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Home My WebLink About00-02745 ~,- ~-'"~ ' -, M'L _I. "'" " . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 00 -.;J.7'1~- Civil Tel'm v. TERRY D. HOLLEN, Defendant : IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HA VE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, I Courthouse Square, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE TillS 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 Liberty Avenue Carlisle, P A 17013 (717) 249-3166 ,. <'i ,~". '"1\'; , Le han demandado a usted a la corte. Si usted quiere defenderse en contra estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones a las demandas en contra suya. Se has avisado que si usted no se defienda, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier que ja 0 alivio que es pedido en la peticion do demanda. USTED PUEDE PERDER DINERO 0 PROPIENDADES 0 OTROS DERECHOS IMPORTANTES PARA USTED. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO IlENE 0 CONOCES UN ABOGADO, VA Y A EN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act ofl990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. You must attend the scheduled Conference or Hearing. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 >- ~', ',u,'-.< "",,_'r-' ",<~ -~,,' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. /'>(J -21'15 CivilTerm v. TERRY D. HOLLEN, Defendant : IN DIVORCE COUNT I COMPLAINT UNDER SECTION 330Hc) OF THE DIVORCE CODE AND NOW comes STEPHANIE A. HOLLEN, by and through her attorney, Maryann Murphy, Esquire of Legal Services, Inc., who respectfully avers as follows: 1. Plaintiff is STEPHANIE A. HOLLEN who resides at 4182 Elk Court, #113, Mechanicsburg, Cumberland County, Pennsylvania. 2. Defendant is TERRY D. HOLLEN who resides at 25 South Letort Drive, Carlisle, Cumberland County, Pennsylvania. 3. Plaintiff and Defendant have been bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. Plaintiff and Defendant were married on November 3, 1995 in Westminster, Maryland. 5. There have been no prior actions for divorce or for annulment between the parties. . ~ ~ ' <"" "',f'-.'__>.'-'-".","> ..' 6. Defendant is not a member of the Armed Forces of the United States of America or any of its Allies. 7. The marriage is irretrievably broken. 8. Plaintiff has been advised of the availability of marriage counseling and that she may have the right to request the Court to require the parties to participate in such counseling. Being so advised, Plaintiff does not request that the Court require the parties to participate in counseling prior to a Divorce Decree being handed down by the Court. 9. Plaintiff requests this Court to enter a Decree in Divorce from the bonds of matrimony. COUNT II CLAIM FOR EQUITABLE DISTRIBUTION OF MARITAL PROPERTY UNDER SECTION 3502 OF THE DIVORCE CODE 10. Plaintiff hereby incorporates by reference all of the averments contained in Count I of this Complaint. 11. Plaintiff and Defendant are the owners of motor vehicles and other personal property acquired during the marriage which are subject to equitable distribution by this Court. 12. Plaintiff and Defendant have been unable to agree as to an equitable division of said property as of the date of the filing of this Complaint. ~-. --..- ---, ,~ ~ .~~ 13. Plaintiff requests this Court to equitably distribute the parties' marital property. WHEREFORE, Plaintiff requests this Honorable Court to enter a Decree: a. dissolving the marriage between the Plaintiff and Defendant; and b. equitably distributing all property owned by the parties hereto; and c. for such further relief as the Court may determine to be equitable and just. Respectfully submitted, k '" ,. '--'.--.. - . . ',' .~'"-~,~ , " AFFIDAVIT I, STEPHANIE A. HOLLEN, verify that the statements made in the foregoing Complaint in Divorce 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. s ~ 3-cD ~G~1ol~ S IE A. HOLLEN Date ~ ' "_'__;'-,:.o,.,,,,^" ,~- '-""",_ ~i\1'l~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, Maryann Murphy, Esquire, do hereby certify that a true and correct copy of the within Divorce Complaint was mailed to Elizabeth Hoffman, Esquire, counsel for Defendant, TERRY D. HOLLEN, by first class U.S. mail, postage pre-paid, addressed as follows: Elizabeth Hoffman, Esquire 106 Walnut Street Harrisburg, PA 17101 Respectfully submitted, \ Maryann urphy, LEGAL SERVICES, 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 LD. # 61900 Attorney for Plaintiff " ~ijj"'l "M~ '""!liIdlIadt~ ..,. ,- ',*,,*,dll~ ,.L ~,-:~ w_~." . ~....~ -.. ~, '-.. () 0 0 c: a -q -~.,. ::x -065 :::;j ~ > ffj,2J Dj[,::: -< "':::"_,;,.1 I --,j"n Z'r :1';1' (/);-=:; w ':r1 r5- ;;::-:; Sio ~;; "<::1 :r: :fj' ~ S"".)C1 ::;~f~. ;";;'n; ~ >c: t:-? v ~ ~ ~ .:J1 ::0 .< h> -< 1? ~f 'i.. <t? , .- . .' .co_, . 'i'_"',.';.' _-i<" ....~'t' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : NO. 00- .;J,,7'1S' Civil Term v. : IN DIVORCE TERRY D. HOLLEN, Defendant PRAECIPE TO PROCEED IN FORMA PAUPERIS To the Prothonotary: Kindly allow, STEPHANIE A. HOLLEN, Plaintiff, to proceed in forma pauperis. I, Maryann Murphy, Esquire, of Legal Services, Inc., attorney for the party proceeding in forma oauoeris, certify that I believe the party is unable to pay the costs and that I am providing free legal services to the party. The party's affidavit showing inability to pay the costs of litigation is attached hereto. ~q"k' Legal Services, Inc. S Irvine Row Carlisle, PA 17013 (717) 243-9400 J.D. # 61900 Attorney for Plaintiff I~ -"., . "" -. " . ."',-. -, ..w'- ".., '"- "'';'Co.,,-' ;4 ,~ .II IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : NO.~. ;J7'1~ Civil Term v. : IN DIVORCE TERRY D. HOLLEN, Defendant AFFIDAVIT IN SUPPORT OF PETITION FOR LEAVE TO PROCEED IN FORMA PAUPERIS 1. I am STEPHANIE A. HOLLEN, Plaintiff in the above matter and because of my financial condition am unable to pay the fees and costs of prosecuting, defending, or appealing the action or proceeding. 2. I am unable to obtain funds from anyone, including my family and associates, to pay the costs of litigation. 3. I represent that the information below relating to my ability to pay the fees and costs is true and correct. (a) Name: STEPHANIE A. HOLLEN Address: 4182 Elk Court. #113. Mechanicsbufl!. PA 17055 (b) Social Security Number: 184-60-2484 If you are presently employed, state Employer: Hardings Restaurant Address: 3817 Gettvsburg Rd.. Camp Hill. PA 17011 Salary or wages per month: $1.400.00 Type of work: Caterer H, "". "'-'J_ ,,'. _v,"- ,'", -~ "^" ". - -""~,, .' -_,~ "'l,:iio '".!>ci",' ,.i ~~.l ':,' If you are presently unemployed, state N/ A Date of last employment: N/ A Salary or wages per month: N/A Type of work: N/A (c) Other income within the past twelve months Business or profession: -0- Other self-employment: -0- Interest: -0- Dividends: -0- Pension and annuities: -0- Social Security benefits: -0- Support payments: $370.00 oer month Disability payments: -0- Unemployment compensation and supplemental benefits: -0- Workman's compensation: -0- Public Assistance: -0- Other: $300.00 (oart-time iob) (d) Other contributions to household support (Wife)(Husband) Name: N/A (the oarties are seoarated) If your (husband) (wife) is employed, state Employer: N/A i I I Salary or wages per month: N/A Type of work: N/A Contributions from children: -0- (e) Property owned Cash: $10.00 Checking Account: -0- Savings Account: $150.00 Certificates of Deposit: -0- Real Estate (including home): -0- Motor vehicle: Make GMC Truck Year 1988 Cost ap,prox. $6.000.00 Amount owed -0- Stocks; bonds: -0- Other: -0- (t) Debts and obligations Mortgage: -0- Rent: $665.00 Loans: Approximate balance of $15.000.00 Monthly Expenses: $4.000.00 (g) Persons dependent upon you for support (Wife) (Husband) Name: N/A . , ," ~ ,- -" ",..'-' . ,'..< " - "_'_'r " .' "'~ . Children, if any: Name: Christopher Age: 14 Name: Chelsea Age: 8 Name: Codv Age: 2 4. I understand that I have a continuing obligation to inform the court of improvement in my financial circumstances which would permit me to pay the costs incurred herein. 5. 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. c-~,;:>_cp Date: ~ ~ ~~~~ ~h;<"", ~ ~ 0 ,. BJiitiIIli ~7. ~o ..........1ill1ifi1l1: ""'"". -:lai~1 (') C:;l 0 c:: a -n I:J fJj :::J:: ;;~FR ;,:" III [I'; -< Z...U 7r- , ::P'!l ~2'g Go .-.1(:;:1 ::)<':' .""1_" ,:;,-, -0 """/, --'--'1 C:C'I 4:- Q-o ..,::, ~ S:;:f:.! f.'? ~-')m -? ~ ~- ':Y'l $ --;} -<, r", -< ~,..;,:, _'11" ,-_,"- l' ~ , IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE AFFIDAVIT OF SERVICE I, Maryann Murphy, Esquire, depose and say: I. That I am an adult individual residing in Cumberland County, Pennsylvania. 2. That on May 8, 2000, I sent a true and correct copy ofthe Complaint In Divorce under Section 3301(c) of the Divorce Code to counsel for the Defendant, Elizabeth Hoffinan, Esquire, by first class U.S. mail, postage pre-paid to the following address: Elizabeth Hoffinan, Esquire 106 Walnut Street Harrisburg, P A 17101 3. That on May 10, 2000, counsel for the Defendant personally accepted service of this Complaint in Divorce on behalf of the Defendant. The Acceptance of Service is attached to this Affidavit. Respectfully submitted: Maryann M hy, Esquire LEGAL SERVICES, INC. 8 Irvine Row Carlisle, P A 17013 (717) 243-9400 LD. # 61900 .. .',i -C.