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IN THE COURT OF COMMON PLEAS (!
OF CUMBERLAND COUNTY
a? PENNA.
STATE OF •'
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1 ri r
THERESA PEYSER 97-929 CIVIL TERM
Plaintiff
RICHARD PEYSER
•:• Defendant
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DECREE IN
DIVORCE
AND NOW,...Gc i4L...?n...... 19 • • . it is ordered and
THERESA PEYSER
decreed that .................................................. plaintiff,
RICHARD PEYSER
............................... . defendant,
and
........................
are divorced from the bonds of matrimony.
The court retains jurisdiction of the following claims which have {
been raised of record in this action for which a final order has not yet o
been entered;
All economic matters pursuant to the parties' Stipulation, are
.............................................................. .
...........
hereby reserved for this Court's consideration.
....................................1..............
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fly The C o u t '
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Prothonotar
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THERESA PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT Of COMMON PLEAS
C1IMIIERLAND COUNTY, PENNSYLVANIA
NO. 97-929
CIVIL ACTION - DIVORCE
PRAECIIIE '1'O '1'11ANSM 17' RECORD
TO THE PROTHONOTARY:
Transmit the record, together with the following information, to the Court for entry of a
divorce decree:
1. Ground for divorce: I rretrievable breakdown under Section 3301 (c) of the Divorce
Code.
2. Date and manner of service of the Complaint: By acceptance of service on
counsel for Defendant on March 24, 1997.
3. Date of execution of the Affidavit of Consent required by Section 3301(c) of the
Divorce Code: by Plaintiff on September 8, 199x; and by Defendant on September 8, 1998.
4. Related claims pending: All outstanding economic issues per agreement of the
parties. See attached Stipulation of the parties.
5, Date Plaintiffs Waiver of Notice in 3301(c) Divorce was filed with the
Prothonotary: September 21, 1998.
Date Defendant's Waiver of Notice in 3301(c) Divorce was filed with the
Prothonotary September 21, 1998.
LAW OFFICES OF GARY L. KELLEY
Date: N! It A `-'
Gary L. ' Iley
ID No.4G801
132-134 Walnut Street
Harrisburg, PA 17101
(717) 238-1484
Attorney for Plaintiff
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO.
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RICHARD PEYSER, CIVIL ACTION - LAW
Defendant IN DIVORCE
You have been sued in Court. If you wish to defend against the claims set
forth in the following papers, you must take prompt action. You are warned that if
you fail to do so, the case may proceed without you and a Decree in Divorce or
annulment may be entered against you by the Court. A judgment may also be entered
against you for 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,
One Courthouse Square, Carlisle, Pennsylvania.
IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY,
LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED,
YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM.
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE
OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP.
Court Administrator
Cumberland County Court House
Fourth Floor
1 Courthouse Square
Carlisle, Pennsylvania 17013
Phone: (717) 240-6200
John J. Con ally, Jr,
Attor e{t for laintiff?
THERESA A. PEYSER,
Plaintiff
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 9 9- y'a
RICHARD PEYSER,
Defendant
CIVIL ACTION - LAW
. IN DIVORCE
NOTICE OF AVAILABILITY OF COUNSELING
To the Within Named Defendant:
You have been named as the Defendant in a divorce proceeding filed in the
Court of Common Pleas of Cumberland County. This notice is to advise you that in
accordance with Section 3302(d) of the Divorce Code, you may request that the
Court require you and your spouse to attend marriage counseling prior to a divorce
decree being handed down by the Court. A list of professional marriage counselors
is available at the Office of the Prothonotary, One Courthouse Square, Carlisle,
Pennsylvania. You are advised that this list is kept as a convenience to you and you
are not bound to choose a counselor from this list. All necessary arrangements and
the cost of counseling sessions are to be borne by you and your spouse.
If you desire to pursue counseling, you must make your request for counseling
within twenty (20) days of the date on which you receive this notice. Failure to do
so will constitute a waiver of your right to request counseling.
Prothonotary
THERESA A. PEYSER, . IN THE COURT OF COMMON PLEAS
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 9 v- 0.79 C?tv t' T.
RICHARD PEYSER,
Defendant
CIVIL ACTION - LAW
IN DIVORCE
COMPLAINT UNDER SECTION 33011c1
OF THE DIVORCE CODE
1. Plaintiff is Theresa A. Peyser, who currently resides at 238 Ewe Road,
Mechanicsburg, Cumberland County, Pennsylvania 17055.
2. Defendant is Richard Peyser, who currently resides at 238 Ewe Road,
Mechanicsburg, Cumberland County, Pennsylvania 17055.
3. Plaintiff and Defendant have been bona fide residents in the
Commonwealth for at least six months immediately previous to the filing of this
Complaint.
4.
York.
5.
parties.
6.
7.
Plaintiff and Defendant were married on May 10, 1987, in Jericho, New
There have been no prior actions for divorce or annulment between the
The Plaintiff is a citizen of the United States of America.
The Defendant is not a member of the Armed Services of the United
States of America or its Allies.
8. The marriage is irretrievably broken.
9. The Plaintiff has been advised of the availability of counseling and that
the Plaintiff may have the right to request that the Court require the parties to
participate in counseling.
10. Plaintiff requests the Court to enter a Decree in Divorce.
11. Plaintiff hereby incorporates by reference all of the averments contained
in Count 1 of this Complaint.
12. Plaintiff avers that she is the innocent and injured spouse, and that the
Defendant has offered such indignities to the Plaintiff so as to render her condition
intolerable and life burdensome.
13. This action is not collusive.
COUNT II
CLAIM FOR EQUITABLE DISTRIBUTION OF MARITAL PROPERTY
UNDER SECTION 3502 OF THE DIVORCE CODE
14. Plaintiff and Defendant are the owners of various personal property,
motor vehicles, bank accounts and insurance policies acquired during their marriage
which are subject to equitable distribution by this Court.
COUNT III
CLAIM FOR ALIMONY UNDER SECTION 3701 OF THE DIVORCE CODE
15. Plaintiff is unable to support herself through appropriate employment.
16. Plaintiff lacks sufficient property and income to provide for her reasonable
needs.
17. Plaintiff does not have sufficient funds to support herself and pay the
counsel fees and expenses incidental to this action.
18. Defendant is full and well able to pay Plaintiff alimony pendente
lite, counsel fees and expenses incidental to this divorce action.
WHEREFORE, the Plaintiff requests the Court to enter a Decree:
a. dissolving the marriage between the Plaintiff and Defendant;
b. equitably distributing all property owned by the parties hereto;
C. directing the Defendant to pay alimony to Plaintiff;
d. directing the Defendant to pay alimony pendente lite Plaintiff's counsel
fees and the cost of this suit; and
e. for such further relief as the Court may determine equitable and just.
CONNELLY, REID & SPADE
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Date: By:
Joh ?1. Connelly, Jr.,
tto r1fl, for Plaintiff
1 1 -112 Walnut Stree
P. 0. Box 963
Harrisburg, PA 17101
(717) 238-4776
PA I.D. No. 15615
I verify that the statements made in this Pleading are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.
C.S. Section 4904, relating to unsworn falsification to authorities.
Date: r, La
Theresa A. Peyser, Plainintfff
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS
Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97 - 929 CIVIL
RICHARD PEYSER, CIVIL ACTION - LAW
Defendant IN DIVORCE
ACCEPTANCE OF SERVICE
I, Gary L. Kelley, Esquire, attorney for the above-named Defendant, accept
service of the Complaint In Divorce and accept same on behalf of my client, Richard
Peyser.
Date: jWP_
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Gary ley, Esquire
1 -134 alnut Street
Harn g, PA 17101
1717) 238-1484
PA I.D. No. 46801
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THERESA PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929
CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT AND WAIVER OF NOTICE OF INTENTION TO
REQUEST ENTRY OF A DIVORCE DECREE UNDER
3301(c) OF THE DIVORCE CODE
1. A Complaint in Divorce was filed under Section 3301(c) on February 21, 1997 and
served upon the Defendant on February 23, 1997 by Acceptance of Service.
2. The marriage of the Plaintiff and Defendant is irretrievably broken and ninety (90)
have elasped from the filing and service of the Complaint.
3. I consent to the entry of a final Decree in Divorce without notice.
4. 1 understand that 1 may lose rights concerning alimony, division of property,
lawyer's fees or expenses if I do not claim them before a divorce is granted.
5. 1 have been advised of the availability of marriage counselling and understand that
I may request that the Court require that my spouse and I participate in counselling prior to a
Decree in Divorce being handed down by the Court.
G. I understand that I will not be divorced until a divorce decree is entered by the
Court and that a copy of the decree will be sent to me immediately after is filed with the
Prothonotary.
1 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. Section 4904 relating to
unsworn falsification to authorities. ?J
----qx- _ U,ZL7
Date Theresa Peyser
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THERESA PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929
CIVIL ACTION - DIVORCE
AFFIDAVIT OF CONSENT AND WAIVER OF NOTICE OF INTENTION TO
REQUEST ENTRY OF A DIVORCE DECREE UNDER
3301(c) OF THE DIVORCE CODE
A Complaint in Divorce was filed under Section 3301(c) on February 21, 1997 and
served upon the Defendant on February 23, 1997 by Acceptance of Service.
2. The marriage of the Plaintiff and Defendant is irretrievably broken and ninety (90)
have elasped from the filing and service of the Complaint.
3. 1 consent to the entry of a final Decree in Divorce without notice.
4. 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.
5. 1 have been advised of the availability of marriage counselling and understand that
I may request that the Court require that my spouse and I participate in counselling prior to a
Decree in Divorce being handed down by the Court.
G. 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 is filed with the
Prothonotary.
I 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. Section 4904 relating to
unsworn falsification to authorities.
Date ? Richard er
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Law Offices of
Gary L. Kelley
132.134 Walnut Street
Harrisburg, Pennsylvan`a 17101
(717)238.1484
ax (71 2 8 61
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Prothonotary
Cumberland County Courthouse
S. Hanover Street
Carlisle, PA 17013
Re: Peyser v. Peyser
Dear Sir/Madam.
Please find enclosed for filing in the above matter a Praecipe to 'transmit, Agreement of
the Parties to Bifurcate, and two (2) divorce decrees Please return time-stamped copies to me
in the enclosed return envelope Please forward the file for the entry of a divorce decree.
Thank you for your attention to this matter. Please call me if you have any questions.
Very truly yours,
Q.
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Ga Kelley
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97 - 929
RICHARD PEYSER, CIVIL ACTION - LAW
DEFENDANT IN DIVORCE
ACCEPTANCE OF SERVICE
I, Gary L. Kelley, Esquire, attorney for the above-named Defendant, accept
service of the Petition for Exclusive Possession of Marital Residence and Order
scheduling the hearing on behalf of my client, Richard Peyser.
Date: b/ 49 - -
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Gar elley, E;
1 Wal ut Strei
Harr g, PA 1
(717) 238-1484
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THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff /Petitioner : CUMBERLAND COUNTY,PENNSYLVANIA
V. NO. 97-929
RICHARD PEYSER, : CIVIL ACTION -LAW
Defendant/Respondent : IN DIVORCE
ORDER OF COURT
AND NOW, this lS day of ?44L , 1998, upon agreement
of the parties, the following Order is entered:
1. Richard Peyser is directed to execute a deed to the marital residence
located at 238 Ewe Road, Mechanicsburg, Cumberland County, Pennsylvania,
conveying his interest in said property to his wife, Theresa A. Peyser, said interest
being an advance on equitable distribution.
2. The deed shall be held in escrow by John J. Connelly, Jr., Esquire,
counsel for the Petitioner, pending approval of the transfer of interest by the Federal
Bankruptcy Court.
BY THE COURT: j /
EDGAR B. BAVLW, JUDGE
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LAW OFFICES
James, Smith, Durkin & Connelly
GARY L. JAMES P.O. BOX 650
MAX J. SMITH. JR. HERSHEY, PENNSYLVANIA 17033
KAREN DURKIN Street ddrew
JOHN J. CONNELLY, JR. Iii SIPE AVENUE:
STUART). MAGDULE HUMMELSToWN. PENNSYLVANIA 1703h
FRANK P. CLARK e•nuil ddrcu: inf rojw1cpal.nml
SUSAN E. LEDERER
STEVEN A. STINE
JOHN J. MCNALLY. 111
GREGORY K. RICHARDS
SCOTT A. DIE TERICK
July 27, 1998
VIA FACSIMILE (7171240-6462 ANn RFrn1I AR MAII
The Honorable Edgar B. Bayley
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013-3387
Re: Theresa A. Peyser V. Richard Peyser
No. 97-929
Dear Judge Bayley:
(717) 333.32MI)
FAX: (717) 333.2795
REPLY 10:
Ilurrmunt onu?r:
109. 112 Walnut Slrea
Hurixhur)t. PA 17101
(717) 238.4776
FAX: (717) 238-4793
FILE NI ).
Enclosed you will find a copy of the proposed Order agreed upon by the parties through
their counsel. 1 am forwarding by regular mail, the original copies of the Order to be signed
by the Court.
I have discussed this matter at some length with Gary Kelley who represents Mr. Peyser,
and I have also discussed it with my client. Because of the difficulty of a pending bankruptcy
by Mr. Peyser, the matter needs to be handled in the way set forth in the proposed Order which
is agreed upon by the parties and counsel.
If you have any questions, please let me know. We will have already notified your office
of the cancellation of the hearing by the time you receive this Order.
Very
Connelly, Jr.
11C/jlk
cc: Gary L. Kelley, Esquire
Theresa A. Peyser
Enclosure
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97 - 929
RICHARD PEYSER, CIVIL ACTION - LAW
DEFENDANT IN DIVORCE
ORDER OF COURT
AND NOW, this tg day of ?4kjk2? , 1997, upon
review of the attached Stipulation and based upon the agreement of the Plaintiff to
withdraw her action pursuant to the attached, Stipulation, the following Order is
entered:
a. Plaintiff is granted exclusive possession the marital residence located at
238 Ewe Road, Mechanicsburg, Cumberland County, Pennsylvania pending further
Order of Court.
BY THE COURT:
EDGAR B. BAYLE , JUDGE
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OF ItFilFo-oF!,C ,jagY
97 SCE, 16 P f 1: 16
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS
PLAINTIFF CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97 - 929
RICHARD PEYSER, CIVIL ACTION - LAW
s DEFENDANT IN DIVORCE
1. The Plaintiff is Theresa A. Peyser who is represented by John J.
Connelly, Jr., Esquire.
2. The Defendant is Richard Peyser who is represented by Gary L. Kelley,
Esquire.
3. The Plaintiff filed a Petition for Exclusive Possession of Marital Residence
on or about July 31, 1997.
4. The Court scheduled a hearing in the matter for August 28, 1997 at 3:15
p.m.
5. The parties mutually agree to have the following terms and conditions
entered as a Court Order:
a. Plaintiff is granted exclusive possession the marital
residence located at 238 Ewe Road, Mechanicsburg,
Cumberland County, Pennsylvania pending further Order of
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Court.
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WHEREFORE, by execution of this Stipulation, the parties confirm that the
aforementioned terms and conditions are acceptable.
Theresa A. Peyser
ichard Peyser
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OCT0012199
THERESA PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97-929
RICHARD PEYSER, CIVIL ACTION - DIVORCE
Defendant
ORDER
AND NOW, this 2-9 day of October, 1998, upon consideration of Defendant's
Petition For Bifurcation and the parties' signed stipulation, it is hereby ORDERED and
DECREED that Defendant's Petition is GRANTED and bifurcation in this matter is granted. It
is further ORDERED and DECREED this Court retains jurisdiction of all economic and other
issues as outlined in the parties' stipulation and these matters are preserved for this Court's
consideration, if necessary. /Z
BY THE COURT:
1k1w4zJV/ /
JUDGE
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THERESA PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97-929
RICHARD PEYSER, CIVIL ACTION - DIVORCE
Defendant
PETITION FOR BIFURCATION
I. Petitioner is the Defendant in the above captioned matter.
2. Respondent is the Plaintiff in the above captioned matter.
3. On February 21, 1997, Plaintiff filed a Complaint in Divorce docketed to the above
docket number.
4. On February 23, 1997, the Complaint was served by an Acceptance of Service
executed by the undersigned.
5. Plaintiff raised ancillary claims of equitable distribution, alimony, alimony
pendente lite, and counsel fees.
6. The divorce in this matter is not contested and the parties have agreed to execute
the appropriate documents to complete the entry of a divorce under 3301(c) of the Divorce Code.
7. The parties have agreed to reserve all ancillary claims until all claims have been
finally litigated or resolved by agreement of the parties.
8 The parties have executed a stipulation, attached hereto as Exhibit "A", addressing
the preservation of ancillary issues and rights in this matter.
9. A bifurcation is in the best interest of the parties.
WHEREFORE, the Petitioner/Defendant, Richard Peyser, respectfully requests that this Honorable
Court order bifurcation in this matter, grant a divorce pursuant to 3301(c) of the Divorce Code,
and reserve jurisdiction of all remaining ancillary issues before this Honorable Court.
Respectfully submitted,
Gary elley ?
