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Home My WebLink About03-3538 JOHN RANDALL KREBS, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO .C(J-JS38'Ci vil PAMELA SUSANNE KREBS, Defendant CIVIL ACTION - LAW IN DIVORCE NOTICE TO DEFEND AND CLAIM RIGHTS You have been sued in court. If you wish to defend against the claims set forth in the following pages, you must take prompt action. You are warned that if you fail to do so, the case may proceed without you and a decree of divorce or annulment may be entered against you by the court. A judgment may also be entered against you for any other claim or relief requested in these papers by the plaintiff. You may lose money or property or other rights important to you, including custody or visitation of your children. When the ground for the divorce is indignities or irretrievable breakdown of the marriage, you may request marriage counseling. A list of marriage counselors is available in the Office of the Prothonotary at CUMBERLAND COUNTY COURTHOUSE, 1 COURTHOUSE SQUARE, CARLISLE, PENNSYLVANIA 17013. IF YOU DO NOT WISH TO 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. YOUR 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. COURT ADMINISTRATOR, 4TH FLOOR CUMBERLAND COUNTY COURTHOUSE 1 COURTHOUSE SQUARE CARLISLE, PENNSYLVANIA 17013 TELEPHONE: 240-6200 o JOHN RANDALL KREBS, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERL~m COUNTY, PENNSYLVANIA vs. DOCKET NO, 03-3538 PACSES CASE NO. 808105784 PAMELA SUSANNE KREBS, Defendant/Respondent IN DIVORCE (APL) PETITION TO DECREASE ALIMONY PENDENTE LITE ORDER TO THE HONORABLE, THE JUDGES OF THE SAID COURT: John R. Krebs, Plaintiff/Petitioner, respectfully represents: 1. That Plaintiff/Petitioner is John R. Krebs, an individual residing at 908 Spring Circle, ~Iechanicsburg, PA 17055. 2. That Defendant/Respondent is Pamela S. Krebs, an individual residing at Apt. 34, 5328 Oxford Circle, Mechanicsburg, PA 17055. 3. That there were two (2) children born of the parties namely, David W. Krebs, born 8/3/99; and Leah S. Krebs, born 7/19/01. 4. That on March 4, 2004 an Agreed Upon Order of Alimony Pendente Lite was entered by this Honorable Court requiring the Plaintiff/Petitioner to pay $568.00 per month as alimony pendente lite effective February 9, 2004 with additional arrears of $750,00 payable at the rate of $100,00 pr month for seven months and $50,00 in the eighth month from the effective date of the Order. 5. Plaintiff/Petitioner's income has decreased and Defendant/Respondent's income has increased and the custodial arrangement has been modified to an equal sharing of custodial time. WHEREFORE, Plaintiff/Petitioner respectfully requests that your Honorable Court decrease the Alimony Pendente Lite Order to an amount consistent with Plaintiff/Petitioner's income and child support obligation. Respectfully submitted, ,/) A/;(~ .~ PiA) , Lq.{i K. Serra e 1., Esquire Attorney ID No. 27426 SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C. 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 Attorney for Petitioner PLAINTIFF Name Address 908 Spring Circle, Mechanicsburg, PA 17055 Date of Birth 9/18/71 John R. Krebs Social Security No. Telephone No. 691-8722(h) Place of Employment TOoling and Dynamics, York, PA 160-58-0002 Lori K. Serratelli, Esquire Attorney's Name DEFENDANT Name Pamela S. Krebs Address Apt. 34, 5328 Oxford Circle, Mechanicsburg, PA 17055 Date of Birth 03/23/71 Social Security No. 182-54-0166 Telephone No. 443-5490(c) Place of Employment Hooters Attorney's Name JoAnne Murphy, Esquire CHILDREN David w. Krebs Leah S. Krebs DATE OF BIRTH 08/03/99 07/19/01 SOCIAL SECURITY NO. 193-78-2659 175-80-7764 VERIFICATION I verify that the statements made in lhe foregoing docurnenl are true and correct. I understand thai false slatemenls herein are made subject 10 the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. , , 7/( s!2y-! .~ / /"'> "'. . I 1 /II ,,@!/.;/ lru1J!ar! John Randall Krebs .' 1 .',' I' (i" / 'Rltt!----~ Date: (") C~ ;~. -f ,,-., --) -, . r-' c:;) (:.~ ..c' '- c:: " o ." -< ~~TI -r;Jt!i :tJ'1'''' ..,~{:j. _.~,. .,..-, .~ -n ;;?\~ ~.b :.< w -;l :.:~: ':-? \.0 JOHN RANDALL KREBS, Plaintiff IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO. CIVIL ACTION - LAW PAMELA SUSANNE KREBS, Defendant IN DIVORCE COMPLAINT IN DIVORCE UNDER SECTION 3301(c) OF THE DIVORCE CODE AND NOW COMES the above-named Plaintiff, by Lori K. Serratelli, Esquire and the law firm of SERRATELLI, SCHIFFMAN, BROWN << CALHOON, P.C., and seeks to obtain a Decree in Divorce from the above-named Defendant, upon the grounds hereinafter more fully set forth: COUNT I DIVORCE 1. Plaintiff is John Randall Krebs, who currently resides at 908 Spring Circle, Mechanicsburg, Cumberland County, Pennsylvania 17055. 2. Defendant is Pamela Susanne Krebs, whose last known address was 908 Spring Circle, Mechanicsburg, Cumberland County, Pennsylvania 17055, 3. plaintiff has been a bona fide resident in the Commonwealth for at least six months immediately previous to the filing of this Complaint. 4. The Plaintiff and Defendant were married on March 1, 1998, in Cumberland County, Pennsylvania. 5. The plaintiff has been advised of the availability of counseling and that he may have the right to request that the Court require the parties to participate in counseling. 6. There have been no prior actions of divorce or for annulment between the parties. 7, The marriage is irretrievably broken. 8. The Defendant is not a member of the Armed Services of the United States or any of its allies. 9. The Plaintiff and Defendant are both citizens of the United States. 10. Plaintiff avers that there are two children of the parties under the age of 18, namely David Krebs, born August 3, 1999; and Leah Krebs, born July 19, 2001. WHEREFORE, the Plaintiff prays your Honorable Court to enter a Decree in Divorce from the bonds of matrimony. COUNT II INDIGNITIES 11. Paragraphs one through ten are hereby incorporated by reference herein. 12. The plaintiff avers as the grounds on which this action is based is that the Defendant has offered such indignities to the Plaintiff, the innocent and injured spouse, as to render his condition intolerable and life burdensome. 13. This action in divorce is not collusive. WHEREFORE, the Plaintiff prays Your Honorable Court to enter a Decree in Divorce from the bonds of matrimony. COUNT III EQUITABLE DISTRIBUTION 14. Paragraphs one through ten are hereby incorporated by reference herein. 15. Plaintiff states that Plaintiff and Defendant possess various items of both real and personal marital property which is subject to equitable distribution by the court. 16. Plaintiff requests that this court grant equitable distribution. WHEREFORE, Plaintiff prays that Your Honorable Court: (a) Equitably distribute all property, personal and real owned by the parties; (b) Grant Plaintiff exclusive possession of the marital residence; (c) Grant such further relief as the Court may deem equitable and just. COUNT VI CUSTODY 17, Paragraphs one through ten are hereby incorporated by reference herein. lB. Plaintiff believes that the best interest of the parties' children, David Krebs and Leah Krebs, will best be served by confirming custody of the children with the Plaintiff. 19. The children resided with the Plaintiff and Defendant at 908 Spring Circle, Mechanicsburg, Pennsylvania until July 21, 2003 when Defendant left with the children. Plaintiff does not know the current whereabouts of the children. WHEREFORE, plaintiff respectfully requests that custody of the children be confirmed with the Plaintiff. Respectfully submitted, w. Lori Serratelli, Esquire SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C. 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 ATTORNEY FOR PLAINTIFF VERIFICATION I verify that the statement made in the foregoing Complaint in Divorce are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Date: 7/Z,3/03 ~ ~KJ?!:~ c~ , .. n'- :;::::J (\ 1: ~ .. lA J1 . .l , ('.:.' 0 L.l lA -.1 4 r ...,J .J ~ 9.J <>(\ () ~ vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA .?.J - JS3 't NO. CIVIL ACTION - LAW JOHN RANDALL KREBS, Plaintiff PAMELA SUSANNE KREBS, Defendant IN DIVORCE (CUSTODY) PETITION FOR EMERGENCY RELIEF AND NOW COMES the above-named Plaintiff, by Lori K. Serratelli, Esquire and the law firm of SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C., who files this Petition for Emergency Relief, and avers as follows: 1. Plaintiff is John Randall Krebs, who currently resides at 908 Spring Circle, Mechanicsburg, Cumberland County, Pennsylvania 17055. 2. Defendant is Pamela Susanne Krebs, whose last known address was 908 Spring Circle, Mechanicsburg, Cumberland County, Pennsylvania 17055. 3. Plaintiff avers that there are two children of the parties under the age of 18, namely David Krebs, born August 3, 1999; and Leah Krebs, born July 19, 2001. 4. On July 21, 2003, Defendant left the marital residence without notice to Plaintiff and is liv~ng with her boyfriend at an undisclosed location. Defendant took the children and refuses to inform Plaintiff of the current whereabouts of the children. 5. Plaintiff has been the primary caretaker of the children. 6. Defendant has been engaging in multiple sexual relationships and is working an evening shift as a waitress at Hooters. As such, Defendant is not available for the children in the evening and is exhausted and sleeping through the day. Furthermore, her paramour does not have a driver's license and Plaintiff is concerned that Defendant may leave the children in her paramour's care and he may attempt to drive with the children in the car. 7. In the best interest and safety of the children, the children should immediately be placed in Plaintiff's primary custody. WHEREFORE, Plaintiff prays this Honorable Court order Defendant to immediately return the children to Plaintiff's primary physical custody, which is in the best interest and safety of the children. Respectfully submitted, J. Lor' K, Serratelli, Esquire SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C. 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 ATTORNEY FOR PLAINTIFF VERIFICATION I verify that the statement made in the foregoing Petition are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904, relating to unsworn falsification to authorities. Date: 1 /2)0 ~ ~k~llt ~~~ ~ ~() ~ ~ ~ ~~ ..t' -.j ~ (' \ " ....0 JOHN RANDALL KREBS, Plaintiff vs. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA PAMELA SUSANNE KREBS, Defendant NO. O::Y - 3::.-.3 fi CIVIL ACTION - LAW IN DIVORCE (CUSTODY) ORDER AND NOW, this 3()~ day of ,. ~ consideration of the foregoing Petition for Emergency Relief, it , 2003, upon ie hereby ORDERED ~d DECREED 'hoe n........, """"odl.,o1, :~rn ::: :'" .~n, ". ",. _, "., "0" Ido"co 1n,u ".rum "" pr ;,;; PH} ~':'~~l ~dl!!t~,J} ~..,J L1.aL a hearing is scheduled for the .A-&.