HomeMy WebLinkAbout00-01002
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IN THE COURT OF COMMON PLEAS
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OF CUMBERLAND COUNTY
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STATE OF
CHRISTINE M. FLETCHER
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VERSUS
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DALE A. FLETCHER
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PENNA.
No.
2000-1002
DECREE IN
DIVORCE
AND NOW,
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. 20-02-, IT IS ORDERED AND
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DECREED THAT
CHRISTINE M. FLETCHER
, PLAINTIFF,
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AND
DALE A. FLETCHER
, DEFENDANT,
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ARE: DIVORCED FROM THE BONDS OF MATRIMONY.
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IHE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE
BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT
YET BEEN ENTERED;
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NONE
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PROTHONOTARY
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CHRISTINE M. FLETCHER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 00 - 1002 CIVIL
DALE A. FLETCHER,
Defendant
IN DIVORCE
ORDER OF COURT
AND NOW, this
11th
day OfV'~~~~4J
2002, the economic claims raised in the proceedings having
been resolved in accordance with a memorandum of
understanding dated June 17, 2002, the appointment of the
Master is vacated and counsel can file a praecipe
transmitting the record to the Court requesting a final
decree in divorce.
BY THE COURT,
.J.
cc: P. Richard Wagner
Attorney for plaintiff
Dirk E. Berry
Attorney for Defendant
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CHRISTINE M, FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUl\1BERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
: NO, 2000-1002
: CIVIL ACTION - LAW
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
MEMORANDUM OF UNDERSTANDING
THIS MEMORANDUM OF UNDERSTANDING, made this /7 day
of ~ , 2002, by and between Christine Fletcher, hereinafter referred
to as "Wife," and Dale A. Fletcher, hereinafter referred to as "Husband,"
WITNESSETH:
WHEREAS, Husband and Wife were married November 24,1997, and
separated November 21, 1999; and
WHEREAS, Wife has filed an action in divorce in Cumberland County; and
WHEREAS, the parties desire to bring to a conclusion all issues under the
provisions of the No-Fault Divorce Act.
NOW, THEREFORE, in consideration of the aforementioned recitals and the
hereinafter provisions, the parties hereto do hereby promise, covenant and agree:
1. Husband and Wife have each disclosed to the other all assets and
liabilities of each other, including assets brought into the marriage, the appreciated
value thereof, and assets acquired during the marriage,
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2. Each party has disclosed to the other the debts that have been incurred
during the course of the marriage, and the debts that were incurred prior to marriage
for which the other may be responsible,
3, Each party agrees that they are fully aware of all assets and liabilities of
the parties, including the appreciated value of all assets brought into the marriage,
4. Each party is fully aware of all rights, titles, obligations, and duties under
the provisions of the No-Fault Divorce Act; each party acknowledges that they have
had the opportunity to review this agreement with counsel.
5, Each party agrees that they have had the opportunity to review the Pre-
Trial Statements and are aware of the assets and liabilities contained therein and
otherwise have fully disclosed to the other the assets and liabilities of the marriage.
6. The parties agree that whatever personal property that is in possession of
that party shall remain the sole and exclusive property of that party, and each party
agrees to waive, release, relinquish and discharge any and all right, title and interest
in the personal property currently in the possession ofthe other,
7. Husband agrees that he will continue to pay alimony pendente lite as set
forth by the Court of Common Pleas of Cumberland County until such time tlIat the
divorce is finalized; each party agreeing to expeditiously and diligently undertake all
steps necessary to finalize the divorce,
8. Each party agrees to sign the Affidavits of Consent, Waivers, and such
otller documents that may be necessary to effectuate a No-Fault divorce,
9. Each party waives, relinquishes and discharges any and all right, title and
interest they have in the other's pension, profit sharing, 401(k) or retirement
benefits, including any appreciated value that accrued during the course of the
illarrlage.
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1 O. Each party waives any and all right, title and interest they may have in
any accounts currently in the possession of the other, including any appreciated
value in any said accounts,
11, Husband agrees to pay unto Wife the sum of fifteen thousand
($15,000,00) dollars, which shall represent an equitable distribution of the marital
assets to Wife, and Wife acknowledges that the receipt of the same is in full and
fmal satisfaction of all claims for equitable distribution under the provisions of the
No-Fault Divorce Act.
12, Each party has been made aware of provisions in the No-Fault Divorce
Act regarding alimony, alimony pendente lite, and spousal support, and being aware
of the same, each party agrees to waive, relinquish and discharge the other from any
claim for alimony, spousal support and alimony pendente lite with tlle exception of
the current APL Order which is set forth herein above.
13, Each party waives any and all claim they may have against the other,
cause of action they may have against the other, except for violation of the breach of
this Agreement.
14, Each party agrees to execute any and all affidavits or such other
documents to give effect to the provisions of this Agreement.
15, The parties have had the opportunity to review this Agreement, intending
to be legally bound, do hereby execute the same, believing it to be a full and final
Agreement between tlle parties setting forth all rights, duties and obligations that
may now or hereinafter exist under the provisions of the No-Fault Divorce Act.
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IN WITNESS WHEREOF, the parties hereto, intending to be legally bound,
do hereby set their hands and seals the day and year first above written.
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Christine M, Fletcher "---'
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Dale A. Fletcher
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v,
: NO: 200D-I002
: CIVIL ACTION - LAW
DALE A FLETCHER,
: IN DIVORCE
Defendant.
PRAECIPE TO TRANSMIT THE RECORD
TO THE PROTHONOTARY:
TRANSMIT the record, together with the following information, to the Court for entry of
a Divorce Decree:
1. Ground for divorce: irretrievable breakdown under Section 3301(c), 3301(d) of the
Divorce Code, (Strike out inapplicable section,)
2, Date and manner of service of the Complaint: March 4, 2000, by certified mail,
restricted delivery, return receipt requested,
3, (Complete either paragraph (a) or (b):
(a) Date of execution of the Affidavit of Consent required by Section 3301(c)
of the Divorce Code: By Plaintiff: 08/05/02
By Defendant: 07/13/02
(b)
(I)
Date of Execution ofthe Plaintiff's Affidavit required Section
3301(d) ofthe Divorce Code:
(2) Date of service of the Plaintiff's Affidavit unto the Defendant:
4, Related claims pending: None
5, Indicate date and manner of service ofthe Notice ofIntention to File Praecipe to
Transmit the Record, and attach a copy of said Notic der Section 3301(d) (I)(i) of the
Divorce Code:
, Richard Wagner, Esq,
Attorney for Plaintiff
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff.
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: NO. 070C7CJ- /()~ ~
: CIVIL ACTION - LAW
v.
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
NOTICE TO DEFEND AND CLAIM RIGHTS
YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims
set forth in the following pages, you must take prompt action. You are warned that if you fail to
do so, the case may proceed without you and a decree in divorce or annulment may be entered
against you by the Court. A judgment may also be entered against you for another claim or relief
requested in these papers by the Plaintiff. You may lose money or property or other rights
important to you, including custody or visitation of your children.
When the ground for the divorce is indignities or irretrievable breakdown of the
marriage, you may request marriage counseling. A list of marriage counselors is available in the
Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DMSION OF
PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT
IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF
YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE
THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
CUMBERLAND COUNTY BAR ASSOCIATION
2 LffiERTY AVENUE
Carlisle, PA 17013
(717) 249-3166
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CHRISTINE M. FLETCHER,
Plaintm:
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. ~/Jvo _ /17,,;;'" ~ I.i-
v.
: CIVIL ACTION - LAW
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
COMPriAINr IN DIVORCE
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AND NOW, comes the Plain~, Christine M. Fletcher, by and through her
attorneys, Mancke, Wagner, Hershey & Tully, and files the following Complaint in
,
Divorce:
1. The Plaintiff, Christine M. !Fletcher, is an adult individual currently
residing at 131 Sanford Court, Mec~anicsburg, Cumberland County, Pennsylvania.
2. The Defendant, Dale A. Fletcher, is an adult individual currently residing
at 1150 Redwood Drive, Carlisle, Cpmberland County, Pennsylvania.
3. Plaintiff and Defendant have both been bona fide residents of the
Commonwealth of Pennsylvania for ,at least six (6) months prior to the filing of this
Complaint.
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4. Plaintiff and Defendant are husband and wife having been married on
November 24,1997, in Florida.
5. There have been no prior actions of divorce or annulment between the
parties in this or any other jurisdiction.
6. Neither Plaintiff nor Defendant are currently members of the Armed
Forces of the United States or any of its Allies.
7. Plaintiff has been advised of the availability of counseling and that she has
the right to request that the Court require both parties to participate in counseling.
8. The Plaintiff avers as grounds on which this action is based are:
A. That the marriage is irretrievably broken pursuant to ~3301(c) of the
Divorce Code;
B. That as of November 21,2001, the parties will have lived separate and
apart for a period of at least two (2) continuous years, pursuant to ~
3301(d) of the Divorce Code; and
C. That Defendant has offered such indignities to the person of the
Plaintiff as to render the condition of the Plaintiff intolerable and life
burdensome.
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WHEREFORE, Plaintiff prays this Honorable Court to enter a Decree in
Divorce.
COUNT I
EOUlTABLE DISTRIBUTION
9. Paragraphs 1 through 8 above are incorporated herein by reference and
made a part hereof.
10. During the marriage, Plaintiff and Defendant have acquired various items
of marital property, both real and personal, which are subject to equitable
distribution under Section 401 of the Divorce Code of 1980.
COUNT II
ALIMONY PENDENTE LITE
COUNSEL FEES. COSTS AND EXPENSES
11. Paragraphs 1 through 10 above are incorporated herein by reference and
made a part hereof.
12. By reason of this action, Plaintiffwill be put to considerable expense in
the preparation of her case in the employment of counsel and the payment of costs.
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13. The Plaintiff is without sufficient funds to support herself and to meet the
costs and expenses of this litigation and unable to appropriately maintain herself
during the pendency of this action.
14. The Plaintiff's income is not sufficient to provide for her reasonable
needs and pay her attorneys' fees and the cost of this litigation.
15. The Defendant has adequate earnings to provide support for the Plaintiff
and to pay her counsel fees, costs and expenses.
COUNT III
ALIMONY
16. Paragraphs 1 through 15 above are incorporated herein by reference and
made a part hereof.
17. Plaintiff lacks sufficient property to provide for her reasonable needs.
18. Plaintiffis unable to sufficiently support herself through appropriate
employment.
19. Defendant has sufficient income and assets to provide continuing support
for the Plaintiff.
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WHEREFORE, Plaintiff, Christine M. Fletcher, requests this Honorable
Court:
A. Enter a Decree in Divorce;
B. Compel the Defendant to pay alimony pendente lite to the Plaintiff;
C. Compel the Defendant to pay alimony to the Plaintiff;
D. Equitably distribute all property, both real and personal, owned by the
parties;
E. Compel the Defendant to pay the Plaintiff's counsel fees, costs and
expenses and the costs and expenses of this action; and
F. Grant such further relief as the Court may deem equitable and just.
Respectfully submitted,
Mancke, Wagner, Hershey & Tully
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I.D. #23103
2233 North Front Street
Harrisburg, P A 17110
(717) 234-7051
Attorneys for Plaintiff
, Esquire
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Date: d//?iIIJO
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VERIFICATION
I verify that the statements made in the foregoing
document are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S.
section 4904, relating to unsworn falsification to
DATE:
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WE DO HEREBY CERTIFY THAT
THE WITHIN IS A TRUE AND COR-
RECT COPY OF THE ORIGINAL
FILED IN THIS ACTION
BY
ATIORNEY
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MANCKE, WAGNER, HERSHEY & TULLY
LAW OFFICES
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YOU ARE HERESY NCmFIED TO FILE
A WRITT..H RESPONse -TO THE
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WITHIN TWENTY (2W DAYS FROM
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ATTORNEY
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CHRISTINE M. FLETCHER,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
NO. 2000-1002
CIVIL ACTION - LAW
DALE A. FLETCHER,
IN DIVORCE
Defendant.
CERTIFICATE OF SERVICE
I, Debra K. Spinner, Secretary in the law firm of
MANCKE, WAGNER & TULLY, do hereby certify that on this date a
copy of the COMPLAINT IN DIVORCE was served upon the following
person and in the manner indicated below, which service satisfies
the requirements of the Pennsylvania Rules of Civil Procedure, by
depositing the same in the United States mail, Harrisburg,
Pennsylvania, certified, restricted delivery, return receipt
requested, and addressed as follows:
Mr. Dale A. Fletcher
1150 Redwood Drive
Carlisle, PA 17013
By
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Debra K. Spinner, Secretary
MANCKE, WAGNER & TULLY
2233 North Front Street
Harrisburg, PA 17110
P. Richard Wagner, Esquire
Attorney for Plaintiff
DATE: 03/04/00
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-1_ .~pI~ferilems 1 and/or 2 tor additional services.
"i -Complete items 3. 48. and 4b.
I -Print your name and address on the reverse of this form so that we can return this
.. card to you.
!I -Aflach this form tel the front of the mailpieoe, or on the back if space does not
l! permit.
II -Write-Return RecBJpl Requested- on the mailpiece below the article number.
'5 -The Return Receipt will show to whom the artIcfe was delivered and the date
= delivered.
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US Postal Service
Receipt for Certified Mail
No Insurance Coverage Provid~.
Do not use for International Majl (See revelSel
~ntlo Dale A. Fletcher
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Street & Number
1150 Redwood Drive
Post Office, State, & ZIP Code
. ri'lrlisle PA 17013
Postage $ .55
.. Certified Fee 1. 35
Special D.elivery Fee
Restricted Delivery Fee 2.75
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0> RetOOl Receipt Showing to
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~ Whom & Date Oe6vered
." R.lum Roc.pl Showing to Whom,
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<( Dale, & Addressee's Address 1.10
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0 TOTAL Postage & Fees 5.75
CD
... Postmark or Date
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I elso wish 10 receive the
following services (for en
extra fee):
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1. 0 Addressee's Address -
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2. IXI Restricted Dellvlllly rll
Consun postrnasterlor""', 1
4a. Article Number ~
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[1500Redwood Drive
carti~le, PA 17013
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4b. Service Type
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o Return Receipt for Merchandise 0 COD
7, Date of Delivery
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8. Addressee's Addr
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lilomestic Return Receipt
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
. NO. 2000-1002
: CIVIL ACTION - LAW
DALE A FLETCHER,
: IN DIVORCE
Defendant.
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was
filed on February 23,2000.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety
(90) days have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of
intention to request entry of the decree.
4. I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if! do not claim them before a divorce is
granted.
I verify that the statements made in this affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. Section 4904, relating to unsworn falsification to authorities.
DATE: sj fJ;L
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Christine M. Fletcher
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
: NO. 2000-1002
: CIVIL ACTION - LAW
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
WAIVER OF NOTICE OF INTENTION TO
REOUEST ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF THE DIVORCE CODE
1. I consent to the entry of a final decree of divorce without notice.
2. I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if I do not claim them before a divorce is
granted.
3. I understand that I will not be divorced until a divorce decree is entered by
the Court and that a copy of the decree will be sent to me immediately after it is
filed with the prothonotary.
I verify that the statements made in this affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. ~4904 relating to unsworn falsification to authorities.
(]~diWJ rt~/JI))
Christine M. Fletcher
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYL VANIA
Plaintiff,
v.
: NO. 2000-1002
: CIVIL ACTION - LAW
DALE A FLETCHER,
: IN DIVORCE
Defendant
AFFIDAVIT OF CONSENT
1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was
filed on February 23, 2000.
2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety
(90) days have elapsed from the date of filing and service of the Complaint.
3. I consent to the entry of a final decree of divorce after service of notice of
intention to request entry of the decree.
4. I understand that I may lose rights concerning alimony, division of
property, lawyer's fees or expenses if! do not claim them before a divorce is
granted
I verify that the statements made in this affidavit are true and correct. I
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. Section 4904, relating to unsworn falsification to authorities.
DATE:
7/13/D2-
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Dale A. Fletcher
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYL V ANlA
Plaintiff,
v.
: NO. 2000-1002
: CIVIL ACTION - LAW
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
WAIVER OF NOTICE OF INTENTION TO
REQUEST ENTRY OF A DIVORCE DECREE UNDER
SECTION 3301(c) OF THE DIVORCE CODE
1. I consent to the entry of a [mal decree of divorce without notice.
2. .I lmderstand that I may lose rights concerning alimony, division of
property,;lawyer's fees or expenses if I do not claim them before a divorce is
granted.
3. I understand that I will not be divorced until a divorce decree is entered by
the Court and that a copy of the decree will be sent to me immediately after it is
filed with the prothonotary.
I verifY thatthe statements made in this aft'idavitare true and coo'ect. I
understand that false statements herein are made subject to the penalties of 18
Pa.C.S. ~4904 relating to unsworn falsification to authorities.
~~J\~
Dale A. Fletcher
DATE:
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CHRISTINE M. FLETCHER,
Plaintiff,
v.
DALE A. FLETCHER,
Defendant.
TO THE PROTHONOTARY:
, ~','. ,
1".-
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
: NO. 2000-1002
: CIVIL ACTION - LAW
: IN DIVORCE
PRAECIPE
Please withdraw Counts I, II, and III of Plaintiff's Complaint.
Date: 3//.2/ ~ ;L
I
Respectfully submitted,
/C'
./
B:/
J
i
P . ard Wagner, Esquire
---
I.D. #23103
2233 North Front Street
Harrisburg, PA 17110
(717) 234-7051
Attorneys for Plaintiff
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
,Please note:. All correspondence must include the Member. ID Number.
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multinle Cases on Attachment'
Plaintiff Name
CHRISTINE M. FLE~CHER
;(9</'7'/
PACSES
Case Number
777102078
Docket
Number
00-1002 CIVIL
Attachment AmountIFreauencv
$
!
$
$
I
$
458.00 IMONTH
~
/
;
~
/
/
TOTAL ATTACHMENT AMOUNT: $
45.8.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $105.69
per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social SecurityNumber 255-78-4471 ,Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section ofWs
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total
amount attached does not exceed the maximum amount subjectto garnishment pursuant to 15 U .S.C. ~ 1673
(b)(2) and 23 Pa. C.S.A. ~ 4348 (g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated AJ;>RIL 8, 2001 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Orger shall be directed to me Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: AUG I ~
JUDGE
Service Type M
Form EN-5,30
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ORDER/NOTICE TO WITHHOLD INCOME FOR SlJfPORT
W' ?&Zm -IDZM {/rt/IL
State Commonwealth of Pennsvlvania Ifj(!<;'i S. 77 7 IO;;..{)7 f
Co.lCity/Dist. of CUMBERLAND b
Date of Order/Notice 08/01/02 ' e 029; '17</
Court/Case Number (See Addendum for case summary)
o Original Order/Notice
o Amended Order/Notice
@ Terminate Order/Notice
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, MI)
)
EmployertWithholder's Federal EIN Number
BUCKS COUNTRY GARDENS LTD.
EmployerlVVithholder's Name
1057 N EASTON RD
EmployerlVVithholder's Address
DOYLESTOWN PA 18901-1027
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER fNFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an orde, for support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are ,equired 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 0' greater? Oyes @ no
$ o. Oo,per month in 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 towithhold:
$ 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
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 pg. 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: PA SCDlJ
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.
BY THE COURT:
Service Type M
').UG R20Gl
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Worker ID $IATT
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
D If checked you are required to provide a copy 01 this lorm to your employee.
1. Priority: Withholding under this Order/Notice has prio,ity over any othe, legal process under State law against the same income.
Federal tax levies in effect belore receipt o/this order have prio,ity. II there are Federal tax levies in effect please contact the requesting
agency listed below.
2. Combining Payments: You can combine withheld amounts lrom more than one employee/obligor's income In a single payment
to each agency ,equesting withholding. You must, however, separately identify the portion 01 the single paymentthat is attributable to
each ,employee/obligor.
3.* R~polllhg tl,ePaydatelD.rte 01 Withholding. You musll~porttl,~paydateld.rte of ..ithholdil,g ..I ,en sel,di"g H,e p'yl"eht. TI,e
paydate!date of ..ithholding is tl,e date on ..I,id, alnount..as ..itl,l,eld 110m the ""ployM's ..ages~ You must comply with the law 01 the
state o!the employee's/obligor's principal place 01 employment with respect to the time periods within which you must implement the
withholding o,der and lorward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: II the,e is more than one Order/Notice to Withhold Income lor Support
against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
lollow the law (jlthe state 01 employee's/obligor's principal place 01 employment. You must honor all Orders/Notices tothe greatest
extent possible. (See #9 below)
5. Termination Notilication: You must promptly notify the Requesting Agency when the employee/obligor is no longer working lor
you. Please provide the inlormation requested and return a copy 01 this Order/Notice to the Agency identified below.
WITHHOLDER'SiD: 2325372800
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 -paym'ehts, cc)'ntact'the person or authC?rifY'below. -
7. Liability: If you fail to withhold income as the Orde,/Notice di,ects, 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 01 the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine dete,mlned unde, 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 anothe, State, in which case the law 01 the State in which he or she is
employed governs.
9. * Withholding limits: You may not withhold more than the lesser 01: 1) the amounts allowed by the Federal ConsumerCredit
Protection Act (15 U.S.c. 91673 (b)1; or 2) the amounts allowed by the State 01 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; Soci~-I Security taxeSi and'Medkare-taxes.
10.
*NOTE: If you or your agent are served with a copy of this order in the state that issued the orde,; you are to follow the
law of the state that issued this order with respect to these items.
Requesting Agency: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
13 N. HANOVER ST by telephone at (717) 240-6225 or
P.O. BOX 320 by FAX at (717) 240-6248 or
CARLISLE PA 17013 by Internet @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMS No.: 0970-0154
Expiration Date: 12/31/00
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
~):;; 02010 -/{JO;}-- r!/!//L
Stat~ Commonwealth of Pennsvlvanja
Co./City/Dist. of CUMBERLAND fJJ1C),t:5 '77 7 /b;).O?ff
Date .of Order/Notice 07/30/02 M. c297L7,/
Court/Case Number (See Addendum for case summary)
o Orlgi nal Order/Notice
@ Amended Order/Notice
o Terminate Order/Notlce
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (last, First, MI)
) 255-78-4471
) Employee/Obllgor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parenfs Name (last, First, MI)
)
Employer/Withholder's Federal EIN Number
BUCKS COUNTRY GARDENS LTD.
EmployerM/lthholder's Name
1057 N EASTON RD
Employer/Withholder's Address
DOYLESTOWN PA 18901-1027
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA TION: This is an Orde,/Notice to Withhold Income for Support based upon an o,der fo, support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these
amounts from the above-named employees/obligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 458.00 per month in current support
$ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes Q9 no
$ 0 >.00' per month in medical support
$ 0 . 00 per month for genetic test costs
$ per month in othe, (specify)
for a total of $ 458. 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:
$ 105.69 per weekly pay period.
$ 211.38 per biweekly pay period (every two weeks).
$ 229.00 per semimonthly pay pe,iod (twice a month).
$ 458.00 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 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
the allowable amount. The total withheld amount, and your fee, cannot exceed S5% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following info,mation is
needed (See #9 on pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employe, '
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: PennsylvanlaSCDU, 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.
BY THE COURT:
Service Type M
MAJt"""'O.'
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'r , ~l;;; ~,~. OMS No.: 0970.Ql
f(-(g ~@- _.,~ Expiration Dale: 12/31/00
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are ,equired to p,ovide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process unde, State law against the same income.
Federal tax levies in effect before receipt ofthis order have priority. If the,e 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 the Paydate/Date ofWitlllloldil15. '{au 1.1Ust IcpOlt tI.e pay date/dale of vvitl,lloldillg vvl.el, 5d.dil.g tile paylllellt. Tile
paydate/date of ..itl.l,oldilog is d,e date 010 ..I,kl, al..OUI't.... ..itI,f,eld ,NOh, tl,e elo'ployee's ..ages. 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 fo!Ward the support payments,
4. . Employee/Obligo, 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 musthonor a,lI Orders/Notices tl) 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.
WITHHOLDER'S ID: 2325372800
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER. DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be ,equired 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 di,ects. 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 anothe, State, in which case the law of the State in which he or she is employed governs.
8. Anti.{jiscrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to empioy, or taking disciplinary action against any employee/obligor because of a support withholding.
Pennsylvania State law governs un less' 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. 91673 (b)l ; or 2) the amounts allowed by the State of the employee's/obligor's p,incipal 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.
10.
.NOTE: If you or you, 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.
Requesting Agency:
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 @
Page 20f 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
ExpimtionDate: 12/31/00
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ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER,
PACSES Case Number 777102078/;(917'/
Plaintiff Name I ' 't'
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL $ 458.00
Child(ren)'s Name(s): DOB
DALE A.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
...'..........,..............'...'.........'....,...'......'....'........'....'...'........'.,..'.....'.....'....'...,...'.'.,......'.,............................'........'.....,.,
Dli~~:~~:~:..~~~.'.~;:~~~;;~;~:~;;li';~:~~;I~;;:~;,.....'.' ',',,", "
identified above in any health insurance coverage available
through the employee'slobligor'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):
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'sJobligo,'s employment.
o If checked, you are ,equired 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
Olfchecked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'sJobligor's employment.
Olf checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'sJobligor's employment.
Addendum
Form EN-028
Worker ID $IATT
Service Type M
OMS No.: 0970.Q154
Expiration Dale: 12/31/00
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State Commonwealth of pennsylvania
Co./City/Dist of ,CUMBERLAND
Date of O,der/Notice 08/06/02
Court/Case Number (See Addendum for case summary)
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
)))!/, 020&/. 7,;233 {!rnt.
P;r;c<:i'S 33 310 (/ l/ & f
));e .J I&&c;
@ Original ~rder/Notice
o Amended Order/Notice
o Terminate Order/Notice
,
) RE: CORNMAN, FREDERICK L.
) Employee/Obligor's Name (last, First, MI)
) 172-32-0389
) Employee/Obligor's Social Security Number
) 5329100866
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names assoaated with cases on attachment)
) Custodial Parent's Name (last, First, MI)
)
Employer,withholder's Federal EIN Number
SOCIAL SECURITY ADMINISTRATION
EmployerM'ithholder's Name
C/O MR. HEWITT
EmployerlWithholder's Address
MINVERVA MILLS BLDG
401 E LOUTHER ST
CARLISLE PA 17013-2657
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 ,equired to deduct these
amounts from the above-named employee's/obligor's income until further notice even if the Orde,/Notice is not
issued by your State.
$ 191.00 per month in cu,rent support
$ 9 . 00 per month in past-due support Arrears 12 weeks or greater? G9 yes 0 no
$ 0.00 pe' month in medical support
$ 0 . 00 per month for genetic test costs
$ per month in othe, (specify)
for'a total of $ 200.00 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:
$ 46.15 per weekly pay period.
$ 92 .31 pe' biweekly pay period (every two weeks).
$ 100.00 per semimonthly pay period (twice a month).
$ 200.00 pe' 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. Refe, to the laws governing the wo,k state of your employee for the
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 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: 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 SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order:
AUG
72002
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tJ v r-- ~,<nir"tion Date; 12/31/00
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Form EN-028
Worker ID $OINC
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, ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
D If checked you are required to p,ovide a copy of this form to your employee.
1. P,iority: Withholding underthis Order/Notice has prio,ity over any other legal process under State law against the same income.
Federal lax 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 ,equesting withholding. You must, however, separately identify the portion of the single payment that is attributable to
each employee/obligor.
3. * Repoltillg till PAyd~Di\te l'1f 'Iv'itl,l,oldil,g. Y5U must lepolt tile pAyclateldate of vvitl,l,oldh,g v~l,ell sel,clh,'g tile payfl,el,t. TIle
paydateldaffi of vvitlll,oldillg;s tile date 011 vvLich amount vv3S vvitl,lteld flOhl tLe elnployee's vvage!,. You must comply with the law ofthe
state of the employee's/obligor's p,incipal 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 Orde,/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 retum a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 8384100092
EMPLOYEE'S/OBLlGOR'S NAME: CORNMAN, FREDERICK L.