ID 801
132-134 Walnut Street
Harrisburg, PA 17101
(717) 238-1484
Attorney for Plaintiff
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THERESA PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 97-929
RICHARD PEYSER, CIVIL ACTION -DIVORCE
Defendant
AGREEMENT TO BIFURCATE DIVORCE
AND RESERVE ANCILLARY ISSUES
WHEREAS, 'rheresa Peyser is the Plaintiff in the above captioned matter, and
WHEREAS, Richard Peyser is the Defendant in the above captioned matter; and
WHEREAS, on February 21, 1997, Plaintiff filed a Complaint in Divorce docketed to
the above docket number. and
WHEREAS, on February 23, 1997, the Complaint was served by an Acceptance of
Service executed by the Defendant's attorney, Gary L. Kelley; and
WHEREAS, Plaintiff has raised ancillary claims of equitable distribution, alimony,
alimony pendente hte, counsel fees, costs, and expenses. and
WHEREAS, the divorce in this matter is not contested and the parties have agreed to
execute the appropriate documents to complete the entry of a divorce tinder 3301(c) of the
Divorce Code, and
WHEREAS, the parties have agreed to reserve all ancillary claims; and
WHEREAS, the parties have reached an agreement addressing the preservation of
ancillary issues and rights in this matter,
NOW, THEREFORE be it resolved that the parties on this day of August, 1998,
hereby agree, stipulate and covenant as follows:
1. Within five (5) days of the date of this agreement, the parties agree to execute all
documents necessary to undertake the entry of a divorce under 3301(c) of the Divorce Code upon
a request of either party.
2. The parties agree to reserve all ancillary issues raised in Plaintiffs divorce
complaint, including equitable distribution, alimony, alimony pendente lite, counsel fees, costs,
antd expenses until all claims have been finally litigated or resolved by agreement of the parties.
The parties further agree that spousal support payments currently being paid to wife shall convert
to alimony pendente lite and shall continue until they have been finally litigated or resolved by
agreement of the parties.
3. The parties agree to preserve each and every claim that each other may now have,
or hereafter have or can have at any time, against the other, or in and to or against the other's
estate, or any part thereof, whether arising out of any former contracts, engagements or liabilities
of the other, or by way of dower or claim in the nature of dower, widow's rights, or under the
intestate laws, or the right to take against each other's will, or for support or maintenance, or of
any other nature whatsoever. This includes, but is not limited to, each respective party's
retirement accounts, IRA accounts, Certificates of Deposit, and 401(k) accounts.
4. Each respective parry agrees to maintain the other parry as the primary beneficiary
of any life insurance policies in effect at the time of separation. Each respective parry shall be
designated as beneficiary on the other parry's retirement accounts, IRA accounts, Certificates of
Deposit, and 401(k) accounts until all claims have been finally litigated or resolved by agreement
of the parties.
IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and
Teresa Peyser
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VOY ARE NEREEY NOTIFIED TO PLEAD TO
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I: TWENTY URN DAYS OfHAVICENEREOFOR M1THI URKIN & CONNELLY A rcuE AND CORRECT CC" of THE
A DEFAULT JUDGMENT MAY EE ENTIRED . ORIGINAL FILED IN THIS ACTION.
AGAINST YOU. P. 0. BOX 650
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by AT1MMEr HERSHEY. PENNSYLVANIA 17033.wOL 0 9 AJOI l ATTORNEY
THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff/Petitioner : CUMBERLAND COUNTY,PENNSYLVANIA
V. : NO. 97-929
RICHARD PEYSER, : CIVIL ACTION -LAW
Defendant/Respondent : IN DIVORCE
ORDER OF COURT
ANDNOW,this Ib`i dayof C" 1998, upon consideration
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of the within Petition, a hearing is hereby scheduled for the 01Uk day of
, 1998, at II. 3U o'clock ?y.m. in Court Room
No. _) , Cumberland County Court House, One Courthouse Square, Carlisle,
Pennsylvania.
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THERESA A.PEYSER,
Plaintiff/Petitioner
V.
RICHARD PEYSER,
Defendant/Respondent
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY,PENNSYLVANIA
NO. 97-929
: CIVIL ACTION - LAW
: IN DIVORCE
PETITION FOR EMERGENCY RELIEF
COMES NOW, Petitioner, Theresa A. Peyser, by and through her attorneys,
James, Smith, Durkin & Connelly, by John J. Connelly, Jr., Esquire, and files the
following Petition for Special Relief and in support thereof respectfully represents as
follows:
1. Petitioner is Theresa A. Peyser, hereinafter referred to as Wife and
Plaintiff in the above-captioned action, who currently resides at 238 Ewe Road,
Mechanicsburg, Cumberland County, Pennsylvania 17055.
2. Respondent is Richard Peyser, hereinafter referred to as Husband and
Defendant in the above-captioned action, whose current residence is unknown to
Petitioner.
3. A Complaint in Divorce was filed on February 21, 1997.
4. Among the items of marital property of the parties, is ownership in the
marital residence located at 238 Ewe Road, Mechanicsburg, Cumberland County,
Pennsylvania, 17055.
i
5. Wife has completed negotiations for the sale of said marital home with
Victoria A. Lepley and Scott A. Lepley.
6. A final copy of the Agreement of Sale between Wife and Husband and
Victoria A. Lepley and Scott A. Lepley has been supplied to counsel for Husband,
Gary L. Kelley, Esquire, 132-134 Walnut Street, Harrisburg, by hand delivery on July
1, 1998 per the letter and Agreement attached hereto and marked Exhibit "A". The
Agreement of Sale has been executed by the Lepleys and Wife and is now awaiting
Husband's signature.
7. Victoria A. and Scott A. Lepley intend to settle on the purchase of the
real estate on or before August 31, 1998 and cannot move ahead with financing until
Husband executes the Agreement.
8. Wife has been solely responsible for the payment of the mortgage in the
amount of $1,323.20 and the home equity loan in the amount of $198.28. Both of
which are in default because of Husband's failure to pay support for the months of
January, February, March and April. Wife is pursuing through the Court the collection
of the monies due her which at present time amount to approximately $5,623.46 in
support arrears.
9. Because the marital residence is in foreclosure, the home mortgage
company will accept monthly payments.
10. Your Petitioner has applied for mortgage assistance and was denied,
therefore, she has no option but to immediately sell the marital residence.
11. In order for Petitioner to place her children in schools and day care
arrangements, plans must be made to relocate promptly, thereby, time is of the
essence in addressing this issue.
12. When Wife originally contacted a realtor, the realtor suggested a list price
of $139,000.00 the sale price of $130,000.00 without commission represents
essentially the same net proceeds as would have been produced by a $139,000.00
list price.
13. In the past Husband has failed and refused to sign any documents for
refinancing the residence, thereby, reducing the monthly payment or, in addition,
refused to sign any listing agreements with various real estate agents.
14. Unless the property is sold to the Lepleys it will go into foreclosure and
any minimal equity which could be derived from a sale would be lost.
15. Respondent resides in another residence with his girlfriend, Bonnie
Maiosky, and expresses no concern over the loss of the residence in foreclosure or the
fact that his children and Wife would be forced to move from the marital residence
without the possibility of securing any equity to place on another residence.
16. In addition to the execution of the Agreement it is essential that Wife
receive whatever proceeds are derived from the sale in order to place a down payment
or deposit on another residence. Husband has in his possession the proceeds of his
401K plan which far exceed the value of any equity derived from the sale. Any
monies Wife receives pursuant to the sale of the residence would be considered an
advance on her equitable distribution with the ultimate distribution of marital property
to be determined later by the Master.
WHEREFORE, your Petitioner, Theresa A. Peyser, respectfully requests that
your Honorable Court immediately schedule an emergency hearing and after hearing
to order the Respondent execute the Agreement of Sale and to subsequently permit
the Petitioner retain the proceeds from the sale of the marital residence. Petitioner
further requests that the Court award the Petitioner counsel fees because of the
Respondent's unreasonable and arbitrary refusal to sign the Agreement of Sale.
Respectfully submitted,
JAMES, SMITH, DURKIN
& CONUE?I-Y, krP\/--
Date: - Mg By;
J n . C Uneelti, Jr., A for ey ioner
1 12 Street
Post Office Box 963
Harrisburg, PA 17108
(717) 238-4776
PA i.D. No. 15615
I verify that the statements made in this Pleading are true and correct. I
understand that false statements herein are made subject to the penalties of 18 Pa.
C.S. Section 4904, relating to unsworn falsification to authorities.
Date: 1- S . q q 7lOJ2p QQ Q. i.i'10
Theresa A. Peyser, Petitio er
THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA
V.
RICHARD PEYSER,
Defendant/Respondent
: NO. 97-929
: CIVIL ACTION -LAW
: IN DIVORCE
CERTIFICATE OF SERVICE
I, John J. Connelly, Jr., Esquire, of James, Smith, Durkin and Connelly,
attorney for the Petitioner, Theresa A. Peyser, hereby certify that I have served a copy
of the foregoing Petition for Special Relief on the following on the date and in the
manner indicated below:
U.S MAIL. FIRST CLASS PRE-PAID
Gary L. Kelley, Esquire
132-134 Walnut Street
Harrisburg, PA 17101
JAMES, SMITH, DURKIN & CONNELLY
DATE: 7- 8 9S By:
A We for etitioner
108-112 al nut Street
Harrisburg, PA 17108
(717) 238-4776
PA I.D. No. 15615
?e
J
I
THERESA A PEYSER IN THE COURT OF COMMON PLEAS
Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA
V. NO. 97-929
CIVIL ACTION - LAW
RICHARD PEYSER,
Defendant IN DIVORCE
ORDER
AND NOW, this 15f day of C% J-LLoj 6 , 19971
upon consideration of the foregoing Petition for Exclusive
Possession, it is HEREBY ORDERED AND DECREED, that a hearing on the
matter is scheduled for the day of l k" Lwl
o-k S'. kS p. m ,
1997,1at the Cumberland County Courthouse, Carlisle, Pennsylvania,
in Courtroom number -A
Iny
°7 r!1^ -1 r;;, 11: 15
CAF.,:. :Y
a .
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THERESA A. PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929
CIVIL ACTION - LAW
IN DIVORCE
PETITION FOR EXCLUSIVE POSSESSION OF MARITAL RESIDENCE
AND NOW COMES, Plaintiff, Theresa Peyser, by her attorneys,
Connelly, Reid & Spade, by John J. Connelly, Jr., Esquire, and
respectfully represents and avers as follows:
1. The Plaintiff is Theresa Peyser, an adult individual
who currently resides at 238 Ewe Road, Mechanicsburg, Cumberland
County, Pennsylvania 17055.
2. The Defendant is Richard Peyser, an adult individual
who currently resides at Williams Grove Road, Dillsburg, York
County, Pennsylvania 17055.
3. Until on or about June 30, 1997, Defendant resided with
Plaintiff at 238 Ewe Road, Mechanicsburg, Cumberland County,
Pennsylvania.
4. The parties are the parents of three (3) minor
children, Matthew Peyser, date of birth 8/18/90, Jonathan Peyser,
date of birth 04/08/92 and Tristen Peyser date of birth 08/04/94.
5. Plaintiff and Defendant were separated in August, 1996,
but continued to reside together in the marital residence.
6. The Plaintiff filed for divorce on September 21, 1996.
7. Subsequent to the date of filing, the Defendant
continued to reside in the marital home located at 238 Ewe Road,
Mechanicsburg, Cumberland County, Pennsylvania until June 30, 1997,
at which time Defendant relocated to his current residence. After
being promised through his attorney that he would move from the
marital residence for several weeks, the Defendant finally moved
on June 30, 1997.
8. On June 30, 1997, Plaintltt cnangea cne Lu?N=
subsequent to Defendant's relocating.
9. Defendant came back to the home when Plaintiff was not
there, changed the code on the garage door and has refused to
provide Plaintiff with the new code.
10. Defendant is now demanding a key to said premises in
order to provide him with unlimited access.
11. Plaintiff avers that Defendant's continued presence in
the marital residence prior to his relocating caused Plaintiff
mental distress and emotional turmoil and was disruptive to the
household and the children.
12. Defendant has removed all of his personal affects from
the home and, therefore, does not need access to the residence.
13. Defendant presently resides with Bonnie Malosky and her
son, and the parties' children stay there when they are with
Defendant for his periods of partial custody.
i
f,
14. A number of minor altercations have occurred between
the Plaintiff and Defendant in the home culminating in Plaintiff
calling 911 on June 27, 1997 at which time the Lower Allen Township
Police responded to the residence.
15. Defendant is presently taking the medications Prozac
and Xanax on a daily basis. As a result of Defendant's constant
state of being medicated, Plaintiff never knows whether he will
speak and act calmly and rationally or whether he will become
volatile and aggressive. Defendant has exhibited both types of
behavior.
16. The general atmosphere of the home while Defendant is
present is intolerable and this is negatively affecting the
Plaintiff and the children.
17. On July 14, 1997, Plaintiff returned to the residence
from work to find that the Defendant had broken into the house and
removed the stereo, speakers, CD player, equalizer and tape deck.
18. At no time prior to July 14, 1997, did Defendant
request that Plaintiff provide him with the items which he removed
when he broke into the home.
19. Had Defendant requested said items from Plaintiff, she
would have provided them to him.
20. Defendant's actions have left Plaintiff in fear for her
safety, as well as that of the children.
3
21. Plaintiff does not have sufficient means to move from
the residence.
22. Defendant is a pharmacist and has more than an adequate
income to obtain and continue to maintain adequate alternative
housing.
WHEREFORE, the Plaintiff requests your Honorable Court enter
an Order granting the Plaintiff exclusive possession of the marital
residence located at 238 Ewe Road, Mechanicsburg, Cumberland
County, PA 17055 and that Defendant be ordered to pay for or
reimburse Plaintiff for the cost of having the locks and doors
fixed and/or replaced as well as counsel fees to prepare this
Petition and attend a hearing.
Respectfully submitted,
CONNELLY, REID & SPADE
Date: 1-d,l" Im, By
oh J, onn y, Jr., s
Jail ne fortlai tiff
12 a t St
P.O. Box 963
Harrisburg, PA 17108
(717) 238-4776
(717) 238-4793 Telecopier
I.D. 115615
4
I, Theresa A. Peyser, verify that the statements made in this
Pleading are true and correct. I understand that false statements
herein are made subject to the penalties of 18 Pa.C.S. Section
4904, relating to unsworn falsification' to authorities.
Date: .Ll By.
THERESA A. PEYSER
Y'
CERTIFICATE OF SERVICE
I, John J. Connelly, Jr., Esquire, of Connelly, Reid, & Spade, attorneys for Plaintiff,
hereby certify that I have on the date shown below served a copy of the foregoing Petition for
Exclusive Possession of Marital Residence upon the following and in the manner indicated
below:
HAND DELIVERY
Gary L. Kelley, Esq.
132 Walnut Street
Harrisburg, PA
Date: I- oZ 9 - 9'7
P.O. Box 963
Harrisburg, PA 17108
(717) 238-4776
(717) 238-4793 Telecopier
I.D. No. 15615
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JAMI S SMfIn 1 DURKIN & CUMMf l I v I I P
E. Robert Elicker, II
Divorce Master
Office of Divorce Master
Cumberland County
9 North Hanover Street
Carlisle, PA 17013
May 12, 1999
Re: Theresa Peyser v. Richard Peyser
No. 97-929 Civil
In Divorce
Dear Bob:
I received the correspondence from Mr. Spare to you dated May 10, 1999
regarding Mr. Peyser's medical condition.
The letter from your office requesting that the pre-trial statement be filed on
or before May 10, 1999 was dated April 6, 1999. I can't imagine why Mr. Peyser
could not gather the information necessary to file these documents.
Mr. Peyser has regularly picked up the children on his days to have them,
went to his oldest son's communion this past Saturday, May 8, 1999, and still visits
the day care to see the children and even bringing his father along with him last week.
If Mr. Peyser has a medical condition that prohibits him from filling out paperwork,
how can he still drive a car, fulfill most of his custody obligations with the children
and do other leisure activities.
I have requested documentation regarding Mr. Peyser's medical condition and
still have received nothing. My client still does not have an address or phone number
for Mr. Peyser.
JJC/jlk
Cc: Philip H. Spare, Esquire
Theresa A. Peyser
Veryraly yours,
John J\ Connelly, Jr.
John J. Connelly, Jr.
bcjr@jsdlegd.com
U.r.:r.i •:?. M1
c 111 n? a•Ir.' u, .? ? r;
!rvn ev.. ,.a
, vn n.. •1 nl ,.:a
1' IAII I'I AY' I.,
'.. I:, IIA'i• 1 1. ?•
SNELBAKE.R, BRENNE:MAN & SPARE
A PROII WONAI , ORPORAIION
ATTORNEYS AT LAW
" WEST MAIN SERI.I.T
MECHANICSBURG, PENNSYLVANIA 17055
RICHARD C SNELBAKER
KEITH O. BRENNEMAN
PHILIP H. SPARE
E. Robert Elicker, 11, Esquire
Office of Divorce Master
9 North Hanover Street
Carlisle, PA 17013
Re: Peyser v. Peyser
No. 97-929 Civil Term
In Divorce
Dear Mr. Elicker:
JV-OD7H52H
P. O BOX 316
FACSIMILE (An 897 7681
May 10, 1999
Due to circumstances beyond my control, Defendant Richard Peyser's Pre-Trial
Statement is not ready for filing this date. My client's medical condition is such that he could not
meet today's filing date. Please consider this letter a formal request for a general continuance of
the due date for the Pre-Trial Statement. I informed Plaintiffs counsel, John J. Connelly,
Esquire, of this situation by telephone earlier this date. As soon as my client's condition allows
for the preparation of a Statement, I plan to file it with your office.
