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Home My WebLink About96-05124 ~ ~ ~ ~ '" )r. " ~ ::.-... ~ I , , , , 1 I ~ - '.. :) '- ; , , i ~ ~: ,:..;.1.: ,\ ',$ *,~***~*~,.~~*,~*.~.~,~.*.~**.~.~.,~.~.**,~***~ ~ ,.~.- .,.._.._..~ --- -., _.- .. '..... . , .. . _. .. --~-" .....~... .-, ,_... ~ II i! , 1I ~ , ~ ~ IN THE COURT OF COMMON PLEAS ~ ~, OF CUMBERLAND COUNTY ":t STATE OF ~~ PENNA. . , W) .,'1 ..1 ~!' , ~' . , ~ ~! .,.' WILLIAM R. TAYLOR, ~. ~, ( Pl..illt iff :'-.... '.Ill-,ll.. \'11',1; .o.! ~I TERRY LEE TAYLOR, ~ D.. f....d"nt ~: ~.. ~ DECREE IN DIVORCE ~ ~. ~ ."'-1-. e~ 2?' }-9-.z- . it is ordered and AND NOW. " ~.: Iii Iii.: ~, Iii ~' !Ii' ~ willi... R. T4yl0t , plaintiff. defendant, decreed that and, T..ny L.... T4yl0t are divorced from the bonds of matrimony, The court retains jurisdIction of the following claims which have been raised of record in this aellon for which a finol order has not yet been entered: ~j , * ~ ~ ., ~ .. " '" ~ * .. " I~ . Iii l: )~ /.- l~' !~ ,.' i* ~~ Il~ ,~ 8 ~ 8 ,;, " Iii ~ Iii ~ ~ Iii i! ~ i!: M; JiI\ , Th.. S..ul......ut A!lf........ut d4t..d IYT\:h I, 1000 fi l..d 0f f..curd h h"f..by iuc0fpur..l..d h..,..i., bv "..t..r...lc.., ..nd \,>ur'hl..nt [0 th.. ....r..........lt rh.. i! (uun ,..t..i", iuri.diction of d.i... uf dhlOny 411d "'luit4bl.. di.tributioli or ....til..1 p"'p"rlv. " I: '_,~: tl) d- ,,,.:. \ c: "'-H! h"-f'1>HI.-H II ~ - J . .. ~ .. .. . . .' . . .'. . . . . . .. . . .., ... . .' . . !i M .:I - t"I - ~:;; :e ~~, CI. , ,- 2-: '.j N . z.;.. tr,... I . C" ....-,. -, - - .. %. u.. 8 ~.l i CO) ~ .:J .. B~ l~ - :z: 0.... Q. 01 .,.. N ."JII. I m t':"'!~" c: u... co. ~ ~ :z: ~. ~ 0 ~j 0 0 WILLIAM R. TAYLOR, : IN TIlE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff v, : CIVIL ACTION - LAW ; NO. 96- ~/Z Y CIVIL TERM : IN DIVORCE IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, TERRY LEE TAYLOR, Defendant Plaintiff AFFIDAVIT OF SERVICE COMMONWEALTH OF PENNSYLVANIA ) COUNTY OF CUMBERLAND ) AND NOW, this 7th day of October, 1996, I. Taylor P. Andrews. Esquire, attorney for William R. Tayler, Plaintiff in the above<aplioned action, hereby swear that I have served a true copy of the Complaint in Divorce. with Notice to Defend and Claim Rights, executed by the Plaintiff in the above<aplioned maner, upon the Defendant at her residence at 1348 Zimmerman Road. Carlisle, PA 170/3. by depositing the same in the U.S. Mail, posuge prepaid. ccnifJed, deliver to addressee only. return receipt requested on October 3, 1996, A copy of the return receipt card signed by the Defendant on October S. 1996. indicating service was effected. is marked Exhibit . A " attached hereto and made a part hereof. By: '" .=-:> Sworn and ~ to llcftn me this ~ day of C(fAI'll~ ' 1996 a1klf P. Andrews Attorney for Plaintiff t ~.. " 1IOtAIW. M SMEu:t D. Stl11lI.lIDlMfMUC C.. .("'Q-II~COUll1Y YftlP- l~DNn""21. ,. ......, ~ 1,1 II. .11'... ......... \0 j, an .. - f Ii ~ . .4 .. ..It .." - - - - -"""'.' .--- - ." '. ,- .'<_~~~- ". ." . lli~ 4'.1 ~' <It . OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240-6535 E. Robert Elicker, II Divorce Master August 5, 1998 We.t Shore 697.0371 Ex', 6535 Tracl Jo Co.,.er OHce~~rAndrews, Esquire ANDREWS , JOHNSON 78 West Pomfret Street Carlisle, PA 17013 Wendy Dullea Bowie Attorney at Law IRA H. WEINSTOCK, P.C. Suite 100 800 North Second Street Harrisburg, PA 17102 RE: William R. Taylor vs. Terry Lee Taylor No. 96 - 5124 Civil In Divorce Dear Mr. Taylor and Ms. Bowie: I am writing in response to Ms. Bowie's letter of August 3, 1998. I left a message with Mr. Andrews to confer with Ms. Bowie as to whether or not he had any objection to the request for the postponement of the filing of pre-trial statements and whether or not counsel could suggest another date when the statements should be filed. Mr. Andrews returned my call and indicated that after discussing the matter with attorney Bowie, counsel suggest that the new directive provide for the filing of pre-trial statements around the middle of October. Consequently, the directive to file pre-trial statements on or before August 17, 1998, is withdrawn. Counsel are directed to file pre-trial statements in accordance with P.R.C.P. 1920.33(b) on or before Friday, October 16, 1998. Upon receipt of the pre-trial statements, I will immediately schedule a pre-hearing conference with counsel to discuss the issues and, if necessary, schedule a hearing. Very truly yours, E. Robert Elicker, II Divorce Master , IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA . . vs. . NO. CIVIL 19 . . . . . Defendant . IN DIVORCE . STIPULATION OF PARTIES AND COUNSEL A) Plaintiff: Name, address, age, occupation vJ.II.Cl..... R Teo.'ll"r 1/7 M..c:.I.s Or.III:' . Ca.r/,~ /-R , /J.... I/c/3 dob, &-17.$"1 <!)p,zrt\I,c-.~ Ma~'f,..('r Defendant: Name, address, age, occupation -retry Ue TAyler ~"J. W Mtt.., sf , Apf Z. ,4€c ~.......cs{,vr711lI7N) do b 'v - 1'1- sc (\...J;fl.l'~' Co -IYel.. ,e I" ~1 8) When the lIlethod of service of the complaint has been by registered (certified) mail: The sianature on the return receiDt card is the sianature of the Defendant. C) Oate and place of marriage: ,vl"...cL ,''I /~Mr,d).)r'j . ,'ill Pt\ . D) Plaintiff: Residences in the Commonwealth of Pennsylvania and length of time at each residence 7,1 ~ 3d'" '" f n" k C.. It' If .tffcl,('."ll t'le ;), <(,71 _ 7 /~l /..33/ /<,""if Bill.) e/f.I,!>I". a., 13~ {-.,....~........ AJ, Cu,f,../e k 7'1 l..J, "cLf~/t" (;,;,l"IA'" ('({r//,/t' ~ ( J/'i ,A.1eli[s tJr. ['''' -[,)((', I~. I Defendant: Residences in the Commonwealth of Pennsylvania and length of time at each residence Sf'>" G lJ.. 0(' 1',>1/8 ?jripw"'n~lQl'I 'KcI r;},1uh 16 ?-fr'i- 1.&.- 'flj , 4J.f/ U1. 1)'1.-1'11..' \')t m('~c - /.2 - '18 - p~sc:.iT E) Child or children: Name(s), age(s), residence of each child and with whom child is residing. C.ercI 4, -r;''flcr / c!cb, ,) -2)-8.::.' ~"'f"",,( .o{J..It!J F) Grounds for divorce: ""!",,o"" hrtt<"J.J....."'1 We, parUes and counsel in the above captioned divorce proceedinqs have read the stateaents set forth above and 89rH that the intonation provided huein is true and cornet, . ! WILLIAM R. TAYLOR, . IN THE COURT OF COMMON PLEAS OF . Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA . . vs. . NO. 96 - 5124 CIVIL . : TERRY LEE TAYLOR, . . Defendant IN DIVORCE THE KASTER: Today is Tuesday, August 3, 1999. This is the date that we have set for a hearing to take testimony on the factor of marital misconduct as that factor may affect wife's alimony claim. Present in the hearing room are the Plaintiff, William R. Taylor, and his counsel Taylor P. Andrews, and the Defendant, Terry Lee Taylor, and her counsel Wendy Dullea Bowie. A divorce complaint was filed on September 16, 1996, raising grounds for divorce of irretrievable breakdown of the marriage. Counsel have indicated that although an affidavit under Section 3301(d) was filed averring a two year .eparation, nevertheless, the parties will sign and file affidavits of consent and waivers of notice of intention to request entry of divorce decree to conclude the divorce under Section 3301(C) of the Domestic Relations Code. Thos. affidavits and waiver. should be filed with the Prothonotary's Offic. by August 11, 1999. The c~plaint that wa. filed did not rai.e any economic is.ue.; hovever, on october 23. 1"'. the Defendant filed. covnterclai. raiSing the eeon~lc cla1.. of equitable , distribution, alimony, alimony pendente lite, and counsel fees and expenses. The parties were married on March 19, 1977, and separated July 16, 1996. There are no minor children of the marriage, the parties having one emancipated child. Counsel are directed to provide each other by August 17, 1999, a spreadsheet identifying the marital assets and placing a value on those assets. We have been unable to proceed today with a resolution of any economic claims based on the apparent lack of numbers on some of the assets which Ms. Bowie is waiting to receive from her appraisers. As counsel are aware, the Master cannot resolve or deal with an alimony claim until he has resolved the economic claim of equitable distribution inasmuch as property going to each of the parties in an equitable distribution has to be considered in the factors dealing with the alimony claim. The next hearing is scheduled for August 24, 1999, when we will take the testiaony of the witnessess with regard to the remaining factors dealing with equitable distribution and alimony and identify the assets and value the assets. Inasauch as counsel are going to provide .ach other with a spreadsheet by August 17, 1999, it is suggested that they atteapt to r.ach a stipulation on those assets which they can agree ..lst and values for tho.. ass.ts. That stipulation can be ..d. part of the record. Also. if there are any reports that ASSETS' DescrtDlIDn Df PrDDertv Residence. 1348 Zlmmennan Rd. Estimated inleresl since 411 03% Furnishings 1989 Jeep 1988 FDrd Taurus Boal debt Members 1st: 40117TA checking 129840 checking 40117TA savings 129840 savings Christmas Club Roadway Expreu Defd enn PtnIion Retirement Plan 401{k) Less:PDst-separation c:ontnbutions IRA from Caliper stck sale pnx:eeds TOTAL ASSETS LIABILmES' Prlmerica TOTAL lWllU11ES ASSETS UABlU11ES NET MARITAL ESTATE TAYLOR v. TAYLOR INVENTORY OF MARITAL PROPERTY Date Df SeperatiDn: July 16, 1996 PDssessor Y.IlIlI 11 'lJ. nDles 533,707 Actual nel proceeds with return Df escrow $475 estimated Ihru 9121/99 $4,312 51,210 53,102 Ippraisal by Rowe Bros, $8,000 $8,000 Stipulated al PTC 53,000 53,000 Stipulaled II:PTC 514,690 DOS NADA value IS14.9121 ($222) (5222) DOS value $890 5890 bal as Df 7/16196 51,461 $1,461 bal as Df 811196 $479 $479' . bal as Df 7116196 $1,532 $1,532 bal as Df 811196 $813 $113 $700 $38,324 $38,324 IS per updaled appraisal $88,332 (516,503) $411,829 $411,829 $84,103 $84,103 $224,703 5180,728 as per 6130199 rpl wlth doc'd allItI'ns dr""..:l IS per 6125199 statement $11,795 S300 S300 S300 S300 so sa, m SO $II,m $224.703 $lao.ne ($300) ($300) 5224,403 $l80,42t WWI T&Jtor","lftt,. 1113M WILLIAM R. TAYLOR, . IN THE COURT OF COMMON PLEAS OF . Plaintiff . CUMBERLAND COUNTY, PENNSYLVANIA . . . . NO. 96 - 5124 . vs. . . CIVIL ACTION - LAW TERRY LEE TAYLOR, . . Defendant . IN DIVORCE . ORDER AND NOTICE SETTING HEARING TO: William R. Taylor Taylor P. Andrews , Plaintiff , Counsel for Plaintiff Terry Lee Taylor Wendy Dullea Bowie , Defendant . Counsel for Defendant You are directed to appear for a hearing to take testimony on the outstanding issues in the above captioned divorce proceedings at the Office of the Divorce Master, 9 North Hanover Street, Carlisle. Pennsylvania on the 2nd day of March .2000. at 9:00 a.m., at which place and time you will be given the opportunity to present witnesses and exhibits in support of your case. · i1rt. 'E.br. President Judge Date of Order and Notice: 9/14/99 By: Divorce Ma.ter IF YOU DO NOT HAVE A LAWlER OR CANNOT AFFORD ON'E. GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHIRE YOU CAN GlT LlQAt. HELP. CUMllEllLANO COIJtfrY BAR A5SllCIATION 2 LIBERTY AVENUE CARLISLE. FA 17013 rEtFPHONE 1111} 24'!.1It>b WILLIAM R. TAYLOR, Plaintiff vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 96 - 5124 CIVIL . . TERRY LEE TAYLOR, Defendant . . IN DIVORCE RE: Pre-Hearing Conference Memorandum DATE: Friday, January 22, 1999 Present for the Plaintiff, William R. Taylor, is attorney Taylor P. Andrews, and present for the Defendant, Terry Lee Taylor, is attorney Wendy Dullea Bowie. A divorce complaint was filed on September 16, 1996, raising grounds for divorce of irretrievable breakdown of the marriage. Although an affidavit under Section 3301(d) was filed on July 27, 1998, averring that the parties separated July 16, 1996, counsel have indicated that the parties will sign affidavits of consent and waivers of notice of intention to request entry of divorce decree so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. On OCtober 23, 1996, the Defendant wife filed a counterclaim raising the issues of equitable distribution, alimony, alimony pendente lite, and attorny fees and expenses. With respect to the alimony claim, counsel for wife has indicated that she intends to offer testimony relating to the factor of marital misconduct. The basis of that testimony will be that husband was engaged in a relationship with another woman during the time the parties were married and living together in a marital relationship. Husband denies that he had any ongoing extra marital relationship until after separation. Counsel are directed to provide each other a list of witnesses who will testify on the factor of marital misconduct at least a month prior to the hearing to be scheduled on that issue. The parties were married on March 19, 1977, and separated on July 16, 1996. They are the natural parents of one child Who is emancipated. Husband is 47 years of age and resides at 118 Heals Drive, Carlisle, Pennsylvania, with a female friend. He is a high school graduate and haa one and a half years of colleqe. CUrrently he i. an operation. lIanager for It~dway Express and Hr. Andrews haa computed hia net monthly incoM currently to be $3,316.00. kuaband i. currently provldinq health insurance for himself and wife through his employment. spousal support in the amount of $433.00 not raised any health issues. He is paying wife per month. Husband has 'ffl,CJ Wife is 48 years of age and resides at~ West Main street, Apartment 2, Mechanicsburg, Pennsylvania, where she lives alone. Wife is a high school graduate and husband believes she has an Associates degree although her counsel is not certain of that information. Wife is an a~esthesia technician at Holy Spirit Hospital and her net biweekly income is $623.07. As noted, she is receiving spousal support in the amount of $492.00 13 times a year. Upon the entry of a divorce decree she will be required to provide medical insurance coverage through her employment and her employer will require her to pay a portion of those costs which will be approximately $105.00 every two weeks. Wife reports that she has recently had a hysterectomy and currently is having neck problems with a possibility of a herniated disc or a spinal stenosis. The parties owned real estate at 1348 Zimmerman Road, Carlisle, Pennsylvania, which was sold and currently there is a check representing the proceeds being held by attorney Bowie. The Master directs that those funds be escrowed within the next two weeks into an interest bearing account if the parties cannot settle this case. The check is $32,943.13. Mrs. Taylor claims that husband ordered some repairs to the property prior to settlement and that Mrs. Taylor paid for those repairs. She is directed to provide a list of what payments she made to improve the property for sale so that appropriate credit can be given to her if in fact she did make the payments for the benefit of the sale of the property. Mr. Andrews indicated he has received no information regarding these alleged Charges. The parties own a 1988 and a 1989 Jeep which husband uses. the Taurus has a value of $3,000.00 $8,000.00. Ford Taurus which wife uses The parties stipulate that and the Jeep a value of Husband has a boat which he uses which he clai.s has a negative value of $222.00. There is a lien on the title vith Integra which husband has been payinq. Wife is not agreeinq necessarily that the boat has a negative value, and in order to pursue her claim that there may be some equity in the boat, wife is goinq to have the boat appraised. Husband vill aake the boat available to wife upon her request for the appraisal. Husband vill the pay the cost of the appraisal. Husband i. advancinq costs for appraisal. and the Master will ultiaately decide how tho.e costs are to be apportioned in his final reco...ndation. The parties had some checking accounts and savings accounts at Member's 1st. The parties agree that one of the checking accounts had $890.00 and the other acccount $1,461.00. There is some question about the value of the savings accounts. One account had $1,479.00 and there is the claim that $1,000.00 of that savings account was then transferred to another savings account increasing the value of that account to $1,532.00. Mr. Andrews is going to satisfy himself as to the tracing of those funds so we can establish the actual values for those accounts. Certainly we do not want to count $1,000.00 twice. The parties also had a Christmas club with a value of $813.00. Husband participates in the Roadway Express pension which is a defined benefit plan and Mr. Andrews is going to have the pension report updated. He has some computations attached to his pre-trial statement showing the marital portion to be $30,330.50. Attorney Bowie indicates that she believes the marital portion to be $32,765.94. Perhaps the updated evaluation of the pension will resolve the issue regarding the value for marital purposes. Husband participated in a 401(k) plan with Roadway Express and there has been some changes in the value as a result of the loss of value of Caliper Systems, Inc., stock. If we take the date of separation value for that plan, wife claims the value is $131,222.91. Husband reinvested the funds from the 401(k) into an IRA and retained some of the money in the 401(k). The total of the two plans have a value of around $120,000.00. Looking at the numbers that are provided, it appears as if there is a difference of around $11,000.00 using wife's value of the 401(k) at date of separation and husband's value of the combination of the 401(k) and IRA currently. The household furnishings were appraised by Mr. Rowe. Mr. Rowe went to the address where husband is living and appraised property at that address and also appraised property at the marital residence. According to wife, certain items were missed by the appraisal either because they were not available or Mr. Taylor did not show the items to Mr. Rowe. In any event, Mr. Andrews is going to review the list of items which wife claims were not included in the appraisal with his client to see if we r.an come to some resolution as to the items that were claimed by wife that were not included in the appraisal. The it... which Mr. Rowe appraised on his statement show. a value of property at Meals Drive of $1,210.00 and a value of property at limaerman Road of $3,399.00. Coun.el are going to provide a value of the items which each party has received in kind. For instance, husband is charqed with r~eiving the ite.. appraised at Meals Road. Wife, on the other hand, claim. that not only TAYLOR v. TAYLOR INVENTORY OF MARITAl PROPERTY Dale of Seperation: July 16. 1996 ASSETS' Possessor Delaiotion of Pl'DD8rtv ~ if W notes Relldence . 1348 Zlmmennln Rd. $33,707 Actual nel proceeds with return of escrow Estimlled Interest Iinee ./1 0 3% $475 estimlted IIw 9/21199 F umiahlngl $4,312 $1,210 $3.102 appraisal by Rowe Bros. 1989 Jeep $8.000 $8,000 Stipulated It PTC 1988 Ford Tluru. $3,000 $3,000 StipulatediiPTC Boat $14,690 DOS NADA'value debt fS14912} 1$222) 1$222) DOS value Members lit: .-. CO 1171 A cIIeetlng $890 $890 bailS of7/16/96 '29840 ctlecklng $1,461 $1,461 bailS of 811198 COII7TA saving. $479 $479' . bailS of 7116/96 129840 samgs $' .532 $1.532 ball. of 811198 ClViatmlS Club $813 $113 $700 Roadway ElrpreM Detd ann Peulion $36.324 $36.324 IS per updaIed appraIaal Retlrement Plan 40100 $811.332 LelS:PoIt-MpI/alIon alIllributiona ($18,503) ....,828 $411.829 IS per8l3Cllll8 rpI wIh doc'd aIIrb'nl ~ IRA from CalIper _ .... plOCMds $84,103 $84,103 I' per 812511ll1.' 1 ...1It TOTAl. ASIeTI $224.703 $180.728 $11.185 LlABlLmES Pnmericl TOTAl.1.IAMJTID S300 S300 $300 $300 $0 sa.m $0 sa,m ASaETI UA8lU11U NET MARITAl. DTAT! $224.703 $180.728 moo} mocn 122..403 $180.428 GOY. Net MItltIl Estate Ihlandng P8yIIIeIll1ll dMde 80140 Propoaed Compoatian of h)'lMIIl: House f'raoMds TrenIItr "- IRA TrenIItr "- 401(k) $134,642 $88.781 $134,642 $IZ4,14f S34.CM3 .....103 119- .. TIWIOr. 11' ~ 111 .,,* TAYLOR v, TAYLOR INVENTORY OF MARITAL PROPERTY Date of Seperation: July 16,1996 ASSETS' Possessor Descriotion of Prooertv ~ Ii '/1 notel Residence. 1348 Zlmmennan Rd. 533,707 Actual net proceed. with retum of escrow Estimated interest since 4/1 @ 3% $475 estimated thru 9121/99 Fumlshlngs $4,312 51,210 53,102 apprllisal by Rowe Brol, 1989 Jeep $8,000 $8,000 Stipulated II PTC 1988 Ford Taurus $3,000 53,000 Stipulaled i1I'TC Boal 514,690 DOS NADA value debt IS14912\ ($222) ($222) DOS value Members 1st: 40117TAchecking $890 $890 bel as of 7116196 129840 checking $1,461 51,461 bel as 0' 811198 40117TA savings $479 $479 '. bal as of 7116196 129840 savings $1,532 51,532 bel al 0' 811198 Christmas Club $813 $113 5700 RoadwlY ElIpren Defd ann Pension $38.324 $36,324 a. per updated apprl'n' Retnment Plan 401(k) $86,332 Len:Posl-sepamion c:onlribulions ($18,503) $48.829 $49.829 as per 8130/99 rpl will doc:'d ~'nt deducted IRA from Caliper licit .... praceeda $84,103 $84.103 as per 812W9 *L"'" TOTAl ASSETS $224,703 $180,728 $ll.7SS LIABILITIES' Prim8flca TOTAL LIA8lUTIES S300 S300 S300 S300 so ASSETS UAIIlUllES NET MARITAl ESTATE $224.703 SI80.728 1$300) ($300) $224,403 S180.428 Sll.7SS SO Sf,7V5 One-HaIf Hel MatltaI Estate Balancing Payment 10 dlvIda 50/50 Propoted Compoltian of PaylIlent Houte PIoc:eeds Transfer 110m IRA SH2,201 S112,201 5112,201 5t02,4llt $34,043 ....~ "02,401 _T.,..u..~ '"Me ASSETS: DesaiDlion of Prooertv Residence. 1348 Zimmerman Rd. Estimated Intereallince 4/1 G 3% Furnishing. 1989 Jeep 1988 Ford TaUlll. Boat debt Members 1s1: o4Ot17T A checking 129&10 checIUng 040117T A savings 129&10 savings Christmas Club Roadw8y Elqnu OIrd BnI'l ""'*'" RetiI'ement Plan 040100 leII:Poat-aeparallan lllIItiUIana IRA from Caliper **.. ploceedt TOTAL ASSETS LIABIUnES: ~ &..eric.a TOTAL LIA8lUT1ES ASSETS LlAlIlUTlfS NET MARITAL ESTATE 55% 01 NIl MaritII EItlIIe IlaIanc:ing P8ymft lo dI'Ilde e5I45 PIoposed Compoetlan 01 f'arl,~" House PI...--- T ranalw from IRA TAYLOR v. TAYLOR INVENTORY OF MARITAL PROPERTY Dale of Seperation: July 16, 1996 ~"'sor ~ 1:1 '!J. notes $33,707 Adual net ptoceeds with ralum of esaow $475 estimated tIvu 9121199 $4,312 $1,210 $3,102 appraisal by Rowe Broa, $8,000 $8,000 SlipWIled at PTC $3,000 $3,000 StIpulated., PTC $14,690 DOS NADA value 1S149121 ($2221 ($2221 DOS value .', $890 $890 bat as of 7/16/96 $1.~1 $1,461 bal as of 811196 $479 $479. bat a. of 7/16/96 $1,532 $1,532 bat as of 811196 $813 $113 $700 $36,324 $36.324 as per updated appraisal $88.332 ($18,5031 $49.ll29 $49,ll29 as per 8I3G'll91Jll willi doc:'lI airb'ns dedllCled $84,103 $84.103 as per tJ2SIW ...~ $224,703 $18O,72l5 $9.7V5 ., 1300 $300 1300 $300 $0 $224.703 $18O,72l5 ($300) ($300) $224.403 $180,42'l1 $9.715 $0 n,7115 $123,421 $100..1 $123,421 It fl.ut a.UM3 tft'd: w..T.,.