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HomeMy WebLinkAbout01-06446 ~, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~, '" "~~ . . . '" 'I. L" ,'0:; "~ .t ""; -",.' ==,.'- ;.i '" ,'''''' ;~'. _' - '^ "'- .. ,", .. . . . IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY STATE OF SHERRY L. HAIR VERSUS RICKY L. HAIR AND NOW, PENNA. No. 6446 2001 DECREE IN DIVORCE ~ J-e..M.. 4" , "Z-<:>6'3, IT IS ORDERED AND DECREED THAT SHERRY L. HAIR , PLAINTIFF, AND RICKY L. HAIR , DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAiMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; . NONE By THE COURT: d o~ ROTHONOTARY . . . J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sf; ;,u ""-'~," " ,~ ""~. " '~_"". '_'~"_ ~~,." h '~"~""., "". '"' ,." - ""., '-' ;'_" . . 1~'J CJ3 I ft(. ~3 ;. 1f'.(J:J - , ,,,,.,,,~~:,,,,:~ .,....~.,' ,--~,"" ,~. ".'<" ~,.,.,. u; " Od~~-h4~ ~ ~~ ~ dtfT. ~.~I . ~'r-' ~!<f~m~~~*,~lf~~~~ 'f8>';[",%)t!f'1"~'''i,'",\!{1f"-'Jl'ilI'fm:~,I~~ ," ,~-',' ~~!~~~W ~,. ..........". . '-" ~ ~I L" ; " L .", 0" .i. ~- ~'W':;_,;: SHERRY L. HAIR, ; IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff, v. : NO: 2001-6446 : CIVIL ACTION - LAW RICKY L. HAIR, : IN DIVORCE Defendant. PRAECIPE TO TRANSMIT THE RECORD TO THE PROTIIONOTARY: TRANSMIT the record, together with the following information, to the Court for entry of a Divorce Decree: 1. Ground for divorce: irretrievable breakdown under Section 3301(c) , 3301(d) of the Divorce Code. (Strike out inapplicable section.) 2. Date and manner of service of the Complaint: November 20, 200 I, by certified mail, restricted delivery, return receipt requested. 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 Plaintiff: 08/12/03 By Defendant: 07/18/03 (b) (1) Date of Execution of the Plaintiff's Affidavit required Section 3301(d) of the Divorce Code: (2) Date of service of the Plaintiff's Affidavit unto the Defendant: 4. Related claims pending: None 5. Indicate date and manner of service of the Notice of Intention to File Praecipe to Transmit the Record, and attach a copy of said Notice Section 3301( d) (I )(i) of the Divorce Code: agner, Esq. Attorney for Plaintiff l( -':F;:'f'I~!~~~*~~~~..&j;,~~~'@;.L~U "iliiH.'jtl! ~U n"l:Mi!i -~\ c~ Q" ~ -~.'(~~j '._),(',) -~ -,.C' ,;_'-f'l '~~?, ?]i o ~ ~- -003 rnrn z:r wS~. -< . r:: C"f:7" <: ' );> .' zt~,-, __Co ye'. ~ =2 o W ::0- C::: :v 1-':> CO o .., .--1 . , ~ 7~:i:D .~~ c.Srn ~ :0 '< -0 :=t. c....-q (";> 135. tfi?~ .. ",.L _ ,'r<^",".~~" .0'<1'" "W_"~",~ ~,,"''V'' "'" ~.~ >~ ,,'~ .'. , .." ~. "" " . "~'. H" ,,,-,~ .' 1""'-'-',"".",,- ~~ ....,l..... L, : , I ,"",,' ,~,;, " . SHERRY L. HAIR, Plaintiff THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 01 - 6446 CIVIL RICKY L. HAIR, Defendant IN DIVORCE ORDER OF COURT AND NOW, this /2)f1v day of !Lv %,u,r , 2003, the economic claims raised in the proceedings having been resolved in accordance with a marriage settlement agreement dated July 18, 2003, the appointment of the Master is vacated and counsel can file a praecipe transmitting the record to the Court requesting a final decree in divorce. BY THE COURT, cc: P. Richard Wagner Attorney for Plaintiff Douglas G. Miller Attorney for Defendant . ~ f_;;l.7-03 ~ ~ C,if' -~' '" ~ " '" ,<, "-dl." , , ,~~,~~'" ~~~ '~>.'-', ""~ ' "-~""', "d' ~'.!-.' "<'r'..~-",,~ '. ".-", """0'",'",'" ,',_',-",.', "'"' ,"""~,;.):,,,,,,,~,'.,--K""': (, ,,,,,,,,,,,..~, ~" -~ ."-~" . ~~ OF F"I ",r> {~""'I~C: ~! ,-t.r' , l~""!', ',,>.-, vii v,_ 'j't ,,.. ....,., "I JT' O'Y ,. ," ;,:-. ;1"',1 1\:, d i 1 I'" ":',,, "J , ,,-j] , G3AtJG27 ,\i4 II: ',' i t"., ;. CUMGEH~P{JU COUNTy PENNSYLVANIA ..'... .';,,/,"_"_. '" _ =,~~~ _1 '~',>1""'" t-!lliH~K~I)'~i>^'""~~'''!~'~'N"''I"'''''>"'*'''"'M':''',,'/':;;e''k,,~~,-~1\~t~tt1iinl!-~ij~fij~~~'5*:: ~" I. .I 'l:iJllill'...0- ' ;" ,'",.;;.'.', . < .~;:: JUN-2~-Z003 05:09PM FROM-IRWIN, MCKNIGHT & HUGHES lAW OFFICES +7172496354 T-02! P004/0!5 F-3B7 '"1UJ. 0/- (" If'le.. MARRIAGE SETTLEMENT AGREEMENT TIDS AGREEMENT made this I~fh day of SHERRY L. HAIR, (hereinafter referred to as "WlF 2003, by and between and RICKY L. HAIR, (hereinafter referred to as "HUSBA...~D"). WITNESSETH: 'WHEREAS, HUSBAND and ~ were lawfully married on June 28, 1997, in New Kingston, Cumberland County, Pennsylvania, and separated on or about June 25,2001; and WHEREAS, diverse, unhappy differences, disputes and difficulties have arisen between the parties and it is the intention of HUSBAND and WIFE to liveseparare and apart for the rest of their natural lives, and the panies hereto are desirous of settling fully and finally their respective financial and property rig.':Its and obligations as b.etween each other. inc:1uding, but not limited to the settling of all matters between them relating to the ownership and equitable distribution of real and ,personal property, the settling of all claims and possible claims by one against the other or against their respective estares, and the equitable distribution of property and alimony for each party. The parties hereto agree and covenant as follows: 1. The parties intend to maintain separate and pennanent domiciles and to live apart from each other. It is the inrent and purpose of this Agreement to set forth rhe respective rights and duties of the parties while they continue to live apart from each other. ",,,,- "....- ,""",..b~, ,J ,I~~ " J.... . . . " ,. '.c ''':;-"~c^,c'jj!rjt&!Li;c JUN-~4-Z003 05:10PM FROM-IRWIN, MCKNIGHT & HUGHES LAW OFFICES +7172496354 HZI P,005/015 Hal 2. The parties have attempted to divide their matrimonial property in a manner which confonns to a just and right standard, with due regard to the rights of each party. It is the intent of the pa.rtJes that such division shall be final and shall forever determine their respective rights. The division of existing marital property is not intended by the parties to constitute in any way a sale or exchange of assets. 3. Further, the parties agree to continue living separately and apart from the other at any place or places that he or she may select as they have heretofore been doing. Neither. party shall molest, harass, annoy, injure, threaten or interfere with the other party in any matter whatsoever. Each party may carry on and engage in any employment, profe~sion, business or other activity as he or she may deem advisable for his or her sole use and benefit. Neither party shall interfere with the uses, ownership, enjoyment or disposition of any property now owned and not specified herein or property hereafter acquired by the other. 4. The consideration for this contract and agreement is the mutual benefit to be obtained by both of the parties hereto and the covenants and agreements of each of the parties to the other. The adequacy of the consideration for all agreements herein contained is stipulated, confessed, and admitted by the parties, and the parties intend to be legal)y bound hereby. Each party to the Agreement acknowledges' and declares that he or she, respectively: 2 " , " " I : ,,' - ',~ ~ I .. - JUN,'24-2003 05:10PM FROM-IRWIN, MCKNIGHT & HUGHES LAW OFFICES +7172496354 T-021 P.OOS/OI5 F-16. (1) Is represented by counsel of his or her owu choosing, or if not represented by counsel, understands that he or she has the right to counsel: WIFE is represented by P. Richard Wagner, Esquire, of Man eke, Wagner, Tully & Spreha; HUSBAND is represented by Douglas O. Miller, Esquire of Irwin, McKnight & Hughes; (2) Is fl.l!!y and completely informed of the facts relating to the subject matter of this Agreement and of the rights and liabilities of the parties; (3) Is entering into tbis Agreement voluntarily after receiving the advice of counselor after choosing not to consult an attorney; (4) Has given careful and mature thought to the making ofIhis Agreement; (5) Has carefully read each provision of this Agreement; and (6) Fully and completely understands each provision of this Agreement, both as to the subject matter and legal effect of each provision. This Agreement shall become effective immediately as of the date of execution. 5. It is the pu:rpose and intent of this Agreement to settle forever and completely the interest and obligations of the parties in all property that they own separately, and all property that would qualify as marital property under the Pennsylvania Divorce Code, Title 23, Section 401 (e), and that is referred to in this Agreement as "Marital Property", as between themselves, their heirs and assigns_ The parties have attempted to divide their Marital Property in a manner that conforms to a just and fair standard, with due regard to the rights of each party. The division of existing Marital Property is not intended by the parties to constitute in any way a sale or exchange of assets, and the division is being effected without the introduction of outside funds or other property not constituting a part of the marital estate. 3 ...' - ......~ I '. '---' ~. "" L _ I I'" " " '" ." ~-- ,; ~"_. '"~, ~" JUIl-14-IUUI 05:10PM FROM-IRWIN, MCKNiGHT & HUGHES LAW OFFICES t717Z495354 T-OZl P007/0IS HB7 It is the fi..lrther purpose of this Agreement to settle forever and completely any obligation under the Pennsylvania Divorce Code relating to spousal support or alimony. 6. Each party represents and warrants that he or she has made a fuli and fair disclosure to the other of all of his or her property interests of any nature, including any mortgage, pledge, lien, charge, security interest, encumbrance, or restriction to which any property is subject. Each party further represents that he or she has made a full and fair disclosure of all debts and obligations of any nature for which he or she is currently liable or may become liable. Each further represents and warrants that he or she has not made any gifts or transfers for inadequate consideration of Marital Property without the prior consent of the other. 'Each Party acknowledges that, to the extent desired, he or she has had access to all joint and separate State and Federal Tax Returns filed by or on behalf of either or both Parties during man:iage. 7. REAL ESTATE: WIFE agrees to waive all right, title and interest which she may have in the marital property located at 1343 West Trindle Road, Carlisle, Cumberland County, Pennsylvania, 17013 and any improvements thereon to HUSBAND and releases all claims which she may have regarding said real estate in accordance with rhis paragraph. HUSBAND agrees to pay any outstanding payments on any mortgages on said property, as well as all real estate taxes, insurance, and any maintenance and repair costs, and hold WIFE harmless from any 0 bligations on said payments and indemnify her if any claim is made against her. 4 lJ. ''""' ~~ J ,,,,:0 ' 0' "'-.,.....,",~, JUN-14-100, 05:11PM PROM-IRWIN, MCKNIGHT & HUGHES LAW OPFICES +7172496,54 T-021 P.00S/015 P-,87 8. SlJ"PPORT: Following the execution of this Agreement, it is the mutual desire of the parties that HllSBAND will not be required to pay spousal support, alimony, alimony pendente lite, or any other financial support to WIFE, and that WIFE will not be required to pay spousal support, alimony, alimony pendente lire, aT any other finaTJdal support to HUSBAND. It is recognized that HUSBAND is currently paying alimony pendente lite to WIFE through an order with the Cumberland County Domestic Relations Office. The parties agree that HUSBA.c'lD shall remain respons.ible for the payment to WIFE of any arrearage amounts existing on June 30, 2003. Any charges or withholdings from HUSBAND occurring after June 3D, 2003 shall either be credited to the arrearage amoWJt existing on June 3D, 2003, or, in the event there is no arrearage amount, refunded to HUSBAND: 9. PERSONAL PROPERTY: The parties agree that with the exception of dinette set in the dining room of the marital residence, the personal property has been divided to the parties' mumal satisfaction. WIFE shall retrieve the dinette set from HUSBAND within thirty (30) days of the date of this Agreement, and HUSBANl) agrees with suffi~ient advance notice to make the marital residence available at a reasonable time for that purpose. WIFE hereby waives all right, title and interest which she may have in any other personal property of the HUSBA..1\jl>. HUSBAND likewise waives any right, title and interest which he has in the personal property of "WIFE. Subject to the above exception, each of the parties shaH own, have and enjoy independently of any claim or right of the other party, all items of personal property of eveI)' kind, nature and description and wherever situated, which are then owned or held by or which may hereafter belong to HUSBAND or WIFE with full power to HUSBAI.\1l or WIFE to 5 "ll ~~ . ^ L i , ~ '~, . ~ .~ ~,'~ , .,,' ': ~, - .," ;i,r: JUN-Z4-100, 05:11PM FROM-IRWIN, MCKNIGHT & HUGHES lAW OFFICES +717Z496,54 T-OII P009/015 H87 dispose of the same as fully and effectually, in all respects and for all purposes as if he or she were unmarried. 10. AUTOMOBILES: WIFE hereby waives all right, title and interest in any vehicle that HUSBAND currently owns or may own in the furure, and agrees to execute all documents necessary to transfer title of any jointly titled vehicles that HUSBAND may own within thirty (30) days of this Agreement. HUSBAND shall hold WIFE harmless for any and all liability associated with the use and purchase of any vehicle he may own, and shall be solely responsible for all insurance and other financial responsibility associated with said vehicle. HUSBAND hereby waives all right, title and interest in any vehicle that WIFE currently owns or may own in the future, particularly that 1993 Ford Explorer being used by WIFE. HUSBAND hereby waives all right, title and interest in any vehicle that WIFE currently owns or may own in the future, and agrees to execute all documents necessary to transfer title of any jointly titled vehicles that WIFE may own within thirty (30) days of this Agreement. WIFE shall hold HUSBAND harmless for any and all liability associated with the use and purchase of any vehicle she may own, and shall be solely responsible for all insurance and other fInancial responsibility associated with said vehicle. 11. MARITAL DEBTS: It is further mutually agreed by and between the parties that MFE shall assume all liability for and pay and indemnify the HUSBA..l\'D against all debts incurred by WIFE after the date of separation. WIFE represents and warrants to HUSBAND that since the parties' marital separation she ha s no t contracted 0 r ine urred a ny de bt 0 r liability for which HUSBAND or his estate might be responsible and WIFE further represents and warrants to 6 ~ :8iii" ", " . J ,~,.- "I,~. ~~ .