HomeMy WebLinkAbout98-02426
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PROPERTY SETTLEMENT AGREEMENT
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1'1 liS IS AN Agl'eclllenllllade Ihis;Jif/! day or Augusl, 200 I, hyand helween Ilriee ^' Sloltl.lllS,
(hereinaner refelTed 10 as lIushand) and Drema I.\'nn Nugen Stoll/.Ills, (hereilHll\er rclelTed to as
. .
Wil,,),
WIIERI':AS, Ilushand and Wile were Inarried on .Iune 20, I lll!(>; and
WIIEREAS, variolls dil'lerences havc ariscn hetween lIushand and Wile. wlwreny they have bcen
living separate und upar1: und
W III,: IU ,AS, the lIushund hu,; colllmenml a divorce action ugainst Wile docketed at No. ')l!-2426
in CUlllberland ('ounty. Pennsylvania: and
WIIERI':AS, the parties desire 10 cnler inlo an amicahle selllenwntlo provide Illl' all or Ihe propcrty
rights of the parties and to dispose or Ihe rights und ohligalions or cad, to the olher in respec1 10
supporl. maintenance, alimony. counscl ll'l'S, equilahle distrihulion, arId all olher righls and
obligations 1Illlk'r the Divorce ('ode or !liXII. as alnL'nded. and it is the intention and agreemL'nt or
the parties thul this AgfL'enll'nl he a rull, L'OmpletL' and linal selllelllent or all or IhoSl' lighlS and
ohligations under said Divorce ('ode: and
NOW, 1IIEREFORE, lilr and in exchange or lIlulual considerations, and inlending to he hound hy
the provisions hereol~ the parties ugree Ihat their recitals li1l'l1l a purt of this Agreelllenl and wuive
an)' right to counseling under the Divorce ('ode or 1<>80. as alllended. and right to counsel Ices,
costs, alimony. Supporl. Illainlenance, and ,Ill\, olhel righ1s under the said Divorce ('ode nOI
provided !ill' herein und agree as !illlows:
The pal'lies agree thai it shall hc luwlid !ill' each party, at all lillles hereal\cr. 10 live separate and
apart li'Olll the other, at such place or places as he or she may, li'ol11tillle to tillle, choose or deel11 111.
Each pal1y shall he li'ee li'om interlerence, authority or contact by the other. as rully as ir he or she
were single and lInmarried. exccpt as may be necessury to carry out the provisions of Ihis
Agreelllel'ol, Neither puny shall Illolest the other or allempt to endeavor to 1110lest the other, nor
eornpelthe other to cohabit wilh the othcl, or in uny way haruss or lIlalign the other, nor in uny way
interlere with Ihe peuceful e,xislence, separate und ap,H'l. fro III the other.
1
1I11sband shall pay to Wile tl1l' SUIll of TIIREE THOUSAND DOLLARS ($3,000,00) which shall
be paid to her by IlushHnd's ullornev lIponthe signing Oflhis Agreel11ent hy holh pmties.
.
10
Husband and Wife do herehy mulually remise, release, quit claim (II' f(lI'evl:r discharge Ihe othcr and
the estate of such other, for all (ime to come, and le)r all purposes whatsoever, li'Om any and all
rights, title and interest, or claims in or against the esta(e of such other, of whatever nature lInd
wherever situate, which he or she now has or atanylime hereat\er may have against such olher, the
eslate of such other or any part Ihl'reor, whether ari!;ing out of any ({Inner acts, contracts,
engagl'nlcn(s or liabilitil's or such othcr or hy way nf dower or courtesy or claims in thc naturc of
dower or cOlu1esy, or widow's or widower's righls, tiunily exemption or similar allowance or under
the inteslate lull'S; 01' the right (0 lake agllins( the spouse's will; or tll<: right to treat a lifetime
conveyance by the other as lestamentary or all or other rights of the surviving spouse 10 participale
in a deceased spouse's lislate, whether arising lindeI' the laws of Pennsylvania, any slate,
commonwealth or lerrilOlY of the United States, or any other counl1y or any righl which either parly
may noW havc or at any(inll' hereafter have for past, presen( or l\iturc support 01' maintenancc,
alimony, alimony pendente lite, counsel Ices, costs or expenses, whether arising as a result of Ihe
marital rclation or olherwise, except and only except all rights and agreemenls and ohligations of
whatsoever nature arising or which may arise lmlb' this ^greement or l{lI the hreach or any
provisionthereoi'. It is the intention of Husband and Wile to give to each olher hy 1he l'xecution of
Ihis ^grel'nwnt a full. l'Omplete and general releaSl' with respee\ to any and all property or any kind
or nature, real, personal or mixed, which the other now owns or may hcr<'i,fter <lcquire, e.xeept and
only exeepl all righls and agreemen1s and ohligations or whalsoevcr nallll'[' arising or which may
arise under Ihis ^greemenl or I'or Ihe hreach or any pr()\'isionlhel\'or.
II
I',aeh of the partics shall. h'Om lime to time, atlhe reques1 of the olhcr. execute. acknowledge ,u,d
deliver to the other p1l11y <lilY and all further instruments 01' documents Ihat may be rcasonably
required to give full I{'rec and effeclto (he provisions of this ^grcl'lllent.
12
^ modilicalion m wail'er of any or (he provisions of this ^greemenl shall he dTecli\(, only irmade
in wriling and executed wilh Ihe same fOl'l11alily as this ^greemenl. lhe litilure of either party 10
insislllPonthe slriel perl{'rrnance or any of the provisions of Ihis ^greement shall not be construed
as a waiver of any subsequent defilUll of the same 01' similar naturc,
J}
This ^grel'nlCnl contains the entire underslanding of the parties and thcre arc no representations,
warran(ics, covcnanls or undertakings other (hanlhose expressly sel le'rth herein,
14
I( is specifically undcrslood and agrced hy and hl'twcen the par1ics Ihereto thaI each paragraph.
hcrcof shall be deemed (0 he a separal.e and independent agreemcnt.
IS
If cithcr party brcaehes IIny provision of this Agreement, the other party shall have the right, lit his
Of hcr election, to sue for damage~ I()I' such breach or seck such other remcdic~ or relief liS may be
available to him or her and the party brellching this Agreement shall be re~ponsiblc for payment of
Icgal fces and costs incurred by the olher in enfordng lhe rights under this Agreemenl, 01' in sceking
such other remedies 01' relief as may he available t(l him 01' her,
16
This Agreement shall be construed under the laws of the Commonwealth of Pennsylvania,
17
If any tenn, condition, clause 01' provision of this Agreement shall be determined 01' declaf(~d to be
void 01' invalid in laIV 01' otherlVi~e, then only that tcrm, condition, clause or provision shall be
stricken from this Agreement, and, in all (lther respects, this Agreement shall be valid and continue
in full force, effect and operation,
III
Except as otherwise scllllrlh herein, this Agrcement shall he hinding and shall inul"~ to the benelil
oflhe p1l11ies herelo and their respective heirs, exeeulors, administrators, SI!lTC'SSms and assigns,
IN WITNESS WHEREOF, the pal1ies have hereunlo set their hands and seals the da)' ,md year lirst.
above written, .