~ ,...... ..... , ASSETS. Descriotion of Prooertv Residence - 1348 Zimmerman Rd. Estimated Interellllnce 4/1 Q 3% Furnishings 1989 Jeep 1988 Ford Taurus Boat debt Members 111: 40117T A checking 129840 checking 40117TA livings 129840 savings Christmas Club Roadway Elqlreu Oetd ann Pension Retirement Plan 401 (k) Less Pol1-sepaI8tion c:onIributions IRA flom Calipet' stdl .... proc;eedI TOTAL ASSETS LIABILITIES PrimeriCa TOTAL LIAIIIUl1ES ASSETS UAIIlLIl1U NET MARITAL ESTATE OM-HaII Net Marta! e..... Balancing Paymenllo cIivm 50150 PfopoHd Compotban of Payment House PtooncIa Transfer lnlm IRA TAYLOR v, TAYLOR INVENTORY OF MARITAL PROPERTY Oate of Seperation: July 16, 1996 PoUlt.lOr ~ tl lCl notes 533,707 Ac1ual net proceecls with return of escrow 5337 estimated [actual info avail to Ws ally) $4.609 51.210 $3,399 appraisal by Rowe Bros. $8,000 $8,000 Stipulated at PTC 53,000 53.000 Stipulated at PTe 514.690 DOS HADA value rS149121 (5222) (5222) DOS value $890 $890 balll of 7/16/96 51,461 51.461 balll of 811/96 51,479 $479 51,000 bal as of 7/181ll6 51.532 51.532 bel as of 811/96 $813 5113 5700 5311,324 $36.324 IS per updated appraisal $M,332 1$16,503) $49.fl21l $49.fl21l $84,103 $84.103 5225.1162 5180.726 IS per 8I3Oofi lilt wiIh doc:'d cnlrb'na deduded IS per 8125/98 stat.menl 511 ,092 S300 S300 5300 S300 so $225,1162 5180,m 1$3OO} ($300) $225.562 5180,426 511.092 SO 511,092 5HU81 5112,781 5112.781 $'01'- 134.043 .r.~:tI WftI T..., ICI' 11 ,.,.... &1"'" ASSETS: Desa1D1ion of Prooertv Residenc:e. 1348 Zimmerman Rd. Estimated Interesl ainc;e 4/1 0 3% Furnilhingl 1989 Jeep 1988 Forti Taurus Boat debt Members 1st: Mlll1T A cheCkIng 129840 ched<ing Mlll1T A savlnga 129840 savingS Christmas Club RoadwIy EllpAIsa o.I'd Bntl PInsIOn Retirement Plan Mll(k) l_Post.........atiOI. CXIllIIl\llAion IRA from CaIipIr sld< sale pooceedl TOTAL ASSEn l\ABIUTlES I'IirnenCa TOTAL LlA81U11ES ."un LlA8lLlTlEI NET MARITAl. EllioTt 55% III NIl ....... EI&Ile BU1Qllg ~ III "'5514$ PI opllMlI ComposlIoft 1lI1"lI..ment: tb.MF\~ T..... from IRA TAYLOR v. TAYLOR INVENTORY OF MARITAL PROPERTY Dale of Sepera\lon: July 16, 1996 Possessor Y.aIYI I:t 'Ii. notes $33,707 Actual net prcaects with return of escrow $337 estimated [actual info evalllo WI allyl $4,e09 $1,210 $3,399 appraisal by Rowe 1lIOs. $8,000 $8,000 StIpulated at PTC $3,000 $3.000 Stipulated at PTC $14,690 OOS NAOA value 1$14.9121 ($222) ($222) 005 value $890 $890 baI as of 7/16/96 $1,481 51,481 baI as of 8/1/96 $1.479 $479 51,000 baI.. of 7/16/96 $1.532 $1.532 bat as of 8/1/96 $813 5113 $700 $36.324 $36.324 as per updated appraisII $88,332 (118.!l031 $49,829 $49.829 as per 8I3Or'99 rpt with doc'd r:mb'ns cIelb:Ied $84.103 $84,103 as per 6IZ5I99 .we.nent $225.882 1180.ne 111.092 $300 $300 $300 $300 so $225,882 1180.ne ~ ($300) $225,!lQ 1180.42e 111,092 SO $11.092 1124.061 1101,503 1124.061 1111."1 $34.043 !7U24 'UI."' W. '.,w,.,U.II.I'oMI! llI)1Ie ASSETS' DelCrtolion of Pmoertv Residence. 1348 Zimmennan Rd, Estimaled interalt lince 4/1 CD 3% F umlshing. 1989 Jeep 1988 Ford TauNs Boat debt Members lit: 40117T A checking 129840 checking 40117TA living. 129840 living. Chrmma. Club Roedway Exprell Defd linn PenliDn Retiremenl Plan 401(k) LessPolt.separatiDn contrillutiDnS IRA from Caliper Ildt .. pt'DCHcIs TOTAL ASSETS lIABILITIES PrimetiCa TOTAL LIABUTlES ASSETS LIABUTlES NET MARITAL ElTAft llO'l4 Net ...... EIIalI Balancing Paymlllllo cIMde eGI40 PrtlpDMd CampotliDn of Pa~m"" Houte I'IocMdI TII/lIfef IralIIIRA TII/lIfef 1ralII401(k) TAYLOR v. TAYLOR INVENTORY OF MARITAL PROPERTY Dale of Seperalion: July 16, 1996 POlselsor ViIllA t1 W nDle. 533,707 Actual net proceed. with ralum of escrow 5337 estimated [actual Info avaD to W. ally) $4,609 51.210 53,399 appraisal by Rowe Bm., sa.OOO sa,ooo Stipulated al PTC 53.000 53,000 Stipulated al PTC 514,690 DOS NADA value 15149121 (5222) (5222) DOS value sa90 sa90 balll of 7/16196 51,481 51,481 balll of 611196 51,479 $479 51,000 bal II of 7/16196 51.532 51,532 balll of 611196 $813 5113 5700 $36,324 536,324 II per updated appreiaal $88,332 (516,503) $49,&29 $49,&29 $84.103 $84,103 $225.882 5180,726 II per 8130199 rpl willi doc:'d aIbtI'nI deduc:ted II per 6125/99 statement 511,0112 S300 S300 S300 S300 so 5225.882 5180,726 mOl)) ($)00) $225,512 518O,42t1 511,082 $0 $11.082 $135,337 $90.225 "35.337 .tJA,MI 134.043 $84.103 ~ WlIII T~ ..,u__ 81M' , _4,t-ai"j- ~ ~-4t.....iiutr, &I~ I ._-1J(AI.~f ~I- .~. ~';~~~. "~~~'/f -'f.:tU1. I 1;:;lA~:; ~~~ /6!.;'~~J I ~~::n~' ! 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" ~+<tL~*' -~'~~IP-fuJ;~ ?i~~ !0L0r: ~~<-U~~~....~jf?I!LtJ. -dX~ . ~. ~e't"~~\I-~ky.\j' I . . - ..., -....... -- . \ '>>"""~;~'.;'~- '._~.,. ...:::.",.-. .. ~:~:i . " Office of Divorce Maa.er 9 North Hanovel Street Carlisle. Pennsylvania 17013 c......t.....;;:r'~ ':_ '. .' I Ch.,OV[ ......1 .J iJ, ,)!>! 0, LEFT No fS 4rT€::"Ot~ ORton;." .. i~IL\';CU~~!t..fJ!.!) /...-1:10 !'fI-'::"-oORi::nJ!I'fl. f""O i~ IITJirr I\IIt;D '-. FFle NtJ,.l/;(/f 1(Nr A;:." '. ,.,..', , ~, c .....~j..!4~.~:::.-. : ~ I.- . ~~\~ : ~:.::, :0.3 3: . .ft"ft'nn : PB MUlA : 11SIU4 V,I. POIUU : cr 1- It tv ~, I I 'y TERRY LEE TAYLOR J4~ WEST MAIN STREET APT. 2 HECHANICSBURG. PA 17055 ---"'''''~''''''''''iqiofr_',........"~~~.'~.,...._,,,,,"~,,,, - ...". . nIT r'". " . ...... . IRA H. WEINSTOCK WENDY D. BowIE .JAsoN M, WEINSTOCK JoHN B. DouoHEftTY Lo..w OFFICES IRA H. WEINSTOCK, RO. SUITE 100 800 N. SECOND STREET liARRISfJtJRO. PENNSvtJolANIA 17102 1-;0.>(: (7171 238-6691 AREA Cool: 71 7 lklzPltONE: 238-1607 ~ Augusl3,I998 E-Mail Add.....: w.inatoc~roa..n.t E, Robert Elicker. \1. Esquire Office of Divorce Masler Cumberland Counly Court of Common Pleas 9 North Hanover Street Carlisle, PA 17013 RE: William R. TlI)'lor )'. T~rry Lu Taylor Docket No, 96-5124 Dear Mr. Elicker: 1 have reeeived your correspondence dated July 29, 1998. in which you direet the parties to file a pre-trial statement on or before August 17. 1998, Please be advised that on July 9, 1998, 1 undetWent a 3-level laminectomy as a result of cervical stenosis which was causing severe compression of the spinal cord, I saw my neurosurgeon on July 30. 1998. and at that visit. he infonned me that I may not return to work yet. I will not know. until my next appointment with my neurosurgeon, on August 26. 1998, when I will be pennilled 10 return to woik. 1 am. with his somewhat hesitanl permission, doing a very limited amount of work from home. as the numbness and weakness in my anns and has not yet resolved and I remain on two rather strong medications for post-operative pain and muscle spasms which also interfere with my ability to work for more than short periods. 1 am scheduled to begin physical therapy on August 4 to allempt to regain the full use ormy anns and hands as the muscles to mv shoulders and anns hav'e atrophied as a result ofthe cervicalstenosis, . My husband has been kindly either stopping at Ihe office periodically to pick up my mail. or has been driving me 10 the office 10 retriev'e my mail. I do nol, however, have Ihe resources at home. nor the stamina necessary to prepare my pre-trial slalement by lhe stated deadline. Because I did not receive your leller unlillate Friday ev'ening. I have not had an opportunity to discuss this mailer with opposing counsel. and I do not beheve lhat he is aware that I have had surgery and have been out of the office, 1 will. howev'er, attempt to call him on Monday morning. and he will also receive a copy of this letler, I. e:apectfully request thaI YOU JlOstpone the due date for the pre-trial memoranda in this maner, If Anomey Andrews does not concur in this request. then I respectfully request that you JlOstpone the due date ov'er his objeclion. Thank you lOr your courtesy and cooperation in this maner. Very truly yours. /. f ~', ./~ 'I .11( ,,: ',.._. '*... i "- .r "1" II ~ it. ",l -' > ...., . t WFstn- DLiUA Bc.lwlf cc: Taylor p, Andm\~ r.re Tmy TI)'1or . valuations assigned by Husband to the assets demonstrates the economic disparity of assets, In addition. Wife has had to expend monies to maintain the value of the marital residence, Argument The purpose of a coonsd fee award is to enable the more dependent party to 6tigate the action without being placed at a financial disadvantage, Gi/lv. Gill, 667 A2d 1219 (Pa. Super. 1996). In this case. Wife does not have substantial financial assets, Wife does not have significant income from employment, Hu~nd. however, makes over S50,ooo.00 per year, Husband does not have rent or mortgage payments. Husband has retained the bulk of the marital assets and has access to those assets. Husband's proposal to Wife, for equitable distnbution of the marital estate offered less than 4W. of the marital estate to Wife. Husband has failed to disclose assets which he has retained incllldi11g a II.IlDber of guns, sporting equipment. golfing equipment, skiing equipment, power tools. the value of a time share vacation package. improvements permanently affixed to the boat which is in Huwnd's possession. Wife does not have the financial resources to have these items properly appraised, nor to diacover the actual extent of and value of marital property which Husband has retained, or has removed from the marital residence foUowing the parties' separation. Wife has do...-bllled lICtual finaDciaI need Pmbugtr ", Per/~f'1l", 626 A2d 1116 (Pa. Super. 199)). The marriqc is one ofJona duration The financial status of the panies is vastly ditferat. .....nd has fiiIed to disclose marital property. Wife requires additional flnanc:iaI raourca in order to protect her iIllerats in the marital alate CHChuiea For" ....~>"t, ~. Tmy Taylor rapectfiaIIy rtqUat1 tIlat this IIoelorabIe Court - 2 - . -- -.. '" ". -..'\- - -~.- --~,-- --~ - -- -- --- ---~----- -- - --~~'-- -, ~ >> , I'AIUIIS MilS I WillII', " \ I " II SITIIONANllllllollIll: 1'\1'11 CII{('IIMSIANITS Rill \ ".: I., AIlMINIS II{AIIIlN C II I' iI 1.0SS Ill{ CIIANlil 01 I',' " AIlIlIO SSORCIIA~c" ' ",' I'ARI Y WIIO WIIIII'I I ., i . I ('JKCII~IS rANI I M.\ \ Iii IINEI> OR IMI'IUSIlNIII , ,1''1 OR~I 1111: I>OMLSIIC IOJ.,\ III 1:-"<' I', WHllllili,O!'ANYMAIUOAl 111'\',.,1 'I! "VII or SIII'I'OIU Ol~ Till: . >I.IIIII~ ''\1 I IIDINli,lIll1 NOIII\IIIII' 1" 11'111\ \11 :-. I "Nil CIIANlil. 01 1'1 I{<,' ,', . . ,'! \,\','11111> IU('JI\'INlj Slll'l'ol{ I \ .'I"'HI \ 'J.\IU~IAI('JIANlil" , I', I "'\I 1.\11'1 olCOlllU, M.;I> \1 \ \ Ii, I'I:NNSYI.VANIA I.A\\ 1'1(1.\ '"' ~ I!I \1 All. SIII'I'OKI'OKI>ERSSIIAII III RLVIEWEI> AI I LASIII,\( 1 ,\ II , IIIRII (IlYI:AKS I!'SIIt'l1 A HI:VII\\ 1<, IU-:I)lII:SIUlIIYONIIII 1111 1'\1, "~ II \cIlIWISIIIOHIJ)III:SI AKI\'II \\ \'. AI>JlISIMLNIOI \'(111,' '11, 'I I~ " 'I \11 SIIllllIlI'.!'Ol.l.oWINCi: AN IINRU'RI:SINII () l'llh. ". 1\ j I', \', I <, 10 \101l1l'Y (AI>J1JSTl A SI WI'III{ 1 ( WI' SIIOUUHII.E A I'I:TIIIII'; I \ .1: \1, : Iii II A liON. I'ORMS ARE A V AII.AIII.L A 1 II! I>OMISrll' KI-I \11< IV, , '! ' ' AMANI),\IORY 1:\1'''\11 \, 1111 .:,." \\lIl.lSslJElIN1.I:SS IIIEI'U"Il\\; i NOliN ARREARS IN ".\\ \11 ,; I I'. \', ..\\101 iN I' U)lIAI.IO OR (iRb\lIK 111\'\' ,'., MONTlI'S SUI'I'OK I 01111<. \ II' ", \ '\11 (1) 1111 n>URT I'INI>S lllA'1 1111 KI IS 1.( " ill CAliSE NOT TO KIl)1 '11\1 1\1\1111' \ II "CO'll' WlTllllol.I>ING; OK 121 A WKIIIl " A(iRI:EMEN I'IS K!'M 1I11l1l1 I \\ Ii', 1111. 1'..\lU ItS WI 11('11 PROVII>LS I ilK .\ 0.; AI.TERNATEARKANl.1 \11'1 I>EUNQUI:NT ARREARAl,L 11,\1'\ 0.;1 'I.S MAY III: REPORTED 10 CRUll I AI "'.M 'US, ON ANI) AFTER HIE DAlE n IS III T I'ACIIIJNPAIl> SUPPORT PAYMENr SIIALI. CONSTITUTE A JlJlXiFMENT Al,AIN" I YOll. IT IS HJRTlIER ORI>ERU> Ihal, Ul"lfl ckfcndanl" failure 10 compl} wllh Ihis Ill'de/, defendanl may be am:sIC\l and brought hel\n the Coun for a Conlempt hearing. ckfendant's wages. salary, comminion., and/or irn:omc may be anachcd in accordance wilh lhe law, Ihis (>rdef will be increased wilhoul funher hearing 10 Slili\. a month unlil all amaragC!lare paid in full. Defendanl is fespclflsible for court ""Is and fCC!l I' delermined by the: (}omeslic Relal;."" Se..-:tion. I hb orcle, _hall he C\lfllC IIn'ilkll old)' alkr lhe mailing. of Ihe Ilolice 0"11", enlf) ....Ih.. .'fIkr lolhe partie. ullko.s eilher part) tile.. d \<rlllen cleman.! ...ith Ihe 1'lo.>mc_lIc Relal,,"" St.-.:hon for it hcttnul! de nt'\" hd_l'': ,h\'" ( purl (',,,,ie. c1eh\en'" I.- pa.t...'. .". '''l''I:'!II~,! l~. 111<I6 . C"n"fllled. ,~(~7~/! (~ 7r~~U" De l>fl.O ,,_ Mar", M,Itlo nv nn: ('OUR I, " plalnllll~"'''~ " 10)"" "...tn.", I..... << 1\1""-",, ""...._1", I "I I \Ior....'\ 11It.... It . J ~ ~ 8~ . (f:L ~g: Of: 1.111:", ". n:'" "'''':1 p..,' b II) M tt,. -. -, ~;:: r= 6 .:,)"""", I-)-~ (.J~; "'. '~'\~ _:";'l'~ ;;:~tlj- -) ?,' ...,,~ 'h -~-'-Hi '0,_ 3 O' (") . IN ...... f..) c ,..... O'l ... ... B ... i ...... ... t= ... '\:J .5 ! :1: . ... & ~'" .. ~ 5 ~ ... ~ Ie'" , , . ~ e .. > 5 ! ad :i I il ~ . . - l(; , .... , . . . ~ . --k. ,- --; , -~; -:' . . . , .... +l . Co)' .IM 3 0; ..... .., I ~ .11 . c: i .... :l .... . & # Clo . hlU I~. ~ g I . t< .. . ! ~ "I :- .. a . g " . I I I 3: e 1 .~ ~. .... ~. Q II :.;I ~. l}J b I .iI w .. TAYLOR v. TAYLOR INVENTORY OF MARITAL PROPERTY Date 01 Seperation July 16, 1996 (Revised 1-29-97) ASSETS: Possessor Descriotion 01 Prooerty Value t! W notes Residence - 1348 Zimmerman Rd.. Cartlsle $115,000 mortgage 1$84,000) $31,000 Fumishings $7,075 $725 $6,350 appraisal or agreemenl 1989 Jeep $8,000 $8,000 1988 Ford Taurus $3,000 $3,000 Boat $14,690 debl 1$14.912) ($222) ($222) Members 1 sl: 40117T A checking $890 $890 129840 checking $1,461 $1,461 bal as 01 811/96 40117TA savings $1,479 $479 $1,000 129840 savings $1,532 $1.532 bal as of 811/96 Christmas Club $813 $113 $700 Roadway Express Defined Benefit Pension $30,330 $30,330 as pet' appraisal Retirement Plan 401(k) $38.200 $38,200 as pet' 11121 IIr IRA from Caliper stck sale proceeds $54,894 $54,1194 as pet' 11129 statement TOTAL ASSETS $1711.452 $133.409 $14,043 LIABILITIES: Pnmerica $300 $300 TOTAL UABILITIES $300 $300 so ASSETS LIABILITIES NET MARITAL ESTATE $1711,452 $133.409 ($300) ($300) $1711,152 $133,109 $14,043 SO $14043 U,'HmWllIS , };''\'9] 1_ H, WEINSTOCK WEND'f' D. BowIE .JAsoN M. WEINSTOCK ..JoHN B, DouotmRTV ANntoNv NATALI.:, m , .' L....w OFFICES IRA H. WEINSTOCK, RO. Sum: 100 eoo N, SECOND STREET HNuuSBURO, PlENNSVUfANIA 1 7102 " MEA Cool: 71 7 1kIZPHONII:: 23&16D7 ~ FAX: C7171 23BH6691 8-Mail Adclnu: w.m.~,net Ms, Terry Taylor 1348 Zimrnennan Road Carlisle, PA 17013 07/31/96 08105/96 08123/96 08128/96 09/11/96 09/12/96 09/16196 09/18/96 09/19/96 0912<W96 I (lIO 1/96 10107/96 I (lIl <W96 I M6196 I M6196 I M8/96 12109/96 12116196 12119196 12119/96 01/13197 01117197 01/19.'97 0112Or'97 01/22197 01127197 01:21.'97 ITEMIZATION OF TIME Meeting client; draft Ielter Conference client Conference client Conference client Conference client Meeting \\-ith client; represent client at hearing Conference client Review 'u..........ndence and complaint; conference Attorney Andrews Conference Attorney Andrews Conference client and opposing counsel Conference client Conference client Conference client; review Answer and Counterclaim Review Answer and Counterclaim Cooference Attorney Andrews Conference client Conference client letter to client Conference client RC"iew Jetter from Attorn(y Andrew1; draft response COl\rug~e client Conference client; miew documents fl\lltI opposing counsel Rc\-iew me; draft Jetter to opposiftJ counsel MectiftJ diem RnlCW tile and documenu submitJed in IIIppOr1 of propoul; letter to ~"I cOlllIscl Rniew collcspoodcnce from orplSlntt counsel; review SPD for IkrmN benefit pll1ll letter IU ~lSiftJ COUllSCI. ~" n: pmsM'" ,'aluation 1.00 ,25 ,25 ,25 ,25 2,50 ,25 ,25 ,25 ,50 .25 ,25 ,25 1.00 ,25 ,25 .25 .25 ,25 100 .25 1.25 75 1.00 .75 , 00 100 EXIlIlllT -^" " " 02103/97 Conference client; review correspondence from opposing counsel .50 02104/97 Conference client ,25 02119/97 Review correspondence from client ,25 02126/97 Conference client .25 03/10/97 Conference client ,25 03/26/97 Conference client .25 04103/97 Conference client ,25 04/04197 Review documents; work on case ,75 04/14/97 Conference client .25 05/13/97 Conference client; work on case .75 05/14197 Conference Attorney Andrews; review correspondence; work on case ,75 05121/97 Conference client ,25 05130/97 Review pension plan documents from opposing counsel ,75 06103/97 Letter to opposing counsel .50 06125/97 Conference client; review pension plan, valuations and appraise- ments; prepare letter with counterproposal 1.50 07/04197 Work on case ,25 07/05/97 Review correspondence from opposing counsel; letter to client; letter to opposing counsel 1.00 07/07/97 Work on matter; research re petition for interim award of attorney's fees ,25 07109/97 Conference client; work on case ,50 07/10/97 Conference client ,25 07/11/97 Meeting \\-ith client 1.00 07131/97 Conference client .25 08/0 1/97 Review fax from client; prepare letter to Cumberland County ORO; conference hearing officer; conference client 1.50 08102197 Research; work on case .25 08103/97 Review correspondence from client; work on case .50 08104197 Work on case ,50 08105/97 Work on response to Attorney Andrews' letter .25 CHARGE FOR ABOVE: 2<).75 houn It SI25lhr, : Court Costs Travel IInll Subsistence S 3,718,75 o&S(l() 7..:tO Sa""'" Minus h)"l'Mnts Re<<ivW TOTAL A)IOllNT DUE S l.1709S 2<)HlO S J..t~~ WILLIAM R. TAYLOR, I IN THE COURT OF COMMON PLEAS I CUMBERLAND COUNTY, PENNA. plaintiff, I I V8. . NO. 96-5124 Civil Term . . . TERRY LEE TAYLOR, I I CIVIL ACTION - LAW Defendant. . IN DIVORCE . HOTleE TO PUfllJ) TO 'lD 1f1UIH DHl!:D PAR'fIl!:81 You are hereby notified to plead to the within Counter- claim within twenty (20) daY8 of 8ervice hereof, or judgment may be entered against you. Respectfully Subaitted, 1M S. NBI.8'fOCK, P.C. 800 North Second Street Harrisburg, PA 17102 Phone I 717-238-1657 DADDI if).n Jeitr- , , By: J(q (4. I b..u I.ArrC IRA B. DIlISTOCK WILLIAM R. TAYLOR, : IN THE COURT OF COMMON PLEAS I CUMBERLAND COUNTY, PENNA. Plaintiff, I : va. I No. 96-5124 Civil Term . . TERRY LEE TAYLOR, I . CIVIL ACTION - LAW . Defendant. I IN DIVORCE AJlSlfBR AJlD COUIITBRCLAIM AND NOW, this ))".1 day of October, 1996, co_. the Defendant, Terry Lee Taylor, by her attorney., IRA H. WBINS'l'OCIt, P.C., and filea thia Answer and Counterclaim to Plaintiff's Divorce Complaint and atates as follows: 1. Admitted. 2. Admi tted. 3. Admitted. 4. Admitted . 5. Admitted. 6. Admitted. 7. Admitted. 8. Ho re.pon.e is required. ~~~QJ CCIUII'f I - aoun"y" DI8ftlB1ftlC* 9. 'l'be averment. in 'araqrapb. 1 throuqh 8 herein are hereby iocolrpOrated by reference thereto. 10. Plaintiff and Defendant ha. acquired property, durinq their ..rriaqe until the date of their .eparation, which property is marital. 11. plaintiff and Defendant have been unable to agree as to an equitable division of said property to the date of the filing of this Counterclaim. 12. Defendant requests this Court to preserve her right to have all marital property of the parties equitably distributed. COUII'1' II - ALIKOfl AIID ALIMOIIY PDDDTB LIft 13. The averments in Paragraphs 1 through 12 herein are hereby incorporated by reference hereto. 14. Defendant lacks sufficient property to provide for her reasonable means and is unable to adequately support herself through appropriate employment. 15. Defendant requires reasonable support to ade- quately maintain heraelf in accordance with the standard of living established during the marriage. 16. Defendant requests this Court to preserve her right to seek an award of reasonable te~rary a1t.ony upon final hearing and peraanent alt.ony thereafter. ~ III _ &il____I'. P'" aWft .w...... 17. The ave~nts of Paragrapha 1 through 16 herein are hereby incorporated by referenee thereto. 11. Defendant has uployed the Ura of IRA B. nII- - 2 - j' STOCK, P.C. as counsel but is unable to pay the necessary and reasonable attorney's fees for said counsel. 19. Defendant may be in need of hiring an accountant, a real estate appraiser and/or other experts, and does not have the funds necessary to pay the necessary and reasonable fees. 20. Defendant requests the Court to allow her rea.on- able counsel fees, costs and expenses and to order such addi- tional sums thereafter as may be deemed necessary and appropri- ate, and at final hearing. to further award such additional counsel fees, costs and expenses as are deemed necessary and appropriate. WHEREFORE, Defendant prays Your Honorable Court tOI (a) Enter a Decree in Divorce, divorcing the Defendant from the bonds of matrimony heretofore exi.ting between Plaintiff and Defendant, (b) Order equitable di.tribution of marit.l property; (c) Award alimony as the Court d.... ju.t .nd nec...ary; (d) Order payment of alimony pend.nt. lit., coun.el f..., co.t. .nd oth.r .xpen.e. a. the Court d.... ju.t and nec....ry; and (.) Order .uch other r.lier .. the Court deea. just and "..enable. - 3 - . - ,. ."'. .. ~ ' t..,_. ,';- .. . ... . .(,) .... ... .; .... c II e I ... 1 ... c 8 II .... .. . .... ~ ~ .. c! Ji'll'~f . ~ . = . .. :- I ! :511 I ... . . g I ! i ~ :f - ; ~~ ~ . ~. . ~ re . '!'o. 0;;. ~. tj.. iq. . * 8 .~ ('<, ._~~-~ . ~. a .hJ '. . t;;a demonstrating that Husband's suppan was reduced following his son's graduation from high school. Copies of these exJubits will be provided to Plainti1rs counsel under a separate cover, S-6, Defendant's Income and Expenses are attached hereto as Exhibit 8, 7, PENSIONIRETIREMENT BENEFITS: Plaintiff is a panicipant in a defined benefit pension plan through Roadway, a 401(k) plan through Roadway, and an Individual Retirement Account, The panies dispute the appropriate valuation date for the 401(k) plan. 8. ALIMONY: Defendant seeks an award of alimony, The panies were married for some 22 years. P\aintiff engaged in marital misconduct and has substantially greater c:arnins capacity, eams a substantially higher wage than does Defendant, and has a much brighter economic future than does Defendant. Plaintiff is employed in a supervisory capacity by Roadway Express, and earned over SS6,OOO.00 in 1994 while Defendant earned bardy SIO.OOOOO during the same period. 