI' ,iI1K". plltnlt'lllllMll\ dltrihutdhlt. tcJ
..~d, ..mpllly....JllhIlWll,
3,' _. R..pnrtlnR th.. P4yd4",104'" n( Wilhhnldinn: Ynll mu.' I1'pnrt ,h.. I>Jyd,I,..Id."" nl WllhhnldinA wh..n ,,,ndinA ,h.. p.ym..nl. 1 h..
""ydllll'Jdam nlwlthhnldinR I' th" d.", nn whirl. 4mnun' w.' withh"ld from Ih" ""'plol""'" w.IA"'. Yu" n""I'"l11ply with Ihl! I~w ullhe
I'.&1P. oflh8 .,mplur~ftf"nhIlKurt, prlndp.ll ,)1.1(1, of t'l11ploynwl11 wilh 1I"IH'f till tl1l' lil1l., l>f'ricul, wirhin whll h YCIU mU\1 Il11pl...",..I\I 11m
wllhholdlnR ",de, ~nd lo,w~,d Ihl! "'PI."t pdyn,,'n",
4,' EmployepJOhllMIII wilh Mullipl.. Supl",1 Iillldlnn\: If II".". I.lllu,,, II..u u,,,, Onlo"/NIIIIII! III Wilhhulll Inllll"" fu, SuppIIII
~R.h"llhl. ..mploy"eJohIlMII' ~nd y"u ~'e un~hh, 1111"",," "II."p"o'l Ord,'r/N,,'i'I" d",'lu F,.d....IIII Sldll! withhuldinM Iilllil., yuu 111".1
follow the IrJW uf the slJfe of t!mplnV"H'''uhIiKnr', prlnrlpJI plJ( t' fl' 1'l11pluVl1ll1nl. VI HII11U'f IUIIIlH .Ill Ordt:'fvNulil 11\ If) lh.. gr"dl""
eklent I"...1I111!, ISell .9 h..lllw)
S. T P.fl11hldlion Ntllifirdtlnn: Yuu mmt promptly nlltlfy tht' Rt'qut'!ItiIlK AM,om y wlwl\ th.. t'1l11lluYllf./uhIiKlH I, no lonK'" work InK for
you, Ple~.e plllvlde the Inlllllll.tiun ,rqu".led ~nd ",turn. 1 u"y ollhl, Old.,/Nol;, I! lu IIII! AS"'" Y Id..ntifi.d helnw,
WITHHOlDER'S 10: 3010000033
EMPLOYEE'S/OBLlGOR'S NAME: KIRKPATRICK, ROBERT J,
EMPLOYEE'S CASE IDFNTIFlER: 5772000025 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6, Lump Sum POYlllenl\: You n..y tM, 'I!qulrl!d 10 'I!I""' ~nd withhold 111I1111,,1111' '"l" p~YIll.nl' 'UI h ~. I.lllu..... '11111",1..101". or
,ev..r~n'" p~y, If you h~ve ~ny qlll!'llol\1 ~I"ullulllp .1I1ll p~y"'.nl,."'nl~lIlhe ""lion III .ulh",i1y 1..low,
7, lI~hllily: I( you '~1I10 wilhhuld In",,,,e~. Ih.. O,de,/Nolh" dl"" to. yu" ~'" Ii~hlp, lu, '"Ih Ihe~. rlll"ul~l"d ~n",unl yu" ,hlluld
h~v.. wllhheld (rom the "n1ployerJohIlM'"'' Inwllle ~nd ulh., "",..ill., .el hy P",,,,,ylv.nl~ SI~I..I~w, Pen",ylv~nl. S'~I.. I.w suvern.
unle.. the ohllSorl. elllplllyed In ~nolhe' SI~le. In which r~'1! Ih. I~\V ul ,he S'~le In whl. h h" III .he I. elllployed MU"""'"
8, Anll-dl,rrlmln.llon: Y!lU ~,e .uhie'lllI ~ fine del"lIIh",d unde, SI~le I~IV 1m dl..11JIslns ~n I!lIIpluyeeJuhliSlll fmm
employmenl, le(u,lng III .."'ploy, ur l.kll1S dl.dpllrlJ'Y ~1I11l11 ~n.lnll.I1Y ell1plllye..JllhliSllll....~u'" Ilf . ,uPI",,1 withhnhlil1g.
Penn,ylv.nl~ SI.le I~w Silvern. unle.. Ihe IlhllMlIIl. I!mplllyed In ~l1l1lhl!' 51.1.. 111 whir h "'I! ,h. I~w of ,he SlJIe 111 whio h he or .he I.
employ.d govelll',
9,' Wllhhllldll1R lImll<: Yuu "'~y nlll wllhhuld mllfl! Ih~n Ihe II!..e, Ilf: IIlhe ~muul1to ~lIl1wed hy Ih" Fed...1 Cllmume, C,edit
PllIteellnn All (15 U,S,C, S 16731hll1 or 21,h. ~mllun'. ~lIuw.d hy Ihe SI~le ul II", employ..'./lIhIlMIJI.. p,ll1dp~1 pl~le of employm..nt.
Th.. Fede,.llImll ~pplle'llllhe ~MRres~l. e1I'I"".hle wl!ekly "~,,,Ir'M' (ADWE), ADWE l'lhe "elll1lOm" leh ~he' m~kll1M "'~l1d.IIJlY
d~dur'lflm Ill( h ...\: Sidle, fedt'rdl, IcJfJI tJIU~'1 51H Idl St'( urily Idllt"i dlld 1\,..ditdft' tJX"'.
10,
'NOTE: If yo" or your agenl arc selVed wllh a COllY of Ihis order In Ihe stale Ihallllued Ihe orde,. you arc 10 follow Ihe
law of the slale Ihallllued Ihis order wllh relpecllo Ihele limns.
Relluestlng Agency:
DOMESTIC RELATIONS SECTION
13 N, HANOVER ST
1',0, 1I0X 320
CARlISI.E "A 17013
If you or your employee/obligor have any lIUeSllons.
coni al'l WAGE AlTAClIMENT UNIf
by lelephone .11 (7171240,6225 or
by I AX ill 17171 241J.624fl or
by Il1lernel @
Page 2 of 2
101111 IN,0211
Wurker ID $IATT
SelVlce Type M
If\I"'.",lJ~llIU'H
1 'l'lr.li,~, II.'.. 11' II',,,!
ADDENDUM
Summlry 01 Cllfl on Alllehmenl
Delendlnt/OIIl1lor: KIRKPATRICK,
PACSES Cd.. Numh", 818000021//l1:j;;?
Plaintiff Nan,,, ,"
aua"" J, l'.1.\.IOON
l1lWw1 AII.('hm"nl Amounl
464 a 93 S 586.00
Chlld!,.n)'. N.m.(l): DOB
ROBBRT J,
PACSES C.". Numh"r
PI.lnllff N.me
AUdC I1me-fl' Amuunt
S 0,00
Chlld!lIm)'. N.n",(.):
D()(kpl
DOB
o If ,h.('k.d, you .r. ,.quired 10 "nlllll thp I hlldlr"n)
Identified .hov. In .ny he.llh Inllll.n('. lClv.r.K" ,lv.i1.hh'
thmuKh Ih. "mploye. "uhllKOI" empluyn",nl.
o If I hp< k.d. yuu .r. r.qulr.d III "nllllllh. ('hlld!,.n)
Idenllfi"d .huv. In .ny h..llh Inlur.n,,, mV.'.Ke .v.lI.ble
IhrouKh ,h. .mplny.e "obIlKOI" empluyment
PACSES c.n. Numhe,
PI.-In.lff N.lme
PACSES C.ll. Numh.,
PI.lnllff N.'ll.
Qw:k!ll AII.('hm.nl Amounl
S 0.00
Chlld(ren)'. N.m.!.):
DOB
Att.Jc-hment Amount
S 0.00
Chlldlren)'. Nameh):
tzlWW
DOB
o If checked. you a,e ,equlred to enroll the ,hlld!,en)
Idenllfied above In any heallh Inluran,e lfIveraKe .v.lI.hl.
Ihmugh the employee'wbll811f" empluyment
o If ('h.('k.d, you a,e ,.qulred 10 enroll the chlld!,en)
ldentlfi.d .huv. In .ny health hlloranre rov.rage available
IhflluKh Ih. .mployee "oh1l801'1 employm"nt
PACSES Cd.. Numher
Plalnllff Name
PACSES Ca.. Numher
PI.lnllff Nam.
Om l(t~' ^<<JrhnlPnl Amount
S 0.00
Chlldlr.n)'. Name(.):
DOB
^".u-hl1lpnt Amuunt
S 0.00
Chlld(,en)'. Nam.(I):
i2!!l:ll!1
DOB
o If ,he('ked, Ylll' .,. ,.qull.d 10 .nllllllh. I hlld(..n)
Idenllfi.d .I_IV. In .ny h..llh lII\ur.nr. 1 ov.r.K. .v.i1.hl.