WITNESS
.~A-,
Bruce A, Slo\lzfus
5'1-- }v.d~_
(]1o~ ~~
Drema Lynn Nugen Slo\lz us
7. Plulnllffhas been IIllvised that counseling is available and that Plaintiff has the right to
request the Court to require the parties to participate in counseling,
8, Plaintiff requests the CO\u1 to cnler a decree of divorce,
I,the Plaintiff herein, verify that the statements made in this Complaint arc true and
correct. 1 understand that false statements herein arc subject to the penalties of 18 Pa,C,S, /I 4904
relating to unsworn falsification to authorities,
Date: Af-'R.J L i'1 /4'1 ro
(
l,~A.uu- A.,
Bruce A. Stoltzfus, Plaintl ff
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10/15(2001 11:07 7172431807
Mr'vlO
Pf,GE 0'3/04
, CERTIF'CtUI_OJ<' SERY)CE.
I, 'friel. D.IM::enr(lad, an authorized aicol for Mattson, Deardorff, Williams & Otto, hereby
certify that a copy of the foregoing Praecipe was served this date by depositmg same in the Posl
oroce lit ClUlIsle. PA, flnt clan lTlllil, I'ostace prepaid, addre~$ed a8 follows:
Edward W, Harker, Esquire
One Weat High Street
Room 202
Carllslo, PA 17013
MARTSON. DEARDORFF, WILLIAMS & otTO
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~la D. E"kenroud f!-
~ East High Slreel
Carlisle, P A 17013
(717) 243-)341
Dated: May 29,1998
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IJlUiCl<: A. STOLZ~'IIS,
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: IN TilE ('OllnT OF ('OMMON I'LEAS OF
: ('I'MIIEIU,ANI) ('OIINTY, I'ENNSYLV ANIA
v
: 9H-2426 CIVIL TI':I~M
. I>nEMA LYNN NII(;EN STOLTZFIIS,
I)cfcndulIl
IN DlVO/{('E
IlEn:NI)AN'I"S A Ffi'II,^ VIT OF ('ONSENT ANI)
WAIVEn OF NOTICE OF INTENTION TO IU~QIIES'I'
I~NTln' (W A IlJVOHn: 1)IIClmll IINI)EI~
SECTION ~~Ol(c) OF '1'1111 mVOHCII COI)E
l. A Complaint in divorcc IIndcr Scction DOI(C) orthc Divorcc ('odc was filcd on April 29,
1998,
2, Dcfendant acknowlcdgcs mccipt and acccpts scrvicc or thc Complaint on or tthout May II.
1998,
3, Thc lluuTiagc or thc Plaintirr and Dclendant is irrctrlcvahly hrokcn and ninety days hnvc
clnpscd Ii'om thc datc orthc Iiling orthc COl1lplaint.
4, I conscnt to thc cntry ora Iinai dl'crcI~ ordivorcc withollt noticc,
5, lundcrstand that InlllY losc rights conccl'11ing nlin1Pny, divisionofpropcrty, lawy\,r's Iccs 01'
cxpcnscs if I do not cluil11tlwm hcf(lI'c n divorcc is gruntcd,
6, lundcrstnnd that I will not hc di\'(lrl'cd lIntil a Divorcc Dccrl'c is cntcrcd hy thc Court and
thuta copy ofthc Dcncc will hc s\'nt to mc immcdiately allcr it is filcd with thc Prothonotary,
7, I huve hccn ndviscd or thc availahility or milrrlngc counscling and undcrstilnd that I muy
rcqucst thut thl' Court rcquirc counscling, I do not rcqucst that thc Court rl~quirc counseling,
I vcrit)' thnt thc statcmcnts madc in this affidavit nrc truc and corrcct. I undcrstand thut fitlsc
stutcments hcrcin mc madc su~jcct to thc pcnaltics or 18 l'a,(',S, *4904 rclating to unswol'11
lillsiticution to uuthoritics,
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ORDER/NOTICE TO WIJHHOlD INCOME FOR SUPPORT
/)/i( (/~")tl,)( (~I /.I(
State Comnlonwealth of Pennim.an1a. /~/('(:n' JI..(,.;(.I(.oI!)(J
Co.lCitylDisl. of CUMBERW'\ND ----if;!") ):/ "/ .
Dnte of Older/Notice 06/12/01 . /
Court/Case Number (S'iif.' Addend;;m for ca,H' summary)
o ()rl~h\.ll Otdl~f/N(lllcl'
@ Anu'lldt'll (lrc/t'r/Nolin'
o lNmln.lh' Ordl'rlNolln.
EmploYNlWllhho'dl't'\ f:l.timdl UN NUI11IIt'r
B. S . CREIDS...A\1.'!'Q. TRANS 1'0R.1'....-___
EI1l,Jloy.'rlWllhlulldf'f'<;t N,lflll'
6410 'fORK RD
E;;ljllnYt!r/Wllhh<lldt'r', All/I,ll....
~EW OXFORD I'A 17350-8418
I R" ST.OLTZFU9 , BRUCE A.
) fll\pl"Yt'I'/Ohllgllr\ N,Ulll' (1..1'.1. fjrq, Mil
1~1-48.4574
[mpl<;YI'I'/( )hll~o(\ Sod.11 ~l'(~urlly NlIf1Illt;r
2020000306
[m"loYll,'!()hliJ.:{lr'" (:,~"t' hlllfl!l(II'(
(s'.. Mdondum for pI.lntlff n.m., ..lIod.l.d with Cd'" on .11.chm.,.t)
('Ihllldjdl PMllni's N.mlt' (l"sl, r"~I, MO-'
See Addendum for dependent names and birth dates as,lOclated with cases nn attacl/ment.
ORDER INFOR/.M nON: This is an Order/Notice to Withhold Income for Support hased upon an order for support
from CUMBERLAND Coun\y, Commonwealth of Pennsylvania, fly IiiVI', you are required to deduct these
amounts from the above-nilmed employee's/obligor's income until further notice even i( the Order/Notice is not
isslled by your Stale,
$ 260,00 per month in current sllppor1
$ 0,00 per month in past.duo support Arrears 12 weeks or greater? 0 yes @ no
$ 0". QQ. per month in medical support
$ ~per month for genetic tesl COSIS
$ per month in other (specify)
for a total of $ _._~~ per month to be forwarded to payee below.