-' ~'" " ,'" d IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. oa -~ I'j 4 ~ v. TERRY D. HOLLEN, Defendant : IN DIVORCE ACCEPTANCE OF.SERVICE Civil Termo c: -o~ rnto ~nl ~~' zf-:;' S!]d:_; ~~"-.- ,,=:D eo 2.:0 >c: ~ o ... o Q tf,) fr1 " N c.) "1/ ,:~-; ::D c- ;~;;9 :'~-I(j :,:c=R r-:) ...!._ ~C) om -I ~ -< -" :x ::- ,. I, Elizabeth Hoffman, Esquire, counsel for the Defendant in the above-captioned case, do hereby depose and say that, on behalf of and on the authorization of the Defendant, I personally received and accepted service of a true and correct copy of the Complaint in Divorce on the date written below. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating unsworn falsification to authorities. .siDk D~te I ~~dtt:--- , !illMll'U 1O.o;;j~~' -" 'f ",rr - _,~rtid~~~W!rlajj{ ";.-'~lIIil-':'J:l'" _ <Y" ~~~ I ~ ~ ^' - (') c: <; -00:1 rT1rT'i Z~.D ~::.:C (Od... "< 4', yO 2>0 :z; (-) 5>e z ~ C:J CO U) ~T1 '-0 N ~ ""<, "jot ,-' --"'1 tl~ ":::::-{ 3J -< ...:~. r o (,) ... " ~ I " . ~ ~. ~ '.-" -'-J~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS YOU HA VE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, 1 Courthouse Square, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT 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 Liberty A venue Carlisle, P A 17013 (717) 249-3166 .' ~~ - 1-- ~~?!o'. Le han demandado a usted a la corte. Si usted quiere defenderse en contra estas demandas expuestas en las paginas siguientes, usted tiene veinte (20) dias de plazo al partir de la fecha de la demanda y la notificacion. Usted debe presentar una apariencia escrita 0 en persona 0 por abogado y archivar en la corte en forma escrita sus defensas 0 sus objeciones alas demandas en contra suya. Se has avisado que si usted no se defienda, la corte tomara medidas y puede entrar una orden contra usted sin previo aviso 0 notificacion y por cualquier que ja 0 alivio que es pedido en la peticion do demanda. USTED PUEDE PERDER DINERO 0 PROPIENDADES 0 OTROS DERECHOS IMPORTANTES PARA USTED. LLEVE ESTA DEMANDA A UN ABOGADO INMEDIATAMENTE. SI USTED NO TIENE 0 CONOCES UN ABOGADO, VA Y AEN PERSONA 0 LLAME POR TELEFONO A LA OFICINA CUYA DIRECCION SE ENCUENTRA ESCRITA ABAJO PARA AVERIGUAR DONDE SE PUEDE CONSEGUIR ASISTENCIA LEGAL. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. You must attend the scheduled Conference or Hearing. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 (717) 249-3166 - ,- ~ ., '< - ~- , ~r", IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE AMENDED COMPLAINT UNDER SECTION 3301(c) OF THE DIVORCE CODE AND NOW comes STEPHANIE A. HOLLEN, by and through her at torney, Maryann Murphy, Esquire of Legal Services, Inc., who respectfully amends her Complaint in Divorce as follows: 1. Plaintiff is STEPHANIE A. HOLLEN who resides at 4182 Elk Court, #113, Mechanicsburg, Cumberland County, Pennsylvania. 2. Defendant is TERRY D. HOLLEN who resides at 25 South Letort Drive, Carlisle, Cumberland County, Pennsylvania. 3. Plaintiff filed a Complaint Under Section 3301(c} of the Divorce Code on May 3,2000. COUNT III CLAIM FOR ALIMONY PENDENTE LITE UNDER SECTION 3702 OF THE DIVORCE CODE 4. Plaintiff hereby incorporates by reference all of the '........ ,~ ~ i;(- averments contained in Counts I and II of the original Complaint in Divorce. 5. Plaintiff does not have sufficient funds to support herself during the pendency of this action. 6. Defendant does have a sufficient source of income to aid Plaintiff in supporting herself during the pendency of this action. 7. Plaintiff requests this Court to grant her alimony pendente lite during the pendency of this action. COUNT IV CLAIM FOR ALIMONY UNDER SECTION 3701 OF THE DIVORCE CODE 8. Plaintiff hereby incorporates by reference all of the averments contained in Counts I and II of the original Complaint in Divorce and Count III of this Amended Complaint. 9. Plaintiff does not have a sufficient source of income or earning capacity at the present time to maintain the standard of living enjoyed by the parties during their marriage. 10. Defendant does have a sufficient source of income and earning capacity to aid Plaintiff in maintaining the standard of living enjoyed by the parties during their marriage. 11. Plaintiff requests this Court to grant her alimony to enable her to maintain the standard of living enjoyed by the ~ ;; parties during their marriage. WHEREFORE, Plaintiff requests this Honorable Court to enter a Decree: a. dissolving the marriage between the Plaintiff and Defendant; and b. equi tably distributing all property owned by the parties hereto; and c. directing the Defendant to pay alimony pendente lite during the pendency of this action; and d. granting alimony to Plaintiff; and e. for such further relief as the Court may determine to be equitable and just. Respectfully submitted, Maryan Murphy, LEGAL SERVICES, 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 I.D. # 61900 Attorney for Plaintiff ~ AFFIDAVIT !, STEPHANIE A. HOLLEN, verify that the statements made in the foregoing Amended Complaint in Divorce 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. q-Jr-OO ~~1l CJj;/lt",,-- ST IE A. HOLLEN Date "" - ^' l!"'u' IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE CERTIFICATE OF SERVICE I, Maryann Murphy, Esquire, do hereby certify that a true and correct copy of the within Amended Complaint in Divorce was mailed to Elizabeth Hoffman, Esquire, counsel for Defendant, TERRY D. HOLLEN, by first class u.s. mail, postage pre-paid, addressed as follows: Elizabeth Hoffman, Esquire 106 Walnut Street Harrisburg, PA 17101 Respectfully submitted, Maryann Murphy, LEGAL SERVICES, 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 LD. # 61900 Attorney for Plaintiff lil~~~'~' """"'1Wla!tM~llDf 'Illl!l;J'~ "~~~1p.e.'-"11iI!!~IU~,m,<Jj\\!iii!!l~I!!lIi~a.:.:' ~" ~~~ " , .~ - (') 0 C) C C:J -'11 s:: en m_! -om 'Tl n"lfr .." ;;:'ipg Z::r' z:~ ,,",, --.' ["','! ~-' CD ~/'O , ,""";;;' ;~'{: r::*" ::;::::'-.J -0 Pc' -''' Z .' -" :.'C~() :<>2 ry cscn Z -.j W .J> =< :0 -< .J <~ ~~ J...'. '. W~i?" ~ IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE AFFIDAVIT OF SERVICE I, Maryann Murphy, Esquire, depose and say: I. That I am an adult individual residing in Cumberland County, Pennsylvania. 2. That on September 28, 2000, I sent a true and correct copy of the Amended Complaint In Divorce to counsel for the Defendant, Elizabeth Hoffman, Esquire, by first class U.S. , ,,,," :. ~- "'A;' ;",'= mail, postage pre-paid to the following address: Elizabeth Hoffman, Esquire 106 Walnut Street Harrisburg, P A 17101 3. That on October 16, 2000, counsel for the Defendant personally accepted service of tills Amended Complaint in Divorce on behalf of the Defendant. The Acceptance of Service is attached to this Affidavit. Respectfully submitted: ~~,~ Maryann urphy, Esqurre LEGAL SERVICES, INC. 8 Irvine Row Carlisle, P A 17013 (717) 243-9400 J.D. # 61900 '''" IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff : No. 2000-2745 Civil Term v. TERRY D. HOLLEN, Defendant : IN DIVORCE ACCEPTANCE OF SERVICE I, Elizabeth Hoffman, Esquire, counsel for the Defendant in the above-captioned case, do hereby depose and say that, on behalf of and on the authorization of the Defendant, I personally received and accepted service of a true and correct copy of the Amended Complaint in Divorce on the date written below. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. Section 4904, relating unsworn falsification to authorities. ll/Ib/~~ I Date ~~~i Elizabeth Hoffman, Esquire ll_i_lIli:Ii~Wi~I!l!!iMl"iil,""i"'<lJ:!&-ID&_l""I~#L~,~-;:j.-"'i"",,'~j1!1:it""~i!<!"Il~r:ffi;~-""""" ill - ~~_~~~~iJ.aIil!lliilfij~~JiI.l.iI , ,~- 0 C 0 C 0 -oro '!"r Z ::;j. 929] 0 -- ,;chfll ii5 !t: w ~aJn <::> ''3 ,-, ~z ;i' '-" .0 '2: ~. :I:>> -i' -! -r ~r 5>8 ::!l: r} :ti C 9 ?5~ ~ w ~ <::> -< . ,. -11 i ! , ] , l " ~~~, ~, "~--' " ~- -'it- ';;W:~ f STEPHANIE A. HOLLEN, PlaintifflPetitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE TERRY D. HOLLEN, Defendant/Respondent NO. 00-2745 CIVIL TERM IN DIVORCE DR# 30124 PacseS# 004102736 ORDER OF COURT AND NOW, this 19th day of December, 2000, upon consideration of the attached Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shaddav on Januarv 9, 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 Rule 1910.11IQ (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 documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Ml\il~llPieson 1249"00 io': "--'"'i- .". . Petitioner < Respondent Maryann Murphy, Esquire Elizabeth Hoffman, Esquire 1! R. Date of Order: December 19, 2000 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. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 ""iN- . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, Plaintiff/Petitioner : . . : v. No. 2000 - 2745 civil Term TERRY D. HOLLEN, Defendant/Respondent IN DIVORCE PETITION FOR APL CONFERENCE NOW COMES, STEPHANIE A. HOLLEN, Plaintiff/Petitioner, by and through her attorney, Maryann Murphy, Esquire, of Legal Services, Inc., and avers as follows: 1. Petitioner is STEPHANIE A. HOLLEN whose current address is 4182 Elk Court, #113, Mechanicsburg, pennsylvania 17055. 2. Respondent is TERRY D. HOLLEN whose current address is 25 South Letort Drive, Carlisle, Pennsylvania 17013. 3. Petitioner and Respondent were married on November 3, 1995 in Westminster, Maryland. 4. Petitioner and Respondent are the parents of one (1) minor child, namely: CODY HOLLEN, born September 21, 1997. 