EMPLOYEE'S CASE IDENTIFIER: 5329100866 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be requi,ed 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 a,e 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-<liscrimination: You are subject to a fine dete,mined 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 Slate law governs unless the obligor is employed in another State, in which case the law of the Slate in which he or she is
employed governs.
9.' Withholding Limits: You may not withhold more than the lesse, of: 1) the amounts allowed by thelederal ConsumerCredit
Protection Act (15 U.S.c. ~1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of ernployment.
The Federal limit applies to the agg,egate 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.
10.
'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.
Req uesti ng Agency:
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 @
Page 2 of 2
Form EN-028
Worker ID $OINC
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: CORNMAN, FREDERICK L.
PACSES Case Number 333104468/3/~
Plaintiff Name
DIANNA K. CORNMAN
Docket Attachment Amount
01-7233 CIVIL$ 200.00
Child(ren)'s Name(s):
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o li~h~~ked: ~~~~re r~~~i;~dt~~~;;11 the~hild(ren)
identified above in a'ny 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):
DOB
D If checked, you are required to enroll the ch ild (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):
DOB
D If checked, you are ,equired to enroll the child(,en)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Servi ce Type M
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PACSES Case Numbe,
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(,en)'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.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
D If checked, you a,e required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES CaseNumbe,
Plaintiff Name
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.
Addendum
Form EN-028
Worker ID $OINC
OMS No.: 0970-0154
Expiration Date: 12/31/00
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FREDERICK L. CORNMAN,
Plaintiff/Respondent
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
DIANNA K. CORNMAN,
DefendantIPetitioner
NO. 2001-7233 CIVIL TERM
IN DIVORCE
DR# 31664
Pacses# 333104468
ORDER OF COURT
AND NOW, this 6th day of August, 2002, ba$ed upon the Court's determination that Petitioner's
monthly net income/earning capacity is $901;51 and Respondent's monthly net income/earning
capacity is $1,378.37, it is hereby Ordered that the Respondent pay to the Pennsylvania State
Collection and Disbursement Unit, $200.00 per month payable monthly as follows; $191.00 for
alimony pendente lite and $9,00 on arrears. First payment due within five days from this date, Arrears
set at $764,00 as of August 6,2002, The effective date of the order is April 17,2002,
Husband is to make a direct payment to wife for the month of August 2002 and wife to report to DRO
that she received said payment to credit the account.
Failure to make each payment on time and in full will cause all arrears to become subject to immediate
collection by all of the means as provided by 23 Pa.C.S,~ 3703, Further, if the Court finds, after
hearing, that the Respondent has willfully failed to comply with this Order, it may declare the
Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not
limited to, commitment of the Respondent to prison for a period not to exceed six months.
Said money to be turned over by the P A SCDU to: Dianna K. Cornman. Payments must be made by
check or money order. All checks and money orders must be made payable to P A SCDU and mailed
to:
PA SCDU
P,O, Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's P ACSES Member Number or Social Security Number in order
to be processed, Do not send cash by mail.
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Unreimbursed medical expenses that exceed $250.00 annuaIly are to be paid 0% by the respondent
and 100% by petitioner. The petitioner is responsible to pay the first $250.00 annually in
unreimbursed medical expenses. Neither party to provide medical insurance coverage.
This Order shall become final ten days after the mailing of the notice of the entry of the Order to the
parties unless either party files a written demand with the Prothonotary for a hearing de novo before
the Court.
~
BY THE COURT,
Petitioner
Respondent
Jerry Weigle, Esquire
Jason Kutulakis, Esquire
7' /9.~
Kevin A Hess
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CHRISTINE M. FLETCHER,
. IN THE COURT OF COMMON PLEAS
. CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
. NO. 2000-1002
. CIVIL ACTION - LAW
DALE A FLETCHER,
. IN DIVORCE
Defendant
PRE-TRIAL STATEMENT
L FACTS:
Christine Fletcher, wife, was born August 24, 1947; educated at the
University of Pittsburgh for eleven months as a dental assistant.
Dale Fletcher, husband, was born November 10, 1950, and was educated
through West Point and is retired from the military.
This is the third marriage for the wife, second for husband.
Each party has three (3) children to prior marriages, all grown.
The parties were married November 24, 1997, in Florida, and the parties
separated November 21, 1999.
Currently, the husband is paying unto the wife the sum of$458.00 per month
in spousal support.
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Through Domestic Relations, husband was determined to have an earning
capacity of$3,116.67 per month, and wife $1,275.63 per month.
Wife works for "Wears Like New," a ladies consignment shop.
Wife has been notified that husband is currently not employed but has no
other information as to his current circumstances.
II. ASSETS:
The partied owned a home situate at 1150 Redwood Drive, Carlisle,
Permsylvania, which was sold October 30,2001. The partied netted $19,670.49
which is currently being held in escrow by husband's attorney.
Each party has investment accOlUlts, wife at Schwab - IRA - which has an
approximate increased value during the marriage of$5,000.00. Wife is aware that
husband has investments, but does not know the value.
The vehicles driven by the parties were purchased before marriage.
There are some items of personal property that the wife desires to have
returned to her, otherwise, the personal property in the home has been divided by
the parties.
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The parties have a Members First checking accOlmt with a value of$1,418.00
as of separation; a Members First savings of $11,855.17, and a 20th Century mutual
hmd of $7,257.00.
m. ESTIMATED LENGTH OF TRIAL:
V, day
IV. WITNESSES:
Wife anticipates that she will be the only witness called by her.
V. PROPOSED RESOLUTION:
Wife proposes an equal division of all assets and alimony at its current rate
for a period of three (3) years.
RespecthJlly submitted,
Mancke, Wagner, Hershey & Tully
/
B
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P. Richard Wagner, Esquire
LD. #23103
2233 North Front Street
Harrisburg, PA 17110
(717) 234-7051
3-/.(Q ~
Date: r-
Attorneys for Plaintiff
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CIVIL ACTION - LAW
VB.
NO. 00 _ 1002 CIVIL CIVIL
IN DIVORCE
19
DALE A. FLETCHER
Defendant
STATUS SHEET
DATE:
ACTIVITIES:
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CHR!STINE M. FLETCHER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 00 - 1002 CIVIL
DALE A. FLETCHER,
Defendant
IN DIVORCE
TO: P. Richard Wagner
Attorney for Plaintiff
Marcus A. McKnight, III
Attorney for Defendant
DATE: Wednesday, April 11, 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate whether there are any outstanding
interrogatories or discovery motions.
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(b) Provide approximate date when discovery will be
complete and indicate what action is being taken
to complete discovery.
DATE
COUNSEL FOR PLAINTIFF
COUNSEL FOR DEFENDANT
NOTE:
PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE
FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE
CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE
AT THE MASTER'S DISCRETION.
AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL
OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY
COUNSEL, INDICATING THAT DISCOVERY IS NOT
COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL
STATEMENTS WILL BE ISSUED AT THE MASTER'S
DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A
PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY
IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL
STATEMENTS WILL BE ISSUED IMMEDIATELY.
THE CERTIFICATION DOCUMENT SHOULD BE RETURNED
TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF
THE DATE SHOWN ON THE DOCUMENT.
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CHRISTINE M. FLETCHER,
Plaintiff
: IN THE COURT OF COMMON PLEAS OF Jx- /' j, 1) I} rr~
: CUMBERLAND COUNTY, PENNSYL V ANIAt" VI r r
v.
: NO. 2000-1002 CIVIL
DALE A. FLETCHER,
Defendant
: CIVIL ACTION - LAW
PRE-TRIAl, STATEMENT OF DEFENDANT
Date of Marriage: November 24, 1997
Date of Separation: November 19, 1999
Dirk E. Berry, Esquire
Law Office ofJames K. Jones
A~I/Y
Dirk E. Berry, Esquire
Attorney for Defendant
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MARITAL ASSETS
Item Prior to Marriage Upon Separation Value as of
No. Assets (Enc!.) Approx. 11/97 11/19/99 indicated date
Dale Chris Dale Chris Dale Chris
Accounts
1. Checking (A,C,D) $1,669 0 $1,518 0 1/31/02 ?
$11,515
2. Savings(A,C,D) $9,667 0 $11,855 0 1/31/02 ?
$15, 133
3. Merrill Lynch $5,966
Money Market(B)
4. Members 1st XMAS(D) - $200 0 ?
5. Members 1 st 1/31/02
Investment Savings $4,220
Total value for number 1, 2 and 5 equals $30,868.00; less $1,518.00, less $11,855.00 equals $17,495.00.
6. Schwab One
Checking(E)
7. VISA Credit Card 0
Balance(E)
from pnrchases(F)
Cash advance
by Chris on 1lI19/99(G)
($700) ?
($1,582) ($648) paid
by Dale
8.
Other Misc.
BillslDebts(H)
($7,000)
$5,000 paid
by Chris
$2,000 paid
by Dale
($416) paid
by Dale
$2,000
retained
by Chris
9.
Cash:
Salary received by
Chris(H) 1lI12/99
(not deposited in bank)
$300
Past! 1
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Item
No. Assets (Encl.)
Prior to Marriage
Approx. 11/97
Upon Separation
11/19/99
Value as of
indicated date
Dale
Chris
Dale
Chris
Dale
Chris
10.
20th CentuIy
Mutual Funds(I)
$7,257
Used for partial purchase of Mazda vehicle and for investment. With investment loss and trade in the
value lost equals $6,889.00.
Debt/assets accrued since separation: $17,495 minus $6,889.00 equals $10,606.00.
ll. Jacob Mutual Fund(J) 12/31/01
$368
12. 1989 Toyota Camry $5,000 $2,900
13. 1992 Saturn $5,000 $4,000 $3,000
14. Household Goods(Encl) $32,435 $6,815 $25,763 $5,187 $25,763 $5,187
A listing of the household goods is attached. Husband is proposing that each party retain the household
goods currently in each parties' possession. '
15.
Equity of House
1150 Redwood Drive(K)
purchased 5/20/98
$98,500(T)
sold 10/31/01 $104,900(U)
in Penn State Bank
Account 2631341
unknown
in equity
2/08/02
$20,452
gift of $25,000 from Dale's
dad, Paul Fletcher, toward
purchase provided on 3/24/98.
16.
Alimony Pendente Lite
Paid to Chris 4/00-2/02
$10,516
17. 1995 Mazda 626 purchased for $8,900.00 on 11-27-99 after separation. Traded in 1989 Toyota Camry
with a tralitl in value of $2,900.00.
Page 2
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,
RETIREMENT ACCOUNTS
Dale and Chris were married for two of Dale's seven and a half years with Pinnac1eHealth.
Dale's U.S. Army Retirement pay is $2,408.00 monthly less $882.00 to former spouse for
life. Entire U.S. Army service performed prior to marriage to Chris. (non-marital asset),
Item Prior to Marriage Upon Separation Value as of
No. Assets (Enc\.) Approx. 11/97 11/19/99 indicated date
Dale Chris Dale Chris Dale Chris
1. Charles Schwab $9,646 unknown 1/02
401k(L,X) $9,638
2. Merck 401k(L,X) $7,693 unknown 1/02
$14,957
3. Prudential403b(N,O) $11,852 $21.784 12/31/01
$21,615
4. Oppenheimer unknown unknown 3/01
Mutual Fund(M) $1,563
5. PinnacleHealth unclear unclear unclear
Pension Plan(p)
Page 3
,
.
,
NON-MARITAL ASSETS
1. Dale's U.S. Army Retirement-Entire service performed prior to marriage with Chris.
Pay $2,408.00 monthly, less $882.00 to former spouse for life.
2. Dale's U.S.M.A. class ring $990.00.
3. Dale's personal clothing estimated at $4,500.00.
Page 4
,
MARITAL ASSETS TRANSFERRED
Page 5
.-
MARITAl, LIABILITIES
***ALL VALUES AS OF SEPARATION***
ALL LIABILITIES WERE PAID, SUBSEQUENT TO SEPARATION, BY DALE
L $1,280.00 owed to Brenner Furniture for Dining Room table(S).
2. $7,000.00 visa cash advance made by Chris on 11/19/00(E). $5,000.00 paid by Chris
on 5/00, $2,000.00.
3. Bills of$416.00 accrued just prior to separation(H).
4. VISA balance on 11/19199 of $648.00.
Page 6
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NON-MARITAL LIABILITIES
In accordance with the Former Spouse Protection Act, Dale is required to provide 38.25%
of monthly disposable U.S. Army retirement pay to former spouse for life. Currently
$882.00/month. (paperwork provided (X,Y,Z)).
Page 7
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EQUITABLE DISTRIBUTION CONSIDERATIONS
I. Chris filed for the divorce, ending the marriage which Dale tried unsuccessfully to save. ,
2. The marriage was of short duration, lasting less than two years.
3. Dale entered the marriage providing considerably greater contribution to the marital
assets than Chris.
4. During the marriage Dale's financial contribution was considerably greater than Chris'.
5. The following comments, stated by Chris on the indicated dates, suggest that Chris
participated in this marriage for the questionable motive of merely gaining access to Dale's assets.
5/16/98
5/30/98
11/28/98
9/15/99
9/29/99
. 10/1 5/99
11/1 0/99
"I'll wait until Wednesday after we close on the house and then take 50%
of the house and everything else."
"I'll take halfof everything, house included."
"I'll takeyou-for allyou have."
"If you give moileyto DreW-for college, I'll stripyou of your money."
"You'd better start getting nervous about your moiley because no matter
what you write down, it won't matter."
"I'll surprise you with what I take when I leave."
"I'll strip you of all yol.l have." .
Therefore, it appearing that wife precipitously ended the marital relationship and divorced
husband as soon as the marriage had lasted long enough for a possible claim to accrue and
husband having made the greater contribution both prior and during the marriage and wife having
apparently an unscrupulous motive of increasing her financial position at the expense of husband's
pre-marriage assets, hus):land proposes an equitable distribution wherein husband retains
significantly greater than 50% of the marital assets.
Page 8
HUSBANDS PROPOSED DIVISION OF PROPERTY
1. Therefore, it appearing that wife having unilateraIly ended the marital relationship and
husband having made the greater contribution both prior and during the marriage and wife having
apparently a questionable motive of increasing her financial position at the expense of husband's
pre-marriage assets, husband proposes an equitable distribution as follows:
2. Personal Property. Husband proposes that all assets currently in possession of both
parties,. other than the equity account established from the sale of the house, be retained by each
party.
3. Sale of Home. Of the current $20,452.00 in the equity account from the sale of the
home, husband proposes that $13,938.00 be received by husband, and $6,514.00 be received by
Chris. This would provide both a 50% share of the equity, minus $2,000.00 for what Chris
retained from a cash advance on 11/19/99, with credit given to husband for the $1,712 that was
paid by husband towards the principle since separation
4. Tax return 2001. Husband proposes that any tax return from the 2001 tax year be
shared equally by both, after payment for preparation.
5. Tax return 2002, Husband proposes that parties file separate tax returns for the 2002
tax year.
6. Husband further proposes that assets, which may technically be marital assets, and
which were managed by only one party after separation, and where gains or losses may have
accrued after said separation, be accounted solely to the party having control of said asset after
separation.
For example: By way of illustration, marital assets number 1,2,5 and 10, would produce a
net of $10,606.00 that husband proposes should be distributed to husband.
7. Retirement and Pension Plans. Husband proposes that each retain full entitlement to
such retirement and pension plans as each possessed upon entry to the marriage.
Page 9
.~"'-, " .>~- .,', , .'--.-, ~,"-"j "'J . -"" ""--~'"-:-,,,.I; ,. --~, .
.
8. Each spouse retains the vehicle currently in their possession.
9. Dale brought $17,302.00 of cash and investments into the marriage. Chris brought
$2,282.00 of debt into the marriage with no investments. At time of separation there was
$20,830.00 of cash and investments. After accounting for payment of the $1,280.00 for the
dining room table and chairs, $416.00 of bills, $648.00 unpaid VISA charges, and considering the
starting debt of Chris of $2,282.00, the balance of cash and investments at time of separation was
valued at $16,204.00. There was no increase, but actually a reduction in value of cash and
investments during the marriage. I propose that no monies be further divided from these assets.
10. Chris has already received from Dale at least $10,516.00 in Alimony Pendente Lite.
This was initially done out of agreement by Dale, expecting that the marriage would be
reconciled. There was no cause/justification for the APL shown resulting in a court order.
11. Dale provided to Chris $1,846.00 in addition to the APL, during the period 11/20/99-
7/1/00, including $700.00 for a deposit towards rent on 11/20/99.
Page 10
"
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." "-",,' d.;""'; :c-,.,,.,,,,',,_ ~C;"'i',"",'r,0_-':-"o-,_.I"," >'~,i
,,-/:i~
WITNESSES
Husband intends to call only himself at the hearing, unless wife does not testifY as part of
her case-in-chief and then husband would expect to caII both husband and wife.
.,
Page 11
'L,
..'~"
"
MAR-04-02 11:54 AM COPY POST PRT~
215 343 15159
P.01
WRIPlt'!....'rJON
I vorit)' that the atarements made In this Pre-Trial SlIIomOllI of Do'ondlnt Ire 1M and correct
Ill" the'lielfcf mv ktJIJwl~dae'lina litltef; 1 Wlderarand thadalll! 6fart1liliu'luIl'l1ln 8M mllM
ilIbjll\:lLU !be pcmLItlCB uf 18 Pa. C.S. 149011. retlllllJ to UIIIWDI'rI flIllficatlCn Ie> authorities.
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Page 12
ST A TEII/lENT
~IDIRE:CT INQUIRIES To..:
Membersl.
FEDERAL CREDIT UNION
P.O. Box 40
Mechanicsburg, Pennsylvania 17055~0040
(717) 697-1161
TOLL FRET:1-800-283-2328
TOD Hearing Impaired (717} 697-5312 \
I RTANT TAX INF
1099-INT AND/OR IRA FAIR MA
~LUE INFORMATION IS INCLUDED WITH
THIS STATEMENT.
NO SEPERATE MAILING WILL BE MADE.
THE IRS HAS BEEN FURNISHED THIS INFORMATION.
PLEASE RETAIN THIS STATEMENT FOR YOUR
TAX RECORDS.
DALE A FLETCHER
1872 DOUGLAS DRIVE
CARLISLE P
TAX RETURN DOCUMENT
ENCLOSED
GD
11110
: 1~01:9
, 1aOM
, 12)01'9
: m~~
: 1211219
, 12)22)9
, 12:2~9
: 1~2 9
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: ZO~9 PAYROLL ALLOCATION FROM
, 11019 TAKE DEPOSIT
, 1l0]9 MON ORD FEE
, 1~0~9 SHARE DRAFT # 1004
, 140~9 SHARE, DRAFT # 1054
: 1<1049 SHARE-DRAFT II . ),lJ55
, 099 MOVE WITHDRAWA~~
1?0~9 ATM WITHDRAWAl~
I ;; 1111 SPRING RD CARLISLE
, 1110g9 SHARE DRAFT II ~057
, 1]9 ATM,WITHDRAWAl~'
, I.'...' 844 POST/EXCHANGE CARLISLE
: 1zi~9 SHARFDRAFT'll- 1060
, 111119 PAYROLL~AllOCATION FROM
, 12129 SHARE~DRAFT II 1059'
1~129 SHARE, DRAFT #" 1063,:
,.,.: " lala9 SHAREtDRAFT; I,., . 1067 ,..":~- "
, , 1<1129 SHARE DRAFT II" ~1065. ," '
':;tf~~~~~~~_~i';;~
1 " I' , ,
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION REGARDING YOUR RIGHTS TO DISPUTE BILLJNG AND REGULATION ERRORS.
US TREASUR
DFAS-ClEVElAND
DFAS-ClEVELAND
MONEY ORDERS
PINNACLE HEALTH
PINNACLE HEALTH
SHARE WITHDRAWAL
TFR TO .SHARES
PINNACLE HEALTH
PINNACLE 'HEALTH
US TREASURY 220
ATM DEPOSIT'"
148 NOBLElIlVD
DIVIDEND
170458-11
94.00
1104.64
-1104.64
-700.00
581.17
-581.17
-1582.50
-1500.00
581.17
-581.17
,95.00
1384.00
21. 42
1231131800
CARLISLE
PA
JOINT OWNERS: CHRISTINE FLETCHER
REPORTING SSN:255-78-4471 Y-T-D DIVIDENDS:
104.70
TRUTH IN SAVINGS INFORMATION
AL PERCENTAGE YIELD / 3.35Y.
AL PERCENTAGE YIELD EARNED / 3.35Y.
-------:-~-----~. ------~--------~----~-------
SUFFIX:~~ECKING ~
BEGINNING BALANCE ~fi.22~
DEPOSITS ~ 74
DRAFTS 33 .20
DEBITS/FEES 725.74
MAINT/SERVICE CHGS .00
ENDING BALANCE 2462.02
TOTAL NUMBER DRAFTS
LEARED 7
YOUR AVG DAILY BALAN
YOUR LOW MONTH BALAN
EWAS
E WAS
'/1)04.64
/261. 00
-T.OO
-80'.00 ,
-346.23 '
, -70.00
50.00
-100.00
170458-00
0337016819
0537023042
0358001414
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PA
PA
-300.00
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170458-00
,
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. . ,,-. ,f. 1 "':'_' -..~ ..-..,~--".
:87--
10392.51
9287.87
8587.87
9169.04
8587.87
7005.37
5505.37
6086.54
5505.37
5600.37
6984.37
7005.79
1 76.54
758.58
2773.86_
3034.86
3033.86
2953.86
2607.63
2537.63
2487.63
2387.63
2087.63 ·
1947.63
1872 .16
A
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I
Merrill Lynch,
Pierce, Fenner & Smith Inc.
Member. Securities Investor Protection Corporation (SIPC)
CM ~~PitaIBUilderS"A~Count
Monthly SJaJ,ment
PAGE # TELEPHONE #
1 717-975-4629
SS OR 10
255-78-4471
PURCHASING
POWER
$5,966.00
MR DALE A FLETCHER
1872 DOUGLAS DR
CARLISLE PA 17013-46Z3
CID
OFFICE SERVING YOUR ACCOUNT
214 SENATE AVE, STE 501
CAMP HILL PA 17011
TYPE
CRED I T
FOR CUSTOMER SERVICE PLEASE CALL TOLL-FREE 800-247-6400
*****
ACCOUNT SUMMARY
*****
OPENING 8ALANCE CLOSING 8ALANCE
$1.94CR $1.90CR
INVESTMENTS
$0
MONEY ACCOUNTS
$5,965.00
*****
MONEY ACCOUNTS SUMMARY
*****
MONEY ACCOUNT
OPENING
BALANCE
CLOS I NG
BALANCE
DIVIDEND / INTEREST
THIS STMT. YR. TO DATE
$28.96 $290.39 5.09%
*****
AMOUNT
$1.94CR
$1.00
$.96CR
$1.90CR
*****
CBA MONEY FUND
*****
DATE TRANSACTION
11 29 OPENING BALANCE
12 01 PURCHASE
12 31 SHARE DIVIDEND
12 31 CASH DIVIDEND
12 31 CLOS I NG BALANCE
*****
$5,936.00 $5,965.00
DAILY ACCOUNT ACTIVITY
DESCR I PT I ON
CBA MONEY FUND
28 CBA MONEY FUND
CBA MONEY FUND
FROM 11-27 THRU 12-31
CURRENT PORTFOLIO
QUANTITY
INVESTMENT DESCRIPTION
5965
CBA MONEY FUND
CASH
1.000
$5965
TO REPORT LOST/STOLEN VISA CARD OR CHECKS CALL THE TOLL-FREE-NUMBER 1-800-262-5678.
PLEASE RETAIN THIS STATEMENT TO ENABLE YOU TO COMPUTE ANY INTEREST ON
YOUR NEXT STATEMENT.
GET THE INS AND OUTS OF IRA DURING MERRILL LYNCH'S ONLINE SEMINAR ON 1/28/98.
LOG ON AT ML.COM AT 3 OR 9 PM TO PARTICIPATE.
"
.
~~ -'...;'~'f'). ','_ i ,,',., 2;",.
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~B:ii~,g~~'#t~~i~f4if~;j~:~~~~~1;~1~:~~ '.', ::r;, ,;~f.:'~';,~:;:;.... ,....~i~~ili~~~~, B
Smllhlnc, CBA Opera~onslCorrH~onclonce Dept. New Bnm5wl~k, N.J. 08989--0566. When IIIIIkln~nqUiri"" CODE 5014R (RZ.S6) '.
=:fo~~tWi'iO=y:.W&UI9&yl>\Ilo'MlolPtl\W,SI&\1lmenlwltny<>\lt'\lWMtmen\~. ll6<:\;ol '''~'<',,,..-',..'"
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Send Inquires to:
1\kmberslsr
FEDERAL CREDIT UNION
5000 Louise C,tive
PO Box 40
Mechanicsburg, PA 17055
www.members1st.org
Member's
Statement,
of Account
Account Number From
-~~-'
189103 01-01-02
TO Page
01-31-02 1 of
Main Switchboard: (717) 697-1161 or (BOO) 283-2328
Call-24: (717} 697..4372 or (SOO) 283-4372
TOO: (717) 697.5312 01 (800) 283-2328 ext, 5312
TeleBranch: (717) 795-6049 or {BOO} 237-7288
..,':- ;:<l~i~~;~~~~~';f~:iij;:~;~~:f-;t0:~~"r.~}:~~~;~~~$i1r::r;'~i;"~::&,{;1!';_~,. ,1:_; -
',,'\, ~ECE;IVE':"Y9tiR;TAX'REflJND:fAStER,''(;
;,>TH IS.;:YE~R i,WITH, D,I REC'F DEPOSln";:<,
1",111"1,1,1"1",1,11",,1.11,,1,11,,,,11,,1,,,111,",11,,1
DALE A FLETCHER
1770 PEACHTREE LANE
WARRINGTON PA 18976-2806
38751
.Jlli"lill' ;;';;;;;;;;;';;Yi;;;;;il;'oo.~I{E.:gg~lml&QN1;; "".
SUfF,IX:OO ~,
010202 DFAS-CLEVE~
010202 DFAS-CLEVELAND
010202 EASY DEPOSIT
010202 EASY DEPOSIT
011502 FITCARE LIFECENT
011502 FITCARE L1FECENT
013102 SHARE DEPOSIT
013102 DIVIDEND
.'..,........"...-.".-.--....-.-....."
:;:t:~:~:~:r::;:::;::::~:::::f::~:{:~:)~:i{::t
i;;;.~NT
..............--..............
1118.87
-1118.87
43.42
80.64
'2204.55
-2204.55
50.64
22.25
Y-T-D DIVIDENDS:
TRUTH IN SAVINGS INFORMATION
ANNUAL PERCENTAGE YIELD / 1.75%
ANNUAL PERCENTAGE YIELD EARNED / 1.75%
------ SUFFli;os-~~ENT-SAV~-------------------------
013102 DIVIDEND ~,., ",.,..~:/. ,
Y-T-D DIVIDENDS:
TRUTH IN SAVINGS INFORMATION
ANNUAL PERCENTAGE YIELD I 1.80%
ANNUAL PERCENTAGE YIELD EARNED / 1.81%
--- ------ :~:~~:;~~~:~~~::::~::--------------------------
DEPOSITS 3334.24
DRAFTS 1836.50
DEBITS/FEES 2236.66
MAINT/SERVICE CHGS .00
ENDING BALANCE 11515.44
22.25
6.41
6.41
TOTAL NUMBER DRAF S CLEARED
YOUR AVG DAILY BA ANCE WAS
YOUR LOW MONTH BA ANCE WAS
II..~..'
