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Home My WebLink About00-06130 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -lIiI~~ ;Ii :f.iIi;j; '" . .. "'iliiliiliili:f.iIi;F."''''",,,, "';Ii'" "'''' "'''''''''';Ii iliiliili"'''''''''''''''''''''' ~.F';" ^-'-' ,'" ." - ,^',,<'<,J.' :"~:c.:. ~,",' ",,' ,~., ,,", );',.;',_ _1" ,; ,_. . &: "''''''' "'''''''iIi'''iIi'''iIi'''''''''~''''''~ + . . . + + + + . . . . . . . . . . . + . . . . . . . . . + . . . . + . . . . . . + . . . . . . . . . . . . . . . . . . . . . . . . . . . + . + . . . . . . . . . . + + . . . . . . . . . . . . . . . . . . . "''''iIi''''''''''''''''''''''''''''''''''''~''''''~ IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY STATE OF JANICE E. MILLER VERSUS ROLAND J. MILLER AND NOW, DECREED THAT PENNA. No. 00-6130 DECREE IN DIVORCE rJ~/K' M"IO:O)A.;\ . ~Dl>3 , IT IS ORDERED AND Janice E. Miller AND Roland ,:J. Miller ARE DIVORCED FROM THE BONDS OF MATRIMONY. , PLAINTIFF, , DEFENDANT, THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE: YET BEEN ENTERED; BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT N/A The settlement transcript dated September 18, 2003, executed by the parties is attached hereto and incorporated herein for enfmrcement purposes only pursuant to Section 3105 of the Pennsylvania Divorce Code. ;F. ;F.'t: :+: By ATTEST: PROTHONOTARY :Ii :f.:f.'f."':f.'fili :f.:f.'f:t: 'f.:f.:f.:F.iIi;f.;f.'" "'iIi:f.:f. J. j '_. ~"~i '~'\-. ^~ /1'jf'c3 &<C'~~#aI ~ 1/, /f '0,3 '71~ ~ ;;t ~ ~ ;",,,,,:'1 " . ~,-- !!!i!Ii!!"'l _ . ~.. 'L, . ,...~ _ _ ,~~ "1 ,'~-~"<~~ _..".,ll.;1'i""''''''''', !li!]ll!lJlII,~.,." _~,l.~" " -. --"~ ~, . "" , '"~'" -"-- j~:' JANICE E. MILLER, Plaintiff v. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 00-6130 CIVIL TERM ROLAND J. MILLER, Defendant : CIVIL ACTION - LAW : IN DIVORCE PRAECIPE TO TRANSMIT RECORD To the Prothonotary: Transmit the record together with the following information, to the Court for entry of a divorce decree: 1. Ground for a divorce: irretrievable breakdown under Section 3301 (c) of the Divorce Code. 2. Date and manner of service of the Complaint: UPS Deliverv - 9/8/00. 3. Complete either paragraph (a) or (b). (a) Date of execution of the affidavit of consent required by Section 3301 (c) of the Divorce Code: by the Plaintiff 09/18/03, by the Defendant 09/18/03. (0) (1) Date of execution of the plaintiffs affidavit required by Section 3301 (d) of the Divorce Code: (2) Date of service of the plaintiff's affidavit upon the Defendant: 4. Related claim pending: All claims settled at Conference before Divorce Master on 9/18/03. 5. Complete either (a) or (b) (a) Date and manner of service of the notice of intention to file praecipe to transmit record, a copy of which is attached, if the decree is to be entered under section 3301 (d) of the Divorce Code: (0) Date Plaintiffs Waiver of Notice in ~ 3301 (c) Divorce was filed with the Prothonotary 09/18/03 Date Defendant's Waiver of Notice in ~ 3301 (c) was filed with the Prothonotary 09/18/03. C~/,;I~ Chanes Rector, Esquire Attorney for the Plaintiff Date: 11/11/03 ~~~1i~~~>:f;rll~;,;;;,;""-!?<n-,l>(i,-t,~i>.k,,*'~,*~ffiBMllic~_Jt);~;;,i,~~"1!i:~,,,bi<J1*>'f.Ji>'~~J ~-"''''M~~Y~~__~ ~'" _" ~ ...0' "~ -" " ~.';" (') (~ ..,......, C ("J ~n ;:;;: -- d_ "1'1m r.::J nOl"'.' < z~;j --,~;: zr;;.. ~, -,~;c ~:;" '~'=!C, t<C) " ~T' -ii, ~". ~ ~i?a ,,' ,-. 5>"" w Q'" c: Z '-'1 ::!;:: ::<! (N ~ , '" ~l&iJJi'iiii,;,d . JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE THE MASTER: Today is September 18, 2003. This is the date set for a conference between counsel and the parties. Present in the hearing room are the Plaintiff, Janice E. Miller, and her counsel Charles Rector, and the Defendant, Roland J. Miller, and his counsel Sanford A. Krevsky. This action was commenced by the filing of a complaint in divorce on September 7, 2000. The complaint raised grounds for divorce of irretrievable breakdown of the marriage and the economic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and costs. The parties have signed affidavits of consent and waivers of notice of intention to request entry of divorce decree so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. The affidavits and waivers will be filed with the Prothonotary by the Master's office. After negotiations today, which have continued from prior conferences between the parties, the Master has been advised that an agreement has been reached 1 1.' ~, - ".:.,,--'~. il!:<:!' with respect to the outstanding economic issues. An agreement is going to be placed on record in the presence of the parties. The agreement as placed on the record will be considered the substantive agreement of the parties not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. The agreement will be sent around to counsel and the parties for review to make correction of typographical errors and then affix their signatures affirming the terms of settlement as stated on the record. It is understood that the agreement as stated on the record will be considered the agreement of the parties when they leave the hearing room today and will not be subject to any substantive changes or modifications and will be binding upon the parties even though they do not subsequently sign the agreement affirming the terms of settlement. Upon receipt by the Master of a completed agreement, the Master will prepare an order vacating his appointment. The agreement will be sent to counsel, as indicated, to review for typographical errors and then counsel will be responsible for obtaining the parties' signatures and returning the document to the Master so that the Master can then proceed to vacate his appointment and allow the parties to file a praecipe transmitting the record to Court requesting a final decree in divorce. Mr. Rector. 2 -~ -<. >...'" !I 'r'w!1 MR. RECTOR: 1. The parties agree that wife shall receive as her separate assets the following: Her 401(k) plan with J.C. penneys; All escrow proceeds currently held for the benefit of the parties at Commerce Bank; Her joint 1st Union account; Her Harris Bank savings account; Her Harris Bank checking account; The proceeds received following the sale of the van. Husband waives any and all interest he may in the assets awarded to wife. 2. Husband shall receive as his separate assets the following: His Teamsters retirement plan, except that portion to be segregated for a QDRO for the benefits of wife which will be outlined below; His American Express account; Any monies currently held by him in the New Cumberland Federal Credit Union. Wife waives any and all interest she may in the assets awarded to husband except for the Teamsters retirement plan which shall be distributed as follows: The parties agree that wife shall receive as her portion of said Teamsters plan the sum of $58,091.00 and any and all appreciation which may accrue on the account in proportion to the amount to be received by wife. A QDRO shall be prepared by Harry Leister, FSA, to facilitate this distribution. Husband shall at his cost supplement any additional fee required by Harry Leister for the completion of this QDRO and counsel for the parties shall exchange the QDRO and communicate that to the funds administrator without delay. The parties acknowledge that Plaintiff, Janice E. Miller, has utilized the service of Harry Leister previously for the preparation of a draft QDRO and has satisfied that 3 - -~ . 1dl;.'lftL';, bill. To the extent that any additional costs are incurred by Mr. Leister, husband agrees to pay any additional costs that may be due and owing to Mr. Leister. By way of clarification, most of the QDRO which has already been drafted will be complemented by the new amounts negotiated by the parties. We anticipate that any additional costs will be nominal. MR. KREVSKY: Should the full payment be able to be effected through another vehicle other than a QDRO such as a rollover to an IRA then the parties authorize the most expeditious, efficient way to approach that. MR. RECTOR: 3. Wife waives her entitlement to alimony as part of this settlement now and in the future. The parties acknowledge that there is a current order of alimony pendente lite docketed at 6130 Civil Term of the Domestic Relations Office. Wife's receipt of alimony pendente lite shall cease as a matter of law upon the date of the issuance of the decree in divorce in this case. 4. Wife likewise waives her counsel fee claim. 5. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in the other's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interest, rights, and claims. MR. RECTOR: Mrs. Miller, you've heard me recite the negotiated agreement on the record, do you have any questions about what you've heard? 4 j- " ~ , , -"'="",-,,1 MRS. MILLER: No. MR. RECTOR: Are you in agreement with it? MRS. MILLER: Yes. MR. RECTOR: You understand as the Master pointed out to you that having heard that agreement on the record today, even if the transcript is not signed we have a binding contract as we sit her today, do you understand that? MRS. MILLER: Yes. MR. RECTOR: Are you satisfied with my representation in this case? MRS. MILLER: Yes. (A discussion was held off the record.) MR. KREVSKY: Mr. Miller, you've heard the summary of the terms of the marital settlement agreement from Mr. Rector, did you understand everything he said? MR. MILLER: Yes, MR. KREVSKY: Did you also understand the comments that were made by the Master and myself concerning the agreement? MR. MILLER: Yes. MR. KREVSKY: Do you understand also that the terms of the agreement as outlined this morning will be binding on you and Janice even if it's not signed right now? MR. MILLER: Yes. 5 - ~",-,. , '0"= lliiil MR. KREVSKY: And that subsequently if it is signed by counsel, that would also bind you? MR. MILLER: Yes. MR. KREVSKY: Again, as Mr. Rector has indicated, have you and I had ample opportunity to review what you believe are the assets and debts of your estate? MR. MILLER: Yes. MR. KREVSKY: Do you believe -- are you satisfied that your wife either to you or through her attorney has made full disclosure to you of the assets and liabilities of the estate? MR. MILLER: Yes. MR. KREVSKY: And would you agree not to -- if there was something that was missing, do you agree to be bound by the terms of the agreement nonetheless? MR. MILLER: Yes. MR. KREVSKY: And regarding your satisfaction or dissatisfaction with my services, are you satisfied with my services? MR. MILLER: Yes. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to 6 ,'l.l- . - . ~ - the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS: Charles Rector Attorney for Plaintiff Sanford A. Krevsky Attorney for Defendant DATE: Janice E. Miller Roland J. Miller 7 -~ ~ ~ , "~ -~~iY, -,~ . ",', ."" ", OJ --'.........." '--%'V~"l~ JANICE E. MILLER, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. 00- f.:,/J6 eOl'( T~ ROLAND J. MILLER, Defendant CIVIL ACTION - LAW IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property of other rights important to you, including the 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 at the Office of the Prothonotary. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO, OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 717-249-3166 ~,,~ - ~.- ',"" '""ikl JANICE E. MillER, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. txJ - (,/.30 CU:.1'.'~ ROLAND J. MillER, Defendant CIVil ACTION - LAW IN DIVORCE COMPLAINT IN DIVORCE AND NOW comes the Plaintiff, Janice E. Miller, by and through her attorney, Charles Rector, Esquire, and respectfully represents as follows: 1. Plaintiff is Janice E. Miller (SS # 200-36-8051), an adult individual, currently residing at 1071-15 Lancaster Blvd., Mechanicsburg, Cumberland County, Pennsylvania, 17055. 2. Defendant is Roland J. Miller (SS # 181-42-7553), an adult individual, currently residing at 925 Shetters lane, Camp Hill, Cumberland County, Pennsylvania, 17011. 3. Plaintiff and Defendant have been bona fide residents of the Commonwealth of Pennsylvania for a period of six months (6) immediately preceding the filing of the Complaint. 4. Plaintiff and Defendant were married on September 30, 1978, in Mechanicsburg, Cumberland County, Pennsylvania. 5. There have been no prior actions for divorce or for annulment between the parties. ,4~ ~- ".,.' -' ~, .l4;; 6. The Plaintiff and Defendant are both citizens of the United States of America. Count I - Divorce 7. The allegations of Paragraphs 1 through 6 are incorporated herein by reference and made a part hereof. 8. This action is not brought through collusion between the Plaintiff and Defendant. but in sincerity and truth for the reasons set forth within. 9. The marriage is irretrievably broken, and the parties are proceeding under Section 3301 (c) of the Divorce Code. In the alternative, Defendant has offered such indignities to Plaintiff, the innocent and injured spouse, as to render her condition intolerable and her life burdensome. 10. Plaintiff has been advised that counseling is available and that Plaintiff may have the right to request that the Court require the parties to participate in counseling. WHEREFORE, Plaintiff requests your Honorable Court to enter a divorce decree dissolving the marriage between Plaintiff and Defendant. Count II - Eauitable Distribution 11. Paragraphs 1 through 10 of this Complaint are incorporated herein by reference as if set forth at length. - ='. "~ - " ~ ~"'" "iIIi:) 12. The parties have acquired, during the course of the marriage and prior to separation, property, both real and personal, which they own jointly or which was otherwise purchased so as to constitute marital property within the definition and scope of Section 3502 of the Divorce Code. WHEREFORE, Plaintiff requests your Honorable Court to enter an Order distributing the marital property owned by the parties. Count III - Spousal SUpDort and/or Alimony Pendent Lite and Permanent Alimony 13. The allegations in Paragraph 1 through 12 are incorporated herein by reference and made a part hereof. 14. Plaintiff is unable to sustain herself during the course of this litigation. 15. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to sustain herself adequately through appropriate employment. 16. Plaintiff requests this Honorable Court to enter an award of spousal support and/or alimony pendente lite in her favor pursuant to Section 3701 of the Divorce Code. WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter an award of spousal support and/or alimony pendente lite until final hearing and thereupon to enter an order of alimony in her favor pursuant to Section 3701 of the Divorce Code. ''';!i Count IV- Counsel Fees. El(penses and Costs of Suit 17. The allegations of Paragraphs 1 through 16 are incorporated herein by reference and made a part hereof. 18. Plaintiff has retained an attorney to prosecute this action and has agreed to pay him a reasonable fee. 19. Plaintiff has incurred and will incur costs and expenses in prosecuting this action. 20. Plaintiff is not financially able to meet the expenses and costs of prosecuting this action or the fees to which her attorney will be entitled in this case. 21. Plaintiff requests this Honorable Court to enter an award of interim counsel fees, costs and expenses until final hearing and thereupon such additional counsel fees, costs and expenses as deemed appropriate. WHEREFORE, Plaintiff respectfully requests that, pursuant to Sections 3702 of the Divorce Code, the Court enter an Order directing Defendant to pay Plaintiff's reasonable counsel fees, costs and expenses. RESPECTFULLY SUB -,-~_._~...--------~" .-- Date:# ~ 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. r', . ljpm;'v ! )y( diu- J Janice E. Miller Date: 9/7i!;JOo() c .',-- - ~1Ilj. . ~':'~-~ ~~"'-'- ~-"~, ~ " . JANICE E. MillER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA V. NO. 00-6130 CIVil TERM ROLAND J. MillER, Defendant CIVil ACTION - LAW IN DIVORCE PROOF OF SERVICE OFm~~1IJlt!!l1' PS SHIPPER No. / UPS BilLING No. .1;' 050,595Eil.? REFE: ,ENCE NUMBER CJ()- (0100 . NAME ,'_ ' c'~r}es <Ke€:;h5r ZON~ -=-8 K~~~%;;; ~~~:\':'Ii if~,,;qi t~\"I' ~ ,:11)81 _~~~. W~~i,~.\ml"':.,I~'p,'.":-_ _ ,./" S hip pin 9 Doc u men t SHIPPER'S COpy STREET ADDRESS L ,~~ 'S\\et\~aNL . Qij\;<<' CITY AND STATE (INCLUDE COUNTRY IF\NTERNATIONAL) -_~,J?'~<,';;';.n::::: " Co t\,l ri')h". '1rt!l'fi>'~"; , ~ \\ \ ' 1}' {' H.#~'! 1111~_I;11I1 DEPT./FLOOR i;f~~ t~1 lm gai ~;.~~ lnf ~nl I,ll hh ~gi~ ll!t' ;,,1 Hii ~~li" H3 ~U~A Hn ,,~i.81 !!~n~ ~~l!~~ ::U!i "il"~I'~ 1lJhj-' ,l.!!!;_ URECEIVER'S/THIRDPAR1YSUP,SAocTfIo.~~~mTCAAD~ I ExA~OO U!Q I ., /.;r,. THIRD PARTY'S COMPANY NAME ~hi~ ~il.i c_-,,'" 8 ~~~~i .,,!, ;;;1.:" ~~="'~ ~~liti 'ill' !.ff UU~ CjA'j;E OE.ljHIP~T till .., I I 1,1". ~ D WORLDWIDE NEXT DAY EXPRESS AIR (INTERNATIONAL) $ FOR.WORLD'MDEExPPESS8HIPMENTSD~ ~~~tx;)f,;~JJ~LJe. C>>JLy O SATURDAY 0 SATURDAY PICKUP DElIVE.RY S..inslruotlon$. Seelnstrucljons O DECLARED VALUE $ CQntentsare&JlOmalically $ ~'='''$1%~~j=~ AMOUNT $ , see instructions on back. Call 1 ~8Q(}.PICK-UPS (800-742-5877) for a,cIditional information. O C.O.D. $ IfC"O,1). entorarrounllooo. COII~enclallach~ Uf'Sc.o"D.tag lOpacl<age AMOUNT $ " TELEPHONE 71'(:":76 i-B:1: 1n COMPANY LAW. Of'FICE OF CH"';RLES RECTOR ., ~ " STRE~T ADDRESS RIi:~~~~ER BI~A~RO AMERICAN MASTER VISA SHIPPER ~ . n..' EXPRESS CARD ,"_ 'f.N5XTUAYMIR"",-Y] ~DDDDDD ~R""""OAQCOUNTNO,I"S'CllO"a~ 11 0.4' F.ftl~l'lJijlJOU AVE ,1!20.,3 GIrv.~'~O'S;'ATE ZIP CODE CAMP HILL PA 170.11 2 . X raEMEl Y URGENT DELIVERY TO ?K" . . n\o.~ c\ ~. ('i\) \\er COMPANY TELEPHONE b'1J 73.7-6\9'1 STREET ADDRESS CITY AND STATE ZIP CODE tJSHIPPER'S ~~ SIGNATURE 0101911209/95 WI Date: ~ By: ~nw~ Char es Rector, EsqUire 1104 Fernwood Avenue, Ste. 203 Camp Hill, PA 17011-6912 (717) 761-8101 Attorney for Plaintiff I ..;;:;.. ~~~ ., ."w,i , . UPS Package Tracking ~ P~ge 1 ofl ft01~~~~i~~Zlf:f~~,E~:jj~t2~~"<<'I''''''lR''~~_1I1II1IU5I''!fi\~~_ ~ ~!-8 __lilll ' .. C1~fMPI( UtlNtR " -... l ." ' TAAcK ~l$fP TRACKING NUHBER-!REFERfNC"E-UUMBER- --"""") .. o;mP'-OFF SUPPLIES Tracking Detail Status: Delivered Delivered on: Sep 8, 2000 9:06 A.M. Delivered to: DRIVER RELEASE Location: FS Shipped to: US Tracking Number: N626 0200 691 Service Type: NEXT DAY AIR PACKAGE PROGRESS Date Time Sep 8, 2000 9:06 A.M. 1:01 A.M. 12:05 A.M. 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Copyright @ 1994-2000 United Parcel Service of America, Inc. Al! Rights Reserved. 36 USC 380. Il'a.<1!<tI)ll.!!<..and TarijD.!1fQ]'tI)ll!!QIl http://wwwapps.ups.comletracking/tracking.cgi 9/8/00 ~ .-~~-,-J.. +'~';'-'-I*~~_!!l~~I~~"Iii;ft\Jl'ii;li~'~f<iilr ~..,.<. l ~ ... - () !; ........~ ..UG." ~f ;:S< ~_r-I .:t.::;-...... ~-" r-' ~(~' ;,;; -' C" 5" -< - "",,,,,,- " "'~ ~. , ,~"' '! \ C7':) W ;;e <:::> .~ o ""/ - ,,~ .7; 2J -:zED 5:r _.l( ) ----'..:;:. ~.} :rj :,:p ,'yl) -., .J::-.. -'0 '"-<: ^- .~ ::t1 -c.. ~ :J1 (..v ~' ..... . . - l~ . il~! JANICE E. MILLER, Plaintiff vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on Septernber 7,2000. 2. The rnarriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of the filing of the Complaint. 3. I consent to the entry of the final Decree in Divorce after service of notice of intention to request entry of the decree. I VERIFY THAT THE STATEMENTS MADE IN THE FOREGOING AFFIDAVIT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA.C.S. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORTIES. DA:rU-103 ROLAND J. MILL R JMJ .~ ,~ _.<~ ,'0' ,: ~ tflili!ifi""-" 'l!' " l-.f' illifiil -- Illl"L.ii'i.i1l1' I -"" ';~,","_1$;j!lM!!~jlijL"m';C ~ .. "~' ~ ';, -"" ~ '"lili "'~'@ () C\ 0 <:;: (,0) "n .~,~ (f') ''; -0 C 1'" m , "'0 " 7;;; ~:::.. " '--.-1 !-n :;:::::: (;)) ~:} Cf? , -, (). ~. "U " <:: , -r, )> C _.~'" , C') 2: C ""-'", .., );. C,~ I;:2 ;;1 , l;:- ::q -". -1::- -, ~ . <-- .-~> JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE WAIVER OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 33011CI OF THE DIVORCE CODE 1. I consent to the entry of a final decree of divorce without notice. 2. I understand that I may lose rights concerning alirnony, division of property, lawyer's fees or expenses if) do not clairn them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I VERIFY THAT THE STATEMENTS MADE IN THE FOREGOING AFFIDAVIT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA.C.S. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORTIES. ~O~ DATE: """""";'- - 1l!J't,rt' <"=' ilLiDlif >--.,~_"" '~ii1,"""..:""i, rrn'll".iar~Ll_~~i'"'_"'ri<'It"<~~'-'-'-'.. " ~ ,~' ->~ " ~~ ",,'.[~ ,~','& ti r:'~tJid::M ,'''''';''''''' () a C w 0 v~~ -n 'Z> -'-' 0')(, ,-" ..,-:::. -" :'i ~.,.~ ., Z , ""' n-. co CD i:" -.::' rS , . ~''''J Ci ~E';::,~; ::!,~ ., '"~~~ " 5~:~, ;~ 22 0'~) :_) fTl :::;:-, -0 ~ -", 1"-' X) " -< ~&i&Yk1ji~~~~~ . " -"', "~-IMiij JANICE E. MILLER, Plaintiff vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 330l(c) of the Divorce Code was filed on September 7,2000. 2. The rnarriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of the filing of the Complaint. 3. I consent to the entry of the final Decree in Divorce after service of notice of intention to request entry of the decree. I VERIFY THAT THE STATEMENTS MADE IN THE FOREGOING AFFIDAVIT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA.C.S. