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Home My WebLink About01-6031MELANIE S. DILLER, Plaintiff vs. MICHAEL D. DILLER, Defendant 1 IN THE COURT OF COMMON 1 PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ) 1 CIVIL ACTION - LAW 1 ? NO. O/- (003/ IN DIVORCE You have been sued in court. If you wish to defend against the claims set forth in the foregoing 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. 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: Office of the Prothonotary Cumberland County Courthouse 1 Courthouse Square Carlisle, PA 17013 IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, PA 17013 Telephone: (717) 249-3166 MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant TO THE WITHIN-NAMED DEFENDANT: 1 IN THE COURT OF COMMON 1 PLEAS OF CUMBERLAND 1 COUNTY, PENNSYLVANIA 1 1 CIVIL ACTION - LAW 1 1 NO. 1 1 IN DIVORCE You have been named as the Defendant in a Complaint in a divorce proceeding filed in the Court of Common Pleas of Cumberland County. This notice is to advise you that in accordance with Section 3302 (d) of the Divorce Code, you may request that the court require you and your spouse to attend marriage counseling prior to a divorce being handed down by the court. A list of professional marriage counselors is available at the Domestic Relations Office, 13 North Hanover Street, Carlisle, Pennsylvania. You are advised that this list is kept as a convenience to you and you are not bound to choose a counselor from this list. All necessary arrangements and the cost of counseling sessions are to be borne by you and your spouse. If you desire to pursue counseling, you must make your request for counseling within twenty days of the. date on which you receive this notice. Failure to do so will constitute a waiver of your right to request counseling. MELANIE S. DILLER, ) IN THE COURT OF COMMON Plaintiff ) PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. ) CIVIL ACTION - LAW 1 MICHAEL D. DILLER, j NO. (_ ?O3 Defendant ) IN DIVORCE AND NOW comes the above-named Plaintiff, MELANIE S. DILLER, by her attorney, Samuel L. Andes, and makes the following Complaint in Divorce: 1. The Plaintiff is MELANIE S. DILLER, an adult individual who currently resides at 6875 Wertzville Road in Enola, Cumberland County, Pennsylvania. 2. The Defendant is MICHAEL D. DILLER, an adult individual who currently resides at 6875 Wertzville Road in Enola, Cumberland County, Pennsylvania. 3. Both the Plaintiff and Defendant have been bona fide residents of the Commonwealth of Pennsylvania for at least six months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on 29 May 1987 in Mechanicsburg, Cumberland County, Pennsylvania. 5. There have been no prior actions of divorce or annulment between the parties. 6. The marriage is irretrievably broken. 7. Plaintiff has been advised of the availability of marriage counseling and the Plaintiff may have the right to request that the Court require the parties to participate in counseling. COUNT I - IRRETRIEVABLE BREAKDOWN 8. The Plaintiff requests this Court to enter a Decree in Divorce. WHEREFORE, Plaintiff requests this Court to enter a Decree in Divorce pursuant to the Divorce Code of Pennsylvania. COUNT 11 - EQUITABLE DISTRIBUTION 9. During the course of the marriage, the parties have acquired numerous items of property, both real and personal, which are held in joint names and in the individual names of each of the parties hereto. WHEREFORE, Plaintiff prays this Honorable Court, after requiring full disclosure by the Defendant, to equitably divide the property, both real and personal, owned by the parties hereto as martial property. COUNT III - ALIMONY 10. Plaintiff lacks sufficient property to provide for her reasonable needs in accordance with the standard of living of the parties established during the marriage. 11. Plaintiff is unable to support herself in accordance with the standard of living of the parties established during the marriage through appropriate employment. 12. The Defendant is employed and enjoys a substantial income from which he is able to contribute to the support and maintenance of the Plaintiff and pay her alimony in accordance with the Divorce Code of Pennsylvania. WHEREFORE, Plaintiff prays this Honorable Court to enter an Order awarding Plaintiff from Defendant permanent alimony in such sums as are reasonable and adequate to support and maintain Plaintiff in the station of life to which she has become accustomed during the marriage. COUNT IV - ALIMONY P NDENTF I ITC 13. Plaintiff is without sufficient income to support and maintain herself during the pendency of this action.. 14. Defendant enjoys a substantial income and is well able to contribute to the support and maintenance of Plaintiff during the course of this action. WHEREFORE, Plaintiff prays this Honorable Court to order Defendant to pay her reasonable alimony pendente lite during the pendency of this action. 15. Plaintiff is without sufficient funds to retain counsel to represent her in this matter. 16. Without competent counsel, Plaintiff cannot adequately prosecute her claims against Defendant and cannot adequately litigate her rights in this matter. 17. Defendant enjoys a substantial income and is well able to bear the expense of Plaintiff's attorney and the expense of this litigation. WHEREFORE, Plaintiff prays this Honorable Court to order Defendant to pay the legal fees and expenses incurred by Plaintiff in this litigation of this action. 41e- l L. An es Attorney for Plaintiff Supreme Court ID # 17225 525 North 12' Street Lemoyne, Pa 17043 (717) 761-5361 I verify that the statements made in this Complaint are true and correct. I understand that any false statements in this Complaint are subject to the penalties of 18 Pa. C.S. 4904 (unsworn falsification to authorities). Date: 4AMENIE S. DILLER z C; t LIA -s L,6 4 Q C1 a 0 ? w Q ? F d z a z d ? ? a 4 a z z p F d a r?i F 0 W 6 U1 d N o W r7 MELANIE S. DILLER, ) Plaintiff ) 1 vs. ) MICHAEL D. DILLER, ) Defendant ) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE MOTION FOR HEARING ON APL REQUEST AND NOW comes the above-named Plaintiff, by her attorney, Samuel L. Andes, and moves this court to schedule a conference at the Domestic Relations Office and, if necessary, a hearing before the court, on Plaintiff's Request for Alimony Pendente Lite, as originally raised in her Divorce Complaint, a copy of which is attached hereto. 12 February 2002 Sa I L. Andes Attorney for Plaintiff Supreme Court ID # 17225 525 North 12m Street Lemoyne, Pa 17043 (717) 761-5361 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA MELANIE S. DILLER, ) Plaintiff 1 CIVIL ACTION - LAW Vs. ) NO. 01-6031 1 MICHAEL D. DILLER, ) IN DIVORCE Defendant 1 DRS ATTACHMENT FOR APL PROCEEDINGS PETITIONER NAME Melanie S. Diller ADDRESS 1806 Louisa Lane Mechanicsburg, Pa 17050 BIRTH DATE tober 8, 1960 SOCIAL SECURITY NUMBER 09 E 1 HOME PHONE -6382 737 WORK PHONE 1167 3- EMPLOYER NAME EMPLOYER ADDRESS JOB TITLE/POSITION DATE EMPLOYMENT COMMENCED GROSS PAY NET PAY OTHER INCOME N ATTORNEY'S NAME re ATTORNEY'S ADDRESS t r ATTORNEY'S PHONE NUMBER 61 61-,3 ,717)7 RESPONDENT NAME ADDRESS BIRTH DATE SOCIAL SECURITY NUMBER HOME PHONE WORK PHONE Michael D. Diller April 17, 1960 190-54-6571 EMPLOYER NAME EMPLOYER ADDRESS JOB TITLE/POSITION DATE EMPLOYMENT COMMENCED GROSS PAY NET PAY OTHER INCOME ATTORNEY'S NAME ATTORNEY'S ADDRESS ATTORNEY'S PHONE NUMBER MARRIAGE INFORMATION DATE OF MARRIAGE May 29, 1987 PLACE OF MARRIAGE Mechanicsburg, Pennsylvania DATE OF SEPARATION ADDRESS OF LAST MARITAL HOME 6688o7755PAA lWeerrtzvillee E 25 oad 170 DESCRIPTION OF DOCUMENT RAISING APL Divorce Complaint CLAIM DATE APL DOCUMENT FILED MELANIE S. DILLER Plaintiff vs. MICHAEL D. DILLER Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE PRAECIPE FOR ENTRY OF APPEARANCE Please enter the appearance of the law offices of FEEMAN, MESICS & HOPSTETTER for Michael D. Diller, the Defendant, in the above-captioned case. FEEMAN, MESICS & HO STETTER r _. Date: By Robert A. Hopstette squire Attorney I.D. 450832 247 South Eighth Street P. O. Box 25 Lebanon, PA 17042-0025 Telephone: (717) 272-3477 MELANIE S. DILLER Plaintiff VS. MICHAEL D. DILLER Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE CERTIFICATE OF SERVICE I, Barbara A. Dengler, an employee of Feeman, Mesics & Hopstetter, do hereby certify that a true and correct copy of the Praecipe for Entry of Appearance was served by United States regular mail upon the following individual and/or agency, on the following date: Attorney for Plaintiff Samuel L. Andes, Esquire 525 North 12" Street Lemoyne, PA 17043 Cumberland County Domestic Relations P. O. Box 320 Carlisle, PA 17013 Date: March 5, 2002 Barbara A. Dengler C; ' ZJ ?i ?6: i?,. i ... mrr; zx; :? ??_ ? 7 O7 71 ?. '? ? ? ? ? '? i ' i to i o MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL TERM MICHAEL D. DILLER, IN DIVORCE Defendant/Respondent DR# 31475 Pacses# 766104273 ORDER OF COURT AND NOW, this 20`s day of March, 2002, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1,460.70 and Respondent's monthly net income/earning capacity is $3,614.91, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $800.00 per month payable monthly as follows; $750.00 for alimony pendente lite and $0.00 on arrears. First payment due March 22, 2002 @ $173.08 plus $11.54 per week. Arrears set at $1,500.00 as of March 20, 2002. The effective date of the order is February 14, 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 PA SCDU to: Melanie S. Diller. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. DILLER V. DILLER PACSES Case Number: 766104273 IMPORTANT LEGAL NOTICE PARTIES MUST WITHIN SEVEN DAYS INFORM THE DOMESTIC RELATIONS SECTION AND THE OTHER PARTIES, IN WRITING, OF ANY MATERIAL CHANGE IN CIRCUMSTANCES RELEVANT TO THE LEVEL OF SUPPORT OR THE ADMINISTRATION OF THE SUPPORT ORDER, INCLUDING, BUT NOT LIMITED TO, LOSS OR CHANGE OF INCOME OR EMPLOYMENT AND CHANGE OF PERSONAL ADDRESS OR CHANGE OF ADDRESS OF ANY CHILD RECEIVING SUPPORT. A PARTY WHO WILLFULLY FAILS TO REPORT A MATERIAL CHANGE IN CIRCUMSTANCES MAY BE ADJUDGED IN CONTEMPT OF COURT, AND MAYBE FINED OR IMPRISONED. PENNSYLVANIA LAW PROVIDES THAT ALL SUPPORT ORDERS SHALL BE REVIEWED AT LEAST ONCE EVERY THREE (3) YEARS IF SUCH REVIEW IS REQUESTED BY ONE OF THE PARTIES. IF YOU WISH TO REQUEST A REVIEW AND ADJUSTMENT OF YOUR ORDER, YOU MUST DO THE FOLLOWING: CALL YOUR ATTORNEY. AN UNREPRESENTED PERSON WHO WANTS TO MODIFY (ADJUST) A SUPPORT ORDER SHOULD CONTACT THE DOMESTIC RELATIONS SECTION. ALL CHARGING ORDERS FOR SPOUSAL SUPPORT AND ALIMONY PENDENTE LITE, INCLUDING UNALLOCATED ORDERS FOR CHILD AND SPOUSAL SUPPORT OR CHILD SUPPORT AND ALIMONY PENDENTE LITE, SHALL TERMINATE UPON DEATH OF THE PAYEE. A MANDATORY INCOME ATTACHMENT WILL ISSUE UNLESS THE DEFENDANT IS NOT IN ARREARS IN PAYMENT IN AN AMOUNT EQUAL TO OR GREATER THAN ONE MONTH'S SUPPORT OBLIGATION AND (1) THE COURT FINDS THAT THERE IS GOOD CAUSE NOT TO REQUIRE IMMEDIATE INCOME WITHHOLDING; OR (2) A WRITTEN AGREEMENT IS REACHED BETWEEN THE PARTIES WHICH PROVIDES FOR AN ALTERNATE ARRANGEMENT. UNPAID ARREARAGE BALANCES MAY BE REPORTED TO CREDIT AGENCIES. ON AND AFTER THE DATE IT IS DUE, EACH UNPAID SUPPORT PAYMENT SHALL CONSTITUTE, BY OPERATION OF LAW, A JUDGMENT AGAINST YOU, AS WELL AS A LIEN AGAINST REAL PROPERTY. IT IS FURTHER ORDERED that, upon payor's failure to comply with this order,yor, samay be lary, arrested and brought before the Court for a Contempt hearing; payor's wages, commissions, and/or income may be attached in accordance with law; this Order will be increased without further hearing by o % a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Copies delivered to parties - ' 1 a'& 2-jwZ Date DRO: RJ Shadday xC: plaintiff defendant Satrnuel Andes, Esquire Robert Hopstetter, Esquire v nEl m Service Type M ,3-"k7O {?d Edgar B. Bayley Judge Page 4 of 4 Form OE-518 Worker ID 21005 N v ? GJ: r- %J ;ilfn r-l) i a C _ i`j Pf5 cn ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania "/-(a D3 / C8U1L OOriginal Order/Notice /?rSFS UMEER1rAND M01O7 ,9-73 0 Amended Order/Notice Co./City/Dist. Of CUMBERLAND," Date of Order/Notice 03/20/02 ZI(I75- 0 Terminate Order/Notice Court/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP Employer/Withholder's Name Employer/Withholder's Address 120 INDEPENDENCE IN CHALFONT PA 18914-1842-20 RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) > 190-54-6571 Employee/Obligor's Social Security Number 7622100935 1 Employee/Obligor's Case Identifier (See Addendum for plaintiff comes associated with cases w attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 750.00 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 $ o . oo per month for genetic test costs $ per month in other (specify) for a total of $ 750.00 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: $ 173, o8 per weekly pay period. $ 346.15 per biweekly pay period (every two weeks). $ 375. oo per semimonthly pay period (twice a month). $ 750. 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 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 i needed (See #9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAR 2 1 2002 Service Type M j t BY THE COURT: C?Ca4l2 ? .? c Form EN-028 OMB No.: 09700154 WorkerlD $IATT Expiration Date: 12/31/00 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If checked you are required to provide a copy of this form to your employee. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee%bligor. 3.* Repo ti ig the Paydatefflate of Withholding. You must report-thevaydate/date ofwithholding wherr-sen ling tl e payment. The You must comply with the law of the paydateldate oF vvithholding is the date on which. amount ,as Withhell 1-M tL e employee's wages. state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employeelobligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 10. *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. Requesting Agency: DOMESTIC RELATIONS SECTION 13 N HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Page 2 of 2 Service Type m If you or your employee obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by Internet OMB No. 0970-0154 Expiration Datr. 12/31/00 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obli'g/or: DILLER, MICHAEL D. PACSES Case Number 766104273/?/y ?j PACSES Case Number Plaintiff Name Plaintiff Name MELANIE S. DILLER Docket Attachment Amount Docket Attachment Amount 01-6031 CIVIL$ 750.