5. The parties separated on February 4, 2000. 6. On May 3,2000, petitioner filed a Complaint in Divorce. 7. On September 28, 2000, Petitioner filed an Amended -. ~~ . Complaint in Divorce which includes a Count for Alimony Pendente Lite. 8. A DRS Attachment for APL Proceedings has been filed with the Court simultaneously with this Petition. WHEREFORE, Petitioner, through her counsel, requests a conference be held at the Domestic Relations Section to address her claim for APL. Respectfully submitted: By: Maryan Murphy, Legal Services, 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 Attorney I.D. #61900 Attorney for Plaintiff/Petitioner 40 "j -, , VERIFICATION I, STEPHANIE A. HOLLEN, do hereby verify that the statements made in the foregoing instrument are true and correct to the best of my knowledge, information and belief. I understand that statements herein are made subj ect to the penalties of 18 Pa.C.S. Section 4904, relating to unsworn falsification to authorities. q~df-CO Qill-t1V C 111(,1\ S KANIE A.HOLLEN Date: ,--' Ibd:&i.: IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW STEPHANIE A. HOLLEN, : Plaintiff/Petitioner v. . . No. 2000 - 2745 Civil Term TERRY D. HOLLEN, Defendant/Respondent . . . . IN DIVORCE CERTIFICATE OF SERVICE I, Maryann Murphy, Esquire, do hereby certify that on the day of , 2000 I served a true and correct copy of the foregoing petition for APL Conference on counsel for the Defendant, Elizabeth Hoffman, Esquire, at the address set forth below, by placing a copy of same in the United States Mail, first class, postage prepaid. Elizabeth Hoffman, Esquire 106 walnut Street Harrisburg, PA 17101 Respectfully submitted, Maryann urphy, Legal Services, 8 Irvine Row Carlisle, PA 17013 (717) 243-9400 I.D. # 61900 I~ " -I ", '. . , ~' 'd: - _'.'" ' - . C, " ,-' - ~' " ' -+~:1 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY. PENNSYLVANIA s Plaintiff V. Itlfi ~. gO!\€J\ Defendant NO. A 000 - cA '14-5, .. CIVIL ACTION - LAW IN DIVORCE DRS ATTACHMENT FOR 1\.PL PROCEEDINGS NAME ADDRESS BIRTH DATE SOCIAL SECURITY NUMBER HOME PHONE WORK PHONE EMPLOYER NAME EMPLOYER ADDRESS JOB TITLE/POSITION DATE EMPLOYMENT COMMENCED GROSS PAY NET PAY OTHER INCOME ATTORNEY'S NAME ATTORNEY'S ADDRESS ATTORNEY'S PHONE NUMBER PETITIONER { If eoO' ~. '. , . . ", ,"- ,1.-, ',' - - - .c. 't~ ..... ..~ .-,-. ~ ~~,,__', '_>,""_-L_ ._. ,_'0' .-k . ~ ,'}^: ~ 'n __ . ; . NAME RESPONDENT V'r- () . s. Letol'i- Df" 4-'B-bL ~O!) - - 6b1:5:L " ADDRESS BIRTH DATE it SOCIAL SECURITY NUMBER HOME PHONE WORK PHONE EMPLOYER NAME 17'7 L/ - 6- j- 5 0 ~oas f- ()h 'f-tavl-'i I} f;; t-i d e- S'f Iv fu q5 '1J~ fasy- 5()'3 EMPLOYER ADDRESS JOB TITLE/POSITION DATE EMPLOYMENT COMMENCED GROSS PAY NET PAY OTHER INCOME ATTORNEY'S NAME '[ t i -zoJ &A . o#'-ma..n E S- ID b l.U nuj- ~J ri5b iU' ['If 1"1') J,."?>b - ~ 5 ATTORNEY'S ADDRESS ATTORNEY'S PHONE NUMBER MARRIAGE INFORMATION DATE OF MARRIAGE II-a-qt) PLACE OF MARRIAGE U Je s t mllJ S J.e./'\ Hh. DATE OF SEPARATION J. - Y - 00 ADDRESS OF LAST MARITAL ~ ~ S. Le +01-+ tllH V e...- HOME tlU'\i~e.... .pA- DESCRIPTION OF DOCUMENT A {fleJ\detl ~{l1 p\Clj r\'\- 'If\ ~i u(')~t>.e.. RAISING APL CLAIM DATE APL DOCUMENT FILED q 1'2. ~ 100 I~i~~..i ....~ , --~~"~~II",!lilll:OliiildJlll~~.",IHi;i;~!~,,"-_I2IlMl'"~""'~"~"""""~~""C""'"""'--'"il!iI!lIlll1~' '"~~~~-~ - ~liII -~"';, , 0 <::> 0 C a " s: (l') ....1 -Of""' f1j rnrn Z::rJ -'0 , ir-:= ZC i'0 -~'o~.8 (()"~: <.Xl ..-::.. I ~o " ~~~ ~;~ ~o :-~ ~_~-) ::3 -0 .-~l.") 5>c N Orn Z :..> ;;' :< :n (.:> -< " - ... ....... .- .-, DR 30,124 PACSES ID 004102736 STEPHANIE A. HOLLEN, Plaintiff/Petitioner vs. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : DOMESTIC RELATIONS SECTION : CIVIL ACTION - LAW TERRY D. HOLLEN, Defendant/Respondent : NO. 00-2745 CIVIL TERM ORDER OF COURT AND NOW, this lOth day ofJanuary, 2001, based upon the Court's determination that Petitioner's montWy net income/earning capacity is $1,498.74 per month and Respondent's montWy net income/earning capacity is $2,800.79 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $400.00 per month payable weekly as follows; $84.23 per week for alimony pendente lite and $8.08 per week on arrears. First payment due next pay date at $92.31 per week. Arrears set at $957.74 as of January 9,2001. The effective date of the order is September 28,2000. This order is to reflect that wife would file for child support on this date and this order is based upon an obligation of Alimony Pendente Lite of$175.00 per month and a child support obligation of $190.00 per month, with a 50/50 shared custody arrangement and husband paying the montWy sum of $528.67 for child care. The APL amount of $175.00 per month is effective September 28,2000 through January 8, 2000. The increased APL amount of$365.00 per month is effective this date. 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.9 3703. Further, ifthe 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 lirnited 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: Stephanie A Hollen. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: P A SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 ..~~- -,- --~ "- ,-" .Y,; ..., 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. 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. DRO: R. J. Shadday Mailed copies on I-IJ.-DI to: < BY THE COURT, Petitioner Respondent Maryann Murphy, Esquire Elizabefu Hoffinan, Esquire "..Z ,tJ. /t.. J. ,~Iilbl"'""""'""'" '~'~liMIi~ilJllti'lli~lM"_,1l!JI~~I!lil!lil~li~"""'1-~ilU~"'ial>~ < """".jgllllllill~'" !!!. . ~O"~ ^~--~~ o ~~ :"'- ~;J~! ""- ~ ~f: '7C'; 5~ =< r- .. o ~~1 :l~~;' --','* h.) => en .",( ; -.:;~-~' >'.;,I"'! u c:J SJ ~, ~ ." ~ , , "" .. , ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT )f!L tJO~,AI7t/t:;'(f1/ VIe State Commonwealth of Pennsvlvania m{!< [5 OtX//{J;2 73/ Co./City/Dist. of CUMBERLAND ~ (0 Date of Order/Notice 01/09/01 j)f?- 30lJfl Court/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice ) RE: HOLLEN. TERRY D. ) Employee/Obligor's Name (Last, First, MI) ) ) ) ) ) ) ) 202-52-6652 Employee/Obligor's Social Security Number 9820100487 Employee/Obligor's Case Identifier (See Addendum for plaintiH names assoaated with cases on attachment) Custodial Parent's Name (Last, First, MI) EmployerM'ithholder's Federal EIN Number EAST COAST CONTRACTING EmployerM'ithholder's Name 503 BRIDGE ST EmployerM'ithholder's Address NEW CUMBERLAND PA 17070-1931 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 requiredto deduct these amounts from the above-named empioyee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 365.00 per month in current support $ 35.00 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 $ 400 .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: $ 92.31 per weekly pay period. $ 184.62 per biweekly pay period (every two weeks). $ 200.00 per semimonthly pay period (twice a month). $ 400.00 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 empioyee'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 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. MAILED. 1-/0>-0 I qj DRO: RJ Sbadday xc: defendant BY THE COURT: Date of Order: Janumy 10, 2001 -~. ~ At'" Service Type M OMB No.: 0970.0154 Expiration Date: 12131100 .JUIX;E Form EN-028 Worker 10 $IATT ,'U;'~~ ~.~ - " ~ ~~ " , ~ 0','; ... I 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 tLe Pa.yJattfDare ofWitl.l.uIJ;l'5. You hlust IcpOlt tI.e paydate-/clare uf n;tl.l.oldh.g vvl,cl, &el.dihg tI.e paylllcl.l. TI.e:; ~21yJc\b'Jatc of nitl.l.oldil.g i;, tl.e:; dare 151. nl.id. alllU\.ll.t nas nitl.l.cld "0111 tJ.e eltlploy(.(.'.s n6..s6;,. 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 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 OrderslNotices 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: 834010'0005 EMPLOYEE'S/OBLlGOR'S NAME: HOLLEN. TERRY D. EMPLOYEE'S CASE IDENTIFIER: 9820100487 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, 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 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. 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 @ Requesting Agency: DOMESTIC RELATIONS SECTION P.O. BOX 320 CARLISLE PA 17013 Page 2 of 2 Form EN-028 Worker 10 $IATT Service Type M OMBNo.:0970-0154 Expilation Date: 12131/00 "'" ~~ ~. - - .~ .,. I' --- " '< ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HOLLEN, TERRY D. / PACSES Case Number 004102736 1J'bI;;tj Plaintiff Name I ' STEPHANIE A. HOLLEN Docket Attachment Amount 00-2745 CIVIL$ 400.00 Child(ren)'s Name(s): DOB Ei;;~~~~t;~;;~~~:~:~~~;;~~:;~~;~rl:;~~~~;IJi;~~;( 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 required to enroll the child(ren) identified above in any health insurance coverage available through the employee's1obligor'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 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 bl~~~~~~~~;;~~~;~;~~~i;~~:;~~;~II;~~~~:IJi;~~;/..... 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 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 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 10 $IATT OMB No.: 0970-0154 Expiration Date: 12131/00 i~IIlMh1~~IMlli~ill~hllfl<tl:1lllili'!l:ilfd;L-tlill'ki.~';<lf"'i;,JI~iO;!;il~I'Jiii<'i~.iIlI' , nlli1fiti li!M<llMld;;IiIl\;,~II""""ili,ll!l!.elili"" "-~ ~ "~"~' o c ~~ t5S-- r'T ~f-~; ~.~"- .~ -.