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORTIES. 9/;?/'D5 DATE: QwEV/L.L'0- c/ ANICE E. MILLER r'i'"'""'ln" ," 0='> ;',--'-'''i'"ii'~~thli ,'tifU'lf_'.J'~"i'~_~ , _,~'" _,,~,.~,s.,' "<'~~ .~ ,0 < ,,',~ ,~ ~ n'Vr.1'"r <~'" ",~ ., ,~"'. jM&j.d ~1t5 nl;'r Z', ...:..... L en. ~~:'-'- --~. ~~~: :":'"1 --( ''''-'-'1 q <:;, ~ -,' I -'j , I a Cd U) ;"1' ""0 o 'J ...-1 --"'IJ-:-1 171 C-j ("r\ (~) -'~ =H ~~~~ ---=i "1:::>: :i:J -< ::r? r:-? r=- .t:'"" "'- . :,1 .-...'^"" '--~; JANICE E. MILLER, Plaintiff VB. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE WAIVER OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301lCI OF THE DIVORCE CODE 1. I consent to the entry of a fmal decree of divorce without notice. 2. I understand that I rnay lose rights conceming alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me irnmediately after it is fIled with the Prothonotary. I VERIFY THAT THE STATEMENTS MADE IN THE FOREGOING AFFIDAVIT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE MADE SUBJECT TO THE PENALTIES OF 18 PA.C.S. SECTION 4904 RELATING TO UNSWORN FALSIFICATION TO AUTHORTIES. 9hl?/O 3 DATE: C~-~.iL- ,/'/ ANICf E. MILLER I .~~,L ""' __"",_".,0","""",', " - ,.,;. >.,';C- _~ -,,--,~ ,'.'16:"''''"--' '" --''' M!L.liC- '~ ,~~,""" , - lM!$1 ._~'., - ~ ,.. " ..,-"""""'.,~'.~,,;,-" .'" ' __.. ... . .-~o_,<__ lI!iIJ~ -"~ ~M c.-) C- -0 "," rn (,', zU' g( '--'::;'..,' ~__ r ~ ;:;,.( sr:": '""'''';'''';~i I I o C,) V) ~~ o p n :~"3 "Ii r-::': co .j;!t;7 ~]1 :,~~;F5. '-' " -~ ::a ", ::;<? ~~". .,,:::- .~,) .. t,- ,<;:- 111- _'__n- .~ n '0._, ""' - ,,' WiiMa- < ~ ilili Law Offices of Charles Rector, Esquire, P.e. 1104 Femwood Avenue, Ste. 203 Camp Hill, PA 17011-6912 www.charlesrector.com Tammy S. Faust Paralegal (717) 761-8101 Fax (717) 761-2161 November 3, 2003 E. Robert Elicker, II, Esquire Office of Divorce Master 9 North Hanover Street Carlisle, PA 17013 Re: Miller v. Miller No. 00-6130 Civil Term Dear Mr. Elicker: Enclosed please find an original and one copy of the parties' fully executed Settlement Transcript in the above-referenced matter. Once the appointment of the Divorce Master is vacated, I will finalize the divorce. Thank you for your assistance in this matter. If you have any questions, please feel free to contact me. Very truly yours, .... ...--., c /~/Z ~ Charles Rector ~"~~- -"~ --p~ ~_. ~ ...~,_..--~-~.__....,-- CRltsf Enclosures cc: Jan Miller Sanford Krevsky, Esquire , - <,' "" j-,'f- ~_":.. ('."~;-'~ OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle, PA 17013 (717) 240-6535 E. Robert Elicker, II Divorce Master Traci do Colyer Office Manager/Reporter West Shore 697-0371 Ext. 6535 September 18, 2003 Charles Rector Attorney at Law 1104 Fernwood Avenue, Camp Hill, PA 17011 Sanford A. Krevsky Attorney at Law Suite 203 KREVSKY & ROSEN 1101 North Front Street Harrisburg, PA 17102 RE: Janice E. Miller vs. Roland J. Miller No. 00 - 6130 Civil In Divorce Dear Mr. Rector and Mr. Krevsky: Enclosed is a draft of the agreement which you put on the record on September 18, 2003. Please review the draft for any corrections with the understanding that no substantive changes can be made. After you have reviewed the draft, give us a call so we can make appropriate corrections. We will send the corrected original to the Plaintiff's attorney for signature who then can transmit the original to the Defendant's attorney for signature. When I receive a signed copy of the document, I will then obtain a Court order vacating my appointment. Thank. you for your continuing cooperation in bringing this matter to settlement. Very truly yours, E. Robert Elicker, II Divorce Master ';,,~- ,j ""'-,'- "''''M,,;i .- ~ JANICE E. MILLER IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff vs. CIVIL ACTION - LAW 00 - 6130 NO. CIVIL 19 ROLAND J. MILLER IN DIVORCE Defendant STATUS SHEET DATE: l'~ ?r If) / to/I lor ((I ~t6o/ - -- 'c';!!l -> ~ ""Y,,-,--",-' ,~ ,~=~ - - - ~~ ~ . ~ -Oi".-.- JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE TO: Charles Rector Attorney for Plaintiff Sanford A. Krevsky , Attorney for Defendant DATE: Tuesday, August 26, 2002 CERTIFICATION I certify that discovery is complete as to the claims for which the Master has been appointed. OR IF DISCOVERY IS NOT COMPLETE: (a) Outline what information is required that is not complete in order to prepare the case for trial and indicate whether there are any outstanding interrogatories or discovery motions. ~ d'" - ~ '"'~~'~:O"-' ,,-'. . (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. DATE COUNSEL FOR PLAINTIFF COUNSEL FOR DEFENDANT NOTE: PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE AT THE MASTER'S DISCRETION. AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY COUNSEL, INDICATING THAT DISCOVERY IS NOT COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL STATEMENTS WILL BE ISSUED AT THE MASTER'S DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL STATEMENTS WILL BE ISSUED IMMEDIATELY. THE CERTIFICATION DOCUMENT SHOULD BE RETURNED TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF THE DATE SHOWN ON THE DOCUMENT. - ~.."" II " ,j Ii '~!lili~i,,-, JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE CONFERENCE WITH COUNSEL AND THE PARTIES TO: Charles Rector Janice E. Miller Counsel for Plaintiff , Plaintiff Sanford A. Krevsky Roland J. Miller , Counsel for Defendant Defendant A conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 23rd day of May 2003, at 9:00 a.m., with counsel and the parties to discuss the outstanding economic issues to determine if there is a basis of settlement of claims. If issues remain after the conference, a hearing will be scheduled at another date. Very truly yours, Date of Notice: March 31, 2003 E. Robert Elicker, II Divorce Master -'''--'-' -^ -."r:--'"':'T Law Offices of Charles Rector, Esquire, P.C. 1104 Fernwood Avenue, Ste. 203 Carnp Hill, PA 17011-6912 www.charlesrector.com Tammy S. Faust Paralegal (717) 761-8101 Fax (717) 761-2161 July 18, 2003 E. Robert Elicker, II, Esquire Office of Divorce Master 9 North HanoVer Street Carlisle, PA 17013 Re: Miller v. Miller No. 00-6130 Civil Term Dear Mr. Elicker: My client has directed that I re-Iist this matter for a Master's Hearing. I request a second pre-hearing conference with the clients present. Very truly yours, Charles Rector CRltsf cc: Sanford Krevsky, Esquire Jan Miller __ ",,'-0'-,'- . .' ~ , " --jL - ~,' __ l',~, ~' ,,; '^',,'" -'- '.;~,;-; --_.--- ~"-,-"",, ~ ... /" . JANICE E. MILLER, Plaintiff v. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL V ANlA : NO. 00-6130 ROLAND 1. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE PRE-TRIAL STATEMENT OF DEFENDANT I. a.. PLAINTIFF'S BACKGROUND 1071-15 Lancaster Boulevard Mechanicsbnrg, Pennsylvania 17055 Date of Birth: 7/30/54 Occupation: A. Office Clerk at Penney's (Note: Wife reports $249.00 per month at this position; however, her paystub from October 2002 indicates her total year to date income at approximately $5,000.00, therefore her monthly pay would be approximately $500.00. B. Real Estate Agent at Jack Gaughn Realtors. b. DEFENDANT'S BACKGROUND 17 West Front Street P.O. Box 3146 Shiremanstown, PAl 70 11 Date of Birth: 3/31/54 Occupation: Truck Driver through Exel Logistics Due to increased costs of medical benefits, increases in Husband's salary have been offset. c. Date of Marriage: October 31, 1978 Date of Separation: July 2000 I d. Place of Marriage: Mechanicsburg, Pennsylvania ~ , ,~-, ---~,:,- "'-~, ,',"-< "~" ,,",', ".- ~':_~;, "'-;,--'.-', ,,~ -"-. .. e. Children: Nickolas Alan Miller: Carly Jane Miller: 23 years old l'l years old f. Grounds for divorce: Marriage is irretrievably broken. g. Issues to be resolved: Alimony, Alimony Pendente Lite, Equitable Distribution and Assignment of Property, Support, Counsel fees, Costs and Expenses. II. PROCEDURAL HISTORY 9/7/00: Divorce action commenced. 8/22/02: Master appointed to resolve all outstanding issues. III. INVENTORY AND APPRAISAL . Forwarded to the Court on November 13, 2002 on behalf of Defendant. IV. WITNESSES Lay: a. Defendant b. Plaintiff, as on cross Expert: Husband reserves the right to identify any expert witness should same be needed to resolve any remaining dispute as to valuation of marital assets. V. EXEffRITS Exhibits required to establish values will be provided at trial, if needed. VI. INCOME INFORMATION Forwarded to the Court on November 13, 2002 for filing; Copies of same forwarded to opposing counsel and Master on November 13,2002. " VII. EXPENSE INFORMATION Forwarded to the Court on November 13, 2002 for filing; Copies of same forwarded to opposing counsel and Master on November 13,2002. ~ -';0 ',. - """,;.,.,U " <~,- - ,. "i'-~~ ';', '-,;' ";~';'\ ."n"",:,"_",;,_", ;_:"" ~" ~ - :;;.2::,2::';;:, - ",' - "LO"ik .. Vill. PENSION VALUE Appraisals of both parties pensions have been conducted. Due to the market changes, the more accurate figure reflects a $5,110.59 decrease in the pension value. IX. REAL ESTATE Escrowed proceeds from the sale ofthe marital home Balance as of December 31, 2002 was $33,214.38 Mrs. Miller was the realtor that sold the marital home. It is believed that Mrs. Miller received commission from the sale ofthe home. X. PERSONALTY With the exception of the items outlined below, all items of personal property have already been divided to the parties satisfaction but parties reserve the right to present testimony regarding the value of furnishings distributed to each party if necessary: A. Bank accounts: it is believed that Wife has unreported assets in bank accounts. B. American Express Account should reflect a $12,000.00 total as opposed to $5,086.00. XI. PROPOSED ECONOMIC RESOLUTION A. 60% split to Wife, 40% split to Husband relative to general matter and 50% split to Wife, 50% split to Husband relative to pensions (Division would include a Qualified Domestic Relations Order relative to pensions). B. Alimony payments will cease. *Wife has been receiving $48.00 per week in Alimony Pendente Lite since September 10, 2000 for a total amount received of approximately $6,096.00. ., - - ~ A ~ , '.,. . - ~ "~', ",j~.", -, . ~--,.-'- "',>-~ - , , -~; :," :--,.-,",' ,,- , - -'- "~.' - ,-~';.. " ""'.,"- -:;~',;'-': ,_"C " "'""}<,,,..,~ -;--, ,',', ,~~". ~".J _:~ ~ ",," - ~ ~-- C. Taxes to be filed as follows: 1. 2001 - capital gains, wife claimed both kids (@$700-800) 2. 2002 - husband - head of household ($1200); 3. 2003 and thereafter - file separate. D. There shall be no alimony or counsel fees awarded to either party. Respectfully submitted: Krevsky & Rosen, P.c. Ire , . . , - '';'-. 0'--.'--""';"" _,':",:-', _';'-'"" ;',;-._;;.'_-n' --" -: ,~, " . JANICE E. MILLER, Plaintiff ,::-_:'{';'::' "O["~~, ,; .-"'O^ " "c--",' , -,;..-,",,^, -- <,1 F"'^!i&.j ,J-'_ '- - .;~;;" ~ - " : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA v. : NO. 00-6130 ROLAND 1. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this rr day Of~003, I, Susan N. Lenker, for the Law Firm ofKrevsky & Rosen, P. c., hereby certify that a copy of the foregoing Pretrial Statement was sent via Hand Delivery on the following: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMPHILL,PA 17043-0109 E. ROBERT ELICKER, IT, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, P A 17013 Susan N. Lenke 11 01 North Front Street Harrisburg, P A 171 02 (717) 234-4583 J' ~. , Ili JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE CONFERENCE WITH COUNSEL AND THE PARTIES TO: Charles Rector Janice E. Miller Counsel for Plaintiff Plaintiff Sanford A. Krevsky Roland J. Miller , Counsel for Defendant , Defendant A conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 18th day of September 2003, at 9:30 a.m., with counsel and the parties to discuss the outstanding economic issues to determine if there is a basis of settlement of claims. If issues remain after the conference, a hearing will be scheduled at another date. Very truly yours, Date of Notice: July 24, 2003 E. Robert Elicker, II Divorce Master 1!l!!1 . ';.' f;Jj[E'" FROM Charles Rector. Esq. PHONE NO. 717+761+2161 Jun. 04 2003 02:57PM P1 Law Offices of Charles Rector, Esquire, P.C. 1104 Femwood Avenue, Ste. 203 CampHiIl.PA 17011-6912 www.c:harlesrcctor.com Tammy S. Faust Paralegal (717) 761-8101 Fax (717) 761-2161 June 4. 2003 Via fax (717) 240-7890 E. Robert Elicker, II, Esquire Office of Divor,~ Master 9 North Hanover Street Carlisle, PA 17013 Re: Miller v. Miller No. 00-6130 Civil Term Dear Mr. Elickler: I confirm by this letter that I have reached comprehensive settlement of all economic issues in the above-referenced matter with Sanford A. Krevsky. Esquire. counsel for Mr. Miller, I therefore request that the hearing scheduled for Monday, June 9. 2003, be canceled and that the matter be continued generally, I expect that we will have a fully executed settlement agreement within the next five (5) days. I remain, Very truly yours, CV-' Charles Reclor CRltsf cc; Sanford A. Kresky, Esquire Jan Miller HP LaserJ et 3330 HP LASERJET 3330 Jun-4-2003 14: i3 ~ Fax Call Report -~'~~" ~ ,Ii!:,<' M....'.......'..@ ~'" } ". , n v e n t Job Date Result 134 6/ 4/2003 Time 14: 12:32 Type Identification Duration Receive 717+761+2161 0:41 FROM: Char 1..5 Rector, Es'l, PHJNEt-U. 717+761+2161 Jun.B4200JI'I2:S7PMPl Law Offices .f Charles Rector, Esquire, P.c. 1I04FernwoodAvenue, Ste, 203 CampHilI,PA 17011-6912 \lIWW,chorl..."".ouom Tammy S. Faust Pll1'alegal (717) 76]-SIOl Fax (717)761-2161 June 4,2003 Via fax (717/ 240-7890 E. Robert Elicker, II, Esquire Office of DivoreeMa5ter 9 North Hanover Slreet Carllste,PA 11013 Re: MlHer v. Miller No. 00-6130 Civil Term Dear Mr. EUcker: I confirm by thl$lelter 1ha\ I have reached comprehensive selUement of all economic Issues In the above-referenced mallerwllh Sanford A. Krevsky, Esquire, counsel for Mr. Miner. I therefore requesl that the heerin" scheduled for Monday, Ju.ne 92003 be canceled and tnalthe malter b&conllnued ganerally. leKpectlhatwewIl1 ~vea;ullyeKecutedsettlemenlagreementwl(hinIhBnexlfive(5)d3y5, I remain, Very truly yours, e,(i..,L.-.' Charle5Reclor CRllsf cc; SanfordA.Kresky,c$quire JanMiller Pages 1 OK !'l.i:J.ilIiI e r"' ti;; JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE RESCHEDULED CONFERENCE WITH COUNSEL AND THE PARTIES TO: Charles Rector Janice E. Miller Counsel for Plaintiff , Plaintiff Sanford A. Krevsky Roland J. Miller , Counsel for Defendant , Defendant A conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 9th day of June 2003, at 8:30 a.m., with counsel and the parties to discuss the outstanding economic issues to determine if there is a basis of settlement of claims. If issues remain after the conference, a hearing will be scheduled at another date. Very truly yours, Date of Notice: May 8, 2003 E. Robert Elicker, II Divorce Master 101 ~" ,-" ,- - ,"- ~-" -,' -,~ ,-< ,'_c' ~",-',,'.~ -"w-":"'>-'<^-';C--";~",~",-~,<;~",_~ ',',,,", :'"","'C';" , "':~i~":' ~&:~,9~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 January 30, 2003 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 Re: Janice E. Miller v. Roland 1. Miller (No. 00-6130) 'l$bos-1- Dear M~icker: As you know, I represent the interest of Roland J. Miller relative to the above- referenced matter. Enclosed please find a copy of Mr. Miller's Pre-trial Statement relative to this matter that was forwarded to the Cumberland County Courthouse for the appropriate filing. Additionally, this letter is a request that a Master's Hearing be scheduled. If possible, please contact my office to coordinate the scheduling of a date for the Master's Hearing to avoid any conflicts with my calendar. Thank you for your attention and assistance. If you have any questions or require anything further, please contact my office. I look forward to hearing from you; until then, I am Very truly yours, '---"-.- r~ - Sanford A. Krevsky SAK:alr Enclosure pc: R. Miller C. Rector, Esquire I .~ ~ 1 '.'h ..^ ,"." ~'W ~~ - _ I"w -~ - Ar- M0 JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE NOTICE OF PRE-HEARING CONFERENCE TO: Charles Rector , Attorney for Plaintiff Sanford A. Krevsky , Attorney for Defendant A pre-hearing conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, carlisle, Pennsylvania, on the 31st day of March 2003, at 9:30 a.m., at which time we will review the pre-trial statements previously filed by counsel, define issues, identify witnesses, explore the possibility of settlement and, if necessary, schedule a hearing. Very truly yours, Date of Notice: 2/5/03 E. Robert Elicker, II Divorce Master "'<,' .,7 "' "" ',- ",cO,"""" ,~;,.,-,__,_ ;/~;-' _ '" ~tfu,"""': - OFFICE OF DIVORCE MASTER CUMBERLAND COUNTY COURT OF COMMON PLEAS 9 North Hanover Street Carlisle. PA 17013 (717) 240-6535 E. Robert Elicker, II Divorce Master Traci .10 Colyer Office Manager/Reporter West Shore 697-0371 Ex!. 6535 October 18, 2002 Charles Rector, Esquire 1104 Femwood Avenue, Suite 203 Camp Hill, PA 17011 Sanford A. Krevsky, Esquire KREVSKY & ROSEN, P.C. 1101 North Front Street Harrisburg, PA 17102 RE: Janice E. Miller vs. Roland J. Miller No. 00 - 6130 Civil In Divorce Dear Mr. Rector and Mr. Krevsky: Mr. Rector has retumed the certification document advising that discovery is complete. The date of the document was August 30, 2002. Mr. Krevsky by letter dated September 10, 2002, indicated that certain matters needed to be completed in order to prepare the case for trial. Those items were enumerated in his letter. It is my opinion that adequate time has passed for counsel to have the case ready for trial and to complete discovery; therefore, I am going to proceed on the basis that there will be no outstanding discovery issues at the time of the pre-hearing conference. A divorce complaint was filed on September 7,2000, raising grounds for divorce of irretrievable breakdown of the marriage and indignities. My assumption is that the parties will sign affidavits of consent. If that is not correct, please advise and I will immediately schedule a hearing on the grounds of indignities or counsel should file a 3301(d) affidavit. The complaint also raised economic claims of equitable distribution, alimony, alimony pendente lite and counsel fees and expenses. , , . ~",- -<' : ,~:",,;~,-: ;', -- ~ ~ " """I--: Mr. Rector and Mr. Krevsky, Attorneys at Law 18 October 2002 Page 2 In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to file a pretrial statement on or before Friday, November 15, 2002. Upon receipt of the pretrial statements, I will immediately schedule a pre-hearing conference with counsel to discuss the issues and, if necessary, schedule a hearing. Very truly yours, E. Robert Elicker, II Divorce Master NOTE: Sanctions for failure to file the pretrial statements are set forth in subdivision (c) and (d) of Rule 1920.33. THE ORIGINAL PRETRIAL STATEMENT SHOULD BE FILED IN THE MASTER'S OFFICE AND A COPY SENT DIRECTLY TO OPPOSING COUNSEL. FAILURE TO FILE PRETRIAL STATEMENTS AS DIRECTED BY THE MASTER MAY RESULT IN THE MASTER'S APPOINTMENT BEING VACATED. (f , --'I, .'"~;" ~~".-'~" ,,-'-'~'.,,-,-, , c ..", , "< '", ..~ ,__~,,';s~,,);"i;~c"__ __._ ~iM:l JANICE E. MILLER, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-6130 CIVil TERM CIVIL ACTION - lAW IN DIVORCE ROLAND J. MILLER, Defendant MOTION FOR APPOINTMENTOF MASTER Janice E. Miller, Plaintiff, moves the Court to appoint a Master with respect to the following claims ( X ) Divorce ( ) Annulment ( X ) Alimony ( X ) Alimony Pendente Lite ( X ) Distribution of Property ( X ) Support ( X ) Counsel Fees ( X ) Costs and Expenses and in support of the motion states: 1. Discovery is complete as to the claims for which the appointment of a master is requested. 2. The Defendant has appeared in the action by his attorney Sanford A. Krevsky; Esquire. 3. The statutory ground for divorce is 3301 (c). 4. The action is contested with respect to all the above claims. 5. The action does\not involve complex issues of law or fact. 6. The hearing is expected to take one day. -..--..." ~..--"'-~ 7. There is no additional information relevan Date: 08/21/02 ORDER APPOINTING MASTER . ~ AND NOWY'~{J./ ;?.;J-, 2002, i:. ~Y"~-" ~,dtf Esquire is appointed M ter with respect to the follOWing claims: fJL ilL .' "';;.-'",-1. ,..~ LOi~ "')j,jj!B:_~~.__~:if~....!~iW>jli!illji'i,'.Mli8iiliMiig~:lf' .'~ ~"- >- r- ~ ~ IJ.JQ ..;:r OL O~ fj:Q :al;; Q 1';:1. Q.. 0:>1 y'- C) 75=! 06:: ('oJ 32 L1.;tCL N ECt,l,.l C,!) ffi~ :c ::::l ,.... c:r r:r:l ~ N :::E 0 a ""', -t' - ,~" ~ <, ,'~' .~ ,,~ ", - - "-""> .'C" ..... - ."- <) <:) 0 i~ l'o.> '"'t1 > to c:: :rr .. !B G") tn:D .~ l'o.> -o~ ~:?' N :t.:~r ;<::0 c> " -.; ~o ~'i'"' i :It g"" , - 5>~ r:- o~ -I 0 j5 ...... -< ."'" ,-< " - ~->'C,,;r I ! .. ~ -,1. 1-", , '~>' " '" "<,'-,l,, -;:Ci< ,i._" , ".&It...!liliiW:, Law Offices of Charles Rector, Esquire, P.e. 1104 Fernwood Avenue, Ste. 203 Camp Hill, PA 17011-6912 www.charlesrector.com Tammy S. Faust Paralegal (717) 761-8101 Fax (717) 761-2161 August 30, 2002 E. Robert Elicker, II, Esquire Office of Divorce Master 9 North Hanover Street Carlisle, PA 17013 Re: Miller v. Miller No. 00-6130 Civil Term Dear Mr. Elicker: Enclosed please find confirmation that discovery has been completed in the above-referenced matter. V:~:)0 Charles Reclr CRltsf Enclosure cc: Sanford Krevsky, Esquire .. . .,-'" , .