"n""Kh Ih. .mplny"" "nhIlKUl'1 .mploym.nt
o If ,h.,k.d, y"u .,. ,.qulred 10 "nrolllhe ,hlld!r.n)
Id.ntlfi"d .I..vo In .ny he.lth ImuI.n,. mvel.Ke .v.llable
IhlllUKh ,h. "mplny.. liohll801'I employment
Addendum
Form EN,028
Worker ID $IATT
Service Type M
t)\\R~.ll;UlJ1UIJIU
111,lljlllllllll,,.;11111'lJll
S; -. ~
- .,.
,,' .. :j~
It'(; .:z Q
()...- :~ '~~
.0;.\ ,
iJ" I n.-
"
f~<: 7':~
. I' I j
'-'I.'
~I.I, . . l
(.~ I}~
U. =->
, "'1:'
". Ci
u <:)
i
)
~
,
ORDER/NOTICE TO WITHHOLD INCOME fOR SUPPORT
o ()rIKhlJl ()UI11r/NoIh(~
@ Amrnth.d ()Uh1IfNulill'
o l('fmin.llt' OFlft'I/Nntl'I'
Rlh U wwl..> 2.1
'1'; . ~'tlot C'I\lI~
State Commonwea\lh of Pennlwlwanl.
Co.lClty/DIM, of CUMBERLAND
0,111' of Ordl'l/Notlrll 07/01/02
COUrt/CdSI' Numher fSH AddMdum (or r..1' lumm.ry)
I KI: KIRKP^TRICK, ROBERT J,
) 111lplllYt..'/t lhhgul'\ ~J.lIlW 11."1.1 if"!. Mil
I
I
I
I
I
I
I
OJ '''>J l' ( p..tr"'" \
I mlllnvrrNJilhholdN" f rd('rollllN Numh..,
SPRINT UNITED MAN^GEMENT CO"
lmJlloyttf^Vithhold~r" N,mu'
6860 W 115TH ST
lmllloyefNJilhholdrl" Ad(lIru,
OVERLAND PARK KB 66211-2400
165-34 -4379
I mllloy,'('/f )hliRUI'\ ',(K loll ~I'I untv Numh."
5772000025
(mploY",'/( )hllglll'\ (:.l~('lch,mllhl'r
rs.. AdIIr...... (ot ",./nlllf n.m.. ...ocl.rod wHh ..... M .".rllmMIJ
CU'.IUl:Ii.lll'.lII'nl's N.utll' It .1\1, t h~l. Mil
Sft' AddMdum (0' dl'".ndenl n.ml'..nd bl"h d./I" .lIor/.,1'II wllh C"I" on .".roml'nl.
ORDER INFORMA T/ON: Thll II dn Ordm/Nolln! 10 Withhold Incoml' for Suppor1Il<1II>d upon dn order for IUpport
from CUMBERLAND Counly. Commonwl'allh of Pl'nnlylviml,I, By law. ynu ,1ft! rl'qulmd In dl'lluctthese
amounts from Ihl' abovl~naml>d I'mplnYI't!'wobIlKor'l Inrume until further nolln! even If the Order/Nollre II nol
Issul'll by your Stale,
S 281 . 67 per month In rurrent luppnrt
So. 00 per month In pall.due IUPPOr1
S 0.00 per month In ml'lllrdl luppnr1
S 0.00 per mnnth for Kenelk 11'11 COlt I
S per month In other (sperlfy)
for a 10t.1 of S 211. n per month to be forw.rded to p.yee below.
You do not have to vary your pay cycle 10 he In rompllanl'e with Ihe IUppor1 order, If your IMY cycle dlll'l not mdtch
the ordered IUpport payment cycle, use the fnllowlnglo dl'lermlnl! hnw much In wilhhold: . ,
S 65.00 per weekly pay period, r"
,
S 130.00 per biweekly pay period (every two wI'eks),
S 140.83 pm semlmonlhly PdY period (twin' iI mnnlh),
S 281 . 67 per monthly pay period,
REMITTANCE INFORMATION: . .
,- .,~ 1
You must begin withholding no later Ihan Ihe firlt 11IlY period ol'l'urrlnK II'n (10) working d,ws a(tl',,<the dal of this
Order/Not ire, Send paymenl within S1'vl'n (7) working daYI of till! p,wd,lh'/dah'of wllhholdln8,:"0'~ arei;!ltllled to
dl'llurt a fee to defray till' rosl of wilhhnldlng, Rl'fer 10 till! 1,IWS gnVl'rnlnK 1111' work slale nf ynur employr.o for the
the allowable amnunt. The InIal wlthlll'ld ,mlUunl, ,md ynur 11'1', r,lUnntl'xn'I'd 55% of Ihe l'mpklVee'w 6b1lgor's
il8gregate dllpnlahll' wel'kly e.unln81, I'm 1111' purllllll' of 1111' IImlt.\tlnn on wilhholdlnll, 111I' fnllowlnglnformatlon Is
nloedl'll (See #9 on PK, 21,
Am'arl 12 wl't'ks or I\reall'rl 0 yel @ no
....'
r:'
....J
,~
If remllllng by HT/EDI, pll'all' r,ll1 PI'nnlylv,ml,1 SI,lle ColI"rtlon' ,md Dllbur'l'nll'nl Unit (SCDUl EmploVI'1
Cuslnml'f Servlre al \.877.(,7(,.9580 for In,lrut lions,
Make Remittance Payable to: PA scou
Send check to: Pennsylvania seou, P.O. Box 69112, Harrisburg, Pa 17106.9112
IN ADDITION, "A VMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE "ACSES MEMBER fD fshown
.IIowl'" Ihl' EmploYH/Obll,or's C..I' IdM/lfll',J OR SOCIAL SECURITV NUMBER IN ORDER TO BE PROCESSED,
DO NOT SEND CASH BV MAIL.
BY THE COURT,
1),11l'0fOnl"r:
JUL 0 2 m
51'rvln" YIII' M
11"\1'.'0 11'1'11111',1 .
1'1"1'\1"'" 11.11" .." II ,~f
,
ADDITIONALINFORMATlON TO EMPLOYERS AND OTHER WITHHOlOERS
o If r111'ck"t you om' n"lulr"lln I',ovhll' .1 '01'1' o[ Ihl\ [o'lllln your 1'lllplo\"'I',
1. Prlmity: WllhholdlnK ulllll'r Ihl, OIlIN/Nolln' h.1\ 1',lnrlly 11I'1" .IIlY 01111" Il'K,1I pnlll'" mllll'l SI.t".I,lIv aK,lln,1 till' '.Inll' IlIrullll',
fl'(h~r,11 I,'... levil's In l~ffl.('t hl'fum U'rt1lpt rd lhl\ unll'r hlwI' primily. If IlwH' .lfl' r,..hl'," 1.1... III\-'It., in t'fft1fll.IlI,\\t' flllll.lflllu11t'lIUt'\thlM
.IK<'IICY 1I,"~t 1Il'low,
2, COlllhlnlnK 1'.IYOll'l1l\: Vou c.lI1l'omhllll' withh,'1l1 ,ln1lIlIllI, IInlll 1I11111.I\",n onl' 1.1ll1'10y..../ohllllm" Inmnw In .t ,hlKll' 1','Vllll'nl
10 ('.1(11 "~(mry UlIIUP~IlI1K wlthholdlnR. Ynu nHI\I, fHlWl'Vt1,. WIIMlll(llv Iclpnlify 1I11l plulion IIf tilt' ,hlAttl p.WlIll'l1l th.III'i ,1ltrihut,)hl'llo
l',lrh ('nlIJlnY('11/uhIIMor.