YOll do not have 10 vary your pay cycle 10 be in compliance with the support order, If your pay cycle does not match
the ordered support pilymen1 cycle. use the follOWing to determine how much 10 withhold:
$ ...ft.Jl.Q.per weekly 'MY period,
$ 120.00 rer biweekly pay period (every Iwo weeks),
$ 130.00 per semimonlhly pay period liwice a month!.
$. 260.00 per monthly pay period,
REMITTANCE INFORMA nON:
You must begin withholding no ,ater than the (irst pay period occurring ten 1101 working days alter the date of this
Order/Notice. Send payment within seven (7) working days of the paydate/dale of wilhholding, You are entitled to
deduct a (ee to defray lhe cost of withholding, Refer to the laws governing the work state of your employee for the
the allowable amount. The total withheld amount. and your fee. cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the (allowing information Is
needed (See #9 on pg. 2),
If remitting by EFT/EDI. please call Pennsylvania State Collections and Disbursement Unit (SCDl!) Employer
Customer Service at '-877-676-9580 for instructions,
Make Remittance Payable to: PA SCDU
Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106.9112
tN ADDITION, PA YMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE PACSES MEMBER ID (shown
above as the Emplnyep./Obllsor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
RY THE COURT:
mol RJ Sharklay r"" ~ r.rr 'm'W
1<C: c\efenlant 1J~.~\a1J.iWi.ED
Date of Order: June Il, DIllir' j" -I <'-:'(J /
91.
Kevin A. I B
,If. . ~/ ,,_
~ JUOOE
Form E N-028
Worker 10 $IATT
Service Type M
{l,~'A No.: 097(}.I115~
I. ~plrdllo'l [>'ll'~: j JlIl/OO
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ADDITIONAL INfORMATION TO EMPLOYERS AND OTHER WITHHOLDERS
o If dmrkllCt you .HI! rf!qulrml to provid/!.I ropy flf lhi~ f(lf/llto yow 1!11lpIOY"H,
1, Priority: WhhholdillH umfm Ihis Ordm/NClli(f! IId\ priority oVl'r ,lilY ollll'( If'Hdllulln"t~ Hlldl'f SI,llt. 1.lw ,lHdiml ,IH! \.1I111' hIrOIllH,
fftdftrullil)( hwlp.'i Inflfftlf! tlllfom ffHl\ipt of lhi~ (lrdl" IltlW priority, If 111mI' .IW tmlt.rdl f.IX Itlvil1'i ill pUtl( I pll..llil' {(II1It1( I fhl! mqllf!~tjll~
d/lelllY 11,led helow.
2. CornhinlllH f).lYIll~!n's: YOlt ('.11I nll1lhirw WllhlHlld dlUolUlts frolll mOrl! IIMIl WH' '!Il'iploY/I'/ohllnor\ Ill( (Jill!! in .1 sillHltl fMynwnl
10 Hdeh ilHflIlI'V fHq\lf!stirlK wlthh(JldiIlH, You musl, hCJWf'Vf!r, ~t!"M.lh"y idt!lllUV IIii' portio/l ()(II1t~ 'iln>>", pJYIllf!llllhclt i\ dllrlhutdhlt! 10
tM('h 1!/11pl(IY"t-.f(lhIIWlr.
J.' 'R"p'>rtlll/l th" P.wd.,t./Dat" of Wltnhold/r'/l: Yo" 0""1 '.p'''llh.. paydilt./dal,'nf wilhholdi"/l wh"" ,.ndin/ltho p"ymonl. In"
paydat"ldattl-nf-withhnldinA i~ th~ doff'! on-which l1r"CIl!nt wall withtu'ld fr'f)1l1 tl1f~ f"!mrl()Y~~!l wnw". Y(llllllU'i1 (:(1/11ply with Ihp 1,lw of lhe
sldtf! of the mnploYf!tl'!i/obIlW)('s princlp':ll pldn! of mnplovnHHlI whh r1"ipn(1 10 tlll~ lllllP ptlrinds within which YOlI mml hnplmnnl1t tht!
wlIIlholdlnn ordm ,md forw.ud Ilu-, support ,MymtlnK
4," Employm40hliWJr with Mult/plt' Support Holdings: If tlHm~ i'i mom l'hlll rHlf~ Ordm/Ntjliu-. to Withhold In('otllf! (or Support
~"ail1!illhi5 employetl/ohligor .md YOll <1m lIndhlf' to honor till slIpport ()rdf~r/Nolkm film 10 Ft'dm,ll or Stdlf' withho/dillH limits, you mu'i!
follow IhB /dW of the stdtt-! of Hmpl()yel~''i/(JhIiHorJ'i principal pldn~ (Jf '~mplllynwllt. YOl! 1l11'H honor ,,/I Or(h'r~/N(Jlirm 10 Ihl-! grf'Mtp,,1
nxhml po"slhln, (See #9 llt'!low)
S. Tflrmindtion NotificJlion: You musl promptly Ilotify tlw Rl~qlWStiflg Awmcy Wht~1l1lw f~mploYf!fl/ohligor is no longer working for
YOll, Pledse provide the information requested .Hld rf!tllrn .1 copy of lhis Order/Nol'iCl'! to tilt! AKHIl(,Y idfHllified bdow,
WIIHHOLDER'S ID: 9135000042
EMPLOYEE'S/OBlIGOR'S NAME: STOLTZFUS, BRUCE L-
EMPLOYEE'S CASE IDHHIFIER: _ 2020000306 DAlE OF SEPARAlION:
lASI KNOWN HOME ADDRESS:
NEW EMPLOYER'S NAME/ADDRESS: __.
6. Lump Slim Paymf!llls: You I11JY he requimd 10 rf'lJ:'lort ,HId withhold from lump SUIll p.iyllwnt'i such dS honuses, conullis.,ions, or
seVeran<:e pay, If you have allY questiom dhollt lump slim payments, contJct lht'! pmson or authority he low,
7, U"hility: If YOll fdil to withhold income .\" rlw Ordf~r/N(Jtice dimrls, YOll .H~ lidhle for holh the .HTunlul.-.ted d01011nt YOll r.hould
h"tve withheld (rom the employee/ohllRor's inc:onw .md (ltllAr pelMII;m SHI hy Pt'!nn~ylv.lIlj.l Sl.1In Idw, PfmnsylviHlid Stdte law Rovmns
unless the ohligor is employed 1n "Hlotllp.r St,'le, in which C':ISP. lilt! Ii\w (If thf~ Sidle in whkh ht'! or shp. is emploYHd W>VNns,
8, Antl-disc:riminalion: You dre suhjp.ct to d fine c1t~lermineclllndp.r St~'le law for discharAillA "HI f-~lllpl(JYf~f!/ohljHor from
employment, re(usinK 10 employ/ or tit kinK disdplinary ':Kllon ag"ill5t ~IIlY f!mployefl/obliWJr ht~(,ilUse of <l support withholding,
Pennsylvania Slate law gOVflrllS unless the obllKor is employed in illlotlwr SI<lte, in which r.1Sf~ llw I.IW of Ihe SI,lte in which he or silt'! is
employed KovenlS,
9,' Wilhholdinx limlls: Yo" IlldY no1 withhold more Ihdnlhe leSler of: 1) Ihe dlllOllnl, "lIowed hy Ihe Federdl Comlllller C,edir
Prolecllnn AclI15 U,S.c. S 167) (h)l; or 2) 1he .nlloUl'" dllowed hy Ih. Sldl" of Ih" ,,,"ployee',/ohllgor', prlnlip.ll pl"re of emploYlllent.