~ '~'^- ''''f.''-''il'iti:.:iliIiIiiii Iiic- q I?// 0 ?{C/. JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE TO: Charles Rector Attorney for Plaintiff Sanford A. Krevsky , Attorney for Defendant DATE: Tuesday, August ~?, 2002 CERTIFICATION I certify that discovery is complete as to the claims for which the Master has been appointed. OR IF DISCOVERY IS NOT COMPLETE: (a) Outline what information is required that is not complete in order to prepare the case for trial and indicate whether there are any outstanding interrogatories or discovery motions. "',-~,~ '-" ,.,,-,,,',, ';.' - ~", 'iiliiliIii' o '> ~ ~'ilIl;:, (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. 3' JJ~/'';; DATE ----..... ~ COUNSEL F COUNSEL F ( ;/)"' ( ) NOTE: PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE AT THE MASTER'S DISCRETION. AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY COUNSEL, INDICATING THAT DISCOVERY IS NOT COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL STATEMENTS WILL BE ISSUED AT THE MASTER'S DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL STATEMENTS WILL BE ISSUED IMMEDIATELY. THE CERTIFICATION DOCUMENT SHOULD BE RETURNED TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF THE DATE SHOWN ON THE DOCUMENT. ~. ~ ~~". ~~~U_&t>"'"' JANICE E. MILLER, PlaintifflPetitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE ROLAND J. MILLER, DefendantJRespondent NO. 00-6130 CIVIL TERM IN DIVORCE DR# 29,883 Pacses# 072102644 ORDER OF COURT AND NOW, this 25th day of September, 2000, upon consideration of the attached Petitiou for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shaddav on October 17. 2000 at 9:00 A.M. for a conference, at 13 N. Hanover St., Carlisle, P A 17013, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered. YOU are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, inclnding W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.11CQ (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Mail cppieson j'.'<"'."""'''''''' 9.r2~~lJlj'16:'::":' < ~ ~~, ' .', '- Petitioner Respondent Charles Rector, Esquire Date of Order: September 25, 2000 YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY A VB. CARLISLE, PENNSYL VANIA 17013 (717) 249-3166 .A T'~""'<" " I 1 1 J " '" ~_ ~ ~o ~,__, ,~.;.' ... .'.'.,.-,' ~ ,~.-,' ~" " .'___" n ~.<'~-" " .',,,,,' " ~".,., _ ,~"~. ,~'"~. ..''- "'__.,~~ ffi~_~ .,"",," F\LED-OfFilCE O~ ~"," ...h........ 'h"~:rmy \_ \r~.;:_ '1.'~"':..,:L 1"11..f1"IUtt\f1 OD SEP 25 PI'\ 3: 34 CUW.Bf:.HlAND COUN1Y PENNSYlVANIA - __ 'MIJI!!lI;IIJ_, _1..,.,."._~ "it $~1!<iW"W'~'i"~~,;'''''''''fI''-'''F,''1l;--''''''''"3 ",' , . ~~-./'!Il'"'l!'!ffilio~fl!J!i'!;g.,?~",.,.,. ,~,.".."t'7-Jm' " , L_ -~W""k'c'I~" i '1 JANICE E. MILLER, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA NO. C6 - (,,/:16 (!'-od c..,-~ CIVIL ACTION - LAW IN DIVORCE ROLAND J. MILLER, Defendant NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property of other rights important to you, including the 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 at the Office of the Prothonotary. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO, OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 717-249-3166 (") _,f~ St5 r;:- ;:.;~ i"=-~ cr5.","- -<-0" r::: ~E; :Pc::: % =< "- ; .' C. "TJ -;1":) r:Y ':.-.,) ~~--;l :2:u ~~ - - ;!~ ~_.- '. ., l!.l;,Ij-"""W,:,m." i , I , :1 -1. ~ ~ V. ; IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. ,;, JANICE E. MILLER, Plaintiff ROLAND J. MILLER, Defendant : CIVIL ACTION - LAW : IN DIVORCE COMPLAINT IN DIVORCE . AND NOW comes the Plaintiff, Janice E. Miller, by and through her attorney, Charles Rector, Esquire, and respectfully represents as follows: 1. Plaintiff is Janice E. Miller (SS # 200-36-8051), an adult individual, currently residing at 1071-15 Lancaster Blvd., Mechanicsburg, Cumberland County, Pennsylvania, 17055. 2. Defendant is Roland J. Miller (SS # 181-42-7553), an adult individual, currently residing at 925 Shetters Lane, Camp Hill, Cumberland County, Pennsylvania, 17011. 3. Plaintiff and Defendant have been bona fide residents of the Commonwealth of Pennsylvania for a period of six months (6) immediately preceding the filing of the Complaint. 4. Plaintiff and Defendant were married on September 30, 1978, in Mechanicsburg, Cumberland County, Pennsylvania. 5. There have been no prior actions for divorce or for annulment between the parties. J.i ~ '. ~ ~- ~~" 6. The Plaintiff and Defendant are both citizens of the United States of America. Count I - Divorce 7. The allegations of Paragraphs 1 through 6 are incorporated herein by reference and made a part hereof. 8. This action is not brought through collusion between the Plaintiff and Defendant, but in sincerity and truth for the reasons set forth within. 9. The marriage is irretrievably broken, and the parties are proceeding under Section 3301 (c) of the Divorce Code. In the altemative, Defendant has offered , such indignities to Plaintiff, the innocent and injured spouse, as to render her condition intolerable and her life bwdensome. 10. Plaintiff has been advised that counseling is available ,and that Plaintiff may have the right to request that the Court require the parties to participate in counseling. WHEREFORE, Plaintiff requests your Honorable Court to enter a divorce decree dissolving the marriage between Plaintiff and Defendant. Count II - Equitable Distribution 11. Paragraphs 1 through 10 of this Complaint are incorporated herein by reference as if set forth at length. -. J>L1...""..lli,,;~." j' il ., t i' t l' , ~.,~ - ,<,"'~ '-- '-' ~~"'" "~" i 12. The parties have acquired, during the course of the marriage and prior to separation, property, both real and personal, which they own jointly or which was otherwise purchased so as to constitute marital property within the definition and scope of Section 3502 of the Divorce Code. WHEREFORE, Plaintiff requests your Honorable Court to enter an Order distributing the marital property owned by the parties. Count 11I- Spousal Support and/or Alimony Pendent Lite and Permanent Alimony 13. The allegations in Paragraph 1 through 12 are incorporated herein by reference and made a part hereof. 14. Plaintiff is unable to sustain herself during the course of this litigation. 15. Plaintiff lacks sufficient property to provide for her reasonable needs and is unable to sustain herself adequately through appropriate employment. 16. Plaintiff requests this Honorable Court to enter an award of spousal support and/or alimony pendente lite in her favor pursuant to Section 3701 of the Divorce Code. WHEREFORE, Plaintiff respectfully requests this Honorable Court to enter an award of spousal support and/or alimony pendente lite until final hearing and thereupon to enter an order of alimbny in her favor pursuant to Section 3701 of the Divorce Code. ~- ~ " '-..11-""" -mdJllk~;-"ft Count I~- Counsel Fees. EXDenses and Costs of Suit 17. The allegations of Paragraphs 1 through 16 are incorporated herein by reference and made a part hereof. 18. Plaintiff has retained an attorney to prosecute this action and has agreed to pay him a reasonable fee. 19. Plaintiff has incurred and will incur costs and expenses in prosecuting this action. 20.' Plaintiff is not financially able to meet the expenses and costs of prosecuting this action or the fees to which her attorney will be entitled in this case. 21. Plaintiff requests this Honorable Court to enter an award of interim counsel fees, costs and expenses until final hearing and thereupon such additional counsel fees, costs and expenses as deemed appropriate. WHEREFORE, Plaintiff respectfully requests that, pursuant to Sections 3702 of the Divorce Code, the Court enter an Order directing Defendant to pay Plaintiff's reasonable counsel fees, costs and expenses. -. RESPECTFULLY SUB Date:# ~ , . ...1 '.-, ~-. '_~ 11 ~ :I,!.>iJj"M';;~!K#'" 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. OUJ1J;# f JY( diu-. .)' Janice E. Miller Date: 9/1hou . . . 0-- '~ ';<;j,N , ~ DR 30,034 PACSES ill 072102644 JANICE E. MILLER, Plaintiff/Petitioner vs. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : DOMESTIC RELATIONS SECTION : CIVIL ACTION - LAW ROLAND J. MILLER, Defendant/Respondent : NO. 00-6130 CIVIL TERM ORDER OF COURT AND NOW, this 17th day of October, 2000, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1,201.19 per month and Respondent's monthly net income/earning capacity is $2,521.17 per month, it is hereby Ordered that the Respondent pay to the pennsylvania State Collection and Disbursement Unit, $228.00 a month payable weekly as follows; $48.00 per week for alimony pendente lite and $4.62 per week on arrears. First payment due next pay date at $52:62. Arrears set at $416.00 as of October 17,2000. The effective date of the order is September 7,2000. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.g3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money to be turned over by the P A SCDU to: Janice E. Miller. Payments must be made by check or money order. All checks and money orders must be made payable to P A SCDU and mailed to: PASCDU P.O. Box 691 IO Harrisburg, PA 17106-9110 Payments must include the defendant's P ACSES Member Nwnber or Social Security Nwnber in order to be processed. Do not send cash by mail. :;J:- ',-,,( -- . . ,;- , ' ~'i'!,'- -. Respondent to provide medical insurance coverage. This Order shaIl become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. DRO: R. 1. Shadday Mailed copies on /lh11/-o0 to: < BY THE COURT, Petitioner Respondent Charles Rector, Esquire Keirsten Davidson, Esquire Edward E. Guido J. - -"'k"~._ ~r Ui~~-:f '(fH~.;i:UHi~~",,-jlil~,ilW~~~~=~~:Wf~~ "I IlfiglJj~,' ,~~ ~.."" ,-. "liiUI"-,~,~~..cJ. 'n, j (') c: s: '?J CI.)~ ::<:2' ~c5 Po ~O :l>'c: Z =< ~~ -u ::r ~ r.- '" <::> <::> o n --l N 0" o ','} ~:;1 t11 jJJ -{"jfT{ :00 .',> / ~2~ O-D zO Om ~ -< .- ~ i ! \1 ~1 t, j.; "" '--0 -i' ,_. . ". - , . ~"_.' ,'_ -, _".,,- " '-'. "-, ,;"c_'~' "--~',.;" M" "",-" ~-""',;~~" ~;"'""",.,,~ "'-~ ;,'C, ^ ttlli::"1 JANICE E, MILLER, Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v. : NO, 00-6130 Civil Term ROLAND 1. MILLER Defendant : CIVIL ACTION - LAW : IN DIVORCE TO CURTIS B. LONG, PROTHONOTARY: a ...... h liS Please withdraw the appearance of the undersigned as counsel for the Defenimt, ;;: ""t7~ "'"' rq .=: -< -~ .d: , ROLAND J. MILLER, in the above-captioned matter. ;;- . PRAECIPE FOR WITHDRAWAL OF APPEARANCE Date: 1~t40 ~ ResP~1 ubmitted, ~& Keirsten W. Davidson, Esquire JOHNSON, DUFFIE, STEWART & WEIDNER 301 Market Street P,O. Box 109 Lemoyne, P A 17043 - 0109 (717) 761-4540 PRAECIPE FOR ENTRY APPEARANCE Please enter the appearance of the undersigned as counsel for the Defendant, ROLAND J. MILLER in the above-captioned matter. Respectfully submitted, Sanford A. evslcY, sqUire KREVSKY & ,PC 1 101 North Front Street Harrisburg, P A 17102 (717) 234-4583 Atty. LD. 15560 o DATE: 4-::l4-o~ r" J. ~ '-MM' ~ .K;-~' ''>-' iY=-=' '^__,;..~-..u;.;-.;.."; -'0",' '''~~ / +.'';;'''' " . ,-,', " '~- "> W.,. ',. (") <::) 0 C; N -" s: :::ll: .-t ,:... ~(J2 "'" ~-r'~ rt\:D z9j -< .- "('-;rr1 Zt:;; 0' T'er ~:~2 Lie; CC) :::.?l' ,;:.3.:-,., j" -'fl ~G ~ ();::::; $~ - i5h1 - -, Z ""' :> ::2 :0 cn -< ^'~~,' ., ~~ ,~;' '",' ~," ' , '"" ~~ .. --.-. '.,',,'" " ,--,,'; . ., -',,^,' "". " '. '" "~"'~, ,--'--,,'" . .. -io~,~~L~ _""_,.,';.;_,,_,,,.,.c ,-; '+~',~ -.' ~" --;" ,;' ,', , "h' ",,;i ~&~,9-f/ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 (717) 234-4583 FAX (717) 234-3650 September 10, 2002 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 Re: Millerv. Miller No, 00-6130 Civil Term Dear Mr. Elicker: I represent the interest of Roland Miller relative to the above-referenced matter, I am in receipt of your request of the status regarding Discovery in this matter. Towards that end, the following has not been completed in order to prepare the case for trial: 1. Plaintiffs Income and Expense Statement; 2. Plaintiffs Inventory and Appraisement; 3. Plaintiffs Pre-trial Statement; 4. Defendant's Income and Expense Statement; 5. Defendant's Inventory and Appraisement; 6. Defendant's Pre-trial Statement. Thank you for your attention. If you have any questions, please contact my office; until then, I am Very truly yours, "-~ Sanford A. Krevsky SAK:alp pc: R. Miller C. Rector, Esq, ... '--'-- '," ,__ ,_._'l' "". , .~, ' ,,^ > 0' _"",~,~'_-,' .-,',-:., -, ~ ,,,~~,-- - -','--~, -':-....-. "";',;;; ;"""J_o . IIiId J~&~,9~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 October 3 1,2002 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 Re: Janice E. Miller v. Roland J. Miller (No, 00-6130 Civil- In Divorce) Dear Mr. Elicker: I am in receipt of your letter dated October 18, 2002 indicating that the Pre-trial Statement relative to this matter is due on or before Friday, November 15, 2002, Upon receipt of the Pre-trial Statement, you indicated you will schedule a pre-hearing conference and thereafter, if necessary; sched~lea hearing. I am in the process of finalizing Mr. Miller's Income and Expense Statement and Inventory and Appraisal to supply to Attorney Rector and you. To date, I have not received same from Attorney Rector on behalf of Janice Miller. I believe Ms. Miller's documents are necessary in order for me to properly prepare a Pre-Trial Statement. It is anticipated that the Pre-trial Statement will be filed and forwarded to you prior to November 15,2002. Of course, if the necessary documents of Ms. Miller are not submitted, it will be necessary to request an extension of the November 15, 2002 deadline. I will keep you abreast of same. Thank you for your attention. If you have any questions, please contact my office; until then) all' ,\,;, ' 1;' Very trylly yours, "' . ':~:. ';-~ ":" _-:_; < l:,,-'~' . .......~ Sanford A, Krevsky );" '. ,"-' SAK:alp pc: C, Rector R. Miller -" ~ '.', ~- ~ _"~, ~'-"",,^--'-.,-;' , _,,~, '7'~' _,'~"~ -. .. ~&~,9-e COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J. Rosen David J, Schertz Tel. (717) 234-4583 Fax (717) 234-3650 November 14,2002 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 Re: Janice E. Miller v. Roland J, Miller (No. 00-6130) Dear Mr. Elicker: As youJmow, I represent the interest of Roland J. Miller relative to the above- . . referenced matter. Pursuant to the conversation you had with my staff, this letter is a request for an extension of the deadline of November 15, 2002 to submit the Pre-trial Statement relative to this matter. As my staff advised, to date, we have not received the Income and Expense Statement and Inventory from Mrs. Miller's counsel. Mr. Rector's staff indicates that in all probability, they will not be formally submitting either the Income and Expense Statement or Inventory. I do not believe I can effectively prepare the Pre-triaI Statement (specifically as it relates to a suggested resolution) without same. Accordingly, this letter is a request that the deadline to submit the Pre-trial Statement is extended for a period of time until the Income and Expense Statement and Inventory is received from Mrs. Miller'sattomey or until such time as counsel exchange the relevant information necessary to assess the value and of the marital assets and debts. This will also confirm that based on the contents of this letter as well as prior request, there will be no adverse action against Mr. Miller due to. the Pre-trial Statement not being submitted on November 15,2002. . , "",-. '~ . , --".,-' ','~ ,,' " "-, Page 2 Re: R. Miller November 14, 2002 ',;,,-,.-' , --" ,;-'-''''',~;:';; .:,i__~",~'__,"~:.:"" -,,-'" , ".--:~J:~-::',_;._/~_;,~_,,~,~ --, ~, Wi_ Thank you for your attention and assistance. I look forward to hearing from you; until then, I am SAK:alp pc: R. Miller C. Rector, Esq. Very truly yours, ~ Sanford A. Krevsky "'"--' , '"' ,,~_i ,~ .".,'-"",".< J"l; ~&~,9~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG. PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 November 12,2002 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 Re: Janice E. Miller v, Roland J. Miller (No. 00-6130) Dear Mr. Elicker: As you know, I represent the interest of Roland J. Miller relative to the above- referenced matter. Enclosed please find a copy of an Income and Expense Statement and Inventory under Rule 1920.33 for your file. The original and copies were forwarded to the Cumberland County Prothonotary's Office for the appropriate filing and a filed copy will be forwarded to you upon receipt. To date, I have not received the Income and Expense Statement or Inventory from Mrs. Miller's attorney, Charles Rector. If! am not in receipt of same within the next two (2) days, it will be necessary for me to request an extension of the deadline of November 15,2002 for the Pre-trial Statement to be submitted. As the documents are required to effectively prepare the Pre-trial Statement. Thank you for your attention and assistance, If you have any questions, please contact my office, Very truly yours, s~s~ Sanford A. Krevsky SAK:alr Enclosure pc: R, Miller C. Rector, Esquire - . . ~,u, ,-- ","'- ~v, "~.,' ,~,' ',.., ~, .. ',\.__~, ,',_~,~--"",__:,,=,;",~:io^" "",~',,,., '~',<",f'j,,;:;:< ,k,;__' , "0;,'( "c".',,;',;, ",(~~';:~", "~'"' ,,,,-,~.," M!, JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE INCOME AND EXPENSE STATEMENT Income: Employer: Exel Logistics Type of work: Truck Driver/Jockey Number of exemptions claimed for federal payroll withholdings taxes: 00 Gross pay per pay period $850.00 (weekly) Average +/-- Overtime 40 hours + 8 to 10 hours overtime Itemized payroll deductions: Federal Withholding $102,85 Local Wage Tax $ 8.53 Unemployment Savings bonds Life Insurance $ 6.24 Social Security $ 49.56 State Income Tax $ 22.37 Retirement Medicare Health Insurance 5 53.93 Other (SpecifY) $159.23 (Child Support) (i.e. Child support) Net pay per pay period $447.29 Household Income: Names of all others in your household who have income. 1 None - Not Applicable ~ , '~ .. , . " , ., '"" ''-rl' ,0' , ,. , 0' ,C';,'. .~, " .' ,~~,'.:",.", "-;;"" ;~"-,,,~'oJ . '<"""~ .;. "., , Other Income: Interest Dividends Pension Annuity Social Security Rents Royalties Expense Account Gas Unemployment Workmen's Compo Tips Other (NOTE: For two (2) weeks 08/14/02 to 09/04/02) Expenses: Home: (Rent) Utilities: Electric & Heat Sewage & Water Telephone Other: refuse collection Taxes: Real Estate Occupational Personnel Medical: Doctor Dentist Orthodontist Hospital Medicine- Non Prescription Medicine- Prescription Monthlv Yearly $ 50.00 $600.00 $400.00 (See Note) $800,00 Monthly $600.00 Yearly $7,200.00 $ 70.00 $ 840.00 $IIO,OO $1,320.00 $ 15.00 (Average) $ 180,00 $ 25.00 (Average) $ 300,00 $ 5.00 $ 5.00 $ 60.00 $ 60,00 , -" -','" ""0"_,,"', '~,,', ",,~ ".", ~",,' 0';''-'':'" ",'';;:''~ '~~',....,,,-,_~,, "'Ie' ,"<..L'''--.~,i,.{./~;<;,:,;;'i,;::;i_:l"~L_i Miscellaneous: Memberships Papers, publications Entertainment Cable TV Vacation Legal Fees Contributions Other: - Life Insurance Premium - Travel to and From Work - Food - Clothing - Xmas, Birthday, Etc Child Care: Auto for son, Nickolas Miller, a full-time college student Vehicle Maintenance Vehicle Insurance Automobile: Year: 1988 Model: Chevrolet 8-10 Blazer Insurance: Maintenance: Gas: Credit Cards\Loans: Roland Miller's cards 08/11/02 MasterCard ($400.00 Balance) 08115/02 CapitalOne ($1,586.01 Balance) Nickolas Miller's, son, credit cards 08/01/02 Exxon, Mobil, & Master Card ($4,000.00 Balance) $ 62.48 $ 749.46 $ 83.33 $1,000.00 ($6,000,00 total) $ 80.89 $ 65.00 $216.67 $ 50,00 $ 41.67 $ 970,68 $ 780.00 $2,600.00 $1,800.00 $ 500.00 $ 50.00 $ 83.33 $ 600.00 $1,000.00 $ 33.33 $ 41.67 $ 60.00 $ 400.00 $ 500.00 $ 720,00 $ 50.00 $100.00 $ 600.00 $1,200,00 $100.00 $1,200.00 TOTAL EXPENSES ----------------------------------------------------- ---------------------------------------------------- $ 2,398.00 $31,980.14 *Total yearly includes $6,000.00 attorneys fees. "',,;~,, - ", "_",L''- .'" ~ " ,-,"" ,,' "'-".'-""" c' "',' '0';","'", ""'0 ,",-'",--,,,;:""",;;2.,"_"":'; ~'. ,~;,' ""'l"",'_'; __; ";,~~'''''"o,', ~~i JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY PENNSYL VANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE VERIFICATION I, ROLAND J. MILLER, verify that the facts set forth in the foregoing Income and Expense Form, including all attachments thereto, are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. ~ 4904 relating to unsworn falsification to authorities. Date: tll., J 6)", I I ~~ ROLAND J. MILLER .. ~ 'e'.'^ '" ~,,'" " _'_'".'" "'."~ ","<', __"_~'';''', , """"",,,":i-:"","';" ,~,-,'';, ,_,,;<~",, _,~ ,,,__ , '-',C,' 'Cj,',,:--,;, c __~",:>, _~ __"$; _~," .., , ~I . JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYLVANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this ~ay oC~~~D,yL ,2002, I, Aimee L. Paukovits, for the Law Office ofKREVSKY & ROSEN, P.C, hereby certifY that a copy of the foregoing Income and Expense Statement was served upon the following by U,S. First Class Mail: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMP HILL, P A 17043-0109 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, P A 17013 llirt\~~ 'to rCI)I.l20ib Aimee L. Paukovits 1101 North Front Street Harrisburg, P A 17 102 (717) 234-4583 ~ .,~ . ~ ~ .. L> ~,. . ,.,. ~,< ';'>"^', .'