-I~ 8:30 day of -, ,-~ ,2003, at CUmberland County Courthouse, 1 Courthouse Square, Carlisle, PA .m., in Court Room # .s- 17013 , /'~~ ~~ ~ x-D? <y'>:J~~ J. . E2 -- ?= :;;:: 0 "'" c .. ::J::;; '8"2 ..:: Cl~ :lC ,,.) u_-.'" 0- _:J~ Qt.::) ;':~ >-:- 0 S~ DC: C") u..lL. .r:Z eE~\ , jJu.J :;:: :1;) 0- ~- -, Z Ll_ C0 :::J (,) 0 (,) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LAW vs ) ) ) ) ) ) ) No.: 03-3538 JOHN RANDALL KREBS, Plainliff PAMELA SUSANNE KREBS, Defendant ACTION IN DIVORCE AND CUSTODY ANSWER AND COUNTERCLAIM FOR ALIMONY PENDENTE LITE AND NOW, comes the above-named Defendanl, by and through her attorney, JoAnne Murphy, Esquire of Gingrich, Smith, Klingensmith & Dolan respeclfully answering Plaintiff's Complainl in Divorce as follows: Paragraphs 1-10. Pursuant to Pennsylvania Rule of Civil Procedure 1920.14, an answer to lhe allegalions of an action for divorce is not required, and such allegations are deemed denied. ANSWER TO COUNT II - INDIGNITIES 11. The prior paragraphs of lhis Answer are incorporated herein by reference thereto, 12. Denied. 13, Admitted. ANSWER TO COUNT III - EQUITABLE DISTRIBUTION 14. The prior paragraphs ofthis Answer are incorporated herein by reference thereto, 15. Admitted. 16. Admitted in part and denied in part. ANSWER TO COUNT VI - CUSTODY 17. The prior paragraphs of this Answer are incorporated herein by reference thereto, 18. Denied. 19. Admitted in part and denied in part. COUNTERCLAIM COUNT V Request for spousal support and/or alimony pendente lite under Section 3702 of the Divorce Code 20. The prior paragraphs oflhis Answer are incorporated herein by reference thereto, 21. Defendant is unable to sustain herself during the course of litigation. 22. Defendant lacks sufficienl property 10 provide for her reasonable needs. 13. Defendant requests the Court 10 enter an award of spousal support and/or alimony pendenle lite. WHEREFORE, Defendanl respeclfully requests lhis Honorable Court to enter an award of spousal support and/or alimony pendenle lile. Respectfully submitted, GING // B:k . ?t::;n:mU:TH & DOLAN e Murphy, Esquire, ill #8'.-.~ !A mey for Defendant ~83~ 2 South Market Street, Suite 201 Elizabethlown, P A 17022 (717) 367-1370 VERIFICATION I, Pamela S. Krebs, verify that the slalements made in this foregoing Answer and Counterclaim for Alimony Pendenle Lite are true and correct. I undersland that false statements herein are made subject to lhe penalties ofl8 Pa. C,S. Section 4904 relating to unsworn falsification to authorities. Date: ikg I~ {)cr;3 PJ~/-- Pamela S. Krebs IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA CIVIL ACTION - LAW JOHN RANDALL KREBS, Plaintiff vs ) ) ) ) ) ) ) No,: 03-3538 PAMELA SUSANNE KREBS, Defendanl ACTION IN DNORCE AND CUSTODY CERTIFICATE OF SERVICE I hereby certify lhal I have this day served a copy of Defendant's Answer and Counterclaim for Alimony Pendente Lite upon the person(s) and in the manner indicated below, which service salisfies the requirement ofPa, R.C.P. 440: Service by first-class U.S. Mail addressed to: Lori K. SerrateIli, Esquire SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C. 2080 Linglestown Road Suite 20 I Harrisburg, P A 1711 0 GINGRICH, SMITH, KLINGENSMITH & DOLAN By: C~(,()S\jU, I'{lli \ 1LG \\~ J~ Jo~-MUrphy, Esq~i~e~ID #8083f Attorney for Defendant 222 South Market Slreet, Suite 20 I Elizabethtown, P A 17022 -p(:)-kl. \l\~ ~ ~ () ...... -...) D- ~~::V l> CJ-J P::: ~ r' ~' '. 'n ~ u; JOHN RANDALL KREBS, Plaintiff IN THE COURT OF COMMON PEAS OF CUMBERLAND COUNTY, PENNS LVANIA vs. NO. 03-3538 CIVIL TERM PAMELA SUSANNE KREBS, Defendant CIVIL ACTION - LAW IN DIVORCE ACCEPTANCE OF SERVICE I, JoAnne Murphy, Esquire, attorney for the Defendant in the above-captioned matter, hereby certify that I accept servi e of the Complaint in Divorce filed July 24, 2003, in the above captioned matter. <if/sl 0 ~ Date' Received ~ e Murphy, Esquire ICH, SMITH, GENSMITH & DOLAN 222 South Market Street Suite 201 P.O. Box 267 Elizabethtown, PA 17022 (717) 367-1370 () c:> 0 e- GO .. <- "'"".. ...,., c t'1 ~, ,~~) ~- - i""-) .<::- OJ c) -, I'-:"~ ....:::: ~'-: :1' '>.) :.rl c..) IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACTION - LAW vs. ) ) No,: 03-3538 ) ) ) ) ) JOHN RANDALL KREBS, Plaintiff PAMELA SUSANNE KREBS, Defendant ACCEPTA1~CE OF SERVICE I, LORI K. SERRATELLI, ESQUIRE, Attorney for fhe Plaintiff, John Randall Krebs, in fhe above-captioned divorce action slate fhat I personally received a copy of the Answer and Counterclaim for Alimony Pendente Lite in fhe above action on ~....:J(J -(J5. and that I am aufhorized to accept service of the same. I verify fhat fhe statements made in this Acceptance are true and correct. I understand that false slatements made in this Acceptance are subject to the penalties of 18 Pa, C.S.A. Section 4904 relating to unsworn falsification 10 authorities. Date: ~ll..\\D~ J) LORI . ' RRATELLI, ESQUIRE Atto ey for Plaintiff \ (') c.:> <;fl c: w s:: co? " "'Ocr) ,-" 7~;n m(TJ -"0 Z.J' I 1-'''' 2c' , ,-+~ (I:'J- r.....~ 1.),; :::Se' ~C) ..U -'-'-t, ~ !; ~C ~O ~O ~':) ::5rn c: -.j 3 ,,~ ~n , en -< vs, ) IN THE COURT OF COMMOM PLEAS OF ) CUMBERLAND COUNTY, ) PENNSYLVANIA ) ) CIVIL ACTION - F AMIL Y DIVISION ) ) NO.: 03-3538 ) PAMELA S, KREBS, Plainliff JOHN R. KREBS, Defendant ANSWER TO PLAINTIFF'S PETITION FOR EMERGENCY RELIEF AND NOW COMES the above-named Defendant, by JoAnne Murphy, Esquire and the law firm of Gingrich, Smith, Klingensmith & Dolan, who files this Answer to Plaintiffs Petition for Emergency Relief, and avers as follows: 1. Admitted. 2, Admitted and by way of further answer, Defendant's current address is 5328 Oxford Circle, Apartmenl #34, Mechanicsburg, Cumberland Counly, Pe:nnsylvania 17055. 3. Admitted. 4. Admitted in part and denied in part, Defendant did leave the marital residence on July 21, 2003. However, ,Plaintiff and Defendant had numerous conversations about separation. Defendanl did eslablish a residence, but is not living with lmy unrelaled males, Currently, Defendant is living with the parties' minor children as indicated on Defendant's lease, 5, Denied. Defendant has been the primary caregiwr of the parties' minor children having left her full-time job upon the birth of their first child. 6. Denied, Currently, Defendant is and has been working three nights per week, Thursday, Friday and Salurday, as the parties agreed during lheir marriage. Furthermore, Plaintiff never hesitated leaving the children in Defendant's care when the parties were residing together. Defendant is and has always been able to provide (:are for her children, By way of further answer, Plainliff encouraged Defendant 10 obtain employment at Hoolers, 7. Denied. WHEREFORE, Defendanl prays this Honorable Court order Defendanl 10 remain primary custodian of the children and continue the currenl status quo custodial agreement. Respectfully submitted, GINGRICH, SMITH, KLINGENSMITH & DOLAN PJ11U#;r e Murphy, Esquire tt ey for Defendant 22 S, Market St., P. O. Box 267 izabethtown, P A 17022 Attorney LD, #80838 VERIFICATION I verify that the statemenls made in lhis Answer to Plaintiff's Petition for Emergency Relief are lrue and correct. I understand that false statements herein are made subject to the penalties of 18 Pa. C.S. Section 4904 relaling to unsworn falsificalion to authorities. Date: ~~hL- Pamela Sus e Krebs vs. ) IN THE COURT OF COMMOM PLEAS OF ) ) CUMBERLAND COUNTY, PENNSYL V ANlA ) ) CIVIL ACTION - F AMIL Y DIVISION ) ) NO.: 03-3538 ) PAMELA S. KREBS, Plaintiff JOHN R. KREBS, Defendant CERTIFICATE OF SERVICE I hereby certify lhat I have this day served a copy of Answer to Plaintiff's Petition for Emergency Reliefupon lhe person(s) and in the manner indicated below, which service satisfies the requirement ofPa, R.C.P. 440: Service by facsimile and firsl class mail addressed to: Lori K. Serratelli, Esquire Suite 20 I 2080 Lingleslown Road Harrisburg, P A 17110-9670 Dawn Sunday, Esquire 39 West Main Street Mechanicsburg, P A 17055 GINGRICH, SMITH, KLINGENSMITH & DOLAN By: 2EOlillt Jo e Murphy, EsqUire Attorney for Plaintiff P. O. Box 267 Elizabelhlown, P A 17022 (717)367-1370 ;=f!-{ ~;;:-'j ell '- -, c::; ~: 2: ot~- ~;' ('J ,;; o W r.l') ("l'1 --0 , \.D o -" ~~~! '"". -rOt .IF- ;-1~3 . : (1) f; =:) ,--j:'~ ~? :..1'"1 ~'q (T'o -':'" JOHN R. KREBS, Plaintiff/Respondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE PAMELA S. KREBS, Defendant/Petitioner NO. 2003-3538 CIVI1L TERM IN DIVORCE Pacses# 808105784 ORDER OF COURT AND NOW, lhis 10th day ofSeplember, 2003, based upon lhe Court's detenninalion lhal Pelitioner's monthly net income/earning capacily is $ 1 ,07l.09 and Respondent's monlhly net income/earning capacily is $4,909,69, il is hereby Ordered lhallhe Respondenl pay to lhe Pennsylvania Slale Colleclion and Oisbursemenl Unil, $670.00 per monlh payable bi-weekly as follows; $298.15 for alimony pendenle lile and $1 1.08 on arrears. First payrnenl due ne:xl pay dale al $309,23 bi-weekly. Arrears sel al $646.00 as ofSeplember 10, 2003. The effeclive daile oflhe order is Augusl14, 2003 This Order is based upon lhe Defendanl having a child support obligalion 10 wife in lhe amounl of $ I ,300.00 per monlh, Failure 10 make each payrnenl on time and in full will cause all arrears 10 become subjecl to immediale collection by all oflhe means as provided by 23 Pa.C.S,S 3703. Further, if the Court finds, after hearing, lhat the Respondenl has willfully failed to comply wilh lhis Order, il may declare lhe Respondenl in civil contempl of Court and its discrelion make an appropriate Order, including, bul nol Iimiled 10, commitmenl oflhe Respondent 10 prison for a p,~riod nollo exceed six months. Said money to be turned over by lhe P A SCOU 10: Pamela S. Krebs. Payrnenls musl be made by check or money order. All checks and money orders musl be made payable 10 P A SCOU and mailed to: P A SCOU P,O. Box 69110 Harrisburg, P A ] 71 06-9110 Payrnenls musl include lhe defendanl's P ACSES Member Number or Social Security Number in order 10 be processed. 00 nol send cash by mail. Unreimbursed medical expenses lhat exceed $250.00 annually are to be paid 0% by lhe respondenl and 100% by pelitioner. The pelilioner is responsible 10 pay lhe first $250.00 annually in unreimbursed medical expenses. Respondenllo provide medical insurance coverage. Wilhin lhirty (30) days after lhe entry of lhis order, lhe Respondenl shall submit written proof thai medical insurance coverage has been obtained or lhal applicalion for coverage has been made, Proof of coverage shall consist, al a minimum, of: 1) lhe name oflhe health care coverage provider(s); 2) any applicable identificalion numbers; 3) any cards evidencing coverage; 4) lhe address 10 which claims should be made; 5) a descriplion of any restrictions on usage, such as prior approval for hospilal admissions, and lhe manner of oblaining approval; 6) a copy of the benefil booklel or coverage contracl; 7) a descriplion of all deductibles and co-payrnenls; and 8) five copies of any claim forms, This Order shall become final ten days after lhe mailing of the notice of lhe enlry of lhe Order to lhe parties unless eilher party files a written demand wilh lhe Prolhonotary for a hearing de novo before lhe Court. ORO: R, j, Shadday Mailed copies on 9-11-03 to: < Petitioner Respondent Joanne Murphy, Esquire Lori Serratelli, Esquire BY THE COURT, Edwad E. Guido J, .:: l_ a n rll2~ c1 0 0 0 C <:".' -n <' (/) :J -oJ l;t ,..,., ':": rn ~--; -0 ..