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Home My WebLink About99-02495 (2) . y~ ,',-.f ',>>....., T:: , '\~ ..1 ~ J 'W ';'~I'" ':7.".:.:., ~l. -,...... i a '>- ,.. (.: ;i ~ ....II. (r, Uj 0< is ~ ;.~ UIS:J ,'.~ : ) .~. ~ 0.- ~ h~ ~~.:~ ::..,~ ~:: 0 ~ ~ " Zi:: -' .." Ci)~~; >'l:~ 0 w . '(() ~ ) fr1' - "j','- l-j ':I:l "':J r.~_ '" ,;r~ ~? ~ cg all" n~ i:/'LJ r.:J.. -:" (,. if.IU.. ~ cJ ~- '. ". c') ,,; u 0' u 0<: Z CIlO<: O<:l> r<!..:I <( ..:1:>< .... +J P<CIl .... !: U Z~ .... III Eo< ::l r-- -+J 'tl Z .J R Or<! gj .~ !: H ::r;; - 1E:P< -(l) 0<: III IE: tr:1ll 1>:.... ..:I Cl Sw~~ o -3: tl~ f:J2: P< f-lr tl:><o<: l<lP< IE: .J <!i;xg r..~..:I rI-iilz Pl . r- Z 0 . a:: a:a:OD.. 0 . l> Pl r: - z r: ~ J: <.... :J o Eo< tl r: r tr: H <( H Eo< Z Eo<gjH Cl 0<: 0<: l>. I<: Cl ZOHOZ HtltlZH 0" VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- :J..49S (?/'Ul'l ~~ IN DIVORCE KATHLEEN S. BEECHER, Plaintiff DANIEL R. BEECHER, Defendant NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at 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 HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland county Bar Association 2 Liberty Avenue Carlisle, pennsylvania (717) 249-3166 . C/? (J L? /~/~~~~ An'th~riY 'L':'P~uca, Esquire 113 Front Street P.O. Box 358 Boiling springs, PA 17007 >.~ ii' KATHLEEN S. BEECHER, Plaintiff VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW .~L , , , ~ DANIEL R. BEECHER, Defendant NO. 99-,;J,l/9$ IN DIVORCE COMPLAINT UNDER SECTION 3301 (c) OF THE DIVORCE CODE 1. Plaintiff is Kathleen S. Beecher, who currently resides at 523 South pitt Street, Carlisle, Cumberland county, Pennsylvania, since January 15, 1998. 2. Defendant is Daniel R. Beecher, who currently resides at 1032 Petersburg Road, Boiling Springs, Cumberland County, pennsylvania, since August 22, 1996. 3. Plaintiff and Defendant have been a bona fide residents in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on October 7, 1989 in Carlisle, Pennsylvania. 5. There have been no prior actions of divorce or for annulment between the parties. 6. The marriage is irretrievably broken. 7. Plaintiff has been advised that counseling is available and that Plaintiff may have the right to request that the court require the parties to participate in counseling. 8. Plaintiff requests the court to enter a decree of divorce. YS. : IN THE COURT OF COMMON PLEAS OF : CUMBERLAND COUNTY, PENNSYLVANIA : CIVIL ACTION. DIVORCE : NO. 99-2495 CIVIL TERM KATHLEEN S. BEECHER, Plaintiff DANIEL R. BEECHER, Defendant : IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under ~3301(c) of the Divorce Code was filed on April 26, 1999. 2. The marriage of plaintiff and defendant is irretrievably broken and ninety days have elapsed from the date of filing and service of the Complaint. 3. I consent to the entry of a final Decree in Divorce after service of notice of intention to request entry of the Decree. I verify that the statements made in this Affidavit are true and correct to the best of my knowledge, information and belief. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S. 4904 relating to unsworn falsification to authorities. ~o........6 &0 d._LA___ Kathleen S. Beecher, Plaintiff Date: I.,) -/ / -0 1. f/~~7CJ,.. /J", 17~ 1::( '- L~ t:: ~J_~ C.~ " .j:.' '.1., (~~ ," ." 1!.1.";' Ln 00., .l: 1'- C; "':.;: -- ~:\;s , ,8"-: ::3 (".I (<) C'" 1'\ .:::> ,,-, c.~ .' :';.;. :.-!iD _'-;)(.1- ~-l () --- C:; I,~: u.! ~~? ("\- :::. ~; (~ '.: " C) !r> lV:. ..;. ('.J , , C;~I L! ('~I (;:) t ~~~ -' ".;::-:i ,'- . ~)) ;'!:E:; '-lib 'l:I(J.. ~",;. :'j u KATHLEEN S. BEECHER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW DANIEL R. BEECHER, Defendant NO. 99 - 2495 CIVIL IN DIVORCE CONFERENCE WITH COUNSEL AND THE PARTIES TO: Rebecca R. Hughes , Counsel for Plaintiff Kathleen S. Beecher , Plaintiff Nathan C. Wolf , Counsel for Defendant Daniel R. Beecher , Defendant A conference has been scheduled at the Office of the Divorce Master, 9 North Hanover Street, Carlisle, Pennsylvania, on the 11th day of December 2002, at 1:30 p.m., with counsel and the parties to discuss the outstanding economic issues to determine if there is a basis of settlement of claims. If issues remain after the conference, a hearing will be scheduled at another date. Very truly yours, Date of Notice: November 14, 2002 E. Robert Elicker, II Divorce Master : IIH;' I'>'. (:'::: ~'l ',"JTi!W i 02 nCT 3 I 'Iii 10: I:-! CUIc~"C,L' ,j I.::.::.:!,ny P~I\i~~='/it:+V, \t'l!.,\ .... C'J ~ i:r; ......-. .'t. ..< " f~}~ ,', - ~t<: . : ;-,:.( 1.1.. ~ -- '~::3 ~::./ T , ~::: I , >- c~ [ (/") ''''j .,0 '7 U:, L: :.." ri: I- \.I.I{a c: :J~o.. co '.. , , N ::J c.; 0 u 7. Respondent has sutlicient ineome and earning eapaeity, as well as assets, to support the , {i '" ;:f ~;~ Petitioner or to assist in supporting Petitioner, and to pay alimony pendente lite to Petitioner, as well as assist in paying her counsel fees, costs and expenses. ..' ';, WHEREFORE, Petitioner requests this Honorable Court to enter an Order of Alimony Pendente ( Lite, Interim Counsel Fees, Costs and Expenses in this matter. Respectfully submitted, IRWIN, McKNIGHT & HUGHES By: Rcbecea R. Hughes, Esquire Allome)'jo/' PloilllijflPetitione/' 60 West Pomfret Street Carlisle, PA 17013 (717) 249-2353 Dated: April 5, 2002 >- ..:1' -r g; t~: (.:. -.J .:.-;~ Cl !.l.l~-), ,';" ~~l~ rt ~T; .... ('0... .... .".. :)- n... ~ I.'" :--:!::j 8 C'l .- ,. ....- ........ t.u(,:.. . :'~ i~') Ii: ~: . Cl; :T~~~ t.i "1J ':fj i o. ...:: "~O_ ~ n_ r:( Q "" :'5 CJ a Q ;;.. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT bel 1999 -.:z'l9s- (!./(I/L o Original Order/Nolice State Commonwealth of Ppnnltvlvania ~h J)... Co./City/Dist. of CUMBERLAND 111'} C > E'S ~-'1 7/? 'f 7 ~ '-' @ Amended Order/Noliee Dale of Order/Nolice 06/18/02 JJR. ,$/6:t,. / .." ---a- 0 Termlnale Order/Notice Court/Case Number (See Addendum for case summary) ,aN, /0 J 3 S /197 ,V..,? 3'" /J,<j(,5[ S. 7.;11/cX66/- /J,,( 0' / "" I Rl: BEECHER, DANIEL R, ) Employee/Obligor's Name (lilSI, first, M1) I 209-46-0363 ) [mploycc/OlJligor's Social Security Number I 7601100026 ) Employee/Obligor's Case Identifier ) (See A.ddendum for plaintiff names associated with cases on aHamment) ) Custodial Parent's Name (Last, First, Mil I EmploycrlWithholder's Federal tiN Number US POSTAL SERVICE" EmoloyerlWithholdcr's Name C/O MANAGER EmploycrlWilhholdcr's Address PAYROLL PROCESSING BR 2825 LONE OAK PKWY EAGAN MN 55121-1551 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 Counly, 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/Nolice is not issued by you r State, .. $ 769.00 per month in current support $ 50.00 per month in past-due support Arrears 12 weeks or greater? <Xl yes 0 no $ 0.00 per month in medical support $ 0,00 per month for genetic test costs $ per monlh in other (specify) for a total of $ 819.00 per month to be forwarded to payee below. You do not have to vary your- pay cycle to be in compliance with the support order, If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 189.00 per weekly pay period, $ 378.00 per biweekly pay period (every two weeks), $ 409.50 per semimonthly pay period (twice a month), $ 819.00 per monthly pay period, REMITTANCE INFORMATION: You rnust 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 10 defray the cost of withholding, Refer to the laws governing the work state of your employee for the the allowable amount. The total withheld amount, and your fee, cannot exceed SS% of the employee's! obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on pg, 2), If remitting by 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 IV (shown above as Ihe Employee/Obligor's Case Idenlifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE COURT: Date of Order: JUN 1 9 2002 ~' krlIAl//l /f(' ~5 ~4.. Service Type M 'i:.""ror-n, 1EJl4~,~.I.: u/t')O hMaNO_;I\'l7n'(11~4 loq"'oIl,n<lOJlr 1UJ11111l 7"ubt:.E Form EN-028 Worker ID $IAT'r " ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If checked you are required 10 provide a copy of this form to your employee. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the> same Income. Federal lax levies in e((eel before receipt of this order hllVe priority. If there are FederallJX levies in effecl please conlacllhe requesting agency lIS1ed betow, 2. Combining Payments: You can combine withheld amounts (rom 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 allribulable to each employee/obligor, 3,' -Reporting-the"PaydatelDate ofWithholding,-Youmust"",port the paydaleldate of withholding when-sending thepayment.-The-- paydateldate-ofwithholding-is-the-date-onwhich-amount-waswithheld from the-employec's-wages, You must compty wilh the taw of the state of the employee'wobligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support paymenls, 4,' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Noliee 10 Withhold tncome for Support against this employee/obligor and you are unable to honor aU support Order/Notices due 10 Federal or State withholding limits. you must (ollow the law of the stale of employee's/obligor's principal place of employment You must honor all Orders/Notices to the greatest exlent possible, (See #9 belowl S, Termination Notification: You muSl promptly notify the Requesting Agency when Ihe employee/obligor is no tonger working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S 10: 2321733040 EMPlOYEE'S/0811GOR'S NAME: BEECHER. DANIEL R, EMPLOYEE'S CASE tDENTtFtER: 7601100026 DATE OF SEPARATtON: lAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold {rom lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7, liability: tfyou fait 10 withhotd income as the Order/Nolice direds, you are liabte (or bOlh Ihe accumutaled 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 Slate, in which case the law of the Stale in which he or she is employed governs. 8. Anti-discrimination: You are subject 10 a fine determined under State law for discharging an employee/obligor from employmenL refUSing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law govems 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,' Withhotding limilS: You may nol withhotd more Ihan lhe lesser of: 11 the amounls allowed by the Federat Consumer Credit Proledion Ad (1 S U,S,c. ~1673 (b)l;or 2) the amount, allowed by the Slate of the employee's1obligor's principal ptace of employment, The Federal limit applies to the aggregate disposabl(' weekly earnings (AOWE). AOWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Sod".! S&urity taxes; and Medicare taxes. 10, 'NOTE: If you or your agent are served with a ropy of this order in the slale that issued the order, you are to follow the law of the state that issued this order with respect to Ihe,e items, Requesting Agency; DOMESTIC RELATIONS SECTION 13 N, HANOVER ST P,O, BOX 320 CARLISLE PA 17013 tf you or your employee/obligor have dny questions, contact WAGE ATTACHMENT UNIT hI' telephone at (717) 24(}.622S or hy FAX at 17171240-6248 or hy tnll'met @ Pdge 1 of 2 form E N-028 Worker lD $ IATT Servke Type M (l'IH NU ..1I'1l(J~11~. 1.1"'~I"~ln~". 'J/.ll/[~I >- ~ !?l N >---' N ::J.-t' U_JC;'! tJ~ ~:'?(, :'t: 11_.,' a.. ':..t" ';:l~ C) (::, :.~(() -1;, en L___ ~IZ lU'. -,' 'T: 2: Ii! ~} ::; Utu lJ:lc.. ----, ~: U,_ N ::J 0 0 (.) ". " attorneys in the case and neither counsel today has an affidavit of service in their file showing the service of the complaint or receipt of the complaint by the Defendant, Mr. Beecher. Therefore, Mr. Beecher has signed an acceptance of service that he received a copy of the complaint which was filed on April 26th, 1999. The acceptance of service is dated December 11, 2002, and will be filed in the Prothonotary's office and made part of the file. The Master has been advised that there will be an alimony agreement which will be part of the settlement today, and as previously noted, no economic claims were filed in the complaint and no economic claims subsequently filed by either party. Consequently, Ms. Hughes is going to file a petition raiSing the alimony claim of record and, therefore, we are appropriately able to consider the alimony claim as a part of the issues to be resolved through the agreement that is going to be placed on the record. The agreement that is going to be placed on the record will be considered the substanative agreement of the parties and not subject to any changes or modifications except for correction of typographical errors which may be made during the transcription. The agreement is going to be transcribed and reviewed by the Master and counsel if ,; they request an opportunity to review the agreement for typographical errors. However, in order to expedite this matter, we will not require the parties to affix their signature to the agreement affirming the terms of the settlement. The agreement as stated on the record will be considered the agreement of the parties even though there is no signing by the parties affirming the terms of the settlement, and when the parties leave the hearing room today they will be bound by the terms of settlement as stated on the record. Consequently, after the agreement has been reviewed for typographical errors and corrections made as required of those errors, if any, the Master will be in a position to prepare an order vacating his appointment. Counsel then can file a praecipe transmitting the record to the Court requesting a final decree in divorce. In the meantime, the Master will file the affidavits and waivers and acceptance of service and Ms. Hughes will file a petition asserting the alimony claim. The parties were married on October 7, 1989, and separated January, 1998. The parties are the natural parents of two minor children who reside with the wife. Ms, Hughes. MS. HUGHES: The parties have agreed on all economic issues except for alimony and the division of an account, which said division will be handled within 30 days ,. by husband in which he shall rollover the amount of $2,154,00 from his individual retirement account into an individual retirement account that the wife shall set up. Wife