~''''~' !!!!'!!!Il"" ~ ,~."~ ~-""""'-~~~ "." ~, Cl CJ C) ~~. h) . " ~ ~\1 r ; n [1': ,-<:," 2" ~~! .j,. r~; , - , -"C'J ;.,'; C' :(~, C} :;'{ -~ c -~' r-..~~ ) ~ :< -( C) ""'~~-, '.:!","" JIlBl ','.c\:, '," ,. "~'" :'.-'..,....' , 2e- JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE INVENTORY UNDER RULE 1920.33 Defendant, Roland J. Miller, file the following inventory and appraisement of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. I verify that the statements made in this inventory and appraisement are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities. DATE: /1/ '1/ d)... I I .~ . . '.'c,.' , " ,<~ .'t, "'~'~;';', :.' \ ,'" ,-,_>" ' , . .,; ,~,,,,d,,':,,0__.',i"", ',C, ',,,,,~ ,'~""" ;, oj,-, ""-""';;~' ",d., "'i"" .'~<i-,'~'".-/ ~. "",,'~,,', , " ii:li ASSETS OF PARTIES Plaintiff, Roland Miller, marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. If an item has been appraised, a copy of the appraised report is attached. () I. (X) 2, () 3, () 4, (X) 5. (X ) 6. () 7. () 8. (X ) 9. Real Property Motor Vehicles Stocks, bonds, securities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certificates Contents of safe deposit boxes Trusts Life Insurance policies (indicate face vaIue, cash surrender value, and current beneficiaries) () 10. Annuities () I I. Gifts ( X) 12. Inheritances () 13. Patents, copyrights, invention, royalties () 14. Personal property () 15. Business (list all owner, including percentage of ownership, and officer/director positions held by a party with company) () 16. Profit sharing plans v1 Cont. Assets Page 2) (X )17. ( ) 18. ( ) 19, ( ) 20. ( ) 21. ( ) 22. (X) 23. 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I S' " " ;= " = = ;; "'''' " " ., ., > " " -.... - - ....N ~ ~ ~ ~ QQ " " " 00 - " " ~ 00 ::> e ~ 00 00 ;; " > :ll :ll .. .. ~ - - ... ... "" "" >-3 " " '" '" <: > - - ... ... '" N " t'" ;; ;; -:.., ... 2' .... N " "'C :ll :ll 0 - .., .., U. Qo ::c " " --J N 0 ., ., ~ ~ "'C M ::c >-3 >< ~ Z t" >: n;' " "':l "':l -> " " " ... ., ., S'... t" t" ., - " " = S' ~ ~ - - ~" '" '" .. " - ~ " - " " " - - " " = = " " " " - - 0 0 Ul ~ <= '" '" <= - 0 N N ;',," ", , ," ''''"'',~'', ,', .. ~",'" ,~"",,~ '.. .. "" .. , . ~-"~, - ",,".' --,~ ".,~ "",..''i. "'~ - '""'.' ,e:",_"";'" "",c,;'~"',~">".0,",...';".,,,,,,,,~- '~"<""""'_'"'""_'".__,,,';U'\,1''''' -"--H,:~'~.,;,:,1'..~,',.l' ( 1'?~: JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL V ANlA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this ~day of \21~,em~ ,2002, I, Aimee L. Paukovits, for the Law Office of KREVSKY & ROSEN, P.C. hereby certifY that a copy of the foregoing Inventory and Appraisement was served upon the following by U.S. First Class Mail: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMP HILL, PA 17043-0109 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 ~d~~l~tRJtb Aimee L. Paukovits 1101 North Front Street Harrisburg,PA 17102 (717) 234-4583 " I .. -,"'" "<"'< ',,""., ~.", ,~".. ~~~I~~W ~ '~ ,,~' ~ ~ e, o \~ -un; r.J:~ L, ",.',-,' ;,;.: c- c' -, """I,,~ r.-::,l. ,":.1, :~r~ CJ h) - ...~ .\:-^ ~~:1 -, JlI~.llf!i!1!l1l"l'l"'!Om - ,--~ I~ ~" ~~i~ .-'D '",;': ,.,<} C) ,,} j~ -';" '''',~''{ ......... &"~~d!r, ( "'-' ORDERlNOnCETO\\:;ITHHOLD INCOME FOR SUPPORT ~: aJ -lel3'l> (?1'P/1. . Slale Commonwealth of Pennsvlvania I1IcSES ()7;Z1();l/,"I~ @Original Order/Notice Co./City/Dist. of CUMBERLAND ]>It. J()I)~" W, S iH)Oj) 0 Amended Order/Notice Date of Order/Notice 10/17/00 t::ltI. t. t;'( 0 Terminate Order/Notice Court/Case Number (See Addendum for case summary) ~t.~ 7(,tlt>H u:> ])Ie 3. 9V'l3 ) RE: MILLER, ROLAND J. EmployerlWithholder's Federal E1N Number ) Employee/Obligor's Name (Last, First, MI) , , EXEL LOGISTICS ) 181-42-7553 EmployerlWithholder's Name ) Employee/Obligor's Social Security Number 501 W SCHROCK RD ) 9207100587 EmployerlWithholder's Address ) Employee/Obligor's Case Identifier WESTERVILLE OH 43081- 8 966 ) (See Addendum for plaintiff names assoaated with cases on altadlmentJ ) Custodial Parent's Name (Last, First, MI) ) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA nON: This is an Order/Notice to Withhold Income for Support based upon an order for suppo~t 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. $ 650.00 per month in current support $ 40.00 per month in past-due support Arrears 12 weeks or greater? @yes 0 no $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 690 .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: $ 159.23 per weekly pay period. $ 318.46 per biweekly pay period (every two weeks). $ 345.00 per semimonthly pay period (twice a month). $ 690.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106.9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEfENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. DRO: RJ Shadday xc: defen:lant ~ ~ .JlJD3E Form EN-028 Worker ID $IATT Date of Order: October 18, 2000 Service Type M OMBNo.:0970-0154 Expiration Date: 12131/00 ;,l"~" ~ ,~ "0 ~J_ '~.Mci,,,: , , ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If checked you are required to provide a copy of this form to your employee. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contactthe requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* RcpOl1illg tI.e r-ilydatc/DatG vf'NitLlloldil.5. '/ou lnust ICp,-"lll.e paydaWJah:, of Hitl.[,6IJ;lIg HLeh 3(."Jillg tIle pay I IICIlt. -=Fhe- paydahdJah:, of vvitl.I.6IJ:hg is tI.e Ja.tt VII vvl.k.I. <=ilnv...ht Has vvitl.I"JJ flOl1l tI.l. l.ln~loyee's vvag('3. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S 10: 0428011600 EMPLOYEE'S/OBLlGOR'S NAME: MILLER. ROLAND J. EMPLOYEE'S CASE IDENTIFIER: 9207100587 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.s.c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE Is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxesi and Medicare taxes. 10. "NOTE: If you or your agent are served with a copy of this order in the state lhat issued the order, you are to follow the law of the slate that issued this order with respect to these items, Requesting Agency: DOMESTIC RELATIONS SECTION P.O, BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (7171 240-6225 or by FAX at (7171 240-6248 or by Internet @ Page 2 of 2 Form EN-028 Worker ID $Ij~TT Service Type M OMB No.: 0970-0154 Expiration Date: 12131!00 - , . ~~ ., I ~~""~", ADDENDUM Summary of Cases on Attachment ROLAND J. Defendant/Obligor: MILLER, 072102644/3PP3lf PACSES Case Number Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00-6130 CIVIL$ 228.00 Child(ren)'s Name(s): DOB ... ,.,... . ",.., .. ......... ...., n..'. " ..... . ......."" ,..... .... [JII ch~~ked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment Service Type M OMB No.: 0970-01S4 Expiration Date: 11131JOO PACSES Case Number 769102486 /<<fi~3 Plaintiff Name I ' JANICE E. MILLER Docket Attachment Amount 00646 S 2000 $ 462.00 Child(ren)'s Name(s): ",AR,J/{.:r, ..I1I.L.L.ER.. :':"';'::':':"""::::'.:',':",:':::':::',:::;:,:":-:.,"::::':::::::,:',:,:.::,"':..:,,:",: ',;",':, ': d;fch~ck~d,;~~~;~ ;e~~i;~dt~ ~~roll the child(ren) . identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum Form EN-02e Worker ID ,$IATT """", ; ...L.. ~'~lllil~~i!fI1j~=I~~"",,~~~~k"Gi:i&I;1,.W,;""""[-t;.\i!iii~;J"'ti~~~iliIfi;\t~~~II!!Ilil'~'~"""''' liil" '"1r~V""'''''"''''''''~~ .v", ,0 <::> 0 c: 0 -oS: (;:) " CO ;~-j !;2m C? ::0 ...., r;'i1d1 Ze- N 05 ~823 ;:>2 <7. ,-') I ;:::0 ." ~35:;.) Po fjc.:5 ::Ji:: :;:-L-H ~ )-- ~ 20 ~ Om &:- -, r'0 :f5 -< ,,",::'.' " ,: ., ,~"", <;;.,',0. 0 .0 . ... , ""~' ,"" ,0," "',~,"~ ~~,'", ",~"~,, '","-' ',.-<''' .,'" , , ?" ~,' , ",,' !IT ." '_~"O'~', 'C',--" _=,"~ _ ,". "';;,',..c ,,',0'," <.-0""" """; ">"':'>","0 " .."~., ."",,,-,<,,,~, ,'.-"",<,'<,-", l~~ ~&~,~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 November 20, 2002 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE,PA 17013 Re: Janice E. Miller v. Roland J. Miller (No, 00-6130) Dear Mr, Elicker: . Pursuant to my letter to you of November 12, 2002, enclosed please find a copy of the. InCQme and Expense Statement and Inventory relative to the above-referenced matterthat was filed at the Cumberland County Courthouse on November 14,2002, Additionally, this will confirm that the deadline to submit the pre-trial statement in this matter has been extended indefinitely pending receipt of the Inventory and Income and Expense Statement from Mrs, Miller's attorney, Charles Rector. Thank you for your attention and assistance. If you have any questions or require anything further, please contact my office; until then, I am Very truly yours, ~ Sanford A. Krevsky SAK:alr Enclosure pc: R. Miller C. Rector, Esq. i:a.' " ' ", . '" "," , -0"'" ~" ~ ~ " ~'! ~&~,9~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG. PENNSYLVANIA 17102-3324 ~@[~~1f Sanford A. Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 November 12, 2002 CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMP HILL, PA 17043-0109 Re: Janice E. Millerv, Roland 1. Miller (No. 00-6130) Dear Charles: Enclosed please find a copy of an Income and Expense Statement and Inventory under Rule 1920.33 for your file. The original and copies were forwarded to the Cumberland County Prothonotary's Office for the appropriate filing and a filed copy will be forwarded to you upon receipt. As the Pre~trial Statement is due to Mr. Elicker on or before Friday, November 15, 2002, please forward or fax a copy of Mrs. Miller's Income and Expense Statement and Inventory. In the event that I do not receive same prior to Thursday, November 14,2002, it will be necessary to extend the due date for the Pre-trial Statement. In the meantime, if you have any questions, please contact my office. I look forward to hearing from you; until then, I am Very truly yours, Sanford A. Krevsky SAK:alr Enclosure pc: R. Miller R. Elicker, Esquire ,. ._""~,~, "-,~',, ^"'~"'""~,,, ~, ',,",'~, ,J __.:-,~',<~'",'.'--'~c/,~:, ''-^''''^~':''''',,'/ ";"~:~>,="",,,,:,,>',,L,;,--,,!,~,,,',." .""~.;o,;,~, ~, ,I I ~ .. k1/~'Yf-- JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA v, : NO. 00-6130 ROLAND J, MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE PRE-TRIAL STATEMENT OF DEFENDANT I. a. PLAINTIFF'S BACKGROUND 1071-15 Lancaster Boulevard Mechanicsburg, Pennsylvania 17055 Date of Birth: 7/30/54 Occupation: A. Office Clerk at Penney's (Note: Wife reports $249.00 per month at this position; however, her paystub from October 2002 indicates her total year to date income at approximately $5,000.00, therefore her monthly pay would be approximately $500.00. B. Real Estate Agent at Jack Gaughn Realtors. b. DEFENDANT'S BACKGROUND 17 West Front Street P.O, Box 3146 Shiremanstown, PA 17011 Date of Birth: 3/31/54 Occupation: Truck Driver through Exel Logisti~s c. Date of Marriage: October 31,1978 Date of Separation: July 2000 d. Place of Marriage: Mechanicsburg, Pennsylvania e. Children: Nickolas Alan Miller: Carly Jane Miller: 23 years old 15 years old , .' ',,""=~ '-,'-" 'iiltii f. Grounds for divorce: Marriage is irretrievably broken. g. Issues to be resolved: Alimony, Alimony Pendente Lite, Equitable Distribution and Assignment of Property, Support, Counsel fees, Costs and Expenses, II. PROCEDURAL HISTORY 9/7/00: Divorce action commenced. 8/22/02: Master appointed to resolve all outstanding issues. III. INVENTORY AND APPRAISAL Forwarded to the Court on November 13,2002 on behalf of Defendant. IV. WITNESSES Lav: a. Defendant b. Plaintiff, as on cross Expert: Husband reserves the right to identify any expert witness should same be needed to resolve any remaining dispute as to valuation of marital assets. V. EXHIBITS Exhibits required to establish values will be provided at trial, if needed. VI. INCOME INFORMATION Forwarded to the Court on November 13, 2002 for filing; Copies of same forwarded to opposing counsel and Master on November 13, 2002. VII. EXPENSE INFORMATION Forwarded to the Court on November 13, 2002 for filing; Copies of same forwarded to opposing counsel and Master on November 13, 2002. VIII. PENSION VALUE Appraisals of both parties pensions have been conducted. 'C - ~'>" ", ", .~'~,' ,,~ '" , """"',',".,." .' ~". " ;,\,,;,' ,C ,"- " >"., :, ,;, ,," ,,'" "'< ',,, , ' "",,, .-, c~~ ;,,,, .-' """' "'.- '," "" ~',,,, " ~: { IX. REAL ESTATE Escrowed proceeds from the sale ofthe marital home Balance as of December 31,2002 was $33,214.38 Mrs. Miller was the realtor that sold the marital home, It is believed that Mrs, Miller received commission from the sale of the home, X. PERSONALTY All items of personal property have already been divided to the parties satisfaction but parties reserve the right to present testimony regarding the value of furnishings distributed to each party if necessary XI. PROPOSED ECONOMIC RESOLUTION A. 55% split to Wife, 45% split to Husband (Division would include a Qualified Domestic Relations Order relative to pensions). B, Alimony payments will cease, *Wife has been receiving $48.00 per week in Alimony Pendente Lite since September 10, 2000 for a total amount received of approximately $6,096.00, C. Taxes to be filed as follows: 1, 2001 - capital gains, wife claimed both kids (@$700-800) 2. 2002 - husband - head of household ($1200); 3. 2003 and thereafter - file separate. D. There shall be no alimony or counsel fees awarded to either party, Respectfully submitted: Krevsky & Rosen, P.C, By:~_' Sanford A. @y, Esquire 1101 North Front Street Harrisburg, P A 17102 10# 15560 (717) 234-4583 '" , '--,.;. ",_'i'" . "~ --, -..,,-,,,^',,~", ",~",O ' ,',,' ..'~~'., ,*,,", ,,'~ 'e" o"o~';.Jilliliii\'<''- , I j,i,;,j JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA v. : NO, 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW -IN DIVORCE CERTIFICATE OF SERVICE AND NOW, this '3\~day 0~20C!A I, Aimee 1. Rasheed, for the Law Firm of Krevsky & Rosen, P. C" hereby certify that a copy of the foregoing Pretrial Statement was sent via first-class D.S, Mail, postage prepaid, on the following: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMP HILL, PAl 7043-0 109 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA 17013 ili0{\GctP.~c~rko(~ Aimee 1. Rasheed 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 .t' ~" , , ""~',' ~, """ .,-,," "^.. 'v 'w "'"', ':-<,',","' 'H ~. '....~ ~,. < ", 0 0 0 c: (,J -n :s: -1'\ -;:}(J:- -1'\ {l1fT\ CO ";::-, ~_r; , 0~\: (.,..) ~~C') -u ,_ -T1 ~F:~ ::;;: ,- ':::.,:,.(J "f? ;o:sr.-\ y(": '~,,'-1 , y' :::3 - :9. -'~ en ~~,,'" ~,:",:\,~I,'l!, T ,'~'f[1l!1r r' ,',~~,' ".;; L "" .,'. ..: ~' ~,,' " '""O>irh,, , ) JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v, : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVO~E 0 k: h) ~~ (.\~~ (::3 :-:-::::.-- - ~~ .J "1:---'-:' INVENTORY UNDER RULE 1920.33 ~) . r:.:: .'v j:~=, z ::;l , w -. ,',--, .. . ;..~ "" . " ,", il '''::'j :;;-"'" ::.D -< ,"-,' Defendant, Roland J. Miller, file the following inventory and appraisement of all property owned or possessed by either party at the time this action was commenced and all property transferred within the preceding three years. I verifY that the statements made in this inventory and appraisement are true and correct. I understand that false statements herein are made subject to the penalties of I 8 Pa. C.S. Sec. 4904 relating to unsworn falsification to authorities. DATE: ]I / 'i / 6~ I I , ., 1 . ;'" '~".iili;;bRl$II.\~:j.$L "~ ASSETS OF PARTIES Plaintiff, Roland Miller, marks on the list below those items applicable to the case at bar and itemizes the assets on the following pages. If an item has been appraised, a copy of the appraised report is attached. () I. (X) 2. () 3. () 4. (X) 5. (X ) 6. () 7. () 8, (X ) 9. Real Property Motor Vehicles Stocks, bonds, securities and options Certificates of deposit Checking accounts, cash Savings accounts, money market and savings certificates Contents of safe deposit boxes Trusts Life Insurance policies (indicate face vaIue, cash surrender value, and current beneficiaries) () 10. Annuities () 11. Gifts (X) 12. Inheritances () 13. Patents, copyrights, invention, royalties () 14. Personal property () 15. Business (list all owner, including percentage of ownership, and officer/director positions held by a party with company) () 16. Profit sharing plans 5~'~~" ~ , Cont. Assets Page 2) (X )17. ( ) 18. ( ) 19. ( ) 20. ( ) 21. ( ) 22. (X) 23. ( ) 24, '..,',." Pension plans (indicate employee contributions and date plan vests) Retirement plan, Individual Retirement Accounts Disability payments Litigation claims (matured and unmatured) MilitaryNA benefits Education benefits Debts due, including loans, mortgages held Household furnishings and personalty (include as a totaI category and attach itemized list if distribution of such assets is in dispute) () 25. Other , 1 m'" ) "-~wlil:~, !" -:2 =- ? " 3 '!'!<~~~~ ~~.,. ~- ;',''> o - 2: ~ p '0 "'''':> 0 :1. g S' = ~ s Ul ('") 0 r'J tl) ~ G = ::!. ~5~g-._ ~Q:\Oo..::::. en -...J ('p '-' -.". 3 = fr~ g tl) 0 ggS-a.(; G ~ "0 e:.. .., S'J'l ~ ~ 8.. o _. _. tl) _. ~~~g;s VI - _.., e..s..~g. 0.. -. < tr.I -:::;I III tl) ::E OQ 0.. 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Paukovits, for the Law Office of KREVSKY & ROSEN, P.C. hereby certify that a copy of the foregoing Inventory and Appraisement was served upon the following by U.S, First Class Mail: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD A VENUE SUITE 203 CAMPHILL,PA 17043-0109 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PA POI3 (l\J'{\&Q 8 \\0 Q~b Aimee L. Paukovits 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 ;~1 "" : t. JANICE E. MILLER, Plaintiff v. ROLAND J, MILLER Defendant . " ~," \ ~' :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA : NO. 00-6130 : CIVIL ACTION LAW - IN DIVORCE ;:::iF: ZJ: -;.>,-- ~L: ~~ ~j -, INCOME AND EXPENSE STATEMENT Income: Employer: Exel Logistics Type of work: Truck Driver/Jockey Number of exemptions claimed for federal payroll withholdings taxes: 00 Gross pay per pay period $850.00 (weekly) Average +/-- Overtime 40 hours + 8 to 10 hours overtime Itemized payroll deductions: Federal Withholding $102.85 Local Wage Tax $ 8.53 Unemployment Savings bonds Life Insurance $ 6.24 Net pay per pay period $447.29 Social Security $ 49.56 State Income Tax $ 22.37 Retirement Medicare Health Insurance $ 53.93 Other (Specify) ~159.23 (Child Support) (i.e. Child support) Household Income: Names of all others in your household who have income. 1 None - Not Applicable '.,:..J.i,"-"-,~,.(',>.i,' > > '^ 'M!!i"-" o ~ \:;-:-) C, i',-,,) I , ?': :~J c::.,.) "'~-= , ::!} .~ .-'0 ... :J;;: . l") W :') I ,1 -:,. "''',) -,.... oS c::> =< ':r- ~ . , .l. '"= Miscellaneous: Memberships Papers, publications Entertainment Cable TV Vacation Legal Fees Contributions Other: - Life Insurance Premium - Travel to and From Work - Food - Clothing - Xmas, Birthday, Etc Child Care: Auto for son, Nickolas Miller, a full-time college student Vehicle Maintenance Vehicle Insurance Automobile: Year: 1988 Model: Chevrolet S- I 0 Blazer Insurance: ' Maintenance: Gas: Credit Cards\Loans: Roland Miller's cards 08/1 1/02 MasterCard ($400.00 Balance) 08/15102 CapitalOne ($1,586.01 Balance) Nickolas Miller's, son, credit cards 08/01/02 Exxon, Mobil, & Master Card ($4,000.00 Balance) ,,,,,:,,,'~~,,,", $ 62.48 $ 749.46 $ 83.33 $1,000.00 ($6,000.00 total) $ 80.89 $ 65.00 $216.67 $ 50.00 $ 41.67 $ 970.68 $ 780.00 $2,600.00 $1,800.00 $ 500.00 $ 50,00 $ 83.33 $ 600,00 $1,000.00 $ 33,33 $ 4 1.67 $ 60,00 $ 400.00 $ 500,00 $ 720.00 $ 50.00 $100.00 $ 600.00 $1,200.00 $100.00 $1,200.00 TOTAL EXPENSES $31,980.14 *Total yearly includes $6,000.00 attorneys fees. $ 2,398.00 ,cl'~-~. ) Other Income: Interest Dividends Pension Annuity Social Security Rents Royalties Expense Account Gas Unemployment Workmen's Compo Tips Other (NOTE: For two (2) weeks 08/14102 to 09/04/02) Expenses: Home: (Rent) Utilities: Electric & Heat Sewage & Water Telephone Other: refuse collection Taxes: Real Estate Occupational Personnel Medical: Doctor Dentist Orthodontist Hospital Medicine- Non Prescription Medicine- Prescription ';~:"';'-"~' ~ ""'":lti\ Monthlv Yearlv $ 50.00 $600.00 $400.00 (See Note) $800.00 Monthlv $600.00 Yearlv $7,200.00 $ 70.00 $ 840.00 $110.00 $1,320.00 $ 15.00 (Average) $ 180.00 $ 25.00 (Average) $ 300.00 $ 5.00 $ 5.00 $ 60.00 $ 60.00 ~",.s,,; ,"=," . ~ - ~W.,.;,: \ JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY PENNSYLVANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE VERIFICATION I, ROLAND J. MILLER, verify that the facts set forth in the foregoing Income and Expense Form, including all attachments thereto, are true and correct to the best of my knowledge, information and belief, I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. S 4904 relating to unsworn falsification to authorities. Date: jl/,/6)" I I ~ ~Jll ROLAND J. MILLER '''''''''''''''''"," - . ~""~" "",~~ "--='---~~,.;,;' . JANICE E. MILLER, Plaintiff :IN THE COURT OF COMMON PLEAS :CUMBERLAND COUNTY, PENNSYL VANIA v. : NO. 00-6130 ROLAND J. MILLER Defendant : CIVIL ACTION LAW - IN DIVORCE CERTIFICATE OF SERVICE \ AND NOW, this ~ay ocl\t\re.m~ '{L ,2002, I, Aimee L. Paukovits, for the Law Office ofKREVSKY & ROSEN, P.C. hereby certify that a copy of the foregoing Income and Expense Statement was served upon the following by U.S. First Class Mail: CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMPHILL,PA 17043-0109 E. ROBERT ELIC~R, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PAl 70 13 ~~~ '1-- rn\,~b Aimee L. Paukovits 1101 North Front Street Harrisburg, PA 17102 (717) 234-4583 ""'-- JANICE E. MILLER, Plaintiff V. ROLAND J. MILLER, Defendant; Date: ~.J. .,-"',,,,'- ',--"" ';" .' 