-/ Z U' ) -'".: , ~~: ):- ~-- , " 'j;. "v .:-:~ ~- -,.... 'j) (}) --<. ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 09/10/03 Tribunal/Case Number (See Addendum for case summary) @Original Order/Notice o Amended Order/Notice o Terminate Order/Notice EmployerNvithholder's Federal EIN Number RE: KREBS, JOHN R. Employee/Obligor's Name (last, First, Ml) 160-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil FCI USA INC 825 OLD TRAIL RD ETTERS PA 17319-9392 ))I. {,~ S:JeD3 ~E5 ail 31()'s""S'5" J:JJ. ~..6:T3Y(1V ~ ';'08'/05'791" See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee's/obligor's income until further notice even if the Order/Notice is not issued by your State, $ 1,946.00 per month in current support $ 50.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ 1, 996 . 00 per month to be forwarded to payee below, You do not have to vary your pay cycle to be in compliance with the SUPPOlt order. If your pay cycle does not match the ordered support payment cycle, use the following to determine how much to withhold: $ 460.62 per weekly pay period. $ 921.23 per biweekly pay period (every two weeks), $ 998.00 per semimonthly pay period (twice a month), $ 1.996.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydate!date of withholding. You are entitled to deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Cas.. Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. ~AII_~n ~YTHECOURT: SEPl12003 " Date of Order: 5&>t.<)~ &, ....:J7,J, GtE; Form EN-028 Worker ID $IATT Service Type M OMB No.: 097Q-0154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o Iflihecked you are required to provide a copy of this form to your employee, If yoVr employee ;yorks in a state that is di erent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian.-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2, Priority: Withholding under this Order/Notice has priority over any other iegal 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. * Repol1il,g tLe ray dAte/Date of 'I/;tltl,oldi"g. You I!lust lepo.t lLe paydal.eldate of vv;ll,holdihg vvheJI s<.I,d;"g tLe ptlY"lel,t. Tile paydalc/ddte of vv;ll.holdihg ;~ tile dale 01, nlricl, "'-"IOU!.t ..b& ..itllll<.IJ flOl1l tile elllploy,~e'& ..ages. You must comply with the law of the state of the employee'sJobligor'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: 0606699290 EMPLOYEE'S/OBlIGOR'S NAME: KREBS , JOHN R. EMPLOYEE'S CASE IDENTIFIER: 1361101196 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8, liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9, Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10,' Withholding limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.s,c. 91673 (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 taxesi Social Security taxes; and Medicare taxes. 11, Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at QlZl.j'40-6248 or by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OM6 No.: 0970-0154 ADDENDUM Summary of Cases on Attachmen! Defendant/Obligor: KREBS, JOHN R. PACSES Case Number 023105655 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 006428 2003 $ 1,350.00 Child(ren)'s Name(s): DAVID WITHERSPOON KREBS LliAil...SYl..llIA.ltREIl$ DOB 08/03/99 07/19/01 PACSES Case Number 808105784 Plaintiff Nam~ PAMELA S. KREBS Docket Attachment Amount 03-3538 CIVIL$ 646.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s 'oJame(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case I~umber Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s ~Jame(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. Service Type M Addendum Form EN-028 Worker ID $IATT OMBNo.:0970_0154 (') <:) c.J c: c...:; -"'-1 S (',I') "c (-' P'1 , rr; L: '-0 ~:;o- i Z [: , , '1 \;:J (I) C:) -< :1 r'; -,--, I', ;~ . ~] ) <. ~;n p :.> ) , r:- :,":. ~ J..J -, (), -< -, '\l"\il~-li_e;f.j .d,,, ,'-". ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 09/29/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice EmployerlWithholder's Federal EIN Number RE: KREBS, JOHN R. Employee/Obligor's Name (last, First, MI) 160-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identjfier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (last, First, MI) / FCI USA INC 825 OLD TRAIL RD ETTERS PA 17319-9392 )>(.f., ill>- g,.).n3 1~t;.Es. aJ.31()6~5r' MI. ~- !J!;31 {TtJ'lL I'~t;,. ~a1oS?Y1 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's1obligor's income until further notice even if the Order/Notice is not issued by your State, $ 1,946.00 per month in current support $ 74.00 per month in past-due support Arrears 112 weeks or greater? Oyes <Xl no $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 2.020.00 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: $ 466.15 per weekly pay period. $ 932.31 per biweekly pay period (every two weeks). $ 1,010.00 per semimonthly pay period (twice a month). $ 2,020.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee's/ obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg, 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. . }i;~' 1(";;"1:1 .._,.,~,,!II.~,Ul-_il!IlY THE COURT: _ L:'.;J~~ Date of Order: ;.Icr' 3 0 2003--- '1 . - 6dUJ~ is ~i:I/'JtJ e Form EN-028 Worker ID $IATT Service Type M OMB No.: Q970-0154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ,-hecked you are required to provide a copy of this form to your employee, If yovr employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1, We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income, Federal tax levies in effect before receipt of this order have priority, If there are Federal tax levies in effect please contact the requesting agency listed below, 3. Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding. You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor. 4. * Repo,l;lIg ti,e Paydcil(/Date of \V;t1,I,Oldillg. You lllust lepo,t ti,e paydatefdate of YW ;t1,I,oldi"g nl,el, Soclld;"g ti,e paYII'(Ilt. TLe pa.ydare/JAK of yvitl,Lold;hg is tLe date.. 01, v.h;d, AllIOUllt vvA3 vvitl,l,eld (,0111 ti,e ~1I,ployee's vvo.\go. 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 10: 0606699290 EMPLOYEE'S/OBLlGOR'S NAME: EMPLOYEE'S CASE IDENTIFIER: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: KREBS. JOHN R. 1361101196 DATE OF SEPARATION: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8, Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 9, Anti-<fiscrimination: 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 Stelle in which he or she is employed governs. 10," Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U,S.c. ~1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE IS the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11, Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: DOMESTIC RELATIONS SECTION 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 Q111 240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form EN-028 Worker ID $IATT Service Type M OMS No.: 0970-0154 ADDENDUM Summary of Cases on Attachmen! Defendant/Obligor: KREBS, JOHN R. PACSES Case Number 023105655 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 00642 S 2003 $ 1,350.00 Child(ren)'s Name(s): DAVID WITHERSPOON KREBS Wll.....llyVIiIA...kRiilss DOB 08/03/99 07/19/01 PACSES Case Number 808105784 Plaintiff Nam~ PAMELA S. KREBS Docket Attachment Amount 03-3538 CIVIL$ 670.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available through the employee's/obligor's employment. If checkej, you are required to enroll the child(ren) above in any health insurance coverage available employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)". Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. If checked, you are required to enroll the child(ren) above in any health insurance coverage available the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB If you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. If checked, you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. Addendum Form EN-028 Worker ID $IATT Service Type M OMB No.: 0970-0154 Scanned Q c. :;: -ocr:: liiq_; ~i;-- tJ,!,;:: =.t',,_.. Cl jEc:. ?;C >>c 7~ '4 -', c:> v> (/) ,0" ~ w <::> '- -0 ~"- .- ~ .....-j, A~~ -:?,~ /...' -r '~.).l:> c;, :+l ;;~o .,;.-~m Q -, '? ~ w o' :..n 0:> In the Court of Common Pleas of CUMBERLANII County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Defendanl Name: JOHN R. KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member In Number. ORDER OF ATI'ACHMENT OF UNEMPLOYMENT COMPENSATION BENEFITS Financial Break Down of Mult/ule Cases on Attachment Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS P ACSES Case Number 023105655 808105784 Docket Number 00642 S 2003 03-3538 CIVIL Attachment Amount/Freauencv $ I $ $ I $ 1,350.00 I MONTH 670. 00 ~MONTH / / % '/ / / TOTAL ATTACHMENT AMOUNT: $ 2,020.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 466 .15 per week, or 50 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOHN R. KREBS Social Security Number 160-58-0002 ,Member ID Number 1361101196 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW), DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages, If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearages, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U,S,C, ~ 1673 (b)(2) and 23 Pa. C.S.A, ~ 4348 (g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Dale of Order: SEP 3 0 2Ju3 JUDGE Service Type M Form EN-530 Worker ID $IATT .r- :;:::,t,-C :at lfil ~rn,e ldl o ~ -ac)') ITlrp ZZ::C' r" -"'T::, ~~i ,--'-"" '<: ,. :ZU ~C) c ~ o t.> (/) rt1 -0 W o .." :]I; tP. '..11 a:> ~ *.-! ~ rl1 p! '.....'.J II1 -tJ..,... >;?l() .,- -1"i ;.-!~ :!1 :::02 e) DITI -. '> ~ ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 11/J.0/03 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice o Amended Order/Notice o Terminate Order/Notice EmployerM'ithholder's Federal EIN Number RE: KREBS, JOHN R, ;}:! ~~ 02(J{J3 - ifi538' (1/ tile. 5'0 fI / OS7 f" V Employee/Obligor's Name (last, First, MI) J.60-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil FCI USA INC 825 OLD TRAIL RD ETTERS PA J.73J.9-9392 Jll c/Sld S~ Iilcsfs. ()~ ii /OS{"SS- See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'sfobligor's income until further notice even if the Order/Notice is not issued by your State. $ 0.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 0.00 per month to 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: $ 0.00 per weekly pay period. $ 0.00 per biweekly pay period (every two weeks), $ 0.00 per semimonthly pay period (twice a month). $ 0.