lhe I'ederdllimll "pplie, to Ihe d/l/lreg,Jle dl'pmdhle weekly edrnlng' IADWE), ADWE i, the net incom" left dher Illdklnx Illdndillory
deduttions such &AS: State, Fedeml, local taxeSi Sod<ll StKurity tdXf!S; and Medic.He I.lxes,
10.
'NOTE: If you or your agen1 are seNed with a copy of this order in the stale that isslled the order, you are to follow the
law of the s1a1e that Issued this order with respect to these items,
Requesting Agency:
DOMESTIC RELATIONS SECTION
P.O, BOX 320
CARLISLE PA llQ13
If you or YOllr employee/obligor have any questions,
contact WAGE AHACHMENl UNIT
by telephone at (717) 240-6225 or
by fAX al 17'17) 240-1124B or
by Internel IiIi
SeNice Type M
Page 2 of 2
form EN.02B
Worker ID $IATT
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CERTfIIlCATE 011 SERVICI<:
I, Tricla D. Eckenroud, unuulhorized agent thr Murtson, Deurdorff, Williums & Otto, hereby
certify that u copy of the /()regoing I'ruecipe wus served this date by depositing sallle in the Post
Offioe at Carlisle, PA, first cluss mail, postage prepaid, Ilddrcsscd as /()lIows:
Edward W. Harker, Esquire
Ono West High Stroet
Room 202
Carlisle, P A 17013
MARTSON, DEARDORFF, WILLIAMS & OTTO
, I , _ "'}
~/~'J!-t~LdL ). .1
. TriOla D. Eokenroad
n Eust High Street
Carlisle, PA 17013
(717) 243-3341
Dated: May 29, 1998
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In the Court of Common Pleas of CUMPERLAND County, Pennsylvania
DOMESTIC RELATIONS SECTION
BRUCB A. STOL1'ZI'US ) Dock~t Number 98-2426 eN
Plaintiff )
VS. ) PACSES Case Number 766100190
DRaMA L. STOLTZFUS )
Defendant ) Other Slate ID Number
ORDER OF COURT. RRlilOlEDULE A CONFERENCE
You,
BRUCB A. STOLTZI'US
plaintiff/defendant of
7067 CARLISLB PIKE APT 10, CARLISLB, PA. 17013-8803-10
are ordered to appear at CUMBBlUJIND co DRS
13 NORTH HANOVER STRaBT, CARLISLB, PA. 17013
before a conference officer of the Domestic Relations Section, on the
27TH DAY OF oerOBBR, 1998
at 10: 30AM for a conference, after which the
conference officer may recommend that an order be entered, This date replaces the prior
conference date of OCTOBBR 5, 1998
You are further required to bring to the conference:
t. a ll1Ie copy of your most recent Federal Income Tax Return, including W-2s, as filed,
2. your pay stubs for the preceding sb (6) months,
3. the Income and B~pen.se Statement auacbed 10 this order as required hy Rule 1910, I! (c).
4. verification of child care e~penses, and
S. proof of medical coverage which you may have. or may have available to you
6. Information relating 10 professional licenses
7. other:
co: Bdward W. Harker, Esq.
Service Type M
Form CM-SI3
Worker ID 21205
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In the Court of Common Pleas of CUMBERLAND Count~, Pennsylvania
DOMESTIC RELATIONS SECTION
BRUCE A. STOLTZFUS ) Docket N umbel' 98-2426 CV .
Plalnllff )
vs. ) PACSES Case Numbel' 766100190
DREMA L. STOLrZFUS )
Defendanl ) Olher Stale ID Number
ORDER OF COURT - RESCHEDULE A CONFERENC~
You,
DREMA LYNN STOl,TZFUS
plaintiff/defendant of
c/o THOMAS J. WILLIAMS, ESQ.
are ordered to appear at CUMBERLAND co ORS
13 NORTH HANOVER STREET, CARl,ISLE, PA, 17013
before a conference officer of the Domestic Relations Section, on the
27TH DAY OF OCTOBER, 1999
at 10: 30AM for a conference, after which the
conference officer may recommend that an order be entered, This date replaces the prior
conference date of OCTOBER 5, 1999
You are further required to bring to the conference:
I. a lrue copy of your most recenl Federal Income Tax Relurn. Including W-2s, as filed,
2. your pay slubs for the preceding six (6) months.
3. Ihe Income and Expell~e Statement auachcd to this order as required by Rule 1910. t I (c).
4. verification of child care expenses, and
5. pnKlt of medical coverage which you may have, or may have available 10 you
6. information relating 10 professional licenses
7. olher:
cc: Thomas J. Williams, Esq.
Service Type M
Form CM-513
Worker ID 21205
In the Court of Common Picas of CIJMB.:RLANO County, Pennsylvania
DOMESTIC R.:LATIONS SECTION
Defendant Name: BRUCE A, STOL,TZFUS
Member ID Numbor: 2020000306
P'ICI"t'lIl1tel All COrl'l'HlMutdl'IIl'C IIIU". bldudc tilt' Ml'mbllr II) Numhcr.
B.S. CRBEK AUTO TRANSPORT,
6410 YORK IlO
NBW OXFOllD PA 17350-8418-10
ORDER OF ATTACHMENT OF INCOME
)!laintlfTNamc
D~BMA L, STOLTZFUS
Financial Break Down of Multiple Cases on Alladll!ID!!
I)ACSE..l.i Docket
ClUe Numpj[ ~
017717 166100190 98'2426 CV
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$
Attachment Amountll1reuUOnllY
15.00 IWEBK
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TOTAL ATI'ACHM~,NT AMOUNT, $ 15.00
To: B.S. CREEK AU~O TRANSPORT
Pursuant to the laws of the Commonwealth of Pennsylvania the income of
BRUCE A. STOLTZFUS ' defendant obligor, SSN 161-48-4574
of:
5 WILDWOOD RD, NEWVILLE, PA. 17241-9713-05
is hereby attached to the following extent.