3,' m RPfIO~loR thr PnvdalrlDntr o[ WilhlloldlnK: You m",1 "'I.'~ Ihr 11iI\,lill,'/,I,'I" nf withhnldlnll whrn .rndlnR thr flaymrot. Thr
I,avdattlrtatr of wllhholdlolll. thr da'r on whl..h IImOlln' wn. wllhl1l'ld 1"'01 Ihr '.mploy....'. Willi"', Yuu rllllllmllll,ly wllh 11ll' I.,w of thl'
,Iilll' of Ihr l'mploY"I''!Johllgor', Pllllcll",1 pl,lm of rllll"oYllll'nl wllh n"III,..1 10 i1u' lilliI' 11I',ilMI\ within whh h youIllUlII",pll''''l'nllhl'
wllhholdlog 01l1t'1 .md fOIW.lI1llll1' 'UI'poll 1"'VlIlI'lI",
4,' Eml,loy",,/Ohllgo, wllh Mullll,lr SUppOIl Il0hling" If 1111"" I. mon'IIMII 0"" ()"It',/Nolin'lo Wilhhnld Inrullll' for SUPI'OI1
agaln,llhl, 1'IllI,loYI't'/ohllgo, .11llt you MI' un"hll' 10 honor .111 IUPI'OI1 Onlt'r/Nnlin', chI!' Inl!'lIt',.11 (J( St.llo wllhholcling 110111\, you mu,t
follow Ihr law of Ihe 't.lte of oml,loYl~''oJohIlK(J('' 1!lltlcll",1 pl.ln' of ""'ploynll'nl, Ynu mllll hnnlll ,cll Onll.,liNotin', 10 1I11' K"'.III"I
1'.ll'nIIKli,lhlo, 151'" .9 helowl
5, Tennlnalion NoliOcallon: Vou mUll plllmplly nollfy Ii". R"'lu,,,ling AR,'ncy wlll'n IIII' "l11plnv'~'/nhllllor 1\ no 10ngN worklnll for
you, Pll'a,e provide Ihe Informalion rI'lIUe'll~t ancl rl'lum .IWPY of Ihl, Olller/Notl!'1'In tho Agl'nry Icll'ntiflrcl h,'low,
WITHHOLDER'S 10: 4810772210
EMPLOYEE'S/OBlIGOR'S NAME: KIRKPATRICK. ROBERT J.
EMPLOYEE'S CASE IDENTIFIER: 5772000035 DATE OF SEf'AKATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER '5 NAME/ADDRESS:
6, Lumll Sum Payml'nl\: Vou ",ay hI' rrllulll~1 101l'pnl1 .lI\cI wllhhold from lump Mnll 1',1yml'nl, such il\ honu\e" commilllon" or
seVNanre PdY. If you have any questions ahout IUI1111 sum Ilayn1(1nls, ("onl.1rIII\(~ pt1fSon or ,lulhmity hl'low.
7, lIahllllY: If VOIl fall 10 wllhholcllnco",1' a, Ihl' Onh',/Nolice dlrol''', you aro lIahll' fnr holh IIII' a((umulall~t amount you ,hould
have wllhhl'lcI from Ihl' I'mllloVl'l'/ohIlRor's In",me anclollll'r l"'nallle, '01 hy Pl'nn,vlvanl.t St.lll' 1.1W, p,'nn\vlvanla Slalr law 80vl'm'
unlell 11ll' ohllgnr I, emploYl'llln anolhl" SI.,le, III which call' 11m I.IW of liw 51,111' In which I". III ,Ill' I' I'mployl'd Hovern"
0, Anll<lI,crhnlnalion: You all' ,uhjl'cl 10.1 tltll' cll'll'rmlnl'<1 unci,., Slall'l"w f(J( cllll'harglllg ."1 l'",ploVr,'/ohllglll from
rmplovml'nt, rl'fu,lng 10l'mploy, or laking clllClpllnary ,lCtlon agalml.my ,'mploYl','/ohllglll hl'r.I",,'nf a \Ilppnll Wllhholdlng,
Pl'nnsvlvanla Slalr law gOVl!rn' uIIII''' Ihe ohllgor 1\ "",ploYi'll In ,molh... Slall', III "hlrh r.lIl' 1111' 1.1W nt till' Slall' In which he 0' ,he I,
I'mllloYl'l1 govl'rn',
9,' \\'lIhholdln8 L1mil\: You may nol wilhholcl 010'" Ihan 11ll' 11'\II'r 01: II Ihr olIllounl, .IlInw,,1 hy Ihl' Frdl',al Con,unll" Cll'cliI
Prolffilon Act liS U S,c. ~ 1 (.73 Ihll: (J( lllhl' amoull" allo",,1 hy Ihl' 51,111' of Ihl'l'IIII,loYl'I.'oJohIiBnr', prlnripal plm'of I'mplovml'nt,
The Fl'lll',alllmil aplIIII" 10 Ihl' aRe'I'g,111' dl\pn,.lhle "1'l'kly l',!lolng' IADWlI. ADW[ I. 1i1l' 111'1 in"lIIl1' lofl .Ifll" ",.lklng mallltalory
deductlnns sud, as: SMh', retlc",I, IcJr,,1 1,'_l'S; Sudttl Sl'nHily 11'\('\: ,lfui "",..lirtlll' I.I\I'!!.
to,
'NOTE: If you or your ilgenl .IIl' Il'rwd with II ropv of 'his nrrll'r 111\111' st.II,'lh.llll\ul'd IIII' ordN, YIlU .1Il! 10 follow Ihe
1.lw of IIII' st.'h! IlliIllSlul'd Ihls orrlN with ""1"'1 I lu IIII'll' 1"'111"
R"'lul.\tlnR Agl'l1rv:
DOMF511C RHA110N5 SICIION
13 N, IIANOVlR 51
1',0, IIOX no
CARI.ISU I'A 170lJ
If you or vour I'IllJlIOYI'I'/llhll~or h.IYI' .my qu..,tlllns,
IIllll.1l1 WAG I' "I IACIIM[NT UNIT
hI' 11'1l'ph",1I' .11 17171 240.1.225 0'
hV I AX .11 1717) 240.624/1 or
hl'IIlh,,,,..1 4/'
Jltl"t'1. IIf:.!
'o"n IN,0211
Work.., Jl) $lATT
51'IVln' 1 ypl' M
I"'M'," 1I,,'ull1,1
I 'I"'~I'''/\ 11.110' 1."1' 1Ml
'" ,
.
ADDENDUM
SummarY "f Calel on Altachment
Defendant/Obligor: KIRKPATRICK, ROBERT J.
PACSES Ca..' Numher 818000021
Plalnlllf Name
SU8AN J. ALLISON
l2lld!l:I Allachmenl Amnunl
95-..68 CIVIL$ ~81,67
Chlld(lI'n)'s Namell):
IIACSES C,l\l' Numl)N
PI.llntIffN.1I111'
Dnck,'1 AII.lchm,'nl Amnunl
S 0,00
Chlldl',,")'I N..mell):
DDB
DOB
Oil dll'fked, you are fl'(lulred 10 enroll the chlldlll'n)
ldenllned above In any heallh Inlurance roverage .wallahle
through Ihe employee'llohllgOl'1 employment.
o If rllI'cked, you a,e ,erlulr"llo ''IIrolllhe chlldl,en)
IIlenlln,,1 .1hove In .lIIY he.ll1h Inluranfl' coverage avallahle
through the emploYl...Vohllgo,'s employment,
PACSES Cale Number
Plalnll" Name
i2lldu:l Attachment Amounl
S 0,00
Chlldlll'n)'1 Namell):
PACSES Cale Numhe,
Plalnllff Name
Qndu:1 Allachmenl Amounl
S 0,00
Chlldlll'n)'I Namels):
DDB
DOB
011 checked, you all' fl'(lulred 10 enrolllhe chlldlll'n)
Idenllned above In any heallh Inlurance coverage avallahle
through Ihe employee'wohllgor" emplllymenl.
011 ,heckerl, you a'" Jl'(lulll~lto ellmlllhu dllldlll'n)
Idenllnl'd ahuve In .lIIY Iwallh Inlurance coverage .\Vallah'"
IhrouRh till' ,'",ploYI'I"s!ohllgor" employment,
PACSES Ca,e Numhl'l
Plalllll" Name
Docket Allachmenl A",ouIII
$ 0,00
Chlldlll'n)', Name{,):
PAC5ES c'm' Numher
PlalnllffN,"I1t'
lli!!1l:l Allacholl'nl Amounl
S 0.00
Chlhlln'n)'I N.1I111'11):
DDB
DOB
Otl checked, you .IIe r"tul,,~lto ,'nrolllh,' chtldlll'n)
Identified ahove In any 11I'..lIh hllmallce ('IJvorall" ,\V.ll1,.hl,'
through Ihe \'mploy",.'s!ohllgnr', ""'I,lnYlIlI'nl,
o If rllI'l k"I, y"1I all' ""lull"llo I'n,olllhu ,hlldlrl'lI)
hll'nllrlt'CI"hm,'I' in .my IW,ll1h InMJrllllfQ [overage! ,wdil,lhlc
lhroll"" 11,11 ('I1lI,!n')'I't'VIJI)IIKnr'lt ('l11l1lnyn1l'nl.
Addendum
Furm EN,028
Wurk,'r ID $ IATT
Servlre Type M
11'11I N<I 11'1111 CII 'i~
"11!I.lhl~' 11.11,' II, !llllI
..'
~ ('I ~
0 "
,.,. .. t4)
1l1() c.o r)~
(j~,
fE' ' :f~ t ) L.~
'I .c: ::-.~
l )':<
1 ~. "I ~ \;j
,,,
iji' N --~~
ft' ~ f:. ~ t l. "')
~JU,
I. "', .!.~n-
.