shall set this up within the next 15 days, and husband shall be sure to authorize the rollover within 30 days. The account is held through Member's 1st in husband's name individually with an account number of 115341. With reference to alimony and health insurance, husband shall maintain wife on his health insurance through the end of June, 2003. Husband shall also pay to wife $100.00 a month in alimony as long as he keeps her covered, which will be at least until the end of June, 2003. After June, 2003, husband may stop the health insurance coverage on wife; however, he must begin alimony payments at that time of $250.00 per month. This arrangement shall continue through the end of November, 2004. At the time husband removes wife from his health insurance pOlicy, he shall provide wife with a IS-day notice prior to removing her from his coverage. This arrangement of alimony and health insurance coverage will be non-modifiable and terminable only on November 30, 2004, or upon the death of either party or the cO-habitation or remarriage of wife. Said alimony payments shall be paid through Domestic Relations according to husband's pay schedule. The order for alimony through Domesti.c Relations will be provided by wife. Also, . . the current spousal support order shall terminate upon the entry of a divorce decree in this matter. Except as hearin otherwise provided, each party may dispose of his or her property in any way and each party hereby waives and relinguishes any and all rights he or she may not now have or hereafter acquire under the present or future laws of any jurisdiction to share in the property or the estate of the other as a result of the marital relationship including, without limitation, statutory allowance, widow's allowance, right of intestacy, right to take against the will of the other, and right to act as adminstrator or executor in the other's estate. Each will, at the request of the other, execute, acknowledge, and deliver any and all instruments which may be necessary or visible to carry into effect this mutual waiver and relinguishment of all such interests, rights, and claims. THE MASTER: Mrs. Beecher, you've been present during the statement of the agreement on the record? MRS. BEECHER: THE MASTER: as stated on the record? Yes. Do you understand the agreement MRS. BEECHER: THE MASTER: Yes. Do you have any questions about . / it? MRS. BEECHER: No. THE MASTER: And are you satisfied that this agreement concludes all outstanding issues in this divorce proceeding? MRS. BEECHER: Yes. THE MASTER: You understand that when you leave the hearing room today, you're bound by this agreement even though there is no subsequent signing of the agreement affirming the terms of settlement? MRS. BEECHER: Yes. THE MASTER: Mr. Beecher, you've been present during the statement of the agreement on the record? it? MR. BEECHER: Yes, sir. THE MASTER: Do you understand the agreement as stated on the record? MR. BEECHER: Yes, sir. THE MASTER: Do you have any questions about MR. BEECHER: No, sir. THE MASTER: Do you understand that you're bound by the agreement even though there's no signing of the agreement affirming the terms of settlement? MR. BEECHER: Yes, sir. ~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT '>-, h~ Ir~C;-.",')t(C;-;-(!II)IC: 0 d State Commonwealth of P@nn!iylvania u/l . Original Or er/Notice Co.lCity/Dist, of CUMBERLAND 1-1;/Cc:,' ((;' /;'17/t:>'/Ic;ZJ 0 Amended Order/Nolice Date of Order/Notice 01/31/03 <;.. I,;;;? <' /)17 0 TerminateOrder/NoHce Tribunal/Case Number (See Addendum for case summary) 0/1' I ( _, <>-- l~-;t:c;><; 7:;.1/C-C';Y",J-- Rl: BEECHER, DANIEL R, EmploycrM'ithholdcr's Fedcr.11 EIN Number Employee/Obligor's Name (last. First, MI) 209-46-0363 Employc(!/Obligor's Social Security Number 7601100026 Employee/Obligor's Case Idenlifier (See A.ddtndum (0(' plaintiff names associatHl with cases on attachment) Custodial Parent's Name (Last, First, MI) US POSTAL SERVICE- C/O MANAGER PAYROLL PROCESSING BR 2825 LONE OAK PKWY EAGAN MN 55121-1551 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA HON: This is an Order/Nolice 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 Slale, $ 769.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? 0 yes @ no $ 0.00 per month in medical support $ 0 .00 per month (or genetic test costs $ per month in other (specify) for a total of $ 769.00 per month to be forwarded to payee below. You do not have to vary your pay cycle 10 be in compliance with the support order, If your pay cycle does not mat<:h the ordered suppurt payment cycle, u,e the following 10 determine how much to withhold: $ 177 .46 per weekly pay perlud, $ 354.92 per biweekly pay period (every two weeks), $ 384 ,50 per semimonthly pay period (twice a rnonth), $ 769,00 per monthly pay ,Jeriod, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the dale of this Order/Notice, Send payment within seven (7) working days of the paydate/date of withholding, You are entitled to deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% o( 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 Disbursemenl Unil (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 )'MENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Casp Identifier) OR SOCIAL SECURITY NUMBER tN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: f tt) is 2003 BV THE CO):-. /"?-' 4.. -<'It .v"lo' /ft- <"5 Service Type 11 . 7..' _{'~) -,---.~..) 'n~1R",,,.'()q~U~ll~4 Form EN'()28 Worker ID SlAT'!' (lIt. ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o tf checked you are required to prpyi~e a copy of lhis form 10 your emptoyee, If yoW employee works in a state that is ditfercnffrom the slate that is!loued this order, a copy must be providt~ to your employee even If the box is not checked. 1, We appreciate the voluntal)' compliance of Federally recognized tndian Iribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that chome 10 withhold in accordance with this notice. 2, Priority: Wilhholding undcr this Order/Nolice has priority over any olher iegal process under Slale law against the same income, Federal lax levies in cffect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency Iisled below, 3. Combining Payments: You can combine withheld amounts (rom 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 altributable to each employee/obligor. 4, ';leporting-thel'oydatelSate-ol-Withholding:--You-m",treport-the-paydatcldate-of-withhoiding-wh""",ending--th. p., me, ,Hm.