- =< c:) n :"0;_'] .'.," C'--j .:::> ~ '- ~ ,,-...:.' ....r > STEPHANIE A. HOLLEN Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA vs. DOMESTIC RELATIONS SECTION CIVIL ACTION - LAW TERRY D. HOLLEN, Defendant/Respondent NO. 00-2745 CIVIL IN RE: MOTION FOR HEARING DE NOVO ORDER AND NOW, this -z.!)"1' day of January, 2001, a rule is issued on the plaintiff to show cause why the relief requested in the within motion ought not to be granted. This rule returnable ten (10) days after service. BY THE COURT, . ;1~ t~\.P~~\ ~~ ,. . .- .- l~ ~ " , -, J,L, " 0..-, H OF !~L~P;Pd~:;r~. '. ,c':".J)ARY 01 ,lAP! 21:; PI ....j 3: 3D CU.~/CJ.'"-' (~'W IV:C""~" ..." r PENksVfvJiv~UNlY F ~~~'Il"ffi"-;;'1'1l'l<Il~~!~U!!l:\flI![!Ili"~=,.", '"' ~_'rO', ." " ',r .. ,,~,~~I.' .-"~, ~nJ~.c-- '-_._~.--,~, '<"-;,-",C'", "~ \ .' .~'. '\:';',",; ,c'," C,JC,i ,'-""^~_'." .'" _..,~" ~J. v. DR 30,124; PASCES 10004102736 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION CIVil ACTION - lAW NO. 00-2745 CIVil TERM STEPHANIE A. HOllEN, Plaintiff/Petitioner TERRY D. HOllEN, Defendant/Respondent ORDER AND NOW, this day of January 2001, upon consideration of Defendant/Respondent's motion, the requirement to file said motion within ten days is hereby waived. A hearing de novo on the issue of APl is scheduled for the day of 2001, at a.m./p.m., in Courtroom No. in the Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT J. Distribution: Elizabeth A. Hoffman, Esquire, 106 Walnut Street, Harrisburg, PA 17101 Maryann Murphy, Esquire, legal Services, Inc., 8 Irvine Row, Carlisle, PA 17013 1,-" .'_ __""0.".',::'__0,,"'",'_, ,.;,,-,,0->,,' ',:,",' '" ,;;:- Y".,A-;_", ;j,! 'I 1 I .,. Elizabeth A. Hoffman, Esquire 106 Walnut Street Harrisburg, PA 17101 (717) 236-2956 v. DR 30,124; PASCES 10004102736 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION CIVil ACTION - lAW STEPHANIE A. HOllEN, Plaintiff/Petitioner TERRY D. HOllEN, Defendant/Respondent NO. 00-2745 CIVil TERM MOTION FOR HEARING DE NOVO TO THE HONORABLE KEVIN HESS, JUDGE OF SAID COURT: AND NOW comes Defendant/Respondent Terry D. Hollen (hereinafter "Respondent"), by and through his attorney Elizabeth A. Hoffman, Esquire, to request that this Honorable Court grant Respondent a hearing de novo on a petition for alimony pendente lite (hereinafter "APl") as filed by Plaintiff/Petitioner Stephanie A. Hollen (hereinafter "Petitioner"), and in support thereof respectfully avers the following: 1. On January 9, 2001, at a hearing before an APl officer in Domestic Relations, it was determined that Respondent was obligated to pay Petitioner $174.92 per month for APl and $190.00 per month for the parties' child. 2. On January 10, 2001, this Honorable Court entered an Order to incorporate the findings of the APl officer. 3. Said Order stated that Respondent had 10 days from the date of mailing to demand a hearing de novo. 4. The date of mailing set forth in the Order is "1-12-01," but the postmark on the envelope containing the Order sent to this attorney is dated January 19, 2001. See Exhibit "A." , .. ~ ,- ~~--',' "","t,',", ,"- ,-"' ",..d"'~' "-"~' ~'''--'<'' " -J", cj,- ",..; -~"' '," _ c', :",: ~"",- -"c.2:"";C' '~'"-' _;'1 ....-"" 5. Because of the aforesaid date of mailing, this attorney did not receive the Order until January 22, 2001. 6. Upon receiving the Order, this attorney attempted to reach Respondent to discuss whether Respondent wished to appeal the Order, but was unable to reach Respondent until late in the afternoon. At that time Respondent informed this attorney that he wished to challenge the portion of the Order dealing with APL. 7. As indicated by the foregoing paragraphs, the circumstances regarding the time when the Order was received and the time when this attorney was able to reach Respondent rendered it impossible to file this motion at the Prothonotary's Office on January 22, 2001, the date it was due according to the Order. WHEREFORE, Respondent respectfully requests that this Honorable Court waive the requirement to submit a demand for a hearing de novo within ten days and grant this motion. Respectfully submitted, Eli abeth A. Hoff n, Esquire Attorney for Respondent 106 Walnut Street Harrisburg, PA 17101 717-236-2956 Attorney ID #71000 2 .., _t~~~~~~~~Fb[; ~r:~'-' J: _.it: 'i . "",',,^ -( -:~~';;';t~:~t'!:'..-:(T::'I~": ' . tv' .., -0:.... ~ f~ ) II't, ~ ;. : :: Ie .. 0,;'- - ~~--;:;;.-]~~ i\)~ ~ Ii:! ~ .:':N 0. C) ~CQ ~ III ILL. rrll'~-:?- ~ "1111 1\.1'ffl,1 h! .I,-v:y , I , , , ~.. ~ : 1- (- Q,,1 ',~ i ) ~~ i i (" i: I \' I, I I I w l) u: ..... I.L- 0 0 r-- 0 , I-; N l C. ..... .0 I 0 S c ! 0- C 0.. CD (l) :j 0- I/) d Cll l) a: -;;; i= .- \ -;: I/) 10 LU U , /. I ( $Jl- l ~ ." -''''--,--..--_.. ..._----------~_.- I I I I , 'j \,~~ ,''''''''''~,_, "" ."".,." -. . 41 o lI' " 0 1 ~ .. I .. o .. I'" .. .", . I ilil') 4f{f{)r7 ~ (f - h - f_ - ~'-- , ,- _.._ ~ ~ ,0,"-.>'--- - '-L' ,,'- "'''. __,,">,-~~,,~,,' ~ - r ,; -,;,~<;-~~',,::~'," -.~",:. -, '/-J~->'L,,, ,-'C:~1-"';'0~_~, "' >-','-'-$ d 1 1 II !I II tl !j j ~ VERIFICATION I verify that the statements made in the attached Motion for Hearing De Novo are true and correct to the best of my knowledge, information, and belief. I understand that false I !I II ii il " ,~ I q :1 statements herein are made subject to the penalties of 18 Pa.C.SA ~4904, relating to unsworn falsification to authorities. Date: / ~;)-Io I / I ~~ " " 1:1 I. II I II i ,~, ._.'.~ ,--.~,'''.' '. -, "" '._'0- '-~.-.~~ ,~""",~--,=~,,,;".10_,<',_ , -kV--~< CERTIFICATE OF SERVICE I, Elizabeth A. Hoffman, Esquire, do hereby certify that a true and correct copy of the attached Motion for a Hearing De Novo was sent by U.S. mail to the following person: Maryann Murphy, Esquire Legal Services, Inc. a Irvine Row Carlisle, Pennsylvania 17013 Date: 1/cP.3f I Elizab th A. Hoffman, Es 106 Walnut Street Harrisburg, PA 17101 (717) 236-2956 Attorney 10 #71000 -., " .. I ~ ' .,,=-,;--.. - '" ~,-- ~" " -j'-',,,--,,,,,-~ ,i..-'."-'U", ,-:,',-, ,":m'>~':~',:-:.;:.,:~-~' , .- ,~ ~~,'- v. DR 30, 124; PASCES ID 004102736 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION CIVIL ACTION - LAW NO. 00-2745 CIVIL TERM Ii 'I 11 'j I, I, ii Ii ii I' I ,j j 1 I I I I I Ii " " I 11 ~ II Ii I, II I' I I, I II I STEPHANIE A. HOLLEN, Plaintiff/Petitioner TERRY D. HOLLEN, Defendant/Respondent ORDER AND NOW, this 6th 0011 On Man.ch, ~.~;f r ,,~, w"'y 2001, the rule to show cause entered upon Plaintiff/Petitioner by Order of this Court is made absolute, and there being no cause shown as to why Defendant/Respondent should not receive the relief requested in his Motion for a Hearing De Novo, a hearing de novo on the issue of APL is scheduled for the 1 kiln day of Ann; I . 2001, at 1.~O n m . a.mJp.m., in Courtroom No. _4 _in the Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE COURT DR;~ //) J. Distribution: Elizabeth A. Hoffman, Esquire, 106 Walnut Street, Harrisburg, PA 17101 Maryann Murphy, Esquire, Legal Services, Inc., 8 Irvine Row, Carlisle, PA 17013 , ~ ~ I -- ^~- - - .""," ,- ,- . .,- "-1' cD n ~Fl{'E r(,.-C, -'......r v at ,u: P!~r\'LV'!\hCi"ARY J ; j i,~, , , ,I.." j l A,!!, It, 01 HAR-8 PM I.: 10 CUMBERLAND COUNTY PENNSYlVANIA ,'" "-,',:"-':". I' - - .~ ,=_hv'. .. ~ ,~ " , ~. ~ -~-"".~ " " "L~?-e_. -,,">,,'.~ " .. -~~- -~. , --~,' --,.."JJ ." M_ __.0_ _,_._", 0,," 0__".._,,," ""~'- "I' "_-.-^-.--',,, "~>. -.;'_-",,; "."" - '~:"L".c',.IDi, ,,' ;,-__ "c, ,"".',0.2... "'~.",. :,_:;",,-,j'~,,-;:, ,," _",;;" '" __ ;,,',-_.. _ Elizabeth A. Hoffman, Esquire 106 Walnut Street Harrisburg, PA 17101 (717) 236-2956 v. DR 30,124; PASCES ID 004102736 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION CIVIL ACTION - LAW STEPHANIE A. HOLL-EN, Plaintiff/Petitioner TERRY D. HOLLEN, Defendant/Respondent NO. 00-2745 CIVIL TERM MOTION TO MAKE RULE ABSOLUTE TO THE HONORABLE KEVIN A. HESS, JUDGE OF SAID COURT: AND NOW comes Defendant/Respondent Terry D. Hollen (hereinafter "Respondent), by and through his attorney, Elizabeth A. Hoffman, Esquire, to request that this Honorable Court enter an Order to maKe absolute the Court's previous order for Plaintiff/Petitioner Stephanie A. Hollen (hereinafter "Petitioner") to show cause why Respondent should not receive the relief requested in his Motion for Hearing De Novo within ten days of service, and in support thereof respectfully avers the following: 1. On January 23, 2001, Respondent filed a Motion for Hearing De Novo in the Prothonotary's Office at the above-captioned docKet number. (Motion attached). 2. Said motion was one day past the date in which the motion was to be filed, and, therefore, Respondent requested a waiver of the time requirement. 3. On January 25, 2001, this Court entered an Order whereby Petitioner was issued a rule to show cause why the relief requested within the motion should not be granted and directed a rule returnable within ten days after service. 4. As of February 12, 2001, Respondent had not received any response from Petitioner '-' ~ - "" .. -"',. ~,,-" "" -, -~ . ^ -, '.~ ~ '",;,{, -,c~'':'''__',-''_;-;';lJ ,', "_h_n ~, :,:c--"r__'~ ".