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Home My WebLink About99-05223'" ?, :;? ,:r s 'a!HI '?,? :,? i? IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO.?N CIVIL 19 I lol,? ?Z-I`'?? IN DIVORCE Pfi?'n oArl- STATUS SHEET ATTT!. p,? vo _?v 4 BELINDA M. PETER, Plaintiff VS. ROLF PETER, Defendant TO: Carol J. Lindsay Robert J. Mulderig IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA NO. 00 - 5223 CIVIL IN DIVORCE Attorney for Plaintiff Attorney for Defendant DATE: Monday, October 2, 2000 CERTIFICATION I certify that discovery is complete as to the claims for which the Master has been appointed. OR IF DISCOVERY IS NOT COMPLETE: (a) Outline what information is required that is not complete in order to prepare the case for trial and indicate whether there are any outstanding interrogatories or discovery motions. (b) Provide approximate date when discovery will be complete and indicate what action is being taken to complete discovery. i TE COUNSEL FOR PLAINTIFF ( ) COUNSEL FOR DEFENDANT ( ) NOTE: PRETRIAL DIRECTIVES WILL NOT BE ISSUED FOR THE FILING OF PRETRIAL STATEMENTS UNTIL COUNSEL HAVE CERTIFIED THAT DISCOVERY IS COMPLETE, OR OTHERWISE AT THE MASTER'S DISCRETION. AFTER RECEIVING THIS DOCUMENT FROM BOTH COUNSEL OR A PARTY TO THE ACTION, IF NOT REPRESENTED BY COUNSEL, INDICATING THAT DISCOVERY IS NOT COMPLETE, THE DIRECTIVE FOR FILING OF PRETRIAL STATEMENTS WILL BE ISSUED AT THE MASTER'S DISCRETION. HOWEVER, IF BOTH COUNSEL, OR A PARTY NOT REPRESENTED, CERTIFY THAT DISCOVERY IS COMPLETE, A DIRECTIVE TO FILE PRETRIAL STATEMENTS WILL BE ISSUED IMMEDIATELY. THE CERTIFICATION DOCUMENT SHOULD BE RETURNED TO THE MASTER'S OFFICE WITHIN TWO (2) WEEKS OF THE DATE SHOWN ON THE DOCUMENT. file: Peter Production of docs BELINDA M. PETER, VS. ROLF PETER, t)b September 7, 2000 IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM Defendant : IN DIVORCE MOTION FOR APPOINTMENT OF MASTER Belinda M. Peter, Plaintiff above, moves the court to appoint a master with respect to the following claims: (x) Divorce (x) Distribution of Property () Annulment () Support (x) Alimony () Counsel Fees () Alimony Pendente Lite () Costs and Expenses and in support of the motion states: (1) (2) (3) (4) (5) (6) (7) Discovery is complete as to the claim(s) for which the appointment of a master is requested. The Defendant has appeared in the action through counsel, Robert J. Mulderig, Esquire The statutory ground(s) for divorce islare 3301(c). Delete the inapplicable paragraph(s). (a) The action is not contested. (b) An agreement has been reached with respect to the following claims: . (c) The action is contested with respect to the following claims: none. The action complex issues of law or fact. The hearing is expected to take Additional information, if any, relevant to th"otion: noA. Date: AND NOW, this IL rl'\ day of? 2000, E Robert Elicker, II, Esquire, is appointed master with respect to the following claims: By the Court, GEJ?CGL ? /?tiPl° ?• ? . .- special relief petition August 26, 1999 BELINDA M. PETER, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 99- -tix.13 CIVIL TERM ROLF PETER, Defendant/Respondent IN DIVORCE ORDER OF COURT AND now this day of Cti c ti }_ 1999, upon consideration of the within Petition for Special Relief, a Rule is issued upon Respondent to show cause why the relief requested should not be granted. 'Y , ?;"CZcZ.Ec RULE returnable at a hearing set for the cl?rr day of 1999, in Court Room No. at the Court House at Carlisle, Cumberland County, Pennsylvania, at ? 161.-?)o'clock, W, m. PENDING the hearing, the parties hereto are ordered not to alienate or dissipate any item of marital property, and in particular, are ordered not to remove from any depository any intangible marital asset. By the Court, special relief petition August 26, 1999 BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA vs. CIVIL ACTION - LAW NO. 99- .2a_y CIVIL TERM ROLF PETER, Defendant/Respondent IN DIVORCE PETITION FOR SPECIAL RELIEF NOW COMES Belinda M. Peter, by and through her counsel, Flower, Flower and Lindsay, P.C., and petitions this Honorable Court as follows: 1. The parties in this case are husband and wife having been joined in marriage on October 2, 1973. 2. The parties have been separated since approximately 1992. 3. Plaintiff suffered from a heart attack and stroke in 1992 which has left her substantially unable to read and with an impaired ability to speak. Plaintiff cannot work and is receiving Social Security benefits in the amount of approximately $397.00 per month. 4. Respondent is employed by the Naval Depot and receives retirement income from a United States Army Pension. 5. Petitioner, as a result of the aforesaid afflictions, is unable to articulate the full extent of the marital estate. She does know that Respondent has a savings account at PNC Bank and certain other financial assets. 6. The Complaint in Divorce will be served on the Respondent along with this Petition for Special Relief and its accompanying Order. 7. Petitioner fears that upon receipt, Respondent will remove assets from the accounts in which they are presently located in order to defeat equitable distribution. special relief petition August 20, 1999 WHEREFORE, Petitioner prays this Honorable Court to enter an Order of non-alienation and non-dissipation and to order the parties not to alienate or dissipate any items of marital property, and in particular, not to remove any intangible asset from its present depository pending equitable distribution, agreement of the parties, or other Order of Court. FLOWER, FLOWER & LINDSAY, P.C. Attorneys for Plaintiff Carlisle, PA 17013 (717) 243-5513 special relief petition August 20, 1999 BELINDA M. PETER, Plaintiff/Petitioner VS. ROLF PETER, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- CIVIL TERM IN DIVORCE CERTIFICATE OF SERVICE AND now, this day of 1999, 1, Carol J. Lindsay, Esquire, of the law firm of FLOWER, FLOWER & LINDSAY, P.C., Attorneys, hereby certify that I served the within Petition for Special Relief this day by depositing same in the United States Mail, First Class, Postage Prepaid, in Carlisle, Pennsylvania, addressed to: Mr. Rolf Peter 114 West Willow Street Carlisle, PA 17013 FLOWER, FLOWER & LINDSAY Attorneys for Plaintiff/Petitioner By: ID # 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 ? ?-., i ?:;? .._ J,. I?IU ? LI ? .' ¢ ,:L C 1? (;1 ?) ?' G1 CJ special relief petition September 30, 1999 BELINDA M. PETER, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. ROLF PETER, Defendant : CIVIL ACTION - LAW NO. 99.5223 CIVIL TERM IN DIVORCE CERTIFICATE OF SERVICE AND now, this .3p day of W 999, I, CAROL J. LINDSAY, Esquire, of the law firm of FLOWER, FLOWER & LI DSAY, Attorneys, hereby certify that I served the Defendant, Rolf Peter, on September S, 1999 with the Complaint in Divorce by Certified Mail, Return Receipt Requested, Restricted Delivery, Addressee Only, addressed to: Rolf Peter 1430 Newville Road Carlisle, PA 17013 and proof thereof, the signed Return Receipt Card, is attached hereto. FLOWER, FLOWER & LINDSAY, P.C. Attorneys for Plaintiff Carol J. Linds?y, Esquire I D # 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 special relief petition September 30, 1999 BELINDA M. PETER, VS. ROLF PETER, Plaintiff Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM IN DIVORCE PROOF OF SERVICE SENDER: I also wish to receive the 3? .cunplM. berm 1 uw« 2 for addNenr WAM. e(:ompete Norm 3,4&. and 4b. following services (for an efhbr your name end address an tlr reverse of We form w Met we con mum No eldre fee): p d to ypou. ep'peesrrerdddi tlde form to the hone of the mellpNw, or m the bock N epee dose not aMhNe'RSrum Healer Aequgrod'antM mellpea blowW erdde 2.§3 Restricted Delive err Rolm Receipt will show to whom the "down delivered and the d • De aver . to Address( delivered. 3. Article Addressed to: Mr. Rolf Peter 1430 Newville Road Carlisle, PA 17013 5.?ace red : (P?Gt.P/e ) P? 6. Sign t re: rA S PS Form 3811. Dobfirnber 1 M -N,3"94 680 b se mType ; l 91 Certified ?Xlire Mall [3 Insured tum'P"ptf "so O COD 7. ate of glive 11?2U '., 8. ddr??gee'g ese'(OnlyBrequesfed c ?. _ ?..r ? - :%? _ ?- u } ?: - m `. •? t,-? U BELINDA M. PETER, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA v : NO, 99-5223 CIVIL TERM ROLF PETER, : CIVIL ACTION - LAW Defendant : IN DIVORCE ORDER OF COURT AND NOW, this M" day of jLA7Rtwn , 1999, upon consideration of the attached Motion for Continuance, it is hereby ordered that the hearing originally sch((e??d,uled for October 4, 1999 at 10:30a.m. if continued until the Igo day of Vd"-T(-Q , 1999 at iJ) 3u o'clock cL m. in Courtroom No. 2, at the Cumberland County Courthouse, Carlisle, Pennsylvania. BY THE Lt Edgar Bayley; CF p F''?a c•, 99,cc,,„ `'??T?qY BELINDA M. PETER, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA v : NO. 99-5223 CIVIL TERM ROLF PETER, : CIVIL ACTION - LAW Defendant : IN DIVORCE MOTION FOR CONTINUANCE AND NOW, comes Rolf Peter, by and through his counsel, Robert J. Mulderig, Esquire, and Petitions this Honorable Court for a continuance in the Petition for Special Relief and states: 1. Petitioner is Rolf Peter who currently resides at 114 West Willow Street, Carlisle, Cumberland County, Pennsylvania. 2. On August 27, 1999 this Honorable Court set a hearing date on a petition for Special Relief scheduled for October 4, 1999 in Courtroom #2 at 10:30a.m. 3. Petitioner's counsel, Robert J. Mulderig, Esquire is scheduled to be in an involuntary termination hearing before the Honorable J. Wesley Oler on the date in question. WHEREFORE, Petitioner respectfully requests that the hearing scheduled October 4, 1999 in Courtroom #2 be continued until both counsel are available. Respectfully Submitted, TURO LAW OFFICES Dc///" SS /V ?ld Robert J uld ng, Es uir Turo La Offices 32 South Bedford Street Carlisle, PA 17013 (717) 245-9688 CERTIFICATE OF SERVICE I hereby certify that I served a true and correct copy of the Motion for Continuance upon Carol J. Lindsay, Esquire, by depositing same ir, the United States Mail, first class, postage pre-paid on the -,- day of September, 1999, from Carlisle, Pennsylvania, addressed as follows: Carol J. Lindsay, Esquire Flower, Flower & Lindsay, P.C. 11 East High Street Carlisle, PA 17013 TURO LAW OFFICES - ? "//A"/ Robert J. ulderig, Es ire 32 South Bedford Street Carlisle, PA 17013 (717) 245-9688 Attorney for Defendant .:> - _, ' ,:, , ,. _. ' _. C. ?I 1. ?.._ ._. V: ?_ .. ?? BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW ROLF PETER, NO. 99- s ? 13 CIVIL TERM Defendant IN DIVORCE NOTICE YOU HAVE BEEN SUED IN COURT. If you wish to defend against the claims set forth In the following pages, you must take prompt action. You are warned that if you fall to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the Court. A judgment may also be entered against you for any other claim or relief requested in these papers by the Plaintiff. You may lose money or property or other rights important to you, Including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at the Cumberland County Court House, Carlisle, Pennsylvania, 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYERS FEES OR EXPENSES BEFORE A DECREE OF DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PENNSYLVANIA 17013 (717) 249-3166 FLOWER, FLOWER & LINDSAY, P.C. Attorneys for Plaintiff By: Date: 54L ')6 774 Carol J. ds , Esquire ID # 446 11 East High Street Carlisle, PA 17013 (717) 243-5513 file # BELINDA M. PETER, Vs. ROLF PETER, COMPLAINT BELINDA M. PETER, Plaintiff, by her attorneys, FLOWER, FLOWER & LINDSAY, P.C., respectfully represents: 1. The Plaintiff is Belinda M. Peter, who currently resides at 1430 Newville Road, Carlisle, Cumberland County, Pennsylvania, where she has resided since 1983. 2. The Defendant is ROLF PETER, who currently resides at 114 West Willow Street, Carlisle, Cumberland County, Pennsylvania, where he has resided since at least January, 1999. 3. The Plaintiff and Defendant both have been bona fide residents in the Commonwealth of Pennsylvania for at least six months immediately prior to the filing of this Complaint. 4. The Plaintiff and Defendant were married on October 2, 1973, at Colorado Springs, Colorado. 