Very truly yours,
Philip 11. Spare
PHS/
Enclosures
cc: John J. Connelly, Jr. Esquire
THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS OF
Plaintiff/Petitioner, CUMBERLAND COUNTY, PENNSYLVANIA
VS. NO. 97-929
CIVIL ACTION - LAW
RICHARD PEYSER, IN DIVORCE
Defendant/Respondent.
ORDER OF COURT
AND NOW, this 8th day of July, upon relation by
counsel for Respondent that his client has made a request to
Prudential for a complete review of the 401(k) plan from a date
prior to separation to current, it is ordered that when that
review is received it be forwarded to the Court, at which time
we'll mark it as a Respondent's Exhibit and admit it into the
record. Upon receipt of that exhibit, each counsel shall send a
short letter to the Court summarizing what they believe is the
current situation now and the relief requested accordingly.
By the
Edgar B./Bayley, J.
John J. Connelly, Jr., Esquire
Counsel for Plaintiff/Petitioner
Philip H. Spare, Esquire
Counsel for Defendant/Respondent
:som
THERESA A. PEYSER,
Plaintiff
VS.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97 - 929 CIVIL
IN DIVORCE
AND NOW, this °0t'°'t' day of
04
2002, pretrials having been directed to be filed on May 10,
1999, and no pretrials having been received from counsel or
the parties, the appointment of the Master is vacated.
BY THE COURT,
cc: John J. Connelly, Jr.
Attorney for Plaintiff
Philip H. Spare
Attorney for Defendant
/*A)"
Geo a P. f.
1, _. ?. '. ,. .1,1 ?ll• ?: .
}e
THERESA A. PEYSER
PLAINTIFF/PETITIONER
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
V.
RICHARD PEYSER,
DEFENDANT/RESPONDENT
97-929 CIVIL TERM
ORDER OF COURT
AND NOW, this 11 4?- day of July, 2000, the petition for special relief
filed by Theresa A. Peyser on June 7, 1999, on which a hearing was conducted on July
8, 1999, IS DISMISSED without prejudice. If this matter cannot be resolved prior to a
Master's hearing, plaintiff, through her counsel, may reinstate the petition and complete
the record for disposition.
By the Court,
Edgar B. Bayley, J.
John J. Connelly, Jr., Esquire
For Plaintiff
Philip H. Spare, Esquire
For Defendant
7-18-00
RO
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1,? ;v.
SNLLBAKER. BRENNEMAN F3 SPARE
A PN0I1 %1111NA1 1 UBPOMA11 11
ArrORNEYS Al" LAW
41 WI SI MAIN SI R1 It
MKIIANKSBURG. PENNSYLVANIA 1/055
KICIIARU C SNELBAKER _
KIIIII O BRFNNLMAN
PHILIP H SPARE A/ eu/ H'W"
July 6, 2000
The Honorable Edgar B. Bayley
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Peyser v. Peyser
No. 97-929
Divorce Action
Plaintiff's Petition For Special Relief
Dear Judge Bayley:
I' O BOX UK
EAr SIMILE VO 69/ /6hl
I send this letter to comply with your July 8, 1999 Order of Court which provides, in part,
each counsel shall send a short letter summarizing what they believe is the current situation now
and the relief requested accordingly."
A review of the testimony and evidence presented at last July's hearing will reveal that
this is not a simple case. One of the basic tenets of equitable distribution is to identify and value
all marital property. In this case, the identification and valuation of marital property should be
left to the Divorce Master. Issues include the value of the marital home which was conveyed to
the Plaintiff years ago. Testimony of record indicates that the Plaintiff received nearly all of the
household possessions, which remain to be identified and valued. Defendant's 401(k) situation
will need to be reviewed in detail by the Divorce Master in order to accurately reveal the value of
the marital portion of that asset.
The case is further complicated by Defendant's filing for bankruptcy in June of 1998.
His filing significantly aided both parties by disposing of much marital debt. Marital debt is
another key component of this divorce case. Through the normal processes, the Divorce Master
should review the marital debt situation to determine a net marital estate.
At this time, the approximate $15,000 value of the Defendant's 401(k) is one of the very
few assets remaining to distribute. It is our position that granting the Plaintiff's Request for
Special Relief at this time by distributing $10,000 or approximately two-thirds of the principal
remaining marital asset would be premature. Only after a thorough review and evaluation of all
the numerous factors should such a drastic remedy even be considered.
SNELBAKER, BRENNEMAN 6 SPARE
The Honorable Edgar B. Bayley
July 6, 2000
Page Two
Since the date of the hearing, my client has struggled through a serious car accident,
months of being on disability and is now recovering from knee surgery. He has been unable to
work for months and the prognosis is that he will not be able to return to work for at least several
more months. Mr. Peyser is currently caring of the parties' three children during their summer
vacation from school. Despite Ms. Peyser's pleas for special relief last summer, she has
managed to maintain her employment, remain in her home and stay in this area. It is my client's
position that there is no urgent need for special relief at this time. I urge you to approach this
matter with restraint and avoid premature disposition of marital property.
Respectfully submitted,
Philip H. Spare
PHS/sz
CC: John J. Connelly, Jr., Esquire
Richard Peyser
SNLLBAKER, BRENNEMAN 8 SPARE-
A 1'X01I WO-1 U I OXPOXAIIOIJ
ATTORNEYS AT LAW
.W WISI MAIN SINLI.t
MLCHANICSBURG, PENNSYLVANIA 17055
KICIIARn C SNILBAKLR
KI II'H O RRINNLMAN /1/ 6131 W,2n
1'HIHI' H SI'ARL
June 22, 2000
The Honorable Edgar B. Bayley
Cumberland County Courthouse
One Courthouse Square
Carlisle, PA 17013
Re: Peyser v. Peyser
No. 97-929
Divorce
Dear Judge Bayley:
P. O BOX OR
MCSIMILL VIA 69/46RI
Pursuant to your Order of Court issued July 8, 1999, a copy of which I enclose herewith
for your convenience, I enclose a copy of the 21-page document from Prudential Investments
entitled "Investment Opportunity Plan Statement for Richard Peyser January I, 1996 - June 12,
2000."
Pursuant to your July 8 Order, the document is to be marked as a Respondent's Exhibit
and admitted into the record.
I am planning to meet with my client in the very near future in order to review the
situation so that I may send a short letter to the Court summarizing the current situation and the
relief requested pursuant to the July 8 Order.
Prudential Investments sent my client the wrong information last summer. My letter to
Prudential attempting to rectify the situation was ignored. Prudential Investments only
responded when 1 served them with a subpoena. I apologize to the Court and to opposing
counsel for the delay in receiving this information.
Respectfully submitted,
`6t (
Philip H. Spare
PHS/sz
Enclosure
CC: John J. Connelly, Jr., Esquire (w/enclosures)
Richard Peyser
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TD LAW OFFICE
YOU All[ MdUY NOTIIILD TO IL ADM THE ENCLOSED WITHIN
TWENTY w IN DATE 01 SERVICE H[IILO/ ON JAMES, SMITH, DURKIN & CONNELLY, LLP
A 0 D[R9FAULT
A JUDOY[NT MAY S[.[NiLR[0l
AGAINST YOU. P. Q BOX 6%
by ATTOINLY HERSHEY, PENNSYLVANIA 17037`0650
W[ HLS[SY CERTIFY THAT THE WITHIN 12
A TRUE AND CO[[[OT COLT OI THE
ORIOINAL FILED IN THIS ACTION.
SY
THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 97-929
RICHARD PEYSER, : CIVIL ACTION - LAW
Defendant/Respondent : IN DIVORCE
AND NOW, this 11(` day of 4) 1999, upon consideration of the
within Petition for Special Relief, a hearing is hereby scheduled for the day of
1999, at 1 7; ? o'clock ? .m. in Court Room No. d
Cumberland County Court House, One Courthouse Square, Carlisle, Pennsylvania.
BY THE COURT:'
i J.
99 P"
??ly
THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff/Pctitioner : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 97-929
RICHARD PEYSER, : CIVIL ACTION - LAW
Defendant/Respondent : IN DIVORCE
AND NOW, comes the Petitioner, Theresa, by her attorney, John J. Connelly, Jr., Esquire,
and avers as follows:
Your Petitioner is Theresa A. Peyser who resides at 5446 Autumn Drive, Harrisburg,
Dauphin County, Pennsylvania.
2. The Respondent is Richard Peyser whose current residence is unknown to Petitioner.
3. A bifurcated Decree in Divorce was granted on October 27, 1998 preserving all
ancillary claims.
4. Under the present Support Order dated March 5, 1998, the Respondent continually
alleges to be laid off of work due to mental illness, and has not paid Alimony Pendente Lite or child
support for the parties' three minor children for the last month. Under similar circumstances in the
past, when he was employed, he paid no support causing the marital residence to go into foreclosure
and the Petitioner's credit was jeopardized. After the Petitioner sold the marital residence, she
rehabilitated her credit and purchased a residence in her name only.
5. The Respondent's failure to pay support is now jeopardizing her ability to pay for
the children's day care which will cause her to have to leave her employment to care for the parties'
three minor children as well as jeopardizing her ability to pay the mortgage on her residence.
6. The Respondent's previous employer was Rite Aid where, during the course of the
manage, he acquired a 401(k) plan. The 401(k) had an approximate balance of $27,088.29 as of
the date of the parties separation. In addition, Respondent had stock accounts in American Funds
and Pioneer Fund, the balance in the stock funds are unknown to Petitioner.
WHEREFORE, your Petitioner, Theresa A. Peyser, respectfully requests that the Court
enter an Order providing the withdrawal of Ten Thousand ($10,000.00) 00/100 Dollars from said
401(k) as an advance on equitable distribution in order to permit the Petitioner to pay for day care,
retain her employment and prevent her from losing her residence.
Respectfully submitted,
JAMES, SMITH, DURKIN & CONNELLY LLP
li V 1
Date: t, ( Qq BY:
John . Connell Jr., Esquire
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 15615
I verify that the statements made in this Petition are true and correct. I understand that false
statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unworn
falsification to authorities.
o9
Date: ?1
/ / 9 Theresa A?er, Petitioner
THERESA A. PEYSER, : IN THE COURT OF COMMON PLEAS
Plaintiff/Petitioner : CUMBERLAND COUNTY, PENNSYLVANIA
V. : NO. 97-929
RICHARD PEYSER, : CIVIL ACTION - LAW
Defendant/Respondent : IN DIVORCE
I, John J. Connelly, Jr., Esquire, of James, Smith, Durkin & Connelly, attorney for the
Petitioner, Theresa A. Peyser, hereby certify that I have served a copy of the foregoing Petition for
Special Relief on the following on the date and in the manner indicated below:
Philip H. Spare
Snelbaker, Brenneman & Spare
44 West Main Street
Mechanicsburg, PA 17055
JAMES, SMITH, DURKIN & CONNELLY
DATE: U11 lqq
Hershey, PA 17033
(717) 533-3280
PA I.D. No. 15615
1
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F`, u.ifL
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
THERESA PEYSER,
Plaintiff
va.
RICHARD PEYSER,
Defendant
The
RICHARD PEYSER MOTION FOR APPOINTMENT OF 'FASTER
(tbNkMXbW (Defendant), moves the court to appoint
a master with respect to the following claims:
( ) Divorce ( x) Distribution of Property
( ) Annulment ( ) Support
(X) Alimony (X ) Counsel Fees
( ) Alimony Pendente Lite ( ) Costs and Expenses
and in support of the motion states:
(1) Discovery is complete as to the claims(s) for which the
appointment of a master is requested.
(2) The defendant (has) OBWA dfdU() appeared in the action Optta0 y)
(by his attorney, Philip H. Spare ,Esquire).
(3) The statutory ground(s) for divorce (is) (are)
Decree issued 10/27/98 in this bifurcated case
(4) Delete the inapplicable paragraph(s):
(a) The action is not contested.
(b) An agreement has been reached with respect to the
following claims: No agreement on economic issues
(c) The action is contested with respect to the following
claims: equitable distribution, alimony and counsel fees
or fact.
NO. 97-929 }?lyX
not involve) complex
(6) The hearing is expected to take 6 (hours) (}kWW).
(7) Additional information, if any. relevant to the motion:
Date: 3/29/99
Attorne} or (}1NIN )
(Defendant)
ORDER APPOINTING ?fAS ER/ ?J
AND NOW 11Z ,19, d `( (? ?Cl? ?r r Esquire,
is appointed master with respect to the following claims:
p g)-C.FFICE
,)TARY
u?-
LL ? ?
B.. ?.
h•1
u u ??
THERESA A. PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS OF,
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929 CIVIL TERM
DIVORCE ACTION
PRAECIPE FOR ENTRY AND WITHDRAWAL OF APPEARANCE
TO THE PROTHONOTARY:
Please enter the appearance of the following attorney on
behalf of the Defendant, Richard Peyser, in this matter:
Philip H. Spare, Esquire
Snelbaker, Brenneman & Spare, P. C.
44 W. Main Street
Mechanicsburg, PA 17055
(717) 697-8528
and please withdraw the appearance of the following attorney on
behalf of the Defendant, Richard Peyser, in this matter.
Gary L. Kelly, Esquire
132-134 Walnut Street
Harrisburg, PA 17101
(717) 243-0220
LAW OFFICE{
SNELBAKER.
BRENNEMAN
& SPARE
Respectfully Submitted,
Phf11 are, Esquire
Pa Supreme Ct. ID #65200
Date: // //7/lw
M WjW
Gar . Kelly, E ire
Pa reme Ct. I
Date: 11//olq`e
CERTIFICATE OF SERVICE
I, PHILIP H. SPARE, ESQUIRE, hereby certify that I have,
on the below date, caused a true and correct copy of the
foregoing Praecipe to be served upon the person and in the manner
indicated below:
FIRST CLASS MAIL POSTAGE PREPAID. ADDRESSED AS FOLLOWS:
John J. Connelly, Jr., Esquire
James, Smith, Durkin & Connelly
P. O. Box 650
Hershey, PA 17033
Philip' H."Spare, Esquire
SNELBAKER, BRENNEMAN & SPARE, P. C.
44 West Main Street
P. O. Box 318
Mechanicsburg, PA 17055
(717) 697-8528
Attorneys for Defendant,
Richard Peyser
IDate: November 23, 1998
LAW OIIICEY
SNELOAKER.
BRENNEMAN
& SPARE
I•'
??=
? ...
-:
?.
`,
< i
,,
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THERESA A. PEYSER, IN THE COURT OF COMMON PLEAS OF
Plaintiff/Petitioner, CUMBERLAND COUNTY, PENNSYLVANIA
VS. NO. 97-929
CIVIL ACTION - LAW
RICHARD PEYSER, IN DIVORCE
Defendant/Respondent.
ORDER OF COURT
AND NOW, this 8th day of July, upon relation by
counsel for Respondent that his client has made a request to
Prudential for a complete review of the 401(k) plan from a date
prior to separation to current, it is ordered that when that
review is received it be forwarded to the Court, at which time
we'll mark it as a Respondent's Exhibit and admit it into the
record. Upon receipt of that exhibit, each counsel shall send a
short letter to the Court summarizing what they believe is the
current situation now and the relief requested accordingly.
By the Cou
Edgar B./Bayley, J.
John J. Connelly, Jr., Esquire
Counsel for Plaintiff/Petitioner
Philip H. Spare, Esquire
Counsel for Defendant/Respondent
:som
99
CV?;crr_ " ?? ?(
J?
'
i
ii
THERESA PEYSER, : IN THE COURT OF COMMON PLEAS OF
Plaintiff, : CUMBERLAND COUNTY, PENNSYLVANIA
VS. : NO. 97.921) CIVIL TERM
RICHARD PEYSER, : IN DIVORCE
Defendant .
CERTIFICATE PURSUANT TO PA. R.C.P. NO. 4009.22 (a)
The undersigned hereby certifies that:
1. The Notice of Intent to Serve a Subpoena was mailed or delivered to each
party at least twenty (20) days prior to the date on which the subpoena is sought to
be served;
2. A copy of the Notice of Intent, including the proposed Subpoena attached to
the Notice of Intent is attached to this Certificate;
3. No objection to the subpoena hits been received; and
4. The subpoena which will be served is identical to the subpoena which is
attached to the Notice of Intent to Serve a Subpoena.
Respectfully submitted,
SNELBAK/?E??R,,/BRENNEMAN & SPARE, P.C.