9. COUNSEL FEES: Defendant seeks an award ofcounse1 fees. 10. TANGmLE PERSONAL PROPERlY: See Exhibit A. II. MARITAL DEBTS: The primary marital debts are the mortgage on the marital residence which wiD be satisfied upon the sale of the residence, and the loan on the parties. boat. C10sina on the sale of the marital residence is cunently schedu1ed for late December 12. PROPOSED RISOUmON. Defendant proposes that the marital estate be divided with 6~ to Defendant. Terry Lee Ta)ior. and JS% to PlailltiffWlIIiam Taylor DefCftdlnl abo leeks an aWlI'd of alimony and attomcy's rea -)- MARITAL ESTATE Item Value HUlbaod Wife ASSETS Residence (5119,500 - 84,000) 534,000.00 1988 Ford Taurus 53,000.00 53,000,00 19891eep 58,000.00 58,000,00 Boat (5222.00) (5222,00) Chec;n"8 # 40117TA 5890.00 5890.00 Chet:1n"8 # 129840 51,46\.00 51 ,46 \.00 SaYinas# 4011TTA $479.00 $479.00 SaYinas # 129840 51,532.00 SI,532.00 ChriJtmu Club 5813.00 SII3.00 S700.00 Roadway Express Pension S32.756,94 $32,756.94 Roadway 40 1 (k) SI3I.22\.91 5131,22\.91 Fumishings $4,196.50 51,095.00 S3,10\.5O S21&,128.35 S174,33385 $9,794,50 UABlUTlES Primerica (S300 00) (S300.00) NET MARITAL ESTATE $117,828.35 S174,03315 $9,794.50 WIIIIIT "A- ASSETS OF PARTIES Defendant marks on the list below those items applicable to the case at bar and itemizes the assets on the foUowing pages, (01) 1. (01) 2. ( ) 3. ( ) 4. (.I ) 5, (.I) 6. ( ) 7, ( ) 8, ( ) 9. ( ) 10. (.I ) 11. ( ) 12, ( ) 13. (.I) 14. ( ) IS. ( ) 16. ( ) 17, (.I) la. (01) 19, ( ) 20. ( ) 21. ( ) 22, ( ) 23. ( ) 24. (.I ) 15. ( ) 26. Real Property Motor vehicles Stocks, bonds, securities, options Certificates of deposit Checking acx:ounts, cash SaviDgs acx:ounts. money market and saviDgs c:ertificates ContcIIts of safe deposit boxes Trusts Ufe iIlsurancc policies Anauities Gifts InberitIDCCS Patalls. c:opyrisbts. inventions, royalties Penoaal property outside the home B'Ire,s Emp10yment tamination bcncfits.-sever plY. worker'. ~..sation daimsfawards Profit sbIrins pIw Pension pIw R.:tiJ~.ent pIaIls.lndividua1 R.:tilauellt AICCO'....' Disability pa)'IIICIIII lltip.ioa claims MilitaryN A bf."" &I. s:............ b-Jiu Debts due, inclllddla loaDs, martpaeI Hou~ lbrIli~ and plliIlIOCIIItJ Odler -2- MARITAL PROPERTY 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 1# Description or Property Possessor Owner Value I Marital home W J $119,500,00 2 1988 Ford Taros W J $3,000,00 2 1989 Jeep H J $8,000,00 5 Cbecldng Account 40 117T A H J $890.00 5 Checking Account 129840 W J $1,461.00 5 Cluistmas Club H&W J $813.08 6 Savings 40 117T A H J $1,578.56 6 Savings 129840 W J 51,532.00 14 Boat &: Trailer H J $14,69000 14 Boat Accessories 14 Loran H J Unknown 14 Stereo H J Unknown 14 Rcftigerator H J Unknown 14 Stove H J Unknown 18 Roadway Express Pension Plan H J 532.765.94 18 Roadway 401(k) H J 5131,221,91 19 Individual Retimnent Aa:ount · H J $S6,115,93 25 Housebold Possessions Dqtron Microwave W J $2000 Wroupa Iron Microwave Stand W J $4$00 Rival Slow Cooker W J "00 Kitchen Accessoriesf W J $6$.00 SmaIJ Electri(al Appliances W J SJ2.00 Pots. Pans. Bakina Dishes W J S22.S0 GIua. China W J $20.00 SmIIl K.itdlen Accessoria W J $)600 Maple Dinette Set W J $ISOOO -)- 2 Piec:e Living Room Suite W J SI85.00 G1ass,China W J S30,OO Dry Sink W J $60,00 Lamp Stand W J S35,OO Coffee Table W J $65,00 Table Light W J S5.00 Stand, crafted W J S10,OO Clock W J S12,OO Crock W J S3.00 China. Ceramics w J S24.00 Accessories, Decoraton W J S30,OO Admiral VCR W J 530,00 Handkerchief table W J $60,00 Comer CIbinet W J $45,00 Bedroom accessories W J S30.00 3 Drawer Chest W J S35.00 Pine Bench W J S10,OO Bedroom CraftslDecoraton W J 535,00 Whirlp0oI Washer W J $15.00 Whirlpool Dryer W J $60,00 Kenmore Freezer W J $9',00 Q-Bam SpotIiaht W J $$,00 KerosunHeater W J SI2.00 Crafted Stool W J $$.00 Crafted Bench W J SI0.00 Pictura, Prints W J $11.00 Crafts a Decorators W J $60.00 Boom Box W J $$.00 Boob'GamafToys W J SI5.00 1 PiIce Bedroom Suite W J $9',00 Cooler W J $$.00 Patio furniture W J SUOO Gas 0riI W J $$',00 -4- Oas Cans W J $5.00 3 Sleds W J $20,00 Trek Bicycle W J $20,00 Bow It Arrows W J $15.00 FishinsRods W J $8,00 Metal Shelving W J $12.00 Shovels W J $11,00 Car Ramps W J $8.00 WhecIbarrow W J $15.00 Cnftunan Rotary Mower W J $40,00 Sprayer W J $5,00 11 ~ Hp. MTD 36" deck W J $115.00 FoIdina Lawn Chairs W J 510.00 Alpine Tl'Kker W J $35.00 X-<:orda W H 54.00 Sectional Sofa H J $25.00 Platform Rocker H J NN Floor Light H J $12,00 ~oom Suite (4 piece pine) H J 5425,00 Power Stadt Weight MIdline H J 5165.00 III 10 Tent H J 510.00 10.lOTent H J $20.00 Cds H J $5.00 lee Cbest H J $300 Compound Bow.t Arrows H J $2000 10 Oun Cherty Cabinet H J $16500 2 Muu.le l~ II J S90 00 Jl~Ol\ 7 mm H J $165.00 Han4 Tools H J tJftkDon Po.'If Tools II I U~1l ~.. Eql+II~~ H J U1Ibow1I Slit A Skiat ElfolplWht H J UabG.... Golf 0labI H J l.~ - S ~ NON-MARITAL PROPERlY Defendant lists all property in which . spouse has . legal or equitable interest which is claimed to be excluded from marital property: Item II Description or Proptrty Possessor Owner Reason ror 25 Kenmore Refrigerator W W Post-Separation 25 Toastmaster Oven W W Post-Separation 25 Boom Bolt Son Son Son's 25 Potl, Pans. Baking Dishes W W Premarital 25 Mr, Coffee W W Post-Separation 25 Onc-door Cupboard W W Gift 25 CraftslDecoraton W W Premarital 25 Map1e Rocker W W Premarital 25 Pine Bench W W Post-Separation 25 Planters W W Premarital 25 Entertainment Cabinet W W Post -Separation 25 Portable RCA TV W W Post -Separation 25 Staad. Round w W Post-Separation 25 Light Table W W Post-Separation 25 Bench W W Post-Separation 2S 00uabtrY w W Premarital 25 DcsIt Ii.: Chair W W Premarital 2S 3 Piece Bedroom Suite W W Post-Separation 2S 3 Table Lights W W Post-Separation 2S locbr, Wmdtor W W Premarital 25 0riebtaI Throw RuJ D D Dauahtcr's 25 Reconb W W Premarital 25 SmIIl AppIiJ~ W W PnmaritaI 25 Stand. Lamp 2-ticr W W PltmII ital 2S Stand. Lamp tw draMI' W W PrcmaritII 25 Futoa W W ro..Scparatioa -1- 25 2 Table Lights W W Premarital 25 Gold Star TV W W Premarital 25 Panasonic 1992 Computer S S Son's 25 2 Bird Mounts S S Son's 25 Metal Wardrobe W W Premarital 25 Chest, Storage W W Premarital 25 Pro Staff Golf Clubs S S Son's 25 Sharp Boom Box S S Son's 25 RCA Color Ponable TV S S Son's 25 NIntendo S S Son's 25 Huffy Girls' Bike 0 0 Daughter's 2S Mans Bike S S Son's 25 Lons HaDdle Tools W W Premarital 25 Go1fClubs (old) W W Premarital 25 6-Foot Step Lldder W N NeiJbbor's 25 Step Stool 0 0 Daughter's 25 Skis C C Children's 25 Toys C C Children's 2S 16-Foot Canoe C C Children'. 25 Swing Set C C Children'. 25 Martin 22 Mas, H H Gift -1- EXPENSES Household Week Home MortgagclRent Maintenance Utilities Employment Taxes Real Estate Personal Property Income Insurance Homeowners Automobile LiftI Accident Other Automobile Medical Doctor HoapitaI Special Education Private. Parochial Sc:booI ColIqe Pcnona1 CIodIiIIa Food Other Cnldit Payments IIlll LollIS MiK11'~-..o\&l Houeehold helpkmld care Enttrt....... CiiftJICJlII:it Contributions LepI Fees Other child tuppOIt/IJimoDy pi)"'" Other (1peCif)) Teal E', 1I1II -2- Child Household Child Week Month Month S 930,00 S 25.00 S 125.00 S 40,00 S 258,12 S 20.67 S 3),00 S 21.00 S 125,00 S 125.00 S 50,00 S 125,00 S 1100 S 550.00 S 50,00 S 200.00 S2..61979 TEL: l~ J H", .,,"' Hoop" Oct 26 98 14:01 No,Q02 P.06 34240 10110_ PTO ~ 33.20 RATE 11.600 8TD C 148.37 N 177-42-4883 DEPT 7380 EMPLOYEI UMBER 1774248113 NET PAY CURRENT 011.21 OR08I CURRENT 817,40 CHECK NUMItER 4398e NET PAY VTD 12.240,72 DROSS YTD 18.3&0.12 TAYLOR, TeRRY L IARNlN08 HOURI RATE CURRENT YTD DEDUCTIONS CURRENT YTD MED IWN IUO na.oo ~'lIIl 14.11 410," or PAEM oa 4.100 1.10 ".00 FIT ..117 l.no.7I lD-ClJM I," "'12 P'1O 8CH '0,00 ...00 M.OO l.au .II ..-MID WI , ",. . 137011 PA W\H n. 4&7.12 P'1O UNI 111.41 0AIiDl . 10." '.0",71 A!0Ul.AR 7Ut 1.100 ....10 ,1,I1t.4I OPT'" 10.00 8TO ,-.u lOTollL 10.71 1117.40 111,1IO.1. 1OUI.~ ...... ....'.40 eomm.d,. ~;I1lU1 bll-.i otW:JI bIIore lIp~ -..--- !'ltAK ~ACH AND MT_ TtaI!'c,,,.o.. l'QlITOUM ~ . a 1040 Label c- L '-........". A 'flll'" to.) l ""....... - " o._ftwl", . ......lMtfll . ."yt.. I "'Inca .... '''''-'-'It)> .~. .... ExllftJlllona .....,...... ........... ........ t.. IIlOOIllI - -...- _.L -- -- " ,.. ....... IItt,.l ....... 'I_ l..ItM...... .... ...... .......... .... '-'" ,... ..... AtIt Illed GIOII "..oama .._u.... ... ...- ..,......... ............. ...... _ fie ... -...., I [L : Oc t ;>(, 'JE: D~_ ~. .f .... Tr-. - ....... ....... .... U.S. Indlvldulllncome Till Return 1997 13:53 ~u.002 fl,a;' 'II'to. ..... t - 0.. 't I.' ., .".-1.... ...~,tlf"J1"""""" '"' ~. '"I'" Oil .0.,..,.,.",."",1,,,'''11 In tI OUt "'ill. "....00.4 ..... .....-fIr....... -.. ......... TERRY L TAYLOR "....ttt ".,." ......... nrtt "'."fl'''''. ...,..... .......If.H~...... .Ir....~ tf,.. ......'.0. "I, .......10. 1348 ZIMMERMAN DR '''to II...",,.,, .'......tat.. "" '......If ....It... .,."..................,.. A,LItO. 177-42-4883 ---.- ~08.4~-65J46 F/If ....lInoIot III. -----,- I....J..1I1a1laolllo\. CARLISLE PA 17013 OOyouwonl.H.llO....MIct?..,.., ......,..,...................... .........,... h .- _ .......h.. ...."'"IIf.. .......... !ll1lQl' U_ ..,jOIIII- C-. ....,... --I M_IIlIIO..'.,.._lm<<___-*.no,-...-.....lfILLIAM R TAYLOR _ .,_ (\oIlh Cl\IIIf\olIII poIPI), (ht ,ogo '0) 'lilt qutflyIIIg '_lilt. c:I'I1Il1U1 lICIt yout ....-.. .... thil_........ . au. '" ...ft 11I_ _." '0. .. III VeurMII. 'your p_ (.. _....) __,.... ~ OIl Nt."'" _.........IIOl.......... ..... ..... ..,....." ..... V.. H. X MtttC"...IIl....,... "'..., 'heIl"'-'wI' ..If....."... ftt..., .. . Il~ ........: tit""........ I.Nt.... 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"...-.. .. ........ " . IN....-llltn IIna 13, _ICI.. II"'" 1M 10. T11IIIo tile ......11I """ 0Ql. MI. ... _oI",""""..ntllf~lOWOU. ........ ..... "-.nv_1~31182Hl 4 1'JIlIc0o.t*hJ .-. .._.._ [!~9UOOOO I II _ ".....!lJ!" - ~'1'll_ UftIAftDTAll .. L-u .. .IM II II""""'''' Ill, _........ 10 _ _. T11IIlIlho AIIOUIIIWOU-. ,.", _ o. _. ,.. _......,. . ___ __.A....14 II 23.7 9 753 14 042 5 300 14 1 09 1 )0 1 09 1 869 o ~.:r~ -- :,:-,,, w........ ......,_ .........t I............ ",~."_.,-",,,,,,,,,,,,,""''''''''IM ..tl't4I...." ...,................ ~... ................... 0......,.' ......tfl-. '... .....,.,~4 MIt'. _.............................. ........ ~ ............ ~ ~'t.....,. ...:~<t.tt._....ot~..... , ;' - --... ANS$nl~q!A T~Ml -- - )/05 H" .:~L.1). .' .. - n~n.'_ . H',.. 1'10"1\ . . . . .. . IN ~ 0 . IN Cl i ~ i i ~ I Cl .... II i g ii ! ~ IN ~ ~ .. llo & ~ .. 1~8jil~t . ~ a . is > J :~ if I r ... 10 . . ......, IIC g I 'r~ ! co CI\.... I ~ ~i5 :j ClC - ; I; MARITAL ESTATE Item Value HusbaDd Wire ASSETS Residence (proceeds as of 712 1199) 533,911.93 1918 Ford Taurus 53,000.00 53,000_00 1919 Jeep 58,000,00 58,000.00 Boat (5222.00) (5222.00) tmkina M 4011 TT A 5890.00 5890.00 Chcckina M 129140 51,461.00 51,461,00 Savinp M 40IITTA $479,00 $479.00 Savinp'I2914O 51,532.00 51,532.00 Cll'ist1lllS Club $113,00 5113,00 5700.00 ROIdway Hxpaa Pension 536.324.00 $36.324,00 ROIdway 40 I (1) $49,129,00 $49,129.00 IRA $14.103,00 $14.103.00 t'urnistinp $4,I96.S0 51,210.00 $3.101.50 TolIIA-. 5224,317.43 5110,726.00 $9,794.50 lIABlLmES P' . ($300.00) ($300.00) ....... d NET MARITAL ESTATE 5224.017.43 SIIO.426.00 S9.794.so ~ 4, EXIIIBITS: (all available exhibits arc copied as a supplement hereto) A. Inventory of marital estate (also referenel.-d at #1 above), B, Rowe Bros, Appraisal of personal property, C. Copy ofNADA small boat appmisal guide - 9-12196, D. Members First statement for 7/96 acct. 40117 (3 page~), E. Members First statement for 8/96 acct, \29840 (3pagcs), F, Roadway Express letter report re: "'.'tirement benefits, G. JundO. 1998 statement of Roadway Express 401(k), II, Pension appmisal from Pension Appmisers. lne, I. Calculation of marital portion of pension J, Edward Jones statement for Nov, \996, K. Edward Jones statement for September \998, L. Income I Expense statement ofPlaintiff(fr DR conf8/96), M. Income / Expense statement of Dcfendant (fr DR conf8l96), N, Support order for spowe and child dated 9/12196. 5-6, INCOMElEXPENSES: Income and Expense statements from the 1996 support conference arc attached as Exhibits L &. M . Plaintiff shall file an updated statement under separate CO\'Cl', Mr. Taylor is an operations manager at Roadway Express, Mrs. Taylor works as an anesthesia technician. As of the 1996 support proceeding Mr. and Mrs, Taylor's net monthly incomes were calculated at 53,233 and 51,005, respectively, Mr, Taylor has been paying support for spowe and one child as per a support order at 59B3 per month, Mr. Tay'lor's net monthly income calculates to 53806 in \998, 7. PENSION/RETIREMENT BENHIIS: Mr, Taylor has a Ikfmed benefd pemion with Roadwayexpress. lie also has a 401(k) ret;'''IlIc:nt plan. and an IRA, The IRA was funded by proceeds from the sale of stock in the parent company of Roadway. The stock had been accumulat,,-d in a shehercd retirement account. When the \'lllue of the stock plummeted in 1996 Mr. Taylor rolled the stock into an IRA and sold the stock. There wasa signiflClll1l1oss ohalue from the date of sqwation unlit the date of sale .. months later, a, CQUMSU.HiliS: Mr. Tayklr has filed 1I claim ItK l.'Ounsel fen. This claim was prusN to the Court in a ~uest for interim c:-ounsel fen. This claim was oknied by J. Hess who ruIed that thl: COUM.'I fn'S should h: dderminl.'\J ~ the Ma5ler, Plaintiff has 8tt'l.'pkd the hourly rate ch;qcd by the oktmJant' s counsel as rcasooabIc.. hut the total dlIitIJn ha\.... h.~n chal~ as (\.c:....ui\e. 9. rl\1ll<iIUU~rU~SQN^t 1'R<>>.>l,Rn. An~lofthl: pmtlNlprofla1) in ...11 pIrt)', pmedion has been co~ S<< hhltlilll, -- - TAYlOR v, TAYlOR INVENTORY OF MARITAL PROPERlY Date 01 Seperllliol, JtAy 16.1996 ASSETS: """ . DescriDtion of Prooet1v ~ I:i 'iJ. ncCes Residence - 1348 Zimmennan Rd. $119,500 lnler agreemenI 0I1a1e mortgage & sale elqlel - 1$88,OOOl $31,500 estinated FLmisIVlgs $4,609 $1,210 $3.399 appI . , by Rowe Iltos. 1989 Jeep $8.000 $8,000 estinated 1988 Ford Taurus $3,000 $3,000 estinated Boat $14,690 DOS NAOA valle debt 1$14,912\ ($222) ($222) DOS value Members 1st 40117T A checking $890 $890 ". bal as 0/7/16/96 129840 checking $1.461 $1,461 bal as 0/811196 40117T A savings $1,419 $479 $1.000 baI as 0/7/16/96 129840 savings $1,532 $ 1,532 bal as 0/811196 Christmas Club $813 $113 $700 Roadway Eli;lress Oerd Bnrt Pension $30,330 $30.330 as per appraisaI(wilh CXMIl1Ue caIc.) Reliremenl Plan 401(k) $44,841 $44.841 as per 6f3O/98 rpt witt est.CXllll'b'ns ~ rted IRA lrom Caliper stck IaIe plooeeds $65,975 $65.975 as per 9125198 ~,_t TOTAL ASSETS $194.208 $151,616 $11.092 L1ABllmes. Prinerica $300 $300 TOTAL UABa.I1'lES $300 $300 $0 ASSETS $'8C,D $15',&16 $1t,092 UA8lU11ES '"l:: $15~ $0 NET IlARlTAL ESTATE $11.082 WM ,..... ~ ...... 10'21. """ ~. r-.. . . ~. J .... .,.... : --. B~ ROWE:~~:~i 08 . AU 2276L R. D. 4, Box 353 · Carlisle, PA 249-2677 249-1978 Auction II Action CalluROWE"PorSatilfaction June 9, 1998 TO: Taylor Andrews 78 West Pomfret St. Carlisle, Par 17013 .. COPY: Wendy Dullea Bowie Suite 100 800 North Second Street Harrisburg, Par 17102 RE: Personal Property Appraisal Terry Taylor/William Taylor, Current Auction Market Value-For used Furniture. 118 MEALS DRIVE Sofa, Sectional, OVerstuffed, Gray-worn Chair, PlatfoR Rocker, Tan-worn Liqht, Floor, Wood Candle Stick Style .. Pea. Pine US w/Water Bed Power stack Weight Machine e X 10 Tent 10 X 30 Tent Cots Ice Chest Ccapound low I Arrow 10 Gun- Cherry Gun Cabinet (2t Black Powder NUlaIe Loader. llarlln 22 *, a.invtcm 7 _ 'l"O'1'AL $ 25.00 N/V 12.00 425.00 165.00 10.00 20.00 5.00 3.00 20.00 165.00 90.00 115.00 1n.00 $1210.00 /', IX1l181T C ~ C t- o 1\ lU " , " ...J 'I ~ Z 0 - ~ :~Z ';....J (1) 0) ;: =~ ~<( W l'.. o:~ ,; I .....J r.c ~ ~<(a.9~ Za ~ Cl. ::> ~ en <( Cl. " r. .. ,'I , 1 a ..:.~ :r :.:.... I .' "0' ....4;,.. ~ I . '~'.' .! \:..:/ ~=-=-:::-. --" ~ -. I- " >....... ....... .-', "<.~ ~ I .<:~ ~ ~... '-, ...~ t ., .., ,~ ..,,,.\ 1, , " ,.'.. , -- .... ;.-~ ' or,.. , ",",\ :.j..~ ;. .-...!J " ;.,\ l~ U ;!ft~i' i 1\1\1 , J. " ., ((>..:,i \. \I-""'f r; ,,~l (1 . ~.. ".. cr LL III ~ Ul U u.; C .,. t' . I ,I , . I j - C !, :t !- a. u a: r:: G. UJ .1- a.. w U) STATEMENT $CNOIOIRCCT INQUIRIeS TO: Melnbersl_ l;cDL:It^L CI\1:I>I'1" \INION 5275 E. Trindle Road. P.O,Ilo. ~O Mechanicsburg. POMsylvarna 17055-0040 (717)G97,lI61 TOLL FREE 1.800.283.2328 TOO Il..'ing Impol".d (717) G97.5312 WIlllAH R TAYLOR WClU..VE CATCH THE NEW CAR FEVER' WE'VE DROPPED OUR NEW CAR RATES JUST IN TIHE FOR TltE NEW HODEl ROll-OUTS' SEE YOUR CU-NEWS FOR HORE INFORHATIONI 7n2 6SltARE , 702~65ltARE DRAFT . , b70396~ltARE DRAFT . I 'b703?6~ltARE DRAFT · 07b8r7bl?6n1RECT DEPOSIT , "nEL UXE CHECK 70896JfR fROH SHARES 40117-00 708?65HARE DRAFT' 5491 7b8?6SltARE DRAFT' 5484 709~6 HARE DRAFT' 5493 71096 HARE DRAFT' 5494 7~2!6 AYROlL ALLOCATION fROH 7 2 6 HARE DRAfT. 5491 7 2 6 HARE DRAFT' 5498 11296 HARE DRAFT' 5495 1~5'6 KARE DRAfT. 5496 1 6'6 HARE DRAFT' 5492 1 686 HARE DRAfT. 5500 11696 HARE DRAFT' 5502 111'6 KARE DRAfT. 5504 1 1'6 HARE DRAFT' 5501 1 186 KARE DRAFT' 54" 0118 11196 TH WITHDRAWAL , .. 958 SPRING ROAD CARLISLE 1)8~6 TH DEPOSIT ., 958 SPRING ROAD CARLISLE ll896 TH WITHDRAWAL " 958 SPRING ROAD CARLISLE 1)9~6 KARE DRAfT. 5505 1~986 HARE DRAfT. 558. 11996 HARE GlAfT, 55" 1~2" HARE DRAFT' 550' 1~2'6 KARE DRAfT. 5581 1~486 HARE DRAFT' 5583 124.6 KARE DRAfT 8 5511 ~~;;~ ~: ::~~: ~~f~ 1Z9U AF 5512 1111 1;51' , . . I I , I i I ! Mtl.' 4114: , . <oar 4SI' 489' 4)1 48' ~,.... " ~ ~,. I 141.1I I 18.1l I "'.11 , ....'1 i 1",64 . 1\,." I it,,, 1 , I 1 , , . . 0164021627 0164023927 0185017324 0165020630 REG-E TRANSACTIOtl 900.00 1406,94 0190026121 -15.60 1331.34 0190000435 -1'\1.28 1190.06 0191001313 -13.25 1116.81 0192018853 -24.1' 1152.02 2625.35 3111.31 0194012105 -15.119 3161.48 0194012599 -2'.05 31U.43 0194012911 -445.00 30811.43 0191011602 -15.GO 3013.43 01'80185" -50.00 3023.43 0198015569 -51.24 2966.19 "n -01'8020490 -308.00 26".19 0199018562 -36,00 2UO,19 0199011486 -94,00 2536.19 0199020016 -191.60 2344.S9 0111214921 -100," 2244.59 0118113621 91.44 234Z.OS 0118113651 -100,00 2242,OS 021U13843 -1.''5 223$,5e 02'111\189 '116.01 2111.51 &201115'12 -%5'.12 1161 . 4t 02.....Z195 -26,47 IUS,OZ OZl401'19. -sa.52 11" , so .UUlnu -15,68 1110,90 02..119615 -11,1' 1161,72 lZ06llS2l1 -54," 11".12 IZU81U18 -41," 166S,71 "'~-02118l"91 -f 1445.72 "1"iU:'t "",(, .65.1: .61.42 40111-00 PA PA PA . . . . . . . . . . . . . . ........ . . . . 110, MCMll 110, AllIOUII f 110, \49S lS." n.. SJ,l4 un 5.9. :4.'9 SUI '4." SS.. \495 4.5." nil se.... u., \4'. IS," nn IS." 5518 S4t1 IS,It U84 SI.'8 l5Il ".. u,es nOl 8.4S nu \u. Itl." uu n. u un OUt. DI nl" I 08-01-96 08-31-96 ''-- NOT." Sf. A(V[RS( S<< "lA ","OnTANT :OIUA:T~ .r~A.~."",, ......TS TOOlSPUTE 8ll'H:l"'" .''''''''ION r..o'" __ lodol9 TFR FROM SHARES 40117-02 700.00 ~~~~::g 08019~ATM WITHDRAWAL 0801114437 -20,00 2212.80 , , INORTH 21ST STREET CAHP HIll PA 080Z9GTFR TO SHARES 40117-11 -900.00 1312.80 08039~TFR TO SHARES 40117-02 -300.00 1012.80 080396ATH WITHDRAWAL 0803171118 -30,00 982,80 , 'jRT 11 & WOLFS BRDGCARlISlE PA 0~0~9 ATH WITHDRAWAL 0805123743 -20,00 962,BO , ., NORTH 21ST STREET CAKI' IlIll PA . 080B9 PAYROll DEDUCTION 175,00 1137.BO , 080B9 PAYROll DEDUCTION -100.00 1037,BO , 0~0~9 ATK WITHDRAWAL 0809113432 -20.00 1017.80 :. " NORTH 21ST STREET CAtIP HIll PA , 08109 TAKE DEPOSIT 200,00 1217,80 . OB109 SHARE WITHDRAWAL ~SOO.OO 717.80 , 0~lq9 AT" WITHDRAWAL 0810100659 -30.00 687.80 : I I 148 NOllE IlVD CARLISLE PA . 08129 TFR FRCH SHARES 40117-02 350.00 , 08129 TFR TO SHARES 40117-00 -700.00 . 0~119 ATH WITHDRAWAL 0814115341 -20.00 : ., NORTH 21ST STREET CAHl' HIll PA , OB149 ATH WITHDRAWAL 0814115446 -10,00 . ,. NORTH 21ST STREET CAHl' HIll PA . 081" TAKE DEPOSIT 500.00 061'9 AT" WITHDRAWAL 0816205526 -30,00 . I 5275 E TRIHDlE RD HECHAHICSIURGPA 08219 AT" WITHDRAWAL 0821120451 ~ ~ NORTH 21ST STREET CAMP HIll PA Oa2~9 TAKE DEPOSIT 08299 AT" WITHDRAWAL . I 1i0li:TH 21ST STIlEET CAHl' HIll 0~3q9 ATH WITHDRAWAL , . NORTH 21ST STREET CNlI' HILL 08319 DIVllIOJI . . : REPOtTIIO SS..I71-42-4183 Y-T-D DIVIDENDS, , . T'RUT1l I. SAVINGS I.ORMATI 011 . l PERCEWTA8E YIElD I 3,3SX PEKtMT_ YIlU lARtItI I 3.35% .~.~. ...._.__...._._--.-_.............._~..........__._.-.-_a. _____...__ .___...__ SUFFIX.ll tMECrtlO IECUIIIIIIO IAlMCl DEPOSITS ArTS IUlTSIftt$ : lilt ISOVtU otO$ . , [lIDlllG IAUIICl . SENO/DIRrCT INQUIRIES TO: .'. .,ROtol " . .TH~H.:'. ... INC IVE Membersl_ 11I!OIlJl^L CltEI>IT UNION 5275 E, T,lnd1o Road, P.O, Dol .0 Mochanlcsburg, Ponnsylvanla 17055-oo.cO (717) 697.1161 TOU FREE 1-1100.283,2328 TOO Hearing 'IT'.palrad (717) 697.5312 THE NEW HEM8ERS 1ST CHECK CARD IS COHING SOON! SEE YOUR CU-NEWS FOR MORE INFORMATION ABOUT THE CARD THAT OFFERS THE UlTIHATE IN CONVENIENCE! TERRY l TAYlOR 1348 ZIMHERHAH RD CARLISLE PA 17013-9ZQ6 Olil -20.00 PA PA 1829121342 0131124613 lOO.OO -20.00 ~20,OO 2.35 5,63 - .- 1475,54 "5." 1765,41 117 ,It .It nl.'4 TOT Al llUMItI HAfTS YOVIl A'IS MIL" IAL YOUI law Il10IIlM IAl . , , . , . 1037.80 337.80 317 . 80 307.80 107,80 777,80 757.aO , a57,eo an.80 117 ,80 121,15 7 ",95 141. .. SENDlDIRECT INQUIRIES TO: INCLU' 'E Membersl- I'EDER^L CIU,UI'f UNION 5275 E. Trindle Road, P,O. Do, 40 Mechanicsburg, PeMsyf.anla '7055.0040 (717) 697.1161 TOLL FREE 1-1100.283.2328 TOO Hearing Impaired (717) 697.53'2 TIlE NEW HEHBERS 1ST CHECK CARD IS COHING SOONI SEE YOUR CU-NEWS FOR HORE INFORHATION ABOUT THE CARD THAT OFFERS TilE ULTIHATE IN CONVENIENCE I Nl'lTlCf t.rr Flfvrn"f!irof ron IUPOATAHT 1W00M"'TIOfot prGAnDlHnYOUAAK"tHl'S lOOlsrmt Rl1NlANOR[GUlAllON[Rnon~ III , OliO~96SHARE DRAFT . 456 080596SHARE DRAFT' 451 090696SHARE DRAFT' 458 080696SHARE DRAFT' 461 Ol\Ol,96ATH WITHDRAWAL , , ItlORHl 21ST STREET CAHP lULL 080196SHARE DRAFT . 455 080896PAYROLL ALLOCATION FROH : OllOli9/1SHARE DRAFT' 460 , 08099li1SHARE DRAFT' 462 , 09099/1SHARE DRAFT' 464 , 08099&SHARE DRAFT I 465 : OSUt9 TAKE DEPOSIT 081 08109 ATM WITHDRAWAL 0810193046 I "' 413 FORGE RD, lOlLING SPRINPAXARNS QUALITY I 0111;:9 SHARE DRAFT I 467 0225022149 : 01U;:9 SHARE DRAFT I 466 0225023494 , 08149 SHARE DRAFT' 468 0227007U7 , 08149 SHARE DRAFT I 472 0227007U3 , 01U",9 SHARE DRAFT I 469 0227011622 : OSl0(9 SHARE DRAFT I 471 0227022038 , 08149 SHARE DRAFT . 459 0227022037 I 08149 SHARE DRAFT . 470 0227011625 I 011159 SHARE DRAFT . 46:5 0228010453 : OSlO SHARE DRAFT' 476 022901011D 082 09199jATM WITHDRAWAL 0819203209 . I SPRING GARDEN STRECARLISLE PAGIANT FOOD $TO 01l2a9 SHARE DRAFT I 477 0231011213 01l219iSHARE DRAFT I 474 0214828067 08219 SHARE DRAFT' 473 0234821169 082.9 SNARE DRAFT I 475 8234012556 0112:9 SHARE DRAFT I .79 0235014327 01l2l9iSHARE DRAFT 1 .11 0235015852 08239 SHARE DRAFT' 418 021seo16n 08239 SHARE DRAFT' .12 121611171' 01l2~9'TAlE DEPOSIT 082t9CSHARE DRAFT . ... 0240'03'1' Oa2J"SHARE DRAFT 1 417 ':4111"'7 0121"SHARE DRAFT I 419 12401.1739 O.lt',SHARE DRAFT 1 490 1241111715 allt"SHARE D<<AFT I ... 0241101311 OaU'CSHARE DRAFT' 411 1Z41111173 08219 SHARE DRAFT 1 U4 1:41016411 08:" SHARE DRAFT 1 U5 1Z41..1I1S aU.' SHAJE DRAFT 1 4U IZUI17UI TERRY L TAYLOR . . ~T1ON DESCRIPTION ..w...' , . . I . .: 02180161731 0219023370 0219011218 0219022661 080712D731 PA 0220014425 129840-00 0221016997 0222009112 0722008837 0222008836 , , ......oom II -9, 321 -200,00 -18,01 -96,95 -20,00 -22.00 100.00 -114.84 -24.00 -51.35 -64.33 205.08 -16.07 -11.12 -37,00 -12.72 -15.59 -27.911 -39.09 -39.74 -49.90 -51. 