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HomeMy WebLinkAbout07-0687A DANA M. HOTRA, Plaintiff V. JOHN D. SCHUBERT, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 0-7 _ U07 CIVIL TERM IN DIVORCE NOTICE TO DEFEND Cumberland County Bar Association 32 South Bedford Street Carlisle, PA 17013 (717) 249-3166 or 800-990-9108 SAIDIS, FLOWER & LINDSAY SAIDIS, FLOWER & LINDSAY ATIOSNM nr uw 26 West High Street Carlisle, PA YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the Cumberland County Court House, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS FEES OR EXPENSES BEFORE A DECREE OF 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. Carol J. Lindsay,,-Es ire Attorney Id. 4 26 West High Street Carlisle, PA 17013 (717) 243-6222 Counsel for Plaintiff DANA M. HOTRA, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - DIVORCE NO. O? _ G 7 CIVIL TERM JOHN D. SCHUBERT, Defendant IN DIVORCE COMPLAINT IN DIVORCE UNDER SECTION 3301(c) or (d) OF THE DIVORCE CODE 1. The Plaintiff is Dana M. Hotra, who currently resides at 412 Lincoln Street, Carlisle, Cumberland County, Pennsylvania, 17013, where she has resided since 1995. 2. The Defendant is John D. Schubert, who currently resides at 307 Arch Street, Carlisle, Cumberland County, Pennsylvania, 17013, where he has resided since July 2004. 3. The Plaintiff and Defendant both have been bona fide residents in the Commonwealth of Pennsylvania for at least six months immediately prior to the filing of this Complaint. 4. The Plaintiff and Defendant were married on November 23, 1990 in Baltimore, Maryland. 5. That there have been no prior actions of divorce or for annulment between the parties in this or in any other jurisdiction. 6. The Plaintiff avers that she is entitled to a divorce on the ground that the FLOWER & LINDSAY ATTORNEYS-AT-LAW 26 West High Street Carlisle, PA marriage is irretrievably broken and Plaintiff is proceeding under Sections 3301 (c) and/or (d) of the Divorce Code. 7. Plaintiff has been advised of the availability of marriage counseling and of the right to request that the Court require the parties to participate in marriage counseling, and does not request counseling. WHEREFORE, Plaintiff requests entry of a divorce decree in her favor in accordance with §3301 of the Pennsylvania Divorce Code. Respectfully submitted, SAIDIS, FLOWER & LINUZAY Carol J. Lindsay Es ire Attorney Id. 446 26 West High Street Carlisle, PA 17013 (717) 243-6222 Counsel for Plaintiff SAIDIS, FLONVER & LINDSAY 26 West High Street Carlisle, PA VERIFICATION I, the undersigned, hereby verify that the statements made herein 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. l??...'7K- RIoT?? Dana M. Hotra, Plaintiff Date: l -31/Q SAII)IS, FLOWER & LINDSAY ATIORWEtS•AX uw 26 West High Street Carlisle, PA fJ d w Cil Sri DANA M. HOTRA, Plaintiff V. JOHN D. SCHUBERT, Defendant : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 07-687 -CIVIL TERM IN DIVORCE PRAECIPE TO REINSTATE DIVORCE COMPLAINT TO THE PROTHONOTARY: Kindly reinstate the attached Divorce Complaint originally filed in the above captioned case on February 5, 2007. Respectfully submitted, SAIDIS, FLOWER & LINDSAY Carol J. Lindsay, Es Attorney Id. 446 3 26 West High St Carlisle, PA 17013 (717) 243-6222 Counsel for Plaintiff SAIDIS, FLOWER & LINDSAY AMM'MAPIAW 26 West High Street Carlisle, PA t6Y ? j: , ? 3 ,T a- - ...dn. `..-. C l rn DANA M. HOTRA, Plaintiff V. JOHN D. SCHUBERT, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 07-687 -CIVIL TERM IN DIVORCE ACCEPTANCE OF SERVICE I, John D. Schubert, accept service of the Complaint in Divorce in the above- SAWIS, FLOWER & LINDSAY M*MMErS AT uW 26 West High Street Carlisle, PA captioned matter. 3 ? a' 5 0--?' A , K Date John D. Schubert ' C ) 7?, s -_5 k-T I . }-?- c o r F:\FILES\DATAFILE\General\Current\12089\12089.Lpral/tde Revised: 4/12/07 1:00PM Jennifer L. Spears, Esquire MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES I.D. 87445 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant DANA MICHELLE HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 07-687 CIVIL ACTION - LAW JOHN DANIEL SCHUBERT, Defendant IN DIVORCE PRAECIPE TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Enter the appearance of MARTSON LAW OFFICES on behalf of Defendant in the above matter. MARTSON LAW OFFICES By Je ife L. pears, Esquire Ten East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant Dated: April 12, 2007 CERTIFICATE OF SERVICE I, Tricia D. Eckenroad, an authorized agent for Martson Deardorff Williams Otto Gilroy & Faller, hereby certify that a copy of the foregoing Praecipe was served this date by depositing same in the Post Office at Carlisle, PA, first class mail, postage prepaid, addressed as follows: Carol J. Lindsay, Esquire SAIDIS, FLOWER & LINDSAY 26 West High Street Carlisle, PA 17013 MARTSON LAW OFFICES ricia D. Eckenroad Ten East High Street Carlisle, PA 17013 (717) 243-3341 Dated: April 12, 2007 C:.- `s tl 71 ?i DANA M. HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - DIVORCE NO. 07-687 -CIVIL TERM JOHN D. SCHUBERT, Defendant IN DIVORCE MOTION FOR APPOINTMENT OF MASTER Petitioner, moves the court to appoint a master with respect to the following claims: ( ) Divorce (X) Distribution of Property (Equitable Distribution) ( ) Annulment (X) Support (X) Alimony (X) Counsel Fees ( X ) Alimony Pendente Lite (X) Costs and Expenses and in support of the motion states: (1) Discovery is not complete as to the claim(s) for which the appointment of a master is requested. (2) The Defendant, appeared in the action and is represented by counsel, (3) The statutory grounds for divorce are §3301(c) and/or (d) (4) Delete the inapplicable paragraph(s). (a) The action is contested. (b) An agreement has been reached with respect to the following claims: NONE. (c) The action is contested with respect to the following claims: ALL. (5) The action does not complex issues of law or fact. (6) The hearing is expected to take: one day (7) Additional information, if any, relevant to the motion: Defendant needs the following information from Plaintiff to proceed: 1. Plaintiff's 2007 Income Tax Return 2. Plaintiffs most recent pay stub SAIDIS,FLOWER..$ LJWSAY SAIDIS, FLONWR & LINDSAY AT[06NEt5,AT•uw 26 West High Street Carlisle, PA Date: 26 West Hi Str Carlisle, PA 1 013 717-243-6222 C Ln Wit.. ^c7 . , J F:\FILES\Chents\ 12089 Schubert`, 12089. I .prat/tde Revised: 6/18/09 9:57AM Jennifer L. Spears, Esquire MARTSON DEARDORFF WILLIAMS OTTO GILROY & FALLER MARTSON LAW OFFICES I.D. 87445 10 East High Street Carlisle, PA 17013 (717) 243-3341 Attorneys for Defendant DANA MICHELLE HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 07-687 CIVIL ACTION - LAW JOHN DANIEL SCHUBERT, Defendant IN DIVORCE PRAECIPE TO THE PROTHONOTARY OF CUMBERLAND COUNTY: Please withdraw the appearance of MARTSON LAW OFFICES on behalf of Defendant in the above matter. MARTSON LAW OFFICES By Je f L. Spears, Esquire Ten East High Street Carlisle, PA 17013 (717) 243-3341 Date: (J" Attorneys for Defendant Please enter the appearance of Michael A. Scherer, Esquire of O'BRIEN, BARIC & SCHERER on behalf of Defendant in the above matter. O'BRIEN, IC & SCHERER By_ 1A Micha 1 A. cherer, Esquire 19 West South Street Carlisle, PA 17013 Date: (717) 249-6873 ? ? THE pp 14 2009 JUL -9 Ail 8: Li m DANA M. HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - DIVORCE NO. 07-687 - CIVIL TERM JOHN D. SCHUBERT, Defendant IN DIVORCE PLAINTIFF'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under § 3301(c) of the Divorce Code was filed on February 5, 2007. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of the Complaint. 3. 1 consent to the entry of a final Decree in Divorce after service of notice of intention to request entry of the Decree. I verify that the statements made in this Affidavit 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.S. 4904 relating to unsworn falsification to authorities. Date: a g! 0 ? a z'1. , Dana M. Hotra PLAINTIFF'S WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDERG 3301 (C) OF THE DIVORCE CODE 1. I consent to the entry of a final Decree of Divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a Divorce Decree is entered by the Court and that a copy of the Decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Affidavit are true and correct 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.S. 4904 relating to unsworn falsification to authorities. Date: ? 5 ?) AAA A-O;,7,,4?, Dana M. Hotra :a-S:":r;E ALF OFTNF IF ! ..TARY 2009 JUL 00 N 0: 16 Gov, ?nk'TY 1 '? ?`•,?? ? ?? Rat L l?!` DANA M. HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - DIVORCE NO. 07-687 - CIVIL TERM JOHN D. SCHUBERT, Defendant IN DIVORCE DEFENDANT'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under § 3301(c) of the Divorce Code was filed on February 5, 2007. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of the Complaint. 3. 1 consent to the entry of a final Decree in Divorce after service of notice of intention to request entry of the Decree. I verify that the statements made in this Affidavit 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.S. 4904 relating to unsworn falsification to authorities. Date: 1 Z?S 04, John .Schubert DEFENDANT'S WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER4 3301 (c) OF THE DIVORCE CODE 1. I consent to the entry of a final Decree of Divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a Divorce Decree is entered by the Court and that a copy of the Decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Affidavit are true and correct 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.S. 4904 relating to unsworn falsification to authorities. Date: AiL- f ? John D. Schubert OF ?w' 2009 JUL 30 All = 16 Cr?;?1 '?3??Y .4 f / h i? f I DANA M. HOTRA, Plaintiff VS. JOHN D. SCHUBERT, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 07 - 687 CIVIL IN DIVORCE NOTICE OF FILING OF MASTER'S REPORT The report of the Master has been filed this date and copies have been sent with this notice to counsel of record and the parties. In accordance with P.R.C.P. 1920.55 within ten (10) days after the mailing of this notice and report exceptions may be filed to the report by any party. If no exceptions are filed within the ten (10) day period, the Court shall receive the report, and if approved, shall enter a final decree in accordance with the recommendations contained in the report. Date: 8/3/09 E. Robert Elicker, II Divorce Master NOTE: If exceptions are filed, file the original with the Prothonotary and a copy with the Master's office. At that time, the party filing the exceptions should notify the court reporter in the Master's office so arrangements can be made for a transcript. Upon completion of the transcript and receipt of payment, the entire file will be returned to the Prothonotary's office for transmittal to the Court at time of argument on the exceptions. If no exceptions are filed, counsel shall prepare an order of Court consistent with the recommendations and provide a proposed order of Court to the Master. Counsel shall also prepare and provide with the proposed order of Court a praecipe* to the Prothonotary directing the Prothonotary to submit the case to the Court for final disposition. The Master will then transfer the file with the proposed order of Court and praecipe to the Prothonotary's Office for docketing and transmittal by the Prothonotary to the Court. * Form available in the Prothonotary's office and the Master's office. (NOT the praecipe to transmit the record form as set out in P.R.C.P. 1920.73(b).) Fig'; t. OF T a oul 9 ;' i --3 FI ie, 1 2 DANA M. HOTRA, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 07 - 687 CIVIL JOHN D. SCHUBERT, Defendant IN DIVORCE MASTER'S REPORT Proceedings held before E. Robert Elicker, II, Divorce Master, of Cumberland County, Carlisle, Pennsylvania, on Tuesday, July 28 and Wednesday, July 29, 2009, at 9 North Hanover street, Carlisle, Pennsylvania APPEARANCES: Carol J. Lindsay Attorney for Plaintiff Michael A. Scherer Attorney for Defendant PROCEDURAL HISTORY The complaint in divorce was filed on February 5, 2007, raising grounds for divorce of irretrievable breakdown of the marriage. No economic claims were raised in the complaint. With respect to grounds for divorce, the parties signed affidavits of consent and waivers of notice of intention to request entry of divorce decree on July 28, 2009. The affidavits and waivers were filed with the Prothonotary's office on July 30, 2009. The divorce can, therefore, conclude under Section 3301(c) of the Domestic Relations Code. On December 5, 2008, the Plaintiff filed an amended complaint raising economic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and expenses. The Master was appointed on December 8, 2008. The Master asked for discovery certification, after which pretrial statements were directed to be filed on or before February 9, 2009. A pre-hearing conference was scheduled for April 27, 2009, and rescheduled to May 11, 2009. On May 11, 2009, a conference with counsel was held and a hearing scheduled for July 28, 2009. The hearing went forward as scheduled on July 28, 2009. The hearing was conducted on July 28 and July 29, 2009, after which the record was closed. The claim for equitable distribution was previously resolved by the parties so the Master did not need to conduct any hearing on that issue. With respect to the claim for counsel fees, that claim was withdrawn by the wife. The hearing that was held, therefore, was limited to the issue of wife's claim for alimony. Upon closing of the record, the Master proceeded to prepare his report and recommendations on the alimony claim. CONCLUSION OF LAW The grounds for divorce are irretrievable breakdown of the marriage. The parties signed affidavits of consent and waivers of notice of intention to request entry of divorce decree so that the divorce can conclude under Section 3301(c) of the Domestic Relations Code. Both parties' affidavits and waivers were signed on July 28, 2009, and filed with the Prothonotary on July 30, 2009. ANAYLSIS OF THE FACTORS AS SET FORTH IN SECTION 3701(b) OF THE DOMESTIC RELATIONS CODE Factors to be considered in the Section 3701(b) analysis determining the nature, duration and manner of alimony are as follows: 1. Although the parties and counsel could not agree on the net incomes monthly of the parties, the order of the Court entered on January 11, 2009, in the support proceedings, found that husband's monthly net income is $4,746.49 and wife's net monthly income is $2,502.12. (See Defendant's Exhibit No. 3) The Exhibit 5 of the Defendant showed Defendant's net monthly income paralleling the support order findings; however, wife on an analysis of incomes used $4,957.00 as husband's net monthly income. With respect to wife's net monthly income, the sum of $2,502.00 was utilized in an analysis in an Exhibit. However, wife also claimed that her actual income was $2,066.00 net per month. Each party did an analysis of incomes for the record. (See Plaintiff s Exhibit No. 11 and Defendant's Exhibit No. 5). Irrespective of what the final analysis shows as the net monthly income of each of the parties, it is clear that husband's net monthly income is nearly twice as much as wife's net monthly income. 