By: hill H. Spare, Esquire
Pa. Supreme Court I.D. #: 05200
44 West Main Street
P.O. Box 318
(717) 097.8528
LAW OFFICES
SNELBAKER. Mechanicsburg, PA 17055.0318
BRENNEMAN Attorneys for Defendant, Richard Peyser
$ SPARE
'ijm-rf
C `1G 1\aYL"J .? C1
CERTIFICATE OF SERVICE
I hereby certify that I am this date serving a copy of the within Certificate
Pursuant to Pa. R.C.P. No. 4009.22(x) upon the attorney for Plaintiff by sending
same by first-class mail, postage paid addressed as follows:
John J. Connelly, Jr., Esquire
James, Smith, Durkin & Connelly
P.O. Box 650
Hershey, PA 17033
SNELBAKER, BRENNEMAN & SPARE, P.C.
By: ?2? -
Philip H. pare, squire
44 Rest Main Street
Mechanicsburg, PA 17055-0318
(717) 697-8528
Attorney for Defendant, Richard Peyser
LAW OFFICES
SNELBANER.
BRENNEMAN
& SPARE
THERESA PEYSER,
Plaintiff
V.
RICHARD PEYSER
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929 CIVIL TERM
IN DIVORCE
NOTICE OF INTENT TO SERVE A SUBPOENA TO PRODUCE
DOCUMENTS AND THINGS FOR DISCOVERY
PURSUANT TO RULE 4009.21
Defendant Richard Peyser intends to serve a subpoena identical to the one that is attached
to this notice. You have twenty (20) days from the date listed below in which to file of record
and serve upon the undersigned an objection to the subpoena. If no objection is made the
subpoena may be served.
Snelbaker, Brenneman & Spare, P. C.
LAW OFFICE,
SNELOAKER.
BRENNEMAN
d SPARE
Date: May 1, 2000 By.
Philip H. Spare, quire
Attorney ID 465200
44 W. Main Street
Mechanicsburg, PA 17055
(717) 697-8528
Attorneys for Defendant
Richard Peyser
THERESA PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929 CIVIL TERM
IN DIVORCE
SUBPOENA TO PRODUCE DOCUMENTS OR THINGS
FOR DISCOVERY PURSUANT TO RULE 4009.22
TO: Prudential Investments
30 Scranton Office Parks
Moosic, PA 18507-1789
Within twenty (20) days after service of this subpoena, you are ordered by the court to
produce the following documents or things:
(1) All documents in your possession or control related to Richard Peyser's Rite Aid
Investment Opportunity Account Plan No. 006742, SSN: 104-50-7257 for the
time period of January 1, 1996 to present.
(2) Copies of all computer records in your possession or control related to Richard
Peyser's Rite Aid Investment Opportunity Account Plan No. 006742,
SSN: 104-50-7257 for the time period of January 1, 1996 to present.
uW ornccs
SNELBAKER.
BRENNEMAN
a SPARE
You may deliver or mail legible copies of the documents or produce things requested by
this subpoena, together with the certificate of compliance, to the party making this request at the
address listed above. You have the right to seek in advance the reasonable cost of preparing the
copies or producing the things sought.
If you fail to produce the documents or things requested by this subpoena within twenty
(20) days after its service, the party serving this subpoena may seek a court order compelling you
to comply with it.
This subpoena was issued at the request of the following person:
Philip H. Spare, Esquire
Attorney ID #65200
44 W. Main Street
Mechanicsburg, PA 17055
(717) 697-8528
Attorney for
Date: hi .2 ' 1 trvu BY THE COURT:
uw ornccs
SNELBAKER.
BRENNEMAN
& SPARE
Seal of the Court
-2-
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cui o U
THERESA A. PEYSER,
Plaintiff/Petitioner
Vs.
RICHARD PEYSER,
Defendant/Respondent
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 97-929
CIVIL ACTION - LAW
IN DIVORCE
RESPONSE TO PETITION FOR SPECIAL RELIEF
AND NOW, comes the Respondent, Richard Peyser, by his
attorneys, Snelbaker, Brenneman & Spare, P.C., and responds as
follows to the Petition for Special Relief dated June 1, 1999:
1. Admitted.
2. Admitted. By way of further response, Richard Peyser
currently resides at 1640 Williams Grove Road, Mechanicsburg
(Monroe Township) Cumberland County, Pennsylvania.
3. Admitted.
4. Denied. It is denied under the present Support Order
LAW OFFICES
SNELDAKER.
BRENNEMAN
& SPARE
dated March 5, 1998, the Respondent continually alleges to be
laid-off of work due to mental illness and has not paid Alimony
Pendente Lite or child support for the parties' three minor
children for the last month. It is denied that under similar
circumstances in the past, when he was employed, he paid no
support causing the marital residence to go into foreclosure and
the Petitioner's credit was jeopardized. Respondent is without
knowledge or information sufficient to form a belief as to the
averment that after the Petitioner sold the marital residence,
she rehabilitated her credit and purchased a residence in her
name only; therefore, same is deemed to be denied and strict
proof thereof is demanded.
5. Denied. It is denied that Respondent has failed to pay
support. It is denied that said alleged failure is now
jeopardizing her ability to pay for the childrens' day care which
will cause her to have to leave her employment to care for the
parties' three minor children as well as jeopardizing her ability
to pay the mortgage on her residence.
6. Admitted in part and denied in part. It is admitted
that the Respondent's previous employer was Rite Aid where,
during the course of the marriage, he acquired a 401(k) plan. It
is denied that the 401(k) plan had an approximate balance of
$27,088.29 as of the date of the parties separation. on the
contrary, it is averred that the 401(k) plan had an approximate
balance of $16,128.42. It is admitted that at one time,
Respondent had stock accounts in American Funds and Pioneer Fund,
the balance in the stock funds being unknown to Petitioner.
However, the stock accounts in American Funds and Pioneer Fund
were liquidated during the marriage and the proceeds used to
purchase furniture which remains in Petitioner's possession.
WHEREFORE, Respondent, Richard Peyser, respectfully requests
LAW OFFICES
SNELRAKER.
BRENNEMAN
a SPARE
your Honorable Court to deny the special relief sought by
Petitioner.
-2-
NEW MATTER
AND NOW, comes the Respondent, Richard Peyser, and avers the
following new matter:
7. Petitioner has physical possession of nearly all of the
marital furniture and household goods.
8. Petitioner received the marital home.
9. Petitioner benefitted from Respondent's filing for
bankruptcy which resulted in the discharge of many thousands of
dollars of marital debt.
10. During the spring of 1999, Respondent was hospitalized
on two occasions for bi-polar disorder and anxiety. As a result,
Respondent has been unable to work since on or about March 29,
1999. Respondent has been collecting short-term disability
payments.
11. Each time Respondent was paid anything from his
employer, Eckard corporation, Petitioner benefitted by receiving
a significant portion of said payment.
12. A support conference was held on June 29, 1999 at which
a new support order was entered providing for payment to
Petitioner in the amount of $1,600.00 per month payable $738.46
bi-weekly. Under this support order Respondent's net pay will be
approximately $400.00 bi-weekly.
13. As of March 22, 1999 the total vested account balance in
I ?. 111111'.1 N
;i111 111A.J I1.
11111 NIII b1AN
6 KPAlb
Respondent's 401(k) plan was $14,790.80.
14. In or about March, 1999 Respondent requested appointment
-3-
of a Divorce Master in order to resolve the economic issues of
the divorce. The economic issues of the divorce are best left to
the Divorce Master to resolve.
, Respondent, Richard Peyser, respectfully requests
your Honorable Court to deny the special relief sought by
Petitioner.
Respectfully submitted,
SNELBAKER, BRENN 44AN & SPARE, P.C.
By:
Phili H. pare, Esquire
PA I.D. No. 65200
44 West Main Street
Mechanicsburg, PA 17055-0318
(717) 697-8528
Attorneys for Defendant/
Respondent Richard Peyser
Date: July 8, 1999
LAW OFFICES
SNELOAKER.
BRENNEMAN
$ SPARE
-4-
I verify that the statements made in this Response 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.
Date: July 8, 1999
LAW OIFICES
SNLLOAKER,
BRENNEMAN
& SPARE
CERTIFICATE OF SERVICE
I, PHILIP H. SPARE, ESQUIRE, hereby certify that I have,
on the below date, caused a true and correct copy of the
foregoing Response to Petition for Special Relief to be served
upon the person and in the manner indicated below:
FIRST CLASS MAIL. POSTAGE PREPAID. ADDRESSED AS FOLLOWS:
John J. Connelly, Esquire
James, Smith, Durkin & Connelly, LLP
P.O. Box 650
Hershey, PA 17033
2M& -
Phi -lip W. Sp re, Esquire
SNELBAKER & BRENNEMAN, P. C.
44 West Main Street
Mechanicsburg, PA 17055-0318
(717) 697-8528
Attorneys for Defendant/
Respondent, Richard Peyser
Date: July 8, 1999
LAW omc Ls
SNELOAKCR.
BRENNEMAN
a SPARE
vi rA
Ir
VS.
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
CIVIL ACTION - LAW
NO.?I,q?j CIVIL 19
IN DIVORCE
STATUS SHEET
DATE: I ACTIVITIES:
All st-) '-g 6e 6
OFFICE OF DIVORCE MASTER
CUMBERLAND COUNTY
COURT OF COMMON PLEAS
9 North Hanover Street
Carlisle, PA 17013
(717)240.6535
E. Robert Elicker, 11 West Shore
Divorce Master 697.0371 Ext. 6535
Traci Jo Colyer
Office Manager/Reponer
April 6, 1999
John J. Connelly, Jr., Esquire Philip H. Spare, Esquire
JAMES, SMITH, DURKIN & CONNELLY SNELBAKER, BRENNEMAN
P.O. Box 650 & SPARE
Hershey, PA 17033-0650 44 West Main Street
P.O. Box 318
Mechanicsburg, PA 17055
RE: Theresa A. Peyser vs. Richard Peyser
NO. 97 - 929 Civil
In Divorce
Dear Mr. Connelly and Mr. Spare:
By order of Court of President Judge George E. Hoffer
dated March 29, 1999, the full-time Master has been appointed in
the above referenced divorce proceedings.
The parties were divorced by decree entered on October
27, 1998, by Judge Bayley. The decree preserved all economic
matters pursuant to the parties' stipulation, namely, equitable
distribution, alimony, alimony pendente lite, and counsel fees,
costs, and expenses.
Inasmuch as it appears as if the parties are unable to
resolve the economic issues, I am directing each counsel to file
a pre-trial statement in accordance with P.R.C.P. 1920.33(b) on
or before Monday, May 10, 1999. Upon receipt of the pre-trial
statements, I will immediately schedule a pre-hearing conference
Mr. Connelly and Mr. Spare, Attorneys at Law
6 April 1999
Pacts 2
with counsel to discuss the issues and, if necessary, schedule a
hearing.
Very truly yours,
F. Robert Elicker, II
Divorce Master
NOTE: Sanctions for failure to file the pre-trial statements
are set forth in subdivision (c) and (d) of Rule 1920.33.
THE ORIGINAL PRE-TRIAL STATEMENT SHOULD BE FILED IN THE
MASTER'S OFFICE AND A COPY SENT DIRECTLY TO OPPOSING
COUNSEL.
Theresa Anne Peyser, : IN THE COURT OF COMMON PLEAS
PLAINTIFF : CUMBERLAND COUNTY, PENNSYLVANIA
V. :NO. 97-929
Richard Peyser, : CIVIL ACTION - LAW
DEFENDANT : IN DIVORCE
Notice is hereby given that the Plaintiff in the above matter, hereby elects to retake and
hereafter use her former name of Theresa Anne Rickert and gives this written notice avowing her
intention in accordance with the provisions of 54 Pa.C.S.A. § 704(a).
DATED:
Sworn to and subscribed
before me this,J,-J day
of r 05.
k
/NOTARY PUBLI
COMMONM ALF11 ol. I'I:NNtiYLVANI
Nugmd tical
Iwn L I:micr. Nuiury Pubhc
lhrpli,p, nmrphin Cuunry
My Commrninn r:?plrcs Afar 1. 20pR
M;e ' P?nn,kvrnit ?aaotlntkM of Nutinpl
cr1 C ZJn l(? -x e A
Theresa Anne Peyser
TO BE KNOWN AS
r
Theresa Anne Rickert
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
Stale Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 10/03/05
Case Number (See Addendum for case summary)
I mpluyerAVllhholder's Federal t IN Number
GENERAL HEALTHCARE RESOURCES I
STE 240
2250 HICKORY RD
RI.: PEYSER, RICHARD
O Original Order/Notice
O Amended OrderMolice
O terminate Order/Notice
1 nlployee/Obligor's Name (last,Firsl, MI)
231107578 104-50-7257
657 S 2005 1 mployee/Obligor's Social Security Number
7100000024
293107708 I mployee/Obligor's Case Identilier
97-929 CIVIL (see Addendum for plaintiff names
PLYMOUTH MEETING PA 19462-1047 ass"Wedwith casesoaattachment)
700000025 Cuslorhal Ilamnt's Name (tau, first, MI)
1310 S 96
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.
$ 2, 905.00 per month in current support
$ 15o. so per month in past-due support Arrears 12 weeks or greater? (9) Yes Q no
$ 0.00 per month in current and past-due medical support
$ 0. oo per month for genetic test costs
$ per month in other (specify) (?
fora total of $ 3, 055.50 per month to be forwarded to payee below. C'
You do not have to vary your pay cycle to he in compliance with the support order. If your pay cytle, does fjgt m h
the ordered support payment cycle, use the following to determine how much to withhold: I "
$ 705.12 per weekly pay period. °'
$ 1.410.23 per biweekly pay period (every two weeks).
$ 1.527.75 per semimonthly pay period (twice a month). i •'
$ 3. o55, 5o per monthly pay period. 1.'
REMITTANCE INFORMATION: o
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 49 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877.676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
Date of Order:
1
DRO: R.J. Shadday
Service Type M
BY THE COURT:
J. 11,1161ey Oler, J1' Judge
Form EN-028
11%111., INI'111115r
$IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? if [heckcgl you are u4juirrl, to pr Mile a 'opy of this form to Your,tlodoyee. If yoVr employees orks in a state that is
different Irom the state that issued this onler, a copy must be prowtla? to your vrop oyee even if 'lie box is not checked.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against Ole same income.
Federal tax levies in effect before receipl 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.
3.0 Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The-
paydateMate 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'Vobligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See p9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employWobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2327202090
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to repon 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 Stale law governs unless
the obligor is employed in another State, in which case the law of the State in which lie or she is employed governs.
8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor 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.
9.0 Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2)1 the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
' NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
I1.Submitled By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type N
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240.6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
II\IN 4u IYI'lllll Yl
Form EN-028
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/OblIgor: PEYSER, RICHARD
PACSES Case Number 231107578 PACSES Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. PEYSER
Docket Attachment Amount Docket Attachment Amount
00657 S 2005 5 1,000.00 97-929 CIVIL $ 183.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number 700000025
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
1310 S 96 $ 1,872.50
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
TRISTEN PEYSER 08/04/94
MATTHEW PEYSER OB/18/90
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'stobligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
DOB
?If checked, you are require( to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
f 0.00
Child(ren)'s Name(s): DOB
?if checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?If checked, you are require( to enroll the child(ren) ?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028
Service Type N 11 Worker ID $IATT
\Ifl Hn IM,%11111 SJ
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DONI STIC RELATIONS SECTION
13 N. IIANOVER ST, P.O. ROC 320, CARLISLE, I-A. 17013
Phone: (717) 240-6225
Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
INease note: All correspondence must Include the Member II) Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multipl e Cases on Attach ment
Plaintiff Name PACSPS
Cam Number D*xkct
mntx Anac hmetn Amoun0reauencY
C)
r?
BONNIE L. PHYSHR
231101578
00657 S 2005
$
?
1,000.00
183
00
/MON7'+f
/moNT 1
?.? r'
THERESA A. PEYSER 293107708 97-929 CIVIL
S 96 y$$ .
872
50
1 MONTH n ?
THERESA A. PEYSER 700000025 1310 S .
, -n
:Fry
TOTAL ATTACH
MENTASIOUN-r:
$
3,055.50
;-: W
,
=
0
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of S 705.12
per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number 104-50-7257 , Member
ID Number 7100000024 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrcarages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. 4 1673(b)(2) and 23
Pa. C.S. 4 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 19, 2004 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: c I r a
DRO: R.J. Shadday
Service Type M
J., Wesley Oler, ., JUDGE
/ For] EN-034
Worker ID $IATT
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. IIANOVER ST, P.O. BOX 320, CARLISLE. PA. 17013
Phone: (717) 240.6225
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Fax: (717) 240-6248
Plena note: All corrapondence mmt Imlude the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down or Nfulth ile Castro on Attachment
Plaintiff Namc PACSES
Ca,c Number DtKket
Numher
AliaehnKlll Almlllnl/f'feUllenl'Y
BONNIE L. PEYSER 211107578 00657 S 2005 $ 1,000.00 /MONTH
THERESA A. PEYSER 293107708 97-929 CIVIL 5 220.50 /MONTH
THERESA A. PEYSER 700000025 1310 8 96 $ 1,872.50 MONTH
S
/
5
S /
TOTAL ATTACHMENT AStOUNT: $ 3,093.00
Now, by Order of this Coun, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of S 713 .77
per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number 104-50-7257 , Member
ID Number 7100000024 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. 5 1673(b)(2) and 23
Pa. C.S. 0 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 18, 2005 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: S
J
• ; L JUDGE
DRO: R.J. Shddddy
Service Type m
Form EN-034
Worker ID $IATT
0,
tJ ?? C7
ti
U. v.
i v C..)