5. That there have been no prior actions of divorce or for annulment between the parties in this or in any other jurisdiction. IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- S',7.23 CIVIL TERM Defendant : IN DIVORCE COUNT I - DIVORCE PURSUANT TO 23 Pa. C.S.A. §3301(c) and §3301(d) 6. The averments of Paragraph 1- 5 are incorporated herein by reference as though set out in full. 7. The marriage is irretrievably broken. file # 8. Plaintiff has been advised of the availability of marriage counseling and of the right to request that the Court require the parties to participate in marriage counseling, and does not request counseling. WHEREFORE, Plaintiff prays this Honorable Court to enter a Decree in Divorce divorcing Plaintiff from Defendant. COUNT II - DIVORCE PURSUANT TO 23 Pa. C.S.A. §3301(a)(6) - INDIGNITIES 9. The averments of Paragraph 1- 8 are incorporated herein by reference as though set out in full. 10. Defendant offered such indignities to Plaintiff, an innocent and injured spouse, as to render life burdensome and condition intolerable. WHEREFORE, Plaintiff prays this Honorable Court to enter a Decree in Divorce divorcing Plaintiff from Defendant. COUNT III - DIVORCE PURSUANT TO 23 Pa. C.S.A. 3301 (a)(2) -ADULTERY 11. The averments of Paragraph 1-10 are incorporated herein by reference as though set out in full. 12. Defendant has committed adultery and Plaintiff is an injured and innocent spouse. WHEREFORE, Plaintiff prays this Honorable Court to enter a Decree in Divorce divorcing Plaintiff from Defendant. file # COUNT IV - EQUITABLE DISTRIBUTION 13. The averments of Paragraph 1- 12 are incorporated herein by reference as though set out in full. 14. The parties have during their marriage, acquired certain property, both personal and real. WHEREFORE, Plaintiff prays this Honorable Court to equitably divide the parties' property. COUNT V - ALIMONY 15. The averments of Paragraph 1- 14 are incorporated herein by reference as though set out in full. 16. Plaintiff is without resources sufficient to pay for reasonable needs. WHEREFORE, Plaintiff prays this Honorable Court to award to alimony in an amount sufficient to provide for reasonable needs. FLOWER, FLOWER & LINDSAY, P.C. Attorneys for Plaintiff By: Caro Lindsay, Esquire 0#44 93 11 East High Street Carlisle, PA 17013 (717) 243-5513 Date file # VERIFICATION I, the undersigned, hereby verify that the statements made herein are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904, relating to unswom falsification to authorities. Belinda M. Peter Date: Y n T LGa a a ..a b .3 . 7 U iJ BELINDA M. PETER, : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA v : NO. 99-5223 CIVIL TERM ROLF PETER, : CIVIL ACTION - LAW Defendant : IN DIVORCE PRAECIPE FOR ENTRY OF APPEARANCE TO THE PROTHONOTARY OF SAID COURT: Please enter the appearance of Robert J. Mulderig, on behalf of the Defendant, Rolf Peter, in the above-captioned case. Respectfully Submitted, TURD LAW OFFICES Da Robert J ul erig, Es ' e Turo Law Offices 32 South Bedford Street Carlisle, PA 17013 (717) 245-9688 CERTIFICATE OF SERVICE I hereby certify that I served a true and correct copy of the Praecipe for Entry of Appearance upon Carol J. Lindsay, Esquire, by depositing same in the United States Mail, first class, postage pre-paid on the A5' day of September, 1999, from Carlisle, Pennsylvania, addressed as follows: Carol J. Lindsay, Esquire Flower, Flower & Lindsay, P.C. 11 East High Street Carlisle, PA 17013 TURO LAW OFFICES Robert 4 Mulderig, Esquire 32 South Bedford Street Carlisle, PA 17013 (717) 245-9688 Attorney for Defendant II . ". 1 ,_ ?. L C L. Lr; ?._ _. BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff /Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V. ROLF PETER, Defendant /Respondent 99-5223 CIVIL TERM ORDER OF COURT AND NOW, this 18th day of October, 1999, this matter having been called on petition by Linda M. Peters for special relief, and the parties having reached an agreement, it IS ORDERED: 1. The order entered on August 27, 1999, prohibiting the parties from alienating or dissipating any item of marital property, and in particular, not to remove any intangible marital asset from any depository, shall remain in full force and effect subject to the following amendment: Excluded from this order is: (a) A jointly held checking account at P.N.C. Number 51-4042-5863. (b) Husband's accounts at Members First Federal Credit Union prefix with the number 34193, in excess of $4,000.00. (c) Wife's account at A1lFirst (formerly Dauphin Deposit) in which she deposits her social security, number - 00103-7371-73. This resolution on the petition for special relief shall have no bearing on whether such accounts constitute marital property under the Divorce Code. Carol J. Lindsay, Esquire For the Plaintiff/Petitioner Rolf Peter, Pro Se It By the Court, OF r F C,. p;nrAsy 9S C!7 21 Ptr 2 3 s BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 99-5223 CIVIL TERM ROLF PETER, IN DIVORCE Defendant/Respondent DRN 817102664 Pacscs# 311,1155 ORDER OF COURT AND NOW, this day of, 2000, upon consideration of the attached Petition for Alimony Pendenle Lite and/or counsel fees. it is hereby directed that the parties and their respective counsel appear before R.J. Shaddav on October A 2000 at 9:00 A.M. for a conference, at 13 N. Hanover St.. Carlisle, PA 17013, after which the conference officer may recommend that au Order for Alimony Pcndente Lite be entered. YOU are further ordered to bring to the conference: (1) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by Rule 1910.11(0 (4) verification of child care expenses (5) proof of medical coverage which you may have, or stay have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT. George E. Hoffer. President Judge Mail copies on Petitioner 9-22-00 to: < Respondent Carol Lindsay. Esquire Robert Mulderig. Esquire Date of Order: September 22. 2000 R. J hadda ,. 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 %1Y cu? pc p?iL\4\lA tile: Peter 'alimony petition YOU HAVE THE RIG REPRESENT YOU. IF OR TELEPHONE THE LEGAL HELP. lib, • June 29, 2000 iT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVENUE CARLISLE, PENNSYLVANIA 17013 (800) 990-9108 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of Cumberland County is required by law to comply with the Americans with Disabilities Act of 1990. For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the Court, please contact our office. All arrangements must be made at least 72 hours prior to any hearing or business before the Court. You must attend the scheduled conference or hearing. file: Peter - atimon' petition BELINDA M. PETER, Plaintiff/Petitioner Vs. ROLF PETER, Defendant/Respondent tib June 29, 2000 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM IN DIVORCE PETITION FOR ALIMONY PENDENTE LITE Now comes BELINDA M. PETER, by and through her counsel, FLOWER, MORGENTHAL, FLOWER & LINDSAY, P.C., and petitions this Honorable Court as follows: 1. The parties hereto are husband and wife, having been joined in marriage on October 2, 1973. 2. The parties separated in or about 1992. Petitioner filed a Complaint in Divorce on August 26, 1999. 4. Respondent is leaving the country and will no longer be making payments for Petitioner's support. 5. Petitioner is without the ability to earn income sufficient to meet her reasonable needs and to pay attorney's fees. WHEREFORE, Petitioner prays this Honorable Court to order alimony pendente lite in an amount equal to the Pennsylvania State Support Guidelines and reasonable attorney's fees. FLOWER, FLOWER & LINDSAY, P.C. Attorneys for Petitioner By: Car I J. ds y, sq ire ID, 446 111Ea igh Street Carlisle, PA 17013 (717) 243-5513 VERIFICATION I, the undersigned, hereby verify that the statements made herein are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities. L", -g, Belinda M. 'Peter Date: file: Peter alimonypetilion BELINDA M. PETER, Plaintiff/Petitioner Vs. ROLF PETER, Defendant/Respondent tib . August 18, 2000 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM IN DIVORCE CERTIFICATE OF SERVICE AND now, this cat ?? day of 2000, I, Carol J. Lindsay, Esquire, of the law firm of FLOWER, FLOWER & LINDSAY, P.C., Attorneys, hereby certify that I served the within Petition for Alimony this day by depositing same in the United States Mail, First Class, Postage Prepaid, in Carlisle, Pennsylvania, addressed to: Robert Mulderig, Esquire 28 South Pitt Street Carlisle, PA 17013 FLOWER, FLOWER & LINDSAY Attorneys for By: L"'?Ui`f IL/ C rol J. Lind , Es I re ID # 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 (f !J 1. ; J CJ special relief petition October 17, 2000 S W? yffiffaagm 7b W. ni`h dmt Cs tdq PA BELINDA M. PETER, Plaintiff/Petitioner Vs. ROLF PETER, Defendant/Respondent AND NOW this IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM IN DIVORCE ORDER OF COURT day of YV , 2000, upon consideration of the within Petition for Guardian Ad Litem, it appearing that Respondent is in agreement that a Guardian Ad Litem be appointed and that Andrea C. Jacobsen, Esquire is willing to serve in that capacity, it is hereby ordered and directed that Andrea C. Jacobsen, Esquire act as Guardian Ad Litem for Belinda M. Peter. 11-r'-00 fl? 3 1 S?- ,GUN iY CU r3v\3YLVc,.P.A special relief petition October 17, 2000 BELINDA M. PETER, Plaintiff/Petitioner VS. ROLF PETER, Defendant/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW NO. 99- 5223 CIVIL TERM IN DIVORCE PETITION FOR APPOINTMENT OFA GUARDIAN AD LITEM NOW COMES, BELINDA M. PETER, by and through her counsel, SAIDIS, SNUFF, FLOWER & LINDSAY, and petitions this Honorable Court as follows: 1. The parties in this case are husband and wife, having been joined in marriage on October 2, 1973. 2. The parties have separated on August 26, 1999, and Petitioner is seeking equitable distribution and alimony. 3. In 1992, Petitioner suffered a stroke and heart attack which has rendered her disabled. Her disability has left her virtually unable to read or compute numbers. Her memory is affected and her understanding. 4. Petitioner has filed a Petition for the appointment of a Divorce Master, and SAIDIS SISUFF?F7A Y UMNANWIM 26 W. Hlse weer GrWre, PA the Master has been appointed in this case. 5. The undersigned has proceeded in representation of the Petitioner with serious concern for the wisdom of the instructions given to her by the Petitioner. However, in a conference on October 4, 2000, it became apparent to both the undersigned and Petitioner that she is unable to understand the extent of the marital special relief petition October 17, 2000 estate and, therefore, her instructions to the undersigned may not be in her best interest. 6. The undersigned has explained to Petitioner her recommendation for the appointment of a Guardian Ad Litem to represent her in light of the Petitioner's desire to settle the case short of litigation if possible. Further, if the case must be litigated, the undersigned requires instructions for, for instance, the incurring of costs in order to prepare the case for trial. 7. Petitioner agrees that the appointment of a Guardian Ad Litem is in her best interest. 8. Respondent is represented by Robert J. Mulderig, Esquire. Respondent, through his counsel, does not object to the appointment of a Guardian Ad Litem. 9. Andrea C. Jacobsen, Esquire, has served as Guardian Ad Litem in cases where divorce, equitable distribution and alimony are at issue, and has experience in dealing with disabled persons. Attorney Jacobsen has agreed to act as Guardian Ad Litem for the Petitioner. WHEREFORE, Petitioner prays this Honorable Court to appoint Andrea C. Jacobsen, Esquire, as the Guardian Ad Litem for Belinda M. Peter for matters arising in the captioned case. SAMS SHUFF RAWER SAIDIS, SHUFF, FLOWER & LINDSAY, P.C. ` QMSAY Attorneys for Plaintiff x 26W.H1031mi J _ J GrWle, PA / r1 i By' < arol. Lindsay, Esquire Od `f 44693 C \V V 26 West High Street Carlisle, PA 17013 (717) 243-6222 special relief petition October 17, 2000 VERIFICATION I, the undersigned, hereby verify that the statements made herein are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. § 4904, relating to unsworn falsification to authorities. Be inda M. Peter Date: ??? C?? SAIDIS SHRSOFFW 26 W.Hio street CIHW PA special r?ief petition October 26, 2000 M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - LAW NO. 99- CIVIL TERM ROLF Defendant/Respondent : IN DIVORCE CERTIFICATE OF SERVICE ND now, this day of , 2000, I, Carol J. Lindsa , Esquire, of the law firm of SAIDIS, SHUFF, FLOWER & LINDSAY, Attorneys, hereby certify at I served the within Petition for Guardian Ad Litem this day by depositing same in the United tates Mail, First Class, Postage Prepaid, in Carlisle, Pennsylvania, addressed to: Robert J. Mulderig, Esquire Andrea C. Jacobsen, Esquire 28 South Pitt Street 52 East High Street Carlisle, PA 17013 Carlisle, PA 17013 SAIDIS, SHUFF, FLOWER & LINDSAY Attorneys for Plaintiff/Petitioner By: Carol J. Lindsay, Esquire ID # 44693 11 East High Street Carlisle, PA 17013 (717) 243-5513 SAIDIS S &&iMSSAY ZYMENFOR xs W. High sleet C flw PA N- a; K C.)