~', "', "Ufo", --"., .... .,."r. '~UM-I~WIN, MCKNIGHT & HUGHES LAW OFFICES +7liZ496a54 HZ1 POIO/OI5 HBT HUSBAND that she will not contract or incur any debt or liability after the execution of this Agreement, for which HUSBAND or his estare might be responsible. "'lFE shall indemnify and save HUSBAND harmless from any and all claims or demands made against him by reason of debts or obligations incurred by her. HUSBAND shall assume all liability for and pay a.'1d i11demnify the WIFE against aU debts incurred by HUSBAND after tbe dale of separation. HUSBAND represents and warrants to WIFE that since the parties' marital separation he has not contracted or incurred any debt or liability for .which WIFE or her estate might be responsible and HUSBAND further represents and warrants to WIFE that he will not contract or incur any debr or liability after the execution of this Agreement, for which WIFE or her estate might be responsible. HUSBAND shall indemnify and save "''IFE harmless from any and all claims or demands made against her by reason of debts or obligations incurred by him. 12. INSUR<\.NCE AND EMPLOYEE BENEFITS: The parties agree that any life insurance policies on the life of HUSBAND or WIFE or any other employee benefits, including but not limited to retirement, profit sharing or medical benefits of either party, shall be their own. Not\vithstanding the above, HUSBAND agrees to equally divide with WIFE his Individual IRA with Legg Mason Wood Walker, Inc., Account # 360.70800, which as of June 30, 2001, was valued at $18,954.74. One-half aftbat valuation is $9,477.37, and to effectuate the division, the parties agree that WIFE andlor her legal counsel shall prepare the necessary QDRO or other paperwork with such language and in such manner as may be required by the account manager. HUSBAND agrees to execute all documents necessary !O effectuate the above division_ 7 II II '4tlo::l54 T-Ol1 P.Gl1/015 F-38r 13. BENEFITS. STOCK Ai\]) BAJ."fK ACCOUJ'iTS: WIFE agrees to waive all right, title and interest which she may have in the savings or checking or any otha!- bank accounts of the HUSBM"D and likewise HUSBA."iD agrees to waive all right, title and interest which he may have in the savings or checking or any other bank accounts of WIFE. 14. DIVORCE: The parties both agree to cooperate with each other in obtaining a fmal divorce of the marriage. It is agreed lhar the parties will execute and file the consents necessary to obtain the divorce. MY party who fails to cooperate with obtaining the Divorce shall pay all . the costs and legal fees of the party who is seeking the divorce. 15. BREACH: If either party breaches any provisions of this Agreement, the other party shall have the right, at his or her election, to sue for damages for such breach or seek such other remedies or relief as may be available to hi:ri1 Or her, and the party breaching this conrract shall be responsible for payment of legal fees and costs incurred by the other in enforcing their rights under this Agreement. 16. ADDITIONAL L"'lSTRUMENTS: Each of the parties shaU from time to time, at the request of the other, execute, acknowledge and deliver co the other party any and all further ins1:rurnents that may be reasonably required to give full force and effect to the provisions of this Agreement. a db... J ~ .~ ~ ~.1 . j, : - ~ - " ,~.-""".~~-~: ,""'" 'M'''. ""."Il.M1 II HUGHES LAW OFFIC~S +7172496354 T-D21 P.D12/D15 F-367 17. VOLUNTARY EXECUTION: The provisions of this Agreement and their legal effect have been fully explained to the parties by their respective counsel, are fully understood by both parties, and each party acknowledges that the Agreement is fair and equitable, that it is being entered into voluntarily, and that it is not the result of any duress or undue influence. It is the parties' int ent that t his Ag reement do es no t merge with t he Divorce Decree, b ut r ather shall continue to have independent contractual significance. Each party maintains his or her contracrua1 remedies .or any other remedies provided by law or statute. Those remedies shall include, but not, be limited to, damages resulting from breach of this Agreement, specific enforcement of this Agreement and remedies pertaining to failure to comply with an order of court or agreement pertaining to equitable distribution, alimony, alimony pendente lite, counsel fees and COStS as set forth in the Permsylvania Divorce Code or other similar statutes now in effect and as amended or hereafter enacted. 18. ENTIRE AGREEMENT: This Agreement contains the entire understanding of the parties and there are ~o representations, warranties, covenants or undertakings other than those expressly set forth herein. 19. APPLICABLE LAW; This Agreement shall be construed under the Laws of the Commonwealth of Pennsylvania 9 ",.l'l " , -~ I j , I ;~~ ,.~',l, ',o''-;:'''-~~'''~;;i 'U"-'4-'""' uu;"rM ,"UM-I~WIN, MoKNIGHT & HUGHES LAW OFFICES +717Z496354 T-OZI F,OI3/015 F-357 20. PRIOR AGREEMENTS: It is understood and agreed that any and all property settlement agreements which mayor have been executed prior to the date and time of this Agreement orre null and void and of no effect. 21. PAYMENT OF COSTS: Each party shall be responsible for their ovm attorneys fees and costs incurred in the settlement of the divorce and economic issues surrounding this divorce. 22. WAIVER OF CLAIMS AGAL~ST ESTATES:, 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, dower, courtesy, statutoIy allowance, widow's allowance, right to take in intestacy, right to take against the Wi1!.of the other, and right to act as administrator or executor of the other's estate, and 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 interests, rights and claims. [THE REMAThTDER OF THIS PAGE HAS BEEN INTENTlONALL Y LEFT BLA.,,"'iK] 10 ~ ,---' -- IN WITNESS WHEREOF, the panies hereunto have set their hands and seals the day and year first above written. WITNESSES: /' '~ 't5 ~ - -$p'"(n;f ~ SHERRY If Am ~~~ RICKY . HAIR (SEAL) yUA'~ Y"0?h//L~ (SEAL) COMMONWEALTH OF l?ENNSYL V AN1A : 58: COUNTYOF _ PERSONALLY APPEARED BEFORE M:E, this ~ _ day of ------' 2003, a Notary Public, in and for. the Commonwealth of Pennsylvania' and( County of Cumberland, SHERRY L. HAIR, known tome (or satisfactorily proven) to be the person whose name is subscribed to the within Marriage Settlement Agreement, and acknowledges that she executed the same for the purposes therein contained. IN WITNESS WHEREOF, I have hereunto set my hand and official seal. II ----------- - . ' COMMOJ.";"'WEAL Tff OF PENNSYL VAJ.VIA ; 58: COUNTYOFCUMrnERL~~D J:J-R PERSO:NALLY APPEARED BEFORE ME, this E day of ~ a NataIy Public. in and for the Co=onwealth of PennsYIV~ and Clcounty of 2003, Cumberland, RICKY L. HAIR, lmown to me (or satisfactorily proven) to be the person whose name is subscribed to the within Marriage Settlement Ag reement, a nd a clmowledges t hat he executed the same for the purposes therein contamed. IN Vi<'1TNESS WHEREOF, I have hereunto set my hand and official seal. Notarial Seal Martha L. Noel, NolBlY Public Carlisle Bora, Cumberland County My Commission Expires SepL 18, 1003 Member, Pennsylvania Association of Notaries 12 ."~~ ' ~.~ ~~ 10 -~ -'." ~,"",li.''''' ~.'~~Ilt~~',!I;kd SHERRY L. HAIR, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL VANIA Plaintiff, v. : NO. 01 - t..1.f4b Ct'u~C ~'v) : CIVIL ACTION - LAW RICKY L. HAIR, : IN DIVORCE 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 in divorce or annulment may be entered against you by the Court. Ajudgment may also be entered against you for another claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HA VB A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELPo CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE Carlisle, PA 17013 (717) 249-3166 '~~- IiJ Ii! - .J .' ~ ~ I ~ i ~, ~ . J~ .._~ ~~. jj ..m.i""'''r..!;,,",~.t~ SHERRYL. HAIR, Plaintiff, . IN THE COURT OF CO.MMON PLEAS . CUMBERLAND COUNTY, PENNSYL VANIA .NO 01 - 1..44-6 Clu:l 't-~ v. . CIVIL ACTION - LAW RICKY L. HAIR, . IN DIVORCE Defendant. COMPLAINT IN DIVORCE AND NOW, comes the Plaintiff, Sherry 1. Hair, by and through her attorneys, Mancke, Wagner, Hershey & Tully, and files the following Complaint in Divorce: 1. The Plaintiff, Sherry 1. Hair, is an adult individual currently residing at 7075 Carlisle Pike, No. 135, Carlisle, Cumberland County, Pennsylvania. 2. The Defendant, Ricky 1. Hair, is an adult individual currently residing at 1342 W. Trindle Road, Carlisle, Cumberland County, Pennsylvania. 3. Plaintiff and Defendant have both been bona fide residents of the Commonwealth of Pennsylvania for at least six (6) months prior to the filing of this Complaint. f'j -'."~ -~ ~....'. ......:L. "._~_._",l -"- ~ .. .~ I.,," d" ~ ..' -,.~=,'~iI:lt~,. 4. Plaintiff and Defendant are husband and wife having been married on June 28, 1997, in New Kingston, Cumberland County, Pennsylvania. 5. There were no children born unto the marriage. 6. There have been no prior actions of divorce or annulment between the parties in this or any other jurisdiction. 7. Neither Plaintiff nor Defendant are members of the Armed Forces of the United States or any of its Allies. 8. Plaintiff has been advised of the availability of counseling and that she has the right to request that the Court require both parties to participate in counseling. 9. Plaintiff avers as grounds on which this action is based are: A. That the marriage is irretrievably broken pursuant to ~330l(c) of the Divorce Code; and B. That as of June 25, 2003, the parties will have lived separate and apart for a period of at least two (2) continuous years pursuant to ~ 330l(d) of the Divorce Code. WHEREFORE, Plaintiff prays this Honorable Court to enter a Decree in Divorce. -2- il\" -I "' w__.~ _ "~~~~ '-"~H . _,...~_1":.:.;. ~ - L,~.", ~......- ........ ..~'~l:!tii.'>i)4L, COUNT I EQUITABLE DISTRIBUTION 10. Paragraphs 1 through 9 above are incorporated herein by reference and made a part hereof. 11. During the marriage, Plaintiff and Defendant have acquired various items of marital property, both real and personal, which are the subject of equitable distribution under ~401 of the Divorce Code of 1980. COUNT II ALIMONY PENDENTE LITE. COUNSEL FEES. COSTS AND EXPENSES 12. Paragraphs 1 through 11 above are incorporated herein by reference and made a part hereof. 13. By reason of this action, Plaintiff will be put to considerable expense in the preparation of her case in the employment of counsel and the payment of costs. -3- _ 'IT ;:~ J" ....... ,- ~."" ....- <, 1_, -.... L" ~"""i"';" UJ; '~r.'.."l 14. The Plaintiff is without sufficient funds to support herself and to meet the costs and expenses of this litigation and unable to appropriately maintain herself during the pendency of this action. 15. The Plaintiff s income is not sufficient to provide for her reasonable needs and pay her attorneys' fees and the cost of this litigation. 16. The Defendant has adequate earnings to provide support for the Plaintiff and to pay her counsel fees, costs and expenses. COUNT III ALIMONY 17. Paragraphs 1 through 16 above are incorporated herein by reference and made a part hereof. 18. Plaintiff lacks sufficient property to provide for her reasonable needs. 19. Plaintiff is unable to sufficiently support herself through appropriate employment. 20. Defendant has sufficient income and assets to provide continuing support for the Plaintiff. -4- l'} _II -" L~- ' ~;; WHEREFORE, Plaintiff prays this Honorable Court: A. Enter a Decree in Divorce; B. Compel the Defendant to pay alimony pendente lite to the Plaintiff; C. Compel the Defendant to pay alimony to the Plaintiff; D. Equitably divide all property, both real and personal, owned by the parties; E. Compel the Defendant to pay the Plaintiff's counsel fees, costs and expenses and the costs and expenses of this action; and F. Grant such further relief as the Court may deem equitable and just. Respectfully submitted, Mancke, Wagner, Hershey & Tully P. Richar Wagner, Esquire 3103 2233 North Front Street Harrisburg, P A 1711 0 (717) 234-7051 Attorneys for Plaintiff Date: 1/1/0/ ! -5- , J_._. ";.1_1 -' .'''I.H!i~'; VERIFICATION I verify that the statements made in the foregoing document 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. jJ&j)~ d /-h~-A/ DATE: II- /-0/ . ~1~~~,1j~~r,*7&biM1'ii'i.!m~\~[i~~*miiiin';';:~liH.~{g',;l~::'~':'{"';'~""""',>":iN&.F',;s,il-~iillififfi~iitll!ii!liiiil~_~~~i::i~ilWk:it~M1ill-'i J'~'""""'''''- "Ifl tiEl".'" -'''''''-~~ t () -~ ~ r ~~'- -lg.. ....... if h~~ "'l~ -- ~ 0 . . lrt -- 0 q ~ "to ..J:: I ~ ~ '" (;::, 0- r f!w ~ ~~ ~r' ff (") c ~ -00. m, ., rn z-,., zr; ~:i: C:'C) j> -......0 -0 ::i>c :z =< ~. " " ~ , ,.~ ".. ~,.. ~"~,,,c~,",, ..~ ."~. '0 Q " :z <::> <<:: ::;j r>i;II ~~;~s ~~-'j " <"~ -'-, Q~:; 9 (jfTJ ~ ::::J -< w ......, ...;;; ~ W '~11 (~, -,,,.~~",,,,,,,~~~ "'~ -,~ '---~","'.,',',"'" .", .' """,_"",,'';':'. ->cv." ',:;- "',,_'.,,' '''''"_''' _' ~ :j :<,;-: .'.' ,< ",-",,' ~ j~ L~k-,::; .,",c """; ,;;.:1'~',t~::;;-.,,:i:~~',,;;;~~~ki;i~'::": r..:tiC;'Kt~l:1~ SHERRY L. HAIR, : IN THE COURT OF COMMON PLEAS OF Plaintiff v. : CUMBERLAND COUNTY, PENNSYLVANIA : CML ACTION - LAW : 2001 -6446 CIVIL TERM RICKY L. HAIR, Defendant : IN DIVORCE PLAINTIFF'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on November 13, 2001. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of the filing of the complaint. 3. I consent to the entry of a final decree in divorce. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if! do not claim them before a divorce is granted. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Date: S//2/ ~3 I ,2003 ~d~ SHERRY L. R ;,-,~,.. dtO~~ - "',T1d~,'~..bk ~,' "~~~~~iJ1'~C;;" '"'0';' '~~.;:~'~~~~~~~d~Jb~~';>"~~' "'''''a:~.iM(:'';;-- ,.~ tP7~ V """,,,,~,<,.,. ""~,.,~, ~ ~n .M'" ~ ,,'<>~ ""',"",1'-"',~"",,+,, > PM. ......",~, ~<. c<.."'.,-~__, ., ~,., .",,;','';'''d ,,"-,~., t"'J ~; -0 ~.;<; lill'; --;>-., ~~::- f.~( ~~.~ .;.---., ( ..,- -"", ~!, ."' ~. ,_.~ ~" ..'.-' ~ }.~:,.. . ~~,_~,,',",. '''~ 0..,.'.-.-" ~ '.",,,.', ". .- ,","-.'~ CJ G.) ;po ..- G~ o -n ~\ OJ ">i;~ '. tTl -,'.0 :{g 'C. ~,;...; .':~('~ ~:.,;;,nl :::\ -.~, <n c<; .'0 '" <n ~ ~ ^'" ~ .~~ ~~ , ~~." ' ,~ ~, .,.,.~~%: i SHERRY L. HAIR, Plaintiff : IN THE COURT OF COMMON PLEAS OF v. : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION - LAW : 2001-6446 CIVIL TERM RICKY L. HAIR, Defendant : IN DIVORCE DEFENDANT'S AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301(c) of the Divorce Code was filed on November 13,2001. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of the filing of the complaint. 3. I consent to the entry of a fmal decree in divorce. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses ifI do not claim them before a divorce is granted. I verifY that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C. S. Section 4904 relating to unsworn falsification to authorities. Date: 'l~rt ,2003 ~.~I~ ;'~llL~'~]i{ :"-~' ~~~~.~ili3TI1~i~H:~jI *.i1iiAii<t~i;jg.iH~""0Mi,'<i:~\1~Oi',~.liJf f "'_!fl~ I -- -'^,,--,,',~~ - > , liiI,~"""~ '~~~"',j,j~ j':' ',."",i,~.' ~=,~= .2'5 l__fL. ~".' , "~~ ..". ~ cO .,,~," ~" ~ . - 0 co 0 C w " ~ ~ ~::! -')5"; mrTc G") : i~ ;~ Z:c:' ~~:- I _:;] ", en 0 11 {S ~C) " -Ti )i',. 3: '1 ~f~ ?"'=:: 7 -/ r\,) ~:;? in --." L,_ :-,> >' --I -'1""1 nZ (J1 :<: .'" .. .. ,'"', ~,',<'-,,",~, '-"">ideO'',,- '''<'1".,,;-. _." _'0 ."0 ~_>I : ~;;:.,;"," ';;'. ,';'j"'c".;;;;0;:/i.'io''';';;';;,;)~o,h.;1;L.;;;~:;':',: '. ":;~! "",;,[~ SHERRY L. HAIR, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION - LAW : 2001 -6446 CIVIL TERM RICKY L. HAIR, Defendant : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE 1. I consent to the entry of a fmal Decree of Divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3.; I understand that I will not be divorced until a divorce decree is entered by the Court and that acopy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: ff 11:1-/ t?,:; / ,2003 SH~RI ~ Plaintiff ~~'i;-<A'k't.~~<';' ':~, '::.~:'i~~iH;r;\~:c~.~~;k";"~~-i~1'liif~~1Jlillt1m'<TIf'-';,o~""Z' ",,~~,,". '.._.,~.' ".,.. ,;- ~ " .,~ "' 0,,' _ ~,"'"' "'",,."""'" ."", _ ,'~, ' .-". ,,~,' ".. '~Jta:,jj!j~it1tW:d"'~'~ "",, ". ,',' gjff 0~. ~~:~. ;f~ ~i (') C,', , ," ,', ~~ ';;1, ~ i! ! \",: t i ~~ I, I, ; c-: 0-:- (') -n "'" ~;::) ;;g fTi Ci C) ~i~~ ~ -< C':J '" (]1 "w'" I ~'_l" ; '" -- ~,--,'""-~""',> '--'lif(~' ~i -, SHERRY L. HAIR, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION - LAW : 2001-6446 CIVIL TERM RICKY L. HAIR, Defendant : IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REOUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) 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 alimony, division of property, lawyer's fees or expenses if! 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 immediately after it is filed with 1:he Prothonotary. I verifY that the statements made in this affidavit are true and correct. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. Date: 1-10 ,2003 ~-f~ RICKY . HAIR Defendant <c ~i~'llii'~ti~~l~~j~~d'A';N'~"!.'~Cji:gf;~~,~ii~r;\:4 ""tiIi"i._~~~" "'~'''''~!iijJ7 fljMl < (') 0 0 C W " ,,[if - =':1 ~Lf; '- ~'(l:JJ G> r- Z~ I .;'"'7fTl (/) , c,-, '2? -<~., ~,~ ~C -0 ,~~ -f~ ;';:C .- g~ 4f'"~ )>~., ry ~ --1 :.v 53 -, (Jl -< ~5 t/-t. ,Y"), "'"" ~~, ,~,"""" ~~--.~~ ~. .pc,~,~c,",,' ,,,-.,"'., . ,~, ,',~ ,_~, ~ _~, " ,_ . ~, <"". ,e,,*,~, ,~ .;"":O-';"..J~ , . "~ ~ ~-~ i, , : , < j .~--, L~~~ii: , l SHERRY L. HAIR, IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff, v. NO: 2001-6446 CIVIL ACTION - LAW RICKY L. HAIR, IN DIVORCE Defendant. CERTIFICATE OF SERVICE I, Debra K. Spinner, Secretary in the law firm of MANCKE, WAGNER and SPREHA, do hereby certify that on this date a copy of the COMPLAINT IN DIVORCE was served upon the following person and in the manner indicated below, which service satisfies the requirements of the Pennsylvania Rules of Civil Procedure, by depositing the same in the United States mail, Harrisburg, Pennsylvania, certified, restricted delivery, return receipt requested, and addressed as follows: Mr. Ricky L. Hair 1342 W. Trindle Road Carlisle, PA 17013 By ilkJ-<. w.~) Debra K. Spin~er, Secretary MANCKE, WAGNER & SPREHA 2233 North Front Street Harrisburg, PA 17110 P. Richard Wagner, Esquire Attorney for Plaintiff DATE: 11/20/01 u'iri '- , c, ~ ' _n J"., ,: '_' ''"''0';'" ~ ", ,'" , ' " -'.~~:: , .. 01/10/02 16:03 CCM HOSTFAX SAN MAT p1 /1 .' . O. "" a . . . g,.,.,..,".".,,-,',., "~,,cUNltED," ,.s.'TilIES ,'"', ," '~4 ",),., "" '"""~~.e,;'~:~,_':,<~"'-'" ", ...,.;c-'" POST/JL SERVICE,. '. "", , ., ,-, , , Date: 01/10/2002 Fax Transmission To: ANTHONY BOSAK Fax Number: 717-243-5990 Dear ANTHONY BOSAK: The following is in response to your 01/10/2002 request for delivery information on your Certified item number 70001670000211354694. The delivery record shows that this iternllV!lS deliv~r~d on 11/20/2001 at 11 :47 AMin CARLISLE, PA 17013. The scanned image of the recipieni'information .isprovided below. , .' . Signaturedk~'ecipie~t~, .' ~UVvlf~~) , Address of Recipient: JltsH ~:r1"("J.\~ Rd\ c.." l.~'\." fa. Thank you for selecting the Postal Service for your mailing needs. If you require additional assistance, please contact your local Post Office or postal representative. Sincerely, United States Postal Service ""1 ~"~"""'~':~...J.~t~J~~I~i~~~I!f~U~!Jf....'ii,{MdiI'iM$jiJ,,,,,.",,;;,;}ti\a;,'&ilii;':!~<-i"<l~_~~PO'~;q ';., rj''''"'~-d1_ '. ,;,' '~i <~..;;:v ~ /" ,,' (ij b \~ f't"'''''',''''"~,, iI!':~ '!lii\i' .= ,. .~,=~~,~."n",">,'~'" "~. ';";~"'''U_:!Iw.ii,'. .- .~':.- Jif- ",' b- o (2 C ::-~ -oct mf"'; ~:t' .<-":.. r U),,~ -<~..: ~~: ~?C :J;E ::--:: _-i -c ~ " "' ,._~. 0,'-'''"" ,~,~ ~.,__, P., ~~ "':"."__.' "ti '"'_,-... ,j ,.-, w po c- (73 Q, ,....j T ;':'tl;g iTl C -,,") t ""-lCJ <~~~ f!3 ,_'" III '.J ~ :0 -< a:> --c ::;;; ~'V (Jl ~ . _lie '-.. ! ~ ~-l. , ,', , Husband's SS#: Wife's SS#: , 191-46-2254 198-54-8513 ',,, --, ~ ' :1 ',:, -W~.i!0.m,w -c".'- .<" -".,..- - -."~"'~~' '"",'-,""">,<",~~,~,,'=~,,,,",~"..~>,"'-~'-' .""".-'i~.<, "'I~:~;! . . SHERRY L. HAIR, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA v. : CIVIL ACTION - LAW : 2001 -6446 CIVIL TERM RICKY L. HAIR, Defendant : IN DIVORCE ORDER OF COURT '-.. " AND NOW, this / q11J day of )rn(Jj~ , 2003, upon consideration of the attached Petition to Terminate Alimony Pendente Lite, a hearing is hereby scheduled for (1-l.MJ.., I ( , 2003 in Courtroom # L at II! O'V o'clock A .M. in the Cumberland County Courthouse, Carlisle, Pennsylvania. By the Court, J. " ,:5;l:~ ~ . ~~ ~^ ~,~. " .. -. . ~.- _'~,~. a _, -, ~~ - - v Ci; 03 F "~-',,--." -;.,' , '-" ' '"-~, ',., -" .~-' --~ '.,." t"). l. i; !" p;;\ .:,' "-L..' ''-' \ '-' ". i:-,\ .... " ,'".\;.. -':c.' .,',:-: "\!>,,I; ,,\ r.\ ,i\(< "-" le'l] '1_'_ i',,/. V\...:!',.;:';::-.\"I\".)li....'d" " re', ' '\Y _".~"'",""'li'le.c.-'" ~'~.1&M' " "'~, -.-~, f.," _'_'0 . ',",","c." _ .' ~:l'~WJ,..f~~"Z'7-_ "',""_~r-_.r-~>,,-'~,',e'~~~_- '.1''_', . .~~~J:!,c. ~i1iiif--... Ii. cJ--^1 , <) ~ <;, "! , ";.' ~ .cJ -~ } ~ .~ ~~ ,- , -- . ~ -- - ," ,-.- ,- '"'i:'," '-.',,',,' <o'_vn _''-, '~"_'r,_r ,-, -~.,<=-,,~j~',,^_>-'&.h '''"{''^~-~_",;, Ij ,'-,- 0 -cI~~; SHERRY L. HAIR, Plaintiff : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CML ACTION - LAW : 2001 -6446 CML TERM : IN DIVORCE v. RICKY L. HAIR, Defendant PETITION TO TERMINATE ALIMONY PENDENTE LITE AND NOW, comes the Defendant, Ricky L. Hair, by and through his attorneys, IRWIN, McKNIGHT & HUGHES, Esquires, and files this Petition to Terminate Alimony Pendente Lite making the following statement: 1. The Plaintiff is Sherry L. Hair, and the Defendant is Ricky L. Hair. 2. The Plaintiff filed for divorce on November 13,2001 and simultaneously filed for alimony pendente lite. 3. Up unto the end of February, 2003, the Plaintiff made no effort to move the equitable distribution portion of the divorce along to a conclusion. 4. On or about February 24, 2003, the defendant, through his attorney, requested that the Plaintiff sign an Affidavit of Consent so that the matter could be brought before the Divorce Master. Attached as Exhibit "A" is a copy of said letter and the Consent provided to the Plaintiff. 5. To date, the Plaintiff has not provided a signed Affidavit of Consent nor has she or her legal counsel responded to the February 24, 2003 correspondence. '." 9'~ '",,"~ ~'_""'_ ,'~- '.;-'" ~ . ,- C~__,~>,_"""___...-",'",'O,,, "'~'''-'---.,-, "lj11 ,'_'__:,~'2:., -1\ 6. The Plaintiff is receiving alimony pendente lite to support the expenses of the divorce proceedings, however, is refusing to allow the matter to be litigated or even to negotiate a settlement of the issues involved. WHEREFORE, the Defendant, Ricky L. Hair, hereby requests that the Order for Alimony Pendente Lite be vacated due to the Plaintiff's unwillingness to move this matter to the Divorce Master. Respectfully submitted, IRWIN, McKNIGHT & HUGHES By: Douglas 60 West omfret Street Carlisle, Pa 17013 717-249-2353 Supreme Court I.D.# 83776 Attorney for the defendant, Ricky L. Hair Date: March I C( , 2003 rrI~~ ,c,O> -"'- , ."' .,~' ,- ,,",__, ' Exhibit "A" ,'" """ ., ;''''''-;;;I-;';'~",~ -.'" ,"6J'.(.;." """' '0' t-"',":t:;""I"'''d-.,i,);;;,;;~",,~_, -'( - -', ~~'" ;;'C,,,~',;;,t~:i ~11 .......~- ~~ " '~-'\li"-> . ~--=<. LAW OFFICES IRWIN McKNIGHT & HUGHES ROGER B. IRWIN MARCUS A. McKNIGHT. III JAMES D. HUGHES REBECCA R. HUGHES DOUGLAS G. MILLER WEST POMFRET PROFESSIONAL BUILDING 60 WEST POMFRET STREET CARLISLE, PENNSYL VANIA 17013-3222 (717) 249-2353 FAX (717) 249-6354 E.MAIL: IMHLAW@SUPERNET.COM February 24, 2003 P. RICHARD WAGNER, ESQUIRE MANCKE, WAGNER, HERSHEY & TVLL Y 2233 NORTH FRONT STREET HARRISBURG, PA 17110 RE: HAIR v. HAIR No. 2001 - 6446, In Divorce, Cumberland County Dear Rich: ""l~i , d,'~-';"'''"''ti.iii.-L-''-'rr.:.~ HAROLD S. IRWIN (1925~1977) HAROLD S. IRWIN. JR. (1954-1986) IRWIN, IRWIN & IRWIN (1956-/986) IRWIN, IRWIN &McKNIGHT (1986-1994) 1RWIN, McKNIGHT &HUGHES (1994- ) ;,'" 1/( ... . t t'Op J' I have not received any response from you with regard to my previous correspondence. Accordingly, in . the interest of keeping this matter moving forward, enclosed with this correspondence please find the Affidavit of Consent and Waiver of Notice forms for your client's review and signature. In the event that I do not receive these signed documents by Wednesday, March 12,2003, so that this matter may proceed to the Divorce Master, I will be advising my client to file a Petition to Terminate APL. I trust that such actions will not be necessary and that this matter will proceed with all deliberate speed. Very truly yours, mwm.McKN1;Z;:' Doug! G. Miller DGM:tds Enclosure cc: Ricky Hair '.' "~~, ' ~^ .... ~-~..""= ~'O"~"~_''''~A__''' '.__""'.""',~'"",',."",~~'o"'_'''''';'''''.''_'_;-_ -"'n~:', CERTIFICATE OF SERVICE I, Douglas G. Miller, Esquire, do hereby certify that I have served a true and correct copy of the foregoing document upon the persons indicated below by fIrst class United States mail, postage paid in Carlisle, Pennsylvania 17013, on the date set forth below: P. Richard Wagner, Esquire Mancke, Wagner, Hershey & Tully 2233 North Front Street Harrisburg, P A 17110 Date: March 14, 2003 IRWIN, McKNIGHT & HUGHES ~ tfA:A Douglas Miller, Esquire Supreme Court LD. No. 83776 West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 (717) 249-2353 Attorney for Defendant, Ricky L. Hair t~-'~;i~ "'--"--"'~'-~'~~_~~Jlf'~-" "o'r"O__~'C ,1.._ ^~,,,,_,,~,~,_",,,,",,_,,,,,,,~,,,~ _~,,,,'''''''',,'7.,.,C,,",,,,_"..,~~' "." ~_"-!,''''M',,,_'~,,,~,,,_~..,,T_,''___ ,-''<", ,',,",,,. ,~,~~ ,W << " -"" -""~ "'->"'""',",- '- " , -~- ~.,~ ~'" ~~'" ! ,", ,,,,_, 'o~"'~,,,,,.,,,,-,,,, ." _",_"",.~~" & _Ie,<- fli i Ii I , r- I I I 0 ~ " .' C c..::' ,. -=: ~ -r.,7 i.-'i ~::... n" :;;0 :;::;: L-_~ , .' '-,I <. ,,-~ , r::~ , . :;:;.; . - ~; J::" ., :-:> .-" j] In -< ~~ ,,~, ,', =.. ~O"_', " M___'~ -="' _i . " ,I, ~- , I '" _ ,,~ '. ' " --I 0>. '.-... "':,qr-'- -",; ~~~" (' r~ THE COURT OF COMMON PLEAS OF CmiBERL-\ND COUNTY, PENNSYLVANLI. SHERRY L. HAIR, Plaintiff vs. RICKY L. HAIR, NO. 2001-6446 Ricky L. Hair a master with respect to the (X) . Divorce ( ) Annulment ( ) Alimony ( ) Alimony Pendente ~(QT!ON FOR APPO I::rn1::NT OF M..o\.STER (Jl1._..... = =) (Derendantl, follow~g. claims: moves the court :0 appoint Lite ( X) ( ) ( ) ( ) Distribution of Property Support Counsel Fees Costs and E."(penses and in support or the motion states: (1) Discovery is cottrolete as to t~e claims(s) for which the appointment df a \!laster ~!i1:equested. (2) The defendant (has) ~ aDD eared in (by his attorney, Dou",las G. Miller. (3) The statu1:ory ground(s) for divorce (is) the action c.~~...,..--<l..-:...~x') ,Esqui1:e). (are) 1101 (e) "nd (d)- (4) Delete the inapplicable parag1:aph(s) : 0e.) The action is not contested. Qb) An ag1:eement has been reached with respect to the foll~N-ing cla~: (c) The action is contested with respect :0 the following of property The action (~) (does not L~volve) complex issues or law claims : distribution (5) or fact. f:l:'tiVn1;1t:ion in Court consents~to move this Date: 'I/I'5/IJ:3 The hearillg is e:tpected to take 1/2 (ll.t!_~' (dayli). Additional infor:na:tion, if any. relevant to the motion: Bv on Anril 11. 2003. the narties have a",reed to sil!:tl the necessary matter before the Master'". ~~ /1 A . ~NJ. Attomey f :t~.'.:.~~ (Def e.'1dant) .J7 ORDER APPOINTI:NG ~!ASTER Douglas G.M:j.l1er, Esquire. . AJ.'ID NOW ~ 17 ,.1txI?J ' ('.~ ~..Ii-v EsquHe, is a-ppointed !!I2.star--r..n.th res-pect -to' t:te rolloT,.1ing cla-i1'""~: ~_ (6) (7) By {1J ~;j - >- a:: ~ UJ ~--:~', C) ;~.- ,''--" ;:..:: ,- c~_ C.J -- :>- (";- c-:; ,~~ ~:~I~ ->- :;c Q:2 : ,/ i.-.L:. lJLLi ;00- :s (.) c.. ',-;:) Q" l~__L ~.:t "..1U __.~ ".~" ~",.- "' ~' ~' ,~ -' ~'--~"" ~,~.,.~, ~" ,"~~~, .-- ~ ,..""" -, ""'....".~,.~~"'''''~''''''.,-',J''''''''~,\,,,.~~" " ~" """'" .""",~, -- - _m'_.. __'i_ r (\:; 1 \ 1 ~ 1 :~ . '-"I\IT"; Cl ;'I,i,:,:,._,--,"'. :",' i 'r~...I;.,_J'\l! 1 . " ,"'-" -" -, - , '"" "F1E~~l~jS'(l\/f.\NIA ~..r.,_~lf,m1ll!f!f''i;;;!~~,<:-~'1:t(~)c'"''''~''''''-'''''1''''--'t"''' "~':,."W~:;",i"i?~~~,~~~ J~1q!\~~~ ". - ~--, ..," ' ~ I"": ; '<'- ",' ,.", .J, "'" "';" .' ,,~,'^" -,~' ~~-):,~:,~';~J~~~: -, ,",,", 'r':;" i 'j{it~-:; .'