., ..... "j
<.:.- r:... (J
,
~
ORDER/NOTICE TO WITHHOLD INCOME fOR SUPPORT
<E> ()lllti11ol1 Oflli1,/NcI1Jtt'
O^I1ll"l(ll'tl(lult'f/NClli(t'
o 1(I,min.th' ()/fII'r/Nutk,'
St.le Commonw..lth of p.nn.ylv.nl.
Cn.lCilylDl~I, 01 CUMBERLAND
D.llenIOrdl'r/Nnlln! 07/01/03
Tllhun.II/C.I'" NUnlhl'l ISH' Addf'ndum (or C.ISf' summdrY)
KI: KIRKPATRICK, ROntlRT .1,
Il11plCl~'I'('/OhIlKIII'S N.unr 1I_.nt, r Inl. Mil
lllllllnyr,^Vilhhold..,', I l'clrr;lllIN NUlllhrr
165-34-U7t
I JT11)ltI~tlt'!OhliglU'\ Sun,ll !i('(uritv Nurnht'f
5772000025
I "'1l1f)~rt'/OhllHm'\ C.1\4;' hlt'nllf!t"
IS.. Ad"''''''' 101 pillnr/lf IloIm..
...ocl,'rd w/lh w.. on .".rhm.nll
Cu\lOdi,lll'.lIrnl's N,mll' n ~ul. I into Mil
SPRINT UNITED MANAGEMENT CO'
C/O GARNISHMENT DEPT
KSOPIITOI01 Z2700
6391 SPRINT PKWY
OVERLAND PARK KS 66251-6100
;,)/
N{'",-,
IYy~ - WI, ( C ti
,,I T - I
vlh ({ (.,(..,J
SH' Addf'ndum (or df'prndf'nt n.mf'S .nd birth d.tf's .ssorl.trd with C'Sf'S on .1I.rhmrnt.
ORDER INFOR"IA TlON: This is an Order/Nolln! 10 Withhold Inronl" for Support h.",'c1 upnn .111 order for support
from CUMBERLAND County, Commonwl'.lIlh of 1','nnsylv.II1I.I, By I.nv, you .\If' n'qulrt'c1lo deducI Ihese
amounls from the abow.named emplnyee's1ohIlKor's Inmnl" unlll fwlhl'r nulln' I!V"11 If 111I' Ordl'r/Nulln' I~ nol
Issued by your Slate,
$ 130,00 per l110nlh In current ~upport
$ 0.00 IIer monlh II1IMsl-due ~upport AIII'olrs 12 \\'l'l'k~ III KII..lh'rl OYl's (Xl no
$ 0 . 00 per monlh In 1111'(lIc,11 ~uppnrt
$ _ 0.00 per monlh for Kenelk "'sl cllSI~
$ per monlh In olher (sprclfy)
for a lolal 01 S 130.00 per month to be lorw.rded to payee below.
You do not have 10 v,lry your pay cycle 10 be In CIlmpllanCl' wllh Ibe support order, If your IMY cycle does nol malch
Ihe ordmed support paynmnl ..yde, use Ihe followlnK 10 dell!ll11lnl' how lI1ulh 10 withhold:
$ lO . 00 pl'r wl'l'kly I"'y I"'rlod,
S 60,00 'lI'r hlwel'kly IMY Iwrlod (I'VI'ry two wl'('ks),
$ 65.00 p,'r wmlnlllnlhly I"'y Pl.rlod (IWIrI'.1 nmnlh),
S 130,00 pl'r monlhly p.1Y I"'rlod,
REMITTANCE INFORMA TlON:
You mu~t begin wllhholdlnK no 1.111'1 Ihan IllI' flr,IIMY 11I'riod o('currinK Il'n (10) wurklrlK d.IYs af"'r th,' dale of Ihls
Ordl'r/Nollce, Send paym('111 wllhlll ~I'WI1 (7) wurklnK d.lYs of Ihl'l),\yd.II,'/d,III' o[ wllhholdlnK, You all! I'nlllled to
deduct a fee to defray Ihl' cml of wllhholdlnK, RI'II'r 10 111I' I.llvs KOVl'rnlnK Ihl' work sl.lle of your employee for Ihe
allowable amounl. TI1l' tnt.11 wllhheld .II1ll1unl, .md your fl'I', c,lI1noll'~C1'I'd 550,\, of 111I' emploYI'("s1obIlKOI'S
aSKreKale dlsposahle wI'ekly 1..llI1lnK~' Fur 111I' 11lIrpos" of IllI' IlInll.ll1on 1111 wllhholdlnK, Ihe rollowlnK Infoll1lol1lon Is
needed (See #10 nn PK, 2),
If remlUlnK by fllIEDI, ple.ls,' 1',llIl'elln~ylvanl.1 Sl.lh' Colle('lion~ .11111 DIshul>t'n1l'1I1 UnIlISCDU) Employer
Cu~Ionll'r Sl!Ivln' "I 1.1I77'[I7(I-1J5I1U fill IlIstru, lions,
Make Remittance Payable to: PA seou
Send check to: Pennsylvania seou, P.O. Box &9112, Harrisburg, Pa 1710&-9112
IN ADDITION, 1',4 VMENTS MUST INCLUDE THE DEFENDANT'S NAME AND TIlE I'ACSES MEMBER ID Ishown
abovl"s Ihf' EmploYl'e/Obll,or', C~se Idenlll4tr).DIl SOCIAL SECURITV NUMBER IN ORDER TO /IE PROCESSED,
DO NOT SEND CASH BV MAlL,t .li .; - · '
rl '1 II., HV THE (OU TI
0.111' of Ord,'r:
.)
J. 'II,' -
IOlln I:N.0211
Wurk,'r 10 $IATT
S..rvln' Il'pt' M
\1"11 ~." 1I'I'UIII'1I
.'
~ ~ - '. ,-- I ( ~f: ~
r - , "", ""ile""
~,t- ,"H
OJ Jill -, ru .1: S I
CUMc.Uii.,:.',.! C,CU\1Y
PENNSn.VA"J!A
r.lf:lul..i r;
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS
o Ill'hel~.,1 you .ue ,el1ul,,,\ IUI"I'~II'II"I'OIIY 01 Ihl. fmllllo you, ~"'/'lllYI'I" If YO\" "llIplol'I'(' wor~, In.I '1.111'11"'11,
t Ill.-,rnllrol1l thl' !lollltlllh.11 \!IUI\{ II' \ nR '"(, .t fOPV mUlJot hi' provich't lu yuur 1'lhllll~'I"I' t'Vt n if nu' hfl'lli 1\ nul dll'l'kl'tl.
I, We aplltfflale Ihe volunt.lry ('(n1\pll.1I11'1' of r"ler.lIly ""IW,I",' hull.ln 1,11".\, 1,1I",IIY'II\\I1l,1 h,..h1l"1I". .In.llntll.1l""wl1I,1
hu~lnr.sscs locall'(l nn 11 U'wrv':lllnn tl1IIl f1u)()\I' In wilhhold in ItrfOnl.lIln' with Ihl\ 1\011((1,
2, Prlorlty, Wllhholtllng ulltler Ihl, ollh',/Nollre h... p,lmilY OVl" .IIlY olhe, Il'g.llp""'I'\1 lIIull" Slilh'I.,w .lg.,lmllhl' 1.1I111'IIIm,,1I',
Fl'lfe,allax levl", In efl,'cll,,'lore II'C"IIII 01 Ihl, Imler h,lV" p,imlll', If Ih"II' .lI(' r"h',.lIloIx II'vl"1 In 1'1(l'lI pll'.I\I' rnnl.trlll,,' "''Iue,lIng
agency 11'11'<1 helllw,
3, Comblnln. PiYlMnl1l You e.1I1 rnlllhlnl' wllhlll.hl .1\1\lIunh (rum nllm'lh.1Il or1l' f''''f1loYI,,'/ohligm'l Inmn1l' In ., ,11IgII' 11oIY"lI'nllo
each ag"nlY 'f'fIUe,lIng wllhhollllng, You nll"l. hllWI'VI", "'1"''''II.ly hll'nll(I' IIII' Illlnion o( lIu' Ilngll' 11oIY"'I'nl 11",1 II .III,lhul.1hl,'10 I'.,ch
"mplllyee/ohllllor,
4, . RPpOrtln. th~ Paydalf'lOatto of Withhoktln.: . You mlllllf'port the pilytlal,./tlale II( wllhhllltllnR whrn ,rndlnR thf' paym..nl, .Ih..
pavdat~Jdal~ of wlthholdlnR I, th.. nat.. on whlrh amounl WiI' wilhh,'ltI frum the employ...... waRM, YOUllIuII cnlllply wllh 1111' 1.1W of IIII'
'tale 01 Ihe eml,loYI'f",",obllgo,', p,lndl",lplan' 01 "llIployn1l'nl wllh ""1"'1'1111 11,,'\1011' 1"',iOlil wllhln whlrh YOIl mUIllllIpll''''l'nt Ilu'
wllhholnlng l!Rle, anti (orw.mlllll' !lJllpOn p.WIIl.'nl'.