You are directed to pay to the Pa State Collection and Disbursoment Unit the sum of
$ 75.00
from the income due the defendant obligor. The
per
WEEK
attachment payment must be sent to the Pa State Collection and Disbursement Unit within
seven business days of the date the defendant obligor is paid.
CHECKS SHOULD BE MADE PAYABLE TO: PA SCDU
AND SENT TO:
Pennsylvania SeDU
P,O. Box 69112
Harrisburg, Pa 17106-9112
Service Type M
Form EN.028
Worker to $IATT
BRUCE A. STOLTZFUS I'ACSES Melllher NUlIlhor: 2020000306
PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES
MEMBER ID OR SOCIAL SECURITY NUMBER IN ORDER TO BE IlROCESSED. DO
NOT SEND CASH BY MAIL,
This order of attachment for support is binding upon you until further notice and shall have
priority over any attachment, execution, garnishment or wage attachment under state or local
law except one relating to a prior support order. YOll must commence thc uttachmcnt of the
defendant obligor's income as soon as possible but no later than fOllrtcen days from the date
of the issuance of this Order of Attachment.
You are notified further that pursuant to law:
1. The defendant obligor has been notified that an order of attachment for support would
be issued.
2, Willful failure to comply with this order may result in (i) youI' being adjudged in contempt
of court and committed to jailor fined by the court; (Ii) your being beld liable for any
amount not withheld or withheld but not forwarded to the Domestic Relations Section; and
(iii) attachment of your funds or property.
3. The attachment of income or the possibility thereof as a basis, ill whole or in part, for the
discharge of an employee or any disciplinary action against or demotion of an employee is
prohibited. Violation may result in (i) your being adjudged in contempt and committed to
jailor fined by the court and (Ii) an action against you by the employee for damages.
4, If there are in your employment one or more additional employees whose incomes are
subjecl to an attachment of support, you may combine the attachment payments into a
single payment to the Pa SCDU and separately identify the portion attributable to each
obligor.
5, You must notify the Domestic Relations Section or the Pa SCDU when the defendant
obligor terminates employment and provide the Section with the employee's last known
address and the name and address of the new employer, if known.
Pugo 2 of 3
Porm EN-028
W (lrker ID $ Ill. TT
Service Tyro M
,
BRUCB A. STOLTZFUS PACSES Melllh.r Numhel': 2020000306
6. The maximum amount of the attachment shall not exceed 55 % of the employee's
net Income which is within the limits set in the Consumer Credit Protection Act, 15
U,S.C. ~1673.
7. The term "income" us defined hy luw includes compensation for services, including, but
not limited to, wages, salaries, fees, compensation in kind, commissionr, and similar
items; income derived from business; gains derived from dealings in property; interest;
rents; royalties; dividends; annuities; incollle from life insurance and endowment
contracts; all forms of retirement: pensions; income from discharge of indebtedness;
distributive share of partnership gross income; income in respect of a decedent; income
from an interest in an estate or trust; military retirement benefits; railroad employment
retirement benefits; social security benefits; telllporary and permanent disability benefits;
worker's compensation; unemployment compensation; other entitlements to money or
lump sum awards, without regard to source, including lottery winnings; income tax
refunds; insurance compensation or settlements: awards or verdicts; and any form of .
payment due to and collectable by an individual regardless of the source.
GENERALINSTRUCTjQNS
I. Elllploycrs may elect to deduct up to 2 % of the attachment amount for their costs. This
amount must not be deducted from the attachment. It must be paid from the employee's
net earnings after the income attachment deduction has been made.
2, If you choose to make payments via an electronic funds transfer, contact the Pa SCDU
Employer Customer Service at 1-877-676-9580.
Date of Order: Octc)ber~, t999
DRO I RJ ShaddilY
xc I defendant
Service Type M
BY THE COURT:
/
Page 3 of 3
{
JUDGE
Fonn EN.028
Worker ID $ IA TT
f WlI.llS1II"I' ^VIl.l\'.UIlNI)(){ "I'I','1~ lJ.pel 11111~
(',(llltJ l)~JJlJ"JlIl)lI ~() H AM
M~~i.~J IOIHN'110 I~ 2S AM
BRUCE A. STOLTZFUS,
Plaintiff
lN THE COURT OF COMMON I'LEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA'
v.
NO. 98.2426
CIVIL ACTION. LAW
DREMA LYNN NUGEN STOLTZFUS,
Dcfcndant
IN DIVORCE
DEFE1'lDANT'.S PETITION '1'0 RAIS~: ECONOMIC CLAIMS
AND NOW, COIl1CS thc Dcfcndant, Drcll1a Lynn Nugcn Stoltzfus, by and through her
attorneys, MARTSON DEARDORFF WILLIAMS & OTTO, and filcs thc following Pctition as
follows:
CLAIM FOR DIVISION OF MARITAL PROPERTY UNDER
SECTION 3502 OF THE DIVORCE CODE
I. Plainti ff and Dcfcndant arc the joint owncrs as tcnants by thc entiretics of certain real
estate which is subjcct to cquitahlc distribution by this Court.
2. Plainti ffand Defcndant arc the owncrs of various items ofpcrsonal propcrty, fumiturc
and hOlwehold furnishings acquircd during their marriagc which arc suhjcct to cquitable distribution
by this Court,
3. Plaintiff and Dcfendant are the owncrs of various motor vehicles and bank accounts
acquired during their marriagc which are subjcct to cquitable distribution by this Court.
1;L,AIM FOR ALIMONY UNDER SECTION 3701 OF THE DlVORCIiQQDE
4. Defcndant requests your Honorable Court to allow hcr alimony as it deems reasonable
pursuant to Section 3701 of the Pennsylvania Divorcc Code.
MARTSON DEARDORFF WILLIAMS & OTTO
By ~4~.\-- ~ JJ..t--
Thomas .I, Willia~SqUire
Tcn East High St
Carli sic, PA 17013-3093
(717) 243-3341
Attorncys for Dcfcndant
Date: October 27,1999
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('r(dle,1 O~IJ'),<lK 11M ~l) .II AM
1I.~\hed 01;1"01111 O!l tl.4 AM
BRUCE A. STOLTZFUS,
Pluinliff
IN TIlE COURT OF COMMON pj~~1,~OD 1L
CUMBERLAND COUNTY. PENNSYLVANIA
v.
NO, 98-2426
CIVIL ACTION - LAW
DREMA LYNN NUGEN STOLTZFUS,
Defendant
IN DIVORCE
DEFENDANT'S I'RE-TRIAL STATEMENT
AND NOW COMES Defendant, Drema Lynn Nugen Stollzfus, by and through her attomeys,
MARTSON. DEARDORFF, WILLIAMS & OTTO mul files hcr Prc-Trial Statement undcr
Pennsylvania Rulcs of Civil Procedure InO,33(b), as follows:
I. Marilal assels oftlte parties ineludc a race car and trailer, a Pontiac Gnll1d Am, a 1970
truck and some personal property. The Pontiac Grand Am has bcen transfcrred 10 Wi fe. At that
tillle, it had a licn in excess of its market valuc which Wife paid off.