2 2. Wife is 46 years of age and husband is 48 years of age. Both parties suffer from depression and take medication; wife also suffers from high blood pressure. 3. The sources of income of the parties are their respective jobs. Husband works as an associate professor at Dickinson College and has a Ph.D in the social sciences; wife has a Master's degree and works for the Family Health Counsel of Central Pennsylvania in an administrative position. Husband has had summer employment on occasion through his teaching position at Dickinson College; wife has previously done massage therapy but claims she is unable to do that work any longer because of severe arthritis in her knees. The benefits that each party receives with respect to retirement and health and insurance is through their respective employers. Wife does contribute to the cost of the health insurance for herself and the parties' twin daughters. Husband also contributes monthly toward the cost of the medical insurance. 4. Husband had an inheritance from his father, which money was used during the marriage while the parties were living together. Wife does not have any immediate expectancy of any inheritances. 5. The parties were married on November 23, 1990, and separated in April 2004. The parties were married and living together approximately 14 years and have continued to be married since the separation for an additional four years. 6. Both parties contributed during the course of the marriage to the other party's education. There were periods of time during the marriage when both parties were working on improving education in the anticipation of improving earnings. During various periods of the marriage, each party was working and contributing toward the educational improvement of the other party. 7. The parties share custody of their twin daughters who are 13 years of age. Husband pays child support to wife monthly the sum of $806.00. The standard of living of the parties during the marriage was modest even though their combined annual income was over one hundred thousand dollars for the household. The monies and time that the parties expended in getting their degrees and education affected their ability to see a substantial improvement in their standard of living. 9. The parties have completed their education, husband has a Doctor's degree and wife a Master's degree. Both have sufficient education to pursue their careers and to earn a reasonably good income. However, as noted, wife's background and training does not rise to the income of an associate professor's income at Dickinson College. Both parties have the potential to increase their income during the course of their careers with continued effort and experience. 10. The relative assets and liabilities of the parties are shown on Plaintiff's Exhibit No. 1 which is a statement of equitable distribution entered into between the parties with respect to the division of the marital estate and the debt that each party assumed after the distribution. Both parties currently have credit card debt of a fairly substantial amount. Husband has had to buy a car and wife has entered into a mortgage obligation by purchasing a home in Carlisle. 11. Neither party brought any property of any substance to the marriage. 12. Both parties contributed to the household operation and caring for the children when they were living together. 13. The needs of wife are more difficult for her to meet because of her lesser income; however, husband claims that he is not able to see any improvement in his lifestyle because of his debt which involves a payment to credit card companies monthly. It is noted that wife also has incurred credit card debt for which she is liable as well. Both parties have utilized credit in order to maintain their standard of living. 14. By admission, husband engaged in an extra marital affair while the parties were married and living together. Any other marital misconduct claims were not considered by the Master since both parties expressed and described issues that related to reasons for the dissolution of the marital relationship. 15. The Master has considered that the payment of alimony by husband will be deductible by him and will be added as income to wife with respect to income tax consideration. 16. Wife did not receive a substantial distribution of assets when she separated and used her assets to purchase a home for herself and the daughters. The property which wife received in the equitable distribution was not sufficient to provide for her reasonable needs beyond the purchase of a dwelling and payment of debt. Both parties, as noted, left the marital relationship with credit card debt. Although wife paid off her debt upon the sale of the marital residence which she obtained, nevertheless, she has since incurred additional debt on her credit cards. Husband claims that he has never been able to get relief from the debt which he had to assume as a result of the marital breakup. It is also noted that husband has a pension with his employment to which he continues to contribute and which is a benefit which he will be able to utilize upon his retirement. Wife has a very small retirement account to which she contributes $100.00 per month, not having nearly the retirement expectancy 4 that husband will have as a result of his contributions and his employer's contributions. 17. Wife's earnings through her employment are not sufficient to provide for her standard of living, especially considering her contributions to the minor daughters. Although husband pays child support to wife, he does have superior earnings to wife. Wife, therefore, can use a modest alimony payment to assist in the maintenance of her lifestyle. Therefore, considering wife's expenses and responsibilities, her income alone is not sufficient and adequate for her support. DISCUSSION ALIMONY The Master believes that alimony is necessary for wife's continued maintenance and support. The Master has considered the analysis of the factors under Section 3701(b) of the Domestic Relations Code. The Master has considered the disparity in the incomes of the parties. The Master has not considered in his analysis the fact that each party may in the future earn income from other sources than from their employment, for instance, summer income and massage therapy income. With respect to husband's summer income, it is not certain that he will receive such income in the summer of 2010. If he does receive such income, then that may be a basis to take a look at husband's alimony obligations. Nevertheless, the Master, in an attempt to prevent the parties from having to continuously review the alimony based on supplemental income has not included any future supplemental income of either of the parties from sources other than their current employment positions. According to