-- paydateldllte-of-wjthhold;ng-k-th~ate-<m~vhid1-amounl-WM-wjthheld-from-the-employee's-wag",," You must comply wilh Ihe law of the sl.te of the employee's1obligor's principal place of emptoymenl wilh respect 10 the time periods wilhin whirh you must implemenllhe wilhholding order and forward Ihe suppon paymenls, 5,' Employee/Obligor with Mulliple Support Holdings: If there is more Ihan one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all sup pan Order/Notices due 10 Federat or Stale withholding limits, you must follow the law of the stalc of employee's1obligor's principal place of empioyment, You must honor alt Orders/Notices 10 Ihe greatesl exlent possible, (See #10 betow) 6, Termination Notification: You must promplly notify the Requesting Agency when Ihe employee/obligor is no longer working for you, Please provide the infomlation requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S 10: 2~217330'O EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTI~IER:_ LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: BEECHER. DANIEL R, 7601100026 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissiom, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8, Liability: tf you f.i/to withhold income as the Order/Notice directs, you are liable for bOlh Ihe accumulaled amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania Stale law governs unle&s the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. Anli-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor (rom employment, refusing to employ, or taking disciplirlary action agdinst 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 o{the State in which he or she IS employed governs. 10,' Withholding Limits: You may not withhold more than Ihe tesser of: 1) thc amounls altowed by the Federal Consumer Credit Prolection Act (15 U,S,C, S 1673 (b)l; or 2) the amounlS allowed by the State of the employee's1obtigor's principal ptace of employment. The Federatlimit applies to the aggregale disposabte weekly eamings (ADWE), ADWE is the net income left after making mandatoI)' 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 resperllo these Items. Submitted 8y: If you or your employee/obligor have any questions, DOMESTIC RELATtONS SECTION contact WAGE ATTACHMENT UNIT 13 N HANOVER ST by telephone at (717) 240.-6225 or P,O, BOX 320 by FAX at UlZ)240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID ~IATT OM8 i'IIu U'llU~ll ~4 .,.. ":J G i:r, tv: 1I)~ .~ i:: :::?~.-c: (' )=" 0:;<; :'l:! -~ ::::r; ~'.. , , ..l_ r~~~~ " '; '>;:'0 .."j' I .:!~ C:1 .-.....~ :~lLu ~ ~ 'T:I ().. 1'-" "- ';;"; -- u_ ,.., ;:) 0 C> () ...... ,- 1..0 1:::-- lr: I , C': ; -- I , ; - - -' , I .- ,--' - ~:'J o" C',: <n . , , , I ,-.- !J , Ii. .. _. :~) '. :,;; U ... State Commonwealth of Pennsvlvania Co.lCity/Dist. of CUMBERLAND Date of Order/Notice 04/07/03 Tribunal/Case Number (See Addendum for co.. summary) ORDER/NOTICE TO WITHHOlD INCOME FOR SUPPORT MI 1999.;)1195' {?/f/lL /lJJt.<;zS -S97/0'-/'/-C,V o Original Order/Notice (E) Amended Order/Notice o T erminJle Order/Notlce US POSTAL SERVICE- C/O MANAGER PAYROLL PROCESSING BR 2825 LCNE OAK PKW'l EAGAN MN 55121-1551 Rl: BEECHER, DANIEL R, [mplo)'cP/Ohligor's N,l11ll' (!..lM. First, Mil 209-46-0363 [mploycl'/Obligor's Social Security Number 7601100026 Employee/Obligor's Case Identifier (Sef A.dfkndum for plainti!f nam".s associated with cases on attachment) Custodial Parent's Name (Last, first, Ml) I:mployerMlithholder's federal ElN NumUcr See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA nON: This is an Order/Notice to Withhold Income (or 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/Nolice is not issued by your Slale, $ 748,00 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 $ 0,00 per month for genetic test costs $ per month in other (specify) (or a total of $ 748.00 per month 10 be forwarded to payee below. You do nol 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: $ 172,62 per weekly pay period, $ 345,23 per biweekly pay period (every two weeks), $ 374.00 per semimonlhly pay period <twice a month), $ 748.00 per monthly pay period, REMITTANCE INFORMATION: You rnust 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 10 deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount, The total withheld amount, and your fee, cannot exceed SS% of the employee's! obligor's aggregate disposable weekly earnings, For the purpose of the limitation on withholding, the following informalion is needed (See #10 on pg, 2), If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCOU Send check to: Pennsylvania SCOU, P.O, Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER 10 (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAtL. Date o( Order: APR - 8 2003 BY THE COY-_ '((I/--N~ liAS /9, 4.. Service Type M .. .,. '!Tl;Ji~~.;;""<'" :::n,iJk Form EN-028 Worker tD $IATT - ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS D t( ~hecked you arc required to prpvide a copy of lhis form to your cmptoyee, ti yo\rr emptoyec works in a stale that is dillcrent from the state thai issued this order, il copy must be I)rovided to your emp ayec even If the box is nol checked. 1. We il!>l)reciale the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, .md Indian-owned businesses located on a reservation thai choose to withhold in accordance with this nOlice. 2. Priority: Withholding under this Order/Notice has priority over any olher legal process under Slale law against the same income. Federal tax levies in effect before receipt of this order have priority. l(there ilrc Federal lax levies in effect please contact the requesting agency listed betow, 3. Combining Paymenls: You can combine withhr.ld amounts (rom morr. than one employee/obligor's income in a single payment to each agency requesting withholding, You must, however, sep,ulltely identify the portion of the single paymcntth.lt is allributable to each employeclobligor, 4, "-Reporting1he-PaydatclDate-o(-Withholding;--'o(ouo'mu,t-report o'the-paydatcldate-ofwithholding-whcn-,ending-the-payment;--rhe-- paydateldate-of-wilhholding-i'1he-dateon-which-amountwa,withhetdfrom theempioyee'<wageso You must comply wilh the taw 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 Wilhhold Income for Support against this employee/obligor and you arc unable to honor aI/support Order/Notices due to Federal or State withholding limits, you mus' foHow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possibte, (See #1 0 betowl 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: 2321733040 EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTifiER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: BEECHER, DANIEL R, 7601100026 DATE Of SEPARATION: 7. Lump Sum Paymenls: 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. Liabilily: 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 olher penalties set by Pennsylvania State Jaw. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed govems. 9. Anti-discriminalion: 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 eomployed governs. 10,' Withholding Limils: You may nol withhold more than the lesser of: lllhe amounts allowed by the Federat Consumer Credit Prolcction Act (15 U,S,c. ~ 1673 (bll: or 2) Ihe amounts allowed by the State of the employee's/obligor's principal ptace of employment, The Federallirnit applies to the aggregate disposable weekly eamings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. II, 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 wilh respect to Ihese items, Submitted By: DOMESTIC RELATIONS SFCTION 13 N, HANOVER ST P,O, BOX 320 Q,JilliLE PA 17013 tf you or your employepJobligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (7171240-6225 or by FAX at (7171 240-62:il!