4
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
Stale Commonwealth of P nnryl -ania
Co./City/Disc. of CUMBERLAND
Dale of Order/Notice 10/05/05
Case Number (See Addendum for case summary)
Lmployer/Wnhholder's I ederal f IN Nunsbty
GENERAL HEALTHCARE RESOURCES I
STE 240
2250 HICKORY RD
PLYMOUTH MEETING PA 19462-1047
O Original Order/Notice
O Amended Order/Notice
O terminate Order/Nalice
Rlc PEYSER, RICHARD
231 I. mployee/Obligor's Name (Last, Fin[, MI)
107578
657 S 2005 104-50-7257
1 mployee/Obligor's Social Security Number
293107708 7100000024
97-929 CV tm)trryee/Obligor's Case Identifier
(See Addendum for plaintiff names
700000025
0 associated with cases on attachment)
1310
96 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.
$ 2, 905. oo per month in current support
$ 18B . 00 per month in past-due support Arrears 12 weeks or greater? ®yes Q no
$ o.00 per month in current and past-due medical support
$ 0. oo per month for genetic test costs
$ per month in other (specify)
for a total of $ 3, 093.00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 713.77 per weekly pay period.
$ ____LAZ7,jUper biweekly pay period (every two weeks).
$ 1.546.50 per semimonthly pay period (twice a month).
$ 3, o93. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1.877-676.9580 for instructions.
Make Remittance Payable to: PA SCDU
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.
BY THE COURT: /17
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106.9112
Date of Order:- (V e 71 ?>m 7"
DRO: R.J. Shddddy Wesley r, Judge
Service. Type M Form EN 028
nue w, to-irnm s' Worker I'D $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? I?,`;heckryyl you are requinKl, to prirville a f opy of this form to your Srnployee. If yo`u employe4 lorks in a slate tha?is
e i terent Ircnt the stale that issuer this o« er, a copy must be provir a to your enp oyee even if 1 re box is not chec ed.
1. Priority: Withholding under this OnledNotice 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 employeelobligor'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
paydoteMate 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 entployee'Vobligor'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 suppon 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 employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Ondet/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2327202090
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employeelobligor's income and other penalties set by Pennsylvania State law, Pennsylvania State law governs unless
the obligor is employed in another Stale, 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 Stale 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 Stale law
governs unless the obligor is employe( in another State, in which case the law of the Slate in which he or she is employed governs.
9.' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U-5-C. 41673 lint; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
"NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
I I. Submitted By:
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST
P,O. BOX 320
CARLISLE PA 17013
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 2406248 or
by internet www.childsupportstate.pa.us
Page 2 of 2
f IAIP bn 0.0 141,"
Form EN-028
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSESCase Number 23110'1578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 S 1,000.00
Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren)
identified above in any health Insurance coverage available
through the employee'stobligor's employment.
PAGES Case Number 700000025
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
1310 S 96 $ 1,872.50
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
TRISTEN PEYSER 08/04/94
KATTHEW PEYSER 08/18/90
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
S 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number 293107708
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
97-929 CIVIL $ 220.50
Child(ren)'s Name(s):
DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'stobligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PAGES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?If checked, you are required to enroll the child(ren) ?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028
Service Type N Worker ID
rnie n„ ircoan;a $IATT
i N
i= t
f u
V_ 'n
<V U
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
THERESA A. PEYSER
Plaintiff
Docket Number
PACSES Case Number
)
Other State ID Number
97-929 CIVIL
VS.
RICHARD PEYSER
Defendant
AND NOW to wit, this
Order
293107708
OCTOBER 5, 2005 it is hereby Ordered
that:
THE THE SPOUSAL SUPPORT OBLIGATION UNDER CASE #700000025 IS CONVERTED TO ALIMONY
PENDENTE LITE UNDER THE ABOVE CAPTIONED CASE, EFFECTIVE OCTOBER 16, 2000, AND
THE SPOUSAL SUPPORT BALANCE OF $2,602.79 IS DIRECTED TO THE APL ACCOUNT. THE APL
AMOUNT REMAINS AT $183.00 PER MONTH AS THERE ARE PENDING ECONOMIC ISSUES THAT
HAVE NOT BEEN RESOLVED IN THE DIVORCE.
BY THE COURT:
,7./ylesley Oler, J`r'4-, 1-7 . JUDGE
Form OE-520
SeMQ'r3$eJtj Shadday Worker ID 21005
>. N
Q? C) -
"'
C
['L LIf F? `
N L7
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist, of CUMBERLAND
Date of Order/Notice 02/10/06
Case Number (See Addendum for case summary)
EmployerANithholder's federal EIN Number
WOGANS DRUG 6 VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
231107578 OOriginal Order/Notice
657 S 2005 O Amended Order/Notice
O Terminate Order/Naice
293107708
97-929 CIVIL
RE:_PEYSER, RICHARD
Employee/Obligor's Name (Last, First, MI)
700000025 104-50-7257
1310 S 96 EmplnyedObligor's Social Security Number
7100000024
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on anactimen0
Custodial Parent's Name ILast, 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.
$ 2, 722.00 per month in current support
$ leB. oo per month in past-due support Arrears 12 weeks or greater? ® yes Q no
$ 0. oo per month in current and past-due medical support
$ o . Eloper month for genetic test costs
$ per month in other (specify)
for a total of $ 2, 91o, oe 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:
$ x71.54 per weekly pay period.
$ - 1. 343 , oe per biweekly pay period (every two weeks).
$ + . 455. oo per semimonthly pay period (twice a month).
b z. 910. oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1.877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY THE COURT:
Date of Order: Rio )a, 6
DRO: R.J. Shadday
Service Type M
OMB Nu 097110154
J. 1jl6Aley Oler,
Form EN-028
Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? IJ,?hecke?l you are required to pr?(1e a?opy of this form to your mployee. If yorr employes vorks in a state that is
Brent rom the state that issum t is o er, a copy must be provi( ec to your emp Dyer even d t e 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 employeelobligor's income in a single payment to
each agency requesting withholding. You must, however, separately identify the port ion of the single payment that is attributable to each
employWobligor.
3.•-ReportingthePaydatelDate-ofWithholding- Youmust report the paydate/dateof withholding when sending the payment. The
paydate/date-of withhoidino 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 employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 7191000044
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAMEIADDRESS:
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 Inmp 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 employeelobligor'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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment,
refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the Stale 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 05 U.S.C. §1673 Ml; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
1 l.Submitted By: If you or your employeelobligor 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.stale.pa.us
Service Type M
Page 2 of 2
Form EN-028
Worker ID $IATT
Oklol 097154
ADDENDUM
Summary of Cases on Attachment
Defendant/obligor: PEYSER, RICHARD
PACSES Case Number 231107578 PACSES Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. PEYSER
Docket Attachment Amount Dockel Attachment Amount
00657 S 2005 S 1,000.00 97-929 CIVIL $ 220.50
Chlld(ren)'s Name(s): DOB Child(ren)'s Name(s):
?If checked, you are required to enroll the child(ren)
identified above in any health Insurance coverage available
through the employee's/obligoes employment.
PACSES Case Number 700000025
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
1310 S 96 $ 1,689.50
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
TRISTEN PEYSER 08/04/94
MATTHEW PEYSER 08/18/90
?if checked, you are required to enroll the child(ren)
Identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
DOB
? If checked, you are required to enroll the child(ren)
Identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
?lf checked, you are required to enroll the child(ren)
Identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? if checked, you are required to enroll the child(ren) ?lf checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee'stobligor's employment.
Addendum Form EN-028
Service Type M Worker ID $IATT
oem w, . auooIs4
Y O
L' N
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
THERESA A. PEYSER ) Docket Number 97-929 CIVIL
Plaintiff )
VS. ) PACSES Case Number 293107708
RICHARD PEYSER )
Defendant ) Other State ID Number
PETITION FOR CONTEMPT - DEFENDANT
TO THE HONORABLE, THE JUDGES OF SAID COURT:
1. Petitioner is CUMBERLAND
2. Defendant is
County Domestic Relations Section.
RICHARD PEYSER
who resides at
PO BOX 681, DILLSBURG, PA. 17019-0681-81
3. On OCTOBER 3, 2005 an order of support was entered by the Honorable Court
directing Defendant to pay the sum of $183.00 per month for the support of
his/her dependent(s).
4. Defendant has failed to comply with the order as entered by the Court by failing to:
® pay as ordered.
® provide information which was ordered.
® appear as ordered.
10 other:
3/9/06: Deft. did not appear for enforcement conference.
Arrears are increasing.
5. The arrearages under the Order amount to $3,034.06 as of MARCH 10, 2006
WHEREFORE, Petitioner prays that the Court issue an order directing the attendance
of Defendant at a hearing of said Petition and hereafter to make an adjudication of contempt.
I verify that the statements made in this Petition are true and correct to the best of my
knowledge. I understand that false statements herein are made to the penalties of 18 Pa.
C.S. § 4904 relating to unswom falsification to authorities.
MARCH 10, 2006 R. J. SHADD // /
Date Signature
Form EN-007
Service Type M Worker ID 21600
?._ `. ,
?:,
,.
,.' , -?
.? _-
;;?
_:
?,. r
v c? -
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
THERESA A. PEYSER ) Docket Number 97-929 CIVIL
Plaintiff )
VS. ) PACSES Case Number 293107708
RICHARD PEYSER )
Defendant ) Other State ID Number
l.?/lop?vpi, /7r
ORDER OFORDER?F???T -3/1t3/" b
Legal proceedings have been brought against you alleging ; .,:..._..._:. _ ____.:__ ..........:
you have wilfully disobeyed an Order of Court.
1. If you wish to defend against the claim set forth in the following pages, you may,
but are not required to, file in writing with the Court your defenses or objections.
2. You, RICHARD PEYSER , Respondent, must
appear in person in court on APRIL 28, 2006 at 9:OOAM in
COURT ROOM 1
CUMBERLAND CO COURTHOUSE, 1 COURTHOUSE SQUARE, CARLISLE, PA. 17013
IF YOU DO NOT APPEAR IN PERSON, THE COURT MAY ISSUE A
WARRANT FOR YOUR ARREST AND YOU MAY BE COMMITTED TO JAIL.
3. If the Court finds that you have wilfully failed to comply with its order you may be
found to be in contempt of court and committed to jail, fined, or both.
Service Type M
Form EN-528
Worker ID 21600
PEYSER V. PEYSER PACSES Ca.w Number: 293107708
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT
HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS
OFFICE MAY BE ABLE TO PROVIDE YOU WITH THE INFORMATION ABOUT
AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A
REDUCED FEE OR NO FEE.
CUMBERLAND CO BAR ASSOCIATION
32 S BEDFORD ST
CARLISLE PA 17013-3302-32
(717) 249-3166
AMERICANS WITH DISABILITIES ACT OF 1990
The Court of Common Pleas of CUMBERLAND County is required by law to
comply with the Americans with Disabilities Act of 1990. For information about accessible
facilities and reasonable accommodations available to disabled individuals having business
before the court, please contact our office at: (717) 240-6225 . All arrangements must be
made at least 72 hours prior to any hearing or business before the court. You must attend the
scheduled hearing.
BY THE COURT:
Date of Order: (off ,6
Wesley Ol Jr., JUDGE
Page 2 of 2 Form EN-528
Service Type M Worker [D 21600
:??
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CJ
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THERESA A. PEYSER,
Plaintiff
V.
RICHARD PEYSER,
Defendant
THERESA A. PEYSER,
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
DOMESTIC RELATIONS SECTION
CIVIL ACTION - SUPPORT
NO. 1310 SUPPORT 1996
PACSES NO. 700000025
. IN THE COURT OF COMMON PLEAS OF
. CUMBERLAND COUNTY, PENNSYLVANIA
V. DOMESTIC RELATIONS SECTION
. CIVIL ACTION - SUPPORT
RICHARD PEYSER, NO. 97-929 CIVIL
Defendant PACSES NO. 293107708
IN RE: SUPPORT
ORDER OF COURT
AND NOW, this 19th day of May, 2006, the Defendant,
Richard Peyser, now appearing in court in the above-captioned
matters on Petitions for Contempt with his privately retained
counsel, Monica E. Baturin, Esquire, and the Plaintiff, Theresa A.
Peyser, also appearing in court with her privately retained
counsel, Courtney L. Kishel, Esquire, and pursuant to an agreement
of the parties premised upon a payment for medical expenses in the
amount of $415 on today's date, and Defendant's representation that
he will make the payments required under the order hereafter on a
timely basis, the Petitions for Contempt are dismissed.
Courtney L. Kishel, Esquire
For Plaintiff
Monica E. Baturin, Esquire
For the Defendant
pcb
Rv rho rnnrt.
>- Q,
LL.
I1
M
u. N
U. a
N U
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dirt. of CUMBERLAND
Date of Order/Notice 06/22/06
Case Number (See Addendum for case summary)
fmployerAVithholder's federal FIN Number
GENERAL HEALTHCARE RESOURCES I
STE 240
2250 HICKORY RD
PLYMOUTH MEETING PA 19462-1047
?_q?10?-103
C"-C12q Ctv%l
O Original OnledNmn e
O Amended Order/Nolice
O Ierminale Order/Notirr
RL: PEYSER RICHARD
_ I mployee/Obligor's Name (I ash First. MI)
2.6llI0-1518
uc,sn J 2=!I,
-IOtJC.'CCOZ?
1310 S cllo
104-50-7257
I mployee/Obligor's social Security Number
7100000024
f mployee/Obligor's Case Identifier
flee Addendum for OWN 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.
b 0.00 per month in current support
$ o. Do per month in past-due support Arrears 12 weeks or greater? 0yes ® no
$ 0.00 per month in current and past-due medical support
$ 0.00 per month for genetic test costs
f per month in other (specify)
for a -total of $ 0. 00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$o. 00 per weekly pay period.
b o. oo per biweekly pay period (every two weeks).
E o. oo per semimonthly pay period (twice a month).
$ o . oo per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, 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.
Date of Order: Zl-nl-C 7 7 0,-ab
Service Type M
Osrew, 11117001
IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? IJ.finked you are required to In wifde a ?'opy of this form to your elmfdoyee. If your employee norks in a state that is
t uerent from the state that issuer' this on er, a c opy must be provir eo to your emp oyee even if the box is not rhec krtil.
1. Priority: Withholding under this Order/Notice has priority over any other legal process under Slate law against the same income.
Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in efferl please contarl 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
paydateldete of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the
stale of the employee's/obligor's principal place of employment with respect to the lime periods within which you must implement file
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 employeelobligor 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 N9 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 befow.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2327202090
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAMUADDRESS:
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 Or der/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 Stale law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
B. Antidiscrimination: You are subject lo a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or eking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b) 1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: Slate, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a slate order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
• NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By: If you or your employeelobligor 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
Service Type N (WEINo 0-1704,154 Worker lD $iATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PAC5E5 Case Number 231107578 PACSES Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. PEYSER
Docket Attachment Amount Docke Attachment Amount
00657 S 2005 S 0.00 97-929 CIVIL S 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s):
?lf checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number 700000025
Plaintiff Name
THERESA A. PEYSER
Docke Attachment Amount
1310 S 96 $ 0.00
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
TRISTEN PEYSER 08/04/94
MATTHEW PEYSER 08/18/90
?If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
f 0.00
Child(ren)'s Name(s): DOB
DOB
?lf checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee'slobligor's employment.
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
S 0.00
Child(ren)'s Name(s): DOB
?if checked, you are required to enroll the child(ren) ?if checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum form EN-028
Service Type M 1\fl Nn 0I70111 " Worker ID $IATT
1
l'-1 LI
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
THERESA A. PEYSER ) Docket Number 97-929 CIVIL
Plaintiff )
vs. ) PACSES Case Number 293107708
RICHARD PEYSER )
Defendant ) Other State ID Number
ORDER OF COURT
Legal proceedings have been brought against you alleging
you have wilfully disobeyed an Order of Court.
1. If you wish to defend against the claim set forth in the following pages, you may,
but are not required to, file in writing with the Court your defenses or objections.
2. You, RICHARD PEYSER , Respondent, must
appear in person in court on MAY 19, 2006 , at 9:OOAM , in
COURT ROOM 1
CUMBERLAND CO COURTHOUSE, 1 COURTHOUSE SQUARE, CARLISLE, PA. 17013
IF YOU DO NOT APPEAR IN PERSON, THE COURT MAY ISSUE A
WARRANT FOR YOUR ARREST AND YOU MAY BE COMMITTED TO JAIL.
3. If the Court finds that you have wilfully failed to comply with its order you may be
found to be in contempt of court and committed to jail, fined, or both.