the testimony, it appears as if, from the documents presented, that husband has been over withholding on his income tax and has also been making voluntary contributions to his retirement, both of which are potential sources of additional monthly income to husband. According to wife's calculation, the additional monthly income could be as much as $600.00. Wife is currently receiving $339.00 per month as spousal support. Husband, as previously noted, makes a contribution toward the health cost for the children, and husband is also making a payment of $196.00 per month toward the one child's orthodontia treatment. The payment of the orthodontia cost will terminate in March 2010. As discussed during the course of the hearing, neither the Court nor counsel have any purpose in delving into matters of how the parties manage their income and expenses. However, it is significant to the Master that husband has superior earnings to wife, that wife has reasonable needs that alimony can assist in meeting, and that husband has potentially additional sources of adding to his net monthly income. Consequently, the Master is going to recommend a modest payment of alimony to wife for a definite term which will end around the time that the daughters attain their majority. The Master has also noted that there is an economic benefit that husband receives from the payment of alimony by being able to deduct the amount for income tax purposes. Wife will increase her tax liability by the inclusion of alimony as income. 6 RECOMMENDATION ALIMONY Husband shall pay to wife the sum of $300.00 per month through March 2010. Upon the payment of the orthodontia expense being terminated in March 2010, beginning in April 2010, the alimony obligation of husband to wife shall increase to $350.00 per month. The term of alimony from the inception of payments shall continue for a period of five (5) years, at which time the alimony will be terminated. The amount and duration of alimony shall be subject to modification and termination upon petition of either party as allowed under Section 3701(e) of the Domestic Relations Code. Alimony shall also be terminated upon the marriage or cohabitation of wife with a person of the opposite sex, or the death of either of the parties. The alimony payments shall be made through the Cumberland County Domestic Relations Office upon the entry of a divorce decree in these proceedings. At that time the current spousal support order shall terminate. Respectfully submitted, -e"4?A E. Robert Elicker, II Divorce Master 7 OF THE R,-,' f.. APY 2909 A -3 F I2: (i ? IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA FLOWER & LINDSAY 26 West High Street Carlisle, PA DANA M. HOTRA, Plaintiff V. JOHN D. SCHUBERT, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 07-687 -CIVIL TERM IN DIVORCE PRAECIPE It appearing that the Master's report in the above stated case has been filed for ten (10) days, that no exceptions have been filed thereto, that the costs have been fully paid and that all the requirements of law and Rules of Court have been met, you are hereby directed to submit the said case to the Court of Common Pleas of Cumberland County, Pennsylvania, at the next sitting thereof. Carlisle, PA 17013 (717) 243-6222 Carol J. Lod s y, E 26 West i Street Attorney for Plaintiff PAT&3-hitary DATED: YNT, Master's fee. Pr onotary 1, ARM57F, LoA , Prothonotary of the Court of Common Pleas of Cumberland County, Pennsylvania, do hereby certify that the costs in the above stated case, have all been paid, including the FILED-':;:"; nF T! Ic P ,?, 1:0NOTARY 2009 SEP -4- APB 8: 16 f DANA M. HOTRA, Plaintiff V. JOHN D. SCHUBERT, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 07-687 -CIVIL TERM IN DIVORCE PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Kindly transmit the record, together with the following information, to the Court for entry of a Decree in Divorce: 1. Grounds for Divorce: Irretrievable breakdown under Section 3301(c) of the Divorce Code. 2. Date and manner of service of the Complaint: Defendant accepted service of the Complaint on March 25, 2007. An Acceptance of Service was filed with the Court on March 28, 2007. 3. Date Affidavit of Consent required under Section 3301(c) of the Divorce Code was signed: By Plaintiff: July 28, 2009 and filed with the Prothonotary on July 30, 2009. By Defendant: July 28, 2009 and filed with the Prothonotary on July 30, 2009. 4. Related claims Dendinq: None 5. Date Waiver of Notice under Section 3301(c) of the Divorce Code was signed: By Plaintiff: July 28, 2009 and filed with the Prothonotary on July 30, 2009. By Defendant: July 28, 2009 and filed with the Prothonotary on July 30, 2009. SAIDIS, FLOWER & LI SAIDIS, FILONVER &z L NDSM 26 West High Street Carlisle, PA Carol J. Lindsay, Es e` Supreme Court ID 44693 26 West High Street Carlisle, PA 17013 717-243-6222 Attorney for Plaintiff CERTIFICATE OF SERVICE I hereby certify that on this ro/day of August, 2009, a true and correct copy of the foregoing document was served upon the party listed below, via First Class Mail, postage prepaid, addressed as follows: Michael A. Scherer, Esquire 19 West South Street Carlisle, PA 17013 SAIDIS, FLOWER & LINDSAY Carol J. Lindsa , quire Supreme Cou No. 44693 26 West High Street Carlisle, PA 17013 717-243-6222 FLOWER & LINDSAY 26 West High Street Carlisle, PA FILED-- r;C 7 THE fj,'r,, T l,",')e:NARY 2009 SEP -4 AM 8: ( 6 rCl?`••'? v51 ?1+n?vlt? IN THE COURT OF COMMON PLEA$ OF DANA M. HOTRA : CUMBERLAND COUNTY, PENNSYLVANIA V. JOHN D. SCHUBERT NO. 07-687 DIVORCE DECREE AND NOW, t, it is ordered and decreed Joat DANA M. HOTRA , plaintiff, and JOHN D. SCHUBERT , defendant, are divorced from the bonds of matrimony. Any existing spousal support order shall hereafter be deemed an order for;, alimony pendente lite if any economic claims remain pending. The court retains jurisdiction of any claims raised by the parties to this acti66 for which a final order has not yet been entered. Those claims are as follows: (if,rio claims remain indicate "None.") None. By Attest: othonotary ? ??' ?0? 9 _ ?,? -?? ?? ,. ?? DANA M. HOTRA, PLAINTIFF V. JOHN D. SCHUBERT, DEFENDANT IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA 07-687 CIVIL TERM ORDER OF COURT AND NOW, this 1 S day of September, 2009, the Divorce Master having filed a report to which no exceptions have been taken, and concurrent with the entry of a divorce decree this date, IT IS ORDERED: 1. John D. Schubert shall pay Dana M. Hotra alimony of $300 per month through March, 2010. Upon the payment of orthodontia expenses being terminated in March, 2010, the alimony, beginning in April, 2010, shall increase to $350 per month. 2. The term of alimony from the inception of the payments shall continue for a period of five (5) years, at which time the alimony terminates. 3. The amount and duration of alimony shall be subject to modification and termination upon petition of either party as allowed under Section 3701(e) of the Domestic Relations Code. Alimony shall also be terminated upon the marriage or cohabitation of wife with a person of the opposite sex, or the death of either of the parties. 