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding, Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee'sf obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2). If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NVMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. ~20J ~ILEQ =-,;1,., THE COURT: //!}.. - 03 NOV 1 2 2003 Date of Order: JZ "C Form EN-028 Worker ID $IATT Service Type M OMB No,; 0970-Q154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If~hecked you are required to provide a copy of this form to your employee. If your employee works in a state that is ditterent from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1, We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority, If there are Federal tax levies in effect please contact the requesting agency listed below. 3, Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding, You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor, 4." Rep."lil,g II,e ra,dateiDare of Witl,l,oldi',g. ','ou I..ust ,.pM 11,. pa,d.l..tdat, of "ithholdi..g "I.el, ,~"d;..g tl" p."..e..t. TI" pa,dateld.le of "itl,l.oldi',g i, lI,e date 01, "hid, ...,001,1 ,,", "ill,I,.ld 110'" tl,. .,.."Io,n', "ag... You must comply with the law of the state of the employee'slobligor'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'slobligor'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 10: 0606699290 EMPLOYEE'S/OBLlGOR'S NAME: KREBS . JOHN R. EMPLOYEE'S CASE IDENTIFIER: 1361101196 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 Jump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs. you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania St"te law, Pennsylvania State law govems unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9, Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10,' Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.S,c. ~1673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11, Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items, Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at j717) 240-6225 or by FAX at LZ1Zl...240-6248 or by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMBNo.:097Q-0154 (') c :g;: .-ou: f11 rr' z:~) "7f ~-~~ ~\,. 2; c.. be) "PC: 7- ~ o 0' ~ ~-, ::: 0) (') -n ;; Cf? t="' ,0 -";"\ (.c::-" 1fT! ")'- ' ~.(S ,~~~.~~~ '0 '0 ::'<. JOHN RANDALL KREBS, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. NO, 03-3538 CIVIL TERM PAMELA SUSANNE KREBS, Defendant/Respondent CIVIL ACTION - LAW IN DIVORCE PETITION TO DECREASE ALIMONY PENDENTE LITE ORDER TO THE HONORABLE, THE JUDGES OF THE SAID COURT: John R. Krebs, Plaintiff/Petitioner respectfully represents: 1. That Plaintiff/Petitioner is John R. Krebs, an individual residing at 908 Spring Circle, Mechicsburg, PA 17055, 2. That Defendant/Respondent is Pamela S. Krebs, an individual residing at Apt. 34, 5328 Oxford Circle, Mechanicsburg, PA 17055. 3. That there were two (2) children born of the parties namely, David W, Krebs, born 8/3/99; and Leah S. Krebs, born 7/19/01. 4. That on September 10, 2003 an Order was entered by this Honorable Court requiring the Plaintiff/Petitioner to pay $670.00 per month, payable bi-weekly as $298.15 for alimony pendente lite and $11.08 on arrears for spouse, Defendant/Respondent. 5. Reason for Decrease: Defendant has been permanently laid off from his employment as of November 14, 2003 and will be receiving unemployment compensation. WHEREFORE, Plaintiff/Petitioner respectfully requests that your Honorable Court decrease the Support Order to an amount consistent with Plaintiff/Petitioner's income. , Lori erratelli, Esquire Attorney ID No. 27426 SERRATELLI, SCHIFFMAN, BROWN & CALHOON, P.C. 2080 Linglestown Road Suite 201 Harrisburg, PA 17110 (717) 540-9170 Attorney for Petitioner PLAINTIFF Name John R, Krebs 908 Spring Circle, Mechanicsburg, PA 17055 Address Date of Birth 9/18/71 Social Security No. 160-58-0002 Telephone No. 691-8722 (h) Place of Employment unemployed Attorney's Name Lori K. Serratelli, Esquire DEFENDANT Name Pamela S. Krebs Address Apt. 34, 5328 Oxford Circle, Mechanicsburg, PA 17055 Date of Birth 03/23/71 Social Security No. 182-54-0166 Telephone No. 443-5490(c) place of Employment Hooters Attorney's Name JoAnne Murphy, Esquire CHILDREN David W. Krebs Leah S. Krebs DATE OF BIRTH 08/03/99 07/19/01 SOCIAL SECURITY NO. VERIFICATION I, Lori K. Serratelli, Esquire, attorney for the Plaintiff/Petitioner, have personal knowledge of the facts contained in the foregoing and therefore do verify that the information contained therein is true and correct to the best of my knowledge, information and belief, ~w. Lori erratelli, Esquire (") ...., c: = 0 --:;:: = ...... "1 d:.;r~ c:::> :i:!.." rrI -;-~ n m- e":) .-- r_~ -.I :8m 86 , -:J ::c=H .<..-.. -- ':c! -~~ 0-- "k~ r' -',- (') ",c__ (;:? c5cn -~ -, -< ~; ~ -< JOHN R. KREBS, Plaintiff/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS, CIVIL ACTION - DIVORCE PAMELA S. KREBS, Defendant/Respondent NO. 2003-3538 CIVIL TERM IN DIVORCE Pacses# 808105784 ORDER OF COURT AND NOW, this 22"d day of December, 2003, upon consideration of the attached Petition for Alimony Pendente Lite and/or counsel fees, it is hereby directed that the parties and their respective counsel appear before R.J, Shaddav on Januarv 12. 2004 at 9:00 A,M. for a conference, at ]3 N, Hanover St" Carlis]e, PA ]70]3, after which the conference officer may recommend that an Order for Alimony Pendente Lite be entered, YOU are further ordered to bring to the conference: (I) a true copy of your most recent Federal Income Tax Renan, 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 ]9]0,11'" (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, George E. Hoffer, President Judge Mail copies on 12-22-03 to: Petitioner < Respondent Lori Serratelli, Esquire JoAnne Murphy, Esquire Date of Order: December 22, 2003 - j I ,A ;'/ \. IV), Shadday, Conference Officer /" YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE CONFERENCE AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP. CUMBERLAND COUNTY BAR ASSOCIATION 2 LIBERTY AVE, CARLISLE, PENNSYLVANIA ] 70] 3 (717) 249-3166 CC36] o G -J&? l:y;r' ~.'.-" I~'" ; ~f{~' ;::1:. i""--; !""~' ~:::: "{-.,-' ,,- ~:-,:; -. ::2 ...., = = <-' I::) ." c-> N 0" ~ ..... :r:;:!J \'l1r: -0'" -" t;J b6 ::=!.., c, ." ('::>0 7~rn ~~ :P- ":) '-< 3! - tf? N .::- () JOHN R. KREBS, PlaintifflRespondent IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA VS. CIVIL ACTION - DIVORCE PAMELA S, KREBS, Defendant/Petitioner NO. 2003-3538 CIVIL TERM IN DIVORCE Pacses# 808105784 DEMAND FOR HEARING DATE OF ORDER: January 12, 2004 AMOUNT: $646,00 per month plus $24,00 on arrearages FOR: Alimony Pendente Lite REASON(S): Hearing Officer erred in not increasing APL flffi01mt from NOVPffihpr 14, 2003 through FebnlR.X:Y 1'5, 2004 whpn RpRpnnnpnt rp::=Il-i tpn R; en; fi {",qnt in("'rp,q~p in income. PARTY FILING DEMAND FOR HEARING: Petitioner / , / I In lor.( ~ o ~ <;5 --c:> -< t ........ ~ r--' = C:l .s;- <- ~ N o o -n -a ::;. -' -i- -II f\1~ -'0nJ, :9Y ,:)p -" ~~~ ~~, (-~\ ~1 - - <y, In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION PAMELA S. KREBS ) Docket Number 03-3538 CIVIL Plaintiff ) vs. ) PACSES Case Number 808105784 JOlIN R. KREBS ) Defendant ) Other State ID Number ORDER OF COURT You, PAMELA SUZANNE KREBS plainliff/defendanl of APT 34, 5328 OXFORD CIR, MECHANICSBURG, PA. 17055-4424-34 are ordered to appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relations Section, on the MARCH 2, 2004 at 9 : OOAM for a hearing, You are further required to bring to the hearing: Co .:~ ':7"'"":1 t..- I, a true copy of your most recent Federal Income Tax Return, including w-;i;, ~ filJf . . ~~--ICJ N 2, your pay stubs for the precedmg SIX (6) months,: (0) 0 CO 3. verification of child care expenses, and 2 ~g:3 4, proof of medical coverage which you may have, or may have available to:,~~ .,.--4 5. information relating to professional licenses :'::; 6. other: < Bi ~ c::::> => = )> -.9 W Lv Service Type M Form CM-509 Worker ID 21700 KREBS V. KREBS PACSES Case Number: 808105784 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arresl or enter an order in your absence. If paternity is an issue, the court may enter an order establishing paternily, The appropriate court officer may enter an order against either party based upon the evidence presented without regard to which party initiated the support action. BY THE COURT: Date of Order: 1-.) i? - ~'1 JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATIEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP: CUMBERLAND CO BAR ASSOCIATION 32 S BEDFORD ST CARLISLE PA 17013-3302-32 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Acl of 1990, For information about accessible facilities and reasonable accommodations available 10 disabled individuals having business before the court, please contact our office at: (717) 240-6225. All arrangements musl be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing. Service Type M Page 2 of 2 Form CM-509 Worker ID 21700 ~ NO ~ ~ (... ~ ~ ,.. :z: N (I) {215 .." g~ ~("J ::::E ~~ Ci} ~ en en ::'~,' ~ ", .;:;:", r'.!,r-,!!::~ \':";1 In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION PAMELA S. KREBS ) Docket Number 03-3538 CIVIL Plaintiff ) vs, ) PACSES Case Number 808105784 JOHN R. KREBS ) Defendant ) Other State ID Number ORDER OF COURT You, JOHN RANDALL KREBS plainliff/defendant of 908 SPRING CIR, MECHANICS BURG , PA. 17055-4054-08 are ordered 10 appear at DOMESTIC RELATIONS HEARING RM DOMESTIC RELATIONS OFC, 13 N HANOVER ST, CARLISLE, PA. 17013-3014-13 before a hearing officer of the Domestic Relalions Section, on the MARCH 2, 2004 at 9: OOAM for a hearing, You are further required to bring to the hearing: c.~ c--' I. a true copy of your most recent Federal Income Tax Return, including W -2s, asi ijl~, "1:"..,..- 2, your pay stubs for the preceding six (6) months, u) '"" ..-to 3. verification of child care expenses, and '00 . _.,,-q 4, proof of medical coverage which you may have, or may have available to you ::; 0:::' 5. information relating to professional licenses :': ',,, P, '",:...-{ 6, other: ':c:; "..,- ~"- e,J ...... = -= =- <.- '~ Z N CI> 'J;:> .p, W Id Service Type M Form eM-509 Worker ID 21700 KREBS v, KREBS PACSES Case Number: 808105784 If you fail to appear for the conference/hearing or to bring the required documents, the court may issue a warrant for your arrest or enter an order in your absence. If paternity is an issue, the court may enler an order establishing paternity. The appropriate court officer may enter an order against either party based upon the evidence presented without regard 10 which party initiated the support action. Date of Order: ! -)J"-O'-t BY THE COURT: Ci) "~r JUDGE YOU HAVE THE RIGHT TO A LAWYER, WHO MAY ATTEND THE HEARING AND REPRESENT YOU. IF YOU DO NOT HAVE A LAWYER OR CANNOT AFFORD ONE, GO TO OR TELEPHONE THE OFFICE SET FORTH BELOW TO FIND OUT WHERE YOU MAY GET LEGAL HELP: CUMBERLAND CO BAR ASSOCIATION 32 S BEDFORD ST CARLISLE PA 17013-3302-32 (717) 249-3166 AMERICANS WITH DISABILITIES ACT OF 1990 The Court of Common Pleas of CUMBERLAND County is required by law to comply with the Americans with Disabilities Act of 1990, For information about accessible facilities and reasonable accommodations available to disabled individuals having business before the court, please contact our office at: (717) 240-6225, All arrangements must be made at least 72 hours prior to any hearing or business before the court. You must attend the scheduled hearing, Page 2 of2 Form CM-509 Worker ID 21700 Service Type M . ,P = Si ... {fl ~~,' ~ ~,I ~ N =R eo; CD <5 i~ :: 2' . Co) 0 i: ~ :,:'-", c:: ,:::1:' t1 Y-_!