'C~'"'~,~",",,",''''L "'.";'0 ",",. ',;.,~, ~-- IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-6130 CIVIL TERM CIVIL ACTION - LAW IN DIVORCE Income and Expense Statement Of , 'Plaintiff, Janice E. Miller I ---,.., f!lJ '. ~", ~ " '~ ".=, ,",'O~C"",. ;',0" "",""",jC'^",,~",' "~~" '~""'~Oli;" INCOME Employer Address ERA Jack Gaughen 19 N. Baltimore Street, Dillsburg, PA 17019 Type of Work Real Estate Sales Association (self employed) Pay Period (weekly, biweekly, etc.) Commission On.ly Gross Pay for 2002: $ 12,603.66 Itemized Payroll Deductions: Federal Withholding Social Security Local Wage Tax State Income Tax Retirement Savings Bonds Credit Union Life Insurance Health Insurance Other (specify) Expenses $ 3,165.81 Net Pay for 2002 $ 9,437.85 OTHER INCOME Week Month Year (Fill in appropriate column) Interest $ PART TIME JOB AT JCPENNEY Dividends Pension Annuity Social Security Rents Royalties Expense Account Gifts Unemployment Compo Workers' Compo SUPPORT $ $ 249.00 $ $ 690.00 TOTAL $ $939.00 $ TOTAL INCOME ...... Home Mortgage/rent Taxes Maintenance Utilities Electric Gas Oil Telephone Water/Sewer/Refuse Employment Public Transportation Lunch Taxes Real Estate Personal Property Income Insurance Homeowners/Renters Automobile Life Death Health Other Automobile Payments Fuel Repairs Licenses/Registration Auto Club Medical Doctor Dentist Orthodontist Hospital Medicine Special Needs , '~ ^ MONTHLY EXPENSES $ 400.00 $ 165.00 $ 50.00 $ 140.00 $ 10.00 $ 12.50 $ 45.50 $ 41. 00 $ 109.00 $ 40.00 $ 75.00 $ 3.25 ,"' '<,__ie,,:,;,.-, 'r" .';' _].JoN' ~ , ",'~ .II' l.e, Education Private School Parochial School College Religious School Lunches Books/Miscellaneous Personal Clothing Food Barber/Hairdresser Personal Care Laundry/Dry Cleaning Credit Payments Credit Card Charge Account Memberships Hobbies Loans or Debts Personal Loan Miscellaneous Household Help Papers/Books/ Magazines Entertainment Pay TV Vacation Gifts Legal Fees Charitable Contributions Religious Membership Other Child Support Alimony payments Other TOTAL MONTHLY EXPENSES " ~~ ,,' , --.> ", "j;'!:l:UlilMi $ 150.00 $ 50.00 $ 200.00 $ 10.00 $ 140.00 $ 75.00 $ 25.00 $ 40.00 $ 39.00 $ 80.00 $ 125.00 $ 250.00 $ 50.00 $2,295.25 .. ~='-- , --, '"",, ,. ,'. , ';' :; ~'~ ' '.. ~~' '..' -- --"..,,, ' , , " """" ~"''l$ll\:!;;o 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. /'-1 ( '4fs;n~01U... ~nice E, Miller Date: /1(; 9 / ~ l'ajl..-JlC:l..-fIt,. "^" "~'~'~~k", :""'~"~.~-iwi, IIlLp>:iIt'''Ur I WtlA I :J.loolt'aYL-neCKfpg...& I U I AL_lJKU:S:S~16Y.6b& Nt', I_PA Y~107.87 =- JCPenney Associate Kiosk Direct Deposit Advice ~I ......._'^_._,._,.._____w..^_~...._.'... ,..,...........,......"............,......,'.. .......m_...~._m ................,... ._...m..."........,......._...... ...........".......... m......,......................,.........,.........', ... ""..... ",..,. '.......... Associate: Miller,Janice <-.--;-.'.'.--;-'w:--;-o--;-:"=--:-;-;."...~.".:--:..--;-.--:-:-:"=..>.,,.....:-:-:,'.,<.w..:.,.~...,'.~...'.-....,<.:......=,.....,=...,..,."..<--;-:..--;-...,--;-,<-:-:...,....-..........,'..,.......,..w. .....~........'...~h ....................... .. 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'.ii:~;~~r::1 [~~:,~~~~R'AT.L(()cc.lir'" ...m.....,.............. --jiYXi<i ...:; i:::~~~~!~~:.:~~~~~~~;;:~~~.:!1 E~:~~~€~:~~~x..:~~~~~~Ijf~] .~a~~~I~~tA......:...icF~~~~~L....... SI,;;', ~H1th ~are Sp,e,~.d,Acct ,H 9.73, ~1273.73 ,1! 1~h~rity", , :! 2.00 '144.00 ,,:j fATiowa-nces:~~ ~ "W. ......,'~.'..!:.:d...........:__, :.'~.....'.o.Me.r.:d.:.j.~.~.:~.~.'.p~.:.;..e.~.1.~...:."~i~'.,..~.':'....::::Jr::~3..;;......:.I...35.?5.~.;.'~~:I!E!~:~~~~:~e.~:!~~'i~'~::C:I8::~~:::iE~9:.~O':.: !~~:~~'l:::u. .. .u.............:...:..... . '''LOcAC'fAi{OA'fA t:...:.::~. ..:.:':".':':.:.:...,..'.~;'~:~~:i:i.i~.:.'..:. "":"':,'" :," fPALOW1:R'XCI.E\v"ithhou "."'.'~'(p~uA'~,(; :, Ill'" lln(,I~S ........."~50~{O=.' " l~::!.:~::t;;~~~~::6.:~?3.}4..::.:J~i~:~:!.~~::E.~~~:.~:.~~~:~:i..::::::Of~i:~O'i.~:~~~:!.i\:~:~i\:~::6.:z.~2:.7.i::::::::I~:~~t;~~L.!.~~:~i\:~~:' ,7"X~nnu.' nolR'Ecf'OEPOsif'oisTRfiliJ'flON'u .,..,.\\ '..'.'.'..'.'.'.'.'.......'....'."..:1 ~~o:~oo=-'-'=:l [:::~~.~:~:~~~~?j~~!:!E~~:::~::::::r::.:::~:~::::.::.:~:~~~.~~.!:.:~.:~~O::~:::~:~~:.:::.:::::.:.:.::.:.~::::::X::~:::.:::.:::::,~:~.. ,Checking ,; 05000403 2; ili~~~~~:,::::::::::~,~:::::::::~::::I~~:~:~~~::,::~~~:~?:~~~l:~~:~~::::::~:,~1,~::~~,:~~:.;"~,.~=-<.5 J.e. Penney Company, Inc. 310 South Main Salt Lake City, Utah 84101 i BACK 1 r-OPTIO'NS..'; rPRINT'l ~: ~.........uu......,........u......,.,............',.......h...U........._~.: I of I t t /3/024:56 PM Label (See instructions on page 19.) Use the IRS label. H Otherwise, E pie lyase print R City, town or post office, state, and ZIP code. If you haVi10reign address, see pa.ge 19. orpe. Em'{ 'D Presidential ~c{--I;AAj lc.S D(..( 12 A ?D!;;;~ Election Campaig~ ... . N9te. Checkin!;J '''Yes'' will flQt ch~l1ge' your t8K<?r, reckice YO~ r~fund,~, . (See page 19.) , Do you, or your'sp'ouse', if'filing a joint return, want,$3.to gOJo U11s fund? '" 1 Singie'., . . . ".:., c.' .' . '. Filing Status. 2 . Mairiedfilingioint retulTl (even ff only onehad.incot!,e) : < .... . > . 3 ~anied tiling s~parate r~turo;, ~nt~r.,~p~,~'~,s~qJ<~JJ3ecurity ni? ab.oy~ ClDQ fl,lU n~e" hete:. ~'-" . ..,. ...., .. , ' . 4 . HBa'!ofhousehold (withq~alifyiIig pefS!)~U"e~ i>a9..Jn~ !h~'t~alify!"g.R'''''o'' is _achildJ;>~tnc5~iour:depen<:i",nt, . ~nterthis child~s name n,ere~,'" ' 5 dUai[ '.In!i Wit;Jow(er) with' dep'enO'ent Child' {year: $Pou:se,qr"ed: ~ ::' '~:',(See 'jjage" i 9~ ' 6a f"l" YOl!rself. If your parent (or someone else) can claim you as a depen~ent o~ hls or her tax} NQ~ tifb,9X8S ' ~" return, do not Check box 6a . . . , . .", ',' , . . . . . cheCked'on' , ,.6ail.nd'6'b':' b Spouse....o 0 o' " ,... 0 . 0 . . . , . , . 0 No,.'y.., . e D,~~dEmts: "(2) -Depen'denr.~ ~" " ,13) O~lJen~e!lI's {41" il qua,lifying .children'oR fic" '(l)'Fi'( '"' ..,tastname' 'soclalsecuritynumoer relatlonshlpto, cl1l!dfurcl1lld~ 'Wb,D:'~' .,,' . J , '~_~amLe " " "' o'~1 credit, !relf e 20. ," i:, Uveil with yoti ~ Y(L-- ~ '. 'clil(not'Uve wittl lc6 . C " , you du~ to'divorce .; ,.,:..'.or'separation, " .." . -, (see pag~ '~ol D'epenll'eiits'oil 6c'~ ;',~o.~ e~~d abo~,_ , Add numb.rs (2) 'enter.ed on, ...:;; :. lines abBV6 ," .=, '3 /O? d Total number of exemptions 'claimed .- 7 ':Wa.ff~~,.'~~l~'~.~ ,tips~ ~~~. ~~~Ch:::~?~'~(S)':W~2,',':,' Sa T~~,~I~.,lnt~rest~ ~~cry ,$~hedule;~' iJ req,!ll.t~, " ~ . b ..1:ax-~xe,mp~ iryterest., 00 n~t'It:lcI4~~ 90 f~e aa ' . 9 "::Ordlnary dividendS.. Attach Schedule ~jf, reql!i~e~f 10' ,i:'~le ref0nds, credn:s, or offS'et:;; 'of ~ti3.te_and' ibc~i lncO)Tllil taxeS! (S!ee 'pag!i'2'2} . ' ..,""'--" , ,,', " ','" ,,,'., --,','" ",' 11 ~i,~?riyreceivea,'", , '.-',' ',~ " ,,' . ", ,', ' , "', ' - ~::,::'".<" ,'" ...:' 12 Busin~~~ jnc:oIT!~"qr Qoss). ~tfacb ,~~hedul.~p 9r'c'-EZ .:~, i" " " ':' ' 1~' ~apit?l gain ,~rJlo~).,c~ttac~ Sc~:ooul~'D if reqLiired~' If nQt requir.ed" check,~efe'""",, D' 1~ pthej.,gain~':,:or([oss6s).,AttachFbr'm:479,7,....".,.,.".., ~ ~'" .." . _,_. ." ~: r~=~~~;~~:s::~~~~~, t:j. H'U' B:~::::1~~=~:::~:::~:~ o' _ _< ''','' ":,',', " " , ',__ ,". ',:"'......',,"_,' ,:__ _" ;..,'.-' '. 17 ,Rerlt~l. re?tl e:~te" royaltieS, partr'!ersh.ips,'S'corp-oration~, trusts, etc. Attach S9he<;iule E, 18 ,:F~)n~meor(IOss).'AttaCh Scnedule"p'- ~;" 19 Ure:{jIployment,co"niperisatioil':, _;' d ,~'''>,- ~ , __'",___. .,..., . ,', '. c .' : __"", . . . " 2aaSociaisecuritY.beneftts ,12Oa 1 . .1 l.b.JaxaOJearnounUs""page2$) .21" , . OtJier~np'om~. Li~ type ,and arry.6u~t (see page 27) ~.__."....,",_.____~kU_'.'________.___. "'22' Add the amounts in the far, ri ht column for lines 7'through 21.}his Is ypurtotal income .... 23 . IRA deduction (see page 27) 0 . . 23 ; ~4 .-Studerit,ioan int~re~t ~e~uction (see pag,e .?~)."., 0_, ., 24 25.' Archer MSAdeduCtlon. Attach FO(lTl 8853: . 25 ,28 . tv1(Wing expe'n~. Attcich.'F?~, 3903.. , " 26 ' 27 . One-half of self-emproyment t~~ Attach Schedule- SE 27 ?8 ~,el~-employ'~d hear!h ins.~~C?e d(:!d~~~i9n (s~e, page ~O} . 28, 29" Self-employed SEP, SIMPLE, and qUalified plans . 29 ,>,30: .'Penalty~m,ear1ywithdrawal of~vings 30, "-31a Alimony paid b ~ecipient's SSN .... 31a 32 AcId lines 23, through 31a . '33 Subtract llne"32'from' line 22. iriis is your adjusted grosS 'income ~~_,I?i_~~!~~~:~~,~rivacy Act, and Paperwork Reduction Act Notice, see page 72. ~'1 040 Check only one box. Exemptions If more than six dependents, see page 20. Income Attach Forms W-2 and W-2G here. Also attach Fonn(s) 1099-R if tax was withheld. If you did not get a W-2, see page 21. Enclose, but do not attach, any payment. Also, please use F=orm 1040-V. Adjusted Gross Income , DElIp'artmerrt of the- TreaSury-Internal Revenue ::Sarvlce -. U.S~ Individual Income Tax R.eturn , , ~@Ol . . . , ". , , " IRS'Uso'OnlY-DO n6t Vmta or',~Ple.i~ this sP~. ' ,20 (1) ,2001, ending OMB, No_,1545-D074 Your social security number ;}co ~&! 'f,'O.s-/ l A B E l For the year Jan. i-Dee. 31, 200.1, or other lax year beginning Y r first name and initial Last name {Y/ILUre. Nrc.'C If a joint return, spouse's first name and initial Last name Spouse's social security number', Apt. no. . . . Irnport~nt! '.A:. -You"must, enter -' . . your SSN(s) above; You :'.. ",,~ousa", cO No DYesDNQ ;"'. ..DYes I :',~ :' ~ 7 g' . 1.0 11. .12 13 14. 15b 16b 17 18' 19 2Gb: 21< 22 (S - ..0 '" 32 33 IC)O'S'" ;;JD .0=- Fann 1040(2001) Cat. No. 11320B' .' . . . Tax and 'j,{,Ainount from line;l3 (adjusted gross income) . .' .. . . Credits ;~.9n~~ if:.D You were 65 oroldei;:Dslind; Dspouse was 65 or oider,O Bijnd. Standard ~-" ,:"'Add the number ,~f bo~es che~~ed' ~ve, and ~n~e~th~, tot~i, here ; )::..... 3,5a 'Deduction , i.}b.;,,'_ If y~U ~('e married 'filing separately arid your spouse,fteinizes' deducti,on$. of, ;", , :,,," " for- ~.' 'you'w~~e,::rduaf-statusalfen,.s~epa~e31"aTJd,ch~~:h~re ~:.' .' "'" ~"'-~'35b"O ~h:~~~e a~~o' -'~f?)i~:<:I~,emiz~d ~edUytiQ~~ (fro,m 'Schedule, A) or you~ ~l1d~~d 'deduction (~eeJeft !TI?lrgi~) ., . ~g~ ~~ J~~ or l "", ~',;:':"SuPtra..bt liJ1,e ~6 from Ji~e ,3:4 ,.,,' --" ," ," , : ,', ".' "', ' ,'" :..' ~",~_ who can be 8~: ''-,: :Jf line 34 ,hi;: $~9, -;:25 or 1~~;,}1JUlt;p'I,y $2.~piJ ,by, t~e,i.Qtal' n~:mb~r-'qf ,~~rf,Pti~ns ,claim~d on " claimedasa '::,::,':;,:<,JjJii?',6d~,JfJj;,e34.js'o\1eY$9,9;725~;see.thewcifkSn'~:on'pa;ge,32, ,_ ' " " '" ",' ~:~~dg~n~1. 9: ""',~~'-raxabl~ "inc,ome. SUbt~~ct"lln~"38",frO~: I(~e ,37'::,:,I~ .'in~"3,~ is)rlOr~' -.th.~n: 'ri'n~ ,s,?;' enter . All others:ci:,/1;~,t(see p~ge~3). Ch~bkjiaw;~~ frl'm'aC;tf9n1~)8a14iJJ.D~0ffi)4972 ': ~~~~6 t ',.": :~:~temati~E:, mi~i~,~~' tcpt ()jl,ee -p-~ge,.~4). ,~~cii ',For~ ~2~,1 '. , ' . Head of ,~,~',L~qd,JineS~O'~nd4:l..",:, ,;,':':'~.,", ',:, ,:,:"',:"',' .,,:.,:,."''':~' ','-43 --",-- "_J_'_~~~:::2"":..,_. . ~~~:5e~O]d, ~~ ,F~reig~ ta,\:~redi~~ ~~~~tfu I4:~.rni" !,t1'.6 If r~q~lred "",: :,'~:::,", ' " 44 . , Married filing ... ' :45, ':~~Iym ~ .. Qualifying ": ,,:"':46 :'; s~~g~(er), ". '~:ir.,.,< ',. ~::4'i , Married ~,,'."I.' .~ "", ,.',,'., ".,,'.',-,'. ~'," " ',:',48 :; filing ," '~.:::,'c.:::: 49", ", separately, ,- ~,' ",. . $3 ~OO ",,,.,: :,;c'sf .,............,~'?"'.>;;.52... .~~I.~~~t~:;~r[ "':':"""::'1':':: ::.,',.... '. .,.." :~':"::i:f~,::, ',"':, ".',' ";' ,?;:,~,),:'~'::" ~~ 11!~W~~~~,~~a';i 6Sc, and 6ad. l~,9 ':':ArnQUi'itbfJi,rie'67' ou-\"/a'nt '" liecho:" our2002'eStlmatedtilx ",. 139 ." ' Amount Wi9.::::""::':,~',Am:?~~~ i'o'~, 'o~~.':'silb~'(a'9f~in,~"6.~:troTr(!t~,~ ,p:e~", f:i?f :9,~t~,il~i o,n,:"~?W.,,t9j?~L~e;:,~P.:~2:,1'~;,j'.' You Owe :1.1,.,,:-- ..,E.$tl1c:Lted t~x p.enalty."Also, melu.de on, hne,,7Q, ,'. ;',,: '~;,::';':'F':':"'.' ':'--'4 ",-:' ":",7.1 b~~~~:~ 1;~:~i:~'o:~i1~eW'aD~~h~.P~Sb'St~;~l~~l,~~~"~~~;~~;~)e,ij3~,t~:~!,e~:l~~~ii~~f.;~l~;;i~, Sign ~i:-';::.::\l~per j)~h::iJties~of p'~,rLurY, f9,~c.1ar~ tl]at'. ~a.y~ ex~'nad' th.!,s 'retJm::~d, ~9~omp,any'iriQ ~~~,Ul8s~,j)~, st?tefri,en~; '.8rlP:to ;theJi:~~' 9(:PW,:kii~ied~,e:~ri;1. ;-:,? Here kL~,~\':.~,--:hf[~~~~~!:~:r~ct, an~~~~e:e:~~~~l~~,~~tt~a~! ~~!!'~~.th~~--,~~~;~!~:!f::.!o.I!:,~~~:T~,~,,~~"J.~~~,~ ~r~l;!.~~~y~~_~9X~J~;;2';':4; J . t tu ? ~t:,o Your signature Date Your occupation Daytime phone number k om re m. ~' " See page 19. ,. Keep a copy Spouse's signatu~e, If a ioint retum, both must sign, Date Spouse's occupation for your , records. ',0-: Paid Preparers It. ;, signature ,. Preparer's ' Firm's name (or ~ Use Only ~~ yours if self-employed), ~:':' address, and ZIP code . . Page 2., ':>f~'::i,~>$} \..2~Si,"$ ;' "i' i', ;,,' r: -t::. ::.' ~':, .", , !;:::. -fer ~t ~':: ~:::' ~~' ,:: ~:, -&- Other Taxes "" ,.. c I:' t.. ,: ",,; I,:" Payments ~.:::' f"" ,"""":"~'I>:",,--;~7 ,"':' p' ~i' ~ }" ~~ ~:~" f.: f:: I ~:': t~ I' , ~I:: It Date Phone no. G: ;\ ,Fo'."'.1...Q<l{)~".0~:9' 1)'." Profit 'or Loss From Business (Sole Proprietorship) ... Partnerships, joint ventures, etc., must file Form 1065 or Form 106&-B. " Attachment ~ Attach to Form 1040 or Form 1041. ~ See Instructions for Schedule C (Form 1040). Sequence No. 09 Social security number (SSN) ~cZ7 S(p: 105/ B Enter code from ~.ages C-7 & 8 ... o Employer to numb~~JI;.l.M). if any . -I I I I ~~:70~na~~~~:t ~r;;;~~i~~~~I;:'~ ~o;~o~~') ~ 'Oof~.;Lt;ldt2.r0;~~"00"~7'O'j~"""""'..' .........,,"... Accounting method: (1) It'J, Cash (2) 0 Accrual (3) 0 Other (specify) ~ ...,,000000.00,,"00"0000."."00...."....00". Did you "materially participate" in the operation of this business during 2001? If "No," see page C-2 for limit on losses . be Yes 0 No If you started ,or acquired this business during 2001, check here. . . . . . . . . . . . . ..... 0 Income ~~. ~ I;, ,. SCHEDULE C (Form 1040) Department of the Treasury Internal Revenue ServIce (0) Name of proprietor JAtJ'L'Z:.- ~ lvi, u oE. (Z. A C Principal busine r p~Ofe~jOn, ~~dlng p~ or service (see page C-1 of the instructions) Business name. If no separate business name, leave blank. E F G H 1 Gross receipts or sales. Caution. If this income was reported to you on Form W-2 and the UStatutory 0 employee" box on that form was checked, see page C-2 and check here .. Retums and allowances' . . . . . . Subtract line 2 from line 1 Cost of goods sold (from line 42 on page 2) 2 3 4 5 Gross profit. Subtract line 4 from line 3 . . . . . . . . 6 Other income, including Federal and state gasoline or fuel tax credit or refund (see page C-3) 7 G!:,OSS income. Add lines 5 and 6 . ...... Expenses. Enter expenses for business use of 8 O;{ our home only on line 30, 8 9 11 12 13 30 15 16 29 Tentative proflt (i05S). Subtract line 28 from line 7 30 Expenses for business use of your home. Attach Form 8829 31 Net profit or (1055). Subtract line 30 from iine 29. . If a profit, enter on Form 1040, line 12, and also on Schedule SE,line 2 (statutory employees, see page C-5). Estates and trusts, enter on Form 1041, line 3. . If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your Investment In this activity (see page C~6). . if you checked 32a, enter the loss on Form 1040, line 12, and also on Schedule SE, line 2 (statutory employees, see page C-5). Estates and trusts, enter on Form 1041, line 3, . If you checked 32b, you must attach Form 6198. for Paperwork Reduction Act Notice, see Form 1040 instructions. Cat. No. 11334P OMS No. 1545-0074 ~@01 1 2 3 4 4&3 c.I.( 37 5 6 (p37 ~ Lj{(J37 7 19 20a 20b 21 22 23 I 24a 24d 25 26 30 27 26 rj:r 29 30 I .. .. } } ., 31 32 ~~. 'f~o,_ 1t,8" '<1'0 ""'>", r, "'-", ,,""" -. ~'.' , .'"= iiiIIiiIW " , .&L.ii~ SCHEDULE EIC (Form 1040A or 1040) Department of the Treasury Internal Revenue Service (P) Name(s) shown on return Complete and attach to Form 1040A or 1040 only if you have a qualifying child. OMS No. "1545-0074 Earned income Credit Qualifying Child Information ~@IB1 Attachment SequencE~ No. 43 Your SOCial security number Before "au begin: See the instructions for Form 1040A, lines 39a and 39b, or Form HMO, lines 61a and 6lb, .T to make sure that (a) you can take the E1C and (b) you have a qualifying child, . If you take the EIC even though you are not eligible, you may not be allowed to take the credit for up to 10 years. See back of schedule for details. ~ . It will take us longer to process your return and issue your refund if you do not fill in all lines that apply Itdml!I for each qualifying child. . . Be sure the child's name on line 1 and social security number (SSN) on line 2 agree with the c:hild's social security card. Otherwise, at the time we process your return, we may reduce or disallow your EIC. If the name or SSN on the child's social security card is not correct, call the Social Security Administration at 1-800-772-1213. Qualifying Child Information Child 1 Child 2 1 Child's name First name Last name First name Last name If you have more than two qualifying children, you U I'ckol.As..,<.,{'LLU ~ ;...{f LL:~ only have to list two to get the maximum credit. 2 Child's SSN The child must have an SSN as defined on page 42 of the Form 1040A instructions or page 44 of the Form 1040 instructioos unkss the child was born and died in 2001. If your child was born and died io 2001 /27 !f.,(p ~3('c; and did not have an SSN, enter "Died" on this line 02c0 !<ooj 7d4-0 and attach a copy of the child's birth certificate. 3 Child's year of birth Vear --l:- .2- -.f ~ Vear +- ~ g ~O If born after 1982, skip lines 4a If born after 1982, skip lines 4a and 4b; go to line 5. and 4b; go to line 5. 4 If the child was born before 1983- a Was the child under age 24 at the end ~ Yes. D No. DYes. D No. of 2001 and a student? Go to'line 5, Continue Go to line 5. Continllf b Was the child permanently and totally DYes. DNO. DYes. D Nlo. disabled during any part of 2001? Continue The child is not a Continue The child is not a qualifying child. qualifying child. 5 Child's relationship to you (for example, son, daughter, grandchild, SoYl ~- ,,, k-kr- foster child, etc.) 6 Number of months child lived with you in the United States during 2001 . If the child lived with you for more than half of 7~ 2001 but less than 7 months, enter "7". months ~. months . If the child was born or died in 200 1 and your Do not enter more tlum 12 months. Do not enter more tlum 12 months. home was the child's home for the entire time he or she was alive during 2001, enter "12". ~11 You may also be able to take the additional child tax credit if your child (a) was under age 17 at the end of 2001, (b) is claimed as -your dependent on line 6c of Form lO40A or Form 1040, and (c) is a u.s. citizen or resident alien. ]:<'or more details, see ihe instructions for line 40 of Form 1040A or line 63 of Form 1040. For Paperwork Reduction Ac:t Notice, see Form 1040A or 1040 instructions. Cat. No. 20834G Schedule EIC (Form 1040A or 1040) 2001 ~ Form 8812 Additional Child Tax Credit Department of the Treasury Internal Revenue Service (1J Name(s) shown on return Complete and attach to Form 1040 or Form 1040A. 0i\N \ ~t. ~. v'-t LLE- (2.. ... All Filers 1 Enter the amount from line I of your Child Thx Credit Worksheet on page 38 of the Form 1040 instructions or page 37 of the Form 1040A instructions. If you used Pub. 972, enter the amount from line 8 of the worksheet on page 3 of the publication ,..., 2 Enter the amount from Form 1040, line 48, or Form 1040A, line 31 3 Subtract line 2 from line 1. If zero, stop; you cannot take this credit 4 Enter your total taxable earned income. See the instructions on back 5 Is the amount on line 4 more than $10,000? o No. Leave line 5 blank and enter -0- on line 6. o Yes. Subtract $10,000 from the amount on line 4. Enter the result 6 /.scnv . 4 5 I 000 () Multiply the amount on line 5 by 10% (,10) and enter the resnlt Next. Do you have three or more qualifying children? Sil' No. If .line 6 is zero, stop; you cannot take this credit. Otherwise, skip Part II and enter the snialler of line 3 or line 6 on line 13. o Yes. If line 6 is equal to or more than line 3, skip Part II and enter the amount from line 3 on lioe 13. Otherwise, go to line 7. IiZlIIIII Certain Filers Who Have Three or More Qualifying Children 7 Enter the total of the withheld social security and Medicare taxes from Form(s) W-2, boxes 4 and 6. If married filing jointly, include your spouse's amounts with yours. If you worked for a railroad, see the instructions on back 1040 filers: Enter the total of the amounts from Form 1040, lines 27 and 54, plus any uncollected social security and Medicare or RRTA taxes included on line 58. 1040A mers: Enter -0-, 8 9 Addlines7and8. . . . . . . 10 1040 mers: Enter the total of the amounts from Form 1040, lines 61a and 62. 