1493&.98
16055.85
14936.98
14980.40
15061.04
17265.59
15061.04
15111.68
15133.93
4214.50
4220.91
3
12737.74
11504.62
010202 PAYROLL ALLOCATION FROM 189103-00 1118.87 13373.23
010502 ATM WITHDRAWAL 0105165004 -200.00 13173.23
611 & STREET ROAD WARINGTON PA
0108 010702 SHARE DRAFT # 581 0107011467 -475.00 12698.23
011502 PAYROLL ALLOCATION FROM 189103-00 2204.55 14902.78
0117 011602 SHARE DRAFT'# 5BO 0116012542 -83.50 14819.28
0119 011802.SHARE DRAFT # 582 0118011085 -1278.00 13541.28
012202 SHARE WITHDRAWAL -1836.66. 11704.62
,012602ATM WITHDRAWAL",' '.', 0126161917 " -200.00; 11504.62"
,,.I~fll~mi~,T'Ri~4,~:i&il~~:L~.tii:_i
"',,'" ""NO.", AI\OUNT<i;"~,'ii",,'c";,,,NO.k,,; AIIOUNT"."(;;,,,,;, 'v NO.!",:", : ,', AI\OUNT ,
"';"',\"~'" .'f'""5'80 '475 00'"", " '.' 582"":" 1278 "OO.,;!': 'ii,J'+J;t"TOTAL" '!,"'q 836"'50 "
:.:?;&$JW~~ ~:;l1~;:~~ .~jd~,~~:~;~if;ltt;~:wi{;;,~:"' \,i'l" :'i'~:"i,,\:;,,~~'.'f~~tr!~\~(~5;'~':~'-:';~;'I;.~i[;HJi<<.~~: i~.:;;;~N-trp1?~y?b!~q~,t~:' ~~ ,-;,::;: :':"', - , - ,- ~ ><.""-', '~
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- =-,~ -. -,_.~ '" ~"-"""""~U;i....I"",,"_",,,,"'- .. ....._,~.~.
'~~I';:
MemberslST
FEDERAL CREDIT UNION www.members1storg
Main Switchboard: ~717) 697.1161 or (800) 283.2328
Call-24: 717) 697-4372 or 1800) 283-4372
Dial-A-Loan: 717) 795.6053 or 800) 723~4352
Loan Center: (717) 795~6040 or 800) 283-2328.exl. 6040
TeleBranch: (717) 795.6049 or 800) 237~7288
TDD .
fOT the HeaTing lrnpairett. 1717) 697 ~5312 or !8oo) 283~2328 ex1. 5312
Personal Branch: 717 795-6050 or 888) 466-3265
Mortgage Dept: 717~ 795-6026 or 800) 283-2328 exl. 6026
.....-s'rATEMENT
SEND DIRECT \NQUIRIES,TO:
PO Box 40
Mechanlcsb....rg, PA 17055
RUNNING A LITTLE SHORT ON CA~1))
THIS HOLIDAY SEASON? OPEN A
CHRISTMAS CLUB ACCOUNT TODAY
TO PREPARE FOR THE 2000 HOLIDAY
SEASON. VISIT ANY OF OUR BRANCH
LOCATIONS OR CALL (717) 795-6049
OR (800) 237-7288 TO OPEN YOUR
ACCOUNT.
DALE A FLETCHER
1150 REDWOOD DRIVE
CARLISLE PA 17013-1378
1",111".111"11"11,.11""11,,11.1,,.11111,,1,1.11,,,.1II11
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...+...... .l13.~9. DIVIDE.N.Dm.......m......mm.....................m......m......m...m.................................. "''''''m...mm.....m'''''m......'
ml...... .....lm...[...... JOINI.....OWNERS.:.....CHRISI.lNE.....FLEICHE.R...........mm.......m.........m.......m............m..........m.......m
m: .:, REPORTING SSN:255-78-4471 Y-T-D DIVIDENDS: 242.04
m"'rm ...mtr"'''' .............mm"'TRUTH.mIN'sAv!NG'smiNFQRM'i\TioN..................mmm...m...m...............mm"'m
96:00
........1.0.21,.06
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...m...1.1.0.1..195.7.5.9.m. ..........:::.5.0.0..,.00
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3344.50 3369.50
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i ii' ANNUAl I'ERCENTAG.E...Y..IEL.D............................I....2.,..9.5.%........................................ ......................... ...........m.................
mT'" "T"T"''''' ANNUAL"'"P"ERCENT AGE YIELD EARNED / 2.98%
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T' SEofNNINo.sliCii"NcE'.......i 783 . 04
, DEPOSITS 2877.05
J.T. g~~n~:~~~~~.:"]nr~r'
,; MAINT /SERVICE CHGS .00
.1...L... !;NRJNG.~AI,J\NG!;........ ..,00..
t6TliCf,iUMsE'RliRM=g'cCEii"REO"'"
i9
YOUR Avcf"O'AIL Y BliIA CE'W'AS' "T20:L'08"
.......YQ\JRbQW.~QNI!:!.BAI,ACJ;WAs. .." .....::2Q,00
iT019 PAYROCCALLOCATION FROM'T164SiFoo
no 19, SHARE DRAFT # 1823 ............. 0011015600
, 'iiIofi:j' SHARE'ORAFT"#""1824'" .........,...'...0011026125...
.i. U1019. ~~~.~~~MI~H~~~SIfR 170458-00 ...........UQ))95759..
, 1 1111 SPRING RD CARLISLE .........P..A.....
, "i:i!oT9' ATM'wItHDRAWAC" ........
; ;! 1111 SPRING RD CARLISLE ....P..A.
.. . IT029" ATM.O'E.poslr............ "'"
! ; 1111 SPRING RD CARLISLE ........P..A
fT029 ArM'OEPosIT'" ..................... ......1102010641
, 1 1111 SPRING RD CARLISLE
fTO'29' ..TM..sHR.TO.sHR.tFR'.......,..........
! 1 TFR TO SHARES 170458-00
'I "rT"nn'SPRf'NO'RO' "'cliRfSLE Pi\' ....... "'..."
, n029 SHARE DRAFT # 1826 ................. 0011020278 -100.00 3179.50
"r" n1039 sHA'RE"'ORAFriji"1825 ""00Tio0291s::SiL82'" 3098:68"
, n049 HARE DRAFT # 1830 ....................... 0011006078 -89.87 3008.81
'T"liT059 SHAR'E"O'RAFt"iji" "1833 ..........0011021259. '::3S:'fo'" "29'13:n'
1 l1!059 HARE DRAFT # 1829 0011001461 -35.56 2938.15
....;..IiIo!l9.SHAR'E..DRAFT.I. ''183'5'" .......... .... .... . .... ....00.1'l015933.......-392:.00.....2S46:Ts..
, l1i069 ATM I'HTHDRAWAL ............ .UO.!1J.2~~.2.\!... . .......::.!1Q.&0.....2.'\\!.!1.,J.5....
]:~J~J;: n~:~~i.~~~~[~~.:...:~~~.=.i.~~=.......~~...............U9\!m405. '.." 2!1Q.,~Q. ..2747.,01
, ,! 1111 SPRING RD CARLISLE PA
I Iv089 SHARE DRAFT # 1837 0011009143
..t'TT589' sHA'R'E...O.RAFt'I....1S32.................... ""'001100S25'4'
, l1!089 SHARE DRAFT # 1834 0011005235
.....i..n. Ti!e)"9'9" AfM..hsHR'...TO...Sti'R....TFff'm.........m...h.mm..... m.................... ............m......iT0"9.oif(f6.s.7........ .m....
, '1 TFR TO SHARES 170458-00
I:::'l:~I~:J~: n~~~lI~~~~~~[:.~~~:?~.~=::::::...~A..::: .. ... ..:~:~.~;~~~ ;;:~. . ..::!19,.00~;;5,.4.!1..
! ; i 1111 SPRING RD CARLISLE PA .......
, 111099 SHARE DRAFT # 1828 0011002453 -150. 00 ......!.~.\!.5.,.4.!1.....
....,.... Tf099....HAR'E...DRAFT....i......IS36.......................................................0.OH0f7S.9.0........::243.:.0'0. 1142 . 46
, IVIQ9 SHARE DRAFT # 1~39 0011001743 -40.80 1101.66
J nUR ~~X~~=~~~~i~~~:~~~~~r~~~.:...~.~o..~~~~~o...........~~.~~~~;;.~~... "':~r~~' ....T~rr~r
, 11'139 ATM WITHDRAWAL 1113140522..........::.6.0.:.00... ...11'89.:.90....
1 1: 844 POST EXCHANGE CARLISLE ' PA .... ..................... .......................
....,.... fin:69 SHAR'E..M:AFT...'#.........fs4T........................................................0.o1IoIli.3Tl... -25.00 1764.90
I IV169 HARE DRAFT # 1844 0011017602 . -100.00 1664.90
'"r''' TiTf69' . SHARE....O.RAFf...iji........1s40.....................................................oo110f7604.... ........::12.6:00 ......1S38:90.....
.):...m~l' A~~R~'I~,MHw!c..J!?~~...............................................l~U~8~U~ .......::i~g:88<Cfi1ft. ~Jp,...
! ; I HARRISBURG HOSPITAHARRISBURG PA '
"'T' Tff'iif TFR...TCf..sHARES................le.Cj'1M=TT........................................................... ......::T1nr:9<f.........30ir:.00.....
; 11'229 MOVE WITHDRAWAL ... ........ ..........::.2.5.0..,.0.0. ..............50.,..0.0.....,
.1: :niU~ . ~~~~~.~.~:~J~~~~~:~~..~~~:~.....::::.::...:..::.:..::.::.:.:::..:::::...:.~.~:~:~:~::~~~.~~.... .........=..~t.~.& ........::~.ojg.
. I 1~239 TFR FROM SHARES 189103-00 50.00 30.00
...~.... J.!;<1.~9 . s.!:iAf!~...~..!I!:!R.I3f.\~.~.k........................................................................................ ........::.~9..,oo ..........,00
....921:06
-11. 45
.......::.21':.15
.....500.,.00. .
''''2iTO:jO''.
....~.!19~,Q,5....
2677.50
....~.lU.,.~O..,.
......110H9S82Cj.. .......::60:00 .....3111:50..
....Tf0201062j ". ....Too:oo. ....32T1:50
....262:00 '3419:50 .
PA
................,......,........j'1'020707.03
..~2.6iLoo.....3.219:50...
-40.00 2707.01
.. ......::T50.:'13.......2.SS0:88.
-693.42 1857.46
::26:r:'00' ......'1S95:.46.
. "
~ 1* * i* i* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
.....~...--.--..-:-....i'........----..........--...............h.................................h...............m......................h..nm........h...........................__...................h...__..........................................................
j:,I~IJtt~~~~1~1~i=_==~~I-;=~~=:~~1~~::~~~l::_
: ::
i j i
"1":" '''''r....t..:.. ....... ...................----. --.......---.. . ....................---......... ................... ....................................... ................................. ...mmh............ --..-.... .......... . .--... .._m........
.....;...........-?-....+.__.....mm.........m....................................nm................................m.................."..................m................m.......................................__............m............m...............
.' ..f..... .....1.:.-.t--... ................................._h..............h. ..................h.........h...................n...n............ .. ................ ..m ....................... .............. ..m........... m................... ......... ~
O~'B.M 'MM-VYV-~~~2
.~
~,.
CSavings1~
2/2172002 '
Date Num
1112211997
~
12/22/1997
C~
12/31/1997 DEP
12/31/1997
1/1/1998
1/1/1998
1/1/1998
""""
-
. .
0,1-
Qu. ) d~ S J-J w ~. +> V-\. "-+0 ...dr-
CheckRe~er-.() , .@
~TransactiOn
Opening Balance
. ngs 170458J
Christine Palterson
cat: Chris
memo: tp pay
Payment
700.00 R
1.500.00 R
cat: [Checkin9 170458J
memo: to help payoff VosaJwedding expenses ete
Christine Patterson 1,582.50 R
cat: Adjustme~.R."..,,,,,
memo: to payoff ~ VISA debt )
Consignment Gallery R
cat: Furniture Sales
Trout Run Partnership R
cat Other Inc
memo: Security Deposit
Opening Balance Adjustment 500.00 R
cat: Adjustments to Balance
memo: adjusting lor 50OW/drawal t 1/22 .
Balance Adjustment 25.00 R
cat: Adjustments to Balance
memo: to make adjustment
Balance Adjustment R
cat: Adjustments to Balance
memo: .To make final adjustment as of my records 1/1/98
C
R
834.00
550.00
145.06
Pagel
Balance
9,667.81
8,967.81
7,467.81
5,885.31
6,719.31
7.269.31
6,769.31
6,744.31
6.889.37
Enclosure E
.
. ,^
--
~paid VISA c~arges
>A Credit Card
d22/1999
Date Num
Transaction
11/1/199
VISA
cat:
[Checking]
11/2/199
Hess
cat: Auto: Fuel/Toyota
Tuesday Morning
SPLIT Household:Kitchen
Household: Kitchen
colander
Household: christmas
misc decorations napki...
Rite Aid
SPLIT Auto:Service
Auto: Service
oil
Personal Chris:Chris C...
mise
Groceries
Ashcombs
Gat: Household:Decorating
memo: candles
Christian Publication
SPLIT Gifts Given:Gifts for
Gifts Given:Gifts for ...
20 certificates
Subsc, Mag., and Books
mise this is your time
Littman Jewelers
cat: Miscellaneous
memo: chris' ring repaired
11/3/199
11/8/199
11/8/199
lr787T~9-
11/8/199
Charge
\~
C e: Payment
392.00
13.00
23.71
8.00
15.71
17.78
5.00
10.00
2.78
14.27
34.42
20.00
14.42
95.00
11/8/199
Marshalls
cat: Personal
memo: lingerie
15.29
Chris:Chris C...
etc??
11/9/199
Sunoco
cat: Auto: Fuel/Toyota
Ollies
cat: Subsc, Mag., and Books
memo: mise books? gifts?
TJ Maxx
cat: Gifts Given:Gifts for
memo: unknown
1/9/199
1/9/199
.1/10/19
Marine Corps PX
SPLIT Household:christmas
Household: christmas
Personal Chris
unknown
13.00
19.55
15.89
39.74
3.50
36.24
-, ~ ~
cY
Page 1
Balance
-79.25
-92.25
-115.96
-133.74
-148.01
-182.43
-277.43
-292.72
-305.72
-325.27
-341.16
-380.90
-..
./
,
r-
t
1-
r
I
L
!
~
~
-
l
j::,.
Enclosure F ,.
'-c
"
{
,
'-
Unpaid VISA Charges
. Credit Ca:rd
,22/1999
Date Num
Transaction
11/10/19
Charge
Px
cat:
memo:
16.00
Personal Chris:Chris,C...
concealer
11/12/19
Hess
cat: Auto: Fuel/Saturn
Downstreet
cat: Personal Chris:Chris
Px
SPLIT Recreation
Recreation
2 christian cds
Household
t brush bulbs
Hess
cat: Auto: Fuel/Toyota
Wears Like New
SPLIT Personal Chris:Chris
Personal Chris:Chris C...
clothing sweaters??
Gifts Given:Other Family
2 sweaters for dawn
Hess
cat: Auto: Fuel/Toyota
11/12/19
11/13/19
11/13/19
11/15/19
*'(-0.-
11/18/19
12.00
129.00
H.. .
31. 25
25.50
5.75
10.00
56.40
C.. .
28.00
28.40
13.00
C Payment
I ~
-'=~~~.,,"
Pq.ge 2
Balance
-396.90
-408.90
-537.90
-569.15
-579.15
-635.55
048.~
-
~,
,
..........Vl ....0&.. U"L
x
"'~i-"
'"
"-
MEMBERS 1ST FEDERAL
PO BOX 40 - VISA
MECHANICSBURG PA
~-
. -
'l)'( C-h~.
atL
17055-0040'
~
~
@.
Ii~;';~~ ._..4"'_ ,~_ :f>l'~'i::'-I
4287 5900 0170 4580
~l. ~.. Ii "/'2.~ In
PLEASE SUBMI,T ADDRESS CHANGES ON THE DETACHABLE ENVELOPE RAP ONLY.' ~~~~~pj]
~~~~,I~$ i:~i:~':~
02/16/00 7078.75 220.75 03/12/00 ',.q'., ..' ., ,.
111I11I...11I...11I"..11...."..",111I"..1..1,1,"....1.."
DALE FLETCHER
1150 REDWOOD
CARLISLE
MAKE CHECK PAYABLE TO:
1,1.1..,",111I11I...111I111I""....1..1,1..",1..1
VISA
PO BOX 77044
MADISON
PA 17013-1378
WI 53707-1044
INITIALS DOB / / PLS ENROLL HE IN OPTIONAL CHARGEGARD INSURANCE.
I IlEET ELJ;GIBILrn REIlUIREIlENTS DISCLOSED AHD AGREE TO PAY RATE DISCLOSED.
44 4287 5900 0170 4580 00022075 00707875 8
PLEASE RETURN THIS PORTION TO INSURE PROPER CREDIT
DO NOT STAPLE CHECK
02/16/00
--
o
SEND INQUIRIES TO:
CUSTOMER SERVICE
PO BOX 30495
TAMPA FL
(717) 795 6032
33630
, THE AND OTH IS ------------------ ------------
1 19 CASH ADVANCE . 7000.00
***....***......................... .......xxxxx.xxxxxxxx............
. THE TOTAL FINANCE CHARGE PAID ON YOUR ACCOUNT DURING THE PAST YEAR .
. liAS.... 0.00 _/' .
...........................................................................
. . . if *
TD REPORT A LOST OR STOLEN CARD PLEASE CALL:
800-325-3678 LST STLN AFTER HIS
717-795-6032 MEMBERS 1ST F.C.U.
TO DBTAIN ACCOUNT INFlIRIIATION 24 HOURS A DAY CALL:
800-299-9842
. if if . if . .
PLEASE NOTE THE CHANGE IN YDUR REHITT ANCE ADDRESS. IF YOU USE A BILL
PAYING SERVICE, PLEASE NOTIFY THEH OF THIS CHANGE TO, PREVENT POSSIBLE
DELAYS IN POSTING OF YOUR PAYHENTlS). .' ,
30
7000.00
0.00
0.00
TOTAL
1 707 .75
FINANCE CHARGE CALCULATION METHOD* CREDIT'PURCHASES: G CASH ADVANCE: A
'SEE REVERSE SIDE FOR EXPLANATION' .
NOTE: IF YOU HAVE A VARIABLE RATE ACCOUNT THE PERIODIC RATE AND ANNUAL PERCENTAGE RATE (APR) MAY VARY. G
. ',. . l>nC.Losure
NOTICE: SEE REVERSE SIDE FOR IMPORTANT INFORMATION AND BILLING RIGHTS SUMMARY MAY, 1996
-
- ~.' ~ ' "
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/
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To ~.'\..~"",'''''-O. H-o,-....u I'D Sf'\;+ Lk.Qc.~, A-cd..
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".,...".~,.. + IlJJ# c.~" l,u;#.~_..~er t... ~~_~_""'~<!<o
0(., . - - .~-......:::
- frt,.'i~.- fAvLf'~_VIl2tL +-hlh..... IIIJl"A_l~~.m.~.._~____..
60
;1.'1 g>- Lkt~..1'!h(oM<tJ~;IL_&_~ ~r~ 1/1"/ {~~_~_~ill)_......
m~_..__~_L4 / ~ ~~~i;$:~_~{~ m~ fIJS-JI/~1/ ~k~~..S'..~~).:.,
,_.,..__ 1" ~ (l~1k tlf..'fJ/..lY_ 71$I.".(i1<>.jc- _~~__...._...
,.._"__" - YO~' ~../~It..rh C~~~(niDr.~cRL..______.
..__~__~fj)l>>"!!.. ~~~~~~..1!A4J1Yoi:..~$~~\
L ,...36. JM? .r--
-_.._--~~ ',..-....-- .----..-
~:~+----rl$~.'€-~ +.-::t ~~(1, If ~h""'.s 'f.~--n..qq:, "'C ~~,ir--"
-1-0 'l:y.",h Q. -'-
""-,,,... -,'3O)"'~ ' 4J\-;""'-O..-4.. dW1SrTil'rt, '~, .. c.k.. 'f ""~,,,C/h -....
.. . . ~k \'\.O.ue....oI<<1...p~t<<R"'.o..c<.;:.) 7[' .
$"):i1.. IV "DUeL C..}wts. &,'1!);f( 1) ~
'=iJc:- 1'J,5 F__~;~._~~~# 1€~:cZ1~~G~~;~~~--~~--~..(~I,~!I~=
,....0. J) 0.--,:"'" ~d........:.::0-b_'C.o..:.._~!:'.&... 4- ) ~_7,lj".f~f, f,='-,..,s "-'J \ ~_:'~~'~,~-'ilibs..__ '.
- ..-. _-____"___ ---- ..__._-~ . -- _ .-,..-..----.. ..-" ..--.,.,- -.. -'^--- -------, ~__._____~__.._._~.'~__._n_.._"__ _______,___..... '___''-''-_ '_.n_ ,. _._._ ,.._ ,__~_,_...~_____._....
-+ ~~.._l.~~~_~!I~d_..
o 0.0 f i ;:> ,) L c: t'J " -.. . ( f ' r'
- 0 $ - ~+ 61 I r 'I- ~C-'f1...t.c..., t), i . (l nn{:'I~"-~
, --.--,-.---'-- ---;;r---'------~..- ~---.~~--,---~. ______.____.__,__._.___._______u.~.____ ~
,_.. ,_.. -3S'2.: c:...+-.JJ(Jl. ,tj'-c....~"O'6"_15..Hi'Cl. ,~""','1-R )
___d ~51z--..1S;II~y~S~. W,lh;'<O""~c..~ ~':l.3 , ,.
- z.'iS'~ A-v-~ ):.lU":^"-""c.a...i'ot.. S~~il1... ~ 1/[/&,"':'0".. .
- ~~o..:. Yl'\....cttc.~Q" :r,.,.$C,^o..~Ul.. -g",- ~,1',,-,- t'~ -rR....u.. If'3'/()()
\ _ II.
~ I$D~~, ll~~~~~.(~iO~l;;';"')~~~V'~
.' . ' ..a...' ,.~~&- ~Qb.
~, .-' ."" "\.' , ,
< .
.,'4_
,-,.;.._;..
l"-~-::. :?{PR'XNlJ r:~'-'----'"
rt:~f\'l.. ,:.
;' -:!. J,:\-";
._;:'i!!,;y..:, 'f:"-_::,""
::. ~r1
"'i I .!'-ot., -, ; ".$:''f!
;,'\ '.,'
.',.
i..~idi"i'-(~:Fl€.
Enclosure H
~
-
Fidelity "'lnueSlmenIS@
#BWNFRKS
001054325
DALE A FLETCHER
CHRISTINE M FLETCHER
1150 REDWOOD DR
CARLISLE PA 17013-1378
1,,,111,,,111,,,,,,11,,11,,,,11,,11.1,,,11,,',,1,1,11,,,,1,,11
"~
Transaction Confirmation
Confirm Date: November 22, 1999
W
Customer Account Numbe,
T149025254 JOINT WROS
DALE A FLETCHER
Customer Service For information
regarding your account, call us anytime at
800-544-6666 or visit us at
www.fidelity.com.
c ~~j'-
'.) I
-r
On November 22, 1999 you sold $3,352.00 of Select Computers as described below:
Transaction
D6tail
Transaction
Summarv
$3,352.00
-3,352.00
SELECT COMPUTERS (#007-0594983553)
Your beginning balance in this fund was 33.910 shares, at $98.85ishare
You sold 33.910 sha,es at $98.85/share
A long-te,m redemption fee was deducted
Amount sent to bank by MoneyLine
Your ending balance in this fund is now 0.000 sha,es
$3,352.00
,7.50
$3,344.50
$0.00
For Your Next Investment
Fidelity Distributors Corporation
-. - -. - - - - - - - -. - - - - - -. - - -. - -. - -. - -. - -. - -. - - -. - - - - - - - -. - - - - - - - -. - - - - - - - - - - " - - - -. - - --
DALE A FLETCHER
CHRISTINE M FLETCHER
1150 REDWOOD DR
CARLISLE PA 17013-1378
0991122 0002 001054325
1,1"1,1.1."1.11'1111".'11",11."",11.1,,'11,,,,,,111,1.,1
FIDELITY INVESTMENTS
PO BOX 77000l.
CINCINNATI OH 45277-0014
" "--""",-",~""""""",~-",,,-
Use this .form to invest in any of your existing fund accounts,
Please make your check payable to the fund.
I would like to invest in (check one):
o Select Computers
Account Number 007-0594983553 JOINT WROS
:melOfoeeJcrocfEt DO
o Another fund that I own (Fidelity Fund Name):
I' I
Account Number
DDD'DDDDDDDODO
Amount ot Investmen!:
$ 0' ODD, ODD. DO
Rehrement investments will be deposited as a cUrrent year contnbution. ,
For other retirement contributions. please mark the appropriate box below.
PriOr year contributions 0 80/120 day rollover contributions D
Enclosure I
DO? 0594983553 37 015
Ii
I'
I
,
-~
"'"
-
~ ,.
~.~"
4e/ity A/~vestments@
#BWNFRKS
001054325
DALE A FLETCHER
CHRISTINE M FLETCHER
Wio REDWOOD DR
CARLISLE PA 17013-1378
1",11'."1","",11;.'1",,11,,11.',,,1',,1,.',1,11,",1,,II
.
"';
"
Transaction Confirmation
Confirm Date: November 22, 1999
Customer Account Number
T149025254 JOINT WROS
DALE A FLETCHER
Customer Service For informalion
regarding your account, call us anytime at
800-544-6666 or visit us at
www.fidelity.com.
On November 22, 1999 you sold $3,920.84 of Select Electronics as described below:
Transaction
Detail
Transaction
Summary
$3,920.84
-3,920.84
SELECT ELECTRONICS (#008-0594983561 )
Your beginning balance in this fund was 46.494 shares, at $84.33/sha,e
You sold 46.494 shares at $84.33/sha,e
A long-te,m redemption fee was deducted
Amount sent to bank by Mane Line
Your en ing balance in this und is now 0.000 s ares
$3,920.84
-7.50
$3,913.34
0.00
For Your Next Investment
Fidelity Distributors Corporation
DALE A FLETCHER
CHRISTINE M FLETCHER
1150 REDWOOD DR
CARLISLE PA 17013-1378
0991122 0002 001054325
1,1"1,',1,.,1,11,"11,"111,"11"",,11,1"111",,,,111,1"1
FIDELITY INVESTMENTS
PO BOX 770001
CINCINNATI OH 45277-0014
Use this form to invest in any of your existing fund accounts.
Please make your check payable to the fund.
I would like to invest in (check one):
-0 Select Electronics
Account Numbe, 008-0594983561 JOINT WROS
~elofDeDO~2DDiD) DO
D Another fund that I own (Fidelity Fund Name):
I I
Account Number
DDD-DDDDDDDDDD
Amount of Investment:
$ 0, ODD, ODD. DO
Retirement investments will be deposited as a .current year contribution.
For other retirement contributions, please mark the appropriate box below.
Prior year contributions D 60/120 day rollover contributions D
il
II
'I
I'
,~
ooa 05949a3561 37 015
il
-. _,L-
~- ~ -~~ .
-
~ .
.......~
-
.
.
~
R
Year-to-Date Statement
Page 1 of 2
DALE A FLETCHER
1150 REDWOOD OR
CARLISLE PA 17013,1378
for the period of: Januarv 1. 2001 - December 31, 2001
~ Investor Services:
~ Internet:
~ E-mail:
888,522-6239 .~.
www.jacobinternet.com (........ _' \ .
info@jacob.com
.