_ 15; In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTlOII' 13 N. HANOVER Sf, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: JOHN R. KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS Financial Break Down of MultiDle Cases on Attachment PACSES Docket Case Number Number 023105655 00642 S 2003 808105784 03-3538 CIVIL Attachment Amount/Freauencv $ 1,300.00 IMONTH ! 646, 00 tONTH $ I $ I ! ; $ I TOTAL AITACHMENT AMOUNT: $ 1,946.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 449.08 per week, or 50 . 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOHN R. KREBS Social Security Number 160-58-0002, Member ID Number 1361101196 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW), DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23 Pa. C,S, ~ 4348(g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred, BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT t:.;./.J/.U>t~ [, /~ ( :--~ VNO~n JUDGE W/.}J r .,~L, : I. l' '~ Date of Order: Service Type M Form EN-034 Worker ID $IATT o ~ -OC.!:l cprq ~.~~~ r~.L~: <- ):>,,-., 2"< ","CJ .-c ~ c. (iT'iL;. ...., = = J:" .." 1""1 0:> I +" o "1 ~"'TJ m,- h; ~6 -I.,.; :r: " Q,') .Zrn S1 J> ::0 -< '"'0 ::Ii: Y? eN \D In the Court of Common Pleas of CUMBERLAND County, Pennsylvania Phone: (717) 240-6225 DOMESTIC RELATIONS SECTION 13 N. HANOVER sr, P.O, BOX 320, CARLISLE, PA. 17013 Fax: (717) 240-6248 Defendant Name: JOHN R. KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS Financial Break Down of Multinle Cases on Attachment P ACSES Docket Case Number Number 023105655 00642 S 2003 808105784 03-3538 CIVIL $ J $ $ J $ Attachment Amount/Freauencv 804.00 IMONTH 73 . 00 ~MONTH / / f '/ / / TOTAL AITACHMENT AMOUNT: $ 877.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 202 .38 per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOHN R. KREBS Social Security Number 160-58-0002 ,Member ID Number 1361101196 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW), DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the 'amount attached under this Order SO that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23 Pa. C.S, ~ 4348(g), This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT Date of Order: FEB 1 8 100\ ED/<...Y/-/LL) ?;;.tcOl~O JUDGE Form EN-034 Service Type M Worker ID $IATT ?~ ~ ~oo} f! I 1m o r- ? ...,....,....... ~tY t c: -' ~f' z -'i -< ....., C:.:'l = ..- ." fT1 co o "n :;:J ni~ -oF,; COy 06 :?- g~ ::r-~ ~:.'-J -< a:> -0 ~- ~ (.) en PAMELA KREBS Plaintiff : IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA vs. : DOCKET NO, 2003-3538 : PACSES CASE NO. 808105784 : IN DIVORCE (APL) JOHN KREBS Defendanl AGREED UPON ORDER OF ALIMONY PENDENTE LITE AND NOW come the parties, Pamela Krebs, by and through her attorney, JoAnne Murphy, Esquire, and John Krebs, by and through his attorney, Lori K. Serratelli, Esquire, and agree and slipulale to lhe following lerms for support: 1. The parties agree lhat the Order of January 12, 2004 is modified to lhe amount of additional $568.00 per month as alimony pendenle lile effective February 9, 2004 wilh^arrearages of $750.00 payable at the rale of$IOO.OO per month for seven (7) months and $50.00 in the eighlh monlh from lhe effective dale oftms Order. 2. All remaining ilems conlained in the Order of January 12, 2004 shall remain in full force and effect. IN WITNESS WH~, the parties and their counsel have set their hands and seals lhis I(~ day of '" ,2004. WITNESSES: e Murphy, Esquire orney for Plaintiff L/~~/ Pamela Krebs Plaintiff iLtr , hn Krebs ' ibefendant Lo , Serratelli, Esquire Attorney for Defendanl B Judge (J'fOO\ ,".' -.:::1 f-.~ o c -",'. ~. ~jff; ~, ~i- V! ' e ^,::: ~:E? c z =<' ,'~:.l ,~..t 1:;> W \,0 '" = = .c- ~ := ;;0 I \,0 ,,":) " :J3 n'i:t! ::gin r~.J? ':)0- ::;:J _.. ~r; c5:D ?'W ~:!,nl ::: .,,-',", ..(J -< ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 03/09/04 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice EmployerMlithholder's Federal EJN Number RE: KREBS, JOHN R. Employee/Obligor's Name (Last, First, MI) 160-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identjfjer (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (last, First, Ml) TOOLING DYNAMICS INC 905 VOGELSONG RD YORK PA 17404-1378 M/ t </;} 3 ~ZJ'?:> 1'J1{1S[s, OA 3/0~if,5'S Jk/, dOM -353 J" (71 tilL ?14(1!;E S. g-'ZJ 1/1 DS~7 <fY See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania. By law, you are required to deduct these amounts from the above-named employee'sfobligor's income until further notice even if the Order/Notice is not issued by your State, $ 1,774.00 per month in current support $ 100. 00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ 0 . 00 per month for genetic test costs $ per month in other (specify) for a total of $ I, 874 .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: $ 432.46 per weekly pay period. $ 864.92 per biweekly pay period (every two weeks). $ 937.00 per semimonthly pay period (twice a month). $ 1.874.00 per monthly pay period, REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydateJdate 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'sf obligor's aggregate disposable weekly earnings. For the purpose of the limitation on withholding, the following information is needed (See #10 on pg. 2), If remitting by EFT/EDI, please call Pennsylvania State Collections and Disbursement Unit (SCDU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. f~{!';r ~ n'r" "',' ""'~,"'''Y THE COURT' &!:~'ik "'Laf;! ,""" ,", ",a . 1 0 200'-- $,-:!:, ,() iIr.k,fG, /"'- Date of Order: MAR -----_ _,"" E/)/.c)i;)R() E G JL' iF Form E N-028 Worker ID $IATT Service Type M OMS No.: 0970-0154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If (hecked you are required, to provi(ie a ~opy of this form to your, employee, If your employee works in,a state that is ditterent from the state that ISsued thiS order, a copy must be provided to your employee even If the box IS not checked, 1, We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2. Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income. Federal tax levies in effect before receipt of this order have priority, If there are Federal tax levies in effect please contact the requesting agency listed below, 3, Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a singie 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," ::~~~g~,~ ~;~~~:_ ~~~~","idi:,g. "~o~ :,:~,~;=~~:~;:~;~:~:t~ ~~~;t~~~'~;~~"'''' ,""di',g tl,~ p.,,,,c,,t. Th~ "a, t ",', 't1 t ol...I.;cl, .,,,ou,,t..as ..itl,j,dd i,v" , II.. "",plo,_c'. ..ago, You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and fOlWard the support payments. 5. * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible, (See #1 0 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you, Please provide the information requested and return a copy of this Order/Notice to the Agency identified below, WITHHOLDER'S ID: 2321998270 EMPLOYEE'S/OBLlGOR'S NAME: KREBS , JOlIN R. EMPLOYEE'S CASE IDENTIFIER: 1361101196 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7, Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9, Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 10.* Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U,S.c. 91673 (b)l; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 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. If you or your employee/obligor have any questions, contact WAGE ATTACHMENT UNIT by telephone at (717) 240-6225 or by FAX at (717) 240-6248 or by internet www.childsupport.state.pa.us Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 Page 2 of 2 Form EN-028 Worker ID $IATT Service Type M QMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KREBS, JOHN R. PACSES Case Number 023105655 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 006'4"2S 2003 $ 1,206.00 Child(ren)'s Name(s): DAVID WITHERSPOON KREBS LlllillSYtVIAKREIl'S. DOB 08/03/99 07/19/01 PACSES Case Number 808105784 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 03~ CIVIL$ 668.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) above in any health insurance coverage available employee's/obllgor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obllgor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obllgor's employment. PACSES Case Number Plaintiff Name PACSES Case Number Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB you are required to enroll the child(ren) in any health insurance coverage available employee's/obllgor's employment. you are required to enroll the child(ren) in any health insurance coverage available employee's/obligor's employment. Addendum Form EN-028 Worker ID $IATT Service Type M OMB No.: 0970-0154 '- C2 ~" 0 = ( = " .r- ~ --l " -r -:"--n , :;~) 111r:::;; :98 "_..1 ~ 0 --0 ~:T:!~) -'- '~2(-) L,) (-3fT! :;.:1 .'-~ CJ) ,-;.J U) -< ~~CC.2J:~rrrH~.:;jj In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA, 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: JOlIN R. KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS Financial Break Down of Multiole Cases 00 Attachment P ACSES Docket Case Number Number 023105655 00642 S 2003 808105784 03-3538 CIVIL $ I $ $ I $ Attachment Amount/FreQuency 1,206.00 jMONTH 668.00 !.MONTH I / / % I / / TOTAL ATTACHMENT AMOUNT: $ 1,874.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 432.46 per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOlIN R. KREBS Social Security Number 160-58-0002 ,Member ID Number 13 611 0 119 6 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23 Pa, C,S, ~ 4348(g), This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court, All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT E.btU4fet) :~ JUDGE Date of Order: Mf\R 1 0 200t Service Type M Form EN-034 Worker ID $IATT ~~:.'42~'. ~srrt: if!'"t~, ':Q:i ...... C'::'::)o = ..r.