-'C C'j - L7 $ r._ ;Sl r,, q'2i7 U ? V BELINA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Pctitioncr CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVI RCE NO. 99-5223 CIVIL TE ROLF PETER, I Defendant/Respondenl DR# 30055 Pacser# 817102664 DEMAND FOR HEARING DATE OF ORDER: December I, 2000 AMOUNT: $607.00 per month FOR: Alimony Pendente Lite REASON(S): ?? e.t,rlc.n E .?a ?c ?l? she r4tn cne/1? W%t n eck-M%-"r. PARTY FILING DEMAND FOR HEARING: Signature %-Ie?l Date 77T /50- / b'5 o ?? A Pz? cz7 r) _J V DR 30,055 PACSES ID 817102664 BELINDA PETER, : IN THE COURT OF COMMON PLEAS Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. DOMESTIC RELATIONS SECTION CIVIL ACTION - LAW ROLF PETER, Defendant/Respondent NO. 99-5223 CIVIL TERM ORDER OF COURT AND NOW, this 1" day of December, 2000, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $407.00 per month and Respondent's monthly net income/earning capacity is $1,652.55 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $607.00 a month payable monthly as follows; $607.00 per month for alimony pendente lite and $0.00 on arrears. First payment due on or before the 5's day of each month. Arrears set at $0.00. The effective date of the order is December 1, 2000. The effective date of December 1, 2000 is based upon the fact that husband has made direct payment through Novembe, 2000. This order gives consideration for the parties' mortgage payment. 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: Belinda Peter. 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. Unreimbursed medical expenses that exceed $250.00 annually are to be paid 51% by husband and 49% by wife. Wife is responsible to pay the first $250.00 annually in unreimbursed medical expenses. Husband to provide medical insurance coverage. This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. DRO: R. J. Shudday Mailed copies on Petitioner to: < Respondent Carol Lindsay, Esquire Robert Mulderig, Esquire BY THE COURT, Kevin AO'Hess J 1? ` lJ . n .: I I LI L A C] Y _ i. ? ? n D " G7 U In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION P.O. BOX 320, CARLISLE, PA. 17013 Defendant Name: ROLF PETER Member ID Number: 7524100622 Please note: All correspondence must Include the Member to Number. ORDER OF ATTACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS ) rnandal Break Down of Multiple Cases on Attachment Plaintiff Name PACSFS Docket _ Case Number Number Attachment Amount/Frequency BHLINDA M. PETER 3nn?°? 817102664 99-5223 CIVIL $ 607.00 /MONTH 5 / / TOTAL ATTACHMENT AMOUNT: $ 607.00 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 $140.08 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, ROLF PETER Social Security Number 134-32-7790 , Member ID Number 7524100622 . 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 OCTOBER 29, 2000 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: Deccenber 4, 2000 Service Type M Keel Hess JUDGE Form EN-530 Worker ID $1ATT i s Lr r d 3 7i , Lk ?0.. G 7 <> u U ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/01/00 Court/Case Number (See Addendum for case summary) Employer/Withholder's Federal EIN Number DFAS CLEVELAND CENTER Employer/Withholder's Name C/O ATTN DFAS CL L Emptoyer/Withholder's Address PO BOX 998002 CLEVELAND OH 44199-8002 (DOriginal Order/Notice O Amended Order/Notice O Terminate Order/Notice/ c- 10.tq 6e(" e( 7 7 ) RE: PETER, ROLF C/1r-'D )C.azt.lc_ I Employee/Obligor's Name (Last, First, MI) ) 134-22-7790 _ 5CnaD7 Employee/Obligor's Social Security Number 7524100622 Employee/Obligor's Case Idenlitier (See Addendum for plaintiff names assodated with cases on attachmeno 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. $ 607. 00 per month in current support $ 0.00 per month in past-due support $ 0.00 per month in medical supnno $ 0 , 00 per month for genetic tE $ per month in other (spec for a total of $ 607.00 per month t You do not have to vary your pay cycle to bl the ordered support payment cycle, use the f F` $ 14o. o8 per weekly pay period. $ 28o.1s per biweekly pay period (e, $ 909 . so per semimonthly pay perioc $ 6o7. oo per monthly pay period. REMITTANCE INFORMATION: L? ...,,. 2 weeks or greater? Oyes ® no )rder. If your pay cycle does not match to withhold: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1.877.676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, 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 THE COURT: DRO: RJ ShaMay xc: defendant Date of Order: De m„ 2= Kevi a Hess JUDGE Form EN-028 Service Type M OMB No, own-atsa WorkerlD $IATT Expiration Date: ILJINn ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 12/01/00 Court/Case Number (See Addendum for case summary) Employer/wlthholder's Federal EIN Number DFAS CLEVELAND CENTER Employerhvlthholder', Name C/O ATTN DFAS CL L EmploycrANltllholdor', Address PO BOX 998002 CLEVELAND OR 44199-8002 (D Original Order/Notice Q Amended Order/Notice Q Terminate Onter/Noti,ce/ A77/&' l/lly ) RE: PETER, ROLF 1 Employee/Obligor's Name (Last, First, MU 134-32-7790 Employee/Obllgor's Social Security Number 1 7524100622 Employee/Obligor's Case Idenlider (See Addendrsm for plaintiff names assodated with cases on attachmen0 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. $ 607.00 per month in current support $ o. oo per month in past-due support Arrears 12 weeks or greater? Q yes (9) no $ o, oo per month in medical support $ o. oo per month for genetic test costs $ per month in other (specify) for a total of $ 607.00 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: $ 140.08 per weekly pay period. $ 280.15 per biweekly pay period (every two weeks). $ 303. so per semimonthly pay period (twice a month). $_ 607. 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 is needed (See #9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1.877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, 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. '11f 11RR Q? 4: BY THE COURT: DRO: RJ Shad3ay xc: deferdant Date of Order. J.leceober t,, 2(YY) Kevi . Hess JUDGE Form EN-028 Service Type M 0s1a NO.: 0970.0154 Worker ID $IATT EapiWian Dllc 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 employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment ihat is attributable to each employee/obligor. 3•"thholdmg-Ynvmustxportthcpaydatddatr. ofwithhokling-wFron-smdingthrpaymmtt-7ite- pa hich-amonntwaswithheld-fromthe-employee4wrages; You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the tinie 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%obligorand 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 ofemployment. You must honor all Orders/Notices to the greatest extent possible. (See #9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2491016300 EMPLOYEE'S/OBLIGOR'S NAME:. PETER. ROLF EMPLOYEE'S CASE IDENTIFIER: 7524100622 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 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. 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 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 (717) 240.6225 or by FAX at (717) 24o-6248 or by Internet Page 2 of 2 OMB No.: 0970.0154 tapimion Daa: I V31100 Form EN-028 Worker ID $IATT 't ADDENDUM Summary of Cases on Attachment Defendant/Obligor: PETER, ROLF PACSES Case Number 817102664 Plaintiff Name BELINDA M. PETER o ket Attachment Amount 99-5223 CIVIL$ 607.00 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. 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. 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 Worker ID $IATT OMB \o.:09I0-01 is Eapiraion DIIC I V3 1/00 c, c) ? I l Co l i LI ? ) ? U BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. NO. 99 - 5223 CIVIL ROLF PETER, Defendant IN DIVORCE ORDER OF COURT AND NOW, this / 4'r day of 2001, both counsel having failed to return the certification document to the Master's office which was dated October 2, 2000, certifying the status of discovery, the appointment of the master is vacated. BY THE COURT, G e o 4g. MO, P cc: Carol J. Lindsay Attorney for Plaintiff Robert J. Mulderig Attorney for Defendant A ?11-11' _. Previous Image Refilmed to Correct possible Error 01 JUN-4 A? 9' n5 ,?LMpEN SYLVAN A BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA VS. : 99-5223 CIVIL ROLF PETER, Defendant CIVIL ACTION - SUPPORT ORDER AND NOW, this 2` day of June, 2001, the request of counsel for rehearing in this case is GRANTED and the Domestic Relations Office is directed to set this matter for further hearing. DRO Carol Lindsay, Esquire For the Plaintiff Robert Mulderig, Esquire For the Defendant BY THE COURT, 4 /? Kevi A. Hess, J. \\LL :rlm _,,?,i ?? ?i ,..., ..:i:? ?? llJi. li. _:??_. ,;:.: ice',: Ji'4? ?r h cep<SYLv'? i ?::' 1 file: Peter Production of dots BELINDA M. PETER, ROLF PETER, ORDER OF COURT SAIDIS SHUFt3 FLOWER & LINDSAY ATOA6r3.AT.lAW AND NOW this to tib August 0, 2001 : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA Vs. : CIVIL ACTION - LAW : NO. 99- 5223 CIVIL TERM : PACSES 817102664/30055 Defendant day of AL? , 2001, upon consideration of the within Stipulation of Counsel, the terms of the Stipulation are hereby made an Order of Court. By the Court, 26 W. Nish Street Carlisle, PA ? ?, ,%,. ..,..,, ?'? ?: ', ?? i ?o- `v file: Peter Production of dots BELINDA M. PETER, ROLF PETER, tib August 6, 2001 : IN THE COURT OF COMMON PLEAS OF Plaintiff : CUMBERLAND COUNTY, PENNSYLVANIA Vs. : CIVIL ACTION - LAW : NO. 99- 5223 CIVIL TERM : PACSES 817102664/30055 Defendant STIPULATION OF COUNSEL The parties hereto stipulate, through their counsel, as follows: 1. The Referee's Decision and the Notice of Determination attached hereto as Exhibit "A" may be entered on the record in the de novo appeal currently pending. 2. The record is now closed on the appeal and the continued hearing scheduled for August 6, 2001, at 1:30 p.m. is cancelled. 3. The record is closed and the matter is ripe for decision. SAIDIS SHUFF, FLOWER & LINDSAY 1TT06M8,ATNAW / I Carol J. Llndsa, E quire Attorney for PI Robert derig, Esquire Attorney for Defendant 26 W. High Street Grilele, PA 08/06/2001 11:09 2452165 AKV 12-al' PtNNbYLVANIA UNEMPLOYMENT HAR= 8, 2001 ROLF PMR P. 0. BOX 951 CARLISLE, PA 17013 134-32-7790 rr.+..a.on Or auuu - ELIGIBI SRCTION 402(8) or Tmz LAat. OCTOBER 29, 2000 © CLAMAmT I?I M mm or FINDINGS OF FACT: © Ewn.OVEn I IOTHER IEEE so-tool NOVMOrR 4, 2000 O CLA94AKrAREAL © EAe'IOM AREAL - CARLISLE, PA NOVRMMM 11, 2000 THRU NOVMMZR 23, 2000 1. The claimant was last employed by the Defense Logistics Agency as a materials handler working full-time (40 hours per week). The Claimant began working for this employer September 18, 1985 and was earning $14.44 per hour with his last day of work being September 30, 2000. 2. The claimant had been given notice on may 17, 2000 that his position was to be abolished effective September 30, 2000. 3. On September 25, 2000, the chief of management support spoke with the claimant by telephone to offer him continuing employment as a packer at New Cumberland. 4. The claimant verbally accepted the position offer. 