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. r "D U zC Cry,: CT - i -G In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION MELANIE S. DILLER ) Docket Number 01-6031 CIVIL Plaintiff ) VS. ) PACSES Case Number 766104273/D31475 MICHAEL D. DILLER ) Defendant ) Other State ID Number Or er AND NOW to wit, this MARCH 27, 2002 it is hereby Ordered that: the order dated March 20, 2002 is amended to reflect that $50.00 is to be paid monthly on arrearages. All other aspects of the Order remain the same. xc: petitioner respondent Robert Hopstetter, Esquire Samuel Andes, Esquire BY THE COURT: 3 )7 ?a Edgar B. Bayley JUDGE Form OE-001 Type M Worker ID 21205 n C. r_, ? ti 'Ka MELANIE S. DILLER, ) IN THE COURT OF COMMON Plaintiff ) 1?LEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. ) CIVIL ACTION - LAW MICHAEL D. DILLER, ) NO. 01-6031 Defendant ) IN DIVORCE ACCEPTANCE OF SERVICE I, Michael D. Diller, hereby accept service of the original Complaint in Divorce and acknowledge receipt of a copy of the Complaint. Date: Michael D. Diller C) C-D -, C (`J CO 1' Ci 1 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT ealle State -Commonwealth of Pennsylvania OOriginal Order/Notice Co./City/Dirt. of CUMBERLAND / S 7&61/&/1) 73 O Amended Order/Notice Date of Order/Notice 11/14/02 k 31175 O Terminate Order/Notice Tribunal/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP 120 INDEPENDENCE LN CHALFONT PA 18914-1842 RE: DILLER, MICHAEL D. Employee/obligor's Name (Last, First, Ml) 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custudial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 750.00 per month in current support $ 50 . oo 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)' fora total of $ _ 800.00 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. It your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 184. 62 per weekly pay period. $ 363.?3per biweekly pay period (every two weeks). $ 4oo. oo per semimonthly pay period (twice a month). $ 800. 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.0, Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE ) HE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Ob/igor's case identifier.) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY FQ'RT. Date of Order: M111 fir, ln? W, J/9 x Form -028 Service Type M t ? M6 No. 0970-0154 Worker ID $IATT oe Y I `l fa p' 'iftift ,yam, -WAAW ."Now AwodM „„*. 71 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? I geeckefl you are required to provide ea opy of this form toyour em loyee. If your employee works in a state that is 1s di Brent rom the state that issued this o er, a copy must be provide.?to your employee even if the box is st t.ch at 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.* state of the employee's/obligor's principal place of employment with respect to the time periods within which you mpustyimplemen thethe 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. WITHHOLDERS ID: 9004000657 EMPLOYEE'S/OBLIGOR'S NAME: DILLER MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 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: !f 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, inwnich 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 oh 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE)..ADM is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional Into: *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: It you or your employee/obligor have an questions, RELATIONS SECTION contact WAGE ATTACHMENT UNIT13 N. HANOVER ST by telephone at L717) 240-6225 or P.O. BOX 320 by FAX at (717) 24o-6248 or CARLISLE PA 1701-3 by internet www.childsupport.state.pa.us Service Type Page 2 of 2 M Form EN-028 OMB No. 0970-0154 Worker ID $IATT a a ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 Plaintiff Name MELANIE S. DILLER Docket Attachment Amount 01-6031 CIVIL$ 800.00 Child(ren)'s Name(s): DOB PACKS Case Number Plaintiff Name If checked, identified above in any health insurance coverage available through the employee's/obligor's employment. Ellf checked, above in any health insurance coverage lavailable through the employee's/obligor's employment. Service Type M Addendum OMB No.. 09/0-0154 PACKS Case Number Plaintiff Name PACKS Case Number Plaintiff Name. ?If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the ernpioyee's/obligor's employment. PACKS Case Number Plaintiff Name Docket AttachmentAmount $ o.oo Child(ren)'s Name(s): DOB Form EN-028 Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: An correspondence must include the Member ID Number. Financial Break Down of Multi le Cases on Attachment Plaintiff Name MELANIE S. DILLER PACSES Docket Case Number Number 766104273 01-6031 CIVIL Attachment AmountJEreguen? $ 800.00 MONTH TOTAL ATTACHMENT AMOUNT: $ 800.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $184.62 per week, or 5 0 %, of the Unemployment Compensation benefit Security otherwise payable to the 0 - 5 D f 5 dant,Member Social 6 7 1 , MICHAEL D. DILLER ID Number 7 6 2 210 0 9 3 5 . 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 arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 22, 2002 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT 1 4 2003 JUDGE. 1 Date of Order: Form EN-530 Worker ID $IATT Service Type m {?? Cp ?? `L? C ?; " a ^?..... ?M1s ;?,_ _ -r; MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner/Respondent CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL TERM MICHAEL D. DILLER, IN DIVORCE Defendant/Respondent/Petitioner : PACSES# 766104273 ORDER OF COURT AND NOW, this 28"' day of January, 2003, a petition has been filed against you, , to modify an existing Alimony Pendente Lite Order. You are ordered to appear in person at the Domestic Relations Section, 13 North Hanover Street, Carlisle, Pennsylvania, on February 28, 2003 at 9:00 A.M.. for a conference and to remain until dismissed by the Court. If you fail to appear as provided in this Order, an Order of Court may be entered against you. You are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by the Rule 1910.11. (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Copies mailed 1-28-03 to:< Petitioner Respondent David Arnold, Esquire Samuel Andes, Esquire Date of Order: January 28, 2003 ? 9.'J. Shadday, Conference Officer YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 1 "A MELANIE S. DILLER, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent : CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE MICHAEL D. DILLER, : NO. 2001-6031 Defendant/Petitioner : PETITION FOR MODIFICATION OF AN EXISTING ALIMONY PENDENTE LITE ORDER The Petition of Michael D. Diller respectfully represents that on March 20, 2002, an Order of Court was entered for alimony pendente lite for the benefit of Melanie S. Diller. A true and correct copy of the Order is attached to this Petition. 2. Petitioner is entitled to decrease of this Order because of the following material and substantial change in circumstance: Involuntary reduction of income. WHEREFORE, Petitioner requests that the Court modify the existing Order for Alimony Pendente Lite. Date: 111 1 Ida FEEMAN, MESICS & HOPSTETTER By: A/j David J. ld, Esquire I.D. # 7078 247 South Eighth Street Lebanon, PA 17042 (717) 272-3477 Attorneys for Defendant VERIFICATION I verify that the statements made in this Petition for Contempt are true and correct to the best of my knowledge, information and belief, and I, as attorney for Michael D. Diller, am making this Verification as the Petitioner is unable to timely verify this Petition for Modification of an existing Alimony Pendente Lite Order. The Petitioner's verification of this Petition for Modification of an Existing Alimony Pendente Lite Order will be filed and substituted when it is received by counsel. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. 4909, relating to unsworn falsification to authorities. MELANIE S. DILLER, Plaintiff/Petitioner VS. MICHAEL D. DILLER, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL TERM IN DIVORCE DR# 31475 Pacses# 766104273 ORDER OF COURT AND NOW, this 2e day of March, 2002, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $1,460.70 and Respondent's monthly net income/earning capacity is $3,614.91, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $800.00 per month payable monthly as follows; $750.00 for alimony pendente lite and $0.00 on arrears. First payment due March 22, 2002 @ $173.08 plus $11.54 per week. Arrears set at $1,500.00 as of March 20, 2002. The effective date of the order is February 14, 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 PA SCDU to: Melanie S. Diller. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. DILLER V. DILLER PACSES Case Number: 766104273 IMPORTANT LEGAL NOTICE PARTIES MUST WITHIN SEVEN DAYS INFORM THE DOMESTIC RELATIONS SECTION AND THE OTHER PARTIES, IN WRITING, OF ANY MATERIAL CHANGE IN CIRCUMSTANCES RELEVANT TO THE LEVEL OF SUPPORT OR THE ADMINISTRATION OF THE SUPPORT ORDER, INCLUDING, BUT NOT LIMITED TO, LOSS OR CHANGE OF INCOME OR EMPLOYMENT AND CHANGE OF PERSONAL ADDRESS OR CHANGE OF ADDRESS OF ANY CHILD RECEIVING SUPPORT. A PARTY WHO WILLFULLY FAILS TO REPORT A MATERIAL CHANGE IN CIRCUMSTANCES MAY BE ADJUDGED IN CONTEMPT OF COURT, AND MAY BE FINED OR IMPRISONED. PENNSYLVANIA LAW PROVIDES THAT ALL SUPPORT ORDERS SHALL BE REVIEWED AT LEAST ONCE EVERY THREE (3) YEARS IF SUCH REVIEW IS REQUESTED BY ONE OF THE PARTIES. IF YOU WISH TO REQUEST A REVIEW AND ADJUSTMENT OF YOUR ORDER, YOU MUST DO THE FOLLOWING: CALL YOUR ATTORNEY. AN UNREPRESENTED PERSON WHO WANTS TO MODIFY (ADJUST) A SUPPORT ORDER SHOULD CONTACT THE DOMESTIC RELATIONS SECTION. ALL CHARGING ORDERS FOR SPOUSAL SUPPORT AND ALIMONY PENDENTE LITE, INCLUDING UNALLOCATED ORDERS FOR CHILD AND SPOUSAL SUPPORT OR CHILD SUPPORT AND ALIMONY PENDENTE LITE, SHALL TERMINATE UPON DEATH OF THE PAYEE. A MANDATORY INCOME ATTACHMENT WILL ISSUE UNLESS THE DEFENDANT IS NOT IN ARREARS IN PAYMENT IN AN AMOUNT EQUAL TO OR GREATER THAN ONE MONTH'S SUPPORT OBLIGATION AND (1) THE COURT FINDS THAT THERE IS GOOD CAUSE NOT TO REQUIRE IMMEDIATE INCOME WITHHOLDING; OR (2) A WRITTEN AGREEMENT IS REACHED BETWEEN THE PARTIES WHICH PROVIDES FOR AN ALTERNATE ARRANGEMENT. UNPAID ARREARAGE BALANCES MAY BE REPORTED TO CREDIT AGENCIES. ON AND AFTER THE DATE IT IS DUE, EACH UNPAID SUPPORT PAYMENT SHALL CONSTITUTE, BY OPERATION OF LAW, A JUDGMENT AGAINST YOU, AS WELL AS A LIEN AGAINST REAL PROPERTY. IT IS FURTHER ORDERED that, upon payor's failure to comply with this order, payor may be arrested and brought before the Court for a Contempt hearing; payor's wages, salary, commissions, and/or income may be attached in accordance with law; this Order will be increased without further hearing by o % a month until all arrearages are paid in full. Payor is responsible for court costs and fees. Copies delivered to parties ?CJrZ Pate Consented: Plaintiff Defendant DRO: RJ Shadday xc: plaintiff defendant Samuel Andes, Esquire Robert Hopstetter, Esquire 10 Edgar B. Bayley Judge Page 4 of 4 Form OE-518 Service Type M Worker ID 21005 MELANIE S. DILLER, : IN THE COURT OF COMMON PLEAS OF Plaintiff/Respondent : CUMBERLAND COUNTY, PENNSYLVANIA vs. CIVIL ACTION - DIVORCE MICHAEL D. DILLER, : NO. 2001-6031 Defendant/Petitioner : CERTIFICATE OF SERVICE I, Christine A. Zimmerman, an employee of Feeman, Mesics & Hopstetter, do hereby certify that a true and correct copy of the Petition for Modification of an Existing Alimony Pendente Lite Order was served by United States First Class mail upon the following individual, on the following date: Samuel L. Andes, Esquire 525 North 12th Street P.O. Box 168 Lemoyne, PA 17043 Date: I 11143 ?/?1111 i ?: Q . ` , r77 y, z, t1f,, r Christine A. Zimmern-An In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: All correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Fynancial Break Down of Multi ple Cases on Attachment PACSES Docket Plaintiff Name Case e Number Number Attachment Amount/Frequency MELANIE S. DILLER 766104273 01-6031 CIVIL $ 190.00 MONTH TOTAL ATTACHMENT AMOUNT: $ 190.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 43 .85 per week, or 50.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, MICHAEL D. DILLER Social Security Number 190-54-6571 , Member ID Number 76 2 210 0 9 3 5 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage; DPW may reduce, the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(8) This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 22, 2002 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: 2 5 20 Service Type M Form EN-034 Worker ID $ IATT Op-i& ?l'?c??l?i?t? C? Ir'? c ? ?,,.4r+a 1 n 1 ^ ? %? r t { d r. t 41 v ??r ?.) v: ? ,? y 1 .... 0RDERINOTICE TO WITHHOLD INCOME fOR SUPPORT 76616 73' O Original Order/Notice (D Amended Order/Notice O Terminate order/Notice state c'^n,m1ut,3, th of Pennsylvania CF S Co./City/Dist. Of CUMBERLAND Date of order/Notice 03/24/03 Tribunal/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP 120 INDEPENDENCE LN CHALFONT PA 18914-1842 190-54-6571 Employee/Obligor's Social Security Number 7622100935 _ 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. upon ORDER INFORMATION: This is an Order/Notice to Withhold income for S Bpportbase are required order der support from CUMBERLAND County, Commonwealth of Pennsylvania. By la, you to 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- $, 190 . uo per month in current support Arrears 12 weeks or greater? Dyes Q no $ oo per month in past-due support $ ' o . oo per month in medical support $ _ 00 per month for genetic test costs $ per month in other (specify) for a total of $ 190.00 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: 43, per weekly pay period. $ _s7. biweekly pay period (every two weeks). 95?g_Qper semimonthly pay period (t,Nice a month). $ 190 .__qO per monthly pay period. REMITTANCE INFORMATION: 1,10) working days after the date t ,his You must begin withholding no later than the first pay period occurring ten 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, AND Pa 17106-9112 PA CSES MEMBER /D (shown 1N ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT' V 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: MAR 2 5 2003 - Service Type m _. _._. .