5,' EmploytelOblllor wllh Mulllpl~ Support Holdln.,: I( Ihl',,'I. mOIl'lh.1I1 0111' On'I',/Nolln'lo Wllhholtllncnme fo, Support ag.llml
Ihls omllloYI'f'Jobllgo, and you ille unable 10 honor .,11 "'Pi,on (JIII.../Nolln', tlue 10 F"It'r.ll or 5t.l1,' wllhholdlng 11m II" you mu.1 lOIlOW
the law ofthe stale or employee's!obllgor'l p,lndlMI pl.I('I' of f'mploynll'nl, You mUll honor all Onl...!oiNollees 10 11". g,eale,t exlenl
IlO"lble, IS"" III () helow)
II, Termhlitlon Nolllkitloo: You mU,lllJOml'lly notily lit,. Re'luI',lIng Agl'nry when lite emploYI~'/ohllgor I, no 10ngl'l worklnll lor you,
Pleale provide Ihe Inlormallon 'OIIIll..I"I.lI1d "'111m .1 Wi'Y o( Ihl, anl.../Nollee 10 Ihe Ageocy 1t11'nlifi",1 heluw.
WITHHOLDER'SID, 481077~~70
EMPlOVU'S/OIUGOR'S NAMEI
EMPlOYEE'S CASf IDENTIFIER.
LAST KNOWN HOME ADDRESS.
NEW EMPLOYER'S NAME/ADDRESS:
KIRKPATRICK. ROBERT J.
5772000025 DATE OF SEPARATlON,
7, Lump Sum PaYlMntl: You may be 'eqlll,,,,110 rellOrt and wllhhold rrom lump su01lli1ymenls ,uch as honu,e" romml"lon" or
seve,ance pay. Ilyou have any 'tue,lIom about lumll ,"m paymenls. conldcl the l'eI,on 01 alllhority below,
8, Lliblllty: II you fall 10 wllhhuld Inrume ii' Ihe O,de,/Nollm dl,ee", you all' liable lor bolh lite areumulal",1 amoont you ,houltl have
withheld rrom Ihe emllloywobllgor's Income anti ulhe, penallle. ,el hy Penn'ylvanl,l 51.111' I.Iw, PI'nn,ylvalll.1 Slale law governlnnll'''
Ihe obligor I, employ",lln anolhe, Slate. In which e,l'e IIt,.1.1W of Ihe St.llc In whlrh he or ,he I. elllploy",1 govI'm"
9, AntHlkc:,lmlllillonl You aro ,uhlfft 10 a fine delermln,,1 und", SI.lle law rur .1I,rh.usltlll.1I1 employ,'t'/obllgor (,um I'mllloyml'n..
rolu,lng 10 emllloy. or laking dllclpllnary acllon agaln,1 any l'ml,loYI'l'/ohllg'" I,,'r.,u,e of., 'UPlllll1 withholding, Pl!nmylvanlil Slale law
govern, unle.. Ihe obligor I, employ",lln 'lIlolhl" Slille, In whlrh "'''l'lhl' 1.1W of Ihl' S!.III' In whlrh 111' or ,he I, l'ml,1o\',,1 gllV("m,
10,' Wlthholdln. L1mltll You may nol wllhholtl mOil! Iltanllll' 11'''1'' uf: 1111ll' amuunts .ll1mv,,1 by II,,' F"le",1 Cun,uml'! C'I,lit
PIOI('(lIon Acl1l5 U,5,C. ~ 1 fIn Ibll. or 211he amounl, i1l1ow,,1 hy 1111' 51,'/1' uf II". 1'llIploYf'I''sIohllgur', prlnrlpal pl.lre ul employment.
The (l'd",.lII101I1.'pplles 101111' i1R8n'gatl',II'I'Ul.lltle wl'l'kly ...lInlog, IAIJ\\'F I, AIlWF I. 1Ill' 1II'IIn('(ln1l' 1en .,fll" milking m.lI1dalory
dll{lurllons such .n: Sti'ltl, f(lClp',ll.I(){\,II,I\l~lij Suri,11 St'rurily l,t\(l\; ,UlII MI'1lirlm\I':''ll,tl'',
11, Addlllonillnrlll
. NOTE: II you ur you, aKl'nl ,If(' sp,wd wllh ., ('opy ul Ihls Old," In 1111' st.lll' Ih,IlI"uI'd 1111' Old.... you ,In' III lollow lite
taw III till! stall'lhilll"'lI'd Ihls Old.., with !I"I"'f'llll Ih..". ill'Ill'.
Submllled BYI
DOMESTIC RHAIION5 S!CIION
13 N, HANOVER 5T
1',0. 1I0X 320
CARliSI[ "A 17U13
If Y"U 01 Y"U' t'mphIYI~'/llhllllur h.1W .my lllll'stlonl.
10nl.\(1 WAG! AI fACHMENT UNIl
hy h'I"l'honl'.1I 17171 2411.h225 01
hI' rAX .11 17171 24U,62411 or
hy Inll'lIlt't www.lhll<l.llPllll.t..I.lt...II.I.0.
1'.111" 2 01 2
I 0I1lI EN,U211
Work." IIJ $ IATT
5('rvlm 11'1'1' M
11\,!fNu 11'1'11111;1
ADDENDUM
Summ,1\' of ('lei on AII,chment
Defend.1nIlOblllor: KIRKPATRICK, ROBERT J,
PACSES Cal.. Number 8180000H
Plalnlllf Name
SUSAN J. ALLISON
12lldu:1 Allachmenl Amm'nl
95-4468 CIVILS 130,00
Chlldlren)'1 Nanll'll):
PACSES (".\1(' Nllmh,'r
('I"lnllffN,lnll'
[)rK~I'1 AII,lchnwnl Amollol
S 0.00
Chlldl,..n)'. N,lItll'l.l:
ODD
DOlI
011 checked. you are requl",d to enrolllh.. chlldlren)
Idenllfled above In any healih Inlurance coveralle avall.lble
IhmuBh the emplovec'l!obllBor's emplovmenl,
o II checked, you are Il'qulrcd 10 enroll the chlldlren)
Idenllfled above In any healih 100urance cove,aBe available
IhrouBh Ihe ,'mployec'l!obIlBor'l e"'lllovmenl,
PACSES eale Number
Plalnllff Name
1!lIl;Ul Allachmenl Amollnt
S 0.00
Chlldlr1!f1)'s Namelll:
PACSES e.lSe Nllmber
PI.,lnllfl Name
Qlll:kcl AII,lchmeol Amouol
SO,OO
Chlldl",n)'s N.lIneh):
ODD
ODD
Oil checked. you are re'lulll'll 10 enrolllhe chlldlrcn)
Idenllfled above In any healih Inlurance coveraoe aVilllable
IhrouBh Ihe cm"loV....'l!obIlBor.1 em"lovment,
o If checked, you .1/1' rCllulrrd 10 l'omlllhe chlldlreo)
Idenllfled above In aov healih Inlurance coverage avall.lble
Ihrough Ihe emllloVl~"l!obllgor's em(,lovmenl,
PACSES Call' Number
Plalnllff Name
lliK.!!!:l Allachmenl Amount
S 0,00
Chlldlrcnl'l Namell):
PACSES Cdle Number
Plillnllff Nilme
DrK'krl AII,lchnll'nl Amount
S 0.00
Chlllll,,'nl'. N,lInel.):
ODD
000
011 <:hec~,,'. VOU ilrc ""llIlr"IIIII'ornllllle l'hlldl,,'n)
IdcnUnl'tlllhuVl' In any 11('.11111 ImurllJln' lU\'('f,IKI' ,tv.liI,lhll'
IhruURh Ihl'I'n1I)h>>Yt'I"!tIcJhIIKor'\ ('II1IJln~'''1I'1'1,
011, 1I,'ck,,1, YOII .lIt' ""lul,,,IIO ""'011 the ,hllollrl'o)
hll'nlifi('tl.lhllw In .IIlY IWI,hh ImUf.lIl('(' f()','IIMKl' "vJII,dJlc
IhflluKh Ilw "I11I,lo\'('(l'vnhliKcU'\ employnll'lll.