5. By September 30, 2000, the claimant had changed his mind as he was angry with the employer's reduction in force and offer of work as a packer. The claimant declined the packer position and became unemployed. ISSUE: The issue in the came at hand is whether the claimant voluntarily terminated his employment and, if no, whether he had cause of a necessitous and compelling nature for so doing. REASONINO- Section 402(b) Of the Law provides that a claimant shall be ineligible for benefits for any week of unemployment due to his voluntary termination of employment without cause of a compelling and necessitous nature. TORO LAW OFFICES PAGE :'82 IPENSATION BOAR[) OF REVIEW ELISION 01-09-r-0514 DECEnn 20, 2000 DEtENSE DISTRIBUTIOtr CTR/DDC-00 2001 NIBaION DR., DDC-GC NPN CUNBERLAND, PA 17070 You have the right to file a further ap mailing date or For more Informatlnn, please read the 08/06/2001 11:09 2452165 TORO LAW OFFICES PAGE ,03 ROLP PLTEA 01-09-P-0514 PAGE 2 In this instance, the claimant understood that his regular position as materials handler was to be abolished effective September 30, 2000. On September 25, 2000, as a result of An available position, the employer offered the claimant continuing employment a¦ a packer. The claimant declined because he was angry about the situation. The claimant has not established Cause of a necessitous and compelling nature for discontinuing him employment. continuing work was available as a packer at a nearby facility at the rate pay rate. As the claimant has not established cause of a necessitous and compelling nature for declining the continuing employment, he is ineligible for benefits under section 402(b) of the Pennsylvania Unemployment Compensation Law. OROERt The determination of the Service Center is reversed. Benefits are denied under section 402(b) of the Pennsylvania Unemployment compensation Law beginning with claim credit for waiting week November 4, -- Compassable weeks ending November 11, 2000 through November 25, 2000. REFEREE RONALD J. EESLAR mw 08/06/2001 11:09 2452165 TURO LAW OFFICES PAGE ;04 NOTICE DF The Last Day to File Appeal front tills DETERMINATION atannlrtellen is a1120, 20, 2000 COMMONWEALTH OF PENNSYLVANIA if aIOA OF APme!at DEPARTMENT OF LABOR AND INDUSTRY Yet flalEtytdlBl fA4 daslnll AdOL Yes IPLOTMENT COMPENSATION BENEFIT PROGRAM "PSaL If you 1YO1t to ma m pal. You mus da m us e baler to data ¦lewn stead, Sae IHw for maw r ROLF PETER (CLAIXANT) .. P.O. BOX 951 DEFERBE LOGISTICS AM= (E!t)PWr%R) CARLISLE, PA. 2001 RISSION DR DDC- C 17013 NEW CUXBERLAN, PA. L 17070 That handier. vu "Pleysd by the Oefenae Logletice Agency from 9-16-aS 'through ®-a0-O0 as a matertale candler. Tits claimant had Worked at the Mechanfcaburg Navy base for fifteen years. On S-i7-1IO the claimant had recoived ¦ letter from the employer notifying him his position being abolished effective 9-30-00. location. The Only position the employer Offered the claimant Wes a different POSttOn at Another The claimant took the voluntary early retirement effective 9-30_00 Under Section 409(b) Of the Law. the claimant has the burden of proving he cad s necessitous and compelling reason for Factfinding concludes. the employer did not continuing work for the claimant in his posftion after 9-30-00. An such, bansfite cannot be disapproved under Section 402(b) DETERMINATION: The following determination was mad, in accordance with the following sections of the Pennsylvania Unemployment Compensation Law. APPROVED 402(b) 00/11/04 pAWINKMT APPQ QED CWE PAY AMT STATUS 00/11/25 225• APPROVED /11/it 225• APPROVED *Thu above amount Paid dome not include dependant, of lowancm. OFFICE REPRESENTATIVE: S SCp-1-r CWE PAY ANT STATUS 00/11/16 22E• APPROVED [SES1 Q"A Imsr 6+MIM selbl of te" Less, this MlsrrnlnaMen became, Ilnsl Wiese m spta of is ""W"Y y fit 11 www w TL 9 eL ryas m+ 4a"Iminatlon arm Wait to file an Appeal. 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Appeals ban not • lad 1, CLAI SSN MANT'S APPIDATEION CLAIM MAILED NUMBIER FAX fAE9)ER: (717)243-7767 TEAM PENNSYLVANIA CAREERLINK 134-32-7790 00-10-29 UP 00-12-05 0302 ALEXANDRCp CARLISLE PA 17013-7667 (PDs) UC-44 00315 (0) REV E-00 SEE REVERSE SIDE FOR PROVISIONS nr TMP taw C^ 1111 _ j '1 U IN THE COURT OF CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECTION CARLISLE, PA 17013 PHONE: (717)240.6225 FAX: (717)240.6248 May 21, 2001 Plaintiff Name: BELINDA M. PETER Defendant Name: ROLF PETER Docket Number: 99-5223 CIVIL PACSES Case Number: 817102664/30055 Other ID Number: Please Note: All correspondence must Include the PACSES Case Number INCOME AND EXPENSE STATEMENT THIS FORM MUST BE FILLED OUT LIF YOU ARE SELFEMPLOYED OR IF YOU ARE SALARIED BY A BUSINESS OF WHICH YOU ARE OWNER IN WHOLE OR PART, YOU MUST ALSO FILL OUT THE SUPPLEMENTAL INCOME STATEMENT WHICH APPEARS ON THE LAST PAGE OF THIS INCOMEAND EXPENSE STATEMENT.) INCOME STATEMENT OF, BELINDA M. PETER SECTION I: INCOME AND INSURANCE INCOME: EMPLOYER: ADDRESS: TYPE OF WORK: PAYROLL NO. GROSS PAY PER PAY PERIOD $ PAY PERIOD (WKLY, BI-WKLY., ETC.) ITEMIZED PAYROLL DE DUCTIONS FEDERAL WITHHOLDING SOCIAL SECURITY LOCAL WAGE TAX STATE INCOME TAX RETIREMENT SAVINGS BONDS CREDIT UNION LIFE INSURANCE HEALTH INSURANCE OTHER DEDUCTIONS SPECIFY TOTALS NET PAY PER PAY PERIOD $ Other p prop riate Column Fill it, Income WEEK ? MONTH YEAR INTEREST Dividends Pension Annuity Social Security Rents Royalties Ex nse Account Gifts Unemployment Comp. Workmen's Com nsaUon IRS Refund Other APL 607.00 Other .19 TOTAL INCOME 10+4,00 pIp,INTIFFS D in suun X EXHIBIT PROPERTY OWNED DESCRIPTION VALUE Ownership' Savings A=unt 523.00 Credit Union Stock4Bonds Real Estate Other Total 682.00 (noome and Expense Statement PACSES Case Number: Insurance Company Policy # Coverage' H W J Hospital: Blue Cross/Blue Shield R50275280105 X Blue Cross Other Medical: Blue Shield Other HealsvAccident Disability Income Dental Other: Champus 134,32-7790 H = Husband; W= Wife; C= Child Section 11: Supplemental Income Statement A. THIS FORM IS TO BE FILLED OUT BY A PERSON 1. WHO OPERATES A BUSINESS OR PRACTICES A PROFESSION, OR 2. WHO IS A MEMBER OF A PARTNERSHIP OR JOINT VENTURE, OR 3. WHO IS A SHAREHOLDER IN AND IS SALARIED BY A CLOSED CORPORATION OR SIMILAR ENTITY. B. ATTACH TO THIS STATEMENT A COPY OF THE FOLLOWING DOCUMENTS RELATING TO THE PARTNERSHIP, JOINT VENTURE, BUSINESS, PROFESSION, CORPORATION OR SIMILAR ENTITY: 1. THE MOST RECENT FEDERAL INCOME TAX RETURN, AND 2. THE MOST RECENT PROFIT AND LOSS STATEMENT C. NAME OF BUSINESS: Of D. NATURE OF BUSINESS (CHECK ONE) (1) PARTNERSHIP (2) JOINT VENTURE (3) PROFESSION (4) CLOSED CORPORATION (5) OTHER E. NAME OF ACCOUNTANT, CONTROLLER OR OTHER PERSON IN CHARGE OF FINANCIAL RECORDS: F. ANNUAL INCOME FROM BUSINESS: 1. HOW OFTEN IS INCOME RECEIVED? 2. GROSS INCOME PER PAY PERIOD? 3. NET INCOME PER PAY PERIOD? 4. SPECIFIED DEDUCTIONS, IF ANY: Service Type Page 2 of 3 Form IN - 008 Worker ID Income and Expense Statement PACSES Case Number: Section Ill: Expenses Instructions: Only show extraordinary expenses in this section unless you filled out Section II on Page Two. The categories in BOLD FONT are especially important for calculating child support. If you are requesting Spousal Support/APL or if you assert your case cannot be determined according to the guideline grids or formula, this section must be fully completed. EXPENSES FIIIInA no rlate Column WEEK MONTH YEAR HOME MO a e/Rent 276,94 Maintenance utilities Electric 32.00 Gas Oil 110.00 Tele hone 50.00 Water Sewer EMPLOYMENT Public Trans rtatlon Lunch TAXES Real Estate 166.00 Personal Pro Income INSURANCE Homeowners 31.75 Automobile Life Accident Health Other AUTOMOBILE Pa ants Fuel 86.00 Re airs 1000.00 MEDICAL Doctor Dentist 150.00 Orthodon8st Hospital Medicine Special Needs (glasses, braces, ortho dic devices 50.63 EDUCATION Pdvate School Parochial School Coll e Religious PERSONAL Clothin 100.00 Food 160.00 Barber/Hairdresser 12.00 Credit payments: Credit Card Char a Account 50.00 Membershi s 37.00 LOANS Credit Union MISCELLANEOUS Household hel Child Care Papers/Books/Magaz nes Entertainment 20.00 Pa TV 30.00 Vacation 500.00 Gifts 500.00 Le al Fees 50.00 600.00 Charitable Contributions 13.00 Other: Child Su on Alimony Pa menfs OTHER: Trash 9.15 n, nwoc(rn0 $474.69 HER MONTH TOTAL EXPENSES WEEK MONTH YEAR 1284.47 2750.00 1 VERIFY THAT THE STATEMENTS MADE IN THIS INCOME AND EXPENSE STATEMENT ARE TRUE AND CORRECT. I UNDERSTAND THAT FALSE STATEMENTS HEREIN ARE SUBJECT TO THE CRIMINAL PENALTIES OF 16 P.A.C.S.§4904, RELATING TO UNSWORN FALSIFICATION TO AUTHORITY. Service Type BELINDA M. PETER, Page 3 of 3 Form IN - 008 Worker ID i i. j I i DFAS-CL 7220/148 IREV. 6-96);.? i DEFENSE FINANCE AND ACCOUNTING SERVICE POLL-FREE 1-800-321-1080 CLEVELAND CENTER PO BOX 99191 COMMERCIAL (216) 522-5955 CLEVELAND, OHIO 44199-1126 TOLL-FREE FAX 1-800-469-6559 (NOT FOR VOICE COMMUNICATION) I TOLL-FREE NUMBER FOR CASUALTY REPORTING ONLY: ,. 1-800-269-5170 '' .. .., .. ;?u: i. .. ... _. ... _. ... .. .. yr- sy. t. I RE TIREE ACCOUNT STATEMENT STATEMENT EFFECTIVE DATE I NEW PAY DUE AS OF SSN a DH R1PT1 N ITy GROSS PAY ITEM DID NEW TAXABLE INCOME i 1 365-W 1;365.00 1;355.00 GARNISHMENT DED 607.00 NET PAY 1,277.20 670.20 I YEAR-TO-DATE SUMMARY INFORMATION AS FOLLOWS: TAXABLE INCOME: 1,365:00 FEDERAL INCOME TAX WITHHOLDING: 87.80 NOTE: THESE AMOUNTS ARE FOR INFORMATION ONLY. EA-YMgN-T, ADDRESS i i DIRECT DEPOSIT T ES ......, YOUR FEDERAL AND STATE WITHHOLDING STATUS, EXEMPTIONS AND AMOUNTS. FEDERAL WITHHOLDING STATUS: MARRIED TOTAL EXEMPTIONS: 01 FEDERAL INCOME TAX WITHHELD: 87.80 i 3 CLEVELAND CENTER PO BOX 99191 CLEVELAND OH 44199-1126 MSGSROLFOPETERTUSFASRET P 0 BOX 951 CARLISLE PA 17013-0951 IsIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIIIfIIIIIIIIIIIII OFASw ....:ORE ONTACT'., ...:ffiRA;fP&sgrcAS..,?,m,:: pgsaY;3;,... .. ... k t:. DEFENSE FINANCE AND ACCOUNTING SERVICE TOLL-FREE 1-800-321-1080 CLEVELAND CENTER PO BOX 99191 COMMERCIAL (216) 522-5955 . CLEVELAND, OHIO 44199-1126 REMINDER-THERE IS CURRENTLY AN OPEN TOLL-FREE FAX 1-800-469-6559 (NOT FOR VOICE ENROLLMENT FOR Slip. IF YOU ARE NOT COMMUNICATION) PARTICIPATING, OR NEED TO INCREASE YOUR COVERAGE, THIS IS YOUR OPPORTUNITY TO DO SO. THE OPEN ENROLLMENT ENDS TOLL-FREE NUMBER FOR CASUALTY REPORTING ONLY: FEBRUARY 29 2000. CONTACT YOUR 1-800-269-5170 NEAREST RAO/RSO FOR ADDITIONAL INFORMATION. A NEW SERVICE CALLED EMPLOYEE MEMBER SELF SERVICE(E/MSS) WILL SOON BE AVAILABLE TO MILITARY RETIREES. E/MSS WILL ALLOW YOU TO ACCESS AND CHANGE SELECTED PORTIONS OF YOUR RETIRED PAY ACCOUNT, EITHER ON THE INTERNET, OR IF YOU DON? HAVE INTERNET ACCESS, BY A TO FREE TELEPHONE NUMBER. IN THE NEAR FUTURE, YOU WILL RECEIVE YOUR NEW E/MSS PERSONAL IDENTIFICATION NUMBER (PINT IN A LETTER FROM THIS CENTER, ALONG WITH INSTRUCTIONS THAT EXPLAIN HOW TO USE E/MSS. ET B IREE ACCOU NT S7ATEPJIENT STATEMENT EFFECTIVE DATE e NEW FAY DUE AS OF 59N • #:: 4D Ps :10 ?P#'Ea?s?i's. +..r.'rF3' z'».'?:E"k E. ,. Bz .,5> r , S,PS7:.:';.:zx r :f$:'s L y> .?1N?38 5 NxaS`?4s, :."nW^.$?'6h: I 2dy00 -1 319 09-- F W TAXABLE INCOME 1 ;289.00 . 1;319.00 IT 78.27 15 NET PAY 1,210.73 1,236.85 YEAR-TO-DATE SUMMARY INFORMATION AS FOLLOWS: TAXABLE INCOME: 15,468.00 FEDERAL INCOME TAX WITHHOLDING: 939.24 NOTE: THESE AMOUNTS ARE FOR INFORMATION ONLY. ANY CREDITS ISSUED AFTER DECEMBER 1 FOR THE PRIOR TAX YEAR ARE NOT REFLECTED IN THESE AMOUNTS YOUR . IRS 1099-R FOR TAX YEAR 1999 WILL BE ISSUED TO YOU NO LATER THAN JANUARY 15, 2000. Y -.m ES?,.<?,.?;x.;t?e,>.Kn., 777 , DIRECT DEPOSIT TARE szr 5x, , s,:;: YOUR FEDERAL AND STATE WITHHOLDING STATUS, EXEMPTIONS AND AMOUNTS. FEDERAL WITHHOLDING STATUS : MARRIED TOTAL EXEMPTIONS: 01 FEDERAL INCOME TAX WITHHELD: 82.115 DFAS-CL 72201148 (REV, 6-96) 29176 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 SEPTEMBER 22, 2000 Fax: (717) 2411fi248 Plaintiff Name: BELINDA M. PETER Defendant Name: ROLF PETER Docket Number: 89-5223 CIVIL PACSES Case Number: 827102664 3009 Other State ID Number: Please note: All eorrmpondence must Include the PACSES Case Number. Income and Exvencq Statement THIS FORM MUST BE FILLED OUT (If you are self-employed or if you are salaried by a business of which you are owner in whole or part, you must also fill out the Supplemental Income Statement which appears on page two of this income and expense statement.) INCOME STATEMENT OF gection I: Income and Insuran INCOME: Employer VNL!?WR6Z6rt> RS QF Sdrp O ?2.OO < Address Type of Work Payroll No. Gross PAY Per Pay Period S Pay Period (wkly., bi-wkly., rec.) Itemized Payroll Deductions: rrodenl WirMolain s social Securit S Local wage Tax s Sute Income Tax $ Retiremem $ Sevin a EOrlds S Credit Union S Life Insurance $ Health hwnna S Other Deductions (specify) s S S S Net Pay per Pay Period S OTHER (Pill m A ro rime Column) INCOME WEEK MONTH YEAR PROPERTY Ownership tnmren s $ s OWNED DESCRIPTION VALUE H W Dividends . J Pension ryoo ?