1040A filers: Enter the total of the amount from Form 1040A, line 39a, plus any excess social security and RRTA taxes withheld that you entered to the left of line 41 (see the instructions on back). 11 Subtract line 10 from line 9, If zero or less, enter -0- 12 Enter the larger of line 6 or line II here. , . , . Nex4 enter the smaller of line 3 or line 12 on line 13, I'!'-IIITIJ Your Additional Child Tax Credit 7 } 8 M'" ~" ,.~.l.'" , ". . ^ ~;t,.'$ 9 10 " OMS No. 1545-1620 ~@01 Attachment Sequence No. 47 Your social security number 6100 :3 tJ.. &,oS'l 1 (oeD 2 if !.coo ,---e;.,,;, ::;tr~r 11 &~ 13 This is your additional child tax credit .. .. GJ ~ ~.... Enter this amount on Form 1040, line 63, or Form 1040A, line 40. For Paperwork Reduction Act Notice, see back of form. Form 8812 (2001) Cat. No.1 Q644E ~r~i<'>~'- I. ""'-M~~Jilib';~'l<j~~"",-!!~ll]ld/.l&!&'Jl"#J~iJ,?'"J:,it.:iilj~~JO!Il""~J;i'~,,.im'Z';,;\'j,""'~'i.""",iIMIiii~~I!llliliJli~~~,lt.;,&_M'- Ji.liJ " __:.~,,~.,'~<., ,'"',', , _ '",. ~,',~, ",""~,","""~,,,,"c,,",,,", ",'", ",,<,,- .-' ~" '_ c""" ~ '"",' ,"";,,,~"',",~",r,'>' '-"" >h ".., ,- ,-,,,.",,- "", 1i. -" l"':: r~~ -:.':"; r-~ 5~~ -7 <- -j -', ". , ',~~ ;'.'J "-J --, ~...) \-'1 <..rl " '.=::\ ~r'.. ~, :< . " ~ ",' ~,. , ;""j;',," " '" ,," ',' ^ Co' '" ,~,~_,,' "",""".', "~'. '~~ ",~~, ..;, ' ~f JANICE E. MillER, Plaintiff V. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : NO. 00-6130 CIVil TERM : CIVil ACTION - LAW : IN DIVORCE ROLAND J. MillER, Defendant PLAINTIFF'S PRE.TRIAL STATEMENT Date of Marriage: 09/30/78 Date of Separation: 7/00 I. ASSETS: 1. Escrowed proceeds from the sale of the marital home Balance as of 10/31/02 (see attached Exhibit) $ 33,166,08 2. (W) 401 K Plan $ 6,594.00 3. Joint First Union Account (Value at separation) $ 900,00 4. Harris Bank Savings Account (Value at separation) $ 392.00 5. Harris Bank Checking Account (Value at separation) $ 362.00 6. Proceeds from the sale of Van $ 6,000.00 7. (H) Teamsters Retirement Approx. $130,122.00 8. (H) American Express Account $ 12,658.00 9. Joint American Express Account $ 5,086.00 10. New Cumberland Federal Credit Union Account $ 753.00 11. (H) Mutual Fund $ 2,421.82 '-' ". ,,'~ , " . ,--',...'~ ,"," ' c-. '.';~,",~ ,,~'..,~,,--,,~, .,<', "'-;''''.'' --',i" ,", 12. (H) Whole Life Insurance Policy Approx. $ 9,740.57 II. EXPERT WITNESS: None anticipated at this time. Plaintiff reserves the right to call Harry Leister, F.SA, to update the value of Husband's Defined Benefit Plan through the Teamsters Union and/or to supplement the Pre-trial Statement as necessary. III. FACT WITNESSES: None anticipated at this time other than the parties, Plaintiff reserves the right to supplement her witness list as necessary, IV. EXHIBITS: Various documents, including confirmation of balance in the parties' escrow account, pension statements, bank statements, etc.. Plaintiff reserves the right to supplement the Pre-trial Statement as necessary. V. INCOME/EXPENSES: See Plaintiffs Income and Expense Statement. VI. PENSIONS: Wife has a 401 K Plan and Husband has a Teamsters Retirement Plan. VII. COUNSEL FEES AND COSTS: Testimony and exhibits will be presented on the issue of counsel fees and costs. Husband's previous counsel agreed to settle the case and Wife spent additional attorneys fees and costs for preparation of the settlement agreement and a pension valuation through Harry Leister, F.S.S.A., including the preparation of a Qualified Domestic Relations Order. VIII. PERSONAL PROPERTY: Plaintiff believes that all items of personal property have already been divided to the parties satisfaction but reserves the right to present testimony regarding the value of furnishings set apart to each party, if that becomes necessary. ... '. "~-'''<-: ' ~, " +'^' ' 0' <, """"~",,,:.u,:. '", ';. ,. ".'"~__. """'. IX. MARITAL DEBTS: N/A. X, Date: PROPOSED RESOLUTION: Wife requests a 65/35 distribution and indefinite alimony. Wife is currently the beneficiary of monthly support (spousal and child) in the amount of $699.00. Mrs. Miller earns a minimum income and her two part time positions at JcPenney's and Jack Gaugen Realtors. Mr. Miller's current earnings are approximately three times that of his Wife. In addition, he has received a substantial inheritance during separation in the amoun approximately $42,000.00. BY: II!H/b.J. I , - "?-- , "~" "'",' --' " CERTIFICATE OF SERVICE I, Charles Rector, Esquire, do hereby certify that on the 19th day of November, 2002, I caused a true and correct copy of the within Plaintiffs Pre-trial Statement to be served upon the following counsel of record by depositing same in first class, United States mail, postage paid, in Camp Hill, Pennsylvania: Sanford A. Krevsky, Esquire 1101 N. Front Street Harrisburg, PA 17102-3324 Date: 1,1,t/oJ , <'0", , ::" c~., ,^ < ,-" ~ - ," "; '. "' ,--'..<; ''',' " ''',~ ,".' , " '" ,",c.o- ~:G..,]"""""';'" > wr~tli) 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. ~M~ J9 . ce E. Miller Date: i I /;17 ldooi+- . ,\~.- '. ~ . lOa, Commerce _Bank Commerce Bank/Harrisburg N.A. 100 Senate Avenue Camp Hill. PA 17011 888-937-0004 STATEMENT DATE ROLAND J MILLER JANICE E *MILLER' CHARLES RECTOR ES~Ul:RE ESCROW AGENT 1104 FERNWOOD AVE STE 203 CAMP HILL PA 17011 10/31/0:2 0616226B'12 ACCOUlllT NO. CYCLE-OS2 ~~~~~J~5~~:N:; 09/30/02 ................ ~~~~~~G RA~3. :~:~::~ PLUS 1 DEPOSITS AND OTHER CREDITS ................... . 55.611 LESS 0 WITHDRAWALS AND OTHER DEBITS . . . . . . . . . . . . . . . . .00 CURRENT STATEMENT BALANCE AS OF 10/31/02 ......................... 33,166.011 NUMBER OF DAYS IN THIS STATEMENT PERIOD 31 ---------------------------------------------------------------------------------~.- *** SAVINGS ACCOUNT TRANSACTIONS *** DATE DESCRIPTION 10/31 INTEREST PAYMENT DEBITS CREDITS 55.6B *** BALANCE BY DATE *** 09/30 33,110.40 10/31 33,166.0B PAYER FEDERAL ID NUMBER INTEREST PAID YEAR TO DATE 23-2324730 632.72 *** INTEREST EARNED THIS STATEMENT PERIOD DAYS IN PERIOD ......................... INTEREST EARNED ........... ... .......... ANNUAL PERCENTAGE YIELD EARNED (APY).... *** 31 55.6B 2.00% I\InT6=' SEE REVERSE SIDE: FOR IMPO~TANT INFqR~~TION lU........h..r I:nlf' ~~~ilEI~~j,jd~~~.#ill.l!l!U'-~-~ "O,~.~.. ~ _ ~ ~~_.'" .,~, ,'~,~. ~~" ..., " ~ '~',^' --~," ',,~, '-' ,--";-<" ~....... .. "^ ~~ ~, ~ ~.,' ,,~~ ,,'~ , ~ - ~~ 1 \F~' 1".) J :~~'J .':) :....) ~?ri .:0 -< (ll ~ -.~ I I I, I , I ,~--:: :'~:,3 , ' ":~) ::-'':''1 i ., .," " . U" ,", ",~", c,c, , .-, ~,' , ,',,~'" M','. b'''':--;'',~ ~,-. ,~ ""'-- ,--,,', ,",,,,'~' ,'. " " JANICE E. MILLER Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA v. : DOCKET NUMBER 00-6130 ROLAND J. MILLER Defendant : CIVIL TERM ORDER OF COURT AND NOW, this day of , 2003 IT IS HEREBY ORDERED AND DECREED that a hearing relative to the Modification of Alimony Pendente Lite be scheduled for the day of ,2003, at o'clock a.m./p,m, in Court Room No._; BY THE COURT: Distribution: Prothonotary Domestic Relations Office Sanford A. Krevsky, Esq, IIOI N. Front St., Hbg., PA 17102 Charles Rector, Esq. II04 Femwood Avenue, Suite 203, Camp Hill, PA 17043 " -;i",~" _,' -", ,', , ~,';;" . '~ ,~, , '~,' . ~"~ ", " ~ '{." .->",,~)'~' ," , " ", w ~' '-,," '- ''''~ , JANICE E. MILLER Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA v. : DOCKET NUMBER 00-6130 ROLAND J. MILLER Defendant : CIVIL TERM PETITION FOR MODIFICATION OF ALIMONY PENDENTE LITE AND NOW, this d~ day of rrn }Jt.h ,2003, comes the Defendant, ROLAND J. MILLER, by and through his attorneys, KREVSKY & ROSEN, P.c. and moves Your Honorable Court to modifY the amount of Alimony Pendente Lite in the above-captioned matter and, in support thereof, avers the following: I, Based on the parties' saIaries, an Order of Court was entered on October 17, 2003 ordering Defendant pay $228.00, effective September 7,2000; 2. Since the Order of Court of September 7, 2000 was entered, Defendant had a decrease in income; 3, Since the Order of Court of September 7, 2000 was entered, the costs of Defendant's benefit package has increased; 4. Since the Order of Court of September 7,2000 was entered, it is believed that Plaintiff had an increase in income. 5. Plaintiff has made no attempt to compromise her position for settlement. ~--:,' " , '<" ,~",'. ' -""ie,',"',"" ,--;",,"',;--" -",'c'. , 'c,' '. """" 'c' ""~ '".,.', ", "4~ WHEREFORE, Defendant respectfully requests This Honorable Court to schedule a hearing relative to the modification of the current Alimony Pendente Lite amount. Respectfully submitted, KREVSKY & ROSEN, P.C. By: Sanford Krevs y, Esquire Attorney for De endant 1101 North Front Street Harrisburg, PA 17102 ID #15560 (717) 234-4583 !'""~ "",~:'" ",' , ,-.",,~_",_, "',, ',,'0',' ,,', __,' ; ",0, ',~, ~' " ",:< ,,~ ,""iil '. JANICE E. MILLER Plaintiff : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA v, : DOCKET NUMBER 00-6130 ROLAND J. MILLER Defendant : CIVIL TERM AND NOW, thi~ay of ~C \\ ,2003, I, Aimee L Paukovits, for the Law Firm ofKREVSKY & ROSEN, P.C on behaIf of Defendant, ROLAND J. MILLER hereby certifY that I have this day served a copy of the foregoing Petition in the above-captioned matter, by First Class U.S. Mail on the following: CHARLES RECTOR, ESQUIRE I 104 FERNWOOD AVENUE SUITE 203 CAMP HILL, PAl 7043 Wm~ tRRJu QrJ rrn Aimee L Paukovits 110 1 North Front Street Harrisburg, PA 17102 (717) 234-4583 p .',' o ~ ~ l ~ "" ~ \:) ~ f-',__,-,~ () c::> 0 r- 0) " :?.; :J~ ..- -00'] -;n"" ~"f1 rp'--~" ~'" :z~:i',~ CO 0'C W " 1 :- t:J (0) () t'S ~ ..~j ~1>, ('s-;;2 -"'" ./1.,1 \.D ~7)rn ';;~t ,c:.., U1 ~ :;~ :i1 .~ :.<.: ~ ;"flIF1jIlJIL,~,~, 0,;, ",,--"''''''''''''~I .+"" . , , ~ ili-, \. ...... ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 05/19/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice RE: MILLER, EmployerlWithholder's Federal EIN Nu~be;/ f)I;:! r ~-~ao (!(Plt- Jlthsrs 07 :7.../o7.?t/cr / EXEL LOGISTICS 570 POLARIS PKWY DEPT 110 WESTERVILLE OH 43082-8029 b1( ~~ :J ~'>C{) {te;?'C; 161/0:;J-~t, ROLAND J. Employee/Obligor's Name (Last, First, MI) 181-42-7553 Employee/Obligor's Social Security Number 9207100587 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, $ 650.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes <29 no $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 650.00 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: $ 150.00 per weekly pay period, $ 300.00 per biweekly pay period (every two weeks). $ 325.00 per semimonthly pay period (twice a month). $ 650.00 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 S5% of the employee's/ obligor's aggregate disposable weekly earnings, For the purpose of the limitation on withholding, the following information is needed (See #10 on pg, 2). If remitting by EFl/EDI, please call Pennsylvania State Collections and Disbursement Unit (SeDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SeDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. DateofOrder:~ VV L>be Form EN-028 Worker 10 $IAT'r RY THE COURT' Service Type M OMB No.: 0970-0154 :.J. f -- ~" ^.,' fP:l~ll.il~~~'~~S: ."j".. ,,, ~ . ,';'r j,r "^ . ~ ;'--,'; "'h';' =, ., ,~., t '''i' :J__T ", .',--,~!, '!!iAY 'i (-u d ,,~ . ,-:')(J C" l.1\l; I'~~~</~,~jl \~ ':: \; 't, .,. I CJ"i\}Vr::\/j'I/,,';""'i..}n/;",' 1-\;/>\NlA ..,. '"'",' 'T ~.~~:~i!;i~l%1Iffl!!lMPi'II'.'f!I';I;MW,*,'1<\."ii;;"9iRW{i"""""'~~'!-',,,"V~\f;"P,",,,,,,q,!_",,~e'!("!1i1;r.r,",,~,,'I,''>B,;;''''' -i8't~"""~nij",,-r'!iT,,-''''''''mif:'~'l"-'F~P'--'iY''.''it,,,,';~'\-ll:~iil!I~ "'~ ,,,.''''=~ , =. ~ ,-,. ~ . .. '"~ """. -...~ '&'rti, '""V"Wi'" - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D I( checked you are required. to provi(le a Copy of this form to your employee, If yo~r 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. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding, You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4. * Repoltillg tile raydul"t/Date of 'Nitl.l.old;"g. You I {lust lepolt tllI~ paydhte/date of vvithholdil,g vvl.eh selldihg tl.(. paYII.ellL. The paydate/dat(. of vvitl.l.oldillg is tLe date 0.. vvL;d, unlow.t VVdS vvitl,Ldd f.olll UIC ell,ployee's VVdges. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments, 5.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/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 #1 0 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 0428011600 EMPLOYEE'S/OBlIGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: MILLER, ROLAND J. 9207100587 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay, If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9, Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10,' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (1 5 U.s.c. ~1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P,O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupporl.state.pa.us Page 2 of 2 Form EN-028 Worker ID $IJ~TT Service Type M OMS No.: 0970-0154 - "j;-~.~ "<~~ "lIiliUliIiifrjg :llrniD'.1lli",~ j - ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MILLER, ROLAND J. PACSES Case Number 072102644 Plaintiff Name JANrCE E. MILLER Docket Attachment Amount 00-6130 CIVIL$ 208.00 Child(ren)'s Name(s): DOB PACSES Case Number 769102486 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00646 S 2000 $ 442.00 Child(ren)'s Name(s): CARLY .J... MILLER. DOB .. q7/05/~6 .,:.....'..... ..',...:.,,',,', ,..',.,','.,."...... . '. .., ,...... ...... ....... ... ,...,,,, "..,........ .... ...... ,. ., ,.. ,... .... .., ............. . .w, "..., . d ifch~~k~d, y~~ a~~ required to enroll the chlld(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroil the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment Addendum Form EN-028 Worker ID l;IATT Service Type M OMB No.: 097Q.0154 . ~,~" ~ . ."'~'"'~iffiJ:y - ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania CoJCity/Dist. of CUMBERLAND Date of Order/Notice 05/05/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice EXEL LOGISTICS 570 POLARIS PKWY DEPT 110 WESTERVILLE OH 43082-8029 iJ># ~ ..(P/3~ 61//l. fJ/1Cr;cc ~ 07 d./tJ;J.&~~ RE: MILLER, ROLAND J. Employee/Obligor's Name (Last, First, MI) EmployerMtithholder's Federal EIN Number ))k/. b V~ S' ~ j/lf8]f[; Jb'7/o.>y-Rc. 181-42-7553 Employee/Obligor's Social Security Number 9207100587 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 INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above.named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 650.00 per month in current support $ 20.00 per month in past-due support Arrears 12 weeks or greater? Oyes <R> no $ 0.00 per month in medical support $ 0 . DOper month for genetic test costs $ per month in other (specify) for a total of $ 670.00 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: $ 154.62 per weekly pay period. $ 309.23 per biweekly pay period (every two weeks). $ 335.00 per semimonthly pay period (twice a month), $ 670.00 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 #10 on pg, 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877.676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's CiiWl\IltafllllJlODft\l SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. ~ S {fJ -0:3 BY THE COURl Date of Order: MAY - 6__ < JVj)/P15 Form EN-028 Worker ID $IAT'r ~ E (.,UIDO Service Type M OMS No.: 0970-0154 ;.~lt~' , ,~~'~ ." ul~i " - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D I( checkefd you are required. to provi(le a copy of this form to you, employee, If your employee works in a state that is ditterent rom the state that ISsued thIS order, a copy must be provided to your employee even If the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian.owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4.' R.p6lting tl,. PA,date/Dat. afWill ,1.6Idi"g, ',oM Iuds! rep6Ittl,~ p.,dateld.t. of ..ill,l,blding ..I ,e!, '" ,dil,g tI,e p',me! ,(. TI.. paydatefdate of yy;Ulholdil,g i3 tile date 01. yyllid, alllOtll1t yY(lS nill,held f101'h tile eI1l1516y~e'; m1ges. 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. S.' 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 #1 0 below) 6, Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 0428011600 EMPLOYEE'S/OBlIGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: MILLER, ROLAND J. 9207100587 DATE OF SEPARATION: 7, Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8, Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10.' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.s.c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N, HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupportstate.pa.us Page 2 of 2 Form EN-028 Worker ID $mTT Service Type M OMB No.: 0970-0154 ~ . ~ "~~, ", '~ ,~- " ]iMi'~, ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MILLER, ROLAND J. PACSES Case Number 072102644 Plaintiff Name JANICE E, MILLER Docket Attachment Amount 00-6130 CIVIL$ 208.00 Child(ren)'s Name(s): DOB PACSES Case Number 769102486 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00646 S 2000 $ 462.00 Child(ren)'s Name(s): CARLY. .J. .. MILL.E.R . DOB 9.7 1.0~186 [jl~~h~~~~~,y~~~;~r~q~ir~~;~ ~~r~II;~~~hild;;~n; ...... ..... y identified above in any health insurance coverage available through the employee's/obligor's employment. blf~h~~k~~,;~uar~;e~~i;~~;~~~r~II;~~.~~il~(;~~;...... .... identified above in any health insurance coverage availablle through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment Addendum Form EN-028 Worker ID ~;IATT Service Type M OMB No.: 0970--0154 -' ~~",~j,~>t4Jt.:g~~~-'tl""'j;'Mi!c~ifi:i.~ii-),;;;:;,i4il>'fu'1i'""t€ft~O'ill~:&'~I~;;Kii"':<J'i;!!t"i'-;,u~,i\~~llli:Y&:1.lJJ1'i~~ J ~'. 3.'" '2i fr - .. ',',' <, () C) 0 C W -n ~ ~ -rJlJ:J -p.. :1:'1!-!IO rnrr; --< 2:::-i.l 2: r~ ",' ! \,~. ~ ~;, en ~~:' C) ~' ., ,,' '.1'l ;z:U ~.r" ~:' 2 2") ~-c} N ~-) rn ;J>" C .-, /,C, ,,-, >- :< :D '0 -< .' O' "="",,, "hlt~. JANICE E. MILLER, Plaintiffi'Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE ROLAND J. MILLER, Defendant/Respondent NO. 2000-6130 CIVIL TERM IN DIVORCE Pacses# 072102644 ORDER OF COURT AND NOW, this 24'h day of April, 2003, upon consideration of the attached Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before RJ. Shaddav onMav 22.2003 at 9:00A.M. for a conference, at 13 N. Hanover St., Carlisle, PA 17013, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered. YOU are further ordered to bring to the conference: " (1) a true copy of your most recent Federal Income Tax Return, including W - 2' s as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as reqnired by Rule 1910.11@ (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Mail copies on 4-24-03 to: < Petitioner Respondent Sanford Krevsky, Esquire Charles Rector, Esquire ,j .0',"'" ~ # Date of Order: April 24, 2003 J-l .A 4!J{~ ~', ,S d y, Conference office1' YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE ~D REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE, CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 C/.' r C, ~~~~.j~~r~!f;M"'_",,,"1il;"~"~l<l~d"''',",,:~"-''iO,,;[jiilillj;:WL';,m'&!.~ill''J"~~";'!",/;+,,..iffi;'~<f~.\V~'I!'""'-'~'lR::_~~lli!iib1l I "' ,.;,J .~, ,+," .,= _ L,;::~ n,nr3cJ ~" "~"'"?" "~ ,. ", '9,,' ,,> '"C'H '.' ,~, .~ ~'- 0 CJ / ~ c: w '-, s:: -11 J> ""Om " :.:;::' mrn :::0 ~l :!3 z-" zt"" . e- N ~Rcn en ,2" U1 ..." ::J -<L 1~~~6 ~C" :J>- -u ""i""; ZL :z ;:o,,::IJ >0 '.:,0 c W Om Z $:'" ~ =< :D (D -< ~' '~ ll@ ~&~,9:e COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG, PENNSYLVANIA 17102-3324 Sanford A. Krevsky Lawrence J, Rosen David J, Schertz Tel. (717) 234-4583 Fax (717) 234-3650 July 25, 2003 E. ROBERT ELICKER, II, ESQUIRE OFFICE OF DIVORCE MASTER 9 NORTH HANOVER STREET CARLISLE, PAl 70 13 Re: Janice E. Miller v. Roland J. Miller Docket No. 00-6130 Civil Term Dear Mr. Elicker, I just received a copy of a letter sent by Charles Rector requesting that a Master's Hearing be re-convened relative to the above-referenced divorce case. Before doing so, I am requesting approximately three weeks to review certain discovery information. The reasons are as follows: I. We are close to a settlement, but I need to review and/or present to Charles information regarding two matters: a. The couple's bank accounts; b. Mr. Miller's retirement account. 2. I am in the middle of preparations for several trial matters scheduled in Dauphin County for the week of August 4th. Once the trials and comparison of the accounts are complete, I believe we can frame a settlement proposaL There would be no prejudice to Mrs, MWeras my client continues to pay alimony pendente lite. Finally, I do not want the couple to incur additional appointment charges or legal fees if settlement is appropriate. - ~~'~i.""v" ',",.".,':'" ",-~,y- '^,'"',>., " _ '~<[[;d'>,-'--' "'-'" 0' "',':,,' "- -- " '~ Page 2 Janice E. Miller v. Roland J. Miller Docket No, 00-6130 Civil Term July 25, 2003 Accordingly, please do not move forward with the scheduling of a hearing until approximately mid-August. I will be in touch with Charles and will advise you of our status, Thank you for your attention and assistance in this matter. Please confirm reciept of this request with your response at your earliest convenience. If you have any questions, please contact my office; until then, I am Very truly yours, ... ~ Sanford A. Krevsky SAK:snl pc: R. Miller C. Rector, Esq. ~. . - w.j~: J~&:~,9~ ~(Q)~\~ COUNSELORS AT LAW 1101 NORTH FRONT STREET HARRISBURG. PENNSYLVANIA 17102-3324 Sanford A, Krevsky Lawrence J. Rosen David J. Schertz Tel. (717) 234-4583 Fax (717) 234-3650 July 24, 2003 CHARLES RECTOR, ESQUIRE 1104 FERNWOOD AVENUE SUITE 203 CAMPHILL,PA 17011-6912 RE: Janice E. Millerv. Roland J, Miller Docket No, 00-6130 Civil Term In Divorce Dear Mr. Rector: I am in receipt of a letter from your office dated July 18, 2003 stating that you have re-listed this matter to go before a Master's Hearing. This letter is a request for additional time to review Ms. Miller's bank records and Mr. Miller's pension. Towards that end, I am enclosing Mr. Miller's pension valuation. I should be prepared to make any necessary suggestions regarding the Settlement Agreement within three (3) weeks. As you can see from the enclosed correspondence to the Divorce Master, I have advised Mr. Elicker of the case status. Thank you for your attention and assistance in this matter. If you have any questions, please contact my office; until then, I am Very truly yours, ...