-_," to show cause why Respondent's request for relief should not be granted. WHEREFORE, Respondent respectfully requests that this Honorable Court enter an Order to make the rule absolute requiring Petitioner to respond within ten days of service and grant Respondent's request to waive the time restriction and schedule a hearing de novo on the issue of APL. Respectfully submitted, 2 . . . " - . "",i Elizabeth A. Hoffman, Esquire 106 Walnut Street Harrisburg, PA 17101 (717) 236-2956 STEPHANIE A. HOllEN, Plaintiff/Petitioner DR 30,124; PASCES 10 004102736 IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA MOTION FOR HEARING DE NOVO DOMESTIC RELATIONS SECTIO~ CIVIL ACTION - LAW ~ -nOS mn,- Z~. ~- ZC 5Q;E r:"O <: >c' Z' --~Cl )>c: ~ c;> ~~~ v. TERRY D. HOllEN, Defendant/Respondent NO. 00-2745 CIViL TERM ~ )~ .- -- !'oJ (.,) :.'---n ~~~: ,.~'" ~n 3::: :;f~_~ :;t(") ;-Srn "-l -",. :P :;..;; ':!? TO THE HONORABLE KEVIN HESS, JUDGE OF SAID COURT: ():) AND NOW comes Defendant/Respondent Terry D. Hollen (hereinafter "Respondent"), by and through his attorney Elizabeth A. Hoffman, Esquire, to request that this Honorable Court grant Respondent a hearing de novo on a petition for alimony pendente lite (hereinafter "APl") as filed by Plaintiff/Petitioner Stephanie A. Hollen (hereinafter "Petitioner"), and in support thereof respectfully avers the following: 1. On January 9,2001, at a hearing before an APl officer in Domestic Relations, it was determined that Respondent was obligated to pay Petitioner $174.92 per month for APl and $190.00 per month for the parties' child. 2. On January 10,2001, this Honorable Court entered an Order to incorporate the findings of the APl officer. 3. Said Order stated that Respondent had 10 days from the date of mailing to demand a hearing de novo. 4. The date of mailing set forth in the Order is "1-12-01," but the postmarkon the envelope containing the Order sent to this attorney is dated January 19, 2001. See Exhibit "A." . '" ~~ >=';!J(; 5. Because of the aforesaid date of mailing, this attorney did not receive the Order until January 22, 2001. 6. Upon receiving the Order, this attorney attempted to reach Respondent to discuss whether Respondent wished to appeal the Order, but was unable to reach Respondent until late in the afternoon. At that time Respondent informed this attorney that he wished to challenge the portion of the Order dealing with APL. 7. As indicated by the foregoing paragraphs, the circumstances regarding the time when the Order was received and the time when this attorney was able to reach Respondent rendered it impossible to file this motion at the Prothonotary's Office on January 22, 2001, the date it was due according to the Order. WHEREFORE, Respondent respectfully requests that this Honorable Court waive the requirement to submit a demand for a hearing de novo within ten days and grant this motion. Respectfully submitted, Eli abeth A. Hoff n, Esquire Attorney for Respondent 106 Walnut Street Harrisburg, PA 17101 717-236-2956 Attorney ID #71000 2 f -C-~(.:, ~~:'C.';'::' ; "( ~ ' . - .. ~ld--;:;;:-~I:::! 1M i'\;;;.~; I:i . 5: C) I:;~ :2 lit 11.1- ~1-II:GI/::; i ~1I1:!SI;r~ , " , I I ~ , W I l) f7\. '" 0-- -<.' 1- Q,.' ~ -J . a. = , 'L~", ' '" " f:)-. ^~--,~-_.:~~~.....!~,t."':"!,'-::::"::.",:;,:,:~ I ..---------'------. i I I I , '- ../ "'------ , -...''''..........' 41 0 l" .~ 0 1 oil ... I ... 0 ... r- ... I ,L; -'--, ," ii'''""''"'''''' hf{(8tl ~ (I 1i&I!IilIlIlIIl~" ~ ~' ._~,~. 4:1<1",--", VERIFICATION I verify that the statements made in the attached Motion for Hearing De Novo are true and correct to the best of my knowledge, information, and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.SA !j4904, relating to unsworn falsification to authorities. Date: / /c1 :;-/0 ( / I ~~ CERTIFICATE OF SERVICE .-d '-'n, ~~~. :'It _~t-il I, Elizabeth A. Hoffman, Esquire, do hereby certify that a true and correct copy of the attached Motion for a Hearing De Novo was sent by U.S. mail to the following person: Maryann Murphy, Esquire Legal Services, Inc. 8 Irvine Row Carlisle, Pennsylvania 17013 Date: / /~<.io / Elizab th A. Hoffman, Es 106 Walnut Street Harrisburg, PA 17101 (717) 236-2956 Attorney ID #71000 ~, ..,,~-, . - - ~ . ,',..":. "',__.....w o"",,"'~'-~"'-'--'.i."'~<:- - ",' ;;'--"^" ,-",",~.,,, ii';~' I' I f [~ \; I' , CERTIFICATE OF SERVICE I, Elizabeth A. Hoffman, Esquire, do hereby certify that a true and correct copy of the attached Motion to Make the Rule Absolute was sent by U.S. mail to the following person: Maryann Murphy, Esquire Legal Services, Inc. a Irvine Row Carlisle, Pennsylvania 17013 Date: 2/12/01 STEPHANIE A. HOLLEN, Plaintiff vs. TERRY D. HOLLEN, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 00-2745 CIVIL PASCES NO. 004102736 DOMESTIC RELATIONS SECTION ALIMONY PENDENTE LITE ORDER ,,' II .. AND NOW, this I? day of April, 2001, following hearing, our order of January 10,2001, is AFFIRMED in its entirety. DRO Maryann Murphy, Esquire For the Plaintiff Elizabeth Hoffman, Esquire For the Defendant :r1m BY THE COURT, Ai - C?of't.& p~~c;..)1l- LLy ~~ "I/n/o/ - ~/tt.. Y)"\19 I Lv{ ~ o -o~~ nlrr ~~~ ("n -<." r.::< . ~;.~:',:, ]>c~ ?:;. -<., c:> ~ .-1 .:.... . "~-:-J ....j -_.J , STEPHANIE A. HOLLEN, PlaintiIDPetitioner/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE TERRY D. HOLLEN, DefendantJRespondentlPetitioner NO. 00-2745 CIVIL TERM IN DIVORCE DR# 30124 Pacses# 004102736 ORDER OF COURT AND NOW, this 23" day of August, 2001, upon consideration of the attached Petition for Modification of Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shaddav onSep/ember 26.2001 a/ 10:30 A.M. for a conference, at 13 N. Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Amended 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-Rule 1910.11@ . (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 documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Mail copies on 8-23-0 I to: Petitioner < Respondent Elizabeth Hoffinan, Esquire ~ RJ. Date of Order: August 23, 200 I 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. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 '" ~~ r~r- 'c. ,.)t !, 01 MIG 24 p;.:l 'J: t,,~ , ,. ~ 'wi ('''lv.'L ' ','.. '"-,, " "y' ,I' ~,; -:--<(L"-'-'\" ; , '- IU' ',' I v .....,_,'., ,,__ ~",../ ,11 PENi\JSYLVANiA l!liI!!!lf " '" ~~~'!!""f"!'\~~l"~~~~!IliIPI$JII\~~...,... IImItll'!l ~!!i 1-. In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION STEPHANIE A. HOLLEN ) Docket Number 00-2745 CIVIL Plaintiff ) Ys. ) PACSES Case Number 004102736 TERRY D. HOLLEN ) Defendant ) Other State ID Number PETITION FOR MODIFICATION OF AN EXISTING SUPPORT ORDER 1. The petition of TERRY DONALD HOLLEN respectfully represents that on JANUARY 9, 2001 , an Order of Court was entered for the support of STEPHANIE A. HOLLEN A true and correct copy of the order is attached to this petition. Service Type M Form OM-SOl Worker ID 21600 '-"~. - : J HOLLEN V. HOLLEN PACSES Case Number: 004102736 2. Petitioner is entitled to 0 increase G9 decrease 0 termination 0 reinstatement o other of this Order because of the following material aud substautial change(s) in circtullstance: This is a request for reduction of child support obligation. Althouqh current Order is listed as APL. most of the support obligation is for child support. (See Order attached). Petitioner now has child in his custody for more than 50% of the time, wh;i..ch. lI'as the c"stony arr"n'J<>m<>nt- ,.,h<>n t-h<> nrder for Support was calculated. Petitioner received primarv physical custody through a Temporary Order entered on May 23, 2001. Thus, he is entitled to a decrease of his child support obligation. WHEREFORE, Petitioner requests that the Court modify the existing order for support. Terry D. Hollen lizabeth H ffman Petitioner I verify that the statements made in this complaint are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ~ 4904 relating to unsworn falsification to authorities. llf'1/eJ( Dat { Page 2 of2 Form OM-50l Worker ill 21600 Service Type M -,-, --"J /- / ~ DR 30,124 PACSES ID 004102736 STEPHANIE A. HOLLEN, Plaintiff/Petitioner vs. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : DOMESTIC RELATIONS SECTION : CIVIL ACTION - LAW TERRY D. HOLLEN, Defendant/Respondent : NO. 00-2745 CIVIL TERM ORDER OF COURT AND NOW, this lOth day of January, 2001 , based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1,498.74 per month and Respondent's monthly net income/earning capacity is $2,800.79 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $400.00 per month payable weekly as follows; $84.23 per week for alimony pendente lite and $8.08 per week on arrears. First payment due next pay date at $92.31 per week. Arrears set at $957.74 as of January 9, 2001. The effective date of the order is September 28, 2000, This order is to reflect that wife would file for child support on this date and this order is based upon an obligation of Alimony Pendente Lite of $175.00 per month and a child support obligation of $190.00 per month, with a 50/50 shared custody arrangement and husband paying the monthly sum of $528.67 for child care. The APL amount of$175.00 per month is effective September 28, 2000 through January 8, 2000. The increased APL amount of$365.00 per month is effective this date. 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.g 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: Stephanie A. Hollen. 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, P A 17106-911 0 ~';':-~:_l;ri~~G_~~_",'n~,: fr- : I.~. _\/ f .~ ----- # -~_.- 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. 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. DRO: R. J. Shadduy fvfulled copies on ,I -/,)..D/ to: < BY THE COURT, Petitioner Respondent Mary.arut Murphy, Esquire Elizabeth Hoffman, Esquire KwmZ' /I.