Form EN-528
Service Type M Worker ID 21600
PEYSER V. PEYSER PACSES Case Number: 293107708
YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO
NOT HAVE A LAWYER, GO TO OR TELEPHONE THE OFFICE SET FORTH
BELOW. THIS OFFICE CAN PROVIDE YOU WITH INFORMATION ABOUT
HIRING A LAWYER. IF YOU CANNOT AFFORD TO HIRE A LAWYER, THIS
OFFICE MAY BE ABLE TO PROVIDE YOU WITH THE INFORMATION ABOUT
AGENCIES THAT MAY OFFER LEGAL SERVICES TO ELIGIBLE PERSONS AT A
REDUCED FEE OR NO FEE.
CUMBERLAND CO BAR ASSOCIATION
32 S BEDFORD ST
CARLISLE PA 17013-3302-32
(717) 249-3166
AMERICANS WITH DISABILITIES ACT OF 1990
The Court of Common Pleas of CUMBERLAND County is required by law to
comply with the Americans with Disabilities Act of 1990. For information about accessible
facilities and reasonable accommodations available to disabled individuals having business
before the court, please contact our office at: (717) 240-6225 . All arrangements must be
made at least 72 hours prior to any hearing or business before the court. You must attend the
scheduled hearing.
BY THE COURT:
Date of Order: ZS. 7'106
i
Dler,?r., JUDGE
Page 2 of 2 Form EN-528
Service Type M Worker ID 21600
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AS OF o9 -ll- aoo6
CASE# ) q ? 7 - 9 ?-c/ civ* I 4-cr^
HAS BEEN SCANNED.
ALL EARLIER
FILINGS TO THIS
CASE HAVE BEEN
MICROFILMED.
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
Fax: (717) 240-6248
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
BONNIE L. PEYSER
THERESA A. PEYSER
THERESA A. PEYSER
PACSES Docket
Case Number Number
231107578 00657 S 2005
293107708 97-929 CIVIL
700000025 1310 S 96
Attachment AmoundFreguenc
$ 1,000.00 /MONTH
$$$ 220.50 /MONTH
1,396.50 MONTH
/
/
TOTAL ATTACHMENT AMOUNT: $ 2,617.00
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 603 .92
per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number 104-50-7257 , Member
ID Number 710 0 0 0 0 0 2 4 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 18, 2005 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: 4,1,14 J /
--?-o'G
ley Oler, . , JUDGE
J. r-'
DRO: R. J. Shadday Form EN-034
Service Type M Worker ID $ IATT
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ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania 293107708
97-929 CIVIL
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 09/06/06 700000025
Case N u m ber (See Addendum for case summary) 1310 S 96
Employer/Withholder's Federal EIN Number
WOGANS DRUG & VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
RE: PEYSER, RICHARD
231107578
657 S 2005
O Original Order/Notice
O Amended Order/Notice
O Terminate Order/Notice
Employee/Obligor's Name (Last, First, MI)
104-50-7257
Employee/Obligor's Social Security Number
7100000024
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.
$ 2, 429.00 per month in current support $ 188.00 per month in past-due support Arrears 12 weeks or greater? (9) yes Q no
$ 0.00 per month in current and past-due medical support
$ 0.00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 2, 617.00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 603.92 per weekly pay period.
$ 1, 207.85 per biweekly pay period (every two weeks).
$ 1.308.50 per semimonthly pay period (twice a month).
$ 2, 617.00 per monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1-877-676-9580 for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, 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.
BY THE COUR
Date of Order: ?b
J. s 'ey Oler, J Judge
DRO: R. J. Shadday Form EN-028
Service Type M OMB No.: 0970-0154 Worker ID $ IATT
R
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? Ifhecke?l you are required to provide a copy of this form to your mployee. If your employee works in a state that is
di erent rrom the state that issued this order, a copy must be provi?ed 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 -Withhold Ing. TOU IIIUSt report the paydate/date ol withholding wi mi I smuing
You must comply with the law of the
state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the
withholding order and forward the support payments.
4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against
this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow
the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 7181000044
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER. RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11. Submitted By: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT
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
Page 2 of 2
Service Type M
OMB No.: 0970-0154
Form EN-028
Worker ID $IATT
ADDENDUM
Summarv of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578 PACKS Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. PEYSER
Docket Attachment Amount Docket Attachment Amount
00657 S 2005 $ 1,000.00 97-929 CIVIL $ 220.50
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
PACSES Case Number 700000025 PACSES Case Number
Plaintiff Name Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
Docket Attachment Amount
1310 S 96 $ 1,396.50 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
TRSSTEN PEYSER 08/04/94
MATTHEW PEYSER 08/18/90
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
PACSES Case Number PACSES Case Number
Plaintiff Name Plaintiff Name
Docket Attachment Amount Docket Attachment Amount
$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028
Service Type M Worker ID $IATT
OMB No.: 0970-0754
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
THERESA A. PEYSER Docket Number 97-929 CIVIL
Plaintiff )
vs. ) PACSES Case Number 293107708
RICHARD PEYSER
Defendant ) Other State ID Number
Order
AND NOW to wit, this JANUARY 5, 2007 it is hereby Ordered
that:
SHOULD THE DEFENDANT FALL IN ARREARS, PAYMENTS ARE TO BE INCREASED BY $1.50 PER
MONTH FOR PAYMENT ON SAID ARREARS.
BY THE COURT:
DRO: R.J. Shadday
Form OE-520
Service Type M Worker ID 212 0 5
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In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Fax: (717) 240-6248
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
BONNIE L. PEYSER
THERESA A. PEYSER
THERESA A. PEYSER
PACSES Docket
Case Number Number
231107578 00657 S 2005
293107708 97-929 CIVIL
700000025 1310 S 96
TOTAL ATTACHMENT AMOUNT: $ 2,153.00
Attachment Amount/Freauenc
$ 1,000.00 /MONTH
$$$ 184.50 /MONTH
968.50 MONTH
/
Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment
Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 4 9 6.8 5
per week, or 55 . o %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number 104 - 5 0 - 72 5 7 , Member
ID Number 710 0 0 0 0 02 4 . BUCBA is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(8).
This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 18, 2005 is exhausted, expired or deferred.
BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: ?u -?- Z, L 1, -> "
Service Type M
Form EN-034
Worker ID $ IATT
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to y,,:
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T-P
cn
-173iG770-
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT q7 - ?Rq 0,10C_
State Commonwealth of Pennsylvania 7Dd O000aa (Original Order/Notice
OZ'
Co./City/Dist. Of CUMBERLAND 1.3 ?0 '5 q? O Amended Order/Notice
Date of Order/Notice 02/28/07 ?,-:? /! (J `> .7-1-5 7& O Terminate Order/Notice
Case Number (See Addendum for case summary)
4157 S Z05
RE: PEYSER, RICHARD
Employer/Vdithholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI)
WOGANS DRUG & VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
104-50-7257
Employee/Obligor's Social Security Number
7100000024
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.
$ 2, 001.00 per month in current support
$ 152.00 per month in past-due support Arrears 12 weeks or greater? ®yes Q no
$ 0.00 per month in current and past-due medical support
$ 0.00 per month for genetic test costs
$ per month in other (specify)
for a total of $ 2,153.00 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 495.85 per weekly pay period.
$ 993.59 per biweekly pay period (every two weeks).
$ 1. 076.5o per semimonthly pay period (twice a month).
$ 2.153. gaper monthly pay period.
REMITTANCE INFORMATION:
You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to
deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the
allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is
needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580
for instructions.
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112
IN ADDITION, 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.
BY THE COURT:
Date of Order:--- P4 ?. LL :D2?7 1?4
Service Type M OMB No.: 0970-0154
i ud
ae-
Form EN-02 Rev. 1
Worker ID $IATT
N ,0%
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
? If heckefl you are requ,V to provide a Copy of this form to your mployee. If yorr employee orks in a state that is
of Brent rom the state that issued this order, a copy must be provi?ed to your emp ogee even if tie 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 employeelobligor'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
employeelobligor.
3.*
wages. L11 lie Reporting the PaydateVE)ate of With! ioldii %. You must repoilt the paydate/date of withholding when sendingthe payment. -T
paydate/date of withholding is the date on which amount was 1F thheld hom t ie employee's 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 employeelobligor 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'slobligor's principal place of employment. You must honor all Orders/Notices to the greatest extent
possible. (See #9 below)
5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below.
THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 7181000044
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 DATE OF SEPARATION:
LAST KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS:
6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or
severance pay. If you have any questions about lump sum payments, contact the person or authority below.
7. Liability: if you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have
withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless
the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment,
refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law
governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs.
9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit
Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment.
The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory
deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more
than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more
than the amounts allowed under the law of the state that issued the order.
10. Additional Info:
*NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the
law of the state that issued this order with respect to these items.
11.Submitted By: 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
Service Type M
Page 2 of 2
Form EN-028 Rev. 1
Worker ID $IATT
OMB No.: 0970.0154
T - A
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACKS Case Number 231107578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 $ 1,000.00
Child(ren)'s Name(s): DOB
PACKS Case Number 293107708
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
97-929 CIVIL $ 184.50
Child(ren)'s Name(s): DOB
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
PACKS Case Number 700000025
Plaintiff Name
THERESA A. PEYSER
Docket Attachment Amount
1310 S 96 $ 968.50
Child(ren)'s Name(s): DOB
TRISTEN PEYSER 08/04/94
NAB!' I* P-'YS R 081::{ 0
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available
through the employee's/obligor's employment.
? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren)
identified above in any health insurance coverage available identified above in any health insurance coverage available
through the employee's/obligor's employment. through the employee's/obligor's employment.
Addendum Form EN-028 Rev. 1
Service Type M Worker ID $IATT
OMB No.: 0970-0154
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ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT 97+-929 CIVIL
231107578 OOriginal Order/Notice
State Commonwealth of Pennsylvania
CO./City/Dirt. of CUMBERLAND 657 S 2005 @ Amended Order/Notice
Date of Order/Notice 11/21/08 700000025 0Terminate Order/Notice
Case Number (See Addendum for case summary) 1310 S 96 OOne-Time Lump Sum/Notice
Employer/Withholder's Federal EIN Number
RE:PEYSER, RICHARD
Employee/Obligor's Name (Last, First, MI)
WOGANS DRUG & VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
104-50-7257
Employee/Obligor's Social Security Number
7100000024
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'slobligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 856.00 per month in current child support
$ 0.00 per month in past-due child support Arrears 12 weeks or greater? Dyes O no
$ 0.00 per month in current medical support
$ 137.00 per month in past-due medical support
$ 1,145.00 per month in current spousal support
$ 39.50 per month in past-due spousal support
$ 0.00 per month for genetic test costs
$ o . oo per month in other (specify)
$ one-time lump sum payment
for a total of $ 2,177.50 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 502.50 per weekly pay period. $ 1, 088.75 per semimonthly pay period
(twice a month)
$ 1005.00 per biweekly pay period (every two weeks) $ 2,177.50 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
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. A n n
BY THE COURT:
IL/ J> -( 2 a
J. Wesley Oler, JR., J ge
DRO: R.J. Shadday - Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
If heck you are required to pr vide a opy of this form to your m loyee. If yo r employee works in a state that is
di ferent from the state that issued this or?er, a copy must be provic?edpto 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. 7181000044
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024
LAST KNOWN HOME ADDRESS:
LAST KNOWN PHONE NUMBER:
DATE OF SEPARATION:
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) (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
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M OMB No.: 0970-0154
Form EN-028 Rev. 4
Worker I D $ IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 $ 1,000.00
Child(ren)'s Name(s): DOB
PACSES Case Number 293107708
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
97-929 CIVIL $ 184.50
Child(ren)'s Name(s): DOB
PACSES Case Number 700000025
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
1310 S 96 $ 993.00
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
IRIS N PEYSEx 0.8/04/94
MATTHEW PEYSER 08/18/90
PACKS 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
PACKS Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
Addendum Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker ID $IATT
Z 1
.. k
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER SP, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
BONNIE L. PEYSER
THERESA A. RICKERT
THERESA A. RICKERT
PACSES Docket
Case Number Number
231107578 00657 S 2005
293107708 97-929 CIVIL
700000025 1310 S 96
Attachment AmountlFreauenc
$ 1,000.00 /MONTH
$$$ 184.50 /MONTH
993.00 MONTH
/
/
TOTAL ATTACHMENT AMOUNT: $ 2,177.50
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 5 01.12
per week, or 55.0 %6, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Ntunber XXX-XX-7257 , Member
ID Number 710 0 0 0 0 0 2 4 . OUCB is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 18, 2005 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: 2 LI 1 _0?r
DRO: R. J. SHADDAY
J /,WESLEY OLER, aW. , - JUDGE
Form EN-034 Rev.2
Service Type M Worker ID $ IATT
r_,
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
231107578
State Commonwealth of Pennsylvania 657 S 2005
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 02/02/09 700000025
Case Number (See Addendum for case summary) 1310 S 96
Employer/Withholder's Federal EIN Number
WOGANS DRUG & VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
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)
97-929 CIVIL
OOriginal Order/Notice
OAmended Order/Notice
OTerminate Order/Notice
OOne-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
104-50-7257
Employee/Obligor's Social Security Number
7100000024
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Parent's Name (Last, First, MI)
Arrears 12 weeks or greaten' ® yes O no
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.
$ 1,288.00
$
$ 75.00
0.00
$ 137.00
$ 1,145.00
$ 39.50
$ 0.00
$ 0.00
RE:PEYSER, RICHARD
one-time lump sum payment
for a total of $ 2,684.50 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 619.50 per weekly pay period. $ 1, 342.25 per semimonthly pay period
(twice a month)
$-1239.00 per biweekly pay period (every two weeks) $ 2, 684.50 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
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. / / 1-?7
BY THE COURT: + Z L11 bto ?s 2,::" Z)
DRO: R.J. Shadday
Service Type M
J!'-Wesley Oler, Jr., JudgeForm EN-028 Rev. 4
OMB No.: 0970-0154 Worker ID $ IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
If heck you are required to provide a opy of this form to your employee. If yo r employee orks in a state thatkis
dierent from the state that issued this o er, a copy must be provided to your emp?oyee even ife box is not chec ed
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 employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 7181000044
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : 0 THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: lZI
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 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 govems.
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
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport.state.pa.us
Page 2 of 2
Service Type M OMB No.: 0970-0 154
Form EN-028 Rev. 4
Worker ID $IATT
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 $ 1,000.00
Child(ren)'s Name(s): DOB
PACSES Case Number 700000025
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
1310 S 96 $ 1,500.00
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08/92
........... i P? SCS OR- :64' :94.
MATTHEW PEYSER 08/18/90
Service Type M
Addendum
OMB No.: 0970-0154
PACSES Case Number 293107708
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
97-929 CIVIL $ 184.50
Child(ren)'s Name(s): DOB
Form EN-028 Rev. 4
Worker I D $ iATT
?r ? ?p
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACI VIENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
BONNIE L. PEYSER
THERESA A. RICKERT
THERESA A. RICKERT
PACSES Docket
Case Number Number
231107578 00657 S 2005
293107708 97-929 CIVIL
700000025 1310 S 96
TOTAL ATTACHMENT AMOUNT:
Attachmetit AmountlFreauencv
$ 1,000.00 /MONTH
$ 184.50 /MONTH
$ 1,500.00 MONTH
S
/
2,684.50
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 617.8 0
per week, or 55 . o %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number XXX-XX-7257 , Member
ID Number 7100000024 . OUCB is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated SEPTEMBER 19, 2004 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order:
J. SLEY OLE , JR., JUDGE
Form EN-034 Rev.2
Service Type M Worker ID $ IATT
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ra
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Ok
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
State Commonwealth of Pennsylvania
Co./City/Dist. of CUMBERLAND
Date of Order/Notice 03/25/09
Case Number (See Addendum for case summary)
Employer/Withholder's Federal EIN Number
WOGANS DRUG & VARIETY STO
410 QUEEN ST
LITTLESTOWN PA 17340
104-50-7257
Employee/ Obligor's Social Security Number
7100o0_g024
Employee/ Obligor's Case Identifier
(See Adden0fum 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'slobligor's income until further notice even if the Order/Notice is not
issued by your State.
$ 0.00 per month in current child support
$ o . oo per month in past-due child support Arrears 12 weeks or greater?' 0yes ® no
$ 0.00 per month in current medical support
$ o.0o per month in past-due medical support
$ 0.00 per month in current spousal support
$ o . oo per month in past-due spousal support
$ 0._2.o per month for genetic test costs
$ 0.00 per month in other (specify)
$ one-time lump sum payment
for a total of $ 0 . o 0 per month to be forwarded to payee below.
You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match
the ordered support payment cycle, use the following to determine how much to withhold:
$ 0.00 per weekly pay period. $ 0. 00 per semimonthly pay period
(twice a' month)
$ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period.
REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10)
working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of
withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work
state of your employee for the allowable amount. The total withheld.amount, and your fee, cannot exceed 55% of
the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding,
the following information is needed (See #9 on page 2).
If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call
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 NAMEAND THE PACSES MEMBER ID (shown
above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL. /
BY TAE COURT:
DRO: R.J. Shadday
Service Type M OMB No.: 0970-0154
231107578
657 S 2005
700000025
1310 S 96
97-929 CIVIL
O Original Order/Notice
OAmended Order/Notice
0 Terminate Order/Notice
Oone-Time Lump Sum/Notice
RE: PEYSER, RICHARD
Employee/Obligor's Name (Last, First, MI)
Oler, Jr.,
z?, L, LT1oo?