. <' 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 .Jo Colyer Office Manager/Reporter West Shore 697-0371 Ex!. 6535 May 8, 2003 P. Richard Wagner Attomey at Law MANCKE, WAGNER, TULLY & SPREHA 2233 North Front Street Harrisburg, PA 17110 Douglas G. Miller Attomey at Law IRWIN, McKNIGHT & HUGHES 60 West Pomfret Street Carlisle, PA 17013 RE: Sherry L. Hair vs. Ricky L. Hair No. 01 - 6446 Civil In Divorce Dear Mr. Wagner and Mr. Miller: Counsel have certified that discovery is complete. Therefore, I do not anticipate having to deal with any discovery issues at the time of the pre-hearing conference. A divorce complaint was filed on November 13,2001, raising grounds for divorce of irretrievable breakdown of the marriage and further avers that as of June 25,2003, the parties will have lived separate and apart for two years. The complaint also raised econornic claims of equitable distribution, alimony, alimony pendente lite, and counsel fees, costs and expenses. The motion for appointrnent of Master, however, indicates that the only issue is equitable distribution; however, since the cornplaint has raised alimony and counsel fees claims, I will consider those to be part of the proceedings. In accordance with P.R.C.P. 1920.33(b) I am directing each counsel to me a pretrial statement on or before Friday, June 6, 2003. Upon w ~, -' ,'/ - , .. , :,..L ~^' ," ~ ," :1' ~~5:~id~i Mr. Wagner and Mr. Miller, Attorneys at Law 8 May 2003 Page 2 receipt of the pretrial statements, I will imrnediately schedule a pre- hearing conference with counsel to discuss the issues and, if necessary, schedule a hearing. NOTE: Very truly yours, E. Robert Elicker, II Divorce Master 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. ,,""";""li.:o"'J__==>-,.,~~__ ~ "~~ "~- " . ~.. ~"~~J =,~ ~ "'''''~' I !I.!!ltl_r"-'.w.."",-~~~,,~.,~ ~' ill::um;':,:"t~J.;,;,h. p SHERRY L HAIR IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff CIVIL ACTION LAW VB. NO. 01-6446 CIVIL 19 RICKY L. HAIR IN DIVORCE Defendant STATUS SHEET DATE: ACTIVITIES: t/~/uJ.. ~,~.b, "' ". :"- ,-, ,,;:,--, ,---,-, '-", '-~'. ", ,; -- ",lr~i SHERRY L. HAIR, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 01 - 6446 CIVIL RICKY L. HAIR, Defendant IN DIVORCE TO: P. Richard Wagner , Attorney for Plaintiff Douglas G. Miller , Attorney for Defendant DATE: Friday, April 25, 2003 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. "i 1 '-,,"', ,"' ,- J... , ,~ 0 . _, ;- L ,_., ___C'."' .~"'" """""'il;''''''''~~-r; . (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. (r" '~ J; - ' '., , -" -'; :,--,_: ,I -;,'", '''~;;' .'ie'" :;,,!' ,,' '~",'..~: <';",j":~_c._"i_;j4'..L,';-_<_ -, ~'---J' -;"':H;g.it~~.;;;.- LAW OFFICES IRWIN McKNIGHT & HUGHES ROGERB.IRWIN MARCUS A. McKNIGHT, III JAMES D. HUGHES REBECCA R. HUGHES DOUGLAS G, MILLER WEST POMFRET PROFESSIONAL BUILDING 60 WEST POMFRET STREET CARLISLE. PENNSYLVANIA 17013-3222 (717) 249-2353 FAX (717) 249-6354 E-MAIL: IMHLAW@SUPERNET.COM HAROLD S, IRWIN (1925-1977) HAROLD S, IRWIN, JR, (1954-1986) IRWIN, IRWIN & IRWIN (1956-1986) IRWIN, IRWIN &McKNIGHT (1986-1994) IRWIN, McKNIGHT&HUGHES (1994- ) May 1, 2003 E. ROBERT ELICKER, ESQUIRE 9 NORTH HANOVER STREET CARLISLE, PA 17013 RE: HAIR v. HAIR NO.: 01-6446 Dear Mr. Elicker; Enclosed please find the requested Certification executed on behalf of the Defendant in the above-referenced matter. It is my understanding that Attorney Wagner has also signed a Certification on behalf of the Plaintiff in this matter. Thank you for your attention to the enclosed. Very truly yours, IRWIN, McKNIGHT & HUGHES i/.)dk DGM:tds Enclosure cc: Ricky Hair (w/enc) ;t. ....._J ~, ~ I'^ - I" ,,; ,,",=,,- ,,-~ i-i''CJll[ff"Jl; 6lrlo~ SHERRY L. HAIR, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 01 - 6446 CIVIL RICKY L. HAIR, Defendant IN DIVORCE TO: P. Richard Wagner , Attorney for Plaintiff Douglas Gc Miller , Attorney for Defendant DATE: Friday, April 25, 2003 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. I-~-!', '" ;-;' ,;, 'c-,___, i-,,""__,- dOO,-""!1"<-','lf,\ (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. 'f hO/03 ( DAtE ( ) (X) COUNSEL COUNSEL 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 TF~T 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. If,,;: -- ". ",-- - ,'" '>' ,~. , . "- .~', "~-' '''0 """M'''.. """'",o'''''''''I"iJlIilIiiI . - ['''' 'YrrililT' ~~~~uw~~ APH 2 6 2003 IRWIN/ McKNIGHT & HUGHES ~r:, _ ,,~~r, :-<'"'_~_ '~"'''',_ ~,'" :_ ~_~~~""'T'" )~!lm ..,1!W~,~!!i:~...," ~,,1.~~~m~~:Jg.~_-i'::~IT~~il':Wit-;!\':~'!O:~~_c'1"$''*'t~J'''i~"'~I~~'~1j~""I~~t""~'"-'0_'cf;"'rF-l~:1)i)Il1',1'!''':'::?,ili'''1;--'!:W"*,~fr!~jMe~;1le,,~~''\ -.., , ,'" ;," ^"-,--,''-",;'"<,'-,-'':,,. , I.,,:;',i;:, ;."~"''-''''::''= -,'; ,:;;"'~ ;,;,-;;:-,,";'_-. ,:;;1.:.:, ",,,;.,,, ' ." ,'<L' <, "'0- 'C::' ,,,:'i;~;";<-;:'~,:ih-;;,:::" -,- ;", , :' --<~~~i~1 LAW OFFICES MANCKE, WAGNER, TULLY & SPREHA JOHN B. MANCKE P. RICHARD WAGNER WILLIAM T. TULLY EDWARD F. SPREHA, .JR, 2233 NORTH FRONT STREET HARRISBURG, PA 17110 PHONE (717) 234~7051 FAX (717) 234-7080 April 28, 2003 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, PA 17013 Re: Hair v. Hair No: 01-6446 Dear Mr. Elicker: Enclosed herein please find the Certification which I have executed regarding the above-captioned matter. Your attention is appreciated. /// /~iri~~;V' I ; L__ ,_/' PRW/dks P Abchard L Enclosure cc: Douglas G. Miller, Esq. (w/encl.) ;.!;~ J;t l , l , ,I "'~"d' . "'_ '<'Clg~~' ~/roloi~ SHERRY L. HAIR, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. 01 - 6446 CIVIL RICKY L. HAIR, Defendant IN DIVORCE TO: P. Richard Wagner , Attorney for Plaintiff Douglas G. Miller , Attorney for Defendant DATE: Friday, April 25, 2003 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. ~. 1--, ' ---- -:-- -" ..-':'" ,,~ ~--'"-":', -J,;"",.:Co'-":d""""~"'-~-, 'Ji"ij~i"-i;?L4 (b) P~ovide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. IIj;sJo3 I I / DATE C EL 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. ~..~~..",,""'..~'~~' -, " .,;;. ~ - ~', " J~, ,","' '-~-~---~i&.-,' , " SHERRY L. HAIR, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE RICKY L. HAIR, Defendant/Respondent : NO. 2001-6446 CIVIL TERM IN DIVORCE DR# 32003 Pacses# 205104790 ORDER OF COURT AND NOW, this 26th day of September, 2002, based upon the Court's determination that Petitioner's montWy net income/earning capacity is $2,105.29 and Respondent's montWy net income/earning capacity is $2,294.64, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbur~ement Unit, $76.00 per month payable montWy as follows; $76.00 for alimony pendente lite and $0.00 on arrears. First payment due October 23,2002. Arrears set at $0.00 as of Septebmer 26, 2002. The effective date of the order is August 23,2002 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.~ 3703. Further, if the Court finds, after hearing, that the Respondent has willfully failed to comply with this Order, it may declare the Respondent in civil contempt of Court and its discretion make an appropriate Order, including, but not limited to, commitment of the Respondent to prison for a period not to exceed six months. Said money to be turned over by the P A SCDU to: Sherry L. Hair. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PASCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the defendant's P ACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. DiVG J ~~.'......._, ~ " - . _1 " .i.~..:..,.,"_ "~"'''-~-'" OOil~XMl1J1ir:~1':;'-' This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. DRO: R. J. Shadday Mailed copies on 9-26-02 to: < BY THE COURT, Petitioner Respondent P. Richard Wagner, Esquire Doug Miller, Esquire .Y' 4.- 1-':. A . )"'-. ~ / Kevin A. Hess J. ~~~" ,~.....,~. . ' L,.., "-,' ~:-;"{ ~, ,",,'-, f" Jiiigi.'.-:t, ,<' - ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT l>ll, .t.etJ1-{P~ t'tPlL State Commonwealth of Pennsvlvania /JA(!<;ES' dtJ(j /01./7'70 Co)City/Dist of CUMBERLAND f"7f Date of Order/Notice 09/26/02 M.3:J1J6:] Tribunal/Case Number '(See Addendum for case summary) o Original Order/Notice @ Amended Order/Nl?tice o Terminate Order/Notice EmployerlWithholder's Federal EIN N~mber RE: HAIR, RICKY L. EICHELBERGER CONSTRUCTION INC PO BOX 459 124 W CHURCH ST DILLSBURG PA 17019-1232 Employee/Obligor's Name (last, First, MI) 191-46-2254 Employee/Obli~or's SoCial Security Number 405300.0031 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. $ 553.96 per month in current support $0.00 per month in past-due support Arrears 12 weeks or greater? Oyes <R> 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 $ 553.96 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: $ 127.84 per weekly pay period. $ 255. 67'per biweekly pay period (every two weeks). $ 276; 98 per semimonthly pay period (twice a month). $ 553 .96 per monthly pay period. REMITTANCE INFORMA TlON: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount The total withheld amount, and your fee, cannot exceed 55% of theeinployee'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 EH/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, pAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSfS MEMBER ID (shown above as the Employee/Obligor's Caseldentifier)OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. bate of Order: 9EP27m mH'~. """ /CE:VI1//f . ~ .~ Service Type M B No.: 0970-0154 .::J U bt".t=; Form EN-028 Worker ID $IATT 'n; --"..- ,- ~~ '" 7 r~~f-ko.J ,J ~lr 'X'-'<~~f;" ~. ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o I(,-hecked you are required. to provide a Copy of this form to your employee. Ifyo~remployee works in a state that is dltterent 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. * Repal1illg tll~ PaydattiDate of Witlll.oldil Ig. Yau must lepol1 tl.e pc\ydatefdale of vvitlllloldihg vvl lell selldihg ti,e pay ll,ellL Tl.e pardate/dal" "f ..itl,I,,,ldil,g is tl,e dale "" ..I,ich .n,,,u,,t..as ..itl,l,eld f,OI" the er,'plC>ree's ...ges. You must comply with the law of the state oftheempJoyee's/pbligor'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 o!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 1D:2516777000 EMPLOYEE'S/OBLlGOR'S NAME: HAIR, RICKY L. EMPLOYEE'S CASE IDENTIFIER: 4053000031 DATE OF SEPARATION: LAST KNOWN HOME. ADDRESS: NEWE/rIPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: Youmayberequired 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 in.come 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 i;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 underState law for discharging an employee/obligor frpm employment, refusing tp emplpy, or taking disciplinary action against any employee/obligor because of a support withhplding. 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. ~1673,(b)1; pr 2) the amounts allowed by the.State of the employee's/obligor's princip'al place of employment. The Federallimitapplies 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 oryour agent areselVed with a copy of this order in the state that issued the order, you "'reto 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 (7171 240-6248 ' or CARLlSLEPA17013 by internet Page 2 of 2 Form EN-028 WorkerlD $IATT Service Type M OMB No.: 0970.0154 t', - ..".. . ~ . 1. ~ ~''-o.' "-,~ ^.,- ' """;.' ',' ,d~" lihllil1!;';,i. ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HAIR, RICKY L. PACSES Case Number 205104790 Plaintiff Name SHERRY L. HAIR Docket Attachment Amount 01c6446 CIVIL$ 76.00 Child(ren)'s Name(s): DOB '.:,',.'" bl~~~~~.~~~~~~~;~;~~~i;~~;~~~~il;~~'.~~.il~;;~~\ .i... ........... ." identified ab'ove,jn any heatth insurance coverage available through the emp.oyee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB '.':..'" o If checked, you are required to enroll the ch ild (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 o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M OMB No.: 0970-0154 Addendum PACSES Case Number 401000062 Plaintiff Name LOU A. HAIR Docket Attachment Amount 1238 S 92 $ 4'77.96 Child(ren)'s Name(s): ~~~~Hll'~~}> . DOB . ..12/19/84. 'Ilr/i1I88 d;f~~~~~~d, you are req~ired to enro;l;h~child(r~~)>'" identified above in any health ~nsuran'ce' 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 o If checked, you are required to enroll the child(ren) identified above in any health 'insurance coverage available through the employee's/obJigor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB b If checked, you are r~~ui;~t~~~;~;lt~~~~;I~ir~~)i' identified above in any' health insurance coverage available through the employee's/obligor's employment. Form EN-028 Worker ID $IATT if ~-liil:,,,,~i;';~l,!'!,~_%'::iliiJi.'~~',".{"_i',,,;:l;,mi}~~,:!,,,:<i:,;,!bf~tiH",,!Ji',A;:~;Y,':i~" >';-_."~,;"',, "',lh'-:"'~"o._",;:,',r :;i"J":"'.~~4R.'d:~1~,,,,,w,,,,~iIloIiil!lifl.fMifi_iMllj[:i~,"Ii!:ilw!'"bt~<W1~1! [ ~j -'ill' llr~ - " (') C <;: '"Util rnn' ~t~ ~."t- 0?<.c;. r'~O -<: ;?; C} ,,- (') J>C ~ ]4 8:i\, " o N q '-" o o -,'1 ,':;j ':~~~~ ---;.f11 ::';-59 ~o ',~ ,.., ;::'--:n 20 ~rn '-' -"4 ~ --v ,,~,,~ -"" 'f? (P 'I --J"- ~, t, ..,0 .. I ~ "' J] ,,''\' -'" ,".' " ii-"~' ~-, _J~. --_~At:' r SHERRY L. HAIR, P1aintiff/Petitioner IN THE COURT OF COMMON PLEAS. OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE RICKY L. HAIR, DefendantJRespondent NO. 2001-6446 CIVIL TERM IN DIVORCE DR# 32003 PacseS# 205104790 DEMAND FOR HEARING DATE OF ORDER: September 26,2002 AMOUNT: 76.00 per month FOR: Alimony Pendente Lite REASON(S): JJ;;:- F- tn4id~ 1/-"1 l,,-A J <1, U.;:" <J \JIr--.<N~ Lv.. 20<D (- 7ltcn-/vu- 11"/ ~CVZN -5 \kpA-4 sl-...._...J cL ~ o!-r.s ~ -(. '- _ PARTY FILING DEMAND FOR HEARING: ,Jt{j cd tkJ A- Si ture . --.....- !'hp>- Dati of) (p .. _._-~ ,-'-'~" . " "",~~~,L ~........... """"' "-' "lililllMllii.&Ill , .. H~ ,-- '1Jl:I!iii;j~ . . SHERRY L. HAIR, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE RICKY L. HAIR, DefendantlRespondent NO. 2001-6446 CIVIL TERM IN DIVORCE DR# 32003 PacseS# 205104790 NOTICE OF RIGHT TO REOUEST A HEARING The parties are hereby advised that they have until October 6. 2002 to request a hearing do novo before the Court. File request in person or mail to: Office of the Prothonotary 1 Courthouse Square Carlisle, PA 17013 i"liM;~;~1~~~D~i\c""'h;i~""'i',-"J.tl.itlffitbID'i-:iFi'llii'a"J!1~{';"',~f,';' ';';,,,,,"'r";""A,-;';-""'i'i,,,,:.;~nJJ,H\fiJril-it--&!-iili~liMW!l.~ii~.Nii~~~,I!t"WO "U'~'_;'_'-r~.' ,,,.,,",,,, "- "~~- 1lIlf#;; . ~ . (') 0 0 c: f'';' V. <'"' -n t v;~ 0 --I rnnl c, :'[~ll Z:r'J -f Zr- I .. +- (I) ,!,; -BPj l> -<'":;;-- -.J ,.-)1 r;: c~ ~ -- -0 ~~~ :zc' =<>t ~,,-(, r;~ >(:: .:Srh :.~ -< :::;J :::> ?6 , 'D -< __I '". ,~,"-~"" ',^ ... =~-- ., ..~*, ~~ -~,. SE'-2'~Z002 10:16AM fRO,~MANCKE WAGNER TUllY +717-234-7080 i-.n P 001/001 H i8 SHERRY _. <'-AIR, IN THE COURT OF COMMON PLEAS CL~BERLA}~ COUNTY, PENNSYLVANIA PJ.a:":1tifr, ,. ., . NO: 01-6446 CIVIL ACTION - LAW RICKY L. HAIR, IN DIVORCE Defendant. NOTICE OF INTENTiON TO RESI~E PRIOR NAME NOTICE IS HEREBY GIVEN that the PLAINTIFF in che above matter, being a p~rty to a'divorce ac~ion at the abD~e n~mber filed on Novembey 13, 2001Jl11!nceci inter,ds to resume and he~ea~ter use the prevlo~s name of SHERRY L. PATTON and 3i~es t.~is Tdr=-r;::.en not.:.ce avowing___her ,inte:1cion in accordar:ce wich ::.he pr()'I,-isions of the A~t: of. Ap::il 2, 1980, P.L" 23 P.S. ,_Section 702 ',effect:.:.ve July:, 1980). ' Sherr~~ J J#~ TO BE KNOWN AS: sher~~J! fcaltno CO~OffiiEALTH OF PENNSYLVAl~IA 55. C01~TY OF O~ THE f}7 day c.c , 2082, before me., a !':o~a!'''I P'..'.blic, pe~gcr.:a::"ly a,.... ared Sherry, L. Hai~, kncifm. to me tc be tte ~erson whose ~a~e is subscribed to the w~chin do~ume~t and a~know:::'edged ~ha~ she executed tr-'.e foregoing for tl:e p~rpaae :~er~:n conta~neQ. 1K 101jI'rNESS WHEREOFr ~ - -- rye a!1e / ~ '-:seal~: ',~, ., " .'~ -- , '-, ~~~~ :Ci~~M:._jiBi_'~'illiil:;'j,'ilI~$Fj,-tN,~\'Ws'l;~;)i'''.i~~~~'''''"'''''~ '~~iilr-jl;""" '"", ': '. t..