- or by inlernet ,",ww,childsupport,state,pa,us Page 2 of 2 Form EN-Ol8 Worker tD $IATT Service Type M ()MII""u.,U'l!IHJ1'>4 .;..- ADDENDUM Summary of Cases on Attachment Defendant/Obligor: BEECHER, DANIEL R, PACSES Case Number 597104450 Plaintiff Name KATHLEEN S, BEECHER Docket Attachment Amount 99-2495 CIVIL$ 100,00 Child(ren)'s Name(s): PACSES Case Number 729100002 Plaintiff Name KATHLEEN S, BEECHER Docket Attachment Amount 010ii3S 1997 $ 648.00 Child{rcn)'s Name(s): CORINNE A. BEECHER RACHEL E, BEECHER 008 008 07/18/90 05/11/93 o tf checked, you are required 10 enrolllhe child(renl identified above in any health insurance coverage available through the employee's1obligor's employment. o tf checked, you are required to enrolllhe child(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Dock,g! Attachment Amollnt $ 0.00 Child(ren)'s Name(s): Docket Attachment Amount $ 0.00 Child(reo)'s Name(s): DaB DaB o If checked, you are required to enrolllhe chitd(ren) identified above in any health insurance coverage available through the pmployee's!obligor'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 Altachmpnl Amount $ 0,00 Chitd(ren)'s Name(s): Docket Attachmpnt Amollnl $ 0,00 Child(renl's Name(sl: 008 DaB o If checked, you are required to ellrolllhe chitd(r<'n) identified above in any health in~uralln~ (owr..lge ..lv.-lil.lble through the emllloyee's!obligor's ('mploynll'lll. o If checked, you are required to pnroll the child(ren) irlcntifiPd above in i:lny hC'alth im.ur;!nre covC'rilge available through thp C'mployw's!olJligor's employment. Addendum form EN.028 Worker ID SIATT SelVice Type M ()M8N(I_:(I'J71)"(11r;~ /:1 G U 1..1 F' ~'l -- c, ?- i-- v. ~; ~-.. (',": " -< ) I J' ,- ( c '~J " c :.) " , , I , f2 (. I , : : ,o', ~~5 '- e> - In the Court of Common Pleas of CUMBEIlLAND County, Pennsylvania DOMESTIC RELATIONS SECTION KATHLEEN S. BEECHER ) Docket Number 99-2495 CIVIL Plainliff ) VS, ) PACSES Case Numbcr 597104450 DANIEL R. BEECHER ) DcCendant ) Other Statc ID Number CONSENT ORDER AND NOW, to wit, on this 7TH DAY OF APRIL, 2003 IT IS HEREBY ORDERED that the support order in this case be 0 Vacated or OSuspended or G\)Tenninated without prejudice or 0 Terminated and Vacated, effective DECEMBER 30, 2002 ,due to: THE PARTIES' FINAL DIVORCE DECREE AND AN AWARD OF ALIMONY BEING ENTERED, THE REMAINING CREDIT OF $411.01 SHALL BE DIRECTED TO THE ALIMONY ACCOUNT. "' BY T~~T:.4. 4.- Kev1n A. Hess JUDGE DRO: HJ Sbadday xc: plaintiff defendoot ~~t'F~-3' APR - 8 2003 Date Service Type M Fonn OE,S03 Worker ID 21005 1_' n,.. '. '- C:l C: 0'-; , , .:'": - , J :";"""\ , , \ , : ~_J :" , ~J.. \ :5 c; CJ '>- c- ?- Lr; <- F~". 0<::': - , ?; I L: ,.,-j ) ':.'J ~~ , -- :..._~. :-:, " ;,'.1 (} -<~ ! i iJ (' C~ ~..:.,;' , , :5 _o' ) C) '~:;Ii;.: .~q n~ljl-n~,dt In the Court of Common Pleas of CUMBERLAND County, Pennsylvania IIOME~TIC REI.ATIONS SEl.,ION 13 N, IIANOVEH ~T, p,O, BOX 320, CAHI.ISU:, PA, 17013 Defendant Name: DANIEL R, BEECHER Member 10 Number: 7601100026 PI(,1L~e nole: All correspondence mlL'illnclude Ihe MendK'r ID Number. ORDER OF ATIACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down nf Multiole Cases on Attachment PlainliffNamt! KATHLEEN S. BEECHER PACSES Case Numhcr 59'1104450 $ I $ $ I $ Attachment AmounllFrcouencv 100.00 IMONTH ~ I ~ ~ I I Docket ~ 99-2495 CIVIL TOTAl. A1TACHMENT AMOUNT: $ 748.00 Now, by Ordcr of this Coun, the Depanment of Labor and Industry, Bureau of Unemployment Compensation Benclits and Allowanccs (BUCBA). is hereby dirccted to allach the lesser of $172,62 pcr week, or 50 %, of the Uncmployment Compensation bcnelits othcrwise payablc to the Defendant, DANIEL R, BEECHER Social Security Number 209-46-0363 ,Member ID Numbcr 7601100026 , BUCBA is ordercd to rcmit lhe amount atlached to the Depanment of Public Welfare (DPW), DPW shall forward Ihe amounl reccived from BUCBA to the Domestic Relations Scction of this Coun for suppon and/or suppon arrcarages, If the Defendant's Unemployment Compcnsation benefits arc atlaehed by anothcr Coun or Couns for suppon and/or suppon arrearages, DPW may reducc the amount atlached undcr this Ordcr so that the total amount allaehed does not exceed the maximum amount subject to garnishment pursuant to 15 U,S,C, * 1673 (b)(2) and 23 Pa, C,S,A, * 4348 (g), This Order shall be effcctive upon receipt of the notice of thc Order by the BUCBA and shall rcmain in effect until the Defendant's entitlement to Unemploymcnt Compensalion benefits. under the Application for Benelits dated FEBRUARY 22, 1998 is exhausted, expired or defcrred, RUCBA shall comply with this Order, unlcss it is amended or vacated by subsequent Order of this Coun, All questions, challengcs or obligalions to this Ordcr shall be directed to the Domestic Rclations Section of this Coun, BY THE COURT Date of Order: Nt 1 0 2003 ,4, 4- / j(U/,(; IJ, IIEC;S JUDGE Service Typc M FornI EN-530 Workcr ID $IATT . _ ORDER/NOTICE TO WITH~OLD INCOME FOR S~PP07RT St t C Ith f P I' DJ:!, /91q ;; </1_1 {/ tilL 0 Originat Order/No.ice a e _ommonwea.._ 0_ _enn~y.vama Co.lCily/Dist. of CUMBERLAND ;?14{'f;f 5 ~t} 7/ ()l/t,/QI 0 Amended Order/Nolice Date of Order/Notice 04/07/03 @ Terminale Order/Notice Tribunal/Case Number fSee Addendum for case summary) KEEN TRANSPORT INC PO BOX 389 NEW KINGSTOWN PA 17072-0389 Rl: JUMPER, LARRY E, JR Employee/Obligor's Name (last, First, Mil 162-66-2345 Employee/Obligor's Social Security Number 5087100846 Employee/Obligor's Case Identifier (S~ Addendum for plaintiff names associated with cases on attachmMt) Custodial Parent's Name (last. First, MI) EmptoyerMiilhholdcr's Federal EIN Number See Addendum for dependent naml.'s 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, $ 0.00 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 $ 0 , 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to he forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order, tf your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 0.00 per weekly pay period, $ 0,00 per biweekly pay period (every two weeks), $ 0,00 per semirnonthly pay period (twice a month), $ 0,00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the 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), tf remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Cuslomer Service at 1.877.676.9580 for instructions, Make Remittance Payable to: PA SCOU Send check to: Pennsylvania SCOU, P.O. Box 69112, Harrisburg, Pa 17106.9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Service Type M BY THE COURT: :j; c/ - I '/<< ?- /[j/ t:5 "."'" M . _ f '~'J .,"" '~'P.""'OIJ L" ~Etf.~~;UlllO.{Jl~4 _ ~,C'?> . :::7L! _ G: Form E N-028 Worker ID 21005 DateofOrder:~ (X:'/c, :', ; ",_'. , ~, ',:':',' .;" ii: I? ~'L ., ,"::\ \:,:~;,:,li,;>\'iV!Y p ~:.I U U ~.? .::. :~~; ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS - 0 tf checked you are required to prpyi~e a copy of lhis (arm 10 your employee, t( your employe~ works in a state lhat is different (rom the state that issued Ihls Order, a copy must be provided to your employee even If the box is not checked. 