% Checking Accounts S . Auras Savings Accounts SmUl Securk Remy Credit Union ?YlS 6? -Royalties mo Account StockslBonds Gifts Real Estate UM I at Workmen's Other C mutim Other Omer TOTAL $ TOTAL S S TOTAL INCOME S •H=Huebend;W.Wife;l-]oint Service Type M its t Form IN-008 Worker ID 21205 1 J, Income and Expense Statement INSURANCE H2wjw Blue Cron Other Medical Blue Shield Other Health/Accident DiwbBay, income Dental Other PACSES Case Number 817102664 COMPANY Coverage " POLICY N H W C V) • H-Hm%band; W-Wife; C-Child Section II: Suoolemental Income Statement a. This form is to be filled out by a person ? (1) who operates a businesi or practices a profession, or ? (2) who is a member or a pannenhip orjoint venture, or ? (3) who is a shareholder in and is salaried by a elated corporation or similar entity. b. Attach to this statement a copy of the following documents relating to the pannenhip, joint venture, business, profession, corporation or similar entity: (1) the most mcent Federal Income Tax Return, and (2) the moss recent Profit and Loss Statement C. Name of business; Address and telephone number: it. Nature of business (c one) ? (1) pannenhin ? (2) joint venture ? (3) profession ? (4) closed corporation ? (S) other C. Name of accountant, controller or other person in charge of financial records: f. Annual income from business: (I) How often is income received? (2) Gross income per pay period; (3) (4) Net income per pay period: Specified deduction, if any: Service Type M Page 2 of 3 Form IN-008 Worker ID 21205 Pxy17nvt to ?o y?? Income and Expense Statement PACSES Case Number 817102664 Section III: Expenses Instructions: Only show extraordinary expenses in this section unless you fined out Section 11 on page two. The categories in BOLD FONT are especially important for calculating child support. If you ate requesting Spousal SupportfAPL or if you assert your case cannot be determined according to the guideline grids or formula, this section must be fully completed. EXPENSES e Mongege/Rent (Fill in Appropriate Column) WEEK MONTH YEAR $ S $ 3 M:im unsx tilifies Electric Gas S S D $ Gil ?/ O e Telephone Water O p_ sewer Em to ant Publk Tnn on, S S S Lunch Taxes Real estate Penosul Property S S 1 v f Q nsu nee Homeowner's S S $ Automobile Qsp ?6 6lO Life Accident Heft Other utomobile R s S S S Puet v0 ?c suss s OD, ° Medial Doctor S s s Dentist ry OModont st Hm tat Metgdoe ?Oo a (tosses, braces, B? EX ate Column) (co WEEK MONTH YEAR u a k Pri s Par Col _Religious en na Clothing S f $ Food eO a r Credit Payments Credit Card Charge Membenh' s ens Credit Union S S Miscellaneous Household Help $ $ f Child care Papen/booka -Magazines Entertal meet Pay TV Vacation Gifts Legal fees erita e tr Alimony Othe $ ? $ f Total WEEK MONTH YEAR Expenses: S //O. s t'?f 9y s[ 7/• /b 1 verify state me herein are subject to the this criminal Income of Ig Pn. t C.S C§ 4904, relating to am true and correct. I understand that false Det © Plaintiff or Defendant Service Type M Page 3 of 3 Porm IN-008 Worker ID 21205 Poe?x- 0 IN REPLY REFER TO DDC-JI-P MEMORANDUM FOR PETER ROLF, AS SUBJECT: Notice of Separation - Reduction-in-Force (RIF) 17 May 2000 A decrease in workload, necessitates a reduction-in-force at Defense Distribution Depot Susquehanna, PA (DDSP), Letterkenny, Mechanicsburg, and New Cumberland Sites. To date, efforts to downsize have not resulted in sufficient losses, which are needed to achieve the end strength goal. This action requires application of reduction-in- force regulations to determine which employees will be affected. Retention registers have been developed that give full consideration to veterans prefCrence, civil service tenure, length of creditable Federal service, and work performance. The reteption register for your competitive level contains the following information concerning your personal status: Position Title: MATERIALS HANDLER Pay Plan, Series, Grade and Competitive Level: WG-6907-05-0006 Position Number: H143300130 Competitive Area: D Retention Group/Subgroup: I B Adjusted RIF-SCD: 17-Aug-64 Last Three Annual Performance Ratings: Fully Fully Fully You are being displaced from your current position by an employee who has a her retention standing than you do and who has a right to be offered your position ly?uction-in-force regulations. DEFENSE LOGISTICS AGENCY DEFENSE DISTRIBUTION CENTER 2001 MISSION DRIVE NEW CUMBERLAND, PENNSYLVANIA 17070.5000 _ our relative retention standing requires that you be released from your i ' level under reduction-in-force regulations as a result of position abolishment your competitive level. Therefore, you are being separated for the following reasons: a. No vacancy exists at your same or a lower grade for which you are qualified; and, b. No position exists that is occupied by an employee in a lower retention group standing, and c. No position exists that is the same, or essentially the same, as one, which you formerly held and now is occupied by an employee with lower retention standing in the same group or subgroup. Although no offer of continued employment can be made at this time, placement efforts will continue. Should an offer become available, you will be notified in writing. If an offer cannot be made, you will be separated on September 30, 2000. You will be continued in a duty status in your present position during this notice period unless detailed to another position. I realize that you may have questions concerning this action; therefore, the regulations governing this action and any parts of the retention register that are applicable-to your action, are available for your review. If you are not scheduled for RIF Counseling, that includes the review of this information, please contact Allison Wilkins at 717-770-5748 (DSN 977-5748) or Debra Kulp at 717-770-7997 (DSN 977-7997) to make arrangements to do so. Additionally, if you are a member of the bargaining unit, a representative appointed by the union will be made available to assist you in your review. If, after the examination of the retention register and pertinent regulations, you feel that any of your rights have been violated, you have the right to appeal/grieve this action as follows: If you are a nonbargaining unit employee, you may appeal this action to the Regional Director, U. S. Merit Systems Protection Board, Northeastern Regional Office, U. S. Customhouse, Room 501, Second and Chestnut Streets Philadelphia, PA 19106- 2987. The attachment to your RIF letter contains complete appeal information and the appeal form. If you appeal, it must be filed no sooner than the day after the effective day of this action, but no later than thirty (30) calendar days after the effective date of this action. If you are a bargaining unit employee, you may grieve this action through the negotiated' grievance procedure. The Merit Systems Protection Board would not normally have jurisdiction over a RIF appeal from a bargaining unit employee. The exception is if you believe that the RIF action was based on a prohibited personnel action or discrimination. In that case you may appeal to the Regional Director; U.S. Merit Systems Protection Board, Northeastern Regional Office, U.S. Customhouse, Room 501, Second and Chestnut Streets, Philadelphia, PA 19016-2987, or file a grievance with the Labor Relations Officer, but not both. If you elect to file a grievance, you waive your right to file an appeal with the Merit Systems Protection Board. If you file a grievance and allege discrimination, you may ask the Board to review the final decision of the arbitrator on your grievance IAW 5 CFR 1201.154. For LIU bargaining unit employees only: IAW with Article 26 of the Negotiated Agreement between LIU and DDSP, employees may not raise allegations of discrimination in a grievance. If you file a grievance on this action, it must be tiled in accordance with the collective bargaining agreement. Specifically, any grievance must be filed within the specified number of days as stated in your negotiated agreement after the effective date of this action. All RIF grievances must be submitted directly to The Labor Relations Officer, Defense Distribution Center, ATTN: DDC-JI-P, 2001 Mission Drive, New Cumberland, PA 17070-5011, for referral to the proper official for processing. If you file an MSPB appeal, it must be filed no sooner than the day after the effective day of this action, but no later than thirty (30) calendar days after the effective date of this action. You may be entitled to unemployment insurance benefits similar to those of workers in private industry. If you elect to file a claim for benefits, the claim should be filed with the appropriate State Employment Office. In order to help expedite your claim, this office will provide you a copy of the Unemployment Compensation for Federal Employees (UCFE) Program Form (SF 8), along with your final Notification of Personnel Action (SF 50). r If you have enough annual leave to attain first eligibility for immediate retirement or eligibility for Federal Employees Health Benefits program coverage, the effective date of a RIF separation may be extended. You may resign at anytime after receipt of this notice. Your resignation will be effective on the date you request, or the separation date specified in this notice, whichever is earlier. You will receive a lump-sum payment of unused annual leave to your credit. Questions pertaining to employee benefits may be addressed to Sheri Comute, HROC, at Comm 614-692-6070 or DSN 850-6070. Hours of operation are Monday through Friday 6:00 am to 6:00 p.m. eastern standard time. Severance pay eligibility determinations have been based on the information documented in your Official Personnel Folder (OPF). If at the time of separation you are receiving.or eligible to receive any type of Federal annuity (to include a Federal Military Reserve annuity), you are prohibited from receiving severance pay. You should immediately contact a personnel representative if your record has not been updated to include all of your Federal service. Based on the information currently available, your eligibility regarding severance pay is as follows: a. You will be entitled to severance pay. Ca b. will not be entitled to severance pay because you are eligible for rement annuity from a Federal' Civilian Retirement System or from the uniformed service. Placement programs are available to assist you with Federal employment opportunities. You are entitled to entry in the DoD Priority Placement Program (PPP) and the Interagency Career Transition Assistance Program (ICTAP). Registration in PPP may be mandatory. You are also eligible to be registered on the Reemployment Priority List (RPL) after separation. A personnel representative will arrange an appointment to provide you assistance when registering for these programs. The action described above should not be considered as a reflection upon your performance or conduct. It is being taken solely for the reasons stated above. The management officials of DDSP sincerely appreciate the service you have given toward the accomplishment of our mission and wish you success in your future employment endeavors. JUDITH A. BITNER Deputy Personnel Officer Attachments: MSPB Appeal Regulation D.P„bn"t of aw T,.w y - Inumd R,nwe S.Nice Label Your Finl N,me MI "' eT+, ???m Lut N,m, (a" Imtructlenel Rolf Peter Use the It a Joint Ream, Snwee's Fint Nsm me Lnt N•me IRS label. Belinda M Peter Otherwise, please print Home Addme (number.?M ,tm0, if Y. Hev, . P.O. B ex, S" Im .o.. Ap.,a"nt Ne or type. PO Box 951 . GNP Twvn a ;t Oft*. if you Presidential Carlisle ctlon e FA 17013-0951 Campaign ? Do you want $3 to go to this fund? (See WhKA n•. ) ..... I1flnine ..w... ...................................... "•'.... Filing Status Check only one box. Exemptions If more than six dependents, see Instructions. You must enter your soela security number(s) above. Married fling joint return (even if only one had Income) Married filing separate return. Enter spouse's SSN above & full name here ... 