~j 'La' JJ!.ltit1'i1rf_'~ -~~, III!m ~ ~ 0 0 0 ~l c N --n ~ 0 :~~:D a -ace " ron' -4 ',- 2~,::l' '-,-'r!\ ........ ~ ~:j:'1 ;.-}Q eN \ t.n '=~~ ~~~ ~ ~ ~ ;--'--' ''0 '~~B '- ~ ~~~ ::J;: ~\ 1'3 ':"--"')rn L., "\ .- :::;;~ "3 ~ ~ ..~ ~fJJ ~----r;:TrU:':~j~'~.H~r---'--";: ~ ~J"'n~~,-..',' ~ I,!,,,n .- nv:"" ~~ ~i ,,;' :,;.;, ~lJ~~~ ~","-<.<I~,",-"","~~._~,""""""'-.M _~",'""",, ,",;,,,,"__-,-~,, " ''''i.'''""'''' ,", ~~="",~'~',~, _ ~ "' """'" - " __L I ~-{~'-'''', ,,; 'ii' "to'l<1r\'a""_' . In the Court of Common Pleas of CUMBERLAND County, Peunsylvania DOMESTIC RELATIONS SECTION SHERRY L. HAIR ) Docket Number 01-6446 CIVIL Plaintiff ) vs. ) PACSES Case Number 205104790 RICKY L. HAIR ) Defendant ) Other State ID Number ORDER OF COURT You, SHERRY LYNN HAIR plaintiff/defendant of 7075 CARLISLE PIKE # 135, CARLISLE, PA. 17013-8897-75 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relations Section, on the DECEMBER 10, 2002 at 1: 30PM for a hearing. You are further required to bring to the hearing: I. a true copy of your most recent Federal Income Tax Return, including W-2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. verification of child care expenses, and 4. proof of medical coverage which you may have, or may have available to you 5. information relating to professional licenses 6. other: ...,;.---,' -~,i c.:l G3 ,~,-': Co f"-,.,:;; .,e Service Type M Form CM-509 Worker ID 21302 r,: '->-'^' -~ ~ l, : . "'I '~..,';"""".:..'~, . .' 'lM1i~' , Ujtl~ l~~,g;< " . HAIR v. HAIR PACSES Case Number: 205104790 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the support action. BY THE COURT: Date of Order: 10 /30 (02- 7'~~ JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING 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 CO BAR ASSOCIATION 2 LIBERTY AVE CARLISLE PA 17013-3308-02 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at: (717) 240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Page 2 of2 Form CM-509 Worker ID 21302 Service Type M 1') };.~_~;J<j!H'eliJIirMlii:~".<<'Wi~~iiiW';oo:~"\i!ljlll.-W~o;;",,:~ ~Uill!IH , IJ HI ] III "" 0'" ,'<~"~. _,'1'<,~~,r, ",t..""~~,"'t"\'?,-:")'m:"~,,,,c,.,,,',~ ""~ ~ ~ "-. ~" ~~, ,.",,,~,.;;,~,,,,;.,",,,,~,,,,'fti,;..llliff~Ui~~~_li!lII~~,'il~,~imJI;!OlOI~~,~' J'iiW.. ,~"~~, .< ~'" o c: <- ""0['7',: nl]'~O. Z:"':, Zr:- vi ,7-. ;$ ~;~,' ~~ .:=0...:: =<.1 ''0 (J) 9<; g~ , _f; r . o f\j C) C) -l ~, \~ " (....J , ,')l,) ,-' ;'(:') .~o ~~ ~-3... ~)i~ 9'" .,~ S:J -< 0;:- .....~ ......1 ~6. , " '-'-' .,.,J "'~ -"-" ~ ~ ~"- ~_!t;;-,: , " In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION SHERRY L. HAIR ) Docket Number 01-6446 CIVIL Plaintiff ) vs. ) PACSES Case Number 205104790 RICKY L. HAIR ) Defendant ) Other State ID Number ORDER OF COURT You, RICKY L. HAIR plaintiff/defendant of 1343 W TRINDLE RD, CARLISLE, PA. 17013-9746-43 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relations Section, on the DECEMBER 10, 2002 at 1: 30PM for a hearing. Yon are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W-2s, :?~~ed, ."'" J 2. your pay stubs for the preceding six (6) months, '1.2:"1:-"1 3. verification of child care expenses, and . :;';=:: 4. proof of medical coverage which you may have, or may have available to yo~~~;~ '--'-r-;-n 5. information relating to professional licenses _J -'. 6. other: -, =, =-:. ....., r::' '..,"'--" "' N ..0 Service Type M Form CM-509 Worker ID 21302 ~, ~ I ~ , J ""~< ,'0 .' ~ fllweJ JL':~ I 'l:.A~',";';;:ill"', ~ ,"'\ . HAIR V. HAIR PACSES Case Number: 205104790 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the support action. BY THE COURT: Date of Order: 10[30 [02. 7.~~ ,. JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORm BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP: CUMBERLAND CO BAR ASSOCIATION 2 LIBERTY AVE CARLISLE PA 17013-3308-02 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individnals having business before the court, please contact our office at: (717) 240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Page 2 of2 Form CM-509 Worker 10 21302 Service Type M ~,~,..:JW ,ii~~l~-J!~J.~id{,gi'i>lJ!;.t,th.~i~IMMMf,";h;Hli/rj:i$f""",,;o,"i .~"",^ "'3.+";,,,"..;;',~"',f""''-~'''-..'~'ii~;;.,,,~~lit,ibMi_ift,UIJ!,i~~40jg~_",),\i!Il",':Oi.il*;l~~'~ "'~'"">,-,,,,,,',,,,,,. "''''""'''''''. r , . " 0 0 (~I C ,'-" ~-r1 ::::"'" ::::> -u6) 0-> f11n", -1 2:1': W 2~ :;;; en -< C r:c .-" <: "'0 r ~~:~ -"", ~~l _...~ - " i Pc r:- (~~l -...7 1'0 ",. ::::; :J:J -< Ul -< ~ 'Ii :J"'.,Jl:.1i JJ,"-L UjffjjnrtlFiU,ffiL...~,^" ,.=, '><~'W'" ""_. ,,,,";H~,'_=~.' c'_~,,___...~ ", ,- "I-- "" ~~",' ',,,,, ..;; _';C' "'-'~'~~t> /'. , In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION SHERRY L. HAIR ) Docket Number 01-6446 CIVIL Plaintiff ) vs. ) PACSES Case Number 205104790 RICKY L. HAIR ) Defendant ) Other State ID Number ORDER OF COURT - RESCHEDULE A HEARING You, RICKY L. HAIR of 1343 W TRINDLE RD, CARLISLE, PA. 17013-9746-43 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 on the 21ST DAY OF JANUARY, 2003 at 8: 30AM for a hearing. This date replaces the prior hearing date of DECEMBER 10,2002 . You are further required to bring to the hearing: 1. a true copy of your most recent Federal Income Tax Return, including W -2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. the Income and Expense Statement attached to this order as required by Rule 1910.11 (c). 4. verification of child care expenses, and 5. proof of medical coverage which you may have, or may have available to you 6. information relating to professional licenses 7. other: Service Type M Form CM-514 Worker ID 21302 .... '-., ""'" (IIl)1iJ,TIJ.',~ "N' "'~ -" .~ Co',,-' ." "~ ''---" -'>- ''j.~i.,"". .;,eo q,".Y:" ""n:'i'--l Hill Tt';""1f.)j:!~'W'i 1t(-~ ,)-'{ii~~icr ;'.",,\;:. ;",Jif"<D\' ,<,"\1'1 0" r- -, t.. dJ:l' .r ILi 'b.n , !,.; j~, .. "'. '" Ol,~.... . I U .."': ";::. C - '-'..,} U(l.~:?!~.; i'1,...-',)',;,"; rv,;, t-'!:NNS'1'i/1 ',",JUN7Y [_I;' VIA .,:~~~!ll'\\m!R~~~!'W1!~"",jil!'O~1':""~F;-'''''-f-'''-'''i .!/",,;:,'i'f-"-";:;"'~'~',~'''"Il,pJJ.'i'''-;''i1\fil'f-i~h#,R1~'!'fI'!~n;;i'W~W!''''';P''tfW~I~W'' """""'" ," , ~ >'J" -"",e- :<.,.".", - ,-- ^--'fi.Jilliiili~ii#'" ",.. . , HAIR V. HAIR PACSES Case Number: 205104790 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the support action. BY THE COURT: Date of Order: I d- ~ Od- 7'~~ JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING 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 CO BAR ASSOCIATION 2 LIBERTY AVE CARLISLE FA 17013-3308-02 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at: (717) 240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Page 2 of 2 Form CM-514 Worker ID 21302 Service Type M " rn"_'~'~J~_ ~~, " ~- 1 , -~ ~', ,'" ",>~, 'j i!:r-i;kji~'j-, " . "~ "'\" In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION SHERRY L. HAIR ) Docket Number 01-6446 CIVIL Plaintiff ) vs. ) PACSES Case Number 205104790 RICKY L. HAIR ) Defendant ) Other State ID Number ORDER OF COURT - RESCHEDULE A HEARING You, SHERRY LYNN HAIR of 7075 CARLISLE PIKE # 135, CARLISLE, PA. 17013-8897-75 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 on the 21ST DAY OF JANUARY, 2003 at 8 : 3 OAM for a hearing. This date replaces the prior hearing date of DECEMBER 10, 2002 . You are further required to bring to the hearing: I. a true copy of your most recent Federal Income Tax Return, including W -2s, as filed, 2. your pay stubs for the preceding six (6) months, 3. the Income and Expense Statement attached to this order as required by Rule 1910 .11 (c). 4. verification of child care expenses, and , 5. proof of medical coverage which you may have, or may have available to you 6. information relating to professional licenses 7. other: Service Type M FormCM-514 Worker ID 21302 :t! ... /'. ~IIL_, ~,l,~-.-, ~, "--~, ''''' ""rl~"'^' "," ~ '/. ""'~'^" "-~~"Y"Tn: mar '~'"""'-;)(..-Y.:l'~'Ej:nrr"j~1Wn~?' r;~ -~~J~\;hT4aY. U:) nr.1' "'"' '--"~l., t..~,i':':::.:"C,'<),,,;i i:",' .. -, I 1)1,' '.-/-12' ",. "I . ...'l0 r,." ' lJUIv!j,'''i,,,.,j .',1-' '- _, ~"ll ", ',",) ,( '''-IU PEN!\js~:iI'l'!N~ NTY ~~~"'~~~,'Ii.i(~~~%P'Ji~~~~~~,'\Ol'If~':H'<"" ,;,-,,,,--.':,,,:~,,,'-"" , '''',~<,'', _~d '~ ~~ " ,"I , . ~ -,", "--~" li~"iiI!\i , HAIR v. HAIR PACSES Case Number: 205104790 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the support action. BY THE COURT: Date of Order: I d.lrW O~ 7'~~ JUDGE YOU HAVE THE RIGHT 1'0 A LAWYER, WHO MAY ATTEND THE HEARING 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 co BAR ASSOCIATION 2 LIBERTY AVE CARLISLE PA 17013-3308-02 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at: (717) 240-6225. All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Page 2 of 2 Form CM-514 Worker ID 21302 Service Type M "~=~ ......''""'"'" U' . ~ ,....~ "" ,I,. .. "'I] ~~' "oh.flit:s:,,;(~;~i.1 , 1 ., SHERRY L. HAIR, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION RICKY L. HAIR, Defendant PACSES NO. 205104790 NO. 01-6446 CIVIL TERM INTERIM ORDER OF COURT AND NOW, this 29th day of January, 2003, upon consideration of the Support Master's Report and Recommendation, a copy of which is attached hereto as Exhibit "A", it is ordered and decreed as follows: A. The Defendant shall pay to the State Collection and Disbursement Unit as alimony pendente lite the sum of $234.00 per month. B. The Defendant shall pay an additional sum of $25.00 per month on arrearages, if any, until paid in full. C. The effective date of the Defendant's APL obligation is September 26, 2002. D. Except as modified herein, the order of September 26, 2002, shall remain in full force and effect. The parties are hereby advised that they may file written exceptions to the Support Master's Report and Recommendation within ten (10) days of this order. Exceptions shall conform with the requirements of Rule 1910.12(f), Pa. R.C.P. If written exceptions are filed by any party, the other party may file exceptions within ten (10) days of the date of service of the original exceptions. If no exceptions are filed within ten (10) days of this interim order, this order shall then constitute a final order. By the Court, 7'~~ Kevin A. Hess, J. . . i -11- CI/:'- C,.) "'''' l-.) i"r-r? '..;,.1 ~~,~"~~. ., '-"".'_"_"'o-"~",, ,,-^', ""'~ t' ",~ ,,::', ," c, n t':.., .'.-; , -- "Her: 'r,,'> ,_ :"~~;'\;I()?ARY ,j /1!i /!]; [. ':/ ......' CUlili' !r:;:~L, IL.,":;i\/;; (.,.'") 1-\",. l'EI'J:\JS"I'i 'A~V',;-'lJi ./, Y fr...Vl'U ,A ~ '~'~,'~ '."~='"=~~ T]irT ",,-.~~~,,-.,.:t'Y:'~,~'" ~~ ",~, '"': "'''']''',,, "," ,'. ,~~~~l.l'f"!:.'~'""~h,' ",' :'~(-"'~;~'~''i'''''ii;~? """':;'''''''''''P_~'''i9!Jiil'lf~fNP-m:w,~WI,.'',jiill'~:~W'!l$ll''~''i~%'!l-,~'~~I11f!~'' ~.._,,- , ., ~ . . , ~." " cc: Sherry L. Hair Ricky L. Hair P. Richard Wagner, Esquire For the Plaintiff Douglas G. Miller, Esquire For the Defendant DRO ,,",I .'J.' ,1.- ,,~~l ",,', ,""""' 'lift' iiii"''';';'~~.#;" :,\ ~ "" - ~' ........~~ ~ , , '. , ,1. -" , ',',", '. ".. ~'k~rf,WiwJli~;} . 1 . f SHERRY L. HAIR, Plaintiff V. RICKY L. HAIR, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION PACSES NO. 205104790 NO. 01-6446 CIVIL TERM SUPPORT MASTER'S REPORT AND RECOMMENDATION Following hearings held before the undersigned Support Master on December 10, 2002, and January 21, 2003, the following report and recommendation are made: FINDINGS OF FACT 1. The Plaintiff is Sherry L. Hair, who resides at 7075 Carlisle Pike, Number 135, Carlisle, Pennsylvania. 2. The Defendant is Ricky L. Hair, who resides at 1343 West Trindle Road, Carlisle, Pennsylvania. 3. The parties are husband and wife, having married on June 28, 1997. 4. The parties separated on June 25, 2001. 5. On November 13, 2001, the Plaintiff filed a complaint for divorce containing therein a claim for alimony pendente lite. 6. On August 23, 2002, the Plaintiff filed an action for spousal support docketed to 750 Support 2002. 7. At the support conference held September 26,2002, the Plaintiff withdrew her complaint for spousal support and requested that the conference proceed on her claim for alimony pendente lite. 8. On September 26, 2002, an order was entered setting the Defendant's obligation to pay alimony pendente lite at $76.00 per month effective August 23, 2002, from which the Plaintiff has requested a hearing de novo. 9. The Plaintiff has gross bi-weekly income of $1 ,268.00.1 10. The Defendant is employed as a construction superintendent by Eichelberger Construction, Inc. 1 The parties stipulated to the Plaintiff's income. Exhibit nAil >,,~...."""" 0' ~,' L"",,--, '--' ';~~6ii~"', . I ., 11. In 2001 the Defendant had annual earnings from employment of $59,441.00. 12. In 2002 the Defendant had gross annual earnings from employment of $52,659.53. 13. The reduction in the Defendant's income from 2001 to 2002 was not a voluntary reduction of income on the part of the Defendant. 14. Superintendents at Eichelberger Construction are entitled to the use of a company vehicle for business purposes. 15. Superintendents who do not have a company vehicle because of unavailability are paid an additional $2.50 per hour as wages to compensate for the use of their personal vehicle. 16. In 2002 the Defendant received a company vehicle in April. 17. The Defendant's gross income for 2002 includes $1,367.50 as vehicle reimbursement for that portion of the year in which the company vehicle was not available to him. 18. The Defendant's employer made a matching contribution to the Defendant's 401 (k) plan in 2002 of $1,153.00. 19. The parties have no children together. 20. The Defendant is paying $477.99 per month as support for two children to a prior relationship. 21. Pending their divorce both parties file federal tax returns as married/separate. DISCUSSION The Defendant is not disputing entitlement to an award of alimony pendente lite. The amount of alimony pendente lite is com~)Uted utilizing the support guidelines in the same manner as spousal support.2 The parties stipulated that the Plaintiff had bi-weekly gross income of $1,268.00. This equated to gross monthly income of $2,747.00. Filing her 2 See Pa. R.C.P. 1910.1(a) and Pa. R.C.P. 191O.16-4(a). See also Little v. Little, 47 Cumberland L.J. 131 (1998). ~~ ~~, ~ ._~~ ~ ~ "" 'd .1. '""'" , ,,~:. " ~"~"_,,','l, ,,"~,/- ~"~,:~~1';'" .! . f federal tax return as married/separate, the Plaintiff has net monthly income of $2,105.00.3 The Defendant's income is slightly more complicated. In 2002 he had gross wages of $52.659.53. Of this amount the sum of $1,367.50 was paid to him to compensate for the use of his personal vehicle prior to his receiving a company vehicle in April, 2002. Superintendents such as the Defendant are entitled to company vehicles for business purposes, and if a vehicle is not available, they are compensated $2.50 per hour in addition to their normal wage. Perquisites such as personal automobile expenses must be considered as income for support purposes. Mascaro v. Mascaro, 803 A.2d. 1186 (Pa. 2002). The company truck provided to the Defendant was for business purposes only, although he did admit to driving 10 to 15 miles per week on personal errands. This amount of personal use is considered negligible, and the company truck provided to the Defendant will not be considered as income in this case. However, the $1,367.50 actually paid to the Defendant prior to the receipt of the company truck will be considered as income. Additionally the company paid matching contribution to the Defendant's 401(k) plan, less a ten percent penalty for early withdrawal, will be considered income for support purposes. Portuqal v. Portuaal, 798 A.2d. 246 (Pa. Super. 