~ J. , ~," . ~..O"" l In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION P ACSES Case Number: Docket Number: Other State ID Number: 004102736 00-2745 CIVIL Please note: All correspondence must include the PACSES Case Number. JANUARY 9, 2001 SUMMARY OF TRIER OF FACT Plaintiff Information Defendant Infonnation STEPHANIE A. HOLLEN TERRY D. HOLLEN Address: po BOX 1336 MECHANICSBURG PA 17055-1336 Address: 137 SAMPLE BRIDGE ROAD MECHANICSBURG PA 17055 Employer: HARDING'S RESTAURANT Employer: EAST COAST CONTRACTING 3817 OLD GETTYSBURG RD CAMP HILL PA 16979 Attorney: MURPHY MARYANN 503 BRIDGE ST NEW CUMBERLAND PA 17070-1931-03 Attorney: ELIZABETH HOFFMA}! o Complaint for Support o Petition for Modification Filed \Xl Other Reason for Conference: WIFE FILED FOR APL ON 9/28/00. PARTIES HAVE A 50/50 CUSTODY ARRANGEMEN':' FOR THEIR 3 YEAR SON, CODY. HUSBAND DID NOT APPEAR, HOWEVER HE WAS REPRESENTED BY COUNSEL. Dependent(s) Current Order: $ 365 . 00 / per month EFF 1/9/01 & $175/M FROM 9/28/01 TO DATE $ervice Type M Fonn CM-022 Worker ID 21005 - " ., " ., ~, "~ 1- HOLLEN v. HOLLEN PACSES Case Number: 004102736 Defendant Information \ I , I I i I Plaintiff Information Current Income: $410.04/W YTD AVER~GE (50 WKS) $1498.74/M NET $889.51/W YTD AVERAGE (51 WKSI $2800.79/M NET Tax Return: H-3 5-1 Medical Coverage: NO COVERAGE NO COVERAGE Child Care/Tuition: HUSBAND PAY $122.00 PER WEEK FOR CODY'S CHILD CARE EXPENSES. (528.67/M1 Additional Obligations: HAS ANOTHER CHILD ON 50/50 SHARED CUSTODY AND ANOTHER CHILD THAT LIVES W/ MATERNAL GRANDMOTHER Other Information: 11/3/95: PARTIES WERE MARRIED 9/21/97: CHILD OF THE MARRIAGE (CODY) WAS BORN 2/4/00: PARTIES SEP~TED' HUSBAND HAS BEEN PAYING THE DAY CARE EXPENSES AS THE DAY CARE CENTER IS NEAR TO HUSBAND'S HOME. WIFE REQUESTS THAT HUSBAND CONTINUE TO PAY THE DAY CARE DIRECTLY AS THE CENTER IS NOT CLOSE TO HER RESIDENCE. WIFE WOULD FILE FOR CHILD SUPPORT ON THIS DATE AND COUNSEL FOR BOTH PARTIES AND DRO WOULD CONSIDER THIS IN THE APL ORDER AND THE CONSIDERATION THAT HUSBAND CONTINUE TO PAY THE CHILD CARE EXPENSES. CHILD SUPPORT =375.37 (50/501 65~ CHILD CARE=343.64 TOTAL SUPPORT =719.01/M Page 2 of3 Form CM-022 Worker ID 21005 Service Type M ... ~ . / I HOLLEN v. HOLLEN PACSES Case Number: 004102736 Other Information (continued): 375-185 (WIFE 35% SHARE OF CHILD CARE)-$190/M (CS) 2800.79 - 1498.74 -719 -583.05 X 30% ; 174.92 (APL)) Facts Agreed Upon: 50/50 SHARED CUSTODY ARRAlllGEMENT THAT APL ORDER WILL INCLUDE A SUM FOR CHILD SUPPORT AND APL WILL BE ADVANTAGEOUS TO HUSBAND FOR TAX PURPOSES. Facts in Dispute and Contentions with Respect to Facts in Dispute: WIFE SHOULD BE ASSESSED A HIGHER EARNING CAPACITY Guideline Amount: $ 520.82 I MONTH** DRS Recommended Amount: $ 365.00 / MONTH DRS Recommended Order Effective Date: 09/28/00 Parties to be Covered by Recommended Order Amount: WIFE Guideline Deviation: G0 YES or 0 NO Reason for Deviation: 50/50 SHARED CUSTODY AND HUSBAND PAYS CHILD CARE EXPENSES **STRAIGHT GUIDELINE FOR APL @ 40% Submitted by: R. J. SHADDAY Date Prepared: JANUARY 9, 2001 Page 3 of3 Form CM-022 Worker ill 21005 Service Type M lill." 'I; ~. , ~~-. ili.~~~"""- ~-'"WlilWil'"" 1lifJii1: ~. . 'h ~".' '" -""....' _~N.~_". ~. ,.,"- . -~, 1, .' "~) -i -<. }r\ ...... ...( l:;1 l; o .... " - , , DR 30124 PACSES ID 004102736 STEPHANIE A. HOLLEN, Plaintiff/Petitioner/Respondent vs. IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION : CIVIL ACTION - LAW TERRY D. HOLLEN, Defendant/Respondent/Petitioner : NO. 00-2745 CIVIL TERM ORDER OF COURT AND NOW, this 26th day of September, 2001, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1,298.76 per month and Respondent's montWy net income/earning capacity is $3,370.72 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $400.00 per month payable monthly as follows; $365.00 per month for alimony pendente lite and $35.00 per month on arrears. First payment due with next wage attached payment. Arrears set at $646.89 as of September 26, 2001. The effective date of the order is July 19, 2001. Defendant S petition to decrease the APL is denied and the amount of APL remainsin its entirety and the whole amount is Alimony Pendente Lite. 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.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: Stephanie A. Hollen. 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: P A SCDU 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. <I' '.. .':,\ ,'\ This Order shall become final ten days after the mailing ofthe notice ofthe 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. DRO: R. J. Shadday Mai~,e4 _99pje;s on 9-27-01 to: < BY THE COURT, Petitioner Respondent Joan Carey, Esquire Elizabeth Hoffman, Esquire ~. ;9.~ Kevin<f!C Hess 1. IliI_~!IiiII"~"~~~~-f~iiJ~jOOlf~mj!!'~_'clM~li~_,,*",fiik!tJJlJ!~ 10.. ^~, L ','~" . " , -~jr"''' ".< L'~ ij" '~"'~QlIiIY o U~~ n""-'- ~i.:~.:-' ~2': ~2 .:z =< . ~, "1 (. ... a ~~ " U) ,-,'1 "-0 1'\) '-i 'p i-;::-~ ",n- -; ~=) '" ~J-i: -::;~-? '~~ :"'-0 C~~~;;; ~ -< c- ':::i --1 "_ "'''''_m~ ~ ~" ~I -, '"iii'i ",. : r. ORDER/NOTICE TO \o)'ITHHOLD INCOME FOR SUPPORT 'DKI- dCJOO -;27'1<> (! IfilL State Commonwealth of pennsylvania jJ,clAc<;' f Otl'-lIO;;" 73 h Co./City/Dist. of CUMBERLAND / fL/'; . DateofOrder/Noti.ce 11/08/02 U,G ,3.01;;).'-/ Tribunal/Case Number (See Addendum for case summary) o Original Ord~rlNotice o Amended O~derlNo.tice o Terminate Order/Notice EAST COAST CONTRACTING 1.60 LAMONT ST NEW CUMBERLAND PA 17070-2474 RE: HOLLEN, TERRY D. Employee/Obligor's Name (Last, First. Mi) 202-52-6652 Employee/Obligor's Social Security Number 9820100487 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, M1) EmployerlWithholder's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Comrnonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's incorne until further notice even if the Order/Notice is not issued by your State. $ 365.00 per month in current support $ O. ooper month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0 . 00 per inol1thin medical support $ O. 00 per month for genetic test costs $ per month in other (specify) for a total of $ 365 . 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 evcledoes not match the ordered support payment cycle, use the following to determine how much to withhold: $ 84.23 per weekly pay period. $ 168.46 per biweekly pay period (every two weeks). $ 182~50 per semimonthly pay period (twice a month). $ 365:60perinonthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheldamount,andyourfee, cannotexteed 55% of the employee'S! obligor's aggregate disposable weekly earnings. . For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call PennsylvaniaState Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to:PASCOU Send check to: Pennsylvania SCOU , P.O. Box 69112, Harrisburg, Pa 17106-9112 IN AOOITION, .PA YMENTSMusilNCWOETHE OEFENOANT'S NAME AND THE PACSES MEMBER 10 (shown above as the Employee/Obligor's Case Identifier)OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SENO CASH BY MAIL. BYT '{)(.,E Form EN-028 Worker 10 $IATT Date of Order: .. \\I:N 11- v \ ... . ENff}le 8 M-vLG<l 'GM<~_ 'Il''1 en ~MBNO..0970'()lS4 /1-11 -(})- /'{)lI~ .jA-tUl - Service Type M ~ ,- .-,-,-,....~~~~- " , ~.,. ""'~J - ~= .'-'W~_' ... , ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ~hecked you are required to provide a copy of this form to your employee. If your employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. 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 iisted below. 3. Combining Payments: You can 'combine withheid 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 singiepayment that iS,attributable to each employee/obligor. 4.' Repoltil,g d,e Pa,datefOate of W;tl,l,old;ng. You must lepolt tl,~ pa,datefdatti of ..itl,l,oldil,g ..l,e" ,cI1di"g tl,e pa,I"."t. Tl,e pa,dateldate of ..;tI,I",ld;"" is d,e date on ..i,id, al"ouIot..a, ..itI,I,~ld "01" tl,c CI"pIG,ec'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 fOlWard the support payments. 5.' EmployeelObligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Jncome for 5upport 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 allOrders/Noticestothe',greatestextent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no ionger working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 8340100005 ' ' EMPLOYEE'S/OBLlGOR'S NAME:, HOLLEN. TERRY D. EMPLOYEFSCASE IDENTIFIER: 9820100487 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: "You maybe required to report and withhold from lump sum payments such as bonuses" ~ommissions, or severance pay. If you have any questions about lump sum payments, contact the, person or authority below. 8. Liability:, If you fail to withhold income as the Order/Notice directs, you are liable for boththeaccumulated,amount you should have withheld from the employee/obligor's income and otherpenalties set by Pennsylvania State law. Pennsylvania 5tate 'law governs unless the obligor is employed in another State, in which case the law of the 5tate in which he or she is employed governs. , , 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligodrom employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law govems unless the obligor is employed.in another State, in which case the law of the State in which he or she is employed governs. 