1l037:H
1,,,1/1,,,1/1,,,,,,11,,11,,,,1/,,11,1,,,11,,1,,1,1,11,,,,1,,11
Portfolio at-a-Glance
Portfolio Value Beginning 01/01/2001
+ Pu,chases
+ Income
- Withdrawals
+/- Change in Value
Portfolio Value Ending 12/31/2001
$844.00
$0.00
$0.00
$0.00
$476.00-
$368.00
. Portfolio Summary
Account Number 1520016035
DALE A FLETCHER' "
Fund Name
Jacob Internet Fund
Shares
400.000
Share
Price
$0.91
Market Value
on 12/31/2001
$368. 00
% of Account
Hold ings
100.0%
Account Transactions
Account Number 1520016035
Jacilb IlItemet Fundfl05
DALE A FLETCHER
Trade Transaction Dpllar Share Shares this Total Shares
Date Description Amount Price Transaction Owned
Beginning Balance as 0101/01/2001 ~oo $2,11 .w0. 000
No Transactions This Period
Ending Balance as of 12/31/2001 $368 . 00 $0.92 400.1J{){)
Distributions:
Dividends Cap Gains
REINVEST REINVEST
~
N
~
o
N
m
.
Enclosure J
.UlM.n,."QM,n ,,~,~ "~'n"""'CC"~' ...,.." ~" MMM~"~
'" ~ ~ .
-'
-
~.'.p PJ"ENN.'ENN.,'"."~... .,,'.,rA
~~~TEBANK
P.O. Box 487
Camp Hill, PA 17001,0487
www.pastatebank.com
717.731,7272
DALE FLETCHER
CHRISTINE FLETCHER
1770 PEACHTREE LANE
WARRINGTON PA 18976
OUTBAC MONEy;'MARKET 'ACCOUNT ,.
Account Number
Previous Balance
1 Deposits/Credits
Checks/Debits
Service Charge
Interest Paid
Ending Balance
.
Date 2/08/02
Account Number
Enclosures
CSC\'&tAJ kc..D(~t-
".-"
SAVINGS ACCOUNTS ----
26301341
.00
20,435.16
.00
.00
16.85
20,452.01
c_,_ 1'-
Number of Enclosures
Statement Dates 1/16/02 thru
Days in the statement period
Average Ledger
Average. Collected
Interest Earned
Annual percentage Yield Earned
2002 Int~rest Paid
Page' 1
26301341
I
I
,
(g)
o
2/10/02
26
20,435
19,649
16.85
1.21%
16.85
*********~*********************************************************************
----DEPOSITS & OTHER TRANSACTIONS-~--
Date Description
1/16, SAVINGS REGULAR DEPOSIT
2/10 INTEREST PAID 26 DAYS
Amount
20,435.16
16.85
*******************************************************************************
Daily
Date
1/16
Balance Information
Balance
20,435.16
Date
2/10
Balance
20,452.01
*******************************************************************************
----Interest Rate Surnmary----
1/17
2/01
1.20%
1.21%
Enclosure K
,. ~
M !:,'
Visit our website at: schwab.com
Questions? Call 1-800-435-4000
Account Opened In: 1995
~ Page t
l0
31101-N101505-013054-SMl-170551378003277122 *4 #120725
CHRISTINE M FLETCHER
CHARLES SCHWAB & CO INC.CUST
IRA ROLLOVER
131 STANFORD CT
MECHANICSBURG PA 17055-1378
I
$ 9,638.18
$ 14,956.76
$ 24,594.941
,=
$ (1,997.43) _
$ (1,997.43)
I Account Value Summary
Oash &. Sweep Money Market Funds
Investments
1 Total Account Value
I Change In Value Summary
Change in Value Since December 31, 2000:
- Change in Value Since January 1, 2001:
I Rate Summary
Schwab Gcvt MMF
I
5.38%
I Investment Detail
Deseriotion
Cash and Money Market Funds (Sweep)
SCHWAB GOVT MONEY FUND
Svmbol
Quantity
LonQ/Short
Price
Market Value
SWGXX"",.""-,,,,,, 9,638.1800 L
$1
.
~
$ 9,638.18 ~
'"
o
;:j
$ 14,956.76 '"
o
~
o
$ 24,594.941 ~
Investments
MERCK & CO INC
MRK
182
L
$ 82.1800
I Total Account Value
Transaction Detail
Settle Trade
Date Date Transaction
Cash Activity
01/02 01/02 Cash Dividend
01/16 01/16 Dividend
Descriotion
Quanfitv
Price
Total
MERCK & CO INC
SCHWAB GOVT MONEY FUND
$61.88
23.68
Enclosure L
N1D1505-0130542n122
;;l2000 Charles Schwab & Co.. Inc. All rights reserved. Member SIPC/NYSE. Printed on recycled paper. CRS 20840 (0700-1719)
0712072500,212,423
C8479(07/00)
~ .
. 1lI.ia1:.~
~ .
-
~.
$ OppenheimerFunds'
Account Statement
January 1, 2001 through March 31, 2001
Page 1 of 1
@
You; Financial Advisor '
JEFFRY l MCGUIRJ;:;L1NCOlN FINANqA~ AOVISO.RS CORP"
150 SWARNER RD'STE 200 ' ~
KING Of PRUsslAPA 19406:2837
61,0-254-5050
l,i,III;"III,,,,I,I,II,,,,,I,li,II,,lli,I,,,I,,II,.,,II,1,1,1
00: r~5~:PJ~q!. ;qf~~~9~t !.~61_
, RPSS TR SIMPLE IRA
WEAR~ LH<ENEW IN!) '. ,,' '
FBO CHRISTiNE M FLETCHER
131STANFORbcT .
MEGHMlICS8~RG J:>A 17050,2367,
f\tYour Service:, ..,. "'.
Website: www.oppellheimeriunds.com
".~ . Cai(tyio.1daY tKioiJghFi1day.'B:30,un- 9:00prrf arid '
,. Salurd~y.l0:00am, 4:00p!Tl IT:
, ~CuSliln;erServiC:f;: 1-800-525-7048
~. '''',ID[tHearinglSpeeqh!rnpaired:lc800,84~-4461-'' '. .
.-.:'-.,
Oppenheimer MainStreet Growth &./ncome Fund Class A ""
Fund Valul!:as 9fQ~/3.1/2.QOl
Shares owned _.,. "': ,.,,:.,.':":47.867
; 's~are price ' '~'<$32.65
M~'kot.v~/~...,. ';,.n..S62.8tJ
Acccii.mi)ifirdi:;e; - -
7oQ.,lOo!tJ!0258,.
Account RegIstration'
RPSS"TRSIMpLEIRA WEARS LIKE NEWINCFBQ CHRISTlNEM'FLETCHER ~.
Year'to:natenan#~llon Detail
"-"",,-,,,,",,..-..-
'...:r,',._.,
Tfimiidldi{ .
Date
01126/01 .','..
01/2(;j91
02123/01
02123iof
Q3/30(0.1""
03/30/01
: TransaW6}{~!';:-:' ' .
Desc,ipi;oil'
',-'-'.- -"-"
,"" ''''''''-'--'
. ',-"'-'",-,,
'::;:}:~;':.-lioJla'f:?',';:; ,~'- :SliBf~
Aiiiiiunt-'" Price
~:< NiiiiiJiet::" "--."
of Sharos"-
'-,,:
-.",-.""._......, _:', Total:
Shares' Owned
"""';'41,488
',A2.907
43,896
.";"44.885
" ',.' .16.376
, 47.867
'pdii:ha's~ (EMployeeCootfibulibhf' "~' ,'.. '
PlJrcha.s~(~p!py~rCcr\rj~lJljOQ)" ". ..
Purchase (E~ployee Contribution)
Purc~a5e (Ei11lijilYliiCdiiiilii@~nr' ,. ~
., purGhase(E~p)py~@ Con!,i.buUOQ1
Purchase (Eniployer Contribution)
- ,-.- '.. ..". ;,;-::<:,yo:$-5(3'~'25 "--"$39.65 --'-'-"":-'~ ~,:.--'
;, ,,,,:,"(456;25:;,,,,,,$39.65 .'
'$36.23' . $36.64
','if,. . ' ' "'$3il:23:"'~B.&4"'"
,.". $5j.,6Ij,, ,.$34,!?A,
$51.66 $34.64
-f 1.419 ',.' "'."-"~"
. n ;,tJA19',.,..~ , ,',
+0:989 ~
"",::.+tt98!l",:' .",;
, ,,j,1,4g1 "
+1,491
Activity Sijmiit~'f'l
-:', ':Beginning
Account Value
. ",as 010.1/01/2001 "",
$1,459.71
WitHdrawals
'(ear.-tg.aate
Change in Value .
_'_':. year.to-Date
-$185.13
. ',."- ,,-,.,'~'""
--,-. ,e-'_.,::::::,.- Ending,
Account Value
,as of 0$/$112001
$1,562.86
'Aaditions'"
'(ear-fa-Date;.
+$288.28
0.00
OPII.~(/beim.erFund.s News:..: .,., ,:,',>'. .,,'.i,
, /MPOWANT RETIREMENT ACCOUNT INFORMATION. [ve, trilstee/custodian for all ....
oppMheimerFunds sponsored retirement' accounts wtJ/ change effective June 1, 2oi:H The
newtrusteefcustodian, Oppenheimer [rust Cqrnpany;..willbe identifiedjq -your ,t,qiftOfrnSi 'This
cha,(/(1ewil/ ~pt impact your accountJeglstr~~iq!1"pr.x2w.accountig..a,(/J!.iYf-ay.', "
MAI1-1G€XqY{lINVESTMENTS CONVfNi€N[~~QNiHjJ.Check yikr~4W.accountb?/ani;e oi:
reqiiesftrailsilctions between Oppenheimer tiJi[ffsbY'SiileCting 'Yoilr ACcounts' at ouiwebsite,'
'www.oppenMlmenunds:com...'...:,.:.. "....,,_... """".,.,'."."."""" "'" . "";',,,,,."'~..., ,.. """
Tohearpucqurrent o!ltlqplctor Oppenheimer Main Street ,Growth & !ncomeEundicall olll::;'
toli-treehotllne at 1-877:518-9631. ~ .
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--'" 7-16-01; 3:29PM;
;2673304323
# 2/ 5
jJRIcEWA1fRHOUSE[roPERS I
~aJ~ (V
July 16, 200 I
PiicewaterhouseCoopers UP
Two Commerce Squarel Suite 1700
2001 Market Street
Philadelphia PA 19103-7042
Telephone (267) 330 3000
Facsimile (267) 330 3300
PERSONAL & CONFIDENTIAL
Ms. Susan Timperio
Pinnacle Health System
205 South Front Street
P.O. Box 8700
Brady Hall Building - 2nd Floor
Harrisburg, PA 17105
RE: Dale Fletcher
Dear Susan:
7
In accordance with y<)uJ requeSt, we have calculated the present value of Mr. Fletcher's benefit for the
period ofNovemb6~997 through November 20, 1999. -
We have detennined that the present value as of September I, 2001 of Mr. Fletcher's benefit is
$3,463.27. This amount represents the present value of Mr. Fletcher's accrued benefit at November 20, 1999
of $64.62.
7
The present value calculation iSi based on an interest rate of 5.78% and the 83 GAM Unisex Mortality
Table, the Plan's actuarial equivalence factors for distributions payable during the 2001 plan year.
Please note that this amount onliY represents the present value of his benefit and is not payable from
the plan. Also, there should not be any benefit allocated to the spouse from the Plan, unless a
Qualified Domestic Relations Qrder (QDRO) is issued. The amount to be allocated to the spouse
will be detennined based on the'QDRO.
Please call me if you any questions concerning this calculation.
Sincerely,
..{JMJ;r;C~c:7fr7l~
Debbie Goldsman
Consultant
..'~ .J.
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Enclosure P
" ~~ ~ "~
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,
7-16-01: 3:29PM;
;2673304323
# 3/ 5
{JRJcEWA7fRHOUSF[aJPERS ,I
July 16, 2001
PricewaterhouseCoopers LLP
Two Commerce Square, Suite 1700
2001 Market Street
Philadelphia PA 19103-7042
Telephone (267) 330 3000
Facsimile (267) 330 3300
PERSONAL & CONFIDENTIAL
Ms. Susan Tirnperio
Pinnacle Health System
205 South Front Street
P.O. Box 8700
Brady Hall Building - 2nd Floor
Harrisburg, PA 17105
RE: Dale Fletcher
Dear Susan:
In accordance with your request, we have calculated the deferred vested retirement benefits payable
to Dale Fletcher from the Pinnacle Health System Pension Plan. Based on the information
smmnarized on the enclosed attachments, we have determined that Mr. Fletcher is entitled to a
monthly single life annuity of$272.88 commencing on December 1, 2015.
If Mr. Fletcher is married at the time of benefit commencement, his benefit must be reduced
and paid in the form of a Qualified Joint and Survivor Annuity (QJSA) unless both he and his
spouse elect otherwise.
Please call me if you have any questions concerning this calculation.
Sincerely,
b#J-C~c:7d7n~
Debbie Goldsman
Consultant
Enclosures
-
~~~ -,
"=~-
~.
7-18--01; 3:29PM;
;2.67330432.3
PINNACLE HEALTH SYSTEM
DEFERRED VESTED RETIREMENT BENEFlTS
FOR
DALE FLETCHER
If you are married, you will receive your benefits payable monthly as a joint and survivor annuity with your
spouse as the beneficiary unless both you and your spouse elect another form of payment. Your spouse's
consent to such an election must be made on a special form that can be obtained from your employer.
Monthly benefit payments begin on December 1, 2015. The amount payable is as follows:
$ 272.88 Payable monthly for your lifetime
Please review the following information which was used to calculate the benefits shown above. NotifY
your personnel dep~ent immediately if any of the information is not correct.
Date of Birth:
,Date of Termination:
11/10/1950
OS/22/2001
Date of Hire:
06/17/1993
Marital Status:
Service for Benefit Accruals:
Service for Vesting:
Unknown
8.0441
8.5000
Compensation used to determine final average compensation:
2000 -
1999 -
1998 -
42,370.40
42,622.15
40,454.89
1997 -
1996 -
39,547.27
38,542.68
This calculation was based on the plan document as'amended through January 1,1999.
Date Prepared:
July 16, 2001
,;\Hrs\RE'J)ihs\DB'lCBRTS'\f.FJcttlu::rlVR.xh]VSTATIACH
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;2.673304323
7-16-01 ;
3~29PM;
PINNACLE HEALTH SYSTEM PENSION PLAN
Benefit Determination
# S/
5
A.BA~CEMPLOYEEDATA
Employee's Name: Fletcller, Dale
Social Security Number: 255-78-4471
Sex: M
Date of Birth: 11/10/1950
Spouse's Date of Birth : N/A
Date of Hire:
Date of Tennination (D.O.T.):
Nonna1 Retirement Date (N.R.D.):
Benefit Commencement Date (B.C.D.):
Vesting Service @D.O.T.:
B. COMPENSATION IDSTORY
YEAR
2001
2000
1999
1998
1997
1996
1995
1994
1993
PLAN COMPENSATION
$22,525.47
$42,370.40
$42,622.15
$40,454.89
$39,547.27
$38,542.68
$36,910.61
$36,859.36
$16,954.56
HOURS WORKED
1119.00
. 2080.00
2080.00
2079.00
2081.00
2089.00
2081.00
2160.00
1008.00
ANNUALIZED COMPENSATION
$22,525.47
$42,370.40
$42,622.15
$40,474.35
$39,547.27
$38,542.68
$36,910.61
$36,859.36
$16,954.56
C. MINlMUM NORMAL RETIREMENT CALCULATION (prior Polyclinic Pension Plan as of 12/31/96)
1) Final A vemge Earnings $
2) Integration Level $
3) Covered Earnings $
4) Excess Earnings $
5) = .0075 · (3) $
6) = .0125 · (4) $
7) Unit Benefit = (5) + (6) $
8) Credited Service
9) Annual Benefit @ N.RD. = (7) · (8) $
10) MontblyBenefit@N.R.D.=(9)/12 $
D. NORMAL RETIREMENT CALCULATION (Pinnacle Healtb System Pension Plan)
I) Final Average Earnings
2) Social Security Covered Compensation
3) Covered Earnings
4) Excess Earnings
5) = .01 * (3)
6) = .015. (4)
7) Unit Benefit = (5) + (6)
8) Credited Service not in Excess of35 Years
9) = (7) · (8)
10) = .01 · (1)
11) Credited Service in Excess of35 Years
12) =(10)* (11)
13) Annual Benefit @N.R.D.=(9)+(12)
14) Monthly Benefit@N.R.D. = (13) 112
E. MONTHLY BENEFIT PAYABLE @N.R.D. - Maximum of C(10) & D(14)
611711993
5/22/2001
12/1/2015
12/1/2015
8.5000
37,437.55
7,800.00
7,800.00
29,637.55
58.50
370.47
428.97
3 .4846 Years
1,494.79
124.57
Buyer hereby ac
X8
"
,
I
I
Fedl!ral regulallons require you to state the odometer mileage upon tran8fer of ownership. An I Federel regulations require you to state the odometer mileage upon transfer Qf own8l'lhlp, An
_ lnaceufal. ata1.emant may make you liable fer damagea to your ttanstef86,.purauan\ \0 S409(a) ot \ Inaccurate atateman\ may make)lOU 1\abIe for damages 10YOUT tranateree, purauant to S409ta) oj
The Motor Vehicle Information and Cost Savings Act cSf 1972 (Public u.w 92.513, as .mended by! The Motor Vehicle Information and COBt Savlng8 Act ot 1972 (PlJbllC Law 92-513, 88 amencfeCI by
Public Law 94-351). I Public Law 94-3;54).
MAKE I YEAR
,
\
I.BO Y
,
,
"
-
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/
MARTY'S INC.
"The Cleanest Cars in Town"
P.O. Box 117
Carlisle, PA 17013-0117
Phone: 249-5418
y
()(X)
LIE OLDER'S ADDRESS
, WARRANTY AND AGREEMENT',
o SOLD AS IS: I hereby make this purchese knowingly without any
guarantee, expressed _or Implied, by this dealer or his agent.
( J Buyer's Inlllals (II applicable)
WSOLD ~~ GUARAl'ITE'1~~ler guarantees this vehlC.le
forc:AL days, or. "'" ._~: mll~Si' ~fter date of
delivery, anll will' pay' '% altha casUar parts and labor
used during repair. AU rapalrS must ba mada In dealer's
service shop. Tires, battery' and glass are not guaranteed,
[ ] Deale,'s inltlais (II applicable)
Burer acknowledges that this agreement Include8 all of the terms and conditions pertaining
to this purchase on both Ihe face and reverse side, anc!-no other agreement_or promlee of any
kind (verbal or written) will be recognized. Upon failure or refueal 01 the buyer to complete this
Ilgr~ment. all or part of the-cash deposit may be retslned as liquidated damages. The buyer
certifies. he/ahe 18 of legal age and acknowledges herewith receipt of a copy of this
agnHIment. Not vslld unle88 accepted by Authorized Representative:
SAl-ESPERSON:
BU'fER'S SIGNATURE:
DEALER ACCEPTANC :
...
. ODOMETER MILEAGE STATEMENT.PURCHASI\.
.....""
~":\I:Ij>8<~"
MOTOR VEHICLE PURCHASE
AGREEMENT I Bill OF S~
, ' ~
.
UENHOLOER'S AODRESS
SElTLEMENT
CASH PRICE of VEHICLE
DA
LESS NET TRADE ALLOWANCE
BALANCE
PLUS STATE AND LOCAL TAXES
_.J,.,i..~3::,~L._/a
TOTAL CASH PRICE
LESS DEPOSITS
ODOMETER- ..kEAGE s,.ATEMENT,TRAi)E.iK~'~~:;~it;;,~~?' -,
o The odometer has not been altered, set back, or disconnected.
o The 'odometer has not been allered for repair or replacement purposes.
o The odometer has bsen reset to zero. The original odometer read
bafore It was repaired.
o ,. ~ s~~he odometer mileage Indicated
oil the vehicle described abOVe Is ~/, ~/ ~~Ies as Indlcaled below:
o Actual mileage. 0 Total cumulallve amount, 0 The actual mileage Is
of miles In excess 01 the UNKNOWN and dlffera ' I
designed mechanical trom the odometar read:- l
odometer's limits. In tor reasons other than l
meter flbratlonenor. I
DATE
/J
o RECEIPT OF COPY
ACKNOWLEDGED
~
miles
o The odometer hss not been altered, 8el back, or disconnected.
o The odometer has not been altered for repair or replacement purposes.
o The odometer has boan reset to zero. The orIginal odometsr read
before It was repaired. .
o I' Y s~ the odometer mileage Indicated
. on the vehicle de8crlbed sbove Is 1.7:;. , miles 88 Indicated below:
o Actual mileage. 0 Totsl cumulstlve amount 0 The actual mileage Is
of mUe. In excess of the UNKNOWN and differs
desIgned machanlcal from the odometer read-
odometer's IImlt8. Ing tor reeaona other than
odometer calibration error.
mlle8
~R'A
o RECEIPT OF COPY
ACKNOWLEDGED
~~ ~
.---
All Accounts
Cat/Sub Dale
ExP,i!NsES
Chris
4/12/00
5/3/00
5/16/00
8/28/00
S/30IOO .
3120/01
TOTAL Chris
GiftsGL
"~-~~-~- -
~ 0 ~)"/l
~
Acct
Checking 1... 190
Checking 1... 200
Checking 1... 211
Checking 1... 288
Checking 1... 287
Checking 1... 435
Gifts For Chris
11129/00 Checking 1... 353
4/17100 Cash Acro...
4120100 Cash Acro...
6/7/00 Cash Acco...
TOTAL Gifts For Chris
TOTAL Gifts Given
Medical:
Eye
. ~ "' . '19 I '- -~'_il\;U<~,_
f-q C--\I\ 'I\.sJ '(YDviJ!gil,-[!.l1 >1 S ~
- Q(itcl~ Pnl'\hv..t I " 'f-..- . n ^ . rJ!:jRO/02
Itemized Categories'Report /Q \ ~a.JUl.-
11/20/99 Through 2/18/02
Num
Description
Memo
Chris Aetcher
Chris Fletcher
Chris Fletcher
Chris Fletcher
Chris Fletche,
Chris Fletcher
+1/2 oftaxes-1/2 prep fee+ 1 mo arre... R
cash R
cash R
6 mas car ins, brakes R
more for car insurance R
1/2 of tax return R
Chris Fletcher
Chris Fleicher
,Chris Reicher
Chris Fletcher
missed days
cash
cash
12/29/00 Checking 1... 375 Chris Aetche,
TOTAL Eye
TOTAL Medical
TOTAL EXPENSES
TOTAL INCOME - EXPENSES
~I\ISFE~
Cash A...
exam @walmart
for 1/2 of xmas club balance
.l?o r C'n.....IS 0..0
~ fa . O""J}...;::J,
Qm. A-f4-,
11/20/99 Checking 1... 96 Chris Fletcher
11/20199 Cash Acro... TXFR Chris Aetche,
TOTAL TO Cl!Sh A""",~r.t Chr.s
Cash A...
11/20199 Cash Acco...
TOTAL FROM Cash Account
Checkin...
11/20/99 Cash Acro...
TOTAL FROM Checking 189103
TOTAL TRANSFERS
Chris Aetcher
Chris Fletcher
Page 1
Clr Amount
1"''''''''
':200:00 v:;:
-200.00 V
-227.000
-50.00 0
-297.00
-2,118.00
R
-150.00
-200.00e
-100.00 y
-1.00
451.00
451.00
R
44.00
-44.00
-44.00
-2,613.00
-2,613.00
R
-700.00 V
-5.00
-705.00
5.00
5.00
700.00
700.00
0.00
OVERALL TOTAL
-2,613.00
~/f..(
='J#8
l.A.5M
'elL'-
/'- ,tl /' Q~
5a..~ J-VlSr.v-.U. U7 I
t1. v /.A. 7/11 () 0
+ ~~J,f~ ,7
-I~~1lI)?q0
. )
~ cl-, Y\:=' ~ t-<~
Enclosure R
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, - --., .,' '.' ".".1., ." " _ ",' I" ' ../."" ". ' .
- ,-
DALE A. FLETCHER
DATE
11/.)6/'17
OS6
60-822412313
. j '--ec n
C 1111., t-," fc~'2_
5e(,~ /'l..i..-vn dUll!.. C~ rJ..., X2f
Metnbersl'r
FEDBRAL CREDIT UNION
P.O. Bo~jl)
~"lc8burll.PA11G55
MEMO hc:f'f e.I,ll,s!-"" 50.u,
I: 2:1 BB ~~.. ~I:OO'H, '" ~ ~B ~B"l ~OBII.L,"
PAY TO THE
ORDER OF
$ ~ . .~iitL
I ,70., ", .'
DOLLARS m ~if~"':1"i""
,___~c~~J=~~,:~,__,'!_
~=I
~ll_,
Revolving Charge
Statement of Account
.......
"....
NORWEsr FINANCIAL
.-..
......
'([)
4900 CARLISLE PIKE, B-1
MECHANICSBURG, PA 17055
B_
37.
-
DALE A FLETCHER
1150 REDWOOD DR
CARLISLE, PA 17013-1378
111I11I",11I"'11I11"11",,11,,11,111I11,,1,,1,1.11,,,,1,,11
1
Make payments to:
Purchases made from:
NORWEST FINANCIAL
4900 CARLISLE PIKE, B-1
MECHANICSBURG, PA 17055
PHONE. 717-761-7040
This information is a summary of your account including sub-account(s).
Credit Limit Available Credit Bill/nQ Date Due Date
0611
BRENNER FURNITURE
6484 CARLISLE PK MECHAN,
Account Number
Past Due Amount
51527581
$2,000
$2,000
+
OS/24/00
, Purchases!
Del:!its
06/24/00
New
Balance
$0.00
Previous
Balance
Payments!
Credits
+
Finance
Charges
Minimum Payment
(includes past due amount)
$1,280.00
$1,280.00
$0.00
$0.00
For the record, your Norwest F;nanc;a1 account ;s
pa;d ;n full. But, even though your account shows
a zero balance, your.credit line will remain open.
Th; s me~n'L,y',O!l, milY makea!!d: :I;;'ona1 purchases at
BRENNERf.M,~Hm;il~E;!ls; n~q!l ";l!i; 1ab1e cred; t of
;~f~~':~~~?l~~~~~'.:.~~J;~:? ",iib~~~o::' .~
,::~t;rJ;~tf! :;r . .
Becaus~~kv,-<s~ ~ ,"' ~ '".:'<,shed at Norwest Fl nanCl aI,
you maYJi,IU ., l!hSC,l;RA CASH loan from us
wheneve.'1I:1:<.oll" J:!!!!!~"g]~j~~~,q!!~, 1iI0,od,pily.,e!1t,record, your
reques,;~1q)11,~;;~7';;~__~~,1tf.i~'. ;~~,ur'~"3~~~edl ~-te / ~t~~,!!,~~ ?n.' ; .'
-,; "'~, "o.{'d~i. J~ ,~",,'7 ,,~ ,ft,'DJ i4'1V$ .,11 .1 -q:I;~ if' <~. '.: "
Thank",y ,-f Let us know how we can
serv"
" $1,280.00-
------..
1S-:~.'i-~w~
~~ol2...
\?o.J-al.
THIS INFORMATION IS FOR YOUR REGULAR ACCOUNT.
THERE IS NO DATE BY WHICH OR TIME PERIOD WITHIN WHICH THE NEW
BALANCE ON YOUR REGULAR ACCOUNT CAN BE PAID TO AVOID ADDITIONAL
FINANCE CHARGES. CALL US FOR THE PAYOFF BALANCE ON YOUR ACCOUNT
WHICH WILL INCLUDE FINANCE CHARGES ACCRUED SINCE THE BILLING DATE.
MONTHLY
PERIODIC
RATE
2.000Y.
lEANNUALlE
lEPERCENTAGElE
lERATElE'
24.00Y.
RANGE
OF
BALANCES
FINANCE CHARGE
COMPUTED ON
THIS BALANCE
SEE EXPLANATION
ON REVERSE SIDE
OF THIS FORM
You may pay all or any part of your unpaid balance at any time,
Notice: See reverse side for important information.