2002). The Defendant's gross monthly income for support purposes is calculated to be $4,475.00. Filing his federal tax return as married/separate, he has net monthly income of $3,169.00.4 The calculation of the Defendant's alimony pendene lite obligation is shown on Exhibit B. From the Defendant's net monthly income is deducted his child support obligation to children of another relationships and the Plaintiff's net monthly income. The difference is multiplied by 40% because the parties have no dependent children together. The monthly obligation is $234.00. The effective date of the Defendant's APL obligation will be September 26, 2002, the date on which the Plaintiff withdrew her spousal support complaint and requested the support conference to proceed on her claim for alimony pendente lite. RECOMMENDATION A. The Defendant shall pay to the State Collection and Disbursement Unit as alimony pendente lite the sum of $234.00 per month. B. The Defendant shall pay an additional sum of $25.00 per month on arrearages, if any, until paid in full. 3 See Exhibit A for the deductions from her gross income. 4 See Exhibit A for the deductions from his gross income. S See Pa. R.C.P. 191O.16-2(c)(2) . l . I iE'11;:> C. The effective date of the Defendant's APL obligation is September 26, 2002. D. Except as modified herein, the order of September 26, 2002, shall remain in full force and effect. ~""l ". """ \\"--"( I . 0 .DQ~ Michael R. Rundle Support Master :'[ ~""'" <,~ l' ..:....., j ~ 1'"'" ". ')Ji!:j"'" ',k ~'''~JiJ:1!!l_-''';'iW~'t<j:~',; "~ ....= ~.~-"~~ .' , . I In the Court of Common Pleas of Cumberland County, Pennsylvania Plaintiff Name: Defendant Name: Docket Number: PACSES Case Number: Other State ID Number: Tax Year: Sherry L. Hair Ricky L. Hair 01-6446 Civil 205104790 1. Fling Status 2. Who Claims the Exem tions 3. Number of Exem tions 4. Monthl Taxable Income 5. Deductions Method 6. Deduction Amount 7. Exem tion Amount 8. Income MINUS Deductions and Exem tions 9. Tax on Income 10. Child Tax Credit 11. Manual Ad'ustments to Taxes 12. Federal Income Taxes 12 a. Earned Income Credit 13. State Income Taxes 14. FICA Pa ments 15. City Where Taxes Apply $327.08 $250.00 $3,897.68 $793.87 $793.87 $125.29 $342.32 16. Local Income Taxes $44.75 TOTAL Taxes $1 306.23 SupportCa/c 2002 Exhibit nAil 1 $2,747.33 $327.08 $250.00 $2,170.25 $327.46 $327.46 $76.93 $210.17 --Select-- $27.47 $642.03 :> --.,~~"~ ~.......~ - .. . , Obligor's Net Monthly Income $3,169 Less Obligor's support, alimony pendente (478) lite, or alimony obligations, if any, to children or former spouses who are not part of this action Less Obligee's Net Monthly Income (2.105) Difference $ 586 Multiply by 40% x .4 Amount of Monthly APL $ 234 Exhibit "B" L '....i" '~ ',~" ' - ~,,~- 111i;;..ffi.4W,1!!..;'" ~.~ 1 ,- ;, ,'""J~ 'd,' 'f"'"-.~""'"","'. ,,~.- '~\i!!li'u'Wi""'-?f'~<" Department of the Treasury - Internal Revenue Service 2001 , 040 u.s. Individual Income Tax Return I '99' , ~ IRS Use Onlv - Do not write or stanle in this snace, Label ForthevearJan.1-Dec,31 2001 or other tax vear beainnina endin" I OMS No. 1545..Q074 (5.. Your first name M.1. Last name Suffix , Your social security no. instructions , RICKY L HAIR , on page 19,) , 191-46-2254 , Use the If a joint return, spouse's first name M.1. Last name Suffix , Spouse's social security no, , IRS label. , , Other- Home address (number and street)_ If you have a P. O. box, see page 19. IAPt no. A. IMPORTANT! A. wlse, 1343 WEST TRINDLE ROAD You MUST enter please City, town or post office State ZIP code vour SSN(s) above. print or type. CARLISLE PA 17013 NOTE. Checking "Yes" will not change your tax or reduce your refund. You Do you, or your spouse if filin9 a joint return, want $3 to go to this fund? ~DYes [8]NO Sin91e Married filing joint return (even if only one had income) Married filing separate return. Enter spouse's SSN above and full name here. .... X Head of household (with qualifying person). (See page 19.) If the qualifying person is a child but riot your dependent, enter this child's name here. ~ SSN: 5 Quali in widower with de endent child ear souse died ~ . See a e 19. 6a [8]vourself. If your parent (or someone else) can claim you as a dependent No. of boxes checked Exemptions on his or her tax return, DO NOT check box 6a. . . . . .. .} on 6a and 6b b 0 Spouse No. of your children C on 6c who: 22 Add the amounts in the far rl ht column for lines 7 thro h 21. This is 23 IRA deduction (see page 27) . . . . . . . . . . 24 Student loan interest deduction (see page 28) 25 Archer MSA deduction. Attach Form 8853 . . . . 26 Moving expenses. Attach Form 3903 27 One-half of self-employment tax. Attach Schedule SE 28 Self-employed health insurance deduction (see page 30) 29 Self-employed SEP, SIMPLE, and qualified plans 30 Penalty on early withdrawal of savings 31 a Alimony paid b Recipient's SSN ~ 32 Add lines 23 through 31a . 33 Subtract line 32 from line 22_ This is our ADJUSTED GROSS INCOME For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see page 72. (HTA) Presidential ~ Election Campaign ,.. Filing Status Check only one box. If more than six dependents, see page 20. Income Attach Forms W-2 and W-2G here. Also attach Form(s) 1099-R if tax was withheld. If you did not get a W-2. see page 21. Enclose, butdo notattach,any payment Also, please use Form 1040-V Adjusted Gross Income Spouse DYes DNO 1 2 3 4 First name: Last name: 1 Dependents: (2) Dependent's (3) Dependent's (4) Vifqual. social security number relationship ifyingchildfor (1) First name Last name tOllQU child tax credit CODY HAIR 169-70-4240 Son IXI . 0 0 0 0 0 1 d 7 8a b 9 10 11 12 13 14 15a 16a 17 18 19 20a 21 Total number of exemptions claimed . . . . . Wages, salaries, tips, etc. Attach Form(s) W-2 TAXABLE interest Attach Schedule B if required TAX-EXEMPT interest. DO NOT include on line 8a . 8b Ordinary dividends. Attach Schedule B if required . . . . Taxable refunds, credits, or offsets of state and local income taxes (see page 22) Alimony received . . . . . . . . . . . . . . . . . . . . . Business income or (loss). Attach Schedule C or C-EZ . .... . Capital gain or (loss). Attach Sch. 0 if required_ If not required, check here ~ D Other gains or (losses). Attach Form 4797 .. ........ ... Total IRA distribullons ... ~ U b Taxable amount . . Total pensions and annuilles . . ~ 0 b Taxable amount . . Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . . Farm income or (loss). Attach Schedule F. .............. Unemployment compensation . . . . . . . . . . . . . . . . . . . . Social security benefits . . . .~ b Taxable amount . - Other income. List type and amount (see page 27) ._m______________________u_ $ ____.___~~~~_____~______~________~______~__________~__~M_M_________._____________ . lived with you . did not live with you due to divorce or separation Dependents on 6c not entered above Add numbers entered on lines above .... o 56,520 84 9 10 206 11 12 13 14 15b 1Gb 17 18 19 20b 56810 ourTOTALlNCOME 23 24 25 26 27 28 29 30 31a 56,810 Form 1040 (2001) RICKY L HAIR 191-46-2254 Amount from line 33 (adjusted gross income) . . . , . _ . . . . Check If: Dyou were 65 or older, D Blind; D SPOUSE was 65 or older, Add the number of boxes checked above and enter the total here b If you are married filing separately and your spouse itemizes deductions, or you were a dual-status alien, see page 31 and check here . , , . . . . . .... 35b 0 36 ITEMIZED DEDUCTiONS (from Schedule A) OR your STANDARD DEDUCTION (see left margin) . 37 Subtract line 36 from line 34 . .. ....... . . . . 38 If line 34 is $99,725 or less, multiply $2,900 by the total number of exemptions claimed on line 6d. If line 34 is over $99,725, see the worksheet on page 32 . . .. ........ 39 TAXABLE iNCOME. Subtract line 38 from line 37. If line 38 is more than line 3knter -0- . . 40 TAX(seepg33). Check if any tax is from a DForm(s) 8814 bUForm4972 . 41 ALTERNATIVE MINIMUM TAX (see page 34). Attach Form 6251 . . . 42 Add lines 40 and 41 .............. 43 Foreign tax credit. Attach Form 1116 if required . . 44 Credit for child and dependent care expenses. Attach Form 2441 , , 45 Credit for the elderly or the disabled. Attach Schedule R . 46 Education credits. Attach Form 8863 . . . .' . . 47 Rate reduction credit. See the worksheet on page 36 48 Child tax credit (see page 37) . .... 49 Adoption credit. Attach Form 8839 . . . . . . . . . 50 Other credits from: a D Form 3800 b D Form 8396 c DForm 8801 d DForm (specify) 51 Add lines 43 through 50. These are your TOTAL CREDITS 52 Subtract line 51 from line 42. if line 51 is more than line 42, enter -0- 53 Self-employment tax. Attach Schedule SE . . . . . . 54 Social security and Medicare tax on tip income not reported to employer. Attach Form 4137 . 55 Tax on qualified plans, including IRAs, and other tax-favored accounts, Attach Form 5329 if required . 56 Advance earned income credit payments from Form(s) W-2 57 Household employment taxes. Attach Schedule H . . 58 Add lines 52 throu h 57. This is our TOTAL TAX . 59 Federal income tax withheld from Forms W-2 and 1099 59 60 2001 estimated tax payments and amount applied from 2000 return . . 60 61a Earned income credit (EIC) . . . . . . . . . . . . . . 61a b Nontaxable earned income . . . . ~ 62 Excess social security and RRT A tax withheld (see page 51) .. 62 63 Additional child tax credit. Attach Form 8812 . . . . . . . . 63 64 Amount paid with request for extension to file (see p~e 51) .. 64 65 Other payments. Check if from a D Form 2439 b U Form 4136 . 65 66 Add lines 59 60 61a and 62throu h 65. These are our TOTAL PAYMENTS Refund 67 If line 66 is more than line 58, sublractllne 58 from line 66. This is the amount you OVERPAID. 68a Amount of line 67 you want REFUNDED TO YOU . . . . . . _ . . .. . Direct deposit? 1 231382241 I..... D' f)(1 See page 51 ~ b Routing number ... c Type: Checking ~ Savings and fill in 68b, ~ d Account number I 208312 HA I 68c, and G8d. 69 Amount of line 67 u want APPLIED TO YOUR 2002 ESTIMATED TAX . ~ 69 Amount 70 AMOUNT YOU OWE. Subtract line 66 from line 58. For details on how to pay, see page 52 You Owe 71 Estimated tax enalt . Also include on line 70 . . . . .. 71 Third Do you want to allow another person to discuss this return with the IRS (see page 53)? DYES. Complele the following, DNO Party Oesignee's Phone Personal identification Designee name ~ no. ~ number (PIN) ~ Sig n Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and Here belief, they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparar has any knowledge, ~ Your signature Date Your occupation Daytime phone no. Joint return? CARPENTER See page 19. S' t If a J'oint return, BOTH must sign. Date Spouse's occupation Home phone no, Keep a copy pause 5 signa ure, for your records Preparer's signature Form 1040 2001 Tax and 34 Credits 35a Standard Deduction for~ . People who checked any box on line 35a or 35b OR who can be claimed as a dependent. see page 31. . All others: Single. $4,550 Head of household, $6,650 Married filing jointly or Qualifying widow(er), 17,600 Married filing separately, Other Taxes Paid Pre parer's Use Only DBlind. ~ 35a Check if self-employed EIN Phone no. ZIP code Date 3/11/2002 Firm's name (or yours if self-employed), address, and ZIP code PS TAX AND PAYROLL 52 SOUTH PITT STREET CARLISLE State P A nillili l,""~;:" "",; Pa e2 56,810 .~ 8,984 47,826 38 5800 39 42 026 40 7,026 41 42 7,026 600 600 6,426 51 52 53 54 55 56 57 ~ 58 .~ 6,426 12,251 12,251 5,825 5,825 Prepare~s SSN or PTIN P00014279 23-2933778 717-245-8581 17013 Form 1040 (2001) '-" Internal Revenue Service 99 Name(s) shown on Form 1040 RICKY L HAIR Medical and Dental Expenses SCHEDULE A (Form 1040) Department of the Treasury Taxes You Paid (See page A-2.) Interest You Paid (See page A-3.) Note. Pe~onal interest is not deductible. Gifts to Charity If you made a gift and got a benefit for it see a e A-4. Casualty and Theft Losses Job Expenses and Most Other Miscellaneous Deductions (See page A-5 for expenses to deduct here.) Other Miscellaneous Deductions Total Itemized Deductions UtL M\W:",Ji::, Schedule A - Itemized Deductions OMS No. 1545.0074 2001 Attachment Sequence No. Attach to Form 1040. See Instructions for Schedule A Form 1040 . 07 Your social security number 191-46-2254 Name 3820 56,810 Caution. Do not include expenses reimbursed or paid by others. 1 Medical and dental expenses (see page A-2) 2 Enter amount from Form 1040, line 34. . 2 3 Multiply line 2 above by 7.5% (.075) . 4 Subtract line 3 from line 1. If line 3 is more than line 1 enter -0- 5 State and local income taxes . 6 Real estate taxes (see page A-2). . . . . . . 7 Personal property taxes . . . . 8 Other taxes. g1:1 m ___ _ _ _ ___ ___ ___ ___ _ _ _:p _ ___ _ _ __ ___ ___.1 9 -----------------------------------.-------:p----------- 9 Add lines 5throu h8 . . . . ------ 10 Home mortgage interest and points reported to you on Form 1098 11 Home mortgege interest not reported to you on Form 1098. If paid to the person from whom you bought the home, see page A-3 and show that person's name, identifying no., and address 4,261 10 4,509 Address TIN _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ __ _ _ _ _ __ _ _ _ _ _ __ _ __ _ _ __ __ _ __ _ __ __ 11 12 Points not reported to you on Form 1098. See page A-3 for special rules . . . . . . . . . . . . . 12 13 Investment interest. Attach Form 4952 if required. (See page A-3.) . . . . . . . . . . 13 14 Add lines 10 throu h 13 . . .. .... 15 Gifts by cash or check. If you made any gift of $250 or more, see pageA-4 . . . . . . . 16 Other than by cash or check. If any gift of $250 or more, see page A-4. You must attach Form 8283.1f over $500 . . 17 Carryover from prior year . . . 18 Add lines 15 throu h 17 . . . 3,820 155 155 19 Casualt or theft loss es . Attach Form 4684. See a 20 . Unreimbursed employee expenses - job travel, union dues, job education, etc. You must attach Form 2106 or 2106-EZ if required. (See page A-5.) -------------------------------------------:p-------.