__ ..., •. ,.. ..r t1e01AB I+h 0910-0154 RE: DILLER, MICHAEL D . Employee/Obligor's Name (Last, First, MI) BY THE 90,j dCo? %3.yY Jc=? Form EN-028 Worker 10 $TA.T'T 0416 4NA1+9s } .. - Aft ..: If?hecked ADOIT10r1ia,L iNF 1 app, dr erentfroryil°thP? taegthata to pr?iATIQN TQ EA?P busin°,,ss reciaed 0 the voluntary cu ssuer?this a order, ?opa Copy this ITH" lo man toQYo RS AND QTHER W es local mpiiance n a reservation that choose to erally recognistbe providedpta°Yne*r If fmoP,re p °YeeLD Drks i of Fed 2• Priori thholdin ry Federal tax Wr g under to with zed Indian tripes, en a the box a state th x levies ir) this Order/ in accordance tribally- x is not ch at is agency effect before recei Notice has 'With this owned businesses ecked• gal listed below. pt er this ord pre my over any Indian-owned have other le red a priority, If there are Fedprocess each agency yments: Pa you tax Ievleer State law against questin can combine withheld s in effect please he sa me income. employee%bligor g withholding. You must however, from ore than contact the requesting r 4• * ever, separatelymidenti one employe?obli fY the portion of the singler s income in a single payment that is attributable to State Of the a attributable to each withholding order and forward obligors principal place of em rrt the support payments. plOYment with res pect to the time YOU must corn I -Pa this em to g°r with Multiple Su period;; within which p y w,th the law of the p Yee%bligor and Support Holdings: If there is you must implement the You are unable to more than one Order/Notice to Withhold Income for Support against possible. See #10 honor all support Order/Notices due to Federal orStat ( employee's/obligor's principal place of employment. below) You must honor a withholding limits, the law l the state of 6. Termination Notification: You all Orders/Not ices to he greatYOU must est exten?llow must Please provide the information requested and return a co Promptly notify the Requesting Agency when the em to WITHHOLDER'S ID: 9004000057 copy of this Order/Notice to the Agency p nQ%bl,g is no longer working for you. FMp1OYEE'SiOBLICOR'S NAME:__,,identified below. `0LOYEE.'SCASE IDENTIFIER. _ 7622100935MICr1-ft ?" LAST KNOWN HOME ADDRESS: - ~? ----. __ -- DATE OF SEPARATION:? """---? - NEW Ektl 10YER'S NAME/ADDRESS:-' - 7., Lump Sum Payments: You may be required to report and withhold from lum s as pay. If you have any questions about lurn p um payments such el bonuses, commissions, or p sum payments, contact the person or authority below.-. L Liability: If youfail to withhold income as the Order/Notice directs, you are liable for both the ace d vitfateld from the eml,i(Neelobligor's income and other penalties set by Pennsylvania State law. Pennsylvaniiaa State la yo°shnlu?? _s ? ie obligor is emplovet in another State, in wh?rh case the law of the State :n which he or she is employed governs.. law governs urtr•?s u Ant'Wiscriminatiorc You are subject to a fine determined under State law for discharging an employee/obligor from employment. fr,sing to employ, ortaking disciplinary action against any employee/obligor, because of a support withho,din .'. Pennsylvania State,'aw veins unless the oatiger is employed in another State, Ili which case the law of the State in which he or she is employed governs: k * Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit tection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. Federal limit applies to the aggregate disposable weekly earnings (Ali ADWE is the net income left after making mandato luctions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. rY Additional Info: )TE: If you or your agent are served with a copy of this order in the state that issued the order, of the state that issued this order with respect to these items. You are to follow the ubmitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact _ WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at 171 a 24x62,25 or P.O. BOX 320 by FAX at (717) 24Qr;?au CARLISLE PA 17013 ?.r 'or by internet www.childsupport.state.pa.us ce Type M Page 2 of 1 OMB No.: 0970-0154 Form EN-028 Worker 1 D $IATT ?., ,,. ?,;;? ?,:,. ¢- Defen=-"'n?ar Of Cases pq -SE S C ase N dan"Obligor. DILLER Cases on Attach Cu ment THE i ffN?= tuber 766104273 MICHA Z D Docket 3 HILLER 01-6031 CIVIr,$AttachmentAmount Child(ren)'s Name(s): 1gp o0 DOB Elf checked, you are identified above in an required to enroll the child(ren) through the em to any health insurance coverage available P YeFs/obligor s employment. PACSESase Number Plain iff Nar,L Docket Attachment Amount $ 01 : 00 Child(rPn}'s Name(: SOB If checked, you are required to er-roll the child(ren) en+ified above in any hearth insurance coverage available rnu,,h the employee's/oblif or's employment. ?CSES Case Number iintiff Name Docket Attachment Amount $ 0.00 :hild(ren)'s Name(s): DOB If checked, you are required to enroll the child(ren) ttified above in any health insurance coverage available ugh the employee's/obligor's employment. PACSES Case Plaint Nub Docket Attachment Amount Child(ren)'s Na $ me(s): 0.00 DOB ?lf checked, yon are requir to identified above in any health iinnsuranrolf the child through the employee's/obligor's emnce coverage available PloYment. PACSES Case Number Plaintiff Nam W D- et $Attachmentt Amount Child(ren)'s Name(s): 0.00 ?lf checked, you are identified above in an required to enroll the child(ren) h through i,e employees ealth insurance coverage ; obligor ; emO*ment. avai!ab r PACSES Case Number Plain-- nt!ff?me D=eket Atta_ hmeni AA Child(ren)'s Name(s): 0.00 DOB ?If checked, you are required to enroll the chi identified above in any health insurance coverage available through the employee Id(ren) 's/obligor's employment. rice Type M dum OMS NS4 Form EN-028 Worker ID $IATT MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner/Respondent CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL MICHAEL D. DILLER, IN DIVORCE Defendant/Respondent/Petitioner Pacses# 766104273 ORDER OF COURT AND NOW, this 24th day of March, 2003, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $N/A and Respondent's monthly net income/earning capacity is $N/A, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $190.00 per month payable monthly as follows; $190.00 for alimony pendente lite and $0.00 on arrears. First payment due next unemployment compensation benefit. Arrears set at $18.03 as of March 24, 2003. The effective date of the order is January 21, 2003. This Order is based upon an agreement of the parties as the defendant has been laid off and receiving Unemployment Compensation. The parties further agree to report defendant's return to employment and to attempt further agreement on recalculated amount or reinstatement of the APL Order. 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 PA SCDU to: Melanie S. Diller. Payments must be made by check or money order. All checks and money orders must be made, payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 171015-9110 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. MNVAIASNN3d Unreimbursed medical expenses that exceed $250.00 annually are to be paid 0% by the defendant and 100% by plaintiff. The petitioner is responsible to pay the first $250.00 annually in unreimbursed medical expenses. Plaintiff to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the Plaintiff shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, of. 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim. forms. 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 BY THE COURT, Mailed copies on Petitioner 3-24-03 to: < Respondent Samuel Andes, Esquire Dave Arnold, Esquire C2"- ? C" Edgar B. Bayley J. f._ -C 3 f -! t i i __t MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 2001-6031 PACSES Case Number 766104273 PETITION TO MODIFY ALIMONY PENDENTE LITE AND NOW comes the above-named Plaintiff, by her attorney, Samuel L. Andes, and petitions the court to modify and increase the order of alimony pendente lite previously entered in this matter, based upon the following: 1. The moving party herein is the Plaintiff, Melanie S. Diller. The responding party herein is the Defendant, Michael D. Diller. 2. By an Order dated 20 March 2002, this court ordered the Defendant to pay alimony pendente lite to Plaintiff in the amount of $750.00. 3. Thereafter, as a result of Defendant being temporarily laid off from his job, the parties, by agreement, reduced his APL obligation to $190.00 per month. That agreement resulted in an order entered by this court in late February of 2003. 3. Since the entry of that last order, Defendant has returned to employment and Plaintiff believes that his earnings now exceed $4,000.00 per month, net of taxes. 4. Based upon the current incomes of the parties, Plaintiff is entitled to a modification of the alimony pendente lite order to an amount of $800.00, more or less, per month. WHEREFORE, Plaintiff moves this court to modify the last order of alimony pendente lite and to increase it to an appropriate amount based upon the earnings of the parties. I L. Andes Attorney for Plaintiff Supreme Court ID # 17225 525 North 12th Street Lemoyne, Pa 17043 (717) 761-5361 VERIFICATION I verify that the statements made in this Petition are true and correct. I understand that any false statements in this Petition are subject to the penalties of 18 Pa. C.S. 4904 (unsworn falsification to authorities). Date: J-?,JL110,3 I-Pt J / /t. MEL NIE S. DILLE r ('3 ? _ ?? +? L() :.. G ? } r r? t .- - .r-? ?'' C. .. C }'? .. MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL TERM MICHAEL D. DILLER, IN DIVORCE Defendant/Respondent Pacses# 766104273 ORDER OF COURT AND NOW, this V day of May, 2003, a petition has been filed against you, , to modify an existing Alimony Pendente Lite Order. You are ordered to appear in person at the Domestic Relations Section, 13 North Hanover Street, Carlisle, Pennsylvania, on June 3. 2003 at 9:00 A.M.. for a conference and to remain until dismissed by the Court. If you fail to appear as provided in this Order, an Order of Court may be entered against you. You are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by the Rule 1910.11. (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. Copies mailed 5-1-03 to:< Petitioner Respondent Samuel Andes, Esquire Date of Order: May 1, 2003 BY THE COURT, George E. Hoffer, President Judge R. J. Shadday, Conference Officer YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE. CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 006 z-; C.) < C fr ;• - 4 t MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 2001-6031 CIVIL TERM MICHAEL D. DILLER, IN DIVORCE Defendant/Respondent Pacses# 766104273 ORDER OF COURT AND NOW, this 3rd day of June, 2003, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $N/A and Respondent's monthly net income/earning capacity is $N/A, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $793.33 per month payable monthly as follows; $750.00 for alimony pendente lite and $50.00 on arrears. First payment due with next modified wage attached payment. Arrears set at $1,308.73 as of June 3, 2003. The effective date of the order is March 26, 2003. This order is based upon an agreement of the parties as the defendant has returned to work and the prior order is reinstated effective March 26, 2003. 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 PA SCDU to: Melanie S. Diller. Payments must be made by check or money order. All checks and money orders must be made payable to PA SCDU and mailed to: PA SCDU P.O. Box 69110 Harrisburg, PA 17106-9110 Payments must include the defendant's PACSES Member Number or Social Security Number in order to be processed. Do not send cash by mail. c n ned Unreimbursed medical expenses that exceed $250.00 annually are to be paid 0% by the respondent and 100% by petitioner. The petitioner is responsible to pay the first $250.00 annually in unreimbursed medical expenses. Petitioner to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the Petitioner shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, o£ 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim forms. 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 BY THE COURT, Mailed copies on Petitioner 6-3-03 to: < Respondent Samuel Andes, Esquire Robert Hopstetter, Esquire l C Edgar B. Bayley J. n cn c? CIO 3 z-- :J j ?.._ In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240.6248 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: AB correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multi ule Cases on Attachment PACSES Docket Plaintiff Name Case e Number Number Attachment Amount/Freauencv MELANIE S. DILLER 766104273 01-6031 CIVIL $ 793.33 /MONTH TOTAL ATTACHMENT AMOUNT: $ 793.33 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $183 .OB per week, or 50.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, MICHAEL D. DILLER Social Security Number 190-54-6571 , Member ID Number 7622100935 . 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 attac'ned by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 22, 2002 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. Date of Order: jijA Q 4 2003 Service Type M BY THE COURT r 1 CAI F b lv 8- B.,il`/c & V UDGE Form EN-034 Worker ID $IATT C o O -o ca c ' _ T (ilfrl . S c_ N ev -? ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 06/03/03 Tribunal/Case Number (See Addendum for case summary) IN RE: DILLER, MICHAEL D. Employer/Withholder's Federal FIN Number Employee/Obligor's Name (Last, First, MI) JKl amoi -?o?l//i e; vim DOLI CONSTRUCTION CORP lq,#erCcS 73 120 CHALFONT PA 18914-1842 O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 750.00 per month in current support $ 43 .33 per month in past-due support Arrears 12 weeks or greater? Oyes (2) 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 $ 793. 33 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: $ 183 . o8 per weekly pay period. $ 366.15 per biweekly pay period (every two weeks). $ 396.67 per semimonthly pay period (twice a month). $ 793 .33 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, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL r BY THE URT: Date of Order: ?`1 40 41 2213 e,14,e r8. yc--y LL c Form EN-028 Service Type M OMB No. 097MI 54 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If thecke? you are required to provide a copy of this form to youremployee. If yo r employee works in a state that is different from the state that issued this order, a copy must be provi ded 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 taix 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`swages: You must comply with the law of the paydate/date of mithholding is the date on ohieh a nou it was withheld fiorn the employ 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: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 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)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE i!, the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional *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 Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 PACKS Case Number Plaintiff Name Plaintiff Name MELANIE S. DILLER - Docket Attachment Amount Docket Attachment Amount 01-6031 CIVIL$ 793.33 $ 0.00 Child(ren)'s Name(s): DOB 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. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the ernployee'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) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Service Type M Addendum Form EN-028 OMB No.: 0970-0154 Worker ID $IATT n P o L,, 0 c= , Cn?: `i -< Jt a rv :? r. .ar?n BCCJ MELANIE S. DILLER, Plaintiff VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 MICHAEL D. DILLER, Defendant IN DIVORCE AFFIDAVIT OF CONSENT 1. A Complaint in Divorce under Section 3301 (c) of the Divorce Code was filed on 22 October 2001 and served upon the Defendant less than thirty days thereafter. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days have elapsed from the date of filing of the complaint and the date of service of the complaint on the Defendant. 3. 1 consent to the entry of a final decree in divorce either after service of a Notice of Intention to Request Entry of the Decree or upon filing of my Waiver of the Notice of Intention to Request Entry of the Decree. 4. 1 have been advised of the availability of marriage counseling and understand that the Court maintains a list of marriage counselors and that I may request the Court to require my spouse and I to participate in counseling and, being so advised, do not request that the Court require that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct and 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. /la Date 4 1 nA.v MELA E S. DILLER r> C. 0 „l ,? m i ,. ?- __ i.? ?? , <`, r ,_ L ('J S" C.: ., 1 ?? k.u "- MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 lCl OF THE DIVORCE CODE 1. 1 consent to the entry of a final decree in divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees, or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a divorce decree is entered by the court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Waiver are true and correct. I understand that false statements herein are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. 16 03 Date ?` c'' -? n,; ;r ??_ r __ a? - _. r? c`. x' is ?? _l MELANIE S. DILLER, Plaintiff MICHAEL D. DILLER, Defendant AFFIDAVIT OF CONSENT 22 October 2001 and served upon the Defendant less than thirty days thereafter. have elapsed from the date of filing of the complaint and the date of service of the complaint on the Defendant. Intention to Request Entry of the Decree or upon filing of my Waiver of the Notice of Intention to Request Entry of the Decree. the Court maintains a list of marriage counselors and that I may request the Court to require my spouse and I to participate in counseling and, being so advised, do not request that the Court require that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct and I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. VS. 1. A Complaint in Divorce under Section 3301 (cP of the Divorce Code was filed on 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety (90) days 3. 1 consent to the entry of a final decree in divorce either after service of a Notice of 4. 1 have been advised of the availability of marriage counseling and understand that IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE Section 4904 relating to unsworn falsification to authorities. Date T-(6-O-3 C "C ?'? m? _,_. %- ?/ i ri ,._ -- ?- ?-: ?_. , Y ( .. MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01-6031 IN DIVORCE WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301 ICI OF THE DIVORCE CODE 1 . I consent to the entry of a final decree in divorce without notice. 2. 1 understand that I may lose rights concerning alimony, division of property, lawyer's fees, or expenses if I do not claim them before a divorce is granted. 3. 1 understand that I will not be divorced until a divorce decree is entered by the court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Waiver are true and correct. I understand that false statements herein are subject to the penalties of 18 Pa. C.S. Section 4904 relating to unsworn falsification to authorities. I- r;- 07 Date MELANIE S. D LLER, IN THE COURT OF COMMON PLEAS OF Pla ntiff CUMBERLAND COUNTY, PENNSYLVANIA NO. 01 - 6031 CIVIL MICHAEL D. D LLER, Defendant IN DIVORCE OTICE OF FILING MASTER'S REPORT The r port of the Master has been filed this date and copies have een sent with this notice to counsel of record and the parties. In accordance with P.R.C.P. 1920.55 within ten (10) days after the mailing of this notice and report exceptions may be filed to the report by any party. If no exceptions are filed within the en (10) day period, the Cou:=t shall receive the report, and if approved, shall enter a final decree in accordance cith the recommendations contained in the report. Date: 10/28{03 E. Robert Elicker, II Divorce Master NOTE: If exceptions are filed, file the original with the Prothonotary and a copy with the Master's office. At that time, the party filing the exceptions should notify the court reporter in the Master's office so arra gements can be made for a transcript. Upon comp etion of the transcript and receipt of payment, the entire file will be returned to the Prot onotary's office for transmittal to the Court at time of argument on the excepticns. If n exceptions are filed, counsel shall prepare an orde of Court consistent with the recommendations and rovide a proposed order of Court to the Master. Coun el shall also prepare and provide with the Protk case will of Cc for c the C sed order of Court a praecipe* to the onotary directing the Prothonotary to submit the to the Court for final disposition. The Master then transfer the file with the proposed order urt and praecipe to the Prothonotary's Office ocketing and transmittal by the Prothonotary to * Form vailable in the Prothonotary's office and the Maste 's office. (NOT the praec=_pe to transmit the recor form as set out in P.R.C.I?. 1920.73(b).) w . o ?, ? --+ ; , [ ` d_ . W ? `??-' ' t C; y ?? ?' ? ? T a `pG N J ? 7 W K MELANIE S. D LLER, Plain iff vs. MICHAEL D. D LLER, Defe dant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 01 - 6031 CIVIL IN DIVORCE MASTER'S REPORT Proceedings held before E. Robert Elicker, II, D_vorce Master North Hanover Street, Carlisle, PA 17013 proceedings held on September 16, 2003 commencing at 9:00 a.m. APPEARANCES Samuel L. Ades Attorney fo Plaintiff David J. Ar old Attorney fo Defendant PROCEDURAL HISTORY Thej complaint in divorce was filed on October 22, 2001, raising grounds for divorce of irret ievable breakdown of the marriage. The complaint also raised economic claims o equitable distribution, alimony, alimony pendente lite and counsel fees and expenses.' Master was appointed January 22, 2003, and asked counsel to certify that discovery was complete after which he directed pretrial statements be filed. A pre- hearing conference was held on May 15, 2003, and a hearing was scheduled for August 12, 2003. That hearing was continued because of a conflict in the Master's schedule to September 16, hearing on September 16, 2003, was held for the purpose of taking testimony on wife's alimony claim. The parties previously entered into a partial property settlement agreem?nt on May 1, 2002, resolving the claim for equitable distribution. The attorney for wife Oy letter dated September 18, 2003, withdrew his client's claim for counsel fees. Left for disposition by the Master is wife's claim for alimony. parties on September 16, 2003, at the hearing signed affidavits of consent and waivers of notice of intention to request entry of divorce decree. Those affidavits and wai?ers were filed with the Prothonotary on September 17, 2003. The divorce can, therefore, conclude under Section 3301(c) of the Domestic Relations Code. the hearing on September 16, 2003, the Master directed that husband's counsel file a brief on his claim that we should be looking at alimony as rehabilitative only. Husband's brief was received by the Master on September 30, 2003. Wife's brief in response was received by the Master on October 21, 2003. The Master proceeded to recommendations. the transcript notes, review the briefs, and file his report and FINDINGS OF FACT The l 2001 the v were married on May 29, 1987, and separated on December 29, is the first marriage for the husband and the second marriage for 2. The wife is the natural parent of one emancipated child, a daughter age 24. The hu band has no natural children, but has raised wife's daughter as his own. T?he daughter legally changed her last name to that of the husband's when s e turned 18. 3. Wife is 142 years of age and resides at 1860 Louisa Lane, Mechanicsburg, Pennsvivania 17050 4. Husband is 40 years of age and resides at 6875 Wertzville Road, Enola, Pennsvivania 17025. 5. Wife is a high-school graduate, as well as a graduate of manicure school. Wife had worked as a licensed manicurist for 12 years before leaving that job in order t take her current position as a teller at the Pennsylvania State Emplo ees' Credit Union. Wife's current income is a net amount of $1,470.43 monthly. She also receives $750.00 monthly in alimony pendente lite. Wife's current monthly expenses are approximately $2,368.80. 6. Husba never graduated high-school, nor received his GED, and the only formal training he received was from six years in the marines. Husband is current employed as a laborer for the Doli Construction Company in Chalfont, Pennsylvania. Husband's current income is a net amount of $3,820.)6 monthly. Husband submitted no information about his expenses. 7. Husba is currently responsible for an alimony pendente lite payment of $750.0 a month. 8. There ere no health issues raised by either parry. Both parties have medical insuran a coverage through their respective employers. 9. The cla m of equitable distribution was resolved by the parties pursuant to a partial roperty settlement agreement dated May 1, 2002; wife's claim for counsel fees was withdrawn pursuant to a letter from her attorney dated Septem er 18, 2003. 2 10. No obj ction has been made by either party in these proceedings to the method and adequacy of service of any of the pleadings in the divorce action nor has either party or counsel objected to the jurisdiction of this Court to act in these proceedings. CONCLUSION OF LAW ground for divorce is irretrievable breakdown of the marriage. Both parties have signed and filed affidavits of consent and waivers of notice of intention to request entry of divorce decree dated September 16, 2003, and filed with the Prothonotary on September 17, 2003. Consequently, the divorce can conclude under Section 3301(c) o the Domestic Relations Code. ANALYSIS OF THE FACTORS AS SET FORTH IN SECTION 3701(b) OF THE DOMESTIC RELATIONS CODE 1. Although wife is a licensed manicurist, she is now working for the Pennsylvania State Employees' Credit Union as a teller and earning approximately $1,470.00 net monthly. Wife determined that she wanted the securit of a full-time job with regular hours and income rather than the uncerta my of the manicurist earnings. works as a laborer for Doli Construction Company. He currently has a net monthly income of $3,820.00. 2. Husband is 40 years of age and is in good health. Wife is 42 years of age and is in go d health. Neither party has raised any physical, mental and emotional conditi ns which would inhibit their ability to function in the work place. The so rces of income of both parties are their eamings from their emplo ent including medical and retirement benefits, if any. 4. Neither party has indicated an expectation of receiving funds or assets from sources other than earnings. Neither party indicated any expectation of 5. The over ties have been married and lived together in a marital relationship for years; they have been separated for approximately 2 years. 6. Althou gh wife claims she paid for her own manicure schooling in an amount of aro d $500.00, husband claims that the monies that paid for the schooling cameo t of a joint account. Because of the amount and the dispute regarding the so ce of the funds, the Master finds that the contribution of a party to the educati n, training, or increased earning capacity of the other party is not sienifi nt in this case. NeithO party is the custodian of any minor child. of this marriage. Husband does Me with a female companion who is contributing to the expenses in the househ ld and who has two minor children of her own. 8. The st+dard of living of the parties established during the marriage was Wife i a high school graduate and has been trained as a manicurist; husband dropped out of high school but has taught himself to run heavy equipment and is currently working in construction. Neither party is pursuing any further education or training. 10. The as ets which each party has received are those assets distributed pursuant to the artial property settlement agreement. Any other assets or liabilities of the pa tal es post separation were acquired through earnings or through idebt assumption of each of the parties. 11. Neithef party brought any significant property to the marriage. 12. Wife aintained the general household by doing; the food shopping, cleaning, cooking and other necessary tasks incident to maintaining the home. 13. In ord to maintain herself in the standard in which she is currently living, which an be characterized as modest in nature (which is not as affluent as when t e parties were living together), she needs the support and assistance of hush I. Husband's needs can be met through his earnings and any contri tions he receives for the household expenses from his female friend. 14. The Mster has not considered any marital misconduct of either party as a factor ' these proceedings. 15. The to ramifications of alimony for federal tax purposes will be that alimony will be treated as income to wife and as a deduction for husband. 4 16. Wife's income situation does not allow her adequate funds to maintain her current lifestyle without the assistance of husband. Neither party receives any significant assets in the distribution of the marital estate. 17. Wife isCapable of eaming income but the earnings she currently has are not suffrci t to maintain her in her current lifestyle. ALIMONY The Mastej believes that alimony is necessary for wife's continued maintenance and support. The # 4aster has considered the partial property settlement agreement, the findings of fact, ar?d the analysis of the factors under Section 3701(b) of the Domestic Relations Code. In the cur4rit case, the wife is requesting an alimony award of $800.00 a month. The husband sugg?sts that the wife has not demonstrated a need for alimony based on her ability to support herself. This does not demonstrate a clear understanding of the law of the matter. Under§ 3701(b) of the Divorce Code, "in determining whether alimony is necessary and in determining the nature, amount, duration, and manner of payment of alimony, the court shall consider all relevant factors," including seventeen enumerated factors. Edelstein ?. Edelstein, 399 Pa.Super. 536, 540, 582 A.2d 1074, 1076 (1990), allocatur denied, 528 Pa. 611, 596 A.2d 157 (1991); 23 Pa.C.S.A. § 3701(b). Two of these factors are toe standard of living the parties established during the marriage and the relative needs oft e parties. 23 Pa.C.S.A. § 3701(b)(8), 23 Pa.C.S.A. § 3701(b)(14). Under these subsections, alimony is based upon reasonable needs in accordance with the lifestyle and stan4rd of living established by the parties during the marriage, as well as the payor's ability o pay. Id.; Twilla v. Twill a, 445 Pa. Super. 