ALL $0.00 AD
EncLosure S
In addition to the local phone number shown above, our
national tol14ree customer service number is 1---800-346-300$.
~~~~
A. SETTLEMENT' STATEMENT
""
U.S. DEPARTMENT OF IIOllSING
AND URBAN DEVELOPMENT
,~,,:
CD
""
OIIB NO. 25D2-D265 1r
B. TYPE OF LOAN .
,. [ J FHA 2. [] FmHA 3. [X] Conv. unis'16. FILE NUMBER 17. LOAN NUMBER 8. MORTGAGE INS CASE NUMBER
4. [ J VA 5. [] Conv. Ins. 93'8.' 743448
C. NOfE:This form is furnished to give you a stat~ment of actual settlement costs. Amounts paid to and by the settlement agent
are shawn. Items ma_rked "[POe)" were paid outside the Closing; they .are shown here for -inf.ormational purposes and are
not .included in the totals. 5.0 '0-96 (5/93'8.' )
D. N~E AND ADDRESS OF BORROWER E. NAME AND ADDRESS OF SELLER F. NAME AND ADDRESS OF LENDER
Dale A. Fletcher and Joel A. Hosler and Mellon Mortgage Company
Christine M. Fletcher Pamela S. Hosler 501 Holiday Drive Foster Plaza
1872 Douglas Drive, ,'5D Redwood Drive Pittsburgh, PA 15230-0610
Carl isle, PA ,70,3 Carl isle, PA '7D'3
G. PROPERTY LOCATION H. SETTLEMENT AGENT 23-2002'97 I. SETT LEMENT DATE
1150 Redwood Drive Martson Deardorff Williams & Otto
CarlisLe, PA 170'3 May 20, 1998
Cumberland County, PA PLACE OF SETTLEMENT
10 East High Street
Carl isle, PA '70'3
J. SUMMARY OF BORROWER'S TRANSACTION K. SUMMARY OF SELLER'S TRANSACTION
'00. G oss 00 T DUE FROM' 0 ROWER 400. G OSS AMOUNT OUE TO SELLER
'01. C ntrae Sales Pr'ce 98 .00 1. Contract saLes Price 9B 5no.00
'02. personal Prooertv " 402. Personal pronertv
103. s...tt I elllP'nt charoes to Rorrower l ine1400 3 607.34 03.
104. 04.
05. 405.
Adiustments for itMLC: naid bv seller in a vance Ad iustments for it-s rmid hv ~eLLer in advance
06. Cf'~ .'Twn. Taves 05->0-08 to 12-31-08 305.1n 406. Ct Two. es 05-20-9B to 12-3'-98 305. '0
'07. S~hool Taxes . 05-20-9B to 06-30-98 ,20 '2 07. School' hxl'!S 05-20-98 to 06-30-98 "0. "
108. Acsessm...nts to 408 AsS:"'ssinente: to
09. 409
"0. 410.
",, 4'1.
"2. 412.
120. GROSS AMQU,N1 DUE FROM BORROWER 102,532;56 420. GROSS AMOUN1 DUE 10 SELLER 9B,925.22
200. ".OOM1S POlO BY OR 1M BEHALF OF BORROWER 500. REOUCTTOMS 1M AMOUNT OUE TO SOLLOR
201- sit or e""rnest mnnpv , 000.00 501 Excess "enosit rsee instructions)
20' PrinciDaL Am t 0 ew Loanrs' 78 ono.OO 02. SettLement Charae!il. to Seller l ine1l..00 2 0,4.07
203. Eyisdnn Loan(s\ Taken Sub.ect to 503 Existin... 10AnCl. Taken Subiect to
204. Ili04. Pavoff 1st Nt" tn Pennsvlvania Housina Fina 49 481.30
205. 1505. Payoff ,nrt Mto to Yorlt' Federal Sl'Ivinos & Lo 6 826.31
206. 506
207. 507. (Deoosit disbursed as Droceeds\
>08. 508.
209. 509.
Ad"ustments for items unoaid bv SeLLer Adiustments for itAms unoaid hv Seller
2'0. Ctv./Twn. Taxes to 5'0. Ct . ITwn. TAxes to
21, Sc ool Taxes . to "11- Schoo Taxe to
>12. Assessments to 5'2. Assessments to
213. 513.
214 514.
215. 5'5.
2'6. "'6.
2'7 517
2'8. 5'B.
219. 519.
220. TOTAL PAID BY/FOR BORROWER 79,800.00 520. TOTAL REDUCTION AMOUNT DUE SELLER 59, ,2, .68
300. CASH AT SETTLEMENT FROM/TO BORROWER 600. CASH AT SETTLEMENT TO/FROM SELLER
301. GrOSS Amt Due from Borrower (l ine 120) '02,532.56 6D1. Gross Amount Due to SelLer (Line 420) 98,925.22
3D2. LesS Amt Paid by/for Borrower Cl ine 220) ( 79,800.00) 602. Less Reductions Due Seller [L ine 520) ( 59,'2,.68)
303. CASH [X] FROM [ ] TO BORROWER . 22,732.56 603. CASH [Xl TO [ ] FRoM SELLER 39,B03.54
The undersigned hereby acknowLedge receipt of a completed copY of pages 1&2 o~s statement & any at]: hments referred to herein.
~~. 0.. 4 UP,.l j, ..-. Q fJ. '/ 1 J
BORROWER SELLE
. lIaand fU (.fln.A. ~l~ ST~:V #~
c, . aT) '--V.V II ( y.l/;:.t..- . .
BORROWER SELLER
ChrlSt,"e M. Fletcher
pameLa S. Hosler
<:._1,.
. .-~
,.,-.;
HUD" (3-86) RESPA, HB 4305.2
Enclosure T
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-
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SETTLEMENT STArEMENT PAGE 2
L. SETTLEMENT CHARGES
700. Total Sales/Brokers Commissio s B~sed on Price $ PAID FROM PAl D FROM
Division of comnission (( ine, 7001 as follows: BORROWER'S SELLER'S
01. $ to FUNDS AT FUNDS AT
702. $ to SETTLEMENT SETTLE"EMT
170'1;;. Commission Paid ::It Settlement
704.
BOO. IT MS BLE IN CONNECT ON WITH LnAN
'1801. loan Oriaination Fee % to
802. loan Discount . % to
803. Tax Service Fee to Mellon Morta:lae COlrrlanv 62.00
804. Flood Cert Fee to MeL Lon Mort"ane Co......anv >..00
805. Unnerwritinl:l Fee to Mellon' Mortl:lAl:le o_nv 125.00
806. Doc Pree Fee to First United Mortnane Services '.000
807. Overnil:lht Mail Fee to Fi rst United Mort a e Servi'ces 29.00
808. Annr::lisal Fee First United Mortl:lAl:le Service $275 00 pac
800. Credi t Rennrt First United Mortaane Service $60 00 .OC
810. Pr i to FUMS from Mellon MelLon'MortnBne C~anv $985.00 pac
811.
900. ITEMS REQUIRED BY LENDER TO 8E PAID IN ADVANCE
901. Interest from 05-20-98 to 06-01-98 @$ 15.38"90'....v( ,,, d.vs %1 184.59
902. Mort e I surance Premi'um for months to
903. Hazard nsurance Premium for veal's to,
904. to
905. , ,
1000 RESERVES DEPOSITED WITH L DE
1001. Hazard Insurance '.000 months @$ 21.33 oer month 42.66
, 1002. Mo'rt'nAne Insurance months @ $ ~r- ninnth
1003. Ctv.lTwo. Taxes 4.000 months @ $ 40.24 ~er month 6096
1004 school Taxes 17.000 mnnths @ $ 85.37 ner- month 1 024.44
1005. AssessmPnts mon.h. @ ~ n~r mnn'h
1006. months @ $ r.er month
1007. months @ $ ner month
1008. Aggregate_Adjustment -203.61
1100. TITLE CHARGES ..
. 9 i s~nu.semeRt Fee--- .... -1" .. ..
1'0~. ~bstract or Title Search '0
1 0 I e Examination to
1104. Attornev FeelInvoice #6945 to 01 i B ie Sc ere 1 536 ..
1105. Deed Prlmaration to OIBrien Baric & Scherer 225.00
06 Notarv Fees to Cash 2.00
1107. Title Binder Fee t
(incLudes above item nl"Dllbers: ,
1108. Ti~le Insurance to 'TI C'MDUO 781. 30
l includes a ve it numbers: 1101-1105 ,
'109. lender's Coveral:le S 78 800.00
1110. Owner's Coveraae $ 98 500.0n .
1111. Endorsement Charae to en C J"MD-WO 100'300'8.1 1.0.00
111' .
1113.
1200. GOVERNM'NT RECORDING AND TRANSFER CHARGES
1201 Recordinn Fees. Del'>rl ~ 25.50 ~Mortl'lane $ 31.50 .ReLe:lses $ 57.00
1202. Citv/-Countv Tax/Stamos: Deed $ 985 00 .Mortna"e $ 985.00
1203. Shlte 1'ax/Stamns: 'DeM $ 985.00 .Mortaaae $ 985.00
1204. Satisfaction Of -Mortnane to Cumberland COU"tv De"orde" of n""eds 14.00
1205. Assignment of Mortgage to Cumberland County Recorder of Deeds 14.00
1300. DOITIONAL SE TLEME T CH R S
1301. Survev to
1307_ Pest Insnection to
1303. Overniaht Mail Fee to "DW&O nkn 'nauoff 20.00 15<0
130~ ';nal Uti! I'v BI II to Carl ;sle Borouah 35 92
1305.
1400. TOTAL SETTLEMENT CHARGES (Enter On Lines 103, Section J and 502, Section () 3,607.34 2,814.07
By signing page 1 of this statement, the signatories acknowledge receipt of a compLeted copy of page 2 of this 2 page statement.
<5/9318.1)
Certified to be a true copy:-.
~ ~3r?
Martson Deardorff Wi Lltams & Otto
Settlement Agent
~
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,;-",.-Hff), SETTLEMENT STATEMENT B,LOAN TYPE: VA 30 year @ 6,875% fixed
i OUR FILE #: RE01 -301 . Loan #0078882773 LENDER: '. Washington MutQal ,r:-;--..,
, I. l.A"
i C .This form is furnished to ~ive you a statement of actual settlement costs. Amounts paid '~
,to and by the settlement agent are shown. Items marked P.o.c. were paid outside clo~ing.
10, NAME OF BORROWER: E NAME OF SELLER:
,
! Shannon P. Wright Dale A, Fletche,
IChris1ina D, Wright Ch ristine M, Fletcher
,
I G, PROPERTY LocATION: H, SETTLEMENT AGENT: I, SETTLEMENT DATE:
11150 Redwood Drive, Carlisle, PA 17013 DOUGLAS, DOUGLAS & DOUGLAS Wednesday 31 -Oct-01
27 WEST HIGH STREET
Carlisle Borough, Cumberland County CARLISLE, PA 17013 1:00 p,m,
J, SUMMARY OF BORROWER'S TRANSACTION K, SUMMARY OF SELLER'S TRANSACTION
100 GROSS AMOUNT DUE FROM BORROWER .00 GROSS AMOUNT DUE TO SELLER
, $104,900,00 $104,900,00
1101 Contract Sales Price 401 Contract sales pricE'
1102 Personal Property 0,00 402 Personal Property 0,00
1,03 Set.tlement Charges (line 1400) , 3588.20 403 ,
1104 0,00 404
!10S . Adjustments items prepaid by seller:
I Adjustments items prepaid by seller: 405 Local taxes to 31-Dec-Ol 74,00
1106 Local taxes to 31-090-01 74.00 .00 Assessments
r 107 Assessments to 407 School taxes to 30-JUll-02 662,54
IIOB School taxes to 30-Jun-02 662,54 'OB
i109 40.
120 GROSS DUE FROM BORROWER 109222,74 420 GROSS DUE TO SELLER 105636.54
1200 AMOUNTS' PAre BY OR FOR BORROWER , 50'0 REDUCTIONS IN AMOUNT DUE TO SELLER
201 Deposit or Ea:e-nest Monay 500,00 501 Excess deposit
202 New Mortgage Punount: 106998,00 502 Settlement charges 9508.49
1203 Existing loan. taken subject to 503 Ffxisting loans taken
!204 504 Payoff Ch4SG Manhattan 76457,56
: 2_05 505
I 0.00 0.00
:206 Seller Credit to Buyer $2000.00"" 50B Seller credit to Buyer $2000......
1207 507
! . for i ~ems unpaid by ssller SOB
lAdJustmenta
I 0.00 Adjus-tments items unpaid by Seller
j210 Local Taxes to 31-0ct-Ol for
:211 Assessments to 510 Local taxes 31-0ct-Ol 0,00
:212 School 'l'axes '0 31-0ct-01 0,00 511 Assessments to
:215 512 School taxes to 31-oct-01 0,00
i216 513
1217 51'
1220 TOTAL PAID BY BORROWER 107498.00 520 TOTAL REDUCTIONS SELLER 85966,05
1300 CASH FROM/TO BORROWER 600 CASH TO/FROM SELLER
1301 Gross amount duo from borrower 109222,74 601 Gross amount to seller 1 05636,54
:302 Less aInOunts paid by/for borrower 107498.00 602 Reductions to seller 85966,05
~pli9;;$8'fAQMilfuQI~QflRQW$fHit....i.,..........i'..."'. ., $1,724.74 6PSQA~BTq!ERQMjr~ELU~R:.... ,.....,' $19,670.49
Christina b:'Wright
.~ .,:'- i' .: _,'_ "'-~, t,
d the HUD-l Settlement Statement and to
and accurate statement of al~ rece' ts
d X have received a copy of is
of my knowledge
rsements made on
y records.
ri....Ifi,p.{~!L.q.i ',' '
I have carefully review
and belief, it is a
my account or on my
Christine M, Fletcher
Enclosure U
~~~~ ~,~.~..~ .... .......~..."""=I. ~.,~
"
-
~~
~
z HUD DISCLOSURE/SETTLEMENT STATEMENT
J TOTAL REALTOR'S COMMISSION 6% X $104,900.0'0 '
'01 Listing Agency: Re/Max Realty $3122.00
02 Selling Agency: Woife & Shea,e, $2379,00
03 Refe,ral: Sibcy Cline $793,00
00 ITEMS PAYABLE IN CONNECTION WITH LOAN
01 O'lgination Fee** POC $534.99 L Washington Mutual
02 Loan Discount Washington Mutual
03 Appraisal Fee POC $275.00 'II' r1S,J, I{~~r.ll~ed{' '",_.",
04 C,edit Report POC $50.00 Credco
05' Underwriting Fee
06 Document Preparation Fee
07 Flood Certifieation** Lereta Co'p,
08 Tax Service Fee**' Lereta Corp.
09 Va Funding Fee Veterans Affairs
10 Overnight Mail Charges: GEORGE F. DOUGLAS, III
00 ITEMS LENDER REQUIRES TO BE PAID IN ADVANCE
01 Interest@ $19.42/day** f'om' 31 -Oct-01 1001 -Nov-01
82 Mortgage insu,ance "
D3 Hazard insu,ance ** Hartford Insurance Co. 1 year $244,00
)4
DOO RESERVES DEPOSITED WITH LENDER
Escrows collected:
)01 Hazard insu,ance**
)02 Mortgage insurance
)03 County/Local taxes**
)04 School taxes**
)05 Aggregate Adjustment
100 TITLE,CHARGES
101 Settlement or closing lee:
102 Abstract or title search:
103 Transaction Fee:
104 Title insurance binder:
105 Document preparation:
106 Notary fees:
107 Attorney's fees:
(includes above item numbers): '
08 Title Insurance: AGENT FOR FIDELITY NATIONALTITLE**
(includes above item numbers):1101-1 104 Endorsements 100 300 8.1 $150 $150
09 Owner's coverage $104,900.00
10 Lender's cove,age $106,998.00 $863,75
11 Insured Closing Letter Fidelfty National Title
100 GOVERNMENT RECORDING AND TRANSFER CHARGES
:01 Deed 27.50 Mortgage
:02 Release/Satisfaction 0.00 Assignment/Stip
:02 'County/Local transfer tax (1 %)
,03 Pa. State transfer tax (1 %)
100 ADDITIONAL SETTLEMENT CHARGES
01 Radon testing:
02 Pest inspection:
03 Water & Sewer. #901-310-01
,04 Homeowners Association Fee
iooiXtitAll:$1i:ttllmEM$NW)fi'AAi'li1l'Esrt;,@.\ .,', "" "" ,),y,''',''''''''
# mos. due:
,
Notary
Rich Wagne,
Carlisle Borough
Iso entered on line 103 for Borrower; line 502 for Seller}
,
"
20.30
0.00
36.90
83.27
55.50
0.00
~
PAID BY
BORROWER
0,00
POC
-41.50
2098.00
0,00
0,00
0.00
0.00
0.00
350,90
-350.90
0.00
8,00
0.00
354,70
35.00
0.00
83.00
0.00
1049.00
0.00
3586.20
.'
OJ,j.,,,,,'''''d''''jl,,ri,
PAiD BY
SELLER
6294.00
0.00
534.99
13.00
71.00
17.00
19.42
244.00
60.99
332.10
65.45
0.00
125.00
659.05
0.00
0.00
1049,00
0.00
23.49
9506.49
-
,
-~ " ~-~ "'
,OCHASE
Q)
THE RIGHT RelATIONSHIP IS EVERYTHING~
Customer Care Phone: 1-800-848-9136
Please send payments ONLY to: PO BOX 830006
Baltimore MO 21283-0006
Hearing Impaired (TOO): 1-800-582-0542
IIBWNDXCT .
#3135802388525108#
76,719 Cl 0
DALE A FLETCHER
CHRISTINE M FLETCHER
1770 PEACHTREE ROAD
WARRINGTON PA 18976-2806
1",111"1,1,1"1",1,11""1,11,,1,11,,,,11,,1,,,111,,,,11,,1
Loan Number:
Statement Date:
Payment Due Date:
Property Address:
1150 Redwood Dr, Carlisle PA
Loan Information:
~
Principal Balance on 10/10/01
Escrow Balance on 10/10/01
Pavment Factors:
Interest Rate
Principal & Interest
Escrow Payment
Optional Products
Past Due Payment
Unpaid Late Charges:
Miscellaneous Fees
Total Payment
Year-ta-Datp.:
Interest
Taxes
Principal
. 58f3~~~5
~10/10/01 ::>
I I 01
17013
1_ S75.963.8aj
~ 100.UJ
7.12500%
$530.90
$171.94
$0.00
$0.00
$0.00
$0.00
$702.84
$4,535.83
$ 1,442.08
$773.17
Chase Presents The Following Opportunities To You
THIS OFFER IS FOR SELECT CHASE CUSTOMERS,
" Chase, Platinum MasterCard. with ;asPl!lciaJ low . rate for C~ase ,customers. .
No Annual Fee. TolI~Free Service, ExtenSive Purchase Protection, Great Benefits.
Call 1~800-846-2813 immEldiately. " This offer is for Select Ch~se Customers.
1-800-846-2813 for the Chase Platinum MasterCard with a lower rate for Chase customers.
Call
Activity Since Your Last Statement
TRANSACTION TOTAL OPTIONAL MISCELLANEOUS
DATE RECEIVED PRINCIPAL INTEREST ESCROW PRODUCTS OR FEES
10/04/01 26.55
10/10/01 702.84 79.39 451. 51 171. 94
TRANSACTION
DESCRIPTION
LT CHARGE WAIVED
IPAYMENT
I
,
,
. , . .... Important Messages AbClut Your Account
We at Chase extend ,our deepest sympathy and support to those affected personally and professionally
by the tragiceyents ofSel?tember11.,
,:--;...,~~:" ;"- '-
.,.
. ~.
~ ,""'''"......m.....'='"'''''''''_..' _ MJ ~
""M<~.'.~
~
Mellon Mortgage Company
1775 Sherman Street, Suite 1500
Denver, CO 80203-4302
MORTGAGESTATEME~
Loan Number:
Statement Date:
PrOperty Address:
1150 REDWOOD OR
CARLISLE PA 17013
Loan Information
001562/PA-
Item description Amount
Balances r
.Principal Balance <77 67~ '3 ,
Escrow Balance $556.01
Unpaid Late Charges
Suspense Balance
Payment Factors
Int Rate - First Mtg 7.125%
Principal & Interest $530.90
Escrow Payment $204.44
Optional Products
Subsidy
Total Payment $735.34
Year to Date
Interest $5,099.84
Taxes $ 1 . 568 . 15
* TIle Prmcipal Balance is NOT th9 amount roquirod to pay your loan
in1ull.
DALE A FLETCHER
CHRISTINE M FLETCHER
1150 REDWOOD OR
CARLISLE PA 17013-1378
1",111",111"""11"11,,,,11,,11,1,,,11,,1,.1,1,11,,,.1,,11
Payment Due Date
Payment Amount Due
Past Due Amounts
Unpaid Late Charges
12/01/99
$735.34
$ .00
$ .00
Payment Summary
Return Check Fees
Other Fees
Total Amount Now Due
$ .00
$ .00
$735.34
If received after 12/16/99, pay
Includes Late Charge
$761.89
$26.55
Transaction Activity Since Last Stotement
Transaction
Description
Date Transaction
Due Date
Total
Paid
Principal
Interest
Escrow
Optional
Products
Miscellaneous
or Fees
Payment
11/99 11/05
$693.42
$69.29
$461.61
$162.52
. IMPORTANT MESSAGES"
When making your monthly payments, "p:jease'\,jrite your loan,number_',on your check and send your
payment to: Mellon Mo~tgage.Company:' P.O. Box 371344. P;ttSbu~ghi PA 15250-7344." '.
,:" -", __ .' ,', :', , ,,- :!.:I,,;!;;":', ''";,'''~'''''''' -'''';'l~?i;-_"<;,,,__ -. ", :"'_:_'.-, ::--':'<, ~
,'-,M~l_l on : Mortgage::.company;, i 5, carini tted to _Jurntst;j.ng\:,c;omp 1 ete and{accu;..a~e,:: i nfor"mati,on:;;ab,out .-the _
loans you may. hay" wi th us. to: consumer;,~pcm;t"fhgl:ag'!l!'lC,t es . I fi. you bet; eYe.t~at :,thllj, i nformat; on
we report about your loan 15 1ncomplete;-""inaccurate 01"" outdated, please.wrlte."u5 at:c-'Mel1on.
Mo~tgage Company, Attn: custome~ Service - Loan Se~Y;cing, 1775 She~man St~eet, Suite 2700,
OenYe~, CO 80203-4302. "
.'-'...:.'
,,'--':'~'
~~fj7
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",.,'1'
j,'<:;w:
,. ~~,>- " " . ''''-=<W';
f-\-Lr)-<--- Gh~\~ 74;-s~1 ~~ ,,--\out- W
Value of Charles Shwa~lMerck IElAs .
Charles Schwab IRA Page 1
212212002
Date Action Transaction Price Shares $ Amount C Cash Balance
106 91 .00
Schwab Govt Money Fu... 7,693.24 .00
115/1998 Buy Schwab Govt Money Fu... 55.95 55.95 -55.95
memo:
1115/1998 Div Schwab Govt Money Fu... 15.00 -40.95
memo:
1/31/1998 Mi~lnc 40.95 .00
memo:
_401 Contrib
12/31/1998 Div Schwab Govt Money Fu... 78.42 78.42
memo:
12/31/1998 Buy Schwab Govt Money Fu... 0.158022 496.26 78.42 .00
memo:
1/3111999 Div Schwab Govt Money Fu... 64.29 64.29
memo:
113111999 Buy Schwab Govt Money Fu... 64.29 64.29 .00
memo:
Enclosure X
,-""""'- ~ "
~ "
-~~- ~ ,
i
"
~illl~iWj;l!h~~'
. \\111/
:00
~S.s-7.!- ~~ 7/ ;( / c::1.S /tj'-</J
Di~ectorate for Reti~ed/Annuitant Pay
1'J4 LE /l. ~~/C' ~..J
/ cf7';? ~a.4lAs L).e. RE: Unifor-med Ser-vices Fonner-
&L!/~li I~. J 7o/...:f' ~p:u"es' . F'l-ot~ct~ on. ,;ct-
NOLlflcatlon LO ~etl~ee
@~
DEFENSE FINANCE AND ACCOUNTING SERVICE
INDIANAPOLIS CENTER
INDIANAPOLIS, INDIANA 46249-0001
Dear- /.iL-L! 17.n c?.>>C:~. I
The Uniformed Services Former Spouses' Protection Act,
Public Law 97-252 as amended by Public Law 101-510 dated November
1990~ pr8vides direct payments to a spouse or former spouse from
a retiree's military pay as property, alimony, or child support~
The maximium amounts .payable by the U~S. Army shall not exceed 50
percent of the disposable retired pay for these court orders.
,ThE. Defe<>>:~ance and Accounting ser-v~?~~.ser-ved a
coun: or-der-~..! :-z:tI4-~,~ ~~ ~
--------------------~--~-------~-~------- -- ---- ----------
._~ . The
U~S~-A~~y-i~-;;q~i~~d-t;-~ithh~ld=~.~~~-~_==============______
______________________________________________________________ of
'~ dfSpo:~~~ay and for-war-d the monies to ----~--S~~h
::~~:_~:_~:~~~=~:~~~~~========================-
.
If the court order has been amended, superseded~ or set
aside~ or if there is a conflicting court order, you should send
a notification with a certified copy of the necessary legal
documents to Defense Finance an,d' Accounting Service-Indianapolis
Center-, Attention: DFAS-I-DGG, Indianapolis, Indiana 46249-0160,
within 30 days frnm the date of this lettp~_ Upon submitting
information or documents in response to this notification, you
are thereby consenting to the disclosure of such information and
documents to your former spouse or to her agent.
~.
...--..~
~ "".~~~L....
2
i;
Your failure to notify this Command at the address and
within the time limit listed above~ will result in the payment of
a portion of your disposable retired pay as stated in paragraph
two~ after the expiration of the 30 day periQd~
The defense of this matter is your sole respons{bility~ You
shoul d contact an attorney wi thOLl,.t del.:ay if YOLl ~~Ji sh to contest
the court o~-der ~
Copies of the court order and other documents received by
the Defense Finance and Accounting Service-Indianapolis Center
are enclosed for your information~
In the event Former Spouse Direct Payments are implemented,
please address future correspondence ~o DFAS-Indianapolis Center,
Attention~ DFAS-IN-pRDC/Stop #18, 8899 56th Street, Indianapolis,
Indiana 46249-1536/~ or you may call
regarding your account.
Sincerely,
Division
Di r-2Ctt., ate for r:;~etir"ed/Annui t2.nt F2")/
Enclosure
....~ '" ~
- '-~
~.