- ~ '-I ., '"'i":O 'r- -o:-q ,-oy ~~C) :.T::f.: ~;?c5 ~,:'::'"7 rT'i l.n.) ;i;~ -< ::::;:1: :;:.".. :;:;;1 ~~ w C) _0 JOHN R. KREBS, Plaintiff/Respondent/Petitioner IN THE COURT OF COMMON PLEAS OF CUMBERLAN][) COUNTY, PENNSYLV ANIA VS. CIVIL ACTION - DIVORCE PAMELA S, KREBS, DefendantlPetitionerlRespondent NO, 2003-3538 CIVIL TERM IN DIVORCE PACSES #808105784 ORDER OF COURT AND NOW, this 27'h day of July, 2004, a petition has been filed against you, Pamela Krebs. to decrease an existing Alimony Pendente Lite Order, You are ordered to appear in person at the Domestic Relations Section, \3 North Hanover Street, Carlisle, Pennsylvania, onA"!!".t 27.2004 at 9:00 A.M. for a conference and to remain until dismissed by the Court, If you fail to appear as provided in this Order, an Order of Court may be entered against you. You are further ordered to bring to the conference: (I) a true copy of your most recent Federal Income Tax Return, including W-2's as filed (2) your pay stubs for the preceding six (6) months (3) the Income and Expense Statement attached to this order, completed as required by the Rule 1910,11. (4) verification of child care expenses (5) proof of medical coverage which you may have, or may have available to you IF you fail to appear for the conference or bring the required documents, the Court may issue a warrant for your arrest. BY THE COURT, Georg" E. Hoffer, President Judge Copies mailed 7-27-04 to:< Petitioner Respondent Lori Serratelli, Esquire JoAnne Murphy, Esquire 1} ;:JL~U-;y ~ adday, Conference Officer Date of Order: Julv 27. 2004 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 170 \3 (717) 249-3166 ('J :;:g ~ >;; = ""'" 'S.. <- ..... -oc' fflifJ Q1d~ c:: ..r.:~ .'1" r- :Bg 2::~: N <;n",.. -...J fi!) ~rf~, ;<::.. " .d ;t;:(') :x 20 "-(-. ---rn j;;: ..,-' ~ 0 c.: --I "?- -,,; :::3 w ~:o -< \,0 -< j:~,- "-;"';. n fl ~~' CL JOHN R. KREBS, Plaintiff/Respondent/Petioner IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYL VANIA VS. CIVIL ACTION - DIVORCE PAMELA S. KREBS, DefendantIPetitionerlRespondent NO. 2003-3538 CIVIL TERM IN DIVORCE Pacses# 808105784 ORDER OF COURT AND NOW, lhis 27th day of Augusl, 2004, based upon the Court's d,:terminalion lhal Pelitioner's monlhly nel income/earning capacily is $912.73 and Respondent's monlhly nel income/earning capacity is $3,966.51, il is hereby Ordered thai the Respondent pay 10 the Pennsylvania Slale Colleclion and Oisbursemenl Unit, $316.00 per monlh payable bi-w,:ekly as follows; $145.85 for alimony pendenle lile and $0.00 on arrears. Firsl paymenl due nexl modified wage attached payment. Arrears sel al $389,11 as of Augusl27, 2004. The effeclive dale oflhe order is September I, 2004. Failure 10 make each paymenl on lime and in full will cause all arrears to become subject 10 immediate collection by all of the means as provided by 23 Pa.C.S.{i 3703. Further, if the Court finds, after hearing, lhat lhe Respondent has willfully failed 10 comply wilh lhis Order, il may declare the Respondenl in civil conlempt of Court and ils discrelion make an appropriate Order, including, bul nOllimited 10, commitment of the Respondenl to prison for a period nollo exceed six monlhs, Said money to be turned over by the P A SCOU to: Pamela S. Krebs. Payments musl be made by check or money order. All checks and money orders must be made payable 10 P A SCDU and mailed to: P A SCOU P.O, Box 69110 Harrisburg, PAl 7106-9 I 10 Paymenls must include the defendant's P ACSES Member Number or Social Securily Number in order 10 be processed. 00 nol send cash by mail. Unreimbursed medical expenses thai exceed $250,00 annually are 10 be paid as follows: 0% by Husband and 100% by wife. The Pelilioner is responsible 10 pay th,~ firsl $250,00 annually in unreimbursed medical expenses. Husband to provide medical insurance coverage, Wilhin lhirty days after the entry oflhis order, lhe Husband shall submit 10 the Petilioner written prooflhat medical insurance coverage has been oblained or thai appIicalion for coverage has been made, Proof of coverage shall consisl, at a minimum, of: I) the name ofthe health c:are coverage provider(s); 2) any applicable idenlificalion numbers; 3) any cards evidencing coverage; 4)lhe addr4ess 10 which claims should be made; 5) a descriplion of any restriclions on usage, such as prior approval for hospilal admissions, and the manner of oblaining approval; 6) a copy of the benefit booklet or coverage conlracl; 7) a descriplion of all deductibles and co-payrnenls; and 8) five copies of any claim forms, This Order shall become final len days after the mailing of the notice: of the enlry of lhe Order to lhe parties unless either party files a written demand wilh the Prothonolary for a hearing de novo before lhe Court. ORO: R, J. Shadday Mailed copies on 8-30-04: < Petitioner Respondent Joanne Murphy, Esquire Lori Serratelli, Esquire BY THE COURT, .o,.~' ....,...---'''''''''...---........ Edward E, Guido J, o ~; ~r': ;:-.$ ~:;" ~~ ~ N> = = .r:- :<0- c::: c;-) (,,) ~ :i! r1'1 :JJ hi ~6 "..,.. =fl g~ -4 ?r; -< ..., ~ - CtJ .::- .. In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARLISLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: JOHN R. KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member ID Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS Financial Break Down of Multiole Cases on Attachment P ACSES Docket Case Number Number 023105655 00642 S 2003 808105784 03-3538 CIVIL $ ! $ $ I $ Attachment Amount/Freauency 1,206.00 IMONTH 568, 00 ~MONTH / / % I / / TOTAL ATTACHMENT AMOUNT: $ 1,774.00 Now, by Order of this Court, the Department of Labor and Industry, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to all:ach the lesser of $ 409.38 per week, or 50.0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOHN R, KREBS Social Security Number 160-58-0002, Member ID Number 1361101196 ' BUCBA is ordered to remit the amount all:ached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ l673(b)(2) and 23 Pa. C.S. ~ 4348(g). This Order shall be effective upon receipt of the notice of the Ord.er by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacated by subsequent Order of this Court. All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. BY THE COURT SEP - 1 200~ Date of Order: ~~ JUDGE Service Type M Form EN -034 Worker ID $IATT In the Court of Common Pleas of CUMBERLAND County, Pennsylvania DOMESTIC RELATIONS SECTION 13 N. HANOVER ST, P.O. BOX 320, CARUSLE, PA. 17013 Phone: (717) 240-6225 Fax: (717) 240-6248 Defendant Name: JOHN R, KREBS Member ID Number: 1361101196 Please note: All correspondence must include the Member ill Number. MODIFIED ORDER OF ATTACHMENT OF UNEMPLOYMENT BENEFITS Plaintiff Name PAMELA S. KREBS PAMELA S. KREBS Financial Break Down of MultiDle Cases on Attachment PACSES Docket Case Number Number 023105655 00642 S 2003 808105784 03-3538 CIVIL Attachment Amount/Freauencv $ i $ $ I $ 1,738.00/MONTH 316.00 {MONTI! I I ; I I I TOTALATIACHMENT AMOUNT: $ 2,054.00 Now, by Order of this Court, the Department of Labor and lndustty, Bureau of Unemployment Compensation Benefits and Allowances (BUCBA), is hereby directed to attach the lesser of $ 474.00 per week, or 50. 0 %, of the Unemployment Compensation benefits otherwise payable to the Defendant, JOHN R. KREBS Social Securiity Number 160-58-0002 , Member ID Number 1361101196 . BUCBA is ordered to remit the amount attached to the Department of Public Welfare (DPW). DPW shall forward the amount received from BUCBA to the Domestic Relations Section of this Court for support and/or support arrearages. If the Defendant's Unemployment Compensation benefits are attached by another Court or Courts for support and/or support arrearage, DPW may reduce the amount attached under this Order so that the total amount attached does not exceed the maximum amount subject to garnishment pursuant to 15 U.S.C. ~ 1673(b)(2) and 23 Pa. C.S. ~ 4348(g). This Order shall be effective upon receipt of the notice of the Order by the BUCBA and shall remain in effect until the Defendant's entitlement to Unemployment Compensation benefits, under the Application for Benefits dated SEPTEMBER 21, 2003 is exhausted, expired or deferred. BUCBA shall comply with this Order, unless it is amended or vacalted by subsequent Order of this Court, All questions, challenges or obligations to this Order shall be directed to the Domestic Relations Section of this Court. Date of Order: ."2200' JUDGE Service Type M Form EN-034 Worker ID $IATT ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsvlvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 09/01/04 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice EmployerAvithholder's Federal EIN Number RE: KREBS, JOHN R. Employee/Obligor's Name (Last, First, MI) 160-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identifjer (See Addendum for plaintiff names associated with casps on attachment) Custodial Parent's Name (Last, First, Mil TOOLING DYNAMICS INC 905 VOGELSONG RD YORK PA 17404-1378 2J# (f' f/'A P)/CS[(> $-ZA8 0)., 31 {)~(,. !;'S:" !Jlf~ ~3-~53~ t!lWL- tI/eS'i> S:u3/{J5'? f'7" 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'sfobligor's income until further notice even if the Order/Notice is not issued by your State. $ 2,054.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Qyes @ no $ 0.00 per month in medical support $ 0,00 per month for genetic test costs $ per month in other (specify) for a total of $ 2,054.00 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: $ 474,00 per weekly pay period, $ 948.00 per biweekly pay period (every two weeks). $ 1,027,00 per semimonthly pay period (twice a month). $ 2,054.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice, Send payment within seven (7) working days of the paydatEcldate 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'sf 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/EOI, please call Pennsylvania State Collections and Disbursement Unit (SCOU) Employer Customer Service at 1-877-676-9580 for instructions, Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME ,'ND 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: 5:;: Date of Order: SEP - 2 200\. cd~i.S Service Type M OMB No.: 0970-0154 Form EN-028 Worker ID $IATT ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ~hecked you are required to prpxide a ,opy of this form to your employee. If yo~r employee works in a state that is different from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1, We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2, Priority: Withholding under this Order/Notice has priority over any other legal process under State law against the same income, Federal tax levies in effect before receipt of this order have priority. If there are Federal tax levies in effect please contact the requesting agency listed below. 3, Combining Payments: You can combine withheld amounts from more than one employee/obligor's income in a single payment to each agency requesting withholding, You must, however, separately identify the portion of the single payment that is attributable to each employee/obligor, 4.* Rcpoltil,g tl,~ Paydatc/D.rtt of'vVitl,l,olding. YotJ I !lUst l~p()11 ti,e paydMtdda~ of vvithl,old;"g vvl,~t1 5cl,d;ng t1!