Judge
Form EN-028 Rev. 4
Worker ID $IATT
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
EJ If #hecke?l you are required to rpvide aopy of this form to your toyee. If your employee Works in a state that is
i Brent tram the state that issued this o er, a copy must be provigmpto 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 employeelobligor 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/obltgor'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 employeelobligor is no longer working for you.
Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. 7181000044
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER : O THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 0
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 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. Antidiscrimination: 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 employeelobligor 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
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
Page 2 of 2 Form EN-028 Rev. 4
Service Type M OMB No.: 0970-0154 Worker I D $ IATT
ADDENDUM
Summary of Cases on Attachment
DefendanVObligor: PEYSER, RICHARD
PACSES Case Number 231107578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 $ 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number 700000025
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
1310 S 96 $ 0.00
Child(ren)'s Name(s): DOB
JONATHAN PEYSER 04/08
/92
,
MATTHEW PEYSER 08/18/90
PACSES Case Number
Plaintiff Name
Docket Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
Service Type M
Addendum
OMB No.: 0970-0154
PACKS Case Number 293107708
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
97-929 CIVIL $ 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
Form EN-028 Rev. 4
Worker I D $ IATT
_ i
/: A\
In the Court of Conunon Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
BY THE COURT
ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS
Financial Break Down of Multiple Cases on Attachment
Plaintiff Name
BONNIE L. PEYSER
THERESA A. RICKERT
THERESA A. RICKERT
PACSES Docket
Case Number Number
231107578 00657 S 2005
293107708 97-929 CIVIL
700000025 1310 S 96
TOTAL ATTACHMENT AMOUNT:
Attachment Amount/Freauenc
$ 1,000.00 /MONTH
$$$ 184.50 /MONTH
1,500.00 MONTH
/
$ 2,684.50
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 61'7.8 0
per week, or 55 of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number XXX-XX- 7257
Member ID Number 7100000024 . OUCB is ordered to remit the amount attached to the Department of
Public Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section
of this Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total
amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673
(b)(2) and 23 Pa. C.S.A. § 4348 (g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated MARCH 8, 2 0 0 9 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
Date of Order: ao /
JUDGE
Service Type M Worker ID $ IATT
Form EN-530 Rev.2
2GU9 PR --8 Pi i 3* C' ti
In the Court of
THERESA A. RICKERT
vs.
RICHARD PEYSER
1. The petition of
represents that on
support of
THERESA A. RI
A true and correct
Service Type M
i Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
Docket Number
)
PACSES Case Number
)
Other State ID Number
PETITION FOR MODIFICATION
97-929 CIVIL
293107708
RICHARD PEYSER respectfully
3, 2005 , an Order of Court was entered for the
2T
of the order is attached to this petition.
Form OM-501
Worker ID 21005
i
RICKERT ?!• PEYSER PACSES Case Number: 293107708
2. Petitioner is entitled
O other of this
circumstance:
Laid off and recei
WHEREFORE,
I verify that the stat
that false statements herein
unworn falsification to aui
Date
O increase ® decrease Q termination Q reinstatement
because of the following material and substantial change(s) in
unemployment compensation benefits since 3/7/09
requests that the Court modify the existing order for su port. _
-u ) All P ?J 1?) `Jel J11
lC?.
Petitioner --Attorney f Petiti ner
[its made in this complaint are true and correct. I understand
made subject to the penalties of 18 Pa. C.S. § 4904 relating to
Petitioner
Page 2 of 2 Form OM-501
Service Type M Worker ID 21005
ICLIW t: ;
R
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multip le Cases on Attachment
Plaintiff Name PACSES
Case Number Docket
Number Attachment Amount/Frequency
BONNIE L. PEYSER 231107578 00657 S 2005 $ 1,000.00 /MONTH
THERESA A. RICKERT 293107708 97-929 CIVIL 5.00 /MONTH
00 MONTH
615
THERESA A. RICKERT 700000025 1310 S 96 .
/
/
TOTAL ATTACHMENT AMOUNT: $ 1,620.00
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 372.82
per week, or 55 . o %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number XXX-XX-7257 , Member
ID Number 7100000024 . OUCB is ordered to remit the amount attached to the Department of Public
Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated MARCH 8, 2 0 0 9 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this
Court.
BY THE COURT
Date of Order: APR 14 2009
J WESLEY OLE , JR. , JUDGE
DRO: R.J. SHADDAY Form EN-034 Rev-2
Service Type M Worker ID $ IATT
Fl LED-O 5F tC.Pw
QF THE IRPOT :'MARY
2009 APR 17 X11 : 0
CUM `13r
d. E ?f ?SY L\i','A ? 1
THERESA A. RICKERT, IN THE COURT OF COMMON PLEAS OF
Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA
VS. CIVIL ACTION - DIVORCE
NO. 97-929 CIVIL TERM
RICHARD PEYSER, IN DIVORCE
Defendant/Respondent PACSES CASE: 293107708
ORDER OF COURT
AND NOW to wit, this 13th day of April, 2009, it is hereby Ordered that the Order for
Alimony Pendente Lite is suspended, effective April 13, 2009, pursuant to the Respondent being
unemployed and receiving Unemployment Benefits since March 7, 2009.
The Respondent will pay $5.00 per month on the remaining balance of $3,134.88 owed to
the Petitioner until further Order of Court
This Order shall become final twenty (20) days after the mailing of the notice of
the entry of the order to the parties unless either parry files a written demand with the Domestic
Relations Section for a hearing de novo before the Court.
DRO: R.J. Shadday
xc: Petitioner
Respondent
Courtney Kishel Powell, Esq.
Monica Baturin, Esq.
Form OE-001
Service Type: M Worker: 21005
BY THE COURT:
PLED-OFF-CE
OF THE RR THOONOTARY
2009 APR 17 AM, I d: 0 z)
CU. s'
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: 717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
OF
Plaintiff Name Financial Break Down of Multip
PACSES
Case Number le Cases on Attachment
Docket
Number Attachment Amc
unt/Fre ut
BONNIE L. PEYSER 231107578 00657 S 2005 $ 1,000.0 /MONTH
THERESA A. RICKERT 293107708 97-929 CIVIL 5.0 /MONTH
THERESA A. RICKERT 700000025 1310 S 96 553.0 MONTH
/
TOTAL ATTACHMENT AMOUNT: $ 1,558.0
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $ 358.55
per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant,
RICHARD PEYSER Social Security Number XXX-XX- 257 , Member
ID Number 7100000024 . OUCB is ordered to remit the amount attached to the Department f Public
Welfare (DPW). DPW shall forward the amount received from OUCB to the Domestic Relations Section of this
Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for
support and/or support arrearage, DPW may reduce the amount attached under this Order so that he total amount
attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23
Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB ands all remain in
effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for
Benefits dated MARCH 8, 2 0 0 9 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Orde of this Court.
All questions, challenges or obligations to this Order shall be directed to the Domestic Relations ection of this
Court.
BY THE COURT
Date of Order: ?-- c
x GO ? J. SLEY OLER, . ,
JUDGE
DRO: R.J. SHADDAY
Form LN-034 Rev.2
Service Type M Worker ID $ IATT
RLED-OTKOE
OF THE PROTRO:,`OTARY
2009 JUN 12 PP1 3* 08
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note: All correspondence must include the Member ID Number.
n
N
Q
3r'
Financial Break Down of Multip le Cases on Attachment "'fix
PACSES Docket
t A
7
Att
h
n0en
Plaintiff Name
BONNIE L. PEYSER Case Numbe
231107578 r Number
00657 S 2005 men
mou
c
ac
?I' H
1,000.00/
THERESA A. RICKERT
RICKERT
THERESA A 293107708
700000025 97-929 CIVIL
1310 S 96 25.00 /'IGICWH
593.00 MONTH
.
/
/
/
/
/
TOTAL ATTACHMENT AMOUNT: $ 1,618.00
0 1
--ICS
q-n+'1
Q f *1
w?
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $372.36 per week, or 55.0%,
of the Unemployment Compensation benefits otherwise payable to the Defendant, RICHARD PEYSER
Social Security Number XXX-XX-7257, Member ID Number 7100000024. OUCB is ordered to remit the
amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received
from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or
Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so
that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to
15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall
remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the
Application for Benefits dated MARCH 8, 2009 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this
Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations
Section of this Court.
BY THE COURT
Date of Order:
Service Type M Worker ID $IATT
Form EN-034
ORDERMOTICE TO WITHHOLD INCOME FOR SUPPORT
State: Commonwealth of Pennsylvania 231107578
Co./City/Dist. of: 657 S 2005
CUMBERLAND
Date of Order/Notice: 04/04/11 700000025
Case Number (See A e?for case summary) 1310 S 96
Employer/Withholder's Federal EIN Number
SOCIAL SECURITY ADMINISTRATION
950 BOROM RD
YORK PA 17404-1381
RE: PEYSER, RICHARD
97-929 CIVIL
Q. Original Order/Notice
Q Amended Order/Notice
Q Terminate Order/Notice
0 One-Time Lump Sum/Notice
Employee/Obligor's Name (Last, First, MI)
104-50-7257
Employee/Obligor's Social SecuniyjTU-M7Fe_r
7100000024
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.
$ 533.00 per month in current child support
$ 60.00 per month in past-due child support
$ 0.00 per month in current medical support
$ 0.00 per month in past-due medical support
$ 962.00 per month in current spousal support
$ 63.00 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 $ 1,618.00 per month to be forwarded to payee below.
O Yes ? na"?i
rn ca
-t
=-n
4 n
-z -
'v C:)?
X? ??
ca ?*
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:
$ 372.36 per weekly pay period. $ 809.00 per semimonthly pay period
(twice a month)
$ 744.72 per biweekly pay period (every two weeks) $ 1,618.00 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 Employeel0bligor's Case Identifies OR ?QCIAL SECURITY NUMBER IN ORDER TO BE
PROCESSED. DO NOT SEND CASH.BYM'AIL ?J //
BY THE COURT: r C r ? ? l? p--?ITQ ?
J. W ey Oler, r., Judge T
OMB No.: 0970-0154 Form EN-028
Service Type M Worker ID $OINC
Arrears 12 weeks or greater?
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. 5238100273
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: Q THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: Q
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 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) (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: If you or your employee/obligor have any questions,
DOMESTIC RELATIONS SECTION W
13 N. HANOVER ST
P.O. BOX 320
CARLISLE PA 17013
Service Type M
contact AGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupport state oa us
OMB No.: 0970-0154
Page 2 of 2
Form EN-028
Worker ID $OINC
y
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578
Plaintiff Nam.
BONNIE L. PEYSER
Docket Attachment Amount
00657S 2005 $ 1,000.00
Child(ren)'s Name(s): DOB
PACSES Case Number 293107708
Plaintiff Namg
THERESA A. RICKERT
Docket Attachment Amount
97-929 CIVIL $ 25.00
Child(ren)'s Name(s): DOB
PACSES Case-Number 700000025
Plaintiff Name
THERESA A. RICKERT Amo 1310 ke $ ttachme 593 00 unt
Child(ren)'s Name(s): DOB
TRISTEN PEYSER 08/04/94
PACSES Case Number
Plainti- ff Name
Docket A_ ttachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
PACSES Case Number
Plaintiff Name
ck t Attachment Amount
$ 0.00
Child(ren)'s Name(s): DOB
EAQSES Case Number
Plaintiff Name
Docket Att achment Amount
$ 0.00
Child(ren)'s Name(s): DOB
Addendum Form EN-028
Service Type M OMB No.: 0970-0154 Worker ID $OINC
ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT
?.31/D7_572
State: Commonwealth of Pennsylvania Lv 57 S _;DC} S
Co./City/Dist. of. CUMBERLAND
Date of Order/Notice: 05/02/11 7C'G L?!C?
Case Number (See A en um for case summary)
Employer/Withholder's Federal EIN Number
SOCIAL SECURITY ADMINISTRATION
950 BOROM RD
YORK PA 17404-1381
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.
$ 0.00 per month in current child support
$ 60.00 per month in past-due child support Arrears 12 weeks or greater? Q ?°s 4 no
$ 0.00 per month in current medical support
r? o
$ 0.00 per month in past-due medical support
$ 962.00 per month in current spousal support ? rr,
`k
$ 63.00 per month in past-due spousal support -
$ 0.00 per month for genetic test costs -t> (JI D
$ 0.00 per month in other (specify)
C -v cD -7
$ one-time lump sum payment o
C:) f
for a total of $ 1,085.00 per month to be forwarded to payee below. r,,
C,0
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:
$ 249.70 per weekly pay period. $ 542.50 per semimonthly pay period
$ 499.40 (twice a month)
per biweekly pay period (every two weeks) $ 1,085.00 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 /D
(shown above as the Employee/0blig9 is Case 10gntifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE
PROCESSED. DO NOT SEND CASH BrMAIL. / 1 j
RE: PEYSER. RICHARD
Employee/Obligor's Name (Last, First, MI)
10450-7257
Employee/Obligor's Social Secun171Tu_m_Fe__r
7100000024
Employee/Obligor's Case Identifier
(See Addendum for plaintiff names
'17-- "1 0 1vr /
0 Original Order/Notice
Q Amended Order/Notice
O Terminate Order/Notice
O One-Time Lump Sum/Notice
BY THE COURT:f M , t-1 )
Service Type M
y Oler, Jr., Judge
OMB No.: 0970-0154
Form EN-028
Worker ID $OINC
ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
EJ 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. 5238100273
THE PERSON HAS NEVER WORKED FOR THIS EMPLOYER: Q THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: O
EMPLOYEE'S/OBLIGOR'S NAME: PEYSER, RICHARD
EMPLOYEE'S CASE IDENTIFIER: 7100000024 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
Service Type M
If you or your employee/obligor have any questions,
contact WAGE ATTACHMENT UNIT
by telephone at (717) 240-6225 or
by FAX at (717) 240-6248 or
by internet www.childsupoort.state.ga.us
OMB No.: 0970-0154
Page 2 of 2
Form EN-028
Worker ID $OINC
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578
Plaintiff Name
BONNIE L. PEYSER
Docket Attachment Amount
00657 S 2005 $ 1,000.00
Child(ren)'s Name(s): DOB
PACSES Case Number 293107708
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
97-929 CIVIL $ 25.00
Child(ren)'s Name(s): DOB
PACSES Case Number 700000025
Plaintiff Name
THERESA A. RICKERT
Docket Attachment Amount
1310 S 96 $ 60.00
Child(ren)'s Name(s): DOB
TRISTEN PEYSER 08/04/94
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 $OINC
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
..l ,w
Financial Break Down of Multip le Cases on Attachment
P n CD
Plaintiff Name PACSES
Case Number Docket
Number Q N
Attachment Amount/ Frcy_
BONNIE L. PEYSER
THERESA A. RICKERT
THERESA A
RICKER 231107578
293107708 00657 S 2005
97-929 CIVIL 1,000.00 / MONT6
25.00 / MONTf+
.
T 700000025 1310 S 96 60.00 MONTH
$ J
TOTAL ATTACHMENT AMOUNT: $ 1,085.00
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $249.70 per week, or 55.0%,
of the Unemployment Compensation benefits otherwise payable to the Defendant, RICHARD PEYSER
Social Security Number XXX-XX-7257, Member ID Number 7100000024. OUCB is ordered to remit the
amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received
from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or
Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so
that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to
15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall
remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the
Application for Benefits dated MARCH 8, 2009 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this
Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations
Section of this Court.
BY THE COURT
Date of Order: 02-71-112010 J. Wesley ler, Jr., u
Form EN-034
Service Type M Worker ID $IATT
Please note: All correspondence must include the Member ID Number.
INCOME WITHHOLDING FOR SUPPORT
0 ORIGINAL INCOME WITHHOLDING ORDERINOTICE FOR SUPPORT(IWO)
,C,Z
(F) AMENDED IWO 1 3 2<A-��I Ib 213kkc
(-) ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT eVI.-CUA Ci 1/t LOC31 3
C) TERMINATION OF IWO Date: 06103/13
C3 Child Support 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 httl2://www.acf.hhs.govli)rocirams/ese/newhire/emi)foyer/i)ublication/publication.htm-forms). 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.
State/"Tribe/Territory Commonwealth of Pennsylvania Remittance Identifier(include w/payment): 7100000024
City/County/Dist./Tribe CUMBERLAND Order Identifier: (See Addendum for order/docket informaiton)
Private Individual/Entity CSE Agency Case Identifier: (See Addendum for case summary)
SOCIAL SECURITY ADMINISTRATION RE: PEYSER,RICHARD
STE 2 Employee/Obligor's Name(Last,First,Middle)
2670 INDUSTRIAL HWY 104-50-7257
YORK PA 17402-2233 Employee/Obligor's Social Security Number
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Party/Obligee's Name(Last, First,
Middle)
Employer/income Withholder's FEIN_ NOTE:This IWO must be regular on its face.