00 -100,00 -151.02 -85.00 -',00 -14.oa -zoO.OO -11.52 -15,01 -91,97 -22,10 "'0,00 -15,19 -21.51 -39.99 -49.99 -111. " -19." -20,17 'l1.1S -5.7S 28844 . NEW IlAlANCE . ' 1452.22 1252,22 1234.21 1131.26 1111.26 1095.26 1195,26 1080,42 1056,42 999.07 9S4,74 1139.82 1123.75 1112.63 1075.63 1062.91 1047 .32 1019.34 '80.25 940.51 8tD.61 839,61 739,61 58a,59 503.59 497 .59 413.5' 283.5' 272,07 257,07 .63,1' 141,0' "I." n5.n 496." 45'," 416 . 55 %94.'1 US..l 254. .. US. 79 nl.l. e.. .'. '. . . . . . . .. . . .. . . . . .. . ... .... .. .. . . .. .... , , 1110 ; ~\;a I'~U I. , . , I ' , . , AlQlMT .~,.. U,.. ',32 110, 417 ~sa 459 MOVItT lI.,.. .1,1. )9," 1tO, "I 461 462 AMOUMT 114," ".n 24,11 110. US ~" 4n UNT 151. .. \LSS ,~.:u "" I"" I...."~..., SENDIDIRECT INQUIRIES TO: INCll'QVE Membersljf FEDERAL CIU1UIT UNION 5275 E, Trind1. Road. P,O, eox ~Q "'echanlcsburg, PeMSylvanla 17055-0040 (717) 697,1161 TOlL FREE 1-800,283.2328 TOO Hearing Impaired (717) 697.5312 TIlE NEW MEMBERS 1ST CHECK CARD IS COMING SOONI SEE YOUR CU-NEWS FOR MORE INFORMATION ABOUT THE CARD THAT OFFERS THE ULTIHATE IN CONVENIENCE I TERRY L TAYLOR , I~a~ ""taUNT NO. AMOUNT NO, AMOUNT NO. MOUNT , ~6 37.00 473 14,00 479 11. 52 485 21.15 I 467. 11.12 474 6,00 480 19.00 486 11.74 , 469 12,72 475 200.00 481 15,00 487 29.58 . ~~~ 27.98 476 100,00 482 22.10 488 15.89 . 49.90 477 85,00 483 5,75 489 39,99 , , 4711 39,09 478 93.97 484 20,87 490 49.99 , 472 15,59 OTAL. 1 65.49 , , I , I I REPORTING SSN,177-42-4883 Y-T-D DIVIDENDS, .00 , I I I 1 I I 1 1 TRUTH IN SAVINGS INFORMATION I 1 1 I ~~N AL PERCENTAGE YIELD I 2.02% ,I -.,- -~-..- --------------------------------------------------------- ---------- --------- OR 199' EPORTING SSN 177-U-"11J . IRA YTD DIVIDENDS .00 . OTHER YTD . TOTAL YTD . TOTAL YTD . TOT l YTD . DIVIDENDS DIVIDENDS VITKHO DING FOR ITURES 5.63 5.63 .00 .00 I I 1 . 1 1 I , . . 1 . 1 . I . . I . . I . I . . I . . 1 , . . . . . , I , I . . . . , . ,. I .. I " I .' I . . . . , . . . , . I . . . . 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(I) - - ... i a. ::J a Ii a ... ~ i ~ I (I) n I~ en ~ I~ t .. 1) ~ I~ K I ~ H~ l,; '1 J; '8 I Ji r I ~ I i - ~ . i ~o c . . 0 E ~ II I 0 I B 8 on to r-... ax...- L ~ ... .-- INCOME AND EXPENSE STATEMENT OF IV/II JA1YI R. --rA'Iwt< SSN '20~ ..11:....~ DRII 7..<5 (,<5r; f..i DATE THIS STATEMENT MUST BE FILLED OUT (If you are self-employed or If you are salaried by a business of which you are owner In whole or In part, you must also fill out the Supplemental Income Statement which appears on the last page of this Income and Expense Statement.) INCOME (a) Wages/Salary Employer&Address'pMOIM'i ~O/?S'h'::. IOC. 100 Ro~ D/?. QAQU~U)~. 11013 Job Title/Description "71:Roo\WlL ~PFJ:I.r7iOIJS 1I14N14Gu(' Pay Period (weekly, bi.weekly, monthly) SJf:/L 'f. ::2 ~ 04 'is Gross Pay per Pay Period ......................................,..................................................,.......,.........,....,... $ 3'i?1:,<9.0:) Payroll Deductions: Federal Withholding ..................$ Social Security _.......................$ Local Wage Tax ..........................$ State Income Tax ..._...............$ Retirement ...._...........................$ Health Insurance .__.............$ Other (specify) _1...\fS...._$ _~L~..$ 6lf.11 ftT.~$ I.I~ Net Pay per Pay Pefiod ....___..._............_............_....,.......__.._.__............._._ $ ;;l('16.35 3d,.".:; a3t1.17 ;W l. (\ ~~ t)V : fo t""IQ ~:ri (b) Other Income Week Month Year InterestJOlvldends ...............,......$ $ It). Of} $ Pension/Annuity .........................$ $ $ Social Security ._...._..........._..$ $ $ RentslRoyaUIes _......_...........$ $ $ Expense Account -._..............$ $ $ Gifts .............................................$ $ $ Unemployment Compensation ,$ $ $ WOfkmen', COmpensation ........$ $ $ Total. Other tncome .......................$ $ to. 00 $ ~'J}!~M(?.._...__ ,....,_""'.la__..,""~~_$t..., ........ tfW eftIlI coP<<t. t ~and...t I.. atatJ.ftI4MI ~ ~1~:-=~~Su?::=! ....~'*~ .. .-, ...- Household Week Child Week Household Month Child Month EXPENSES Home 1/.3!J. ()(J Mortgage/Rent ...................................,.... $ $ $ $ Maintenance ......................................,.... $ $ $ $ UtlllUes (telephone, healing /5tJ.tJO electric, etc.)........................................ $ $ $ $ Employment (transportallon, (,,0.00 lunches) ............................................... $ $ $ $ Taxes Real Estate ........................,...................., $ $ $ (l $ Personal Property................................... $ $ $:tJS'yr 36/.-0. $ Income ,.....,..,...,........,....,...............,......." $ $ $ $ Insurance $ ~,r 1.,.1...0. Homeowners ..".....................................,. $ $ $ Automobile ...,............,............................. $ $ $ 'h1'lr. ~ ("D..., $ Life/AccldenVHealth .............................. $ $ $ $ Other ................_................................... $ $ $ $ Automobile (payments, fuel, repairs) ..........._......_..................... $ $ $ 156.00 $ Medical Doctor. Denllst. Orthodontist ................ $ S $ $ Hospital ._.. ..-......... S $ $ $ Special (gluses, brKes. etc.) '..m_._ S S $ $ Education Private, Parochial SchooI...._............ $ $ $ $ Cotlege ............._......._.........._....... $ $ $ $ Personal Clothing ........................._........._........ $ $ $ 1(J('J.{':to $ Food ..............m.._............................. $ S S ~O.OO $ Other (household supplies. barber, etc.) __..._.._....._........ $ $ S $ Credit payments and IoInt .................... S $ $ I./fltJ. 00 S Miscellaneous Hous.hold helplc:h1ld care ..................... $ $ I $ Entertainment (Ine. papers. books, vacation, pay TV, .tc.)_..... I $ $ .21.00 1 GlltslCharitable contributlon$ .............. $ 1 $ I,.~ I legal Fees ...................,.........................., $ $ ,- , Other child s,,~ payments ....,.....................,.................,. I 1 1 1.____.. Other (sP<t(:11y1 " ."....~.......,........~~.h..~~."......~~....._, I 1 1 1 Totat bpen_ . ~ .-. ". , '''' ..... '-"'<'~" '~'''~'. ..~~,-...- -." 1_...,__..... 1 ........_.._..,.. ,1~~. , ... ................. .. .. ..' . '"' I~ 0, ." CO ~ ~tO. 00 ... . ''t; . l? J . ..'0 III . '" ",' ... ~ ~ E . ,'" en ~ - '. " ~ ,'. ,t.: ~ i '." .... E " ~ . '"!' I', + i!i i h \i % ll! , 'b1 ~ ~, :, III 0 I' .~:s: '! i : ~ u ! \!!o...,.."'ooo <<..",.,..01,..00 D . . . . . . . . ~","'0I","0I00 ,t1ll0l........ _0 ~ "'.....01 CO ~ 01 0") o o N CO o en .. ~ .. ;;; \I\,..CDIII.'" z~ !i ~~": ~~~ I,........,. 0...._.01 ,. ~, ~ . ~U'" . - \'~: -l P, ~' III Q'" '" 01 ... ': ~ ! .b1......oCf...:J: .:.:.....eD u)~, ( - , ~~ .1.' .'. ~"" ;".;; L; ~ . , \ t :~.l . :.-~'\ . . . .... . ,.. . :-, , . . . . . .. ! . --- ,. !""'\ '. a Imll" H ." ~ ~ - TERRY L. TAYLOR DR 25,658 PLAINTIFF : IN TIlE COURT OF COMMON PLEAS OF : CUM13ERLANDCOUNTY, PENNSYLVANIA VS : DOMESTIC RELATIONS SECTION : CIVIL ACTION. SUPPORT WILLIAM R. TAYLOR DEFENDANT : NO. 807 S 96 AGREED ORDER OF COURT AND NOW, this 121h day of September, 1996, based upon the Coun's delennination that Plainlifl's monthly net income is $ 1.005,00. and Defendant's monthly net income is $ 3.233,00. it is hereby ordered lhatthe Defendant pay to the Domestic Relations Section, Coun of Common Pleas, $ 983,00 a mopth payable 983,00 per month effective. 8/1/96. Arrears set at $ 156,00 as of 9/1/96 (with the last payment date of N/A ), are due in full IMMEDIATELY. Contempt proceedings, credit bureau reponing and tax refund offset cenilication and entrance of a judgment may be held in abeyance as long as Defendant pays $ NIA on arrears each payment date. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collcction by all of the mcans lisled above, For the suppon of wife and one child. Corev. born 2125180. The defendant shall pay the costs of$ 23,00. which sum includes the pro-rated service fee of$ 8,00. payable within thinv days, Said money to be turned over by the Domestic Relations Section to: TCITV L, Tavlor . Payments must be made by cash, check or money order. Cash payments must be made in person. All c:hecks and money orders must be made payable to Domestic Relations Section and delivered Of mailed to Domestic Relations Section. 13 Nonh Hanover Street. P. O. Box 320. Carlisle, Pennsylvania 17013. Each payment must bear your Domestic Relations number in order to be tln'K. latd. Ullltimbursed medical expenses arc to be paid ll.% by Defendant and l1.% by Plaintiff. Defendant to provide medical insurance coverage as DfOVidcd throlll.h his emplover . Within 30 days after the entry of this order, the defendant shall submit to the person having ClISlOdy of the child(ren) wrinen proof that medical insurance covcn.gc has been made. Proof of covcraCC shall consist. at . minimum of: (I) the name of the health care ClOVCI'I&e providcr(s)~ (2) any applicable idcntiflCllion numbers; (3) any cants evidcnc:inl ~ (4) the addms to which claims should be made; (5) a dcsc:ription of any rcsuictions ClO usacc. such IS. prior approval for hospital admissions, and the ~ of obtainina Ipproft~ (6). copy of the bcrlcflt booklet Of cownp ~ (1). dcsctiptioll of all doductiblcs and c:o-pIyIMfttS, and (I) fm copies of any dailft forms. ., . - I'ARTIES MUST WITIIIN SEVEN DAYS INFORM TIlE DOMESTIC I{ELA TIONS SECTION AND TIlE OTIIER PARTIES, IN WRITING, OF ANY MATERIAL CHANGE IN CIRCUMSTANCES RELEVANT TO TIlE LEVEL OF SUPPORT OR TIlE ADMINISTRATION OF TIlE SUPPORT ORDER, INCLUDING, BUT NOT LIMITED TO, LOSS OR CHANGE OF INCOME OR EMPLOYMENT AND CHANGE OF PERSONAL ADDRESS OR CIIANGE OF ADDRESS OF ANY CHILD RECEIVING SUPPORT. A PARTY WHO WILLFULLY FAILS TO REPORT A MATERIAL CHANGE IN CIRCUMSTANCE MAY BE ADJUDGED IN CONTEMPT OF COURT, AND MAYBE FINEDOR IMPRISONED, PENNSYLVANIA LAW PROVIDES TIIA T ALL SUPPORT ORDERS SHALL BE REVI EWED AT LEAST ONCE EVERY TIlREE (3) YEARS IF SUCH A REVIEW IS REQUESTED BY ONE OF TIlE PARTIES, IF YOU WISH TO REQUEST A REVIEW AND ADJUSTMENT OF YOUR ORDER, YOU MUST DO TIlE FOLLOWING: AN UNREPRESENTED PERSON WIlO WANTS TO MODIFY <ADJUST) A SUPPORT ORDER SHOULD FILE A PETITION FOR MODIFICATION. FORMS ARE AVAILABLE AT TIlE DOMESTIC RELATIONS OFFICE, " A MANDATORY INCOME ATrACIlMENT WILL ISSUE UNLESS TIlE DEFENDANT IS NOT IN ARREARS IN PAYMENT IN AN AMOUNT EQUAL TO OR GREATER TIlAN ONE MONTII'S StJl'PORT OBLIGATION AND (I) TilE COURT FINDS TlIA T TIlERE IS GOOD CAUSE NOT TO REQUIRE IMMEDIATE INCOME WITIIIIOLDING; OR (2) A WRllTEN AGREEMENT IS REACHED BETWEEN TIlE PARTIES WIIICII PROVIDES FOR AN ALTERNATE ARRANGEMENT. DELINQUENT ARREARAGE BALANCES MAYBE REPORTED TO CREDIT AGENCIES, ON AND AFTER TIlE DATE IT IS DUE. EACII UNPAID SUPPORT PAYMENT SHALL CONSTITUTE A JUDGEMENT AGAINST YOU, IT IS FURTIIER ORDERED WI., upon defendant's failure to oomply wilh lhis order. defendant may be amsted and brought before the Coun for a Contempt hearina. defendants wages, salary. oommissions. and/or income may be attadled in accordance willi the law,lIIis Ofder will be inc:reued without fUt1her hearing to S~ a monlh until all amarases are paid in filII. Defencbnt is responsible for court costs and fees as detennined by the Domestic Relations Section. This order shall be oome fmal ten days after the mailing ofthc notice of the entry of the order to tile parties UIIIess either pu1y Iilc$ a written demand willi the Domestic Relations Section for a hcarina de _ before the COlIn. Copies delivered to parties 01\ September 12. 1996 Consenled: ~~ ~ ~~J , AlIomCy ORO:. A_ Marie MdIo tt: plaiftt1ff Iftd af<<Naat <<' T a,tot Aadftws.. F.Jq It( MdlMt ktlRllda.. Uq BY mE COURT, '-,' _.__.'--_.---~_. ) Wn~ Oler. k, J On October 23, 1996, the Defendant wife filed a counterclaim raising the economic issues of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. Those economic claims are currently pending before the Master. The parties were married on March 19, 1977, and separated July 16, 1996. The parties have one child and that child is emancipated. After continuing negotiations today, counsel have advised the Master that the parties have reached an agreement with respect to the outstanding economic issues. The agreement is going to be placed on the record in the presence of the parties. After the agreement has been transcribed, counsel and the parties can review the agreement for correction of typographical errors and we will make any corrections as required. Upon th~ statement of the agreement on the record, only correction of typographical errors can be made; no modifications or changes can be made to the substantive part of the agreement and whether or not the agreement is subsequently signed, the parties will be bound to the substantive parts of the agreement. The signing of the agreement will be for the purpose of the parties affirming the terms of settlement as stated on th~ record. After th~ aqreement has been reviewed for escrow account will be paid to Mr. Taylor through his counsel, myself. Additionally, $90,557.00 of the value in Mr. Taylor's IRA will be transferred to an IRA or other sheltered financial vehicle selected by Mrs. Taylor to receive the funds and those two components total the balancing payment of $120,557.00. Mr. Taylor will agree that within 14 days of receiving notice of whatever IRA or other sheltered investment medium Mrs. Taylor would want to create, he will facilitate the transfer of those funds, the expectation of both parties being that that transfer is a non-taxable event. The inventory of marital property, which has been stipulated, does reflect assets which each party currently has or has previously received or has controlled, and those assets, other than the transfers referenced herein will remain as shown on the inventory of marital property. 2. The agreement for alimony is that alimony shall be awarded in the amount of $5,200.00 per year payable at $400.00 every four weeks. This alimony is terminable and modifiable. It is terminable upon the remarriage of Mrs. Taylor, the cohabitation by Mrs. Taylor with another, or the death of either party. The alimony shall commence on the date of the divorce and shall continue to be the subject of an attachment order operating against Mr. Taylor's e~~loyer so that it will be deducted directly from his pay and paid to Mrs. Taylor by the Domestic Relations division of the Cumberland County Courts. J. aoth parties will pay their own attorney fees from the portion of the marital estate that they are receiving or their other assets. 4. There lS income earned en the proceeds of sale of the real estate which is in the escrow account, most of which 15 being distrtbut,ed to Mrs. Taylor. There have been tax withholdinqs from that escrow acco\'nt. Part of this agre~ent is Mrs. Taylor will declare that income on her tax return and will get the benefit of the tax deductions that have been taken from the account. ~. Also as part ~r thIS dgr~ement, there 15 an unresolved disagreement between the parties as to the amount now owed by Mr. Taylor to Mrs. Taylor for his share of uncovered medical expenses as previously ordered in the order of support. Mr. Taylor agrees that $2,000.00 of the $4,682.00 or thereabouts that he will receive from the escrow account will continue in escrow in his attorney's account until the parties determine by agreement between themselves how much is owed by Mr. Taylor to Mrs. Taylor and then such amount would be paid from that amount in escrow, or until the Domestic Relations Office resolves this disagreement and then again, the money would be used to pay that amount that was determined to be owed. 6. 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 interest, rights, and claims. MR. ANDREWS: Hr. Taylor, you heard me outline that agreement'? MR. TAYLOR: Yes. MR. ANDRENS: Did you understand it'? MR. TAYLOR: Yes. MR. ANDREWS: The tenns as I stated them? MR. TAYLOR: Yes. MR. ANDREWS: 00 you agree to those tenns1 MR. TAYLOR: Yes. TAYlOR v, TAYLOR INVENTOflY OF MARITAL PROPERTY Date 01 Scparahol1 .JlIly 16, 1996 (lSSETS Pos5e~sor Descl1ohon 01 Prong!!X V,lIl1C !j W notes Residence. 1348 Zimmerman Rd, 533,707 Actual net proceeds with return 01 escrow '"terest since 4/1 @ 3,1% 5909 Irom year-end and Jan'OO statements Income tax withheld Irom interest ($282) Furnrshings 54,312 51,210 53,102 appraisal by Rowe Bros. 1989 Jeep 58,000 58,000 Stipulated at PTC 1988 Ford Taurus 53,000 53,000 Stipulated at PTC Boat $14,690 OOS NAOA value debt 15149121 (5222) (5222) OOS value Members 1st 40117T A checkIng $890 5890 bal as 01 7/16196 129840 checking $1.461 51,461 bal as of 8/1/96 40117T A savings 5479 $479 bat as of 7/16196 129840 savings $1,532 51,532 bal as of 8/1/96 Chnstmas Club $813 5113 5700 Roadway Express Defd ann Pension 528.510 528,510 as per appraisal 2-14-00 Retirement Plan 401(k) $75,061 Less,Post.separalion contributions ($22,258) 552,803 552.803 as per 12/31/99 rpt wilh doc'd a'ItItl'ns deducte IRA from Cakper slck sale proceeds 5101,391 $101,391 as per 1/28/00 statement TOTAL ASSETS $237,303 $193,174 59,795 LIABILITIES, Primerica 5300 $300 TOTAL LIABILITIES 5300 5300 so ASSETS LIABILITIES NET MARIT AL ESTATE 5237,303 5193,174 (5300) 1$300) $237,003 5192,874 59,795 SO 59795 \'om TayIol ~"__l \\~ ORDER/NOTICE TO WITHHOLD INCOME fOR SUPPORT Sidle Commonwedlth of Penn,)lv.mi.1. ('...IC,I\'D"I,..I CUMIlr.RIJlNIl f),'I....I()ldl.,/~..IIl" OI/2b/O~ ('.,...' 'uml." IS.... Add..ndum for Cd... summdr,J 0<< JrI~ln,11 ( htll'I.''.iolH f' o t\nwrlilf'tl (hdl.,,'~ohc (' 6) !rrrTHf1.lh' O,d.,,',,"oll( f' I n'plo\f'i\\,Ihholill'l ,1",11",111" .....Iml"'.' ~, TAYI.oR. WIl.I.IAM R, I mph 1\ 1'1>,-( )hll~u(~ N.IIllI' d .1'" I H~l "'\11 208-42-6946 1""11111\1"','1 )1.IIJtf"- ~ ""IC I,ll 'f'( UII!\ .....umt".' NATIONAl. CITY BANK 0.. f'A C/O TRUSTEE FOR CITY OF MCEESPORT - PENSION 300 4TH AVE PITTSBURGH PA 15278 0430000028 ) I' , . ( (l I Illllhl\f't' ( }hl.~f"" (.bl'ldi'nllllt'r ISH.4""""'" /", pI.inli//IYnN'_ "'WH'utHl..il^ I',U'S on ."oKhmfln'J ( U~lOllr.11 ".jl<<"ll "......IIn1. 11,.'1. Ilr~. 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Ifltllllflllfl' IIl.1Il Oflt' t'ml'll'\l.t"llhll~(,(, Ine flllll' 1n.1 ...in~lt. p.I,..l11t'nl 10 1'.1t II ,lgt'lll" rt'llllt'''llll~ \\llhholdHl~ \UlI I1W"r. hl)\\l'\I'L ""'p.tr,lh'l., ,d,'nllh lilt, jlflf1f1Jll ollh,' "'ui){II'I'.I\nlt'nt th.ill' .lflnhuf,d.l.. III t',ll h 1'l11plo\I"','tlhll~I'f \, . R("pnr1rn~ th~ t>,lYrt<ttf'if).nr 01 \V,rhh(lkhn~. "nu mtl" r('pon ,tw lM,'ri.ltr1d.1ff' Of \\"hholri'"R whm 'rnrll"~ Ihr p,:I\'mr-nt, 'h(f pJ\TI;llrid.llr of \\'lthhnldmJe: T' thr ri;rtr on Whflil ,1mrTUnr W.lt.. wlthhrht lmm rh,. r"1n,tlnVf"t' ~ w,'~~ \ UU ItHI...1 nUll,tly "flh tlu' 1.1\\ 1I11lw "I.llt' 01 Iht,I'mplo\t.....'tJhh~fl(... Jlnnt 11',11 pl.lt.. 01 t'mplll\ml'lll \\Ilh ff''''If'1 t Itl tilt' IHth'l't.nod... \\llhm ,,\hlt It "llll mu"llIllpl"lnt'nt tht, \\ 11hhlllthll~ 011 It" .11111 hH\\.lrd tilt' ..oppe 1'1 p.l"llll'ul", .t. Emplutl'e'iObligor with Multiple Suppurt H..lding,,: lI,hl,t(, I' mllft' Ih.m ollt' {hdl,".....otte t'10 \\'llhhnld 1m om.' lor 'wppnf1 df4.Jln,t Ilw, t'rnplll\"I't'/ohli~OI .llltl \-Cltl .Ift' Uf1dhh' to honor .tll"uIlPof1 (hdt-'f'~ollt t'" .Jut' to f ..tlt'f.~1 01 'IJIt' \\lthhnldln~ linllh. \OU O1U...t '0110\\ lilt' I.I\.\ 01 Iht' .,1.114'01 t'mplt.)\(~"'l,'C)hllgt.r"., Jmlll 111,11 pl.lC ~'tl' e'1'llpl.l\nu'nl '11U nHi"f he Illl" .111 ()rd('f../'\iClhtt"" to Ih., ~h'dft....( 1'\1t..,,1 I'u......hl.. \"'Pf'll"lh.'!U\\l ~l TermiRdlion ~otmc...ti()n: 'ou mu"lllromptl\ nOh" tll.> R,"tlUt...tln~ A):,t'nt \. \\ht'n Iht' t'mplo\t"('ohh~Of "nClICtn~p, \\or~inJt lor \'uu PI.,.\,-., prCl\ut.. Ih.. Infllrm,l1uln n'tlllt'''h'tt ,uut h'tum.1 (IlJl\ 0' (I".. { ),dt'1','....lIlle t' III tht....~t'nl \ Ictt'tllth.'eI ht'lo\o\ THE IMPlOHE'OBlIGOR!\jO lO"GIR WORI(~ fOR: 48l41caO'4 IMPLOHE'~'OBlIGOIl'S "'MIl: TAYLOR , WILI.IAM R. EMPlO\II'S CASE IOE...T1f1ER: 0430000028 DATE Of SlPARA1l0": lAST I(!\jOW.... HOMf ADORl~~: MW IMPlOnROS "AME 'ADORE~~: o. lump Sum r.ll)'mf'n1,,: 'Oll m,)\ lH' ft.'l:llHH'\lltl ft'Pi," .md \\,thho~1 tromlWllp "Wll pJ\ nWflt.. ..Uth.h htlHU-.p., f(lf1lm......'on..., or ....\..f.!ne t'l~t\ Ii \I1U h,i\t' .tn\ qut'..llnl\" .tl~tI,jl Iw~~p "\Un ll,f\HlI'nt" 1 on"'l t rht-' II('r"" If\ Of 'futhorot', hf'kll.\ ;' liabilih: II \ttu t.ld tl~ \" llhtlllKlltll onw .,.. Iht' (li'lt,.t',,"i)f!l (' diff'( I.. \.l\i .11'" I...hlt' hlf t"lth Itw.it ~ \llTlul.ilt"<.I.t!'tllnml \i)U ...t\t.)Uk1 h,J\f' \\ I!fllll.ill HI).'I Iht' l'l!l\.~lit\''''' \4Ij'~')I-" 'JH i.ml' ,inll (ttht" IIP'f).lhlt'" -.t't 1,\ f1.-ntb\ Il.,Jf1I.~ '-t..t.' l..l.\. P.'m.,,\ l\.tnl..l 't.tI('1..1\\ ~i)\t'rn"l unlt...... 1111' ohhe;o( I" t'mpIH\..,t In .;motht'f ....I.tt.. l!\ ,^h!~ II t ...... ftli' l,t\\ t~ th,' ....IJ!t. 11'1 \'\htt h t'lt' Of ..tlt~ ,., f'mpJO\I'Ii ~I\t>ff).. H A.ntHtN rimtn.1ltion: .. Uti ,J!1' '\lht,'l. t 10 .t illw th'h'1t1\!!lt..t I.lt'lti,'~ "I.dt' ;.m tut (tl"t h.t~ln~ .In t.n'il,ltnt....:ohtl~ur 'rum t'fl\piu\rrn'l11. H'IIl'~l1~ 11 llon,,,l. ,\ . If 1..L.Uig ,It"l tphn.I" ,K tloll .12,~!O.t dP, t'fI1pln\t'I"uhh~nf hl~ <lll....~ Of.. "UIlPtlrt \\llhhllkflll~ ~'fHl"'\ h.lntd "td1l' 1",\ ~(_\\I'!l\... IlIli,...... rtw I.iJh~,IJf ,.. "tHpl).,."!1 .n ,Ulltfh.'I 'l.Hp If\\\tlU h t ,f't' Ih.., 1.1\_\ t'* ltw '!,Ut" Itl \\hlt h ht' or ",ht' ,... f'mlllu~"d go\t"tn.. If . Withholdinllimit\: \Otl m,J\ ntlt \'\ !Ihh,,!d Httffi-llhcift Ihi" If....,...t.. of "II",' dllnit;Hh JHI;\\;:o;1 t.... ttw' li'fh:,tdl (Ofi..um...... r\"itt Ph"t" t..~!\l t ~ -I t \0 '- "fk' t ;h' i ul! fh.' ,UlluHnt, .-J14M+'tt If\ th,-, '-t.1W ot rllt' t~'npk)\f..,-..ohJl""i-H' "lttlnt ~}..: 1~,,"1'ut f'fnpk"mt"llt !;\I'! t<th'l,ll \,11\>1 ."'1(;4..", t., Itlt' \,~rt-c..dt'lh".oC....d,~.. \"""''''', t\lftUH-.:." ...\lJ\\t '. ",O\\ll' ttw l'tot lflt elnw If'tt ..utt"f flld'f,.:nt.t flldfllldl.tkl'\. dl"Llt fi/!Ih "'UI h oJ" "Ll'.' f ,.,jl't"li lUll "t w,..... ~n ldi ....l(\lfll\ Ul\."" ,v~t '\td~t ,m' Wilt.... fill lnh,t! tmit.,... 'IJU m~l, nut ,,,'hhufd murt' t'\.t!~ 1!1I' .jt!l.i\jnf.. ,illot\-\",c-l i.ndl"f tl.,..- 1.,,-, t>l tf'tt, I""u.,n~ tp!II' f l)f !flh..! tOmflk~jU" \\ht, rf"Ct't\t' ,t "kit.. Hflioc>f "f~U nl.l~ nut \.'\l\hhtUti !'tl(}!!'t' ~t".\ !tw ol!1\.\i.hh ,iik ;~\c-...l <Ind... th.' l.;~'\ iv lt~o "I.'lh' tthtt ,....,~o;-..l It.... ..n"", \ I --\dddt.tt\dllftht: . 't lit 'f "I\i \l1' \,"U ..~tlt \in' ....."f\t'{t \\,th.i I 'lIll\ tdrt\t.. ,tf\~ If'\ tht.;,J~ th..~ I..'-tlt'" tho.. .)1\"-'" \lnJ ..\W hl hMhl\\ 1hP I"" l,t rtw ...t.".' fh..tf f......~M'tt Ih~, t Htit~ \'\ II" J't.....,." I fH t....""'