1? Head of household (with qualifying person). (See Instructions.) If the qualifying person Is a child but not your dependent, enter this child's name here ... 11? 6a L(j Yourself. If your parent (or someone else can claim you as a dependent on his or tie. of sexes her tax return, do not check box 6a ......... 1.4%=§ ee Is Spouse .................... ........ ...................................... .....- No efyeer c Dependents: (2) Do endent's (3)Deppancient's kd ran ee (4) ri social security b rele8onshlp ewilrylm a levee 11%13 ra; f 1 First name Last name num er to you . w1U Yee ., ccmditt i (1 • elelret In seat lee ee In•treeaene o1)" onscm - - - - - - - - - - - - - - - - - - - eM,M •lwre ... . d TM.1... ,,..w.. ?• _..___.:___ _,_._. _ Ale earn"r n ,m eP I?'I f ?I Income ' -w--, aamnes, tips, etc. Attach rOrm(s) W2 ................ ....................... 8a Taxable I t t A 7 30 039. n eres . ttach Schedule B if required ....................... . . ............... Attach Copy B b Tax-exe t i t Be 347. mp n erest. Do not include on line Set ............. 86J of yyourFonns g Ordinary W1 and W2G • dividends. Attach Schedule B if required ..................................... hero. Also attach 10 Taxable ref d 9 un s, credits, or offsets of state and local income taxes (see instructions) Form(s)1099•R If 11 Alimon i 10 y rece ved ........ tax was withheld. .......................................................... 12 Bu i i 11 s ness ncome or (loss). Attach Schedule C or C•EZ ..................... If you did not 13 Ca it l i 12 p a ga pet a W2, see n or (loss). Attach Schedule D if required. If not required, check here .... ? Irstuctons 14 Othe i 13 . r ga ns or Cosses), Attac 15a Total IRA di h For m 4797 .... ............................. 14 stributtons ..... 16e Total i 15e I b Taxable amount (see Instrs) .. 15b pens ons & annuities . 17 Rent l 16a I Is Taxable amount (see Instrs) .. 166 15 468. a real estate, royalties, partnerships, S corporations, trusts, etc, Attach Schedule E .. Enclose but do 18 Farm i 17 , ncome or (loss), Attach Schedule F ............................................ not staple, any 19 Un l 18 emp oyment compensation ................. payment Also, ...................................... 20a S i l i 19 oc a secur please use ty benefits ..... 120al 3 176.1 to Taxable amount (see instrs) .. Form 10404 21 Oth i i 20b 2 700. . er ncome. L st type & amount (sec instrs) 22 Add the amountsinthe far ri ht column for lines 71hrou h 21. 23 IRA deduction (see instructions) ................... . Adjusted This 23 is_ur total Income ?_ 21 22 48,554. 24 Student loan interest deduction see instructions ....... Gross ( ) 24 853 Income 23 Medical savings account deduction, Attach Form 8853 ....... 25 26 Moving expenses. Attach Form 3903 ....................... 26 - - 27 One-half of self-employment tax. Attach Schedule SE ....... 5 28 Self-employed health insurance deduction (see instructions) . 28 29 Keogh and self-employed SEP and SIMPLE plans .......... 29 30 Penalty on early withdrawal of savings ..................... 30 110. 31 a Alimony paid b Recipient's SSN .... ? .... 31 a 32 Add lines 23 through 31a ...................................... 33 S b ..... ............ 32 110. u tract line 32 from line 22. This is our ad usted rose Income ..................... BAA For Dlsclesuro, Privery Act, end Paperwork Reduction Act Notice, sea Instructions. ? FDIA0112 II11699 33 -48.444. Form 7040 (1999) Tax and 34 Amount from line 33 (adjusted gross Income) Credits 35 .. 8 Check If: 11 You were 65tolder, [] Blind; .? Spouse was 65tolder, "O.B;ind.. Add the number of boxes checked abov d Standard Ded ti e an enter the total here ............ ? nil Is If you are married thin gg separately and Your spouse itemizes deductions or you were a dual•stat 's alien I uc on for Most People 36 , see nstructions and check here ........... , ? 35b Enter your Itemized deductions from Schedule A, line 28, Or standard deduction shown on the left. But see Instructions to find our stand d Si y ar deduction If you checked any box on line 35a or 35b or if someone can claim you as a dependent ng 34,300: 37 ................. Subtract line 36 from line 34 ....................................... Head of 38 ................. If line 34 is $94,975 or less, multiply 52,750 by the soul number of exemptions claimed an line 6d. If line 34 is mw $94,975, see the worksheet in the instructions for the household: $6,350 39 amount to enter ........................ . . . . Taxable Income. Subtract line 38 from line 37. If line 38 is more than line 37 enter •0• ed filing 40 41 , .... Tax (see insta). Check if any tax is from a ? Form(s) 8614 Is ? Form 4972 ........ . . . . . . d olntl d Credit for child and dependent care expenses. Attach Form 2441 .......... 41 Qual yln wldow(ery: 42 Credit for the elderly or the disabled. Attach Schedule R ..... 42 $7,200 43 Child tax credit (see Instructions) ......................... 43 44 . Education credits. Attach Form 8863 ........... 44 Married filing separately: 45 ............ Adoption credit. Attach Form 8839 ........ . ... . 45 $3,600 46 Foreign tax credit. Attach Form 1116 if required ............ 46 ' ' 47 . Other. Check if from . a D Form 3800 Is Q Form 83 396 96 c Q Form 8801 d F orm (specify) 47 48 Add lines 41 through 47. These are your total credits ......... . 49 Subtract line 48 from line 40. If line 48 is more than line 40 enter •0• ? Other 50 .................. Self•employmmt tax Aluch Schedule SE ... . Taxes 51 Alternative minimum tax. Attach Form 6251 ..... 52 ................... Social security and Medicare lax on tip income not reported empyer. Attach Form 7 ........... """' o 53 Tax on IRAs, other retirement plans, and MSAs` Attach Form 5329 if required 54 ............ Advance eamed Income credit payments from Form(s) W.2 .... 55 ............. . .......... Household employment taxes. Attach Schedule H Rr. ............ Add It... Jn .e +u_:_._._.._.. ...... ..... .......... .... Payments 57 Federal Income tax withheld from Forms W2 and 1099 58 ...... 1999 estimated tax payments and amount applied from 19% return .. 59 ...... 4 Earned income credit Attach Schedule EIC if you We a qualifying child. Is Nontaxable earned Income: amount . ? 60 and type . ? _ Additional child tax credit. Attach Form -88-12- 61 Amount paid with request for extension to file (see instructions) ... 62 Excess social security and RRTA tax withheld (see instrs) .. 63 Other Payments. Check If from ..... a E]Form 2439 Is Q Form 4136 ........................................ 64 Add lines 57, 58, 59a, and 60 through 63. These are your }nhl n.a,w.M. Refund 65 It line 64 is more than line 56, subtract line 56 from line 64. This is the amount you Overpaid ............... Have it directly 66a Amount of line 65 you want Refunded to You ....................................... P deposited! See . Is Routing number ....... InstnJctlons and a Type: Checking savings fill In 66b, 66c, d Account number ....... and 66d. ?•. .__.._. _.,,.. .. Amount 68 If line 56 Is more than line 64, subtract fine 64 from line 56. This Is the Amourd You You Owe Owe. For details on how to pay, see instructions .................. Undn »li.f, fhV.nsysn n., <e on n, I. CW I e N co Ih.t I hrv..x.mimo Mis nwm .nd see.,npanyi,q seh.eul.s.lq sl.=M b, ane b M M81 of all' ldsaas and Ij. Sign s M, 8M eanpl.h. Dsebntien of pnP.nr (ea.r inn hxp.ye) h .s.d on sA In atlon or.Mkh If apam his a o en sa d Hero rpursemwn Joint return? o.n Y., 0oc"ton See instructions. le wareh T ouse worker Keep a copy pun.•. grown. I . Jant wen, a V ron. to poow. p.epn for your records. ? Disabled Paid S?mLn ? Date PnpBMS am ar so w Preparer's FlrmsHann Wagner's Tax & Accounting Service a.xxxwr,mp 175-48-4559 Use Only (" yT;1"it - :dl ? 101 E High St. Em 23-2262892 and Ader„ Carlisle PA apcod. 17013 FDIA0112 11115M Form 1040 (19991 ----------------------------- CUT/LONO DOTTED LINE 1999 PAN PA Payment Voucher Pvn4O1 Olan 134-32-7790 PE 265-52-4394 9900913014 I PETER R 0 L F Payment Amount BELINDA M PETER $ 10.00 PO BOX 951 Make check or money order payable CARLISLE to the Pennsylvanla Department o} Revenue PA 17013 Department Use Only m m = 30018113432779000075199912310000000000000009 J 9900113011 r 1999 PA40 Page 1 of 2 L. 134-32-7790 PE 265-52-4394 PETER PETER ROLF EX 0 RS R BELINDA M A 0 FS J PO BOX 951 FY 0 CARLISLE PA 170 13 SC 21110 PN 717-243-9253 1A 33213.00 1 B 2 347.00 3 .00 1C 33213-OD 5 8 •00 6 •00 •00 4 •00 7 11 00 33560.00 9 12 33560.00 00 1D .00 940.00 --------- ---'----9 ------- Please iol-tlPa e along this line --- Local Information. Enter where you lived as of 12/31199, School District: Ca r l i s l e School Code: 21110 County: Cumberland Municipality: North Middleton Extension, check this box. Amended Return, check this box. Fiscal Year Filer, check this box. Residency Status. (Check the correct box) R X Resident NR Nonresident P Part-Year Resident From: To: Type Flier. (Check only one box) S Single J X Married, Filing Jointly M Married, Filing Separately F Final D Deceased Date of death 1 a Gross compensation, from PA Schedule W2S, or your Forms W2 or other statements ........ 1 b Unrelmbursed employee business expenses, from PA Schedule UE . 14 33,213.00 ......................... 1c Net compensation. Subtract line lb from line 1a ........ . 1 b • OO .................................... 2 Interest Income. Complete and enclose PA Schedule A if over $2,500 1c 33 , 213 .00 ...... , .. , . , 3 Dividend Income. Complete and enclose PA Schedule B if over $2 500 2 347 . 00 , ....................... 4 Net Income or loss from the operation of business, profession or fa 3 • OO , rm ....................... 5 Net gain or loss from the sale, exchange, or disposition of property 4 . OO 6 Net income or loss from rents, royalties, patents, or copyrights .... ............... . . . . . . . . . . 7 Estate orWstincome. Complete andenclose PASchedule J .. . .............................. 6 Gambling and lottery winnings .................... 7 . 00 00 ........................................ 9 Total ggross Pennsylvania taxable Income. Add only the positive income amounts from lines ic 2, 3, 4, 5, 6, 7, and 8. Do not add an los a • OO y , ses reported on lines 4, 5, or 6 ............. . . ...... 10 Contributions to Your Medical Sa i 9 33,560 .00 v ngs Account. See the instructions 11 Adjusted Pennsylvania taxable Income. Subtract line 10 from line 9 .......................... 12 Pennsylvania tax liability. Multiply line 11 by2.8'y,(0.028).Also enter online 13 page 2 11 33,560.00 , ....,,,. PAUOn2 10=69 12 940.00© EC FC L 9900113011 m EE= 1= , 990D113011 J 9900213019 r I 1999 Pa.ao Page 2 of 2 PETER ROLF 134-32-7790 13 940.00 14 930.00 15 .00 16 .00 17 .00 18 .00 19 .00 20A 00 208 00 21 .00 22 .00 23 .00 24 .00 25 .00 26 .00• 27 .00 28 930.00 29 10.00 30 .00 31 .00 32 .00 33 .00 34 .00 35 .00 36 .00 37 .00 13 Total Pennsylvania tax liability. Enter your tax liability from line 12 on page 1 .............................................. 13 940.00 14 Total Pennsylvania tax withheld, from W-2, PA Schedule W2S, or your Forms W2 or other statements ............... 14 930.00 15 Credit from your 1998 Pennsylvania Income Tax Return ..... 15 .00 16 1999 estimated Installment payments ...................... 16 .00 17 1999 extension payment ................................. 17 .00 18 Nonresident tax withheld on your PA Schedule(s) NRK•1 .... 18 .00 19 Total estimated payments and credits. Add lines 15, 16, 17, and 18 .......................... 19 .00 Tax Forgiveness Credit. Complete lines 20a, 20b, 21, and 22. Read instructions. 20a Filing Status: Unmarried or separated Married Deceased 204 OO 20b Dependents, Part B, line 2, PA Schedule SP .............................................. 20b OO 21 Total eligibility income. Part C, line 11, PA Schedule SP .................................... 21 .00 22 Tax Forgiveness Credit from Part D, line 16, PA Schedule SP ............................... 22 .00 23 Total credit for taxes paid to other states or countries. Enclose your PA Schedule G or RK-1 .... 