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HomeMy WebLinkAbout99-05400Y ?. 7` .?t, ' ,;?,;?t I P;.F. Q r 2 Q o? 44 yy.y? v 43 0 R; o aQ o > "m o? z LL u m n P4 ~ V ^ QQ ~ D z O Q . u 02 ; F .i n r' { ? F i ? D ? F. m $ m ? {?yq y U ? O @J3 ; U ¦ i nw ui noa MARY ELLEN KRYSMALSKI, Petitioner V. CHARLES V. KRYSMALSKI, Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION- LAW 99- 54?C((,IVILTERM PROTECTION FROM ABUSE TEMPORARY PROTECTIVE ORDER AND NOW, this 14dday of September, 1999, upon presentation and consideration of the within Petition, and upon finding that Petitioner, MARY ELLEN KRYSMALSKI, now residing in Cumberland County, Pennsylvania, is in immediate and present danger of abuse from the Respondent, CHARLES V. KRYSMALSKI, the following Temporary Order is entered: The Respondent, CHARLES V. KRYSMALSKI, of Cumberland County, Pennsylvania, is hereby enjoined from physically abusing the Petitioner, MARY ELLEN KRYSMALSKI, or placing her in fear of abuse and is ordered to stay away from any location where she may reside. The Petitioner is hereby awarded exclusive possession of her residence. The Respondent is hereby notified that if he fails to follow this Order, he may be in indirect criminal contempt which is punishable by a fine not to exceed 51,000.00 and/or by a sentence of up to six months in jail and any other appropriate punishment. This Order shall remain in effect until a final order is entered in this case. A hearing shall be held on this matter on the8? day of September, 1999, at 91.'ed/, m, in Courtroom No. -!r , Cumberland County Courthouse, Carlisle, Pennsylvania. The Cumberland County Sheriffs Office shall attempt to make service at the Petitioner's request, but service may be accomplished under any applicable rule of Civil Procedure. The District Justice of Carlisle will be provided with a copy of this Order by attorneys for Petitioner. This Order shall be enforced by any law enforcement agency where a violation occurs by arrest for indirect criminal contempt without warrant upon probable cause that this Order has been violated, whether or not the violation is committed in the presence of the police officer. In the event that an arrest is made under this section, the Respondent shall be taken without unnecessary delay before the court that issued the Order. When that court is unavailable, the Respondent shall be arraigned before the appropriate district justice. (23 Pa.C.S.A. §6l 13). BY THE CO , ?Q?Wh2cl C . ?u: d0 J. Cull. MARY ELLEN KRYSMALSKI, IN THE COURT OF COMMON PLEAS OF Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 99- CIVIL TERM CHARLES V. KRYSMALSKI, Respondent PROTECTION FROM ABUSE NOTICE You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take action promptly after this Petition, Order and Notice are served, by appearing personally or by attorney at the hearing scheduled by the Court and presenting to the Court your defenses or objections to the claims set forth against you. You are warned that if you fail to do so the Court may proceed without, and a judgment may be entered against you by the Court without further notice for any money claimed in the Petition or for any other claim or relief requested by the Petitioner. You may lose money or property or other rights important to you. YOU SHOULD TAKE THIS NOTICE 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 1-800-990-9108 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 intbrmation 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. MARY ELLEN KRYSMALSKI, Petitioner V. IN THE COURT OF COMMON PLEAS OF :CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 99- I'quD CIVIL TERM CHARLES V. KRYSMALSKI, Respondent PROTECTION FROM ABUSE PETITION FOR PROTECTIVE ORDER AND NOW comes the Petitioner, MARY ELLEN KRYSMALSKI, by her attorneys, Irwin, McKnight & Hughes, Esquires and presents this petition for a protective order under the Protection from Abuse Act, 23 Pa.C.S.A. Section 6101 et seq., representing as follows: The Petitioner is MARY ELLEN KRYSMALSKI, an adult individual presently residing at 325 Stone Church Road, Carlisle, Lower Frankford Township, Cumberland County, Pennsylvania 17013. 1) The Respondent is CHARLES V. KRYSMALSKI, an adult individual residing 325 Stone Church Road, Carlisle, Lower Frankford Township, Cumberland County, Pennsylvania 17013. 3 The parties were married on June 17, 1977 in Winchester, Virginia. 4. There were no children born to this marriage. 5. The petitioner is the sole owner of the real estate in which the parties reside. She had obtained the property prior to the marriage through a previous divorce settlement. She has maintained the property in her sole name. 6. Since one (1) month after the parties' marriage, the Respondent has used physical force to inflict his decisions upon the Petitioner. 7. This violence has continued throughout the marriage and on numerous occasions the Respondent has threatened violence or physically pushed or assaulted the Petitioner. 8. On or about August 3, 1999, the Respondent threatened the Petitioner with a 45-caliber handgun while he was screaming at her. 9. On two (2) occasions this past week the Respondent has verbally threatened to harm the Petitioner. 10. The Petitioner has been placed in fear of serious bodily injury due to the Respondent's threats and past abuse. WHEREFORE, Petitioner respectfully requests this Honorable Court to enter an order providing that : a. Respondent shall refrain from abusing, threatening with violence, harassing or visiting the Petitioner in any manner; b. Respondent shall be excluded from the residence of the Petitioner, or any residence where the Petitioner may reside; and c. Such other relief as this Court deems necessary. Respectfully submitted, IRWIN, McKNIGHT & HUGHES By: ?• Marcus A. Me {{?? n t, II , qu i re Attorney for Petiu.ner, Marr llen Krysmalski West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 717-249-2353 Supreme Court I.D. No. 25476 Attorney for Petitioner Date: September 15 , 1999 VERIFICATION The foregoing Petition for Protective Order is based upon information which has been gathered by my counsel and me in the preparation of this action. I have read the statements made in this Petition and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unsworn falsification to authorities. Mf,RY ELLEN YSMALSKI Date: September 1 '1999 Q i i U? tip.. ? ? L a O i y ry^ S c8W^c m C D ? a E $ GOB W ? .in I FYI Ol IIlar MARY ELLEN KRYSMALSKI, Plaintiff V. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 99- 9ACIVILTERM CHARLES V. KRYSMALSKI, 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 fail to do so, the case may proceed without you and a decree in divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary, Cumberland County Courthouse, Carlisle, Pennsylvania 17013. IF YOU DO NOT FILE A CLAIM FOR ALIMONY, DIVISION OF PROPERTY, LAWYER'S FEES OR EXPENSES BEFORE A DIVORCE OR ANNULMENT IS GRANTED, YOU MAY LOSE THE RIGHT TO CLAIM ANY OF THEM. YOU SHOULD TAKE THIS PAPER TO YOUR LAWYER AT ONCE. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU CAN GET LEGAL HELP. Cumberland County Bar Association 2 Liberty Avenue Carlisle, Pennsylvania 17013 717-249-3166 1-800-990-9108 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. MARY ELLEN KRYSMALSKI, Plaintiff V. CHARLES V. KRYSMALSKI, Defendant 99- CIVIL TERM IN DIVORCE COMPLAINT IN DIVORCE PURSUANT TO SECTION 3301(c OF THE DIVORCE CODE NOW comes the plaintiff, Mary Ellen Krysmalski, by her attorney, Marcus A. McKnight, III, Esquire, and files this complaint in divorce against the defendant, Charles V. Krysmalski, representing as follows: 1. The plaintiff is Mary Ellen Krysmalski, an adult individual residing at 325 Stone Church Road, Carlisle, Cumberland County, Pennsylvania 17013. 2. The defendant is Charles V. Krysmalski, an adult individual residing at 325 Stone Church Road, Carlisle, Cumberland County, Pennsylvania 17013. 3. The plaintiff has been a resident of the Commonwealth of Pennsylvania at least six months prior to the filing of this action in divorce. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW 4. The plaintiff and the defendant were married on June 17, 1977 in Winchester, Virginia. 5. There have been no prior actions ofdivorce or for annulment between the parties. 6. There were no children born to this marriage 7. Pursuant to the Divorce Code, Section 3301(c), the plaintiff avers as the grounds upon which this action is based that the marriage between the parties is irretrievably broken. 8. The plaintiff avers that she has been advised of the availability of counseling and that said party has the right to request that the court require the parties to participate in counseling. WHEREFORE, the plaintiff demands judgment dissolving the marriage between the two parties. Respectfully submitted, IRWIN, McKNIGto & HUGHES MaFcus A. pftight,'Rl, Esquire Attorney fo Plaintiff West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 (717) 249-2353 Supreme Court I.D. No. 25476 Date: September, 1999 VERIFICATION The foregoing Complaint in Divorce is based upon intbrmation which has been gathered by my counsel and me in the preparation of this action. I have read the statements made in this Complaint and they are true and correct to the best of my knowledge, information and belief. I understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unswom falsification to authorities. kARY ELLEN YSMALSKI Date: September -I s{ '1999 SHERIFF'S RETURN - REGULAR CASE NO: 1999-05400 P COMMONWEALTH OF PENNSYLVANIA: COUNTY OF CUMBERLAND KRYSMALSKI MARY ELLEN VS. KRYSMALSKI CHARLES V ROBERT L. FINK , Sheriff or Deputy Sheriff of CUMBERLAND County, Pennsylvania, who being duly sworn according to law, says, the within PROTECTION FROM ABUSE was served upon KRYSMALSKI CHARLES V the defendant, at 15:35 HOURS, on the 3rd day of September 1999 at 325 STONE CHURCH ROAD CARLISLE, PA 17013 CUMBERLAND County, Pennsylvania, by handing to CHARLES KRYSMALSKI a true and attested copy of the PROTECTION FROM ABUSE together with TEMPORARY PROTECTIVE ORDER, NOTICE AND PETITION and at the same time directing His attention to the contents thereof. Sheriff's Costs: So answers: Docketing 18.00 Service 3.10 Affidavit .00 RI?