Add"l1doll1
rurm EN.02R
WurkmlO $IATT
51'rvkl'lVIII' M
11l"IHN.1 t~lmU'\1
,
ORDER/NOTICE TO WITI1HOLll INCOME FOR SUPPORT
O(),iglnJI Ont~f/N()lin-
o ^"It'ndt.tlOIlIl',INoliu'
<S) lermln.lll' O,dl',fNotln'
SllIte Commonwealth of penn.ylvlInloa
Cll,/Cllv/DI~I, III CUMBERLl\ND
Datellf Ordl'l/Nnlln' 06/30/03
Trlhun,II/CISI' Numlll'r (Set' Addendum for ('.lIe .ummolry)
KI: KIRKPIITRICK, ROBERT J,
l rnIJlllYl'I'/ObliKClf'J N.U1lll tI ,ul, r 1r\1. Mil
[mployer^Vilhhohll'l" I l'(lt'r,1IIIN Numht'f
165-34-4379
I mjllll~'Pf1fOhliKor" Sncial SI'('urilY NumhN
5772000025
Illlplu)"t'l.jOhlignl's CIMt Icli"nh!irr
(5" Addtndum /", ""'nllll /11m..
.UDrI.rrd wllh ,."1 on .1I.lhm.n,j
Clnllltli.lIIJ,tfenl'\ NJnll' H.nl, I ir~l, Mil
SPRINT UNITED MANAGEMENT CO.
C/O GARNISHMENT DEPT
KSOPHT0101 Z2700
6391 SPRINT PKWY
OVERLl\ND PARK KS 66251-6100
,\d '/(j - ;/(rrf ('/'
1'I,t'~,""; flJ'{ut)/
Set' AddMdum for dependent noaml" dnd birth dales auor/dled wilh ('dIPS on attll('hment.
ORDER INFORMA nON: This Is an Order/Notice In Withhnld Inmnll' for SUPllUrt ha...d upnn ,m urder for support
from CUMBERLAND Counly, Commonwe"llh llf Pl'nnsylv"nl,I, BV I,IW. vnu "re required 10 dl'ductthese
amounts from the ahove-n"med employee's/ohllgor'S Income unlll furtlll'r notln! even If the Order/Nnllce Is nol
Issued hV your Stall',
$ 0 . 00 per month In curn'lll support
$ 0.00 I"'r month In p"st-due support Am'llII 12 wreks or grr"ll'Il OYI!S (Xl no
$ 0.00 pl!lmllnlh In medlc,lI support
$ 0.00 per monlh 1m MI'llellc I,'st Cll5tS
$ per month In other (~lleclfy)
for a lotal of $ 0.00 per month to be forwarded to payee below.
You do nol have 10 V.lry your pay cvcle 10 be In compllilOce with Ihe support order. If your pay cvcle does not malch
the ordered support paymenl cycle, use the (ollowlngto delermlOl! how much to withhold:
$ 0.00 per wl'l!kly P,W Ilerlod,
$ 0,00 per hlwl'l!klV pay period (I'very Iwo wel'k~l,
$ 0.00 per semimonthly pay period (twice" monlh),
$ 0,00 per monlhly p"v period,
REMIHANCE INfORMA T/ON:
You musl hegln withholding no 1"ler Ihan the flrsl p.IV period Ilccurrlnglen (10) working days "fter Ihe d,lle of Ihls
Order/Notice, S''lld payml'lll within ~I'v,'n (7) working d,W5 of Ihl! piwd,lle/dall' of wllhholdlng, You ,\Tll entitled 10
deduct a fee to delr,1V Ihe cost of withholding, Refl!r 10 1111' I,IWS govl'lnlng Ihe work 51.1'" of your l'mploYI'" for Ihe
allow.lhle amounl, The tolill withhl'ld llOlllunl, and Vllur 11'1', l"lOnoll'~rl'..d 55% of the l'mplovee'\I ohllgor's
aggregate dl~po~ahh' wel'kly 1',lInlngs, For Ihl' POllio'"of 1111' Ilmll.llion on wllhholdlng, Ihe followlnglnlorm,lllon Is
l1I'l'ded (Sl'l' "to on pg, 2l,
11 remllllng hy EFT/EDI, plr',III' (',IIlI'I'nn5vlvllOlil 51,111' ColIl'r1lons ,md Dlshursl'nll'nlllnlt (SCDUl Employer
Cusluml'r S"IVln' ,II HI77.f>76-'lSIlO fur Ins1rUltlons,
Make Remlllance Payable to: PA SeDU
Send check to: Pennsylvania seou, P.O. BOll 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YMENTS MUST INCLUDE THE DEfENDANT'S N.4ME AND THE I'.4CSES MEMBER ID (shown
above as the Employee/Obl/,or's Case Iden,ifler) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED,
DO NOT SEND CASH BY MAIL,
I-l",'\"'"-"~~~~
: . '; . rl!~ II ~.l\o' - ;, i\l
. ,_ l-. t___'.4~.I..._-...",... :.1_, -~ :.1
""t",-l. I . )OO'?? ,7, (,:;
lJ.t1eofOllh'r:~'-"'"
J
l'urll1 [N-021l
Wurkl'r ID $IATT
SI'IVIcl' 1 Vpl' M
1"IH "'" 11'1.'11111 i
.
ADDITlONALINFORMATlON TO EMPLOVERS AND OTHER WITHHOlDERS
o II/'h. ,'('kl~1 you .1."' "'<lul,,,\ 10llllwllh' .11'oPY of Ihls forllllu yuur, "I\1I'loy,," If YU\" l'lllplotl'\' work, In ,I '1.111"1""'.11' I
dl ft1wn1lrnrn 1111' it.llp tlMI !I'.iut't t111~ on N, ., fOllY l11u\111l1 prnVlllt'C In \,our t'l1Il) nY"(1 t'VI It If 1In' hu, l!l not ( 1['i. kIlt ,
1, We ilpprll(It\II' till' vnlulll.HY fOI11I1Il,U1nl (\f rptlrr.llly ft'fn"nl/('Cllncll,Hllriht'~, lrilMII\'-oWlwd hU\lrW\"iII'.i. ,\lHI Indl.tn-nwlwd
buslnenr.\ I(}fltll'tl nil it 1I'!lo(,f"\',lllnl1 Ih.,t ('hnu\(' In wilhhold In lttTllnl,mrll with thl... nulin-.
2, PrlorllYI WilhholdlnK undl'r Ihl, llIlIN/Nnlln' I"'., I"lorlly oVl'r .Ill\' ullll'r "'K,llllIun'" Illull'r 51.111' 1.1'1' 'lK'll"'llIll' ,.1Inl'lnrnllle,
Fedeml I,ll( levl(~s In (lff{I{II)(,(II11' ((Icellll of lhlli mdt'r h.1\'(, IHlnril\'. If lhl,ft. 11ft! r l'iIN.III.I' It,\'It'!rI in ('((tiel "ltWit! runlllrt till! u'CJUI''.illnM
aKency II,I,~I helow,
J. Comblnlnl P.vmrnlll You (\H1 fwnhlrw wilhlwld ,1I1HHIIlI\ irollllllllrt'lIl.l11 mill t'l1IpIOYI.tl/ohIlAllr'lj Inrnnw In ,I IiilnRI(lIJilynwnl 10
e.lch agency nl(IUt1sllrlK wlthhnltlhlM, \'ou ruml, 11O\\'t'\'t'r, 'a1'p,H.llt'ly lclt'nliiy thl' pllllio!1 oitht' 'tinMlp IMynJtlll1 tlMt i.. ,)ttrihulilhh"lo rltch
1'11I111 oy" ./nl,IIK"',
4,' Repo~lng Ihe Paydnle/()ate nf WllhhnldlnR: You lIIu,1 ",,,n~ Ihl'llill'dllle/d,,"' n' wilhhnldlnK when ,ending the "ayment. The
IInydaleldnle of wilhhnldh'lI "Ihe d.,le nn whl!'h amnunl w,,, wllhheld from Ihe ..m"lny...." waRM, You nll,,1 rolllply wllh Ihl' l,lW nl lhl'
slate oi thl"l!nll"UYI"(!'!Juhll"nr\ I1rinrll',ll pl,ln' oit'llll'loYl1lflnt with 1t'\llt.( t lull1(1 thlU111(lrlo(l\ within whlrh you f1IU!ltlrllllll'fl1enl the
wllhholdlnK 01111" "",t (",w.mlll,,' "'p"on IlilYIIII'n",
5,' Employef/ObllRor wllh Multlplf Support HokllnR" If Ih,'", I, n"",' Ih.ln orll' Onlor/Nolin' In Wi,hhnlclloronle for Su""nn aRaln,1
Ihl, em"loyel'/obliROI .uul you MI' "'lilhl,' 10 hunnr .111 ,uppn~ (lnlt',/Nulin'\ Ih,,' In r "ler..1 '" Slah' wllhholdloK limil" you mu,1 follnw
the law oithe stale of l'1II1)luY(I("yohIlMnl'S principlII pl.ln' of (1IIIploYlllI1nt. VOU I11mt honor 1111 Ordl'rvNollrt1S to till! grt',llest f1xlent
possible, 151'l! ',0 b,.lowl
6, TermllWlllon Nollfkallon: You mu,1 prom"lly nolily II", Rellue'linK Agen!'y whl'n II". "IIII.loye,'/obligo, I, no 10nRN worklnR (0' you,
Plea,e "rovlde Ihl' Inf"'lII"lion "'IIWII"I .lOd relurn ,1WPY uf Ihl, (JIlIN/Nnll!'1' loll,,' AK,'n,y Id,'nllfll~1 helow,
WITHHOLDU'SID. 4810772270
EMPlOVU'5/0IUGOR'S NAME,
EMPLOYEE'S CASE IDENTIFIER.