~ Sanford A. Krevsky SAK:snl Enclosure pc: R. Miller R, Elicker, Esq. Master '-~ -~ '~ " ""~ "J~ 't ,;k~'", ~ "= <,~ ;U.WJ;;, " ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT , State Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 10/06/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice RE: MILLER, ROLAND J. IV1 ~ I . ~4 Employee/Obligor's Name (last, First, /viI) U I ~ 1 181-42-7553 rA.. Employee/Obligor's Social Security Number ~ 9207100587 Employee/Obligor's Case Identifier h 11 (-\ Jf1 (See Addendum for plaintiff names V U - \fJ v{) associated with cases on attachment) L,', V .t \ Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with c2~ 11~?ci~ ldir 0 {D ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support ~ t: 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. $ 650.00 per month in current support $ 0.00 per month in past-due support $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 650.00 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: $ 150.00 per weekly pay period, $ 300.00 per biweekly pay period (every two weeks). $ 325.00 per semimonthly pay period (twice a month). $ 650.00 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 ofthis 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 #1 a on pg. 2), EmployerlWithholder's Federal EIN Number EXEL LOGISTICS 570 POLARIS PKWY DEPT 110 WESTERVILLE OH 43082-8029 Arrears 12 weeks or greater? Oyes GQ no If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer ~:::;~:~~:en:~ ;:~::I:::~a:: ~~~~ions. I ";i~ }~'W~t --- Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMB ER to BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Date of Order: ~, ~t'" G U '\ 12)1) OMB No.: 0970-0154 Form EN-a28 Worker ID $IAT'r Servi ce Type M -' - ~. " ~. ..'" ~". '~J" '> ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D I((hecked you are required. to provi(ie a copy of this form to your employee, If yo~r 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, We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. < 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3, Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single paymentthat is attributable to each employee/obligor. 4, * Repoltilog II,e Paydate/D'le "fWitl ,I ,old;"g. '("u n,u,t ,epM tl,e paydat,,"'I... of ..itl,holdi"g ..I,e" ,,,,dilog tl,e Pilyl"C',L The paydalD'dale of vvitl.l.olel;l,g is tLe dat.::. 011 vvnkL alllouhl m~.:> vvitLLeld rlOl1l lite elllployee's vvageti. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 5, * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law ofthe state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 0428011600 EMPLOYEE'S/OBUGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: MILLER, ROLAND J. 9207100587 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10. * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxeSi and Medicare taxes. 11. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N, HANOVER ST by telephone at (717) 240-6225 or 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 Worker ID $I1lTT Service Type M OMB No.: 0970-0154 ~ y=- ,; ~ I - ,", .L' , L ~" . ' L!JIWR ... , ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MILLER, ROLAND J. PACSES Case Number 072102644 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00-6130 CIVIL$ 208.00 Child(ren)'s Name(s): DOB PACSES Case Number 769102486 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00646 S 2000 $ 442.00 Child(ren)'s Name(s): CARLY.J. ..MIL.L.E.R DOB dli~~~:k~(2~~~:;~;~qUired to enroll the C~il~;~~i< ..... identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0,00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. Addendum Form EN-028 Worker ID ~;IATT Service Type M OMB No.: 0970-0154 .. j;';'~'~~'-"" ,.J.ltje:.''I] Wi' ~~~~illiBlidn'~~ .,d, ~ .,<,"~ "--?"",' ';'1' ,~~, "_"",,F=""~' ~,~, .~~ ,," --~, ~,>,,", "" " ,~-- - _OlIiiil" ~ j;'-b~",~"' ~ ~ ~ ---' o c .,.. :""'-- -urn fT1rT: --:7 ~, "', ?-.f.' ~5~ -< ,.. ~r~::, ~!-~ ~~~ 7 .---l ..( ",~,~,~~ .~ ... , ,-' u.) a (ry ..... I ,.0 o -n =:~ T~ "r=- .'1[jJ ;..J .,,1 '~ '-. -) "'.-;-1 ~~'~ :,~:;! :D -< -0 ,-:,/ :", ill 1 ,.;.w. '. '1!iIlitlIlIl '.01 ""- 'I'!l~:>.!.ut!i",,:,' '" ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT Sto<<e Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 08/07/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice .0 Terminate Order/Notice EXEL LOGISTICS 570 POLARIS PKWY DEPT 110 WESTERVILLE OH 43082-8029 RE: MILLER, ROLAND J. 01 tI 0 t ~~ ~ Employee/Obligor's Name (last, First, MI) OO.~I~O (.v'L EmployerlWithholder's Federal EIN Number Arrears 12 weeks or greater? Oyes Q9 no 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 #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCOU Send check to: Pennsylvania SCOU, P,O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: AUS 0 8 2803 Date of Order: uAlOV Form EN-028 Worker ID $IAT~r Servi ce Type M OMB No.: 0970-0154 -' ..Lti''j[i~~i,r~lfil'~lil!.~i~~1'#~'"j~.;,~"~!lli",''';i'!f'''~''L~[>!'~;;;;il.L'-ill'1fJIi!lo!<#,vd",~~'f~~~- "_.1 ~. .. ",.,'--~^~.. ~, ,~^ ,"e,^ 'i).i ;. ./ i ... ., , ; ~ '~ ~ . 1'''":'''- , . L f., ./ Sc-al;l',ned: ~~", ~o~'~ ~ "~aLl;l'.::L;;\Il ".\ ~ ""'~'''"...... '~' i I I r. ) ~ - ". ~' i-.B~~,,;;j;,i,t\", ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D Ifchecked you are required to prpvide 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. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian.owned businesses iocated on a reservation that choose to withhold in accordance with this notice, 2. Priority: Withholding under this Order/Notice has priority over any other iegal process under State law against the same income, Federal tax levies in effect before receipt of this order have priority, If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each empioyee/obligor. 4. * Ref)OItihg tlte F'aydatelDatc ofV/itLLoldillg. '(ou tIlUS! lepOlt tlte payd~date of yvitl,lloldil,g nheh 5elldihg tile: pClymeht. TLe paydatefdalG of vvitl.l.oldhl.5;,j Lhe dcrte ,0[, yyl,icL ",IIIQUlll vvas vvitl.l.eld (10111 lite elllployee's yyA~!.. 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 withhold ing order and forward the support payments, 5. * Employee/Obligor with Multiple Support Holdings: if there is more than one Order/Notice.to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due 10 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 #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you, Please provide the information requ~sted and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 0428011600 EMPLOYEE'S/OBUGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: MILLER, ROLAND J. 9207100587 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, ortaking 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. 10. * Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (1 5 use 91673 (b)l; or 2) the amounts allowed by the State of the employee's!obligor's principal place of employment The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items, Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST . P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker ID $H'TT Service Type M OMB No.: 0970.0154 " <~ ,i _____~~~ ( ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MILLER, ROLAND J. PACSES Case Number 072102644 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00-6130 CIVIL$ 228,00 Child(ren)'s Name(s): DOB PACSES Case Number 769102486 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 006468 2000 $ 442.00 Child(ren)'s Name(s): CAI<IeyJ ,MILLER. DOB dlic~:C~~d, you arer~~~i;~~;~~~;~II;~~Chil~{r~~;i'."'.' . identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0,00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage availablle through the employee's/obligor's employment. Addendum Form EN-Ol8 Worker ID ~:IATT Service Type M OMS No.: 0970-0154 ~~"",~j~h"ti>l>MJ,~:,,,,~ifli~~:sl>i%,!ritilfblwmi~N;i<i'k*~!"~'d.f"'-"~ . " ''');Ij-'lliltliti!~i ,""""...., ~Dl\'iil;O!;lIl.Lt:,B! ~ ~ IilIIibi!IodUl" ~~~. 'l l'll (') s; ~ -ol! alL):, &IS'~; ~6 ~c ~Q '~ -- See il,n'I"!',;?j.Ji ~ ., 1?: "--. " '. ,\_c' ,L ~ ",' .,,..u (,~.::C) ;::Cn ~) :'::::[ -". :u -< .~., \0 ,~ ,;~,'~~" " . ~ "";"'.0 ~ , "'-ljitj-mliil~i~,'i JANICE E. Mll.LER, Plaintiffi'Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE ROLAND J. Mll.LER, DefendantIRespondent NO. 2000-6130 CIVll. TERM IN DIVORCE Pacses# 072102644 ORDER OF COURT AND NOW, lhis 15th day of August, 2003, a petition has been filed against you, , to modify an existing Alimony Pendente Lite Order. You are ordered to appear in person at lhe Domestic Relations Section, 13 North Hanover Street, Carlisle, Pennsylvania, on September 23. 2003 at 9:00 A.M.. for a conference and to remain until dismissed by lhe Court, If you fail to appear as provided in this Order, an Order of Court may be entered against you. You are further ordered to bring to lhe conference: (I) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) lhe Income and Expense Statement attached to this order, completed as required by the Rule 1910.11. (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring lhe required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Copies mailed 8-15-03 to:< Petitioner Respondent Charles Rector, Esquire Sanford Krevsky, Esquire Date of Order: August 15, 2003 YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTE 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 LlBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 t3bG ('C3~j ~~~"""","-i'Mh-""'f''';:-'';~'-',''"-,'''bi<''''I~i''iJ''-''~~';;lUi,"4'___A0''':<',id",:e.ii,rt\'i!:,f""~,-,,,,;.x~d'-"\,,'-0,,,tr<&11!!!~~~];;~ii.'l!:l ..".....'~IW,lL~~1 t'T 'n,.~ c:t; " - ,-~ ' " " , e ~'l~~"_4'''''-''''''<i~_ <'.'.. ,,"~ ': C) ,..-. I;:) ~ C 0,) -n :~~ :t'P -or~ ~ Sf'C r:.i"J :~I:, ZC- ",[...1"1 0,'"': (. ~" ':c:j "'" I r:::-:- 0 ,<" "'V ' -'I ~;- :2:: '~~ j;c: t.:? i...) [11 -" ::,:::::; _. ' N ~ .< -..J )u .'&~'~___"," '"0'< ~ '.',........~, ~ ~' ~ _.~~.,._I-llw.,. JANICE E. MILLER, Petitioner/Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00-6130 CIVIL TERM PAcSES NO. 072102644 ROLAND J. MILLER, Respondent/Defendant IN DIVORCE PETITION FOR MODIFlCA nON OF ALMINOMY PENDENTE LITE AND NOW, comes the Petitioner, Janice E. Miller, by and throu9h her attorney, Charles Rector, Esquire, and respectfully represents: 1. Petitioner is Plaintiff, Janice E. Miller. 2. Respondent is Defendant, Roland J. Miller. 3. On October 17,2000, your Honorable Court entered an Order against Respondent in the amount of $48.00 per week for alimony oendente lite in favor of Plaintiff. A true and correct copy of the Order is marked Exhibit "A," attached hereto, and made a part hereof, 4. Petitioner is entitled to an increase of this Order because of the following material and substantial change[s) in circumstance[s): a. Petitioner's involuntary decrease in income. b, Respondent's increase in income, WHEREFORE, Petitioner requests that the Court increase the existing order for alimony oendente lite. Date:W RESPECTFULLY SUBMITTED> D1~~'1 Charles Rector, Esquire 1104 Femwood Avenue, Ste. 203 Camp Hill, PA 17011-6912 (717) 761-8101 Attorney for Petitioner ," ~.~~, . =~ -_.'- 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. Qw~7i/;~ . Ice E. Miller Date: <(; ~7 -03 "=' >~~ '""--'~ "r~"" "'....''"''0;''",;"" " ~ ~. '~1'j ~. - DR 30,034 PACSES ill 072102644 JANICE E. MILLER, Plaintiff/Petitioner vs. : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA : DOMESTIC RELATIONS SECTION : CIVIL ACTION - LAW ROLAND J. MILLER, Defendant/Respondent : NO. 00-6130 CNIL TERM ORDER OF COURT AND NOW, this 17th day of October, 2000, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $'1,201.19 per month and Respondent's monthly net income/earning capacity is $2,521.1 7 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $228.00 a month payable weekly as follows; $48.00 per week for alimony pendente lite and $4.62 per week on arrears. First payment due next pay date at $52.62. Arrears set at $416.00 as of October 17, 2000. The effective date of the order is September 7,2000. Failure to make each payment on time and in full will cause all arrears to become subject to immediate collection by all of the means as provided by 23 Pa.C.S.g3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months, Said money to be turned over by the P A SCDU to: Janice E. Miller. Payments must be made by check or money order. All checks and money orders must be made payable to P A SCDU and mailed to: P A SCDU P.O. Box 69110 Harrisburg, PA I 7 I06-9 11 0 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. ""'\fIklI""T """&'M 1i~~~ -fi-_ r. ,.... " ,,~~ " .'-- "!!lI:it"n,~;", Respondent to provide medical insurance coverage. This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo . before the Court. DRO: R. 1. Shadday Mailed copies on /~-;J.I/-tO to: < Petitioner Respondent Charles Rector, Esquire Keirsten Davidson~ Esquire BY THE COURT, ~.//) ~ Edward E. Guido 1. llli~if-~ <..rJa r ''',i~:l*~i;;;:1,i!!,iili:iemkW,,~.i..'i,-~~&IW;t\01';l~in16~oj'',*,'''~.l'..<."'ij'ih,j-!1%'~t@~_."'''~-''''' -~- ""'<<J~_~ "1-'," ". " ,. . ~F,_~' -==-."_,_,,,~_ __n~'_ ' '.(~, ". . '-"'. ~- - .-~--,,- ~Wil* . ~ "ill!" (") C..: ;? -U~ 0:1 f7; ~ 2::1 Z,- ~; r' :;s 2: ~"~? >,. '"..- :~:.:: :2 . <,,~- . .- a <...) :bo c:= 7:) Q, -j T;:;l;! ,~'?tii _-~o --, I ".is? <~2~ olTl "~'-l )> :0 -< -0 :;,:: :..:J <" . ~'--~; . .,'-"" . ~. ,-~ '.s..ii;, .,-- ,.,,- - ". ~ ~"~!!li<.~ JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE ORDER OF COURT AND NOW, this 7"0 day of ~) 2003, the parties and counsel having entered into an agreement and stipulation resolving the economic issues on September 18, 2003, the date set for a conference, the agreement and stipulation having been transcribed, and subsequently signed by the parties and counsel, the appointment of the Master is v8cated and counsel can conclude the proceedings by the filing of a praecipe to transmit the record with the affidavits of consent of the parties so that a final decree in divorce can be entered. BY THE COURT, Ge CC: Charles Rector Attorney for Plaintiff Sanford A. Krevsky Attorney for Defendant .~ ~ 1/-07- 03 Q~ II ".~ , ,..~ ~ '. .'". . q1F:"J'-~l'J';.:t:l(~C . '__, 1 1 j\...;!~ 0_--. ". -ce" ..'. ,.~. '''IT'flv .. l.... ! ;,':~ )-- ,:.): !''';<.h\:,; /\ 1 ,", lI.f"...' - '1 '...)J {I: }"[ Mill; 24 CUM8EHLJ\i.~D lX)UNTY PENNSYLVANIA J D'f<.~ .iI ',.'"~' ,'.'*." ,< ^~ ,.. I"=--~" ~'': ,,-~ .~. ~"..,,-?,.~'i!I\l\llji~I~~~__ .~jn~W'i~""""'J;f.ff"*llIiIl'J!P~fflIrl~liN~ ," I- ~~= . -, .-.--i$~:, ,;..- JANICE E. MILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Vs. NO. 00 - 6130 CIVIL ROLAND J. MILLER, Defendant IN DIVORCE THE MASTER: Today is September 18, 2003. This is the date set for a conference between counsel and the parties. Present in the hearing room are the Plaintiff, Janice E. Miller, and her counsel Charles Rector, and the Defendant, Roland J. Miller, and his counsel Sanford A. Krevsky. This action was commenced by the filing of a complaint in divorce on September 7, 2000. The complaint raised grounds for divorce of irretrievable breakdown of the marriage and the economic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees and costs. The parties have signed affidavits of consent and waivers of notice of intention to request entry of divorce decree so that the divorce can be concluded under Section 3301(c) of the Domestic Relations Code. The affidavits and waivers will be filed with the Prothonotary by the Master's office. After negotiations today, which have continued from prior conferences between the parties, the Master has been advised that an agreement has been reached 1 - ,-~" -2__ - rnii<, ,. .I' with respect to the outstanding economic issues. An agreement is going to be placed on record in the presence of the parties. The agreement as placed on the record will be considered the substantive agreement of the parties not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. The agreement will be sent around to counsel and the parties for review to make correction of typographical errors and then affix their signatures affirming the terms of settlement as stated on the record. It is understood that the agreement as stated on the record will be considered the agreement of the parties when they leave the hearing room today and will not be subject to any substantive changes or modifications and will be binding upon the parties even though they do not subsequently sign the agreement affirming the terms of settlement. Upon receipt by the Master of a completed agreement, the Master will prepare an order vacating his appointment. The agreement will be sent to counsel, as indicated, to review for typographical errors and then counsel will be responsible for obtaining the parties' signatures and returning the document to the Master so that the Master can then proceed to vacate his appointment and allow the parties to file a praecipe transmitting the record to Court requesting a final decree in divorce. Mr. Rector. 2 - J'~- .~ ''-,.>.', -" ~rrlti0, , , MR. RECTOR: 1. The parties agree that wife shall receive as her separate assets the following: Her 401(k) plan with J.C. penneys; All escrow proceeds currently held for the benefit of the parties at Commerce Bank; Her joint 1st Union account; Her Harris Bank savings account; Her Harris Bank checking account; The proceeds received following the sale of the van. Husband waives any and all interest he may in the assets awarded to wife. 2. Husband shall receive as his separate assets the following: His Teamsters retirement plan, except that portion to be segregated for a QDRO for the benefits of wife which will be outlined below; His American Express account; Any monies currently held by him in the New Cumberland Federal Credit Union. Wife waives any and all interest she may in the assets awarded to husband except for the Teamsters retirement plan which shall be distributed as follows: The parties agree that wife shall receive as her portion of said Teamsters plan the sum of $58,091.00 and any and all appreciation which may accrue on the account in proportion to the amount to be received by wife. A QDRO shall be prepared by Harry Leister, FSA, to facilitate this distribution. Husband shall at his cost supplement any additional fee required by Harry Leister for the completion of this QDRO and counsel for the parties shall exchange the QDRO and communicate that to the funds administrator without delay. The parties acknowledge that Plaintiff, Janice E. Miller, has utilized the service of Harry Leister previously for the preparation of a draft QDRO and has satisfied that 3 ~ " , . ~" -li;j;" bill. To the extent that any additional costs are incurred by Mr. Leister, husband agrees to pay any additional costs that may be due and owing to Mr. Leister. By way of clarification, most of the QDRO which has already been drafted will be complemented by the new amounts negotiated by the parties. We anticipate that any additional costs will be nominal. MR. KREVSKY: Should the full payment be able to be effected through another vehicle other than a QDRO such as a rollover to an IRA then the parties authorize the most expeditious, efficient way to approach that. MR. RECTOR: 3. Wife waives her entitlement to alimony as part of this settlement now and in the future. The parties acknowledge that there is a current order of alimony pendente lite docketed at 6130 Civil Term of the Domestic Relations Office. Wife's receipt of alimony pendente lite shall cease as a matter of law upon the date of the issuance of the decree in divorce in this case. 4. Wife likewise waives her counsel fee claim. 5. Except as herein otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinquishes any and all rights he or she may now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as administrator or executor in the other's estate. Each will at the request of the other execute, acknowledge, and deliver any and all instruments which may be necessary or advisable to carry into effect this mutual waiver and relinquishment of all such interest, rights, and claims. MR. RECTOR: Mrs. Miller, you've heard me recite the negotiated agreement on the record, do you have any questions about what you've heard? 