10.' Withhold, ,ing"LimitS! Yciumay'notwithhold moreth~n the lesser of: 1) theamounts allowe,d by the FederatConsumer Credit Protection Act (15 u.s.c. s1673 (b)l; or2)the amounts allowed by the State oftheemployee's/obligor'sprincipal place of employment. The, Federal limit applies to the' aggregate disposable weekly earnings (AOWE). AOWE is the net income len after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: 'NOTE: Ifyouoryouragelltare 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 item-so ' Submitted By: If you oryour employee/obligor have any questions, DOMESTICRElATIONS SECTION coniact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX320.. ,byFAXatl7171240-6248 ,or CARLISLE PA17013 by internet www.childsupport.state.pa.us Page 2qf 2 Form EN-028 Worker 10 $IATT Service Type, M OMS No.: 0970.0154 -- - , . ,- .~.~ ""=...,,," . ADDENDUM Summary of Cases on Attachment HOLLEN, TERRY D. Defendant/Obligor: 004102736~O/~ PACSES Case Number Plaintiff Name STEPHANIE A. HOLLEN Docket Attachment Amount 00-2745 CIVIL $ 365.00 Child(ren)'s Name(s): DOB Elli~~;~t:;;;~~;;;;;:~~i;;;~;~~~;~;I;~;~~il~i;:~;.......\......i............ identified above in any health inswance 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 '::,',:::,:;:,:,:,:":,=,:::,=,=::;,::,:",:.,"::::::'::::,:::;'::.::::,',:::,:::::::::::,::,:,:(,=:::::::,',::,:,:.:,:,.::.::. ":/,:/:;::,:,(:,:,:::,/:.:::::::::':::,':}:.,:,', ::::,::;:,;:::::':, .::.'. . Oil ~h~~k~d:~~~ ~;~ ~~i;~d;~~~;;II;h;~I1i1d(;';~). identified above in any health insurance coverage available through the employee's/obligor's employment. PACSE5 Case. Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ":'::':':::':':::':"'::::":::'=:::'::';:::::::::.=,:::,::,:::):;:::,:,:::,:::::::::::::},:/:::,::::,::,::.:.,.,,....,....,..,.,.. D If checked, you are required to enroll the chi/d(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M OMB No.: 097(}..{l154 PACSES Case Number Plaintiff Name Docket Attachment Amount $ .0.00 Child(ren)'s Name(s): DOB ..[j;/~~:~~:~,;~~~;~;:~C;;~~;~~~~II;~~~~:I~i~~;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 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 i5;;~~:~:;~:;;::~i:.;~:~;;;;:;~:~~:;~;:~;}............. .......... identified above in ,my health insurance coverage available through the employee's/obligor's employment. Addendum Form EN-028 Worker 10 $IATT ,itlilitllll ,"L "_~1I!l._'M ~.. llt"C_'" "W.. ~_ ~~~~~'I~jiiijll\MlMIll!ill'lJid~I~.'~Ml\/;IIr- ~-~ ~I ," "-~ lilltnurr ., I, .L J ~,"" - "~:j ~ ~~ J"ll 2 s: -oc::.; rnrr\ >-7"1.-') ~S': _/ /- l~C~ >(-~ Z;-..:., ~c: -7 ~ o N :T- O ..c..:: - f'V lM.tM.:IM , .... ~-; -0 ~o -"" -,--r', i~. ::':J'-~T', f.;'?' , '-~-' ~~J:fl ~ ~ :0 '< ()" . ~.... " " ...~.; <- b'f I j II State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 01/09/03 Tribunal/Case Number (See Addendum for case summary) ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT M. c:2OCO-:;J. 7'1'S> (7/tl/t... ,.Ll)5t~Z"s. 00<;/0;). 73l',., OOriginalOrder/Notice @ Amended Order/Notice o Terminate Order/Notice EAST COAST CONTRACTING 160 LAMONT ST NEW CUMBERLAND PA 17070-2474 RE: HOLLEN, TERRY D. Employee/Obligor's Name (Last, First, MI) 202-52-6652 Employee/Obligor's Social Security Number 9820100487 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 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 365.00 per month in current support $ 35 . ()oper month in past'due support Arrears 12 weeks or greater? Oyes @ no $ 0 . 00 per month in medical support $ 0 . 00 per month for genetic test costs $pe, month in other (specify) for a total of $ 400.00 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 payrnent cycle, use the following to determine how much to withhold: $ 92.31 per weekly pay period. $ 184.62 per biweekly pay period (every two weeks). $ 20o.ooper semimonthly pay period (twice a month). $ 400 .00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See#lOon pg.2l. 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: pASCDU Send check to: Pennsylvania SCDU, P,O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTSMUST 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. ...,......"'- 'j)~G Form -028 Worker 10 $IATT Date of Order: .JAM 1 0 2003- Service Type M OMBNo.:0970"0154 /-IO-O~ ()!'J G -- -, - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D d'f.c;;hecked youhare required. to pr\lvi~e a copy of this form to your. employee. If your employee works in a state that is Illerent from testate that ISSUed thiS order, a copy must be proVided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-Dwned businesses located on a reservation that choose to withhold in accordance with this notice. 2. 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. 3. 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 olthe singlepaymentthat is attributable to each employee/obligor. 4. * Repoltil ,g tl,e ra,J.le{Date oi '.vitl,l,oldi"g. You must lepolt the p.,d.te!date of "itl,l,olding "hel, ,endi"g t1,e pa,l"el ,to Tl,,, pa,date!clate of..itl,;,oldil,gis t1,edate 0" "l,;d, a"":,",,l ,,", ,,;Il,),eld i,o,,, IJ.e e,,,pl.:>,..', "ago. 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. 5. * 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/Notlces 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 #1 0 below) 6. 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 olthis Order/Notice to the Agency identified below. WITHHOLDER'S 10: 83'4010000!> EMPLOYEFS/OBUGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: ' LAST KNOWN HOME ADDRESS: NEW EMPLOYEWS-NAMElADDRESS: HOLLEN, TERRY D. 9820100487 OATE OF SEPARATION: 7. 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. 8. 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 theemployee/ohligor'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. 9. Anti-<liscrimination: 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,theobligor is employed in another State, in which case the law of the State in which he or she is employed govems. 10. * Withholding Limits: You may not withhold' more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.5.C.s1673(b)1; or 2) the~mounts 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. 11. Additional Info: 'NOTE: If you oryour agent areselVed 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. S,ubmitted By: 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 (7171 240-624R or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 9f 2 Form EN'028 Worker 10 $IATT Service TypeM OMB No.: 0970-0154 ~--~ .. _d ~ - '14"<, ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HOLLEN, TERRY D. PACSES Case Number 004102736 Plaintiff Name STEPHANIE A. HOLLEN Docket Attachment Amount 00-2745 CIVIL $ . 400.00 Child(ren)'s Name(s): DaB ...........................'......,.......'.......... ............ ...... .... ...,.,. ..., . ............... ..'.,.,'.,.,'..,'...,...,'.'..,'..,.' ..... .......,..., .................. , ,. , , tJlf~h~~klld, you are required to enroll the child(ren) identified above in any health insurance coverage available through the e'mployee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case.Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M OMS No.: 0970-01 ~4 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB ::':,:':"::",,,:-::,' ,,:':,:,:;;";;':,,' ,':,':.':,:' ,...:.:,:..':.,.... . dlfcl1e~k~d: y~u ;re required to ~nroll 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): DaB o If checked. you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB dl;~~:~~~~:;~~~;:;~~~i;~~;~:~;~11 the child(ren) ................. identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum Forrn EN-0l8 Worker 10 $IATT ,~iiI3Ui~IUiiliMl"!l!;\j~-;''''''~-''~'' ''lJlA.filliillii~lli.iHm-~.wr'"-"'t'~i!~-;w,;:j'I4Wl!i~~.~'''' ,- v ,~~"''--o' ,,,." ",. I. " .., III ~iIllIIIIlt o ::; .~ ;g~g 2::J,' 2;[,;:: (j) "'-.. .....':. r.: rc:C: ),.-':::t""-' ~~ ;;: -~ -< >,) . o w o "T'i ~ ':'_7:"" 'l:Q ',"- '-jE] ""'- w -0 -.() '~-2~ ;~rTl ~ -< =J~ c- c:> " ~,-~"~~ """ L. ~''''ool,,",..k. :~ .. N' - '- " -lU(I. .. ,,' ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT j)jj ~6 - ;J7'/t::' C/ we jJlJ~C; 'i S coy; 0 ;;Z '73& o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice State Commonwealth of Pennsylvania Co./CityIDist. of CUMBE;RLAND Date of Order/Notice 01/31/03 Tribunal/Case Number (See Addendum for case summary) EAST COAST CONTRACTING 160 LAMONT ST NEW CUMBERLAND PA 17070-2474 RE: HOLLEN, TERRY D. Employee/Obligor's Name (Last, First, Ml) 202-52-6652 Employee/Obligor's Social Security Number 9820100487 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Ml) EmployerM'ith,holder's Federal EIN Number See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 365.00 per month in current support $ 0: ooper month in past:due support Arrears 12 weeks or greater? Oyes @ 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 $ 365.00 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 mat<:h the ordered support payment cycle, use the following to determine how much to withhold: $ 84.23 per weekly pay period. $ 168.46 per biweekly pay period (every two weeks). $ 1.82.50 per semimonthly pay period (twice a month). $ :J 65.