23 .00 24 Pennsylvania Employment Incentive Payments Credit Enclose your PA Schedule W, RK-1 or NRK•I ................. 24 .00 2S Pennsylvania Jobs Creation Tax Credit, from enclosed certificate or PA Schedule RK-1 or NRK-I ................... 25 .00 26 Pennsylvania Waste Tire Recycling Investment Tax Credit, from enclosed certificate or 00 PA Schedule RK-1 or NRK-1 ............................................................. 26 . 27 PermsWvania Research and Development Tax Credit, from enclosed certificate or PA Schedule RK-1 or NRK-1 ........................................................... 27 .00 28 Total Payments and Cradlts. Add lines 14, 19 and 22 through 27 ............................. 28 930 .00 29 Tax Due. If line 13 Is more than line 28, enter the difference here ............................ 29 10 .00 30 Overpayment If line 28 is more than line 13, enter the difference here ........................ 30 .00 31 Refund - amount of line 30 you want as a check mailed to you ..................... Refund 31 .00 32 Credit - amount of line 30 you want as a credit to your 2000 estimated account ............... 32 .00 33 Donation - amount of line 30 you want to donate to the Mid Resource Conservation Fund .... 33 .00 34 Donation - amount of line 30 you want to donate to the U.S.Olympic Committee, PA Division.. 34 .00 3S Donation - amount of line 30 you want to donate to the Organ Donor Awareness Trust Fund .. 35 .00 36 Donation - amount of line 30 you want to donate to the KoreaMetnam Memorial, Inc .......... 36 .00 37 Donation - amount of line SO you want to donate to Breast and Cervical Cancer Research ..... 37 .00 The total of lines 31 through 37 must equal line 30. Undaf pcmlaac of peiury, l (tee) deehn eat I (we) twe excminad TN mum, Inckiding all aarompnrying a&Ad In and ebb tl, and to to bat or my (Doti beaN yuy ne 1nu cancel, end eampNb L, 9900213019 PAIAN12 IMM 9900213019 1 Yaw 9lpmM ww ,wr.?vw., Warehouse worker PAGE 1 OF 2 DATE: 06-01-2000 FERS PART-TIME EMPLOYEE DATA EMPLOYEE NAME: PETER ROLF DATE OF BIRTH: 09/22/1940 SERVICE COMPUTATION DATE: 08/13/1985 DATE OF RETIREMENT: 09/30/2000 EMPLOYEE'S AGE AT RETIREMENT: 60 YEARS 0 MONTHS HIGH-3 AVERAGE SALARY: $ 28,957 xxxxxxxxaxxxxxxxxaxsxxsxxaaxxxxxx saaxxaxxxxxxxxxxasxxxxaaa xxxxxxaaaxaaasaaxx FERS SERVICE CREDIT: 15 YEARS 1 MONTHS _= as 18 DAYS xa xxaxaxaxxas=xaaaasxxxxxxxxxxxxxxa ==axxxxasx=sxxxxavasaxaaa sxaxxaaaaxaaasxaax FERS PART-TIME PRORAT ION FACTOR: 97.0$ xxxxxx=xasa==cxvcxxvxxs=x= -_-___ xx=ax xxxxxxxa==ssxaaaax xxxxasaaxaamamaaax " ESTIMATED" VOLUNTARY ------------- RETIREMENT BENEFITS ---------------------- ANNUALLY MONTHLY FERS BASIC ANNUITY: ---------- $ 4,236.00 $ --------- 353.00 EARLY RETIREMENT REDUCTION: - 408.00 - 34.00 ESTIMATED NET ANNUITY: ---------- $ 3,828.00 $ --------- 319.00 (x) HEALTH INSURANCE PREMIUM: - 1,736.28 - 144.69 (xx) LIFE INSURANCE PREMIUMS: - 132.96 - 11.08 NET BENEFITS: -----•'---- $ 1,958.76 $ --------- 163.23 (x) [ Health Plan Enrollment Code: 105 - 2000 Premium Rate 1 (xx) [Life Insurance Premiums At Retirement Are Based On 2000 Rates] LIFE INSURANCE --------------------- (Final Basic Pay: $ 30,136) (Biweekly Tour of Duty: 80 Hours) COVERAGE MONTHLY PREMIUM MONTHLY PREMIUM AT RETIREMENT (xxx) AT RETIREMENT AT AGE 65 ----------------------------- --------------- ---------------- BASIC COVERAGE: $ 33,000 $ 11.08 $ 0.00 (xxxx) (xxx) [Total Regular Life Insurance Coverage At Retirement: $ 33,0001 (xxxx) [Basic Life Insurance Reduction Elected: 75!k) DATE: 06-01-2000 FERS PART-TIME EMPLOYEE DATA --------------- EMPLOYEE NAME: PETER ROLF DATE OF BIRTH: 09/22/1940 SERVICE COMPUTATION DATE: 08/13/1985 DATE OF SEPARATION: 09/30/2000 DATE OF RETIREMENT: 09/30/2002 EMPLOYEE'S AGE AT RETIREMENT: 62 YEARS 0 MONTHS HIGH-3 AVERAGE SALARY: $ 28,957 ma=asmamvaaacscamaavavaavmamamamaaaaaaca _ _ _ IIaamam FERS SERVICE CREDIT: 15 YEARS 1 MONTHS a 18 DAYS a m a a m CII a ______ mamcamcavmvaamamvacacaavaaaaamamamaaacaa FERS PART-TIME PRORATION FACTOR: 97.0} ==acsmamaavaaacaavamamaa?===__=====mamavaaaavaavaamcvcamamaavvvavcaamvaaIIVma "ESTIMATED" POSTPONED RETIREMENT BENEFITS ----------------------------------- ANNUALLY MONTHLY DEFERRED BASIC ANNUITY: ---------- $ 4,236.00 --------- $ 353.00 ESTIMATED NET ANNUITY: (x) HEAL $ 4,236.00 ---------- --------- $ 353.00 TH INSURANCE PREMIUM: (xx) LIF - 1,736.28 - 144.69 E INSURANCE PREMIUMS: - 132.96 - 11.08 NET BENEFITS: ---------- $ 2,366.76 --------- $ 197.23 (x) [ Health Plan Enrollment Code: 105 - 2000 Premium Rate ] (xx) [Life Insurance Premiums At Retirement Are Based On 2000 Rates] LIFE INSURANCE --------------------- (Final Basic Pay: $ 30,136) (Biweekly Tour of Duty: 80 Hours) COVERAGE MONTHLY PREMIUM MONTHLY PREMIUM --------AT-RETIREMENT (xxx) - --AT RETIREMENT AT AGE 65 BASIC COVERAGE: $ 33,000--$ -11.08---- ----$--0.00 (xxxx) (xxx) [Total Regular Life Insurance Coverage At Retirement: $ 33,000] (xxxx) (Basic Life Insurance Reduction Elected: 75k] BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA vs. 99-5223 CIVIL ROLF PETER, Defendant : CIVIL ACTION - SUPPORT ORDER AND NOW, this 3o' day of August, 2001, after hearing, the court finding that the defendant has a total earning/income capacity of $2,800.00 per month, and it appearing that the monthly net income/earning capacity of the plaintiff is $407.00, the order of December 1, 2000, is modified to provide that the defendant shall pay to the Pennsylvania State Collection and Disbursement Unit the sum of $1,000.00 per month as alimony pendente lite. This order includes a $50.00 adjustment as consideration for the parties' mortgage payment. Arrearages shall be recomputed. All other terms and conditions of our order of December 1, 2000, not inconsistent herewith, shall remain in full force and effect. BY THE COURT, DRO ? -wL Carol Lindsay, Esquire For the Plaintiff Robert Mulderig, Esquire For the Defendant C rn?.i..e 2,&f. of Am r' ii ;. G' i'i:i .i ::J??L'., PATRICIA WENTZ, IN THE COURT OF COMMON PLEAS Plaintiff, CUMBERLAND CO., PENNSYLVANIA V. NO. 99 - 7579 LARRY J. WENTZ, CIVIL ACTION - LAW Defendant IN DIVORCE RULE TO SHOW CAUSE AND NOW, this -jC6day of v v 5? 2001, upon review of Plaintiff's Petition to Enforce Marital Settlement Agreement, a Rule to Show Cause is issued as to why the relief requested should not be granted. Rule returnable ZD days from date of service. BY THE COURT: 0 IL i „ . C? ,; .,. _;;:,,,_ PATRICIA WENTZ, IN THE COURT OF COMMON PLEAS Plaintiff, CUMBERLAND CO., PENNSYLVANIA V. NO. 99 - 7579 LARRY J. WENTZ, CIVIL ACTION - LAW Defendant IN DIVORCE ORDER AND NOW, this day of 2001, upon review of the Plaintiff's Petition for Enforcement of Marital Settlement Agreement and Defendant's response, if any, thereto, the court hereby ORDERS as follows: 1. The real estate located at 1950 Wentz Lane, Enola, Pennsylvania shall be immediately placed for sale. 2. Husband and. Wife shall cooperate with the listing of the home and its ultimate sale, including cooperation with showings and reduction in sales price if recommended by realtor. 3. Pending the sale of the home, Defendant shall be solely responsible for all costs and expenses associated with the home, including but not limited to mortgage, taxes, insurance and utilities. Defendant's failure to pay any of the above amounts will result in his removal from the home. 4. Upon the sale of the home, Wife shall be entitled to the first $25,000.00 in proceeds. Defendant shall be solely responsible for all outstanding mortgages, taxes, insurance and utilities at the time of sale. Failure to comply with this Order will result in the finding of contempt. 5. Plaintiff is awarded counsel fees and costs in the amount of $500.00. BY THE COURT: J• PATRICIA WENTZ, IN THE COURT OF COMMON PLEAS Plaintiff, CUMBERLAND CO., PENNSYLVANIA V. NO. 99 - 7579 LARRY J. WENTZ, CIVIL ACTION - LAW Defendant IN DIVORCE PETITION TO ENFORCE MARITAL SETTLEMENT AGREEMENT AND NOW, comes Plaintiff, Patricia Wentz, by and through her counsel, Reager & Adler, PC, and seeks enforcement of the Marital Settlement Agreement as follows: 1. Plaintiff is Patricia A. Wentz, an adult individual residing at 2205 Gleim Court, Enola, Pennsylvania 17025. 2. Defendant is Larry J. Wentz, an adult individual residing at 1950 Wentz Lane, Enola, Pennsylvania 17025. 3. The parties were husband and wife, having been married on August 17,1985. 4. The parties separated on or about April, 1997 and executed an Marital Settlement Agreement dated April 3, 2000. Said Marital Settlement Agreement is attached hereto as Exhibit "A". 5. A Final Decree in Divorce was entered on June 15, 2000 and the terms of the parties' Marital Settlement Agreement were incorporated but not merged therein. 6. Pursuant to the terms of the Marital Settlement Agreement, Husband remained in the marital home. Husband was to refinance the property no later than 180 days from the date of execution of the Agreement or no later than October 3, 2000. 7. Upon refinance, Wife was to receive a lump sum payment in the amount of $25,000.00 in exchange for her waiver to her right, title and interest in the property. 8. Pursuant to the terms of the Agreement, if Husband failed to refinance the property and pay Wife $25,000.00, the home was to be placed up for sale by a mutually agreeable realtor. 9. The terms of the Agreement specifically require Husband and Wife to cooperate with the listing and sale of the home. 1'J. To date, Husband has failed to refinance the property. In addition, Husband has failed to agree to list the home for sale with a mutually agreeable realtor. 11. Furthermore, pursuant to the terms of the Agreement, Husband was to be solely responsible for the payment of all costs associated with the home, including but not limited to the mortgage, taxes, insurance and utilities. Specifically, Husband was to assume all responsibility for unpaid taxes for 1998 and 1999. 12. Wife was notified that the parties' home was placed up for Sheriff's sale due to unpaid taxes. To date, $1,744.90 of 2000 property taxes remain unpaid. In addition, no payments have been paid on the 2001 taxes. 13. Pursuant to the terms of the Marital Settlement Agreement, Wife is entitled to receipt of all reasonable attorney's fees, court costs and expenses which are incurred in enforcing the Agreement. 'lo date, Wife has incurred $500.00 in fees and expenses in the preparation of this Petition. Wife reserves the right to submit a final invoice for costs and expenses upon the completion of this matter. WHEREFORE, Plaintiff requests this Honorable Court to enter an Order enforcing the terms of the Marital Settlement Agreement and awarding Plaintiff attorney's fees and costs in the amount of $500.00. Dater V Respectfully submitted, REAGER & ADLER, PC Camp Hill, PA 17011 717-763-1383 Attorneys for Plaintiff CERTIFICATE OF SERVICE I, Debra Denison Cantor, Esquire, do hereby certify that on this date I served the foregoing Petition to Enforce Marital Settlement Agreement by depositing a true and exact copy thereof in the United States mail, first class, postage prepaid, addressed as follows: Larry J. Wentz 1950 Wentz Lane Enola, PA 17025 Dater REAGER & ADLER, PC ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT kz, 9, S333 &I eve_ State -Commonwealth of Pennsylvania Q Original Onler/Nmice. Co./city/Dist.of CUMBERLAND/x/7?OX,Gu Jix (2) Amended Onier/Naliee Date of Order/Notice 09105101 0Terminate Ortler/Nolice, Court/Case Number (See Addendum for case summary) Employer/wohhnlder's Federal EIN Numly, DFAS CLEVELAND CENTERS Employer/Withholder's Name C/0 DFAS COD L EmployeA ll,F;older's Address PO BOX 998002 CLEVELAND OH 44199-8002 1 RE: PETER, ROLF I Employee/Obligor's Name (Last, First, Mu I 134-32-7790 Employer/Obligor i Social Security Numlxer I 7524100622 Fmployov/Obligor'. Case Idemioer (See Addendum for Plaintiff names assodated with rases w allachment) Custodial Parent's Name (Last, First, Mo 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. $ 1, 000. 00 per month in current support $ o . oo per month in past-due support Arrears 12 weeks or greater? Q yes 0 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 $ 1, o o o . oo per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the sup ; not match the ordered support payment cycle, use the following to determine how 1 $ 230 - 77 per weekly pay period. $ 461.54 per biweekly pay period (every two weeks). 