LAST KNOWN HOME ADDRESS,
NEW EMPlOYER'S NAME/ADDRESS.
KIRKPATRICK, ROBERT J.
5772000025 DATE OF SEPARATION.
7, Lump Sum PaYl1M!nl1: You may be re<lul",IIO 'epo~ "nd wllhhold (rom IUl\111 ,um I",ym"nl' ,urh as honu,es, Clll\1mlsslons, or
severance "ay, If you haye any clue,lion, "hoUllulllp SUIll payo"",I" conl.lrllhe I"',,on or aUlhorlly below,
8, LYblllty, If you fail 10 withhold Inrome a, Ihe Olller/NolI!'e di'l'rl', you .m' 1I.lhle for holh Ihe .lfnl/nul.ll"j amounl you ,hould have
wllhheld from Ihe employee/ohllKOI" Inrorne and oll,"r "enallie, 'el hI' P"nn'yly.",I.. 51.111'1.,1\', PI'nnsyly.ml,1 Sl.Ile 1.1W KOye"" unless
lhe obll80' Is em'lloyed In anolhor SI.l'e, In whlrh ra'e 11ll' 1.11\' of till' 51.111' In whlrh I". or ,III' I, ('IllI,loy,,1 ROW"'\,
9, AnlkllocrlmllWlUon: You are subl,,'llo .1Iim' ,tc'il'"nln,,1 undl'r 51.\11' 1.lIv lur dll!'h,uKlnR .1n l'mploYI'l!/oh\lKor frolllemplol'ml'n1,
refusing to employ, or tilklng dl~rlpllnluy .1Clio" ilgitlnslllnY (1It1IJlnY()f.'/ohllgnr lJl1C,lUW uf it SUI)port withholding. Pl!nnsylv,mli' St,lle l,lW
govems unl(~ss till' ubllgor Is 1!l1Illloyt'd In .molher St,ll~, in whkh f.1W till' 1,1\\' of till' SI,IIl'In whlrh he or she Is l.'ltlllloyed governs,
10,' Wllhholdlna Umlls. 1'01/ ""'1' 11111 wllhhold mort'lh,,,, Ihe 11'"e, 01: Illhe alllouIII, allowed hI' Ihe F"lcr.11 Con,umer Cr"dil
Prolecllon Arll15 U,S,C, ~ 1 (,71Ih)1: or 211hl' .1Inounl, allow,~1 by II". SI.lle of IIII' l'Ill"loy"e'slobIlRnr', prlncl".1i plarc 01 elllploymenl.
The Fe"oralllmll "I,,,lIl" 10 till' "KK"'K,lIe dl'p",abll'l\'e,'kly 1'.unlnK' IADWEI. ADWE b Ihe rll'llrll'llml' 1,'f1.lfll'r making mand"lory
deductions such .15: St,dt1, F(I(Il1r,ll. 10(',11111\(lS: Soditl St'rurily 1,1\(1"; ,ultl Ml'lllr.ue 1,)\t'S,
II. Addlllonlllnfo:
'NOTE: If yuu or yuur .1gl'nl an' SI'rvpd wllh .1 IOpy I1f this ordl" In Ihl' ,1.1II' Ih.IIIl\lIl'd 1111' mdc'" y"u .11" lu fl1l1ow till'
law of Ihe st,llt. Ihallmlpd Ihls mdl'r wllh ,,"p,'fllo IIII'''' 111'111',
Submllled BYI
DOMESTIC RHA1IONS SECTION
11 N, HANOVI R S'
1',0, BOX :120
CARliSI l I'A 1701 I
If you or your ,'rnplllYl'l'/lIhllllm h.IVI' .IIlY lIu("IIcIll"
((1Il1.1l1 WAGE A IT ACHMlNT UNI]
hYll'Ic'plllllll,.11 (717/240.(,225 or
hI' I AX .11 17171 24().6241l m
hI' 11I1l'tnl'l II'ww,lhllcl,upporl"I.III',p.I,U'
P,lHt'l uf 1.
I'orrn IN.021l
Workl" ID $IATT
Slwln' lypI' M
1''''11,",,, II'I'UIII.I
/p'lJIlJlllUlle.'t;!'S'
~ ro' ~
'" t';
..
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(.1
l\l.,> .,: :--).~
().' ..,;~
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I~)' " '\~
!-;::;;', I ~re
.1.
-~: ,. ...-
i -,
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r::'l
ORDER/NOTICE TO WITHHOlD INCOME FOR SUPPORT
o Origln"l Olllrr/NnUu'
o AI11t'ncll'd ()IlIe-,INn!lcl'
(E) IrltninJII' ()IlIN/Nolle.'
Stlte Commonw....Uh of P.nMylvlnla
Co.lCltylDlst, of CUMBERLAND
D.lle of Order/Notice 07/01/04
Trlbunill/Cd!iC Number fSH Adtkndum for ("..I'.umm.ry)
KI: KIaKPATRICK. ROBERT J,
I Inllloyrl'.'OlJliglll" NJmr n .nl, f int, Mil
I mjlloYrJAVilhhu!drJ'. I od...ll1N NumlN"
U5-H-U7t
I mplu~'I'('/OhIiKlIf" Sud,,1 Sf'furily NUnlbrr
5773000035
I ,"pln~'rr/OhIlMor', C.Ut' Idl1lllllil'r
rSH Addr"",," lot pI4lntllf.......
:-. 1,1. 1f9~' t/Vt.fC'V ,"orl.,rd w/r" r.... on .1t,"""""1
,fIt'si. s f'l (O()()tJ)..( CU"lXh,d I'dlonl" Ndmo II dll, 11111, Mil
SPRINT UNITED MANAGEMENT CO.
C/O GARNISHMENT DEPT
KSOPIIT0101 Z3700
6391 SPRINT PKWY
OVERLAND PARK KS 66251-6100
SH Adthndum for dl'pl'ndt'n, n.mes .nd blr,h d.,I" .ssod.,td with (".'1" on .".rhmM'.
ORDER INFORMA TlON: This Is an Ordl'r/Notlce to Withhold Inronm tor Support hd,ed upon an order for support
from CUMBERLAND CounlY. Commonweallh of Pennsylvdnld, By I.IW, you me required to deduct these
amounts from Ihe above-named employee'slobligor's Income until further nollfl! eVl'n If Ihe Order/Nollce Is not
Issued by your Stale,
$ 0.00 per month In current support
$ 0.00 per monlh In pasl-due support Arredrs 12 weeks or IIrealerl 0 yes (g) no
$ 0.00 per monlh In medical support
$ 0.00 per monlh for genetic 11'51 cosls
$ per monlh In other (specify)
for a totll of . 0 .00 per month to be forwarded to plyee below,
You do not have 10 vary Yllur pay cycle to be In compliance wllh the support order, If your pay cycle does not malch
Ihe ordered support payment cycle, use the following to determine how much to wllhhold:
$ 0,00 per weekly pay period,
$ 0,00 per biweekly pay period (every two weeks),
$ 0,00 per semimonthly pay period (twice a monlh),
S 0.00 per monlhly pay period,
REMITTANCE INFORMA TION:
You musl begin withholding no laler than Ihe flrsl PdY pl'rlod lIrcurrlng tl'n (101 workln!! ddYs afWr Ihe date of Ihls
Order/Notice, Send paymenl within seven (7) wurklng d.IYs of the p.\Vd.lh./d.lh' of wlthholdln!!, You .111' entitled 10
deducl iI fee tn defray Ihe cosl of withholding, Ill'fer 10 Ihe laws lIovcrnlng Ihe work stall. of your emlllnyee for Ihl'
dllow.lble amount. The lotill withheld amnunt, alld your fl'e, rilOllot eXCl'I.d 55"10 of 1111' l'mploYt>e's1 obligor's
dggregate disposable weekly eMnlngs, For Ihe purpnsl'nf till' Iimll.ltlnn un wllhholdlng, 1111' followlnlt Informdtlonls
needed (See #10 on pg, 2),
If remllllng by EFT/EDI, plealC call Penmylv.ml.I Sl.Ih' Cullp('llnns ,lOd Olsbursenll'nl Unll (SCOUl Emplnyt'/
Cuslomer Smvll'l' .111.877.676-9580 for lostrurtlons,
Make Remittance Payable tOI PA SCDU
Send check 10: Pennsylvania seou, P.O. BOll 69112, Harrlshurg, Pa 17106.9112
IN ADO/rlON, I'A YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID/Shown
.bo....l. the Employ..../Obll.o'.. C..e tden,/Iier) OR SOCIAL SECURITY NUMIiER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAtt, : . .j
__J..~K:_P'/ BYTHECOURTI ' ,
JUl. - 2 200\
D.lh'ufOrdt>r:
Sl'rvln' 1 ypt' M
,c:-
'f [1101 E N.028
Workl'r II) $ IATT
ll~j" "-;01 t~I'IIUl ~ I
. ,..... ".