""~~~ '-:li.,
STATEMENT EF:I'1!CTIV1! DATE
SSN
JAN 10, 2002
FEB 01, 2002
255 78 4471
PLEASE REMEMBER TO NOTIFY DFAS IF YOUR ADDRESS CHANGES
OlC101l17\11&3 :s&013
DEFENSE FINANCE AND ACCOUNTING SERVICE
CLEVELAND CENTER (CODE PRRJ
PO BOX 99191
CLEVELAND OH 44199-1126
.COMMERCIAL (216) 522-S955
TOLL FRl!E 1-800-321-1080
TOLL FREE FAX 1-800-409-6559
EMPLOYEE MEMBER SELF SERVICE lEIMSS)
https:/lemss.dfas.mil/emss.html
1-<177-DOD-EMSS (1-<177-363-3677)
MAJ DALE A FLETCHER USA RET
1150 REDWOOD DR
CARLISLE PA 17013-1378
ITEM
OLD
NEW
ITEM
OLD
NEW
GROSS PAY
VA WAIVER
SBP COSTS
TAXABLE INCOME
2.408.00
103.00
151.02
1,266.32
2,408.00
10Z.00
1 .02
1 ,2~ .32
FITW
ALLOTMENTS/BONDS
.FORMER SPOUSE OED
120.55
26.90
881.66
94.~0
~6. 0
881. 6
NET PAY
1.118.87 1,144.72
TAXABLE INCOME:
FEDERAL INCOME TAX WITHHELD:
1,266.32
120.55
DIRECT DEPOS IT
FEDERAL WITHHOLDING STATUS:
TOTAL EXEMPTIONS:
FEDERAL INCOME TAX WITHHELD:
SINGLE
01
94.70
SBP COVERAGE TYPE: SPOUSE AND
SPOUSE COST:
CHILD COST:
CH I LD (REN)
156.83
.19
ANNUITY BASE AMOUNT:
55% ANNUITY AMOUNT:
35% ANNUITY AMOUNT:
SPOUSE DOB:
CHILD DOB:
2.412.84
1.32Z.06
84 .49
AUG 24. 1947
AUG 29, 1983
THE ANNUITY PAYABLE IS 55% OF YOUR ANNUITY BASE AMOUNT UNTIL YOUR SPOUSE
REACHES AGE 62. AT AGE 62, THE ANNUITY MAY BE REDUCED DUE TO SOCIAL SECURITY OFFSET, OR
UNDER THE TWO-TIER FORMULA. THAT REDUCTION ,MAY RESULT IN AN ANNUITY THAT RANGES BETWEEN
35% ($ 844.49) AND 55% ($1327.06) OF. THE ANNUITY BASE AMOUNT. THE COMBINATION OF THE
SBP ANNUITY AND THE SOCIAL SECURITY BENEFITS WILL PROVIDE TOTAL PAYMENTS FROM DFAS AND
THE SOCIAL SECURITY ADMINISTRATION OF AT LEAST 55% OF YOUR BASE AMOUNT. THE ACTUAL
ANNUITY PAYABLE IS DEPENDENT ON FACTORS IN EFFECT WHEN THE ANNUITY IS ESTABLISHED.
Enclosure Y
II~I~ III ~~I ~III~~II~::"
.. ~ . ,.~ _.
DFAS-CL 7220/148 (REV 03-011
.,'"Y'_
, FLETC'
,+;.' .:+:-. ':~''",+;.' '.:.;r.:.;. .:+;....:~. ',.;. ':.;', .,~".:.;. ,.;. .:.;. .:.;. ',.;.. .:.;....:.:-...,.;. '.;"$:':+;':':.}~X.;':;':.X:'~"YV~""'~"" ,~.<'~~~ )
;', ___ ..~,...",...~..,..h."',.;..r...,.."'''',..):
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: IN THE COURT OF COMMON PLEAS ~
~ ~
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~ OF CUMBERLAND COUNTY ~
*- ~
~ .~' ~
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~ STATE OF ',":\4'.. ." PENNA. ;,:i
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19 93
No. .....J1.?.....
CIVIL
............,.....
~
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.... PlaintifL....... .........,..'... ....
~
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Versus
.....
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DECREE IN
DIVORCE
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AND NOW, . .. . .l:'l9Y~~.;3,.. .. .. .. ...., 19.514..., it is ordered and
decreed that... .. . ~~~~.~:. f~~~~~~~. . . .. . .. ... . ... .. .... ... . . " plaintiff,
and. . . . . . . . . . .P'I,A,N.E. .11.. .F:I,E;1;GI!E;R, . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., defendant,
;'~
~
t::
~
~.~
are divorced from the bonds of matrimony. The Separation and Property
Settlement Agreement dated October 25, 1993 is incorporated herein by reference.
The court retains jurisdiction of the following claims which have
been raised of record in this action for which a final order has not yet
been entered;
~
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NONE
..............,. .... ...,......... ......,........,..... ,.. ... ..............,
...",.,.........,...... ,... .... ,. ...,., ........" .........
By The
Co U r t :
J~L~g~..l3,..~y+E;!y..........
Attest:
J.
...~At'/7.7L2 ....k':...~.........
'7-"-- Deputy
Prothonotary
r.f.RT1J::IED COP'( rs~JF.D NOVRMRRF 3. 1993 ~
;-':.:<>:+:<>:+:'. :--::+:<_.:+xx+;.:. ':'.:';;-:.:';>:+:'.: :-..::.::~:
Enclosure Z
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Filing Status
Check only
one box.
Exemptions
Ifmorethan six
dependents,
seepage20.
Income
Attach
FormsW-2and
W-2Ghore.
Also attach
Form(s) 1099-1l
iftaxwas
withheld.
Jfyou did not
getaW-2,
see page 21.
Enclose, butdo
not attach, any
payment. Also,
please use
Form 1040- V.
Adjusted
Gross
Income
KBA
-
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-
- .-"--- .-.~..~-''"---.^--_.~~-....--_._~~
I'
,I
Department of the Treasury- Internal Revenue Service
U.S. Individual Income Tax Return
~@oo
~..\),~"",'
BE
;!
i
I Form 1040
,
ILabel
! (See
instructions
on page 19,)
Use the IRS
label.
Otherwise,
please print
or type.
Presidential . ~
Election Campaign
See a e 19.
i
.
/RSUseOnl u Donolwrifeorsta Ie/nth/55 ace.
OMB No. 1545- 0074
Forthe earJan.1-Dec.31 2000. or other tax earbe innin
2000 endin
DALE A FLETCHER
CHRIS M FLETCHER
1150 REDWOOD DR
CARLISLE, PA 17013
1
2
3
4
x
Quali in widower with de endentchild ears ousedied .. See a e19.
YOlJrself. If your parent (or someone else) can claim you asadependenton hisor her tax
return, do not check box6a
bXSouse.
c Dependents:
1 Firstname
DAWN FLETCHER
5
6a
Last name
(3) Dependenfs
relationship to
au
UGHTER
tj~
iWt
.-=:::~:
d Totalnumberofexem tionsclaimed
7 Wages, salaries, tips,etc. Attach Form(s)W~ 2 ________________
8b
, .Ut- Ai.I1W4~ LtWl$wrtj~f.
t~(S@Sage2~1~~ . f\'%. ,
"I (\liwt#f lA' ~D
20
Your social security number
255-78-4471
:1
Spouse's social security number
196-36-2355
Important!
You mUst enter
your SSN(s) above.
!
!
.~
You
} No. of boxes
checked on
. 6aand 6b
. No. of your
(4) if Qual.~~i~~ren on 6c
child for
chi laxc
.~
8a Taxable interest, Attach Sched ule B if req uired .
b Tax-exempt interest. Donotincludeon line8a
9 Ordinarydividen~~" ch~~m~l:fEquired. t!-..
~v A::::::::-:>>-';':';'>',.'>'W.$. .'
10 T~ablerefu~d i~~.. d B'fflOfstalrdlocali..
11 Allmonyrecelve&J . .@t=t,. i;::g$. . .
~*h< :>>...:;. f;:.;;::? .:;1'>.$' ::.::~:<;
12 Business incorjill1-pr (lo~Jltlilw.sch'!#lll~ C or C- 1m
13 Capital gain or.~~_lif~gh 0 ~gt.iWld, check hJ'I
14 Other gains or (losses). Attach Form 4797 . .'
15a TotallRAdistributions ~ I bTaxableamt .
16a Total pensions and annuities. ~ b Taxableamt .
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E.
18 Farm income or (loss). Attach Schedule F .
19 Unemployment compensation . . . , , . . . . , . .
20a social.securityb.enefits . . ~~,*!:~~1 .;~~., .;~~l I b..~!tlft
21 Other Income. LIst type and amoiMl;"isee page "l#.fIL-.!f----.1
$itt.*t$~ 141 .4h._~ ~~ ~.~-----
22 Add the amounts in thefarri ht&mnforlineimthr':::::<h21, Thjji ourtotallncome . . ."
. ;..:;t 'W~l" ,,<~w. ~~~-.: >>l- W" m
23 IRA deduction (see page27) . &1,. . t~i .i%]:~~@t~&.1i ~.' ,
24 Student loan interest deduction (seepage27) . 24
25 Medical savings account deduction. Attach Form 8853 25
26 Moving expenses. Attach Form 3903 26
27 One- half of self- employrnenttax. Attach Schedule SE 27
28 . Self- employed health insurance deduction (see page 29) 28
29 Self- employed SEP, SIMPLE, and qualified plan.'. ' . 29
_ 30 PenaJtyon-earlywithdrawalofsavings . 30
318 Allmonypaid bRecipienfsSSN" 318
32 Addlines23through31a
33 ':--Subtract liri'e 32 from line 22. This Is our aCi.usted ross income
For Disclosure. Privacy Act, and Paperwork Reduction Act Notice, see page 56.
Note. Checking '''Yes''will not change yourtax or reduce your refund.
Do' ou or ours ouseiffi/in a 'oint return want $3 to otothisfund?
Single ,4_W$t~::. .i:ciifttWt& .&11*1'-.\" .~tiWY
Married filingjoin~41tjrn (evl~if~oneh.n~e) iN& '.&.iW"
. . :i%..fF iJ& ~.;.~~. .'. . &-* ~I:;:;'&-'i.;>'
Marnedfihngse~.tereturn.E~~spouse' . ...1:i1Jname>,.. '.110- _
Head O~hOU.sehO'.N~:~-&~.; . age 19.)lftheii=. Iifying person is a chifd butnotyourdependent,
enterthlschlld'snam~J~1M€..... '.'.fi:::;.. ,...~...."
2
elivedwilhyou_
e did not livewilh
youduetodivorce
or separation 1
(see page 20)
Dependents on
6cnolentered
above
Add numbers
.~~~~r:~oov~" 3
57,620.
271.
100.
14,291.
72,282.
Enclosure BB
72,282.
Form J~40 (200.~L.,.
'"'
,
I For~ 1040 2000'
i Tax and
Credits
Standard
Deduction
for Most
People
Single:
$4,400
Head of
household:
$6,450
Married filing
jointl.yor
Qualifying
widow(er):
$7,350
Married
filing
sep arately:
$3.675
Other
Taxes
I
Payments
If you have a
qualifying
child, attach
Schedule EIC.
Refund
Have it
directly
deposited!
See page 50
and fill in 67b,
57c and 67d.
Amount
You Owe
Sign
Here
Joint return?
See page 19.
Keep a copy
for your
record s.
Paid
Preparer's
Use Only'
Amountofline66 ouwanta '""
IfJine 57 is more than line 65, su.'
Fordetailson how to pay, see 51.
70 Estimated tax enal . Also include on line 69 . .
Under penaltIes of perjury,l declare that' have examined this return and accompanying schedules and s~alemen!s, and to ~he best of my knowledge and
bellel, they are true, correct, and complete. Declaration of preparer (olherthan taxpayerlls based on aU Information of which preparer has any knowledge.
61
62
63
64
65
66
67a
.. b
.. d
68
69
--
..":_~MI~l'~"~
-- '.""""'--~~
DAUE A & CHRIS M FLETCHER
34 Amountfromline33{adjustedgrossincome). , , , . , . . , ' ,
358 Checkif: 0 You were 65 or older, 0 Blind; D Spousewas65orolcler,
Add the number of boxes checked above and enter the total here
If you are married filing separately and your spouse itemizes deductions, or
you were adual- statu.salien, see page 31 and check here
O~lin~.
," 35a
b
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
Enter youriternized deductiohs from Schedule A, line 28, or$tandard deduction shown
on the left. But see page 31 to find your standard deduction if you checked any boxon
line 35a or35b or if someone can claim you as a dependent.
Subtract line 36 from line 34.
Ifline 34 is$96,700 or less, multiply $2,800 by the total number of exemptions claimed on
line 6d.lfline 34 is over $96,700, see the worksheet on page 32 for the amount to enter
Taxable income. Subtract ii!l4._~ line,ma1.:38 is _'l~I!'i\ll@7, en\&t~-
<~'.::-i'::O~':';~>>:;" <;;.>;:i,*,'" ~::;.. ..... k,:->>~"" ''':-::;~,*. \'%~ .<<<i'~<'
Tax.Checkifanytaxisfrom*~r F~(~WB14 I:d~l F.497i..t':%. ~~ ~~tS:}J'
. " MW >...;:;~:..~ '.' ',,'> k~~..., ;-;.;..4"k't 1:::t~~~~~~'*':::' .
Alternative minimum tax. Aij~ch Form 6~r . ~f:k ~:t'~~t~~t'~t,:;d'~ . ~~t<:;l
<~' ~'~....,' ";..~>" ~ '",<.,,<
Add lines 40 and 41 . ~~\ ,~i.r "<~l ...U; *i . ~tf
:A%-<<~~~' '%:~i~,,~,*.;:":i"*? &((<, ... , :~1=
Foreign tax credit. Attach roYmh;J-::ro if req"litma~::>>'<<: . ~~S:~ 43 .i! '.:<
Credit for child and dependent care expenses. Attach Form 2441. 44
Credit for the elderly orthe disabled. Attach Schedule R 45
Education credits. Attach Form 8863 46
Childtaxcredit(seepage36). 47
Adoption credit. Attach Form 8839 . , . . . .. 48
~Or~~~~:::rom :B;~;l~~:fy) bDFor~'1~96 1l9it Ai7
Add Iines43through49. dtJ"<-. "*~~ ".~.,:~,:~.:f,~*,'>.W:
Subtract line 50 from line '~fflline 50 ,,:;..;..w" ,
Self-empJoymenttax.Att . eg . , . fI, . , . .
S . I 'ty dM d' '.;' rtM"WliIW &"" hF 4137
oela secun an e I ....,,"f'n!lyere:~uac orm .
Taxon IRAs, other retiremetltplans, and MSAs. Attach Form 5329 if required ,
Advance earned income credJtpaymentsfrom Form{s) W-2
Household employment taxes, Attach Schedule H
57
58
59
60a
b
Addlines51throu h56.Thlsis ourtotaltax ,
Federal Income taxwithheld from FormsW- 2 and 1099
2000 estimated t;:~.;<< :<, .ts &.,'_~~f1ied from 1 .
Earned incoh1ei~dit ..~t$" :ti1
;m:'i &':.t ":".;-;
Nontaxable eari@ inc . ~.punt
"":#i;i :<J;:
and type ... l%.1-{ t.:"?:<:~<
Excess social JW.il" tit ~ eld (see p~e
Additional child tax credit. Attach Form 8812
Amount paid with request for extension tofile(see~e 50) '. .
Other payments. Checkiffrom aD Form 2439,bUForm4136.
Add lines 58 59 60a and 61 throu h 64. Total a ments
If line 65 is more than line 57, subtract line 57 from line 65. This is the amount you overpaid
Amountofline 66 you want refunded to you .
Routing number :.'.. ~*,..'~'::~ T .
Account number
,~~::m-$~<<~"*.~:::*
^W~~~l:~' "4~'i"
;J/.I
62
63
64
gs
Date
Your occupation
EALTH EDUCATO
~ Yourslgnature
For Info Only-Do not fil
Spouse's signature. If ajoint return, both must sign.
For Info Only-Do not fil
Preparer'$ ~
signature r
Firm', name (or ~H AND R BLOCK EASTERN TAX
your,ifself-employed), LEMOYNE PA 17043-0000
address and ZIP code I
-
, ~
.
255.,7B-41171 Pa e2
34 72,282.
16,200.
56,082.
38 8,400.
39 47,682.
40 7,649.
41
.. 42 7,649.
..
7,649.
..
8,243.
7,649.
..
8,243.
594.
594.
..
..
Daytime phone number
Spouse's occupation
SALES
KBA
form 1040 (2000) FD1040- 2V1.25
.---_ C_.......r.. /'"'.....,.1.."1 ,CCR _ ~n("\i I4R.R Rln,.,k Tax Services. Inc.
EIN 43-1632899
Phone no. (717 ) 730-3998
Form 1040,(20QO),
'';,\-'.'>
'-.:-'..--
Department of IheTreasury
n/erna! Reyenue Service 9
Name(s} shown on Form 1040
DALE A & CHRIS
Medical
and
Dental
Expenses
SCHEDULE A .
(Form 1040)
Taxes You
Paid
(See
page A- 2.)
Interest
You Paid
I (See
pageA-3.)
.
I Note.
I Personal
I interest is
i not
deductible.
j
I Gifts to
I
Charity
If you made a
gift and got a
benefit for it,
see page A- 4.
Casualty and
Theft Losses
Job Expenses
and Most
Other
Miscellaneous
Deductions
(See
page A- 5 for
expenses to
deduct here.)
23
24
25
26
Other 27
Miscellaneous
Deductions
".~.
- ~~
k.1.- ....."
W":ill
Schedule A
OMB No. 1545-0074
~@OO.
Attachment
S uenceNo.07
Your social security no.
255-78-4471
Itemized Deductions
jIJo Attach to Form 1040.
... See Instructions for Schedule A (Form 1040).
M FLETCHER
2
3
4
5
6
Caution. Do not include expenses reimbursed or p,ald by others.
Medical and dentalexpenses(seepageA-2) ~ _________
4,423.
2,341.
7 Personal property taxes
8 Othertaxes. List type and amount'"
1,597.
485.
9 Add Iines-5 throu h 8.
10 Homemortgage interest and points reported to you on Form 109B.
11 Homemortgageinterestnotreported to you on Form 1098': Ifpaid
to the person from whom you bought the home, see page A- 3 and
show that person's name, identifying no., and address ...
9
5,501.
.~~"*-"1~:~~mk.
--------- '~F" ."'1;.
12 Points~otrepo~;d to ;ou o~1i~m 1q&l~
lmlit~"
13 Investment interest. Attach Fa .....'~~ .. z:ffreqtl
14 Add lines 10 Ihrou h 13 .
15 Gifts by cash or check ... ________~_
GLOBAL OUTREACH 2,731.
----
CHRIST COMMUNITY CHURCH 3,153.
-----
MISC 392.
5,501.
6,276.
16
17
18
6,276.
19 Casual
20
21 Tax preparation fees
22 Other expenses jIJo
=======-<:r~~~! :IJ if
Addlines20through22 < < A~%i1i .. II.
"''''.,~w @72
EnteramountfromForm1040,lint, . . ~~ 6:' :-l';'-~ >>~~.
Multiply line 24 above by 2% (.02)t~{'? &# . i\"%'t:'1.)tfifh
Subtractllne 25 from line 23, Ifline25 is more than line 23 enter - 0- .
Other. from list on pageA- 6. List type and amount'" ___
o.
Total 28 Is Form 1040, line 34. over$128,950 (over$64.475ifmarried filing separately)?
Itemized [!J No.. YourdeductionisnotJimited.Add the amounts in thefarrlghtcolumn
Deductions for Iines4through 27. Also, enteron Form 1040.llne36.
",- 0 Yes. )'"ourdeduction maybe Ilmited. SeepageA-6fortheamountto enter.
}
,-.;-.J,",:
r
Sched~le A Cf:~.~~"~:~;i~f~~,~'1~':' ,:'
KBA For Paperwork Reduction Act Notice. see Form 1040 Instructions.'
Sch A.1040 (2000) FDA.1V 1.9
FormSoftware copyr ght 1996 - 2001 H&R Block Tax Services, Inc.
'0<. - - - - -- ------ ---- ---- --- - ------ '
>> . I
. ,
}~, .
"
:~ r
C
3
C
C
1
RECIPIENT'SILENDER'S name, address, and telephone number D CORRECTED lif checkedl
HASE MANHATTAN MORTGAGE CORPORATION -C.utian: Theamounf OMB Nn.
415 VISION DRIVE shown may not be fully deductible by 1545-0901
you, Limifs bosed on the loon amount MORTGAGE
OLUMBUS, OH 43219 and the cast ond value of /he secured
USTOMER SERVICE PHONE: property may apply. Also, you may 2000 INTEREST
onlydedudinterestto/heoxlentit
-800-848-9136 IVas incurred by you, actually paid by STATEMENT
you, and not reimbursed by another FORM 1098
person.
RECIPIENT'S Federal identification no. PAYER'S social security number 1 Mortga~, interest received from Copy B
22-1092200 255-78-4471 payeds borrowedsl. $5,501.42
For Payer
PAYER'S/SORROWER'S name, address, and ZIP code 2, ;eo;indt:nfeai1s:: G~~ch2s~n o~a~~rciPal
72.367 YE The infarmation In balla!
1,2, and:3 ;,
SO.OO important tall informatian
:3 Refund 0/ overpaid internt and is being furnlshedtotha
DALE A FLETCHER Internal Revenua Serv;ca.
(Soabox3onback,l Ifyau are required to
CHRISTINE M FLETCHER SO.OO file araturn, a negligllnce
pa(lalty or othar sanctIon
1150 REDWOOD DR 4. Other in/ormation below may be jmposed an you if
CARLISLE PA 17013-0000 the IRS determlnas that an
undarpayment of tall results
, because you ovarstated a
dllductionforthismortgaga
Mortgage Loan Number interestorfarth<!lsapaints
. or becausa you did not
5802388525 raportlhisrafundof
interest on your raturn,
Form 1098
(Keepforyourrecords.l
Department of tha Trllasury - Intarnal Revenue ServIce
...-.-.-.-.,-----.;..~.-c.-"~-,-.---.-.-.~-.-~-,~-~-~"-C-7--"..7.---"'-.C"--.,-c.~-,--.--...~!~-..r-'c.---.-,..-..-.-~c-~.-.----C-"-."-""-".--;:"..-,.-c,-,-.--'--:-.......,..-,.,..,.'!'..".__~~':'.".-,--..,--.-:...--__-,--,~-"""--._..-"----..-.----._-"-~--..",-,,,.~~".,.'--.-..'...-
AdditionaFl.oantnformai:iPnrrH~f6I1owing' aC8Cluni:inforrnatiol") is' provided for. your records, and is
NOTre~uir~dby.thel~Sf()r'. \ncor\1eta>\ '.filing 'Pllrposesl,; .....,.
; ",:'>-:';'f(;>,:~"~~"';;">r:.,-.;>-,-,,, ,~,,~,'<'>',XV' ,-""'\:,>:," ": S\_'~:r,-,\ :;/,,;:;,.i .'to.;.''''\;' - '.i;i'!',j;. k~':,-_,: /" -'".' ;';"','. .Y.,'::,">(,,,,, :;,+!''',i'
- ;. , :: ., ,~ ':,',' , ," "" "
Property Address: 1150 Redwood Dr, Carlisle, P A 17013
Eleginning Principal Elalance
S77.606.43
, , -'"
Beginning Escrow Balance
S760.45
Ending Principal Balance
S76,737.05
Ending Escrow Balance
S744.71
Late Charges Paid
SO.OO
Real Estate Taxes Paid
$1,596.78
- - - - - - - O';est'ions- - abo~t - ;-our- year - e~d - sta-tement'f - if -yo'; -;;eed -is-sista-';c-e~ - a-Chase - Co-;'sumer- Ser~ices -Pr-o;essio~ar C;.-;, - - - - ---
be reached at 1-800-848-9136, Monday through Friday from 8:00 a.m. unli! 8:00 p.m. Eastern Slandard Time.
,
Copy C For EMPLOYEE'S RECORDS
See Notice to Em 10 ee on back of Co
a Control number 1 Wages, lips, other compo
3 Social security wages
b Employer ID number
25-1778644
5 Medicare wages and tips
/I 1" '''71::: "') ~
C Employer's name, address, and ZIP code
PINNACLE HEALTH HOSPITALS
ATTN: PAYROLL DEPARTMENT
P BOX 8700
HARRISBURG, PA 17105-8700
q Employee's social security number
EI Employee's name, address, and ZIP code
DALE A FLETCHER
1150 REDWOOD DRIVE
CARLISLE, PA 17013-0000
7 Social security tips
8 Allocated lips
10 Dependent care benefits
11 Nonquallfied plans
13 See In~OF-tlOX' 3 14 Other
E 3003.57~N J..;
vr>1'1 ,1214.."
1S Ititery..amp1o.v.eL..- Pension plan
PA 25-1778644
16 Stale Employer's state 1.0. #
19 Locality name
41660.05
17 Slate wages, tips, etc.
20 Local wages, tips, ele.
CARLISLE AREA S
43093.09
OMS No.
1545.0008
2 Federal income tax withheld
2000
4 Social security lax withheld
6 Medicare tax withheld
n1 .~ 0
9 Advance EIC payment
12 Benefits included in box 1
Legal rep.
Deferred compo
1166.52
18 Slate Income tax
21 Local income tax
430.88
onn W-2 Wage and Tax Statement Dept, of Ihe Treasury.. IAS 41-1628081
This inform.ation is being furnished 10 the IAS. If you are required to Ille a lax return, a negligence
Penalty/other sanction may be imposed on you if this income is laxable and you fail 10 report-It.
.
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'.
CHRISTINE M. FLETCHER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - LAW
NO. 00 - 1002 CIVIL
DALE A. FLETCHER,
Defendant
IN DIVORCE
RESCHEDULED PRE-HEARING CONFERENCE
TO: P. Richard Wagner
, Attorney for Plaintiff
Dirk E. Berry
, Attorney for Defendant
A pre-hearing conference has been scheduled at the
Office of the Divorce Master, 9 North Hanover Street,
Carlisle, Pennsylvania, on the 23rd day of May, 2002, at
1:30 p.m., at which time we will review the pre-trial
statements previously filed by counsel, define issues,
identify witnesses, explore the possibility of settlement
and, if necessary, schedule a hearing.
Very truly yours,
Date of Notice: 3/19/02
E. Robert Elicker, II
Divorce Master
- ~ .~
. .
I,'
CHRISTINE M. FLETCHER,
Plaintiff
IN THE COURT OF COMMON P~EAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - LAW
NO. 00 - 1002 CIVIL
DALE A. FLETCHER,
Defendant
IN DIVORCE
NOTICE OF PRE-HEARING CONFERENCE
TO: P. Richard Wagner
Attorney for Plaintiff
Dirk E. Berry
, Attorney for Defendant
A pre-hearing conference has been scheduled at the
Office of the Divorce Master, 9 North Hanover Street,
Carlisle, pennsylvania, on the 29th day of April 2002, at
1:30 P.m., at which time we will review the pre-trial
statements previously filed by counsel, define issues,
identify witnesses, explore the possibility of settlement
and, if necessary, schedule a hearing.
Very truly yours,
Date of Notice: 3/11/02
E. Robert Elicker, II
Divorce Master
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THE LAW OFFICE OF
JAMES K. JONES, ESQUIRE
ATTORNEY AND COUNSELOR IN THE
GENERAL PRACTICE OF THE LAW
7 IRVINE ROW
CARLISLE, PA 17013-3019
James K. Jones, Esquire
Dirk E. Berry, Esquire
Telephone (717) 240-0296
Fax (717) 240-0066
Email: JKJONESY @ aoLcom
December 14, 2001
E. Robert Elicker, II, Esquire
Office of Divorce Master
9 Hanover Street
Carlisle, PA 17013
RE: Fletcher V. Fletcher; docket no. 00-1002 in Divorce
Dear Mr. Elicker:
I am writing to request a thirty day continuance on the filing date of the pretrial
statement. I have checked with Rich Wagner, Esquire, regarding this request. Mr.
Wagner's office contacted my office with a message that an extension was fine with
Mr. Wagner.
Thank you for you kind consideration of this request. If you have any questions
or concerns, please do not hesitate to contact me.
Sincerely yours,
j?l~'J_'E~
DB/sed
cc: P. Richard Wagner, Esquire
Dale A. Fletcher
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OFFICE OF DIVORCE MASTER
CUMBERLAND COUNTY
COURT OF COMMON PLEAS
9 North Hanover Street
Carlisle, PA 17013
(717) 240-6535
E. Robert Elicker, II
Divorce Master
Traci .10 Colyer
Office Manager/Reporter
West Shore
697-0371 Ext. 6535
December 12, 2001
P. Richard Wagner, Esquire
MANCKE, WAGNER, HERSHEY & TULLY
2233 North Front Street
Harrisburg, PA 17110
Dirk E. Berry, Esquire
7 Irvin Row
Carlisle, PA 17013
RE: Christine M. Fletcher vs. Dale A. Fletcher
No. 00 - 1002 Civil
In Divorce
Dear Mr. Wagner and Mr. Berry:
On April 12, 2001, Mr. Wagner signed the document which we request regarding
certification of discovery. Mr. Wagner indicated that discovery was complete. To date,
we have not heard from either Mr. McKnight or Mr. Berry regarding the status of
discovery on behalf of the Defendant. I am, therefore, going to conclude that there are no
outstanding discovery matters and that when we have the pre-hearing conference we will
not be dealing with issues that need to be addressed regarding discovery.