1, We appreciale the voluntary compliance of Federally recognized tndian tribes, lribally-owned businesses, and tndian-owncd huslnesses located on a reservation that choose 10 withhold in accordance with Ihis notice. 2, Priority: Withholding under this OrderlNotice has priority over any other legal process under State law against the same income, Federal lax levies In effect before receipt of this order have priority. If there are Federal lax 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 oflhe single payment that is attributable to each employee/obligor, 4, '~rting1he-P.ydate!eate-of-Withholding:---\'ou-mu.t-report-the-payd.te/date-t>fwithholding-when-sendingihe-payment:-The-- Paydate/d.te-1>fwithholding-i.-the-d'le-1>n-which-amoun~wa.-withheldo'f\'Om-the-employee's-wag"'~ You must compty with Ihe law o( the state of the employee's/obligor's principal place o( employment wilh respect to the lime periods within which you must implement the withholding order and fo!Ward the suppon payments, 5,' Employee/Obligor with Multiple Support Holdings: t( there is more than one Order/Nolice to Withhold tncome for Support against this employee/obligor and you are unable to honor all support Ordcr/Notices due to Federat or Stale wilhhoiding limits, you must (011011' the law of the stale o( emptoyee's1obligor's principal place of employment. You must honor all Orders/Notices to the greatest extenl possibte, (See #10 betow) 6, Termination Notification: You must promptly nolify the Requesting Agency when the employee/obligor is no longer working for you, Please provide the information requested and retum a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S 10: 3407014810 EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: JUMPER. LARRY E. JR S087100B46 DATE OF SEPARATION: 7. lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8, liability: tf you fail to withhold income as the Order/Nolice 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 Stale in which he or she is employed governs. 9. Anti-discriminalion: You are subject to a fine determined under Stale law for discharging an employee/obligor from employment, refusing to employ, or laking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania Stale law governs unless the obligor is employed in anoth!;!r State, in which case the law of the State in which he or she is employed governs. 10,' Withholding limits: You may not withhotd more than the lesser 0(: 1) the amounts altowed by the Federal Consumer Credit Protection Act (1 S U,S,c. ~1673 (b)l; or 21 the amounts allowed by the State of the employee's1obligor'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 dedudions such as: State, Federal, localtaxesi 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 10 follow the law of the state that issued this order with respect to these items, Submilled By: DOMESTIC RELATIONS SECTION 13 N, HANOVER ST P,O, BOX 320 CARLISLE PA 17013 If you or your employee/ohligor have any questions, contact WAGE ATTACHMENT UNIT by lelephone at <7(7) 240-6225 or by FAX at (71;1 24(~6248 or by internet www.chiidsupport.state.pa.us Service Type M Page 2 of 2 Forrn EN-028 Worker ID 2100S {1MB Nil (lQ70.()1~~ GGG CONCEPTS, INC, Plaintiff IN THE COURT OF COMMON PLEAS CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION NO, 00-3491 CIVIL TERM vs, S, ELLIS & COMPANY, P,C" Defendant PRAECIPE TO WITHDRAW APPEARANCE To the Prothonotary: Kindly withdraw the appearance of Andrew H. Shaw, Esquire, on behalf of the Defendant in the above-captioned matter, Respectfully submitted, Date: 'i- 1-('. 0 ,] By: ~j~"JLf Ail rew H, Sha , sqUire Attorney I.D, No, 87371 4407 North Front Street p, 0, Box 5320 Harrisburg, PA 17110 (717) 232-8525 PRAECIPE TO ENTER APPEARANCE To the Prothonotary: Kindly enter the appearance of Cunningham & Chernicoff, P,C, and Robert E, Chernicoff, Esquire, on behalf of the Defendant, S, Ellis & Company, P,C, I I II il II I, II il II Ii :i 'I I I Date: 1...-/ jL/ / ", /- _/ /---/ 2a?RN'CO , 0 ert E, Che - , Attorney I.D, 0, 2320 North Second S p, 0, Box 60457 Harrisburg, P A 17 J 06.0457 (717) 238-6570 sjo\d:xs\c..()f~app\cllis~s " , , In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESfIC RELATIONS SECTION 13 N, HANOVER ~T, P,O, BOX 328, CARLISLE, PA, 17013 Defendant Name: DANIEL R. BEECHER Member ID Number: 7601100026 Please note: All correspondence must include the Member ID Number. ORDER OF ATIACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multinle Cases on Attachment Plaintiff Name lCATHLBBN S. BEECHER KATHLEEN S. BEECHER P ACSES Case Numher 597104450 729100002 Attachment Amount/Freauency $ 250.00/MONTH ~ 648. 00 ~MONTH g ! ~ ~ $ / Docket ~ 99-2495 CIVIL 01083 S 1997 TOTAL ATIACHMENT AMOUNT: $ 89B.OO Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment CompensatIon Bencfits and Allowances (BUCBA), is hercby directed to attach the lesser of $ 207,23 per w:...k, or 50 %, of the Unemployment Compensation benefilS otherwise payable to the Defendant, DANIEL R. BEECHER Social Security Number 209-46-0363 ,Member ID Number 7601100026 , BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW), DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages, If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrcarages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant 10 15 U,S,C, ~ 1673 (b)(2) and 23 Pa, C,S,A, ~ 4348 (g), This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlcment to Unemployment Compensation benefils, under the Application for Benefitsdated FEBRUARY 22, 1998 is exhausted, expiredordefcrred, BUCBA shall comply with this Order, unless it is amcnded or vacated by subsequent Order of this Court, All questions, challenges or obligations to this Order shall be direclcd to the Domestic Relations Section of this Court, BY THE COURT Date of Order: JUL 0 2 20.03 ~' /I, 4.. I<&-t?l/'l . I-/t~ <, JUDGE Servicc Type M Form EN-530 Worker ID $IATT ~ 'l';lj {/I t.. ..,.. c<' ~ .,-; u'. -", "_P ,-- N ::>.a: c:- '(.S/ .' ~~ '3~ ':"~~ '. c.. .-;:\~ t~,', '" ,'(f) \ )"z :'.-';"~ ::') ,:.11.\J ",,0- ~~'j ~ " .~..'\ 3 (j 0 . ~' ': .- . ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 07/01/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice US POSTAL SERVICE' C/O MANAGER PAYROLL PROCESSING BR 2825 LONE OAK PKWY EAGAN MN 55121-1551 1:;/ /9'11-,}1/9'i" (!If//L Ai,SiC, j'1710!<j-;-() Rl: BEECHER, DANIEL R, Employee/Obligor's Name (last, First, Mil EmployerlWithholder's Federal EIN Number ~f/. /tJ13~' 1997 INc!S2S 7,}1Io0{JtJ ')- 209-46-0363 Employee/Obligor's Social SecurilY Number 7601100026 Employee/Obligor's Case Identifier (See A.ddendum 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 TION: This is an Order/Notice to Withhold tncome 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, $ 898.00 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 $ 0 ,00 per month for genetic test costs $ per month in other (specify) for a total of $ 898.