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS
o I[ r.hl'Ckl'll you are rL~lulll~\ 10 IIrrYIII~ ,1 ropy' of Ihl. (mm 10 your ~m/llovl'l', If VOllr ~mplov,'~ work. 10 a "ale/halll
. Iffcll'nl 101m Ihc Ilal" Ihal I.UI'l 111. onl"r, .1 <OPy mUll h" IImvl.", 10 your ,"hploVe" cvrn If Ill" ho. I. nnl r ,cckl'll,
1, 1'1" ,IIIP"'[lal" Ihe volunlal)' coml"lance of Fcdl'l.IIIV "'nIKnl,,,llndl,lO Irlhl..,lrih"II\'-<lwl1l~1 hu.lIl1'''''', amllndl,lO-<lWIll,1
hu.lne",'. loralL~1 on a re.ervallon I lal choo... 10 Wllhhold In "rCllnl.lOn' \\'lIh Ihl. nnlln'.
2, Prlorllv, Wllhholdlng under Ihll Onle,lNnlh... h.lIl"lmIIY owr ,lIIV olhl'l "'K,d Will''''' under 51.111' 1.111' .18.111l11Ihe .ame Income.
Fl'lle,all... levl",ln e((('(1 hefore ren'lpl nf Ihl. on"', h.IV" WimllV, If IhNI' ,Ill' FI'lIo'r.III,1X II'vll" In I'f(,'rlpll'.1I1' <ool,\('llhe 1I~luI"llng
"8entylllll'll'wlo\\',
], Comblnlnl P'Yl1lfnl'l You ran romhlne wllhheld ',"'ClIlIllI frnllllllor" liMn om' 1'lllploVI'I'/ohIl8or'lll1ronll! 111 ",'ngll'lIaymenl 10
I'ach a8~ncy "~lul'.lIn8 wllhholdl118, You mu,l, howl'w" 1l'lloIr.III'IV Ilh'nllfv 1111' IInrtlnl1 of II". .111811' 11oIVOll'l1llh.,'I. .llIrlllulahle 111 carh
emllloVL','/ohllgor,
4.' RrportlnB t~ Payd~~ of Wlthholdlnl' 'Vou mm' I'l'flOrt lh~ pftydnlrldatr of w;lhholdlnR wht!ll 'l'IldlnR 'h~ paymrn" Th.
paydlllt'1date of w;thholdlnlll, the d~ on whlC'h nmount wa. withhrld fmm th~ 1'fll1l1000000'. WlllM, Vou mUll comlllv wllh Ihe law of tlm
lIale of Ihe "mlllov<,<,'liohIlBor"lIrlnrlllallllare o( e"'lIlnvml'nl wllh n'"II'11 tn Ihl'"ml' pc"'MI. wllhln whlrh VOII mUlllmllll'ment Ihe
wilhholdlng ollter and forwan! Ihe .Ullllort 11oIvmenl.,
5,' Employft!/Obllaor with Muhlple Support Holdlnlll If Ihe", I. mor" liMO one Onler/Notice 10 Wllhhold Income for SU111'ort aRaln.1
Ihl. emlllovce/ohllBor and you are unable to honor all.uPllort Onler/Nullre. dUI'lo Fl'ller.ll or Sla'" wllhhn"ling 110111., VOU mUll follow
Ihe law of the Ilale of emllloYL'C'''ohllgor''lIrlnclllallllace of emllloVl1l1'l1l, You mUll honor all Onle"'Nnllr... 10 th.. g,,'ate.1 e,'ent
po..,hl...ISI'" .10 belowl
6, TermlMtlon Notlflullonl You mUllpromplly notify Ihe Rl'Ilue.ling Agency when Ih" ..mllloveeJohll801 I. no longer \\'orklnB for you,
PI..ale provide Ihe Inroll11allon IClluelled and return a copv of Ihl. Onler/Nolice 10 Ihe Agenry Id..nIlOl'l! below,
WITHHOLDER..IDI 4810772270
EMPLOVEE'SIOIUGOR.. NAMEI
EMPLOYEE" CASE IDENTifiER,
LAST KNOWN HOME ADDRnSI
NEW EMPLOYE'" NAME/ADDRESS,
KIRKPATRICK, ROBERT J.
11772000025 DATE Of SEPARATlONI
7, Lump Sum ,.yl1lftltll You Olav be requlr..d 10 'ellort and withhold from lumll.ulll Ildyml'nl. lurh al honu.e., rommllllo"" or
I..v..rance pay, If you have any Ilu..,lion. ahoullu"'ll .um pavmenl., ranlarllhe p.."on or aulhorllv h..low,
8, Lilbllltv' If you fail 10 wllhhold Income allhe Onler/Nollre dl,..rl., you all'lIahl.. for holh till! .\(rumulaled amounl youlhould have
withheld from the ..mllloyce/obIiBor'.lncorne and olher penallle. ,..1 hy Pennlylv.lOla Slall.law, Penn,vlvanla Slale law Bovern. unlen
the ohllBor II ..mploved In anal her Sial.., In which ral" Ihe law of Ihe Stale In whlrh h.. or .11.. I. ..mployed Kov,'rnl,
9, AntHlllCrlmlMtlonl You are .ubJect to a One delermlned und..r Slale law for dllrhallllng an e",ployce/obllgor (rom employmenl,
,efullnglo ..mplov, or laking dllclllllnal)' acllon ilgall1.1 any "mplov..e/ohllgUl h..r.1UI" of a .upport wllhholdlng, Penn.ylvanla Slale law
gov..m. unl.... th.. obligor I. emploVl'l1 In anoth..r Slale, In whlrh call' Ihe IiiI' or Ihe St.lt.. In wh"h Ill! or Ihe I. ..mploYl'll goveml,
10,' Wlthholdlnl L1mltll You may 1101 withhold more Ihan Ihe I..ller of: 1) Ihe amuunl. allowed by Ih.. F..deral Cun.umer Credit
Proll'Cllon MIllS U,S,c. ~ 167] (blli or 2) Ih.. amounl. allowl'll bV Ihe Slale of Ihe 1'lllploYI'e'''ohllgor'. p,'nrlpal place of emlllovment,
The Fl'Il..ralllmit allPlle. to Ihe agBreBate dl1llolahl.. w....kIV ...lInlng. I^DWEI. ADWE 1.1111' '1('1 Income lefl "fwr maklnBmandalOI)'
dl'llurllonl.urh ,,0: Slate, Fl'Il..,al, loralla.el' Social S..rurilv l.lXI'I, and M"lir.1Il' 1.1"'1,
11, Addltlon.llnfol
. NOTE: If you or your agent ,111! 'l'IvI.d wilh.l ('(lPV of this ordl'r in 11ll' .1,111' th.lI Issul.d 1111' !lIder. you ,ue 10 follow the
I,IW of Ihe .tah, lhatlssued thl. !lid", wllh rt"PI.,t 10111l',t' ;11'01',
Submllled By' If \'OU!lI \'Olll t'l11ployt.t'/ohllg!ll have .my qut'.lIon.,pDOMESTIC RELATIONS SECTION IlInl,ul WAGE ArTACHMENl UNIT
13 N, HANOVER ST hy h'II'phorll' III (7171 240.(,225 or
1',0, !lOX 320 hy I AX.II 17171 2411,(,248 or
CARLISlE I'A 1701] hy 11111'1111'1 www.rhllthupporl..I.III..p.I.U.
I'.IKI' 2 IIf 2
I'orm EN.028
Workl'r 10 $IATT
S"IVI.... 1 ypI' M
Il\lll~" 11'I!lHllH
.... N .~
IT It) h
.,'
>" M :",::('
IUD. r") -.,
!.".'. :r.: ,"',:?
(1:~1 0.. ' :.!
~~ CO .j ;;~
.' C:J
I 1::',:
-J
1lW, ~;.:l !i."-:i
-~ -,!i;..
t; _T' ~j
ffi (}
....
, .