. !"Ift'" '..""..U.-.I ~: i ~ _I) 't. ~ I, !\,.,SLU.!j1,)~~~tl.l, 'il~ \ J:'L',!X,;!.l\ U\~L,_ ,'I..} R(}'\. L~l ",",.",' .,^ '....,,' "-",, , . \~'I;...tLf\ t.'ptt ~t \nu ,If \ our t~"'l\.'\~...li.~., h...t\~ ,:tl'~\ \~,"o.<,.f~411(l'" . . ,'1..' ~"__"._ \ \ \( ~,_\.I..'_ \{ !!~~I_~I \_~I,I,._____." i" h.i.1~'Alt,.., ,It L.'J'\;~.~t~~~t'}.,_ 4\t: t'\ t \ \ ..t '...:1~11roJll.ML. I'" tn. !flh""'!'","" \'.\H\ ~ hl~'''lot1''"t ..,t'"ih'J,lo,t H" .j'....~, ',J . l",.otl."O'!,\ \ \ j 1~l1'" '" , .;"t" \. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT Slale Commonwealth of Pennsylvania Co./City/D;st. oi CUMBERLAND Dalt'oiOrdl'r/Nolin' 01/26/05 Cast' Numb..r (Set' Addt'ndum for cast' summary) G) ()rI~lnJl Or(wr/No'l( (' a AmPl'Mk>d Order/Notr( f' o INmlnJ.!t Ordrr/NoIl(E' STATE STREET BANK RETIREE SERVICES PO BOX 550868 JACKSONVILLE FL 32255-0868 'Ok! ;1/("/ "- RI'TAYLOR. WILLIAMR. I mployw/Obhgor" Ndmt" II ,1st, f II.... Mil 208-U-U46 I mployf't'/Obllgor'f, Ifw;x-hll ~(urlty NumhL'f OU0000028 f mp1OVN'"!Obhgor's e....... ldrntlllf'r ISH A.......... for (JIIinlif( ........ MJOCi.ItPd witlt usn Oft .ttM'lamf.ntJ <_u<;lodldl P"'f'flt'or. N",mp tL.a.,t. tU\I. Mil IIJlit.- ?I]l/('~ I mplu\pr,\Vlthhold('r'.. f ffil'rdlllN NumlM:>r ~. . _' I ~{il (( ,,'-( j.) I $('(' Afhkndum fOl' dt'pMcknt n.lmt'S and birth rlatt'S associalPd with cast'S on .nachmMt. ORDER l.'\fOR,\lATlON: This is.1n Ordt'l/Nolicelo Wilhhold In(Ome iOl Support b.lsed upon an order for support jrom CUMBERLAND County. Commonw..alth oj Pennsyl.anid. By IdW, yoo are required 10 dt"du('t lhese amounls jrom Iht> dbo....ndmed ..mploy.....slobligor's inwme unlil jurtht>r noti{ e even illht> QrderINotict. is not "sued by your Stolte. S 433 , 34 per monlh on currenl support S 43,33 per monlh in polsH1ue support Arr..a" 12 weel, Of great"r! Oyp,; ~ no S 0,00 per month in rurrenl dnd polSI-du.. medl('dl ,uppol1 S 0.00 per monlh jor genel;(' I..... (()5t, S per month in otht>r Ispe<iiyi ior a lotal of S n, . n per month 10 be forwarded to pa~~ below. You do not hd\'t' to vary your poly (-y( Ie to "'" in rompli..nre wilh Iht> support order, Ii yoor p.ly <)'C!t' does not rNlch the ordered support polY1Tlf'/l1 <)'de, u....lhe lollowinglo determine how mU('h 10 withhold: S 11 0,00 per w....kly poly penod. S 220.00 per biw.....kly poly per;IKI (..wry IwO w.......s), S 238 , 33 per ....mimonthly poly penod \twin' a monlhi. S 47 6 67 per monthly polY period, Rf \ltrl.V\U "'WOR\/A 1/0:....: You mu,1 bt>ttin w,thholding no Idler Ih.ln Iht> Ills! p.l)' penod <X {umng It'll ( I Oi worlt~ d.ty' olI!E'f tho> d.ll.. 0/ lhi, Ordt'rf"ollre, ....nd polymenl within ...-vPn In "<Irking day, 01 II\p p.ly'd.il.-!d.ll.. oj "1lhb:>lding, You.are ",,"Ik<d to dt'dUl t a I.... 10 dt>tr..y tht. (ost of "ithholdlOlI. RelI'f 10 tho> t..,,'\ Il'M"I'OtllA t.... work <,1M o. V(lUt 1'ftIl)~..... lor tho> ..lIowable ..mount, Tht> 10...1 w,lhht>1d ..mount, and your I..... (oIM(J( e,('('t'(j ))'. (II tho> l"ll1pk'l:,.,." obligor', ..AAr..~t.. d"tloyhl.. w<'t'klv "drninll" for thl' PUf'lXl'" oj tho> l,m,l.ahon un "'\thhold.~ 1....lolkM1nll inlorm.atlon" (ll'<'(It"l1 I...... .9 till polll<" 21 It "-,,"nlO!!l,,, If U DJ. Illt.d.... (..II Penn'II,,,,,... Slat.. (olt....lion' and ()jo,hu.............. l'n,I 1\{-OI.'II,",,;I,,\1't Cll...tomt~r '-t'f'\t( P.it l-ft.:7 -b "'!"tt-<JjftO hM' H\\.truc:1ion'. Make Remittance Payable to: PA SCDU Stood chKk to: Penns,.hania SCDU. '.0.80\ 6'111, Harrkbu'lo'. '7106-9111 ''Ii .4OOlTIO!'., 1'.4 Uffl\/TS MUST 1M" llJOf THE OfffNOAI\IM NAMl AND"" MOl$ ,,"MIl, 10 1-- """tt' '" lIMo l...,.,..,._OWip"J C... IdMfiIiforl 0. sonu 5IClAIn IlillMW" "'Ii 0IDf. TO If 1'10('1$510. 00 'IIOT SfI\iO CASH It MAil. " ",'," It 'HI COUl~.. , \#- ..; ~, Ill! .') ..~ ,~,,. l\......,~ ()"lrt .... MUl,.-_.L tkjf~_........ ._.___._.___~__._...".'_._._e. __.,.___' . -r ,',j, ..., t " '.'nit.' t"It' M .l'<f'f\tt'-H,'t\ \\\~\i:.'tH\ [,'!' ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS o II (.11('( ~('\i you .Ift' r('(JlIIrt'tI_lo p'II\'1(h.. d ~ opy 011111'0. iormlo ~our, t'Ol/llo\l't'. Ii ~'o\Jr f'mploypt. \\ort..l, U1 d "'ldlr1hdtis dlllt'rpnllrom tht' ...t,lll' Ih.\1 '.....Ull( lh.... mdt'r, .1 (Opy f11U.., ht' I'n)\',dt" hI ~'our prnployt't' p....t.n II lilt' ho\ 1\ not (hN:ked. 1. Priori',.: \\'llhholdlllg undt.., thl' On.tl'r/N()lllf' h.l~ pnorif)-' O\l'r dny oltll'r II'~" prot ['<0'" undN ~ldh'ld'v\' dJ;JIn"'t fhp !>dme income, tf"(lpfdllJ\ It'VIt'" in ('itl"\ Illt'IcJrt' rt't"Plpt oJ till'" orttrr 11.1\(' pnont..... II tht.u- ,1ft. ~t..t('r.llld\ It'VII", in pift"l1 plt'do,r (Ontdfl thl' rt'Qu~linR .1~flll(".1I..1('(1 bl,low. 2.. Combining '.YrM11t\: You {dO lomhinr \\-Ilhh..kl .lmnunt.... from mow 111.10 IHlt' ('lT1ployf't'fubligor'!I incomp in d ~ingl(' pdyment to ('dlh .l~('my n"flut~ling wilhholdtn". You mu..l, tlO"t~'t'r. 'f"pdr.ltt"ly iclt'ntiiy Ih~ IN)rtion ni lh(' ~in~lt' pdymrnl thdl i~ d1tribUldble 10 edrh t'mlllo)I't'/I)hli~, If. I,' Rf'J1O'lIng thr Payrlil1t'/DaIr ot \'Yllhhoi,hnp:: ~ou mil'l l'l'fl"I' thp payrlalrldatt' at W1thhokhng wl1Pn 'It'ndmg thto p.ymmt. Thr paydalrldJIt" Of wrthhnldl"ll "' thp <lair on "nim ""'mmt W3'I "ilhhPld imm Ihr rmployP("s wagPS. You mu,1 ",mply with Ih. IJW of Ih,' ..tJll' olllw t'mployt't,...'/obhMur'\ principdl pld("(' of empIO\.mffil \\'llh f(...pt....llu Ihp limt'IJf'fIOfI, wilhin \'\lhkh you mu..1 implPmrnl th.-' "1Ihh(Jldll'~ ord('r Jncl tOMdn:llhe ..uppot1 pdympnl... 4,' Employ..,IObligor ..ilh Mulliplt Support Holding" It Ih..... i, Rlo...lh,m on.. Onl..r/Noti. .10 Withhold Incom. for Support Jg.lin,1 ,hi" {'m~)lu~t"t'!obligor dn(1 ~nu .In' undhlt" 10 honor,all support Ontt'rfNott(t'\ dut'lO f(>dt"ral or Sldlr ....Ithholding limit". you must iullo\o\' Iht,ld,^ oi llll' ~IJlt' 01 t'fllpluYf.'t"../ohli~lJr'\ prim tPdl plJ( t" o' f'fTIllloymen1. You mU..I honor .III Omr~OIi(f." 10 thE' great~1 e...tt'1l1 ~)()!l,>,blt". ('fit-' Itl ht'lo\\1 >, TrrmiNlion NotifK.lion: You Rlu'II,romPI1V notify th. Rt'Q""'lln~ ^~...,t'Y "Iwo Ih. .mplov..../nbhgor "no long.. "ori<iog for \,ou, Plt"d.... pro\' Kit" It\t' intorm.t1lon rPtluC'o;,trd .lOd ""urn d . up..' oi Ihi, O"ft>f,"oti( f' to tilE' Agffiq "tt>nliiied b.."low, THE EMPlOYEE/OBlICOR NO lOI\olCER WORkS FOR: 1782100216 EMPlOYEE'S/OBlK.OR'SI\oIAME: TAYLOR, WILLIAM R. EMPlOYEE'S CASE IDEI\oITlFIER: 04300000Zl DATE OF SEPARATIOI\oI: lAST 1(1\010_ HOME ADDRESS: NEW EMPlOYER'S I\oIAME'ADORESS: b. Lump Sum Pi~nwnt\: )4>>U md.., bP rPqlilJ'f"(t to wport dnd \\Ithhokf from lump ~Um JldYfTlf'Ilt"l Ciuch.n bonu~. (.ommi'i'50ions. or ....",-{Or ,mt t-' Pd)' _ If.. OU h.JVf.' dn,. qUt"'otK}fl, ,lUouf lump ..urn pd\mPni', (ontdO tht> JJPf\Ofl or duthuIl"" bPloYt'. 7 Li.Ibility: 1',"0\1 rdll to .....thhok1In(()ffit> .I" tilt" ()rdf"r"'otlCf" dlrt'(tc;.. vou,art' tidbit" torhoth ltwo ~-cumuldled amounl you ..hould hd\f" \\.11Mwld from ttw t'"mllkl\'t't".(Jb1tttor'') ,nu)"\{-' .tnd (lttw-'r P'N'dhK"'lo ~ b" Pt...m",,'h...nw SI..l1e Id~. Pffin..yl\...01d Sl.IIf' l.Iw gcJ\'ffl'1S unl~.. thi' oh1,t:.0f ,.. ('mpltl\ flt tn dflotnf'f ~tdtt" tn "' tllt h <<dW tht" ldw (II th(> ~1"1t' 10 ",hICh tw or !>hP 1"\ pmplo\'f'd KQVPf11\, K 4nti-dN.rienin.lti..n: "nu .I'" ..ubtpl t to ,a IIOf' drn'""lflPIt undff '\t.dtf' U\\ kJf ti,.... hdf{ttn.: .m pmpkr,.ftrt'iobhgOf rnNT\ ..mpl()~'m('flt. r{'lu"lf1~ 10 I''fllplo~' or toiling di...nphnd'" Jl 'H If' ~~,n...t Jn~ ~pk),,~>/ohhRllt b(l(cIU'f" of d IoUJ.1JlOf't Withholding.. Ptlf\n...~ I\'.tnld Stdlt' lei'^' ~O\'f'm.. unit..... fht'IJbtr~ i'i ffi'lJ)k}\'*'l1 to anO,fht'r \tellP'_ In ",-hIt h t~ lht- ~ ut tht> ~ldlp in \\'nKh tw or ~ j, mlployf'd ~\'Pm". 'i . W~hholcf...limi"; ~IlU RlJV "'~ ""hh"kl "1(." th.n ttw """..., O. I' ttw """",01' .IJoo.\t'd by' ttw food",.1 C..,'u""" C""hl P,OCt'( tlOO "-<"1 II'lL ~ ( ~Ib.n tbll, Of 1\ tfW' oImoun~ dIK)"",..f tl\ tht> 'ldW of thf1 rmplovif"'P"jobhgor'.. PfU1(lp.i11 PWcPot t'mP~f1lf'flt, 1!w f ,.,h'loil lImit ",,,JIlt"'+! hi rtw ~~..... dN_\Il,tYtW vtr~f\. t'.lm~~~ ..~{)\\f ,_ _~O\\"( I" ~ rwt tn(.()f'nt" It'11arwr m...~tnW m.tnd.ltor'\ d.'d I Ii. lfnm '>lojl h d"- ".tW. h..:1t'f.a-llnr..1 tiI\t'\ \4:1ndt ~ ur1fV ld\~ .md \,*",1", ~ 1....t-". for trtb.d~. ~'ml mdV nnl \\'Ithhuld mort' ttl.tn tfw .tmtlllllh "lkw.f'I.' undPf tht> IdVlo' uf ,two ......utnflt tnh,', 14)1' tnh.,ti .""",.&.;~f-'f' ",h..l rt"{,.,i\t" .. ~dtt' (lItk>r, \'(JU m.J\' not '^ tlhhotd murt" tfl.11\ t~w dlHu4.Jnh .tilt","' urlth'f tht. l"", ... tht, ...ldk' tt,~ ~"ul"t 1~ (If\:'''~ 'd """~ioNI...ht: ''')1! 11 \Ou ,.. \',.... ~..... .........d ",Ih d"~'~ th."l>tlo., In lho> ........Ih.ot ".....-d It"..>nlo>< VI'" .....,.. ,..n,,,, tho> k4\\- l" thf.o. '-IJf.. th.lI l....lifl'lt It",.. un"'" \,\Ith f1""It.1f>\ t tn ~ f~ ,! .........in.... It: t...."!U.! l( R11 , I !l:l'~ 'll \ I j('" l...L\..JIV....O\HOI ___,_____ !', !).,~I)\J.1l___~ _~"~~".__..'___~_ \" \~II~LlJ~^\ 1.\l\L._____..__..__~... n \dU: tV \'Our ~l\,""..btl1t\... h.J\.... ,}n\ lJUt"tt\lt'.... Hint.. I \\ -\CI "" -\0 \\\1" I'"'" I" tool.,,,,,,,,," '"' 1.'1 'j ~~)t!::; \" I" I'" '" 1'1 '"1 .;!iIl.fl.UL... 'w ~ $ttft4t"." ~~~~~.!l,~~_~~~:l~' ~,... f',u.."t,.' t" 'tl!m I" l~\rt \\I)!"" !l \ ~',': \;," ....,.--\" t' I \l'" .. In the Court or Common Pleas or CllMBERt.ANI) l>o:m:sTlc REI.ATIONS SECTION Count\'. Penns\-h'ania . . TERRY L. TAYLOR ) Do,~el Numhcr 96-5124 CIVIL Plaintiff l PArSES Cas" Numhcr 201000021 \IS. ) ) Member Numhcr 0430000028 WILLIAM R. TAYLOR l Defendant Other r"un Number j.} / ( I )i <' C'I ( , - ('(. "r ('I ) QUALIFIED DOMESTIC RELATIONS ORDER AND l'IiO\V. this 8TH DAY OF DECEMBER, 2004 it appearing tllthe Coun that an Onler of suppon was entered against WILLIAM R , TAYLOR 644 POLECAT RD, LANDISBURG, PA, 17040-9242-44 social security number 208-42-6946 . date of binh 08/17/51 . hereinafter referred to as " Panicipant. " who is a retired panicipant of the ROADWAY EXPRESS PENSION NCB hereinafter referred to as the "Plan". The Suppon Onler is in favor of TERRY L, TAYLOR 116 N 36TH ST, CAMP HILL, PA, 17011-2711-16 social security number 177-42-4883. date ofbinh 10/14/50. hereinal\er referred to as "Alternate Payee- who has a ri~t to all or pan of Panicipant"s benefit under the Pian, It is Onlered that the ROADWAY EXPRESS PENSION NCB as paler of benclih to Panicipant pay to Alternate Payee. TERRY L, TAYLOR . nwmhly pa}mems in tbe am<lum of S 476,67 as kID, as the Panidpam is I't\:ei\inll benetih uooer this Plan or until funber Order of this C'lUn. ~ m3\imum altlllUm "f lbe atLKhmem oJ1allll<lt e\ceN so ,0 rer cent in ac~\m.lan';e wilh I'f\I\isiom Ilf the C"n~mcr Credll l'nltl."l:tkID A.t II~ lfS,(', s.:,;tklll 16731. l'a)ment is due horn the liN dln:~ alier I\wi{II III Ihis l>nkr t\1f the halalll.:C III' Panidpam', !.ife. umil Alternate I'a)ee's \k1ith. roIalll.:lflatl\1D ,,\ .:hikkrenl Ilr until I' uMber Order Ill' this (\lUn. whl\:be\cr '''\:UI' liN, \4-'n1\\" 1\1": '" ""'~\ , , O:-.l \\.'lh1 III .'1'.'.... & '" ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT Slale Commonwe.llh 01 Penn.yl~ani. Co.lCity/Dist, of CUMBERLAND DatI' of Ordl'r/Nolicl' 11/16/04 Trihunal/C..se Numh..r (SH' Addrmdum (or casp summary) OOrigm.JIOrck>r/Nohce o AmpndNt Ordf.>r/Notic(> @ It'fminJIE' OrderlNoticp Employer1\VllhholcWr'\ I roe-f.t1IIN NumlJt'f RL TAYLOR, WILLIAM R. I mplOVPf01ObligDr's Name (Last. First, Ml) ROADWAY EXPRESS INC' PO BOX 471 AKRON OH 44309-0471 c90J {X;O Oa ( aW- _'j/2t.J tll1 ( 208-42-6946 [mployeelObligof's Social Security Number 0430000028 ImployeeJObligor's Case tdenlltier ISH AdIIMcbn for pWnIiff........ ..."..;.r.d with c.... 011 ,1f1ChmMl) C~lodla.1 Parent's Name (la~. first. MI) SH' AddMdu:n for dppPlldMl namrs and birth rlalrs associaled with casps 011 altaehmenl, ORDER INFORMA 1/0N: This is an Order/Notice to Withhold Income for Support bdsed upon an order for support (rom CUMBERLAND County, Commonw..alth of Pennsylvania. By law. you art' requiA.'d to dPduct thl'se amounts trom thl' abo~l'-namt'd ..mploYI'("s1obligor's income untillurthl'r notice even if thl' OrdPr/Notic.. is not issut'd by your Stoll... SO. 00 per month in current support So, 00 per month in past-du.. support Arrears 12 waoks or grt'atprl 0 yes ~ no S 0, 00 per monlh in mt'dic.1 support S 0 . 00 pl'r month for gPnl'tic tt'St c osls S pl'r month in othPr (spt'Cifyl for. lotoll of SO. 00 per month 10 be forwolrded 10 JloIyft below. You do nol have to v.ry your pay f\'c1t' to bt' in (omplianet' with the> support order. If your pay <y<1P cloPs not match thl' OrdPA.'d support paYmPnt (yelt', U"l' IhP tollO\\.ng to liPtt'rmint' how mud, to withhold: S 0 . 00 pl'r w'f'ri.ly pay pl'riod. S 0 00 per rnWt't'kly pay pl'riod (t'Vt>ry two wt'f'l..s\. S 0,00 pl'r St'lTIimonlhly Poly pl'riod (lw'l(l>' month) S 0,00 pl'r monthly pay pl'riod. Rf\r/TT 4.!\Cf I:"FOR\/A TlON You must bt'l\in withholding no l.lt',Ih.1n the> h",l pay pl'riod occurring tm I tOl working d4y; .lltPr the d.lte of this OrdPr!Notict', SPnd PoIym..." within"""", l7: wooing days of the payd.itl'ld.itt' of withholding. You <in' t"I1htlt>d to dPdul.! . fl'(' to liP/ray the> (IN oi WIthholding, RPipr to the> law, !\O'f't'TIing the> work ..utt' of your employ'"" lor thl' allowahlt'dmount. The> total withhe>ld .mount. .md your ft>t>. c dnnot e~Cl'f'd 5S~. of the pmploy4'l"" obligor's 'SIlff'l\dtl' dl'IXl'idb11' w....~ly t'amlOgs, r or thP pulp<..... of thP limil.lllon on w.thholdlOll- rhe folkMing infomwt"m " f1t'l'dt'd I~"" '10 on pg, 2\. It r..mlning by HUDI, pit'..... c.1I r..nnvylvdn'd Statt' CallPet""" and Oosbul'\t'mt'rlt Unit l'>(Otn Implowr Cuvl<MTIt'r St"VI(t' dt HI77-67().'Ii80 tor in"""tl("", Mo1ke Remitto1ll(e Po1Yo1b1e to: PA SCDU Send check to: Pennsyl\'olni.t SCDU. P.O. 80\ 69112. H.lrrisbufl, P0117106-9112 1,'>1 -4OO1rlO.... ,-4 tWNrs ""tlSr INCWOf rHf OfIfJloiDANn N.4Mf -4"0 rHE '-4csn MfWIf.IO'...... abo,. as ",. E.....'""'OWiIot.s C_ ...tlliHl Of SOCIAl SEe..,.,", JIoillVlfl 1:\1 010I. to If HO(USEo. DO !oiur SEND C-4SH n .\fAIl. ll..h',~ 0,,11'< J!OY..J ... tJh n:z ".4- "-'!\'t~ t\llit' M ...... 'nt\+\ t" O..'A \\twl..fo'f!tl $tAii' , ADDITIONAL INFORMATION 10 fMPIOYlRS ANI> O(lUR WITHHOLDERS o Ii (heckes.1 you art~ f('quif('tllo prm.ld,> " IOP\ 01 tllI\ hUI11111 \111111'"1/11.1\1'1' II \tl\U f'lIlpIO\'('{-',\\ork"i lIl,d Sidle that is dillNrnt from thp ..'.II('IIMt 1....t1t'ti Ilw. Huh'" ,I t "1'\ 11111,1 ht'I""\IlIt~ ll' \11111 ('rn" oyl'l' t'V"1l 1111ll' UOX IS not du'cked. 1. \Vf' Jppr{'{'i.ll(' th(' \lolunIJ!')' tOmph.lI11 (, olll'tII'f.llI~ fl'( (I~IlIJI.,II"dl,1I11Ilhl''', IFlII.IIl.. 010'\.111" IIII..H\('....".., ,met Indidn-owned hu...im.....p.. ItX'dl{'(t on J rp..Nvcllion lh.llt hoo...,' III \\ 11hholtllll.1l t lIId.lIH" \''''111 1111' !lollt l' 2. Priority: \Vithholding undt'r Ihi" Ordpr/~t 1111 l' 11,"'"111"1\ 11\'" ,If'\' IlIh." 11'~IIIUtK. t..... until" \(,llt' 1.11,\ d~din!lo1 the same income. Frof'rJI t.l'l( It'vit's in efit'Ct IWlOH' rt't pipl 011111'. onl.'f h,IVt. pfloflt~ If III.'", .HI' f .,,11",111,1\ It'\ I.'" In t'th'(l plt',',(' fonlaet the requesting clgt'l1ry li..ll'lll)('!ow. J. Combining Payments: You l,m (omIIlOt. Y't tlhtll'ld .I",ounh hOI11 mon' Ih.m OfW I'mplo\'l'i'/ohlt~or'li in(om(' in d ~ingle pdyment 10 (,cl(11 d~l'ncy rl'c:tUt.+;tinJ; wllhlmlctlf1)t, "flU UIU..t. Ilfl",t'\4", ..t'lhHdlt'I~' Illt'n"I',- thc'IK"11(UI {1I tll{" "int;ll"JdY01pnl thell is anributable to each ('mpl(lyt't'/llllll}t()f. 4, . R.".>rtlnR th~ Payrli1lrlD.I~ nl WrthhokhnR' ~ntl ml"I ...,xm IIuo l'it\ll,"~idi1fto nl wrthhold"'ll wIuon ,..,ming 1m- paymt'l1l; . Tn.- "i!ydd1t'iri'I~ olw'ffhhokhnR" tluo <I"'" on wm h ,tn"o,ol W,l' w'lhh....t I,om tluo f'l11l'k'Y""" wallT"', You mu,' romply with Ihe law oi th.. ..1,11(" 01 tht, t'ml'loyc't",,'ohhKo,.. pnnl IIMl pl.t, C' of .'m"lo\ Hlt'flt "11h fI'''P4'1 , 10 Ihl' 11m.. IM'noel.. within 'h"hkh you must implement the wilhholdinR untt'f ,mil !lllv..I,d tlw .,uppurt 'hI,lIl..nl.. 5.' Employ~IObliRor ..~h Mullipw \uppnrt IIl1ldinR" III''''''''' "....f. 111.11I.....( ).".,/Nolllr 10 Withhold Inmme for Support against Ihi~ employt-,:'I<<lblll(f.' .lUd 'till .tlt" UI,~Jtllf' lill'l)I..)' .tl1"ul'f" H11 hlll'I."'I"" ""ltlJf' 10 r ('(jerell or Stdlf' withholding limits. you must follow the IdW of thp lotJtt'Clt t'tllllltJ\t't' ...(dlll~11f "I)fll~ iIMlltl." "111 '-l11lllll\ltll"11 'fltl ntu..1 hem()r .1I1 OrdersINotices to the greal~1 extffit po~sible. 1",("(\ 110 ht~lo,^! 6. T~rmination NotlrK.tion: '.uu lHu..I ,..,.,npth lIu1;f\. th.-. Wt'll\l,"lllil( ,~Jtt'tl(", whttf1lhf' t'mploype/obligor is no longer working (or you. PIPdo,E' pruvid., th.. Irl!tam.tllltfl n'lt\II...1I" ,tfuf '4'.UII' .. ,..." 'It II~i" ()l1t,'I/"'t)ttt .'10 Itw A~('nry identified below. WITHHOlDlR'!l 10: .14'" ,,. 'c!) EMPlOVEE",'OIUGOll'!l "'''Ml:_,_.___rAlb;(1~._k1l.!d.l11M R. EMPlOHE'SC"SIIDl"'"'II11: _,._,lU,l!U1Ul___ D"TE Of SIP"RA.TION: l"ST ",",,0_ HOMI "1l0.I..S:_......_..~___. NEW IMPlOnR... """MI'"IlORI''' 7. lump Sum p",mtnt\: 'I~i m,,\ I~ h:~.I)Hnt ff! fPllllr1 ,,,"I \.\.lhtn,kt ft,,,,, lump "urn ~ld'tm{'flts ~u(:h dl) bonu~. commissions, Of W\I'rdOlt' Jld~ It ytKJ h.f\t' .tn, 'JU.....ItH'\.' .tlM: I\lt hi1'l" qifll p.f\mt'fll.. t .."1."-1 thr Jlt'Nlfl or duthorit" bek)W. 8. l..bilir,: I! "Uil rdll tu "'th""....l'\t lion*, ,l""tw<< )rt...., '-I diu' dlft'( h ,"'nu.lff' 'ktblr k..lf" tXlth thfo cK'(Umuldtf'd amount ~ou should h.JVf' \\Ilhhf-kt 'rom thl' 4'mvkl\:t't.,'(Jtlh~"" 101 till~' dl",hltt~", ...,-,..It..... "tf'I t", Pt-on..'if\;.mld Stdtf' law. P("nnsytvdnld Sldte taw 1t000-ffT1;S un~s thf" ohll~Of r. t>mpl1lH'iI'fl .u",ffit.., 'l..k' It\ ~h.. h,........ Itw id\\ Hf Itwo 'ldt4' tn "'tuch hp Of W i~ f"fl\p$oyt'd gOVP.fflS. 9. AntHl",-rimin.ltion: "flll ..n' "\itltf"\l hi.. IItw .t....'fml".'. 'I'M,,'f \1.lt('ldVt f(lf" dN.-hd"'lng an t'mplo\,pWobligor irom employmffit. r('tU~lr'~ hi ,'mi.lt', ,., ''''''flg ,11'4 'I,fln"" ... t,,"1 .t!t.tlll.., .~n\ .'fHllk}\'t"~/llhhA()f tM"'t dU"tt" of a ~upport withhuklmJt, Prnn"'llvctnid ~tdttlld""" RO\tlrn... unit..., II..." flhil~t'" ." 4'<<lJlh'\I". In ...."'''.\1'1 'I.m' 1ft ",\" h (..",' ftw tdYl' (II th~ "dlf> in which rna Of shE- I';' pmpmyro go\,{'ms 10 . Withh..Wint ,.....: ,.it.! "~.n ttflf ~'llt"""IJ.t AI.... ttMn tfl,' ........."1" fit 1 i ~ .lfflOUrlt\ ol.kMf'd by thE- ffl(tE'f,)1 ('onliumt'f (.redl1 P'UI''tI:Ofl _"tt, 1 ~I \ "t ~ It,' 1 >hd {If} tta" mltMtUf'" ..Hu,",,,,,' l... th.~ 't..u' n' th.. ""J)k~'f'\l"!Jobligor" prioctpdll1ldfE' or t"mpIOlmt>>nt. Tht. ft'th',..1 !"'111 ....1f1tlt"' hlltw .1~I'f~tIi' .,,,,,..,,,...tlit> ~f""'\, f'amlng... ;,,-'0\\" j 0\0\'\11\ ttw nt"t U'lCOfTlf' Wft afttat mall"l~ m.mdAtOry ttt'f.tut tl:t Jfl", 'O;l~ h .t... 'Wif' . ..it.....! k...1 \.-1\...... ~. i..t ""C uttf\ 'oJ""" ~t \.\t'dl(.t,.,. t.JU"o, t I ............. tfthY. ....., <<'t) H It \O\i nt \nut .i1U1f\t' ..,.,. 'of"f'\l"ti \\,~th ~ (n'l\ f\f- th.", u,t..... In tfw. ....~, ttw, "ttlIt"d tlw fmiPr \OU dn" tn k)Ih.'t\\ t~ 1.40\ t ,i 1h., ........t. fhtll......lti"lt lh" Ul'....\f y.nth n....... t lH tn......... itt~. \uhm'n.... ll\: l"''''t~!1\ "'t\"~)""" }ttl\\l2...~__ 'j', m....V\t!O!....,..__ I' 1,1 !It" "-'1) , "... ____, I. \l(\!~U t" l'UIJ ,___~. II VIlli 0' v,...., t'ftlPIt'\.....'obhfttlf h.lvt> ""\ qUt">f.oo" . un"" , W",ct '" It AO II\\( "1 ""..If l.>\ ~lh<_.lI i?1 "\ Ho-6~1'\ I~ hi- f ,\'.lI 1."1 ?ll~f>1-4l1 or by lllk'm<'l In", I "'~'P'lrt ..ldtt" t'" '" "'-*,;\ nt J. I'~ff\ I" 11!1I \\..\.,.10 SIAn ....~"." t. ; ,t~. iJlI:i ... ,t"',~- t,....".. _" -I-'"" j......: f, "' , ~. .. ......, .,. . f f' r, .c.' . ~}.. <\ t...~:. J I . .....~ 1 '... l ~'i," ....1.0\- -;,.. , ., , /~ . ( " "' .lif .c."';:"''''>,,^..~""'t . ~W~'1ooi4l;", ..,j.( /; .'t''''.'''';,.\.,i;-~~..j~~'''-L~it ,. .: ~ .........,i --'.~,. ......... 'j1.n~--,;-!>, 'L'~> -,,-iL:-...rt ,~ ,) '" "\; ~-;~.. -....') "'"-''\.,: , ',':;'" ...........,...,........\. -.. M'l, tlL ..~.........""':-; _ Ii' ,t'T".o~.' j:~r """'~.:".:,~_ ~ -f~~"'~-\:lo-~L.r"" " .-flU. > 1\...0... ~\.',:;.;~~-,,-,....~ _~nt ~<. -:-4. ttp .d, '" ~,<, .,~__ , "I' ~ '~'... V--.... ._- , ._;.-~ .....,. ... .....,-. "-:<to. "~- ........-.-..,-.I\,-t U~'f''n ~ 1~...i...ll:,Uf"'t: \..~....~,,"i"''i...,.\,,- ~..... "\..:\ to ,- ' ~. '-' \:>,"-",..., ;.t -j ;.:" \,-~"'-,,>-- ""\,.' ~.,....,.. ,.ri" .-- '" 1 ~ "' -", . t -... ~ \ ~'> '> ..~ 'to I' < ;Lle _,..,'~. }.4' .',. ".' "-'h h "~. (," . ~;'" , ,'"'.,..-, "r...:<.-nJ,",,'.... (,.... ~, ;",," , .... i, 'y j. ;'. ~. . '...1 \.. \'\ .'(.~~ <\.,.t. "r"r .... ..,,; :t.'"".., ... .\\...., '"<4,.-' ';~',.~ ,'. '(. .~~ "~'~"''''l)o;-,;''>. ~'i -'" " , , -#- ,f..0i", "",.. " . ...., ". "',i', '.; .. ,"" . , ;;,..., " , ^. , "~.'.. ~',' -. ..... " ,_ .:t..,i"''t ,", 0,;_ ~ i,.., ...,,'., .it .....lli. ;',.(f~..< ..., :,.'.'--.-, 'Ii!"""", ".-~'" ;,\...;:.. . " .. tf'-',-,-",:" ~-""'.-' w...>4;. ~ ..,., .--.,,- ^ ~..>.,-~,.-' ".---. .. , )"'i,". " ~ ~.. t " , .............,,'-' "-,-~ ~.,.. ", '\, . ~ ~ ~~'" ,,0;.'" ~g.;.!_~' .K- ;,~: ~~- :f ::. ~ .;;_1.,t ~~ '1',:1 ~~, :.-" ~- . ~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Penn..lvania Co.lCily/Di'l. of CUMBERLAND Ddl~ of Order/Nolin' 12/08/04 Tribundl/Cd.... Numbt'r fSl'e Add,mdum for ('ase summary) RI:TAYLOR. WILLIAM R. (mpl()YN:'/()hllgor''i Ndrnp (LJ')1. r Irsl. Mil @OriRinJI O,dPr/NOfI(f" o ^mt>ndpd Order/Notice o If'rmin.llt> Ord('r/NoIl((' l mplo,"rri\'Vllhholck>r'.. r f"dt'fJllIN NumlM', NATIONAL CITY BANK OF PA C/O TRUSTEE FOR CITY OF MCEESPORT . PENSION 300 4TH AVE PITTSBURGH PA 15278 ~I<l ;tifjc,. 9'~ (' t/ }11t5f<; ::J.CI()()Go~1 208-U-UU f mployf"t"lObligor's Social Sf'funlV Numbrr 0430000028 [mpl~,t'i'IObIIKOI'f, Coilof' kWntlllt"f ISH AdIlPndum for ""inliff ""_. .uocUtN ~itlt C.WI Oft .rtMl1tM1ttJ Cu\tudioll P.Jrf"nr~ NJrnt" (l..c,l. "rst. Mil ~ AddMdum for depMdent names and birth ddtes aSSO('iated with ('ases on atta('hment. ORDER INfORMA TlON,' Thi~ i, an Order/Notice to Wilhhold Income for Support bao;ed upon an order for ~upport from CUMBERLAND Counly, Commonwealth of P~nn~ylvania, By law. you are required 10 deduct lhe<.e amounts from lhe above-named employt't"oJobligor'~ income unlil further noti('e even if lhe Ordt'rlNotin' i~ not i"ued by your Slale. S 433 . J4 per monlh in currenl ,upport S 43 , 33 per monlh in pa~l-due support Arrea" 12 weeks or greater/ 0 y~ ~ no S 0,00 per month in medical ~upport S 0 .00 per monlh for gent'li( I....' u,.." $ per month in othe, ('/ll'fify) for a total of S 4" ." p6 month 10 ~ forwar*d 10 paYee! bftow. You do not havt>lo vary your pay cyrle to be in wmpllanre with the ~upport orde" If your pay cyrk- dot-. not ITloltch thP ordered ~upport paymt'nt (yrle, u'ot' lhe follow,"g to deferm",., how mlJ('h to withhold: S 110,00 per weekly pay period, S 220.00 per biwl't'kly pay pt'lIod tt'Vl'ry two week,), S 238.33 per 'ot'mimonlhly pay pt'riod (twlCe.l month). S 4 ~ 6 , 67 per monthly pay period, RE\fHT "'NCE ',"fOR,"'" TION' "ou mu,t begin" Ilhholding no later than thP fiN pay period Of( urring tt'ft 1101 wort..ing dIy; atwr tilt> d.it.. of thi, Ord..r/"'(~.