--------- .F.9gM f_1_q~ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _:p _ _ _ _ _ _ _ _ _ _ _ _ !,q~~ 21 Tax preparation fees . . . . . . . . . . . . 22 Other expenses - investment, safe deposit box, etc. List type and amount ________________________J_________________ -------------------------------------------:p----------------- -------------------------------------------:p----------------- 1536 100 1,636 23 Add lines 20 through 22 ...... 24 Enter amount from Form 1040, line 34 . 24 25 Multiply line 24 above by 2% (.02) . . . . . 25 26 Subtract line 25 from line 23. If line 25 is more than line 23, enter -0- 27 Other - from list on page A-6. List type and amount $ -----------------------------------------.-----------------------$--------------- 28 Is Form 1040, line 34, over $132,950 (over $66,475 if married filing separately)? 0No. Your deduction is not limited. Add the amounts in the far right coiumn for lines 4 through 27. Also, enter this amount on Form 1040, line 36. DYes. Your deduction may be limited. See page A-6 for the amount to enter. 1136 500 For Paperwork Reduction Act Notice, see Form 1040 instructions, (HTA) Schedule A (Form 1040) 2001 J"< ,'~,~ . '""'" -., ,'J ,I' L "~ , Form 2106 Employee Business Expenses Department of the Treasury Internal Revenue Service 9 Your name RICKY L HAIR See separate instructions. Attach to Form 1040. Occupation in which you incurred expenses CARPENTER Part I Employee Business Expenses and Reimbursements STEP 1 Enter Your Expenses 1 Vehicle expense from line 22 or line 29. (Rural mail carriers: See instr.) 2 Parking fees, tolls, and transportation, including train, bus, etc., that did not involve overnight travel or commuting to and from work . 3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Do not include meals and entertainment . 4 Business expenses not included on lines 1 through 3. Do not include meals and entertainment . . .. ...... 5 Meals and entertainment expenses (see instructions) 6 Total expenses. In Column A, add lines 1 through 4 and enter the result. In Column B, enter the amount from line 5 . . . . . J , ,.;'~ -', 2 ' , ~'\if~l'~.I!; OMS No, 1545-0139 2001 Attachment Sequence No. 54 Social security number 191-46-2254 Column A Other Than Meals and Entertainment Column B Meals and Entertainment Note: If you were not reimbursed for any expenses in Step 1, skip line 7 and enter the amount from line 6 on line 8. Step 2 Enter Reimbursements Received From Your Employer for Expenses Listed in Step 1 7 Enter reimbursements received from your employer that were not reported to you in box 1 of Form W-2. Include any reimbursements re orted under code "L" in box 12 of our Form W-2 see instructions Step 3 Figure Expenses To Deduct on Schedule A (Fonn 1040) 8 Subtract line 7 from line 6. If zero or less, enter -0-. However, if line 7 is greater than line 6 in Column A, report the excess as income on Form 1040, line 7 8 Note: If both columns of line 8 are zero, you cannot deduct employee business expenses. Stop here and attach Form 2106 to your return. 9 In Coiumn A, enter the amount from line 8. In Column B, multiply line 8 by 50% (.50). (Employees subject to Department of Transportation (DOT) hours of service iimits: Multiply meal ~enses by 60% (.60) instead of 50%. For details, see instructions.) . . . . . UCheck this box for Employees subject to DOT hours of service limits. 7 1,536 1,536 10 Add the amounts on line 9 of both columns and enter the total here. Also, enter the total on Schedule A (Form 1040), line 20. (Fee-basis state or local government officials, qualified performing artists, and individuals with disabilities: See the instructions for special rules on where to enter the total. . . . . . . . . . . . . . . . . . . For Paperwork Reduction Act Notice, see instructions. (HTA) 10 1,536 Form 2106 (2001) ,W;; Part II Vehicle Exnenses Section A - General Information (You must complete this section if you (a) Vehicle 1 (b) Vehicle 2 are claimino vehicle exnenses.) 11 Enter the date the vehicle was placed in service 11 4/1/1992 12 Totai miles the vehicle was driven during 2001 12 25,213 13 Business miles included on line 12 13 2,600 14 Percent of business use. Divide line 13 by line 12 14 10.31% 15 Average daily roundtrip commuting distance 15 16 Commuting miles included on line 12 16 17 Other miles. Add lines 13 and 16 and subtract the total from line 12 17 22613 18 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . .0Yes 19 Was your vehicle available for personal use during off-duty hours? .... . . . . .[8JYes 20 Do you have evidence to support your deduction? . . . . . . . . . . .0Yes 21 If "Yes," is the evidence written? . . . . . . . . . . . .[KJYes Section B - Standard Mileage Rate (See the instructions for Part II to find out whether to complete this section or Section C. 22 Multi I line 13 b 341/2 cents .345 Section C - Actual Ex enses 23 Gasoline, oil, repairs, vehicle insurance, etc. . . . . 24a Vehicle rentals . . b Inclusion amount (see instructions) c Subtract line :24b from line 24a . . 25 . Value of employer-provided vehicle (applies only if 100% of annual lease value was included on Form W-2 - see instructions) 26 Add lines 23, 24c, and 25 . 27 Multiply line 26 by the percentage on line 14 . . 28 Depreciation. Enter amount from line 38 below . . . . 29 Add lines 27 and 28. Enter total here and on line 1 . Section D-Depreciation of Vehicles for the vehicle. ~il ,..."~"""'~__' , Form 2106 (2001) RICKY L HAIR 30a Enter cost or other basis (see instructions) .... b Enter the date the vehicle was placed in service 31 Enter amount of section 179 deduction (see instructions) . 32 Multiply line 30 by line 14 (see instructions if you elected the section 179 deduction) . . . . . . . 33a Enter depreciation method, either "200% DB", "150% DB" or "SL" b Enter depreciation percentage 34 Multiply line 32 by the percentage on line 33 (see instructions) . . 35 Add lines 31 and 34 . . . . 36 Enter the limit from the table in the line 36 instructions . . . 37 Multiply line 36 by the percentage on line 14 . . . 38 Enter the smailer of line 35 or line 37. Also enter this amount on line 28 above . . . . - I.",,, - i 1. t'i$",1i;~f'ii1-i'~;, 1- ", ~" ",--I' ,-" 191-46-2254 Page 2 DNo DNo DNo DNo 897 29 (Use this section only if you owned the vehicle and are completing Section C 30a 32 Form 2106 (2001) , _ HOtlRS R OVERTIME RATE 24.00 16.00 TE ":f "'N. "'~~~ P~R!~~'~~-r . I AMOUNT DeSCRIPTION 20.50_ 20.50 492.00 Vacl?ay 328 :0-:0 Holid" 11-25 \:0 12-01-02 .....-..--.-...-....--.....] 'I TOTAL PAY _.___,_...._._u_____".._'_~ ~~_.....~ 82Q..00 r-....--........_-_......_.~...__......_-_.-_..._-. H,~'...""''\,''"-'~___.'_,_, ,__, ".", i" FEDWH 401k ;.._. ,DEOUCTlONS THIS PE~IOD 137.72 MED. 41. 00 "Fe'es' 11_84 FICA 50.64 PAWg . 2:56 Ne"t:l:,rr" ---414--:-D -bent 22 :87. CV . 3 . '2.i chUcr --------1 .. .8~.,2:6 "! DED1%~ONS i "127.84 .. 405.8B ~ .. . 'j...'4L'" ... .._ .._....l-JET PAY ,'! EMPLOYEE INFORMATION ..__"__._.,___""._..._.,,__~~.,,~.._.._~..____~~~:.~~~.T2!:~l::~_ .. ~_. Ricky L-g"ir 191-46":z254 034 GROSS 'FWJ{ 45-761. 21FlCA . 7:!Hj:L.95SWH' 33-96:7 (14 O:rK 1243.1iNEr' 2183.13 .23535.aO _00 .o,=.,y Eel PAY TO THE ORDER OF EICHELBEllGEJJ Construction Inc. .' 124 W. Church St. Pn Box 459 DillsbUfg. PA 17019-0459 I. ". .... ....... ,', 'i1~~~[t",'"' :\;'~~ . _Riclfy :&- }I~ir;; . _ , , 134:> West'Trindle'Road ' Carlisle, PA 17013 L 12-06-2002 Net.DD PAYROLL CHECI<' 208:112000 '414 :12 DATE ~. --, CHECK NO. AMOUNT ff'':. j;:~':'",,'i 1. ". 1:' ~ 414.12 414.12 .00 . ~''j1 '" ""fi' ~< 1fc,,",'''''. .# "'ffl t, ..><,"":;;.,~~ ~ "", NON-NEGOTiABLE EICHELBERGER CONSTRUCTION INC, ''; DEFENDANT'S EXHIBIT 2- IfH 2!&> ." ~ 0' 'TI'" (l f-' ::0" P" tI f-' t<1' NO' . .'" 3 ;1>'" PJ w f-'-m ~ f-'. N f-'m Ulm 0 -.'0( a-tD :e ~ " "" ()3 f-' Ul ~ ' 3 0' ~% "0 "0 " f-' W '0 f-' f-'o 9- 3.... N f-'- '<l "'" Ul :;: ro. "'. '" 0' . Ulm :;: D\::. 0' ro f-j} -....J:. 0 ~m ~ Ul t-l~" c g" N f-' ro '. c Ul 0'0 ...,i} 3 O\Q 0' -. ." ro Ul '" "€ " et ro" -....Ja: " 00= -..J. et 3 ~. lil Ii~ 05' '" 0'" -" ",e. 1Il::E -..J.- :il " .n;; n l.Q~ o~ ro .~ 5.~ "'Ill -..J!". I-'J c. ~ 'TI :J roc. 0' c. 0 '" -. an offi- " 01 c ;I> C "01 0 ~ -- _:T 1Il1ll o- f-'. " " " . c !:Om " Y' . 3 3 III f-' :oJ " () ()" 2,3 0 '" c 0' g}'2. 1Il::l c -..J p.. " 3 f-' :J 0" ~ 3 c. ia.Q, 0 f-' 0' -..J :oJN '" 0' 0' N ~ 0.'0( rl ~ f-' ro ;; 0 Ul Ul;; -" W n f-' et rig 0" 0' gCllW >< ::0 c. \D " "e. "'." 0 ::r:" ro c. _m PJ PJ ro () ,"0 p.. f-'. et et ",m ~ " ~~ '" f-'. g; 0 JJ.... "- ::J Ul. ~ '" \D~ '" ~ "JJ ",,'fl H ~~ ~:: ::J CJlc pg- () '" 3 . <. ~~ Q' !' \D' 0 !: ~ OJ ru ... 2 !II 0' ~ CJ "- '" f-'. I; CJ 0'\5' ~ ",8 ",,3 1:-1 . ~~ ~ 0 :;: <:l ~ .. ... '" '" 0 2 ,. en '" en " ~J ~ 01 0' C. 0' " 0' .Jli " < n c. n .. ~ .Q '" ~ o' PI jl c " g ~ n . 0 . -, .- 0 " . 01 . "0 c:8 Ul"- .- m n ~ n Y' " C ~ C. 0 " Jl " :j, " il ~ ~ "0 "0 '< ~ ~ ~ Ulm Ul~ Ul~ g> w: . 3 'Ii' \DO \Do ",g ~. " """ ",,'fil ~ D'" " ~d: "". N~ " . "- f-''' . Wp ," f-' o[ "0 W -. 0 " 0 " "" "" a" 3 . \D \D ro " 9- "'"0"......"",,...."'''-''''......''-''0... c; ~ .. '" ,. 0 rl '" '" ~ . 0' 0' -j tlen " le '" en 01 . . 0 ~ 0' . "0 n ~ 5- . 0' 0- i[ 0 "- c ~ c. ~ 0 . "- < " " 01 ~ 5- i w' I c " ~ lr 0' ~ Q. c ~ 0' ~. , 0' 01 5- 0 " 3 " " " ~ " " . ~ Wlr f-'~ ~. 'jj "- NQ Ii" 0 N~ . en 0 'll", " \DO' 0 ro"- "':l, N~ ~ ~ c. ~ . N~ ~ '" roo Lng: 0' ." 0 0 0 f-'- . f-' Ul"- f-'ffi en c " . '" c- o: ~ . '" (Jl "" \D Ul f-' ~ " f-' Ul ..., W < '" 0- 3 OJ " tFH :'; '-'4"..u\w_ ~,'""""'""__"""'"="t"'-" '~-.l - - ',:' l , . ",. ". t'<I_'"' ,~ . ~ '" a.iIiJ~jf'fiiiMji~b ~"b"-'<_,....,,,,.....Ili'l =~.~~.l 0 : I "', ,,' "'''~'-:J.";.~;;,,;,, lM,l.~"' ","-,i(-, , Eichelberger Construction Inc Employee Weekly Payroll Verification System Date, 12 System Time: Page 1 26-Z002 8:36 am 034 Ricky ~ Hair Hire Date e-U-~994 Classification I GCe Shop Rate $:010.50 Filling Status S - 0 40111: Rate 5.00 % Period End Date 12-22-02 Company <:----- Posted Rates --- Date Cert Job Pay Type Hours Rate Amount Cash Frg Fringes Pension S\F Class Base Supr Sub Fringe Total Add, Total 02.246 1041.109 Suprn Add per Hr 27.60 S 008 12-16-02 X 02.246 1041.109 Field Wages 8.00 20.50 164,00 2,09 5.04 S Suprn 19,19 .69 19,88 7,13 27.01 12-17-02 X 02,246 ~04L109 Field Wages 8.00 20.50 164,00 2.09 5,04 S SUprn 19.19 .69 19.88 7.13 27.01 12-18-02 X 02.246 1041.109 Field Wages 8.00 20.50 164.00 2.09 5.04 S Suprn 19.19 .69 19.88 7.13 27.01 12-19-02 X 02.246 1041.109 Field Wages 8.00 20.50 164.00 2.09 5.04 S Suprn 19.19 -69 19.88 7.13 27.01 12-20-02 X 02.246 1041.109 Field Wages 8.00 20.50 164.00 2.09 5.04 S Suprn 19.19 -69 19.88 7.13 27.01 Time Totals 40.00 847.60 EMPLOYEE TOTALS <:-----_._._....~-~--_._--- lJDita Field 40.00 Field OT Shop Hourly Super/Forman Add Truck Vacation Holiday Wage Adjustments Bonus PAYS -------------.--------> Current YTD 820.00 39,520.85 169.13 41.00 27.60 1,610.94 1,367.50 1,968.00 1,209.50 141.69 5,423.12 <-.~-.~-..--.-.- DBDUCTIONS --------------> ."'"" Current 145.18 52,35 12,24 23.64 8A8 <------..-.... FWH FICA MED SMa Local OPT Taxable 803,39 844.39 844,39 844.39 847.60 YTD 9,188.65 3,179.98 743.70 1,436.05 514 .45 10.00 401K Match Holiday Disability Ins Life Insurance Health Insurance COMPANY DINGES ___h_.______> Per Hour CUrrent YTD .5125 20.50 1153.06 .1428 .0578 1.3795 5.71 2.31 55.16 TOTAL DEDUCTXONS TOTAL FRXNGliCS $2.0925 /Hour $241.89 $15,012.83 DEDUCTIONS Pension AOl.50 7738.28 CUrrant YTD 41.00 2,306,13 3.21 154.08 127.84 5,946.08 PAID TINE Drr 2.56 119,12 BegiIlIling Used Available $174.6~ $8,525.41 Vacation Hours 109.0 96.0 13.0 Personal Hours 16.0 .0 16.0 Sick Hours 40.0 .0 40,0 Current YTD $431;'10 21,836.14 'I'O'I'AL TAXBS 'I'O'I'A~ EARNINGS $847.60 $51,551.13 MISC. 401K Dental Domestic Accounting Fees NET FAY 4-LF\-\ L,\CUSTO>ll!llroR1"S\E"l_PR Eel hymn V.rJ.fi~~.,an.rpt c " ~i ~ "1' ""'"illitC ~ "C',,_ ~J'l~i~" ),.-- 'I ~ State Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 02/06/03 Tribunal/Case Number (See Addendum for case summary) ORDER/NOTICE TO WITHHOlD INCOME FOR SUPPORT bid. c2t)Cl/-("l/f({p (!/C')L PI}{'sES 5(f)?/oI/790 o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice Employer/\Nithholder's Federal EIN Number RE: HAIR, RICKY L. Employee/Obligor's Name (Last, First, MJ) 191-46-2254 Employee/Obligor's Social Security Number 4053000031 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) EICHELBERGER CONSTRUCTION INC PO BOX 459 124 W CHURCH ST DILLSBURG PA 17019-1232 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-namec;l employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 711.96 per month in current support $ 25.00 per month in past-due support Arrears) 2 weeks or greater? G9yes 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 $ 736.96 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: $ 170.07 per weekly pay period. $ 340.14 per biweekly pay period (every two weeks). $ 368.48 per semimonthly pay period (twice a month). $ 736.96 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFl/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. Date of Order: FES ., 1093 /9. 4.. Service Type M 5~\{i;:,'~> ~~I tf m~, ~,!1'rJ rlW.-V~lt." ~'~i'fXi~~';!w:',:;'~"~:iI' 2- J.()-=>, OMB No.: 0970-0154 7CM4:= Form EN-028 Worker ID $IATT r.:,i ""'-!Il -~, ~ ,~- ......... ~ t, .1_,- J!il"- t!lir' ~~~"..,"~, ~ "M..~-*'\JI>'E!t~) . " " ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o I(!;hecked you are required. to provi(fe a copy of this form to you(employee. Ifyouremploye~ works in a state that is dltterent 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, tribaliy-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 ollhis 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 identifythe portion ollhesingle payment that is attributable to each employee/obligor. 4.' RepOltilo8 t1.~ Paydatc/Da!e a(Witl.l.aldil ,g. You must lepo,! !I,c paydateldate af ,,;11,1 ,,,ldiloS "I,elo ,,,,,d;"5 tl,e payl,,""t. The j:}dyda.Lci'Jate of vvitl.l.old;lIg is tLe dab:. Oil vvL:d. anlouht vvM vvitLLeld noh, L1IC ellll-'Iuyee's YVages. You must comply with the law of the state ollhe 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 ali support Order/Notices due to Federal or State withholding limits, you must foliow the law of the state of employee's/obligor's principal place of empioyment. You must honor ali Orders/Notices to the greatestextent 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: 2516777000 - EMPLOYEE'S/OBLlGOR'SNAME: HAIR, RICKY L. EMPLOYEE'S CASE IDENTIFIER: 4053000031 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 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 ollhe State in which he or she is employed governs. 