On February 23, 2000, a complaint in divorce was filed raising grounds for
divorce of irretrievable breakdown of the marriage and indignities. I assume that the
parties with.either sign affidavits of consent or that the Plaintiff will file a 3301(d)
affidavit averring a separation in excess of two years. Therefore, grounds for divorce are
not an issue.
The complaint also raised the economic claims of equitable distribution, alimony,
alimony pendente lite, and counsel fees and costs.
In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to file a
pretrial statement on or before Friday, January 4, 2002. Upon receipt of the pretrial
statements, I will immediately schedule a pre-hearing conference with counsel to discuss
It
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Mr. Wagner and Mr. Berry, Attorneys at Law
12 December 2001
Page 2
the issues and, if necessary, schedule a hearing.
Very truly yours,
E. Robert Elicker, II
Divorce Master
NOTE:
Sanctions for failure to file the pretrial statements are set
forth in subdivision (c) and (d) of Rille 1920.33.
THE ORIGINAL PRETRIAL STATEMENT SHOULD BE FILED
IN THE MASTER'S OFFICE AND A COPY SENT DIRECTLY
TO OPPOSING COUNSEL.
FAILURE TO FILE PRETRIAL STATEMENTS AS DIRECTED
BY THE MASTER MAY RESULT IN THE MASTER'S
APPOINTMENT BEING VACATED.
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CHRISTINE M. FLETCHER,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
v.
: NO: 2000-1002
: CIVIL ACTION - LAW
DALE A. FLETCHER,
: IN DIVORCE
Defendant.
MOTION FOR APPOINTMENT OF MASTER
CHRSTINE M. FLETCHER, Plaintiff, moves the Court to appoint a Master with
respect to the following claims:
(li{ Divorce
( ) Annulment
(i Alimony
(0" Alimony Pendente Lite
({
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()
()
Distribution of Property
Support
Counsel Fees
Costs and Expenses
and in support ofthe motion states:
(1) Discovery is complete as to the c1aim( s) for which the appointment of a Master is
required.
(2) The Plaintiff has appeared in the action by his attorney, MARCUS A.
McKNIGHT, III, ESQUIRE.
(3) The statutory ground(s) for divorce (is) (are): 3301(c) and 3301(d)
(4) Delete the inapplicable paragraph( s):
(a) The aeti01l ;, Hut lOUHt",t"d.
(b) An agreemeHt has beeR reaeheEl with resreet to the folia "in!\ dltil'l1s:
(5)
(6)
(7)
Date: tf!JI,/()/
( (
The action (ilwel. e3) (does not involve) complex issues oflaw or fact.
The hearing is expected to take Vz (+-) (d ).
Additional information, if any, relevant to.th motion: None.
ORDER APPOINTING MASTER
,
AND NOW,~ S- ,2001, c!;hk/ac./t:e.J
appointed master with respect to the following claims: aL.!
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, Esquire, is
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CHRISTINE M. FLETCHER,
PLAINTIFF
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
NO. 2000-1002 CIVIL
DALE A. FLETCHER,
DEFENDANT
CIVIL ACTION - LAW
PRAECIPE TO WITHDRAW APPEARANCE
To Curtis R. Long, Prothonotary:
Please withdraw my appearance from the above-captioned case on behalf of the
Defendant, Dale A. Fletcher
Respectfully submitted,
IRWIN, McKNIGHT & HUGHES
Date May 3, 2001
Marcus A. Mc .ght, III,
60 West Pomfret Stf
Carlisle, Pennsylvania 17013
(717) 249-2353
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CHRISTINE M FLETCHER
PLAINTIFF
: IN THE COURT OF COMMON PLEAS OF
: CUMBERLAND COUNTY PENNSYLVANIA
v.
NO. 2000-1002 CIVIL
DALE A. FLETCHER,
DEFENDANT
CIVIL ACTION - LAW
PRAECIPE TO ENTER APPEARANCE
Please note attached Praecipe to withdraw appearance signed by Marcus A. McKnight,
III, Esquire, attorney of record in the above captioned matter. Please withdraw Attorney
McKnights appearance and enter our appearance on behalf of defendant Dale A. Fletcher.
Law Office of James K. Jones, Esquire
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Dirk E. Berry, Esquire
7 Irvine Row
Carlisle, P A 17013
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LAW OFFICES
MANCKE, WAGNER, HERSHEY & TULLY
2233 NORTH FRONT" STREET
JOHN a. MANC;:KE
P. RICHARD WAGNER
DAVID E. HER$Ht::V
WILUAM T. TUJ,.LY
HARRISaURG,
PA
17110
PHONE (717) 234.7051
FAX (717) 234-7080
April 16,2001
E. Robert Elicker, Esquire
9 North Hanover Street
Carlisle, PA 17013
Re: Fletcher Vi Fletehet'
Dear Mr. Elicker:
Enclosed herein please find the signed Certification on behalf of my client,
Christine Fletcher, regarding the above-captioned matter.
Your attention is appreciated.
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Enclosure
cc: Marcus McKnight, III, Esq. (wiencl.)
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CHRISTINE M. FLETCHER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
vs.
NO. 00 - 1002 CIVIL
DALE A. FLETCHER,
Defendant
IN DIVORCE
TO: P. Richard Wagner
Attorney for Plaintiff
Marcus A. McKnight, III
Attorney for Defendant
DATE: Wednesday, April 11, 2001
CERTIFICATION
I certify that discovery is complete as to the claims
for which the Master has been appointed.
OR IF DISCOVERY IS NOT COMPLETE:
(a) Outline what information is required that is not
complete in order to prepare the case for trial
and indicate whether there are any outstanding
interrogatories or discovery motions.
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(b) Provide approximate date when discovery will be
complete and indicate what action is being taken
to complete discovery.
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6 OR PLAINTIFF
COUNSEL FOR DEFENDANT
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NOTE:
PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE
FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE
CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE
AT THE MASTER'S DISCRETION.
AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL
OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY
COUNSEL, INDICATING THAT DISCOVERY IS NOT
COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL
STATEMENTS WILL BE ISSUED AT THE MASTER'S
DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A
PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY
IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL
STATEMENTS WILL BE ISSUED IMMEDIATELY.
THE CERTIFICATION DOCUMENT SHOULD BE RETURNED
TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF
THE DATE SHOWN ON THE DOCUMENT.
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CHRISTINE M. FLETCHER,
PlaintiffJPetitioner
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
VS.
CIVIL ACTION - DIVORCE
DALE A. FLETCHER,
Defendant/Respondent
NO. 00 - 1002 CIVIL TERM
IN DIVORCE
DR# 29,474
Pacses# 777102078
ORDER OF COURT
AND NOW, this 13th day of March, 2000, upon consideration of the attached Petition for
Alimony Pendente Lite and/or connsel fees, it is hereby directed that the parties and their respective
connsel appear before R.J. Shaddav on March 27. 2000 at 10:30 A.M. for a conference, at 13 N. Hanover
St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for Alimony
Pendente Lite be entered.
YOU are further ordered to bring to the conference:
(I) a true copy of your most recent Federal Income Tax Return, including W-2's as filed
(2) your pay stubs for the preceding six (6) months
(3) the Income and Expense Statement attached to this order, completed as required by Rille
191O.1W
(4) verification of child care expenses
(5) proof of medical coverage which you may have, or may have available to you
IF you fail to appear for the conference or bring the required docwnents, the Court may issue a
warrant for your arrest.
BY THE COURT,
George E. Hoffer, President Judge
Mail..copies on
3" 13'OOto:
Petitioner
< Respondent
P. Richard Wagner, Esquire
Marcus McKnight, Esqnire
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R. J/; Shadday, Conference Officer U
YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO
OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET
LEGAL HELP.
Date of Order: March 13. 2000
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVE.
CARLISLE, PENNSYLVANIA 17013
(717) 249-3166
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CHRISTINE M. FLETCHER,
Plaintiff,
: IN THE COURT OF COMMON PLEAS
: CUMBERLAND COUNTY, PENNSYLVANIA
v.
: NO. 2000-1002
: CIVIL ACTION - LAW
DALE A FLETCHER,
: IN DIVORCE
Defendant.
PETITION FOR ALIMONY PENDENTE LITE
AND NOW, comes the Plaintiff, Christine M. Fletcher, by and through her
attorneys, Mancke, Wagner, Hershey & Tully, and files the following Petition for
Alimony Pendente Lite:
1. Your Petitioner, Christine M. Flet~her, is an adult individual currently
residing at 131 Stanford Court, Mechanicsburg, Cumberland County, Pennsylvania.
2. The Respondent, Dale A. Fletcher, is an adult individual currently residing
at 1150 Redwood Drive, Carlisle, Cumberland County, Pennsylvania.
3. The Petitioner is employed on a full-time basis at Wears Like New.
4. The Respondent is a full-time employee at Pinnacle Health and retired
military.
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5. Petitioner does not have sufficient funds to maintain herself during the
pendency of the divorce action at the above number.
6. Respondent has the wherewithall to pay APL unto the Petitioner.
WHEREFORE, Petitioner prays this Court to grant relief in the form of
directing the Respondent to pay unto the Petitioner alimony pendente lite as
provided by law.
Respectfully submitted,
-'-'--
P d Wagner, Esquire
I.D. #23103
2233 North Front Street
Harrisburg, P A 17110
(717)234-7051
Attorneys for Petitioner
Date: ~/fAq / OD
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VERrFrCATrON
I verify that the statements made in the foregoing
document are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa.C.S.
section 4904, relating to unsworn falsification to authorities.
(])wiuv ()t -:i)~
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WE DO HEREBY CERTIFY THAT
THE WITHIN IS A TRUE AND COR-
RECT COPY OF THE ORIGINAL
FILED IN THIS ACTION
BY
LAW OFFICES
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YOU ARE HeREBY NOTlRED TO FILE
A WRITTEN RESPONSE 'TO TttE
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DR 29,474
PACSES ID 777102078
CHRISTINE M. FLETCHER,
Plaintiff/Petitioner
vs.
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
CIVIL ACTION - LAW
DALE A. FLETCHER,
Defendant/Respondent
NO. 00-1002 CIVIL TERM
ORDER OF COURT
AND NOW, this 28th day of March, 2000, based upon the Court's determination that
Petitioner's montWy net income/earning capacity is $1,275.63 per month and Respondent's montWy
net income/earning capacity is $3,116.67 per month, it is hereby Ordered that the Respondent pay to
the Pennsylvania State Collection and Disbursement Unit, $458.00 a month payable bi-weekly as
follows; $210.77 bi-weekly for alimony pendente lite and $0.00 on arrears. First payment due with
next modified wage attached payment of$210.77/B. Arrears set at $0.00. The effective date of the
order is April 4, 2000.
This order is based upon the fact that defendant has a child support obligation.
Failure to make each payment on time and in full will cause all arrears to become subject to
immediate collection by all of the means as provided by 23 Pa.eS.s 3703. Further, if the Court finds,
after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the
Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not
limited to, commitment ofthe Respondent to prison for a period not to exceed six months.
Said money to be turned over by the P A SCDU to: Christine M. Fletcher. Payments must be
made by check or money order. All checks and money orders must be made payable to PA SCDU and
mailed to:
PASCDU
P.O. Box 69110
Harrisburg, PA 17106-9110
Payments must include the defendant's PACSES Member Number or Social Security Number in order
to be processed. Do not send cash by mail.
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Unreimbursed medical expenses that exceed $250.00 annually are to be paid 0% by the
respondent and 100% by petitioner. The plaintiff is responsible to pay the first $250.00 annually in
unreimbursed medical expenses. Respondent to provide medical insurance coverage. Within thirty
(30) days after the entry of this order, the Respondent shall submit written proofthat medical
insurance coverage has been obtained or that application for coverage has been made. Proof of
coverage shall consist, at a minimum, of: 1) the name of the health care coverage provider(s); 2) any
applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims
should be made; 5) a description of any restrictions on usage, such as prior approval for hospital
admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage
contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim forms.
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This Order shall become final ten days after the mailing ofthe notice of the entry of the Order
to the parties unless either party files a written demand with the Prothonotary for a hearing de novo
before the Court.
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Mailed copies on
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BY THE COURT,
Petitioner
Flespondent
P. Richafd Wagner, Esquire
Marcus McKnight, ill, Esqnire
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
Defendant Name: DALE A. FLETCHER
~emberIDNumber: 1960000021
Please note: All correspondence must indude the Member ill Number.
PINNACLE HEALTH HOSPITAL
409 S 2ND ST
HARRISBURG PA 17104-1612-99
AMENDED
ORDER OF ATTACHMENT OF INCOME
Plaintiff Name
DlJUijE M., ,_FLB~CHER
CHltfsT-INE M'.' FLETCHER
Financial Break Down of MultiDle Cases on Attachment
PACSES Docket
Case Number ~
Ol/{Pf I 002000026 749 S 93
!lfft/7'f 777102078 00-1002 CIVIL
Attachment Amount/FreQuency
$
I
$
$
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$
297.00 IBI-WEEK
210.76 pU-WEEK
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TOTAL ATTACHMENT AMOUNT: $
507.76
To: PINNACLE HEALTH HOSPITAL
Pursuant to the laws of the CODlDlonwealth of Pennsylvania the income of
DALE A. FLETCHER ,defendant obligor, SSN 255-78-4471
of:
1150 REDWOOD DR, CARLISLE, PA. 17013-1378-50
is hereby attached to the following extent.
You are directed to pay to the Pa State Collection and Disbursement Unit the sum of
$ 507.76
per
BI-WEEK
from the income due the defendant obligor. The
attachment payment must be sent to the Pa State Collection and Disbursement Unit within
seven business days of the date the defendant obligor is paid.
CHECKS SHOULD BE ~ADE PAYABLE TO: PA SCDU
AND SENT TO:
Pennsylvania SCDU
P.O. Box 69112
Harrisburg, Pa 17106-9112
Service Type M
Form EN-028
Worker ill $IATT
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DALE A. FLETCHER
PACSES Member Number: 1960000021
PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES
MEMBER ID OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO
NOT SEND CASH BY MAIL.
This order of attachment for support is binding upon you until further notice and shall have
priority over any attachment, execution, garnishment or wage attachment under state or local
law except one relating to a prior support order. You must commence the attachment of the
defendant obligor's income as soon as possible but no later than fourteen days from the date
of the issuance of this Order of Attachment.
You are notified further that pursuant to law:
1. The defendant obligor has been notified that an order of attachment for support would
be issued.
2. Willful failure to comply with this order may result in (i) your being adjudged in contempt
of court and committed to jailor fmed by the court; (ii) your being held liable for any
amount not withheld or withheld but not forwarded to the Domestic Relations Section; and
(iii) attachment of your funds or property.
3. The attachment of income or the possibility thereof as a basis, in whole or in part, for the
discharge of an employee or any disciplinary action against or demotion of an employee is
prohibited. Violation may result in (i) your being adjudged in contempt and committed to
jailor fmed by the court and (ii) an action against you by the employee for damages.
4. If there are in your employment one or more additional employees whose incomes are
subject to an attachment of support, you may combine the attachment payments into a
single payment to the Pa SCDU and separately identify the portion attributable to each
obligor.
5. You must notify the Domestic Relations Section or the Pa SCDU when the defendant
obligor terminates employment and provide the Section with th~ employee's last known
address and the name and address of the new employer, if known.
Page 2 of3
Form EN-028
WorkerID $IATT
Service Type M
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DALE A. FLETCHER
PACSES Member Number: 1960000021
6. The maximum amount of the attachment shall not exceed 50 % of the employee's
net income which is within the limits set in the Consumer Credit Protection Act 15
,
U.S.C. ~1673.
7. The term "income" as defined by law includes compensation for services, including, but
not limited to, wages, salaries, fees, compensation in kind, commissions and similar
items; income derived from business; gains derived from dealings in property; interest;
rents; royalties; dividends; annuities; income from life insurance and endowment
contracts; all forms of retirement; pensions; income from discharge of indebtedness;
distributive share of partnership gross income; income in respect of a decedent; income
from an interest in an estate or trust; military retirement benefits; railroad employment
retirement benefits; social security benefits; temporary and permanent disability benefits;
worker's compensation; unemployment compensation; other entitlements to money or
lump sum awards, without regard to source, including lottery winnings; income tax
refunds; insurance compensation or settlements; awards or verdicts; and any form of
payment due to and collectable by an individual regardless of the source.
GENERAL INSTRUCTIONS
1. Employers may elect to deduct up to 2 % of the attachment amount for their costs. This
amount must not be deducted from the attachment. It must be paid from the employee's
net earnings after the income attachment deduction has been made.
2. If you choose to make payments via an electronic funds transfer, contact the Pa SCDU
Employer Customer Service at 1-877-676-9580.
Date of Order: April 5, 2000
DRO: RJ Shadday
xc: defendant
Service Type M
BY THE COURT:
dL
JUDGE
rID EN-028
Worker ill $IATT
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
>:J". ~'''--?f.~j{I.". (? ./'/]."6..--,
0l "'7 ::> "'1/"""-
State Commonwealth of Pennsvlvania 0 IJi}b<;'<:~' {l) )f'({J(;)j,) 0 Original OrderlNotice
Co./City/Dist. of CUMBERLAND j /e ,,.Ued! .NY;. 00-/~6P1Li@ Amended OrderlNotice
Date of Order/Notice 10/04/00 1J)i{!(:!$ 777 /{V{)7~vO Terminate OrderlNotice
Court/Case Number (See Addendum for case summary) l,{;;:c)L/7'-/
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, Ml)
)
)
)
)
)
)
)
255-78-4471
Employee/Obligor's Social Security Number
1960000021
Employee/Obligor's Case Identifier
(See Addendum for plaintiH names assodated with casps on attachment)
Custodial Parent's Name (last, First, MI)
EmployerlWithholder's Federal EIN Number
PINNACLE HEALTH HOSPITAL
EmployerlWithholder's Name
409 S 2ND ST
Employer/Withholder's Address
HARRISBURG PA 17104-1612
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA TlON: This is an Order/Notice to Withhoid 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 you r State.
$ 1,101. 50 per month in current support
$ 20.00 per month in past-due support Arrears 12 weeks or greater? Qyes (g) 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 $ 1, 121 .50 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:
$ 258.81 per weekly pay period.
$ 517.62 per biweekly pay period (every two weeks).
$ 560.75 per semimonthly pay period (twice a month).
$ 1.121.50 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
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 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: PA 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 NUMBER IN ORDER TO BE PROCESSED.
De NOT SEND CASH BY MAIL.
DRO: RJ Shadday
xc: defen:lant
BY THE COURT:
/
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I Form EN-028
Worker ID $IATT
Date of Order:
October 5. 2000
Service Type M
OMBNo.:0970-01S4 "
Expiration Dat": 12/31/00
~"",~,J""'~"";;'"
\-
.
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
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 call 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. '" RefJ61tij 15 tL\;; l'uydatelDlIte of 'J/itlll,oIJiJ,g. You lrlUSt lepolt tLe plIydllre/Jate uf vyitl,Loldihg nl,el, 5ehdil rg tl,c pGlYHICIIt. TL<:.
pi?l.ydaLt:;j'Jate of yvitLlrvlJ;115 ;5 tLc da.te 0/1 V~,',i..J, 1I111oUIlt vh15 hitl.',\...IJ flom the e"lplr6~ee'~ ~~dge5. You must comply with the law of the
state of the employee's/obHgor'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 ate 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 119 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 thi~ Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 2517786440
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 takh1g 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 ofthe 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 USe. 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 aggregat~ 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.
10.
'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.
Requesting Agency:
DOMESTIC RELATIONS SECTION
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 @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
i~'"" ~....
t
-I.
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER, DALE A.
PACSES Case Number 002000026
Plaintiff Name
DIANE M. FLETCHER
Docket Attachment Amount
749 S 93 $ 643.50
Child(ren)'s Name(s):
DaB
If checked, you are required to enroll the child(ren)
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}:
DaB
you are required to enroll the child{ren)
in any health insurance coverage available
employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DaB
If checked, you are required to enroll the child(ren)
in any health insurance coverage available
employee's/obligor's employment.
Service Type M
PACSES Case Number 777102078
Plaintiff Name
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL$ 478.00
Child(ren)'s Name(s):
DaB
If checked, you are required to enroll the child(ren)
in any health insurance coverage available
employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
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 empioyment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DaB
If checked, you are required to enroll the child(ren)
in any health insurance coverage available
employee's/obligor's employment.
Addendum
Form EN-028
Worker ID $IATT
OMB No.: 0970-0 154
Expiration Date: 12/31/00
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ORDER/NOTICE TOWITI:IHOLDINCOME FOR SUPPORT
~.. ..;'i,""""":'" ..""", f
State Commonwealth of Pennsvlvania (fi:ie~s'~;~;;'";;o;z~
Co.lCity/Dist. of CUMBERLAND ))I<. CLlvll })6I!;.~..//)();.eIJlIL
Date of Order/Notice 10/23/00 n4cSfS n7/0,}.,07<i'
Court/Case Number (See Addendum for case summary) bJ€ ,z?St7tf
o Original Order/Notice
@ Amended Order/Notice
o Terminate Order/Notice
) RE, FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, MI)
)
I
I:
i,
i
EmployerlWlthholder's Federal EIN Number
PINNACLE HEALTH HOSPITAL
EmployerlWlthholder's Name
409 S 2ND ST
EmployerlWlthholder's Address
HARRISBURG PA 17104-1612
r'
See Addendum for dependent names and birth dates assooated with cases on attachment.
ORDER INFORMA TION: 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.
$ 1,101.50 per month in current support
$ 0.00 per month in past-due support Arrears 12 weeks or greater? 0 yes <Xl 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 $ 1,101.50 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 determ ine how much to withhold:
$ :>'54.19 per weekly pay period.
$ SOB. 3B per biweekiy pay period (every two weeks).
$ S5G. 75 per semimonthly pay period (twice a month).
$ 1.101.50 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
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 pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement 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 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.
DRO: IU Shadday MAILED
xc: <:Ieferrlant
BY THE COURT:
dL
Date of Order:
Ort-II'1;,,:;.r ?fl.
.
?()()(\
Service Type M
OMBNo.:0970.Q154
Expiration Date: 12/31/00
JUDGE
m EN-028
Worker 10 $IATT
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
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.* Repoltihg tile PaydaMOQ.tt v{'NitllllvIJiIl5. Yvtlllltl.Jt 16polt tile paydateldate of nitlllloldihg nllell sehdihg tire:; pQ.yI 1le:;1Il. TLl:'
paydateldate of vvitLLoldill6 i;:o tile:; J.th:, -:'11 VV I Ii,...! I Q.lllvtll.t vva.S vvitlfLeld "0111 tile elllplo}lc::e's VVQ.6>:;;:O. You must comply with the law of the
state of the employee's/obligor's principal place ofempfoymentwith 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.
WITHHOLDER'S ID: 2517786440
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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.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, locaf taxes; Sodal Security taxes; and Medicare taxes.
10.
'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.
Requesting Agency:
DOMESTIC RELATIONS SECTION
P.O. BOX 320
CARLlSLF PA 17013
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (71 7l 240-6225 or
by FAX at (7171 240-6248 or
by Internet @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Dale: 12/31/00
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ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER, DALE A.
PACSES Case Number 002000026,1 0l.I~11
Plaintiff Name
DIANE M. FLETCHER
Docket Attachment Amount
749893 $ 643.50
Child(ren)'s Name(s): DOB
pAW!'! .F.LIJ:T~IIE.R. . ... . . ...... ......... ........... .....O~/~9(~}
d;i.~~;~~~~;;~~.~;:;~~~i;~~::;~;~il;~~~~il~i;~~;ii.....
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):
DOB
o If checked, you are required to emollthe child(ren)
identified above in any health insurance coverage available
through the employee'sfobligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
"'[j'I;~~~~~:~;;~~:~~;~~~i;~~;~~~;~:I:~~~~:I~i;~~;(iiii/
identified above in any health insurance coverage available
through the employee'sfobligor's employment.
Service Type M
PACSES Case Number 777102078 /o'l.!i'/-7cr:
Plaintiff Name 7 "
CHRISTINE M. FLETCHER
Docket Attachment Amount
oo=1Oii2 CIVIL$ 458.00
Child(ren)'s Name(s):
f~
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.......,..:...:.,.,.:....:...,.:.".,..,:..:'..",..::......,....
Diicj,~~k~d,y~~;re 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
,
,
I
i
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
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"
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"
o If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'sfobligor's employment.
PACSES Case Number
Plaintiff Name
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.
Addendum
Form EN-028
Worker ID $IATT
OMBNo.:0971J.0154
Expiration Date: 12/31/00
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ORDER/NOTICE TO "Yra-lHOLD INCOME FOR SUPPORT
"bet. '7w c$?/<?'?3
State Commonwealth of pennsylvania JJy.;.er;;fS m).otX.>t1~... ...@originaIOrder/Notice
Co./City/Dist. of CUMBERLAND .De c2/U/'( )i(l:,t!JC) -;ltJt:iI.{l/I/ILD Amended Order/Notice
Date of Order/Notice 05/09/01 IJYe9E9 7 >)..07[(0 Terminate Order/Notice
Court/Case Number (See Addendum for case summary) jJ(}. ~t?l
) RE: FLETCHER, DAL~.
EmpJoyerlWithhoJder's Federal EJN Number ) Employee/ObHgor's Name (last, Firstl Ml)
ASHCOMBE FARM & GREENHOUSE ) 255-78-4471
EmployerlWithholder's Name ) Employee/Obligor's Social Security Number
906 GRANTHAM RD ) 1960000021
EmployerM/ithholder's Address ) Employee/Obligor's Case Identifier
MECHANI CSBURG PA 17055 - 5327 ) (See Addendum for plaintiff namesassodated with cases 01/ attachmenV
) Custodial Parent's Name (last, First, MI)
)
See Addendum for dependent names and birth dates assodated 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.
$ 1,101.50 per month in current support
$ 0.00 per month in past-due support Arrears 12 weeks or greater? 0 yes @ 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 $ 1, 101.50 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:
$ 254.19 per weekly pay period.
$ 508.38 per biweekly pay period (every two weeks).
$ 550.75 per semimonthly pay period (twice a month).
$ 1.101.50 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
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 pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDUl Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PA YIWENTS 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: RJ Sh;ldcby . c
xc: deferrllmt -:- -0. / / /
Date of Order: May 15, 2001 WL
. Wesley Oler,
. .JUIX;E
arm EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
D If checked you are required to provide a copy of this form to your employee.
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 P<iyments: 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.:1: Ri:pOltillg tile PaydatelDate of\#itl,l,oldil.g. '/OU l.lUst lepOl1 tI.e payd.:rteldate of vvitl.l.oldh.g vvl.el. sel.dh.g tl.e patlllellt. TI.e.
l-'aydA~J&.tb of vv;tl.l.uIJh.5;& tL\J Jalt VII vvhid. &.1I'Ut.llt vva;, vv;L1.I'\JIJ hUll. lI.o:: \J.lltJluY\J\J'j. VVQ5C;'. 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 ail 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 119 below)
5. Termination Notification: You musfpro~ptly notify the Requesting Agency when the employee/obHgor is no longer working for
you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 2320981590
EMPLOYEE'S/OBLlGOR'S NAME: ,FLETCHER. DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
:J
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:i
'!
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.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 the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes.
10.
"NOTE: II you or your agent are served with a copy 01 this order in the state that issued the order, you are to 101 low the
law 01 the state that issued this order with respect to these items.