(e, Sl'tld paymt'llt "ithin .....en (n work.ng doly, of thl' payd.ite!d.it.. of withholding. YOU.l'" enlllted to dffiu" .l ,.... 10 dt'tr.IY the u>'ol of withhold,"g. RPler to tilt> la..... l!O\'t'm,ntl tbe wort.. "..... of your f"IT1j)loo,'t'J' lot IhI' dllo"..bl.. .lmount. lhe lotal withhPld amount. .lnd your ft'J'. <<..nnol ..,reed S 50. of tbe ..mployt'J",", ohhgor', d!\ll....!\d'~ d''P'Nble wMlv Nminll' 10' the purptN' of IhI' hmlt.lllon on wilhhold,"K. tilt> folkMlng ,"formatIOn I, ",,,.1.,,1 t""" .10 on pg, 11, II lI'mlnlng by (F U ()t, piN.... (.11 f't'nn,\ ho.nl. \I.1f' Coli... 11("".and D...ool"ol"lllt'lll l'ntl IS('f)\}llmpk>\", CU,tt)fl'1flf ~t(f"' dt t..ft77-b76-tJiM kK m'otf\KtH..lno;, M....e Remitt.nce P..,.... to: PA SCOU Stond ch<<k to: """",Iuni. SCDU. '.0.10\ "112. H.ankbura. ,. 17106-..12 " ADO'TIQ,\i. ',U"'Nn MUS' I.'CCWDf 'HI DfIfMlA,'vn MU" .....0 1Hf rAcsn "''''fllO t..... .0".' ""' f.....~..,'06IiJcw.1 c... ItItIlIitl<<J 01 SOCIA, 51CU.,n- NtJ"''''!Ii OIDI. to If NOCflSlD. 00 ,..,or 51~O CASH Il \&411, . I IV 'HI coui\.-.. A ~ () 0{ ~'/ , . . I '.tI<' ,J (...t.>. .. ,_.~,_._',...2.21l1L !fit 'f ~ !(l""'I;f"~ '" -. '~-j";;v,< 'i,,~,t"4.t'''' \\'lo!'Lt... 11) .. _1'1".;" "-t'n1~'" T\I'''' ~ ... ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS o Ii (hll( "(11 you "'t' f('fIWff't11o provid('.1 fOPY of Ihi., {orm 10 your, ('m/llf}Y(>{>, II YOl,Jr ('mploy(-e,work~ in OJ !ltatP that is (h'1p(('nl from Ilw ,1.11(' Ih.ll j""u("fl thi, mdt'(, .1 (Opy mu"t hp provldl,( 10 your (!nlpIOYN' t'vl'nll tilL- bo)l;, ili nol ('h('('ked. 1. \Vt' .lppn'CI.llt' tht' \'olun1.try (Omplldllf (' of ft'(1l'r.llly rt'c:o~niIPd Indl.m Iril)tlt;" trifldlly-ownt,<j hu~ines"(,!l. and Indiim-<lwnPd hll,im'"t" loe .11('(t on d n....pf'\l.lllon th.lt thoo.,., 10 \\ .Ihhold In .Il (ord.m((> with Ihi, notic-p. 1. Priority: \VithholdinM undf'r till'. OrctN/Nohn-' h.:,\ priority 0\'('( .my othf'r IpRIl1 pror('~., until'r State I.Iw dJ;Jin\' ttw Sdme inrome. f ('t!t'r,llldll. l(l\'i~ in (.tft1{"t ht'iorr non.illt nllhi"i ordt" 110)\'(' priority. II th('", JU' Ft'<!Ndlld'( I('vie." in l'((R":t plt',N' ront.lrt Ih~ nlflurslinR ,lgPOlY II'ilpd lJt:'low. 1. Combining Pt1Iymtnb: You r,1I1 combine \:\"ilhheld dmount~ Irom mow lhJn DOl' empl(Jy~/obligor's incomr in d ~ingl(' pdyment 10 (',I('h .J~('nfY rt"'tlu.".,1ing wllhholdtnR. You my.,,, hO\\(,\irr. y.'pJrdfely identity Ih(' portion 01 tll(' ~ingle pciym('nt Iholt i., dt1ributdhh~ fa t'dfh l'mploYR'/ohllgor. 4.' Rf'pOIl"'ll m.. Paydlltl'lOalf'oi W1lhhnlrlll'Il' You""", """'" t....paydattoIdalf'oi Wtthholdin!; whf'n ,f'fWfinl!..... "".m.n!. T.... paydattolttat.. 01 Wtthhoft:t.ng i. m.. dalf' on whid1 amount w,", w1lh~ irom m..~. WlIgl'<, You mu'l roml)ly wilh Ih.. law of Ih.. 'ldt.. of Ih,> employ....-,;obligor'> pnnrip.>I pl.lt'" of "mploym..nl with rt'Sp<'Ct to Ih..tim.. "",iud, within whirh you mu,t implem..nt th.. wilhholdlng mdt'f dod IOf'Wdni Iht' ')UI)f.)()rt J)dyment.,. 5, . Employ~IObligo, wUh Muhiple Suppof1 Holding., If th..... i, mort' than on.. Orde.lNotir"lo Wilhhold Inrom,> for suppan agdin,1 th" ..mployt't'/obligor and yoo a'.. undbl..to honor all 'Ullpan Ord..,.'Nolir", dU"IO Fed..,al 0' SIal.. wilhholding limi", you mu,1 follow theldW of thp ...tdtf' of {'mpk)'f'('("'~'obItRor'{" prln("ipdl pl.,( r of ~mploymMt You mu~t honor all Omf'rJNoticf"S to thl' gfl'df~1 t'xtpnt p<)~"'lblt'. 1"i{>tl.l0 bt.lm\1 b, T.rmination NoliflC.tion: You mu,t promptly nolt'Y I"" Rl'Qu"'hng Agl'llry wnl'll th~ employ<'t'lobhgor j, no long'" woll"ng for you, Pi........ pro,id..t"" inform.tlOfl ""lu",led .00 rt'tum a <opy of Ih" Ord,,,lNohr..to Ih.. Agt'Ilry idl'llltlied bt-Iow. WITHHOlDER'S 10: 4834100094 EMPlOYEE'SiOllIGOR'S NAME: EMPlOYEE'S CASE IDfNTlflfl: lAST kNOWN HOME ADDRESS: "'EW EMPlOnR'S NAMfJADDRfSS: TAYLOR. WILLIAM R. 0430000021 DATE Of SEPARATION: 7. Lump Sum Pay~ "ou nldv bt> rt'qulrt"d 10 rt'1JOft dnli Withhold irom lump sum PdVmPflts ~ufh ciS bonu~, (omml...,ion"" or "t"\'('r.JO(p J)d~-. If YOU h,wt" dOY (~lW'ohon>; dboutlump ~Um PdVrTlf'nb. contad thE> peoNon or tluthori", t~ow. 8 l;.,btlity: If you la,lto w,.hhokl lOt on", ., t"," n'd....'ollC.. d.rt'rl;, \'00 .'" habl. ior both "'" ....rumul.t<'<l .mounl you ,hoold ha\'t' .....nhht>kf from tht~ Mllployft>}obhgot'... Innlfn(" dnd fltht-f" pf"4'ykil'4l \fit by Pt>nfh)l\'dnid SlatE- Ll't\'. Pt'nn';loylvdOld ~tdtE' IdW g<)\'prn., un~~ lht' obht:tOf ., rmptoyed In .-nnthf", '-Lite, .0 ,,"fit( h t d~ thf' l.M oj the Stdtt:t In \\hlCh hP Of ",he IS t'mp~'t'l1 gOVMTl-\. q AntHl;..;rimination; You alt' <,ubft't1 kId """ dNffltl'nro unt"" ~t.I..law tor d,,,narging an employt't'lobhgor f,om employ"","!. rptu~,"~ to pmpkJ" , or folklng dl'!'i<fiphnaf"V .K.1.un ag.lln..t dny rm-ployft'lobhgor bA.'dU-.e of a !ouppott withholdmg. Pmn'i.VIVanldl ~tdtf' l.ww ~o...t'-fm lin~., thE- oblIgor to, ~",f'd tn tlrKJttlf'f ~tAte. In ~htth ("~ thf' lAw Of tht~ ~tdtp in wh~h tw or ~ ,., t'fllplo)fld govwm, 1 <) . WilhhokIint limm: h>u m.~ ...A ..""hold mo...I""" """ ~"',... 01' . 1 "'" ."">Uf1" .llowed b~ "'" Fedt'fal Con....".., ("od,. Pnrl."t.." "'111'> U.St' ~ II>.' J .11", or 11 """ .amounh dlk""..1 bv """ ~Idf(' oj """ ..mployl't";JobI'l"'" printlpdl p....~ oI.....plo'\"""'"1. 1!w f ..det,III,m" <II~II...,~, "'" "!\I!_ d,'1_"""" w......" """'\ltg.. \.~O\\t 1 ,,0\\1... """ nN .....'''''''" "'" aW mal.,ng man"",ol) rlnt~t<tJlh.;;,tj( h ~ \ldW. '1'tit-roll K-!I(.i \d'd'''_ ~l(-kl' \e\-UfI(\ Id"-e\~.nf '~tcaf\"t.I~~. 1 ~ \ddioo.w InIe: ''\011 It \J.... 0' JOU' "'Ilf't)l_......."t'd lMth.i "Vi oftht, ordt>r In ttw> ".lh' th.It IS-' ttw>1~, JOO .ifPkl lulluw tho.> I,,,, '" II.' "oil<' I"'" ..."It'd Iht- t""'" \\'M ~ Ilu 1'-"" .If'm, \ubmitWd 1,: 1'0"" ~nc l\l L"lQ'~ "'lllS).... u.~'W \"O\llt ~L-. t'J.l N\ ) ~ L\ill.Dll. t'.\.1.1U.L__,_._,____..__.,,^,,., II JUlI Of lOll' f'mVluvPPlubl<1l''' ""... ..." q<.W<oIlnn.., ..1nt..1 WACI AHAOI\\!"ol U'IT II. ~_ dl I!F\ J'-1,H,JH HI '" 1\ ,\.<J \,'1 ."' HI} b.NIl Of l>v ,,,,,",,,,,,, w"" ,...........'P'", ",ll"IMU:C t\~!hl: 't"11'\ f ~-(\~)R \\n'r\_'.... Hl $tJ!NC ~'~\..rT\~.., M ( ~ ~ ~ ~ ......... r- M - t1 -... '" Q) ~~ -- ~ ~ t -.J () -- 'J , ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT Slale Commonweallh of Pennsvlvan;a Co.lCity/Disl. of CUMBERLAND Oat.. of O,d..,/Notic I' 12/10/04 l a,.. Numl"" (S"' Addendum for case summary) @()rl':III.1I Ordl'r/NoII((' o ^mrnclt'ft OrdrrlNuh((> o Trrrnlfl,JlfI ()uirr/Notl(f' I ",pl(},,('rl\\'tlhholdr"~ I rrll'r.tlllN Numh~'r RI'TAYLOR. WILLIAM R, I mplo'f('('/OlJllf(fIf" NJrll{' II ""I.IIN, Mil THE DREXEL GROUP INC STE 201 4815 JONESTOWN RD HARRISBURG PA 17109-1750 ,)/(1 I 11 (" .')1 J y {I if /~K7;$r. 2t?10000J! 208-42-UU I mpIO)o'1't'/ObIrKor\ SIx loll W<- Uflty NumtM>r 0430000028 (mploy....1t )hhItOl'.. ell.... kWnflflPr ISH AddP...... "" p/4infiff........ 'uocWIN willi ..... on ."..,.",.",) (u<,fodlal rol,pnl'\ N.unf' II d!!t. f Ir~. Mil Sft Addendum for d~r names .nd birth ct.res assoriarffl with C.Sfl on .rrach_r. ORDER INFORMA nON: Thi. i. an Ord..r/Notir..lo Withhold Incom.. for Support b.J",'(! upon an order for support from CUMBERLAND Counly. Commonwl'allh of Pennsylvania. By law, you a.... ll'Quil'l'd 10 dt'duc1lh...... amounh from Ih.. abov....Odmt'd pmploy.....<Jobligor'. income unlil furtht>r nolice l'\'t'tl if Iht> Ordpr/Notin' i. not i,sut'<! by your Slat... S 433 , 34 per month in cur....nl support S 43 . 33 per monlh in p.t>1-due support Arrt'ars 12 weeks or g....all'll 0 yes eX) no S 0.00 per month in currenl and pa.SI-dut' mt'diral support S 0 . 00 per month for gen..tir lesl co.... S per month in otht>r lspt'<'ifyl for a loUl of $ n, .51 Pfl' month 10 ~ fonnrded to p.1Iy~ below. You do not haw 10 \'ary your pay ryrlelo be in complianre with tht> support order, If your pay cyd.. dof's not malrh the ordered support paY1Tlffi1 ()'l'le, USE'lhe followinll 10 dt'termi~ how murh 10 wilhhold: S 11 0 . 00 per "'.....kly pay period, S 220,00 per biWff'kly pay period (p\'P1)' two wt"t"k..l. S 238,33 per ",",imonthly pay period (I\\'l(e.. monlh) , S 476 , 67 per monlhly pay period, RE \lITTN\;CE 'NfOR\',~ IIl)N You mu't hP!I,n ",ilhholdonR no lalpr Ih.an tht> fi....1 pay period ocrumng IPO t 101 working ~ aner lhe d.ite oIlhi. O,d..r/""olore, S..nd p.lylTlffil within.......... m working days of the payd.awld.it.. of wlthhoId'IlII, You d....l'Otitlt'd 10 dt>du. I a 1....10 dt'frJY Iht> (IN 01 wilhholdontt. ReiN 10 lhe lJ"" tt<M'fOilllllhe work '01.1I(' 01 \'(lUr f'lllpkr,..... lot lhe ..1I"""hl.. amount. Iht> 101011 withht>ld ..mounl. dnd yoor I..... unnole,ct't'd is-. 01 thP f'lllP1oy....''"' oblitt<Jf" al/.I/.'Plld'" di'p"sablp wPt'kly "am,n~, for tht> purp".... of tho> I,mitatton on withholdinl\. lhe folI01l..nl\ inloll"aloon " n...,,1toc! t\.... _90" p.!1!l' 1. It wn"nl"!l by II U Dj, pi....... Colli ",""n,\I\'.n... ~I"'p lol'"".lion'.md Otshu............,1 Uf\ll (SCDlJI lmpkl\'t"1 ('lI..tBm~ ~'It.~ .It l..ft;';-b7"&"CJ')flO tUf tnlJrut 1100' Make Rfmitt~ncf P.~abIf to: PA SCDU ~nd che<k to: Pfnm~t,,~ni.\ SCDU. P.O. loll 691 12. H.1rrbbu'lo P.a 17106-9112 I,'" .4DD1TION. 'A nffNn MtJ1T IlVcttJOf THE Of1EMlANr"S NAW A,\P THE 'ACSn WWlIID ,._ aba.. a. rtw f....".....ow,.r's C_ U. AIiIi<<) 01 SCKIAI SfClJafTt 1lfIJ4f"1t 1,'\1 0&011 ro " NOCUSfll DO ,...or Sf/loO CASH If l<<1l. ll.t!r \~, l),dt.t. l ' l~~' IltHt(~ ~.._--'...::..._.- 4 ~ -~ /) Iff A 4.. ''4''\'~'" t'illJ' M ./lO ""){. r tpfm1 '-t\,'l't \\1'1,\".... rn~t^rT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o Ii. (ht"(kl.p you drt' rt''Qum..1 10 pro\.'idt' d fOI)}' oj Ihi!rl iorm to your, t,lmployw. If YO\Jf ('mplo\(>(' ,-,'or"-' Ind \Idle Iholt ifi d,tierenllrom lilt' 'ltdtl'lI1.lt i~..u(>(t ,hi... OUl.-,..1 10p)o' O1u\,1 b~ provl(lro 10 your emplo\,l,(' ('ven If thf"lHn, '''' not (hpckfd. 1, Priority: VVilhholding undN Ihi~ Order/Nolin' h.., priority 0\'(>( JOY olher It'gdl procrs\ uoo(', ~tJlr IdW d~lIn...l thr ~dmt" inromr. F Pdt'foll tdX I('vip, in ('ifect briar(> rp("('illl of Ihi.. ordl'F hel\'" pnoflty. If th('fl" dfl' F lodE'fdl td" Ipvies in cftret plt'.NI ((JOt.Klth... '('(luf"'Iling dgt'l1lY 1i,1('Cll>t.'low. 1. CombininR P.yment!i: You (dO rombinr wilhhpld dmounl, from moll" Ihdn on(l rmployf'fl/ohltgor.... im 001(1 in .t ...inRI('I:t..lym('nllo r.lC.h d~wnl)' r(>(lut.~ling 't\'ithholding. You mu...l. huw('\w. 't('pJr~'tl'ly idttntity tfll~ pof1ion (), the iingll' ~l.ly"Wnllhdl i~ ~lnrlbutdhll'IO (ld{h t'mpluYl't'/obligor. J,' Rt'P"rting Ihf' Paydall'lDalt" oj Withhold~ Ynu mu<t """'" th" pavdatrld~1t' oi withholding whPn ..-ndmg th" p",'l!ll'nt, T hr paydatPldalt" oj withholding i< Ihf'dalt" on whirl> amotlIlt "'''' withht-ld imm Ihf' rmplovfto'. ""'K"", You mu" . omply wilh Ih" I.Jw oj Ih.. 'I.I~ of Ih~ ~mploy....'<./obligor', princil'dl pl.c~ oj ('Il1ploym,'nl wilh ""pt'C1 10 Ih" Ii"", pt'riod, wilhin whit h \'(10 mu,1 Impl~m..nl Ih" wilhholding ord('r .lnd fOM'.lrd th(" sum>orl JlJympnl". 4,' fmploVft/Obligor with Muhip~ Suppor1 Holdinl" Ill"""'" mo", Ih.n on.. Old..,/Nohc..lo Wilhhold locOlIlt' for Support .g.lln\! Ih" ~mplov",'/obligor .nd you.re un.bl.. 10 honor.1I ,u,'port Ord,'r/Nohc", dul' to fed.....1 or SI.'.. wllhholding limil>, you mu\! follow Ih..l.w oi Ih., ,1.1.. ofl'mpl(!\.....Vobligor.' primipdl pldl~ 01 ,,",ploymt'fl!. You mu,1 honor.1I Onlm/NoIiu.", to IhI> R"'.I"'I ...Iml pO......lblp. l~~ '9lxslowl S, Ttrmin.ltion NotiflCdtion: You mu'l promptly nolt., Ih.. R""u"'ltng Ag..".,. whm Ihr rmployl'l'iobhgOl i, no lonil'" worl.ing ior you. PI...... pro,ldl'lllt> inlonn.hon rt'<IUt'>lro .mt retum .1 COIl\' oj Ih" Onlt>rlN<lIic~ 10 Ihr Agt'Il<.y odl'llltfM'Il bPk"" THE fMPlOYUlOBLlCOR NO lONCER WORKS fOR: 2327637600 fMPlOYU'SIOBlIGOR'S NAM!': TAYLOR. WILLIAM R. fMPlOYU'S CASE IDENTIfIER: 043000002B DATE Of SfPAIlATION: lAST KNOWN HOME ADDIlSS: NEW fMPlOYfR'S NAMflADDlESS: b, lump Sum Pdymmlo: You indY IH' A'qUI....llo It'\lort.nd wllhhold lrom Iump....rn PdY"","I> ""h '" bonu....... .ommio.,oon,. or \E"VPrdn( P PolY. If \"uu hdvr an" ttut~I()f1' ..bovllump ~m PoIymmh. 0WIt.k1 tht> pf'nOfl or dUthoril\' bPtow 1 lidbility: II \uU ,.,1 to w.hhold I'" ""'" ., IhP On"""'!'..,.,,,, d.m..., you .... ItAblto for bolll the ... umul.d<'ll """""'I you >hook! h.lw ".Ihht'kll""" lilt> .'ml'k'Y....1obhgor\ ""Otl'" oInd (lIhPt """,,hll" I<'IIl\' ",""",VI,,,,,.. Stall'....., ",""",~Iv.on~ ~Idt<' .....Il<"""" un....' IhI> ("'Iog(lf " I'tIlpk"....1 '" dn<llhP< SIR. In wh" h c_ lilt> W <lI11lt> Sf"'" '" wh,,'h he 0' ,he """'Illo\f'd lIlM""', 8. AnIH1Mnmm..tion: You.1l' ,uhlt'< 1 kl . hilt' dt>t"","nfOd undt>r St.ll.. ..... for d""~tng .on """'1oI......ubbp in"" t'tIlploy'ffil'Ol. rl'lu"og 10 ..mploy. or I.l,ng dl....phOdl\' .. IMlf' .g.lln\l dAY """,Ioy....rob'rgor b..uu,," "'d 'UjlflOl\ ,..,'hhold,ng ......o\ylv.ml. St.ll.. ,.... go\~m, un","" the obloR'lI j, ,,",ployro '" dm.h.. St.Ill', '" ..hK h (...... the 1.1.. 01 tht> """" III ""M h hI>.lI \hr " """,IoI',od 110'''''''' q . Whhholdina limits: You moly "'_ willlhold mono th.m the...."" oi II the dtI\OUI1l> .11uwtod by "'" If'doordi Coo"""", ('It'd.. PIt....1... "'1 " <; use ~ lb71.h,l; '" 1, ,'''' dtIlIlUOI' .I\owf'(J by the """" ui "'" .....p\o\o...'\IobIlIl<lI'. ",""lpoIl pI,o... ui f'mI)Ioy"""'" lh",..dt'fdl',m,' "",Jl;"" 10 I.... "!\Ii........ dl'lKNbk> ..'......tv &lm"'l' "...ov.t, ...ov.t" "'" nt'IlIlI ._It'll """ nwl.tng........tAlI\ (tt'thJ4 hu''''''''O( h 4'" 't~. ffll{k-t.ll. toe..1 U....P\~ \<.idl Wc:urq '.."f'""l;.....i "iPdl("",,"t.I..~. fortf1b.tt~. "'..... md' rw:lt..ithhold mofP th~Ul1tu. ~lfru.lWlt~ ..ikM'f'l.I UOl.tcar ttw- ~ 0" ttw t,...utng tltt... fOf "ttwl f"RlJlkJ\'fl\ who '" il"t,'f' A.... .:Jfdrr. lOU ~ not wfthhokj tnOff" thJn tt~.lf1't("if1fot ..lkMt"Cl Uf1(fNttw~. (,. rhfo..tMth.It f"''''UPd ltwo(~ !II .\ddil~""'" "011 It \1lU (II \,ou'........,...........>'It ..,mol""'" .""""lIdIor '"............N ........t......wdPr "'...... III ~l"......... 1.1\, ,.. lilt. "...... 'Iwr 1"llI'd "'.. ....... ...m """"" , III .......... ,_ I I \uhmt"... ..: l!\2:>" \'K: Rl....t15~....~ ~(lK.)' II.... n"'O\lK ~, l'..U.JIO\ I!U L~!S.U.lli..ri.L1!l..L__,.____," __,_____ "\'f.~.ll ,..,.. fl'\IlI<"_'.lllI,,," I\.i\... _ ........,..- . \I,ft", , \'\ \(.1 ,," "(II'." I'.....' tl\ ~_... \'Ii'l !-IQ.6~.tJ .O' ... P \ Jl l.lI;\1 -to ..:fA .O' ... ............ ....... "'''Nlrl.'!!..'ot~ l'" \" P...._ .t,~! 'Htt'tt "ell" \\ ,rtf"'1! II'" rr ~"\I\t. t\'!It. WI - , ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT Slale Commonwealth 01 Pennwlvania ('oKily/Di,!. oi CUMBERI.J\ND lJdh' oi Ordl'r/r>.ohl t' 12/14/04 c.",. ~umht'r (Set' Addendum for c.ue summarr) o ( h'~II1.11 (hdt',/NOIIl P o -\mt'ndf'(l ( )rd,'r,lNultu. 6) I ,'fl1\ln,ll(' (}rck'r/Nuh{ r I mph~N'\\'lthhultk'r'.. ft"k~fJIIIN ~1J"'t.'1 KI TAYLOR, WILLIAM R. I lnllhl\t""Ohltltu",, N.lRll' ll.hl. I,'.... I\tIl THE DREXEL GROUP INC STE 201 4815 JONESTOWN RD HARRISBURG PA 17109-1750 M. $-57)-11 rl "'f1(!rf~ ~/()OOO'}'I 208-42-6946 I mpIO\,t'4"/( )hIIRt~'" ~I'" 1.11 ~'( ur,'\' Numhrr 0430000028 f '"JlI~l',f"t'/llhhgOf ~ (.1'4' Icll'nllll,., ISH AddP....... tOl pt.intiff ........ .nIOCWr.d rt'ilh r.'" Oft .n..mm.ml ( lI~'III.lt.lll'''fl'fll.. "'.Imp ~I ....I, f If". ~U) ~ AddMdum 101' rkptom/Mt namt'5 and birth datt'5 associatftl with ('aSf'S on attadImMt. ()RDER I,W()R.\IA 1/0S: lhi,,, dn Ord..'I....Oli' ..10 \Whhold In(om.. lur Support hJ...'ll upon dn ord.., lor ,upport I'om CUMBERLAND (ounh', ('O/11fl1{IOWl'dlth 01 Pl'nn'ylvdnid, By Idw, I'OU drl' rt'Quirt>d 10 dt>dull 1"- dmounl' irom lilt- dhow-n.tmt'd l'l11pIOI'....'''ob1'~tlf'' ifl\omt' unlil lurtllt-, noli( P I'wn ,i II,.. OrdP,l""oli(1' i, not ,',u,'<I hI' lour SIdle. SO, 00 pt', /11(lOlh In tUrTl'lll 'upplJr1 S O,OOpt'r/11(l/llhin p.I'I-dW'Uppllrt Arrpd'" llw......""~"'dl..rl 01'.... <V no S 0,00 pt't' monlh In ,urrl'nl .1",1 p.I,I-dUt' n,..d" dl 'uppurt S 0,00 pt'r /11(lOlh lur ll""'~" ''''', "", S pt'f /11(",'h In ulllt-, I...,... ,'''' lor d tot.1 of SO. 00 fin month to ~ f_.rdfd to p.tyff belo.. )ou do n.~ "",...10 Vdl\ you, p.IY t Ieit' 10 lit' ,n . omplod'" I' ",Ih lhe ,uppo<t .lfdt>f, It )ou' p.IY ()~ It' tit,..., not mdll h Ihl' urd..,t>d 'upport p.I,l1lPnI.), I.., u....,he 1011r)\\ln~ 10 dt-tl'rmlr1t' ho" mUl h lu ""Ihhold. S 0,00 pt'f "'.....0\.11 \>.1, pt'fIlKI S 0,00 PE" "'w...o\.ly ''''I ",'"od 1l'vt'1\ two "'....~'l, S 0,00 pt'f ...""'/11("'lhly pol, pt'fI\Jlt ,"\It" d ""lOthl, S 0.00 Ilt'f ""lIllhll p.I1 pt.",.1 1\1 \flr H\;( ( 1M! IR\'~II(l\; )uu mu" hI'~'n wllhhuldlnll nu 1.110>< IhJn IhI' ..N p.I1 pt'f.u" ,. I u"'nlll..... (IOl ""lIllnt! d.!1' dlt.., I'" tl.Jt,,"~ lilt, Ord..,',"",,, 1', 'Wnd p.I1 mtonl ""Ihin ...."'n l:'l ".IIl,nll d"I' (~ 1Ilt-,>.Iyd.!IPI,I.Jt.. 0' ".Ihhtlldlnt! 'uu dft' ",",.11...110 lit.lut 101 t.... 10 delrJ\ lllt-! IN t~ '\-Ilhholdtnll RI'It'f '011"'1.",, !IlM"nln~ lilt- ",Ill "-'It' uj y....r ,,",ploy..... I", "'" dllo"oIhll'dmOunl, lilt. tl~dl ,,"lhhl'ld d""...nt, dnd 10'" I...., t dnfl\~ 1'" t't'd 55'. ,,' I.... t'fflJ..."....'.,; .1l~.!Illl" .11l~'''1\o1l.. d."".....hl.. "......h "'lffilnll' 1 t" lilt' pur\...... nIlhi' hm.IJI,..n 'l/l "Ithhnldlnll. "'" hlllo","_ Inlnrm.!""n " .".<1...11....... ,1I IIn Pd!/t' 11 11 """,!I.nll by 11111)1 p'..d......1I 1\",""I,.lI\>d \ldll' (..I"" I",", ..",llltoJ.............rnl'nll ,\(Oli! I mph"..r ('u..h?nW'f ~u.. .It '-A.~".b '"'b-tJilUl ,,~ In~fU\ 1<<111' M.1"r Itrmitl.1nC\> P.~~ 10: PA SCDU St-nd (h<<" 10: PflvK~h.1ni.1 SCDU. P.O. Ben 6" U. H.lrrhbufl, 1'.117106-.111 ".DOIJtO"- 'A ~w'''ln 'ltlSf 'M'WOf JHI Of"IIiOA,-.;n IllAW A!'iO fHl 'Ann \Ii"""O ,__ ..... a. tlW '....,..'06...,..', c_.... .llt.'lift) Of SOCJAI Slct/If'" IIItJ"""'</ 0I0f. fO If HO('fWO. 1l0\OJ Sf,\;O CASH It \<<It, " ltIf (,(M.ItlI, - ~ ..~'_.. .t"~,,,. ~ ,-,_.~,,- ,._~- I((..f.-II.{ A ~c.s, "~v~ t"u",''-t'.:'l' \\, ~".'1 ;t \ ~;- J\ :':' D,th',\t(h,tt.., ",1'\'11' '\,~, ,. . - '. ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS o It (.h('ll(-,t you .In' rt't:luirt'ft 10 P'llVid('" t opy of II1I'Io form to ~'()ur <<>01/)loy("(', If yo\,r t'mploYP(:".\\'ork~ ind \ldlt'lhJl i~ dllh"l'nt from ttll' ..I,lh' Ilhlll~\l",( tt,.." unfl'r. d (Upy rnu..t IJI' pfOVldt"C 10 your ('mp O~('(. ('\'P" It tilt' bo\ I.. nol ('hNk(>d. 1 Priority: \\'lIhholdlO~ unlit" Ihl\ On.It-,/Nolll (' h.I'I prionty OH'f .my 011ll'1 1t'~JI pr()n~\ undN St.lh' I.l'o\' .Jgdin,t thl" \.101(' infomfl. f ('{It',.lll.), It.VII.... in 1'lh'CIIK'ffJr(' nO( ("pl ollh" Imh'J h.l\ (' 'IrHlrlty. II thNP .ln' F ('{IN.ltld\' I(,VII'''' In t't'{'fl pl(1d.,r (onldfllhr n'CJue\linR .1~t'lH y 1...ll'd IM'low 2. Combininx P.ymf'nl\: You (".111 (cunhiOl' wllhhl"ld dmount... .rom O1o(('lh.:IO 00l' t'mploYI~'/obllJotor\ inroml' in d ...inRI(> pdymf'nl to (',uh .tKPI1( Y (('tlul'"tinR ,^lthhnhlulR. You II1U"" hOwl...."r. 'I'JkU.III'I~' id.'ntlty Ilw port/on oi tIt(' \inRlt, pJynwnt Iholll' .Ittrihut..hlt' 10 ('dfh .'mploY"l'/ul)II)tIJr. l. . R.."",tmg th.. Poydiltt'lOillt" oIl'Vtlhhnlrlmg, Vnu m",' """'" thO' poydatf'ldi1lf' 01 withhnldmg wh.." .rndmg thO' paymt'flI. Thto poyda1l'1dalt' of W1Ihhold.ng.. thO' dillt" on whom ammon' wa< withhrld from thr l'mpfnyf't". wagM, You mu,' rumply With Ihe IdW of Ihe ,Iollr 01111(> rmplnyt't"\/obIiKor'fto pflnripdllll.KI' of ('mploymrnt with r("\pl"ft to ,h~ time Ilt'riext., wi1flln \\'hil h you mU'o,t lmplrmrnllhl' v.lthhcJldlng unit., .loci lorwdnl thr ,uJ)Jtort IM~'m..nl... 4,' Employ.../Obligor ..~h Multipl. Support Holding", IIlhrrP i, mo'elhdn one Orde,INotirelo \'IIilhhokllnrOlllt' '0' Support d!!diml thl'i rmplo~-l"t'/()hll~or dnd ~'.JU dft' undbll' 10 honor dll ,upport ()rdrrlNolt(-P!t dut" to fl'dt'"fdl or 510ltr wlthhokJing limlh. you muo;l lalla,^, !hr IJ..... 01lhfl,,1dlr 01 t'f11plo't'I"l>'tJohhKOf\ lIf1nnpdl pldu' 01 t.mploymt'n1. You mu..1 honor .111 Ordt'NNoti{f"'!lIO Ihl" gf('dt~1 r:drnt f)(,.,..ibl.'. (")t'l'''l'I'N.'IOV't1 ), T..rmiNtion NO'irK.tion: Yoo m,,,1 promplly notlry Ihe Rl'fl'W'oting ...gen", wh..n the emploYI't'/obhgo, i, no long.... wOOing lor you. PledSP prm:id(' thr In'orm.tt!un 'f'llU....lfld dnd rf'lum d copy 01 th" Of(t('r/Notift~ 10 lh.. Agency tdenciiit"d bfolow. THE EMPlOVEEl0811GOR NO lONGER WORKS FOR: 2327637600 EMPlOYEE'SI0811GOR"SNAME: TAYLOR. WILLIAM R, EMPlOVEE'S CASE IDENTIFIER: 0430000038 DATE OF S~PAR.'\TION: LAST KNOWN HOM!: ADDRESS: NEW EMPlOYER"S NAME/ADDRESS: b. lump Sum P.y.......,'" You mdy be rPqU11t'd '0 rt>pllrt dnd '",Ihhold irom lump ,um paym...,,, ,urh '" bonu..... ((1mm",,,,,,,, or 't{"\"t'fdnu' ~ld~. If ""00 hdvr dOV qlK'llon.-.. ..uout lump ..urn JJd\CTWfll'. cont.Kt ttw Pf.~ or .wthofll)' lwkM. 7, liUlilily: If you Id.1 to" ,'hhold o",orne d' lilt> Om..r"'(~Ke d"''<1'. you ....Ildble tor boIh tIw dlrumuldh'd.mount ynu ,lmuld h..e v. Ithtwkt from thE> ffl1plcr,."f'{'job!igo..', iocomf' dnd other JWf\dhtf"'o ~ bv Pf'f'ln'illvan~ 5tdtt' ...~. Pf'fln,,~I\'dnld Sldtt" Law govem\ un~\ thr oblo80,,, rmployro In.'''''''''' ~t.te, In wtllth, "'" lilt> I.tw l~ tIw Sidle In WhKh be Of """,, rmpk>yt'll glM"''', 8, AntHlh.<rim;n.ation: You drP '>Ubl<"l to d fi... dt>t""",nrd 000.... \Idte 1_ ior dl'\(n"rging dO empk'\,.'t'lobhllo' irom l'mploymenL rP'u"ng 10 employ, Of Idkong dl""plo"dry dft"'" ,,<<-,In,I dny empk'Y....lobIlgOf her.u... d d ,upport wnl>hold'"ll Penn,ylv;m", 5_ Idw ~mpm, unlt>\\ the obligor '''' rmplo\,f'{t in dntdhM 'ldlt'. In .....hKil f d"f' 1hP ld~ of thfo SIJIt" in \l.\tU( h hf1 or .-..ht- t\ Pmp~fl(1 govf'm~. 'I,' Wilhholdinllimitl: You m.lY not wilhhold mow thdn lbe I.......... 01, II tIw .moun" dl""'l'd by lbe frdt>,.1 C,"'''''''''' ('It'd " Prott'{lhKl _"-d Ill) ll."" (" ~ 16711bll. tV' .?llhP .amount~ .allu\\.fltt Ll\' thto Stdtt' of tht> fl'mp"-,,,,4't'\/obhp'\ pnnClp..t1 JIl.kt" Of ffi'llJt(}~'mf'nt The Ft1(it>r,llltnltl dpph~ tu ttw ..gg~f'dl..pt)>'dblfo "'~I'ty "'.mln8'> IAD\\l). AO\\'( t\ thta n(If Klt-QfTW left dfttsf rn.t\.fnJt n,..nddto,"" dt'ltUl1Io"" ~U( h d~: '\ldlfl, ff'rlftfcll. 10(dl LI"4.r\. ~ort.ll ~fUrl"" t.t\p.,; dnd '-Wdtt'''''''' t.l\.~. For tnbaJ~, ~nu m.I'f not 'Althhold f'n(JW t;',tn tht' dll1-(lunt\ clUO\\.t'tt u~ thfa l.t\\. 01 rhta 1"'loUmg tnbt-. for tnbdl P"'V&tlY"' .hu ftlCPt\'@ tI stM Of'dfor, ~oo md1; nuC 'Nlthhuld moAt lhe," tht. dmt~nt.. .iHow....t undt"- 1hto- l.I* o' fNa ~.at.. th.iI t......wd rhfo {~ 1(1 4dditiondllnfo: "0 II It IUU Of you, .lilt'""l dno............t ,,,,I> d"~ "I .n" urdtrr ,n the........ th.tt "...,...J ,ho> ,>rdtrr, you..... ", l...lhl" ,ht> I..IV\- Ilt tht' ..t..tw thdt .'\'Ut"tt thl' u<<..... "l.h """'...... t ttll~ 1"""". 