611v, $_ 500. 00 per semimonthly pay period (twice a month). $ 1, goo. 00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring tt 1 of this Order/Notice. Send payment within seven (7) working days of the payda nulled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676.9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, 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: SU 6 20M r., TV "W%k MALMAr.ALAW Service Type M BY THE COURT: oiAy A /GYS iuDGE oam ?? : nwnn r? tvnlvYon Deer: i?J rOu Form EN-028 Worker ID $IATT 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 effert 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 pith employee/obligor. J.' -Reportin the Poydate/Oatro Withholding-Yeu-mustrepo"he-paydate/dat"fmithholdiigwhensendingthe-payment, Fhe- paydate/dateof withholding-is-dh date. ottwhicha untwasmithheld-fmmthe-employee'cwages- You must comply with the law of the stale of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the wi[hhufding order and forward the support payments. 4,' Employee/Obligor with Multiple Support Holdings: If (here is more than one Order/Notice to Withhold Income for Support against [his employe.elobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the stale of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possihle. (See p9 below) 5. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2491016300 EMPLOYEE'S/OBLIGOR'S NAME: PETER ROLF EMPLOYEE'S CASE IDENTIFIER: 7524100622 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/obligor from employment, refusing to employ, or taking disciplinary action against any employee%obIigor 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 05 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.0, BOX 320 CARLISLE PA 17013 Service Type M by telephone at J717)240-6225 or by FAX at (71 7) 240-6248 or by Internet If you or your employee/obligor have any questions, contact Page 2 of 2 OMB \n: 0970.0154 t+nbnlnn role I V31,00 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: PETER, ROLF iI PACSES Case Number 81710266 1,YC)0-1)-5 PACSES Case Number Plaintiff Name Plaintiff Name BELINDA M. PETER Docket Attachment Amount Docket AttachmentAmount 9975223 CIVIL$ 1,000.00 $ 0.00 Cltild(ren)'s Name(s): DOB Child(ren)'s Name(s); ?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 ?lfchecked, 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 DOB ? If checked, you are required to enroll the child(ren) identified above in any heal& 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) ? 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 0.1111 Worker ID $IATT un.: aaro.n i s+ Expiniion nnc ¢131100 d tlj L c U In the Court of Common Pleas of CUMBERLAND County, Pennsylvania 13N. HA\OVF R ST,I P.OF BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: ROLF PETER Member ID Number: 7524100622 Please note. A0 corresp ode re mast include the Member to Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multiple Cases on Attachment Plaintiff Name BELINDA M. PETER PACSGS Docket Case Number Number Attachment Amount/Freau ncy 817102664 99-5223 CIVIL $ 1 000 00 /MONTH TOTAL ATTACHMENT AMOUNT: / 5 / 5 $ 1,000.00 t.I'i.t.Y2-:t kTs.,avuw, uy vrtaa?}.yf this Court, the Department of Labor and Industry, Bureau of Unemployment Compensanon Benefits and Allowances (BUCBA), is hereby directed to attach the lesser Of $ 230. 77 per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, ROLF PETER Social Security Number 134-32-7790 , Member ID Number 7524100622 . 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(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 OCTOBER 29, 2000 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: SEP 6 2001 JUDGE Form Service Type M EN-034 Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RF LATIONS SECTION EJ N. HANOVER 91', P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: ROLF PETER Member ID Number: 7524100622 Please nine: AB correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Financial Break Down of Multip le Cases on Atta chment Plaintiff Name PACSIS Case Number Docket Number Attachment Amount/Frequency rr BELINDA M. PETER 31919515 817102664 99-5223 CIVIL $ 1,000.00 /MONTH $Q % $ TOTAL ATTACHMENT AMOUNT: $ 11000.00 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 $ 230.77 per week, or 55.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, ROLF PETER Social Security Number 134-32-7790 , Member ID Number 7524100622 . 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 OCTOBER 29, 2000 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: SEP 6 2001 -Ar A,4 JUDGE Form EN-034 Service Type M Worker ID $IATT a ?- r• E ui>? cc ?q • r 1:? CD 7 :C J L? V: No. qq- 9ad3 C 1J2 30055" 11A1 2 ;, i CUMBERLAND COUNTY DOMESTIC RELATIONS Request for Support Record Search Date of Application: 5/16/02 Name: Peter Rolf (Last) (First) Address: 1430 Newville Road, Carlisle, PA (Mt) Social Security Number: 134-32-7790 Domestic Relations Case Number if Known: Party Requesting Information: ,0717) 975-9102 (Telephone Number) (7171 975-9105 (Fax Number) D.O.B.: A Twenty Dollar ($20.00) Fee is Due per Social Security Number Make check or money order payable to: DRS/Lien Search X INITIAL REQUEST Has No Record in Domestic Relations as of. Support Arrears As of End of Month Prior to Date of Application: $ 55-70. (99 ) ate Monthly Total Support Obligation:$ /DD0.00?mon-A The Amount shown above is reflected in the Domestic Relations Section Office of Cumberland County, Pennsylvania, mtmbtr --A 75x41 oo(oaA Domestic Relations Case Number: _L5g5 `1?r 817 1 c )a t,& y Signed: )"h ?X o trectar/Assistant Director/Lien Coordinator) S a? - 0 ?- (Date) BRING-DOWN REQUEST Support Arrears: $?_ As Of. (Date) Signed: (Director/Assistant Director/Lien Coordinator): (Date) ***Lien Satisfied Receipt Available Upon Request*** C:tF0RMS%SUMMm8tn'_REQ. W PD y L! c - ) i-- q L] _ n% c? U MW %1. BELINDA M. PETER, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V. ROLF PETER, Defendant/P.esrx.-?=7 ` 99-4223 CIVIL TERM ORDECF COURT AND NOW, this 18th day of October, 1999, this matter having been called on petition by Linda M. Peters for special relief, and t::_ parties having reached an agreement, it IS ORDERED: 1. The order entered on August 27, 1999, prohibiting the parties from alienating or dissipating any item of marital property, and in particular, not to remove any intangible marital asset from any depository, shall remain in full force and effect subject to the following amendment: Excluded from this order is: (a) A jointly held checking account at P.N.C. Number 51-4042-5863. (b) Husband's accounts at Members First Federal Credit Union prefix with the number 34193, in excess of $4,000.00. (c) Wife's account at AllFirst (formerly Dauphin Deposit) in which she deposits her social security, number 00103-7371-73. This resolution on the petition for special relief shall have no bearing on whether such accounts constitute marital property under the Divorce Code. Carol J. Lindsay, Esquire For the Plaintiff /Petitioner Rolf Peter, Pro Se It By the Court' L, , ;r 03 F7) - -? of I 9 EDGAR B. BAYLEY JUDGE I COURTHOUSE SQUARE CARLISLE, PENNSYLVANIA 17013-3367 A1, Rolf Peter 114 West Willow Street Carlisle, PA 17013 acr z zls a_ 0 3 3 r r MCt F.q r c 7ISBS34 U. S.POSTAGE ?"j fj ?Cp$$0$f?i 1111111111111111111111111111111 1111111III,111111111,11111,J1, 11111111111111111 p....1_:.n.uwlf j I`1 ,. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of P nncyly_ ania Co./City,`Dist. of CUMBERLAND Date of Order/Notice 06/29/05 Case Number (See Addendum for case summary) EmployerANithholder's Federal EIN Number DFAS CLEVELAND CENTER* C/O DFAS CODE L GARNISHMENT OPS PO BOX 998002 CLEVELAND OH 44199-8002 O Original Order/Notice O Amended Order/Notice O Terminate Order/Notice RE: PETER, ROLE? Employee/Obligcr's Name (Last, First, MI) ,/?. /999 S?-y3Cd /?ks?'s 8i7ic?c, y 134-32-7790 Employee(Obligor's social Security Number 7524100622 Employee/Obligoes Case Identifier (See Addendum fw plaintiff names associated with cases on anachmen0 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. oo per month in current and past-due medical support $ o. oo per month for genetic test costs $ per month in other (specify) for a total of $ o. oo 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 oo per biweekly pay period (every two weeks). $ o, oo per semimonthly pay period (twice a month). $ 0.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the 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 THE COURT: Date of Order: JUN 3 0 ZOOS ? 4?/A!? / Chi .rVO&C- Service Type M Form EN-028 OMB No.: 0970-0154 WorkerlD $IATT a -* p ci ?r Y Q T = yi I U. O o C U ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? Ij,?hecke you are required, to pr{fe aopy of this form to your m loyee. If your employee orks in a state that is I event rom the state that Issue t is o er, a copy must be provi?e?to your emp oyee even if t E 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 employeelobligor. vayumwwareo wrtnnotainMMe-aarevmwmchamountwas-vithheldfromthe-empioyee'swager You must comply with the law of the slate 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.• Employeetobligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee(obligorand 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: 2491016300 EMPLOYEE'S/OBLIGOR'S NAME: PETER, ROLF EMPLOYEE'S CASE IDENTIFIER: 7524100622 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 employeelobligor from 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 govems. 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 '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. 1 [.Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Service Type N Page 2 of 2 OMB No, 09700154 Form EN-028 Worker ID $IATT J 1-- r?- J W p Cl) .'i.) ? ° U c ?I 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: ROLF PETER Member ID Number: 7524100622 Please note: All correspondence mutt Include the Member ID Number. ORDER TO VACATE ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name BELINDA M. PETER PACSES Docket Case Number Number 817102664 99-5223 CIVIL Attachment Amount/Frequency $ 1,000.00 /MONTH $S$ Z TOTAL ATTACHMENT AMOUNT: $ 0.00 The prior Order of this Court directing the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), to attach $ o. o0 or 50 % per week of the Unemployment Compensation benefits of ROLF PETER , Social Security Number 134-32-7790 , Member ID Number 7524100622 is hereby vacated. This Order to Vacate shall be effective upon receipt of the notice of the Order by the Department and shall remain in effect until a further Order of the Court is filed. BY THE COURT Date of Order: ?uN ^ n zap-, JUDGE Kt-e-Al A. he;S Service Type M Financial Break Down of Multiple Cases on Attachment Form EN-035 Worker ID $LATT a- LO WQ () 2 U = D i J C 7 W JLU 0 N U I.iIX In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION BELINDA M. PETER ) Docket Number 99-5223 CIVIL Plaintiff ) Vs. ) PACSES Case Number 817102664 ROLF PETER ) Defendant ) Other State ID Number ORDER AND NOW, to wit, on this 8TH DAY OF JULY, 2005 IT IS HEREBY ORDERED that the support order in this case be Q Vacated or OSuspended or 0Terminated without prejudice or Q Terminated and Vacated, effective MAY 25, 2005 , due to: THE DEMISE OF THE PLAINTIFF ON MAY 25, 2005. THE ABOVE CAPTIONED ALIMONY PENDENTE LITE ACCOUNT IS CLOSED WITH A REMAINING BALANCE OF $3,828.08. Service Type M BY TH COURT: t11 JUDGE Form OE-504 Worker ID 21005 V c?r N Cl) C ; w`_r ch 4' c; J ?- y? ? 1 0 O _? N V Curtis R. Long Prothonotary office of the i9rotbonotarp Cumberranb Countp Renee K. Simpson Deputy Prothonotary John E. Slike Solicitor 5;223 CIVIL TERM ORDER OF TERMINATION OF COURT CASES AND NOW THIS 29TH DAY OF OCTOBER 2008 AFTER MAILING NOTICE OF INTENTION TO PROCEED AND RECEIVING NO RESPONSE - THE ABOVE CASE IS HEREBY TERMINATED WITH PREJUDICE IN ACCORDANCE WITH PA R C P 230.2 BY THE COURT, CURTIS R. LONG PROTHONOTARY One Courthouse Square • Carlisle, Pennsylvania 17013 • (717) 240-6195 0 Fax (717) 240-6573