9. Anti-discrimination: You are subject to afine 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)1 ;or 2) the amounts aliowed by the State ollhe employee's/obligor's principal place of employment. The.Federallimitapplies 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 $IATT Service Type M OMB No,: 0970.-0154 ~-f ---~.~-,.... ~~L......, I, ~" " '" '" ,.'" <0< '" Uw.'<." - ~" , f'" ...,.... . ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HAIR, RICKY L. PACSES Case Number 205104790 Plaintiff Name SHERRY L. HAIR Docket Attachment Amount 01=644"6CIVIL$ 259.00 Child(ren)'s Name(s): DaB PACSES Case Number 401000062 Plaintiff Name LOU A. HAIR Docket Attachment Amount 12~92 $ 477.96 Child(ren)'s Name(s): ;~~~liA'~~/ ." DaB . . . . i~~~[i%~~ o If checked, you are required to enroll the child(ren) . identified above in any health insurance coverage available through the employee's/obligor's employment. Olf 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 Piaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obiigor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB :":"':",:":,"" ElI?~~~~~;;,;~~~;~~~~i;:;;~:~~;~II;~~.~~i:~;;~~)."....'...'...................... identified above in any health insurance coverage available through the employee'sJobligor's employment. ......,..... "... ... ..., ...., .. , ,. , ., . ,. , '....,.................. .,,'.. Ol! ~;;~~ked, you are required to enroll the child(ren) ." identified above in any health insurance coverage available through the employee'sJobligor's employment. Addendum Form EN-028 Worker ID $IATT Service Type M QMB No.: 0970-0154 ""'1 "1r 'f'--, , -"'" "~' .. '~~"""' :"F!;:E .':;TI\ITf V-l I. (1') . ~, ..,. ,'- ('I j'" ,,~, .. ,.., >- v\"'.JVi~:i:.~t":Lr'-\~"";lj CUUNTY Pf-I\,!f\!~~VL\lll :,p.\ j -, '.VI '1\I.dl """'.... ~""'~'~'~~<""~'~i ,.,~' ,.~= ,~ -~~,,~ --...... OF Of" r-l-,.... ~, j t't":'i '. i "::[,' ~~ .,~4J l~~DfIiU~!\Wlr.,*,~'\I'!_~'iJ$1'I~f!I~*,~~!l;jm~lm'~Vf,i",",'-,"'-l"!'i"~h";!~''''~;:':L",<!..'r',;:'"'~ '.'. """"~:'~!"?;."1>:"0'l~At~""'""""l'\;~1f'F'~' ",__"~<~:.--,C;;"~<?'1""'i"W!1.~~P"'W,,,!l'\;;' ,'" ", " ."',,",, ,0'- r' ~.."C "r" ,.."", ;" ''':, 'c '_,~,;.:"^ "",';"""",'-';;;' Ji.mt,"ij-j';,w,B,< LAW OFFICES JOHN B. MANCKE P. RICHARD WAGNER EDWARD F. SPREHA, JR. MANCKE, WAGNER & SPREHA 2233 NORTI-I FRONT STREET HARRISBURG. PA 17110 PHONE (717) 234-7051 FAX (717) 234-7080 June 6, 2003 E. Robert Elicker, Esquire 9 North Hanover Street Carlisle, P A 17013 Re: Hair v. Hair Dear Bob: This will confirm my telephone conference with Tracey requesting that the pre-trial statements for Friday not be necessary because the parties are close to an agreement. IT, for some reason, there is no agreement, then we will contact your office, and we will contact you if we do have an agreement. Your attention is appreciated. //J . / P. ,/ ; ! I L PRW/dks cc: Douglas G. Miller, Esq. '~'1 ,nJlliit~" '".' ..'.'="~ ~.~ '.'" .~ ._,,~ .".", - - lIlM~j~ -~~~",,--', 'Jl:"~'!ir "' State Commonwealth of Pennsylvania Co.lCity/Dist. of ClJME\ERLAND Date of Order/Notice 08/06/03 Tribunal/Case Number (See Addendum for case summary) RE: HAIR, RICKY L. ~\(j-\lqo D I -ld-lYro ~ 4Otoco 002 t 2.~<6 9. Q'2 o Ongmal Order/Notice @ Amended Order/Notice o Terminate Order/Notice ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT EmployerlWithholder's Federal EIN Number Employee/Obligor's Name (Last, First, MI) 191-46-2254 Employee/Obligor's Social Security Number 4053000031 Employee/Obligor's Case Identifier (See Addendum for plaintiH names associated with cases on attachment) Custodial Parent's Name (Last, First, MO EICHELBERGER CONSTRUCTION INC PO BOX 459 124 W CHURCH ST DILLSBURG PA 17019-1232 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. $ 537.34 per month in current support $ 48.52 per month in past-due support Arrears 12 weeks or greater? Oyes <X> 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 $ 585..86 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: $ 135.20 per weekly pay period. $ 270.40 per biweekly pay period (every two weeks). $ 292.93 per semimonthly pay period (twice a month). $ 585.86 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydateldate of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to t.he 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 (SCDUl 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 to (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. ,~ BY THE COURT: Date of Order: AUG 0 7 2003 Service Type M OMB No.: 0970-0154 Form E N-028 Worker ID $IATT ~1 4 ---k9i';',;- :\'" ,-;-;",>,,::-~~'j ,-' ,,1,:--,;,;0 ['L,<,'--,;", ";!",~; """ .'kj:'-;,"i'1f,$,~~-"M",(;;l~IHiH!lI.iit#.!i~"",';<~""ML,""-,"'%!i;~,*"Ah;""'''C:dt;,G!~,ilM,",H,,1'*'~~t~rn~ llRE.flilkI 1IIIl>'t: ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D If checked you are required to provide a copy of this form to your. employee. If your employe~ 'Yorks in.a state that is different rrom the state that issued this order, a copy must be provided to your employee even If the box 15 not checked. r , 1. We ilPpreciate the voluntary compliance of Federally recognized Indian tribes, triballY-Dwned 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.*~t~~",,~p'ldateld.te <>f ..itl.l,oldil,g ..hen ,el,di""l"e payl''''''t. TI,e payd.te/date of ..itl,l,oldil,g is lI,e date 01, ..I,iel, ""'O",,t ..a' ..itl,l,eld flom tl,,, e",ploy"e', ..ages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and fOlWard the support payments. 5. * 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 #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. WITHHOt.DfR'S ID: 2516777000 EMPLQYEE'S/OBlIGOR'S NAME: HAIR , RICKY L. EMPLOYEE'S CASE IDENTIFIER: 4053000031 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum PaymentS: You may be required to report and withhold from lurnp 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)1; or 2) the amounts allowed by the State of the employee'slobligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE 15 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.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker ID $IATT Service Type M QMB No.: 0970-0154 .LHlnll! """_",^,, ~ "ry:;",","U''',~' "c~""'l. ,~, ~" ,~" '">,,=,,,- ^~ -. . 1lIIIl~. ~~ .~ ,~"''''''' 'fi Qw;."'''Y""#:;'',,^,,,h-1''' , 'I, ADDENDUM Summary of Cases on Attachment Defendant/Obligor: HAIR, RICKY L. PACSES Case Number 205104790 Plaintiff Name SHERRY L. HAIR Docket Attachment Amount 01-6446 CIVIL$ 259.00 Child(ren)'s Name(s): DaB PACSES Case Number 401000062 Plaintiff Name LOU A. HAIR Docket Attachment Amount 1238892 $ 326.86 Child(ren)'s Name(s): DaB you are required to enroll the child(ren) in any health insurance coverage available through the employee'slobligor's employment. If you are required to enroll the child(ren) in any health insurance coverage available employee'slobligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB you are required to enroll the child(ren) in any health insurance coverage available employee'slobligor's employment. If checked, you are required to enroll the child(ren) in any health insurance coverage available 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): DaB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DaB If checked, you are required to enroll the ch i1d (ren) in any health insurance coverage available employee's/obligor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. Addendum Form EN-028 Worker ID $IATT Servi ce Type M OMB No.: 0970-0154 c ~tlijt1f_;~~tilii€.tiiW:;j!i,'":iijib"LfulW~'\"ili;", ~?~ , I ,_ =~~~"'__O" ,~~,,~ ~m M'\,c' ~ "SA""".. ""';S""";'"",,,,"">,\L""',!,~,~,,ilii,,hll::,~~;>lI.(."~illi!im~4~"l..,_:ffi~1ili-_11lia!lri&iilr~-t$.~idS:_l!OIl''lll:;;illI""~ ,~ 0 c.:~' 'C.-J C C",' "n -,,- ",' "- ....(:n :":') rnp' ~oi;_~, \ , G0.!. ~:::':; )~)\ ~c-~ , .'1-, '- __~,~r_) ~"~, -:::... ('~ ~.:.,") rn k ~. r>-0 :t>C, "'~A C ~ ;:::: ~ ,0 _0"" , "-I,1_~"",._ "~"~~ -~~~ I , , I.",,~, '~ ^ ,'.,.''--/- -'~i """(t, SHERRY L. HAIR, : IN THE COURT OF COMMON PLEAS : CUMBERLAND COUNTY, PENNSYL V AN1A Plaintiff, v. : NO: 2001-6446 : CIVIL ACTION - LAW RICKY L. HAIR, : IN DIVORCE Defendant PRAECIPE TO THE PROTIlONOTARY: Please withdraw Counts I, II, and ill of Plaintiff's Complaint Respectfully submitted, P.Ric I _ 3103 2233 North Front Street Harrisburg, P A 17110 (717) 234-7051 Attorneys for Plaintiff Date: <gIN! ~3 I ( ~ -- , ~-,,' .'~'""" "-":~; ~: ,~""~",~,,","..,,,,{u;'~,lcJ*,,!,.~~~{~_I~*,*,,~~~J!ioo.:Mii]jf"!rA..I~{til:""""~"'~iWi!~n- ' f7 b\~ ll.UIl_LiIllE. II ..._ ..w.'..'m."........"" _,~""',~""",",...".<~__,"'''.r,,'~,, .._''e' ^ ,." ,~",M C', C' 0 r. ",~'..J -n ~;; U tL ~ 111 !:.'~ (i") .. E z ,:' -;;.-" '1' CD Q:) 1.:;J ;:s C (~) ~ --~:) ~, ,- '~) t") Z ( )> , f'n C ._, ::, ~I :'...." ~~ -<: en ,.. ~'"~ ._- ~ >.., - >~, "", "'~~"":.-;.,..~ ,~~ ~ I ,. - ~h~'" .~..a1_~'-~'" .b~~..."' ~, I ._" llJl~l{iT "~~.d 'Ji:.:i~;,.'";\,,-,, ' , , ORDER/NOTICE TO WITHHOLD I~COME FOR SUPPORT State Commonwealth of Pennsylvania .R 0.5 i UnqOQorig~naIOrd~rINotice Co.lCity/Dist. of CUMBERLAND [) .. . t.f(jb ~ 1l,)'~'An1eri~i!dQ'cler/!'lo!iCe Date of Order/Notice 08/26/03 / to t!I. 0 TerminateOrderlNotice Tribunal/Case Number (See Addendum for case summary) EmployerlWithholder's Federal EIN Number RE: HAIR; RICKY L. Employee/Obligor's Name (last, First, MI) 191-46-2254 Employee/Obligor's Social Security Number 4053000031 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Ml) EICHELBERGER CONSTRUCTION INC PO BOX 459 124 W CHURCH S'J:' DILLSBURG PA 17019-1232 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. $ 303.34 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ O. 00 per month for genetic test costs $ per month in other (specify) for a total of $ 303.34 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 70.00 per weekly pay period. $ 140.00 per biweekly pay period (every two weeks). $ 151.67 per semimonthly pay period (twice a month). $ 303.34 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the (ost 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 (SCDUl 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/Oi:)/igor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COU Date of Order: AlJ8 2 7 2003..- Service Type M OMB No,: 0970-0154 Form E N-028 Worker ID $IATT ,'~~i!i\ilmT<~i,4f~}';"",1;:V'L:"':'-__ G;;,,; d",t,"":U;;;-J,<,"""'Er"nk,~,j~Hjl' :i,!i:, ",';'J.!",.';'~--h:j"("";';li','i.?,'",,'l!J;;-;"'i.%"''I<t~lt,H~~_rn;;i~~..ill'l1:-f!&il'Wll~~L~;11IDr~ liliiU "" ADDITIC)NALINFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o Iflihecked you are re~uired to provide a copy of this form to your employee. If your employe~ \yorks in.a state that is di erent from the stati, 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 lacated an a reservatio.rl that chaase to. withhald 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. * Repo'ting tl,e Pa,date/Dateo(Withl,oldilog. \'0" 1,1u,t ,epolt tl,e pa,dale'date of ..itl,l,ddiJ,g ..I,en '''' ,dil1g II,,, pa,'ee! ,I. Th" paydateldilte of vvitLt,oleJil,g,i5 the: dale 011 vvllkh ClllIOUl,t yv8.5 vvitlll,t':ld flOll1 tl.e elllployee/~ yyage5. 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: 2516777000 EMPLOYEE'S/OBLlGOR'S NAME: HAIR, RICKY L. EMPLOYEE'S CASE IDENTIFIER: 4053000031 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7_ Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If yau have any questians abaut lump sum payments, cantact the persan or autharity belaw. 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. 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. 1 1. 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 (7171 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form E N-028 Worker ID $IATT Service Type M OMBNo.:0970.0154 .";,--v",;"~,,~",,.,, ,~" .,e<:^"',v, '00 ~ .e~~,~ ~~ ~, ., , --,,,,..~.,- - , , ~.^ ~ L-~.-... ~J"';" ~ llO(j("-:'1l:J.#lioI~!';~: ADDENDUM Summary 01 Cases on Attachment DelendanlfObligor: HAIR, RICKY L. PACSES Case Number 401000062 Plaintiff Name LOU A. HAIR Docket Attachment Amount 1238 S 92 $ 303.34 Child(ren)'s Name(s): DOB ~.'.""""""" '."""""""""" ",' ....................... '.' '.'" ',"" ". '. ................................n".......... .",,,"'..,, n....' " "'" '" """', ' ""," "", " .,."",." ,., .",. ..',-.'..........' n...' ""'''''',...."'''''',,..,''.. .......... ...... ............" ""'",' ____'n'____' [Jlf cl1e~k~cl, y~u~;e r~~~ir~d 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 you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. P ACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. Service Type M Addendum OMB No.: 0970-0154 PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) above in any health insurance coverage available employee's/obligor's employment. Form EN-028 Worker ID $IATT ~: ;~I!Ji~*~;it;-Mt.l"<l''''i'-llh",&I;t''M;",~,;i~kiiim-m!Wiii:d,011'A~,*-', ~~~ . ^",",~,~,,=,~,~~=,_ _~' o~w., ~"~.~ -f,,""- "i",;"~,:"-j<;.,{-"*Jj,,w"";;"i,,,,/jfltfl~i',,,'ih,;1',~i!iil~~"k;,O;~~i"""'" . '[Jl~.!i!1ilM!~~- '. ~,--"' ,~-~,,~!,.,~,",,''''" " o v:> ~ G? f'J ....J 2, $: ~Cn ""'f1:' ':2~ :r;; ~C ~~ ~() :P-Q :?() 5c: ~ ~ --< c~ ~" ~. _. ,~ "" 1m,:, . , --t:l :3.~ o -r' ~ :;~ -11 .'llf::: -on ~,~~'Y '.-.:\C:-> -1- ~r, '?5';R, ---.j'r'-..} -c,>f'f" ':2, .~ - .. U1 0'\ ',' ~ 0" l:ki-"l'ii.'>;c'L'.;i In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION SHERRY L. HAIR ) Docket Number 01-6446 CIVIL Plaintiff ) VS. ) PACSES Case Number 205104790 RICKY L. HAIR ) Defendant ) Other State ID Number ORDER AND NOW, to wit, on this 26TH DAY OF AUGUST, 2003 IT IS HEREBY ORDERED that the support order in this case be 0 Vacated or OSuspended or Gi) Terminated without prejudice or 0 Terminated and Vacated, effective JULY 1, 2003 , due to: THE PARTIES' MARRIAGE SETTLEMENT AGREEMENT OF JULY 18, 2003. THERE IS A BALANCE OF $77.02 OWED TO THE PLAINTIFF AND WILL BE PAID OFF WITH THE CURRENT WAGE ATTACHMENT AND THE DIFFERENCE WILL BE REFUNDED TO THE DEFENDANT. DRO: RJ Shadday xc: plaintiff defendant P. Richard Wagner, Esquire IX>uglas Miller, Esquire BY THE ~T: /'" /9, 4.. Kevin A. Hess JUDGE i}JI~Ji:::'~ Service Type M Form OE-504 Worker ID 21005 t' ~:'~iil~~f!j;,!i>:H~~l&!~~i~;i;:,,","-l~~'H1-:'i-1"'~ ";t,,,,-'~",H~J','*: ~':";"'L';;'~j";;""Ji""i",,!;b!!,*V2:H!;.;!.~~~@I!Mill'.IOOl.r"""~"""""iiliiWi~iiW'.l1i'~~'.~~,~~~ <~__""',''"'''',_"'WO " _= ,n__~'"H" ':~:}-' n', !"':': ,'~:~ ( ~~ ""'N,^" .''__<"'_,""_k.M"" - ~~ "".-, , ~ , . ,~ , ~" ~ .n , ~--": 0 <.::> 0 c W .1 :;!;: "'" --, -OW ~ -r ,,- m'rTf C? ;'-\lr=J. Z:r,i zr'" N ~j~ (ri ~J.> CO g~) '"'0 ----r -,". ;E:;c _h,','; ~ :-:J- L ~ :,?-(") :;c;:C) Y1 5rn c ~ 7" r::- ~ (,,) -< ..l;