+'FOa- Surcharge 8.00 omas ine, 5 J. I- L $9.10_09/07/1999 by ?epuyz e? Sworn and subscribed to before me this .711 day of 19?L A.D. Q, o0 onoono arr- 1,1111' Offices O'BRLEN,11ARIC & SCHERER 1711'esr South, Street Carlisle, Pennsylvaina 17013 Robert L. O'Brien David A. Baric Alichaet el. Scherer VIA HAND DELIVERY Jonathan Birback District Attorney's Office Cumberland County Courthouse One Courthouse Square Carlisle, Pennsylvania 17013 September 10, 1999 Re: Krysmalski Violation of PFA Dear Jon: SEP 10 1999 (717) 149.6873 Far (717) 749-5755 E-mail. obs@obslaw.com 6V. )'ea We had a hearing before Judge Guido where Mrs. Krysmalski agreed to continue generally the hearing for the PFA request and to drop the temporary PFA order. The Judge entered an order to a pending divorce action which gave her exclusive possession of the real estate, as well as directions that her husband not have any contact with her. The reason for this is the fact that Mr. Krysmalski is a police officer with the Capital City Police. While at the hearing, I mentioned to the Judge that Mr. Krysmalski was picked up for returning to the home to pick up some medication. I wanted the Judge to note that Mrs. Krysmalski was willing to have those charges withdrawn also. I indicated that we were willing to appear before him on Tuesday, but the Judge's words were to the affect that as far as he was concerned, that matter was taken care of and that I should contact you so that we would stipulate the dropping of the criminal charges. As I explained in the voice message, I wasn't trying to back-door you, but I just wanted Mrs. Krysmalski to confirm at that time that she was satisfied with the orders that the Court had entered. I will be in New York with my father on Tuesday and cannot attend a hearing. Accordingly, appreciate your willingness to withdraw this matter in exchange for this written confirmation of what transpired before Judge Guido. Very truly yours, RLO/af cc: Charles Krysmalski Judge Guido file rob/lettere/birbxck.kr O'BRIEN, BARIC & SCHERER Robert L. O'Brien, Esquire ?r COMMONWEALTH OF PENNSYLVANIA COt1NTY nF• CUMBERLAND 09-3-01 DJ Name. Hon. DAVID P. PERKINS AW'0tf 81 WALNUT BOTTOM P.O. BOX 361 SHIPPENSBURG, PA 17257-0361 teleyeone. (717)532-7676 Charnn(sl' 9 9. sYacJ c. r• -- --- PRELIMINARY ARRAIGNMENT NOTICE COMMONWEALTH OF PENNSYLVANIA VS. DEFENDANT: NAME and ADDRESS rC,??A6ll-GS vAt?.a-trs a 1,?(?y?jmNLJlt? 3D.;S- CWLAL` WQoAp L , -)-vJ lP eA I'1 O 13 J Docket No.: Date Filed: 9 1 S) g q pRa?e??rloN FP+p.? AG3ud? 6czOV-Q, V I0 1 RQT7 14 You are hereby notified that a preliminary arraignment will be held in the above captioned case at the following time and place: Date: Place: ? ? P? .S ojCl ?t 81 Walnut Bottom Road Time: P. P. 0. Box 361 3.? 5 t Shippensburg, PA 17257 At the preliminary arraignment, you will be given a copy of the criminal complaint that has been filed against you. In addition, you will be advised of your right to counsel, your right to a preliminary hearing, and the amount and types of bail available if your offense is a bailable offense. At the preliminary arraignment, a date and time will be fixed for your preliminary hearing and you will be given a reasonable opportunity to post bail. If bail is not posted, you may be committed according to law. If you are disabled and require assistance, please contact the Magisterial District office at the address above. II you have any questions, please call the above office immediately 16 9 F Date District Justice My commission expires first Monday of January, ?Po9 SEAL Anrr r,n n, SEP-05-1999 SUN 02:51 PH CENTRAL PROCESSING 1WVr,11 up*.. CLmlberland isretrial District Ma6cv: -` 09-3-02 istrfct ?ieeim Nbe;Mm, e en e. S1:ULEN8ERGER t 27 W• Big spring Ave. POteox 155 Newville,Pa, 17241 717-776-3187 FAH NO, 9752166 P. 02 POLICE CRMWAL COMPLA 1 COMMONWEALTH OF PENNSyLVA((A DEFENDANT: vs. NAME and ADDRESS et No.: Charles Valentine KRYSMALSKI I 325 stone Church Rd. Filed: 09/05/99 Carl isle, Pa, 17013 7on,te anseu•s social Sac J Rate 12/12/39 183-32-1294 I •. . rmsetD Information; plan luster state Registration Sttcker(1}t/Yy) 1012ir is artery t lceres tamer State lasnt/Ircidvit µt asplaint/I PA 19553993 1 H2-1087123 rtidpit sASto[rs If other Par icipnts /NIARS Code District Attorney's Office 999 ((The district artomey,ssq. Approved ED Disapproved because: filisy pa,R.rr.P. 107.) raq,ire [ of the cmplaint, arrest w w effl tirvit, or tort M apsrawl try• the a[tomey for the eo?nvs+alth prior to o ti or umanea t aasc ME ar ype 1, TPr. Michael J, MITCHELL ya[uco tt`""y o mPOweat • an there of A/f iant•P Bose Print or f)¢) of 650 PA Sraru o..r : __ do hereby state:(check the appropriate box) 1. f3 I accuse the above named defendant, who lives at the address set forth above ? [ accuse an defendant whose name is unknown to me but who is described as O f accuse the defendant whose name end popular designation or nickname is unknown to me end tvl)om I have therefore designated as John Doe with violating the penal laws of the Commonwealth of Pennsylvania at 325 Stone Church Rd. Lower Frankford Twp, In C1IInbE?r1enA lPlacoPOl ttnol aEOiws onl Participants were: (if there were Hatt Cpants, pon or about 01111111111119( 5 lace their names here, epeatingthe name of the above defendant) ar es a en t.ne KR SMALS I 2. The acts committed by the accused were: INDIRECT CRIMINAL (Set forth a st enry of the face, ad cio t to aakise the defettnr of the CONTEMPT (PFA ) mare Ni tham store, is eat suff(ti Mr. In a sumary case, )eu mat cite the s sac, of Mao tiset the d y stacifi ln and ,[d)K[lun%f?thfASricitation Ma 0rtpotdtiN{CtitlaL?jtdly VlelatNt? On 09/03/99 Cumberland Co. Judge Edward GUIDO issued a abuse order, 99-540o. Plaintiff being Mary Ellen KRYSMALSKI, Defendant being Charles valentine KRYSMALSKI. ProtACtion froth court stay away from any location where plaintiff ff may or that the defendant, awarded exclusive aintiff may reside. Plaintiff was possession of her residence, t idenceOna09/05/abo99 location, defendant did appear at the plaintiff's res- to leave. At this time Plaintiff coproceeed ntacted into the residence and refused police, WT -I2• (c/%)(Immnnt version) 1.3 -1999 SUN 02;53 PH CENTRAL PROCESSING ?• ?•??`' CharlAS Valentine Docker Number: NO, 9752166 P. 03 CRIMINAL CONU all of which were against the peace and dignity of the Commonwealth of Pennsylvania and contrary to the.ae of Assembly, or in violation of) 35 P. S. 10181 Oct 7 1976 (P. L,1090 of the ?.(. (Section) (Sub•See tion) (PA Statute) No fp ts; 2. of the (Section) (Sub-Section) (PA S(aturel (rtunt%; J. of the (Sec(IVr (SuD•Sectionl (PA Statute) (counts) 4 of the (Section) (Sun- 5ccI ton) (PA Statute) (counts) 3. 1 ask that a warrant of arrest or a summons be issued and that the defendant be required to answer the cha f have made. (In order for a warrant of arrest to issue, the attached affidavit of probable cause must be tonal and sworn to before the issuing authority. 4. 1 verify that the facts set forth in this complaint are true and correct to the best of my knowledge or informs and belief. This verification is made subject to the penalties of Section 4904 of the Crimes Code(18 P.A. C.S. 8 4904) relating to unsworn falsification to authorities. September 5th 19 99 y101i A, t? 6650 - ?3i9nd[?re p1 Want AND NOW, on this date ' Etp3-F-Ma V-R '?F.199`Z , I certify the complaint has been pre completed and venfied. An oavit of prooaoie cause must be complete in order for a warrant to issue . SEP-05-1999 SUN 02 53 PM CENTRAL PROCESSING FAH NO, 9752166 P, 04 Defendant Nam Charles Valentine KRYSMALS POLICE Docket Number: O,DMUtAL COMPLAINT '? +???vaa?ltl``1I AFFIDAVIT Of PROBABLE CAUSE On 09/05/99 at 1000 his. this officer assisted by Tpr, PERKINS PSP Carlisle were dispatched to 325 Stone Church Rd. in Lower Frankford Twp, in Cumberland Co, reference a possible PFA violation. While enroute this officer was informed by PSP Carlisle desk personel that the PFA order, copy which was on station stated that defendant is not to be present at the residence of plaintiff Mary Ellen KRYSMALSKI'who resides at the above location. Plaintiff contacted State Police and stated that defendant had appeared at the residence, came inside and refused to leave. Upon arrival at 1013 hrs, this officer spoke with defendant in the driveway at the above location who related to this officer that he was at the above location for the purpose of picking up medication. Defendant further related that he had been served a copy of the PFA on 09/03/99. Plaintiff was interviewed by this officer at the residence at 1020 hrs. and related that defendant had appeared at the residence and came inside, at which time she told him to leave, and he would not. Defendant was taken into custody at the scene and transported to PSP Carlisle. I, Tpr. Michael J. MITCHELL LAW, DEPOSE AND SAY THAT THE FACTS SET FORTH INGTHE FOREGOINAG CAFFIDAVIT ARF, TRUE AND CORRECT TO THE HEST OF M'y KNOWLEDGE, INFORMATION AND HEL?F. -'P__.v n? 6650 (S tgna[ure u d1'Tiincy?-?--.- Sworn to me and subscribed before me this ' % I p // dayyof ,t a?vJ?n , 19 -`Date /? C a ?(WQ District Justice My commission expires first Monday of January, - ?? AOPC 412-(4/96)0 nternet Ver.f... '- „ -? SEP-05-1999 SUN 0428 PH CENTRAL PROCESSING Sep 05 99 03:55p Hon. David P. Perkins Commonwealth va. (Defendant Name a d Address) No: CNPaN S VN1V-V1)4lWrtUR)TfA `rf 7CLr2.V ) 1-Lv- A O Kt V Ii N Q? E_ ? 1"?'A CHARGE(S): ) K OIRE?t CWTTR.k?+ AnnITIr1Wr PuAft -"-- POE CQ V. cQTOgS F 09-3-01 FAH NO. 9752166 17171 532-GG29 C -Sr, IriQ g#-?.e?i.aay? ;eE+11w_?lefl 1i 11 C Q q rYeee-lorr y cuwOra2- 1 ` 70 P W1- r....,eegk!D Ows Ill -1 ROR - 0 Nominal Bail 0 Unsecured Bail 0 Nonmonstary Condilion(s) (see additional page(s)) C1 Monelaiy Condition(s) In the amount of S I Cl p 0 P. 02 P.2 0. TIN dererMMl mull '--"""'=-rvuvw5l 2. The delendanl must Obey all unall times l6quised horder ln had oulhoand Inal ly. dlspot?lgn or the Cale. 3 TM Gl 01ege mop of firm add,owsts within n 4e to heurIhaa or boa the he dale daleg of alGCer, of My any th IMmodlclerkaelreecoups, the dieoid allwney, and the court bad agency or olhar desynalod court bat , e. The delondaM must noiftt do, not cause to be dome. nor permit to be dorm on hlMpr behalf. my Ad as Wouiibad by Section e952 of the Crimps Code (r Wlinelolnlimidebnorwengsosgvklims)orby Sediane953(relelelelatetaigliona sI etnasasorviclimsl,ta PA.C5.11ee52,QIS3, 9 KI I 5. The defendenl must rokain from aifrinal eclivny, ',1,4 0 CAahlEqulvalonl 0Gov't Bearer Bonds 0 Really w/in Commonwealth 0- %Cash E) surely Bond TOTAL AMOUNT BAIL SET (IF ANY): S [l00 0 Really outside Commonwealth (see sureties page) This bond is valid for the entire proceedings and until full and final disposition of the case including all a: enues of direct appeal to the Supreme Court of Pennsylvania. C. DV-V- Qra*LCs k41?L. KQg- WAYS Amy corEorAGv q-VP-0' INcLUot?tcQeLEV.?ew>? I AGREE THAT I WILL APPEAR A WALL NT NT PROCEEDINGS AS REQUIRED AND COMPLY WITH ALL THE CONDITIONS OF THEE L EON IMSOOrrD 4GM[DDH?? S?.r?-i-1 // r Rh 1122e-SiLXY_ ?C?/?? 44 rtwmnvA,vu ISDNWeMOrIfAeNt Signed and acknowledged befole me this 27 ? day of _? q Q of p1y6y0NWr hroq AWMArI ISEAQ JUDGE OR ISSUING AUTHORITY DATESzfkr•CTTn+b2 My commission expires first Monday of January, SAO e e PLEASE 6EE AnACMCO PAatS fOR A001TIONAL INfOrOAr SEP-05-1999 SUN 04:28 PM CENTRAL PROCESSING FAX NO, 9752166 P. 01 9OP 05 99 03:55P Hon. David P. Perkins 17171 532-6629 P. J. No: 1,ommonweallhvs.