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order, If your pay cycle does not match the ordered support payment cycle, use the bllowing to determine how much to withhold: $ 207,23 per weekly pay period, $ 414.46 per biweekly pay period (every two weeks). $ 449.00 per semimonthly pay period (twice a month), $ 898.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydate/date of withholding, You are entitled to deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed S5% of the employee's! obligor's aggregate disposable weekly earnings, For the purpose of the limitation on withholding, the following information is needed (See #10 on pg, 2), If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA seDU Send check to: Pennsylvania SeDU, P.O, Box 69112, Harrisburg, Pa 17106-9112 IN ADDITtON, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCtAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. 'C'::;- ,~. r;r: _ ;:: 7"A L~, ,-. '''''WI'.,_~-,,""...;....L!- BY THE COURl: 7-;} ~r''3 Date of Order: JUL 0 2 2003 Service Type M n~1S t..Io (l'I~tJ.()1<'4 Form EN-028 Worker ID $IATT ..... . ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o t( rhecked you Me required, 10 prpyi,le a copy of Ihis form 10 your em/,toyee, If YOI" ernpioye~ works in 01 slolle lh.11 is dlllercnt from 11m slale thaI Issued IIllS anIN,.l copy must he provld(l( to your ('mp ayec even If the box is not checked. 1, We appreciate the voluntary compliance of Federally recognized Indian tribes, lribally-owncd businesses, ilnd lndian-owncd businesses located on .1 reservation that choose 10 withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any olher legal process under Slale law <Iga;nsllhe same income. Federal tax levies in effect before receipt of this order have priority. If there arc Federal tax levies in effect please contact the requesting agency Iisled 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, separalely identify the portion of the single payment that is attributable to each employee/obligor, 4,'-Reporting1ho-Paydale/E>aleof-Wilhholding,---You-musl-reporto'thepaydale/dale-ofwithholding-when-,ending1he-payment:-lhe-- paydateldale-of-withholding-i,-the-date-on-which-olmounlwaswilhheld-from-Ihe-employee's-wages~ You must comply with Ihe law of lhe state of the employee's/obligor's principal place of employment with respect 10 the time periods within which you must implement the wilhholdlng order and forward lhe suppon payments, 5,' Employee/Obligor with Mulliple Support Holdings: tf Ihere is more Ihan one Order/Notiee to Withhold Income for Support against Ihis employee/obligor and you are unable to honor all support Order/Notices due to Federal or Stare wilhholding limils, you mu51 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 possibte, (See #10 betowl 6, Termination Notification: You must promptly notify Ihe Reque5ling 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: 2321733040 EMPLOYEE'S/08L1GOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: BEECHER, DANIEL R, 7601100026 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold {rom 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. 6, liability: If you fail to wilhhold income as the Order/Nolice direcls, you are tiable for both Ihe accumulaled amount you should have withheld {rom 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 {rom 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 Ihe law of the State in which he or she is employed governs. 10,' Withholding Limits: You may not wilhhold more than the lesser of: 11 the amounts allowed by Ihe Federat Consumer Credit Prolection Act (15 U,S,c. 91673 ib)1; or 211he amounts allowed by Ihe Slale of lhe emptoyee's1obligor's principat 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 taxeSi Social Security taxes; and Medicare taxes. 11. Additionallnlo: '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 !;;.ARLlSLE PA 17013 tf 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-026 Worker ID $IATT Service Type M (JMBN(}.,(J'17n.ol~4 .... C") ;:: 0.4 ,r,. "': -:;:..: ,-- C"~ -").- UJo.::..... - ~.. (y ~.:~ ---\ .'_1 H-T l\_ ',:3 {'~ ': l,o'~o" ('-' .:C;; I , l~J I -'. ....-,;. " "'-- f~: : :-::,1 ;llU --, - 1.)0.. " ('J :3 0 D <.) "- III -~ <:; ..:J 1:-,; i::: ~ :I _ ;u~..: J.~ C..... ",,',- .' .., [I~ 2 .~:- ,~ '- . ~] r.:, ~D f{J , I , :.;; ~,:.J ~-:~ -, lU 'o" Q ". .... ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsvlvania Co.lCity/Disl, of CUMBERLAND Date of Order/Nolice 12/01/04 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended OrderlNotlce o Terminate Order/Notice EmployerM'ithholder's Federal EIN Number RE:BEECHER, DANIEL R. Employee/Obligor's Name (last, First. MI) 209-46-0363 . Employee/Obligor's Social Security Number /)/l ,J /I .-' _ f)?601100026 '1'-'/ ... Olf(.( j ~mployee/Obligor's Case Idenllfier (Sl'f' .4tkhnr/um for plaintiff names associated with cases M attachment) Custodial Parent's Name (last, First, MI) 31 J I {JI-/ cL<;D UNITED STATES POSTAL SERVICE' C/O PAYROLL BENEFITS BRANCH 2825 LONE OAK PKWY EAGAN MN 55121-1551 i8/1/fiJ {]{i] !(ft3 LS 11CJ7 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Wilhhold 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's1ohligor's income until further notice even if the Order/Notice is not issued by your State. $ 648,00 per month in current support $ 0,00 per month in past-due support Arrears 12 weeks or greaterl Oyes (X) no $ 0.00 per month in medical support $ 0.00 per month fer genelic test costs $ per month in other (specify) for a total of $ 648.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order, If your pay cycle does not match the ordered support payment cycle, use Ihe following to determine how much to withhold: $ 149,54 per weekly pay period, $ 299,08 per biweekly pay period (every two weeks), $ 3~per semimonthly pay period (twice a month), $ 648.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the 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 5S% 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 remining by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCOU Send check to: Pennsylvania SCOU, P.O. Box 69112, Harrisburg, Pa 17106.9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL Date of Order: DEe - G L'Jn:, BY THE CO~, K,&VIN4. ~.s::: ,;,4... Service Type M ('M8I\,oo,OIj70'(ll~4 "JtJ6(P{; Fonn EN.028 Worker ID $IATT ~ ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o I(checked you are required. 10 I"pyipe a copy of lhis form 10 youremoloyee, Ifyo\" employee \\'orks in,a slate thai is different from the stale that ISSUed tills Order, a copy must be proVided to your emp ayec even If the box IS not checked. 1, We appreciate the volunt3lY compliance of Federally recognized tndian tribes, lribally-owned businesses, and tndian-owned businesseslocaled on a reservation that choose to withhold in accordance with this notice. 