86, 664 A.2d 1020, 1022 (1995); PerlberQer denied, 536 Pa. 62 alimony is not to r reasonable needs c employment are tr while it is true tha upon the relative r A.2d 1216 (1993); lifestyle similar to 426 Pa.Super. 245, 626 A.2d 1186, 1203 (1993), appeal 637 A.2d 289 (1993). It should be kept in mind that the purpose of one party and punish the other, but rather to ensure that the the person who is unable to support herself through appropriate Jayne v. Jayne, 443 Pa.Super. 664, 663 A.2d 169, 174 (1995). And alimony is a "secondary" remedy... and should not be premised solely of the recipient, Nemoto v. Nernoto, 423 Pa. Super. 269, 620 it should only be denied a spouse who can adequately support a one she enjoyed while married. Alimony i? justified in this case because of the relative needs of the wife in accordance with tqe lifestyle she established while married. Here, the parities enjoyed a comfortable lifestyle during the marriage. In addition to living in a house worth approximately $240,000.00 the couple took occasional vacations in and out of the country, ate out o4en, and drove fairly new automobiles. Since the divorce, the wife has been living a mod?st lifestyle, with modest expenses. She owns relatively little property from the marriagelwith no prospect of deriving any income from this property. Her current income cat barely maintain her present lifestyle, let alone the one she enjoyed during her marriage. Clearly, the wife is not, and cannot enjoy the standard of living she had enjoyed for n4arly fourteen years while living in the marital relationship, nor will she unless a substanti4lly improved change of circumstance takes place in her life. Considering theseI conditions, alimony in this case is justified, as it is necessary to enable wife to enjoy a se blance of her previous lifestyle. 6 The husbar alimony, he shoulc lifestyle that she e the part of a suppc unchanged from tl 578 A.2d 1314, 13 standard of living. (relying on 23 Pw Pacella, 342 Pa.Sr resources, his dut; their station in life A.2d 764, 780 (19 An award alimony will not a her to maintain he have an extravaga pendente lite rece. would further ena enjoyed previousl had enjoyed previ provide wife a lift therefore appropri goes on to contend in his memorandum that, if he does have to pay not be responsible for enabling wife to lead the same extravagant oyed while married. Of course "[tlhere is no absolute obligation on spouse to see that the dependent spouse's life style remains enjoyed during the marriage." Fexa v. Fexa, 396 Pa.Super. 481,490, 9. But as mentioned above, the court should consider the prior supra 426 Pa.Saper. at 291, 626 A.2d at 1211 § 3701(b)(8)); See also Edelstein v. Edelstein, supra; Pacella v. 178, 492 A.2d 707 (1985). And, to the extent husband has the is "to maintain his family's standard of hying at a level consistent with before the separation." Sutliff v. Sutliff, 339 Pa.Super. 523, 555, 489 affirmed, 515 Pa. 393, 528 A.2d 1318 (1987). alimony in this case is appropriate under the circumstances. The wife the same lifestyle she enjoyed while married, but will allow in her current more modest lifestyle. Again, the wife does not way of life, nor could she from the current amount of alimony from the husband. The Master, by not recommending alimony, husband to enjoy a standard of living not unlike the one he had while reducing the wife's standard of l wing far below the one she The amount of alimony in this case, therefore, is adequate to that loosely resembles the one she enjoyed while married. It is under the circumstances. 7 It should assured a roof husband had met husband can married, it is not noted that husband seems to be of the belief that so long as wife is her head, sufficient clothing and adequate food on the table, the obligations of support. This reasoning is an erroneous one. If the for himself a standard of living similar to the one he enjoyed while nor legal, that the wife should be content with the bare necessities of life. I Dignity of living, commensurate with income, is as much a necessity as the bare essentials for survival. Commonwealth ex rel. Gitman v. Gitman, 428 Pa. 387, 394, 237 A.2d 181, 185 (1967) (plurality). In respons4 to the Master's suggestion that any awarded alimony is indefinite, the husband's attornej argued that indefinite alimony is not permissible because it is violative of the rehabilitative purpose of alimony. This argument is outdated and research reveals a4 much. Indeed, under prior Pennsylvania divorce law, subsection 501(c) of the 198 Divorce Code distinctly set forth the legislative intention that alimony be awarded only Ir a limited time period sufficient to allow the dependent spouse to develop an employable skill or obtain employment. 23 Pa.C.S. § 501(c). In other words, alimony was to bd awarded strictly for rehabilitative purposes. In 1988, however, the legislature elimin4ted from the Divorce Code the requirement that alimony be solely rehabilitative in nature. A court may now order alimony, "as it deems reasonable, to either party only if it finds that alimony is necessary." 23 Pa.C.S.A. § 3701(a). "Necessity is the ¢nly requirement in determining the propriety of an alimony award and that necessity is judged by numerous considerations only some of which have to do with the rehabilitation ?f the recipient spouse." Zullo v. Zullo, 395 Pa.Super. 113, 122 n. 3, 576 A.2d 1070, 1074 n. 3 (1990), affd, 531 Pa. 377, 613 A_2d 544 (1992). Significantly, 8 the guideline for ordering alimony indefinite period 3701(c). This de: alimony to such t at 122 n. 3, 576 7 From the current laws in P reasons that supp duration of alimc position, an away undergoes a subs degraded change discontinue the c the duration of an alimony award now reads, "[t]he court in determine the duration of the order, which may be for a definite or time which is reasonable under the circumstances." 23 Pa.C.S.A. § ition clearly "eliminat[es] any legislative mandate to link the term of as the recipient becomes gainfully employed." Zullo, 395 Pa.Super. at 1074 n. 3. indefinite alimony is proper in the case at hand. Not only do the support such a ruling, but so do the factors; here, the alimony, as well as the amount of alimony, also support an indefinite So, in consideration of the factors regarding wife's current financial of indefinite alimony would be appropriate in this case. Once wife improved change in circumstance; or husband a substantially circumstance, the husband can then petition the court to modify, or award of alimony. ALIMONY Husband County proceedings. termination on pay to wife the sum of $700.00 per month through the Cumberland Office to begin upon the entry of a divorce decree in these amount and duration of alimony shall be; subject to modification and of either party as allowed under Section 3701(e) of the Domestic 9 Relations Code. S?ecific termination provisions in the Domestic Relations Code will also apply. Respectfully submitted, E. Robert Elicker, II Divorce Master 10 r^. a f z MELANIE S. DILLER, Plaintiff vs. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION NO. 01-6031 IN DIVORCE EXCEPTIONS TO MASTER'S REPORT TO THE HONORABLE, THE JUDGES OF SAID COURT: The Defendant, Michael D. Diller, by his attorneys, Feernan, Mesics & Hopstetter, takes the following exception to the Master's Report and Recommendation and respectfully presents that: The Master erred in recommending that the alimony to be paid by Defendant shall continue for an indefinite period of time. WHEREFORE, because the Master's Report and Recommendations is against the weight of law and evidence, it is respectfully requested that the court grant Defendant's exception to the Master's Recommendation as set forth above. Respectfuiiy submitted, FEEMAN, MESICS & HOPSTETTER Date: 1 l 14)Q3 j ? r I ? By: David J.` rnold, Esquire Attorney I.D. # 78478 247 South Eighth Street Lebanon, PA 17042 Telephone: (717) 272-3477 Attorneys fDr Defendant MELANIE S. DILLER, Plaintiff vs. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION NO. 01-6031 IN DIVORCE CERTIFICATE OF SERVICE I, Christine A. Zimmerman, an employee of Feeman, Mesics & Hopstetter, do hereby certify that a true and correct copy of the Exceptions to Master's Report was served by United States First Class Mail, postage paid, upon the following people, on the following date: E. Robert Flicker, II, Esquire Office of the Divorce Master 9 North Hanover Street Carlisle, PA 17013 Samuel L. Andes, Esquire 525 North Twelfth Street P.O. Box 168 Lemoyne, PA 17043 Date: y dJ i&W 0. Christine A. Zimmerman ? ? T l ? -r -U LIB ? ''?Z' mr,. .? .rT ?4 cry i:? c , r c c -o -? -? Zj y C- ? ;?i L't?' i r. W a ? ?o .? .G MELANIE S. DILLER, IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE vs. NO. 2001-6031 MICHAEL D. DILLER, Defendant MOTION TO CONTINUE AND NOW, comes Defendant, Michael D. Diller, by and through his attorneys, Feeman, Mesics & Hopstetter, and presents the following: A Compliant in Divorce was filed in the above-captioned matter. 2. A Master's Hearing was held, after which Defendant filed Exceptions to the Master's Recommendations. 3. Oral Argument has been scheduled for December 3, 2003. 4. Counsel for Defendant is a part-time Assistant Public Defender for Lebanon County. 5. The week of December 1 - 5, 2003 is scheduled for Criminal Jury Trials in Lebanon County. 6. Counsel for Defendant is required to be available for Criminal Jury Trials the entire week. 7. Counsel for Defendant spoke with counsel for Plaintiff, who indicated he had no objection to a continuance. WHEREFORE, Defendant, Michael D. Diller, respectfully requests this Honorable Court continue this matter until another term of Argument Court. Date: November 24, 2003 By: Respectfully submitted, FEEMAN, MESICS & HOPSTETTER David J. ?r ld, Esquire Attorne .D. # 78478 247 South Eighth Street Lebanon, PA 17042 Telephone: (717) 272-3477 Attorneys for Defendant MELANIE S. DILLER Plaintiff VS. MICHAEL D. DILLER Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 2001-6031 CERTIFICATE OF SERVICE I, Christine A. Zimmerman, an employee of Feeman, Mesics & Hopstetter, do hereby certify that a true and correct copy of the Motion to Continue was served by United States First Class mail upon the following individual, on the following date: Samuel L. Andes, Esquire 525 North 12`^ Street P.O. Box 168 Lemoyne, PA 17043 Date: 10940 C U U -JZi (?ii • w? Christine A. Zimmerma C3 N 7y7 41n c MELANIE S. DILLER, Plaintiff Vs. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - FAMILY NO. 2001-6031 ORDER AND NOW, this T?Y of 2003, upon consideration of the within Motion to Continue, it is hereby Ordered that the Argument listed for d-v ANa A-V l W JeC2- 1a December 3, 2003 is continued uat' - cc: .'?eeman, Mesics & Hopstetter ?$arnuel Andes, Esquire Irt mmcr fit-H wipwo In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOSTIC RELATION SECTION 13 N. HANOVER Sr, P.O. BOX 320,S CARLISLE, PA. 17013 Defendant Name: MICHAEL D Member ID Number: 7622100935 Please note: All correspondence must include the Member ID Number. Fynancial Break Down of Multiple Cases on Attachment Plaintiff Name MELANIE S. DILLER PACSES Docket Case Number Number 766104273 01-6031 CIVIL TOTAL ATTACHMENT AMOUNT: $ 793.33 Attachment Amomt/Freauencv $ 793.33 /MONTH $5$ Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $183 .08 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, MICHAEL D. DILLER Social Security Number 190-54-6571 , Member ID Number 7622100935 . 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 arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 28, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the :Domestic Relations Section of this Court. BY THE COURT Date of Order: y? . , GE r156 -1V DILLER Service Type M Form EN-530 Worker ID $IATT c> ? c> N -c y C. r T cn L? MELANIE S. DILLER, : IN THE COURT OF COMMON PLEAS OF PLAINTIFF : CUMBERLAND COUNTY, PENNSYLVANIA V. MICHAEL D. DILLER, DEFENDANT 01-6031 CIVIL TERM ORDER OF COURT AND NOW, this 25th day of February, 2004, following review of the record, the Master's Report and the briefs of the parties on defendant's Exceptions to the Master's Report, IT IS ORDERED: (1) Defendant's Exception to the Master's Report ordering alimony of $700 per month for an indefinite period of time, IS GRANTED. (2) Alimony of $700 per month is awarded to plaintiff for a period of five years. By the , Q?g WNC--,1k1,(3LN Edgar B. Bayley, J. s-amuel L. Andes, Esquire For Plaintiff 7 ,/avid J. Arnold, Esquire For Defendant /E. Robert Elicker, II, Esquire Divorce Master 02-25-0` :sal 1,_ ,,:.. , ? r. f ?.?, ... a?;l i?J 717-761-14? SR-I RIDES 123 P97 RPR 24 '92' 0748 PARTIAL PROPERTY SETTLEMENT AGREEMENT THIS AGREEMENT, made this /Sr day of XeL7 2002, is by and between: MICHAEL D. DILLER, of 6875 Wertzville Road, Enola, Cumberland County, Pennsylvania, party of the first part, hereinafter referred to as "Husband"; and MELANIE S. DILLER, of 1806 Louisa Lane, Mechanicsburg, Cumberland County, Pennsylvania, party of the second part, hereinafter referred to as "Wife." WITNESSETH: WHEREAS, the parties hereto are husband and wife, having been married on 29 May 1987 and separated on or about 29 December 20011; and n "7 0 C: WHEREAS, there are no children born of this marriage; 17v1ri z, film rnr.- L WHEREAS, certain difficulties have arisen between the parties her eb, vhic? hZ s . ?. t ?{ c? made them desirous of living separate and apart from one another and W;4as ihtia!o Y ?- - a z an action in divorce filed to No. 01-6031 before the Court of Common Plea"f m Cumberland County, Pennsylvania; WHEREAS, the parties have reached a partial agreement for the division and distribution of their marital assets and liabilities, as specifically set forth herein, and wish to have that agreement reduced to writing but to reserve their claims for spousal support, alimony pendente lite, alimony, and counsel fees to be resolved at a later date. NOW, THEREFORE, the parties hereto, in consideration of the above recitals, the mutually made and to be kept promises set forth hereinafter, and for other good and valuable considerations, and intending to be legally bound and to legally bind their heirs, 1 717-761-1435 SP91 WDES 123 POO AM 24 '02 07:4$ successors, assigns, and personal representatives, do hereby covenant, promise, and agree as follows: 1 . Wife shall convey to Husband, promptly upon the execution of this agreement, to be his sole and separate property after the date of such conveyance, the property owned by the parties and known and numbered as 6875 Wertzville Road in Enola, Cumberland County, Pennsylvania. Upon delivery and recording of that deed, Wife waives any further claim to or interest in the said property, provided that Husband completes the refinancing as provided hereinbelow. 