(DefendanlName andAddle ss) NEXT COURT ACT ON /??? C- A?.tiZa '4A>{tN`riK1t vilya A).Sx I '1 us?DA Di le TTime/localion 10 V4ro-RZV1)-iv- RQK ctuacdLObS, ?ESYa+OC1? hrl?iq? /3aP txrlot_A H341 1UN R1ilpV rIOW' 1,_? 1_lQ/J P ?t?rrr,E+iWNll C1C[ 2 ':,1 11 al cf S r e undery no surely, Have posted sacurlly In the amount TYPES OF SECURITv O Cashrc ivalonl 0Gov't Dearer Bonds El `Y. Cash `y5urelyBond G Really wyinCOmmorrwealth t ? s¢ C ac n 0 Realty Oulside Commonwealh I have read Ihls information, and I acknowledge Thal I, my personal reprasentalrves,successors, hobs and assigns are S rally a CO 0 erally bound w lh the defendant and any other sureties to pay to the Commonwealth of w the sum of I - which is the full amount of Iho monetary condilbn of release In IAe evonl the 1 understand that whe bail bond is lottelled. n a munelary condition of release is imposed, it the delerdanl appears al all required shall be void it In court and Sall I as all lire other conditions set lath M the bail bond, then upon lull and final disposition of the case, this bond . it the defoda n times roquired by the l tails IO appoar as required or to cum shall remain lua lo a warrant maybe revoka ed, and IOr the delendanl's arrest may be Iss edllh the condillnns of tho ball bond, then this bond rco, and the lull sum of the munelary condilan of release may be foneited, the defendant's release empower ny THE RIGMT? OF P13EJGUDGMENT NOTICE AND HEARING In acccorMPO With the law, f ddoT ereby ermearrd with or w Ihpul ldeclarcourt of ahons I led,ra d wh ethe or not the defendant besnvdefault, to confess judgment against me, and [n favor 01 Ise Commonwealth of Pennsylvania for use of lire county, and its assigns, during any term or session of alcoany un of record of the county for the full amount of the monetary condition of release sel forth on the first page of this bail bond, and costs. I understand that any real estate which I have posted as secwily in this case maybe levlod upon to collect the amount confessed. I waive and release any right of Irquisilbn on That real estate, volunleriy condemn [I, and authorize the Prothonotary, upon a Wril of Execulion, to enfermy voluntary condemnation. ) also agree that any real estate posted by me In this case maybe sold on a Will of Execution. I hereby forever waive and release any and all errors which may anso in any proceeding to confess judgment in [his case, walva all rights of slay of execution, and waive all laws now in force or laws passed in III@ future which exempt real or personal properly from execution. Since a copy of this bail bond and warrant DI attorney is being filed in the delendanl's case, II shall not be necessary to file the original as a warrant of attorney, notwithstanding any law or rule of court to the contrary. I have read INS instrument carefully and know that II is [rue and correct. IYrNMC.15,mrY,.NyY?.Y .„Mw4..,p1110e, S'?? ? ? - I nmsw.ry, Su,.rCe'NUIeOAurYmr Swum (allemed) and subscribed before me Ilya ,5;. day oL, e,lpr!7644 -1X4; .I9 Q I:+r^awnM ONYa, ?,w„ My commission expires first Monday ul January, 2000 • •••-••w - -11 oar, tress any toae related lees or cemmrlSions al owed by law and reasonable costs, ll any, of administering the cash bail program) will be made within 20 days alter lull and final disposition. Refund of all other types of bad will be made promptly alter 20 days following lull and final disposiWif (Ps.R.Cr.P.4015) 'Bring Cash Bail Receipt to Clerk of Courts or Issuing Authority. SEP-05-1999 SUN 02:55 PM CENTRAL PROCESSING FAH NO, 9752166 P. 06 COUNTYOF I.l11(WIIiNNSVI.VY?NIA AIP''LICATIONNOItTIIE ,... IaU ASSIGNMENT OF COUNSEL ?p Oa , •? IICFOREA OISINIItI'NISIIC'E e o1 Mae w!\a t.ta.o, u111NU\Ntl ?•- u`RJf?S K?l/sm?(Isk,r ?? Dockel No.: NA"tt U Allllel SA Dale Filed: OTNl -12.193 rlrlmNP MANt.QVR IAItCeal - MCONKEAI. OPURKINS MAY OI'I.ACEY ?EI.1)f.R OSIIULENBEROER • (list below Your pre/ent employment Infornlallon);Ii NON! ST AT! •NON!• ff t ame an address of employer: Now Long: r, loblhe: h Phone: 7• t 1 as Iher utcoma recafrad In lba lost 12 nton111s and five source of Iht money. 1hM1 laeludai twan4a ras ad barn {9y 1 aceap Nvldanda, public aseletance or ANY other eousce.) ti more STATe "NOh e" • Amount Sourct Amount Sauce ?• (list a otha r samme of InCa for ?eyr j;ounahelG) ti NONe e r.1,8 `NOS AmoWA Source Ame°h Sour<s ?. pro property OWNee hl?st all p_rppppaarly owned by yoo, In your nima None er Mih anotgr) IF #40"2 /TAT!NONP i MngNAt/Vilue iloperW Amount(Value s "L0nc? S• [/I?//i(• tl al?ljeulOar'nS^d?ieg Amount OaC/i You owe. Ipt Tniount V Owed to Amount uM to whom Owed II to I/ owed') NON! {TATi •NON!' e r._ r :300.°v i. Names ffthe nature of yoin lamely rcieiWns•ind Ihe6 irlilre isti) ti NDN[ iTATls °NONE" ??JJ Aelalkn\hlp Address C (isle / •-?nfhe Ycoasle '3151W -- Uy1? ' .6 . f varllV that the statements made%n INS Opppcaflon are true and correct. ) understand that /a%se statements hece/n are tirade wbJect 10 the penalises oI18 Pa.C. S.A section 4909, relathrg to Unswwom falsification To Authorll/es. DATE: SIGNATURE. g? - ? c. v MARY ELLEN KRYSMALSKI, Plaintiff V. CHARLES V. KRYSMALSKI, Defendant IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA IN DIVORCE NO. 99-5400 CIVIL TERM ORDER OF COURT AND NOW, this 8th day of September, 1999, by agreement of the parties, it is ordered and directed that Plaintiff shall have exclusive possession of the premises at 325 Stone Church Road, Carlisle, Lower Frankford Township, Cumberland County, Pennsylvania, 17013. The Defendant is not allowed on said premises for any reason whatsoever. Entry upon said premises may be prosecuted in accordance with the Criminal Trespass statute of the Commonwealth of Pennsylvania. The Defendant is specifically directed not to have anv contact whatsoever with the Plaintiff except through counsel. No contact whatsoever means no contact whatsoever, including by phone, by letter, or in person. The Defendant shall pay Plaintiff the sum of $200.00 to reimburse her for counsel fees incurred in connection with the filing of the prior protection from abuse petition. By the Court,, Edward E. Guido, J. Marcus A. McKnight, III, Esquire For the Plaintiff Robert L. O'Brien, Esquire For the Defendant :lfh C&p, ?,? a ?Ld t o i z /9 9 ?8. P . ?, ?. ii} ?? ?,:,,, r ,t MARY ELLEN KRYSMALSKI, IN THE COURT OF COMMON PLEAS OF Petitioner CUMBERLAND COUNTY, PENNSYLVANIA V. CHARLES V. KRYSMALSKI, PROTECTION FROM ABUSE Respondent NO. 99-5400 CIVIL TERM ORDER OF COURT AND NOW, this 8th day of September, 1999, the temporary protective order entered on September 3, 1999, is vacated. By the Court, I;e4 Edward E. Guido, J. Marcus A. McKnight, III, Esquire For the Petitioner ?xca. /H"?t.4.es?. / 0 //•? /yy . Robert L. O'Brien, Esquire For the Respondent :lfh - . ' 'l.'1 z ?. „ ? ,? _1 ' OFFICE OF THE DISTRICT ATTORNEY OF CUMBERLAND COUNTY ONE COURTHOUSE SQUARE CARLISLE, PENNSYLVANIA 17013 MARY ELLEN KRYSMALSKI, : IN THE COURT OF COMMON PLEAS OF Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CHARLES V. KRYSMALSKI, 99-5400 CIVIL Defendant : CHARGE: INDIRECT CRIMINAL CONTEMPT ORDER OF COURT AND NOW, this J' { day of September, 1999, the hearing in the above- captioned case previously scheduled for Tuesday, September 14, 1999 at 1:30 p.m. in Courtroom #5 is rescheduled to Tuesday, September 14, 1999 at 3:30 p.m. in Courtroom #4. The defendant, CHARLES V. KRYSMALSKI, is ordered to appear for trial on the charge of Indirect Criminal Contempt before the Court on that date. Jonathan R. Birbeck, Chief Deputy District Attorney By the Court, Kevin .Hess may//Za J. CHARLES V. KRYSMALSKI f il 6 r Z+ G cl O U 4 MARY ELLEN KRYSMALSKI, IN THE COURT OF COMMON PLEAS OF Plaintiff/Petitioner CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE NO. 99 - 5400 CIVIL TERM CHRALES V. KRYSMALSKI, IN DIVORCE Defendant/Rcspondent DRN 29,1145 Pacseat! 678101556 ORDER OF COURT AND NOW, flus 7°i day of 0clober. 1999. upon co»sidemtion of the atutched Petition for Alimony Pendenle Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J. Shaddm on October 1N. 149 «t 9:00 A.M. for it conference. at 13 N. Hanover St.. Carlisle. PA 17013, after which the conference officer may recommend that an Order for Alimony Pcndentc Lite be entered. YOU arc further ordered to bring to the conference: (t) 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 19111.117; (4) verification of child care expenses (5) proof of medical coverage which You mar have, or ntay 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. Holier. President Judge Mail copies on Petitioner 10-7-99 to: < Respondent Marcus McKnight. Esquire Rob O'Brien. Es uire Dale of Order: October 7 1999 /? ' R.1. haddav. 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 '; ?11? lY ?;;.j,., T MARY ELLEN KRYSMALSKI, IN THE COURT OF COMMON PLEAS OF Petitioner/Plaintiff CUMBERLAND COUNTY, PENNSYLVANIA V. CIVIL ACTION - LAW 99-5400 CIVIL TERM CHARLES V. KRYSMALSKI, Respondent/Defendant IN DIVORCE PETITION FOR ALIMONY PENDENTE LITE AND NOW comes Mary Ellen Krysmalski, Petitioner/Plaintiff, by and through her attorneys, Irwin, McKnight & Hughes, and petitions this Honorable Court as follows: The petitioner/plaintiff is Mary Ellen Krysmalski who currently resides at 325 Stone Church Road, Carlisle, Cumberland County, Pennsylvania 17013. 2. The respondent/defendant herein is Charles V. Krysmalski whose current residence is c/o Gino and Beth Santa-Maria of 819 Wertzville Road, Enola, Cumberland County, Pennsylvania 17025. 3. Petitioner and respondent were married on June 17, 1977 in Winchester, Virginia and were separated on September 2, 1999. 4. Petitioner is without the ability to earn income sufficient to meet her reasonable needs. WHEREFORE, petitioner, Mary Ellen Krysmalski, respectfully requests that this Honorable Court order alimony pendente lite in an amount equal to the Pennsylvania State Support Guidelines. Respectfully submitted, By: Date: September 8, 1999 IRWIN, N,0gNIGHT g/HUGHES Marcus A.(McKnight, Attorney for petitione Mary Ellen Kr West Pomfret Professional Building 60 West Pomfret Street Carlisle, Pennsylvania 17013-3222 Supreme Court I.D. No. 25476 (717) 249-2353 VERIFICATION The foregoing Petition for Alimony Pendente Lite is based upon information which has been gathered by my counsel and me in the preparation of this action. f have read the statements made in this Petition and they are true and correct to the best of my knowledge, information and belief. 1 understand that false statements herein made are subject to the penalties of 18 Pa. C.S.A. Section 4904, relating to unswom falsification to authorities. MAY ELLEN K SMALSKI Date: September 8k , 1999 (-' [(? L. C•_ / _ li C I ! C7 1 '.. 1?'