2. Wifc intcnds 10 call at Irial an expert witness, Greg Cook, to tcstify as to the valuc
ofthc parties' race car.
3. Wifc does not anticipate that any facl witncsses other than the parties will be
necessary,
4. Wife inlends to offer into evidence the appraisal oflhc race car and tmiler prepared
by Greg Cook.
5, Wife is employcd full time at Raleigh Genel'lll Hospital as a housekeepcr
6. An expense statemcnt is not expccted to be provided,
7. Wife does not have a pension and is not making a claim for Husband's pension,
8. Wife has not madc a claim for costs and expenses,
9. Wife is not making a claim for persona' property,
10. There is no marital debt,
II. Wife would like to sell the raee car, trailer and 1970 pick up and split the proceeds
evenly.
Date: lIlnuary 27, 2000
MARTSON DEARDORFF WILLIAMS & OTT
BYS~~_ ~ ,~_.p..a.. .~=_
Thomas .I, Willi<~squirc
Ten Easl High Streel
Carlisle, PA 17013-.1093
(717) 243-3341
Attomeys for Defendant
BRUCE A, STOLTZFUS,
I'lillnlilT/Respondenl/l'elltlollor
IN Tim COURT OF COMMON PLEAS OF
CUMBfiRLAND COUNTY. PENNSYLVANIA
VS,
CIVIL ACTION. DIVORCE
DRllMA L. STOLTZFUS,
DefendilntlPelllloner/Respondent
NO. YR.2426 CIVIL TERM
IN DIVORCE
DR#27,717
I'lIcsesl! 7(,6 \ 001 YO
QItDER OF COURT
NonCE OF RESCtlEDULED CONF,:RENCE
AND NOW. Ihls 7'" dllY of February. 20(10. a petition hils been tiled againsl YOII, Drenlll
Sloltzfus, 10 modify IIn existing Alimony pendenle Lite Order, Yon arc ordered 10 appcal ill person III the
Domestic Relations Section, D NOIih Hanover Slreet, Carlisle, Pennsylvania, on Mrlrch 1.1, 200(} III
9:00A.M.. for II conference and to remain nnlil dismisscd by the Courl. If yon fail 10 appellI' as provided
in this Ordcr, IIn Order for Modification may bc entercd againsl yon, This date replllees the previously
scheduled dale of Februllry ylh,
You lire further ordered to bring 10 the conference:
(1) alrue copy of your mosl recent Federal Income Tax Rcturu, including W.2 's ns filed
(2) yonI' pay slubs for the preceding six (6) monlhs
(3) Ihe Income IInd Expense Statemenlaltached to lhis order, compleled as required by the Rnle
IYIlUI.
(4) verification of child care expenses
(5) proof of medical coverage which you mllY have. or may have available 10 yon
IF yon 1'111110 nppear for Ihe cOllference or bring the rcqnired docnments. thc Courl may Issne II
Wllrrnnt I' OK yonI' arrest.
BY THE COURT,
George E, Hoffer. presldenllndge
-,r!led '
Petitioner
Respondent
Thomas WiIIillms, Esquire
Hnbert Gilroy. Esqnire
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Date of Order: Februllrv7, 2000 I R, l. 'h:dday. CO;lferenceOmcer . r
YOU HAVE THE RIGHT TO ALA WYER, WHO MAY ATTEND THE CONFERENCE AND
REPRESENT YOU, IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR
TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL
HELP,
CUMBERLAND COUNTY BAR ASSOCIATION
2 LIBERTY AVE,
CARLISLE, PENNSYLVANIA 170 D
(717) 249-3166
\r
PROPERTY SETTLEMl~NT AGREEMENT
TIllS IS AN Agreement made Ihis;;i/li day or August, 200 I, hy and hetweenllriee A Stolli'./tls.
(hereinatler rdl'lTed 10 as Ilushand) and Drema Lynn Nugen Stoll/.llis, (hereinatler rel(orrt'd to us
Wilc).
WHEREAS, Ilushand und Wilc were murried on June 20, 19S(,; and
WIIERI':AS, various dincrenees hUl'e urisl'n hetween Ilushand and Wile, wherehy they have het'n
living separate und apart: and
WHERI':AS, the lIushand has commenced a divorce action against Wilc docketcd at No, 9S.242(}
in Cumberland County. l'ennsy'll'lInia: and
WHEREAS, the parties desire to cnter into an atnic'ahle selllcmenllo provide Ii'r all or the property
rights or the parties and to dispose or Ihe rights and obligations or eaeh 10 the other in respect to
support mainlenanee. alimony, counscl I('('s, equitable distribution. and all olher rights and
obligations under the Dimrcc ('ode or Ino. as illllL'lIded, and il is Ihe inlentioll alld agrecment or
the parries Ihat thi,; Agrcclnent he a rull, cOlnplcll' alld Iillal selllcmL'//1 "I' all or Ihose lil"hls alld
obligalions under said I lil'orl'L' ('ode: and
NOW, lIIERI.}'O/O':, Ii)r and in exchange or 1I1litual consideratiolls, and intending 10 he hound hy
Ihe provisions hereof: the parties ugree Ihat Iheir recilals IlJr/ll a part or Ihis AgrL'ement and waive
any right to counseling und"" Ihe Divorce Code or 19S0, as amended, and right 10 counsel Ices,
costs, alimony, support. Illailll.enance, and anI' olher rights under Ihe said Divore(' ('ode not
provided lill' herein and agree as 1i,1I0w,;:
The parties agree Ihat it shall be lawl'ul lilr each party. at all times herealier. 10 live separate and
apart fh)mthe other, at such place or places as Ill' or she may, 1'1'0111 time to time, ehonse or deem lit.
Each parly shall be li'ee I'rom inlerfcrence, aUlhority or contact by the olher. as Itllly as ir he or she
Were singlc and unmarried. except as may be nccessary to carry out Ihe provisions or lilis
Agreement. Neither party shall molest Ihe olher or attempt to endeavor to molest Ihe olhcr. nor
compellhe other to cohabitwilh Ihe other. or in any way harass or malign the other, nor in any way
interfcre with the peaeerul existence. separate and apal1, I'ronl the other.