Under certain circumstances you must reject
Child(ren)'s Name(s)(Last,First,Middle) Child(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO
instructions
htti)://www.acf,hhs.qov/programs/cse/newhire
emi2lover/r)ublication/gublication,htm-forms}.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,
5238100273
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 Muni,
Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from t R e"oy0'6,/,L'
obligor's income until further notice. 7r-0 5-
$ 0.00 per month.in current child support 0, 1
CD
$ 0.00 Per month in past-due child support- Arrears 12 weeks or greater? (j)yes o -,-
$ 0.00 per month in current cash medical support C:;
$ 0,00 per month in past-due cash medical support =C) W �5
.. -I
$ 962.00 per month in current spousal support >
$ 63.00 per month in past-due spousal support CD
$— 0.00 per month in other(must specify)
for a Total Amount to Withhold of$ 1,025.00 per month.
AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Information,
If your pay cycle does not match the ordered payment cycle, withhold one of the following amount:
$ 2,7--ic.SR per weekly pay period. $ 512,50 per semimonthly pay period(twice a month)
$ 412YCE per biweekly pay period(every two weeks) $ 1,025,00 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 (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (1 0)
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 htti)://www.acf.hhs.c
,Iov/procirams/cse/newhire/employer/contacts/contact map
htm for the employee/obligor's principal place of employment.
Document Tracking Identifier
OMB No.:0970-0154
Form EN-028 06/12
Service Type M Worker ID $OINC
LJ mwetwmnmmbenaeriummpmam*oDy tnmpvmyen/nicpnmennonnn/#wrj. Fmymern must oe directed VmanS0U |n
accordance with 42U8C888G(b)(6)and (b)(6) or Tribal Payee(see Payments toSDUbehoxv . If payment|snot
directed hoonSDU/Trbd Payee or this KNOka not regular on its face, you must check this box and return the K8/Oho
the sender.
Signature of Judge/issuing Official (if required by State or Tribal law):
Print Name of Judge/Issuing Official:
Title of Judge/issuing Official:
Date of Signature: _r_�Au
if the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order,a copy of this IWO,
must bv provided 0n the employee/ob|igoc
� M if checked,the employer/income withholder must provide a copy of this form to the employeelobligor.
ADDITIONAL INFORMATION FOR EkMPLOYERVINCOK8EVVITHHOLDERS
Pennsylvania law(23 PA C.S.§4374(b))requires remittance by an electronic payment method Mmn employer isordered
km withhold income from more than one employee and employs 15or more persons,orif an employer has m history qf
two or more returned checks due tpnonmuffiu}mntfunds. Please call the Pennsylvania State Collections and
Disbursement Unit (PA 5CDU)Employer Customer Service ot1'877'67$-958U for instructions. PAF|PS CODE 42 0Q868
Make Remittance Payable to: PA SCDLI
Send check to: Pennsylvania SCDU. K*.O. Box 69112. Harrisburg, Pa 17106~9112
IN ADDITION,PAYMENTS MUSTnNCLmDETHE DEFENDANT'S NAME AND THE PACSES MEMBER 6D(shown above aa
thmEmplmyeelObligmr's CaomIdentirter) OR SOCIAL SECURITY NUMBER 0V ORDER 7O BE PROCESSED' 0O NOT
SEND CASH BY MAIL.
State-specific contact and withholding information can be found on the Federal Employer Services website located at:
Pr Withholding for support has priority over any other legal process under State law against the same income(UGC42
§SG6(b)(7)). |fa Federal tax levy iain 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 uf the payment.
Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDUurhma
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 t report the pay date when sending the payment. The pay date is the daheon which the
amount was withheld from the omp|oyee/ub|igur' wages. You must comply with the law of the State(or Tribal law i(
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 H8Om: |f there io more than one|VVO against this employee/obligor ondyouunaunab|eVofu||yhonoroU |VVOmduu(o
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 nf employment ho determine the appropriate allocation method.
Lump Sum Payments: You may be required hm notify a State or Tribal CSE agency of upcoming lump sum payments tnthis
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: |f you have any doubts about the validity of this |VVO.contact the sender. /f 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 |aw/prooadune.
AnM'd|sprimm|nation: You are subject hoa fine determined under State ov Tribal law for discharging on employee/obligor hom
employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO.
OMB Expiration Date-05m`mo,*.The owm Expiration Date has"v bearing on the termination date of the/,m;u identifies the version m the form currently muse.
Form EN'O28UG/12
Service Type K4 Page 2 of Worker }D $0|NC '
EVployer's Name: SOCIAL SECURITY ADMINISTRATION Employer FEIN: -
Employee/Obligor's Name: PEYSER, RICHARD 7100000024
CSE Agency Case Identifier:(See Addendum for case summa Order Identifier:(See Addendum for order/docket informatign
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 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/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
returning this form to the address listed in the Contact Information below: 5238100273
0 This person has never worked for this employer nor received periodic income.
0 This person no longer works for this employer nor receives periodic income.
Please provide the following information for the employeelobligor:
Termination date: Last known phone number:
Last known address:
Final Payment Date 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)
by phone at(717)240-6225, by fax at(717)240-6248, by email or website at:www.chi Idsupport.state.pa.us
Send termination/income status notice and other correspondence to: DOMESTIC RELATI-ONS SECTION, 13 N. HANOVER ST.
P.O. BOX 320, CARLISLE, PA. 170.13(issuer address).
To Employee/Obligor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT(issuer name)
by phone at(717)240-6225, by fax at(717)240-6248, by email or website at www.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 Form EN-028 06/12
Service Type M Page 3 of 3 Worker ID $OINC
ADDENDUM r .�
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578 PACSES Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. RICKERT
Docket Attachment Amount Docket Attachment Amount
00657 S 2005 $ 1,000.00 97-929 CIVIL $ 25.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
PACSES Case Number PACSES Case Number
Plaintiff Nam— Name
Docket Attachment Amount Docket Attachment Amount
$ 0.00 $ 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 Docket Attachment Amount
$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
Addendum Form EN-028 06/12
Service Type M OMB No.:0970-0154 Worker ID $OINC
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST,P.O.BOX 320,CARLISLE,PA.17013
Phone: (717) 240-6225 Fax: (717) 240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note:All correspondence must include the Member ID Number.
MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS
Financial Break Down of Multiple Cases on Attachment
PACSES Docket uenc Attachment Amount/Frequency
Plaintiff Name Case Number umber q Y
BONNIE L. PEYSER 231107578 00657 S 2005 1,000.00 / MONTH
THERESA A.RICKERT 293107708 97-929 CIVIL 25.00 / MONTH
Ths.r6sa A. Rickezt 700000025 1310 S 96 $ O.OQ�MO I
/rr1 cs� C--
/ rat C=
$
TOTAL ATTACHMENT AMOUNT: $ 1,025.00 C3
=C)
C~ W Cj Y
Now, by Order of this Court, the Department of Labor and Industry, Office of Unemp ooenfI �
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $235.89 per week, o-,55'0%,
of the Unemployment Compensation benefits otherwise payable to the Defendant, RICHARD PEYSER
Social Security Number XXX-XX-7257, Member ID Number 7100000024. OUCB is ordered to remit the
amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received
from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or
Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so
that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to
15 U.S.C. § 1673(b)(2)and 23 Pa. C.S. § 4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall
remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the
Application for Benefits dated MARCH 8, 2009 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this
Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations
Section of this Court.
BY THE COURT -
J UN 0 5 2013
Date of Order:
JUDGE
Form EN-034
Service Type M Worker ID$IATT
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N.HANOVER ST,P.O. BOX 320,CARLISLE,PA.17013
Phone: (717)240-6225 Fax: (717)240-6248
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024
Please note:All correspondence must include the Member ID Number.
MQ ID FIED pRDER OF ATTACHM NT OF UNEMPLOYMENT_BJNEFITS
Financial Break Down of Mult'Dle Cages on AtW hment
PACSES Norris( Attachment Atnaxn$Frequ6pc
Plaintiff Na= "e NumOer N,umber _ Y
BONNIE L.PEYSER 231107578 0065782005 lboO0�,Ktilol�,� -
THERESA A.RICKERT 293107708 97-929 CIVIL 85,(1�'r�7�lON'fff
=.C
$ _ CJ
TOTAL ATTACHMENT AMOUNT: S 1,08500— -
Now, by Order of this Court, the Department of Labor and Industry,Office of Unemployment
Compensation Benefits (OUCB), is hereby directed to attach the lesser of $249.70 per week, or 55.0%,
of the Unemployment Compensation benefits otherwise payable to the Defendant, RICHARD PEYSER
Social Security Number XXX-XX-7257, Member ID Number 7100000024. OUCB is ordered to remit the
amount attached to the Department of Public Welfare (DPW), DPW shall forward the amount received
from OUCB to the Domestic Relations Section of this Court for support and/or support arrearages.
If the Defendant's Unemployment Compensation benefits are attached by another Court or
Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so
that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to
15 U.S.C_fj 1673(b)(2)and 23 Pa_GS. §4348(g).
This Order shall be effective upon receipt of the notice of the Order by the OUCB and shall
remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the
Application for Benefits dated MARCH 8, 2009 is exhausted, expired or deferred.
OUCB shall comply with this Order, unless it is amended or vacated by subsequent Order of this
Court.All questions, challenges or obligations to this Order shall be directed to the Domestic Relations
Section of this Court.
BY THE COURT
Date of Order: JUN 0 7 2013 � / pit/ '
r Ztrktmt rr eck, JUDGE
t� Form EN-034
Service Type M Worker to $IATT
INCOME WITHHOLDING FOR SUyPPOR'Tly pl
C ORIGINAL INCOME WITHHOLDING ORDERINOTICE FOR SUPPORT(IWO) (ZQ 8l o11O� ZJ11o�5�y1�g
Q AMENDEDIWO -1�- C(2q CIVA (ol-I SZW�
O ONENDEDIRDERINOTICE FOR LUMP SUM PAYMENT
O TERMINATION OF IWO Date: 06105113
.� Child Support 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 htto-/lwvnv acf hhs v/b
goace msfcse/newhlrelemplover/publication/publication htm-forms). If you receive this document from
someone other than a State or Tribal ESE agency or a Court, a copy of the underlying order must be attached.
State/rribenerritory Commonwealth of Pennsylvania Remittance Identifier(include w/payment) 7100000024
City/County/DSL/Tribe CUMBERLAND Orderldentifier. (See Addendum for order/docket information)
Private Individual/Entity CSE Agency Case Identifier'. (See Adtlentlum for case summary)
SOCIAL SECURITY ADMINISTRATION RE: PEYSER, RICHARD
STE 2 Employee/Obligor's Name(Last,First,Middle)
2670 INDUSTRIAL HWY 104-50-7257
YORK PA 17402-2233 Employee/Obligor's Social Security Number
(See Addendum for plaintiff names
associated with cases on attachment)
Custodial Party/Obligee's Name(Last, First,
Middle)
Employer/Income Withholders FEIN NOTE:This IWO must be regular on Its face.
Under certain circumstances you must reject
Chfld(rerds Names)(Last, First Middle) Chlld(ren)'s Birth Date(s) this IWO and return it to the sender(see IWO
Instructions
blip/A Wby act hhs govlorogramelestenee,h rel
emolovarloubl cat onlouel cation him-farmq. If
you receive this document from someone other
than a State or Tribal Can agency or a Gaud,a
copy of the underlying order must be attached.
5238100273
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 amountsdrgin the'etnplpyee/
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? O Yy ;._ OcTyb
$ 0.00 per month in current cash medical support _-
$ 0.00 per month in past-due cash medical support —
$ 962.00 permonth in current spousal support -- - r-?
$ 123.00 per month in past-due spousal support -- — -
$ 0.00 permonth in other(must specify)
for a Total Amount to Withhold of$ 1,085.00 per month.
AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Order Information.
If your pay cycle does not match the ordered payment cycle, withhold one of the following amount:
3 250.3$per weekly pay period. $ 542.50 per semimonthly pay period (twice a month)
$ vv-x)1101 per biweekly pay period (every Iwo weeks) $ 1,085.00 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 (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (101
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 i5 not within the
Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements,
and any allowable employer fees at htip�//www acf hhs gov/proarams/cse/ne h' a/emplover/contacts/contact map
him for the employee/obligor's principal place of employment.
Document Tracking Identifier
pus No. o97ca1!a Form EN-028 06/12
Service Type M Worker ID $OINC
[_ Return to Sender[Completed by Employerllncome Withholder]. Payment must be directed to an SDU in
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 SDU1Tribal 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 Judgeiissuing Official: - J
Title of Judgreissuing Official: —�' tAdC1flJ
Date of Signature: - �–
If the employeraabligor 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 proWded to the empioyeelo6lgor.
if checked,the employerlincome withholder must provide a copy of this form to the empioyea/001190r.
ADDITIONAL INFORMATION FOR EMPLOYERSNNCOME WITHHOLDERS
Pennsylvania law 123 PA C.S.§43741b))requires remittance by an electronic oavmen. od 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 10(shown above as
the EmproyeelObtigor's Case identifier)OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT
SEND CASH BYMAIL.
State-specific contact and withholding information can be found on the Federal Employer Services website located at:
http'//www acf hh / oar3lms/cse/newhirel plsyyrrrcont t / ntact a 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 SOU 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 empioyeelobi gor 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
empioyeelobiigor 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
empioyeelobtigor'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.
as no oaarmq on ine iermmauon oe,e W me Iwo.a oe„urea:na.er:.o„o ,oe mr,
UMP&pueuon De,n-05,3LNtl 4.Ina(1M9 F+pinlian Da,9 n n artenlV n use.
Form EN-028 06112
Service Type M Page 2 of 3 Worker ID$OINC
Employer's Name: SOCIAL SECURITY ADMIMSTRATiON Empicyer FEIN:
Employee/Obligor's Name: PEYSER, RICHARD_ 7100000024
CSE Agency Case Identifier:(Sec Addendum/gr case summ_@ryJ Order Identifier:($ge AddemdsgfLfQLQrdffl&#pSAQi nn lr 1
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 Tnbe of the employee/obligors 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 contrihutions: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 empioyerstmcome
withholders who receive a State 3 WO,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/obligor never worked for you or you are.
no longer withholding income for this empioyee/obIsgoq an employer must promptly notify the CSE agency endear the sender by
returning this farm to the address listed in the Contact information below 52MI04273
O This person has never worked for this employer nor received periodic income.
Q This person no longer works for this employer nor receives periodic income.
Please provide the following information for the employe lobiigi
Termination date: Last known phone number:_..
Last known address::
Final Payment Date To SDU/Tnt al Payee: _ Final Payment Amount:
New Employer's Name:
New Employers Address:
CONTACT INFORMATION:
To EmoioyerAncomAM-'jthhoidae If you have any questions,contact VALE ATTACHMENT UNIT(Issuer name)
by phone at(7171241 by fax at(7171 240.6248, by email or website at:wary, suDDOIt state oa us.
Send terminationfincome status notice and other correspondence to: DDMESTiC RELATIONS SECTION, 13 N HANi
E Q_ 2�Ft_RLISLE PA 17013(Issuer address).
To Elnnloyee/Obl'ggn lithe employee/obligor has questions, contact WAGE ATTACHMENT UNIT(Issuer name)
by phone at 717 46-6225, by fax at 717 q„4-8248,by email or website at vxAm, hod[ 000rtstatR.,p�.td5-
IMPORTANT:The person completing this form is advised that the information may be shared with the employee/obligor.
oyEUO.:oxi Form EN-02806/12
Service Type M Page 3 of 3 Worker 10 SOINC
ADDENDUM
Summary of Cases on Attachment
Defendant/Obligor: PEYSER, RICHARD
PACSES Case Number 231107578 PACSES Case Number 293107708
Plaintiff Name Plaintiff Name
BONNIE L. PEYSER THERESA A. RICKERT
Docket Attachment Amount Docket Attachment Amount
00657 S 2005 $ 1,000.00 97-929 CIVIL $ 85.00
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 Docket Attachment Amount
$ 0.09 $ 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 Docket Attachment Amount
$ 0.00 $ 0.00
Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB
Addendum Form EN-028 06/12
Service Type M OMB No 0970-0154 Worker ID$OINC
In the Court of Common Pleas of CUMBERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013
Phone: (717) 240 -6225
Fax: (717) 240 -6248
c, ,- �
r
i-t
Defendant Name: RICHARD PEYSER
Member ID Number: 7100000024 -<r —
{
›" C )
ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BENEFIT$ �,
Please note: All correspondence must include the Member ID Number.
Plaintiff Name
BONNIE L. PEYSER
THERESA A. RICKERT
Financial Break Down of Multiple Cases on Attachment
PACSES Docket
Case Number Number
231107578 00657 S 2005 1,000.00 / MONTH
293107708 97 -929 CIVIL 85.00 MONTH
$ /
/
$ /
TOTAL ATTACHMENT AMOUNT: $ 1,085.00
Attachment Amount/Frequency
The prior Order of this Court directing the Department of Labor and Industry, Office of
Unemployment Compensation Benefits (OUCB), to attach $249.69 or 50% per week of
the Unemployment Compensation benefits of RICHARD PEYSER, Social Security
Number XXX -XX -7257, Member ID Number 7100000024 is hereby vacated.
This Order to Vacate shall be effective upon receipt of the notice of the Order by the
Department and shall remain in effect until a further Order of the Court is filed.
Date of Order: MAR 1 1 2014
Service Type M
BY THE COURT
Form EN -035
Worker ID $IATT