? _ I. • 1: ?, ':TI _I I t, L, ?, I. `- .. .J U c*? :;} ) IJ (t t MARY E. KRYSMAISKI, Plaintiff/Petitioner VS. CHARLES V. KRYSMALSKI, Defendant /Respondent DR 29,045 PACSES ID 678101556 IN TI IF COI1RT Or COMMON PLEAS CUMBI]RLAND COUNTY, PENNSYLVANIA DOMESTIC RELA'T'IONS SECTION CIVIL ACTION - LAW NO. 99-5400 CIVIL'rr.RM ORDER OF COURT AND NOW, this 291h day of October, 1999, based upon the Court's determination that Petitioner's monthly net income/earning capacity is $0.00 per month and Respondent's monthly net income/earning capacity is $2,586.71 per month, it is hereby Ordered that the Respondent pay to the Pennsylvania State Collection and Disbursement Unit, $900.00 a month payable bi-weekly as follows; $414.17 bi-weekly for alimony pendente lite and $0.00 on arrears. First payment due next pay date. Arrears set at $900.00 as of October 28, 1999. The effective date of the order is October 1, 1999. Retroactive arrears are held in abeyance until further notice. Husband is to maintain medical insurance on wife. This order is based upon an agreement of the parties. 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 tumed over by the PA SCDU to: Mary E. Krysmalski. 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 PACKS 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 0% by the respondent and 100% by petitioner. The plaintiff is responsible to pay the first $250.00 annually in Unreimbursed medical expenses. Respondent to provide medical insurance coverage. Within thirty (30) days after the entry of this order, the Respondent shall submit written proof that medical insurance coverage has been obtained or that application for coverage has been made. Proof of coverage shall consist, at a minimum, of 1) the name of the health care coverage provider(s); 2) any applicable identification numbers; 3) any cards evidencing coverage; 4) the address to which claims should be made; 5) a description of any restrictions on usage, such as prior approval for hospital admissions, and the manner of obtaining approval; 6) a copy of the benefit booklet or coverage contract; 7) a description of all deductibles and co-payments; and 8) five copies of any claim forms. This Order shall become final ten days after the mailing of the notice of the entry of the Order to the parties unless either party files a written demand with the Prothonotary for a hearing de novo before the Court. Consented: Plaintiff/Petitioner Defendant/Respondent DRO: R. J. Shadday Mailed a i •s on petitioner to: < Respondent Marcus McKnight, EI, Esquire Robert O'Brian, Esquire Plaintiff/Petitioner's Attorney Defendant/Respondent's Attorney BY THE COURT, lok Kevin J. ?- u ? - r, it _. LL II" i Ni In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION Defendant Name: CHARLES V. KRYSMALSKI Member ID Number: 3188100382 Please note: AB correspondence moat Include the Member ID Number. COMM OF PA ROOM 520 FINANCE BLDG HARRISBURG PA 17120 ORDER OF ATTACHMENT OF INCOME Financial Break Down of Multiple Cases on Attachment Plaintiff Name PACSES Docket a9o?S Case Number Number Anachment Amount/Fmguency MARY E. KRYSMALBRI 678101556 99-5400 CIVIL $ 414 17 /ax-weeR TOTAL ATTACHMENT AMOUNT: To: COMM OF PA • / / S S $$ / 5 / S $ 414.17 Pursuant to the laws of the Commonwealth of Pennsylvania the income of CHARLES V. KRYSMALSKI , defendant obligor, SSN 183-32-1294 of. 819 WERTZVILLE RD, ENOLA, PA. 17025-1834-19 is hereby attached to the following extent. You are directed to pay to the Pa State Collection and Disbursement Unit the sum of $ 414.17 per BI-WEEK from the income due the defendant obligor. The attachment payment must be sent to the Pa State Collection and Disbursement Unit within seven business days of the date the defendant obligor is paid. CHECKS SHOULD BE MADE PAYABLE TO: PA SCDU AND SENT TO: Pennsylvania SCDU P.O. Box 69112 Harrisburg, Pa 17106-9112 I a", Form EN-028 Service Type M .a_ararLt?vV?? Worker ID $IATT C C CHARLES V. KRYSMALSKI PACSES Member Number: 3188100382 PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. This order of attachment for support is binding upon you until further notice and shall have priority over any attachment, execution, garnishment or wage attachment under state or local law except one relating to a prior support order. You must commence the attachment of the defendant obligor's income as soon as possible but no later than fourteen days from the date of the issuance of this Order of Attachment. You are notified further that pursuant to law: 1. The defendant obligor has been notified that an order of attachment for support would be issued. 2. Willful failure to comply with this order may result in (i) your being adjudged in contempt of court and committed to jail or fined by the court; (ii) your being held liable for any amount not withheld or withheld but not forwarded to the Domestic Relations Section; and (iii) attachment of your funds or property. 3. The attachment of income or the possibility thereof as a basis, in whole or in part, for the discharge of an employee or any disciplinary action against or demotion of an employee is prohibited. Violation may result in (i) your being adjudged in contempt and committed to jail or fined by the court and (ii) an action against you by the employee for damages. 4. If there are in your employment one or more additional employees whose incomes are subject to an attachment of support, you may combine the attachment payments into a single payment to the Pa SCDU and separately identify the portion attributable to each obligor. 5. You must notify the Domestic Relations Section or the Pa SCDU when the defendant obligor terminates employment and provide the Section with the employee's last known address and the name and address of the new employer, if known. Page 2 of 3 Form EN-028 Service Type M Worker ID $IATT CHARLES V. KRYSMALSKI PACSES Member Number: 3188100382 6. The maximum amount of the attachment shall not exceed so % of the employee's net income which is within the limits set in the Consumer Credit Protection Act, 15 U.S.C. §1673. 7. The term "income" as defined by law includes compensation for services, including, but not limited to, wages, salaries, fees, compensation in kind, commissions and similar items; income derived from business; gains derived from dealings in property; interest; rents; royalties; dividends; annuities; income from life insurance and endowment contracts; all forms of retirement; pensions; income from discharge of indebtedness; distributive share of partnership gross income; income in respect of a decedent; income from an interest in an estate or trust; military retirement benefits; railroad employment retirement benefits, social security benefits; temporary and permanent disability benefits; worker's compensation; unemployment compensation; other entitlements to money or lump sum awards, without regard to source, including lottery winnings; income tax refunds; insurance compensation or settlements; awards or verdicts; and any form of payment due to and collectable by an individual regardless of the source. GENERAL INSTRUCTiONS 1. Employers may elect to deduct up to 2% of the attachment amount for their costs. This amount must not be deducted from the attachment. It must be paid from the employee's net earnings after the income attachment deduction has been made. 2. If you choose to make payments via an electronic funds transfer, contact the Pa SCDU Employer Customer Service at 1-877-676-9580. BY THE COURT: Date of Order: october 29. 1999 Kevin Hess DRO: Rd Shadday xc: defendant Page 3of3 Service Type M JUDGE Form EN-028 Worker ID $IATT Ca H Ci 1 CCU ie:• 1 09/03/99 FRI 13:34 FAX 717 Ten ns71 ...? - -- .unu ?v rKuJHUrNUl'AKV 77, X17" fm001 ssx TX REPORT ssx xxsxsxssssssfssssssss TRANSMISSION OK TX/RX NO 1473 CONNECTION TEL 92490779 CONNECTION ID ST. TIME 09/03 13:32 USAGE T 02'23 PCs. 4 RESULT OK r ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania 0/ QUriginal Order/Notice Co./City/Dirt. of CUMBERLAND Amended Order/Notice O Dateo(Order/Notice 01/31/03 O IermiwteOrder/Notice Tribunal/Case Number (See Addendum for case summary! RE: KRYSMALSKI, CHARLES V. Employer/Withholder's Federal EIN Number Employee/Obligor's Name (Last, First, MIT UUrMUNWEALTH OF PA C/O PAYROLL OPERATIONS ATTACHMENTS RESEARCH UNIT PO BOX 8006 HARRISBURG PA 17105-8006 183 -32 -1294 Employee/Obligor's Social Security Number 3188100382 Employee/Obligor's Case Identifier (See Addendum I" Takintiff names associated with cases on anachmen0 Custodial Parent's Name (Last, First, MIT 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. $ 900.00 per month in current support $ _ o. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ 0. oo Per month in medical support $ 0 00 per month for genetic test costs $ per month in other (specify) fur a total of $_ 900.00 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: $ ___207.69 per weekly pay period. $ 415.38 per biweekly pay period (every two weeks). $ 45o. o0 per semimonthly pay period (twice a month). $ _ goo. 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 fe ? to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. BY THE 7: Date of Order: ('tl? 3 2003 ` R7. r .,c A ?lC?;'? Form EN-028 Service T YPe M'.,,, n mni,+ Worker ID $IATT .i r ? t e. lk ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? heckc?f you are required. to prPYitle a Copy of this form to your employee. If your employee orks in a state that is rent from the state that issued this omer, a copy must be proviaea to your employee even III e box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employeelobligor. 4.•-RepaningihePal'date/GateoFWBhholding: You mustreport thepaydate/dateofwithhoiding-when sending thepayment?The- psydate/date-ofwithholdingir the date on which amount was-withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 5.• Employee/Obligor with Multiple Support Holdings: If there is more than one order/Notice to Withhold Income for Support against this employee obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2321722990 EMPLOYEE'S/OBLIGOR'S NAME:- KRYSMALSKi CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: You may he required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. It you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania Stale law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9. Antidiscrimination: You are sub)ect to a fine determined under State law for discharging an employeelobligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law govems unless the obligor is employed in another State, in which case the law of the Slate in which he or she is employed governs, 10.• Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. fi1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: 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 7f 17) 240-6225 or by FAX at (717) 240.6248 or by internet www.childsuppon.state. a.us Service Type N Page 2 of 2 0119 No 097001,4 Form EN-028 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/obligor: KRYSMALSKI, CHARLES V. PACSES Case Number 678101556 Plaintiff Name PACSES Case Number MARY E. KRYSMALSKI Plaintiff Name Docket Attachment Amount 99-5400 CIVIL$ 900.00 Docket Attachment Amount Child(ren)'s Name(s): DOB $ 0.00 Chikhren)'s Name(s): ?)f checked, you are required to enroll the chf Id(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/obligors employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ o.oo Child(ren)'s Name(s): DOB DOB identified above in any healthe insurance llcoverage the lavailable through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ o.oo Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ?Ifchecked, you are required to enroll the child(ren) ?If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Service Type M Addendum Form EN-028 nNIemo.. nanwr4 Worker ID $IATT ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of P nncvly-ni- 0Original Order/Notice Co./City/Dist. of CUMBERLAND O Amended Order/Notice Date of Order/Notice 05/03/04 Tribunal/Case Number (See Addendum for case summary) Q terminate order/Notice Employer...... lder's Federal UN Number R6 KRYSMALSKI, CHARLES V. Employee/Obligor's Name (Last, First, MO COMMONWEALTH OF PA C/O PAYROLL OPERATIONS ATTACHMENTS RESEARCH UNIT PO BOX 8006 HARRISBURG PA 17105-8006 /1r1C'SfS G7Sf/[IS?G 183-32-1294 Employee/Obligor's Social Security Number 3188100382 Employee/Obligor's Case Identifier (See Addendum /or plaintiff names associated with cases on attachment) Cuslodizl 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. $ 900.00 per month in current support $ 40.00 per month in past-due support Arrears 12 weeks or greater? Q yes ® no $ o. oo per month in medical support $ o. o0 per month for genetic test costs $ per month in other (specify) for a total of $ 940. 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: $ 216.92 per weekly pay period. $ 433, 8s per biweekly pay period (every two weeks). $ 470 oo per semimonthly pay period (twice a month). $ 94 o. o o per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1.877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the EmPloyee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. / •' BY THE COURT: I,4o 0 4 100{1;--_ty - Date of Order. kc?/u q. <lcss 7V3& C Form EN-028 Service Type M oNiBNn:097om54 WorkerlD $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? g, hecked you are required. to pr iOe a copy of this form to your loyee. If your employee Works in a stale that is Brent (from the state that issuee this order, a copy must be proviem dedolo your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under Stale law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligoes income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. F-7--- - ..,,,,,, ,mngnlpcvan:-prt-wnrrn anmuntvvmwithheld-fromtheemplogee'rwa ; You must comply with the law of the state of the employee'stobligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. 5." Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee%bligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2321722990 EMPLOYEE'S/OBLIGOR'S NAME:- KRYSMALSKZ- CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the 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. 9. 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 employeelobligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10.• Withholding Limits: You may not withhold more than the lesser of., 1) the amounts allowed by the Federal Consumer Credit Protection Art (15 U.S.C. §1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11. Additional info: _ *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240.6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Service Type M kerID $IATT OMB Nn_ 117)11-0154 Wor ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KRYSMALSKI, CHARLES V. PACSES Case Number 678101556 PACSES Case Number Plaintiff Name Plaintiff Name MARY E. KRYSMALSKI Docket Attachment Amount Docket Attachment Amount 99-5400 CIVIL$ 940.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): ?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 Dock 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 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 Docke 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 Worker ID $IAT'e UMB Ntl. U'1J141115i co r- ui 9 N ' (7O CL- '7 ' i . ?y-lll N ?7 ORDERINOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 07/30/04 Tribunal/Case Number (See Addendum for case summary) EmployerMdthholder's Federal EIN Number COMMONWEALTH OF PA C/O PAYROLL OPERATIONS ATTACHMENTS RESEARCH UNIT PO BOX 8006 HARRISBURG PA 17105-8006 O Original Order/Notice (D Amended Order/Notice O terminate Order/Notice RL: KRYSMALSKI, CHARLES V. I mployee/Obligor's Name (Last, First, MI) 183-32-1294 I mployee/Obligor's Social Security Number 3188100382 Employee/Obligor's Case Identifier ISee Addendum lorp/aintiNnames associated with cases on attachment) 4/, Custodial Parent s Name (Last, First, MI) .?yCSf S lc7`?/D?SS?n 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. $ goo. oo per month in current support $ 0. oo per month in past-due support Arrears 12 weeks or greater? Oyes ® 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 $ 900. o0 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 207.69 per weekly pay period. $ 41L5 .38 per biweekly pay period (every two weeks). $ 450. oo per semimonthly pay period (twice a month). $ goo, oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. Date of Order: AUG - 2 20011 BY THE COURT: L 14-114 Service Type M ONi6 No.' W AMI iJ Form EN-028 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If, checked you are requiredi to provi{ie a copy of this form to your mployee. If your employee works in a slate that is i Brent from the state That ssued this order, a copy must beprovi ded to your employee even if the box is not checked, 1 . We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4."-Reponingihe-Paydate/Date-oFWithholding:-Yotrmtmtreportihepaydate/dateofwithholding -when-sendingthepayment-Vt - paydate/dateofwithholding-is-thedateon which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and forward the support payments. S.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employeelobligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See #10 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employeelobligor is no longer working for you. Please provide the information requested and return a copy of this Order/Notice to the Agency identified below. WITHHOLDER'S ID: 2321722990 EMPLOYEE'S/OBLIGOR'S NAME: KRYSMALSKI, CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7_ Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the 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. 9. 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. 10.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (IS U.S.C. §1673 (b)1; or2) the amounts allowed by the Stale 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 lazes; Social Security taxes; and Medicare taxes. 11. Additional Info: *NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Service Type M (uia NO 0100,01i4 Worker ID $IATT ADDENDUM Summary of Cases on Attachment Defendant/Obligor: RRYSMALSKI, CHARLES V. PACSES Case Number 678101556 PACSES Case Number Plaintiff Name Plaintiff Name MARY E. KRYSMALSKI Docket Attachment Amount Docket Attachment Amount 99-5400 CIVIL$ 900.00 $ 0.00 Child(ren)'s Name(s): DOB Child(ren)'s Name(s): ?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 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) ?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 on,x Hn. (11170-IM-1 Worker ID $IATT { r- w?: -?--: C)?i u- cli 1 W 1? u: y r 7 =? l.l- C ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State C_ommonwe+llh of P nn vivania Co./City/Dirt. of CUMBERLAND Date of Order/Notice 07/05/05 Case Number (See Addendum for case summary) O (lrigi 11,11 Or(ler/Notice O Amended Order/Nobre O lerrnin,ne OrdedNotice t mployerAVithholder's leder,J I IN Number RI:KRYSMALSKI, CHARLES V. I mployee/Obligor's Name (last, first, Mn 183-32-1294 COMMONWEALTH OF PA I mployee/Obligor's social Security Number C/O PAYROLL OPERATIONS 3188100382 ATTACHMENTS RESEARCH UNIT I mployee/Obligor's Case Identifier PO BOX 8006 D,C /1 1,99 DOLLV(See Addendum for plaintiff names HARRISBURG PA 17105-8006 p` associated with cases on attachment) Ys 6,79101S?p (usl(Khal ParenPName (1,116 rirsl. 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? Dyes ® no $ 0.00 per month in current and past-clue medical support $ o . 00 per month for genetic test costs $ per month in other (specify) for a total of $ _ 0.00 per month to be forwarded to payee below. You do not have to vary your pay cycle to be in compliance with the support order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ o, oo per weekly pay period. $ o, oo per biweekly pay period (every two weeks). $ o. oo per semimonthly pay period (twice a month). $ o. oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If 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/0b: `s'r's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. _.. _: ;7 _ to .CJr Date of Order: JUL - (? 2005 Service Type M 1K1fjvw,1V1'1101 '' Worker ID $IATT BY THE COURT: /CCVIA/ i9 , f//ESS ?J fob form EN-028 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? II' Checkoftl you am required to provide a folly of This form to your. (,niployee, If yulu employee Works in a state that is mvrml Irom the Hale that issued this ore er, a copy must be prove( e( to your employee even d Ilre box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under Slate law against the same income. Federal tax levies in effect before receipt of Ihis 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%bligor'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. 3.- Reporting the Paydate/Date of Withholding: You must report the paaydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the employee's wages. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you most implement the withholding order and forward the support payments, 4.• Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Nolices due to Federal or Stale withholding limits, you must follow the law of the slate of employee's/obligor's principal place of employment. You must honor all Orders/Not ices to the greatest extent possible. (See k9 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: 2321722990 EMPLOYEE'S/OBLIGOR'S NAME: KRYSMALSKI CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 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 Stale law governs unless the obligor is employed in another State, in which case the law of the Slate in which he or she is employed governs. 