4. The alimony payments shall be made through the Cumberland County Domestic Relations Office effective this date. The current spousal support order is terminated as of this date. the _C Carol J. Lindsay, Esquire For Plaintiff Michael A. Scherer, Esquire For Defendant Domestic Relations Office - ???cc,c? :sal cot t C% S tnat LA- 9/1s/of rtICCL,?j I Eepl- &r r ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania CO./City/Dirt. of CUMBERLAND Date of Order/Notice 09/15/09 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 07-687 CIVIL 0 original Order/Notice 0Amended Order/Notice (Terminate Order/Notice QOne-Time Lump Sum/Notice Employee/Obligor's Name (Last, First, MI) 219-76-9305 Employee/Obligor's Social Security Number 0562101877 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) 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. $ 1,003.OC $ 13.34 $ 0.00 $ 0.00 $ 300.00 $ 0.00 $ 0.00 $ 0.00 per month in current child support per month in past-due child support per month in current medical support per month in past-due medical support per month in current spousal support per month in past-due spousal support per month for genetic test costs per month in other (specify) Arrears 12 weeks or greater? Q yes ® no one-time lump sum payment for a total of $ 1,316.34 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: $ 303.77 per weekly pay period. $ 658.17 per semimonthly pay period (twice a month) $ 607.54 per biweekly pay period (every two weeks) $ 1, 316.34 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisbur P r17106_9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NA D TH PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SEC ITY NU IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Edwards Guldo, Judge DRO: R.J. Shadday Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker ID $IATT 671109425 701 S 2007 RE:SCHUBERT, JOHN D. ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If hecked you are required to provide a copy of this form to your employee. If your employee works in a state that is diherent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2313659540 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : E-1 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0 EMPLOYEE'S/OBLIGOR'S NAME:SCHUBERT, JOHN D. EMPLOYEE'S CASE IDENTIFIER: 0562101877 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Send Termination Notice and other correspondence to: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker I D $ IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: SCHUBERT, JOHN D. PACSES Case Number 564111154 PACSES Case Number 671109425 Plaintiff Name Plaintiff Name DANA M. HOTRA DANA M. HOTRA Docket Attachment Amount Docket Attachment Amount 07-687 CIVIL $ 300.00 00701 S 2007 $ 1,016.34 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): MICALA C. HOTRA-SCHUBERT EMMA S HOTRA-SCHUBERT PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Addendum OMB No.: 0970-01 54 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB 06/20/96 06/20/96 DOB DOB Form EN-028 Rev.5 Worker ID $IATT FILED-`;. r, ?E FT?E5; ;ir, TARY 2009 SFr 16 Fill 2: 2 L, ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPOU State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 09/16/09 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 219-76-9305 Employee/Obligor's Social Security Number 0562101877 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) 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. $ 1,003.00 $ 13.34 $ 0.00 $ 0.00 $ 300.00 $ 6.66 $ 0.00 $ 0.00 for a total of $ per month in current child support per month in past-due child support per month in current medical support per month in past-due medical support per month in current spousal support per month in past-due spousal support per month for genetic test costs per month in other (specify) one-time lump sum payment Arrears 12 weeks or greater? O yes ® no 1,323.00 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 sunnort payment cycle, use the following to determine how much to withhold: $ 305.-31 per weekly pay period. $ 661, so per semimonthly pay period (twice a month) $ 610.62 per biweekly pay period (every two weeks) $ 1, 323.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND CSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURI MBER / ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Edwrai$ GA do, Judge DRO: R.J. Shadday Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker ID $IATT 671109425 701 S 2007 07-687 CIVIL O Original Order/Notice x@Amended Order/Notice 0Terminate Order/Notice QOne-Time Lump Sum/Notice RE:SCHUBERT, JOHN D. Employee/Obligor's Name (Last, First, MI) ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If sheckesl you are required to provide gopy of this form to your Qmployee. If yoyr employee works in a state that is ditterent rrom the state that issued this or, er, a copy must be provideedd to your emp oyee even if the box is not checked 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2313659540 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0 EMPLOYEE'S/OBLIGOR'S NAME:SCHUBERT, JOHN D. EMPLOYEE'S CASE IDENTIFIER: 0562101877 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: FINAL PAYMENT AMOUNT- NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) 0 5 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family.However, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks : If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 097MI54 Worker ID $IATT r ADDENDUM Summary of Cases on Attachment Defendant/Obligor: SCHUBERT, JOHN D. PACSES Case Number 564111154 PACSES Case Number 671109425 Plaintiff Name Plaintiff Name DANA M. HOTRA DANA M. HOTRA Docket Attachment Amount Docket Attachment Amount 07-687 CIVIL $ 300.00 00701 S 2007 $ 1,023.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): MICALA C. HOTRA-SCHUBERT EMMA S HOTRA-?SCHMEPT PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB 06/20/96 06/26/96 DOB DOB Addendum Form EN-028 Rev.5 Service Type M OMB No.: 097"IS4 Worker ID $IATT OF THF1PP' 7 PP' 0,,ARY 2009 SEP 17 PH 2: 3 6 CLU ORDER/NOTICE TO WITHHOLD 1 State _Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 04/01/10 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 Employee/Obligor's Name (Last, First, MI) 219-76-9305 Employee/Obligor's Social Security Number 0562101877 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) E FOR SUPPORT 07-687 CIVIL OOriginal Order/Notice 67110 425 701 S 2007 @Amended Order/Notice O Terminate Order/Notice QOne-Time Lump Sum/Notice RE:SCH BERT, JOHN D. See Addendum for dependent names and birth 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 Penn ylvania. 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. $ 806.50 per month in current child support $ 13.34 per month in past-due child support A $ 0. oo per month in current medical support $ 0.00 per month in past-due medical support $ 350.00 per month in current spousal support $ 6.66 per month in past-due spousal support $ o . oo per month for genetic test costs $ o . oo per month in other (specify) $ one-time lump sum payment for a total of $ 1,176.50 per month to be forwarded to You do not have to vary your pay cycle to be in compliance with the ordered support payment cycle, use the following to determir $ 271.50 per weekly pay period. 1. $ 543.00 per biweekly pay period (every two weeks) I rs 12 weeks or greater? Oyes Ono C= C= i rn u c.n ' yee below. t .? = - > C_ r. ie support order. If your pay cycI2_eAoes?n ,,9t mi how much to withhold: . 588.25 per semimonthly pay period (twice a month) 1, 176. 