Requesting AgenCy:
DOMESTIC RELATIONS SECTION
P.O. BOX 320
CARLISLE PA 17013
II you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (71 7l 240-6225 or
by FAX at (7171 240-6248 or
by Internet @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
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ADDENDUM
Summary of Cases on Attachment
DALE A.
Defendant/Obligor: FLETCHER,
00200002~~/4-11
PACSES Case Number
Plaintiff Name
DIANE M. FLETCHER
Docket Attachment Amount
749893 $ 643.50
Child(ren)'s Name(s):
DOB
"d:;~~:~~~d;~~~;;~;~~~i;l~;~~~;~il;~l~~;I~i;l~;..'..'.....ii.....
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plaintiff Name
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.
PACSES Case Number
Plaintiff Name
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.
Service Type M
PACSES Case Number n7l02078/oztlf/7Cf
Plaintiff Name I '"
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL$ 458.00
Child(ren)'s Name(s):
DOB
If checked, you are required to enroll the child(ren)
in any health insurance coverage available
employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
If checked, you are required to enroll the child(ren)
above in any health insurance coverage available
employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
.'.Eili~~:~~l~,;~~;;l;:~~i;l~";~:~;~:I;~:~~;I~i;~~i.'I...
identified above in any health insurance coverage available
through the employee's1obligor's employment.
Addendum
Form EN-028
Worker ID $IATT
OMBNo.:0970-0154
Expiration Date: 12/31/00
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-
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-
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L iT
-
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-k
State Commonwealth of Pennsvlvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 05/30/01
Court/Case Number (See Addendum for case summary)
.1--,'IO-;)D7y
DO-lood-. 6~, J
.;>qy" j
@Original Order/Notice 7
o Amended Order/Notice
o Terminate Order/Notice
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, MI)
)
EmployerlWithholder's Federal EIN Number
THE FITNESS COMPANY
EmployerlWithholder's Name
70 WOOD AVE
EmployerlWithholder's Address
ISELIN NJ 08830-1526
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA nON: 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.
$ 458.00 per month in current support
$ 0.00 per month in past-due support Arrears 12 weeks or greater? ayes <Xl no
$ 0.00 permonth in medical support
$ 0.00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 458.00 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:
$ 105.69 per weekly pay period.
$ 211.38 per biweekly pay period (every two weeks).
$ 229.00 per semimonthly pay period (twice a month).
$ 458.00 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
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 pg. 2).
If remitting by EH/EDI, please call Pennsylvania State Collections and Disbursement 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 SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
lr: .,~ Ill!
';;.{/}.-; 1."_.-1', .':<1'
'~:.lf. ~-,:,
-0
(1
esley Oler,
J.
Form EN-028
Worker 10 $IATT
Date of Order: May 31, 2001
DRO: R. J. Shadday
cc: Me A. Fletcher, defendant
Service Type M
OMBNo.:0970-0154
Expiration Date: 12/31/00
""" ~- -"
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.-
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1 '~--'.
, ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
D II checked you are required to provide a copy olthis form to your employee.
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 th is 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. 'I( Repoltil,g tile rayda-te/Date of Witl,l,oldil,g. You IllUSt lepOI L lLe:; PQyJ&L'J&Q. of vvitl,l,oldil,g vvl,el, selldil,g tile pay I lIeht. Tile
pay date/date of vvitl,l,oldihg is tile:; JQI:t vii vvl,icL Qlllv..ml vvo:> vvill,L....IJ n011l tile elllployee'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 ahd forward the support payments.
4. * Employee/Obligor with Multiple Support Holdings: II there is more than one Order/Notice to Withhold Income for Support
against this employ~e/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must
follow the law of th~ state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest
extent possible. (Se~ #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.
WITHHOLDER'S ID: 2234936380
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 (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 the net income left after making mandatory
deductions such as: State, Federal, local taxesi Social Security taxesi and Medicare taxes.
10.
'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.
Requesting Agency:
DOMESTIC RELATIONS SECTION
P.O. BOX 320
CARLISLE PA 17013
II 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 @
Page 2 01 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Dale: 12131/00
,- -
-
~-
''*'
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER, DALE A.
PACSES Case Number 777102078
Plaintiff Name
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL$ 458.00
Child(ren)'s Name(s):
DOB
. D'fch~~~e~,;o~a;e ;~~~ir~~ ~:~~;~llt~e~h;I~(;~~). ... ........
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):
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
PACSES Case Number
Plaintiff Name
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.
Service Type M
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s):
DOB
. 6':lf ~~~~'~~~,' ~~~:.~~~ ~~~'~:i;~~. ~~ .~~;~:;:I:;h'~.:~~;I;~{r~~; :.;:.
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):
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.
PACSES Case Number
Plaintiff Name
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.
Addendum
Form EN-028
Worker ID $IATT
OMBNo.:0970-0154
Expiration Date: 12/31/00
~
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State Commonwealth of Pennsvlvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 05/30/01
Court/Case Number (See Addendum for case summary)
lffID;>07&, '
t)()---IOoC). Utll L-
o Origi~ o~tjN3i~
o Amended Order/Notice
@ Terminate Order/Notice
-.
.
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
)
)
)
)
)
)
)
255-78-4471
Employee/Obligor's Social Security Number
1960000021
Employee/Obligor's Case Identifier
(See Addendum fOl plaintiH names assodated with cases on attachment)
Custodial Parent's Name (last, First, Mt)
EmployerlWithholder's Federal EIN Number
ASH COMBE FARM & GREENHOUSE
EmployerlWithholder's Name
906 GRANTHAM RD
EmployerlWithholder's Address
MECHANICSBURG PA 17055-5327
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? o yes @ 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 $ 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
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 pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at '-877-676-9580 for instructions.
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, 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 Q:.~ '1'. c-ft
~ BYTHECOURT:
: ~.(j-OI
&
Date of Order: May 31, 2001
DRO: R.JJ. Slultidlly
cc: Dale A. Fletcher, defendant
Service Type M
J.
Form EN-028
Worker ID $IATT
OMB No.: 0970-0154
Expiration Date: 12/31/00
-~~".~,~=,
, ~
-.
.'
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
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 contactthe 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. * R-epOltihg tLl..' P ayJatelDate of\Vill.lloldillg. You IJltl::>t ....::!-'ulttLe paydato'datt: of vvitLLoldihg vvL""1l ::>cl,dil,g tLe paylll,=llt. TLe
!-,ayJdle/date of vv itLI,uIJ;J 15 is tile date 011 vvL;dl alllOullt vvClS vvi~LL,=IJ n011l tile elllpI6yLl.."" 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.
WITHHOLDER'S 10: 2320981590
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 OrderINotice 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 (15 U.s.e. 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.
10.
'NOTE: If you or your agent are served with a copyof 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.
Requesting Agency:
DOMESTIC RELATIONS SECTION
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 171 7) 240-6248 or
by Internet @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
~iI'ildiitJ!Ili1~l!:t~~IlWIlIii.~tni~~"",~~~,~"ffl"'M~'~:5iIIH~..ibJclIl-
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsvlvania
Co.lCity/Dist. of CUMBERLAND
Date of Order/Notice 05/30/01
Court/Case Number (See Addendum for case summary)
EmployerlWithholder's Federal EIN Number
PINNACLE HEALTH HOSPITAL
EmployerlWithholder's Name
409 S 2ND ST
EmployerlWithholder's Address
HARRISBURG PA 17104-1612
"~=~I
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o Originaf6r1e~I;I
o Amended Order/Notice
@ Terminate Order/Notice
) RE; FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, Mil
)
See Addendum for dependent names and birth dates assodated 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 <Xl 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 $ 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 followingto 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
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 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. \
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 ntifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND alUl:'~t;h
~tc..."
<- -.ll-D
Make Remittance Payable to: PA SCDU
Date of Order: May 31, 2001
DRO: R. J. Shadday
ccc: Dale A. Fletcher. defendant
Service Type M
BY THE COURT:
J.
Form EN-028
Worker 10 $IATT
OMBNo.:0970-0154
Expiration Date: 12/31/00
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
D If checked you are required to provide a copy of this form to your employee.
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.* Repoltill5lLc; r'aydate/Date 6f'NilLLuIJihg. \'OU IIIUS! lepoJt tLe tJaydate!date of vvitl,Loldil,g nl'<::1I ;:Ic;lIdihg tile paylllGllt. Tl..::
paydbh./Jal.:: of nitlll,oldil!S is tl...... Jab vI. nl.id. alIlOUJ!t vvdS ..:tLL",IJ hOlt! tlte elllployee's VVdses. 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 implementthe
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.
WITHHOLDER'S ID: 2517786440
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 (15 U.S.c. 91673 (b)1; or 2) the amounts allowed by the State of the employee'slobligor'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.
10.
'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.
Requesting Agency:
DOMESTIC RELATIONS SECTiON
PO. 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 (71 7) 240-6248 or
by Internet @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMBNo.:0970-0154
Expiration Date: 12/31/00
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THE LAW OFFICE OF
JAMES K. JONES, ESQUIRE
ATTORNEY AND COUNSELOR IN THE
GENERAL PRACTICE OF THE LAW
7 IRVINE ROW
CARLISLE, PA 17013-3019
James K. Jones, Esquire
Dirk E. Berry, Esquire
Telephone (717) 240-0296
Fax (717) 240-0066
Email: JKJONESY @ aol.eom
December 14, 2001
J.;l. Robert Elicker, II, Esquire
Office of Divorce Master'
9 Hanover Street
Carlisle, PA 17013
RE: Fletcher v; Fletcher; docket no, 00-1002 in Divorce
Dear Mr. Elicker:
I am writing to request a thirty day continuance on the filing date of the pretrial
statement. I have checked with Rich Wagner, Esquire, regarding this request. Mr.
Wagher's"offic6,t:entacted my office with a message that an extension was fine with
Mr Wagner .-. ':'i;,L;''':1
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Thank you for you kind consideration of this request. If you have any questions
or concerns, please do not hesitate to contact me.
Sincerely yours,
Law Office of James K. Jones, Esquire
/{}- A Q
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DirkE. Berry, Esquire
DB/sed
c6\ 'p,:"Rich'ilJrd Wagner, Esquire
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THE LAW OFFICE OF
JAMES K. JONES, ESQUIRE
ATTORNEY AND COUNSELOR IN THE
GENERAL PRACTICE OF THE LAW
7 IRVINE ROW
CARLISLE, PA 17013-3019
James K. Jones, Esquire
Dirk E. Berry, Esquire
Telephone (717) 240-0296
Fax (717) 240-0066
Email: JKJONESY@aol.com
January 28,2002
Traci Jo Colyer
Office of Divorce Master
Cumberland County
9 N. Hanover Street
Carlisle, PA 17013
RE: Fletcher v. Fletcher; docket no. 00-1002 in divorce
Dear Ms. Colyer:
Please accept this request for a continuancyjIvthl}~i!J?o'ye referenced matter.
The parties are preparing a joint tax remrn for the calendar year' 2001 and are currently
in the process of making their first proposals for property settlement. Accordingly, a
continuance of at least thirty days would appear to be desireable to allow them time to
come to an agreement.
Rich Wagner's office has indicated that he would agree to a continuance. I
have requested that he confirm that with your office.
Thank you for your kind consideration in this matter.
Sincerely yours,
Law Office of James K. Jones, Esquire
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
j)tL, oZflZ7O -/00)-- {!(clIL
State Commonwealth of Pennsvlvania fJlk!):z" 77710' ~ {)7!!
Co./City/Dist. of CUMBERLAND / "'"
Date of Order/Notice 02/19/02 6ft OU1Lf 7'1
Court/Case Number (See Addendum for case summary)
o Original Order/Notice
o Amended Order/Notice
@ Terminate Order/Notice
) RE: FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, MI)
)
EmployerMlithholder's Federal EIN Number
THE FITNESS COMPANY
EmployerMlithholder's Name
70 WOOD AVE
EmployerMlithholder's Address
ISELIN NJ 08830-1526
See Addendum for dependent names and birth dates associated with cases on attachment.
ORDER INFORMA TION: 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? Qyes @ 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 $ 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
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 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: PA SCOU
Send check to: Pennsylvania SCOU, 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.
BY THE COURT:
JV {PE-
rm EN-028
Worker ID $IATT
Date of Order: fES 2 0 2002
Service Type M
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income.
Federai 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:pOltil,g lIle r'aydate{Dat~ of'v'VitLLoldil,g. YOtllllust lepolt tile pdyddffifda~ of vvitl,l,oldil,g vvl,~" ~(.lld;lIg lLe payJlleltt. TLe
pa,date;'dat>; llf ..ill,l,aldil ,g i. the date a" ..I,id, ",,,aunt ..as ..ill,l,eld f,e,,,, tl,. ."'pl",ee'. ..age.. You must comply with the law of the
state of the employee's/obiigor'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 Withhoid 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 retum a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 2234936380
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 o!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 (15 U.S.c. 91673 (b)l; or 2) the amounts allowed by the State o!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.
10.
*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.
Requesti ng Agency:
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 (71 7) 240-6225 or
by FAX at (717) 240-6248 or
by Internet @
Page 2 of 2
Form EN-028
Worker iD $IATT
Service Type M
OMB No.: 097(}..()154
Expiration Date: 12/31/00
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARUSLE, PA. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member In Nmnber.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Plaintiff Name
CHRISTINE M. FLETCHER
Financial Break Down of Mnltinle Cases on Attachment
P ACSES Docket
Case Number ~
~9L/7Y 777102078 00-1002 CIVIL
$
f
$
$
~
$
$
Attachment AmountIFreauencv
478.00 I MONTH
?
/
/
%
'/
/
/
TOTAL ATTACHMENT AMOUNT: $
478.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 11 0 . 31
per week, or 50 . 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Security Number 255 - 78 - 4 4 71 , Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support andlor support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U .S.C. ~ 1673(b)(2) and 23
Pa. C.S. ~ 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 8, 2001 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order:
liAR
5 0002
Lu;;
JUDGE
Service Type M
Form EN-034
Worker ID $IATT
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATIACHMENT OF UNEMPLOYMENT BENEFITS
Plaintiff Name
CHRISTINE M. FLETCHER
Financial Break Down of MultiDle Cases on Attachment
P ACSES Docket
Case Number Number
~t?9C7yf' 77710207S 00-1002 CIVIL
Attachment Amount/Freauencv
$
~
$
$
~
$
45S.00 !MONTH
~
/
~
~
/
/
TOTALATIACHMENT AMOUNT: $
458.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $105.69
per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Security Number 255-78-4471 ,Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for suppott and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23
Pa. C.S. ~ 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 8, 2001 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
J.
#
JUDGE
Date of Order:
MAR 2 (J 2002
Service Type M
Form EN-034
Worker ID $IATT
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVERST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member ID Number.
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
CHRISTINE M. FLETCHER
P ACSES
Case Number
~4i7~ 777102078
Docket
Number
00-1002 CIVIL
Attachment Amount/Freauency
$
!
$
$
I
$
458.00 IMONTH
;
/
/
%
'/
/
/
TOTAL AlTACHMENT AMOUNT: $
458.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $105.69
per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Securiry Number 255-78-4471 ,Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total
amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673
(b)(2) and 23 Pa. C.S.A. ~ 4348 (g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 7, 2002 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order:
JUDGE
Service Type M
Form EN-530
Worker ID $IATT
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
bid - ,;mO{)-j{){J;). {!r i/IL
State Commonwealth of Pennsylvania ff:Ki';fS 777/D,267?
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 04/30/02 ~ 2"1</7<(
Court/Case Number (See Addendum for case summary)
@Original Order/Notice
o Amended Order/Notice
o Terminate Order/Notice
)RE:FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, Ml)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Employee/Obligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, Mil
)
EmployeriWithholder's Federal EIN Number
BUCKS COUNTRY GARDENS LTD.
EmployeriWithholder's Name
1057 N EASTON RD
EmployeriWithholder's Address
DOYLESTOWN PA 18901-1027
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.
$ 458.00 per month in current support
$ 0.00 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 $ 4511.00 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:
$ 105.69 per weekly pay period.
$ 211.38 per biweekly pay period (every two weeks).
$ 229.00 per semimonthly pay period (twice a month).
$ 458.00 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
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 pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Cu.tomer 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 SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
Service Type M
~AILED
de.'!' - MB No.: 0970-0154
5-3 1)).. Expiration Date: 12/31/00
vv}JGc:
Form E N-028
Worker 10 $IATT
MAY 1 2002
Date of Order:
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
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 tl.~ Pa.yd.lle/Date of'lJitl.l.oldil.g. You n,u5t l~pOlt tl,~ paydateldate of nitLI,oldihg vvl,en 5ehdL Ig tile payn'leht. Tile
pa,date/d.re of ..HI,I,olding is the date 01, ..kid, ,Ioount ..as ..ill ,I,eld f1OI,.tI," el..plo,ee's ...ges. 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)
S. 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.
WITHHOLDER'S iD: 2325372800
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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.
B. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from
employment, refusing to employ, ortaking disciplinal)' action against any employee/obligor because of a support withholding.
Pennsyivania 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. 91673 (b)l; or 2) the amounts allowed by the State o!the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekl\( earnings (ADWE). ADWE is the net income left after making mandatoI)'
deductions such as: State, Federal, local taxes; Social Security taxesi and Medicare taxes.
10.
'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.
Requesting Agency:
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 @
Page 2 of 2
Form. EN-028
. Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Dale: 12/31/00
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER, DALE A.
PACSES Case Number 777102078 j:??9'<!7L/
Plaintiff Name
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL$ 458.00
Child(ren)"s Name(s):
~
DOB
d;~~~:~~~d;~~~~;:;~~~;;~~;;...~~~II;h::~il;~;:~;.....i ....................
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):
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.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)"s Name(s):
DOB
BI~~~:~~:d;~;~..~;:;:~~i;~j;~~~;;i;;~~~~il~i~~;"....'.
identified above in any health insurance coverage available
through the employee's/obligor's employment.
Service Type M
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PACSES Case Number
Plaintiff Name
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 empioyment.
PACSES Case Number
Plaintiff Name
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.
PACSES Case Number
Plaintiff Name
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.
Addendum
Form EN-028
Worker ID $IATT
OMB No.: 0970-0154
Expiration Date: 12/31/00
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please DOte: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Plaintiff Name
CHRISTINE M. FLETCHER
Financial Break Down of Multiule Cases on Attachment
PACSES Docket
Case Number Number
J(lfY'?S! 777102078 00-1002 CIVIL
Attachment Amount/Freauency
$
I
$
$
I
$
478.00 !MONTH
~
I
I
%
!
I
I
TOTAL ATIACHMENT AMOUNT: $
478.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefit~ and Allowances (BUCBA), is hereby directed to attach the lesser of $1l0. 31
per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Security Number 255-78-4471 ,Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support andlor support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23
Pa. C.S. ~ 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 7, 2002 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order:
JUN 5 2002
[//
JUDGE
Service Type M
Form EN-034
Worker ID $IATT
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
0,411, ~ -I {)O~ {ll tll L.
State Commonwealth of Pennsvlvania /J
Co.lCity/Dist.of CUMBERLAND ~ltr!-SLS 7)7/v;A67f'
Date of Order/Notice 06/04/02 01( ;Z9t../?U
Court/Case Number (See Addendum for case summary) I
o Original Order/Notice
o Amended Order/Notice
o Terminate Order/Notice
)RE:FLETCHER, DALE A.
) Employee/Obligor's Name (Last, First, MI)
) 255-78-4471
) Employee/Obligor's Social Security Number
) 1960000021
) Emp!oyeelObligor's Case Identifier
) (See Addendum for plaintiff names associated with cases on attachment)
) Custodial Parent's Name (Last, First, MI)
)
EmployerlWithholder's Federal EIN Number
BUCKS COUNTRY GARDENS LTD.
EmployerlWithholder's Name
1057 N EASTON RD
EmployerlWithholder's Address
DOYLESTOWN PA 18901-1027
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.
$ 458.00 per month in current support
$ 20.00 per month in past-due support Arrears 12 weeks or greater? Oyes (S) 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 $ 478.00 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:
$ 110.31 per weekly pay period.
$ 220.62 per biweekly pay period (every two weeks).
$ 239.00 per semimonthly pay period (twice a month).
$ 478.00 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the/irst 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
the allowable amount. The total withheld amount, and your fee, cannot exceed S5% 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 pg. 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-B77-676-9580 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 SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL,
BY THE COURT:
Service Type M
'.: "iJf1! ~\l'I"K.
.. . .... ..--, !',1');':'..- B~' .Il..M
L. ~,<1.l""-C~':>::.\:;dJ.'Jl\~ ..,~- .
(. 0)- OM' No., 0970.0154
-lj , r ~'ration Date: 12/31/00
JUL. e
Form EN-028
Worker ID $IATT
Date of Order: J uJl c... (.. Ux.L
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FILED-OFFICE
OF TI"ie. PROTHONOTARY
02 JUN 10 PN 3: 38
CUMBEF?f..ANO COUNTY
PENNSYLVANiA
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ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If checked you are required to provide a copy of this form to your employee.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State iaw 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.* Rcpoltil,g tl" Payd.t",'D~ ofWitl,l,ald;I,g. '.'au ,,,a.t ,epa,l,I" p'ydat,,"'I~ of ..itl,l,oldil,g ..1,,,1, .endil,g tl,,, payment. TI"
p'ydateldat" of ..ithhaldil1g i3 tl,e d~ 011 ..hich amaant.... ..itl,held 1,("" I;'" .",play.e', ...g... You must comply with the law of the
state of the employee's1obligor'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 empioyee/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's1obligor'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. Piease provide the information requested and return a copy of this Order/Notice to the Agency identified below.
WITHHOLDER'S ID: 2325372800
EMPLOYEE'S/OBLlGOR'S NAME: FLETCHER, DALE A.
EMPLOYEE'S CASE IDENTIFIER: 1960000021 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 (15 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 taxesi Social Security taxesi and Medicare taxes.
10.
* 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.
Req uesti ng Agency:
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 @
Page 2 of 2
Form EN-028
Worker ID $IATT
Service Type M
OMB No.: 0970-0154
Expiration Date: 12/31/00
.
..
" ~~ :;,
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: FLETCHER,
PACSES Case Number 777102078 / Ol-t1t/7V
Plaintiff Name ! '
CHRISTINE M. FLETCHER
Docket Attachment Amount
00-1002 CIVIL$ 478.00
Child(ren)'s Name(s): DOB
DALE A.
PACSES Case Number
Plaintiff Name
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's1obligor'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
...1S;;.~~:~~:d:;~~;;~;:~~.i;:d;~:~;~il;~:~~:I~i;:~;..'..........................
identified above in any health insurance coverage available
through the empioyee's1obligor'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.
Addendum
Form EN-028
Worker ID $IATT
Service Type M
OMBNo.:0970-0154
Expiration Date: 12/31/00
-
In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member ill Number.
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
CHRISTINE M. FLETCHER
P ACSES
Case Number
.;(t:)Cf?<( 77n02078
Docket
Number
00-1002 CIVIL
$
~
$
$
~
$
Attachment AmountlFreauencv
478.00 jMONTH
~
/
/
%
I
/
/
TOTAL ATIACHMENT AMOUNT: $
478.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 110 . 31
per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Security Number 255-78-4471 ,Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total
amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673
(b)(2) and 23 Pa. C.S.A. ~ 4348 (g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 8, 2001 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: -IJ')
12. ~oo')
t
d{
6
Service Type M
Form EN-530
Worker ID $IATT
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CHRISTINE M. FLETCHER,
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
Plaintiff,
V.
NO. 2000-1002
CIVIL ACTION - LAW
DALE A. FLETCHER,
IN DIVORCE
Defendant.
NOTICE OF INTENTION TO RESUME PRIOR NAME
NOTICE IS HEREBY GIVEN that the PLAINTIFF in the above
matter, having been granted a final Decree in Divorce on the 23rd
day of September, 2002, hereby intends to resume and hereafter
use the previous name of CHRISTINE M. PATTERSON and gives this
written notice avowing her intention in accordance with the_
provisions of the Act of April 2, 1980, P.L., 23 P.S. Section 702
(ef~ective July 1, 1980).
(0oulwJ oc,,1;MdJAJ
Christine M. Fletcher
(fJ;;... OWN AS , fa
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Christine M. patt4rson
COMMONWEALTH OF PENNSYLVANIA
SS.
COUNTY OF
ON THE .~A Vi. day of ,2002, before
me, a Notary Public, personally ap eared Christine M. Fletcher,
known to me to be the person whose name is subscribed to the
within document and acknowledged that she executed the foregoing
for the purpose therein contained.
IN WITNESS WHEREOF, I have hereunto set my hand and
Notary Public
Notarial Seal
Mary Ame E. Bayer, No\aly Public
Hampden Twp.. Cumbedand County
My Commission ElqliresJune 5. 2006
Member. Pennsylvania AsoocialIon 01 NoIaries
seal,.
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
CHRISTINE M. FLETCHER ) Docket Number 00-1002 CIVIL
Plaintiff )
VS. ) PACSES Case Number 777102078/D29474
DALE A. FLETCHER )
Defendant ) Other State ID Number
ORDER
AND NOW, to wit, on this
11TH DAY OF OCTOBER, 2002
IT IS HEREBY
ORDERED that the support order in this case be 0 Vacated or OSuspended or
Gi) Terminated without prejudice or 0 Terminated and Vacated,
effective SEPTEMBER 23, 2002 ,due to:
THE PARTIES' JUNE 17, 2002 MEMORANDUM OF UNDERSTANDING AND DIVORCE DECREE OF
SEPTEMBER 23, 2002.
THE ALIMONY PENDENTE LITE ORDER IS TERMINATED WITH A CREDIT OF $786.36.
BY THE COURT:
DRO: RJ Shadday
xc: plaintiff
defendant
P. Richard Wagner, Esquire
M=s McKnight, Esquire
III
JUDGE
""""~IUD
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Service Type M
Form 0E-504
Worker ID 21005
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OCT 1 6 2002 ~
In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: DALE A. FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member ill Number.
ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of MultiDle Cases on Attachment .
Plaintiff Name
CHRISTINE M. FLETCHER
PACSES
Case Number
777102078
Docket
Number
00-1002 CIVIL
Attachment Amount/Freauencv
$
I
$
$
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$
458.00 jMONTH
~
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I
%
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TOTAL A'ITACHMENT AMOUNT: . $ 0..0.0.
The prior Order of this Court directing the Department of Labor and Industry, Bureau of
Unemployment Compensation Benefits and Allowances (BUCBA), to attach $ 0.00
or 50 % per week of the Unemployment Compens;ttion benefits of .
DALE A. FLETCHER
, Social Security Number 255-78-4471 ,
Member ID Number 1960000021 is hereby vacated.
This Order to Vacate shall be effective upon receipt of the notice of the Order by the
Department and shall remain in effect until a further Order of the Court is ftled.
BY THE COURT
Date of Order: OCT 14 2002
JUDGE
Service Type M
Form EN-035
Worker ID $IATT
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In the Court of Common Pleas of
CUMBERLAND
County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARUSLE, PA. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: DALE A.FLETCHER
Member ID Number: 1960000021
Please note: All correspondence must include the Member ID Number ~
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Plaintiff Name
CHRISTINE M. FLETCHE~
Financial Break Down of Multiole Cases on Attachment
PACSES Docket
Case Number Number
;;(9417~ 777102078 00-1002 CIVIL
$
i
$
$
f
$
Attachment AmounUFreauencv
458.00 IMONTH
~
/
/
;.
/
/
/
TOTAL ATTACHMENT AMOUNT: . $
458.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $105.69
per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
DALE A. FLETCHER Social Security Number 255-78-4471 , Member
ID Number 1960000021 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may rednce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23
Pa. C.S. ~ 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated APRIL 7, 2002 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Service Type M
JUDGE
Date of Order: ---1l uo' 2-~ 10;:>2-
Form EN-034
Worker ID $IATT
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