1 I SubminM"': DO'l1 ~ 'K: Rl L" 110'::' ~t ( ltO' 1\' tl.,,"U\lR ~1 f' 0 BO\ ill) ... 'RlISH r.. FU lJ n I'''' <If \('Ur ""'!>h"....,'uhh!l<lf ""W .lnl QUt"'J""', "If""" \\..(;I..n..ni'"....II'11 1"~",,,.l1 1.I)')HQ....~l) .lI I" ... \ '" 1;I7U.fO.f>1-l8 '" h\' ",_ .","'. "'~'1"lf1 "olI" ,lot.~ t'..'" Jld: ~ t tJ~'m I' \\}M \\n!\~'~ In $:! A f"":" "'t~r.'tt. hl'" ?It ~ .. , In the Court or Common Pleas or CUMBERLAND County, Pennsylvania OOI\C~iIC Rt:LATIONS SECI10N TERRY L. TAYLOR ) Docket Nwnber 96-5124 CIVIL Plaintiff ) vs. ) PACSES Case Number 201000021 WILLIAM R. TAYLOR ) Defendant ) 0Iher State 10 Number Order AND NOW 10 wil. Ibis JANUARY II, 2006 it is hereby Ordered that: 11lAT THE DOMESTIC RELATIONS SECTION DISMISS THEIR INTEREST IN THE ALIKlRY OBLIGATION AS THE OBLIGEE IS RECEIVING DIRECT PAYMENTS PROM THE OBLIGOR'S RETIREMENT SERVICES AND THE OBLIGEE NO LONGER Rl!QUESTS THE ASSISTANCE 01' THE DOMESTIC RELATIONS SECTION IN THE COLLECTION 01' THE ALIMONY. BY THE COURT: ..j:::....~ 4, J\1DGE ;Kh R. J. Sh.Utay :>m...e T)pe III FMn0E5~ WlW\tf to 2\ OO~ 16tl ,- :- <, - , ('1 Ii '- . . ,..::.: -;; ", ... ~., , ,l C~ , , . ORDER/NOTICE TO WITHHOLD INCOME fOR SUPPORT SIale Commonwealth of Pennsvl~ania Co.lCily/Di,t. ot CUMBERLAND Dolt.. 01 O,d..,/Noti,,' 01/11/06 C.I'" Numhl', fS('t> Addendum (or ('''se summ"ry) '01000021 96-5124 CIVIL O()IIRln,II(}nll'r/N(J!.I(I' o "llll'lllil'c!()rdl'riNullll' o 11'lnlHIJlf'(hclt',:Nnllll' ~I TAYl.oR. WILLIAM R, I mpllr;('t'/()hhA(H'~ N,ll"" II.H. I wI. Mil t mplo\iPr^Vllhholdrt',; 't'tlt.r.tIIIN Numhrr 208-42 -6946 I mpl(""l't"lObhRtJ(" '"11 I,ll ~ tinily' Numllf't STATE STREET BANK RETIREE SERVICES PO BOX 550868 JACKSONVILLE FL 32255-0868 0430000028 I mplu\;t>t.iO"hROI'.. L...... l(wntlltrr ISH A.......... ,.. ",.in'iII....... .'UOC';.,tH/..itlt CoIW't Oft .tt.JChmMfJ (U..IIWhdl "dlf'nt'... NJlfW 11.1"" f.,,,,. Mil $('t> AddMdum for tkpmdMt mmH .nd birth cI.Ites "SSOCi.tH wilh ('''SH 011 .".chment. ORDER INfOR,\'.... TION.' Thi, i, .In Onw,/Noli... 10 Withhold InlOm., lor Support bd"'<I upon .In mdt" 10' 'oUpport I,om CUMBERLAND County, Cnmmonwt>.lIth of f\>nn'ylvdnid, By I..w, yoo dfl' 'equil't'd 10 dedu.I Iht><;t> ..mounl, lrom IhI' dbove-Ildmed ..mploy....'....obliJlOf., inrom.. unlil lurtllt', noti,,' ..vt>n it tn.. Ordt>,Noti.t> is not i"ued by you, Slat... So. 00 pt', month in .urrt'lll ,uPJlort SO, 00 pt', monlh in pd"..lu.. ,uppnrt A,,,,..,, 11 \",..l, 01 l\.....t..'1 0\..... ~ no S 0.00 pt', month In . u,,,,nl dnd ~lol'ol-dUt' mt'di. .It ,upport S 0.00 pt', month 1m I\<,''''tl{ "...1. 'l'oh S pt', mc.mth in othl', ('pt'(il\) fo, .. loUl of So. 00 per month 10 be lorw~rded 10 lNyft below. You do not h.lve to Vdry you, pay I,. I.. to h.. in I omphd"''' WIth lilt' ,upport on""', If ~'ou, pdy ('yd.. doe<. "'~ 0I.l1. h the ordto,ed ,upptltt pa~'ment. V' I.., u....ln.. loUo"'"1\ to d<-It'fmillt' how mu<h 10 wllhhold: S 0,00 pt', wMly pdy pt'riod. S 0,00 pt', hiWt't'l.ly pay pt'flod ('"""ry Iwo WM'\' S 0.00 pt', """,monlhly PdY pt"iod (!wI{" .. mc.l11th\. S 0,00 pt', mc.llllhly pay Ilt'flud, R/\IIIHNCI 'NfORM"'T1(),~' Y'IU mu'IIIl'll'" wlthholdinll no I..IM Ih.ln the fiN pay pt'I'iud on urrinll ten 1101 \\url.'"ll d.lv' .I""" lilt' d.tlt' oj Ih" O'tlM:....oll{ P. Wnd pdVmt'fl1 WIth," ..........171 \\..o.inll d.tv' 01 the llolyd..t..ld.tl.. ul \\',thhold,"Jl. You dR" enhtled 10 ,WlK I d I.... 10 tt..!rdY thl' . u" ul w,thholdtnl\, II....... 10 lhe law, l\'J\em,"1\ lhe worl. "..... "I yuur ..mpl..y.... tor Iht> dUm'dhl.. amounl, lilt' "ll.Il \\llhht>1d amount, and you, It>t>. I dnnolp~,'l't'd )'i** ot Ihto l"mpk"',..-'.... ob!,l\')I", a!\!\,..,wt.. d,..prl'odblt> wet'llv Nmlnll', f.)I' ,hi' purl'''.... 01 the hm'w"..n on withhnld,"lt. lilt' 1011<""'"11 ,"kll1""tion " ".....1<..1'...... ,qun p.ll\t'!l II ....m.It"'1l hy II ", 01, pi""" ,all r.....n" Ivol"," <,fdl.. (01"" hUll' and [J.-.hu..........nt l'II,1 ISCDtil I mplo~..... <. u,tom." ~'.(.. tlt t-Ai"!-b7b.Q:)NJ klf' moJNtfKM'\"'. .\\.Ikr Rflllitt.ncr Poly." to: PA SCDU Stnd (htc.. to: ~yl\'.ni.I SCDU, P.O. Ben ""2, tUrrisbu'lo r. 1711Nt-9112 f," ADOIrlON. 'A l'MfJl/n "tJST tl\,'(WOI riff OIff~J\lr'S SA,'" .4."0 rHl 'Arsn "'MIl' '0 ,.- .... 411#lt' ,,.,.,...'Ot"I'I'-'1 C_ ~l 01 JOC"f unJllrr NC)Wff' 'N 0I0f' TO If f'tOCfUlD. 00 !liar SENO CASH tr ".11, !\,.\h"" (~q lAl~ 1 ,,' 1ttl6 It Uti coutu, ;'~:;;''';'~: A-~ ,....-,,-..~.'-~._-_.-- nlth R..I. Slli..l,ty ","''-' ~l t' 1 \I-,l ~ .I,d,,,, '.~n'lI'O,:M, \\.,.t\_t~f H l $: .tN': ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS o It (Iu't ~I"ll you .Ut' rl'tlUlrPcllo 1"0\ 14 It. 0'1 opy ollh" form 10 ~'our t'1ll1)'O~('t.. It \O\H I'mpl""",. \\orl..... In ,I '1.111' Ih.I' i~ dlttt'fI'nl from lilt' ..l.'h.lh.III....t1t'd 1111'. on: "', ,I (01'''' mU'.t hi' pro\'uj("( In \our t'mp 0\1'1' "'1'1l lllh,' 110\ I" nol (h,'( I...f'd. 1. Priority: \Vlthhold.n~ undl" Ih" ()nlt.,.'f\(.lll (' h.l' pru}fll~' OV('f .In\' oll1('r 1f'~.,1 prlH p.... urufl'r "'I,UI'I.lw .1~.lIn"lllll' ....UHI' Inl (Imp, r ('tIN.t' t.l\ 1"VII'" In ,-!lI'{ 1lN'fort' fl'{ f"pl 01 Itll" unlt'r 11.1\'(' pnonly. 11111l'ft' ,m' f (,I",.III.l\ 11'\ II.... III pllt... I pll',''ol'( IlIlI.u 1111(' n'ttUt'''lln~ .'JW"( y h...lt'tl h..lm\. 2. ComhininK '.ynwnh: You (.m (fJfnhir1l' w.thlwltl df11()lml... irom m()Allh.m ()llI' l'rnl)I(J~,(,,'/ol)II~I)r'.. In( ()m..' lf1 d 'InKlp flolvml'nt to l'dl h d~l'm Y f('tlul',linR wlthholltlnK. V(m ",u...l. hl)WI'VN. ".'pJrJII'ly I(t('nllr~' thl' IKlf111Jl1 (It thl' ",u1)1,II'II.I\-ml'nl IIM1 i\ dltrihul~lhll'I() t'dl-h .'ml)IIIYI't./()IJliRur . J,' Rl"l'orlln~ mp Payrl3ll"lDatP '" WrthhnlrlinR: You m",,' rrport mp p.ydatPldalt' '" wrthholrlln~ whrn ..-nriinll tht' paymt"Ol. The payrlatPld.lt'oiwrthholdlnll i<tht'dalt' on wh1rl1amnunt """ wittrht'1rl fmm thPMnpl"".....'. W3J\t"l You mu,1 lumJlly wilh Ih"tdw of Ihe "'1.lIr ot thl' pmploYI't"vohli~or\ pnnnpdl pldn' ot IWjJloym('nt wilh ff'~fM't-1Io 1h(' limp IN'nu.!... '^ ilhll' ,^hif h 'rou mU'rollmpl('mrnllht' wllhholdlll~ ollie'r .lntl Iur\\:dnt Ilw 'rouppul1 pol)'ml'ol... ~.' Emplo~~!ObIiKor with Muhiplf, Support HoldinK'-= Ii ttWrt' i'ro m.)(t' fhdn onl' ()rd.'rl"-clIi( (' h. \\'llhhold 1m ()mp tin "'UIlI)()rt dRdin..t th" ("nplo~t't'/'ohll~or .ulIl you dW' undbl(' 10 honor JU"UPIK.f't Ontl'rl""'-iohn"lhw tn f .'tjt'r~d Of ~Idtt' WJthholdlnR IImll\. you mu...t iollo.., tht' IdW 01111(" ..1.ltt..oll'f1lplu\-I't..vohIlRor... pnnt 111ol1 pl.KI' oi tomplo\,mpnt. Yuu mu"l hunor JII ()rd"N'f\j:nllu", tn IhP JotI1'.tl....t 1'\1('01 I)().....,hll.- 1'1'" ,t) h.,lo,^' S. T rnnirwtion NotifKition: \' ou mu...t promptly n(lIir,. thf" Rf'(Ju~lio~ Agl'n( Y ",twn thl' f'f11plo~'f",'/()hhAnr i.. no fonK.'r working ior ~-(lU. Plt'd\(, rm...ictt' Iht" miormdhon f't"tIUl'\II..t clnd wlum d U)py oj Ihl... ()nil'r/!\oIK t' In Ih." !~gmf'" Kwnh;"..t hf'lu\\"_ THE EMPlOYHl0811GOR NO LONGER WORKS fOR: 7782100n6 EMPlOYU'5I08LIGOR'SNAME: TAYLOR. WILLIAM R. EMPlOYU'S CASE IDENTIFIER: 0430000028 DAn OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPlOYfR'S NAME/ADDRESS: b. Lump Sum '.)nwnh: 'rOU ffiJ'r l.- n'quif'N1lo n,N)f't dnd ,^,thhokt irum lump ..urn Ild\mt'nl, 'oUt h d" bunu...~. f(Jfl1ml""Km... or 'ot""\-'f'rcll11. I',leI". II ~uu hdVI' dnv 11lW'tJun.. dl)(JUllump ..urn Jld)O'Wflh. (oflt....llh,. pt"NXl ur duth()I"If) lJf1lu\'\ 7, LYbilitt: 11 you Ida 10 ""Ihhold IOCQlTlt'"' I"" ()"It-r!"(~"~ 11;....", you dfP tidbit> klf bolh Ih.. dllUmul.tlPd omounl IOU ,hook! hove ,^,thtw-ld irom thr ('mrlo"Pt"'!obh~or', 10<()fTW dnd otht'f prncltt~ Iot"t by ppnn...~l\.dOld 't.sf(> ldw. Pmn-.~'I\<...nlcl \ldl(11I.cJt.A-IlO"f'ffl'l untfos... lh(' obll~O' ,.. pmpkr,-'ro III .Ifl()ft'lM "'-'dlt', In WhK h I cI\f' rf'M" fdW 0; !hI" ~Idh~ In \l\hfC h hto Of.J'w> 1\ f'fnpkJ\l"d gm.-l'fTl". 8 AntHl....'imi...lion: too dfP .ub!<'l1Il>' ,,,,.. dP1~nn"",d undl'f ~ldl"l.tw iur d", hd'!i,ng.n "",p~....jobhgor irom l'fT1l)loy"","1. f("u..inK to f'mpk)~. or Id~lntl d,,,,npfincu'\ dchon d)tdm...t dO\- .-mpln\-f'f'/t1bh~ tlf't dU.... of d "u~lJ)(Jf1 \0\ Ithhok11nR Pf'On'i,,+,'an~ ~C~f' Illy. 'to\t"m.. unit..... tht" obh~or I" f'fllphJ\,I>d 10 dnu.ht~ ~rdtf". tn \\'hl(" t d"oP 1tw Id\o\ UIItW ~Mh' ill 'o'hl(-h tw Of ..hl' 1(" ''fflIJh:I\'t''lt ~\"t"m' q . Withhold.... l~ 'too m.ry nut V\rthhc-Jk1 "tUft'< 1hdn Iht-It-;"'t'f ut I! Iht' ~~jf1t.. .t1kMf'tt W, rtw FOOt'fdl Cun,Ulll("f (f(l(t,t PrnIPfI10n-'.(lcl;. U_\,(- "'h7 t !hll_ Uf"!l tht" .tmuunt' .tfl.Mt'd l", I:flf' 'LIt... (lI,ht' f'1llpb...,.Pt........tKth~.t)'... pf1nt, illdl vLtt.. of Pmp~t'nf'nl fht" Ft"t1t>fJ,II!mll.ll~.ht"" kJ ttw .qlJt.~t' dJ"'JlCNbw vtt"li.l\, ".J:mlntt..I:\O\\ll .'\0\\1.'0 tht> nf'l in\..lmf" f,pft .lttt'f m.1\.1flJ m.tnI.t~ dt"l:tUI 'Ion.. "ul{ h.... ~tdtt'. ft'dpfell. Inc.-f W\f"'. \l)(!di "-t>ti.mf\' 1.J'f1'ri; "filii ,,,,...la.tW rd'''.... FUI Irtb.., t~. ~'nu ~ "'It "lthhultt mow thdn ,tit- dm<<-'Unt, ..lkMt"I1 undf:af IhP l.Me Of I~ t"''oUln~ 11tb,,' for tflt'di ('m,Jk)\'E"f' "htl ff"(1"t,..1lI ...Idlt'twtft:of "'<lU tfW~ nOI 'AJlhhuld mol1' ,h.~n tht> .'"'flOnl.. dlkr..\:t"tf unck'f 1hr I.M elf tht- \t-.Jft' fh.tt "'..Uf...t It'M" f)"~ H' AddiI__I IMlo: . '0 11 It \llU "f Y.lU'.l!l"'I1 d'" ...-nPd '\llh d "1\'" ,~ ."'"",io>f ,n Ihf> "011.. ."'" ,,_I I.... ........, YlIU ..,..1" ,,~l..\\ ...... t~.~ .rt Iht' ..'dfP ttMt .""'\,"',i t~,.J:ntt..f "it" tl'"'f..'" t tf,) 1tw-..c'1't>m, " WhftillH a,: L~Il~IK' KH '1I0"'~ ~l('10' 1 " H"O\lIl ~ T l' 1..) !lO' 1.!U I.. 'RlI'll r, 1."'\l1 J ff \UU iiI ~uur "'"'l",~t~:'lhft.~ hd,.... .If'\ ~"''''' .nnt.)ll \\'l.t \110\0"11-..1 \"11 '" "'*''''''''''... \.,', !4ll-b!H ,w '" 1 '" ... ~i\}l.H~ ." I" ,n~ ~~~!~'l"1l1 'Iollt" I"'.... P...,. : id .' 'Uf~~ J" (\.'" \\ .>f~"f q) ..., 1 t N;'" '....\ ~,.. 1".. .. ... N - f: - ;.') , , N -, , . .t' ~ -j .:: It, _co , C . U .-. 1{j ~ ORDERlNOTlCE TO WITHHOLD INCOME TOR SUPPORT Sidle Common...edllh 01 Penn"l.dn;d Co.lClly/Il,,!. 01 ClJMBIiHIJlNIl 1l.lh' 01 Onl",/""olll ,. 01/11/06 C.", Numlk" 15('(' Addendum for rdse summdryl 201000021 9&-5124 CIVIl, OI)"I~tll.ll(lrtl..r"''\jlllllt' o \lllt'Illlt.d I hd", '.....0111" @ II'rmlll,I!t'lhd,'r:!'I,jllllll' I 1llI,III\t"'\\'rlhhllhll.,',II'flt'I..l1 11!\i ~Ulnlll'l ~l TAYLOR. WILLIAM R, I mplll\l'I"C 'hlll!llf'~ ~.lntl'II.I'.1.1 ."1 ~'Il 208-42-6946 I "'ll'lo\,t't./c }ltll~lIf" 'HI I,ll 't'j UI11~' Numh," NATIONAL CITY BANK OF PA C/O TRUSTEE FOR CITY OF MCEESPORT - PENSION 300 4TH AVE PITTSBURGH PA 15278 0430000028 I mpln\I'f.f( )hltR')f .. (.1.... Irh'nllhl'f Is.. A~ (01 pUinliff........ ,UtOCwfttd with r.~ on .tt.H.#lmPfllJ ( <I-llId'JI ".IIf'nh ".lffit'lI ....I. f u.., \Ul s.. Addl'lldum for df'pl'IIfknl n..mH..OO birlh chlrs ..uori,,'rd wilh r..ses on ,,"..rhmenl. ORDER ",\f( )R.\I~II()I\: Thl'" dn O'o..r!....olo...lo Wlthhuld Inwm.'lor ~uPlkln 1l.l,,~I "IMlrt.In 0,,1.., lor ,uPIM.n (rom CUMBERLAND Counly, Com/ll{lrt.....dlth 01 P..nn,y Ivdni,., Ily Id\\, you .lA' n~llHn~t to d....tlK IIhi'.... dmounh trom t~ .Ib:l\'~n...mro ~ph)\."t1','ohl,)t()"" tne ()fTW until turttwr flf)f1C t" p\t'n It tht. ()rrlt'r/',IIIC t' I' not i"um by rour SIdl.., So, 00 pI'! monlh in ,ur...nl 'uPIMln S O.OOpNmunlhmPd,t..cilW"'uppurt Am"on' I.! \\t'ri,... or jtft\lh""f 0\,,"' (i) nu S 0,00 pl'r month m. u",."I dml 1l.l,t-dUO' m,..l.. ..1 'UPlk.rt S 0.00 Jlt'r month lor ~Pflt"'( It....t<< It'oh S P'>' mor1lh m ollll'r 1 '1"'( II) 1 lor .. 'Oldl of SO. 00 pl'f month to Ill' lono.rdl'd 10 JIoIt"' brlow. You du nol h.J,..ln 'dry r'lUql.lr <I' 1.'10 b.. In wmplldnet. '\lth Ih.. 'UPIM>rt ,ifill" II YllUr p.,~ ,~, I.. .1<"" ncrt mdl,h ttw. "rdI"rm ,upport 1>.I\'mt"nl 'Y' J.., u....lb.. lollo"m!llo dt-I..,mult' h..w mUt h to '\llh/ll~d, S 0,00 pI" w.'!"kly I"'\' I,,"rood, S 0,00 pl'r I"""..I..I~ pdy pl'm'" ''''1'1) 1...0 "....I..'} S 0.00 pl'r ....mi/ll{lrtlh1r pdV pl'IIud II"'.... .I /ll{lrtlhl S 0,00 Ilt'r monlhly p..V I"'"'''' R( \', rr ~'\( 1I"IOR.\/Ulo.' You mu" Ilt'llm '\llhh.11dm!l n.. Idl..r Ih.Jn 1111' ioN Il.lr I,,'ro..l ,It. ,,"'nll "." I to! wurt..m1t d..\, dn..r IhI' d.Jt.. ulth" O",,",!'ol".. Sf'nd p,'rrtllOflt "lthm ....'''"/71 wnrt..m1t d.t\ "" IhI' TId\d."....'I.II...rt ,..thht.ldm!l, Y.lU drt' ,,"tlllm 10 d.-du, I d I.... 10 ,WtrJY IhI'..",../ ",Ihholdl!l1t lo:"'l'! In "'" Id'" ~I\....nlnlllllt. worl.. ""'.. ,II Y.lUr t'fTlp'...y.... 1m th.. ..llm'dhl.. .lInounl, 'hi' hrt.i1 wlthb..ld dmount dAlI your 1,'(., . JOn. ~ ..,....,1 ..,". .11 Ib.. t'fTlpl..\...." .~llo!lor', .1~~ft.Ao.lt~ dt'J)(}lrr.dhh1 ",'t."'I" t'dfnin~" f l):f thto ~)UrplN" tlll~ hmlt.thcWlIN'l \.\lthhtddln~ Ihto h.tluIA,nJt mt(Jm'\d1IC)fl .'\ flt"t"ttt'lt t'f't' "t) on p.lKi' !I II "'Il'l'Il"'tt hy 111'1 Dr III........, dlll'.."n,y "dOld 'I"'.. Cullt" I",", .1",111"'>1,,,,,,,,,,,,,,1 1,'''1 ,\('(JI',1 mployl'! ('U'-l')tfltof \ton II t" dt t..l\.......b..h.'..)N) till In...rru. tll}f't'o M.lke Remitt.anc:~ P.a,.abJto 10: PA SCDU Send (he<k 10: Penn~,lv.ni..a SCOU. P.O. 10\ ."12. H.arri\bufl. P. 171C)fl..',1l I,\i ADOIrlON. "A Uff,\i fSWUU "ntJOf rHl Ofr'^,lMllit'S II,A'" A,'O rHl "..nn "'waf. to ,.._ ..... fIN> '..........OYifIw'. C_........I 01 SOCIA, srClI."rll.lJ"". ", 0101. 10 II NO<"n'llo. 00 "or $I/OtO CUH It -"41f. ., Hit (()t!lt, (l.llt~," (m"', 1- ll.,.~,\ In I/': 'liP":''';;. .4. ~ ~'~\1 p.!. Sh."tty 1o,.1'1~, 'I t' t \t..' M illl.,:) I "p" "tl'", \\. ~""f 1 \ ..'., t tl.(' . ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOlDERS o 1/. (hl'll..l'd ytnJ .Ut' rt'(luin'it to pnl\.'ulf' oil upy of till'" Imlll 10 ~our l'I11I)IO~I'''' II 't()~r (lmplo'tt'1' "orl..... m..1 ~I.,lt' 111.lll.. ( Ili(,ft'nllro", IllI' ..l.II('th,II j<."ut'tlllll" on (Ir, .1 (01'\' lUlI't hc' 1110\1(11'4 10 \'OUI 1'llIl1hlj(l(' I'VI'n It 1111' ho\ .' nol (11('( kt>ef. 1. Priority: \Vllhholctln~ urulN thi... Ortlt'r/~llIlH' h.I' IIrlOul" 11\'(" ,111\ othPr 11.~.IIIJr(M ........ unclt" "1.11..1.1" ,.~.lln"lll1(' ....101.. Ine on1l'. I '''tlt>I..lld\( It.vit.... in 1'111'( IlK'jc)f(' fl'(('lllt ()llhl' emit" h.I\I'llfUJ'II\. It tlu',.> ,1H.II'th",llld\ 11'\:"" In ('llt't llllt-.I'l' ((Inl,n 1 tht. n'Ctut'",linK .1~I'OlY Ii..lpd ht.lo,^,. .1.. Combining P.ymenl\: You f,1Il10mhult' wlthlll'ld ."nounl.. Irorn mort' Ih.1O on.. ('011'10\ ('C'/obltJ(or', lOt orn.' In .1 'InAll" fMymPllllo l'd(h .1J.wnry ftlftul...hnf.t \\'llhholtllllf.t, "(lU nHI..!. hmo\ 1'''1'1 , "I'IMr,dl'l~ IIIt'nlllv Ihl' pur1lon ullh.. "'I1J,tI"IJ.l\'f1U'nt th.1t i.. flltrihlll.lhlp 10 1'.l(h ('mpl(IYC'l.'/c)IIIIRllr. I,' RI"nrtln~!he Poyrlatt"/Oi111' nt Wothhnkhn~: Ym, mu" "'Jlnrt!h.. p.~1I.",".1ri.1l.. nt ",!hhnktlnR whm 'mdln~ !h.. "....mml. Ih.. "oyrli111'ltfill.. of wI!hhnktln~;,!h.. nJl/" on whIm .mm,n! w.1' ",'hhl'kl 'mm Ih.. mt"'n........' W3Rf"I. YlIU mu,lllIm"I\' ..ilh Ih.. IJW nllh.. !<Idlr of lilt' (.mplo\.('(..vohIiMor.... lI"n( iJldl pl.u f' 0'- (,"'plo\,'m('nl \\ilh n"'Jlt'f.llo Iht'IIOl<<' Ilt'riod.. \\ ilhi" whith \'ou mu..t impl.'mt'nllh<<' \\ilhholt1lnR on IN dod forwdrrllhc' 'UP,H)r1 I...ymt'I,I"" 4,' Empk.yre/ObliRor with Mullip~ Supporl HoldinR" IllhPlI' i, mlln.th.In lIn.. ()rdl.r/....(~. ,'Ill \""hhllklln. 'IOU' "" ~UI'I.lrt Jlloun,' till'. t'mplll\'tviohIIAor Joli \'OU .1ft. un..hl., to h,",m .111 "'tJp!M'rt ()rtl,'rlNcllIfC'''' tlut' to f t'elt'r,ll Hr 'I.llt' \\ilhhoktlnR limit",. \OU mu",1 (0110\\ till' I.I\.\ 01 th.. "'1.lf(' 01 t'fT'plu\'('t..voblIItOF.... pnl1c. illdl plJl.t. oll'fl'ploymt'nl. Yuu !nu..1 hcmur..1I ()rd,'",,'NntiU:"'lu th(1 ~rt'dl("" t',fl'nl IH,.,"'lhl... (Iot('l' .., b(.IO\\1 :;. Trrmirutkm NolifK.lion: Yt)U ",Ufo' J)fnmlJII~' ","Iry Ih." Rt"I~"""llnR A~t"f1(" \.\h.'n Itw tlfl1plcl\N'!fll)II~("," ntt IIJ'l~('r wIning Inr \,00 Plt'J'" pf()\'tdt' tht' infc)nn,ltloo f("t1U(...lvd .lml n"um d<< ttpV lli fhl' ()n:"'r/l\,otllt' h) Ih., A~t'nl y tllt'nl.'lllfl IH'lI)\'\'. THE EMPlOYEE/OBLIGOR NO lONGER WORKS fOR: 4BH 100094 EMPlOYEE'SIOBlIGOR'S NAME: TAYLOR. WILLIAM R. EMPlOYEE'S CASE IDfNTlflER: 0430000028 DATE Of SEPARATION: lAST KNOWN HOME ADDRESS: NEW EMPlOYER'S NAMEIADDRlSS: h, lump Sum P.,-~ts: You md~ bE> A'l11J1I1..d In rPplM'l dOlt V\"llhhukl 'mm IUn1p..um Pd\mPnt.. "'" h .I'" honu\fSoo,. ClMTImi,o,K)f1't. or ..('\{'rdnn' p.IY, lI\'OU hd\:t' ,my tlut'''''""''' .llMNllump ",urn 1l.1\'n1t'nt... luntd4 t l~ p"'f'....m.1f' dulh()nt~' ,..lfM. 7, lYbility: It roo l,ullO withhold 100omr- d~ tht- ()rct,..,t'utKI' (ilrt'li( t... ~'nU.iftl "..blt-Inf lw)th Ihp d((umuldtt'l1 dmoo", ~.()U ..hould hdW ynthh...loillrom the f'ffipk>~-fIt'!ohhRo(", II)( ()fTh' dfl(1 IIth('f prrldh.., ..... tJ\ Pt"'On..\ I\'dflld 'I~' M\\ PI"fln'" l~dO'" \l.IIr LM' ~h'""!o unlt'\.. th(> ohh~or l~ Mllpk)\1:'d in df10thN ~Jtf>. In \\h.dH.l'>t' tht> 1.1'0\" uI (hr.:. '1.tIt. >>, 'lI\hith ht> or ..ht~ IQ.mpk)\.f'd ~U\'f'ffl" 8, Anlkti\LrimiNtion: YltU ~n' 'lthfA 110.1 tlOt' c.....Prmu)f1(1 uO("" \tdt~ l.t\\ itlf iii"" h.lf~I"~ dO l,,",p'(JV~"llbl~or from fIf'I'~)lo\-'nwn" rpiu~lnl( to pmpJw,.. or 1d~I"R dill( lpllNt'( ck htJlll "'Rdtn..t dtl) f"ffipkJVft>!uhll~Uf t)}l( dU"," tll. "'UJJlJc.ll'1 "-'thhukllnK, Pt"f'"\ll\:cmld ~ldtp 1.1\\ Ro...~n"" unit"', tht. obligor i.. c.mployt... in .tnC,.hN ,tJtt'. '" "hKh I d..... tht" L-aw 01 tht. '-I.tfr in \\-'hi( h tw Uf ..tw 1\ 1'fT11)h:l\'t"tt tlovt>m, ... . Withholdinc Limit,= \00 md\; nnl "llhhukl mil'" th..tn Ill(' ~",,*f ul' 11 ttw .trnoll"~ ..Un""...t '''' It", 1'<<"1*"..1 (-tJll'oUlf\Pf ('Mill Prolf"lllot1 ,",I I i I) l!,~_(' "lf171 Ihi I. Of 11 rtw ..muunt.. ..llu\\M I" ttW' 't..ltt> fl' thP Fmllltl\-f't"......uh'j~)(.. ltrlflt lJldt V1dlpo' <<'Olplc)\ttlt."fll Th,- h'l:h>fd' Ilmil dl'P"t"o lu tht. 04AAh~lr lh.......r...hlt- ~rft,.t... t".)n1I".... 1 "l1\\ll. "0\\1 ,.. thl,,.... ..tr1 nnw Icrtt.tfWr m.lL,"~ n\dnd."",,, d''l:lut lftJl1'" "vI h .1", 'tollf'. ....kOfdl. k..1I LI\t" '-t_ wi w.. \Jill, t.I\",. dfltl ~1PI:t" ..,,- LI\P'\ I ur (fit},,, n"~. \0" I1W\' nol WI! tlhl__lkt muff' tn.,n tht' ..mnunh d:lk)\\,t'tt uodt... ttlP l.t", cd Ih.' fior"ttl"K, tn.t.. f tit I'~tdl t>mptcJ\t.t... "hu ft''(fOf\t' d ",t.u.' unit.,-, \nll md\i nlll ",tthhukl !Tttlt't' ,t"," tht, ,.tmtl(jnl" .\1..,,,,(..1 undN tht> Y'" ul tm- ""tit" ~ ''''-.of'' "", IIfdt.., III -'ddj,.......1ftIo: . '0 II, It \llU or ~~".. d!\l'f\l dlt' .......?l1 101,1> d"~ ul ,,,,,.>n1t-r '" ,ht> "..... """ ,,'lJI't1 tht>.wdPr ~uu _ ,,, ~"k,1O Iht> I"" " II... "J'" 1....1 ""....11...' Uft,,", ".Ih ......... I kl........ ,It'm, II SubmiU", .~: 110Mn'K.ltll,\HO" ~rllo' tJ'" 1''''O\IR " ULlIO\ 110 L\.~lI~Ll P\ I :'Ill I 11 \iltl ,or '''''' """".I\.......t.l.lIl.......w...... QUI......"'., "'1\1"" \\ \(.1\" "1'11\\1" "" 1 "" ,....,,,,,,,"'... t "F, ~:f\}~~ll- .If 11\' \\ '" . ",'; ~W~~.t1 .. I" ,""""""' ~~-'-~.~~!~If'l "''''''' ~~. .,,~ .."~.l fotm I' tt'lt \\,,,\,,'fll\ ~lqN:' 1,\f'r'\.\t'I\S.' M . 1/f/1 "11 . '.. ,:'J :..- ..: .. . , , ".J ~.:.: l -, ~,. ., l.' ,- ...... . .. . In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION TERRY L. TAYLOR Docket Nwnber 96-5124 CIVIL Plaintiff PACSES Case Nwnber 201000021 VS. Member Nwnber 0430000028 WILLIAM R. TAYLOR Defendant Other Court Nwnber {Lcd- )t-o: ~ I-I< 00 ?j-OOr; QUALIFIED DOMESTIC RELATIONS ORDER AND NOW, this 8TH DAY OF DECEMBER, 2004 it appearing to the Court that an Order of Support was entered against WILLIAM R. TAYLOR 644 POLECAT RO, LANDISBURG, PA. 17040-9242-44 social security number 208-42-6946 , date of birth 08/17/51 , hereinafter referred to as "Participant," who is a retired participant of the ROADWAY EXPRESS PENSION NCB hereinafter referred to as the "Plan". The Support Order is in favor of TERRY L. TAYLOR 116 N 36TH ST, CAMP HILL, PA. 17011-2711-16 social security number 177-42-4883 , date of birth 10/14/50, hereinafter referred to as "Alternate Payee" who has a right to all or part of Participant's benefit under the Plan. It is Ordered that the ROADWAY EXPRESS PENSION NCB as payer of benefits to Participant pay to Alternate Payee, TERRY L. 'rAYLOR , monthly payments in the amount of $ 476.67 as long as the Participant is receiving benefits under this Plan or until further Order of this Court. The maximum amount of the attachment shall not exceed 50. 0 per cent in accordance with provisions of the Consumer Credit Protection Act (15 D.S.C. Section 1673). Payment is due from the first check after receipt of this order for the balance of Participant's Life, until Alternatc~ Payee's death, emancipation of child(ren) or until further Order of this Court, whichever occurs first. Service Type M Form EN-029 Worker ID 21005 .. TAYLOR V. TAYLOR J? ACSES Case Number: 201000021 All checks and money orders must be made payable to Pa SCDU and mailed to: Pennsylvania SCDU P.O. Box 69112 Harrisburg, Pa 17106-9112 under 0430000028 for the benefit of the above captioned Plaintiff, TERRY L. TAYLOR . Payment must include the Defendant's name, social security number and/or PACSES member ID 0430000028 in order to be processed. To remit by EFT/EDI, please call the Pennsylvania State Collection and Disbursement Unit Employer Customer Service at 1-877-676-9580 for instructions. DRO: RJ Shadday xc: plaintiff defendant Maggie Colwell, Esquire nPr.pmhpr H, 2004 BY THE ~: ",. 4.- / Date Kevin A. Hess JUDGE Page 2 of 2 Form EN-029 Worker ID 21005 Service Type M ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/08/04 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice NATIONAL CITY BANK OF PA C/O TRUSTEE FOR CITY OF MCEESPORT - PENSION 300 4TH AVE PITTSBURGH PA 15278 pKl ;tl9{, -..9 d-Jf (! t/ ff1ar::. ~/OOGO~-/ RE: TAYLOR, WILLIAM R. Employee/Obligor's Name (Last, First, Mil 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil EmployerMlithho[der's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's!obligor's income until further notice even if the Order/Notice is not issued by your State. $ 433.34 per month in current support $ 43.33 per month in past-due support Arrears 12 weeks or greater? Oyes (X) no $ 0.00 per month in medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 476.67 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the SUPPOlt order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 11 0 . 00 per weekly pay period. $ 220.00 per biweekly pay period (every two weeks). $ 238.33 per semimonthly pay period (twice a month). $ 476.67 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: P A SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. 4- r-~ 1!!Ml.... ~<J[ ::>~ A DEe _ 9 ~r;,!~~~_b~:JIV_ffiEC/-' ,.,. /{l?{)/!f A _ t(e5;S. Date of Order: Service Type M OMB No.: 0970-0154 .fi..