8. Antidiscrimination: You are subject to a fine determined under Stale 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 Slate law governs unless the obligor is employed in another Slate, 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 (IM; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregale disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the state that issued the order. 10. Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. I I. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Service Type M If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupporLstate.pa.us Page 2 of 2 , M111 No 11-1 11110.1 Form EN-028 Worker ID $IATT V co c- ' wS= cli - ?U- 1 v, ll? J - F-= 7 ?+ G ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 07/05/05 Case Number (See Addendum for case summary) Employer/Withholtim's federal l IN Numlwr STATE EMPLOYEE RETIREMENT SYST C/O LINDA FAHNESTOCK 30 N 3RD ST PO BOX 1197 ?Gl, HARRISBURG PA 17108-1147 IIfJJNVVe_cCs O Origin,d order/Notice O Amended Order/Nolire O lerminaln Order/Notice RI:KRYSMALSKI, CHARLES V I mployee/Obligor's Name host, ION, MI) 183-32-1294 1 mployee/Oblig(r's Social security Numlvr 3188100382 1 mployerdOhligor's Case Itlentilier ?J 9 ell) Is" Addendum for plaintiff names / /7 associated with cases on attachment) 6, 7G1013_5_6 Custcahal Parent's Nam,(L,t, l irst, 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. $ 900 .00 per month in current support $ 40.00 per month in past-due support Arrears 12 weeks or greaten' Qyes ®no $ o . 00 per month in current and past-due medical support $ 0 . oo per month for genetic test costs $ per month in other (specify) far a -total of $ 940.00 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: $ 215 .92 per weekly pay period. $ 433. 85 per biweekly pay period (every two weeks). $ 470 . oo per semimonthly pay period (twice a month). 8 940 . oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See 89 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676.9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAMEAND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. '7-(y OS BY THE CO T: Al. Date of Order: 7II6 sr 11 9005 -sr-cv?- I(r:v Al A NESS Form EN-028 Service Type M IMHN" 0.1"001,4 Worker ID $OINC ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If lhecked you aro required it) jupy0e a 1 opy of Ihis loon to your employee, It yolu employers Works in a stale that is dillerenl Irom the gale dial issued Ihis onler, i ropy must be provider In your ernp oyre even if Ifte box is not checked. 1. Priority: Withholding under Ihis Order/Notire has priority ovor any other legal process under Stale law against the same income. Federal tax levies in effect before receipt of this order haw priority. If Ihere are federal tax levies in rdfecl pleaw contact the requesting agency listed below. 2. Combining Payments: You can combine withheld amounts Irom more than one employee/obligor's income in a single payment to each agency requesting withholding. You mug, hnwevVr, separately identify the portion of the single payment that is altributable to each employeNobligor, 3. • Reporting the Paydate/Date of Withholding: You most mpon the p; ydale/dale of withholding when sending the payment. The paydate/date of withholding is the dale on which amount was withheld from the employee's wages. You must comply with the law of the stale of the employee'dobligor's principal plate of entploynnml with respect to the lime periods within which you must implement the withholding order and forward the support payments. 4." Employee/Obligor with Multiple Support Holdings: If there is mom than one Order/Notice to Withhold Income for Support against [his employee/obligor and you are unable to honor all support Urdu/Notire§ due to federal or State withholding Iimils, you must follow the law of the slate of employce's/obligor's ptincipalplate of employment. You must honorall Orders/Nolic es to the greatest extent possible. (See k9 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 requeslecl and return a copy of this Order/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 6657100165 EMPLOYEE'S/OBLIGOR'S NAME: KRYSMALSKI, CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 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 gun 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/obligors income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another Stale, in which case the law of the Slate 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 disciplinaryaction against any employee/obligor because ma support withholding. Pennsylvania State law governs unless Ilse obligor is employed in another Stale, in which case the law of the State in which he or she is employed governs. 9l Withholding Limits: You may riot withhold more than the lesser of: 11 the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. §1673 LW; or 2) the amounts allowed by the Slate 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 allowecl under the law of the stale Ihal 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 wish respect to these items. I I. 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) 240-6246 or by internet www.childsupport.stdte.pa.us Service Type M Page 2 of 2 1101N., V, 101 iI Form EN-026 Worker ID $OINC ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KRYSMALSKI PACSES Case Number 678101556 Plaintiff Name MARY E. KRYSMALSKI Docket Attachment Amount 99-5400 CIVILS 940.00 Child(ren)'s Name(s); DOB CHARLES V. PACSES Case Number Plaintiff Name Docket Attachment Amount S 0.00 Child(ren)'s Name(s): DOB identified above you any health insurance coveragfe available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount 8 0.00 Child(rem's Name(s): DOB ?ffchecked, you are required to enroll the child(ren) identifier) above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount S 0.00 Child(ren)'s Name(s): DOB identif ed above in any health insurance you are required to enroll the childhen) through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount S 0.00 Childhem's Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employees/obligor's employment. PACSES Case Number Plaintiff NdmC Docket Attachment Amount $ 0.00 Child(reo)'s Name(s): DOB ?lf 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 (overage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Service Type M Addendum Form EN-028 ?1101 i. mvM n .a Worker ID $OINC V CC) r? r ?t S! r ? 7 U r o -i ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Peonsvly-ni- LQr(p l Q i Sf?)6 0Original Order/Notice Co./City/Dist. of CUMBERLAND ??-e O Amended Order/Notice Date Of Order/Notice 08/01/05 _I -??co CIVil Case Number (See Addendum for case summary) O Terminale Order/Notico kB KRYSMALSKI, CHARLES V. EmployerM,Ihholder's Federal [IN Number Employee/Obligor's Name IL a56 First, MI) 183-32-1294 STATE EMPLOYEE RETIREMENT SYST 3188 ee/Obligor's Srxial Sccunty Numlxr C/O LINDA FAHNESTOCK 3188100382 30 N 3RD ST kmployre/Obligor's Case Identifier PO BOX 1147 (See Addendum for plaintiff names HARRISBURG PA 17108-1147 associated with cases on attachment) Ctutwhal I',oent's Nunn 111116 Fi111 . MII 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. $ 900. 00 per month in current support $ 0. 00 per month in past-due support Arrears 12 weeks or greater? Oyes ® no $ 0. oo per month in current and past-due medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 900.00 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: $ 207.59 per weekly pay period. $ 415.38 per biweekly pay period (every two weeks). $ 450 oo per semimonthly pay period (twice a month). $ goo, oo per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #9 on page 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PAYMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER 1D (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: AUG 0 2 2005 Service Type m /IK? ( ?Form EN-02 ova NI. unnN?t'? Worker ID SOINr! ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS ? If {sucked you are required to provide a gopy of this form to your CCntl1tluyee. If yolu employee Works in a stale that1 is diltemnt Iron the stale that issued This ore er, a copy must be proviclecf In your employee even if the box is not checked. 1. Priority: Withholding under this Order/Notice has priority over any other legal process under Stale law against the same income. Federal tax levies in effect before receipt of this order have priority. If (here 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 paymenl to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 3.• Reporting the Paydate/Date of Withholding: You must report the paydate/date of withholding when sending the payment. The paydate/date of withholding is the date on which amount was withheld from the emplnyee's wages. You must comply with the law of the stale of the employee's/obligor's principal place of employment with respecl to the lime periods within which you must implement the withholding order and forward the support payments. 4.' Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible. (See 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 anti return a copy of this Or der/Notice to the Agency identified below. THE EMPLOYEE/OBLIGOR NO LONGER WORKS FOR: 6697100165 EMPLOYEE'S/OBLIGOR'S NAME: KRYSMALSKI, CHARLES V. EMPLOYEE'S CASE IDENTIFIER: 3188100382 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 6. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 7. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 8. Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9.' Withholding Limits: You may not withhold more than the lesser of. 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S.C. § 1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE). ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. For tribal orders, you may not withhold more than the amounts allowed under the law of the issuing tribe. For tribal employers who receive a state order, you may not withhold more than the amounts allowed under the law of the slate that issued the order. 10. Additional Info: 'NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. 11. Submitted By: If you or your employee/obligor have any questions, DOMESTIC RELATIONS SECTION contact WAGE ATTACHMENT UNIT 13 N. HANOVER ST by telephone at (717) 240-6225 or P.O. BOX 320 by FAX at (717) 240-6248 or CARLISLE PA 17013 by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Service Type M 0111imn n,ouuni WorkerlD $01NC ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KRYSMALSKI, CHARLES V. PACSES Case Number 678101556 PACSES Case Number Plaintiff Name Plaintiff Name MARY E. KRYSMALSKI Docket Attachment Amount Docket Attachment Amount 99-5400 CIVILS 000.00 $ 0.00 Child(reN's Name(s): DOB Child(renl's Name(s): ?