~ pay I lIeht. The pAydateldatt of naLLold;lIg i~ LLe date 01. vvl,;clr amuUht naS n;tl,I,dd (10111 lLe elllpluyc.e';; nage~. You must comply with the law of the state of the employee's/obligor's principal place of employment with respect to the time periods within which you must implement the withholding order and fOlward the support payments, 5, * Employee/Obligor with Multiple Support Holdings: If there is more than one Order/Notice to Withhold Income for Support against this employee/obligor and you are unable to hanor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's1obligor's principal place of emplayment. 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 th,e employee/obligor is no longer working for you, Please provide the information requested and return a copy af this Order/Notice to the Agency identified below, WITHHOLDER'S 10: 2321998270 EMPLOYEE'S/OBLlGOR'S NAME: KREBS. JOHN R. EMPLOYEE'S CASE IDENTIFIER: 1361101196 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 bath the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by Pennsylvania State law. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9, Anti-discrimination: You are subject to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 10, * Withholding Limits: You may nat withhold more than the lesser of: 1) the amaunts 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 taxesi Social Security taxes; and Medicare taxes. 11. Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: DOMESTIC RELATIONS SECTION 13 N. HANOVER ST P.O. BOX 320 CARLISLE PA 17013 If you or your employee/obligor have any questions, contact WAGE ATIACHMENT UNIT by telephone at j 717) 240-6225 or by FAX at !.ZlZl..240-624R or by internet www.childsupport.state.pa.us Service Type M Page 2 of 2 Form EN-028 Worker ID $IATT OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KREBS, JOHN R. PACSES Case Number 023105655 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 00642 S 2003 $ 1,738.00 Child(ren)'s Name(s): DAVID WITHERSPOON KREBS LEAil.....SyI&rA'.,',ititEllS' DOB 08/03/99 07119/01 PACSES Case Number 808105784 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 03-3538 CIVIL$ 316.00 Child(ren)'s Name(s): DOB you are required to enroll the chi/d(ren) in any health insurance coverage available employee's/obligor's employment. o If checked, you are required to enroll the child(ren) identjfied 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 PACSES Case Number Plaintiff Nam,: Docket Attachment Amount $ 0.00 Chi/d(ren)'s Name(s): DOB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case ',umber Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s ~Iame(s): DOB o If checked, you are required to enroll the child(ren) identjfied above in any health insurance coverage available through the employee's/ob/igor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. Service Type M Addendum Form EN-028 Worker ID $IATT OMB No.: 097()..()154 ORDER/NOTICE TO WITHHOLD INCOME FOR SUPPORT State Commonwealth of Pennsylvania Co./City/Dist. of CUMBERLAND Date of Order/Notice 08/31/04 Tribunal/Case Number (See Addendum for case summary) o Original Order/Notice @ Amended Order/Notice o Terminate Order/Notice EmployerMlithholder's Federal EIN Number RE: KREBS, JOHN R. ')#, ~.~ Pffi'1L ~'> 'i'tJ'if!05'7Ii'C/ Employee/Obligor's Name (Last, First, MI) 160-58-0002 Employee/Obligor's Social Security Number 1361101196 Employee/Obligor's Case Identifier (See Addendum for plaintiff names associated with cases on attachment) Custodial Parent's Name (Last, First, Mil TOOLING DYNAMICS INC 905 VOGELSONG RD YORK PA 17404-1378 ;iJ. /PY). S ~d3 !I/(!,{;&S O.:l3/,,5t,g;- See Addendum for dependent names and birth dates associated with cases on attachment. ORDER INFORMA TlON: This is an Order/Notice to Withhold Income for Support based upon an order for support from CUMBERLAND County, Commonwealth of Pennsylvania, By law, you are required to deduct these amounts from the above-named employee'slobligor's income until further notice even if the Order/Notice is not issued by your State. $ 1,774.00 per month in current support $ 0.00 per month in past-due support Arrears 12 weeks or greater? Oyes @ no $ 0.00 per month in medical support $ 0.00 per month for genetic test costs $ per month in other (specify) for a total of $ 1,774.00 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: $ 409.38 per weekly pay period. $ 818.77 per biweekly pay period (every two weeks). $ 887.00 per semimonthly pay period (twice a month). $ 1.774.00 per monthly pay period. REMITTANCE INFORMATION: You must begin withholding no later than the first pay period occurring ten (10) working days after the date of this Order/Notice. Send payment within seven (7) working days of the paydate/date of withholding. You are entitled to deduct a fee to defray the cost of withholding. Refer to the laws governing the work state of your employee for the allowable amount. The total withheld amount, and your fee, cannot exceed 55% of the employee'sI 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 '-877-676-9580 for instructions. Make Remittance Payable to: PA SCDU Send check to: Pennsylvania SCDU, P.O. Box 69112, Harrisburg, Pa 17106-9112 IN ADDITION, PA YMENTS MUST INCLUDE THE DEFENDANT'S NAME AND THE PACSES MEMBER ID (shown above as the Employee/Obligor's Case Identifier) OR SOCIAL SECURITY NUMBER IN ORDER TO BE PROCESSED. DO NOT SEND CASH BY MAIL. -" -7 .~, ~'"' 'P';!'''''" , J.'tf!/!CI"'" jiy THE COU~,", SEP - 1 200t - :. Date of Order: Jv.:e Form EN-028 Worker ID $IATT Service Type M OMB No.: 0970-0154 ADDITIONAL INFORMATION TO EMPLOYERS AND OTHER WITHHOLDERS o If ,-hecked you are required to provide a copy of this form to your employee, If yoUr employee works in a state that is different-from the state that issued this order, a copy must be provided to your employee even if the box is not checked. 1. We appreciate the voluntary compliance of Federally recognized Indian tribes, tribally-owned businesses, and Indian-owned businesses located on a reservation that choose to withhold in accordance with this notice. 2, Priority: Withholding under this OrderlNotice 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 une 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.* Repoltihg ti,e F'Aydate!Db.~ of'/y'itl.l.old:..g. You lnu~l ,l.pOlt tLe payJdlc./date of nitl-d.oldihg nLC'1I sGlld:llg tLe POy,"G"t. Ti,e t=iAydatc/date of nitl.l.oldi,.g;3 ti,e datt 011 nl.icL amount YVas vvitl.l.eld {lOll! tIle eM1ploye,e's vvagO. 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 impiement the withholding order and forward the support payments, 5." Employee/Obligor with Multiple Support Holdings: If there is more than one Order/~Jotice to Withhold Income for Support against this employee/obligor and you are unable to honor all support Order/Notices due to Federal or State withholding limits, you must follow the law of the state of employee's/obligor's principal place of employment. You must honor all Orders/Notices to the greatest extent possible, (See #1 0 below) 6. Termination Notification: You must promptly notify the Requesting Agency when the employee/obligor is no longer working for you. Please provide the information requested and return a copy of th is Order/Notice to the Agency identified below, WITHHOLDER'S ID: 2321998270 EMPLOYEE'S/OBLlGOR'S NAME: KREBS, JOlIN R. EMPLOYEE'S CASE IDENTIFIER: 1361101196 DATE OF SEPARATION: LAST KNOWN HOME ADDRESS: NEW EMPLOYER'S NAME/ADDRESS: 7. Lump Sum Payments: You may be required to report and withhold from lump sum payments such as bonuses, commissions, or severance pay. If you have any questions about lump sum payments, contact the person or authority below. 8. Liability: If you fail to withhold income as the Order/Notice directs, you are liable for both the accumulated amount you should have withheld from the employee/obligor's income and other penalties set by pennsylvania State law, Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs, 9, Anti-discrimination: You are subiect to a fine determined under State law for discharging an employee/obligor from employment, refusing to employ, or taking disciplinary action against any employee/obligor because of a support withholding. Pennsylvania State law governs unless the obligor is employed in another State, in which case the law of the State in which he or she is employed governs. 10, * Withholding Limits: You may not withhold more than the lesser of: 1) the amounts allowed by the Federal Consumer Credit Protection Act (15 U.5.c. ~1673 (b)1; or 2) the amounts allowed by the State of the employee's/obligor's principal place of employment. The Federal limit applies to the aggregate disposable weekly earnings (ADWE), ADWE is the net income left after making mandatory deductions such as: State, Federal, local taxes; Social Security taxes; and Medicare taxes. 11, Additional Info: "NOTE: If you or your agent are served with a copy of this order in the state that issued the order, you are to follow the law of the state that issued this order with respect to these items. Submitted By: DOMESTIC RELATIONS SECTION 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 !.Z.1Zl.240-6248 or by internet www.childsupport.state.pa.us Page 2 of 2 Form E N-028 Worker ID $IATT Service Type M OMB No.: 0970-0154 ADDENDUM Summary of Cases on Attachment Defendant/Obligor: KREBS, JOHN R. PACSES Case Number 023105655 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 00642 S 2003 $ 1,206.00 Child(ren)'s Name(s): DAVIJ)WITIIERSPOOIiI KREBS LEliliS&Jt;VtAtRlilllS . DOB 08/03/99 01/19/01 PACSES Case I~umber 808105784 Plaintiff Name PAMELA S. KREBS Docket Attachment Amount 03:J538 CIVIL $ 568.00 Child(ren)'s t"ame(s): DOB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case I~umber Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s t"ame(s): DOB o If checked, you are required to enroll the child(ren) identified above In any health insurance coverage available through the employee's1obligor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's/obligor's employment. PACSES Case Number Plaintiff Name PACSES Case I~umber Plaintiff Name Docket Attachment Amount $ 0.00 Child(ren)'s Name(s): DOB Docket Attachment Amount $ 0.00 Child(ren)'s t"ame(s): DOB o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. o If checked, you are required to enroll the child(ren) identified above in any health insurance coverage available through the employee's1obligor's employment. Addendum Form EN-02B Worker ID $IATT Service Type M OMB No.: 0970-0154 IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA DOMESTIC RELATIONS SECnON PAMELA S. KREBS, Plaintiff Defendant ) ) Dockel No.: 03-3538 ) ) ) PACSES Case No,: 808105784 ) ) vs. JOHNR. KREBS, DEMAND FOR HEARING 111_ J1~APPEAL AND NOW, this ~ day of ::)p of- , 2004, the Plalintiff, Pamela S, Krebs, by her , APL f'S' attorney, JoAnne Murphy, Esquire and Gingrich, Smith, Klingensmith & Dolan, hereby files exceptions to the Order of Court dated August 27, 2004, for the foillowing reasons: 1. Plaintiff believes the Conference Officer erred in calculating Defendant's tax liability. Based on the foregoing, Plaintiff respectfully requesls a hearing de novo before the Court of Common Pleas of Cumberland Counly. GINGRIC ITH, KLINGENSMITH & DOLAN ~ Murphy, EsqUii~ o b alfofPlainliffPamela S. Krebs 22 outh Market Street, Suile 20 I ' abelhlown, P A 17022 Attorney ill #80838 Cf- f-o<{ ~ ~( ~ ORO.. ~ q-I(-O<{ ~~ ~~ ~V4'<,~~ W.