2. In consideration of the conveyance of the residence to him, in accordance with Paragraph 1 hereof, Husband shall, immediately upon the execution of this agreement, refinance the debt secured by a mortgage against the said residence to satisfy that debt in full and obtain Wife's unconditional release from liability on said debt. The parties acknowledge that Husband has applied for, and been approved for, a mortgage to refinance said debt. The parties shall cooperate so that Husband can settle on that mortgage financing promptly and Husband shall, within ten 0 0) days of the date of this agreement, settle on that mortgage and provide proof to Wife of her unconditional release from further liability on that obligation. 3. Husband shall assign and transfer to Wife, to be her sole and separate property, all of the parties' right, title, and interest in a 1998 Honda Passport automobile currently being operated by Wife's daughter, Carla Diller„ and the lease for a 2001 Honda Passport currently being operated by Wife. Husband shall make, execute, acknowledge and deliver any documents necessary to assign said title and lease to Wife at such time as Wife assumes full responsibility of the debt and lease secured by said vehicles existing at 73,7-761-1435 SRN RNDES 123P09 RPR 24 '92 037:49 the time this agreement is signed and thereby unconditionally releasing Husband from liability on said debt. Wife shall, from the date of separation, assume and be solely responsible for any and all expenses arising out of the said debt and lease and the ownership or operation of said vehicles and shall indemnify and save harmless Husband from any loss, cost, or expense caused to him by her failure to do so. Such assignment and transfer of lease shall be completed within sixty (60) days of the date of this agreement, provided, however, that if Wife, after reasonable and diligent efforts, obtain Husband's unconditional release from the terms of the lease, without refinancing the lease in full, the time for her to obtain his release from the terms of the lease shall be extended as may be necessary for her to obtain that release through her continuing efforts to do so. 4. Wife shall transfer to Husband all of her right, title, and interest in the 1987 Nissan pickup truck currently registered in Husband's name and will make, execute, acknowledge and deliver any and all motor vehicle titles or other documents necessary to complete such transfer. Husband shall, from and after the date of such transfer, assume and be solely responsible for any debts, obligations, or liabilities arising out of his ownership or use of said vehicle and shall indemnify and save Wife harmless from any loss, cost, or expense caused to herby his failure to do so. 5. The parties acknowledge that Husband has an account within the Boyd Diller, Inc., 401ik) plan, which has a present balance or value.ot approximately $20,000.00. Husband shall, as soon as practical after the date of this agreement, transfer and assign to Wife the entire balance in that account, to be her sole and separate property, free of any further claim by Husband, after the date of such transfer. Husband shall. be 3 717-761-1435 SW RNDES 123 P10 HPP. 24 '02 07:49 responsible to prepare and obtain the entry of a Qualified Domestic Relations Order to make such transfer. 6. The parties acknowledge that, at the time of their separation, they owed debts to First USA Visa, with an approximate balance of $5,000.00, and a Sears Mastercard, with an approximate balance of $2,000.00. Husband shall be responsible to pay, and satisfy in accordance with the terms of the documents which create those accounts, all balances and payments due on said credit accounts and shall indemnify and save Wife harmless from any loss, cost, or expense caused to her by his failure to pay and satisfy those obligations in accordance with the terms of this paragraph. Further, the parties agree that neither of them shall use the credit accounts from and after the date of this agreement, that Husband shall notify the companies handling-such-accounts that he is solely responsible for the payment of them, and the accounts will be dosed. promptly upon Husband's payment of them. Otherwise, the parties hereto mutually represent to the other than neither of them has incurred any debts in the name of the other not previously disclosed or provided for in this agreement. ]Each of the parties hereby represents to the other that neither one of them have incurred or contracted for debts in the name of the other or for which the other is or would be legally liable from and after the date of the parties' separation. Both parties hereto mutually agree and promise that neither will contract or otherwise incur debts in the other's or joint names without the prior permission and consent of the other party hereto- Both parties hereto represent and warrant to the other party that they have not so contracted any debts unbeknownst to the other up to the time and date of this Agreement. 4 717-761-1435 SAt9 ANDES 123 P11 RPR 24 '92 97:50 7. PERSONAL PROPERTY. The parties hereto mutually agree that they have effected a satisfactory division of the furniture, household furnishings, appliances, and other household and personal property between them and they mutually agree that each party shall, from and after the date hereof, be the sole and separate owner of all such tangible personal property presently in his or her possession, whether said property was heretofore owned jointly or individually by the parties hereto, and this agreement shall have the effect of an assignment or receipt from each party to the other for such property as may be in the individual possessions of each of the parties hereto, the effective date of said bill of sale to be contemporaneous with the date of the execution of this Agreement. 8. DISCLOSURE. Both of the parties hereto represent to the other that they have made full disclosure of the assets and income and income sources owned, controlled, or enjoyed by either of them and that neither party hereto has withheld any financial information from the other. Each of the parties represents that they have reviewed such information, as well as the law of Pennsylvania as it relates to their rights, obligations, and claims arising out of their marriage and of any divorce action which has or may be filed between the parties with an attorney of their choice, or had the opportunity to review such matters with an attorney of their choice and voluntarily decided not to do so. Further, the parties each acknowledge that they are aware that they have the right to compel the other party to provide full financial information about all assets owned by either party and all liabilities owed by either party and have the right to have a court force II such disclosure in a divorce action. Being aware of those rights, the parties expressly waive the right to further disclosure or discovery regarding marital assets, liabilities, incornes, and finances and agree that they are satisfied with their understanding of their 5 717-761-1435 sHM R4DEs 123 P12 NPR 24 '02 07:59 legal rights and obligations. Being so aware and satisfied, the parties mutually accept the terms and provisions of this agreement in full satisfaction of any and all rights or obligations arising of their marital status or the divorce action now pending or to be filed between them, other than as to claims for spousal support, alimony pendente file, alimony and counsel fees, which are to be resolved at a later date. 9. The parties agree that the provisions of this agreement shall be in full satisfaction of their rights to the equitable distribution of marital property or debts and the parties hereby waive their right to have any court equitably divide or distribute their assets and liabilities, to pursue'further discovery or to require the filings of inventory or other pleadings regarding the marital assets and liabilities of their marriage, or to otherwise litigate the division and distribution of their marital and non-marital assets at any time in the future. 10. Nothing in this agreement shall limit, suspend, or terminate the right of either party to seek spousal support, alimony, alimony pendente lite, or counsel fees and expenses from the other party. The parties acknowledge that they are parties to an action before the Court of Common Pleas of Cumberland County, Pennsylvania, filed to PACSES No. 766104273, which obligates Husband to pay alimony pendente lite to Wife and the parties agree that the terms and provisions of that order, as it may be modified in the future, or any other order or the payment of spousal support, alimony pendente lite, alimony, or counsel fees and expenses, shall not be disturbed or limited by the terms of this agreement and that all of their rights and defenses to such claims shall survive this agreement. 9 717-761-1435 SAM RIDES 123 P13 APR 24 '02 97:59 11. This agreement shall be interpreted, applied and enforced by the courts of and in accordance with the laws of the Commonwealth of Pennsylvania. There are no agreements between the parties relating to the equitable distribution of their marital property and liabilities except as are expressly set forth herein and any other agreements, understandings, or arrangements between the parties with regard to those matters are merged into this agreement and shall no longer be separately valid or enforceable. 12. The parties acknowledge that each of theme is represented by an attorney, that they have had adequate time to review the terms and provisions, and the legal and financial consequences, of this agreement with their attorney or an attorney of their choice, and are satisfied that they are aware of their rights under the law of the Commonwealth of Pennsylvania and of the assets and liabilities affected by this agreement. IN WITNESS WHEREOF, the parties hereto have set their hands and seals the day and year first above written. rtness / `y''- W tness A L0. ?Q n,ct. IE LLE . 717-761-1435 SAM ANDES COMMONWEALTH OF PENNSYLVANIA ) ( COUNTY OF-6?AAl$..?cu/ilv SS.: I 123 P14 APP. 24 'M 95':51 On this, the I?t day of `7Y,,1;? 2002, before me, the undersigned officer, personally appeared MICHAEL. D. DILLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that said person executed same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my haul and official seal. MY Cortimissto xpires: NOTARIAL SEAL .` 1 YVONNE M. HOPSTETTER, Notary Public I Harrisburg, Dauphin Coumy My Commission Expires May 5„ 2003 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND i SS.: ) On this, the 10A day of AlfY , 2002', before me, the undersigned officer, personally appeared MELANIE S. DILLER known to me (or satisfactorily proven) to be the person whose name is subscribed to the within instrument, and acknowledged that said person executed same for the purposes therein contained- IN WITNESS WHEREOF, I hereunto set my hand and official seal- my cothmissio: MELANIE S. DILLER, Plaintiff vs. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION NO. 2001-6031 IN DIVORCE PRAECIPE TO TRANSMIT RECORD TO THE PROTHONOTARY: Transmit the record, together with the following information, to the court for entry of a divorce decree: 1. Ground for divorce: §3301(c) 2. Date and manner of service of the complaint: March 13, 2002 by United States Certified Mail, Restricted Delivery. 3. Date of execution of the affidavit of consent required by §3301(c) of the Divorce Code: by Plaintiff, September 16, 2003; by Defendant, September 16, 2003. 4. Plaintiff's current address is 1806 Louisa Lane, Mechanicsburg, Pennsylvania 17050. 5. Defendant's current address is 6875 Wertzville Road, Enola, Pennsylvania 17025. 6. Related claims pending: none. MELANIE S. DILLER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION vs. MICHAEL D. DILLER, Defendant NO. 2001-6031 IN DIVORCE CERTIFICATE OF SERVICE I, Christine A. Zimmerman, an employee of Feeman, Mesics & Hopstetter, do hereby certify that a true and correct copy of the Praecipe to Transmit Record, was served by United States First Class Mail, upon the following person, on the following date: Samuel Andes, Esquire 525 North Twelfth Street P.O. Box 168 Lemoyne, PA 17043 (Attorney for Plaintiff) Date: 412-q)04- . Christine A. Zimmer a t7 o O `U C;J Ur T" O C? ION IN THE COURT OF COMMON PLEAS MELANIE S. DILLER NO. _ 2001 6031 VERSUS MICHAEL D. DILLER DECREE IN DIVORCE AND NOW," I IT IS ORDERED AND DECREED THAT MELANIE A. DILLER AND OF CUMBERLAND COUNTY STATE OF PENNA. MICHAEL D. DILLER ,PLAINTIFF, ,DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY, AND THE PROVISIONS OF THE PARTIAL PROPERTY SETTLEMENT AGREEMENT BETWEEN THE; PARTIES, ATTACHED HERETO, ARE INCORPORATED, BUT NOT MERGED, HEREIN AS IF SETT FORTH AT LENGTH. 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 ? ' 7 w 'da >? MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant MOTION FOR ENTRY OF ORDER UPON STIPULATION AND NOW, comes Michael D. Diller, by and through his counsel, Feeman, Mesics & Hopstetter, and moves your Honorable Court to enter an Order upon the Stipulation for Entry of IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 2001-6031 a Qualified Domestic Relations Order entered into between the Plaintiff and Defendant. Date: k41?p2QW,-- By: Respectfully submitted, FEEMAN, MESICS & HOPSTETTER David J. Ar Esquire Attorney LIT # 78478 247 South Eighth Street Lebanon, PA 17042 Telephone: (717) 272-3477 Attorneys for Defendant MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - DIVORCE NO. 2001-6031 STIPULATION FOR ENTRY OF QUALIFIED DOMESTIC RELATIONS ORDER AND NOW, come the parties above, Michael D. Diller (hereinafter "HUSBAND") and Melanie S. Diller (hereinafter "WIFE") and hereby stipulate and agree that this Honorable Court shall issue the Qualified Domestic Relations Order pursuant to paragraph 5 of the Partial Property Settlement Agreement entered into by them on May 1, 2001. WITNESS: nA,,hapl1) Hiller VERIFICATION 1, Michael D. Diller, verify that the statements made in the foregoing document 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.A. § 4904, relating to unsworn falsification to authorities. it'Aakr- 1L r? ?/ Michael D. Diller VERIFICATION I, Melanie S. Diller, verify that the statements made in the foregoing document 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.A. § 4904, relating to unsworn falsification to authorities. N (J ?? a . ?J ? -JT 1 \? .3 - r -ii . Jai cJ '. ,Cry _ _ ? -? Cj ?. j .{ MELANIE S. DILLER, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA vs. : CIVIL ACTION - DIVORCE MICHAEL D. DILLER, : NO. 2001-6031 SAY 19 ZU04 Defendant QUALIFIED DOMESTIC RELATIONS ORDER AND NOW, this Z4-) day of YIA,?ilil , 2004, it appearing to the Court that: 1. The parties hereto are husband and wife and a Divorce action is presently pending in this Court at the above number. 