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 S 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 DOB ?1( checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACKS Case Number Plaintiff Name Docket Attachment Amount s 0.00 Child(ren)'s Name(s): DOB ?Ifchecked, you are required to enroll the child(ren) ? If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available identified above in any health insurance coverage available through the employee's/obligor's employment. through the employee's/obligor's employment. Service Type M Addendum Form EN-028 u?m s„ awwu-.i WorkerlD $OIHC l/ (+l JIJN-14-2007 03:05P FROM:KING AND BAILY 7246278307 TO:17172406248 P.1 run-14-Ur Wou PKUM-CWmerlano County Donestic Relation +171TZ491M T-5ZT P.U91/9U1 F-684 ho, q9- sc-tqoz Civl` { 1',J 2 5 2W CUMBERLAND COUNTY DOMESTIC Rig I ATIONS Date of Application: dune 14. 2007 Request for Support Record Search Name: x, ym iii_ Charles V. (Last) (First) (1 Address: Rt: 3 130 16flA meton Mills, WV 26525 Social Security Number: 183 32-1294 D.O.B.: Domestic Relations Case Number if Known: Party Requesting Information: ( int Nome-of inn Nsme) 724-627-6134 77 South Washington Street, Waynesburg PA 15370 (TeWone Number) (Addre's) 724-627-83.7 ?aze=exe ]?ft ;T ?& (Fax Number) (Signature) A Twenty Dollar (520.00) Fee b Due per Social Security Number Make check or money order payable to: DRS/Lien Search X IMTIAL REQUEST Has no Record in Domestic Relations as of., Support Angers as of T.nd of Month Prior to Dow f Appli 'on: $ Cr e- j j- op Monthly Total Support Obligation: $_.L0 0. o o o n 1 The Amount shown above is reflected in the Domestic R,elatione Section Office of Cumberland County, Pennsylvania. (Y) ern b k r -# 3 1 ' o' l O O 3$ Domestic Relations Case Number: yctc s cs -4k (o -7 g 1 a I S S Signed: ?,c Q (o l Y d 7 (Lien Search Coordinator) (Date) RRWG--DOWN REQUEST Support Arrears: 5 As Of. (Date) signet. (Lien Coordinator) (Date) *** Lien Satisfisfaction Receipt Available Upon Request*** CC720 r-j 1' ° ' t t 7 { ' CJI 9 (j l '^C FIt,~Q-Oc ~1C~ ~F 3~t~ ~~Q7f~OP~~TAR~°' MARY ELLEN KRYSMALSKI, PLAINTIFF ZQ~~ ~~~ ~~ ~i°~ ~• ~~ vs Case No. 19 -5400 r ~~~~f~SY! t~~~A CHARLES V. KRYSMALSKI, DEFENDANT Statement of Intension to Proceed To the Court: MARY ELLEN KRYSMALSKI, PLAINTIFF intends to proceed the above captioned matter. PrintNameMARCUS A. McKNIGHT, III Sign Name Date: OCTOBER 22, 2010 Attorney for MARY ELLEN KRYSMALSKI, PLAINTIFF Explanatory Comment The Supreme Court of Pennsylvania has promulgated new Rule of Civil Procedure 230.2 governing the termination of inactive cases and amended Rule of Judicial Administration .1901. Two aspects of the recommendation merit comment. I. Rule of civil Procedure New Rule of Civil Procedure 230.2 has been promulgated to govern the termination of inactive cases within the scope of the Pennsylvania Rules of Civil Procedure. The termination of these cases for inactivity was previously governed by Rule of Judicial Administration 1901 and local rules promulgated pursuant to it. New Rule 230.2 is tailored to the needs of civil actions. It provides a complete procedure and a uniform statewide practice, preempting local rules. This rule was promulgated in response to the decision of the Supreme Court in Shop v. Eagle, 551 Pa. 360,710 A.2d 1104 (1998) in which the court held that "prejudice to the defendant as a result of delay in prosecution is required before a case may be dismissed pursuant to local rules implementing Rule of Judicial Administration 1901." Rule of Judicial Administration 1901(b) has been amended to accommodate the new rule of civil procedure. The general policy of the prompt disposition of matters set forth in subdivision (a) of that rule continues to be applicable. II Inactive Cases The purpose of Rule 230.2 is to eliminate inactive cases from the judicial system. The process is initiated by the court. After giving notice of intent to terminate an action for inactivity, the course of the procedure is with the parties. If the parties do not wish to pursue the case, they will take no action and "the Prothonotary shall enter an order as of course terminating the matter with prejudice for failure to prosecute." If a party wishes to pursue the matter, he or she will file a notice of intention to proceed and the action shall continue. a. Where the action has been terminated If the action is terminated when a party believes that it should not have been terminated, that party may proceed under Ru1e230(d) for relief from the order of termination. An example of such an occurrence might be the termination of a viable action when the aggrieved party did not receive the notice of intent to terminate and thus did not timely file the notice of intention to proceed. The timing of the filing of the petition to reinstate the action is important. If the petition is filed within thirty days of the entry of the order of termination on the docket, subdivision (d)(2) provides that the court must grant the petition and reinstate the action. If the petition is filed later than the thirty-day period, subdivision (d)(3) requires that the plaintiff must make a showing to the court that the petition was promptly filed and that there is a reasonable explanation or legitimate excuse both for the failure to file the notice of intention to proceed prior to the entry of the order of termination on the docket and for the failure to file the petition within the thirty-day period under subdivision (d)(2). B. Where the action has not been terminated An action which has not been terminated but which continues upon the filing of a notice of intention to proceed may have been the subject of inordinate delay. In such an instance, the aggrieved party may pursue the remedy of a common law non pros which exits independently of termination under Rule 230.2. Mary Ellen Krysmalski vs Case No. 1999 — 5400 Charles V. Krysmalski Statement of Intention to Proceed To the Court: The Plaintiff intends to proceed with tip above captiopenatttr I U7° �`� Print Name Marcus A. McKnight, III Sign Name `--,F Date: October 21, 2013 Attorney for Plain -�--C `.'•' Explanatory Comment - The Supreme Court of Pennsylvania has promulgated new Rule of Civil Procedure 230.2 governing the termination of inactive cases and amended Rule of Judicial Administration 1901. Two aspects of the recommendation merit comment. I.Rule of civil Procedure New Rule of Civil Procedure 230.2 has been promulgated to govern the termination of inactive cases within the scope of the Pennsylvania Rules of Civil Procedure. The termination of these cases for inactivity was previously governed by Rule of Judicial Administration 1901 and local rules promulgated pursuant to it. New Rule 230.2 is tailored to the needs of civil actions. It provides a complete procedure and a uniform statewide practice, preempting local rules. This rule was promulgated in response to the decision of the Supreme Court in Shop v.Eagle,551 Pa.360,710 A.2d 1104 (1998) in which the court held that"prejudice to the defendant as a result of delay in prosecution is required before a case may be dismissed pursuant to local rules implementing Rule of Judicial Administration 1901." Rule of Judicial Administration 1901(b) has been amended to accommodate the new rule of civil procedure. The general policy of the prompt disposition of matters set forth in subdivision(a)of that rule continues to be applicable. II Inactive Cases The purpose of Rule 230.2 is to eliminate inactive cases from the judicial system. The process is initiated by the court. After giving notice of intent to terminate an action for inactivity,the course of the procedure is with the parties. If the parties do not wish to pursue the case,they will take no action and"the Prothonotary shall enter an order as of course terminating the matter with prejudice for failure to prosecute." If a party wishes to pursue the matter,he or she will file a notice of intention to proceed and the action shall continue. a. Where the action has been terminated If the action is terminated when a party believes that it should not have been terminated, that party may proceed under Ru1e230(d)for relief from the order of termination. An example of such an occurrence might be the termination of a viable action when the aggrieved party did not receive the notice of intent to terminate and thus did not timely file the notice of intention to proceed. The timing of the filing of the petition to reinstate the action is important. If the petition is filed within thirty days of the entry of the order of termination on the docket,subdivision(d)(2)provides that the court must grant the petition and reinstate the action. If the petition is filed later than the thirty-day period,subdivision(d)(3)requires that the plaintiff must make a showing to the court that the petition was promptly filed and that there is a reasonable explanation or legitimate excuse both for the failure to file the notice of intention to proceed prior to the entry of the order of termination on the docket and for the failure to file the petition within the thirty-day period under subdivision(d)(2). B. Where the action has not been terminated An action which has not been terminated but which continues upon the filing of a notice of intention to proceed may have been the subject of inordinate delay. In such an instance, the aggrieved party may pursue the remedy of a common law non pros which exits independently of termination under Rule 230.2. INCOME WITHHOLDING FOR SUPPORT O ORIGINAL INCOME WITHHOLDING ORDER/NOTICE FOR SUPPORT (IWO) Q AMENDED IWO Q ONE-TIMEORDER/NOTICE FOR LUMP SUM PAYMENT Q TERMINATION OF IWO 14-7 g 1 D 15S Co gq,5y-00 Civt� Date: 05/22/14 ❑ Child Support €l?forcement (CSE) Agenc�t .` (81\ Court ❑ Attorney 0 Private Individual/Entity (Check One) NOTE: IWO must be regtiler-orrlts fade! UhUet4tettain circumstances you must reject this IWO and return it to the sender (see IWO instructions htto://www.acf.hhs.gov/programs/cse/forms/OMB-0970-0154 instructions.pdf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. State/Tribe/Territory Commonwealth of Pennsylvania City/County/Dist./Tribe CUMBERLAND Private Individual/Entity Remittance Identifier (include w/payment): 3188100382 Order Identifier: (See Addendum for order/docket information) CSE Agency Case Identifier: (See Addendum for case summary) STATE EMPLOYEE RETIREMENT SYS* C/O TECH SERVICE UNIT 30 N 3RD ST STE 150 HARRISBURG PA 17101-1726 Employer/Income Withholder's FEIN Child(ren)'s Name(s) (Last, First, Middle) Child(ren)'s Birth Date(s) RE: KRYSMALSKI, CHARLES V. Employee/Obligor's Name (Last, First, Middle) 183-32-1294 Employee/Obligor's Social Security Number (See Addendum for plaintiff names associated with cases on attachment) Custodial Party/Obligee's Name (Last, First, Middle) NOTE: This IWO must be regular on its face. Under certain circumstances you must reject this IWO and return it to the sender (see IWO instructions httn://www.acthhs.gov/programs/cse/forms/ OMB -0970-0154 instructions.odf). If you receive this document from someone other than a State or Tribal CSE agency or a Court, a copy of the underlying order must be attached. 