2, Priority: Wilhholding under this Orner/Notice has priority over any olher legal process under State law against the same income, Federal tax levies in effect before receipt of this order have priority, if there are Federattax tevies 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 10 each agency requesting withholding. You must, however, separal~ly identify the portion of the single payment thai is attributable to pach employee/obligor, 4, .-!l"POrting--the-Payd.telEl.te-of-Withholding:----'fou-mwt-report-the-payd.teldate-of-withholding-"hen se, ,Jing-the-paymenH-he-- p,ydateld.te-ofwjthholding-iHhe--date-on-which-amotlnt-wa.-withheld-lrom-the-1!mployce',-wll~ You must comply with lhe law of the state of the employee's1obligor's principat place of employmenl with respect to the time periods within which you musl implement the Withholding orner and forwarn the support payments, S,' Employee/Obligor with Multiple Support Holdings: If there is more than one Orner/Notice to Withhold tncome for Support against this employee/obligor and you are unable (0 honor all support Orner/Nolices due to Federal or Stale withholding Iimils, you must follow lhe law of the state of employee's1obligor's princip.t place of employment, You must honor all Orde"'Nolices to the grealest extent possibte, (See #10 betowl 6, Termination Notification: You must promplly notify Ihe 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: 4107600000 EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER:, LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAMEIADDRESS: BEECHER, DANIEL R, 7601100026 DATE OF SEPARATION: 7. lump Sum Payments: You may be required to report and withhold (rom lump sum payments such as bonuses, commissions, or severance pay. lfyou have any questions about lump sum payments, contact the person or authority below. 6, liability: If you fail to withhold income as the Orner/Notice directs, you are liable for both Ihe accumulaled amount you should have withheld from the emptoyee/obligor's income and olher penallies set by Pennsylvania Stale law, Pennsylvania State law govems unless the obligor is employed in another State, in which case the taw of the State in which he or she is employed govems, 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 I.w 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 withhotd more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (1 5 U,S,c. ~1673 ib)l; or 2) the amounts allowed by the Stale of the employee's/obligor's principat place of employment The Federal limit applies to the aggregale disposable weekty eamings (ADWE), ADWE is the net income left after making mandatory dedudions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11, Additlon.llnfo: . 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 wilh respect to these items, Submilled By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTtON contact WAGE ATTACHMENT UNIT 13 N, HANOVER ST by telephone at (717) 240-622S or P,O, BOX 320 by FAX at (717) 24(}.624R or CARLISLE PA 17013 by internet www.rhildsupport.state.pa.us Service Type M Page 2 of 2 Fonn EN-026 Worker ID $IATT ()MB No.; ()'17().{)1,. .,..,.;;;;;.;.;;1.';~ ::.~ ,<' c:> t::-; ~~:~': ",C) ~ ; , .....<:,"- , s.2c) c- ~I,,:" :,,-, ,~ ~ \ .'. Ie) r- ~" I ,J,i: :-'~ ~II c.J ,.1-.,. l_~ 1 t::-: 0 'L -"" ".-' , 0 c'? C) '"" 1t~ PJD .......,: ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State (:Qmmonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/01/04 Tribunal/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number UNITED STATES POSTAL SERVICE* C/O PAYROLL BENEFITS BRANCH 2825 LONE OAK PKWY' EAGAN M1NT 55121-1551 Original Order/Notice Amended Order/Notice OTerminate Order/Notice RE: BEECHER, DAIg'IEL R. Employee/ObHgor's Name (Last, First, MI) Employee/Obligor's S~ial Securi~ Number ~ I~ ~' '~7601100026 * ~ 3 ~~Empioy~Obiigor's Case identifier (~ A~ndum f~ ~aint~ .ames Cust~ial Parent's Name (kast, Hrsb See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 648. oo per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? O yes (~) no $ o. oo per month in medical support $ o. oo per month for genetic test costs $ per month in other (specify) for a total of $ 648. O0 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: $ 149.54 per weekly pay period. $ 299.08 per biweekly pay period (every two weeks). $ 324. oo per semimonthly pay period (twice a month). $ 648. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Oblip, or's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: ,DEC: Service Type M OMB No.: 0970-0t$4 Form EN-028 Worker ID SZATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS [] I,f ~,hecke~l you. are requ.ired to prpv. idea ~:opy of this form. to your (~mployee. If yogr employee.wor,ks in a state,thal; is, ai,erent trom the state that issued this oraer, a copy must be provided to your employee even itthe DOX is not cnecKea. 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.* [~e~,C,~:J'~ u,c r OyU(~LC/~-/~LC U. VV,U,,,U,U,,,~. ,UU ..,u~ '~F'~"~ "'~ ~,.XU,'~'Ua~ of'--'"~L--,..,,~,,.~,,,~-"~' ..... .,,~,,L ..... *~,,U,,,~"'---- '~--.,~ ~,ay,,,~,,,. Th~ .............. · ..... ~-, .... · .L .................................... . ....L ................... ply ithth I fth I~yuat~-~u~tc u, vv[t[[[[u[u[]]~ i~ t[[c UaLC ~]] VVIII'~][ aH[UUI,t vva) W[L[[[IC[U I]'~,[[ UlC C[[]I~,Uy,:C ) VVO~C). You must corn w e aw o e 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 #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 4107600000 EMPLOYEE'S/OBLIGOR'S NAME: BEECHER, DANIEL R. EMPLOYEE'S CASE IDENTIFIER: ?601100026 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 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. §1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is l~e 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/obli§or have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 2.4~6248 or by internet www.childsupportstate.pa, us Service Type Page 2 of 2 OMB NO.: 0970-0154 Form EN-028 Worker ID $IATT Defendant/Obligor: ADDENDUM Summary of Cases on Attachment BEECHER, DANIEL R. PACSES Case Number 729100002 Plaintiff Name KATHLEEN S. BEECHER Docket Attach ment Amount 01083 S 1997 $ 648.00 Child(ren)'s Name(s): DOB CORINNE A. BEECHER 07/18/90 ~¢~.~ii~:~i~:i;:~i~".~:~i.? '<.;:!.:.' ::./'..' ..~?.. :::.:!:.:.' .~::.:~.:::.:.i~'/::~i:/~: [] If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case, Number Plaintiff Name Docket Attachment Amount $ o.00 Child(ren)'s Name(s): DOB [] If checke6, you are required to enroll the child(ten) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attach ment Amount $ o.oo Child(ren)'s Name(s): DOB [] If checked, you are required to enroll the child(ten) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB [] If checked, you are required to enroll the child(ten) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB [] If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ o.oo Child(ren)'s Name(s): DOB [] If checked, 'you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M Addendum OMB No.: 0970-0154 Form EN-028 Worker ID $IATT