(A 0.....;'<.. :;u~ 10 "Cl ~~~ -c.~ '..',; iT'. ~. -:';>' - , ~:.. . ~~.~- f~~E, ;;:.~ :::! o G ...., = = .r- (J? ,." -0 I CO o -11 ~ rnFJ -o~ 3JY Oc.> ~-r, I-n Qo --'-rn o .---\ 'C- ~~ '"'" =' - ., 0' VS. IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA CIVIL ACfION - SUPPORT JOHN R. KREBS, Plaintiff/Respondent NO. 2003-3538 CIVIL PAMELAS. KREBS, Defendant/Petitioner P ACSES # 808105784 ORDER OF COURT AND NOW, this 28'h day of February, 2005" IT IS HEREBY ORDERED that the APL Order in this case be terminated without prejudice effective February 1, 2005, due to the parties' Marital Seulement Agreement of February 21,2005. There is a remaining balance of $255.99 and is to be paid with the current Wage Anachment. 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 wriuen demand with the Domestic Relations Section for a hearing de novo before the Court. BY TIIE OOURT, Edward E. Guido Judge DRO, RJ Shadday xc: pecicioner respondent Joanne Murphy, Esquire Lori Serratelli, Esquire .,5 I - 0-';- 0:? C~~ () en -'11 ::J:: ~ ~ I -n ~, (..) .r C:J MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire I.D. No. 65551 4811 Jonestown Road Suite 125 Harrisburg, pennsylvania 17109 (717) 657-3900 Attorneys ~Dr Plaintiff JOHN RANDALL KREBS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS, IN DIVORCE Defendant AFFIDA VIT I, PAMELA SUZANNE KREBS, being duly sworn according to law, depose and state: 1. I have been advised of the availability of marriage counseling and understand that I may request that the court require that my spouse and I participate in counseling. 2. I understand that the court maintains a list of marriage counselors in the Prothonotary's Office, which list is available to me upon request. 3. Being so advised, I do not request that the court require that my spouse and I participate in counseling prior to a divorce decree being handed down by the court. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.C.S.~4904, relating to unsworn falsification to authorities. Date: to;1.j,.'. ~. ) ) ~~E~ S~2ANNE KR:1;L'- :218827 i~@~TI~ " l DEe 1 4 1005 ~ B '(: _...bQ1----------- (") ,...., = 0 C c:;:::> -n " c.n c::> .-1 p1 :T--n 0 cnr No ...,rn ,'")0 0 (---... j :-:'!() ~ ,.--.r, c:.~?2s 'P. '..:"',n--. ;~ .:::- .n f'V .< MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire I.D. No. 65551 4811 J onestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys for Plaintiff JOHN RANDALL KREBS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS, IN DIVORCE Defendant AFFIDA VIT OF CONSENT 1. A Complaint in divorce under Section 3301(c) of the Divorce Code was filed on July 24,2003. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of service of the Complaint. 3. I consent to the entry of a final decree in divorce after service of notice of intention to request entry of the decree. 4. I have been advised of the availability of marriagE! counseling, understand that the Court maintains a list of marriage counselors and that I may request the Court require my spouse and I to participate in counseling and, being so advised, I do not request that the Court require that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.c.S. 94904 relating to unsworn falsification to authorities. Date: ./!/.:,i. sO ~.Jcl'';- L/' ~ .' /. / .~-,.. '.?-,--- PAMELA SUZA E KREBS :218827 l~:~"~ 'tu::J B Y: ....._b.~--_..---- o ~; .~V'l,.:' ~,. ,-, ~ ,=" <f' c:> (T, o N o "~:'/ (/: ;:,;." .,)," 'C:C"\..._' ';7{' ,f--. _:'. ?:~ -''''' ~ ..... ::r.--r'\ rn r:: -(trG :cJY {:"'1 c::) :::~-'~'1 (:~,~ (:') ~!\r\'~ -1:'">- ~~ 'P. ;;:- ....., , MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire I.D. No. 65551 4811 Jonestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys for Plaintiff JOHN RANDALL KREBS IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS IN DIVORCE Defendant WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c) OF THE DIVORCE CODE TO: PAMELA SUZANNE KREBS, Defendant 1. I consent to the entry of a final decree in divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.c.S. 94904 relating to unsworn falsification to authorities. Date: /U:/. 3t', SJt!<.^;;- " ; " ... .' / P{fi~'~uiA;JN~-KRE:foe:e~~an~ :218827 I &OEC [J~"~:J b? BY: __._._.-'t) .-.---...- ...., = ~ (:=:> c...n 0 .-l p"] fM:n " ",Fn N 0 i}~? ::-_iCJ "'.' -,,--T (.:;2t:-j ." \? t5rn ---~ -, .' :;! ,Or' 5:; N .< MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire I.D. No. 65551 4811 Jonestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys for Plaintiff JOHN RANDALL KREBS IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS IN DIVORCE Defendant AFFIDA VIT OF CONSENT 1. A Complaint in divorce under Section 3301(c) of the Divorce Code was filed on July 24, 2003. 2. The marriage of Plaintiff and Defendant is irretrievably broken and ninety days have elapsed from the date of service of the Complaint. 3. I consent to the entry of a final decree in divorce after service of notice of intention to request entry of the decree. 4. I have been advised of the availability of marriage counseling, understand that the Court maintains a list of marriage counselors and that I may request the Court require my spouse and I to participate in counseling and, being so advised, I do not request that the Court require that my spouse and I participate in counseling prior to the divorce becoming final. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.c.S. !~4904 relating to unsworn falsification to authorities. Date: rtf?:dos ~ 'JOHN RANDA L kREBS :218827 ~ '5'- c:> \"-i\ o ,..:> o '~ q, ..-\ ~,:Q " c:::: .-.,t':: ~'iJ'-<' L)(". '.~ ~C{" ,',.-n (:n, :<-,",}\n -,\ ";;,.. :E: .,-:""5' -".,,' -~ ..p, ;;:- - MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire !.D. No. 65551 4811 J onestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys ~Dr Plaintiff JOHN RANDALL KREBS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS, IN DIVORCE Defendant WAIVER OF NOTICE OF INTENTION TO REQUEST ENTRY OF A DIVORCE DECREE UNDER SECTION 3301(c} OF THE DIVORCE CODE TO: JOHN RANDALL KREBS, Plaintiff 1. I consent to the entry of a final decree in divorce without notice. 2. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 3. I understand that I will not be divorced until a divorce decree is entered by the Court and that a copy of the decree will be sent to me immediately after it is filed with the Prothonotary. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.c.S. 94904 relating to unsworn falsification to authorities. Date: //41o~ at J~JI fa;--- ~~NDALL KREBS, Plaintiff :218827 C} c -c;O <. --c- \:-:~ ' c-(\(1 ~-~ ,j'. ~\:' ..--> e:> ~ o \"."~ o ~ 'X:. ~F- ~ 7 --'C -- .;::? ~..,.. nl~ _.-,(T}. ~.\-JS! '~~1~(~'1 ,:}.\?\ :") ''':':''l ":2.5 ."'" 'P. .C' r" MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire LD. No. 65551 4811 Jonestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys for Plaintiff JOHN RANDALL KREBS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS, IN DIVORCE Defendant AFFIDA VIT I, JOHN RANDALL KREBS, being duly sworn according to law, depose and state: 1. I have been advised of the availability of marriage counseling and understand that I may request that the court require that my spouse and I participate in counseling. 2. I understand that the court maintains a list of marriagl3 counselors in the Prothonotary's Office, which list is available to me upon request. 3. Being so advised, I do not request that the court require that my spouse and I participate in counseling prior to a divorce decree being handed down by the court. I verify that the statements made in this Affidavit are true and correct. I understand that false statements herein are made subject to the penalties of 18 Pa.c.S. 94904, relating to unsworn falsification to authorities. Date: 1113/05" (rL/~1i:- ~ANDAL K EBS :218827 '~ o S'::, -,)~:,,:,i (\)L'- ~c, ~ ~ c:::J '''-' c-, '" o ~' ;;' r-o" :t".;'i\' :z: o -n .-\ :t-1'1 rl1f; -n01 -J)\? .(~~~?, -, -,-'1. i~~~~ p; ,~ ~B ;;.:; '--.'! ;;:- -- MCSHANE & HITCHINGS, LLC By: Joseph L. Hitchings, Esquire I.D. No. 65551 4811 Jonestown Road Suite 125 Harrisburg, Pennsylvania 17109 (717) 657-3900 Attorneys for Plaintiff JOHN RANDALL KREBS, IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA Plaintiff NO. 03-3538 Civil Term v. CIVIL ACTION - LAW PAMELA SUZANNE KREBS, IN DIVORCE Defendant PRAECIPE TO TRANSMIT RECORD TO THE PROTHONOTARY: Transmit the record, together with the following information, to the Court for entry of a divorce decree: 1. Ground for divorce: Irretrievable breakdown under 9:3301 (c) of the Divorce Code. 2. Date and manner of service of the Complaint: Certified copy of Divorce Complaint served upon Defendant's counsel, Joanne Murphy on March 13,2001. A copy of the Sheriff's Return is on file in the Prothonotary's office. 3. Date of execution of the Affidavit of Consent required by Section 3301 (c) of the Divorce Code: by the Plaintiff: November 30, 2005; by the Defendant: November 30, 2005. 4. Related claims pending: None. 5. Both Plaintiff and Defendant are filing Waivers of Notice of Intention to Request Entry of Divorce Decrees dated November 30, 2005, and November 30, 2005, respectively, concurrently herewith. Dated: ,dr"1 lor Respectfully submitted, McS';,ANE & HIT9~~NG By:u '). ;WL F Joseph L. Hitchings, squire Attorney I.D. No. 65551 Attorneys for Plaintiff :222183 .--' c;;) = ,." c? en C? ~ o -n .-' h,~' \ "e:, -;:;!\~~, - '1 '-1~ ;~~,~-:) C? 1",;' o :,:~r~. :-::\ ~~:\ ';:."'~ . . . . . . :f. :of,., :ti Of. :f.:t: +=:Ii :f.:f. ++:f.+ +.+:+:+ +++++++++~ . . . . . . . . . IN THE COURT OF COMMON PLEAS OFCUMBERLANDCOUNTY . . . . . . PENNA. STATE OF . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . JOHN R~NDALL KREBS. Plaintiff No, 03 3538 VERSUS PAMEL~ SUZANNE KREBS Defendant DECREE IN DIVORCE J 3:4 ~f'/Y1 . AND NOW, December;iJ. ,~W05 , IT IS ORDERED AND DECREED THAT JOHN R~ND~LL KREBS , PLAINTIFF, AND PAMELA SUZANNE KREBS , DEFENDANT, ARE DIVORCED FROM THE BONDS OF MATRIMONY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ++. Of: + 'I: THE COURT RETAINS JURISDICTION OF THE FOLLOWING CLAIMS WHICH HAVE BEEN RAISED OF RECORD IN THIS ACTION FOR WHICH A FINAL ORDER HAS NOT YET BEEN ENTERED; The Marital Settlement ~greement dated l'EBRU~RY 21, 2005 shall be incorporated, but not merged, into this Decree in Divorce and is enforceable as an Order of Court vided in 23 Pa.C.S.~3105. The Jurls lC oWlng claims. Custody. ATTEST: J. ~~~)' P"O,,"O"O""' . :+: :f. ++.+++++++++ ++++ +. +. :+: += ++.++ ++ +++++ +. ++'f+++:f'f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . +:+: '+' +. ++ ttJ3Q <=t 'P'7~~W --:3~lr-o\Y r ;~''f'P'fl1t{j 1-1"1 ..." U'D Y" U \"'<7 ~o I "III -'iiit' . ~