2
lIusband shall pay 10 Wite the sum or TIIRI~E T110lJSAND DOI.I.ARS ($.1,000,00) which shall
be paid 10 her by' Ilushand's attorney upon the signing ol'this Agreement hy' hoth parties,
I'
10
Ilusband llnd Wife do hereby mUlually remise, release, quit daim or I(wever dischargc the other and
the estate of sud1 other, lelr all time to come, and for all purposes whatsoever, lI'Om any alld all
rights, title and interest, or claims in or against the eslatl' of such other, of whatever nature und
wherever silllate, which he or she now has or at anytime Iwreaner may have against such other, the
estate of such other or any pill1 thercof, whcthcr arising out of any former IIcts. \:ontruets,
engagements or liahilities of such other or hy WilY of dower or courtesy of claims in the lIature of
dower or courtesy. or widow's or widower's rights, family exemption or similar allO\I'ance or under
the intestate laws; or the right tn take against the spouse'!; will; or the right to treat a Iifelil1le
conveyance by the other as lestamentary or all or other righls of the surviving spouse to participate
. in a deceased spnuse's estate, wlwther arising llll(kr the laws nf Pennsylvania, any state,
lmmnl'lnwealth or territory of the (Inited Slates, or any other eounlly or any right which l'ithcr party
may nnw have or at anytime hereaner havc for past, presenl or future suppol1 or maintenance,
alimony, alimony pendente lite, counsd fees, costs or e,xpl,nses, whether arising as a result of tll(:
marilal relation or nthelwise, except and only except all rights and agreements and ohligations of
whatsoever nature arising or which may arise under this Agreenwnt or IIII' the hreach of any
provisionthereoC It is the intention of Hushand and Will: to give to caeh other hy the execution of
this Agreement a full. complete and general release with respect to any and all property of any kind
or nature, real. personal or Illi,xed, which the other nO\1 owns or Illay herealkr acquire, except and
only except all rights and agrel,ments and ohligations or whatsoever nature arising or which Illay
mise nnder this Agreement or for the hreach or any pnllisiontllereoC
II
Each of the parties shall. rrollltime to time, at the request of the other. e,xeeute, acknowledge and
deliver to the other party any and all furl her iostruments or documcnts that Illay he reasonahly
required tn give fulllllree and encetto the provisions of this Agreenwnt.
12
A modillcation or waiver of any of the provisions of thiS Agreement shalllw clTective only ir m,l(k
in writing and exeeoted with the same ICJrlnality as this Agreement. The failure of either party tn
insist upon the strict PCrl(ll'llHlIlCe of any of the provisions or this Agreement shall not he construed
as a waiver of any subsequent delilult of the same or similar nature,
1)
This Agreement contains the entire undcrstanding or thl' pariies and there arc no repwsentatiol1s,
wllrrlmties, ellvenants or undertakings other than lhose expressly set IClrth herein.
14
It is specifically understood and ag,recd hy and hetween Ihe par1ies thereto that cach paragraph
hereof shall hI' deemcd 10 he a separate and independent agreement.
In the COIu1 of Common Pleas of CUMBERLAND County, I'cnnsylvanla
I)OMESTtC RELATIONS SECT tON
DRBMII I" STOLTZFUS ) D(lck~1 NlIlllh~r 98-2426 CV
Plahlllff )
vs. ) PACSES Case NlIlllher 766100190{027717
BRUCB A. STOL'fZFUS )
DcfclIdalll ) Olher SUllC ID NlIllIhcr
ORDER
AND NOW, to wit, on tbis 12TH DAY OF DECEMBER, 2001 IT IS HE.REBY
. ORDERED thallhe support order inlhis case be 0 Vacaled or OSuspended or
OTerminated without prejudice or G\) Terminated and Vacated.
effective OCTOBER 31, 2001 ,due to:
THE FINAL DECR~E IN DIVORCE OF OCTOBER 31, 2001.
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ORO: RJ Shadday
xc: plaint~ff
defendant
Thomas Wil1imas, ~9quire
Hubert Gilroy, Ksquire
BY THE COURT:
.A-~
JUDGE
Service Type M
Fmm OE-~04
Worker ID 21005
.
ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT
'o)l! 9~'Jt.; JL."
State Commonwealth of Pennlylvanla L~ 1/1t,[S It-"f." /{(J/t)D
Co.lCily/Dllt. o( CUMBERLAND I 1'<
DateofOrder/Nolice 12/12/01 N' ,,1771'7
Court/Case Number (See Addendum for case ,mmmary)
o (}rIMlndl (Jrdl',/Nolin,
o Aml!n(lml ()HIl\r/NoUct!
@ Tt'rmlndlt' (),dur/Nolle.,
EmpJoyerfWlihhohler's fudllf'" fiN Nlir'tlhN --
B....L.. CRRBK AUTO TRANSPORT
EmpluymMillhholclor's NJn11'
I RE: STOLTZFUS, BRUCE A.
) I:'m"loYN.fOhIlRor'.; Ndnll' (lJ~f, First, Mil
) 161-48-4574
) f.mpl(JYt'\./()hli~or'.; Sod.!1 SI'ctlrlty Numh..lr
) 2020000306
) Emp!oyt'n/OhIlRor's CdSI! IdlmUfI{'f
I (5.. Addtond.!'_m lor pI.lnrlll nam., mod.,.d wllh ,.... 0:.' .tt.chm.nli
) Clhfodl"IPMI'nl'.. Ndmtl (lonl, Fir..!, Mil
)
6410 YORK RO
EmploytJr/Wllhholdt'r'~ ^ddrnss
NEW OXFORD PA 17350-8418
See Addendum for dependent names and birth datt.s associated with cases on attachment.
ORDER INFORMA T10N: This is an Order/Nolice to Withhold Income (or SUPIJOrt based upon an order (or support
from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduclthese
amounlS from lhe above,narned employee's/obllgor's income unlil further notice even if the Order/Notice is 1I0t
Issued by your Slale.
$ 0.00 per month in current support
$ 0.00 per monlh in past-due suppor! Arrears 12 weeks or greater? 0 yes @ no
$ _--2...QQper month In medical support
$ 0,00 per month for genetic lesl costs
$ per month in other (specify)
for a totll of $ 0 .00 per month to be forwarded to payee below.
You do not have to vary YOllr pay cycle to be in compiiance wilh the support order. If your pay cycle does not match
lhe ordered support payment cycle, use the following 10 determine how much 10 withhold:
$ 0.00 per weekly pay period.
$ 0.00 per biweekly pay period (every two weeks).
$ JLJl.Q,per semlmonlhly pay period (twice a month).
$ o. QJl,per monlhly pay period.
REMITTANCE INFORMA TlON:
You musl begin Withholding no laler than the first pay period occurring ten (10) working days after the date of this
Order/NoUce. Send paymenl within seven (7) working days of the paydate/date of wilhholdlng. You are enlilled 10
deduct a fee 10 defray the cost of wllhholding. Refer to the laws governing the work state of your employee for lhe
the allowable amount, The tolal withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's
aggregate disposable weekly earnings. For the pllrpose of the limitation on withholding, lhe following Information Is
needed (See #9 on pg, 2).