6697100165 See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMATION: This document is based on the support or withholding order from CUMBERLAND County, Commonwealth of Pennsylvania (State/Tribe). You are required by law to deduct these amounts from the employee/ obligor's income until further notice. $ 0.00 per month in current child support 0.00 per month in past -due child support - Arrears 0.00 per month in current cash medical support 0.00 per month in past -due cash medical support 0.00 per month in current spousal support 0.00 per month in past -due spousal support 12 weeks or greater? 0.00 per month in other (must specify) for a Total Amount to Withhold of $ 0.00 per month. AMOUNTS TO WITHHOLD: You do not have to vary your pay cycle to be in compliance with the Older If your pay cycle does not match the ordered payment cycle, withhold one of the following amount: $ 0.00 per weekly pay period. $ 0.00 per semimonthly pay period (twice a month) $ 0.00 per biweekly pay period (every two weeks) $ 0.00 per monthly pay period. $ Lump Sum Payment: Do not stop any existing IWO unless you receive a termination order. ne— w —o C:. —p 's --i f rj — — r- rCD ,_ "7"T; CD -71 CD 4 7.1 rrrfation. REMITTANCE INFORMATION: If the employee/obligor's principal place of employment is within the Commonwealth of Pennsylvania (State/Tribe), you must begin withholding no later than the first pay period that occurs ten (101 working days after the date of this Order/Notice. Send payment within seven (7) working days of the pay date. If you cannot withhold the full amount of support for any or all orders for this employee/obligor, withhold up to 55% of disposable income for all orders. If the employee/obligor's principal place of employment is not within the Commonwealth of Pennsylvania (State/Tribe), the employer can obtain withholding limitations, time requirements, and any allowable employer fees at http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact_map. htm for the employee/obligor's principal place of employment. Document Tracking Identifier Service Type M OMB No.: 0970-0154 Form EN -028 11/13 Worker ID $OINC ❑ Return to Sender [Completed by Employer/Income Withholder]. Payment must be directed to an SDU in accordance with 42 USC §666(b)(5) and (b)(6) or Tribal Payee (see Payments to SDU below). If payment is not directed to an SDU/Tribal Payee or this IWO is not regular on its face, you must check this box and return the IWO to the sender. Signature of Judge/Issuing Official (if required by State or Tribal law): Print Name of Judge/Issuing Official: Title of Judge/Issuing Official: Date of Signature: If the employee/obligor works in a State or for a Tribe that is different from the State or Tribe that issued this order, a copy of this IWO must be provided to the employee/obligor. ❑ If checked, the employer/income withholder must provide a copy of this form to the employee/obligor. ADDITIONAL INFORMATION FOR EMPLOYERS/INCOME WITHHOLDERS Pennsylvania law (23 PA C.S. § 4374(b)) requires remittance by an electronic payment method if an employer is ordered to withhold income from more than one employee and employs 15 or more persons, or if an employer has a history of two or more returned checks due to nonsufficient funds. Please call the Pennsylvania State Collections and Disbursement Unit (PA SCDU) Employer Customer Service at 1-877-676-9580 for instructions. PA FIPS CODE 42 000 00 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 DEFENDANTS 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. State -specific contact and withholding information can be found on the Federal Employer Services website located at: http://www.acf.hhs.gov/programs/cse/newhire/employer/contacts/contact map.htm Priority: Withholding for support has priority over any other legal process under State law against the same income (USC 42 §666(b)(7)). If a Federal tax levy is in effect, please notify the sender. Combining Payments: When remitting payments to an SDU or Tribal CSE agency, you may combine withheld amounts from more than one employee/obligor's income in a single payment. You must, however, separately identify each employee/ obligor's portion of the payment. Payments To SDU: You must send child support payments payable by income withholding to the appropriate SDU or to a Tribal CSE agency. If this IWO instructs you to send a payment to an entity other than an SDU (e.g., payable to the custodial party, court, or attorney), you must check the box above and return this notice to the sender. Exception: If this IWO was sent by a Court, Attorney, or Private Individual/Entity and the initial order was entered before January 1, 1994 or the order was issued by a Tribal CSE agency, you must follow the "Remit payment to" instructions on this form. Reporting the Pay Date: You must report the pay date when sending the payment. The pay date is the date on which the amount was withheld from the employee/obligor's wages. You must comply with the law of the State (or Tribal law if applicable) of the employee/obligor's principal place of employment regarding time periods within which you must implement the withholding and forward the support payments. Multiple IWOs: If there is more than one IWO against this employee/obligor and you are unable to fully honor all IWOs due to Federal, State, or Tribal withholding limits, you must honor all IWOs to the greatest extent possible, giving priority to current support before payment of any past -due support. Follow the State or Tribal law/procedure of the employee/obligor's principal place of employment to determine the appropriate allocation method. Lump Sum Payments: You may be required to notify a State or Tribal CSE agency of upcoming lump sum payments to this employee/obligor such as bonuses, commissions, or severance pay. Contact the sender to determine if you are required to report and/or withhold lump sum payments. Liability: If you have any doubts about the validity of this IWO, contact the sender. If you fail to withhold income from the employee/obligor's income as the IWO directs, you are liable for both the accumulated amount you should have withheld and any penalties set by State or Tribal law/procedure. Anti -discrimination: You are subject to a fine determined under State or Tribal law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against an employee/obligor because of this IWO. OMB Expiration Date — 05/31/2014. The OMB Expiration Date has no bearing on the termination date of the IWO; it identifies the version of the form currently in use. Form EN -028 11/13 Service Type M Page 2 of 3 Worker ID $OINC Employer's Name: STATE EMPLOYEE RETIREMENT SYS' Employer FEIN: Employee/Obligor's Name: KRYSMALSKI, CHARLES V. 3188100382 CSE Agency Case Identifier: (See Addendum for case summary) Order Identifier: (See Addendum for order/docket information) Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (CCPA) (15 U.S.C. 1673(b)); or 2) the amounts allowed by the State or Tribe of the employee/obligor's principal place of employment (see REMITTANCE INFORMATION). Disposable income is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; statutory pension contributions; and Medicare taxes. The Federal limit is 50% of the disposable income if the obligor is supporting another family and 60% of the disposable income if the obligor is not supporting another family. However, those limits increase 5% - to 55% and 65% - if the arrears are greater than 12 weeks. If permitted by the State or Tribe, you may deduct a fee for administrative costs. The combined support amount and fee may not exceed the limit indicated in this section. For Tribal orders, you may not withhold more than the amounts allowed under the law of the issuing Tribe. For Tribal employers/income withholders who receive a State IWO, you may not withhold more than the lesser of the limit set by the law of the jurisdiction in which the employer/income withholder is located or the maximum amount permitted under section 303(d) of the CCPA (15 U.S.C. 1673 (b)). Depending upon applicable State or Tribal law, you may need to also consider the amounts paid for health care premiums in determining disposable income and applying appropriate withholding limits. Arrears greater than 12 weeks? If the Order Information does not indicate that the arrears are greater than 12 weeks, then the Employer should calculate the CCPA limit using the lower percentage. Additional Information: NOTIFICATION OF EMPLOYMENT TERMINATION OR INCOME STATUS: If this employee/obligor never worked for you or you are no longer withholding income for this employee/obligor, an employer must promptly notify the CSE agency and/or the sender by retuming this form to the address listed in the Contact Information below: 6697100165 Q This person has never worked for this employer nor received periodic income. Q This person no longer works for this employer nor receives periodic income. Please provide the following information for the employee/obligor: Termination date: Last known phone number: Last known address: Final Payment Date To SOU/Tribal Payee: Final Payment Amount: New Employer's Name: New Employer's Address: CONTACT INFORMATION: To Employer/Income Withholder: If you have any questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at: www.childsuoport.state.oa.us. Send termination/income status notice and other correspondence to: DOMESTIC RELATIONS SECTION, 13 N. HANOVER ST. P.O. BOX 320. CARLISLE PA. 17013 (Issuer address). To Employee/Obligor: If the employee/obligor has questions, contact WAGE ATTACHMENT UNIT (Issuer name) by phone at (717) 240-6225, by fax at (717) 240-6248, by email or website at www.childsupport.state.pa.us. IMPORTANT: The person completing this form is advised that the information may be shared with the employee/obligor. OMB No.: 0970-0154 Service Type M Page 3 of 3 Form EN -028 11/13 Worker ID $OINC ADDENDUM Summary of. Cases on Attachment Defendant/Obligor: KRYSMALSKI, CHARLES V. PACSES Case Number 678101556 Plaintiff Name MARY E. KRYSMALSKI Docket Attachment Amount 99-5400 CIVIL $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): PACSES Case Number PACSES Case Number Plaintiff Name Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Service Type M Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): Addendum OMB No.: 0970-0154 Form EN -028 11/13 Worker ID $OINC