-J~ Form EN-028 Worker 10 $OINC ~ ~ ~ --- -- 1, ~:.:. c- .2i f"1 j-; e '~:i U ..J :"':> jr? C\ ---- () (' ~ ~ ~ "'- Q ~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./CitylDist. of CUMBERLAND Date of Order/Notice 12/10/04 Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice THE DREXEL GROUP INC STE 201 4815 JONES TOWN RD HARRISBURG PA 17109-1750 .))k/ 19t:J tv - 67 :y-/t' tI jJ/J(5'i S r2lJ lotJ (0)-/ RE: TAYLOR, WILLIAM R. Employee/Obligor's Name (Last, First, Mil 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil EmployerM'ithholder's Federal EIN Number See Addendum for dependent names and birth dates associat.?d with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 433.34 per month in current support $ 43.33 per month in past-due support Arrears 12 weeks or greater? Oyes (X) no $ 0.00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 476.67 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the SUPPOl1t order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 110.00 per weekly pay period. $ 220.00 per biweekly pay period (every two weeks). $ 238.33 per semimonthly pay period (twice a month). $ 476.67 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten ('10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateJdate of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: P A seDU Send check to: Pennsylvania SeDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NVMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: DEe 1 3 200~ /9. ~ Service Type M OMB No.: 0970-01 S4 7V~"JC: Form EN-028 Worker 10 $IATT - ..::.! !hi ~"! ~::~ ';.J ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If c.hecked you are required to provide a copy of this form to your employel~. If YOl,Jr employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3. * Repoltil,g ti,e Paydate/Date of 'Nitl" ,oldil,g. You IIIUSt lepolt tl,e paydate/date of vvithl,oldi"g wl,el, sClldil,g ti,e paylllel,t. The paydate/date of vv;tl,holdil,g is tI,e date 011 vvhid, allloUl,t vvas witl,l,eld ti011l tl,e elllplo)'ee's vvages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2327637600 EMPLOYEE'S/OBLlGOR'S NAME: TAYLOR, WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 0430000028 DATE OF SEIPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania Sltate law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (1 5 U .S.c. ~ 1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11 . Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (Zl.Zl240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker ID $IATT Service Type M OMS No,: 0970-0154 ~,' r,~. ,::;), (Of !-;.:.. ""L ADDENDUM Summary of Cases on Attachment Defendant/Obligor: TAYLOR, WILLIAM R. PACSES Case Number 201000021 Plaintiff Name TERRY L. TAYLOR Docket Attachment Amount 96-5124 CIVIL$ 476.67 Child(ren)'s Name(s): PACSES Case Number Plaintiff Name DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ..........:-.'. '.'." ',. . . . . . .. . .. .........0'..... ,," ... ," . .... ....... ',' . " D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. .....'...,.... . . . ... "'." ... . . .. . . .. . . . ... . " . ... . . ... . ... . .... . ...... ....... .. ....... . .. ..... ..... ........... ... . . . ..... D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee'slobligor's employment. Addendum Form EN-028 Worker 10 $IATT Service Type M OMB No.: 0970-0154 '-. ,.-::~. t:::1 ~.. (-) r--..1 C:...> (.~-~) ~- C::1 r ''1 ~-") ~ '- w o -11 :;~. -:'"""1 illi'- 1'1'1 (~) b ~~j^ ! _....-~ '. ('~) 'j 1[1 , ~ -;.,. r:? c..) -.J '. .;.'~ -<, ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/14/04 Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice THE DREXEL GROUP INC STE 201 4815 JONESTOWN RD HARRISBURG PA 17109-1750 ))J!/, ~. 67>1- (! y fJ)1{KfS U;IOOO(,';J./ RE: TAYLOR, WILLIAM R. Employee/Obligor's Name (Last, First, Mil 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil EmployerNVithholder's Federal EIN Number See Addendum for dependent names and birth dates associatl~ with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's!obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0 . 00 per month in past-due support Arrears 12 weeks or greater? 0 yes eX) no $ 0 . 00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below.. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period. $ 0.00 per biweekly pay period (every two weeks). $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate!date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFTIEDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: P A SCDU Send check to: Pennsylvania SCDU , P.O. Box 69112, Harrisburog, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier OR . PA,L SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. <(if' ~~, ~. ~ :~:r~,.~~.:~ J 04 BY THE COURT: KtW/N ;f"~ A. ~1Xd= Form EN-028 Worker ID $IATT Date of Order: DEe J Ii lOOtj Service Type M OMS No,: 0970-0154 _" C: _=:=t f'U, <.~.! ~:. ....'l <<'" ....... ...... ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ~hecked you are required to provide a (:opy of this form to your employel~. If YOl,lr employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3. * Repoltillg ti,e PaydatefDate of 'Iv'itl,holdil,g. You must leport the paydateldate of withholdillg ""'Ien sending the payn lent. Tl.e paydateldate of vvithl,oldil,g is the date on vvhicl, alII0Ul,t was withheld flom ti,e elflployee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time ,periods within which you must implement the withholding order and forward the support payments. 4. * Employee/Obligor with Multiple Support Holdings: If there is more than one OrderJNotice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must hOllor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when th,~ employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2327637600 EMPLOYEE'S/OBLlGOR'S NAME: TAYLOR, WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 0430000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed govems. 8. Anti~iscrimination: You are subject to a fine detennined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Cred it Protection Act (1 5 U .s.c. 91673 (b)1 ; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at {717) 240-6225 or by FAX at (7171 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker ID $IATT Service Type M OMB No.: 097D-0154 --- ,-.'. ~:: r-.~ l.' C) c-::"'~ C. (:-",.) . \ ;..-~, .;-:" 1:..-::1 .-- I - 11 C; -r .' . (.1") " , .., '.- (J) i ':;:t ::=~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsvlvania Co.!City/Disl. of CUMBERLAND Date of Order/Notice 01/26/05 Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice 0- Terminate Order/Notice NATIONAL CITY BANK OF PA C/O TRUSTEE FOR CITY OF MCEESPORT - PENSION 300 4TH AVE PITTSBURGH PA 15278 J;eI / qt;(p -5,/)-$' (! f/ j)JJCC;[<; :J.~/()OC)O)4 RE' TAYLOR, WII,LIAM R. Employee/Obligor's Name {last, First, MI} 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiH names associated with cases on attachment) Custodial Parent's Name (last, First, Mil EmployerlWithholder's Federal EIN Number See Addendum for dependent names and birth dates associatl!d with cases on attachment. ORDER INFORMA nON: This is an OrderlNotice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears '12 weeks or greater? Oyes @ no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period, $ 0.00 per biweekly pay period (every two weeks). $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Di5bursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURIT'V NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: DAN 2 '/ nos /' :]-7-0') BY THE COURT: ~'~ KCf/11V (j, ryc:<::S ~ Service Type M OMBNo.:0970-0154 JZ-,jJ{;'c: Form EN-028 Worker ID $OINC ADDITIONAL INFORMATION TO EMPLOYERS AND OHlER WITHHOLDERS o If ,hecked you are required to provide a (Copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even jf the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor, 3. * RC'pDJt;ug tIll::: r ""date/Dale vf VJ;L1llluld;llg. Yvu Iflu;,l repol1 tile fJdyJatc/Jdle of vv;tl.l.oIJ;lIg vvl,t::" sellu;l,g tIll:; I-'dYIIIC:IIL Till::: fJdyJdle/dalc: of vv;tl,IIOldiI15 ;~ tilt:: J<.1le VII vvl.;d, ClllIOUlIl VVdS vvitl.l.eIJ (IUIII lilt:: elllf.AvyeE.'~ VVdgt::.. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order!1\ otice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identjfied below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 4834100094 EMPLOYEE'S/OBLlGOR'S NAME: TAYLOR. WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 043000002B DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6, Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses. commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in anolher State, in which case the law of the State in which he or she is employed governs, 8. Anti-discrimination: You are subject to a fine determined under State law lordischarging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.c. ~1673 (b) 1 ; or 2) the amounts allowed by the State of the employee'sJobligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxeSi Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law 01 the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at !ZlZL240-6248 or by internet www.childsupport.state.pa.us Service Type M Page 2 01 2 Form E N-028 Worker ID $OINC OMB No.: 0970-0154 -T-, 'r-.;) 0j~ QI ..~1 ~- ..--'-1 ril-:::<;:.: _~I\'-n ,elL") ..", T ":~'~r) ~::c ..~, ~ {_~2(") . "rn '~~\ -0' '..J '< c_ :;:~'1'0 =.c:: N CO :~? -.", I:,,? (~.) \.0 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co.lCity/Dist. of CUMBERLAND Date of Order/Notice 01/26/05 Case Number (See Addendum for case summary) <.8) Original Order/Notice o Amended Order/Notice o Terminate Order/Notice STATE STREET BANK RETIREE SERVICES PO BOX 550868 JACKSONVILLE FL 32255-0868 'VI! ItJC)(P~51d'V(!(/ )J;;e~,f'; dtJ I!JOO().;}--/ RE; TAYLOR, WILLIAM R. Employee/Obligor's Name (last, First, MI) 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cas~ on attachment) Custodial Parent's Name (Last, First, MI) EmployerMiithholder's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By iaw, you are required to deduct these amounts from the above-named employee's!obligor's income until further notice even if the OrderlNotice is not issued by your State. $ 433.34 per month in current support $ 43.33 per month in past-due support Arrears 12 weeks or greater? Qyes @ no $ 0.00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 476.67 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the suppor: order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 110.00 per weekly pay period. $ 220.00 per biweekly pay period (every two weeks). $ 238.33 per semimonthly pay period (twice a month). $ 476.67 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFl/EDI, please call Pennsylvania State Collections and Disbur:;ement Unit (SCDUl Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST tNCLUDE THE DEFENDANT'S NAME ANO THE PACSES MEMBER to (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. jj7'{Y5"' BY.. '"' c:~r ~. ;.(t'-v1A/ . ffE,,"':: /11. 4.. Date of Order: ~ 2 7 2005 :ruJ{;;c Form EN-028 Worker ID $OINC Service Type M OMB No,: 0970-Q154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ,-hecked you are required to provide a copy of this form to your ~mployee. If your employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3. * Rt"!Jv.l;lIg ti,t::' r ayJale/Ddle vf\NitilLold;I'5' YOv IIIU.')lu:::\JUlt tIle pclyJa:h::;/dah:: of vv;tl.lrvld;1I5 "vI,e" seud;, 15 tIle fJd.YlI.t:llt. TIle l--'oydateJdate vf vv;llllrvIJ;1I5;.') tIle date OIl ...vLid. amount "'VaS ......itl,l,dd hvfll tIre clIltJluyu;:;':) vvdges. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and fOlWard the support payments. 4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Fed,,,al or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the Information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 7782~002~6 EMPLOYEE'S/OBlIGOR'S NAME: TAYLOR, WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 0430000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhoid from lump sum payments such as bonuses, commissions, or severance pay, If you have any questions about lump sum payments, contact the person or authority below. 7, liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania StatE! law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or 5he is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State il1 which he or she is employed governs. 9. * Withholding limits: You may not withhold more than the lesser of: 11 the amounts allowed by the Federal Consumer Credit Protection Act \15 U's,c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment, The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is th" net income left after making mandato<y deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 1 O. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that bsued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 form E N-028 Worker ID $OINC Service Type M OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: TAYLOR, WILLIAM R. PACSES Case Number 201000021 Plaintiff Name TERRY L. TAYLOR Docket Attachment Amount 96=5124 CIVIL $ 476.67 Child(ren)'s Name(s): PACSES Case Number Plaintiff Nam~ DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0,00 Child(ren)'s Name(s): PACSES Case ~Iumber Plaintiff Name DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB o If checked, you are required to enroll the child(ren) identifjed above in any health insurance coverage available through the employee's/obligor's employment o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case NU'llber Plaintiff Name DOB Docket Attachment Amount $ 0,00 Child(ren)'s Name(s): DOB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment Service Type M Addendum Form EN-028 Worker ID $OINC OMS No.: 0970-0154 r--' 1.-:> <.~:) c;;J -1'1 c.f"'1 (,- .-4 ~'\~ :;:""" t.11~.1! :;t.:. r- 1') :g8 CD ~J I,~)- .....y.i ~:;~: -:\-\ ~." -:-'-'" (":1 ;-r; r'" \',:::\ '1 <..--' :~~1 u:> _.~~---,----- In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION TERRY L. TAYLOR ) Docket Number 96-5124 CIVIL Plaintiff ) vs. ) PACSES Case Number 201000021 WILLIAM R. TAYLOR ) Defendant ) Other State lD Number Order AND NOW to wit, this JANUARY 11, 2006 it is hereby Ordered that: THAT THE DOMESTIC RELATIONS SECTION DISMISS THEIR INTEREST IN THE ALIMONY OBLIGATION AS THE OBLIGEE IS RECEIVING DIRECT PAYMENTS FROM THE OBLIGOR'S RETIREMENT SERVICES AND THE OBLIGEE NO LONGER REQUESTS THE ASSISTANCE OF THE DOMESTIC RELATIONS SECTION IN THE COLLECTION OF THE AJ,IMONY. BY THE COURT: ~ ;.,.,~ 4.. JUDGE DRo.: R. J. Shadday ServIce Type M Form OE-520 Worker ID 21005 " r~,:; ~ c.~.:::> f.:J.... CJ -q --I " Hi s-. c.) -' . ~, ";'J,' J -- "jd~ 11.1 ~~jLzdd~1 /JIri /Zd~ ..,L--Q r-Idyk~ ,:24-.41.. /~7 Cc1-li- ;(t!1/ r:JOO(; ~j .' 7 ,/ . ." /' 7' /fd-tkC.- .A<'c"'-t~""<-'f--<~C'7<-' /!~'rz~~/47 /f;;'/If.,<~ /d-<4L~2 '-6C:k''''~1 /dL {'/ _-1';/"" /JC<'7C /L /7",,:.' <" {.c~.,,,r~ ('1.L/t'L v /. 'J .17' .r" ' . _-<'~ ~X-<,U'" 7' .,,-:;?&:.i./C4Y" >d::/ ,\1 leU U"",C ~r{;->'C'-b2 7'- 4c. p-c.cxLL", <.i:J-< C/-...."'<':.:.2 /.<2L.<e- /C-c:'--Ld.,~""-" .L;~j ~L.j.L.--? 7' _L<CJ A't'-</--<<L- ~"~U "-/;/;"4<-/ ~d:"_.L</-&:y ~r ~.c<./4<) h~d"~L 2 ~___~L ~<.L<-<.f /~~ cJ2- ~- Ac;7' c:'..Le<,A~ U-#.,". <1--:P<"J ~ k. ~c'-;ua(~ <~<~ IT /~c~:_'1 .A----<<<-~d.Z.~ ' ? -/ . / J " G~ __ · - c'Ct..,lk<<'t. ?.'--'G Vj74~ ,J J;.:"d<0' ~~'bt-LZ-L.&L /24~-k:J </z;- /t-,c/ /.-u f .".LL<., r- .,/ /VU'-t:l': _~ c.<.-uh'?,{ /:l-LL-??L-' 'iP_d ___/;?2..L-t_~, cL-,&-~ /cc:c:"C t.- (,/'1"/",,/':1-4 ,(~c://-dt-(' z::;.7<--_ ,.) F~/ --<. / A-c> kL"~/ u rU"ul.-! y' /C.U.~cH:;k.L-' ..L~-? -;? - /. ;/-t-d~L~ r<.;Le'~;"'7!"".L}/ _ .)- " ---e/?~,~ 2"'"~ U4l":-L: <,~U'~7 ,,--L.vr'2/7 ;/ /~, J C.ld-?1...-/ ~4" C7--./ "~f/ C' ~~c.c _tC:c: .t7_dL~:L- ?'7"~ _d.::;-;r,--",--, / /ot <J'-e.l j a /'1".( cf~2<' ,;7L ~djt:"_ .A' -:/"'~ Cd% ~-"!:.'.cd_' _zh--,) cL/C:/J ~t.:'d-;1~, /-Y:"'/d? L.. ,/.du ( ,I ~Zu~t7</'~~t. , ORDER/NOTICE TO WITHHOLD INCOME FOR S\JPPORT State Commonwealth of Pennsvlvania Co./City/Dist of CUMBERLAND Date of Order/Notice 01/11/06 Case Number (See Addendum for case summary) ;>01000021 96-5124 CIVIL o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice STATE STREET BANK RETIREE SERVICES PO BOX 550868 JACKSONVILLE FL 32255-0868 REo TAYLOR, WILLIAM R. Employee/Obligor's Name (last, First, MI) 208-42-6946 Employee/Obligor's Socia) Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff namt>s associated with cases on attachment) Custodial Parent's Name (Last, First MI) EmployerMtithholder's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes <Xl no $ 0.00 per month in current and past-due medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much \0 withhold: $ 0.00 per weekly pay period. $ 0.00 per biweekly pay period (every two weeks). $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (1m working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding, You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. for the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EH/EDI, please call Pennsylvania State Collections and Disbursement Unit (SeDU) Employer Customer Service at l-B77-676-95BO for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O, Box &9112, Harrisburg, Pa 1710&-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: DRO: R.J. Shadday Service Type M Ju:ige Form E N-028 OMB No.: ()<)7()-()154 Worker 10 $OINe A.~ Date of Order: JAN 1 2 2006 ~ ADDITIONAL INfORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If (hecked you are required to provide a copy of this form to your employee. If your employee works in a state that is ditterent from the state that issued this order, a copy must be provided to yourE:~mployee even if the box is not checked. 1. Priority: Withholding underthis Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding, You must, however, separately identify the portion of the single payment that is attributable to each em ployee/ob I igor. 3. * Rl:'J-1Vll;hg tIle. r aydatefDalc: vi 'N;tl.l,vIJil,g. YOu 'llu~llep()tlll,'C t,-uiydalt../Jalc: of with-htJIJ;I'5 vvl,ell ::''CIIJillg tl,'C fJaY'II'CIIt. TI,'C paydolci'Jate of vy',tl,l.old;lIg ;::.ll.o::: Jak 0" vvl.;LI. a'''Vl.lf'[ vvci5 \fV;tlll,dJ flOll1 ll,o::: O:::lIlfJlvyee':,-wages-: You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible, (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/08l1GOR NO LONGER WORKS FOR: 7782100216 EMPLOYEE'S/OBLlGOR'S NAME: TAYLOR, WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 0430000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State In which he or she is employed governs. 8. Antkliscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a ~;upport withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.s.c. S 1673 (bl1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxeSi Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at ill 7) 240-6225 or by FAX at (717\ 240..6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form E N..028 Worker I D $OINC Service Type M OMB No,: 097Q.Ol,'i4 C) CT' -"r! ( --i -T i.' N ( , ~;J roo) -< ,... ~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 01/11/06 Case Number (See Addendum for case summary) 201000021 96-5124 CIVIL o Original Order/Notice o Amended Order/Notice @ Terminate Order/Notice NATIONAL CITY BANK OF PA C/O TRUSTEE FOR CITY OF MCEESPORT - PENSION 300 4TH AVE PITTSBURGH PA 15278 RE, TAYLOR, WIL:LIAM R. Employee/Obligor's Name (Last, First, MI) 208-42-6946 Employee/Obligor's Social Security Number 0430000028 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) EmployerNVithholder's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State, $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to val)' your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0 . 00 per weekly pay period, $ 0 .00 per biweekly pay period (eveI)' two weeks), $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (101 working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee'sl obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFTIEDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at t-877-676-9580 for instructions. Make Remittance Payable to: PA SCOU Send check to: Pennsylvania SCOU, P.O. Box &9112, Harrisburg, Pa 1710&-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUM,8ER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: /?~ Date of Order: JAN 1 ;; 2005 DRO: R.J. Shadday Service Type M OMB No.: 09"70-0154 Judge Form EN-028 Worker ID $OINC ,. ... ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If checked you are required to provide a copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below, 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Repo,L;r,g llu::~ rayJatc/Date vf'v'v';U,lrOld;1l5' Yvu IIlu:.L lepo.t llle fJayJah::.fJatc: uf vv;tllllotding-vvL6r :>elIJ;"5llu:::: fJaYllldlt.--fhe- fJayJato'Jate-O( vv;tltl,vIJ;1I5 ;~ tllt::-date-oll vvll;dr alHuullt vva~ vv;t1llleld (IUItI lilt:: t::1I1/Jlvyt::e's--wages~ You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4,' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/08l1GOR NO LONGER WORKS FOR: 4834100094 EMPLOYEE'S/OBlIGOR'S NAME: TAYLOR. WILLIAM R. EMPLOYEE'S CASE IDENTIFIER: 0430000028 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refUSing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.' Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (1 S U.5.C 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at Q17) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupporl.state.pa.us Page 2 of 2 Form E N-028 Worker ID $OINC Service Type M OMB No.: OlJ70-0154 .- .. ADDENDUM Summary of Cases on Attachment Defendant/Obligor: TAYLOR, WILLIAM R. PACSES Case Number 201000021 Plaintiff Name TERRY L. TAYLOR Docket Attachment Amount 96-5124 CIVIL$ 0,00 Child(ren)'s Name!s): PACSES Case Number Plaintiff Name DaB Docket Attachment Amount $ 0.00 Child!ren)'s Name!s): DaB Olf checked. you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Olf checked, you are required to enroll the childiren) identified above in any health insurance coverage available through the employee'slobligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Chlldlren)'s Name!s): DaB Docket Attachment Amount $ 0,00 Child!ren)'s Name(s): DaB If checked, you are required to enroll the child!ren) above in any health insurance coverage available the employee's/obligor's employment. o If checked, you are required to enroll the child!ren) identified above in any health insurance coverage available through the employee'slobligor's employment. PACSES Case Number Plaintiff Name' PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s), DaB Docket Attachment Amount $ 0,00 Child!ren)'s Nameis): DaB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. o If checked, you are required to enroll the child(ren) identifjed above in any health insurance coverage available through the employee's/obligor's employment. Addendum Form EN-028 Worker ID $OINC Service Type M OM8No.:0970-{)154 I~.) (-) 'n :-;1 (~ r-.,J ~:(; r....) ....;...