If remllllng by EFT/EDI. please call Pennsylvania Stale Collections and Disbursement Unit (SCDU) Employer
Customer Service at 1,877-676-9580 for instruction;,
Make Remittance Payable to: PA SCOU
Send check to: Pennsylvania SCOU, P,O. Box 69112, Harrisburg, Pa 17106.9112
fN ADDITION, PA YMENTS MUST fNCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (show"
above as the Employee/Obligor'S Case Identifier) OR SOCIAL SECURIn' NUMBER tN ORDER TO BE PROCESSED.
DO NOT SEND CASH BY MAIL.
BY HIE COURT:
Date of Order:
DEe 1J tGlll
~
4..
Tv/>t,c.
Form EN-026
Worker ID $lATT
Service Type M
([/'0# H
li~~\,;:'(ll l?J 'rn' f-~ 't'fl'U ':"'1 .
~~:,(),I,II\N(\:()'.l70.()l'i"
/hl./3 C'l_r." rwlr~tI<ln()~I"': lJ/JI'OU
ADDITlONALINFORMATION TO EMPLOVERS AND OTHER WITHHOLDERS
o If rheckud you elrt\ wquht,d to provkh, d ropy tlf thl, form 10 yow nl1lploYl't"
1, Priority: WlthholdhlM undHr thi~ Oreim/Notlll' hJ'i priority ovt';r illlY ollwr If!~1ill proress uncltH St.lh' 1.IW itHilinr;t thtll'j,Um~ Income,
Federal tal< lev 1m in effm:t hf!foTll rtKI\lpt of thi" orelm haw! priority. If IIHm! .HI! ff!dmJI tdl< levier; In f~ff,!(:l plf!i\se nmlMt tht! rf1qutlstlnK
dsenry 1I.led helow,
.
2, Comhlnlng P.Wllwnh: You Celli rOlllhint! wlthlwld .lInollnl'i from mom tlhlll one fllllploYfl{l/ohli~\or/'i Income in it Sllll4le payment
'0 earh ilRf'lIl(:Y wquer.linn wlthholdinH. You mll~l, hOWI!Vl!r, ll!p.Utllely idt'llllfy the portioll of IllH !itllKle pilymenl thill is aurihllt.:\hlf! to
ed"h employee/ohlls"',
],. .. R..pnrtlnRlhn Paydale/Dal' 01 Withh"lding: YOll ''''''I "1''''1 Ihe p"yd"le/d"le of wilhholding when ,ending the !l"ym","!. The'
paytia",/da'" 01 withholding is Ih. d."'nn which "mnunt w.n Wilhh.ldfrom Ihe "mplnyee'. wag"', Ynu musl comply wilh Ihe law of the
~tate of ~he elllployef!ls/()hll~or'" prillrip..11 pldn~ of I!InploYlm~nt with wo;pl'cll(111H' linw periods within whirh YOll nHlst implfllllfJnt the
wllhholding order ilnd f()rwi.lrd thn !\uppc)rt p,IynwIllo;,
4,' Employee/Ohllgor wilh Multiple Supp"'t Holding" I( Ihere is 1110re th,lI\ ooe Order/Nollee 10 Withhold locome (or Support
"Kalnsl this employee/ohligor .Hld you alt! 1I0ahle 10 hoo", .,11 supp",1 Ordm/Notlees (hll! 10 feder.11 or Slale wllhholding limits, you l11usl
follow the law of the state of p.mploYtwl.,/ohllgor'o; princtpdl pl.lce of t!l1lploynwfll. VOU Olll'll honor <III Orders/Notkf1o; to the RreJtesl
e~lenl po..lble, (See #9 helowl
5, )"erOllnation Notification: YOll mUltt promptly notify the RequHslinH AHf!llcy when the employee/ohligor is no lonWH workil1K for
you. Please provide the informdlion requf!o;Ied .1I1d mtlHIl d copy of lhi.'l Order/Notice 10 the AWmcy identified ht~low,
WITHHOLDER'S ID: 91>5000042
EMPLOYEE'S/OBlIGOR'S NAME: ST9LTZFUS. BRUCE A.
EMPLOYEE'S CASEIDENTII'IER: _ 202000030j___, DATE OF SEPARATION:.
LAST KNOWN HOME ADDRESS:
~~EW EMPLOYER'S NAMF./ADDRESS:
6, Lump Sum Payments: You may be required to report and withhold frollllump slim payments surh as bOf)llses, commissions, or
severance pay. IfYDU have any questions about lump sum p,lymenls, contacllhe person or authority below,
7, lIabllily: I( you (ail 10 withhold income as Ihe Order/Nolice directs, you are liahle for holh Ihe a(TUnllllaled amounl you shollld
have withheld from Ihe employee/obligor's inrome and olher penaities sel by Pennsylvania Slale law, Pennsylvania Stale law govnrns
unle.. the obligor I. employed In a"other Stale, in which cilse Ihe law of Ihe Stale in which he or she is employed governs,
8, Anti-discrimination: You are subject 10 a fine dp.lmmil)t~d undm Slale IdW for dilir:hargillg an employee/obligor from
flmploym~nt, refusing to employ, or taking disriplinMY ;,\Ctlon llgdinsl <my employee/ohligor because of a support withholding.
Penn.ylvania Slale law governs lInle.. the ohligor is employed in ilnother St.,te, in whirh rase Ihe lilW of Ihe Slale in which he or she Is
employed governs,
9.' Withholding limits: You milY nol withhold more thilnlhe lesser of: 1I1he amOl",I, .1110wed by Ihe federal Consllmer Credit
Protenlon Ael (1 5 U,S,C, 51673 (b)1; or 2) the ilmollnls allowed by Ihe Slate of the el11ployee's/obligor's principal plilee of employment,
The federallimll applies 10 Ihe aggregdle disposable weekly earnings (ADWE1, ADWE Is the net inrome leh aher making m"nd"tory
deductions such as: State, Federal, local taxes; Sodal St!ClIrity taxf1Si and Medic.Hft taxes.
10,
'NOTE.: If you or your agent are served with a copy of this order in the state that isslled the order, YOll are to follow the
law of the state thaI Isslled this order with respecllo Ihese items.
Reqllestlng Agency:
DOMESTIC Bil6IIONS SECTION
13 N, HANOVER ST
P.O. BOX 320
CARLISLE P.:UZlll3
If you or your employee/obligor have any questions,
contacl _ WAGE ATTACHMENT UNIT
by telephone at iZ.1]) 240-6225 or
by fAX at 1717) 240-6248 or
by Internet @
Page 2 o( 2
form EN-02B
Worker ID $IATT
SelVice Type M
{),\IIINIl,:O'l7i).(J1H
hpirdl!Ol\f)JtI':ll!.llI1Hl