2. Michael D. Diller (190-54-6571), hereinafter referred to as "Defendant" or "Participant", is employed by and is a participant in the Boyd E. Diller, Inc., Profit Sharing Plan. 3. Melanie S. Diller (236-96-6209), hereinafter referred to as "Plaintiff' or "Alternate Payee", has raised claims for , inter alia, equitable distribution of marital property pursuant to the Pennsylvania Divorce Code, 23 Pa. Cons. Stat. Ann. § 3103 et seq. 4. Defendant's current and last known mailing address is 6875 Wertzville Road, Enola, Pennsylvania 17025 Plaintiff's current and last known mailing address is 1806 Louisa Lane, Mechanicsburg, Pennsylvania 17050. -6. The balance of the aforementioned account on March 31, 2001 was $12,664.49. IT IS ORDERED, ADJUDGED AND DECREED as follows: All of the aforementioned Profit Sharing Plan account is marital property subject to distribution by this Court. 2. The entire balance from the account, plus actuail interest earned on this sum, is awarded to the Alternate Payee, Melanie S. Diller (Plaintiff), and is to be segregated to an account in her name. The Participant, Michael D. Diller (Defendant), is not awarded any amount from this account and shall not retain any portion of this account. 3. The term of said payments is for the life of the Alternate Payee, a number of years certain, or a lump sum payment, the term to be as selected by the Alternate Payee from any payment option available to her from the Profit Sharing Plan at the time the retirement benefit is in pay status. Payments are to commence at the retirement date chosen by the Alternate Payee but in no event earlier than the earliest retirement date provided under the Plan, or in the case of this defined contribution plan, a date which is not more than ten years before the normal retirement age under the Plan. In the event a Plan provides the option to the Participant to elect to obtain benefits at the earliest retirement age, the benefits shall be payable to the Alternate Payee on or after the date on which the Participant attains (or would have attained) the earliest retirement age, as if the Participant had retired on that date even if the Participant has not actually retired or separated from service. 5. The plan to which this Order applies is the Boyd E. Diller, Inc. Profit Sharing Plan or any successor plan. 6. The Alternate Payee, Plaintiff, shall have the same rights with regard to her portion of the account as were available to the Participant, Defendant. These rights include but are not limited to the right to designate a beneficiary of retirement benefits, the right to elect from then existing retirement dates and payment options and the right to such increases in value in the account as might occur as a result of general upgrading of the plan, plan amendments, earned interest, profitability of plan investments, etc. but not from increase in value which result from future increases in the Participant's compensation of his future contributions to the plan. In no event shall the Alternate Payee have greater rights than those which are available to the Participant. The alternate Payee is not entitled to any benefit not otherwise provided under the plan. In the event that actuarial computation is necessary to determine "actuarial equivalents" and/or the difference between benefits actually accrued, non-subsidized benefits, or employer subsidized benefits, for the purpose of the earliest retirement age option by the Alternate Payee, or otherwise, the Plan Administrator shall obtain the services of any actuary who is enrolled under subtitle C of title III of the Employment Retirement Security Act of 1974. Any reasonable costs incurred by the Plan Administrator to effectuate the terms and provisions of this Qualified Domestic Relations order shall be assessed against the Plan. 9. The Alternate Payee shall have the right to roll over the benefits distributed to her pursuant to the terms and provisions of this Order to an eligible retirement plan such as an Individual Retirement Account or to an Individual Retirement Annuity. This transfer will be considered a taxfree rollover of the benefits distributed provided that the balance to the credit of the Alternate Payee is distributed or paid within one year of receipt. 10. The parties shall promptly notify the Profit Sharing Plan Administrator of any change in their addresses from those set forth above in this Order. 11. The parties shall promptly submit this Order to the Profit Sharing Plan Administrator for determination of its status as a Qualified Domestic Relations Order. IT IS INTENDED that this Order shall qualify as a Qualified Domestic Relations Order under the Retirement Equity Act of 1984 and any successor acts or amendments. The Court retains jurisdiction to amend this Order as might be necessary to establish or maintain its status as a Qualified Domestic Relations Order under the Retirement Equity Act of 1984. CONSENTED TO: r' . rY? r Defendant and Plan Particinant Plaintiff acid Alternate os -a i -o ? J ''.J 0? I ",' hn.1 MELANIE S. DILLER, Plaintiff VS. MICHAEL D. DILLER, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL. ACTION - LAW NO. 2001-6031 IN DIVORCE STIPULATION The above parties, by their undersigned counsel, hereby agree that the alimony order in this matter entered by the Court on 25 February 2004, shall be administered by the Domestic Relations Office of this Court. The alimony shall commence effective 5 May 2004 and shall continue for a period of five (5) years thereafter, in the amount of $700.00 per month, unless terminated or modified prior thereto by further order of the court. 4Sal L. Andes Attorney for Plaintiff Date: IL David J. Hold Attorney for Defendant Date: 15"- ) 1, 0 `l G N r rn -n C7 -- GJ t t? Ql < MELANIE S. DILLER, Plaintiff 1 1 vs. 1 1 1 MICHAEL D. DILLER, 1 1 Defendant STIPULATIO1 N IIV THE COURT OF COMMON PENNSYLVANIA PLEAS CUMBERLAND COUNTY, CIVIL ACTION - LAW NO. 2001-6031 IN DIVORCE o T 'c7 io ?-- T -n r -v rn The above parties, b this ma Y their undersigned counsel, hereby ? -' matter entered by the Court on undersigned y agree that the alimon Relations Office entered this Court. 25 February 2004, shall be administered o order in The alimony shall commence effective May by the Domestic 2004 continue for a period of five (5) years thereafter, in the amount of $700M.00 May shall per m per month and terminated or modified prior thereto by further order of the court. , unless Samue L. Andes Attorney for Plaintiff Date: ou< 2" Da J. A Attorney for Defendant Date: )-- 2 7, a y In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: An correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name MELANIE S. DILLER PACSES Docket Case Number Number 766104273 01-6031 CIVIL $¢$ J TOTAL ATTACHMENT AMOUNT: Attachment Amount/Freauencv 700.00 /MONTH / / / / 700.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $161.54 per week, or so. o %, of the Unemployment Compensation benefits otherwise payable to the Defendant, MICHAEL D. DILLER Social Security Number 190-54-6571 , Member ID Number 7622100935 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached wider this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673(b)(2) and 23 Pa. C.S. § 4348(g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 28 , 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: SUN 16 20004 JUDGE Service Type M Form EN-034 Worker ID $IATT r a o r T -? f'rrt C R ' x -pF'r1 rr ? ? -r ? L _ W .. ` "? G 3 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? I heckep you are required to prp?ide a 4opy of this form to your, employee. If your employee?yorks in a state that is ?ifcferent 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.* e'swages.. You must comply with the law of the paydateldate of ovithlrolding is the date u.. v,hich arnou it was withheld ho! M the el n 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: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 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 Side 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. Antidiscrimination: You are subject to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 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; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional *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%bligor 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 wwvv.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMB No, 09700154 c -ri ,. r o cn era w ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 PACSES Case Number Plaintiff Name Plaintiff Name MELANIE S. DILLER Docket Attachment Amount Docket Attachment Amount 01-6031 CIVIL$ 700.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the ernployee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M OMB No.: 097"154 WorkerlD $IATT I n o 0 c_ r -n C. W :J Ln ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 06/15/04 Tribunal/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP 120 INDEPENDENCE IN CHALFONT PA 18914-1842 O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) DI - 69D3/ e, I I VI I 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. $ 700 . oo per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o. 00 per month in medical support $ o . oo per month for genetic test costs $ per month in other (specify) for a total of $ 700.00 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: $ 161.54 per weekly pay period. $ 323 .08 per biweekly pay period (every two weeks). $ 350. oo per semimonthly pay period (twice a month). $ loo, 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, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THECQIX[: Date of Order: JUN 1 20IM10T 't - I ForN EN-028 Service Type m OMH No. 097M1 54 Worker ID $IATT i; C) o ? C r R7 ZI CY' L- r 11r w -a Fm -JOE L? o- w 4 W ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania CO./City/Dist. of CUMBERLAND OOriginal Order/Notice Date of Order/Notice 06/15/04 O Amended Order/Notice Tribunal/Case Number (Se Addendum for case summary) O Terminate Order/Notice Employer/Withholder's Federal EIN Number RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MO DOLI CONSTRUCTION CORp 120 INDEpENDENCE IN CHALFONT PA 18914-1842 D1-LL,31 ejV1, I 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name at, First, M8 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. $ 700. 00 per month in current support $ 0 oo per month in past-due support 0 oo per month in medical support Arrears 12 weeks or greater? byes (9) no $ no per month for genetic test costs ?_ per month in other (specify) for a -total of $700. 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: $ 161, per weekly pay period. $ 323, 08 per biweekly pay period (every two weeks). $ 350, 00 per semimonthly pay period (twice a month). $ -790. 00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg,, Pa 17106-9112 IN ADDITION, PAYMENTS MUST as INCLUDE above ve as as the the E mp THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown DO NOT SEND CASH ASH Obligor By MAIL! 's Case dentifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. Date of Order: JUN 16 2W4 Service Type M BY THE OMe No.: 097ao,,, EN-028 erlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifhecked you are required to provide aopy of this form to your Cmployee. If your employee Yorks in a state that is di Brent ffrom the state that issued this order, a copy must be provideo 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. enc 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. ? °"?- You must comply with the law of the 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 the law of the state of employee's/obligor's principal place of emOploy/ment. You must honor allrOrders/N tiocest to the limitsgr'eatest extent (low possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee%bligor 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: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 LAST KNOWN HOME ADDRESS: DATE OF SE P'ARATION 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%bligor'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%bligor 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)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 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 If you or your employee/obligor have any questions, 1 N HANOVFR tT contact WAGE ATTACHMENT UNIT P.O. BOX 320 by telephone at 717)7) 24- 6225 or CARLISLE PA 17013 by FAX at ( -6248 or _ by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 OMB No.: 0970.0154 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendantlobligor: DILLER, MICHAEL D. PACSES Case Number 766104273 Plaintiff Name Name MELANIE 5. DILLER Docket Attachment t__ $ AM.0O0 unt 01-6031 CIVIL 70_ 0 Child(ren)'s Name(s): DOB Service Type M Addendum OMB NO,: 0970-0154 Form EN-028 Worker ID $IATT ti ' Tl!'T7 :<y V Cl ? T= ?? T 4 T? ? r J i = a `x .77 In the Court of Common Pleas TIC C?ERL ?1VD DOMESTIC RELATIONS SECTION County, Pennsylvania MELANIE S, DILLER vs Plaintiff . MICHAEL D. DILLER Docket Number ) PACSES Case Number ) 01-6031 CIVIL Defendant ) Other State ID Number 766104273 ORDER AND NOW, to wit, on this ORDERED that the su 15TH DAY OF ,TUNE, 2004 IT IS HEREBY pport order in this case be Q Vacated or QSuspended or ® Terminated without prejudice or Terminated and Vacated, effective MAY 5, 2004 THE p + due to: ARTIES DECREE IN DIVORCE AND THE ORDER OF FEB;RUp.RY 25, REMAINING CREDIT ON THE ALIMONY PEND 2004. THE THE ALIMONY ACCOUNT. ELATE LITE OF $713.12 WILL BE DIRECTED TO DRO: Ri Shadday IC: plaintiff defendant Samuel Andes, Esquire David Arnold, EsgUre Service Type BY THE Edgar B. ?. GE Form OE-504 Worker ID 21005 .G? C Iil? ? rTl ro r - j r -t:7 5 -T3 c ? ??n R l . In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name MELANIE S. DILLER PACSES Docket Case Number Number 766104273 01-6031 CIVIL Attachment Amount/Freuuenc $ 700.00 MONTH / / TOTAL ATTACHMENT AMOUNT: $ 700.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $161.54 per week, or 50 %, of the Unemployment Compensation benefits othervise payable to the Defendant, MICHAEL D. DILLER Social Security Number 19 0 - 5 4 - 6 5 71 , Member ID Number 7 6 2 210 0 9 3 5 . 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 arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated DECEMBER 26, 2004 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: JAN 4 205 &,6&144 B, ,Q,g YC s JUDGE Form EN-530 Service Type M Worker ID $ IATT rn rm ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 766104273 Co./City/Dist. of CUMBERLAND 01-6031 CIVIL Date of Order/Notice 06/09/06 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP 120 INDEPENDENCE LN CHALFONT PA 18914-1842 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ o . 00 per month in current and past-due medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o. oo per weekly pay period. $ o. o o per biweekly pay period (every two weeks). $ o . 00 per semimonthly pay period (twice a month). $ 0. 