50 per monthly pay period . REMITTANCE INFORMATION: You must begin withholding no I ter than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment ithin seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost o 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. or the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and mploys 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient fu ds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112;L urg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEfENDND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCINUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. O_ / /> BY THE COURT: DRO: R.J. Shadday Service Type M OMB No.: 0970-0154 H. Masland, Judges Form EN-028 Rev.5 Worker ID $ IATT ADDITIONAL INFORMATION TO EMPLOYES AND OTHER WITHHOLDERS If checked you are required to provide a copy of this form to yo r em loyee. If your employee works in a state that is different from the state that issued this order, a copy must be pr idedpto your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any othe legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there re Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more t an one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identifi , the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the payd e/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more tha one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notice due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. ou must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Age icy when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/N ice to the Agency identified below. 2313659540 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: O E EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: O EMPLOYEE'S/OBLIGOR'S NAME: SCHUBERT, JOHN D. EMPLOYEE'S CASE IDENTIFIER: 0562101877 LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: NEW EMPLOYER'S NAME/ADDR TE OF SEPARATION: NAL PAYMENT AMOUNT- 6. Lump Sum Payments: You may be required to report and withhold from ump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, conta t the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you re liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pe nsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State i which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State la 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 L w of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) t Protection Act (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by th employment. Disposable income is the net income left after making manda Security taxes, statutory pension contributions and Medicare taxes. The Fed supporting another family and 60% of the disposable income if the obligor i increased to 55% and that 60% limit is increased to 65% if the arrears are gr deduct a fee for administrative costs. The support amount and the fee may n Arrears greater than 12 weeks : If the Order Information does not indicate employer should calculate the CCPA limit using the lower percentage. For T allowed under the law of the issuing Tribe. For Tribal employers who receiv the limit set by the law of the jurisdiction in which the employer is located o CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may care premiums in determining disposable income and applying appropriate 10. Additional info: e amounts allowed by the Federal Consumer Credit State or Tribe of the employee's/obligor's principal place of )ry deductions such as: State, Federal, local taxes, Social ,ral limit is 50% of the disposable income if the obligor is not supporting another family.However, that 50% limit is later than 12 weeks. If permitted by the State, you may it exceed the limit indicated in this section. Nhether the arrears are greater than 12 weeks, then the ibal orders, you may not withhold more than the amounts a State order, you may not withhold more than the lesser of the maximum amount permitted under section 303(d) of the need to take into consideration the amounts paid for health vithholding limits. *NOTE: If you or your agent are served with a copy of this order in the stated that issued the order, you are to follow the law of the state that issued this order with respect to these items. 1 1. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION If yo or your employee/obligor have any questions, conta tt WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by i ernet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 1 Worker ID $1ATT Defendant/Obligor: SCHUBERT, JOHN D PACSES Case Number 564111154 Plaintiff Name DANA M. HOTRA Docket Attachment Amount 07-687 CIVIL $ 350.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB AIJtJ lase Number 671109425 laintiff Name ANA M. HOTRA Docket Attachment Amount 0701 S 2007 $ 826.50 Child(ren)'s Name(s): ICALA C. HOTRA-SC14UBERT MMA S. HOTRA-SC14UBERT t-3tz) t-ase Number aintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB 06/20/96 06/20/9.6 DOB Docket Attachment Amount $ 0.00 hild(ren)'s Name(s): DOB Addendum Form EN-028 Rev.5 Service Type M OMB No.: 0970-0154 Worker ID $IATT ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT 0-7 - (oV7 Cl v i L State: Commonwealth of Pennsylvania L01 I I oq 4 ot 5 O Original Order/Notice Co./City/Dist. of: CUMBERLAND -7 U i SGU-7 OO Amended Order/Notice Date of Order/Notice: 04/26/11 O Terminate Order/Notice Case Number (See A e?for case summary) O One-Time Lump Sum/Notice Employer/Wthholder's Federal EIN Number DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 RE: SCHUBERT. JOHN D Employee/Obligor's Name (Last, First, MI) 219-76-9305 mp oy Igor s Social Securff71Tu-m`Fe_r 0562101877 mp oy igo s Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) 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. $ 192.00 per month in current child support $ 0.00 per month in past-due child support $ 0.00 per month in current medical support $ 0.00 per month in past-due medical support $ 350.00 per month in current spousal support $ 67.00 per month in past-due spousal support $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) $ one-time lump sum payment for a total of $ 609.00 per month to be forwarded to payee below. r_0 ` C." -Y es =p mQ r'n €x7 z m ;:Q y,. = -n r..- - z am v ' ma rv ? c' c ?.. - . u N ?'r a C, 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: $ 14D. `*per weekly pay period. $ 304.50 per semimonthly pay period $I ?? (twice a month) $ --i per biweekly pay period (every two weeks) $ 609.00 per monthly pay period. REMITTANCE INFORMATION. You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, 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/0bligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Arrears 12 weeks or greater? M as i n-.il d'i J u C,t? OMB No.: 0970-0154 Form EN-028 Service Type M Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS If checked you are required to provide a copy of this form to your employee. If your employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 2313659540 THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: Q THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: O EMPLOYEE'S/OBLIGOR'S NAME: SCHUBERT, JOHN D. EMPLOYEE'S CASE IDENTIFIER: 0562101877 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: LAST KNOWN PHONE NUMBER: NEW EMPLOYER'S NAME/ADDRESS: FINAL PAYMENT AMOUNT: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673 (b)); or 2) the amounts allowed by the State or Tribe of the employee's/obligor's principal place of employment. Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes, Social Security taxes, statutory pension contributions and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, that 50% limit is increased to 55% and that 60% limit is increased to 65% if the arrears are greater than 12 weeks. If permitted by the State, you may deduct a fee for administrative costs. The support amount and the fee may not exceed the limit indicated in this section. Arrears greater than 12 weeks: If the Order Information does not indicate whether the arrears are greater than 12 weeks, then the employer should calculate the CCPA limit using the lower percentage. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers who receive a State order, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State law, you may need to take into consideration the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. 10. Additional info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Send Termination Notice and other correspondence to: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us If you or your employee/obligor have any questions contact WAGE ATTACHMENT UNIT Service Type M OMB No.: 0970-0154 Page 2 of 2 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: SCHUBERT, JOHN D. PACSES Case Number 564111154 Plaintiff Name DANA M. HOTRA Docket Attachment Amount 07-687 CIVIL $ 350.00 Child(ren)'s Name(s): DOB PACSES Case Number 671109425 Plaintiff Name DANA M. HOTRA Docket Attachment Amount 00701 S 2007 $ 259.00 Child(ren)'s Name(s): DOB MICALA C HOTRA SCHUBERT 0,6/20/96 VMMA S. MOTRA-804-MERT 0.wof96 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum Form EN-028 Service Type M OMB No.: 0970-0154 Worker ID $IATT INCOME WITHHOLDING FOR SUPPORT D ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWm) �� 1 1 m�4-��� 6BAMENDED mvo `' ' ~ ' /~`-- O ows-r/MsonosnwoncsroxLuMpSuMpxvmswr -7[) ,2o07 0 TERMINATION OF IWO \ 51.94-11 |c�d . . _` A7 -/~s-7 /^\.l' | Date: tr-0 Child:aupnort _' . 0 -'° � Court 0 Attomey 0 p��/�w�a�m���m�� 'NOTE: This �mbe . ^^certainmmummancesyou must reject this IWOand return Kmthe sender (see IW 0 /nxvvum"snoox^m,mw6cf.nnn.gnvomgmniuooenonnoumu*u/*o15* /nmm000nn.poq.nyou receive this document from someone other than a State or TribaI CSE agency or a Court, a copy of the underlying ordemust be attached. Commonwealth of Pennsylvania City/County/Dist./TribeCUmesnuvvo Private Individual/Entity Remittance Identifier (include w/payment): 0562101877 Order Identifier: (See Addendum for order/dockeInformation) CSE AgencCase Identifier: (See Addendum for case summary) DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 Employer/Income Wi(hholder's FEIN 231365954 Chilu(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s RE: SCHUBERT, JOHN 0. Employee/Obligor's Name (Last, Frst, Middle) 219'70'9305 Social Security Number (See Addendum for plaintiff names associated wifh cases on attachment) Custodial PartylObligees Name (Lasi, First, Middle) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return 1 to the sender (see IWO instructions htto://www.acf.hhs.gov/programs/cse/forms/ oMa'0970'0154 instructions poV.nyou receive this document from someone other than a State or TribaI CSE agoncy or a Court, a copy of the underlying order must be attached» 2313659540 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by aw to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support - ~" ,' $ 0.00 per month in past -due child support - Arrears 12 weeks or greater? 0 yes nee $ 0.00per month incurrent cash medical ouppod _L- --0, 0.00 per month in past -due cash medical support z ^' $ 350.00 per month in current spousal support cnr- ~� �o/ -« � $ 0.00per month inpon�duespousal ouppo� r-�c --CZ) $ 0,00 per month in other (must specify) �ccz o ��� _ __ _ for a Total Amount to Withhold of $ 350.00 per "'^"=' yc c+ ,' �� ' AMOUNTS TO WITHHOLD: ¥ou do not have to vary your pay cycle to be in compliance with the prdefiriforMation. |[ your pay cycle does not match ordnredpoymer�cvoo.vv�hho|doneo�Uhe��o�|ngmmount ` ~' � the' $ 8077per weekly pay period. $ 175.00 per semimonthly pay period (twice a month) $ 161 .9f -per biweekly pay period (every two weeks) $ 35O.0Oper monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (8tate/Tr|be), the employer can obtain withholding Umitationo, time rmquiromenta, and any allowable employer fees at http://vvwxw.ac[hhs.gov/prognamo/coe/newhire/omp|oyer/nontecto/oontoct map. htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No.: 0970-0154 Service Type M Form EN -028 11/13 Worker ID 21205 ❑ Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SDU in s accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. • Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: JUN .1 0 2014 If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. ❑ If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, 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 MAIL. State -specific contact and withholding information can be found on the Federal Employer Services website located at: http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contactmap.htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past -due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti -discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date — 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN -028 11/13 Service Type M Page 2 of 3 Worker ID 21205 • � Employer's Name: DICKINSON COLLEGE Employer FEIN: 231365954 Name: SCHUBERT, JOHN D. 0502101877 CSEAganoyCana|dunUfioc(Swe Addendum for case summary) Ovdor|denUfioc(SmeAddendun/Kmronden/docket/n0o/mation) Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State or Tribe of the employee/obligor's principal place of employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory deductions such as: State, Federal, Iocal taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family, However, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If perrnitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Employer should calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligorrked for you or you are no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by returning this form to the address Iisted in the Contact Information below: 23136595*0 {) This person has never worked for this employer nor received periodic income. 0 This person no Ionger works for this employer nor receives periodic income. Please provide the foliowing information for the employee/obligor: Termination date: Last known phone number: Last known address: Final Payment Date To SDU/TribaI Payee: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at: vvww.childsupport.state.pa.us. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER $T. P.O. BOX 320. CARLISLE. PA. 17013 (Issuer address). To Employee/Obligor: If the has questions, contact WAGE ATTACHMENT UNIT (tssuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at vvww.childsupport.state.pa,us. IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor. OMB No.: 0970-0154 Service Type M Page 3 of 3 Form EN -028 11/13 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: SCHUBERT, JOHN D. PACSES Case Number 564111154 PACSES Case Number Plaintiff Name Plaintiff Name DANA M. HOTRA Docket Attachment Amount Docket Attachment Amount 07-687 CIVIL $ 350.