4 . 'w_. ~ ~ J MRS. MILLER: No. MR. RECTOR: Are you in agreement with it? MRS. MILLER: Yes. MR. RECTOR: You understand as the Master pointed out to you that having heard that agreement on the record today, even if the transcript is not signed we have a binding contract as we sit her today, do you understand that? MRS. MILLER: Yes. MR. RECTOR: Are you satisfied with my representation in this case? MRS. MILLER: Yes. (A discussion was held off the record.) MR. KREVSKY: Mr. Miller, you've heard the summary of the terms of the marital settlement agreement from Mr. Rector, did you understand everything he said? MR. MILLER: Yes, MR. KREVSKY: Did you also understand the comments that were made by the Master and myself concerning the agreement? MR. MILLER: Yes. MR. KREVSKY: Do you understand also that the terms of the agreement as outlined this morning will be binding on you and Janice even if it's not signed right now? MR. MILLER: Yes. 5 " . ~. ~~~~ " MR. KREVSKY: And that subsequently if it is signed by counsel, that would also bind you? MR. MILLER: Yes. MR. KREVSKY: Again, as Mr. Rector has indicated, have you and I had ample opportunity to review what you believe are the assets and debts of your estate? MR. MILLER: Yes. MR. KREVSKY: Do you believe -- are you satisfied that your wife either to you or through her attorney has made full disclosure to you of the assets and liabilities of the estate? MR. MILLER: Yes. MR. KREVSKY: And would you agree not to -- if there was something that was missing, do you agree to be bound by the terms of the agreement nonetheless? MR. MILLER: Yes. MR. KREVSKY: And regarding your satisfaction or dissatisfaction with my services, are you satisfied with my services? MR. MILLER: Yes. I acknowledge that I have read the above stipulation and agreement, that I understand the terms of settlement as set forth herein, and that by signing below I ratify and affirm the agreement previously made and intend to bind myself to the settlement as a contract obligating myself to the terms of settlement and subjecting myself to 6 ~~ ", ,J:'''= , " il\!;: . the methods and procedures of enforcement which may be imposed by law and in particular Section 3105 of the Domestic Relations Code. WITNESS: DATE: ___,....-D'- -.- ----_...---- --'-.-.---- ,,~'~--'---" ector or Plaintiff 'lIJJ:703 S~.~'k~~ Attorney for Defe~ /0/ e,/n3 / / 7 --:;:;-----~~- - I' , -'-, """,,' .",' --.......ib.i~". .~. , . , NOV 0 6 Z003 if <- Janice E. Miller VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL V ANL~ DIVORCE CML ACTION . LAW Roland J. Miller NO. 00-6130 CENTRAL PENNSYLVANIA TEAMSTERS RETIREMENT INCOME PLAN 2000 QUALIFIED DOMESTIC RELATIONS ORDER I. Identifying Information 1. The Participant is Roland J. Miller. The Participant's Social Security number is 181-42-7553. The Participant's address is P.O. Box 3146, Shiremanstown, PA 17011. 2. The Alternate Payee is Janice E. Miller. The Alternate Payee's Social Security number is 200-36-8051. The Alternate Payee's address is 1071-15 Lancaster Blvd., Mechanicsburg, PA 17055. The Alternate Payee's date of birth is July 29, 1954. 3. The parties were married on September 30, 1978, and separated on July 19, 2000. 4. The parties have raised claims of equitable distribution of marital property pursuant to the Pennsylvania Divorce Code. II. Method of Dividing Participant's Benefits 1. The Central Pennsylvania Teamsters Retirement Income Plan 2000 shall pay to the Alternate Payee a portion of the Participant's vested accrued benefit under the Plan. The Alternate Payee shall receive $58,091. 2. The Fund shall separately account for the benefits awarded in Paragraph 1 of this Section II as soon as administrable after this Order is determined to be a QDRO. The Alternate Payee shall be credited with net income, loss or expense from the date this Order is determined to be a QDRO. 3. The Alternate Payee may elect to receive payment from the Plan in any form in which benefits may be paid under the Plan to the Participant (other than in the form of a joint and survivor annuity). 4. The Alternate Payee may select a beneficiary to receive her benefits in the event the Alternate Payee should die prior to receiving all of her benefits by filing a beneficiary designation form with the Fund Office. In the event the Alternate Payee should die prior to receiving benefits, the Plan shall pay benefits to a beneficiary selected by the Alternate Payee on a beneficiary form provided by the Fund Office on request, or if no beneficiary is selected, to the Alternate Payee's estate. - i&-~~'--" "" - ,<,',-' ". .---~ ~L,-:~ '~~J.i~, - '" . QDRO Page 2 5. The Alternate Payee may elect to receive payment from the Plan at the Participant's earliest retirement age or, if earlier, at the earliest date permitted under the Plan. For purposes ofthis paragraph, the Participant's earliest retirement age means the earlier of (i) the date on which the Participant is entitled to a distribution under the Plan, or (ii) the later of (a) the date the Participant attains age 50 or (b) the earliest date on which the Participant could begin receiving benefits under the Plan if the Participant separated from service. III. Other Provisions 1. This Order is intended to constitute a qualified domestic relations order within the meaning of Section 414(p) of the Internal Revenue Code of 1986, as amended and Section 206(d) of the Employee Retirement Income Security Act of 1974, as amended, and shall be interpreted in a manner consistent with such intention. 2. The Court shall retain jurisdiction to amend this Order to the extent necessary to establish or maintain its status as a qualified domestic relations order. 3. It is recognized that the Alternate Payee may elect to connence receiving benefits before the Participant retires. Ifthe Alternate Payee so requests, the Participant will cooperate with the Alternate Payee in substantiating a claim or application to the Fund and shall provide any documentation or information reasonably necessary to establish their eligibility for benefits. EXECUTED this /o~ day of rJ ~ ,200.3. Judge CONSENT TO ORDER: PLAINTIFF/ALTERNATE PAYEE Qk/~Iv-- . ature DEFENDANT/PARTICIPANT ~1U1 Date ~6? ,,\ l' ~ /0/ G /03 Date I I r ~ J J-- u :J .;1' -' ~ ~ .~" -<--, --."- " ,;-","~- "'M-- ". .. ""-""', _""",_,,_, < '- ',-I., ~ '''_''0 .~_, OF F;LED-Ol':flCE ,. ....j W rY.-f'~~tl-\r""J,!()TI\RY 1 t..,o ',~ ~ ' ",' I \ ,',r ..- ,^' 03 NO'J i 0 ....\!', 1'\, SA If. .j. ~. -..; . 'n''',' .. ...., ,.,n: 'N'IN CUl\bthi..,-j',U.'"j,..vi II , PENNSYLVilJ'lIA ,~~~~~I~fj\'~~~~o _""]~"..':'~,?" ,'~ ~ r .. QDRO Page 3 -- " ATTORNEY FOR PLAINTIFF/ ALTERNATE PAYEE / ~-f:f )2~ doltloJ , , Date " ,. " - li\'iilliJ>; "~- - ATTORNEY FOR DEFENDANT/ PARTICIPANT /~o 10.~. 03 Date ,'~ - - =I~ "'," ,,'r_' "",,o""^ , ~ -';~, t - ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 11/17/03 Tribunal/Case Number (See Addendum for case summary) RE: MILLER, ROLAND J. Employee/Obligor's Name (Last, First, M!) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice EmployerMlithholder's Federal EIN Number EXEL LOGISTICS 570 POLARIS PKWY DEPT 110 WESTERVILLE OH 43082-8029 bt;, c2tXJo -(PI,3./) [71i/IL PI9('C;'ic" 01:)./0d-& Vcr 181-42-7553 Employee/Obligor's Social Security Number 9207100587 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'sfobligor's income until further notice even if the Order/Notice is not issued by your State. $ 650.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes (S) no $ 0.00 per month in medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 650.00 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: $ 150.00 per weekly pay period. $ 300.00 per biweekly pay period (every two weeks). $ 325.00 per semimonthly pay period (twice a month). $ 650.00 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 SS% of the employee'sf obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. ~., '....... . '. ." . It: THE COURT: J~QV ). ~ NUl/I- I ,tJ?; . E/Xuf./et) t 2Jl) j)t,e Form EN-028 Worker ID $IAT'r Date of Order: Service Type M QMBNo.:097Q-0154 ,L~ ~ 'c "~l!U~! , - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o I(checkefd youhare required. to prpville a ,opy of this form to your employee. If your employee works In a state that Is dIfferent rom testate that Issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect piease contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately Identify the portion olthe single payment that Is attributable to each employee/obligor. 4.* Repoltil,g 1I1e rayaAle/Date of'Nitl.ld>ldillg. You InlHllepal1 tile paydatelclatl of yvitl,lloldil,g yvLel, sehclillg tLe paylllellt. TLe paydatddAle vf ywitl,l,oldh,g is tile datt 011 yvl,;(L allloullt yvA30 yvitl,l,eld flail I tile elllployi:e's m3,gG&. You must comply with the law of the state olthe employee's!obligor's principal place of employment with respect to the time periods within which you must Implement the withholding order and forward the support payments. 5.' Employee/Obligor with Multiple Support Holdings: 11th ere 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 folllow the law of the state of employee's/obligor's principal place of empioyment. You must honor all Orders/Notices to the greatest extent possible. (See #1 0 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency Identified below. WITHHOLDER'S 10: 0428011600 EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: MILLER, ROLAND J. 9207100587 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority beiow. 8. Liability: if you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs uni,,,s the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to empioy, 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 iaw of the State in which he or she Is employed governs. 10.' Withholdi~g Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Info: 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted Ily: 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 Form EN-028 Worker ID $Il\TT Service Type M OMB No.: 0970-0154 . -. ~-- '~"~,o~~'" ADDENDUM Summary of Cases on Attachment Defendant/Obligor: MILLER, ROLAND J. PACSES Case Number 072102644 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00-6130 CIVIL $ 208.00 Child(ren)'s Name(s): DOB BI~.~~~~~:d~;~~~;:;~~~i;~~;~~~;~II;~;~~il~~~~;i.."." .,.'" " identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's!obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's!obligor's employment. PACSES Case Number 769102486 Plaintiff Name JANICE E. MILLER Docket Attachment Amount 00646 S 2000 $ 442.00 Child(ren)'s Name(s): (:A,RLY J. MIJ:.J:.llR. , DOB " ,...9}/9V8.? '.b;;~~~~k~~,;~~;r:;~~~.i;~;~ ;~;~II;~~~~ ;;~;;:~) '.'... ..,.. " identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's!obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB D If checked, you are required to enroll the child(ren) identified above ilil any health insurance coverage available through the employee's!obligor's employment. Service Type M OMB No.: 0970-0154 Addendum Form EN-Ol8 Worker ID l;IATT ~iII!ili!il.li&J'lt,..~<t;.'l'.iiiMh~i!1,",k~!li';';.h~_l!lllidffi1Hi",'bj>l<;,,~%;!rltk41bl..'dd"'1(l>M"'M~*~'1iW.a\('it-A!!M'i:JilI'ifjji~"~~!iilmillt";!~!llIi1J.lM9f.Hl'l. 'lh..lll J.d .:~c c.: ~," , ~- ,. ^'~ ,'~. ~, " "W" >0," ~ --~'" (', n.;,::;! , I . (") '..-' C ? ;~ ,~ -ol.X' ,-'.'.) !J)[~ ~--,,>' , , Z C . (7).,"', (0", ,~ {.h, -<...-:' ~L. -':} - -....;."" ::u: .. z.(j - o!(") --() '-:t ;:"':::;:11'1 - ..~ )>c: ~--::.II Z r:- '"'> :2 :0 '0 -< IT' AS OF D/- '-5 -J-tJo7 CASE# f).60D - ~ /30 HAS BEEN SCANNED. ALL EARLIER FILINGS TO THIS CASE HA VE BEEN MICROFILMED. "I JANICE E. MILLER, Plaintiff/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE ROALND J. MILLER, DefendantJPetitioner NO. 00-6130 CIVIL TERM IN DIVORCE PACSES # 072102644 ORDER OF COURT AND NOW to wit, this 25th day of January 2007, it is hereby Ordered that, pursuant to the parties Final Decree of Divorce, the Order for Alimony Pendente Lite is suspended, effective November 18,2003. There is no balance due the Petitioner. BY THE COURT: ~ Edward E. Guido, 1. DRO: R.i. Shadday xc: Petitioner Respondent Marylou Matas, Esq. .Marlin L. Markley, Esq. Service Type: M Fonn OE-OOl Worker: 21005 ,,~ PY$511 , . Cumberlan? ~ounty Prothonotary's Office Clvll Case Prlnt Page 1 2000-06130 MILLER JANICE E (vs) MILLER ROLAND J Reference No. . : Case Type. ....: COMPLAINT - DIVORCE Judgment......: .00 Judge Assigned: GUIDO EDWARD E Disposed Desc.: GRANTED ------------ Case Comments ------------- Filed........: Time......... : Execution Date Jury Trial. . . . Disposed Date. Higher Crt 1.: Higher Crt 2.: 9/07/2000 2:34 0/00/0000 11/18/2003 ******************************************************************************** General Index Attorney Info MILLER JANICE E 1071-15 LANCASTER BLVD MECHANICSBURG PA 17055 MILLER ROLAND J 925 SHETTERS LANE CAMP HILL PA 17011 PLAINTIFF RECTOR CHARLES DEFENDANT KREVS KY SANFORD ******************************************************************************** * Date Entries * ******************************************************************************** 9/07/2000 9/26/2000 10/26/2000 10/26/2000 5/13/2002 8/22/2002 8/22/2002 11/14/2002 11/14/2002 11/21/2002 11/21/2002 2/03/2003 3/31/2003 4/25/2003 5/06/2003 - - - - - - - - - - - - - FIRST ENTRY - - - - - - - - - - - - COMPLAINT - DIVORCE - 3 ADDL COUNTS - EQUITABLE DISTRIBUTION - ALIMONY - ALIMONY PENDENTE LITE - COUNSEL FEES EXPENSES & COSTS OF SUIT ------------------------------------------------------------------- ORDER OF COURT - DATED 9/25/00 - IN RE PETITION FOR ALIMONY PENDENTE LITE - HEARING BEFORE R J SHADDAY ON 10/17/00 AT 9:00 AM AT 13 N HANOVER STREET CARLISLE PA HEARING BEFORE GEORGE E HOFFER PJ COPIES MAILED 9/25/00 ------------------------------------------------------------------- ORDER - DATED 10/18/00 - IN RE NOTICE TO WITHHOLD INCOME FOR SUPPORT - BY THE COURT EDWARD E GUIDO J COPIES MAILED 10/24/00 ------------------------------------------------------------------- ORDER OF COURT - DATED 10/17/00 - IN RE COURT'S DETERMINATION THAT PETITIONER'S MONTHLY NET INCOME/EARNING - ORDER SHALL BECOME FINAL TEN DAYS AFTER MAILING - BY THE COURT EDWARD E GUIDO J - COPIES MAILED 10/24/00 BY DRO ------------------------------------------------------------------- PRAECIPE FOR WITHDRAWAL OF APPEARANCE FOR DEFT BY KEIRSTEN W DAVIDSON ESQ AND ENTRY OF APPEARANCE FOR DEFT BY SANFORD A KREVSKY ESQ ------------------------------------------------------------------- MOTION FOR APPOINTMENT OF MASTER BY CHARLES RECTOR ATTY FOR PLFF ------------------------------------------------------------------- ORDER APPOINTING MASTER DATED 8-22-02 - E ROBERT ELICKER IS APPOINTED MASTER WITH RESPECT TO ALL CLAIMS - GEORGE E HOFFER PJ - COPIES MAILED AND ORIG PLACED IN FILE 08-23-02 ------------------------------------------------------------------- INCOME AND EXPENSE STATEMENT OF ROLAND J MILLER ------------------------------------------------------------------- INVENTORY UNDER RULE 1920.33 - BY ROLAND J MILLER DEFT ------------------------------------------------------------------- INCOME AND EXPENSE STATEMENT OF PLFF JANICE E MILLER - BY CHARLES RECTOR ESQ ------------------------------------------------------------------- PLAINTIFF'S PRE-TRIAL STATEMENT - BY CHARLES RECTOR ESQ FOR PLFF ------------------------------------------------------------------- PRETRIAL STATEMENT OF DEFT - BY SANFORD KREVSKY ESQ ------------------------------------------------------------------- PETITION FOR MODIFICATION OF ALIMONY PENDENTE LITE - BY SANFORD A KREVSKY ESQ FOR DEFT ------------------------------------------------------------------- ORDER OF COURT - DATED 4/25/03 - IN RE PETITION FOR ALIMONY PENDENTE LITE OR COUNSEL FEES - IT IS HEREBY DIRECTED THAT THE PARTIES APPEAR BEFORE R J SHADDAY ON 5/22/03 AT 9:00 AM FOR A CONFERENCE AT 13 N HANOVER STREET CARLISLE PA - BY THE COURT GEORGE E HOFFER PJ COPIES MAILED BY DRO 4/24/03 ------------------------------------------------------------------- ORDER - DATED 5/6/03 - IN RE NOTIC ETO WITHHOLD INCOME FOR SUPPORT - BY THE COURT EDWARD E GUIDO J COPIES MAILED BY DRO ------------------------------------------------------------------- , t PY$511 ," Cumberlanq ~ounty Prothonotary's Office Clvll Case Prlnt Page 2 2000-06130 MILLER JANICE E (vs) MILLER ROLAND J Reference No. . : Case Type.....: COMPLAINT - DIVORCE Judgment......: .00 Judge Assigned: GUIDO EDWARD E Disposed Desc.: GRANTED ------------ Case Comments ------------- 9/07/2000 2:34 0/00/0000 11/18/2003 5/20/2003 5/22/2003 8/11/2003 8/11/2003 8/11/2003 9/18/2003 9/18/2003 9/18/2003 9/18/2003 10/09/2003 11/07/2003 11/10/2003 11/14/2003 11/14/2003 11/18/2003 11/18/2003 Filed. . . . . . . . : Time......... : Execution Date Jury Trial. . . . Disposed Date. Higher Crt 1.: Higher Crt 2.: ORDER - DATED 5/20/03 - IN RE NOTICE TO WITHHOLD INCOME FOR SUPPORT - BY THE COURT EDWARD E GUIDO J COPIES MAILED ------------------------------------------------------------------- ORDER - DATED 5/22/03 - IT IS HEREBY ORDERED THAT THE PETITION TO MODIFY FILED ON 4/24/03 IN THE ABOVE CAPTIONED MATTER IS DISMISSED WITHOUT PREJUDICE DUE TO THE PETITIONER WITHDRAWING HIS REQUEST FOR MODIFICATION OF THE ALIMONY PENDENTE LITE ORDER - BY EDWARD E GUIDO J - COPIES MAILED 5/22/03 BY DRO ------------------------------------------------------------------- PETITION FOR MODIFICATION OF ALIMONY PENDENTE LITE - BY CHARLES RECTOR ESQ FOR PETITIONER ------------------------------------------------------------------- ORDER - DATED 8/8/03 - IN RE NOTICE TO WITHHOLD INCOME FOR SUPPORT - BY THE COURT EDWARD E GUIDO J COPIES MAILED ------------------------------------------------------------------- ORDER OF COURT - DATED 8/15/03 - IN RE PETITION FOR MODIFICATION OF ALIMONY PENDENTE LITE - BY R J SHADDAY CONFERENCE OFFICER - COPIES MAILED 8/15/03 DRO ------------------------------------------------------------------- AFFIDAVIT OF CONSENT - DEFENDANT WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIV DECREE-DEFT ------------------------------------------------------------------- AFFIDAVIT OF CONSENT - PLAINTIFF ------------------------------------------------------------------- WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIV DECREE-PLFF ------------------------------------------------------------------- ORDER - DATED 10/6/03 - IN RE NOTICE TO WITHHOLD INCOME FOR SUPPORT - BY THE COURT EDWARD E GUIDO J COPIES MAILED ------------------------------------------------------------------- ORDER OF COURT 11/07/03 APPOINTMENT OF MASTER IS VACATED AND COUNSEL CAN CONCLUDE THE PROCEEDINGS BY FILING OF PRAECIPE TO TRANSMIT AND AFFIDAVITS OF CONSENT OF THE PARTIES - FINAL DECREE IN DIVORCE CAN BE ENTERED GEORGE E HOFFER P J COPIES MAILED 11/07/03 ------------------------------------------------------------------- CENTRAL PENNA TEAMSTERS RETIREMENT INCOME PLAN 2000 QUALIFIED DOMESTIC RELATIONS ORDER - DATED 11/10/03 - BY THE COURT EDWARD E GUIDO J COPIES MAILED 11/12/03 ------------------------------------------------------------------- PROOF OF SERVICE OF DIVORCE COMPLAINT ------------------------------------------------------------------- PRAECIPE TO TRANSMIT RECORD ------------------------------------------------------------------- DIVORCE DECREE ENTERED BY EDWARD E GUIDO J NOTICE MAILED ------------------------------------------------------------------- ORDER - DATED 11/18/03 - IN RE NOTICE TO WITHHOLD INCOME FOR SUPPORT - DATED 11/18/03 - BY THE COURT EDWARD E GUIDO J COPIES MAILED - - - - - - - - - - - - - - LAST ENTRY - - - - - - - - - - - - ******************************************************************************** * Escrow Information * * Fees & Debits Beo Bal Pvmts/Adi End Bal * *****************************************~******~******************************* DIVORCE 35.00 35.00 .00 TAX ON CMPLT .50 .50 .00 SETTLEMENT 5.00 5.00 .00 MASTER'S FEE 125.00 125.00 .00 DIV PA SURCHG 10.00 10.00 .00 JCP FEE 5.00 5.00 .00 ADD'L COUNTS 10.00 10.00 .00 JCP FEE 5.00 5.00 .00 ADD'L COUNTS 10.00 10.00 .00 JCP FEE 5.00 5.00 .00 ADD'L COUNTS 10.00 10.00 .00 . . PYS511 , l Cumberlan? ~ounty Prothonotary's Office Clvll Case Prlnt Page 3 2000-06130 MILLER JANICE E (vs) MILLER ROLAND J Reference No.. : Case Type... . .: COMPLAINT - DIVORCE Judgment......: .00 Judge Assigned: GUIDO EDWARD E Disposed Desc.: GRANTED ------------ Case Comments ------------- JCP FEE 5.00 5.00 Filed. . . . . . . . : Time......... : Execution Date Jury Trial. . . . Disposed Date. Higher Crt 1.: Higher Crt 2.: .00 ------------ .00 9/07/2000 2:34 0/00/0000 11/18/2003 225.50 225.50 ******************************************************************************** * End of Case Information * ******************************************************************************** TRUE COPY FROM RECORD In Testimony whereof, I h(;re unt? set my hIIId and the seal of said Court at Carhsle, PI. _ This ...~5...........day Zf... ~........., ~ ~ _' .l!4a..~ r-. ....................1 .... ......~1 i Prothor . .,..~ . ..:~ '" r.:.~;:) c"';;;' --.J o ~T1 =e"TJ n,p: ~?~ C-. :IN ~ N en -0 ...-.,.~ ~ )i-~ ,,,,,/Ii ~ ; ~~ :i"J -< (..w en ,- ...