0o per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY T OURT: Date of Order: JUN 12 2006 Edgar B. a ley, cadge DRO: R.J. Shadday Form EN-028 Service Type M OMBNo.:0970.0154 Worker ID $IATT O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) ++ y ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifhecke?l you are required to provide aopy of this form to your?mployee. If your employee works in a state thatkis di erent trom the state that issued this o er, a copy must be provi edd to your employee even if the box is not chec ed. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* Reporting the Payddte/E)dte of Withholding. You must report the paydate/date of withholding when sendil1r, the . paydate/date of withholding is the date on which aniount was withheld from the employee's vvages-. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11 -Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 Plaintiff Name MELANIE S. DILLER Docket Attachment Amount 01-6031 CIVIL$ 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. PACKS 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 $ 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. Service Type M 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 $ 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. PACKS 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. OMB No.: 0970-0154 Addendum Form EN-028 Worker ID $IATT C1, r., c"= = ? ? - ??? 'T'? N ":t?_ -'?` ? - _ , - 'r-, . ?? .? . -- °' % t: ?} -P _ -? ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. Of CUMBERLAND Date of Order/Notice 06/09/06 Case Number (See Addendum for case summary) 766104273 Q Original Order/Notice 01-6031 CIVIL Q Amended Order/Notice O Terminate Order/Notice Employer/Withholder's Federal EIN Number RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) 190-54-6571 Employee/Obligor's Social Security Number PSI PUMPING SOLUTION INC 7622100935 134 GUN CLUB RD Employee/Obligor's Case Identifier YORK SPRINGS PA 17372-8749 (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 700.00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Q yes ® no $ 0.00 per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 700.00 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: $ 161.54 per weekly pay period. $ 323 . o8 per biweekly pay period (every two weeks). $ 350. oo per semimonthly pay period (twice a month). $ 700.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY TH OURT: Date of Order: JUN 12 2006 y An, EB. yley. Judge DRO: R.J. Shadday Form EN-028 Service Type M OMB No.: 0970-0154 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecky you are required to provide aSopy of this form to your m loyee. If yorr employee works in a state that is di Brent rrom the state that issued this or er, a copy must be provic?edpto your emp oyee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* paydat&dateuf,,,1thI U1 is tie date on which amount was . You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 4319738640 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M 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 OMB No.: 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 Plaintiff Name MELANIE S. DILLER Docket Attachment Amount 01-6031 CIVIL$ 700.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ?lf checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS 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 $ 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. Addendum Form EN-028 Service Type M OMB No.: 0970-0154 Worker ID $IATT A_jl J V v C i J 4?" r ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 08/21/06 Case Number (See Addendum for case summary) Employer/Withholder's Federal FIN Number PSI PUMPING SOLUTION INC 134 GUN CLUB RD YORK SPRINGS PA 17372-8749 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ o. oo per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Q yes ® no $ 0.00 per month in current and past-due medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o. oo per weekly pay period. $ o. 0o per biweekly pay period (every two weeks). $ o. oo per semimonthly pay period (twice a month). $ o. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information i needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER /D (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE OURT: Date of Order: AUG 2 2 2006 DRO- R.J. Shadday Service Type m 766104273 01-6031 CIVIL O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) Edgar B. Bayley, OMB No, 0970-0154 Form EN-028 Worker ID $IATT t ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ifghecked you are required to provide a copy of this form to your3uloyee. If your employee orks in a state tha?is di erent (from the state that issued this ortler, a copy must be provi to your employee even if tXe box is not chec ed. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee%bligor. 3.* You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 4319738640 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under State law for discharging an employee%obligorfrom employment, refusing to employ, or taking disciplinary action against any employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. § 1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employeelobligor 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 Service Type M Page 2 of 2 OMB No.: 097MI 54 Form EN-028 Worker ID $IATT Y ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 PACSES Case Number Plaintiff Name Plaintiff Name MELANIE S. DILLER Docket Attachment Amount Docket Attachment Amount 01-6031 CIVIL$ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ?if checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No.: 09]0-0156 a, =r r S. _> cei o zz ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 09/01/06 Case Number (See Addendum for case summary) 766104273 ( Original Order/Notice 01-6031 CIVIL Q Amended Order/Notice O Terminate Order/Notice EmployegWithholder's Federal EIN Number DOLT CONSTRUCTION CORP 120 INDEPENDENCE IN CHALFONT PA 18914-1842 RE; DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mp 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. $ 700.00 per month in current support $ o, oo per month in past-due support Arrears 12 weeks or greater? Dyes ® no $ o. oo per month in current and past-due medical support $ 0 . oo per month for genetic test costs $ per month in other (specify) for a total of $ 700 , 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: $ 161.54 per weekly pay period. $ 323 . o8 per biweekly pay period (every two weeks). $ 35o. 00 per semimonthly pay period (twice a month). $ 700. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsyivania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. / BY T CFl? OURT: tea--? Date of Order: SEP 0 5 2006 Edc{$r B. Bayley, Nudge DRO: R.J. Shadday Form EN-028 Service Type m OMHNo.:0970-0154 WorkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecked you are required, to provide a opy of this form to your. Cmployee. If yo r employee Yorks in a state that is dif event from the state that issued this or?er, a copy must be provloed to your employee even if t e box 1s not checked. 1. Priority: Withholding under this order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* i . Jim You must comply with the law of the paydateidate ol-withholuding Is the date - 1-hich .111-0 t WaS Withheld fim. thievniployee's wages. state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Empioyee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employeelobligor and you are unable to honor all support order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee'slobligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 9004000057 EMPLOYEE'SIOBL1GOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of., 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the empioyee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. I I. Submitted By: DOMESTIC RELATIONS SECTION 13 N HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type m If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at 71 240-6225 or by FAX at (7171 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 OMB No, 0970-0154 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER PACSES Case Number 766104273 Plaintiff Name MELANIE S. DILLER Docket Attachment Amount 01-6031 CIVIL$ 700.00 Child(ren)'s Name(s): DOB MICHAEL D. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number 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. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Addendum Form EN-028 Service Type M Worker ID $IATT OMB No, 0970-0154 ?^ rn T t l l i .r.= cn W ^? m In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: MICHAEL D. DILLER Member ID Number: 7622100935 Please note: All correspondence must include the Member ID Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Multiple Cases on Attachment PACKS Docket Attachment Amount/Frequency Plaintiff Name Case e Number Number MELANIE S. DILLER 766104273 01-6031 CIVIL $ 700.00 MONTH / / TOTAL ATTACHMENT AMOUNT: $ 700.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $161.54 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, MICHAEL D. DILLER Social Security Number 190-54-6571 , Member ID Number 7622100935 . 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 arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. § 1673 (b)(2) and 23 Pa. C.S.A. § 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated NOVEMBER 2 6, 2 0 0 6 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order. DEC 2Q?? JUDGE Service Type M Form EN-530 Worker ID $ IATT C7 pla C?7 ?''' C W ? j CFe ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania CO./City/Dist. Of CUMBERLAND Date of Order/Notice 05/07/07 Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DOLI CONSTRUCTION CORP 120 LN CHALFONT PA 18914-1842 766104273 Q Original Order/Notice 01-6031 CIVIL O Amended Order/Notice O Terminate Order/Notice RE: DILLER, MICHAEL D. Employee/Obligor's Name (Last, First, MI) 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ o . 0o 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 current and past-due medical support $ 0.00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 0. 00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o . 0 o per weekly pay period. $ o. go per biweekly pay period (every two weeks). $ o. oo per semimonthly pay period (twice a month). $ o. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY TKrCOURT: Date of Order: My 0 ;; ?Cn] Edgar B. Bayley, Judge DRO: R.J. Shadday Form EN-028 Rev. 1 Worker I D $ IATT Service Type M OMB No.: 0970-0154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If heckl you are required to provide a opy of this form to your m loyee. If yo r employee works in a state that is diferent from the state that issued this order, a copy must be provi?edpto your employee even if the box is not checed. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employeelobligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.* nen 5V11U11 g ulc t/ayll-lit- I Iding is the flu, 11 the e111ployees-vvages-.- You must comply with the law of the paydateldate of vvffitl il i date oil which amount was withheld state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 9004000057 EMPLOYEE'S/OBLIGOR'S NAME: DILLER MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 by telephone at (717) 240-6225 _ or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Service Type M OMB No.: 097"154 Form EN-028 Rev. 1 Worker ID $IATT ADDENDUM Summary of Cases on Attachment DefendanWbligor: DILLER, MICHAEL D. PACSES Case Number 766104273 PACSES Case Number Plaintiff Name Plaintiff Name MELANIE S. DILLER Docket Attachment Amount Docket Attachment Amount 01-6031 CIVIL$ 0.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. PACKS 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 $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS 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. Addendum Form EN-028 Rev. 1 Service Type M OMB NO.: 0970-0154 Worker ID $IATT r? co L ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 05/23/07 Case Number (See Addendum for case summary) E m pl oye r/With holder's Federal EIN Number DOLI CONSTRUCTION CORP 120 LN 766104273 01-6031 CIVIL RE: DILLER, MICHAEL D. CHALFONT PA 18914-1842 Q Original Order/Notice Q Amended Order/Notice Q Terminate Order/Notice Employee/Obligor's Name (Last, First, MI) 190-54-6571 Employee/Obligor's Social Security Number 7622100935 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, MI) See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State. $ 700 . 00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Qyes ® no $ 0.00 per month in current and past-due medical support $ o . 00 per month for genetic test costs $ 0.00 per month in other (specify) for a total of $ 700.00 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: $ 161.54 per weekly pay period. $ '12-j ()g per biweekly pay period (every two weeks). $ 350.00 per semimonthly pay period (twice a month). $ 700. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If required by Pennsylvania law (23 PA C.S. § 4374(b)) to remit by electronic payment method, please call Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: MAY 2 4 2007 DRO: R. J. Shadday Service Type M BY THE C RT: .? c^ 1 Edgar B. Bayley, Judge Form EN-028 Rev. 1 OMB No.: 0970-0154 1AI ?rlror in $IATT n. o r?.- j 61 . . 5 4 12 T 7 ? ? n ? L ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If hecke? you are required to provide a opy of this form to your mployee. If yo?1r employee works in a state that is dierent from the state that issued this order, a copy must be proviged to your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. , tI re Paydateffiate of Witl d !old h %. You must report t! te paydate/date of wit' il iolding, Mien sei id ii ig tI se pay i i mi it. The 3.* Reporting paydate/date of withholding is the date on vyhich amOUnt MIS Withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 4.* Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 2325732390 EMPLOYEE'S/OBLIGOR'S NAME: DILLER, MICHAEL D. EMPLOYEE'S CASE IDENTIFIER: 7622100935 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act 0 5 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M 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 OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker I D $ IATT -{ ADDENDUM Summary of Cases on Attachment Defendant/Obligor: DILLER, MICHAEL D. PACSES Case Number 766104273 Plaintiff Name MELANIE S. DILLER Docket Attachment Amount 01-6031 CIVIL$ 700.00 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. PACKS 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 $ 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. Service Type M PACKS 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 $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Addendum OMB No.: 0970-0154 Form EN-028 Rev. 1 Worker I D $ IATT C 'C-f -TI