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Addendum OMB No.: 0970-0154 Form EN -028 11/13 Worker ID 21205 1 INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Q AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENJ., MINATION•QF.IWO * 5,7 (( ❑ Thilupport Enforcement (CSE) Agency Court ❑ Attorney ❑ Private Individual/Entity (Check One) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions http://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154 instructions.pdf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. A- l 1 ) ) 611-- 97-L 7 eivi/ Date: 09/04/14 State/Tribe/Territory Commonwealth of Pennsylvania City/County/Dist./Tribe CUMBERLAND Private Individual/Entity Remittance Identifier (include w/payment): 0562101877 Order Identifier: (See Addendum for order/docket information) CSE Agency Case Identifier: (See Addendum for case summary) DICKINSON COLLEGE PO BOX 1773 CARLISLE PA 17013-2896 Employer/Income Withholder's FEIN 231365954 Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: SCHUBERT, JOHN D. Employee/Obligor's Name (Last, First, Middle) 219-76-9305 Employee/Obligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) Custodial Party/Obligee's Name (Last, First, Middle) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions http://www.acf. hhs.gov/programs/cse/forms/ OMB -0970-0154 instructions.odt). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. 2313659540 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support $ 0.00 per month in past -due child support - Arrears 12 weeks or greater? $ 0.00 per month in current cash medical support $ 0.00 per month in past -due cash medical support $ 0.00 per month in current spousal support $ 0.00 per month in past -due spousal support $ 0.00 per month in other (must specify) c-) rn Z r, -1 1 -11t7 --0r Q• TY a1 ©r; < -:, `C, CD' for a Total Amount to Withhold of $ 0.00 per month. c- ---4C-11 W.. AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Inft rm' tion. If your pay cycle does not match the ordered payment cycle, withhold one of the following amount: $ 0.00 per weekly pay period. $ 0.00 per semimonthly pay period (twice a month) $ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (StatefTribe), you must begin withholding no later than the first pay period that occurs ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map. htm for the employee/obligor's principal place of employment. Document Tracking Identifier OMB No.: 0970-0154 Service Type M Form EN -028 11/13 Worker ID $IATT Return to Sender [Completed by Employer/Income With . Payment must be directed to an SDU in eocordancowhh42U8CQ0O6(b)(5\and(b)(8)orThba|Payee(umoPoymentehoQDUbe|ow). If payment is not directed to an SDUfTribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal la Print Name ofJudgo/|uuu|ng Official: Title of Judge/Issuing Official: Date of Signature: SEP 0 5 201 If the for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. 0 If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of twa or more returned checks due to nonsufficient funds. Please caII the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU,P.O'Box 69112, Harrisburg, Pa 17106~9112 �ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as thefmployeelOb8gor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. State -specific contact and withholding information can be found on the Federal Employer Services website located at: http:@xwvw.uu[hha.gov/pmgnams/oee/newhire/ mp|nyor/conCucte/oon(act map htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remittig patto an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portiori of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting he Pay Date: You st report the date when di the payment. The date the date on which the amount was withheld from the emptoyee/obligor's wages.You must comply with the Iaw of the State (or Tribal Iaw if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple |VV0s:|f there |amore than one |VVOagainst this employee/obligor andyouoreunab/e1ofuUyhonora|||VVDedue0o Federal, State, or Tribal withholding limits, you must honor all 1W0s to the greatest extent possible, giving priority0mnunent support before payment of any past -due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determirie the appropriate aUocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE af upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are Iiable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti -discrimination: You are subjecto a fine determined under State or TribaIaw for discharging an employee/obligorigor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date — 05/31/2014. The OMB Expiration Date has no bearing on the terminatdate of the WO; it identifies the version of (he torm currently in use. Form EN -028 11/13 ° Employers Name: DICKINSON COLLEGE Employer FEIN: 381365954 Emp|oyeo/Ob|ignrnNume: SCHUBERT, JOHN D. 0502101877 CSEAgonoyCasm|danVOar(SewAddendumMxrcmooawn/mmg) Ondor|denUfiec(8ee4ddendun/ybrordendocAnt/nfonnabo,) Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State or Tribe of the employee/obligor's principal place of employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If permitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers/income withholders who receive a State IVVO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA(15U.S.C1O73(b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and appying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Employer shou?d calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you are no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by C} This person has never worked for this employer nor received periodic income. 0 This person no Ionger works for this employer nor receives periodic income. Please provide the fotiowing information for the empoyee/obhgor: Termination date: Last known phone number: Last known address: Final PaymenDate To SDU/Tribal Payee: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) byphone at(717)24O'G225.byfax ot(717)240'O24D.byemail cxwebsite at: vwxwv.ohi|dsupport.stote.po.ua. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER ST. PD.BOX 320.CARLISLE. PA. 17013(Issuer addness). To Employee/Obligor: If the employee/obligor has questions, contacWAGE ATTACHMENT UNIT (Issuer name) byphone ot(717)24O-G225.byfax at(717)%4O'6248.byemail orwebsite otvmxmv.oh|Nouppnrtstaho.po.un. iMPORTANT: The person completing this form is advised that the information may be shared with theomployee/obligmr. OMB No.: 0970-0154 Service Type M Page 3 of 3Worker ID $1ATT Form EN -028 11/13 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: SCHUBERT, JOHN D. PACSES Case Number 564111154 Plaintiff Name DANA M. HOTRA Docket Attachment Amount 07-687 CIVIL $ 0.00 Child(reqs Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount � 0.00 Child(ren)'s Name(s): PACSESCase Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount � 0.00 Child(renys Name(s): DOB Docket Attachment Amount � 0.00 Child(renys Name(s): PACSES Case Number PACSES Case Numbe Plaintiff Name Plaintiff Name Docket Attachment Amount o 0.00 Child(renys Name(s): DOB Service Type M Docket Attachment Amount � 0.00 Child(renys Name(s): Addendum OMB No.: 0970-0154 Form EN -U2811/13