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amoUnt. The total withheldamounti and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weeklyearnings. Forthe purpose of the limitation on withholding, the following information is needed (See #10 on pg.2). If remitting by EFT/EDI, preasecall Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. , , Make Remittanc,e Payable to:, P A SCDU Send checkto: Penosylvaniil SCOU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS 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 MAI~, '."'B 4_\., 'I. 3 2U01 Date of Order: SerVice Type M Eo&~ M~I..~'~''''"' , '.' ;Qi::fL0MB No. 0970-0154 [)t/G i".. ~ ~ ~ ii- ~ '''!f l'!' -"'" ~c ;:. "" tq- .;s; r F ~ , ~~." ,"'I'" ,::c... .. .;. - -" ,-ljO\X===~g - ""'''''~__~'F .,IIIIWfl!o/,._",~,~""""""';t,,~.,jj. . .. "I r"~- ':.~, '..-\ (' -; {::.' C,. -, Jj- 1,- ';i c:'_H~);'~riCE 'c'C,~:(:N01ARY r,.", F~D ' VJ ti;-Y. PM 3: 38 CUMBl~Rij\;JD COUNT)' PtJJNSYlVANIA ~" ,,,._ _J~ ~ JI1~~i~;~~'j.i"~1~~!"'!F.tI$!'1I!'llo~-~'"~~ ~-~~ '-~-'""" ,~" - ~ =-~ "- >, - "" ""'f'''~~~'~~>i. - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ~hecked you are,requfred to prpvide a copy of this form to your employee. Ifyo~r employee works in a state. that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and indian-6wned businesses located On a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding underthis Order/Notice has priority over any other legal process under 5tate law againstthe 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, 3. Combining Payments:' You can combine withheld amounts from more than one employee/obligor's income in a single paymeritto each agency requesting withholding. You must, however, separately identify the portion of the single paymentthat ,is attributable to each employee/obligor. 4.' Reporting the PaydatelDate ofWitl,l,oldil,g. You must lepolt tl,e pay date/date of "itl,l,oldilog ,,1,CI, s'Iodilog tl" pay,,,,,,t. Tl,. paydateldate of,vvitl,l,oklil,g:,i.s tl,e_d4te Oil vvL;.....L ClIlIount vvas vvitlll,eld fW11I tile elllployee's vvages. You must comply with the law ofthe state of the empI6yee's/obHgor'sprincipal place of employment with respect to the time periods within which you must implement the withholding order and fOlWard the support payments. , ' '- -- , . 5.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employeeiobligonmd you aie 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. (5ee #1 0 below) 6. 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 to: 8340ioooos EMPLOYEE'S/0811GOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: t.AST KNOWN,HOME ADDRESS: NEW EMPLOVER'SNAME/ADDRESS: HOLLEN, TERRYD. 9820100487' DATE OF SEPARATION: 7. Lump Sum Payments: You maybe 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. 8. Liability: If you,failto withhold income'asthe 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. , ' 9. Anti-discrimination: YoU are subjecttoa fine determined under State law for discharging an employee/obligor from employment, refusing to empJoy,ortakingdis,ciplinary action against any employee/obligor because ofa support withholding. Pennsylvania State law governs unleSs the obligor is employed in another5tate, in which case the law ofthe 5tate in which he or she is employed governs. 10.' Withholding Limits: ,You inaync,twithholdmore than the lesser of: 1 )the amounts allowed by the Federal Consumer Credit prote<=\ion Act (15 U:S.C. ~1673 (b)l;or2)theam,ounts allowed by the State ofth~ 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. 11. Additional Info: 'NOTE: If YOu or your agenta~eserved withacopy 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. Submitted By: , 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 fl.O, BOX.320 byFAX at (7171 240-6248 or CARLlSLEPA 1.7013 by internet www.childsupport.state.pa.us SerViCe Type ,!II Page "{/e! 2 Form EN-028 WorkerlD $IATT QMBNo.:Q970--0154 ""-"""'- ~"<i"" - : ~ ~ ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HOLLEN, TERRY D. PACSES Case Number 004102736 Plaintiff Name STEPHANIE A. HOLLEN Docket . Attachment Amount 00=2745 CIvIL $ 365.00 Child(ren)'s Name(s): DOB :::::::'::::: ::::: ::,:: I:,::::::: :;:: :::::::::::':::';'::::}:,.:~:,:::::':::::':::::'::,::':::::':::::':::'::::i'::,::':::::':::::::::'~ ::':::::::::':::::'::::::::('~':: ::,:,::::::::::.::::::: ::.::'::':: ::.:':,::'::" . t:Jlf~heck<1d, you are r~q~i~~d io ~nroilthechild(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. PAC5ES 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/obligorsemployment. PACSE5 Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB dl~~~~~~~~,;~~;;:;;~:;;~~;~~~;~il:~~~~ild;;~~;......\...... ........ identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M OMB No.: 0970-01 ~4 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. 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. 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. Addendum Form EN-028 Worker 10 $IATT ~-"~'-"-~>' , ~ "-, ~ U' akL In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION STEPHANIE A. HOLLEN ) Docket Number 00-2745 CIVIL Plaintiff ) vs. ) PACSES Case Number 004102736 TERRY D. HOLLEN ) Defendant ) Other State ID Number ORDER AND NOW, to wit, on this 3RD DAY OF OCTOBER, 2003 IT IS HEREBY ORDERED that the APL order in this case be 0 Vacated or OSuspended or (i) Terminated without prejudice or 0 Terminated and Vacated, effective SEPTEMBER 23, 2003 ,due to: THE PLAINTIFF REQUESTING THAT THE ALIMONY PENDENTE LITE BE TERMINATED WITH NO BALANCE DUE. DRO: RJ Shadday xc: plaintiff defendant Elizabeth Hoffman, Esquire BY THE COURT: Edgar B. Bayley GE Service Type M Form OE-504 Worker ID 21005 otic.- j~ift_~I&liJW!!\ifI!li!!il~ci~t!ij.,~!Ill\ll~~'rn'~",Biiiji<;,ffij.~~l<>l!'~","~"",,"~lilIIIIi'- ,IS;, (- I ~_. ~- " I. , j; ,/./' '( ~""""".....,~ .'::';t C; 03- t"'l. 'I:~t e d L '"~ t'. '--' (") c $: fRio? Z:~"~! 2:{:!-' co 1:;, ~8'j' ~~ ,~ Zr,:) j;U C 2: -.., -::: ............~-~ ~ W -.... 'Iii ;1 <:::; w <:::> CJ -I I W r;; :~~ '(}Jr1 :,!~!y ~--./ ~- :2~ 8::!:] ';;'0 am b! :0 -< -0 ::2!:; . 11,0"""'",_,,,""....,., jl~ ,-,'r<~ ""~ __;C""",, ~' ;~"I'" ~ ' _.-".",-,'" . .A'~"_,;<_,-~,",, -'~-~::'.._ \ I ..-"'-"~._'-'...~".."'-~.,.ti..wti~,$Il!&-"',."""""""'lWc.__-.J,,..~.d,I'IC,"'-.""""._O;ejf_~~~J\i~!fJl' ~ -r ..i1~",*, ,~ ". , !-, i' 0'~/O t\~ i SEP 24 2OD3 M/. ,ftJOt)-;)7f{S" C! 1/ r ,I: :;;P&~~CL8 . ;#: , ".~#. ; , , ~' i I i , {)f1I/ ~O ! '""!;;;F-.'-"",-.:.r-J'"",,,'''_ t&J""." ,~ '. c...." ~ ~c_= "', , ... ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 10/03/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice @ Terminate Order/Notice lXf dcro -,;l'J,/S' {!t/ ;J~~zc; {;[Y-/! 0;).73 f..r RE: HOLLEN, TERRY D. Employee/Obligor's Name (Last, First, MI) 202-52-6652 Employee/Obligor's Social Security Number 9820100487 Employee/Obligor's Case Identifier (See Addendum for plaintiH names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) EmployerM'ithholder's Federal EIN Number EAST COAST CONTRACTING 160 LAMONT ST NEW CUMBERLAND PA 17070-2474 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ 0.00 per rnonth for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period. $ 0.00 per biweekly pay period (every two weeks). $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable arnount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Custorner 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 SOC I'lL SECURITY BER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: /013 liP} I I Service Type M OMB No.: 0970-0154 ~ . : ~~...,:g~ii'j I r ... ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ~hecked you are required to provide a copy of this form to your employee. If your employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. 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 be/ore receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's in,ome 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. 4. * R~por;';lIg the raydat~'Da.te otWitLLold;lIg. You I'lrtl3t l~p6lt tI.e paydate-,'da.l~ of nitLLoldihg nL~1l sel,diJ Ig tLe paylll~lIl. TLe pa.ydalefdate of nitl.Lold;ng i:l tl.e date Oil nl.icl. alllOUIJt na.5 n;tI.I.eld f10lu ti,e elllployee's vvciges. 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. 5. * EmployeelObligor 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 iaw ofthe state of employee's/obligor's principal piace of employment. You must honor all Orders/Notices to the greatest extent possible. (See #1 0 below) 6. 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: 8340100005 EMPLOYEE'S/OBLlGOWS NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: HOLLEN, TERRY D. 9820100487 DATE OF SEPARATION: 7. 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. 8. 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. 9. 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 ofthe State in which he or she is employed governs. 10. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts aliowed by the Federal Consumer Credit Protection Act (15 US.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. 11. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these iterns. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (7171 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker 10 21005 Service Type M OMB No.: 0970-0154 ,"i~mt Jllii~'!i~'!!:.I;~MS!ilIiiilllli:IIWlMiWMJ:f:iI:iffiL'*P.'mtdl;;.lt,;\1;I~~il.l.-.iiJi,\<&~;I.;tfloimli"~ ,~,o "_ ~, ~_~~ J~__. _,___ I" =" ~- 1'1 -'~.".."""',_" .-. "" ~~ ,-' .:::::',c a nt-j-ed ~ ..= . 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